WO2022173812A1 - Compositions et procédés associés à des anions cannabinoïdes - Google Patents
Compositions et procédés associés à des anions cannabinoïdes Download PDFInfo
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- WO2022173812A1 WO2022173812A1 PCT/US2022/015795 US2022015795W WO2022173812A1 WO 2022173812 A1 WO2022173812 A1 WO 2022173812A1 US 2022015795 W US2022015795 W US 2022015795W WO 2022173812 A1 WO2022173812 A1 WO 2022173812A1
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- cannabinoid
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- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/08—Solutions
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/06—Antipsoriatics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/04—Drugs for skeletal disorders for non-specific disorders of the connective tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
Definitions
- Cannabinoids are generally insoluble in water and glycerol. Some aspects of the disclosure relate to the discovery that the conversion of cannabinoid molecules into anions under alkaline conditions improves their solubility, bioavailability, and pharmacokinetics. Some aspects of the disclosure relate to the discovery that cannabigerol and related cannabinoids can inhibit tumor necrosis factor alpha (“TNF-alpha”) signaling pathways in animal models and that the cannabigerol anion can treat health conditions in humans that are sensitive to TNF-alpha signaling pathway inhibitors including Crohn’s disease and plaque psoriasis. Some aspects of the disclosure relate to the discovery that cannabinoids can reduce pain and inflammation in both animal models and humans.
- TNF-alpha tumor necrosis factor alpha
- Some aspects of the disclosure relate to the discovery that the topical administration of the cannabigerol anion can treat health conditions including peripheral neuropathy and plaque psoriasis in humans. Some aspects of the disclosure relate to the discovery that the oral administration of the cannabidiol anion can arrest active seizures in animals.
- compositions comprising one or both of a cannabinoid molecule and a cannabinoid anion, wherein the cannabinoid molecule has an acid dissociation constant in water of at least 50 femtomolar and no greater than 50 nanomolar for conversion of the cannabinoid molecule into the cannabinoid anion; the cannabinoid anion has the general structure I
- R1 is a straight or branched C1-C12 alkyl that is optionally substituted with phenyl or a cycloalkyl; R2 is methyl; and R3 is methyl; the composition is effective to treat or prophylactically prevent a health condition; aberrant tumor necrosis factor alpha TNF-alpha signaling either causes or exacerbates the health condition; and the composition is effective to inhibit TNF-alpha-mediated signaling pathways.
- composition comprising one or both of a cannabinoid molecule and a cannabinoid anion can also comprise, for example a cation.
- Cannabinoid molecule refers to a cannabinoid chemical species that lacks a net charge
- cannabinoid anion refers to a cannabinoid chemical species that comprises a net negative charge.
- Various cannabinoid molecules and anions are described in PCT Patent Application Publication No. W02020123809, PCT Patent Application Publication No. WO2020123976, PCT Patent Application Publication No. WO2020264199, U.S. Patent No. 10,555,914, and U.S. Patent No. 10,609,944, which are incorporated by reference for the chemical species that they disclose.
- “Straight or branched Cl -Cl 2 alkyl” refers to a straight or branched hydrocarbon chain having 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 carbon atoms, wherein all carbon-carbon bonds in the hydrocarbon chain are single bonds.
- Substituted with phenyl or a cycloalkyl refers to the substitution of at least one hydrogen atom of a hydrocarbon chain with either phenyl or a cycloalkyl.
- Cycloalkyl refers to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and adamantyl.
- a hydrocarbon chain is substituted by a cycloalkyl, then either (i) a single hydrogen atom of the hydrocarbon chain is substituted with the cycloalkyl such that the cycloalkyl does not include any carbon atom of the hydrocarbon chain, or (ii) two hydrogen atoms of the hydrocarbon chain are substituted with the cycloalkyl such that the cycloalkyl comprises one or more carbon atoms of the hydrocarbon chain.
- the carbon atoms of a cycloalkyl are included in the carbon atoms of a hydrocarbon chain that is substituted by the cycloalkyl when counting the number of atoms in the hydrocarbon chain.
- Treat refers to at least one of: to cure a health condition; to increase the probability that a health condition will be cured; to shorten the time over which a health condition is cured; to increase the probability that the time necessary to cure a health condition will be shortened; to decrease the severity of a health condition; to increase the probability that the severity of a health condition will decrease; to shorten the time over which the severity of a health condition is decreased; to increase the probability that the time necessary to decrease the severity of a health condition will be shortened; to inhibit a health condition from worsening; to increase the probability that a health condition will not worsen; to delay the worsening of a health condition; to increase the probability that the worsening of a health condition will be delayed; to inhibit the occurrence or recurrence of a health condition; to decrease the probability that a health condition will occur or reoccur; to delay the onset of a health condition; to increase the probability that the onset of a health condition will be delayed; to alleviate at least one
- the health condition is Crohn’s Disease.
