(12) Patent Application Publication (10) Pub. No.: US 2015/0174209 A1 Chiquette Et Al
Total Page:16
File Type:pdf, Size:1020Kb
US 2015O174209A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2015/0174209 A1 Chiquette et al. (43) Pub. Date: Jun. 25, 2015 (54) INSULIN-PRAMLINTIDE COMPOSITIONS Publication Classification AND METHODS FOR MAKING AND USING THEMI (51) Int. Cl. A638/28 (2006.01) A619/00 (2006.01) (71) Applicants: AMYLIN PHARMACEUTICALS. G06F 9/00 (2006.01) LLC, San Diego, CA (US); UVA A6M 5/14 (2006.01) PATENT FOUNDATION Ab/a THE A61M 57315 (2006.01) UVALICENSING AND VENTURES A638/22 (2006.01) GROUP, Charlottesville, VA (US); 469/19 (2006.01) GRUPPO BIOMED MOD, Padova (IT) (52) U.S. Cl. CPC ................. A61 K38/28 (2013.01); A61K 38/22 (72) Inventors: Elaine Chiquette, San Antonio, TX (2013.01); A61 K9/0019 (2013.01); A61 K9/19 (US); Kathrin Herrmann, San Diego, (2013.01); A61M 5/1407 (2013.01); A61M CA (US); David G. Maggs, San Diego, 5/31596 (2013.01); G06F 19/3468 (2013.01) CA (US); Orville G. Kolterman, Poway, (57) ABSTRACT CA (US); Jui-Chen Lin, San Diego, CA In alternative embodiments, the invention provides formula (US); Steven Shijun Ren, San Diego, tions, pharmaceutical compositions, devices and other prod CA (US); Li Jin, San Diego, CA (US); ucts of manufacture comprising a therapeutically effective Claudio Cobelli, Padova (IT): Boris mixture of an insulin and a pramlintide, and methods for Kovatchev, Charlottesville, VA (US) making and using them. For example, methods and compo sitions of the invention are used in the treatment or amelio (73) Assignees: AMYLIN PHARMACEUTICALS. ration of a diabetes, a dementia or Alzheimer's disease, any LLC, San Diego, CA (US); UVA abnormality of blood glucose control, an inability to control PATENT FOUNDATION Ab/a THE blood glucose, an elevation of fasting glucose or Impaired UVALICENSING AND VENTURES Fasting Glucose (IFG), an abnormality of tolerance to a glu cose load or Impaired Glucose Tolerance (IGT), a hypergly GROUP, Charlottesville, VA (US); cemia induced by an illness, a trauma, a medication admin GRUPPO BIOMED MOD, Padova, PA istration or a form of metabolic, psychological or physical (IT) stress, or a hyperglycemia induced by Steroids (steroid-in duced diabetes), a latent autoimmune diabetes in adults (21) Appl. No.: 14/403,177 (LADA), a postprandial or reactive Hypoglycemia oran insu lin resistance, a PolyCystic Ovary Syndrome (PCOS), a (22) PCT Fled: May 24, 2013 ketoacidosis, a gestational diabetes, a hyperkalemia, a cancer or cachexia, a beta blocker overdose, or a jaundice. In alter (86). PCT No.: PCT/US2O13/042745 native embodiments, the invention provides insulin pumps, S371 (c)(1), devices, Subcutaneous insulin infusion therapy devices, con (2) Date: Nov. 22, 2014 tinuous Subcutaneous insulin infusion therapy devices, infu sion therapy devices, reservoirs, ampoules, vials, Syringes, cartridges, disposable pen or jet injectors, prefilled pens or Related U.S. Application Data Syringes or cartridges, cartridge or disposable pen orjet injec tors, two chambered or multi-chambered pumps, Syringes, (60) Provisional application No. 61/651,945, filed on May cartridges or pens or jet injectors, or an artificial pancreas, 25, 2012, provisional application No. 61/773,737, comprising