EP1355938A2 - Composition de traitement/methode de surveillance du virus de l'hepatite c utilisant l'interferon-tau - Google Patents
Composition de traitement/methode de surveillance du virus de l'hepatite c utilisant l'interferon-tauInfo
- Publication number
- EP1355938A2 EP1355938A2 EP01954835A EP01954835A EP1355938A2 EP 1355938 A2 EP1355938 A2 EP 1355938A2 EP 01954835 A EP01954835 A EP 01954835A EP 01954835 A EP01954835 A EP 01954835A EP 1355938 A2 EP1355938 A2 EP 1355938A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- ifn
- composition
- hcv
- ovine
- dosage
- Prior art date
- Legal status (The legal status 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 status listed.)
- Withdrawn
Links
- 108700027921 interferon tau Proteins 0.000 title claims abstract description 119
- 239000000203 mixture Substances 0.000 title claims abstract description 37
- 238000000034 method Methods 0.000 title claims abstract description 22
- 238000012544 monitoring process Methods 0.000 title claims abstract description 7
- 241000711549 Hepacivirus C Species 0.000 title description 32
- 210000004369 blood Anatomy 0.000 claims abstract description 20
- 239000008280 blood Substances 0.000 claims abstract description 20
- 102000007445 2',5'-Oligoadenylate Synthetase Human genes 0.000 claims abstract description 17
- 108010086241 2',5'-Oligoadenylate Synthetase Proteins 0.000 claims abstract description 17
- 230000036765 blood level Effects 0.000 claims abstract description 6
- 230000000694 effects Effects 0.000 claims description 24
- 210000002784 stomach Anatomy 0.000 claims description 10
- 241001494479 Pecora Species 0.000 claims description 7
- IWUCXVSUMQZMFG-AFCXAGJDSA-N Ribavirin Chemical compound N1=C(C(=O)N)N=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](CO)O1 IWUCXVSUMQZMFG-AFCXAGJDSA-N 0.000 claims description 7
- 229960000329 ribavirin Drugs 0.000 claims description 6
- HZCAHMRRMINHDJ-DBRKOABJSA-N ribavirin Natural products O[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1N=CN=C1 HZCAHMRRMINHDJ-DBRKOABJSA-N 0.000 claims description 6
- 208000006454 hepatitis Diseases 0.000 claims description 5
- 231100000283 hepatitis Toxicity 0.000 claims description 5
- 210000004877 mucosa Anatomy 0.000 claims description 5
- 229940037201 oris Drugs 0.000 claims description 5
- 238000010521 absorption reaction Methods 0.000 claims description 4
- 239000004615 ingredient Substances 0.000 claims description 4
- 239000008194 pharmaceutical composition Substances 0.000 claims description 4
- 241001465754 Metazoa Species 0.000 claims description 2
- 239000000411 inducer Substances 0.000 claims description 2
- 210000000936 intestine Anatomy 0.000 claims description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 claims 1
- 108090000623 proteins and genes Proteins 0.000 description 20
- 210000004027 cell Anatomy 0.000 description 18
- 230000014509 gene expression Effects 0.000 description 17
- 235000018102 proteins Nutrition 0.000 description 17
- 102000004169 proteins and genes Human genes 0.000 description 17
- 239000013598 vector Substances 0.000 description 13
- 102100036475 Alanine aminotransferase 1 Human genes 0.000 description 11
- 108010082126 Alanine transaminase Proteins 0.000 description 11
- 241000699670 Mus sp. Species 0.000 description 11
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 10
- 235000014680 Saccharomyces cerevisiae Nutrition 0.000 description 10
- 108010047761 Interferon-alpha Proteins 0.000 description 9
- 102000006992 Interferon-alpha Human genes 0.000 description 9
- 241000699666 Mus <mouse, genus> Species 0.000 description 9
- 239000013604 expression vector Substances 0.000 description 9
- OHDXDNUPVVYWOV-UHFFFAOYSA-N n-methyl-1-(2-naphthalen-1-ylsulfanylphenyl)methanamine Chemical compound CNCC1=CC=CC=C1SC1=CC=CC2=CC=CC=C12 OHDXDNUPVVYWOV-UHFFFAOYSA-N 0.000 description 9
- 108090000765 processed proteins & peptides Proteins 0.000 description 9
- 108091032973 (ribonucleotides)n+m Proteins 0.000 description 8
- 239000003814 drug Substances 0.000 description 8
- 229920001184 polypeptide Polymers 0.000 description 8
- 102000004196 processed proteins & peptides Human genes 0.000 description 8
- 101000959820 Homo sapiens Interferon alpha-1/13 Proteins 0.000 description 7
- 102100040019 Interferon alpha-1/13 Human genes 0.000 description 7
- 231100000673 dose–response relationship Toxicity 0.000 description 7
- 230000006698 induction Effects 0.000 description 7
- 108091026890 Coding region Proteins 0.000 description 6
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 6
- 235000001014 amino acid Nutrition 0.000 description 6
- 230000000840 anti-viral effect Effects 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 239000013612 plasmid Substances 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- 230000003612 virological effect Effects 0.000 description 6
- 241000283690 Bos taurus Species 0.000 description 5
- 108020004414 DNA Proteins 0.000 description 5
- 125000003275 alpha amino acid group Chemical group 0.000 description 5
- 230000015572 biosynthetic process Effects 0.000 description 5
- 229940079593 drug Drugs 0.000 description 5
- 239000012634 fragment Substances 0.000 description 5
- 230000035935 pregnancy Effects 0.000 description 5
- 239000000243 solution Substances 0.000 description 5
- 108010025188 Alcohol oxidase Proteins 0.000 description 4
- 102000014150 Interferons Human genes 0.000 description 4
- 108010050904 Interferons Proteins 0.000 description 4
- 241000700605 Viruses Species 0.000 description 4
- 150000001413 amino acids Chemical class 0.000 description 4
- 230000001580 bacterial effect Effects 0.000 description 4
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 4
- 238000002474 experimental method Methods 0.000 description 4
- 230000002496 gastric effect Effects 0.000 description 4
- 238000002955 isolation Methods 0.000 description 4
- 239000002773 nucleotide Substances 0.000 description 4
- 125000003729 nucleotide group Chemical group 0.000 description 4
- 208000024891 symptom Diseases 0.000 description 4
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 3
- 208000005176 Hepatitis C Diseases 0.000 description 3
- 102100036284 Hepcidin Human genes 0.000 description 3
- 101001021253 Homo sapiens Hepcidin Proteins 0.000 description 3
- 241000235058 Komagataella pastoris Species 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- 229920002472 Starch Polymers 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 208000035475 disorder Diseases 0.000 description 3
- 241001493065 dsRNA viruses Species 0.000 description 3
- 239000001963 growth medium Substances 0.000 description 3
- 238000000338 in vitro Methods 0.000 description 3
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 108091033319 polynucleotide Proteins 0.000 description 3
- 102000040430 polynucleotide Human genes 0.000 description 3
- 239000002157 polynucleotide Substances 0.000 description 3
- 238000002360 preparation method Methods 0.000 description 3
- 210000002966 serum Anatomy 0.000 description 3
- 238000002415 sodium dodecyl sulfate polyacrylamide gel electrophoresis Methods 0.000 description 3
- 239000008107 starch Substances 0.000 description 3
- 235000019698 starch Nutrition 0.000 description 3
- 238000003786 synthesis reaction Methods 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 230000009466 transformation Effects 0.000 description 3
- 208000006154 Chronic hepatitis C Diseases 0.000 description 2
- 229920002261 Corn starch Polymers 0.000 description 2
- 241000196324 Embryophyta Species 0.000 description 2
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 2
- 206010019786 Hepatitis non-A non-B Diseases 0.000 description 2
- 206010019837 Hepatocellular injury Diseases 0.000 description 2
- 102100026720 Interferon beta Human genes 0.000 description 2
- 108090000467 Interferon-beta Proteins 0.000 description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 2
- 108091028043 Nucleic acid sequence Proteins 0.000 description 2
- 108091034117 Oligonucleotide Proteins 0.000 description 2
