BG102669A - Method of treatment and pharmaceutical composition - Google Patents

Method of treatment and pharmaceutical composition Download PDF

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Publication number
BG102669A
BG102669A BG102669A BG10266998A BG102669A BG 102669 A BG102669 A BG 102669A BG 102669 A BG102669 A BG 102669A BG 10266998 A BG10266998 A BG 10266998A BG 102669 A BG102669 A BG 102669A
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Bulgaria
Prior art keywords
phenyl
sodium
loratadine
leukotriene antagonist
composition according
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BG102669A
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Bulgarian (bg)
Inventor
Sven-Erik Dahlen
Edward Scolnick
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Merck & Co. Inc.
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Priority claimed from GBGB9608927.1A external-priority patent/GB9608927D0/en
Application filed by Merck & Co. Inc. filed Critical Merck & Co. Inc.
Publication of BG102669A publication Critical patent/BG102669A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/4045Indole-alkylamines; Amides thereof, e.g. serotonin, melatonin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/405Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4365Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system having sulfur as a ring hetero atom, e.g. ticlopidine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/08Antiallergic agents

Abstract

The invention relates to a method for the treatment ofasthma, allergy and inflammations where leukotriene inhibitor andloratadin are administered either simultaneously or as individualdoses, or combined in an individual pharmaceutical form.12 claims

Description

Област на техникатаTechnical field

Настоящата заявка претендира за приоритета на заявка номер 60/011,328, подадена на 8 февруари 1996.This application claims the priority of application number 60 / 011,328, filed February 8, 1996.

Предшестващо състояние на техникатаBACKGROUND OF THE INVENTION

Лоратадинът е антихистамин с антагонистични свойства по отношение на Н-рецептора и е полезен за лечение на алергии. Описан е в U.S.Patent 4,282,233.Loratadine is an antihistamine with antagonistic properties against the H-receptor and is useful for the treatment of allergies. It is described in U.S. Patent 4,282,233.

Известно е, че лейкотриеновите антагонисти са полезни при лечението на астма, алергични реакции и възпаление.Leukotriene antagonists are known to be useful in the treatment of asthma, allergic reactions and inflammation.

С настоящето изобретение се предоставя метод за лечение на астма, алергия и възпаление с комбинация от тези две средства, която е по-ефикасна от всяко от тях само по себе си.The present invention provides a method of treating asthma, allergy and inflammation with a combination of these two agents that is more effective than either of these in itself.

Същност на техникатаThe essence of the technique

Изобретението се отнася до метод за лечение на астма, алергия и възпаление чрез прилагане на ефективно количество от лоратадин и ефективно количество от лейкотриенов антагонист или чрез съвместното им приемане, или комбинирани в единичен фармацевтичен състав, в който лейкотриеновият антагонист е избран от:The invention relates to a method of treating asthma, allergy and inflammation by administering an effective amount of loratadine and an effective amount of a leukotriene antagonist, or by co-administration thereof, or combined into a single pharmaceutical composition in which the leukotriene antagonist is selected from:

А. Натриев 1-(((К)-(3-(2-(7-хлоро-2-хинолинил)етенил)фенил)-3-(2(2-хидрокси-2-пропил)фенил)тио)метил)циклопропанацетат, ЕР 480,717A. Sodium 1 - ((((R) - (3- (2- (7-chloro-2-quinolinyl) ethenyl) phenyl) -3- (2 (2-hydroxy-2-propyl) phenyl) thio) methyl) cyclopropanacetate, EP 480,717

Натриев монтелукастMontelukast sodium

В. Натриев 1-(((К)-(3-(2-(6,7-дифлуоро-2-хинолинил)етенил)фенил)-3-(2-(2-хидрокси-2-пропил)фенил)тио)метил)циклопропанацетат. U.S. 5,270,324B. Sodium 1 - ((((R) - (3- (2- (6,7-difluoro-2-quinolinyl) ethenyl) phenyl) -3- (2- (2-hydroxy-2-propyl) phenyl) thio ) methyl) cyclopropanacetate. U.S. No. 5,270,324

