Claims
- 1. A derivative of GLP-1 (7-C), wherein C is 35 or 36 which derivative has just one lipophilic substituent which is attached to the C-terminal amino acid residue, provided that said derivative is not selected from:
Arg26,34Lys36(Nε-(ω-carboxynonadecanoyl))-GLP-1(7-36)—OH, Arg26,34Lys36(Nε-(ω-carboxynonadecanoyl))-GLP-1(7-36)—OH, Arg26,34Lys36(Nε-(ω-carboxynonadecanoyl))-GLP-1(7-36)—OH, Arg26,34Lys36(Nε-(ω-carboxynonadecanoyl))-GLP-1(7-36)—OH, Arg26,34Lys36(Nε-(ω-carboxynonadecanoyl))-GLP-1(7-36)—OH,
- 2. A GLP-1 derivative according to any one of the preceding claims, wherein the lipophilic substituent comprises from 4 to 40 carbon atoms, more preferred from 8 to 25 carbon atoms.
- 3. A GLP-1 derivative according to any one of the preceding claims, wherein a lipophilic substituent is attached to an amino acid residue in such a way that a carboxyl group of the lipophilic substituent forms an amide bond with an amino group of the amino acid residue.
- 4. A GLP-1 derivative according to any one of the claims 1-2, wherein a lipophilic substituent is attached to an amino acid residue in such a way that an amino group of the lipophilic substituent forms an amide bond with a carboxyl group of the amino acid residue.
- 5. A GLP-1 derivative according to any one of the preceding claims, wherein the lipophilic substituent is attached to the parent peptide by means of a spacer.
- 6. A GLP-1 derivative according to claim 5, wherein the spacer is an unbranched alkane α,ω-dicarboxylic acid group having from 1 to 7 methylene groups, preferably two methylene groups, which form a bridge between an amino group of the parent peptide and an amino group of the lipophilic substituent.
- 7. A GLP-1 derivative according to claim 5, wherein the spacer is an amino acid residue except Cys, or a dipeptide such as Gly-Lys.
- 8. A GLP-1 derivative according to claim 7, wherein a carboxyl group of the parent peptide forms an amide bond with an amino group of Lys or a dipeptide containing a Lys residue, and the other amino group of the Lys spacer or a dipeptide spacer containing a Lys residue forms an amide bond with a carboxyl group of the lipophilic substituent.
- 9. A GLP-1 derivative according to claim 7, wherein an amino group of the parent peptide forms an amide bond with a carboxylic group of the amino acid residue or dipeptide spacer, and an amino group of the amino acid residue or dipeptide spacer forms an amide bond with a carboxyl group of the lipophilic substituent.
- 10. A GLP-1 derivative according to claim 7, wherein a carboxyl group of the parent peptide forms an amide bond with an amino group of the amino acid residue spacer or dipeptide spacer, and a carboxyl group of the amino acid residue spacer or dipeptide spacer forms an amide bond with an amino group of the lipophilic substituent.
- 11. A GLP-1 derivative according to claim 7, wherein a carboxyl group of the parent peptide forms an amide bond with an amino group of a spacer which is Asp or Glu, or a dipeptide spacer containing an Asp or Glu residue, and a carboxyl group of the spacer forms an amide bond with an amino group of the lipophilic substituent.
- 12. A GLP-1 derivative according to any one of the preceding claims, wherein the lipophilic substituent comprises a partially or completely hydrogenated cyclopentanophenathrene skeleton.
- 13. A GLP-1 derivative according to any of the claims 1-11, wherein the lipophilic substituent is an straight-chain or branched alkyl group.
- 14. A GLP-1 derivative according to any of the claims 1-11 wherein the lipophilic substituent is the acyl group of a straight-chain or branched fatty acid.
- 15. A GLP-1 derivative according to claim 14 wherein the acyl group is selected from the group comprising CH3(CH2)nCO—, wherein n is 4 to 38, preferably CH3(CH2)6CO—, CH3(CH2)8CO—, CH3(CH2)10CO—, CH3(CH2)12CO—, CH3(CH2)14CO—, CH3(CH2)16CO—, CH3(CH2)18CO—, CH3(CH2)20CO— and CH3(CH2)22CO—.
