U.S. patent application number 14/079516 was filed with the patent office on 2014-12-25 for rapid-acting insulin formulation comprising a substituted anionic compound.
The applicant listed for this patent is ADOCIA. Invention is credited to Richard CHARVET, Emmanuel DAUTY, Gerard SOULA, Olivier SOULA.
Application Number | 20140378373 14/079516 |
Document ID | / |
Family ID | 50728493 |
Filed Date | 2014-12-25 |
United States Patent
Application |
20140378373 |
Kind Code |
A2 |
SOULA; Olivier ; et
al. |
December 25, 2014 |
RAPID-ACTING INSULIN FORMULATION COMPRISING A SUBSTITUTED ANIONIC
COMPOUND
Abstract
The invention relates to a composition in aqueous solution,
including insulin and at least one substituted anionic compound
chosen from substituted anionic compounds consisting of a backbone
formed from a discrete number u of between 1 and 8
(1.ltoreq.u.ltoreq.8) of identical or different saccharide units,
linked via identical or different glycoside bonds, said saccharide
units being chosen from the group consisting of hexoses, in cyclic
form or in open reduced form, said compound comprising partially
substituted carboxyl functional groups, the unsubstituted carboxyl
functional groups being saliflable. The invention also relates to a
pharmaceutical formulation comprising a composition as claimed in
any one of the preceding claims.
Inventors: |
SOULA; Olivier; (Meyzieu,
FR) ; SOULA; Gerard; (Meyzieu, FR) ; DAUTY;
Emmanuel; (Lyon, FR) ; CHARVET; Richard;
(Rillieux-la-Pape, FR) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
ADOCIA |
Lyon |
|
FR |
|
|
Prior
Publication: |
|
Document Identifier |
Publication Date |
|
US 20140142034 A1 |
May 22, 2014 |
|
|
Family ID: |
50728493 |
Appl. No.: |
14/079516 |
Filed: |
November 13, 2013 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
61726349 |
Nov 14, 2012 |
|
|
|
61725775 |
Nov 13, 2012 |
|
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Current U.S.
Class: |
514/5.9 |
Current CPC
Class: |
C07H 3/06 20130101; A61K
38/28 20130101; A61K 47/34 20130101; A61K 47/12 20130101; A61K
9/0019 20130101; C07K 5/00 20130101; A61K 47/26 20130101; A61K
47/183 20130101; A61K 47/36 20130101; A61P 3/10 20180101; A61K
47/02 20130101; C07H 15/18 20130101; C08B 37/0021 20130101 |
Class at
Publication: |
514/5.9 |
International
Class: |
A61K 38/28 20060101
A61K038/28 |
Claims
1. A composition in aqueous solution, comprising insulin in
hexameric form, at least one substituted anionic compound and a
polyanionic compound: said substituted anionic compound being
chosen from substituted anionic compounds, in isolated form or as a
mixture, consisting of a backbone formed from a discrete number u
of between 1 and 8 (1.ltoreq.u.ltoreq.8) of identical or different
saccharide units, linked via identical or different glycoside
bonds, said saccharide units being chosen from the group consisting
of hexoses, in cyclic form or in open reduced form, wherein they
are substituted with: a) at least one substituent of general
formula I: --[R.sub.1].sub.a-[AA].sub.m Formula I the substituents
being identical or different when there are at least two
substituents, in which: the radical -[AA]- denotes an amino acid
residue, the radical --R.sub.1-- being: either a bond and then a=0
and the amino acid residue -[AA] is directly linked to the backbone
via a function G, or a C2 to C15 carbon-based chain, and then a=1,
optionally substituted and/or comprising at least one heteroatom
chosen from O, N and S and at least one acid function before the
reaction with the amino acid, said chain forming with the amino
acid residue -[AA] an amide function, and is attached to the
backbone by means of a function F resulting from a reaction between
a hydroxyl function borne by the backbone and a function or
substituent borne by the precursor of the radical --R.sub.1--, F is
a function chosen from ether, ester and carbamate functions, G is a
carbamate function, m is equal to 1 or 2, the degree of
substitution of the saccharide units, j, in
--[R.sub.1].sub.a-[AA].sub.m being strictly greater than 0 and less
than or equal to 6, 0<j.ltoreq.6 b) and, optionally, one or more
substituents --R'.sub.1, the substituent --R'.sub.1 being a C2 to
C15 carbon-based chain, which is optionally substituted and/or
comprising at least one heteroatom chosen from O, N and S and at
least one acid function in the form of an alkali metal cation salt,
said chain being linked to the backbone via a function F' resulting
from a reaction between a hydroxyl function or a carboxylic acid
function borne by the backbone and a function or substituent borne
by the precursor of the substituent --R'.sub.1, F' is an ether,
ester or carbamate function, the degree of substitution of the
saccharide units, i, in --R'.sub.1, being between 0 and 6-j,
0.ltoreq.i.ltoreq.6-j, and F and F' are identical or different, F
and G are identical or different, i+j.ltoreq.6, --R'.sub.1 is
identical to or different from --R.sub.1--, the free saliflable
acid functions borne by the substituent --R'.sub.1 are in the form
of alkali metal cation salts, said glycoside bonds, which may be
identical or different, being chosen from the group consisting of
glycoside bonds of (1,1), (1,2), (1,3), (1,4) or (1,6) type, in an
alpha or beta geometry, and said polyanionic compound being a
non-polymeric polyanionic (NPP) compound whose affinity for zinc is
less than the affinity of insulin for zinc and whose dissociation
constant Kd.sub.ca=[NPP compound].sup.r[Ca.sup.2+].sup.s/[(NPP
compound).sup.r-(Ca.sup.2+).sup.s] is less than or equal to
10.sup.-1.5.
2. The composition as claimed in claim 1, wherein the anionic
molecule is chosen from the group consisting of polycarboxylic
acids and the Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts
thereof.
3. The composition as claimed in claim 2, wherein the
polycarboxylic acid is chosen from the group consisting of citric
acid and tartaric acid, and the Na.sup.+, K.sup.+, Ca.sup.2+ or
Mg.sup.2+ salts thereof.
4. The composition as claimed in claim 1, wherein the anionic
molecule is chosen from the group consisting of polyphosphoric
acids and the --Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts
thereof.
5. The composition as claimed in claim 4, wherein the
polyphosphoric acid is triphosphate and the Na.sup.+, K.sup.+,
Ca.sup.2+ or Mg.sup.2+ salts thereof.
6. The composition as claimed in claim 1, wherein the polyanionic
compound is a compound consisting of a saccharide backbone formed
from a discrete number of saccharide units obtained from a
disaccharide compound chosen from the group consisting of
trehalose, maltose, lactose, sucrose, celloblose, isomaltose,
maltitol and isomaltitol.
7. The composition as claimed in claim 1, wherein the insulin is a
human insulin.
8. The composition as claimed in claim 1, wherein the insulin is an
insulin analog.
9. The composition as claimed in claim 8, wherein the insulin
analog is chosen from the group consisting of the insulin lispro
(Humalog.RTM.), the insulin aspart (Novolog.RTM., Novorapid.RTM.)
and the insulin glulisine (Apidra.RTM.).
10. The composition as claimed in claim 8, wherein the insulin
analog is the insulin lispro (Humalog.RTM.).
11. The composition as claimed in claim 1, wherein the substituted
anionic compound/insulin mass ratio is between 0.5 and 10.
12. The composition as claimed in claim 1, wherein the
concentration of substituted anionic compound is between 1.8 and 36
mg/mL.
13. The composition as claimed in claim 1, wherein the substituted
anionic compound is chosen from substituted anionic compounds, in
isolated form or as a mixture, consisting of a saccharide backbone
formed from a discrete number u of between 1 and 8
(1.ltoreq.u.ltoreq.8) of identical or different saccharide units,
linked via identical or different glycoside bonds, said saccharide
units being chosen from hexoses, in cyclic form or in open reduced
form, wherein they are substituted with: a) at least one
substituent of general formula I: --[R.sub.1].sub.a-[AA].sub.m
Formula I the substituents being identical or different when there
at least two substituents, in which: the radical -[AA]- denotes an
amino acid residue, the radical --R.sub.1-- being: either a bond
and then a=0 and the amino acid residue -[AA] is directly linked to
the backbone via a function G, or a C2 to C15 carbon-based chain,
and then a=1, optionally substituted and/or comprising at least one
heteroatom chosen from O, N and S and at least one acid function
before the reaction with the amino acid, said chain forming with
the amino acid residue -[AA] an amide function, and is attached to
the backbone by means of a function F resulting from a reaction
between a hydroxyl function borne by the backbone and a function or
substituent borne by the precursor of the radical --R1-, F is a
function chosen from ether, ester and carbamate functions, G is a
carbamate function, m is equal to 1 or 2, the degree of
substitution of the saccharide units, j, in
--[R.sub.1].sub.a-[AA].sub.m being strictly greater than 0 and less
than or equal to 6, 0<j.ltoreq.6 b) and, optionally, one or more
substituents --R'.sub.1, the substituent --R'.sub.1 being a C2 to
C15 carbon-based chain, which is optionally substituted and/or
comprising at least one heteroatom chosen from O, N and S and at
least one acid function in the form of an alkali metal cation salt,
said chain being linked to the backbone via a function F' resulting
from a reaction between a hydroxyl function or a carboxylic acid
function borne by the backbone and a function or substituent borne
by the precursor of the substituent --R'.sub.1, F' is an ether,
ester or carbamate function, the degree of substitution of the
saccharide units, i, in --R'.sub.1, being between 0 and 6-j,
0.ltoreq.i.ltoreq.6-j, and F and F' are identical or different, F
and G are identical or different, i+j.ltoreq.6, --R'.sub.1 is
identical to or different from --R.sub.1--, the free saliflable
acid functions borne by the substituent --R'.sub.1 are in the form
of alkali metal cation salts, said glycoside bonds, which may be
identical or different, being chosen from the group consisting of
glycoside bonds of (1,1), (1,2), (1,3), (1,4) or (1,6) type, in an
alpha or beta geometry.
14. The composition as claimed in claim 1, wherein the polyanionic
compound is chosen from the group consisting of anionic molecules,
anionic polymers and compounds consisting of a backbone formed from
a discrete number u of between 1 and 3 (1.ltoreq.u.ltoreq.3) of
identical or different saccharide units, linked via identical or
different glycoside bonds naturally bearing carboxyl groups or
substituted with carboxyl groups.
15. A pharmaceutical formulation comprising a compound as claimed
in claim 1.
16. The pharmaceutical formulation as claimed in claim 15, wherein
the insulin concentration is between 240 and 3000 .mu.M (40 to 500
IU/mL).
17. The pharmaceutical formulation as claimed in claim 16, wherein
the insulin concentration is between 600 and 1200 .mu.M (100 and
200 IU/mL).
18. An insulin pharmaceutical formulation comprising insulin and at
least one functionalized anionic compound having a backbone formed
from a discrete number u of between 1 and 3 (1.ltoreq.u.ltoreq.3)
of identical or different saccharide units, linked via identical or
different glycoside bonds, said saccharide units being chosen from
the group consisting of hexoses, in cyclic form or in open reduced
form, said compound comprising partially substituted carboxyl
functional groups, the unsubstituted carboxyl functional groups
being salifiable, wherein the insulin pharmaceutical formulation
makes it possible, after administration, to accelerate the passage
of the insulin into the blood and to reduce the glycemia more
rapidly when compared with a formulation free of substituted
anionic compound in combination with at least said polyanionic
compound being a non-polymeric polyanionic (NPP) compound whose
affinity for zinc is less than the affinity of insulin for zinc and
whose dissociation constant Kd.sub.ca=[NPP
compound].sup.r[Ca.sup.2+].sup.s/[(NPP
compound).sup.r-(Ca.sup.2+).sup.s] is less than or equal to
10.sup.-1.5.
19. The insulin pharmaceutical formulation as claimed in claim 18,
wherein the functionalized anionic compound is in a mixture with a
polyanionic compound.
20. The insulin pharmaceutical formulation as claimed in claim 18,
wherein the substituted anionic compound is chosen from substituted
anionic compounds consisting of a saccharide backbone formed from a
discrete number u of between 1 and 8 (1.ltoreq.u.ltoreq.8) of
identical or different saccharide units, linked via identical or
different glycoside bonds, said saccharide units being chosen from
hexoses, in cyclic form or in open reduced form, wherein: a) they
are randomly substituted with: at least one substituent of general
formula I: --[R.sub.1].sub.a-[AA].sub.m Formula I the substituents
being identical or different when there are at least two
substituents, in which: the radical -[AA]- denotes an amino acid
residue, said amino acid being chosen from the group consisting of
phenylalanine, alpha-methylphenylalanine,
3,4-dihydroxyphenylalanine, tyrosine, alpha-methyltyrosine,
O-methyltyrosine, alpha-phenylglycine, 4-hydroxyphenylglycine and
3,5-dihydroxyphenylglycine, and the alkali metal cation salts
thereof, said derivatives being in L or D absolute configuration,
-[AA]-is attached to the backbone of the molecule via a linker arm
--R.sub.1-- or directly attached to the backbone via a function G,
--R.sub.1-- being: either a bond G, and then a=0, or a C1 to C15
carbon-based chain, and then a=1, which is optionally substituted
and/or comprising at least one heteroatom chosen from O, N and S
and bearing at least one acid function before the reaction with the
amino acid, said chain forming with the amino acid residue -[AA] an
amide bond, and is attached to the saccharide backbone via a
function F resulting from a reaction between a hydroxyl function
borne by the backbone and a function borne by the precursor of
R.sub.1, F is an ether, ester or carbamate function, G is an ester
or carbamate function, m is equal to 1 or 2, the degree of
substitution, j, in --[R.sub.1].sub.a-[AA].sub.m being strictly
greater than 0 and less than or equal to 6, 0.ltoreq.j.ltoreq.6,
and, optionally, one or more substituents --R'.sub.1 --R'.sub.1
being a C2 to C15 carbon-based chain, which is optionally
substituted and/or comprising at least one heteroatom (such as O, N
and S) and bearing at least one acid function in the form of an
alkali metal cation salt, said chain being attached to the
saccharide backbone via a function F' resulting from a reaction
between a hydroxyl function borne by the backbone and a function
borne by the precursor of --R'.sub.1, F' is an ether, ester or
carbamate function, the degree of substitution, i, in --R'.sub.1,
being between 0 and 6-j, 0.ltoreq.i.ltoreq.6-j, and --R'.sub.1- is
identical to or different from --R.sub.1, F and F' are identical or
different, F' and G are identical or different, the free salifiable
acid functions are in the form of alkali metal cation salts, b)
said glycoside bonds, which may be identical or different, being
chosen from the group consisting of glycoside bonds of (1,1),
(1,2), (1,3), (1,4) or (1,6) type, in an alpha or beta geometry, c)
i+j.ltoreq.6.
21. The insulin pharmaceutical formulation as claimed in claim 19,
wherein the polyanionic compound is chosen from the group
consisting of anionic molecules, anionic polymers and compounds
consisting of a backbone formed from a discrete number u of between
1 and 3 (1.ltoreq.u.ltoreq.3) of identical or different saccharide
units, linked via identical or different glycoside bonds naturally
bearing carboxyl groups or substituted with carboxyl groups.
22. A method for preparing a human insulin formulation having an
insulin concentration of between 240 and 3000 .mu.M (40 and 500
IU/mL), whose delay of action in man is less than that of the
reference formulation at the same insulin concentration in the
absence of a substituted anionic compound, which method comprises a
step of adding to said formulation at least one anionic compound
comprising partially substituted carboxyl functional groups.
23. A method for preparing an insulin analog formulation having an
insulin concentration of between 240 and 3000 .mu.M (40 and 500
IU/mL), whose delay of action in man is less than that of the
reference formulation at the same insulin concentration in the
absence of a substituted anionic compound, which method comprises a
step of adding to said formulation at least one anionic compound
comprising partially substituted carboxyl functional groups.
Description
[0001] The present invention relates to a rapid-acting insulin
formulation.
[0002] Since the production of insulin by genetic engineering, at
the start of the 1980s, diabetic patients have benefited from human
insulin for their treatment. This product has greatly improved this
therapy, since the immunological risks associated with the use of
non-human insulin, in particular pig insulin, are eliminated.
However, subcutaneously-Injected human insulin has a hypoglycemiant
effect only after 60 minutes, which means that diabetic patients
treated with human insulin must take the injection 30 minutes
before a meal.
[0003] One of the problems to be solved for improving the health
and comfort of diabetic patients is that of providing them with
insulin formulations which afford a faster hypoglycemiant response
than that of human insulin, if possible a response approaching the
physiological response of a healthy person. The secretion of
endogenous insulin in a healthy individual is immediately triggered
by the increase in glycemia. The object is to minimize the delay
between the injection of insulin and the start of the meal.
[0004] At the present time, it is accepted that the provision of
such formulations is useful in order for the patient to receive the
best possible health care.
[0005] Genetic engineering has made it possible to afford a
response with the development of rapid insulin analogs. These
insulins are modified on one or two amino acids so as to be more
rapidly absorbed into the blood compartment after a subcutaneous
injection. These insulins lispro (Humalog.RTM., Lilly), aspart
(Novolog.RTM., Novo) and glulisine (Apidra.RTM., Sanofi Aventis)
are stable insulin solutions with a faster hypoglycemiant response
than that of human insulin. Consequently, patients treated with
these rapid insulin analogs can take an insulin injection only 15
minutes before a meal.
[0006] The principle of rapid insulin analogs is to form hexamers
at a concentration of 100 IU/mL to ensure the stability of the
insulin in the commercial product while at the same time promoting
very rapid dissociation of these hexamers into monomers after
subcutaneous injection so as to obtain rapid action.
[0007] Human insulin as formulated in its commercial form does not
make it possible to obtain a hypoglycemiant response close in
kinetic terms to the physiological response generated by the start
of a meal (increase in glycemia), since, at the working
concentration (100 IU/mL), in the presence of zinc and other
excipients such as phenol or m-cresol, it assembles to form a
hexamer, whereas it is active in monomer and dimer form. Human
insulin is prepared in the form of hexamers so as to be stable for
up to 2 years at 4.degree. C., since, in the form of monomers, it
has a very high propensity to aggregate and then to fibrillate,
which makes it lose its activity. Furthermore, in this aggregated
form, it presents an immunological risk to the patient.
[0008] The dissociation of the hexamers into dimers and of the
dimers into monomers delay its action by close to 20 minutes when
compared with a rapid insulin analog (Brange 3., at al., Advanced
Drug Delivery Review, 35, 1999, 307-335).
[0009] In addition, the kinetics of passage of the insulin analogs
into the blood and their glycemia reduction kinetics are not
optimal, and there is a real need for a formulation which has an
even shorter action time in order to come close to the kinetics of
endogenous insulin secretion in healthy individuals.
[0010] The company Biodel has proposed a solution to this problem
with a human insulin formulation comprising EDTA and citric acid as
described in patent application US 200839365. The capacity of EDTA
to complex zinc atoms and the interactions of citric acid with the
cationic regions present at the surface of insulin are described as
destabilizing the hexameric form of insulin and thus as reducing
its action time.
[0011] However, such a formulation especially has the drawback of
disassociating the hexameric form of insulin, which is the only
stable form capable of meeting the stability requirements of the
pharmaceutical regulations.
[0012] PCT patent application WO 2010/122385 in the name of the
Applicant is also known, describing human insulin or insulin analog
formulations that can solve the various problems mentioned above
via the addition of a substituted polysaccharide comprising
carboxyl groups.
[0013] However, the requirements entailed by the chronic and
intensive use or even the pediatric use of such formulations lead a
person skilled in the art to seek to use excipients whose molar
mass and size are as small as possible in order to facilitate their
elimination.
[0014] The polysaccharides described in patent applications WO
2010/122385A1 and US 2012/094902A1 as excipients are compounds
consisting of chains whose lengths are statistically variable and
which are very rich in possible sites of interaction with protein
active principles. This richness might induce a lack of specificity
in terms of interaction, and a smaller and better defined molecule
might make it possible to be more specific in this respect.
[0015] In addition, a molecule with a well-defined backbone is
generally more easily traceable (for example MS/MS) in biological
media during pharmacokinetic or ADME (administration, distribution,
metabolism, elimination) experiments when compared with a polymer
which generally gives a very diffuse and noisy signal in mass
spectrometry.
[0016] Conversely, it is not excluded that a well-defined and
shorter molecule might have a deficit of possible sites of
interaction with protein active principles. Specifically, on
account of their reduced size, they do not have the same properties
as polymers of polysaccharide type since there is loss of the
polymer effect, as is demonstrated in the comparative examples of
the experimental section; see especially the tests of insulin
dissolution at the isoelectric point and the tests of interaction
with a model protein such as albumin.
[0017] Despite these discouraging results, the Applicant has
succeeded in developing formulations that are capable of
accelerating insulin by using a substituted anionic compound in
combination with a polyanionic compound.
[0018] Furthermore, as in the case of the use of polysaccharides,
the hexameric nature of insulin is not affected, and thus the
stability of the formulations is not affected, as is moreover
confirmed by the examples of state of association of human insulin
and insulin analog via circular dichroism in the presence of a
substituted anionic compound according to the invention.
[0019] The present invention makes it possible to solve the various
problems outlined above since it makes it possible especially to
prepare a human insulin or insulin analog formulation, which is
capable, after administration, of accelerating the passage of the
human insulin or of analogs thereof into the blood and of more
quickly reducing glycemia when compared with the corresponding
commercial insulin products.
[0020] Following is a brief description of the drawings.
[0021] FIG. 1: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example B8,
glucose Tmin=30.+-.11 min, curve plotted with the triangles
corresponding to example B2, glucose Tmin=44.+-.14 min.
[0022] FIG. 2: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example B8,
insulin Tmax=11.+-.6 min, curve plotted with the triangles
corresponding to example B2, insulin Tmax=18.+-.8 min.
[0023] FIG. 3: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B10, glucose Tmin=33.+-.13 min, curve plotted with the triangles
corresponding to example B2, glucose Tmin.+-.44.+-.14 min.
