KR102511554B1 - 핵산의 전달용 입체화학적으로 풍부한 조성물 - Google Patents
핵산의 전달용 입체화학적으로 풍부한 조성물 Download PDFInfo
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Abstract
상기 조성물 중 식 I의 화학 단위체의 총량의 제1 역치 양 초과인 것을 특징으로 하는 상기 조성물은, 식 I.a의 화학 단위체(상기 제1 역치 양은 50%임)이거나; 또는 식 I.b.1의 화학 단위체(상기 제1 역치 양은 25%임)이거나; 또는 식 I.b.2의 화학 단위체(상기 제1 역치 양은 25%임)이거나, 상기 식 I.a, I.b.1, 및 I.b.2의 화학 단위체는 본 명세서에 기재되어 있는 조성물, 그리고 예를 들면, 생체내 폴리뉴클레오타이드의 전달을 위한, 그와 같은 조성물을 사용하는 방법이 부분적으로 제공된다.
Description
정의
본 발명을 더 쉽게 이해시키기 위해, 어떤 용어들이 우선 하기 정의된다. 하기 용어들 및 다른 용어들에 대한 추가의 정의는 명세서 전체어 결쳐 기재된다. 발명의 배경을 설명하고 이의 실시에 관하여 추가의 상세한 내용을 제공하기 위한 본원에 참조된 공보 및 다른 참조 자료는 이로써 참고로 편입된다.
아미노산: 본 명세서에서 사용된 바와 같이, 용어 "아미노산"은, 이의 가장 넓은 의미에서, 폴리펩타이드 사슬 내로 편입될 수 있는 임의의 화합물 및/또는 물질을 나타낸다. 일부 구현예에서, 아미노산은 일반적인 구조 HEN-C(H)(R)-COHO를 갖는다. 일부 구현예에서, 아미노산은 천연 발생 아미노산이다. 일부 구현예에서, 아미노산은 합성 아미노산이며; 일부 구현예에서, 아미노산은 d-아미노산이고; 일부 구현예에서, 아미노산은 l-아미노산이다. "표준 아미노산"은 천연 발생 펩타이드에서 통상적으로 발견되는 20개의 표준 l-아미노산 중 어느 것을 나타낸다. "비표준 아미노산"은, 그것이 합성으로 제조되든 천연 공급원으로부터 수득되든지 무관하게, 표준 아미노산 이외의 임의의 아미노산을 나타낸다. 본 명세서에서 사용된 바와 같이, "합성 아미노산"은, 비제한적으로, 염, 아미노산 유도체 (예컨대 아미드), 및/또는 치환물을 포함하는, 화학적으로 변형된 아미노산을 포함한다. 펩타이드에서 카복실- 및/또는 아미노-말단 아미노산을 포함하는 아미노산은 메틸화, 아미드화, 아세틸화, 보호 그룹, 및/또는 이의 활성에 부정적으로 영향을 미치지 않으면서 펩타이드의 순환 반감기를 변화시킬 수 있는 다른 화학 그룹으로의 치환에 의해 변형될 수 있다. 아미노산은 디설파이드 결합에 참여할 수 있다. 아미노산은 1개 또는 후번역 변형, 예컨대 1종 이상의 화학 단위체 (예를 들면, 메틸 그룹, 아세테이트 그룹, 아세틸 그룹, 포스페이트 그룹, 포르밀 모이어티, 이소프레노이드 그룹, 설페이트 그룹, 폴리에틸렌 글리콜 모이어티, 지질 모이어티, 탄수화물 모이어티, 바이오틴 모이어티 등)와의 회합을 포함할 수 있다. 용어 "아미노산"은 "아미노산 잔기"와 상호교환적으로 사용되며, 유리 아미노산 및/또는 펩타이드의 아미노산 잔기를 나타낼 수 있다. 상기 용어가 유리 아미노산을 나타내는지 또는 펩타이드의 잔기를 나타내는지는 상기 용어가 사용되는 맥락으로부터 분명할 것이다.
