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Subcutaneously administered Anti-il-6 receptor antibody

a technology of il-6 receptor and antibody, which is applied in the field of subcutaneous administration of anti-il-6 receptor antibody, can solve the problems of inconclusive data to date, and certain histocompatibility antigens are associated with poorer outcomes

Inactive Publication Date: 2014-02-27
CHUGAI PHARMA CO LTD +1
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The invention relates to a method of treating IL-6-mediated disorders such as rheumatoid arthritis, juvenile idiopathic arthritis, systemic JIA, polyarticular course JIA, giant cell arteritis, and systemic sclerosis by subcutaneously administering an anti-IL-6R antibody to a patient. The method involves administering a fixed dose of the antibody every two weeks or once every four weeks. The invention also provides a pharmaceutical composition containing the anti-IL-6R antibody and hyaluronidase enzyme for subcutaneous administration to patients with IL-6-mediated disorders. The fixed dose of the antibody can be 162 mg, 324 mg, or 648 mg. The invention provides a method for inhibiting progression of structural joint damage in a rheumatoid arthritis patient and a method for treating an IL-6-mediated disorder in a patient with rheumatoid arthritis, JIA, systemic JIA, polyarticular course JIA, giant cell arteritis, or systemic sclerosis.

Problems solved by technology

The cause of RA is not known; however, certain histocompatibility antigens are associated with poorer outcomes.
However, open-label trials of B cell-depleting antibodies in patients with SSc have resulted in inconclusive data to date (Bosello et al.

Method used

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  • Subcutaneously administered Anti-il-6 receptor antibody
  • Subcutaneously administered Anti-il-6 receptor antibody
  • Subcutaneously administered Anti-il-6 receptor antibody

Examples

Experimental program
Comparison scheme
Effect test

example 1

Clinical Studies Identifying Fixed Dose of Anti-IL-6R Antibody for Subcutaneous (SC) Administration

[0180]The selection of 162 mg anti-IL-6R antibody (tocilizumab, TCZ) subcutaneously administered every week (SC QW) was based on results from four phase 1 / 2 studies, including two phase 1 studies in healthy subjects (WP18097 and BP22065), one phase 1 / 2 study in Japanese RA patients (MRA227), and one phase 1b study in Caucasian RA patients (NP22623). Further details regarding these SC studies and the four studies from which data are drawn for comparison are provided in Table 1.

TABLE 1Clinical Pharmacology Studies Following SC Administration of TCZ in Healthy Subjects and RA PatientsStudy No.TCZ Treatment / CountryObjectivesDesign and PopulationDoseDurationSample SizeStatusWP18097PK from a pilot SCSingle center, single-Group 1: 160 mgSingle dose, PKN = 20 total andCompletedFranceformulation,blind, placebo-SCsampling up to Day 14,n = 12 for SCabsolutecontrolled, randomized,Group 2: 160 mgon...

example 2

Clinical Study of Sc Anti-IL-6 Receptor Antibody in RA

[0200]This is a Phase 3, 2-arm, 2-year, randomized, double-blind, double-dummy, active controlled, parallel group multicentre trial in patients with moderate to severe, active RA who currently have an inadequate response to a stable dose of DMARDs that may include one or more anti-TNF biological agent. The primary endpoint will be evaluated at 24 weeks. The overall design of this example is shown in FIG. 5. The formulation is that as in Example 1.

[0201]The screening visit can occur up to 21 days (or up to 56 days if a washout period is required for longer than 21 days) prior to the baseline randomization visit. Patient eligibility will be determined at the screening and baseline visits, at which time the patient will be randomized. The number of patients that have failed previous anti-TNF treatment will be limited to approximately 20% of the total study population.

Inclusion Criteria

[0202]1. Age ≧18 years[0203]2. Rheumatoid arthri...

example 3

Anti-IL-6R Antibody Sc for Inhibiting Progression of Joint Damage

[0222]This is a Phase 3, 2-arm, 2-year, randomized, double-blind, placebo-controlled, parallel group multicenter trial in patients with moderate to severe, active RA who currently have an inadequate response to DMARD(s) that may include one or more anti-TNF-α agent. The primary endpoint will be evaluated at Week 24.

[0223]The overall design is shown in FIG. 6. The screening visit can occur up to 21 days (or up to 56 days if a washout period is required for longer than 21 days) prior to the baseline randomization visit. Patient eligibility will be determined at the screening and baseline visits. At baseline, patients will be randomized. The number of patients that have failed previous anti-TNF-α treatment will be limited to approximately 20% of the total study population. The formulation is that as in Example 1. The formulation is administered using a pre-filled syringe (PFS) or auto-injector (AI) device.

TCZ Q2W Dosing

[0...

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Abstract

The present application discloses methods for treating an IL-6-mediated disorder such as rheumatoid arthritis (RA), juvenile idiopathic arthritis (JIA), systemic JIA (sJIA), polyarticular course JIA (pcJIA), systemic sclerosis, or giant cell arteritis (GCA), with subcutaneously administered antibody that binds interleukin-6 receptor (anti-IL-6R antibody). In particular, it relates to identification of a fixed dose of anti-IL-6R antibody, e.g. tocilizumab, which is safe and effective for subcutaneous administration in patients with IL-6-mediated disorders. In addition, formulations and devices useful for subcutaneous administration of an anti-IL-6R antibody are disclosed.

Description

[0001]This is a divisional application which claims priority under 35 USC §120 to non-provisional application Ser. No. 13 / 290,366, filed Nov. 7, 2011, which claims priority under 35 USC §119(e) to U.S. Provisional Application Ser. No. 61 / 411,015, filed on Nov. 8, 2010 and U.S. Provisional Application Ser. No. 61 / 542,615, filed on Oct. 3, 2011, which are incorporated by reference in entirety.FIELD OF THE INVENTION[0002]The present application concerns methods for treating an IL-6-mediated disorder such as rheumatoid arthritis (RA), juvenile idiopathic arthritis (JIA), systemic JIA (sJIA), polyarticular course JIA (pcJIA), systemic sclerosis, or giant cell arteritis (GCA), with subcutaneously administered antibody that binds interleukin-6 receptor (anti-IL-6R antibody). In particular, it relates to identification of a fixed dose of anti-IL-6R antibody, e.g. tocilizumab, which is safe and effective for subcutaneous administration in patients with IL-6-mediated disorders. In addition, f...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K39/395
CPCA61K39/39533A61K38/47A61K2039/505A61K2039/54A61K2039/545A61K2300/00C07K16/2866C07K2317/24C07K2317/76C07K2317/94C12Y302/01035A61K9/0019A61K39/3955A61K31/573A61P17/00A61P17/06A61P19/02A61P21/00A61P29/00A61P37/00A61P37/06A61P43/00A61P9/00A61P9/14
Inventor ZHANG, XIAOPINGTERAO, KIMIOHARARI, OLIVIER ALFRED
Owner CHUGAI PHARMA CO LTD
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