EP0000291B1 - A pharmaceutical composition for tropical diseases - Google Patents
A pharmaceutical composition for tropical diseases Download PDFInfo
- Publication number
- EP0000291B1 EP0000291B1 EP78300112A EP78300112A EP0000291B1 EP 0000291 B1 EP0000291 B1 EP 0000291B1 EP 78300112 A EP78300112 A EP 78300112A EP 78300112 A EP78300112 A EP 78300112A EP 0000291 B1 EP0000291 B1 EP 0000291B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- weight
- compound
- pharmaceutical composition
- formula
- acid
- 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.)
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- 239000008194 pharmaceutical composition Substances 0.000 title claims description 14
- 208000037972 tropical disease Diseases 0.000 title claims description 11
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 claims description 45
- 150000001875 compounds Chemical class 0.000 claims description 38
- 239000000203 mixture Substances 0.000 claims description 33
- 239000003814 drug Substances 0.000 claims description 25
- 229940079593 drug Drugs 0.000 claims description 23
- 229920001577 copolymer Polymers 0.000 claims description 18
- 239000011159 matrix material Substances 0.000 claims description 16
- 239000003054 catalyst Substances 0.000 claims description 14
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 claims description 11
- 229910021578 Iron(III) chloride Inorganic materials 0.000 claims description 8
- 230000002378 acidificating effect Effects 0.000 claims description 8
- RBTARNINKXHZNM-UHFFFAOYSA-K iron trichloride Chemical group Cl[Fe](Cl)Cl RBTARNINKXHZNM-UHFFFAOYSA-K 0.000 claims description 8
- 238000006243 chemical reaction Methods 0.000 claims description 6
- QMNFFXRFOJIOKZ-UHFFFAOYSA-N cycloguanil Chemical compound CC1(C)N=C(N)N=C(N)N1C1=CC=C(Cl)C=C1 QMNFFXRFOJIOKZ-UHFFFAOYSA-N 0.000 claims description 6
- SEEPANYCNGTZFQ-UHFFFAOYSA-N sulfadiazine Chemical compound C1=CC(N)=CC=C1S(=O)(=O)NC1=NC=CC=N1 SEEPANYCNGTZFQ-UHFFFAOYSA-N 0.000 claims description 5
- 229960004306 sulfadiazine Drugs 0.000 claims description 5
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 4
- WKSAUQYGYAYLPV-UHFFFAOYSA-N pyrimethamine Chemical compound CCC1=NC(N)=NC(N)=C1C1=CC=C(Cl)C=C1 WKSAUQYGYAYLPV-UHFFFAOYSA-N 0.000 claims description 4
- 229960000611 pyrimethamine Drugs 0.000 claims description 4
- 229950004734 cycloguanil Drugs 0.000 claims description 3
- 125000000524 functional group Chemical group 0.000 claims description 3
- 150000002897 organic nitrogen compounds Chemical class 0.000 claims description 3
- 238000007171 acid catalysis Methods 0.000 claims 1
- 229920000642 polymer Polymers 0.000 description 9
- 238000000034 method Methods 0.000 description 8
- OVCDSSHSILBFBN-UHFFFAOYSA-N Amodiaquine Chemical compound C1=C(O)C(CN(CC)CC)=CC(NC=2C3=CC=C(Cl)C=C3N=CC=2)=C1 OVCDSSHSILBFBN-UHFFFAOYSA-N 0.000 description 6
- 229960001444 amodiaquine Drugs 0.000 description 6
- -1 chlorphenyl Chemical class 0.000 description 6
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- 241000699670 Mus sp. Species 0.000 description 5
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- 239000002904 solvent Substances 0.000 description 5
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- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 3
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- 241000224016 Plasmodium Species 0.000 description 3
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
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- 150000003839 salts Chemical class 0.000 description 3
- 238000007920 subcutaneous administration Methods 0.000 description 3
- 0 *C1OCCCC1 Chemical compound *C1OCCCC1 0.000 description 2
- YJCJVMMDTBEITC-UHFFFAOYSA-N 10-hydroxycapric acid Chemical compound OCCCCCCCCCC(O)=O YJCJVMMDTBEITC-UHFFFAOYSA-N 0.000 description 2
- ULQISTXYYBZJSJ-UHFFFAOYSA-N 12-hydroxyoctadecanoic acid Chemical compound CCCCCCC(O)CCCCCCCCCCC(O)=O ULQISTXYYBZJSJ-UHFFFAOYSA-N 0.000 description 2
- BRRSNXCXLSVPFC-UHFFFAOYSA-N 2,3,4-Trihydroxybenzoic acid Chemical compound OC(=O)C1=CC=C(O)C(O)=C1O BRRSNXCXLSVPFC-UHFFFAOYSA-N 0.000 description 2
- GLDQAMYCGOIJDV-UHFFFAOYSA-N 2,3-dihydroxybenzoic acid Chemical compound OC(=O)C1=CC=CC(O)=C1O GLDQAMYCGOIJDV-UHFFFAOYSA-N 0.000 description 2
- GPDXFYPVHRESMA-UHFFFAOYSA-N 2,4,5-trihydroxybenzoic acid Chemical compound OC(=O)C1=CC(O)=C(O)C=C1O GPDXFYPVHRESMA-UHFFFAOYSA-N 0.000 description 2
- IBHWREHFNDMRPR-UHFFFAOYSA-N 2,4,6-Trihydroxybenzoic acid Chemical compound OC(=O)C1=C(O)C=C(O)C=C1O IBHWREHFNDMRPR-UHFFFAOYSA-N 0.000 description 2
- UIAFKZKHHVMJGS-UHFFFAOYSA-N 2,4-dihydroxybenzoic acid Chemical compound OC(=O)C1=CC=C(O)C=C1O UIAFKZKHHVMJGS-UHFFFAOYSA-N 0.000 description 2
- WXTMDXOMEHJXQO-UHFFFAOYSA-N 2,5-dihydroxybenzoic acid Chemical compound OC(=O)C1=CC(O)=CC=C1O WXTMDXOMEHJXQO-UHFFFAOYSA-N 0.000 description 2
- AKEUNCKRJATALU-UHFFFAOYSA-N 2,6-dihydroxybenzoic acid Chemical compound OC(=O)C1=C(O)C=CC=C1O AKEUNCKRJATALU-UHFFFAOYSA-N 0.000 description 2
- BWLBGMIXKSTLSX-UHFFFAOYSA-N 2-hydroxyisobutyric acid Chemical compound CC(C)(O)C(O)=O BWLBGMIXKSTLSX-UHFFFAOYSA-N 0.000 description 2
- IJFXRHURBJZNAO-UHFFFAOYSA-N 3-hydroxybenzoic acid Chemical compound OC(=O)C1=CC=CC(O)=C1 IJFXRHURBJZNAO-UHFFFAOYSA-N 0.000 description 2
- FJKROLUGYXJWQN-UHFFFAOYSA-N 4-hydroxybenzoic acid Chemical compound OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- QIGBRXMKCJKVMJ-UHFFFAOYSA-N Hydroquinone Chemical compound OC1=CC=C(O)C=C1 QIGBRXMKCJKVMJ-UHFFFAOYSA-N 0.000 description 2
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 2
- 206010024229 Leprosy Diseases 0.000 description 2
- OFOBLEOULBTSOW-UHFFFAOYSA-N Malonic acid Chemical compound OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 description 2
- LOUPRKONTZGTKE-WZBLMQSHSA-N Quinine Chemical class C([C@H]([C@H](C1)C=C)C2)C[N@@]1[C@@H]2[C@H](O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-WZBLMQSHSA-N 0.000 description 2
- KDYFGRWQOYBRFD-UHFFFAOYSA-N Succinic acid Natural products OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 description 2
- KKEYFWRCBNTPAC-UHFFFAOYSA-N Terephthalic acid Chemical compound OC(=O)C1=CC=C(C(O)=O)C=C1 KKEYFWRCBNTPAC-UHFFFAOYSA-N 0.000 description 2
- 239000003377 acid catalyst Substances 0.000 description 2
- WNLRTRBMVRJNCN-UHFFFAOYSA-N adipic acid Chemical compound OC(=O)CCCCC(O)=O WNLRTRBMVRJNCN-UHFFFAOYSA-N 0.000 description 2
- VSCWAEJMTAWNJL-UHFFFAOYSA-K aluminium trichloride Chemical compound Cl[Al](Cl)Cl VSCWAEJMTAWNJL-UHFFFAOYSA-K 0.000 description 2
- GGNQRNBDZQJCCN-UHFFFAOYSA-N benzene-1,2,4-triol Chemical compound OC1=CC=C(O)C(O)=C1 GGNQRNBDZQJCCN-UHFFFAOYSA-N 0.000 description 2
- 230000036760 body temperature Effects 0.000 description 2
- KDYFGRWQOYBRFD-NUQCWPJISA-N butanedioic acid Chemical compound O[14C](=O)CC[14C](O)=O KDYFGRWQOYBRFD-NUQCWPJISA-N 0.000 description 2
- YCIMNLLNPGFGHC-UHFFFAOYSA-N catechol Chemical compound OC1=CC=CC=C1O YCIMNLLNPGFGHC-UHFFFAOYSA-N 0.000 description 2
- 239000002270 dispersing agent Substances 0.000 description 2
- 230000007062 hydrolysis Effects 0.000 description 2
- 238000006460 hydrolysis reaction Methods 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- QQVIHTHCMHWDBS-UHFFFAOYSA-N isophthalic acid Chemical compound OC(=O)C1=CC=CC(C(O)=O)=C1 QQVIHTHCMHWDBS-UHFFFAOYSA-N 0.000 description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 description 2
- 201000004792 malaria Diseases 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- XNGIFLGASWRNHJ-UHFFFAOYSA-N phthalic acid Chemical compound OC(=O)C1=CC=CC=C1C(O)=O XNGIFLGASWRNHJ-UHFFFAOYSA-N 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- WQGWDDDVZFFDIG-UHFFFAOYSA-N pyrogallol Chemical compound OC1=CC=CC(O)=C1O WQGWDDDVZFFDIG-UHFFFAOYSA-N 0.000 description 2
- 239000012429 reaction media Substances 0.000 description 2
- GHMLBKRAJCXXBS-UHFFFAOYSA-N resorcinol Chemical compound OC1=CC=CC(O)=C1 GHMLBKRAJCXXBS-UHFFFAOYSA-N 0.000 description 2
- 229910052708 sodium Inorganic materials 0.000 description 2
- 239000011734 sodium Substances 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- VACCAVUAMIDAGB-UHFFFAOYSA-N sulfamethizole Chemical compound S1C(C)=NN=C1NS(=O)(=O)C1=CC=C(N)C=C1 VACCAVUAMIDAGB-UHFFFAOYSA-N 0.000 description 2
- 229960005158 sulfamethizole Drugs 0.000 description 2
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- JIAARYAFYJHUJI-UHFFFAOYSA-L zinc dichloride Chemical compound [Cl-].[Cl-].[Zn+2] JIAARYAFYJHUJI-UHFFFAOYSA-L 0.000 description 2
- WBHHMMIMDMUBKC-XFXZXTDPSA-N (9Z)-12-hydroxyoctadec-9-enoic acid Chemical compound CCCCCCC(O)C\C=C/CCCCCCCC(O)=O WBHHMMIMDMUBKC-XFXZXTDPSA-N 0.000 description 1
- WHTVZRBIWZFKQO-AWEZNQCLSA-N (S)-chloroquine Chemical compound ClC1=CC=C2C(N[C@@H](C)CCCN(CC)CC)=CC=NC2=C1 WHTVZRBIWZFKQO-AWEZNQCLSA-N 0.000 description 1
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 description 1
- PXGZQGDTEZPERC-UHFFFAOYSA-N 1,4-cyclohexanedicarboxylic acid Chemical compound OC(=O)C1CCC(C(O)=O)CC1 PXGZQGDTEZPERC-UHFFFAOYSA-N 0.000 description 1
- RTBFRGCFXZNCOE-UHFFFAOYSA-N 1-methylsulfonylpiperidin-4-one Chemical compound CS(=O)(=O)N1CCC(=O)CC1 RTBFRGCFXZNCOE-UHFFFAOYSA-N 0.000 description 1
- 229940082044 2,3-dihydroxybenzoic acid Drugs 0.000 description 1
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- 229940090248 4-hydroxybenzoic acid Drugs 0.000 description 1
- FYPHZKFMKJIWHC-UHFFFAOYSA-N C(C1C(O)CCCC1)(=O)O.OC1C(CCCC1)C(=O)O Chemical compound C(C1C(O)CCCC1)(=O)O.OC1C(CCCC1)C(=O)O FYPHZKFMKJIWHC-UHFFFAOYSA-N 0.000 description 1
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- 239000000376 reactant Substances 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000009877 rendering Methods 0.000 description 1
- 229960004889 salicylic acid Drugs 0.000 description 1
- 201000004409 schistosomiasis Diseases 0.000 description 1
- CDAISMWEOUEBRE-UHFFFAOYSA-N scyllo-inosotol Natural products OC1C(O)C(O)C(O)C(O)C1O CDAISMWEOUEBRE-UHFFFAOYSA-N 0.000 description 1
- 150000003335 secondary amines Chemical class 0.000 description 1
- 229940083542 sodium Drugs 0.000 description 1
- PCZFVTPRFQOIND-RSAXXLAASA-M sodium;11-[(1r)-cyclopent-2-en-1-yl]undecanoate Chemical compound [Na+].[O-]C(=O)CCCCCCCCCC[C@@H]1CCC=C1 PCZFVTPRFQOIND-RSAXXLAASA-M 0.000 description 1
- WAGUNVVOQBKLDL-UHFFFAOYSA-J solasulfone Chemical compound [Na+].[Na+].[Na+].[Na+].C=1C=C(S(=O)(=O)C=2C=CC(NC(CC(C=3C=CC=CC=3)S([O-])(=O)=O)S([O-])(=O)=O)=CC=2)C=CC=1NC(S(=O)(=O)[O-])CC(S([O-])(=O)=O)C1=CC=CC=C1 WAGUNVVOQBKLDL-UHFFFAOYSA-J 0.000 description 1
- 229960000260 solasulfone Drugs 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 229960002920 sorbitol Drugs 0.000 description 1
- 230000003637 steroidlike Effects 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 238000010254 subcutaneous injection Methods 0.000 description 1
- 239000007929 subcutaneous injection Substances 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 150000003456 sulfonamides Chemical class 0.000 description 1
- 239000001117 sulphuric acid Substances 0.000 description 1
- 235000011149 sulphuric acid Nutrition 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 229960001367 tartaric acid Drugs 0.000 description 1
- 150000003512 tertiary amines Chemical class 0.000 description 1
- HPGGPRDJHPYFRM-UHFFFAOYSA-J tin(iv) chloride Chemical compound Cl[Sn](Cl)(Cl)Cl HPGGPRDJHPYFRM-UHFFFAOYSA-J 0.000 description 1
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 1
- IEDVJHCEMCRBQM-UHFFFAOYSA-N trimethoprim Chemical compound COC1=C(OC)C(OC)=CC(CC=2C(=NC(N)=NC=2)N)=C1 IEDVJHCEMCRBQM-UHFFFAOYSA-N 0.000 description 1
- 229960001082 trimethoprim Drugs 0.000 description 1
- 235000005074 zinc chloride Nutrition 0.000 description 1
- 239000011592 zinc chloride Substances 0.000 description 1
Classifications
-
- 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
- A61K9/20—Pills, tablets, discs, rods
- A61K9/2004—Excipients; Inactive ingredients
- A61K9/2022—Organic macromolecular compounds
- A61K9/2031—Organic macromolecular compounds obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds, e.g. polyethylene glycol, polyethylene oxide, poloxamers
- A61K9/204—Polyesters, e.g. poly(lactide-co-glycolide)
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Definitions
- the present invention relates to pharmaceutical compositions for the treatment of tropical disease.
- Tropical diseases for example, malaria and leprosy, have hitherto been prevented and treated by periodic administration of a dose of a drug to combat offending parasites present in the body.
- the drug is generally administered orally or by injection, and passes through the body so that frequent dosage is necessary.
- An object of this invention is to provide a composition which is effective against tropical disease and which can provide a prolonged supply of a drug to a body with infrequent administration.
- a pharmaceutical composition comprising a polymeric matrix of a copolymer of the compound of Formula I. with at least one comonomer having more than one functional group selected from hydroxyl and carboxyl groups, characterised in that the composition contains in admixture with the polymeric matrix a drug which is in organic nitrogen compound of basic reaction and which is effective against a tropical disease.
- Drugs of particular effectiveness are, cycloguanil, pyrimethamine and sulphadiazine.
- Drugs which are effective against tropical disease normally contain nitrogen atoms and are consequently basic in character. This can cause considerable problems in the preparation of the composition of this invention as the copolymerisation reaction between the compound of formula I and the compound or compounds having more than one functional group selected from OH and COOH groups is acid catalysed; thus, admixture of such a drug with the copolymerisation reactants can result in a neutralisation reaction between the drug and the acid catalyst with consequent prevention or restriction of the copolymerisation.
- compositions of this invention are malaria, leprosy, schistosomiasis and clonorchiasis.
- Examples of drugs which can be used in the present composition to combat these and other tropical diseases are quinine, sulphonamides, chlorphenyl derivatives, chloroguanide, pyrimethamine, trimethoprim, quinoline derivatives such as pamaquine, chloroquine, pentaquine, primaquine and amodiaquine, pararosaniline, sulphamethizole, quinacrine, dapsone, sodium sulphoxone, sulphetrone, sodium hydnocarpate and sodium chaulmoograte.
- the compound having two or more groups selected from OH and COOH groups is preferably a compound which occurs naturally in and/or is benign to the human body.
- Examples of compounds containing two or more groups selected from OH and COOH groups which can be used in the present invention are:
- compositions of this invention are prepared by copolymerising a compound of formula I as hereinbefore defined with at least one compound having more than one group selected from OH and COOH groups in the presence of an acidic catalyst and in the presence of an organic nitrogen compound of basic reaction which is effective against tropical disease.
- the compound of formula I hereinbefore which is a mixture of stereoisomers, is a colourless liquid having a high boiling point, a very low level of oral toxicity and no known detrimental effect on skin. It may be prepared according to the following reaction sequence:
- the processes provided by the present invention may be carried out by simply mixing the compound of formula I with a compound having two or more groups selected from OH and COOH groups or with a mixture of such compounds in the presence of an acidic catalyst, advantageously at an elevated temperature such as from 60°C to 100°C, especially at 80°C, and then adding to the resulting mixture and homogeneously distributing therein the appropriate amount of the desired drug.
- the mixture thus obtained can then be allowed to cure, suitably at an elevated temperature.
- the drug should not react with the catalyst, and it may therefore be in the form of a salt, for example its hydrochloride, or be insoluble in the reaction medium.
- This can be effected, for example, by the addition of an amount of a primary, secondary or tertiary amine such as triethylamine, a quaternary ammonium hydroxide or a basic inorganic oxide or hydroxide sufficient to neutralise the activity of the acidic catalyst.
- the drug preferably in salt form or in dispersion, can then be added to and homogeneously distributed in the resulting mixture and subsequently the copolymerisation can be allowed to proceed to completion by the addition of further acidic catalyst.
- Suitable acidic catalysts which may be used in the present process include inorganic acids such as hydrochloric acid and sulphuric acid, organic acids such as a paratoluenesulphonic acid etc and Lewis acids such as zinc chloride, tin tetrachloride, aluminium chloride and ferric chloride.
- the preferred acidic catalyst is ferric chloride.
- the amount of acidic catalyst used is not critical, but it is expedient to use from 0.01 % to 2.0%, particularly from 0.04% to 1.0% based on the total weight of the mixture.
- the ratio of the compound of formula I to the compound having two or more groups selected from OH and COOH groups can be varied. It is convenient to use stoichiometric amounts, although the use of amounts which deviate considerably from stoichiometry is also possible.
- the copolymerisation may also be carried out in the presence of an inert pharmaceutically acceptable solvent or an inert pharmaceutically acceptable oil, whereby the nature of the resulting medicinal composition is modified.
- An example of such an oil is olive oil.
- the inert pharmaceutically acceptable solvent or oil may be added as such or it may serve as a solvent or dispersant for other components of the copolymerisation mixture.
- the drug may be dissolved or dispersed in the inert pharmaceutically acceptable solvent or oil.
- the drug is gradually released therefrom over a prolonged period and, at the same time, the copolymer is biodegraded to substances which can be readily disposed of by the body.
- the copolymer is preferably one formed between the compound of formula I and a compound which occurs naturally in and/or is benign to the human body. Hydrolysis, especially acid hydrolysis, of such copolymers yields predominantly the latter compounds themselves.
- the hydrolysis fragments of the compound of formula I are the following: all of which are readily oxidisable for disposal by the body.
- the rate of release of the drug from a composition provided by this invention can be controlled by a variety of methods. For example, in a copolymer prepared using given components the density of the cross-linking can be altered. Again, for example, the nature and amount of inert pharmaceutically acceptable solvent or oil which may be present in the composition can be varied.
- compositions provided by the present invention which are based on cross-linked copolymers are based on cross-linked copolymers (i.e. matrices) is that such copolymers have a so-called glassy state (in which they are hard and brittle) and a rubber-like state, the change from the glassy state to the rubber-like state occurring at the so-called glass transition temperature.
- the drug is gradually released and, at the same time, the copolymer is gradually biodegraded, this resulting in gradual reduction of the glass transition temperature.
- the glass transition temperature is reached the rubber-like state occurs and the copolymer becomes more rapidly biodegraded.
- body temperature there is a rapid onset in the degradation. It will accordingly be evident that it is highly desirable to provide compositions based on cross-linked copolymers which initially have a glass transition temperature which lies somewhat above body temperature.
- compositions provided by the present invention may be administered for example by subcutaneous or intramuscular injection or implantation.
- a composition of appropriate particle size can be dispensed in a pharmaceutically acceptable carrier material adapted for subcutaneous or intramuscular administration.
- a pharmaceutically acceptable carrier material adapted for subcutaneous or intramuscular administration.
- the rate of release of the drug can be controlled.
- Forms adapted for implantation include, for example, pellets, films, discs and rods. Such implant forms can be prepared in a conventional manner.
- composition of the invention a combination of drugs to obtain most effective prophylaxis or treatment of a tropical disease.
- a solution of the ferric chloride in the glycerol is warmed to 80°C and the compound I is added dropwise while warming and stirring between the additions.
- Compound I is initially incompatible with the glycerol, but by gradual additions and warming until the mixture becomes one phase, a stage is reached when the glycerol mixture will more readily accept the additions of compound I and become homogeneous.
- the mixture is removed from the heating source and the amodiaquine is added to form a dispersion in the monomer mixture.
- a temperature of 80°C is maintained until polymerisation is complete and the desired polymer matrix is obtained containing 5% of amodiaquine by weight.
- the dispersion referred to in the preceding paragraph can be used to prepare discs for implantation as follows:
- Example 1 According to the procedure described in Example 1, the following ingredients were used to prepare a polymer matrix containing amodiaquine.
- Example 1 According to the method of Example 1, the following ingredients were used to prepare a composition comprising a dispersion of 25.8% of sulphamethizole in a polymer matrix.
- Example 1 According to the method of Example 1, the following ingredients were used to prepare a polymer matrix containing cycloguanil
- composition was worked-up as pellets for subcutaneous implantation 6 mm in diameter and 2 mm thick.
- composition was worked-up as a powder and as an implant of the same dimensions as in Example 4.
- the powdered product was tested in powder form of particle size (a) ⁇ 53p and (b) 53 ⁇ 96 ⁇ .
- the powder (a) was suspended in glycerol and injected into the test mice: powder (b) was implanted. Prolonged protection in excess of five months of the test mice against the action of Plasmodium Bergei has been observed.
- Example 1 According to the method of Example 1, the following ingredients were used to prepare a polymer matrix containing pyrimethamine.
- the product was formed into a pellet for subcutaneous implantation into test mice.
- the mice were protected against Plasmodium Bergei for periods in excess of three months.
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Description
- The present invention relates to pharmaceutical compositions for the treatment of tropical disease.
- Tropical diseases, for example, malaria and leprosy, have hitherto been prevented and treated by periodic administration of a dose of a drug to combat offending parasites present in the body. The drug is generally administered orally or by injection, and passes through the body so that frequent dosage is necessary.
- Our French Published Application No. A-2 336 936 describes a pharmaceutical composition which consists of a polymeric matrix in which there is admixed a steroidal material.
- An object of this invention is to provide a composition which is effective against tropical disease and which can provide a prolonged supply of a drug to a body with infrequent administration.
- According to the present invention there is provided a pharmaceutical composition comprising a polymeric matrix of a copolymer of the compound of Formula I.
with at least one comonomer having more than one functional group selected from hydroxyl and carboxyl groups, characterised in that the composition contains in admixture with the polymeric matrix a drug which is in organic nitrogen compound of basic reaction and which is effective against a tropical disease. - Drugs of particular effectiveness are, cycloguanil, pyrimethamine and sulphadiazine.
- Drugs which are effective against tropical disease normally contain nitrogen atoms and are consequently basic in character. This can cause considerable problems in the preparation of the composition of this invention as the copolymerisation reaction between the compound of formula I and the compound or compounds having more than one functional group selected from OH and COOH groups is acid catalysed; thus, admixture of such a drug with the copolymerisation reactants can result in a neutralisation reaction between the drug and the acid catalyst with consequent prevention or restriction of the copolymerisation.
- Strongly basic drugs, if soluble in the copolymerisation reaction medium, therefore inhibit the copolymer formation, and this can be overcome either (a) by selecting an insoluble drug or rendering the drug insoluble and forming a dispersion rather than a solution, or (b) by using the drug in the form of its salt, preferably fully neutralised.
- The use of soluble bases requires very large amounts of acid catalyst for the copolymerisation.
- Examples of tropical disease which can be prevented or treated by compositions of this invention are malaria, leprosy, schistosomiasis and clonorchiasis.
- Examples of drugs which can be used in the present composition to combat these and other tropical diseases are quinine, sulphonamides, chlorphenyl derivatives, chloroguanide, pyrimethamine, trimethoprim, quinoline derivatives such as pamaquine, chloroquine, pentaquine, primaquine and amodiaquine, pararosaniline, sulphamethizole, quinacrine, dapsone, sodium sulphoxone, sulphetrone, sodium hydnocarpate and sodium chaulmoograte.
- The compound having two or more groups selected from OH and COOH groups is preferably a compound which occurs naturally in and/or is benign to the human body. Examples of compounds containing two or more groups selected from OH and COOH groups which can be used in the present invention are:
- (a) among the compounds having two or more OH groups, glycerol, sorbitol, erythritol, inositol, glycols based on polyethylene oxide, 4,4'-dihydroxyphenyl-2,2-propane, 1,2-dihydroxy-benzene, 1,3-dihydroxy-benzene, 1,4-dihydroxybenzene, 1,2,3-trihydroxy-benzene, 1,2,4-trihydroxy-benzene, and 1,3,5-trihydroxy-benzene;
- (b) among the compounds having at least one OH group and at least one COOH group, lactic acid, malic acid, 2-hydroxyisobutyric acid, 10-hydroxydecanoic acid, 12-hydroxyoctadecanoic acid, 12-hydroxy-(cis)-9-octadecenoic acid, 2-hydroxycyclo-hexanecarboxylic acid (hexahydrosalicylic acid), 2-hydroxy-2-phenyl-(D)-propionic acid, di-phenylhydroxyacetic acid, ascorbic acid, citric acid, tartaric acid, 2-hydroxy-3-methyl-(D) succinic acid, 2-hydroxybenzoic acid, 3-hydroxybenzoic acid, 4-hydroxybenzoic acid, 2,3-dihydroxybenzoic acid, 2,4-dihydroxybenzoic acid, 2,5-dihydroxybenzoic acid, 2,6-dihydroxybenzoic acid, 2,3,4-trihydroxybenzoic acid, 2,4,5-trihydroxybenzoic acid, 2,4,6-trihydroxybenzoic acid and 3,4,5-trihydroxybenzoic acid;
- (c) among the compounds having two or more COOH groups, oxalic acid, malonic acid, succinic acid, glutaric acid, adipic acid, 1,2-cyclohexanedicarboxylic acid, 1,3-cyclohexanedicarboxylic acid, 1,4-cyclo-hexanedicarboxylic acid, phthalic acid, isophthalic acid and terephthalic acid.
- According to the present invention, the compositions of this invention are prepared by copolymerising a compound of formula I as hereinbefore defined with at least one compound having more than one group selected from OH and COOH groups in the presence of an acidic catalyst and in the presence of an organic nitrogen compound of basic reaction which is effective against tropical disease.
-
- The processes provided by the present invention may be carried out by simply mixing the compound of formula I with a compound having two or more groups selected from OH and COOH groups or with a mixture of such compounds in the presence of an acidic catalyst, advantageously at an elevated temperature such as from 60°C to 100°C, especially at 80°C, and then adding to the resulting mixture and homogeneously distributing therein the appropriate amount of the desired drug. The mixture thus obtained can then be allowed to cure, suitably at an elevated temperature.
- It is preferable that the drug should not react with the catalyst, and it may therefore be in the form of a salt, for example its hydrochloride, or be insoluble in the reaction medium.
- In certain circumstances it may be desirable to interrupt the copolymerisation during the initial mixing of the compound of formula l with a compound having two or more groups selected from OH and COOH groups or with a mixture of such compounds. This can be effected, for example, by the addition of an amount of a primary, secondary or tertiary amine such as triethylamine, a quaternary ammonium hydroxide or a basic inorganic oxide or hydroxide sufficient to neutralise the activity of the acidic catalyst. The drug preferably in salt form or in dispersion, can then be added to and homogeneously distributed in the resulting mixture and subsequently the copolymerisation can be allowed to proceed to completion by the addition of further acidic catalyst.
- Suitable acidic catalysts which may be used in the present process include inorganic acids such as hydrochloric acid and sulphuric acid, organic acids such as a paratoluenesulphonic acid etc and Lewis acids such as zinc chloride, tin tetrachloride, aluminium chloride and ferric chloride. The preferred acidic catalyst is ferric chloride. The amount of acidic catalyst used is not critical, but it is expedient to use from 0.01 % to 2.0%, particularly from 0.04% to 1.0% based on the total weight of the mixture.
- The ratio of the compound of formula I to the compound having two or more groups selected from OH and COOH groups can be varied. It is convenient to use stoichiometric amounts, although the use of amounts which deviate considerably from stoichiometry is also possible.
- The copolymerisation may also be carried out in the presence of an inert pharmaceutically acceptable solvent or an inert pharmaceutically acceptable oil, whereby the nature of the resulting medicinal composition is modified. An example of such an oil is olive oil. The inert pharmaceutically acceptable solvent or oil may be added as such or it may serve as a solvent or dispersant for other components of the copolymerisation mixture. Thus, for example, the drug may be dissolved or dispersed in the inert pharmaceutically acceptable solvent or oil.
-
- Following administration of the compositions of this invention to the body, the drug is gradually released therefrom over a prolonged period and, at the same time, the copolymer is biodegraded to substances which can be readily disposed of by the body. As mentioned earlier, the copolymer is preferably one formed between the compound of formula I and a compound which occurs naturally in and/or is benign to the human body. Hydrolysis, especially acid hydrolysis, of such copolymers yields predominantly the latter compounds themselves. In the case of a copolymer prepared using glycerol as illustrated hereinbefore, the hydrolysis fragments of the compound of formula I are the following:
all of which are readily oxidisable for disposal by the body. - The rate of release of the drug from a composition provided by this invention can be controlled by a variety of methods. For example, in a copolymer prepared using given components the density of the cross-linking can be altered. Again, for example, the nature and amount of inert pharmaceutically acceptable solvent or oil which may be present in the composition can be varied.
- A particular feature of compositions provided by the present invention which are based on cross-linked copolymers (i.e. matrices) is that such copolymers have a so-called glassy state (in which they are hard and brittle) and a rubber-like state, the change from the glassy state to the rubber-like state occurring at the so-called glass transition temperature. Following administration of such a composition having the copolymer in the glassy state the drug is gradually released and, at the same time, the copolymer is gradually biodegraded, this resulting in gradual reduction of the glass transition temperature. When the glass transition temperature is reached the rubber-like state occurs and the copolymer becomes more rapidly biodegraded. Thus, if the glass transition temperature reaches body temperature, there is a rapid onset in the degradation. It will accordingly be evident that it is highly desirable to provide compositions based on cross-linked copolymers which initially have a glass transition temperature which lies somewhat above body temperature.
- The compositions provided by the present invention may be administered for example by subcutaneous or intramuscular injection or implantation. In the case of forms for injection a composition of appropriate particle size can be dispensed in a pharmaceutically acceptable carrier material adapted for subcutaneous or intramuscular administration. By appropriate choice of particle size and particle size distribution in the dispersant the rate of release of the drug can be controlled. Forms adapted for implantation include, for example, pellets, films, discs and rods. Such implant forms can be prepared in a conventional manner.
- In many cases it is of advantage to include in the composition of the invention a combination of drugs to obtain most effective prophylaxis or treatment of a tropical disease.
- The following Examples describe embodiments of the present invention.
-
- A solution of the ferric chloride in the glycerol is warmed to 80°C and the compound I is added dropwise while warming and stirring between the additions. Compound I is initially incompatible with the glycerol, but by gradual additions and warming until the mixture becomes one phase, a stage is reached when the glycerol mixture will more readily accept the additions of compound I and become homogeneous.
- After stoichiometric amounts of compound I to glycerol have been reached, the mixture is removed from the heating source and the amodiaquine is added to form a dispersion in the monomer mixture. A temperature of 80°C is maintained until polymerisation is complete and the desired polymer matrix is obtained containing 5% of amodiaquine by weight.
- The dispersion referred to in the preceding paragraph can be used to prepare discs for implantation as follows:
- Prior to the final polymerisation stage, the dispersion is spread on a film of polyethylene, covered with a second film of polyethylene and placed in a press which, when closed, leaves a gap between the polyethylene films of the desired thickness for the copolymer matrix. A temperature of 80°C is applied until polymerisation is complete. The film of amodiaquine/polymer matrix is punched while still soft to produce flat discs and, after hardening has taken place, the polyethylene backing is peeled off.
-
- This produced a composition containing 20% by weight of amodiaquine dispersed in the polymer matrix.
-
-
- The composition was worked-up as pellets for subcutaneous implantation 6 mm in diameter and 2 mm thick.
- In tests on mice prolonged effectiveness against Plasmodium Bergei has been observed over periods in excess of three months.
-
- The composition was worked-up as a powder and as an implant of the same dimensions as in Example 4.
- The powdered product was tested in powder form of particle size (a) <53p and (b) 53―96µ. The powder (a) was suspended in glycerol and injected into the test mice: powder (b) was implanted. Prolonged protection in excess of five months of the test mice against the action of Plasmodium Bergei has been observed.
-
- The product was formed into a pellet for subcutaneous implantation into test mice. The mice were protected against Plasmodium Bergei for periods in excess of three months.
Claims (9)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| GB2691877 | 1977-06-28 | ||
| GB2691877 | 1977-06-28 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| EP0000291A1 EP0000291A1 (en) | 1979-01-10 |
| EP0000291B1 true EP0000291B1 (en) | 1981-09-30 |
Family
ID=10251259
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP78300112A Expired EP0000291B1 (en) | 1977-06-28 | 1978-06-28 | A pharmaceutical composition for tropical diseases |
Country Status (5)
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|---|---|
| US (1) | US4221779A (en) |
| EP (1) | EP0000291B1 (en) |
| JP (1) | JPS5441319A (en) |
| DE (1) | DE2861226D1 (en) |
| HK (1) | HK95786A (en) |
Families Citing this family (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0067671B1 (en) * | 1981-06-12 | 1989-11-15 | National Research Development Corporation | Hydrogels |
| JPS585316A (en) * | 1981-06-12 | 1983-01-12 | ナショナル・リサーチ・ディベロップメント・コーポレイション | hydrogel |
| DE3279999D1 (en) * | 1981-09-30 | 1989-11-30 | Nat Res Dev | Compositions comprising encapsulated particles |
| DE3278126D1 (en) * | 1981-09-30 | 1988-03-31 | Nat Res Dev | Sustained release compositions |
| GB8319766D0 (en) * | 1983-07-22 | 1983-08-24 | Graham N B | Controlled release device |
| US4639366A (en) * | 1984-06-06 | 1987-01-27 | Merck & Co., Inc. | Polymers containing pendant acid functionalities and labile backbone bonds |
| US5342624A (en) * | 1989-02-16 | 1994-08-30 | British Technology Group Ltd. | Dispensing device |
| NZ239370A (en) * | 1990-08-22 | 1994-04-27 | Merck & Co Inc | Bioerodible implantable controlled release dosage form comprising a poly(ortho ester) or a polyacetal with an active agent incorporated into the chain backbone |
| NZ587549A (en) | 2004-06-24 | 2012-10-26 | Vertex Pharma | 6-Amino-indole derivatives and processes for their preparation |
| CA2635581C (en) | 2005-12-28 | 2017-02-28 | Vertex Pharmaceuticals Incorporated | Solid forms of n-[2,4-bis(1,1-dimethylethyl)-5-hydroxyphenyl]-1,4-dihydro-4-oxoquinoline-3-carboxamide |
| US12458635B2 (en) | 2008-08-13 | 2025-11-04 | Vertex Pharmaceuticals Incorporated | Pharmaceutical composition and administrations thereof |
| US20100074949A1 (en) | 2008-08-13 | 2010-03-25 | William Rowe | Pharmaceutical composition and administration thereof |
| PL2408750T3 (en) | 2009-03-20 | 2016-02-29 | Vertex Pharma | Process for making modulators of cystic fibrosis transmembrane conductance regulator |
| AU2013226076B2 (en) | 2012-02-27 | 2017-11-16 | Vertex Pharmaceuticals Incorporated | Pharmaceutical composition and administration thereof |
| KR20170063954A (en) | 2014-10-07 | 2017-06-08 | 버텍스 파마슈티칼스 인코포레이티드 | Co-crystals of modulators of cystic fibrosis transmembrane conductance regulator |
| US20180066081A1 (en) * | 2015-02-09 | 2018-03-08 | University Of Iowa Research Foundation | Substituted cyclic ether polymers and conjugates and uses thereof |
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|---|---|---|---|---|
| NL134014C (en) * | 1960-11-16 | 1900-01-01 | ||
| US3318846A (en) * | 1963-05-10 | 1967-05-09 | Shell Oil Co | Resinous products from unsaturated heterocyclic compounds and method for preparing the same |
| GB1105457A (en) * | 1963-12-03 | 1968-03-06 | Ici Ltd | Thermohardening resin compositions |
| US3911098A (en) * | 1974-02-11 | 1975-10-07 | American Cyanamid Co | Medicament carrier |
| GB1572598A (en) * | 1975-12-29 | 1980-07-30 | Univ Strathclyde | Injectable medicinal compounds |
-
1978
- 1978-06-28 EP EP78300112A patent/EP0000291B1/en not_active Expired
- 1978-06-28 DE DE7878300112T patent/DE2861226D1/en not_active Expired
- 1978-06-28 JP JP7753778A patent/JPS5441319A/en active Granted
- 1978-06-28 US US05/920,056 patent/US4221779A/en not_active Expired - Lifetime
-
1986
- 1986-12-11 HK HK957/86A patent/HK95786A/en unknown
Also Published As
| Publication number | Publication date |
|---|---|
| DE2861226D1 (en) | 1981-12-10 |
| EP0000291A1 (en) | 1979-01-10 |
| US4221779A (en) | 1980-09-09 |
| HK95786A (en) | 1986-12-19 |
| JPS5441319A (en) | 1979-04-02 |
| JPS6148483B2 (en) | 1986-10-24 |
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