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WO2001007033A2 - Neuroprotective pharmaceutical reparations comprising p-fluoroselegiline - Google Patents

Neuroprotective pharmaceutical reparations comprising p-fluoroselegiline Download PDF

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Publication number
WO2001007033A2
WO2001007033A2 PCT/HU2000/000084 HU0000084W WO0107033A2 WO 2001007033 A2 WO2001007033 A2 WO 2001007033A2 HU 0000084 W HU0000084 W HU 0000084W WO 0107033 A2 WO0107033 A2 WO 0107033A2
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WO
WIPO (PCT)
Prior art keywords
selegiline
fluoro
racemic
optically active
neurons
Prior art date
Application number
PCT/HU2000/000084
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French (fr)
Other versions
WO2001007033A3 (en
Inventor
Péter ARÁNYI
Franciska ERDŐ
Csilla SCHRAMMELNÉ MIHÁLKA
Olga VENEKEINÉ LOSONCZI
Attila BARANYI
Original Assignee
Chinoin Gyógyszer és Vegyészeti Termékek Gyára Rt.
BARANYI, Attiláné
BARANYI, Krisztina
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chinoin Gyógyszer és Vegyészeti Termékek Gyára Rt., BARANYI, Attiláné, BARANYI, Krisztina filed Critical Chinoin Gyógyszer és Vegyészeti Termékek Gyára Rt.
Priority to AU65856/00A priority Critical patent/AU6585600A/en
Publication of WO2001007033A2 publication Critical patent/WO2001007033A2/en
Publication of WO2001007033A3 publication Critical patent/WO2001007033A3/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K5/00Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
    • C07K5/04Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
    • C07K5/06Dipeptides
    • C07K5/06139Dipeptides with the first amino acid being heterocyclic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/20Pills, tablets, discs, rods
    • A61K9/28Dragees; Coated pills or tablets, e.g. with film or compression coating
    • A61K9/2806Coating materials
    • A61K9/282Organic compounds, e.g. fats
    • A61K9/2826Sugars or sugar alcohols, e.g. sucrose; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/70Web, sheet or filament bases ; Films; Fibres of the matrix type containing drug
    • A61K9/7023Transdermal patches and similar drug-containing composite devices, e.g. cataplasms