- the health condition is inflammatory bowel disease. In some embodiments, the health condition is colitis.
- the health condition is psoriasis.
- the health condition is plaque psoriasis.
- the health condition is arthritis.
- the health condition is Dupuytren’s disease.
- the health condition is lupus.
- the composition is formulated for topical administration.
- compositions comprising a liquid phase that comprises one or both of a cannabinoid molecule and a cannabinoid anion, wherein the cannabinoid molecule has an acid dissociation constant in water of at least 50 femtomolar and no greater than 50 nanomolar for conversion of the cannabinoid molecule into the cannabinoid anion; the liquid phase has a combined molar concentration of the cannabinoid molecule and the cannabinoid anion in the liquid phase that is greater than the solubility of the cannabinoid molecule in the liquid phase; and the liquid phase comprises glycerol at a concentration of at least 50 percent by mass.
- Molar concentration refers to concentrations in both liquid phases and solid phases, and when the molar concentration refers to a liquid phase, then the molar concentration is limited to the concentration of either a solvent or a solute that is dissolved in a solvent.
- Dissolved refers to a solute that is solvated in a liquid phase; a chemical species that is present within a phase that is dispersed within a liquid phase, such as the dispersed phase of an emulsion, is not dissolved in the liquid phase; a chemical species that is non-covalently bound to any chemical species that is a solid in the absence of a solvent, such as a cyclodextrin, is not dissolved in a liquid phase.
- the composition comprises the cannabinoid anion.
- the composition comprises the cannabinoid molecule.
- the liquid phase is supersaturated with the cannabinoid molecule.
- the composition is prepared by contacting a composition that comprises a cannabinoid anion with an acid.
- the liquid phase comprises ethanol at a concentration of at least 10 percent by mass.
- compositions comprising a solid phase and a liquid phase, wherein the solid phase comprises one or more carbohydrates; the liquid phase comprises one or both of a cannabinoid molecule and a cannabinoid anion; and the cannabinoid molecule has an acid dissociation constant in water of at least 50 femtomolar and no greater than 50 nanomolar for conversion of the cannabinoid molecule into the cannabinoid anion.
- the composition comprises the solid phase and the liquid phase at a mass ratio of at least 4: 1 and no greater than 249: 1.
- the one or more carbohydrates are selected from monosaccharides, disaccharides, and sugar alcohols.
- the one or more carbohydrates are selected from butane-1, 2, 3, 4-tetrol; pentane-l,2,3,4,5-pentol; cyclohexane- 1, 2, 3, 4, 5, 6-hexol; hexane-l,2,3,4,5,6-hexol; and heptane- 1, 2, 3, 4,5,6, 7-heptol.
- the one or more carbohydrates consist of xylitol.
- Consist of refers to a closed set such that one or more carbohydrates that consist of xylitol cannot also comprise, for example, sucrose.
- a composition may nevertheless comprise a carbohydrate that is not included in the one or more carbohydrates, but any such additional carbohydrate is not included, for example, when calculating a concentration of the one or more carbohydrates.
- At least 50 percent by mass of the one or more carbohydrates are crystalline.
- the solid phase comprises the one or more carbohydrates at a concentration of at least 50 percent by mass.
- the liquid phase comprises one or both of ethanol and propylene glycol.
- the liquid phase comprises the cannabinoid molecule.
- the liquid phase comprises the cannabinoid anion.
- compositions comprising a solid phase that comprises a cannabinoid anion and a cation, wherein the composition comprises the cannabinoid anion and the cation at a combined concentration of no greater than 50 percent by mass.
- the composition comprises the cannabinoid anion and the cation at a combined concentration of at least 0.1 percent and no greater than 10 percent by mass.
- the cannabinoid anion has the general structure I, II, or III I
- R1 is selected from hydro; a straight or branched C1-C12 alkyl or alkoxy that is optionally substituted with hydroxy, cyano, phenyl, a cycloalkyl, or 1, 2, or 3 halogens; and a straight or branched C2-C12 ether, alkenyl, or alkynyl that is optionally substituted with hydroxy, cyano, phenyl, a cycloalkyl, or 1, 2, or 3 halogens; R2 is selected from hydro; hydroxy; oxo; a straight or branched Cl -CIO alkyl, alkoxy, or alkenyl that is optionally substituted with hydroxy, oxo, or 1, 2, or 3 halogens; and a straight or branched C2-C10 ether or alkynyl that is optionally substituted with 1, 2, or 3 halogens; R3 is selected from hydro; a straight or branched Cl -CIO alkyl or alken
- “Straight or branched Cl -Cl 2 . . . alkoxy” refers to an alkoxy comprising a straight or branched hydrocarbon chain having 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 carbon atoms.
