Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K9/00—Medicinal preparations characterised by special physical form
  • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
  • A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
• • 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
  • A61K38/18—Growth factors; Growth regulators
  • A61K38/1875—Bone morphogenic factor; Osteogenins; Osteogenic factor; Bone-inducing factor
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
  • A61K47/12—Carboxylic acids; Salts or anhydrides thereof
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/16—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
  • A61K47/18—Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
  • A61K47/183—Amino acids, e.g. glycine, EDTA or aspartame
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
  • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
  • A61K47/26—Carbohydrates, e.g. sugar alcohols, amino sugars, nucleic acids, mono-, di- or oligo-saccharides; Derivatives thereof, e.g. polysorbates, sorbitan fatty acid esters or glycyrrhizin
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P37/00—Drugs for immunological or allergic disorders
  • A61P37/02—Immunomodulators
  • A61P37/06—Immunosuppressants, e.g. drugs for graft rejection
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
  • C07K14/475—Growth factors; Growth regulators
  • C07K14/51—Bone morphogenetic factor; Osteogenins; Osteogenic factor; Bone-inducing factor

Definitions

• the present invention is related to compositions for stabilizing the pH of bone morphogenetic protein compositions.
• cysteine-knot proteins and TGF- ⁇ superfamily proteins which includes the family of bone morphogenetic proteins (BMPs)
• BMPs bone morphogenetic proteins
• the present invention is based on the discovery that certain buffers enhance the stability of formulations of cysteine -knot proteins and TGF- ⁇ superfamily proteins, which includes the family of bone morphogenetic proteins (BMPs), particularly liquid or solution formulations and lyophilized formulations.
• BMPs bone morphogenetic proteins
• a limiting factor to date for optimal use of BMPs, particularly in therapeutic regimens, has been that liquid solution BMP formulations having pHs greater than 3.0 ⁇ 0.2 and lyophilized BMP formulations having pH greater than 3.5 are not stable long-term and are subject to denaturation and aggregation.
• the invention contemplates a solution including a bone morphogenetic protein and an aqueous glycylglycine buffer.
• the bone morphogenetic protein can be any of BMP-2, BMP-4, BMP-5, BMP-6, BMP-7, GDF-5, GDF-6, or GDF-7.
• the BMP is BMP-7.
• the pH of the solution can range from about 2.5 to about 4.0, more preferably from about 2.8 to about 3.5, and even more preferably from about 2.8 to about 3.2.
• the glycylglycine buffer can have a concentration from about 1 mM to about 100 mM, from about 2 mM to about 20 mM, even more from about 5 mM to about 15 mM, or about 10 mM.
• the concentration of the bone morphogenetic protein in the solution can be from about 0.01 mg/mL to about 40 mg/mL, from about 0.1 mg/mL to about 1 mg/mL, or from about 0.1 mg/mL to about 20 mg/mL, or from about 1 mg/mL to about 20 mg/mL.
• the pH of the solution does not vary more than about 0.2 pH units upon storage at 5-40°C for six months, or as long as 36 months.
• the solution can also include a lyoprotectant, for example, sugar, such as mannitol, mannose, lactose, sucrose, or trehalose, or any combinations of these sugars.
• a lyoprotectant for example, sugar, such as mannitol, mannose, lactose, sucrose, or trehalose, or any combinations of these sugars.
• the lyoprotectant is preferably mannitol, mannose, or trehalose.
• trehalose can be included in the amount of about 1% to about 15% (w/v), or from about 3% to about 10% (w/v). In a preferred embodiment, trehalose does not exceed 9% (w/v).
• the solution can also include an antioxidant.
• the antioxidant can be methionine, ascorbic acid, benzyl alcohol, glutathione, m-cresol, EDTA, sodium metabisulfate, or thioglycerol.
• the antioxidant is methionine.
• the solution does not contain an antioxidant.
• the invention contemplates a solid composition including a bone morphogenetic protein and glycylglycine, a glycylglycine salt, or a combination of glycylglycine and a glycylglycine salt.
• the glycylglycine salt is glycylglycine HC1.
• the solid composition can include a lyoprotectant, for example, a sugar.
• the sugar can be mannitol, lactose, sucrose, or trehalose or any combination of these sugars.
• the sugar can be trehalose which can be included, for example, at a ratio of bone morphogenetic protein to trehalose of about 7xl0 "5 : l (w/w) to about 1.3: 1 (w/w).
• the ratio of bone morphogenetic protein to glycylglycine, glycylglycine salt, glycylglycine HC1 or combination of glycylglycine and glycylglycine salt can be, for example, about 8x10 " 4: : 1 (w/w) to about 300: 1 (w/w).
• the solid composition can also include an antioxidant.
• the antioxidant can be, for example, ascorbic acid, benzyl alcohol, glutathione, m-cresol, thioglycerol, and methionine. In a preferred embodiment, the antioxidant is methionine.
• the solid composition can also include a surfactant.
