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WO2002010119A1 - Preparation of sterile crystals of 5-aminolevulinic acid utilized for medical diagnostic and therapeutic purposes, and a device for facilitating this diagnostic process - Google Patents

Preparation of sterile crystals of 5-aminolevulinic acid utilized for medical diagnostic and therapeutic purposes, and a device for facilitating this diagnostic process Download PDF

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Publication number
WO2002010119A1
WO2002010119A1 PCT/CZ2001/000041 CZ0100041W WO0210119A1 WO 2002010119 A1 WO2002010119 A1 WO 2002010119A1 CZ 0100041 W CZ0100041 W CZ 0100041W WO 0210119 A1 WO0210119 A1 WO 0210119A1
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WO
WIPO (PCT)
Prior art keywords
crystals
aminolevulinic acid
diagnostic
diagnostic process
preparation
Prior art date
Application number
PCT/CZ2001/000041
Other languages
French (fr)
Inventor
Milan Jirsa
Original Assignee
Science For Life, S.R.O.
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 Science For Life, S.R.O. filed Critical Science For Life, S.R.O.
Publication of WO2002010119A1 publication Critical patent/WO2002010119A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/0013Luminescence
    • A61K49/0017Fluorescence in vivo
    • A61K49/0019Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules
    • A61K49/0021Fluorescence in vivo characterised by the fluorescent group, e.g. oligomeric, polymeric or dendritic molecules the fluorescent group being a small organic molecule
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K41/00Medicinal preparations obtained by treating materials with wave energy or particle radiation ; Therapies using these preparations
    • A61K41/0057Photodynamic therapy with a photosensitizer, i.e. agent able to produce reactive oxygen species upon exposure to light or radiation, e.g. UV or visible light; photocleavage of nucleic acids with an agent
    • A61K41/00615-aminolevulinic acid-based PDT: 5-ALA-PDT involving porphyrins or precursors of protoporphyrins generated in vivo from 5-ALA
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C227/00Preparation of compounds containing amino and carboxyl groups bound to the same carbon skeleton
    • C07C227/38Separation; Purification; Stabilisation; Use of additives
    • C07C227/40Separation; Purification
    • C07C227/42Crystallisation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence

Definitions

  • the present invention relates to preparation of sterile crystals of 5-aminolevulinic acid and its derivatives, consgrubie for medical diagnostic and therapeutic purposes and a device for facilitation of this diagnostic process.
  • Appligation of the sterile crystals of 5-aminolevulinic acid, and its mixtures or compounds with substances suppressing influence of singlet oxygen, represents particularly suitable diagnostic and therapeutical means for diagnostics and treatment of tumors, in particular in urology, gynecology and dermatology.
  • a device for facilitation of this process enables acquirement and storing of more accurate and reliable results.
  • 5-Aminolevulinic acid is a physiological keystone of synthesis of porphyrines - precursors of formation of hemoglobin and cytochromes. Human organism produces approximately 0.5 g per 24 hrs of this acid, which is immediately transformed to other products. Only at pathological conditions, when the synthesis of porhyrines is impaired due to, e.g., lead intoxication or acute intermittent porphyria, ALA remains unused and is secreted out from the body. ALA can be routinely prepared in an industrial scale. Lately, high importance of ALA has been shown as a diagnostic and therapeutical means for photodynamic treatment and fluorescent endoscopy.
  • a solution of ALA is applied on the bladder mucosa and after a certain time of incubation, cystoscopy is performed in blue light. This light induces red fluorescence caused by protoporphyrine IX in spots of tumor growth.
  • the process enables early diagnosis of tumors detectable by other methods with difficulties. It is very important, for by this way it is possible to prevent patients from a complicated surgery.
  • a sterile solution of ALA should be used because ALA is very unstable and under neutral or alkalic pH forms quickly yellow cyclic substances. Toxictty of these compounds is so far not examined and unfavorable effects on patient's health cannot be excluded.
  • Preparation and sterilization of ALA and its use for diagnostic and therapeutical purposes is described in many patents, e.g., in published German patent applications DE-OS 197 44 811 or DE-OS 42 28 106, an American patent US 5 856 566 and the latest document WO 99/11 604 Dusa Pharmaceutical, Inc. (CA), where problems of ALA and its use in medical diagnostics are monitored.
  • CA Dusa Pharmaceutical, Inc.
  • Apparatuses used for diagnostics and treatment usually consist in a source of light and a filter, selecting wavelength. Filtered light illuminates a diagnosed spot, which is scanned, e.g., with a CCD camera, an endoscope or another apparatus, e.g. with optical cables, and resulting data are transmitted in the form of analog signal to a TV monitor.
  • Disadvantages of such an equipment lies in limited resolution of TV monitors, which influences in particular realistic conversion and conservation of true colors, and also in limited possibilities of acquisition of necessary accurate values, required for objective analysis of information from this diagnostic process.
  • the aim of the invention consists in preparation of sterilized crystals of ALA with warranted purity and negligible toxicity, with dimensions suitable for diagnostics, which are anisotropic with parallel extinction in a polarized light.
  • the crystals should show long-term stability during storage, so that they might be applicable immediately in any time for the desirable purpose. Acquisition of very accurate diagnostic results - main followed quantities and values, and reliable color of illuminated diagnosed spots, which is one of the basic identification signs for successful assessment of medical diagnosis - is the second aim of the invention.
  • the spot is then scanned with a CCD camera, an endoscope or an optical cable, and the signal is transmitted to a TV monitor.
  • An output of the monitor is through an analog- to-digital converter connected to a computer with a graphic display, and to a controlling interface represented by a positioning device of the computer.
  • Sterile crystals of 5-aminolevulinic acid were prepared by gamma-rays irradiation at the total dose of 25 kGy during 16 hours.
  • the crystals with size 0.1 - 0.8 mm were maintained at deep-cooled state at temperature between -25 °C and - 30 °C.
  • the crystals of ALA were clean and transparent, with the same shape as before the irradiation, belonging to hexagonal, tetragonal, orthorhombic or monoc ⁇ nic crystal systems. They showed anisotropic properties, with uniform extinction in a polarized light.
  • tocopherol was chosen as a substance decreasing effects of singlet oxygen and free radicals.
  • Crystals of ALA were irradiated by gamma irradiation at the total dose of 15 kGy during 13 hours; the crystals were undercooled to temperature -25 °C shortly before irradiation. Resulting characteristics of sterilized crystals shown a little worse cleanliness and transparency, A diagnostic process was not markedly limited, but brought worse general evaluation.
  • FIG. 1 On the attached figure, a block diagram of a device for facilitation of a diagnostic process is shown.
  • the device is assembled from a usually used part consisting in a CCD camera 1 and a TV monitor 2, to analog input 3 of which an analog-to-digital converter 4 is connected.
  • the converter is connected to a computer 5 with a graphic monitor 6 and a controlling interface 7, represented by a positioning device.
  • Diagnostic results in particular color scan of a diagnosed spot, can be realistically and reliable transferred to the graphic monitor 6 by means of this device.
  • Measured values, coefficients and other parameters of the diagnosed spot are displayed at the same time.
  • These data can be in digital and/or text formats, both in real time and in the form for recording in a databank or suitable forteletransmission through, e.g., the Internet.

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Organic Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Medicinal Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Biochemistry (AREA)
  • Molecular Biology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Crystallography & Structural Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

A method of preparation of sterile crystals of 5-aminolevulinic acid and its derivatives for medical diagnostic and therapeutic purposes and a device for the same. The crystals of 5-aminolevulinic acid with the size O.X - 0.8 mm, obtained by a standard industrial method, are cooled before and after irradiation to temperature between -25 and -30°C and irradiated by gamma rays at the total dose of 15 -30 kGy during 13-19 hours. To the crystals used in diagnostic process substances are added, eliminating effects of singlet oxygen and free radicals. The device facilitates a diagnostic process and enables more accurate and reliable analysis of data obtained from diagnostics and therapy of neoplastic illnesses. The data can be saved in a databank or transmitted to a distant equipment.

