WO2004112784A1 - New use i - Google Patents
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- WO2004112784A1 WO2004112784A1 PCT/SE2004/000996 SE2004000996W WO2004112784A1 WO 2004112784 A1 WO2004112784 A1 WO 2004112784A1 SE 2004000996 W SE2004000996 W SE 2004000996W WO 2004112784 A1 WO2004112784 A1 WO 2004112784A1
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- WO
- WIPO (PCT)
- Prior art keywords
- thiazol
- ethyl
- amino
- sulfonyl
- chloro
- Prior art date
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
- A61K31/425—Thiazoles
- A61K31/426—1,3-Thiazoles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
Definitions
- the present invention relates to the use of chemical compounds for wound healing, said compounds acting on the human 11- ⁇ -hydroxysteroid dehydrogenase type 1 enzyme (ll ⁇ HSDl).
- Cortisol performs a broad range of metabolic functions and other functions.
- the multitude of glucocorticoid action is exemplified in patients with prolonged increase in plasma glucocorticoids, so called "Cushing's syndrome".
- Patients with Cushing's syndrome have prolonged increase in plasma glucocorticoids and exhibit impaired glucose tolerance, type 2 diabetes, central obesity, and osteoporosis. These patients also have impaired wound healing and brittle skin (1).
- Glucocorticoids have been shown to increase risk of infection and delay healing of open wounds (2). Patients treated with glucocorticoids have 2-5-fold increased risk of complications when undergoing surgery (3).
- EP 0902288 discloses a method for diagnosing the status of wound healing in a patient, comprising detecting cortisol levels in said wound.
- the authors suggest that elevated levels of cortisol in wound fluid, relative to normal plasma levels in healthy individuals, correlates with large, non-healing wounds (4).
- 1 l ⁇ -HSD catalyzes the conversion of cortisol to cortisone, and vice versa.
- the parallel function of 1 l ⁇ -HSD in rodents is the interconversion of corticosterone and 11-dehydrocorticosterone (5).
- Two isoenzymes of 11 ⁇ -HSD, 1 l ⁇ - HSD 1 and 1 l ⁇ -HSD2 have been characterized, and differ from each other in function and tissue distribution (6).
- 1 l ⁇ -HSD 1 is expressed in numerous tissues like liver, adipose tissue, adrenal cortex, gonads, lung, pituitary, brain, eye etc (7-9).
- the function of 11 ⁇ -HSD 1 is to fine-tune local glucocorticoid action.
- 11 ⁇ -HSD activity has been shown in the skin of humans and rodents, in human fibroblasts and in rat skin pouch tissue (10-13).
- Wound healing consists of serial events including inflammation, fibroblast proliferation, secretion of ground substances, collagen production, angio genesis, wound contraction and epithelialization. It can be divided in three phases; inflammatory, proliferative and remodeling phase (reviewed in (2)).
- glucocorticoids In surgical patients, treatment with glucocorticoids increases risk of wound infection and delay healing of open wounds. It has been shown in animal models that restraint stress slows down cutaneous wound healing and increases susceptibility to bacterial infection during wound healing. These effects were reversed by treatment with the glucocorticoid receptor antagonist RU486 (14, 15). Glucocorticoids produce these effects by suppressing inflammation, decrease wound strength, inhibit wound contracture and delay epithelialization (2). Glucocorticoids influence wound healing by interfering with production or action of cytokines and growth factors like IGF, TGF- ⁇ , EGF, KGF and PDGF (16-19). It has also been shown that glucocorticoids decrease collagen synthesis in rat and mouse skin in vivo and in rat and human fibroblasts (20).
- WO 01/90090 discloses compounds of the formula (I) as defined hereinafter, which compounds inhibit the human 1 l ⁇ -HSDl, and may be useful for treating disorders such as diabetes, obesity, glaucoma, osteoporosis, cognitive disorders and immune disorders.
- Other 1 l ⁇ -HSDl inhibitors are disclosed in e.g. WO 01/90091; WO 01/90092; WO 01/90093; WO 01/90094; WO 03/044000; WO 03/044009; WO 03/043999; and Swedish patent application No. SE 0301504-7, filed on May 21, 2003.
- WO 02/072084 relates to glycyrrhetinic acid derivatives, progesterone and progesterone derivatives as 1 l ⁇ -HSDl inhibitors for wound healing.
- 1 l ⁇ -HSDl inhibitors according to the present invention for wound healing has not previously been disclosed.