[0024] FIG. 4: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B10, insulin Tmax=15.+-.9 min, curve plotted with the triangles
corresponding to example B2, insulin Tmax=18.+-.8 min.
[0025] FIG. 5: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example B7,
glucose Tmin=41.+-.16 min, curve plotted with the triangles
corresponding to example B2, glucose Tmin=50.+-.14 min.
[0026] FIG. 6: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example B2,
insulin Tmax=21.+-.10 min, curve plotted with the triangles
corresponding to example B2, insulin Tmax=20.+-.9 min.
[0027] FIG. 7: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example B3,
glucose Tmin=61.+-.31 min, curve plotted with the triangles
corresponding to example B1, glucose Tmin.+-.44.+-.13 min.
[0028] FIG. 8: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example B3,
insulin Tmax=36.+-.33 min, curve plotted with the triangles
corresponding to example B1, insulin Tmax=28.+-.13 min.
[0029] FIG. 9: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B39, glucose Tmin=46.+-.9 min, curve plotted with the triangles
corresponding to example B1, glucose Tmin=53.+-.24 min.
[0030] FIG. 10: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B39, insulin Tmax=20.+-.7 min, curve plotted with the triangles
corresponding to example 51, insulin Tmax=22.+-.10 min.
[0031] FIG. 11 describes on the x-axis, from left to right:
[0032] Humalog
[0033] Humalog+9.3 mM citrate
[0034] Humalog+6 mM EDTA
[0035] Humalog+6 mM EDTA+9.3 mM citrate
[0036] Humalog+7.3 mg/ml Compound 1
[0037] Humalog+7.3 mg/ml Compound 1+9.3 mM citrate
[0038] Humalog+7.3 mg/ml Compound 1+20 mg/ml Polyanionic compound
1
and on the y-axis the CD signal at 251 nm
(degcm.sup.2dmol.sup.-1).
[0039] FIG. 12 describes on the x-axis, from left to right:
[0040] rhINS
[0041] rhINS+9.3 mM citrate
[0042] rhINS+6 mM EDTA
[0043] rhINS+6 mM EDTA+9.3 mM citrate
[0044] rhINS+7.3 mg/ml Compound 1
[0045] rhINS+7.3 mg/ml Compound 1+9.3 mM citrate
[0046] rhINS+7.3 mg/ml Compound 1+20 mg/ml Polyanionic compound
1
and on the y-axis the CD signal at 275 nm
(degcm.sup.2dmol.sup.-1).
[0047] FIG. 13: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B11, glucose Tmin=32.+-.10 min, curve plotted with the triangles
corresponding to example B2, glucose Tmin=41.+-.21 min.
[0048] FIG. 14: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B11, insulin Tmax=13.+-.5 min, curve plotted with the triangles
corresponding to example B2, insulin Tmax=22.+-.13 min.
[0049] FIG. 15: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B102, glucose Tmin=47.+-.30 min, curve plotted with the triangles
corresponding to example B1, glucose Tmin=47.+-.15 min.
[0050] FIG. 16: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B38, insulin Tmax=22.+-.21 min, curve plotted with the triangles
corresponding to example B1, insulin Tmax=19.+-.12 min.
[0051] FIG. 17: DGlucose (mM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B53, glucose Tmin=63.+-.36 min, curve plotted with the triangles
corresponding to example B1, glucose Tmin=53.+-.19 min.
[0052] FIG. 18: DInsulin (pM) as a function of time after injection
(min.). Curve plotted with the squares corresponding to example
B53, insulin Tmax=19.+-.12 min, curve plotted with the triangles
corresponding to example B1, insulin Tmax=19.+-.6 min.
[0053] FIG. 19 describes on the x-axis:
[0054] A: lispro insulin (100 IU/mL)
[0055] B: lispro insulin+7.3 mg/mL of compound 2
[0056] C: lispro insulin+7.3 mg/mL of compound 2+citrate at 9.3
mM
[0057] D: lispro insulin+7.3 mg/mL of compound 1
[0058] E: lispro insulin+7.3 mg/mL of compound 1+citrate at 9.3
mM
[0059] F: lispro insulin+7.3 mg/mL of compound 3
[0060] G: lispro insulin+7.3 mg/mL of compound 3+citrate at 9.3
mM
[0061] H: lispro insulin+7.3 mg/mL of compound 4
[0062] I: lispro insulin+7.3 mg/mL of compound 4+citrate at 9.3
mM
[0063] J: lispro insulin+7.3 mg/mL of compound 5
[0064] K: lispro insulin+7.3 mg/mL of compound 5+citrate at 9.3
mM
[0065] L: lispro insulin+7.3 mg/mL of compound 6
[0066] M: lispro insulin+7.3 mg/mL of compound 6+citrate at 9.3
mM
[0067] N: lispro insulin+7.3 mg/mL of compound 7
[0068] O: lispro insulin+7.3 mg/mL of compound 7+citrate at 9.3
mM
[0069] P: lispro insulin+7.3 mg/mL of compound 8
[0070] Q: lispro insulin+7.3 mg/mL of compound 8+citrate at 9.3
mM
[0071] R: lispro insulin+7.3 mg/mL of compound 9
[0072] S: lispro insulin+7.3 mg/mL of compound 9+citrate at 9.3
mM
[0073] T: lispro insulin+7.3 mg/mL of compound 10
[0074] U: lispro insulin+7.3 mg/mL of compound 10+citrate at 9.3
mM
[0075] V: lispro insulin+7.3 mg/mL of compound 11
[0076] W: lispro insulin+7.3 mg/mL of compound 11+citrate at 9.3
mM
and on the y-axis the circular dichroism signal at 251 nm
(degcm.sup.2dmol.sup.-1).
[0077] FIG. 20 describes on the x-axis:
[0078] A: human insulin (100 IU/mL)
[0079] B: human insulin+7.3 mg/mL of compound 2
[0080] C: human insulin+7.3 mg/mL of compound 2+citrate at 9.3
mM
[0081] D: human insulin+7.3 mg/mL of compound 1
[0082] E: human insulin+7.3 mg/mL of compound 1+citrate at 9.3
mM
[0083] F: human insulin+7.3 mg/mL of compound 3
[0084] G: human insulin+7.3 mg/mL of compound 3+citrate at 9.3
mM
[0085] H: human insulin+7.3 mg/mL of compound 4
[0086] I: human insulin+7.3 mg/mL of compound 4+citrate at 9.3
mM
[0087] J: human insulin+7.3 mg/mL of compound 5
[0088] K: human insulin+7.3 mg/mL of compound 5+citrate at 9.3
mM
[0089] L: human insulin+7.3 mg/mL of compound 6
[0090] M: human insulin+7.3 mg/mL of compound 6+citrate at 9.3
mM
[0091] N: human insulin+7.3 mg/mL of compound 7
[0092] O: human insulin+7.3 mg/mL of compound 7+citrate at 9.3
mM
[0093] P: human insulin+7.3 mg/mL of compound 8
[0094] Q: human insulin+7.3 mg/mL of compound 8+citrate at 9.3
mM
[0095] R: human insulin+7.3 mg/mL of compound 9
[0096] S: human insulin+7.3 mg/mL of compound 9+citrate at 9.3
mM
[0097] T: human insulin+7.3 mg/mL of compound 10
[0098] U: human insulin+7.3 mg/mL of compound 10+citrate at 9.3
mM
[0099] V: human insulin+7.3 mg/mL of compound 11
[0100] W: human insulin+7.3 mg/mL of compound 11+citrate at 9.3
mM
and on the y-axis the circular dichroism signal at 275 nm
(degcm.sup.2dmol.sup.-1).
[0101] The invention consists of a composition, in aqueous
solution, comprising insulin in hexameric form, at least one
substituted anionic compound and a non-polymeric polyanionic
compound.
[0102] The term "substituted anionic compound" means compounds
consisting of a saccharide backbone formed from a discrete number u
of between 1 and 8 (1.ltoreq.u.ltoreq.8) of identical or different
saccharide units, linked via identical or different glycoside
bonds, said saccharide units being chosen from the group consisting
of hexoses, in cyclic form or in open reduced form, said compound
comprising partially substituted carboxyl functional groups, the
unsubstituted carboxyl functional groups being saliflable.
[0103] In one embodiment, the insulin is in hexameric form.
[0104] In one embodiment, the insulin is human insulin.
[0105] The term "human insulin" means an insulin obtained by
synthesis or recombination, whose peptide sequence is the sequence
of human insulin, including the allelic variations and
homologs.
[0106] In one embodiment, the insulin is a recombinant human
insulin as described in the European Pharmacopea and the American
Pharmacopea.
[0107] In one embodiment, the insulin is an insulin analog.
[0108] The term "Insulin analog" means a recombinant insulin whose
primary sequence contains at least one modification relative to the
primary sequence of human insulin.
[0109] In one embodiment, the insulin analog is chosen from the
group consisting of the insulin lispro (Humalog.RTM.), the insulin
aspart (Novolog.RTM., Novorapid.RTM.) and the insulin glulisine
(Apidra.RTM.).
[0110] In one embodiment, the insulin analog is the insulin lispro
(Humalog.RTM.).
[0111] In one embodiment, the insulin analog is the insulin aspart
(Novolog.RTM., Novorapid.RTM.).
[0112] In one embodiment, the insulin analog is the insulin
glulisine (Apidra.RTM.).
[0113] In one embodiment, the substituted anionic compound is
chosen from substituted anionic compounds, in isolated form or as a
mixture, consisting of a backbone formed from a discrete number u
of between 1 and 8 (1.ltoreq.u.ltoreq.8) of identical or different
saccharide units, linked via identical or different glycoside
bonds, said saccharide units being chosen from the group consisting
of hexoses, in cyclic form or in open reduced form, characterized
in that they are substituted with: [0114] a) at least one
substituent of general formula I:
[0114] --[R.sub.1].sub.a-[AA].sub.m Formula I [0115] the
substituents being identical or different when there are at least
two substituents, in which: [0116] the radical -[AA] denotes an
amino acid residue, [0117] the radical --R.sub.1-- being: [0118]
either a bond and then a=0 and the amino acid residue -[AA] is
directly linked to the backbone via a function G, [0119] or a C2 to
C15 carbon-based chain, and then a=1, optionally substituted and/or
comprising at least one heteroatom chosen from O, N and S and at
least one acid function before the reaction with the amino acid,
said chain forming with the amino acid residue -[AA] an amide
function, and is attached to the backbone by means of a function F
resulting from a reaction between a hydroxyl function borne by the
backbone and a function or substituent borne by the precursor of
the radical --R.sub.1--, [0120] F is a function chosen from ether,
ester and carbamate functions, [0121] G is a carbamate function,
[0122] m is equal to 1 or 2, [0123] the degree of substitution of
the saccharide units, j, on --[R.sub.1].sub.a-[AA].sub.m being
strictly greater than 0 and less than or equal to 6,
0<j.ltoreq.6
[0124] b) and, optionally, one or more substituents --R'.sub.1,
[0125] the substituent --R'.sub.1 being a C2 to C15 carbon-based
chain, which is optionally substituted and/or comprising at least
one heteroatom chosen from O, N and S and at least one acid
function in the form of an alkali metal cation salt, said chain
being linked to the backbone via a function F' resulting from a
reaction between a hydroxyl function borne by the backbone and a
function or substituent borne by the precursor of the substituent
--R'.sub.1, [0126] F is an ether, ester or carbamate function,
[0127] the degree of substitution of the saccharide units, i, in
--R'.sub.1, being between 0 and 6-j, 0.ltoreq.i.ltoreq.6-j, and
[0128] F and F are identical or different, [0129] F and G are
identical or different, [0130] i+j.ltoreq.6, [0131] --R'.sub.1 is
identical to or different from --R.sub.1--, [0132] the free
salifiable acid functions borne by the substituent --R'.sub.1 are
in the form of alkali metal cation salts, [0133] said glycoside
bonds, which may be identical or different, being chosen from the
group consisting of glycoside bonds of (1,1), (1,2), (1,3), (1,4)
or (1,6) type, in an alpha or beta geometry.
[0134] In one embodiment, the substituted anionic compound, in
isolated form or as a mixture, is chosen from substituted anionic
compounds consisting of a saccharide backbone formed from a
discrete number u of between 1 and 8 (1.ltoreq.u.ltoreq.8) of
identical or different saccharide units, linked via identical or
different glycoside bonds, said saccharide units being chosen from
hexoses, in cyclic form or in open reduced form, characterized
[0135] a) in that they are randomly substituted with: [0136] at
least one substituent of general formula I:
[0136] --[R.sub.1].sub.a-[AA].sub.m Formula I [0137] the
substituents being identical or different when there are at least
two substituents, in which: [0138] the radical -[AA]- denotes an
amino add residue, said amino acid being chosen from the group
consisting of phenylalanine, alpha-methylphenylalanine,
3,4-dihydroxyphenylalanine, tyrosine, alpha-methyltyrosine,
O-methyltyrosine, alpha-phenylglycine, 4-hydroxyphenylglycine and
3,5-dihydroxyphenylglycine, and the alkali metal cation salts
thereof, said derivatives being of L or D absolute configuration,
-[AA] is attached to the backbone of the molecule via a linker arm
--R.sub.1-- or directly linked to the backbone via a function G,
[0139] --R.sub.1-- being: [0140] either a bond G, and then a=0,
[0141] or a C2 to C15 carbon-based chain, and then a=1, which is
optionally substituted and/or comprising at least one heteroatom
chosen from O, N and S and bearing at least one acid function
before the reaction with the amino acid, said chain forming with
the amino acid residue -[AA] an amide bond, and is attached to the
saccharide backbone via a function F resulting from a reaction
between a hydroxyl function borne by the backbone and a function
borne by the precursor of R.sub.1, [0142] F is an ether, ester or
carbamate function, [0143] G is a carbamate function, [0144] m is
equal to 1 or 2, [0145] the degree of substitution, j, in
--[R.sub.1].sub.a-[AA].sub.m being strictly greater than 0 and less
then or equal to 6, 0<j.ltoreq.6,
[0146] and, optionally, [0147] one or more substituents --R'.sub.1
[0148] --R'.sub.1 being a C2 to C15 carbon-based chain, which is
optionally substituted and/or comprising at least one heteroatom
(such as O, N and S) and bearing at least one acid function in the
form of an alkali metal cation salt, said chain being attached to
the saccharide backbone via a function F' resulting from a reaction
between a hydroxyl function borne by the backbone and a function
borne by the precursor of --R'.sub.1, [0149] F' is an ether, ester
or carbamate function, [0150] the degree of substitution, i, in
--R', being between 0 and 6-j, 0.ltoreq.i.ltoreq.6-j, and [0151]
--R'.sub.1-- is identical to or different from --R.sub.1, [0152] F
and F' are identical or different, [0153] F' and G are identical or
different, [0154] the free salifiable acid functions are in the
form of alkali metal cation salts, [0155] b) said glycoside bonds,
which may be identical or different, being chosen from the group
consisting of glycoside bonds of (1,1), (1,2), (1,3), (1,4) or
(1,6) type, in an alpha or beta geometry, [0156] c)
i+j.ltoreq.6.
[0157] In one embodiment, m is equal to 1.
[0158] In one embodiment, --R.sub.1 and --R'.sub.1, which may be
identical or different, are a C2 to C8 carbon-based chain.
[0159] In one embodiment, --R.sub.1 and --R'.sub.1, which may be
identical or different, are a C2 to C4 carbon-based chain.
[0160] i and j are statistical degrees of substitution and
represent the mean number of substituents per saccharide unit.
Since each saccharide unit bears several hydroxyl functions of
different reactivity, the distribution of the substituents on the
substituted anionic compounds may be different from one saccharide
unit to another within the same polyanionic compound.
[0161] In one embodiment, 0.3.ltoreq.i.
[0162] In one embodiment, 0.4.ltoreq.i.
[0163] In one embodiment, i.ltoreq.3.
[0164] In one embodiment, i.ltoreq.2.5.
[0165] In one embodiment, 0.3.ltoreq.j.
[0166] In one embodiment, 0.4.ltoreq.j.
[0167] In one embodiment, j.ltoreq.2.
[0168] In one embodiment, j.ltoreq.1.8.
[0169] In one embodiment, i and j are such that
0<i+j.ltoreq.6.
[0170] In one embodiment, 0<i+j.ltoreq.5.
[0171] In one embodiment, 0<i+j.ltoreq.4.
[0172] In one embodiment, 0<i+j 3.
[0173] In one embodiment, 0<i+j.ltoreq.2.5.
[0174] In one embodiment, 0<i+j.ltoreq.2.
[0175] In one embodiment, 0.5.ltoreq.i+j.ltoreq.3.
[0176] In one embodiment, 0.5.ltoreq.i+j.ltoreq.2.5.
[0177] In one embodiment, 0.5 i+j.ltoreq.2.
[0178] In one embodiment, 0.6.ltoreq.i+j.ltoreq.3.5.
[0179] In one embodiment, 0.8.ltoreq.i+j.ltoreq.2.5.
[0180] In one embodiment, 0.7.ltoreq.i+j.ltoreq.2.5.
[0181] In one embodiment, 0.7.ltoreq.i+j.ltoreq.2.
[0182] In one embodiment, 1<i+j.ltoreq.2.5.
[0183] In one embodiment, 1<i+j.ltoreq.2.
[0184] In one embodiment, --R.sub.1 and --R'.sub.1 are attached to
the backbone via an ether bond.
[0185] In one embodiment, when --R.sub.1-- is a carbon-based chain,
it is directly attached to the backbone via an ether bond.
[0186] In one embodiment, when --R.sub.1-- is a carbon-based chain,
it optionally comprises a heteroatom chosen from the group
consisting of O, N and S.
[0187] In one embodiment, --R.sub.1-- forms with the amino acid
residue AA an amide bond, and is directly attached to the backbone
via an ether function F.
[0188] In one embodiment, --R.sub.1-- forms with the amino acid
residue AA an amide bond, and is directly attached to the backbone
via a carbamate function F.
[0189] In one embodiment, --R.sub.1-- forms with the amino acid
residue AA an amide bond, and is directly attached to the backbone
via an ester function F.
[0190] In one embodiment, --R.sub.1-- and --R'.sub.1 are chosen
from radicals of formulae II and III
##STR00001##
in which:
[0191] o and p, which may be identical or different, are greater
than or equal to 1 and less than or equal to 12, and
[0192] --R.sub.3, --R'.sub.3, --R.sub.4 and --R', which may be
identical or different, are chosen from the group consisting of a
hydrogen atom, a saturated or unsaturated, linear, branched or
cyclic C1 to C6 alkyl, a benzyl, a C7 to C10 alkylaryl and
optionally comprising heteroatoms chosen from the group consisting
of O, N and/or S, or functions chosen from the group consisting of
carboxylic acid, amine, alcohol and thiol functions.
[0193] In one embodiment, --R1- before attachment to -AA-, is
--CH.sub.2--COOH.
[0194] In one embodiment, the substituted anionic compounds
according to the invention are characterized in that the radical
--R'1 is --CH.sub.2--COOH.
[0195] In one embodiment, --R1- before optional attachment to -AA-,
is derived from citric acid.
[0196] In one embodiment, --R1- before optional attachment to -AA-,
is derived from malic acid.
[0197] In one embodiment, --R'1 is derived from citric acid.
[0198] In one embodiment, --R'1 is derived from malic acid.
[0199] In one embodiment, --R1-, before attachment to -AA-, is
chosen from the following groups, in which * represents the site of
attachment to F:
##STR00002##
or the salts thereof with alkali metal cations chosen from the
group consisting of Na.sup.+ and K.sup.+.
[0200] In one embodiment, --R'.sub.1 is chosen from the following
groups, in which * represents the site of attachment to F:
##STR00003##
or the salts thereof with alkali metal cations chosen from the
group consisting of Na.sup.+ and K.sup.+.
[0201] In one embodiment, the radical -[AA] is a residue of
phenyalanine and of alkali metal cation salts thereof of L, D or
racemic absolute configuration.
[0202] In one embodiment, the radical -[AA] is a residue of
alpha-methylphenylalanine and of alkali metal cation salts thereof
of L, D or racemic absolute configuration.
[0203] In one embodiment, the radical -[AA] is a residue of
3,4-dihydroxyphenylalanine and of alkali metal cation salts thereof
of L, D or racemic absolute configuration.
[0204] In one embodiment, the radical -[AA] is a residue of
tyrosine and of alkali metal cation salts thereof of L, D or
racemic absolute configuration.
[0205] In one embodiment, the radical -[AA] is a residue of
alpha-methyltyrosine and of alkali metal cation salts thereof of L,
D or racemic absolute configuration.
[0206] In one embodiment, the radical -[AA] is a residue of
O-methyltyrosine and of alkali metal cation salts thereof of L, D
or racemic absolute configuration.
[0207] In one embodiment, the radical -[AA] is a residue of
alpha-phenylglycine and of alkali metal cation salts thereof of L,
D or racemic absolute configuration.
[0208] In one embodiment, the radical -[AA] is a residue of
4-hydroxyphenylglycine and of alkali metal cation salts thereof of
L, D or racemic absolute configuration.
[0209] In one embodiment, the radical -[AA] is a residue of
3,5-dihydroxyphenylglycine and of alkali metal cation salts thereof
of L, D or racemic absolute configuration.
[0210] In one embodiment, the radical -[AA] is an amino acid
residue in the form of a racemic mixture.
[0211] In one embodiment, the radical -[AA] is an amino acid
residue in the form of isolated isomers of D absolute
configuration.
[0212] In one embodiment, the radical -[AA] is an amino acid
residue in the form of isolated isomers of L absolute
configuration.
[0213] In one embodiment, u is between 1 and 5.
[0214] In one embodiment, u is between 3 and 5.
[0215] In one embodiment, u=8.
[0216] In one embodiment, u=7.
[0217] In one embodiment, u=6.
[0218] In one embodiment, u=5.
[0219] In one embodiment, u=4.
[0220] In one embodiment, u=3.
[0221] In one embodiment, u=2.