- 108700026244 Open Reading Frames Proteins 0.000 description 2
- 238000002944 PCR assay Methods 0.000 description 2
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N Phenol Chemical compound OC1=CC=CC=C1 ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 description 2
- 108010029485 Protein Isoforms Proteins 0.000 description 2
- 102000001708 Protein Isoforms Human genes 0.000 description 2
- 241000282849 Ruminantia Species 0.000 description 2
- 229930006000 Sucrose Natural products 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 239000000654 additive Substances 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 238000004587 chromatography analysis Methods 0.000 description 2
- 239000002299 complementary DNA Substances 0.000 description 2
- 239000008120 corn starch Substances 0.000 description 2
- 238000011161 development Methods 0.000 description 2
- 238000005194 fractionation Methods 0.000 description 2
- 208000010710 hepatitis C virus infection Diseases 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 229940079322 interferon Drugs 0.000 description 2
- 229940047124 interferons Drugs 0.000 description 2
- 238000007912 intraperitoneal administration Methods 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- 235000019359 magnesium stearate Nutrition 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000002609 medium Substances 0.000 description 2
- 108020004999 messenger RNA Proteins 0.000 description 2
- 230000035772 mutation Effects 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- GEHJYWRUCIMESM-UHFFFAOYSA-L sodium sulfite Chemical compound [Na+].[Na+].[O-]S([O-])=O GEHJYWRUCIMESM-UHFFFAOYSA-L 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 229940032147 starch Drugs 0.000 description 2
- 239000000126 substance Substances 0.000 description 2
- 238000006467 substitution reaction Methods 0.000 description 2
- 229960004793 sucrose Drugs 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 231100000419 toxicity Toxicity 0.000 description 2
- 230000001988 toxicity Effects 0.000 description 2
- 238000001890 transfection Methods 0.000 description 2
- 230000001052 transient effect Effects 0.000 description 2
- 210000002993 trophoblast Anatomy 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 210000005253 yeast cell Anatomy 0.000 description 2
- 102000040650 (ribonucleotides)n+m Human genes 0.000 description 1
- OWEGMIWEEQEYGQ-UHFFFAOYSA-N 100676-05-9 Natural products OC1C(O)C(O)C(CO)OC1OCC1C(O)C(O)C(O)C(OC2C(OC(O)C(O)C2O)CO)O1 OWEGMIWEEQEYGQ-UHFFFAOYSA-N 0.000 description 1
- PWKSKIMOESPYIA-UHFFFAOYSA-N 2-acetamido-3-sulfanylpropanoic acid Chemical compound CC(=O)NC(CS)C(O)=O PWKSKIMOESPYIA-UHFFFAOYSA-N 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- 208000002109 Argyria Diseases 0.000 description 1
- 208000023275 Autoimmune disease Diseases 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- GUBGYTABKSRVRQ-WFVLMXAXSA-N DEAE-cellulose Chemical compound OC1C(O)C(O)C(CO)O[C@H]1O[C@@H]1C(CO)OC(O)C(O)C1O GUBGYTABKSRVRQ-WFVLMXAXSA-N 0.000 description 1
- 241000450599 DNA viruses Species 0.000 description 1
- 102000016928 DNA-directed DNA polymerase Human genes 0.000 description 1
- 108010014303 DNA-directed DNA polymerase Proteins 0.000 description 1
- 206010012735 Diarrhoea Diseases 0.000 description 1
- 241000588724 Escherichia coli Species 0.000 description 1
- 206010016654 Fibrosis Diseases 0.000 description 1
- 241000710781 Flaviviridae Species 0.000 description 1
- 101150038242 GAL10 gene Proteins 0.000 description 1
- 102100024637 Galectin-10 Human genes 0.000 description 1
- 239000001828 Gelatine Substances 0.000 description 1
- 108700039691 Genetic Promoter Regions Proteins 0.000 description 1
- 206010019233 Headaches Diseases 0.000 description 1
- 241000700721 Hepatitis B virus Species 0.000 description 1
- 206010019799 Hepatitis viral Diseases 0.000 description 1
- 241000167880 Hirundinidae Species 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 241001506991 Komagataella phaffii GS115 Species 0.000 description 1
- 206010024264 Lethargy Diseases 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- GUBGYTABKSRVRQ-PICCSMPSSA-N Maltose Natural products O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@@H](CO)OC(O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-PICCSMPSSA-N 0.000 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- 208000000112 Myalgia Diseases 0.000 description 1
- 125000001429 N-terminal alpha-amino-acid group Chemical group 0.000 description 1
- 206010028813 Nausea Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 102000035195 Peptidases Human genes 0.000 description 1
- 108091005804 Peptidases Proteins 0.000 description 1
- 208000037581 Persistent Infection Diseases 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 239000004365 Protease Substances 0.000 description 1
- 108010076504 Protein Sorting Signals Proteins 0.000 description 1
- 206010037660 Pyrexia Diseases 0.000 description 1
- 102000006382 Ribonucleases Human genes 0.000 description 1
- 108010083644 Ribonucleases Proteins 0.000 description 1
- 241000235347 Schizosaccharomyces pombe Species 0.000 description 1
- 108091058545 Secretory proteins Proteins 0.000 description 1
- 102000040739 Secretory proteins Human genes 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 108700005078 Synthetic Genes Proteins 0.000 description 1
- 101710137500 T7 RNA polymerase Proteins 0.000 description 1
- 108090000340 Transaminases Proteins 0.000 description 1
- 108091023040 Transcription factor Proteins 0.000 description 1
- 101100115751 Trypanosoma brucei brucei dnaaf11 gene Proteins 0.000 description 1
- 108020000999 Viral RNA Proteins 0.000 description 1
- 206010047700 Vomiting Diseases 0.000 description 1
- SIIZPVYVXNXXQG-KGXOGWRBSA-N [(2r,3r,4r,5r)-5-(6-aminopurin-9-yl)-4-[[(3s,4r)-5-(6-aminopurin-9-yl)-3,4-dihydroxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-3-hydroxyoxolan-2-yl]methyl [(2r,4r,5r)-2-(6-aminopurin-9-yl)-4-hydroxy-5-(phosphonooxymethyl)oxolan-3-yl] hydrogen phosphate Chemical compound C1=NC2=C(N)N=CN=C2N1[C@@H]1O[C@H](COP(O)(=O)OC2[C@@H](O[C@H](COP(O)(O)=O)[C@H]2O)N2C3=NC=NC(N)=C3N=C2)[C@@H](O)[C@H]1OP(O)(=O)OCC([C@@H](O)[C@H]1O)OC1N1C(N=CN=C2N)=C2N=C1 SIIZPVYVXNXXQG-KGXOGWRBSA-N 0.000 description 1
- JLCPHMBAVCMARE-UHFFFAOYSA-N [3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[5-(2-amino-6-oxo-1H-purin-9-yl)-3-[[3-[[3-[[3-[[3-[[3-[[5-(2-amino-6-oxo-1H-purin-9-yl)-3-[[5-(2-amino-6-oxo-1H-purin-9-yl)-3-hydroxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methyl [5-(6-aminopurin-9-yl)-2-(hydroxymethyl)oxolan-3-yl] hydrogen phosphate Polymers Cc1cn(C2CC(OP(O)(=O)OCC3OC(CC3OP(O)(=O)OCC3OC(CC3O)n3cnc4c3nc(N)[nH]c4=O)n3cnc4c3nc(N)[nH]c4=O)C(COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3CO)n3cnc4c(N)ncnc34)n3ccc(N)nc3=O)n3cnc4c(N)ncnc34)n3ccc(N)nc3=O)n3ccc(N)nc3=O)n3ccc(N)nc3=O)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)n3cc(C)c(=O)[nH]c3=O)n3cc(C)c(=O)[nH]c3=O)n3ccc(N)nc3=O)n3cc(C)c(=O)[nH]c3=O)n3cnc4c3nc(N)[nH]c4=O)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)O2)c(=O)[nH]c1=O JLCPHMBAVCMARE-UHFFFAOYSA-N 0.000 description 1
- 238000001042 affinity chromatography Methods 0.000 description 1
- 238000000246 agarose gel electrophoresis Methods 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- AVKUERGKIZMTKX-NJBDSQKTSA-N ampicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=CC=C1 AVKUERGKIZMTKX-NJBDSQKTSA-N 0.000 description 1
- 229960000723 ampicillin Drugs 0.000 description 1
- 208000022531 anorexia Diseases 0.000 description 1
- 230000001028 anti-proliverative effect Effects 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 239000003443 antiviral agent Substances 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 230000002238 attenuated effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 238000004166 bioassay Methods 0.000 description 1
- 230000031018 biological processes and functions Effects 0.000 description 1
