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Title: Polymer conjugates of interferon beta-1a and uses
United States Patent: 6,962,978
Issued: November 8, 2005
Inventors: Pepinsky; Blake (Arlington, MA); Runkel; Laura
(Cambridge, MA); Brickelmaier; Margot (Boxford, MA); Whitty; Adrian
(Hopkinton, MA); Hochman; Paula (Newton, MA)
Assignee: Biogen, Inc. (Cambridge, MA)
Appl. No.: 832658
Filed: April 11, 2001
Abstract
An interferon beta polypeptide comprising interferon-beta 1a coupled to a
polymer containing a polyalkylene glycol moiety wherein the
interferon-beta-1a and the polyalkylene glycol moiety are arranged such that
the interferon-beta-1a has an enhanced activity relative to another
therapeutic form of interferon beta (interferon-beta-1b) and exhibits no
decrease in activity as compared to non-conjugated interferon-beta-1a. The
conjugates of the invention are usefully employed in therapeutic as well as
non-therapeutic, e.g., diagnostic, applications.
SUMMARY OF THE INVENTION
We have exploited the advantages of glycosylated interferon-beta relative
to non-glycosylated forms. In particular, we have developed an
interferon-beta-1a composition with increased activity relative to
interferon-beta-1b and that also has the salutory properties of pegylated
proteins in general with no effective loss in activity as compared to
interferon-beta-1a forms that are not conjugated. Thus, if modifications are
made in such a way that the products (polymer-interferon-beta 1a conjugates)
retain all or most of their biological activities, the following properties
may result: altered pharmacokinetics and pharmacodynamics leading to
increased half-life and alterations in tissue distribution (e.g, ability to
stay in the vasculature for longer periods of time), increased stability in
solution, reduced immunogenicity, protection from proteolytic digestion and
subsequent abolition of activity. Such a formulation is a substantial
advance in the pharmaceutical and medical arts and would make a significant
contribution to the management of various diseases in which interferon has
some utility, such as multiple sclerosis, fibrosis, and other inflammatory
or autoimmune diseases, cancers, hepatitis and other viral diseases. In
particular, the ability to remain for longer periods of time in the
vasculature allows the interferon beta 1a to be used to inhibit angiogenesis
and potentially to cross the blood-brain barrier. Further, the thermal
stability gained by creating polymer-interferon-beta-1a conjugates is an
advantage when formulating interferon-beta-1a in powder form for use in
subsequent administration via inhalation.
We used our knowledge of the crystallographic structure of
interferon-beta-1a and developed an interferon-beta-1a-polymer conjugate in
which the polymer is linked to those interferon-beta-1a site(s) that will
allow the conjugate to retain full activity of the interferon-beta-1a as
compared to interferon-beta-1a that is not conjugated.
One aspect of the invention is a conjugated interferon-beta-1a complex
wherein the interferon-beta-1a is covalently bonded to a polymer
incorporating as an integral part thereof a polyalkylene glycol.
In one particular aspect, the present invention relates to a physiologically
active interferon-beta-1a composition comprising physiologically active
interferon-beta-1a coupled with a polymer comprising a polyalkylene glycol
moiety wherein the interferon-beta-1a and polyalkylene glycol moiety are
arranged such that the physiologically active interferon-beta-1a in the
composition has an enhanced half life relative to the interferon-beta-1a
alone (i.e., in an unconjugated form devoid of the polymer coupled thereto).
Another aspect of the invention is an interferon-beta-1a composition
comprising physiologically active interferon-beta-1a coupled with a polymer
in which the interferon-beta-1a is a fusion protein, preferably an
immunoglobulin fusion. In such a complex, the close proximity of the
N-terminus (site of conjugation with polymer) and the C-terminus (site of
fusion with the Ig moiety) suggests that polymer conjugation may reduce the
immunogenicity of the fusion protein.
