WO1998047494A2 - Novel use of matrix metalloproteinase inhibitors - Google Patents
Novel use of matrix metalloproteinase inhibitors Download PDFInfo
- Publication number
- WO1998047494A2 WO1998047494A2 PCT/GB1998/001169 GB9801169W WO9847494A2 WO 1998047494 A2 WO1998047494 A2 WO 1998047494A2 GB 9801169 W GB9801169 W GB 9801169W WO 9847494 A2 WO9847494 A2 WO 9847494A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- hydroxy
- hydroxyamino
- methylamide
- butyramide
- benzenesulfonyl
- Prior art date
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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
Definitions
- This present invention relates to the use of topical formulations of certain matrix metalloproteinase inhibitors (MMPIs) in treating psoriasis.
- MMPIs matrix metalloproteinase inhibitors
- Psoriasis is a common, chronic inflammatory skin disorder affecting 1 - 3% of the world's population. It presents in many, varied forms including: plaque-type, guttate, generalised pustular, erythrodermic, flexural, palmar-plantar and nail, and the disease is usually described by its visual appearance.
- psoriatic lesions Despite extensive research, the underlying abnormality producing psoriatic lesions remains unconfirmed. Lesions are characterised by hyperproliferation of the epidermis, inflammatory cell accumulation and increased tortuosity and dilation of dermal papillary blood vessels. The majority of research studies have concentrated on the interplay between inflammatory cells and epidermal proliferation. Central to this are cytokines produced by activated keratinocytes which are thought to induce keratinocyte proliferation, lymphocyte migration and upregulation of adhesion molecules on vascular endothelium thus permitting lymphocyte recruitment. An early occurrence in the pathologic changes of psoriasis is the appearance of macrophages and T cells (especially activated T helper cells) in psoriatic skin lesions.
- Activated T cells have been shown to be capable of releasing cytokines that stimulate growth of normal keratinocytes.
- a vital step in the proliferation of endothelial cells during neovascularisation is the digestion of basement membranes by the migrating endothelial cells. This process requires the presence of matrix degrading enzymes such as the matrix metalloproteinases. Inhibitors of matrix metalloproteinases have been implicated in inhibiting angiogenesis (Tamargo et al. (1991) Cancer Res. 51:672-675; Fischer er a/. (1994) Dev. Biol. 162:499-510 and Galardy et al. (1994) Cancer Res. 54:4715-4718).
- psoriatic lesions The pathogenic mechanism of psoriasis is unclear, and good animal models do not yet exist, however, there are some similarities between psoriatic lesions and mouse skin following topical administration of an agent such as phorbol ester (PdiBu) or 12-O- tetradecanoylphorbol 13-acetate (TPA).
- PdiBu phorbol ester
- TPA 12-O- tetradecanoylphorbol 13-acetate
- Such administration induces biochemical and histopathological changes in mouse skin, such as leukocyte infiltration, epidermal hyperplasia, activatyion of protein kinase C and increased levels of interleukin 1.
- MMPs matrix metalloproteinases
- MMP-1 collagenase-1
- MMP-2 72 kDa-gelatinase
- MMP-3 stromelysin-1
- MMP-7 matrilysin
- MMP-8 neutrophil collagenase
- MMP-9 92 kDa-gelatinase
- MMP-9 92 kDa-gelatinase
- MMP-10 stromelysin-2
- MMP-11 macrophage metalloelastase
- MMP-12 collagenase-3
- MMP-13 MT- MMP-1
- MMP-14 MT-MMP-2
- MMP-15 MT-MMP-3
- MMP-16 MT-MMP-4
- MMP- 17 MMP-18
- MMP-19 MMP-19
- MMPs are collectively capable of hydrolysing all the proteins of the extracellular matrix. Both natural and synthetic inhibitors of matrix metalloproteinases (MMPs) have been described (Brown and Giavazzi, 1995). Many known matrix metalloproteinase inhibitors (MMPIs) are peptide derivatives, based on naturally occurring amino acids, and are analogues of the cleavage site in the collagen molecule. Other known MMP inhibitors are less peptidic in structure, and may more properly be viewed as pseudopeptides or peptide mimetics.
