WO2004060370A1 - Treatment of hiv infection through combined administration of tipranavir and capravirine - Google Patents
Treatment of hiv infection through combined administration of tipranavir and capravirine Download PDFInfo
- Publication number
- WO2004060370A1 WO2004060370A1 PCT/US2003/037745 US0337745W WO2004060370A1 WO 2004060370 A1 WO2004060370 A1 WO 2004060370A1 US 0337745 W US0337745 W US 0337745W WO 2004060370 A1 WO2004060370 A1 WO 2004060370A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- tipranavir
- treatment
- capravirine
- hiv infection
- combination
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- 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
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
- A61K31/52—Purines, e.g. adenine
- A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
-
- 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
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/7056—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing five-membered rings with nitrogen as a ring hetero atom
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/12—Antivirals
- A61P31/14—Antivirals for RNA viruses
- A61P31/18—Antivirals for RNA viruses for HIV
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Definitions
- the present invention relates to an improved method for treating HIV infection comprising administering to a human in need of such treatment a combination of a therapeutically effective amount of tipranavir or a pharmaceutically acceptable salt thereof, and a therapeutically effective amount of capravirine or a pharmaceutically acceptable salt thereof.
- HIV Human immunodeficiency virus
- NRTIs Nucleoside Reverse Transcriptase Inhibitors
- QSTNRTIs Non- nucleoside Reverse Transcriptase Inhibitors
- Protease Inhibitors Protease Inhibitors
- combination therapies i.e. the selection of two or more antiretroviral agents taken together to make up a "drug cocktail," are the preferred treatment for HIV infection.
- Combination therapies have been shown to reduce the incidence of opportunistic infections and to increase survival time.
- the drug cocktail combines drugs from different classes, so as to attack the virus at several stages in the replication process.
- Tipranavir and capravirine are both known agents for the treatment of HIV infection.
- Tipranavir also known as U-140690 and PNU-140690, is an HIV protease inhibitor.
- tipranavir is (6R)-3-((lR)-l-[3-( ⁇ [5-trifluoromethyl)(2- pyridyl)]sulfonyl ⁇ amino)phenyl]propyl ⁇ -4-hydroxy-6-(2-phenylethyl)-6-propyl-5,6- dihydro-2H-pyran-2-one or ([R-(R*,R*)]-N-[3-[l-[5,6-dihydro-4-hydroxy-2-oxo-6-(2- phenylethyl)-6-prop yl-2H-pyran-3-yl]propyl]phenyl]-5-(trifluoromethyl)-2- pyridinesulfonamide). It has the following structural formula:
- Tipranavir and methods for its synthesis and use in the treatment of HTV are described in WO 95/30670 and corresponding U.S. Patent 5,852,195.
- Pharmaceutical formulations suitable for the oral administration of tipranavir are described in WO 99/06043 and WO 99/06044, and the corresponding U.S. Patents 6,121,313 and 6,231,887.
- Capravirine (CAS REGISTRY NUMBER 178979-85-6), also known as AG 1549 and S 1153, is an HIV NNRTI. Chemically, capravirine is, 5-[(3,5-dichlorophenyl)thio]-4-(l- methylemyl)-l-(4-pyridinylmethyl)-lH-irnidazole-2-methanol carbamate ester. It has the following structural formula:
- the present invention provides an improved method for treating highly treatment experienced HlV-infected patients.
- the method comprises administering tipranavir in combination with an iiihibitor of Cyp3A4 (such as ritonavir), in further combination with capravirine and an optimized background regimen of nucleoside reverse transcriptase inhibitors to provide an active antiretroviral regimen.
- an iiihibitor of Cyp3A4 such as ritonavir
- the present invention provides an improved method for treating HIV infection, especially in highly treatment experienced HTV-infected patients.
