USRE32145E - Orally active tolciclate .[.(and tolnaftate).]. - Google Patents
Orally active tolciclate .[.(and tolnaftate).]. Download PDFInfo
- Publication number
- USRE32145E USRE32145E US06/668,452 US66845284A USRE32145E US RE32145 E USRE32145 E US RE32145E US 66845284 A US66845284 A US 66845284A US RE32145 E USRE32145 E US RE32145E
- Authority
- US
- United States
- Prior art keywords
- tolciclate
- tolnaftate
- iaddend
- iadd
- antifungal agent
- 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.)
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- 229960003916 tolciclate Drugs 0.000 title claims abstract description 39
- CANCCLAKQQHLNK-LSDHHAIUSA-N O-[[(1R,8S)-4-tricyclo[6.2.1.02,7]undeca-2(7),3,5-trienyl]] N-methyl-N-(3-methylphenyl)carbamothioate Chemical compound CN(C(=S)Oc1ccc2[C@H]3CC[C@H](C3)c2c1)c1cccc(C)c1 CANCCLAKQQHLNK-LSDHHAIUSA-N 0.000 title claims abstract description 34
- FUSNMLFNXJSCDI-UHFFFAOYSA-N tolnaftate Chemical compound C=1C=C2C=CC=CC2=CC=1OC(=S)N(C)C1=CC=CC(C)=C1 FUSNMLFNXJSCDI-UHFFFAOYSA-N 0.000 title claims abstract description 22
- 229960004880 tolnaftate Drugs 0.000 title claims abstract description 21
- 208000031888 Mycoses Diseases 0.000 claims abstract description 18
- 239000002775 capsule Substances 0.000 claims abstract description 4
- 229940121375 antifungal agent Drugs 0.000 claims description 18
- 239000003429 antifungal agent Substances 0.000 claims description 14
- 238000000034 method Methods 0.000 claims description 13
- 230000000843 anti-fungal effect Effects 0.000 claims description 7
- 239000006194 liquid suspension Substances 0.000 claims 1
- 239000003814 drug Substances 0.000 abstract description 7
- 229940079593 drug Drugs 0.000 abstract description 5
- 239000000725 suspension Substances 0.000 abstract description 5
- 239000003826 tablet Substances 0.000 abstract description 4
- 239000006188 syrup Substances 0.000 abstract description 2
- 235000020357 syrup Nutrition 0.000 abstract description 2
- 239000003795 chemical substances by application Substances 0.000 description 16
- 241001465754 Metazoa Species 0.000 description 11
- 241000699670 Mus sp. Species 0.000 description 9
- DDUHZTYCFQRHIY-UHFFFAOYSA-N Negwer: 6874 Natural products COC1=CC(=O)CC(C)C11C(=O)C(C(OC)=CC(OC)=C2Cl)=C2O1 DDUHZTYCFQRHIY-UHFFFAOYSA-N 0.000 description 7
- IIUZTXTZRGLYTI-UHFFFAOYSA-N Dihydrogriseofulvin Natural products COC1CC(=O)CC(C)C11C(=O)C(C(OC)=CC(OC)=C2Cl)=C2O1 IIUZTXTZRGLYTI-UHFFFAOYSA-N 0.000 description 6
- UXWOXTQWVMFRSE-UHFFFAOYSA-N Griseoviridin Natural products O=C1OC(C)CC=C(C(NCC=CC=CC(O)CC(O)C2)=O)SCC1NC(=O)C1=COC2=N1 UXWOXTQWVMFRSE-UHFFFAOYSA-N 0.000 description 6
- 239000008280 blood Substances 0.000 description 6
- 210000004369 blood Anatomy 0.000 description 6
- DDUHZTYCFQRHIY-RBHXEPJQSA-N griseofulvin Chemical compound COC1=CC(=O)C[C@@H](C)[C@@]11C(=O)C(C(OC)=CC(OC)=C2Cl)=C2O1 DDUHZTYCFQRHIY-RBHXEPJQSA-N 0.000 description 6
- 229960002867 griseofulvin Drugs 0.000 description 6
- 208000015181 infectious disease Diseases 0.000 description 6
- 239000004615 ingredient Substances 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 230000000699 topical effect Effects 0.000 description 6
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 5
- WNLRTRBMVRJNCN-UHFFFAOYSA-N adipic acid Chemical compound OC(=O)CCCCC(O)=O WNLRTRBMVRJNCN-UHFFFAOYSA-N 0.000 description 4
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 4
- 229920000609 methyl cellulose Polymers 0.000 description 4
- 239000001923 methylcellulose Substances 0.000 description 4
- 210000002700 urine Anatomy 0.000 description 4
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 3
- 241000233866 Fungi Species 0.000 description 3
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 3
- 241001045770 Trichophyton mentagrophytes Species 0.000 description 3
- 239000007864 aqueous solution Substances 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 239000006185 dispersion Substances 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- 206010017533 Fungal infection Diseases 0.000 description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 2
- 241000700159 Rattus Species 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 208000002474 Tinea Diseases 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 235000011037 adipic acid Nutrition 0.000 description 2
