JP2011032262A - Nsaidの長期使用のための医薬組成物 - Google Patents
Nsaidの長期使用のための医薬組成物 Download PDFInfo
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- JP2011032262A JP2011032262A JP2010149382A JP2010149382A JP2011032262A JP 2011032262 A JP2011032262 A JP 2011032262A JP 2010149382 A JP2010149382 A JP 2010149382A JP 2010149382 A JP2010149382 A JP 2010149382A JP 2011032262 A JP2011032262 A JP 2011032262A
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- Prior art keywords
- cobiprostone
- nsaid
- pharmaceutical composition
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- day
- Prior art date
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Abstract
【解決手段】ヒトの患者におけるNSAIDの使用についての適応症の一つである疾患または症状の長期処置のにおいて、NSAIDと共にコビプロストンまたはその医薬上許容される塩、エステル、エーテルもしくはアミドを含む医薬組成物の使用。ここで該コビプロストンはNSAIDを服薬する患者に少なくとも36mcg/日で投与される。コビプロストンまたはその医薬上許容される塩、エステル、エーテルもしくはアミドを、NSAIDと組合わせて投与することにより、該患者はNSAIDを長期間服薬できる。
【選択図】なし
Description
本発明の目的は、NSAIDの使用を中断せずに、例えば低減された副作用のリスクにてNSAIDの長期投与を可能とする、NSAIDの使用についての適応症の一つを処置するための方法または医薬組成物を提供することである。
本発明において使用されるNSAIDは、サリチル酸塩、インドメタシン、フルルビプロフェン、ジクロフェナク、ケトロラク、ナプロキセン、ピロキシカム、テブフェロン、イブプロフェン、エトドラク、ナブメトン、テニダップ、アルコフェナック、アンチピリン、アミノピリン、ジピロン、アミノピロン、フェニルブタゾン、クロフェゾン、オキシフェンブタゾン、プレナゾン、アパゾン、ベンジダミン、ブコロム、シンコフェン、クロニキシン、ジトラゾール(ditrazol)、エピリゾール、フェノプロフェン、フロクタフェニン(floctafenin)、フルフェナム酸、グラフェニン、インドプロフェン、ケトプロフェン、ロキソプロフェン、メクロフェナム酸、メフェナム酸、ニフルム酸、フェナセチン、サリジファミド(salidifamides)、スリンダク、スプロフェン、トルメチン、その医薬上許容される塩、およびその混合物から選択されてもよいが、これらに限定するものではない。NSAIDの好ましい例は、ナプロキセンである。
骨関節炎および/またはリウマチ性関節炎に罹患している全124人の患者が、12週間の、無作為化二重盲検の投与量決定試験およびプラセボ対照第II相臨床試験に登録した。試験中の全患者は、ナプロキセン(500mg)を1日に2回服薬した。4つの処置コホートがある:1つのコホートはプラセボを服薬し、残る3つのコホートは18mcgのコビプロストンを1日に1回、2回または3回服薬した(一日総量が各々18、36または54mcg)。
維持率:特定した週の時点での試験に残る包括解析対象の数。
休薬率:該治験を中断した無作為化対象の数。中断の理由は次のとおりであった:
a.有害事象
b.潰瘍を理由とする中断
c.追跡不能
d.服薬不遵守
e.患者の選択
f.治験依頼者のリクエスト
休薬率は、一つの理由、例えば有害事象について、または中断の理由いずれかの組合せについて表現/計算され得る。
Claims (20)
- ヒトの患者におけるNSAIDの使用についての適応症の一つである疾患または症状の長期処置のための、コビプロストンまたはその医薬上許容される塩、エステル、エーテルもしくはアミドを含む医薬組成物であって、ここでコビプロストンが、NSAIDを服薬する患者に少なくとも36mcg/日で投与される医薬組成物。
- 該長期処置が少なくとも4週間である、請求項1に記載した医薬組成物。
- 該長期処置が少なくとも8週間である、請求項1に記載した医薬組成物。
- 該長期処置が少なくとも12週間である、請求項1に記載した医薬組成物。
