US20220072012A1 - Ursodeoxycholic acid-containing agent for treating or preventing presbyopia - Google Patents
Ursodeoxycholic acid-containing agent for treating or preventing presbyopia Download PDFInfo
- Publication number
- US20220072012A1 US20220072012A1 US17/414,285 US201917414285A US2022072012A1 US 20220072012 A1 US20220072012 A1 US 20220072012A1 US 201917414285 A US201917414285 A US 201917414285A US 2022072012 A1 US2022072012 A1 US 2022072012A1
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- US
- United States
- Prior art keywords
- ursodeoxycholic acid
- ester
- acid
- lens
- eye
- 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.)
- Pending
Links
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- KZSNJWFQEVHDMF-UHFFFAOYSA-N Valine Natural products CC(C)C(N)C(O)=O KZSNJWFQEVHDMF-UHFFFAOYSA-N 0.000 description 1
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- 125000003277 amino group Chemical group 0.000 description 1
- 229960002684 aminocaproic acid Drugs 0.000 description 1
- 150000003863 ammonium salts Chemical class 0.000 description 1
- 239000003945 anionic surfactant Substances 0.000 description 1
- 239000013011 aqueous formulation Substances 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
- 235000009582 asparagine Nutrition 0.000 description 1
- 229960001230 asparagine Drugs 0.000 description 1
- CKLJMWTZIZZHCS-REOHCLBHSA-L aspartate group Chemical class N[C@@H](CC(=O)[O-])C(=O)[O-] CKLJMWTZIZZHCS-REOHCLBHSA-L 0.000 description 1
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- 239000002585 base Substances 0.000 description 1
- SRSXLGNVWSONIS-UHFFFAOYSA-N benzenesulfonic acid Chemical class OS(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-N 0.000 description 1
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- OQFSQFPPLPISGP-UHFFFAOYSA-N beta-carboxyaspartic acid Natural products OC(=O)C(N)C(C(O)=O)C(O)=O OQFSQFPPLPISGP-UHFFFAOYSA-N 0.000 description 1
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- 150000004648 butanoic acid derivatives Chemical class 0.000 description 1
- 159000000007 calcium salts Chemical class 0.000 description 1
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 1
- 239000003093 cationic surfactant Substances 0.000 description 1
- 230000014564 chemokine production Effects 0.000 description 1
- 150000001860 citric acid derivatives Chemical class 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
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- 238000012937 correction Methods 0.000 description 1
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- 230000016396 cytokine production Effects 0.000 description 1
- YSMODUONRAFBET-UHFFFAOYSA-N delta-DL-hydroxylysine Natural products NCC(O)CCC(N)C(O)=O YSMODUONRAFBET-UHFFFAOYSA-N 0.000 description 1
- 235000019800 disodium phosphate Nutrition 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 239000000839 emulsion Substances 0.000 description 1
- YSMODUONRAFBET-UHNVWZDZSA-N erythro-5-hydroxy-L-lysine Chemical compound NC[C@H](O)CC[C@H](N)C(O)=O YSMODUONRAFBET-UHNVWZDZSA-N 0.000 description 1
- CCIVGXIOQKPBKL-UHFFFAOYSA-N ethanesulfonic acid Chemical class CCS(O)(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-N 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 230000004438 eyesight Effects 0.000 description 1
- 235000003599 food sweetener Nutrition 0.000 description 1
- 150000004675 formic acid derivatives Chemical class 0.000 description 1
- VZCYOOQTPOCHFL-OWOJBTEDSA-L fumarate(2-) Chemical class [O-]C(=O)\C=C\C([O-])=O VZCYOOQTPOCHFL-OWOJBTEDSA-L 0.000 description 1
- 229960003692 gamma aminobutyric acid Drugs 0.000 description 1
- UHBYWPGGCSDKFX-VKHMYHEASA-N gamma-carboxy-L-glutamic acid Chemical compound OC(=O)[C@@H](N)CC(C(O)=O)C(O)=O UHBYWPGGCSDKFX-VKHMYHEASA-N 0.000 description 1
- 235000013922 glutamic acid Nutrition 0.000 description 1
- 239000004220 glutamic acid Substances 0.000 description 1
- 150000002306 glutamic acid derivatives Chemical class 0.000 description 1
- ZDXPYRJPNDTMRX-UHFFFAOYSA-N glutamine Natural products OC(=O)C(N)CCC(N)=O ZDXPYRJPNDTMRX-UHFFFAOYSA-N 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- 150000002357 guanidines Chemical class 0.000 description 1
- HNDVDQJCIGZPNO-UHFFFAOYSA-N histidine Natural products OC(=O)C(N)CC1=CN=CN1 HNDVDQJCIGZPNO-UHFFFAOYSA-N 0.000 description 1
- 150000003840 hydrochlorides Chemical class 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical class I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 125000000959 isobutyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])* 0.000 description 1
