DK2758047T3 - Sammensætninger og fremgangsmåder til behandling af presbyopi, mild hyperopi og irregulær astigmatisme - Google Patents

Sammensætninger og fremgangsmåder til behandling af presbyopi, mild hyperopi og irregulær astigmatisme Download PDF

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DK2758047T3
DK2758047T3 DK12813089.5T DK12813089T DK2758047T3 DK 2758047 T3 DK2758047 T3 DK 2758047T3 DK 12813089 T DK12813089 T DK 12813089T DK 2758047 T3 DK2758047 T3 DK 2758047T3
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composition
pilocarpine
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agonist
nsaid
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DK12813089.5T
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Jaun Carlos Abad
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Allergan 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
    • A61K31/16Amides, e.g. hydroxamic acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/27Esters, e.g. nitroglycerine, selenocyanates of carbamic or thiocarbamic acids, meprobamate, carbachol, neostigmine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/325Carbamic acids; Thiocarbamic acids; Anhydrides or salts 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
    • A61K31/41Heterocyclic 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
    • A61K31/41641,3-Diazoles
    • 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
    • A61K31/41641,3-Diazoles
    • A61K31/4174Arylalkylimidazoles, e.g. oxymetazolin, naphazoline, miconazole
    • 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
    • A61K31/41641,3-Diazoles
    • A61K31/41781,3-Diazoles not condensed 1,3-diazoles and containing further heterocyclic rings, e.g. pilocarpine, nitrofurantoin
    • 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
    • A61K31/54Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/541Non-condensed thiazines containing further heterocyclic rings
    • 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
    • A61K31/54Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
    • A61K31/5415Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
    • 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
    • A61K9/0048Eye, e.g. artificial tears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/06Antiglaucoma agents or miotics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/10Ophthalmic agents for accommodation disorders, e.g. myopia

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medicinal Chemistry (AREA)
  • Public Health (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Ophthalmology & Optometry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicinal Preparation (AREA)

Claims (15)

