JPWO2021163066A5 - - Google Patents

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JPWO2021163066A5
JPWO2021163066A5 JP2022548542A JP2022548542A JPWO2021163066A5 JP WO2021163066 A5 JPWO2021163066 A5 JP WO2021163066A5 JP 2022548542 A JP2022548542 A JP 2022548542A JP 2022548542 A JP2022548542 A JP 2022548542A JP WO2021163066 A5 JPWO2021163066 A5 JP WO2021163066A5
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  1. 血管内皮増殖因子A(VEGF-A)の発現を阻害するための二本鎖リボ核酸(dsRNA)剤であって、dsRNA剤は、二本鎖領域を形成するセンス鎖およびアンチセンス鎖を含み、アンチセンス鎖は、二本鎖AD-1353452、AD-1353480、AD-1020575、AD-901113またはAD-953370.1からのアンチセンス配列の1つまたは明細書中の[表6]~[表145]および[表188]~[表192]のいずれか1つに列挙されるいずれか1つのアンチセンス配列に由来する、0、1、2または3つのミスマッチを有する、少なくとも15の連続するヌクレオチドを含むヌクレオチド配列を含み、センス鎖は、アンチセンス配列に対応する、二本鎖AD-1353452、AD-1353480、AD-1020575、AD-901113またはAD-953370.1からのいずれか1つのセンス鎖または明細書中の[表6]~[表145]および[表188]~[表192]のいずれか1つに列挙されたセンス配列に由来する0、1、2または3つのミスマッチを有する、少なくとも15の連続するヌクレオチドを含むヌクレオチド配列を含む、二本鎖リボ核酸(dsRNA)剤。
  2. (a)センス鎖が、配列番号1のヌクレオチド1856-1878、1986-2008、2035-2057、2942-2964、3094-3116、1855~1875、1858~1878、2178~2198、2181~2201、2944~2964、2946~2966、2952~2972、3361~3381または3362~3382内の部分である
    (b)センス鎖がAD-1353452(AGAUUAGAGAGUUUUAUUUCA(配列番号4020))、AD-1353480(AUUGGAUUCGCCAUUUUAUUA(配列番号4028))、AD-1020575(CAGAACAGUCCUUAAUCCAGA(配列番号4202))、AD-901113(GAGAAAGUGUUUUAUAUACGA(配列番号4205))、AD-953370.1(GCUCUCUUAUUUGUACCGGUA(配列番号793)、AD-1020574(CGACAGAACAGUCCUUAAUCA(配列番号4200))、AD-901094(CAGAACAGUCCUUAAUCCAGA(配列番号4201))、AD-901100(AACAGUGCUAAUGUUAUUGGA(配列番号4203))、AD-901101(AGUGCUAAUGUUAUUGGUGUA(配列番号4204))、AD-901123(AAAAUAGACAUUGCUAUUCUA(配列番号4206))、AD-901124(AAAUAGACAUUGCUAUUCUGA(配列番号4207))、AD-901158(GAAAGUGUUUUAUAUACGGUA(配列番号4208))、AD-901159(GUUUUAUAUACGGUACUUAUA(配列番号4209))、AD-1020573(AGUGCUAATGTUAUUGGUGUA(配列番号4210))、またはAD-1023143(AAAAUAGACATUGCUAUUCUA(配列番号4211))から選択される二重鎖に由来するセンス鎖内の部分である
    (c)センス鎖がAD-1353452(AGAUUAGAGAGUUUUAUUUCA(配列番号4020))、AD-1353480(AUUGGAUUCGCCAUUUUAUUA(配列番号4028))、AD-1020575(CAGAACAGUCCUUAAUCCAGA(配列番号4202))、AD-901113(GAGAAAGUGUUUUAUAUACGA(配列番号4205))、AD-953370.1(GCUCUCUUAUUUGUACCGGUA(配列番号793)、AD-1020574(CGACAGAACAGUCCUUAAUCA(配列番号4200))、AD-901094(CAGAACAGUCCUUAAUCCAGA(配列番号4201))、AD-901100(AACAGUGCUAAUGUUAUUGGA(配列番号4203))、AD-901101(AGUGCUAAUGUUAUUGGUGUA(配列番号4204))、AD-901123(AAAAUAGACAUUGCUAUUCUA(配列番号4206))、AD-901124(AAAUAGACAUUGCUAUUCUGA(配列番号4207))、AD-901158(GAAAGUGUUUUAUAUACGGUA(配列番号4208))、AD-901159(GUUUUAUAUACGGUACUUAUA(配列番号4209))、AD-1020573(AGUGCUAATGTUAUUGGUGUA(配列番号4210))、またはAD-1023143(AAAAUAGACATUGCUAUUCUA(配列番号4211))のセンス鎖から選択されるセンス鎖である
