WO2011049400A2 - Pharmaceutical composition containing acid addition salt of n,n-dimethyl imidocarbonimidic diamide for anti-cancer - Google Patents

Pharmaceutical composition containing acid addition salt of n,n-dimethyl imidocarbonimidic diamide for anti-cancer Download PDF

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WO2011049400A2
WO2011049400A2 PCT/KR2010/007273 KR2010007273W WO2011049400A2 WO 2011049400 A2 WO2011049400 A2 WO 2011049400A2 KR 2010007273 W KR2010007273 W KR 2010007273W WO 2011049400 A2 WO2011049400 A2 WO 2011049400A2
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metformin
acid
salt
formula
cancer
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French (fr)
Korean (ko)
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WO2011049400A3 (en
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김성욱
전성수
김영웅
오병규
이승호
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한올바이오파마주식회사
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/155Amidines (), e.g. guanidine (H2N—C(=NH)—NH2), isourea (N=C(OH)—NH2), isothiourea (—N=C(SH)—NH2)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics

Definitions

  • the present invention relates to dichloroacetic acid salt and aminooxyacetic acid salt of N, N-dimethyl imidodicarbonimidic diamide, and a pharmaceutical composition for anticancer comprising the same.
  • anticancer agents such as alkylating agents, metabolic antagonists, hormones, etc. have been developed and are currently used, but as can be seen in Table 1 below, they inhibit DNA activity of cancer cells, inhibit DNA synthesis, inhibit cell division, and the like. Since the mechanism of action of cancer cells to induce death, the normal cells of the human body to show a variety of side effects such as bone marrow disorders, hair loss, vomiting, diarrhea, neurological disorders.
  • Anticancer drug classification Mechanism of action Anticancer drugs Alkylating agents Cancer DNA Suppression Temozolomide, busulfan, cisplatin, etc. Metabolic antagonists (Antimetabolite) Inhibition of DNA Synthesis in Cancer Cells Gemcitabine, methotrexate, fluorouracil, etc. Hormones Cause cancer cell DNA disorder Tamoxifen, anastrozole, flutamide, etc. Vegetable alkaloids Inhibition of cancer cell division M stage Docetaxel, paclitaxel, irinotecan, etc. Antibiotics Inhibits cell proliferation by binding to DNA in cancer cells Doxorubicin, epirubicin, idarubicin, etc. Cytokines Immune booster Interferon alpha-2a, interferon alpha-2b, etc.
  • the present invention unlike the existing anticancer drugs, provides a novel mechanism of selectively removing cancer stem cells in cancer tissues, and inhibiting the oncogenesis of cancer cells carrying cancer genes but not changed into cancer cells.
  • the present invention is a novel mechanism of killing cancer cells by attacking the metabolism of cancer cells by preventing the use of glucose required in cancer unlike conventional anticancer drugs, and in the anticancer pharmaceutical composition in which the anticancer effect of metformin acid addition salts is synergistically enhanced. It is about.
  • N, N-dimethyl imidodicarbonimide diamide, or metformin which is used to treat insulin-independent diabetes (type 2 diabetes), is an AMP-activated protein that physiologically regulates carbohydrate and lipid metabolism. It is known that kinase is activated, and when metformin is treated with cancer cells lacking the p53 gene, metformin activates AMPK enzymes in cancer cells to alter energy metabolic pathways, thereby killing cancer cells because they cannot adapt to the altered metabolic pathways. has been demonstrated [Monica Buzzai, et al. Syntemic Treatment with the Antidiabetic Drug Metformin Selectively Impairs p53-Deficient Tumor Cell Growth, Cancer Res 2007; 67: (14)].
  • Josie MM Evans has shown a lower incidence of cancer in patients with type 2 diabetes than those who do not receive metformin [Josie MM, Evans et al. BMJ. 2005 , 330, 1304-1305.
  • Samantha L. Bowker also reported that patients with type 2 diabetes who take metformin have lower cancer-related mortality than patients who take sulfonylureas or take insulin [Samantha L et al. Diabetes Care. 2006, 29, 254-258.
  • cancer stem cells are involved in the recurrence and metastasis of cancer.
  • Cancer stem cells are less than 0.2% in cancer tissues, but conventional chemotherapy has a problem that can not remove cancer stem cells.
  • Metformin has an anticancer effect on these cancer stem cells and is very well tolerated.
  • metformin eliminates cancer stem cells when cancer stem cells show little change when doxorubicin, an anticancer agent, has been reported [Heather A. Hirsch et al., Metformin Selectively Targets Cancer Stem Cells, and Acts Together with Chemotherapy to Block Tumor Growth and Prolong Remission, Cancer Res 2009; 69: (19). October 1, 2009].
  • dichloroacetic acid has been used for advanced neurodegenerative disorders (MELAS), a disease caused by defects of mitochondria, and normalizes lactic acidosis caused by progressive neurodegenerative disorders. This is because dichloroacetic acid activates pyruvate dehydrogenase, an enzyme that makes pyruvate the acetyl coenzyme A (Acetyl-CoA) substrate of the TCA pathway. This shifts metabolism towards oxidative phosphorylation in glycolysis and reduces the lactic acid, a byproduct of glycolysis. Due to the metabolic nature of cancer cells that depend on glycolysis and cause lactic acidosis, dichloroacetic acid has attracted attention as a potential cancer treatment. In 2007, Bonnet et al. Confirmed in vitro experiments that dichloroacetic acid reduced cancerous tissues and caused apoptosis (Cancer Cell. 2007 Jan; 11 (1): 37-51).
  • the present invention is to provide an anticancer pharmaceutical composition
  • an anticancer pharmaceutical composition comprising a dichloroacetic acid salt or aminooxyacetate salt of metformin synergistically enhanced the anticancer effect of metformin killing cancer cells by activating the AMPK enzyme of the cancer cells to change the energy metabolic pathway do.
  • the present invention also provides an aminooxyacetic acid salt of N, N-dimethyl imidodicarbonimidic diamide and a method for producing the same.
  • the anti-cancer efficacy of metformin hydrochloride by using dichloroacetic acid which activates the oxidative phosphorylation process by activating pyruvate dehydrogenase, which converts pyruvate to acetyl coenzyme A, a substrate of the TCA pathway, as a salt of metformin
  • dichloroacetic acid salt of metformin increases anticancer efficacy by preventing the composition of an environment in which lactic acid is accumulated, which is suitable for survival, proliferation and metastasis of cancer cells.
  • the dichloroacetic acid salt of metformin prevents lactic acidosis, a side effect of metformin.
  • aminooxyacetic acid which inhibits ATT (Asparatate aminotransferase)
  • ATT Asparatate aminotransferase
  • an enzyme required to transfer electrons from NADH generated from glycolysis to the electron transport system inside the mitochondria as a salt of metformin, supply of energy through glycolysis of cancer cells It was confirmed that it can significantly enhance the anticancer effect compared to metformin hydrochloride.
  • the acid addition salt of metformin according to the present invention can be used as a medicament having a stronger anticancer effect than metformin.
  • the acid addition salt of metformin according to the present invention unlike the existing anticancer agent, prevents the use of glucose required by cancer, thereby killing cancer cells, and adds an acid addition salt that synergistically enhances the anticancer effect of metformin. It was confirmed to represent. In addition, it was confirmed that only cancer cells, not normal tissues, were selectively removed, and cancer stem cells in cancer tissues could be removed.
  • acid addition salts of metformin according to the present invention have increased pharmaceutical and physical properties such as stability, non-hygroscopicity and processability as tablet formulations, while using organic acids having relatively low toxicity compared to conventional metformin hydrochloride prepared using hydrochloric acid. It is suitable for the preparation of pharmaceutical formulations, compared to metformin hydrochloride.
  • composition for anticancer comprising a pharmaceutically acceptable carrier and metformin acid addition salt having the structure of formula 1 as an active ingredient, the use and treatment of metformin acid addition salt having the structure of formula 1 for the manufacture of the anticancer agent
  • a method of treating cancer comprising administering to a subject a phase effective amount of metformin acid addition salt having the structure of Formula 1:
  • A is dichloroacetic acid or aminooxyacetic acid.
  • the acid addition salt of metformin having the structure of Chemical Formula 1 may be prepared by synthesis through a known method or by applying the method for preparing metformin aminooxyacetic acid salt described below.
  • the anticancer pharmaceutical composition or the anticancer agent is defined to include an anticancer adjuvant and a cancer preventive agent.
  • the pharmaceutical composition of the present invention comprises at least one pharmaceutically acceptable carrier in addition to the active ingredient.
  • 'pharmaceutically acceptable carrier refers to known pharmaceutical excipients that are useful when formulating pharmaceutically active compounds for administration and which are virtually nontoxic and insensitive under the conditions of use. The exact proportion of such excipients is determined by standard pharmaceutical practices, as well as solubility and chemical properties of the active compound, the route of administration chosen.
  • compositions of the present invention may be formulated in a form suitable for the desired method of administration using suitable and physiologically acceptable excipients, disintegrants, sweeteners, binders, coatings, swelling agents, lubricants, lubricants, flavoring agents and the like. Can be.
  • the pharmaceutical composition may be formulated in the form of, but not limited to, tablets, capsules, pills, granules, powders, injections or solutions.
  • Formulations suitable for oral administration include solid formulations, such as capsules containing tablets, particulates, liquids or powders, lozenges (including liquid-filled), chews, multi- and nano-particulates. Agents, gels, solid solutions, liposomes, films (including muco-adhesives), ovules, sprays and liquid formulations.
  • Liquid formulations include, for example, suspensions, solutions, syrups and elixirs.
  • the drug may comprise from 1% to about 80%, more typically from about 5% to about 60% by weight of the dosage form.
  • Tablets generally contain disintegrants in addition to drugs.
  • disintegrants include sodium starch glycolate, sodium carboxymethyl cellulose, calcium carboxymethyl cellulose, croscarmellose sodium, crospovidone, polyvinylpyrrolidone, methyl cellulose, microcrystalline cellulose, lower alkyl-substituted hydrides. Oxypropyl cellulose, starch, pregelatinized starch and sodium alginate.
  • the disintegrant will comprise, but is not limited to, about 1% to about 25% by weight of the dosage form, preferably about 5% to about 20% by weight of the dosage form.
  • Binders are generally used to impart tack to tablet formulations. Suitable binders include microcrystalline cellulose, gelatin, sugars, polyethylene glycols, natural and synthetic gums, polyvinylpyrrolidone, pregelatinized starch, hydroxypropyl cellulose and hydroxypropyl methylcellulose .
  • the tablets may also be diluted with diluents such as lactose (monohydrate, spray-dried monohydrate, anhydrides, etc.), mannitol, xylitol, dextrose, sucrose, sorbitol, microcrystalline cellulose, starch and dibasic calcium phosphate dihydrate. May comprise water.
  • Tablets may also optionally include surfactants such as sodium lauryl sulfate and polysorbate 80, and glidants such as silicon dioxide and talc. If present, the surfactant may comprise from about 0.2% to about 5% by weight of the tablet, and the lubricant may comprise from about 0.2% to about 1% by weight of the tablet.
  • surfactants such as sodium lauryl sulfate and polysorbate 80
  • glidants such as silicon dioxide and talc.
  • the surfactant may comprise from about 0.2% to about 5% by weight of the tablet
  • the lubricant may comprise from about 0.2% to about 1% by weight of the tablet.
  • Tablets also generally contain lubricants such as magnesium stearate, calcium stearate, zinc stearate, sodium stearyl fumarate, and mixtures of magnesium stearate with sodium lauryl sulfate.
  • Lubricants generally comprise from about 0.25% to about 10%, preferably from about 0.5% to about 3% by weight of the tablet.
  • ingredients include antioxidants, colorants, flavors, preservatives and taste-blockers.
  • Tablet formulations may be compressed directly or by roller to form tablets.
  • the tablet blend, or a portion of the blend may be wet-, dry-, melt-granulated, melt congealed, or extruded before tableting.
  • the final formulation may comprise one or more layers, may or may not be coated and may be encapsulated.
  • Solid formulations for oral administration may be formulated in immediate release and / or modified release.
  • Modified release formulations include delayed-, sustained-, pulsed-, controlled-, targeted and programmed release forms.
  • Formulations of the pharmaceutical compositions and pharmaceutically acceptable carriers may be appropriately selected according to techniques known in the art, for example, see Urquhart et al., Lancet, 16: 367, 1980; Lieberman et al., PHARMACEUTICAL DOSAGE FORMS-DISPERSE SYSTEMS, 2nd ed., Vol.
  • the pharmaceutical composition of the present invention may be a tablet. Tablets may optionally be film coated.
  • the total amount of drug per dosage unit can be that amount that provides a dosage form of a convenient size to the patient.
  • compositions of the present invention may be formulated in the form of sustained release tablets.
  • a component selected from an enteric polymer, a hydrophobic substance, a hydrophilic polymer, and the like can be used as the matrix base.
  • the enteric polymer may be a mixture of one or more selected from polyvinylacetate phthalate, methacrylic acid copolymer, hydroxypropylmethylcellulose phthalate, shellac, cellulose acetate phthalate, cellulose propionate phthalate, Eudragit L, Eudragit S, and the like. May be used, and preferably hydroxypropylmethylcellulose phthalate may be used.
  • the hydrophobic materials are pharmaceutically acceptable polyvinyl acetate, poly (methacrylate, methyl methacrylate) copolymer, poly (ethylacrylate, methyl methacrylate, trimethylaminoethylmethacrylate as polymethacrylate copolymers).
  • Acrylates copolymers, ethyl cellulose and cellulose acetate, fatty acids and fatty acid esters, fatty alcohols, waxes and inorganic substances, and the like, specifically, glyceryl palmitostearate, Fatty acid alcohols such as glyceryl stearate, glyceryl bihenate, cetyl palmitate, glyceryl monooleate and stearic acid; waxes such as cetostearyl alcohol, cetyl alcohol and stearyl alcohol; carnauba wax, beeswax and microcrystalline wax Talc, precipitated coal as inorganic materials Can be used to select one or more selected from calcium, calcium hydrogen phosphate, zinc oxide, titanium oxide, kaolin, bentonite, montmorillonite and bigeom.
  • the hydrophilic polymer may be selected from sugars, cellulose derivatives, gums, proteins, polyvinyl derivatives, polymethacrylate copolymers, polyethylene derivatives and carboxyvinyl polymers, and specifically, as the sugars, dextrin, polydextrin, dextran, Pectin and pectin derivatives, alginates, polygalacturonic acid, xylan, arabinoxylan, arabinogalactan, starch, hydroxypropyl starch, amylose, amylopectin and the like can be selected and used as cellulose derivatives.
