WO2009047826A2 - Pharmaceutical composition comprising sucralphate and mesalazine - Google Patents
Pharmaceutical composition comprising sucralphate and mesalazine Download PDFInfo
- Publication number
- WO2009047826A2 WO2009047826A2 PCT/IT2008/000639 IT2008000639W WO2009047826A2 WO 2009047826 A2 WO2009047826 A2 WO 2009047826A2 IT 2008000639 W IT2008000639 W IT 2008000639W WO 2009047826 A2 WO2009047826 A2 WO 2009047826A2
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- WIPO (PCT)
- Prior art keywords
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- composition according
- lesions
- sucralphate
- mesalazine
- Prior art date
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- KBOPZPXVLCULAV-UHFFFAOYSA-N mesalamine Chemical compound NC1=CC=C(O)C(C(O)=O)=C1 KBOPZPXVLCULAV-UHFFFAOYSA-N 0.000 title claims abstract description 21
- 229960004963 mesalazine Drugs 0.000 title claims abstract description 21
- 239000008194 pharmaceutical composition Substances 0.000 title abstract description 7
- 239000000203 mixture Substances 0.000 claims abstract description 29
- 210000000664 rectum Anatomy 0.000 claims abstract description 13
- 201000010099 disease Diseases 0.000 claims abstract description 12
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 12
- 230000003902 lesion Effects 0.000 claims abstract description 12
- 241000792859 Enema Species 0.000 claims abstract description 8
- 206010036774 Proctitis Diseases 0.000 claims abstract description 8
- 239000006071 cream Substances 0.000 claims abstract description 8
- 229940095399 enema Drugs 0.000 claims abstract description 8
- 239000007920 enema Substances 0.000 claims abstract description 8
- 239000000499 gel Substances 0.000 claims abstract description 8
- 229940100618 rectal suppository Drugs 0.000 claims abstract description 8
- 239000006215 rectal suppository Substances 0.000 claims abstract description 8
- 208000000412 Avitaminosis Diseases 0.000 claims abstract description 4
- 206010021135 Hypovitaminosis Diseases 0.000 claims abstract description 4
- 208000003251 Pruritus Diseases 0.000 claims abstract description 4
- 206010054828 Rectal lesion Diseases 0.000 claims abstract description 4
- 241000842539 Rhagades Species 0.000 claims abstract description 4
- 206010040849 Skin fissures Diseases 0.000 claims abstract description 4
- 208000025865 Ulcer Diseases 0.000 claims abstract description 4
- 241000700605 Viruses Species 0.000 claims abstract description 4
- 235000002201 avitaminosis Nutrition 0.000 claims abstract description 4
- 238000002512 chemotherapy Methods 0.000 claims abstract description 4
- 208000014617 hemorrhoid Diseases 0.000 claims abstract description 4
- 230000007803 itching Effects 0.000 claims abstract description 4
- 238000001959 radiotherapy Methods 0.000 claims abstract description 4
- 231100000397 ulcer Toxicity 0.000 claims abstract description 4
- 208000030401 vitamin deficiency disease Diseases 0.000 claims abstract description 4
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 claims description 9
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 claims description 8
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 claims description 8
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 8
- 229940016409 methylsulfonylmethane Drugs 0.000 claims description 7
- HHVIBTZHLRERCL-UHFFFAOYSA-N sulfonyldimethane Chemical compound CS(C)(=O)=O HHVIBTZHLRERCL-UHFFFAOYSA-N 0.000 claims description 7
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 claims description 6
- SCVFZCLFOSHCOH-UHFFFAOYSA-M potassium acetate Chemical compound [K+].CC([O-])=O SCVFZCLFOSHCOH-UHFFFAOYSA-M 0.000 claims description 6
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 4
- 239000004471 Glycine Substances 0.000 claims description 4
- 229940107702 grapefruit seed extract Drugs 0.000 claims description 4
- 239000004310 lactic acid Substances 0.000 claims description 4
- 235000014655 lactic acid Nutrition 0.000 claims description 4