- MMPs matrix metalloproteinases
- Such compounds usually having a functional group capable of binding to the zinc (II) site in the MMP, and known classes include those in which the zinc binding group is a hydroxamic acid, carboxylic acid, sulphydril, and oxygenated phosphorus (eg phosphinic acid and phosphonamidate including aminophosphonic acid) groups.
- the zinc binding group is a hydroxamic acid, carboxylic acid, sulphydril, and oxygenated phosphorus (eg phosphinic acid and phosphonamidate including aminophosphonic acid) groups.
- MMPIs matrix metalloproteinase inhibitors
- matrix metalloproteinase inhibitors such as collagenase-1 , stromelysin-1 and 72kDa-gelatinase, or cytokines such as tumour necrosis factor-alpha are the major causative mechanism
- the art for example WO 93/13741 , also contains speculative claims suggesting that such inhibitors might be useful in inflammation and hyperplasia conditions such as psoriasis. None of these publications exemplify topical administration of the MMPI compounds identified herein, in treating psoriasis.
- the present invention is based on the finding that certain matrix metalloproteinase inhibitors when administered in a topical formulation are effective in treating psoriatic diseases.
- Salts of the compounds of the invention include physiologically acceptable acid addition salts for example hydrochlorides, hydrobromides, sulphates, methane sulphonates, p-toluenesulphonates, phosphates, acetates, citrates, succinates, lactates, tartrates, fumarates and maleates. Salts may also be formed with bases, for example sodium, potassium, magnesium, and calcium salts.
- Another aspect of this invention concerns a method for the treatment of psoriasis in mammals, particularly in humans, which method comprises the topical administration to the mammal of an effective dose of a compound selected from the group consisting of: i). N 2 -[3S-Hydroxy-4-(N-hydroxyamino)-2R-isobutylsuccinyl]-L-tert-leucine-N 1 - methyiamide; ii). [4-(N-Hydroxyamino)-2R-isobutyl-3S-(thiophenylthiomethyl) succinyl]-L- phenylalanine-N-methylamide; iii).
- the preferred compound for use in any aspect of the invention is N 2 -[3S-Hydroxy-4-(N- hydroxyamino)-2R-isobutylsuccinyl]-L-tert-leucine-N 1 -methylamide (disclosed in Example 10 of WO-A-94/02447) or [4-(N-Hydroxyamino)-2R-isobutyl-3S- (thiophenylthiomethyl) succinyl]-L-phenylalanine-N-methylamide (disclosed in Example 2 of WO-A-90/05719). These compounds are referred to in the art as marimastat and batimastat respectively.
- marimastat shows good bioavailability when taken by mouth.
- chronic oral dosing of marimastat can cause musculoskeletal pain (tendonitis).
- Administration of marimastat by topical means may keep the amount of marimastat in systemic circulation to a level below that which has been shown to cause this tendonitis.
- othercompounds for use in any aspect of the invention are compounds selected from the group consisting of: 2,2-Dimethyl-4-[4- (pyridin-4-yloxy)-benzenesulfonyl]-thiomorpholine-3R-carboxylic acid hydroxyamide ( AG-3340 ) . 4[4'-Chloro-biphenyl-4-yl)-4-oxo-2S-(phenylsulfanylmethyl-butyric acid (BAY 12-9566).
- Example 196 (S isomer) of WO-A-9615096 ⁇ , ⁇ -Hydroxy- 2R-[4-methoxy-benzenesulfonyl)-pyridin-3-ylmethyl-amino]-3-methyl-butyramide (CGS 27023A), 4-Cyclopentyl- ⁇ /-hydroxy-3R-piperidin-1-yl-2S-(3,4,4-trimethyl-2,5-dioxo- imidazolidin-1-ylmethyl)-butyramide (Ro 32-3555).