Definitions

  • the object of the invention is the application of racemic or optically active p-fluoro- selegiline of the formula III and of its salts for the protection of neurons, the promotion of the regeneration of damaged neurons, advantageously with the simultaneous promotion of the irreversible inhibition of the MAO-B enzyme, of the protection of neurons and the regeneration of damaged neurons.
  • the further objects of the invention are the pharmaceutical products suited for the above application and the modes of treatment performed with them.
  • Nerve cell damages due to the ischaemic reperfusion process are different from the toxin- caused damaging processes since in that case cell damage is an endogenous process.
  • excitotoxic amino acids are released in the nerve cells and in consequence of it the inflow of Ca 2 t" and Na + ions into the cells increases, which starts the formation of free radicals directly inducing cell degeneration.
  • selegiline has neuroprotective effect in conditions of cerebral ischaemia /Eur.J. of Pharmacology 315 p. 19-30 /1996/, according to others /J. of Neur. Sciences J48 p.1-5 /1997/ it fails to protect against anoxic damage. According to our knowledge and measurements, selegiline has neuroprotective effect in very low doses, but in the higher dose range necessary for the inhibition of the MAO-B enzyme this effect no longer appears to be statistically significant. Thus, selegiline appears to be less advantageous in chronic neuroprotective therapy when applied at the dose inhibiting MAO-B.
  • racemic and optically active p-fluoro-selegiline of formula III and of its salts we unexpectedly found that these compounds have very good neuroprotective effect advantageously in the dose range of 0,25 mg/kg bdwt to 2,5 mg/kg bdwt.
  • the racemic or optically active compounds of formula III and their salts are suitable for the production of pharmaceutical preparations and for the therapies performed by them, which ensure the protection of neurons and/or the regeneration of damaged neurons.
  • the pharmaceutical preparations may be of optional dosage forms, advantageous are the oral dosage forms /tablet, capsule, solution, syrup or suspendable powder/ and the transdermally applicable form /patch/.
  • the neuroprotective effect of racemic or optically active p-fluoro selegiline of formula III against ischaemic damage is not known from the literature. In the knowledge of the above we set the aim to find a compound which beside its irreversible MAO-B inhibitor effect is capable to ensure the protection of neurons and/or to promote the regeneration of damaged neurons in the same dose range.
  • racemic or optically active p-fluoro-sclegiline of formula III and its salts administered in a determined dose range are capable to achieve the above aim and fulfil the set task, consequently they may be applicable for the treatment of acute or chronic neurodegenerative diseases.
  • racemic optically active compounds of formula III and their salts are suitable for the production of pharmaceutical preparations and for the treatments performed with them which simultaneously promote the irreversible inhibition of MAO-B, the protection of neurons and/or the regeneration of the damaged neurons.
  • p-fluoro-selegiline of formula III and/or its salts in the course of the treatment of mammals /including man/ at a dose range ensuring irreversible MAO-B inhibition, the protection of neurons and the promotion of the regeneration of the damaged neurons.
  • This dose range is advantageously between 5 mg/day and 80 mg/day.
  • the pharmaceutical preparations needed for the above treatment and their manufacturing also form a part of the solution described in our invention.
  • the oral, nasal, rectally-, vaginally-, parenterally or locally applicable pharmaceutical preparations of our invention contain beside the compounds of general formula III and their salts the usual excipients and carrier substances, further their commercial package may contain an information leaflet indicating the applicable dose range.
  • the orally applicable pharmaceutical forms according to our invention may be tablets, capsules, dragees, powders, granules, drinking solutions or syrups, which can be produced by the known methods.
  • the nasal preparations may primarily be atomizable solid or fluid preparations.
  • the parenterally applicable preparations are mainly injectable sterile solutions, suspendable powders, microcapsules and infusion solutions.
  • the locally applicable preparations are e.g. patches, creams and gels.
  • racemic p-fluoro-selegiline /p-fluoro-deprenyl/, N-//4-fluoro-phenyl-/isopropyl/-N- methyl-N-propinil-amine/, its optical isomers, the racemic compound and the salts, its biological effects /MAO-B inhibition, uptake inhibition/ as well as their production are described in the PCT patent application of publication No. WO-85/05617.
  • mice Male Mongolian gerbils weighing 55-75 g were used for the experiments. The animals were anaesthetized with 1 % halothane in a mixture of 30 % dinitrogen-oxyde and 70 % oxygen. Body temperature was maintained at 37 °C by a heating blanket during the surgery. A midline incison was made in the ventral neck and carotid arteries were isolated. Global cerebral ischemia was evoked by 5 minute bilateral carotid occlusion. After release of microclips four days reperfusion was allowed. At the end of experiment animals were overanaesthetized with ether and intracardially perfused with 3.5 % phosphate buffered formaline.
  • Gerbils were treated 6 times intraperitoneally, 5 and 30 minutes and 1-2-3 and 4 days after the termination of ischemia.
  • Selegiline was applied in doses of 0.0001-0.001-0.01 and 0.25 mg/kg i.p.
  • p-fluoro-selegiline was applied in doses of 0.001-0.01-0.25 and 2.5 mg/kg i.p.
  • Figure 2 shows the area of CAl region of the /-/-selegiline hydrochloride treated animals and their controls.
  • Figure 3 presents the hippocampal damage of the /-/-p-fluoro-selegiline treated and control animals.

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Organic Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Neurology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Biomedical Technology (AREA)
  • Neurosurgery (AREA)
  • General Chemical & Material Sciences (AREA)
  • Biophysics (AREA)
  • Psychiatry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Genetics & Genomics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biochemistry (AREA)
  • Hospice & Palliative Care (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Molecular Biology (AREA)
  • Emergency Medicine (AREA)
  • Epidemiology (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

The invention relates to the use of racemic or optically active p-fluoro-selegiline and/or its salts of formula (I) for the protection of neurons and/or for the promotion of the regeneration of damaged neurons.