Description

Preparation of sterile crystals of 5-aminoIevuiinic acid utilized for medical diagnostic and therapeutic purposes, and a device for facilitating this diagnostic process.
BACKGROUND OF THE INVENTION
1. Field of the invention: The present invention relates to preparation of sterile crystals of 5-aminolevulinic acid and its derivatives, utilizabie for medical diagnostic and therapeutic purposes and a device for facilitation of this diagnostic process. Appligation of the sterile crystals of 5-aminolevulinic acid, and its mixtures or compounds with substances suppressing influence of singlet oxygen, represents particularly suitable diagnostic and therapeutical means for diagnostics and treatment of tumors, in particular in urology, gynecology and dermatology. A device for facilitation of this process enables acquirement and storing of more accurate and reliable results.
2. Description of Related Art
5-Aminolevulinic acid (ALA) is a physiological keystone of synthesis of porphyrines - precursors of formation of hemoglobin and cytochromes. Human organism produces approximately 0.5 g per 24 hrs of this acid, which is immediately transformed to other products. Only at pathological conditions, when the synthesis of porhyrines is impaired due to, e.g., lead intoxication or acute intermittent porphyria, ALA remains unused and is secreted out from the body. ALA can be routinely prepared in an industrial scale. Lately, high importance of ALA has been shown as a diagnostic and therapeutical means for photodynamic treatment and fluorescent endoscopy. For diagnostic purposes, e.g., in urology, a solution of ALA is applied on the bladder mucosa and after a certain time of incubation, cystoscopy is performed in blue light. This light induces red fluorescence caused by protoporphyrine IX in spots of tumor growth. The process enables early diagnosis of tumors detectable by other methods with difficulties. It is very important, for by this way it is possible to prevent patients from a complicated surgery.
For instillation, a sterile solution of ALA should be used because ALA is very unstable and under neutral or alkalic pH forms quickly yellow cyclic substances. Toxictty of these compounds is so far not examined and unfavorable effects on patient's health cannot be excluded. Preparation and sterilization of ALA and its use for diagnostic and therapeutical purposes is described in many patents, e.g., in published German patent applications DE-OS 197 44 811 or DE-OS 42 28 106, an American patent US 5 856 566 and the latest document WO 99/11 604 Dusa Pharmaceutical, Inc. (CA), where problems of ALA and its use in medical diagnostics are monitored. In these documents, however, reasons of yellow or other colors of ALA crystals are not described, and possibility of presence of cyclic derivatives is not foreclosed for a certainty. Toxicity of these derivatives is not exactly known, what from medical point of view does not represent credibility for safe application, especially the internal one. Apparatuses used for diagnostics and treatment usually consist in a source of light and a filter, selecting wavelength. Filtered light illuminates a diagnosed spot, which is scanned, e.g., with a CCD camera, an endoscope or another apparatus, e.g. with optical cables, and resulting data are transmitted in the form of analog signal to a TV monitor.
Disadvantages of such an equipment lies in limited resolution of TV monitors, which influences in particular realistic conversion and conservation of true colors, and also in limited possibilities of acquisition of necessary accurate values, required for objective analysis of information from this diagnostic process.
The aim of the invention consists in preparation of sterilized crystals of ALA with warranted purity and negligible toxicity, with dimensions suitable for diagnostics, which are anisotropic with parallel extinction in a polarized light. The crystals should show long-term stability during storage, so that they might be applicable immediately in any time for the desirable purpose. Acquisition of very accurate diagnostic results - main followed quantities and values, and reliable color of illuminated diagnosed spots, which is one of the basic identification signs for successful assessment of medical diagnosis - is the second aim of the invention.
SUMMARY OF THE INVENTION
Above mentioned disadvantages concerning existing methods of production of sterilized crystals of ALA are eliminated by the present invention. -That is one object of the present invention to provide sterile crystals of 5-aminolevulinic acid, obtained by a standard industrial method, by irradiation with gamma rays. The crystals with size Q.X- 0.8 mm are irradiated by gamma rays at the total dose of 15 - 30 kGy during 13 - 19 hours. Before and after irradiation the crystals are maintained at deep-cooled state at temperatures between -25 °C and - 30 °C, and at a diagnostic process, substances decreasing effects of singlet oxygen and free radicals are added.
It is a further object of the present invention to provide a device facilitating a diagnostic process, consisting in a light source and a filter, by means of which a diagnosed place is illuminated. The spot is then scanned with a CCD camera, an endoscope or an optical cable, and the signal is transmitted to a TV monitor. An output of the monitor is through an analog- to-digital converter connected to a computer with a graphic display, and to a controlling interface represented by a positioning device of the computer.
EXAMPLES OF REALIZATION OF THE INVENTION Example 1
Sterile crystals of 5-aminolevulinic acid were prepared by gamma-rays irradiation at the total dose of 25 kGy during 16 hours. The crystals with size 0.1 - 0.8 mm were maintained at deep-cooled state at temperature between -25 °C and - 30 °C. After irradiation, the crystals of ALA were clean and transparent, with the same shape as before the irradiation, belonging to hexagonal, tetragonal, orthorhombic or monocϋnic crystal systems. They showed anisotropic properties, with uniform extinction in a polarized light. For the proper diagnostic process, tocopherol was chosen as a substance decreasing effects of singlet oxygen and free radicals.
Example 2
In the second example irradiation of the same crystals of ALA were irradiated at the total dose of 25 kGy during 19 hours at temperature of crystal -30 °C. Prior to irradiation, the crystals were maintained at this temperature for very long time. It was found that the crystals of ALA showed identical properties, they were clear and transparent, with a needle-like or tetragonal shape. During the diagnostic process under illumination, a distinct red color was apparent in a diagnosed spot zone with very pronounced demarcation. Addition of tocopherol, suppressing effects of singlet oxygen, evidently facilitated the diagnostic process.
Example 3
Crystals of ALA were irradiated by gamma irradiation at the total dose of 15 kGy during 13 hours; the crystals were undercooled to temperature -25 °C shortly before irradiation. Resulting characteristics of sterilized crystals shown a little worse cleanliness and transparency, A diagnostic process was not markedly limited, but brought worse general evaluation.
Example 4
On the attached figure, a block diagram of a device for facilitation of a diagnostic process is shown. The device is assembled from a usually used part consisting in a CCD camera 1 and a TV monitor 2, to analog input 3 of which an analog-to-digital converter 4 is connected. The converter is connected to a computer 5 with a graphic monitor 6 and a controlling interface 7, represented by a positioning device.
Diagnostic results, in particular color scan of a diagnosed spot, can be realistically and reliable transferred to the graphic monitor 6 by means of this device. Followed values, coefficients and other parameters of the diagnosed spot are displayed at the same time. These data can be in digital and/or text formats, both in real time and in the form for recording in a databank or suitable forteletransmission through, e.g., the Internet. From the above mentioned examples of preparation of the sterile crystals of ALA as well as from the example of realization of the device facilitating a diagnostic process by means of these crystals, two necessary conditions of reliable diagnostics, including patient's protection, follow: application of ALA crystals of high purity combined with substances suppressing effects of singlet oxygen, and use of a reliable device for evaluation of diagnostic results.
Accomplishment of both these conditions is provided by the submitted invention. It has appeared that the basic means for accurate diagnostics is maintaining the crystals of ALA in deep-cooled state before and after irradiation, as well as during it.

