AU3662300A - Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding - Google Patents

Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding Download PDF

Info

Publication number
AU3662300A
AU3662300A AU36623/00A AU3662300A AU3662300A AU 3662300 A AU3662300 A AU 3662300A AU 36623/00 A AU36623/00 A AU 36623/00A AU 3662300 A AU3662300 A AU 3662300A AU 3662300 A AU3662300 A AU 3662300A
Authority
AU
Australia
Prior art keywords
treatment
sex hormones
uterine bleeding
pharmaceutical composition
useful
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
AU36623/00A
Inventor
Yannis Tsouderos
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Laboratoires Servier SAS
Original Assignee
Laboratoires Servier SAS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Laboratoires Servier SAS filed Critical Laboratoires Servier SAS
Publication of AU3662300A publication Critical patent/AU3662300A/en
Assigned to LES LABORATOIRES SERVIER reassignment LES LABORATOIRES SERVIER Alteration of Name(s) of Applicant(s) under S113 Assignors: ADIR ET COMPAGNIE
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • A61K31/568Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • A61K31/568Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone
    • A61K31/569Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol substituted in positions 10 and 13 by a chain having at least one carbon atom, e.g. androstanes, e.g. testosterone substituted in position 17 alpha, e.g. ethisterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • A61K31/716Glucans
    • A61K31/724Cyclodextrins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0043Nose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives

Description

USE OF SEX HORMONES TO OBTAIN A NASAL PHARMACEUTICAL COMPOSITION THAT IS USEFUL IN THE TREATMENT OF UNDESIRABLE UTERINE BLEEDING The present invention relates to the use of sex hormones to obtain a pharmaceutical composition suitable for administration by the nasal route that is useful in the treatment of undesirable uterine bleeding phenomena in women. In therapies requiring the administration of sex hormones, uterine bleeding is very frequently observed outside the anticipated normal periods. Sex hormones may be administered in the treatment of disorders caused by oestrogen deficiency, and by oestrogen-deficiency symptoms associated especially with artificial or natural menopause. Such oestrogen deficiencies are likewise implicated in the occurrence of post-menopausal osteoporosis and in cerebral ageing phenomena and cardiovascular disorders. On the other hand, sex hormones are likewise administered in various doses for contraceptive purposes or in the treatment of amenorrhoea that is not associated with the menopause. The sex hormone-containing pharmaceutical compositions currently available to the medical profession are compositions that are suitable for oral administration (tablets), transcutaneous administration (gels, transdermal systems), parenteral administration (intramuscular injections, implants) or vaginal administration (creams, gels...). In a certain number of cases, those various types of treatment cause uterine bleeding, episodic or systematic, outside the anticipated periods of menstruation. The problem caused by such bleeding phenomena is such that it gives rise to worry among patients, who cannot themselves make a distinction between a side effect associated with the treatment and the occurrence of a uterine disorder. Such phenomena result in the attending physician requesting several kinds of supplementary investigations in order to determine the cause of the bleeding. When the bleeding is simply associated with -2 the treatment, the patients then want to turn to other types of treatment or prefer to discontinue the treatment. Bleeding thus appears to be one of the main causes of abandoning treatment. At present, all of the available types of treatment result in compliance difficulties, which hitherto have been only partially improved by the pharmaceutical forms currently available. The Applicant has now discovered that the use of sex hormones to obtain a pharmaceutical composition that is suitable for administration by the nasal route has surprisingly enabled treatment of the uterine bleeding observed outside menstrual periods. That surprising effect, achieved by nasal administration, has not been observed with the other formulations currently available to the medical profession. The improvement is all the more significant and of interest since it demonstrates long term effectiveness, it being possible, indeed, for treatment to be extended for several years. Among the sex hormones that can be used in the pharmaceutical compositions according to the invention there may be mentioned, without implying any limitation, natural steroid oestrogens, such as 17p-oestradiol (estradiol), oestrone and their derivatives, synthetic steroid oestrogens, such as ethynyl oestradiol, progestogens, such as progesterone, pregnanes derived from progesterone or from 17a-OH progesterone, such as dydrogesterone, chlormadinone acetate, medrogesterone, medroxyprogesterone acetate, norpregnanes, such as demegestone, promegestone, nomegestrol acetate or 19-nortestosterone compounds, such as norethisterone, ethynodiol diacetate, norgestrel, levonorgestrel, desogestrel, gestodene or norgestimate, or androgens, such as testosterone or dihydrotestosterone. The sex hormones preferred according to the invention are oestradiol and oestradiol/ progestogen mixtures.
-3 The pharmaceutical compositions suitable for the nasal administration of sex hormones are more specifically those which contain one or more sex hormones at doses that vary as a function of the requirements of the patient, and a cyclodextrin. Preferably, the pharmaceutical compositions according to the invention are characterised in that the cyclodextrin is a partially methylated cyclodextrin. A preferred composition according to the invention is one that contains oestradiol or an oestradiol/progestogen mixture and a cyclodextrin methylated partially and in random manner. When the composition contains a progestogen, the preferred progestogen is norethisterone. The preferred use according to the invention of the pharmaceutical compositions is in the treatment of undesirable uterine bleeding during menopause. By way of non-limiting example, a pharmaceutical composition suitable for the nasal administration of oestradiol was prepared and tested clinically in order to observe the treatment of uterine bleeding phenomena in menopausal women. The composition is a solution containing 0.21 g of oestradiol hemihydrate, 2.10 g of randomly and partially methylated cyclodextrin, 0.9 g of sodium chloride and purified water (ad 100 ml) after adjustment of the pH of the solution to 6. The solution was packaged in a bottle fitted with a dispensing pump enabling nasal sprays of 0.07 ml to be dispensed. Each spray thus delivers a dose of 150 pg of oestradiol hemihydrate. Clinical studies : Clinical studies were carried out on a population of patients who had been post menopausal for less than 10 years.
-4 The patients were divided into groups that, during a 28-day cycle, were given either: - a nasal oestradiol composition of the kind described hereinabove (oestradiol spray) and an oral placebo composition, or - an oral oestradiol formulation and a nasal placebo composition (placebo spray). In each group, the patients were administered with a progestogen for at least 10 to 14 days per cycle at the doses recommended for each product. The treatments were given in accordance with a randomisation code and lasted 3, 6 or 12 months. The daily dose administered for the nasal spray form is 300 jig of oestradiol (2 sprays per day), corresponding to a dose of 2 mg when administration is carried out by the oral route. Results In the course of the clinical studies, it was observed that uterine bleeding in patients from the group treated with the oestradiol nasal spray was approximately 30 % less frequent than in the patients treated with an oral form of oestradiol.
AU36623/00A 1999-03-31 2000-03-30 Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding Abandoned AU3662300A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR9904022 1999-03-31
FR9904022A FR2791572A1 (en) 1999-03-31 1999-03-31 Treating undesirable uterine bleeding, e.g. as side-effect of hormone therapy, by intranasal administration of estradiol
PCT/FR2000/000790 WO2000059447A2 (en) 1999-03-31 2000-03-30 Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding

Publications (1)

Publication Number Publication Date
AU3662300A true AU3662300A (en) 2000-10-23

Family

ID=9543854

Family Applications (1)

Application Number Title Priority Date Filing Date
AU36623/00A Abandoned AU3662300A (en) 1999-03-31 2000-03-30 Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding

Country Status (16)

Country Link
EP (1) EP1143978A2 (en)
JP (1) JP2002541076A (en)
KR (1) KR20010102464A (en)
CN (1) CN1346273A (en)
AU (1) AU3662300A (en)
BR (1) BR0008577A (en)
CA (1) CA2361885A1 (en)
EA (1) EA200100801A1 (en)
FR (1) FR2791572A1 (en)
HK (1) HK1044486A1 (en)
HU (1) HUP0200244A3 (en)
NO (1) NO20014022D0 (en)
NZ (1) NZ513672A (en)
PL (1) PL356767A1 (en)
WO (1) WO2000059447A2 (en)
ZA (1) ZA200106689B (en)