- “Substituted with hydroxy, cyano, phenyl, a cycloalkyl, or 1, 2, or 3 halogens” refers to the substitution of a hydrogen atom of a hydrocarbon chain with either hydroxy, cyano, phenyl, a cycloalkyl, or 1, 2, or 3 halogens.
- Halogen refers to F, Cl, Br, and I.
- “Straight or branched C2-C12 ether” refers to a straight or branched ether having 1 oxygen atom and 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 carbon atoms.
- “Straight or branched C2-C12 . . . alkenyl” refers to a straight or branched hydrocarbon chain having 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 carbon atoms, wherein at least one carbon-carbon bond in the hydrocarbon chain is a double bond and/or the hydrocarbon chain is an ylidene, and wherein no carbon-carbon bond in the hydrocarbon chain is a triple bond.
- Ylidene refers to an alkenyl or alkynyl that includes a carbon-carbon double bond that connects the alkenyl or alkynyl to general structure II or III or an R3 that includes a carbon-carbon double bond that connects the R3 to general structure II.
- An example of an ylidene is methylidene.
- “Straight or branched C2-C12 . . . alkynyl” refers to a straight or branched hydrocarbon chain having 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 carbon atoms, wherein at least one carbon-carbon bond in the hydrocarbon chain is a triple bond.
- “Straight or branched Cl -CIO alkyl” refers to a straight or branched hydrocarbon chain having 1,
- “Straight or branched Cl -CIO . . . alkoxy” refers to a straight or branched alkoxy chain having 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 carbon atoms.
- “Straight or branched Cl -CIO . . . alkenyl” refers to a straight or branched hydrocarbon chain having 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 carbon atoms, wherein at least one carbon-carbon bond in the hydrocarbon chain is a double bond and/or the hydrocarbon chain is an ylidene, and wherein no carbon-carbon bond in the hydrocarbon chain is a triple bond.
- Substituted with . . . oxo refers to the substitution of two hydrogen atoms that are bound to the same carbon atom of a hydrocarbon chain with an oxo group.
- “Straight or branched C2-C10 ether” refers to a straight or branched ether having 1 oxygen atom and 2, 3, 4, 5, 6, 7, 8, 9, or 10 carbon atoms.
- “Straight or branched C2-C10 alkynyl” refers to a straight or branched hydrocarbon chain having 2, 3, 4, 5, 6, 7, 8, 9, or 10 carbon atoms, wherein at least one carbon-carbon bond in the hydrocarbon chain is a triple bond.
- the cannabinoid anion has the general structure I; R1 is a straight or branched C1-C12 alkyl that is optionally substituted with phenyl; R2 is methyl; and R3 is methyl.
- the cannabinoid anion has the general structure II;
- R1 is a straight or branched C1-C12 alkyl that is optionally substituted with phenyl or cycloalkyl;
- R2 is a straight or branched C1-C4 alkyl or ether that is optionally substituted with hydroxy, oxo, or a halogen;
- R3 is methyl, methylidene, hydroxymethyl, fluoromethyl, or a straight or branched C2-C4 alkyl, alkenyl, or alkynyl that is optionally substituted with hydroxy or a halogen.
- the cannabinoid anion has the general structure III;
- R1 is a straight or branched C1-C12 alkyl that is optionally substituted with phenyl or cycloalkyl;
- R2 is a straight or branched C1-C4 alkyl or ether that is optionally substituted with hydroxy, oxo, or a halogen;
- R3 is methyl, hydroxymethyl, fluoromethyl, or a straight or branched C2-C4 alkyl, alkenyl, or alkynyl that is optionally substituted with hydroxy or a halogen.
- R1 is hydro; methyl; ethyl; propyl; butyl; pentyl; hexyl; heptyl; octyl; nonyl; decyl; prop-2 -yl; but-2-yl; pent-2-yl; hex-2-yl; hept-2-yl; octan-2-yl; nonan-2-yl; decan-2 -yl; 2-methylpropyl; 2-methylbutyl; 2-methylpentyl; 2-methylhexyl; 2-methylheptyl; 2-methyloctyl; 2- methylnonyl; 2-methyldecyl; 2-methylprop-2-yl; 2-methylbut-2-yl; 2-methylpent-2-yl; 2- methylhex-2-yl; 2-methylhept-2-yl; 2-methyloctan-2-yl; 2-methylnonan-2-yl; 2-methyldecan-2-yl;
- R2 is methyl
- the cannabinoid anion has the general structure I or III, and R3 is methyl.
- the cannabinoid anion has the general structure II, and R3 is methylidene.