- 16. A GLP-1 derivative according to any one of the claims 1-11 wherein the lipophilic substituent is an acyl group of a straight-chain or branched alkane α,ω-dicarboxylic acid.
- 17. A GLP-1 derivative according to claim 16 wherein the acyl group is selected from the group comprising HOOC(CH2)mCO—, wherein m is from 4 to 38, preferably from 4 to 24, more preferred selected from the group comprising HOOC(CH2)14CO—, HOOC(CH2)16CO—, HOOC(CH2)18CO—, HOOC(CH2)20CO— and HOOC(CH2)22CO—.
- 18. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula CH3(CH2)p((CH2)qCOOH)CHNH—CO(CH2)2CO—, wherein p and q are integers and p+q is an integer of from 8 to 33, preferably from 12 to 28.
- 19. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula CH3(CH2)rCO—NHCH(COOH)(CH2)2CO—, wherein r is an integer of from 10 to 24.
- 20. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula CH3(CH2)sCO—NHCH((CH2)2COOH)CO—, wherein s is an integer of from 8 to 24.
- 21. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—CO(CH2)uCH3, wherein u is an integer of from 8 to 18.
- 22. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—COCH((CH2)2COOH)NH—CO(CH2)wCH3, wherein w is an integer of from 10 to 16.
- 23. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—CO(CH2)2CH(COOH)NH—CO(CH2)xCH3, wherein x is an integer of from 10 to 16.
- 24. A GLP-1 derivative according to any one of the claims 1-11, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—CO(CH2)2CH(COOH)NH—CO(CH2)yCH3, wherein y is zero or an integer of from 1 to 22.
- 25. A GLP-1 derivative according to any of claims 1-24, wherein the parent peptide is selected from the group comprising GLP-1(1-45) or an analogue or a fragment thereof.
- 26. A GLP-1 derivative according to claim 25, wherein the parent peptide is selected from the group comprising GLP-1(7-35); GLP-1(7-36); GLP-1(7-36)amide; GLP-1(7-37); GLP-1(7-38); GLP-1(7-39); GLP-1(7-40) and GLP-1(7-41) and an analogue thereof.
- 27. A GLP-1 derivative according to claim 25, wherein the parent peptide is selected from the group comprising GLP-1(1-35); GLP-1(1-36); GLP-1(1-36)amide; GLP-1(1-37); GLP-1(1-38); GLP-1(1-39); GLP-1(1-40); GLP-1(1-41) and an analogue thereof.
- 28. A GLP-1 derivative according to any of the preceding claims wherein the designation analogue comprises derivatives wherein a total of up to fifteen, preferably up to ten amino acid residues have been exchanged with any a-amino acid residue.
- 29. A GLP-1 derivative according to any of the preceding claims wherein the designation analogue comprises derivatives wherein a total of up to fifteen, preferably up to ten amino acid residues have been exchanged with any a-amino acid residue which can be coded for by the genetic code.
- 30. A GLP-1 derivative according to any of the preceding claims wherein the designation analogue comprises derivatives wherein a total of up to six amino acid residues have been exchanged with any a-amino acid residue which can be coded for by the genetic code.
