WO1993006856A1 - Treating ophthalmic fibrosis using interferon-alpha - Google Patents
Treating ophthalmic fibrosis using interferon-alpha Download PDFInfo
- Publication number
- WO1993006856A1 WO1993006856A1 PCT/AU1992/000541 AU9200541W WO9306856A1 WO 1993006856 A1 WO1993006856 A1 WO 1993006856A1 AU 9200541 W AU9200541 W AU 9200541W WO 9306856 A1 WO9306856 A1 WO 9306856A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- interferon
- patient
- treatment
- surgery
- diluent
- Prior art date
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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]
- A61K38/212—IFN-alpha
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
Definitions
- the present invention relates to the use of topical interferon- ⁇ for the treatment of various forms of fibrosis in and around the eye arising from various ophthalmic diseases
- the invention relates to alleviation of corneal scarring after laser photoablative refractive keratectomy (PRK). It also relates to the alleviation of
- Interferon- ⁇ may also be used to coat the lens implant prior to or during implantation. It
- 10 may also possibly be injected into the eye during eye surgery for inhibiting posterior capsule opacification after cataract surgery and in addition may be injected into the vitreous body to prevent retinal fibrosis and proliferative vitreo-retinopathy, and injected subconjunctivally to inhibit fibrosis and scarring following glaucoma filtration surgery.
- Interferons are a heterogeneous group of proteins that can inhibit many aspects of the fibrotic response. Originally identified by their well known ability to interfere with the production of viral RNA and protein, they also exert anticellular activities generally considered to be inhibitory, which maybe due to their ability to inhibit the c-myc proto- oncogene.
- Type I interferon viral interferon, interferon- ⁇ and - ⁇
- type LI immune interferon, interferon- ⁇
- ⁇ -interferon is secreted by leukocytes, ⁇ - by fibroblasts and ⁇ - by stimulated lymphocytes. Interferons, particularly interferon- ⁇ , have been successfully used in humans for twenty years for the treatment of systemic malignancy.
- Fibroblasts are stimulated to produce interferons by many cytokines that mediate wound healing, such as interieukin-l-(LL-l), platelet derived growth factor (PDGF) and tumour necrosis factor (TNF). Interferons inhibit fibroblast chemotaxis and proliferation as well as collagen production, the latter synergistically with TNF- ⁇ . Intraperitoneally implanted foreign bodies in mice suffered less encapsulation in the presence of interferon- ⁇ , the capsules having a reduced collagen content.
- cytokines that mediate wound healing
- PDGF platelet derived growth factor
- TNF tumour necrosis factor
- Fibroblast glycosaminoglycan production is inhibited by interferon- ⁇ , while collagenase production is increased. This deactivation of activated fibroblasts can persist for a long time after a brief exposure to interferon. Of the different types of interferon, the ⁇ - and ⁇ - subclasses exhibit a broader antifibrotic spectrum.
- interferon- ⁇ inhibits foetal calf serum and platelet derived growth factor induced proliferation of human tenon's capsule fibroblasts in vitro. They suggest that interferons may prove to be of benefit in the treatment of fibrosis following PRK in particular, and of ocular fibrosis in general.
- a method for the treatment of corneal scarring in a patient requiring such treatment comprising administering to the cornea of said patient an effective amount of interferon- ⁇ or a pharmaceutical composition for the treatment of corneal scarring in a patient comprising ⁇ nterferon- ⁇ together with a pharmaceutically acceptable carrier, diluent and/or excipient.
- a method for inhibiting opacification of the posterior capsule after extracapsular cataract surgery comprising administering to the lens capsule of said patient an effective amount of interferon- ⁇ or a pharmaceutical composition for this method comprising interferon- ⁇ together with a pharmaceutically acceptable carrier, diluent and/or excipient.
- a method for inhibiting wound fibrosis and scarring after glaucoma filtration surgery, in a patient requiring such treatment comprising administering to the subconjunctival space of said patient an effective amount of interferon- ⁇ or a pharmaceutical composition for this method comprising interferon- ⁇ together with a pharmaceutically acceptable carrier, diluent and/or excipient.
- ⁇ occlusion in a patient requiring such treatment, comprising administering to the vitreous body or retina of said patient an effective amount of interferon- ⁇ or a pharmaceutical composition for this method comprising interferon- ⁇ together with a pharmaceutically
- Interferon- ⁇ 2 A, interferon- ⁇ 2B or interferon- ⁇ 2C or any other type of interferon- ⁇ may be used in this invention.
- the invention also provides novel protein formulations in which the carrier or diluent is a bioerodable polymer, e.g. a polymer ester (polyanhydrine), which may be a 15 copolymer of sebacic acid and bis paracarboxyphenoxybutane; or a poly(ortho) ester.
- a bioerodable polymer e.g. a polymer ester (polyanhydrine), which may be a 15 copolymer of sebacic acid and bis paracarboxyphenoxybutane; or a poly(ortho) ester.
- the method of this, invention inhibits the scarring response following a variety of corneal procedures such as photoablative refractive keratectomy; lamellar keratoplasty; lamellar keratectomy; epikeratoplasty; removal of pterygium and keratomileusis.
