Drug delivery device
11357917 · 2022-06-14
Assignee
Inventors
- Paul Richard Draper (Worcestershire, GB)
- George Cave (Warwickshire, GB)
- Joseph Butler (Warwickshire, GB)
- Samuel Steel (Warwickshire, GB)
- David Richard Mercer (Dorset, GB)
- Simon Lewis Bilton (Warwickshire, GB)
Cpc classification
A61M2205/8262
HUMAN NECESSITIES
A61M5/20
HUMAN NECESSITIES
A61M5/345
HUMAN NECESSITIES
A61M5/3202
HUMAN NECESSITIES
A61M5/24
HUMAN NECESSITIES
A61M2205/14
HUMAN NECESSITIES
International classification
A61M5/24
HUMAN NECESSITIES
A61M5/32
HUMAN NECESSITIES
A61M5/34
HUMAN NECESSITIES
Abstract
A drug delivery device for administering a drug is presented having a body, at least one electrical unit and a port for electrically contacting the electrical unit, an adapter for attaching an injection needle to the drug delivery device, a safety mechanism arranged to prevent contacting the electrical unit whilst an injection needle is in fluid communication with the drug delivery device and arranged to prevent establishing a fluid communication whilst the electrical unit is contactable.
Claims
1. A drug delivery device for administering a drug, comprising: a body, at least one electrical unit and a port for electrically contacting the at least one electrical unit, an adapter for attaching an injection needle to the drug delivery device, and a safety mechanism comprising a cap arranged to be assembled over the injection needle and over part of the body such that the injection needle is inaccessible and the port is accessible when the cap is attached to the body, wherein the port is inaccessible when the cap is removed from the body, wherein the port is arranged within a recess in the body, wherein the safety mechanism comprises a cover arranged to hide the recess when in a closed position or expose the recess when in an open position relative to the body, wherein when the cap is attached to the body, the recess with the port remains uncovered, wherein the cap, when mounted to the body, is arranged to cause movement of the cover into the open position and/or unlock the cover for allowing its movement into the open position, wherein an electrical switch is arranged in the body for detecting the cap such that assembling the cap to the body triggers the electrical switch which causes an electrical control circuit to release a retaining mechanism for moving or allowing movement of the cover and/or the port into the open position for rendering the port accessible and that removal of the cap triggers the electrical switch which causes the electrical control circuit to cause the retaining mechanism to move the cover and/or the port into the closed position.
2. The drug delivery device of claim 1, wherein the safety mechanism comprises the port being movable relative to the body.
3. The drug delivery device of claim 2, wherein removal of the cap is prevented while a connector is connected to the port.
4. The drug delivery device of claim 1, wherein the cap, when mounted to the body, is arranged to cause movement of the port into alignment with the recess in an open position and wherein the port moves into misalignment with the recess when the cap is removed from the body.
5. The drug delivery device of claim 1, wherein a second spring is arranged to bias the cover towards the closed position.
6. The drug delivery device of claim 5, wherein the cap is arranged to be mounted to the body by an axial translation and/or a rotation.
7. The drug delivery device of claim 5, wherein removal of the cap is prevented while a connector is connected to the port.
8. The drug delivery device of claim 1, wherein the cover is arranged to pivot or slide between the closed position and the open position.
9. The drug delivery device of claim 8, wherein the cover is arranged to pivot or slide between the closed position and the open position.
10. The drug delivery device of claim 9, wherein the cover is arranged to be locked in the closed position.
11. The drug delivery device of claim 10, wherein the cap is arranged to be mounted to the body by an axial translation and/or a rotation.
12. The drug delivery device of claim 10 wherein removal of the cap is prevented while a connector is connected to the port.
13. The drug delivery device of claim 9, wherein the cap is arranged to be mounted to the body by an axial translation and/or a rotation.
14. The drug delivery device of claim 9, wherein removal of the cap is prevented while a connector is connected to the port.
15. The drug delivery device of claim 1, wherein the cover is arranged to be locked in the closed position.
16. The drug delivery device of claim 1, wherein a handle on the cover is arranged to interact with an opening in the cap such that the cap prevents rotation of the cover unless it is fully assembled to the body.
17. The drug delivery device of claim 16, wherein the cap is arranged to be mounted to the body by an axial translation and/or a rotation.
