RU2012139802A - Композиции с контролируемым высвобождением на основе кортикостероидов для лечения ушных болезней - Google Patents
Композиции с контролируемым высвобождением на основе кортикостероидов для лечения ушных болезней Download PDFInfo
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- 239000000203 mixture Substances 0.000 title claims abstract 19
- 239000003246 corticosteroid Substances 0.000 title claims abstract 8
- 208000032625 disorder of ear Diseases 0.000 title claims abstract 3
- 238000013270 controlled release Methods 0.000 title 1
- 229960001334 corticosteroids Drugs 0.000 title 1
- 210000003477 cochlea Anatomy 0.000 claims abstract 13
- FQISKWAFAHGMGT-SGJOWKDISA-M Methylprednisolone sodium succinate Chemical compound [Na+].C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)COC(=O)CCC([O-])=O)CC[C@H]21 FQISKWAFAHGMGT-SGJOWKDISA-M 0.000 claims abstract 9
- 229960003957 dexamethasone Drugs 0.000 claims abstract 9
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 claims abstract 9
- 229960004584 methylprednisolone Drugs 0.000 claims abstract 9
- 229960005205 prednisolone Drugs 0.000 claims abstract 9
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 claims abstract 9
- 238000013268 sustained release Methods 0.000 claims abstract 9
- 239000012730 sustained-release form Substances 0.000 claims abstract 9
- 239000012528 membrane Substances 0.000 claims abstract 8
- 230000003110 anti-inflammatory effect Effects 0.000 claims abstract 7
- 210000003027 ear inner Anatomy 0.000 claims abstract 6
- 239000002245 particle Substances 0.000 claims abstract 5
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract 5
- 229920001451 polypropylene glycol Polymers 0.000 claims abstract 4
- 239000000651 prodrug Substances 0.000 claims abstract 4
- 229940002612 prodrug Drugs 0.000 claims abstract 4
- 229920001577 copolymer Polymers 0.000 claims abstract 3
- 210000004049 perilymph Anatomy 0.000 claims abstract 3
- 150000003839 salts Chemical class 0.000 claims abstract 3
- 206010011878 Deafness Diseases 0.000 claims abstract 2
- 208000027530 Meniere disease Diseases 0.000 claims abstract 2
- 239000003795 chemical substances by application Substances 0.000 claims abstract 2
- 230000010370 hearing loss Effects 0.000 claims abstract 2
- 231100000888 hearing loss Toxicity 0.000 claims abstract 2
- 208000016354 hearing loss disease Diseases 0.000 claims abstract 2
- 238000002347 injection Methods 0.000 claims abstract 2
- 239000007924 injection Substances 0.000 claims abstract 2
- 230000002906 microbiologic effect Effects 0.000 claims abstract 2
- 230000002441 reversible effect Effects 0.000 claims abstract 2
- -1 polyoxyethylene Polymers 0.000 claims 6
- 229920003171 Poly (ethylene oxide) Polymers 0.000 claims 3
- 229910019142 PO4 Inorganic materials 0.000 claims 1
- RVGRUAULSDPKGF-UHFFFAOYSA-N Poloxamer Chemical compound C1CO1.CC1CO1 RVGRUAULSDPKGF-UHFFFAOYSA-N 0.000 claims 1
- 150000002148 esters Chemical class 0.000 claims 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 claims 1
- 239000010452 phosphate Substances 0.000 claims 1
- 229920001992 poloxamer 407 Polymers 0.000 claims 1
- 229940044476 poloxamer 407 Drugs 0.000 claims 1
- 229920000642 polymer Polymers 0.000 claims 1
Classifications
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- 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
- A61K9/0046—Ear
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- 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
- A61K31/56—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
- A61K31/57—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
- A61K31/573—Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
-
- 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
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/10—Alcohols; Phenols; Salts thereof, e.g. glycerol; Polyethylene glycols [PEG]; Poloxamers; PEG/POE alkyl ethers
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- 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
- A61K9/06—Ointments; Bases therefor; Other semi-solid forms, e.g. creams, sticks, gels
-
- 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
-
- 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
- A61P27/16—Otologicals
-
- 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]
-
- 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
- A61P37/02—Immunomodulators
- A61P37/06—Immunosuppressants, e.g. drugs for graft rejection
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- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medicinal Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Immunology (AREA)
