Improvements of an optical sensing system of a drug delivery device
20230241322 · 2023-08-03
Inventors
- Craig Ashley Mason (Helsby Cheshire, GB)
- Oliver Charles Gazeley (Basel, CH)
- Aidan Michael O`Hare (Warwick Warwickshire, GB)
- Matthew Francis Hobson (Warwick Warwickshire, GB)
- Alexander Allerdings (Frankfurt am Main, DE)
Cpc classification
A61M5/31551
HUMAN NECESSITIES
A61M5/31568
HUMAN NECESSITIES
A61M5/24
HUMAN NECESSITIES
A61M2205/3317
HUMAN NECESSITIES
International classification
Abstract
An optical guiding device configured for application with a drug delivery device is described. The drug delivery device has (i) a movable dosage programming component including a rotary encoder system and (ii) a sensor arrangement including at least one optical sensor. The at least one optical sensor is configured to detect movement of the movable dosage programming component relative to the sensor arrangement during dosing of a drug by emitting radiation and detecting at least one reflections the emitted radiation from the rotary encoder system. The optical guiding device is configured for guiding the radiation and the at least one reflection of the emitted radiation and includes at least one light pipe having the shape of a frustum with a sensor-side surface and a encoder-side surface.
Claims
1-17. (canceled)
18. An optical guiding device configured for application with a drug delivery device that has (i) a movable dosage programming component comprising a rotary encoder system and (ii) a sensor arrangement comprising at least one optical sensor, the at least one optical sensor configured to detect movement of the movable dosage programming component relative to the sensor arrangement during dosing of a drug by emitting radiation and detecting at least one reflection of the emitted radiation from the rotary encoder system, wherein the optical guiding device is configured to guide the radiation and the at least one reflection of the emitted radiation and comprises at least one light pipe having the shape of a frustum with a sensor-side surface and an encoder-side surface, and wherein the at least one light pipe comprises one or more of the following features: a ratio of the sensor-side surface and the encoder-side surface being equal to or larger than about 1.0; a ratio of a surface of a discreet encoding target of the rotary encoder system and the encoder-side surface being equal to or larger than 1.0; the encoder-side surface having a roughness with an average feature size in a range of a wavelength of the radiation emitted by the at least one optical sensor; or the sensor-side surface forms a single lens face being molded as part of the optical guiding device, wherein the single lens face is formed as collimating optics.
19. The optical guiding device of claim 18, wherein the encoder-side surface comprises one or more of the following features: the encoder-side surface has a textured finish as surface finish; the encoder-side surface has a mirrored finish; the encoder-side surface comprises an antireflection coating; the encoder-side surface has an aspherical shaping; or the encoder-side surface has a spherical shaping.
20. The optical guiding device of claim 19, wherein the textured finish is a finish having a slight roughness or diffusivity.
21. The optical guiding device of claim 19, wherein the textured finish is a finish according to the D3, D2 or D1 standard of the Society of Plastics Industry (SPI).
22. The optical guiding device of claim 18, wherein a side wall of the at least one light pipe has a mirror finish.
23. The optical guiding device of claim 18, wherein a side wall of the at least one light pipe comprises one or more coatings, wherein an outermost coating is non-transparent for the guided radiation, or wherein all coatings are transparent for the guided radiation and an optical refractive index of each of the transparent coatings is smaller than an optical refractive index of the light pipe.
24. The optical guiding device of claim 18, wherein the single lens face being formed as collimating optics has a domed collimating entry face internal to the at least one light pipe, wherein the domed collimating entry face comprises a surface shape different in two orthogonal cross sectional planes.
25. The optical guiding device of claim 24, wherein the surface shape of the domed collimating entry face is designed to reduce reflections from the internal surface of the at least one light pipe, parallelize radiation emitted in the internal of the at least one light pipe, and/or to focus reflections of the emitted radiation from the rotary encoder system.