18. The drug delivery device of claim 1, wherein the cap is arranged to be mounted to the body by an axial translation and/or a rotation.
19. The drug delivery device of claim 18, wherein removal of the cap is prevented while a connector is connected to the port.
20. The drug delivery device of claim 1, wherein removal of the cap is prevented while a connector is connected to the port.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The present invention will become more fully understood from the detailed description given hereinbelow and the accompanying drawings which are given by way of illustration only, and thus, are not limitive of the present invention, and wherein:
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(25) Corresponding parts are marked with the same reference symbols in all figures.
DETAILED DESCRIPTION
(26)
(27) The needle may be attached and removed by the user thus allowing it to be used for a single delivery of the drug. After delivery the needle is removed, discarded and replaced by a new one, if applicable.
(28) The drug delivery device 1 comprises a port 5 (cf.
(29) Similarly, the port 5 may be adapted to interface with a blood glucose strip for measuring a user's blood glucose value. The port 5 will thus also feature electronic contacts. Consequently there is a similar associated risk.
(30) The above risk is addressed by providing a safety mechanism S to disable the dosing operation of the drug delivery device 1 when the user can access the port 5. This is achieved by performing an operation which disables a delivery mechanism of the drug delivery device 1 or by preventing the user from accessing an adapter 7 such as a threaded area 7 of the drug delivery device 1 adapted to connect to the needle or from accessing a button or soft button on the human-machine interface.
(31)
(32) The docking station 2 comprises a longitudinal portion 2.1 which the bespoke connector 4 is transversally arranged on for connecting to the port 5 (cf.
(33)
(34)
(35) The needle 10 may be attached and removed by the user thus allowing it to be used for a single delivery of the drug. After delivery the needle 10 is removed, discarded and replaced by a new one, if applicable.
(36) The drug delivery device 1 comprises a port 5 (cf.
(37) A cap 13 is arranged to be assembled over the needle 10 and over part of the body 9 such that the needle 10 is inaccessible when the cap 13 is attached to the body 9, whereas the recess 6 with the port 5 remains uncovered. The sliding cover 12 is arranged to engage the cap 13 such that the sliding cover 12 is in the closed position CP when not engaged by the cap 13 and in the open position OP when the cap 13 is fully mounted to the body 9 of the drug delivery device 1.
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(42) In an alternative embodiment the cover 12 may be pivoted instead of slid such that it rotates about one of its edges or corners between the open position OP and the closed position CP.
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(44) In this alternative embodiment the cover 12 may not be slid into the open position OP by the cap 13 but just unlocked such that a user may manually slide the cover 12 open, while the cover 12 remains locked without the cap 13 attached thus preventing the user from exposing the port 5. For this purpose the sliding cover 12 may be modified to incorporate a slot 17 to allow the tab 14 on the cap 13 to pass freely through it. A cover handle 18 may be arranged to allow the user to move the cover 12 into the open position OP. The first spring 16 remains to bias the sliding cover 12 towards the closed position CP.
(45) A blocking component 19 with a chamfered section 20 is slidably arranged in the body 9 and outwardly biased towards a blocking position by a second spring 21. The blocking component 19 comprises a blocking recess 22 for engaging a blocking protrusion 23 on the cover 12 when the cover 12 is in the closed position CP and the blocking component 19 is in the blocking position.
(46) As the cap 13 is fitted to the body 9 of the drug delivery device 1, the tab 14 on the cap 13 (cf.
(47) The embodiment shown in
(48) An alternative embodiment, which also has the effect of restricting the motion of the cover 12 unless the cap 13 is fitted, is illustrated in
(49)
(50) A handle 18 on the cover 12 may interact with an opening 25 in the cap 13 such that the cap 13 prevents rotation of the cover 12 unless it is fully assembled to the body 9.
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(53) The drug delivery device 1 comprises a body 9 adapted to receive a drug cartridge or syringe (not illustrated). A hypodermic needle (not illustrated) may be attached to the cartridge. The drug delivery device 1 may comprise a human-machine-interface (not illustrated) for communicating information to a user and for allowing the user to operate the drug delivery device 1. Furthermore, the drug delivery device may comprise an electromechanical drive (not illustrated) for inserting the needle into an injection site, e.g. a patient's skin and/or dispensing drug from the cartridge through the needle and/or retracting the needle post-injection.