In another aspect, the present invention relates to a physiologically active
interferon-beta-1a composition comprising physiologically active
interferon-beta-1a coupled with a polymer comprising a polyalkylene glycol
moiety wherein the interferon-beta-1a and polyalkylene glycol moiety are
arranged such that the physiologically active interferon-beta-1a in the
composition has an enhanced activity relative to interferon-beta-1b alone
(i.e., in an unconjugated form devoid of the polymer coupled thereto).
Another embodiment of the invention is a conjugated interferon-beta-1a
protein whose interferon-beta-1a moiety has been mutated to provide for
muteins with selectively enhanced antiviral and/or antiproliferative
activity relative to non-mutated forms of interferon-beta-1a.
The invention relates to a further aspect to a stable, aqueously soluble,
conjugated interferon-beta-1a complex comprising a physiologically active
interferon-beta-1a covalently coupled to a physiologically compatible
polyethylene glycol moiety. In such complex, the interferon-beta-1a may be
covalently coupled to the physiologically compatible polyethylene glycol
moiety by a labile covalent bond at a free amino acid group of the
interferon-beta-1a, wherein the labile covalent bond is severed in vivo by
biochemical hydrolysis and/or proteolysis.
In another aspect, the present invention relates to a dosage form comprising
a pharmaceutically acceptable carrier and a stable, aqueously soluble,
interferon-beta 1a complex comprising interferon-beta coupled to a
physiologically compatible polyethylene glycol.
In another aspect, covalently coupled interferon-beta-1a compositions such
as those described above may utilize interferon-beta-1a intended for
diagnostic or in vitro applications, wherein the interferon-beta-1a is for
example a diagnostic reagent for immunoassay or other diagnostic or non-in
vivo applications. In such non-therapeutic applications, the complexes of
the invention are highly usefully employed as stabilized compositions which
may for example be formulated in compatible solvents or other solution-based
formulations to provide stable compositional forms which are of enhanced
resistance to degradation.
Modification of interferon-beta 1a with a non-toxic polymer may offer
certain advantages. If modifications are made in such a way that the
products (polymer-interferon-beta 1a conjugates) retain all or most of their
biological activities the following properties may result: altered
pharmacokinetics and pharmacodynamics leading to increased half-life and
alterations in tissue distribution (e.g, ability to stay in the vasculature
for longer periods of time), increased stability in solution, reduced
immunogenicity, protection of the modified interferon-beta 1a from
proteolytic digestion and subsequent abolition of activity; increased
thermal stability leading to more effective formulation of powdered
interferon-beta-1a for oral or inhaled use.
Interferon-beta-1a endowed with the improved properties described above may
be effective as therapy following either oral, aerosol, or parenteral
administration. Other routes of administration, such as nasal and
transdermal, may also be possible using the modified interferon-beta 1a.
Another aspect of the invention is a method of inhibiting angiogenesis and
neovascularization comprising subject an effective amount of the
compositions of the invention. As a result of increasing the level and
duration of the interferon in the vasculature, the pegylated product of the
invention should be particularly effective as an angiogenesis inhibitor.
In non-therapeutic (e.g., diagnostic) applications, conjugation of
diagnostic and/or reagent species of interferon-beta is also contemplated.
The resulting conjugated agent is resistant to environmental degradative
factors, including solvent- or solution-mediated degradation processes. As a
result of such enhanced resistance and increased stability of
interferon-beta-1a, the stability of the active ingredient is able to be
significantly increased, with concomitant reliability of the
interferon-beta-1a containing composition in the specific end use for which
same is employed.
DETAILED DESCRIPTION OF THE INVENTION
The Interferon-beta
Interferon-beta-1a is useful as an agent for the treatment, remission or
attenuation of a disease state, physiological condition, symptoms, or
etiological factors, or for the evaluation or diagnosis thereof. The term
also refers to interferon-beta-1a that is itself part of a fusion protein
such as an immunoglobulin-interferon-beta-1a fusion protein, as described in
co-pending applications Ser. Nos. 60/104,572 and 60/120,161. Preparation of
fusion proteins generally are well within the knowledge of persons having
ordinary skill in the art.