- KQNPFQTWMSNSAP-UHFFFAOYSA-N isobutyric acid Chemical class CC(C)C(O)=O KQNPFQTWMSNSAP-UHFFFAOYSA-N 0.000 description 1
- AGPKZVBTJJNPAG-UHFFFAOYSA-N isoleucine Natural products CCC(C)C(N)C(O)=O AGPKZVBTJJNPAG-UHFFFAOYSA-N 0.000 description 1
- 229960000310 isoleucine Drugs 0.000 description 1
- GWYFCOCPABKNJV-UHFFFAOYSA-N isovaleric acid Chemical class CC(C)CC(O)=O GWYFCOCPABKNJV-UHFFFAOYSA-N 0.000 description 1
- AGBQKNBQESQNJD-UHFFFAOYSA-N lipoic acid Chemical class OC(=O)CCCCC1CCSS1 AGBQKNBQESQNJD-UHFFFAOYSA-N 0.000 description 1
- 208000019423 liver disease Diseases 0.000 description 1
- 244000144972 livestock Species 0.000 description 1
- 239000007937 lozenge Substances 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 159000000003 magnesium salts Chemical class 0.000 description 1
- 150000002688 maleic acid derivatives Chemical class 0.000 description 1
- 150000002690 malonic acid derivatives Chemical class 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000007721 medicinal effect Effects 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- AFVFQIVMOAPDHO-UHFFFAOYSA-M methanesulfonate group Chemical class CS(=O)(=O)[O-] AFVFQIVMOAPDHO-UHFFFAOYSA-M 0.000 description 1
- 229930182817 methionine Natural products 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 229910000403 monosodium phosphate Inorganic materials 0.000 description 1
- 235000019799 monosodium phosphate Nutrition 0.000 description 1
- 208000001491 myopia Diseases 0.000 description 1
- 125000004108 n-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000001280 n-hexyl group Chemical group C(CCCCC)* 0.000 description 1
- 125000000740 n-pentyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 229940037525 nasal preparations Drugs 0.000 description 1
- 150000002823 nitrates Chemical class 0.000 description 1
- 239000002736 nonionic surfactant Substances 0.000 description 1
- 229940100654 ophthalmic suspension Drugs 0.000 description 1
- 229960003104 ornithine Drugs 0.000 description 1
- 150000003901 oxalic acid esters Chemical class 0.000 description 1
- BEEDODBODQVSIM-UHFFFAOYSA-N oxymetazoline hydrochloride Chemical compound Cl.CC1=CC(C(C)(C)C)=C(O)C(C)=C1CC1=NCCN1 BEEDODBODQVSIM-UHFFFAOYSA-N 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- COLNVLDHVKWLRT-UHFFFAOYSA-N phenylalanine Natural products OC(=O)C(N)CC1=CC=CC=C1 COLNVLDHVKWLRT-UHFFFAOYSA-N 0.000 description 1
- 235000021317 phosphate Nutrition 0.000 description 1
- 235000011007 phosphoric acid Nutrition 0.000 description 1
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- IUGYQRQAERSCNH-UHFFFAOYSA-N pivalic acid Chemical class CC(C)(C)C(O)=O IUGYQRQAERSCNH-UHFFFAOYSA-N 0.000 description 1
- 239000000843 powder Substances 0.000 description 1
- 230000002250 progressing effect Effects 0.000 description 1
- 230000000069 prophylactic effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 238000012827 research and development Methods 0.000 description 1
- 125000002914 sec-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 239000001488 sodium phosphate Substances 0.000 description 1
- 150000003900 succinic acid esters Chemical class 0.000 description 1
- 150000003467 sulfuric acid derivatives Chemical class 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 150000003899 tartaric acid esters Chemical class 0.000 description 1
- 229960003080 taurine Drugs 0.000 description 1
- BHTRKEVKTKCXOH-AYSJQVDDSA-N taurochenodeoxycholic acid Chemical compound C([C@H]1C[C@@H]2O)[C@H](O)CC[C@]1(C)C1C2C2CC[C@H]([C@@H](CCC(=O)NCCS(O)(=O)=O)C)[C@@]2(C)CC1 BHTRKEVKTKCXOH-AYSJQVDDSA-N 0.000 description 1
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- YSMODUONRAFBET-WHFBIAKZSA-N threo-5-hydroxy-L-lysine Chemical compound NC[C@@H](O)CC[C@H](N)C(O)=O YSMODUONRAFBET-WHFBIAKZSA-N 0.000 description 1
- 229940034208 thyroxine Drugs 0.000 description 1
- XUIIKFGFIJCVMT-UHFFFAOYSA-N thyroxine-binding globulin Natural products IC1=CC(CC([NH3+])C([O-])=O)=CC(I)=C1OC1=CC(I)=C(O)C(I)=C1 XUIIKFGFIJCVMT-UHFFFAOYSA-N 0.000 description 1
- 229910052718 tin Inorganic materials 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical class CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 1
- 125000002827 triflate group Chemical class FC(S(=O)(=O)O*)(F)F 0.000 description 1
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 description 1