Description

NEUROPROTECTIVE PHARMACEUTICAL PREPARATIONS
The object of the invention is the application of racemic or optically active p-fluoro- selegiline of the formula III and of its salts for the protection of neurons, the promotion of the regeneration of damaged neurons, advantageously with the simultaneous promotion of the irreversible inhibition of the MAO-B enzyme, of the protection of neurons and the regeneration of damaged neurons. The further objects of the invention are the pharmaceutical products suited for the above application and the modes of treatment performed with them.
There are two possible approaches of the treatment of acute and gradually developing chronic neurodegenerative diseases /cerebral ischaemia, Parkinson's disease, Alzheimer's disease, Huntington's chorea, etc./:
1. Rapid relief of the symptoms and
2. Slowing down or stopping the progression of the disease.
At present no drug exists which complies with both requirements. On the other hand, the true causes of the chronic neurodegenerative diseases are not known. The risk factors of stroke and the pathomechanism of the intracellular processes which follow stroke are relatively well known, but efficient medicinal treatment has as yet not been found.
It is known from the literature that selegiline //-/-N-1-phenyl-isopropyl-N-methyl-N- propinyl-amine/ shows neuroprotective effect against neurotoxins in in vivo systems by the inhibition of MAO-B and uptake.
Nerve cell damages due to the ischaemic reperfusion process are different from the toxin- caused damaging processes since in that case cell damage is an endogenous process. In the course of this process excitotoxic amino acids are released in the nerve cells and in consequence of it the inflow of Ca2 t" and Na+ ions into the cells increases, which starts the formation of free radicals directly inducing cell degeneration.
According to some authors selegiline has neuroprotective effect in conditions of cerebral ischaemia /Eur.J. of Pharmacology 315 p. 19-30 /1996/, according to others /J. of Neur. Sciences J48 p.1-5 /1997/ it fails to protect against anoxic damage. According to our knowledge and measurements, selegiline has neuroprotective effect in very low doses, but in the higher dose range necessary for the inhibition of the MAO-B enzyme this effect no longer appears to be statistically significant. Thus, selegiline appears to be less advantageous in chronic neuroprotective therapy when applied at the dose inhibiting MAO-B.
We set the aim to find a compound with neuroprotective effect more efficiently applicable clinically than selegiline. In the course of the clinical studies of the racemic and optically active p-fluoro-selegiline of formula III and of its salts, we unexpectedly found that these compounds have very good neuroprotective effect advantageously in the dose range of 0,25 mg/kg bdwt to 2,5 mg/kg bdwt. According to our invention the racemic or optically active compounds of formula III and their salts are suitable for the production of pharmaceutical preparations and for the therapies performed by them, which ensure the protection of neurons and/or the regeneration of damaged neurons. The pharmaceutical preparations may be of optional dosage forms, advantageous are the oral dosage forms /tablet, capsule, solution, syrup or suspendable powder/ and the transdermally applicable form /patch/. The neuroprotective effect of racemic or optically active p-fluoro selegiline of formula III against ischaemic damage is not known from the literature. In the knowledge of the above we set the aim to find a compound which beside its irreversible MAO-B inhibitor effect is capable to ensure the protection of neurons and/or to promote the regeneration of damaged neurons in the same dose range. Surprisingly, we found that the racemic or optically active p-fluoro-sclegiline of formula III and its salts administered in a determined dose range are capable to achieve the above aim and fulfil the set task, consequently they may be applicable for the treatment of acute or chronic neurodegenerative diseases.
According to our invention, the racemic optically active compounds of formula III and their salts are suitable for the production of pharmaceutical preparations and for the treatments performed with them which simultaneously promote the irreversible inhibition of MAO-B, the protection of neurons and/or the regeneration of the damaged neurons.
