EP1307195A2 - Cilansetron enthaltende arzneimittel zur behandlung nicht-obstipativer männlicher ibs-patienten - Google Patents

Cilansetron enthaltende arzneimittel zur behandlung nicht-obstipativer männlicher ibs-patienten

Info

Publication number
EP1307195A2
EP1307195A2 EP01954044A EP01954044A EP1307195A2 EP 1307195 A2 EP1307195 A2 EP 1307195A2 EP 01954044 A EP01954044 A EP 01954044A EP 01954044 A EP01954044 A EP 01954044A EP 1307195 A2 EP1307195 A2 EP 1307195A2
Authority
EP
European Patent Office
Prior art keywords
cilansetron
patients
ibs
use according
treatment
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.)
Withdrawn
Application number
EP01954044A
Other languages
German (de)
English (en)
French (fr)
Inventor
Werner Cautreels
Claus Rudolf Steinborn
Heinz Günter KRAUSE
Steven David Caras
Egbertus Hendrikus Evert Biesheuvel
Albertus Hermannus Dirk Plekkenpol
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.)
Abbott Products GmbH
Original Assignee
Solvay Pharmaceuticals GmbH
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
Priority claimed from DE10123447A external-priority patent/DE10123447A1/de
Application filed by Solvay Pharmaceuticals GmbH filed Critical Solvay Pharmaceuticals GmbH
Publication of EP1307195A2 publication Critical patent/EP1307195A2/de
Withdrawn legal-status Critical Current

Links

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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/4985Pyrazines or piperazines ortho- or peri-condensed with heterocyclic ring systems
    • 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
    • A61K31/41Heterocyclic 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
    • A61K31/41841,3-Diazoles condensed with carbocyclic rings, e.g. benzimidazoles
    • 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
    • A61K31/437Heterocyclic 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 containing a five-membered ring having nitrogen as a ring hetero atom, e.g. indolizine, beta-carboline
    • 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
    • A61K31/439Heterocyclic 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 the ring forming part of a bridged ring system, e.g. quinuclidine
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
    • 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
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • A61K31/53751,4-Oxazines, e.g. morpholine
    • A61K31/5381,4-Oxazines, e.g. morpholine ortho- or peri-condensed with carbocyclic ring systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/06Anti-spasmodics, e.g. drugs for colics, esophagic dyskinesia
    • 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

Definitions

  • the present invention relates to a new medical use of cilansetron or its acid addition salts.
  • Cilansetron is a 5HT 3 receptor antagonist, which falls under the scope of the European patent EP 0 297 651 Bl and which has the chemical name (R) - (-) -4, 5, 6, 8, 9, 10- hexahydro- 10- [(2-methyl-lH-imidazol-l-yl) methyl] -llH-pyrido- [3, 2, 1-j] -carbazol-11-one carries.
  • European patent EP 0 601 345 B1 already discloses the use of, inter alia, cilansetron for the production of pharmaceutical preparations for the treatment of functional disorders of the lower intestinal tract associated with increased sensitivity to pain and / or abnormally accelerated stool passage in the colon area in larger mammals and humans.
  • non-constipative diarrhea-predominant IBS patient group
  • WO 99/17755 mentions alosetron, which in clinical trials showed significantly better efficacy in female IBS patients compared to efficacy in male IBS patients. In these clinical trials, male test subjects treated with alosetron did not find any significant improvement in their condition compared to the placebo group.
  • cilansetron is stated to be within the scope of the disclosure.
  • IBS irritable bowel syndrome
  • IBS refers to a group of symptoms associated with pain and / or a feeling of discomfort in the lower abdomen and changed bowel activities such as diarrhea, constipation (constipation) or alternating diarrhea and constipation. Since no clearly definable physiological or other organic findings can be cited as the cause of IBS, the medical diagnosis of this disease is usually based on the absence or presence of a number of symptoms which are generally regarded as typical for IBS and, for example, in the " Ro e Criteria "(cf. WG Thompson et al., Gastroent. Int. 2 (1989) 92-95; WG Thompson et al., Gut 45/11 (1999) II 43 - II 47; WG Thompson, Lancet 341 ( 1993) 1569 - 1572).
  • cilansetron can preferably be used in the form of the cilansetron hydrochloride.
  • the cilansetron hydrochloride monohydrate is usually used.
  • Further pharmacologically acceptable acid addition salts of cilansetron are known from EP 0 297 651 B1.
  • BID dosage a dosage of 5HT 3 receptor antagonists
  • TID dosage a dosage of IBS patients of both sexes.
  • Examples of 5HT 3 receptor antagonists which can be administered more advantageously in triple daily doses include alosetron, azasetron, dolasetron, granisetron, indisetron, itasetron, lerisetron, ondansetron, ramosetron, tropisetron and (R) -zacoprid. It has proven to be particularly advantageous for the treatment of IBS patients of both sexes to administer cilansetron or its pharmacologically acceptable acid addition salts and / or solvates to the patients three times a day, for example in doses between 1 mg and 16 mg per administration.
  • cilansetron or a pharmacologically acceptable acid addition salt of cilansetron can be contained according to the invention in solid or liquid pharmaceutical preparations together with customary pharmaceutical auxiliaries and / or carriers.
  • solid preparations are orally administrable preparations such as tablets, dragees, capsules, powders or granules or suppositories.
  • These preparations can pharmaceutically customary inorganic and / or organic carriers, such as. B. talc, milk sugar or starch in addition to pharmaceutically customary auxiliaries, for example lubricants or tablet disintegrants.
  • Liquid preparations such as suspensions or emulsions of cilansetron can contain the usual diluents such as water, oils and / or suspending agents such as polyethylene glycols and the like. Additional auxiliaries can also be added, e.g. B. preservatives, flavor corrections and the like.
  • Cilansetron or a pharmacologically acceptable acid addition salt of cilansetron can be mixed and formulated with the pharmaceutical auxiliaries and / or carriers in a manner known per se.
  • cilansetron or an acid addition salt can be mixed, for example, with the auxiliaries and / or excipients in a conventional manner and granulated wet or dry. The granules or powder can be filled directly into capsules or pressed into tablet cores in the usual way. If desired, these can be dragged in a known manner.
  • the active ingredient is mixed with cornstarch and fine powdered lactose in a mixer.
  • the resulting mixture is moistened with a 20% solution of polyvinylpyrolidone (Kollidon 25 R from BASF) in demineralized water. If necessary, further demineralized water is added.
  • the moist granulate is passed through a 2 mm sieve. , dried on trays at 40 ° C and then passed through a 1 mm sieve (Frewitt machine). After mixing the granules with magnesium stearate and talc, tablets with a weight of 114 mg are pressed therefrom, so that each tablet contains 4 mg of active ingredient.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
EP01954044A 2000-07-26 2001-07-18 Cilansetron enthaltende arzneimittel zur behandlung nicht-obstipativer männlicher ibs-patienten Withdrawn EP1307195A2 (de)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
DE10036645 2000-07-26
DE10036645 2000-07-26
DE10123447 2001-05-14
DE10123447A DE10123447A1 (de) 2000-07-26 2001-05-14 Cilansetron enthaltende Arzneimittel zur Behandlung nicht-obstipativer männlicher IBS-Patienten
PCT/EP2001/008260 WO2002007713A2 (de) 2000-07-26 2001-07-18 Cilansetron enthaltende arzneimittel zur behandlung nicht-obstipativer männlicher ibs-patienten