[0222] In one embodiment, u=1.
[0223] In one embodiment, hexoses are chosen from the group
consisting of mannose, glucose, fructose, sorbose, tagatose,
psicose, galactose, allose, altrose, talose, idose, gulose, fucose,
fuculose, rhamnose, mannitol, sorbitol and galactitol
(duicitol).
[0224] In one embodiment, the glycoside bonds are of (1,4) or (1,6)
type.
[0225] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,1) type.
[0226] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of different saccharide units
chosen from hexoses and linked via a glycoside bond of (1,1) type,
said saccharide backbone being chosen from the group consisting of
trehalose and sucrose.
[0227] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,2) type.
[0228] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,2) type, said saccharide backbone being kojibiose.
[0229] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,3) type.
[0230] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,3) type, said saccharide backbone being chosen from the group
consisting of nigerose and laminaribiose.
[0231] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,4) type.
[0232] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,4) type, said saccharide backbone being chosen from the group
consisting of maltose, lactose and cellobiose.
[0233] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,6) type.
[0234] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,6) type, said saccharide backbone being chosen from the group
consisting of isomaltose, melibiose and gentiobiose.
[0235] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of identical or different
saccharide units chosen from hexoses linked via a glycoside bond of
(1,6) type, said saccharide backbone being isomaltose.
[0236] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of saccharide units, one of which
is in cyclic form and the other in open reduced form.
[0237] In one embodiment, the substituted anionic compound is
chosen from anionic compounds consisting of a saccharide backbone
formed from a discrete number u=2 of saccharide units, one of which
is in cyclic form and the other in open reduced form, said
saccharide backbone being chosen from the group consisting of
maltitol and isomaltitol.
[0238] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number 3.ltoreq.u.ltoreq.8 of
identical or different saccharide units.
[0239] In one embodiment, the substituted anionic compound
according to the invention is characterized in that at least one of
the identical or different saccharide units, of which the
saccharide backbone formed from a discrete number
3.ltoreq.u.ltoreq.8 of saccharide units is composed, is chosen from
the group consisting of hexose units linked via identical or
different glycoside bonds.
[0240] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units, of which the saccharide backbone
formed from a discrete number 3.ltoreq.u.ltoreq.8 of saccharide
units is composed, are chosen from hexoses and linked via at least
one glycoside bond of (1,2) type.
[0241] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units, of which the saccharide backbone
formed from a discrete number 3.ltoreq.u.ltoreq.8 of saccharide
units is composed, are chosen from hexoses and linked via at least
one glycoside bond of (1,3) type.
[0242] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units, of which the saccharide backbone
formed from a discrete number 3.ltoreq.u.ltoreq.8 of saccharide
units is composed, are chosen from hexoses and linked via at least
one glycoside bond of (1,4) type.
[0243] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units, of which the saccharide backbone
formed from a discrete number 3.ltoreq.u.ltoreq.8 of saccharide
units is composed, are chosen from hexoses and linked via at least
one glycoside bond of (1,6) type.
[0244] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number u=3 of identical or
different saccharide units.
[0245] In one embodiment, the substituted anionic compound
according to the invention is characterized in that it comprises at
least one saccharide unit chosen from the group consisting of
hexoses in cyclic form and at least one saccharide unit chosen from
the group consisting of hexoses in open form.
[0246] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the three
saccharide units are identical.
[0247] In one embodiment, the substituted anionic compound
according to the invention is characterized in that two of the
three saccharide units are identical.
[0248] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
saccharide units are chosen from hexoses, two of which are in
cyclic form and one is in open reduced form, and linked via
glycoside bonds of (1,4) type.
[0249] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
saccharide units are chosen from hexoses, two of which are in
cyclic form and one is in open reduced form, and linked via
glycoside bonds of (1,6) type.
[0250] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and in that
the central hexose is linked via a glycoside bond of (1,2) type and
via a glycoside bond of (1,4) type.
[0251] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and in that
the central hexose is linked via a glycoside bond of (1,3) type and
via a glycoside bond of (1,4) type.
[0252] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and in that
the central hexose is linked via a glycoside bond of (1,2) type and
via a glycoside bond of (1,6) type.
[0253] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and in that
the central hexose is linked via a glycoside bond of (1,2) type and
via a glycoside bond of (1,3) type.
[0254] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and in that
the central hexose is linked via a glycoside bond of (1,4) type and
via a glycoside bond of (1,6) type.
[0255] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is erlose.
[0256] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the three
identical or different saccharide units are hexose units chosen
from the group consisting of mannose and glucose.
[0257] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltotriose.
[0258] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is isomaltotriose.
[0259] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number u=4 of identical or
different saccharide units.
[0260] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the four
saccharide units are identical.
[0261] In one embodiment, the substituted anionic compound
according to the invention is characterized in that three of the
four saccharide units are identical.
[0262] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the four
saccharide units are hexose units chosen from the group consisting
of mannose and glucose.
[0263] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltotetraose.
[0264] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and in that a
terminal hexose is linked via a glycoside bond of (1,2) type and in
that the others are linked together via a glycoside bond of (1,6)
type.
[0265] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and linked
via a glycoside bond of (1,6) type.
[0266] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number u=5 of identical or
different saccharide units.
[0267] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the five
saccharide units are identical.
[0268] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the five
saccharide units are hexose units chosen from the group consisting
of mannose and glucose.
[0269] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and linked
via a glycoside bond of (1,4) type.
[0270] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltopentaose.
[0271] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number u=6 of identical or
different saccharide units.
[0272] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the six
saccharide units are identical.
[0273] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and linked
via a glycoside bond of (1,4) type.
[0274] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the six
identical or different saccharide units are hexose units chosen
from the group consisting of mannose and glucose.
[0275] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltohexaose.
[0276] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number u=7 of identical or
different saccharide units.
[0277] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the seven
saccharide units are identical.
[0278] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units am chosen from hexoses and linked via
a glycoside bond of (1,4) type.
[0279] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the seven
saccharide units are hexose units chosen from the group consisting
of mannose and glucose.
[0280] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltoheptaose.
[0281] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is formed from a discrete number u=8 of identical or
different saccharide units.
[0282] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the eight
saccharide units are identical.
[0283] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the identical
or different saccharide units are chosen from hexoses and linked
via a glycoside bond of (1,4) type.
[0284] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the eight
saccharide units are hexose units chosen from the group consisting
of mannose and glucose.
[0285] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltooctaose.
[0286] In one embodiment, the substituted anionic compound
comprising a discrete number of saccharide units is a natural
compound.
[0287] In one embodiment, the substituted anionic compound
comprising a discrete number of saccharide units is a synthetic
compound.
[0288] In one embodiment, the substituted anionic compound
according to the invention is characterized in that it is obtained
by enzymatic degradation of a polysaccharide followed by
purification.
[0289] In one embodiment, the substituted anionic compound
according to the invention is characterized in that it is obtained
by chemical degradation of a polysaccharide followed by
purification.
[0290] In one embodiment, the substituted anionic compound
according to the invention is characterized in that it is obtained
chemically, by covalent coupling of precursors of lower molecular
weight.
[0291] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is sophorose.
[0292] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is sucrose.
[0293] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is lactulose.
[0294] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is maltulose.
[0295] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is leucrose.
[0296] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is rutinose.
[0297] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is isomaltulose.
[0298] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is fucosyllactose.
[0299] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is gentianose.
[0300] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is raffinose.
[0301] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is melezitose.
[0302] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is panose.
In one embodiment, the substituted anionic compound according to
the invention is characterized in that the saccharide backbone is
kestose.
[0303] In one embodiment, the substituted anionic compound
according to the invention is characterized in that the saccharide
backbone is stachyose.
[0304] In one embodiment, the polyanionic compound is a
non-polymeric polyanionic (NPP) compound whose affinity for zinc is
less than the affinity of insulin for zinc and whose dissociation
constant Kd.sub.ca=[NPP compound].sup.r[Ca.sup.2+].sup.s/[(NPP
compound).sup.r-(Ca.sup.2+).sup.s] is less than or equal to
10.sup.-1.5.
[0305] The dissociation constants (Kd) of the various polyanionic
compounds with respect to calcium ions are determined by external
calibration using an electrode specific for calcium ions
(Mettler-Toledo) and a reference electrode. All the measurements
are performed in 150 mM NaCl at pH 7. Only the concentrations of
free calcium ions are determined; the calcium ions bound to the
polyanionic compound do not induce any electrode potential.
[0306] In one embodiment, the polyanionic compound is chosen from
the group consisting of polycarboxylic acids and the Na.sup.+,
K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts thereof.
[0307] In one embodiment, the polycarboxylic acid is chosen from
the group consisting of citric acid and tartaric acid, and the
Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts thereof.
[0308] In one embodiment, the polyanionic compound is chosen from
the group consisting of polyphosphoric acids and the Na.sup.+,
K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts thereof.
[0309] In one embodiment, the polyphosphoric acid is triphosphate
and the Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts
thereof.
[0310] In one embodiment, the polyanionic compound is citric acid
and the Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts
thereof.
[0311] In one embodiment, the polyanionic compound is tartaric acid
and the Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts
thereof.
[0312] In one embodiment, the polyanionic compound is triphosphoric
acid and the Na.sup.+, K.sup.+, Ca.sup.2+ or Mg.sup.2+ salts
thereof.
[0313] In one embodiment, the polyanionic compound is a compound
consisting of a saccharide backbone formed from a discrete number
of saccharide units obtained from a disaccharide compound chosen
from the group consisting of trehalose, maltose, lactose, sucrose,
cellobiose, isomaltose, maltitol and isomaltitol.
[0314] In one embodiment, the polyanionic compound consisting of a
saccharide backbone formed from a discrete number of saccharide
units is obtained from a compound consisting of a backbone formed
from a discrete number of saccharide units chosen from the group
consisting of maltotriose, maltotetraose, maltopentaose,
maltohexaose, maltoheptaose, maltooctaose and isomaltotriose.
[0315] In one embodiment, the polyanionic compound consisting of a
saccharide backbone formed from a discrete number of saccharide
units is chosen from the group consisting of
carboxymethylmaltotrlose, carboxymethylmaltotetraose,
carboxymethylmaltopentaose, carboxymethylmaltohexaose,
carboxymethylmaltohepteose, carboxymethylmaltooctaose and
carboxymethylisomaltotrlose.
[0316] In one embodiment, the ratio (number of moles of acid
functions borne by the polyanionic compound/number of moles of
anionic compound) is greater than or equal to 3.
[0317] In one embodiment, the ratio (number of moles of acid
functions borne by the polyanionic compound/number of moles of
anionic compound) is greater than or equal to 4.
[0318] In one embodiment, the ratio (number of moles of acid
functions borne by the polyanionic compound consisting of a
saccharide backbone/number of moles of anionic compound) is greater
than or equal to 5.
[0319] In one embodiment, the ratio (number of moles of acid
functions borne by the polyanionic compound consisting of a
saccharide backbone/number of moles of anionic compound) is greater
than or equal to 8.
[0320] In one embodiment, the substituted anionic compound/insulin
mole ratios are between 0.6 and 75.
[0321] In one embodiment, the mole ratios are between 0.7 and
50.
[0322] In one embodiment, the mole ratios are between 1.4 and
35.
[0323] In one embodiment, the mole ratios are between 1.9 and
30.
[0324] In one embodiment, the mole ratios are between 2.3 and
30.
[0325] In one embodiment, the substituted anionic compound/insulin
mole ratio is equal to 8.
[0326] In one embodiment, the substituted anionic compound/insulin
mole ratio is equal to 12.
[0327] In one embodiment, the substituted anionic compound/insulin
mole ratio is equal to 16.
[0328] In one embodiment, the substituted anionic compound/insulin
mass ratios are between 0.5 and 10.
[0329] In one embodiment, the mass ratios are between 0.6 and
7.
[0330] In one embodiment, the mass ratios are between 1.2 and
5.
[0331] In one embodiment, the mass ratios are between 1.6 and
4.
[0332] In one embodiment, the mass ratios are between 2 and 4.
[0333] In one embodiment, the substituted anionic compound/insulin
mass ratio is 2.
[0334] In one embodiment, the substituted anionic compound/insulin
mass ratio is 3.
[0335] In one embodiment, the substituted anionic compound/insulin
mass ratio is 4.
[0336] In one embodiment, the substituted anionic compound/insulin
mass ratio is 6.
[0337] In one embodiment, the concentration of substituted anionic
compound is between 1.8 and 36 mg/mL.
[0338] In one embodiment, the concentration of substituted anionic
compound is between 1.8 and 36.5 mg/mL.
[0339] In one embodiment, the concentration of substituted anionic
compound is between 2.1 and 25 mg/mL.
[0340] In one embodiment, the concentration of substituted anionic
compound is between 4.2 and 18 mg/mL
[0341] In one embodiment, the concentration of substituted anionic
compound is between 5.6 and 15 mg/mL.
[0342] In one embodiment, the concentration of substituted anionic
compound is between 7 and 15 mg/mL.
[0343] In one embodiment, the concentration of substituted anionic
compound is 7.3 mg/mL.
[0344] In one embodiment, the concentration of substituted anionic
compound is 10.5 mg/ml.
[0345] In one embodiment, the concentration of substituted anionic
compound is 14.6 mg/mL.
[0346] In one embodiment, the concentration of substituted anionic
compound is 21.9 mg/mL.
[0347] In one embodiment, the concentration of polyanionic compound
is between 2 and 150 mM.
[0348] In one embodiment, the concentration of polyanionic compound
is between 2 and 100 mM.
[0349] In one embodiment, the concentration of polyanionic compound
is between 2 and 75 mM.
[0350] In one embodiment, the concentration of polyanionic compound
is between 2 and 50 mM.
[0351] In one embodiment, the concentration of polyanionic compound
is between 2 and 30 mM.
[0352] In one embodiment, the concentration of polyanionic compound
is between 2 and 20 mM.
[0353] In one embodiment, the concentration of polyanionic compound
is between 2 and 10 mM.
[0354] In one embodiment, the concentration of polyanionic compound
is between 5 and 150 mM.
[0355] In one embodiment, the concentration of polyanionic compound
is between 5 and 100 mM.
[0356] In one embodiment, the concentration of polyanionic compound
is between 5 and 75 mM.
[0357] In one embodiment, the concentration of polyanionic compound
is between 5 and 50 mM.
[0358] In one embodiment, the concentration of polyanionic compound
is between 5 and 30 mM.
[0359] In one embodiment, the concentration of polyanionic compound
is between 5 and 20 mM.
[0360] In one embodiment, the concentration of polyanionic compound
is between 5 and 10 mM.
[0361] In one embodiment, the concentration of polyanionic compound
is between 0.5 and 30 mg/mL.
[0362] In one embodiment, the concentration of polyanionic compound
is between 0.5 and 25 mg/mL.
[0363] In one embodiment, the concentration of polyanionic compound
is between 0.5 and 10 mg/mL.
[0364] In one embodiment, the concentration of polyanionic compound
is between 0.5 and 8 mg/mL.
[0365] In one embodiment, the concentration of polyanionic compound
is between 1 and 30 mg/mL.
[0366] In one embodiment, the concentration of polyanionic compound
is between 1.5 and 25 mg/mL.
[0367] In one embodiment, the concentration of polyanionic compound
is between 2 and 25 mg/mL.
[0368] In one embodiment, the concentration of polyanionic compound
is between 2 and 10 m/mL.
[0369] In one embodiment, the concentration of polyanionic compound
is between 2 and 8 mg/mL.
[0370] In one embodiment, the substituted anionic compound is
sodium maltotriosemethylcarboxylate modified with sodium
phenylalaninate, u=3, i=0.65, j=1.0.
[0371] In one embodiment, the substituted anionic compound is
sodium maltotriosemethylcarboxylate modified with sodium
phenylalaninate, u=3, i=1.0, j=0.65.
[0372] In one embodiment, the substituted anionic compound is
sodium maltotriosemethylcarboxylate modified with sodium
phenylalaninate, u=3, i=0.46, j=1.2.
[0373] In one embodiment, the substituted anionic compound is
sodium maltotriosemethylcarboxylate modified with sodium
phenylalaninate, u=3, i=0.35, j=0.65.
[0374] In one embodiment, the polyanionic compound is sodium
maltotriosemethylcarboxylate.
[0375] In one embodiment, the polyanionic compound is sodium
citrate.
[0376] In one embodiment, the polyanionic compound is triphosphate
in acidic form or in basic form in the form of the sodium salt or
the potassium salt.
[0377] In one embodiment, the polyanionic compound is tartrate in
acidic form or in basic form in the form of the sodium salt or the
potassium salt.
[0378] The invention also relates to an insulin pharmaceutical
formulation comprising a composition according to the invention, in
which the insulin is in hexameric form.
[0379] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is
between 240 and 3000 .mu.M (40 to 500 IU/mL).
[0380] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is
between 600 and 3000 .mu.M (100 to 500 IU/mL).
[0381] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is
between 600 and 2400 .mu.M (100 to 400 IU/mL).
[0382] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is
between 600 and 1800 .mu.M (100 to 300 IU/mL).
[0383] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is
between 600 and 1200 .mu.M (100 to 200 IU/mL).
[0384] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is 600
.mu.M (100 IU/mL).
[0385] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is 1200
.mu.M (200 IU/mL).
[0386] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is 1800
.mu.M (300 IU/mL).
[0387] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is 2400
.mu.M (400 IU/mL).
[0388] In one embodiment, it relates to a pharmaceutical
formulation characterzied in that the insulin concentration is 3000
.mu.M (500 IU/mL).
[0389] The invention relates to the use of at least one substituted
anionic compound, said compound consisting of a saccharide backbone
formed from a discrete number u of between 1 and 8
(1.ltoreq.u.ltoreq.8) of identical or different saccharide units,
linked via identical or different glycoside bonds, said saccharide
units being chosen from the group consisting of hexoses, in cyclic
form or in open reduced form, said compound comprising partially
substituted carboxyl functional groups, the unsubstituted carboxyl
functional groups being saliflable to prepare a pharmaceutical
formulation of human insulin, in combination with a polyanionic
compound, making it possible, after administration, to accelerate
the passage of the insulin into the blood and to reduce glycemia
more rapidly when compared with a formulation free of substituted
anionic compound, and optionally of anionic compounds.
[0390] In one embodiment, the invention relates to the use of at
least one substituted anionic compound, said compound comprising
partially substituted carboxyl functional groups, the unsubstituted
carboxyl functional groups being salifiable, to prepare a
pharmaceutical formulation of human insulin, in combination with a
polyanionic compound, making it possible, after administration, to
accelerate the passage of the human insulin into the blood and to
reduce glycemia more rapidly when compared with a formulation free
of substituted anionic compound, and optionally of anionic
compounds.
[0391] In one embodiment, the invention relates to the use of at
least one substituted anionic compound, said compound comprising
partially substituted carboxyl functional groups, the unsubstituted
carboxyl functional groups being saliflable, to prepare an insulin
analog formulation, in combination with a polyanionic compound,
making it possible, after administration, to accelerate the passage
of the insulin analog into the blood and to reduce glycemia more
rapidly when compared with a formulation free of substituted
anionic compound, and optionally of anionic compounds.
[0392] In one embodiment, the insulin is human insulin.
[0393] The term "human insulin" means an insulin obtained by
synthesis or recombination, whose peptide sequence is the sequence
of human insulin, including the allelic variations and
homologs.
[0394] In one embodiment, the insulin is a recombinant human
insulin as described in the European Pharmacopea and the American
Pharmacopea.
[0395] In one embodiment, the insulin is an insulin analog.
[0396] The term "Insulin analog" means a recombinant insulin whose
primary sequence contains at least one modification relative to the
primary sequence of human insulin.
[0397] In one embodiment, the insulin analog is chosen from the
group consisting of the insulin lispro (Humalog.RTM.), the insulin
aspart (Novolog.RTM., Novorapid.RTM.) and the insulin glulisine
(Apidra.RTM.).
[0398] In one embodiment, the insulin analog is the insulin lispro
(Humalog.RTM.).
[0399] In one embodiment, the insulin analog is the insulin aspart
(Novolog.RTM.. Novorapid.RTM.).
[0400] In one embodiment, the insulin analog is the insulin
glulisine (Apidra.RTM.).
[0401] In one embodiment, the use is characterized in that the
substituted anionic compound is chosen from substituted anionic
compounds, in isolated form or as a mixture, consisting of a
saccharide backbone formed from a discrete number u of between 1
and 8 (1.ltoreq.u.ltoreq.8) of identical or different saccharide
units, linked via identical or different glycoside bonds, said
saccharide units being chosen from hexoses, in cyclic form or in
open reduced form, characterized in that they are substituted
with:
[0402] a) at least one substituent of general formula I:
--[R.sub.1].sub.a-[AA].sub.m Formula I [0403] the substituents
being identical or different when there are at least two
substituents, in which: [0404] the radical -[AA] denotes an amino
acid residue, [0405] the radical --R.sub.1-- being: [0406] either a
bond and then a=0 and the amino acid residue -[AA]- is directly
linked to the backbone via a function G, [0407] or a C2 to C15
carbon-based chain, and then a=1, optionally substituted and/or
comprising at least one heteroatom chosen from O, N and S and at
least one acid function before the reaction with the amino acid,
said chain forming with the amino acid residue -[AA]- an amide
function, and is attached to the backbone by means of a function F
resulting from a reaction between a hydroxyl function borne by the
backbone and a function or substituent borne by the precursor of
the radical --R.sub.1--, [0408] F is a function chosen from ether,
ester and carbamate functions, [0409] G is a carbamate function,
[0410] m is equal to 1 or 2, [0411] the degree of substitution of
the saccharide units, j, in --[R.sub.1].sub.a-[AA].sub.m being
strictly greater than 0 and less than or equal to 6,
0<j.ltoreq.6
[0412] b) and, optionally, one or more substituents --R'.sub.1,
[0413] the substituent --R'.sub.1 being a C2 to C15 carbon-based
chain, which is optionally substituted and/or comprising at least
one heteroatom chosen from O, N and S and at least one acid
function in the form of an alkali metal cation salt, said chain
being linked to the backbone via a function F' resulting from a
reaction between a hydroxyl function borne by the backbone and a
function or substituent borne by the precursor of the substituent
--R'.sub.1, [0414] F' is an ether, ester or carbamate function,
[0415] the degree of substitution of the saccharide units, i, in
--R'.sub.1, being between 0 and 6-j, 0.ltoreq.i.ltoreq.6-j, and
[0416] F and F' are identical or different [0417] F and G are
identical or different [0418] i+j.ltoreq.6 [0419] --R'.sub.1 is
identical or different from --R.sub.1--, [0420] the free salifiable
acid functions borne by the substituent --R'.sub.1 are in the form
of alkali metal cation salts, [0421] said glycoside bonds, which
may be identical or different, being chosen from the group
consisting of glycoside bonds of (1,1), (1,2), (1,3), (1,4) or
(1,6) type, in an alpha or beta geometry.