(54) The needle may be attached and removed by the user thus allowing it to be used for a single delivery of the drug. After delivery the needle is removed, discarded and replaced by a new one, if applicable.
(55) The drug delivery device 1 comprises a port 5 which may serve for wired communication with another device for data transfer or charging. The port 5 is arranged within a recess 6 in the body 9 of the drug delivery device 1. A sliding cover 12 is arranged to hide the recess 6 when in a closed position CP or expose the recess 6 when in an open position OP relative to the body 9.
(56) A cap 13 is arranged to be assembled over the needle and over part of the body 9 such that the needle is inaccessible when the cap 13 is attached to the body 9, whereas the recess 6 with the port 5 remains uncovered. The sliding cover 12 is arranged to engage the cap 13 such that the sliding cover 12 is in the closed position CP when not engaged by the cap 13 and in the open position OP when the cap 13 is fully mounted to the body 9 of the drug delivery device 1.
(57) As opposed to the aforementioned embodiments, where the sliding cover 12 is arranged within the body 9, in the embodiment of
(58)
(59) The embodiments as outlined above make use of components actuated to operate in a linear fashion. An alternative embodiment would apply the same principles to a cap 13 fitted with a rotary motion as opposed to a linear motion. As the cap 13 is fitted to the body 9, the cover 12 rotates about a central axis of the body 9, to reveal the port 5.
(60) The mechanism may be adapted to execute the motion in any of the following ways: The cap 13 rotates onto the body 9, causing the cover 12 to rotate within the body 9. The cap 13 attaches axially onto the body 9 and then rotates at the end of its travel, causing the cover 12 to rotate within the body 9. The cap 13 attaches axially onto the body 9 with no rotation of the cap 13 taking place, but still causing the cover 12 to rotate within the body 9.
(61)
(62) The drug delivery device 1 comprises a body 9 adapted to receive a drug cartridge or syringe (not illustrated). A hypodermic needle (not illustrated) may be attached to the cartridge. The drug delivery device 1 may comprise a human-machine-interface 11 for communicating information to a user and for allowing the user to operate the drug delivery device 1. Furthermore, the drug delivery device may comprise an electromechanical drive (not illustrated) for inserting the needle into an injection site, e.g. a patient's skin and/or dispensing drug from the cartridge through the needle and/or retracting the needle post-injection.
(63) The drug delivery device 1 comprises a port 5 which may serve for wired communication with another device for data transfer or charging. The port 5 is arranged in the body 9 of the drug delivery device 1. The port 5 is moveably arranged within the body 9 such that it may be aligned or misaligned with a recess 6 in the body 9 thus rendering the port 5 accessible or inaccessible.
(64) A cap 13 is arranged to be assembled over the needle and over part of the body 9 such that the needle is inaccessible when the cap 13 is attached to the body 9.
(65) When the cap 13 is fitted to the body 9, the cap 13 directly actuates the motion of the port 5, such that when the cap 13 is removed the port 5 is misaligned with the recess 6 and inaccessible (
(66)
(67) The drug delivery device 1 comprises a body 9 adapted to receive a drug cartridge or syringe (not illustrated). A hypodermic needle (not illustrated) may be attached to the cartridge. The drug delivery device 1 may comprise a human-machine-interface 11 for communicating information to a user and for allowing the user to operate the drug delivery device 1. Furthermore, the drug delivery device 1 may comprise an electromechanical drive (not illustrated) for inserting the needle into an injection site, e.g. a patient's skin and/or dispensing drug from the cartridge through the needle and/or retracting the needle post-injection.
(68) The drug delivery device 1 comprises a port 5 which may serve for wired communication with another device for data transfer or charging. The port 5 is arranged in the body 9 of the drug delivery device 1. A sliding cover (not illustrated) may be arranged to hide the port 5 when in a closed position or expose the port 5 when in an open position relative to the body 9. Likewise the port 5 may be moveably arranged within the body 9 such that it may be aligned or misaligned with a recess in the body 9 thus rendering the port 5 accessible or inaccessible.
(69) A cap 13 is arranged to be assembled over the needle and over part of the body 9 such that the needle is inaccessible when the cap 13 is attached to the body 9.
