# US 8,569,262 B2 · Polysaccharide compositions and methods of use for the treatment and prevention of disorders associated with progenitor cell mobilization

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- Number: US 8,569,262 B2
- Document ID: US8569262B2
- Status: Granted
- Kind: B2
- Application number: 12/816,369
- Filed: 2010-06-15
- Published: 2010-12-16
- Granted: 2013-10-29
- Earliest claimed: 2007-11-02
- Assignees: Momenta Pharmaceuticals, Inc.
- Applicants: Mallikarjun Sundaram; Takashi Kei Kishimoto; Sucharita Roy
- Inventors: Mallikarjun Sundaram; Takashi Kei Kishimoto; Sucharita Roy
- Web page: https://patentgrep.com/patent/US8569262B2

## CPC

- A61K 31/727: Heparin; Heparan
- A61K 31/404: Indoles, e.g. pindolol
- A61K 31/7068: having oxo groups directly attached to the pyrimidine ring, e.g. cytidine, cytidylic acid
- A61K 33/243: Platinum; Compounds thereof
- A61K 39/395: Antibodies (agglutinins A61K38/36 {; as drug carriers A61K47/50}); Immunoglobulins; Immune serum, e.g. antilymphocytic serum
- A61K 45/06: Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
- A61P 35/00: Antineoplastic agents
- C08B 37/0078: {Degradation products}
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- A61P: SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- C08B: POLYSACCHARIDES; DERIVATIVES THEREOF (polysaccharides containing less than six saccharide radicals attached to each other by glycosidic linkages C07H; fermentation or enzyme-using processes C12P19/00; sugar industry C13; production of cellulose D21)

## Abstract

Polysaccharide preparations lacking substantial anticoagulant activity are provided herein. Methods of making and using such preparations are provided.

## Claims

### Claim 1

A method of lessening, reducing, mitigating, ameliorating, or delaying pancreatic cancer in a subject, comprising administering to the subject a pharmaceutical composition comprising a polysaccharide preparation having the following characteristics:
(a) a weight average chain molecular weight between 3,500 and 8,000 Da;
(b) anti-Xa activity of less than 20 IU/mg and anti-IIa activity of 1 IU/mg or less;
(c) greater than 5% and less than 25% glycol split uronic acid residues; and
(d) a molecular weight distribution such that 10-40% of the polysaccharides of the preparation have a molecular weight <3000 Da; 45-65% of the polysaccharides have a molecular weight between 3000-8000 Da, and 15-30% of the polysaccharides have a molecular weight >8000 Da, wherein, the preparation comprises polysaccharides of Formula I:
[Uw-Hx,y,z]m˜[UG-Hx,y,z]n
wherein each occurrence of U indicates a uronic acid residue and each occurrence of H indicates a hexosamine residue;
wherein m and n are integers such that
m=4-16, and
n=1-4;
each of w, x, y and z can independently be the same or different for each occurrence of [Uw-Hx,y,z] and each of x, y and z can independently be the same or different for each occurrence of [UG-Hx,y,z], wherein
w=-2OS or -2OH;
x=—NS or —NAc;
y=-3OS or -3OH;
z=-6OS or -6OH;
and
wherein the symbol ˜ indicates that the units marked m and n are distributed along the polysaccharide chain and are not necessarily in sequence.

### Claim 2 (depends on 1)

The method of claim 1, wherein the polysaccharide preparation has an anti-Xa activity of less than 15 IU/mg.

### Claim 3 (depends on 1)

The method of claim 1, wherein the polysaccharide preparation has an anti-Xa activity of less than 10 IU/mg.

### Claim 4 (depends on 1)

The method of claim 1, wherein the preparation has greater than 5% and less than 20% glycol split uronic acid residues.

### Claim 5 (depends on 1)

The method of claim 1, wherein the preparation has between 10% and 20% glycol split uronic acid residues.

### Claim 6 (depends on 1)

The method of claim 1, wherein the preparation has greater than 40% U2SHNS,6S disaccharide residues.

