CN105188702A - Compositions for use in treating eye disorders using dipyridamole - Google Patents
Compositions for use in treating eye disorders using dipyridamole Download PDFInfo
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- CN105188702A CN105188702A CN201480016302.6A CN201480016302A CN105188702A CN 105188702 A CN105188702 A CN 105188702A CN 201480016302 A CN201480016302 A CN 201480016302A CN 105188702 A CN105188702 A CN 105188702A
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- dipyridamole
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- disease
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- IZEKFCXSFNUWAM-UHFFFAOYSA-N dipyridamole Chemical compound C=12N=C(N(CCO)CCO)N=C(N3CCCCC3)C2=NC(N(CCO)CCO)=NC=1N1CCCCC1 IZEKFCXSFNUWAM-UHFFFAOYSA-N 0.000 title claims abstract description 60
- 229960002768 dipyridamole Drugs 0.000 title claims abstract description 60
- 239000000203 mixture Substances 0.000 title claims abstract description 37
- 208000030533 eye disease Diseases 0.000 title claims abstract description 15
- 150000003839 salts Chemical class 0.000 claims abstract description 4
- 210000001508 eye Anatomy 0.000 claims description 37
- 210000000795 conjunctiva Anatomy 0.000 claims description 4
- 239000003814 drug Substances 0.000 claims description 4
- 230000001225 therapeutic effect Effects 0.000 claims description 3
- 210000002159 anterior chamber Anatomy 0.000 claims 2
- 230000003203 everyday effect Effects 0.000 description 35
- 208000005494 xerophthalmia Diseases 0.000 description 21
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 19
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 18
- 239000003795 chemical substances by application Substances 0.000 description 14
- 239000011780 sodium chloride Substances 0.000 description 14
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 12
- 230000002596 correlated effect Effects 0.000 description 12
- 238000009472 formulation Methods 0.000 description 12
- 208000031973 Conjunctivitis infective Diseases 0.000 description 11
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- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 2
- 229960002424 collagenase Drugs 0.000 description 2
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- JOZPEVMCAKXSEY-UHFFFAOYSA-N pyrimido[5,4-d]pyrimidine Chemical compound N1=CN=CC2=NC=NC=C21 JOZPEVMCAKXSEY-UHFFFAOYSA-N 0.000 description 2
- 210000003786 sclera Anatomy 0.000 description 2
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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
- A61K31/33—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
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting in contact-lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
-
- 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
- A61K31/13—Amines
- A61K31/133—Amines having hydroxy groups, e.g. sphingosine
-
- 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
-
- 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
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0048—Eye, e.g. artificial tears
-
- 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
- A61K9/08—Solutions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
- A61P27/04—Artificial tears; Irrigation solutions
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Ophthalmology & Optometry (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicinal Preparation (AREA)
Abstract
The present invention discloses compositions for use in treating eye disorders, the compositions including an effective amount of a topically-administered dipyridamole. Preferably, the topically-administered dipyridamole is formulated as a solution. Preferably, the topically-administered dipyridamole is at least one agent selected from the group consisting of: dipyridamole, and a pharmaceutically-acceptable salt thereof. Preferably, the effective amount corresponds to a concentration of at least about 10-5 molarity. Preferably, the effective amount is based on a treatment administration of at least once every other day.
Description
Technical field
The present invention relates to the compositions being used for the treatment of disease of eye using dipyridamole.
Background technology
As known in the art, the medical condition being called as " xerophthalmia " is a kind of imbalance of tear film, and this is because tear lack or the evaporation of excessive tear, thus causes the destruction to eye surface between eyelid be associated with the symptom of eye discomfort.Current, xerophthalmia comprises two primary categories: (i) olighydria type xerophthalmia (ADDE), and (ii) vaporized strong type xerophthalmia (EDE).ADDE mainly refers to because lacrimal gland function is incomplete and can not secrete enough tear.ADDE has two main subclasses: (i) Sjorgen Cotard xerophthalmia (SSDE), and (ii) non-Sjorgen Cotard xerophthalmia (such as in graft versus host disease (GvHD) or in diabetes).EDE can be: (i) is intrinsic, owing to affecting eyelid structure or dynamic disease, or (ii) is exogenous, wherein eye surface diseases is due to some external exposures, as topical remedy's antiseptic, the wearing of contact lens, pterygium or hypovitaminosis A.
