US20100203165A1 - Compositions and methods for treatment of disorders or conditions of the eye - Google Patents
Compositions and methods for treatment of disorders or conditions of the eye Download PDFInfo
- Publication number
- US20100203165A1 US20100203165A1 US12/767,394 US76739410A US2010203165A1 US 20100203165 A1 US20100203165 A1 US 20100203165A1 US 76739410 A US76739410 A US 76739410A US 2010203165 A1 US2010203165 A1 US 2010203165A1
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- Prior art keywords
- composition
- eye
- potassium
- calcium
- selective
- Prior art date
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- AKHNMLFCWUSKQB-UHFFFAOYSA-L sodium thiosulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=S AKHNMLFCWUSKQB-UHFFFAOYSA-L 0.000 description 1
- 229940001474 sodium thiosulfate Drugs 0.000 description 1
- 235000019345 sodium thiosulphate Nutrition 0.000 description 1
- YKLJGMBLPUQQOI-UHFFFAOYSA-M sodium;oxidooxy(oxo)borane Chemical compound [Na+].[O-]OB=O YKLJGMBLPUQQOI-UHFFFAOYSA-M 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 150000003892 tartrate salts Chemical class 0.000 description 1
- RTKIYNMVFMVABJ-UHFFFAOYSA-L thimerosal Chemical compound [Na+].CC[Hg]SC1=CC=CC=C1C([O-])=O RTKIYNMVFMVABJ-UHFFFAOYSA-L 0.000 description 1
- 229940033663 thimerosal Drugs 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 230000009723 vascular congestion Effects 0.000 description 1
- 210000000264 venule Anatomy 0.000 description 1
Classifications
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- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/498—Pyrazines or piperazines ortho- and peri-condensed with carbocyclic ring systems, e.g. quinoxaline, phenazine
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Definitions
- a variety of diseases and conditions can cause reddening of an eye, including, but not limited to such conditions as dry eye, contact lens wear, allergic conjunctivitis, glaucoma, topical glaucoma medications, idiopathic, smoking, alcohol abuse, drug use, lack of sleep, allergic rhinitis, nonallergic rhinitis, and acute or chronic sinusitis.
- healthy individuals may have natural off white or slightly yellow shading of their sclera and or episclera.
- a normal healthy eye has a certain baseline level of whiteness, which slightly varies from person to person.
- Whiter eyes are traditionally a societal symbol of natural healthy eyes, and excellent overall hygiene and health.
- a human eye has a lot of ⁇ -2 adrenergic receptors.
- Selective agonists of these receptors i.e., compounds which preferentially bind to ⁇ -2 adrenergic receptors
- This may result in vasoconstriction, and more particularly, microvessel lumen size reduction, which in turn may increase the per unit surface area degree of microvessel constriction, and therefore, improve cosmetic appearance of eyes with insignificant to minimal reduction of larger vessels thereby preventing ischemia.
- compositions comprising low concentrations of selective ⁇ -2 adrenergic receptor agonists in combination with potassium and/or calcium.
- compositions are used for treatment of eye disorders or conditions.
- the invention provides a composition for use in treatment of eye disorders or conditions, wherein said composition comprises a selective ⁇ -2 adrenergic receptor agonist having a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors, or a pharmaceutically acceptable salt thereof, wherein said ⁇ -2 adrenergic receptor is present at a concentration from between about 0.001% to about 0.05% weight by volume of the composition, and wherein said composition comprises potassium and/or calcium.
- potassium is in the form of potassium chloride
- calcium is in the form of calcium chloride
- the concentration of potassium chloride is between about 5 mM to about 100 mM; in more preferred embodiments between about 10 mM to about 70 mM; and in even more preferred embodiments between about 10 mM to about 50 mM; and the concentration of calcium chloride is between about 0.05 mM to about 5 mM; and in even more preferred embodiments between about 1 mM to about 2 mM.
- Selective ⁇ -2 adrenergic receptor agonists include, but are not limited to, lofexidine, apraclonidine, mivazerol, clonidine, brimonidine, alpha methyl dopa, guanfacine, dexmedetomidine, (+)-(S)-4-[1-(2,3-dimethyl-phenyl)-ethyl]-1,3-dihydro-imidazole-2-thione, 1-[(imidazolidin-2-yl)imino]indazole, and mixtures of these compounds.