• the surfactant is one of polysorbate 20, polysorbate 80, or poloxamer 407.
• the surfactant can be present in a range of about 0.001% to 0.5% (w/w).
• the surfactant is polysorbate 20 at about 0.01% (w/w).
• the composition does not include a surfactant.
• a solid composition can be prepared by lyophilizing the solution of bone morphogenetic protein and glycylglycine.
• the lyophilized composition does not include mannitol.
• the invention contemplates a solution including a bone morphogenetic protein and an aqueous tartaric acid buffer.
• the bone morphogenetic protein can be any of BMP-2, BMP-4, BMP-5, BMP-6, BMP-7, GDF-5, GDF-6, or GDF-7.
• the BMP is BMP-7.
• the pH of the solution can range from about 2.5 to about 4.0, more preferably from about 2.8 to about 3.5, and even more preferably from about 2.8 to about 3.2.
• the tartaric acid buffer can have a concentration from about 1 mM to about 100 mM, from about 2 mM to about 20 mM, even more from about 5 mM to about 15 mM, or about 10 mM.
• the concentration of the bone morphogenetic protein in the solution is from about 0.01 mg/mL to about 40 mg/mL, from about 1 mg/mL to about 20 mg/mL, from about 0.1 mg/mL to about 1 mg/mL, or from about 0.1 mg/mL to about 20 mg/mL.
• the pH of the solution does not vary more than about 0.2 pH units in a liquid formulation, as a lyophilizate, or as a reconstituted solution prepared from a lyophilizate.
• the solution can also include a lyoprotectant, for example, sugar, such as mannitol, lactose, sucrose, or trehalose, or any combinations of these sugars.
• trehalose can be included in the amount of about 1% to about 15% (w/v), or from about 3% to about 10% (w/v). In a preferred embodiment, trehalose does not exceed 9% (w/v).
• the solution can also include an antioxidant.
• the antioxidant can be methionine, ascorbic acid, benzyl alcohol, glutathione, m-cresol, or thioglycerol. In a preferred
• the antioxidant is methionine.
• the solution does not contain an antioxidant.
• the solid composition can also include a surfactant.
• the surfactant is polysorbate 20, polysorbate 80, or poloxamer 407.
• the surfactant is present, for example, in a range of about 0.001% to 0.5%) (w/w).
• the surfactant is polysorbate 20 at about 0.01%) (w/w).
• the composition does not include a surfactant.
• the invention contemplates a solid composition including a bone morphogenetic protein and tartaric acid, a tartrate salt, or a combination of tartaric acid and a tartrate salt.
• the tartaric acid and/or tartrate salt can include any enantiomers or stereoisomers of tartrate including (+)tartaric acid (also known as dextrotartaric acid), (-)tartaric acid (also known as levotartaric acid), combinations thereof (also known as racemic acid), and stereoisomers of
• the solid composition can include a lyoprotectant, for example, a sugar.
• the sugar can be mannitol, lactose, sucrose, or trehalose or any combination of these sugars.
• the sugar can be trehalose which can be included, for example, at a ratio of bone morphogenetic protein to trehalose of about 7xl0 ⁇ 5 : l (w/w) to about 1.3: 1 (w/w).
• the ratio of bone morphogenetic protein to tartaric acid, tartrate salt, or combination of tartaric acid and tartrate salt can be, for example, about 7xl0 ⁇ 4 :l to about 270: 1 (w/w). In a preferred embodiment, the ratio is about 0.07: 1 to about 13: 1 (w/w) protein to tartaric acid, tartrate salt, or combination of tartaric acid and tartrate salt.
• the solid composition can also include an antioxidant.
• the antioxidant can be, for example, ascorbic acid, benzyl alcohol, glutathione, m-cresol, thioglycerol, and methionine.
• the solid composition can also include a surfactant such as polysorbate 20, polysorbate 80, poloxamer 188, or poloxamer 407.
• the surfactant can be present in a range of about 0.001% to 0.5% (w/w).
• the surfactant is polysorbate 20 at about 0.01% (w/w).
• the composition does not contain a surfactant.
• a solid composition can be prepared by lyophilizing the solution of bone morphogenetic protein and tartaric acid.
• the lyophilized composition does not include mannitol.
• FIG. 1 is a line graph plotting the concentration of BMP-7 (mg/mL) versus the pH of a solution containing either tartaric acid (1), glycylglycine (2), malic acid
• Example 2 (3), lactic acid (4), aspartic acid (5), or succinic acid (6) and 9% trehalose as described in Example 2.
• FIG. 2 is a line graph plotting the percent aggregation of BMP-7 over time in the presence of glycylglycine pH 3.1 (1), lactate pH 3.5 (2), tartrate pH 3.1 (3), lactate plus 10 mM NaCl pH 3.1 (4), and lactate plus 10 mM NaCl, 20 mM methionine pH 3.1 (5) as described in Example 3.
• FIG. 3 A is a line graph plotting the percent aggregation over time of a lyophilized formulation of 1 mg/mL BMP-7 held at 40°C
• FIG. 3B is a line graph plotting the percent aggregation over time of a lyophilized formulation of 16 mg/mL BMP-7 held at 40°C.
• FIG. 4 is a line graph plotting the percent aggregation over time of a lyophilized formulation of 1 mg/mL BMP-7 containing 10 mM glycylglycine, 10 mM lactate or 10 mM tartrate.
• FIG. 5 is the amino acid sequence of mature human BMP-7 (SEQ ID NO: l).
• FIG. 6 is the amino acid sequence of mature human BMP -2 (SEQ ID NO:2).
• FIG. 7 is the amino acid sequence of mature human BMP-6 (SEQ ID NO:3).
• FIG. 8 is the amino acid sequence of mature human BMP -4 (SEQ ID NO:4).
• FIG. 9 is the amino acid sequence of mature human BMP-5 (SEQ ID NO:5).
• FIG. 10 is the amino acid sequence of mature human GDF-5 (SEQ ID NO:6).
• FIG. 11 is the amino acid sequence of mature human GDF-6 (SEQ ID NO:7).
• FIG. 12 is the amino acid sequence of mature human GDF-7 (SEQ ID NO:8). Detailed Description of the Invention
• cysteine-knot family proteins including TGF- ⁇ superfamily proteins such as BMPs
• pH pH range
• ionic strength of the formulation with the desired pH range being 3.0 ⁇ 0.2.
• concentration of these proteins increases, i.e., greater than 2 mg/mL
• the pH of the formulation increases, e.g., pH greater than 3.4. Because of the instability of these proteins at increased ionic strength, there is a limit to the concentration of buffer and pH-adjusting acids that can be used to mitigate the observed increase in pH.
• Applicants have made the surprising and unexpected discovery that preparing these protein formulations, such as with BMPs, using an aqueous glycylglycine buffer or tartaric acid buffer eliminates the need to reduce the pH of the formulation by adding a strong acid after the protein is added.
• the advantages of selecting a buffer that controls pH throughout a wider BMP concentration range include fewer manufacturing process manipulations, including eliminating or reducing the need to adjust the pH of the formulation with a strong acid, e.g., HC1, or strong base, e.g., NaOH.
• a strong acid e.g., HC1, or strong base, e.g., NaOH.
• Formulations according to the invention include solutions (liquid form) such as, but not limited to reconstituted lyophilizates and solid forms such as, but not limited to lyophilized forms, gels, microencapsulated particles, and pastes.
• Combinations of liquid formulations, lyophilizates, and liquid solutions prepared from reconstituted lyophilizates used in combination with gels, pastes, or particles are also contemplated by the invention.
• the formulation is a solution including an aqueous buffer and a BMP protein.
• the buffer can be glycylglycine, tartaric acid, malic acid, lactic acid, aspartic acid, or succinic acid.
• the buffer is glycylglycine, while in another preferred embodiment, the buffer is tartaric acid.
• the buffer is combination of two or more of glycylglycine, tartaric acid, malic acid, lactic acid, aspartic acid, or succinic acid.
• the buffer is glycylglycine and tartaric acid.
• the glycylglycine buffer has a concentration from about 1 mM to about 100 mM, more preferably from about 2 mM to about 20 mM, and even more preferably from about 5 mM to about 15 mM, and yet more preferably, the concentration of glycylglycine buffer is about 10 mM.
• the liquid solution formulation further includes a stabilizer.
• the stabilizer can be proline, glycine, valine, isoleucine, or leucine.
• the stabilizer is proline, while in yet another embodiment, the stabilizer is a combination of two or more of proline, glycine, valine, isoleucine, or leucine.
• the BMP is BMP-7.
• the BMP is BMP-2, -4, -5, -6, or -9.
• the BMP is GDF-5, -6, or -7.
• the concentration of BMP in the formulation is, for example, about 0.01 mg/mL to about 40 mg/mL.
• the concentration of BMP protein is about 1 mg/mL to about 20 mg/mL.
• a preferred concentration of BMP is about 0.1 mg/mL to about 1 mg/mL; a more preferred concentration of BMP is about 0.1 mg/mL to about 20 mg/mL; and a most preferred concentration of BMP is about 0.1 mg/mL to about 1 mg/mL.
• the pH of the formulation solution is from about 2.5 to about 4.0, more preferably from about 2.8 to about 3.5, and even more preferably about 2.8 to about 3.2.
• lyophilization of a liquid formulation of the invention disclosed herein yields a solid formulation.
• the formulation is a solid form derived from a solution of a buffer and a BMP protein.
• the buffer can be glycylglycine, tartrate, malate, lactate, aspartate, succinate or a salt of glycylglycine, tartrate, malate, lactate, aspartate, or succinate.
• the buffer is glycylglycine or a salt of glycylglycine.
• the buffer is a tartrate salt.
