DK2515899T3 - Fremgangsmåder og sammensætninger til kardiovaskulære sygdomme og tilstande - Google Patents

Fremgangsmåder og sammensætninger til kardiovaskulære sygdomme og tilstande Download PDF

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DK2515899T3
DK2515899T3 DK10840169.6T DK10840169T DK2515899T3 DK 2515899 T3 DK2515899 T3 DK 2515899T3 DK 10840169 T DK10840169 T DK 10840169T DK 2515899 T3 DK2515899 T3 DK 2515899T3
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Michael R Bristow
J David Port
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Arca Biopharma Inc
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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
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/34Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
    • A61K31/345Nitrofurans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/34Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/68Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving nucleic acids
    • C12Q1/6876Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes
    • C12Q1/6883Nucleic acid products used in the analysis of nucleic acids, e.g. primers or probes for diseases caused by alterations of genetic material
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/573Immunoassay; Biospecific binding assay; Materials therefor for enzymes or isoenzymes
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q2600/00Oligonucleotides characterized by their use
    • C12Q2600/106Pharmacogenomics, i.e. genetic variability in individual responses to drugs and drug metabolism
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q2600/00Oligonucleotides characterized by their use
    • C12Q2600/156Polymorphic or mutational markers
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/90Enzymes; Proenzymes
    • G01N2333/902Oxidoreductases (1.)
    • G01N2333/90245Oxidoreductases (1.) acting on paired donors with incorporation of molecular oxygen (1.14)
    • G01N2333/90248Oxidoreductases (1.) acting on paired donors with incorporation of molecular oxygen (1.14) with NADH or NADPH as one of the donors, and incorporation of one atom of oxygen 1.14.13
    • G01N2333/90251Oxidoreductases (1.) acting on paired donors with incorporation of molecular oxygen (1.14) with NADH or NADPH as one of the donors, and incorporation of one atom of oxygen 1.14.13 with a definite EC number (1.14.13.-)
    • G01N2333/90254Nitric-oxide synthase (NOS; 1.14.13.39)
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2800/00Detection or diagnosis of diseases
    • G01N2800/52Predicting or monitoring the response to treatment, e.g. for selection of therapy based on assay results in personalised medicine; Prognosis

Claims (15)