- compositions for the treatment of psoriasis by topical administration which composition comprises at least one compound selected from the group consisting of: i). N 2 -[3S-Hydroxy-4-(N-hydroxyamino)-2R-isobutylsuccinyl]-L-tert-leucine-N 1 - methylamide; ii). [4-(N-Hydroxyamino)-2R-isobutyl-3S-(thiophenylthiomethyl) succinyl]-L- phenylalanine-N-methylamide; iii).
- the permeation of a particular drug can either be predicted or evaluated by in-vitro experimentation using animal or human cadaver skin. As the permeation is related to the physiochemical properties of the drug molecule it can estimated that the steady state flux (J) per unit area across the skin is given by:
- D is the diffusion coefficient through the stratum corneum
- K is the skin-water partition coefficient
- I is the diffusional pathlength
- ⁇ c the concentration difference between the drug in the aqueous solution (c s ) and that in the deep skin layers (c t ).
- k p is the permeability coefficient. It has been shown (Potts and Guy, 1992) that this can be predicted from two simple physiochemical parameters of the molecule, the octanol-water partition coefficient (K oct ) and its molecular weight (MW).
- the solvent or solvent mixture chosen is normally based on that giving the desired concentration from experiment or solubility prediction (Valvani and Yalkowsky; J. Pharm. Sci., 69:912-922, 1980;Vaughan C D, J. Soc. Cosmet. Chem., 36:319-333, 1985) combined with its ability to give chemical and physical stability to the active substance.
- the individual solvents are chosen for evaluation from a list of commonly used excipients in cosmetic and pharmaceutical as can be found in the CTFA Cosmetic Ingredient Handbook, 2nd Edition, Editor Wenniger J A, CTFA (1992), or from The Handbook of Pharmaceutical Excipients, 2nd Edition, Royal Pharmaceutical Society.
- the initial topical formulations can therefore be based on these solutions to make pharmaceutically acceptable products.
- An example of this type of product is an alcoholic solution of the active which has been gelled using an hydroxypropylcellulose polymer.
- the dosage for topical administration will of course depend on the size of the area being treated.
- the concentration of the active ingredient in the topical formulation will usually be in the range of 0.01 - 5%, preferably 0.1 to 2%, more preferably 0.5 to 1%.
- the inventors have surprisingly found that a topical gel formulation containing 1% marimastat delivered six-fold more drug into the skin after 48 hours than did the equivalent 0.1% gel (0.2 ⁇ 0.1 ⁇ g/cm 2 ).
- the active ingredient will diffuse through the skin and become concentrated at the affected skin layer at a dosage sufficient to impart a beneficial anti-psoriatic effect, whereas diffusion through and entry into the systemic circulation of the active ingredient will be, in increasing order of preference, less than 90%, 80%, 70%, 60%, 50%, 40% 20% 10% and 1% of the amount reaching the affected skin layer.
- the preferred topical formulation comprises the active ingredient (MMPI) in a gel comprising a 50:50 mix of ethanol:propyleneglycol with 2% polymer (hydroxypropylcellulose (Klucel HF) Ph. Eur).
- this composition can optionally also contain DMSO, preferably at 0.9%. The inventors have found that inclusion of 0.9% DMSO into a 0.1 % topical formulation of marimastat increased the drug uptake by the skin approximately two fold.
- Marimastat N 2 -[3S-Hydroxy-4-(N-hydroxyamino)-2R-isobutylsuccinyl]-L-tert-leucine-N 1 - methylamide
- Example 10 of WO-A-94/02447 is disclosed in Example 10 of WO-A-94/02447.
- Marimastat was formulated at three concentrations 0.1 % , 0.3% and 1%.
- the 0.1 % formulation for topical administration to psoriatic areas comprised 0.1 % marimastat, 48.95% w/w ethanol, 48.95%w/w propylenegiycol and 2% hydroxypropylcellulose (Klucel HF) Ph. Eur.
