EP1605967A1 - Novel nph insulin preparations - Google Patents
Novel nph insulin preparationsInfo
- Publication number
- EP1605967A1 EP1605967A1 EP04719932A EP04719932A EP1605967A1 EP 1605967 A1 EP1605967 A1 EP 1605967A1 EP 04719932 A EP04719932 A EP 04719932A EP 04719932 A EP04719932 A EP 04719932A EP 1605967 A1 EP1605967 A1 EP 1605967A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- alkyl
- independently selected
- aryl
- pharmaceutical preparation
- preparation according
- 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.)
- Withdrawn
Links
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 title claims abstract description 213
- 102000004877 Insulin Human genes 0.000 title claims abstract description 105
- 108090001061 Insulin Proteins 0.000 title claims abstract description 105
- 229940125396 insulin Drugs 0.000 title claims abstract description 105
- 238000002360 preparation method Methods 0.000 title claims abstract description 63
- 239000003446 ligand Substances 0.000 claims abstract description 50
- 230000009471 action Effects 0.000 claims abstract description 12
- 238000000034 method Methods 0.000 claims description 702
- 125000001424 substituent group Chemical group 0.000 claims description 335
- 239000000825 pharmaceutical preparation Substances 0.000 claims description 273
- 229910052739 hydrogen Inorganic materials 0.000 claims description 225
- 125000003118 aryl group Chemical group 0.000 claims description 216
- 239000001257 hydrogen Substances 0.000 claims description 201
- 229910052736 halogen Inorganic materials 0.000 claims description 195
- 150000002367 halogens Chemical group 0.000 claims description 195
- 239000000203 mixture Substances 0.000 claims description 154
- -1 dithiocar- boxylates Chemical class 0.000 claims description 140
- 125000001072 heteroaryl group Chemical group 0.000 claims description 132
- 150000002431 hydrogen Chemical group 0.000 claims description 125
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 122
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 claims description 100
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 97
- 125000004122 cyclic group Chemical group 0.000 claims description 77
- 229910052757 nitrogen Inorganic materials 0.000 claims description 75
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 claims description 72
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 61
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 57
- PTFCDOFLOPIGGS-UHFFFAOYSA-N Zinc dication Chemical compound [Zn+2] PTFCDOFLOPIGGS-UHFFFAOYSA-N 0.000 claims description 55
- 125000004104 aryloxy group Chemical group 0.000 claims description 55
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 53
- 125000000217 alkyl group Chemical group 0.000 claims description 45
- PBGKTOXHQIOBKM-FHFVDXKLSA-N insulin (human) Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@H]1CSSC[C@H]2C(=O)N[C@H](C(=O)N[C@@H](CO)C(=O)N[C@H](C(=O)N[C@H](C(N[C@@H](CO)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC=3C=CC(O)=CC=3)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CC=3C=CC(O)=CC=3)C(=O)N[C@@H](CSSC[C@H](NC(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC=3C=CC(O)=CC=3)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC=3NC=NC=3)NC(=O)[C@H](CO)NC(=O)CNC1=O)C(=O)NCC(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)NCC(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H]([C@@H](C)O)C(O)=O)C(=O)N[C@@H](CC(N)=O)C(O)=O)=O)CSSC[C@@H](C(N2)=O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C(C)C)NC(=O)[C@@H](NC(=O)CN)[C@@H](C)CC)[C@@H](C)CC)[C@@H](C)O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](NC(=O)[C@@H](N)CC=1C=CC=CC=1)C(C)C)C1=CN=CN1 PBGKTOXHQIOBKM-FHFVDXKLSA-N 0.000 claims description 45
- 125000004433 nitrogen atom Chemical group N* 0.000 claims description 44
- 125000003435 aroyl group Chemical group 0.000 claims description 41
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Substances N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims description 39
- 101000976075 Homo sapiens Insulin Proteins 0.000 claims description 38
- 125000004051 hexyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 claims description 37
- 125000000882 C2-C6 alkenyl group Chemical group 0.000 claims description 32
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 29
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 27
- 125000003601 C2-C6 alkynyl group Chemical group 0.000 claims description 26
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N phenol group Chemical group C1(=CC=CC=C1)O ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 claims description 26
- JKKOLPWDKQDVJE-UHFFFAOYSA-N 3-[(3-fluoro-4-methoxyphenyl)methylamino]-6-(trifluoromethyl)quinoxaline-2-carboxylic acid Chemical compound C1=C(F)C(OC)=CC=C1CNC1=NC2=CC(C(F)(F)F)=CC=C2N=C1C(O)=O JKKOLPWDKQDVJE-UHFFFAOYSA-N 0.000 claims description 25
- 229940048914 protamine Drugs 0.000 claims description 25
- 102000007327 Protamines Human genes 0.000 claims description 24
- 108010007568 Protamines Proteins 0.000 claims description 24
- 239000002253 acid Substances 0.000 claims description 23
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 23
- 125000005330 8 membered heterocyclic group Chemical group 0.000 claims description 22
- 125000005161 aryl oxy carbonyl group Chemical group 0.000 claims description 22
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical group [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 claims description 21
- 239000005864 Sulphur Chemical group 0.000 claims description 21
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical group [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 21
- 125000005842 heteroatom Chemical group 0.000 claims description 21
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 claims description 21
- 229910052760 oxygen Inorganic materials 0.000 claims description 21
- 239000001301 oxygen Chemical group 0.000 claims description 21
- 150000003839 salts Chemical class 0.000 claims description 20
- 125000000732 arylene group Chemical group 0.000 claims description 17
- 125000005549 heteroarylene group Chemical group 0.000 claims description 16
- 125000000623 heterocyclic group Chemical group 0.000 claims description 16
- 239000003795 chemical substances by application Substances 0.000 claims description 15
- 125000001624 naphthyl group Chemical group 0.000 claims description 15
- SOIIHESTBYNJRH-PMPSAXMXSA-N (3r,6r,8as)-6-(benzylsulfonylamino)-n-[3-(diaminomethylideneamino)propyl]-5-oxo-2,3,6,7,8,8a-hexahydro-[1,3]thiazolo[3,2-a]pyridine-3-carboxamide Chemical group N([C@@H]1CC[C@@H]2SC[C@H](N2C1=O)C(=O)NCCCN=C(N)N)S(=O)(=O)CC1=CC=CC=C1 SOIIHESTBYNJRH-PMPSAXMXSA-N 0.000 claims description 13
- 239000013078 crystal Substances 0.000 claims description 13
- 108010088577 zinc-binding protein Proteins 0.000 claims description 13
- 125000001041 indolyl group Chemical group 0.000 claims description 11
- 125000003342 alkenyl group Chemical group 0.000 claims description 10
- 125000005163 aryl sulfanyl group Chemical group 0.000 claims description 10
- 125000003785 benzimidazolyl group Chemical class N1=C(NC2=C1C=CC=C2)* 0.000 claims description 10
- 125000000609 carbazolyl group Chemical group C1(=CC=CC=2C3=CC=CC=C3NC12)* 0.000 claims description 10
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 claims description 10
- 125000001544 thienyl group Chemical group 0.000 claims description 10
- 229940123464 Thiazolidinedione Drugs 0.000 claims description 9
- 125000000484 butyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 claims description 9
- 125000002541 furyl group Chemical group 0.000 claims description 9
- 125000001971 neopentyl group Chemical group [H]C([*])([H])C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H] 0.000 claims description 9
- 125000004076 pyridyl group Chemical group 0.000 claims description 9
- 238000011282 treatment Methods 0.000 claims description 9
- UFWIBTONFRDIAS-UHFFFAOYSA-N Naphthalene Chemical compound C1=CC=CC2=CC=CC=C21 UFWIBTONFRDIAS-UHFFFAOYSA-N 0.000 claims description 8
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 claims description 8
- 125000000561 purinyl group Chemical class N1=C(N=C2N=CNC2=C1)* 0.000 claims description 8
- 125000000168 pyrrolyl group Chemical group 0.000 claims description 8
- 239000000126 substance Substances 0.000 claims description 8
- 229910021653 sulphate ion Inorganic materials 0.000 claims description 8
- 150000001467 thiazolidinediones Chemical class 0.000 claims description 8
- KJUGUADJHNHALS-UHFFFAOYSA-N 1H-tetrazole Substances C=1N=NNN=1 KJUGUADJHNHALS-UHFFFAOYSA-N 0.000 claims description 7
- 206010067584 Type 1 diabetes mellitus Diseases 0.000 claims description 7
- 125000004603 benzisoxazolyl group Chemical group O1N=C(C2=C1C=CC=C2)* 0.000 claims description 7
- 125000004618 benzofuryl group Chemical group O1C(=CC2=C1C=CC=C2)* 0.000 claims description 7
- 125000004541 benzoxazolyl group Chemical group O1C(=NC2=C1C=CC=C2)* 0.000 claims description 7
- 239000003814 drug Substances 0.000 claims description 7
- WJRBRSLFGCUECM-UHFFFAOYSA-N hydantoin Chemical class O=C1CNC(=O)N1 WJRBRSLFGCUECM-UHFFFAOYSA-N 0.000 claims description 7
- 239000004026 insulin derivative Substances 0.000 claims description 7
- 125000000904 isoindolyl group Chemical group C=1(NC=C2C=CC=CC12)* 0.000 claims description 7
- 125000002971 oxazolyl group Chemical group 0.000 claims description 7
- 125000003226 pyrazolyl group Chemical group 0.000 claims description 7
- 150000003870 salicylic acids Chemical class 0.000 claims description 7
- 125000001984 thiazolidinyl group Chemical group 0.000 claims description 7
- 125000001399 1,2,3-triazolyl group Chemical group N1N=NC(=C1)* 0.000 claims description 6
- 125000001376 1,2,4-triazolyl group Chemical group N1N=C(N=C1)* 0.000 claims description 6
- 125000004604 benzisothiazolyl group Chemical group S1N=C(C2=C1C=CC=C2)* 0.000 claims description 6
- 125000001164 benzothiazolyl group Chemical group S1C(=NC2=C1C=CC=C2)* 0.000 claims description 6
- 125000004356 hydroxy functional group Chemical group O* 0.000 claims description 6
- 125000002883 imidazolyl group Chemical group 0.000 claims description 6
- 125000000951 phenoxy group Chemical group [H]C1=C([H])C([H])=C(O*)C([H])=C1[H] 0.000 claims description 6
- 239000003755 preservative agent Substances 0.000 claims description 6
- 230000002335 preservative effect Effects 0.000 claims description 6
- 125000005493 quinolyl group Chemical group 0.000 claims description 6
- 125000001567 quinoxalinyl group Chemical group N1=C(C=NC2=CC=CC=C12)* 0.000 claims description 6
- 150000003536 tetrazoles Chemical class 0.000 claims description 6
- 125000003831 tetrazolyl group Chemical group 0.000 claims description 6
- 125000000335 thiazolyl group Chemical group 0.000 claims description 6
- 208000001072 type 2 diabetes mellitus Diseases 0.000 claims description 6
- 125000004502 1,2,3-oxadiazolyl group Chemical group 0.000 claims description 5
- 125000004504 1,2,4-oxadiazolyl group Chemical group 0.000 claims description 5
- 125000004530 1,2,4-triazinyl group Chemical group N1=NC(=NC=C1)* 0.000 claims description 5
- 125000003363 1,3,5-triazinyl group Chemical group N1=C(N=CN=C1)* 0.000 claims description 5