- 239000001361 adipic acid Substances 0.000 description 2
- 238000004458 analytical method Methods 0.000 description 2
- 239000004599 antimicrobial Substances 0.000 description 2
- 238000002512 chemotherapy Methods 0.000 description 2
- 239000002552 dosage form Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000008030 elimination Effects 0.000 description 2
- 238000003379 elimination reaction Methods 0.000 description 2
- 230000002550 fecal effect Effects 0.000 description 2
- 238000009472 formulation Methods 0.000 description 2
- 210000002216 heart Anatomy 0.000 description 2
- -1 i.e. Chemical compound 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 238000011081 inoculation Methods 0.000 description 2
- 210000003734 kidney Anatomy 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- 238000005567 liquid scintillation counting Methods 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 235000019359 magnesium stearate Nutrition 0.000 description 2
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 2
- 239000000203 mixture Substances 0.000 description 2
- QELSKZZBTMNZEB-UHFFFAOYSA-N propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 2
- 239000008213 purified water Substances 0.000 description 2
- 231100000444 skin lesion Toxicity 0.000 description 2
- 206010040882 skin lesion Diseases 0.000 description 2
- 210000000952 spleen Anatomy 0.000 description 2
- 230000009885 systemic effect Effects 0.000 description 2
- MWOOGOJBHIARFG-UHFFFAOYSA-N vanillin Chemical compound COC1=CC(C=O)=CC=C1O MWOOGOJBHIARFG-UHFFFAOYSA-N 0.000 description 2
- FGQOOHJZONJGDT-UHFFFAOYSA-N vanillin Natural products COC1=CC(O)=CC(C=O)=C1 FGQOOHJZONJGDT-UHFFFAOYSA-N 0.000 description 2
- 235000012141 vanillin Nutrition 0.000 description 2
- 206010005913 Body tinea Diseases 0.000 description 1
- 101100483611 Caenorhabditis elegans usp-48 gene Proteins 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 241000700198 Cavia Species 0.000 description 1
- 241000700199 Cavia porcellus Species 0.000 description 1
- 241001480036 Epidermophyton floccosum Species 0.000 description 1
- 206010019695 Hepatic neoplasm Diseases 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- 241000243190 Microsporidia Species 0.000 description 1
- 208000010195 Onychomycosis Diseases 0.000 description 1
- 241000041995 Pelargonium ovale Species 0.000 description 1
- 206010035502 Plasmodium ovale infection Diseases 0.000 description 1
- 101100386054 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) CYS3 gene Proteins 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- GNVMUORYQLCPJZ-UHFFFAOYSA-M Thiocarbamate Chemical compound NC([S-])=O GNVMUORYQLCPJZ-UHFFFAOYSA-M 0.000 description 1
- 208000007712 Tinea Versicolor Diseases 0.000 description 1
- 206010043866 Tinea capitis Diseases 0.000 description 1
- 201000010618 Tinea cruris Diseases 0.000 description 1
- 206010056131 Tinea versicolour Diseases 0.000 description 1
- 241000893966 Trichophyton verrucosum Species 0.000 description 1
- 229940035676 analgesics Drugs 0.000 description 1
- 239000000730 antalgic agent Substances 0.000 description 1
- 239000003242 anti bacterial agent Substances 0.000 description 1
- 230000002160 anti-trichophyton Effects 0.000 description 1
- 229940088710 antibiotic agent Drugs 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 210000005013 brain tissue Anatomy 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 238000004587 chromatography analysis Methods 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- LQJVOKWHGUAUHK-UHFFFAOYSA-L disodium 5-amino-4-hydroxy-3-phenyldiazenylnaphthalene-2,7-disulfonate Chemical compound [Na+].[Na+].OC1=C2C(N)=CC(S([O-])(=O)=O)=CC2=CC(S([O-])(=O)=O)=C1N=NC1=CC=CC=C1 LQJVOKWHGUAUHK-UHFFFAOYSA-L 0.000 description 1
- 239000003937 drug carrier Substances 0.000 description 1
- 230000002500 effect on skin Effects 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 239000000284 extract Substances 0.000 description 1
- 210000004905 finger nail Anatomy 0.000 description 1
- 235000013305 food Nutrition 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 229940089934 grifulvin v Drugs 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 239000007928 intraperitoneal injection Substances 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 231100000636 lethal dose Toxicity 0.000 description 1