- WXMKPNITSTVMEF-UHFFFAOYSA-M sodium benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1 WXMKPNITSTVMEF-UHFFFAOYSA-M 0.000 claims description 4
- 235000010234 sodium benzoate Nutrition 0.000 claims description 4
- 239000004299 sodium benzoate Substances 0.000 claims description 4
- ZGTMUACCHSMWAC-UHFFFAOYSA-L EDTA disodium salt (anhydrous) Chemical compound [Na+].[Na+].OC(=O)CN(CC([O-])=O)CCN(CC(O)=O)CC([O-])=O ZGTMUACCHSMWAC-UHFFFAOYSA-L 0.000 claims description 3
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 claims description 3
- 229920002125 Sokalan® Polymers 0.000 claims description 3
- HPNMFZURTQLUMO-UHFFFAOYSA-N diethylamine Chemical compound CCNCC HPNMFZURTQLUMO-UHFFFAOYSA-N 0.000 claims description 3
- -1 liquid paraffin Substances 0.000 claims description 3
- 229940057995 liquid paraffin Drugs 0.000 claims description 3
- 229960003511 macrogol Drugs 0.000 claims description 3
- 235000011056 potassium acetate Nutrition 0.000 claims description 3
- RWPGFSMJFRPDDP-UHFFFAOYSA-L potassium metabisulfite Chemical compound [K+].[K+].[O-]S(=O)S([O-])(=O)=O RWPGFSMJFRPDDP-UHFFFAOYSA-L 0.000 claims description 3
- 229940043349 potassium metabisulfite Drugs 0.000 claims description 3
- 235000010263 potassium metabisulphite Nutrition 0.000 claims description 3
- 229940037001 sodium edetate Drugs 0.000 claims description 3
- 239000011782 vitamin Substances 0.000 claims description 3
- 235000013343 vitamin Nutrition 0.000 claims description 3
- 229930003231 vitamin Natural products 0.000 claims description 3
- 229940088594 vitamin Drugs 0.000 claims description 3
- 239000000230 xanthan gum Substances 0.000 claims description 3
- 229920001285 xanthan gum Polymers 0.000 claims description 3
- 229940082509 xanthan gum Drugs 0.000 claims description 3
- 235000010493 xanthan gum Nutrition 0.000 claims description 3
- NOOLISFMXDJSKH-UTLUCORTSA-N (+)-Neomenthol Chemical compound CC(C)[C@@H]1CC[C@@H](C)C[C@@H]1O NOOLISFMXDJSKH-UTLUCORTSA-N 0.000 claims description 2
- DNIAPMSPPWPWGF-GSVOUGTGSA-N (R)-(-)-Propylene glycol Chemical compound C[C@@H](O)CO DNIAPMSPPWPWGF-GSVOUGTGSA-N 0.000 claims description 2
- QCDWFXQBSFUVSP-UHFFFAOYSA-N 2-phenoxyethanol Chemical compound OCCOC1=CC=CC=C1 QCDWFXQBSFUVSP-UHFFFAOYSA-N 0.000 claims description 2
- 244000144725 Amygdalus communis Species 0.000 claims description 2
- 235000011437 Amygdalus communis Nutrition 0.000 claims description 2
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 claims description 2
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 claims description 2
- NOOLISFMXDJSKH-UHFFFAOYSA-N DL-menthol Natural products CC(C)C1CCC(C)CC1O NOOLISFMXDJSKH-UHFFFAOYSA-N 0.000 claims description 2
- 235000009499 Vanilla fragrans Nutrition 0.000 claims description 2
- 244000263375 Vanilla tahitensis Species 0.000 claims description 2
- 235000012036 Vanilla tahitensis Nutrition 0.000 claims description 2
- 239000000443 aerosol Substances 0.000 claims description 2
- 239000008168 almond oil Substances 0.000 claims description 2
- 229940031955 anhydrous lanolin Drugs 0.000 claims description 2
- 235000011187 glycerol Nutrition 0.000 claims description 2
- 229960005150 glycerol Drugs 0.000 claims description 2
- FDUCMRMJOHDBQW-UHFFFAOYSA-N hydroxy-oxo-sulfinosulfonyloxymethane Chemical compound C(=O)(O)OS(=O)(=O)S(=O)O FDUCMRMJOHDBQW-UHFFFAOYSA-N 0.000 claims description 2
- 229940041616 menthol Drugs 0.000 claims description 2
- 229960005323 phenoxyethanol Drugs 0.000 claims description 2
- 229960004109 potassium acetate Drugs 0.000 claims description 2
- CVHZOJJKTDOEJC-UHFFFAOYSA-N saccharin Chemical compound C1=CC=C2C(=O)NS(=O)(=O)C2=C1 CVHZOJJKTDOEJC-UHFFFAOYSA-N 0.000 claims description 2
- 239000000901 saccharin and its Na,K and Ca salt Substances 0.000 claims description 2
- 229940069764 shark liver oil Drugs 0.000 claims description 2
- 239000010686 shark liver oil Substances 0.000 claims description 2
- 229910052708 sodium Inorganic materials 0.000 claims description 2
- 239000011734 sodium Substances 0.000 claims description 2
- 229960003885 sodium benzoate Drugs 0.000 claims description 2