동물: 본 명세서에서 사용된 바와 같이, 용어 "동물"은 동물계의 임의의 구성원을 나타낸다. 일부 구현예에서, "동물"은 임의의 발달 단계에 있는 인간을 나타낸다. 일부 구현예에서, "동물"은 임의의 발달 단계에 있는 비-인간 동물을 나타낸다. 특정 구현예에서, 비-인간 동물은 포유동물 (예를 들면, 설치류, 마우스, 랫트, 토끼, 원숭이, 개, 고양이, 양, 소, 영장류, 및/또는 돼지)이다. 일부 구현예에서, 동물은, 비제한적으로, 포유동물, 새, 파충류, 양서류, 어류, 곤충, 및/또는 벌레를 포함한다. 일부 구현예에서, 동물은 형질전환 동물, 유전적으로-조작된 동물, 및/또는 클론일 수 있다.
대략 또는 약: 본 명세서에서 사용된 바와 같이, 용어 "대략" 또는 "약"은, 목적하는 하나 이상의 값에 적용될 때, 언급된 기준 값에 유사한 값을 나타낸다. 특정 구현예에서, 용어 "대략" 또는 "약"은, 다르게 언급되지 않는 한 또는 달리 맥락으로부터 분명하지 않는 한 (단 그와 같은 수가 100%의 가능한 값을 초과하지 않는 경우), 언급된 기준 값의 양 방향 (더 크거나 더 적음)으로 25%, 20%, 19%, 18%, 17%, 16%, 15%, 14%, 13%, 12%, 11%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2%, 1%, 또는 그 미만 내에 속하는 값의 범위를 나타낸다.
화학 단위체: 본 명세서에서 사용된 바와 같이, 용어 "화학 단위체"는 화합물, 이의 염 또는 용매화물, 또는 화합물, 이의 염 또는 용매화물의 임의의 조합을 포함한다.
전달: 본 명세서에서 사용된 바와 같이, 용어 "전달"은 국부 및 전신 전달 둘 모두를 포함한다. 예를 들면, mRNA의 전달은, mRNA가 표적 조직에 전달되고, 암호화된 단백질이 발현되고, 표적 조직 내에서 유지되는 상황 ("국부 분배" 또는 "국부 전달"로도 지칭됨), 및 mRNA가 표적 조직으로 전달되고, 암호화된 단백질이 발현되고, 환자의 순환 시스템 (예를 들면, 혈청) 내로 분비되고, 조직적으로 분배되고, 다른 조직에 의해 흡수되는 상황 ("전신 분배" 또는 "전신 전달"로도 지칭됨)을 포함한다.
발현: 본 명세서에서 사용된 바와 같이, 핵산 서열의 "발현"은 mRNA를 폴리펩타이드로 번역하고/하거나, 다중 폴리펩타이드 (예를 들면, 항체의 중쇄 또는 경쇄)를 온전한 단백질 (예를 들면, 항체)로 조립하고/하거나 폴리펩타이드 또는 완전히 조립된 단백질 (예를 들면, 항체)의 번역후 변형을 나타낸다. 본원에서, 용어들 "발현" 및 "생산" 및 문법적 동등물은 상호교환가능하게 사용된다.
기능적: 본 명세서에서 사용된 바와 같이, "기능적" 생물학적 분자는 그것을 특징짓는 특성 및/또는 활성을 나타내는 형태의 생물학적 분자이다.
반감기: 본 명세서에서 사용된 바와 같이, 용어 "반감기"는 핵산 또는 단백질 농도 또는 활성과 같은 양에 대해 기간의 개시시 측정된 이의 값의 절반으로 떨어지는데 필요한 시간이다.
개선하다, 증가하다 또는 감소하다: 본 명세서에서 사용된 바와 같이, 용어들 "개선하다", "증가하다" 또는 "감소하다" 또는 문법적 동등물은 기준선 측정치, 예컨대 본원에 기재된 처리의 개시 전 동일한 개체에서의 측정치, 또는 본원에 기재된 처리의 부재 하에 대조군 대상체 (또는 다중 대조군 대상체)에서의 측정치에 상대적인 값을 나타낸다. "대조군 대상체"는 치료될 대상체와 동일한 질환 형태로 고통받는 대상체이며, 치료될 대상체와 대략 동일한 연령이다.
시험관내: 본 명세서에서 사용된 바와 같이, 용어 "시험관내"는 다중-세포성 유기체 내에서 보다는 인공 환경, 예를 들면, 시험관 또는 반응 용기에서, 세포 배양 등에서 발생하는 사건을 나타낸다.
