WO2006097122A1 - Ferrous fructose-1,6-diphosphate, use, composition and process for the obtainment thereof - Google Patents

Ferrous fructose-1,6-diphosphate, use, composition and process for the obtainment thereof Download PDF

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WO2006097122A1
WO2006097122A1 PCT/EP2005/002775 EP2005002775W WO2006097122A1 WO 2006097122 A1 WO2006097122 A1 WO 2006097122A1 EP 2005002775 W EP2005002775 W EP 2005002775W WO 2006097122 A1 WO2006097122 A1 WO 2006097122A1
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process according
fdp
carried out
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PCT/EP2005/002775
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Ermanno Valoti
Marco Berna
Davide Bianchi
Augusto Latanza
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Gnosis S.P.A.
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Priority to PCT/EP2005/002775 priority Critical patent/WO2006097122A1/en
Publication of WO2006097122A1 publication Critical patent/WO2006097122A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07HSUGARS; DERIVATIVES THEREOF; NUCLEOSIDES; NUCLEOTIDES; NUCLEIC ACIDS
    • C07H11/00Compounds containing saccharide radicals esterified by inorganic acids; Metal salts thereof
    • C07H11/04Phosphates; Phosphites; Polyphosphates

Definitions

  • the present invention relates to ferrous fructose-1, 6- diphosphate dihydrate, a process for the obtainment thereof, its use and a composition comprising it. .
  • Ferrous fructose-1, 6-diphosphate dihydrate has the following formula:
  • ferrous salts are better absorbed than ferric salts and that yet they are unstable because of the oxidation of Fe 2+ to Fe 3+ and that, accordingly, they show a very short shelf-life.
  • JP63-227598 discloses • ferrous salts of hexose phosphate sugars, among which Fe 2 FDP trihydrate, a process for the production thereof and their use both as an iron food supplement and for the manufacture of a medicament for the prevention and/or treatment of iron deficiency, such as, for instance, iron deficiency anemia, dietary anemia, and the like.
  • the synthesis of the disclosed salts comprises combining an alkaline or earth-alkaline salt of the selected hexose phosphate sugar with a ferrous salt such that an insoluble salt has to be formed in order to be easily separated by the hexose phosphate sugar ferrous salt, the latter, showing an Fe 2+ titre lower or equal to 80% owing to the oxidation of the Fe 2+ , being then precipitated by the addition of a large excess of organic solvents or by freeze- drying .
  • the hexose phosphate sugars disclosed by JP63-227598 further show a low stability in time.
  • the present invention relates to ferrous fructose-1, 6-diphosphate dihydrate (Fe 2 FDP » 2H 2 O) having the following formula:
  • the compound of the invention can be administered as the ⁇ active principle' of a composition which represents another aspect of the present invention and which comprises at least one dietetically and/or pharmaceutically acceptable excipient .
  • composition of the invention can be prepared by processes conventional in the field such as, for instance, by mixing the active principle with said at least one excipient which can be advantageously selected ⁇ among either organic or inorganic, inert excipients such as, for instance, water, gelatin, arable gum, lactose, starch, cellulose, magnesium stearate, talc, vegetal oils and the like.
  • excipient such as, for instance, water, gelatin, arable gum, lactose, starch, cellulose, magnesium stearate, talc, vegetal oils and the like.
  • composition of the invention can be administered orally, for instance under the form of pills, capsules, solutions, emulsions, suspensions, granulates and the like; also, it can also comprise further components, as it will be clearly understood by the skilled man, such as for instance, preserving agents, stabilizers, emulsifiers, buffers and the like.
  • the composition of the invention is administered under the form of a unitary dose comprising, for instance, 0.1 ⁇ g of the .active principle per unitary dose.
  • the present invention concerns the use of the compound and/or the composition as above defined for the preparation of a food supplement and/or a medicament for the prevention and/or the treatment of dietetic and/or morbid iron deficiency; in particular, for the prevention and/or the treatment of dietary anemia, sideropenia, anemia.
  • a further aspect of the present -invention relates to a method for the prevention and/or the treatment of dietetic and/or morbid iron deficiency in a mammal in the need thereof comprising administering a dietetically and/or therapeutically effective amount of the above defined compound and/or composition.
  • the mammal can be administered with a unitary dose of the compound of the invention of 0.5 to 10, preferably 1 to 2, mg/kg of body weight per day.
  • Suitable treatments can comprise the daily administration of the above unitary dose from once to more times a day, preferably twice a day.
  • the dietetically and/ ⁇ r pharmaceutically optimal dose can be readily determined by the man skilled in the art, depending on the iron deficiency and on the conditions (weight, age, diet, etc.) of the subject to be treated.
  • the above defined compound can be prepared according to a process, which is a further aspect of the present invention, comprising the steps of sequentially: a) in an inert atmosphere, solubilizing Na x FDPHy, wherein x varies from 2 to 3 and y varies from 1 to 2, x+y being 4, and/or FDPH 4 ; b) possibly adjusting the pH at 10-12; c) adding FeSO 4 in a molar amount of 2:1 to 3:1 to Na x FDPH y and/or FDPH 4 , possibly adjusting the pH at 6.5-7.0, so to obtain Fe 2 FDP » 2H 2 O ; d) precipitating Fe 2 FDP*2H 2 O; e) heating the resulting mixture at 30-90 0 C; f) recovering the resulting precipitate; g) drying the recovered precipitate.