- HSFQBFMEWSTNOW-UHFFFAOYSA-N sodium;carbanide Chemical group [CH3-].[Na+] HSFQBFMEWSTNOW-UHFFFAOYSA-N 0.000 claims description 2
- 239000000600 sorbitol Substances 0.000 claims description 2
- 235000010356 sorbitol Nutrition 0.000 claims description 2
- 229940099259 vaseline Drugs 0.000 claims description 2
- 239000000341 volatile oil Substances 0.000 claims description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 2
- 229940041666 rectal gel Drugs 0.000 claims 1
- 238000009472 formulation Methods 0.000 abstract description 4
- 230000000694 effects Effects 0.000 description 6
- 239000003814 drug Substances 0.000 description 5
- 229940079593 drug Drugs 0.000 description 4
- 230000002265 prevention Effects 0.000 description 4
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 3
- 230000003110 anti-inflammatory effect Effects 0.000 description 3
- 239000003963 antioxidant agent Substances 0.000 description 3
- 230000003078 antioxidant effect Effects 0.000 description 3
- 235000006708 antioxidants Nutrition 0.000 description 3
- 208000028774 intestinal disease Diseases 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 206010009900 Colitis ulcerative Diseases 0.000 description 2
- 208000011231 Crohn disease Diseases 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 201000006704 Ulcerative Colitis Diseases 0.000 description 2
- GVJHHUAWPYXKBD-UHFFFAOYSA-N d-alpha-tocopherol Natural products OC1=C(C)C(C)=C2OC(CCCC(C)CCCC(C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-UHFFFAOYSA-N 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- 230000004054 inflammatory process Effects 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 235000019165 vitamin E Nutrition 0.000 description 2
- 239000011709 vitamin E Substances 0.000 description 2
- FUFLCEKSBBHCMO-UHFFFAOYSA-N 11-dehydrocorticosterone Natural products O=C1CCC2(C)C3C(=O)CC(C)(C(CC4)C(=O)CO)C4C3CCC2=C1 FUFLCEKSBBHCMO-UHFFFAOYSA-N 0.000 description 1
- FPIPGXGPPPQFEQ-UHFFFAOYSA-N 13-cis retinol Natural products OCC=C(C)C=CC=C(C)C=CC1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-UHFFFAOYSA-N 0.000 description 1
- MFYSYFVPBJMHGN-ZPOLXVRWSA-N Cortisone Chemical compound O=C1CC[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 MFYSYFVPBJMHGN-ZPOLXVRWSA-N 0.000 description 1
- MFYSYFVPBJMHGN-UHFFFAOYSA-N Cortisone Natural products O=C1CCC2(C)C3C(=O)CC(C)(C(CC4)(O)C(=O)CO)C4C3CCC2=C1 MFYSYFVPBJMHGN-UHFFFAOYSA-N 0.000 description 1
- 241000588724 Escherichia coli Species 0.000 description 1
- 206010061218 Inflammation Diseases 0.000 description 1
- 102000057297 Pepsin A Human genes 0.000 description 1
- 108090000284 Pepsin A Proteins 0.000 description 1
- 208000008469 Peptic Ulcer Diseases 0.000 description 1
- 208000015815 Rectal disease Diseases 0.000 description 1
- CZMRCDWAGMRECN-UHFFFAOYSA-N Rohrzucker Natural products OCC1OC(CO)(OC2OC(CO)C(O)C(O)C2O)C(O)C1O CZMRCDWAGMRECN-UHFFFAOYSA-N 0.000 description 1
- 208000007107 Stomach Ulcer Diseases 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- FPIPGXGPPPQFEQ-BOOMUCAASA-N Vitamin A Natural products OC/C=C(/C)\C=C\C=C(\C)/C=C/C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-BOOMUCAASA-N 0.000 description 1
- 229930003427 Vitamin E Natural products 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 230000016571 aggressive behavior Effects 0.000 description 1
- FPIPGXGPPPQFEQ-OVSJKPMPSA-N all-trans-retinol Chemical compound OC\C=C(/C)\C=C\C=C(/C)\C=C\C1=C(C)CCCC1(C)C FPIPGXGPPPQFEQ-OVSJKPMPSA-N 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 239000004411 aluminium Substances 0.000 description 1
- WNROFYMDJYEPJX-UHFFFAOYSA-K aluminium hydroxide Chemical compound [OH-].[OH-].[OH-].[Al+3] WNROFYMDJYEPJX-UHFFFAOYSA-K 0.000 description 1
- 229910021502 aluminium hydroxide Inorganic materials 0.000 description 1
- 150000001413 amino acids Chemical class 0.000 description 1
- 230000000844 anti-bacterial effect Effects 0.000 description 1
- 230000000840 anti-viral effect Effects 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 239000003833 bile salt Substances 0.000 description 1