- the invention provides a composition for use in treatment of eye disorders or conditions, wherein said composition comprises between about 0.001% to about 0.05% weight by volume of brimonidine, between about 0.2% to about 0.3% weight by volume of boric acid, between about 10 mM to about 70 mM of potassium chloride, between about 0.05 mM and about 2 mM of calcium chloride, wherein pH of said composition is between about 5.5 and about 7.5, and wherein osmolality of said composition is between about 250 mOsm/kg and about 300 mOsM/kg.
- compositions of the invention comprise hypromellose.
- the invention provides methods of treatment of eye disorders or conditions, comprising administering to an eye of a patient in need thereof a composition, wherein said composition comprises a selective ⁇ -2 adrenergic receptor agonist having a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors, or a pharmaceutically acceptable salt thereof, wherein said ⁇ -2 adrenergic receptor is present at a concentration from between about 0.001% to about 0.05% weight by volume of the composition, and wherein said composition comprises potassium and/or calcium.
- a composition comprises a selective ⁇ -2 adrenergic receptor agonist having a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors, or a pharmaceutically acceptable salt thereof, wherein said ⁇ -2 adrenergic receptor is present at a concentration from between about 0.001% to about 0.05% weight by volume of the composition, and wherein said composition comprises potassium and/or calcium.
- the invention also provides methods of enhancing vasoconstricting activity of a selective ⁇ -2 adrenergic receptor agonist having a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors comprising adding potassium and/or calcium to a pharmaceutical composition which comprises said selective ⁇ -2 adrenergic receptor agonist.
- Eye disorders and conditions include both therapeutic and cosmetic conditions. For example, one might wish to cause an eye whitening either for cosmetic reasons or to reverse an eye reddening effect of various diseases and conditions.
- diseases and conditions may be ocular, pulmonary or others, and include, but are not limited to, dry eye, contact lens wear, allergic conjunctivitis, allergic rhinitis, nonallergic rhinitis, acute or chronic sinusitis, nasal polyposis, rhinitis secondary to pregnancy, rhinitis due to nasal septal deviation or obstruction, asthma, particularly, allergic asthma and others.
- selective ⁇ -2 adrenergic receptor agonists encompasses all ⁇ -2 adrenergic receptor agonists which have a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors.
- the term also encompasses pharmaceutically acceptable salts, esters, prodrugs, and other derivatives of selective ⁇ -2 adrenergic receptor agonists.
- concentrations refers to concentrations from between about 0.0001% to about 0.05%; more preferably, from about 0.001% to about 0.05%; even more preferably, from about 0.01% to about 0.025%; and even more preferably, from about 0.01% to about 0.02% weight by volume of the composition.
- concentrations of the selective ⁇ -2 adrenergic receptor agonists are substantially lower than the concentrations normally used in the treatment of glaucoma.
- substantially refers to such concentration that would not previously be considered effective for the treatment of glaucoma.
- brimonidine encompasses, without limitation, brimonidine salts and other derivatives, and specifically includes, but is not limited to, brimonidine tartrate, 5-bromo-6-(2-imidazolin-2-ylamino)quinoxaline D-tartrate, AlphaganTM, and UK14304.
- potassium encompasses potassium salts and specifically includes, but is not limited to, potassium chloride.
- calcium encompasses calcium salts and specifically includes, but is not limited to, calcium chloride.
- composition is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from a combination of the specified ingredients in the specified amounts.
- treating and “treatment” refer to reversing, alleviating, inhibiting, or slowing the progress of the disease, disorder, or condition to which such terms apply, or one or more symptoms of such disease, disorder, or condition.
- preventing and prevention refer to prophylactic use to reduce the likelihood of a disease, disorder, or condition to which such term applies, or one or more symptoms of such disease, disorder, or condition. It is not necessary to achieve a 100% likelihood of prevention; it is sufficient to achieve at least a partial effect of reducing the risk of acquiring such disease, disorder, or condition.
- selective alpha-2 ( ⁇ -2) adrenergic receptor agonists (which are interchangeably referred to as “ ⁇ -2 agonists” throughout the application) at sufficiently low concentrations, in combination with potassium alone and/or potassium and calcium together, allow significant improvement in tissue hemodynamics and can be used for treatment of eye disorders or conditions.