- Oil, Petroleum & Natural Gas (AREA)
- Transplantation (AREA)
- Pain & Pain Management (AREA)
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- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
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- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
1. Фармацевтическая композиция, пригодная для применения при лечении ушных болезней путем интратимпанического введения на мембрану окна улитки уха или около нее, включающая приемлемый для уха термообратимый водный гель и противовоспалительный кортикостероид в виде множества частиц, так что пролонгированное высвобождение противовоспалительного кортикостероида через мембрану окна улитки в улитку внутреннего уха происходит в течение по меньшей мере 5 дней после однократного введения.2. Композиция по п.1, имеющая величину рН между примерно 7,0 и примерно 8,0.3. Композиция по п.1, пригодная для применения при лечении болезни Меньера, составленная так, чтобы обеспечить пролонгированное высвобождение терапевтически эффективного количества дексаметазона, метилпреднизолона или преднизолона через мембрану окна улитки в улитку внутреннего уха в течение по меньшей мере 5 дней, при этом эта композиция содержит:между 1 мг/мл и 70 мг/мл дексаметазона, метилпреднизолона, преднизолона или их фармацевтически приемлемых пролекарства или соли в виде множества частиц;между 16% и 21% по весу сополимера полиоксиэтилена и полиоксипропилена;причем фармацевтическая композиция имеет осмоляльность между 250 и 320 мОсм/кг, приемлемую для перилимфы, именее 50 КОЕ микробиологических агентов на грамм композиции.4. Композиция по п.1, пригодная для применения при лечении внезапной нейросенсорной потери слуха, составленная таким образом, чтобы обеспечить пролонгированное высвобождение терапевтически эффективного количества дексаметазона, метилпреднизолона или преднизолона через мембрану окна улитки в улитку внутреннего уха в течение по мен�
Claims (12)
1. Фармацевтическая композиция, пригодная для применения при лечении ушных болезней путем интратимпанического введения на мембрану окна улитки уха или около нее, включающая приемлемый для уха термообратимый водный гель и противовоспалительный кортикостероид в виде множества частиц, так что пролонгированное высвобождение противовоспалительного кортикостероида через мембрану окна улитки в улитку внутреннего уха происходит в течение по меньшей мере 5 дней после однократного введения.
2. Композиция по п.1, имеющая величину рН между примерно 7,0 и примерно 8,0.
3. Композиция по п.1, пригодная для применения при лечении болезни Меньера, составленная так, чтобы обеспечить пролонгированное высвобождение терапевтически эффективного количества дексаметазона, метилпреднизолона или преднизолона через мембрану окна улитки в улитку внутреннего уха в течение по меньшей мере 5 дней, при этом эта композиция содержит:
между 1 мг/мл и 70 мг/мл дексаметазона, метилпреднизолона, преднизолона или их фармацевтически приемлемых пролекарства или соли в виде множества частиц;
между 16% и 21% по весу сополимера полиоксиэтилена и полиоксипропилена;
причем фармацевтическая композиция имеет осмоляльность между 250 и 320 мОсм/кг, приемлемую для перилимфы, и
менее 50 КОЕ микробиологических агентов на грамм композиции.
4. Композиция по п.1, пригодная для применения при лечении внезапной нейросенсорной потери слуха, составленная таким образом, чтобы обеспечить пролонгированное высвобождение терапевтически эффективного количества дексаметазона, метилпреднизолона или преднизолона через мембрану окна улитки в улитку внутреннего уха в течение по меньшей мере 5 дней, при этом эта композиция содержит:
между 1 мг/мл и 70 мг/мл дексаметазона, метилпреднизолона, преднизолона или их фармацевтически приемлемых пролекарства или соли в виде множества частиц;
между 16% и 21% по весу сополимера полиоксиэтилена и полиоксипропилена;
причем фармацевтическая композиция имеет осмоляльность между 250 и 320 мОсм/кг, приемлемую для перилимфы.
5. Композиция по п.1, в которой противовоспалительный кортикостероид представляет собой дексаметазон.
6. Композиция по п.1, в которой противовоспалительный кортикостероид представляет собой метилпреднизолон.
7. Композиция по п.1, в которой противовоспалительный кортикостероид представляет собой преднизолон.
8. Композиция по любому из пп.1-7, где пролонгированное высвобождение происходит в течение периода, равного по меньшей мере 7 дней.
9. Композиция по любому из пп.1-7, где пролонгированное высвобождение происходит в течение периода, равного по меньшей мере 10 дней.
10. Композиция по любому из пп.1-7, где пролонгированное высвобождение происходит в течение периода, равного по меньшей мере 14 дней.
