WO1988006456A1 - Stable interferon complexes - Google Patents

Stable interferon complexes Download PDF

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Publication number
WO1988006456A1
WO1988006456A1 PCT/US1988/000410 US8800410W WO8806456A1 WO 1988006456 A1 WO1988006456 A1 WO 1988006456A1 US 8800410 W US8800410 W US 8800410W WO 8806456 A1 WO8806456 A1 WO 8806456A1
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Prior art keywords
protamine
zinc
alpha interferon
composition
buffer
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Application number
PCT/US1988/000410
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French (fr)
Inventor
Zachary Yim
Michael A. Zupon
Imtiaz A. Chaudry
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Schering Corporation
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Publication date
Application filed by Schering Corporation filed Critical Schering Corporation
Priority to JP63502283A priority Critical patent/JPH0611712B2/en
Priority to KR1019880701321A priority patent/KR940001372B1/en
Publication of WO1988006456A1 publication Critical patent/WO1988006456A1/en
Priority to NO884596A priority patent/NO173279C/en
Priority to DK582188A priority patent/DK167048B1/en
Priority to FI893929A priority patent/FI93309C/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/17Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • A61K38/19Cytokines; Lymphokines; Interferons
    • A61K38/21Interferons [IFN]
    • A61K38/212IFN-alpha
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients

Definitions

  • the present invention relates to an insoluble zinc-protamine-alpha interferon complex useful as an injectable sustained release dosage form for administering alpha interferon.
  • Injectable pharmaceutical formulations are well known in the art. See Remington's Pharmaceutical Sciences , Mack Publishing Company, Easton, PA, 16th Edition, 1980. Usually such formulations are in the form of dispersions such as colloids, emulsions and suspensions. More recently, sustained release injectable formulations comprising polymers have been used.
  • Typical sustained release injectable formulations include aqueous or water-miscible suspensions, but such suspensions often present stability problems and may not provide long enough retention time of the active in the formulation, either because the dispersion breaks down or because the dispersion is too soluble in the surrounding body fluids (e.g., the blood and lymph systems).
  • An example of a successful aqueous-based sustained release suspension is the protamine-zinc- insulin suspension.
  • USP United States Pharmacopeia
  • the United States Pharmacopeia (USP) entry for the suspension indicates a standard formulation as containing 40-100 USP Insulin Units/ml of an aqueous solution of zinc (0.15 to 0.25 mg zinc/100 USP Insulin Units) and protamine (1 to 1.5 mg protamine/100 USP Insulin Units) at pH 7.1 to 7.4.
  • the pH is maintained by 0.15 to 0.25% (w/v) dibasic sodium phosphate and the formulation also contains 1.4 to 1.8% (w/v) glycerin and 0.18 to 0.22% (w/v) cresol or 0.22 to 0.28% (w/v) phenol.
  • one injection releases insulin for up to three days.
  • Interferons are a family of proteins which exhibit antiviral activity against certain viruses and anticancer activity against certain cancers. Interferons include natural or recombinant alpha (leucocyte) , beta (fibroblast) and gamma (immune) interferon, but alpha interferons are preferred for use in the compositions of this invention.
  • Human alpha interferon is a naturally occurring mixture of at least eleven components including those designated alpha ⁇ and al ha2 interferon, the latter being more preferred in this invention.
  • Human alpha interferon exhibiting biological properties similar to naturally occurring alpha interferon can be made by recombinant methods. Rubenstein, Biochem. Biophys. Acta.
  • alpha hybrid interferons wherein fragments of two or more native alpha interferon species are joined (See, for example, EP 51,873).
  • Parenteral administration of alpha2 interferon has been reported to be effective in the treatment of Kaposi's sarcoma, basal cell carcinoma, multiple myeloma and viral warts. The effective dose of alpha interferon can be easily determined by those skilled in the art.
  • the present invention relates to an insoluble complex comprising zinc, protamine and alpha interferon, as well as glycine and human serum albumin (HSA), and as such represents a complex mixture of components.
  • HSA human serum albumin
  • the zinc- protamine-alpha interferon complex of the present invention also preferably comprises a second protein, HSA, in order for maximum formation of insoluble complex and surprisingly may include up to a molar excess of glycine, a zinc chelator.
  • a preferred method for forming the insoluble complex of the present invention comprises the addition of the protamine to the solution before the zinc in order to insure that the minimum amount of soluble protein remains in the supernatant and to insure that the insoluble complex exists as fine colloidal particles which remain in dispersion for an extended period of time, rather than as large colloidal aggregates which settle easily.
  • Another preferred method for forming the insoluble complex comprises the simultaneous addition of protamine and zinc.
  • Table 1 below shows the results of omitting various components and the effect of the order of addition of zinc and protamine for a composition comprising 1 mg HSA/ml, 0.1 mg alpha interferon (IFN)/ml and 20 mg glycine (G)/ml in 0.02M phosphate buffer(p).
  • Column 1 shows the effect of the order of addition; adding zinc first results in 5% soluble protein while adding protamine first results in less than 1% soluble protein.
  • Columns 3, 4 and 5 show that in the absence of buffer, the absence of buffer and glycine, and absence of HSA, respectively, a maximum amount of complex is not formed, since at least 5% soluble protein results in each of those combinations.
  • Glycine is present in the instant invention at 0 to 50 mg/ml as a result of its presence in the lyophilized interferon preferably used to prepare the compositions of this invention. See U.S. Patent 4,496,537, wherein a buffer, glycine and HSA are added to the interferon solutions before lyophilization to insure biological stability.
  • the insoluble complex formation is an equilibrium phenomenon, and as seen in Table 1, almost complete insolubilization (i.e., 99%) can be achieved in order to maximize sustained release. However, if a certain soluble fraction is desired for immediate release, the ratio of components can be changed, or preferably the pH may be adjusted. Maximum formation of insoluble complex is achieved when the interferon solution is adjusted to pH 8.0 to 8.4, preferably pH 8.2, but adjusting the pH between pH 7.5 and 8.5 will allow formation of soluble species for immediate release of alpha interferon.
  • Table 2 shows the variation in complex formation due to changes in pH.
  • alpha interferon Release of alpha interferon from the complex is not measurable in vitro since it is not solubilized by dilution, but rather by displacement of physiological chelators as well as serum albumin.
  • the in vivo release rate can be measured by using radio-iodinated alpha interferon and monitoring the disappearance of radio ⁇ activity at the injection site and the presence of radioactivity in serum and urine. Such tests run in rats showed sustained release for more than two weeks.
  • the amount of alpha interferon in the formulations of the invention is 2xl0 6 to 200xl0 6 International Units (I.U.) per ml of complex, preferably 2xl0 7 I.U./ml.
  • Zinc may be provided by 1 to 20 mg of a zinc salt/ml, wherein the zinc salt may be chosen from zinc acetate, zinc chloride or zinc sulfate, with zinc acetate being preferred.
  • Protamine may be provided by 0.25 to 5 mg, preferably 2.5 mg protamine/ml, wherein the protamine is chosen from protamine free base, protamine chloride, protamine phosphate or protamine sulfate, with the sulfate being preferred.
  • HSA is present in a concentration range of 0 to 10 mg/ml, preferably 0.5 to 1 mg/ml.
  • any chemically and pharmaceutically compatible buffer may be used to prepare the interferon solution, with phosphate buffer being preferred.
  • Interferon solutions show maximum stability at pH 6.5 to 8.0, preferably 7.0 to 7.4 (See U.S. Patent 4,496,537).
  • Sodium hydroxide is preferred for adjusting the pH of the interferon solution to pH 7.5 to 8.5 prior to formation of the complex.
  • the buffering agent must not have a strong affinity for zinc, as this would tend to remove zinc from the complex. This lack of affinity for zinc is especially important when glycine is present, since glycine is a zinc chelator; in the absence of glycine, some affinity for zinc by the buffer may be tolerated.
  • a buffer with some affinity for zinc (e.g. citrate or acetate) may be used to increase the soluble fraction for immediate release of interferon.
  • a preferred method for preparing an insoluble complex of the present invention is to reconstitute a lyophilized alpha interferon sample prepared as described in U.S. Patent 4,496,537 with a solution comprising zinc acetate and protamine sulfate at the desired pH. Following are examples of preparations of lyophilized alpha interferon and of the reconstituted complex.
  • Alpha-2 Interferon 2 LO 7 I. ,U
  • the sodium hydroxide, protamine sulfate and zinc acetate are added as concentrated aqueous solutions (e.g. for protamine, 100 microliters of a 25 mg/ml aqueous solution) .
  • Bulk alpha interferon solutions i.e., unlyophilized
  • alpha interferon samples may be used to form the complex of this invention, preferably using the same order of addition of components as described above, that is, phosphate buffer, HSA and glycine are added to aqueous alpha interferon, - the pH is adjusted, protamine is added, zinc is added, and the solution is adjusted to final volume.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Epidemiology (AREA)
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  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
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  • Pharmacology & Pharmacy (AREA)
  • Engineering & Computer Science (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
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  • Gastroenterology & Hepatology (AREA)
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  • Inorganic Chemistry (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
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Abstract