- 208000014018 liver neoplasm Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 1
- 229960002216 methylparaben Drugs 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 238000013508 migration Methods 0.000 description 1
- 230000005012 migration Effects 0.000 description 1
- 210000000282 nail Anatomy 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 239000007800 oxidant agent Substances 0.000 description 1
- 238000007911 parenteral administration Methods 0.000 description 1
- 239000008194 pharmaceutical composition Substances 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 1
- 229960003415 propylparaben Drugs 0.000 description 1
- 239000001044 red dye Substances 0.000 description 1
- 210000003491 skin Anatomy 0.000 description 1
- 239000011343 solid material Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 101150035983 str1 gene Proteins 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000004809 thin layer chromatography Methods 0.000 description 1
- 201000009642 tinea barbae Diseases 0.000 description 1
- 201000003875 tinea corporis Diseases 0.000 description 1
- 201000004647 tinea pedis Diseases 0.000 description 1
- 201000005882 tinea unguium Diseases 0.000 description 1
- 238000005303 weighing Methods 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
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/27—Esters, e.g. nitroglycerine, selenocyanates of carbamic or thiocarbamic acids, meprobamate, carbachol, neostigmine
-
- 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
-
- 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
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2013—Organic compounds, e.g. phospholipids, fats
- A61K9/2018—Sugars, or sugar alcohols, e.g. lactose, mannitol; Derivatives thereof, e.g. polysorbates
-
- 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
- A61K9/48—Preparations in capsules, e.g. of gelatin, of chocolate
- A61K9/4841—Filling excipients; Inactive ingredients
- A61K9/4858—Organic compounds
Definitions
- This invention relates to treating fungal diseases. More particularly, this invention relates to the systemic treatment of fungal diseases by oral administration of .[.an antifungal agent selected from.]. tolciclate .[.and tolnaftate.]. and to medicaments containing said .[.agents.]. .Iadd.agent .Iaddend.for oral administration.
- the human body is subject to many fungal infections, some of which have been a problem to man since before recorded history. Modern science has been successful in treating many fungal diseases. The most success has occurred in the topical treatment on exposed areas of the body. Numerous compounds are known to be effective in such topical treatment. However, not all fungal infections occur in exposed areas and are thus not amenable to topical treatment. Some fungal diseases occur internally or deep in the dermal layer of the skin or in unexposed areas, such as under fingernails, and can only be treated systemically. Unfortunately, only a few antifungal agents are known to be systemically effective when administered orally. One of the most widely prescribed drugs for the systemic treatment of fungal diseases is griseofulvin. Since the chronic feeding of this drug to mice results in their developing liver tumors, its use is not justified in minor or trivial infections. Accordingly, there is great interest in finding antifungal agents which can be effectively and safely administered orally.
- Tolciclate .[.and tolnaftate are.]. .Iadd.is a .Iaddend.known antifungal .[.agents.]. .Iadd.agent .Iaddend.effective in topical treatment of fungal diseases.
- Tolciclate i.e., O-(1,4-methano-1,2,3,4-tetrahydro-6-naphthyl)N-methyl-N-(m-tolyl)-thiocarbamate having the formula ##STR1## is described in U.S. Pat. No. 3,855,263. The patent indicates that the compound has antifungal activity when applied topically.
- this invention relates to (1) the method of treating fungal diseases which comprises orally administering to a person suffering therefrom a therapeutic amount of .[.antifungal agent selected from.]. tolciclate .[.and tolnaftate.]. and (2) an antifungal medicament for oral administration comprising:
- LD 50 lethal dose to 50% of the animals being tested.
- .[.Tolnaftate administered orally to rats was found to have an LD 50 of greater than 5000 mg/kg..].
