US20060074106A1 - Treatment of inflammatory disorders - Google Patents

Treatment of inflammatory disorders Download PDF

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Publication number
US20060074106A1
US20060074106A1 US11/290,944 US29094405A US2006074106A1 US 20060074106 A1 US20060074106 A1 US 20060074106A1 US 29094405 A US29094405 A US 29094405A US 2006074106 A1 US2006074106 A1 US 2006074106A1
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US
United States
Prior art keywords
mefloquine
treatment
inflammatory disease
erythro
rheumatoid arthritis
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.)
Abandoned
Application number
US11/290,944
Inventor
Benjamin Skead
Robin Bannister
Alan Rothaul
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sosei R&D Ltd
Original Assignee
Skead Benjamin M
Bannister Robin M
Alan Rothaul
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 Skead Benjamin M, Bannister Robin M, Alan Rothaul filed Critical Skead Benjamin M
Priority to US11/290,944 priority Critical patent/US20060074106A1/en
Publication of US20060074106A1 publication Critical patent/US20060074106A1/en
Assigned to SOSEI R&D LTD. reassignment SOSEI R&D LTD. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: ARAKIS LIMITED
Abandoned legal-status Critical Current

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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
    • A61K31/435Heterocyclic 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
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/49Cinchonan derivatives, e.g. quinine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/08Bronchodilators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/06Antipsoriatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders

Definitions

  • This invention relates to the treatment of inflammatory disorders.
  • Cytokines belong to a large group of polypeptide- or glycopeptide-signaling molecules that act, at extremely low concentrations, as regulators of cell growth and essential mediators of inflammation and immune reactions.
  • the production and functions of cytokines are tightly regulated by cytokines themselves and by several other factors.
  • Most cytokines act locally and are implicated in a number of inflammatory conditions. These include rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis, psoriasis, ulcerative colitis and Crohn's disease.
  • the antimalarial compounds chloroquine and hydroxychloroquine are known as broadly active, modestly potent inhibitors of cytokines.
  • Such antimalarial agents have become important disease-modifying antirheumatic agents (DMARD) in the second line treatment of rheumatoid arthritis and other inflammatory disorders.
  • Other agents in this class include gold, penicillamine, methotrexate and cyclosporins, all of which have potent activity.
  • DMARD disease-modifying antirheumatic agents
  • Other agents in this class include gold, penicillamine, methotrexate and cyclosporins, all of which have potent activity.
  • the antimalarial agents in the DMARD class are recognised as having a more moderate side-effect profile, while possibly lacking the potency of some of the other agents.
  • mefloquine is one of the most effective drugs indicated for both prophylaxis and treatment and has particular utility for use in chloroquine-resistant malaria.
  • Chloroquine has been the mainstay of antimalarial treatment and prophylaxis, but the emergence of chloroquine resistance in Plasmodium falciparum , the most lethal strain, has started to limit its utility.
  • mefloquine has emerged as the preferred compound for the prophylaxis and treatment of malignant malaria.
  • Mefloquine enantiomers have been evaluated in animal models for efficacy against Plasmodium species. These studies concluded that there was no difference in antimalarial potency of the enantiomers.
  • (+)-mefloquine possesses potent anti-rheumatic properties.
  • the use of the substantially pure enantiomer may maximise efficacy and reduce unwanted side-effects.
  • (+)-Erythro-mefloquine is a more potent inhibitor of cytokines implicated in the inflammatory response.
  • (+)-Erythro-mefloquine suppresses human lymphocyte proliferation.
  • the present invention is based, at least in part, on the finding that mefloquine shows a broad profile of cytokine inhibition, consistent with antimalarial RA therapy.
  • mefloquine shows a broad profile of cytokine inhibition, consistent with antimalarial RA therapy.
  • isomers of mefloquine show good activity against Interleukin-8 (IL-8). Both chloroquine and hydroxychloroquine are inactive against IL-8, and this cytokine is implicated in the progression of inflammation and tissue destruction inherent in the progress of RA and OA. This is a significant aspect of the enhanced profile of mefloquine isomers in the treatment of inflammatory conditions.
  • the active agent may be formulated, e.g. together with a carrier, excipient or diluent, and administered, by procedures that are known in the art, including those already proposed for the racemate.
  • Suitable compositions will depend on the intended route of administration, which may be, for example, oral, topical, nasal, rectal, sublingual, buccal or transdermal. Sustained, delayed, timed or immediate release compositions may be used.
  • the amount of the agent that should be administered can readily be determined by the skilled man, taking into account the usual factors such as the type of patient, the nature of the condition being treated, and the route of administration.
  • the amount of enantiomer may be higher or the same as that for the racemate, or may be modified depending on the co-administration of other drugs.
  • Conditions that may be treated include conditions involving cartilage destruction, inflammatory conditions and those mediated by IL-2 and IL-6, e.g. rheumatoid arthritis, asthma, psoriasis, psoriatic arthritis, Crohn's disease, irritable bowel syndrome and systemic lupus erythematosus. Other relevant conditions are ulcerative colitis, COPD and asthma.
  • the patient may be disposed to CNS side-effects, and/or may be undergoing concomitant therapy with another drug.
  • a mixture e.g. racemate, or substantially one enantiomer.
  • the desired enantiomer may be in at least 50%, 70%, 90%, 95% or 99% excess, with respect to any other.
  • the active agent may be used in any active form, e.g. salt or non-salt.
  • (+)-erythro-mefloquine is preferred. It appears that this compound is particularly useful in providing the desired effect, without tissue destruction, and can be safely administered at a relatively high dosage.

