WO2002066022A1 - Retinoid hepatitis therapy - Google Patents

Retinoid hepatitis therapy Download PDF

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Publication number
WO2002066022A1
WO2002066022A1 PCT/US2002/002996 US0202996W WO02066022A1 WO 2002066022 A1 WO2002066022 A1 WO 2002066022A1 US 0202996 W US0202996 W US 0202996W WO 02066022 A1 WO02066022 A1 WO 02066022A1
Authority
WO
WIPO (PCT)
Prior art keywords
hepatitis
therapeutically effective
retinoic acid
effective amount
trans retinoic
Prior art date
Application number
PCT/US2002/002996
Other languages
English (en)
French (fr)
Inventor
Anthony H. Williams
Original Assignee
Aronex Pharmaceuticals, 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 Aronex Pharmaceuticals, Inc. filed Critical Aronex Pharmaceuticals, Inc.
Priority to US10/467,096 priority Critical patent/US20040127566A1/en
Priority to JP2002565582A priority patent/JP2004522770A/ja
Priority to CA002437168A priority patent/CA2437168A1/en
Priority to EP02707670A priority patent/EP1363611A4/de
Publication of WO2002066022A1 publication Critical patent/WO2002066022A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
    • A61K31/07Retinol compounds, e.g. vitamin A
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/20Antivirals for DNA viruses
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • This invention is drawn to a method of treating hepatitis comprising
  • the amount of retinoid such as all- trans retinoic acid.
  • the retinoid such as all- trans retinoic acid.
  • hepatitis form of hepatitis is viral hepatitis caused by infection with A, B, C, D, E, and G
  • Hepatitis is an inflammatory liver disease. It is associated with loss of
  • liver may become enlarged and jaundice may be present. Both chronic and acute
  • hepatitis is known.
  • the acute form subsides, generally after about
  • liver disease such as cirrhosis or hepatocellular carcinoma.
  • Type A was previously termed infectious
  • Type B was previously termed serum hepatitis
  • Type C was non-
  • Type D was delta hepatitis.
  • viruses have been known to exhibit hepatitis as a secondary effect. These viruses include Cytomegalovirus, Epstein-Barr virus, as well as Yellow Fever.
  • Hepatitis is also a secondary effect of certain parasites and bacteria infections.
  • Non-viral hepatitis is also associated with autoimmune diseases, Wilson's
  • hemochromatosis and those diseases of toxic origin such as drug,
  • Hepatitis B and C were not drawn.
  • Hepatitis C was not drawn.
  • non-A non-B hepatitis
  • RNA virus of the type described as "Flavivirus” is the cause of Hepatitis C. This
  • RNA virus has been described as a 40-50 nanometer linear single-strand RNA
  • lipid envelope (ribonucleic acid) virus with a lipid envelope.
  • the lipid envelope In native state, the lipid envelope is
  • Hepatitis B is caused by a double
  • stranded DNA virus of the type known as Hepadnavirus . It is a 42 nm particle
  • enterovirus is classified as a genus of the
  • Picornaviridae This genus is generally divided into five major groups.
  • Enteroviruses are characterized by a high degree of genetic diversity at the VP1
  • This invention comprises a method of treating hepatitis comprising
  • a ⁇ - trans retinoic acid (inter alia, liposomal all- trans retinoic acid) of at least about 10mg at least about every other day.
  • retinoic acid are variously at least about 10 mg/m 2 , at least about 15 mg/m 2 , at
  • This method is particularly useful in hepatitis
  • viral hepatitis including hepatitis A, B, C, D, E, or G.
  • This invention also comprises a method of treating hepatitis comprising
  • this includes retinoid in liposomal
  • This invention yet further comprises a method of treating enteroviral
  • this includes retinoid in liposomal form, and further in
  • therapeutically effective amount optionally at least about every other day.
  • group consisting of (i) poliovirus, (ii) group A coxsackievirus, (iii) group B
  • Echovirus 3 4, 6, 7, 9 or 1 1
  • chronic viral disease in a subject comprising administering to said subject a
  • retinoid is at least about 50mg at least about every other day.
  • ATRA refers to a ⁇ -trans retinoic acid, a retinoid. Retinoids in general
  • retinoids include trans-retinoic acid and all- trat?s-retinol.