[0422] In one embodiment the use is characterized in that the
substituted anionic compound, in isolated form or as a mixture, is
chosen from substituted anionic compounds consisting of a
saccharide backbone formed from a discrete number u of between 1
and 8 (1.ltoreq.u.ltoreq.8) of identical or different saccharide
unit, linked via identical or different glycoside bonds, said
saccharide units being chosen from hexoses, in cyclic form or in
open reduced form, characterized [0423] a) in that they are
randomly substituted with: [0424] at east one substituent of
general formula I:
[0424] --[R.sub.1].sub.a-[AA].sub.m Formula I [0425] the
substituent being identical or different when there are at least
two substituents, in which: [0426] the radical -[AA]- denote an
amino acid residue, said amino acid being chosen from the group
consisting of phenylalanine, alpha-methylphenylalanine,
3,4-dihydroxyphenylalanine, tyrosine, alpha-methyltyrosine,
O-methyltyrosine, alpha-phenylglycine, 4-hydroxyphenylglycine and
3,5-dihydroxyphenylglycine, and the alkali metal cation salts
thereof, said derivatives being in L or D absolute configuration,
-[AA]- is attached to the backbone of the molecule via a linker arm
--R.sub.1-- or directly attached to the backbone via a function G,
[0427] --R.sub.1-- being: [0428] either a bond G, and then a=0,
[0429] or a C2 to C15 carbon-based chain, and then a=1, optionally
substituted and/or comprising at least one heteroatom chosen from
O, N and S and bearing at least one add function before the
reaction with the amino add, said chain forming with the amino add
residue -[AA]- an amide bond, and is attached to the saccharide
backbone by means of a function F resulting from a reaction between
a hydroxyl function borne by the backbone and a function borne by
the precursor of R.sub.1, [0430] F is an ether, ester or carbamate
function, [0431] G is a carbamate function, [0432] m is equal to 1
or 2, [0433] the degree of substitution, j, in
--[R.sub.1].sub.a-[AA].sub.m being strictly greater than 0 and less
than or equal to 6, 0<j.ltoreq.6, [0434] and, optionally, [0435]
one or more substituents --R'.sub.1 [0436] --R'.sub.1 being a C2 to
C15 carbon-based chain, which is optionally substituted and/or
comprising at least one heteroatom (such as O, N and S) and bearing
at least one acid function in the form of an alkali metal cation
salt, said chain being attached to the saccharide backbone via a
function F' resulting from a reaction between a hydroxyl function
borne by the backbone and a function borne by the precursor of
--R'.sub.1, [0437] F' is an ether, ester or carbamate function,
[0438] the degree of substitution, i, in --R'.sub.1, being between
0 and 6-j, 0.ltoreq.i.ltoreq.6-j, and [0439] --R'.sub.1-- is
identical to or different from --R.sub.1, [0440] F and F' are
identical or different, [0441] P and G are identical or different,
[0442] the free salifiable add functions are in the form of alkali
metal cation salts, [0443] b) said glycoside bonds, which may be
identical or different, being chosen from the group consisting of
glycoside bonds of (1,1), (1,2), (1,3), (1,4) or (1,6) type, in an
alpha or beta geometry, [0444] c) i+j.ltoreq.6.
[0445] In one embodiment, m is equal to 1.
[0446] In one embodiment, --R1 and --R'1, which may be identical or
different, are a C1 to C8 carbon-based chain.
[0447] In one embodiment, --R1 and --R'1, which may be identical or
different, are a C1 to C4 carbon-based chain.
[0448] In one embodiment, --R1 and --R'1, which may be identical or
different, are a C1 to C2 carbon-based chain.
[0449] It is known to those skilled in the art that the delay of
action of insulins is dependent on the insulin concentration. Only
the delay of action values for formulations at 100 IU/mL are
documented.
[0450] "Regular" human insulin formulations on the market at a
concentration of 600 .mu.M (100 IU/mL) have a delay of action of
between 50 and 90 minutes and an end of action of about 360 to 420
minutes in man. The time to achieve the maximum insulin
concentration in the blood is between 90 and 180 minutes in
man.
[0451] Rapid insulin analog formulations on the market at a
concentration of 600 .mu.M (100 IU/mL) have a delay of action of
between 30 and 60 minutes and an end of action of about 240-300
minutes in man. The time to achieve the maximum insulin
concentration in the blood is between 50 and 90 minutes in man.
[0452] The invention also relates to a method for preparing a human
insulin formulation having an insulin concentration of between 240
and 3000 .mu.M (40 and 500 IU/mL), whose delay of action in man is
less than that of the reference formulation at the same insulin
concentration in the absence of a substituted anionic compound and
of a polyanionic compound, characterized in that it comprises (1) a
step of adding to said formulation at least one substituted anionic
compound, said compound comprising partially substituted carboxyl
functional groups, the unsubstituted carboxyl functional groups
being saliflable, and (2) a step of adding to said formulation at
least one polyanionic compound.
[0453] In one embodiment, the insulin is in hexameric form.
[0454] The invention also relates to a method for preparing a human
insulin formulation having an insulin concentration of between 600
and 1200 .mu.M (100 and 200 IU/mL), whose delay of action in man is
less than that of the reference formulation at the same insulin
concentration in the absence of a substituted anionic compound and
of a polyanionic compound, characterized in that it comprises (1) a
step of adding to said formulation at least one substituted anionic
compound, said compound comprising partially substituted carboxyl
functional groups, the unsubstituted carboxyl functional groups
being saliflable, and (2) a step of adding to said formulation at
least one polyanionic compound.
[0455] In one embodiment, the insulin is in hexameric form.
[0456] The invention also relates to a method for preparing human
insulin formulation having an insulin concentration of 600 .mu.M
(100 IU/mL), whose delay of action in man is less than 60 minutes,
characterized in that it comprises (1) a stp of adding to said
formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
saslifiable, and (2) a step of adding to said formulation at least
one poly anionic compound.
[0457] In one embodiment, the insulin is in hexmeric form.
[0458] The invention also relates to a method for preparing human
insulin formulation having an insulin concentration of 1200 .mu.M
(200 IU/mL), whose delay of action in man is at least 10% less than
that of the human insulin formulation at the same concentration
(200 IU/mL) and in the absence of a substituted anionic compound
and of a polyanionic compound, characterized in that it comprise
(1) a step of adding to said formulation at least one substituted
anionic compound, said compound comprising partially substituted
carboxyl functional groups, the unsubstituted carboxyl functional
groups being salifiable, and (2) a step of adding to said
formulation at least one polynionic compound.
[0459] In one embodiment, the insulin is in hexamerc form.
[0460] The invention also relates to a method for preparing human
insulin formulation having an insulin concentration of 1800 .mu.M
(300 IU/mL), whose delay of action in man is at least 10% less than
that of the human insulin formulation at the same concentration
(300 IU/mL) and in the absence of a substituted anionic compound
and of a polyanionic compound, characterized in that it comprise
(1) a step of adding to said formulation at least one substituted
anionic compound, said compound comprising partially substituted
carboxyl functional groups, the unsubstituted carboxyl functional
groups being salifiable, and (2) a step of adding to said
formulation at least one polynionic compound.
[0461] The invention also relates to a method for preparing human
insulin formulation having an insulin concentration of 2400 .mu.M
(400 IU/mL), whose delay of action in man is at least 10% less than
that of the human insulin formulation at the same concentration
(400 IU/mL) and in the absence of a substituted anionic compound
and of a polyanionic compound, characterized in that it comprise
(1) a step of adding to said formulation at least one substituted
anionic compound, said compound comprising partially substituted
carboxyl functional groups, the unsubstituted carboxyl functional
groups being salifiable, and (2) a step of adding to said
formulation at least one polynionic compound.
[0462] In one embodiment, the insulin is in hexameric form.
[0463] The invention also relates to a method for preparing a human
insulin formulation having an insulin concentration of 3000 .mu.M
(500 IU/mL), whose delay of action in man is at least 10% less than
that of the human insulin formulation at the same concentration
(500 IU/mL) and in the absence of a substituted anionic compound
and of a polyanionic compound, characterized in that it comprises
(1) a step of adding to said formulation at least one substituted
anionic compound, said compound comprising partially substituted
carboxyl functional groups, the unsubstituted carboxyl functional
groups being saliflable, and (2) a step of adding to said
formulation at least one polyanionic compound.
[0464] In one embodiment, the insulin is in hexameric form.
[0465] The invention consists in preparing a rapid human insulin
formulation, characterized in that it comprises (1) a step of
adding to said formulation at least one substituted anionic
compound, said compound comprising partially substituted carboxyl
functional groups, the unsubstituted carboxyl functional groups
being salifiable, and (2) a step of adding to said formulation at
least one polyanionic compound.
[0466] In one embodiment, the insulin is in hexameric form.
[0467] The invention also relates to a method for preparing a human
insulin formulation at a concentration of 600 .mu.M (100 IU/mL),
whose delay of action in man is less than 60 minutes, preferably
less than 45 minutes and more preferably less than 30 minutes,
characterized in that it comprises (1) a step of adding to said
formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
salifiable, and (2) a step of adding to said formulation at least
one polyanionic compound.
[0468] In one embodiment, the insulin is in hexameric form.
[0469] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of
between 240 and 3000 .mu.M (40 and 500 IU/mL), whose delay of
action in man is less than that of the reference formulation at the
same insulin concentration in the absence of a substituted anionic
compound and of a polyanionic compound, characterized in that it
comprises (1) a step of adding to said formulation at least one
substituted anionic compound, said compound comprising partially
substituted carboxyl functional groups, the unsubstituted carboxyl
functional groups being saliflable, and (2) a step of adding to
said formulation at least one polyanionic compound.
[0470] In one embodiment, the insulin is in hexameric form.
[0471] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of
between 600 and 1200 .mu.M (100 and 200 IU/mL), whose delay of
action in man is less than that of the reference formulation at the
same insulin analog concentration in the absence of a substituted
anionic compound and of a polyanionic compound, characterized in
that it comprises (1) a step of adding to said formulation at least
one substituted anionic compound, said compound comprising
partially substituted carboxyl functional groups, the unsubstituted
carboxyl functional groups being saliflable, and (2) a step of
adding to said formulation at least one polyanionic compound.
[0472] In one embodiment, the insulin is in hexameric form.
[0473] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of 600
.mu.mol/L (100 IU/mL), whose delay of action in man is less than 30
minutes, characterized in that it comprises (1) a step of adding to
said formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
saliflable, and (2) a step of adding to said formulation at least
one polyanionic compound.
[0474] In one embodiment, the insulin is in hexameric form.
[0475] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of 1200
.mu.M (200 IU/mL), whose delay of action in man is at least 10%
less than that of the insulin analog formulation in the absence of
a substituted anionic compound and of a polyanionic compound,
characterized in that it comprises (1) a step of adding to said
formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
saliflable, and (2) a step of adding to said formulation at least
one polyanionic compound.
[0476] In one embodiment, the insulin is in hexameric form.
[0477] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of 1800
.mu.M (300 IU/mL), whose delay of action in man is at least 10%
less than that of the insulin analog formulation in the absence of
a substituted anionic compound and of a polyanionic compound,
characterized in that it comprises (1) a step of adding to said
formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
salifiable, and (2) a step of adding to said formulation at least
one polyanionic compound.
[0478] In one embodiment, the insulin is in hexameric form.
[0479] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of 2400
.mu.M (400 IU/mL), whose delay of action in man is at least 10%
less than that of the insulin analog formulation in the absence of
a substituted anionic compound and of a polyanionic compound,
characterized in that it comprises (1) a step of adding to said
formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
salifiable, and (2) a step of adding to said formulation at least
one polyanionic compound.
[0480] In one embodiment, the insulin is in hexameric form.
[0481] The invention also relates to a method for preparing an
insulin analog formulation having an insulin concentration of 3000
.mu.M (500 IU/mL), whose delay of action in man is at least 10%
less than that of the insulin analog formulation in the absence of
a substituted anionic compound and of a polyanionic compound,
characterized in that it comprises (1) a step of adding to said
formulation at least one substituted anionic compound, said
compound comprising partially substituted carboxyl functional
groups, the unsubstituted carboxyl functional groups being
salifiable, and (2) a step of adding to said formulation at least
one polyanionic compound.
[0482] In one embodiment, the insulin is in hexameric form.
[0483] The invention consists in preparing a very rapid insulin
analog formulation, characterized in that it comprises a step of
adding to said formulation at least one substituted anionic
compound, said compound comprising partially substituted carboxyl
functional groups, the unsubstituted carboxyl functional groups
being salifiable.
[0484] In one embodiment, the preparation also comprises a step of
adding to said formulation at least one polyanionic compound.
[0485] In one embodiment, the insulin is in hexameric form.
[0486] In one embodiment, the insulin analog is chosen from the
group consisting of the insulin lispro (Humalog.RTM.), the insulin
aspart (Novolog.RTM., Novorapid.RTM.) and the insulin glulisine
(Apidra.RTM.).
[0487] In one embodiment, the insulin analog is the insulin lispro
(Humalog.RTM.).
[0488] In one embodiment, the insulin analog is the insulin aspart
(Novolog.RTM., Novorapid.RTM.).
[0489] In one embodiment, the insulin analog is the insulin
glulisine (Apldra.RTM.).
[0490] In one embodiment, the insulin is a recombinant human
insulin as described in the European Pharmacopea and the American
Pharmacopea.
[0491] In one embodiment, the insulin is an insulin analog chosen
from the group consisting of the insulin lispro (Humalog.RTM.), the
insulin aspart (Novolog.RTM., Novorapid.RTM.) and the insulin
glulisine (Apidra.RTM.).
[0492] The composition may furthermore be prepared by simple mixing
of an aqueous solution of human insulin or of insulin analog and an
aqueous solution of substituted anionic compound as a mixture with
a polyanionic compound.
[0493] In one embodiment, the composition may be prepared by simple
mixing of an aqueous solution of human insulin or of insulin
analog, an aqueous solution of substituted anionic compound and a
polyanionic compound in solution or in lyophilizate form.
[0494] In one embodiment, the composition may be prepared by simple
mixing of an aqueous solution of human insulin or of insulin
analog, a substituted anionic compound in lyophilizate form and a
polyanionic compound in solution or in lyophilizate form.
[0495] Preferably, this composition is in the form of an injectable
solution.
[0496] In one embodiment, the concentration of human insulin or
insulin analog is between 240 and 3000 .mu.M (40 to 500 IU/mL).
[0497] In one embodiment, the concentration of human insulin or
insulin analog is between 600 and 3000 .mu.M (100 to 500
IU/mL).
[0498] In one embodiment, the concentration of human insulin or
insulin analog is between 600 and 2400 .mu.M (100 to 400
IU/mL).
[0499] In one embodiment, the concentration of human insulin or
insulin analog is between 600 and 1800 .mu.M (100 to 300
IU/mL).
[0500] In one embodiment, the concentration of human insulin or
insulin analog is between 600 and 1200 .mu.M (100 to 200
IU/mL).
[0501] In one embodiment, the concentration of human insulin or
insulin analog is 600 .mu.M (100 IU/mL).
[0502] In one embodiment, the concentration of human insulin or
insulin analog is 1200 .mu.M (200 IU/mL).
[0503] In one embodiment, the concentration of human insulin or
insulin analog of 600 .mu.M (100 IU/mL) may be reduced by simple
dilution, in particular for pediatric applications.
[0504] In one embodiment, the concentration of human insulin or
insulin analog is 1800 .mu.M (300 IU/mL).
[0505] In one embodiment, the concentration of human insulin or
insulin analog is 2400 .mu.M (400 IU/mL).
[0506] In one embodiment, the concentration of human insulin or
insulin analog is 3000 .mu.M (500 IU/mL).
[0507] The invention also relates to a pharmaceutical formulation
according to the invention, characterized in that it is obtained by
drying and/or lyophilization.
[0508] In one embodiment, the compositions according to the
invention also comprise the addition of zinc salts to a
concentration of between 0 and 500 .mu.M.
[0509] In one embodiment, the compositions according to the
invention also comprise the addition of zinc salts to a
concentration of between 0 and 300 .mu.M.
[0510] In one embodiment, the compositions according to the
invention also comprise the addition of zinc salts to a
concentration of between 0 and 200 .mu.M.
[0511] In one embodiment, the compositions according to the
invention comprise buffers at concentrations of between 0 and 100
mM, preferably between 0 and 50 mM or between 15 and 50 mM.
[0512] In one embodiment, the buffer is Tris.
[0513] In one embodiment, the compositions according to the
invention also comprise preservatives.
[0514] In one embodiment, the preservatives are chosen from the
group consisting of m-cresol and phenol, alone or as a mixture.
[0515] In one embodiment, the concentration of preservatives is
between 10 and 50 mM.
[0516] In one embodiment, the concentration of preservatives is
between 10 and 40 mM.
[0517] The compositions according to the invention may also
comprise additives such as tonicity agents, for instance glycerol,
sodium chloride (NaCl), mannitol and glycine.
[0518] The compositions according to the invention may also
comprise additives in accordance with the pharmacopeas, for
instance surfactants, for example polysorbate.
[0519] The compositions according to the invention may also
comprise any excipient in accordance with the pharmacopeas which
are compatible with the insulins used at the working
concentrations.
[0520] In the case of local and systemic release, the envisaged
modes of administration are intravenous, subcutaneous, intradermal
or intramuscular.
[0521] Transdermal, oral, nasal, vaginal, ocular, oral and
pulmonary administration routes are also envisaged.
[0522] The invention also relates to the use of a composition
according to the invention for the formulation of a solution of
human insulin or insulin analog in a concentration of 100 IU/mL
intended for implantable or transportable insulin pumps.
[0523] The invention also relates to the use of a composition
according to the invention for the formulation of a solution of
human insulin or insulin analog in a concentration of 200 IU/mL
intended for implantable or transportable insulin pumps.
[0524] The invention also relates to substituted anionic compound,
in isolated form or as a mixture, chosen from substituted anionic
compounds consisting of a saccharide backbone formed from a
discrete number u of between 1 and 8 (1.ltoreq.u.ltoreq.8) of
identical or different saccharide units, linked via identical or
different glycoside bonds, said saccharide units being chosen from
hexoses, in cyclic form or in open reduced form, characterized in
that they are substituted with:
[0525] a) at least one substituent of general formula I:
--[R.sub.1].sub.a-[AA].sub.m Formula I [0526] the substituents
being identical or different when there are at least two
substituents, in which: [0527] the radical -[AA] denotes an amino
acid residue, [0528] the radical --R.sub.1-- being: [0529] either a
bond and then a=0 and the amino acid residue -[AA]- is directly
linked to the backbone via a function G, [0530] or a C2 to C15
carbon-based chain, and then a=1, optionally substituted and/or
comprising at least one heteroatom chosen from O, N and S and at
least one acid function before the reaction with the amino acid,
said chain forming with the amino acid residue -[AA]- an amide
function, and is attached to the backbone by means of a function F
resulting from a reaction between a hydroxyl function borne by the
backbone and a function or substituent borne by the precursor of
the radical --R.sub.1--, [0531] F is a function chosen from ether,
ester and carbamate functions, [0532] G is a carbamate function,
[0533] m is equal to 1 or 2, [0534] the degree of substitution of
the saccharide units, j, in --[R.sub.1].sub.a-[AA].sub.m being
strictly greater than 0 and less than or equal to 6,
0<j.ltoreq.6
[0535] b) and, optionally, one or more substituents --R'.sub.1,
[0536] the substituent --R'.sub.1 being a C2 to C15 carbon-based
chain, which is optionally substituted and/or comprising at least
one heteroatom chosen from O, N and S and at least one acid
function in the form of an alkali metal cation salt, said chain
being linked to the backbone via a function F' resulting from a
reaction between a hydroxyl function borne by the backbone and a
function or substituent borne by the precursor of the substituent
--R'.sub.1, [0537] F' is an ether, ester or carbamate function,
[0538] the degree of substitution of the saccharide units, i, in
--R'.sub.1, being between 0 and 6-j, 0.ltoreq.i.ltoreq.6-j, and
[0539] F and F' are identical or different, [0540] F and G are
identical or different, [0541] i+j.ltoreq.6, [0542] --R'.sub.1 is
identical to or different from --R.sub.1--, [0543] the free
salifiable acid functions borne by the substituent --R'.sub.1 are
in the form of alkali metal cation salts, [0544] said glycoside
bonds, which may be identical or different, being chosen from the
group consisting of glycoside bonds of (1,1), (1,2), (1,3), (1,4)
or (1,6) type, in an alpha or beta geometry.
[0545] In the above formula, the different variables have the
values mentioned above.
[0546] The substituted anionic compounds according to the invention
may be obtained by random grafting of substituents onto the
saccharide backbone.
[0547] In one embodiment, the substituted anionic compounds chosen
from anionic compounds substituted with substituents of formula I
or II are characterized in that they may be obtained by grafting
substituents in precise positions onto the saccharide units via a
process involving steps of protection/deprotection of the alcohol
or carboxylic acid groups naturally borne by the backbone. This
strategy leads to selective grafting, especially regioselective
grafting, of the substituents onto the backbone. The protecting
groups include, without limitation, those described in the
publication (Wuts, P. G. M. et al., Greene's Protective Groups in
Organic Synthesis 2007).