Abstract

A method of treating an inflammatory disease or an autoimmune disease in a subject, comprises the administration of mefloquine.

Description

    FIELD OF THE INVENTION
  • This invention relates to the treatment of inflammatory disorders.
  • BACKGROUND OF THE INVENTION
  • Cytokines belong to a large group of polypeptide- or glycopeptide-signaling molecules that act, at extremely low concentrations, as regulators of cell growth and essential mediators of inflammation and immune reactions. The production and functions of cytokines are tightly regulated by cytokines themselves and by several other factors. Most cytokines act locally and are implicated in a number of inflammatory conditions. These include rheumatoid arthritis (RA), osteoarthritis (OA), psoriatic arthritis, psoriasis, ulcerative colitis and Crohn's disease.
  • The antimalarial compounds chloroquine and hydroxychloroquine are known as broadly active, modestly potent inhibitors of cytokines. Such antimalarial agents have become important disease-modifying antirheumatic agents (DMARD) in the second line treatment of rheumatoid arthritis and other inflammatory disorders. Other agents in this class include gold, penicillamine, methotrexate and cyclosporins, all of which have potent activity. However, the utility of these latter drugs for the treatment of a chronic disease such as rheumatoid arthritis is limited by serious side-effects. The antimalarial agents in the DMARD class are recognised as having a more moderate side-effect profile, while possibly lacking the potency of some of the other agents. However, there is still concern about the ocular side-effects of both chloroquine and hydroxychloroquine. Thus, it may be postulated that a drug for the treatment of arthritis that possesses an improved efficacy versus side-effect profile over hydroxychloroquine, the most significant antimalarial drug in the DMARD class, would be of significant clinical potential.
  • In terms of antimalarial potency, mefloquine is one of the most effective drugs indicated for both prophylaxis and treatment and has particular utility for use in chloroquine-resistant malaria. Chloroquine has been the mainstay of antimalarial treatment and prophylaxis, but the emergence of chloroquine resistance in Plasmodium falciparum, the most lethal strain, has started to limit its utility. Thus mefloquine has emerged as the preferred compound for the prophylaxis and treatment of malignant malaria.
  • Mefloquine enantiomers have been evaluated in animal models for efficacy against Plasmodium species. These studies concluded that there was no difference in antimalarial potency of the enantiomers.
  • SUMMARY OF THE INVENTION
  • Surprisingly, it has been found that (+)-mefloquine possesses potent anti-rheumatic properties. The use of the substantially pure enantiomer may maximise efficacy and reduce unwanted side-effects. (+)-Erythro-mefloquine is a more potent inhibitor of cytokines implicated in the inflammatory response. (+)-Erythro-mefloquine suppresses human lymphocyte proliferation.
  • DESCRIPTION OF THE INVENTION