    (d)アンチセンス鎖がAD-1353452(UGAAAUAAAACUCUCUAAUCUUC(配列番号4110))、AD-1353480(UAAUAAAAUGGCGAAUCCAAUUC(配列番号4118))、AD-1020575(UCUGGATUAAGGACUGUUCUGUC(配列番号4214))、AD-901113(UCGUAUAUAAAACACUUUCUCUU(配列番号4217))、AD-953370.1(UACCGGUACAAAUAAGAGAGCAA(配列番号923)、AD-1020574(UGAUUAAGGACUGUUCUGUCGAU(配列番号4212))、AD-901094(UCUGGAUUAAGGACUGUUCUGUC(配列番号4213))、AD-901100(UCCAAUAACAUUAGCACUGUUAA(配列番号4215))、AD-901101(UACACCAAUAACAUUAGCACUGU(配列番号4216))、AD-901123(UAGAAUAGCAAUGUCUAUUUUAU(配列番号4218))、AD-901124(UCAGAAUAGCAAUGUCUAUUUUA(配列番号4219))、AD-901158(UACCGUAUAUAAAACACUUUCUC(配列番号4220))、AD-901159(UAUAAGUACCGUAUAUAAAACAC(配列番号4221))、AD-1020573(UACACCAAUAACATUAGCACUGU(配列番号4222))、またはAD-1023143(UAGAAUAGCAATGTCTAUUUUAU(配列番号4223))から選択される二重鎖に由来するアンチセンス鎖内の部分である
    (e)アンチセンス鎖がAD-1353452(UGAAAUAAAACUCUCUAAUCUUC(配列番号4110))、AD-1353480(UAAUAAAAUGGCGAAUCCAAUUC(配列番号4118))、AD-1020575(UCUGGATUAAGGACUGUUCUGUC(配列番号4214))、AD-901113(UCGUAUAUAAAACACUUUCUCUU(配列番号4217))、AD-953370.1(UACCGGUACAAAUAAGAGAGCAA(配列番号923)、AD-1020574(UGAUUAAGGACUGUUCUGUCGAU(配列番号4212))、AD-901094(UCUGGAUUAAGGACUGUUCUGUC(配列番号4213))、AD-901100(UCCAAUAACAUUAGCACUGUUAA(配列番号4215))、AD-901101(UACACCAAUAACAUUAGCACUGU(配列番号4216))、AD-901123(UAGAAUAGCAAUGUCUAUUUUAU(配列番号4218))、AD-901124(UCAGAAUAGCAAUGUCUAUUUUA(配列番号4219))、AD-901158(UACCGUAUAUAAAACACUUUCUC(配列番号4220))、AD-901159(UAUAAGUACCGUAUAUAAAACAC(配列番号4221))、AD-1020573(UACACCAAUAACATUAGCACUGU(配列番号4222))、またはAD-1023143(UAGAAUAGCAATGTCTAUUUUAU(配列番号4223))のアンチセンス鎖から選択されるアンチセンス鎖である
    (f)センス鎖およびアンチセンス鎖が、AD-1353452(配列番号4020および4110)、AD1353480(配列番号4028および4118)、AD-1020575(配列番号4202および4214)、AD-901113(配列番号4205および4217)、AD-953370.1(配列番号793および923)、AD-1020574(配列番号4200および4212)、AD-901094(配列番号4201および4213)、AD-901100(配列番号4203および4215)、AD-901101(配列番号4204および4216)、AD-901123(配列番号4206および4218)、AD-901124(配列番号4207および4219)、AD-901158(配列番号4208および4220)、AD-901159(配列番号4209および4221)、AD-1020573(配列番号4210および4222)、またはAD-1023143(配列番号4211および4223)から選択される二重鎖の対形成されたセンス鎖およびアンチセンス鎖のヌクレオチド配列を含む;
    (g)アンチセンス鎖が、明細書中の[表144]に列挙されるアンチセンス配列のヌクレオチド配列を含み、センス鎖が、アンチセンス配列に対応する、明細書中の[表144]に列挙されるセンス配列のヌクレオチド配列を含む;または
    (h)dsRNA剤がAD-1353452、AD1353480、AD-1020575、AD-901113、AD953370.1、AD-1020574、AD-901094、AD-901100、AD-901101、AD-901123、AD-901124、AD-901158、AD-901159、AD-1020573またはAD-1023143である、