- the method comprises administering tipranavir in combination with an inhibitor of Cyp3A4, in further combination with capravirine and an optimized background regimen of nucleoside reverse transcriptase inhibitors to provide an active antiretroviral regimen that is particulary well suited for the treatment of highly treatment experienced HIN-infected patients.
- highly treatment experienced HIV-infected patients means HIV-infected patients with virologic failure (detectable HIV R ⁇ A in their blood) who have previously received treatment with 2 or more combination antiretroviral regimens.
- the term "optimized background regimen of nucleoside reverse transcriptase inhibitors” means a combination of nucleoside or nucleotide agents selected on the basis of all of the information available to the treating provider including drug history, knowledge of resistance/ cross resistance and, where available, genotypic or phenotypic drug resistance test results for the virus in the HTV-infected patient's blood.
- tipranavir When employed in accordance with the method of the invention, tipranavir can be administered in the manner described in WO 95/30670 and corresponding U.S. Patent 5,852,195. It is preferred to administer this substance orally using pharmaceutical formulations such as those described in WO 99/06043 and WO 99/06044, and the corresponding U.S. Patents 6,121,313 and 6,231,887. It is particularly preferred to administer the tipranavir at the dosage of 500 to 750 mg PO BID.
- a suitable inhibitor of Cyp3A4 is ritonavir, which can be administered as described in U.S. Patent 6,147,095.
- ritonavir For the purposes of the present invention it is preferred to administer ritonavir at a dosage of 200 mg PO BID.
- the use for this purpose of other inhibitors of Cyp3A4 is also possible.
- capravirine is administered in the manner described in U.S. Patent 5,910,506.
- the preferred dosage of capravirine will range from 400 to 1400 mg PO BID.
- nucleoside and nucleotide reverse transcriptase inhibitors will be given at standard doses, in the manner known to those of routine skill in the clinical treatment of HIV infection.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Epidemiology (AREA)
- Molecular Biology (AREA)
- Virology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Tropical Medicine & Parasitology (AREA)
- AIDS & HIV (AREA)
- Communicable Diseases (AREA)
- Oncology (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP03787155A EP1575583A1 (en) | 2002-12-16 | 2003-11-24 | Treatment of hiv infection through combined administration of tipranavir and capravirine |
CA002509731A CA2509731A1 (en) | 2002-12-16 | 2003-11-24 | Treatment of hiv infection through combined administration of tipranavir and capravirine |
AU2003295940A AU2003295940A1 (en) | 2002-12-16 | 2003-11-24 | Treatment of hiv infection through combined administration of tipranavir and capravirine |
JP2004565110A JP2006514045A (en) | 2002-12-16 | 2003-11-24 | Treatment of HIV infection by combined administration of tipranavir and capravirin |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US43367902P | 2002-12-16 | 2002-12-16 | |
US60/433,679 | 2002-12-16 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2004060370A1 true WO2004060370A1 (en) | 2004-07-22 |
Family
ID=32712988
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2003/037745 WO2004060370A1 (en) | 2002-12-16 | 2003-11-24 | Treatment of hiv infection through combined administration of tipranavir and capravirine |
Country Status (6)
Country | Link |
---|---|