- 210000002459 blastocyst Anatomy 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- CJZGTCYPCWQAJB-UHFFFAOYSA-L calcium stearate Chemical compound [Ca+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O CJZGTCYPCWQAJB-UHFFFAOYSA-L 0.000 description 1
- 239000008116 calcium stearate Substances 0.000 description 1
- 235000013539 calcium stearate Nutrition 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 229940105329 carboxymethylcellulose Drugs 0.000 description 1
- 229940084030 carboxymethylcellulose calcium Drugs 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 238000004113 cell culture Methods 0.000 description 1
- 108091092328 cellular RNA Proteins 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 235000010980 cellulose Nutrition 0.000 description 1
- 238000005119 centrifugation Methods 0.000 description 1
- 210000002230 centromere Anatomy 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 208000020403 chronic hepatitis C virus infection Diseases 0.000 description 1
- 230000007882 cirrhosis Effects 0.000 description 1
- 208000019425 cirrhosis of liver Diseases 0.000 description 1
- 238000010367 cloning Methods 0.000 description 1
- 238000002648 combination therapy Methods 0.000 description 1
- 230000000295 complement effect Effects 0.000 description 1
- 206010061428 decreased appetite Diseases 0.000 description 1
- 230000002950 deficient Effects 0.000 description 1
- 238000006731 degradation reaction Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000000881 depressing effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 235000013681 dietary sucrose Nutrition 0.000 description 1
- 239000003085 diluting agent Substances 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 239000003937 drug carrier Substances 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000009585 enzyme analysis Methods 0.000 description 1
- 210000003527 eukaryotic cell Anatomy 0.000 description 1
- 230000005713 exacerbation Effects 0.000 description 1
- 235000013305 food Nutrition 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 108020001507 fusion proteins Proteins 0.000 description 1
- 102000037865 fusion proteins Human genes 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 238000002523 gelfiltration Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 102000006602 glyceraldehyde-3-phosphate dehydrogenase Human genes 0.000 description 1
- 108020004445 glyceraldehyde-3-phosphate dehydrogenase Proteins 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 231100000844 hepatocellular carcinoma Toxicity 0.000 description 1
- 206010073071 hepatocellular carcinoma Diseases 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- WGCNASOHLSPBMP-UHFFFAOYSA-N hydroxyacetaldehyde Natural products OCC=O WGCNASOHLSPBMP-UHFFFAOYSA-N 0.000 description 1
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 description 1
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 1
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 1
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 description 1
- 229940071676 hydroxypropylcellulose Drugs 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000000415 inactivating effect Effects 0.000 description 1
- 230000004054 inflammatory process Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000005342 ion exchange Methods 0.000 description 1
- 238000004255 ion exchange chromatography Methods 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 230000002045 lasting effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 231100000849 liver cell damage Toxicity 0.000 description 1
- 208000019423 liver disease Diseases 0.000 description 1
- 229940031703 low substituted hydroxypropyl cellulose Drugs 0.000 description 1
- 210000004698 lymphocyte Anatomy 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 210000004962 mammalian cell Anatomy 0.000 description 1
- 210000001161 mammalian embryo Anatomy 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- 230000008774 maternal effect Effects 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000002483 medication Methods 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 239000001923 methylcellulose Substances 0.000 description 1
- 229960002900 methylcellulose Drugs 0.000 description 1
- 235000010981 methylcellulose Nutrition 0.000 description 1
- 244000005700 microbiome Species 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- -1 millopectine Polymers 0.000 description 1
- 239000007758 minimum essential medium Substances 0.000 description 1
- 230000008693 nausea Effects 0.000 description 1
- 229940105631 nembutal Drugs 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000001717 pathogenic effect Effects 0.000 description 1
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 1
- WEXRUCMBJFQVBZ-UHFFFAOYSA-N pentobarbital Chemical compound CCCC(C)C1(CC)C(=O)NC(=O)NC1=O WEXRUCMBJFQVBZ-UHFFFAOYSA-N 0.000 description 1
- 230000002688 persistence Effects 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 230000006461 physiological response Effects 0.000 description 1
- 239000013600 plasmid vector Substances 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 238000003752 polymerase chain reaction Methods 0.000 description 1
- 235000010482 polyoxyethylene sorbitan monooleate Nutrition 0.000 description 1
- 229920002503 polyoxyethylene-polyoxypropylene Polymers 0.000 description 1
- 229920000053 polysorbate 80 Polymers 0.000 description 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- 229920001592 potato starch Polymers 0.000 description 1
- 230000003389 potentiating effect Effects 0.000 description 1
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 1
- 238000011165 process development Methods 0.000 description 1
- QQONPFPTGQHPMA-UHFFFAOYSA-N propylene Natural products CC=C QQONPFPTGQHPMA-UHFFFAOYSA-N 0.000 description 1
- 125000004805 propylene group Chemical group [H]C([H])([H])C([H])([*:1])C([H])([H])[*:2] 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 150000003834 purine nucleoside derivatives Chemical class 0.000 description 1
- 238000010188 recombinant method Methods 0.000 description 1
- 102000037983 regulatory factors Human genes 0.000 description 1
- 108091008025 regulatory factors Proteins 0.000 description 1
- 230000010076 replication Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 108091008146 restriction endonucleases Proteins 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 230000011664 signaling Effects 0.000 description 1
- 235000010378 sodium ascorbate Nutrition 0.000 description 1
- PPASLZSBLFJQEF-RKJRWTFHSA-M sodium ascorbate Substances [Na+].OC[C@@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RKJRWTFHSA-M 0.000 description 1
- 229960005055 sodium ascorbate Drugs 0.000 description 1
- 235000010265 sodium sulphite Nutrition 0.000 description 1
- PPASLZSBLFJQEF-RXSVEWSESA-M sodium-L-ascorbate Chemical compound [Na+].OC[C@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RXSVEWSESA-M 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000000527 sonication Methods 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 235000010356 sorbitol Nutrition 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 238000010254 subcutaneous injection Methods 0.000 description 1
- 239000007929 subcutaneous injection Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 229940124598 therapeutic candidate Drugs 0.000 description 1
- 102000014898 transaminase activity proteins Human genes 0.000 description 1
- 230000002103 transcriptional effect Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000009261 transgenic effect Effects 0.000 description 1
- 241000701447 unidentified baculovirus Species 0.000 description 1
- 239000003981 vehicle Substances 0.000 description 1
- 230000029812 viral genome replication Effects 0.000 description 1
- 201000001862 viral hepatitis Diseases 0.000 description 1
- 230000008673 vomiting Effects 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/19—Cytokines; Lymphokines; Interferons
- A61K38/21—Interferons [IFN]
Definitions
- the present invention relates to the composition for treatment of conditions relating to hepatitis caused by hepatitis C virus (HCV) infection using Interferon- ⁇ (IFN- ⁇ ).