- 229910000406 trisodium phosphate Inorganic materials 0.000 description 1
- 235000019801 trisodium phosphate Nutrition 0.000 description 1
- OUYCCCASQSFEME-UHFFFAOYSA-N tyrosine Natural products OC(=O)C(N)CC1=CC=C(O)C=C1 OUYCCCASQSFEME-UHFFFAOYSA-N 0.000 description 1
- NQPDZGIKBAWPEJ-UHFFFAOYSA-N valeric acid Chemical class CCCCC(O)=O NQPDZGIKBAWPEJ-UHFFFAOYSA-N 0.000 description 1
- 239000004474 valine Substances 0.000 description 1
Classifications
-
- 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
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/575—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of three or more carbon atoms, e.g. cholane, cholestane, ergosterol, sitosterol
-
- 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
- A61K9/0048—Eye, e.g. artificial tears
-
- 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
- A61K9/06—Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
-
- 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
- A61K9/08—Solutions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
- A61P27/10—Ophthalmic agents for accommodation disorders, e.g. myopia
-
- 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
- A61K47/02—Inorganic compounds
-
- 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
- A61K47/30—Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
- A61K47/36—Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
- A61K47/38—Cellulose; Derivatives thereof
-
- 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
- A61K9/10—Dispersions; Emulsions
Definitions
- the present invention relates to an agent for treating or preventing presbyopia, comprising ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof as an active ingredient.
- Patent Document 1 discloses that lipoic acid derivatives such as lipoic acid choline ester (alias, EV06, UNR844) are useful for the treatment of presbyopia. And an eye drop comprising lipoic acid choline ester is under clinical development in the United States. Clinical developments of the treatment of presbyopia are also underway for an eye drop comprising AGN-199201 and AGN-190584, an eye drop comprising PRX-100, and an eye drop comprising PresbiDrops (CSF-1).
- the condition of patients with presbyopia is diverse, and an increase in the types of therapeutic agents for eye diseases is still strongly desired so that therapeutic agents can be selected accordingly.
- Ursodeoxycholic acid is a compound that promotes bile secretion and inhibits cytokine/chemokine production, and is therefore used in the treatment of liver diseases (Non-Patent Document 2).
- Non-Patent Document 2 there is no literature reporting relationship between ursodeoxycholic acid and presbyopia treatment.
- Patent Document 1 WO 2010/147957
- An object of the present application is to provide a new measure for treating or preventing presbyopia, which is a very interesting challenge.
- ursodeoxycholic acid surprisingly improves lens elasticity, and thereby have reached the present application.
- the present disclosure provides the following aspects of the invention.
- the therapeutic or prophylactic agent of the present disclosure can improve the lens elasticity, which is important for lens thickness adjustment, and is therefore useful in the treatment or prevention of eye diseases such as presbyopia etc.
- ursodiol also called ursodiol and 3 ⁇ ,7 ⁇ -Dihydroxy-5 ⁇ -cholan-24-oic acid, and sometimes abbreviated as UDCA.
- amide conjugates of ursodeoxycholic acid which may be comprised in the agent of the present invention refer to amide conjugates having a —CO—NH— bond which is formed by dehydration condensation of the carboxyl group of ursodeoxycholic acid with an amino group of an amino compound.
- amino compound examples include:
- 2-aminoadipic acid 3-aminoadipic acid, 2-aminobutanoic acid, 4-aminobutanoic acid, 2,4-diaminobutanoic acid, 2-aminohexanoic acid, 6-aminohexanoic acid, 1i-alanine, 2-aminopentanoic acid, 2,3-diaminopropanoic acid, 2-aminopimelic acid, 2,6-diaminopimelic acid, cysteic acid, 2,4-diaminobutanoic acid, 2,6-diaminopimelic acid, 2,3-diaminopropanoic acid, 4-carboxyglutamic acid, homocysteine, homoserine, homoserine lactone, homoserine lactone, 5-hydroxylysine, allohydroxylysine, alloisoleucine, norleucine, norvaline, ornithine, allothreonine, and thyroxine;
- amino acid analogs e.g., taurine.
- Examples of the amide conjugates of ursodeoxycholic acid include tauroursodeoxycholic acid and glycoursodeoxycholic acid.