    請求項1に記載のdsRNA剤。
  3. センス鎖およびアンチセンス鎖の少なくとも一方が、1つまたは複数の親油性部分にコンジュゲートされている、請求項1または2に記載のdsRNA剤。
  4. (a)親油性部分が、リンカーまたは担体を介してコンジュゲートされている
    (b)1つまたは複数の親油性部分が、少なくとも1つの鎖上の1つまたは複数の内部位置にコンジュゲートされている
    (c)1つまたは複数の親油性部分が、リンカーまたは担体を介して少なくとも1つの鎖上の1つまたは複数の内部位置にコンジュゲートされている
    (d)親油性部分が、脂肪族、脂環式または多脂環式化合物である
    (e)親油性部分が、飽和または不飽和C16炭化水素鎖を含有する
    (f)親油性部分、内部位置または二本鎖領域における1つまたは複数のヌクレオチドに置き換わる担体を介してコンジュゲートされている
    (g)親油性部分が、エーテル、チオエーテル、尿素、カーボネート、アミン、アミド、マレイミド-チオエーテル、ジスルフィド、ホスホジエステル、スルホアミド連結、クリック反応の生成物、またはカルバメートを含有するリンカーを介してセンス鎖またはアンチセンス鎖にコンジュゲートされている;および/または
    (h)親油性部分が、核酸塩基、糖部分、またはヌクレオシド間連結にコンジュゲートされている、
    請求項に記載のdsRNA剤。
  5. 少なくとも1つの修飾されたヌクレオチドを含む、請求項1~4のいずれか一項に記載のdsRNA剤。
  6. (a)センス鎖ヌクレオチドの5つ以下およびアンチセンス鎖のヌクレオチドの5つ以下が、未修飾ヌクレオチドである
    (b)センス鎖のヌクレオチドの全ておよびアンチセンス鎖のヌクレオチドの全てが、修飾を含む;および/または
    (c)修飾ヌクレオチドのうちの少なくとも1つが、デオキシ-ヌクレオチド、3’-末端デオキシ-チミン(dT)ヌクレオチド、2’-O-メチル修飾ヌクレオチド、2’-フルオロ修飾ヌクレオチド、2’-デオキシ-修飾ヌクレオチド、ロックドヌクレオチド、アンロックドヌクレオチド、立体配座制限ヌクレオチド、拘束エチルヌクレオチド、脱塩基ヌクレオチド、2’-アミノ-修飾ヌクレオチド、2’-O-アリル-修飾ヌクレオチド、2’-C-アルキル-修飾ヌクレオチド、2’-メトキシエチル修飾ヌクレオチド、2’-O-アルキル-修飾ヌクレオチド、モルホリノヌクレオチド、ホスホロアミデート、非天然塩基を含むヌクレオチド、テトラヒドロピラン修飾ヌクレオチド、1,5-アンヒドロヘキシトール修飾ヌクレオチド、シクロヘキセニル修飾ヌクレオチド、ホスホロチオエート基を含むヌクレオチド、メチルホスホネート基を含むヌクレオチド、5’-ホスフェートを含むヌクレオチド、5’-ホスフェート模倣物を含むヌクレオチド、グリコール修飾ヌクレオチドおよび2-O-(N-メチルアセトアミド)修飾ヌクレオチドおよびそれらの組合せからなる群から選択される、
    請求項に記載のdsRNA剤。
  7. 少なくとも1つの鎖が、少なくとも2ヌクレオチドの3’オーバーハングを含む、請求項1~6のいずれか一項に記載のdsRNA剤。
  8. (a)二本鎖領域が、15~30または17~23ヌクレオチド対の長さである
    (b)各鎖が、19~30ヌクレオチドを有する;および/または
    (c)dsRNA剤が少なくとも1つのホスホロチオエートまたはメチルホスホネートヌクレオチド間連結を含む
    求項1~7のいずれか一項に記載のdsRNA剤。
  9. (a)標的化リガンド、例えば、眼組織を標的化するリガンド
    (b)眼組織を標的化し、眼組織が、網膜色素上皮(RPE)または脈絡膜組織、例えば、脈絡膜血管である標的化リガンド;
    (c)アンチセンス鎖の5’末端にホスフェートまたはホスフェートミミック;および/または
    (d)アンチセンス鎖の5’末端にホスフェートまたはホスフェートミミック、ここでホスフェートミミックが、5’-ビニルホスホネート(VP)である
    をさらに含む、請求項1~8のいずれか一項に記載のdsRNA剤。
  10. (i)センス鎖が、配列番号3840の配列および全ての修飾を含み、アンチセンス鎖が、配列番号3930の配列および全ての修飾を含む、
    (ii)センス鎖が、配列番号3848の配列および全ての修飾を含み、アンチセンス鎖が、配列番号3938の配列および全ての修飾を含む、
    (iii)センス鎖が、配列番号4166の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4178の配列および全ての修飾を含む、
    (iv)センス鎖が、配列番号4169の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4181の配列および全ての修飾を含む、
    (v)センス鎖が、配列番号533の配列および全ての修飾を含み、アンチセンス鎖が、配列番号663の配列および全ての修飾を含む、
    vi)センス鎖が、配列番号4164の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4176の配列および全ての修飾を含む、