• the solid formulation includes a stabilizer.
• the stabilizer can be proline, glycine, valine, isoleucine, or leucine.
• the stabilizer is proline.
• the stabilizer is a combination of two or more of proline, glycine, valine, isoleuncine, or leucine.
• the BMP is BMP-7.
• the BMP is BMP-2, -4, -5, -6, or -9.
• the BMP is GDF-5, -6, or -7.
• the ratio of BMP to the buffer is about 7.7xl0 ⁇ 4 : 1 to about 310: 1 (w/w).
• the ratio of BMP to a glycylglycine salt is about 7.7xl0 ⁇ 4 : l to about 310: 1 (w/w).
• the ratio of BMP to a tartaric acid or salt is about 6.7xl0 "4 :l to about 270: 1
• the liquid or solid form formulation further includes a lyoprotectant.
• the lyoprotectant is a sugar.
• the sugar can be mannitol, lactose, sucrose, or trehalose, or a combination of two or more of these sugars.
• the sugar is trehalose.
• the sugar can be added in an amount from about 1% to about 15% (w/v) to a formulation of the invention in liquid form, more preferably about 3% to about 10% (w/v).
• the sugar does not exceed 9% (w/v).
• the sugar is present in an amount of about 1 :7xl0 "5 of about 1 : 1.3 (w/w) sugar:BMP in a formulation in solid form.
• the liquid or solid form formulation further includes an antioxidant.
• the antioxidant can be methionine, ascorbic acid, benzyl alcohol, glutathione, m-cresol, or thioglycerol.
• a preferred antioxidant is methionine.
• Glycylglycine buffer consists of glycylglycine, glycylglycine -HC1, glycylglycine salts, or a combination thereof.
• Formulation components specifically the percentage of trehalose, can be adjusted to yield the target osmolality.
• Table 2 shows the components of various tartrate buffers that can be made in accordance with the invention. Formulation components, specifically percentage of trehalose, can be adjusted to yield target osmolality.
• One of the unexpected benefits of the formulations of the invention is that the formulations maintain their stability over time. For example, when a solution formulation according to the invention is stored at 40°C for 6 months, the pH does not vary more than about 0.2 pH units.
• BMPs are preferred exemplary proteins for the compositions of the present invention.
• BMPs belong to the TGF- ⁇ superfamily.
• the TGF- ⁇ superfamily proteins are cytokines characterized by six-conserved cysteine residues.
• the human genome contains about 42 open reading frames encoding TGF- ⁇ superfamily proteins.
• the TGF- ⁇ superfamily proteins can at least be divided into the BMP subfamily and the TGF- ⁇ subfamily based on sequence similarity and the specific signaling pathways that they activate.
• the BMP subfamily includes, but is not limited to, BMP-2, BMP-3 (osteogenin), BMP-3b (GDF-10), BMP-4 (BMP-2b), BMP-5, BMP-6, BMP-7 (osteogenic protein- 1 or OP-1), BMP-8 (OP-2), BMP-8B (OP-3), BMP-9 (GDF-2), BMP- 10, BMP- 11 (GDF-11), BMP- 12 (GDF-7), BMP- 13 (GDF-6, CDMP-2), BMP- 15 (GDF-9), BMP- 16, GDF-1, GDF-3, GDF-5 (CDMP-1, MP-52), and GDF-8 (myostatin).
• preferred superfamily proteins include BMP-2, -4, -5, -6 and -7 and GDF-5, -6, and -7, as well as MP-52.
• Particularly preferred proteins include BMP-2, BMP-7 and GDF-5, -6, and -7.
• a most preferred exemplary BMP is human BMP-7.
• allelic variation in BMP sequences among different members of the human population and there is species variation among BMPs discovered and characterized to date.
• BMP subfamily refers to the BMP subfamily members, unless specifically indicated otherwise. Any of the members of the BMP subfamily disclosed herein can be included in formulations according to the invention.
• the TGF- ⁇ subfamily includes, but is not limited to, TGFs (e.g., TGF- ⁇ 1 , TGF-P2, and TGF-P3), activins (e.g., activin A) and inhibins, macrophage inhibitory cytokine- 1 (MIC-1), Mullerian inhibiting substance, anti-Mullerian hormone, and glial cell line derived neurotrophic factor (GDNF).
• TGFs e.g., TGF- ⁇ 1 , TGF-P2, and TGF-P3
• activins e.g., activin A
• MIC-1 macrophage inhibitory cytokine- 1
• Mullerian inhibiting substance e.g., anti-Mullerian hormone
• GDNF glial cell line derived neurotrophic factor
• the TGF- ⁇ superfamily is in turn a subset of the cysteine knot Cytokine superfamily. Additional members of the cysteine knot cytokine superfamily include, but are not limited to, platelet derived growth factor (PDGF), vascular endothelial growth factor (VEGF), placenta growth factor (PIGF), noggin, neurotrophins (BDNF, NT3, NT4, and PNGF), gonadotropin, follitropin, lutropin, interleukin-17, and coagulogen.
