JP2022511270A - シロリムス含有組成物 - Google Patents
シロリムス含有組成物 Download PDFInfo
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- JP2022511270A JP2022511270A JP2021510008A JP2021510008A JP2022511270A JP 2022511270 A JP2022511270 A JP 2022511270A JP 2021510008 A JP2021510008 A JP 2021510008A JP 2021510008 A JP2021510008 A JP 2021510008A JP 2022511270 A JP2022511270 A JP 2022511270A
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- skin
- petrolatum
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- 210000000689 upper leg Anatomy 0.000 description 1
- 229940045136 urea Drugs 0.000 description 1
- 208000024719 uterine cervix neoplasm Diseases 0.000 description 1
- 230000006496 vascular abnormality Effects 0.000 description 1
- 229940099259 vaseline Drugs 0.000 description 1
- 235000015112 vegetable and seed oil Nutrition 0.000 description 1
- 239000008158 vegetable oil Substances 0.000 description 1
- 239000003981 vehicle Substances 0.000 description 1
- 229940046009 vitamin E Drugs 0.000 description 1
- 235000014101 wine Nutrition 0.000 description 1
- 239000002023 wood Substances 0.000 description 1
- 239000000230 xanthan gum Substances 0.000 description 1
- 235000010493 xanthan gum Nutrition 0.000 description 1
- 229920001285 xanthan gum Polymers 0.000 description 1
- 229940082509 xanthan gum Drugs 0.000 description 1
- MTZBBNMLMNBNJL-UHFFFAOYSA-N xipamide Chemical group CC1=CC=CC(C)=C1NC(=O)C1=CC(S(N)(=O)=O)=C(Cl)C=C1O MTZBBNMLMNBNJL-UHFFFAOYSA-N 0.000 description 1
- GVJHHUAWPYXKBD-IEOSBIPESA-N α-tocopherol Chemical compound OC1=C(C)C(C)=C2O[C@@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-IEOSBIPESA-N 0.000 description 1
- 229930195724 β-lactose Natural products 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic 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
- A61K31/4353—Heterocyclic 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 ortho- or peri-condensed with heterocyclic ring systems
- A61K31/436—Heterocyclic 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 ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having oxygen as a ring hetero atom, e.g. rapamycin
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
- A61K38/12—Cyclic peptides, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0014—Skin, i.e. galenical aspects of topical compositions
-
- A—HUMAN NECESSITIES
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/06—Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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Abstract
Description
本出願は、「Sirolimus Containing Compositions」という題の2018年8月30日に出願された米国仮特許出願第62/724,642号及び「Sirolimus Containing Compositions」という題の2019年1月9日に出願された米国仮特許出願第62/790,149号の優先権を主張し、参照によりその全体が本明細書に組み込まれる。
政府の権利:該当なし
共同研究契約の関係者:該当なし
コンパクトディスクへの材料の組み込み:該当なし
背景:該当なし
図面の記載:該当なし
