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• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
  • A61K31/4164—1,3-Diazoles
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
  • A61K31/415—1,2-Diazoles
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
  • A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
  • A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
  • A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/47—Quinolines; Isoquinolines
• • 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
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
  • A61K31/47—Quinolines; Isoquinolines
  • A61K31/4709—Non-condensed quinolines and containing further heterocyclic rings
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/02—Drugs for disorders of the nervous system for peripheral neuropathies
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
  • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
  • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
  • A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

• This invention relates to therapeutic agents and in particular to the use of compounds having angiotensin II antagonist activity (hereinafter "All antagonists") for the treatment or prevention of disease conditions associated with impaired neuronal conduction velocity in warm-blooded animals including man.
• All antagonists compounds having angiotensin II antagonist activity
• the invention also concerns the use of a compound having All antagonist activity in the production of a medicament for use in the treatment or prevention of disease conditions associated with impaired neuronal conduction velocity.
• the invention further concerns a method of treating or preventing disease conditions associated with impaired neuronal conduction velocity by administration of an All antagonist to a warm blooded animal (including man).
• Impaired neuronal conduction velocity is a feature of nerve dysfunction commonly found, for example, in diabetic patients, and in disease conditions, such as alcoholic, toxic or compression neuropathy. Consequently an agent which prevents or reverses impairment of nerve conduction velocity may have a beneficial effect in the treatment or prevention of such medical conditions in which nerve conduction velocity is reduced, for example, diabetic neuropathy.
• impaired neuronal conduction velocity in a diabetic rat is significantly reversed by administration of an All antagonist.
• a method of treating or preventing the development of disease conditions associated with impaired neuronal conduction velocity in a warm-blooded animal (including a human being) requiring such treatment which comprises administering to said animal a therapeutically effective amount of an All antagonist, or a pharmaceutically acceptable salt thereof.
• All antagonists useful in the invention include:-
• All antagonists include those described in EPA, Publication Nos. 253310, 323841, 324377, 399731, 400974, 401030, 403158, 403159, 407102, 407342, 409332, 411507, 4U766, 412594, 412848, 415886, 419048, 420237, 424317, 425921, 425211, 426021, 427463, 429257, 430709, 430300, 434249, 432737, 434038, 435827, 437103, 438869, 442473, 443983, 443568, 445811, 446062, 449699, 450566, 453210, 454511, 454831, 456442, 459136, 456442, 456510, 461039, 461040, 465323, 465368, 467207, 467715, 468372, 468470, 470543, 475206, 475898, 479479, 480204, 480659,
• an All antagonist or a pharmaceutically acceptable salt thereof, for the manufacture of a medicament for use in the treatment or prevention of the development of disease conditions associated with impaired neuronal conduction velocity.
• a method of reversing impaired neuronal conduction velocity in a warm-blooded animal (including a human being) requiring such treatment which comprises administering to said animal a therapeutically effective amount of a compound having All antagonist activity, or a pharmaceutically acceptable salt thereof.
• a compound having All antagonist activity, or a pharmaceutically acceptable salt thereof for the manufacture'of a medicament for use in the reversal of impaired neuronal conduction velocity.
• a method of treating or preventing diabetic neuropathy in a warm-blooded animal comprising administering to said animal a therapeutically effective amount of a compound having All antagonist activity, or a pharmaceutically acceptable salt thereof.
• All antagonists for use in the invention include:- (i) 2-butyl-4-chloro-5-hydroxymethyl-l-[(2'-(lH-tetrazol-5-yl)- biphenyl-4-yl)methyl]imidazole;
• a particularly preferred All antagonist is compound (ii).
• a preferred pharmaceutically acceptable salt of compound (i) is, for example, an alkali metal salt,, especially the potassium salt.
• a preferred pharmaceutically acceptable salt of compound (ii), (iii), (iv) or (v) is, for example, an acid addition salt, especially the hydrochloride salt.
• All antagonists and their pharmaceutically acceptable salts may be obtained, for example, by the methods given in the relevant published European and International patent applications referred to above.
• an All antagonist (or a pharmaceutically acceptable salt thereof) will generally be administered for its treatment or prevention of the development of impaired neuronal conduction velocity in a warm-blooded animal (including a human being) requiring such treatment in the form of a conventional pharmaceutical composition, for example, as may be described in the relevant published European or International patent applications referred to above, and generally in a form suitable for oral administration (e.g. as a tablet, capsule, suspension or solution).
• an All antagonist may be administered together with one or more pharmaceutical agents known in the general art to be of value in treating or preventing medical conditions in which neuronal conduction velocity is reduced, such as diabetic neuropathy.
• a particularly suitable pharmaceutical agent may be, for example, an aldose reductase inhibitor or hypoglycaemic agent.
• the invention thus also includes pharmaceutical compositions (to include, for example, a combination preparation for simultaneous, separate or sequential use) containing an All antagonist together with one or more pharmaceutical agents known in the general art to be of value in treating or preventing the development of disease conditions associated with impaired neuronal conduction velocity.
• the All antagonist (or a pharmaceutically acceptable salt thereof) will be administered to man so that, for example a daily oral dose of up to 50mg/kg body weight (and preferably of up to 10 mg/kg) or a daily parenteral dose of up to 5 mg/kg body weight (and preferably of up to 1 mg/kg) is received, given in divided doses as necessary.
• a daily oral dose of up to 50mg/kg body weight (and preferably of up to 10 mg/kg) or a daily parenteral dose of up to 5 mg/kg body weight (and preferably of up to 1 mg/kg) is received, given in divided doses as necessary.
• a daily oral dose of up to 50mg/kg body weight (and preferably of up to 10 mg/kg) or a daily parenteral dose of up to 5 mg/kg body weight (and preferably of up to 1 mg/kg) is received, given in divided doses as necessary.
• the motor nerve conduction velocities in one of the diabetic groups were measured in vivo between the sciatic notch and the knee for motor branches supplying the gastrocnemius and tibialis anterior muscles of the calf -using the procedures described by Cameron et al (ibid) (further details of the procedures are given in Experimental Neurology, 1986, 92, 757-761). Sensory nerve conduction velocity was also measured for diabetic control group 1 in the saphenous nerve between the groin and ankle (again using the method of Cameron et al (ibid)). The remaining group of diabetic animals was further divided into two groups.