- 229940093761 bile salts Drugs 0.000 description 1
- 229960004544 cortisone Drugs 0.000 description 1
- 230000008034 disappearance Effects 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- WIGCFUFOHFEKBI-UHFFFAOYSA-N gamma-tocopherol Natural products CC(C)CCCC(C)CCCC(C)CCCC1CCC2C(C)C(O)C(C)C(C)C2O1 WIGCFUFOHFEKBI-UHFFFAOYSA-N 0.000 description 1
- 231100000029 gastro-duodenal ulcer Toxicity 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-M hydrogensulfate Chemical compound OS([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-M 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 229960004592 isopropanol Drugs 0.000 description 1
- 230000003472 neutralizing effect Effects 0.000 description 1
- 230000003119 painkilling effect Effects 0.000 description 1
- 229940111202 pepsin Drugs 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 229960004063 propylene glycol Drugs 0.000 description 1
- 239000011241 protective layer Substances 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 229910021653 sulphate ion Inorganic materials 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 235000019155 vitamin A Nutrition 0.000 description 1
- 239000011719 vitamin A Substances 0.000 description 1
- 235000019154 vitamin C Nutrition 0.000 description 1
- 239000011718 vitamin C Substances 0.000 description 1
- 229940046009 vitamin E Drugs 0.000 description 1
- 229940045997 vitamin a Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/75—Rutaceae (Rue family)
- A61K36/752—Citrus, e.g. lime, orange or lemon
-
- 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
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
-
- 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
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
- A61K31/198—Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
-
- 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
- A61K31/60—Salicylic acid; Derivatives thereof
- A61K31/606—Salicylic acid; Derivatives thereof having amino groups
-
- 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
- A61K31/7024—Esters of saccharides
-
- 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
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0031—Rectum, anus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/02—Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/04—Antipruritics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/14—Vasoprotectives; Antihaemorrhoidals; Drugs for varicose therapy; Capillary stabilisers
Definitions
- composition comprising sucralphate and mesalazine
- the present invention relates to pharmaceutical formulations comprising sucralphate and mesalazine (5-ASA) .
- Sucralphate is an amorphous complex of aluminium hydroxide and sucrose sulphate, identified by the name: ⁇ -D-fructofuranosyl- ⁇ -D-glucopyranoside ottakis (hydrogen sulphate) aluminium complex.
- sucralphate as an active ingredient are currently employed as medicaments for the cure of gastric and gastroduodenal ulcers.
- sucralphate has the ability to inhibit pepsin activity, to create a protective layer preventing the hydrochloric acid action on the gastric mucosal membrane, and to bind to the bile salts, thus neutralizing the aggression thereof against the same mucosal membrane.
- mesalazine, or 5-amino salicylic acid (5-ASA) is currently employed in the therapy of intestinal inflammatory' diseases, such as ulcerative colitis and Crohn's disease.
- intestinal inflammatory' diseases such as ulcerative colitis and Crohn's disease.
- mesalazine is employed to "turn off" inflammation, both during the steps of recurrence of the desease, and during the remission steps, in order to reduce the risk of new reappearances.
- 5-ASA in a tablet form always at high dosages, can be useful in those forms of Crohn's disease in the reappearance step.
- these therapies it is possible to induce the complete disappearance of symptoms only in a reduced pergentage of patients, to the extent that many specialists prefer to begin the cure directly with cortisone drugs.
