JP2005514441A5 - - Google Patents
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- JP2005514441A5 JP2005514441A5 JP2003559507A JP2003559507A JP2005514441A5 JP 2005514441 A5 JP2005514441 A5 JP 2005514441A5 JP 2003559507 A JP2003559507 A JP 2003559507A JP 2003559507 A JP2003559507 A JP 2003559507A JP 2005514441 A5 JP2005514441 A5 JP 2005514441A5
- Authority
- JP
- Japan
- Prior art keywords
- phenylphenylmethyl
- oxopropyl
- carboxy
- amino
- pharmaceutically acceptable
- 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.)
- Granted
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- 239000011780 sodium chloride Substances 0.000 claims description 10
- 150000003839 salts Chemical class 0.000 claims description 9
- 239000000203 mixture Substances 0.000 claims description 5
- 206010020772 Hypertension Diseases 0.000 claims description 4
- 239000004072 C09CA03 - Valsartan Substances 0.000 claims description 3
- SJSNUMAYCRRIOM-QFIPXVFZSA-N Valsartan Chemical compound C1=CC(CN(C(=O)CCCC)[C@@H](C(C)C)C(O)=O)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SJSNUMAYCRRIOM-QFIPXVFZSA-N 0.000 claims description 3
- 125000004494 ethyl ester group Chemical group 0.000 claims description 3
- 229960004699 valsartan Drugs 0.000 claims description 3
- 239000003814 drug Substances 0.000 claims description 2
- 239000003112 inhibitor Substances 0.000 claims 6
- 230000002401 inhibitory effect Effects 0.000 claims 6
- 239000008194 pharmaceutical composition Substances 0.000 claims 5
- -1 3- carboxy-1-oxopropyl Chemical group 0.000 claims 4
- UEBQNXUHSKFIIR-FQEVSTJZSA-N C(C)OC([C@](CCN)(C)CC1=CC=C(C=C1)C1=CC=CC=C1)=O Chemical compound C(C)OC([C@](CCN)(C)CC1=CC=C(C=C1)C1=CC=CC=C1)=O UEBQNXUHSKFIIR-FQEVSTJZSA-N 0.000 claims 1
- ZBSFEPOXERUZFE-SFHVURJKSA-N C1(=CC=CC=C1)C1=CC=C(C=C1)C[C@@](C(=O)O)(CCN)C Chemical compound C1(=CC=CC=C1)C1=CC=C(C=C1)C[C@@](C(=O)O)(CCN)C ZBSFEPOXERUZFE-SFHVURJKSA-N 0.000 claims 1
- 206010007554 Cardiac failure Diseases 0.000 claims 1
- 206010019280 Heart failure Diseases 0.000 claims 1
- 239000000400 angiotensin II type 1 receptor blocker Substances 0.000 claims 1
- 230000003042 antagnostic Effects 0.000 claims 1
- 239000005557 antagonist Substances 0.000 claims 1
- 239000003937 drug carrier Substances 0.000 claims 1
- 230000002265 prevention Effects 0.000 claims 1
- 241000700159 Rattus Species 0.000 description 3
- 239000002552 dosage form Substances 0.000 description 3
- 235000005911 diet Nutrition 0.000 description 2
- 230000037213 diet Effects 0.000 description 2
- 230000001631 hypertensive Effects 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- XAIFNLJOYACUNR-IBGZPJMESA-N CC(C)[C@@H](C(O)=O)N(Cc(cc1)ccc1-c(cccc1)c1-c1nnn[nH]1)C(C)=O Chemical compound CC(C)[C@@H](C(O)=O)N(Cc(cc1)ccc1-c(cccc1)c1-c1nnn[nH]1)C(C)=O XAIFNLJOYACUNR-IBGZPJMESA-N 0.000 description 1