a formulation having an insulin pramlintide ratio filed on Mar. 6, 2013. of the invention. at Charlier Syrige anci Casticigs. Examples acategic systige assistasig Drug 2 As& By plashing the kinger, cirga (so to solitias Ys passessite typass, the Enix is crg solic cryopocer N \ s (uncrpose)g --zy-& * - y* Y tiss, wetter-phatiracy a-charner Wetter ye-set & Patent Application Publication Jun. 25, 2015 Sheet 1 of 54 US 201S/O174209 A1 is a Carner Sysinge &nd Carticigs. Exaries 8:33:8: yest syige 88; its assics & }*g & 8y estig 8 gigger, 83 & Scisio: is:ia: & Sis: $8& Šy;&S, 88 six is gig is&isix cyc: xxicies sts 88tti: 883488 usi{}838 wetter ye-iss: 8 Patent Application Publication Jun. 25, 2015 Sheet 2 of 54 US 201S/O174209 A1 ·palaeosºpavovanºso:Taenau uomossippigenerow-?udºwa?ogaopan,waamºso?mHonaa Patent Application Publication Jun. 25, 2015 Sheet 3 of 54 US 201S/O174209 A1 says---assassssss Patent Application Publication Jun. 25, 2015 Sheet 5 of 54 US 201S/O174209 A1 swarararasarrarararasararaxransvaararar sassuscarasssssssssssssssssssssssssssssssssssssss 8:3 wars wers s ars Patent Application Publication Jun. 25, 2015 Sheet 6 of 54 US 201S/O174209 A1 is 8 iss, i.88 & 3 &isis *Y.XaSteve St.Y: NYNY GEOS)(YYY se six risk &ssessier: is 8:8 8 &Sr. (tysixatic, 888:ritiatics 8 &s: A cisassisia& & 8&isis: {: 8 &is sisassiciatic: & AS 33 ties-riciate at 8&istra - 8 y& S-S sisting & hig pi Patent Application Publication Jun. 25, 2015 Sheet 7 of 54 US 201S/O174209 A1 saic: ; ;&Sigis is S is | Rapid I YYYYYYY sites is Sitgie lasts NH & Regular x8 is 8:8: Si:S six, it is fix Patent Application Publication Jun. 25, 2015 Sheet 8 of 54 US 201S/O174209 A1 Exerpiary rig iroduct relie at 8 Riariticiaii Co-Formutatist aiersity X88xie is is is 8888 &t's sysi &isis insuins u, no yxyyxxx xxxxyyxxxx xxxyyxx-xxxx Dose and regimen Farinide song, Tip {88: 8 (8:38 Systes viaSax as a six-axtaxiirality aersky is Sisypiesiniina arenew 88sy capita recess Costs Patent Application Publication Jun. 25, 2015 Sheet 9 of 54 US 201S/O174209 A1 assarasarasara-araasaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaasax a. s: 8 & | | }} } -~~~#~~~~~~~~~~~~~~#~~~~~~~~~~~~~~~~~~~~~~*~~~~~~~~~~~~~~~~~~~~~~~~~~~#~~~~~~~~~~~~- Sks se sw8 SS s & N SN 88 & & w as se s sm w A 8 w w N. W. W' ' A w . 8 we : X six ver r 'YY &S & & S sy S. & Patent Application Publication Jun. 25, 2015 Sheet 10 of 54 US 201S/O174209 A1 sixxxxxxxyyxxxxxxx-xxxx a. EY: #<!--~~~~~~~~~~~~~~~*~~~~~~~~~~~~~#~~~~~~ -aaaaaaa-aaaaaaa-aaaaaa-a-a-a-a-a-a-aaaaa Izi www.aracK-xxxxxaaacKKK+--~~~~--~--~~~~~--~--~~~~~--~--~~~~~--~--~~~~~~);~~--~~~~~~--~~~~~~--~~~~~~~--~~~~~;~~~~~--~~~~~--~ ~~~~--~~~~.~~~~--~~~~}}~~~~--~~~~~--~--~~~~~~~--~~~~}--~~~~--~~~~~~~}--~~~~--~~~~~~~--~~~~ ------------------------------------------------- Patent Application Publication US 201S/O174209 A1 Patent Application Publication Jun. 25, 2015 Sheet 12 of 54 US 201S/O174209 A1 arra sy 8:3 is: r 3. cy s s cer Patent Application Publication Jun. 25, 2015 Sheet 13 of 54 US 201S/O174209 A1 viadisting the Sifeet of sariids sing axe:8&isia set-up it is3&sie & 8, iaietes at 8, 2.8 Tracter Database for Modeling Subjects is 1D subjects age 37:2year, BM 78+3 kgfrn Protocol, Dual traceet mixed meat containing 50g of giacose Saxi subject was stixieti