С. 1-(((1(К)-(3-(2-(2,3-дихлоротиено[3,2-Ь]-пиридин-5-ил)-(Е)етенил)фенил)-3-(2-( 1-хидрокси- 1-метилетил)фенил)пропил)тио)метил)циклопропаноцешна киселина или нейна натриева сол. U.S. 5,472,964C. 1 - ((((1 (R) - (3- (2- (2,3-dichlorothieno [3,2-b] -pyridin-5-yl) - (E) ethenyl) phenyl) -3- ( 2- (1-hydroxy-1-methylethyl) phenyl) propyl) thio) methyl) cyclopropanoic acid or its sodium salt. U.S. No. 5,472,964

D. №-[4-оксо-2-(1Н-теп1разол-5-ил)-4Н-1-бензопиран-8-ил]-р-(4фенилбутокси)бензамид. ЕР 173,516D. N- [4-Oxo-2- (1H-teprazol-5-yl) -4H-1-benzopyran-8-yl] -p- (4-phenylbutoxy) benzamide. EP 173,516

ОOh

ПранлукастPranlukast

Е. Циклопентил-3-[2-метокси-4-[(о-толилсулфонил)карбамоил]бензил]-1-метилиндол-5-карбамат. ЕР 199,543E. Cyclopentyl-3- [2-methoxy-4 - [(o-tolylsulfonyl) carbamoyl] benzyl] -1-methylindole-5-carbamate. EP 199,543

ЗафирлукастZafirlukast

Подробно описание на изобретениетоDetailed description of the invention

Новият фармацевтичен състав от настоящето изобретение включва като активна съставка комбинация от лоратадин иThe new pharmaceutical composition of the present invention includes as active ingredient a combination of loratadine and

лейкотриенов антагонист, избран от описаните по-горе А, В, С, D и Е и евентуално фармацевтично приемлив носител, подходящ за ентерално и парентерално прилагане. Съставите могат да бъдат в твърда форма, например като таблетки или капсули, или в течна форма, например сиропи, елексири, емулсии и инжекционни. При формулирането на фармацевтични дозирани форми обикновено се използват помощни средства като вода, желатин, лактозни нишестета, магнезиев стеарат, талк, растителни масла, бензилов алкохол, смоли, полиалкиленгликоли и вазелин. Една предпочитана форма е по-пълно описана в следващия пример.a leukotriene antagonist selected from the above A, B, C, D and E and optionally a pharmaceutically acceptable carrier suitable for enteral and parenteral administration. The compositions may be in solid form, for example as tablets or capsules, or in liquid form, for example syrups, elixirs, emulsions and injectables. Formulations of pharmaceutical dosage forms generally use adjuvants such as water, gelatin, lactose starch, magnesium stearate, talc, vegetable oils, benzyl alcohol, resins, polyalkylene glycols and petrolatum. A preferred form is more fully described in the following example.

В новия метод за лечение от настоящето изобретение лоратадинът и лейкотриеновия антагонист основно се прилагат съвместно като отделни дозирани форми или комбинирани в новия фармацевтичен състав от изобретението.In the new method of treatment of the present invention, loratadine and the leukotriene antagonist are generally co-administered as separate dosage forms or combined in the new pharmaceutical composition of the invention.

Въпреки че необходимата доза се определя от такива фактори като възраст, пол, тегло на пациента и острота на състоянието, което ще бъде лекувано, предпочитаната орална дозировка за хора е в интервала от 5 до 20 mg лоратадин 1 до 3 пъти дневно; за предпочитане около 10 mg веднаж на ден. В случая с лейкотриените дозировката за хора е също в интервала от около 5 до 20 mg 1 до 3 пъти дневно, за предпочитане около 10 mg веднаж на ден.Although the required dose is determined by factors such as age, sex, weight of the patient and the severity of the condition to be treated, the preferred oral oral dosage for humans is in the range of 5 to 20 mg loratadine 1 to 3 times daily; preferably about 10 mg once a day. In the case of leukotrienes, human dosage is also in the range of about 5 to 20 mg 1 to 3 times daily, preferably about 10 mg once daily.