  • Hydroxypropyl cellulose, hydroxymethyl cellulose, hydroxyethyl cellulose, methyl cellulose, carboxymethyl cellulose sodium, hydroxypropyl methyl cellulose acetate succinate, hydroxyethyl methyl cellulose can be selected and used as a gum .
  • tragacanta, carrageenan, acacia gum, gum arabic, gellan gum, xanthan gum, and the like can be selected.
  • Gelatin, casein, zein, etc. can be selected and used as proteins.
  • Alcohol, polyvinyl pyrrolidone, polyvinyl acetal diethylamino acetate, and the like can be selected and used as the polymethacrylate copolymer, and poly (butyl methacrylate, (2-dimethylaminoethyl) methacrylate, methyl methacrylate Rate) copolymer, poly (methacrylic acid, methyl methacrylate) copolymer, poly (methacrylic acid, ethyl acrylate) copolymer, etc. can be selected and used, and polyethylene glycol, polyethylene oxide, etc. are selected as a polyethylene derivative. Carbomer may be used as the carboxyvinyl polymer.
  • the pharmaceutical composition of the present invention may be used alone or in combination with other drugs for anticancer use.
  • the pharmaceutical composition may be for use in combination with a second drug.
  • the "second drug” means another pharmaceutically effective ingredient other than the metformin acid addition salt of the present invention.
  • Metformin acid addition salts of the present invention may be used in combination with a second drug for efficient treatment of cancer.
  • the second drug may be an anticancer agent, an antihyperglycemic agent, or the like.
  • the second drug may be an anticancer agent.
  • the anticancer agent for use in combination with metformin acid addition salt according to the present invention may be any known anticancer agent. Examples include known chemotherapeutic agents such as alkylating agents, metabolic antagonists, natural agents, hormones and antagonists, and biological agents such as immunotherapy agents, gene therapy agents, and the like.
  • the anticancer agent is nitrogen mustard, imatinib, oxaliplatin, rituximab, erlotinib, trastuzumab, gefitinib, bortezomib, sunitinib, carboplatin, sorafenib, bevacizumab, cisplatin , Cetuximab, biscumalboom, asparaginase, tretinoin, hydroxycarbamide, dasatinib, estramastine, gemtuzumab ozogamycin, ibritumab tucetan, heptaplatin, methylaminolevulinic acid, Amsacrine, alemtuzumab, procarbazine, alprostadil, holmium nitrate chitosan, gemcitabine, doxyfluridine, pemetrexed, tegapur, capecitabine, gimerasin, otheracil
  • metformin acid addition salt according to the invention and the second drug can be administered in the same manner, the metformin acid addition salt may also be provided in the form of a combined formulation formulated with the second drug.
  • the 'subject' means a warm-blooded animal such as a mammal suffering from a specific disease, disorder or disease, and for example, human, orangutan, chimpanzee, mouse, rat, dog, cow, chicken, pig. , Chlorine, sheep, and the like, but are not limited to these examples.
  • composition of the present invention may be used in a subject via, for example, oral, intravenous, intraarterial, intraperitoneal, intramuscular, intraperitoneal, sternum, transdermal, nasal, inhalation, topical, rectal, intraocular or intradermal routes. It can be administered in a conventional manner.
  • Treatment also includes, but is not limited to, alleviating the symptom, removing the cause of the symptom temporarily or permanently, or preventing or slowing the appearance of the symptom and the progression of the disease, disorder or condition described above.
  • An effective amount of the active ingredient of the pharmaceutical composition of the present invention means an amount required to achieve the treatment of the disease.
  • the type of disease, the severity of the disease, the type and amount of the active and other ingredients contained in the composition, the type of formulation and the age, weight, general health, sex and diet, sex and diet, time of administration, route of administration and composition of the patient It can be adjusted according to various factors including the rate of secretion, the duration of treatment, and the drug used concurrently. For example, in adults, metformin acid addition salt may be administered in a dose of 50 to 3000 mg in total, once to several times daily.
  • the present invention also provides an aminooxyacetic acid salt of metformin having the structure of formula (II):
  • the production method can be applied in the same manner to the preparation of acid addition salts of metformin, for example, dichloroacetic acid salt of metformin, to which an organic acid other than aminooxyacetic acid is added.
  • the free base of metformin used to form the acid addition salt of metformin can be obtained commercially or synthesized by known methods.
  • a metformin free base is formed by reacting a known metformin acid addition salt such as metformin hydrochloride with an inorganic base.
  • a known metformin acid addition salt such as metformin hydrochloride
  • the prior art requires harsh production conditions when synthesizing metformin free base, which is difficult to produce using an ion exchange resin column to remove hydrochloric acid from metformin hydrochloride, and the solvent is heated to reflux and filtered under hot conditions (US Patent 4,080,472).
  • metformin acid addition salts used for the formation of the organic base of metformin are, for example, hydrochloric acid, sulfates, nitrates, phosphates, sulfites, dithionates, acetates, benzoates, citrate, glycorate salts, glycosides.
  • the inorganic base used to form the free base of metformin can be selected from sodium hydroxide, potassium hydroxide, calcium hydroxide, lithium hydroxide, potassium carbonate, sodium carbonate, cesium carbonate, sodium hydrogen carbonate and potassium hydrogen carbonate.
  • the metformin free base may react with 0.5 to 4 molar equivalents of organic acid per molar equivalent.
  • reaction of the metformin with the free base and the organic acid can be carried out using water or a conventional organic solvent.
  • Organic solvents that can be used in the process for the preparation of acid addition salts of metformin according to the present invention are not limited to methanol, ethanol, isopropanol, butanol, pentanol, dioxane, dimethylformamide, dimethylsulfoxide, acetone and acetonitrile. It may be selected from the group consisting of.
  • the organic acid is added to the free base of metformin, and then washed and filtered through the drying process such as freeze drying, vacuum drying, hot air drying And drying to form the crystalline acid addition salt of metformin.
  • the reaction and the solid production temperature may be carried out in a temperature range of -10 to 100 °C.
  • the invention also relates to the invention.
  • compositions for the treatment or prevention of diseases selected from the group consisting of cell damage and rhabdomyolysis:
  • metformin can be used to activate AMPK to treat diseases such as diabetes, obesity, hyperlipidemia, fatty liver, coronary artery disease, osteoporosis, polycystic ovary syndrome, metabolic syndrome, myalgia, muscle cell damage and rhabdomyolysis It is well known.
  • Metformin aminooxyacetate according to the present invention in addition to this pharmacological effect of metformin, greatly enhances the neutral lipid lowering action, it is more effective than metformin hydrochloride to lower blood sugar, especially fasting as well as postprandial blood sugar lowering and insulin sensitivity Increases the effect.
  • metformin dichloroacetate and metformin aminooxyacetate according to the present invention can be determined in various ways in vivo and in vitro.
  • the metformin acid addition salt according to the present invention shows a significantly enhanced anticancer effect compared to metformin.
  • physicochemical properties such as solubility, stability, non-hygroscopicity, and processability as tablet formulations are superior to metformin hydrochloride, and the toxicity is low, and thus may be usefully used as a pharmaceutically acceptable salt of metformin.
  • Figure 1 shows the effect of AMPK ⁇ activation of metformin dichloroacetate (DCA).
  • Metformin dichloroacetic acid synthesized in the manner described in Example 2 of the present invention was treated with cancer cells to determine the effect of inhibiting cancer cell proliferation.
  • a brief experimental method is as follows.
  • MCF7 cells derived from human breast cancer were used, and the survival rate of cells by metformin dichloroacetate (DCA) using MTT (3- (4,5-dimethylthiazole-2-yl) -2,5-ditetrazoliumbromide) reagent (%) And the concentration at which cell growth is inhibited to 50% (cell growth inhibitory concentration, GIC50) were measured to determine the cancer cell proliferation inhibitory effect of metformin dichloroacetate (DCA).
  • MCF7 Ker Cell Line Bank cells were placed in a 96 well plate in a DMEM medium containing 10% calf serum so that the number of cells is about 5000 and incubated for about 24 hours. Thereafter, in order to confirm cell viability, metformin dichloroacetate salt (DCA) synthesized in Example 2 was treated with 2 mM and 10 mM of the culture medium, respectively, and cultured for 72 hours. To obtain GIC 50 , metformin dichloroacetate (DCA) was treated with 10 mM, 2 mM, 0.4 mM, 0.08 mM, and 0.016 mM of the culture solution, and cultured for 72 hours.
  • DCA metformin dichloroacetate
  • MTT was added to the cultures and further incubated for 3 hours to identify live cells after metformin dichloroacetate (DCA) treatment.
  • DCA metformin dichloroacetate
  • the resulting forazane crystal was dissolved using dimethyl sulfoxide (DMSO) and the absorbance of the solution was measured at 560 nm.
  • DMSO dimethyl sulfoxide
  • metformin hydrochloride or dichloroacetic acid was used instead of metformin dichloroacetate (DCA) to obtain cell viability (%) and GIC 50 values, and the results are shown in Tables 2 and 3, respectively.
  • GIC 50 MCF7 Metformin dichloroacetate 6.5mM Metformin hydrochloride > 10mM Dichloroacetic acid 9.9mM
  • the metformin dichloroacetate treated group can inhibit the growth of MCF7 cells by 50% at a concentration of 6.5 mM, whereas the metformin hydrochloride treated group treated 10 mM Even if the growth of the cells did not inhibit more than 50%. Therefore, the use of metformin dichloroacetate less than metformin hydrochloride can effectively inhibit the growth of cancer cells derived from breast cancer.
  • metformin aminooxyacetic acid (AOA) salt treatment group can inhibit the growth of MCF7 cells by 50% at a concentration of 5.1 mM, while the metformin hydrochloride treatment group was 10 mM. Treatment did not inhibit cell growth by 50%. Therefore, the use of metformin aminooxyacetic acid (AOA) salt in a smaller amount than metformin hydrochloride can effectively inhibit the growth of cancer cells derived from breast cancer.
  • AMPK ⁇ (5'-AMP-activated protein kinase alpha) activation effect by metformin dichloroacetate (DCA) was activated using the AMPK ⁇ immunoassay kit (Invitrogen, catalog No. KHO0651). Confirmed.
  • MCF7 Kerme Cell Line Bank cells were cultured in DMEM medium containing 10% calf serum, placed in a 6-well plate so that the number of cells was about 5 ⁇ 10 5 , and then in a incubator fed with 5% CO 2 . Cells were cultured. The culture solution was treated with 2 mM and 10 mM metformin dichloroacetate, respectively, and then incubated for 24 hours. After lysing the cells by the method described in the instructions for use of the AMPK ⁇ immunoassay kit (Invitrogen, catalog No.
  • metformin dichloroacetate phosphorylated more threonine 172 residues of AMPK ⁇ than metformin hydrochloride at 10 mM. Therefore, metformin dichloroacetate (DCA) activates AMPK ⁇ more efficiently than metformin hydrochloride, and is accompanied by metabolic syndrome, which is a combination of diabetes, obesity, hypertension, hyperlipidemia, fatty liver, coronary artery disease, osteoporosis, and polycystic ovary syndrome. It can be seen that it can have an excellent effect on diseases such as diabetes and its complications, cancer, myalgia, muscle cytotoxicity and rhabdomyolysis.
  • metabolic syndrome which is a combination of diabetes, obesity, hypertension, hyperlipidemia, fatty liver, coronary artery disease, osteoporosis, and polycystic ovary syndrome. It can be seen that it can have an excellent effect on diseases such as diabetes and its complications, cancer, myalgia, muscle cytotoxicity and rhabdomyolysis.

Abstract

Provided is a use for anticancer of dichloroacetic acid salt or aminooxyacetic acid salt of N,N-dimethyl imidodicarbonimidic diamide (metformin). According to the present invention, the acid addition salt of metformin synergistically causes anticancer effect by AMPK enzyme activation of metformin and anticancer effect of organic acids used as a salt, and thus shows a remarkable anticancer effect. In addition, the acid addition salt has superior physiochemical properties such as solubility, stability, non-hygroscopicity, processibility as a tablet formulation and the like, and has lower toxicity compared with metformin hydrochloride. Therefore, the acid addition salt can be useful as a pharmaceutically acceptable salt.

Description

N,N-디메틸 이미도디카르본이미딕 디아미드의 산 부가염을 포함하는 항암용 약제학적 조성물Anti-cancer pharmaceutical composition comprising acid addition salt of N, N-dimethyl imidodicarbonimidic diamide
본 발명은 N,N-디메틸 이미도디카르본이미딕 디아미드의 디클로로아세트산염 및 아미노옥시아세트산염, 및 그를 포함하는 항암용 약제학적 조성물에 관한 것이다.The present invention relates to dichloroacetic acid salt and aminooxyacetic acid salt of N, N-dimethyl imidodicarbonimidic diamide, and a pharmaceutical composition for anticancer comprising the same.
알킬화제, 대사길항제, 호르몬제 등의 다양한 종류의 항암제들이 개발되어 현재 이용되고 있지만, 하기 표 1에서 살펴볼 수 있는 바와 같이, 이들은 암세포의 DNA 작용을 저해하거나 DNA 합성을 억제하거나 세포 분열을 억제하는 등의 작용 기전을 통해 암세포의 사멸을 유도하기 때문에, 인체의 정상세포에 대해서도 세포독성을 나타내어 골수장애, 탈모, 구토, 설사, 신경장애 등의 각종 부작용을 나타내는 문제점을 보이고 있다. Various types of anticancer agents such as alkylating agents, metabolic antagonists, hormones, etc. have been developed and are currently used, but as can be seen in Table 1 below, they inhibit DNA activity of cancer cells, inhibit DNA synthesis, inhibit cell division, and the like. Since the mechanism of action of cancer cells to induce death, the normal cells of the human body to show a variety of side effects such as bone marrow disorders, hair loss, vomiting, diarrhea, neurological disorders.
표 1
항암제 분류 작용기전 항암제 예
알킬화제(Alkylating agents) 암 DNA 억제 테모졸로미드, 부설판, 시스플라틴 등
대사길항제(Antimetabolite) 암세포의 DNA 합성 저해 젬시타빈, 메토트렉세이트, 플루오로우라실 등
호르몬제(Hormones) 암세포 DNA 장애 유발 타목시펜, 아나스트로졸, 플루타미드 등
식물성 알칼로이드(Vinca alkaloids) 암세포분열 M단계 억제 도세탁셀, 파클리탁셀, 이리노테칸 등
항생물질(Antibiotics) 암세포 내 DNA와 결합하여 세포증식 억제 독소루비신, 에피루비신, 이다루비신 등
사이토카인계(Cytokines) 면역증강제 인터페론 알파-2a, 인터페론 알파-2b 등
Table 1
Anticancer drug classification Mechanism of action Anticancer drugs
Alkylating agents Cancer DNA Suppression Temozolomide, busulfan, cisplatin, etc.