- this invention provides a method for promoting wound healing, said method comprising administering to a mammal, including man, in need of wound healing an effective amount of an inhibitor of 1 l ⁇ -hydroxysteroid dehydrogenase type 1, wherein the inhibitor of 1 l ⁇ - hydroxysteroid dehydrogenase type 1 is a compound of the formula (I):
- T is an aryl ring or heteroaryl ring or aryl-C -alkenyl ring, optionally independently substituted by [R] n , wherein n is an integer 0-5, and R is hydrogen, aryl, heteroaryl, a heterocyclic ring, optionally halogenated C ⁇ - 6 -alkyl, optionally halogenated C ⁇ - 6 -alkoxy, C ⁇ - 6 -alkylsulfonyl, carboxy, cyano, nitro, halogen, amine which is optionally mono- or di-substituted, amide which is optionally mono- or di-substituted, aryloxy, arylsulfonyl, arylamino, wherein aryl, heteroaryl and aryloxy residues and heterocyclic rings can further be optionally substituted in one or more positions independently of each other by C ⁇ - 6 -acyl, C ⁇ - 6 -alkylthio, cyano,
- R 1 is hydrogen or C ⁇ - 6 -alkyl
- X is CH 2 or CO;
- Y is CH 2 , CO or a single bond;
- B is hydrogen or C ⁇ - 6 -alkyl
- R 2 is selected from C ⁇ - 6 -alkyl, azido, arylthio, heteroarylthio, halogen, hydroxymethyl, 2-hydroxyethylaminomethyl, methylsulfonyloxymethyl, 3-oxo-4- mo holinolinylmethylene, C ⁇ - 6 -alkoxycarbonyl, and 5-methyl-l,3,4-oxadiazol-2-yl; NR 3 R 4 , wherein R 3 and R 4 are each independently selected from hydrogen, C ⁇ - 6 -alkyl, optionally halogenated C ⁇ - 6 -alkylsulfonyl, C ⁇ - 6 -alkoxy, 2-methoxyethyl, 2-hydroxyethyl, 1-methylimidazolylsulfonyl, Ci- ⁇ -acyl, cyclohexylmethyl, cyclopropanecarbonyl, aryl, optionally halogenated arylsulfonyl, furylcarbonyl,
- R 3 and R 4 are each independently selected from hydrogen, C ⁇ - 6 - alkyl or form together morpholinyl; R 5 O, wherein R 5 is hydrogen, optionally halogenated C ⁇ - 6 -alkyl, aryl, heteroaryl, C ⁇ - 6 - acyl, C ⁇ - 6 -alkylsulfonyl, arylcarbonyl, heteroarylcarbonyl, 2-carbomethoxyphenyl; and pharmaceutically acceptable salts, solvates, hydrates, geometrical isomers, tautomers, optical isomers, N-oxides and prodrug forms thereof.
- T is selected from 5 -chloro- 1,3 -dimethyl- lH-pyrazol-4-yl; 4-chloro-2,3,l- benzoxadiazolyl; 5-(dimethylamino)-l-naphthyl; l-methylimidazol-4-yl; 1-naphthyl; 2- naphthyl; (E)-2-phenylethenyl; 8-quinolinyl; thienyl substituted with one or more of (benzoylamino)methyl, bromo, chloro, 3- isoxazolyl, 2-(methylsulfanyl)-4-pyrimidinyl, 1 -methyl-5-(trifluoromethyl)pyrazol-3-yl, phenylsulfonyl, pyridyl; phenyl substituted with one or more of acetylamino, 3-acetylaminophenyl, 3- acetylphenyl, benzene
- R 1 is hydrogen or methyl
- X is CH 2 or CO
- Y is CH 2 , CO or a single bond
- B is hydrogen or methyl
- R 2 is selected from n-propyl, azido, bromo, chloro, 2-pyridinylsulfanyl, 3-oxo-4-morpholinolinylmethylene, ethoxycarbonyl, 5-methyl-l,3,4-oxadiazol-2-yl;
- R 3 and R 4 are each independently selected from acetyl, 1,3- benzodioxol-5-ylmethyl, benzyl, 3-chloro-2-methylphenylsulfonyl, cyclohexylmethyl, ethyl, 2-furylcarbonyl, 2-furylmethyl, hydrogen, 2-hydroxyethyl, 2-(lH-indol-3- yl)ethyl, isopropyl, methoxy, 2-methoxyethyl, methyl, 4-(l-methylimidazolyl)sulfonyl, methylsulfonyl, phenyl, propyl, trifluoromethylsulfonyl; or
- NR 3 R 4 represent together 4-acetylpiperazinyl, 4-t-butoxycarbonylpiperazinyl, 2-(3,4- dihydro-2(lH)isoquinolinyl), (2R,6S)-2,6-dimethylmorpholinyl, (2R)-2,4-dimethyl-l- piperazinyl, 2-hydroxy-3-oxomorpholinyl, imidazolyl, 2-methyl-3-oxomorpholinyl, 4- methyl-2-oxopiperazinyl, 4-methylpiperazinyl, mo ⁇ holinyl, (lS,4S)-2-oxa-5-aza- bicyclo[2.2.1]hept-5-yl, 2-oxoimidazolinyl, 3-oxomo ⁇ holinyl, 3-oxo-l,4-oxazepinyl, 2- oxooxazolinyl, piperazinyl; piperidinyl; pyrrolidinyl;
- R 3 and R 4 are each independently selected from ethyl, hydrogen or form together mo ⁇ holinyl;
- R 5 is selected from acetyl, benzoyl, benzyl, ethyl, 2-fluoroethyl, 2- furylcarbonyl, hydrogen, isobutyryl, isopropyl, methyl, 2-carbomethoxyphenyl, methylsulfonyl, phenyl, propionyl, 3-pyridinyl, and 2,2,2-trifluoroethyl.
