NZ719680B2 - Composition useful for promoting female fertility - Google Patents
Composition useful for promoting female fertility Download PDFInfo
- Publication number
- NZ719680B2 NZ719680B2 NZ719680A NZ71968014A NZ719680B2 NZ 719680 B2 NZ719680 B2 NZ 719680B2 NZ 719680 A NZ719680 A NZ 719680A NZ 71968014 A NZ71968014 A NZ 71968014A NZ 719680 B2 NZ719680 B2 NZ 719680B2
- Authority
- NZ
- New Zealand
- Prior art keywords
- dose
- vitamin
- mcg
- carnitine
- acid
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 49
- 230000035558 fertility Effects 0.000 title claims abstract description 39
- 230000001737 promoting effect Effects 0.000 title claims abstract description 29
- 229960004308 acetylcysteine Drugs 0.000 claims abstract description 20
- PHIQHXFUZVPYII-ZCFIWIBFSA-N (R)-carnitine Chemical compound C[N+](C)(C)C[C@H](O)CC([O-])=O PHIQHXFUZVPYII-ZCFIWIBFSA-N 0.000 claims abstract description 18
- PWKSKIMOESPYIA-BYPYZUCNSA-N L-N-acetyl-Cysteine Chemical compound CC(=O)N[C@@H](CS)C(O)=O PWKSKIMOESPYIA-BYPYZUCNSA-N 0.000 claims abstract description 17
- RDHQFKQIGNGIED-MRVPVSSYSA-N O-acetyl-L-carnitine Chemical compound CC(=O)O[C@H](CC([O-])=O)C[N+](C)(C)C RDHQFKQIGNGIED-MRVPVSSYSA-N 0.000 claims abstract description 16
- 239000004480 active ingredient Substances 0.000 claims abstract description 9
- 239000003963 antioxidant agent Substances 0.000 claims abstract description 7
- 235000006708 antioxidants Nutrition 0.000 claims abstract description 7
- 229940088594 vitamin Drugs 0.000 claims abstract description 7
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- 235000013343 vitamin Nutrition 0.000 claims abstract description 7
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- LXNHXLLTXMVWPM-UHFFFAOYSA-N pyridoxine Chemical compound CC1=NC=C(CO)C(CO)=C1O LXNHXLLTXMVWPM-UHFFFAOYSA-N 0.000 claims description 59
- GVJHHUAWPYXKBD-UHFFFAOYSA-N (±)-α-Tocopherol Chemical compound OC1=C(C)C(C)=C2OC(CCCC(C)CCCC(C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-UHFFFAOYSA-N 0.000 claims description 42
- OVBPIULPVIDEAO-LBPRGKRZSA-N folic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-LBPRGKRZSA-N 0.000 claims description 41
- 239000003814 drug Substances 0.000 claims description 36
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 claims description 31
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- WIGCFUFOHFEKBI-UHFFFAOYSA-N gamma-tocopherol Natural products CC(C)CCCC(C)CCCC(C)CCCC1CCC2C(C)C(O)C(C)C(C)C2O1 WIGCFUFOHFEKBI-UHFFFAOYSA-N 0.000 claims description 22
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- 239000002253 acid Substances 0.000 claims description 19
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- ZZZCUOFIHGPKAK-UHFFFAOYSA-N D-erythro-ascorbic acid Natural products OCC1OC(=O)C(O)=C1O ZZZCUOFIHGPKAK-UHFFFAOYSA-N 0.000 claims description 17
- FPIPGXGPPPQFEQ-BOOMUCAASA-N Vitamin A Natural products OC/C=C(/C)\C=C\C=C(\C)/C=C/C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-BOOMUCAASA-N 0.000 claims description 17
- 229930003268 Vitamin C Natural products 0.000 claims description 17
- 229930003316 Vitamin D Natural products 0.000 claims description 17
- QYSXJUFSXHHAJI-XFEUOLMDSA-N Vitamin D3 Natural products C1(/[C@@H]2CC[C@@H]([C@]2(CCC1)C)[C@H](C)CCCC(C)C)=C/C=C1\C[C@@H](O)CCC1=C QYSXJUFSXHHAJI-XFEUOLMDSA-N 0.000 claims description 17
- RADKZDMFGJYCBB-UHFFFAOYSA-N pyridoxal hydrochloride Natural products CC1=NC=C(CO)C(C=O)=C1O RADKZDMFGJYCBB-UHFFFAOYSA-N 0.000 claims description 17
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- 239000011701 zinc Substances 0.000 claims description 17
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- BUGBHKTXTAQXES-UHFFFAOYSA-N Selenium Chemical compound [Se] BUGBHKTXTAQXES-UHFFFAOYSA-N 0.000 claims description 15
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 claims description 15
- OVBPIULPVIDEAO-UHFFFAOYSA-N N-Pteroyl-L-glutaminsaeure Natural products C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-UHFFFAOYSA-N 0.000 claims description 14
