RU2010105921A - Инсулин-олигомерные конъюгаты, их препараты и применения - Google Patents
Инсулин-олигомерные конъюгаты, их препараты и применения Download PDFInfo
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- RU2010105921A RU2010105921A RU2010105921/10A RU2010105921A RU2010105921A RU 2010105921 A RU2010105921 A RU 2010105921A RU 2010105921/10 A RU2010105921/10 A RU 2010105921/10A RU 2010105921 A RU2010105921 A RU 2010105921A RU 2010105921 A RU2010105921 A RU 2010105921A
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- Prior art keywords
- insulin
- conjugate
- insulin compound
- complex
- compound
- Prior art date
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- 239000003814 drug Substances 0.000 title claims 2
- 229940079593 drug Drugs 0.000 title 1
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Substances N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 claims abstract 80
- 102000004877 Insulin Human genes 0.000 claims abstract 63
- 108090001061 Insulin Proteins 0.000 claims abstract 63
- 229940125396 insulin Drugs 0.000 claims abstract 62
- -1 insulin compound Chemical class 0.000 claims abstract 45
- 150000001875 compounds Chemical class 0.000 claims abstract 11
- 150000001768 cations Chemical class 0.000 claims abstract 10
- 108010076181 Proinsulin Proteins 0.000 claims abstract 7
- 239000002202 Polyethylene glycol Substances 0.000 claims abstract 6
- 125000004429 atom Chemical group 0.000 claims abstract 6
- 229920001223 polyethylene glycol Polymers 0.000 claims abstract 6
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical group [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 claims abstract 4
- 125000000217 alkyl group Chemical group 0.000 claims abstract 4
- 108010076504 Protein Sorting Signals Proteins 0.000 claims abstract 3
- 239000002184 metal Substances 0.000 claims abstract 3
- 229910052751 metal Inorganic materials 0.000 claims abstract 3
- 102000014914 Carrier Proteins Human genes 0.000 claims abstract 2
- 108010078791 Carrier Proteins Proteins 0.000 claims abstract 2
- 230000000903 blocking effect Effects 0.000 claims abstract 2
- 229910052799 carbon Inorganic materials 0.000 claims abstract 2
- 125000004432 carbon atom Chemical group C* 0.000 claims abstract 2
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 claims abstract 2
- 125000005647 linker group Chemical group 0.000 claims abstract 2
- 108010066381 preproinsulin Proteins 0.000 claims abstract 2
- 239000000203 mixture Substances 0.000 claims 22
- 239000013078 crystal Substances 0.000 claims 11
- 239000007787 solid Substances 0.000 claims 9
- 239000011701 zinc Substances 0.000 claims 7
- 108090000317 Chymotrypsin Proteins 0.000 claims 4
- 239000007864 aqueous solution Substances 0.000 claims 4
- 125000002091 cationic group Chemical group 0.000 claims 4
- 229960002376 chymotrypsin Drugs 0.000 claims 4
- 238000003776 cleavage reaction Methods 0.000 claims 4
- GHVNFZFCNZKVNT-UHFFFAOYSA-N decanoic acid Chemical group CCCCCCCCCC(O)=O GHVNFZFCNZKVNT-UHFFFAOYSA-N 0.000 claims 4
- 235000014113 dietary fatty acids Nutrition 0.000 claims 4
- POULHZVOKOAJMA-UHFFFAOYSA-N dodecanoic acid Chemical compound CCCCCCCCCCCC(O)=O POULHZVOKOAJMA-UHFFFAOYSA-N 0.000 claims 4
- 229930195729 fatty acid Natural products 0.000 claims 4
- 239000000194 fatty acid Substances 0.000 claims 4
- 150000004665 fatty acids Chemical class 0.000 claims 4
- 230000007017 scission Effects 0.000 claims 4