11. Композиция по любому из пп.1-5, где дексаметазон, метилпреднизолон или преднизолон вводится в виде фосфатного или сложноэфирного пролекарства.
12. Композиция по п.1, в которой полимер полиоксипропилена и полиоксиэтилена представляет собой полоксамер 407.
Applications Claiming Priority (20)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US12771308P | 2008-05-14 | 2008-05-14 | |
US61/127,713 | 2008-05-14 | ||
US6042508P | 2008-06-10 | 2008-06-10 | |
US61/060,425 | 2008-06-10 | ||
US7458308P | 2008-06-20 | 2008-06-20 | |
US61/074,583 | 2008-06-20 | ||
US8245008P | 2008-07-21 | 2008-07-21 | |
US61/082,450 | 2008-07-21 | ||
US8794008P | 2008-08-11 | 2008-08-11 | |
US61/087,940 | 2008-08-11 | ||
US9438408P | 2008-09-04 | 2008-09-04 | |
US61/094,384 | 2008-09-04 | ||
US9524808P | 2008-09-08 | 2008-09-08 | |
US61/095,248 | 2008-09-08 | ||
US10111208P | 2008-09-29 | 2008-09-29 | |
US61/101,112 | 2008-09-29 | ||
US14003308P | 2008-12-22 | 2008-12-22 | |
GB0823378A GB2459910B (en) | 2008-04-21 | 2008-12-22 | Controlled Release Corticosteroid Compositions and Methods for the Treatment of Otic Disorders |
GB0823378.5 | 2008-12-22 | ||
US61/140,033 | 2008-12-22 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
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RU2010150863/15A Division RU2469726C2 (ru) | 2008-05-14 | 2009-05-14 | Композиции с контролируемым высвобождением на основе кортикостероидов для лечения ушных болезней |
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RU2012139802A true RU2012139802A (ru) | 2014-03-27 |
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RU2010150863/15A RU2469726C2 (ru) | 2008-05-14 | 2009-05-14 | Композиции с контролируемым высвобождением на основе кортикостероидов для лечения ушных болезней |
RU2012139802/15A RU2012139802A (ru) | 2008-05-14 | 2012-09-18 | Композиции с контролируемым высвобождением на основе кортикостероидов для лечения ушных болезней |
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RU2010150863/15A RU2469726C2 (ru) | 2008-05-14 | 2009-05-14 | Композиции с контролируемым высвобождением на основе кортикостероидов для лечения ушных болезней |
Country Status (15)
Country | Link |
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US (9) | US8030297B2 (ru) |
EP (1) | EP2303227B1 (ru) |
JP (3) | JP5551685B2 (ru) |
KR (2) | KR101534422B1 (ru) |
CN (2) | CN103417472B (ru) |
AU (1) | AU2009246870B2 (ru) |
BR (1) | BRPI0912482A2 (ru) |
CA (1) | CA2723458C (ru) |
HK (1) | HK1156533A1 (ru) |
IL (2) | IL208806A (ru) |
MX (1) | MX2010012397A (ru) |
MY (1) | MY161021A (ru) |
RU (2) | RU2469726C2 (ru) |
WO (1) | WO2009139924A2 (ru) |
ZA (1) | ZA201007482B (ru) |
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- 2009-05-14 CN CN200980116869XA patent/CN102026623B/zh not_active Expired - Fee Related
- 2009-05-14 KR KR1020107026567A patent/KR101477329B1/ko active Active
- 2009-05-14 EP EP09747010.8A patent/EP2303227B1/en active Active
- 2009-05-14 US US12/466,310 patent/US8030297B2/en not_active Expired - Fee Related
- 2009-05-14 BR BRPI0912482-9A patent/BRPI0912482A2/pt not_active Application Discontinuation
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2010
- 2010-07-15 US US12/837,286 patent/US8546363B2/en not_active Expired - Fee Related
- 2010-10-19 IL IL208806A patent/IL208806A/en active IP Right Grant
- 2010-10-20 ZA ZA2010/07482A patent/ZA201007482B/en unknown
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2011
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- 2011-07-25 US US13/190,330 patent/US8828980B2/en not_active Expired - Fee Related
- 2011-07-25 US US13/190,323 patent/US8680082B2/en active Active
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- 2011-10-14 HK HK11110956.8A patent/HK1156533A1/xx not_active IP Right Cessation
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2012
- 2012-09-18 RU RU2012139802/15A patent/RU2012139802A/ru unknown
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2014
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2015
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2016
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- 2016-05-10 JP JP2016094870A patent/JP2016153423A/ja active Pending
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2017
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