CTP-Fused Factor VIIa for Extended Half-Life and Reduced Immunogenicity
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Solution Overview
Problem
Current treatments for hemophilia, particularly Hemophilia B, face challenges in developing a long-acting Factor VIIa with prolonged half-life and biological activity while minimizing immunogenicity, as existing recombinant FVIIa has a short half-life requiring frequent dosing and inducing inhibitory antibodies.
Innovation Solution
Attaching three to five chorionic gonadotrophin carboxy-terminal peptides (CTPs) to the carboxy terminus of Factor VII (FVII) polypeptides to extend biological half-life, improve dosing frequency, and reduce clearance rates, thereby enhancing the coagulation factor's potency and stability.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Duration of action of moving object
If recombinant FVIIa is administered to treat hemophilia, then bleeding episodes can be controlled, but the half-life is short requiring frequent dosing
Solution Approach 1:
The patent creates a composite protein structure by fusing FVIIa with the CTP peptide from chorionic gonadotrophin. This composite construct (FVIIa-CTP) combines the hemostatic function of FVIIa with the extended circulation properties of CTP, achieving prolonged half-life without requiring frequent dosing
Solution Approach 2:
The CTP peptide acts as an intermediary that mediates between the FVIIa molecule and the immune system. It serves as a carrier that extends circulation time while potentially reducing immunogenicity, allowing FVIIa to remain in circulation longer without being rapidly cleared
2Reliability
If recombinant FVIIa is administered frequently, then hemostatic activity is maintained, but patient compliance and quality of life decrease
Solution Approach 1:
By creating the FVIIa-CTP composite, the patent reduces dosing frequency from multiple times daily to potentially once weekly or less, significantly improving patient compliance while maintaining reliable hemostatic protection through the extended half-life of the modified protein
3Reliability
If conventional FVIIa is used, then treatment is effective, but inhibitory antibodies are induced reducing long-term efficacy
Solution Approach 1:
The CTP peptide serves as an intermediary carrier that may shield the immunogenic epitopes of FVIIa. By having CTP as the prominent surface feature rather than FVIIa, the immune system may recognize and respond to CTP instead, potentially reducing the formation of inhibitory antibodies against the therapeutic FVIIa portion
Data Source
AI summary
Polypeptides comprising at least one carboxy-terminal peptide (CTP) of chorionic gonadotrophin attached to the carboxy terminus but not to the amino terminus of a coagulation factor and polynucleotides encoding the same are disclosed. Pharmaceutical compositions comprising the polypeptides and polynucleotides of the invention and methods of using and producing same are also disclosed.