### Claim 7 (depends on 6)

The method of claim 6, wherein the preparation has greater than 70% U2SHNS,6S disaccharide residues.

### Claim 8 (depends on 6)

The method of claim 6, wherein the preparation has a degree of desulfation less than 40%.

### Claim 9 (depends on 6)

The method of claim 6, wherein the preparation has a degree of desulfation less than 30%.

### Claim 10 (depends on 6)

The method of claim 6, wherein the preparation has a degree of desulfation less than 10%.

### Claim 11 (depends on 1)

The method of claim 1, wherein the reducing end further comprises a 2,5-anhydromannitol residue.

### Claim 12 (depends on 1)

The method of claim 1, wherein the polysaccharides of the preparation have a uronic acid at the non-reducing end.

### Claim 13 (depends on 1)

The method of claim 1, wherein the polysaccharides of the preparation have a non native uronic acid at the non-reducing end.

### Claim 14 (depends on 1)

The method of claim 1, wherein the polysaccharides of the preparation have a glycol split uronic acid at the non-reducing end.

### Claim 15 (depends on 1)

The method of claim 1, wherein n=1-3.

### Claim 16 (depends on 1)

The method of claim 1, wherein the pancreatic cancer is a metastatic cancer.

### Claim 17 (depends on 1)

The method of claim 1, wherein the preparation is administered intravenously.

### Claim 18 (depends on 1)

The method of claim 1, wherein the preparation is administered subcutaneously.

### Claim 19 (depends on 1)

The method of claim 1, wherein the preparation is administered daily.

### Claim 20 (depends on 1)

The method of claim 1, wherein the preparation is administered in combination with a second therapy.

### Claim 21 (depends on 20)

The method of claim 20, wherein the second therapy comprises administration of one or more therapeutic agents.

### Claim 22 (depends on 21)

The method of claim 21, wherein the therapeutic agent is a cytotoxic or cytostatic agent or a combination thereof.

### Claim 23 (depends on 21)

The method of claim 21, wherein the one or more therapeutic agent is gemcitabine.

### Claim 24 (depends on 23)

The method of claim 23, further comprising administering abraxane in combination with the polysaccharide preparation and the gemcitabine.

### Claim 25

A method of lessening, reducing, mitigating, ameliorating, or delaying pancreatic cancer in a subject, the method comprising administering a polysaccharide preparation having anti-Xa activity of less than 20 IU/mg and anti-IIa activity of 1 IU/mg or less; greater than 5% and less than 25% glycol split uronic acid residues; a plurality of polysaccharide chains of the preparation having a glycol split uronic acid residue (UG), wherein, the plurality of polysaccharide chains of the preparation each have no more than 3 glycol split uronic acid residues (UG); and the polysaccharide preparation has a molecular weight distribution such that 10-40% of the oligosaccharides of the preparation have a molecular weight <3000 Da; 45-65% of the oligosaccharides have a molecular weight between 3000-8000 Da, and 15-30% of the oligosaccharides have a molecular weight >8000 Da, wherein, the preparation comprises polysaccharides of Formula I:
[Uw-Hx,y,z]m˜[UG-Hx,y,z]n
wherein each occurrence of U indicates a uronic acid residue and each occurrence of H indicates a hexosamine residue;
wherein m and n are integers such that
m=4-16, and
n=1-4:
each of w, x, y and z can independently be the same or different for each occurrence of [Uw-Hx,y,z] and each of x, y and z can independently be the same or different for each occurrence of [UG-Hx,y,z], wherein
w=-2OS or -2OH;
x=—NS or —NAc;
y=-3OS or -3OH;
z=-6OS or -6OH;
and
wherein the symbol ˜ indicates that the units marked m and n are distributed along the polysaccharide chain and are not necessarily in sequence.

### Claim 26 (depends on 25)

The method of claim 25, wherein the polysaccharide preparation has an anti-Xa activity of less than 15 IU/mg.

### Claim 27 (depends on 25)

The method of claim 25, wherein the polysaccharide preparation has an anti-Xa activity of less than 10 IU/mg.