- esters of ursodeoxycholic acid which may be comprised in the agent of the present invention include esters which are formed by dehydration condensation of the carboxyl group of ursodeoxycholic acid with a monohydric alcohol having 1 to 6 carbon atoms (preferably 1 to 4 carbon atoms, more preferably 1 to 3 carbon atoms).
- esters of the amide conjugates of ursodeoxycholic acid which may be comprised in the agent of the present invention include, for example, when the amino compound part has carboxyl group(s) and/or sulfonic acid group(s), esters which are formed by dehydration condensation of the carboxyl group(s) and/or the sulfonic acid group(s) with monohydric alcohol(s) having 1 to 6 carbon atoms (preferably 1 to 4 carbon atoms, more preferably 1 to 3 carbon atoms).
- esters of ursodeoxycholic acid or the esters of amide conjugates of ursodeoxycholic acid include methyl esters, ethyl esters, n-propyl esters, isopropyl esters, n-butyl esters, isobutyl esters, sec-butyl esters, tert-butyl esters, n-pentyl esters, and n-hexyl esters.
- Preferred examples of the ester include methyl esters, ethyl esters, n-propyl esters, and isopropyl esters.
- carboxylic acid esters which are formed by dehydration condensation of at least one hydroxyl group of ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid with a carboxylic acid having 1 to 6 carbon atoms (preferably 1 to 4 carbon atoms, more preferably 2 to 3 carbon atoms).
- carboxylic acid esters include formate esters, acetate esters, propionate esters, isopropionate esters, butyrate esters, isobutyrate esters, pivalate esters, valerate esters, or isovalerate esters.
- Preferred examples of the carboxylic acid esters include acetate esters.
- Examples of pharmaceutically acceptable salts include, inorganic salts such as hydrochlorides, hydrobromides, hydroiodides, nitrates, sulfates, phosphates, etc.; organic acid salts such as acetates, trifluoroacetates, benzoates, oxalates, malonates, succinates, maleates, fumarates, tartrates, citrates, methanesulfonates, ethanesulfonates, trifluoromethanesulfonates, benzenesulfonates, p-toluenesulfonates, glutamates, aspartates, etc.; metal salts such as sodium salts, potassium salts, calcium salts, and magnesium salts, etc.; inorganic salts such as ammonium salts, etc.; and organic amine salts such as triethylamine salts, guanidine salts, etc.
- Examples of pharmaceutically acceptable salts include preferably sodium salts and
- ursodeoxycholic acid or amide conjugates of ursodeoxycholic acid, or esters thereof, or pharmaceutically acceptable salts thereof may be in the form of hydrates or solvates.
- the amount of ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof comprised in the agent of the present invention is not particularly limited and may be selected from a wide range depending on dosage forms etc.
- the amount of ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof comprised in the agent of the present invention is 0.00001 to 10% (w/v), preferably 0.0001 to 5% (w/v), more preferably 0.001 to 3% (w/v), even more preferably 0.01 to 2% (w/v), particularly preferably 0.15 to 1.5% (w/v).
- An example of the lower limit of the amount is 0.00001% (w/v), a preferable example is 0.0001% (w/v), a more preferable example is 0.001% (w/v), a further preferable example is 0.01% (w/v), a particularly preferable example is 0.1% (w/v), a further particularly preferable example is 0.15% (w/v).
- An example of the upper limit of the amount is 10% (w/v), a preferable example is 5% (w/v), a more preferable example is 3% (w/v), a particularly preferable example is 2% (w/v), a further particularly preferable example is 1.5% (w/v).
- a preferred range of the amount may be indicated by a combination of the above examples of lower and upper limits.
- the amount of ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof comprised in the agent of the present invention is 0.00001 to 10% (w/w), preferably 0.0001 to 5% (w/w), more preferably 0.001 to 3% (w/w), even more preferably 0.01 to 2% (w/w), particularly preferably 0.15 to 1.5% (w/w).
- An example of the lower limit of the amount is 0.00001% (w/w), a preferable example is 0.0001% (w/w), a more preferable example is 0.001% (w/w), a further preferable example is 0.01% (w/w), a particularly preferable example is 0.1% (w/w), and a further preferable example is 0.15% (w/w).
- An example of the upper limit of the amount is 10% (w/w), a preferable example is 5% (w/w), a more preferable example is 3% (w/w), a particularly preferable example is 2% (w/w), and a particularly preferable example is 1.5% (w/w).
- a preferred range of the amount may be indicated by a combination of the above examples of lower and upper limits.
- the amount of ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof comprised in the agent of the present invention may be 0.3 to 10% (w/w) (e.g., 0.4 to 5% (w/w), 0.5 to 3% (w/w), 0.6 to 1.5% (w/w), 0.8 to 1.3% (w/w)).
