ME02602B - Antikoagulantni protivotrovi - Google Patents

Antikoagulantni protivotrovi

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Publication number
ME02602B
ME02602B MEP-2017-29A MEP2917A ME02602B ME 02602 B ME02602 B ME 02602B ME P2917 A MEP2917 A ME P2917A ME 02602 B ME02602 B ME 02602B
Authority
ME
Montenegro
Prior art keywords
dabigatran
antibody
seq
patient
acylglucuronide
Prior art date
Application number
MEP-2017-29A
Other languages
German (de)
English (en)
French (fr)
Inventor
Ryn Joanne Van
John Edward Park
Norbert Hauel
Ulrich Kunz
Tobias Litzenburger
Keith Canada
Sanjaya Singh
Alisa Waterman
Original Assignee
Boehringer Ingelheim Int
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=42061991&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=ME02602(B) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Application filed by Boehringer Ingelheim Int filed Critical Boehringer Ingelheim Int
Publication of ME02602B publication Critical patent/ME02602B/me

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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies
    • C07K16/44Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies against material not provided for elsewhere, e.g. haptens, metals, DNA, RNA, amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39583Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials not provided for elsewhere, e.g. haptens, coenzymes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P39/00General protective or antinoxious agents
    • A61P39/02Antidotes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/04Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/86Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood coagulating time or factors, or their receptors
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/20Immunoglobulins specific features characterized by taxonomic origin
    • C07K2317/24Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/54F(ab')2
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/55Fab or Fab'
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    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/565Complementarity determining region [CDR]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/569Single domain, e.g. dAb, sdAb, VHH, VNAR or nanobody®
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/60Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/62Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/622Single chain antibody (scFv)
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    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/60Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments
    • C07K2317/62Immunoglobulins specific features characterized by non-natural combinations of immunoglobulin fragments comprising only variable region components
    • C07K2317/626Diabody or triabody
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/70Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/76Antagonist effect on antigen, e.g. neutralization or inhibition of binding
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2500/00Screening for compounds of potential therapeutic value
    • G01N2500/02Screening involving studying the effect of compounds C on the interaction between interacting molecules A and B (e.g. A = enzyme and B = substrate for A, or A = receptor and B = ligand for the receptor)
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2500/00Screening for compounds of potential therapeutic value
    • G01N2500/10Screening for compounds of potential therapeutic value involving cells

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  • Urology & Nephrology (AREA)
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  • Proteomics, Peptides & Aminoacids (AREA)
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  • Toxicology (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
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Claims (20)

