NL2027601B1 - Target mediated endocytotic drug delivery - Google Patents
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Claims (25)
1. Complex voor doel-bemiddeld endocytotisch medicijnafgifte omvattend als bestanddelen ten minste één eerste bestanddeel omvattend een doelmolecuul dat in staat is tot interactie met een heparinebindende epidermale groeifactor (HB-EGF), waarbij de HB-EGF-cel receptor in staat is een endosoom in een cel te vormen, en een keten die onder zure omstandigheden een porie kan vormen in een endosomaal membraan, met name een T-keten, bij voorkeur vastgehecht aan het ten minste één doelmolecuul, ten minste een tweede bestanddeel dat een liposoom omvat, waarbij ten minste een liposoom omsluit een hoeveelheid van ten minste één actieve verbinding gekozen uit fluorescerende verbindingen, isotopen, radiocontrastmiddelen, o-, B- en y-emitterende middelen, ferromagnetische verbindingen, ferrimagnetische verbindingen, lipofiele verbindingen, en uit in water oplosbare verbindingen, in het bijzonder uit verbindingen die DNA- bundelbreuken veroorzaken, of die met DNA intercaleren door intercalatie en remming van macromoleculaire biosynthese, zoals cytostatica en cytolytische geneesmiddelen, zoals anthracyclines, zoals doxotine, daunorubicine, en doxorubicine, vinblastine, docetaxel, paclitaxel, apoptine, HIV-tin, amytine, copaxotine, prednitine, lysotine, protectine, vadimetine, 2-amido benzimidazol, en bacteriotine, uit genen of sequenties daarvan, uit eiwitten, en uit RNA-sequenties, bij voorkeur een sequentie met <30 nucleotiden.
2. Complex volgens conclusie 1, waarbij het eerste bestanddeel een eiwit (A-deel) omvat met een molecuulgewicht van > 40 kDa, bij voorkeur > 50 kDa, zoals >55 kDa, en bij voorkeur met een molecuulgewicht van < 100 kDa, bij voorkeur < 70 kDa, zoals <65 kDa, en bij voorkeur vastgehecht aan de keten.
3. Complex volgens een van de conclusies 1-2, waarbij het doelmolecuul een niet-giftige mutant van een difterietoxine omvat.
4. Complex volgens een van de conclusies 1-3, omvattend als derde bestanddeel een spacer die aan het liposoom en aan het eerste bestanddeel is bevestigd, zoals aan de keten of aan het eiwit, bij voorkeur een spacer met een molecuulgewicht van >400 Da, zoals > 1 kDa, bij voorkeur een PEG-spacer, zoals PEG 2000.
5. Complex volgens een van de conclusies 1-4, omvattend 2-100 eerste
P100537NL03 47 bestanddelen per tweede bestanddeel, bij voorkeur 10-90 eerste bestanddelen per tweede bestanddeel, bij voorkeur 20-80, zoals 40-70 eerste bestanddelen per tweede bestanddeel.
6. Complex volgens een van de conclusies 1-5, voor gebruik bij de behandeling van kanker, zoals vaste kankersoorten, witte bloedcelziekten, lysosomale stapelingsziekten, virusziekten, transplantatie en ziekten die verband houden met ontstekingen, in het bijzonder Acne vulgaris, allergieën, de ziekte van Alzheimer, Ankylose spondylitis, Astma, Atherosclerose, auto-immuunziekten, zoals coeliakie, diabetes mellitus type 1, Graves' ziekte, inflammatoire darmziekte, multiple sclerose, psoriasis, (reumatoïde) artritis, en systemische lupus erythematosus, auto inflammatoire aandoeningen, zoals familiaire mediterrane, aphtheuze stomatitis, faryngitis en cervicale adenitis, andere auto inflammatoire aandoeningen die geen duidelijke genetische oorzaken hebben zoals onder andere de ziekte van de volwassen-ontsteker, systemische-ontsteking van de jeugd, het Schnitzler-syndroom, en chronisch terugkerende multifocale osteomyelitis, Chronische prostatitis, ziekte van Crohn, Dermatitis, Diverticulitis, Encefalitis, Fibromyalgie, Glomerulonephritis, Hepatitis, Hydradenitis suppurativa, HIV/AIDS, Overgevoeligheden, Ontstekingsverschijnselen, Ziekte van Crohn, Ulceratieve Colitis, Interstitiële cystitis, Lichen planus, Leukocyt defecten, Mastcel Activatie Syndroom, Mastocytose, Meningitis, Myopathie, Nefritis, Otitis, Ziekte van Parkinson, Bekkenontsteking, pancreatitis, Reperfusie-letsel, reumatische koorts, reumatoïde artritis, rinitis, Sarcoïdose, afstoting van transplantaties, colitis ulcerosa, vasculitis, cerebrale amyloide angiopathie, HCHWA-D, multiple sclerose en COVID-19.
