WO1998056250A1 - Method for reducing side effects - Google Patents

Method for reducing side effects Download PDF

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Publication number
WO1998056250A1
WO1998056250A1 PCT/US1998/011952 US9811952W WO9856250A1 WO 1998056250 A1 WO1998056250 A1 WO 1998056250A1 US 9811952 W US9811952 W US 9811952W WO 9856250 A1 WO9856250 A1 WO 9856250A1
Authority
WO
WIPO (PCT)
Prior art keywords
side effects
ophthalmic
compound
reducing
reducing side
Prior art date
Application number
PCT/US1998/011952
Other languages
French (fr)
Inventor
Billie M. York
Original Assignee
Alcon Laboratories, Inc.
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 Alcon Laboratories, Inc. filed Critical Alcon Laboratories, Inc.
Priority to AU78311/98A priority Critical patent/AU7831198A/en
Publication of WO1998056250A1 publication Critical patent/WO1998056250A1/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
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/557Eicosanoids, e.g. leukotrienes or prostaglandins

Definitions

  • the present application is directed to the use of a reversible cholinesterase inhibitor to reduce locally expressed side effects caused by topically applied ophthalmic pharmaceuticals.
  • U.S. Patent No. 4,895,841 is directed to cyclic amine compounds and their pharmaceutical use, in particular, for the treatment of senile dementia.
  • the patent discloses the compound, l-benzyl-4-[(5,6-dimethoxy-l-indanon-2yl)methyl]piperidine, also known as E2020.
  • U.S. Patent No. 5,100,901 and European Patent Application Nos. 0 579 263 Al and 0 296 560 A2 also disclose the compound and are related applications. None of the references disclose the compounds for use in reducing locally expressed side effects in topically applied ophthalmic pharmaceuticals.
  • the present invention is directed to using l-benzyl-4-[(5,6-dimethoxy-l-indanon- 2yl)methyl]piperidine (E2020), and its stereo and optical isomers, hereinafter "Compound,” to reduce locally expressed side effects resulting from the topical administration of ophthalmic pharmaceuticals.
  • the Compound reduces the side effects by retarding the hydrolysis of ester containing compounds, such as, prostaglandins, thereby reducing the conjunctival hyperemia associated with the use of prostaglandins.
  • the Compound is administered topically to the eye in conjunction with the ophthalmic pharmaceutical at concentrations from 0.001 to 1.0 weight percent (wt.%), preferably .001 to .05 wt.%.
  • the Compound can be delivered separately or in the same formulation as the ophthalmic pharmaceutical.
  • formulations are suitable for topical delivery to the eye.
  • Compound may be combined with ophthalmologically acceptable preservatives, surfactants, viscosity enhancers, penetration enhancers, buffers, sodium chloride, and water to form an aqueous, sterile ophthalmic suspension or solution.
  • Ophthalmic solution formulations may be prepared by dissolving the Compound in a physiologically acceptable isotonic aqueous buffer. Further, the ophthalmic solution may include an ophthalmologically acceptable surfactant to assist in dissolving the Compound.
  • the ophthalmic solution may contain a thickener such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylmethyl-cellulose, methylcellulose, polyvinylpyrrolidone, or the like, to improve the retention of the formulation in the conjunctival sac.
  • a thickener such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylmethyl-cellulose, methylcellulose, polyvinylpyrrolidone, or the like.
  • the active ingredient is combined with a preservative in an appropriate vehicle, such as, mineral oil, liquid lanolin, or white petrolatum.
  • Sterile ophthalmic gel formulations may be prepared by suspending the active ingredient in a hydrophilic base prepared from the combination of, for example, carbopol-940, or the like, according to the published formulations for analogous ophthalmic preparations; preservatives and tonicity agents can be incorporated.
  • a formulation containing the Compound is administered to the eye (1-4 times per day according to the discretion of a skilled clinician) of a person in conjunction with an ophthalmic pharmaceutical to reduce the side effects caused by the pharmaceutical.
  • the following examples are illustrative, but not limiting.

Landscapes

  • 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)
  • Hydrogenated Pyridines (AREA)

Abstract

Methods and compositions for reducing locally expressed ophthalmic side effects are disclosed.

