WO2002100414A1 - Arylazo-substituted imidazole for the treatment of stress urinary incontinence - Google Patents

Arylazo-substituted imidazole for the treatment of stress urinary incontinence Download PDF

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Publication number
WO2002100414A1
WO2002100414A1 PCT/GB2002/002635 GB0202635W WO02100414A1 WO 2002100414 A1 WO2002100414 A1 WO 2002100414A1 GB 0202635 W GB0202635 W GB 0202635W WO 02100414 A1 WO02100414 A1 WO 02100414A1
Authority
WO
WIPO (PCT)
Prior art keywords
imidazole
azo
treatment
arylazo
methoxyphenyl
Prior art date
Legal status (The legal status 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 status listed.)
Ceased
Application number
PCT/GB2002/002635
Other languages
English (en)
French (fr)
Inventor
Robert William Gristwood
David Cavalla
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
PERRY ROBERT EDWARD
Original Assignee
PERRY ROBERT EDWARD
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 PERRY ROBERT EDWARD filed Critical PERRY ROBERT EDWARD
Priority to KR10-2003-7015978A priority Critical patent/KR20040030654A/ko
Priority to BR0210195-5A priority patent/BR0210195A/pt
Priority to EP02738362A priority patent/EP1399167A1/en
Priority to US10/478,977 priority patent/US20040242547A1/en
Priority to CA002449957A priority patent/CA2449957A1/en
Priority to JP2003503235A priority patent/JP2005500285A/ja
Priority to AU2002311445A priority patent/AU2002311445B2/en
Priority to MXPA03011226A priority patent/MXPA03011226A/es
Publication of WO2002100414A1 publication Critical patent/WO2002100414A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

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
    • A61K31/41Heterocyclic 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
    • A61K31/41641,3-Diazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/655Azo (—N=N—), diazo (=N2), azoxy (>N—O—N< or N(=O)—N<), azido (—N3) or diazoamino (—N=N—N<) compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00Drugs for disorders of the urinary system
    • A61P13/10Drugs for disorders of the urinary system of the bladder
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/02Drugs for disorders of the nervous system for peripheral neuropathies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/12Antidiuretics, e.g. drugs for diabetes insipidus

Definitions

  • X is H or halogen
  • their therapeutic use in the treatment of edema, hypotension, cardiac insufficiency and mucosa hypermia discloses such a compound, i.e. 2-[(5-chloro-2-methoxyphenyl)azo]-1H-imidazole. It is described as a sympathomimetic agent resulting from direct adrenergic alpha stimulation, and Ohnishi et al conclude that it is of potential use for the treatment of hypotensive disorders.
  • 2-[(5-Chloro-2-methoxyphenyl)azo]-1 H-imidazole is currently considered to be a non-subtype-selective alpha 1 adrenoceptor agonist (hereafter "alpha agonist"; see Tocris catalogue 2001 of Tocris Cookson Ltd., Bristol, UK, Table 1 , page 20).
  • alpha agonist non-subtype-selective alpha 1 adrenoceptor agonist
  • the compound is referred to in this catalogue as a hypertensive agent (page 243) and is commercially available from Tocris as a research tool. Considerations as to the selectivity of the compound are based on published studies using laboratory animal species.
  • Alpha 1 agonists in general cause smooth muscle contraction and thereby increase smooth muscle tone, for example in blood vessels or in the lower urinary tract.
  • the alpha 1 receptors are currently divided into 4 subtypes, these being alpha 1 A, alpha 1 L (possibly a related receptor), alpha 1 B and alpha 1 D.
  • alpha 1 A alpha 1 A
  • alpha 1 L possibly a related receptor
  • alpha 1 B alpha 1 D
  • different tissues may contain a predominance of a particular alpha 1 receptor subtype. It is also known that there is a marked species dependency in the tissue distribution of adrenergic alpha 1 subtypes.
  • adrenergic alpha stimulatory activity may be determined by known assays, and is preferably at least substantially as for noradrenaline. This activity is preferably at least 50% of the activity exhibited by 2-[(5-chloro-2-methoxyphenyl)azo]-1 H-imidazole.
  • Preferred agents for use in the invention have one or more structural characteristics of the formula shown above.
  • the active compound can be formulated in any suitable manner, together with a conventional diluent or carrier, e.g. as a tablet or capsule, or as a sustained release formulation.
  • the active compound may be administered by any suitable route, e.g. intravaginal (for which purpose a pessary or ring device may be used), and is preferably administered by the oral route.
  • compositions for oral use include tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, syrups and elixirs.
  • Suitable additives include sweetening agents, flavouring agents, colouring agents and preserving agents. Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients, e.g.
  • inert diluents such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc.
  • the tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastointestinal tract and thereby provide a sustained action over a longer period.
  • a time delay material such as glyceryl monostearate or glyceryl distearate may be employed.
  • Hard gelatin capsules may include an inert solid diluent, for example calcium carbonate, calcium phosphate or kaolin; soft gelatin capsules may include water or an oil medium, for example peanut oil, liquid paraffin or olive oil.
  • the amount of active agent to be administered can be readily determined by the skilled person, and will depend on the usual factor such as the frequency of dosing, the age and condition of the patient, the nature and degree of the complaint, the rate of administration, coadministered drugs etc.
  • a typical daily dosage may be 0.1-1000, e.g. 1-100, mg.
  • Tissue sources human lower urinary tract smooth muscle strips (prostatic/urethral) were obtained from patients undergoing transurethral resection of the prostate procedure for benign prostatic hyperplasia.
  • Human mesenteric arte ⁇ es 500-750 ⁇ m internal diameter were obtained from patients undergoing bowel resection for carcinoma.
  • Tissues were preserved in Krebs-bicarbonate solution at 4°C from the time of surgery until used in functional experiments within 24 hours. Protocol Sections of mesenteric artery (5 mm in length) were set up between stainless steel stirrups after removal of the endothelium by gentle rubbing.
  • LUT 2-[(5-chlo ⁇ 2-methoxyphenyl)azo]-1 H-imidazole is at least as potent as noradrenaline with a similar maximum effect.