Metabolic antagonists (Antimetabolite) Inhibition of DNA Synthesis in Cancer Cells Gemcitabine, methotrexate, fluorouracil, etc.
Hormones Cause cancer cell DNA disorder Tamoxifen, anastrozole, flutamide, etc.
Vegetable alkaloids Inhibition of cancer cell division M stage Docetaxel, paclitaxel, irinotecan, etc.
Antibiotics Inhibits cell proliferation by binding to DNA in cancer cells Doxorubicin, epirubicin, idarubicin, etc.
Cytokines Immune booster Interferon alpha-2a, interferon alpha-2b, etc.
반면 본 발명은 기존의 항암제들과는 다르게 암 조직 내의 암 줄기세포를 선택적으로 제거하고, 암 유전자를 지니고 있으면서도 아직 암세포로 변하지 않은 발암 세포가 암세포로 변하는 것을 억제하는 새로운 기전의 약물을 제공한다.On the other hand, the present invention, unlike the existing anticancer drugs, provides a novel mechanism of selectively removing cancer stem cells in cancer tissues, and inhibiting the oncogenesis of cancer cells carrying cancer genes but not changed into cancer cells.
본 발명은 기존의 항암제들과는 다르게 암에서 필요한 포도당을 이용하지 못하도록 하여 암세포의 대사 과정을 공략하여 암세포를 사멸시키는 새로운 기전의 약물로써 메트포르민 산부가염의 항암 효과가 상승적으로 증진된 항암용 약제학적 조성물에 관한 것이다.The present invention is a novel mechanism of killing cancer cells by attacking the metabolism of cancer cells by preventing the use of glucose required in cancer unlike conventional anticancer drugs, and in the anticancer pharmaceutical composition in which the anticancer effect of metformin acid addition salts is synergistically enhanced. It is about.
인슐린 비의존형 당뇨병(제2형 당뇨병)의 치료에 사용되고 있는 N,N-디메틸 이미도디카르본이미딕 디아미드, 즉 메트포르민(Metformin)은 탄수화물 대사와 지질 대사를 생리적으로 조절하는 AMPK(AMP-activated protein kinase)를 활성화시키는 것으로 알려져 있는데, p53 유전자가 결여된 암세포에 메트포르민을 처리하면 메트포르민이 암세포의 AMPK 효소를 활성화시켜 에너지 대사 경로를 변경시킴으로써, 변경된 대사 경로에 적응치 못하여 암세포가 사멸한다는 것이 실험으로 입증된 바 있다[Monica Buzzai, et al. Syntemic Treatment with the Antidiabetic Drug Metformin Selectively Impairs p53-Deficient Tumor Cell Growth, Cancer Res 2007; 67:(14)].N, N-dimethyl imidodicarbonimide diamide, or metformin, which is used to treat insulin-independent diabetes (type 2 diabetes), is an AMP-activated protein that physiologically regulates carbohydrate and lipid metabolism. It is known that kinase is activated, and when metformin is treated with cancer cells lacking the p53 gene, metformin activates AMPK enzymes in cancer cells to alter energy metabolic pathways, thereby killing cancer cells because they cannot adapt to the altered metabolic pathways. Has been demonstrated [Monica Buzzai, et al. Syntemic Treatment with the Antidiabetic Drug Metformin Selectively Impairs p53-Deficient Tumor Cell Growth, Cancer Res 2007; 67: (14)].
또한, Josie M M Evans는 2형 당뇨 환자에게 메트포르민 치료를 받을 시 그렇지 않은 환자에 비해 암 발병률이 낮다는 연구결과를 내놓았다[Josie MM, Evans et al. BMJ. 2005, 330, 1304-1305]. 또한 Samantha L. Bowker는 메트포르민을 복용하는 2형 당뇨 환자가 술포닐우레아 복용하거나 인슐린을 투약하는 환자보다 암과 관련된 사망률이 낮다고 보고하였다[Samantha L et al. Diabetes Care. 2006, 29, 254-258].In addition, Josie MM Evans has shown a lower incidence of cancer in patients with type 2 diabetes than those who do not receive metformin [Josie MM, Evans et al. BMJ. 2005 , 330, 1304-1305. Samantha L. Bowker also reported that patients with type 2 diabetes who take metformin have lower cancer-related mortality than patients who take sulfonylureas or take insulin [Samantha L et al. Diabetes Care. 2006, 29, 254-258.
암의 재발 및 전이와 관련하여 암 줄기세포가 관여한다는 임상적 증거가 증가하고 있다. 암 조직 내에서 암 줄기세포는 0.2% 이하이지만, 기존의 항암 화학요법은 암 줄기세포를 제거하지 못하는 문제점이 있다. 메트포르민은 이러한 암 줄기세포에 항암효과를 나타내며 내약성이 매우 우수하다. 이와 관련한 최근의 연구에서 항암제인 독소루비신 단독투여시는 암 줄기세포가 변화가 거의 없는 반면 메트포르민은 암 줄기세포를 제거한다고 보고된 바 있다[Heather A. Hirsch et al., Metformin Selectively Targets Cancer Stem Cells, and Acts Together with Chemotherapy to Block Tumor Growth and Prolong Remission, Cancer Res 2009; 69: (19). October 1, 2009]. There is increasing clinical evidence that cancer stem cells are involved in the recurrence and metastasis of cancer. Cancer stem cells are less than 0.2% in cancer tissues, but conventional chemotherapy has a problem that can not remove cancer stem cells. Metformin has an anticancer effect on these cancer stem cells and is very well tolerated. In recent studies, metformin eliminates cancer stem cells when cancer stem cells show little change when doxorubicin, an anticancer agent, has been reported [Heather A. Hirsch et al., Metformin Selectively Targets Cancer Stem Cells, and Acts Together with Chemotherapy to Block Tumor Growth and Prolong Remission, Cancer Res 2009; 69: (19). October 1, 2009].
한편, 디클로로아세트산은 미토콘드리아의 결점에 의한 질병인 진행성 신경퇴행성장애(MELAS)에 사용되어 온 약으로 진행성 신경퇴행성장애에 의해 생긴 유산산증(lactic acidosis)을 정상화 시켜준다. 이러한 기전은 디클로로아세트산이 피루베이트를 TCA 경로의 기질인 아세틸 보조효소A (Acetyl-CoA)로 만들어주는 효소인 피루베이트 탈수소효소(pyruvate dehydrogenase)를 활성화시키기 때문이다. 이로 인해 대사는 해당과정에서 산화적 인산화 쪽으로 바뀌며 해당과정의 부산물인 유산(lactic acid)은 감소하게 된다. 해당과정에 의존하며 유산 산증을 일으키는 암세포의 대사 특성상 디클로로아세트산은 잠정적인 암 치료제로서 관심을 받고 있다. 2007년 Bonnet등은 인 비트로 실험에서 디클로로아세트산이 암 조직을 축소시키고 세포사멸(apoptosis)를 일으킴을 확인한 바 있다(Cancer Cell. 2007 Jan;11(1):37-51 ). On the other hand, dichloroacetic acid has been used for advanced neurodegenerative disorders (MELAS), a disease caused by defects of mitochondria, and normalizes lactic acidosis caused by progressive neurodegenerative disorders. This is because dichloroacetic acid activates pyruvate dehydrogenase, an enzyme that makes pyruvate the acetyl coenzyme A (Acetyl-CoA) substrate of the TCA pathway. This shifts metabolism towards oxidative phosphorylation in glycolysis and reduces the lactic acid, a byproduct of glycolysis. Due to the metabolic nature of cancer cells that depend on glycolysis and cause lactic acidosis, dichloroacetic acid has attracted attention as a potential cancer treatment. In 2007, Bonnet et al. Confirmed in vitro experiments that dichloroacetic acid reduced cancerous tissues and caused apoptosis (Cancer Cell. 2007 Jan; 11 (1): 37-51).
또한, Johua 등은 아미노옥시아세트산이 해당과정으로부터 생성된 NADH로부터 전자를 미토콘드리아 내부의 전자전달계로 전달해 주는 효소인 ATT(Asparatate aminotransferase)를 억제하여 유방암세포의 증식을 억제하는 결과를 확인한 바 있다 (Breast Cancer Res. 2008;10(5):R84. Epub 2008 Oct 15).In addition, Johua et al. Confirmed that aminooxyacetic acid inhibits the growth of breast cancer cells by inhibiting AST (Asparatate aminotransferase), an enzyme that transfers electrons from NADH generated from glycolysis to an electron transport system inside the mitochondria. Cancer Res. 2008; 10 (5): R 84. Epub 2008 Oct 15).
그러나 현재까지 메트포르민에 디클로로아세트산이나 아미노옥시아세트산이 부가된 메트포르민의 산 부가염이 상승적인 항암 효과를 나타낸다는 것에 대해서는 전혀 보고된 바 없었다. However, there has been no report on the synergistic anti-cancer effect of acid addition salts of metformin with dichloroacetic acid or aminooxyacetic acid added to metformin.
본 발명은 암세포의 AMPK 효소를 활성화시켜 에너지 대사 경로를 변경시킴으로써 암세포를 사멸시키는 메트포르민의 항암 효과가 상승적으로 증진된 메트포르민의 디클로로아세트산염 또는 아미노옥시아세트산염을 포함하는 항암용 약제학적 조성물을 제공하고자 한다. The present invention is to provide an anticancer pharmaceutical composition comprising a dichloroacetic acid salt or aminooxyacetate salt of metformin synergistically enhanced the anticancer effect of metformin killing cancer cells by activating the AMPK enzyme of the cancer cells to change the energy metabolic pathway do.
또한, 본 발명은 N,N-디메틸 이미도디카르본이미딕 디아미드의 아미노옥시아세트산염 및 그의 제조 방법을 제공하고자 한다.The present invention also provides an aminooxyacetic acid salt of N, N-dimethyl imidodicarbonimidic diamide and a method for producing the same.
본 발명을 통해, 피루베이트를 TCA 경로의 기질인 아세틸 보조효소 A로 전환시켜주는 피루베이트 탈수소효소를 활성화시킴으로써 산화적 인산화 과정을 활성화시키는 디클로로아세트산을 메트포르민의 염으로 이용함으로써 메트포르민 염산염에 비해 항암 효능을 현저히 증강시킬 수 있는 것으로 확인되었다. 또한, 메트포르민의 디클로로아세트산염은 암세포의 생존, 증식 및 전이에 적합한 유산이 축적된 환경의 조성을 방지함으로써 항암 효능을 증가시켜 준다. 또한, 메트포르민의 디클로로아세트산염은 메트포르민의 부작용인 유산 산증을 막아준다. Through the present invention, the anti-cancer efficacy of metformin hydrochloride by using dichloroacetic acid, which activates the oxidative phosphorylation process by activating pyruvate dehydrogenase, which converts pyruvate to acetyl coenzyme A, a substrate of the TCA pathway, as a salt of metformin It has been found that can be significantly enhanced. In addition, the dichloroacetic acid salt of metformin increases anticancer efficacy by preventing the composition of an environment in which lactic acid is accumulated, which is suitable for survival, proliferation and metastasis of cancer cells. In addition, the dichloroacetic acid salt of metformin prevents lactic acidosis, a side effect of metformin.
또한, 해당과정으로부터 생성된 NADH로부터 전자를 미토콘드리아 내부의 전자 전달계로 전달하는데 필요한 효소인 ATT(Asparatate aminotransferase)를 억제하는 아미노옥시아세트산을 메트포르민의 염으로 이용함으로써, 암세포의 해당과정을 통한 에너지의 공급을 방해하여 메트포르민 염산염에 비해 항암 효과를 현저히 증강시킬 수 있는 것으로 확인되었다. In addition, by using aminooxyacetic acid, which inhibits ATT (Asparatate aminotransferase), an enzyme required to transfer electrons from NADH generated from glycolysis to the electron transport system inside the mitochondria, as a salt of metformin, supply of energy through glycolysis of cancer cells It was confirmed that it can significantly enhance the anticancer effect compared to metformin hydrochloride.
따라서 본 발명에 따른 메트포르민의 산 부가염은 메트포르민에 비해 강력한 항암 효과를 갖는 의약으로서 사용될 수 있다. 본 발명에 따른 메트포르민의 산 부가염은 기존의 항암제와는 다르게 암에서 필요한 포도당을 이용하지 못하도록 하여 암세포를 사멸시키며, 메트포르민의 항암 효과를 상승적으로 증진시키는 산 부가염이 부가되어 매우 강력한 항암 효과를 나타내는 것으로 확인되었다. 뿐만 아니라 정상조직이 아닌 암세포만을 선택적으로 제거하며, 암 조직 내의 암 줄기세포까지 제거할 수 있는 것으로 확인되었다. Therefore, the acid addition salt of metformin according to the present invention can be used as a medicament having a stronger anticancer effect than metformin. The acid addition salt of metformin according to the present invention, unlike the existing anticancer agent, prevents the use of glucose required by cancer, thereby killing cancer cells, and adds an acid addition salt that synergistically enhances the anticancer effect of metformin. It was confirmed to represent. In addition, it was confirmed that only cancer cells, not normal tissues, were selectively removed, and cancer stem cells in cancer tissues could be removed.
또한, 본 발명에 따른 메트포르민의 산 부가염은 염산을 사용하여 제조되는 기존의 메트포르민 염산염에 비하여 비교적 독성이 낮은 유기산을 사용하면서도 안정성, 비흡습성 및 정제 제형으로서의 가공성 등 제제학적 물리학적 장점이 증가되어, 메트포르민 염산염에 비해 약제학적 제형의 제조에 적합하다. In addition, acid addition salts of metformin according to the present invention have increased pharmaceutical and physical properties such as stability, non-hygroscopicity and processability as tablet formulations, while using organic acids having relatively low toxicity compared to conventional metformin hydrochloride prepared using hydrochloric acid. It is suitable for the preparation of pharmaceutical formulations, compared to metformin hydrochloride.