- the present invention also relates to a method of monitoring treatment of HCV by measuring the blood levels of 2', 5'-oligoadenylate synthetase.
- HCV Hepatitis C virus
- HCV is a positive-stranded, lipid-enveloped RNA virus of the Flaviviridae family, approximately ten thousand nucleotides in length (Choo, et al., 1989). HCV, unlike hepatitis B virus, has no DNA intermediate, and therefore cannot be integrated into the host genome (Berenguer, et al., 1996). Although HCV has been cloned, the virus has been difficult to culture in vitro (Trepo, 2000). HCV is extremely persistent, producing a chronic infection in 85% of infected individuals, although the mechanism of this persistence is unknown (Trepo, 2000).
- HCV cirrhosis and hepatocellular carcinoma
- therapies that are currently available for HCV are only effective for a small subpopulation of infected patients (Magrin, et al., 1994; Choo, et al., 1991; Choo, et al., 1989).
- IFN- ⁇ was introduced as therapy for chronic hepatitis C in the United States in 1991 and in Japan in 1992 (Saito, et al., 2000).
- IFN- ⁇ in sufficient dosage to yield clinical efficacy (i.e., at amounts of about 1x10 6 units/treatment and above) is usually associated with a "flu-like" syndrome characterized by fever, headache, lethargy, arthalgias and myalgias (Tyring, et al., 1992).
- other toxicities such as nausea, vomiting, diarrhea and anorexia, become more frequent.
- Neuropsychiatric symptoms have also been reported in association with IFN- ⁇ treatment (Dieperink, et al., 2000).
- IFN- ⁇ treatment is not dose dependent (Saito, et al., 2000), and that treatment with IFN- ⁇ is associated with the development or exacerbation of autoimmune disorders in patients with neoplasms or viral hepatitis (Jimenez-Saenz, et al., 2000).
- Ribavirin (1- ⁇ -D-ribofuranosyl-1 ,2,4-triazole-3-carboxamide) is a purine nucleoside analogue that has been found to interfere with viral mRNA synthesis and to inhibit in vivo and in vitro replication of a wide range of RNA and DNA viruses (Fernandez, et. al., 1986; Balzarini, et al., 1991). Ribavirin has been shown to be efficient in normalizing aminotransferase levels, but has minor activity on serum HCV RNA titres in chronic hepatitis C patients (Di Bisceglie, et. al., 1992).
- the invention includes an oral-delivery composition for use in treating HCV in a HCV-infected patient.
- the composition includes ovine Interferon-tau (OvIFN- ⁇ ), in a dosage effective to stimulate levels of 2', 5'-oligoadenylate synthetase (OAS) observed in the bloodstream 24 hours after administration of the composition.
- OAS oligoadenylate synthetase
- the composition also includes an oral-delivery vehicle containing- IFN- ⁇ and effective to release the IFN- ⁇ in active form in the stomach.
- the composition provides a preferred dose of ovine IFN- ⁇ between 10 8 - 10 10 units.
- the composition provides a preferred dose of ovine IFN- ⁇ between 10 8 - 10 10 units.
- the dosage of ovine IFN- ⁇ is greater than 1 x 10 8 Units/day.
- the dosage of ovine IFN- ⁇ is greater than 2 x 10 8 Units/day.
- the dosage of ovine IFN- ⁇ is greater than 4 x 10 8 Units/day.
- the dosage of ovine IFN- ⁇ is greater than 1 x 10 9 Units/day.
- the dosage of ovine IFN- ⁇ can be greater than 4 x 10 9 Units/day.
- the dosage of ovine IFN- ⁇ is greater than 7 x 10 9 Units/day.
- the composition for treating HCV in a HCV-infected individual comprises ovine IFN- ⁇ in a form that reaches the stomach, but not the tunica mucosa oris and at a dose effective to induce 2', 5'-oligoadenylate synthetase levels measured in the blood 24 hours after oral administration of the composition.
- a preferred dose is between about 10 8 - 10 10 units.
- the composition of the invention includes ovine IFN- ⁇ as an effective ingredient, where the composition avoids the absorption of ovine IFN- ⁇ through the tunica mucosa oris.
- composition of the invention is for the treatment of hepatitis caused by HCV comprises ovine IFN- ⁇ as an effective ingredient, and a 2', 5'- oligoadenylate synthetase activity inducer in animals other than sheep comprising ovine IFN- ⁇ .
- the invention includes a method of monitoring treatment of HCV by oral administration of ovine IFN- ⁇ .
- the method includes measuring the blood levels of 2', 5'-oligoadenylate synthetase prior to and after such oral administration, and if necessary, adjusting the dose of IFN- ⁇ until a measurable increase in blood 2', 5'- oligoadenylate synthetase level, relative to the level observed prior to administration, is observed.
- Figure 1 shows OAS levels in mice whole blood following intraperitoneal (I. P.) or gastric administration (G.A.) of ovIFN- ⁇ .
- Figure 2 shows dose-dependent induction of blood OAS by gastric administration (G.A.) of ovIFN- ⁇ .
- Figures 3-5 illustrate HCV RNA and ALT levels in three human patients following oral administration of 4.9 x 10 8 units/day ovIFN- ⁇ .