Landscapes

  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Medicinal Chemistry (AREA)
  • General Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Diabetes (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Urology & Nephrology (AREA)
  • Hematology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
PCT/GB2002/002635 2001-06-08 2002-06-07 Arylazo-substituted imidazole for the treatment of stress urinary incontinence Ceased WO2002100414A1 (en)

Priority Applications (8)

Application Number Priority Date Filing Date Title
KR10-2003-7015978A KR20040030654A (ko) 2001-06-08 2002-06-07 스트레스성 요실금 치료용 아릴아조-치환 이미다졸
BR0210195-5A BR0210195A (pt) 2001-06-08 2002-06-07 Imidazol substituìdo com arilazo para o tratamento da incontinência urinária por tensão
EP02738362A EP1399167A1 (en) 2001-06-08 2002-06-07 Arylazo-substituted imidazole for the treatment of stress urinary incontinence
US10/478,977 US20040242547A1 (en) 2001-06-08 2002-06-07 Arylazo-substituted imidazole for the treatment of stress urinary incontinence
CA002449957A CA2449957A1 (en) 2001-06-08 2002-06-07 Arylazo-substituted imidazole for the treatment of stress urinary incontinence
JP2003503235A JP2005500285A (ja) 2001-06-08 2002-06-07 腹圧性尿失禁の治療のためのアリールアゾ−置換イミダゾール
AU2002311445A AU2002311445B2 (en) 2001-06-08 2002-06-07 Arylazo-substituted imidazole for the treatment of stress urinary incontinence
MXPA03011226A MXPA03011226A (es) 2001-06-08 2002-06-07 Imidazol sustituido con arilazo para el tratamiento de incontinencia urinaria por estres.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0114008.6 2001-06-08
GBGB0114008.6A GB0114008D0 (en) 2001-06-08 2001-06-08 New therapautic use

Publications (1)

Publication Number Publication Date
WO2002100414A1 true WO2002100414A1 (en) 2002-12-19

Family

ID=9916211

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2002/002635 Ceased WO2002100414A1 (en) 2001-06-08 2002-06-07 Arylazo-substituted imidazole for the treatment of stress urinary incontinence

Country Status (13)