- the selective ⁇ -2 agonists at low concentrations promote vasoconstriction and allow reducing, minimizing, and/or eliminating hyperemia, including rebound hyperemia while optimally providing clinically equal or more effective vasoconstriction. While not wishing to be bound to any particular theory, it is believed that rebound hyperemia is primarily associated with ⁇ -1 agonist activity. Thus, unless the binding affinity of ⁇ -2 agonists for ⁇ -2 over ⁇ -1 adrenergic receptors is sufficiently high, not sufficiently selective ⁇ -2 agonists will cause undesirable ⁇ -1 receptor stimulation with attendant rebound hyperemia. Accordingly, it is desired to minimize ⁇ -1 agonist activity by using selective ⁇ -2 agonists.
- Potassium and/or calcium are able to potentiate the effects of selective ⁇ -2 agonists. While not wishing to be bound to any specific theory, it is believed that potassium and calcium ions are able to create a mini electric current which can stimulate the constriction of the smooth muscle of a vessel, provided intracellular calcium is present. In the presence of ⁇ -2 agonists, even small amounts of potassium with or without exogenous calcium ions, even if not themselves sufficient for such voltage potential changes, may enhance ⁇ -2 agonists' vasoconstrictive activity, including onset, degree of vasoconstriction, and duration. Thus, potassium and/or calcium are believed to enhance and/or improve vasoconstrictive effects of ⁇ -2 agonists.
- the present invention provides compositions comprising low concentrations of selective ⁇ -2 adrenergic receptor agonists in combination with potassium alone and/or potassium and calcium together.
- compositions are used for treatment of eye disorders or conditions.
- the invention provides methods of treatment of eye disorders and conditions comprising administering to an eye of a patient in need thereof a composition, wherein said composition comprises low concentrations of selective ⁇ -2 agonists in combination with potassium and/or potassium and calcium together, and in some cases, calcium alone.
- the methods and compositions of the invention may be used to reduce eye reddening and/or achieve eye whitening by reducing hyperemia caused by a disease or a condition.
- the methods and compositions of the invention may be used to achieve eye whitening in healthy eyes.
- the methods and compositions of the invention may be used to both achieve cosmetic eye whitening and to reduce eye reddening due to a disease or a condition.
- any ⁇ -2 agonist activity may be enhanced by the addition of K and Ca.
- ⁇ -2 agonist activity in nasal decongestion, pulmonary uses, and/or other uses of ⁇ -2 agonists such as described in U.S. patent application Ser. Nos. 12/460,942; 12/460,968; 12/460,941; 12/460,967; 12/460,970; 12/460,954; 12/460,969; 61/287,533; and 61/287,518 may be enhanced and is intended to be covered here by this application. Further, for pulmonary use such enhancement is at sufficiently low dose of potassium and calcium to facilitate ⁇ -2 agonist activity without causing bronchiole constriction.
- selective ⁇ -2 adrenergic receptor agonists have binding affinities (K i ) for ⁇ -2 over ⁇ -1 receptors of 100:1 or greater.
- selective ⁇ -2 adrenergic receptor agonists have K i for ⁇ -2 over ⁇ -1 receptors of 500:1 or greater, more preferably 700:1 or greater, even more preferably 1000:1 or greater, and most preferably, 1500:1 or greater.
- the particularly preferred adrenergic receptor agonists for the purposes of the present invention have higher selectivity for ⁇ -2B and/or ⁇ -2C receptors, as compared to ⁇ -2A receptors.
- concentrations of selective ⁇ -2 adrenergic receptor agonists are from between about 0.0001% to about 0.05%; more preferably, from about 0.001% to about 0.05%; even more preferably, from about 0.01% to about 0.025%; and even more preferably, from about 0.01% to about 0.02% weight by volume of the composition.
- any selective ⁇ -2 adrenergic receptor agonist may be suitable for the purposes of the present invention.
- the selective ⁇ -2 adrenergic receptor is selected from the group consisting of apraclonidine, mivazerol, clonidine, brimonidine, alpha methyl dopa, guanfacine, dexemeditomidine, (+)-(S)-4-[1-(2,3-dimethyl-phenyl)-ethyl]-1,3-dihydro-imidazole-2-thione, 1-[(imidazolid in-2-yl)imino]indazole, and mixtures of these compounds.