We found unique site(s) for polymer attachment that would not destroy
function of the interferon-beta-1a. In addition, we also used site-directed
mutagenesis methods to independently investigate site(s) for polymer
attachment (See Example 1). Briefly, we undertook a mutational analysis of
human interferon-beta-1a with the aim of mapping resides required for
activity and receptor binding. The availability of the 3-D crystal structure
of human interferon-beta-1a (see above and Example 1) allows us to identify,
for alanine (or serine) substitutions, the solvent-exposed residues
available for interferon beta receptor interactions, and to retain amino
acids involved in intramolecular bonds. A panel of fifteen alanine scanning
mutations were designed that replaced between two and eight residues along
distinct regions of each of the helices (A (A1 (SEQ ID NO:26), A2 (SEQ ID
NO:27)), B (B1(SEQ ID NO:31), B2(SEQ ID NO:32), C (C1 (SEQ ID NO:33), C2 (SEQ
ID NO:34)), D (SEQ ID NO:37), E (SEQ ID NO:40)) and loops (AB1(SEQ ID
NO:28), AB2 (SEQ ID NO:29), AB3 (SEQ ID NO:30), CD1 (SEQ ID NO:35), CD2 (SEQ
ID NO:36), DE1 (SEQ ID NO:38), DE2 (SEQ ID NO:39) of interferon-beta-1a (SEQ
ID NO:25). See Example 1.
An amino-terminal histidine tag ("his" tag) was included for affinity
purification of mammalian cell expressed mutants (FIG. 10 and SEQ ID
NOS: 1 and 2 for the cDNA and deduced amino acid sequences, respectively)
Functional consequences of these mutations are assessed in antiviral and
antiproliferation assays. A non-radioactive binding assay was developed to
analyze these mutants for their binding to the interferon beta surface cell
receptor (IFNAR½ cell surface receptor). In addition, an ELISA-based assay
employing an IFNAR2-ectodomain/Ig fusion protein to bind interferon was used
to map interactions of surfaces between interferon-beta-1a and IFNAR2 (See
Example 1). These mutational analyses demonstrated that N- and C-termini lie
in a portion of the interferon-beta molecule not important for receptor
binding or biological function.
The mutants are further variants of the interferon beta 1a moiety of the
invention that may be particularly useful inasmuch as they display novel
properties not found in the wild type interferon-beta-1a (See Example 1). We
have identified three types of effects that were caused by targeted
mutagenesis. These effects may be advantageous for interferon drug
development under certain circumstances. The three types of effect are as
follows: (a) mutants with higher antiviral activity that of his-wild-type
interferon-beta-1a (e.g. mutant C1); (b) mutants which display activity in
both antiviral and antiproliferation assays, but for which antiproliferation
activity is disproportionately low with respect to antiviral activity,
compared to his-wild-type interferon-beta-1a (e.g., mutants C1, D and DE1);
and (c) functional antagonists (e.g., A1, B2, CD2 and DE1), which show
antiviral and antiproliferative activities that are disproportionately low
with respect to receptor binding, compared to his-wild-type
interferon-beta-1a.
The Polymer Moiety
Within the broad scope of the present invention, a single polymer molecule
may be employed for conjugation with an interferon-beta 1a, although it is
also contemplated that more than one polymer molecule can be attached as
well. Conjugated interferon-beta 1a compositions of the invention may find
utility in both in vivo as well as non-in vivo applications. Additionally,
it will be recognized that the conjugating polymer may utilize any other
groups, moieties, or other conjugated species, as appropriate to the end use
application. By way of example, it may be useful in some applications to
covalently bond to the polymer a functional moiety imparting UV-degradation
resistance, or antioxidation, or other properties or characteristics to the
polymer. As a further example, it may be advantageous in some applications
to functionalize the polymer to render it reactive or cross-linkable in
character, to enhance various properties or characterisics of the overall
conjugated material. Accordingly, the polymer may contain any functionality,
repeating groups, linkages, or other constitutent structures which do not
preclude the efficacy of the conjugated interferon-beta 1a composition for
its intended purpose. Other objectives and advantages of the present
invention will be more fully apparent from the ensuing disclosure and
appended claims.