Country Link
US (1) US20040242547A1 (https=)
EP (1) EP1399167A1 (https=)
JP (1) JP2005500285A (https=)
KR (1) KR20040030654A (https=)
CN (1) CN1234367C (https=)
AU (1) AU2002311445B2 (https=)
BR (1) BR0210195A (https=)
CA (1) CA2449957A1 (https=)
GB (1) GB0114008D0 (https=)
MX (1) MXPA03011226A (https=)
RU (1) RU2004100228A (https=)
WO (1) WO2002100414A1 (https=)
ZA (1) ZA200309473B (https=)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4315003A (en) * 1979-07-30 1982-02-09 Mochida Seiyaku Kabushiki Kaisha Compositions containing azo compounds and use thereof for therapeutic treatment
US20010039255A1 (en) * 2000-02-17 2001-11-08 Brioni Jorge D. Use of alpha1A adrenoceptor agonists with alpha1B and alpha1D antagonism for the treatment of stress urinary incontinence

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19514579A1 (de) * 1995-04-20 1996-10-24 Boehringer Ingelheim Kg Verwendung von alpha¶1¶¶L¶-Agonisten zur Behandlung der Harninkontinenz

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4315003A (en) * 1979-07-30 1982-02-09 Mochida Seiyaku Kabushiki Kaisha Compositions containing azo compounds and use thereof for therapeutic treatment
US20010039255A1 (en) * 2000-02-17 2001-11-08 Brioni Jorge D. Use of alpha1A adrenoceptor agonists with alpha1B and alpha1D antagonism for the treatment of stress urinary incontinence

Non-Patent Citations (7)

* Cited by examiner, † Cited by third party
Title
ANDERSSON K E: "Drug therapy for urinary incontinence.", BAILLIERE'S BEST PRACTICE & RESEARCH. CLINICAL OBSTETRICS & GYNAECOLOGY. ENGLAND APR 2000, vol. 14, no. 2, April 2000 (2000-04-01), pages 291 - 313, XP001106765, ISSN: 1521-6934 *
DATABASE BIOSIS [online] BIOSCIENCES INFORMATION SERVICE, PHILADELPHIA, PA, US; 1992, DABASAKI TATSUROH ET AL: "Effects of M6434, an orally active alpha-1-adrenoceptor agonist, on experimental postural hypotension in rabbits and dogs.", XP002216105, Database accession no. PREV199395065463 *
FOLIA PHARMACOLOGICA JAPONICA, vol. 100, no. 5, 1992, pages 433 - 444, ISSN: 0015-5691 *
NAKASHIMA M ET AL: "EFFECTS OF 2-5 CHLORO-2-METHOXYPHENYLAZO-1H-IMIDAZOLE M-6434 ON ALPHA ADRENERGIC RECEPTORS", JAPANESE JOURNAL OF PHARMACOLOGY, vol. 45, no. 4, 1987, pages 507 - 512, XP001106737, ISSN: 0021-5198 *
NISHIMATSU H ET AL: "Contractile responses to alpha1-adrenoceptor agonists in isolated human male and female urethra", BIOSIS, XP002149903 *
OHNISHI H ET AL: "Pharmacological properties of 2-[(5-chloro-2-methoxyphenyl)azo]-1H-im idazole (M6434).", ARZNEIMITTEL-FORSCHUNG. GERMANY, WEST 1981, vol. 31, no. 9, 1981, pages 1425 - 1429, XP001106744, ISSN: 0004-4172 *
RADLEY S C ET AL: "Effect of methoxamine on maximum urethral pressure in women with genuine stress incontinence: A placebo-controlled, double-blind crossover study.", NEUROUROLOGY AND URODYNAMICS, vol. 20, no. 1, 2001, pages 43 - 52, XP001106932, ISSN: 0733-2467 *

Also Published As

Publication number Publication date
CN1234367C (zh) 2006-01-04
MXPA03011226A (es) 2004-03-26
CN1541099A (zh) 2004-10-27
US20040242547A1 (en) 2004-12-02
KR20040030654A (ko) 2004-04-09
GB0114008D0 (en) 2001-08-01
ZA200309473B (en) 2005-03-23
AU2002311445B2 (en) 2005-08-25
BR0210195A (pt) 2004-07-27
JP2005500285A (ja) 2005-01-06
RU2004100228A (ru) 2005-06-10
EP1399167A1 (en) 2004-03-24
CA2449957A1 (en) 2002-12-19

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