  • Na x FDPHy is a commercial product available on the market for instance by Biochimica Fuscama.
  • the step a) can be carried out under vacuum and/or in nitrogen atmosphere whereas the solubilizing is carried out in water.
  • a reducing agent which can be, in particular, selected from the group consisting of sodium metabisulfite or ascorbic acid; most preferably, the reducing agent is ascorbic acid.
  • the reducing agent is preferably in an amount of 10-30% to the Na x FDPH y or FDPH 4 moles.
  • the pH is advantageously adjusted by a strong base, having i.e. a pK b ⁇ 5 which, in particular, can be selected from the group consisting of ammonia, sodium hydrate or potassium hydrate.
  • the step c) is carried out at a pH of 6.8 whereas FeSO 4 , in the same step, may be in a molar amount of 2:1 to 3:1 to Na x FDPHy and/or FDPH 4 .
  • step e) is carried out at a temperature of 50°C-80°C whereas in the step f) recovering is carried out by filtering, in particular under vacuum.
  • step g) Further preferred is to carry out drying in step g) till a water content of 6-10 % w/w, in particular of 7-8% w/w, for instance making reference to a thermogravimetric analysis (TGA) .
  • TGA thermogravimetric analysis
  • the process of the present invention allows to obtain
  • Fe 2 FDP*2H 2 O with a yield ranging from 50% to 95%; the product obtained shows an excellent stability, a long shelf-life and an Fe 2+ titre higher or equal to 90%.
  • the process of the present invention comprises solubilizing Na x FDPH y in degassed water, under nitrogen current, adding vitamin C and FeSO 4 and adjusting the pH to about 6.5-7.0, f.i. by adding a strong base, such as ammonia, under stirring and nitrogen current, so to obtain Fe 2 FDP*2H 2 O; after heating the resulting mixture at 30-90 0 C for 15-30 min., the resulting precipitate is filtered under heating, rinsed with degassed water, always in nitrogen atmosphere, and finally dried.
  • a strong base such as ammonia
  • the process of the present invention comprises solubilizing Na x FDPH y in degassed water, under nitrogen current, adjusting the pH to about 11-12, f.i. by adding a strong base, such as sodium hydrate, under stirring, therefore obtaining a solution of Na 4 FDP which is then added to a solution of vitamin C and FeSO 4 , so to obtain Fe 2 FDP «2H 2 O; after heating the resulting mixture at 30-90 0 C for 15-30 min., the resulting precipitate is filtered under heating, rinsed with degassed water and finally dried.
  • a strong base such as sodium hydrate
  • a further preferred embodiment of the process of the invention comprises solubilizing FDPH 4 in degassed water, under nitrogen current, adding vitamin C and FeSO 4 and adjusting the pH to about 6-7, f.i. by adding a strong base, such as ammonia, under stirring and nitrogen current, so to obtain Fe 2 FDP*2H 2 0; after heating the resulting mixture at 40- 9O 0 C for 15-30 min., the resulting precipitate is filtered under heating, rinsed with degassed water, always in nitrogen atmosphere, and finally -dried.
  • a strong base such as ammonia
  • the Fe 2+ titre calculated by titration with a HCl solution of cerium sulphate, was found to be higher than 85%.
  • Example 2 To 800 ml of a water solution containing. ,75.6 g (0.222 mol) of FDPH 4 , degassed and maintained under nitrogen current. 4 g of vitamin C and 149 g of FeSO 4 « 7H 2 O (0.535 mol) were added.
  • the solid was filtered maintaining temperature at 75 0 C and rinsed with 400 ml of warm and degassed water, in nitrogen atmosphere.
  • Concentrated sodium hydroxide was added to the resulting solution, till complete salification to Na ⁇ FDP.
  • the solution, degassed and maintained under nitrogen atmosphere, was added to another solution, obtained by dissolving 4 g of vitamin C and 149 g (0.535 mol) of FeSO 4 » 7H 2 O in 450 ml of water, so that a precipitate was observed.
  • the solid was filtered under heating and rinsed with 400 ml of warm and degassed water, in nitrogen atmosphere.
  • the Fe 2+ titre calculated by titration with a HCl solution of cerium sulphate, was found to be higher than 90.1%.
  • Example 4 (comparative) Following the protocol illustrated in the Example 5 of JP63-227598, a 5% w/w solution of FDPH 4 (7.36 mmol) was added to a ' solution of Ba(OH) 2 '8 H 2 O (4.64 g; 14.7 mmol) in water (340 ml), under N 2 atmosphere.
  • the following table 1 illustrates the analysis of the products obtained in the example No.2 (values are expressed as percentage) .
  • the amount of the total iron, determined by inductively coupled plasma mass spectrometry (ICP-MS) results to be higher than the one of Fe 2+ because of a minor amount of Fe 2+ which oxidates itself to Fe 3+ during the process.
  • the water percentage was determined as weight loss by thermogravimetric analysis, heating the compound from 5O 0 C to 12O 0 C, a temperature at which there is no degradation was observed. At the heating rate of 10°C/min, the weight loss was detected only after 105 0 C. Since the thermogravimetric curve is quantitative, the calculation on the compound stoichiometry can be made:
  • Such depletion can originate itself from the chronic loss of blood or from affections of -the digesting apparatus that can reduce the absorption ' of iron.
  • Iron deficiency is also common in women during pregnancy or having intense and/or frequent menstruations.
