ES2564936T3 - Aerosol nasal líquido que contiene naltrexona a dosis baja - Google Patents

Aerosol nasal líquido que contiene naltrexona a dosis baja Download PDF

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Publication number
ES2564936T3
ES2564936T3 ES11726367.3T ES11726367T ES2564936T3 ES 2564936 T3 ES2564936 T3 ES 2564936T3 ES 11726367 T ES11726367 T ES 11726367T ES 2564936 T3 ES2564936 T3 ES 2564936T3
Authority
ES
Spain
Prior art keywords
naltrexone
low dose
nasal spray
spray containing
liquid nasal
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.)
Active
Application number
ES11726367.3T
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English (en)
Inventor
Roberto Angeli
William Raffaeli
Maria Adele Rigamonti
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.)
L Molteni and C dei Fratelli Alitti Societa di Esercizio SpA
Original Assignee
L Molteni and C dei Fratelli Alitti Societa di Esercizio SpA
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Publication date
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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
    • A61K31/435Heterocyclic 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
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/485Morphinan derivatives, e.g. morphine, codeine
    • 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
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0043Nose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Neurology (AREA)
  • Emergency Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Neurosurgery (AREA)
  • Biomedical Technology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • General Chemical & Material Sciences (AREA)
  • Otolaryngology (AREA)
  • Addiction (AREA)
  • Pain & Pain Management (AREA)
  • Psychiatry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

Formulaciones farmacéuticas en forma de solución líquida para administración en aerosol por vía nasal que contienen naltrexona en cantidades de entre 0,005-0,02 % p/v.

Description

imagen1
imagen2
imagen3
[0028] La solución obtenida tiene las siguientes características:
pH = 4,8; Densidad = 1,008 g/ml; 5 Osmolalidad = 292 mOsmol/kg; Viscosidad = 2,27 mPa•s.
[0029] Las formulaciones de acuerdo con la invención se pueden administrar, por ejemplo, en forma de un aerosol usando aplicadores adecuados capaces de nebulizar una cantidad definida de solución en las cavidades nasales. La 10 cantidad es normalmente de entre 50 y 100 µΙ y, opcionalmente, se puede repetir si es necesario.
Diseño experimental
[0030] A continuación, se presentan un protocolo experimental y los resultados obtenidos en un estudio clínico en 15 el que se administró naltrexona a pacientes que estaban siendo tratados con morfina.
Incidencia de efectos adversos de la morfina en pacientes (número total 80) antes del tratamiento con Naltrexona
Estreñimiento
70 % Mareo 13,3 %
Náuseas
53,3 % Somnolencia 30 %
Vómitos
53,3 % Prurito 30 %
Inapetencia
46,7 % Astenia 43,3 %
Retención urinaria
40 %
Dolor de cabeza
6,7 %
Pacientes oncológicos que reciben tratamiento con morfina por vía oral (dosis media de 40 mg ± 10 mg) tratados con Naltrexona -Dosis cada 12 horas: usada 1/2 hora antes de la morfina. Pacientes totales: 75.
Dosis de Naltrexona
Beneficio (%)1 Analgesia (%)2
2,5 µg
25 % 45 %
2,5 µg
90 % 60 %
0,125 µg
100 % 60 %
5 µg
40 % 55 %
1 mg
90 % 100 %
1 mg
65 % 90 %
1 mg
40 % 100 %
1 mg
70 % 65 %
1 mg
65 % 60 %
1 mg
100 % 70 %
5 µg
60 % 45 %
5 µg
60 % 55 %
5 µg
0 % 70 %
5 µg
70 % 100 %
5 µg
50 % 90 %
5 µg
45 % 60 %
5 µg
85 % 90 %
5 µg
45 % 65 %
Dosis de Naltrexona
Beneficio (%)1 Analgesia (%)2
2,5 µg
100 % 0 %
1 mg
100 % 100 %
2,5 µg
80 % 45 %
2,5 µg
80 % 45 %
1 mg
65 % 65 %**
2,5 µg
70 % 55 %
2,5 µg
50 % 60 %**
2,5 µg
80 % 45 %
0,125 µg
65 % 45 %
1 mg
90 % 100 %
2,5 µg
65 % 100 %
5
imagen4
Dosis de Naltrexona
Beneficio (%)1 Analgesia (%)2
2,5 µg
100 % 0 %
2,5 µg
100 % 100 %
2,5 µg
80 % 45 %
2,5 µg
80 % 85 %
5 µg
65 % 35 %
5 µg
70 % 85 %
1 mg
50 % 60 %
2,5 µg
80 % 55 %
1 mg
65 % 65 %
2,5 µg
95 % 100 %
2,5 µg
60 % 100 %
5 µg
50 % 60 %
1 µg
100 % 45 %
Dosis de Naltrexona
Beneficio (%)1 Analgesia (%)2
5 µg
30 % 15 %
5 µg
50 % 60 %
2,5 µg
45 % 45 %
2,5 µg
80 % 75 %
1 µg
65 % 65 %
5 µg
70 % 45 %
2,5 µg
45 % 60 %
2,5 µg
60 % 55 %
1 mg
65 % 95 %
5 µg
95 % 100 %
2,5 µg
60 % 90 %
5 µg
50 % 60 %
1 µg
70 % 45 %
Leyenda: 1: Porcentaje de reducción de los efectos adversos. 2: Eficacia analgésica tras la administración de naltrexona. ** Reducción de la eficacia tras la naltrexona.
7

Claims (1)