Thus, according to our invention we proceed by applying p-fluoro-selegiline of formula III and/or its salts in the course of the treatment of mammals /including man/ at a dose range ensuring irreversible MAO-B inhibition, the protection of neurons and the promotion of the regeneration of the damaged neurons. This dose range is advantageously between 5 mg/day and 80 mg/day. The pharmaceutical preparations needed for the above treatment and their manufacturing also form a part of the solution described in our invention. The oral, nasal, rectally-, vaginally-, parenterally or locally applicable pharmaceutical preparations of our invention contain beside the compounds of general formula III and their salts the usual excipients and carrier substances, further their commercial package may contain an information leaflet indicating the applicable dose range.
The orally applicable pharmaceutical forms according to our invention may be tablets, capsules, dragees, powders, granules, drinking solutions or syrups, which can be produced by the known methods.
The nasal preparations may primarily be atomizable solid or fluid preparations.
The parenterally applicable preparations are mainly injectable sterile solutions, suspendable powders, microcapsules and infusion solutions. The locally applicable preparations are e.g. patches, creams and gels.
The racemic p-fluoro-selegiline /p-fluoro-deprenyl/, N-//4-fluoro-phenyl-/isopropyl/-N- methyl-N-propinil-amine/, its optical isomers, the racemic compound and the salts, its biological effects /MAO-B inhibition, uptake inhibition/ as well as their production are described in the PCT patent application of publication No. WO-85/05617.
We present below further details of our invention by the following examples without aiming at restriction.
Biological example
In the following experiment we compared the neuroprotective and/or the regeneration promoting effect of damaged neurons exerted by /-/-p-fluoro-selegiline hydrochloride and /-/-selegiline hydrochloride at single doses ranging from 0,0001 mg/kg bdwt to 2,5 mg/kg bdwt. Description of the experiment
Comparative study of selegiline and p-F-selegiline in global cerebral ischemia model in gerbils
Male Mongolian gerbils weighing 55-75 g were used for the experiments. The animals were anaesthetized with 1 % halothane in a mixture of 30 % dinitrogen-oxyde and 70 % oxygen. Body temperature was maintained at 37 °C by a heating blanket during the surgery. A midline incison was made in the ventral neck and carotid arteries were isolated. Global cerebral ischemia was evoked by 5 minute bilateral carotid occlusion. After release of microclips four days reperfusion was allowed. At the end of experiment animals were overanaesthetized with ether and intracardially perfused with 3.5 % phosphate buffered formaline. Following fixation brains were dissected and histologically processed, frontal sections of 30 μm thickness were made by freezing microtome at the level of rostral hippocampus. After Nissl staining the ischemia/reperfusion-induced neuronal damage was valuated in the CAl region of the hippocampus. Area of the CAl pyramidal cell layer was measured by computerized image analyzer system (Lucia 3.1).
Experimental groups were the following:
• sham operated, vehicle treated control
• ischemic, vehicle treated control
• ischemic, selegiline treated • ischemic, p-fluoro-selegiline treated.
Gerbils were treated 6 times intraperitoneally, 5 and 30 minutes and 1-2-3 and 4 days after the termination of ischemia.
Selegiline was applied in doses of 0.0001-0.001-0.01 and 0.25 mg/kg i.p. p-fluoro-selegiline was applied in doses of 0.001-0.01-0.25 and 2.5 mg/kg i.p. Figure 2 shows the area of CAl region of the /-/-selegiline hydrochloride treated animals and their controls. Figure 3 presents the hippocampal damage of the /-/-p-fluoro-selegiline treated and control animals.
An example of the pharmaceutical preparation /10 mg tablet/
10 g /-/-p-fluoro-selegiline hydrochloride 6 g talcum
6 g magnesium stearate 20 g polividone 90 g maize starch 170 g lactose were homogenized, granulated then 1000 tablets were pressed from the obtained granulate.

