KR100675711B1 - 신규 엑센딘 아고니스트 제제 및 이의 투여 방법 - Google Patents
신규 엑센딘 아고니스트 제제 및 이의 투여 방법 Download PDFInfo
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- KR100675711B1 KR100675711B1 KR1020017008904A KR20017008904A KR100675711B1 KR 100675711 B1 KR100675711 B1 KR 100675711B1 KR 1020017008904 A KR1020017008904 A KR 1020017008904A KR 20017008904 A KR20017008904 A KR 20017008904A KR 100675711 B1 KR100675711 B1 KR 100675711B1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/22—Hormones
- A61K38/2278—Vasoactive intestinal peptide [VIP]; Related peptides (e.g. Exendin)
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/04—Anorexiants; Antiobesity agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/48—Drugs for disorders of the endocrine system of the pancreatic hormones
- A61P5/50—Drugs for disorders of the endocrine system of the pancreatic hormones for increasing or potentiating the activity of insulin
Abstract
Description
Cmax 또는 Css(nM) | ||||
경로 | 정맥내 볼러스 | 정맥내 주입 | 피하 | 복강내 |
투여량 | ||||
2.1 ㎍ | 2.9 ±0.4 | 1.1 ±0.1 | 0.56 ±0.12 | 0.26 ±0.04 |
21 ㎍ | 70 ±3 | 19 ±1.9 | 4.1 ±1.5 | 3.9 ±1 |
210 ㎍ | 645 ±12 | 262 ±60 | 28 ±4 | 35 ±6 |
Cmax(pg/ml) | |||
투여량 (㎍/kg) | 10 | 100 | 1,000 |
래트 | 7,000 | 127,000 | 1,180,000 |
원숭이 | 20,000 | 170,000 | 1,890,000 |
결합 IC50 (nM) | 시클라제 EC50 (nM) | 글루코스 저하 ED50 (㎍) | |
GLP-1 | 0.15 | 0.28 | 20.6 |
엑센딘-4 | 0.66 | 0.30 | 0.006 |
제1일 | 제2일 | 제3일 | 제4일* | |
환자 1 | 위약 | 0.1 ㎍/kg | 0.01 ㎍/kg | 0.001 ㎍/kg |
환자 2 | 위약 | 0.1 ㎍/kg | 0.01 ㎍/kg | 0.001 ㎍/kg |
환자 3 | 0.1 ㎍/kg | 위약 | 0.01 ㎍/kg | 0.001 ㎍/kg |
환자 4 | 0.1 ㎍/kg | 위약 | 0.01 ㎍/kg | 0.001 ㎍/kg |
환자 5 | 0.1 ㎍/kg | 0.01 ㎍/kg | 위약 | 0.001 ㎍/kg |
환자 6 | 0.1 ㎍/kg | 0.01 ㎍/kg | 위약 | 0.001 ㎍/kg |
*는 제3일에 글루코스에 미치는 효과가 관찰된 경우에만 실시될 것임 |
제1일 | 제2일 | 제3일 | 제4일 | |
군 A | 위약 | 0.02 ㎍/kg | 0.05 ㎍/kg | 0.1 ㎍/kg |
군 B | 0.02 ㎍/kg | 0.1 ㎍/kg | 위약 | 0.05 ㎍/kg |
군 C | 0.05 ㎍/kg | 위약 | 0.1 ㎍/kg | 0.02 ㎍/kg |
군 D | 0.1 ㎍/kg | 0.05 ㎍/kg | 0.02 ㎍/kg | 위약 |
Claims (114)
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- 약 0.005 % 내지 약 0.4 % (w/v)의 엑센딘 또는 엑센딘 아고니스트 유사체, 완충제, 등삼투몰농도 조절제, 및 m-크레졸, 페놀, 알콜, 메틸 파라벤, 에틸 파라벤, 프로필 파라벤 및 부틸 파라벤 및 이들의 임의의 조합물로 구성된 군에서 선택된 약 0.005 % 내지 약 1.0 % (w/w)의 방부제를 포함하며 pH가 약 3.0과 약 7.0 사이인, 다회 사용 투여용으로 적합한 제약 조성물.