- Figures 6 and 7 illustrate HCV RNA and ALT levels in two human patients following oral administration of 1.5 x 10 9 units/day ovIFN- ⁇ .
- Hepatitis C virus or HCV refers to the viral species of which pathogenic types cause Non-A Non-B Hepatitis (NANBH), and attenuated types or defective interfering particles derived therefrom.
- the HCV genome is comprised of RNA.
- RNA containing viruses have relatively high rates of spontaneous mutation reportedly on the order of 10 "3 to 10 "4 per incorporated nucleotide. Since heterogeneity and fluidity of genotype are inherent in RNA viruses, there are multiple types/subtypes, within the HCV species which may be virulent or avirulent. The propagation, identification, detection, and isolation of various HCV types or isolates is documented in the literature.
- Treating a condition refers to administering a therapeutic substance effective to reduce the symptoms of the condition and/or lessen the severity of the condition.
- Oral refers to any route that involves administration by the mouth or direct administration into the stomach or intestines, including gastric administration.
- OAS level refers to the concentration or activity of blood 2', 5'-oligoadenylate synthetase (OAS) protein.
- Recombinant host cells, host cells, cells, cell lines, cell cultures, and other such terms denoting microorganisms or higher eukaryotic cell lines cultured as unicellular entities, are used interchangeably, and refer to cells which can be, or have been, used as recipients for recombinant vector or other transfer DNA, and include the progeny of the original cell transfected. It is understood that the progeny of a single parental cell may not necessarily be completely identical in morphology or in genomic or total DNA complement as the original parent, due to accidental or deliberate mutation.
- Progeny of the parental cell which are sufficiently similar to the parent to be characterized by the relevant property, such as the presence of a nucleotide sequence encoding a desired peptide, are included in the progeny intended yb this definition, and are covered by the above terms.
- Operably linked refers to a juxtaposition wherein the components so described are in a relationship permitting them to function in their intended manner.
- a control sequence operably linked to a coding sequence is ligated in such a way that expression of the coding sequence is achieved under conditions compatible with the control sequences.
- An open reading frame is a region of a polynucleotide sequence which encodes for a polypeptide.
- Ovine IFN- ⁇ refers to a protein having the amino acid sequence as shown in Figure 4, and to proteins having amino acid substitutions and alterations such as neutral amino acid substitutions that do not significantly affect the activity of the protein.
- the sequence includes the ovine IFN- ⁇ sequence of Figure 4 and the proteins with 90% sequence homology to the sequence shown in Figure 4..
- Amino acid homology can be determined using, for example, the ALIGN program with default parameters. This program is found in the FASTA version 1.7 suite of sequence comparison programs
- Interferon- ⁇ The first IFN- ⁇ to be identified was ovine IFN- ⁇ (OvIFN- ⁇ ), as a 18-19 kDa protein.
- OvIFN- ⁇ was originally called ovine trophoblast protein-one (oTP-1) because it was the primary secretory protein initially produced by trophectoderm of the sheep conceptus during the critical period of maternal recognition in sheep. Subsequent experiments have determined that OvIFN- ⁇ is a pregnancy recognition hormone essential for establishment of the physiological response to pregnancy in ruminants, such as sheep and cows (Bazer and Johnson, 1991).
- IFN- ⁇ cDNA obtained by probing a sheep blastocyst library with a synthetic oligonucleotide representing the N-terminal amino acid sequence (Imakawa, et al., 1987) has a predicted amino acid sequence that is 45-55% homologous with IFN- ⁇ s from human, mouse, rat and pig and 70% homologous with bovine IFN- ⁇ ll, now referred to as IFN- ⁇ .
- IFN- ⁇ Several cDNA sequences have been reported which may represent different isoforms (Stewart, et al., 1989; Klemann, et al., 1990; and Charlier, M., et al., 1991).
- IFN- ⁇ All are approximately 1 kb with a 585 base open reading frame that codes for a 23 amino acid leader sequence and a 172 amino acid mature protein.
- the predicted structure of IFN- ⁇ as a four helical bundle with the amino and carboxyl-termini in apposition further supports its classification as a type I IFN (Jarpe, et. al., 1994).
- IFN- ⁇ displays many of the activities classically associated with type I IFNs (see Table 1, above), considerable differences exist between it and the other type I IFNs. The most prominent difference is its role in pregnancy, detailed above. Also different is viral induction. All type I IFNs, except IFN- ⁇ , are induced readily by virus and dsRNA (Roberts, et al., 1992). Induced IFN- ⁇ and IFN- ⁇ expression is transient, lasting approximately a few hours. In contrast, IFN- ⁇ synthesis, once induced, is maintained over a period of days (Godkin, et al., 1982). On a per-cell basis, 300-fold more lFN- ⁇ is produced than other type I IFNs (Cross and Roberts, 1991).
- IFN- ⁇ expression may also differ between species. For example, although IFN- ⁇ expression is restricted to a particular stage (primarily days 13-21) of conceptus development in ruminants (Godkin, et al., 1982), preliminary studies suggest that the human form of IFN- ⁇ is constitutively expressed throughout pregnancy (Whaley, et al., 1994).
- OvIFN- ⁇ protein may be isolated from conceptuses collected from pregnant sheep and cultured in vitro in a modified Minimum Essential Medium (MEM) as described by Godkin, et al., (1982) and Vallet, et. al., (1987).
- MEM Minimum Essential Medium
- the IFN- ⁇ may be purified from the conceptus cultures by ion exchange chromotography and gel filtration.
- the homogeneity of isolated IFN- ⁇ may be assessed by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE; Maniatis, et al., 1982; Ausubel, et al., 1988), and determination of protein concentration in purified IFN- ⁇ samples may be performed using the bicinchoninic (BCA) assay (Pierce Chemical Co., Rockford, IL; Smith, et. al., 1985).
- SDS-PAGE sodium dodecyl sulfate polyacrylamide gel electrophoresis
- BCA bicinchoninic
- Recombinant IFN- ⁇ protein may be produced from any selected IFN- ⁇ polynucleotide fragment using a suitable expression system, such as bacterial or yeast cells.
- a suitable expression system such as bacterial or yeast cells.
- the isolation of IFN- ⁇ nucleotide and polypeptide sequences is described in Bazer, et al. (1994). For example, Bazer, etal., describe the identification and isolation of a human IFN- ⁇ gene.
- an IFN- ⁇ coding sequence (e.g, SEQ ID NOS:1 or 3) is placed in an expression vector, e.g., a bacterial expression vector, and expressed according to standard methods.
- suitable vectors include lambda gt11 (Promega, Madison Wl); pGEX (Smith, et al., 1985); pGEMEX (Promega); and pBS (Strategene, La Jolla CA) vectors.
- Other bacterial expression vectors containing suitable promoters, such as the T7 RNA polymerase promoter or the tac promoter, may also be used.
- OvIFN- ⁇ synthetic polynucleotide into a modified plN III omp-A expression vector is described in the Materials and Methods.
- the OvIFN- ⁇ coding sequence present in SEQ ID NO:3 was cloned into a vector, suitable for transformation of yeast cells, containing the methanol-regulated alcohol oxidase (AOX) promoter and a Pho1 signal sequence.