Description

IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
METHOD FOR REDUCING SIDE EFFECTS
Docket No. 1601PCT EXPRESS MAIL LABEL No. EL008174930US
The present application is directed to the use of a reversible cholinesterase inhibitor to reduce locally expressed side effects caused by topically applied ophthalmic pharmaceuticals.
Background of the Invention
U.S. Patent No. 4,895,841 is directed to cyclic amine compounds and their pharmaceutical use, in particular, for the treatment of senile dementia. The patent discloses the compound, l-benzyl-4-[(5,6-dimethoxy-l-indanon-2yl)methyl]piperidine, also known as E2020. U.S. Patent No. 5,100,901 and European Patent Application Nos. 0 579 263 Al and 0 296 560 A2 also disclose the compound and are related applications. None of the references disclose the compounds for use in reducing locally expressed side effects in topically applied ophthalmic pharmaceuticals.
Summary of the Invention
This application is directed to compositions of E2020 and its isomers and methods for its use in reducing locally expressed side effects caused by topically applied ophthalmic pharmaceuticals. Description of Preferred Embodiments
The present invention is directed to using l-benzyl-4-[(5,6-dimethoxy-l-indanon- 2yl)methyl]piperidine (E2020), and its stereo and optical isomers, hereinafter "Compound," to reduce locally expressed side effects resulting from the topical administration of ophthalmic pharmaceuticals. The Compound reduces the side effects by retarding the hydrolysis of ester containing compounds, such as, prostaglandins, thereby reducing the conjunctival hyperemia associated with the use of prostaglandins.
The Compound is administered topically to the eye in conjunction with the ophthalmic pharmaceutical at concentrations from 0.001 to 1.0 weight percent (wt.%), preferably .001 to .05 wt.%. The Compound can be delivered separately or in the same formulation as the ophthalmic pharmaceutical.
Various types of formulations are suitable for topical delivery to the eye. The
Compound may be combined with ophthalmologically acceptable preservatives, surfactants, viscosity enhancers, penetration enhancers, buffers, sodium chloride, and water to form an aqueous, sterile ophthalmic suspension or solution. Ophthalmic solution formulations may be prepared by dissolving the Compound in a physiologically acceptable isotonic aqueous buffer. Further, the ophthalmic solution may include an ophthalmologically acceptable surfactant to assist in dissolving the Compound. Furthermore, the ophthalmic solution may contain a thickener such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylmethyl-cellulose, methylcellulose, polyvinylpyrrolidone, or the like, to improve the retention of the formulation in the conjunctival sac. In order to prepare sterile ophthalmic ointment formulations, the active ingredient is combined with a preservative in an appropriate vehicle, such as, mineral oil, liquid lanolin, or white petrolatum. Sterile ophthalmic gel formulations may be prepared by suspending the active ingredient in a hydrophilic base prepared from the combination of, for example, carbopol-940, or the like, according to the published formulations for analogous ophthalmic preparations; preservatives and tonicity agents can be incorporated.
A formulation containing the Compound is administered to the eye (1-4 times per day according to the discretion of a skilled clinician) of a person in conjunction with an ophthalmic pharmaceutical to reduce the side effects caused by the pharmaceutical. The following examples are illustrative, but not limiting.
Example 1
Wt.% Based
Ingredient on Free Base
Compound (free base or 0.1 hydrochloride salt) Dibasic Sodium Phosphate (Anhydrous) 0.50 Sodium Chloride 0.60
Benzalkonium Chloride Solution (10%) 0.01 + 3% XS Hydrochloric Acid or Sodium Hydroxide Adj. pH 6.8-7.2 Purified Water Q.S.
Example 2
Wt.% Based
Ingredient on Free Base
Compound (free base or 0.1 hydrochloride salt) Benzalkonium Chloride 0.01 + 5% XS Tris (Hydroxymethyl) Aminomethane 0.5 Sodium Chloride 0.68 Hydroxypropyl Methylcellulose 0.25 Sodium Hydroxide or Hydrochloric Acid Adj. pH 7.4 Purified Water Q.S.

Claims

I Claim:
1. A method for reducing locally expressed side effects caused by topically applied ophthalmic pharmaceuticals which comprises administering a pharmaceutically effective amount of l-benzyl-4-[(5,6-dimethoxy-l-indanon-2yl)methyl]piperidine or an isomer thereof.
2. The method of Claim 1 wherein the ophthalmic pharmaceutical is a prostaglandin.
3. A composition for reducing locally expressed side effects caused by topically applied ophthalmic pharmaceuticals comprising a pharmaceutically effective amount of 1- benzyl-4-[(5,6-dimethoxy-l-indanon-2yl)methyl]piperidine or an isomer thereof.
4. The composition of Claim 4 wherein the ophthalmic pharmaceutical is a prostaglandin.
PCT/US1998/011952 1997-06-11 1998-06-09 Method for reducing side effects WO1998056250A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU78311/98A AU7831198A (en) 1997-06-11 1998-06-09 Method for reducing side effects

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US4929097P 1997-06-11 1997-06-11
US60/049,290 1997-06-11

Publications (1)

Publication Number Publication Date
WO1998056250A1 true WO1998056250A1 (en) 1998-12-17

Family

ID=21959057

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1998/011952 WO1998056250A1 (en) 1997-06-11 1998-06-09 Method for reducing side effects

Country Status (2)

Country Link
AU (1) AU7831198A (en)
WO (1) WO1998056250A1 (en)

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
DATABASE STN HCAPLUS 1 January 1900 (1900-01-01), XP002910688, Database accession no. 124:194072 *

Also Published As

Publication number Publication date
AU7831198A (en) 1998-12-30

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