Long-acting protein drugs for the treatment of ocular diseases

Nat Commun. 2017 Mar 23:8:14837. doi: 10.1038/ncomms14837.

Abstract

Protein drugs that neutralize vascular endothelial growth factor (VEGF), such as aflibercept or ranibizumab, rescue vision in patients with retinal vascular diseases. Nonetheless, optimal visual outcomes require intraocular injections as frequently as every month. Here we report a method to extend the intravitreal half-life of protein drugs as an alternative to either encapsulation or chemical modifications with polymers. We combine a 97-amino-acid peptide of human origin that binds hyaluronan, a major macromolecular component of the eye's vitreous, with therapeutic antibodies and proteins. When administered to rabbit and monkey eyes, the half-life of the modified proteins is increased ∼3-4-fold relative to unmodified proteins. We further show that prototype long-acting anti-VEGF drugs (LAVAs) that include this peptide attenuate VEGF-induced retinal changes in animal models of neovascular retinal disease ∼3-4-fold longer than unmodified drugs. This approach has the potential to reduce the dosing frequency associated with retinal disease treatments.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Angiogenesis Inhibitors / administration & dosage
  • Angiogenesis Inhibitors / chemistry
  • Angiogenesis Inhibitors / pharmacokinetics
  • Animals
  • Bevacizumab / administration & dosage*
  • Bevacizumab / chemistry
  • Bevacizumab / pharmacokinetics
  • Disease Models, Animal
  • Female
  • Half-Life
  • Humans
  • Hyaluronic Acid / chemistry
  • Intravitreal Injections
  • Macaca fascicularis
  • Male
  • Rabbits
  • Ranibizumab / administration & dosage*
  • Ranibizumab / chemistry
  • Ranibizumab / pharmacokinetics
  • Receptors, Vascular Endothelial Growth Factor / administration & dosage*
  • Receptors, Vascular Endothelial Growth Factor / chemistry
  • Recombinant Fusion Proteins / administration & dosage*
  • Recombinant Fusion Proteins / chemistry
  • Recombinant Fusion Proteins / pharmacokinetics
  • Retinal Diseases / drug therapy*
  • Retinal Diseases / metabolism

Substances

  • Angiogenesis Inhibitors
  • Recombinant Fusion Proteins
  • aflibercept
  • Bevacizumab
  • Hyaluronic Acid
  • Receptors, Vascular Endothelial Growth Factor
  • Ranibizumab