Publications (1)

Publication Number Publication Date
EP1307195A2 true EP1307195A2 (de) 2003-05-07

Family

ID=26006529

Family Applications (1)

Application Number Title Priority Date Filing Date
EP01954044A Withdrawn EP1307195A2 (de) 2000-07-26 2001-07-18 Cilansetron enthaltende arzneimittel zur behandlung nicht-obstipativer männlicher ibs-patienten

Country Status (16)

Country Link
EP (1) EP1307195A2 (zh)
JP (1) JP2004504343A (zh)
CN (1) CN1444479A (zh)
AR (1) AR028970A1 (zh)
AU (1) AU2001276409A1 (zh)
BR (1) BR0112690A (zh)
CA (1) CA2417677A1 (zh)
CZ (1) CZ2003158A3 (zh)
HU (1) HUP0301479A2 (zh)
IL (1) IL153972A0 (zh)
MX (1) MXPA02012917A (zh)
NO (1) NO20030373D0 (zh)
PL (1) PL363517A1 (zh)
RU (1) RU2003104798A (zh)
SK (1) SK1272003A3 (zh)
WO (1) WO2002007713A2 (zh)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0216027D0 (en) 2002-07-10 2002-08-21 Arachnova Therapeutics Ltd New therapeutic use
NZ541656A (en) * 2004-01-30 2008-05-30 Astellas Pharma Inc The use of ramosetron hydrochloride for diarrhea-predominant irritable bowel syndrome
WO2005073220A1 (ja) * 2004-01-30 2005-08-11 Yamanouchi Pharmaceutical Co., Ltd. 下痢型過敏性腸症候群治療剤
JP4632204B2 (ja) * 2005-09-21 2011-02-16 アステラス製薬株式会社 下痢型過敏性腸症候群治療剤
US7601856B2 (en) 2006-07-27 2009-10-13 Wyeth Benzofurans as potassium ion channel modulators
US7662831B2 (en) 2006-07-27 2010-02-16 Wyeth Llc Tetracyclic indoles as potassium channel modulators

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9721139D0 (en) * 1997-10-07 1997-12-03 Glaxo Group Ltd Medicaments
GB9930077D0 (en) * 1999-12-20 2000-02-09 Glaxo Group Ltd Medicaments

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO0207713A2 *

Also Published As

Publication number Publication date
CA2417677A1 (en) 2003-01-27
MXPA02012917A (es) 2003-05-14
WO2002007713A3 (de) 2002-11-14
NO20030373L (no) 2003-01-24
RU2003104798A (ru) 2004-06-27
IL153972A0 (en) 2003-07-31
CN1444479A (zh) 2003-09-24
NO20030373D0 (no) 2003-01-24
SK1272003A3 (en) 2003-07-01
AU2001276409A1 (en) 2002-02-05
BR0112690A (pt) 2003-06-24
PL363517A1 (en) 2004-11-29
CZ2003158A3 (cs) 2003-08-13
AR028970A1 (es) 2003-05-28
HUP0301479A2 (hu) 2003-09-29
WO2002007713A2 (de) 2002-01-31
JP2004504343A (ja) 2004-02-12

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