Pharmaceutical composition comprising particles comprising a complex of a double-stranded polyribonucleotide and a polyalkyleneimine
The present invention relates to compositions comprising complexes that are formed by polyinosinic-polycytidylic acid with a polyalkyleneimine, such as polyethyleneimine, that present uniform structural and functional features, as well as to processes for the preparation of said compositions that comply with regulatory requirements. The present invention additionally relates to use of said compositions as medicaments (in particular for treating cancer), alone or in combination with other therapeutic agents and/or in specific medical methods. Moreover, the administration of these compositions is associated to changes in the expression of specific genes, in cell responses, and/or in composition of immune cell populations that can be used as specific biomarkers and/or as additional target for medical treatment.
1. An aqueous composition comprising one or more particles wherein:
(i) each particle comprises a complex of at least one double-stranded polyribonucleotide, or a salt or solvate thereof, and at least one water-soluble, linear polyethyleneimine, or a salt and/or solvate thereof, wherein
(a) the double-stranded polyribonucleotide is polyinosinic-polycytidylic acid [poly(I:C)], or a salt or solvate thereof, wherein
at least 40% of the poly(I:C) have at least 850 base pairs, and
at least 50% of poly(I:C) have between 400 and 5000 base pairs; and
between 5% and 60% of poly(I:C) have less than 400 base pairs;
between 15% and 30% of poly(I:C) have between 400 and 850 base pairs,
between 10% and 70% of poly(I:C) have between 850 and 5000 base pairs;
between 0% and 10% of poly(I:C) have more than 5000 base pairs, and
(b) the average molecular weight of the water-soluble, linear polyethyleneimine is between 17 and 23 kDa and has a polydispersity index of <1.5;
(ii) at least 90% of the particles have a mono-modal diameter distribution of below 300 nm;
(iii) the one or more particles each have a z-average diameter of 80+/−20 nm measured according to ISO standard 22412:2017, and each particle diameter has a polydispersity index between 0.1 and 0.6;
(iv) the polyinosinic-polycytidylic acid [poly(I:C)] concentration is at least 0.5 mg/mL;
(v) the composition has a pH of between 3.0+/−0.2 and an osmolality of between 300 and 310 mOsm/kg; and
(vi) the composition has a zeta potential between 35 mV and 50 mV measured according to ISO standard 13099-2:2012.
2. The aqueous composition according to claim 1 , wherein said particles have a median diameter (D50%) of 85+/−20 nm.
3. The aqueous composition according to claim 1 , wherein the polydispersity index of each particle diameter is between 0.2 and 0.3.
4. The aqueous composition according to claim 1 , further comprising at least one pharmaceutically acceptable carrier, organic solvent, excipient and/or adjuvant.
5. The aqueous composition according to claim 1 , further comprising glucose or mannitol at a concentration of between 1 and 10% (weight/volume).
6. The aqueous composition according to claim 1 , wherein the composition has a pH of between 3.0+/−0.2 and an osmolality of between 300 and 310 mOsm/kg.
7. A composition obtainable by lyophilisation of the aqueous composition according to claim 1 .
8. A method for treating cancer, comprising administering to a subject in need thereof, an effective amount of an aqueous composition according to claim 1 .
9. The method according to claim 8 , wherein the aqueous composition is an injectable composition, optionally comprising a pharmaceutically acceptable carrier, excipient and/or adjuvant.
10. The method according to claim 8 , wherein the aqueous composition is administered by injection comprising intratumoral injection, peritumoral injection, injection into the skin or injection into an internal organ or tissue.
11. The method according to claim 8 , wherein the aqueous composition is administered in combination with a second therapeutic agent.
12. The method according to claim 11 , wherein the second therapeutic agent is selected from an immune checkpoint molecule targeting agent, CAR-T cells, cancer antigen vaccines, or agents that target regulatory T cells, metabolic enzymes, or DNA repair and/or DNA replication.
13. The method according to claim 12 , wherein the immune checkpoint molecule targeting agent is selected from anti-CTLA4, anti-PD1, and anti-PDL1.
14. The method according to claim 8 , wherein said aqueous composition is administered to a subject according to an administration regimen comprising:
(i) at least a first intratumoral injection into a first lesion; and
(ii) at least a second intratumoral injection into one or more additional lesions.
15. The method according to claim 14 ,
wherein the aqueous composition is administered prior to or subsequent to administering a second therapeutic agent,
wherein the second therapeutic agent is administered into the same and/or the one or more additional lesion by sub-cutaneous, intratumoral, peritumoral or intramuscular injection.
16. The method according to claim 15 , wherein said second therapeutic agent is administered to a subject after determining the subject is resistant, insensitive, or non-responsive to said second therapeutic agent.
17. The method according to claim 15 , wherein said second therapeutic agent is administered to a subject after determining if, following the administration of a composition according to claim 1 , there is an increase in number of circulating immune cells.
18. The method according to claim 15 , wherein said at least second intratumoral, peritumoral, sub-cutaneous or intra-muscular injection is performed at least 24 hours after the at least first intratumoral injection.
19. The method according to claim 8 , wherein the cancer is a solid tumor.
20. The method according to claim 19 , wherein the solid tumor is a carcinoma, glioma, melanoma, or sarcoma.