7. Complex volgens een van de conclusies 1-6, voor gebruik in een geneesmiddel-afgifte omvattend een passage van een cellulaire barrière.
8. Complex volgens een van de conclusies 1-7, waarin het doelmolecuul een dissociatieconstante Kd heeft voor de HB-EGF-receptor van < 10 mol, bij voorkeur < 108 mol.
9. Complex volgens een van de conclusies 1-8, waarin ten minste één doelwitmolecuul en ten minste één liposoom geen interactie vertonen met endogene liganden.
10. Complex volgens een van de conclusies 1-9, waarin de ten minste
P100537NL03 48 één actieve verbinding is gekozen uit fluorescerende verbindingen, zoals cyanine, uit isotopen, radiocontrastmiddelen, o-, B- en Yy- emitterende middelen, zoals radionucliden die zijn gekozen uit een groep bestaande uit £Cu, 9Cu, ¢Ga, Ga, "Ga, 72Ga, zr, OY, Zr, MTC, i1iTn, +4In, 2237, 4247, 153Gd, 1°%Gd, en Lu, waarin de radionuclide naar keuze aanwezig is als kation, bijvoorbeeld met een valentie van 0, 1, 2, 3, 4, 6 of 7, zoals Cut, Cut, Cu*, Cut, Gat, Galt, Gat, Gdt, Gd?+, Gds3+, I+, I3, Int, Int, In’, Lu‘, Tci+, Tce, Tc’, Zrt, Zrèt, Zr3+, Zr, Yt, en Y%, uit ferromagnetische verbindingen, zoals Fe, Co, Ni, Gd en combinaties daarvan, uit een legering omvattend magnetische bestanddelen (A,B), waarbij bestanddeel A en/of bestanddeel B ten minste één magnetisch materiaal omvat (ten), gekozen uit elementen van groep 3-12, periode 4-6, zoals Fe, Co, Ni, Gd, en combinaties daarvan, zoals FePd, FeCo en FePt, en/of waarin bestanddeel A en/of bestanddeel B (een) materiaal (en) omvat (ten) gekozen uit lanthanoïden, scandium, yttrium, en combinaties daarvan, zoals Sc, Y, Sm, Gd, Dy, Ho, Er, Yb, Tb, zoals Tb, en combinaties daarvan, en uit ferrimagnetische verbindingen, en legeringen van ferrimagnetische verbindingen.
11. Complex volgens conclusie 10, voor gebruik bij beeldvorming, zoals bij magnetische resonantiebeeldvorming (MRI), computertomografie (CT), Single-photon emission computed tomography (SPECT), en fluorescentie.
12. Complex volgens conclusie 10, voor gebruik bij chirurgie of behandeling, zoals bij de verwijdering van weefsel, zoals de verwijdering van kankerweefsel.
13. Complex volgens een van de conclusies 1-12, waarin het eerste bestanddeel CRM197 is.
14. Complex volgens een van de conclusies 1-13, waarin het ten minste éen liposoom 5-65 gew.% actieve verbinding omvat, bij voorkeur 10-60 gew.% actieve verbinding, meer bij voorkeur 20-50 gew.% actieve verbinding, nog meer bij voorkeur 30-50 gew.% actieve verbinding, zoals 40-45 gew.% actieve verbinding, waarin de percentages betrokken zijn op een totaal gewicht van het liposoom en de actieve verbinding.
15. Complex volgens een van de conclusies 1-14, waarin het ten minste één liposoom is gekozen uit SAINT-moleculen, zoals SAINT 18, en uit moleculen die SAINT-moleculen omvatten, zoals saint-0-Somes.
16. Complex volgens een van de conclusies 1-15, waarin de ten minste één in wateroplosbare werkzame stof een wateroplosbaarheid heeft van
P100537NL03 49 >0,1 mol/l, bij voorkeur >0,5mol/1, of waarin ten minste één lipofiele werkzame stof een hexaanoplosbaarheid heeft van >0,1mol/1, bij voorkeur >0,5mol/1.