Illustrative polymers that may usefully be employed to achieve these
desirable characteristics are described herein below in exemplary reaction
schemes. In covalently bonded peptide applications, the polymer may be
functionalized and then coupled to free amino acid(s) of the peptide(s) to
form labile bonds.
The interferon-beta-1a is conjugated most preferably via a terminal reactive
group on the polymer although conjugations can also be branched from the
non-terminal reactive groups. The polymer with the reactive group(s) is
designated herein as "activated polymer". The reactive group selectively
reacts with free amino or other reactive groups on the protein. The
activated polymer(s) are reacted so that attachment may occur at any
available interferon-beta-1a amino group such as the alpha amino groups or
the epsilon-amino groups of lysines. Free carboxylic groups, suitably
activated carbonyl groups, hydroxyl, guanidyl, oxidized carbohydrate
moieties and mercapto groups of the interferon-beta-1a (if available) can
also be used as attachment sites.
Although the polymer may be attached anywhere on the interferon-beta 1a
molecule, the most preferred site for polymer coupling is the N-terminus of
the interferon-beta-1a. Secondary site(s) are at or near the C-terminus and
through sugar moieties. Thus, the invention contemplates as its most
preferred embodiments: (i) N-terminally coupled polymer conjugates of
interferon-beta-1a; (ii) C-terminally coupled polymer conjugates of
interferon-beta-1a; (iii) sugar-coupled conjugates of polymer conjugates;
(iv) as well as N-, C- and sugar-coupled polymer conjugates of
interferon-beta-1a fusion proteins.
Generally from about 1.0 to about 10 moles of activated polymer per mole of
protein, depending on protein concentration, is employed. The final amount
is a balance between maximizing the extent of the reaction while minimizing
non-specific modifications of the product and, at the same time, defining
chemistries that will maintain optimum activity, while at the same time
optimizing, if possible, the half-life of the protein. Preferably, at least
about 50% of the biological activity of the protein is retained, and most
preferably 100% is retained.
The reactions may take place by any suitable method used for reacting
biologically active materials with inert polymers, preferably at about pH
5-7 if the reactive groups are on the alpha amino group at the N-terminus.
Generally the process involves preparing an activated polymer (that may have
at least one terminal hydroxyl group) and thereafter reacting the protein
with the activated polymer to produce the soluble protein suitable for
formulation. The above modification reaction can be performed by several
methods, which may involve one or more steps.
As mentioned above, the most preferred embodiments of the invention utilize
the N-terminal end of interferon-beta-1a as the linkage to the polymer.
Suitable methods are available to selectively obtain an N-terminally
modified interferon-beta-1a. One method is exemplified by a reductive
alkylation method which exploits differential reactivity of different types
of primary amino groups (the epsilon amino groups on the lysine versus the
amino groups on the N-terminal methionine) available for derivatization on
interferon-beta-1a. Under the appropriate selection conditions,
substantially selective derivatization of interferon-beta-1a at its
N-terminus with a carbonyl group containing polymer can be achieved. The
reaction is performed at a pH which allows one to take advantage of the pKa
differences between the epsilon-amino groups of the lysine residues and that
of the alpha-amino group of the N-terminal residue of interferon-beta-1a.
This type of chemistry is well known to persons with ordinary skill in the
art.
We used a reaction scheme in which this selectivity is maintained by
performing reactions at low pH (generally 5-6) under conditions where a PEG-aldehyde
polymer is reacted with interferon-beta-1a in the presence of sodium
cyanoborohydride. This results, after purification of the
PEG-interferon-beta-1a and analysis with SDS-PAGE, MALDI mass spectrometry
and peptide sequencing/mapping, resulted in an interferon-beta-1a whose
N-terminus is specifically targeted by the PEG moiety.
The crystal structure of interferon-beta-1a us such that the N- and
C-termini are located close to each other (see Karpusas et al., 1997, Proc.