実施例1
錠剤からのシロリムスの調製
必要な数の錠剤を容器から取り出し、エタノールを使用して外側の腸溶コーティング層を除去する。錠剤を精製水でビーカーに移し、攪拌して錠剤上の糖コーティングを除去する。篩を使用して核を回収し、ペーパータオルに移す。核を粉砕して、微粉末を調製する。プロピレングリコール又はベンジルアルコールを、混合しながら粉末になった核に少しずつ加えて、シロリムスクリームを製造する。軟膏ミルをその後使用して、最終調製物のザラザラ感を無くす。
先天性弁膜異常のためのシロリムスの局所使用
青年女性は、誕生以来、大腿に比例的に成長した先天性弁膜異常を示した。この異常は、硬いが、不連続な赤から紫色のプラークを焦点の厚い出血性外被で覆われた、圧縮性の皮下の約9.5cm×8.0cmの濃紺の塊であった。磁気共鳴画像法及び静脈造影は、筋肉内拡張のない、視覚化できる流れる静脈のない5.3cm×1.6cm×5.3cmの皮下の低流量の静脈のリンパの奇形を明らかにした。患者は、リポソーム基剤中の局所1%のシロリムス化合物を患部に1日2回適用することで治療を受けた。塗布から2か月後に症状及び痛みを伴うエピソードが著しく減少した。副作用が報告されないまま、色が明るくなり、病変が薄くなり、出血及び全体の外被が減少した。
毛包上皮腫の管理のためのシロリムスの局所使用
毛包上皮腫の再発歴を有する8歳の少女は、副鼻から始まり、両側の頬及び内眼角にまで拡がった2~4mmの大きさの皮膚の色の丘疹を示した。昔からあるCO2フラクショナルレーザーアブレーションを使用した全体的な顔のアブレーションを繰り返していたが、効果はなかった。レーザーアブレーション療法を繰り返した後、患者は、局所シロリムス1%クリームを患部に1日2回適用することで治療を受けた。治療から1年後、副作用が報告されないまま、非常に限定的な再増殖を観察した。
Claims (15)
- 治療を必要とする対象に、最大約5%(w/w)の環状ペプチド及び基剤を含む組成物を局所投与することを含む、皮膚病態を治療する方法。
- 前記組成物は、ローション、泡、塗布薬、バーム、石鹸、シャンプー、坐薬等及びその組み合わせの形態である、請求項1に記載の方法。
- 前記環状ペプチドは、シクロスポリン、タクロリムス、トレスペリムス、ピメクロリムス、シロリムス(ラパマイシン)、エベロリムス、ラフルニムス、ラキニモド、イミキモド誘導体、エステル、塩及びその組み合わせからなる群から選択される、請求項1に記載の方法。
- 環状ペプチドはシロリムスである、請求項1に記載の方法。
- 前記基剤は、白色ワセリン、白色ワセリンUSP、ワセリン(mineral jelly)、ワセリン(petroleum jelly)、黄色ワセリン(yellow petrolatum)、黄色ワセリン(yellow soft paraffin)、白色ワセリン(white soft paraffin)、脂肪、ワックス、ステロール、脂肪可溶性ビタミン、モノグリセリド、ジグリセリド、トリグリセリド、リン脂質、PCCA可塑化基剤、versabase及びその組み合わせからなる群から選択される、請求項1に記載の方法。
- 前記基剤は、合計の組成物の約45%(w/w)~約99.75%(w/w)の濃度を有する、請求項1に記載の方法。
- 前記皮膚病態は、単純性表皮水疱症、先天性皮膚欠損症、新生児天疱瘡、新生児妊娠疱疹、ブドウ球菌性皮膚剥脱症候群、色素失調症、表皮融解性魚鱗癬、線状IgA水疱性皮膚症、水疱性類天疱瘡、水疱性膿痂疹、結節性硬化症関連血管線維腫、血管線維腫、毛包上皮腫、顔の皮膚のバート・ホッグ・デューベ症候群に関連する皮膚病変、ランゲルハンス細胞組織球症に関連する皮膚病変、血管奇形及び腫瘍、ポートワイン母斑、カポジ肉腫、表皮母斑、治療抵抗性血管腫、敏感肌、脆弱な皮膚、又はその組み合わせからなる群から選択される、請求項1に記載の方法。
- 前記患者は新生児又は乳児である、請求項1に記載の方法。
- 前記患者は青年である、請求項1に記載の方法。
- 前記組成物は溶媒、抗酸化剤、乳化剤、保水剤、鎮痛薬、局所創傷清拭薬、局所皮膚軟化薬等及びその組み合わせをさらに含む、請求項1に記載の方法。
- 前記組成物は溶媒をさらに含む、請求項1に記載の方法。
- 前記溶媒は、イソプロピルアルコール、ベンジルアルコール、ジプロピレングリコール、メチル-エーテル、ブチル化ヒドロキシトルエンジプロピレングリコールモノメチル-エーテル、1-メトキシ2-プロパノール(グリソルブPM/イシノールPM)、エチレングリコールモノブチルエテル(ブチルglyxolv/ブチルイシノール)、ブチルジグリソルブ(ブチル-イシノール)、Transcutol、プロピレングリコール(PG)、N-メチル-2ピロリドン(NMP)、メチレンクロリド、ジエチルエーテル、エタノール、アセトニトリル、酢酸エチル、エチレングリコール、プロピレングリコール、ジメチルポリシロキサン(DMPX)、オレイン酸、カプリル酸、1-オクタノール、エタノール(変性又は無水)、及びその組み合わせからなる群から選択される、請求項11に記載の方法。
- 前記溶媒は、約5.0%(w/w)~約15.0%(w/w)の濃度を有する、請求項11に記載の方法。
- 前記組成物は、ブチル化ヒドロキシトルエン、アスコルビン酸、アスコルビン酸パルミチン酸塩、ブチル化ヒドロキシアニソール、2,4,5-トリヒドロキシブチロフェノン、4-ヒドロキシメチル-2,6-ジ-tert-ブチルフェノール、エリトルビン酸、グアーガム、没食子酸プロピル、チオジプロピオン酸、チオジプロピオン酸ジラウリル、tert-ブチルヒドロキノン、トコフェロール、及びその薬学的に許容される塩及びそのエステル並びにその組み合わせからなる群から選択される抗酸化剤をさらに含む、請求項1に記載の方法。
- 前記抗酸化剤は、約0.01%(w/w)~約1%(w/w)の濃度を有する、請求項14に記載の方法。
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US201862724642P | 2018-08-30 | 2018-08-30 | |
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US201962790149P | 2019-01-09 | 2019-01-09 | |
US62/790,149 | 2019-01-09 | ||