- compositions and methods of the inventions encompass all isomeric forms of the described ⁇ -2 adrenergic receptor agonists, their racemic mixtures, enol forms, solvated and unsolvated forms, analogs, prodrugs, derivatives, including but not limited to esters and ethers, and pharmaceutically acceptable salts, including acid addition salts.
- suitable acids for salt formation are hydrochloric, sulfuric, phosphoric, acetic, citric, oxalic, malonic, salicylic, malic, furmaric, succinic, ascorbic, maleic, methanesulfonic, tartaric, and other mineral carboxylic acids well known to those in the art.
- the salts may be prepared by contacting the free base form with a sufficient amount of the desired acid to produce a salt in the conventional manner.
- the free base forms may be regenerated by treating the salt with a suitable dilute aqueous base solution such as dilute aqueous hydroxide potassium carbonate, ammonia, and sodium bicarbonate.
- a suitable dilute aqueous base solution such as dilute aqueous hydroxide potassium carbonate, ammonia, and sodium bicarbonate.
- the free base forms differ from their respective salt forms somewhat in certain physical properties, such as solubility in polar solvents, but the acid salts are equivalent to their respective free base forms for purposes of the invention. (See, for example S. M. Berge, et al., “Pharmaceutical Salts,” J. Pharm. Sci., 66: 1-19 (1977) which is incorporated herein by reference).
- a selective ⁇ -2 adrenergic receptor agonist functions as a selective ⁇ -2 agonist, it may be used for the purposes of the present invention.
- ⁇ -2 adrenergic receptor agonist When choosing a particular ⁇ -2 adrenergic receptor agonist, one may take into account various considerations including blood brain permeability and any possible side effects and other systemic reactions.
- the selective ⁇ -2 adrenergic receptor is brimonidine or its salt.
- the selective ⁇ -2 adrenergic receptor agonist is the tartrate salt of brimonidine.
- the present invention provides compositions comprising low concentrations of selective ⁇ -2 adrenergic receptor agonists in combination with potassium and/or calcium.
- the compositions are used for treatment of eye disorders or conditions.
- the invention provides a composition for use in treatment of eye disorders or conditions, wherein said composition comprises a selective ⁇ -2 adrenergic receptor agonist having a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors, or a pharmaceutically acceptable salt thereof, wherein said ⁇ -2 adrenergic receptor is present at a concentration from between about 0.001% to about 0.05% weight by volume of the composition, wherein said composition comprises potassium and/or calcium.
- potassium is in the form of potassium chloride
- calcium is in the form of calcium chloride
- the concentration of potassium chloride is between about 5 mM to about 100 mM; more preferably between about 10 mM to about 70 mM; and even more preferably between about 10 mM to about 50 mM, and most preferably about 40 mM; and the concentration of calcium chloride is between about 0.05 mM to about 5 mM, more preferably between about 0.05 mM to about 2 mM, and most preferably about 1 mM.
- a pH of the compositions of the present invention is less than about 8.0, preferably, between about 5.5 and about 8.0, more preferably between about 5.5 and about 7.5, even more preferably between about 6.0 and about 7.0, and most preferably about 6.5.
- osmolality of the compositions of the present invention is between about 250 mOsm/kg and about 300 mOsm/kg; most preferably, about 270 mOsm/kg.
- compositions of the present invention are preferably formulated for a mammal, and more preferably, for a human.
- the invention provides a composition for inducing vasoconstriction consisting essentially of brimonidine and/or potassium, wherein said brimonidine concentration is from between about 0.01% to about 0.02% weight by volume, wherein pH of said composition is between about 5.5 and about 6.5, and wherein said composition is formulated as an ocular drop.
- the invention provides an aqueous composition for treatment of eye disorders or conditions, comprising between about 0.01% to about 0.025% weight by volume of brimonidine and from between about 0.1 to about 0.5% weight by volume of potassium chloride, wherein pH of said composition is between about 7.0 and about 8.0, and wherein said composition is formulated as an ocular drop.