[0548] The saccharide backbone may be obtained by degradation of a
high molecular weight polysaccharide. The degradation routes
include, without limitation, chemical degradation and/or enzymatic
degradation.
[0549] The saccharide backbone may also be obtained by formation of
glycoside bonds between monosaccharide or oligosaccharide molecules
using a chemical or enzymatic coupling strategy. The coupling
strategies include those described in the publication (Smoot, J. T.
et al., Advances in Carbohydrate Chemistry and Biochemistry 2009,
62, 162-250) and in the publication (Undhorst, T.K., Essentials of
Carbohydrate Chemistry and Biochemistry 2007, 157-208). The
coupling reactions may be performed in solution or on a solid
support. The saccharide molecules before coupling may bear
substituents of interest and/or may be functionalized once coupled
together, randomly or regioselectively.
[0550] Thus, by way of example, the compounds according to the
invention may be obtained according to one of the following
processes: [0551] the random grafting of substituents onto a
saccharide backbone [0552] one or more steps of glycosylation
between monosaccharide or oligosaccharide molecules bearing
substituents [0553] one or more steps of glycosylation between one
or more monosaccharide or oligosaccharide molecules bearing
substituents and one or more monosacharide or oligosaccharide
molecules [0554] one or more steps of introduction of protecting
groups onto alcohols or acids naturally borne by the saccharide
backbone, followed by one or more substituent grafting reactions
and finally a step of removal of the protecting groups [0555] one
or more steps of glycosylation between one or more monosaccharide
or oligosaccharide molecules bearing protecting groups on alcohols
or acids naturally borne by the saccharide backbone, one or more
steps of grafting substituents onto the backbone obtained, and then
a step of removal of the protecting groups [0556] one or more steps
of glycosylation between one or more monosaccharide or
oligosaccharide molecules bearing protecting groups on alcohols or
acids naturally borne by the saccharide backbone, and one or more
monosaccharide or oligosaccharide molecules, one or more
substituent grafting steps and then a step of removal of the
protecting groups.
[0557] The compounds according to the invention, isolated or as a
mixture, may be separated and/or purified in various ways,
especially after having been obtained via the processes described
above.
[0558] Mention may be made in particular of chromatographic
methods, especially "preparative" methods such as: [0559] flash
chromatography, especially on silica, and [0560] chromatography
such as HPLC (high-performance liquid chromatography), in
particular RP-HPLC (reverse-phase HPLC).
[0561] Selective precipitation methods may also be used.
[0562] The invention is illustrated by the examples that
follow.
EXAMPLES
[0563] The structures of the substituted anionic compounds
according to the invention are presented in Table 1. The structures
of the polysaccharide counterexamples are presented in Table 2.
AA Substituted Anionic Compounds
TABLE-US-00001 [0564] TABLE 1 R = H, R'.sub.1,
--[R.sub.1].sub.a--[AA].sub.m Com- Substituent Substituent pound i
j Saccharide chain --R'.sub.1 --[R.sub.1].sub.a--[AA].sub.m 1 0.65
1.0 ##STR00004## ##STR00005## ##STR00006## 2 1.0 0.65 ##STR00007##
##STR00008## ##STR00009## 3 0.46 1.2 ##STR00010## ##STR00011##
##STR00012## 4 0.35 0.65 ##STR00013## ##STR00014## ##STR00015## 5
1.25 0.4 ##STR00016## ##STR00017## ##STR00018## 6 0.8 0.65
##STR00019## ##STR00020## ##STR00021## 7 2.65 0.65 ##STR00022##
##STR00023## ##STR00024## 8 1.0 0.75 ##STR00025## ##STR00026##
##STR00027## 9 1.0 0.65 ##STR00028## ##STR00029## ##STR00030## 10
0.83 0.81 ##STR00031## ##STR00032## ##STR00033## 11 1.12 0.52
##STR00034## ##STR00035## ##STR00036##
AB Polysaccharide Counterexamples
TABLE-US-00002 [0565] TABLE 2 Polysaccharide Weight-average
counter- Saccharide molar mass Substituent Substituent examples i j
chain (kg/mol) --R'.sub.1 --[R.sub.1].sub.a--[AA].sub.m AB1 0.6
0.46 ##STR00037## 10 ##STR00038## ##STR00039## AB2 1.01 0.64
##STR00040## 5 ##STR00041## ##STR00042## AB3 0.65 0.45 ##STR00043##
5 ##STR00044## ##STR00045## AB4 1.01 0.64 ##STR00046## 10
##STR00047## ##STR00048## AB5 0.45 0.65 ##STR00049## 5 ##STR00050##
##STR00051## Polysaccharide counterexamples AB1, AB2, AB3, AB4 and
AB5: R = H, --R'.sub.1, --[R.sub.1].sub.a--[AA].sub.m
AA1. Compound 1: Sodium Maltotriosemethylcarboxylate Functionalized
with Sodium L-Phenylalaninate
[0566] To 8 g (143 mmol of hydroxyl functions) of maltotriose
(CarboSynth) dissolved in water at 65.degree. C. is added 0.6 g (16
mmol) of sodium borohydride. After stirring for 30 minutes, 28 g
(238 mmol) of sodium chloroacetate are added. To this solution are
then added dropwise 24 mL of 10 N NaOH (24 mmol), and the mixture
is then heated at 65.degree. C. for 90 minutes. 16.6 g (143 mmol)
of sodium chloroacetate are then added to the reaction medium,
along with dropwise addition of 14 mL of 10 N NaOH (14 mmol). After
heating for 1 hour, the mixture is diluted with water, neutralized
with acetic acid and then purified by ultrafiltration on a 1 kDa
PES membrane against water. The molecule concentration of the final
solution is determined on the dry extract, and an add/base assay in
a 50/50 (V/V) water/acetone mixture is then performed to determine
the degree of substitution with methylcarboxylate.
[0567] According to the dry extract: [compound]=32.9 mg/g
[0568] According to the acid/base assay, the degree of substitution
with methylcarboxylate is 1.65 per saccharide unit.
[0569] The sodium maltotriosemethylcarboxylate solution is
acidified on a Purolite resin (anionic) to obtain
maltotriosemethylcarboxylic acid, which is then lyophilized for 18
hours.
[0570] 10 g of maltotriosemethylcarboxylic acid (63 mmol of
methylcarboxylic acid functions) are dissolved in DMF and then
cooled to 0.degree. C. A mixture of ethyl phenylalaninate,
hydrochloride salt (8.7 g, 38 mmol) In DMF is prepared. 3.8 g of
triethylamine (38 mmol) are added to this mixture. A solution of
NMM (6.3 g, 63 mmol) and of EtOCOCl (6.8 g, 63 mmol) is then added
to the mixture at 0.degree. C. The ethyl phenylalaninate solution
is then added and the mixture is stirred at 10.degree. C. An
aqueous imidazole solution is added and the mixture is then heated
to 30.degree. C. The medium is diluted with water and the solution
obtained is then purified by ultrafiltration on a 1 kDa PES
membrane against 0.1 N NaOH, 0.9% NaCl and water. The molecule
concentration of the final solution is determined on the dry
extract. A sample of solution is lyophilized and analyzed by
.sup.1H NMR in D.sub.2O to determine the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate.
[0571] According to the dry extract: [compound 1]=29.4 mg/g
[0572] According to the acid/base assay, the degree of substitution
with sodium methylcarboxylates is 0.65 per saccharide unit.
[0573] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 1.0 per saccharide unit.
AA2. Compound 2: Sodium maltotriosemethylcarboxylate functionalized
with sodium L-phenylalaninate
[0574] Via a process similar to that used for the preparation of
compound 1, a sodium maltotriosecarboxylate functionalized with
sodium L-phenylalaninate is obtained.
[0575] According to the acid/base assay, the degree of substitution
with sodium methylcarboxylates is 1.0 per saccharide unit.
[0576] According to the dry extract: [compound 2]=20.2 mg/g
[0577] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.65 per saccharide unit.
AA3. Compound 3: Sodium maltotriosemethylcarboxylate functionalized
with sodium L-phenylalaninate
[0578] Via a process similar to that used for the preparation of
compound 1, a sodium maltotriosecarboxylate functionalized with
sodium L-phenylalaninate is obtained.
[0579] According to the acid/base assay, the degree of substitution
with sodium methylcarboxylates is 0.46 per saccharide unit.
[0580] According to the dry extract: [compound 3]=7.2 mg/g
[0581] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 1.2 per saccharide unit.
AA4. Compound 4: Sodium maltotriosemethylcarboxylate functionalized
with sodium L-phenylalanine
[0582] Via a process similar to that used for the preparation of
compound 1, a sodium maltotriosecarboxylate functionalized with
sodium L-phenylalaninate is obtained.
[0583] According to the add/base assay, the degree of substitution
with sodium methylcarboxylates is 0.35 per saccharide unit.
[0584] According to the dry extract: [compound 4]=3.1 mg/g
[0585] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.65 per saccharide unit.
AA5. Compound 5: Sodium Maltotriosemethylcarboxylate Functionalized
with Sodium L-Phenylalaninate
[0586] Via a process similar to that used for the preparation of
compound 1, a sodium maltotriosemethylcarboxylate functionalized
with sodium L-phenylalaninate is obtained.
[0587] According to the dry extract: [compound 5]=10.9 mg/g
[0588] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.40 per saccharide unit.
[0589] The degree of substitution with sodium methylcarboxylates is
1.25 per saccharide unit.
AA6. Compound 6: Sodium Maltotriosemethylcarboxylate Functionalized
with Sodium L-Phenylalaninate
[0590] To 8 g (143 mmol of hydroxyl functions) of maltotriose
(CarboSynth) dissolved in water at 65.degree. C. is added 0.6 g (16
mmol) of sodium borohydride. After stirring for 30 minutes, 28 g
(237 mmol) of sodium chloroacetate are added. To this solution are
then added dropwise 24 mL of 10 N NaOH (240 mmol). After heating at
65.degree. C. for 90 minutes, the mixture is diluted with water,
neutralized by adding acetic acid and then purified by
ultrafiltration on a 1 kDa PES membrane against water. The compound
concentration of the final solution is determined on the dry
extract, and an acid/base assay in a 50/50 (V/V) water/acetone
mixture is then performed to determine the degree of substitution
with sodium methylcarboxylate.
[0591] According to the dry extract: [compound]=14.5 mg/g
[0592] According to the acid/base assay, the degree of substitution
with sodium methylcarboxylates is 1.45 per saccharide unit.
[0593] The sodium maltotriosemethylcarboxylate solution is
acidified on a Purolite resin (anionic) to obtain
maltotriosemethylcarboxylic acid, which is then lyophilized for 18
hours.
[0594] Via a process similar to that used for the preparation of
compound 1, a sodium maltotriosemethylcarboxylate functionalized
with sodium L-phenylalaninate is obtained.
[0595] According to the dry extract: [compound 6]=10.8 mg/g
[0596] According to the .sup.1H NMR, the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.65 per saccharide unit.
[0597] The degree of substitution with sodium methylcarboxylates is
0.8 per saccharide unit.
AA7. Compound 7: Sodium Maltotriosemethylcarboxylate Functionalized
with Sodium L-Phenylalaninate
[0598] Via a process similar to that described in the preparation
of compound 1, 8 g of sodium maltotriosemethylcarboxylate
characterized by a degree of substitution with sodium
methylcarboxylate of 1.76 are synthesized and lyophilized.
[0599] 8 g (58 mmol of hydroxyl functions) of the lyophilizate and
15 g (129 mmol) of sodium chloroacetate are dissolved in water at
65.degree. C. To this solution are added dropwise 13 mL of 10 N
NaOH (130 mmol) and the mixture is then heated at 65.degree. C. for
90 minutes. 9 g (78 mmol) of sodium chloroacetate are then added to
the reaction medium, along with dropwise addition of 8 mL of 10 N
NaOH (80 mmol). After heating for 1 hour, the mixture is diluted
with water, neutralized with acetic acid and then purified by
ultrafiltration on a 1 kDa PES membrane against water. The compound
concentration of the final solution is determined on the dry
extract, and an acid/base assay in a 50/50 (V/V) water/acetone
mixture is then performed to determine the degree of substitution
with sodium methylcarboxylates.
[0600] According to the dry extract: [compound]=11.7 mg/g
[0601] According to the acid/base assay, the degree of substitution
with sodium methylcarboxylates is 3.30 per saccharide unit.
[0602] The sodium maltotriosemethylcarboxylate solution is
acidified on a Purolite resin (anionic) to obtain
maltotriosemethylcarboxylic acid, which is then lyophilized for 18
hours.
[0603] Via a process similar to that used for the preparation of
compound 1, a sodium maltotriosemethylcarboxylate functionalized
with sodium L-phenylalaninate is obtained.
[0604] According to the dry extract: [compound 7]=14.9 mg/g
[0605] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.65 per saccharide unit.
[0606] The degree of substitution with sodium methylcarboxylates is
2.65 per saccharide unit.
AA8. Compound 8: Sodium Maltopentaosemethylcarboxylate
Functionalized with Sodium L-Phenylalaninate
[0607] Via a process similar to that described for the preparation
of compound 1, but performed with maltopentaose (CarboSynth), 10 g
of maltopentaosemethylcarboxylic acid with a degree of substitution
with methylcarboxylic acid of 1.75 per saccharide unit are obtained
and then lyophilized.
[0608] Via a process similar to that used for the preparation of
compound 1, a sodium maltopentaosemethylcarboxylate functionalized
with sodium L-phenylalaninate is obtained.
[0609] According to the dry extract: [compound 8]=7.1 mg/g
[0610] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.75 per saccharide unit.
[0611] The degree of substitution with sodium methylcarboxylates is
1.0 per saccharide unit.
AA9. Compound 9: Sodium Maltooctaosemethylcarboxylate
Functionalized with Sodium L-Phenylalaninate
[0612] Via a process similar to that described for the preparation
of compound 1, but performed with maltooctaose (CarboSynth), 10 g
of maltooctaosemethylcarboxylic acid with a degree of substitution
with methylcarboxylic acid of 1.65 per saccharide unit are obtained
and then lyophilized.
[0613] Via a process similar to that used for the preparation of
compound 1, a sodium maltooctaosemethylcarboxylate functionalized
with sodium L-phenylalaninate is obtained.
[0614] According to the dry extract: [compound 9]=26.3 mg/g
[0615] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.65 per saccharide unit.
[0616] The degree of substitution with sodium methylcarboxylates is
1.0 per saccharide unit.
AA10. Compound 10: Sodium are Maltotriosemethylcarboxylate
Functionalized with Sodium L-Tyrosinate
[0617] Via a process similar to that described for the preparation
of compound 1, but performed with methyl L-tyrosinate,
hydrochloride salt (Bachem), a sodium maltotriosemethylcarboxylate,
characterized by a degree of substitution with sodium
methylcarboxylate per saccharide unit of 1.64, is functionalized
with sodium L-tyrosinate.
[0618] According to the dry extract: [compound 10]=9.1 mg/g
[0619] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium L-tyrosinate is
0.81 per saccharide unit.
[0620] The degree of substitution with sodium methylcarboxylates is
0.83 per saccharide unit.
AA11. Compound 11: Sodium maltotriosemethylcarboxylate
functionalized with sodium alpha-phenylglycinate
[0621] Via a process similar to that described for the preparation
of compound 1, 10 g of maltotriosemethylcarboxylate acid with a
degree of substitution with methylcarboxylic acid of 1.64 per
saccharide unit are obtained and then lyophilized.
[0622] 8 g of maltotriosemethylcarboxylic acid (50 mmol of
methylcarboxylic acid functions) are dissolved in DMF and then
cooled to 0.degree. C. A mixture of sodium alpha-phenylglycinate
(Bachem, 5 g; 33 mmol) and triethylamine (33 mmol) is prepared in
water. A solution of NMM (4.9 g; 49 mmol) and of EtOCOCl (5.3 g, 49
mmol) is then added to the solution of maltotriosemethylcarboxylic
acid at 0.degree. C. The solution of sodium alpha-phenylglycinate
and triethylamine is then added and the mixture is stirred at
30.degree. C. An aqueous imidazole solution (340 g/L) is added
after 90 minutes. The medium is diluted with water and the solution
obtained is then purified by ultrafiltration on a 1 kDa PES
membrane against a 150 mM NaHCO.sub.2/Na.sub.2CO.sub.2 pH 10.4
buffer, 0.9% NaCl and water. The compound concentration of the
final solution is determined on the dry extract. A sample of
solution is lyophilized and analyzed by .sup.1H NMR in D.sub.2O to
determine the degree of substitution with methylcarboxylates
functionalized with sodium alpha-phenylglycinate.
[0623] According to the dry extract: [compound 11]=9.1 mg/g
[0624] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
alpha-phenylglycinate is 0.52 per saccharide unit.
[0625] The degree of substitution with sodium methylcarboxylates is
1.12 per saccharide unit.
AB Polysaccharide Counterexamples.
[0626] AB1. Polysaccharide 1: Sodium Dextranmethylcarboxylate
Functionalized with Sodium L-Phenylalaninate
[0627] Polysaccharide 1 is a sodium dextranmethylcarboxylate
functionalized with sodium L-phenylalaninate obtained from a
dextran with a weight-average molar mass of 10 kg/mol (DP=39,
Pharmacosmos) according to the process described in patent
application FR 07/02316 published under the number FR 2 914 305.
According to the acid/base assay, the degree of substitution with
sodium methylcarboxylates is 0.6 per saccharide unit.
[0628] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.46 per saccharide unit.
[0629] This polysaccharide corresponds to polysaccharide 1 of
patent application FR 09/01478.
[0630] Polysaccharide 2 is a sodium dextranmethylcarboxylate
functionalized with sodium L-phenylalaninate obtained from a
dextran with a weight-average molar mass of 5 kg/mol (DP=19,
Pharmacosmos) according to the process described in patent
application FR 07/02316 published under the number FR 2 914 305.
According to the acid/base assay, the degree of substitution with
sodium methylcarboxylates is 1.01 per saccharide unit.
[0631] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.64 per saccharide unit.
AB3. Polysaccharide 3: Sodium Dextranmethylcarboxylate
Functionalized with Sodium L-Phenylalaninate
[0632] Polysaccharide 3 is a sodium dextranmethylcarboxylate
functionalized with sodium L-phenylalaninate obtained from a
dextran with a weight-average molar mass of 5 kg/mol (DP=19,
Pharmacosmos) according to the process described in patent
application FR 07/02316 published under the number FR 2 914 305.
According to the acid/base assay, the degree of substitution with
sodium methylcarboxylates is 0.65 per saccharide unit.
[0633] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.45 per saccharide unit.
AB4. Polysaccharide 4: Sodium Dextranmethylcarboxylate
Functionalized with Sodium L-Phenylalaninate
[0634] Polysaccharide 4 is a sodium dextranmethylcarboxylate
functionalized with sodium L-phenylalaninate obtained from a
dextran with a weight-average molar mass of 10 kg/mol (DP=39,
Pharmacosmos) according to the process described in patent
application FR 07/02316 published under the number FR 2 914 305.
According to the acid/base assay, the degree of substitution with
sodium methylcarboxylates is 1.01 per saccharide unit.
[0635] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.64 per saccharide unit.
AB5. Polysaccharide 5: Sodium Dextranmethylcarboxylate
Functionalized with Sodium L-Phenylalaninate
[0636] Polysaccharide 5 is a sodium dextranmethylcarboxylate
functionalized with sodium L-phenylalaninate obtained from a
dextran with a weight-average molar mass of 5 kg/mol (DP=19,
Pharmacosmos) according to the process described in patent
application FR 07/02316 published under the number FR 2 914 305.
According to the acid/base assay, the degree of substitution with
sodium methylcarboxylates is 0.45 per saccharide unit.
[0637] According to the .sup.1H NMR: the degree of substitution
with methylcarboxylates functionalized with sodium
L-phenylalaninate is 0.65 per saccharide unit.
AC Polyanionic Compound
Polyanionic Compound 1: Sodium Maltotriosemethylcarboxylate
[0638] To 8 g (143 mmol of hydroxyl functions) of maltotriose
(CarboSynth) dissolved n water at 65.degree. C. is added 0.6 g (16
mmol) of sodium borohydride. After stirring for 30 minutes, 28 g
(238 mmol) of sodium chloroacetate are added. To this solution are
then added dropwise 24 mL of 10 N NaOH (240 mmol), and the mixture
is then heated at 65.degree. C. for 90 minutes. 16.6 g (143 mmol)
of sodium chloroacetate are then added to the reaction medium,
along with dropwise addition of 14 mL of 10 N NaOH (140 mmol).
After heating for 1 hour, the mixture is diluted with water,
neutralized with acetic acid and then purified by ultrafiltration
on a 1 kDa PES membrane against water. The compound concentration
of the final solution is determined on the dry extract, and an
acid/base assay in a 50/50 (V/V) water/acetone mixture is then
performed to determine the degree of substitution with sodium
methylcarboxylate.
[0639] According to the dry extract: [polyanionic compound 1]=32.9
mg/g
[0640] According to the acid/base assay: the degree of substitution
with sodium methylcarboxylate is 1.65 per saccharide unit.
B Preparation of the Solutions
B1. Solution of Rapid Insulin Analog Novolog.RTM. at 100 IU/mL
[0641] This solution is a commercial solution of aspart insulin
from Novo Nordisk sold under the name Novolog.RTM.. This product is
an aspart rapid insulin analog.
B2. Solution of Rapid Insulin Analog Humlog.RTM. at 100 IU/mL
[0642] This solution is a commercial solution of lispro insulin
from Eli Lilly sold under the name Humalog.RTM.. This product is a
rapid insulin analog.
B3. Solution of Regular Human Insulin Actrapid.RTM. at 100
IU/mL
[0643] This solution is a commercial solution of human insulin from
Novo Nordisk sold under the name Actrapid.RTM.. This product is a
regular human insulin.