- the patient on whom the methods of this invention are used is a human. 20 However, the methods would also be able to be used on other mammals.
- the methods of this invention may also inhibit scarring after chemical damage to conjunctiva and comea and may also prevent scarring in pathological conditions such as ocular pemphigoid and StevensJohnson's syndrome, Simplex & Zoster keratitis. It may also inhibit fibrosis in thyroid eye disease, orbital psuedo-tumour and ocular myositis. 25 Preparation of topical composition drops are made up from Intron A powder
- Intron A Formulation of Intron A is as follows: ⁇ - 2b interferon solution Dibasic sodium phosphate, anhydrous, USP 30 Monosodium phosphate, monohydrate, USP
- Glycine ph. eur. Human albumin solution, ph. eur. ⁇ Water for injection, ph. eur.
- Drops base may be hypromellose or polyvinyl alcohol for dilution to 10 6 IU/mL.
- t 35 The composition of the present invention may be administered topically as a solution, ointment, or within a collagen shield or similar dissolving corneal contact protective dressing containing conventional, non-toxic, pharmaceutically acceptable carriers, diluents and/or excipients as desired, or by direct injection.
- the dosage range of interferon- ⁇ may be between about 50,000 and 50 x 10 6 IU and may be between about 1 x 10 6 to 20 x 10 6 IU/mL. Preferably the dosage is between about lxlO 6 and about lOxlO 6 IU/mL.
- the interferon- ⁇ may be administered in 50 ⁇ L drops, four times a day for six weeks; or preferably two times a day for one week. Interferon- ⁇ may also be administered two times a day for three days or one drop hourly for three days. This dosage range is applicable to the first, second and third embodiments of the invention.
- the interferon- ⁇ is given by intravitreal injection within the range of 50,000 to 5.0 x 10 6 IU/O.lmL.
- compositions of this invention may also contain a slow release polymer.
- the pharmaceutically acceptable carriers, diluents and/or excipients are those well known in the art of ophthalmic surgery and comprise the following: hydroxyethyl cellulose, hypromellose, polyvinyl alcohol, gelatin, polyquad, dextran, castor oil or other vegetable oil e.g. sesame, inert soft white paraffin, liquid paraffin, anhydrous lanolin, sodium hyalusonate, methyl cellulose, potassium sorbate, polysorbate; or sodium chloride, sodium phosphate, buffers hydrochloric acid bicarbonate, Na citrate (citric acid) boric acid in purified water.
- They may also be biodegradable polymer esters (polyanhydrines) e.g. sebacic acid and bis paracarboxyphenoxybutane, which are employed in the novel formulations of the invention.
- compositions may also contain preservatives and antiseptics such as: thiomersal, phenyl mercuric acetate, benzylalkonium chloride, disodium edetate, sodium metabisulfite, polymercuric nitrate, chlorobutol, hyloxapol, povidone, propyl hydroxy benzoate, methyl hydroxy benzoate.
- preservatives and antiseptics such as: thiomersal, phenyl mercuric acetate, benzylalkonium chloride, disodium edetate, sodium metabisulfite, polymercuric nitrate, chlorobutol, hyloxapol, povidone, propyl hydroxy benzoate, methyl hydroxy benzoate.
- composition of this invention be applied to the cornea immediately following photoablative refractive keratectomy.
- the interferon is applied as a drop, it is preferably to treat the eye thus, four to eight times a day for up to about 6 weeks.
- the corneal response may be modified by the pre-treatment with interferon ⁇ drops before PRK. It may also be modified by pre-treatment with steroid drops.
- the interferon- ⁇ may be prepared from natural sources or may be prepared by recombinant DNA techniques. All of these techniques would be well known to one skilled in this art.
- Example 1 Preparation of interferon ⁇ -2B topical composition
- Preparation of topical composition drops are made up from Intron A powder (Schering-Plough) to a solution of 1 x 10 6 IU/mL.
- Formulation of Intron A is as follows: ⁇ -2b interferon solution Dibasic sodium phosphate, anhydrous, USP
- the drops base is hypromellose or polyvinyl alcohol for dilution to 10 6 IU/mL.
- Example 2 The composition of this invention is applied to the cornea immediately following photoablative refractive keratectomy, As a drop, ointment or collagen shield etc. Where the interferon is applied as a drop, it is preferable to treat the eye thus, four times a day for up to about 6 weeks.