- Typical fungus infections which can be treated systemically according to the process of this invention are ringworm infections of the skin, hair and nails, namely tinea corporis, tinea pedis, tinea cruris, tinea barbae, tinea capitis, tinea unguium and tinea versicolor when caused by organisms such as Microspora, Trichophyta, Epidermophyton floccosums, and Pityrospora, i.e. P. obiculare and P. ovale.
- Typical dosage forms are as follows:
- the gums are dispersed in about 1/2 the volume of water heated to 70° C. and then cooled to 35° C.
- the sucrose and D&C Red dye are dissolved in a small volume of the water and added to the gum dispersion.
- the tolciclate is dispersed in water and added to the gum dispersion.
- the parabens, vanillin and Alva Cherry flavoring are dissolved in alcohol and added to the dispersion.
- a quantity (7 grams) of adipic acid sufficient to adjust the pH to between 5 and 6 is added and finally the volume is adjusted to 10 liters with purified water.
- sustained release formulations and formulations containing other medicinal agents such as analgesics, antibiotics, etc.
- This example illustrates the absorption of tolciclate after oral administration and its migration to the skin.
- mice Fifteen male, Swiss-Webster mice weighing 25-30 g were divided into groups of three. All animals were fasted overnight prior to the experiment. Food was allowed 8 hours after dosing.
- 14 C-tolciclate O-(1,4-methano-1,2,3,4-tetrahydro-6-naphthyl)N-methyl-N-m-tolyl[methyl-.sup.14 C]thiocarbamate, was prepared at a specific activity of 7.48 ⁇ Ci/mg. Powdered 14 C-tolciclate was suspended in 0.25% aqueous solution of methylcellulose at a concentration of 0.5 mg/ml. Each animal was gavaged with 10 mg/ml of suspension, resulting in a 5 mg/kg dose.
- Blood samples were taken at 0.5, 1, 2, 4, 8, 12, 48 and 72 hours after the dose of 14 C-tolciclate. At 4 hours post-dose, 3 animals were killed and the liver, kidney, lung, skin, heart, spleen and brain tissues were removed. This procedure was repeated with 3 animals at 8, 24 and 72 hours. An estimation of biliary excretion was obtained by giving an intraperitoneal injection of 5 mg/kg of 14 C-tolciclate to 2 mice and following fecal elimination over a 72 hour period. Another group of 3 mice received a daily oral dose of 5 mg/kg of 14 C-tolciclate for 8 days. Blood was taken at 1, 5 and 8 days. The same tissues listed above were taken from this group on day 8.
- the major route of elimination was biliary, while about 25% of the dose was excreted via the urine.
- the drug was extensively metabolized, unchanged tolciclate was not found in the urine and only minute amounts were present in the blood.
- the major compound, identified by chromatography, in the skin was unmetabolized tolciclate. Based on the analysis, tolciclate levels in the skin ranged from 147-180 ng/g 4 hours after oral administration--this is a concentration that has been shown effective in in vitro antifungal testing.
- the blood concentration of 14 C-tolciclate in the mice following oral administration is shown in Table 1 below.
- This example illustrates the effectiveness of tolciclate, .[.tolnaftate.]. and griseofulvin as antifungal agents when administered orally.
- .[.Four.]. .Iadd.Three .Iaddend.groups of albino guinea pigs were observed for two weeks to make sure they were disease free. Following the observation period they were dosed according to the following regimen: One group (the control) was gavaged twice a day for 10 days with a 0.25% aqueous methylcellulose solution. The second group was gavaged twice a day for 10 days with 50 mg/kg of tolciclate suspended in a 0.25% aqueous solution of methylcellulose. The third group was gavaged twice a day for 10 days with 50 mg/kg of .[.tolnaftate suspended in a 0.25% aqueous solution of methylcellulose. The fourth group was gavaged twice a day for 10 days with 50 mg/kg of.]. griseofulvin in the form of a commercial elixir ("Grifulvin V" sold by Ortho Pharmaceutical Corp.).