- the invention provides a composition for use in treatment of eye disorders or conditions, wherein said composition comprises between about 0.001% to about 0.05% weight by volume of brimonidine, between about 0.2% to about 0.3% weight by volume of boric acid, between about 10 mM to about 70 mM of potassium chloride, between about 0.05 mM and about 2 mM of calcium chloride, wherein pH of said composition is between about 6.0 and about 7.0, and wherein osmolality of said composition is between about 250 mOsm/kg and about 300 mOsm/kg.
- compositions of the invention may also comprise a solubility stabilizer which preferably contains an anionic component, such as peroxide class preservatives.
- the solubility stabilizer allows one to achieve greater penetration of lipophilic membranes.
- the solubility stabilizer comprises a stabilized oxychloro complex, chlorite, and sodium perborate.
- compositions of the present invention may comprise nitrous oxide inhibitors.
- the nitrous oxide inhibitors are selected from the group consisting of L-NAME (L-N G -Nitroarginine methyl ester), L-NIL (N-6-(1-Iminoethyl)-L-lysine dihydrochloride), L-NIO (N-5-(1-Iminoethyl)-L-ornithine dihydrochloride), and L-canavine, or combinations thereof.
- concentration of the nitrous oxide inhibitors is between about 0.005% and about 0.5% weight by volume.
- compositions are delivered as ophthalmic solutions into the eyes.
- topical compositions which include, but are not limited to, gels and creams. They may also include additional non-therapeutic components, which include, but are not limited to, preservatives, delivery vehicles, tonicity adjustors, buffers, pH adjustors, antioxidants, tenacity adjusting agents, viscosity adjusting agents, and water.
- Preservatives include, but are not limited to, benzalkonium chloride, chlorobutanol, thimerosal, phenylmercuric acetate, or phenylmercuric nitrate.
- Delivery vehicles include, but are not limited to, polyvinyl alcohol, povidone, hydroxypropyl methyl cellulose, poloxamers, carboxymethyl cellulose, hydroxyethyl cellulose and purified water. It is also possible to use a physiological saline solution as a major vehicle.
- Tonicity adjustors include, but are not limited to, a salt such as sodium chloride, potassium chloride, mannitol or glycerin, or another pharmaceutically or ophthalmically acceptable tonicity adjustor.
- Tenacity adjusting agents include, but are not limited to, glycerin.
- Viscosity adjusting agents include, but are not limited to, hypromellose (HPMC).
- Buffers and pH adjustors include, but are not limited to, acetate buffers, citrate buffers, phosphate buffers and borate buffers, such as boric acid. It is understood that various acids or bases can be used to adjust the pH of the composition as needed. pH adjusting agents include, but are not limited to, sodium hydroxide and hydrochloric acid.
- Antioxidants include, but are not limited to, sodium metabisulfite, sodium thiosulfate, acetylcysteine, butylated hydroxyanisole and butylated hydroxytoluene.
- topical compositions of the present invention one can simply dilute, using methods known in the art, more concentrated solutions of selective ⁇ -2 agonists.
- the precise method of carrying out the dilutions is not critical. Any commonly used diluents, including preservatives described above in the application, suitable for topical solutions can be used.
- compositions of the invention may be formulated and delivered as intravenous, oral, aerosolized, and nebulized compositions.
- the invention provides the following compositions:
- the invention provides methods of treatment of eye disorders and conditions comprising administering to an eye of a patient in need thereof a composition, wherein said composition comprises low concentrations of selective ⁇ -2 agonists in combination with potassium and/or calcium.
- the methods and compositions of the invention may be used to reduce eye reddening and/or achieve eye whitening by reducing hyperemia caused by a disease or a condition.
- the methods and compositions of the invention may be used to achieve eye whitening in healthy eyes.
- the methods and compositions of the invention may be used to both achieve cosmetic eye whitening and to reduce eye reddening due to a disease or a condition.
- the invention also provides methods of enhancing vasoconstricting activity of a selective ⁇ -2 adrenergic receptor agonist having a binding affinity of 100 fold or greater for ⁇ -2 over ⁇ -1 adrenergic receptors comprising adding potassium and/or calcium to a pharmaceutical composition which comprises said selective ⁇ -2 adrenergic receptor agonist.