- the corneal response may be modified by the pre-treatment with interferon- ⁇ -2b drops before PRK. It may also be modified by pre-treatment with steroid drops.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Public Health (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Animal Behavior & Ethology (AREA)
- Epidemiology (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Gastroenterology & Hepatology (AREA)
- Immunology (AREA)
- Zoology (AREA)
- Ophthalmology & Optometry (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Medicinal Preparation (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP92921557A EP0607275A4 (en) | 1991-10-11 | 1992-10-12 | Treating ophthalmic fibrosis using interferon-alpha. |
AU27748/92A AU669132B2 (en) | 1991-10-11 | 1992-10-12 | Treating ophthalmic fibrosis using interferon-alpha |
JP5506481A JPH07501320A (en) | 1991-10-11 | 1992-10-12 | Treatment of ocular fibrosis with interferon alpha |
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AUPK8865 | 1991-10-11 | ||
AUPK886591 | 1991-10-11 | ||
AUPK908091 | 1991-10-22 | ||
AUPK9080 | 1991-10-22 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1993006856A1 true WO1993006856A1 (en) | 1993-04-15 |
Family
ID=25644122
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/AU1992/000541 WO1993006856A1 (en) | 1991-10-11 | 1992-10-12 | Treating ophthalmic fibrosis using interferon-alpha |
Country Status (4)
Country | Link |
---|---|
EP (1) | EP0607275A4 (en) |
JP (1) | JPH07501320A (en) |
CA (1) | CA2120950A1 (en) |
WO (1) | WO1993006856A1 (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1996029092A1 (en) * | 1995-03-17 | 1996-09-26 | Toray Industries, Inc. | Corneal vascularization inhibitor |
EP0797998A1 (en) * | 1995-11-17 | 1997-10-01 | Toray Industries, Inc. | Endothelial cell protective |
WO1998029069A2 (en) * | 1997-01-02 | 1998-07-09 | Allergan Sales, Inc. | Method for changing the refractive power of an eye |
WO2006136116A1 (en) * | 2005-06-24 | 2006-12-28 | Centro De Ingenieria Genetica Y Biotecnologia | Use of interferon-alpha in order to obtain a compound for the treatment of optical neuromyelitis |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE69722178T2 (en) * | 1996-11-22 | 2003-11-27 | Toray Industries, Inc. | THERAPEUTIC ACTIVE SUBSTANCE FOR EYE DISEASES |
Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0082481A1 (en) * | 1981-12-23 | 1983-06-29 | Schering Corporation | Stabilised alpha-interferon formulations and their preparation |
AU6829287A (en) * | 1986-02-05 | 1987-08-06 | Dr. Karl Thomae Gmbh | Stabilised formulations of alpha-interferon |
AU7730787A (en) * | 1986-08-21 | 1988-02-25 | Dr. Karl Thomae Gmbh | Formulations of alpha-interferons |
WO1988003411A1 (en) * | 1986-11-06 | 1988-05-19 | Amarillo Cell Culture Company, Inc. | Improved interferon therapy |
AU6820190A (en) * | 1988-01-25 | 1991-03-14 | Baker Norton Pharmaceuticals, Inc. | Method of treating fibrotic disorders |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS6391331A (en) * | 1986-10-03 | 1988-04-22 | Senjiyu Seiyaku Kk | Ophthalmic aqueous composition |
-
1992
- 1992-10-12 WO PCT/AU1992/000541 patent/WO1993006856A1/en not_active Application Discontinuation
- 1992-10-12 JP JP5506481A patent/JPH07501320A/en active Pending
- 1992-10-12 CA CA002120950A patent/CA2120950A1/en not_active Abandoned
- 1992-10-12 EP EP92921557A patent/EP0607275A4/en not_active Withdrawn
Patent Citations (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0082481A1 (en) * | 1981-12-23 | 1983-06-29 | Schering Corporation | Stabilised alpha-interferon formulations and their preparation |
AU6829287A (en) * | 1986-02-05 | 1987-08-06 | Dr. Karl Thomae Gmbh | Stabilised formulations of alpha-interferon |
AU7730787A (en) * | 1986-08-21 | 1988-02-25 | Dr. Karl Thomae Gmbh | Formulations of alpha-interferons |
WO1988003411A1 (en) * | 1986-11-06 | 1988-05-19 | Amarillo Cell Culture Company, Inc. | Improved interferon therapy |
AU6820190A (en) * | 1988-01-25 | 1991-03-14 | Baker Norton Pharmaceuticals, Inc. | Method of treating fibrotic disorders |
Non-Patent Citations (1)
Title |
---|
See also references of EP0607275A4 * |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1996029092A1 (en) * | 1995-03-17 | 1996-09-26 | Toray Industries, Inc. | Corneal vascularization inhibitor |
EP0797998A1 (en) * | 1995-11-17 | 1997-10-01 | Toray Industries, Inc. | Endothelial cell protective |
EP0797998A4 (en) * | 1995-11-17 | 2003-01-15 | Toray Industries | Endothelial cell protective |
WO1998029069A2 (en) * | 1997-01-02 | 1998-07-09 | Allergan Sales, Inc. | Method for changing the refractive power of an eye |
WO1998029069A3 (en) * | 1997-01-02 | 1998-10-08 | Allergan Inc | Method for changing the refractive power of an eye |
WO2006136116A1 (en) * | 2005-06-24 | 2006-12-28 | Centro De Ingenieria Genetica Y Biotecnologia | Use of interferon-alpha in order to obtain a compound for the treatment of optical neuromyelitis |
Also Published As
Publication number | Publication date |
---|---|
EP0607275A1 (en) | 1994-07-27 |
JPH07501320A (en) | 1995-02-09 |
CA2120950A1 (en) | 1993-04-15 |
EP0607275A4 (en) | 1995-02-22 |
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