• PDGF platelet derived growth factor
• VEGF vascular endothelial growth factor
• PIGF placenta growth factor
• noggin neurotrophins
• BDNF, NT3, NT4, and PNGF neurotrophins
• gonadotropin gonadotropin
• follitropin lutropin
• interleukin-17 interleukin-17
• BMP-5 and BMP-6 (Celeste et al, PNAS, 87, 9843-9847 (1990)), Vgr-1 (Lyons et al, PNAS, 86, pp. 4554-4558 (1989)); DPP (Padgett et al. Nature, 325, pp. 81-84 (1987)); Vg-1 (Weeks, Cell, 51, pp. 861-867 (1987)); BMP-9 (WO95/33830 (PCT/US95/07084); BMP-10 (W094/26893 (PCT/US94/05290); BMP-11 (W094/26892 (PCT/US94/05288); BMP-12 (WO95/16035
• TGF- ⁇ superfamily member or "TGF- ⁇ superfamily protein” means a protein known to those of ordinary skill in the art as a member of the Transforming Growth Factor- ⁇ (TGF- ⁇ ) superfamily. Structurally, such proteins are homo or heterodimers expressed as large precursor polypeptide chains containing a hydrophobic signal sequence, an N-terminal pro region of several hundred amino acids, and a mature domain comprising a variable N-terminal region and a highly conserved C-terminal region containing approximately 100 amino acids with a characteristic cysteine motif having a conserved six or seven cysteine skeleton. These structurally-related proteins have been identified as being involved in a variety of developmental events.
• morphogenic protein refers to a protein belonging to the TGF- ⁇ superfamily of proteins which has true morphogenic activity. For instance, such a protein is capable of inducing progenitor cells to proliferate and/or to initiate a cascade of events in a differentiation pathway that leads to the formation of cartilage, bone, tendon, ligament, neural or other types of differentiated tissue, depending on local environmental cues. Thus, morphogenic proteins useful in this invention can behave differently in different surroundings.
• a morphogenic protein of this invention can be a homodimer species or a heterodimer species.
• osteoogenic protein refers to a morphogenic protein that is also capable of inducing a progenitor cell to form cartilage and/or bone.
• the bone can be intramembranous bone or endochondral bone.
• Most osteogenic proteins are members of the BMP subfamily and are thus also BMPs. However, the converse can not be true.
• a BMP identified by DNA sequence homology or amino acid sequence identity must also have demonstrable osteogenic or chondrogenic activity in a functional bioassay to be an osteogenic protein.
• bioassays are well known in the art; a particularly useful bioassay is the heterotopic bone formation assay (see, U.S. Pat. No. 5,011,691; U.S. Pat. No.
• BMPs are naturally expressed as pro-proteins comprising a long pro- domain, one or more cleavage sites, and a mature domain. This pro-protein is then processed by the cellular machinery to yield a dimeric mature BMP molecule. The pro-domain is believed to aid in the correct folding and processing of BMPs.
• the pro-domain can noncovalently bind the mature domain and can act as a chaperone, as well as an inhibitor (e.g., Thies et. al. (2001) Growth Factors, 18:251-259).
• BMPs are dimeric cysteine knot proteins. Each BMP monomer comprises multiple intramolecular disulfide bonds. An additional intermolecular disulfide bond mediates dimerization in most BMPs. BMPs can form homodimers. Some BMPs can form heterodimers.
• BMP signal transduction is initiated when a BMP dimer binds two type I and two type II serine/threonine kinase receptors.
• Type I receptors include, but are not limited to, ALK-1, ALK-2 (also called ActRla or ActRI), ALK-3 (also called BMPRIa), and ALK-6 (also called BMPRIb).
• Type II receptors include, but are not limited to, ActRIIa (also called ActRII), ActRIIb, and BMPRII.
• Human genome contains 12 members of the receptor serine/threonine kinase family, including 7 type I and 5 type II receptors, all of which are involved in TGF- ⁇ signaling (Manning et al., 2002, the disclosures of which are hereby incorporated by reference).
• the type II receptors phosphorylate the type I receptors
• the type I receptors phosphorylate members of the Smad family of transcription factors
• the Smads translocate to the nucleus and activate the expression of a number of genes.
• BMPs also interact with inhibitors, soluble receptors, and decoy receptors, including, but not limited to, BAMBI (BMP and activin membrane bound inhibitor), BMPER (BMP -binding endothelial cell precursor-derived regulator), Cerberus, cordin, cordin-like, Dan, Dante, follistatin, follistatin-related protein (FSRP), ectodin, gremlin, noggin, protein related to Dan and cerberus (PRDC), sclerostin, sclerostin- like, and uterine sensitization-associated gene-1 (USAG-1).