  • Serum iron ⁇ g/dl 42. 6 55.2 49.4 45. 3 52. 1 59. 4 59. 6 56.9 54.3 57.3 53 2
  • Serum iron ⁇ g/dl 46. 9 58. 0 52. 4 48. 0 54. 7 62. 4 60. 8 59. 7 57. 6 58. 7. 55 9
  • - Figure 3 graphically shows the percentage variations of ⁇ .
  • the therapeutical effectiveness of Fe 2 FDP* 2H 2 O is about 3-4 times than the one found for FeSO 4 * 7H 2 O.
  • Fe 2 FDP* 2H 2 O shows a very high oral bioavailability.
  • a second group of 3 female rats was dosed at the same level as the previous group and kept under observation for 14 days as well.

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Abstract

The present invention relates to ferrous fructose-1,6-diphosphate dihydrate, use, composition and a process for the obtainment thereof. The compound of the invention shows a very high Fe2+ titre and an excellent stability in time and is useful for the preparation of a food supplement and/or a medicament for the prevention and/or the treatment of dietetic and/or morbid iron deficiency, in particular of dietary anemia, sideropenia, anemia.

Description

FERROUS FRUCTOSE-1 , 6-DIPHOSPHATE DIHYDRATE, USE, COMPOSITION AND PROCESS FOR THE OBTAINMENT THEREOF
The present invention relates to ferrous fructose-1, 6- diphosphate dihydrate, a process for the obtainment thereof, its use and a composition comprising it. .
Ferrous fructose-1, 6-diphosphate dihydrate has the following formula:
Figure imgf000002_0001
which will be herein indicated as Fe2FDP«2H2O [(FDP representing the Fructose-1, 6-DiPhosphate anion (C6Hi0Oi2P2 4") ]• Further, FDPH4 (CeHi4Oi2P2) will be herein used to indicate fructose-1, 6-diphosphate (1, 6-D-fructosediphosphoric acid).
It is known that ferrous salts are better absorbed than ferric salts and that yet they are unstable because of the oxidation of Fe2+ to Fe3+ and that, accordingly, they show a very short shelf-life.
JP63-227598 discloses • ferrous salts of hexose phosphate sugars, among which Fe2FDP trihydrate, a process for the production thereof and their use both as an iron food supplement and for the manufacture of a medicament for the prevention and/or treatment of iron deficiency, such as, for instance, iron deficiency anemia, dietary anemia, and the like. The synthesis of the disclosed salts comprises combining an alkaline or earth-alkaline salt of the selected hexose phosphate sugar with a ferrous salt such that an insoluble salt has to be formed in order to be easily separated by the hexose phosphate sugar ferrous salt, the latter, showing an Fe2+ titre lower or equal to 80% owing to the oxidation of the Fe2+, being then precipitated by the addition of a large excess of organic solvents or by freeze- drying . The hexose phosphate sugars disclosed by JP63-227598 further show a low stability in time.
It is therefore apparent the need, in the fields of dietetics and pharmaceuticals, of an iron food supplement and of a medicament for the prevention arid/or the treatment of iron deficiency which' show an excellent stability and shelf- life.
The applicant has surprisingly found that these needs can be advantageously overcome by administering Fe2FDP*2H2O.
According to a first aspect, the present invention relates to ferrous fructose-1, 6-diphosphate dihydrate (Fe2FDP»2H2O) having the following formula:
Figure imgf000003_0001
The compound of the invention can be administered as the Λactive principle' of a composition which represents another aspect of the present invention and which comprises at least one dietetically and/or pharmaceutically acceptable excipient .
The composition of the invention can be prepared by processes conventional in the field such as, for instance, by mixing the active principle with said at least one excipient which can be advantageously selected ■ among either organic or inorganic, inert excipients such as, for instance, water, gelatin, arable gum, lactose, starch, cellulose, magnesium stearate, talc, vegetal oils and the like.
The composition of the invention can be administered orally, for instance under the form of pills, capsules, solutions, emulsions, suspensions, granulates and the like; also, it can also comprise further components, as it will be clearly understood by the skilled man, such as for instance, preserving agents, stabilizers, emulsifiers, buffers and the like. Generally, the composition of the invention is administered under the form of a unitary dose comprising, for instance, 0.1 ^g of the .active principle per unitary dose.
According to another aspect, the present invention concerns the use of the compound and/or the composition as above defined for the preparation of a food supplement and/or a medicament for the prevention and/or the treatment of dietetic and/or morbid iron deficiency; in particular, for the prevention and/or the treatment of dietary anemia, sideropenia, anemia.
A further aspect of the present -invention relates to a method for the prevention and/or the treatment of dietetic and/or morbid iron deficiency in a mammal in the need thereof comprising administering a dietetically and/or therapeutically effective amount of the above defined compound and/or composition.
In particular, the mammal can be administered with a unitary dose of the compound of the invention of 0.5 to 10, preferably 1 to 2, mg/kg of body weight per day. Suitable treatments can comprise the daily administration of the above unitary dose from once to more times a day, preferably twice a day.
The dietetically and/όr pharmaceutically optimal dose can be readily determined by the man skilled in the art, depending on the iron deficiency and on the conditions (weight, age, diet, etc.) of the subject to be treated.