- Eye disorders and conditions include, but are not limited to, red eye, including chronic red eye; ocular vascular congestion after Lasik surgery; prophylactic intraoperative and postoperative reduction of hemorrhage and hyperemia after Lasik surgery; preoperative hemorrhage and hyperemia prophylaxis prior to Lasik surgery; prophylactic diabetic retinopathy; macular edema such as that associated with diabetes; conditions of retinal degeneration such as glaucoma, macular degeneration such as age-related macular degeneration (ARMD) and retinitis pigmentosa; retinal dystrophies; elevated baseline hyperemia in glaucoma patients; inflammatory disorders of the retina; vascular occlusive conditions of the retina such as retinal vein occlusions or branch or central retinal artery occlusions; retinopathy of prematurity; retinopathy associated with blood disorders such as sickle cell anemia; elevated intraocular pressure; ocular itch; damage following retinal detachment; damage or insult due to
- eye disorders and conditions also encompasses aesthetic conditions, for example, excessive redness of an eye.
- the methods and compositions of the present invention can be used with other ocular procedures, particularly cataract surgery, retinal surgery, pterygiae removal, and motility surgery.
- ocular procedures particularly cataract surgery, retinal surgery, pterygiae removal, and motility surgery.
- concentration range employed to eliminate hyperemia, endothelial cell pump dysfunction, and the high level of allergic reactions of the glaucoma class of brimonidine concentrations no intraocular pressure effects are noted. This is important because in cosmetic use, while retention of normal intraocular pressure is desired, lowering of intraocular pressure is not a necessary or desirable parameter to reduce in a normotensive population.
- compositions of the present invention are concentration-dependent.
- a skilled artisan would have to take into account kinetics and absorption characteristics of the particular selective ⁇ -2 adrenergic receptor agonist.
- the dosage may be dependent on the route of administration.
- the dosages may also de dependent on the type of a particular disorder and/or condition and also on the degree of whitening desired by a patient.
- the following experiment may be set up. To assess the effect of calcium and potassium on increasing the effectiveness of selective ⁇ -2 receptor agonists, one can compare the results of administrating a selective ⁇ -2 receptor agonist with and without potassium and calcium.
- a patient who has redness in both eyes may be treated as follows:
- composition may be administered comprising about 0.025% weight by volume of brimonidine;
- compositions may be administered comprising about 0.025% weight by volume of brimonidine; about 50 mM of potassium chloride and about 1 mM of calcium chloride.
- compositions may be re-administered, for example, after the four hours assessment.
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US12/767,394 US20100203165A1 (en) | 2008-08-01 | 2010-04-26 | Compositions and methods for treatment of disorders or conditions of the eye |
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US13771408P | 2008-08-01 | 2008-08-01 | |
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US20748109P | 2009-02-12 | 2009-02-12 | |
US12/460,942 US8338421B2 (en) | 2008-08-01 | 2009-07-27 | Compositions and methods for reversing rebound hyperemia |
US28754809P | 2009-12-17 | 2009-12-17 | |
US12/767,394 US20100203165A1 (en) | 2008-08-01 | 2010-04-26 | Compositions and methods for treatment of disorders or conditions of the eye |
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US12/460,942 Continuation-In-Part US8338421B2 (en) | 2008-08-01 | 2009-07-27 | Compositions and methods for reversing rebound hyperemia |
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US12/767,394 Abandoned US20100203165A1 (en) | 2008-08-01 | 2010-04-26 | Compositions and methods for treatment of disorders or conditions of the eye |
US12/928,749 Active 2032-04-24 US8765758B2 (en) | 2009-07-27 | 2010-12-17 | Compositions and methods for eye whitening |
