IE51711B1 - Carnitine derivatives - Google Patents

Carnitine derivatives

Info

Publication number
IE51711B1
IE51711B1 IE217578A IE217578A IE51711B1 IE 51711 B1 IE51711 B1 IE 51711B1 IE 217578 A IE217578 A IE 217578A IE 217578 A IE217578 A IE 217578A IE 51711 B1 IE51711 B1 IE 51711B1
Authority
IE
Ireland
Prior art keywords
carnitine
cardiac
acetyl
effect
derivatives
Prior art date
Application number
IE217578A
Other versions
IE782175L (en
Original Assignee
Sigma Tau Ind Farmaceuti
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 IT51663/77A external-priority patent/IT1143611B/en
Priority claimed from IT4767678A external-priority patent/IT1155772B/en
Priority claimed from IT4789978A external-priority patent/IT1155814B/en
Application filed by Sigma Tau Ind Farmaceuti filed Critical Sigma Tau Ind Farmaceuti
Priority to IE1850/85A priority Critical patent/IE51712B1/en
Publication of IE782175L publication Critical patent/IE782175L/en
Publication of IE51711B1 publication Critical patent/IE51711B1/en

Links

Classifications

    • 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
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/22Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
    • 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
    • A61K31/215Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
    • A61K31/22Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
    • A61K31/23Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin of acids having a carboxyl group bound to a chain of seven or more carbon atoms

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

I-Carnitine acylated with a C2-30 aliphatic saturated fatty acid optionally substituted by OH or CH3co may be used in the therapy of myocardic anoxia, of ischemia, of the arrhythmic syndromes and generally speaking, of the cardiac insufficiencies, as in all the cases where the energy demand at cardiac level is raised as a consequence of fatigue.