- mesalazine results to be efficient in the treatment of intestinal diseases only under those particular cases set forth above.
- the problem underlying the present invention is to provide pharmaceutical compositions which have a superior activity compared to that of the known actives in the prevention and treatment of intestinal diseases.
- the above-mentioned problem is solved by a composition comprising the mesalazine and sucralphate associaction as outlined in the annexed claims .
- the Applicant of the present application has surprisingly found that the sucralphate and mesalazine associaction has a synergical effect in the treatment of particular diseases of the rectum.
- diseases are selected from the group consisting of: actinic proctitis, diversion proctitis, aphthoid lesions of the rectum caused by avitaminosis or viruses, rhagades, fistulizing lesions, solitary ulcer of the rectum, hemorrhoids, anal itching.
- Other diseases against which the composition resulted to be active are: rectal lesions caused by endoscopic dilatation, lesions of the rectum caused by radiotherapy or chemotherapy.
- the present invention relates to a composition
- a composition comprising s ⁇ cralphate in an amount ranging from 0.1 to 99% by weight, and mesalazine in an amount ranging from 99% to 0.1% formulated, together with pharmacologically acceptable excipients, as a gel, cream, enema, or rectal suppository for an internal or perianal application.
- composition of the invention comprises sucralphate preferably in an amount from 0.5 to 50% by weight, more preferably from 1 to 10% by weight, still more preferably from 1 to 8% by weight.
- Mesalazine is preferably included in an amount from 0.01 to 20% by weight, more preferably from 0.05% to 10% by weight, still more preferably from 0.5% to 5% by weight.
- composition of the invention may comprise further actives selected from the group consisting of: grapefruit seed extract, methyl sulfonyl methane (MSM) , lactic acid, glycine, vitamins, and mixtures of two or more thereof.
- MSM methyl sulfonyl methane
- Each of the above-mentioned actives when included in the composition of the invention, is present in an amount from 0.01 to 10% by weight, preferably from 0.5 to 8% by weight, more preferably from 1 to 5% by weight.
- the pharmacologically acceptable excipients usable in the formulation as a gel, cream, enema, or rectal suppository are selected from the group consisting of glycerine, Vaseline, anhydrous lanolin, shark liver oil, sodium saccharinate, menthol, sweet almond oil, sorbitol, sodium benzoate, anoxid SBN, vanilla essential oil, aerosol, parabens in phenoxyethanol, sodium methyl p-oxybenzoate, sodium propyl p-oxybenzoate, diethylamine, carbomers, macrogol cetostearyl ether, cocoyl caprylocaprate, isopropyl alcohol, propylene glycol, liquid paraffin, xanthan gum, carboxy-metabisulfite, sodium edetate, sodium benzoate, potassium metabisulfite, potassium acetate, and mixtures of two or more components thereof.
- the pharmaceutically acceptable excipients are employed in the formulations of the invention in the amounts typically used in the field, and which are known to those skilled in the art.
- composition of the invention formulated as a gel, cream, enema, or rectal suppository according to the needs, proved to be active in the prevention and cure of the following diseases: actinic proctitis, diversion proctitis, aphthoid lesions of the rectum caused by avitaminosis or viruses, rhagades, fistulizing lesions, solitary ulcer of the rectum, haemorrhoids, anal itching.
- Other diseases against which the composition resulted to be active are: rectal lesions caused by endoscopic dilatation, lesions of the rectum caused by radiotherapy or chemotherapy.
- sucralphate is formulated with one or more actives selected from: grapefruit seed extract, methyl sulfonyl methane (MSM) , lactic acid, glycine, vitamins, in particular vitamin A and E, but moreover when it is associated to mesalazine.
- MSM methyl sulfonyl methane
- the grapefruit seed extract has an antibacterial and antiviral action, in particular against Escherichia coli. In fact, it protects the inflamed and infected sites. Methyl sulfonyl methane has an intense pain- killing action, associated to an antioxidant and anti-inflammatory action.
- Lactic acid restores the acidic pH altered by the inflammatory processes and the bacterial flora unbalance .
- Glycine the simplest amino acid, aids to restore the tissue proteins.
- Vitamins C and E have an antioxidant and antiinflammatory activity.