- the vector was used to transform P. pastoris host cells and transformed cells were used to express the protein according to the manufacturer's instructions (Invitrogen, San Diego, CA).
- yeast vectors suitable for expressing IFN- ⁇ for use with methods of the present invention include 2 micron plasmid vectors (Ludwig, et al., 1993), yeast integrating plasmids (Yips; e.g., Shaw, et al., 1988), YEP vectors (Shen, et al., 1986), yeast centromere plasmids (YCps; e.g.), and other vectors with regulatable expression
- the vectors include an expression cassette containing an effective yeast promoter, such as the MF ⁇ 1 promoter (Bayne, et. al., 1988, GADPH promoter (glyceraldehyde-3-phosphate- dehydrogenase; Wu, et. al., 1991) or the galactose-inducible GAL10 promoter (Ludwig, et. al., 1993; Feher, et. al., 1989; Shen, et al., 1986).
- the yeast transformation host is typically Saccharomyces cerevisiae, however, as illustrated above, other yeast suitable for transformation can be used as well (e.g., Schizosaccharomyces pombe, Pichia pastoris and the like).
- a DNA encoding an IFN- ⁇ polypeptide can be cloned into any number of commercially available vectors to generate expression of the polypeptide in the appropriate host system.
- These systems include the above described bacterial and yeast expression systems as well as the following: baculovirus expression (Reilly, et al., 1992; Beames, et. al., 1991; Clontech, Palo Alto CA); plant cell expression, transgenic plant expression, and expression in mammalian cells (Clontech, Palo Alto CA; Gibco-BRL, Gaithersburg MD).
- the recombinant polypeptides can be expressed as fusion proteins or as native proteins.
- a number of features can be engineered into the expression vectors, such as leader sequences which promote the secretion of the expressed sequences into culture medium.
- the recombinantly produced polypeptides are typically isolated from lysed cells or culture media. Purification can be carried out by methods known in the art including salt fractionation, ion exchange chromatography, and affinity chromatography. Immunoaffinity chromatography can be employed, as described above, using antibodies generated based on the IFN- ⁇ polypeptides.
- IFN- ⁇ proteins or polypeptides can be isolated from selected cells by affinity-based methods, such as by using appropriate antibodies. Further, IFN- ⁇ peptides (e.g. SEQ ID NOS:2 or 4) may be chemically synthesized using methods known to those skilled in the art. III. IFN- ⁇ as a Treatment for HCV
- compositions and methods of the present invention may be used to therapeutically treat and thereby alleviate hepatitis caused by HCV.
- a person suffering from chronic hepatitis C infection may exhibit one or more of the following signs or symptoms: (a) elevated alanine aminotransferase (ALT), (b) positive test for anti-HCV antibodies, (c) presence of HCV as demonstrated by a positive test for HCV-RNA, (d) clinical stigmata of chronic liver disease, (e) hepatocellular damage, and/or (f) altered blood levels of 2', 5'- oligoadenylate synthetase.
- ALT elevated alanine aminotransferase
- HCV-RNA a positive test for anti-HCV antibodies
- HCV-RNA a positive test for HCV-RNA
- clinical stigmata of chronic liver disease hepatocellular damage
- f altered blood levels of 2', 5'- oligoadenylate synthetase.
- Such criteria may not only
- OAS 2', 5'-oligoadenylate synthetase
- Examples 1 and 3 IFN- ⁇ , administered orally, was tested for its ability to induce OAS.
- OvIFN- ⁇ was administered either orally or intraperitoneally to mice or human patients. OAS activity in whole blood in mice was determined, and is shown in Figure 1, 24 hours after IFN- ⁇ administration. Several human patients had 2 to 12 fold increases in their OAS enzyme activity levels as shown in Tables 3-6.
- IFN- ⁇ Induces OAS in a Dose-dependent Manner.
- IFN- ⁇ administered orally in mice, was tested for its ability to induce OAS in a dose-dependent manner.
- OvIFN- ⁇ was orally administered in units of 0, 1x10 3 , 1x10 4 , 1x10 5 to an upper part of a mouse stomach. Twelve hours after oral administration, whole blood was taken from a mouse heart and an OAS activity of whole blood was determined. As shown in Figure 2, the OAS activity in whole blood increased in a dose dependent manner.
- IFN- ⁇ is orally active (WO 96/28183)
- no exact determination has previously been made as to how IFN- ⁇ was administered, or as to how IFN- ⁇ is absorbed.
- IFN- ⁇ was directly administered into the mouse stomach without any exposure to the tunica mucosa oris, conclusively esablishing that absorption through the stomach mucosal membrane effectively induces OAS activity.
- Direct absorption of IFN- ⁇ from the stomach would diminish antibody formation against IFN- ⁇ compared to IFN- ⁇ absorbed through the oral mucosal membrane, particularly in the case of chronic administrations of IFN- ⁇ .
- the present invention describes the ability of ovine IFN- ⁇ to increase 2', 5'-oligoadenylate synthase activity in mice and humans. Prior to this work, only mouse IFN- ⁇ had been known to be effective in mice.
- compositions Therapeutic preparations or medicaments containing IFN- ⁇ or related polypeptides or proteins can be formulated and manufactured according to known methods for preparing pharmaceutically useful compositions (medicaments). Formulations comprising interferons or interferon-like compounds have been previously described (e.g., Martin, 1976). In general, the IFN- ⁇ -containing medicaments are formulated such that an effective amount of the IFN- ⁇ is combined with a suitable carrier and/or excipient in order to facilitate effective administration of the composition. IFN- ⁇ , or related polypeptides, may be administered to a patient in any pharmaceutically acceptable dosage form, including intravenous, intramuscular, intralesional, or subcutaneous injection. Specifically, compositions and methods used for other interferon compounds can be used for the delivery of these compounds.
- tablets and capsules containing IFN- ⁇ may be manufactured from IFN- ⁇ (e.g., lyophilized IFN- ⁇ protein) and, optionally, additives such as pharmaceutically acceptable carriers (e.g., lactose, corn starch, light silicic anhydride, microcrystalline cellulose, sucrose), binders (e.g., alpha-form starch, methylcellulose, carboxymethylcellulose, hydroxypropylcellulose, hydroxypropylmethylcellulose, polyvinylpyrrolidone), disintegrating agents (e.g., carboxymethylcellulose calcium, starch, low substituted hydroxy-propylcellulose), surfactants (e.g., Tween 80, polyoxyethylene-polyoxypropylene copolymer), antioxidants (e.g., L-cysteine, sodium sulfite, sodium ascorbate), lubricants (e.g., magnesium stearate, talc), and the like.
- pharmaceutically acceptable carriers e.g., lactose
- IFN- ⁇ polypeptides can be mixed with a solid, pulverulent or other carrier, for example lactose, saccharose, sorbitol, mannitol, starch, such as potato starch, corn starch, millopectine, cellulose derivative or gelatine, and may also include lubricants, such as magnesium or calcium stearate, or polyethylene glycol waxes compressed to the formation of tablets.