An insoluble zinc-protamine alpha interferon complex useful as an injectable sustained release dosage form for administering alpha interferon is disclosed.

Description

STABLE INTERFERON COMPLEXES
The present invention relates to an insoluble zinc-protamine-alpha interferon complex useful as an injectable sustained release dosage form for administering alpha interferon.
Injectable pharmaceutical formulations are well known in the art. See Remington's Pharmaceutical Sciences , Mack Publishing Company, Easton, PA, 16th Edition, 1980. Usually such formulations are in the form of dispersions such as colloids, emulsions and suspensions. More recently, sustained release injectable formulations comprising polymers have been used.
Typical sustained release injectable formulations include aqueous or water-miscible suspensions, but such suspensions often present stability problems and may not provide long enough retention time of the active in the formulation, either because the dispersion breaks down or because the dispersion is too soluble in the surrounding body fluids (e.g., the blood and lymph systems). An example of a successful aqueous-based sustained release suspension is the protamine-zinc- insulin suspension. The United States Pharmacopeia (USP) entry for the suspension indicates a standard formulation as containing 40-100 USP Insulin Units/ml of an aqueous solution of zinc (0.15 to 0.25 mg zinc/100 USP Insulin Units) and protamine (1 to 1.5 mg protamine/100 USP Insulin Units) at pH 7.1 to 7.4. Typically the pH is maintained by 0.15 to 0.25% (w/v) dibasic sodium phosphate and the formulation also contains 1.4 to 1.8% (w/v) glycerin and 0.18 to 0.22% (w/v) cresol or 0.22 to 0.28% (w/v) phenol. Depending on the insulin concentration and the response of the patient, one injection releases insulin for up to three days.
Interferons are a family of proteins which exhibit antiviral activity against certain viruses and anticancer activity against certain cancers. Interferons include natural or recombinant alpha (leucocyte) , beta (fibroblast) and gamma (immune) interferon, but alpha interferons are preferred for use in the compositions of this invention. Human alpha interferon is a naturally occurring mixture of at least eleven components including those designated alpha^ and al ha2 interferon, the latter being more preferred in this invention. Human alpha interferon exhibiting biological properties similar to naturally occurring alpha interferon can be made by recombinant methods. Rubenstein, Biochem. Biophys. Acta. , 695, 5-16 (1982); Nagata et al., Nature, 284, 316- 320 (1980); EP 32,134; and U.S. Patent 4,289,690 disclose methods for preparing al ha2 interferon. Also included within the scope of this invention are the so-called alpha hybrid interferons wherein fragments of two or more native alpha interferon species are joined (See, for example, EP 51,873). Parenteral administration of alpha2 interferon has been reported to be effective in the treatment of Kaposi's sarcoma, basal cell carcinoma, multiple myeloma and viral warts. The effective dose of alpha interferon can be easily determined by those skilled in the art.
The present invention relates to an insoluble complex comprising zinc, protamine and alpha interferon, as well as glycine and human serum albumin (HSA), and as such represents a complex mixture of components. While the known zinc-protamine-insulin complex is dependent on those three components for insolubilization, the zinc- protamine-alpha interferon complex of the present invention also preferably comprises a second protein, HSA, in order for maximum formation of insoluble complex and surprisingly may include up to a molar excess of glycine, a zinc chelator. A preferred method for forming the insoluble complex of the present invention comprises the addition of the protamine to the solution before the zinc in order to insure that the minimum amount of soluble protein remains in the supernatant and to insure that the insoluble complex exists as fine colloidal particles which remain in dispersion for an extended period of time, rather than as large colloidal aggregates which settle easily. Another preferred method for forming the insoluble complex comprises the simultaneous addition of protamine and zinc.
Table 1 below shows the results of omitting various components and the effect of the order of addition of zinc and protamine for a composition comprising 1 mg HSA/ml, 0.1 mg alpha interferon (IFN)/ml and 20 mg glycine (G)/ml in 0.02M phosphate buffer(p). Column 1 shows the effect of the order of addition; adding zinc first results in 5% soluble protein while adding protamine first results in less than 1% soluble protein. Columns 3, 4 and 5 show that in the absence of buffer, the absence of buffer and glycine, and absence of HSA, respectively, a maximum amount of complex is not formed, since at least 5% soluble protein results in each of those combinations. While Column 2 shows that the presence of glycine is not necessary to form a complex with maximum insolubility, Column 1 shows that glycine is not detrimental to the complex despite its zinc chelating properties, as long as the protamine is added before the zinc.
TABLE 1
Dependence of Amount of Soluble Protein Found on Composition and Order of Zinc/Protamine Addition
Figure imgf000006_0001