Term " corneal ulcer ", typically refers to wherein corneal epithelium, substrate or medical condition that both are dissolved because of activation and the supersecretion of colloidal sol protoenzyme and delete.Colloidal sol protoenzyme causes corneal ulcer, and bacterial collagenase and matrix metalloproteinase (MMP) are this exedens processes of known participation.
Ulcer can be promoted by the Collagen extracellular environment change caused of degrading.Such condition produces the vicious cycle of activation keratocyte and degraded corneal stroma.When antibacterial is killed by antibiotic, bacterial collagenase secretion is suppressed, and directly corneal stroma degraded is suppressed due to antibacterial.But, because most antibiotics can not suppress the activation of the keratocyte caused by the signal of organism being once sent to keratocyte from antibacterial, so observe the progress of ulcer clinically every now and then.
Cornea/conjunctival disease, the corneal epithelium deficiency disease of the etch and prolongation that comprise the repetition of cornea joins with such disease association.The repair process of cornea/conjunctival epithelium disease is related to and being lacked by the migration protective epithelium of corneal epithelial cell, follows by subsequent cell division and differentiation, causes normal cornea and conjunctival reconstruction.Corneal anesthesia becomes neurotrophic keratopathy with congenital corneal anesthesia General development.Neurotrophic keratopathy is a kind of degenerative keratopathy brought out by injury of trigeminal nerve.The innerv damage of corneal sensitivity or loss are the reasons of corneal epithelial defect, ulcer and perforation.
Pterygium is the non-cancer growth started in the limpid thin tissue (conjunctiva) of eyes.The white portion (sclera) of eyes is contained in this growth, and extends on cornea.It erects often slightly, and containing visible vessels.This problem may occur in one or two eyes.Pterygium may become inflammation and cause in calcination, stimulation or sensation eyes seemingly has exotic.If growth enough far extends to cornea, so vision may be affected.At present known except operation for pterygial radical treatment.
Pinguecula is that the scleral band of approach angle film edge on conjunctiva is yellow, slightly erects and thickens.Pinguecula usually occurs in the part between sclera and eyelid, is therefore exposed to the sun.In some cases, pinguecula becomes swelling and inflammation, i.e. a kind of patient's condition being called pinguecula inflammation.Continually, pinguecula can cause pterygial formation.The radical treatment for pinguecula except operation unknown at present.
Uveitis is the inflammation in the eyes intermediate layer being called tunica uvea (uvea) or tunica uvea (uvealtract).Tunica uvea is made up of the middle pigment blood vessel structure of eyes, and comprises iris, corpus ciliare and choroid.In western countries, anterior uveitis accounts for 50% to 90% of uveitis case, and in Asian countries, this ratio drops between 28% and 50%.Uveitis estimation is the reason of about 10 to the 20% blind case of the U.S..Pathogenic factor normally infectious (antibacterial or viral infection) or autoimmunity.Inherited genetic factors serves as the risk factor of this intractable treatment patient's condition.
In the prior art, dipyridamole { 2, two (diethanolamino)-4 of 6-, 8-bis-piperidines pyrimido [5,4-d] pyrimidine, the closely-related pyrimido-pyrimidine that is substituted and its method for making by Fischer at U.S. Patent number 3,031, teaching in 450 (hereinafter referred to as 450 of Fischer).Dipyridamole is described as a kind of nineteen sixty for early stage coronary vasodilator, and is knownly have the anticoagulant character that causes because adenosine uptake suppresses.Subsequently, in the brain medium-sized artery circulating research of a rabbit model, display dipyridamole can reduce thrombosis.These investigation cause it to use as antithrombotic agent.Dipyridamole becomes for such as prevention of stroke very soon, keeps the unobstructed of coronary bypass and valve displacement, and the therapeutic choice of the application for the treatment of for front coronary angioplasty.
