Factor VIIa-polysialic acid conjugate having prolonged in vivo half-life
The present invention relates to a proteinaceous construct comprising plasmatic or recombinant factor VIIa (FVIIa) or biologically active derivatives thereof, which are bound to a carbohydrate moiety comprising 1-4 sialic acid units, wherein the in vivo half-life of the proteinaceous construct is substantially prolonged in the blood of a mammal, as compared to the in vivo half-life of a FVIIa molecule not bound to a carbohydrate moiety. The invention also provides a method for controlling bleeding in a mammal having a bleeding disorder due to functional defects or deficiencies of FVIIa, FVIII, or FIX. The invention also provides a method for controlling bleeding in a mammal during surgery or trauma.
1. A chemically-modified activated factor VII (FVIIa) molecule comprising,
(a) a FVIIa molecule selected from the group consisting of plasmatic FVIIa and recombinant FVIIa (rFVIIa); and
(b) at least one chain of 1-4 sialic acid units, each chain covalently bound to a separate amino acid residue of said FVIIa molecule;
wherein the in vivo half-life of said chemically-modified FVIIa molecule is prolonged in the blood of a mammal as compared to the in vivo half-life of a FVIIa molecule that is not chemically modified.
2. A chemically-modified FVIIa molecule comprising,
(a) a FVIIa molecule selected from the group consisting of plasmatic FVIIa and recombinant FVIIa (rFVIIa); and
(b) at least one polysialic acid chain comprising a molecular weight of 2,000 to 100,000, each chain covalently linked directly to a separate amino acid residue of said FVIIa molecule;
wherein the in vivo half-life of said chemically-modified FVIIa molecule is prolonged in the blood of a mammal as compared to the in vivo half-life of a FVIIa molecule that is not chemically modified.
3. A chemically-modified FVIIa molecule comprising:
(a) a FVIIa molecule selected from the group consisting of plasmatic FVIIa and recombinant FVIIa (rFVIIa); and
(b) at least one polysialic acid chain comprising a molecular weight of at least 20,000, each chain bound to a separate oxidized carbohydrate moiety on said FVIIa;
wherein the in vivo half-life of said chemically-modified FVIIa molecule is prolonged in the blood of a mammal as compared to the in vivo half-life of a FVIIa molecule that is not chemically modified.
4. The chemically-modified FVIIa molecule of any one of claim 1 , 2 or 3 wherein the in vivo half-life of said chemically-modified FVIIa molecule is increased by at least a factor of about two as compared to the in vivo half-life of a FVIIa molecule that is not chemically modified.
5. The chemically-modified FVIIa molecule of any one of claim 1 , 2 or 3 wherein the in vivo half-life of said chemically-modified FVIIa molecule is increased by at least a factor of about three as compared to the in vivo half-life of a FVIIa molecule that is not chemically modified.
6. A pharmaceutical composition comprising an effective amount of the chemically-modified FVIIa molecule of any one of claim 1 , 2 or 3 , and one or more compounds selected from the group consisting of a pharmaceutically acceptable carrier, diluent, salt, buffer, and excipient.
7. A method of controlling bleeding in a mammal having a bleeding disorder associated with functional defects or deficiencies of at least one of FVIIa, factor VIII (FVIII) and factor IX (FIX), said method comprising administering the chemically-modified FVIIa molecule of any one of claim 1 , 2 or 3 .
8. A method of controlling bleeding in a mammal during surgery or trauma, said method comprising administering the chemically-modified FVIIa molecule of any one of claim 1 , 2 or 3 in an amount effective to control bleeding.
9. A kit comprising an effective amount of the chemically-modified FVIIa molecule of any one of claim 1 , 2 or 3 packaged in a container, said kit optionally containing a second therapeutic agent, and further comprising a label attached to or packaged with the container, the label describing the contents of the container and providing indications and/or instructions regarding use of the contents of the container for controlling bleeding in a mammal.
10. The kit of claim 9 wherein the container is a vial or bottle or prefilled syringe.