Natl. Acad. Sci. 94: 11813-11818). Thus, modifications of the C-terminal end
of interferon-beta-1a should also have minimal effect on activity. While
there is no simple chemical strategy for targeting a polyalkylene glycol
polymer such as PEG to the C-terminus, it would be straightforward to
genetically engineer a site that can be used to target the polymer moiety.
For example, incorporation of a Cys at a site that is at or near the
C-terminus would allow specific modification using a maleimide, vinylsulfone
or haloacetate—activated polyalkylene glycol (e.g., PEG). These derivatives
can be used specifically for modification of the engineered cysteines due to
the high selectively of these reagents for Cys. Other strategies such as
incorporation of a histidine tag which can be targeted (Fancy et al., (1996)
Chem. & Biol. 3: 551) or an additional glycosylation site, represent other
alternatives for modifying the C-terminus of interferon-beta-1a.
The glycan on the interferon-beta-1a is also in a position that would allow
further modification without altering activity. Methods for targeting sugars
as sites for chemical modification are also well known and therefore it is
likely that a polyalkylene glycol polymer can be added directly and
specifically to sugars on interferon-beta-1a that have been activated
through oxidation. For example, a polyethyleneglycol-hydrazide can be
generated which forms relatively stable hydrazone linkages by condensation
with aldehydes and ketones. This property has been used for modification of
proteins through oxidized oligosaccharide linkages. See Andresz, H. et al.,
(1978), Makromol. Chem. 179: 301. In particular, treatment of PEG-carboxymethyl
hydrazide with nitrite produces PEG-carboxymethyl azide which is an
electrophilically active group reactive toward amino groups. This reaction
can be used to prepare polyalkylene glycol-modified proteins as well. See,
U.S. Pat. Nos. 4,101,380 and 4,179,337.
We had previously discovered that thiol linker-mediated chemistry could
further facilitate cross-linking of proteins. In particular, we generated
homotypic multimers of LFA-3 and CD4 using a procedure such as generating
reactive aldehydes on carbohydrate moieties with sodium periodate, forming
cystamine conjugates through the aldehydes and inducing cross-linking via
the thiol groups on the cystamines. See Pepinsky, B. et al., (1991), J.
Biol. Chem., 266: 18244-18249 and Chen, L. L. et al., (1991) J. Biol. Chem.,
266: 18237-18243. Therefore, we envision that this type of chemistry would
also be appropriate for modification with polyalkylene glycol polymers where
a linker is incorporated into the sugar and the polyalkylene glycol polymer
is attached to the linker. While aminothiol or hydrazine-containing linkers
will allow for addition of a single polymer group, the structure of the
linker can be varied so that multiple polymers are added and/or that the
spatial orientation of the polymer with respect to the interferon-beta-1a is
changed.
In the practice of the present invention, polyalkylene glycol residues of
C1-C4 alkyl polyalkylene glycols, preferably polyethylene glycol (PEG), or
poly(oxy)alkylene glycol residues of such glycols are advantageously
incorporated in the polymer systems of interest. Thus, the polymer to which
the protein is attached can be a homopolymer of polyethylene glycol (PEG) or
is a polyoxyethylated polyol, provided in all cases that the polymer is
soluble in water at room temperature. Non-limiting examples of such polymers
include polyalkylene oxide homopolymers such as PEG or polypropylene
glycols, polyoxyethylenated glycols, copolymers thereof and block copolymers
thereof, provided that the water solubility of the block copolymer is
maintained. Examples of polyoxyethylated polyols include, for example,
polyoxyethylated glycerol, polyoxyethylated sorbitol, polyoxyethylated
glucose, or the like. The glycerol backbone of polyoxyethylated glycerol is
the same backbone occurring naturally in, for example, animals and humans in
mono-, di-, and triglycerides. Therefore, this branching would not
necessarily be seen as a foreign agent in the body.
As an alternative to polyalkylene oxides, dextran, polyvinyl pyrrolidones,
polyacrylamides, polyvinyl alcohols, carbohydrate-based polymers and the
like may be used. Those of ordinary skill in the art will recognize that the
foregoing list is merely illustrative and that all polymer materials having
the qualities described herein are contemplated.