Glycine is present in the instant invention at 0 to 50 mg/ml as a result of its presence in the lyophilized interferon preferably used to prepare the compositions of this invention. See U.S. Patent 4,496,537, wherein a buffer, glycine and HSA are added to the interferon solutions before lyophilization to insure biological stability.
The insoluble complex formation is an equilibrium phenomenon, and as seen in Table 1, almost complete insolubilization (i.e., 99%) can be achieved in order to maximize sustained release. However, if a certain soluble fraction is desired for immediate release, the ratio of components can be changed, or preferably the pH may be adjusted. Maximum formation of insoluble complex is achieved when the interferon solution is adjusted to pH 8.0 to 8.4, preferably pH 8.2, but adjusting the pH between pH 7.5 and 8.5 will allow formation of soluble species for immediate release of alpha interferon. The following Table 2 shows the variation in complex formation due to changes in pH.
TABLE 2
INSOLUBLE COMPLEX FORMATION vs pH
Scattering at
700 nm PH
0.2 7.0
1.12 7.5
2.64 8.0
2.64 8.3
2.44 8.4
1.80 8.6
Release of alpha interferon from the complex is not measurable in vitro since it is not solubilized by dilution, but rather by displacement of physiological chelators as well as serum albumin. The in vivo release rate can be measured by using radio-iodinated alpha interferon and monitoring the disappearance of radio¬ activity at the injection site and the presence of radioactivity in serum and urine. Such tests run in rats showed sustained release for more than two weeks.
The amount of alpha interferon in the formulations of the invention is 2xl06 to 200xl06 International Units (I.U.) per ml of complex, preferably 2xl07 I.U./ml. Zinc may be provided by 1 to 20 mg of a zinc salt/ml, wherein the zinc salt may be chosen from zinc acetate, zinc chloride or zinc sulfate, with zinc acetate being preferred.
Protamine may be provided by 0.25 to 5 mg, preferably 2.5 mg protamine/ml, wherein the protamine is chosen from protamine free base, protamine chloride, protamine phosphate or protamine sulfate, with the sulfate being preferred.
HSA is present in a concentration range of 0 to 10 mg/ml, preferably 0.5 to 1 mg/ml.
Any chemically and pharmaceutically compatible buffer may be used to prepare the interferon solution, with phosphate buffer being preferred. Interferon solutions show maximum stability at pH 6.5 to 8.0, preferably 7.0 to 7.4 (See U.S. Patent 4,496,537). Sodium hydroxide is preferred for adjusting the pH of the interferon solution to pH 7.5 to 8.5 prior to formation of the complex. The buffering agent must not have a strong affinity for zinc, as this would tend to remove zinc from the complex. This lack of affinity for zinc is especially important when glycine is present, since glycine is a zinc chelator; in the absence of glycine, some affinity for zinc by the buffer may be tolerated. A buffer with some affinity for zinc (e.g. citrate or acetate) may be used to increase the soluble fraction for immediate release of interferon.
A preferred method for preparing an insoluble complex of the present invention is to reconstitute a lyophilized alpha interferon sample prepared as described in U.S. Patent 4,496,537 with a solution comprising zinc acetate and protamine sulfate at the desired pH. Following are examples of preparations of lyophilized alpha interferon and of the reconstituted complex. EXAMPLE 1
LYOPHILIZED ALPHA INTERFERON
Solution for lyophilization mg/ml
Alpha-2 Interferon 2 : LO7 I. ,U
Sodium Phosphate, Dibasic, Anhydrous, 2.27
Reagent
Sodium Monobasic Phosphate, USP 0.55
Glycine, USP 20.0
Albumin, Human, USP 1.0
Water for Injection, USP q.s. ad 1.0 ml
Charge a portion of water for Injection, USP to a suitable vessel equipped with an agitator. Consecutively charge and dissolve with agitation Sodium Phosphate, Dibasic, Anhydrous Reagent; Monobasic Sodium Phosphate, USP; Albumin, Human, USP; and Alpha-2 Interferon. Bring the batch to final volume with Water for Injection, USP.
In a sterile area, aseptically filter the solution into a sterilized vessel through a sterilized 0.2 micron filter which has been washed and tested for integrity. Test the integrity of the filter after filtration.
Aseptically fill the solution into sterilized vials, load filled vials into a sterilized lyophilizer and lyophilize the solution. Aseptically stopper, seal and crimp the vials. EXAMPLE 2
ALPHA INTERFERON COMPLEX
Ingredients mg/ l
Lyophilized Alpha2 Interferon vial (see Example 1) Zinc acetate 4.0
Protamine sulfate 2.5
Sodium Hydroxide 0.6
Water for Injection q.s. 1 ml
Dissolve the lyophilized alpha2 interferon in a portion of the Water for Injection. Adjust to pH 8.2 with sodium hydroxide. Add protamine sulfate and agitate; add zinc acetate and agitate. Bring the total to final volume with the remaining Water for Injection. Preferably, the sodium hydroxide, protamine sulfate and zinc acetate are added as concentrated aqueous solutions (e.g. for protamine, 100 microliters of a 25 mg/ml aqueous solution) .
Bulk alpha interferon solutions (i.e., unlyophilized) or other appropriate alpha interferon samples may be used to form the complex of this invention, preferably using the same order of addition of components as described above, that is, phosphate buffer, HSA and glycine are added to aqueous alpha interferon, - the pH is adjusted, protamine is added, zinc is added, and the solution is adjusted to final volume.