- the cannabinoid anion is 2-geranyl-3-hydroxy-5-pentylphenolate.
- the cannabinoid anion is 2-geranyl-3-hydroxy-5-propylphenolate.
- the cannabinoid anion is 3-hydroxy-2-(6-isopropenyl-3-methylcyclohex-2- enyl)-5-pentylphenolate.
- the cannabinoid anion is 3-hydroxy-2-(6-isopropenyl-3-methylcyclohex-2- enyl)-5-propylphenolate.
- the cannabinoid anion is 6,6,9-trimethyl-3-pentyl-6a,7,8,10a-tetrahydro- 6H-benzo[c]chromene-l -oxide.
- the cannabinoid anion is 6,6,9-trimethyl-3-propyl-6a,7,8,10a-tetrahydro- 6H-benzo[c]chromene-l -oxide.
- the cannabinoid anion is 6,6,9-trimethyl-3-pentyl-6H-benzo[c]chromene- 1 -oxide.
- the cannabinoid anion is 6,6,9-trimethyl-3-propyl-6H-benzo[c]chromene- 1 -oxide.
- the composition is for use as a medicament.
- the composition is formulated to convert the cannabinoid anion into the cannabinoid molecule ex vivo prior to administering the composition to a subject.
- the composition is formulated to convert the cannabinoid anion into the cannabinoid molecule in situ subsequent to administering the composition to a subject.
- the composition is formulated for enteral; oral; rectal; sublingual; sublabial; buccal; intranasal; inhalational; transmucosal; topical; transdermal; intravenous; intramuscular; subcutaneous; intradermal; intraocular; parenteral; intrathecal; intralesional; or intratumoral administration.
- the composition is formulated for topical or transdermal administration.
- the composition is a liquid; beverage; elixir; tincture; syrup; pill; tablet; capsule; gel cap; soft gel; gummy; gel; cream; lotion; balm; salve; ointment; dermal patch; transdermal patch; powder; or suppository.
- the composition is a gel; cream; lotion; balm; salve; ointment; dermal patch; or transdermal patch.
- the composition is formulated for oral administration to a subject; the composition is formulated to allow the conversion of the cannabinoid anion into the cannabinoid molecule before the cannabinoid anion reaches the stomach of the subject; and the composition is formulated to allow absorption of the cannabinoid molecule by the epithelial lining of the gastrointestinal tract between the lips and the stomach, excluding the stomach and the outer surfaces of the lips, and including the esophagus and the inner surfaces of the lips.
- Various aspects of this disclosure relate to a method to administer a cannabinoid, comprising providing a composition described anywhere in this disclosure, and administering the composition to a subject.
- the method comprises converting the cannabinoid anion into the cannabinoid molecule ex vivo prior to the administering.
- the method comprises converting the cannabinoid anion into the cannabinoid molecule in situ subsequent to the administering.
- the administering is oral administering; the composition is formulated to allow the conversion of the cannabinoid anion into the cannabinoid molecule before the cannabinoid anion reaches the stomach of the subject; and the composition is formulated to allow absorption of the cannabinoid molecule by the epithelial lining of the gastrointestinal tract between the lips and the stomach, excluding the stomach and the outer surfaces of the lips, and including the esophagus and the inner surfaces of the lips.
- the administering is topical administering.
- the subject presents with a health condition or a risk of developing a health condition.
- the composition is administered in an amount that is effective to treat or prophylactically prevent the health condition.
- the cannabinoid molecule is effective to treat or prophylactically prevent the health condition; the amount lacks the cannabinoid molecule at a concentration that is effective to treat or prophylactically prevent the health condition; and the amount comprises the cannabinoid anion at a concentration that is effective to treat or prophylactically prevent the health condition.
- the amount comprises at least 10 micrograms and no greater than 100 milligrams of the cannabinoid anion.
- the amount comprises at least 10 micrograms and no greater than 200 milligrams of the cannabinoid anion per day.
- the health condition is type 2 diabetes mellitus.
- the health condition is metabolic syndrome.
- the health condition is hypertension.
- the health condition is pre-hypertension.
- the health condition is a neurodegenerative disease or neuropathy.
- the health condition is mild cognitive impairment, Alzheimer’s Disease, Parkinson’s Disease, amyotrophic lateral sclerosis (“ALS”), or Huntington’s disease.
- ALS amyotrophic lateral sclerosis
- the health condition is an autoimmune disorder.
- the health condition is arthritis.
- the health condition is an inflammatory autoimmune-mediated arthritis.
- the health condition is ankylosing spondylitis.
- the health condition is an inflammatory autoimmune-mediated arthritis.
- the health condition is rheumatoid arthritis.
- the health condition is juvenile idiopathic arthritis.