(70) A switch 31 is arranged in the body 9 for detecting whether the cap 13 is attached to the body 9 or not. Fitting the cap 13 to the body 9 triggers the switch 31 which, via a control circuit 32, releases a retaining mechanism 33 for moving the cover 12 and/or the port 5 for rendering the port 5 accessible. If the cap 13 is not attached the switch 31 triggers the retaining mechanism 33 via the control circuit 32 to restore the cover 12 and/or the port 5 to a position where the port 5 is inaccessible.
(71) The retaining mechanism 33 may be arranged as a solenoid arranged for holding the cover 12 in the closed position CP when energized and to release the cover 12 to move into the open position OP when not energized.
(72) Likewise the retaining mechanism 33 may be arranged as a motor or other linear actuator to directly drive the movement of the cover 12 to open and close the port 5.
(73) Alternatively, the retaining mechanism 33 may drive the movement of the port 5.
(74) The aforementioned embodiments may be modified to prevent removal of the cap 13 while a connector is connected to the port 5 thus encouraging the user to remove the connector before removing the cap 13. This prevents the user from exposing the needle while the port 5 is being accessed.
(75)
(76) The drug delivery device 1 comprises a body 9 adapted to receive a drug cartridge or syringe (not illustrated). A hypodermic needle (not illustrated) may be attached to the cartridge. The drug delivery device 1 may comprise a human-machine-interface (not illustrated) for communicating information to a user and for allowing the user to operate the drug delivery device 1. Furthermore, the drug delivery device 1 may comprise an electromechanical drive (not illustrated) for inserting the needle into an injection site, e.g. a patient's skin and/or dispensing drug from the cartridge through the needle and/or retracting the needle post-injection.
(77) The drug delivery device 1 comprises a port 5 which may serve for wired communication with another device for data transfer or charging. The port 5 is arranged within a recess 6 in the body 9 of the drug delivery device 1. A blocking component 19 biased by a first spring 16 is arranged to protrude into the recess 6 to prevent a connector from connecting to the port 5.
(78) A cap 13 is arranged to be assembled over the needle and over part of the body 9 such that the needle is inaccessible when the cap 13 is attached to the body 9.
(79) When the cap 13 is removed from the body 9, the first spring 16 moves the blocking component 19 such that it extends into the recess 6 and prevents a connector from being inserted into the port 5 as illustrated in
(80) When the cap 13 is attached the tab 14 acts on a surface of a pivot arm 34 to force the blocking component 19 inwards to clear the recess 6, allowing a connector to be fitted to the port 5 (see
(81)
(82) The drug delivery device 1 comprises a body 9 adapted to receive a drug cartridge or syringe (not illustrated). A hypodermic needle (not illustrated) may be attached to the cartridge. The drug delivery device 1 may comprise a human-machine-interface 11 for communicating information to a user and for allowing the user to operate the drug delivery device 1. Furthermore, the drug delivery device 1 may comprise an electromechanical drive (not illustrated) for inserting the needle into an injection site, e.g. a patient's skin and/or dispensing drug from the cartridge through the needle and/or retracting the needle post-injection.
(83) A cap 13 is arranged to be assembled over the needle and over part of the body 9 such that the needle is inaccessible when the cap 13 is attached to the body 9. The drug delivery device 1 comprises a port 5 which may serve for wired communication with another device for data transfer or charging. The port 5 is arranged within the cap 13. A customized interface between the body 9 and the cap 13 comprising a customized connector 35 and a customized second port 36 is arranged to connect the port 5 to the circuitry in the body 9 when the cap 13 is attached to the body 9.
(84) The port 5 can therefore only be used when the cap 13 is fitted to the body 9. When the cap 13 is not fitted the port 5 remains accessible. However, the port 5 is not connected to any of the electronics on the drug delivery device 1, mitigating the risk.
(85)
(86) When the cap 13 is fitted to the body 9, the customized connector 35 is inserted in the customized second port 36 or connector slot, the aperture of which is small enough as to prevent it posing a risk to the user that they might accidentally come into contact with the customized second port 36.