1. Sammensætning til behandling afen okulær tilstand, omfattende en muscarin acetylcholinreceptor M3 agonist, og oxymetazolin, og eventuelt et ikke-steroidt anti-inflammatorisk middel (NSAID) med COX-2-selektivitet; hvor den okulære tilstand er presbyopi, mild hyperopi, irregulær astigmatisme eller hyperopisk akkommodativ esotropi.
2. Sammensætning ifølge krav 1, hvor sammensætningen omfatter: fra omkring 0,01% til omkring 4% vægt/vægt muscarin acetylcholinreceptor M3 agonist; og fra omkring 0,01% til omkring 0,5% vægt/vægt oxymetazolin og eventuelt omkring 0,01% til omkring 2% NSAID med COX-2-selektivitet.
3. Sammensætning ifølge krav 1, hvor sammensætningen omfatter: fra omkring 0,01% til omkring 2% vægt/vægt muscarin acetylcholinreceptor M3 agonist; og fra omkring 0,01% til omkring 0,2% vægt/vægt oxymetazolin og eventuelt omkring 0,01% til omkring 1% NSAID med COX-2-selektivitet.
4. Sammensætning ifølge krav 1, hvor sammensætningen omfatter: fra omkring 0,5% til omkring 1,5% vægt/vægt muscarin acetylcholinreceptor M3 agonist; og fra omkring 0,02% til omkring 0,1% vægt/vægt oxymetazolin og eventuelt omkring 0,02% til omkring 0,1% vægt/vægt NSAID med COX-2-selektivitet.
5. Sammensætning ifølge et hvilket som helst af kravene 1 til 4, hvor muscarin acetylcholinreceptor M3 agonisten omfatter acetylcholin, betanekol, carbachol, oxotremorin, pilocarpidin eller pilocarpin.
6. Sammensætning ifølge et hvilket som helst af kravene 1 til 4, hvor muscarin acetylcholinreceptor M3 agonisten er pilocarpin.
7. Sammensætning ifølge krav 1 eller krav 2, hvor muscarin acetylcholinreceptor M3 agonisten er carbachol.
8. Sammensætning ifølge et hvilket som helst af kravene 1 til 7, hvor NSAID'et med COX-2-selektivitet omfatter meloxicam, celecoxib, rofecoxib, valdecoxib, parecoxib, etoricoxib, nimesulid, etodolac eller nabumeton.
9. Sammensætning ifølge et hvilket som helst af kravene 1 til 7, hvor NSAID'et med COX-2-selektivitet er meloxicam.
10. Sammensætning ifølge et hvilket som helst af kravene 1 til 9, hvor sammensætningen endvidere omfatter en oftalmisk acceptabel bærer.
11. Sammensætning ifølge et hvilket som helst af kravene 1 til 10, hvor sammensætningen endvidere omfatter en cyclodextrin eller derivat deraf til at forstærke sammensætningens okulære penetration.
12. Sammensætning ifølge et hvilket som helst af kravene 1 til 11, hvor sammensætningen er i form af øjendråber, suspension, gel, salve, injicerbar opløsning eller spray.
13. Sammensætning ifølge et hvilket som helst af kravene 1 til 12 til anvendelse i en fremgangsmåde til behandling af presbyopi, mild hyperopi, irregulær astigmatisme, eller hyperopisk akkommodativ esotropi, omfattende indgivelse til individet af en terapeutisk effektiv mængde af sammensætningen, hvor indgivelse eventuelt omfatter indgivelse af sammensætningen til et øje på individet, og hvor sammensætningen eventuelt kun indgives til et enkelt øje på individet.
14. Sammensætning til anvendelse i en fremgangsmåde ifølge krav 13, hvor sammensætningen øger brydningsevnen af et øje hos individet med op til omkring 4,0 dioptre, hvor individet eventuelt er et menneske.
15. Sammensætning ifølge et hvilket som helst af kravene 1 til 12 til anvendelse i en fremgangsmåde til behandling af en okulær tilstand hos et individ, omfattende indgivelse til individet af en terapeutisk effektiv mængde af sammensætningen, hvor den okulære tilstand er presbyopi, mild hyperopi, irregulær astigmatisme, hyperopisk akkommodativ esotropi, og hvor eventuelt a) den terapeutisk effektive mængde omfatter fra omkring 0,3% til omkring 1,0% pilocarpin i det tilfælde hvor individet er en patient hvis okulære tilstand kunne rettes med briller med omkring +0,5D til omkring + l,0D brilleglas, eller b) den terapeutisk effektive mængde omfatter fra omkring 0,8% til omkring 1,6% pilocarpin i det tilfælde, hvor individet er en patient hvis okulære tilstand kunne rettes med briller med omkring +l,0D til omkring + 1,5D brilleglas, eller c) den terapeutisk effektive mængde omfatter fra omkring 1,4 % til omkring 2,2% pilocarpin i det tilfælde, hvor individet er en patient hvis okulære tilstand kunne rettes med briller med omkring +1,5D til omkring + 2,OD brilleglas.
DK12813089.5T 2011-09-20 2012-09-19 Sammensætninger og fremgangsmåder til behandling af presbyopi, mild hyperopi og irregulær astigmatisme DK2758047T3 (da)

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US201161536921P 2011-09-20 2011-09-20
PCT/IB2012/002335 WO2013041967A2 (en) 2011-09-20 2012-09-19 Compositions and methods for treating presbyopia, mild hyperopia, and irregular astigmatism

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US (6) US9579308B2 (da)
EP (3) EP2758047B1 (da)
JP (1) JP6141850B2 (da)
KR (1) KR102017916B1 (da)
CN (1) CN104093404B (da)
AU (2) AU2012311239B2 (da)
BR (1) BR112014006607A2 (da)
CA (2) CA2849366C (da)
CL (1) CL2014000689A1 (da)
CO (1) CO7000769A2 (da)
DK (1) DK2758047T3 (da)
ES (1) ES2715296T3 (da)
HK (1) HK1198426A1 (da)
IL (1) IL231631B (da)
IN (1) IN2014CN02961A (da)
MX (1) MX357635B (da)
MY (1) MY168643A (da)
RU (1) RU2630968C2 (da)
SG (1) SG11201400828RA (da)
TR (1) TR201903465T4 (da)
UA (1) UA113525C2 (da)
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