• BAMBI BMP and activin membrane bound inhibitor
• BMPER BMP -binding endothelial cell precursor-derived regulator
• Cerberus cordin, cordin-like, Dan, Dante
• follistatin follistatin-related protein
• FSRP follistatin-related protein
• PRDC sclerostin, sclerostin
• BMPs can interact with co-receptors, for example BMP-2 and BMP-4 bind the co-receptor DRAGON (Samad et. al. (2005) J. Biol. Chem., 280: 14122-14129), and extracellular matrix components such as heparin sulfate and heparin (Irie et al. (2003) Biochem. Biophys. Res. Commun. 308: 858-865).
• BMP refers to a protein belonging to the BMP subfamily of the TGF- ⁇ superfamily of proteins defined on the basis of DNA homology and amino acid sequence identity.
• a protein belongs to the BMP subfamily when it has at least 50% amino acid sequence identity with a known BMP subfamily member within the conserved C-terminal cysteine-rich domain that characterizes the BMP subfamily.
• Members of the BMP subfamily can have less than 50% DNA or amino acid sequence identity overall.
• BMP further refers to proteins which are amino acid sequence variants, domain-swapped variants, and truncations and active fragments of naturally occurring bone morphogenetic proteins, as well as heterodimeric proteins formed from two different monomeric BMP peptides, such as BMP-2/7; BMP-4/7: BMP-2/6; BMP-2/5; BMP-4/7; BMP-4/5; and BMP-4/6 heterodimers.
• Suitable BMP variants and heterodimers include those set forth in US 2006/0235204; WO 07/087053; WO 05/097825; WO 00/020607; WO 00/020591; WO 00/020449; WO 05/113585; WO 95/016034 and WO93/009229.
• a BMP used in a formulation according to the invention can maintain at least 80%, at least 81%, at least 82%, at least 83%, at least 84%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%>, or at least 99% identity with the corresponding wild-type BMP protein sequence.
• a BMP used in a formulation according to the invention can maintain at least 80%, at least 81%, at least 82%, at least 83%, at least 84%, at least 85%, at least 86%, at least 87%, at least 88%, at least 89%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, or at least 99% identity with the conserved cysteine domain of the C-terminal region of the corresponding wild-type BMP protein sequence.
• corresponding wild-type protein it is meant the wild-type version of the modified BMP.
• the modified BMP is a modified BMP-7
• the corresponding wild-type BMP is wild-type BMP-7.
• the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in the sequence of a first amino acid or nucleic acid sequence for optimal alignment with a second amino acid or nucleic acid sequence).
• the determination of percent homology between two sequences can be accomplished using a mathematical algorithm.
• a preferred, non-limiting example of a mathematical algorithm utilized for the comparison of two sequences is the algorithm of Karlin and Altschul (1990) Proc. Natl. Acad. Sci.
• the BMP formulations of the invention in solid form, can be implanted in a mammalian patient, for example, a human to treat a wide variety of conditions.
• BMP formulations of the invention can be implanted in solid, gel or paste form, or injected into the patient in a gel, paste or liquid form.
• the BMP formulations of the invention are useful for treating a wide variety of conditions.
• the formulations containing BMPs can be used to treat skeletal disorders, including cartilage degeneration whether caused by trauma or inflammatory disease.
• diseases treatable by formulations of the invention include rheumatoid arthritis (RA) and osteoarthritis (OA) and autoimmune diseases such as systemic lupus erythematosis (SLE) and scleroderma.
• the BMP formulations of the invention can be used effectively to treat skeletal diseases or injuries.
• the formulations can be used to treat a bone fracture, such as an open fracture or a closed fracture.
• the formulation is preferably injected at the fracture site.
• the formulations can be administered by surgical implantation at the fracture site.
• the formulation can be administered alone, or in combination with a suitable carrier, matrix or scaffold, such as a bone cement, a calcium phosphate material, a gel material or a collagen matrix.
• suitable carriers, matrices and scaffolds include those disclosed in US Patent Nos. 6,919,308; 6,949,251 ; and 7,041 ,641.
• the BMP formulations of the invention can be used to treat a disease or injury resulting in cartilage degradation or a cartilage defect.
• the formulations can be applied to a cartilage defect site, such as a degenerative intervertebral disc, or other fibrocartilaginous tissue, including a tendon, a ligament or a meniscus.
• a cartilage defect site such as a degenerative intervertebral disc, or other fibrocartilaginous tissue, including a tendon, a ligament or a meniscus.
• the formulations of the invention can also be used to treat a defect or degeneration of articular cartilage, as set forth in published PCT application WO 05/115438, such as the cartilage lining of a joint, such as a synovial joint, including a knee, an elbow, a hip, or a shoulder.
• the formulation is preferably injected into the synovial space of the joint.
• the formulations of the invention are used to treat an articular cartilage defect site, such as a chondral defect or an osteochondral defect, in a joint.
• Such articular cartilage defects can be the result of a disease process, such as osteoarthritis or rheumatoid arthritis, or due to injury of the joint.