따라서, 본 발명은 Therefore, the present invention
약제학적으로 허용되는 담체 및 하기 화학식 1의 구조를 갖는 메트포르민 산 부가염을 유효성분으로 포함하는 항암용 약제학적 조성물, 상기 항암제의 제조를 위한 하기 화학식 1의 구조를 갖는 메트포르민 산 부가염의 용도 및 치료상 유효량의 하기 화학식 1의 구조를 갖는 메트포르민 산 부가염을 대상체에게 투여하는 것을 포함하는 암의 치료 방법을 제공한다:Pharmaceutical composition for anticancer comprising a pharmaceutically acceptable carrier and metformin acid addition salt having the structure of formula 1 as an active ingredient, the use and treatment of metformin acid addition salt having the structure of formula 1 for the manufacture of the anticancer agent Provided is a method of treating cancer comprising administering to a subject a phase effective amount of metformin acid addition salt having the structure of Formula 1:
[화학식 1] [Formula 1]
Figure PCTKR2010007273-appb-I000001
Figure PCTKR2010007273-appb-I000001
상기 식에서, Where
A는 디클로로아세트산 또는 아미노옥시아세트산이다.A is dichloroacetic acid or aminooxyacetic acid.
상기 화학식 1의 구조를 갖는 메트포르민의 산 부가염은 공지의 방법을 통해 합성하거나 아래에서 기술하는 메트포르민 아미노옥시아세트산염의 제조방법을 적용하여 제조할 수 있다.The acid addition salt of metformin having the structure of Chemical Formula 1 may be prepared by synthesis through a known method or by applying the method for preparing metformin aminooxyacetic acid salt described below.
본 발명에 있어서, 항암용 약제학적 조성물 또는 항암제는 항암보조제 및 암 예방제를 포함하는 것으로 정의된다. In the present invention, the anticancer pharmaceutical composition or the anticancer agent is defined to include an anticancer adjuvant and a cancer preventive agent.
본 발명의 약제학적 조성물은 유효 성분 이외에 약제학적으로 허용가능한 담체를 1종 이상 포함한다. 본원에서 사용되는 바와 같이, '약제학적으로 허용가능한 담체'는 투여용 약제학적 활성 화합물을 제형화할 경우에 유용하고 사용 조건하에 사실상 비독성 및 비민감성인 공지된 약제학적 부형제를 의미한다. 이러한 부형제의 정확한 비율은 활성 화합물의 용해도와 화학적 특성, 선택된 투여경로뿐만 아니라, 표준 약제학적 관행에 의해 결정된다. The pharmaceutical composition of the present invention comprises at least one pharmaceutically acceptable carrier in addition to the active ingredient. As used herein, 'pharmaceutically acceptable carrier' refers to known pharmaceutical excipients that are useful when formulating pharmaceutically active compounds for administration and which are virtually nontoxic and insensitive under the conditions of use. The exact proportion of such excipients is determined by standard pharmaceutical practices, as well as solubility and chemical properties of the active compound, the route of administration chosen.
본 발명의 약제학적 조성물은 적합하고 생리학적으로 허용되는 부형제, 붕해제, 감미제, 결합제, 피복제, 팽창제, 윤활제, 활택제, 향미제 등과 같은 보조제를 사용하여 원하는 투여 방법에 적합한 형태로 제제화될 수 있다. The pharmaceutical compositions of the present invention may be formulated in a form suitable for the desired method of administration using suitable and physiologically acceptable excipients, disintegrants, sweeteners, binders, coatings, swelling agents, lubricants, lubricants, flavoring agents and the like. Can be.
상기 약제학적 조성물은 이에 제한되는 것은 아니나, 정제, 캅셀제, 환제, 과립제, 산제, 주사제 또는 액제의 형태로 제제화될 수 있다. The pharmaceutical composition may be formulated in the form of, but not limited to, tablets, capsules, pills, granules, powders, injections or solutions.
경구 투여에 적합한 제제는 고체 제제, 예를 들어 정제, 미립자, 액체 또는 분말을 함유한 캡슐제, 로젠지제(lozenge)(액체-충전된 것 포함), 츄제(chew), 멀티- 및 나노-미립제, 겔제, 고용제(solid solution), 리포솜, 필름제(점막-점착성 포함), 난형제(ovule), 분무제(spray) 및 액체 제제를 포함한다. 액체 제제는 예를 들어 현탁액제, 용액제, 시럽제 및 엘릭시르(elixir)제를 포함한다. Formulations suitable for oral administration include solid formulations, such as capsules containing tablets, particulates, liquids or powders, lozenges (including liquid-filled), chews, multi- and nano-particulates. Agents, gels, solid solutions, liposomes, films (including muco-adhesives), ovules, sprays and liquid formulations. Liquid formulations include, for example, suspensions, solutions, syrups and elixirs.
정제 투여 형태의 경우, 투여 용량에 따라 달라지겠지만, 그 약물은 투여 형태의 1 중량% 내지 약 80 중량%, 더욱 전형적으로는 투여 형태의 약 5 중량% 내지 약 60 중량%를 차지할 수 있다. 정제는 약물 이외에도 일반적으로 붕해제를 함유한다. 붕해제의 예는 나트륨 전분 글리콜레이트, 나트륨 카복시메틸 셀룰로스, 칼슘 카복시메틸 셀룰로스, 크로스카멜로스 나트륨, 크로스포비돈, 폴리비닐피롤리돈, 메틸 셀룰로스, 미정질(microcrystalline) 셀룰로스, 저급 알킬-치환된 하이드록시프로필 셀룰로스, 전분, 예비젤라틴화된 전분 및 나트륨 알기네이트를 포함한다. 일반적으로, 붕해제는 투여 형태의 약 1 중량% 내지 약 25 중량%, 바람직하게는 투여 형태의 약 5 중량% 내지 약 20 중량%를 포함할 것이나, 이에 제한되는 것은 아니다.For tablet dosage forms, depending on the dosage, the drug may comprise from 1% to about 80%, more typically from about 5% to about 60% by weight of the dosage form. Tablets generally contain disintegrants in addition to drugs. Examples of disintegrants include sodium starch glycolate, sodium carboxymethyl cellulose, calcium carboxymethyl cellulose, croscarmellose sodium, crospovidone, polyvinylpyrrolidone, methyl cellulose, microcrystalline cellulose, lower alkyl-substituted hydrides. Oxypropyl cellulose, starch, pregelatinized starch and sodium alginate. In general, the disintegrant will comprise, but is not limited to, about 1% to about 25% by weight of the dosage form, preferably about 5% to about 20% by weight of the dosage form.
결합제는 일반적으로 정제 제제에 점착성을 부여하기 위해 사용된다. 적합한 결합제는 미정질 셀룰로스, 젤라틴, 당(sugar), 폴리에틸렌 글리콜, 천연 및 합성 검(gum), 폴리비닐피롤리돈, 예비젤라틴화된 전분, 하이드록시프로필 셀룰로스 및 하이드록시프로필 메틸셀룰로스를 포함한다. 또한 정제는 희석제, 예를 들어 락토스(일수화물, 분무-건조된 일수화물, 무수물 등), 만니톨, 자일리톨, 덱스트로스, 수크로스, 솔비톨, 미정질 셀룰로스, 전분 및 이염기성(dibasic) 인산칼슘 이수화물을 포함할 수 있다.Binders are generally used to impart tack to tablet formulations. Suitable binders include microcrystalline cellulose, gelatin, sugars, polyethylene glycols, natural and synthetic gums, polyvinylpyrrolidone, pregelatinized starch, hydroxypropyl cellulose and hydroxypropyl methylcellulose . The tablets may also be diluted with diluents such as lactose (monohydrate, spray-dried monohydrate, anhydrides, etc.), mannitol, xylitol, dextrose, sucrose, sorbitol, microcrystalline cellulose, starch and dibasic calcium phosphate dihydrate. May comprise water.
정제는 또한 계면활성제, 예컨대 나트륨 라우릴 설페이트 및 폴리솔베이트 80, 및 활택제(glidant), 예컨대 이산화규소 및 활석을 선택적으로 포함할 수 있다. 존재하는 경우, 계면활성제는 정제의 약 0.2 중량% 내지 약 5 중량%를 포함할 수 있고, 활택제는 정제의 약 0.2 중량% 내지 약 1 중량%를 포함할 수 있다.Tablets may also optionally include surfactants such as sodium lauryl sulfate and polysorbate 80, and glidants such as silicon dioxide and talc. If present, the surfactant may comprise from about 0.2% to about 5% by weight of the tablet, and the lubricant may comprise from about 0.2% to about 1% by weight of the tablet.
또한 정제는 일반적으로 윤활제, 예컨대 마그네슘 스테아레이트, 칼슘 스테아레이트, 아연 스테아레이트, 나트륨 스테아릴 푸마레이트, 및 마그네슘 스테아레이트와 나트륨 라우릴 설페이트와의 혼합물을 함유한다. 윤활제는 일반적으로 정제의 약 0.25 중량% 내지 약 10 중량%, 바람직하게는 약 0.5 중량% 내지 약 3 중량%를 포함한다.Tablets also generally contain lubricants such as magnesium stearate, calcium stearate, zinc stearate, sodium stearyl fumarate, and mixtures of magnesium stearate with sodium lauryl sulfate. Lubricants generally comprise from about 0.25% to about 10%, preferably from about 0.5% to about 3% by weight of the tablet.
그 밖의 다른 가능한 성분은 산화방지제, 착색제, 향미제, 보존제 및 맛-차단제를 포함한다.Other possible ingredients include antioxidants, colorants, flavors, preservatives and taste-blockers.
정제 배합물은 직접적으로 압착되거나 롤러로 압착되어 정제를 형성할 수 있다. 다른 방법으로 정제 배합물 또는 그 배합물의 일부는 정제화되기 전에 습식-, 건식-, 용융-과립화(granulated)되거나, 용융 응고(melt congealed)되거나, 또는 압출될 수 있다. 최종 제제는 하나 이상의 층을 포함할 수 있고, 코팅되거나 코팅되지 않을 수 있으며, 캡슐화될 수 있다.Tablet formulations may be compressed directly or by roller to form tablets. Alternatively, the tablet blend, or a portion of the blend, may be wet-, dry-, melt-granulated, melt congealed, or extruded before tableting. The final formulation may comprise one or more layers, may or may not be coated and may be encapsulated.
정제 제제는 문헌["Pharmaceutical Dosage Forms: Tablets, Vol. 1", H. Lieberman 및 L. Lachman, Marcel Dekker, N.Y., N.Y., 1980 (ISBN 0-8247-6918-X)]에 논의되어 있다.Tablet formulations are discussed in "Pharmaceutical Dosage Forms: Tablets, Vol. 1", H. Lieberman and L. Lachman, Marcel Dekker, N.Y., N.Y., 1980 (ISBN 0-8247-6918-X).
경구 투여용 고체 제제는 즉시(immediate) 방출형 및/또는 변형(modified) 방출형으로 제제화될 수 있다. 변형 방출형 제제는 지연(delayed)-, 지속(sustained)-, 펄스(pulsed)-, 제어(controlled)-, 표적(targeted) 및 프로그램(programmed) 방출형을 포함한다.Solid formulations for oral administration may be formulated in immediate release and / or modified release. Modified release formulations include delayed-, sustained-, pulsed-, controlled-, targeted and programmed release forms.
약제학적 조성물의 제형 및 약제학적으로 허용되는 담체는 당업계에 공지된 기술에 따라 적절히 선택할 수 있으며, 예를 들어, 하기 문헌을 참조할 수 있다: [Urquhart et al., Lancet, 16:367, 1980]; [Lieberman et al., PHARMACEUTICAL DOSAGE FORMS-DISPERSE SYSTEMS, 2nd ed., vol. 3, 1998]; [Ansel et al., PHARMACEUTICAL DOSAGE FORMS & DRUG DELIVERY SYSTEMS, 7th ed., 2000]; [Martindale, THE EXTRA PHARMACOPEIA, 31st ed.]; [Remington's PHARMACEUTICAL SCIENCES, 16th-20th editions]; [THE PHARMACOLOGICAL BASIS OF THERAPEUTICS, Goodman and Gilman, eds., 9th ed., 1996]; [Wilson and Gisvolds' TEXTBOOK OF ORGANIC MEDICINAL AND PHARMACEUTICAL CHEMISTRY, Delgado and Remers, eds., 10th ed., 1998]. 또한 약제학적 조성물을 제제화하는 원리는 또한 예를 들어, 하기 문헌[Platt, Clin Lab Med, 7:289-99, 1987]; [Aulton, PHARMACEUTICS: THE SCIENCE OF DOSAGE FORM DESIGN, Churchill Livingstone, NY, 1988]; [EXTEMPORANEOUS ORAL LIQUID DOSAGE PREPARATIONS, CSHP, 1998], ["Drug Dosage," J Kans Med Soc, 70(1):30-32, 1969] 등을 참조할 수 있다.Formulations of the pharmaceutical compositions and pharmaceutically acceptable carriers may be appropriately selected according to techniques known in the art, for example, see Urquhart et al., Lancet, 16: 367, 1980; Lieberman et al., PHARMACEUTICAL DOSAGE FORMS-DISPERSE SYSTEMS, 2nd ed., Vol. 3, 1998; Ansel et al., PHARMACEUTICAL DOSAGE FORMS & DRUG DELIVERY SYSTEMS, 7th ed., 2000; Martindale, THE EXTRA PHARMACOPEIA, 31 st ed .; Remington's PHARMACEUTICAL SCIENCES, 16th-20th editions; THE PHARMACOLOGICAL BASIS OF THERAPEUTICS, Goodman and Gilman, eds., 9th ed., 1996; Wilson and Gisvolds' TEXTBOOK OF ORGANIC MEDICINAL AND PHARMACEUTICAL CHEMISTRY, Delgado and Remers, eds., 10th ed., 1998. In addition, the principles of formulating pharmaceutical compositions are also described, for example, in Platt, Clin Lab Med, 7: 289-99, 1987; Aulton, PHARMACEUTICS: THE SCIENCE OF DOSAGE FORM DESIGN, Churchill Livingstone, NY, 1988; [EXTEMPORANEOUS ORAL LIQUID DOSAGE PREPARATIONS, CSHP, 1998], "Drug Dosage," J Kans Med Soc, 70 (1): 30-32, 1969, and the like.
한 구체예에서, 본 발명의 약제학적 조성물은 정제일 수 있다. 정제는 임의적으로 필름 코팅될 수 있다. 복용 단위당 약의 총량은 환자에게 편리한 크기의 복용 형태를 제공하는 양일 수 있다. In one embodiment, the pharmaceutical composition of the present invention may be a tablet. Tablets may optionally be film coated. The total amount of drug per dosage unit can be that amount that provides a dosage form of a convenient size to the patient.