- 31. A GLP-1 derivative according to any of the preceding claims, wherein the parent peptide is selected from the group comprising Arg26-GLP-1(7-37); Arg34-GLP-1(7-37); Lys36-GLP-1(7-37); Arg26,34Lys36-GLP-1(7-37); Arg26,34Lys38GLP-1(7-38); Arg26,34Lys39-GLP-1(7-39); Arg26,34Lys40-GLP-1(7-40); Arg26Lys36-GLP-1(7-37); Arg34Lys36-GLP-1(7-37); Arg26Lys39-GLP-1(7-39); Arg34Lys40-GLP-1(7-40); Arg26,34Lys36,39-GLP-1(7-39); Arg26,34Lys36,40GLP1(7-40); Gly8Arg26-GLP-1(7-37); Gly8Arg34-GLP-1(7-37); Gly8Lys36-GLP-1(7-37); Gly8Arg26,34Lys36-GLP-1(7-37); Gly8Arg26,34Lys39-GLP-1(7-39); Gly8Arg26,34Lys40-GLP-1(7-40); Gly8Arg26Lys36-GLP-1(7-37); Gly8Arg34Lys36-GLP-1(7-37); Gly8Arg26Lys39-GLP-1(7-39); Gly8Arg34Lys40-GLP-1(7-40); Gly8Arg26,34Lys36,39-GLP-1(7-39) and Gly8Arg26,34Lys36,40-GLP-1(7-40).
- 32. A GLP-1 derivative according to any of the claims 1-31, wherein the parent peptide is selected from the group comprising Arg26,34Lys38GLP-1(7-38); Arg26,34Lys39GLP-1(7-39); Arg26,34Lys40GLP-1(7-40); Arg26,34Lys41GLP-1(7-41); Arg26,34Lys42GLP-1(7-42); Arg26,34Lys43GLP-1(7-43); Arg26,34Lys44GLP-1(7-44); Arg26,34Lys45GLP-1(7-45); Arg26,34Lys38GLP-1(1-38); Arg26,34Lys39GLP-1(1-39); Arg26,34Lys40GLP-1(1-40); Arg26,34Lys41GLP-1(1-41); Arg26,34Lys42GLP-1(1-42); Arg26,34Lys43GLP-1(1-43); Arg26,34Lys44GLP-1(1-44); Arg26,34Lys45GLP-1(1-45); Arg26,34Lys38GLP-1(2-38); Arg26,34Lys39GLP-1(2-39); Arg26,34Lys40GLP-1(2-40); Arg26,34Lys41GLP-1(2-41); Arg26,34Lys42GLP-1(2-42); Arg26,34Lys43GLP-1(2-43); Arg26,34Lys44GLP-1(2-44); Arg26,34Lys45GLP-1(2-45); Arg26,34Lys38GLP-1(3-38); Arg26,34Lys39GLP-1(3-39); Arg26,34Lys40GLP-1(3-40); Arg26,34Lys41GLP-1(3-41); Arg26,34Lys42GLP-1(3-42); Arg26,34Lys43GLP-1(3-43); Arg26,34Lys44GLP-1(3-44); Arg26,34Lys45GLP-1(3-45); Arg26,34Lys38GLP-1(4-38); Arg26,34Lys39GLP-1(4-39); Arg26,34Lys40GLP-1(4-40); Arg26,34Lys40GLP-1(4-41); Arg26,34Lys42GLP-1(442); Arg26,34Lys43GLP-1(4-43); Arg26,34Lys44GLP-1(4-44); Arg26,34Lys45GLP-1(4-45); Arg26,34Lys38GLP-1(5-38); Arg26,34Lys39GLP-1(5-39); Arg26,34Lys40GLP-1(5-40); Arg26,34Lys41GLP-1(5-41); Arg26,34Lys42GLP-1(5-42); Arg26,34Lys43GLP-1(5-43); Arg26,34Lys44GLP-1(5-44); Arg26,34Lys45GLP-1(5-45); Arg26,34Lys38GLP-1(6-38); Arg26,34Lys39GLP-1(6-39); Arg26,34Lys40GLP-1(6-40); Arg26,34Lys41GLP-1(6-41); Arg26,34Lys42GLP-1(6-42); Arg26,34Lys43GLP-1(6-43); Arg26,34Lys44GLP-1(6-44); Arg26,34Lys45GLP-1(6-45); Arg26Lys38GLP-1(1-38); Arg34Lys38GLP-1(1-38); Arg26,34Lys36,38GLP-1(1-38); Arg26Lys38GLP-1(7-38); Arg34Lys38GLP-1(7-38); Arg26,34Lys36,38GLP-1(7-38); Arg26,34Lys38GLP-1(7-38); Arg26Lys39GLP-1(1-39); Arg34Lys39GLP-1(1-39); Arg26,34Lys36,39GLP-1(1-39);Arg26Lys39GLP-1(7-39); Arg34Lys39GLP-1(7-39) and Arg26,34Lys36,39GLP-1(7-39).