US14/044,929 Active 2030-12-25 US9259425B2 (en) | 2009-12-17 | 2013-10-03 | Compositions and methods for eye whitening |
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US12/928,749 Active 2032-04-24 US8765758B2 (en) | 2009-07-27 | 2010-12-17 | Compositions and methods for eye whitening |
US14/044,929 Active 2030-12-25 US9259425B2 (en) | 2009-12-17 | 2013-10-03 | Compositions and methods for eye whitening |
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US (3) | US20100203165A1 (fr) |
EP (1) | EP2515917B1 (fr) |
JP (1) | JP5738890B2 (fr) |
KR (1) | KR101817928B1 (fr) |
CA (1) | CA2782817C (fr) |
ES (1) | ES2550473T3 (fr) |
WO (1) | WO2011075617A1 (fr) |
Cited By (4)
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WO2012106537A1 (fr) * | 2011-02-03 | 2012-08-09 | Alpha Synergy Development, Inc. | Compositions et procédés pour le traitement du glaucome |
EP2696874A4 (fr) * | 2011-04-13 | 2015-06-10 | Eye Therapies Llc | Compositions et méthodes utilisées de traitement d'affections nasales |
WO2015097600A3 (fr) * | 2013-12-24 | 2015-10-29 | Sentiss Pharma Private Limited | Solution ophthalmique topique de tartrate de brimonidine |
US20210338666A1 (en) * | 2020-04-30 | 2021-11-04 | Eye Therapies, Llc | Brimonidine combinations and uses thereof |
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JP5671459B2 (ja) | 2008-08-01 | 2015-02-18 | アイ・セラピーズ・エル・エル・シー | 血管収縮組成物および使用方法 |
US8445526B2 (en) * | 2011-02-03 | 2013-05-21 | Glaucoma & Nasal Therapies Llc | Compositions and methods for treatment of glaucoma |
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GB201217522D0 (en) | 2012-10-01 | 2012-11-14 | Sharma Anant | ophthalmic therapy |
WO2015050670A1 (fr) * | 2013-10-03 | 2015-04-09 | Eye Therapies, Llc | Compositions et méthodes de blanchiment des yeux |
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CA3168748A1 (fr) | 2020-02-20 | 2021-08-26 | Mohammed DIBAS | Agonistes du recepteur alpha-2-adrenergique destines a reduire les rougeurs et a augmenter la blancheur des yeux et a d'autres fins ophtalmiques |
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-
2010
- 2010-04-26 US US12/767,394 patent/US20100203165A1/en not_active Abandoned
- 2010-12-17 EP EP10838277.1A patent/EP2515917B1/fr active Active
- 2010-12-17 US US12/928,749 patent/US8765758B2/en active Active
- 2010-12-17 WO PCT/US2010/060944 patent/WO2011075617A1/fr active Application Filing
- 2010-12-17 ES ES10838277.1T patent/ES2550473T3/es active Active
- 2010-12-17 JP JP2012544867A patent/JP5738890B2/ja active Active
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2013
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Cited By (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2012106537A1 (fr) * | 2011-02-03 | 2012-08-09 | Alpha Synergy Development, Inc. | Compositions et procédés pour le traitement du glaucome |
JP2014504645A (ja) * | 2011-02-03 | 2014-02-24 | グローコマ・アンド・ナサル・セラピー,エル・エル・シー | 緑内障の治療のための組成物および方法 |
EP2696874A4 (fr) * | 2011-04-13 | 2015-06-10 | Eye Therapies Llc | Compositions et méthodes utilisées de traitement d'affections nasales |
WO2015097600A3 (fr) * | 2013-12-24 | 2015-10-29 | Sentiss Pharma Private Limited | Solution ophthalmique topique de tartrate de brimonidine |
EA030615B1 (ru) * | 2013-12-24 | 2018-08-31 | Сентисс Фарма Прайвет Лимитед | Офтальмологический раствор бримонидина для местного применения |
US10517869B2 (en) | 2013-12-24 | 2019-12-31 | Sentiss Pharma Private Limited | Topical brimonidine tartrate ophthalmic solution |
US20210338666A1 (en) * | 2020-04-30 | 2021-11-04 | Eye Therapies, Llc | Brimonidine combinations and uses thereof |
Also Published As
Publication number | Publication date |
---|---|
JP2013514985A (ja) | 2013-05-02 |
ES2550473T3 (es) | 2015-11-10 |
US9259425B2 (en) | 2016-02-16 |
JP5738890B2 (ja) | 2015-06-24 |
EP2515917A1 (fr) | 2012-10-31 |
WO2011075617A1 (fr) | 2011-06-23 |
US20110160214A1 (en) | 2011-06-30 |
CA2782817C (fr) | 2018-09-11 |
EP2515917B1 (fr) | 2015-10-07 |
KR20120128610A (ko) | 2012-11-27 |
EP2515917A4 (fr) | 2013-06-26 |
US8765758B2 (en) | 2014-07-01 |
KR101817928B1 (ko) | 2018-01-12 |
US20140038973A1 (en) | 2014-02-06 |
CA2782817A1 (fr) | 2011-06-23 |
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