- the health condition is polyarticular juvenile idiopathic arthritis. In some embodiments, the health condition is osteoarthritis.
- the health condition is enthesitis-related arthritis.
- the health condition is psoriatic arthritis.
- the health condition is psoriasis.
- the health condition is plaque psoriasis.
- the health condition is hidradenitis suppurativa.
- the health condition is sarcoidosis.
- the health condition is pulmonary sarcoidosis.
- the health condition is bone sarcoidosis.
- the health condition is lupus.
- the health condition is axial spondyloarthritis.
- the health condition is ankylosing spondylitis.
- the health condition is Dupuytren’s disease.
- the health condition is uveitis.
- the health condition is non-infectious uveitis.
- the health condition is adhesive capsulitis.
- the health condition is Sjogren’s syndrome.
- the health condition is inflammatory bowel disease.
- the health condition is Crohn’s disease.
- the health condition is ulcerative colitis.
- the health condition is smoking-cessation-induced ulcerative colitis.
- the health condition is a headache, a migraine headache, or an episodic migraine.
- the health condition is pain.
- the health condition is nociceptive pain; allodynia; chronic pain; intractable pain; back pain; lower back pain; chronic back pain; sciatica; spinal stenosis; chronic radiculopathy; post laminectomy syndrome; stomach pain; visceral pain; interstitial cystitis; postherpetic neuralgia; sickle cell anemia; sickle cell disease; cancer pain; intractable cancer pain; fibromyalgia; neurogenic pain; neuropathic pain; peripheral neuropathy; inflammatory demyelinating polyneuropathy; peripheral pain; reflex sympathetic dystrophy; residual limb pain; idiopathic pain; psychogenic pain; causalgia; complex regional pain syndrome; complex regional pain syndrome type I; complex regional pain syndrome type II; gout; epidermolysis bullosa; hemorrhoids; or constipation.
- the health condition is elevated intraocular pressure or glaucoma.
- the health condition is liver disease; non-alcoholic fatty liver disease (“NAFLD”); non-alcoholic steatohepatitis (“NASH”); liver cirrhosis; decompensated cirrhosis; hepatic encephalopathy; hepatitis; or hepatitis C.
- the health condition is nausea; cachexia; anorexia; bulimia; vomiting; motion sickness; cancer chemotherapy-induced anorexia; human deficiency virus (“HIV”) infection related nausea or cachexia; or acquired immune deficiency syndrome (“AIDS”) related nausea or cachexia.
- HIV human deficiency virus
- AIDS acquired immune deficiency syndrome
- the health condition is anxiety; generalized anxiety disorder; a specific phobia; agoraphobia; social anxiety disorder; separation anxiety disorder; panic disorder; selective mutism; obsessive-compulsive disorder; depression; a major depressive disorder with psychotic feature(s); psychotic depression; paranoia; psychosis; early psychosis; an unspecified psychosis; an unspecified reactive psychosis; a psychotic disorder; a brief psychotic disorder; a debilitating psychiatric disorder; schizophrenia; schizophreniform disorder; schizoaffective disorder; paranoid personality disorder; schizoid personality disorder; schizotypal personality disorder; a shared psychotic disorder; a shared paranoia disorder; a delusional disorder; bipolar disorder; bipolar I disorder; bipolar II disorder; mania; manic disorder; or manic-depressive psychosis.
- the health condition is an addiction.
- the health condition is an addiction to alcohol, tobacco, nicotine, an opiate, a stimulant, a prescription drug, gambling, food, shopping, the internet, or sex.
- the health condition is drug withdrawal; alcohol withdrawal syndrome; nicotine withdrawal; opioid withdrawal; cannabis withdrawal; benzodiazepine withdrawal syndrome; antidepressant discontinuation syndrome; antipsychotic withdrawal syndrome; addictive behavior; or cannabis use disorder.
- the health condition is attention deficit hyperactivity disorder (“ADHD”); autism or an autism spectrum disorder; Asperger syndrome; fragile X syndrome; a pervasive developmental disorder not otherwise specified (“PDD-NOS”); a childhood disintegrative disorder; or Tourette’s syndrome.
- ADHD attention deficit hyperactivity disorder
- autism or an autism spectrum disorder Asperger syndrome
- fragile X syndrome a pervasive developmental disorder not otherwise specified
- PPD-NOS pervasive developmental disorder not otherwise specified
- a childhood disintegrative disorder or Tourette’s syndrome.
- the health condition is Down syndrome.
- the health condition is post-traumatic stress disorder (“PTSD”).
- PTSD post-traumatic stress disorder
- the health condition is asthma; respiratory disease; chronic lower respiratory disease; or chronic obstructive pulmonary disease (“COPD”).