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- AGVAZMGAQJOSFJ-WZHZPDAFSA-M cobalt(2+);[(2r,3s,4r,5s)-5-(5,6-dimethylbenzimidazol-1-yl)-4-hydroxy-2-(hydroxymethyl)oxolan-3-yl] [(2r)-1-[3-[(1r,2r,3r,4z,7s,9z,12s,13s,14z,17s,18s,19r)-2,13,18-tris(2-amino-2-oxoethyl)-7,12,17-tris(3-amino-3-oxopropyl)-3,5,8,8,13,15,18,19-octamethyl-2 Chemical compound [Co+2].N#[C-].[N-]([C@@H]1[C@H](CC(N)=O)[C@@]2(C)CCC(=O)NC[C@@H](C)OP(O)(=O)O[C@H]3[C@H]([C@H](O[C@@H]3CO)N3C4=CC(C)=C(C)C=C4N=C3)O)\C2=C(C)/C([C@H](C\2(C)C)CCC(N)=O)=N/C/2=C\C([C@H]([C@@]/2(CC(N)=O)C)CCC(N)=O)=N\C\2=C(C)/C2=N[C@]1(C)[C@@](C)(CC(N)=O)[C@@H]2CCC(N)=O AGVAZMGAQJOSFJ-WZHZPDAFSA-M 0.000 claims description 13
- 150000003839 salts Chemical class 0.000 claims description 13
- 229940088597 hormone Drugs 0.000 claims description 12
- 239000005556 hormone Substances 0.000 claims description 12
- 230000016087 ovulation Effects 0.000 claims description 11
- 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 claims description 11
- 239000004475 Arginine Substances 0.000 claims description 10
- GHOKWGTUZJEAQD-UHFFFAOYSA-N Chick antidermatitis factor Natural products OCC(C)(C)C(O)C(=O)NCCC(O)=O GHOKWGTUZJEAQD-UHFFFAOYSA-N 0.000 claims description 10
- 229930003571 Vitamin B5 Natural products 0.000 claims description 10
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- OENHQHLEOONYIE-UKMVMLAPSA-N all-trans beta-carotene Natural products CC=1CCCC(C)(C)C=1/C=C/C(/C)=C/C=C/C(/C)=C/C=C/C=C(C)C=CC=C(C)C=CC1=C(C)CCCC1(C)C OENHQHLEOONYIE-UKMVMLAPSA-N 0.000 claims description 8
- 235000013734 beta-carotene Nutrition 0.000 claims description 8
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- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 claims description 4
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Abstract
Here is described a synergystic composition for promoting female fertility, comprising as active ingredients L-carnitine, acetyl L-carnitine; N-acetyl cysteine, and several specific vitamins, aminoacids, antioxidants and micro elements.
Description
Composition useful for promoting female fertility
FIELD OF THE INVENTION
The field of this invention relates to female fertility during hormonal
or pharmacological stimulation.
BACKGROUND OF THE INVENTION
Female Infertility affects about 48 million women around the world.
About 10 percent of reproductive-age couples in the United States
have difficulty getting pregnant.
Stimulating ovulation with fertility hormones or drugs is the main
treatment for women who are infertile due to ovulation disorders, these
medications regulate or induce ovulation.
Drugs useful for stimulating ovulation are:
Clomiphene citrate: this drug causes ovulation by acting on the
pituitary gland. It is often used in women who have Polycystic Ovarian
Syndrome (PCOS) or other problems with ovulation. Clomiphene citrate
acts as a fertility agent in women by inducing superovulation, i.e. the
release of multiple eggs in a given menstrual cycle. This medicine is taken
by mouth.
Bromocriptine and Cabergoline: these drugs are used to reduce the
amount of prolactin released by the pituitary in women with ovulation
problems due to high levels of prolactin. Potential side effects include
nausea, vomiting, nasal congestion, headache, dizziness, fainting, and
decreased blood pressure.
Medrol: a steroid provided daily for four days during the cycle to
assist with pre-embryo implantation.
Injectable hormones used for stimulating ovulation are:
- Human Chorionic Gonadotropin (hCG) usually in combination
with other fertility drugs and nutritional supplement, to trigger
the ovaries to release the mature egg or eggs;
- Follicle Stimulating Hormone (FSH);
- Human Menopausal Gonadotropin (hMG). This drug combines
both FSH and LH (luteinizing hormone).
- Gonadotropin Releasing Hormone (GnRH. This hormone
stimulates the release of FSH and LH from the pituitary gland.
These hormones are rarely prescribed in the U.S.
- Gonadotropin Releasing Hormone Agonist (GnRH agonist);
- Gonadotropin Releasing Hormone Antagonist (GnRH antagonist).
All these drugs/hormones can be used for increasing oocyte
fertilization in vivo or in vitro.