- 제76항에 있어서, 상기 엑센딘이 엑센딘-4를 포함하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘이 엑센딘-3을 포함하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 하기하는 아미노산 서열을 포함하는 제약 조성물:Xaa1 Xaa2 Xaa3 Gly Thr Xaa4 Xaa5 Xaa6 Xaa7 Xaa8 Ser Lys Gln Xaa9 Glu Glu Glu Ala Val Arg Leu Xaa10 Xaa11 Xaa12 Xaa13 Leu Lys Asn Gly Gly Xaa14 Ser Ser Gly Ala Xaa15 Xaa16 Xaa17 Xaa18-Z상기 식에서,Xaa1은 His, Arg 또는 Tyr이고,Xaa2는 Ser, Gly, Ala 또는 Thr이고,Xaa3은 Asp 또는 Glu이고,Xaa4는 Phe, Tyr 또는 나프틸알라닌이고,Xaa5은 Thr 또는 Ser이고,Xaa6은 Ser 또는 Thr이고,Xaa7는 Asp 또는 Glu이고,Xaa8은 Leu, Ile, Val, 펜틸글리신 또는 Met이고,Xaa9는 Leu, Ile, 펜틸글리신, Val 또는 Met이고,Xaa10은 Phe, Tyr 또는 나프틸알라닌이고,Xaa11은 Ile, Val, Leu, 펜틸글리신, tert-부틸글리신 또는 Met이고,Xaa12는 Glu 또는 Asp이고,Xaa13는 Trp, Phe, Tyr 또는 나프틸알라닌이고,Xaa14, Xaa15, Xaa16 및 Xaa17은 독립적으로 Pro, 호모프롤린, 3Hyp, 4Hyp, 티오프롤린, N-알킬글리신, N-알킬펜틸글리신 또는 N-알킬알라닌이고,Xaa18은 Ser, Thr 또는 Tyr이며,Z는 -OH 또는 -NH2이다.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 하기하는 아미노산 서열을 포함하는 제약 조성물:Xaa1 Xaa2 Xaa3 Gly Xaa5 Xaa6 Xaa7 Xaa8 Xaa9 Xaa10 Xaa11 Xaa12 Xaa13 Xaa14 Xaa15 Xaa16 Xaa17 Ala Xaa19 Xaa20 Xaa21 Xaa22 Xaa23 Xaa24 Xaa25 Xaa26 Xaa27 Xaa28-Z1상기 식에서,Xaa1은 His, Arg 또는 Tyr이고,Xaa2는 Ser, Gly, Ala 또는 Thr이고,Xaa3은 Ala, Asp 또는 Glu이고,Xaa5는 Ala 또는 Thr이고,Xaa6은 Ala, Phe, Tyr 또는 나프틸알라닌이고,Xaa7은 Thr 또는 Ser이고,Xaa8은 Ala, Ser 또는 Thr이고,Xaa9는 Asp 또는 Glu이고,Xaa10은 Ala, Leu, Ile, Val, 펜틸글리신 또는 Met이고,Xaa11은 Ala 또는 Ser이고,Xaa12는 Ala 또는 Lys이고,Xaa13은 Ala 또는 Gln이고,Xaa14는 Ala, Leu, Ile, 펜틸글리신, Val 또는 Met이고,Xaa15는 Ala 또는 Glu이고,Xaa16은 Ala 또는 Glu이고,Xaa17은 Ala 또는 Glu이고,Xaa19는 Ala 또는 Val이고,Xaa20은 Ala 또는 Arg이고,Xaa21은 Ala 또는 Leu이고,Xaa22는 Ala, Phe, Tyr 또는 나프틸알라닌이고,Xaa23은 Ile, Val, Leu, 펜틸글리신, tert-부틸글리신 또는 Met이고,Xaa24는 Ala, Glu 또는 Asp이고,Xaa25는 