Claims

We Cla im :
1. An insoluble zinc-protamine-alpha interferon complex.
2. A sustained release pharmaceutical composition comprising a parenterally acceptable insoluble zinc- protamine-alpha interferon complex of claim 1.
3. A composition as claimed in claim 2 comprising 2xl06 to 200xl06 International Units o-f alpha interferon/ml of a compatible buffer at pH 7.5 to 8.5; 1 to 20 mg of a zinc salt/ml; 0.25 to 5 mg of protamine free base or a pharmaceutically acceptable salt thereof /ml; 0 to 50 mg glycine/ml; and 0 to 10 mg human serum albumin/ml.
4. A composition as claimed in any of claims 2 or 3 wherein the zinc salt is zinc acetate.
5. A composition as claimed in any of claims 2 to 4 wherein the protamine component is protamine sulfate.
6. A composition as claimed in any of claims 2 to 5 wherein the pH of the buffer is 8.0 to 8.4.
7. A composition as claimed in any of claims 2 to 6 comprising 4.0 mg zinc acetate, 2.5 mg protamine sulfate, 0.6 mg sodium hydroxide, 1 mg human serum albumin and 20 mg glycine per ml of solution, wherein the buffer is a phosphate buffer.
8. A composition as claimed in any of claims 2 to 7 comprising 2 x 107 International Units of alpha2 interferon.
9. A composition as claimed in any of claims 2 to 8 wherein the pH of the buffer is 8.2.
10. A process for preparing a zinc-protamine-alpha interferon complex as claimed in any of claims 1-9 comprising reacting a solution of alpha interferon in a compatible buffer at pH 7.5 to 8.5, said buffer optionally containing human serum albumin and/or glycine, with protamine free base or pharmaceutically acceptable salt thereof and a zinc salt.
11. A process as claimed in claim 10 wherein said protamine free base or protamine salt is reacted with said buffered alpha interferon solution before or at the same time as the zinc salt.
12. A process for preparing a zinc-protamine-alpha interferon complex as claimed in any of claims 1-9 which comprises the following steps: a) preparing a buffered solution of alpha interferon having a pH of 7.5 to 8.5, preferably pH 8.2, optionally comprising human serum albumin and/or glycine; b) reacting said buffered solution of alpha interferon with protamine free base or a pharmaceutically acceptable salt thereof and a zinc salt, said zinc salt being added simultaneously with or after the addition of said protamine free base or pharmaceutically acceptable salt thereof.
PCT/US1988/000410 1987-02-24 1988-02-23 Stable interferon complexes WO1988006456A1 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP63502283A JPH0611712B2 (en) 1987-02-24 1988-02-23 Stable interferon complex
KR1019880701321A KR940001372B1 (en) 1987-02-24 1988-02-23 Stable interferon complexes
NO884596A NO173279C (en) 1987-02-24 1988-10-14 Process for preparing a stable zinc-protamine-alpha-interferon complex
DK582188A DK167048B1 (en) 1987-02-24 1988-10-19 Stable interferon complex, a pharmaceutical preparation which comprises it, and a process for producing the interferon complex
FI893929A FI93309C (en) 1987-02-24 1989-08-22 Process for the preparation of a stable zinc-protamine-interferon complex