26. The optical guiding device of claim 18, wherein the at least one light pipe has the shape of a conical frustum.
27. A drug delivery device comprising a movable dosage programming component comprising a rotary encoder system; a sensor arrangement comprising at least one optical sensor configured to detect movement of the movable dosage programming component relative to the sensor arrangement during dosing of a drug by emitting radiation and detecting at least one reflection of the emitted radiation from the rotary encoder system; and an optical guiding device arranged between the sensor arrangement and the rotary encoder system for guiding radiation emitted by the at least one optical sensor to the rotary encoder system and the at least one reflection of the radiation from the rotary encoder system back to the at least one optical sensor, wherein the optical guiding device comprises at least one light pipe having the shape of a frustum with a sensor-side surface and an encoder-side surface, and wherein the at least one light pipe comprises one or more of the following features: a ratio of the sensor-side surface and the encoder-side surface being equal to or larger than 1.0; a ratio of a surface of a discreet encoding target of the rotary encoder system and the encoder-side surface being equal to or larger than 1.0; the encoder-side surface having a roughness with an average feature size in a range of a wavelength of the radiation emitted by the at least one optical sensor; or the sensor-side surface forms a single lens face being molded as part of the optical guiding device, wherein the single lens face is formed as collimating optics.
28. A module configured for application with a drug delivery device and comprising an optical guiding device, wherein the optical guiding device comprises at least one light pipe having the shape of a frustum with a sensor-side surface and an encoder-side surface, and wherein the at least one light pipe comprises one or more of the following features: a ratio of the sensor-side surface and the encoder-side surface being equal to or larger than 1.0; a ratio of the surface of a discreet encoding target of a rotary encoder system and the encoder-side surface being equal to or larger than 1.0; the encoder-side surface having a roughness with an average feature size in a range of a wavelength of the radiation emitted by the at least one optical sensor; or the sensor-side surface forms a single lens face being molded as part of the optical guiding device, wherein the single lens face is formed as collimating optics.
29. The module of claim 28, further comprising a sensor arrangement comprising at least one optical sensor being configured to detect movement of a movable dosage programming component of the drug delivery device relative to the sensor arrangement during dosing of a drug.
30. The module of claim 29, further comprising electronics with a processor configured to control the at least one optical sensor of the sensor arrangement and to process signals received from the at least one optical sensor of the sensor arrangement to detect a dosage selected with and/or expelled by the drug delivery device.
31. The module of claim 30, wherein the processor is configured to control different optical sensors of the sensor arrangement such that radiation is emitted by the different optical sensors in a time shifted manner such that each optical sensor only receives its own emitted radiation.
32. The module of claim 30, wherein the processor is configured to perform the following operations during a calibration phase: controlling the at least one optical sensor of the sensor arrangement to emit radiation during consecutive time intervals with an increasing duration, controlling the at least one optical sensor of the sensor arrangement to measure the reflected radiation during the consecutive time intervals, determining from the measurements of the reflected radiation the time interval among the consecutive time intervals during which an optimum amount of reflected radiation was measured, and storing the duration of the determined time interval as radiation emission duration of the at least one optical sensor during normal usage.
33. The module of claim 28, being configured for attachment to or integration into a drug delivery device comprising a movable dosage programming component comprising the rotary encoder system.
34. A method for operating a sensor arrangement that comprises at least one optical sensor being configured to detect movement of a movable dosage programming component of a drug delivery device relative to the sensor arrangement during dosing of a drug, the method comprising: controlling the at least one optical sensor of the sensor arrangement to emit radiation during consecutive time intervals with an increasing duration, controlling the at least one optical sensor of the sensor arrangement to measure the reflected radiation during the consecutive time intervals, determining from the measurements of the reflected radiation the time interval among the consecutive time intervals during which an optimum amount of reflected radiation was measured, and storing the duration of the determined time interval as radiation emission duration of the at least one optical sensor during normal usage of the drug delivery device, wherein the sensor arrangement is included in a module configured for application with the drug delivery device and comprising an optical guiding device, wherein the optical guiding device comprises at least one light pipe having the shape of a frustum with a sensor-side surface and an encoder-side surface, and wherein the at least one light pipe comprises one or more of the following features: a ratio of the sensor-side surface and the encoder-side surface being equal to or larger than 1.0; a ratio of the surface of a discreet encoding target of a rotary encoder system and the encoder-side surface being equal to or larger than 1.0; the encoder-side surface having a roughness with an average feature size in a range of a wavelength of the radiation emitted by the at least one optical sensor; or the sensor-side surface forms a single lens face being molded as part of the optical guiding device, wherein the single lens face is formed as collimating optics.
35. The method of claim 34, further comprising: using the stored duration of the time interval determined in the calibration phase as the radiation emission duration of the at least one optical sensor during normal usage of the drug delivery device, wherein the at least one optical sensor is activated only for the stored duration for emitting radiation.
36. A method for detecting a dosage selected with and/or expelled by a drug delivery device, the method comprising: controlling different optical sensors of a sensor arrangement, at least one optical sensor being configured to detect movement of a movable dosage programming component of the drug delivery device relative to the sensor arrangement during dosing of a drug; and processing signals received from the at least one optical sensor of the sensor arrangement to detect a dosage selected with and/or expelled by the drug delivery device, wherein the controlling comprises controlling the different optical sensors of the sensor arrangement such that radiation is emitted by the different optical sensors in a time shifted manner such that each optical sensor only receives its own emitted radiation, wherein the sensor arrangement is included in a module configured for application with the drug delivery device and comprising an optical guiding device, wherein the optical guiding device comprises at least one light pipe having the shape of a frustum with a sensor-side surface and an encoder-side surface, and wherein the at least one light pipe comprises one or more of the following features: a ratio of the sensor-side surface and the encoder-side surface being equal to or larger than 1.0; a ratio of the surface of a discreet encoding target of a rotary encoder system and the encoder-side surface being equal to or larger than 1.0; the encoder-side surface having a roughness with an average feature size in a range of a wavelength of the radiation emitted by the at least one optical sensor; or the sensor-side surface forms a single lens face being molded as part of the optical guiding device, wherein the single lens face is formed as collimating optics.
37. The method of claim 36, wherein controlling the different optical sensors of the sensor arrangement such that radiation is emitted by the different optical sensors in a time shifted manner comprises: activating the different optical sensors at different times with time gaps between the activation of different optical sensors such that no overlaps occur.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
DETAILED DESCRIPTION
[0031] In the following, embodiments of the present disclosure will be described with reference to injection devices, particularly an injection device in the form of a pen. The present disclosure is however not limited to such application and may equally well be deployed with other types of drug delivery devices, particularly with another shape than a pen.
[0032] A drug injection pen for application of the optical guiding means and the module as disclosed herein is for example shown in
[0033] The drug injection pen may be equipped with an encoder system. This encoder system may be used to record doses that are delivered from the injection device. The concept of this encoder system is based on a light guidance used to convey the status of an indicator flag to a reflective sensor, which is located physically remote to the flag.
[0034]
[0035] The sensor arrangement 14 may comprise at least one optical sensor 16, 16′. The optical sensor 16, 16′ may comprise an IR-LED for emitting IR radiation and a photodiode for detecting reflections of the emitted IR radiation. Also, radiation in another spectrum may be emitted, for example visible light. The emitted radiation may be selected depending on the reflectivity of the rotary encoder system, for example the flags.
[0036] The optical guiding means 10 may comprise one or more optical light pipes 100, 100′, which may have the shape of a frustum, particularly a conical frustum. Each light pipe 100, 100′ is arranged between one optical sensor 16, 16′ of the sensor arrangement 14 and the movable dosage programming component 12. The optical sensor 16, 16′ is arranged above a sensor-side surface 102, 102′ of the light pipe 100, 100′ such that nearly the entire radiation emitted by the optical sensor 16, 16′ may enter the light pipe 100, 100′. The rotary encoder system of the component 12 may be arranged below a encoder-side surface 104, 104′ of the light pipe 100, 100′ so that the emitted radiation 18, 18′ is guided by the light pipe 100, 100′ to encoding targets of the rotary encoder system, such as for example the indicator flag 1008 shown in
[0037]
[0038]
[0039] Particularly the encoder-side surface 104 may have a roughness with an average feature size in the range of the wavelength of the guided radiation, which is emitted by the optical sensor into the light pipe 100. More particularly, the average feature size may be nearly equal to the central wavelength of the radiation guided by the light pipe 100. For example, when IR is guided, the average feature size may be about 1 μm nearly equal to the central wavelength of an IR-LED optical sensor package. The roughness may reduce the amount of TIR at the encoder-side surface 104 as compared to the mirror finish of the sidewall 108, promoting a greater proportion of radiation to interact with the encoding target and be returned to the optical sensor. The encoder-side surface 104 may also have a mirrored finish and/or comprise an antireflection coating for improving reflection of interfering radiation from outside and preventing such radiation from entering the light pipe. Each of these measures may improve the signal-to-noise ratio of an optical sensor arranged at the sensor-side surface of the light pipe.
