CN1367697A - Therapeutical method for improving cognition - Google Patents

Therapeutical method for improving cognition Download PDF

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Publication number
CN1367697A
CN1367697A CN99812184A CN99812184A CN1367697A CN 1367697 A CN1367697 A CN 1367697A CN 99812184 A CN99812184 A CN 99812184A CN 99812184 A CN99812184 A CN 99812184A CN 1367697 A CN1367697 A CN 1367697A
Authority
CN
China
Prior art keywords
effective ingredient
atypical antipsychotic
relevant
acetylcholinesteraseinhibitors inhibitors
application
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.)
Pending
Application number
CN99812184A
Other languages
Chinese (zh)
Inventor
P·L·I·德尼斯
W·L·J·帕里斯
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.)
Janssen Pharmaceutica NV
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Janssen Pharmaceutica NV
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 Janssen Pharmaceutica NV filed Critical Janssen Pharmaceutica NV
Publication of CN1367697A publication Critical patent/CN1367697A/en
Pending legal-status Critical Current

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Classifications

    • 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
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Abstract

The present invention is concerned with pharmaceutical compositions comprising a carrier and as first active ingredient an atypical antipsychotic agent (I) and as second active ingredient an acetylcholinesterase inhibitor (II), each in an amount producing a therapeutically beneficial effect in patients suffering from psychosis, or Alzheimer's disease or related dementias. Said therapeutically beneficial effect can be a synergistic effect on the cognitive functioning of patients suffering from Alzheimer's disease or related dementias or the prevention of the further deterioration of cognition in said patients, or the reduction of adverse effects associated with the one of the active ingredients by the other of the active ingredients.