In vitro fertilisation (IVF) is a process by which oocyte is fertilised by
sperm outside the body: in vitro. IVF is a major treatment for infertility
when other methods of assisted reproductive technology have failed. The
process involves monitoring and stimulating a woman's ovulatory process,
removing oocyte or oocytes from the woman's ovaries and letting sperm
fertilise them in a fluid medium in a laboratory. The fertilised oocyte
(zygote) cultured for 2–6 days in a growth medium is then transferred to
the patient's uterus with the intention of establishing a successful
pregnancy.
In www.webmd.com/infertility-and.../fertility-drugs it is reported
that fertility hormones and drugs for the primary treatment for women
with ovulation disorders are endowed with side effects.
In www.ncbi.nlm.nih.gov/pmc/articles/PMC2749720/ it is reported
that fertility in women is affected by oxidative stress due to the exposures
to alcohol, tobacco smoke and/or environmental pollutants.
In Curr Opin Obstet Gynecol. 2009 June ; 21(3): 219–222 it is
reported that the role of oxidative stress in female fertility is an
understudied and compelling area for investigation; and that identifying
modifiable factors to decrease oxidative stress in the gynecologic
environment may be an inexpensive and noninvasive therapy for
increasing fertility. In order to improve reproductive health of female
(human or animals) it has been recommended to feed a good multivitamin
preparation and include sufficient amounts of antioxidants and
supplements in the diet.
Vitamin E is crucial to proper reproductive function in women, in
fact, the chemical name for vitamin E, "tocopherol," originated from the
Greek words tokos, which means "offspring," and phero, which means "to
bear." Vitamin E protects hormones from oxidation. Vitamin E becomes
less available in selenium processed foods and exposure to harmful
oxidizing agents, supplementation with 400-800 IU of vitamin E daily may
improve fertility.
In Fertil Steril. 2008 Mar;89(3):668-76. Epub 2007 Jul 10, it is
reported that Folic acid supplementation may improve fertility in women.
In Hum Reprod. 1999 Jul;14(7):1690-7, it is reported that oral L-
arginine supplementation in poor responder patients may improve ovarian
response, endometrial receptivity and pregnancy rate.
In Anim. Reprod. Sci. 2012 Sep;134(1-2):69-75, it is reported that
carnitines, in vitro or in vivo, have beneficial effects on oocytes and
embryo development.
In Acta Obstet Gynecol Scand. 2007;86(2):218-22, it is reported that
N-Acetyl cysteine is proved effective in inducing or augmenting ovulation
in polycystic ovary patients.
In Eur J Endocrinol. 2012 May;166(5):765-78, it is reported that
vitamin D is involved in female reproduction.
U.S. Pat. No. 6,569,857 teaches a method for increasing the
possibility of conception while enhancing nutritional stores for a
developing embryo or fetus prior to and during pregnancy by
administering to an animal during a period commencing prior to at least
two weeks before conception a specific dose of vitamin B6 and folic acid.
U.S. Pat. No. 6,861,079 teaches a fertility kit to enhance natural
fertility comprising specific dose ranges of L-arginine, L-cysteine,
selenium, vitamin C, vitamin E, zinc, vitamin B-6, Para-aminobenzoic
acid (PABA), vitamin A, folic Acid, at least one phytoestrogen, along with
several devices used in the promotion ovulation.
As reported above, the use of fertility hormones/drugs is endowed
with side effects which may be mild or relevant.
Therefore, a need exists for new pharmaceutical/nutraceutical
compounds/compositions useful for improving fertility in women while
reducing side effects due to the use of fertility hormones/drugs; and/or
which at least provide the public with a useful choice.
SUMMARY OF THE INVENTIONThe present invention generally
relates to a synergistic combination of bioeffective compounds for
promoting female fertility. All the components have been also studied
separately, to determine their individual efficacy.
Described is a synergistic composition for promoting female fertility,
comprising as active ingredients L-carnitine, acetyl L-carnitine; N-acetyl
cysteine, and several specific vitamins, aminoacids, antioxidants and micro
elements.
Accordingly, in a first aspect, the present invention provides a combination
composition comprising as active ingredients L-carnitine or a salt thereof, acetyl L-
carnitine or a salt thereof, vitamin B9 (folic acid), vitamin A, vitamin B12, vitamin B5
(pantothenic acid), vitamin B6 (pyridoxine), arginine, vitamin C, vitamin E (α-
tocopherol), selenium, zinc, copper, iron, vitamin D and N-acetyl cysteine, and
optionally one or more pharmaceutically acceptable excipients.
In a second aspect, the present invention relates to the use of the combination
composition of the first aspect, in the manufacture of a medicament for promoting
female fertility in a female with fertility issues.
DESCRIPTION OF THE INVENTION
It has now been found that a combination composition comprising
as active ingredients L-carnitine or a salt thereof, acetyl L-carnitine or a
salt thereof; N-acetyl cysteine; and several specific vitamins, aminoacids,
antioxidants and micro elements, is endowed with a surprisingly
synergistic effect for promoting female fertility during drug and/or
hormonal stimulation.
