WO2012039691A2 - Synergic effect - Google Patents
Synergic effect Download PDFInfo
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- WO2012039691A2 WO2012039691A2 PCT/TR2011/000213 TR2011000213W WO2012039691A2 WO 2012039691 A2 WO2012039691 A2 WO 2012039691A2 TR 2011000213 W TR2011000213 W TR 2011000213W WO 2012039691 A2 WO2012039691 A2 WO 2012039691A2
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- pharmaceutical composition
- composition according
- sodium
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- ZKLPARSLTMPFCP-UHFFFAOYSA-N Cetirizine Chemical compound C1CN(CCOCC(=O)O)CCN1C(C=1C=CC(Cl)=CC=1)C1=CC=CC=C1 ZKLPARSLTMPFCP-UHFFFAOYSA-N 0.000 description 4
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- WBZFUFAFFUEMEI-UHFFFAOYSA-M Acesulfame k Chemical compound [K+].CC1=CC(=O)[N-]S(=O)(=O)O1 WBZFUFAFFUEMEI-UHFFFAOYSA-M 0.000 description 1
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- JCCNYMKQOSZNPW-UHFFFAOYSA-N loratadine Chemical class C1CN(C(=O)OCC)CCC1=C1C2=NC=CC=C2CCC2=CC(Cl)=CC=C21 JCCNYMKQOSZNPW-UHFFFAOYSA-N 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000000510 mucolytic effect Effects 0.000 description 1
- 210000003097 mucus Anatomy 0.000 description 1
- ITVGXXMINPYUHD-CUVHLRMHSA-N neohesperidin dihydrochalcone Chemical compound C1=C(O)C(OC)=CC=C1CCC(=O)C(C(=C1)O)=C(O)C=C1O[C@H]1[C@H](O[C@H]2[C@@H]([C@H](O)[C@@H](O)[C@H](C)O2)O)[C@@H](O)[C@H](O)[C@@H](CO)O1 ITVGXXMINPYUHD-CUVHLRMHSA-N 0.000 description 1
- ARGKVCXINMKCAZ-UHFFFAOYSA-N neohesperidine Natural products C1=C(O)C(OC)=CC=C1C1OC2=CC(OC3C(C(O)C(O)C(CO)O3)OC3C(C(O)C(O)C(C)O3)O)=CC(O)=C2C(=O)C1 ARGKVCXINMKCAZ-UHFFFAOYSA-N 0.000 description 1
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- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
- A61K31/19—Carboxylic acids, e.g. valproic acid
- A61K31/195—Carboxylic acids, e.g. valproic acid having an amino group
- A61K31/197—Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid or pantothenic acid
- A61K31/198—Alpha-amino acids, e.g. alanine or edetic acid [EDTA]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/445—Non condensed piperidines, e.g. piperocaine
- A61K31/4523—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
- A61K31/4545—Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a six-membered ring with nitrogen as a ring hetero atom, e.g. pipamperone, anabasine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/16—Agglomerates; Granulates; Microbeadlets ; Microspheres; Pellets; Solid products obtained by spray drying, spray freeze drying, spray congealing,(multiple) emulsion solvent evaporation or extraction
- A61K9/1605—Excipients; Inactive ingredients
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
Definitions
- the present invention relates to use of N- Acetylcysteine which is a mucolytic agent and a non-sedating, third generation HI receptor antagonist in combination; and pharmaceutical compositions comprising said combination which can be used in respiratory tract diseases.
- the present invention provides an effective combination that is indicated in acute and chronic bronchopulmonary diseases, bronchitis, rhinitis, allergic respiratory problems, expectoration and reduction of phlegm.
- Desloratadine which has the chemical name 8-chloro-6,l l-dihydro-l l-(4-piperidinyl)-5H- benzo[5,6]cyclohepta[l,2-b]pyridine(Formw/a I), is a long-acting, non-sedative antihistamine.
- Desloratadine was first disclosed in the patent numbered US 4,659,716. This patent comprises processes for preparation of desloratadine; pharmaceutical compositions comprising desloratadine; and non-sedative antihistaminic activity of desloratadine.
- Desloratadine is a non-sedative, third generation HI antagonist which does not cause sedation. It competes with histamine for HI receptors; and blocks binding of histamine to HI receptors. Desloratadine which is an active metabolite of loratadine is an oral HI antagonist.