1.Molekul antitela koji ima vezujuće sposobnosti za dabigatran koji sadrži varijabilni domen teškog lanca sa CDR1 SEQ ID NO: 1, CDR2 SEQ ID NO: 7, CDR3 SEQ ID NO: 10, i varijabilni domen lakog lanca sa CDR1 SEQ ID NO: 13, CDR2 SEQ ID NO: 14, i CDR3 SEQ ID NO: 15.
2. Molekul antitela prema zahtevu 1 koji sadrži varijabilni domen teškog lanca SEQ ID NO: 24, i varijabilni domen lakog lanca SEQ ID No: 27.
3. Molekul antitela prema bilo kom od prethodnih zahteva koji je monoklonalno antitelo, ljudsko antitelo, humanizovano antitelo, himerno antitelo, fragment antitela, prvenstveno Fab, Fab’, ili F(ab’)2 fragment, antitelo pojedinačnog lanca, prvesntveno varijabilni fragment pojedinačnog lanca (scFv), Mali Modularni Imunofarmaceutski (Small Modular Immunopharmaceutical (SMIP)), ili diatelo.
4. Molekul antitela prema zahtevu 3 koji je scFv, pri čemu varijabilni domen teškog lanca i varijabilni domen lakog lanca su povezani jedan za drugi preko vezujućeg peptida odabranog između grupe koja se sastoji od SEQ ID NO: 28, SEQ ID NO: 29, SEQ ID NO: 30, i SEQ ID NO: 31.
5. Molekul antitela prema zahtevu 3 koji ima teški lanac koji sadrži SEQ ID NO: 40, i laki lanac koji sadrži SEQ ID NO: 35.
6. Antitelo prema zahtevu 3 koje je Fab molekul koji ima Fd fragment koji sadrži SEQ ID NO: 36, ili SEQ ID NO: 41, i laki lanac koji sadrži SEQ ID NO: 37.
7. Antitelo prema zahtevu 6 koje ima Fd fragment koji sadrži SEQ ID NO: 36, i laki lanac koji sadrži SEQ ID NO: 37.
8. Molekul antitela prema bilo kom od prethodnih zahteva za korišćenje kao medikament.
9. Molekul antitela prema bilo kom od prethodnih zahteva za korišćenje kao protivotrov dabigatran ili dabigatran eteksilat terapije, i/ili za preokret prekomerne doze dabigatrana ili dabigatran eteksilata.
10. Postupak proizvodnje molekula antitela prema bilo kom od prethodnih zahteva, koji sadrži (a) obezbeđivanje ćelije domaćina koja sadrži jednu ili više nukleinskih kiselina koje kodiraju navedeni molekul antitela u funkcionalnoj vezi sa ekspresionom kontrolnom sekvencom, (b) kultivisanje navedene ćelije domaćina, i (c) oporavak molekula antitela iz ćelijske kulture.
11. Kit sadrži: (a)antitelo prema bilo kom od zahteva 1 do 7, ili njegovu farmaceutsku kompoziciju; (b)farmaceutsku kompoziciju dabigatrana, dabigatran eteksilata, proleka dabigatrana ili njegovu farmaceutski prihvatljivu so; (c)posudu; i (d)etiketu.
12. Kit prema zahtevu 11, pri čemu farmaceutski prihvatljiva so dabigatran eteksilata je mezilatna so.
13. Kit prema zahtevu 11 ili 12, pri čemu jačina po doznoj jedinici dabigatrana, dabigatran eteksilata, proleka dabigatrana ili njegove farmaceutski prihvatljive soli je između 75 mg i 300 mg, ili jednom na dan (QD) ili dva puta na dan (BID).
14. Kit obuhvata: (a) prvu farmaceutsku kompoziciju koja sadrži dabigatran, dabigatran eteksilat, prolek dabigatrana ili njegova farmaceutski prihvatljiva so; (b) drugu farmaceutsku kompoziciju koja sadrži antitelo prema bilo kom od zahteva 1 do 7; (c) instrukcije za odvojenu primenu navedenih prvih i drugih farmaceutskih kompozicija na pacijenta, pri čemu su navedena prve i druge farmaceutske kompozicije sadržane u odvojenim posudama i navedena druga farmaceutska kompozicija je za korišćenje u primeni na pacijenta kome je potrebna neutralizacija ili delimična nautralizacija dabigatrana ili 1-O-acilglukuronid dabigatrana.
15. Antitelo prema bilo kom od zahteva 1 do 7 za korišćenje u postupku neutralizacije ili delimične neutralizacije dabigatrana ili 1- O-acilglukuronid dabigatrana kod pacijenta koji se leči sa dabigatranom, dabigatran eteksilatom, prolekom dabigatrana ili njegovom farmaceutski prihvatljivom soli.
16. Antitelo prema bilo kom od zahteva 1 do 7 za korišćenje u postupku neutralizacije ili delimične nautralizacije dabigatrana ili 1- O-acilglukuronid dabigatrana kod pacijenta obuhvata: (a) potvrdu da je pacijent lečen sa dabigatranom, dabigatran eteksilatom, prolekom dabigatrana ili njegovom farmaceutski prihvatljivom soli, i količinom koja je uzeta od strane pacijenta; (b) neutralizaciju dabigatrana ili 1-O-acilglukuronida sa antitelom prema bilo kom od zahteva 1 do 9 pre izvođenja testa ili analize zgrušavanja ili koagulacije gde će se dabigatran ili 1-O-acilglukuronid dabigatrana ometati tačno očitavanje rezultata testa ili analize; (c) izvođenje testa ili analize zgrušavanja ili koagulacije na uzorku uzetom od pacijenta kako bi se utvrdio nivo obrazovanja ugruška bez prisustva dabigatrana ili 1-O-acilglukuronid dabigatrana; i (d) podešavanje količine dabigatrana, dabigatran eteksilata, proleka dabigatrana ili njegove farmaceutski prihvatljive soli primenjene na pacijenta u cilju da se postigne odgovarajući balans između obrazovanja ugruška i degradacije kod pacijenta.
17. Antitelo za korišćenje prema zahtevima 15 ili 16, pri čemu količina antitela prema dabigatranu ili 1-O-acilglukuronid dabigatranu je u molarnom odnosu između 0.1 i 100.
18. Antitelo za korišćenje prema zahtevu 17, pri čemu količina antitela prema dabigatranu ili 1-O-acilglukuronid dabigatranu je u molarnom odnosu između 0.1 i 10.
19. Antitelo za korišćenje prema zahtevu 16, pri čemu tačno očitani rezultat testa ili analize je tačno očitani nivoi fibrinogena, aktivirane rezistentnosti proteina C, ili srodni testovi.
20. Farmaceutska kompozicija koja sadrži antitelo prema jednom ili više zahteva 1 do 7, i farmaceutski prihvatljivi nosač.
MEP-2017-29A 2010-01-20 2011-01-20 Antikoagulantni protivotrovi ME02602B (me)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
EP10151239 2010-01-20
US38391410P 2010-09-17 2010-09-17
PCT/EP2011/050749 WO2011089183A2 (en) 2010-01-20 2011-01-20 Anticoagulant antidotes
EP11703410.8A EP2525812B1 (en) 2010-01-20 2011-01-20 Anticoagulant antidotes

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US (3) US8486398B2 (me)
EP (2) EP3195876A1 (me)
JP (2) JP5575923B2 (me)
KR (1) KR101781787B1 (me)
CN (1) CN102711813B (me)
AP (1) AP2012006242A0 (me)
AR (1) AR079944A1 (me)
AU (1) AU2011208719C1 (me)
BR (1) BR112012018021B1 (me)
CA (1) CA2787566A1 (me)
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EA (1) EA028371B1 (me)
EC (1) ECSP12012105A (me)
ES (1) ES2614992T3 (me)
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HR (1) HRP20170613T1 (me)
HU (2) HUE032263T2 (me)
IL (1) IL219427B (me)
LT (2) LT2525812T (me)
LU (1) LUC00028I2 (me)
MA (1) MA33936B1 (me)
ME (1) ME02602B (me)
MX (1) MX2012008360A (me)
MY (1) MY162323A (me)
NL (1) NL300882I2 (me)
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PH (1) PH12012501493A1 (me)
PL (1) PL2525812T3 (me)
PT (1) PT2525812T (me)
RS (1) RS55683B1 (me)
SG (1) SG182552A1 (me)
SI (1) SI2525812T1 (me)
TN (1) TN2012000366A1 (me)
TW (1) TWI513466B (me)
UA (1) UA110470C2 (me)
UY (1) UY33196A (me)
WO (1) WO2011089183A2 (me)
ZA (1) ZA201202876B (me)

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