Therefore, one aspect of the present invention is a combination
composition comprising as active ingredients L-carnitine or a salt thereof,
acetyl-L-carnitine or a salt thereof, vitamin B9 (folic Acid), vitamin A,
vitamin B12, vitamin B5 (pantothenic acid), vitamin B6 (pyridoxine),
arginine, vitamin C, vitamin E ( -Tocopherol), selenium, zinc, copper, iron,
vitamin D and N-acetyl cysteine.
The compositions mentioned above may further comprise diluents
and /or excipient, and/or further active ingredients, useful for promoting
female fertility.
In a further aspect the present invention provides a composition
comprising:
(a) L-carnitine fumarate, in a dose of from 2589 to 287,6 mg
(corresponding to 1500-166.6 mg L-carnitine inner salt), the preferred
doses is from 1726 to 431,5 mg (corresponding to 1000-250 mg of L-
carnitine inner salt), the most preferred dose is 863 mg (corresponding to
500 mg of L-carnitine inner salt);
(b) acetyl-L-carnitine in a dose of from 750 to 25.0 mg, the
preferred doses is from 500 to 125 mg, the most preferred dose is 250 mg;
(c) folic Acid (vitamin B9) in a dose of from 600 to 66.6 mcg, the
preferred doses is from 400 to 100 mcg, the most preferred dose is 200
mcg;
(d) vitamin A from Beta Carotene in a dose of from 2400 to 266.6
mcg, the preferred doses is from 1600 to 400 mcg, the most preferred dose
is 800 mcg;
(e) vitamin B12 in a dose of from 7.5 to 0.833 mcg, the preferred
doses is from 5.0 to 1.250 mcg, the most preferred dose is 2.5 mcg;
(f) vitamin B5 (pantothenic) in a dose of from 18.0 to 2.0 mg, the
preferred doses is from 12.0 to 3.0 mg, the most preferred dose is 6 mg;
(g) vitamin B6 (pyridoxine) in a dose of from 6.0 to 0.666 mg, the
preferred doses is from 4.0 to 1.0 mg, the most preferred dose is 2 mg;
(h) arginine in a dose of from 1500 to 166.6 mg, the preferred
doses is from 1000.0 to 250.0 mg, the most preferred dose is 500 mg;
(i) vitamin C in a dose of from 270.0 to 30.0 mg, the preferred
doses is from 180.0 to 45.0 mg, the most preferred dose is 90 mg;
(j) vitamin E ( -Tocopherolo) in a dose of from 90.0 to 10.0 mg,
the preferred doses is from 60.0 to 15.0 mg, the most preferred dose is 30
(k) selenium in a dose of from 150 to 16.6 mcg, the preferred
doses is from 100.0 to 25.0 mcg, the most preferred dose is 50 mcg;
(l) zinc in a dose of from 30.0 to 3.33 mg, the preferred doses is
from 20.0 to 5.0 mg, the most preferred dose is 10 mg;
(m) copper in a dose of from 4.95 to 0.55 mg, the preferred doses
is from 3.3 to 0.825 mg, the most preferred dose is 1.65 mg;
(n) iron in a dose of from 42.0 to 4.66 mg, the preferred doses is
from 28.0 to 7.0 mg, the most preferred dose is 14 mg;
(o) vitamin D in a dose of from 15.0 to 1.66 mcg, the preferred
doses is from 10.00 to 2.50 mcg, the most preferred dose is 5 mcg;
(p) N-acetyl cysteine in a dose of from 150 to 16.6 mg, the
preferred doses is from 100.0 to 25.0 mg, the most preferred dose is 50
The composition mentioned above, is useful for promoting female
fertility.
The composition mentioned above, is useful for promoting female
fertility in association with drug and/or hormonal stimulation.
The composition mentioned above, is useful for promoting female
fertility in association with drug and/or hormonal stimulation for
supporting ovulation.
The composition mentioned above, is useful for promoting female
fertility during drug and/or hormonal stimulation for supporting oocyte
fertilization.
The composition mentioned above, is useful for promoting female
fertility during drug and/or hormonal stimulation for promoting oocyte
fertilization in vivo.
The composition mentioned above, is useful for promoting female
fertility during drug and/or hormonal stimulation for promoting oocyte
fertilization in vitro.
The composition mentioned above, is useful for reducing side effects due
to the use of hormones and/or drugs useful for promoting female fertility.
The composition of the invention can be administered to a subject
in need thereof at least a month before the beginning of the drug and/or
hormonal stimulation; said administration has to be started at least a
week before the beginning of the drug and/or hormonal stimulation; said
administration can be continued after the oocyte fertilization under the
physician control.
The composition mentioned above is also useful as a dietary
supplement.