The polymer need not have any particular molecular weight, but it is
preferred that the molecular weight be between about 300 and 100,000, more
preferably between 10,000 and 40,000. In particular, sizes of 20,000 or more
are best at preventing protein loss due to filtration in the kidneys.
Polyalkylene glycol derivatization has a number of advantageous properties
in the formulation of polymer-interferon-beta 1a conjugates in the practice
of the present invention, as associated with the following properties of
polyalkylene glycol derivatives: improvement of aqueous solubility, while at
the same time eliciting no antigenic or immunogenic response; high degrees
of biocompatibility; absence of in vivo biodegradation of the polyalkylene
glycol derivatives; and ease of excretion by living organisms.
Moreover, in another aspect of the invention, one can utilize
interferon-beta 1a covalently bonded to the polymer component in which the
nature of the conjugation involves cleavable covalent chemical bonds. This
allows for control in terms of the time course over which the polymer may be
cleaved from the interferon-beta 1a. This covalent bond between the
interferon-beta-1a drug and the polymer may be cleaved by chemical or
enzymatic reaction. The polymer-interferon-beta-1a product retains an
acceptable amount of activity. Concurrently, portions of polyethylene glycol
are present in the conjugating polymer to endow the
polymer-interferon-beta-1a conjugate with high aqueous solubility and
prolonged blood circulation capability. As a result of these improved
characteristics the invention contemplates parenteral, nasal, and oral
delivery of both the active polymer-interferon-beta-1a species and,
following hydrolytic cleavage, bioavailability of the interferon-beta-1a per
se, in in vivo applications.
It is to be understood that the reaction schemes described herein are
provided for the purposes of illustration only and are not to be limiting
with respect to the reactions and structures which may be utilized in the
modification of the interferon-beta-1a, e.g., to achieve solubility,
stabilization, and cell membrane affinity for parenteral and oral
administration. The reaction of the polymer with the interferon-beta 1a to
obtain the most preferred N-terminal conjugated products is readily carried
out using a wide variety of reaction schemes. The activity and stability of
the interferon-beta-1a conjugates can be varied in several ways, by using a
polymer of different molecular size. Solubilities of the conjugates can be
varied by changing the proportion and size of the polyethylene glycol
fragment incorporated in the polymer composition.
Utilities
The unique property of polyalkylene glycol-derived polymers of value for
therapeutic applications of the present invention is their general
biocompatibility. The polymers have various water solubility properties and
are not toxic. They are believed non-immunogenic and non-antigenic and do
not interfere with the biological activities of the interferon-beta-1a
moiety when conjugated under the conditions described herein. They have long
circulation in the blood and are easily excreted from living organisms.
The products of the present invention have been found useful in sustaining
the half life of therapeutic interferon-beta 1a, and may for example be
prepared for therapeutic administration by dissolving in water or acceptable
liquid medium. Administration is by either the parenteral, aerosol, or oral
route. Fine colloidal suspensions may be prepared for parenteral
administration to produce a depot effect, or by the oral route while aerosol
formulation may be liquid or dry powder in nature. In the dry, lyophilized
state or in solution formulations, the interferon-beta-1a-polymer conjugates
of the present invention should have good storage stability. The thermal
stability of conjugated interferon-beta-1a (Example 3) is advantageous in
powder formulation processes that have a dehydration step. See, e.g.,
PCT/US/95/06008 ("Methods and Compositions for Dry Powder of Interferons").
The therapeutic polymer conjugates of the present invention may be utilized
for the prophylaxis or treatment of any condition or disease state for which
the interferon-beta-1a constituent is efficacious. In addition, the
polymer-based conjugates of the present invention may be utilized in
diagnosis of constituents, conditions, or disease states in biological
systems or specimens, as well as for diagnosis purposes in non-physiological
systems.