생체내: 본 명세서에서 사용된 바와 같이, 용어 "생체내"는 다중-세포성 유기체, 예컨대 인간 및 비-인간 동물 내에서 발생하는 사건을 나타낸다. 세포 기반 시스템의 맥락에서, 상기 용어는 (예를 들면, 시험관내 시스템과는 대조적으로) 살아 있는 세포 내에서 발생하는 사건을 나타내는데 사용될 수 있다.
단리된: 본 명세서에서 사용된 바와 같이, 용어 "단리된"은 (1) (천연 및/또는 실험적인 환경에서) 초기에 생산될 때 회합된 성분의 적어도 일부로부터 분리되고/되거나 (2) 인간의 손에 의해 생산되고/되거나 제조되고/되거나 제작된 물질 및/또는 단위체를 나타낸다. 단리된 물질 및/또는 단위체는 약 10%, 약 20%, 약 30%, 약 40%, 약 50%, 약 60%, 약 70%, 약 80%, 약 90%, 약 91%, 약 92%, 약 93%, 약 94%, 약 95%, 약 96%, 약 97%, 약 98%, 약 99%, 또는 약 99% 초과의 초기에 회합된 다른 성분으로부터 분리될 수 있다. 일부 구현예에서, 단리된 제제는 약 80%, 약 85%, 약 90%, 약 91%, 약 92%, 약 93%, 약 94%, 약 95%, 약 96%, 약 97%, 약 98%, 약 99% 또는 약 99% 초과의 순도이다. 본 명세서에서 사용된 바와 같이, 물질은, 그것이 다른 성분을 실질적으로 함유하지 않는 경우 "순수"하다. 본 명세서에서 사용된 바와 같이, 단리된 물질 및/또는 단위체의 퍼센트 순도 계산은 부형제 (예를 들면, 버퍼, 용매, 물 등)를 포함하지 않아야 한다.
국부 분배 또는 전달: 본 명세서에서 사용된 바와 같이, 용어들 "국부 분배", "국부 전달" 또는 문법적 동등물은 조직 특이적 전달 또는 분배를 나타낸다. 전형적으로, 국부 분배 또는 전달은 mRNA에 의해 암호화된 단백질 (예를 들면, 효소)이 번역되고 세포내로 또는 환자의 순환 시스템으로 도입되는 것을 피하는 제한된 분비로 발현되는 것을 필요로 한다.
메신저 RNA (mRNA): 본 명세서에서 사용된 바와 같이, 용어 "메신저 RNA (mRNA)"는 적어도 1종의 폴리펩타이드를 암호화하는 폴리뉴클레오타이드를 의미한다. mRNA는, 본 명세서에서 사용된 바와 같이, 변형된 및 비변형된 RNA 둘 모두를 포함한다. mRNA는 하나 이상의 암호화 및 비-암호화 영역을 함유할 수 있다. mRNA는 천연 공급원으로부터 정제되고, 재조합 발현 시스템을 사용하여 생산되고, 임의로 정제되고, 화학적으로 합성 등이 될 수 있다. 적절한 경우, 예를 들면, 화학적으로 합성된 분자의 경우에, mRNA는 뉴클레오사이드 유사체 예컨대 화학적으로 변형된 염기 또는 당을 갖는 유사체, 골격 변형 등을 포함할 수 있다. mRNA 서열은 다르게 명시되지 않는 한 5'에서 3' 방향으로 주어진다. 일부 구현예에서, mRNA는 천연 뉴클레오사이드 (예를 들면, 아데노신, 구아노신, 시티딘, 우리딘); 뉴클레오사이드 유사체 (예를 들면, 2-아미노아데노신, 2-티오티미딘, 이노신, 피롤로-피리미딘, 3-메틸 아데노신, 5-메틸시티딘, C-5 프로피닐-시티딘, C-5 프로피닐-우리딘, 2-아미노아데노신, C5-브로모우리딘, C5-플루오로우리딘, C5-아이오도우리딘, C5-프로피닐-우리딘, C5-프로피닐-시티딘, C5-메틸시티딘, 2-아미노아데노신, 7-데아자아데노신, 7-데아자구아노신, 8-옥소아데노신, 8-옥소구아노신, O(6)-메틸구아닌, 및 2-티오시티딘); 화학적으로 변형된 염기; 생물학적으로 변형된 염기 (예를 들면, 메틸화된 염기); 삽입된 염기; 변형된 당류 (예를 들면, 2'-플루오로리보오스, 리보오스, 2'-데옥시리보오스, 아라비노오스, 및 헥소스); 및/또는 변형된 포스페이트 그룹 (예를 들면, 포스포로티오에이트 및 5'-N-포스포르아미다이트 연결기)이거나 이들을 포함한다.