Description

Improve the therapy of understanding
The present invention relates to Pharmaceutical composition, described Pharmaceutical composition comprises a kind of carrier and as the atypical antipsychotic (I) of first effective ingredient with as the acetylcholinesteraseinhibitors inhibitors (II) of second effective ingredient, the amount of every kind of effective ingredient produces useful treatment effect in suffering from psychosis or presenile dementia or relevant dull-witted patient.Described useful treatment effect can be the synergism to the cognitive function of presenile dementia or relevant dementia patients, or prevent the further infringement of described patient understanding, or reduce because of the described effective ingredient of another kind with illeffects that wherein a kind of described effective ingredient is relevant.
Special concern be to use atypical antipsychotic (I) to prepare medicine, described medicine is used for reducing presenile dementia or relevant dementia patients and the relevant illeffects of acetylcholinesteraseinhibitors inhibitors (II), for example feels sick, vomits, perspires, is on tenterhooks and insomnia.Especially pay close attention to use atypical antipsychotic (I) and prepare medicine, described medicine be used for improving suffer from presenile dementia or relevant dull-witted, use the patient's of acetylcholinesteraseinhibitors inhibitors (II) treatment sleep simultaneously.
The present invention relates to Pharmaceutical composition, described Pharmaceutical composition comprises a kind of carrier and as the atypical antipsychotic (I) of first effective ingredient with as the acetylcholinesteraseinhibitors inhibitors (II) of second effective ingredient, the amount of every kind of effective ingredient produces useful treatment effect in suffering from psychosis or presenile dementia or relevant dull-witted patient.Described useful treatment effect can be the synergism to the patient's of presenile dementia or relevant dementia cognitive function, or prevent the further infringement of described patient understanding, or reduce because of the described effective ingredient of another kind with illeffects that wherein a kind of described effective ingredient is relevant.
Described atypical antipsychotic (I) is selected from risperidone, 9-hydroxyl risperidone or its C 10-20Alkanoate, olanzapine, quetiapine, iloperidone or ziprasidone, and described acetylcholinesteraseinhibitors inhibitors (II) is selected from galantamine, rivastigmine or donepezil; Or the acid-addition salts form that therapeutic activity is arranged of arbitrary said medicine.Described salt comprises effective ingredient (I) and the salt form that (II) can form with appropriate acid, and described appropriate acid is mineral acid for example, such as halogen acids, and for example hydrochloric acid or hydrobromic acid; Sulphuric acid; Nitric acid; Acid such as phosphoric acid; Or organic acid for example acetic acid, propanoic acid, hydroxyacetic acid, lactic acid, acetone acid, oxalic acid, malonic acid, succinic acid, maleic acid, fumaric acid, malic acid, tartaric acid, citric acid, methanesulfonic acid, ethyl sulfonic acid, benzenesulfonic acid, p-methyl benzenesulfonic acid, cyclamic acid, salicylic acid, para-aminosalicylic acid, pounce on acid such as acid.For example, can use galantamine with (1: 1) hydrobromate form easily.
C 10-20Alkanoic acid is selected from capric acid, hendecanoic acid, dodecylic acid (lauric acid), tridecanoic acid, tetradecanoic acid (myristic acid), pentadecanoic acid, hexadecanoic acid (Palmic acid), heptadecanoic acid, octadecanoid acid (stearic acid), nonadecylic acid and arachic acid.Because their water solublity is limited, therefore generally believes and described ester must be suspended in the oil.From the viewpoint of pharmacokinetics and toleration, the ester that to find to have C15 (pentadecyl) chain and corresponding therewith effective ingredient be 9-hydroxyl risperidone cetylate is superior ester.
The amount of every kind of described effective ingredient preferably is equal to or less than the permission amount in the monotherapy that adopts described effective ingredient.
Most preferably such compositions, wherein said atypical antipsychotic (I) is a risperidone, and described acetylcholinesteraseinhibitors inhibitors (II) is a galantamine, particularly with the form of galanthamine hydrobromide.In described compositions, the amount of the risperidone of every kind of dosage form is 0.5,1,2,4 or 6mg, and the amount of galantamine (as principal agent) is 8,16,24 or 32mg.
The present invention also relates to contain as the atypical antipsychotic (I) of first effective ingredient with as the acetylcholinesteraseinhibitors inhibitors (II) of second effective ingredient goods as combination formulations, described combination formulations is used for simultaneously, separately or sequentially be used for the treatment of suffer from psychosis, presenile dementia or relevant dull-witted patient.
The present invention also relates to use acetylcholinesteraseinhibitors inhibitors (II) prepares strengthen the medicine of atypical antipsychotic (I) to the understanding effect in the psychotic.
On the contrary, the present invention also relates to use atypical antipsychotic (I) prepares in suffering from presenile dementia or relevant dull-witted patient and strengthens the medicine of acetylcholinesteraseinhibitors inhibitors (II) to the understanding effect.
In addition, the present invention relates to use atypical antipsychotic (I) and prepare the medicine that in the patient who suffers from presenile dementia or relevant dementia, reduces the illeffects relevant with acetylcholinesteraseinhibitors inhibitors (II).Described illeffects can be to feel sick, vomit, perspire, be on tenterhooks or insomnia.What especially pay close attention to is to use atypical antipsychotic (I) to prepare the medicine that improves sleep in patient's presenile dementia or relevant patient dull-witted, that use acetylcholinesteraseinhibitors inhibitors (II) to treat simultaneously.
At last, the present invention relates to use acetylcholinesteraseinhibitors inhibitors (II) and prepare the medicine that in the psychotic, reduces the illeffects relevant with atypical antipsychotic (I).Described illeffects can be extrapyramidal symptom or tardive dyskinesia.
In all aforementioned applications, described atypical antipsychotic (I) is risperidone preferably, and described acetylcholinesteraseinhibitors inhibitors (II) preferably galantamine, particularly its (1: 1) hydrobromate.

Claims (14)

1. Pharmaceutical composition, it comprises a kind of carrier and as the atypical antipsychotic (I) of first effective ingredient with as the acetylcholinesteraseinhibitors inhibitors (II) of second effective ingredient, the amount of every kind of effective ingredient produces useful treatment effect in suffering from psychosis or presenile dementia or relevant dull-witted patient.
2. according to the compositions of claim 1, wherein said useful treatment effect is the synergism to the cognitive function of presenile dementia or relevant dementia patients, or prevent the further infringement of described patient understanding, or reduce because of the described effective ingredient of another kind with illeffects that wherein a kind of described effective ingredient is relevant.
3. according to the compositions of claim 1, wherein said atypical antipsychotic (I) is selected from risperidone, 9-hydroxyl risperidone or its C 10-20Alkanoate, olanzapine, quetiapine, iloperidone or ziprasidone, and described acetylcholinesteraseinhibitors inhibitors (II) is selected from galantamine, rivastigmine or donepezil.
4. according to the compositions of claim 3, wherein the amount of every kind of described effective ingredient is equal to or less than the permission amount in the monotherapy that adopts described effective ingredient.
5. according to the compositions of claim 3, wherein said atypical antipsychotic (I) is a risperidone, and described acetylcholinesteraseinhibitors inhibitors (II) is a galantamine.
6. according to the compositions of claim 5, wherein the amount of the risperidone of every kind of dosage form is 0.5,1,2,4 or 6mg, and the amount of galantamine (as principal agent) is 8,16,24 or 32mg.
7. contain as the atypical antipsychotic (I) of first effective ingredient with as the acetylcholinesteraseinhibitors inhibitors (II) of second effective ingredient goods as combination formulations, described combination formulations is used for simultaneously, separately or sequentially be used for the treatment of suffer from psychosis, presenile dementia or relevant dull-witted patient.
8. the application of acetylcholinesteraseinhibitors inhibitors (II) is used for preparation and strengthens the medicine of atypical antipsychotic (I) to the understanding effect the psychotic.
9. the application of atypical antipsychotic (I) is used for preparing and is suffering from presenile dementia or relevant dull-witted patient strengthens the medicine of acetylcholinesteraseinhibitors inhibitors (II) to the understanding effect.
10. the application of atypical antipsychotic (I) is used for preparing and is suffering from the medicine that presenile dementia or relevant dull-witted patient reduce the illeffects relevant with acetylcholinesteraseinhibitors inhibitors (II).
11. according to the application of claim 10, wherein said illeffects can be to feel sick, vomit, perspire, be on tenterhooks or insomnia.
12. the application of acetylcholinesteraseinhibitors inhibitors (II) is used for preparation reduces the illeffects relevant with atypical antipsychotic (I) the psychotic medicine.
13. according to the application of claim 12, wherein said illeffects is extrapyramidal symptom or tardive dyskinesia.
14. each application according to Claim 8-13, wherein said atypical antipsychotic (I) is a risperidone, and described acetylcholinesteraseinhibitors inhibitors (II) is a galantamine.
CN99812184A 1998-10-16 1999-10-12 Therapeutical method for improving cognition Pending CN1367697A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP98203454.8 1998-10-16
EP98203454 1998-10-16

Publications (1)

Publication Number Publication Date
CN1367697A true CN1367697A (en) 2002-09-04

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Country Status (20)

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EP (1) EP1121131A2 (en)
JP (1) JP2002527469A (en)
KR (1) KR20010072878A (en)
CN (1) CN1367697A (en)
AU (1) AU6472799A (en)
BG (1) BG105302A (en)
BR (1) BR9914419A (en)
CA (1) CA2345767A1 (en)
EE (1) EE200100136A (en)
HK (1) HK1039745A1 (en)
HR (1) HRP20010262A2 (en)
HU (1) HUP0103781A3 (en)
ID (1) ID28441A (en)
IL (1) IL142588A0 (en)
NO (1) NO20011403D0 (en)
PL (1) PL348107A1 (en)
SK (1) SK4592001A3 (en)
TR (1) TR200101082T2 (en)
WO (1) WO2000023057A2 (en)
ZA (1) ZA200103081B (en)