- the said method is a method for the treatment or prophylaxis of a medical condition involving delayed or impaired wound healing.
- medical conditions are diabetes, and conditions caused by treatment with steroids, in particular glucocorticoids.
- the method according to the invention is also intended for the promotion of wound healing in chronic wounds, such as diabetic ulcers, venous ulcers or pressure ulcers.
- the compounds referred to above may also be used in the manufacture of a medicament for promoting wound healing, e.g. for the treatment or prophylaxis of a medical condition involving delayed or impaired wound healing.
- a medical condition involving delayed or impaired wound healing.
- medical conditions are diabetes, and conditions caused by treatment with steroids, in particular glucocorticoids.
- the compounds referred to above may also be used for the promotion of wound healing in chronic wounds, such as diabetic ulcers, venous ulcers or pressure ulcers.
- aryl in the present description is intended to include aromatic rings
- phenyl (Ph) and naphthyl which optionally may be substituted by C ⁇ - 6 -alkyl.
- substituted aryl groups are benzyl and 2-methylphenyl.
- heteroaryl means in the present description a monocyclic, bi- or tricyclic aromatic ring system (only one ring need to be aromatic) having from 5 to 14, preferably 5 to 10 ring atoms such as 5, 6, 7, 8, 9 or 10 ring atoms (mono- or bicyclic), in which one or more of the ring atoms are other than carbon, such as nitrogen, sulfur, oxygen and selenium.
- heteroaryl rings examples include pyrrole, imidazole, thiophene, furan, thiazole, isothiazole, thiadiazole, oxazole, isoxazole, oxadiazole, pyridine, pyrazine, pyrimidine, pyridazine, pyrazole, triazole, tetrazole, chroman, isochroman, quinoline, quinoxaline, isoquinoline, phthalazine, cinnoline, quinazoline, indole, isoindole, indoline, isoindoline, benzothiophene, benzofuran, isobenzofuran, benzoxazole, 2,1,3-benzoxadiazole, benzothiazole, 2,1,3-benzothiazole, 2,1,3- benzoselenadiazole, benzimidazole, indazole, benzodioxane, indan
- Examples of monocyclic heteroaryl rings are pyrrole, imidazole, thiophene, furan, thiazole, isothiazole, thiadiazole, oxazole, isoxazole, oxadiazole, pyridine, pyrazine, pyrimidine, pyridazine, pyrazole, triazole, and tetrazole.
- heterocyclic in the present description is intended to include unsaturated as well as partially and fully saturated mono-, bi- and tricyclic rings having from 4 to 14, preferably 4 to 10 ring atoms, such as, for example, the heteroaryl groups mentioned above as well as the corresponding partially saturated or fully saturated heterocyclic rings.
- exemplary saturated heterocyclic rings are azetidine, pyrrolidine, piperidine, piperazine, mo ⁇ holine, thiomo ⁇ holine and 1,4-oxazepane.
- C ⁇ _6-alkyl in the compound of formula (I) according to the present application is preferably C ⁇ _4-alkyl.
- Exemplary alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec-butyl, tert-butyl, pentyl, isopentyl, hexyl, and isohexyl.
- C ⁇ _ 6 -alkyl all subgroups thereof are contemplated such as C ⁇ - 5 -alkyl, C ⁇ - 4 -alkyl, C 2 . 6 -alkyl, C 2 - 5 -alkyl, C 2 . 4 -alkyl, C . 3 -alkyl, C 3 . 6 -alkyl, C 4 . 5 -al yl, etc.