- T. mentagrophytes "1782" fungus On the fifth day of treatment all of the animals were infected with T. mentagrophytes "1782" fungus by the following method: An area of several centimeters on the back of each guinea pig was shaved free of hair, abraded and inoculated with a suspension of a culture of T. mentagrophytes suspended in physiological saline solution. The resulting skin lesions were checked on day 7, 10 and 15 after inoculation and the size of the lesions measured. On days 10 and 15 clinical infections i.e., grossly observable skin lesions, were observed in fourteen out of the fourteen controls, seven out of the fifteen tolciclate treated animals, .[.twelve out of the twenty tolnaftate treated animals.]. and four out of the nineteen griseofulvin treated animals. The average size of the infection site and the day it was measured are tabulated in Table 4.
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- Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Abstract
It has been found that fungal diseases can be effectively treated systemically by oral administration of tolciclate .[.or tolnaftate.].. The .[.drugs.]. .Iadd.drug .Iaddend.will generally be administered in divided daily doses in the form of tablets, capsules, syrups or suspensions.
Description
1. Field of the Invention
This invention relates to treating fungal diseases. More particularly, this invention relates to the systemic treatment of fungal diseases by oral administration of .[.an antifungal agent selected from.]. tolciclate .[.and tolnaftate.]. and to medicaments containing said .[.agents.]. .Iadd.agent .Iaddend.for oral administration.
2. Description of the Prior Art
The human body is subject to many fungal infections, some of which have been a problem to man since before recorded history. Modern science has been successful in treating many fungal diseases. The most success has occurred in the topical treatment on exposed areas of the body. Numerous compounds are known to be effective in such topical treatment. However, not all fungal infections occur in exposed areas and are thus not amenable to topical treatment. Some fungal diseases occur internally or deep in the dermal layer of the skin or in unexposed areas, such as under fingernails, and can only be treated systemically. Unfortunately, only a few antifungal agents are known to be systemically effective when administered orally. One of the most widely prescribed drugs for the systemic treatment of fungal diseases is griseofulvin. Since the chronic feeding of this drug to mice results in their developing liver tumors, its use is not justified in minor or trivial infections. Accordingly, there is great interest in finding antifungal agents which can be effectively and safely administered orally.
Tolciclate .[.and tolnaftate are.]. .Iadd.is a .Iaddend.known antifungal .[.agents.]. .Iadd.agent .Iaddend.effective in topical treatment of fungal diseases. Tolciclate, i.e., O-(1,4-methano-1,2,3,4-tetrahydro-6-naphthyl)N-methyl-N-(m-tolyl)-thiocarbamate having the formula ##STR1## is described in U.S. Pat. No. 3,855,263. The patent indicates that the compound has antifungal activity when applied topically. .[.Tolnaftate, i.e., methyl-(3-methylphenyl)carbamothioic acid O-2-naphthalenyl ester having the formula ##STR2## is described in U.S. Pat. No. 3,334,126. This patent indicates that tolnaftate has antifungal activity when applied topically..]. All indications have been that tolciclate .[.and tolnaftate are.]. .Iadd.is .Iaddend.only effective in topical treatment of fungal disease. .[.In fact, T. Noguchi et al, in an article entitled "Antitrichophyton Activity of Naphthiomates", on pages 259-267 of Antimicrobial Agents and Chemotherapy (1962), states (page 265) that tolnaftate was found to be "totally ineffective by oral and parenteral administration" against fungal disease and "only griseofulvin was effective". In a subsequent article entitled "Antifungal Properties of Tolnaftate In Vitro and In Vivo", by M. J. Weinstein et al, on pages 595-601 of Antimicrobial Agents and Chemotherapy (1965), the following statement appears, "Tolnaftate was found to be active only by topical application and inactive by the oral and intraperitoneal routes of administration" (bottom of page 597 to top of page 598)..].
It has now surprisingly been found that tolciclate .[.and tolnaftate.]. can be administered orally in divided daily doses to effectively combat fungal diseases. Accordingly this invention relates to (1) the method of treating fungal diseases which comprises orally administering to a person suffering therefrom a therapeutic amount of .[.antifungal agent selected from.]. tolciclate .[.and tolnaftate.]. and (2) an antifungal medicament for oral administration comprising:
a. from about 10% to about 90% by weight of an .[.antifungal agent selected from.]. tolciclate and .[.tolnaftate..].
b. from about 90% to 10% by weight of a pharmaceutically acceptable carrier.
Unlike some antifungal agents, the orally administered .[.agents.]. .Iadd.agent .Iaddend.of this invention .[.are.]. .Iadd.is .Iaddend.relatively nontoxic. For example, when administered orally to rats, tolciclate was found to have an LD50 of greater than 4000 mg/kg. By the term "LD50 " is meant lethal dose to 50% of the animals being tested. .[.Tolnaftate administered orally to rats was found to have an LD50 of greater than 5000 mg/kg..].