- 33. A pharmaceutical composition comprising a GLP-1 derivative according to the present invention and a pharmaceutically acceptable vehicle or carrier.
- 34. Use of a GLP-1 derivative according to the present invention for the preparation of a medicament which has a protracted profile of action relative to GLP-1 (7-37).
- 35. Use of a GLP-1 derivative according to the present invention for the preparation of a medicament with a protracted profile of action for the treatment of non-insulin dependent diabetes mellitus.
- 36. Use of a GLP-1 derivative according to the present invention for the preparation of a medicament with a protracted profile of action for the treatment of insulin dependent diabetes mellitus.
- 37. Use of a GLP-1 derivative according to the present invention for the preparation of a medicament with a protracted profile of action for the treatment of obesity.
- 38. Use of a GLP-1 derivative according to the present invention for the preparation of a medicament for use in the treatment of diabetes in a regimen which additionally comprises treatment with another antidiabetic agent.
- 39. The use according to claim 38, wherein the antidiabetic agent is human insulin or an analogue or a derivative thereof.
- 40. The use according to claim 38, wherein the antidiabetic agent is an oral hypoglycaemic agent.
- 41. The use according to claim 40, wherein the oral hypoglycaemic agent is a sulfonylurea, preferably tolbutamide, glibenclamide, glipizide or gliclazide.
- 42. The use according to claim 40, wherein the oral hypoglycaemic agent is a biguanide, preferably mefformin.
- 43. The use according to claim 40, wherein the oral hypoglycaemic agent is a thiazolidinedione, preferably troglitazone or ciglitazone.
- 44. The use according to claim 40, wherein the oral hypoglycaemic agent is a glucosidase inhibitor, preferably acarbose.
- 45. The use according to claim 40, wherein the oral hypoglycaemic agent is an agent acting on the ATP-dependent potassium channel of the β-cells, preferably glibenclamide, glipizide, gliclazide or repaglinide.
- 46. The use according to any one of claims 38 to 45, wherein the GLP-1 derivative and said other antidiabetic agent are administered so as to obtain a synergistic effect.
- 47. An exendin derivative wherein at least one amino acid residue of the parent peptide has a lipophilic substituent attached.
- 48. An exendin derivative according to claim 47, wherein only one lipophilic substituent is present.
- 49. An exendin derivative according to claim 48, wherein the lipophilic substituent is attached to the N-terminal amino acid residue.
- 50. An exendin derivative according to claim 48, wherein the lipophilic substituent is attached to the C-terminal amino acid residue.
- 51. An exendin derivative according to claim 48, wherein the lipophilic substituent is attached to an amino acid residue which is not the N-terminal or C-terminal amino acid residue.
- 52. An exendin derivative according to claim 47, wherein two lipophilic substituents are present.
- 53. An exendin derivative according to claim 52, wherein one of the lipophilic substituents is attached to the N-terminal amino acid residue while the other is attached to the C-terminal amino acid residue.
- 54. An exendin derivative according to claim 52, wherein one of the lipophilic substituents is attached to the C-terminal amino acid residue while the other is attached to an amino acid residue which is not the N-terminal or C-terminal amino acid residue.
- 55. An exendin derivative according to claim 52, wherein both lipophilic substituents are attached to amino acid residues which are neither the N-terminal nor the C-terminal amino acid residue.
- 56. An exendin derivative according to any one of claims 47 to 55, wherein the lipophilic substituent comprises from 4 to 40 carbon atoms, more preferred from 8 to 25 carbon atoms.
- 57. An exendin derivative according to any one of claims 47 to 56, wherein a lipophilic substituent is attached to an amino acid residue in such a way that a carboxyl group of the lipophilic substituent forms an amide bond with an amino group of the amino acid residue.