[0040]
[0041]
[0042]
[0043] The reflections of radiation, for example IR, emitted into the internal of the light pipe 100 by the optical sensor may be broadly characterized as direct reflections and target reflections. Direct reflections comprises only radiation reflected from the light pipe, i.e. the internal surface of the light pipe. Direct reflections do not contribute usefully to determining whether an encoding target is present or absent. Target reflections comprises radiation, which interacts with the encoding target via the light pipe and therefore contributes directly to the signal produced by the optical sensor from received reflections for decoding whether an encoding target is present or absent. An optimum signal amplitude of the optical sensor may be achieved when the highest proportion of the received reflections comprises target reflections. Then, the amplitude may be dictated by the presence or absence of an encoding target, and not by other reflections in the system. As described in WO 2019/101962 A1, collimating optics may be provided to increase the parallelism of emitted and received radiation, which may increase the reflections from the encoding target among the received radiation reflections.
[0044] A refinement as described herein comprises the surface shape of the domed collimating entry face 28 being designed to increase the signal quality of the optical sensor by increasing the proportion of reflections of the radiation emitted into the light pipe 100 by the optical sensor to target reflections. According to the refinement, the domed collimating entry face 28 may have separate, uniquely defined shapes in the x- and y-axes, as shown in
[0048] In the same manner as applying diffusivity at the exit or encoder-side surface of the light pipe (
[0049] An add-on comprising the module 50 together with electronics may have the ability to detect the binary state of a number sleeve target during a ‘mode shift’, i.e. when a dose button is being depressed from its relaxed state into its 0U position. In this case, the differentiation between a binary ‘0’ and ‘1’ as detected by an optical sensor may be readily obtained for a large, for example ˜0.5 mm separation between the distal or encoder-side surface of the light pipes and the number sleeve, with the compensation undergoing a relative rotation. The incorporation of the integrated single lens faces 26, 26′ may reduce a divergent effect of the aforementioned gap, facilitating easier disambiguation between a ‘0’ and ‘1’ as reported by the optical sensor.
[0050]
[0051] The processor 520 may be configured to control the optical sensors 16, 16′ of the sensor arrangement and to process signals received from the optical sensors 16, 16′ to detect a dosage selected with and/or expelled by the drug delivery device.
[0052] While each optical sensor 16, 16′ is provided to interact with a single light pipe 100, 100′, two or even more light pipes 100, 100′ may be present in the optical guiding means 10, which may be implemented by the same plastic component. This may cause that transmitted light from one optical sensor 16 may be received by the other optical sensor 16′ via internal interactions or via the encoding target.
[0053] An example of this effect is shown in
[0054] Also, some of the rays 20 may exit the encoder-side surface of the light pipe 100 and reflected by the movable dosage programming component 12 to enter the neighboured light pipe 100′ through the encoder-side surface of this light pipe 100′ and “travel” through the light pipe 100′ to the neighboured optical sensor 100′. Such effects cause a kind of “cross-talk” between both optical sensor 16 and 16′, which may influence the signal generation of the optical sensors. For example, optical sensor 16′ may generate a signal from radiation emitted from optical sensor 16 and vice versa.
[0055] To mitigate this problem, the processor 520 may be configured to alternate or “strobe” the read-write behaviour of the optical sensors 16, 16′ as shown by the example timing diagram of
[0056] The method performed by the processor 520 is now explained in detail with particular reference to the timing diagram of
[0057] With this time-shifted activation of different optical sensors, it may be ensured that each sensor receives only its own emitted radiation, and not radiation emitted from another sensor. Thus, “cross-talk” between neighboured optical pipes and their assigned optical sensors may be mitigated if not avoided.
[0058] The processor 520 may be also configured to perform a method for calibrating the sensor arrangement 14 with the optical sensors 16, 16′ by performing certain acts during a calibration phase as will be described in the following in more detail with reference to
[0059] The processor 520 may be configured to perform a calibration phase for finding the optimum LED-ON time with regard to saturation. The optimum LED-ON time would deliver the highest signal amplitude. During the calibration phase, the processor 520 may be configured to perform vary the LED-ON time between two extreme values and to measure the reflected radiation over the variation. The LED-ON time with the measured highest amount of reflected radiation may be determined as the optimum LED-ON time since it may deliver the highest signal amplitude. The following acts performed by the processor 520 during the calibration phase may be as follows: [0060] controlling the optical sensor 16, 16′ of the sensor arrangement 14 to emit radiation during consecutive time intervals with an increasing duration, [0061] controlling the optical sensor 16, 16′ of the sensor arrangement 14 to measure the reflected radiation during the consecutive time intervals (an example course of measurements 54 made during a calibration phase is shown in
[0064] It should be noted that the measured reflected radiation may comprise the amplitude of the output signal of the optical sensor 16, 16′, which may be processed by the processor 520 for decoding. The above calibration phase may also account for manufacturing variations of the optical guiding means, for example of the moulded module 50 from
[0065] By calibrating out the aforementioned variations, the signal response may be normalised such that a decoding algorithm particularly executed by the processor 520 may be made to operate on waveforms with similar characteristics, allowing for further particularly software-based optimisations that may increase reliability and reduce power consumption.