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• Health & Medical Sciences (AREA)
• Medicinal Chemistry (AREA)
• Animal Behavior & Ethology (AREA)
• Veterinary Medicine (AREA)
• General Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Public Health (AREA)
• Chemical & Material Sciences (AREA)
• Pharmacology & Pharmacy (AREA)
• Epidemiology (AREA)
• Engineering & Computer Science (AREA)
• General Chemical & Material Sciences (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Organic Chemistry (AREA)
• Chemical Kinetics & Catalysis (AREA)
• Bioinformatics & Cheminformatics (AREA)
• Diabetes (AREA)
• Obesity (AREA)
• Hematology (AREA)
• Endocrinology (AREA)
• Emergency Medicine (AREA)
• Biomedical Technology (AREA)
• Neurology (AREA)
• Neurosurgery (AREA)
• Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Nitrogen Condensed Heterocyclic Rings (AREA)
• Medicines Containing Material From Animals Or Micro-Organisms (AREA)

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Cited By (17)

Citations (8)

• 1993
  • 1993-04-07 DE DE69325574T patent/DE69325574T2/de not_active Expired - Fee Related
  • 1993-04-07 AT AT93909041T patent/ATE181830T1/de not_active IP Right Cessation
  • 1993-04-07 CA CA002132544A patent/CA2132544C/en not_active Expired - Fee Related
  • 1993-04-07 EP EP93909041A patent/EP0636027B1/en not_active Expired - Lifetime
  • 1993-04-07 DK DK93909041T patent/DK0636027T3/da active
  • 1993-04-07 EP EP98108683A patent/EP0872235A1/en not_active Withdrawn
  • 1993-04-07 HU HU9402932A patent/HUT71331A/hu not_active Application Discontinuation
  • 1993-04-07 WO PCT/GB1993/000732 patent/WO1993020816A1/en not_active Ceased
  • 1993-04-07 ES ES93909041T patent/ES2135472T3/es not_active Expired - Lifetime
  • 1993-04-07 AU AU39589/93A patent/AU675935B2/en not_active Ceased
  • 1993-04-07 JP JP5518094A patent/JPH07505646A/ja active Pending
  • 1993-04-07 NZ NZ251741A patent/NZ251741A/en not_active IP Right Cessation
• 1994
  • 1994-10-11 KR KR19940703608A patent/KR100292396B1/ko not_active Expired - Fee Related
  • 1994-10-12 NO NO19943846A patent/NO313935B1/no not_active IP Right Cessation
• 1999
  • 1999-09-20 GR GR990402358T patent/GR3031261T3/el unknown

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