The composition of the invention may further comprise co-enzymes,
further mineral substances, antioxidants, vitamins, and agents useful for
promoting female fertility, or assisting in treating infertility.
What is meant by salt of L-carnitine or acetyl L-carnitine is any salt
of the latter with an acid that does not give rise to toxic or side effects.
Non-limiting examples of such salts are: chloride, bromide, orotate,
aspartate, acid aspartate, acid citrate, magnesium citrate, phosphate, acid
phosphate, fumarate and acid fumarate, magnesium fumarate, lactate,
maleate and acid maleate, oxalate, acid oxalate, pamoate, acid pamoate,
sulphate, acid sulphate, glucose phosphate, tartrate and acid tartrate,
glycerophosphate, mucate, magnesium tartrate, 2-amino-
ethanesulphonate, magnesium 2-amino-ethanesulphonate,
methanesulphonate, choline tartrate, trichloroacetate, and
trifluoroacetate.
A list of FDA-approved pharmaceutically acceptable salts is given in
the publication Int. J. of Pharm. 33 (1986), 201-217.
L-carnitine, acetyl-L-carnitine, vitamin B9, vitamin A, vitamin B12,
vitamin B5 (pantothenic acid), vitamin B6 (pyridoxine), arginine, vitamin
C, vitamin E ((-Tocopherol), selenium, zinc, copper, iron, vitamin D and
N-acetyl cysteine useful according to the present invention can be
administrated in a "co-ordinated manner". What is meant by "co-ordinated
manner" of the aforesaid compounds is, indifferently, either the co-
administration, i.e. the substantially concomitant or sequential
supplementation of L-carnitine and at least one acetyl-L-carnitine, vitamin
B9, vitamin A, vitamin B12, vitamin B5 (pantothenic acid), vitamin B6
(pyridoxine), arginine, vitamin C, vitamin E ( -Tocopherol), selenium, zinc,
copper, iron, vitamin D and N-acetyl cysteine, or the administration of a
composition comprising the aforesaid active ingredients in combination
and in a mixture optionally further comprising one or more excipients or
diluents pharmaceutically acceptable.
The term “comprising” as used in this specification and claims means
“consisting at least in part of”. When interpreting statements in this
specification and claims which include the term “comprising”, other
features besides the features prefaced by this term in each statement can
also be present. Related terms such as “comprise” and “comprised” are to
be interpreted in a similar manner.
In this specification where reference has been made to patent
specifications, other external documents, or other sources of information,
this is generally for the purpose of providing a context for discussing the
features of the invention. Unless specifically stated otherwise, reference to
such external documents is not to be construed as an admission that
such documents, or such sources of information, in any jurisdiction, are
prior art, or form part of the common general knowledge in the art.
The invention is defined in the claims. However, the disclosure preceding
the claims may refer to additional methods and other subject matter
outside the scope of the present claims. This disclosure is retained for
technical purposes.
The following non limiting examples further illustrate the invention.
EXAMPLE 1
Materials and Methods
Animals.
CD1 mice, 60 female and 60 male; 6 weeks age; weight ≥16.2 g; 5
mice per group, were used for the study. Mice were allowed to acclimate
for a week prior to weighing. Female mice began superovulation 2 to 3 day
after achieving the correct weight. All mice were maintained under SPF
conditions under a 12:12-h light:dark cycle (lights on, 0700 to 1900) at
temperatures of 21 to 24 °C. Mice were housed in static microisolation
caging with ad libitum access to food and water.
Treatment.
All the female mice, except the “Control” group, were treated orally
(0.5 ml, gastric gavage, twice a day) for 7 days (included the days in which
the mice were treated with the hormones for the superovulation) with the
composition of the invention (DNC064) having the following composition:
L-carnitine fumarate 0.4 mg +
Acetyl-L-carnitine HCl. 0.12 mg +
Vitamin B12 0.0012 mcg +
Vitamin B9 0.09 mcg +
Vitamin B6 0.0009 mg +
Vitamin B5 0.003 mg +
Vitamin A 0.4 mcg +
Vitamin D 0.0022 mcg +
Selenium 0.022 mcg +
Vitamin C 0.04 mg +
Vitamin E 0.014 mg +
Zinc 0.004 mg +
Copper 0.0008 mg +
Iron 0.007 mg +
L-Arginine 0.24 mg +
N-acetyl cysteine 0.24 mg,
combination thereof, as reported in Table 1.
Superovulation and mating.
The superovulation technique used is described in J. Am. Assoc.
Lab. Anim. Sci. 2011, July 50(4); 471–478. In short, female mice were
treated with 5 IU (0.1 mL intra peritoneum) of Pregnant Mares Serum
Gonadotropin (PMSG). These mice received 5 IU (0.1 mL IP) of Human
Chorionic Gonadotropin (HCG) 47 to 49 h after their last PMSG injection.