- VPGRYOFKCNULNK-ACXQXYJUSA-N Deoxycorticosterone acetate Chemical compound C1CC2=CC(=O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H](C(=O)COC(=O)C)[C@@]1(C)CC2 VPGRYOFKCNULNK-ACXQXYJUSA-N 0.000 description 1
- 229960004486 Desoxycorticosterone acetate Drugs 0.000 description 1
- 210000003734 Kidney Anatomy 0.000 description 1
- 238000010171 animal model Methods 0.000 description 1
- 230000003276 anti-hypertensive Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000000271 cardiovascular Effects 0.000 description 1
- 235000020188 drinking water Nutrition 0.000 description 1
- 239000003651 drinking water Substances 0.000 description 1
- 229940079593 drugs Drugs 0.000 description 1
- 230000003902 lesions Effects 0.000 description 1
- 210000000056 organs Anatomy 0.000 description 1
- 230000002085 persistent Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 201000011528 vascular disease Diseases 0.000 description 1
Description
長期かつ未制御の高血圧性血管疾病は、心臓および腎臓のような標的器官において様々な病変を最終的に引き起こす。持続性高血圧は、脳卒中の頻度増加も引き起こし得る。それゆえ、組み合わせ処置の利点をさらに認識するために、血圧降下の評価項目以外に、降圧治療の有効性を評価する、さらなる心血管の評価項目の検査が非常に必要である。
代表的な試験は、例えば、以下の方法を適用して、バルサルタンとN−(3−カルボキシ−1−オキソプロピル)−(4S)−p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸 エチル エステルの組合せで行われ得る:
薬物の有効性は、正常塩量の食事または塩を添加した食事(ラットの固形飼料中4〜8%の塩、または飲料水として1%NaCl)のいずれかで維持された、酢酸デオキシコルチコステロン−塩ラット(DDCA塩)および自然発生高血圧発症ラット(SHR)を含む様々な動物モデルで調べられる。
薬物の有効性は、正常塩量の食事または塩を添加した食事(ラットの固形飼料中4〜8%の塩、または飲料水として1%NaCl)のいずれかで維持された、酢酸デオキシコルチコステロン−塩ラット(DDCA塩)および自然発生高血圧発症ラット(SHR)を含む様々な動物モデルで調べられる。
該組成物において、成分(i)および(ii)が得られて、一緒に、交互、または1つの組み合わされた単位用量剤形または2つの別々の単位用量剤形で別々に投与され得る。単位用量剤形は、固定した組合せでもあり得る。
Claims (6)
- (i)AT1−拮抗剤バルサルタンまたはその薬学的に許容される塩、および
(ii)NEP阻害剤であるN−(3−カルボキシ−1−オキソプロピル)−(4S)−(p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸またはそのエチルエステルもしくはそれらの薬学的に許容される塩、および薬学的に許容される担体を含む、医薬組成物。 - NEP阻害剤が、N−(3−カルボキシ−1−オキソプロピル)−(4S)−(p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸エチルエステルである、請求項1に記載の医薬組成物。
- NEP阻害剤が、N−(3−カルボキシ−1−オキソプロピル)−(4S)−(p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸である、請求項1に記載の医薬組成物。
- 高血圧または心不全の処置または予防のために使用する、(i)AT1−拮抗剤バルサルタンまたはその薬学的に許容される塩、および(ii)NEP阻害剤であるN−(3−カルボキシ−1−オキソプロピル)−(4S)−(p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸またはそのエチルエステルもしくはそれらの薬学的に許容される塩、および薬学的に許容される担体を含む医薬組成物。
- NEP阻害剤が、N−(3−カルボキシ−1−オキソプロピル)−(4S)−(p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸エチルエステルである、請求項4に記載の医薬組成物。
- NEP阻害剤が、N−(3−カルボキシ−1−オキソプロピル)−(4S)−(p−フェニルフェニルメチル)−4−アミノ−2R−メチルブタン酸である、請求項4に記載の医薬組成物。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US34966002P | 2002-01-17 | 2002-01-17 | |
US60/349,660 | 2002-01-17 | ||