In the patent publication No. EP0234854B1 (hereinafter referred to as 854 of Gilbard) of the people such as Gilbard, suggestion ring-type cAMP works as the second message,second messenger of exocytosis in lachrymal gland, and action is to increase lacrimal secretion.CAMP is by di-phosphate ester enzymatic degradation.Therefore can think, cAMP level in the born of the same parents suppressing phosphodiesterase can cause increasing, and then promote lacrimal secretion.Dipyridamole is considered to serve as phosphodiesterase inhibitor, and is considered to by its some cardiovascular benefits of this mechanisms play.
But, at the 19th page of the patent publication No. WO2007/140181 (hereinafter referred to as 181 of Leung) of Leung, it discloses compared to contrast, can ignore the impact of cAMP after adding dipyridamole.Only the combination of caffeine and dipyridamole produces the desired effects of external reduction cAMP, and this is assumed to be the cellular level that instruction increases cAMP.
By expecting, there is the compositions being used for the treatment of disease of eye using dipyridamole.This compositions and treatment indication will especially overcome the problem of above-mentioned with such disease association connection.
Summary of the invention
The object of the present invention is to provide the compositions being used for the treatment of disease of eye and treatment indication that use dipyridamole.
Detailed description of the invention
For the sake of clarity, term " disease of eye " is special in use definition herein, include, but is not limited to scleritis, graft versus host disease (GvHD), keratitis, corneal ulcer, corneal abrasion, snow blindness, ThygesonShi superficial punctate keratopathy, cornea neovascularization, FuchShi malnutrition, keratoconus, keratoconjunctivitis (xerophthalmia), iritis, corneal anesthesia, neurotrophic keratopathy, blood-shot eye illness, pink eye disease, fungal keratitis, xerophthalmia (xerophthalmia), retinoblastoma, uveitis, pterygium, any disease of keratopathy and pinguecula.
In addition, it should be noted that term " exemplary " is used to refer to the example of embodiment and/or enforcement in this article, and and do not mean that and must pass on a more preferably use-case.Similarly, term " preferably " is used to refer to an expection embodiment and/or the example that sub-elects of enforcement in this article, and and do not mean that and must pass on a more preferably use-case.Therefore, from should be understood that " exemplary " and " preferably " may be used on multiple embodiment and/or enforcement in this article above.
Dipyridamole, easily from gastrointestinal absorption, reaches human plasma peak level at oral administration after 1 to 3 hours.Peak serum level is dose dependent, and scope is from the 1.6g/mL after about 0.5g/mL to the 75mg dosage after 25mg dosage.Blood level alters a great deal, and may depend on food intake and gastrointestinal peristalsis.Eat on an empty stomach and may cause higher blood level.After intravenous (IV) administration, distribution half-life is about 25 minutes in the mankind, and after oral administration, is about 3 hours.When reaching 60 hours after the blood plasma level IV following medicine or oral administration 20-50mg, blood plasma level is three index decreased, its half-life be 5 minutes (only IV), 53 minutes and about 10 to 12 hours.The volume of distribution is about 140L, and wherein about 92 to 99% in conjunction with plasma protein, mainly α 1 acidoglycoprotein.Dipyridamole typical every day oral dosage ranges from 100 to 400mg.