Immediately after HCG injection, female mice were mated 1:1 to male
mice. All female mice underwent this superovulation treatment.
Oocyte collection and analysis.
The day after mating, all female donors were euthanized by cervical
dislocation and oviducts were collected from all female mice and placed
into 2 mL M2 media (Sigma-Aldrich) in a 35-mm culture dish (Fisher
Scientific). Each oviduct then was moved to a dish containing 2 mL M2
media (Sigma-Aldrich) and 75 µL hyaluronidase (10 mg/mL; Sigma-
Aldrich), where the ampulla was torn open to release the oocytes.
After all the oviducts for that group had been processed, all of the
oocytes were collected and placed into a 100-µL drop of KSOM (Millipore,
Billerica MA) under embryo-tested mineral oil (Sigma-Aldrich) that had
been equilibrated to 37 °C at 5% CO . Oocytes were allowed to incubate
for 24 h, after which the drop was scored for the number of 2-cell of
fertilized oocytes.
The results obtained are reported in the following Table 1.
TABLE 1
Superovulation treatment
(Groups 1-12; 5+5 IU PMSG+HCG)
Groups Mean no. of Mean no. of fertilized
(5 mice per group) oocytes / oocytes/female mouse (±
female SE)
mouse (± SE)
N° Treatment - - P<
1 Control (no treatment with the
29.1 ± 1.7 10.7 ± 1.3 -
composition of the invention)
2 Complete composition of the 30.3 ± 1.3 18.5± 0.9 0.001 vs 1
invention (DNC064)
3 (Carnitines)
L-carnitine fumarate 0.4 mg + 30.6 ± 1.7 13.1 ± 1.6 0.05 vs 2
Acetyl-L-carnitine HCl. 0.12 mg NS vs 1
4 (Vitamins)
Vitamin B12 0.0012 mcg +
Vitamin B9 0.09 mcg +
Vitamin B6 0.0009 mg + 0.05 vs 2
29.6 ± 1.3 12.7 ± 2.1
Vitamin B5 0.003 mg + NS vs 1
Vitamin A 0.4 mcg +
Vitamin D 0.0022 mcg
(Antioxidants)
Selenium 0.022 mcg + 0.05 vs 2
.0 ± 1.5 13.6 ± 1.8
Vitamin C 0.04 mg + NS vs 1
Vitamin E 0.014 mg
6 (Micro-elements)
Zinc 0.004 mg + 0.05 vs 2
29.6 ± 1.7 14.0 ± 1.7
Copper 0.0008 mg + NS vs 1
Iron 0.007 mg
7 (Amino acids)
L-Arginine 0.24 mg + 28.6 ± 2.0 13.9 ± 1.6 0.05 vs 2
N-acetyl cysteine 0.24 mg NS vs 1
8 (Group 3 + Group 4) 29.6 ± 1.8 13.8 ± 1.5 0.05 vs 2
NS vs 1
9 (3+5) 0.05 vs 2
29.6 ± 2.1 14.1 ± 1.3
NS vs 1
(3+6) 0.05 vs 2
28.1 ± 1.7 14.0 ± 1.3
NS vs 1
11 (3+7) 0.05 vs 2
.3 ± 2.2 13.8 ± 1.5
NS vs 1
12 (4+5+6+7) 0.05 vs 2
28.6 ± 1.7 13.4 ± 2.0
NS vs 1
Statistical analysis
The significance was calculated using the Student t-test, p < 0.05
Values were considered to represent a significant difference.
The results reported in Table 1 show that the treatment described
statistically increased the number of fertilized oocytes with respect to the
single components or different combination thereof.
The composition of the present invention can be administered in any suitable
form for oral administration.
An example of form of administration is in a liquid, semi-liquid or
solid form in sachets, pills, vials, gel or liposome.
L-carnitine and acetyl L-carnitine are known compounds and their
preparation process is described in US 4,254,053.
Vitamin A, vitamin B9, vitamin B12, vitamin B5 (pantothenic acid),
vitamin B6 (pyridoxine), arginine, vitamin C, vitamin E ( -Tocopherol),
selenium, zinc, copper, iron, vitamin D and N-acetyl cysteine are very long
time widely sold on the market for human use.
The composition according to the present invention is composed of
active ingredients which are familiar to operators in the medical field and
already in use.
Their procurement therefore is very easy, inasmuch as these are
products which have been on the market now for a long time and are of a
grade suitable for human administration.
For any compound, the therapeutically effective dose can be
estimated initially either in cell culture assays or in animal models,
usually mice or rats.
The animal model may also be used to determine the appropriate
concentration range and route of administration. Such information can
then be used to determine useful doses and routes for administration in
humans.
The precise effective dose for a human subject will depend upon the
severity of the disease state, general health of the subject, age, weight,
and gender of the subject, diet, time and frequency of administration,
drug combination(s), reaction sensitivities, and tolerance/response to
therapy. This amount can be determined by routine experimentation and
is within the judgement of the clinician.