The above defined compound can be prepared according to a process, which is a further aspect of the present invention, comprising the steps of sequentially: a) in an inert atmosphere, solubilizing NaxFDPHy, wherein x varies from 2 to 3 and y varies from 1 to 2, x+y being 4, and/or FDPH4; b) possibly adjusting the pH at 10-12; c) adding FeSO4 in a molar amount of 2:1 to 3:1 to NaxFDPHy and/or FDPH4, possibly adjusting the pH at 6.5-7.0, so to obtain Fe2FDP » 2H2O ; d) precipitating Fe2FDP*2H2O; e) heating the resulting mixture at 30-900C; f) recovering the resulting precipitate; g) drying the recovered precipitate.
NaxFDPHy is a commercial product available on the market for instance by Biochimica Fuscama.
According to preferred embodiments, the step a) can be carried out under vacuum and/or in nitrogen atmosphere whereas the solubilizing is carried out in water.
Also preferred is to carry out the step a) in the presence of a reducing agent which can be, in particular, selected from the group consisting of sodium metabisulfite or ascorbic acid; most preferably, the reducing agent is ascorbic acid.
The reducing agent is preferably in an amount of 10-30% to the NaxFDPHy or FDPH4 moles.
In the steps b) and/or c) the pH is advantageously adjusted by a strong base, having i.e. a pKb<5 which, in particular, can be selected from the group consisting of ammonia, sodium hydrate or potassium hydrate.
According to further preferred embodiments, the step c) is carried out at a pH of 6.8 whereas FeSO4, in the same step, may be in a molar amount of 2:1 to 3:1 to NaxFDPHy and/or FDPH4.
Also preferred is to carry out the step e) at a temperature of 50°C-80°C whereas in the step f) recovering is carried out by filtering, in particular under vacuum.
Further preferred is to carry out drying in step g) till a water content of 6-10 % w/w, in particular of 7-8% w/w, for instance making reference to a thermogravimetric analysis (TGA) .
The process of the present invention allows to obtain
Fe2FDP*2H2O with a yield ranging from 50% to 95%; the product obtained shows an excellent stability, a long shelf-life and an Fe2+ titre higher or equal to 90%.
According to a preferred embodiment, the process of the present invention comprises solubilizing NaxFDPHy in degassed water, under nitrogen current, adding vitamin C and FeSO4 and adjusting the pH to about 6.5-7.0, f.i. by adding a strong base, such as ammonia, under stirring and nitrogen current, so to obtain Fe2FDP*2H2O; after heating the resulting mixture at 30-900C for 15-30 min., the resulting precipitate is filtered under heating, rinsed with degassed water, always in nitrogen atmosphere, and finally dried.
According to another preferred embodiment the process of the present invention comprises solubilizing NaxFDPHy in degassed water, under nitrogen current, adjusting the pH to about 11-12, f.i. by adding a strong base, such as sodium hydrate, under stirring, therefore obtaining a solution of Na4FDP which is then added to a solution of vitamin C and FeSO4, so to obtain Fe2FDP«2H2O; after heating the resulting mixture at 30-900C for 15-30 min., the resulting precipitate is filtered under heating, rinsed with degassed water and finally dried.
A further preferred embodiment of the process of the invention comprises solubilizing FDPH4 in degassed water, under nitrogen current, adding vitamin C and FeSO4 and adjusting the pH to about 6-7, f.i. by adding a strong base, such as ammonia, under stirring and nitrogen current, so to obtain Fe2FDP*2H20; after heating the resulting mixture at 40- 9O0C for 15-30 min., the resulting precipitate is filtered under heating, rinsed with degassed water, always in nitrogen atmosphere, and finally -dried. The following examples illustrate the invention without limiting it . Example 1
100 g of NaxFDPHy (produced by Biochimica Fuscama) ; 100 g contain 75.6 g of FDPH4, equal to 0.222 mol) were dissolved in 800 ml of water, degassed and maintained under nitrogen current. 4 g of vitamin C and 149 g of FeSO4 »7H2O (0.535 mol) were then added to the NaxFDPHy solution.
A precipitate was observed after adding concentrated ammonia, till adjustment of the pH to 6.8, under stirring and nitrogen current, to the resulting mixture.
After heating the resulting suspension at 800C for 15 min., during which time the pH lowered to about 5.7, the solid was filtered under heating and rinsed with 400 ml of warm and degassed water, in nitrogen atmosphere. After drying at 1000C under vacuum, 75 g of Fe2FDP«2H2O, as a grey powder, were obtained, with a yield of 70%.
The Fe2+ titre, calculated by titration with a HCl solution of cerium sulphate, was found to be higher than 85%.
Example 2 To 800 ml of a water solution containing. ,75.6 g (0.222 mol) of FDPH4, degassed and maintained under nitrogen current. 4 g of vitamin C and 149 g of FeSO4 «7H2O (0.535 mol) were added.
A precipitate was observed after adding concentrated ammonia, till adjustment of the pH to about 6.7-6.8, under stirring and nitrogen current, to the resulting mixture.
After heating the resulting suspension at 750C for about 15-30 min., the solid was filtered maintaining temperature at 750C and rinsed with 400 ml of warm and degassed water, in nitrogen atmosphere.
After drying at 1000C under vacuum, 76.5 g of Fe2FDP*2H2O, as a grey powder, were obtained.
The Fe2+ titre, calculated by titration with a HCl solution of cerium sulphate, was found to be 91.4%. Example 3
100 g of NaxFDPHy (produced by Biochimica Fuscama) , containing 75.6 g (0.222 mol) of FDPH4, were dissolved in 300 ml of water.