- % (w/v) means the mass (g) of the active ingredient (ursodeoxycholic acid and amide conjugate(s) of ursodeoxycholic acid, and ester(s) thereof, and pharmaceutically acceptable salt(s) thereof) or an additive (surfactant, etc.) comprised in 100 mL of an agent.
- 0.01% (w/v) of ursodeoxycholic acid means that the amount of ursodeoxycholic acid comprised in 100 mL of an agent is 0.01 g.
- % (w/w) means the mass (g) of the active ingredient (ursodeoxycholic acid and amide conjugate(s) of ursodeoxycholic acid, and ester(s) thereof, and pharmaceutically acceptable salt(s) thereof) or an additive (surfactant, etc.) comprised in 100 g of an agent.
- 0.01% (w/w) of ursodeoxycholic acid means that the amount of ursodeoxycholic acid comprised in 100 g of an agent is 0.01 g.
- the amount of ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof comprised in the agent may mean the mass of the salt, hydrate, or solvate (including the hydrate or solvate of the salt) added into the agent, or may mean the mass converted as a free form of ursodeoxycholic acid, the amide conjugate of ursodeoxycholic acid or the ester thereof, preferably may mean the mass converted as a free form of ursodeoxycholic acid, the amide conjugate of ursodeoxycholic acid, or the ester thereof.
- presbyopia means a symptom/disease that is determined to be presbyopia based on general criteria used by a physician or professional.
- diagnostic criteria for presbyopia include:
- a binocular daily life visual acuity which is a binocular distant visual acuity measured under the same condition as daily life, is less than 0.4 at 40 cm distance(clinical presbyopia);
- accommodative amplitude is less than 2.5 Diopters” (medical presbyopia).
- an eye disease accompanied by a decrease in lens elasticity refers to an eye disease considered in the field of ophthalmology to be accompanied by a decrease in lens elasticity, including, for example, presbyopia (e.g., presbyopia due to aging), and a hardening of the lens induced by drugs and the like.
- accommodation function of the eye refers to an eye function that automatically focuses on distant and/or near objects.
- an eye disease accompanied by a decrease in accommodative function of the eye refers to an eye disease considered in the field of ophthalmology to be accompanied by a decrease in accommodative function of the eye, including, for example, presbyopia (e.g., presbyopia due to aging), and a hardening of the lens induced by drugs etc., and decreased accommodation function induced by seeing near objects for a long time.
- the efficacy of the agent of the present invention may be evaluated, for example, as an increase in “accommodative amplitude of the eye”.
- the accommodative amplitude of the eye can be measured as a Diopter (D) which can be determined by the following expression 1:
- Diopter( D ) 1/Near Point Distance( m ) (Expression 1).
- the accommodative amplitude of the eye is greater than 10 diopters at 10 years, then gradually decreases to about 3 diopters at about 45 years and is almost lost at about 60 years.
- the accommodative amplitude decreases to about 3 diopters, it becomes difficult to focus on near objects (about 30 cm) in daily life, and subjective symptoms of presbyopia appear.
- the efficacy of the agent of the present invention may be evaluated, for example, as an improvement in “visual acuity”.
- the visual acuity can be measured as near visual acuity (uncorrected visual acuity, distance-corrected near visual acuity, corrected visual acuity) and can be measured by using decimal visual acuity, fractional visual acuity, or logMAR.
- the agent of the present invention may be used to improve near visual acuity (e.g., distance-corrected near visual acuity).
- the agent of the invention may begin to exhibit an efficacy within one year, preferably within six months, more preferably within one month, more preferably within one week, and most preferably within one day after the administration. Further, once an efficacy is exerted, the efficacy may be exerted continuously until after one day, preferably until after one week, more preferably until after one month, more preferably until after six months, particularly preferably until after one year, and most preferably until after three years.
- the agent of the present invention may be administered, for example, so as to increase the accommodative amplitude of the eye by at least about 0.5 diopters (preferably at least about 1 diopter, more preferably at least about 1.5 diopters, more preferably at least about 2 diopters, even more preferably at least about 3 diopters, and still more preferably at least about 4 diopters, particularly preferably at least about 5 diopters, and still more preferably at least about 10 diopters).
- 0.5 diopters preferably at least about 1 diopter, more preferably at least about 1.5 diopters, more preferably at least about 2 diopters, even more preferably at least about 3 diopters, and still more preferably at least about 4 diopters, particularly preferably at least about 5 diopters, and still more preferably at least about 10 diopters.
- distance-corrected near visual acuity generally refers to near visual acuity measured with distance visual acuity corrected to 0.0 logMAR (decimal visual acuity of 1.0 or more).