In therapeutic usage, the present invention contemplates a method of
treating an animal subject having or latently susceptible to such
condition(s) or disease state(s) and in need of such treatment, comprising
administering to such animal an effective amount of a polymer conjugate of
the present invention which is therapeutically effective for said condition
or disease state. Subjects to be treated by the polymer conjugates of the
present invention include mammalian subjects and most preferably human
subjects. Depending on the specific condition or disease state to be
combated, animal subjects may be administered polymer conjugates of the
invention at any suitable therapeutically effective and safe dosage, as may
readily be determined within the skill of the art, and without undue
experimentation. Because of the species barriers of Type I interferons, it
may be necessary to generate interferon-polymer conjugates as described
herein with interferons from the appropriate species.
The anti-cell proliferative activity of interferon-beta-1a is well known. In
particular, certain of the interferon-beta-1a polymer conjugates described
herein are useful for treating tumors and cancers such as osteogenic
sarcoma, lymphoma, acute lymphocytic leukemia, breast carcinoma, melanoma
and nasopharyngeal carcinoma, as well as autoimmune conditions such as
fibrosis, lupus and multiple sclerosis. It is further expected that the
anti-viral activity exhibited by the conjugated proteins, in particular
certain of the interferon-beta-1a mutein conjugates described herein, may be
used in the treatment of viral diseases, such as ECM infection, influenza,
and other respiratory tract infections, rabies, and hepatitis. It is also
expected that immunomodulatory activities of interferon-beta-1a exhibited by
the conjugated proteins described herein, may be used in the treatment of
autoimmune and inflammatory diseases, such as fibrosis, multiple sclerosis.
The ability of interferons to inhibit formation of new blood vessels (i.e.,
inhibit angiogenesis and neovascularization) enables conjugates of the
invention to be used to treat angiogenic diseases such as diabetic
retinopathy, retinopathy of prematurity, macular degeneration, corneal graft
rejection, neovascular glaucoma, retrolental fibroplasia, rubeosis and Osler-Webber
Syndrome.
Moreover, the antiendothelial activity of interferon has been known for some
time and one potential mechanism of interferon action may be to interfere
with endothelial cell activity by inhibiting the production or efficacy of
angiogenic factors produced by tumor cells. Some vascular tumors, such as
hemangiomas, are particularly sensitive to treatment with interferon.
Treatment with interferon-alpha is the only documented treatment for this
disease. It is expected that treatment with the interferon-beta-1a
conjugates of the invention will offer subtantial pharmaceutical benefits in
terms of pharmacokinetics and pharmacodynamics, since the conjugate is
expected to remain in the vasculature for a longer period of time than
non-conjugated interferons, thus leading to more efficient and effective
therapy for use as an anti-angiogenic agent. See Example 8.
The polymer-interferon-beta-1a conjugates of the invention may be
administered per se as well as in the form of pharmaceutically acceptable
esters, salts, and other physiologically functional derivatives thereof. In
such pharmaceutical and medicament formulations, the interferon-beta-1a
preferably is utilized together with one or more pharmaceutically acceptable
carrier(s) and optionally any other therapeutic ingredients. The carrier(s)
must be pharmaceutically acceptable in the sense of being compatible with
the other ingredients of the formulation and not unduly deleterious to the
recipient thereof. The interferon-beta-1a is provided in an amount effective
to achieve the desired pharmacological effect, as described above, and in a
quantity appropriate to achieve the desired daily dose.
The formulations include those suitable for parenteral as well as non-parenteral
administration, and specific administration modalities include oral, rectal,
buccal, topical, nasal, ophthalmic, subcutaneous, intramuscular,
intravenous, transdermal, intrathecal, intra-articular, intra-arterial, sub-arachnoid,
bronchial, lymphatic, vaginal, and intra-uterine administration.
Formulations suitable for oral, nasal, and parenteral administration are
preferred.
When the interferon-beta-1a is utilized in a formulation comprising a liquid
solution, the formulation advantageously may be administered orally or
parenterally. When the interferon-beta-1a is employed in a liquid suspension
formulation or as a powder in a biocompatible carrier formulation, the
formulation may be advantageously administered orally, rectally, or
bronchially.
When the interferon-beta-1a is utilized directly in the form of a powdered
solid, the interferon-beta-1a may advantageously be administered orally.