Concentrated sodium hydroxide was added to the resulting solution, till complete salification to NaήFDP. The solution, degassed and maintained under nitrogen atmosphere, was added to another solution, obtained by dissolving 4 g of vitamin C and 149 g (0.535 mol) of FeSO4 »7H2O in 450 ml of water, so that a precipitate was observed. After heating the resulting suspension at 75°C for about 15-30 min., the solid was filtered under heating and rinsed with 400 ml of warm and degassed water, in nitrogen atmosphere.
After drying at 1000C under vacuum, 51.0 g of Fe2FDP«2H2O, as a grey powder, were obtained.
The Fe2+ titre, calculated by titration with a HCl solution of cerium sulphate, was found to be higher than 90.1%.
Example 4 (comparative) Following the protocol illustrated in the Example 5 of JP63-227598, a 5% w/w solution of FDPH4 (7.36 mmol) was added to a' solution of Ba(OH)2'8 H2O (4.64 g; 14.7 mmol) in water (340 ml), under N2 atmosphere.
The resulting mixture was vigorously shaken for 30 minutes at 250C. After that time, FeSO4 '7H2O (4.08 g; 14.7 mmol) was dissolved in water (40 ml) and the resulting solution was added to the previous mixture.
A white solid, corresponding to BaSO4 was removed by filtration and then, ethanol (800 ml) was added. According to what described by JP63-227598, a green solid should have precipitated in a fairly good amount yet, only a negligible amount of a precipitate was indeed obtained. Remarkably, such a precipitate, adversely to what disclosed in JP63-227598, did not correspond to Fe2FDP»3H2O. Fe2FDP 2H2O ANALYSIS
The following table 1 illustrates the analysis of the products obtained in the example No.2 (values are expressed as percentage) .
Table 1
Figure imgf000009_0001
Note: the amount of the total iron, determined by inductively coupled plasma mass spectrometry (ICP-MS) results to be higher than the one of Fe2+ because of a minor amount of Fe2+ which oxidates itself to Fe3+ during the process.
The water percentage was determined as weight loss by thermogravimetric analysis, heating the compound from 5O0C to 12O0C, a temperature at which there is no degradation was observed. At the heating rate of 10°C/min, the weight loss was detected only after 1050C. Since the thermogravimetric curve is quantitative, the calculation on the compound stoichiometry can be made:
The elementary analysis values of carbon, hydrogen and phosphor were detected on Fe2FDP»2H2O and are illustrated in the following table 2:
Table 2
Figure imgf000009_0002
Fe2FDP 2H2O STABILITY
The following table 3 illustrates the measured data:
Table 3
Figure imgf000009_0003
PHARMACOLOGICAL 'TESTS
The main cause of iron deficiency has been heretofore ascribed to the depletion of the iron reserves in the. body.
Such depletion can originate itself from the chronic loss of blood or from affections of -the digesting apparatus that can reduce the absorption' of iron.
Iron deficiency is also common in women during pregnancy or having intense and/or frequent menstruations.
The tests carried out, and illustrated in the following, aim to compare the hematic values of serum iron (μg/ml) , of the total transferrin (mg/ml) , of ferritin (ng/ml) , of haemoglobin (g/dl) and of hematocrit (%) in 20 subjects treated with both FeSO4 «7H2O and Fe2FDP»2H2O, wishing to evaluate the therapeutic ability of the latter. MATERIALS AND METHODS
20 volunteers, 10 women and 10 men, 18 to 60 years old, slightly affected by sideropenia, were selected according to a random criterion and subdivided in two similar groups of 10 subjects each, identified as Group 1 and Group 2. The study was carried out in two steps, of 14 days each, denominated Step A and Step B, as illustrated in the following table 4,- in double blind and using the cross-over technique. Any administration was done twice a day, orally.
Table 4
STEP A
GROUP 1 GROUP 2
20 mg of Fe from Fe2FDP •2H2O 20 mg of Fe from FeSO4 «7H2O
STEP B
GROUP 1 GROUP 2
20 mg of Fe from FeSO4* 7H2O 20 mg of Fe from Fe2FDP '2H2O
Any of the treated subjects was blood drawn at the end of both steps A and B, measuring the parameters illustrated in the following tables 5-12.