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GB0102841D0 (en) * 2001-02-05 2001-03-21 Novartis Ag Organic compounds
WO2003037337A1 (en) 2001-10-30 2003-05-08 Novartis Ag Depot formulations of iloperidone and a star polymer
GB0216416D0 (en) 2002-07-15 2002-08-21 Novartis Ag Organic compounds
US20040192754A1 (en) * 2003-03-24 2004-09-30 Shapira Nathan Andrew Methods for treating idiopathic hyperhidrosis and associated conditions
TW200501962A (en) * 2003-04-01 2005-01-16 Novartis Ag Use of carbamazepine derivatives for the treatment of agitation in dementia patients
WO2006065233A1 (en) * 2004-12-10 2006-06-22 Abbott Laboratories Fused bicycloheterocycle substituted quinuclidine derivatives
WO2005065645A2 (en) * 2003-12-31 2005-07-21 Actavis Group Hf Donepezil formulations
JP5379692B2 (en) 2006-11-09 2013-12-25 プロビオドルグ エージー 3-Hydroxy-1,5-dihydro-pyrrol-2-one derivatives as inhibitors of glutaminyl cyclase for the treatment of ulcers, cancer and other diseases
US9126987B2 (en) 2006-11-30 2015-09-08 Probiodrug Ag Inhibitors of glutaminyl cyclase
JP5930573B2 (en) 2007-03-01 2016-06-15 プロビオドルグ エージー New use of glutaminyl cyclase inhibitors
DK2142514T3 (en) 2007-04-18 2015-03-23 Probiodrug Ag Thiourea derivatives as glutaminyl cyclase inhibitors
MX2007008642A (en) * 2007-07-16 2009-02-25 World Trade Imp Export Wtie Ag Pharmaceutical composition comprising the combination of a benzisoxazolic derived agent and a reversible inhibiting agent of the cholinesterase enzyme prescribed for the control and treatment of psychotic disorders and dementias.
WO2011100373A1 (en) 2010-02-09 2011-08-18 The Johns Hopkins University Methods and compositions for improving cognitive function
EP2542549B1 (en) 2010-03-03 2016-05-11 Probiodrug AG Inhibitors of glutaminyl cyclase
EA022420B1 (en) 2010-03-10 2015-12-30 Пробиодруг Аг Heterocyclic inhibitors of glutaminyl cyclase (qc, ec 2.3.2.5)
JP5945532B2 (en) 2010-04-21 2016-07-05 プロビオドルグ エージー Benzimidazole derivatives as inhibitors of glutaminyl cyclase
US8530670B2 (en) 2011-03-16 2013-09-10 Probiodrug Ag Inhibitors
WO2014078568A1 (en) 2012-11-14 2014-05-22 The Johns Hopkins University Methods and compositions for treating schizophrenia
EP3827820A1 (en) 2013-03-15 2021-06-02 The Johns Hopkins University Brivaracetam for improving cognitive function
CN105142623A (en) 2013-03-15 2015-12-09 艾吉因生物股份有限公司 Methods and compositions for improving cognitive function
EA034167B8 (en) 2015-05-22 2021-04-27 Эйджинбайо, Инк. Extended release pharmaceutical compositions of levetiracetam
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ZA200103081B (en) 2002-07-12
JP2002527469A (en) 2002-08-27
BG105302A (en) 2001-11-30
ID28441A (en) 2001-05-24
WO2000023057A3 (en) 2000-07-27
EP1121131A2 (en) 2001-08-08
AU6472799A (en) 2000-05-08
NO20011403L (en) 2001-03-20
HRP20010262A2 (en) 2002-06-30
NO20011403D0 (en) 2001-03-20
HUP0103781A3 (en) 2003-09-29
PL348107A1 (en) 2002-05-06
WO2000023057A2 (en) 2000-04-27
SK4592001A3 (en) 2001-12-03
EE200100136A (en) 2002-06-17
TR200101082T2 (en) 2001-09-21
KR20010072878A (en) 2001-07-31
HUP0103781A2 (en) 2002-03-28
CA2345767A1 (en) 2000-04-27
IL142588A0 (en) 2002-03-10
BR9914419A (en) 2001-06-26
HK1039745A1 (en) 2002-05-10

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