- C ⁇ _6-alkoxy in the compound of formula (I) according to the present application may be straight or branched, is preferably C _4-alkoxy.
- Exemplary alkoxy groups include methoxy, ethoxy, propoxy, isopropoxy, butoxy, sec-butoxy, tert-butoxy, pentyloxy, isopentyloxy, hexyloxy, and isohexyloxy.
- C ⁇ - 6 -alkoxy all subgroups thereof are contemplated such as C ⁇ - 5 -alkoxy, C ⁇ - 4 -alkoxy, C 2 . 6 -alkoxy, C 2 - 5 - alkoxy, C 2 .
- C ⁇ _6-acyl in the compound of formula (I) according to the present application may be saturated or unsaturated and is preferably C ⁇ _4-acyl.
- exemplary acyl groups include formyl, acetyl, propionyl, butyryl, isobutyryl, valeryl, isovaleryl, butenoyl (e.g. 3- butenoyl), hexenoyl (e.g. 5-hexenoyl).
- C ⁇ - 6 -acyl For parts of the range "C ⁇ - 6 -acyl" all subgroups thereof are contemplated such as C ⁇ - 5 -acyl, C ⁇ - 4 -acyl, C 2 - 6 -acyl, C 2 - 5 -acyl, C 2 . -acyl, C 2 - 3 -acyl, C 3 . 6 -acyl, C 4 . 5 -acyl, etc.
- C 2 - 6 -alkenyl in the compound of formula (I) according to the present application is preferably C 2 - 4 -alkenyl.
- Exemplary alkenyl groups include vinyl, 1-propenyl, 2-propenyl, isopropenyl, 1-butenyl, 2-butenyl, 1- pentenyl, 2-pentenyl, 1-hexenyl, and 2-hexenyl.
- C 2 . 6 -alkenyl all subgroups thereof are contemplated such as C 2 - 5 -alkenyl, C 2 - 4 -alkenyl, C 2 . 3 -alkenyl, C 3 . 6 -alkenyl, C 4 . 5 -alkenyl, etc.
- halogen in the present description is intended to include fluorine, chlorine, bromine and iodine.
- sulfanyl in the present description means a thio group.
- mono- or di-substituted is meant in the present description that the functionalities in question may be substituted with independently H, C ⁇ - 6 -acyl, C ⁇ _ 6 - alkenyl, C ⁇ - 6 -(cyclo)alkyl, aryl, pyridylmethyl, or heterocyclic rings e.g. azetidine, pyrrolidine, piperidine, piperazine, mo ⁇ holine and thiomo ⁇ holine, which heterocyclic rings optionally may be substituted with C ⁇ - 6 -alkyl.
- optionally mono- or disubstituted is meant in the present description that the functionalities in question may also be substituted with independently hydrogen.
- stable referes to compounds which possess stability sufficient to allow manufacture and which maintains the integrity of the compound for a sufficient period of time to be useful for the pu ⁇ oses detailed herein (e.g., therapeutic administration to a subject for the treatment of disease, 11- ⁇ -HSDl inhibition, 11 - ⁇ -HSD 1 -mediated disease).
- prodrug forms in the present description means a pharmacologically acceptable derivative, such as an ester or an amide, which derivative is biotransformed in the body to form the active drug (see Goodman and Gilman's, The Pharmacological basis of Therapeutics, 8 th ed., McGraw-Hill, Int. Ed. 1992, "Biotransformation of Drugs, p. 13-15).
- “Pharmaceutically acceptable” means in the present description being useful in preparing a pharmaceutical composition that is generally safe, non-toxic and neither biologically nor otherwise undesirable and includes being useful for veterinary use as well as human pharmaceutical use.
- “Pharmaceutically acceptable salts” mean in the present description salts which are pharmaceutically acceptable, as defined above, and which possess the desired pharmacological activity.
- Such salts include acid addition salts formed with organic and inorganic acids, such as hydrogen chloride, hydrogen bromide, hydrogen iodide, sulfuric acid, phosphoric acid, acetic acid, glycolic acid, maleic acid, malonic acid, oxalic acid, methanesulfonic acid, trifluoroacetic acid, fumaric acid, succinic acid, tartaric acid, citric acid, benzoic acid, ascorbic acid and the like.
- Base addition salts may be formed with organic and inorganic bases, such as sodium, ammonia, potassium, calcium, ethanolamine, diethanolamine, N-methylglucamine, choline and the like.
- the compounds of formula (I) can be prepared according to the methods described in WO 01/90090.
