(12) United States Patent (10) Patent No.: US 6,503,881 B2 Krieger Et Al
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USOO6503881B2 (12) United States Patent (10) Patent No.: US 6,503,881 B2 Krieger et al. (45) Date of Patent: *Jan. 7, 2003 (54) COMPOSITIONS AND METHODS FOR WO WO 97/08199 3/1997 TREATING INFECTIONS USING CATIONC WO WO 97/31942 9/1997 PEPTIDES ALONE OR IN COMBINATION W W SS 6.C. WITH ANTIBIOTICS WO WO 99/43357 9/1999 (75) Inventors: Timothy J. Krieger, Richmond (CA); OTHER PUBLICATIONS Robert Taylor, Surrey (CA); Douglas Erfle, Vancouver (CA); Janet R. Uchida et al., Pept. Chem. Volume date 1995, 33rd pp. Fraser, Vancouver (CA); Michael H. P. 229-232, 1996.* West, Vancouver (CA); Patricia J. Bundgaard (Ed) “Design of Prodrugs” (Elsevier Publishing) McNichol, Coquitlam (CA) pp. 1-24, 1983.* Chalk et al., “Purification of An Insect Defensin from the 73) Assignee:9. Micrologix Biotech Inc., Vancouver Mosquito, Aedes aegypti, ' Insect Biochem. Molec. Biol. (CA) 24(4):403-410, 1994. Chalk et al., “Full Sequence and Characterization of Two * ) Notice: Subject to anyy disclaimer, the term of this Insect Defensins: Immune Peptides from the Mosquito patent is extended or adjusted under 35 Aedes Aegypti,” Proc. R. Soc. Land. B. 261 (1361):217-221, U.S.C. 154(b) by 0 days. 1995. Darveau et al., “B-Lactam Antibiotics Potentiate Magainin This patent is Subject to a terminal dis 2 Antimicrobial Activity In Vitro and In Vivo, Antimicro claimer. bial Agents & Chemotherapy 35(6):1153–1159, 1991. Engström et al., “The Antibacterial Effect of Attacins from (21) Appl. No.: 09/030,619 the Silk Moth Hyalophoracecropia is Directed Against the Outer Membrane of Escherichia coli,” EMBO J. (22) Filed: Feb. 25, 1998 3(13):3347–3351, 1984. Hancock, “The Role of Fundamental Research and Biotech (65) Prior Publication Data nology in Finding Solutions to the Global Problem of US 2002/0035061 A1 Mar. 21, 2002 Antibiotic Resistance,” Clin. Infectious Diseases 24(Supp 1)S148–S150, 1997. Related U.S. Application Data Piers et al., “Improvement of Outer Membrane-Permeabi lizing and Lipopolysaccharide-Binding Activities of an (63) Continuation-in-part of application No. 08/915,314, filed on Antimicrobial Cationic Peptide by C-Terminal Modifica Aug. 20, 1997, now Pat. No. 6,180,604 (60) Provisional application No. 60/060,099, filed on Sep. 26, tion,” Antimicrobial Agents & Chemotherapy 1997, provisional application No. 60/040,649, filed on Mar. 38(10):2311-2316, 1994. 10, 1997, provisional application No. 60/034.949, filed on Vaara, “The Outer Membrane as the Penetration Barrier Jan. 13, 1997, and provisional application No. 60/024.754, Against Mupirocin in Gram-Negative Enteric Bacteria, J. filed on Aug. 21, 1996. Antimicrob. Chemother, 29(2):221-222, 1992. Vaara, “Agents That Increase the Permeability of the Outer (51) Int. Cl. ........................... A61K 38/03; CO7K 7/00 Membrane,” Microbiological Reviews 56(3):395-411, 1992. (52) U.S. Cl. ............................... 