- KDXKERNSBIXSRK-UHFFFAOYSA-N Lysine Natural products NCCCCC(N)C(O)=O KDXKERNSBIXSRK-UHFFFAOYSA-N 0.000 claims 3
- 239000004472 Lysine Substances 0.000 claims 3
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N Phenol Chemical compound OC1=CC=CC=C1 ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 claims 3
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 claims 3
- 229910052725 zinc Inorganic materials 0.000 claims 3
- 239000005632 Capric acid (CAS 334-48-5) Substances 0.000 claims 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims 2
- 101000976075 Homo sapiens Insulin Proteins 0.000 claims 2
- 239000005639 Lauric acid Substances 0.000 claims 2
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- 150000001413 amino acids Chemical class 0.000 claims 2
- 239000008139 complexing agent Substances 0.000 claims 2
- 230000037406 food intake Effects 0.000 claims 2
- 239000008103 glucose Substances 0.000 claims 2
- PBGKTOXHQIOBKM-FHFVDXKLSA-N insulin (human) Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@H]1CSSC[C@H]2C(=O)N[C@H](C(=O)N[C@@H](CO)C(=O)N[C@H](C(=O)N[C@H](C(N[C@@H](CO)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC=3C=CC(O)=CC=3)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CC=3C=CC(O)=CC=3)C(=O)N[C@@H](CSSC[C@H](NC(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC=3C=CC(O)=CC=3)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC=3NC=NC=3)NC(=O)[C@H](CO)NC(=O)CNC1=O)C(=O)NCC(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)NCC(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H]([C@@H](C)O)C(O)=O)C(=O)N[C@@H](CC(N)=O)C(O)=O)=O)CSSC[C@@H](C(N2)=O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C(C)C)NC(=O)[C@@H](NC(=O)CN)[C@@H](C)CC)[C@@H](C)CC)[C@@H](C)O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](NC(=O)[C@@H](N)CC=1C=CC=CC=1)C(C)C)C1=CN=CN1 PBGKTOXHQIOBKM-FHFVDXKLSA-N 0.000 claims 2
- 239000004026 insulin derivative Substances 0.000 claims 2
- 239000007788 liquid Substances 0.000 claims 2
- 229920001184 polypeptide Polymers 0.000 claims 2
- 230000000291 postprandial effect Effects 0.000 claims 2
- 239000000843 powder Substances 0.000 claims 2
- 108090000765 processed proteins & peptides Proteins 0.000 claims 2
- 102000004196 processed proteins & peptides Human genes 0.000 claims 2
- 150000003839 salts Chemical class 0.000 claims 2
- ATHGHQPFGPMSJY-UHFFFAOYSA-N spermidine Chemical compound NCCCCNCCCN ATHGHQPFGPMSJY-UHFFFAOYSA-N 0.000 claims 2
- PFNFFQXMRSDOHW-UHFFFAOYSA-N spermine Chemical compound NCCCNCCCCNCCCN PFNFFQXMRSDOHW-UHFFFAOYSA-N 0.000 claims 2
- 239000000126 substance Substances 0.000 claims 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims 2
- FJKROLUGYXJWQN-UHFFFAOYSA-N 4-hydroxybenzoic acid Chemical compound OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 claims 1
- 102000009027 Albumins Human genes 0.000 claims 1
- 108010088751 Albumins Proteins 0.000 claims 1
- 241000282412 Homo Species 0.000 claims 1
- 108010039918 Polylysine Proteins 0.000 claims 1
- 229940050528 albumin Drugs 0.000 claims 1
- 229940024606 amino acid Drugs 0.000 claims 1
- 229960001599 aminoquinuride Drugs 0.000 claims 1
- 125000000129 anionic group Chemical group 0.000 claims 1
- 230000000692 anti-sense effect Effects 0.000 claims 1
- 150000001735 carboxylic acids Chemical class 0.000 claims 1
- 230000007812 deficiency Effects 0.000 claims 1
- 206010012601 diabetes mellitus Diseases 0.000 claims 1
- 239000003937 drug carrier Substances 0.000 claims 1
- 102000018146 globin Human genes 0.000 claims 1