Пример за изпълнение на изобретениетоAn embodiment of the invention

Натриев монтелукаст 10 mg и Лоратадин 10 mg - филмтаблеткаMontelukast 10 mg sodium and Loratadine 10 mg film-coated tablet

Количество на 1 таблетка Quantity of 1 tablet Съставка Ingredient Сърцевина The core 10.4 mg 10.4 mg Натриев монтелукаст Montelukast sodium 10.0 mg 10.0 mg Лоратадин Loratadine 66.6 mg 66.6 mg Микрокристална целулоза, NF Microcrystalline cellulose, NF 100.0 mg 100.0 mg Лактоза монохидрат, NF Lactose monohydrate, NF 6.0 mg 6.0 mg Натриева кроскармелоза, NF Croscarmellose sodium, NF (60.0 mg) (60.0 mg) Пречистена вода, USP Purified water, USP 1.0 mg 1.0 mg Магнезиев стеарат, NF Magnesium stearate, NF 200.0 mg 200.0 mg Сърцевина на таблетката The core of the tablet филмово movie покритие cover 2.25 mg 2.25 mg Хидроксипропилметилцелулоза 6 cps Hydroxypropyl methylcellulose 6 cps 1.25 mg 1.25 mg Хидроксипропилцелулоза LF Hydroxypropylcellulose LF 1.50 mg 1.50 mg Титандиоксид Titanium dioxide (33.5) mg (33.5) mg Пречистена вода Purified water 205.0 205.0 Филм-таблетка Film tablet

·· ······ ····

Claims (12)