일부 구현예에서, mRNA는 1종 이상의 비표준 뉴클레오타이드 잔기를 포함한다. 비표준 뉴클레오타이드 잔기는, 예를 들면, 5-메틸-시티딘 ("5mC"), 슈도우리딘, 및/또는 2-티오-우리딘 ("2sU")을 포함할 수 있다. 그와 같은 잔기 및 mRNA 내로 이의 편입에 관한 논의에 대해서는, 예를 들면, 미국 특허 번호 8,278,036 또는 WO2011012316을 참조한다. mRNA는 U 잔기의 25%가 2-티오-우리딘이고, C 잔기의 25%가 5-메틸시티딘인 RNA로서 정의된 RNA일 수 있다. RNA의 사용에 대한 교시는 미국 특허 공개공보 US20120195936 및 국제 공개공보 WO2011012316에 개시되며, 이 둘 모두는 이로써 그 전체가 참고로 편입되어 있다. 비표준 뉴클레오타이드 잔기의 존재는 동일한 서열을 갖지만 오직 표준 잔기만을 함유하는 대조군 mRNA보다 mRNA를 더 안정하게 하고/하거나 덜 면역원성이 되게 할 수 있다. 추가 구현예에서, mRNA는 이소시토신, 슈도이소시토신, 5-브로모우라실, 5-프로피닐우라실, 6-아미노퓨린, 2-아미노퓨린, 이노신, 디아미노퓨린 및 2-클로로-6-아미노퓨린 시토신으로부터 선택된 1종 이상의 비표준 뉴클레오타이드 잔기, 뿐만 아니라 이들 변형 및 다른 핵염기 변형의 조합을 포함할 수 있다. 특정 구현예는 추가로, 푸라노스 고리 또는 핵염기에 대한 추가의 변형을 포함할 수 있다. 추가의 변형은, 예를 들면, 당 변형 또는 치환 (예를 들면, 2'-O-알킬 변형, 잠겨진 핵산 (locked nucleic acid; LNA) 중 하나 이상)을 포함할 수 있다. 일부 구현예에서, RNA는 추가의 폴리뉴클레오타이드 및/또는 펩타이드 폴리뉴클레오타이드 (PNA)와 복합되거나 혼성화될 수 있다. 당 변형이 2'-O-알킬 변형인 구현예에서, 그와 같은 변형은, 비제한적으로, 2'-데옥시-2'-플루오로 변형, 2'-O-메틸 변형, 2'-O-메톡시에틸 변형 및 2'-데옥시 변형을 포함할 수 있다. 특정 구현예에서, 임의의 이들 변형은 0-100%의 뉴클레오타이드 - 예를 들면, 0% 초과, 1%, 10%, 25%, 50%, 75%, 85%, 90%, 95% 또는 100%의 구성요소 뉴클레오타이드에서 개별적으로 또는 조합하여 존재할 수 있다.
핵산: 본 명세서에서 사용된 바와 같이, 용어 "핵산"은, 이의 가장 넓은 의미에서, 폴리뉴클레오타이드 사슬 내로 편입되거나 편입될 수 있는 임의의 화합물 및/또는 물질을 나타낸다. 일부 구현예에서, 핵산은 포스포디에스테르 연결을 통해 폴리뉴클레오타이드 사슬 내로 편입되거나 편입될 수 있는 화합물 및/또는 물질이다. 일부 구현예에서, "핵산"은 개별적인 핵산 잔기 (예를 들면, 뉴클레오타이드 및/또는 뉴클레오사이드)를 나타낸다. 일부 구현예에서, "핵산"은 개별적인 핵산 잔기를 포함하는 폴리뉴클레오타이드 사슬을 나타낸다. 일부 구현예에서, "핵산"은 RNA 뿐만 아니라 단일 및/또는 이중-가닥 DNA 및/또는 cDNA를 포함한다.
환자: 본 명세서에서 사용된 바와 같이, 용어 "환자" 또는 "대상체"는 제공된 조성물이, 예를 들면, 실험적, 진단적, 예방적, 성형적 및/또는 치료적 목적을 위해 투여될 수 있는 임의의 유기체를 나타낸다. 전형적인 환자는 동물 (예를 들면, 포유동물 예컨대 마우스, 랫트, 토끼, 비-인간 영장류, 및/또는 인간)을 포함한다. 일부 구현예에서, 환자는 인간이다. 인간은 출생전 및 출생후 형태를 포함한다.