- 108060003196 globin Proteins 0.000 claims 1
- 230000001788 irregular Effects 0.000 claims 1
- 239000008176 lyophilized powder Substances 0.000 claims 1
- 125000003588 lysine group Chemical group [H]N([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])(N([H])[H])C(*)=O 0.000 claims 1
- RLSSMJSEOOYNOY-UHFFFAOYSA-N m-cresol Chemical compound CC1=CC=CC(O)=C1 RLSSMJSEOOYNOY-UHFFFAOYSA-N 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- 229940100630 metacresol Drugs 0.000 claims 1
- 238000000034 method Methods 0.000 claims 1
- 108010013359 miniproinsulin Proteins 0.000 claims 1
- HOUSDILKOJMENG-UHFFFAOYSA-N n,n'-bis(4-amino-2-methylquinolin-6-yl)urea Chemical compound N1=C(C)C=C(N)C2=CC(NC(=O)NC3=CC4=C(N)C=C(N=C4C=C3)C)=CC=C21 HOUSDILKOJMENG-UHFFFAOYSA-N 0.000 claims 1
- 239000002773 nucleotide Substances 0.000 claims 1
- 125000003729 nucleotide group Chemical group 0.000 claims 1
- 239000008194 pharmaceutical composition Substances 0.000 claims 1
- 230000003285 pharmacodynamic effect Effects 0.000 claims 1
- 229920002851 polycationic polymer Polymers 0.000 claims 1
- 229920000656 polylysine Polymers 0.000 claims 1
- 239000002243 precursor Substances 0.000 claims 1
- 229940048914 protamine Drugs 0.000 claims 1
- 229940070353 protamines Drugs 0.000 claims 1
- 229920006395 saturated elastomer Polymers 0.000 claims 1
- 239000008247 solid mixture Substances 0.000 claims 1
- 239000000243 solution Substances 0.000 claims 1
- 229940063673 spermidine Drugs 0.000 claims 1
- 229940063675 spermine Drugs 0.000 claims 1
- 239000003381 stabilizer Substances 0.000 claims 1
Classifications
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Abstract
1. Комплекс, содержащий: ! конъюгат соединения инсулина, содержащий соединение инсулин или его аналог, конъюгированное с модифицирующей группировкой, имеющей формулу: ! , ! где X, Y и Z представляют собой независимо выбранные связывающие группы, и каждая из них возможно присутствует, и X, когда присутствует, связан с соединением инсулином ковалентной связью, где X, Y, Z независимо могут быть выбраны из -S-, -О-, -N- и -С(О)-, ! по меньшей мере один из R1 и R2 присутствует и представляет собой низший алкил, возможно включающий карбонильную группу, и, когда R1 представляет собой низший алкил, тогда R2 представляет собой блокирующую группу, и ! PAG представляет собой линейную или разветвленную углеродную цепь, включающую одну или более алкаленгликолевых группировок, где алкиленгликолевая группировка представляет собой молекулу PEG (полиэтиленгликоль), содержащую от 2 до 10 PEG-субъединиц, имеющих формулу (CH2CH2O), и возможно включающую одну или более дополнительных группировок, выбранных из группы, состоящей из -S-, -О-, -N- и -С(О)-, и ! где модифицирующая группировка имеет максимальное число от 3 до 25 тяжелых атомов, и где тяжелые атомы включают в себя один или более атомов углерода и один или более неуглеродных тяжелых атомов, выбранных из группы, состоящей из -О-, -S-, -N- и =O, ! и ! катион, где конъюгат соединения инсулина образует комплекс с одновалентным или мультивалентным катионом металла. ! 2. Комплекс по п.1, где аналог соединения инсулина выбран из группы, состоящей из соединения нативного проинсулина, соединения искусственного проинсулина, соединения препроинсулина, содержащего соединение проинсулин и лидерный пептид или белок-носитель, сое�
Claims (51)
1. Комплекс, содержащий:
конъюгат соединения инсулина, содержащий соединение инсулин или его аналог, конъюгированное с модифицирующей группировкой, имеющей формулу:
где X, Y и Z представляют собой независимо выбранные связывающие группы, и каждая из них возможно присутствует, и X, когда присутствует, связан с соединением инсулином ковалентной связью, где X, Y, Z независимо могут быть выбраны из -S-, -О-, -N- и -С(О)-,
по меньшей мере один из R1 и R2 присутствует и представляет собой низший алкил, возможно включающий карбонильную группу, и, когда R1 представляет собой низший алкил, тогда R2 представляет собой блокирующую группу, и
PAG представляет собой линейную или разветвленную углеродную цепь, включающую одну или более алкаленгликолевых группировок, где алкиленгликолевая группировка представляет собой молекулу PEG (полиэтиленгликоль), содержащую от 2 до 10 PEG-субъединиц, имеющих формулу (CH2CH2O), и возможно включающую одну или более дополнительных группировок, выбранных из группы, состоящей из -S-, -О-, -N- и -С(О)-, и
где модифицирующая группировка имеет максимальное число от 3 до 25 тяжелых атомов, и где тяжелые атомы включают в себя один или более атомов углерода и один или более неуглеродных тяжелых атомов, выбранных из группы, состоящей из -О-, -S-, -N- и =O,
и
катион, где конъюгат соединения инсулина образует комплекс с одновалентным или мультивалентным катионом металла.
2. Комплекс по п.1, где аналог соединения инсулина выбран из группы, состоящей из соединения нативного проинсулина, соединения искусственного проинсулина, соединения препроинсулина, содержащего соединение проинсулин и лидерный пептид или белок-носитель, соединенный с С-концом или N-концом соединения проинсулина; и соединения минипроинсулина.
3. Комплекс по п.2, где аналог соединения инсулина имеет лидерный пептид, который является отщепляемым или неотщепляемым.
4. Комплекс по п.1, где аналог соединения инсулина представляет собой одноцепочечный предшественник соединения инсулина, содержащий А-цепь-В-цепь соединения инсулина, где модифицирующая группировка связана с лизином на С-конце В-цепи, тем самым давая моноконъюгат.
5. Комплекс по п.1, где модифицирующая группировка выбрана так, чтобы сделать конъюгат соединения инсулина более гидрофильным или более амфифильным, чем соответствующее неконъюгированное соединение инсулин.
6. Комплекс по п.1, где гидрофильность конъюгата соединения инсулина уменьшена путем добавления цинка.
7. Комплекс по п.6, где:
модифицирующая группировка выбрана так, чтобы сделать конъюгат соединения инсулина таким же или более растворимым, чем соответствующее неконъюгированное соединение инсулин; и
растворимость в воде конъюгата соединения инсулина уменьшена путем добавления цинка.
8. Комплекс по п.1, где относительная липофильность конъюгата соединения инсулина по отношению к соответствующему исходному соединению инсулину равна 1 или меньше 1.
9. Комплекс по п.1, который представляет собой твердое вещество или жидкость.
10. Комплекс по п.1, где:
(а) растворимость комплекса конъюгата соединения инсулина с катионом при рН приблизительно 7,4 по существу меньше растворимости конъюгата соединения инсулина в растворе при рН приблизительно 7,4, и
(б) конъюгат соединения инсулина с катионом остается растворимым при концентрации более чем приблизительно 1 г/л в водном растворе в диапазоне рН от 5,8 до 8,5.
11. Комплекс по п.1, где:
(а) конъюгат соединения инсулина представляет собой моноконъюгат; и
(б) комплекс образует кристаллы в водном растворе при рН от 4 до менее 6,5.
12. Комплекс по п.1, где конъюгат соединения инсулина образует кристаллы в водном растворе при рН, равном pl плюс или минус 2,5.