17. Complex volgens een van de conclusies 1-16, waarin de ten minste een actieve verbinding een molecuulgewicht van < 10 kDa heeft, bij voorkeur < 5 kDa, zoals < 2 kDa.
18. Complex volgens een van de conclusies 1-17, omvattend een eerste actieve verbinding, waarin de eerste actieve verbinding een cel in een getransformeerde toestand brengt, zoals doxotine, doxorubicine, vinblastine, docetaxel, paclitaxel (KICK), en/of omvattend een tweede actieve verbinding, waarin de tweede actieve verbinding apoptose van de getransformeerde cel induceert, zoals apoptine (KILL).
19. Complex volgens een van de conclusies 1-18, waarin het ten minste één liposoom is verkregen door -het reageren met een spacer in een aprotische oplossing, zoals van Mal-PEG2000-DSPE, DSPE-PEG2000, SAINT-C-18, POPC en cholesterol in een molaire verhouding van 1:4:18:37:40 in chloroform:methanol (9:1, v/v) daarmee een lipidenmengsel verschaffend, het drogen van het lipidenmengsel, zoals onder gereduceerde stikstof druk, “hydratatie van het gedroogde lipidenmengsel, zoals in buffer, zoals bij een pH van 6-9, in het bijzonder pH 6,7, waarbij de buffer een actieve verbinding omvat, zoals Apoptine, een gen of mRNA, waarbij de actieve verbinding in het liposoom wordt opgenomen, zoals in een Saint-O-some (S08), -het op grootte brengen van het verkregen liposoom, bijvoorbeeld door extrusie door polycarbonaatfilters, bijvoorbeeld met een poriegrootte van 60-100 nm, zoals 80 nm, bij voorkeur met behulp van een hogedruk extrudeerder, en -het incuberen van het geëxtrudeerde liposoom om de CRM197- PEG2000-DSPE over te brengen naar de S03, en eventueel -het zuiveren van het geïncubeerde complex, zoals op een Sefarose-kolom, en optioneel steriliseren van het complex door middel van extrusie, zoals door een 0,22 um filter.
20. Ten minste één dosering die een complex omvat volgens een van de conclusies 1-19.
21. Ten minste één dosering volgens conclusie 20 omvattend uit een complex van 0,01-1mg volgens een van de conclusies 1-15 per ml kanker,
P100537NL03 50 bij voorkeur 0,02-0,1 mg/ml, zoals 0,04-0,07 mg/ml.
22. Ten minste één dosering volgens een van de conclusies 20-21 voor de behandeling van een tumor, van een witte bloedcelziekte, van een virusinfectie, zoals een Hiv-infectie, en van witte bloedcellen, in het bijzonder macrofagen en monocyten.
23. Ten minste twee doseringen volgens een van de conclusies 20-22, waarbij ten minste een eerste dosering een eerste actieve verbinding omvat die een cel in een getransformeerde toestand kan brengen, en ten minste een tweede dosering die een tweede actieve verbinding omvat voor het induceren van apoptose in de getransformeerde cel.
24. Ten minste twee doseringen volgens de conclusie 23, waarin de eerste actieve verbinding is gekozen uit verbindingen die DNA- bundelbreuken veroorzaken, of met DNA intercaleren door intercalatie en reming van macromoleculaire biosynthese, zoals cytostatica en cytolytische geneesmiddelen, zoals anthracyclines, zoals doxotine, en doxorubicine, vinblastine, docetaxel, paclitaxel en combinaties daarvan, en/of waarbij de tweede werkzame stof is gekozen uit apop- tin, AAP1, AAP2, AAP3, AAP4, AAPS, AAP6, en combinaties daarvan.
25. Werkwijze voor het toepassen van een dosering volgens een van de conclusies 20-24 of een complex volgens een van de conclusies 1-19, verder omvattend uit het toepassen van gelokaliseerd Uv-licht, gelokaliseerde röntgenstraling, gelokaliseerde hitteschok, of een combinatie daarvan.
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| NL2027601A NL2027601B1 (en) | 2021-02-19 | 2021-02-19 | Target mediated endocytotic drug delivery |
| CN202180066582.1A CN116490215A (zh) | 2020-09-29 | 2021-09-27 | 靶向介导的内吞药物递送 |
| PCT/EP2021/076545 WO2022069419A1 (en) | 2020-09-29 | 2021-09-27 | Target mediated endocytotic drug delivery |
| EP21786122.8A EP4221757A1 (en) | 2020-09-29 | 2021-09-27 | Target mediated endocytotic drug delivery |
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