약제학적으로 허용가능한: 용어 "약제학적으로 허용가능한"은, 본 명세서에서 사용된 바와 같이, 타당한 의료 판단의 범위 내에서, 과도한 독성, 자극, 알러지성 반응, 또는 다른 문제 또는 합병증 없이 인간 및 동물의 조직과 접촉하여 사용하기에 적합하고, 합리적인 유익/유해 비율에 상응하는 물질을 나타낸다.
폴리머: 본 명세서에서 사용된 바와 같이, "폴리머"는 적어도 3개 (예를 들면, 적어도 10, 20, 30, 40, 50, 60, 70, 80, 90, 100개 등)의 반복적인 공유 결합된 구조 단위로 구성된 화합물을 나타낸다.
염: 본 명세서에서 사용된 바와 같이, 용어 "염" 또는 "약제학적으로 허용가능한 염"은, 타당한 의료 판단의 범위 내에서, 과도한 독성, 자극, 알러지성 반응 등이 없이 인간 및 하등 동물의 조직과 접촉하여 사용하기에 적합하고, 합리적인 유익/유해 비율에 상응하는 염들을 나타낸다. 약제학적으로 허용가능한 염은 당해 기술에 공지되어 있다. 예를 들면, 에스. 엠. 버지(S. M. Berge) 등은 하기 참조에서 약제학적으로 허용가능한 염을 상세히 기재한다: J. Pharmaceutical Sciences (1977) 66:1-19. 본 발명의 화합물의 약제학적으로 허용가능한 염은 적합한 무기 및 유기 산 및 염기로부터 유도된 것들을 포함한다. 약제학적으로 허용가능한, 비독성 산 부가 염의 예는 무기 산 예컨대 염산, 브롬화수소산, 인산, 황산 및 과염소산 또는 유기 산 예컨대 아세트산, 옥살산, 말레산, 타르타르산, 시트르산, 석신산 또는 말론산과 함께 형성되거나 당해 기술에 사용된 다른 방법 예컨대 이온 교환에 의해 형성된 아미노 그룹의 염이다. 다른 약제학적으로 허용가능한 염은 아디페이트, 알기네이트, 아스코르베이트, 아스파르테이트, 벤젠설포네이트, 벤조에이트, 바이설페이트, 보레이트, 부티레이트, 캄포레이트, 캄포르설포네이트, 시트레이트, 사이클로펜탄프로피오네이트, 디글루코네이트, 도데실설페이트, 에탄설포네이트, 포르메이트, 푸마레이트, 글루코헵토네이트, 글리세로포스페이트, 글루코네이트, 헤미설페이트, 헵타노에이트, 헥사노에이트, 하이드로아이오다이드, 2-하이드록시-에탄설포네이트, 락토바이오네이트, 락테이트, 라우레이트, 라우릴 설페이트, 말레이트, 말레에이트, 말로네이트, 메탄설포네이트, 2-나프탈렌설포네이트, 니코티네이트, 니트레이트, 올레이트, 옥살레이트, 팔미테이트, 파모에이트, 펙티네이트, 퍼설페이트, 3-페닐프로피오네이트, 포스페이트, 피크레이트, 피발레이트, 프로피오네이트, 스테아레이트, 석시네이트, 설페이트, 타르트레이트, 티오시아네이트, p-톨루엔설포네이트, 운데카노에이트, 발레레이트 염 등을 포함한다. 적절한 염기로부터 유도된 염은 알칼리 금속, 알칼리토 금속, 암모늄 및 N+(C1-4알킬)4 염을 포함한다. 대표적인 알칼리 또는 알칼리토금속 염은 나트륨, 리튬, 칼륨, 칼슘, 마그네슘 등을 포함한다. 추가의 약제학적으로 허용가능한 염은, 적절한 경우, 반대이온 예컨대 할라이드, 하이드록사이드, 카복실레이트, 설페이트, 포스페이트, 니트레이트, 설포네이트 및 아릴 설포네이트를 사용하여 형성된, 비독성 암모늄, 4차 암모늄, 및 아민 양이온을 포함한다. 추가의 약제학적으로 허용가능한 염은 사원화된 알킬화된 아미노 염을 형성하기 위해 적절한 친전자체, 예를 들면, 알킬 할라이드를 사용한 아민의 사원화로부터 형성된 염을 포함한다.