    vii)センス鎖が、配列番号4165の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4177の配列および全ての修飾を含む
    (viii)センス鎖が、配列番号4167の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4179の配列および全ての修飾を含む、
    ix)センス鎖が、配列番号4168の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4180の配列および全ての修飾を含む
    (x)センス鎖が、配列番号4170の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4182の配列および全ての修飾を含む、
    xi)センス鎖が、配列番号4171の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4183の配列および全ての修飾を含む、
    xii)センス鎖が、配列番号4172の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4184の配列および全ての修飾を含む、
    xiii)センス鎖が、配列番号4173の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4185の配列および全ての修飾を含む、
    (xiv)センス鎖が、配列番号4174の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4186の配列および全ての修飾を含む、または
    (xv)センス鎖が、配列番号4175の配列および全ての修飾を含み、アンチセンス鎖が、配列番号4187の配列および全ての修飾を含む、
    前記の請求項のいずれか一項に記載のdsRNA剤。
  11. 請求項1~10のいずれか一項に記載のdsRNA剤を含有する細胞。
  12. VEGF-Aの発現を阻害するための医薬組成物であって、請求項1~10のいずれか一項に記載のdsRNA剤を含む医薬組成物。
  13. 細胞におけるVEGF-Aの発現阻害に使用するための、請求項1~10のいずれか一項に記載のdsRNA剤または請求項12に記載の医薬組成物であって、阻害が:
    (a)細胞を、dsRNA剤と接触させること、および
    (b)工程(a)において生成された細胞を、VEGF-A mRNA、VEGF-Aタンパク質またはVEGF-A mRNAおよびタンパク質の両方のレベルを低減するのに十分な時間維持し、それによって、細胞においてVEGF-Aの発現を阻害すること
    を含む、dsRNA剤または医薬組成物
  14. (a)細胞が対象内にある
    (b)細胞が対象内にあり、対象がヒトである;または
    (c)細胞が、VEGF-A関連障害、例えば、滲出性加齢性黄斑変性症(湿性AMD)、糖尿病性網膜症(DR)、糖尿病性黄斑浮腫(DME)、網膜静脈閉塞(RVO)、網膜静脈閉塞後黄斑浮腫(MEfRVO)、未熟児網膜症(ROP)または近視性脈絡膜血管新生(mCNV)と診断されているヒト対象内である
    請求項13に記載のdsRNA剤または医薬組成物
  15. VEGF-A関連障害と診断された対象処置に使用するための、請求項1~10のいずれか一項に記載のdsRNA剤または請求項12に記載の医薬組成物であって、処置が、対象に治療上有効量のdsRNA剤を投与し、それによって、障害を処置することを含む、dsRNA剤または医薬組成物
  16. (a)VEGF-A関連障害が、血管新生性眼疾患である
    (b)VEGF-A関連障害が、血管新生性眼疾患であり、血管新生性眼疾患が、AMD、DR、DME、RVO、MEfRVO、ROPおよびmCNVからなる群から選択される
    (c)処置が、障害の少なくとも1つの兆候または症状の改善を含む;および/または
    (d)処置が、()血管新生を阻害すること、(ii)VEGF-Aの発現または活性を阻害または低減すること、(iii)脈絡膜の新血管新生を阻害すること、(iv)脈絡毛細管において新規血管の成長を阻害すること、()網膜の厚さを低減すること、(vi)視力を高めることまたは(vii)眼球内炎症を低減することを含む、
    請求項15に記載のdsRNA剤または医薬組成物
  17. (a)dsRNA剤が、眼内、静脈内、または局所的投与に適してい;または
    (b)dsRNA剤が、眼球内投与に適しており、眼球内投与が、硝子体内投与(例えば、硝子体内注射)、経強膜投与(例えば、経強膜注射)、結膜下投与(例えば、結膜下注射)、球後投与(例えば、球後注射)、前房内投与(例えば、前房内注射)または網膜下投与(例えば、網膜下注射)を含む、
    請求項14~16のいずれか一項に記載のdsRNA剤または医薬組成物
  18. 処置が、対象に、VEGF-A関連障害の処置または予防にとって好適な追加の薬剤または療法(例えば、光線力学的療法、光血液凝固療法、ステロイド、非ステロイド系抗炎症薬、抗VEGF剤または硝子体切除術のうち1つまたは複数)を投与することをさらに含む、請求項14~17のいずれか一項に記載のdsRNA剤または医薬組成物
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