CN102755628A - Antifungal pharmaceutical composition - Google Patents
Antifungal pharmaceutical composition Download PDFInfo
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- CN102755628A CN102755628A CN201210245954XA CN201210245954A CN102755628A CN 102755628 A CN102755628 A CN 102755628A CN 201210245954X A CN201210245954X A CN 201210245954XA CN 201210245954 A CN201210245954 A CN 201210245954A CN 102755628 A CN102755628 A CN 102755628A
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- Prior art keywords
- posaconazole
- pharmaceutical composition
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- antifungal
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- 230000000843 anti-fungal effect Effects 0.000 title claims abstract description 21
- 229940121375 antifungal agent Drugs 0.000 title claims abstract description 16
- 239000008194 pharmaceutical composition Substances 0.000 title claims abstract 9
- RAGOYPUPXAKGKH-XAKZXMRKSA-N posaconazole Chemical compound O=C1N([C@H]([C@H](C)O)CC)N=CN1C1=CC=C(N2CCN(CC2)C=2C=CC(OC[C@H]3C[C@@](CN4N=CN=C4)(OC3)C=3C(=CC(F)=CC=3)F)=CC=2)C=C1 RAGOYPUPXAKGKH-XAKZXMRKSA-N 0.000 claims abstract description 25
- 229960001589 posaconazole Drugs 0.000 claims abstract description 25
- 108010009858 Echinomycin Proteins 0.000 claims abstract description 18
- AUJXLBOHYWTPFV-UHFFFAOYSA-N quinomycin A Natural products CN1C(=O)C(C)NC(=O)C(NC(=O)C=2N=C3C=CC=CC3=NC=2)COC(=O)C(C(C)C)N(C)C(=O)C2N(C)C(=O)C(C)NC(=O)C(NC(=O)C=3N=C4C=CC=CC4=NC=3)COC(=O)C(C(C)C)N(C)C(=O)C1CSC2SC AUJXLBOHYWTPFV-UHFFFAOYSA-N 0.000 claims abstract description 18
- 239000002207 metabolite Substances 0.000 claims abstract description 12
- 229940002612 prodrug Drugs 0.000 claims abstract description 12
- 239000000651 prodrug Substances 0.000 claims abstract description 12
- 150000003839 salts Chemical class 0.000 claims abstract description 12
- 241000233866 Fungi Species 0.000 claims abstract description 8
- XSCHRSMBECNVNS-UHFFFAOYSA-N quinoxaline Chemical compound N1=CC=NC2=CC=CC=C21 XSCHRSMBECNVNS-UHFFFAOYSA-N 0.000 claims abstract description 8
- AUJXLBOHYWTPFV-BLWRDSOESA-N CS[C@H]1SC[C@H]2N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C(=O)[C@@H]1N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C2=O)NC(=O)c1cnc2ccccc2n1)NC(=O)c1cnc2ccccc2n1 Chemical compound CS[C@H]1SC[C@H]2N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C(=O)[C@@H]1N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C2=O)NC(=O)c1cnc2ccccc2n1)NC(=O)c1cnc2ccccc2n1 AUJXLBOHYWTPFV-BLWRDSOESA-N 0.000 claims abstract 4
- 239000003242 anti bacterial agent Substances 0.000 claims abstract 2
- 229940088710 antibiotic agent Drugs 0.000 claims abstract 2
- -1 triazole compounds Chemical class 0.000 claims abstract 2
- 239000003814 drug Substances 0.000 claims description 27
- 206010017533 Fungal infection Diseases 0.000 claims description 13
- 208000031888 Mycoses Diseases 0.000 claims description 13
- 229940079593 drug Drugs 0.000 claims description 8
- 241000222122 Candida albicans Species 0.000 claims description 4
- 229940095731 candida albicans Drugs 0.000 claims description 4
- 239000000463 material Substances 0.000 claims description 4
- UHPMCKVQTMMPCG-UHFFFAOYSA-N 5,8-dihydroxy-2-methoxy-6-methyl-7-(2-oxopropyl)naphthalene-1,4-dione Chemical compound CC1=C(CC(C)=O)C(O)=C2C(=O)C(OC)=CC(=O)C2=C1O UHPMCKVQTMMPCG-UHFFFAOYSA-N 0.000 claims description 3
- 241000223218 Fusarium Species 0.000 claims description 3
- 230000000694 effects Effects 0.000 claims description 3
- 238000002360 preparation method Methods 0.000 claims description 3
- 239000000126 substance Substances 0.000 claims description 3
- 241000228212 Aspergillus Species 0.000 claims 2
- KAESVJOAVNADME-UHFFFAOYSA-N Pyrrole Chemical compound C=1C=CNC=1 KAESVJOAVNADME-UHFFFAOYSA-N 0.000 claims 2
- 239000004480 active ingredient Substances 0.000 claims 1
- 239000000203 mixture Substances 0.000 abstract description 9
- 238000012360 testing method Methods 0.000 abstract description 6
- 238000011161 development Methods 0.000 abstract description 3
- 238000000338 in vitro Methods 0.000 abstract description 3
- 230000002195 synergetic effect Effects 0.000 abstract description 3
- 206010059866 Drug resistance Diseases 0.000 abstract description 2
- 208000037026 Invasive Fungal Infections Diseases 0.000 abstract description 2