전신 분배 또는 전달: 본 명세서에서 사용된 바와 같이, 용어들 "전신 분배", "전신 전달" 또는 문법적 동등물은 전신 또는 전체 유기체에 영향을 주는 전달 또는 분배 기전 또는 접근법을 나타낸다. 전형적으로, 전신 분배 또는 전달은, "국부 분배 또는 전달"의 정의와 비교해서, 신체 순환 시스템, 예를 들면, 혈류를 통해 달성된다.
대상체: 본 명세서에서 사용된 바와 같이, 용어 "대상체"는 인간 또는 임의의 비-인간 동물 (예를 들면, 마우스, 랫트, 토끼, 개, 고양이, 소, 돼지, 양, 말 또는 영장류)을 나타낸다. 인간은 출생전 및 출생후 형태를 포함한다. 많은 구현예에서, 대상체는 인간이다. 대상체는 환자일 수 있으며, 이는 질환의 진단 또는 치료를 위해 의료 제공자에게 출석한 인간을 나타낸다. 용어 "대상체"는 본원에서 "개체" 또는 "환자"와 상호교환적으로 사용된다. 대상체는 질환 또는 장애로 고통받을 수 있거나 또는 질환 또는 장애에 걸리기 쉬울 수 있지만, 질환 또는 장애의 증상을 나타낼 수 있거나 나타내지 않을 수 있다.
실질적으로: 본 명세서에서 사용된 바와 같이, 용어 "실질적으로"는 전체 또는 거의-전체 정도(extent 또는 degree)의 목적하는 특징 또는 특성을 나타내는 정성적 상태를 나타낸다. 생물학적 분야의 숙련가는, 생물학적 및 화학 현상이 거의 완료되지 않고/않거나 완료되게 진행되지 않거나 절대적인 결과를 달성하지 않거나 방해하지 않음을 이해할 것이다. 따라서, 용어 "실질적으로"는 많은 생물학적 및 화학 현상에서 내재된 완전성의 잠재적 결핍을 포착하기 위해 본원에 사용된다.
표적 조직: 본 명세서에서 사용된 바와 같이, 용어 "표적 조직"은 치료될 질환에 의해 영향을 받는 임의의 조직을 나타낸다. 일부 구현예에서, 표적 조직은 질환-관련된 병리, 증상, 또는 특징을 나타내는 조직을 포함한다.
치료적으로 유효한 양: 본 명세서에서 사용된 바와 같이, 용어 치료제의 "치료적으로 유효한 양"은, 질환, 장애, 및/또는 병태를 앓고 있거나 이들에 걸리기 쉬운 대상체에게 투여될 때, 질환, 장애, 및/또는 병태의 증상(들)을 치료하고/하거나 진단하고/하거나 예방하고/하거나 이의 개시를 지연하는데 충분한 양을 의미한다. 치료적으로 유효한 양은 전형적으로 적어도 하나의 단위 용량을 포함하는 투약 레지멘을 통해 투여됨이 당해 분야의 숙련가에게 이해될 것이다.
치료하는: 본 명세서에서 사용된 바와 같이, 용어 "치료하다", "치료" 또는 "치료하는"은 특정한 질환, 장애, 및/또는 병태의 하나 이상의 증상 또는 특징을 부분적으로 또는 완전히 완화하고/하거나, 개선시키고/시키거나, 경감시키고/시키거나, 억제하고/하거나, 예방하고/하거나, 이의 개시를 지연시키고/시키거나, 이의 중증도를 감소시키고/시키거나 이의 발생정도를 감소시키기 위해 사용된 임의의 방법을 나타낸다. 치료제는 질환과 관련된 병리의 발병 위험을 감소시킬 목적으로 질환의 징후를 나타내지 않고/않거나 질환의 초기 징후만을 나타내는 대상체에게 투여될 수 있다.
