RU2012129353A - АНТАГОНИСТЫ АКТИВИНА-ActRIIA И ИХ ПРИМЕНЕНИЕ ДЛЯ ЛЕЧЕНИЯ ИЛИ ПРОФИЛАКТИКИ РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ - Google Patents
АНТАГОНИСТЫ АКТИВИНА-ActRIIA И ИХ ПРИМЕНЕНИЕ ДЛЯ ЛЕЧЕНИЯ ИЛИ ПРОФИЛАКТИКИ РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ Download PDFInfo
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- RU2012129353A RU2012129353A RU2012129353/15A RU2012129353A RU2012129353A RU 2012129353 A RU2012129353 A RU 2012129353A RU 2012129353/15 A RU2012129353/15 A RU 2012129353/15A RU 2012129353 A RU2012129353 A RU 2012129353A RU 2012129353 A RU2012129353 A RU 2012129353A
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- 206010006187 Breast cancer Diseases 0.000 title claims abstract 18
- 208000026310 Breast neoplasm Diseases 0.000 title claims abstract 18
- 238000011282 treatment Methods 0.000 title claims 4
- 239000005557 antagonist Substances 0.000 title claims 3
- 230000002265 prevention Effects 0.000 title 1
- 238000000034 method Methods 0.000 claims abstract 55
- 108020001507 fusion proteins Proteins 0.000 claims abstract 44
- 102000037865 fusion proteins Human genes 0.000 claims abstract 44
- 125000003275 alpha amino acid group Chemical group 0.000 claims abstract 33
- 150000001413 amino acids Chemical class 0.000 claims abstract 25
- FWMNVWWHGCHHJJ-SKKKGAJSSA-N 4-amino-1-[(2r)-6-amino-2-[[(2r)-2-[[(2r)-2-[[(2r)-2-amino-3-phenylpropanoyl]amino]-3-phenylpropanoyl]amino]-4-methylpentanoyl]amino]hexanoyl]piperidine-4-carboxylic acid Chemical compound C([C@H](C(=O)N[C@H](CC(C)C)C(=O)N[C@H](CCCCN)C(=O)N1CCC(N)(CC1)C(O)=O)NC(=O)[C@H](N)CC=1C=CC=CC=1)C1=CC=CC=C1 FWMNVWWHGCHHJJ-SKKKGAJSSA-N 0.000 claims abstract 11
- 229920001184 polypeptide Polymers 0.000 claims abstract 11
- 102000004196 processed proteins & peptides Human genes 0.000 claims abstract 11
- 108090000765 processed proteins & peptides Proteins 0.000 claims abstract 11
- 239000003446 ligand Substances 0.000 claims abstract 4
- 230000019491 signal transduction Effects 0.000 claims abstract 4
- 125000000539 amino acid group Chemical group 0.000 claims abstract 3
- 150000002632 lipids Chemical class 0.000 claims abstract 2
- 239000003795 chemical substances by application Substances 0.000 claims 6
- 206010028980 Neoplasm Diseases 0.000 claims 4
- 230000001394 metastastic effect Effects 0.000 claims 3
- 206010061289 metastatic neoplasm Diseases 0.000 claims 3
- 229940127089 cytotoxic agent Drugs 0.000 claims 2
- 239000002254 cytotoxic agent Substances 0.000 claims 2
- 231100000599 cytotoxic agent Toxicity 0.000 claims 2
- 230000001934 delay Effects 0.000 claims 2
- 238000009261 endocrine therapy Methods 0.000 claims 2
- 229940034984 endocrine therapy antineoplastic and immunomodulating agent Drugs 0.000 claims 2
- 230000003902 lesion Effects 0.000 claims 2
- 210000005075 mammary gland Anatomy 0.000 claims 2
- 230000002062 proliferating effect Effects 0.000 claims 2
- 238000001959 radiotherapy Methods 0.000 claims 2
- 210000002966 serum Anatomy 0.000 claims 2
- 125000005629 sialic acid group Chemical group 0.000 claims 2
- 230000004083 survival effect Effects 0.000 claims 2
- 102000005606 Activins Human genes 0.000 claims 1
- 108010059616 Activins Proteins 0.000 claims 1
- 229940122361 Bisphosphonate Drugs 0.000 claims 1
- 206010027476 Metastases Diseases 0.000 claims 1
- 102000014128 RANK Ligand Human genes 0.000 claims 1
- 108010025832 RANK Ligand Proteins 0.000 claims 1
- 239000000488 activin Substances 0.000 claims 1
- 230000000123 anti-resoprtive effect Effects 0.000 claims 1
- 238000011858 antiresorptive bone therapy Methods 0.000 claims 1
- 230000015572 biosynthetic process Effects 0.000 claims 1
- 150000004663 bisphosphonates Chemical class 0.000 claims 1
- 210000000988 bone and bone Anatomy 0.000 claims 1
- 201000011510 cancer Diseases 0.000 claims 1
- 230000007423 decrease Effects 0.000 claims 1
- 239000000539 dimer Substances 0.000 claims 1
- 239000003814 drug Substances 0.000 claims 1
- 102000015694 estrogen receptors Human genes 0.000 claims 1
- 108010038795 estrogen receptors Proteins 0.000 claims 1
- 239000012634 fragment Substances 0.000 claims 1
- 230000002401 inhibitory effect Effects 0.000 claims 1
- 108020001756 ligand binding domains Proteins 0.000 claims 1
- ZADHKSJXSZBQFB-HHHXNRCGSA-N lipid fragment Chemical compound CC(C)CCCCCCCCCCCC[C@@H](C)CCCCCCCC(C)C ZADHKSJXSZBQFB-HHHXNRCGSA-N 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- 230000001404 mediated effect Effects 0.000 claims 1