- COPD chronic obstructive pulmonary disease
- the health condition is insomnia; sleep apnea; obstructive sleep apnea; or restless legs syndrome.
- the health condition is cramping; muscle spasms; spasticity; spasmodic torticollis; a dyskinetic movement disorder; dystonia; intractable spasticity; intractable skeletal muscular spasticity; inclusion body myositis; myasthenia gravis; muscular dystrophy; Duchenne muscular dystrophy; muscle tremor; cerebellar tremor; dystonic tremor; essential tremor; orthostatic tremor; Parkinsonian tremor; physiological tremor; psychogenic tremor; rubral tremor; or nystagmus.
- the health condition is a seizure disorder.
- the health condition is recurrent focal seizures; recurrent generalized seizures; recurrent absence seizures; recurrent myoclonic-absence seizures; recurrent myoclonus; recurrent myoclonic seizures; recurrent tonic seizures; recurrent tonic-clonic seizures; recurrent atonic seizures; recurrent chronic seizures; epilepsy; recurrent epileptic spasms; refractory epilepsy; intractable epilepsy; treatment-resistant epilepsy; Lennox-Gastaut syndrome; Dravet syndrome; febrile infection related epilepsy syndrome (“FIRES”); juvenile myoclonic epilepsy; myoclonic absence seizures (“MAS”); myoclonic astatic epilepsy (“MAE”); tuberous sclerosis complex (“TSC”); Rett syndrome; or Angelman syndrome.
- the health condition is a neurological condition.
- the health condition is stroke; hemorrhagic stroke; ischemic stroke; neonatal hypoxic-ischemic encephalopathy (“NHIE”); hydrocephalus; hydromyelia; traumatic brain injury (“TBI”); post-concussion syndrome; chronic traumatic encephalopathy; a spinal cord injury; a spinal cord disease; syringomyelia; Tarlov cysts; cystic fibrosis; cerebral palsy; spinocerebellar ataxia; a neural-tube defect; neuropathy; a brain tumor; glioblastoma multiforme; glioblastoma astrocytoma; neurofibromatosis; Arnold-Chiari malformation; or multiple sclerosis.
- the health condition is a connective tissue disorder.
- the health condition is Ehlers-Danlos syndrome; fibrous dysplasia; osteogenesis imperfecta; nail-patella syndrome; idiopathic pulmonary fibrosis; bone loss; bone loss caused by a bone fracture; bone loss caused by a surgical procedure; a periodontal defect; periodontal disease; osteopenia; an osteolytic bone disease; osteoporosis; age-related osteoporosis; hormone-related osteoporosis; hypogonadism-related osteoporosis; diabetes-related osteoporosis; glucocorticoid-related osteoporosis; or disuse osteoporosis.
- the health condition is a carcinoma; sarcoma; lymphoma; leukemia; germ cell tumor; or blastoma.
- the health condition is brain cancer; ovarian cancer; breast cancer; vaginal cancer; vulvar cancer; uterine cancer; cervical cancer; endometrial cancer; prostate cancer; testicular cancer; penile cancer; liver cancer; intrahepatic bile duct cancer; lung cancer; small cell lung cancer; non-small cell lung cancer; bronchial cancer; mesothelioma; pancreatic cancer; gall bladder cancer; non-melanoma skin cancer; melanoma; Kaposi sarcoma; thyroid cancer; head and neck cancer; nasopharyngeal cancer; oropharyngeal cancer; hypopharyngeal cancer; laryngeal cancer; oral cavity cancer; tongue cancer; mouth cancer; salivary gland cancer; esophageal cancer; gastric cancer; colorectal cancer; colon cancer; rectal cancer; anal cancer; kidney cancer; renal cell cancer; renal pelvis cancer; bladder cancer; urethral cancer; Hodgkin lymphoma; non-Hodgkin’
- the health condition is an autoimmune disease
- the composition is administered to inhibit aberrant immune response in the subject.
- aberrant TNF-alpha signaling causes the health condition, and the composition is administered to inhibit TNF-alpha-mediated signaling pathways.
- aberrant TNF-alpha signaling exacerbates the health condition, and the composition is administered to inhibit TNF-alpha-mediated signaling pathways.
- Example 1 Cannabigerol and cannabigerovarin inhibit pain, inflammation, and TNF-alpha- mediated signaling pathways in a mouse arthritis model.
- mice are administered either vehicle or a cannabinoid.
- the cannabinoid is selected from 2-geranyl-5-pentylbenzene-l,3-diol (“cannabigerol”) and 2-geranyl-5-propylbenzene-l,3-diol (“cannabigerovarin”).
- the cannabinoid is administered at an amount of either 1, 2, 4, 8, 16, 32, or 64 milligrams cannabinoid per kilogram mouse body weight per day by oral gavage beginning when they are two months old.