  • The present invention is based, at least in part, on the finding that mefloquine shows a broad profile of cytokine inhibition, consistent with antimalarial RA therapy. In addition, it has been shown that the isomers of mefloquine show good activity against Interleukin-8 (IL-8). Both chloroquine and hydroxychloroquine are inactive against IL-8, and this cytokine is implicated in the progression of inflammation and tissue destruction inherent in the progress of RA and OA. This is a significant aspect of the enhanced profile of mefloquine isomers in the treatment of inflammatory conditions. In addition, as shown in Table 1, the isomers of mefloquine have superior activity over chloroquine and hydroxychloroquine against IL-2, a cytokine implicated in the destruction of connective tissue in RA and OA.
    TABLE 1
    Inhibition Profile (IC50, μM)
    T-cell
    prolifer- IFN
    TNF IL-1 IL-6 IL-8 IL-2 ation gamma
    Hydroxy- 32.2 21 90 Inactive 94 16 94
    chloroquine
    Chloroquine 21 6.3 81 Inactive 66 13 63
    (−)Mefloquine 18 79 43 63 17 10 18
    (+)Mefloquine 24 68 53 41 17 11 17
  • This inhibition profile has shown significant activity in a preclinical, ex vivo assay of tissue destruction in the bovine nasal cartilage model. The results are shown in Table 2.
    TABLE 2
    Inhibition of IL-2-stimulated bovine nasal cartilage destruction
    1 μM 10 μM 100 μM
    Hydroxychloroquine 4 3 36
    Chloroquine 3 6 35
    (+/−)Mefloquine 20
    (−)Mefloquine 37 45 82
    (+)Mefloquine 32 44 71
  • For use in the invention, the active agent may be formulated, e.g. together with a carrier, excipient or diluent, and administered, by procedures that are known in the art, including those already proposed for the racemate. Suitable compositions will depend on the intended route of administration, which may be, for example, oral, topical, nasal, rectal, sublingual, buccal or transdermal. Sustained, delayed, timed or immediate release compositions may be used.
  • The amount of the agent that should be administered can readily be determined by the skilled man, taking into account the usual factors such as the type of patient, the nature of the condition being treated, and the route of administration. The amount of enantiomer may be higher or the same as that for the racemate, or may be modified depending on the co-administration of other drugs.
  • Conditions that may be treated include conditions involving cartilage destruction, inflammatory conditions and those mediated by IL-2 and IL-6, e.g. rheumatoid arthritis, asthma, psoriasis, psoriatic arthritis, Crohn's disease, irritable bowel syndrome and systemic lupus erythematosus. Other relevant conditions are ulcerative colitis, COPD and asthma. The patient may be disposed to CNS side-effects, and/or may be undergoing concomitant therapy with another drug.
  • Depending on the relative activities of the individual enantiomers, it may be preferred to administer a mixture, e.g. racemate, or substantially one enantiomer. The desired enantiomer may be in at least 50%, 70%, 90%, 95% or 99% excess, with respect to any other. The active agent may be used in any active form, e.g. salt or non-salt.
  • The use of (+)-erythro-mefloquine is preferred. It appears that this compound is particularly useful in providing the desired effect, without tissue destruction, and can be safely administered at a relatively high dosage.