13. Комплекс по п.1, где катионный компонент содержит катион металла, выбранный из группы, состоящей из Na+, Li+, K+, Zn++, Mn++, Са++, Fe++, Ni++, Cu++, Co++ и/или Mg++.
14. Комплекс по п.1, где катионный компонент содержит Zn++.
15. Комплекс по п.1, где молярное отношение конъюгата соединения инсулина к катионному компоненту составляет от 1:2 до 1:12.
16. Комплекс по п.1, где устойчивость к расщеплению химотрипсином находящегося в комплексе конъюгата соединения инсулина выше, чем устойчивость к расщеплению химотрипсином соответствующего не находящегося в комплексе конъюгата соединения инсулина.
17. Комплекс по п.1, где устойчивость к расщеплению химотрипсином находящегося в комплексе конъюгата соединения инсулина выше, чем устойчивость к расщеплению химотрипсином соответствующего находящегося в комплексе, но неконъюгированного соединения инсулина.
18. Комплекс по п.1, где композиция представляет собой сокристалл по меньшей мере двух компонентов, выбранных из группы, состоящей из HIM2, соединения инсулина и IN105.
19. Комплекс по п.9, где в сухом состоянии твердое вещество содержит: более чем 71% (масс/масс.) конъюгата соединения инсулина, и
от 0,5 до 4% (масс/масс.) Zn++ и возможно от 0,1 до 5% (масс/масс.) фенола.
20. Способ получения комплекса конъюгата соединения инсулина с катионом по п.1, включающий объединение в водном растворе конъюгата соединения инсулина и катиона.
21. Комплекс по п.1, где модифицирующая группировка выбрана так, чтобы сделать конъюгат соединения инсулина таким же или более растворимым, чем соответствующее неконъюгированное соединение инсулин.
22. Комплекс по п.1, где растворимость в воде конъюгата соединения инсулина уменьшена путем добавления цинка.
23. Комплекс по п.1, где конъюгат инсулина состоит из инсулина человека, связанного в положении А1, В1 и/или В29 с модифицирующей группировкой, имеющей структуру, выбранную из группы, состоящей из:
где m равно от 1 до 20, и n равно от 1 до 20;
где PAG представляет собой PAG-группировку, имеющую m субъединиц, и m равно от 1 до 20, и n равно от 1 до 20;
где n равно от 1 до 4, и m равно от 1 до 4;
24. Комплекс по п.1, где модифицирующая группировка имеет формулу, выбранную из группы, состоящей из:
где n равно от 1 до 4, и m равно от 1 до 5;
где n равно 1,2,3 или 4, и m равно 1, 2, 3, 4 или 5;
где модифицирующая группировка связана с лизином пределах 5 аминокислот С-конца В-цепи на С-конце В-цепи инсулина или аналога инсулина, где лизин находится в положении, выбранном из группы, состоящей из положений В26, В27, В28, В29 и В30 инсулина, тем самым давая моноконъюгат.
25. Композиция для лечения недостаточности инсулина у человека, содержащая терапевтически эффективное количество по меньшей мере одного из комплексов по пп.1-19, 21-24 и фармацевтически приемлемый носитель.
26. Композиция по п.25, дополнительно содержащая второй компонент, содержащий конъюгат инсулина или неконъюгированный инсулин.
27. Композиция по п.26, где комплекс представляет собой форму, выбранную из группы, состоящей из кристаллического твердого вещества, аморфного твердого вещества и сокристалла, содержащего по меньшей мере два конъюгата инсулинов, причем данные конъюгаты инсулинов являются одинаковыми или разными.
28. Композиция по п.25, представленная в виде лиофилизованного порошка, твердой смеси или гибридного комплекса.
29. Композиция по п.25, содержащая более одного комплекса, где конъюгаты инсулина данных комплексов содержат разные инсулины или разные конъюгаты инсулина.
30. Композиция по п.29, где разные конъюгаты инсулина имеют разные характеристики, выбранные из группы, состоящей из разных растворимостей, разных периодов полувыведения из кровотока и разных модифицирующих группировок.