- 208000037819 metastatic cancer Diseases 0.000 claims 1
- 208000011575 metastatic malignant neoplasm Diseases 0.000 claims 1
- 230000035755 proliferation Effects 0.000 claims 1
- 238000011321 prophylaxis Methods 0.000 claims 1
- 210000002027 skeletal muscle Anatomy 0.000 claims 1
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- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
- C07K14/71—Receptors; Cell surface antigens; Cell surface determinants for growth factors; for growth regulators
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Abstract
1. Способ лечения или профилактики рака молочной железы у пациента-человека, причем данный способ включает введение пациенту эффективного количества слитого белка ActRIIa-Fc.2. Способ по п.1, где слитый белок ActRIIa-Fc выбран из группы, состоящей из:a. полипептида, содержащего аминокислотную последовательность по меньшей мере, на 90% идентичную SEQ ID NO:2;b. полипептида, содержащего аминокислотную последовательность, по меньшей мере, на 90% идентичную SEQ ID NO:3; иc. полипептида, содержащего, по меньшей мере, 50 последовательных аминокислот SEQ ID NO:2.3. Способ по п.1, где слитый белок ActRIIa-Fc имеет одну или более из следующих характеристик:i. связывается с лигандом ActRIIa с K, составляющей, по меньшей мере, 10M; иii. ингибирует сигнальный путь ActRIIa в клетке.4. Способ по п.1, где указанный слитый белок ActRIIa-Fc содержит один или более модифицированных аминокислотных остатков, выбранных из: гликозилированной аминокислоты, пэгилированной аминокислоты, фарнезилированной аминокислоты, ацетилированной аминокислоты, биотинилированной аминокислоты, аминокислоты, конъюгированной с липидным фрагментом, и аминокислоты, конъюгированной с органическим дериватизирующим средством.5. Способ по п.2, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:2.6. Способ по п.2, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:3.7. Способ по п.6, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:3.8. Способ по п.5, где слитый белок ActRIIa-Fc содержит аминокислотную после
Claims (44)
1. Способ лечения или профилактики рака молочной железы у пациента-человека, причем данный способ включает введение пациенту эффективного количества слитого белка ActRIIa-Fc.
2. Способ по п.1, где слитый белок ActRIIa-Fc выбран из группы, состоящей из:
a. полипептида, содержащего аминокислотную последовательность по меньшей мере, на 90% идентичную SEQ ID NO:2;
b. полипептида, содержащего аминокислотную последовательность, по меньшей мере, на 90% идентичную SEQ ID NO:3; и
c. полипептида, содержащего, по меньшей мере, 50 последовательных аминокислот SEQ ID NO:2.
3. Способ по п.1, где слитый белок ActRIIa-Fc имеет одну или более из следующих характеристик:
i. связывается с лигандом ActRIIa с KD, составляющей, по меньшей мере, 10-7 M; и
ii. ингибирует сигнальный путь ActRIIa в клетке.
4. Способ по п.1, где указанный слитый белок ActRIIa-Fc содержит один или более модифицированных аминокислотных остатков, выбранных из: гликозилированной аминокислоты, пэгилированной аминокислоты, фарнезилированной аминокислоты, ацетилированной аминокислоты, биотинилированной аминокислоты, аминокислоты, конъюгированной с липидным фрагментом, и аминокислоты, конъюгированной с органическим дериватизирующим средством.
5. Способ по п.2, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:2.
6. Способ по п.2, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:3.
7. Способ по п.6, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:3.
8. Способ по п.5, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:2.
9. Способ по п.2, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:7.
10. Способ по п.9, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:7.
11. Способ по п.1, где слитый белок ActRIIa-Fc представляет собой димер, образованный из двух полипептидов, каждый из которых содержит аминокислотную последовательность, которая, по меньшей мере, на 90% идентична аминокислотной последовательности SEQ ID NO:2, и где слитый белок ActRIIa-Fc содержит три или более фрагмента, состоящих из сиаловых кислот.
12. Способ по п.11, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:2.
13. Способ по п.11 или 12, где слитый белок ActRIIa-Fc содержит от трех до пяти фрагментов, состоящих из сиаловых кислот.
14. Способ по п.1, где способ вызывает у пациента увеличение массы скелетных мышц менее чем на 10%.
15. Способ по п.1, где слитый белок ActRIIa-Fc вводят пациенту так, чтобы достичь концентрации в сыворотке пациента, составляющей, по меньшей мере, 0,2 мг/кг.