The .[.agents.]. .Iadd.agent .Iaddend.of this invention .[.are.]. .Iadd.is .Iaddend.effective against a wide spectrum of fungal diseases. Typical fungus infections which can be treated systemically according to the process of this invention are ringworm infections of the skin, hair and nails, namely tinea corporis, tinea pedis, tinea cruris, tinea barbae, tinea capitis, tinea unguium and tinea versicolor when caused by organisms such as Microspora, Trichophyta, Epidermophyton floccosums, and Pityrospora, i.e. P. obiculare and P. ovale.
Oral dosages in the order of 1 to 50 mg/kg, most preferably 5 to 25 mg/kg daily of the agents .[.are.]. .Iadd.is .Iaddend.highly effective in suppressing fungal diseases. Most preferably the .[.agents.]. .Iadd.agent .Iaddend.will be administered in divided daily doses. The specific dosage will depend upon the site of the infection, type of fungus, and duration of treatment. Any pharmaceutical composition for oral administration containing the .[.agents.]. .Iadd.agent .Iaddend.can be used in the process of this invention. In general, however, the .[.agents.]. .Iadd.agent .Iaddend.will be administered in the form of tablets, capsules, syrups or suspensions.
Typical dosage forms are as follows:
A. The following ingredients are mixed in a blender for 5 minutes and then compressed into 200 mg. tablets:
______________________________________
Ingredients Grams per 1000 tablets
______________________________________
Tolciclate 100 g.
Lactose, USP 50 g.
Microcrystalline Cellulose, USP
49 g.
Magnesium Stearate, USP
1 g.
______________________________________
.[.B. The following ingredients are mixed in a blender for 5 minutes and then 250 mg. portions are filled into hard gelatin capsules:
______________________________________
Ingredients Grams per 1000 capsules
______________________________________
Tolnaftate 100 g.
Lactose, USP 100 g.
Starch, USP 48 g.
Magnesium Stearate, USP
2 g..].
______________________________________
.[.C..]. .Iadd.B. .Iaddend.The following ingredients are utilized in forming a suspension:
______________________________________
Ingredients Per 10 liters
______________________________________
Tolciclate 100 g.
Cellulose gum 7MF 80 g.
Veegum 100 g.
Sucrose, USP 1500 g.
Alcohol, USP 500 ml.
Methylparaben, USP 20 g.
Propylparaben, USP 5 g.
Vanillin, USP 0.5 mg.
Alva Cherry V-41 50 ml.
D&C Red No. 33 0.7 g.
Adipic Acid, FCC (qs pH 5-6)
7 g.
Purified water, USP qs
10 liters
______________________________________
The gums are dispersed in about 1/2 the volume of water heated to 70° C. and then cooled to 35° C. The sucrose and D&C Red dye are dissolved in a small volume of the water and added to the gum dispersion. Next, the tolciclate is dispersed in water and added to the gum dispersion. The parabens, vanillin and Alva Cherry flavoring are dissolved in alcohol and added to the dispersion. A quantity (7 grams) of adipic acid sufficient to adjust the pH to between 5 and 6 is added and finally the volume is adjusted to 10 liters with purified water.
Various other dosage forms will be obvious to those skilled in the art, including sustained release formulations and formulations containing other medicinal agents such as analgesics, antibiotics, etc.
The following examples are presented to illustrate the process of this invention.
This example illustrates the absorption of tolciclate after oral administration and its migration to the skin.
Fifteen male, Swiss-Webster mice weighing 25-30 g were divided into groups of three. All animals were fasted overnight prior to the experiment. Food was allowed 8 hours after dosing.
14 C-tolciclate, O-(1,4-methano-1,2,3,4-tetrahydro-6-naphthyl)N-methyl-N-m-tolyl[methyl-.sup.14 C]thiocarbamate, was prepared at a specific activity of 7.48μ Ci/mg. Powdered 14 C-tolciclate was suspended in 0.25% aqueous solution of methylcellulose at a concentration of 0.5 mg/ml. Each animal was gavaged with 10 mg/ml of suspension, resulting in a 5 mg/kg dose.