- 230000000844 anti-bacterial effect Effects 0.000 abstract description 2
- 238000012404 In vitro experiment Methods 0.000 abstract 1
- 238000002648 combination therapy Methods 0.000 abstract 1
- 230000002538 fungal effect Effects 0.000 abstract 1
- 230000001988 toxicity Effects 0.000 abstract 1
- 231100000419 toxicity Toxicity 0.000 abstract 1
- AUJXLBOHYWTPFV-VITLIGDRSA-N n-[(1r,4s,7r,11s,14r,17s,20r,24s)-2,4,12,15,17,25-hexamethyl-29-methylsulfanyl-3,6,10,13,16,19,23,26-octaoxo-11,24-di(propan-2-yl)-7-(quinoxaline-2-carbonylamino)-9,22-dioxa-28-thia-2,5,12,15,18,25-hexazabicyclo[12.12.3]nonacosan-20-yl]quinoxaline-2-carbo Chemical compound C([C@H](C(=O)N[C@@H](C)C(=O)N1C)NC(=O)C=2N=C3C=CC=CC3=NC=2)OC(=O)[C@H](C(C)C)N(C)C(=O)[C@H]2N(C)C(=O)[C@H](C)NC(=O)[C@H](NC(=O)C=3N=C4C=CC=CC4=NC=3)COC(=O)[C@H](C(C)C)N(C)C(=O)[C@@H]1CSC2SC AUJXLBOHYWTPFV-VITLIGDRSA-N 0.000 description 14
- 241001597008 Nomeidae Species 0.000 description 6
- 241000675278 Candida albicans SC5314 Species 0.000 description 4
- 208000015181 infectious disease Diseases 0.000 description 4
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 230000002452 interceptive effect Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 239000012980 RPMI-1640 medium Substances 0.000 description 2
- 230000008485 antagonism Effects 0.000 description 2
- 230000003115 biocidal effect Effects 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 238000003113 dilution method Methods 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 230000005764 inhibitory process Effects 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 238000002560 therapeutic procedure Methods 0.000 description 2
- 150000003852 triazoles Chemical class 0.000 description 2
- VHVPQPYKVGDNFY-DFMJLFEVSA-N 2-[(2r)-butan-2-yl]-4-[4-[4-[4-[[(2r,4s)-2-(2,4-dichlorophenyl)-2-(1,2,4-triazol-1-ylmethyl)-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one Chemical compound O=C1N([C@H](C)CC)N=CN1C1=CC=C(N2CCN(CC2)C=2C=CC(OC[C@@H]3O[C@](CN4N=CN=C4)(OC3)C=3C(=CC(Cl)=CC=3)Cl)=CC=2)C=C1 VHVPQPYKVGDNFY-DFMJLFEVSA-N 0.000 description 1
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 201000002909 Aspergillosis Diseases 0.000 description 1
- 208000036641 Aspergillus infections Diseases 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 206010019837 Hepatocellular injury Diseases 0.000 description 1
- 101000991061 Homo sapiens MHC class I polypeptide-related sequence B Proteins 0.000 description 1
- 102100030300 MHC class I polypeptide-related sequence B Human genes 0.000 description 1
- 241000235070 Saccharomyces Species 0.000 description 1
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 1
- 206010047700 Vomiting Diseases 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 230000001716 anti-fugal effect Effects 0.000 description 1
- 239000003429 antifungal agent Substances 0.000 description 1
- FIVPIPIDMRVLAY-UHFFFAOYSA-N aspergillin Natural products C1C2=CC=CC(O)C2N2C1(SS1)C(=O)N(C)C1(CO)C2=O FIVPIPIDMRVLAY-UHFFFAOYSA-N 0.000 description 1
- 208000027119 bilirubin metabolic disease Diseases 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 239000012620 biological material Substances 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
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- 239000003937 drug carrier Substances 0.000 description 1
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- 230000002349 favourable effect Effects 0.000 description 1
- 238000000855 fermentation Methods 0.000 description 1
- 230000004151 fermentation Effects 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- RFHAOTPXVQNOHP-UHFFFAOYSA-N fluconazole Chemical compound C1=NC=NN1CC(C=1C(=CC(F)=CC=1)F)(O)CN1C=NC=N1 RFHAOTPXVQNOHP-UHFFFAOYSA-N 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- FIVPIPIDMRVLAY-RBJBARPLSA-N gliotoxin Chemical compound C1C2=CC=C[C@H](O)[C@H]2N2[C@]1(SS1)C(=O)N(C)[C@@]1(CO)C2=O FIVPIPIDMRVLAY-RBJBARPLSA-N 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- 239000001963 growth medium Substances 0.000 description 1
- 208000036796 hyperbilirubinemia Diseases 0.000 description 1
- 230000036039 immunity Effects 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 208000033065 inborn errors of immunity Diseases 0.000 description 1
- 230000008595 infiltration Effects 0.000 description 1