- 58. An exendin derivative according to any one of the claims 47 to 56, wherein a lipophilic substituent is attached to an amino acid residue in such a way that an amino group of the lipophilic substituent forms an amide bond with a carboxyl group of the amino acid residue.
- 59. An exendin derivative according to any one of the claims 47 to 58, wherein the lipophilic substituent is attached to the parent peptide by means of a spacer.
- 60. An exendin derivative according to claim 59, wherein the spacer is an unbranched alkane α,ω-dicarboxylic acid group having from 1 to 7 methylene groups, preferably two methylene groups, which form a bridge between an amino group of the parent peptide and an amino group of the lipophilic substituent.
- 61. An exendin derivative according to claim 59, wherein the spacer is an amino acid residue except cys, or a dipeptide such as gly-lys.
- 62. An exendin derivative according to claim 59, wherein a carboxyl group of the parent peptide forms an amide bond with an amino group of lys or a dipeptide containing a lys residue, and the other amino group of the lys spacer or a dipeptide spacer containing a lys residue forms an amide bond with a carboxyl group of the lipophilic substituent.
- 63. An exendin derivative according to claim 59, wherein an amino group of the parent peptide forms an amide bond with a carboxylic group of the amino acid residue or dipeptide spacer, and an amino group of the amino acid residue or dipeptide spacer forms an amide bond with a carboxyl group of the lipophilic substituent.
- 64. An exendin derivative according to claim 59, wherein a carboxyl group of the parent peptide forms an amide bond with an amino group of the amino acid residue spacer or dipeptide spacer, and a carboxyl group of the amino acid residue spacer or dipeptide spacer forms an amide bond with an amino group of the lipophilic substituent.
- 65. An exendin derivative according to claim 59, wherein a carboxyl group of the parent peptide forms an amide bond with an amino group of a spacer which is asp or glu, or a dipeptide spacer containing an asp or glu residue, and a carboxyl group of the spacer forms an amide bond with an amino group of the lipophilic substituent.
- 66. An exendin derivative according to any one the claims 47 to 65, wherein the lipophilic substituent comprises a partially or completely hydrogenated cyclopentanophenathrene skeleton.
- 67. An exendin derivative according to any of the claims 47 to 65, wherein the lipophilic substituent is an straight-chain or branched alkyl group.
- 68. An exendin derivative according to any of the claims 47 to 65, wherein the lipophilic substituent is the acyl group of a straight-chain or branched fatty acid.
- 69. An exendin derivative according to claim 68 wherein the acyl group is selected from the group comprising CH3(CH2)nCO—, wherein n is 4 to 38, preferably CH3(CH2)6CO—, CH3(CH2)8CO—, CH3(CH2)10CO—, CH3(CH2)12CO—, CH3(CH2)14CO—, CH3(CH2)16CO—, CH3(CH2)18CO—, CH3(CH2)20CO— and CH3(CH2)22CO—.
- 70. An exendin derivative according to any one of the claims 47 to 65 wherein the lipophilic substituent is an acyl group of a straight-chain or branched alkane α,ω-dicarboxylic acid.
- 71. An exendin derivative according to claim 70 wherein the acyl group is selected from the group comprising HOOC(CH2)mCO—, wherein m is from 4 to 38, preferably from 4 to 24, more preferred selected from the group comprising HOOC(CH2)14CO—, HOOC(CH2)16CO—, HOOC(CH2)18CO—, HOOC(CH2)20CO— and HOOC(CH2)22CO—.
- 72. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula CH3(CH2)p((CH2)qCOOH)CHNH—CO(CH2)2CO, wherein p and q are integers and p+q is an integer of from 8 to 33, preferably from 12 to 28.
- 73. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula CH3(CH2)rCO—NHCH(COOH)(CH2)2CO—, wherein r is an integer of from 10 to 24.
- 74. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula CH3(CH2)sCO—NHCH((CH2)2COOH)CO—, wherein s is an integer of from 8 to 24.
- 75. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—CO(CH2)uCH3, wherein u is an integer of from 8 to 18.
