CA2481268A1 - Medicaments comprising steroids and a novel anticholinergic - Google Patents

Medicaments comprising steroids and a novel anticholinergic Download PDF

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Publication number
CA2481268A1
CA2481268A1 CA002481268A CA2481268A CA2481268A1 CA 2481268 A1 CA2481268 A1 CA 2481268A1 CA 002481268 A CA002481268 A CA 002481268A CA 2481268 A CA2481268 A CA 2481268A CA 2481268 A1 CA2481268 A1 CA 2481268A1
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CA
Canada
Prior art keywords
composition according
pharmaceutical composition
inhalable
propellant
contain
Prior art date
Legal status (The legal status 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 status listed.)
Granted
Application number
CA002481268A
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French (fr)
Other versions
CA2481268C (en
Inventor
Rolf Banholzer
Christopher John Montague Meade
Helmut Meissner
Gerd Morschhaeuser
Michel Pairet
Michael P. Pieper
Gerald Pohl
Richard Reichl
Georg Speck
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Boehringer Ingelheim Pharma GmbH and Co KG
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Individual
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Publication of CA2481268A1 publication Critical patent/CA2481268A1/en
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Publication of CA2481268C publication Critical patent/CA2481268C/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic 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
    • A61K31/468-Azabicyclo [3.2.1] octane; Derivatives thereof, e.g. atropine, ***e
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic 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
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/4738Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4745Quinolines; Isoquinolines ortho- or peri-condensed with heterocyclic ring systems condensed with ring systems having nitrogen as a ring hetero atom, e.g. phenantrolines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds 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
    • A61K31/573Compounds 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/10Dispersions; Emulsions
    • A61K9/12Aerosols; Foams
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/08Bronchodilators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/16Central respiratory analeptics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/06Antigout agents, e.g. antihyperuricemic or uricosuric agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

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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)
  • Epidemiology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Organic Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Pulmonology (AREA)
  • Pain & Pain Management (AREA)
  • Rheumatology (AREA)
  • Emergency Medicine (AREA)
  • Dispersion Chemistry (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Molecular Biology (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Steroid Compounds (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)

Abstract

The invention relates to novel medicament compositions based on long-acting steroids and salts of a novel anticholinesterase drug, to methods for the production of these compositions and their use in treating respiratory tract diseases.

Claims (20)

1) Pharmaceutical compositions, characterised in that they contain one or more, preferably one, salt of formula 1 wherein X - denotes an anion with a single negative charge, preferably an anion selected from the group consisting of chloride, bromide, iodide, sulphate, phosphate, methanesulphonate, nitrate, maleate, acetate, citrate, fumarate, tartrate, oxalate, succinate, benzoate and p-toluenesulphonate, combined with one or more, preferably one, steroid 2, optionally in the form of the diastereomers, mixtures of the diastereomers or in the form of the racemates thereof, optionally in the form of the solvates or hydrates and optionally together with a pharmaceutically acceptable excipient.
2) Pharmaceutical composition according to claim 1, characterised in that the active substances 1 and 2 are present either together in a single formulation or in two separate formulations.
3) Pharmaceutical composition according to claim 1 or 2, characterised in that the steroids 2 are flunisolide, beclomethasone, triamcinolone, budesonide, fluticasone, mometasone, ciclesonide, rofleponide, ST-126 or dexamethasone.
4) Pharmaceutical composition according to claim 3, characterised in that the steroids 2 are budesonide, fluticasone, mometasone, ciclesonide or ST-126.
5) Pharmaceutical composition according to one of claims 1 to 4, characterised in that the weight ratios of 1' to steroid 2 are in the range from about 1:250 to 250:1, preferably in the range from 1:150 to 150:1.
6) Pharmaceutical composition according to one of claims 1 to 5, characterised in that it is in the form of a preparation suitable for inhalation.
7) Pharmaceutical composition according to claim 6, characterised in that it is a preparation selected from among the inhalable powders, propellant-containing metered-dose aerosols and propellant-free inhalable solutions or suspensions.
8) Pharmaceutical composition according to claim 7, characterised in that it is an inhalable powder which contains 1 and 2 in admixture with suitable physiologically acceptable excipients selected from among the monosaccharides, disaccharides, oligo- and polysaccharides, polyalcohols, salts, or mixtures of these excipients with one another.
9) Inhalable powder according to claim 8, characterised in that the excipient has a maximum average particle size of up to 250µm, preferably between 10 and 150µm.
10) Pharmaceutical composition according to claim 7, characterised in that it is an inhalable powder which contains only the active substances 1 and 2 as its ingredients.
11) Pharmaceutical composition according to claim 7, characterised in that it is a propellant-containing inhalable aerosol which contains 1 and 2 in dissolved or dispersed form.
12) Propellant-containing inhalable aerosol according to claim 11, characterised in that it contains, as propellant gas, hydrocarbons such as n-propane, n-butane or isobutane or halohydrocarbons such as chlorinated and/or fluorinated derivatives of methane, ethane, propane, butane, cyclopropane or cyclobutane.
13) Propellant-containing inhalable aerosol according to claim 12, characterised in that the propellant gas is TG11, TG12, TG134a, TG227 or mixtures thereof, preferably TG134a, TG227 or a mixture thereof.
14) Propellant-containing inhalable aerosol according to claim 11, 12 or 13, characterised in that it may contain up to 5% by weight of active substance 1 and/or 2.
15) Pharmaceutical composition according to claim 7, characterised in that it is a propellant-free inhalable solution which contains water, ethanol or a mixture of water and ethanol as solvent.
16) Inhalable solution according to claim 15, characterised in that it optionally contains other co-solvents and/or excipients.
17) Inhalable solution according to claim 16, characterised in that it contains as co-solvents ingredients which contain hydroxyl groups or other polar groups, e.g.
alcohols - particularly isopropyl alcohol, glycols - particularly propyleneglycol, polyethyleneglycol, polypropyleneglycol, glycolether, glycerol, polyoxyethylene alcohols and polyoxyethylene fatty acid esters.
18) Inhalable solutions according to one of claims 16 or 17, characterised in that they contain as excipients surfactants, stabilisers, complexing agents, antioxidants and/or preservatives, flavourings and/or vitamins.
19) Inhalable solutions according to claim 18, characterised in that they contain as complexing agents editic acid or a salt of editic acid, preferably sodium edetate.
20) Use of a composition according to one of claims 1 to 19 for preparing a medicament for the treatment of inflammatory and/or obstructive respiratory complaints, particularly asthma or COPD.
CA2481268A 2002-04-12 2003-04-09 Medicaments comprising steroids and a novel anticholinergic Expired - Lifetime CA2481268C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE10216429.0 2002-04-12
DE10216429A DE10216429A1 (en) 2002-04-12 2002-04-12 Synergistic medicaments for treating inflammatory or obstructive respiratory tract diseases, containing quaternized scopine ester anticholinergic agent and steroid, e.g. budesonide
PCT/EP2003/003668 WO2003086399A1 (en) 2002-04-12 2003-04-09 Medicaments containing steroids and a novel anticholinesterase drug

Publications (2)

Publication Number Publication Date
CA2481268A1 true CA2481268A1 (en) 2003-10-23
CA2481268C CA2481268C (en) 2011-07-12

Family

ID=28458802

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2481268A Expired - Lifetime CA2481268C (en) 2002-04-12 2003-04-09 Medicaments comprising steroids and a novel anticholinergic

Country Status (29)

Country Link
EP (2) EP1621197A3 (en)
JP (1) JP4559086B2 (en)
KR (1) KR101010869B1 (en)
CN (1) CN1646126A (en)
AR (1) AR039275A1 (en)
AT (1) ATE312607T1 (en)
AU (1) AU2003216921B2 (en)
BR (1) BR0309085A (en)
CA (1) CA2481268C (en)
DE (2) DE10216429A1 (en)
DK (1) DK1496902T3 (en)
EA (1) EA008386B1 (en)
EC (1) ECSP045355A (en)
ES (1) ES2254917T3 (en)
HR (1) HRP20040943B1 (en)
IL (2) IL164391A0 (en)
ME (1) MEP54208A (en)
MX (1) MXPA04009917A (en)
MY (1) MY137045A (en)
NO (1) NO20044097L (en)
NZ (1) NZ536284A (en)
PE (1) PE20040326A1 (en)
PL (1) PL211227B1 (en)
RS (1) RS50776B (en)
TW (1) TWI311055B (en)
UA (1) UA80125C2 (en)
UY (1) UY27758A1 (en)
WO (1) WO2003086399A1 (en)
ZA (1) ZA200406751B (en)

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2165768B1 (en) 1999-07-14 2003-04-01 Almirall Prodesfarma Sa NEW DERIVATIVES OF QUINUCLIDINE AND PHARMACEUTICAL COMPOSITIONS THAT CONTAIN THEM.
GB2389530B (en) 2002-06-14 2007-01-10 Cipla Ltd Pharmaceutical compositions
WO2005074918A1 (en) * 2004-02-06 2005-08-18 Benzstrasse 1 D-61352 Bad Homburd The combination of anticholinergics and glucocorticoids for the long-term treatment of asthma and copd
EP2100598A1 (en) 2008-03-13 2009-09-16 Laboratorios Almirall, S.A. Inhalation composition containing aclidinium for treatment of asthma and chronic obstructive pulmonary disease
EP2100599A1 (en) 2008-03-13 2009-09-16 Laboratorios Almirall, S.A. Inhalation composition containing aclidinium for treatment of asthma and chronic obstructive pulmonary disease
CA2763939A1 (en) 2009-05-29 2010-12-02 Pearl Therapeutics, Inc. Compositions for pulmonary delivery of long-acting muscarinic antagonists and long-acting b2 adrenergic receptor agonists and associated methods and systems
US8815258B2 (en) 2009-05-29 2014-08-26 Pearl Therapeutics, Inc. Compositions, methods and systems for respiratory delivery of two or more active agents
EP2510928A1 (en) 2011-04-15 2012-10-17 Almirall, S.A. Aclidinium for use in improving the quality of sleep in respiratory patients
KR102391332B1 (en) 2013-03-15 2022-04-26 펄 테라퓨틱스 인코포레이티드 Methods and systems for conditioning of particulate crystalline materials
CN115282411A (en) * 2022-01-14 2022-11-04 温州医科大学 Delivery system for delivering drugs into the brain using the nasal olfactory region and method of use thereof

Family Cites Families (13)

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Publication number Priority date Publication date Assignee Title
US4570630A (en) 1983-08-03 1986-02-18 Miles Laboratories, Inc. Medicament inhalation device
FR2585563B1 (en) 1985-07-30 1993-11-12 Glaxo Group Ltd DEVICE FOR ADMINISTERING MEDICINES TO PATIENTS
SG45171A1 (en) 1990-03-21 1998-01-16 Boehringer Ingelheim Int Atomising devices and methods
DE4108393A1 (en) 1991-03-15 1992-09-17 Boehringer Ingelheim Kg NEW ESTERS BI-AND TRICYCLIC AMINO ALCOHOLS, THEIR PREPARATION AND THEIR USE IN MEDICINAL PRODUCTS
IL107120A (en) 1992-09-29 1997-09-30 Boehringer Ingelheim Int Atomising nozzle and filter and spray generating device
DE4318455A1 (en) 1993-06-03 1994-12-08 Boehringer Ingelheim Kg Capsule holder
AU700837B2 (en) * 1995-04-28 1999-01-14 Banyu Pharmaceutical Co., Ltd. 1,4-di-substituted piperidine derivatives
DE19536902A1 (en) 1995-10-04 1997-04-10 Boehringer Ingelheim Int Miniature fluid pressure generating device
DE19536903C2 (en) 1995-10-04 1998-09-10 Boehringer Ingelheim Int Device for holding a fluidic component
DE19545226C1 (en) 1995-12-05 1997-06-19 Boehringer Ingelheim Int Locking mechanism for a spring-operated output
GB0009591D0 (en) * 2000-04-18 2000-06-07 Glaxo Group Ltd Medical combinations
DE10050994A1 (en) * 2000-10-14 2002-04-18 Boehringer Ingelheim Pharma New diphenylalkanoic acid azabicyclooctane ester quaternary salts useful as anticholinergic agents, especially in treatment of asthma and chronic obstructive pulmonary disease
CA2733294C (en) * 2000-10-31 2011-12-20 Boehringer Ingelheim Pharma Gmbh & Co. Kg Pharmaceutical combination of a tiotropium salt and ciclesonide

Also Published As

Publication number Publication date
KR20050000391A (en) 2005-01-03
PL371561A1 (en) 2005-06-27
UY27758A1 (en) 2003-11-28
NO20044097L (en) 2004-11-04
CA2481268C (en) 2011-07-12
ATE312607T1 (en) 2005-12-15
ES2254917T3 (en) 2006-06-16
HRP20040943A2 (en) 2005-04-30
EA008386B1 (en) 2007-04-27
BR0309085A (en) 2005-02-09
MXPA04009917A (en) 2004-12-07
PE20040326A1 (en) 2004-07-13
NZ536284A (en) 2006-11-30
IL164391A (en) 2010-11-30
KR101010869B1 (en) 2011-01-26
ZA200406751B (en) 2006-12-27
EP1496902A1 (en) 2005-01-19
WO2003086399A1 (en) 2003-10-23
DE50301934D1 (en) 2006-01-19
EA200401303A1 (en) 2005-04-28
JP4559086B2 (en) 2010-10-06
ECSP045355A (en) 2005-01-28
HRP20040943B1 (en) 2013-05-31
RS89904A (en) 2006-10-27
RS50776B (en) 2010-08-31
TWI311055B (en) 2009-06-21
AR039275A1 (en) 2005-02-16
DK1496902T3 (en) 2006-05-08
TW200403062A (en) 2004-03-01
JP2005529105A (en) 2005-09-29
AU2003216921A1 (en) 2003-10-27
CN1646126A (en) 2005-07-27
IL164391A0 (en) 2005-12-18
EP1496902B1 (en) 2005-12-14
DE10216429A1 (en) 2003-10-23
EP1621197A2 (en) 2006-02-01
MY137045A (en) 2008-12-31
PL211227B1 (en) 2012-04-30
EP1621197A3 (en) 2010-01-06
MEP54208A (en) 2011-05-10
UA80125C2 (en) 2007-08-27
AU2003216921B2 (en) 2008-03-13

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Effective date: 20230411