Claims

FATENT CLAIMS
1. Preparation of sterile crystals of 5-aminolevulinic acid and its derivatives, utilizable for medical diagnostic and therapeutic purposes, wherein the crystals of 5-aminolevulinic acid obtained by a standard industrial method are irradiated by gamma rays, c h a r a ct e r i z e d i n t h a t the crystals of 5-aminolevulinic acid with size 0.X - 0.8 mm are irradiated at the total dose of 15 - 30 kGy of during 13 - 19 hours, wherein said crystals are maintained at deep- cooled state at temperatures between -25 °C and -30 °C, and wherein at a diagnostic process substances are added, which decrease effects of singlet oxygen and free radicals.
2. A device for facilitation of a diagnostic process, comprising a source of light and a filter, by which a diagnosed spot is illuminated and the illuminated place is scanned with a CCD camera, an endoscope or an optical cable, c h a r a c t e r i z e d i n th at an output (3) of an analog television signal is connected to an analog-to-digital converter (4), which is then linked to a computer (5) with a graphic monitor (6) and a controlling interface (7) represented by a positioning device of the computer (5).
PCT/CZ2001/000041 2000-07-28 2001-07-27 Preparation of sterile crystals of 5-aminolevulinic acid utilized for medical diagnostic and therapeutic purposes, and a device for facilitating this diagnostic process WO2002010119A1 (en)

Applications Claiming Priority (2)

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CZ20002783A CZ295986B6 (en) 2000-07-28 2000-07-28 Process for preparing sterile crystals of 5-aminolevulinic acid and derivatives thereof employable for medical diagnostic and therapeutic purposes
CZPV2000-2783 2000-07-28

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WO2002010119A1 true WO2002010119A1 (en) 2002-02-07

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CZ301399B6 (en) * 2004-09-03 2010-02-17 Stabilizing dispersive base for photodynamic diagnostics and therapy

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999011604A1 (en) * 1997-09-02 1999-03-11 Dusa Pharmaceuticals, Inc. Sterilized 5-aminolevulinic acid
US5954703A (en) * 1997-10-31 1999-09-21 Dusa Pharmaceuticals, Inc. Method and apparatus for applying 5-aminolevulinic acid

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999011604A1 (en) * 1997-09-02 1999-03-11 Dusa Pharmaceuticals, Inc. Sterilized 5-aminolevulinic acid
US5954703A (en) * 1997-10-31 1999-09-21 Dusa Pharmaceuticals, Inc. Method and apparatus for applying 5-aminolevulinic acid

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
BRIAN D REID: "Gamma processing technology: An alternative technology for terminal sterilization of Parenterals", PDA JOURNAL OF PHARMACEUTICAL SCIENCE AND TECHNOLOGY, BETHESDA, MD, US, vol. 49, no. 2, 1995, pages 83 - 89, XP002087677, ISSN: 1079-7440 *
KALKA K ET AL: "Photodynamic therapy in dermatology", JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, C.V. MOSBY, ST. LOUIS, MO, US, vol. 42, no. 3, March 2000 (2000-03-01), pages 389 - 413, XP000982056, ISSN: 0190-9622 *

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