- composition of the invention contains one or more of the actives listed above, it also has an antioxidant and anti-inflammatory effect, beside the cure and prevention activity for the intestinal diseases described above.
- composition formulated as a gel, cream, or rectal suppository will have to be externally applied, at the perianal region, twice daily or more often, until complete recovery; or, by means of a special applicator, into the internal rectal area twice daily or more often, until complete recovery.
- compositions and formulation of the invention are set forth below.
- Excipients diethylamine, carbomers, macrogol cetostearyl ether, cocoyl caprylocaprate, isopropyl alcohol, liquid paraffin, propylen glycol, filtered water .
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Abstract
The invention relates to a pharmaceutical composition comprising sucralphate and mesalazine, and formulated as a gel, cream, enema, or rectal suppository. The use of this formulation is for the treatment of diseases such as actinic proctitis, diversion proctitis, aphthoid lesions of the rectum caused by avitaminosis or viruses, rhagades, fistulizing lesions, solitary ulcer of the rectum, haemorrhoids, anal itching. Other possible applications relate to the use in the treatment of rectal lesions caused by endoscopic dilatation, lesions of the rectum caused by radiotherapy or chemotherapy.
Description
DESCRIPTION
Pharmaceutical composition comprising sucralphate and mesalazine
*** * * * * *
The present invention relates to pharmaceutical formulations comprising sucralphate and mesalazine (5-ASA) .
Sucralphate is an amorphous complex of aluminium hydroxide and sucrose sulphate, identified by the name: β-D-fructofuranosyl-α-D-glucopyranoside ottakis (hydrogen sulphate) aluminium complex.
Pharmaceutical compositions containing sucralphate as an active ingredient are currently employed as medicaments for the cure of gastric and gastroduodenal ulcers. In fact, sucralphate has the ability to inhibit pepsin activity, to create a protective layer preventing the hydrochloric acid action on the gastric mucosal membrane, and to bind to the bile salts, thus neutralizing the aggression thereof against the same mucosal membrane.
Mesalazine, or 5-amino salicylic acid (5-ASA) is currently employed in the therapy of intestinal inflammatory' diseases, such as ulcerative colitis and Crohn's disease.
In both diseases, mesalazine is employed to "turn off" inflammation, both during the steps of recurrence of the desease, and during the remission steps, in order to reduce the risk of new reappearances. However, there are some important differences, as regards the indications of use for this drug, between the two diseases.
The therapy with this drug is indicated, during the recurrence steps, only in those forms of ulcerative colitis which are not considered "serious": for the serious forms, it is in fact necessary to use more powerful drugs.
5-ASA in a tablet form, always at high dosages, can be useful in those forms of Crohn's disease in the reappearance step. However, with these therapies it is possible to induce the complete disappearance of symptoms only in a reduced pergentage of patients, to the extent that many specialists prefer to begin the cure directly with cortisone drugs.
Therefore, mesalazine results to be efficient in the treatment of intestinal diseases only under those particular cases set forth above.
Therefore, there is the need to find new pharmaceutical compositions which prove to be particularly active in the cure of rectum diseases.
Therefore, the problem underlying the present invention is to provide pharmaceutical compositions which have a superior activity compared to that of the known actives in the prevention and treatment of intestinal diseases. The above-mentioned problem is solved by a composition comprising the mesalazine and sucralphate associaction as outlined in the annexed claims .
The Applicant of the present application has surprisingly found that the sucralphate and mesalazine associaction has a synergical effect in the treatment of particular diseases of the rectum. Such diseases are selected from the group consisting of: actinic proctitis, diversion proctitis, aphthoid lesions of the rectum caused by avitaminosis or viruses, rhagades, fistulizing lesions, solitary ulcer of the rectum, hemorrhoids, anal itching. Other diseases against which the composition resulted to be active are: rectal lesions caused by endoscopic dilatation, lesions of the rectum caused by radiotherapy or chemotherapy.
Sucralphate, which has already been found to be efficient against the above-mentioned diseases, has a synergically increased activity when empolyed in combination with mesalazine.
In a first aspect thereof, the present invention relates to a composition comprising sυcralphate in an amount ranging from 0.1 to 99% by weight, and mesalazine in an amount ranging from 99% to 0.1% formulated, together with pharmacologically acceptable excipients, as a gel, cream, enema, or rectal suppository for an internal or perianal application.