Blood samples were taken at 0.5, 1, 2, 4, 8, 12, 48 and 72 hours after the dose of 14 C-tolciclate. At 4 hours post-dose, 3 animals were killed and the liver, kidney, lung, skin, heart, spleen and brain tissues were removed. This procedure was repeated with 3 animals at 8, 24 and 72 hours. An estimation of biliary excretion was obtained by giving an intraperitoneal injection of 5 mg/kg of 14 C-tolciclate to 2 mice and following fecal elimination over a 72 hour period. Another group of 3 mice received a daily oral dose of 5 mg/kg of 14 C-tolciclate for 8 days. Blood was taken at 1, 5 and 8 days. The same tissues listed above were taken from this group on day 8.
All of the materials collected from the mice were assayed for 14 C by liquid scintillation counting on a Packard 2425 scintillation counter. Solid material was combusted using a Packard 306 Sample oxidizer prior to liquid scintillation counting. Samples of the skin and lyophilized urine were extracted with methanol and samples of the blood were extracted with ethyl acetate and the extracts analyzed by thin layer chromatography. Analysis of fecal and urine data following the single 5 mg/kg dose showed that at least 70% of the tolciclate administered orally to the mice was absorbed. The absorption appeared to be rapid with a peak level in the blood during the first hour or two. The major route of elimination was biliary, while about 25% of the dose was excreted via the urine. The drug was extensively metabolized, unchanged tolciclate was not found in the urine and only minute amounts were present in the blood. However, the major compound, identified by chromatography, in the skin was unmetabolized tolciclate. Based on the analysis, tolciclate levels in the skin ranged from 147-180 ng/g 4 hours after oral administration--this is a concentration that has been shown effective in in vitro antifungal testing.
The blood concentration of 14 C-tolciclate in the mice following oral administration is shown in Table 1 below.
TABLE 1
______________________________________
Tolciclate Equivalent
Time (hours) (ng/g)
______________________________________
0.5 469.5 ± 46.9
1.0 618.1 ± 59.4
2.0 364.5 ± 57.9
4.0 229.3 ± 20.5
8.0 210.0 ± 8.1
24.0 72.5 ± 6.2
48.0 60.3 ± 13.2
72.0 48.8 ± 10.6
______________________________________
The concentration of tolciclate in the skin of the mice following a single oral dose (μg/g wet tissue) is given in Table 2.
TABLE 2 ______________________________________ Hours Concentration* ______________________________________ 4 0.21 ± 0.04 8 0.16 ± 0.01 24 0.11 ± 0.02 72 0.03 ± 0.00 ______________________________________ *The data are given as tolciclate equivalents in mean ± SEM (n = 3).
The concentration of tolciclate in the tissue of the mice following eight oral daily doses is given in Table 3.
TABLE 3 ______________________________________ Tissue g/g wet tissue* ______________________________________ Liver 1.25 ± 0.12 Kidney 0.41 ± 0.05 Lung 0.22 ± 0.02 Skin 0.13 ± 0.02 Heart 0.07 ± 0.01 Spleen 0.06 ± 0.00 Brain 0.03 ± 0.00 ______________________________________ *Tissues were taken 24 hours after the last dose. The data are given as tolciclate equivalent in mean ± SEM (n = 3).
This example illustrates the effectiveness of tolciclate, .[.tolnaftate.]. and griseofulvin as antifungal agents when administered orally.
.[.Four.]. .Iadd.Three .Iaddend.groups of albino guinea pigs were observed for two weeks to make sure they were disease free. Following the observation period they were dosed according to the following regimen: One group (the control) was gavaged twice a day for 10 days with a 0.25% aqueous methylcellulose solution. The second group was gavaged twice a day for 10 days with 50 mg/kg of tolciclate suspended in a 0.25% aqueous solution of methylcellulose. The third group was gavaged twice a day for 10 days with 50 mg/kg of .[.tolnaftate suspended in a 0.25% aqueous solution of methylcellulose. The fourth group was gavaged twice a day for 10 days with 50 mg/kg of.]. griseofulvin in the form of a commercial elixir ("Grifulvin V" sold by Ortho Pharmaceutical Corp.).