- the compounds of formula (I) can preferably be topically administered.
- the compounds could also be administered by other routes, for instance orally, intraperitoneally, intraarticularly, intracranially, intradermally, intramuscularly, intraocularly, intrathecally, intravenously, subcutaneously.
- Diabetic KKAy mice underwent surgery during anesthesia whereby a catheter was inserted in the jugularis vein. Oral treatment twice daily (200 mg/kg/day) with the 1 l ⁇ - HSDl inhibitor BVT.2733 (3-Chloro-2-methyl-N- ⁇ 4-[2-oxo-2-(l-piperazinyl)ethyl]- l,3-thiazol-2-yl ⁇ benzenesulfonamide; the trifluoroacetate of this compound is disclosed as Example 172A in WO 01/90090), or vehicle started 4-6 days later and continued for 3.5 days.
- Hutchinson TC Swaniker HP. Wound diagnosis by quantitating cortisol in wound fluids.
- Beer HD Fassler R, Werner S. Glucocorticoid-regulated gene expression during cutaneous wound repair. Vitam Horm 2000;59:217-39.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP04749034A EP1638553A1 (en) | 2003-06-25 | 2004-06-21 | New use i |
CA002529406A CA2529406A1 (en) | 2003-06-25 | 2004-06-21 | New use i |
JP2006517048A JP2007521264A (en) | 2003-06-25 | 2004-06-21 | New application I |
AU2004249099A AU2004249099A1 (en) | 2003-06-25 | 2004-06-21 | New use I |
NO20060416A NO20060416L (en) | 2003-06-25 | 2006-01-25 | New use I |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE0301882A SE0301882D0 (en) | 2003-06-25 | 2003-06-25 | New use I |
SE0301882-7 | 2003-06-25 |
Publications (1)
Publication Number | Publication Date |
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WO2004112784A1 true WO2004112784A1 (en) | 2004-12-29 |
Family
ID=27656617
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/SE2004/000996 WO2004112784A1 (en) | 2003-06-25 | 2004-06-21 | New use i |
Country Status (9)
Country | Link |
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EP (1) | EP1638553A1 (en) |
JP (1) | JP2007521264A (en) |
KR (1) | KR20060023570A (en) |
CN (1) | CN1812784A (en) |
AU (1) | AU2004249099A1 (en) |
CA (1) | CA2529406A1 (en) |
NO (1) | NO20060416L (en) |
SE (1) | SE0301882D0 (en) |
WO (1) | WO2004112784A1 (en) |
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US7253196B2 (en) | 2004-05-24 | 2007-08-07 | Amgen, Inc. | Inhibitors of 11-β-hydroxy steroid dehydrogenase type 1 |
WO2008017381A1 (en) | 2006-08-08 | 2008-02-14 | Sanofi-Aventis | Arylaminoaryl-alkyl-substituted imidazolidine-2,4-diones, processes for preparing them, medicaments comprising these compounds, and their use |
JP2008127323A (en) * | 2006-11-20 | 2008-06-05 | Yamaguchi Univ | Wound-healing accelerator |
DE102007005045A1 (en) | 2007-01-26 | 2008-08-07 | Sanofi-Aventis | New phenothiazine derivative for use in preparing medicine for blood sugar lowering and for treatment of diabetes, nicotine dependence, alcohol dependence, central nervous system disorders, schizophrenia, and Alzheimer's disease |
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2004
- 2004-06-21 WO PCT/SE2004/000996 patent/WO2004112784A1/en not_active Application Discontinuation
- 2004-06-21 EP EP04749034A patent/EP1638553A1/en not_active Withdrawn
- 2004-06-21 AU AU2004249099A patent/AU2004249099A1/en not_active Abandoned
- 2004-06-21 KR KR1020057024626A patent/KR20060023570A/en not_active Application Discontinuation
- 2004-06-21 CA CA002529406A patent/CA2529406A1/en not_active Abandoned
- 2004-06-21 JP JP2006517048A patent/JP2007521264A/en active Pending
- 2004-06-21 CN CNA2004800177434A patent/CN1812784A/en active Pending
-
2006
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Also Published As
Publication number | Publication date |
---|---|
CA2529406A1 (en) | 2004-12-29 |
EP1638553A1 (en) | 2006-03-29 |
AU2004249099A1 (en) | 2004-12-29 |
KR20060023570A (en) | 2006-03-14 |
NO20060416L (en) | 2006-03-24 |
CN1812784A (en) | 2006-08-02 |
JP2007521264A (en) | 2007-08-02 |
SE0301882D0 (en) | 2003-06-25 |
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