  • Other retinoids are retinoic acid
  • retinol retinol, retinyl acetate, retinaldehyde, all-trans-retinoic acid, and 13-cis-retinoic
  • Non-liposomal retinoids often suitable for oral administration, are referred to
  • Liposomal ATRA or retinoid shall be broadly understood to encompass
  • lipids are generally spherical structures comprising lipids, fatty acids, lipid bilayer type
  • liposomes are completely closed lipid bilayer membranes containing an entrapped
  • Liposomes may be unilamellar vesicles (possessing a single
  • bilayer membrane or multilamellar vesicles (onion-like structures characterized
  • the bilayer is composed of two lipid monolayers having a hydrophobic
  • bilayer is such that the hydrophobic (nonpolar) "tails" of the lipid monolayers
  • Liposomes are vesicles composed of one or more concentric phospholipid
  • liposome and liposomal.
  • liposome By way of example of such nonliposomal lipid
  • L-ATRA liposomal-ATRA
  • retinoids as
  • liposomal- ATRA or "-retinoid” shall extend to
  • Hepatitis shall be broadly construed in reference to inflammatory liver
  • viral hepatitis are also contemplated within this invention.
  • Therapeutically effective amount as to a drug dosage shall mean that
  • a therapeutically effective amount shall include
  • effective amount is about 50 to about 150 mg administered at least about every
  • a therapeutically effective amount shall mean about
  • ATRA is about 50 to about 150 mg administered at least about every other day.
  • anti-cancer activities retinoids, including ATRA act to reduce the viral load in
  • hepatitis patients with particular reference to hepatitis B and C.
  • hepatitis B and C hepatitis B and C.
  • liposomal retinoid such as L-ATRA is effective.
  • C hepatic enzymes (SPGT and SGOT), bilirubin, and alkaline phosphatase).
  • a 34 year old female is diagnosed by serological tests as positive for
  • a 54 year old male is diagnosed by serological tests as positive for
  • hepatitis A hepatic enzymes
  • APL started to receive L-ATRA (ATRAGEN ® ) QOD at 90 mg/m 2 .
  • ATRAGEN ® L-ATRA
  • liver function test liver function test
  • HCR hematologic complete remission
  • compositions of this invention possess valuable pharmacological properties
  • enteroviruses and hepatitis associated viruses in human and veterinary medicine.
  • compositions are particularly useful in treating hepatitis A, B, C, D, E,
  • compositions can be used in ]n vitro methodologies,
  • the present invention can be employed in admixture with carriers, excipients and
  • compositions of this invention are generally administered to animals,
  • mammals including but not limited to mammals such as livestock, household pets,
  • injectable particularly suitable are injectable.
  • sterile for parenteral application, particularly suitable are injectable.
  • solutions preferably oily or aqueous solutions, as well as suspensions,
  • emulsions or implants, including suppositories.
  • Ampules are convenient unit
  • liquids drops, suppositories, or capsules.
  • a syrup, elixir, or the like can be used
  • compositions of this invention can be any suitable pharmacologically active compositions of this invention.
  • carrier substances suitable for parenteral e.g., enteral (e.g., oral or inhalation) or
  • Suitable pharmaceutically acceptable carriers include but are not limited to
  • compositions can be any suitable pharmaceutical preparations.
  • the pharmaceutical preparations can be any suitable pharmaceutical preparations.
  • auxiliary agents e.g. They can also be
  • antiviral drugs such as alpha interferon, ribavirin, amantadine,
  • ganciclovir dideoxycytosine, dideoxyinosine
  • rimantadine stavudine, famciclovir, and trifluridine.
  • dosage forms include
  • injectable, sterile are particularly suitable are injectable, sterile
  • solutions preferably suspensions.
  • Ampules are convenient unit dosages.
  • Sustained or directed release compositions can be formulated, e.g.,
  • degradable coatings e.g., by microencapsulation, multiple coatings, etc. It is
  • compositions of this invention are dispensed in unit dosage
  • liposomal ATRA of from 1 5 to 300 or more mg/m 2 and
  • compositions in a specific case will vary according to the specific compositions

