IE61784B1 - Low dose benazepril/thiazide diuretic composition - Google Patents

Low dose benazepril/thiazide diuretic composition

Info

Publication number
IE61784B1
IE61784B1 IE23390A IE23390A IE61784B1 IE 61784 B1 IE61784 B1 IE 61784B1 IE 23390 A IE23390 A IE 23390A IE 23390 A IE23390 A IE 23390A IE 61784 B1 IE61784 B1 IE 61784B1
Authority
IE
Ireland
Prior art keywords
composition according
benazepril
thiazide diuretic
hydrochlorothiazide
dose
Prior art date
Application number
IE23390A
Other versions
IE900233L (en
Inventor
Armel Rosselet
Original Assignee
Ciba Geigy Ag
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
Application filed by Ciba Geigy Ag filed Critical Ciba Geigy Ag
Publication of IE900233L publication Critical patent/IE900233L/en
Publication of IE61784B1 publication Critical patent/IE61784B1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic 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
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

Abstract

A fixed ratio low dose combination of benazepril and a thiazide diuretic is useful for treating hypertension, particularly having about 4-6 mg of benazepril hydrochloride and about 5-7.5 mg of hydrochlorothiazide per dosage form. Suitable alternative thiazide derivatives are bendroflumethiazide, chlorthalidone, chlorothiazide, hydroflumethiazide, methylchlorothiazide, polythiazide, trichlormethiazide, benzthiazide and cyclothiazide.