- 239000000872 buffer Substances 0.000 claims description 5
- 150000007942 carboxylates Chemical class 0.000 claims description 5
- 125000002183 isoquinolinyl group Chemical group C1(=NC=CC2=CC=CC=C12)* 0.000 claims description 5
- 125000001786 isothiazolyl group Chemical group 0.000 claims description 5
- 150000005209 naphthoic acids Chemical class 0.000 claims description 5
- 150000004707 phenolate Chemical class 0.000 claims description 5
- 125000004309 pyranyl group Chemical group O1C(C=CC=C1)* 0.000 claims description 5
- 125000002098 pyridazinyl group Chemical group 0.000 claims description 5
- 125000000714 pyrimidinyl group Chemical group 0.000 claims description 5
- 125000002943 quinolinyl group Chemical group N1=C(C=CC2=CC=CC=C12)* 0.000 claims description 5
- 229940124530 sulfonamide Drugs 0.000 claims description 5
- 150000003456 sulfonamides Chemical class 0.000 claims description 5
- 125000004525 thiadiazinyl group Chemical group S1NN=C(C=C1)* 0.000 claims description 5
- 150000003852 triazoles Chemical class 0.000 claims description 5
- 125000004529 1,2,3-triazinyl group Chemical group N1=NN=C(C=C1)* 0.000 claims description 4
- 125000004514 1,2,4-thiadiazolyl group Chemical group 0.000 claims description 4
- 125000004506 1,2,5-oxadiazolyl group Chemical group 0.000 claims description 4
- 125000004517 1,2,5-thiadiazolyl group Chemical group 0.000 claims description 4
- 125000001781 1,3,4-oxadiazolyl group Chemical group 0.000 claims description 4
- 125000004520 1,3,4-thiadiazolyl group Chemical group 0.000 claims description 4
- XBIAGSJDARBSKG-UHFFFAOYSA-N 1-hydroxypyrrole Chemical class ON1C=CC=C1 XBIAGSJDARBSKG-UHFFFAOYSA-N 0.000 claims description 4
- MYKQKWIPLZEVOW-UHFFFAOYSA-N 11h-benzo[a]carbazole Chemical group C1=CC2=CC=CC=C2C2=C1C1=CC=CC=C1N2 MYKQKWIPLZEVOW-UHFFFAOYSA-N 0.000 claims description 4
- UVQSQWZYJWNHSU-UHFFFAOYSA-N 2h-triazole-4-carbonitrile Chemical class N#CC1=CNN=N1 UVQSQWZYJWNHSU-UHFFFAOYSA-N 0.000 claims description 4
- 125000000304 alkynyl group Chemical group 0.000 claims description 4
- 125000000499 benzofuranyl group Chemical group O1C(=CC2=C1C=CC=C2)* 0.000 claims description 4
- 125000004196 benzothienyl group Chemical group S1C(=CC2=C1C=CC=C2)* 0.000 claims description 4
- 125000003373 pyrazinyl group Chemical group 0.000 claims description 4
- RWQNBRDOKXIBIV-UHFFFAOYSA-N thymine Chemical class CC1=CNC(=O)NC1=O RWQNBRDOKXIBIV-UHFFFAOYSA-N 0.000 claims description 4
- 125000004511 1,2,3-thiadiazolyl group Chemical group 0.000 claims description 3
- 150000007513 acids Chemical class 0.000 claims description 3
- 125000000641 acridinyl group Chemical group C1(=CC=CC2=NC3=CC=CC=C3C=C12)* 0.000 claims description 3
- 125000005566 carbazolylene group Chemical group 0.000 claims description 3
- 150000002460 imidazoles Chemical class 0.000 claims description 3
- 125000003453 indazolyl group Chemical group N1N=C(C2=C1C=CC=C2)* 0.000 claims description 3
- 125000004593 naphthyridinyl group Chemical group N1=C(C=CC2=CC=CN=C12)* 0.000 claims description 3
- 239000002736 nonionic surfactant Substances 0.000 claims description 3
- 125000000843 phenylene group Chemical group C1(=C(C=CC=C1)*)* 0.000 claims description 3
- 125000001042 pteridinyl group Chemical group N1=C(N=CC2=NC=CN=C12)* 0.000 claims description 3
- 125000002294 quinazolinyl group Chemical group N1=C(N=CC2=CC=CC=C12)* 0.000 claims description 3
- 125000005913 (C3-C6) cycloalkyl group Chemical group 0.000 claims description 2
- 125000005427 anthranyl group Chemical group 0.000 claims description 2
- 125000005428 anthryl group Chemical group [H]C1=C([H])C([H])=C2C([H])=C3C(*)=C([H])C([H])=C([H])C3=C([H])C2=C1[H] 0.000 claims description 2
- 125000002785 azepinyl group Chemical group 0.000 claims description 2
- 125000002576 diazepinyl group Chemical group N1N=C(C=CC=C1)* 0.000 claims description 2
- 239000004615 ingredient Substances 0.000 claims description 2
- 125000005956 isoquinolyl group Chemical group 0.000 claims description 2
- 238000002156 mixing Methods 0.000 claims description 2
- 229960005419 nitrogen Drugs 0.000 claims 8
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims 6
- 125000006539 C12 alkyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 claims 3
- 125000003354 benzotriazolyl group Chemical class N1N=NC2=C1C=CC=C2* 0.000 claims 2
- CPRRHERYRRXBRZ-SRVKXCTJSA-N methyl n-[(2s)-1-[[(2s)-1-hydroxy-3-[(3s)-2-oxopyrrolidin-3-yl]propan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]carbamate Chemical compound COC(=O)N[C@@H](CC(C)C)C(=O)N[C@H](CO)C[C@@H]1CCNC1=O CPRRHERYRRXBRZ-SRVKXCTJSA-N 0.000 claims 1
- LEMUFSYUPGXXCM-JNEQYSBXSA-N caninsulin Chemical compound [Zn].C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@H]1CSSC[C@H]2C(=O)N[C@H](C(=O)N[C@@H](CO)C(=O)N[C@H](C(=O)N[C@H](C(N[C@@H](CO)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC=3C=CC(O)=CC=3)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CC=3C=CC(O)=CC=3)C(=O)N[C@@H](CSSC[C@H](NC(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC=3C=CC(O)=CC=3)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](C)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CC3N=CN=C3)NC(=O)[C@H](CO)NC(=O)CNC1=O)C(=O)NCC(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)NCC(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](C(C)O)C(O)=O)C(=O)N[C@@H](CC(N)=O)C(O)=O)=O)CSSC[C@@H](C(N2)=O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](C(C)C)NC(=O)[C@@H](NC(=O)CN)[C@@H](C)CC)[C@@H](C)CC)[C@@H](C)O)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@H](CC(N)=O)NC(=O)[C@@H](NC(=O)[C@@H](N)CC=1C=CC=CC=1)C(C)C)C1C=NC=N1 LEMUFSYUPGXXCM-JNEQYSBXSA-N 0.000 abstract description 32
- 102000005237 Isophane Insulin Human genes 0.000 abstract description 25
- 108010081368 Isophane Insulin Proteins 0.000 abstract description 25
- 239000000725 suspension Substances 0.000 abstract description 11
- 206010033675 panniculitis Diseases 0.000 abstract description 6
- 238000000589 high-performance liquid chromatography-mass spectrometry Methods 0.000 description 334
- 239000008194 pharmaceutical composition Substances 0.000 description 196
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 85
- 150000001875 compounds Chemical class 0.000 description 81
- QTBSBXVTEAMEQO-UHFFFAOYSA-N acetic acid Substances CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 67
- 238000005160 1H NMR spectroscopy Methods 0.000 description 55
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 55
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 54
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- 125000000740 n-pentyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- DQCKKXVULJGBQN-XFWGSAIBSA-N naltrexone Chemical compound N1([C@@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CCC5=O)O)CC1)O)CC1CC1 DQCKKXVULJGBQN-XFWGSAIBSA-N 0.000 description 1
- 229960003086 naltrexone Drugs 0.000 description 1
- KJCVRFUGPWSIIH-UHFFFAOYSA-M naphthalen-1-olate Chemical compound C1=CC=C2C([O-])=CC=CC2=C1 KJCVRFUGPWSIIH-UHFFFAOYSA-M 0.000 description 1
- 125000004957 naphthylene group Chemical group 0.000 description 1
- 239000003887 narcotic antagonist Substances 0.000 description 1
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- HYIMSNHJOBLJNT-UHFFFAOYSA-N nifedipine Chemical compound COC(=O)C1=C(C)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1[N+]([O-])=O HYIMSNHJOBLJNT-UHFFFAOYSA-N 0.000 description 1
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- VWBWQOUWDOULQN-UHFFFAOYSA-N nmp n-methylpyrrolidone Chemical compound CN1CCCC1=O.CN1CCCC1=O VWBWQOUWDOULQN-UHFFFAOYSA-N 0.000 description 1
- 230000002474 noradrenergic effect Effects 0.000 description 1
- 230000000966 norepinephrine reuptake Effects 0.000 description 1
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- 108060005714 orexin Proteins 0.000 description 1
- AHLBNYSZXLDEJQ-FWEHEUNISA-N orlistat Chemical group CCCCCCCCCCC[C@H](OC(=O)[C@H](CC(C)C)NC=O)C[C@@H]1OC(=O)[C@H]1CCCCCC AHLBNYSZXLDEJQ-FWEHEUNISA-N 0.000 description 1
- 229960001243 orlistat Drugs 0.000 description 1
- YDCVQGAUCOROHB-UHFFFAOYSA-N oxadiazolidine-4,5-dione Chemical class O=C1NNOC1=O YDCVQGAUCOROHB-UHFFFAOYSA-N 0.000 description 1
- 125000000160 oxazolidinyl group Chemical group 0.000 description 1
- 125000005968 oxazolinyl group Chemical group 0.000 description 1
- 125000005564 oxazolylene group Chemical group 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N papa-hydroxy-benzoic acid Natural products OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- LRTFPLFDLJYEKT-UHFFFAOYSA-N para-isopropylaniline Chemical compound CC(C)C1=CC=C(N)C=C1 LRTFPLFDLJYEKT-UHFFFAOYSA-N 0.000 description 1
- MKBQTFDMPVHKDL-UHFFFAOYSA-N pentyl 3-[(2,4-dioxo-1,3-thiazolidin-5-ylidene)methyl]-1h-indole-6-carboxylate Chemical compound C=1NC2=CC(C(=O)OCCCCC)=CC=C2C=1C=C1SC(=O)NC1=O MKBQTFDMPVHKDL-UHFFFAOYSA-N 0.000 description 1
- 125000005560 phenanthrenylene group Chemical group 0.000 description 1
- 229960000436 phendimetrazine Drugs 0.000 description 1
- 229960003562 phentermine Drugs 0.000 description 1
- COLNVLDHVKWLRT-UHFFFAOYSA-N phenylalanine Natural products OC(=O)C(N)CC1=CC=CC=C1 COLNVLDHVKWLRT-UHFFFAOYSA-N 0.000 description 1
- XHXFXVLFKHQFAL-UHFFFAOYSA-N phosphoryl trichloride Chemical compound ClP(Cl)(Cl)=O XHXFXVLFKHQFAL-UHFFFAOYSA-N 0.000 description 1
- 229960002508 pindolol Drugs 0.000 description 1
- PHUTUTUABXHXLW-UHFFFAOYSA-N pindolol Chemical compound CC(C)NCC(O)COC1=CC=CC2=NC=C[C]12 PHUTUTUABXHXLW-UHFFFAOYSA-N 0.000 description 1
- 229960005095 pioglitazone Drugs 0.000 description 1
- 125000004193 piperazinyl group Chemical group 0.000 description 1
- QJIJQNUQORKBKY-UHFFFAOYSA-N piperidin-1-ium;benzoate Chemical compound C1CCNCC1.OC(=O)C1=CC=CC=C1 QJIJQNUQORKBKY-UHFFFAOYSA-N 0.000 description 1
- 125000005936 piperidyl group Chemical group 0.000 description 1
- 229960005235 piperonyl butoxide Drugs 0.000 description 1
- 229920001993 poloxamer 188 Polymers 0.000 description 1
- 229940044519 poloxamer 188 Drugs 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 239000000256 polyoxyethylene sorbitan monolaurate Substances 0.000 description 1
- 235000010486 polyoxyethylene sorbitan monolaurate Nutrition 0.000 description 1
- 229920001451 polypropylene glycol Polymers 0.000 description 1
- LZMJNVRJMFMYQS-UHFFFAOYSA-N poseltinib Chemical compound C1CN(C)CCN1C(C=C1)=CC=C1NC1=NC(OC=2C=C(NC(=O)C=C)C=CC=2)=C(OC=C2)C2=N1 LZMJNVRJMFMYQS-UHFFFAOYSA-N 0.000 description 1
- 230000018656 positive regulation of gluconeogenesis Effects 0.000 description 1
- 235000011056 potassium acetate Nutrition 0.000 description 1
- 239000003450 potassium channel blocker Substances 0.000 description 1
- 229940125422 potassium channel blocker Drugs 0.000 description 1
- 229960001289 prazosin Drugs 0.000 description 1
- IENZQIKPVFGBNW-UHFFFAOYSA-N prazosin Chemical compound N=1C(N)=C2C=C(OC)C(OC)=CC2=NC=1N(CC1)CCN1C(=O)C1=CC=CO1 IENZQIKPVFGBNW-UHFFFAOYSA-N 0.000 description 1
- 125000001844 prenyl group Chemical group [H]C([*])([H])C([H])=C(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- FYPMFJGVHOHGLL-UHFFFAOYSA-N probucol Chemical compound C=1C(C(C)(C)C)=C(O)C(C(C)(C)C)=CC=1SC(C)(C)SC1=CC(C(C)(C)C)=C(O)C(C(C)(C)C)=C1 FYPMFJGVHOHGLL-UHFFFAOYSA-N 0.000 description 1