- the agent of the present invention may be administered, for example, so as to restore the accommodative amplitude of the eye to at least about 0.5 diopters (preferably at least about 1 diopter, more preferably at least about 1.5 diopters, more preferably at least about 2 diopters, more preferably at least about 3 diopters, particularly preferably at least about 4 diopters, particularly preferably at least about 5 diopters, and still more preferably at least about 10 diopters).
- 0.5 diopters preferably at least about 1 diopter, more preferably at least about 1.5 diopters, more preferably at least about 2 diopters, more preferably at least about 3 diopters, particularly preferably at least about 4 diopters, particularly preferably at least about 5 diopters, and still more preferably at least about 10 diopters.
- the agent of the present invention may be administered orally or parenterally (e.g., ocularly, nasally, transdermally, transmucosally, by injection, etc.).
- the agent of the present invention may be prepared in the usual manner in the art by mixing the active ingredient with, for example, one or more pharmaceutically acceptable additives, for example, in the form of oral preparations such as tablets, capsules, granules, powders, lozenges, syrups, emulsions, suspensions, and the like, or parenteral preparations such as eye drops, ophthalmic ointments, injections, suppositories, nasal preparations, and the like.
- Preferred formulations of the agent of the present invention include eye drops (e.g., ophthalmic suspensions) and eye ointments from the viewpoint of greater efficacy of the agents of the invention.
- surfactants include cationic surfactants, anionic surfactants, nonionic surfactants and the like.
- the amount of the surfactant comprised in the agent may be appropriately adjusted depending on the type of the surfactant, etc., and is preferably, for example, 0.01 to 1% (w/v).
- buffers include phosphoric acid or salts thereof, which may be hydrates or solvates thereof.
- Examples of the phosphoric acid or salts thereof include phosphoric acid, trisodium phosphate, sodium dihydrogenphosphate, sodium hydrogen phosphate (disodium hydrogenphosphate) and the like, which may be hydrates thereof.
- the amount of the buffer comprised in the agent may be appropriately adjusted depending on the type of the buffer, etc., but for example, 0.001 to 10% (w/v) is preferable, and 0.01 to 5% (w/v) is more preferable. Two or more kinds of buffers may be used together.
- tonicity agents examples include ionic tonicity agents and nonionic tonicity agents.
- examples of the ionic tonicity agents include sodium chloride and the like.
- the amount of the tonicity agent comprised in the agent may be appropriately adjusted according to the type of the tonicity agent or the like, but for example, 0.001 to 10% (w/v) is preferable, and 0.01% to 5% (w/v) is more preferable.
- thickeners examples include hydroxypropyl methylcellulose and the like.
- the amount of the thickener may be appropriately adjusted according to the type of the thickener or the like, but for example, 0.001 to 5% (w/v) is preferable, and 0.01% to 3% (w/v) is more preferable.
- the agent of the present invention is an aqueous formulation (e.g., eye drops)
- the pH is preferably 4 to 8 and more preferably 5 to 7.
- solvents examples include water, physiological saline and the like.
- Examples of the agent of the present invention which is an aqueous preparation include aqueous preparations comprising ursodeoxycholic acid or an amide conjugate of ursodeoxycholic acid, or an ester thereof, or a pharmaceutically acceptable salt thereof, water, and an additive selected from ethyl pyruvate, sodium dihydrogenphosphate monohydrate (NaH 2 PO 4 H 2 O), disodium hydrogenphosphate (Na 2 HPO 4 ), hydroxypropyl methylcellulose, NaCl, and a mixture thereof.
- said “a mixture thereof” means any combination of the listed specific additives.
- an effective amount is the amount of the active ingredient required to provide a patient benefit in the symptoms of a disease.
- a dosage and administration of the agent of the present invention is not particularly limited as long as the dosage and administration are sufficient to achieve the desired medicinal effect, and may be appropriately selected according to the symptoms of the disease, the age and weight of the patient, the dosage form of the agent, etc.
- the agent of the present invention have an immediate effect on presbyopia, an eye disease accompanied by a decrease in lens elasticity, or an eye disease accompanied by a decrease in accommodative function of the eye, for example, compared to EV06.
- the duration of administration of the agent of the present invention may be determined by a physician or professional.
- the agent of the present invention may be an ophthalmic administration agent such as an eye drop (e.g., a suspension) and an eye ointment, and may be used continuously for at least 2 days, at least 3 days, at least 7 days, at least 10 days.
- an ophthalmic administration agent such as an eye drop (e.g., a suspension) and an eye ointment, and may be used continuously for at least 2 days, at least 3 days, at least 7 days, at least 10 days.
- the agent of the present invention may be administered at least once (e.g., at least twice, at least three times) a day.