514/2; 514/17; 514/18; Vaara and Porro, “Group of Peptides That Act Synergisti 514/19; 514/20, 530/324; 530/325; 530/326; cally with Hydrophobic Antibiotics Against Gram-Negative 530/327; 530/328; 530/329; 530/330 Enteric Bacteria, Antimicrobial Agents & Chemotherapy (58) Field of Search ................................. 530/324-330; 40(8): 1801–1805, 1996. 514/2, 17–20 Vaara and Vaara, “Polycations Sensitive Enteric Bacteria to Antibiotics,” Antimicrobial Agents & Chemotherapy (56) References Cited 24(1):107–113, 1983. Vaara and Vaara, “Sensitization of Gram-Negative Bacteria U.S. PATENT DOCUMENTS to Antibiotics and Complement by a Nontoxic Oligopep 4,510,132 A 4/1985 Vaara .......................... 514/11 tide,” Nature 303:526–528, 1983. 5,324,716 A 6/1994 Selsted et al. ................ 514/14 5,359,030 A 10/1994 Ekwuribe ..... ... 530/303 (List continued on next page.) 5,438,040 A 8/1995 Ekwuribe ...................... 514/3 5,523.288 A 6/1996 Cohen et al. ................. 514/12 Primary Examiner Bennett Celsa 5,547,939 A 8/1996 Selsted ........................ 514/14 (74) Attorney, Agent, or Firm-Seed Intellectual Property 5,578,572 A 11/1996 Horwitz et al. ............... 514/12 Law Group PLLC 5,593.866 A 1/1997 Hancock et al. ........... 435/69.7 6,191,254 B1 2/2001 Falla et al. ................. 530/300 (57) ABSTRACT FOREIGN PATENT DOCUMENTS Compositions and methods for treating infections, especially bacterial infections, are provided. Indolicidin peptide ana EP 590 O70 B1 2/1998 logues containing at least two basic amino acids are pre WO WO 91/12815 9/1991 WO WO 92/22308 12/1992 pared. The analogues are administered as modified peptides, WO WO95/22338 8/1995 preferably containing photo-oxidized Solubilizer. WO WO 96/38473 12/1996 WO WO 97/04796 2/1997 62 Claims, 22 Drawing Sheets US 6,503,881 B2 Page 2 OTHER PUBLICATIONS Subbalakshmi and Sitaram, “Mechanism of Antimicrobial Vaara and Vaara, “Ability of Cecropin B to Penetrate the Action of Indolicidin,” FEMS Microbiology Letters Enterobacterial Outer Membrane,” Antimicrobial Agents & 160:91-96, 1998. Chemotherapy 38(10):2498-2501, 1994. Subbalakshmi et al., “Interaction of Indolicidin, a 13-Resi Falla et al., “Mode of Action of the Antimicrobial Peptide due Peptide Rich in Tryptophan and Proline and its Ana Indolicidin,” The Journal of Biological Chemistry 271 (32): logues with Model Membranes,” J. Biosci. 23(1):9-13, 19298–19303, Aug. 9, 1996. 1998. Falla and Hancock, “Improved Activity of a Synthetic Subbalakshmi et al., “Requirements for antibacterial and Indolicidin Analog,” Antimicrobial Agents and Chemo hemolytic activities in the bovine neutrophil derived therapy 41(4): 771–775, 1997. 