(87) The term “drug” or “medicament”, as used herein, means a pharmaceutical formulation containing at least one pharmaceutically active compound,
(88) wherein in one embodiment the pharmaceutically active compound has a molecular weight up to 1500 Da and/or is a peptide, a protein, a polysaccharide, a vaccine, a DNA, a RNA, an enzyme, an antibody or a fragment thereof, a hormone or an oligonucleotide, or a mixture of the above-mentioned pharmaceutically active compound,
(89) wherein in a further embodiment the pharmaceutically active compound is useful for the treatment and/or prophylaxis of diabetes mellitus or complications associated with diabetes mellitus such as diabetic retinopathy, thromboembolism disorders such as deep vein or pulmonary thromboembolism, acute coronary syndrome (ACS), angina, myocardial infarction, cancer, macular degeneration, inflammation, hay fever, atherosclerosis and/or rheumatoid arthritis,
(90) wherein in a further embodiment the pharmaceutically active compound comprises at least one peptide for the treatment and/or prophylaxis of diabetes mellitus or complications associated with diabetes mellitus such as diabetic retinopathy,
(91) wherein in a further embodiment the pharmaceutically active compound comprises at least one human insulin or a human insulin analogue or derivative, glucagon-like peptide (GLP-1) or an analogue or derivative thereof, or exendin-3 or exendin-4 or an analogue or derivative of exendin-3 or exendin-4.
(92) Insulin analogues are for example Gly(A21), Arg(B31), Arg(B32) human insulin; Lys(B3), Glu(B29) human insulin; Lys(B28), Pro(B29) human insulin; Asp(B28) human insulin; human insulin, wherein proline in position B28 is replaced by Asp, Lys, Leu, Val or Ala and wherein in position B29 Lys may be replaced by Pro; Ala(B26) human insulin; Des(B28-B30) human insulin; Des(B27) human insulin and Des(B30) human insulin.
(93) Insulin derivates are for example B29-N-myristoyl-des(B30) human insulin; B29-N-palmitoyl-des(B30) human insulin; B29-N-myristoyl human insulin; B29-N-palmitoyl human insulin; B28-N-myristoyl LysB28ProB29 human insulin; B28-N-palmitoyl-LysB28ProB29 human insulin; B30-N-myristoyl-ThrB29LysB30 human insulin; B30-N-palmitoyl-ThrB29LysB30 human insulin; B29-N-(N-palmitoyl-Y-glutamyl)-des(B30) human insulin; B29-N-(N-lithocholyl-Y-glutamyl)-des(B30) human insulin; B29-N-(ω-carboxyheptadecanoyl)-des(B30) human insulin and B29-N-(ω-carboxyheptadecanoyl) human insulin.
(94) Exendin-4 for example means Exendin-4(1-39), a peptide of the sequence H-His-Gly-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Leu-Ser-Lys-Gln-Met-Glu-Glu-Glu-Ala-Val-Arg-Leu-Phe-Ile-Glu-Trp-Leu-Lys-Asn-Gly-Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-Ser-NH2.
(95) Exendin-4 derivatives are for example selected from the following list of compounds:
(96) H-(Lys)4-des Pro36, des Pro37 Exendin-4(1-39)-NH2,
(97) H-(Lys)5-des Pro36, des Pro37 Exendin-4(1-39)-NH2,
(98) des Pro36 Exendin-4(1-39),
(99) des Pro36 [Asp28] Exendin-4(1-39),
(100) des Pro36 [IsoAsp28] Exendin-4(1-39),
(101) des Pro36 [Met(O)14, Asp28] Exendin-4(1-39),
(102) des Pro36 [Met(O)14, IsoAsp28] Exendin-4(1-39),
(103) des Pro36 [Trp(O2)25, Asp28] Exendin-4(1-39),
(104) des Pro36 [Trp(O2)25, IsoAsp28] Exendin-4(1-39),
(105) des Pro36 [Met(O)14 Trp(O2)25, Asp28] Exendin-4(1-39),
(106) des Pro36 [Met(O)14 Trp(O2)25, IsoAsp28] Exendin-4(1-39); or
(107) des Pro36 [Asp28] Exendin-4(1-39),
(108) des Pro36 [IsoAsp28] Exendin-4(1-39),
(109) des Pro36 [Met(O)14, Asp28] Exendin-4(1-39),
(110) des Pro36 [Met(O)14, IsoAsp28] Exendin-4(1-39),
(111) des Pro36 [Trp(O2)25, Asp28] Exendin-4(1-39),
(112) des Pro36 [Trp(O2)25, IsoAsp28] Exendin-4(1-39),
(113) des Pro36 [Met(O)14 Trp(O2)25, Asp28] Exendin-4(1-39),
(114) des Pro36 [Met(O)14 Trp(O2)25, IsoAsp28] Exendin-4(1-39),