twice. Placebo: Standardize labelied vieai SOgglucose- 66-gusose $8.8s 3 & glucose-intraverkusPrairinitie: Standardize of i-Q labelied - Sag ofarea prairinide 50g Giucoset per art 88-i- of is is - said of Širject&s six assisiy he iotii is taxe: trioxx xxvities is a rate of &ppearance in a sexieijirie&ideriasia 12 Patent Application Publication Jun. 25, 2015 Sheet 14 of 54 US 201S/O174209 A1 visie is is sect is raisitirie: Yiexi 88k is gearaxe iate 88. x &CER xx & R&iviliš' axis & &w8888 & SS wesists & Stie as 888 &'s sists, 8x f gigs as . s f S 8,882 &S {{... SS 8 88 s R S. , 8 & 3. , 3, 23 {.{3. 3. 8 Patent Application Publication Jun. 25, 2015 Sheet 15 of 54 US 201S/O174209 A1 ?Q############*** Patent Application Publication Jun. 25, 2015 Sheet 16 of 54 US 201S/O174209 A1 antifying the Effect of Praminatide isientification of its origii exse absorption motie or Noerie et & Ra teai i8ta as picyicise itivisai &raisets estinates is tie S subjects in pressessee raisex: 8e of arristixie. starristice set of &g of Ai?i per it afirsair X:8 as beer quantifies by saiciiating tire isciviciia variatics for each 38888: p if PRAM-pirgo sie & ... : : . W. sty is sense as 3 m i & sness as sease X as 6 variri is - gig Bo -, is ...5 satjects &asi is ...5 paraiseiers Yy88 p if PRAM is parameter jestimated value in prescence of praminside for subject g it p88 is parameter estinated value in abscence of prairtice for subject feasessits 38 is set sixture 3i faintifieges it is is is FI Patent Application Publication Jun. 25, 2015 Sheet 17 of 54 US 201S/O174209 A1 rising is assisticis Soss-sgeis is asses asse city's 8s 8 tactates satists $88.8 raisitie-issisi riix's X is awares six is sixtis is against the percerage of greese retairex is esteract at 28 sin Y-8xis is sexest gastric 'etestix at sittites past tise, Patent Application Publication Jun. 25, 2015 Sheet 18 of 54 US 201S/O174209 A1 11." rtyry R k3 c : & & &S. E. M. Rex & Wes. sy aY, -Y: YY. Y. Y. YY Y Patent Application Publication Jun. 25, 2015 Sheet 19 of 54 US 201S/O174209 A1 gº••?pº (~~escae Patent Application Publication Jun. 25, 2015 Sheet 20 of 54 US 201S/O174209 A1 iype aetes Situater A. Key: itefsidivisia variability - - - - - - - - - - - - - - - - - - - - - - - - - ----------------------------- Adults (n=100) Adolesents (n=too children (n=100) 8:aises: aiean St. Patent Application Publication Jun. 25, 2015 Sheet 21 of 54 US 201S/O174209 A1 _9z_92989293 Patent Application Publication Jun. 25, 2015 Sheet 22 of 54 US 201S/O174209 A1 incorporatig is effers of sanitide: Cerejating viriai Sutjects {ive is parassists variatios which artiy prairies stient pi PRAM epii Pao : g S. f a x- is ..., is sijects 8xx is ... Sg888&iers gig P33 u it is 38sities i{ ai:kajaie is 888 - 8 xwai&ice airix gir igar e 3.58 (.39 (48 0.23 8.8 is . .38 - .S. Si: -; Six: -38. Xar is 0.003 -0.20 (.00s (,000 -0.038 S is , : 3 s, s.S. st.8 s. s.S. 38 21 Patent Application Publication Jun. 25, 2015 Sheet 23 of 54 US 201S/O174209 A1 ico; parating is lifect of Fariticis: generating vita Sutjects its six g witsits& w888s off its: 88.888 & - 8xistii:Xi8: w8xis off gaarsters waiiaix is its assassissixties: flapse N (agar, Saar it asarieters waiiatici's 8v8 ex: Seerater iro's '888w8 &istristic: w8& 8x kiss xas i 88 - 888& .38: .383 .2s.