- 76. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—COCH((CH2)2COOH)NH—CO(CH2)wCH3, wherein w is an integer of from 10 to 16.
- 77. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—CO(CH2)2CH(COOH)NH—CO(CH2)xCH3, wherein x is an integer of from 10 to 16.
- 78. An exendin derivative according to any one of the claims 47 to 65, wherein the lipophilic substituent is a group of the formula —NHCH(COOH)(CH2)4NH—CO(CH2)2CH(COOH)NH—CO(CH2)yCH3, wherein y is zero or an integer of from 1 to 22.
- 79. An exendin derivative according to any of the claims 47 to 78, wherein the designation analogue comprises derivatives wherein a total of up to fifteen, preferably up to ten amino acid residues have been exchanged with any α-amino acid residue.
- 80. An exendin derivative according to any of the claims 47 to 79, wherein the designation analogue comprises derivatives wherein a total of up to fifteen, preferably up to ten amino acid residues have been exchanged with any a-amino acid residue which can be coded for by the genetic code.
- 81. An exendin derivative according to any of the claims 47 to 80, wherein the designation analogue comprises derivatives wherein a total of up to six amino acid residues have been exchanged with any α-amino acid residue which can be coded for by the genetic code.
- 82. An exendin derivative according to any of the claims 47 to 81, wherein the parent peptide is HGEGTFTSDLSKQMEEEAVRLFIEWLKNGGX, wherein X=P or Y, or a fragment or an analogue thereof.
- 83. An exendin derivative according to any of claims 47 to 81, wherein the parent peptide is HX1X2GTFITSDLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS, wherein X1X2=SD or GE, or a fragment or an analogue thereof.
- 84. An exendin derivative according to any of claims 47 to 81, wherein the parent peptide is DLSKQMEEEAVRLFIEWLKNGGPSSGAPPPS, or a fragment or an analogue thereof.
- 85. An exendin derivative according to claim 47, which is selected from Arg18, Leu20, Gln34, Lys33 (Nε-(γ-aminobutyroyl(Nα-hexadecanoyl))) Exendin-4-(7-45)-NH2, Arg33, Leu20, Gin34, Lys18 (Nε-(γ-aminobutyroyl(Nα-hexadecanoyl))) Exendin-4-(7-45)-NH2.
- 86. A pharmaceutical composition comprising an exendin derivative according to the present invention and a pharmaceutically acceptable vehicle or carrier.
- 87. Use of an exendin derivative according to the present invention for the preparation of a medicament which has a protracted profile of action relative to exendin.
- 88. Use of an exendin derivative according to the present invention for the preparation of a medicament with a protracted profile of action for the treatment of non-insulin dependent diabetes mellitus.
- 89. Use of an exendin derivative according to the present invention for the preparation of a medicament with a protracted profile of action for the treatment of insulin dependent diabetes mellitus.
- 90. Use of an exendin derivative according to the present invention for the preparation of a medicament with a protracted profile of action for the treatment of obesity.
- 91. A method of treating insulin dependent or non-insulin dependent diabetes mellitus in a patient in need of such a treatment, comprising administering to the patient a therapeutically effective amount of a exendin derivative according to the present invention together with a pharmaceutically acceptable carrier.
Priority Claims (1)
Number |
Date |
Country |
Kind |
0274/98 |
Feb 1998 |
DK |
|
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation of PCT/DK99/00086 filed Feb. 24, 1999 which claims priority under 35 U.S.C. 119 of Danish application 0274198 filed February 27, 1998 and of U.S. Provisional application 60/084,357 filed May 5, 1998, the contents of which are fully incorporated herein by reference.
Provisional Applications (1)
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Number |
Date |
Country |
|
60084357 |
May 1998 |
US |
Continuations (2)
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Number |
Date |
Country |
Parent |
09312177 |
May 1999 |
US |
Child |
09886311 |
Jun 2001 |
US |
Parent |
PCT/DK99/00086 |
Feb 1999 |
US |
Child |
09312177 |
May 1999 |
US |