한 구체예에서, 본 발명의 약제학적 조성물은 서방성 정제의 형태로 제제화될 수 있다. In one embodiment, the pharmaceutical compositions of the present invention may be formulated in the form of sustained release tablets.
서방성 정제의 제조를 위해서는, 메트릭스 기제로서 장용 중합체, 소수성 물질, 친수성 고분자 등 중에서 선택된 성분을 사용할 수 있다. For the production of sustained-release tablets, a component selected from an enteric polymer, a hydrophobic substance, a hydrophilic polymer, and the like can be used as the matrix base.
상기 장용 중합체로서는 폴리비닐아세테이트프탈레이트, 메타크릴산 공중합체, 하이드록시프로필메틸셀룰로오스프탈레이트, 쉘락, 셀룰로오스아세테이트프탈레이트, 셀룰로오스프로피오네이트프탈레이트, 유드라짓L 및 유드라짓S 등 중에서 선택된 1 종 이상의 혼합물을 사용할 수 있으며, 바람직하게는 하이드록시프로필메틸셀룰로오스프탈레이트를 사용할 수 있다. The enteric polymer may be a mixture of one or more selected from polyvinylacetate phthalate, methacrylic acid copolymer, hydroxypropylmethylcellulose phthalate, shellac, cellulose acetate phthalate, cellulose propionate phthalate, Eudragit L, Eudragit S, and the like. May be used, and preferably hydroxypropylmethylcellulose phthalate may be used.
상기 소수성 물질은 약학적으로 허용 가능한 것으로 폴리비닐 아세테이트, 폴리메타크릴레이트 공중합체로서 폴리(에틸아크릴레이트, 메틸 메타크릴레이트) 공중합체, 폴리(에틸아크릴레이트, 메틸 메타크릴레이트, 트리메틸아미노에틸메타크릴레이트)공중합체, 에틸셀룰로오스 및 셀룰로오스아세테이트, 지방산 및 지방산 에스테르류, 지방산 알코올류, 왁스류 및 무기물질 등을 선택 사용할 수 있으며, 구체적으로, 지방산 및 지방산 에스테르류로서 글리세릴 팔미토스테아레이트, 글리세릴 스테아레이트, 글리세릴 비헤네이트, 세틸 팔미테이트, 글리세릴 모노 올레이트 및 스테아린산 등 지방산 알코올류로서 세토스테아릴 알코올, 세틸알코올 및 스테아릴알코올 등 왁스류로서 카르나우바왁스, 밀납 및 미결정왁스 등 무기물질로서 탈크, 침강탄산칼슘, 인산일수소칼슘, 산화아연, 산화티탄, 카올린, 벤토나이트, 몬모릴로나이트 및 비검 등 중에서 선택된 1 종 또는 2 종을 선택하여 사용할 수 있다.The hydrophobic materials are pharmaceutically acceptable polyvinyl acetate, poly (methacrylate, methyl methacrylate) copolymer, poly (ethylacrylate, methyl methacrylate, trimethylaminoethylmethacrylate as polymethacrylate copolymers). Acrylates) copolymers, ethyl cellulose and cellulose acetate, fatty acids and fatty acid esters, fatty alcohols, waxes and inorganic substances, and the like, specifically, glyceryl palmitostearate, Fatty acid alcohols such as glyceryl stearate, glyceryl bihenate, cetyl palmitate, glyceryl monooleate and stearic acid; waxes such as cetostearyl alcohol, cetyl alcohol and stearyl alcohol; carnauba wax, beeswax and microcrystalline wax Talc, precipitated coal as inorganic materials Can be used to select one or more selected from calcium, calcium hydrogen phosphate, zinc oxide, titanium oxide, kaolin, bentonite, montmorillonite and bigeom.
상기 친수성 고분자는 당류, 셀룰로오스 유도체, 검류, 단백질류, 폴리비닐 유도체, 폴리메타크릴레이트 공중합체, 폴리에틸렌 유도체 및 카르복시비닐중합체 등을 선택 사용할 수 있으며, 구체적으로 당류로서 덱스트린, 폴리덱스트린, 덱스트란, 펙틴 및 펙틴 유도체, 알긴산염, 폴리갈락투론산, 자일란, 아라비노자일란, 아라비노갈락탄, 전분, 히드록시프로필스타치, 아밀로오스, 아밀로펙틴 등을 선택 사용할 수 있고, 셀룰로오스 유도체로서 히드록시프로필메틸셀룰로오스, 히드록시프로필셀룰로오스, 히드록시메틸셀룰로오스, 히드록시에틸셀룰로오스, 메틸셀룰로오스, 카르복시메틸셀룰로오스 나트륨, 히드록시프로필 메틸셀룰로오스 아세테이트 숙시네이트, 히드록시에틸메틸셀룰로오스 등을 선택하여 사용할 수 있으며, 검류로서 구아검, 로커스트 콩 검, 트라가칸타, 카라기난, 아카시아검, 아라비아검, 젤란검, 잔탄검 등을 선택 사용할 수 있으며, 단백질류로서 젤라틴, 카제인, 및 제인 등을 선택 사용할 수 있고, 폴리비닐 유도체로서 폴리비닐 알코올, 폴리비닐 피롤리돈 및 폴리비닐아세탈디에틸아미노아세테이트 등을 선택 사용할 수 있으며, 폴리메타크릴레이트 공중합체로서 폴리(부틸 메타크릴레이트,(2-디메틸아미노에틸)메타크릴레이트, 메틸메타크릴레이트) 공중합체, 폴리(메타크릴산, 메틸메타크릴레이트) 공중합체, 폴리(메타크릴산, 에틸아크릴레이트) 공중합체 등을 선택하여 사용할 수 있으며, 폴리에틸렌 유도체로서 폴리에틸렌 글리콜, 폴리에틸렌 옥사이드 등을 선택 사용할 수 있으며, 카르복시비닐폴리머로서 카보머를 사용할 수 있다. The hydrophilic polymer may be selected from sugars, cellulose derivatives, gums, proteins, polyvinyl derivatives, polymethacrylate copolymers, polyethylene derivatives and carboxyvinyl polymers, and specifically, as the sugars, dextrin, polydextrin, dextran, Pectin and pectin derivatives, alginates, polygalacturonic acid, xylan, arabinoxylan, arabinogalactan, starch, hydroxypropyl starch, amylose, amylopectin and the like can be selected and used as cellulose derivatives. , Hydroxypropyl cellulose, hydroxymethyl cellulose, hydroxyethyl cellulose, methyl cellulose, carboxymethyl cellulose sodium, hydroxypropyl methyl cellulose acetate succinate, hydroxyethyl methyl cellulose can be selected and used as a gum , By Custard bean gum, tragacanta, carrageenan, acacia gum, gum arabic, gellan gum, xanthan gum, and the like can be selected. Gelatin, casein, zein, etc. can be selected and used as proteins. Alcohol, polyvinyl pyrrolidone, polyvinyl acetal diethylamino acetate, and the like can be selected and used as the polymethacrylate copolymer, and poly (butyl methacrylate, (2-dimethylaminoethyl) methacrylate, methyl methacrylate Rate) copolymer, poly (methacrylic acid, methyl methacrylate) copolymer, poly (methacrylic acid, ethyl acrylate) copolymer, etc. can be selected and used, and polyethylene glycol, polyethylene oxide, etc. are selected as a polyethylene derivative. Carbomer may be used as the carboxyvinyl polymer.
본 발명의 약제학적 조성물은 항암 용도를 위해 단독으로 또는 다른 약물과 병용사용할 수 있다.The pharmaceutical composition of the present invention may be used alone or in combination with other drugs for anticancer use.
한 구체예에서, 상기 약제학적 조성물은 제2의 약물과의 병용 사용을 위한 것일 수 있다. In one embodiment, the pharmaceutical composition may be for use in combination with a second drug.
본 발명에 있어서, '제2의 약물'이라 함은 본 발명의 메트포르민 산 부가염 이외의 또다른 약제학적 유효성분을 의미한다. 본 발명의 메트포르민 산 부가염은 암의 효율적인 치료를 위한 제2의 약물과 함께 병용사용될 수 있다. 예를 들어, 상기 제2의 약물은 항암제, 항고혈당제 등일 수 있다. In the present invention, the "second drug" means another pharmaceutically effective ingredient other than the metformin acid addition salt of the present invention. Metformin acid addition salts of the present invention may be used in combination with a second drug for efficient treatment of cancer. For example, the second drug may be an anticancer agent, an antihyperglycemic agent, or the like.
한 구체예에서, 상기 제2의 약물은 항암제일 수 있다. 본 발명에 따른 메트포르민 산 부가염과 병용사용하기 위한 항암제는 공지의 항암제라면 어떠한 것이든 가능하다. 예를 들어, 알킬화제, 대사길항제, 천연제제, 호르몬 및 길항제 등의 공지의 화학요법제 및 면역요법제, 유전자치료제 등의 생물학적 제제 등이 포함된다. 한 구체예에서, 상기 항암제는 나이트로젠 머스타드, 이마티닙, 옥살리플라틴, 리툭시맙, 엘로티닙, 트라스투주맙, 게피티니브, 보르테조밉, 수니티닙, 카보플라틴, 소라페닙, 베바시주맙, 시스플라틴, 세툭시맙, 비스쿰알붐, 아스파라기나제, 트레티노인, 하이드록시카바마이드, 다사티닙, 에스트라머스틴, 겜투주맵오조가마이신, 이브리투모맙튜세탄, 헵타플라틴, 메칠아미노레불린산, 암사크린, 알렘투주맙, 프로카르바진, 알프로스타딜, 질산홀뮴 키토산, 젬시타빈, 독시플루리딘, 페메트렉세드, 테가푸르, 카페시타빈, 기메라신, 오테라실, 아자시티딘, 메토트렉세이트, 우라실, 시타라빈, 플루오로우라실, 플루다가빈, 에노시타빈, 데시타빈, 머캅토푸린, 티오구아닌, 클라드리빈, 카르모퍼, 랄티트렉세드, 도세탁셀, 파클리탁셀, 이리노테칸, 벨로테칸, 토포테칸, 비노렐빈, 에토포시드, 빈크리스틴, 빈블라스틴, 테니포시드, 독소루비신, 이다루비신, 에피루비신, 미톡산트론, 미토마이신, 블레로마이신, 다우노루비신, 닥티노마이신, 피라루비신, 아클라루비신, 페프로마이신, 테모졸로마이드, 부설판, 이포스파미드, 사이클로포스파미드, 멜파란, 알트레트민, 다카바진, 치오테파, 니무스틴, 클로람부실, 미토락톨, 로무스틴 및 카르무스틴으로 구성된 군으로부터 선택되는 하나 이상의 약물일 수 있다.In one embodiment, the second drug may be an anticancer agent. The anticancer agent for use in combination with metformin acid addition salt according to the present invention may be any known anticancer agent. Examples include known chemotherapeutic agents such as alkylating agents, metabolic antagonists, natural agents, hormones and antagonists, and biological agents such as immunotherapy agents, gene therapy agents, and the like. In one embodiment, the anticancer agent is nitrogen mustard, imatinib, oxaliplatin, rituximab, erlotinib, trastuzumab, gefitinib, bortezomib, sunitinib, carboplatin, sorafenib, bevacizumab, cisplatin , Cetuximab, biscumalboom, asparaginase, tretinoin, hydroxycarbamide, dasatinib, estramastine, gemtuzumab ozogamycin, ibritumab tucetan, heptaplatin, methylaminolevulinic acid, Amsacrine, alemtuzumab, procarbazine, alprostadil, holmium nitrate chitosan, gemcitabine, doxyfluridine, pemetrexed, tegapur, capecitabine, gimerasin, otheracil, azacytidine , Methotrexate, uracil, cytarabine, fluorouracil, fludagabine, enositabine, decitabine, mercaptopurine, thioguanine, cladribine, carmorpher, raltitrexed, docetaxel, paclitaxel, irinotecan, velotecan Cannes, topotecan, vinorelbine, etoposide, vincristine, vinblastine, teniposide, doxorubicin, idarubicin, epirubicin, mitoxantrone, mitomycin, bleomycin, daunorubicin, dactino Mycin, pyrarubicin, aclarubicin, pepromycin, temozolomide, busulfan, iphosphamide, cyclophosphamide, melfaran, altretmin, dacarbazine, cheotepa, nimustine, chlorambucil And one or more drugs selected from the group consisting of mitolactol, romustine and carmustine.
본 발명에 따른 메트포르민 산 부가염과 상기 제2의 약물이 동일한 방식으로 투여가능한 경우, 메트포르민 산 부가염은 제2의 약물과 함께 제제화되어 있는 복합 제제의 형태로도 제공될 수 있다. If the metformin acid addition salt according to the invention and the second drug can be administered in the same manner, the metformin acid addition salt may also be provided in the form of a combined formulation formulated with the second drug.
한편, 본 발명에 있어서, '대상체'는 특정 질병, 장애 또는 질환에 걸린 포유동물과 같은 온혈 동물을 의미하며, 예를 들어, 인간, 오랑우탄, 침팬지, 마우스, 랫트, 개, 소, 닭, 돼지, 염소, 양 등을 포함하나, 이들 예에 한정되는 것은 아니다.Meanwhile, in the present invention, the 'subject' means a warm-blooded animal such as a mammal suffering from a specific disease, disorder or disease, and for example, human, orangutan, chimpanzee, mouse, rat, dog, cow, chicken, pig. , Chlorine, sheep, and the like, but are not limited to these examples.
본 발명의 약제학적 조성물은 예를 들어, 경구, 정맥내, 동맥내, 복강내, 근육내, 복강내, 흉골내, 경피, 비측내, 흡입, 국소, 직장, 안구내 또는 피내 경로를 통해 대상체에 통상적인 방식으로 투여할 수 있다. The pharmaceutical composition of the present invention may be used in a subject via, for example, oral, intravenous, intraarterial, intraperitoneal, intramuscular, intraperitoneal, sternum, transdermal, nasal, inhalation, topical, rectal, intraocular or intradermal routes. It can be administered in a conventional manner.
또한 '치료'는 증상을 경감시키거나, 증상의 원인을 일시적 또는 영구적으로 제거하거나 증상의 출현 및 상기한 질병, 장애 또는 질환의 진행을 예방 또는 둔화시키는 것을 포함하나 이에 제한되지 않는다."Treatment" also includes, but is not limited to, alleviating the symptom, removing the cause of the symptom temporarily or permanently, or preventing or slowing the appearance of the symptom and the progression of the disease, disorder or condition described above.
