HRP20211453T1 - Liječenje amd uporabom aav sflt-1 - Google Patents
Liječenje amd uporabom aav sflt-1 Download PDFInfo
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- HRP20211453T1 HRP20211453T1 HRP20211453TT HRP20211453T HRP20211453T1 HR P20211453 T1 HRP20211453 T1 HR P20211453T1 HR P20211453T T HRP20211453T T HR P20211453TT HR P20211453 T HRP20211453 T HR P20211453T HR P20211453 T1 HRP20211453 T1 HR P20211453T1
- Authority
- HR
- Croatia
- Prior art keywords
- raav
- wet amd
- treatment
- vegf
- administration
- Prior art date
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- 208000000208 Wet Macular Degeneration Diseases 0.000 claims 10
- 238000002347 injection Methods 0.000 claims 5
- 239000007924 injection Substances 0.000 claims 5
- 108010073929 Vascular Endothelial Growth Factor A Proteins 0.000 claims 3
- 102000005789 Vascular Endothelial Growth Factors Human genes 0.000 claims 3
- 108010019530 Vascular Endothelial Growth Factors Proteins 0.000 claims 3
- 238000000034 method Methods 0.000 claims 3
- 238000013534 fluorescein angiography Methods 0.000 claims 2
- 239000012634 fragment Substances 0.000 claims 2
- 239000008194 pharmaceutical composition Substances 0.000 claims 2
- 239000002525 vasculotropin inhibitor Substances 0.000 claims 2
- 239000013598 vector Substances 0.000 claims 2
- 230000004304 visual acuity Effects 0.000 claims 2
- 241000702421 Dependoparvovirus Species 0.000 claims 1
- 206010012689 Diabetic retinopathy Diseases 0.000 claims 1
- 206010029113 Neovascularisation Diseases 0.000 claims 1
- 108091028043 Nucleic acid sequence Proteins 0.000 claims 1
- 229960002833 aflibercept Drugs 0.000 claims 1
- 108010081667 aflibercept Proteins 0.000 claims 1
- 229960000397 bevacizumab Drugs 0.000 claims 1
- 230000007423 decrease Effects 0.000 claims 1
- 239000003937 drug carrier Substances 0.000 claims 1
- 108020001507 fusion proteins Proteins 0.000 claims 1
- 102000037865 fusion proteins Human genes 0.000 claims 1
- 239000003112 inhibitor Substances 0.000 claims 1
- 150000007523 nucleic acids Chemical group 0.000 claims 1
- 239000000825 pharmaceutical preparation Substances 0.000 claims 1
- 102000004169 proteins and genes Human genes 0.000 claims 1
- 108090000623 proteins and genes Proteins 0.000 claims 1
- 239000013608 rAAV vector Substances 0.000 claims 1
- 229960003876 ranibizumab Drugs 0.000 claims 1
- 108091008601 sVEGFR Proteins 0.000 claims 1
- 238000002560 therapeutic procedure Methods 0.000 claims 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
- A61B3/02—Subjective types, i.e. testing apparatus requiring the active assistance of the patient
- A61B3/028—Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing visual acuity; for determination of refraction, e.g. phoropters
- A61B3/032—Devices for presenting test symbols or characters, e.g. test chart projectors
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- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7088—Compounds having three or more nucleosides or nucleotides
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K35/00—Medicinal preparations containing materials or reaction products thereof with undetermined constitution
- A61K35/66—Microorganisms or materials therefrom
- A61K35/76—Viruses; Subviral particles; Bacteriophages
- A61K35/761—Adenovirus
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- 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
- A61K38/177—Receptors; Cell surface antigens; Cell surface determinants
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- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
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- C07K14/71—Receptors; Cell surface antigens; Cell surface determinants for growth factors; for growth regulators
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- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/08—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses
- C07K16/081—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses from DNA viruses
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- C07K16/22—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against growth factors ; against growth regulators
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- C12N15/00—Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
- C12N15/09—Recombinant DNA-technology
- C12N15/63—Introduction of foreign genetic material using vectors; Vectors; Use of hosts therefor; Regulation of expression
- C12N15/79—Vectors or expression systems specially adapted for eukaryotic hosts
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Claims (8)
1. Rekombinantni adeno-asocirani virus (rAAV) za uporabu u postupku liječenja mokre senilne makularne degeneracije (mokra AMD) kod ljudskog subjekta koji boluje od mokre AMD, pri čemu postupak obuhvaća:
i) davanje najmanje jedne doze inhibitora vaskularnog endotelnog faktora rasta (VEGF) odabranog od protu-VEGF protutijela i topljivog VEGF receptora, ili njihovog fuzijskog proteina ili fragmenta, intravitrealnom injekcijom, između 1 i 30 dana prije primjene rAAV ljudskom subjektu;
ii) injeciranje, u oko ljudskog subjekta, jedinične doze koja sadrži najmanje 1 x 106, a najviše 1 x 1015 genoma rAAV vektora, i farmaceutski prihvatljiv nosač, pri čemu rAAV sadrži sekvencu nukleinske kiseline koja kodira anti-VEGF protein i pri čemu anti-VEGF protein sadrži ljudski sFLT1 ili njegov funkcionalni fragment; i po izboru
iii) primjenu jedne ili dvije doze VEGF inhibitora i) intraokularnim injektiranjem u intervalu od 30 dana nakon primjene rAAV.
2. rAAV za uporabu u postupku liječenja mokreAMD sukladno patentnom zahtjevu 1, pri čemu se injeciranje vrši samo jednom u najmanje 18 meseci.
3. rAAV za uporabu u postupku liječenja mokreAMD sukladno patentnom zahtjevu 1 ili 2, pri čemu jedinična doza sadrži najmanje 1 x 108, a najviše 1 x 1013 genoma vektora.
4. rAAV za uporabu u postupku liječenja mokreAMD sukladno patentnom zahtjevu 1 ili 2, pri čemu jedinična doza sadrži najmanje 1 x 109, a najviše 3 x 1013 genoma vektora.
5. rAAV za uporabu u postupku liječenja mokreAMD sukladno bilo kojem od patentnih zahtjeva od 1 do 4, pri čemu uporaba nadalje obuhvaća mjerenje oštrine vida upotrebom slova Studije rane terapije u dijabetskoj retinopatiji (ETDRS), nakon primjene farmaceutskog pripravka, pri čemu se smanjenje neovaskularizacije zapaža fluoresceinskom angiografijom (FA) nakon primjene farmaceutskog pripravka, ili pri čemu se najbolje korigirana oštrina vida (BCVA) kod ljudskog subjekta smanjuje za manje od 15 slova, što se mjeri uporabom ETDRS slova nakon primjene farmaceutskog pripravka, ili pri čemu se BCVA kod ljudskog subjekta poboljšava za najmanje 1 red, što se mjeri uporabom ETDRS slova nakon primjene jedinične doze.
6. rAAV za uporabu u postupku liječenja mokreAMD sukladno bilo kojem od patentnih zahtjeva od 1 do 5, pri čemu injektiranje obuhvaća subretinalno injektiranje.
7. rAAV za uporabu u postupku liječenja mokreAMD sukladno patentnom zahtjevu 6, koji nadalje obuhvaća uklanjanje staklastog gela prije injektiranja jedinične doze.
8. rAAV za uporabu u postupku liječenja mokreAMD sukladno bilo kojem od patentnih zahtjeva od 1 do 7, pri čemu je VEGF-inhibitor i) odabran iz skupine koju čine bevacizumab, ranibizumab i aflibercept.
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