- 229960003912 probucol Drugs 0.000 description 1
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- 229960003712 propranolol Drugs 0.000 description 1
- 125000005550 pyrazinylene group Chemical group 0.000 description 1
- 125000002755 pyrazolinyl group Chemical group 0.000 description 1
- 125000005551 pyridylene group Chemical group 0.000 description 1
- 125000005576 pyrimidinylene group Chemical group 0.000 description 1
- 125000000719 pyrrolidinyl group Chemical group 0.000 description 1
- 125000001422 pyrrolinyl group Chemical group 0.000 description 1
- JSDRRTOADPPCHY-HSQYWUDLSA-N quinapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CC2=CC=CC=C2C1)C(O)=O)CC1=CC=CC=C1 JSDRRTOADPPCHY-HSQYWUDLSA-N 0.000 description 1
- 229960001455 quinapril Drugs 0.000 description 1
- HDACQVRGBOVJII-JBDAPHQKSA-N ramipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 HDACQVRGBOVJII-JBDAPHQKSA-N 0.000 description 1
- 229960003401 ramipril Drugs 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 229960002354 repaglinide Drugs 0.000 description 1
- 238000009256 replacement therapy Methods 0.000 description 1
- GHMLBKRAJCXXBS-UHFFFAOYSA-N resorcinol Chemical compound OC1=CC=CC(O)=C1 GHMLBKRAJCXXBS-UHFFFAOYSA-N 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- KIWUVOGUEXMXSV-UHFFFAOYSA-N rhodanine Chemical compound O=C1CSC(=S)N1 KIWUVOGUEXMXSV-UHFFFAOYSA-N 0.000 description 1
- 229960004586 rosiglitazone Drugs 0.000 description 1
- 229960004889 salicylic acid Drugs 0.000 description 1
- 229940058287 salicylic acid derivative anticestodals Drugs 0.000 description 1
- 150000003872 salicylic acid derivatives Chemical class 0.000 description 1
- 235000019515 salmon Nutrition 0.000 description 1
- 125000002914 sec-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- XIIOFHFUYBLOLW-UHFFFAOYSA-N selpercatinib Chemical compound OC(COC=1C=C(C=2N(C=1)N=CC=2C#N)C=1C=NC(=CC=1)N1CC2N(C(C1)C2)CC=1C=NC(=CC=1)OC)(C)C XIIOFHFUYBLOLW-UHFFFAOYSA-N 0.000 description 1
- 230000002295 serotoninergic effect Effects 0.000 description 1
- 229960004425 sibutramine Drugs 0.000 description 1
- UNAANXDKBXWMLN-UHFFFAOYSA-N sibutramine Chemical compound C=1C=C(Cl)C=CC=1C1(C(N(C)C)CC(C)C)CCC1 UNAANXDKBXWMLN-UHFFFAOYSA-N 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- KZJPVUDYAMEDRM-UHFFFAOYSA-M silver;2,2,2-trifluoroacetate Chemical compound [Ag+].[O-]C(=O)C(F)(F)F KZJPVUDYAMEDRM-UHFFFAOYSA-M 0.000 description 1
- XGVXKJKTISMIOW-ZDUSSCGKSA-N simurosertib Chemical compound N1N=CC(C=2SC=3C(=O)NC(=NC=3C=2)[C@H]2N3CCC(CC3)C2)=C1C XGVXKJKTISMIOW-ZDUSSCGKSA-N 0.000 description 1
- RYMZZMVNJRMUDD-HGQWONQESA-N simvastatin Chemical compound C([C@H]1[C@@H](C)C=CC2=C[C@H](C)C[C@@H]([C@H]12)OC(=O)C(C)(C)CC)C[C@@H]1C[C@@H](O)CC(=O)O1 RYMZZMVNJRMUDD-HGQWONQESA-N 0.000 description 1
- 229960002855 simvastatin Drugs 0.000 description 1
- IZTQOLKUZKXIRV-YRVFCXMDSA-N sincalide Chemical compound C([C@@H](C(=O)N[C@@H](CCSC)C(=O)NCC(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CC=1C=CC=CC=1)C(N)=O)NC(=O)[C@@H](N)CC(O)=O)C1=CC=C(OS(O)(=O)=O)C=C1 IZTQOLKUZKXIRV-YRVFCXMDSA-N 0.000 description 1
- 150000003384 small molecules Chemical class 0.000 description 1
- 238000002791 soaking Methods 0.000 description 1
- HRZFUMHJMZEROT-UHFFFAOYSA-L sodium disulfite Chemical compound [Na+].[Na+].[O-]S(=O)S([O-])(=O)=O HRZFUMHJMZEROT-UHFFFAOYSA-L 0.000 description 1
- 159000000000 sodium salts Chemical class 0.000 description 1
- AKHNMLFCWUSKQB-UHFFFAOYSA-L sodium thiosulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=S AKHNMLFCWUSKQB-UHFFFAOYSA-L 0.000 description 1
- 235000019345 sodium thiosulphate Nutrition 0.000 description 1
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 1
- 125000003003 spiro group Chemical group 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 239000012258 stirred mixture Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 229960001693 terazosin Drugs 0.000 description 1
- VCKUSRYTPJJLNI-UHFFFAOYSA-N terazosin Chemical compound N=1C(N)=C2C=C(OC)C(OC)=CC2=NC=1N(CC1)CCN1C(=O)C1CCCO1 VCKUSRYTPJJLNI-UHFFFAOYSA-N 0.000 description 1
- LFKDJXLFVYVEFG-UHFFFAOYSA-N tert-butyl carbamate Chemical compound CC(C)(C)OC(N)=O LFKDJXLFVYVEFG-UHFFFAOYSA-N 0.000 description 1
- KECRYSLLDABRQB-UHFFFAOYSA-N tert-butyl n-[3-[4-[4-[(2,4-dioxo-1,3-thiazolidin-5-ylidene)methyl]naphthalen-1-yl]oxybutanoylamino]propyl]carbamate Chemical compound C12=CC=CC=C2C(OCCCC(=O)NCCCNC(=O)OC(C)(C)C)=CC=C1C=C1SC(=O)NC1=O KECRYSLLDABRQB-UHFFFAOYSA-N 0.000 description 1
- 125000003718 tetrahydrofuranyl group Chemical group 0.000 description 1
- WROMPOXWARCANT-UHFFFAOYSA-N tfa trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F.OC(=O)C(F)(F)F WROMPOXWARCANT-UHFFFAOYSA-N 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 125000005557 thiazolylene group Chemical group 0.000 description 1
- 125000005556 thienylene group Chemical group 0.000 description 1
- 125000004568 thiomorpholinyl group Chemical group 0.000 description 1
- QERYCTSHXKAMIS-UHFFFAOYSA-N thiophene-2-carboxylic acid Chemical compound OC(=O)C1=CC=CS1 QERYCTSHXKAMIS-UHFFFAOYSA-N 0.000 description 1
- NBOMNTLFRHMDEZ-UHFFFAOYSA-N thiosalicylic acid Chemical compound OC(=O)C1=CC=CC=C1S NBOMNTLFRHMDEZ-UHFFFAOYSA-N 0.000 description 1
- 229940103494 thiosalicylic acid Drugs 0.000 description 1
- 229960000790 thymol Drugs 0.000 description 1
- 229960004605 timolol Drugs 0.000 description 1
- XJDNKRIXUMDJCW-UHFFFAOYSA-J titanium tetrachloride Chemical compound Cl[Ti](Cl)(Cl)Cl XJDNKRIXUMDJCW-UHFFFAOYSA-J 0.000 description 1
- OUDSBRTVNLOZBN-UHFFFAOYSA-N tolazamide Chemical compound C1=CC(C)=CC=C1S(=O)(=O)NC(=O)NN1CCCCCC1 OUDSBRTVNLOZBN-UHFFFAOYSA-N 0.000 description 1
- 229960002277 tolazamide Drugs 0.000 description 1
- 229960004394 topiramate Drugs 0.000 description 1
- 238000011269 treatment regimen Methods 0.000 description 1
- ITMCEJHCFYSIIV-UHFFFAOYSA-M triflate Chemical compound [O-]S(=O)(=O)C(F)(F)F ITMCEJHCFYSIIV-UHFFFAOYSA-M 0.000 description 1
- WJKHJLXJJJATHN-UHFFFAOYSA-N triflic anhydride Chemical compound FC(F)(F)S(=O)(=O)OS(=O)(=O)C(F)(F)F WJKHJLXJJJATHN-UHFFFAOYSA-N 0.000 description 1
- OUYCCCASQSFEME-UHFFFAOYSA-N tyrosine Natural products OC(=O)C(N)CC1=CC=C(O)C=C1 OUYCCCASQSFEME-UHFFFAOYSA-N 0.000 description 1
- 229960001130 urapidil Drugs 0.000 description 1
- 239000000777 urocortin Substances 0.000 description 1
- 239000004474 valine Substances 0.000 description 1
- 229960001722 verapamil Drugs 0.000 description 1
- 125000000391 vinyl group Chemical group [H]C([*])=C([H])[H] 0.000 description 1
- 229920002554 vinyl polymer Polymers 0.000 description 1
- 229960001729 voglibose Drugs 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K33/00—Medicinal preparations containing inorganic active ingredients
- A61K33/24—Heavy metals; Compounds thereof
- A61K33/30—Zinc; Compounds thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/22—Hormones
- A61K38/28—Insulins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/08—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing oxygen, e.g. ethers, acetals, ketones, quinones, aldehydes, peroxides
- A61K47/12—Carboxylic acids; Salts or anhydrides thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/22—Heterocyclic compounds, e.g. ascorbic acid, tocopherol or pyrrolidones
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/12—Drugs for disorders of the urinary system of the kidneys
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/16—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing nitrogen, e.g. nitro-, nitroso-, azo-compounds, nitriles, cyanates
- A61K47/18—Amines; Amides; Ureas; Quaternary ammonium compounds; Amino acids; Oligopeptides having up to five amino acids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
- A61K47/20—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing sulfur, e.g. dimethyl sulfoxide [DMSO], docusate, sodium lauryl sulfate or aminosulfonic acids
Definitions
- This invention relates to novel NPH insulin crystalline preparations comprising high-affinity ligands for the HisBlO Zn 2 ⁇ -sites of the R-state insulin hexamer.
- Diabetes mellitus is a common disorder of glucose metabolism.
- the disease is characterized by hyperglycemia and may be classified as type 1 diabetes, sometimes termed insulin- dependent diabetes mellitus, or type 2 diabetes, which is sometimes termed non-insulin- dependent.
- Insulin dependent diabetes mellitus is characterized by severely diminished or absent production of endogenous insulin. This chronic condition must be treated with daily subcutaneous injections of insulin to maintain a reasonably normal blood glucose level. Similar injections are also common in later stage type 2 diabetes.
- the use of insulin as a therapeutic agent for this treatment is usually considered one of the outstanding successes of modern medicine.
- the therapy has its associated problems mainly because injection of insulin does not lead to normal diurnal concentrations of insulin in the blood.
- the kinetics of absorption from the subcutaneous tissue of fast acting human insulin is too slow and lasts too long to precisely mimic the peak of insulin which is normally secreted within minutes in response to carbohydrate ingestion during a meal. More importantly, the action profile of the most commonly used crystalline long-acting basal insulin show a spike, i.e. a high concentration of relatively short duration of insulin in the blood, within a few hours after injection. Also, the total duration of action is somewhat too short for once daily injection, and the absorption times show some fluctuation from day to day leading to poor reproducibil- ity of the basal insulin level.
- the most widely used long acting insulin is a neutral crystalline suspension, i.e. NPH insulin, comprising a crystalline complex of human insulin (or an analogue thereof), zinc ion and protamine sulphate together with a suitable preservative such as phenol, m-cresol, or mixtures thereof.
- NPH insulin neutral crystalline suspension
- the preparations usually contain a buffering substance such as phosphate and an isotonicity agent such as glycerol, mannitol or sodium chloride.
- the delayed action is believed to originate from the rate-limiting dissolution of the NPH-insulin crystals in the subcutaneous tissue fluids.
- the main determinant for the spike in the action profile as well as the total length of duration of action is thought to be the inherent solubility of the NPH- insulin crystal in the subcutis.
- the poorly reproducible absorption times often encountered with NPH insulin are thought to originate from difficulties in resuspending the vial before injection which may lead to variations in the dose actually delivered from one injection to another.
- the rate of dissolution at the site of injection depends to some extent on the local blood flow which is influenced by e.g. exercise and temperature adding further elements to the poorly reproducible absorption times. Taken together, these factors are considered to limit the inherent quality of the action profile obtained from NPH-insulin.
- NPH-insulin (crystalline preparations) may be prepared in the presence of certain high-affinity ligands for the HisB10 Zn 2+ -sites of the R-state insulin hexamer.