Description

The present invention relates to carnitine derivatives and is more fully defined in the claims. The invention is concerned with the levorotatory acylated derivatives of carnitine and this is indicated by 1-.
The use of d,l-carnitine in the paediatric field in the therapy of diseases of the lipidic metabolism and in muscular diseases of dystrophic type is well known. d,lCarnitine has recently also been shown to have cardiotropic properties such that it had a favourable effect on pathologic conditions characterised by disturbances of the cardiac rhythm. Following these experimental observations, the applicants have carried out pharmacological research on the acetylated derivative of 1-carnitine, namely, acetyl-l-carnitine, in order to study the cardiotropic properties of this compound. The study was carried out by comparing its pharmacological activity with that of d,1-carnitine and disclosed the more evident cardiotropic properties and the good' tolerability of acetyl-l-carnitine. Similar studies were carried out with the other derivatives. -3Our Divisional Application No. 1850/85 is directed towards carnitine derivatives of the above formula in which R is acetyl or propionyl.
The invention also provides a use of a carnitine derivative 5 of the general formula + (CH3)3 . N - CHg - CH - CHgCOO" OR in a laevorotatory form wherein R is butyryl, hydroxy butyryl, 10 hexanoyl, octanoyl, decanoyl, palmitoyl, stearoyl or acetoacetyl or a pharmaceutically acceptable salt thereof for the preparation of a pharmaceutically formulation for the treatment or prophylaxis of a cardiac ailment in a mammal including humans. 5i7ii -4Typically the cardiac ailment is myocardial anoxia, ischemia, arrhythmic syndromes, cardiac insufficiency, cardiotoxemia or raised energy demand at cardiac level as a result of fatigue.
Preferably, R is butyryl, hydroxy butyryl or acetoacetyl.
Experimental study 1) Tests on acute toxicity The tolerability of the acetyl-1-carnitine (and the other derivatives) was tested by comparing the DLgg figures observed when administering the substance intravenously into male mice and into male rats, with the DLg0 figures observed under the same experimental conditions using intravenous administration of d, 1carnitine. DLgQ was determined by the method of Litchfield and Wilcoxon. As is shown by the values 1711 -5reported in Table 1 below, acetyl-l-carnitine, in mice as well as in rats, has a higher tolerability than d,lcarnitine. The other derivatives also showed good results. 2) Study of the cardiokinetic effect on isolated hearts.
Rabbit heart, isolated according to Langendorff, was perfused with oxygenated Ringer at 38.2°C and at a perfusion pressure of 50 cm HgO. The isometric contractions, the electrocardiograph and the coronary flux were registered by a Battaglia-Rangoni polygraph.
On removing oxygen from the perfusion liquid, metabolic damage was induced in the cardiac muscle, the damage gradually^increasing up to an 80% reduction of the cardiac contraction strength. Under these prolonged anoxic conditions, the aerobic glycolisis of the myocardium is reduced with a consequent accumulation of acid catabolites. These originate with the stanching (ristagno) of pyruvic acid, as well as its transformation into lactic acid, which cannot be utilized because of the depression (suppression) of the pyridinic enzymes such as lactic dehydrogenase. All this has an effect on the anaerobic glyolisis, influencing a rising number of enzymes, causing a progressive myocardial exhaustion, which becomes more and more critical. In this way all phases of cardiac -(,muscle fatigue are passed through. These may be seen in the behaviour of the observed parameters: contraction strength, coronary flux, cardiac frequency, cardiac rhythm.
Oxygen was then supplied again with normal Ringer (control) and with further Ringer which was treated by adding the substances under examination, at various concentrations • d — R (e.g. 10 g/1 to 10 g/1) the parameters are registered during the following 40 minutes.
In Table 2 the various percent values of the heart contraction strength are reported. They show a positive inotropic effect calculated 10 minutes after the interruption of the anoxic period (miocardium recovery).
The results evaluated with the t test of Student show that with the same concentration in the perfusion liquid, the acetyl-l-carnitine induces a higher positive inotropic effect than the one induced by d,l-carnitine, with statistically significant differences. Similar results were observed with butyryl - 1 -carnitine, hydroxy butyryl-l-carnicine and acetoacetyl-1 -carnitine. The coronary flux and the cardiac frequency are not sensibly affected by the perfusion with the examined substances . -7Therefore, the cardiotropic action of these substances is different from that of digitalic drugs. Moreover a clear antlarhythmic effect has been observed. In fact the sinusal rhythm which was altered by the induced anoxia, was restored with acetyl-l-carnitine in 80% of the cases, whereas using d,1-carnitine the restoration was observed in 50% of the cases. 3) Research on the anti-fatigue effect.
The anti-fatigue effect was studied by intraperitoneally 10 administering to female rats, either acetyl-l-carnitine, or d,1-carnitine or a physiological solution (for the controls). After treatment, the animals were placed, every 15 minutes (session) on a 6 cm diameter bar, which was rotating at a speed of 16 revolutions per minute.
The percent number of animals able to remain on the rotating bar for more than 180 seconds was determined.
In Table 3, the percent values, session after session, are reported. The results evaluated with the squared chi test, show that at dosage parity, the acetyl-l-carnitine gives a significantly higher anti-fatigue activity than d,1-carnitine. It is also superior to the other substances. Analogous results were observed on other derivatives of 1-carnitine, having the formula: (CH3)3 . N - CHg CH - CH.COO I 2 OR -8where Rrepresents, butyryl, hydroxy butyryl, hexanoyl, octanoyl, decanoyl, palmitoyl, stearoyl or acetoacetyl or a pharmaceutically acceptable salt thereof.
It is evident that butyryl-l-carnitine and acetoacetyl -1- carnitine are better tolerated and show a better pharmaceutical effect at cardiac level, than d,l-carnitine and are therefore preferred compounds. Therefore acetyl-1carnitine (and also the other above-mentioned derivatives) is particularly indicated in the therapy of cardiac diseases 10 of the anoxic, ischemic type in particular cardiac, antiarrhythmic and cardiotoxic effect as well as in all cases where the energy demand at cardiac level is raised because of fatigue. 4) Coronary vasodi1atator effect.
All the examined substances when compared to controls, induce a more or less higher coronary flux, which is statistically not significant.
) Chronotropic effect.
AU the examined substances do not significantly modify the cardiac frequency» when compared to controls. 6) Antiarrhythmic effect.
By means of the rat's isolated auricle method, which was described by M.Libonati and G.Segre, it was observed that among the various substances studied, acetyl-1carnitine and butyryl-l-carnitine show the most evident antiarrhythmic properties.
EXAMPLES 1) Sterile aqueous solutions or suspensions containing acetyl-l-carnitine (or any other derivative under examination) in concentrations of 50 mg to 600 mg per each ml. a) The excipient for vials used for injections and for ready for use syringes is prepared according to the following non-limitative example: - sodium carboxymethylcellulose of low viscosity mg/ml 51711 -10- polysorbate 80 - propylparaben mg/ml 0.4 mg/ml - distilled water for injectable use sufficient to produce 1 ml, 2 ml, 5 ml, and 10 ml vials. b) The excipient for phleboclysis bottles containing ml, 100 ml, 250 ml, 500 ml and 1000 ml is prepared according to the following non-limitative example: NaCl 8.6 g/1 KC1 0.3 g/1 CaCl2 0.33 g/1 H20 sterilized for injection use sufficient to produce 1 litre. c) The excipient for bottles for oral use of 5 ml 15 and 100 ml, is prepared according to the following non-limitative example: manni to! 11 mg/ml sorbitol 600 mg/ml sodium benzoate 3 mg/ml -Ilorange extract 200 mg/ml with or without vitamin B^23 mcg/ml sterilized distilled water q.s. 2) Tablets containing between 20 and 500 mg of acetyl-15 carnitine (or any other derivative under examination).
The excipient is prepared according to the following nonlimitative example: starch 45% avicol 45% 10 talc 10% 3) Capsules containing from 20 mg to 500 mg of acetyl-lcarnitine (or any other derivative under examination) without excipients in a non-limitative sense. 4) Aerosol and spray preparation containing from 50 mg to g of 1-acetyl-carnitine (or any other derivative under examination). The excipient is prepared according to the following non-limitative example: - ethanol 30% - distilled water 30% - Freon 12/114 (50 parts/50 parts) q.s. -1 2- Table -14CO UJ co «X o to o o 20,0 * o o in 50,0(*) * o o io o 10,0 25,0 25,0 tn „—. QJ * * * +J •>w* χ-ρ* 3 o o o O o o o Γ-* C A A A A A * at • © © o o © o o in tn ε CM m in to © 1—' CM *" in •ie * * >3 s- O © o © o © r-» QJ A * A » * * * > o o o o o in © Φ CM in in in o o CM r— Vt c * o *—»* O o o o co r* (Z) * n « • co ·* tn o o o o Λ © Φ co o r—· «0* in o o CO to o O o r*» A A A * © o © © OJ o o CM CM co o o o r— o o o O o o o o o cn J»* • o. cn • o o © o © o o © o ε r— o © o o © © o o CM «0· to CM co *0· © ω μ o o © o © © o CM CM • fO cu p— r— r— r— r"- r- z: S- Φ •r" «Ρ ·»» C Φ s_ c to *r— u -μ •p— c £_ tn t— ea >» υ C μ <0 φ r— u • _Q CO -σ in o © V ex «Ρ <0 •μ Φ s(0 o S+> c o u ε o s«*iu u Φ 4— (o) Number of rats % able to pass the test sessions after session.