- the agent of the present invention when administered to the eye, may be less irritating to the eye while having an effect on presbyopia, an eye disease accompanied by a decrease in lens elasticity, or an eye disease accompanied by a decrease in accommodative function of the eye.
- a vehicle comprising 0.1% (w/v) of ethyl pyruvate, 0.269% (w/v) of sodium dihydrogenphosphate monohydrate (NaH 2 PO 4 H 2 O), 0.433% (w/v) of disodium hydrogenphosphate (Na 2 HPO 4 ), 0.2% (w/v) of hydroxypropyl methylcellulose, and 0.5% (w/v) of NaCl was prepared.
- EVO6 was sonicated with the addition of the vehicle to prepare a 5% (w/v) suspension.
- the resulting 5% (w/v) suspension was diluted with the vehicle to prepare a 1.5% (w/v) solution.
- the resulting 1.5% (w/v) solution was diluted with the vehicle to prepare a 0.5% (w/v) solution.
- the total amount of each sample to be used in one day was prepared before use.
- the mean of the vehicle control group was based on 6 eyes and the mean of each EVO6 sample group was based on 12 eyes.
- a vehicle comprising 0.1% (w/v) of ethyl pyruvate, 0.269% (w/v) of sodium dihydrogenphosphate monohydrate (NaH 2 PO 4 H 2 O), 0.433% (w/v) of disodium hydrogenphosphate (Na 2 HPO 4 ), 0.2% (w/v) of hydroxypropyl methylcellulose, 0.5% (w/v) of NaCl was prepared.
- Sodium ursodeoxycholate was sonicated with the addition of the vehicle to prepare a 1.5% (w/v) suspension.
- the resulting 1.5% (w/v) suspension was diluted with the vehicle to prepare a 0.5% (w/v) suspension.
- the resulting 0.5% (w/v) suspension was diluted with the vehicle to prepare a 0.15% (w/v) suspension.
- the total amount of each sample to be used in one day was prepared before use.
- EVO6 was sonicated with the addition of the vehicle to prepare a 1.5% (w/v) solution. The total amount of the sample to be used in one day was prepared before use.
- Ursodeoxycholic acid was sonicated with the addition of the vehicle to prepare a 1.5% (w/v) suspension.
- the resulting 1.5% (w/v) suspension was diluted with the vehicle to prepare a 0.5% (w/v) suspension.
- the resulting 0.5% (w/v) suspension was diluted with the vehicle to prepare a 0.15% (w/v) suspension.
- the total amount of each sample to be used in one day was prepared before use.
- EVO6 was sonicated with the addition of the vehicle to prepare a 1.5% (w/v) solution. The total amount of the sample to be used in one day was prepared before use.
- Ursodeoxycholic acid was sonicated with the addition of the vehicle to prepare a 3.0% (w/v) suspension.
- the resulting 3.0% (w/v) suspension was diluted with the vehicle to prepare a 1.0% (w/v) suspension.
- the resulting 1.0% (w/v) suspension was diluted with the vehicle to prepare a 0.3% (w/v) suspension.
- the total amount of each sample to be used in one day was prepared before use.
- Ursodeoxycholic acid was sonicated with the addition of the vehicle to prepare a 1.0% (w/v) suspension. The total amount of the sample to be used in one day was prepared before use.
- a vehicle comprising 0.1% (w/v) of ethyl pyruvate, 0.269% (w/v) of sodium dihydrogenphosphate monohydrate (NaH 2 PO 4 H 2 O), 0.433% (w/v) of disodium hydrogenphosphate (Na 2 HPO 4 ), 0.2% (w/v) of hydroxypropyl methylcellulose, 0.5% (w/v) of NaCl was prepared.
- a vehicle comprising 0.1% (w/v) of ethyl pyruvate, 0.269% (w/v) of sodium dihydrogenphosphate monohydrate (NaH 2 PO 4 H 2 O), 0.433% (w/v) of disodium hydrogenphosphate (Na 2 HPO 4 ), 0.2% (w/v) of hydroxypropyl methylcellulose, 0.5% (w/v) of NaCl was prepared.
- Tauroursodeoxycholic acid was dissolved with the addition of the vehicle to prepare a 1.0% (w/v) solution. The total amount of each sample to be used in one day was prepared before use.
- a vehicle comprising 0.1% (w/v) of ethyl pyruvate, 0.269% (w/v) of sodium dihydrogenphosphate monohydrate (NaH 2 PO 4 H 2 O), 0.433% (w/v) of disodium hydrogenphosphate (Na 2 HPO 4 ), 0.2% (w/v) of hydroxypropyl methylcellulose, 0.5% (w/v) of NaCl was prepared.
- the total amount of each sample to be used in one day was prepared before use.