ПАТЕНТНИ ПРЕТЕНЦИИPatent Claims 1. фармацевтичен състав, характеризиращ се с това, че съдържа като активна съставка лоратадин и лейкотриенов антагонист, избран от:A pharmaceutical composition comprising, as active ingredient, loratadine and a leukotriene antagonist selected from: (A) натриев монтелукаст;(A) sodium montelukast; (B) Натриев 1-(((К)-(3-(2-(6,7-дифлуоро-2-хинолинил)етенил)фенил)-3-(2-(2-хидрокси-2-пропил)фенил)тио)метил)циклопропанацетат;(B) Sodium 1 - ((((R) - (3- (2- (6,7-difluoro-2-quinolinyl) ethenyl) phenyl) -3- (2- (2-hydroxy-2-propyl) phenyl) thio) methyl) cyclopropanacetate; (C) 1-((( 1(К)-(3-(2-(2,3-дихлоротиено[3,2-Ь]-пиридин-5-ил)-(Е)етенил)фенил)-3-(2-( 1-хидрокси- 1-метилетил)фенил)пропил)тио)метил)циклопропаноцетна киселина или нейна натриева сол;(C) 1 - ((((1 (K) - (3- (2- (2,3-dichlorothieno [3,2-b] -pyridin-5-yl) - (E) ethenyl) phenyl) -3- (2- (1-hydroxy-1-methylethyl) phenyl) propyl) thio) methyl) cyclopropanoic acid or its sodium salt; (D) пранлукаст; и (E) зафирлукаст;(D) pranlukast; and (E) zafirlukast; и фармацевтично приемлив носител.and a pharmaceutically acceptable carrier. 2. Състав съгласно претенция 1, характеризиращ се с това, че е предназначен за орално приемане.Composition according to claim 1, characterized in that it is intended for oral administration. 3. Състав съгласно претенция 2, характеризиращ се с това, че съдържа 10 mg лоратадин и 10 mg лейкотриенов антагонист, избран от (А), (В), (С), (D) и (Е).Composition according to claim 2, characterized in that it contains 10 mg loratadine and 10 mg leukotriene antagonist selected from (A), (B), (C), (D) and (E). 4. Състав съгласно претенция 1, характеризиращ се с това, че лейкотриеновият антагонист е натриев монтелукаст.Composition according to claim 1, characterized in that the leukotriene antagonist is sodium montelukast. 5. Състав съгласно претенция 4, характеризиращ се с това, че е предназначен за орално приемане.Composition according to claim 4, characterized in that it is intended for oral administration. 6. Състав съгласно претенция 5, характеризиращ се с това, че съдържа по 10 mg от всяка активна съставка.Composition according to claim 5, characterized in that it contains 10 mg of each active ingredient. 7. Метод за лечение на астма, алергия и възпаление у пациенти, нуждаещи се от такова лечение, чрез прилагане на ·· ·· • · ·· ·· ·· ··· • · ·· ·· • · • · ·· ефективно количество лоратадин и ефективно количество лейкотриенов антагонист, избран от:7. A method for the treatment of asthma, allergy and inflammation in patients in need of such treatment by administering · · · · · · · · · · · · · · · an effective amount of loratadine and an effective amount of a leukotriene antagonist selected from: (A) натриев монтелукаст;(A) sodium montelukast; (B) Натриев 1-(((К.)-(3-(2-(6,7-дифлуоро-2-хинолинил)етенил)фенил)-3-(2-(2-хидрокси-2-пропил)фенил)тио)метил)циклопропанацетат;(B) Sodium 1 - ((((K.)) - (3- (2- (6,7-difluoro-2-quinolinyl) ethenyl) phenyl) -3- (2- (2-hydroxy-2-propyl) phenyl ) thio) methyl) cyclopropanacetate; (C) 1-((( 1(К)-(3-(2-(2,3-дихлоротиено[3,2-Ь]-пиридин-5-ил)-(Е)етенил)фенил)-3-(2-( 1-хидрокси- 1-метилетил)фенил)пропил)тио)метил)циклопропаноцетна киселина или нейна натриева сол:(C) 1 - ((((1 (K) - (3- (2- (2,3-dichlorothieno [3,2-b] -pyridin-5-yl) - (E) ethenyl) phenyl) -3- (2- (1-hydroxy-1-methylethyl) phenyl) propyl) thio) methyl) cyclopropanoic acid or its sodium salt: (D) пранлукаст; и (E) зафирлукаст;(D) pranlukast; and (E) zafirlukast; или съвместно като отделни дозирани форми или комбинирани в единичния фармацевтичен състав от претенция 1.or together as separate dosage forms or combined in the single pharmaceutical composition of claim 1. 8. Метод съгласно претенция 7, при който фармацевтичната форма е предназначена за орално приемане.The method of claim 7, wherein the pharmaceutical form is for oral administration. 9. Метод съгласно претенция 7, при който отделните дозирани форми и единичната фармацевтична форма съдържат 10 mg лоратадин и 10 mg лейкотриенов антагонист, избран от (А), (В), (С), (D) и (Е)The method of claim 7, wherein the individual dosage forms and the unit dosage form contain 10 mg loratadine and 10 mg leukotriene antagonist selected from (A), (B), (C), (D) and (E) 10. Метод съгласно претенция 7, при който лейкотриеновият антагонист е (А) натриев монтелукаст.The method of claim 7, wherein the leukotriene antagonist is (A) sodium montelukast. 11. Метод съгласно претенция 10, при който отделните дозирани форми и единичната фармацевтична форма са предназначени за орално приемане.The method of claim 10, wherein the individual dosage forms and the unit dosage form are for oral administration. 12. Метод съгласно претенция 11, при който отделните дозирани форми и единичната фармацевтична форма съдържат 10 mg лоратадин и 10 mg (А) натриев монтелукаст.The method of claim 11, wherein the individual dosage forms and the unit dosage form contain 10 mg loratadine and 10 mg (A) montelukast sodium.
BG102669A 1996-02-08 1998-08-05 Method of treatment and pharmaceutical composition BG102669A (en)

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US1132896P 1996-02-08 1996-02-08
GBGB9608927.1A GB9608927D0 (en) 1996-04-29 1996-04-29 Method of treatment and pharmaceutical composition
PCT/US1997/001799 WO1997028797A1 (en) 1996-02-08 1997-02-04 Method of treatment and pharmaceutical composion

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NZ (1) NZ331160A (en)
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TR (1) TR199801511T2 (en)
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AU2257997A (en) 1997-08-28
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CN1210465A (en) 1999-03-10
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NO983641L (en) 1998-08-07

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