본 발명의 약제학적 조성물의 유효성분의 유효량은 질환의 치료를 이루는데 요구되는 양을 의미한다. 따라서, 질환의 종류, 질환의 중증도, 조성물에 함유된 유효 성분 및 다른 성분의 종류 및 함량, 제형의 종류 및 환자의 연령, 체중, 일반 건강 상태, 성별 및 식이, 투여 시간, 투여 경로 및 조성물의 분비율, 치료 기간, 동시 사용되는 약물을 비롯한 다양한 인자에 따라 조절될 수 있다. 예컨대, 성인의 경우, 메트포르민 산 부가염은 1일 1회 내지 수회 투여시, 총 50 내지 3000 mg의 용량으로 투여할 수 있다. An effective amount of the active ingredient of the pharmaceutical composition of the present invention means an amount required to achieve the treatment of the disease. Thus, the type of disease, the severity of the disease, the type and amount of the active and other ingredients contained in the composition, the type of formulation and the age, weight, general health, sex and diet, sex and diet, time of administration, route of administration and composition of the patient. It can be adjusted according to various factors including the rate of secretion, the duration of treatment, and the drug used concurrently. For example, in adults, metformin acid addition salt may be administered in a dose of 50 to 3000 mg in total, once to several times daily.
본 발명은 또한 하기 화학식 2의 구조를 갖는 메트포르민의 아미노옥시아세트산염을 제공한다:The present invention also provides an aminooxyacetic acid salt of metformin having the structure of formula (II):
[화학식 2][Formula 2]
Figure PCTKR2010007273-appb-I000002
Figure PCTKR2010007273-appb-I000002
또한, 본 발명은 또한 In addition, the present invention also
하기 화학식 3의 메트포르민 유리염기를 아미노옥시아세트산과 반응시키는 것을 포함하는 To reacting the metformin free base of Formula 3 with aminooxyacetic acid
하기 화학식 2의 구조를 갖는 메트포르민의 아미노옥시아세트산염의 제조 방법을 제공한다. It provides a method for preparing the aminooxyacetic acid salt of metformin having the structure of formula (2).
[화학식 3] [Formula 3]
Figure PCTKR2010007273-appb-I000003
Figure PCTKR2010007273-appb-I000003
[화학식 2][Formula 2]
Figure PCTKR2010007273-appb-I000004
Figure PCTKR2010007273-appb-I000004
상기 제조방법은 아미노옥시아세트산 이외의 다른 유기산이 부가된 메트포르민의 산 부가염, 예를 들어, 메트포르민의 디클로로아세트산염의 제조에도 동일한 방식으로 적용될 수 있다. The production method can be applied in the same manner to the preparation of acid addition salts of metformin, for example, dichloroacetic acid salt of metformin, to which an organic acid other than aminooxyacetic acid is added.
메트포르민의 산 부가염을 형성하기 위해 이용되는 메트포르민의 유리염기는 상업적으로 입수하거나 공지의 방법을 통해 합성할 수 있다. The free base of metformin used to form the acid addition salt of metformin can be obtained commercially or synthesized by known methods.
하기 실시예에서는, 메트포르민 염산염과 같은 공지의 메트포르민 산 부가염과 무기염기를 반응시켜 메트포르민 유리염기를 형성한다. 종래의 기술에서는 메트포르민 유리염기를 합성할 때, 메트포르민 염산염에서 염산을 제거하기 위해서 이온교환수지 칼럼을 사용하여 어렵게 생산하고, 용매를 가열 환류하고 뜨거운 상태에서 여과를 하는 혹독한 생산조건을 요구한다(미국특허 4,080,472). 본 발명에서는 특별한 설비 없이 일반적인 생산설비에서 합성이 가능하도록 단순하게 공정을 개선하여 보다 낮은 단가로 메트포르민의 산 부가염을 합성할 수 있다.In the following examples, a metformin free base is formed by reacting a known metformin acid addition salt such as metformin hydrochloride with an inorganic base. The prior art requires harsh production conditions when synthesizing metformin free base, which is difficult to produce using an ion exchange resin column to remove hydrochloric acid from metformin hydrochloride, and the solvent is heated to reflux and filtered under hot conditions (US Patent 4,080,472). In the present invention, it is possible to synthesize an acid addition salt of metformin at a lower unit cost by simply improving the process so that synthesis in a general production facility without special facilities is possible.
메트포르민의 유기염기의 형성을 위해 사용되는 공지의 메트포르민 산 부가염은 예를 들어, 염산, 설페이트, 나이트레이트, 포스페이트, 설파이트, 디티오네이트, 아세테이트, 벤조에이트, 시트레이트, 글리코레이트염, 글리옥시레이트, 머캅토아세테이트, 감마하이드록시부티레이트, 파모에이트, 아스파르테이트, 글루타메이트, 피롤리돈 카르복시레이트, 메탄설포네이트, 나프탈렌 설포네이트, 글루코스-1-포스페이트, 클로로페녹시 아세테이트, 엠보네이트, 클로로페녹시 아세테이트, 말리에이트, 파라클로로페녹시이소부티레이트, 포르메이트, 락테이트, 석신네이트, 타트레이트, 시클로헥산카로복시레이트, 헥사노에이트, 옥타노에이트, 데카노에이트, 헥사데카노에이트, 옥토데카노에이트, 벤젠설포네이트, 트리메톡시 벤조에이트, 파라톨루엔 설포네이트, 아다만탄카르복시레이트, 글루타메이트, 피롤리돈카르복시레이트, 말로네이트, 말레이트, 옥살레이트 등으로부터 선택되는 유기산과의 산 부가염일 수 있다. Known metformin acid addition salts used for the formation of the organic base of metformin are, for example, hydrochloric acid, sulfates, nitrates, phosphates, sulfites, dithionates, acetates, benzoates, citrate, glycorate salts, glycosides. Oxylate, mercaptoacetate, gammahydroxybutyrate, pamoate, aspartate, glutamate, pyrrolidone carboxylate, methanesulfonate, naphthalene sulfonate, glucose-1-phosphate, chlorophenoxy acetate, embonate, chloro Phenoxy acetate, maleate, parachlorophenoxyisobutyrate, formate, lactate, succinate, tartrate, cyclohexane carboxylate, hexanoate, octanoate, decanoate, hexadecanoate, octode Decanoate, benzenesulfonate, trimethoxy benzoate, paratoluene Sulfonate, ah it may adamantan carboxylate, glutamate, pyrrolidone carboxylate, words of acid and carbonate, malate, acid addition salt is selected from the oxalate and so on.
한 구체예에서, 메트포르민의 유리염기를 형성하기 위해 사용되는 무기염기는 수산화나트륨, 수산화칼륨, 수산화칼슘, 수산화리튬, 탄산칼륨, 탄산나트륨, 탄산세슘, 탄산수소나트륨 및 탄산수소칼륨으로부터 선택될 수 있다.In one embodiment, the inorganic base used to form the free base of metformin can be selected from sodium hydroxide, potassium hydroxide, calcium hydroxide, lithium hydroxide, potassium carbonate, sodium carbonate, cesium carbonate, sodium hydrogen carbonate and potassium hydrogen carbonate.
메트포르민 산 부가염과 무기염기를 반응시킬 때에는 물 또는 통상의 유기 용매를 사용할 수 있다.When reacting a metformin acid addition salt and an inorganic base, water or a normal organic solvent can be used.
이와 같이 제조된 메트포르민의 유리염기는 유기산과 반응하여 메트포르민의 산 부가염을 형성하게 된다. The free base of metformin thus prepared is reacted with an organic acid to form an acid addition salt of metformin.
한 구체예에서, 상기 메트포르민 유리염기는 1몰당량 당 유기산 0.5 내지 4몰당량과 반응할 수 있다.In one embodiment, the metformin free base may react with 0.5 to 4 molar equivalents of organic acid per molar equivalent.
메트포르민의 유리염기와 유기산과의 반응은 물 또는 통상의 유기용매를 사용하여 수행될 수 있다. The reaction of the metformin with the free base and the organic acid can be carried out using water or a conventional organic solvent.
본 발명에 따른 메트포르민의 산 부가염의 제조방법에서 사용될 수 있는 유기용매는 이제 제한되는 것은 아니나, 메탄올, 에탄올, 이소프로판올, 부탄올, 펜탄올, 다이옥산, 디메틸포름아마이드, 디메틸설폭사이드, 아세톤 및 아세토니트릴로 구성된 군으로부터 선택될 수 있다. Organic solvents that can be used in the process for the preparation of acid addition salts of metformin according to the present invention are not limited to methanol, ethanol, isopropanol, butanol, pentanol, dioxane, dimethylformamide, dimethylsulfoxide, acetone and acetonitrile. It may be selected from the group consisting of.
메트포르민의 유리염기와 유기산과의 반응이 유기용매 하에서 수행될 경우, 메트포르민의 유리염기에 유기산을 첨가한 후 생성된 고체를 여과, 세척 및 건조시켜 메트포르민의 결정성 산 부가염을 형성하게 된다.When the reaction between the free base of metformin and the organic acid is carried out under an organic solvent, the organic acid is added to the free base of metformin, and the resulting solid is filtered, washed, and dried to form a crystalline acid addition salt of metformin.
한편, 메트포르민의 유리염기와 유기산과의 반응이 수용액 하에서 수행될 경우, 메트포르민의 유리염기에 유기산을 첨가한 후, 동결건조, 진공건조, 열풍건조와 같은 건조 과정을 거쳐 생성된 고체를 세척, 여과 및 건조시켜 메트포르민의 결정성 산 부가염을 형성하게 된다. On the other hand, when the reaction between the free base of metformin and the organic acid is carried out in an aqueous solution, the organic acid is added to the free base of metformin, and then washed and filtered through the drying process such as freeze drying, vacuum drying, hot air drying And drying to form the crystalline acid addition salt of metformin.
상기 반응 및 고체 생성온도는 -10 내지 100℃의 온도 범위에서 수행될 수 있다. The reaction and the solid production temperature may be carried out in a temperature range of -10 to 100 ℃.
본 발명은 또한 The invention also
약제학적으로 허용되는 담체 및 하기 화학식 2의 구조를 갖는 메트포르민의 아미노옥시아세트산염을 유효성분으로 포함하는 당뇨, 비만, 고지혈증, 지방간, 관상동맥질환, 골다공증, 다낭성 난소증후군, 대사성 증후군, 근육통, 근육세포 손상 및 횡문근 융해로 구성되는 군으로부터 선택되는 질환의 치료 또는 예방을 위한 약제학적 조성물을 제공한다:Diabetes, obesity, hyperlipidemia, fatty liver, coronary artery disease, osteoporosis, polycystic ovary syndrome, metabolic syndrome, myalgia, muscle comprising a pharmaceutically acceptable carrier and aminooxyacetate of metformin having the structure of Formula 2 as an active ingredient Provided are pharmaceutical compositions for the treatment or prevention of diseases selected from the group consisting of cell damage and rhabdomyolysis:
[화학식 2][Formula 2]
Figure PCTKR2010007273-appb-I000005
Figure PCTKR2010007273-appb-I000005
메트포르민이 AMPK를 활성화시켜 당뇨, 비만, 고지혈증, 지방간, 관상동맥질환, 골다공증, 다낭성 난소증후군, 대사성 증후군, 근육통, 근육세포 손상 및 횡문근 융해 등의 질환을 치료하기 위해 이용될 수 있음이 당업계에 잘 알려져 있다. 본 발명에 따른 메트포르민 아미노옥시아세트산염은 메트포르민의 이러한 약리학적 효과에 더하여 중성 지질 저하 작용을 매우 증강시켜주며 메트포르민 염산염보다 우수한 혈당 강하 효과, 특히 공복 시뿐만 아니라 식후 혈당 강하에 매우 효과적이고 인슐린 감수성을 증가시키는 효과를 나타낸다.It is known in the art that metformin can be used to activate AMPK to treat diseases such as diabetes, obesity, hyperlipidemia, fatty liver, coronary artery disease, osteoporosis, polycystic ovary syndrome, metabolic syndrome, myalgia, muscle cell damage and rhabdomyolysis It is well known. Metformin aminooxyacetate according to the present invention, in addition to this pharmacological effect of metformin, greatly enhances the neutral lipid lowering action, it is more effective than metformin hydrochloride to lower blood sugar, especially fasting as well as postprandial blood sugar lowering and insulin sensitivity Increases the effect.
본 발명에 따른 메트포르민 디클로로아세트산염 및 메트포르민 아미노옥시아세트산염에 대한 약리학적 효과를 여러 가지 방법으로 생체 내(in vivo) 및 생체 외(in vitro)에서 실험해 본 결과, 본 발명에 따른 메트포르민 산 부가염은 메트포르민에 비해 현저히 증강된 항암 효과를 나타낸다. 또한, 메트포르민 염산염에 비해 용해도, 안정성, 비흡습성, 정제 제형으로서의 가공성 등의 물리화학적 성질이 우수하고, 독성이 낮아, 메트포르민의 약제학적으로 허용되는 염으로써 유용하게 이용될 수 있다.The pharmacological effects of metformin dichloroacetate and metformin aminooxyacetate according to the present invention can be determined in various ways in vivo and in vitro. As a result, the metformin acid addition salt according to the present invention shows a significantly enhanced anticancer effect compared to metformin. In addition, physicochemical properties such as solubility, stability, non-hygroscopicity, and processability as tablet formulations are superior to metformin hydrochloride, and the toxicity is low, and thus may be usefully used as a pharmaceutically acceptable salt of metformin.
도 1은 메트포르민 디클로로아세트산염(DCA)의 AMPKα 활성화 효과를 보여준다.Figure 1 shows the effect of AMPKα activation of metformin dichloroacetate (DCA).
본 발명의 이점 및 특징, 그리고 그것들을 달성하는 방법은 상세하게 후술되어 있는 실시예들을 참조하면 명확해질 것이다. 그러나 본 발명은 이하에서 개시되는 실시예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 구현될 것이며, 단지 본 실시예들은 본 발명의 개시가 완전하도록 하고, 본 발명이 속하는 기술 분야에서 통상의 지식을 가진 자에게 발명의 범주를 완전하게 알려주기 위해 제공되는 것이며, 본 발명은 청구항의 범주에 의해 정의될 뿐이다.Advantages and features of the present invention and methods for achieving them will be apparent with reference to the embodiments described below in detail. However, the present invention is not limited to the embodiments disclosed below, but will be implemented in various forms, and only the embodiments are intended to complete the disclosure of the present invention, and the general knowledge in the technical field to which the present invention pertains. It is provided to fully convey the scope of the invention to those skilled in the art, and the present invention is defined only by the scope of the claims.