- Preparation of NPH-insulin in the presence of high-affinity ligand results in crystalline NPH-insulin suspensions that are absorbed more slowly from subcutis than regular NPH-insulin.
- the resulting action profile is longer and the spike is less pronounced than observed with regular NPH-insulin.
- the novel NPH-insulin also shows better physical and chemical stability than regular NPH-insulin.
- Figure 1 is a graphic representation of glucose utilization after subcutaneous injection of a NPH preparation showing the effects of stoichiometric and excess concentration of 4-[3-(1 H-Tetrazol-5-yl)-carbazol-9-ylmethyl]-benzoic acid compared to Zn 2+ .
- Halogen designates an atom selected from the group consisting of F, Cl, Br and I.
- C ⁇ -C 6 -alkyl represents a saturated, branched or straight hydrocarbon group having from 1 to 6 carbon atoms. Representative examples include, but are not limited to, methyl, ethyl, n-propyl, isopropyl, butyl, isobutyl, sec-butyl, feft-butyl, n-pentyl, isopentyl, neopentyl, fert-pentyl, n-hexyl, isohexyl and the like.
- CrC 6 -alkylene represents a saturated, branched or straight bivalent hydrocarbon group having from 1 to 6 carbon atoms. Representative examples include, but are not limited to, methylene, 1 ,2-ethylene, 1 ,3-propylene, 1 ,2-propylene, 1 ,4-butylene, 1 ,5- pentylene, 1 ,6-hexylene, and the like.
- C 2 -C 6 -alkenyl represents a branched or straight hydrocarbon group having from 2 to 6 carbon atoms and at least one double bond.
- groups include, but are not limited to, vinyl, 1-propenyl, 2-propenyl, iso-propenyl, 1,3-buta- dienyi, 1-butenyl, 2-butenyl, 3-butenyl, 2-methyl-1-propenyl, 1-pentenyl, 2-pentenyl, 3- pentenyl, 4-pentenyl, 3-methyl-2-butenyl, 1-hexenyl, 2-hexenyl, 3-hexenyl, 2,4-hexadienyl, 5- hexenyl and the like.
- C 2 -C 6 -alkyny represents a branched or straight hydrocarbon group having from 2 to 6 carbon atoms and at least one triple bond.
- groups include, but are not limited to, ethynyl, 1-propynyl, 2-propynyl, 1-butynyl, 2-butynyl, 3-butynyl, 1-pentynyl, 2-pentynyl, 3-pentynyl, 4-pentynyl, 1-hexynyl, 2-hexynyl, 3-hexynyl, 4- hexynyl, 5-hexynyl, 2,4-hexadiynyl and the like.
- CrC 6 -alkoxy refers to the radical -O-CrCe-alkyl, wherein C ⁇ -C 6 -alkyl is as defined above. Representative examples are methoxy, ethoxy, n-propoxy, isopropoxy, butoxy, sec-butoxy, tetf-butoxy, pentoxy, isopentoxy, hexoxy, isohexoxy and the like.
- C 3 -C 8 -cycloalkyl represents a saturated, carbocyclic group having from 3 to 8 carbon atoms. Representative examples are cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl and the like.
- C 4 - 8 -cycloalkenyl represents a non-aromatic, carbocyclic group having from 4 to 8 carbon atoms containing one or two double bonds.
- Representative examples are 1-cyclopentenyl, 2-cyclopentenyl, 3-cyclopentenyl, 1-cyclohexenyl, 2-cyclohexenyl, 3- cyclohexenyl, 2-cycloheptenyl, 3-cycloheptenyl, 2-cyclooct ⁇ nyl, 1 ,4-cyclooctadienyl and the like.
- heterocyclyl represents a non-aromatic 3 to 10 membered ring containing one or more heteroatoms selected from nitrogen, oxygen and sulphur and optionally containing one or two double bonds. Representative examples are pyrrolidinyl, piperidyl, piperazinyl, morpholinyl, thiomorpholinyl, aziridinyl, tetrahydrofuranyl and the like.
- aryl as used herein is intended to include carbocyclic, aromatic ring systems such as 6 membered monocyclic and 9 to 14 membered bi- and tricyclic, carbocyclic, aromatic ring systems.
- Aryl is also intended to include the partially hydrogenaled derivatives of the ring systems enumerated above.
- Non-limiting examples of such partially hydrogenaled derivatives are 1,2,3,4-tetrahydronaphthyl, 1,4- dihydronaphthyl and the like.
- arylene as used herein is intended to include divalent, carbocyclic, aromatic ring systems such as 6 membered monocyclic and 9 to 14 membered bi- and tricyclic, divalent, carbocyclic, aromatic ring systems. Representative examples are phenylene, biphenylylene, naphthylene, anthracenylene, phenanthrenylene, fluorenylene, indenylene, azulenylene and the like. Arylene is also intended to include the partially hydrogenated derivatives of the ring systems enumerated above.
- Non-limiting examples of such partially hydrogenated derivatives are 1 ,2,3,4-tetrahydronaphthylene, 1 ,4-dihydronaphthylene and the like.
- aryloxy denotes a group -O-aryl, wherein aryl is as defined above.
- aroyl as used herein denotes a group -C(O)-aryl, wherein aryl is as defined above.
- heteroaryl as used herein is intended to include aromatic, heterocyclic ring systems containing one or more heteroatoms selected from nitrogen, oxygen and sulphur such as 5 to 7 membered monocyclic and 8 to 14 membered bi- and tricyclic aromatic, heterocyclic ring systems containing one or more heteroatoms selected from nitrogen, oxygen and sulphur.
- Representative examples are furyl, thienyl, pyrrolyl, pyrazolyl, 3-oxopyrazolyl, oxazolyl, thiazolyl, imidazolyl, isoxazolyl, isothiazolyl, 1 ,2,3-triazolyl, 1 ,2,4-triazolyl, pyranyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, 1 ,2,3-triazinyl, 1 ,2,4-triazinyl, 1 ,3,5- triazinyl, 1,2,3- oxadiazolyl, 1,2,4-oxadiazolyl, 1 ,2,5-oxadiazolyl, 1 ,3,4-oxadiazolyl, 1 ,2,3-thiadiazolyl, 1,2,4- thiadiazolyl, 1 ,2,5-thiadiazolyl, 1 ,3,4-thiadiazolyl
- Heteroaryl is also intended to include the partially hydrogenated derivatives of the ring systems enumerated above.
- Non-limiting examples of such partially hydrogenated derivatives are 2,3-dihydrobenzofuranyl, pyrrolinyl, pyrazolinyl, indolinyl, oxazolidinyl, oxazolinyl, oxazepinyl and the like.
- heteroarylene as used herein is intended to include divalent, aromatic, heterocyc- lic ring systems containing one or more heteroatoms selected from nitrogen, oxygen and sulphur such as 5 to 7 membered monocyclic and 8 to 14 membered bi- and tricyclic aromatic, heterocyclic ring systems containing one or more heteroatoms selected from nitrogen, oxygen and sulphur.
- Heteroaryl is also intended to include the partially hydrogenated derivatives of the ring systems enumerated above.
- Non-limiting examples of such partially hydrogenated derivatives are 2,3-dihydro- benzofuranylene, pyrrolinylene, pyrazolinylene, indolinylene, oxazolidinylene, oxazolinylene, oxazepinylene and the like.
- ArG1 as used herein is intended to include an aryl or arylene radical as applicable, where aryl or arylene are as defined above but limited to phenyl, biphenylyl, naphthyl, anthra- cenyl, phenanthrenyl, fluorenyl, indenyl, and azulenyl as well as the corrresponding divalent radicals.
- ArG2 as used herein is intended to include an aryl or arylene radical as applicable, where aryl or arylene are as defined above but limited to phenyl, biphenylyl, naphthyl, fluorenyl, and indenyl, as well as the corrresponding divalent radicals.
- Het1 is intended to include a heteroaryl or heteroarylene radical as applicable, where heteroaryl or heteroarylene are as defined above but limited to furyl, thienyl, pyrrolyl, pyrazolyl, 3-oxopyrazolyl, oxazolyl, thiazolyl, imidazolyl, isoxazolyl, isothiazolyl, 1,2,3-triazolyl, 1 ,2,4-triazolyl, pyranyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, 1,2,3- triazinyl, 1 ,2,4-triazinyl, 1,3,5- triazinyl, 1 ,2,3-oxadiazolyl, 1 ,2,4-oxadiazolyl, 1 ,2,5-oxadiazolyl, 1 ,3,4-oxadiazolyl, 1 ,2,3-thiadiazoly
- Het2 as used herein is intended to include a heteroaryl or heteroarylene radical as applicable, where heteroaryl or heteroarylene are as defined above but limited to furyl, thienyl pyrrolyl, pyrazolyl, 3-oxopyra ⁇ olyl, oxazolyl, thia ⁇ olyl, imida ⁇ olyl, isoxa ⁇ olyl, isothia ⁇ olyl 1,2,3-tria ⁇ olyl, 1,2,4-tria ⁇ olyl, pyranyl, pyridyl, pyridazinyl, pyrimidinyl, pyra ⁇ inyl, 1,2,3 triazinyl, 1 ,2,4-triazinyl, 1,3,5- triazinyl, 1 ,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1 ,2,5-oxadiazolyl 1 ,3,4-oxadiazolyl, 1 ,
- Het3 is intended to include a heteroaryl or heteroarylene radical as applicable, where heteroaryl or heteroarylene are as defined above but limited to furyl, thienyl, pyrrolyl, pyrazolyl, 3-oxopyrazolyl, oxazolyl, thiazolyl, imidazolyl, isoxazolyl, isothiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, pyridyl, tetrazolyl, indolyl, isoindolyl, benzofuryl, benzothienyl, benzimidazolyl, benzthiazolyl, benzisothiazolyl, benzoxazolyl, benzisoxazolyl, quinolyl, isoqui- nolyl, quinoxalinyl, carbazolyl, thiazolidinyl, 2-thiooxothiazolidinyl, as well as
- Aryl-CrCe-alkyl is intended to mean C C 6 - alkyl or C 2 -C 6 -alkenyl as defined above, substituted by an aryl or heteroaryl as defined above, for example:
- protamine refers to a mixture of strongly basic proteins usually obtained from fish sperm
- protamine can refer to a relatively salt-free preparation of the proteins, sometimes termed protamine base.
- protamine also refers to preparations comprising salts of the proteins. Even though concentrations are commonly given as concentration of protamine sulphate in this application, the person skilled in the art will readily be able to convert this to other protamine preparations.
- treatment means the management and care of a patient for the purpose of combating a disease, disorder or condition.
- the term is intended to include the delaying of the progression of the disease, disorder or condition, the alleviation or relief of symptoms and complications, and/or the cure or elimination of the disease, disorder or condition.
- the patient to be treated is preferably a mammal, in particular a human being.
- fragment as used herein is intended to mean a bivalent chemical group
- Neutral amino acid as used herein is intended to mean any natural (codable) and non-natural amino acid, including ⁇ - or ⁇ -aminocarboxylic acids, including D-isomers of these (when applicable) without charges at physiologically relevant pH in the side chain, such as glycine, alanine, ⁇ -alanine, valine, leucine, isoleucine, phenylalanine, tyrosine, aspargine, glutamine, cysteine, methionine, 3-aminobenzoic acid, 4-aminobenzoic acid or the like.
- positively charged group as used herein is intended to mean any pharmaceutically acceptable group that contains a positive charge at physiologically relevant pH, such as amino (primary, secondary and tertiary), ammonium and guanidino groups.
- amino acid as used herein is intended to mean mean any natural (codable) and non-natural ⁇ -aminocarboxylic acid, including D-isomers of these.
- ⁇ amino acid as used herein is intended to mean any ⁇ -aminocarboxylic acid, such as ⁇ -alanine, isoserine or the like.
- groups of compounds such as car- boxylates, dithiocarboxylates, phenolates, thiophenolates, alkylthiolates, sulfonamides, imi- dazoles, triazoles, 4-cyano-1 ,2,3-triazoles, benzimidazoles, benzotriazoles, purines, thia- zolidinediones, tetrazoles, 5-mercaptotetrazoles, rhodanines, N-hydroxyazoles, hydantoines, thiohydantoines, naphthoic acids and salicylic acids, these groups of compounds are intended to include also derivatives of the compounds from which the groups take their name.
- insulin refers to naturally produced insulin or recombinantly produced insulin.
- Recombinant insulin may be produced in any suitable host cell, for example the host cells may be bacterial, fungal (including yeast), insect, animal or plant cells.
- analogue of human insulin as used herein (and related expressions) is meant human insulin in which one or more amino acids have been deleted and/or replaced by other amino acids, including non-codeable amino acids, or human insulin comprising additional amino acids, i.e. more than 51 amino acids, such that the resulting analogue possesses insulin activity
- insulin derivative refers to human insulin or an analogue thereof in which at least one organic substituent is bound to one or more of the amino acids.