Ala, Trp, Phe, Tyr 또는 나프틸알라닌이고,Xaa26은 Ala 또는 Leu이고,Xaa27은 Ala 또는 Lys이고,Xaa28은 Ala 또는 Asn이며,Z1은 -OH,-NH2Gly-Z2,Gly Gly-Z2,Gly Gly Xaa31-Z2,Gly Gly Xaa31 Ser-Z2,Gly Gly Xaa31 Ser Ser-Z2,Gly Gly Xaa31 Ser Ser Gly-Z2,Gly Gly Xaa31 Ser Ser Gly Ala-Z2,Gly Gly Xaa31 Ser Ser Gly Ala Xaa36-Z2,Gly Gly Xaa31 Ser Ser Gly Ala Xaa36 Xaa37-Z2 또는Gly Gly Xaa31 Ser Ser Gly Ala Xaa36 Xaa37 Xaa38-Z2(여기서, Xaa31, Xaa36, Xaa37 및 Xaa38은 독립적으로 Pro, 호모프롤린, 3Hyp, 4Hyp, 티오프롤린, N-알킬글리신, N-알킬펜틸글리신 또는 N-알킬알라닌이고, Z2는 -OH 또는 -NH2임)인데,단, Xaa3, Xaa5, Xaa6, Xaa8, Xaa10, Xaa11, Xaa12, Xaa13, Xaa14, Xaa15, Xaa16, Xaa17, Xaa19, Xaa20, Xaa21, Xaa24, Xaa25, Xaa26, Xaa27 및 Xaa28 중 3 개 이하만이 Ala이다.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 하기하는 아미노산 서열을 포함하는 제약 조성물:Xaa1 Xaa2 Xaa3 Xaa4 Xaa5 Xaa6 Xaa7 Xaa8 Xaa9 Xaa10 Xaa11 Xaa12 Xaa13 Xaa14 Xaa15 Xaa16 Xaa17 Ala Xaa19 Xaa20 Xaa21 Xaa22 Xaa23 Xaa24 Xaa25 Xaa26 Xaa27 Xaa28-Z1상기 식에서,Xaa1은 His, Arg, Tyr, Ala, Norval, Val 또는 Norleu이고,Xaa2는 Ser, Gly, Ala 또는 Thr이고,Xaa3은 Ala, Asp 또는 Glu이고,Xaa4는 Ala, Norval, Val, Norleu 또는 Gly이고,Xaa5는 Ala 또는 Thr이고,Xaa6은 Ala, Phe, Tyr 또는 나프틸알라닌이고,Xaa7은 Thr 또는 Ser이고,Xaa8은 Ala, Ser 또는 Thr이고,Xaa9는 Ala, Norval, Val, Norleu, Asp 또는 Glu이고,Xaa10은 Ala, Leu, Ile, Val, 펜틸글리신 또는 Met이고,Xaa11은 Ala 또는 Ser이고,Xaa12는 Ala 또는 Lys이고,Xaa13은 Ala 또는 Gln이고,Xaa14는 Ala, Leu, Ile, 펜틸글리신, Val 또는 Met이고,Xaa15는 Ala 또는 Glu이고,Xaa16은 Ala 또는 Glu이고,Xaa17은 Ala 또는 Glu이고,Xaa19는 Ala 또는 Val이고,Xaa20은 Ala 또는 Arg이고,Xaa21은 Ala 또는 Leu이고,Xaa22는 Phe, Tyr 또는 나프틸알라닌이고,Xaa23은 Ile, Val, Leu, 펜틸글리신, tert-부틸글리신 또는 Met이고,Xaa24는 Ala, Glu 또는 Asp이고,Xaa25는 Ala, Trp, Phe, Tyr 또는 나프틸알라닌이고,Xaa26은 Ala 또는 Leu이고,Xaa27은 Ala 또는 Lys이고,Xaa28은 Ala 또는 Asn이며,Z1은 -OH,-NH2Gly-Z2,Gly Gly-Z2,Gly