[0066] During normal usage, particularly when the processor 520 is activated to detect a dosage selected with and/or expelled by the drug delivery device, the stored duration of the determined time interval, which was determined in a calibration phase as the radiation emission duration of the optical sensors 16, 16′ during normal usage, can then be used by the processor 520 for controlling the radiation emission by the optical sensors 16, 16′. The calibration phase as describe above may be also automatically performed before, during and/or after a normal usage. Additionally or alternatively, the calibration phase may be initiated by a user manually, for example by pressing a button for a certain time to configure the processor 520 to execute the acts of the calibration phase.
[0067] The above described embodiments comprise [0068] the implementation of geometric relationships and the application of surface finishes to light pipes of optical guiding means used to convey radiation such as IR between a geometrically separated optical sensor and a reflective target, [0069] the definition of a bi-directional lens at the junction between an optical sensor and the entry- or sensor-side-surface of a light pipe of optical guiding means, which may in turn increase the proportion of useful reflected radiation in the system, [0070] the use of an alternating illumination or “strobing” methodology to reduce “cross-talk” between optical sensors within an optical system applicable for detecting dosage selection by a drug delivery device, [0071] the use of a calibration step to normalize the performance of an optical system applicable for detecting dosage selection by a drug delivery device by reducing effects of manufacturing variations.
[0072] The benefit of the above described embodiments is to create a signal waveform—generated by the rotation of an encoding target between target present—binary ‘1’—and target absent—binary ‘0’—which may have large swings and common rail voltages. These characteristics may result in a signal that can be more easily and reliably encoded.
[0073] The benefit may be particularly important for a system such as an optical decoder, where the power consumption of an optical sensor, for example an IR-LED may account for a significant proportion of the total power consumption.
[0074] By incorporating the methodologies and techniques as herein described, an optical sensor, for example an IR-LED may be configured to have a lower operating current and receive a more consistent signal that is agnostic to geometric variations in the optical guiding means.
[0075] The terms “drug” or “medicament” are used synonymously herein and describe a pharmaceutical formulation containing one or more active pharmaceutical ingredients or pharmaceutically acceptable salts or solvates thereof, and optionally a pharmaceutically acceptable carrier. An active pharmaceutical ingredient (“API”), in the broadest terms, is a chemical structure that has a biological effect on humans or animals. In pharmacology, a drug or medicament is used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being. A drug or medicament may be used for a limited duration, or on a regular basis for chronic disorders.
[0076] As described below, a drug or medicament can include at least one API, or combinations thereof, in various types of formulations, for the treatment of one or more diseases. Examples of API may include small molecules having a molecular weight of 500 Da or less; polypeptides, peptides and proteins (e.g., hormones, growth factors, antibodies, antibody fragments, and enzymes); carbohydrates and polysaccharides; and nucleic acids, double or single stranded DNA (including naked and cDNA), RNA, antisense nucleic acids such as antisense DNA and RNA, small interfering RNA (siRNA), ribozymes, genes, and oligonucleotides. Nucleic acids may be incorporated into molecular delivery systems such as vectors, plasmids, or liposomes. Mixtures of one or more drugs are also contemplated.