- Levocetirizine chemical name of which is 2-[2-[4-[(R)-(4-chlorophenyl)-phenyl-methyl] piperazine-l-yl]ethoxy] acetic acid ⁇ Formula II) is a non-sedative, long acting antihistamine.
- Cetirizine was first disclosed in the patent numbered EP 0058146.
- the patent numbered GB 2225321 on the preparation process of levocetirizine
- the patent numbered WO 9406429 on the use of levocetirizine in the treatment of allergic diseases.
- Levocetirizine an R-enantiomer of cetirizine
- HI receptor antagonist a strong, piperazine derivative, HI receptor antagonist.
- Levocetirizine is a new antihistaminic that binds to HI receptors with high affinity, even two times higher affinity than cetirizine. Levocetirizine inhibits the binding of histamine to HI receptors.
- allergic respiratory tract problems such as allergic rhinitis, allergic sinusitis, allergic bronchitis, allergic bronchopulmonary diseases having symptoms of sneeze, nasal flow, itching, nasal obstruction, itching, lacrimation and redness on eyes, itchy palate and coughing have been observed.
- allergic bronchopulmonary diseases expectoration and/or phlegm occurs irritating patients, preventing regular breathing and causing cough.
- NAC ⁇ Formula III is an N-acetylated derivative of L-cysteine and an agent used as mucolytic.
- NAC breaks disulphide bonds in mucoproteins which are located in the bronchus secretory. Thus, volume of mucus secretion in the pulmonary is reduced.
- N-Acetylcysteine which has the chemical name N-acetyl-L- cysteine, is described in the patent numbered US 3, 184,505 in detail.
- the inventors have surprisingly found that a more effective composition than expected and a more significant therapeutic benefit are obtained due to the synergic effect between a third generation HI antagonist and N- Acetylcysteine as a mucolytic agent.
- the present invention is related to use of NAC in combination with a third generation HI antagonist.
- the invention provides a treatment method comprising use of the synergistically effective combination of NAC and a third generation HI antagonist in respiratory tract diseases.
- the pharmaceutical combination of the present invention comprises;
- the third generation receptor antagonist is selected from a group comprising levocetirizine, desloratidine or their combination.
- the combination of the present invention comprises use of NAC as a mucolytic agent in combination with levocetirizine, desloratidine or a combination thereof.
- Treatments in which the combination of the present invention is used comprises administration of a third generation HI receptor antagonist and N- Acetylcystein in therapeutically effective amounts and activity of said combination is synergistic against the bronchopulmonary diseases and allergic respiratory tract diseases.
- the active agents of the said combination can be in free form or in the form of pharmaceutically acceptable salts, enantiomers, racemates, solvates, hydrates, different polymorphic forms and amorphous form thereof.
- the composition of the present invention can be used simultaneously, sequentially or separately for reducing the symptoms of respiratory tract diseases or slowing the progression of the diseases.
- the pharmaceutical composition of the present invention is indicated particularly in acute and chronic bronchopulmonary diseases; seasonal and/or perennial rhinitis, sinusitis, bronchitis, allergic and/or inflammatory diseases of upper and lower respiratory tracts and allergic respiratory problems.
- combinations of the present invention can be prepared as medicament compositions so as to be administered to mammals including human particularly for the treatment of acute and chronic bronchopulmonary diseases; seasonal and/or perennial rhinitis, sinusitis, bronchitis, allergic and/or inflammatory diseases of upper and lower respiratory tracts and allergic respiratory problems.
- the present invention relates to a pharmaceutical composition which will be used for production of an effective medicament so as to be utilized in the treatment of respiratory tract diseases wherein said composition is characterized by comprising NAC and a third generation HI receptor antagonist as active agents.
- it is targeted to reduce symptoms of respiratory tract diseases, slow the progression of the diseases and treat the diseases by means of pharmaceutical compositions in which effective amounts of NAC and effective amounts of a third generation HI receptor antagonist and sufficient amounts of excipient/excipients are combined.
- the phrase “reduction of the symptoms” refers to reducing the number of the symptoms observed in people who are diagnosed with said disease by means of administering the pharmaceutical composition comprising the combination of NAC and a third generation HI receptor antagonist to diagnosed people.