Gly Xaa31-Z2,Gly Gly Xaa31 Ser-Z2,Gly Gly Xaa31 Ser Ser-Z2,Gly Gly Xaa31 Ser Ser Gly-Z2,Gly Gly Xaa31 Ser Ser Gly Ala-Z2,Gly Gly Xaa31 Ser Ser Gly Ala Xaa36-Z2,Gly Gly Xaa31 Ser Ser Gly Ala Xaa36 Xaa37-Z2 또는Gly Gly Xaa31 Ser Ser Gly Ala Xaa36 Xaa37 Xaa38-Z2(여기서, Xaa31, Xaa36, Xaa37 및 Xaa38은 독립적으로 Pro, 호모프롤린, 3Hyp, 4Hyp, 티오프롤린, N-알킬글리신, N-알킬펜틸글리신 또는 N-알킬알라닌이고, Z2는 -OH 또는 -NH2임)인데,단, Xaa3, Xaa4, Xaa5, Xaa6, Xaa8, Xaa9, Xaa10, Xaa11, Xaa12, Xaa13, Xaa14, Xaa15, Xaa16, Xaa17, Xaa19, Xaa20, Xaa21, Xaa24, Xaa25, Xaa26, Xaa27 및 Xaa28 중 3 개 이하만이 Ala이며, Xaa1이 His, Arg 또는 Tyr인 경우, Xaa3, Xaa4 및 Xaa9 중의 하나 이상이 Ala이다.
- 제79항에 있어서, 상기 엑센딘 아고니스트 유사체의 아미노산 서열이 Gly Gly Xaa31 Ser Ser Gly Ala Xaa36 Xaa37 Xaa38-Ser-Z2 (여기서, Xaa31, Xaa36, Xaa37 및 Xaa38은 독립적으로 Pro, 호모프롤린, 3Hyp, 4Hyp, 티오프롤린, N-알킬글리신, N-알킬펜틸글리신 또는 N-알킬알라닌이고, Z2는 -OH 또는 -NH2임)를 추가로 포함하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 서열 6, 서열 7, 서열 8, 서열 9, 서열 40 및 서열 41 중 어느 하나에 따른 아미노산 서열을 포함하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 서열 9 내지 서열 39 중 어느 하나에 따른 아미노산 서열을 포함하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 서열 40 내지 서열 188 중 어느 하나에 따른 아미노산 서열을 포함하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체가 서열 9, 서열 10, 서열 21, 서열 22, 서열 23, 서열 26, 서열 28, 서열 34, 서열 35 또는 서열 39 중 어느 하나에 따른 아미노산 서열을 포함하는 제약 조성물.
- 제76항에 있어서, pH가 약 4.0과 약 6.0 사이인 제약 조성물.
- 제76항에 있어서, pH가 약 4.0과 약 5.0 사이인 제약 조성물.
- 제76항에 있어서, 상기 완충제가 아세트산염 완충제, 글루탐산염 완충제, 시트르산염 완충제, 인산염 완충제 및 이들의 임의의 조합물로 구성된 군에서 선택된 제약 조성물.
- 제89항에 있어서, 상기 완충제가 아세트산염 완충제를 포함하는 제약 조성물.
- 제89항에 있어서, 상기 완충제가 글루탐산염 완충제를 포함하는 제약 조성물.
- 제89항에 있어서, 상기 완충제가 시트르산염 완충제를 포함하는 제약 조성물.
- 제76항에 있어서, 상기 완충제의 농도가 약 0.02 % 내지 약 0.5 % (w/v)인 제약 조성물.