[0077] The drug or medicament may be contained in a primary package or “drug container” adapted for use with a drug delivery device. The drug container may be, e.g., a cartridge, syringe, reservoir, or other solid or flexible vessel configured to provide a suitable chamber for storage (e.g., short- or long-term storage) of one or more drugs. For example, in some instances, the chamber may be designed to store a drug for at least one day (e.g., 1 to at least 30 days). In some instances, the chamber may be designed to store a drug for about 1 month to about 2 years. Storage may occur at room temperature (e.g., about 20° C.), or refrigerated temperatures (e.g., from about −4° C. to about 4° C.). In some instances, the drug container may be or may include a dual-chamber cartridge configured to store two or more components of the pharmaceutical formulation to-be-administered (e.g., an API and a diluent, or two different drugs) separately, one in each chamber. In such instances, the two chambers of the dual-chamber cartridge may be configured to allow mixing between the two or more components prior to and/or during dispensing into the human or animal body. For example, the two chambers may be configured such that they are in fluid communication with each other (e.g., by way of a conduit between the two chambers) and allow mixing of the two components when desired by a user prior to dispensing. Alternatively, or in addition, the two chambers may be configured to allow mixing as the components are being dispensed into the human or animal body.
[0078] The drugs or medicaments contained in the drug delivery devices as described herein can be used for the treatment and/or prophylaxis of many different types of medical disorders. Examples of disorders include, e.g., diabetes mellitus or complications associated with diabetes mellitus such as diabetic retinopathy, thromboembolism disorders such as deep vein or pulmonary thromboembolism.
[0079] Further examples of disorders are acute coronary syndrome (ACS), angina, myocardial infarction, cancer, macular degeneration, inflammation, hay fever, atherosclerosis and/or rheumatoid arthritis. Examples of APIs and drugs are those as described in handbooks such as Rote Liste 2014, for example, without limitation, main groups 12 (anti-diabetic drugs) or 86 (oncology drugs), and Merck Index, 15th edition.
[0080] Examples of APIs for the treatment and/or prophylaxis of type 1 or type 2 diabetes mellitus or complications associated with type 1 or type 2 diabetes mellitus include an insulin, e.g., human insulin, or a human insulin analogue or derivative, a glucagon-like peptide (GLP-1), GLP-1 analogues or GLP-1 receptor agonists, or an analogue or derivative thereof, a dipeptidyl peptidase-4 (DPP4) inhibitor, or a pharmaceutically acceptable salt or solvate thereof, or any mixture thereof. As used herein, the terms “analogue” and “derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, by deleting and/or exchanging at least one amino acid residue occurring in the naturally occurring peptide and/or by adding at least one amino acid residue. The added and/or exchanged amino acid residue can either be codable amino acid residues or other naturally occurring residues or purely synthetic amino acid residues. Insulin analogues are also referred to as “insulin receptor ligands”. In particular, the term “derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, in which one or more organic substituent (e.g. a fatty acid) is bound to one or more of the amino acids. Optionally, one or more amino acids occurring in the naturally occurring peptide may have been deleted and/or replaced by other amino acids, including non-codeable amino acids, or amino acids, including non-codeable, have been added to the naturally occurring peptide.
[0081] Examples of insulin analogues are Gly(A21), Arg(B31), Arg(B32) human insulin (insulin glargine); Lys(B3), Glu(B29) human insulin (insulin glulisine); Lys(B28), Pro(B29) human insulin (insulin lispro); Asp(B28) human insulin (insulin aspart); 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.
[0082] Examples of insulin derivatives are, for example, B29-N-myristoyl-des(B30) human insulin, Lys(B29) (N- tetradecanoyl)-des(B30) human insulin (insulin detemir, Levemir®, 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;
[0083] B29-N-(N-palmitoyl-gamma-glutamyl)-des(B30) human insulin, B29-N-omega-carboxypentadecanoyl-gamma-L-glutamyl-des(B30) human insulin (insulin degludec, Tresiba®); B29-N-(N-lithocholyl-gamma-glutamyl)-des(B30) human insulin; B29-N-(ω-carboxyheptadecanoyl)-des(B30) human insulin and B29-N-(ω-carboxyheptadecanoyl) human insulin.
[0084] Examples of GLP-1, GLP-1 analogues and GLP-1 receptor agonists are, for example, Lixisenatide (Lyxumia®), Exenatide (Exendin-4, Byetta®, Bydureon®, a 39 amino acid peptide which is produced by the salivary glands of the Gila monster), Liraglutide (Victoza®), Semaglutide, Taspoglutide, Albiglutide (Syncria®), Dulaglutide (Trulicity®), rExendin-4, CJC-1134-PC, PB-1023, TTP-054, Langlenatide/HM-11260C, CM-3, GLP-1 Eligen, ORMD-0901, NN-9924, NN-9926, NN-9927, Nodexen, Viador-GLP-1, CVX-096, ZYOG-1, ZYD-1, GSK-2374697, DA-3091, MAR-701, MAR709, ZP-2929, ZP-3022, TT-401, BHM-034. MOD-6030, CAM-2036, DA-15864, ARI-2651, ARI-2255, Exenatide-XTEN and Glucagon-Xten.