Dipyridamole is hardly water-soluble (water solubility is 8.17mg/L (people (1996) such as Meylan, WM)), but is fairly dissolved in methanol.This is find a kind of appropriate method for ophthalmic applications to create challenge, the aqueous solution preferably sent via single in ophthalmic applications.Embodiment of the present invention provide the compositions and the treatment indication that use dipyridamole to be used for the treatment of disease of eye.After measured, by regulating the pH of aqueous solution to about 6.6 (6.5 to 6.7), dipyridamole fully dissolves in aqueous.The native pH of tear is 7.4; But, as long as the pH value of drug administration remains in the scope of 6.6 to 7.8, user can not the not feel well (people such as SampathKumar, " the up-to-date challenge of ocular drug delivery system and progress (RecentChallengesandAdvancesinOphthalmicDrugDeliverySyste m) ", at ThePharmaInnovation, 1st volume, in No. 4 (2012)).
Other method can be used to realize water solublity, and as ultrasonic mixing, or dipyridamole to be dissolved in wherein dipyridamole be solvable methanol, chloroform, acetic acid, DMSO or other supporting agent, then adds water or saline, then removes all or part supporting agent.Another kind method can to relate in water/saline mixing before polishing compounds to nanoparticle size.It should be noted that when preparing rarer exemplary formulation C and D described below, few acidify is necessary.Although often preferred aqueous solutions is used for eyes instillation, the dipyridamole be prepared in oil or emulsifiable paste matrix is the another kind of method overcoming water solublity challenge.
According to aspects of the present invention, find that dipyridamole can effectively treat eye medical condition when in normal saline preparation during local application.The local application of dipyridamole can be used for treating the xerophthalmia caused by the relevant xerophthalmia of such as graft versus host disease (GvHD), diabetes, anaphylaxis conjunctivitis, contact lens and Sjorgen Cotard.
In an exemplary embodiment of the present invention, local dipyridamole also may be used for treating by such as: viral infection, bacteriological infection, fungal infection, wear the corneal ulcer that damage that contact lens causes, traumatic injury and parasitic infection causes.In addition, local dipyridamole also can be used for treatment pterygium, corneal anesthesia and cornea neovascularization.
Therefore, according to the present invention, provide a kind of compositions for being used for the treatment of disease of eye in the very first time, described compositions comprises: the dipyridamole of the local application of (a) effective dose.Preferably, the dipyridamole of described local application is deployed into solution.Preferably, the dipyridamole of described local application is that at least one is selected from by the medicament of the following group formed: dipyridamole and its medicinal acceptable salt.Preferably, described effective dose corresponds at least about 10
-5the concentration of molar concentration.Preferably, described effective dose uses based at least every other day treatment once.These and other embodiment will from following detailed description and example apparent.
preferred embodiment explanation
The present invention relates to the compositions being used for the treatment of disease of eye using dipyridamole.According to the present invention, in these compositionss, purposes and advantage can illustrate with reference to enclosing and understand better.This explanation should not be considered to have limited significance, but just to the object of General Principle of the present invention is described, because scope of the present invention is preferably defined by the appended claims.Exemplary of the present invention is described in detail in following exemplary formulation.
Exemplary formulation A:
Prepare dipyridamole eye drop as follows.1g citric acid is blended in 100mL saline (aseptic aqueous solution of 0.9%w/v sodium chloride), obtaining pH is 6.7.Weigh 8.5mg dipyridamole, the aseptic of carrying out 30 minutes irradiates UVB, and is diluted in 100mL saline.Then this solution is carried out sterilizing by 0.22 zut filter, produce every milliliter of solution containing 85mcg dipyridamole.With dropper, one (being equivalent to about 0.05mL) is administered to eyes.
Exemplary formulation B:
Prepare dipyridamole eye drop as follows.1g citric acid is blended in 100mL saline (aseptic aqueous solution of 0.9%w/v sodium chloride), obtaining pH is 6.7.Weigh 4.25mg dipyridamole, the aseptic of carrying out 30 minutes irradiates UVB, and is diluted in 100mL saline.Then this solution is carried out sterilizing by 0.22 zut filter, produce every milliliter of solution containing 42.5mcg dipyridamole.With dropper, one (being equivalent to about 0.05mL) is administered to eyes.