16. Способ по п.11, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:7.
17. Способ по п.1, где слитый белок ActRIIa-Fc имеет период полужизни в сыворотке нормальных здоровых людей от 15 до 40 дней.
18. Способ по п.1, где слитый белок ActRIIa-Fc вводят пациенту не чаще, чем раз в неделю.
19. Способ по п.1, где слитый белок ActRIIa-Fc вводят пациенту не чаще, чем раз в месяц.
20. Способ по п.1, где слитый белок ActRIIa-Fc вводят пациенту не чаще, чем раз в три месяца.
21. Способ по п.1, где пациент получает или получил в пределах одного года до введения слитого белка ActRIIa-Fc антирезорбтивную терапию кости.
22. Способ по п.21, где антирезорбтивное средство выбрано из группы, состоящей из: бифосфонатного средства, антагониста лиганда RANK и антагониста остеопротегрина.
23. Способ по п.1, дополнительно включающий подвергание пациента-человека лучевой терапии, эндокринной терапии или введение ему цитотоксического средства.
24. Способ по п.1, где пациент-человек представляет собой женщину, имеющую один или более факторов риска рака молочной железы.
25. Способ по п.1, где введение слитого белка ActRIIa-Fc отсрочивает появление рака молочной железы, ингибирует развитие рака молочной железы, отсрочивает появление метастазов, понижает размер опухоли, понижает или ингибирует рост или выживание клеток рака молочной железы или предотвращает или понижает образование у пациента метастатических повреждений, связанных с раком молочной железы.
26. Способ по п.1, дополнительно включающий подвергание субъекта лучевой терапии, эндокринной терапии или введение ему цитотоксического средства.
27. Способ по п.1, где у пациента есть риск развития рака молочной железы.
28. Способ по п.1, где рак представляет собой метастатический рак.
29. Способ по п.1, где пациент страдает раком молочной железы, отрицательным по рецептору эстрогенов.
30. Способ по п.1, где пациент имеет первичную опухоль или пролиферативное повреждение молочной железы, связанные с раком молочной железы, и где пациенту вводят слитый белок ActRIIa-Fc до развития метастатических повреждений.
31. Способ по п.1, где пациент имеет первичную опухоль или пролиферативное повреждение молочной железы, связанные с раком молочной железы, и где пациенту вводят слитый белок ActRIIa-Fc до метастатического распространения клеток рака молочной железы в кость.
32. Применение слитого белка ActRIIa-Fc для производства лекарственного средства для лечения рака молочной железы у пациента-человека.
33. Слитый белок ActRIIa-Fc для применения в лечении рака молочной железы у пациента-человека.
34. Способ идентификации средства, пригодного для лечения или профилактики рака молочной железы, причем данный способ включает:
a. идентификацию тестируемого средства, которое конкурирует с лигандом ActRIIa за связывание с лиганд-связывающим доменом полипептида ActRIIa; и
b. анализ влияния указанного средства на пролиферацию или выживание клеток рака молочной железы.
35. Способ ингибирования активин-опосредованного сигнального пути у пациента-человека с раком молочной железы, причем данный способ включает введение пациенту-человеку эффективного количества слитого белка ActRIIa-Fc.
36. Способ по п.35, где слитый белок ActRIIa-Fc выбран из группы, состоящей из:
a. полипептида, содержащего аминокислотную последовательность, по меньшей мере, на 90% идентичную SEQ ID NO:2;
b. полипептида, содержащего аминокислотную последовательность, по меньшей мере, на 90% идентичную SEQ ID NO:3; и
c. полипептида, содержащего, по меньшей мере, 50 последовательных аминокислот, выбранных из SEQ ID NO:2.
37. Способ по п.36, где слитый белок ActRIIa-Fc имеет одну или более из следующих характеристик:
i. связывается с лигандом ActRIIa с KD, составляющей, по меньшей мере, 10-7 M; и
ii. ингибирует сигнальный путь ActRIIa в клетке.
38. Способ по п.35, где указанный слитый белок ActRIIa-Fc содержит один или более модифицированных аминокислотных остатков, выбранных из: гликозилированной аминокислоты, пэгилированной аминокислоты, фарнезилированной аминокислоты, ацетилированной аминокислоты, биотинилированной аминокислоты, аминокислоты, конъюгированной с липидным фрагментом, и аминокислоты, конъюгированной с органическим дериватизирующим средством.
39. Способ по п.35, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:2.
40. Способ по п.35, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:3.
41. Способ по п.35, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:3.
42. Способ по п.35, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:2.
43. Способ по п.35, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность, которая, по меньшей мере, на 95% идентична аминокислотной последовательности SEQ ID NO:7.
44. Способ по п.35, где слитый белок ActRIIa-Fc содержит аминокислотную последовательность SEQ ID NO:7.
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| RU2012129353/15A RU2012129353A (ru) | 2007-02-01 | 2012-07-11 | АНТАГОНИСТЫ АКТИВИНА-ActRIIA И ИХ ПРИМЕНЕНИЕ ДЛЯ ЛЕЧЕНИЯ ИЛИ ПРОФИЛАКТИКИ РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ |
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