[EN] THERAPEUTIC COMBINATION OF GALNAC-OLIGONUCLEOTIDE CONJUGATE AND SAPONIN, AND USES THEREOF<br/>[FR] COMBINAISON THÉRAPEUTIQUE DE CONJUGUÉ GALNAC-OLIGONUCLÉOTIDE ET DE SAPONINE, ET SES UTILISATIONS
申请人:SAPREME TECH BV
公开号:WO2021261998A1
公开(公告)日:2021-12-30
The invention relates to a pharmaceutical combination comprising: a conjugate of an effector molecule and a ligand for ASGPR, wherein the ligand for ASGPR comprises at least one GalNAc moiety; and a saponin of the monodesmosidic or bidesmosidic triterpene glycoside type. The invention also relates to a pharmaceutical composition comprising the conjugate and the saponin. In addition, the invention relates to a pharmaceutical combination or composition of the invention, for use as a medicament, or for use in the treatment or prophylaxis of a disease or health problem in which an expression product is involved of any one or more of genes: apoB, TTR, PCSK9, ALAS1, ATS, GO, CCS, X gene of HBV, S gene of HBV, AAT and LDH, and/or for use in the treatment or prophylaxis of a cancer, an infectious disease, a viral infection, hypercholesterolemia, primary hyperoxaluria, haemophilia A, haemophilia B, AAT related liver disease, acute hepatic porphyria, TTR-mediated amyloidosis, hereditary TTR amyloidosis (hATTR), complement-mediated disease, hepatitis B infection, or an auto-immune disease. Furthermore, the invention relates to an in vitro or ex vivo method for transferring an effector molecule of the invention from outside a cell to inside said cell, preferably into the cytosol of said cell. The invention also relates to an in vitro or ex vivo method for transferring the conjugate of the invention from outside a cell to inside said cell.
本发明涉及一种制药组合物,包括:一种效应分子和ASGPR配体的结合物,其中,ASGPR配体包括至少一个GalNAc基团;以及一种单脱单糖或双脱单糖三萜糖苷类皂苷。本发明还涉及一种包括该结合物和该皂苷的制药组合物。此外,本发明还涉及该制药组合物或制药组合物的用途,用于作为药物,或用于治疗或预防涉及以下一个或多个基因的疾病或健康问题的表达产物:apoB,TTR,PCSK9,ALAS1,ATS,GO,CCS,HBV的X基因,HBV的S基因,AAT和LDH;或用于治疗或预防癌症、传染病、病毒感染、高胆固醇血症、原发性高草酸尿症、血友病A、血友病B、AAT相关肝病、急性肝性卟啉病、TTR介导的淀粉样变性、遗传性TTR淀粉样变性(hATTR)、补体介导的疾病、乙型肝炎感染或自身免疫性疾病。此外,本发明还涉及一种从细胞外向细胞内转移本发明的效应分子的体外或体内方法,优选地进入该细胞的细胞质。本发明还涉及一种从细胞外向细胞内转移本发明的结合物的体外或体内方法。