JP2018184423A5 - - Google Patents

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JP2018184423A5
JP2018184423A5 JP2018128926A JP2018128926A JP2018184423A5 JP 2018184423 A5 JP2018184423 A5 JP 2018184423A5 JP 2018128926 A JP2018128926 A JP 2018128926A JP 2018128926 A JP2018128926 A JP 2018128926A JP 2018184423 A5 JP2018184423 A5 JP 2018184423A5
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Claims (23)

  1. ヒト被験体の脊髄性筋萎縮症(SMA)を治療するための医薬組成物であって、アンチセンス化合物を含み、ここで、当該医薬組成物は、ヒト被験体のくも膜下腔内へ投与され、当該アンチセンス化合物は、18個の結合したヌクレオシドから成るアンチセンスオリゴヌクレオチドを含み、ここで、当該オリゴヌクレオチドは、配列番号1の核酸塩基配列から成る核酸塩基配列を有し、当該オリゴヌクレオチドのそれぞれのヌクレオシド間結合は、ホスホロチオエート結合であり、そして、当該オリゴヌクレオチドのそれぞれのヌクレオシドは、2’−O−メトキシエチルヌクレオシドである、前記医薬組成物。
  2. SMAがI型SMAである、請求項1に記載の医薬組成物。
  3. SMAがII型SMAである、請求項1に記載の医薬組成物。
  4. SMAがIII型SMAである、請求項1に記載の医薬組成物。
  5. サバイバル運動ニューロン1(SMN1)遺伝子の両方の機能的コピーの喪失を有するヒト被検体における、サバイバル運動ニューロン2(SMN2)メッセンジャーリボ核酸(mRNA)転写物中のエクソン7の含有量を増加させるための医薬組成物であって、アンチセンス化合物を含み、当該医薬組成物はヒト被検体のくも膜下腔内へ投与され、そして当該アンチセンス化合物は18個の結合したヌクレオシドから成るアンチセンスオリゴヌクレオチドを含み、当該オリゴヌクレオチドは配列番号1の核酸塩基配列から成る核酸塩基配列を有し、当該オリゴヌクレオチドのそれぞれのヌクレオシド間結合はホスホロチオエート結合であり、そして当該オリゴヌクレオチドのそれぞれのヌクレオシドは2’−O−メトキシエチルヌクレオシドである、前記医薬組成物。
  6. ヒト被検体が、SMN1遺伝子中に変異を有することが遺伝子試験により特定される、請求項5に記載の医薬組成物。
  7. 機能的SMNタンパク質欠損につながるSMN1遺伝子中の変異を有するヒト被検体における、SMN2 mRNA転写物中のエクソン7の含有量を増加させるための医薬組成物であって、アンチセンス化合物を含み、ここで当該医薬組成物はヒト被検体のくも膜下腔内へ投与され、当該アンチセンス化合物は18個の結合したヌクレオシドから成るアンチセンスオリゴヌクレオチドを含み、当該オリゴヌクレオチドは配列番号1の核酸塩基配列から成る核酸塩基配列を有し、当該オリゴヌクレオチドのそれぞれのヌクレオシド間結合はホスホロチオエート結合であり、そして当該オリゴヌクレオチドのそれぞれのヌクレオシドは2’−O−メトキシエチルヌクレオシドである、前記医薬組成物。
  8. ヒト被検体が、SMAの1以上の指標を有すると診断されている、請求項1〜7のいずれか1項に記載の医薬組成物。
  9. ヒト被検体がSMAに関連する少なくとも1つの症状を有する、請求項1〜7のいずれか1項に記載の医薬組成物。
  10. アンチセンスオリゴヌクレオチドの少なくとも1つのヌクレオチドが修飾核塩基を含む、請求項1〜7のいずれか1項に記載の医薬組成物。
  11. 修飾核塩基が5−メチルシトシンである、請求項10に記載の医薬組成物。
  12. アンチセンス化合物を、約1mg/ml〜約5mg/mlの濃度でヒト被検体に投与する、請求項1〜11のいずれか1項に記載の医薬組成物。
  13. アンチセンス化合物を、ヒト被検体の体重kg当たりアンチセンス化合物0.01〜10mgの用量で投与する、請求項1〜11のいずれか1項に記載の医薬組成物。
  14. アンチセンス化合物5mg〜20mgの用量を投与する、請求項1〜11のいずれか1項に記載の医薬組成物。
  15. アンチセンス化合物の第1の用量を、ヒト被験体の生後1週間以内に投与する、請求項1〜14のいずれか1項に記載の医薬組成物。
  16. アンチセンス化合物の第1の用量を、ヒト被験体の生後1ヵ月以内に投与する、請求項1〜14のいずれか1項に記載の医薬組成物。
  17. アンチセンス化合物の第1の用量を、ヒト被験体の生後3ヵ月以内に投与する、請求項1〜14のいずれか1項に記載の医薬組成物。
  18. アンチセンス化合物の第1の用量を、ヒト被験体の生後6ヵ月以内に投与する、請求項1〜14のいずれか1項に記載の医薬組成物。
  19. アンチセンス化合物の第1の用量を、ヒト被験体が1〜2歳であるときに投与する、請求項1〜14のいずれか1項に記載の医薬組成物。
  20. アンチセンス化合物の第1の用量を、ヒト被験体が1〜15歳であるときに投与する、請求項1〜14のいずれか1項に記載の医薬組成物。
  21. ヒト被検体が幼児である、請求項1〜20のいずれか1項に記載の医薬組成物。
  22. ヒト被検体が成人である、請求項1〜20のいずれか1項に記載の医薬組成物。
  23. ボーラス注入によりヒト被検体のくも膜下腔内に投与される、請求項1〜22のいずれか1項に記載の医薬組成物。
JP2018128926A 2009-06-17 2018-07-06 被験体におけるsmn2スプライシングのモジュレーションのための組成物および方法 Active JP6637121B2 (ja)

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CN (5) CN115227710A (ja)
AU (2) AU2010262862C1 (ja)
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