- 238000001764 infiltration Methods 0.000 description 1
- 230000002401 inhibitory effect Effects 0.000 description 1
- 229960004130 itraconazole Drugs 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 206010025482 malaise Diseases 0.000 description 1
- 239000002609 medium Substances 0.000 description 1
- 239000010445 mica Substances 0.000 description 1
- 229910052618 mica group Inorganic materials 0.000 description 1
- 230000000813 microbial effect Effects 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
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- 238000002054 transplantation Methods 0.000 description 1
- 210000003462 vein Anatomy 0.000 description 1
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- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
本发明公开了一种抗真菌药物组合物。该药物组合物由A和B组成;其中,所述A选自下述至少一种:喹喔啉类抗生素及其类似物、衍生物、前药、代谢物和药物活性盐;所述B选自下述至少一种:三唑类化合物及其类似物、衍生物、前药、代谢物和药物活性盐。体外抗菌试验证明,将泊沙康唑和棘霉素联合应用,表现出很强的协同活性。使双方的用药剂量均降低32-64倍,体外实验中仍能保证受试真菌被100%清除。这样的组合物将提供联合治疗,对于具有难治性,侵入性的真菌感染是有效的。并且可以因此降低泊沙康唑的用药剂量,减轻患者的经济负担,减轻泊沙康唑的毒性反应,有效降低真菌耐药性的发展。The invention discloses an antifungal pharmaceutical composition. The pharmaceutical composition is composed of A and B; wherein, said A is selected from at least one of the following: quinoxaline antibiotics and their analogs, derivatives, prodrugs, metabolites and pharmaceutically active salts; said B is selected from At least one of the following: triazole compounds and their analogs, derivatives, prodrugs, metabolites and pharmaceutically active salts. Antibacterial tests in vitro proved that the combined application of posaconazole and echinomycin showed strong synergistic activity. The dosages of both parties are reduced by 32-64 times, and the tested fungus can still be guaranteed to be 100% eliminated in the in vitro experiment. Such compositions would provide combination therapy effective for refractory, invasive fungal infections. In addition, the dose of posaconazole can be reduced, the economic burden of patients can be reduced, the toxicity of posaconazole can be reduced, and the development of fungal drug resistance can be effectively reduced.
Description
Claims (8)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN 201210245954 CN102755628B (en) | 2012-07-16 | 2012-07-16 | A kind of antifungal pharmaceutical composition |
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CN 201210245954 CN102755628B (en) | 2012-07-16 | 2012-07-16 | A kind of antifungal pharmaceutical composition |
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CN102755628A true CN102755628A (en) | 2012-10-31 |
CN102755628B CN102755628B (en) | 2013-10-23 |
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CN 201210245954 Expired - Fee Related CN102755628B (en) | 2012-07-16 | 2012-07-16 | A kind of antifungal pharmaceutical composition |
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Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1688306A (en) * | 2002-09-23 | 2005-10-26 | 先灵公司 | Use of posaconazole for the treatment of fungal infections |
CN1988887A (en) * | 2004-05-28 | 2007-06-27 | 先灵公司 | Injectable pharmaceutical suspension comprising posaconazole |
CN102391968A (en) * | 2011-11-17 | 2012-03-28 | 中国科学院微生物研究所 | Streptomyces and its application in echinomycin production |
-
2012
- 2012-07-16 CN CN 201210245954 patent/CN102755628B/en not_active Expired - Fee Related
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1688306A (en) * | 2002-09-23 | 2005-10-26 | 先灵公司 | Use of posaconazole for the treatment of fungal infections |
CN1988887A (en) * | 2004-05-28 | 2007-06-27 | 先灵公司 | Injectable pharmaceutical suspension comprising posaconazole |
CN102391968A (en) * | 2011-11-17 | 2012-03-28 | 中国科学院微生物研究所 | Streptomyces and its application in echinomycin production |
Non-Patent Citations (2)
Title |
---|
陈念等: "喹喔啉类抗肿瘤抗生素研究进展", 《实用医学杂志》, vol. 22, no. 21, 30 November 2006 (2006-11-30), pages 2569 - 2570 * |
陈敏等: "泊沙康唑治疗侵袭性真菌病研究进展", 《中国实用内科杂志》, vol. 32, no. 2, 29 February 2012 (2012-02-29), pages 154 - 157 * |
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Publication number | Publication date |
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CN102755628B (en) | 2013-10-23 |
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Granted publication date: 20131023 Termination date: 20200716 |