### Claim 28 (depends on 25)

The method of claim 25, wherein the plurality of polysaccharide chains of the preparation each have no more than 2 glycol split uronic acid residues (UG).

### Claim 29 (depends on 28)

The method of claim 28, wherein the plurality of polysaccharide chains of the preparation each have no more than 1 glycol split uronic acid residue (UG) per polysaccharide chain.

### Claim 30 (depends on 25)

The method of claim 25, wherein the reducing end further comprises a 2,5-anhydromannitol residue.

### Claim 31 (depends on 25)

The method of claim 25, wherein the polysaccharides of the preparation have a uronic acid at the non-reducing end.

### Claim 32 (depends on 25)

The method of claim 25, wherein the polysaccharides of the preparation have a non native uronic acid at the non-reducing end.

### Claim 33 (depends on 25)

The method of claim 25, wherein the polysaccharides of the preparation have a glycol split uronic acid at the non-reducing end.

### Claim 34 (depends on 25)

The method of claim 25, wherein n=1-3.

### Claim 35 (depends on 25)

The method of claim 25, wherein the pancreatic cancer is a metastatic cancer.

### Claim 36 (depends on 25)

The method of claim 25, wherein the preparation is administered intravenously.

### Claim 37 (depends on 25)

The method of claim 25, wherein the preparation is administered subcutaneously.

### Claim 38 (depends on 25)

The method of claim 25, wherein the preparation is administered daily.

### Claim 39 (depends on 25)

The method of claim 25, wherein the preparation is administered in combination with a second therapy.

### Claim 40 (depends on 39)

The method of claim 39, wherein the second therapy comprises administration of one or more therapeutic agents.

### Claim 41 (depends on 40)

The method of claim 40, wherein the therapeutic agent is a cytotoxic or cytostatic agent or a combination thereof.

### Claim 42 (depends on 40)

The method of claim 40, wherein the one or more therapeutic agent comprises gemcitabine.

### Claim 43 (depends on 42)

The method of claim 42, further comprising administering abraxane in combination with the polysaccharide preparation and the gemcitabine.

### Claim 44

A method of lessening, reducing, mitigating, ameliorating, or delaying pancreatic cancer in a subject, comprising administering to the subject a pharmaceutical composition comprising a polysaccharide preparation having the following characteristics:
(a) a weight average chain molecular weight between 3,500 and 8,000 Da;
(b) a molecular weight distribution such that 10-40% of the polysaccharides of the preparation have a molecular weight <3000 Da; 45-65% of the polysaccharides have a molecular weight between 3000-8000 Da, and 15-30% of the polysaccharides have a molecular weight >8000 Da;
(c) greater than 5% and less than 25% glycol split uronic acid residues;
(d) anti-Xa activity of less than 15 IU/mg and anti-IIa activity of 1 IU/mg or less, wherein, the preparation comprises polysaccharides of Formula I:
[Uw-Hx,y,z]m˜[UG-Hx,y,z]n
wherein each occurrence of U indicates a uronic acid residue and each occurrence of H indicates a hexosamine residue;
wherein m and n are integers such that
m=4-16, and
n=1-3;
each of w, x, y and z can independently be the same or different for each occurrence of [Uw-Hx,y,z] and each of x, y and z can independently be the same or different for each occurrence of [UG-Hx,y,z], wherein
w=-2OS or -2OH;
x=—NS or —NAc;
y=-3OS or -3OH;
z=-6PS or -6OH;
and
wherein the symbol ˜ indicates that the units marked m and n are distributed along the polysaccharide chain and are not necessarily in sequence; and
wherein a plurality of the polysaccharides on the preparation have a 2,5-anhydromannitol residue at the reducing end and non native uronic acid at the non-reducing end.

### Claim 45 (depends on 44)

The method of claim 44, further comprising administering the pharmaceutical composition in combination with gemcitabine.

### Claim 46 (depends on 45)

The method of claim 45, further comprising administering abraxane in combination with the gemcitabine.