- desBSO and the like as used herein is intended to mean meant a natural insulin B chain or an analogue thereof lacking the B30 amino acid residue.
- amino acid residues are indicated in the three letter amino acid code or the one letter amino code.
- B1 is intended to mean the amino acid residue in position 1 in the B chain of insulin or analogue thereof (counted from the N-terminal end) and the amino acid residue in position 1 in the A chain of insulin or analogue thereof (counted from the N-terminal end), respectively.
- phenolic compound or similar expressions as used herein refers to a chemical compound in which a hydroxyl group is bound directly to a benzene or substituted benzene ring. Examples of such compounds include, but are not limited to, phenol, o-cresol, m-cresol and p-cresol.
- physiologically relevant pH as used herein is intended to mean a pH of about 7.1 to 7.9.
- the term "putative insulin hexamer" or similar expressions as used herein is refers to six insulin molecules which may combine to form an insulin hexamer.
- the chemical environment the insulin is in may determine that the insulin is not always in hexamer form.
- a ratio of e.g. 2 moles of Zinc ions per mole putative insulin hexamer corresponds to a ratio of 1 mole per 3 moles insulin monomer regardless of the state of the insulin.
- Regular NPH-insulin is a crystalline complex between the R-state insulin hexamer and protamine (usually originating from salmon or herring).
- the hexamer component of the complex normally has additional small molecules bound to the known binding sites of the R6 insulin, i.e., preservative molecules such as phenol or m-cresol bind to six hydrophobic pockets formed in the dimer-dimer interfaces and anions from added buffers and salts (e.g. chloride) may bind to the two His 610 Zn 2+ sites residing on the 3-fold symmetry axis of the hexamer.
- preservative molecules such as phenol or m-cresol
- anions such as chloride bind to the R-state His Zn .2+ -site with modest affinity hence providing I little stabilization of the hexamer.
- ligands with substantially higher affinity for the H ,BIO 2n 2+ -site may be found and characterized by using a fluorescence based competit ; ⁇ on assay which is based on the displacement of 5-(4- dimethylaminobenzylidene)-thiazolidine-2,4-dione from the R-state His 810 Zn 2+ -site by the incoming ligand in question.
- the present invention is based on the discovery that NPH-insulin crystals may be formed in the presence of certain high-affinity ligands for the His 810 Zn 2+ sites of the R-state hexamer.
- the ligands When the ligands are present along with insulin, Zn 2+ , and optionally phenolic preservative, buffers and isotonicity agents, the NPH-insulin crystals still form upon combination with protamine.
- regular NPH-insulin crystals without presence of high-affinity ligands for the His 810 Zn 24 sites of the R-stafe hexamer may be formed initially and the ligand may then be incorporated by subsequent addition of the ligand to the crystalline suspension.
- the novel NPH-insulin complex has several advantages over regular NPH-insulin: When the crystalline suspension is injected subcutaneously into pigs, the absorption half-life is significantly increased compared to regular NPH-insulin (see example 1011). Moreover, the action profile of the novel NPH-preparation is longer and smoother than that obtained with regular NPH- insulin. Finally, the physical and chemical stability is significantly enhanced over the reference preparation.
- Suitable ligands according to this invention are characterized by a) having high affinity to His B1 ° Zn + site of the R-state hexamer (e.g. K ⁇ 10 ⁇ M) as measured in the TZD-assay for quantitation of ligands binding to the R-state His 610 Zn 2+ or the 4H3N-assay and b) being capable of forming NPH crystals when included along with the zinc-insulin in the preparation, i.e. the presence of the bound ligand does not impede normal complex formation with protamine (co-crystallization mode).
- the R-state hexamer e.g. K ⁇ 10 ⁇ M
- the regular insulin-protamine crystalline complex without presence of high-affinity ligands for the His 810 Zn + sites of the R-state hexamer may be formed initially and the ligand incorporated subsequently by addition of the ligand to the crystalline suspension (soaking mode)
- the present invention thus provides in embodiment 1 a pharmaceutical preparation comprising
- ® ligand that binds reversibly to a His 810 Zn 2+ site of an R-state insulin hexamer, wherein said ligand is selected from the group consisting of carboxylates, dithiocar- boxylates, phenolates, thiophenolates, alkylthiolates, sulfonamides, imida ⁇ oles, tria- zoles, 4-cyano-1 ,2,3-triazoIes, benzimidazoles, benzotriazoles, purines, thymines, thiazolidinediones, fetrazoles, 5-mercaptotetra ⁇ oles, rhodanines, N-hydroxyazoles, hydantoines, thiohydantoines, naphthoic acids and salicylic acids, or any enantiomer, diastereomer, including a racemic mixture, tautomer as well as a salt thereof with a pharmaceutically acceptable acid or base.
- Embodiment 2 A pharmaceutical preparation according to embodiment 1 wherein the insulin preparation comprises 60 to 3000 nmol/ml of insulin.
- Embodiment 3 A pharmaceutical preparation according to embodiment 2 wherein the insulin preparation comprises 240 to 1200 nmol/ml of insulin.
- Embodiment 4 A pharmaceutical preparation according to embodiment 3 wherein the insulin preparation comprises about 600 nmol/ml of insulin.
- Embodiment 5 A pharmaceutical preparation according to any one of the embodiments 1 to 4.
- the insulin is selected from the group consisting of human insulin, an analogue of human insulin, a derivative of human insulin, and combinations of any of these.
- Embodiment 6 A pharmaceutical preparation according to embodiment 5 wherein the insulin is an analogue of human insulin selected from the group consisting of i.An analogue wherein position B28 is Asp, Glu, Lys, Leu, Val, or Ala and position B29 is Lys or Pro; ii.An analogue wherein position B3 is Lys and position B29 is Glu; and iii.des(B28-B30), des(B27) or des(B30) human insulin.
- Embodiment 7 A pharmaceutical preparation according to embodiment 6, wherein the insulin is an analogue of human insulin wherein position B28 is Asp or Lys, and position B29 is Lys or Pro.
- Embodiment 8 A pharmaceutical preparation according to embodiment 6 wherein the insulin is des(B30) human insulin.
- Embodiment 9 A pharmaceutical preparation according to embodiment 5 wherein the insulin is a derivative of human insulin having one or more lipophilic substituents.
- Embodiment 10. A pharmaceutical preparation according to embodiment 9 wherein the insulin derivative is selected from the group consisting of B29-N ⁇ -myristoyl-des(B30) human insulin, B29-N ⁇ -palmitoyl-des(B30) human insulin, B29-N ⁇ -myristoyl human insulin, B29-N ⁇ - palmitoyl human insulin, B28-N ⁇ -myristoyl Lys 628 Pro 629 human insulin, B28-N ⁇ -palmitoyl Lys 828 Pro 829 human insulin, B30-N ⁇ -myristoyl-Thr 829 Lys 830 human insulin, B30-N ⁇ -palmitoyl- Thr ⁇ Lys 830 human insulin, B29-N ⁇ -(N-palmitoyl- ⁇ -glutamyl)-des
- Embodiment 12 A pharmaceutical preparation according to any one of the embodiments 1 to 11 wherein the protamine is protamine sulphate.
- Embodiment 13 A pharmaceutical preparation according to embodiment 13 wherein the concentration of protamine sulphate is from 0.05-3 mg/mL.
- Embodiment 14 A pharmaceutical preparation according to embodiment 14 wherein the concentration of protamine sulphate is from 0.1-0.6 mg/mL.
- Embodiment 15 A pharmaceutical preparation according to any one of the embodiments 1 to 15 wherein the amount of zinc ions is 2-6 moles per mole putative insulin hexamer.
- Embodiment 16 A pharmaceutical preparation according to embodiment 16 wherein the amount of zinc ions is 2 to 3 moles per mole putative insulin hexamer.
- Embodiment 17 A pharmaceutical preparation according to any one of the embodiments 1 to 17 wherein the ratio of ligand that binds reversibly to a His 810 Zn 2+ site of an R-state insulin hexamer to zinc ions is 1:3 to 3:1.
- Embodiment 18 A pharmaceutical preparation according to embodiment 18 wherein the ratio of ligand that binds reversibly to a His 810 Zn 2+ site of an R-state insulin hexamer to zinc ions is 1:2 to 2:1.
- Embodiment 19 A pharmaceutical preparation according to embodiment 19 wherein the ratio of ligand that binds reversibly to a His 810 Zn 2+ site of an R-state insulin hexamer to zinc ions is 1 :.2 to 1.2:1.
- Embodiment 20 A pharmaceutical preparation according to any one of the embodiments 1 to 20 wherein the ligand that binds reversibly to a His 810 Zn 2+ site of an R-state insulin hexamer is a chemical structure selected from the group consisting of carboxylates, dithiocarboxy- lates, phenolates, thiophenolates, alkylthiolates, sulfonamides, imidazoles, triazoles, 4- cyano-1 ,2,3-triazoles, benzimidazoles, benzotriazoles, purines, thymines, thiazolidinediones, tetrazoles, 5-mercaptotetrazoles, rhodanines, N-hydroxyazoles, hydantoines, thiohydan- toines, naphthoic acids and salicylic acids.
- Embodiment 21 A pharmaceutical preparation according to embodiment 21 wherein the ligand that binds reversibly to a His 810 Zn 2+ site of an R-state insulin hexamer is a chemical structure selected from the group consisting of benzotria ⁇ oles, 3-hydroxy 2-napthoic acids, salicylic acids, tetrazoles or thiazolidinediones.
- Embodiment 22 A pharmaceutical composition according to embodiment 1 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is wherein
- Y is -S-, -O- or -NH-
- R 1 and R 4 are independently selected from hydrogen or GrC 6 -alkyl
- R 2 is hydrogen or C ⁇ -C 6 -alkyl or aryl, R 1 and R 2 may optionally be combined to form a double bond,
- R 3 and R 5 are independently selected from hydrogen, halogen, aryl, CrC 6 -alkyl, or
- a and B are independently selected from CrCe-alkyl, aryl, aryl-C ⁇ -C 6 -alkyl, aryl-C 2 -C 6 -alkenyl or heteroaryl, wherein the alkyl or alkenyl is optionally substituted with one or more substituents independently selected from R 6 and the aryl or heteroaryl is optionally substituted with up to four substituents R 7 , R 8 , R 9 , and R 10 ,
- a and R 3 may be connected through one or two valence bonds
- B and R 5 may be connected through one or two valence bonds
- R 6 is independently selected from halogen, -CN, -CF 3 , -OCF 3) aryl, -COOH and -NH 2
- R 7 , R 8 , R 9 and R 10 are independently selected from
- oC C 6 -alkyl C 2 -C 6 -alkenyl or C 2 -C 6 -alkynyl, each of which may optionally be substituted with one or more substituents independently selected from R 13 , • aryl, aryloxy, aryloxycarbonyl, aroyl, arylsulfanyl, aryl-C ⁇ -C 6 -alkoxy, aryl-C-i-C ⁇ -alkyl, aryl-C 2 -C 6 -alkenyl, aroyl-Ca-Ce-alkenyl, aryI-C 2 -C 6 -alkynyl, heteroaryl, heteroaryl-Cr Ce-alkyl, heteroaryl-C 2 -C 6 -alkenyl, heteroaryl-C 2 -C 6 -alkynyl, or C 3 -C 6 cycloalkyl,
- each cyclic moiety may optionally be substituted with one or more substituents independently selected from R 14 ,
- R 11 and R 12 are independently selected from hydrogen, OH, C ⁇ -C 2 o-alkyl, aryl-d-Ce-alkyl or aryl, wherein the alkyl groups may optionally be substituted with one or more substituents independently selected from R 15 , and the aryl groups may optionally be substituted one or more substituents independently selected from R 16 ; R 11 and R 12 when attached to the same nitrogen atom may form a 3 to 8 membered heterocyclic ring with the said nitrogen atom, the heterocyclic ring optionally containing one or two further heteroatoms selected from nitrogen, oxygen and sulphur, and optionally containing one or two double bonds,
- R 13 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 11 , -C(O)OR 11 , -NR 11 R 12 , and -C(O)NR 11 R 12 ,
- R 14 is independently selected from halogen, -C(O)OR 1 ⁇ -CH 2 C(O)OR 11 , -CH 2 OR 11 , -CN, - CF 3 , -OCF 3 , -NO 2 , -OR 11 , -NR 11 R 12 , S(O) 2 R 1 ⁇ aryl and C C 6 -alkyl,
- R 15 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OC r C 6 -alkyl, -C(O)OC C 6 - alkyl, -COOH and -NH 2)
- Embodiment 26 A pharmaceutical composition according to any one of the embodiments 23 to 26 wherein Y is -O- or -S-.