- a vehicle comprising 0.1% (w/v) of ethyl pyruvate, 0.269% (w/v) of sodium dihydrogenphosphate-monohydrate (NaH 2 PO 4 .H 2 O), 0.433% (w/v) of disodium hydrogenphosphate (Na 2 HPO 4 ), 0.2% (w/v) of hydroxypropyl methylcellulose, 0.5% (w/v) of NaCl was prepared.
- ursodeoxycholic acid ophthalmic suspensions were prepared in the same manner as in the above pharmacological tests. These ophthalmic suspensions and the vehicle were each instilled into the left eye of Japanese White rabbits at a dose of 50 ⁇ L/eye with pipette twice per day at a 6-hour interval for 2 weeks. One hour after the final instillation, ocular irritation of anterior segment of the eye was evaluated according to the McDonald-Shadduck method, and the lens was observed. The contralateral eye was untreated. The ocular irritation of anterior segment of the eye was scored according to the following criteria: +1: mild; +2: moderate; +3: severe.
- test results are shown in Table 9. After the 2 week-repeated instillation, no abnormal findings were observed in eyes treated with the ophthalmic suspensions of ursodeoxycholic acid in the observation of ocular irritation of anterior segment of the eye and lens observation. Histopathological examination of the eyes showed no abnormal findings.
- the agent of the present invention is useful for treating or preventing eye diseases such as presbyopia etc.
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PCT/JP2019/049352 WO2020129964A1 (fr) | 2018-12-18 | 2019-12-17 | Agent contenant de l'acide ursodésoxycholique pour traiter ou prévenir la presbytie |
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US17/816,812 Pending US20230040386A1 (en) | 2018-12-18 | 2022-08-02 | Ursodeoxycholic acid-containing agent for treating or preventing presbyopia |
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US11419880B2 (en) | 2018-12-18 | 2022-08-23 | Santen Pharmaceutical Co., Ltd. | Ursodeoxycholic acid-containing agent for treating or preventing presbyopia |
WO2022232836A1 (fr) * | 2021-04-29 | 2022-11-03 | Baker Hughes Oilfield Operations Llc | Ensemble vanne pilote de modulation |
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WO2024034592A1 (fr) * | 2022-08-09 | 2024-02-15 | 参天製薬株式会社 | Composition pharmaceutique aqueuse contenant de l'udca ou un sel de celui-ci |
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US20190255074A1 (en) * | 2017-02-09 | 2019-08-22 | Yoo's Biopharm Inc. | Composition for the prevention or the treatment of visual impairments comprising ursodeoxycholic acid |
US11419880B2 (en) * | 2018-12-18 | 2022-08-23 | Santen Pharmaceutical Co., Ltd. | Ursodeoxycholic acid-containing agent for treating or preventing presbyopia |
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US9724357B2 (en) * | 2011-08-15 | 2017-08-08 | Massachusetts Eye & Ear Infirmary | Methods for preserving photoreceptor cell viability following retinal detachment |
CN104083381A (zh) * | 2014-07-29 | 2014-10-08 | 上海中医药大学 | 熊去氧胆酸的医药用途 |
WO2016029197A1 (fr) * | 2014-08-22 | 2016-02-25 | Kang Zhang | Compositions et procédés pour traiter et/ou prévenir des troubles de la vision du cristallin de l'oeil |
CN109364020B (zh) * | 2015-09-02 | 2021-12-28 | 盛世泰科生物医药技术(苏州)有限公司 | 一种用于预防和治疗白内障的眼用制剂及其制备方法 |
WO2018147685A1 (fr) * | 2017-02-09 | 2018-08-16 | 주식회사 유스바이오팜 | Composition contenant de l'acide ursodésoxycholique pour la prévention ou le traitement d'une déficience visuelle |
CN115645536A (zh) * | 2017-03-06 | 2023-01-31 | 坪田实验室股份有限公司 | 小鼠近视诱导模型及用于近视预防/抑制的内质网应激抑制剂 |
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US20190255074A1 (en) * | 2017-02-09 | 2019-08-22 | Yoo's Biopharm Inc. | Composition for the prevention or the treatment of visual impairments comprising ursodeoxycholic acid |
US11419880B2 (en) * | 2018-12-18 | 2022-08-23 | Santen Pharmaceutical Co., Ltd. | Ursodeoxycholic acid-containing agent for treating or preventing presbyopia |
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US11419880B2 (en) | 2018-12-18 | 2022-08-23 | Santen Pharmaceutical Co., Ltd. | Ursodeoxycholic acid-containing agent for treating or preventing presbyopia |
WO2022232836A1 (fr) * | 2021-04-29 | 2022-11-03 | Baker Hughes Oilfield Operations Llc | Ensemble vanne pilote de modulation |
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US11419880B2 (en) | 2022-08-23 |
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