Coagulation factor vii polypeptides

Abstract

The present invention relates to modified coagulation Factor VII polypeptides exhibiting increased resistance to antithrombin inactivation and enhanced proteolytic activity. The present invention also relates to polynucleotide constructs encoding such polypeptides, vectors and host cells comprising and expressing such polynucleotides, pharmaceutical compositions, uses and methods of treatment.

1 . A Factor VII polypeptide comprising two or more substitutions relative to the amino acid sequence of human Factor VII (SEQ ID NO: 1), wherein T293 is replaced by Lys (K), Arg (R), Tyr (Y) or Phe (F); and L288 is replaced by Phe (F), Tyr (Y), Asn (N), Ala (A) or Trp W and/or W201 is replaced by Arg (R), Met (M) or Lys (K) and/or K337 is replaced by Ala (A) or Gly (G). 
     
     
         2 . The Factor VII polypeptide according to  claim 1  wherein T293 is replaced by Lys (K), Arg (R), Tyr (Y) or Phe (F) and L288 is replaced by Phe (F), Tyr (Y), Asn (N), Ala (A) or Trp (W). 
     
     
         3 . The Factor VII polypeptide according to  claim 1 , wherein T293 is replaced by Lys (K) and L288 is replaced by Phe (F). 
     
     
         4 . The Factor VII polypeptide according to  claim 1 , wherein T293 is replaced by Lys (K) and L288 is replaced by Tyr (Y). 
     
     
         5 . The Factor VII polypeptide according to  claim 1 , wherein T293 is replaced by Arg (R) and L288 is replaced by Phe (F). 
     
     
         6 . The Factor VII polypeptide according to  claim 1 , wherein T293 is replaced by Arg (R) and L288 is replaced by Tyr (Y). 
     
     
         7 . The Factor VII polypeptide according to  claim 1 , wherein K337 is replaced by Ala (A). 
     
     
         8 . The Factor VII polypeptide according to  claim 1 , wherein T293 is replaced by Lys (K), Arg (R), Tyr (Y) or Phe (F) and W201 is replaced by Arg (R), Met (M), or Lys (K). 
     
     
         9 . The Factor VII polypeptide according to  claim 8 , wherein T293 is replaced by Lys (K) and W201 is replaced by Arg (R). 
     
     
         10 . The Factor VII polypeptide according to  claim 1 , wherein the Factor VII polypeptide is coupled with at least one half-life extending moiety. 
     
     
         11 . The Factor VII polypeptide according to  claim 10 , wherein the half-life extending moiety is selected from biocompatible fatty acids and derivatives thereof, Hydroxy Alkyl Starch (HAS) e.g. Hydroxy Ethyl Starch (HES), Poly Ethylen Glycol (PEG), Poly (Glyx-Sery)n (HAP), Hyaluronic acid (HA), Heparosan polymers (HEP), Phosphorylcholine-based polymers (PC polymer), Fleximers, Dextran, Poly-sialic acids (PSA), Fc domains, Transferrin, Albumin, Elastin like (ELP) peptides, XTEN polymers, PAS polymers, PA polymers, Albumin binding peptides, CTP peptides, FcRn binding peptides and any combination thereof. 
     
     
         12 . The Factor VII polypeptide according to  claim 11 , wherein the half-life extending moiety is a heparosan polymer. 
     
     
         13 . The FVII polypeptide according to  claim 1 , which has a proteolytic activity that is at least 110% that of wild type human Factor VIIa (SEQ ID NO: 1), as measured in an in vitro proteolytic assay, in the absence of soluble tissue factor; and which has less than 20% antithrombin reactivity compared to wild type human Factor VIIa, as measured in an antithrombin inhibition assay, in the presence of low molecular weight heparin and the absence of soluble tissue factor. 
     
     
         14 . A pharmaceutical composition comprising the Factor VII polypeptide of  claim 1  and a pharmaceutically acceptable carrier. 
     
     
         15 . A method of treating a coagulopathy, comprising administering a therapeutically or prophylactically effective amount of the Factor VII polypeptide of  claim 1  to a subject in need thereof.