- the 0.3% formulation for topical administration to psoriatic areas comprised 0.3% marimastat, 48.85% w/w ethanol, 48.85%w/w propylenegiycol and 2% hydroxypropylcellulose (Klucel HF) Ph. Eur.
- the 1 % formulation for topical administration to psoriatic areas comprised 1% marimastat, 48.5% w/w ethanol, 48.5%w/w propylenegiycol and 2% hydroxypropylcellulose (Klucel HF) Ph. Eur.
- Efficacy assessments for psoriasis treatments are evaluated using the "Psoriasis Area and Severity Index” (PASI) scoring system (Fredrikkson and Pettersson. Dermatologica. 157:238-244, 1978; Fredrikkson et al., Int. J. Dermatol. 22:536-540, 1983), assessing the severity (erythema, induration and scaling) of skin lesions at days 0, 14, 28, 42, 56 and 84.
- PASI Psoriasis Area and Severity Index
- phase 1 patients were instructed to apply one of two gels (marimastat or vehicle) to either their left- or right-sided target plaque and to apply the other gel to the contralateral plaque twice a day for 42 days commencing day 0.
- phase 2 the preferred treatment was continued, double-blind, for a further 42 days with application to all psoriatic plaques (except those on the face or scalp).
- Three concentrations of marimastat gel were studied in sequential groups of 12 patients. The first 12 patients received 0.1 % marimastat gel, the second 0.3% and the third group 1 % gel.
- Efficacy was determined by (i) the severity of erythema, induration and scaling of the left-right target plaques during treatment phase 1 , (ii) the dimensions of target plaques and (iii) changes in PASI scores calculated from all plaques (excluding the head) from Day 42 of phase 1 to Day 84.
- the murine model of dermal inflammation and hyperproliferation (see for example Holleran et al., Arch. Dermatol. Res. 289:138-144, 1997; or, Griffiths et al. Agents and Actions. 25(3/4):344- 351 , 1988) or the following adaptated model wherein TPA is used to induce inflammation, oedema and hyperplasia in the ear, is an art recognised model of psoriasis.
- mice are challenged with 5 ⁇ g TPA (12-O-tetradeconoylphorbol- 13-acetate) in Acetone, in 20 ⁇ l dose volume (10 ⁇ l on each side) on the right ear under light halothane anaesthesia.
- the contra-lateral ear is treated with acetone solvent only.
- Ear thickness was measured using micro-calipers (Mitutoyo, Japan) at 0, 6, 24, 30 and 48 hours post TPA application under light halothane anaesthesia.
- test compounds are administered topically in 10 ⁇ l dose volume per side of the ear at 6, 24 and 30 hour time-points immediately following the thickness measurement.
- the test agent was applied 6 hours after TPA administration as this period is necessary for the TPA-induced psoriasis-like effects, such as oedema.to become established.
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- Life Sciences & Earth Sciences (AREA)
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Abstract
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Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU70663/98A AU7066398A (en) | 1997-04-22 | 1998-04-22 | Novel use of matrix metalloproteinase inhibitors |
Applications Claiming Priority (2)
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---|---|---|---|
GB9708133.5 | 1997-04-22 | ||
GBGB9708133.5A GB9708133D0 (en) | 1997-04-22 | 1997-04-22 | Novel use of matrix metalloproteinase inhibitors |
Publications (2)
Publication Number | Publication Date |
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WO1998047494A2 true WO1998047494A2 (en) | 1998-10-29 |
WO1998047494A3 WO1998047494A3 (en) | 1999-04-08 |
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Application Number | Title | Priority Date | Filing Date |