In the following a non-limiting example of the compositions of the
invention are reported.
Composition 1
L-carnitine fumarate 863 mg (500 mg L-Carnitine
base)
acetyl-L-carnitine 250 mg
folic Acid (vitamin B9) 200 mcg
vitamin A from Beta Carotene 800 mcg
vitamin B12 2.5mcg
vitamin B5 (pantothenic) 6 mg
vitamin B6 (pyridoxine) 2 mg
arginine 500 mg
vitamin C 90 mg
vitamin E ( -Tocopherolo) 30 mg
selenium 50 mcg
zinc 10 mg
copper 1.65 mg
iron 14 mg
vitamin D 5 mcg
N-acetyl cysteine 50 mg.
Composition 2
L-carnitine fumarate 430 mg
acetyl-L-carnitine 125 mg
folic Acid (vitamin B9) 200 mcg
vitamin A from Beta Carotene 800 mcg
vitamin B12 2.5mcg
vitamin B5 (pantothenic) 6 mg
vitamin B6 (pyridoxine) 2 mg
arginine 500 mg
vitamin C 90 mg
vitamin E ( -Tocopherolo) 30 mg
selenium 50 mcg
zinc 10 mg
copper 1.65 mg
iron 14 mg
vitamin D 5 mcg
N-acetyl cysteine 50 mg.
Composition 3
L-carnitine fumarate 863 mg
acetyl-L-carnitine 125 mg
folic Acid (vitamin B9) 200 mcg
vitamin A from Beta Carotene 800 mcg
vitamin B12 2.5mcg
vitamin B5 (pantothenic) 6 mg
vitamin B6 (pyridoxine) 2 mg
arginine 500 mg
vitamin C 90 mg
vitamin E ( -Tocopherolo) 30 mg
selenium 50 mcg
zinc 10 mg
copper 1.65 mg
iron 14 mg
vitamin D 5 mcg
N-acetyl cysteine 50 mg.
Composition 4
L-carnitine fumarate 430 mg
acetyl-L-carnitine 250 mg
folic Acid (vitamin B9) 200 mcg
vitamin A from Beta Carotene 800 mcg
vitamin B12 2.5mcg
vitamin B5 (pantothenic) 6 mg
vitamin B6 (pyridoxine) 2 mg
arginine 500 mg
vitamin C 90 mg
vitamin E ( -Tocopherolo) 30 mg
selenium 50 mcg
zinc 10 mg
copper 1.65 mg
iron 14 mg
vitamin D 5 mcg
N-acetyl cysteine 50 mg.
Claims (18)
1. A combination composition comprising as active ingredients L-carnitine or a salt thereof, acetyl L-carnitine or a salt thereof, vitamin B9 (folic acid), vitamin A, vitamin B12, vitamin B5 (pantothenic acid), vitamin B6 (pyridoxine), arginine, vitamin C, 5 vitamin E (α-tocopherol), selenium, zinc, copper, iron, vitamin D and N-acetyl cysteine, and optionally one or more pharmaceutically acceptable excipients.
2. The combination composition of claim 1, which comprises: - L-carnitine fumarate in a dose of from 2589 to 287.6 mg (corresponding to 1500- 10 166.6 mg L-carnitine inner salt; - acetyl L-carnitine in a dose of from 750 to 25.0 mg; - folic acid (vitamin B9) in a dose of from 600 to 66.6 mcg; - vitamin A from beta carotene in a dose of from 2400 to 266.6 mcg; - vitamin B12 in a dose of from 7.5 to 0.833 mcg; 15 - vitamin B5 (pantothenic) in a dose of from 18.0 to 2.0 mg; - vitamin B6 (pyridoxine) in a dose of from 6.0 to 0.666 mg; - arginine in a dose of from 1500 to 166.6 mg; - vitamin C in a dose of from 270.0 to 30.0 mg; - vitamin E (α-tocopherol) in a dose of from 90.0 to 10.0 mg; 20 - selenium in a dose of from 150 to 16.6 mcg; - zinc in a dose of from 30.0 to 3.33 mg; - copper in a dose of from 4.95 to 0.55 mg; - iron in a dose of from 42.0 to 4.66 mg; - vitamin D in a dose of from 15.0 to 1.66 mcg; 25 - N-acetyl cysteine in a dose of from 150 to 16.6 mg.