• the formulation can be injected into the joint space or it can be surgically implanted.
• the formulation can be placed within the defect either alone or in combination with one or more additional active agents, a supporting matrix or scaffold, or marrow stromal cells.
• the formulation can, optionally, be covered with a suitable covering, for example a muscle flap or a bioresorbable membrane, such as a collagen membrane.
• the concentration of the compounds described in a therapeutic composition will vary depending upon a number of factors, including without limitation the dosage of the drug to be administered and the route of administration.
• the preferred dosage of drug to be administered also is likely to depend on variables including, but not limited to, the type and extent of a disease, tissue loss or defect, the overall health status of the particular patient, the relative biological efficacy of the compound selected, the formulation of the compound, the presence and types of excipients in the formulation, and the route of administration.
• the present invention can be provided to an individual where typical doses range from about 10 ng/kg to about 1 g/kg of body weight per day; with a preferred dose range being from about 0.1 mg/kg to 100 mg/kg of body weight, and with a more particularly preferred dosage range of 10-1000 ⁇ g/dose.
• a dose of 10-1000 ⁇ g of a BMP-7 is administered to an individual afflicted with osteoarthritis.
• the protein formulations preferably the BMP formulations of the present invention can be used to treat diseases or injuries of non-skeletal tissues.
• BMPs are capable of inducing the developmental cascade of bone morphogenesis and tissue morphogenesis for a variety of tissues in mammals different from bone or bone cartilage. This morphogenic activity includes the ability to induce proliferation and differentiation of progenitor cells, and the ability to support and maintain the differentiated phenotype through the progression of events that results in the formation of bone, cartilage, non-mineralized skeletal or connective tissues, and other adult tissues.
• BMPs can be used for treatment to prevent loss of and/or increase bone mass in metabolic bone diseases.
• General methods for treatment to prevent loss of and/or increase bone mass in metabolic bone diseases using osteogenic proteins are disclosed in U.S. Patent No. 5,674,844, the disclosures of which are hereby incorporated by reference.
• BMPs of the present invention can be used for periodontal tissue regeneration.
• General methods for periodontal tissue regeneration using osteogenic proteins are disclosed in U.S. Patent No. 5,733,878, the disclosures of which are hereby incorporated by reference.
• BMPs can be used for liver regeneration.
• General methods for liver regeneration using osteogenic proteins are disclosed in U.S. Patent No. 5,849,686, the disclosures of which are hereby incorporated by reference.
• BMPs can be used for treatment of chronic renal failure.
• General methods for treatment of chronic renal failure using osteogenic proteins are disclosed in U.S. Patent No. 6,861,404, the disclosures of which are hereby incorporated by reference.
• BMPs can be used for enhancing functional recovery following central nervous system ischemia or trauma.
• General methods for enhancing functional recovery following central nervous system ischemia or trauma using osteogenic proteins are disclosed in U.S. Patent No. 6,407,060, the disclosures of which are hereby incorporated by reference.
• BMPs can be used for inducing dendritic growth.
• General methods for inducing dendritic growth using osteogenic proteins are disclosed in U.S. Patent No. 6,949,505, the disclosures of which are hereby incorporated by reference.
• BMPs can be used for inducing neural cell adhesion.
• General methods for inducing neural cell adhesion using osteogenic proteins are disclosed in U.S. Patent No. 6,800,603, the disclosures of which are hereby incorporated by reference.
• BMPs can be used for treatment and prevention of
• Parkinson's disease General methods for treatment and prevention of Parkinson's disease using osteogenic proteins are disclosed in U.S. Patent No. 6,506,729, the disclosures of which are hereby incorporated by reference.
• BMPs can also be used to induce dentinogenesis.
• the unpredictable response of dental pulp tissue to injury is a basic clinical problem in dentistry.
• BMPs can induce regenerative effects on central nervous system (CNS) repair can be assessed using a rat brain stab model.
• CNS central nervous system
• BMP-7 tartaric acid (pKa 2.98, 4.34), glycylglycine (pKa 3.14), malic acid (pKa 3.40), lactic acid (pKa 3.86), aspartic acid (pKa 3.90), and succinic acid (pKa 4.21).
• Each buffer was prepared at a concentration of 10 mM and the pH was adjusted with 1 N HC1 or 1 N NaOH as needed to yield a final pH of 3.0. Each buffer also contained 9% trehalose.
• BMP-7 in 50 mM acetic acid at 1.6 mg/mL was concentrated to 10 mg/mL and then dialyzed into each of the six buffers. After dialysis, the concentration of the protein in each buffer was 15 to 16 mg/mL. The concentration of the protein and the pH at room temperature were measured for each buffer. Subsequently, each of the protein solutions were diluted to 8 mg/mL and 1 mg/mL with their respective buffers. The pH and protein concentration at room temperature were measured at each of the diluted concentrations. The results for pH as a function of BMP-7 concentration are shown in FIG. 1.