  1. imagen1
ES11726367.3T 2010-05-21 2011-05-20 Aerosol nasal líquido que contiene naltrexona a dosis baja Active ES2564936T3 (es)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
ITFI20100113 2010-05-21
ITFI2010A000113A IT1400067B1 (it) 2010-05-21 2010-05-21 Spray nasale liquido contenente naltrexone a bassi dosaggi.
PCT/EP2011/058284 WO2011144746A2 (en) 2010-05-21 2011-05-20 Liquid nasal spray containing low-dose naltrexone

Publications (1)

Publication Number Publication Date
ES2564936T3 true ES2564936T3 (es) 2016-03-30

Family

ID=43431069

Family Applications (1)

Application Number Title Priority Date Filing Date
ES11726367.3T Active ES2564936T3 (es) 2010-05-21 2011-05-20 Aerosol nasal líquido que contiene naltrexona a dosis baja

Country Status (17)

Country Link
US (1) US20130059876A1 (es)
EP (1) EP2574167B1 (es)
CN (1) CN102905689A (es)
BR (1) BR112012029595A2 (es)
CA (1) CA2800094C (es)
DK (1) DK2574167T3 (es)
ES (1) ES2564936T3 (es)
HR (1) HRP20160187T1 (es)
HU (1) HUE026994T2 (es)
IT (1) IT1400067B1 (es)
MX (1) MX2012013380A (es)
NZ (1) NZ604417A (es)
PL (1) PL2574167T3 (es)
RS (1) RS54588B1 (es)
RU (1) RU2552786C2 (es)
SI (1) SI2574167T1 (es)
WO (1) WO2011144746A2 (es)

Families Citing this family (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2065038A1 (en) 2007-11-30 2009-06-03 Pharnext New therapeutic approaches for treating Charcot-Marie-Tooth disease
EP2263665A1 (en) 2009-06-02 2010-12-22 Pharnext New compositions for treating CMT and related disorders
US9393241B2 (en) 2009-06-02 2016-07-19 Pharnext Compositions for treating CMT and related disorders
LT3003268T (lt) 2013-06-05 2018-12-10 Pharnext Stabilūs peroraliniai tirpalai, skirti kompleksiniam aktyviam farmaciniam ingredientui (api)
EP3082816B1 (en) 2013-12-20 2019-03-20 Indivior UK Limited Intranasal naloxone compositions and methods of making and using same
US10722510B2 (en) 2014-07-08 2020-07-28 Hikma Pharmaceuticals Usa Inc. Liquid naloxone spray
CA2954637A1 (en) * 2014-07-09 2016-01-14 Opiant Pharmaceuticals, Inc. Co-packaged drug products
EP3416619A2 (en) * 2016-02-18 2018-12-26 Immune Therapeutics, Inc. Method for inducing a sustained immune response
US10383870B2 (en) 2016-06-10 2019-08-20 Pharnext Early treatment of CMT disease
US20180092839A1 (en) * 2016-10-03 2018-04-05 Lance L. Gooberman Medicated spray for treatment of substance abuse, overdose, addiction and impulse control disorders
EP3906934A1 (en) * 2020-05-06 2021-11-10 PVP Labs PTE. Ltd. Application of dalargin for the prevention of viral respiratory infections and prevention of the development of complications during viral respiratory infections
US11752143B2 (en) 2020-12-31 2023-09-12 Soin Therapeutics Llc Methods of using low dose naltrexone to treat chronic pain
CN118021709A (zh) * 2022-11-07 2024-05-14 深圳善康医药科技股份有限公司 纳曲酮原位凝胶鼻喷剂及其制备方法和应用

Family Cites Families (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9908921D0 (en) * 1999-04-19 1999-06-16 Britannia Pharmaceuticals Ltd Spray dispenser for opiod antagonists
AU2001262992A1 (en) * 2000-05-10 2002-02-18 University Of Kentucky Research Foundation System and method for intranasal administration of opioids
AU2002303148A1 (en) * 2001-06-29 2003-03-03 Leon J. Lewandowski Individualized addiction cessation therapy
RU2224518C1 (ru) * 2003-02-10 2004-02-27 Дулькис Мария Дмитриевна Жидкая лекарственная форма налтрексона
US20070212307A1 (en) * 2006-02-10 2007-09-13 Daniel Wermeling Pharmaceutical Compositions Comprising an Opioid Receptor Antagonist and Methods of Using Same
WO2009040595A1 (en) * 2007-09-28 2009-04-02 Wockhardt Research Centre Multi-dose pharmaceutical composition of analgesic for nasal administration
EP2266563A1 (en) * 2009-06-11 2010-12-29 Charité-Universitätsmedizin Berlin (Charité) Use of opioid receptor antagonists for acute treatment of paraphilic arousal states

Also Published As

Publication number Publication date
AU2011254554A1 (en) 2013-01-10
IT1400067B1 (it) 2013-05-17
ITFI20100113A1 (it) 2011-11-22
WO2011144746A3 (en) 2012-02-02
RU2552786C2 (ru) 2015-06-10
EP2574167A2 (en) 2013-04-03
RU2012155711A (ru) 2014-06-27
BR112012029595A2 (pt) 2016-12-13
MX2012013380A (es) 2013-02-11
CA2800094A1 (en) 2011-11-24
SI2574167T1 (sl) 2016-05-31
RS54588B1 (en) 2016-08-31
HRP20160187T1 (hr) 2016-04-08
CN102905689A (zh) 2013-01-30
NZ604417A (en) 2014-03-28
WO2011144746A2 (en) 2011-11-24
PL2574167T3 (pl) 2016-07-29
HUE026994T2 (en) 2016-08-29
US20130059876A1 (en) 2013-03-07
DK2574167T3 (en) 2016-03-07
CA2800094C (en) 2018-05-29
EP2574167B1 (en) 2015-12-16

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