On the fifth day of treatment all of the animals were infected with T. mentagrophytes "1782" fungus by the following method: An area of several centimeters on the back of each guinea pig was shaved free of hair, abraded and inoculated with a suspension of a culture of T. mentagrophytes suspended in physiological saline solution. The resulting skin lesions were checked on day 7, 10 and 15 after inoculation and the size of the lesions measured. On days 10 and 15 clinical infections i.e., grossly observable skin lesions, were observed in fourteen out of the fourteen controls, seven out of the fifteen tolciclate treated animals, .[.twelve out of the twenty tolnaftate treated animals.]. and four out of the nineteen griseofulvin treated animals. The average size of the infection site and the day it was measured are tabulated in Table 4.
TABLE 4
______________________________________
Treatment Day Size of infection site, cm.sup.2
______________________________________
Control 10 8.5
15 6.7
Tolciclate 10 0.03
15 0.09
.[.Tolnaftate
10 0.025
15 0.1.].
Griseofulvin 10 0
15 0.09
______________________________________
On day 10 after inoculation with T. mentagrophytes each animal was tested for the presence of fungus as described in Manual, Chemical Microbiology, 2nd Edition, Lenette, Spaulding and Truant. American Society of Microbiology, 1974, pp. 945-946. Thirteen out of the fourteen controls tested positive, indicating fungus infection on day 10. All of the treated animals were negative.
Claims (5)
1. A process of suppressing fungal disease which comprises orally administering to a person infected therewith a therapeutically effective amount for antifungal purposes of .[.an antifungal agent selected from the group consisting of.]. tolciclate .[.and tolnaftate.]..
2. The process of claim 1 where the .[.antifungal agent.]. .Iadd.tolciclate .Iaddend.is administered in the form of a tablet.
3. The process of claim 1 where the .[.antifungal agent.]. .Iadd.tolciclate .Iaddend.is administered in the form of a capsule.
4. The process of claim 1 wherein the .[.antifungal agent.]. .Iadd.tolciclate .Iaddend.is administered in the form of a liquid suspension.
5. The process of claim 1 wherein the .[.antifungal agent.]. .Iadd.tolciclate .Iaddend.is administered in divided daily doses. .[.6. the process of claim 1 where the antifungal agent is tolciclate..]. .[.7. The process of claim 1 where the antifungal agent is tolnaftate..].
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US06/668,452 USRE32145E (en) | 1984-11-05 | 1984-11-05 | Orally active tolciclate .[.(and tolnaftate).]. |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US06/668,452 USRE32145E (en) | 1984-11-05 | 1984-11-05 | Orally active tolciclate .[.(and tolnaftate).]. |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US06/258,830 Reissue US4348407A (en) | 1981-04-29 | 1981-04-29 | Orally active tolciclate and tolnaftate |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| USRE32145E true USRE32145E (en) | 1986-05-13 |
Family
ID=24682366
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US06/668,452 Expired - Fee Related USRE32145E (en) | 1984-11-05 | 1984-11-05 | Orally active tolciclate .[.(and tolnaftate).]. |
Country Status (1)
| Country | Link |
|---|---|
| US (1) | USRE32145E (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6645473B2 (en) | 2000-07-24 | 2003-11-11 | Diana L. Hauan | Combination tanning and antifungal topical system for treating tinea versicolor |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3855263A (en) * | 1972-03-20 | 1974-12-17 | Erba Carlo Spa | Tetrahydro-2-naphthyl ester derivatives of tinonocarbanilic acids |
-
1984
- 1984-11-05 US US06/668,452 patent/USRE32145E/en not_active Expired - Fee Related
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3855263A (en) * | 1972-03-20 | 1974-12-17 | Erba Carlo Spa | Tetrahydro-2-naphthyl ester derivatives of tinonocarbanilic acids |
Non-Patent Citations (5)
| Title |
|---|
| Noguchi et al, Antimicrobial Agents and Chemotherapy 1962, (May, 1963) pp. 259 267. * |
| Noguchi et al, Antimicrobial Agents and Chemotherapy 1962, (May, 1963) pp. 259-267. |
| Noguchi et al, Yakugaku Zasshi (J. Pharmaceutical Society of Japan), vol. 88, No. 3, pp. 353 358 (Mar. 1968). * |
| Noguchi et al, Yakugaku Zasshi (J. Pharmaceutical Society of Japan), vol. 88, No. 3, pp. 353-358 (Mar. 1968). |
| The Merck Index, 9th Ed., Merck & Co. Inc., Rahway, N.J., 1976, p. 1224. * |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6645473B2 (en) | 2000-07-24 | 2003-11-11 | Diana L. Hauan | Combination tanning and antifungal topical system for treating tinea versicolor |
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