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PCT/GB1998/001169 WO1998047494A2 (en) | 1997-04-22 | 1998-04-22 | Novel use of matrix metalloproteinase inhibitors |
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AU (1) | AU7066398A (en) |
GB (1) | GB9708133D0 (en) |
WO (1) | WO1998047494A2 (en) |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2002049605A2 (en) * | 2000-12-18 | 2002-06-27 | Regents Of The University Of Michigan | Methods and compositions for protecting and restoring skin using selective mmp inhibitors |
US7138432B1 (en) | 1999-08-09 | 2006-11-21 | Novartis Ag | Arylsulfonamido-substituted hydroxamic acid derivatives |
US7291634B2 (en) | 2001-02-09 | 2007-11-06 | Novartis Ag | α-amino-N-hydroxy-acetamide derivatives |
US8129406B2 (en) | 2004-03-22 | 2012-03-06 | Southern Research Institute | Nonpeptide inhibitors of matrix metalloproteinases |
WO2012118498A1 (en) * | 2011-03-02 | 2012-09-07 | Aquilus Pharmaceuticals, Inc. | Compounds and methods for the treatment of pain and other disorders |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993021942A2 (en) * | 1992-05-01 | 1993-11-11 | British Biotech Pharmaceuticals Limited | Use of mmp inhibitors |
WO1994010990A1 (en) * | 1992-11-13 | 1994-05-26 | British Biotech Pharmaceuticals Limited | Inhibition of tnf production |
WO1996025156A1 (en) * | 1995-02-14 | 1996-08-22 | British Biotech Pharmaceuticals Limited | Use of matrix metalloproteinase inhibitors for the treatment of diseases mediated by tgf-alpha |
-
1997
- 1997-04-22 GB GBGB9708133.5A patent/GB9708133D0/en active Pending
-
1998
- 1998-04-22 WO PCT/GB1998/001169 patent/WO1998047494A2/en active Application Filing
- 1998-04-22 AU AU70663/98A patent/AU7066398A/en not_active Abandoned
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1993021942A2 (en) * | 1992-05-01 | 1993-11-11 | British Biotech Pharmaceuticals Limited | Use of mmp inhibitors |
WO1994010990A1 (en) * | 1992-11-13 | 1994-05-26 | British Biotech Pharmaceuticals Limited | Inhibition of tnf production |
WO1996025156A1 (en) * | 1995-02-14 | 1996-08-22 | British Biotech Pharmaceuticals Limited | Use of matrix metalloproteinase inhibitors for the treatment of diseases mediated by tgf-alpha |
Non-Patent Citations (1)
Title |
---|
LEVY, DE ET AL: "Matrix metalloproteinase inhibitor drugs" EMERGING DRUGS (1997), 2, 205-230 CODEN: EMDRFV;ISSN: 1361-9195, XP002079686 * |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7138432B1 (en) | 1999-08-09 | 2006-11-21 | Novartis Ag | Arylsulfonamido-substituted hydroxamic acid derivatives |
US8034810B2 (en) | 1999-08-09 | 2011-10-11 | Novartis Ag | Arylsulfonamido-substituted hydroxamic acid derivatives |
WO2002049605A2 (en) * | 2000-12-18 | 2002-06-27 | Regents Of The University Of Michigan | Methods and compositions for protecting and restoring skin using selective mmp inhibitors |
WO2002049605A3 (en) * | 2000-12-18 | 2003-03-06 | Univ Michigan | Methods and compositions for protecting and restoring skin using selective mmp inhibitors |
US7291634B2 (en) | 2001-02-09 | 2007-11-06 | Novartis Ag | α-amino-N-hydroxy-acetamide derivatives |
US8129406B2 (en) | 2004-03-22 | 2012-03-06 | Southern Research Institute | Nonpeptide inhibitors of matrix metalloproteinases |
WO2012118498A1 (en) * | 2011-03-02 | 2012-09-07 | Aquilus Pharmaceuticals, Inc. | Compounds and methods for the treatment of pain and other disorders |
RU2591210C2 (en) * | 2011-03-02 | 2016-07-20 | Аквилус Фармасьютикалз, Инк. | Compounds and methods of treating pain and other disorders |
Also Published As
Publication number | Publication date |
---|---|
AU7066398A (en) | 1998-11-13 |
WO1998047494A3 (en) | 1999-04-08 |
GB9708133D0 (en) | 1997-06-11 |
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