Figure imgf000011_0001
TABLE 6: STEP A GROUP 1 - HEMATIC VALUES AFTER 14 DAYS OF TREATMENT WITH Fe2FDP* 2H2O
Volunteer 1 2 3 4 5 6 7 8 9 10 average
Serum iron μg/dl 42. 6 55.2 49.4 45. 3 52. 1 59. 4 59. 6 56.9 54.3 57.3 53 2
Total Transferrin mg/dl 262 .8 250.8 253.6 257 .4 255 .0 306 .6 278 .6 267.4 267.6 283.7 268 .4
Ferritin ng/ml 5. 3 10.8 8.4 7. 1 9. 0 64. 8 71. 8 66.6 63.3 69.5 37 7
HGB g/dl 11. 4 11.8 11.8 11. 7 11. 6 12. 6 12. 4 12.4 11.7 11.0 11 8
HCT % 35. 9 37.5 37.3 36. 1 36. 8 39. 9 39. 4 39.2 39.6 38.5 38 0
Sex F F F F F M M M M M
Figure imgf000012_0001
TABLE 8: STEP A GROUP 2 - HEMATIC VALUES AFTER 14 ] DAYS OF TREATMENT: WITH FeSO4 •7H2O
Volunteer 11 12 13 14 15 16 17 18 19 20 average
Serum iron μg/dl 39.1 48.4 44.9 42.8 45.1 60. 5 53. 0 50.6 62. 7 51. 7 49. 9
Total Transferrin mg/dl 291.3 267.7 286.6 278.9 292.7 329 .8 283 .4 296.4 286 .8 312 .8 292 .6
Ferritin ng/ml 4.9 9.0 7.1 6.1 7.2 54. 1 58. 6 58.5 56. 5 58. 3 32. 0
HGB g/dl 11.2 11.4 10.9 11.0 10.8 12. 3 12. 0 11.5 12. 1 10. 2 11. 3
HCT % 35.9 35.1 35.2 35.4 35.7 39. 8 36. 8 36.9 39. 1 37. 1 36. 7
Sex F F F F F M M M M M
Figure imgf000013_0001
TABLE 10: STEP B GROUP 2 - HEMATIC VALUES AFTER 14 DAYS OF TREATMENT 1 WITH Fe2FDP* 2H2C )
Volunteer 11 12 13 14 15 16 17 18 19 2C average
Serum iron μg/dl 48.9 57. 1 54. 8 52. 2 53.2 69. 6 56. 7 59. 7 75. 9 55. 8 58 .4
Total Transferrin mg/dl 233.0 231 .9 234 .9 223 .6 248.1 296 .8 264 .9 241 .2 237 .0 289 .6 250 .1
Ferritin ng/ml 7.0 12. 3 10. 1 8. 4 10.2 75. 7 76. 2 81. 3 80. 2 70. 5 43 .2
HGB g/dl 11.8 12. 0 11. 7 11. 9 11.4 12. 9 12. 7 12. 3 13. 1 10. 8 12 .1
HCT % 37.9 36. 9 37. 5 38. 2 38.1 41. 8 39. 2 39. 6 42. 3 39. 5 39 .1
Sex F F F F F M M M M M
Figure imgf000014_0001
TABLE 12: STEP B GROUP 1 - HEMATIC VALUES AFTER 14 I DAYS OF TREATMENT WITH FeSO4 •7H2 O
Volunteer 1 2 3 4 5 6 7 8 9 10 average
Serum iron μg/dl 46. 9 58. 0 52. 4 48. 0 54. 7 62. 4 60. 8 59. 7 57. 6 58. 7. 55 9
Total Transferrin mg/dl 238 .9 243 .9 239 .2 237 .8 242 .9 302 .0 273 .1 244 .7 252 .5 276 .8 255 .2
Ferritin ng/ml 6. 6 11. 9 9. 4 8. 1 10. 1 73. 0 78. 4 75. 3 72. 2 74. 7 42 .0
HGB g/dl 11 6 12. 1 12. 1 12 1 11. 8 12. 8 12. 6 12. 6 11. 9 11. 3 12 1
HCT % 36 7 38 5 38. 2 37 3 37. 6 40. 5 40 3 39. 9 40. 4 39. 4 38 9
Sex F F F F F M M M M M
The parameters (1- Serum iron; 2-transferrin; 3-ferritin; 4-hemoglobin; 5-hematocrit ) measured in the different steps in the two groups, are also graphically represented in figures 1-6 wherein: -Figure 1 graphically shows the average values during step A, administering Fe2FDP*2H2O to group 1 (i = before, ii = after) ;
-Figure 2 graphically shows the average values during step A, administering FeSO4*7H2O to group 2 (i = before, ii = after) ;
-Figure 3 graphically shows the percentage variations of . the parameters measured in both groups at the end of step A, after 14 days of therapy (1 = group 1, administered with Fe2FDP*2H2O - 2 = group 2, administered with FeSO4*7H2O); -Figure 4 graphically shows the average values during step B, administering Fe2FDP*2H2O to group 2 (i = before, ii=after) ;
-Figure 5 graphically shows the average values during step B, administering FeSO4* 7H2O to group 1 (i = before, ii = after) ;
-Figure 6 graphically shows the percentage variations of the parameters measured in both groups at the end of step B, after 14 days of therapy (1 = group 1, administered with FeSO4*7H2O - 2 = group 2, administered with Fe2FDP* 2H2O) ; DISCUSSION OF THE RESULTS
As illustrated in the following table 13 and by Fig. 3, at the end of step A, the therapeutic effectiveness of Fe2FDP*2H2O is about double than the one found for FeSO4*7H2O. TABLE 13
Figure imgf000015_0001
Figure imgf000016_0001
As illustrated in the following table 14 and by Fig. 6, at the end of step A, and although the percentage changes with respect to the basal values are lower, the therapeutical effectiveness of Fe2FDP* 2H2O is about 3-4 times than the one found for FeSO4* 7H2O.
TABLE 14
Figure imgf000016_0002
The variations of the five hematic parameters found between the two groups, both at end of step A and step B, are significant p<0.01.
On the basis of the results obtained, it is possible to note that Fe2FDP* 2H2O shows a very high oral bioavailability.
ACUTE TOXICITY The acute toxicity of Fe2FDP'2H2O was investigated by administering a first group of 3 female rats 2000 mg/kg of Fe2FDP'2H2O in a single dose, keeping them under observation for 14 days.
A second group of 3 female rats was dosed at the same level as the previous group and kept under observation for 14 days as well.
Body weight loss and reduction of the body weight gaining were observed in the animals of the group 1 during the second week of the study whereas changes in the body weight of the animals of the second group were not remarkable throughout the 14 days.