PCT/US2019/048951 WO2020047342A1 (en) | 2018-08-30 | 2019-08-30 | Sirolimus containing compositions |
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JPWO2020047342A5 JPWO2020047342A5 (ja) | 2022-08-19 |
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AU (1) | AU2019328316A1 (ja) |
BR (1) | BR112021003497A2 (ja) |
CA (1) | CA3110108A1 (ja) |
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WO (1) | WO2020047342A1 (ja) |
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US20210137897A1 (en) * | 2019-10-23 | 2021-05-13 | Georgetown University | TOPICAL mTOR INHIBITORS FOR CUTANEOUS PROLIFERATIVE AND VASCULAR CONDITIONS |
AU2020277132B1 (en) * | 2020-11-24 | 2021-11-04 | Aft Pharmaceuticals Limited | A Rapamycin Composition |
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JPH05194529A (ja) * | 1991-09-17 | 1993-08-03 | American Home Prod Corp | 免疫炎症性疾患の治療用医薬組成物 |
WO2012105521A1 (ja) * | 2011-01-31 | 2012-08-09 | 国立大学法人大阪大学 | 皮膚疾患を処置するための外用薬およびその製造方法 |
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WO2018129364A1 (en) * | 2017-01-06 | 2018-07-12 | Palvella Therapeutics Llc | Anhydrous compositions of mtor inhibitors and methods of use |
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US20050249757A1 (en) * | 2004-05-06 | 2005-11-10 | Glenmark Pharmaceuticals Limited | Pharmaceutical cream formulations |
US20120022095A1 (en) * | 2010-06-24 | 2012-01-26 | Teng Joyce M C | Topical rapamycin for treatment of facial angiofibromas in tuberous sclerosis |
AU2020226527A1 (en) * | 2019-02-20 | 2021-10-14 | AI Therapeutics, Inc. | Topical rapamycin formulations and their use in treating facial angiofibromas and other skin disorders |
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- 2019-08-30 JP JP2021510008A patent/JP2022511270A/ja active Pending
- 2019-08-30 BR BR112021003497-8A patent/BR112021003497A2/pt unknown
- 2019-08-30 KR KR1020217009124A patent/KR20210087929A/ko unknown
- 2019-08-30 AU AU2019328316A patent/AU2019328316A1/en not_active Abandoned
- 2019-08-30 WO PCT/US2019/048951 patent/WO2020047342A1/en active Application Filing
- 2019-08-30 EP EP19854183.1A patent/EP3829578A4/en not_active Withdrawn
- 2019-08-30 CA CA3110108A patent/CA3110108A1/en active Pending
- 2019-08-30 US US16/556,351 patent/US20200069661A1/en not_active Abandoned
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WO2018129364A1 (en) * | 2017-01-06 | 2018-07-12 | Palvella Therapeutics Llc | Anhydrous compositions of mtor inhibitors and methods of use |
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IL281125A (en) | 2021-04-29 |
EP3829578A4 (en) | 2022-08-17 |
KR20210087929A (ko) | 2021-07-13 |
AU2019328316A1 (en) | 2021-03-11 |
EP3829578A1 (en) | 2021-06-09 |
WO2020047342A1 (en) | 2020-03-05 |
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