[0085] An examples of an oligonucleotide is, for example: mipomersen sodium (Kynamro®), a cholesterol-reducing antisense therapeutic for the treatment of familial hypercholesterolemia.
[0086] Examples of DPP4 inhibitors are Vildagliptin, Sitagliptin, Denagliptin, Saxagliptin, Berberine.
[0087] Examples of hormones include hypophysis hormones or hypothalamus hormones or regulatory active peptides and their antagonists, such as Gonadotropine (Follitropin, Lutropin, Choriongonadotropin, Menotropin), Somatropine (Somatropin), Desmopressin, Terlipressin, Gonadorelin, Triptorelin, Leuprorelin, Buserelin, Nafarelin, and Goserelin.
[0088] Examples of polysaccharides include 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 polysaccharide, 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. An example of a hyaluronic acid derivative is Hylan G-F 20 (Synvisc®), a sodium hyaluronate.
[0089] The term “antibody”, as used herein, refers to an immunoglobulin molecule or an antigen-binding portion thereof. Examples of antigen-binding portions of immunoglobulin molecules include F(ab) and F(ab′)2 fragments, which retain the ability to bind antigen. The antibody can be polyclonal, monoclonal, recombinant, chimeric, de-immunized or humanized, fully human, non-human, (e.g., murine), or single chain antibody. In some embodiments, the antibody has effector function and can fix complement. In some embodiments, the antibody has reduced or no ability to bind an Fc receptor. For example, the antibody can be an isotype or subtype, an antibody fragment or mutant, which does not support binding to an Fc receptor, e.g., it has a mutagenized or deleted Fc receptor binding region. The term antibody also includes an antigen-binding molecule based on tetravalent bispecific tandem immunoglobulins (TBTI) and/or a dual variable region antibody-like binding protein having cross-over binding region orientation (CODV).
[0090] The terms “fragment” or “antibody fragment” refer to a polypeptide derived from an antibody polypeptide molecule (e.g., an antibody heavy and/or light chain polypeptide) that does not comprise a full-length antibody polypeptide, but that still comprises at least a portion of a full-length antibody polypeptide that is capable of binding to an antigen. Antibody fragments can comprise a cleaved portion of a full length antibody polypeptide, although the term is not limited to such cleaved fragments. Antibody fragments that are useful in the present invention include, for example, Fab fragments, F(ab′)2 fragments, scFv (single-chain Fv) fragments, linear antibodies, monospecific or multispecific antibody fragments such as bispecific, trispecific, tetraspecific and multispecific antibodies (e.g., diabodies, triabodies, tetrabodies), monovalent or multivalent antibody fragments such as bivalent, trivalent, tetravalent and multivalent antibodies, minibodies, chelating recombinant antibodies, tribodies or bibodies, intrabodies, nanobodies, small modular immunopharmaceuticals (SMIP), binding-domain immunoglobulin fusion proteins, camelized antibodies, and VHH containing antibodies. Additional examples of antigen-binding antibody fragments are known in the art.
[0091] The terms “Complementarity-determining region” or “CDR” refer to short polypeptide sequences within the variable region of both heavy and light chain polypeptides that are primarily responsible for mediating specific antigen recognition. The term “framework region” refers to amino acid sequences within the variable region of both heavy and light chain polypeptides that are not CDR sequences, and are primarily responsible for maintaining correct positioning of the CDR sequences to permit antigen binding. Although the framework regions themselves typically do not directly participate in antigen binding, as is known in the art, certain residues within the framework regions of certain antibodies can directly participate in antigen binding or can affect the ability of one or more amino acids in CDRs to interact with antigen.
[0092] Examples of antibodies are anti PCSK-9 mAb (e.g., Alirocumab), anti IL-6 mAb (e.g., Sarilumab), and anti IL-4 mAb (e.g., Dupilumab).
[0093] Pharmaceutically acceptable salts of any API described herein are also contemplated for use in a drug or medicament in a drug delivery device. Pharmaceutically acceptable salts are for example acid addition salts and basic salts.
[0094] Those of skill in the art will understand that modifications (additions and/or removals) of various components of the APIs, formulations, apparatuses, methods, 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.