- Embodiment 27 A pharmaceutical composition according to embodiment 27 wherein Y is
- Embodiment 28 A pharmaceutical composition according to embodiment 27 wherein Y is
- Embodiment 29 A pharmaceutical composition according to any one of the embodiments 23 to 30 wherein A is aryl optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 30 A pharmaceutical composition according to embodiment 31 wherein A is selected from ArG1 optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 31 A pharmaceutical composition according to embodiment 32 wherein A is phenyl or naphtyl optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 32 A pharmaceutical composition according to embodiment 33 wherein A is
- Embodiment 34 A pharmaceutical composition according to any one of the embodiments 23 to 30 wherein A is heteroaryl optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 35 A pharmaceutical composition according to embodiment 36 wherein A is selected from Het1 optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 36 A pharmaceutical composition according to embodiment 37 wherein A is selected from Het2 optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 37 A pharmaceutical composition according to embodiment 38 wherein A is selected from Het3 optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 38 A pharmaceutical composition according to embodiment 39 wherein A is selected from the group consisting of indolyl, benzofuranyl, quinolyl, furyl, thienyl, or pyrrolyl, wherein each heteroaryl may optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 39 A pharmaceutical composition according to embodiment 39 wherein A is benzofuranyl optionally substituted with up to four substituents R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 40 A pharmaceutical composition according to embodiment 41 wherein A is
- Embodiment 41 A pharmaceutical composition according to embodiment 39 wherein A is carbazolyl optionally substituted with up to four substituents R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 42 A pharmaceutical composition according to embodiment 43 wherein A is
- Embodiment 43 A pharmaceutical composition according to embodiment 39 wherein A is quinolyl optionally substituted with up to four substituents R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 44 A pharmaceutical composition according to embodiment 45 wherein A is
- Embodiment 45 A pharmaceutical composition according to embodiment 39 wherein A is indolyl optionally substituted with up to four substituents R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 46 A pharmaceutical composition according to embodiment 47 wherein A is
- Embodiment 47 A pharmaceutical composition according to any one of the embodiments 23 to 48 wherein R 1 is hydrogen.
- Embodiment 48 A pharmaceutical composition according to any one of the embodiments 23 to 49 wherein R 2 is hydrogen.
- Embodiment 49 A pharmaceutical composition according to any one of the embodiments 23 to 48 wherein R 1 and R 2 are combined to form a double bond.
- Embodiment 50 A pharmaceutical composition according to any one of the embodiments 23 to 51 wherein R 3 is d-C ⁇ -alkyl, halogen, or C(O)NR 16 R 17 .
- Embodiment 51 A pharmaceutical composition according to embodiment 52 wherein R 3 is d-Ce-alkyl or C(O)NR 16 R 17 .
- Embodiment 52 A pharmaceutical composition according to embodiment 53 wherein R 3 is methyl.
- Embodiment 53 A pharmaceutical composition according to any one of the embodiments 23 to 30 wherein B is phenyl optionally substituted with up to four substituents, R 7 , R 8 , R 9 , and R 10 which may be the same or different.
- Embodiment 54 A pharmaceutical composition according to any one of the embodiments 23 to 30 or 55 wherein R 4 is hydrogen.
- Embodiment 55 A pharmaceutical composition according to any one of the embodiments 23 to 30 or 55 to 56 wherein R 5 is hydrogen.
- Embodiment 56 A pharmaceutical composition according to any one of the embodiments 23 to 57 wherein R 6 is aryl.
- Embodiment 57 A pharmaceutical composition according to embodiment 58 wherein R 6 is phenyl.
- Embodiment 58 A pharmaceutical composition according to any one of the embodiments 23 to 59 wherein R 7 , R 8 , R 9 and R 0 are independently selected from
- Embodiment 59 A pharmaceutical composition according to embodiment 60 wherein R 7 , R 8 , R 9 and R 10 are independently selected from
- each of the cyclic moieties optionally may be substituted with one or more substituents independently selected from R 14
- Embodiment 60 A pharmaceutical composition according to embodiment 61 wherein R 7 , R 8 , R 9 and R 10 are independently selected from
- oC ⁇ -C 6 -alkyl or d-C 6 - which may each optionally be substituted with one or more substituents independently selected from R 13 • aryl, aryloxy, aroyl, aryl-C C 6 -alkoxy, aryl-d-Ce-alkyl, heteroaryl,
- each of the cyclic moieties optionally may be substituted with one or more substituents independently selected from R 14 .
- Embodiment 61 A pharmaceutical composition according to embodiment 62 wherein R 7 , R 8 , R 9 and R 10 are independently selected from ohydrogen, halogen, -OR 11 , -OC r C 6 -alkyl-C(0)OR 11 , or -C(O)OR 11 ,
- Embodiment 62 A pharmaceutical composition according to embodiment 63 wherein R 7 , R 8 , R 9 and R 10 are independently selected from
- Embodiment 63 A pharmaceutical composition according to any one of the embodiments 23 to 65 wherein R 11 and R 12 are independently selected from hydrogen, C ⁇ -C 20 -alkyl, aryl or aryl-C ⁇ -C 6 -alkyl, wherein the alkyl groups may optionally be substituted with one or more substituents independently selected from R 15 , and the aryl groups may optionally be substituted one or more substituents independently selected from R 16 ; R 11 and R 12 when attached to the same nitrogen atom may form a 3 to 8 membered heterocyclic ring with the said nitrogen atom, the heterocyclic ring optionally containing one or two further heteroatoms selected from nitrogen, oxygen and sulphur, and optionally containing one or two double bonds.
- R 11 and R 12 are independently selected from hydrogen, C ⁇ -C 20 -alkyl, aryl or aryl-C ⁇ -C 6 -alkyl, wherein the alkyl groups may optionally be substituted with one or more substituents independently selected
- Embodiment 64 A pharmaceutical composition according to embodiment 66 wherein R 11 and R 12 are independently selected from hydrogen, d-do-alkyl, aryl or aryl-d-Ce-alkyl, wherein the alkyl groups may optionally be substituted with one or more substituents independently selected from R 15 , and the aryl groups may optionally be substituted one or more substituents independently selected from R 16 .
- Embodiment 65 A pharmaceutical composition according to embodiment 67 wherein R 11 and R 12 are independently selected from phenyl or phenyl-d-C 6 -alkyl.
- Embodiment 66 A pharmaceutical composition according to embodiment 67 wherein one or both of R 11 and R 12 are methyl.
- Embodiment 67 A pharmaceutical composition according to any one of the embodiments 23 to 69 wherein R 13 is independently selected from halogen, CF 3 , OR 11 or NR 11 R 12 .
- Embodiment 68 A pharmaceutical composition according to embodiment 70 wherein R 13 is independently selected from halogen or OR 11 .
- Embodiment 69 A pharmaceutical composition according to embodiment 71 wherein R 3 is OR 11 .
- Embodiment 70 A pharmaceutical composition according to any one of the embodiments 23 to 72 wherein R 14 is independently selected from halogen, -C(O)OR 11 , -CN, -CF 3 , -OR 11 , S(O) 2 R 11 , and C C 6 -alkyl.
- Embodiment 71 A pharmaceutical composition according to embodiment 73 wherein R 14 is independently selected from halogen, -C(O)OR 11 , or -OR 11 .
- Embodiment 72 A pharmaceutical composition according to any one of the embodiments 23 to 74 wherein R 15 is independently selected from halogen, -CN, -CF 3 , -C(O)OC C 6 -alkyl,and -COOH.
- Embodiment 73 A pharmaceutical composition according to embodiment 75 wherein R 15 is independently selected from halogen or -C(O)Od-C 6 -alkyl.
- Embodiment 75 A pharmaceutical composition according to embodiment 77 wherein R 16 is independently selected from halogen, -C(O)Od-G6-alkyl, -COOH, -NO 2 , or d-G 6 -alkyl.
- Embodiment 76 A pharmaceutical composition according to embodiment 1 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is
- R 19 is hydrogen or C ⁇ -C 6 -aIkyl
- R 20 is hydrogen or d-C ⁇ -alkyl
- D and F are a valence bond or C C 6 -alkylene optionally substituted with one or more substituents independently selected from R 72 ,
- R 72 is independently selected from hydroxy, d-C 6 -alkyl, or aryl,
- E is C-i-C ⁇ -alkyl, aryl or heteroaryl, wherein the aryl or heteroaryl is optionally substituted with up to three substituents R 21 , R 22 and R 23 ,
- G is d-C ⁇ -alkyl, aryl or heteroaryl, wherein the aryl or heteroaryl is optionally substituted with up to three substituents R 24 , R 25 and R 26 ,
- R 17 , R 18 , R 21 , R 22 , R 23 , R 24 , R 25 and R 26 are independently selected from
- R 29 which may optionally be substituted with one or more substituents independently selected from R 29 , • aryl, aryloxy, aryloxycarbonyl, aroyl, aryl-C ⁇ -C 6 -alkoxy, aryl-d-C 6 -alkyl, aryl-C 2 - C 6 -alkenyl, aryl-C 2 -C 6 -aIkynyl, heteroaryl, heteroaryl-C ⁇ -C 6 -alkyl, heteroaryl-C 2 -C 6 - alkenyl or heteroaryl-C 2 -C 6 -alkynyl,
- R 27 and R 28 are independently selected from hydrogen, d-G 6 -alkyl, aryl-d-C ⁇ -alkyl or aryl, or R 27 and R 28 when attached to the same nitrogen atom together with the said nitrogen atom may form a 3 to 8 membered heterocyclic ring optionally containing one or two further heteroatoms selected from nitrogen, oxygen and sulphur, and optionally containing one or two double bonds,
- R 29 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 27 , and -NR 7 R 28 ,
- R 30 is independently selected from halogen, -C(O)OR 27 , -CN, -CF 3 , -OCF 3 , -NO 2 , -OR 27 ,
- Embodiment 77 A pharmaceutical composition according to embodiment 79 wherein D is a valence bond.
- Embodiment 78 A pharmaceutical composition according to embodiment 79 wherein D is d-C 6 -alkylene optionally substituted with one or more hydroxy, d-C ⁇ -alkyl, or aryl.
- Embodiment 79 A pharmaceutical composition according to any one of the embodiments 79 to 81 wherein E is aryl or heteroaryl, wherein the aryl or heteroaryl is optionally substituted with up to three substituents independently selected from R 21 , R 22 and R 23 .
- Embodiment 80 A pharmaceutical composition according to embodiment 82 wherein E is aryl optionally substituted with up to three substituents independently selected from R 21 , R 22 and R 23 .
- Embodiment 81 A pharmaceutical composition according to embodiment 83 wherein E is selected from ArG1 and optionally substituted with up to three substituents independently selected from R 21 , R 22 and R 23 .
- Embodiment 82 A pharmaceutical composition according to embodiment 84 wherein E is phenyl optionally substituted with up to three substituents independently selected from R 21 ,
- Embodiment 83 A pharmaceutical composition according to embodiment 85 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is
- Embodiment 84 A pharmaceutical composition according to any one of the embodiments 79 to 86 wherein R 2 ⁇ R 22 and R 23 are independently selected from
- the cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 85 A pharmaceutical composition according to embodiment 87 wherein R 21 ,
- R 22 and R 23 are independently selected from
- the cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 86 A pharmaceutical composition according to embodiment 88 wherein R 21 ,
- R 22 and R 23 are independently selected from
- Embodiment 87 A pharmaceutical composition according to embodiment 89 wherein R 21 ,
- R 22 and R 23 are independently selected from
- Embodiment 88 A pharmaceutical composition according to embodiment 90 wherein R 21 , R 22 and R 23 are independently selected from
- Embodiment 89 A pharmaceutical composition according to any one of the embodiments 79 to 91 wherein R 19 is hydrogen or methyl.
- Embodiment 90 A pharmaceutical composition according to embodiment 92 wherein R 19 is hydrogen.
- Embodiment 91 A pharmaceutical composition according to any one of the embodiments 79 to 93 wherein R 27 is Hydrogen, d-C ⁇ -alkyl or aryl.
- Embodiment 92 A pharmaceutical composition according to embodiment 94 wherein R 27 is hydrogen or d-C 6 -alkyl.
- Embodiment 93 A pharmaceutical composition according to any one of the embodiments 79 to 95 wherein R 28 is hydrogen or G C 6 -alkyl.
- Embodiment 94 A pharmaceutical composition according to embodiment 79 wherein F is a valence bond.
- Embodiment 95 A pharmaceutical composition according to embodiment 79 wherein F is d- Ce-alkylene optionally substituted with one or more hydroxy, CrC 6 -alkyI f or aryl.