PCT/EP2003/000415 WO2003059345A1 (en) | 2002-01-17 | 2003-01-16 | Pharmaceutical compositions comprising valsartan and nep inhibitors |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011116928A Division JP2011207898A (ja) | 2002-01-17 | 2011-05-25 | バルサルタンおよびnep阻害剤を含む医薬組成物 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2005514441A JP2005514441A (ja) | 2005-05-19 |
JP2005514441A5 true JP2005514441A5 (ja) | 2011-08-04 |
JP4820056B2 JP4820056B2 (ja) | 2011-11-24 |
Family
ID=23373410
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2003559507A Expired - Lifetime JP4820056B2 (ja) | 2002-01-17 | 2003-01-16 | バルサルタンおよびnep阻害剤を含む医薬組成物 |
JP2011116928A Withdrawn JP2011207898A (ja) | 2002-01-17 | 2011-05-25 | バルサルタンおよびnep阻害剤を含む医薬組成物 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2011116928A Withdrawn JP2011207898A (ja) | 2002-01-17 | 2011-05-25 | バルサルタンおよびnep阻害剤を含む医薬組成物 |
Country Status (29)
Country | Link |
---|---|
EP (1) | EP1467728B1 (ja) |
JP (2) | JP4820056B2 (ja) |
KR (2) | KR100984939B1 (ja) |
CN (2) | CN1615134A (ja) |
AT (1) | ATE370732T1 (ja) |
AU (1) | AU2003206738C1 (ja) |
BE (1) | BE2016C025I2 (ja) |
BR (2) | BR122018015003B8 (ja) |
CA (1) | CA2472399C (ja) |
CO (1) | CO5600999A2 (ja) |
CY (2) | CY1106959T1 (ja) |
DE (1) | DE60315795T2 (ja) |
DK (1) | DK1467728T3 (ja) |
EC (1) | ECSP045190A (ja) |
ES (1) | ES2290429T3 (ja) |
FR (1) | FR16C0019I2 (ja) |
HU (1) | HUS1600024I1 (ja) |
IL (2) | IL162661A0 (ja) |
LU (1) | LU93074I2 (ja) |
MX (1) | MXPA04006917A (ja) |
NL (1) | NL300811I2 (ja) |
NO (2) | NO333191B1 (ja) |
NZ (1) | NZ533968A (ja) |
PL (1) | PL212318B1 (ja) |
PT (1) | PT1467728E (ja) |
RU (1) | RU2334513C3 (ja) |
SI (1) | SI1467728T1 (ja) |
WO (1) | WO2003059345A1 (ja) |
ZA (1) | ZA200405117B (ja) |
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JP2008503546A (ja) * | 2004-06-23 | 2008-02-07 | ゾルファイ ファーマスーティカルズ ゲゼルシャフト ミット ベシュレンクテル ハフツング | Nep阻害剤、内因性エンドセリン産生系阻害剤およびat1受容体アンタゴニスト阻害剤を含有する医薬組成物 |
US20080102120A1 (en) * | 2004-12-24 | 2008-05-01 | Miha Vrbinc | Solid Pharmaceutical Composition Comprising Valsartan |
MY146830A (en) * | 2005-02-11 | 2012-09-28 | Novartis Ag | Combination of organic compounds |
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WO2007051007A2 (en) * | 2005-10-28 | 2007-05-03 | Novartis Ag | Combination of antihypertensives with cholesterol-lowering agent |
AR057882A1 (es) | 2005-11-09 | 2007-12-26 | Novartis Ag | Compuestos de accion doble de bloqueadores del receptor de angiotensina e inhibidores de endopeptidasa neutra |
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CZ300801B6 (cs) * | 2006-06-07 | 2009-08-12 | Helvetia Pharma A.S. | Kompozice s valsartanem v pevných lékových formách |
BRPI0806700A8 (pt) | 2007-01-12 | 2019-01-22 | Novartis Ag | processo |
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2003
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