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US018,243 1987-02-24
US07/018,243 US4853218A (en) 1987-02-24 1987-02-24 Zinc-protamine-alpha interferon complex

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EP (2) EP0375678A1 (en)
JP (1) JPH0611712B2 (en)
KR (1) KR940001372B1 (en)
AT (1) ATE76580T1 (en)
AU (1) AU608584B2 (en)
CA (1) CA1316105C (en)
DE (1) DE3871407D1 (en)
DK (1) DK167048B1 (en)
ES (1) ES2032009T3 (en)
FI (1) FI93309C (en)
GR (1) GR3005358T3 (en)
HU (1) HU201881B (en)
IE (1) IE61340B1 (en)
IL (1) IL85523A (en)
MX (1) MX9203328A (en)
MY (1) MY103212A (en)
NO (1) NO173279C (en)
NZ (1) NZ223598A (en)
OA (1) OA09737A (en)
PT (1) PT86810B (en)
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NZ223598A (en) 1989-12-21
DK582188D0 (en) 1988-10-19
PT86810A (en) 1988-03-01
FI93309B (en) 1994-12-15
NO173279B (en) 1993-08-16
HU201881B (en) 1991-01-28
US4853218A (en) 1989-08-01
NO884596L (en) 1988-10-14
MX9203328A (en) 1992-07-01
EP0281299B1 (en) 1992-05-27
DK167048B1 (en) 1993-08-23
AU608584B2 (en) 1991-04-11
KR890700359A (en) 1989-04-24
IE61340B1 (en) 1994-11-02
MY103212A (en) 1993-05-29
OA09737A (en) 1993-11-30
IL85523A (en) 1992-11-15
NO884596D0 (en) 1988-10-14
JPH0611712B2 (en) 1994-02-16
AU1394688A (en) 1988-09-26
ATE76580T1 (en) 1992-06-15
NO173279C (en) 1993-11-24
GR3005358T3 (en) 1993-05-24
FI893929A0 (en) 1989-08-22
IE880480L (en) 1988-08-24
CA1316105C (en) 1993-04-13
DK582188A (en) 1988-10-19
ES2032009T3 (en) 1993-01-01
JPH03500286A (en) 1991-01-24
EP0375678A1 (en) 1990-07-04
ZA881258B (en) 1988-08-23
KR940001372B1 (en) 1994-02-21
FI893929A (en) 1989-08-22
PT86810B (en) 1992-05-29
IL85523A0 (en) 1988-08-31
HUT51902A (en) 1990-06-28
EP0281299A1 (en) 1988-09-07
DE3871407D1 (en) 1992-07-02
FI93309C (en) 1995-03-27

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