Claims (7)

1. Use of (+)-erythro-mefloquine, substantially free of (−)-erythro-mefloquine, for the manufacture of a medicament for the treatment of an inflammatory disease selected from the group consisting of rheumatoid arthritis, osteoarthritis, psoriatic arthritis, psoriasis, Crohn's disease, systemic lupus erythematosus, ulcerative colitis, COPD and asthma.
2. The use, according to claim 1, wherein the inflammatory disease is rheumatoid arthritis.
3. The use, according to claim 1, wherein the inflammatory disease is osteoarthritis.
4. A method for treating an inflammatory disease selected from the group consisting of rheumatoid arthritis, osteoarthritis, psoriatic arthritis, psoriasis, Crohn's disease, systemic lupus erythematosus, ulcerative colitis, COPD and asthma, wherein said method comprises administering, to a patient in need of such treatment, (+)-erythro-mefloquine, substantially free of (−)-erythro-mefloquine.
5. The method, according to claim 4, wherein the inflammatory disease is rheumatoid arthritis.
6. The method, according to claim 4, wherein the inflammatory disease is osteoarthritis.
7. The method, according to claim 4, further comprising first identifying said patient in need.
US11/290,944 2000-09-05 2005-11-30 Treatment of inflammatory disorders Abandoned US20060074106A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US11/290,944 US20060074106A1 (en) 2000-09-05 2005-11-30 Treatment of inflammatory disorders

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
GB0021776.0 2000-09-05
GBGB0021776.0A GB0021776D0 (en) 2000-09-05 2000-09-05 The treatment of inflammatory disorders
PCT/GB2001/003924 WO2002019994A2 (en) 2000-09-05 2001-08-31 The treatment of inflammatory disorders
US10/362,784 US7034028B2 (en) 2000-09-05 2001-08-31 Treatment of inflammatory disorders
US11/290,944 US20060074106A1 (en) 2000-09-05 2005-11-30 Treatment of inflammatory disorders

Related Parent Applications (2)

Application Number Title Priority Date Filing Date
PCT/GB2001/003924 Continuation WO2002019994A2 (en) 2000-09-05 2001-08-31 The treatment of inflammatory disorders
US10/362,784 Continuation US7034028B2 (en) 2000-09-05 2001-08-31 Treatment of inflammatory disorders

Publications (1)

Publication Number Publication Date
US20060074106A1 true US20060074106A1 (en) 2006-04-06

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US10/362,784 Expired - Fee Related US7034028B2 (en) 2000-09-05 2001-08-31 Treatment of inflammatory disorders
US11/290,944 Abandoned US20060074106A1 (en) 2000-09-05 2005-11-30 Treatment of inflammatory disorders

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US (2) US7034028B2 (en)
EP (1) EP1315496B1 (en)
JP (1) JP2004508323A (en)
CN (1) CN1309388C (en)
AT (1) ATE302008T1 (en)
AU (2) AU2001284234B2 (en)
BR (1) BR0113646A (en)
CA (1) CA2419601A1 (en)
DE (1) DE60112768T2 (en)
DK (1) DK1315496T3 (en)
ES (1) ES2245372T3 (en)
GB (1) GB0021776D0 (en)
HK (1) HK1054324A1 (en)
HU (1) HUP0300934A2 (en)
IL (1) IL154419A0 (en)
MX (1) MXPA03001920A (en)
NO (1) NO323227B1 (en)
NZ (1) NZ524099A (en)
PL (1) PL364030A1 (en)
PT (1) PT1315496E (en)
WO (1) WO2002019994A2 (en)
ZA (1) ZA200301139B (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012006315A2 (en) * 2010-07-07 2012-01-12 Polymedix, Inc. Methods of immune modulation

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB0021776D0 (en) * 2000-09-05 2000-10-18 Arakis Ltd The treatment of inflammatory disorders
GB0406014D0 (en) * 2004-03-17 2004-04-21 Arakis Ltd Pharmaceutical composition and use
WO2006108666A1 (en) * 2005-04-13 2006-10-19 Proteosys Ag Mefloquine, nelfinavir and saquinavir as novel agents for neurodegenerative and (neuro-) inflammatory diseases
US20100144827A1 (en) * 2006-12-20 2010-06-10 Medwell Laboratories Ltd. C/O Ngt Technological Incubator Novel conjugates of polyunsaturated fatty acids with amines and therapeutic uses thereof
CN113578299B (en) * 2020-04-30 2023-11-10 中国石油化工股份有限公司 Silicon-aluminum-zirconium composite oxide, catalytic cracking catalyst, and preparation methods and applications thereof
CN114452289B (en) * 2020-12-31 2023-06-09 兰州大学 Application of quinoline derivatives in preparation of medicines for preventing and/or treating gastrointestinal diseases
CN114796216A (en) * 2022-01-04 2022-07-29 南京医科大学 Application of mefloquine in preventing and treating systemic metabolic inflammation diseases