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4383993A (en) * 1980-05-30 1983-05-17 University Of Kentucky Research Foundation Nasal dosage forms containing natural female sex hormones
NL8801670A (en) * 1988-07-01 1990-02-01 Walter Adrianus Josephus Johan PHARMACEUTICAL PREPARATION.
US5922699A (en) * 1996-06-07 1999-07-13 Pherin Corporation 19-nor-cholane steroids as neurochemical initiators of change in human hypothalamic function
AU726625B2 (en) * 1996-07-23 2000-11-16 Pherin Pharmaceuticals, Inc. Steroids as neurochemical stimulators of the VNO to alleviate symptoms of PMS and anxiety

Also Published As

Publication number Publication date
EP1143978A2 (en) 2001-10-17
PL356767A1 (en) 2004-07-12
HUP0200244A3 (en) 2003-05-28
WO2000059447A3 (en) 2001-04-26
NO20014022L (en) 2001-08-17
FR2791572A1 (en) 2000-10-06
WO2000059447A2 (en) 2000-10-12
CA2361885A1 (en) 2000-10-12
BR0008577A (en) 2002-10-01
EA200100801A1 (en) 2002-04-25
NO20014022D0 (en) 2001-08-17
CN1346273A (en) 2002-04-24
ZA200106689B (en) 2002-11-14
HUP0200244A2 (en) 2002-07-29
HK1044486A1 (en) 2002-10-25
KR20010102464A (en) 2001-11-15
NZ513672A (en) 2001-09-28
JP2002541076A (en) 2002-12-03

Similar Documents

Publication Publication Date Title
US5827843A (en) Preparation for substitution therapy, containing at least one progestogen and at least one estrogen
KR960001371B1 (en) Compounds containing progestogen and estrogen for
JPH04290830A (en) Prescribed contraceptive
HU221169B1 (en) Use of estrogen and antiprogestin for producing pharmaceutical compositions useful in hormon replacement therapy and kit containing the same
JP2006096775A (en) Composition for contraception
US20020193356A1 (en) Means and method for hormonal contraception
HUT74428A (en) Hormonal pharmaceutical compositions for contraception and treatment of acne
KR20150058555A (en) Management of breakthrough bleeding in extended hormonal contraceptive regimens
JPH10513152A (en) Periodic phase hormone regimen containing antiprogestin and progestin
KR970704450A (en) Use of a progesterone antagonist and gestagen to treat endometrial hyperplasia or uterine leiomyoma (Use of a Progesterone Antagonist and a Gestagen for Endometriosis or Leiomyomate Uteri)
EP1293210B1 (en) Means and method for hormonal contraception
JP2942560B2 (en) Composition for treating estrogen deficiency
US20030176404A1 (en) Progestogen-anti-progestogen regimens
US20040198707A1 (en) Means and method for hormonal contraception
AU3662300A (en) Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding
MXPA01008772A (en) Use of sex hormones to obtain a nasal pharmaceutical composition that is useful in the treatment of undesirable uterine bleeding
AU729898B2 (en) Transdermal therapeutic system having an active compound combination comprising oestriol
CA2171460C (en) Preparation for substitution therapy, containing at least one progestogen and at least one extrogen
EP1178807B1 (en) Use of org 33245 in combined intermittent hormone therapy and contraception
JPH08508502A (en) Method for treating osteoporosis and therapeutic composition
US20080280861A1 (en) Method of Female Contraception and a Kit For Use Therein
TH134365B (en) Drospirinone for hormone replacement therapy
AU1848899A (en) Preparation for substitution therapy, containing at least one progestogen and at least one estrogen

Legal Events

Date Code Title Description
PC1 Assignment before grant (sect. 113)

Owner name: LES LABORATOIRES SERVIER

Free format text: THE FORMER OWNER WAS: ADIR ET COMPAGNIE