- the phrase “slowing the progression of the disease” refers to administration of the pharmaceutical composition comprising the combination of NAC and a third generation HI receptor antagonist to people who are diagnosed with said disease and/or in the first phase of said disease.
- treatment of the disease refers to removing present problems related to the disease by administering the pharmaceutical composition comprising the combination of NAC and a third generation HI receptor antagonist to people who are diagnosed with said disease and in any phases of the disease.
- composition of the present invention can be administered simultaneously, sequentially or separately so as to be used in the treatment of respiratory tract diseases.
- the active agents in the composition of the present invention can be formulated separately in order to be used in a kit form where they are placed together.
- the amount of active agent in the composition of the present invention varies in the range of 0.5% to 95%, preferably in the range of 1% to 90% by weight in proportion to total amount of the pharmaceutical composition.
- dosage of the active agents in the pharmaceutical composition can vary according to the route of administration, the patent's age and state of health.
- the ratio of NAC and a third generation HI receptor antagonist by weight in the oral composition varies in range of 1 :0,05 to 1:5.
- the ratio of the third generation HI receptor antagonist to the total amount of substances in the composition varies in the range of 1-50% by weight and the ratio of N- Acetylcysteine to the total amount of substances in the composition varies in the range of 1-90% by weight.
- the pharmaceutical composition of the present invention can comprise a third generation HI receptor antagonist in the range of 0,1 mg to 50 mg and NAC in the range of 10 mg to 2000 mg in one dose.
- the pharmaceutical composition of the present invention can be prepared as applicable by the oral route.
- compositions of the present invention comprise oral dosage forms and pharmaceutical formulations comprising the active agents alone or together with pharmaceutically acceptable excipients.
- the oral dosage forms in which said composition will be formulated can be solid forms such as tablet; capsule; enterically coated or modified release tablet; prolonged release tablet; delayed release tablet; fast soluble tablet; effervescent tablet; effervescent granule; fast soluble powder mixture; water soluble powder, tablet, or granule; granule; pellet; minitablet; microtablet; granule capsule, pellet capsule, minitablet capsule, microtablet capsule; or dry powder mixture for syrup preparation; dragee; orally disintegrated tablets; film tablet or solid forms comprising their combination, or in liquid forms such as suspensions.
- the pharmaceutical composition of the present invention can be formulated preferably in the form of water-soluble powder, tablet or granule.
- the absorption of the pharmaceutical formulation from the gastrointestinal tract increases when it is formulated this way.
- Effervescent formulations according to the present invention dissolve completely in water at the room temperature in less than 5 minutes.
- degradation is observed in the combination of the present invention due to the fact that third generation HI receptor antagonist agents are unstable; thus it is hard to formulate them. Therefore, ratio of the third generation HI receptor antagonist to binder in the composition of the present invention is in the range of 1 :20 to 1 :45 and the amount of NAC is in the range of 1-50% by weight of the total weight.
- using polyvinylpyrrolidone as binder in the pharmaceutical composition of the present invention provides a more stable pharmaceutical composition.
- the combination of the present invention is produced from NAC, a third generation HI receptor antagonist, and preferably a pharmaceutically acceptable excipient by conventional techniques.
- compositions of the present invention can also be used in addition to the active agents used in the formulation of the present invention.
- excipients can be selected from additives such as pharmaceutically acceptable binder, sweetener, lubricant, flavoring agent, diluent, disintegrant, surfactant and glidant.
- binders can be selected from, but not limited to, a group comprising starches (such as potato starch, corn starch, wheat starch); sugars such as sucrose, glucose, dextrose, lactose, maltodextrin; natural and synthetic gums (such as acacia); gelatin; cellulose derivatives (such as microcrystalline cellulose, HPC, HEC, HPMC, carboxymethyl cellulose, methyl cellulose, ethyl cellulose); polyvinylpyrrolidone (PVP), polyethylene glycol (PEG); waxes; calcium carbonate; calcium phosphate; alcohols (such as sorbitol, xylitol, mannitol) and water.