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US5776977A (en) * 1992-01-16 1998-07-07 Hoechst Aktiengesellschaft Arylcycloalkyl derivatives, their production and their use
US6197788B1 (en) * 1997-11-26 2001-03-06 Vernalis Research Limited (−)-mefloquine to block puringergic receptors and to treat movement or neurodegenerative disorders
US6572858B1 (en) * 1999-04-30 2003-06-03 Apt Pharmaceuticals, Llc Uses for anti-malarial therapeutic agents
US7034028B2 (en) * 2000-09-05 2006-04-25 Arakis Ltd. Treatment of inflammatory disorders

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BR8907518A (en) * 1988-06-30 1991-05-28 Michael H Davis PROCESS TO INHIBIT HUMAN IMMUNODEFICIENCY VIRUS (HIV) ACTIVITY
ES2118557T3 (en) * 1994-03-09 1998-09-16 Pfizer ISOXAZOLINE COMPOUNDS AS INHIBITORS OF TNF RELEASE.
DE69808440T2 (en) 1997-03-07 2003-07-10 Vernalis Res Ltd USE OF (+) MEFLOQUINE FOR TREATING MALARIA

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5776977A (en) * 1992-01-16 1998-07-07 Hoechst Aktiengesellschaft Arylcycloalkyl derivatives, their production and their use
US6197788B1 (en) * 1997-11-26 2001-03-06 Vernalis Research Limited (−)-mefloquine to block puringergic receptors and to treat movement or neurodegenerative disorders
US6572858B1 (en) * 1999-04-30 2003-06-03 Apt Pharmaceuticals, Llc Uses for anti-malarial therapeutic agents
US7034028B2 (en) * 2000-09-05 2006-04-25 Arakis Ltd. Treatment of inflammatory disorders

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012006315A2 (en) * 2010-07-07 2012-01-12 Polymedix, Inc. Methods of immune modulation
WO2012006315A3 (en) * 2010-07-07 2012-04-19 Polymedix, Inc. Methods of immune modulation
CN103108632A (en) * 2010-07-07 2013-05-15 波利梅伊公司 Methods of immune modulation

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EP1315496B1 (en) 2005-08-17
DK1315496T3 (en) 2005-11-14
BR0113646A (en) 2004-01-06
DE60112768T2 (en) 2006-02-02
NZ524099A (en) 2004-04-30
HUP0300934A2 (en) 2003-11-28
NO20030985D0 (en) 2003-03-03
AU8423401A (en) 2002-03-22
US7034028B2 (en) 2006-04-25
JP2004508323A (en) 2004-03-18
ES2245372T3 (en) 2006-01-01
CN1309388C (en) 2007-04-11
PL364030A1 (en) 2004-12-13
US20040029916A1 (en) 2004-02-12
AU2001284234B2 (en) 2004-11-04
WO2002019994A3 (en) 2002-05-16
CN1452488A (en) 2003-10-29
NO323227B1 (en) 2007-02-05
ATE302008T1 (en) 2005-09-15
EP1315496A2 (en) 2003-06-04
CA2419601A1 (en) 2002-03-14
IL154419A0 (en) 2003-09-17
MXPA03001920A (en) 2004-02-12
WO2002019994A2 (en) 2002-03-14
DE60112768D1 (en) 2005-09-22
PT1315496E (en) 2005-11-30
ZA200301139B (en) 2004-03-29
GB0021776D0 (en) 2000-10-18
NO20030985L (en) 2003-03-03
HK1054324A1 (en) 2003-11-28

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