Exemplary formulation C:
Prepare dipyridamole eye drop as follows.1g citric acid is blended in 100mL saline (aseptic aqueous solution of 0.9%w/v sodium chloride), obtaining pH is 6.7.Weigh 2.125mg dipyridamole, the aseptic of carrying out 30 minutes irradiates UVB, and is diluted in 100mL saline.Then this solution is carried out sterilizing by 0.22 zut filter, produce every milliliter of solution containing 21.25mcg dipyridamole.With dropper, one (being equivalent to about 0.05mL) is administered to eyes.
Exemplary formulation D:
Prepare dipyridamole eye drop as follows.1g citric acid is blended in 100mL saline (aseptic aqueous solution of 0.9%w/v sodium chloride), obtaining pH is 6.7.Weigh 1.0625mg dipyridamole, the aseptic of carrying out 30 minutes irradiates UVB, and is diluted in 100mL saline.Then this solution is carried out sterilizing by 0.22 zut filter, produce every milliliter of solution containing 10.625mcg dipyridamole.With dropper, one (being equivalent to about 0.05mL) is administered to eyes.
Result:
Suffer from the be correlated with human male of xerophthalmia of GvHD for five to treat for twice every day on both sides with a dripping agent A.The subjectivity realizing dry eye condition in half an hour is alleviated.Described needs of patients subsequent applications, every day twice.Use after 3 days, eyes rubescent (or pink eye disease) disappears.
The be correlated with female human of xerophthalmia treats for twice on both sides by a formulation C every day for two having diabetes.The alleviation of dry eye condition is realized in one hour.Described needs of patients subsequent applications, every day twice.Use after 5 days, eyes rubescent (or pink eye disease) disappears.
The be correlated with female human of xerophthalmia once treats the both sides next day with a dripping agent B for having diabetes.The alleviation of dry eye condition is realized in 20 minutes.Described needs of patients subsequent applications, the next day once.Use after 10 days, eyes rubescent (or pink eye disease) disappears.Maintain with the next day use and once continue.
Suffer from the human male that viral eye infection has a corneal ulcer for one to treat for twice every day on both sides with a dripping agent B.Stopping is oozed out in 8 hours.Described needs of patients subsequent applications, every day twice.Use after 4 days, eyes rubescent (or pink eye disease) disappears, and eyes were completely recovered in 5 days.
Eye are suffered from the human male that pterygium has relevant xerophthalmia and pink eye disease and are treated for twice every day with a dripping agent B.The alleviation of dry eye condition is realized in one day.Described needs of patients subsequent applications, every day twice.Use after 10 days, eyes rubescent (or pink eye disease) disappears.After using 6 weeks, pterygium has shunk the about size of half, and continues to reduce size under uninterrupted use.
Eye are suffered from the female human that pterygium has relevant xerophthalmia and an inflammation and are treated for twice every day by a formulation C.The alleviation of dry eye condition is realized in two days.Described needs of patients subsequent applications, every day twice.After using 8 weeks, pterygium has shunk the about size of half, and continues to reduce size under uninterrupted use.
Eyes are suffered from population of deeper corneal ulcer and are accompanied the human male of interstitial intervention to treat for three times every day with a dripping agent A.In 24 hour, realize pain and stimulate alleviating.Described needs of patients subsequent applications, every day twice.Use after 7 days, cornea re-epithelilization completely.
The be correlated with women of corneal anesthesia (neurotrophic keratopathy) treats once a day by a formulation C for three having diabetes.The symptom of corneal anesthesia starts to improve in 2-3 days.Described needs of patients subsequent applications, every day twice.Use after about 3 weeks, described patient's report symptom complete incidence graph.
The be correlated with male of neovascularization treats for twice with a dripping agent A every day for having diabetes.When use checked after 4 weeks, no longer visible with slit lamp examination abnormal vascular.
