IP Library Granted Patent US 12,636,348
Granted Patent B2
US 12,636,348 · App. 17/328,705 · Granted May 26, 2026

Treatment of ocular neovascularization using anti-vegf proteins

Inventors: Ian J. Constable (Mosman Park, AU); P. Elizabeth Rakoczy (Scarborough, AU); Chooi-May Lai (Waterford, AU); Thomas W. Chalberg, Jr. (Redwood City, CA)
Assignee: Avalanche Australia Pty Ltd
A61K38/45A61B3/032A61K31/7088A61K35/761A61K38/179A61K45/06A61K48/00A61K48/0075A61K49/0004C07K14/71C07K16/081C07K16/22C12N7/00C12N9/12C12N15/86C12Y207/10001C12Y207/10002A61K9/0048A61K2039/505C07K2317/24C07K2317/55C07K2317/73C07K2319/32C12N2710/14044C12N2750/14141C12N2750/14142C12N2750/14143C12N2750/14171C12Y207/10
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Quick Facts
Patent No.
US 12,636,348
App. No.
17/328,705
Granted
May 26, 2026
Kind
B2
Abstract

The present disclosure provides compositions and methods for the prevention or treatment of ocular neovascularization, such as AMD, in a human subject, by administering subretinally a pharmaceutical composition comprising a pharmaceutically effective amount of a vector comprising a nucleic acid encoding soluble Fms-related tyrosine kinase-1 (sFlt-1) protein to the human subject.

Claims (27)

1 . A method for the treatment of ocular neovascularization in a human subject suffering from ocular neovascularization, the method comprising:

i) administering a first dose of an anti-Vascular Endothelial Growth Factor (anti-VEGF) agent to the human subject;

ii) within 90 days of administering the anti-VEGF agent to the eye according to step (i), administering to the eye of the human subject a single unit dose of a pharmaceutical composition comprising a recombinant adeno-associated virus (rAAV) comprising a nucleic acid sequence encoding an anti-VEGF protein, wherein the anti-VEGF protein comprises a polypeptide selected from the group consisting of (a) a polypeptide having at least 90% identity to SEQ ID NO: 121 and (b) a polypeptide having at least 90% identity to SEQ ID NO: 121 plus a domain 3, wherein the domain 3 is selected from domain 3 of sFLT and domain 3 of KDR, wherein the single unit dose comprises at least 1×10 6 and at most 1×10 15 vector genomes of the rAAV; and

iii) administering a second dose of an anti-VEGF agent within 30 days post administration of the rAAV.

2 . The method of claim 1 , wherein the human subject has or is suspected of having one or more conditions selected from the group consisting of: age-related macular degeneration (AMD), wet-AMD, dry-AMD, retinal neovascularization, choroidal neovascularization and diabetic retinopathy.

3 . The method of claim 1 , wherein the human subject has or is suspected of having one or more conditions selected from the group consisting of: proliferative diabetic retinopathy, retinal vein occlusion, central retinal vein occlusion, branched retinal vein occlusion, diabetic macular edema, diabetic retinal ischemia, ischemic retinopathy and diabetic retinal edema.

4 . The method of claim 1 , wherein the rAAV is selected from AAV2 and AAV8.

5 . The method of claim 4 , wherein no increased anti-AAV cytotoxic T cell response is measured following the administering step.

6 . The method of claim 4 , wherein no virus is detected in the human subject's blood, saliva or urine samples, 3, 7, 14, 21 or 30 days after administering the pharmaceutical composition.

7 . The method of claim 1 , wherein the anti-VEGF protein consists of a polypeptide having at least 95% identity to SEQ ID NO: 121.

8 . The method of claim 1 , wherein the anti-VEGF protein consists of a polypeptide having at least 90% identity to SEQ ID NO:121 and a domain 3, wherein said domain 3 is selected from domain 3 of sFLT and domain 3 of KDR.

9 . The method of claim 1 , wherein the single unit dose comprises at least 1×10 9 and at most 3×10 13 vector genomes of the rAAV.

10 . The method of claim 9 , wherein the eye of the subject receives the first dose of the anti-VEGF agent in i) between about 1 to 30 days prior to the administration of the pharmaceutical composition.

11 . The method of claim 10 , wherein the anti-VEGF agent is aflibercept or ranibizumab.

12 . The method of claim 1 , wherein the administering is performed outside the fovea.