1. Forbindelsen S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat til anvendelse i behandling af en kardiovaskulær sygdom eller tilstand, hvor en effektiv mængde af en farmaceutisk sammensætning omfattende denne forbindelse administreres til patienten efter at patienten er blevet testet og bestemt til at være homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen.
2. Anvendelse af forbindelsen S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat til fremstilling afen farmaceutisk sammensætning til behandling afen kardiovaskulær sygdom eller tilstand, hvor en effektiv mængde af en farmaceutisk sammensætning omfattende denne forbindelse administreres til patienten efter at patienten er blevet testet og bestemt til at være homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen.
3. Forbindelsen til anvendelse ifølge krav 1 eller anvendelsen ifølge krav 2, hvor den kardiovaskulære sygdom eller tilstand er perifer arteriesygdom, hjertefejl, koronar hjertesygdom, koronar spasme, myokardial infarkt, atherosclerose, eller pulmonær arterial hypertension.
4. Forbindelsen til anvendelse ifølge krav 1 eller 3 eller anvendelsen ifølge krav 2 eller 3, hvor mindst én dosis af sammensætningen skal administreres til patienten, hvor sammensætningen omfatter ca. 1-40 mg af forbindelsen, eller hvor sammensætningen omfatter ca. 5-20 mg af forbindelsen.
5. Forbindelsen til anvendelse ifølge et hvilket som helst af kravene 1, 3 og 4 eller anvendelsen ifølge et hvilket som helst af kravene 2 til 4, hvor flere doser af sammensætningen skal administreres til patienten.
6. Forbindelsen til anvendelse eller anvendelsen ifølge krav 5, hvor flere doser af sammensætningen i en 24-timers periode eller hvor 1 til 3 doser af sammensætningen, hvor sammensætningen omfatter ca. 1-40 mg of forbindelsen, skal administreres til patienten.
7. Forbindelsen til anvendelse ifølge krav 1 eller anvendelsen ifølge krav 2, hvor patienten er blevet testet for at bestemme patientens genotype ved position 894 i NOS3-genet efter at have været forsynet med eller leveret en biologisk prøve fra patienten.
8. Forbindelsen til anvendelse ifølge krav 1 eller anvendelsen ifølge krav 2, hvor patientens genotype ved position 894 i NOS3-genet er blevet bestemt efter en test er blevet bestilt. 9. S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat til anvendelse i behandling af en patient der er blevet diagnosticeret med en sygdom eller tilstand associeret med NO-produktion, hvor sygdommen er en iskæmisk kardiovaskulær lidelse, glaukom, eller en tarmlidelse, hvor en effektiv mængde af S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat administreres til patienten efter at patienten er blevet testet og bestemt til at være homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen.
10. Anvendelse af S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat til fremstilling af en farmaceutisk sammensætning til behandling af en patient der er blevet diagnosticeret med en sygdom eller tilstand associeret med NO-produktion, hvor sygdommen er en iskæmisk kardiovaskulær lidelse, glaukom, eller en tarmlidelse, hvor en effektiv mængde af S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat administreres til patienten efter at patienten er blevet testet og bestemt til at være homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen. 11. S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat til anvendelse til at øge nitrogenoxid-(NO)-niveauer i en patient der er blevet diagnosticeret med en sygdom eller tilstand associeret med NO-produktion, hvor sygdommen er en iskæmisk kardiovaskulær lidelse, glaukom, eller en tarmlidelse, hvor en effektiv mængde af nævnte S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetatet administreres til patienten efter at patienten er blevet testet og bestemt til at være homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen.
12. Anvendelse af S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat til fremstilling af en farmaceutisk sammensætning til at øge nitrogenoxid-(NO) niveauer i en patient der er blevet diagnosticeret med en sygdom eller tilstand associeret med NO-produktion, hvor sygdommen er en iskæmisk kardiovaskulær lidelse, glaukom, eller en tarmlidelse, hvor en effektiv mængde af nævnte S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat administreres til patienten efter at patienten er blevet testet og bestemt til at være homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen.
13. En in vitro-fremgangsmåde til identificering om en patient er egnet til behandling med S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat omfattende bestemmelse af hvorvidt patienten er homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen, hvor patienten er er egnet til behandling med S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat hvis patienten er homozygot vildtype (G/G) ved position 894 i NOS3-genet.
14. Fremgangsmåde til diagnosticering af en patient som en egnet kandidat til behandling med S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat omfattende analysering af en prøve fra patienten for at bestemme hvorvidt patienten er homozygot vildtype (G/G) ved position 894 i det endoteliale nitrogenoxidsyntase-(NOS3)-gen og rapportering om patienten er homozygot vildtype (G/G) ved position 894 i NOS3-genet.
15. Anvendelse af et kit til at identificere om en patient er egnet til behandling med S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat eller til diagnosticering afen patient som en egnet kandidat til behandling med S-(6-Nitro-oxi-hexahydro-furo[3,2-b]furan-3-l-il)thioacetat, hvor dette kit omfatter i en egnet beholder en sonde eller mindst ét sæt primere til at identificere NOS3-polymorfisme ved position 894.
16. Anvendelsen ifølge krav 15, hvor sonden omfatter mindst én nukleinsyre på mellem 15 og 100 nukleotider af SEQ ID NO:l og/eller SEQ ID NO:3, hvor sonden omfatter nukleotidet ved position 894 af NOS3-genet.
17. Anvendelsen ifølge krav 15, hvor primerne omfatter mindst ét sæt primere til at amplificere en sekvensregion der omfatter position 894 af NOS3-genet.
DK10840169.6T 2009-12-23 2010-12-23 Fremgangsmåder og sammensætninger til kardiovaskulære sygdomme og tilstande DK2515899T3 (da)

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US28993209P 2009-12-23 2009-12-23
PCT/US2010/062023 WO2011079273A2 (en) 2009-12-23 2010-12-23 Methods and compositions for cardiovascular diseases and conditions

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US20130131161A1 (en) 2013-05-23
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