- a solid, pulverulent or other carrier for example lactose, saccharose, sorbitol, mannitol, starch, such as potato starch, corn starch, millopectine, cellulose derivative or gelatine
- lubricants such as magnesium or calcium stearate, or polyethylene glycol waxes compressed to the formation of tablets.
- Liquid preparations for oral administration can be made in the form of elixirs, syrups or suspensions, for example solutions containing from about 0.1% to about 30% by weight of IFN- ⁇ , sugar and a mixture of ethanol, water, glycerol, propylene, glycol and possibly other additives of a conventional nature.
- An orally active IFN- ⁇ pharmaceutical composition is administered in a therapeutically effective amount to an individual in need of treatment.
- the dose may vary considerably and is dependent on factors such as the seriousness of the disorder, the age and the weight of the patient, other medications that the patient may be taking and the like. This amount or dosage is typically determined by the attending physician.
- the dosage will typically be between about 1x10 5 and 1x10 10 units/day, preferably between about 1x10 8 and 1.5x10 9 units/day. It will be appreciated that because of its lower toxicity, IFN- ⁇ can be administered at higher doses than, for example, IFN- ⁇ .
- disorders requiring a steady elevated level of IFN- ⁇ in plasma will benefit from oral administration as often as about every two to four hours or administration via injection about every 12-24 hours, while other disorders may be effectively treated by administering a therapeutically-effective dose at less frequent intervals, e.g., once every 48 hours.
- the rate of administration of individual doses is typically adjusted by an attending physician to enable administration of the lowest total dosage while alleviating the severity of the disease being treated.
- a maintenance dose is administered if necessary. Subsequently, the dosage or the frequency of administration, or both, may be reduced, as a function of the symptoms, to a level at which the improved condition is retained.
- compositions and methods of this invention may be used in combination with other therapies.
- the composition of ovIFN- ⁇ for the treatment of HCV in a HCV-infected patient can be combined with an anti-viral agent such as ribavirin.
- an anti-viral agent such as ribavirin.
- Treatment of HCV by oral administration of ovIFN- ⁇ is monitored by measuring the blood levels of 2', 5'-oligoadenylate synthetase (OAS) prior to and following administration.
- OAS 2', 5'-oligoadenylate synthetase
- the OAS levels can be monitored, for example, at 12, 24, and 48 hours after administration. If necessary, the dose of IFN- ⁇ is adjusted until a measurable increase in blood OAS levels is observed, relative to the level observed prior to administration.
- a synthetic OvIFN- ⁇ gene was generated using standard molecular methods (Ausubel, et al., 1988) by ligating oligonucleotides containing contiguous portions of a DNA sequence encoding the OvIFN- ⁇ amino acid sequence.
- the DNA sequence used may be either SEQ ID NO:1 or 3 or the sequence as shown in Imakawa, et. al., 1987.
- the resulting IFN- ⁇ polynucleotide coding sequence may span position 16 through 531: a coding sequence of 172 amino acids.
- the full length synthetic gene Stul/SStl fragment (540 bp) may be cloned into a modified plN III omp-A expression vector and transformed into a competent SB221 strain of £. coli.
- cells carrying the expression vector were grown in L-broth containing ampicillin to an OD (550 nm) of 0.1 - 1 , induced with IPTG (isopropyl-1-thio-b-D-galactoside) for 3 hours and harvested by centrifugation. Soluble recombinant IFN- ⁇ may be liberated from the cells by sonication or osmotic fractionation.
- the IFN- ⁇ gene may amplified using polymerase chain reaction (PCR; Mullis, 1987; Mullis, et al., 1987) with PCR primers containing Stu I and Sacl restriction sites at the 5' and 3' ends, respectively.
- the amplified fragments were digested with Stul and Sacll and ligated into the Sacll and Smal sites of pBLUESCRIPT+(KS), generating pBSY-IFN ⁇ .
- Plasmid pBSY-IFN ⁇ was digested with Sacll and EcoRV and the fragment containing the synthetic IFN- ⁇ gene was isolated.
- the yeast expression vector pBS24Ub (Ecker, et. al., 1989) was digested with Sail.
- Blunt ends were generated using T4 DNA polymerase.
- the vector DNA was extracted with phenol and ethanol precipitated (Sambrook, et. al., 1989).
- the recovered plasmid was digested with Sacll, purified by agarose gel electrophoresis, and ligated to the Sacll-EcoRV fragment isolated from pBSY-IFN- ⁇ .
- the resulting recombinant plasmid was designated pBS24Ub-IFN ⁇ .
- the recombinant plasmid pBS24Ub-IFN ⁇ was transformed into E. coli.
- Recombinant clones containing the IFN- ⁇ insert were isolated and identified by restriction enzyme analysis.
- IFN- ⁇ coding sequences were isolated from pBS24Ub-IFN ⁇ and cloned into a Pichia pastoris vector containing the alcohol oxidase (AOX1) promoter (Invitrogen, San Diego, CA).
- AOX1 promoter Alcohol oxidase
- the vector was then used to transform Pichia pastoris GS115 His " host cells and protein was expressed following the manufacturer's instructions.
- the protein was secreted into the medium and purified by successive DEAE-cellulose and hydroxyapatite chromatography to electrophoretic homogeneity as determined by SDS- PAGE and silver staining.
- the purified IFN- ⁇ protein has a specific activity of about 0.29 to about 0.44x10 8 U/mg as measured by anti-viral activity on Madin-Darby bovine kidney (MDBK) cells. In another embodiment, the protein has a specific activity of about 4.9 x 10 8 U/mg as measured by the anti-viral activity bioassay.
- OvIFN- ⁇ 4.99x10 8 units/mg protein; Pepgen Corp., California or Biological Process Development Facility, Dept. of Food Science and Technology, University of NE-Lincoln, Lincoln, NE; SEQ ID NO:4
- OvIFN- ⁇ 4.99x10 8 units/mg protein
- Pepgen Corp. California or Biological Process Development Facility, Dept. of Food Science and Technology, University of NE-Lincoln, Lincoln, NE; SEQ ID NO:4
- OvIFN- ⁇ SEQ ID NO:2
- ovIFN- ⁇ solution Two hundred microliters of ovIFN- ⁇ solution was orally administered to ICR mice (average body weight approximately 30g, 6 weeks of age, female) using a 20 gauge disposable oral sound (Fuchigami, Kyoto) to inject directly to an upper part of the stomach (gastric administration; GA).
- ovIFN- ⁇ solution For intra peritoneal administration (I. P.), 100 microliters of ovIFN- ⁇ solution was used. Sample injection to an upper part of a stomach was confirmed by administration of a dye. Twenty-four hours after the administration, the mouse was anesthetized with Nembutal. Blood was taken from a heart of the mouse and an OAS activity in whole blood was determined by 2-5A RIA Kit (Eiken Chemical, Tokyo; Shindo et. al., 1989).
- Ov-IFN- ⁇ SEQ ID NO:4
- Ov-IFN- ⁇ SEQ ID NO:2
- SEQ ID NO:2 may also be prepared and administered in the same manner.
- the patient keeps all vials of test material and syringes in the refrigerator maintained at 2 to 8 degrees centrigrade. Prior to the self-administration of medication, the patient removes one vial and one syringe from the refrigerator. The patient removes the cap from the tip of the syringe, places the tip of the syringe into the bottle of medication and withdraws the appropriate amount of drug into the syringe as instructed at the clinic on Day 1.