Description

! - 1 - The invention relates to a pharmaceutical composition for treating mild to moderatehypertension containing the angiotensin converting enzyme inhibitor benazepril in combi-nation with thiazide diuretics, and to a method of treatment of hypertension utilizing thiscomposition. 5 Benazepril hydrochloride is a new orally active, non-sulfhydril containing, angiotensinconverting enzyme inhibitor having the structure The compound is described in U.S. 4,410,520. Thiazide diuretics, the second componentof the instant combination, have long been a mainstay of antihypertensive therapy. All ofthe active agents of the instant invention are well known compounds in the art; their syn-thesis, routes of administration, etc. are well known. Additionally, there has been someliterature published in recent years on combining angiotensin converting enzymeinhibitors with thiazide diuretics. See for example US 4,472,380, especially columns 9 and10 and example 127 thereof; US 4,217,347, especially columns 2-3 and the examples; American J. Hypert. 1(1), 38-41 (1988); Patent Specification No, 2392/86; J. Hyper-tension 1 (Suppl. 2), 384-386 (1983); and Amer. J. Hypert. 1 (3, part 2), 13A-14A, Ab-stract 1226 (1988). However, each of these deal with angiotensin converting enzymeinhibiting drugs other than benazepril and/or diuretics in amounts substantially greaterthan that in the present invention. Probably the most significant reference is Merck’sSouth African Patent Application 83 3903, claiming priority of US Application 383,435.
This reference discloses angiotensin converting enzyme inhibitors of benazepril type in amounts of 2.5-100 mg/day in combination with diuretics generically in the range of 0.5-100 mg/day. Hydrochlorothiazide is only mentioned in amounts of at least 10 mg/day. -2- It is an object of the present invention to provide a pharmaceutical composition to treatraild co aoderace hypertension with s minimum amount of active agent while achieving pressure reductions not achievable with the individual active agentsat the same dosage.
The invention is a fixed ratio low dose combination of 4-6 mg benazepril or a pharmaceu-tically acceptable salt thereof with 80-120 % of % of the initial daily antihypertensiveclinically recommended dose of a thiazide diuretic given as a once daily dosage. Theinventive composition is a daily unit dose for administration to a human adult having mildto moderate hypertension comprising 4 to 6 mg, preferably about 5 mg,benazepril hydrochloride or any other pharmaceutically acceptable salt of benazepril and 80% to 120 %, preferably about 100 %, of % the usual initial antihyper-tensive adult clinical dose of a thiazide diuretic, when such diuretic is used alone.
Pharmaceutically acceptable salts of benazepril are acid addition salts with pharma-cologically harmless acids, e.g. with inorganic acid, for example hydrochloric acid,sulfuric acid or phosphoric acid, or with organic carbonic, sulfonic or sulfo acids, forexample acetic, propionic, glycolic, maleic, fumaric, tartaric, citric, benzoic,methancsulfonic, ethanesulfonic, or 2-hydroxyethanesulfonic acid. Preferred is thehydrochloride, i.e. the acid addition salt with hydrochloric acid.
Preferably the diuretic is selected from bendroflumethiazide (5 mg) 0.5 - 0.75 mg; chlorthalidone (25 mg) 2.5 - 3.75 mg; chlorothiazide (500 mg) 50 - 75 mg; hydrochlorothiazide (50 mg) 5-7.5 mg; hydroflumethiazide (50 mg) 5 - 7.5 mg; methylchlorothiazide (2.5 mg) 0.25 - 0.3S mg polythiazide (2 mg) 0.2 - 0.3 mg; trichlormethiazide (2 mg) 0.2 - 0.3 mg; benzthiazide (50 mg) 0.5 - 0.75 mg; cyclothiazide (2 mg) 0.2 - 0.3 mg.
The usual minimum initial clinical antihypertensive adult dose is shown in parenthesis, followed by the dosage range useful in this invention. The initial clinical dose applied -3- nowadays may differ from the dose given in parenthesis in the list above for some cases.For example hydrochlorothiazide is often given in an initial dose of 25 mg.
More preferably, the thiazide diuretic is selected ftosa chlorothiazide, hydrochlorothiazide,methylchlorothiazide, and chlorthalidone. Most preferably, the thiazide diuredc is selectedfrom chlorothiazide and hydrochlorothiazide; it is in particular hydrochlorothiazide.
The most advantageous composition comprises benazepril hydrochloride and hydrochloro-thiazide in a weight redo of about 0.8 to L for example about 5 mg benazepril hydro-chloride and about 0.25 mg hydrochlorothiazide.
In a clinical double-blind randomized trial with 334 men and women having a sittingdiastolic blood pressure of 95-114 mmHg, the efficacy of the preferred combination of theinvention comprising 5 mg benazepril hydrochloride and 0.25 mg. hydrochlorothiazidegiven once daily was compared with the efficacy of other compositions and of the singledrugs during six weeks. The results are summarized in the following table: 5 mg benazepril^ -5- 625 mg hydrochlorothiazide10 rng benazepril *12.5 mg hydrochlorothiazide20 mg benazepril + 25 mg hydrochlorothiazide20 mg benazepril 25 mg hydrochlorothiazide 20 mg benazepril + 6.25 mg hydrochlorothiazide5 mg benazepril + 25 mg hydrochlorothiazideplacebo a) as the hydrochloride b) reduction of sitting diastolic blood pressure - 9.9 mmHgb> - 9.6 mmHg-13.9 mmHg - 9.8 mmHg - 6.9 mmHg-10.3 mmHg-10.7 mmHg - 3.9 mmHg The clinical results demonstrate that the low dose composition of the invention has asurprising efficacy.
The composition can be put together by methods which are standard in the an in any con- venient dosage form, including tablet, capsule, powder, etc. Any suitable pharmaceutical adjuvant or carrier may also be included. Administration may be by any route by which both benazepril and the thiazide diuretic may be simultaneously administered, but is most -4- preferably oral. The most suitable dosage form is a solid oral dosage form such as a tabletor capsule. While other antihypertensive active agents may be added, most preferably onlybenazepril and only one thiazide diuretic are present in any one composition.
The instant invention will fee more fully understood by reference to the following example,which illustrates, but dees sot limit the invention.
Example: Film-coatcd tablets, containing 6.25 mg 6-chlorO"3s4-dihydro-2H-l^,4-^;azo-thiadiazinc-7-sulfonanude>l,l-dioxidc and 5.00 mg l-carboxymcthyl-3S-(lS-cthoxy-caitx>nyl-3-phenylpropylamino)"2,3A5-tcErahydro-lH-[l]bcnzazepinc-2-onc hydro-chloride are prepared as follows: Ingredients (for 2’000 tablets) core materials 6-chloro-3,4-dihydro-2H-1,2,4-bcnzothiadiazine-7-sulfonamidc- 1,1-dioxide (micronized) 12.50 g l-carboxymcthyl-3S-(lS-ethoxycarbonyl-3-phcnylpropylamino)-2,3,4,5- tctrahydro-lH-[l]bcnzazcpinc-2-one hydrochloride 10.00 g hydroxypropylmethylccUulose 6.00 g hydrogenated castor oil 12.00 g lactose (ground) 423.50 g polyvinyl-polypyrrolidonc 20.00 g Film materials hydroxypropylmethylcellulose 7.34 g polyethyleneglycol 8000 (flakes) 1.34 g talcum 5.32 g titanium dioxide 2.00 g The 6-chloro-3,4-dihydro-2H-1 ^.s4-benzothiadiazinc-7-suiionarnjde-1,1 -dioxide, the1 -carboxymethyl-3S-( 1 S-ethoxycarbonyl"3-phenyipropyIamino)-2,3,4,5-tetrahydro-1H-U]bcnzazepinc-2-one hydrochloride and the core hydroxypropyl-methylcellulose aremixed with part of the lactose. The remaining lactose is added and the mixture isgranulated with water, dried, and milled. The remaining core ingredients arc admixedtherewith and the homogenous mixture is compressed into tablets, which are coated withan aqueous suspension of the above coating materials.