[실시예]EXAMPLE
실시예 1 : 메트포르민 유리염기의 제조 Example 1 Preparation of Metformin Free Base
메트포르민 염산염 16.6g과 93% 수산화칼륨 6.0g을 이소프로판올 50mL에 넣고 50℃에서 2시간 동안 교반한다. 반응액을 25℃로 냉각한 후 여과하고 20mL의 이소프로판올로 세척하고 아세톤 20mL로 1회 더 세척하였다. 여액을 농축한 후 진공 건조하여 12.8g(득량수율: 98.5%)의 흰색 고체의 메트포르민 유리염기를 얻었다. 녹는점 119.0~119.5℃ 16.6 g of metformin hydrochloride and 6.0 g of 93% potassium hydroxide are added to 50 mL of isopropanol and stirred at 50 ° C. for 2 hours. The reaction solution was cooled to 25 ° C., filtered, washed with 20 mL of isopropanol, and washed once more with 20 mL of acetone. The filtrate was concentrated and dried in vacuo to give 12.8 g (yield yield: 98.5%) of a white solid metformin freebase. Melting Point 119.0 ~ 119.5 ℃
1H-NMR (600MHz, D2O) δ(ppm) 3.07(s, 6H) 1 H-NMR (600 MHz, D 2 O) δ (ppm) 3.07 (s, 6H)
13C-NMR (150MHz, D2O) δ(ppm) 161.05, 158.5, 37.35 13 C-NMR (150 MHz, D 2 O) δ (ppm) 161.05, 158.5, 37.35
실시예 2 : 메트포르민 디클로로아세트산염의 제조 Example 2 Preparation of Metformin Dichloroacetate
실시예 1 에서 제조한 메트포르민 유리염기 8.0g (1.0 당량) 에 이소프로판올 30 ml를 가하여 용해하였다. 반응액을 교반하면서 디클로로아세트산 8.0g (1.0 당량)를 천천히 적가한 후 2시간 동안 50℃에서 교반하였다. 에틸아세테이트 200mL 을 적가하여 결정을 생성 후, 생성된 결정을 여과하고 이소프로판올 20mL, 아세톤 50mL 순으로 세척하였다. 여과물을 열풍 건조하여 흰색 고체의 메트포르민 디클로로아세트산염 14.4g (득량수율: 90.0%)를 얻었다.  녹는점 154.6℃ 30 ml of isopropanol was added to 8.0 g (1.0 equiv) of metformin free base prepared in Example 1, and dissolved. Dichloroacetic acid 8.0g (1.0 equiv) was slowly added dropwise while stirring the reaction solution, followed by stirring at 50 ° C for 2 hours. After 200 mL of ethyl acetate was added dropwise to form crystals, the resulting crystals were filtered and washed with 20 mL of isopropanol and 50 mL of acetone. The filtrate was hot-air dried to obtain 14.4 g of a white solid metformin dichloroacetate (yield yield: 90.0%). Melting Point 154.6 ℃
1 H-NMR (600MHz, D2O) δ 6.33(s, 1H), 2.47(s, 6H) 1 H-NMR (600 MHz, D 2 O) δ 6.33 (s, 1H), 2.47 (s, 6H)
13C-NMR (150MHz, D2O) δ(ppm) 170.6, 163.0, 66.2, 34.5 13 C-NMR (150 MHz, D 2 O) δ (ppm) 170.6, 163.0, 66.2, 34.5
실시예 3 : 메트포르민 아미노옥시아세트산염의 제조 Example 3 Preparation of Metformin Aminooxyacetate
실시예 1 에서 제조한 메트포르민 유리염기 8.0g (1.0 당량) 에 이소프로판올 30 ml를 가하여 용해하였다. 반응액을 교반하면서 아미노옥시아세트산 5.7g (1.0 당량)를 천천히 적가한 후 2시간 동안 50 ℃에서 교반하였다. 에틸아세테이트 200mL 을 적가하여 결정을 생성 후, 생성된 결정을 여과하고 이소프로판올 20mL, 아세톤 50mL 순으로 세척하였다. 여과물을 열풍 건조하여 흰색 고체의 메트포르민 옥시아세트산염 11.6g (득량수율: 85.0%)를 얻었다.  녹는점 164.0℃ 30 ml of isopropanol was added to 8.0 g (1.0 equiv) of metformin free base prepared in Example 1, and dissolved. 5.7 g (1.0 equivalent) of aminooxyacetic acid was slowly added dropwise while stirring the reaction solution, followed by stirring at 50 ° C for 2 hours. After 200 mL of ethyl acetate was added dropwise to form crystals, the resulting crystals were filtered and washed with 20 mL of isopropanol and 50 mL of acetone. The filtrate was hot-air dried to obtain 11.6 g of a white solid metformin oxyacetate (yield yield: 85.0%). Melting Point 164.0 ℃
1 H-NMR (600MHz, D2O) δ 4.47(s, 2H), 2.47(s, 6H) 1 H-NMR (600MHz, D 2 O) δ 4.47 (s, 2H), 2.47 (s, 6H)
13C-NMR (150MHz, D2O) δ(ppm) 172.9, 163.0, 79.8, 34.5 13 C-NMR (150 MHz, D 2 O) δ (ppm) 172.9, 163.0, 79.8, 34.5
실험예Experimental Example 1: 메트포르민  1: metformin 디클로로아세트산염의Dichloroacetic acid 항암 효과 확인 Check anticancer effect
본 발명의 실시예 2에 기술된 방식으로 합성된 메트포르민 디클로로아세트산염을 암세포에 처리하여 암세포 증식 억제 효능을 측정하였다. 간략한 실험 방법은 다음과 같다. Metformin dichloroacetic acid synthesized in the manner described in Example 2 of the present invention was treated with cancer cells to determine the effect of inhibiting cancer cell proliferation. A brief experimental method is as follows.
인간의 유방암에서 유래한 MCF7 세포를 사용하였고, MTT (3-(4,5-dimethylthiazole-2-yl)-2,5-ditetrazoliumbromide) 시약을 이용하여 메트포르민 디클로로아세트산염(DCA)에 의한 세포의 생존율(%)과 세포생장이 50%로 억제되는 농도(세포생장억제농도, GIC50) 값을 측정하여 메트포르민 디클로로아세트산염(DCA)의 암세포 증식 억제 효과를 확인하였다. MCF7 cells derived from human breast cancer were used, and the survival rate of cells by metformin dichloroacetate (DCA) using MTT (3- (4,5-dimethylthiazole-2-yl) -2,5-ditetrazoliumbromide) reagent (%) And the concentration at which cell growth is inhibited to 50% (cell growth inhibitory concentration, GIC50) were measured to determine the cancer cell proliferation inhibitory effect of metformin dichloroacetate (DCA).
MCF7 (한국세포주은행 구입) 세포를 10 % 송아지 혈청이 포함된 DMEM 배지에서 세포수가 약 5000개가 되도록 96 웰 플레이트 (well plate)에 넣고 약 24 시간 배양하였다. 이 후 세포생존율을 확인하기 위해서 실시예 2에서 합성한 메트포르민 디클로로아세트산염(DCA) 2mM 및 10mM을 각각 상기 배양액에 처리하고 72시간 동안 배양하였다. 또한 GIC50을 구하기 위해서 메트포르민 디클로로아세트산염(DCA)을 10 mM, 2 mM, 0.4 mM, 0.08 mM 그리고 0.016 mM로 상기 배양액에 각각 처리하여 72시간 동안 배양하였다. MCF7 (Korea Cell Line Bank) cells were placed in a 96 well plate in a DMEM medium containing 10% calf serum so that the number of cells is about 5000 and incubated for about 24 hours. Thereafter, in order to confirm cell viability, metformin dichloroacetate salt (DCA) synthesized in Example 2 was treated with 2 mM and 10 mM of the culture medium, respectively, and cultured for 72 hours. To obtain GIC 50 , metformin dichloroacetate (DCA) was treated with 10 mM, 2 mM, 0.4 mM, 0.08 mM, and 0.016 mM of the culture solution, and cultured for 72 hours.
메트포르민 디클로로아세트산염(DCA) 처리 후 살아있는 세포를 확인하기 위하여 MTT를 배양액에 첨가하고 3시간 동안 더 배양시켰다. 생성된 포마잔 크리스탈 (formazane crystal)은 DMSO (dimethyl sulfoxide)를 이용하여 용해시킨 후 560 nm에서 용액의 흡광도를 측정하였다. MTT was added to the cultures and further incubated for 3 hours to identify live cells after metformin dichloroacetate (DCA) treatment. The resulting forazane crystal was dissolved using dimethyl sulfoxide (DMSO) and the absorbance of the solution was measured at 560 nm.
72시간을 배양한 후 메트포르민 디클로로아세트산염(DCA)을 처리하지 않은 웰 플레이트에서 배양된 세포 개수 대비 메트포르민 디클로로아세트산염(DCA)을 처리한 웰 플레이트에서 생존하는 세포의 개수를 세포 생존율(%)로 나타내었다. 또한 세포 생존율 곡선을 이용하여 성장이 50 %로 억제되는 메트포르민 디클로로아세트산염(DCA)의 농도 (GIC 50) 값을 계산하여 메트포르민 디클로로아세트산염(DCA)의 암세포 증식 억제 효과를 확인하였으며, 그 결과를 표 2 및 표 3에 각각 나타내었다. After 72 hours of incubation, the number of cells surviving in the well plate treated with metformin dichloroacetate (DCA) compared to the number of cells cultured in the well plate not treated with metformin dichloroacetate (DCA) was expressed as% cell viability. Indicated. In addition, the concentration of metformin dichloroacetate (DCA) (GIC 50) in which growth was inhibited to 50% was calculated using a cell viability curve to confirm the effect of inhibiting cancer cell proliferation of metformin dichloroacetate (DCA). It is shown in Table 2 and Table 3, respectively.
또한 메트포르민 디클로로아세트산염(DCA) 대신에 메트포르민 염산염 또는 디클로로아세트산(DCA)을 사용하여 세포 생존율 (%) 및 GIC 50 값을 구하고 그 결과를 표 2 및 표 3에 각각 나타내었다. In addition, metformin hydrochloride or dichloroacetic acid (DCA) was used instead of metformin dichloroacetate (DCA) to obtain cell viability (%) and GIC 50 values, and the results are shown in Tables 2 and 3, respectively.
표 2 세포생존율(%)
세포생존율(%) MCF7
2mM 10mM
메트포르민 디클로로아세트산염 83.5% 25.6%
메트포르민 염산염 87.8% 71.9%
디클로로아세트산 103.6% 47.3%
TABLE 2 Cell survival rate (%)
Cell survival rate (%) MCF7
2mM
10 mM
Metformin dichloroacetate 83.5% 25.6%
Metformin hydrochloride 87.8% 71.9%
Dichloroacetic acid 103.6% 47.3%
표 3 세포성장 억제농도(GIC 50)
GIC 50 MCF7
메트포르민 디클로로아세트산염 6.5mM
메트포르민 염산염 >10mM
디클로로아세트산 9.9mM
TABLE 3 Cell growth inhibitory concentration (GIC 50)
GIC 50 MCF7
Metformin dichloroacetate 6.5mM
Metformin hydrochloride > 10mM
Dichloroacetic acid 9.9mM
상기 표 2의 세포 생존율 데이터로부터 알 수 있는 바와 같이, MCF7 세포를 메트포르민 디클로로아세트산염 존재 하에서 배양하는 경우에 메트포르민 염산염 하에서 배양한 경우보다 세포의 생존율이 더 낮았으며, 이로부터 메트포르민 디클로로아세트산염이 메트포르민 염산염보다 암세포 특히, 유방암 세포의 생존을 효과적으로 억제하는 것을 알 수 있었다.As can be seen from the cell viability data of Table 2, when the MCF7 cells were cultured in the presence of metformin dichloroacetate, the cell viability was lower than when cultured under metformin hydrochloride, from which metformin dichloroacetate metformin It was found that the survival of cancer cells, particularly breast cancer cells, is more effectively suppressed than hydrochloride.
또한 표 3의 GIC 50 값에서 알 수 있는 바와 같이, 메트포르민 디클로로아세트산염 처리군의 경우 6.5 mM의 농도에서 MCF7 세포의 생장을 50 % 억제할 수 있는 반면, 메트포르민 염산염 처리군의 경우 10 mM을 처리하여도 세포의 생장을 50 % 이상 억제하지 못하였다. 따라서 메트포르민 디클로로아세트산염을 메트포르민 염산염보다 적은 양 사용하여도 유방암에서 유래한 암세포의 생장을 효과적으로 억제할 수 있음을 알 수 있었다.In addition, as can be seen from the GIC 50 value of Table 3, the metformin dichloroacetate treated group can inhibit the growth of MCF7 cells by 50% at a concentration of 6.5 mM, whereas the metformin hydrochloride treated group treated 10 mM Even if the growth of the cells did not inhibit more than 50%. Therefore, the use of metformin dichloroacetate less than metformin hydrochloride can effectively inhibit the growth of cancer cells derived from breast cancer.
실험예Experimental Example 2: 메트포르민  2: metformin 아미노옥시아세트산염의Of aminooxyacetates 항암 효과 확인 Check anticancer effect
메트포르민 디클로로아세트산염 대신에 메트포르민 아미노옥시아세트산염(AOA)을 사용하여 실험예 1과 동일한 방법으로 세포 생존율 (%) 및 GIC 50 값을 구하고 그 결과를 표 4 및 표 5에 각각 나타내었다. Using metformin aminooxyacetate (AOA) instead of metformin dichloroacetate, the cell viability (%) and GIC 50 values were determined in the same manner as in Experimental Example 1 and the results are shown in Tables 4 and 5, respectively.