- mice Following one month of administration of either vehicle or a cannabinoid, 30 microliters of a 2 percent weight-by-volume suspension of zymosan A in saline is injected into each right hind paw of the mice. Inflammation is measured with calipers to determine right hind paw swelling at 1, 2, 6, 12, and 24 hours following the zymosan A injection relative to left hind paw. Pain is measured with a Von Frey hair aesthesiometer to determine right hind paw sensitivity to force relative to left hind paw. Serum TNF-alpha concentration is measured at 24 hours by enzyme-linked immunosorbent assay.
- Each of the cannabigerol and cannabigerovarin groups display a dose-dependent reduction in right hind paw inflammation and pain relative to vehicle control groups.
- Each of the cannabigerol and cannabigerovarin groups display a dose-dependent reduction in serum TNF-alpha concentration relative to vehicle control groups.
- Example 2 Cannabigerol and cannabigerovarin inhibit neutrophil-mediated inflammation in a mouse arthritis model.
- mice Male C57BL/6J mice are administered either vehicle or a cannabinoid.
- the cannabinoid is selected from cannabigerol and cannabigerovarin.
- the cannabinoid is administered at an amount of either 1, 2, 4, 8, 16, 32, or 64 milligrams cannabinoid per kilogram mouse body weight per day by oral gavage beginning when they are two months old.
- mice are anesthetized with isoflurane and then 180 micrograms of zymosan A in saline is injected into the right knee of each mouse. Equivalent volumes of saline are injected into the left knee of each mouse. Mice are then injected with Neutrophil Elastase 680 FAST imaging probe (Perkin Elmer, Massachusetts, United States) and imaged 4 hours post-injection using an IVIS Spectrum In Vivo Imaging System (Perkin Elmer) to measure neutrophil -mediated inflammation. Mouse RNA is extracted and purified, and then relative adamts4 transcript, relative neutrophil elastase transcript, and relative myeloperoxidase transcript concentrations are measured following reverse transcription using real-time polymerase chain reaction.
- Each of the cannabigerol and cannabigerovarin groups display a dose-dependent reduction in imaged right knee neutrophil elastase relative to vehicle control group.
- Each of the cannabigerol and cannabigerovarin groups display a dose-dependent reduction in adamts4 transcripts, neutrophil elastase transcripts, and myeloperoxidase transcripts relative to vehicle control groups.
- TNF-alpha is known to increase neutrophil-mediated inflammation, which corroborates the hypothesis that each of cannabigerol and cannabigerovarin inhibit TNF-alpha- mediated signaling pathways, and which therefore also corroborates the hypothesis that each of cannabigerol and cannabigerovarin will be effective in humans at treating each of pain; inflammation; arthritis; inflammatory autoimmune-mediated arthritis; rheumatoid arthritis; juvenile idiopathic arthritis; polyarticular juvenile idiopathic arthritis; osteoarthritis; enthesitis-related arthritis; psoriatic arthritis; psoriasis; plaque psoriasis; hidradenitis suppurativa; sarcoidosis; pulmonary sarcoidosis; bone sarcoidosis; lupus; axial spondyloarthritis; ankylosing spondylitis; Dupuytren’s disease; uveitis; non-infectious
- Example 3 Cannabigerol and cannabigerovarin inhibit obesity and liver injury biomarkers in mouse diet-induced obesity models.
- mice Mouse body weights are measured daily. The mice are sacrificed when they are four months old following two months of the diet, cannabinoid (or vehicle), and weighing. Serum alanine aminotransferase (“ALT”) and serum aspartate aminotransferase (“AST”) are measured using a Reflotran Plus blood chemistry system (Roche, Switzerland). Mouse livers are fixed and then stained with hematoxylin and eosin to visualize liver steatosis.
- ALT serum alanine aminotransferase
- AST serum aspartate aminotransferase
- Example 5 Treatment of acute back pain.
- Example 7 Treatment of chronic hip pain.
- Example 8 Treatment of post laminectomy syndrome.
- Example 11 Treatment of chronic pain.
- An individual was administered a beverage containing the cannabidiol anion prior to driving to an airport to catch a flight that was scheduled to depart within thirty minutes of the arrival at the airport.
- the individual reported that he would ordinarily experience anxiety during such a drive when confronted with a similar timeline, and the individual reported a notable absence of anxiety.
- Example 13 Treatment of social anxiety.
- Example 14 Treatment of cramping and restless legs syndrome.
- Example 15 Treatment of epilepsy.
- a dog that suffers from chronic seizures was administered a glycerol tincture containing the cannabidiol anion immediately after the onset of a seizure.
- the owners of the dog reported that the glycerol tincture containing the cannabidiol anion both instantaneously and consistently arrested multiple seizures in the dog and significantly improved the dog’s quality of life.
