CN114652730A - Use of mifepristone for intervention and treatment of nicotine addiction - Google Patents

Use of mifepristone for intervention and treatment of nicotine addiction Download PDF

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Publication number
CN114652730A
CN114652730A CN202111491219.2A CN202111491219A CN114652730A CN 114652730 A CN114652730 A CN 114652730A CN 202111491219 A CN202111491219 A CN 202111491219A CN 114652730 A CN114652730 A CN 114652730A
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China
Prior art keywords
nicotine
mifepristone
addiction
administration
dependence
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CN202111491219.2A
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Chinese (zh)
Inventor
陈祖昕
刘欣安
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Shenzhen Institute of Advanced Technology of CAS
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Shenzhen Institute of Advanced Technology of CAS
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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
    • A61K31/56Compounds 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
    • A61K31/567Compounds 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 position 17 alpha, e.g. mestranol, norethandrolone
    • AHUMAN NECESSITIES
    • A24TOBACCO; CIGARS; CIGARETTES; SIMULATED SMOKING DEVICES; SMOKERS' REQUISITES
    • A24BMANUFACTURE OR PREPARATION OF TOBACCO FOR SMOKING OR CHEWING; TOBACCO; SNUFF
    • A24B15/00Chemical features or treatment of tobacco; Tobacco substitutes, e.g. in liquid form
    • A24B15/18Treatment of tobacco products or tobacco substitutes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/30Drugs for disorders of the nervous system for treating abuse or dependence
    • A61P25/34Tobacco-abuse

Abstract

The invention discloses application of mifepristone in intervention and treatment of nicotine addiction. In particular to an application of mifepristone in preparing a medicine for reducing nicotine addiction, dependence degree or reward property, an application in preparing a medicine for relieving nicotine withdrawal symptoms and an application in preparing a medicine for reducing the usage amount of nicotine-containing tobacco. Also disclosed is a tobacco product comprising mifepristone. The invention proves that the mifepristone has the effects of reducing nicotine addiction, dependence degree or reward property, relieving nicotine withdrawal symptoms and reducing active intake and intake frequency of nicotine. Mifepristone is a medicine which is on the market for many years, has good druggability, small toxic and side effects and very low cost, and is expected to be developed into a nicotine withdrawal medicine or an auxiliary medicament.