13-residue peptide indolicidin,” FEBS Letters 395(1): Ladokhin et al., “CD Spectra of Indolicidin Antimicrobial 48-52, 1996. Peptides Suggest Turns, Not Polyproline Helix,” Biochem Tanchak et al., “Tryptophanins: Isolation and Molecular istry 38:12313–12319, 1999. Characterization of Oat cDNA Clones Encoding Proteins Lawyer et al., “Antimicrobial Activity of a 13 Amino Acid Structurally Related to Puroindoline and Wheat Grain Soft Tryptophan-Rich Peptide Derived From a Putative Porcine ness Proteins,” Plant Science 137:173–184, 1998. Precursor Protein of a Novel Family of Antibacterial Pep Uchida et al., “Stucture-Activity of Antibacterial Peptide tides.” FEBS Letters 390:95–98, 1996. Indolicidin and Analogs.” Peptide Science, pp. 221-224, Robinson, Jr. et al., “Anti-HIV-1 Activity of Indolicidin, an 1998. Antimicrobial Peptide from Neutrophils,” Journal of Leu Van Abel et al., “Synthesis and Characterization of Indoli kocyte Biology 63:94-100, 1998. cidin, a Tryptophan-Rich Antimicrobial Peptide from Selsted et al., “Indolicidin, a Novel Bactericidal Tridecapep Bovine Neutrophils,” Int. J. Peptide Protein Res. tide Amide from Neutrophils.” The Journal Of Biological 45:401–409, 1995. Chemistry 267(7):4292–4295, Mar. 5, 1992. Wakabayashi et al., “N-Acylated and D Encantiomer Selsted et al., “Purification, Characterization, Synthesis and Derivatives of a Nonamer Core Peptide of Lactoferricin B cDNA Cloning of Indolicidin: A Tryptophan-Rich Micro Showing Improved Antimicrobial Activity,” Antimicrobial bicidal Tridecapeptide from Neutrophils,” Proceedings of the 12" American Peptide Symposium, Jun. 16–21, 1991, Agents And Chemotherapy 43(5):1267-1269, May 1999. Cambridge, MA, pp. 905–907. * cited by examiner U.S. Patent Jan. 7, 2003 Sheet 1 of 22 US 6,503,881 B2 U.S. Patent Jan. 7, 2003 Sheet 2 of 22 US 6,503,881 B2 Time Kill Assay: w MB 11 CN (64 ug/ml) vs. S. aureus SAO6 s >< 14 -- CONTROL 1 A 12 --0-- CONTROL 2 2 10 -A-TEST 1 S. 8 --o-- TEST 2 c 6 SP 4. 2 2. C O S O 10 20 30 60 120 180 240 24h Fig. 3A TIME (MIN) Time Kill Assay: MB 11 F4CN (8 ug/ml) vs. S. aureus SAO6 se X -- CONTROL 1 2 --0-- CONTROL 2 2 -A-TEST 1 9 --0-- TEST 2 s 5 2. - F. S O 10 20 30 60 120 180 240 24h Fig. 3B TIME (MIN) Time Kill Assay: MB 11 B70N (16 ug/ml) vs. S. aureus SA06 s > 2. -- CONTROL 1 2 16 --0-- CONTROL 2 2. 1: -A-TEST 1 Se 10 - - - - - TEST 2 8 S2 6 4 2 2 C O S O 1 O 20 30 60 120 180 240 24h Fig. 3C TIME (MIN) U.S. Patent Jan. 7, 2003 Sheet 3 of 22 US 6,503,881 B2 MB 11 F4CN at its MIC against S. aureus SAO6 -O-CONTROL 3 Logo reduction O-TEST O 10 20 30 60 120 180 240 24h Time (min) Fig. 3D MB 26 & Vancomycin in Combination Against E. faecium EFMO17 --GROWTH CONTROL -O-MB 26 (1/2MIC) -O-Vancomycin (1/8 MIC) -HMB 26 + Wanc, O 15 30 45 60 120 180 240 24h Time (min) Fig. 3E U.S. Patent Jan. 7, 2003 Sheet 4 of 22 US 6,503,881 B2 L. 120 g r c 100 Y f W 2 80 - 2 60 1. gt 40 - 20 O 200 400 600 800 PEPTIDE SOLUTION CONCENTRATION (ug/ml) Fig. 4 MB 1 OB in Formulations C1 and D FREE PEPTIDE O.O7 0.07 100 100 0.06 0.06 0.05 0.05 0.04 0.04 i. 0.03 50 SS 0.05 50 ge 0.02 0.02 FREE PEPTIDE 0.01 0.01 0.00 0.00 O.O 2.5 5.0 7.5 O.O 2.5 5.0 7.5 MN. MN. Fig. 5A Fig. 5B U.S. Patent Jan. 7, 2003 Sheet 5 of 22 US 6,503,881 B2 CD Spectra of MBI 1CN / 5 O m 5 -10 -0- buffer -- POPC liposomes - 15 -20 195 205 215 225 235 WAVELENGTH (nm) CD Spectra of MB 11 B7CN -0- Free -- Free +PC/PG 195 205 215 225 235 WAVELENGTH (nm) Fig.