(115) wherein the group-Lys6-NH2 may be bound to the C-terminus of the Exendin-4 derivative;
(116) or an Exendin-4 derivative of the sequence
(117) des Pro36 Exendin-4(1-39)-Lys6-NH2 (AVE0010),
(118) H-(Lys)6-des Pro36 [Asp28] Exendin-4(1-39)-Lys6-NH2,
(119) des Asp28 Pro36, Pro37, Pro38Exendin-4(1-39)-NH2,
(120) H-(Lys)6-des Pro36, Pro38 [Asp28] Exendin-4(1-39)-NH2,
(121) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Asp28] Exendin-4(1-39)-NH2,
(122) des Pro36, Pro37, Pro38 [Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(123) H-(Lys)6-des Pro36, Pro37, Pro38 [Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(124) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(125) H-(Lys)6-des Pro36 [Trp(O2)25, Asp28] Exendin-4(1-39)-Lys6-NH2,
(126) H-des Asp28 Pro36, Pro37, Pro38 [Trp(O2)25] Exendin-4(1-39)-NH2,
(127) H-(Lys)6-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28] Exendin-4(1-39)-NH2,
(128) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28] Exendin-4(1-39)-NH2,
(129) des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(130) H-(Lys)6-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(131) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(132) H-(Lys)6-des Pro36 [Met(O)14, Asp28] Exendin-4(1-39)-Lys6-NH2,
(133) des Met(O)14 Asp28 Pro36, Pro37, Pro38 Exendin-4(1-39)-NH2,
(134) H-(Lys)6-desPro36, Pro37, Pro38 [Met(O)14, Asp28] Exendin-4(1-39)-NH2,
(135) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met(O)14, Asp28] Exendin-4(1-39)-NH2,
(136) des Pro36, Pro37, Pro38 [Met(O)14, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(137) H-(Lys)6-des Pro36, Pro37, Pro38 [Met(O)14, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(138) H-Asn-(Glu)5 des Pro36, Pro37, Pro38 [Met(O)14, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(139) H-Lys6-des Pro36 [Met(O)14, Trp(O2)25, Asp28] Exendin-4(1-39)-Lys6-NH2,
(140) H-des Asp28 Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25] Exendin-4(1-39)-NH2,
(141) H-(Lys)6-des Pro36, Pro37, Pro38 [Met(O)14, Asp28] Exendin-4(1-39)-NH2,
(142) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28] Exendin-4(1-39)-NH2,
(143) des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2,
(144) H-(Lys)6-des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28] Exendin-4(S1-39)-(Lys)6-NH2,
(145) H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28] Exendin-4(1-39)-(Lys)6-NH2;
(146) or a pharmaceutically acceptable salt or solvate of any one of the afore-mentioned Exendin-4 derivative.
(147) Hormones are for example hypophysis hormones or hypothalamus hormones or regulatory active peptides and their antagonists as listed in Rote Liste, ed. 2008, Chapter 50, such as Gonadotropine (Follitropin, Lutropin, Choriongonadotropin, Menotropin), Somatropine (Somatropin), Desmopressin, Terlipressin, Gonadorelin, Triptorelin, Leuprorelin, Buserelin, Nafarelin, Goserelin.
(148) A polysaccharide is for example a glucosaminoglycane, a hyaluronic acid, a heparin, a low molecular weight heparin or an ultra low molecular weight heparin or a derivative thereof, or a sulphated, e.g. a poly-sulphated form of the above-mentioned polysaccharides, and/or a pharmaceutically acceptable salt thereof. An example of a pharmaceutically acceptable salt of a poly-sulphated low molecular weight heparin is enoxaparin sodium.
(149) Antibodies are globular plasma proteins (˜150 kDa) that are also known as immunoglobulins which share a basic structure. As they have sugar chains added to amino acid residues, they are glycoproteins. The basic functional unit of each antibody is an immunoglobulin (Ig) monomer (containing only one Ig unit); secreted antibodies can also be dimeric with two Ig units as with IgA, tetrameric with four Ig units like teleost fish IgM, or pentameric with five Ig units, like mammalian IgM.