Claims (1)

1. CLAIW5
IE217578A 1977-11-03 1978-11-03 Carnitine derivatives IE51711B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
IE1850/85A IE51712B1 (en) 1977-11-03 1978-11-03 Pharmaceutical compositions containing carnitine derivatives

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
IT51663/77A IT1143611B (en) 1977-11-03 1977-11-03 APPLICATION OF ACETYL-CARNITINE IN THE THERAPY OF CARDIAC AFFECTIONS OF / ANOXIC, ISCHEMIC, CARDIOTOXIC AND IN ARITHMIC SYNDROMES
IT4767678A IT1155772B (en) 1978-01-18 1978-01-18 Acylated L-carnitine derivs. - useful for treating myocardial anoxia, ischaemia, arrhythmic syndromes, cardiac insufficiencies, etc.
IT4789978A IT1155814B (en) 1978-02-03 1978-02-03 Acylated L-carnitine derivs. - useful for treating myocardial anoxia, ischaemia, arrhythmic syndromes, cardiac insufficiencies, etc.

Publications (2)

Publication Number Publication Date
IE782175L IE782175L (en) 1979-05-03
IE51711B1 true IE51711B1 (en) 1987-03-04

Family

ID=27273641

Family Applications (1)

Application Number Title Priority Date Filing Date
IE217578A IE51711B1 (en) 1977-11-03 1978-11-03 Carnitine derivatives

Country Status (2)

Country Link
GB (1) GB2008578A (en)
IE (1) IE51711B1 (en)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4897355A (en) * 1985-01-07 1990-01-30 Syntex (U.S.A.) Inc. N[ω,(ω-1)-dialkyloxy]- and N-[ω,(ω-1)-dialkenyloxy]-alk-1-yl-N,N,N-tetrasubstituted ammonium lipids and uses therefor
US5545412A (en) * 1985-01-07 1996-08-13 Syntex (U.S.A.) Inc. N-[1, (1-1)-dialkyloxy]-and N-[1, (1-1)-dialkenyloxy]-alk-1-yl-n,n,n-tetrasubstituted ammonium lipids and uses therefor
IT1299544B1 (en) * 1998-07-03 2000-03-16 Sigma Tau Ind Farmaceuti SOLID COMPOSITIONS SUITABLE FOR ORAL ADMINISTRATION INCLUDING NON-HYGROSCOPIC SALTS OF L-CARNITINE AND L-CARNITINE ALCANOYLS
WO2000030637A1 (en) * 1998-11-26 2000-06-02 Sigma-Tau Industrie Farmaceutiche Riunite S.P.A. Use of fumarate salt of l-carnitine or its alkanoyl derivatives in ischaemia
CN101573326B (en) 2006-11-09 2013-05-01 三菱丽阳株式会社 Process for production of betaine
WO2012142474A2 (en) 2011-04-13 2012-10-18 Thermolife International, Llc N-acetyl beta alanine methods of use
US11865139B2 (en) 2020-11-12 2024-01-09 Thermolife International, Llc Method of treating migraines and headaches

Also Published As

Publication number Publication date
IE782175L (en) 1979-05-03
GB2008578A (en) 1979-06-06

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