Claims (12)

1. -5- ι. A low dose pharmaceutical composition for treating mild to moderate hypertensioncomprising 4 to 6 mg of benazepril or a pharmaceutically acceptable salt ofbenazepril and a thiazide diuretic in an amount of SO % to 120 % of I of theminimum. recommended initial single adult daily antihypertensive dose ofsaid thiazide diuretic when used alone,, each amount being per unit dose ofsaid composition.
2. A composition according to claim 1 wherein said thiazide diuretic is selected frombendroflumethiazide, chlorthalidone, chlorothiazide, hydrochlorothiazide,hydroP.umethlazide, methylchlorothiazide, polythiazide, trichlormethiazidc, benzthiazide,and cyclothiazide.
3. A composition according to claim 2 wherein said thiazide diuretic ishydrochlorothiazide.
4. A composition according to any of claims 1 to 3 wherein said thiazide diuretic ispresent in an amount which is I of the minimum recommended initial antihypertensivedose when the thiazide diuretic is used alone.
5. A composition according to claim 3 wherein said hydrochlorothiazide is present in anamount of 5 mg io 7.5 mg per dose.
6. A composition according to claim 5 wherein said hydrochlorothiazide is present in anamount of about 6.25 mg per dose.
7. A composition according to any of claims 1 to 6 wherein said benazepril orpharmaceutically acceptable salt thereof is benazepril hydrochloride.
8. A composition according to claim 7 wherein said benazepril hydrochloride is present inan amount of about 5 mg per dose.
9. A composition according to claim 1 comprising 5 mg benazepril hydrochloride and 6.25mg hydrochlorothiazide per dose. -6«
10. A composition according to any of claims Ϊ to 9 which is a tablet, a powder, or acapsule. /
11. A composition according to claim 10 which is an oral tablet or oral capsule.
12. A composition according to claim 1 substantially as herein described with reference to5 the example. F. R. KELLY & CO., AGENTS FOR THE APPLICANTS.
IE23390A 1989-01-23 1990-01-22 Low dose benazepril/thiazide diuretic composition IE61784B1 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US30038389A 1989-01-23 1989-01-23

Publications (2)

Publication Number Publication Date
IE900233L IE900233L (en) 1990-07-23
IE61784B1 true IE61784B1 (en) 1994-11-30

Family

ID=23158879

Family Applications (1)

Application Number Title Priority Date Filing Date
IE23390A IE61784B1 (en) 1989-01-23 1990-01-22 Low dose benazepril/thiazide diuretic composition

Country Status (24)