Description

Use of mifepristone for intervention and treatment of nicotine addiction
Technical Field
The invention belongs to the field of medicines, and particularly relates to application of mifepristone in intervention and treatment of nicotine addiction.
Background
Nicotine is a main addictive substance in tobacco, and at present, effective medicines for treating nicotine addiction are seriously lacked clinically. At present, three smoking cessation therapies are used internationally. The first is nicotine replacement therapy, which includes nicotine sugar and patches. The craving for tobacco during smoking cessation is reduced mainly by maintaining nicotine levels in the body by means of slow release of nicotine. The second is the administration of Vannicline (Vareniline, trade name Chantix). This is a partial agonist of nicotinic acetylcholine receptor alpha 4 beta 2. The alpha 4 beta 2 receptor is abundantly expressed in the dopaminergic nervous system and plays an important role in rewarding the nicotine. The third is the administration of bupropion (trade name Zyban), a drug used in the clinical treatment of depression and approved by the FDA to help quit smoking.
The best drug currently used to treat nicotine addiction is valnemulin (trade name, chantix, free) invented by pfeir. The major side effects of valnemulin include epilepsy, cardiovascular problems, allergic reactions and severe skin reactions. In addition, chantix is expensive, costing 1800 dollars per 12 week in the united states; a 24 week treatment period costs $ 3600. However, mifepristone used clinically at present has small side effect and low price.
Disclosure of Invention
Mifepristone is a clinically common potent antiprogestogen that acts by binding to progesterone and glucocorticoid receptors in the body. The key point of the invention is to adopt the mifepristone strategy to help the smoking population and the electronic cigarette using population to treat nicotine addiction and help quit smoking.
One aspect of the invention provides the use of mifepristone in the preparation of a medicament for reducing nicotine addiction, dependence or reward.
In another aspect of the invention, the invention provides an application of mifepristone in preparing a medicament for relieving nicotine withdrawal symptoms.
In another aspect, the invention provides the use of mifepristone in the preparation of a medicament for reducing the amount of nicotine-containing tobacco used.
In a further aspect of the invention there is provided a pharmaceutical composition for treating nicotine dependence or addiction, tobacco dependence or addiction, reducing nicotine withdrawal symptoms or aiding in the cessation or reduction of tobacco use or substance abuse or behavioral dependence, said pharmaceutical composition having mifepristone as the active ingredient.
Further, in the pharmaceutical composition, mifepristone is used as the only active ingredient.
Further, the pharmaceutical composition also comprises other medicines for treating nicotine addiction. Preferably, the other nicotine addiction treating drug is selected from the group consisting of valnemulin, bupropion.
Further, the pharmaceutical composition is in the form of injection, oral preparation, transdermal preparation or atomized preparation.
In a further aspect of the invention there is provided a smoking article comprising mifepristone.
Further, the tobacco product may or may not comprise nicotine.
Further, the tobacco product is selected from any one of cigarettes, tobacco pipes, cigars, electronic cigarettes and tobacco leaves.
In yet another aspect, the invention provides a method of reducing nicotine dependence or addiction, tobacco dependence or addiction, reducing nicotine withdrawal symptoms, or aiding in the cessation or reduction of tobacco use or substance abuse or behavioral dependence in a subject,
the method comprises the step of administering mifepristone to the subject.
Further, the subject is a nicotine addicted subject or a subject having a habit of smoking a nicotine-containing product.
Further, the method of administering mifepristone to a subject includes administration by oral, injection, aerosol inhalation, or transdermal administration.
Advantageous effects
The invention proves that the mifepristone has the effects of reducing nicotine addiction, dependence degree or reward property, relieving nicotine withdrawal symptoms and reducing active intake and intake frequency of nicotine.
The experimental results of the invention prove that the mifepristone has very quick and efficient action and can achieve very obvious effect only by once administration for one hour.
Mifepristone is a medicine which has been on the market for many years, has good drugability, small toxic and side effects and very low cost, and is expected to be developed into a nicotine withdrawal medicine or an auxiliary medicament.
Drawings
Figure 1 is a graph of the results of example 2 mifepristone significantly reducing the number of nicotine self-administrations in rats. The ordinate represents the number of self-administrations per hour in the rat. Fr (fixed ratio) is 5 and to (time out) is 20s, i.e. one intravenous injection is obtained for each 5 pedal times of the rat, and the refractory period is 20 seconds thereafter. After the rats in the nicotine group completed treading 5 times, one nicotine intravenous injection was obtained, and the nicotine dosage used was 0.12mg/kg per injection. And after the rats in the normal saline group complete treading for 5 times, obtaining one normal saline intravenous injection. It can be seen from the figure that the intraperitoneal injection of 60mg/kg mifepristone significantly reduces the self-administration frequency of nicotine compared with the solvent injection (solvent vs mifepristone, 8.3 + -1.7 vs 5.1 + -0.8), but does not affect the self-administration frequency of the normal saline group (2.1 + -0.8 vs 2.0 + -0.5). At least 6 rats per group. P < 0.05; student Paired T test.
Figure 2 is a graph of the results of example 3 mifepristone significantly reducing nicotine cravings in nicotine addicted rats. The extent of nicotine craving in rats was assessed by testing the time it took for the rats to autonomously obtain the first (left panel) and second (right panel) intravenous self-administration after the experiment began on the day of the experiment, with less time being more craving for nicotine. Compared with the saline rats, the nicotine rats have shorter time for self-administration of the first and second intravenous drugs and are more urgent. Mifepristone significantly reduced nicotine cravings in rats, reflecting an increased tendency to acquire the first intravenous self-administration and a significantly increased time to the second intravenous self-administration in rats. Mifepristone has no significant effect on the urgency of intravenous self-administration of physiological saline. Time of first intravenous self-administration: (a) a physiological saline group (solvent vs mifepristone, 1122 + -331 vs745 + -346 s); (b) nicotine from the group administered (solvent vs mifepristone, 81 ± 23vs 174 ± 53 s). Time of second intravenous self-administration: (a) a normal saline group (solvent vs mifepristone, 1620 + -872 vs 1275 + -456 s); (b) nicotine from the group of doses (solvent vs mifepristone, 188 ± 24vs 372 ± 66 s). P < 0.05; student Paired T test.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention more comprehensible, specific embodiments thereof are described in detail below, but the present invention is not to be construed as being limited to the implementable range thereof.
Example 1 animal model for establishing nicotine addiction and control group