(150) The Ig monomer is a “Y”-shaped molecule that consists of four polypeptide chains; two identical heavy chains and two identical light chains connected by disulfide bonds between cysteine residues. Each heavy chain is about 440 amino acids long; each light chain is about 220 amino acids long. Heavy and light chains each contain intrachain disulfide bonds which stabilize their folding. Each chain is composed of structural domains called Ig domains. These domains contain about 70-110 amino acids and are classified into different categories (for example, variable or V, and constant or C) according to their size and function. They have a characteristic immunoglobulin fold in which two β sheets create a “sandwich” shape, held together by interactions between conserved cysteines and other charged amino acids.
(151) There are five types of mammalian Ig heavy chain denoted by α, δ, ε, γ, and μ. The type of heavy chain present defines the isotype of antibody; these chains are found in IgA, IgD, IgE, IgG, and IgM antibodies, respectively.
(152) Distinct heavy chains differ in size and composition; α and γ contain approximately 450 amino acids and δ approximately 500 amino acids, while μ and ε have approximately 550 amino acids. Each heavy chain has two regions, the constant region (C.sub.H) and the variable region (V.sub.H). In one species, the constant region is essentially identical in all antibodies of the same isotype, but differs in antibodies of different isotypes. Heavy chains γ, α and δ have a constant region composed of three tandem Ig domains, and a hinge region for added flexibility; heavy chains μ and ε have a constant region composed of four immunoglobulin domains. The variable region of the heavy chain differs in antibodies produced by different B cells, but is the same for all antibodies produced by a single B cell or B cell clone. The variable region of each heavy chain is approximately 110 amino acids long and is composed of a single Ig domain.
(153) In mammals, there are two types of immunoglobulin light chain denoted by λ and κ. A light chain has two successive domains: one constant domain (CL) and one variable domain (VL). The approximate length of a light chain is 211 to 217 amino acids. Each antibody contains two light chains that are always identical; only one type of light chain, κ or λ, is present per antibody in mammals.
(154) Although the general structure of all antibodies is very similar, the unique property of a given antibody is determined by the variable (V) regions, as detailed above. More specifically, variable loops, three each the light (VL) and three on the heavy (VH) chain, are responsible for binding to the antigen, i.e. for its antigen specificity. These loops are referred to as the Complementarity Determining Regions (CDRs). Because CDRs from both VH and VL domains contribute to the antigen-binding site, it is the combination of the heavy and the light chains, and not either alone, that determines the final antigen specificity.
(155) An “antibody fragment” contains at least one antigen binding fragment as defined above, and exhibits essentially the same function and specificity as the complete antibody of which the fragment is derived from. Limited proteolytic digestion with papain cleaves the Ig prototype into three fragments. Two identical amino terminal fragments, each containing one entire L chain and about half an H chain, are the antigen binding fragments (Fab). The third fragment, similar in size but containing the carboxyl terminal half of both heavy chains with their interchain disulfide bond, is the crystallizable fragment (Fc). The Fc contains carbohydrates, complement-binding, and FcR-binding sites. Limited pepsin digestion yields a single F(ab′)2 fragment containing both Fab pieces and the hinge region, including the H-H interchain disulfide bond. F(ab′)2 is divalent for antigen binding. The disulfide bond of F(ab′)2 may be cleaved in order to obtain Fab′. Moreover, the variable regions of the heavy and light chains can be fused together to form a single chain variable fragment (scFv).
(156) Pharmaceutically acceptable salts are for example acid addition salts and basic salts. Acid addition salts are e.g. HCl or HBr salts. Basic salts are e.g. salts having a cation selected from alkali or alkaline, e.g. Na+, or K+, or Ca2+, or an ammonium ion N+(R1)(R2)(R3)(R4), wherein R1 to R4 independently of each other mean: hydrogen, an optionally substituted C1-C6-alkyl group, an optionally substituted C2-C6-alkenyl group, an optionally substituted C6-C10-aryl group, or an optionally substituted C6-C10-heteroaryl group. Further examples of pharmaceutically acceptable salts are described in “Remington's Pharmaceutical Sciences” 17. ed. Alfonso R. Gennaro (Ed.), Mark Publishing Company, Easton, Pa., U.S.A., 1985 and in Encyclopedia of Pharmaceutical Technology.
(157) Pharmaceutically acceptable solvates are for example hydrates.
(158) Those of skill in the art will understand that modifications (additions and/or removals) of various components of the apparatuses, methods and/or systems and embodiments described herein may be made without departing from the full scope and spirit of the present invention, which encompass such modifications and any and all equivalents thereof.