- starches such as potato starch, corn starch, wheat starch
- sugars such as sucrose, glucose, dextrose, lactose, maltodextrin
- natural and synthetic gums such as acacia
- gelatin such as cellulose derivatives (such as microcrystalline cellulose, HP
- Pharmaceutically acceptable sweeteners can be selected from, but not limited to, a group comprising sucralose, sucrose, fructose, glucose, galactose, xylose, dextrose, levulose, lactose, maltose, maltodextrin, mannitol, maltitol, maltol, sorbitol, xylitol, erythritol, lactitol, isomalt, corn syrup, saccharine, saccharine salts, acesulfame potassium, aspartam, D-tryptophane, monoammonium glycyrrhizinate, neohesperidine dihyrochalcon, thaumatin, neotam, alitam, stevioside, cyclamates and sodium chloride.
- Pharmaceutically acceptable lubricants can be selected from, but not limited to, a group comprising metallic stearates (such as magnesium stearate, calcium stearate, aluminium stearate), fatty acid esters (such as sodium stearyl fumarate), fatty acids (such as. stearic acid), fatty alcohols, glyceryl behenate, mineral oil, paraffins, hydrogenated vegetable oil, leucine, polyethylene glycols (PEG), metallic lauryl sulphates (such as sodium lauryl sulphate, magnesium lauryl sulphate), sodium chloride, sodium benzoate, sodium acetate and talc.
- metallic stearates such as magnesium stearate, calcium stearate, aluminium stearate
- fatty acid esters such as sodium stearyl fumarate
- fatty acids such as. stearic acid
- fatty alcohols such as sodium stearic acid
- fatty alcohols such as sodium stearic acid
- Pharmaceutically acceptable diluents can be selected from, but not limited to, a group comprising lactose, microcrystalline cellulose, starch, pregelatinized starch, modified starch, calcium phosphate (dibasic and/or tribasic), calcium sulphate trihydrate, calcium sulphate dihydrate, calcium carbonate, kaolin, lactilol, cellulose powder, dextrose, dextrates, dextrine, sucrose, maltose, fructose, mannitol, sorbitol and xylitol.
- a group comprising lactose, microcrystalline cellulose, starch, pregelatinized starch, modified starch, calcium phosphate (dibasic and/or tribasic), calcium sulphate trihydrate, calcium sulphate dihydrate, calcium carbonate, kaolin, lactilol, cellulose powder, dextrose, dextrates, dextrine, sucrose, maltose, fructose,
- Pharmaceutically acceptable disintegrants can be selected from, but not limited to, a group comprising starches (corn starch, potato starch); sodium starch glycolate; pregelatinized starch; cellulose derivatives (such as croscarmellose sodium or microcrystalline cellulose); polyvinylpyrrolidone (PVP); crospovidone; alginic acid; sodium alginate; clays (such as xanthan gum or Veegum); ion exchange resins and effervescent systems (alkaline or alkaline earth metal carbonates[sodium carbonate, sodium hydrogen carbonate, potassium carbonate, potassium hydrogen carbonate, calcium carbonate]; water soluble polybasic organic acids or their salts such as sodium hydrogen sulphate, potassium hydrogen sulphate, sodium dihydrogen phosphate, succinic acid, tartaric acid, adipic acid, citric acid, etc).
- starches corn starch, potato starch
- sodium starch glycolate such as croscarmellose sodium or microcrystalline cellulose
- glidants can be selected from, but not limited to, a group comprising silicone dioxide, magnesium trisilicate, cellulose powder, starch, talc, tribasic calcium phosphate, metallic stearates, calcium silicate and metallic lauryl sulphates.
- Pharmaceutically acceptable surfactants can be selected from, but not limited to, a group comprising polyoxyethylene-sorbitan-fatty acid esters (polysorbates), sodium lauryl sulphate, sodium stearyl fumarate, polyoxyethylene alkyl ethers, sorbitan fatty acid esters, polyethylene glycols (PEG), polyoxyethylene castor oil derivatives, docusate sodium, quaternary ammonium compounds, aminoacids such as L-leucine, sugar esters of fatty acids and glycerides of fatty acids.
- PEG polyethylene glycols
- other pharmaceutically acceptable excipients such as solubility modulators, effervescent couple, coloring agents and coating agents can be used in the formulation.