- 제76항에 있어서, 상기 등삼투몰농도 조절제가 탄수화물, 다가알콜 또는 이들의 조합물이고, 약 1 % 내지 약 10 % (w/v) 농도인 제약 조성물.
- 제94항에 있어서, 상기 다가알콜이 소르비톨, 만니톨, 이노시톨, 글리세롤, 크실리톨, 폴리에틸렌 글리콜 및 이들의 임의의 조합물로 구성된 군에서 선택된 제약 조성물.
- 제94항에 있어서, 상기 탄수화물이 갈락토스, 아라비노스, 락토스 및 이들의 임의의 조합물로 구성된 군에서 선택된 제약 조성물.
- 제94항에 있어서, 상기 등삼투몰농도 조절제가 만니톨, 소르비톨 또는 이들의 조합물인 제약 조성물.
- 제94항에 있어서, 상기 등삼투몰농도 조절제가 만니톨을 포함하는 제약 조성물.
- 제94항에 있어서, 상기 등삼투몰농도 조절제가 소르비톨을 포함하는 제약 조성물.
- 제76항에 있어서, 상기 방부제가 m-크레졸을 포함하는 제약 조성물.
- 제76항에 있어서, 상기 방부제가 페놀을 포함하는 제약 조성물.
- 제76항에 있어서, 계면활성제를 추가로 포함하는 제약 조성물.
- 제102항에 있어서, 상기 계면활성제가 비이온성 세정제를 포함하는 제약 조성물.
- 제102항에 있어서, 상기 계면활성제가 약 0.1 % 내지 약 1.0 % (w/v) 농도로 존재하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 또는 엑센딘 아고니스트 유사체가 약 0.005 % 내지 약 0.05 % (w/v) 농도로 존재하는 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체 약 0.1 ㎍/kg 내지 약 0.5 ㎍/kg의 투여량을 달성하는 주사 투여에 적합한 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체 약 0.005 ㎍/kg 내지 약 0.2 ㎍/kg의 투여량을 달성하는 주사 투여에 적합한 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체 약 1 ㎍/일 내지 약 1 mg/일의 투여량을 달성하는 주사 투여에 적합한 제약 조성물.
- 제76항에 있어서, 상기 엑센딘 아고니스트 유사체 약 1 ㎍/일 내지 약 50 ㎍/일의 투여량을 달성하는 주사 투여에 적합한 제약 조성물.
- 제76항에 있어서, 단일 또는 분할 투여량으로 상기 엑센딘 아고니스트 유사체 약 500 ㎍/일 내지 약 12,000 ㎍/일의 투여량을 달성하는 경구 투여에 적합한 제약 조성물.
- 제76항에 있어서, 단일 또는 분할 투여량으로 상기 엑센딘 아고니스트 유사체 약 100 ㎍/일 내지 약 12,000 ㎍/일의 투여량을 달성하는 폐 투여에 적합한 제약 조성물.
- 제76항에 있어서, 단일 또는 분할 투여량으로 상기 엑센딘 아고니스트 유사체 약 10 ㎍/일 내지 약 12,000 ㎍/일의 투여량을 달성하는 비내 (nasal) 투여에 적합한 제약 조성물.
- 제76항에 있어서, 단일 또는 분할 투여량으로 상기 엑센딘 아고니스트 유사체 약 100 ㎍/일 내지 약 12,000 ㎍/일의 투여량을 달성하는 협측(頰側) (buccal) 투여에 적합한 제약 조성물.
- 제76항에 있어서, 단일 또는 분할 투여량으로 상기 엑센딘 아고니스트 유사체 약 10 ㎍/일 내지 약 8,000 ㎍/일의 투여량을 달성하는 설하 투여에 적합한 제약 조성물.
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US11638099P | 1999-01-14 | 1999-01-14 | |
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US17536500P | 2000-01-10 | 2000-01-10 | |
US60/175,365 | 2000-01-10 |
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