An animal model of model nicotine addiction is established by adopting a nicotine intravenous self-administration mode. Animal model rats were selected and a catheter was previously implanted in the jugular vein of the rat up to the heart, the other end of the catheter being connected to a syringe pump containing a nicotine solution. Animals underwent nicotine self-administration training after recovery from surgery in a control box with two pedals, where depression of one of the pedals activates a nicotine syringe pump, causing intravenous infusion of nicotine. The FR (fixed ratio) of the device is 5, the TO (time out) is 20s, i.e. one intravenous injection is obtained when the rat completes the pedal times for 5 times, and the later 20s is a refractory period, i.e. the intravenous injection cannot be caused even if the pedal is pressed again within 20s after the 5 pedal times are completed. After each training session, rats in the nicotine addiction model group will undergo intravenous self-administration injections of nicotine within a short period of time
Rats were trained continuously for at least 2 weeks. After the self-administration times per day are stabilized (the self-administration times change by no more than 20 percent in three consecutive days), the model is successfully built, an animal model (nicotine self-administration group) of nicotine addiction is obtained, and subsequent experiments are carried out.
Meanwhile, by the same method, only nicotine was replaced with physiological saline to obtain a physiological saline self-administration group model rat (control group), the self-administration frequency of the physiological saline self-administration group rat was much lower than that of the nicotine addiction model rat, and intravenous self-administration injection of the physiological saline was started after the experiment started for a long time.
Example 2 Effect of mifepristone on the number of self-administrations of nicotine
For nicotine self-administration group and self-administration group rats successfully modeled, a study experiment of the influence of mifepristone on the self-administration times was carried out, and 6 rats per group. The test mode used was an intragroup cross-control experiment.
The first test was carried out by intraperitoneally injecting mifepristone solution into half (3 rats) of the animals in each group and solvent into the other half (3 rats) 1 hour before the start of the administration test, and the administration dose of mifepristone was 60 mg/kg. The number of self-administrations per hour in the rats in the self-administration experiment was then recorded.
No drug intervention was given within 3 days after the first trial, and a second test was performed after the rats had returned to pre-dose levels from the number of self-doses.
The second test is that the first test of each group of test animals is to inject the mifepristone solution into 3 rats in the abdominal cavity 1 hour before the beginning of the administration test, and the first test is to inject the mifepristone solution into 3 rats in the abdominal cavity, wherein the administration dose of the mifepristone is 60 mg/kg. The number of self-administrations per hour in the rats in the self-administration experiment was then recorded.
The results of the statistical analysis are shown in FIG. 1. The test results show that the rats in the normal saline self-administration group have very low self-administration times because the normal saline is not addicted, and the rats which are administrated with the solvent have no significant difference in the administration times with the rats which are administrated with the mifepristone. That is, mifepristone does not affect the behavior of healthy, non-addictive subjects. In the nicotine self-administration group, the self-administration frequency of the rats with mifepristone and the rats with solvent has a significant difference (the solvent vs mifepristone, 8.3 +/-1.7 vs 5.1 +/-0.8). The intravenous self-administration times of the rats in the nicotine self-administration group can be obviously reduced after the mifepristone is administrated. Namely, the compound can reduce the dependence of rats with nicotine addiction on nicotine, reduce the active intake of nicotine-addicted subjects and intake dosage. Moreover, the mifepristone has obvious nicotine inhibition effect, and can achieve very obvious effect only by one-time administration. Moreover, mifepristone is a medicament which has been on the market for decades, has good pharmacy and low toxic and side effects, and has great potential to be developed into a smoking cessation medicament.
Example 3 Effect of mifepristone on Nicotine self-administration time
For nicotine self-administration group and self-administration group rats successfully modeled, a study experiment of the influence of mifepristone on the self-administration times was carried out, and 6 rats per group.
Half of the animals in each group (3 rats) were intraperitoneally injected with mifepristone solution and the other half (3 rats) with solvent 1 hour before the start of the administration experiment, and the administration dose of mifepristone was 60 mg/kg. The time at which the rats autonomously acquired the first and second intravenous self-administration per hour in the self-administration experiment was then recorded. According to the time of the first administration and the second administration, the craving degree of the nicotine-addicted rat to the nicotine can be judged, and the shorter the time, the higher the craving degree.
Statistical analysis the results are shown in figure 2, and mifepristone has no significant effect on the exigencies of physiological saline intravenous self-administration.
Time of first intravenous self-administration: (a) the physiological saline self-administration group has no significant difference between the group to which the solvent is administered and the group to which the mifepristone solution is administered (the solvent vs mifepristone, 1122 +/-331 vs745 +/-346 s), (b) the nicotine self-administration group has significant difference between the group to which the solvent is administered and the group to which the mifepristone solution is administered, and the time for the first intravenous self-administration of rats injected with the mifepristone solution is longer, which indicates that the mifepristone can reduce the craving of nicotine for nicotine addiction subjects. (solvent vs mifepristone, 81 + -23 vs 174 + -53 s).
Time of second intravenous self-administration: (a) the physiological saline self-administration group has no significant difference between the group to which the solvent is administered and the group to which the mifepristone solution is administered (the solvent vs mifepristone, 1620 +/-872 vs 1275 +/-456 s), (b) the nicotine self-administration group has significant difference between the group to which the solvent is administered and the group to which the mifepristone solution is administered, and the rats injected with the mifepristone solution have longer first intravenous self-administration time, which indicates that the mifepristone can reduce the craving of nicotine for nicotine addiction subjects. (solvent vs mifepristone, 188 + -24 vs 372 + -66 s). P < 0.05; student Paired T test.
Compared with the saline group rats, the nicotine group rats autonomously obtain the first and second intravenous self-administration in shorter time and are more urgent. Mifepristone significantly reduced nicotine cravings in rats, reflecting an increased tendency to acquire the first intravenous self-administration and a significantly increased time to the second intravenous self-administration in rats.
In conclusion, by adopting a rat nicotine vein self-administration addiction model for simulating the self-smoking of the smoking population, the subcutaneous injection of 60mg/kg mifepristone can obviously reduce the times of the rat nicotine self-administration and the craving degree of nicotine; while the injection of mifepristone at the same dose had no effect on the number of self-administrations of physiological saline. Experimental data show that the mifepristone has the effects of intervening nicotine addiction and craving and has the potential clinical efficacy of treating nicotine addiction.