- the active agents N-Acetylcysteine and desloratadine are prepared as a pharmaceutical composition by the conventional techniques in the prior art.
- the homogenous mixture obtained thereafter is dried and shaped as required.
- the active agents N-Acetylcysteine and levocetirizine are prepared as a pharmaceutical composition by the conventional techniques in the prior art.
- the homogenous mixture obtained thereafter is dried and shaped as required.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| TR2010/07652 | 2010-09-20 | ||
| TR2010/07652A TR201007652A2 (tr) | 2010-09-20 | 2010-09-20 | Sinerjik etki. |
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| WO2012039691A2 true WO2012039691A2 (en) | 2012-03-29 |
| WO2012039691A3 WO2012039691A3 (en) | 2012-05-18 |
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| PCT/TR2011/000213 WO2012039691A2 (en) | 2010-09-20 | 2011-09-20 | Synergic effect |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106109422A (zh) * | 2016-07-28 | 2016-11-16 | 北京万全德众医药生物技术有限公司 | 盐酸左西替利嗪泡腾颗粒及其制备方法 |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3184505A (en) | 1962-06-18 | 1965-05-18 | Mead Johnson & Co | Process for the n-monoacylation of cysteine |
| EP0058146A1 (fr) | 1981-02-06 | 1982-08-18 | U C B, S.A. | Nouveaux acides 2-(4-(diphénylméthyl)-1-pipérazinyl)-acétiques et leurs amides, leurs procédés de préparation et compositions thérapeutiques |
| US4659716A (en) | 1984-02-15 | 1987-04-21 | Schering Corporation | Antihistaminic 8-(halo)-substituted 6,11-dihydro-11-(4-piperidylidene)-5H-benzo[5,6]cyclohepta[1,2-b]pyridines |
| GB2225321A (en) | 1988-11-23 | 1990-05-30 | Ucb Sa | Process for preparation of a 1-piperazine-ethoxyacetic acid |
| WO1994006429A1 (en) | 1992-09-24 | 1994-03-31 | Sepracor, Inc. | Compositions for treating allergic disorders using (-) cetirizine |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2001085148A2 (en) * | 2000-05-05 | 2001-11-15 | Aventis Pharmaceuticals Inc. | Packaging regimen of pseudoephedrine hydrochloride and fexofenadine hydrocloride |
| WO2005065047A2 (en) * | 2003-12-23 | 2005-07-21 | Sun Pharmaceutical Industries Limited | Stable oral composition containing desloratadine |
| US20080139654A1 (en) * | 2006-12-09 | 2008-06-12 | Eric Mott Soderling | Acetaminophen compositions having minimized side effects including reduced hepatotoxicity |
-
2010
- 2010-09-20 TR TR2010/07652A patent/TR201007652A2/tr unknown
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2011
- 2011-09-20 WO PCT/TR2011/000213 patent/WO2012039691A2/en active Application Filing
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3184505A (en) | 1962-06-18 | 1965-05-18 | Mead Johnson & Co | Process for the n-monoacylation of cysteine |
| EP0058146A1 (fr) | 1981-02-06 | 1982-08-18 | U C B, S.A. | Nouveaux acides 2-(4-(diphénylméthyl)-1-pipérazinyl)-acétiques et leurs amides, leurs procédés de préparation et compositions thérapeutiques |
| US4659716A (en) | 1984-02-15 | 1987-04-21 | Schering Corporation | Antihistaminic 8-(halo)-substituted 6,11-dihydro-11-(4-piperidylidene)-5H-benzo[5,6]cyclohepta[1,2-b]pyridines |
| GB2225321A (en) | 1988-11-23 | 1990-05-30 | Ucb Sa | Process for preparation of a 1-piperazine-ethoxyacetic acid |
| WO1994006429A1 (en) | 1992-09-24 | 1994-03-31 | Sepracor, Inc. | Compositions for treating allergic disorders using (-) cetirizine |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106109422A (zh) * | 2016-07-28 | 2016-11-16 | 北京万全德众医药生物技术有限公司 | 盐酸左西替利嗪泡腾颗粒及其制备方法 |
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| Publication number | Publication date |
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| TR201007652A2 (tr) | 2012-04-24 |
| WO2012039691A3 (en) | 2012-05-18 |
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