Claims

Claims
1. Use of racemic or optically active p-fluoro-selegiline of the formula (I) (Figure 1) and/or its salt for the manufacture of a pharmaceutical composition for the protection of neurons and/or for the promotion of the regeneration of damaged neurons.
2. A use according to claim 1, characterized in that, the pharmaceutical composition is manufactured in an oral or a transdermal form as tablet, capsule, patch, retard tablet, solution or syrup.
3. A use according to claim 1, characterized in that, the pharmaceutical composition is manufactured in a form, which ensures the administration of racemic or optically active p-fluoro-selegiline or its salt in a dose between 5 mg/day - 80 mg/day.
4. Method of treatment for the protection of neurons and/or for the promotion of the regeneration of damaged neurons characterized in that, the therapeutically effective amount of racemic or optically active p-fluoro-selegiline and/or its salt is used.
5. A method according to claim 4, characterized in that, the racemic or optically active p- fluoro-selegiline and/or its salt is used orally or transdermally in the form of tablet, capsule, retard tablet, solution or syrup.
6. A method according to claim 4, characterized in that, the racemic or optically active p- fluoro-selegiline in a dose between 5 mg day - 80 mg/day is used.
7. Pharmaceutical composition for the protection and/or for the promotion of the regeneration of damaged neurons, characterized in that, it contains racemic or optically active p-fluoro-selegiline of the formula (I) and/or its salt as active ingredient together with auxiliary ingredients commonly used in the pharmaceutical compositions.
8. The oral or transdermal pharmaceutical composition according to claim 7, in the form of tablet, capsule, patch, solution or syrup.
9. The use of the racemic or optically active p-fluoro-selegiline of the formula (I) and/or its salt as an active ingredient in the preparation of a pharmaceutical composition simultaneously suitable for the irreversible inhibition of MAO-B enzyme for the protection of neurons and for the promotion of the regeneration of damaged neurons.
10. A use according to claim 9, characterized in that, the pharmaceutical composition is prepared in the form of tablet, capsule, patch, retard tablet, solution or syrup.
11. Method of treatment for the irreversible inhibition of MAO-B enzyme, for the protection of neurons and/or for the promotion of the regeneration of damaged neurons, characterized in that, the therapeutically active amount of racemic or optically active p- fluoro-selegiline of the formula (I) and/or its salt is used.
12. A method according to claim 1 1, characterized in that, the racemic or optically active p- fluoro-selegiline of the formula (I) is used orally or transdermally preferably in the form of tablet, capsule, patch, solution or syrup.
13. A method according to claim 1 1, characterized in that, the racemic or optically active p- fluoro-selegiline of the formula (I) in a dose between 5 mg/day - 80 mg-day is used.
14. Pharmaceutical composition for the irreversible inhibition of MAO-B enzyme, for the protection of neurons and/or for the promotion of the regeneration of damaged neurons, characterized in that, it contains racemic or optically active p-fluoro-selegiline of the formula (I) and/or its salt as active ingredient together with auxiliary ingredients commonly used in the pharmaceutical compositions.
15. The oral or transdermal pharmaceutical composition according to claim 14, in the form of tablet, capsule, patch, solution or syrup.
16. A packed pharmaceutical composition suitable for sale, characterized in that, it consists of an optional dose form containing the racemic or optically active p-fluoro-selegiline and/or its salt and an information carrier, which states that p-fluoro-selegiline and/or the equivalent amount of its salt in a dose between 5 mg/day - 80 mg/day is suitable simultaneously for irreversible inhibition of MAO-B enzyme, for protection of neurons and/or for the promotion of regeneration of damaged neurons in case of mammals (including the man).
17. A pharmaceutical composition according to claim 16, characterized in that, the dose form is an orally or transdermally applicable form.
18. An orally applicable dose form according to claim 16, characterized in that, the dose form is tablet, capsule, solution, syrup or suspendable powder.
19. A transdermally applicable dose form according to claim 16, characterized in that, the dose form is a patch.
PCT/HU2000/000084 1999-07-22 2000-07-21 Neuroprotective pharmaceutical reparations comprising p-fluoroselegiline WO2001007033A2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU65856/00A AU6585600A (en) 1999-07-22 2000-07-21 Neuroprotective pharmaceutical preparations

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
HUP9902482 1999-07-22
HU9902482A HUP9902482A2 (en) 1999-07-22 1999-07-22 Use of p-fluoro-selegiline for producing neuroprotective pharmaceutical compositions

Publications (2)

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WO2001007033A2 true WO2001007033A2 (en) 2001-02-01
WO2001007033A3 WO2001007033A3 (en) 2001-08-16

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Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
HU207282B (en) * 1984-05-31 1993-03-29 Chinoin Gyogyszer Es Vegyeszet Process for producing phenyl-alkyl-amine derivatives and pharmaceutical compositions containing them
HUT63579A (en) * 1991-12-20 1993-09-28 Chinoin Gyogyszer Es Vegyeszet Process for producing double-phase pharmaceutical compositions suitable for treating diseases occurring during neurodegenerative processes

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HU9902482D0 (en) 1999-10-28
WO2001007033A3 (en) 2001-08-16
HUP9902482A2 (en) 2002-04-29
AU6585600A (en) 2001-02-13

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