• a liquid stability study was conducted to evaluate protein aggregation in BMP formulations using the exemplary BMP, BMP-7, with buffers of 10 mM glycylglycine (pH 3.1 ), 10 mM tartrate (pH 3.1 ), 10 mM lactate (pH 3.5), 10 mM lactate with 10 mM NaCl (pH 3.1), and 10 mM lactate with 10 mM NaCl and 20 mM methionine (pH 3.1).
• Formulations that minimize changes in the protein, including aggregation, provide improved stability and consistency of lyophilized preparations.
• the BMP-7 concentration was 16 mg/mL.
• the formulations were held under accelerated stability conditions at 40°C for 4 weeks.
• the percent aggregation of BMP-7 in the liquid formulations was measured by size exclusion chromatography and the results are shown in FIG. 2.
• BMP-7 formulations containing lactate with methionine and glycylglycine had the lowest aggregation rates for those formulation buffers at 1 mg/mL at 6 months.
• FIG. 3B at 16 mg/mL, there was an increase observed in protein aggregation for all buffers tested. The lowest aggregation was seen in the formulation containing tartrate.
• BMP from the glycylglycine solution or the tartaric acid solution is added to the cells in the following dosages: 6000, 2000, 666, 222, 74, 24, 8, 2, and 0.9 ng/ml and incubated for a period of 48 hours. Cells are subsequently lysed and potency of BMP-7 to induce ALP activity is assessed based on the EC50 derived from non-linear regression of the mean optical density (OD) of the samples.
• the exemplary BMP, BMP-7, from the glycylglycine solution and the tartaric acid solution both demonstrate robust biological activity.
• Example 5 BMP Formulations containing Glycylglycine buffer
• a formulation according to the invention is prepared by performing a buffer exchange by dialysis, tangential flow filtration, or ultrafiltration/diafiltration (UF/DF) process with BMP, for example BMP-7.
• BMP-7 for example BMP-7.
• 100 mg of BMP-7 in 10 mL of dialysis buffer is dialyzed against 300 mL of 10 mM glycylglycine buffer, 9% trehalose, and 20 mM methionine at pH 3.0 ⁇ 0.2 with 3 changes of dialysis buffer.
• the glycylglycine buffer is prepared by mixing 500 mL of 10 mM glycylglycine -HC1 solution at pH 2.6 with 210 mL of 10 mM glycylglycine at pH 5.7.
• the resulting concentration of BMP-7 is adjusted to 1 mg/mL (about 100 mL) using dialysis buffer and 0.01% polysorbate 20 or 0.01 % polysorbate 80 is added with a final pH of 3.0 ⁇ 0.2.
• about 100 mg to 10 g of BMP-7 in about 10 mL to 1000 mL dialysis buffer is exchanged against about lOx volume of 10 mM glycylglycine buffer via UF/DF.
• Additional formulation constituents, such as trehalose, methionine, and/or polysorbate 20 are spiked in to desired amounts.
• the formulation is diluted to the desired concentration using the formulation buffer and the final formulation pH is 3.0 ⁇ 0.2.
• a formulation according to the invention is prepared by performing buffer exchange by dialysis or tangential flow filtration with BMP, for example BMP-7.
• BMP-7 for example BMP-7.
• 100 mg of BMP-7 in 10 mL dialysis buffer is dialyzed against 300 mL of lOmM tartaric acid buffer, 9% trehalose, and 20 mM methionine at a pH of 3.0 ⁇ 0.2, with 3 changes of dialysis buffer.
• the tartaric acid buffer is prepared by mixing 840mL of 10 mM tartaric acid solution with 310 mL of 10 mM potassium sodium tartrate at pH7.2.
• the resulting concentration of BMP is adjusted to 1 mg/mL (about 100 mL) using dialysis buffer and 0.01% polysorbate 20 or 0.01% polysorbate 80 is spiked in with a final pH of 3.0 ⁇ 0.2.
• about 100 mg to about 10 g of BMP-7 in about 10 mL to 1000 mL is exchanged against about lOx volume of 10 mM tartrate buffer via UF/DF.
• Additional formulation constituents such as trehalose, methionine, and/or polysorbate 20 are spiked in to desired amounts.
• the formulation is diluted to the desired concentration using the formulation buffer and the final formulation is pH 3.0 ⁇ 0.2.
• Example 7 BMP Formulations containing tartaric acid buffer and trehalose
• glycylglycine and tartrate control the pH of BMP- 7 formulations more effectively than lactate and may be advantageous in formulating drug product.
• long term lyophilized stability studies were initiated.
• BMP-7 Three lots of BMP-7 were formulated at 1 mg/mL in either 10 mM lactate, 9% trehalose, pH 3.0; 10 mM glycylglycine, 9% trehalose, pH 3.0; or 10 mM tartrate, 9% trehalose, pH 3.0.
• BMP-7 aggregation in the formulation containing lactate was initially higher than in glycylglycine or tartrate. There were no relevant changes in

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• 2010
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