B4. Solution of Regular Human Insulin Humulin.RTM. R at 100
IU/mL
[0644] This solution is a commercial solution of human insulin from
Eli Lilly sold under the name Humulin.RTM. R. This product is a
regular human insulin.
B5. Preparation of the Excipient Solutions
[0645] The non-polymeric polyanionic compounds are selected by
measuring their dissociation constant with respect to calcium ions
and with respect to their capacity for not destabilizing the
hexameric form of insulin.
[0646] As regards the dissociation constant with respect to calcium
ions, it is determined as follows.
[0647] Solutions containing 2.5 mM of CaCl.sub.2, 150 mM of NaCl
and increasing concentrations of polyanionic compound (between 0
and 20 mM) are prepared. The potential of all these formulations is
measured and the concentrations of free calcium ions in the
formulations are determined. After linearization by the Scatchard
method, the dissociation constants are established. These data make
it possible to compare the affinity of the carboxylates and
phosphates of the various polyanionic compounds for Ca.
[0648] As regards their capacity for not destabilizing the
hexameric form of insulin, this property is measured by circular
dichroism in comparison with insulin alone (without anionic
compound or polyanionic compound), see the experimental protocols
in experimental section D.
Preparation of a Sodium Citrate Solution at 1.188 M
[0649] A sodium citrate solution is obtained by dissolving 9.0811 g
of sodium citrate (30.9 mmol) in 25 mL of water in a graduated
flask. The pH is adjusted to exactly 7.4 by adding 1 mL of 1 M HCl.
The solution is filtered through a 0.22 .mu.m filter.
Preparation of a 130 mM m-Cresol Solution
[0650] An m-cresol solution is obtained by dissolving 14.114 g of
m-cresol (130 mmol) in 986.4 mL of water in a 1 L graduated
flask.
Preparation of a Solution of m-Cresol and Glycerol ($6.6 mM
m-Cresol and 566 mM Glycerol)
[0651] 73.3 g of the 130 mM m-cresol solution are added to 5.26 g
of glycerol and then diluted by addition of 22.25 g of water. The
m-cresol and glycerol solution obtained is homogenized for 30
minutes and then filtered through a 0.22 .mu.m membrane.
Preparation of a 32.7 mM Tween 20 Solution
[0652] A Tween 20 solution is obtained by dissolving 2.0079 g of
Tween 20 (1.636 mmol) in 50 mL of water in a graduated flask. The
solution is filtered through a 0.22 .mu.m membrane.
B6. Preparation of a 500 IU/mL Human Insulin Solution
[0653] 15 g of water are added to 563.6 mg of human insulin and the
pH is then lowered to acidic pH by adding 5.98 g of 0.1 N HCl.
After total dissolution of the insulin at acidic pH, the solution
is neutralized to pH 7.2 by adding 8.3 mL of 0.1 N NaOH. The
concentration is then adjusted to 500 IU/mL by adding 0.76 g of
water. The solution is finally filtered through a 0.22 .mu.m
membrane.
B7. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 1
[0654] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2.0, the various
reagents are added in the amounts specified below and in the
following order:
TABLE-US-00003 Lyophilized compound 1 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL
[0655] The final pH is adjusted to 7.4.+-.0.4.
[0656] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B8. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and Citrate
[0657] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00004 Lyophilized compound 1 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0658] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0659] The final pH is adjusted to 7.4.+-.0.4.
[0660] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B9. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of compound 1 and the polyanionic compound 1
[0661] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[(lispro insulin] mass ratio
of 2.0/2.0/1, the various are added in the amounts specified below
and in the following order:
TABLE-US-00005 Lyophilized compound 1 730 mg Lyophilized
polyanionic compound 1 730 mg 100 IU/mL Humalog .RTM. commercial
solution 100 mL
[0662] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0663] The final pH is adjusted to 7.4.+-.0.4.
[0664] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B10. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and the Polyanionic Compound 1
[0665] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[(lispro insulin] mass ratio
of 2.0/5.5/1, the various are added in the amounts specified below
and in the following order:
TABLE-US-00006 Lyophilized compound 1 730 mg Lyophilized
polyanionic compound 1 2000 mg 100 IU/mL Humalog .RTM. commercial
solution 100 mL
[0666] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0667] The final pH is adjusted to 7.4.+-.0.4.
[0668] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B11. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and Citrate
[0669] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00007 Lyophilized compound 2 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0670] For the citrate, use may be used in the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0671] The final pH is adjusted to 7.4.+-.0.4.
[0672] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B12. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and the Polyanionic Compound 1
[0673] For a final volume of 100 mL of formulation, with a
[compound 2]/[polyanionic compound 1]/[lispro insulin] mass ratio
of 2.0/2.0/1, the various reagents are added in the amounts
specified below and in the following order:
TABLE-US-00008 Lyophilized compound 2 730 mg Lyophilized
polyanlonic compound 1 730 mg 100 IU/mL Humalog .RTM. commercial
solution 100 mL
[0674] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0675] The final pH is adjusted to 7.4.+-.0.4.
[0676] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B13. Preparation of a 100 IU/mL lispro insulin solution hin the
presence of compound 2 and the polyanionic compound 1
[0677] For a final volume of 100 mL of formulation, with a
[compound 2]/[polyanionic compound 1]/[lispro insulin] mass ratio
of 2.0/5.5/1, the various reagents are added in the amounts
specified below and in the following order:
TABLE-US-00009 Lyophilized compound 2 730 mg Lyophilized
polyanionic compound 1 2000 mg 100 IU/mL Humalog .RTM. commercial
solution 100 mL
[0678] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0679] The final pH is adjusted to 7.4.+-.0.4.
[0680] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B14. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 1
[0681] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 4, the various reagents
are added in the amounts specified below:
TABLE-US-00010 Compound 1 in lyophilized form 1460 mg 100 IU/mL
Humalog .RTM. commercial solution 100 mL
[0682] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B15. Preparation of a 100 IU/mL lispro insulin solution in the
presence of compound 2
[0683] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 4, the various reagents
are added in the amounts specified below:
TABLE-US-00011 Compound 2 in lyophilized form 1460 mg 100 IU/mL
Humalog .RTM. commercial solution 100 mL
[0684] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B16. Preparation of a 100 IU/mL Lispro Insulin Analog Solution in
the Presence of Compound 1 and Sodium Tartrate
[0685] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2.0 and a sodium
tartrate concentration of 80 mM, the various reagents are added in
the amounts specified below:
TABLE-US-00012 Compound 1 in lyophilized form 730 mg 100 IU/mL
Humalog .RTM. commercial solution 100 mL Sodium tartrate 1.552
g
[0686] For the tartrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0687] The final pH is adjusted to 7.4.+-.0.4.
[0688] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B17. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and the Polyanionic Compound 1
[0689] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[lispro insulin] mass ratio
of 2/4/1, the various reagents are added in the amounts specified
below:
TABLE-US-00013 Compound 1 in lyophilized form 730 mg Polyanionic
compound 1 in lyophilized form 1460 mg 100 IU/mL Humalog .RTM.
commercial solution 100 mL
[0690] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0691] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B15. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and Sodium Triphosphate
[0692] For a final volume of 100 mL of formulation, the various
reagents are added in the amounts specified below:
TABLE-US-00014 Compound 1 in lyophilized form 730 mg Sodium
triphosphate 184 mg 100 IU/mL Humalog .RTM. commercial solution 100
mL
[0693] For the triphosphate, use may be made of the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0694] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B19. Preparation of a 100 IU/mL Lispro Insulin Analog Solution in
the Presence of Compound 2 and Sodium Tartrate
[0695] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 2.0 and a sodium
tartrate concentration of 80 mM, the various reagents are added in
the amounts specified below:
TABLE-US-00015 Compound 2 in lyophilized form 730 mg 100 IU/mL
Humalog .RTM. commercial solution 100 mL Sodium tartrate 1.552
g
[0696] For the tartrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0697] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B20. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and the Polyanionic Compound 1
[0698] For a final volume of 100 mL of formulation, with a
[compound 2]/[polyanionic compound 1]/[lispro insulin] mass ratio
of 2/4/1, the various reagents are added in the amounts specified
below:
TABLE-US-00016 Compound 2 in lyophilized form 730 mg Polyanionic
compound 1 in lyophilized form 1460 mg 100 IU/mL Humalog .RTM.
commercial solution 100 mL
[0699] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0700] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B21. Preparation of a 100 IU/mL lispro insulin solution in the
presence of compound 2 and sodium triphosphate
[0701] For a final volume of 100 mL of formulation, the various
reagents are added in the amounts specified below:
TABLE-US-00017 Compound 2 in lyophilized form 730 mg Sodium
triphosphate 184 mg 100 IU/mL Humalog .RTM. commercial solution 100
mL
[0702] For the triphosphate, use may be made of the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0703] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B22. Preparation of a 200 IU/mL Insulin Analog (Lispro Insulin)
Solution
[0704] The commercial formulation of lispro insulin (Humalog.RTM.)
was concentrated using Amicon Ultra-15 centrifugation tubes with a
3 kDa cut-off threshold. The Amicon tubes were first rinsed with 12
mL of deionized water. 12 mL of the commercial formulation were
centrifuged for 35 minutes at 4000 g at 20.degree. C. The volume of
the retentate was measured and the concentration thus estimated.
All the retentates were pooled and the overall concentration was
estimated (>200 IU/mL).
[0705] The concentration of this concentrated lispro insulin
solution was adjusted to 200 IU/mL by adding the commercial lispro
insulin formulation (Humalog.RTM.). The concentrated lispro insulin
formulation has the same concentrations of excipients (m-cresol,
glycerol, phosphate) as the commercial formulation at 100
IU/mL.
[0706] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B23. Preparation of a 200 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and Citrate
[0707] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2, the various reagents
are mixed in the amounts specified below:
TABLE-US-00018 200 IU/mL lispro insulin 100 mL Lyophilizate of
compound 1 1460 mg 1.188M sodium citrate solution 1566 .mu.L
[0708] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B24. Preparation of a 200 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and the Polyanionic Compound 1
[0709] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[lispro insulin] mass ratio
of 2/2/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00019 200 IU/mL lispro insulin 100 mL Lyophilizate of
compound 1 1460 mg Lyophilizate of polyanionic compound 1 1460
mg
[0710] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0711] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B25. Preparation of a 200 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and the Polyanionic Compound 1
[0712] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[lispro insulin] mass ratio
of 2/4/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00020 200 IU/mL lispro insulin 100 mL Lyophilizate of
compound 1 1460 mg Lyophilizate of polyanionic compound 1 2920
mg
[0713] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0714] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B26. Preparation of a 200 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and the Polyanionic Compound 1
[0715] For a final volume of 100 mL of formulation, with a
[compound 2]/[polyanionic compound 1]/[(lispro insulin] mass ratio
of 2/4/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00021 200 IU/mL lispro insulin 100 mL Lyophilizate of
compound 2 1460 mg Lyophilizate of polyanionic compound 1 2920
mg
[0716] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0717] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B27. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Tartrate
[0718] For a final volume of 100 mL of formulation, with a
[compound 1]/[human insulin] mass ratio of 2 and 80 mM of tartrate,
the various reagents are mixed in the amounts specified below:
TABLE-US-00022 500 IU/mL human insulin 20 mL 36.01 mg/mL solution
of compound 1 20.27 mL 96.6 mM m-cresol/566 mM glycerol solution 30
mL Water 28.95 mL Sodium tartrate 1.552 g
[0719] For the tartrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0720] The final pH is 7.4.+-.0.4. This clear solution is filtered
through a 0.22 .mu.m membrane and then placed at +4.degree. C.
B28. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Triphosphate
[0721] For a final volume of 100 mL of formulation, the various
reagents are mixed in the amounts specified below:
TABLE-US-00023 500 IU/mL human insulin 20 mL 36.01 mg/mL solution
of compound 1 20.27 mL 96.6 mM m-cresol/566 mM glycerol solution 30
mL Water 28.95 mL Sodium triphosphate 184 mg
[0722] For the triphosphate, use may be made of the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0723] The final pH is 7.4.+-.0.4. This clear solution is filtered
through a 0.22 .mu.m membrane and then placed at +4.degree. C.
B29. Preparation of a 100 IU/mL human insulin solution in the
presence of compound 2 and tartrate
[0724] For a final volume of 100 mL of formulation, with a
[compound 2]/[human insulin] mass ratio of 2 and 80 mM of tartrate,
the various reagents are mixed in the amounts specified below:
TABLE-US-00024 500 IU/mL human insulin 20 mL 36.01 mg/mL solution
of compound 2 20.27 mL 96.6 mM m-cresol/566 mM glycerol solution 30
mL Water 28.95 mL Sodium tartrate 1.552 g
[0725] For the tartrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0726] The final pH is 7.4.+-.0.4.
[0727] This clear solution is filtered through a 0.22 .mu.m
membrane and then placed at +4.degree. C.
B30. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 2 and Triphosphate
[0728] For a final volume of 100 mL of formulation, the various
reagents are mixed in the amounts specified below:
TABLE-US-00025 500 IU/mL human insulin 20 mL 36.01 mg/mL solution
of compound 2 20.27 mL 96.6 mM m-cresol/566 mM glycerol solution 30
mL Water 28.95 mL Sodium triphosphate 184 mg
[0729] For the triphosphate, use may be made of the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0730] The final pH is 7.4.+-.0.4. This clear solution is filtered
through a 0.22 .mu.m membrane and then placed at +4.degree. C.
B31. Preparation of a 200 IU/mL Human Insulin Solution
[0731] The commercial formulation of human insulin (Humulin.RTM. R)
was concentrated using Amicon Ultra-15 centrifugation tubes with a
3 kDa cut-off threshold. The Amicon tubes were first rinsed with 12
mL of deionized water. 12 mL of the commercial formulation were
centrifuged for 35 minutes at 4000 g at 20.degree. C. The volume of
the retentate was measured and the concentration thus estimated.
All the retentates were pooled and the overall concentration was
estimated (>200 IU/mL).
[0732] The concentration of this concentrated human insulin
solution was adjusted to 200 IU/mL by adding the commercial human
insulin formulation (Humulin.RTM. R). The concentrated human
insulin formulation has the same concentrations of excipients
(m-cresol, glycerol) as the commercial formulation at 100
IU/mL.
[0733] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B32. Preparation of a 200 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Citrate
[0734] For a final volume of 100 mL of formulation, with a
[compound 1]/[human insulin] mass ratio of 2, the various reagents
are mixed in the amounts specified below:
TABLE-US-00026 200 IU/mL human insulin 100 mL Lyophilizate of
compound 1 1460 mg 1.188M sodium citrate solution 1566 .mu.L
[0735] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B33. Preparation of a 200 IU/mL Human Insulin Solution in the
Presence of Compound 1 and the Polyanionic Compound 1
[0736] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[human insulin] mass ratio of
2/2/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00027 200 IU/mL human insulin 100 mL Lyophilizate of
compound 1 1460 mg Lyophilizate of polyanionic compound 1 1460
mg
[0737] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B34. Preparation of a 200 IU/mL Human Insulin Solution in the
Presence of Compound 1 and the Polyanionic Compound 1
[0738] For a final volume of 100 mL of formulation, with a
[compound 1]/[polyanionic compound 1]/[human insulin] mass ratio of
2/4/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00028 200 IU/mL human insulin 100 mL Lyophilizate of
compound 1 1460 mg Lyophilizate of polyanionic compound 1 2920
mg
[0739] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0740] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B35. Preparation of a 200 IU/mL Human Insulin Solution in the
Presence of Compound 2 and Citrate
[0741] For a final volume of 100 mL of formulation, with a
([compound 2]/[human insulin] mass ratio of 2, the various reagents
are mixed in the amounts specified below:
TABLE-US-00029 200 IU/mL human insulin 100 mL Lyophilizate of
compound 2 1460 mg 1.188M sodium citrate solution 1566 .mu.L
[0742] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B36. Preparation of a 200 IU/mL Human Insulin Solution in the
Presence of Compound 2 and the Polyanionic Compound 1
[0743] For a final volume of 100 mL of formulation, with a
[compound 2]/[polyanionic compound 1]/[human insulin] mass ratio of
2/2/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00030 200 IU/mL human insulin 100 mL Lyophilizate of
compound 2 1460 mg Lyophilizate of polyanionic compound 1 1460
mg
[0744] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0745] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B37. Preparation of a 200 IU/mL Human Insulin Solution in the
Presence of Compound 2 and the Polyanionic Compound 1
[0746] For a final volume of 100 mL of formulation, with a
[compound 2]/[polyanionic compound 1]/[human insulin] mass ratio of
2/4/1, the various reagents are mixed in the amounts specified
below:
TABLE-US-00031 200 IU/mL human insulin 100 mL Lyophilizate of
compound 2 1460 mg Lyophilizate of polyanionic compound 1 2920
mg
[0747] The polyanionic compound 1 may be used in the acid form or
the basic form in the form of the sodium salt, the potassium salt
or another salt that is compatible with an injectable
formulation.
[0748] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B38. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 2 and Citrate
[0749] For a final volume of 100 mL of formulation, with a
[compound 2]/[human insulin] mass ratio of 2 and 9.3 mM of citrate,
the various reagents are mixed in the amounts specified below:
TABLE-US-00032 500 IU/mL human insulin 20 mL 36.01 mg/mL solution
of compound 2 20.27 mL 96.6 mM m-cresol/566 mM glycerol solution 30
mL Water 28.95 mL 1.188M sodium citrate solution 783 .mu.L
[0750] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0751] The final pH is 7.4.+-.0.4. This clear solution is filtered
through a 0.22 .mu.m membrane and then placed at +4.degree. C.
B30. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Citrate
[0752] For a final volume of 100 mL of formulation, with a
[compound 1]/[human insulin] mass ratio of 2 and 9.3 mM of citrate,
the various reagents are mixed in the amounts specified below:
TABLE-US-00033 500 IU/mL human insulin 20 mL 36.01 mg/mL solution
of compound 1 27 mL 96.6 mM m-cresol/566 mM glycerol solution 30 mL
Water 28.95 mL 1.188M sodium citrate solution 783 .mu.L
[0753] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0754] The final pH is 7.4.+-.0.4. This clear solution is filtered
through a 0.22 .mu.m membrane and then placed at +4.degree. C.
B40. Preparation of a 100 IU/mL aspart insulin solution in the
presence of compound 1 and citrate
[0755] For a final volume of 100 mL of formulation, with a
[compound 1]/[aspart insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00034 Lyophilized compound 1 730 mg 100 IU/mL Novolog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0756] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0757] The final pH is adjusted to 7.4.+-.0.4.
[0758] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B41. 100 IU/mL Solution of Rapid Insulin Analog Apidra.RTM.
[0759] This solution is a commercial solution of glulisine insulin
from Sanofi-Aventis sold under the name Apidra.RTM.. This product
is a rapid insulin analog.
B42. Preparation of a 100 IU/mL Glulisine Insulin Solution in the
Presence of Compound 1 and Citrate
[0760] For a final volume of 100 mL of formulation, with a
[compound 1]/[glulisine insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00035 Lyophilized compound 1 730 mg 100 IU/mL Apidra .RTM.
commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0761] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0762] The final pH is adjusted to 7.4.+-.0.4.
[0763] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B43. Preparation of a 100 IU/mL aspart insulin solution in the
presence of compound 2 and citrat
[0764] For a final volume of 100 mL of formulation, with a
[compound 2]/[aspart insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00036 Lyophilized compound 2 730 mg 100 IU/mL Novolog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0765] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0766] The final pH is adjusted to 7.4.+-.0.4.
[0767] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B44. Preparation of a 100 IU/mL Glulisine Insulin Solution in the
Presence of Compound 2 and Citrate
[0768] For a final volume of 100 mL of formulation, with a
[compound 2]/[glulisine insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00037 Lyophilized compound 2 730 mg 100 IU/mL Apidra .RTM.
commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0769] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0770] The final pH is adjusted to 7.4.+-.0.4.
[0771] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B45. Preparation of a 100 IU/mL lispro insulin solution in the
presence of compound 5 and citrat
[0772] For a final volume of 100 mL of formulation, with a
[compound 5]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00038 Lyophilized compound 5 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0773] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0774] The final pH is adjusted to 7.4.+-.0.4.
[0775] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B46. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 6 and Citrate
[0776] For a final volume of 100 mL of formulation, with a
[compound 6]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00039 Lyophilized compound 6 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0777] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0778] The final pH is adjusted to 7.4.+-.0.4.
[0779] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B47. Preparation of a 100 IU/mL lispro insulin solution in the
presence of compound 7 and citrate
[0780] For a final volume of 100 mL of formulation, with a
[compound 7]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00040 Lyophilized compound 7 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0781] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0782] The final pH is adjusted to 7.4.+-.0.4.
[0783] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B48. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 8 and Citrate
[0784] For a final volume of 100 mL of formulation, with a
[compound 8]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00041 Lyophilized compound 8 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0785] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0786] The final pH is adjusted to 7.4.+-.0.4.
[0787] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B49. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 9 and Citrate
[0788] For a final volume of 100 mL of formulation, with a
[compound 9]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00042 Lyophilized compound 9 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0789] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0790] The final pH is adjusted to 7.4.+-.0.4.
B50. Preparation of a 100 IU/mL Human Insulin Solution the Presence
of Compound 5 and Citrate
[0791] For a final volume of 100 mL of formulation, with a
[compound 5]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00043 Lyophilized compound 5 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0792] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0793] The final pH is adjusted to 7.4.+-.0.4.
[0794] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B51. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 6 and Citrate
[0795] For a final volume of 100 mL of formulation, with a
[compound 6]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00044 Lyophilized compound 6 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0796] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0797] The final pH is adjusted to 7.4.+-.0.4.
[0798] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B52. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 7 and Citrate
[0799] For a final volume of 100 mL of formulation, with a
[compound 7]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00045 Lyophilized compound 7 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0800] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0801] The final pH is adjusted to 7.4.+-.0.4.
[0802] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B53. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 8 and Citrate
[0803] For a final volume of 100 mL of formulation, with a
[compound 8]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00046 Lyophilized compound 8 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0804] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0805] The final pH is adjusted to 7.4.+-.0.4.
