HBV antisense inhibitors
Antisense oligomers useful for modulating hepatitis B virus infections, and for the treatment of hepatitis B virus (HBV) and hepatitis B virus-related conditions in animals including humans. More particularly, antisense oligomers with modified nucleotides for treatment of HBV in animals, more particularly antisense oligomers comprising 2′O-4′C-methylene-bridged sugars, or nucleotides with other 2′O-4′C bridged sugars, also known as locked nucleic acids (LNA), for treatment of HBV in animals, and more particularly for treatment of HBV in humans.
1. An antisense compound comprising a single-stranded modified antisense oligonucleotide consisting of 16 nucleotides having a contiguous nucleoside sequence, wherein nucleotides in the oligonucleotide are connected by internucleotide linkages and wherein the nucleoside sequence is selected from the group consisting of SEQ ID NO: 14, SEQ ID NO: 15, SEQ ID NO: 16, SEQ ID NO: 17, SEQ ID NO: 18, SEQ ID NO: 19, SEQ ID NO: 20, SEQ ID NO: 21, and SEQ ID NO: 22 wherein at least one nucleotide comprises a modified sugar.
2. An antisense compound according to claim 1 wherein the modified sugar is a LNA having a chemical link between a 2′- and 4′-atom of the nucleotide sugar.
3. An antisense compound according to claim 1 wherein the internucleotide linkages are selected from the group consisting of a phosphodiester, phosphotriester, phosphorothioate, phosphorodithioate, H-phosphonate, or alkylphosphonate linkage.
4. An antisense compound according to claim 2 , wherein the chemical link is a 2′O-alkyl-4′C chemical link and wherein the alkyl is optionally substituted or non-substituted.
5. An antisense compound according to claim 1 , wherein the nucleoside sequence is further selected from the group consisting of SEQ ID NO: 14, SEQ ID NO: 16, SEQ ID NO: 17, and SEQ ID NO: 20.
6. An antisense compound comprising a single-stranded modified antisense oligonucleotide consisting of 16 nucleotides having a contiguous nucleoside sequence wherein nucleotides in the oligonucleotide are connected by internucleotide linkages, and wherein the nucleoside sequence is essentially complementary to a sequence selected from the group consisting of SEQ ID NO: 1; SEQ ID NO: 2; SEQ ID NO: 3; SEQ ID NO: 4; SEQ ID NO: 5; SEQ ID NO: 6; SEQ ID NO: 7; SEQ ID NO: 8; SEQ ID NO: 9; SEQ ID NO: 10; SEQ ID NO: 11; SEQ ID NO: 12; and SEQ ID NO: 13.
7. An antisense compound according to claim 6 comprising at least one modified nucleotide that is a LNA.
8. An antisense compound according to claim 7 wherein the internucleotide linkages are selected from the group consisting of a phosphodiester, phosphotriester, phosphorothioate, phosphorodithioate, H-phosphonate, or alkylphosphonate linkage.
9. A pharmaceutical formulation for treating hepatitis B virus infection in a mammal comprising an effective amount of a compound according to claim 1 , or a pharmaceutically acceptable salt, solvate, hydrate or ester thereof, and a pharmaceutically acceptable diluent.
10. A pharmaceutical formulation for treating hepatitis B virus in a mammal comprising an effective amount of a compound according to claim 6 , or a pharmaceutically acceptable salt, solvate, hydrate or ester thereof, and a pharmaceutically acceptable diluent.
11. A pharmaceutical formulation for treating hepatitis B virus infection in a mammal according to claim 10 , further comprising a pharmaceutically acceptable carrier.
12. A method for treating a mammal having a hepatitis B virus infection or a hepatitis B virus-related condition, the method comprising administering a therapeutically effective amount of a compound according to claim 1 to a mammal in need thereof so as to treat the hepatitis B virus infection, or the hepatitis B virus-related condition.
13. A method according to claim 12 , wherein the mammal is a human, wherein the hepatitis B virus infection or the hepatitis B virus-related condition is a hepatitis B virus infection from a human hepatitis B virus.
14. A method for treating a mammal having a hepatitis B virus infection according to claim 12 , wherein the human hepatitis B virus is selected from any of the human geographical genotypes: A (Northwest Europe, North America, Central America); B (Indonesia, China, Vietnam); C (East Asia, Korea, China, Japan, Polynesia, Vietnam); D (Mediterranean area, Middle East, India); E (Africa); F (Native Americans, Polynesia); G (United States, France); or H (Central America).
15. A method according to claim 12 , wherein the mammal is a human, and wherein the hepatitis B virus infection or the hepatitis B virus-related condition is a human hepatitis B virus-related condition.
16. A method according to claim 13 , wherein the human hepatitis B virus-related condition is selected from any of: jaundice, liver cancer, liver inflammation, liver fibrosis, liver cirrhosis, liver failure, diffuse hepatocellular inflammatory disease, hemophagocytic syndrome or serum hepatitis.
17. A method according to claim 12 , further comprising administering the compound in combination with an additional therapeutic agent, wherein the antisense oligomer and the additional therapeutic agent are administered either together in a single formulation, or administered in separately in different formulations, and wherein the administration of the nucleic acid oligomer and the second therapeutic agent is done concomitantly, or in series.