The composition of the invention comprises sucralphate preferably in an amount from 0.5 to 50% by weight, more preferably from 1 to 10% by weight, still more preferably from 1 to 8% by weight. Mesalazine is preferably included in an amount from 0.01 to 20% by weight, more preferably from 0.05% to 10% by weight, still more preferably from 0.5% to 5% by weight.
In a preferred aspect, the composition of the invention may comprise further actives selected from the group consisting of: grapefruit seed extract, methyl sulfonyl methane (MSM) , lactic acid, glycine, vitamins, and mixtures of two or more thereof.
Each of the above-mentioned actives, when included in the composition of the invention, is present in an amount from 0.01 to 10% by weight, preferably from 0.5 to 8% by weight, more preferably
from 1 to 5% by weight.
The pharmacologically acceptable excipients usable in the formulation as a gel, cream, enema, or rectal suppository, are selected from the group consisting of glycerine, Vaseline, anhydrous lanolin, shark liver oil, sodium saccharinate, menthol, sweet almond oil, sorbitol, sodium benzoate, anoxid SBN, vanilla essential oil, aerosol, parabens in phenoxyethanol, sodium methyl p-oxybenzoate, sodium propyl p-oxybenzoate, diethylamine, carbomers, macrogol cetostearyl ether, cocoyl caprylocaprate, isopropyl alcohol, propylene glycol, liquid paraffin, xanthan gum, carboxy-metabisulfite, sodium edetate, sodium benzoate, potassium metabisulfite, potassium acetate, and mixtures of two or more components thereof. Other pharmaceutically acceptable excipients typically employed in the preparation of a gel, cream, or rectal suppository or solutions can be used in the present invention.
The pharmaceutically acceptable excipients are employed in the formulations of the invention in the amounts typically used in the field, and which are known to those skilled in the art.
The composition of the invention, formulated as a gel, cream, enema, or rectal suppository according to
the needs, proved to be active in the prevention and cure of the following diseases: actinic proctitis, diversion proctitis, aphthoid lesions of the rectum caused by avitaminosis or viruses, rhagades, fistulizing lesions, solitary ulcer of the rectum, haemorrhoids, anal itching. Other diseases against which the composition resulted to be active are: rectal lesions caused by endoscopic dilatation, lesions of the rectum caused by radiotherapy or chemotherapy.
It has been observed that the activity of prevention and cure of the above-mentioned diseases results to be synergically increased not only when sucralphate is formulated with one or more actives selected from: grapefruit seed extract, methyl sulfonyl methane (MSM) , lactic acid, glycine, vitamins, in particular vitamin A and E, but moreover when it is associated to mesalazine.
These actives proved to have further pharmacological actions, besides enhancing the efficiency of sucralphate.
The grapefruit seed extract has an antibacterial and antiviral action, in particular against Escherichia coli. In fact, it protects the inflamed and infected sites.
Methyl sulfonyl methane has an intense pain- killing action, associated to an antioxidant and anti-inflammatory action.
Lactic acid restores the acidic pH altered by the inflammatory processes and the bacterial flora unbalance .
Glycine, the simplest amino acid, aids to restore the tissue proteins.
Vitamins C and E have an antioxidant and antiinflammatory activity.
When the composition of the invention contains one or more of the actives listed above, it also has an antioxidant and anti-inflammatory effect, beside the cure and prevention activity for the intestinal diseases described above.
The composition formulated as a gel, cream, or rectal suppository will have to be externally applied, at the perianal region, twice daily or more often, until complete recovery; or, by means of a special applicator, into the internal rectal area twice daily or more often, until complete recovery.
EXAMPLES
Some examples of composition and formulation of the invention are set forth below.
Example 1
Excipients: diethylamine, carbomers, macrogol cetostearyl ether, cocoyl caprylocaprate, isopropyl alcohol, liquid paraffin, propylen glycol, filtered water .
Example 2
30 ml Enema
Claims
1. A composition comprising sucralphate and mesalazine in an amount ranging from 0,1 to 99% by weight, and from 99% by weight to 0.1% by weight, respectively, formulated, together with pharmacologically acceptable excipients, as a gel, cream, enema, or rectal suppository for an internal or perianal application.
2. The composition according to claim 1, comprising from 0.5 to 50% by weight, preferably from 1 to 10% by weight, more preferably from 1 to 8% by weight sucralphate, and from 0.01 to 20% by weight, more preferably from 0.05% to 10% by weight, still more preferably from 0.5%. to 5% by weight, mesalazine, and formulated as a gel, cream, enema, or rectal suppository.