3. The combination composition of claim 1 which comprises - L-carnitine fumarate in a dose of from 1726 to 431.5 mg (corresponding to 1000-250 mg of L-carnitine inner salt); - acetyl L-carnitine in a dose of from 500 to 125 mg; 5 - folic acid (vitamin B9) in a dose of from 400 to 100 mcg; - vitamin A from beta carotene in a dose of from 1600 to 400 mcg; - vitamin B12 in a dose of from 5.0 to 1.250 mcg; - vitamin B5 (pantothenic) in a dose of from 12.0 to 3.0 mg; - vitamin B6 (pyridoxine) in a dose of from 4.0 to 1.0 mg; 10 - arginine in a dose of from 1000.0 to 250.0 mg; - vitamin C in a dose of from 180.0 to 45.0 mg; - vitamin E (α-tocopherol) in a dose of from 60.0 to 15.0 mg; - selenium in a dose of from 100.0 to 25.0 mcg; - zinc in a dose of from 20.0 to 5.0 mg; 15 - copper in a dose of from 3.3 to 0.825 mg; - iron in a dose of from 28.0 to 7.0 mg; - vitamin D in a dose of from 10.00 to 2.50 mcg; - N-acetyl cysteine in a dose of from 100.0 to 25.0 mg. 20
4. The combination composition of claim 1, which comprises: -L-carnitine fumarate in a dose of 863 mg (corresponding to 500 mg of L-carnitine inner salt); - acetyl L-carnitine in a dose of 250 mg; - folic acid (vitamin B9) in a dose of 200 mcg; 25 - vitamin A from beta carotene in a dose of 800 mcg; - vitamin B12 in a dose of 2.5 mcg; - vitamin B5 (pantothenic) in a dose of 6.0 mg; - vitamin B6 (pyridoxine) in a dose of 2.0 mg; - arginine in a dose of 500 mg; - vitamin C in a dose of 90.0 mg; - vitamin E (α-tocopherol) in a dose of 30.0 mg; 5 - selenium in a dose of 50.0 mcg; - zinc in a dose of 10.0 mg; - copper in a dose of 1.65 mg; - iron in a dose of 14.0 mg; - vitamin D in a dose of 5.0 mcg; 10 - N-acetyl cysteine in a dose of 50.0 mg.
5. The combination composition of any one of claims 1 to 3, further comprising coenzymes, mineral substances, antioxidants, vitamins, and agents useful for promoting female fertility.
6. The combination composition of any one of claims 1 to 4, wherein the salt of L- 15 carnitine or acetyl L-carnitine is selected from the group consisting of: chloride, bromide, orotate, aspartate, acid aspartate, acid citrate, magnesium citrate, phosphate, acid phosphate, fumarate and acid fumarate, magnesium fumarate, lactate, maleate and acid maleate, oxalate, acid oxalate, pamoate, acid pamoate, sulphate, acid sulphate, glucose phosphate, tartrate and acid tartrate, 20 glycerophosphate, mucate, magnesium tartrate, 2-amino-ethanesulphonate, magnesium 2-aminoethanesulphonate, methanesulphonate, choline tartrate, trichloroacetate, or trifluoroacetate.
7. Use of the combination composition of any one of claims 1 to 5 in the manufacture of a medicament for promoting female fertility in a female with fertility issues. 25
8.Use of the combination composition of any one of claims 1 to 5 in the manufacture of a medicament for use in a method of promoting female fertility in a drug and/or hormonal stimulation.
9. Use of the combination composition of any one of claims 1 to 5 in the manufacture of a medicament for use in a method of promoting female fertility during drug and/or 30 hormonal stimulation for supporting ovulation.
10.Use of the combination composition of any one of claims 1 to 5 in the manufacture of a medicament for use in a method of promoting female fertility during drug and/or hormonal stimulation for promoting oocyte fertilization.
11.Use of the combination composition of any one of claims 1 to 5 in the manufacture 5 of a medicament for use in a method of promoting female fertility during drug and/or hormonal stimulation for promoting oocyte fertilization in vivo.
12.Use of the combination composition of any one of claims 1 to 5 in the manufacture of a medicament for use in a method of promoting female fertility during drug and/or hormonal stimulation for promoting oocyte fertilization in vitro. 10
13.Use of the combination composition of any one of claims 1 to 5 in the manufacture of a medicament for use in a method of reducing side effects due to the use of hormones and/or drugs useful for promoting female fertility.
14.The use of any one of claims 7 to 13, wherein the composition is for oral administration. 15
15.The use of claim 14, wherein the combination is to be administered starting at least a month before the beginning of the drug and/or hormonal stimulation.
16.The use of claim 14, wherein the combination is to be administered starting at least a week before the beginning of the drug and/or hormonal stimulation.
17. A combination composition as claimed in any one of claims 1 to 6, substantially as 20 herein described with reference to any example thereof.
18. Use as claimed in any one of claims 7 to 16, substantially as herein described with reference to any example thereof.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13195774.8 | 2013-12-05 | ||
EP13195774 | 2013-12-05 | ||
PCT/EP2014/074424 WO2015082180A1 (en) | 2013-12-05 | 2014-11-13 | Composition useful for promoting female fertility |
Publications (2)
Publication Number | Publication Date |
---|---|
NZ719680A NZ719680A (en) | 2021-05-28 |
NZ719680B2 true NZ719680B2 (en) | 2021-08-31 |
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