18. A method according to claim 17 , wherein the additional therapeutic agent is selected from an HBV agent, an HCV agent, a chemotherapeutic agent, an antibiotic, an analgesic, a non-steroidal anti-inflammatory (NSAID) agent, an antifungal agent, an antiparasitic agent, an anti-nausea agent, an anti-diarrheal agent, and an immunosuppressant agent.
19. A method according to claim 18 , wherein the additional HBV agent is selected from interferon alpha-2b, interferon alpha-2a, and interferon alphacon-1 (pegylated and unpegylated), ribavirin; an HBV RNA replication inhibitor; a second antisense oligomer; an HBV therapeutic vaccine; an HBV prophylactic vaccine; lamivudine (3TC); entecavir; tenofovir; telbivudine (LdT); adefovir; and an HBV antibody therapy (monoclonal or polyclonal).
20. A method according to claim 18 , wherein the additional HCV agent is selected from interferon alpha-2b, interferon alpha-2a, and interferon alphacon-1 (pegylated and unpegylated); ribavirin; an HCV RNA replication inhibitor; an HCV antisense agent; an HCV therapeutic vaccine; an HCV protease inhibitor; an HCV helicase inhibitor; and an HCV monoclonal or polyclonal antibody therapy.
21. A method for reducing a presence of HBV antigen in a mammal infected with a hepatitis B virus, the method comprising administering a therapeutically effective amount of a compound according to claim 1 to a mammal in need thereof so as to reduce the hepatitis B antigen, compared to the presence of HBV antigen in the mammal before treatment.
22. A method according to claim 21 , wherein the mammal is a human, and wherein the hepatitis B virus is a human hepatitis B virus.
23. A method according to claim 21 , wherein the human hepatitis B virus is selected from any of the human geographical genotypes: A (Northwest Europe, North America, Central America); B (Indonesia, China, Vietnam); C (East Asia, Korea, China, Japan, Polynesia, Vietnam); D (Mediterranean area, Middle East, India); E (Africa); F (Native Americans, Polynesia); G (United States, France); or H (Central America).
24. A method according to claim 21 , wherein the HBV antigen is HBsAg.
25. A method according to claim 21 , wherein the HBV antigen is HBeAg.
26. A method according to claim 21 , wherein the presence of HBV antigen is sufficiently reduced to result in seroconversion, defined as serum HBeAg absence plus serum HBeAb presence if monitoring HBeAg as the determinant for seroconversion, or defined as serum HBsAg absence if monitoring HBsAg as the determinant for seroconversion, as determined by currently available detection limits of commercial ELISA systems.
27. A method according to claim 21 , further comprising administering the compound in combination with an additional therapeutic agent, wherein the antisense oligomer and the additional therapeutic agent are administered either together in a single formulation, or administered in separately in different formulations, and wherein the administration of the nucleic acid oligomer and the second therapeutic agent is done concomitantly, or in series.
28. A method according to claim 27 , wherein the additional therapeutic agent is selected from an HBV agent, an HCV agent, a chemotherapeutic agent, an antibiotic, an analgesic, a non-steroidal anti-inflammatory (NSAID) agent, an antifungal agent, an antiparasitic agent, an anti-nausea agent, an anti-diarrheal agent, and an immunosuppressant agent.
29. A method according to claim 27 , wherein the additional HBV agent is selected from interferon alpha-2b, interferon alpha-2a, and interferon alphacon-1 (pegylated and unpegylated), ribavirin; an HBV RNA replication inhibitor; a second antisense oligomer; an HBV therapeutic vaccine; an HBV prophylactic vaccine; lamivudine (3TC); entecavir; tenofovir; telbivudine (LdT); adefovir; and an HBV antibody therapy (monoclonal or polyclonal).
30. A method according to claim 28 , wherein the additional HCV agent is selected from interferon alpha-2b, interferon alpha-2a, and interferon alphacon-1 (pegylated and unpegylated); ribavirin; an HCV RNA replication inhibitor an HCV antisense agent; an HCV therapeutic vaccine; an HCV protease inhibitor; an HCV helicase inhibitor; and an HCV monoclonal or polyclonal antibody therapy.
31. A method for promoting seroconversion in a mammal infected with a hepatitis B virus, the method comprising:
administering a therapeutically effective amount of a compound according to claim 1 or a pharmaceutical composition
according to claim 13 to a mammal infected with hepatitis B virus;
monitoring for presence of HBeAg plus HBeAb in a serum sample of the mammal; or
monitoring for presence of HBsAg in a serum sample of the mammal, such that the absence of HBeAg plus the presence of HBeAb in the serum sample if monitoring HBeAg as the determinant for seroconversion, or the absence of HBsAg in the serum sample if monitoring HBsAg as the determinant for seroconversion, as determined by currently available detection limits of commercial ELISA systems, is indication of seroconversion in the mammal.
32. A method according to claim 12 , wherein administration is selected from oral, buccal, rectal, parenteral, intraperitoneal, intradermal, transdermal or intratracheal administration.
33. The compound of claim 1 wherein at least one nucleoside comprises a modified nucleobase.
34. A method for reducing an amount of HBV DNA in a mammal infected with a hepatitis B virus, the method comprising administering a therapeutically effective amount of a compound according to claim 1 to a mammal in need thereof so as to reduce the amount of HBV DNA in the mammal infected with the hepatitis B virus, compared to the amount of HBV DNA in the mammal before treatment.
35. A method according to claim 34 , wherein the amount of DNA is reduced 90% compared to amount before administration of the compound.