Country Link
JP (1) JP3009694B2 (en)
KR (1) KR0141479B1 (en)
AT (1) AT401728B (en)
AU (1) AU629288B2 (en)
BE (1) BE1002736A4 (en)
CA (1) CA2008126C (en)
CH (1) CH680568A5 (en)
CY (1) CY1835A (en)
DE (2) DE4001496C2 (en)
DK (1) DK175204B1 (en)
FR (1) FR2641971B1 (en)
GB (1) GB2227172B (en)
HK (1) HK98995A (en)
IE (1) IE61784B1 (en)
IL (1) IL93117A0 (en)
IT (1) IT1239744B (en)
LU (1) LU87660A1 (en)
MX (1) MX9203362A (en)
NL (1) NL194958C (en)
NZ (1) NZ232182A (en)
SA (1) SA90100151B1 (en)
SE (1) SE506179C2 (en)
SG (1) SG176194G (en)
ZA (1) ZA90429B (en)

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR100221695B1 (en) * 1991-08-12 1999-09-15 그린 마틴, 브라이언 쥐 테슬리 Pharmaceutical spheroid formulation
DK9200258U4 (en) * 1992-03-11 1993-07-23 Merck & Co Inc Pharmaceutical preparation containing enalapril for use in hypertension
GB9613470D0 (en) * 1996-06-27 1996-08-28 Ciba Geigy Ag Small solid oral dosage form
CN102579346B (en) * 2012-03-02 2013-09-25 海南美兰史克制药有限公司 Liposome solid preparation of benazepril/hydrochlorothiazide medicine combination

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4217347A (en) * 1977-12-27 1980-08-12 E. R. Squibb & Sons, Inc. Method of treating hypertension and medicaments therefor
IL58849A (en) * 1978-12-11 1983-03-31 Merck & Co Inc Carboxyalkyl dipeptides and derivatives thereof,their preparation and pharmaceutical compositions containing them
US4410520A (en) * 1981-11-09 1983-10-18 Ciba-Geigy Corporation 3-Amino-[1]-benzazepin-2-one-1-alkanoic acids
ZA833903B (en) * 1982-06-01 1984-11-28 Merck & Co Inc Benzofused lactams as antihypertensives
US4520021A (en) * 1982-07-02 1985-05-28 Merck & Co., Inc. Substituted caprolactam derivatives as antihypertensives

Also Published As

Publication number Publication date
JP3009694B2 (en) 2000-02-14
ZA90429B (en) 1990-09-26
LU87660A1 (en) 1991-02-18
KR0141479B1 (en) 1998-06-01
CH680568A5 (en) 1992-09-30
AU629288B2 (en) 1992-10-01
IE900233L (en) 1990-07-23
GB2227172B (en) 1992-06-10
IT1239744B (en) 1993-11-15
DE10199041I1 (en) 2002-01-10
FR2641971A1 (en) 1990-07-27
NL9000158A (en) 1990-08-16
DK175204B1 (en) 2004-07-12
BE1002736A4 (en) 1991-05-21
SE9000050L (en) 1990-07-24
HK98995A (en) 1995-06-30
DK17490A (en) 1990-07-24
AT401728B (en) 1996-11-25
DE4001496C2 (en) 2001-05-10
KR900011465A (en) 1990-08-01
IT9047548A1 (en) 1991-07-19
GB2227172A (en) 1990-07-25
NL194958C (en) 2003-09-02
MX9203362A (en) 1992-07-01
AU4870390A (en) 1990-07-26
CA2008126A1 (en) 1990-07-23
DE4001496A1 (en) 1990-07-26
FR2641971B1 (en) 1991-11-22
SE506179C2 (en) 1997-11-17
SG176194G (en) 1995-05-12
IL93117A0 (en) 1990-11-05
DK17490D0 (en) 1990-01-22
NL194958B (en) 2003-05-01
IT9047548A0 (en) 1990-01-19
CA2008126C (en) 1999-11-09
GB9001054D0 (en) 1990-03-14
ATA13590A (en) 1996-04-15
CY1835A (en) 1995-12-01
NZ232182A (en) 1991-06-25
JPH02233616A (en) 1990-09-17
SA90100151B1 (en) 2006-10-02

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