Suffer from the human male that viral eye infection has a corneal abrasion (namely corneal ulcer occurring) for two to treat for twice every day on both sides with a dripping agent A.Stopping is oozed out in 5 hours.Described needs of patients subsequent applications, every day twice.Use after 2-3 days, eyes rubescent (or pink eye disease) disappears, and eyes were completely recovered in 5-6 days.
The female human that eye suffer from corneal ulcer treats for twice with a dripping agent A every day.In one day, realize pain and stimulate alleviating.Described needs of patients subsequent applications, every day twice.Use after 7 days, ulcer is completely recovered.
The be correlated with human male of xerophthalmia treats for twice on both sides with a dripping agent A every day for four having diabetes.The average alleviation realizing dry eye condition within half an hour.Described needs of patients subsequent applications, every day twice.Average use is after one week, and eyes rubescent (or pink eye disease) disappears completely.
The be correlated with women of corneal anesthesia treats once a day with a dripping agent A for two having diabetes.The symptom of corneal anesthesia starts to improve in 2 days.Use after about one week, described patient's report symptom complete incidence graph.
The be correlated with human male of neovascularization treats for twice by a formulation C every day for having diabetes.Described needs of patients subsequent applications, every day twice.When use checked after 16 days, check that abnormal vascular is no longer visible with slit lamp photography.
Suffer from the be correlated with human patients of xerophthalmia of GvHD for six to treat for twice every day on both sides by a formulation C.The alleviation of dry eye condition is realized in one hour.Described needs of patients subsequent applications, every day twice.Average use is after one week, and eyes rubescent (or pink eye disease) disappears.
The human male that eyes suffer from anterior uveitis treats for three times by a formulation C every day.The alleviation of pain is realized in three days.Blurred vision is solved in 7 days.Seemed to solve inflammation completely in 14 days.Described patient continues subsequent applications, every day twice, to keep alleviating.
The human male that eyes suffer from anterior uveitis treats for three times with a dripping agent B every day.The alleviation of pain is realized in two days.Blurred vision is solved in 14 days.Seemed to solve inflammation completely in 18 days.Described patient continues subsequent applications, every day twice, to keep alleviating.
Suffer from the be correlated with human patients of xerophthalmia of GvHD for three to treat for twice every day on both sides with a dripping agent D.The alleviation of dry eye condition is realized in one hour.Described needs of patients subsequent applications, every day twice.Average use is after one week, and eyes rubescent (or pink eye disease) disappears.
Additional preferred embodiment and experiment
Dipyridamole eye drop prepares by dissolving dipyridamole in sterilized water.Adjust pH as required to realize solubility.Prepare some concentration, scope is from 5mcg/ml to 200mcg/ml.Follow sterile procedure.
Dipyridamole eye ointment is by mixing dipyridamole in the substrate of the yellow soft paraffin of (8:1:1) ratio, liquid paraffin and lanoline and preparing.Prepare some concentration, scope is from 5mcg/ml to 200mcg/ml.Follow sterile procedure.
Dipyridamole eye drop (one [about 0.05mL], every day one to three times) or dipyridamole eye ointment (about 0.1 to 0.3mL [every day one to twice]) are administered to and suffer from SjorgenShi and be correlated with in the subject eye of xerophthalmia, nonspecific keratitis, keratoconus or anaphylaxis conjunctivitis.The concentration used increases gradually under allowing.
Result
SjorgenShi is correlated with xerophthalmia: through going through slightly of short duration sensation of pricking after using drop/ointment.Using alleviating dry eye symptom in beginning in hour.Continuous use, after about 7 days, becomes complete incidence graph, and some patients continues administration once a day and time limit (every 3-4 days) administration in other patient.
Nonspecific keratitis: through going through slightly of short duration sensation of pricking after using drop/ointment.Using in 1 to 2 hours the attenuating intensity experiencing pain.After regularly using (spaced apart several hours) drop/ointment for 3 to 4 times, total pain relief.Uninterruptedly use in 2 to 7 days and realize solving keratitis completely.