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Medicinal Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Chemical & Material Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Virology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Communicable Diseases (AREA)
  • Oncology (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biotechnology (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Epidemiology (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
PCT/US2002/002996 2001-02-02 2002-01-31 Retinoid hepatitis therapy WO2002066022A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
US10/467,096 US20040127566A1 (en) 2002-01-31 2002-01-31 Retinoid hepatitis therapy
JP2002565582A JP2004522770A (ja) 2001-02-02 2002-01-31 レチノイド肝炎治療
CA002437168A CA2437168A1 (en) 2001-02-02 2002-01-31 Retinoid hepatitis therapy
EP02707670A EP1363611A4 (de) 2001-02-02 2002-01-31 Retinoidbehandlung von hepatitis

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US26597701P 2001-02-02 2001-02-02
US60/265,977 2001-02-02

Publications (1)

Publication Number Publication Date
WO2002066022A1 true WO2002066022A1 (en) 2002-08-29

Family

ID=23012660

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2002/002996 WO2002066022A1 (en) 2001-02-02 2002-01-31 Retinoid hepatitis therapy

Country Status (4)

Country Link
EP (1) EP1363611A4 (de)
JP (1) JP2004522770A (de)
CA (1) CA2437168A1 (de)
WO (1) WO2002066022A1 (de)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004050101A2 (en) * 2002-11-29 2004-06-17 Gpc Biotech Ag Formulations useful against hepatitis c virus infections
DE10305138A1 (de) * 2003-02-07 2004-08-26 Axxima Pharmaceuticals Ag Gegen Hepatitis C-Virusinfektionen nützliche Verbindungen und Substanzen
WO2005120479A1 (en) * 2004-06-09 2005-12-22 Gpc Biotech Ag Use of selenium or a selenium salt and a retinoid acid or a retinoid in the treatment of viral hepatitis c
WO2018054891A1 (en) * 2016-09-20 2018-03-29 Ruprecht-Karls-Universität Compounds and combinations thereof for preventing and/or treating hbv and/or hdv infections

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5166319A (en) * 1989-10-10 1992-11-24 Brunswick Corporation Interfacial condensation of bioactive compounds and the site-specific compounds and conjugates thereof
US5811119A (en) * 1987-05-19 1998-09-22 Board Of Regents, The University Of Texas Formulation and use of carotenoids in treatment of cancer
US6093741A (en) * 1996-02-15 2000-07-25 Virocell Inc. Agents with leukotriene B4-like activity as antiherpes viral agents

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5824313A (en) * 1989-09-25 1998-10-20 University Of Utah Research Foundation Vaccine compositions and method for induction of mucosal immune response via systemic vaccination
US6028088A (en) * 1998-10-30 2000-02-22 The University Of Mississippi Flavonoid derivatives
GB0020351D0 (en) * 2000-08-17 2000-10-04 Catalyst Biomedica Ltd Treatment of hyperproliferative diseases

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5811119A (en) * 1987-05-19 1998-09-22 Board Of Regents, The University Of Texas Formulation and use of carotenoids in treatment of cancer
US5166319A (en) * 1989-10-10 1992-11-24 Brunswick Corporation Interfacial condensation of bioactive compounds and the site-specific compounds and conjugates thereof
US6093741A (en) * 1996-02-15 2000-07-25 Virocell Inc. Agents with leukotriene B4-like activity as antiherpes viral agents

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP1363611A4 *

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2004050101A2 (en) * 2002-11-29 2004-06-17 Gpc Biotech Ag Formulations useful against hepatitis c virus infections
WO2004050101A3 (en) * 2002-11-29 2004-09-10 Axxima Pharmaceuticals Ag Formulations useful against hepatitis c virus infections
JP2006514094A (ja) * 2002-11-29 2006-04-27 ゲーペーツェー バイオテック アクチェンゲゼルシャフト C型肝炎ウイルス感染に対して有用な製剤
DE10305138A1 (de) * 2003-02-07 2004-08-26 Axxima Pharmaceuticals Ag Gegen Hepatitis C-Virusinfektionen nützliche Verbindungen und Substanzen
WO2005120479A1 (en) * 2004-06-09 2005-12-22 Gpc Biotech Ag Use of selenium or a selenium salt and a retinoid acid or a retinoid in the treatment of viral hepatitis c
WO2018054891A1 (en) * 2016-09-20 2018-03-29 Ruprecht-Karls-Universität Compounds and combinations thereof for preventing and/or treating hbv and/or hdv infections

Also Published As

Publication number Publication date
JP2004522770A (ja) 2004-07-29
EP1363611A4 (de) 2004-08-11
EP1363611A1 (de) 2003-11-26
CA2437168A1 (en) 2002-08-29

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