13 . The method of claim 1 , wherein a best corrected visual acuity (BCVA) of the human subject improves by at least 1, 2, 3, 4 or 5 lines as measured by ETD RS (Early Treatment Diabetic Retinopathy Study) letters following the administering of the pharmaceutical composition.

14 . The method of claim 1 , wherein a best corrected visual acuity (BCVA) of the human subject decreases by fewer than 15 letters as measured by ETDRS (Early Treatment Diabetic Retinopathy Study) following the administering of the pharmaceutical composition.

15 . The method of claim 1 , wherein administering the pharmaceutical composition is performed under conditions selected from the group consisting of: administering the pharmaceutical composition in one eye, administering the pharmaceutical composition sequentially in two eyes, and administering the pharmaceutical composition simultaneously in two eyes.

16 . The method of claim 1 , wherein a reduction in neovascularization, as observed by a Fluorescein Angiography (FA), follows the administering of the pharmaceutical composition.

17 . The method of claim 1 , wherein no superficial, anterior segment or vitreous inflammatory signs are present in the human subject at least 1 week after administration of the single unit dose of ii.

18 . The method of claim 1 , wherein the human subject has sensitivity or allergy to penicillin.

19 . The method of claim 1 , wherein the administration of the single unit dose of ii) does not increase systemic levels of sFlt-1 in the human subject.

20 . The method of claim 1 , wherein the administering of the pharmaceutical composition is performed at a frequency less than 3 times a year in the human subject.

21 . The method of claim 1 , wherein the administering of the pharmaceutical composition reduces the frequency of administration of additional VEGF inhibitor treatments in the human subject.

22 . The method of claim 1 , wherein the method comprises administering to the eye of the human subject the single unit dose of the pharmaceutical composition within 60 days of administering the anti-VEGF agent to the eye according to step (i).

23 . The method of claim 22 , wherein the method comprises administering to the eye of the human subject the single unit dose of the pharmaceutical composition within 30 days of administering the anti-VEGF agent to the eye according to step (i).

24 . A unit dose of a pharmaceutical composition for use in a method for the treatment of an ocular neovascular disease in a human subject having ocular neovascularization, the unit dose comprising recombinant adeno-associated viruses (rAAVs) of 1×1010 to 3×1012 vector genomes of the rAAV, wherein the recombinant viruses comprise a promoter operatively linked to a nucleic acid sequence encoding an anti-VEGF protein, wherein the anti-VEGF protein comprises a polypeptide selected from the group consisting of (a) a polypeptide having at least 90% identity to SEQ ID NO: 121 and (b) a polypeptide having at least 90% identity to SEO ID NO: 121 plus a domain 3, wherein domain 3 is selected from domain 3 of sFLT and domain 3 of KDR, wherein the human subject has previously received a first intravitreal injection of an anti-Vascular Endothelial Growth Factor (VEGF) agent in an amount such that the anti-VEGF agent is present in the eye of the subject at a concentration sufficient to prevent progression of the neovascularization at the time of administration of the unit dose.

Assignments (4)
SECURITY INTEREST Recorded Oct 24, 2025
From: ADVERUM BIOTECHNOLOGIES, INC.; AVALANCHE AUSTRALIA PTY LTD
To: ELI LILLY AND COMPANY
Reel/Frame 072667/0827 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Dec 5, 2022
From: CONSTABLE, IAN J.; RAKOCZY, P. ELIZABETH; LAI, CHOOI-MAY
To: LIONS EYE INSTITUTE LIMITED
Reel/Frame 061979/0257 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Dec 5, 2022
From: CHALBERG, THOMAS W., JR.
To: AVALANCHE AUSTRALIA PTY LTD.
Reel/Frame 061979/0376 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Dec 5, 2022
From: LIONS EYE INSTITUTE LIMITED
To: AVALANCHE AUSTRALIA PTY LTD.
Reel/Frame 061979/0448 →
Continuity (10)
Continuation 15961654 · Apr 24, 2018
Continuation 15851650 · Dec 21, 2017
Continuation 14281749 · May 19, 2014
Continuation 13889275 · May 7, 2013
Provisional Application 61775440 · Mar 8, 2013
Provisional Application 61691660 · Aug 21, 2012
Provisional Application 61678555 · Aug 1, 2012
Provisional Application 61670535 · Jul 11, 2012
Provisional Application 61647461 · May 15, 2012
Related Publication 20220111015A1 · Apr 14, 2022
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