Claims for Patent: 9,163,239

Summary for Patent: 9,163,239

Title:	Compositions and methods for modulating apolipoprotein C-III expression
Abstract:	Provided herein are oligomeric compounds with conjugate groups targeting apoplipoprotein C-III (ApoCIII). In certain embodiments, the ApoCIII targeting oligomeric compounds are conjugated to N-Acetylgalactosamine. Also disclosed herein are conjugated oligomeric compounds targeting ApoCIII for use in decreasing ApoCIII to treat, prevent, or ameliorate diseases, disorders or conditions related to ApoCIII. Certain diseases, disorders or conditions related to ApoCIII include inflammatory, cardiovascular and/or metabolic diseases, disorders or conditions. The conjugated oligomeric compounds disclosed herein can be used to treat such diseases, disorders or conditions in an individual in need thereof.
Inventor(s):	Thazha P. Prakash, Punit P. Seth, Eric E. Swayze, Mark J. Graham
Assignee:	Ionis Pharmaceuticals Inc
Application Number:	US14/586,826
Patent Claims:	1. A compound comprising a modified oligonucleotide and a conjugate group, wherein the modified oligonucleotide consists of 20 contiguous nucleobases complementary to an equal length portion of nucleobases 3533 to 3552 of SEQ ID NO: 3, wherein the nucleobase sequence of the modified oligonucleotide is at least 80% complementary to SEQ ID NO: 3; and wherein the conjugate group comprises: 2. The compound of claim 1, wherein the modified oligonucleotide comprises at least one modified sugar. 3. The compound of claim 2, wherein at least one modified sugar is a bicyclic sugar. 4. The compound of claim 2, wherein at least one modified sugar comprises a 2′-O-methoxyethyl, a constrained ethyl, a 3′-fluoro-HNA or a 4′-(CH2)n—O-2′ bridge, wherein n is 1 or 2. 5. The compound of claim 2, wherein at least one modified sugar is 2′-O-methoxyethyl. 6. The compound of claim 1, wherein at least one nucleoside comprises a modified nucleobase. 7. The compound of claim 6, wherein the modified nucleobase is a 5-methylcytosine. 8. The compound of claim 1, wherein the conjugate group is linked to the modified oligonucleotide at the 5′ end of the modified oligonucleotide. 9. The compound of claim 1, wherein the conjugate group is linked to the modified oligonucleotide at the 3′ end of the modified oligonucleotide. 10. The compound of claim 1, wherein each internucleoside linkage of the modified oligonucleotide is selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage. 11. The compound of claim 10, wherein the modified oligonucleotide comprises at least 5 phosphodiester internucleoside linkages. 12. The compound of claim 10, wherein the modified oligonucleotide comprises at least two phosphorothioate internucleoside linkages. 13. The compound of claim 1, wherein the modified oligonucleotide is single-stranded. 14. The compound of claim 1, wherein the modified oligonucleotide is double stranded. 15. The compound of claim 1, wherein the modified oligonucleotide comprises: a gap segment consisting of linked deoxynucleosides; a 5′ wing segment consisting of linked nucleosides; a 3′ wing segment consisting of linked nucleosides; wherein the gap segment is positioned between the 5′ wing segment and the 3′ wing segment and wherein each nucleoside of each wing segment comprises a modified sugar. 16. The compound of claim 15, wherein each internucleoside linkage in the gap segment of the modified oligonucleotide is a phosphorothioate linkage. 17. The compound of claim 16, wherein the modified oligonucleotide further comprises at least one phosphorothioate internucleoside linkage in each wing segment. 18. The compound of claim 1, wherein the modified oligonucleotide comprises: a gap segment consisting of ten linked deoxynucleosides; a 5′ wing segment consisting of five linked nucleosides; a 3′ wing segment consisting of five linked nucleosides; wherein the gap segment is positioned between the 5′ wing segment and the 3′ wing segment, wherein each nucleoside of each wing segment comprises a 2′-O-methoxyethyl sugar, and wherein each cytosine residue is a 5-methylcytosine. 19. The compound of claim 18, wherein each internucleoside linkage in the gap segment of the modified oligonucleotide is a phosphorothioate linkage. 20. The compound of claim 19, wherein the modified oligonucleotide further comprises at least one phosphorothioate internucleoside linkage in each wing segment. 21. The compound of claim 1, wherein the modified oligonucleotide comprises the nucleobase sequence of SEQ ID NO: 244, and wherein the modified oligonucleotide comprises: a gap segment consisting of ten linked deoxynucleosides; a 5′ wing segment consisting of five linked nucleosides; a 3′ wing segment consisting of five linked nucleosides; wherein the gap segment is positioned between the 5′ wing segment and the 3′ wing segment, wherein each nucleoside of each wing segment comprises a 2′-O-methoxyethyl sugar, wherein each internucleoside linkage in the gap segment is a phosphorothioate linkage and wherein each cytosine residue is a 5-methylcytosine. 22. The compound of claim 21, wherein the modified oligonucleotide further comprises at least one phosphorothioate internucleoside linkage in each wing segment. 23. The compound of claim 1 having the formula: wherein either R1 is —OCH2CH2OCH3 and R2 is H; or R1 and R2 together form a bridge, wherein R1 is —O— and R2 is —CH2—, —CH(CH3)—, or —CH2CH2—, and R1 and R2 are directly connected such that the resulting bridge is selected from: —O—CH2—, —O—CH(CH3)—, and —O—CH2CH2—; and for each pair of R3 and R4 on the same ring, independently for each ring: either R3 is selected from H and —OCH2CH2OCH3 and R4 is H; or R3 and R4 together form a bridge, wherein R3 is —O—, and R4 is —CH2—, —CH(CH3)—, or —CH2CH2— and R3 and R4 are directly connected such that the resulting bridge is selected from: —O—CH2—, —O—CH(CH3)—, and —O—CH2CH2—; And R5 is selected from H and —CH3; And Z is selected from S− and O−. 24. The compound of claim 17, wherein R1 is —OCH2CH2OCH3. 25. The compound of claim 1, 15, 18 or 21, wherein each internucleoside linkage of the modified oligonucleotide is a phosphorothioate linkage. 26. The compound of claim 1 having the formula: