WO1994018965A1 - Therapeutic use of pyridoxine pyrrolidone carboxylate - Google Patents

Therapeutic use of pyridoxine pyrrolidone carboxylate Download PDF

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Publication number
WO1994018965A1
WO1994018965A1 PCT/EP1994/000518 EP9400518W WO9418965A1 WO 1994018965 A1 WO1994018965 A1 WO 1994018965A1 EP 9400518 W EP9400518 W EP 9400518W WO 9418965 A1 WO9418965 A1 WO 9418965A1
Authority
WO
WIPO (PCT)
Prior art keywords
pyridoxine
pyrrolidone carboxylate
oxo
day
ethanol
Prior art date
Application number
PCT/EP1994/000518
Other languages
English (en)
French (fr)
Inventor
Massimo Baldacci
Original Assignee
Laboratori Baldacci Spa
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Laboratori Baldacci Spa filed Critical Laboratori Baldacci Spa
Publication of WO1994018965A1 publication Critical patent/WO1994018965A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof

Definitions

  • the present invention has as the object to provide a new therapeutic use of a known drug, namely pyridoxine 5-oxo-2-pyrrolidone carboxylate, also known as 5-hydroxy-6-methyl-3,4-pyridinemethanol 5-oxo-2-pyrrolidone carboxylate of the formula:
  • Pyridoxine known also under the name of B6 vitamin, finds several therapeutic uses, among which the treatment of acute alcoholic intoxication states has been proposed in the past. However, this therapeutic indication has been subsequently abandoned, since it did not receive experimental confirmation.
  • the compound of the present invention finds also application in treating acute alcoholic intoxication caused by ethyl alcohol (Italian Patent No.
  • the object of this invention is a novel therapeutic use of the same compound, i.e. pyridoxine 5-oxo-2-pyrrolidone carboxylate.
  • Free fatty acids and esters thereof have important effects in the human organism and, particularly, several negative or harmful effects, due to their accumulation in tissues, such as heart, brain, kidney, liver and plasma, have been noted.
  • liver As far as liver is concerned, for example, they are responsible of the so-called steatosis.
  • the ethyl esters of free fatty acids are, in turn, one of the main metabolites of the acids themselves and tend to accumulate in concentrations that might reach levels up to 100 micromoles in the myocardium, with a half life of nearly 16 hrs. This means that they persist at tissue level even after the factors promoting these accumulations are eliminated, as, for example, the ethyl alcohol action.
  • the free fatty acids esterification represents a vehicle of toxic states.
  • 5-oxo-2-pyrrolidone carboxylate as active principle for inhibiting the free fatty acid ethyl esters, the therapeutic treatment including the active principle administration in oral dosages from 250 mg/day to 2500 mg/day, and in parenteral dosages from 250 mg/day to 1500 mg/day.
  • Wistar rats of 250-300 g weight have been randomly divided in groups of six animals each.
  • the first group of animals was orally administered with a 20% ethanol solution at a
  • the second group was administered as the first group, except that each day, for all the seven days of the parenteral treatment, received 60 mg/kg of pyridoxine pyrrolidone carboxylate in crystalline form, 30 minutes before the ethanol solution was administered.
  • the third group was used as a control group and was administered with a physiological solution.
  • Tables 1 and 2 report the measuring data of fatty acid ethyl ester, obtained in vivo. in the heart, plasma, liver, kidney and brain, respectively.
  • the heart is the organ showing the highest levels of ethyl esters (6.96 nmoles of total esters/mg of proteins).
  • Stearate, linoleate, linolenate and arachidonate are the mostly present chemical species of ethanol esterified fatty acids.
  • the analyzed organs showed the following sequence: heart - kidney - brain - plasma - liver
  • the treatment with the active principle of the invention produces a significant reduction of the contents of total esters formed, particularly in the kidney, brain, heart and plasma (80-60%).
  • Table 3 shows the effect of ethanol solution administration on the
  • the activity of this enzyme appears to be strengthened by the ethanol administration in the liver, kidney, heart and, particularly, in the • brain
  • DCNB-GSH TRASFERASE nmoles / min / mg protein
  • Table 4 illustrates the effect of the ethanol administration on the activity decrease of the GSH reductase, which occurs in all tested organs, except for brain, where it is found to be strengthened.
  • the administration of this active principle by the normal administration means and known dosages for normal uses is to be suggested, when the free fatty acid ester formation, accumulation of the acids themselves and alteration of enzymatic functions bound to said free fatty acid action, such as GSH-S-transferase and GSH-reductase, must be controlled and compensated for.
  • the preparation of the pharmaceutical compositions using the active principle of this invention and dosages thereof reference is made to the already known pharmaceutical compositions for the control and therapy of acute alcoholic intoxication.

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  • Health & Medical Sciences (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)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Pyridine Compounds (AREA)
PCT/EP1994/000518 1993-02-23 1994-02-19 Therapeutic use of pyridoxine pyrrolidone carboxylate WO1994018965A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITMI93A000341 1993-02-23
ITMI930341A IT1263957B (it) 1993-02-23 1993-02-23 Impiego terapeutico del pirrolidon carbossilato di piridossina

Publications (1)

Publication Number Publication Date
WO1994018965A1 true WO1994018965A1 (en) 1994-09-01

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1994/000518 WO1994018965A1 (en) 1993-02-23 1994-02-19 Therapeutic use of pyridoxine pyrrolidone carboxylate

Country Status (3)

Country Link
IT (1) IT1263957B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
TW (1) TW230749B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)
WO (1) WO1994018965A1 (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html)

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6043259A (en) * 1998-07-09 2000-03-28 Medicure Inc. Treatment of cardiovascular and related pathologies
US6339085B1 (en) 1999-03-08 2002-01-15 The University Of Manitoba Therapeutics for cardiovascular and related diseases
US6489345B1 (en) 1999-07-13 2002-12-03 Medicure, Inc. Treatment of diabetes and related pathologies
US6861439B2 (en) 2000-03-28 2005-03-01 Medicure International, Inc. Treatment of cerebrovascular disease
US6867215B2 (en) 2000-02-29 2005-03-15 Medicure International Inc. Cardioprotective phosphonates and malonates
US6897228B2 (en) 2000-07-07 2005-05-24 Medicure International Inc. Pyridoxine and pyridoxal analogues: new uses
US7115625B2 (en) 1999-08-24 2006-10-03 Medicure International Inc. Treatment of cardiovascular and related pathologies
US7442689B2 (en) 2000-02-29 2008-10-28 Medicure International Inc. Cardioprotective phosphonates and malonates
US7459468B2 (en) 2004-10-28 2008-12-02 Medicure International, Inc. Aryl sulfonic pyridoxines as antiplatelet agents
WO2009073943A1 (en) * 2007-12-12 2009-06-18 Iovate T. & P. Inc. Preparations containing pyridoxine and alpha-hydroxyisocaproic acid (hica)
US20120277270A1 (en) * 2007-07-03 2012-11-01 Alcobra Ltd. Method for Decreasing Symptoms of Alcohol Consumption
US8710067B2 (en) 2009-06-25 2014-04-29 Alcobra Ltd. Method for the treatment, alleviation of symptoms of, relieving, improving and preventing a cognitive disease, disorder or condition
US8889715B2 (en) 2008-07-29 2014-11-18 Alcobra Ltd. Substituted pyridoxine-lactam carboxylate salts

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2485372A1 (fr) * 1980-06-30 1981-12-31 Baldacci Lab Spa Composition pharmaceutique pour le traitement des etats d'intoxication alcoolique aigue a base de 5-oxo-2-pyrrolidone carboxylate de pyridoxine et procede de preparation de ce dernier

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2485372A1 (fr) * 1980-06-30 1981-12-31 Baldacci Lab Spa Composition pharmaceutique pour le traitement des etats d'intoxication alcoolique aigue a base de 5-oxo-2-pyrrolidone carboxylate de pyridoxine et procede de preparation de ce dernier

Non-Patent Citations (7)

* Cited by examiner, † Cited by third party
Title
A. MANCINELLA: "STEATOSI E FIBROSI: PRIMA TAPPA DEL DANNO EPATICO INDOTTO DALL' ABUSO CRONICO DI ALCOOL", CLIN.THER., vol. 137, no. 1, 15 April 1991 (1991-04-15), pages 29 - 38, XP008114049 *
CHEMICAL ABSTRACTS, vol. 118, no. 9, 1 March 1993, Columbus, Ohio, US; abstract no. 76259s, E.F.KONOPLYA ET AL.: "Corrective activity of metadoxil in radiation-induced dyslipoproteinemia" *
L.CACCIATORE ET AL.: "METADOXINE PREVENTION OF ALCOHOL-INDUCED FATTY LIVER IN THE RAT", CLIN.TRIALS J., vol. 23, no. 5, 1986, pages 289 - 292 *
L.CACCIATORE ET AL.: "METADOXINE TREATMENT OF FATTY LIVER ASSOCIATED WITH CHRONIC HEPATITIS", CLIN.TRIALS J., vol. 25, no. 3, 1988, pages 220 - 226, XP008114048 *
L.SERGIACOMO ET AL.: "TRATTAMENTO DELL' EPATOSTEATOSI ALCOOLICA CON METADOXINA", CLIN.TER., vol. 119, no. 2, 31 October 1986 (1986-10-31), pages 133 - 141 *
S. MARCHI ET AL.: "LIVER TRIGLYCERIDE ACCUMULATION AFTER CHRONIC ETHANOL ADMINISTRATION: A POSSIBLE PROTECTIVE ROLE OF METADOXINA AND UBIQUINONE", INT.J.TISSUE REACT., vol. 12, no. 4, 1990, pages 247 - 250 *
VESTSI AKAD. NAVUK BELARUSI, SER. BIYAL. NAVUK., no. 3-4, 1992, pages 55 - 59 *

Cited By (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6043259A (en) * 1998-07-09 2000-03-28 Medicure Inc. Treatment of cardiovascular and related pathologies
US6890943B2 (en) 1999-03-08 2005-05-10 Medicure Inc. Pyridoxal analogues and methods of treatment
US6339085B1 (en) 1999-03-08 2002-01-15 The University Of Manitoba Therapeutics for cardiovascular and related diseases
US7230009B2 (en) 1999-03-08 2007-06-12 Medicure, Inc. Pyridoxal analogues and methods of treatment
US6489345B1 (en) 1999-07-13 2002-12-03 Medicure, Inc. Treatment of diabetes and related pathologies
US7115626B2 (en) 1999-08-24 2006-10-03 Medicure International Inc. Treatment of cardiovascular and related pathologies
US7115625B2 (en) 1999-08-24 2006-10-03 Medicure International Inc. Treatment of cardiovascular and related pathologies
US7125889B2 (en) 1999-08-24 2006-10-24 Medicure International Inc. Treating of cardiovascular and related pathologies
US7132430B2 (en) 1999-08-24 2006-11-07 Medicure International Inc. Treatment of cardiovascular and related pathologies
US7144892B2 (en) 1999-08-24 2006-12-05 Merrill Lynch Capital Canada Inc. Treatment of cardiovascular and related pathologies
US7148233B2 (en) 1999-08-24 2006-12-12 Merrill Lynch Capital Canada Inc. Treatment of cardiovascular and related pathologies
US6867215B2 (en) 2000-02-29 2005-03-15 Medicure International Inc. Cardioprotective phosphonates and malonates
US7105673B2 (en) 2000-02-29 2006-09-12 Medicure International Inc. Cardioprotective phosphonates and malonates
US7442689B2 (en) 2000-02-29 2008-10-28 Medicure International Inc. Cardioprotective phosphonates and malonates
US6861439B2 (en) 2000-03-28 2005-03-01 Medicure International, Inc. Treatment of cerebrovascular disease
US6897228B2 (en) 2000-07-07 2005-05-24 Medicure International Inc. Pyridoxine and pyridoxal analogues: new uses
US7425570B2 (en) 2000-07-07 2008-09-16 Medicure International Inc. Pyridoxine and pyridoxal analogues: new uses
US7459468B2 (en) 2004-10-28 2008-12-02 Medicure International, Inc. Aryl sulfonic pyridoxines as antiplatelet agents
US20120277270A1 (en) * 2007-07-03 2012-11-01 Alcobra Ltd. Method for Decreasing Symptoms of Alcohol Consumption
US8476304B2 (en) * 2007-07-03 2013-07-02 Alcobra Ltd. Method for decreasing symptoms of alcohol consumption
US9808446B2 (en) 2007-07-03 2017-11-07 Alcobra Ltd. Method for decreasing symptoms of alcohol consumption
WO2009073943A1 (en) * 2007-12-12 2009-06-18 Iovate T. & P. Inc. Preparations containing pyridoxine and alpha-hydroxyisocaproic acid (hica)
US8889715B2 (en) 2008-07-29 2014-11-18 Alcobra Ltd. Substituted pyridoxine-lactam carboxylate salts
US9428458B2 (en) 2008-07-29 2016-08-30 Alcobra Ltd. Substituted pyridoxine-lactam carboxylate-salts
US8710067B2 (en) 2009-06-25 2014-04-29 Alcobra Ltd. Method for the treatment, alleviation of symptoms of, relieving, improving and preventing a cognitive disease, disorder or condition

Also Published As

Publication number Publication date
ITMI930341A0 (it) 1993-02-23
TW230749B (GUID-C5D7CC26-194C-43D0-91A1-9AE8C70A9BFF.html) 1994-09-21
IT1263957B (it) 1996-09-05
ITMI930341A1 (it) 1994-08-23

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