- the patient places the tip of the syringe in the mouth and empties the contents of the syringe into the mouth by depressing the plunger.
- the patient then swallows the test material.
- the patient may then drink a glass of water.
- the patient notes on his/her diary card the date and time the dose of test material was administered.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Immunology (AREA)
- Zoology (AREA)
- Gastroenterology & Hepatology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US21912800P | 2000-07-19 | 2000-07-19 | |
| US219128P | 2000-07-19 | ||
| JP2000317160 | 2000-10-17 | ||
| JP2000317160A JP2006213597A (ja) | 2000-07-19 | 2000-10-17 | インターフェロン−タウを用いるc型肝炎ウイルスの処置のための組成物およびモニタリングの方法 |
| PCT/US2001/022976 WO2002006343A2 (fr) | 2000-07-19 | 2001-07-19 | Composition de traitement/methode de surveillance du virus de l'hepatite c utilisant l'interferon-$g(t) |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP1355938A2 true EP1355938A2 (fr) | 2003-10-29 |
Family
ID=26602264
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP01954835A Withdrawn EP1355938A2 (fr) | 2000-07-19 | 2001-07-19 | Composition de traitement/methode de surveillance du virus de l'hepatite c utilisant l'interferon-tau |
Country Status (3)
| Country | Link |
|---|---|
| EP (1) | EP1355938A2 (fr) |
| AU (1) | AU2001277055A1 (fr) |
| WO (1) | WO2002006343A2 (fr) |
Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050226845A1 (en) * | 2004-03-10 | 2005-10-13 | Chih-Ping Liu | Method of treatment using interferon-tau |
| US7431920B2 (en) | 2000-07-19 | 2008-10-07 | Pepgen Corporation | Method of treating IL-10 deficiency |
| US7105154B2 (en) | 2000-07-19 | 2006-09-12 | Pepgen Corporation | Method of treatment using interferon-tau |
| GB0208928D0 (en) * | 2002-04-19 | 2002-05-29 | Imp College Innovations Ltd | Methods |
| AU2003225281A1 (en) | 2002-04-30 | 2003-11-17 | University Of South Florida | Materials and methods for prevention and treatment of rna viral diseases |
| US7595303B1 (en) | 2002-09-05 | 2009-09-29 | University Of South Florida | Genetic adjuvants for immunotherapy |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5705363A (en) * | 1989-03-02 | 1998-01-06 | The Women's Research Institute | Recombinant production of human interferon τ polypeptides and nucleic acids |
| TW391983B (en) * | 1992-10-30 | 2000-06-01 | Univ Florida | Human interferon TAU, processes thereof and pharmaceutical uses thereof |
| EP1156771A2 (fr) * | 1999-06-22 | 2001-11-28 | The University Of Maryland | Mutants d'interferon tau et leurs techniques de preparation |
-
2001
- 2001-07-19 EP EP01954835A patent/EP1355938A2/fr not_active Withdrawn
- 2001-07-19 AU AU2001277055A patent/AU2001277055A1/en not_active Abandoned
- 2001-07-19 WO PCT/US2001/022976 patent/WO2002006343A2/fr not_active Ceased
Non-Patent Citations (1)
| Title |
|---|
| See references of WO0206343A3 * |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2002006343A3 (fr) | 2003-08-21 |
| WO2002006343A2 (fr) | 2002-01-24 |
| AU2001277055A1 (en) | 2002-01-30 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US6982081B2 (en) | Composition for treatment of and method of monitoring hepatitis C virus using interferon-TAU | |
| JP3228512B2 (ja) | C型肝炎を治療する組成物および方法 | |
| WO1997033607A9 (fr) | Compositions d'interferon-tau administrees oralement et procedes associes | |
| JP2002542202A (ja) | 抗酸化剤を伴ったリバビリンを含有するhcv組み合わせ治療薬 | |
| US7731948B2 (en) | Stabilized interferon liquid formulations | |
| AU683469B2 (en) | Stable liquid compositions of gamma interferon | |
| EP1536839B1 (fr) | Thérapie combinée comprenant l'interféron oméga pour la traitement des infections de l'hépatite c virus ou du virus de la fièvre jaune | |
| US7083782B2 (en) | Method of treatment using interferon-tau | |
| JPS5998019A (ja) | インタ−フエロンの相乗効果 | |
| US20040247565A1 (en) | Method of treatment using interferon-tau | |
| US7431920B2 (en) | Method of treating IL-10 deficiency | |
| EP1355938A2 (fr) | Composition de traitement/methode de surveillance du virus de l'hepatite c utilisant l'interferon-tau | |
| US7105154B2 (en) | Method of treatment using interferon-tau | |
| AU2006326688A1 (en) | Treatment of multiple sclerosis using interferon-tau | |
| US20060078942A1 (en) | Method of treatment using interferon-tau | |
| JPH06279309A (ja) | インターフェロン処置非応答者に対するc型肝炎の処置剤 | |
| CA2558645A1 (fr) | Procede d'optimisation de traitement avec l'interferon -tau | |
| US20060257363A1 (en) | Treatment using an interferon | |
| EP4331571A1 (fr) | Formulations de protéines de fusion ace2-igm | |
| US20050118138A1 (en) | Method of treatment using interferon-tau | |
| US20050118137A1 (en) | Method of treatment using interferon-tau | |
| JPH07258109A (ja) | C型肝炎の処置法および処置用組成物 | |
| WO2012175700A1 (fr) | Traitement de l'hépatite c chronique avec ifn-a5 en combinaison avec ifn-a2b dans une cohorte de patients |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PUAI | Public reference made under article 153(3) epc to a published international application that has entered the european phase |
Free format text: ORIGINAL CODE: 0009012 |
|
| 17P | Request for examination filed |
Effective date: 20030218 |
|
| AK | Designated contracting states |
Kind code of ref document: A2 Designated state(s): AT BE CH CY DE DK ES FI FR GB GR IE IT LI LU MC NL PT SE TR |
|
| AX | Request for extension of the european patent |
Extension state: AL LT LV MK RO SI |
|
| RBV | Designated contracting states (corrected) |
Designated state(s): GB |
|
| REG | Reference to a national code |
Ref country code: HK Ref legal event code: DE Ref document number: 1058936 Country of ref document: HK |
|
| REG | Reference to a national code |
Ref country code: DE Ref legal event code: 8566 |
|
| RAP1 | Party data changed (applicant data changed or rights of an application transferred) |
Owner name: PEPGEN CORPORATION |
|
| RAP1 | Party data changed (applicant data changed or rights of an application transferred) |
Owner name: PEPGEN CORPORATION |
|
| 17Q | First examination report despatched |
Effective date: 20070927 |
|
| STAA | Information on the status of an ep patent application or granted ep patent |
Free format text: STATUS: THE APPLICATION IS DEEMED TO BE WITHDRAWN |
|
| 18D | Application deemed to be withdrawn |
Effective date: 20080408 |
|
| REG | Reference to a national code |
Ref country code: HK Ref legal event code: WD Ref document number: 1058936 Country of ref document: HK |