3. The composition according to claim 1 or 2, further comprising one or more actives selected from the group consisting of: grapefruit seed extract, methyl sulfonyl methane (MSM) , lactic acid, glycine, vitamins .
4. The composition according to claim 3, wherein each of said actives, when present in the composition, are included in an amount ranging from 0.01 to 10% by weight, preferably from 0.5 to 8% by weight, more preferably from 1 to 5% by weight.
5. The composition according to any claim 1 to 5, wherein said pharmacologically acceptable excipients are selected from the group consisting of: glycerine, Vaseline, anhydrous lanolin, shark liver oil, sodium saccharinate, menthol, sweet almond oil, sorbitol, sodium benzoate, anoxid SBN, vanilla essential oil, aerosol, parabens in phenoxyethanol, sodium methyl p- oxybenzoate, sodium propyl p-oxybenzoate, diethylamine, carbomers, macrogol cetostearyl ether, cocoyl caprylocaprate, isopropyl alcohol, propylen glycol, liquid paraffin, xanthan gum, carboxymetabisulfite, sodium edetate, sodium benzoate, potassium metabisulfite, potassium acetate, and mixtures of two or more components thereof.
6. The composition according to any claim 1 to 5, formulated as a rectal gel comprising, in 5Og: 2.5g sucralphate, 0.5g mesalazine, and pharmacologically acceptable excipients.
7. The composition according to any claim 1 to 6, formulated as a rectal enema comprising, in 100 ml: 2g sucralphate, 0.5g mesalazine, 0.075g xanthan gum, 0.0225g carboxypolimethylene, 0.03g sodium edetate, 0, 14g potassium metabisulfite, 0,123g potassium acetate, filtered water quantum satis.
8. The composition according to any claim 1 to 7 for medical use.
9. The composition according to claim 8, for use in the treatment of diseases selected from the group consisting of: actinic proctitis, diversion proctitis, aphthoid lesions of the rectum caused by avitaminosis or viruses, rhagades, fistulizing lesions, solitary ulcer of the rectum, haemorrhoids, anal itching.
10. The composition according to claim 9, for use in the treatment of rectal lesions caused by endoscopic dilatation, lesions of the rectum caused by radiotherapy or chemotherapy.
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IT001965A ITMI20071965A1 (en) | 2007-10-11 | 2007-10-11 | PHARMACEUTICAL COMPOSITION INCLUDING SUCRALFATE AND MESALAZINE |
ITMI2007A001965 | 2007-10-11 |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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ES2449316A1 (en) * | 2012-09-19 | 2014-03-19 | José HERNÁNDEZ MONDÉJAR | Physiological solution for internal anal canal hygiene (Machine-translation by Google Translate, not legally binding) |
CN104524300A (en) * | 2015-01-08 | 2015-04-22 | 李宏 | Medicament for improving myocardial ischemia injury caused by chemotherapy and preparation method |
CN105343687A (en) * | 2015-11-13 | 2016-02-24 | 张雯 | Traditional Chinese medicine for treating rectitis and colitis and its preparation method |
CN108853293A (en) * | 2018-09-25 | 2018-11-23 | 江西中医药大学 | Treat compounding essential oil of hemorrhoid and preparation method thereof and application method |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
ES2449316A1 (en) * | 2012-09-19 | 2014-03-19 | José HERNÁNDEZ MONDÉJAR | Physiological solution for internal anal canal hygiene (Machine-translation by Google Translate, not legally binding) |
CN104524300A (en) * | 2015-01-08 | 2015-04-22 | 李宏 | Medicament for improving myocardial ischemia injury caused by chemotherapy and preparation method |
CN105343687A (en) * | 2015-11-13 | 2016-02-24 | 张雯 | Traditional Chinese medicine for treating rectitis and colitis and its preparation method |
CN108853293A (en) * | 2018-09-25 | 2018-11-23 | 江西中医药大学 | Treat compounding essential oil of hemorrhoid and preparation method thereof and application method |
CN108853293B (en) * | 2018-09-25 | 2021-07-23 | 江西中医药大学 | Compound essential oil for treating hemorrhoids and preparation method and use method thereof |
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WO2009047826A3 (en) | 2009-09-11 |
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