[0806] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B54. Preparation of a 100 IU/mL human insulin solution in the
presence of compound 0 and citrate
[0807] For a final volume of 100 mL of formulation, with a
[compound 9]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00047 Lyophilized compound 9 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0808] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0809] The final pH is adjusted to 7.4.+-.0.4.
[0810] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B55. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 2
[0811] For a final volume of 100 mL of formulation, with a
[compound 2]/[human insulin] mass ratio of 2.0, the various
reagents are added in the amounts specified below and in the
following order:
TABLE-US-00048 Lyophilized compound 2 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL
[0812] The final pH is adjusted to 7.4.+-.0.4.
[0813] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B56. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 7
[0814] For a final volume of 100 mL of formulation, with a
[compound 7]/[human insulin] mass ratio of 2.0, the various
reagents are added in the amounts specified below and in the
following order:
TABLE-US-00049 Lyophilized compound 7 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL
[0815] The final pH is adjusted to 7.4.+-.0.4.
[0816] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B57. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 10 and Citrate
[0817] For a final volume of 100 mL of formulation, with a
[compound 10]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00050 Lyophilized compound 10 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0818] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0819] The final pH is adjusted to 7.4.+-.0.4.
[0820] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B58. Preparation of a 100 IU/mL Lispro Insulin Solution in the
Presence of Compound 11 and Citrate
[0821] For a final volume of 100 mL of formulation, with a
[compound 11]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00051 Lyophilized compound 11 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0822] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0823] The final pH is adjusted to 7.4.+-.0.4.
B59. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 10 and Citrate
[0824] For a final volume of 100 mL of formulation, with a
[compound 10]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00052 Lyophilized compound 10 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0825] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0826] The final pH is adjusted to 7.4.+-.0.4.
[0827] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B60. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 11 and Citrate
[0828] For a final volume of 100 mL of formulation, with a
[compound 11]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00053 Lyophilized compound 11 730 mg 100 IU/mL Humulin
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0829] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0830] The final pH is adjusted to 7.4.+-.0.4.
[0831] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B61. Preparation of a 200 IU/mL Aspart Insulin Solution
[0832] The commercial formulation of aspart insulin (Novolog.RTM.)
was concentrated using Amicon Ultra-15 centrifugation tubes with a
3 kDa cut-off threshold. The Amicon tubes were first rinsed with 12
mL of deionized water. 12 mL of the commercial formulation were
centrifuged for 35 minutes at 4000 g at 20.degree. C. The volume of
the ratentate was measured and the concentration thus estimated.
All the retentates were pooled and the overall concentration was
estimated (>200 IU/mL).
[0833] The concentration of this concentrated aspart insulin
solution was adjusted to 200 IU/mL by adding the commercial aspart
insulin formulation (Novolog.RTM.). The concentrated aspart insulin
formulation has the same concentrations of excipients (m-cresol,
glycerol) as the commercial formulation at 100 IU/mL.
[0834] By modifying the centrifugation time and the final dilution
with the commercial formulation, it is possible to prepare in the
same manner aspart insulin formulations at 300, 400 or 500
IU/mL.
[0835] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B62. Preparation of a 200 IU/mL Glulisine Insulin Solution
[0836] The commercial formulation of glulisine insulin
(Apidra.RTM.) was concentrated using Amicon Ultra-15 centrifugation
tubes with a 3 kDa cut-off threshold. The Amicon tubes were first
rinsed with 12 mL of deionized water. 12 mL of the commercial
formulation were centrifuged for 35 minutes at 4000 g at 20.degree.
C. The volume of the retentate was measured and the concentration
thus estimated. All the retentates were pooled and the overall
concentration was estimated (>200 IU/mL).
[0837] The concentration of this concentrated glulisine insulin
solution was adjusted to 200 IU/mL by adding the commercial
glulisine insulin formulation (Apidra.RTM.). The concentrated
glulisine insulin formulation has the same concentrations of
excipients (m-cresol, NaCl, TRIS) as the commercial formulation at
100 IU/mL.
[0838] By modifying the centrifugation time and the final dilution
with the commercial formulation, it is possible to prepare in the
same manner glulisine insulin formulations at 300, 400 or 500
IU/mL.
[0839] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B63. Preparation of a 200 IU/mL Aspart Insulin Solution in the
Presence of Compound 1 at 14.6 Mg/mL and 16.6 mM Citrate
[0840] For a final volume of 100 mL of formulation, with a
[compound 1]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below and in the
following order:
TABLE-US-00054 Lyophilizate of compound 1 1460 mg 200 IU/mL aspart
insulin 100 mL 1.188M sodium citrate solution 1566 .mu.L
[0841] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B64. Preparation of a Human Inulln, Lispro Insulin, Aspart Insulin
or Glulisine Insulin Solution at 300, 400 and 500 IU/mL
[0842] Concentrated formulations of human insulin, lispro insulin,
aspart insulin or glulisine insulin at 300 IU/mL, 400 IU/mL or 500
IU/mL (and also at all intermediate concentrations) are prepared on
the basis of the protocol of example B62 relating to the
preparation of a 200 IU/mL glulisine insulin solution. The
commercial insulin formulation is concentrated using Amicon
Ultra-15 centrifugation tubes with a 3 kDa cut-off threshold. The
Amicon tubes are first rinsed with 12 mL of deionized water. 12 mL
of the commercial formulation are centrifuged at 4000 g at
20.degree. C. By modifying the centrifugation time, it is possible
to adjust the final concentration of insulin in the formulation.
The volume of the retentate is measured and the concentration is
thus estimated. All the retentates are pooled and the overall
concentration is estimated (>300, 400 or 500 IU/mL).
[0843] The concentration of this concentrated insulin solution is
adjusted to the desired concentration (e.g. 300 IU/mL, 400 IU/mL or
500 IU/mL) by addition of the insulin formulation (Humulin.RTM. R,
Novolog.RTM., Humelog.RTM. or Apidra.RTM.). The concentrated
insulin formulation has the same concentrations of excipients as
the commercial formulation at 100 IU/mL.
[0844] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B85. Preparation of a 200 IU/mL Glulisine Insulin Solution in the
Presence of Compound and Citrate
[0845] For a final volume of 100 mL of formulation, with a
[compound 1]/[glulisine insulin] mass ratio of 2, the various
reagents are mixed in the amounts specified below and in the
following order:
TABLE-US-00055 Lyophilizate of compound 1 1460 mg 200 IU/mL
glulisine insulin 100 mL 1.188M sodium citrate solution 1566
.mu.L
[0846] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B66. Preparation of a 300 IU/mL aspart insulin solution in the
presence of compound 1 and citrate
[0847] For a final volume of 100 mL of formulation, with a
[compound 1]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00056 300 IU/mL aspart insulin 100 mL Lyophilizate of
compound 1 2190 mg Sodium citrate 720 mg
[0848] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B67. Preparation of a 300 IU/mL Glulisine Insulin Solution in the
Presence of Compound 1 and Citrate
[0849] For a final volume of 100 mL of formulation, with a
[compound 1]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00057 300 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 1 2190 mg Sodium citrate 720 mg
[0850] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B68. Preparation of a 400 IU/mL Aspart Insulin Solution in the
Presence of Compound 1 and Citrate
[0851] For a final volume of 100 mL of formulation, with a
[compound 1]/[aspart insulin] mass ratio of 2, the various reagents
are mixed in the amounts specified below:
TABLE-US-00058 400 IU/mL aspart insulin 100 mL Lyophilizate of
compound 1 2920 mg Sodium citrate 960 mg
[0852] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B69. Preparation of a 400 IU/mL glulisine insulin solution in the
presence of compound 1 and citrate
[0853] For a final volume of 100 mL of formulation, with a
[compound 1]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00059 400 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 1 2920 mg Sodium citrate 960 mg
[0854] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B70. Preparation of a 500 IU/mL Aspart Insulin Solution in the
Presence of Compound 1 and Citrate
[0855] For a final volume of 100 mL of formulation, with a
[compound 1]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00060 500 IU/mL aspart insulin 100 mL Lyophilizate of
compound 1 3650 mg Sodium citrate 1200 mg
[0856] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B71. Preparation of a 500 IU/mL Glulisine Insulin Solution in the
Presence of Compound and Citrate
[0857] For a final volume of 100 mL of formulation, with a
[compound 1]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00061 500 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 1 3650 mg Sodium citrate 1200 mg
[0858] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B72. Preparation of a 300 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Citrate
[0859] For a final volume of 100 mL of formulation, with a
[compound 1]/[human insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00062 300 IU/mL human insulin 100 mL Lyophilizate of
compound 1 2190 mg Sodium citrate 720 mg
[0860] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B73. Preparation of a 300 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and Citrate
[0861] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00063 300 IU/mL lispro insulin 100 mL Lyophilizate of
compound 1 2190 mg Sodium citrate 720 mg
[0862] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B74. Preparation of a 400 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Citrate
[0863] For a final volume of 100 mL of formulation, with a
[compound 1]/[human insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00064 400 IU/mL human insulin 100 mL Lyophilizate of
compound 1 2920 mg Sodium citrate 960 mg
[0864] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B75. Preparation of a 400 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and Citrate
[0865] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00065 400 IU/mL lispro insulin 100 mL Lyophilizate of
compound 1 2920 mg Sodium citrate 960 mg
[0866] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B76. Preparation of a 500 IU/mL Human Insulin Solution in the
Presence of Compound 1 and Citrate
[0867] For a final volume of 100 mL of formulation, with a
[compound 1]/[human insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00066 500 IU/mL human insulin 100 mL Lyophilizate of
compound 1 3650 mg Sodium citrate 1200 mg
[0868] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B77. Preparation of a 500 IU/mL Lispro Insulin Solution in the
Presence of Compound 1 and Citrate
[0869] For a final volume of 100 mL of formulation, with a
[compound 1]/[lispro insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00067 500 IU/mL lispro insulin 100 mL Lyophilizate of
compound 1 3650 mg Sodium citrate 1200 mg
[0870] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B78. Preparation of a 200 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and Citrate
[0871] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00068 200 IU/mL lispro insulin 100 mL Lyophilizate of
compound 2 1460 mg 1.188M sodium citrate solution 1566 .mu.L
[0872] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B70. Preparation of a 200 IU/mL Aspart Inulln Solution in the
Presence of Compound 2 and Citrate
[0873] For a final volume of 100 mL of formulation, with a
[compound 2]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00069 200 IU/mL aspart insulin 100 mL Lyophilizate of
compound 2 1460 mg 1.188M sodium citrate solution 1566 .mu.L
[0874] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B80. Preparation of a 200 IU/mL Glulisine Insulin Solution in the
Presence of Compound 2 and Citrate
[0875] For a final volume of 100 mL of formulation, with a
[compound 2]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00070 200 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 2 1460 mg 1.188M sodium citrate solution 1566 .mu.L
[0876] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B81. Preparation of a 300 IU/mL Aspart Insulin Solution in the
Presence of Compound 2 and Citrate
[0877] For a final volume of 100 mL of formulation, with a
[compound 2]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00071 300 IU/mL aspart insulin 100 mL Lyophilizate of
compound 2 2190 mg Sodium citrate 720 mg
[0878] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B82. Preparation of a 300 IU/mL Glulisine Insulin Solution in the
Presence of Compound 2 and Citrate
[0879] For a final volume of 100 mL of formulation, with a
[compound 2]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00072 300 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 2 2190 mg Sodium citrate 720 mg
[0880] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B83. Preparation of a 400 IU/mL Aspart Insulin Solution in the
Presence of Compound 2 and Citrate
[0881] For a final volume of 100 mL of formulation, with a
[compound 2]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00073 400 IU/mL aspart insulin 100 mL Lyophilizate of
compound 2 2920 mg Sodium citrate 960 mg
[0882] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B84. Preparation of a 400 IU/mL Glulisine Insulin Solution in the
Presence of Compound 2 and Citrate
[0883] For a final volume of 100 mL of formulation, with a
[compound 2]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00074 400 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 2 2920 mg Sodium citrate 960 mg
[0884] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B85. Preparation of a 500 IU/mL Aspart Insulin Solution in the
Presence of Compound 2 and Citrate
[0885] For a final volume of 100 mL of formulation, with a
[compound 2]/[aspart insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00075 500 IU/mL aspart insulin 100 mL Lyophilizate of
compound 2 3650 mg Sodium citrate 1200 mg
[0886] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B86. Preparation of a 500 IU/mL glulisine insulin solution in the
presence of compound 2 and citrate
[0887] For a final volume of 100 mL of formulation, with a
[compound 2]/[glulisine insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00076 500 IU/mL glulisine insulin 100 mL Lyophilizate of
compound 2 3650 mg Sodium citrate 1200 mg
[0888] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B87. Preparation of a 300 IU/mL Human Insulin Solution in the
Presence of Compound 2 and Citrate
[0889] For a final volume of 100 mL of formulation, with a
[compound 2]/[human insulin] mass ratio of 2, the various reagents
are mixed in the amounts specified below:
TABLE-US-00077 300 IU/mL human insulin 100 mL Lyophilizate of
compound 2 2190 mg Sodium citrate 720 mg
[0890] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B88. Preparation of a 300 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and Citrate
[0891] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00078 300 IU/mL lispro insulin 100 mL Lyophilizate of
compound 2 2190 mg Sodium citrate 720 mg
[0892] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B89. Preparation of a 400 IU/mL Human Insulin Solution in the
Presence of Compound 2 and Citrate
[0893] For a final volume of 100 mL of formulation, with a
[compound 2]/[human insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00079 400 IU/mL human insulin 100 mL Lyophilizate of
compound 2 2920 mg Sodium citrate 960 mg
[0894] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B90. Preparation of a 400 IU/mL Lispro Insulin Solution the
Presence of 5 Compound 2 and Citrate
[0895] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00080 400 IU/mL lispro insulin 100 mL Lyophilizate of
compound 2 2920 mg Sodium citrate 960 mg
[0896] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B91. Preparation of a 500 IU/mL Human Insulin Solution in the
Presence of Compound 2 and Citrate
[0897] For a final volume of 100 mL of formulation, with a
[compound 2]/[human insulin] mass ratio of 2.0, the various
reagents are mixed in the amounts specified below:
TABLE-US-00081 500 IU/mL human insulin 100 mL Lyophilizate of
compound 2 3650 mg Sodium citrate 1200 mg
[0898] The final pH is adjusted to 7.4.+-.0.4. The clear solution
is filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B92. Preparation of a 500 IU/mL Lispro Insulin Solution in the
Presence of Compound 2 and Citrate
[0899] For a final volume of 100 mL of formulation, with a
[compound 2]/[lispro insulin] mass ratio of 2.0, the various
reagents are added in the amounts specified below:
TABLE-US-00082 500 IU/mL lispro insulin 100 mL Lyophilizate of
compound 2 3650 mg Sodium citrate 1200 mg
[0900] The final pH is adjusted to 7.4=0.4. The clear solution is
filtered through a 0.22 .mu.m membrane and stored at 4.degree.
C.
B93. Preparation of a 100 IU/mL lispro insulin solution in the
presence of compound 3 and citrate
[0901] For a final volume of 100 mL of formulation, with a
[compound 3]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00083 Lyophilized compound 3 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0902] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0903] The final pH is adjusted to 7.4.+-.0.4.
[0904] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B94. Preparation of a 100 IU/mL lispro insulin solution in the
presence of compound 4 and citrate
[0905] For a final volume of 100 mL of formulation, with a
[compound 4]/[lispro insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00084 Lyophilized compound 4 730 mg 100 IU/mL Humalog
.RTM. commercial solution 100 mL 1.188M sodium citrate solution 783
.mu.L
[0906] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0907] The final pH is adjusted to 7.4.+-.0.4.
[0908] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B95. Preparation of a 100 IU/mL Human Insulin Solution in the
Presence of Compound 3 and Citrate
[0909] For a final volume of 100 mL of formulation, with a
[compound 3]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00085 Lyophilized compound 3 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0910] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0911] The final pH is adjusted to 7.4.+-.0.4.
[0912] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
B96. Preparation of a 100 IU/mL human insulin solution in the
presence of compound 4 and citrate
[0913] For a final volume of 100 mL of formulation, with a
[compound 4]/[human insulin] mass ratio of 2.0 and a citrate
concentration of 9.3 mM, the various reagents are added in the
amounts specified below and in the following order:
TABLE-US-00086 Lyophilized compound 4 730 mg 100 IU/mL Humulin
.RTM. R commercial solution 100 mL 1.188M sodium citrate solution
783 .mu.L
[0914] For the citrate, use may be made of the acid form or the
basic form in the form of the sodium salt, the potassium salt or
another salt that is compatible with an injectable formulation.
[0915] The final pH is adjusted to 7.4.+-.0.4.
[0916] The clear solution is filtered through a 0.22 .mu.m membrane
and stored at 4.degree. C.
C Pharmacodynamics and Pharmacokinetics
C1: Protocol for Measuring the Pharmacodynamics of the Insulin
Solutions
[0917] Twelve domestic pigs weighing about 50 kg, catheterized
beforehand in the jugular vein, are fasted for 2.5 hours before the
start of the experiment. In the hour preceding the injection of
insulin, three blood samples are taken in order to determine the
basal level of glucose and of insulin.
[0918] The injection of insulin at a dose of 0.09 IU/kg for lispro
insulin and at a dose of 0.125 IU/kg for human insulin and aspart
insulin is performed subcutaneously into the neck, under the
animal's ear, using a Novopen insulin pen equipped with a 31 G
needle.
[0919] Blood samples are then taken every 4 minutes for 20 minutes
and then every 10 minutes up to 3 hours. After taking each sample,
the catheter is rinsed with a dilute heparin solution.
[0920] A drop of blood is taken to determine the glycemia using a
glucometer.
[0921] The glucose pharmacodynamic curves are then plotted and the
time required to reach the minimum glucose level in the blood for
each pig is determined and reported as the glucose Tmin. The mean
of the glucose Tmin values is then calculated.
[0922] The remaining blood is collected in a dry tube and is
centrifuged to isolate the serum. The insulin levels in the serum
samples are measured via the sandwich ELISA immunoenzymatic method
for each pig.
[0923] The pharmacokinetic curves are then plotted. The time
required to reach the maximum insulin concentration in the serum
for each pig is determined and reported as the insulin Tmax. The
mean of the insulin Tmax values is then calculated.
C2: Pharmacodynamic and Pharmacokinetic Results for the Insulin
Solutions of Examples B2 and B8
TABLE-US-00087 [0924] Polyanionic Number of Example Insulin
Compound compound pigs B2 Lispro -- -- 11 B8 Lispro 1 Citrate 9.3
mM 10
[0925] The pharmacodynamic results obtained with the formulations
described in examples B2 and B8 are presented in FIG. 1. According
to the invention, the analysis of these curves shows that the
formulation of example B8 comprising compound 1 and citrate at 9.3
mM as excipient (curve plotted with the squares corresponding to
example B8, glucose Tmin=30.+-.11 min) makes it possible to obtain
more rapid action than that obtained with the Humalog.RTM.
commercial formulation of example B2 (curve plotted with the
triangles corresponding to example B2, glucose Tmin=44.+-.14
min).
[0926] The pharmacokinetic results obtained with the formulations
described in examples B2 and B8 are presented in FIG. 2. According
to the invention, the analysis of these curves shows that the
formulation of example B8 comprising compound 1 and citrate at 9.3
mM as excipients (curve plotted with the squares corresponding to
example B8, insulin Tmax=11.+-.6 min) induces more rapid absorption
of the lispro insulin than that of the Humalog.RTM. commercial
formulation of example B2 (curve plotted with the triangles
corresponding to example B2, insulin Tmax=18.+-.8 min).
C3: Pharmacodynamic and Pharmacokinetic Results for the Insulin
Solutions of Examples
TABLE-US-00088 [0927] Polyanionic Number of Example Insulin
Compound compound pigs B2 Lispro -- -- 11 B10 Lispro 1 Polyanionic
11 compound 1
[0928] The pharmacodynamic results obtained with the formulations
described in examples B2 and B10 are presented in FIG. 3. According
to the invention, the analysis of these curves shows that the
formulation of example B10 comprising compound 1 and the
polyanionic compound 1 as excipients at 20 mg/mL (curve plotted
with the squares corresponding to example B10, glucose
Tmin=33.+-.13 min) makes it possible to obtain more rapid action
than that obtained with the Humalog.RTM. commercial formulation of
example B2 (curve plotted with the triangles corresponding to
example B2, glucose Tmin=44.+-.14 min).
[0929] The pharmacokinetic results obtained with the formulations
described in examples B2 and B10 are presented in FIG. 4. According
to the invention, the analysis of these curves shows that the
formulation of example B10 comprising compound 1 and the
polyanionic compound 1 as excipients at 20 mg/mL (curve plotted
with the squares corresponding to example B10, insulin Tmax=15.+-.9
min) induces more rapid absorption of the lispro insulin than that
of the Humalog.RTM. commercial formulation of example B2 (curve
plotted with the triangles corresponding to example B2, insulin
Tmax=18.+-.8 min).
C4: Pharmacodynamic and Pharmacokinetic Results for the Insulin
Solutions of Examples
TABLE-US-00089 [0930] Polyanionic Number of Example Insulin
Compound compound pigs B2 Lispro -- -- 12 B7 Lispro 1 -- 12
[0931] The pharmacodynamic results obtained with the formulations
described in examples B2 and B7 are presented in FIG. 5. According
to the invention, the analysis of these curves shows that the
formulation of example B7 comprising compound 1 as excipient (curve
plotted with the squares corresponding to example B7, glucose
Tmin=41.+-.16 min) includes more rapid onset of action than that
obtained with the Humalog.RTM. commercial formulation of example 62
(curve plotted with the triangles corresponding to example B2,
glucose Tmin=50.+-.14 min).