- Embodiment 96 A pharmaceutical composition according to any one of the embodiments 79 or 97 to 98 wherein G is C C 6 -aIkyl or aryl, wherein the aryl is optionally substituted with up to three substituents R 24 , R 25 and R 26 .
- Embodiment 97 A pharmaceutical composition according to any one of the embodiments 79 or 97 to 98 wherein G is d-G 6 -alkyl or ArG1, wherein the aryl is optionally substituted with up to three substituents R 24 , R 25 and R 26 .
- Embodiment 98 A pharmaceutical composition according to embodiment 99 wherein G is d-C ⁇ -alkyl.
- Embodiment 99 A pharmaceutical composition according to embodiment 101 wherein G is phenyl optionally substituted with up to three substituents R 24 , R 25 and R 26 .
- Embodiment 100 A pharmaceutical composition according to any one of the embodiments.
- R 24 , R 25 and R 26 are independently selected from
- Embodiment 101 A pharmaceutical composition according to embodiment 103 wherein R 24 ,
- the cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 102 A pharmaceutical composition according to embodiment 104 wherein R 24 ,
- R 25 and R 26 are independently selected from
- the cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 103 A pharmaceutical composition according to embodiment 105 wherein R 21 ,
- Embodiment 104 A pharmaceutical composition according to embodiment 106 wherein R 21 , R 22 and R 23 are independently selected from
- Embodiment 105 A pharmaceutical composition according to embodiment 107 wherein R 21 ,
- R 22 and R 23 are independently selected from
- cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 106 A pharmaceutical composition according to any one of the embodiments 79 or 97 to 108 wherein R 20 is hydrogen or methyl.
- Embodiment 107 A pharmaceutical composition according to embodiment 109 wherein R 20 is hydrogen.
- Embodiment 108 A pharmaceutical composition according to any one of the embodiments 79 or 97 to 110 wherein R 27 is hydrogen, d-C 6 -alkyl or aryl.
- Embodiment 109 A pharmaceutical composition according to embodiment 111 wherein R 27 is hydrogen or d-C 6 -alkyl or ArG
- Embodiment 110 A pharmaceutical composition according to embodiment 112 wherein R 27 is hydrogen or d-C ⁇ -alkyl.
- Embodiment 111 A pharmaceutical composition according to any one of the embodiments 79 or 97 to 112 wherein R 28 is hydrogen or C r C 6 -alkyl.
- Embodiment 112. A pharmaceutical composition according to embodiment 79 wherein R 17 and R 18 are independently selected from
- the cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 113 A pharmaceutical composition according to embodiment 115 wherein R 17 and R 18 are independently selected from • hydrogen, halogen, -CN, -CF 3 , -NO 2) -OR 27 , -NR 27 R 28 , or -C(O)OR 27 ,
- the cyclic moieties optionally may be substituted with one or more substituents selected from R 30 .
- Embodiment 114 A pharmaceutical composition according to embodiment 116 wherein R 17 and R 18 are independently selected from
- Embodiment 115 A pharmaceutical composition according to embodiment 117 wherein R 17 and R 18 are independently selected from
- Embodiment 116 A pharmaceutical composition according to embodiment 118 wherein R 17 and R 18 are independently selected from o hydrogen, halogen, -CH, -CF 3 , -NO 2 , -OR 27 , -NR 27 R 28 , or-C(O)OR 27 o d-Ce-alkyl optionally substituted with one or more substituents independently selected from R 29
- Embodiment 117 A pharmaceutical composition according to any one of the embodiments 79 to 119 wherein R 27 is hydrogen or CrC ⁇ -alkyl.
- Embodiment 118 A pharmaceutical composition according to embodiment 120 wherein R 27 is hydrogen, methyl or ethyl.
- Embodiment 119 A pharmaceutical composition according to any one of the embodiments 79 to 121 wherein R 28 is hydrogen or C G 6 -aIkyl.
- Embodiment 120 A pharmaceutical composition according to embodiment 122 wherein R 28 is hydrogen, methyl or ethyl.
- Embodiment 121 A pharmaceutical composition according to any one of the embodiments 79 to 123 wherein R 72 is -OH or phenyl.
- Embodiment 122 A pharmaceutical composition according to embodiment 79 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is
- Embodiment 123 A pharmaceutical composition according to embodiment 1 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is of the form H-l-J
- J is o d-Ce-alkyl, C 2 -C 6 -alkenyl or C 2 -C 6 -alkynyl, which may each optionally be substituted with one or more substituents selected from R 34 , o ryl, aryloxy, aryl-oxycarbonyl-, aroyl, aryl-d-Ce-alkoxy-, aryl-C 2 - C 6 -alkenyl-, aryl-C 2 -Ge-aIkynyl-, heteroaryl, heteroaryl-CrGe-alkyl-, heteroaryl-C 2 -C 6 - alkenyl- or heteroaryl-C 2 -C 6 -alkynyl-, wherein the cyclic moieties are optionally substituted with one or more substituents selected from R 37 , • Hydrogen,
- R 31 is independently selected from hydrogen, halogen, -CN, -CH 2 CN, -CHF 2 , -CF 3 , -OCF 3 , -OCHF 2 , -OCH 2 CF 3 , -OCF 2 CHF 2 , -S(O) 2 CF 3 , -SCF 3 , -NO 2 , -OR 35 , -C(O)R 35 , -NR 35 R 36 , -SR 35 , -NR 35 S(O) 2 R 36 , -S(O) 2 NR 35 R 36 , -S(O)NR 35 R 36 , -S(O)NR 35 R 36 , -S(O)R 35 , -S(O) 2 R 35 , -C(O)NR 35 R 36 , -OC(O)NR 35 R 36 , -NR 35 C(O)R 36 , -CH 2 C(O)NR 35 R 36 , -OCH 2 C(
- R 32 and R 33 are independently selected from hydrogen, C C 6 -alkyl or d-C 6 -alkanoyl,
- R 34 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 35 , and -NR 35 R 36 ,
- R 35 and R 36 are independently selected from hydrogen, d-C 6 -alkyl, aryl-d-C 6 -alkyl or aryl, or R 35 and R 36 when attached to the same nitrogen atom together with the said nitrogen atom may form a 3 to 8 membered heterocyclic ring optionally containing one or two further heteroatoms selected from nitrogen, oxygen and sulphur, and optionally containing one or two double bonds,
- R 37 is independently selected from halogen, -G(O)OR 35 , -C(O)H, -CN, -CF 3 , -OCF 3 , -NO 2 , - OR 35 , -NR 35 R 36 , d-Ce-alkyl or C C 6 -aIkanoyl, or any enantiomer, diastereomer, including a racemic mixture, tautomer as well as a salt thereof with a pharmaceutically acceptable acid or base.
- Embodiment 124 A pharmaceutical composition according to embodiment 126 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is of the form H-l-J, wherein H is
- phenyl, naphthalene or benzocarbazole rings are optionally substituted with one or more substituents independently selected from R 31 ,
- n 1 or 2
- R 31 is independently selected from hydrogen, halogen, -CN, -CH 2 CN, -CHF 2 , -CF 3 , -OCF 3 ,
- R 32 and R 33 are independently selected from hydrogen, CrC ⁇ -alkyl or G C 6 -alkanoyl,
- R 34 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 35 , and -NR 35 R 36 ,
- R 35 and R 36 are independently selected from hydrogen, Ci-Ge-alkyl, aryl-d-Ce-alkyl or aryl, or R 35 and R 36 when attached to the same nitrogen atom together with the said nitrogen atom may form a 3 to 8 membered heterocyclic ring optionally containing one or two further heteroatoms selected from nitrogen, oxygen and sulphur, and optionally containing one or two double bonds,
- R 37 is independently selected from halogen, -C(O)OR 35 , -C(O)H, -CN, -CF 3 , -OCF 3 , -NO 2 , - OR 35 , -NR 35 R 38 , d-Ce-alkyl or C r C 6 -alkanoyl,
- Embodiment 125 A pharmaceutical composition according to any one of the embodiments
- Embodiment 126 A pharmaceutical composition according to embodiment 128 wherein H is
- Embodiment 127 A pharmaceutical composition according to embodiment 128 wherein H is
- Embodiment 128 A pharmaceutical composition according to any one of the embodiments 126 to 130wherein I is a valence bond, -CH 2 N(R 32 )-, or -S0 2 N(R 33 )-.
- Embodiment 129 A pharmaceutical composition according to embodiment 131 wherein I is a valence bond.
- Embodiment 130 A pharmaceutical composition according to any one of the embodiments 126 to 132 wherein J is o hydrogen,
- Embodiment 131 A pharmaceutical composition according to embodiment 133 wherein J is
- Embodiment 132 A pharmaceutical composition according to embodiment 133 wherein J is
- Embodiment 133 A pharmaceutical composition according to embodiment 135 wherein J is o hydrogen, o phenyl or naphthyl optionally substituted with one or more substituents independently selected from R 37 .
- Embodiment 134 A pharmaceutical composition according to embodiment 136 wherein J is hydrogen.
- Embodiment 135. A pharmaceutical composition according to any one of the embodiments 126 to 137 wherein R 32 and R 33 are independently selected from hydrogen or C ⁇ -C 6 -alkyl.
- Embodiment 136. A pharmaceutical composition according to any one of the embodiments 126 to 138 wherein R 34 is hydrogen, halogen, -CN, -CF 3 , -OCF 3 , -SCF 3 , -NO 2 , -OR 35 , -C(O)R 35 , -NR 35 R 36 , -SR 35 , -C(O)NR 35 R 36 , -OC(O)NR 35 R 36 , -NR 35 C(O)R 36 , -OC(O)R 35 , -OC
- Embodiment 137 A pharmaceutical composition according to embodiment 139 wherein R 34 is hydrogen, halogen, -CF 3 , -N0 2 , -OR 35 , -NR 35 R 36 , -SR 35 , -NR 35 C(O)R 36 , or -C(O)OR 35 .
- Embodiment 138 A pharmaceutical composition according to embodiment 140 wherein R 34 is hydrogen, halogen, -CF 3 , -N0 2 , -OR 35 , -NR 35 R 36 , or -NR 35 C(0)R 36 .
- Embodiment 139 A pharmaceutical composition according to embodiment 141 wherein R 34 is hydrogen, halogen, or -OR 35 .
- Embodiment 140 A pharmaceutical composition according to any one of the embodiments.
- R 35 and R 36 are independently selected from hydrogen, C C 6 -alkyl, or aryl.
- Embodiment 141 A pharmaceutical composition according to embodiment 143 wherein R 35 and R 36 are independently selected from hydrogen or d-C 6 -alkyl.
- Embodiment 142 A pharmaceutical composition according to any one of the embodiments
- R 37 is halogen, -C(O)OR 35 , -CN, -CF 3 , -OR 35 , -NR 35 R 36 , C ⁇ -C 6 -alkyl or C
- Embodiment 143 A pharmaceutical composition according to embodiment 145 wherein R 37 is halogen, -C(O)OR 35 , -OR 35 , -NR 35 R 36 , d-C 6 -alkyl or d-C 6 -alkanoyl.
- Embodiment 144 A pharmaceutical composition according to embodiment 146 wherein R 37 is halogen, -C(O)OR 35 or -OR 35 .