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
라세미 혼합물 |
190 ± 43 | 212 ± 54 | 471 ± 309 |
201 ± 89 | 403 ± 42 | 937 ± 337 | |
207 ± 84 | 425 ± 169 | 497 ± 213 | |
344 ± 57 | 555 ± 122 | 1387 ± 593 | |
426 ± 112 | 757 ± 158 | 1509 ± 598 | |
457 ± 274 | 728 ± 126 | 910 ± 327 | |
503 ± 201 | 653 ± 133 | 1010 ± 154 | |
618 ± 503 | 638 ± 273 | 209 ± 169 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
라세미 라이신 코어를 갖는 S4 | 170 ± 40 | 132 ± 44 | 375 ± 244 |
155 ± 57 | 157 ± 38 | 674 ± 147 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
라세미 라이신 코어 를 갖는 S4 | 188 ± 22 | 265 ± 122 | 823 ± 215 |
236 ± 163 | 237 ± 139 | 568 ± 248 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
SS 라이신 코어를 갖는 라세미 -OH | 378 ± 58 | 622 ± 76 | 117 ± 80 |
618 ± 503 | 638 ± 273 | 209 ± 169 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
S4-S,S-cKKE12 | 226 ± 71 | 384 ± 233 | 1121 ± 468 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
R4-S,S-cKKE12 | 175 ± 102 | 144 ± 35 | 449 ± 105 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
S4-S,R-cKKE12 | 190 ± 75 | 193 ± 71 | 2303 ± 491 |
구조 | ALT (U/L) | AST (U/L) | ASS1 (ng/mg 총 단백질) |
R4-S,R-cKKE12 | 75 ± 13 | 82 ±12 | 264 ± 317 |
86 ± 27 | 119 ± 32 | 1369 ± 233 | |
94 ± 22 | 88 ± 16 | 467 ±149 | |
59 ± 13 | 73 ± 18 | 401 ±137 | |
139 ± 28 | 177 ± 73 | 1182 ± 150 | |
180 ± 19 | 141 ± 25 | 750 ± 324 | |
269 ± 80 | 424 ± 156 | 2790 ± 464 | |
123 ± 39 | 124 ± 22 | 1113 ± 35 | |
60 ± 4 | 49 ± 5 | 846 ± 226 | |
70 ± 10 | 78 ± 24 | 1082 ± 189 |
단일 정맥내 용량의 cKK-E12. 스크리닝하기 위해 사용된 24 시간 후-제형은 cKK-E12:DOPE:Chol:DMG-PEG2K였다 | 구조 배정 | ALT | AST |
로트 #1 | '라세미' 혼합물 | 885 ± 489 | 982 ± 350 |
207 ± 84 | 425 ± 169 | ||
504 ± 317 | 657 ± 176 | ||
503 ± 201 | 653 ± 133 | ||
로트 #2 | 365 ± 152 | 604 ± 136 | |
401 ± 265 | 586 ± 193 | ||
로트 #3 | 197 ± 50 | 309 ± 33 | |
로트 #1 | S4-SS | 226 ± 71 | 384 ± 233 |
로트 #1 | R4-SS | 175 ± 102 | 144 ± 35 |
로트 #1 | S4-RR | 152 ± 9 | 180 ± 42 |
로트 #1 | R4-RR | 136 ± 34 | 194 ± 80 |
로트 #1 | S4-RS/SR | 143 ± 29 | 240 ± 98 |
189 ± 47 | 203 ± 87 | ||
로트 #2 | 190 ± 75 | 193 ± 71 | |
로트 #1 | R4-RS/SR | 86 ± 27 | 119 ± 32 |
75 ± 13 | 82 ±12 | ||
76 ± 4 | 79 ± 4 | ||
94 ± 22 | 88 ± 16 | ||
로트 #2 | 269 ± 80 | 424 ± 156 | |
139 ± 28 | 177 ± 73 | ||
180 ± 19 | 141 ± 25 | ||
91 ±13 | 98 ±18 | ||
로트 #3 | 125 ± 47 | 104 ± 27 | |
로트 #4 | 94 ± 24 | 91 ± 14 | |
로트 #5 | 60 ± 4 | 49 ± 5 | |
로트 #6 | 70 ± 10 | 78 ± 24 | |
로트 #7 | 308 ± 115 | 354 ± 128 | |
123 ± 39 | 124 ± 22 |
Claims (61)
- 지질 나노입자 및 약제학적으로 허용가능한 부형제를 포함하며, 치료 단백질을 암호화하는 mRNA의 전달에 의해 질환 또는 장애를 치료하기 위한 약제학적 조성물로서,
지질 나노입자가:
메신저 RNA(mRNA)인 폴리뉴클레오타이드; 하나 이상의 비-양이온성 지질, 하나 이상의 콜레스테롤 기반 지질 및 하나 이상의 PEG-변형 지질; 및
식 I의 하나 이상의 화학 단위체를 포함하며, 상기 단위체 각각은 식 I의 화합물 또는 이의 약제학적으로 허용가능한 염이고:
조성물 중 식 I의 화학 단위체의 총량의 50% 초과는 식 I.a.i의 화학 단위체인 것을 특징으로 하는, 약제학적 조성물:
. - 제1항에 있어서, 식 I.a.i의 화학 단위체의 양은 70% 초과인, 약제학적 조성물.