Alternatively, it may be administered nasally or bronchially, via
nebulization of the powder in a carrier gas, to form a gaseous dispersion of
the powder which is inspired by the patient from a breathing circuit
comprising a suitable nebulizer device.
The formulations comprising the polymer conjugates of the present invention
may conveniently be presented in unit dosage forms and may be prepared by
any of the methods well known in the art of pharmacy. Such methods generally
include the step of bringing the active ingredient(s) into association with
a carrier which constitutes one or more accessory ingredients. Typically,
the formulations are prepared by uniformly and intimately bringing the
active ingredient(s) into association with a liquid carrier, a finely
divided solid carrier, or both, and then, if necessary, shaping the product
into dosage forms of the desired formulation.
Formulations of the present invention suitable for oral administration may
be presented as discrete units such as capsules, cachets, tablets, or
lozenges, each containing a predetermined amount of the active ingredient as
a powder or granules; or a suspension in an aqueous liquor or a non-aqueous
liquid, such as a syrup, an elixir, an emulsion, or a draught.
A tablet may be made by compression or molding, optionally with one or more
accessory ingredients. Compressed tablets may be prepared by compressing in
a suitable machine, with the active compound being in a free-flowing form
such as a powder or granules which optionally is mixed with a binder,
disintegrant, lubricant, inert diluent, surface active agent, or discharging
agent. Molded tablets comprised of a mixture of the powdered polymer
conjugates with a suitable carrier may be made by molding in a suitable
machine.
A syrup may be made by adding the active compound to a concentrated aqueous
solution of a sugar, for example sucrose, to which may also be added any
accessory ingredient(s). Such accessory ingredient(s) may include
flavorings, suitable preservative, agents to retard crystallization of the
sugar, and agents to increase the solubility of any other ingredient, such
as a polyhydroxy alcohol, for example glycerol or sorbitol.
Formulations suitable for parenteral administration conveniently comprise a
sterile aqueous preparation of the active conjugate, which preferably is
isotonic with the blood of the recipient (e.g., physiological saline
solution). Such formulations may include suspending agents and thickening
agents or other microparticulate systems which are designed to target the
compound to blood components or one or more organs. The formulations may be
presented in unit-dose or multi-dose form.
Nasal spray formulations comprise purified aqueous solutions of the active
conjugate with preservative agents and isotonic agents. Such formulations
are preferably adjusted to a pH and isotonic state compatible with the nasal
mucus membranes.
Formulations for rectal administration may be presented as a suppository
with a suitable carrier such as cocoa butter, hydrogenated fats, or
hydrogenated fatty carboxylic acid.
Ophthalmic formulations such as eye drops are prepared by a similar method
to the nasal spray, except that the pH and isotonic factors are preferably
adjusted to match that of the eye.
Topical formulations comprise the conjugates of the invention dissolved or
suspended in one or more media, such as mineral oil, petroleum, polyhydroxy
alcohols, or other bases used for topical pharmaceutical formulations.
In addition to the aforementioned ingredients, the formulations of this
invention may further include one or more accessory ingredient(s) selected
from diluents, buffers, flavoring agents, disintegrants, surface active
agents, thickeners, lubricants, preservatives (including antioxidants), and
the like.
Accordingly, the present invention contemplates the provision of suitable
polymers for in vitro stabilization of interferon-beta 1a in solution, as a
preferred illustrative application of non-therapeutic application. The
polymers may be employed for example to increase the thermal stability and
enzymic degradation resistance of the interferon-beta 1a. Enhancement of the
thermal stability characteristic of the interferon-beta-1a via conjugation
in the manner of the present invention provides a means of improving shelf
life, room temperature stability, and robustness of research reagents and
kits.
Claim 1 of 24 Claims
1. A composition comprising the glycosylated interferon-beta-1a of SEQ ID
NO: 25 coupled to a non-naturally-occurring polymer at an N-terminal end
of said glycosylated interferon-beta-1a, said polymer comprising a
polyalkylene glycol moiety.
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