US (1) | US20050020517A1 (en) |
EP (1) | EP1575583A1 (en) |
JP (1) | JP2006514045A (en) |
AU (1) | AU2003295940A1 (en) |
CA (1) | CA2509731A1 (en) |
WO (1) | WO2004060370A1 (en) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
FR2903312B1 (en) | 2006-07-05 | 2008-09-26 | Univ Aix Marseille Ii | USE OF INHIBITORS OF HMG-COA REDUCTASE AND FARNESYL-PYROPHOSPHATE SYNTHASE IN THE PREPARATION OF A MEDICINAL PRODUCT |
JP5570999B2 (en) * | 2008-01-03 | 2014-08-13 | ユニベルシテ デ―マルセイユ | Composition for use in anti-HIV therapy |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998045276A2 (en) * | 1997-04-09 | 1998-10-15 | Du Pont Pharmaceuticals Company | 4,4-disubstituted-3,4-dihydro-2(1h)-quinazolinones useful as hiv reverse transcriptase inhibitors |
WO2000025784A1 (en) * | 1998-11-04 | 2000-05-11 | Pharmacia & Upjohn Company | Method for improving the pharmacokinetics of tipranavir |
US6124302A (en) * | 1997-04-09 | 2000-09-26 | Dupont Pharmaceuticals | 4,4-disubstituted-3,4-dihydro-2(1H)-quinazolinones useful as HIV reverse transcriptase inhibitors |
-
2003
- 2003-11-24 EP EP03787155A patent/EP1575583A1/en not_active Withdrawn
- 2003-11-24 AU AU2003295940A patent/AU2003295940A1/en not_active Abandoned
- 2003-11-24 CA CA002509731A patent/CA2509731A1/en not_active Abandoned
- 2003-11-24 JP JP2004565110A patent/JP2006514045A/en active Pending
- 2003-11-24 WO PCT/US2003/037745 patent/WO2004060370A1/en active Application Filing
- 2003-11-24 US US10/720,550 patent/US20050020517A1/en not_active Abandoned
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998045276A2 (en) * | 1997-04-09 | 1998-10-15 | Du Pont Pharmaceuticals Company | 4,4-disubstituted-3,4-dihydro-2(1h)-quinazolinones useful as hiv reverse transcriptase inhibitors |
US6124302A (en) * | 1997-04-09 | 2000-09-26 | Dupont Pharmaceuticals | 4,4-disubstituted-3,4-dihydro-2(1H)-quinazolinones useful as HIV reverse transcriptase inhibitors |
WO2000025784A1 (en) * | 1998-11-04 | 2000-05-11 | Pharmacia & Upjohn Company | Method for improving the pharmacokinetics of tipranavir |
US6147095A (en) * | 1998-11-04 | 2000-11-14 | Pharmacia & Upjohn Company | Method for improving the pharmacokinetics of tipranavir |
Non-Patent Citations (4)
Title |
---|
CHONG K-T ET AL: "IN VITRO COMBINATION OF PNU-140690, A HUMAN IMMUNODEFICIENCY VIRUS TYPE 1 PROTEASE INHIBITOR, WITH RITONAVIR AGAINST RITONAVIR-SENSITIVE AND -RESISTANT CLINICAL ISOLATES", ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, AMERICAN SOCIETY FOR MICROBIOLOGY, WASHINGTON, DC, US, vol. 41, no. 11, November 1997 (1997-11-01), pages 2367 - 2373, XP000901461, ISSN: 0066-4804 * |
CLERCQ DE E: "NEW ANTI-HIV AGENTS AND TARGETS", MEDICINAL RESEARCH REVIEWS, NEW YORK, NY, US, vol. 22, no. 6, 2002, pages 531 - 565, XP009011727, ISSN: 0198-6325 * |
CLERCQ DE E: "NEW DEVELOPMENTS IN ANTI-HIV CHEMOTHERAPY", CURRENT MEDICINAL CHEMISTRY, BENTHAM SCIENCE PUBLISHERS BV, BE, vol. 8, no. 13, November 2001 (2001-11-01), pages 1543 - 1572, XP009012547, ISSN: 0929-8673 * |
YENI PATRICK: "Tipranavir: A protease inhibitor from a new class with distinct antiviral activity.", JAIDS JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, vol. 34, no. Supplement 1, September 2003 (2003-09-01), pages S91 - S94, XP002275552, ISSN: 1525-4135 (ISSN print) * |
Also Published As
Publication number | Publication date |
---|---|
EP1575583A1 (en) | 2005-09-21 |
CA2509731A1 (en) | 2004-07-22 |
AU2003295940A1 (en) | 2004-07-29 |
JP2006514045A (en) | 2006-04-27 |
US20050020517A1 (en) | 2005-01-27 |
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