The animals of both groups were suppressed at the end' of the treatment and subjected to necropsy investigation whereby no abnormalities emerged.
Neither mortality nor clinical signs were reported, for both groups, at the end of the treatment, this showing that the LD50 is higher than 2000 mg/kg and therefore the absence of any toxic effect of Fe2FDP*2H2θ on rat. BIOAVAILABILITY
The bioavailability of Fe2FDP»2H2θ was investigated in comparison with the commercial product FERRO-GRAD® (ferrous sulphate heptahydrate) sold by Abbott SpA.
10 healthy subjects (7 men and 3 women, 30 years old, as an average), were administered for 10 days, twice a day, with FERRO-GRAD®; after one week, the same group was administered for 10 days, twice a day with Fe2FDP* 2H2O. In both cases, the Fe2+ daily dose administered to each subject amounted to 105 rng. The results are illustrated in the following tables 15 and 16 and in figures 7-8; the following abbreviations are herebelow used: AV = average; SD = standard deviation.
Table 15
Serum iron increase (μg/dl ) after the administration of FERRO-GRAD®
Hours 1 2 3 4 5 6
Subject
1 67 63 97 55 105 80
2 2 60 97 114 101 104
3 53 56 44 74 44 13
4 10 123 121 131 188 155
5 18 46 3 50 61 32
6 28 84 96 65 69 50
7 29 75 96 72 87 12
8 1 12 2 31 39 47
9 85 181 144 196 184 156
10 8 2 10 1 33 28
AV 30.1 70.2 71.0 78.9 91.1 67.7
SD 29.02' 51.92 .51.93 55.47 55.81 54.34 Table 16
Serum iron increase (μg/dl) after the administration of
Fe2FDP*2H2O
Hours 1 2 3 4 5 6
Subject
1 20 100 117 125 124 71
2 24 29 150 170 152 56
3 16 29 2 18 30 18
4 37 86 95 103 85 76
5 2 65 56 72 27 1
6 27 74 139 129 149 155
7 35 36 113 37 9 75
8 57 66 3 74 63 57
9 152 65 322 290 231 207
10 37 41 70 31 77 86
AV 40.7 59.1 106.7 104.9 94.7 80.2
SD 41.79 24.52 91.40 81.07 69.28 60.65
The serum iron increase, both expressed as μg/dl and logic measured after administering FERRO-GRAD® and Fe2FDP«2H2O, is also graphically represented in figures 7-8 wherein:
-Figure 7 reflects the data reported in the last two tables above and graphically shows the course of the average values of the serum iron, expressed as μg/dl, for both groups A and B, in time (h) (1 = FERRO-GRAD® - 2 = Fe2FDP* 2H2O) ; -Figure 8 graphically shows (1 = FERRO-GRAD® - 2 = Fe2FDP^H2O) the same data illustrated in the previous figure 7 yet, in logarithmic scale. It is in fact known that many biological data correspond more closely to a log normal distribution: AUC and Cmaχ tend to be skewed and their variances increase with the means. Logarithmic transformation makes the variance independent of the mean and the frequency distribution is made more symmetrical.
Further, the following tables 17-20 report all the studied parameters along with the relevant results [the following abbreviations are herebelow used: AV = average; SD = standard deviation; R = ratio between the average values calculated for each of the measured parameters; AϋCo-6 = area under the curve in time (0-6 h) ; AUC0-~ = area under the curve in time (O-∞ h) ; Cmax = highest hematic concentration; tmax = time to reach the highest hematic concentration; t^ = the time to observe half the starting concentration of the compound; GA = geometric average; CC = change coefficient].- Table 17
FERRO-GRAD® Fe2FDP •2H2O
AV SD AV SD R
AUCo-6
(μg-h/dl) 412 ± 247 478 ± 287 0.86
AUC0-OO 893 ± 736 973 + 699 0.92
Cmax (μg/dl) 101 ± 54 125 + 80 0.81 tmax (h) 4.4 ± 1" 4.3 + 1 0..98 tl/2 (h) 3.6 ± 3 3.4 + 2 0.94
Table 18
FERRO-GRAD® Fe2FDP '2H2O
GA GA R
AUCo-6
(μg'h/dl) 340 417 0.81
AUCo- 666 773 0.86
Cmax (μg/dl) 88 105 0.84 tmax (h) 4.3 4.2 0.98 tl/2 (h) 2.9 2.9 1
Table 19
FERRO-GRAD® Fe2FDP«2H2O
CC CC
AUCo-6
(μg'h/dl) 0.6 0.6
AUC0- 0.82 0.72
Cmax (μg/dl) 0.54 0.64 tmax (h) 0.22 0.25
Table 20
FERRO-GRAD® Fe2FDP* 2H2O
Logio Log10 R
AUCo-6
(μg«hVdl) 9. 7 + 2.4 10.3 ± 1.7 0.94
AUC0- 12 .2 + 2.7 12.7 ± 2.2 0.95
Cmax (μg/dl) 1. 94 ± 0.2 2 ± 0.3 0.97 tmax (h) 0. 63 ± 0.2 0.62 ± 0.1 0.98 . It can be noted that the time to reach the highest concentration (tmax) and both the areas under the curve (AUCo-6 and AUC0-Co) are higher in the case Fe2FDP^II2O whereas t^ is slightly shorter for the compound of the invention (this implying its faster disappearance in blood circulation in comparison with FERRO-GRAD®) .