- 제1항에 있어서, 식 I.a.i의 화학 단위체의 양은 80% 초과인, 약제학적 조성물.
- 제1항에 있어서, 식 I.a.i의 화학 단위체의 양은 90% 초과인, 약제학적 조성물.
- 제1항에 있어서, 식 I.a.i의 화학 단위체의 양은 95% 초과인, 약제학적 조성물.
- 제1항에 있어서, 하나 이상의 비-양이온성 지질은 DSPC (1,2-디스테아로일-sn-글리세로-3-포스포콜린), DPPC (1,2-디팔미토일-sn-글리세로-3-포스포콜린), DOPE (1,2-디올레일-sn-글리세로-3-포스포에탄올아민), DOPC (1,2-디올레일-sn-글리세로-3-포스포티딜콜린) DPPE (1,2-디팔미토일-sn-글리세로-3-포스포에탄올아민), DMPE (1,2-디미리스토일-sn-글리세로-3-포스포에탄올아민), 및 DOPG (1,2-디올레오일-sn-글리세로-3-포스포-(1'-rac-글리세롤))로 이루어진 군에서 선택되는, 약제학적 조성물.
- 제1항에 있어서, 하나 이상의 콜레스테롤계 지질은 콜레스테롤 및 페길화된 콜레스테롤로 이루어진 군에서 선택되는, 약제학적 조성물.
- 제1항에 있어서, 하나 이상의 PEG-변형된 지질은 C6-C20 길이의 알킬 사슬(들)을 갖는 지질에 공유결합된, 최대 5 kDa의 길이를 갖는 폴리(에틸렌) 글리콜 사슬을 포함하는, 약제학적 조성물.
- 제1항에 있어서, 지질 나노입자는 리포솜에 포함되고, 리포좀은 250 nm 미만의 크기를 갖는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 0.5kb 이상의 길이를 갖는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 세포질 단백질을 암호화하는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 분비된 단백질을 암호화하는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 효소를 암호화하는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 세포내 효소를 암호화하는, 약제학적 조성물.
- 제14항에 있어서, mRNA에 의해 암호화된 효소는 요소 대사 또는 리소좀 축적 대사성 장애와 관련된 효소인, 약제학적 조성물.
- 제1항에 있어서, mRNA는 막통과 단백질을 암호화하는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 이온 통로 단백질을 암호화하는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 하나 이상의 변형된 뉴클레오타이드를 포함하는, 약제학적 조성물.
- 제18항에 있어서, 하나 이상의 변형된 뉴클레오타이드는 슈도우리딘, N-1-메틸-슈도우리딘, 2-아미노아데노신, 2-티오티미딘, 이노신, 피롤로-피리미딘, 3-메틸 아데노신, 5-메틸시티딘, C-5 프로피닐-시티딘, C-5 프로피닐-우리딘, 2-아미노아데노신, C5-브로모우리딘, C5-플루오로우리딘, C5-아이오도우리딘, C5-메틸시티딘, 7-데아자아데노신, 7-데아자-구아노신, 8-옥소아데노신, 8-옥소구아노신, O(6)-메틸구아닌, 및 2-티오시티딘으로 이루어진 군에서 선택되는, 약제학적 조성물.
- 제1항에 있어서, mRNA는 비변형되는, 약제학적 조성물.
- 치료 단백질을 암호화하는 mRNA를 포함하는 조성물의 전달에 의해 질환 또는 장애를 치료하기 위한 의약의 제조를 위한 조성물로서, 조성물은 제1항의 약제학적 조성물이며, 리포좀은 리포좀 내에 캡슐화된 치료 단백질을 암호화하는 mRNA을 포함하고, 그 결과 조성물의 투여는 대상체에서 mRNA에 의해 암호화된 단백질의 발현을 야기하는, 조성물.
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