Claims (10)

1. Use of mifepristone for the preparation of a medicament for reducing nicotine addiction, dependence or reward.
2. Use of mifepristone in preparing medicine for relieving nicotine withdrawal symptom is provided.
3. Use of mifepristone in the manufacture of a medicament for reducing the amount of nicotine-containing tobacco used.
4. A pharmaceutical composition for treating nicotine dependence or addiction, tobacco dependence or addiction, reducing nicotine withdrawal symptoms or aiding in the cessation or reduction of tobacco use or substance abuse or behavioral dependence, wherein mifepristone is the active ingredient in said pharmaceutical composition;
preferably, mifepristone is used as the only active ingredient in the pharmaceutical composition.
5. The pharmaceutical composition of claim 4, further comprising a pharmaceutically acceptable carrier in combination with other nicotine addiction treatment drugs;
preferably, the other nicotine addiction treating drug is selected from the group consisting of valnemulin, bupropion.
6. The pharmaceutical composition according to claim 4 or 5, wherein the pharmaceutical composition is formulated in the form of an injection, an oral formulation, a transdermal formulation or an aerosolized formulation.
7. A smoking article characterized in that said smoking article comprises mifepristone.
8. The smoking article of claim 7, wherein said smoking article comprises nicotine or comprises no nicotine.
9. The tobacco product of claim 7, wherein the tobacco product is selected from any one of a cigarette, a pipe, a cigar, an electronic cigarette, and a leaf.
10. Methods of reducing nicotine dependence or addiction, tobacco dependence or addiction, reducing nicotine withdrawal symptoms, or aiding in the cessation or reduction of tobacco use or substance abuse or behavioral dependence in a subject,
the method comprises the step of administering mifepristone to the subject;
preferably, the subject is a nicotine addicted subject or a subject having a habit of smoking a nicotine-containing product;
preferably, the method of administering mifepristone to a subject comprises administration by oral, injection, aerosol inhalation or transdermal administration.
CN202111491219.2A 2021-12-08 2021-12-08 Use of mifepristone for intervention and treatment of nicotine addiction Pending CN114652730A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998026785A1 (en) * 1996-12-19 1998-06-25 Hoechst Marion Roussel Use of mifepristone for the treatment of psychoses and addictive behaviours
US20130289019A1 (en) * 2012-04-26 2013-10-31 Amazing Grace, Inc. Methods of treating behaviorial and/or mental disorders
US20150018414A1 (en) * 2013-07-12 2015-01-15 Jazz Pharmaceuticals International lll Limited Promotion of Smoking Cessation
US20170051007A1 (en) * 2015-08-03 2017-02-23 Pop Test Oncology Limited Liability Company Pharmaceutical compositions and methods
WO2018067520A2 (en) * 2016-10-04 2018-04-12 Pop Test Oncology Llc Therapeutic agents and methods:
CN108025008A (en) * 2015-06-22 2018-05-11 安比拉神经疗法公司 The composition and method of obstacle, habituation and mental disease are used for therapeutic substance

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998026785A1 (en) * 1996-12-19 1998-06-25 Hoechst Marion Roussel Use of mifepristone for the treatment of psychoses and addictive behaviours
US20130289019A1 (en) * 2012-04-26 2013-10-31 Amazing Grace, Inc. Methods of treating behaviorial and/or mental disorders
US20150018414A1 (en) * 2013-07-12 2015-01-15 Jazz Pharmaceuticals International lll Limited Promotion of Smoking Cessation
CN108025008A (en) * 2015-06-22 2018-05-11 安比拉神经疗法公司 The composition and method of obstacle, habituation and mental disease are used for therapeutic substance
US20170051007A1 (en) * 2015-08-03 2017-02-23 Pop Test Oncology Limited Liability Company Pharmaceutical compositions and methods
WO2018067520A2 (en) * 2016-10-04 2018-04-12 Pop Test Oncology Llc Therapeutic agents and methods:

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Application publication date: 20220624