On the basis of the above reported data, it can be therefore noted that the release profiles of FERRO-GRAD® and Fe2FDP* 2H2O are similar and that the latter compound is better tolerated than the former one.
Also the bioavailability results to be in favour of Fe2FDP* 2H2O in comparison with FERRO-GRAD® in view of the above reported measured parameters.

Claims

1. Ferrous fructose-1, 6-diphosphate dihydrate (Fe2FDP«2H2θ) having the following formula:
Figure imgf000021_0001
2. A composition comprising the compound according to claim 1 and at least one dietetically and/or pharmaceutically acceptable excipient.
3. A composition according to the previous claim, wherein the dietetically and/or pharmaceutically acceptable excipient is selected from the group consisting of water, gelatin, arabic gum, lactose, starch, cellulose, magnesium stearate, talc, vegetal oils and the like.
4. Use of the compound and/or the composition according to any of the previous claims for the preparation of a food supplement and/or a medicament for the prevention and/or the treatment of dietetic and/or morbid iron deficiency.
5. Use according to the previous claim for the preparation of a food supplement and/or a medicament for the prevention and/or the treatment of dietary anemia, sideropenia, anemia.
6. A method for the ' prevention and/or the treatment of dietetic and/or morbid iron deficiency in a mammal in the need thereof comprising administering a dietetically and/or therapeutically effective amount of the compound and/or composition according to any of claims 1 to 3.
7. A method according to the previous claim, wherein a dose of the compound according to claim 1 of 0.5 to 10 mg/kg of body weight per day is administered to the mammal.
8. A method according to claim 6 or 7, wherein a dose of the compound according to claim 1 of 1 to 2 mg/kg of body weight per day is administered to the mammal.
9. A process for preparing the compound according to claim 1 comprising the steps of sequentially: a) in an inert atmosphere, solubilizing NaxFDPHy, wherein x varies from 2 to 3 and y varies from 1 to 2, x+y being 4, and/or FDPH4; b) possibly adjusting the pH at 10-12; c) adding FeSO4 in a molar amount of 2:1 to 3:1 to NaxFDPHy and/or FDPH4, possibly adjusting the pH at 6.5-7.0, so to obtain Fe2FDP'2H2O; d) precipitating Fe2FDP'2H2O; e) heating -the resulting mixture at 30-900C; f) recovering the resulting precipitate; g) drying the recovered precipitate.
10. A process according to the previous claim, wherein the step a) is carried out under vacuum.
11. A process according to claim 9 or 10, wherein the step a) is carried out in nitrogen atmosphere.
12. A process according to any of claims 9 to 11, wherein in the step a), the solubilizing is carried out in water.
13. A process according to any of claims 9 to 12, wherein the step a) is carried out in the presence of a reducing agent .
14. A process according to the previous claim, wherein the reducing agent is sodium metabisulfite and/or ascorbic acid.
15. A process according to claim 13 or 14, wherein the reducing agent is ascorbic acid.
16. A process according to any of claims 13 to 15, wherein the reducing agent is in amount of 10-30% to the NaxFDPHy or FDPH4 moles.
17. A process according to any of claims 9 to 16, wherein in the steps b) and/or c) the pH is adjusted by a base having a pKb<5.
18. A process according to the previous claim, wherein the base is selected from the group consisting of ammonia, sodium hydrate and potassium hydrate.
19. A process according to any of claims 9 to 18, wherein in- the step c) FeSO4 is in a molar amount of 2:1 to 3:1 to NaxFDPHy and/or 'FDPH4.' "
20. A process according to any of claims 9 to 19, wherein the step c) is carried out at a pH of 6.8.
21. A process according to any of claims 9 to 20, wherein the step e) is carried out at 50°C-80°C.
22. A process according to any of claims 9 to 21, wherein in the step f) recovering is carried out by filtering.
23. A process according to any of claims 9 to 22, wherein in the step f) recovering is carried out by filtering under vacuum.
24. A process according to any of claims 9 to 23, wherein in the step g) drying is carried till a water content of 6-
10% w/w.
25. A process according to any of claims 9 to 24, wherein in the step g) drying is carried till a water content of 7-8% w/w.
PCT/EP2005/002775 2005-03-16 2005-03-16 Ferrous fructose-1,6-diphosphate, use, composition and process for the obtainment thereof WO2006097122A1 (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4530902A (en) * 1979-01-16 1985-07-23 Biomedica Foscama Industria Chimico Farmaceutica S.P.A. Method for producing fructose-1,6-diphosphoric acid
JPS63227598A (en) * 1987-03-17 1988-09-21 Kao Corp Hexose phosphoric acid ferrous salt, production thereof and iron-providing agent containing said salt

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4530902A (en) * 1979-01-16 1985-07-23 Biomedica Foscama Industria Chimico Farmaceutica S.P.A. Method for producing fructose-1,6-diphosphoric acid
JPS63227598A (en) * 1987-03-17 1988-09-21 Kao Corp Hexose phosphoric acid ferrous salt, production thereof and iron-providing agent containing said salt

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
DATABASE CAPLUS [online] CHEMICAL ABSTRACTS SERVICE, COLUMBUS, OHIO, US; 1989, IMAMURA T ET AL: "Preparation of hexose phosphate ferrous salts and iron-supplements containing them.", XP002355324, retrieved from STN Database accession no. 1989:213274 *

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