표 4
세포생존율(%) MCF7
2mM 10mM
메트포르민 아미노옥시아세트산(AOA)염 68.0% 40.1%
메트포르민 염산염 87.8% 71.9%
Table 4
Cell survival rate (%) MCF7
2mM
10 mM
Metformin aminooxyacetic acid (AOA) salt 68.0% 40.1%
Metformin hydrochloride 87.8% 71.9%
표 5
GIC 50 MCF7
메트포르민 아미노옥시아세트산(AOA)염 5.1mM
메트포르민 염산염 >10mM
Table 5
GIC 50 MCF7
Metformin aminooxyacetic acid (AOA) salt 5.1mM
Metformin hydrochloride > 10mM
상기 표 4의 세포 생존율 데이터로부터 알 수 있는 바와 같이, MCF7 세포를 메트포르민 아미노옥시아세트산(AOA)염 존재 하에서 배양하는 경우에 메트포르민 염산염 하에서 배양한 경우보다 세포의 생존율이 더 낮았으며, 이로부터 메트포르민 아미노옥시아세트산(AOA)염이 메트포르민 염산염보다 암세포 특히, 유방암 세포의 생존을 효과적으로 억제하는 것을 알 수 있었다.As can be seen from the cell viability data of Table 4, when MCF7 cells were cultured in the presence of metformin aminooxyacetic acid (AOA) salt, the cell viability was lower than when cultured under metformin hydrochloride, from which metformin amino It was found that oxyacetic acid (AOA) salts more effectively inhibit the survival of cancer cells, particularly breast cancer cells, than metformin hydrochloride.
또한 표 5의 GIC 50 값에서 알 수 있는 바와 같이, 메트포르민 아미노옥시아세트산(AOA)염 처리군은 5.1 mM의 농도에서 MCF7 세포의 생장을 50 % 억제할 수 있는 반면, 메트포르민 염산염 처리군에서는 10 mM을 처리해도 세포의 생장을 50 % 억제할 수 없었다. 따라서 메트포르민 아미노옥시아세트산(AOA)염을 메트포르민 염산염보다 적은 양 사용하여도 유방암에서 유래한 암세포의 생장을 효과적으로 억제할 수 있음을 알 수 있었다.In addition, as can be seen from the GIC 50 value of Table 5, the metformin aminooxyacetic acid (AOA) salt treatment group can inhibit the growth of MCF7 cells by 50% at a concentration of 5.1 mM, while the metformin hydrochloride treatment group was 10 mM. Treatment did not inhibit cell growth by 50%. Therefore, the use of metformin aminooxyacetic acid (AOA) salt in a smaller amount than metformin hydrochloride can effectively inhibit the growth of cancer cells derived from breast cancer.
실험예Experimental Example 3: 메트포르민  3: metformin 디클로로아세트산염의Dichloroacetic acid AMPKAMPK α의 활성화 효과 확인Confirmation of α's activation effect
본 발명의 실시예 2에 기술된 방식으로 합성된 메트포르민 디클로로아세트산염(DCA)을 세포에 처리하여 AMPKα를 활성화시키는 효과를 측정하였다. 간략한 실험 방법은 다음과 같다. Metformin dichloroacetate (DCA) synthesized in the manner described in Example 2 of the present invention was treated with cells to determine the effect of activating AMPKα. A brief experimental method is as follows.
인간 유방암 세포에서 유래한 MCF7 세포를 사용하였고, AMPKα immunoassay kit (Invitrogen, catalog No. KHO0651)를 이용하여 메트포르민 디클로로아세트산염(DCA)에 의한 AMPKα (5'-AMP-activated protein kinase alpha) 활성화 효과를 확인하였다. MCF7 cells derived from human breast cancer cells were used, and AMPKα (5'-AMP-activated protein kinase alpha) activation effect by metformin dichloroacetate (DCA) was activated using the AMPKα immunoassay kit (Invitrogen, catalog No. KHO0651). Confirmed.
MCF7 (한국세포주은행 구입) 세포를 10 % 송아지 혈청이 포함된 DMEM 배지에서 배양하고 세포수가 약 5×105개가 되도록 6 웰 플레이트 (well plate)에 넣은 후, 5 % CO2가 공급되는 배양기에서 세포를 배양하였다. 상기 배양액에 2mM 및 10mM의 메트포르민 디클로로아세트산염을 각각 처리한 후 24시간 동안 배양하였다. 이 후 AMPKα immunoassay kit (Invitrogen, catalog No. KHO0651) 사용설명에서 제시하는 방법으로 세포를 용해시킨 후, 단백질 정량을 통해 20ug의 세포 용해물을 수득한 후, 상기 AMPKα immunoassay kit의 사용설명서에 개시된 방법에 따라 상기 세포 용해물로부터 AMPKα의 트레오닌 172 잔기 (Thr172)의 인산화된 정도를 확인하여 그 결과를 하기 표 6 및 도 1에 기재하였다. 메트포르민 디클로로아세트산염(DCA)에 의한 AMPKa 활성화 정도의 비율은 메트포르민 디클로로아세트산염(DCA) 없이 배양된 세포에서의 인산화된 AMPKa 대비, 상기 메트포르민 디클로로아세트산염(DCA) 존재 하에서 배양된 세포에서의 인산화된 AMPKa의 정도를 나타내었다. MCF7 (Korea Cell Line Bank) cells were cultured in DMEM medium containing 10% calf serum, placed in a 6-well plate so that the number of cells was about 5 × 10 5 , and then in a incubator fed with 5% CO 2 . Cells were cultured. The culture solution was treated with 2 mM and 10 mM metformin dichloroacetate, respectively, and then incubated for 24 hours. After lysing the cells by the method described in the instructions for use of the AMPKα immunoassay kit (Invitrogen, catalog No. KHO0651), 20 ug of cell lysate was obtained by protein quantification, and then the AMPKα immunoassay kit According to the method, the phosphorylated degree of threonine 172 residue (Thr172) of AMPKα was confirmed from the cell lysate, and the results are shown in Table 6 and FIG. 1. The ratio of the degree of AMPKa activation by metformin dichloroacetate (DCA) is phosphorylated in cells cultured in the presence of metformin dichloroacetate (DCA) compared to phosphorylated AMPKa in cells cultured without metformin dichloroacetate (DCA). The degree of AMPKa is shown.
또한 메트포르민 디클로로아세트산염(DCA) 대신 메트포르민 염산염을 사용하여 동일한 방법으로 AMPKa의 트레오닌 172 잔기 (Thr172)의 인산화 정도를 확인하였고, 그 결과를 하기 표 6에 기재하였다.In addition, the degree of phosphorylation of threonine 172 residue (Thr172) of AMPKa was confirmed in the same manner using metformin hydrochloride instead of metformin dichloroacetate (DCA), and the results are shown in Table 6 below.
표 6
0 mM 2mM 10 mM
메트포르민 디클로로아세트산염 측정값(unit/ml) 11.95±0.50 19.70±1.27 31.10±3.68
비율 1.0 1.6 2.6
메트포르민 염산염 측정값 11.95±0.50 18.20±0.71 19.95±2.62
비율 1.0 1.5 1.7
Table 6
0 mM 2mM 10 mM
Metformin dichloroacetate Measure (unit / ml) 11.95 ± 0.50 19.70 ± 1.27 31.10 ± 3.68
ratio 1.0 1.6 2.6
Metformin hydrochloride Measures 11.95 ± 0.50 18.20 ± 0.71 19.95 ± 2.62
ratio 1.0 1.5 1.7
상기 표 6 및 도 1에서 볼 수 있는 바와 같이, 메트포르민 디클로로아세트산염이 10 mM에서 메트포르민 염산염보다 AMPKα의 트레오닌 172 잔기를 더 많이 인산화시킴을 알 수 있었다. 따라서 메트포르민 디클로로아세트산염(DCA)은 메트포르민 염산염보다 AMPKα를 효율적으로 활성화시키고 이를 통해, 당뇨병, 비만증, 고혈압, 고지혈증, 지방간, 관상동맥질환, 골다공증, 다낭성 난소증후군 등이 복합적으로 나타나는 대사성 증후군을 동반한 당뇨병 및 그의 합병증, 암, 근육통, 근육세포 독성 및 횡문근 융해와 같은 질환에 대하여 우수한 효과를 나타낼 수 있음을 알 수 있었다. As can be seen in Table 6 and FIG. 1, it was found that metformin dichloroacetate phosphorylated more threonine 172 residues of AMPKα than metformin hydrochloride at 10 mM. Therefore, metformin dichloroacetate (DCA) activates AMPKα more efficiently than metformin hydrochloride, and is accompanied by metabolic syndrome, which is a combination of diabetes, obesity, hypertension, hyperlipidemia, fatty liver, coronary artery disease, osteoporosis, and polycystic ovary syndrome. It can be seen that it can have an excellent effect on diseases such as diabetes and its complications, cancer, myalgia, muscle cytotoxicity and rhabdomyolysis.

Claims (8)

  1. 약제학적으로 허용되는 담체 및 하기 화학식 1의 구조를 갖는 메트포르민 산 부가염을 유효성분으로 포함하는 항암용 약제학적 조성물:A pharmaceutical composition for anticancer comprising a pharmaceutically acceptable carrier and metformin acid addition salt having a structure of Formula 1 as an active ingredient:
    [화학식 1][Formula 1]
    Figure PCTKR2010007273-appb-I000006
    Figure PCTKR2010007273-appb-I000006
    상기 식에서, Where
    A는 디클로로아세트산 또는 아미노옥시아세트산이다. A is dichloroacetic acid or aminooxyacetic acid.
  2. 제1항에 있어서,The method of claim 1,
    상기 약제학적 조성물은 정제, 캅셀제, 환제, 과립제, 산제, 주사제 또는 액제의 형태로 제제화되는 것인 약제학적 조성물.The pharmaceutical composition is formulated in the form of tablets, capsules, pills, granules, powders, injections or solutions.
  3. 제1항에 있어서,The method of claim 1,
    상기 약제학적 조성물은 제2의 약물과의 병용 사용을 위한 것인 약제학적 조성물.The pharmaceutical composition is for use in combination with a second drug.
  4. 제3항에 있어서,The method of claim 3,
    상기 제2의 약물은 항암제인 약제학적 조성물.The second drug is an anticancer agent.
  5. 제4항에 있어서,The method of claim 4, wherein
    상기 항암제는 나이트로젠 머스타드, 이마티닙, 옥살리플라틴, 리툭시맙, 엘로티닙, 트라스투주맙, 게피티니브, 보르테조밉, 수니티닙, 카보플라틴, 소라페닙, 베바시주맙, 시스플라틴, 세툭시맙, 비스쿰알붐, 아스파라기나제, 트레티노인, 하이드록시카바마이드, 다사티닙, 에스트라머스틴, 겜투주맵오조가마이신, 이브리투모맙튜세탄, 헵타플라틴, 메칠아미노레불린산, 암사크린, 알렘투주맙, 프로카르바진, 알프로스타딜, 질산홀뮴 키토산, 젬시타빈, 독시플루리딘, 페메트렉세드, 테가푸르, 카페시타빈, 기메라신, 오테라실, 아자시티딘, 메토트렉세이트, 우라실, 시타라빈, 플루오로우라실, 플루다가빈, 에노시타빈, 데시타빈, 머캅토푸린, 티오구아닌, 클라드리빈, 카르모퍼, 랄티트렉세드, 도세탁셀, 파클리탁셀, 이리노테칸, 벨로테칸, 토포테칸, 비노렐빈, 에토포시드, 빈크리스틴, 빈블라스틴, 테니포시드, 독소루비신, 이다루비신, 에피루비신, 미톡산트론, 미토마이신, 블레로마이신, 다우노루비신, 닥티노마이신, 피라루비신, 아클라루비신, 페프로마이신, 테모졸로마이드, 부설판, 이포스파미드, 사이클로포스파미드, 멜파란, 알트레트민, 다카바진, 치오테파, 니무스틴, 클로람부실, 미토락톨, 로무스틴 및 카르무스틴으로 구성된 군으로부터 선택되는 하나 이상의 약물인 약제학적 조성물. The anticancer agent is nitrogen mustard, imatinib, oxaliplatin, rituximab, erlotinib, trastuzumab, gefitinib, bortezomib, sunitinib, carboplatin, sorafenib, bevacizumab, cisplatin, cetuximab, Biscumalbum, asparaginase, tretinoin, hydroxycarbamide, dasatinib, estramastine, gemtuzumab ozogamycin, ibritumab tucetan, heptaplatin, methylaminolevulinic acid, amsacrine, alemtu Zumab, procarbazine, alprostadil, holmium nitrate chitosan, gemcitabine, doxyfluidine, pemetrexed, tegapur, capecitabine, gimerasine, oterasyl, azacytidine, methotrexate, uracil, Cytarabine, Fluorouracil, Fludagabine, Enositabine, Decitabine, Mercaptopurine, Thioguanine, Cladribine, Carmofer, Raltitrexed, Docetaxel, Paclitaxel, Irinotecan, Velotecan, Topotecan, Norelvin, etoposide, vincristine, vinblastine, teniposide, doxorubicin, idarubicin, epirubicin, mitoxantrone, mitomycin, bleomycin, daunorubicin, dactinomycin, pyrarubicin , Aclarubicin, pepromycin, temozolomide, busulfan, ifosfamide, cyclophosphamide, melfaran, altretmin, dacarbazine, chiotepa, nimustine, chlorambucil, mitolactol, romu A pharmaceutical composition that is one or more drugs selected from the group consisting of stin and carmustine.
  6. 하기 화학식 2의 구조를 갖는 메트포르민의 아미노옥시아세트산염:Aminooxyacetic acid salt of metformin having the structure
    [화학식 2][Formula 2]
    Figure PCTKR2010007273-appb-I000007
    Figure PCTKR2010007273-appb-I000007
  7. 하기 화학식 3의 메트포르민 유리염기를 아미노옥시아세트산과 반응시키는 것을 포함하는 To reacting the metformin free base of Formula 3 with aminooxyacetic acid
    하기 화학식 2의 구조를 갖는 메트포르민의 아미노옥시아세트산염의 제조 방법.A method for producing an aminooxyacetic acid salt of metformin having the structure of Formula 2 below.
    [화학식 3][Formula 3]
    Figure PCTKR2010007273-appb-I000008
    Figure PCTKR2010007273-appb-I000008
    [화학식 2][Formula 2]
    Figure PCTKR2010007273-appb-I000009
    Figure PCTKR2010007273-appb-I000009
  8. 제7항에 있어서, The method of claim 7, wherein
    상기 메트포르민 유리염기는 1몰당량 당 아미노옥시아세트산 0.5 내지 4몰당량과 반응하는 것인 제조 방법.The metformin free base is reacted with 0.5 to 4 molar equivalents of aminooxyacetic acid per molar equivalent.
PCT/KR2010/007273 2009-10-23 2010-10-22 Pharmaceutical composition containing acid addition salt of n,n-dimethyl imidocarbonimidic diamide for anti-cancer WO2011049400A2 (en)

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WO2015183956A1 (en) * 2014-05-27 2015-12-03 The United States Of America, As Represented By The Secretary, Department Of Health And Human Services Use of abl1 inhibitors with ampk activators for treating fumarate hydratase-deficient cancer

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