- 該NSAIDが、サリチル酸塩、インドメタシン、フルルビプロフェン、ジクロフェナク、ケトロラク、ナプロキセン、ピロキシカム、テブフェロン、イブプロフェン、エトドラク、ナブメトン、テニダップ、アルコフェナック、アンチピリン、アミノピリン、ジピロン、アミノピロン、フェニルブタゾン、クロフェゾン、オキシフェンブタゾン、プレナゾン、アパゾン、ベンジダミン、ブコロム、シンコフェン、クロニキシン、ジトラゾール(ditrazol)、エピリゾール、フェノプロフェン、フロクタフェニン、フルフェナム酸、グラフェニン、インドプロフェン、ケトプロフェン、ロキソプロフェン、メクロフェナム酸、メフェナム酸、ニフルム酸、フェナセチン、サリジファミド(salidifamides)、スリンダク、スプロフェン、トルメチン、その医薬上許容される塩およびその混合物からなる群から選択される、請求項1に記載した医薬組成物。
- NSAIDがナプロキセンである、請求項5に記載した医薬組成物。
- ナプロキセンが少なくとも500mg/日で投与される、請求項6に記載した医薬組成物。
- ナプロキセンが、1日に2回、少なくとも500mgで投与される、請求項6に記載した医薬組成物。
- コビプロストンが少なくとも54mcg/日で投与される、請求項1に記載した医薬組成物。
- 個々の化合物が同時に、別々に、または連続的に投与される、請求項1に記載した医薬組成物。
- ヒトの患者におけるNSAIDの使用についての適応症の一つである症状または疾患の長期処置のための、医薬上有効量のNSAIDおよびコビプロストン、またはその医薬上許容される塩、エステル、エーテルもしくはアミドを含む組合せであって、ここでコビプロストンが、少なくとも36mcg/日で投与される組合せ。
- 該長期処置が少なくとも4週間である、請求項11に記載した組合せ。
- 該長期処置が少なくとも8週間である、請求項11に記載した組合せ。
- 該長期処置が少なくとも12週間である、請求項11に記載した組合せ。
- 該NSAIDが、サリチル酸塩、インドメタシン、フルルビプロフェン、ジクロフェナク、ケトロラク、ナプロキセン、ピロキシカム、テブフェロン、イブプロフェン、エトドラク、ナブメトン、テニダップ、アルコフェナック、アンチピリン、アミノピリン、ジピロン、アミノピロン、フェニルブタゾン、クロフェゾン、オキシフェンブタゾン、プレナゾン、アパゾン、ベンジダミン、ブコロム、シンコフェン、クロニキシン、ジトラゾール、エピリゾール、フェノプロフェン、フロクタフェニン、フルフェナム酸、グラフェニン、インドプロフェン、ケトプロフェン、ロキソプロフェン、メクロフェナム酸、メフェナム酸、ニフルム酸、フェナセチン、サリジファミド(salidifamides)、スリンダク、スプロフェン、トルメチン、その医薬上許容される塩、およびその混合物からなる群から選択される、請求項11に記載した組合せ。
- NSAIDがナプロキセンである、請求項15に記載した組合せ。
- ナプロキセンが少なくとも500mg/日で投与される、請求項16に記載した組合せ。
- ナプロキセンが、1日に2回、少なくとも500mgで投与される、請求項16に記載した組合せ。
- コビプロストンが少なくとも54mcg/日で投与される、請求項11に記載した組合せ。
- 該各化合物が同時に、別々に、または連続的に投与される、請求項11に記載した組合せ。
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WO2012144649A1 (en) * | 2011-04-19 | 2012-10-26 | Sucampo Ag | Method for modulating cytokine activity |
WO2012148002A1 (en) * | 2011-04-27 | 2012-11-01 | Sucampo Ag | Method for modulating ion transporter |
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JP2007518674A (ja) * | 2003-07-03 | 2007-07-12 | スキャンポ・アーゲー | クロライドチャンネルオープナーとしてプロスタグランジンアナログを含む腸溶性組成物 |
WO2009005172A1 (en) * | 2007-07-03 | 2009-01-08 | Sucampo Ag | Pharmaceutical combination of nsaid and prostaglandin compound |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2012144649A1 (en) * | 2011-04-19 | 2012-10-26 | Sucampo Ag | Method for modulating cytokine activity |
JP2014511825A (ja) * | 2011-04-19 | 2014-05-19 | スキャンポ・アーゲー | サイトカイン活性の調節方法 |
EP2699244A4 (en) * | 2011-04-19 | 2014-10-22 | Sucampo Ag | METHOD FOR MODULATING CYTOKINACTIVITY |
WO2012148002A1 (en) * | 2011-04-27 | 2012-11-01 | Sucampo Ag | Method for modulating ion transporter |
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