- Example 16 Treatment of insomnia.
- Example 17 Treatment of Crohn’s disease.
- Example 18 Treatment of Inflammatory Bowel Disease.
- Example 19 Treatment of plaque psoriasis.
- Example 20 Treatment of peripheral neuropathy.
- Example 21 Cannabigerol and cannabigerovarin likely inhibit TNF-alpha signaling in humans.
- Examples 1 and 2 each suggest that each of cannabigerol and cannabigerovarin can inhibit TNF- alpha-mediated signaling pathways in mice, which suggests that each of the foregoing cannabinoids can treat health conditions in humans by inhibiting TNF-alpha-mediated signaling pathways.
- Anti- TNF-alpha pharmaceuticals such as HUMIRA®, REMICADE®, and ENBREL® are known to be effective at treating Crohn’s Disease and plaque psoriasis. Examples 17 and 19 therefore corroborate the hypothesis that each of cannabigerol and cannabigerovarin can treat health conditions in humans by inhibiting TNF-alpha-mediated signaling pathways.
- cannabigerol and cannabigerovarin can treat a range of health conditions in humans including pain; inflammation; arthritis; inflammatory autoimmune-mediated arthritis; rheumatoid arthritis; juvenile idiopathic arthritis; polyarticular juvenile idiopathic arthritis; osteoarthritis; enthesitis-related arthritis; psoriatic arthritis; psoriasis; plaque psoriasis; hidradenitis suppurativa; sarcoidosis; pulmonary sarcoidosis; bone sarcoidosis; lupus; axial spondyloarthritis; ankylosing spondylitis; Dupuytren’s disease; uveitis; non-infectious uveitis; adhesive capsulitis; Sjogren’s syndrome; inflammatory bowel disease; Crohn’s disease; ulcerative colitis; and smoking-cessation-induced ulcerative colitis.
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Abstract
Divers aspects de l'invention concernent des compositions comprenant un anion cannabinoïde, l'anion cannabinoïde étant la base conjuguée d'une molécule cannabinoïde, et la molécule cannabinoïde a une constante de dissociation acide dans l'eau d'au moins 50 femtomolaire et non supérieure à 50 nanomolaire pour la conversion de la molécule cannabinoïde en anion cannabinoïde. Dans certains modes de réalisation, une composition est efficace pour inhiber les voies de signalisation médiées par TNF-alpha chez un être humain.
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US202163154482P | 2021-02-26 | 2021-02-26 | |
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US63/154,508 | 2021-02-26 | ||
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US202163191831P | 2021-05-21 | 2021-05-21 | |
US202163191874P | 2021-05-21 | 2021-05-21 | |
US202163191846P | 2021-05-21 | 2021-05-21 | |
US63/191,874 | 2021-05-21 | ||
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US63/191,846 | 2021-05-21 | ||
US202163194811P | 2021-05-28 | 2021-05-28 | |
US63/194,811 | 2021-05-28 | ||
US202163254431P | 2021-10-11 | 2021-10-11 | |
US63/254,431 | 2021-10-11 | ||
US202163256454P | 2021-10-15 | 2021-10-15 | |
US63/256,454 | 2021-10-15 | ||
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Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
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US20070060639A1 (en) * | 2005-09-09 | 2007-03-15 | University Of Kentucky | Compositions and methods for intranasal delivery of tricyclic cannabinoids |
EP3459536A1 (fr) * | 2017-09-25 | 2019-03-27 | Krotov, Vadym | Composition comprenant des cannabinoides et procédé de fabrication correspondant |
WO2020123809A1 (fr) * | 2018-12-14 | 2020-06-18 | Natural Extraction Systems, LLC | Compositions et procédés se rapportant à des molécules cannabinoïdes anioniques |
WO2020264199A1 (fr) * | 2019-06-26 | 2020-12-30 | Natural Extraction Systems, LLC | Récipients, compositions, et procédés associés à des anions cannabinoïdes |
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Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070060639A1 (en) * | 2005-09-09 | 2007-03-15 | University Of Kentucky | Compositions and methods for intranasal delivery of tricyclic cannabinoids |
EP3459536A1 (fr) * | 2017-09-25 | 2019-03-27 | Krotov, Vadym | Composition comprenant des cannabinoides et procédé de fabrication correspondant |
WO2020123809A1 (fr) * | 2018-12-14 | 2020-06-18 | Natural Extraction Systems, LLC | Compositions et procédés se rapportant à des molécules cannabinoïdes anioniques |
WO2020264199A1 (fr) * | 2019-06-26 | 2020-12-30 | Natural Extraction Systems, LLC | Récipients, compositions, et procédés associés à des anions cannabinoïdes |
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