31. Композиция по п.30, где один из комплексов имеет профиль быстрого действия; а другой из комплексов имеет профиль от среднего до длительного действия.
32. Композиция по п.30, где один из комплексов имеет профиль, подходящий для базального контроля инсулина, а другой из комплексов имеет профиль, подходящий для постпрандиального контроля глюкозы.
33. Композиция по п.26, представляющая собой сокристалл по меньшей мере двух компонентов, выбранных из группы, состоящей из HIM2, инсулина и IN105.
34. Композиция по п.26, представляющая собой сокристалл, имеющий PK/PD (фармакокинетический/фармакодинамический) профиль, подходящий для постпрандиального контроля глюкозы или для ночного базального контроля инсулина.
35. Композиция по п.26, содержащая неконъюгированный инсулин, выбранный из группы, состоящей из инсулина человека или лизпроинсулина.
36. Композиция по п.25, дополнительно содержащая комплексообразующий агент.
37. Композиция по п.36, где комплексообразующий агент выбран из группы, состоящей из протаминов, сурфена, глобиновых белков, спермина, спермидина, альбумина, аминокислот, карбоновых кислот, поликатионных полимерных соединений, катионных полипептидов, полилизина, анионных полипептидов, нуклеотидов и антисмысловых последовательностей.
38. Композиция по п.25, по существу не содержащая протамина.
39. Композиция по п.27, где комплекс находится в форме кристаллического твердого вещества, палочковидного кристалла, кристалла, имеющего нерегулярную морфологию, смеси аморфных и кристаллических твердых веществ или порошка.
40. Композиция по п.25 в форме порошка, содержащего твердый конъюгат инсулина с катионом и один или более дополнительных фармацевтически приемлемых компонентов.
41. Композиция по п.25, где в сухом состоянии твердое вещество содержит:
более чем приблизительно 71% (масс/масс.) конъюгата инсулина, и
от приблизительно 0,5 до приблизительно 4% (масс/масс.) Zn++, и возможно от приблизительно 0,1 до приблизительно 5% (масс/масс.) фенола.
42. Композиция по п.40, содержащая стабилизирующий агент, выбранный из группы, состоящей из фенола, мета-крезола и парабена.
43. Комплекс по п.1, дополнительно содержащий от приблизительно 40 до приблизительно 60% (масс/масс.) жирнокислотного компонента, который содержит насыщенные или ненасыщенные С4-12 жирные кислоты и/или соли таких жирных кислот.
44. Комплекс по п.1, который включен в твердую или жидкую фармацевтическую композицию, приготовленную в виде препарата для перорального введения путем проглатывания внутрь.
45. Комплекс по п.43, где жирнокислотный компонент представляет собой каприновую кислоту и/или лауриновую кислоту, и/или соли каприновой кислоты и/или лауриновой кислоты.
46. Комплекс по п.1, присутствующий в виде компонента сокристалла, содержащего гидрофильный конъюгат соединения инсулина и липофильный конъюгат соединения инсулина.
47. Комплекс по п.1, присутствующий в виде компонента сокристалла, содержащего гидрофильный конъюгат соединения инсулина и неконъюгированное соединение инсулина.
48. Комплекс по п.1, присутствующий в виде компонента сокристалла, содержащего HIM2, кристаллизованный вместе с неконъюгированным соединением инсулина.
49. Комплекс по п.1, присутствующий в виде компонента сокристалла, содержащего IN105, кристаллизованный вместе с неконъюгированным соединением инсулина.
50. Применение комплексов или композиций по пп.1-19, 21-49 в изготовлении лекарства для лечения диабета.
51. Применение по п.50, где композицию приготавливают для доставки путем, выбранным из группы, состоящей из перорального, перорального проглатывания внутрь, парентерального, трансбуккального, сублингвального, назального, ингаляционного и трансдермального.
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