Keratoconus: daily (every day one to twice) continue within 3 months, cause astigmatism to be improved, make two experimenters cylinder reduce by 1/4th arrive half.
Conjunctivitis (non-specific): through going through slightly of short duration sensation of pricking after using drop/ointment.Start conjunctivitis symptoms (itch, burn feeling or delacrimation) partial rcsponse using in one hour.Use lasting every day one to twice.Use after two to four days, all symptoms comprise oozing out to be alleviated.
Although the present invention is described relative to the embodiment of limited quantity, it should be understood that, many changes of the present invention, amendment and other application can be carried out.
In this manual, as paragraph [0002], [0003], [0004], [0005], [0006], [0007], [0008], [0014], [0019], [0020], [0027], [0028], [0029], [0030], [0031], [0032], [0033], [0034], [0035], [0036], [0038], [0039], [0040], [0041], [0042], [0043], [0044], [0047], [0048], [0049], [0050] and [0051] known leading portion (comprising conjunctiva) and/or lacrimal system that can affect eyes of all disease of eye of listing.
Industrial usability
By using the compositions of dipyridamole to be applied in treatment disease of eye, it is a kind of innovation overcoming the problem joined with such disease association.
Claims (10)
1. be used for the treatment of a compositions for disease of eye, described compositions comprises:
The dipyridamole of the local application of effective dose.
2. compositions according to claim 1, the dipyridamole of wherein said local application is deployed into solution.
3. compositions according to claim 1, the dipyridamole of wherein said local application is that at least one is selected from by the medicament of the following group formed: dipyridamole and its medicinal acceptable salt.
4. compositions according to claim 1, wherein said effective dose corresponds at least about 10
-5the concentration of molar concentration.
5. compositions according to claim 1, wherein said effective dose is based at least every other day therapeutic administratp once.
6. be used for the treatment of a compositions for lacrimal system and anterior chamber of eye disease of eye, described compositions comprises:
The dipyridamole of the local application of effective dose can affect the lacrimal system of eyes with treatment and comprise the disease of eye of anterior chamber of eye of conjunctiva.
7. compositions according to claim 6, the dipyridamole of wherein said local application is deployed into solution.
8. compositions according to claim 6, the dipyridamole of wherein said local application is that at least one is selected from by the medicament of the following group formed: dipyridamole and its medicinal acceptable salt.
9. compositions according to claim 6, wherein said effective dose corresponds at least about 10
-5the concentration of molar concentration.
10. compositions according to claim 6, wherein said effective dose is based at least every other day therapeutic administratp once.
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IL225179A IL225179A (en) | 2013-03-12 | 2013-03-12 | Compositions for use in treating eye disorders using dipyridamole |
PCT/IB2014/059645 WO2014141079A1 (en) | 2013-03-12 | 2014-03-11 | Compositions for use in treating eye disorders using dipyridamole |
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WO2024125322A1 (en) * | 2022-12-16 | 2024-06-20 | 智泽童康(广州)生物科技有限公司 | Dipyridamole for preventing and treating allergic and/or inflammatory diseases and preparation thereof |
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US20180092776A1 (en) | 2016-09-30 | 2018-04-05 | Sara Heikali | Method and device for treating and managing diseased ocular tissue |
WO2021001805A1 (en) | 2019-07-04 | 2021-01-07 | Ocular Discovery Ltd. | Stable dipyridamole formulations and their methods of preparation |
WO2021001806A1 (en) | 2019-07-04 | 2021-01-07 | Ocular Discovery Ltd. | Stable dipyridamole formulations with reduced impurities |
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IL225179A (en) | 2017-01-31 |
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KR20150126021A (en) | 2015-11-10 |
KR20210010638A (en) | 2021-01-27 |
BR112015022084A2 (en) | 2017-07-18 |
AU2014229371A1 (en) | 2015-10-29 |
CN105188702B (en) | 2019-03-26 |
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CA2905594A1 (en) | 2014-09-18 |
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