[0932] The pharmacokinetic results obtained with the formulations
described in examples B2 and B7 are presented in FIG. 6. The
analysis of these curves shows that the formulation comprising
compound 1 as excipient (curve plotted with the squares
corresponding to example B2, insulin Tmax=21.+-.10 min) does not
induce more rapid absorption of the lispro insulin than that of the
Humalog.RTM. commercial formulation of example B2 (curve plotted
with the triangles corresponding to example B2 (Insulin
Tmax=20.+-.9 min). Compound 1 alone is therefore insufficient to
induce significant acceleration of the pharmacokinetics of lispro
insulin.
C5: Pharmacodynamic and pharmacokinetic results for the insulin
solutions of examples B1 and B3
TABLE-US-00090 Polyanionic Number of Example Insulin Compound
compound pigs B1 Aspart -- -- 11 B3 Human -- -- 11
[0933] The pharmacodynamic results obtained with the formulations
described in examples B1 and B3 are presented in FIG. 7. The
analysis of these curves shows that the human insulin formulation
of example B3 (curve plotted with the squares corresponding to
example B3, glucose Tmin=61.+-.31 min) does indeed have slower
action than that of the aspart insulin commercial formulation of
example B1 (curve plotted with the triangles corresponding to
example B1, glucose Tmin=44.+-.13 min).
[0934] The pharmacokinetic results obtained with the formulations
described in examples 81 and 83 are presented in FIG. 8. The
analysis of these curves shows that the human insulin formulation
alone of example B3 (curve plotted with the squares corresponding
to example B3, insulin Tmax=36.+-.33 min) does indeed induce slower
absorption than that of the aspart insulin commercial formulation
(Novolog.RTM.) of example B1 (curve plotted with the triangles
corresponding to example B1, insulin Tmax=28=13 min).
[0935] These results are in accordance with the literature results,
with acceleration of the lowering of glycemia and of the absorption
of insulin for a rapid insulin analog relative to a human
insulin.
C6: Pharmacodynamic and pharmacokinetic results for the insulin
solutions of examples B1 and B39
TABLE-US-00091 Polyanionic Number of Example Insulin Compound
compound pigs B1 Aspart -- -- 14 B39 Human 1 Citrate 9.3 mM 5
[0936] The pharmacodynamic results obtained with the formulations
described in examples B1 and B39 are presented in FIG. 9. The
analysis of these curves shows that the formulation based on human
insulin of example B39 comprising compound 1 and citrate at 9.3 mM
as excipients (curve plotted with the squares corresponding to
example B39, glucose Tmin=46.+-.9 min) makes it possible to obtain
similar action to that obtained with the aspart insulin commercial
formulation (Novolog.RTM.) of example B1 (curve plotted with the
triangles corresponding to example B1, glucose Tmin=53.+-.24
min).
[0937] The pharmacokinetic results obtained with the formulations
described in examples 81 and B39 are presented in FIG. 10. The
analysis of these curves shows that the formulation of example B39
comprising compound 1 and citrate at 9.3 mM as excipients (curve
plotted with the squares corresponding to example B39, insulin
Tmax=20.+-.7 min) induces insulin absorption similar to that
obtained with the aspart insulin commercial formulation
(Novolog.RTM.) of example B1 (curve plotted with the triangles
corresponding to example B1, insulin Tmax=22.+-.10 min).
[0938] Since the time parameters for the aspart insulin
(Novolog.RTM.) between examples C5 and C6 are similar, it may be
deduced by extrapolation that the formulation of example B39
induces acceleration of the lowering of glycemia and of the
absorption of human insulin relative to the commercial formulation
of human insulin (example B3).
C7: Pharmacodynamic and pharmacokinetic results for the insulin
solutions of examples B2 and B11
TABLE-US-00092 Polyanionic Number of Example Insulin Compound
compound pigs B2 Lispro -- -- 26 B11 Lispro 2 Citrate 9.3 mM 23
[0939] The pharmacodynamic results obtained with the formulations
described in examples B2 and B11 are presented in FIG. 13.
According to the invention, the analysis of these curves shows that
the formulation of example B11 comprising compound 2 and citrate at
9.3 mM as excipients (curve plotted with the squares corresponding
to example B11, glucose Tmin=32.+-.10 min) makes it possible to
obtain more rapid action than that obtained with the Humalog.RTM.
commercial formulation of example B2 (curve plotted with the
triangles corresponding to example B2, glucose Tmin=41.+-.21
min).
[0940] The pharmacokinetic results obtained with the formulations
described in examples B2 and 811 are presented in FIG. 14.
According to the invention, the analysis of these curves shows that
the formulation of example B11 comprising compound 2 and citrate at
9.3 mM as excipients (curve plotted with the squares corresponding
to example B11, insulin Tmax=13.+-.5 min) induces more rapid
absorption of the lispro insulin than that of the Humalog.RTM.
commercial formulation of example B2 (curve plotted with the
triangles corresponding to example B2, insulin Tmax=22.+-.13
min).
C8: Pharmacodynamic and pharmacokinetic results for the insulin
solutions of examples B1 and 838
TABLE-US-00093 Polyanionic Number of Example Insulin Compound
compound pigs B1 Aspart -- -- 37 B38 Human 2 Citrate 9.3 mM 31
[0941] The pharmacodynamic results obtained with the formulations
described in examples B1 and B38 are presented in FIG. 15. The
analysis of these curves shows that the formulation based on human
insulin of example B38 comprising compound 2 and citrate at 9.3 mM
as excipients (curve plotted with the squares corresponding to
example B102, glucose Tmin=47.+-.30 min) makes it possible to
obtain similar action to that obtained with the aspart insulin
commercial formulation (Novolog.RTM.) of example B1 (curve plotted
with the triangles corresponding to example B1, glucose
Tmin=47.+-.15 min).
[0942] The pharmacokinetic results obtained with the formulations
described in examples 81 and B38 are presented in FIG. 16. The
analysis of these curves shows that the formulation of example B38
comprising compound 2 and citrate at 9.3 mM as excipients (curve
plotted with the squares corresponding to example B38, insulin
Tmax=22.+-.21 min) induces human insulin absorption similar to that
obtained with the aspart insulin commercial formulation
(Novolog.RTM.) of example B1 (curve plotted with the triangles
corresponding to example B1, insulin Tmax=19.+-.12 min).
[0943] Since the time parameters for the aspart insulin
(Novolog.RTM.) between examples C5 and C8 are similar, it may be
deduced by extrapolation that the formulation of example B38
Induces acceleration of the lowering of glycemia and of the
absorption of human insulin relative to the commercial formulation
of human insulin (example B3).
C9: Pharmacodynamic and pharmacokinetic results for the insulin
solutions of examples 81 and B53
TABLE-US-00094 Polyanionic Number of Example Insulin Compound
compound pigs B1 Aspart -- -- 12 B53 Human Compound 8 Citrate 9.3
mM 8
[0944] The pharmacodynamic results obtained with the formulations
described in examples B1 and B53 are presented in FIG. 17. The
analysis of these curves shows that the formulation based on human
insulin of example B53 comprising compound 8 and citrate at 9.3 mM
as excipients (curve plotted with the squares corresponding to
example B53, glucose Tmin=63.+-.36 min) makes it possible to obtain
action virtually as rapid as that obtained with the aspart insulin
commercial formulation (Novolog.RTM.) of example B1 (curve plotted
with the triangles corresponding to example B1, glucose
Tmin=53.+-.19 min).
[0945] The pharmacokinetic results obtained with the formulations
described in examples B1 and B53 are presented in FIG. 18. The
analysis of these curves shows that the formulation of example B53
comprising compound 8 and citrate at 9.3 mM as excipients (curve
plotted with the squares corresponding to example B53, insulin
Tmax=19.+-.12 min) induces human insulin absorption similar to that
obtained with the aspart insulin commercial formulation
(Novolog.RTM.) of example B1 (curve plotted with the triangles
corresponding to example B1, insulin Tmax=19.+-.6 min).
[0946] Since the time parameters for the aspart insulin
(Novolog.RTM.) between examples C5 and C9 are similar, it may be
deduced by extrapolation that the formulation of example B53
induces acceleration of the lowering of glycemia and of the
absorption of human insulin relative to the commercial formulation
of human insulin (example B3).
D Circular Dichroism
D1: Association State of Lispro Insulin Evaluated by Circular
Dichroism in the Presence of Compound 1
[0947] Circular dichroism makes it possible to study the secondary
and quaternary structure of insulin. The insulin monomers are
organized as dimers and as hexamers. The hexamer is the physically
and chemically most stable form of insulin. Two hexameric forms
exist, the R6 form and the T6 form. Lispro insulin has a strong CD
signal at 251 nm characteristic of the R6 hexameric form (most
stable form). Loss of the CD signal at 251 nm is linked to
destabilization of the hexamer (and thus the first sign of
transformation of the hexamer into dimer).
[0948] EDTA and the EDTA/citrate mixture completely destructure the
R6 form of lispro insulin (FIG. 11). EDTA thus has a pronounced
effect on the hexamer.
[0949] In contrast, citrate alone, compound 1 alone, and also the
mixture compound 1/citrate and compound 1/polyanionic compound 1,
have virtually no impact on the CD signal at 251 nm. These
compounds therefore have virtually no impact on the R6 structure of
the hexamer and, all the less so, on the hexameric structure.
D2: Association State of Human Insulin Evaluated by Circular
Dichroism in the Presence of Compound 1
[0950] Circular dichroism makes it possible to study the secondary
and quaternary structure of insulin. The insulin monomers are
organized as dimers and as hexamers. The hexamer is the physically
and chemically most stable form of insulin. The CD signal at 275 nm
is characteristic of the hexameric form of insulin (hexamer signal
at about -300.degree., signal for the dimer between -200.degree.
and -250.degree., and signal for the monomer below -200.degree.).
Loss of the CD signal at 275 nm is therefore characteristic of
destabilization of the hexamer into dimers or monomers.
[0951] EDTA and the EDTA/citrate combination have a very pronounced
impact on the hexameric structure of human insulin (total
dissociation of the hexamer into dimers, FIG. 12). In contrast,
citrate alone, compound 1 alone, the polyanionic compound 1 alone
and also the compound 1/citrate and compound 1/polyanionic compound
1 combinations have no impact on the hexameric structure of human
insulin. Unlike EDTA, the human insulin formulations comprising
compound 1 and citrate or the polyanionic compound 1 do not show
any dissociation of the human insulin hexamer.
D3: Association State of Lispro Insulin Evaluated by Circular
Dichroism in the Presence of Compounds 1 to 11
[0952] Circular dichroism makes it possible to study the secondary
and quaternary structure of insulin. The insulin monomers are
organized as dimers and as hexamers. The hexamer is the physically
and chemically most stable form of insulin. Two hexameric forms
exist, the R6 form and the T6 form. Lispro insulin has a strong CD
signal at 251 nm characteristic of the R6 hexameric form (most
stable form). Loss of the CD signal at 251 nm is linked to
destabilization of the hexamer (and thus the first sign of
transformation of the hexamer into dimer). The results obtained are
presented in FIG. 19. This figure describes on the x-axis:
[0953] A: lispro insulin (100 IU/mL)
[0954] B: lispro insulin+7.3 mg/mL of compound 2
[0955] C: lispro insulin+7.3 mg/mL of compound 2+citrate at 9.3
mM
[0956] D: lispro insulin+7.3 mg/mL of compound 1
[0957] E: lispro insulin+7.3 mg/mL of compound 1+citrate at 9.3
mM
[0958] F: lispro insulin+7.3 mg/mL of compound 3
[0959] G: lispro insulin+7.3 mg/mL of compound 3+citrate at 9.3
mM
[0960] H: lispro insulin+7.3 mg/mL of compound 4
[0961] I: lispro insulin+7.3 mg/mL of compound 4+citrate at 9.3
mM
[0962] J: lispro insulin+7.3 mg/mL of compound 5
[0963] K: lispro insulin+7.3 mg/mL of compound 5+citrate at 9.3
mM
[0964] L: lispro insulin+7.3 mg/mL of compound 6
[0965] M: lispro insulin+7.3 mg/mL of compound 6+citrate at 9.3
mM
[0966] N: lispro insulin+7.3 mg/mL of compound 7
[0967] O: lispro insulin+7.3 mg/mL of compound 7+citrate at 9.3
mM
[0968] P: lispro insulin+7.3 mg/mL of compound 8
[0969] Q: lispro insulin+7.3 mg/mL of compound 8+citrate at 9.3
mM
[0970] R: lispro insulin+7.3 mg/mL of compound 9
[0971] S: lispro insulin+7.3 mg/mL of compound 9+citrate at 9.3
mM
[0972] T: lispro insulin+7.3 mg/mL of compound 10
[0973] U: lispro insulin+7.3 mg/mL of compound 10+citrate at 9.3
mM
[0974] V: lispro insulin+7.3 mg/mL of compound 11
[0975] W: lispro insulin+7.3 mg/mL of compound 11+citrate at 9.3
mM
and on the y-axis the circular dichroism signal at 251 nm
(degcm.sup.2dmol.sup.-1).
[0976] Compounds 1 to 11 alone and also compounds 1 to 11 in
combination with citrate have no impact on the CD signal at 251 nm
for lispro insulin. Compounds 1 to 11 therefore have no impact on
the R6 structure of the hexamer and, all the less so, on the
hexameric structure of lispro insulin.
D4: Association State of Human Insulin Evaluated by Circular
Dichroism in the Presence of Compounds 1 to 11
[0977] Circular dichroism makes it possible to study the secondary
and quaternary structure of insulin. The insulin monomers are
organized as dimers and as hexamers. The hexamer is the physically
and chemically most stable form of insulin. The CD signal at 275 nm
is characteristic of the hexameric form of insulin (hexamer signal
at about -300.degree., signal for the dimer between -200.degree.
and -250.degree., and signal for the monomer below -200.degree.).
Loss of the CD signal at 275 nm is therefore characteristic of
destabilization of the hexamer into dimers or monomers. The results
obtained are presented in FIG. 20. This figure describes on the
x-axis:
[0978] A: human insulin (100 IU/mL)
[0979] B: human insulin+7.3 mg/mL of compound 2
[0980] C: human insulin+7.3 mg/mL of compound 2+citrate at 9.3
mM
[0981] D: human insulin+7.3 mg/mL of compound 1
[0982] E: human insulin+7.3 mg/mL of compound 1+citrate at 9.3
mM
[0983] F: human insulin+7.3 mg/mL of compound 3
[0984] G: human insulin+7.3 mg/mL of compound 3+citrate at 9.3
mM
[0985] H: human insulin+7.3 mg/mL of compound 4
[0986] I: human insulin+7.3 mg/mL of compound 4+citrate at 9.3
mM
[0987] J: human insulin+7.3 mg/mL of compound 5
[0988] K: human insulin+7.3 mg/mL of compound 5+citrate at 9.3
mM
[0989] L: human insulin+7.3 mg/mL of compound 6
[0990] M: human insulin+7.3 mg/mL of compound 6+citrate at 9.3
mM
[0991] N: human insulin+7.3 mg/mL of compound 7
[0992] O: human insulin+7.3 mg/mL of compound 7+citrate at 9.3
mM
[0993] P: lispro insulin+7.3 mg/mL of compound 8
[0994] Q: lispro insulin+7.3 mg/mL of compound 8+citrate at 9.3
mM
[0995] R: lispro insulin+7.3 mg/mL of compound 9
[0996] S: lispro insulin+7.3 mg/mL of compound 9+citrate at 9.3
mM
[0997] T: lispro insulin+7.3 mg/mL of compound 10
[0998] U: lispro insulin+7.3 mg/mL of compound 10+citrate at 9.3
mM
[0999] V: lispro insulin+7.3 mg/mL of compound 11
[1000] W: lispro insulin+7.3 mg/mL of compound 11+citrate at 9.3
mM
and on the y-axis the circular dichroism signal at 275 nm
(degcm.sup.2dmol.sup.-1).
[1001] Compounds 1 to 11 alone and also compounds 1 to 11 in
combination with citrate have no impact on the CD signal at 275 nm
for human insulin. Compounds 1 to 11 therefore have no impact on
the hexameric structure of human insulin.
E Dissolution of Human Insulin and Insulin Analogs at the
Isoelectric Point
E1. Dissolution of Human Insulin at its Isoelectric Point.
[1002] Human insulin has an isoelectric point at 5.3. At this pH of
5.3, human insulin precipitates. A test demonstrating the formation
of a complex of a human insulin with the various compounds is
performed at the isoelectric point. If an intersection exists, it
is possible to dissolve the insulin at its isoelectric point.
[1003] A 200 IU/mL human insulin solution is prepared. Solutions of
compounds at different concentrations (8, 30 or 100 mg/mL) in water
are prepared. An equivolume (50/50) mixture between the human
insulin solution and the solution of compound is prepared to lead
to a solution containing 100 IU/mL of human insulin and the desired
concentration of compound (4, 15, or 50 mg/mL). The pH of the
various solutions is adjusted to pH 5.3 by adding 200 mM acetic
acid.
[1004] The appearance of the solution is documented. If the
solution is turbid, the compound at the test concentration does not
allow dissolution of the human insulin. If the solution is
translucent, the compound allows dissolution of the human insulin
at the test concentration. In this way, the concentration of
compound required to dissolve the human insulin at its isoelectric
point may be determined. The lower this concentration the greater
the affinity of the compound for human insulin.
[1005] The results obtained are presented in Table 3. The results
show that the compounds and the polysaccharides do not have the
same properties in terms of human insulin dissolution.
TABLE-US-00095 TABLE 3 Dissolution of Dissolution of Dissolution of
Compounds human insulin at human insulin at human insulin at
(examples) 100 IU/mL with 100 IU/mL with 100 IU/mL with or
Polysaccharides the compound at 4 the compound at the compound at
(counterexamples) mg/mL 15 mg/mL 50 mg/mL Counterexamples
Polysaccharide 1 Yes Yes Yes Polysaccharide 4 Yes Yes Yes
Polysaccharide 3 Yes Yes Yes Polysaccharide 2 Yes Yes Yes
Polysaccharide 5 Yes Yes Yes Examples Compound 1 No No Yes Compound
2 No No Yes Compound 3 No No Yes Compound 4 No No Yes Compound 6 No
No Yes Compound 8 No No Yes Compound 9 No No Yes Compound 10 No No
Yes
E2. Dissolution of Lispro Insulin at its Isoelectric Point
[1006] Lispro insulin has an isoelectric point at 5.3. At this pH,
lispro insulin precipitates. A test demonstrating the formation of
a complex of lispro insulin with the various compounds is performed
at the isoelectric point. If an interaction exists, it is possible
to dissolve the lispro insulin at its isoelectric point.
[1007] The commercial formulation of lispro insulin (Humalog.RTM.)
is dialyzed against 1 mM PO.sub.4 buffer (pH 7). After dialysis,
the lispro insulin concentration is about 90 IU/mL. The lyophilized
compound is weighed out and dissolved in the lispro insulin
solution to lead to formulations containing lispro insulin at 90
IU/mL and the compound at the desired concentrations (4, 15 or 50
mg/mL). The pH of the various solutions is adjusted to pH 5.3 by
adding 200 mM acetic acid.
[1008] The appearance of the solution is documented. If the
solution is turbid, the compound at the test concentration does not
allow dissolution of the lispro insulin. If the solution is
translucent, the compound allows dissolution of the lispro insulin
at the test concentration. In this way, the concentration of
compound required to dissolve the lispro insulin at its isoelectric
point may be determined. The lower this concentration, the greater
the affinity of the compound for the lispro insulin.
[1009] The results obtained are presented in Table 4. The results
show that the compounds and the polysaccharides do not have the
same properties in terms of lispro insulin dissolution.
TABLE-US-00096 TABLE 4 Dissolution of Dissolution of Dissolution of
Compounds lispro insulin at 90 lispro insulin at 90 lispro insulin
at (examples) IU/mL with the IU/mL with the 90 IU/mL with or
Polysaccharides compound at 4 compound at 15 the compound
(counterexamples) mg/mL mg/mL at 50 mg/ml Counterexamples
Polysaccharide 1 Yes Yes Yes Polysaccharide 3 Yes Yes Yes
Polysaccharide 2 Yes Yes Yes Examples Compound 1 No No Yes Compound
2 No No Yes Compound 3 No No Yes
F Interaction with Albumin
F1:
[1010] In order to determine the interactions between the various
polysaccharides or compounds and a model protein such as albumin, a
Centricon test (membrane with a cut-off threshold of 50 kDa) was
performed. A solution of polysaccharide or of compound at 7.3 mg/mL
was diluted three-fold in a solution of BSA (bovine serum albumin)
at 20 mg/mL in PBS (concentration in the mixture: 2.43 mg/mL of
polysaccharide or of compound, 13.3 mg/mL of albumin and about 100
mM of salts).
[1011] This mixture was centrifuged on a Centricon to make about
half the volume pass through the membrane. The albumin is
quantitatively retained on the Centricon membrane. The
polysaccharides and compounds analyzed alone pass in large majority
through the membrane (for the polysaccharides having the largest
molar masses, about 20% of the polysaccharide is retained).
[1012] Alter centrifugation, the polysaccharide or compound is
assayed by UV in the filtrate. The percentage of polysaccharide or
compound bound to the albumin is calculated via the following
equation:
(1-[polysaccharide or compound in the filtrate in the presence of
albumin]/[polysaccharide or compound in the filtrate in the absence
of albumin])*100
[1013] The results obtained are presented in Table 5. It is very
clearly observed that the polysaccharides of molar mass 5-15 kDa
are strongly retained by the albumin in this test. In contrast, the
compounds of the invention of lower molar mass are markedly less
retained by the albumin in this test.
TABLE-US-00097 TABLE 5 % Polysaccharide or % Polysaccharide or
Compound Compound bound to BSA Counterexamples Polysaccharide 4 97%
Polysaccharide 1 95% Polysaccharide 3 77% Polysaccharide 5 86%
Polysaccharide 2 82% Examples Compound 2 21% Compound 1 20%
Compound 3 27% Compound 4 24% Compound 5 24% Compound 6 26%
Compound 7 27% Compound 8 27% Compound 9 43% Compound 11 35%
* * * * *