- Embodiment 145 A pharmaceutical composition according to embodiment 1 wherein the ligand that binds reversibly to a HisB10 Zn 2+ site of an R-state insulin hexamer is
- U is a valence bond, d-C 6 -alkenylene, -C C 6 -alkyl-O- or C C 6 -alkylene wherein any C C 6 -alkyl moiety is optionally substituted with d-C 6 -alkyl,
- R 38 is GrG ⁇ -alkyl, aryl, wherein the alkyl or aryl moieties are optionally substituted with one or more substituents independently selected from R 39 , R 39 is independently selected from halogen, cyano, nitro, amino,
- M is a valence bond, arylene or heteroarylene, wherein the aryl or heteroaryl moieties are optionally substituted with one or more substituents independently selected from R 40 ,
- R 40 is selected from o hydrogen, halogen, -CN, -CH 2 CN, -CHF 2 , -CF 3 , -OCF 3 , -OCHF 2 , -OCH 2 CF 3 , -OCF 2 CHF 2 , -S(O) 2 CF 3 , -OS(0) 2 CF 3 , -SCF 3 , -N0 2 , -OR 41 , -NR 41 R 42 , -SR 41 , -NR 41 S(0) 2 R 42 , -S(0) 2 NR 41 R 42 , -S(O)NR 41 R 42 , -S(0)R 41 , -S(0) 2 R 41 , -OS(O) 2 R 41 , -C(O)NR 41 R 42 , -OC(0)NR 41 R 42 , -NR 41 C(O)R 42 , -CH 2 C(O)NR 41 R 42 , -OC C 6 - alkyl-C(O)NR
- R 41 and R 42 are independently selected from hydrogen, -OH, d-Ce-alkyl, d-Ce-alkenyl, aryl- d-Ce-alkyl or aryl, wherein the alkyl moieties may optionally be substituted with one or more substituents independently selected from R 45 , and the aryl moieties may optionally be substituted with one or more substituents independently selected from R 46 ; R 41 and R 42 when attached to the same nitrogen atom may form a 3 to 8 membered heterocyclic ring with the said nitrogen atom, the heterocyclic ring optionally containing one or two further heteroatoms selected from nitrogen, oxygen and sulphur, and optionally containing one or two double bonds,
- R 43 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 41 , and -NR 41 R 42 R 44 is independently selected from halogen, -C(O)OR 41 , -CH 2 C(O)OR 41 , -CH 2 OR 41 , -CN, -
- R 45 is independently selected from halogen, -CN, -CF 3 , -OGF 3 , -O-C Ce-alkyl, -C(0)-O-C
- R 46 is independently selected from halogen, -G(0)Od-G 6 -alkyl, -COOH, -CN, -CF 3 , -OCF 3 , -
- R 47 and R 48 are independently selected from hydrogen, d-C 6 -alkyl, aryl optionally substituted with one or more R 49 ,
- R 49 is independently selected from halogen and -COOH
- any alkyl, alkenyl , alkynyl, aryl and heteroaryl moiety is optionally substituted with one or more substituents independently selected from R so ,
- R 53 is independently selected from d-Ce-alkyl, d-C 6 -alkoxy, -d-Ce-alkyl-COOH, -C 2 -
- Embodiment 149 A pharmaceutical composition according to embodiment 151 wherein K is a valence bond or C C 6 -alkylene, wherein any d-C 6 -alkyl moiety is optionally substituted with R 38 .
- Embodiment 151 A pharmaceutical composition according to embodiment 152 wherein K is a valence bond.
- Embodiment 152 A pharmaceutical composition according to any one of the embodiments
- U is a valence bond or -C C 6 -alkyl-O-.
- Embodiment 153 A pharmaceutical composition according to embodiment 155 wherein U is a valence bond.
- Embodiment 154 A pharmaceutical composition according to any one of the embodiments
- M is arylene or heteroarylene, wherein the arylene or heteroarylene moieties are optionally substituted with one or more substituents independently selected from
- Embodiment 155 A pharmaceutical composition according to embodiment 157 wherein is
- Embodiment 156 A pharmaceutical composition according to embodiment 158 wherein M is
- Embodiment 157 A pharmaceutical composition according to embodiment 159 wherein M is
- Embodiment 158 A pharmaceutical composition according to embodiment 160 wherein M is phenylene optionally substituted with one or more substituents independently selected from
- Embodiment 159 A pharmaceutical composition according to embodiment 160 wherein M is indolylene optionally substituted with one or more substituents independently selected from
- Embodiment 160 A pharmaceutical composition according to embodiment 162 wherein M is
- Embodiment 161 A pharmaceutical composition according to embodiment 160 wherein M is carbazolylene optionally substituted with one or more substituents independently selected from R 40 .
- Embodiment 162. A pharmaceutical composition according to embodiment 164 wherein M is
- Embodiment 163 A pharmaceutical composition according to any one of the embodiments.
- R 40 is selected from
- a pharmaceutical composition according to embodiment 166 wherein R 40 is selected from o hydrogen, halogen, -CN, -CF 3 , -OCF 3 , -N0 2 , -OR 41 , -NR 41 R 42 , -SR 41 , -S(0) 2 R 41 , -NR 41 C(0)R 42 , -Od-C 6 -alkyl-C(0)NR 41 R 42 , -C 2 -C 6 -alkenyl-C( O)OR 41 !
- Ci-C ⁇ -alkyl or C 2 -C 6 - alkenyl which may each optionally be substituted with one or more substituents independently selected from R 43 ,
- Embodiment 165 A pharmaceutical composition according to embodiment 167 wherein R 40 is selected from
- Embodiment 166 A pharmaceutical composition according to embodiment 168 wherein R 40 is selected from
- Embodiment 167 A pharmaceutical composition according to any one of the embodiments 148 to 170 wherein R 41 and R 42 are independently selected from hydrogen, d-Ce-alkyl, or aryl, wherein the aryl moieties may optionally be substituted with halogen or -COOH.
- Embodiment 168. A pharmaceutical composition according to embodiment 171 wherein R 41 and R 42 are independently selected from hydrogen, methyl, ethyl, or phenyl, wherein the phenyl moieties may optionally be substituted with halogen or -COOH.
- Embodiment 169 A pharmaceutical composition according to any one of the embodiments 148 to 170 wherein R 41 and R 42 are independently selected from hydrogen, d-Ce-alkyl, or aryl, wherein the aryl moieties may optionally be substituted with halogen or -COOH.
- Embodiment 171. A pharmaceutical composition according to any one of the embodiments 148 to 174 wherein R 4 ' and R 48 are independently selected from hydrogen, methyl and phenyl.
- Embodiment 172 A pharmaceutical composition according to any one of the embodiments 148 to 178 wherein T is o Hydrogen,
- Embodiment 173 A pharmaceutical composition according to embodiment 179 wherein T is
- Embodiment 174 A pharmaceutical composition according to embodiment 180 wherein T is
- Embodiment 176 A pharmaceutical composition according to embodiment 183 wherein R 50 is CrCe-alkyl, GrC 6 -alkoxy, aryl, aryloxy, aryl-d-Ce-alkoxy , -OR 51 , -NO 2 , halogen, -COOH, -CF 3 , wherein any aryl moiety is optionally substituted with one or more R 53 .
- R 50 is CrCe-alkyl, GrC 6 -alkoxy, aryl, aryloxy, aryl-d-Ce-alkoxy , -OR 51 , -NO 2 , halogen, -COOH, -CF 3 , wherein any aryl moiety is optionally substituted with one or more R 53 .
- Embodiment 177 Embodiment 177.
- Embodiment 178 A pharmaceutical composition according to embodiment 185 wherein R 50 is d-C ⁇ -alkyl, ArG1-0-, ArG1-C C ⁇ -alkoxy , -OR 51 , halogen, -COOH, -CF 3 , wherein any aryl moiety is optionally substituted with one or more R 53 .
- Embodiment 179 A pharmaceutical composition according to embodiment 186 wherein R 50 is phenyl, methyl or ethyl.
- Embodiment 180 A pharmaceutical composition according to embodiment 188 wherein R 50 is methyl or ethyl.
- Embodiment 18 A pharmaceutical composition according to any one of the embodiments.
- Embodiment 182 A pharmaceutical composition according to any one of the embodiments.
- R 53 is CrC 6 -alkyl, CrC 6 -alkoxy, -OR 51 , halogen.or -CF 3 .
- Embodiment 183 A pharmaceutical composition according to embodiment 1 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is
- V is CrCe-alkyl, aryl, heteroaryl, aryl-C - 6 -alkyl- or aryl-C 2 . 6 -alkenyl-, wherein the alkyl or alkenyl is optionally substituted with one or more substituents independently selected from R 54 , and the aryl or heteroaryl is optionally substituted with one or more substituents independently selected from R 55 ,
- R 54 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , aryl, -COOH and -NH 2)
- R 55 is independently selected from
- R 58 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 56 , and -NR 56 R 57 ,
- R 59 is independently selected from halogen, -C(O)OR 56 , -CH 2 C(O)OR 56 , -CH 2 OR 56 , -CN, - CF 3 , -OCF 3 , -NO 2 , -OR 56 , -NR 56 R 57 and d-C 6 -alkyl,
- R 62 is d-Ce-alkyl, aryl optionally substituted with one or more substituents independently selected from halogen, or heteroaryl optionally substituted with one or more d-C 6 -alkyl independently, or any enantiomer, diastereomer, including a racemic mixture, tautomer as well as a salt thereof with a pharmaceutically acceptable acid or base.
- Embodiment 184 A pharmaceutical composition according to embodiment 196 wherein V is aryl, heteroaryl, or aryl-d- 6 -alkyl-, wherein the alkyl is optionally substituted with one or more substituents independently selected R 54 , and the aryl or heteroaryl is optionally substituted with one or more substituents independently selected from R 55 .
- Embodiment 185 A pharmaceutical composition according to embodiment 197 wherein V is aryl, Het1 , or aryl-C ⁇ . 6 -alkyl-, wherein the alkyl is optionally substituted with one or more substituents independently selected from R 54 , and the aryl or heteroaryl moiety is optionally substituted with one or more substituents independently selected from R 55 .
- Embodiment 186 A pharmaceutical composition according to embodiment 198 wherein V is aryl, Het2, or aryl-d.
- Embodiment 187 A pharmaceutical composition according to embodiment 199 wherein V is aryl, Het3, or aryl-C ⁇ . 6 -alkyl-, wherein the alkyl is optionally substituted with one or more substituents independently selected from R 54 , and the aryl or heteroaryl moiety is optionally substituted with one or more substituents independently selected from R 55 .
- Embodiment 191 A pharmaceutical composition according to embodiment 203 wherein V is phenyl optionally substituted with one or more substituents independently selected from R 55 .
- Embodiment 192. A pharmaceutical composition according to any one of the embodiments 196 to 204 wherein R 55 is independently selected from o halogen, d-Ce-alkyl, -CN, -OCF 3 ,-CF 3 , -NO 2 , -OR 56 , -NR 56 R 57 , -NR 56 G(O)R 57
- Embodiment 195 A pharmaceutical composition according to embodiment 207 wherein R 55 is independently selected from halogen, -OR 56 , -NR 56 R 57 , -C(O)OR 56 , -OC C 8 - alkyl-C(O)OR 56 , -NR 56 C(O)R 57 , methyl or ethyl.
- Embodiment 197 A pharmaceutical composition according to embodiment 209 wherein R 56 and R 57 are independently selected from hydrogen or d-C 2 -alkyl, R 56 and R 57 when attached to the same nitrogen atom may form a 3 to 8 membered heterocyclic ring with the said nitrogen atom.
- Embodiment 198 A pharmaceutical composition according to embodiment 210 wherein R 56 and R 57 are independently selected from hydrogen or methyl, ethyl, propyl butyl, R 56 and R 57 when attached to the same nitrogen atom may form a 3 to 8 membered heterocyclic ring with the said nitrogen atom.
- Embodiment 199 A pharmaceutical composition according to embodiment 1 wherein the ligand that binds reversibly to a HisBlO Zn 2+ site of an R-state insulin hexamer is
- AA is d-Ce-alkyl, aryl, heteroaryl, aryl-G - 6 -alkyl- or aryl-G 2 - 6 -alkenyl-, wherein the alkyl or alkenyl is optionally substituted with one or more substituents independently selected from R 63 , and the aryl or heteroaryl is optionally substituted with one or more substituents independently selected from R 64 ,
- R 63 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , aryl, -COOH and -NH 2 ,
- R 64 is independently selected from
- R 67 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OR 65 , and -NR 65 R 66 ,
- R 68 is independently selected from halogen, -G(O)OR 65 , -CH 2 C(O)OR 65 , -CH 2 OR 65 , -CN, - CF 3 , -OCF 3 , -N0 2 , -OR 65 , -NR 65 R 66 and d-C ⁇ - ⁇
- R 69 is independently selected from d-C ⁇ -alkyl, aryl optionally substituted with one or more halogen, or heteroaryl optionally substituted with one or more d-C ⁇ -alkyl,
- R 70 is independently selected from halogen, -CN, -CF 3 , -OCF 3 , -OCrC 6 -alkyl, -C(O)Od-C 6 - alkyl, -COOH and -NH 2 ,
- Embodiment 200 A pharmaceutical composition according to embodiment 212 wherein AA is aryl, heteroaryl or aryl-Ci- ⁇ -alkyl-, wherein the alkyl is optionally substituted with one or more R 63 , and the aryl or heteroaryl is optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 201 A pharmaceutical composition according to embodiment 213 wherein AA is aryl or heteroaryl optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 202 A pharmaceutical composition according to embodiment 214 wherein AA is ArG1 or Het1 optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 203 A pharmaceutical composition according to embodiment 215 wherein AA is ArG1 or Het2 optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 204 A pharmaceutical composition according to embodiment 216 wherein AA is ArG1 or Het3 optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 205 A pharmaceutical composition according to embodiment 217 wherein AA is phenyl, naphtyl, anthryl, carbazolyl, thienyl, pyridyl, or benzodioxyl optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 206 A pharmaceutical composition according to embodiment 218 wherein AA is phenyl or naphtyl optionally substituted with one or more substituents independently selected from R 64 .
- Embodiment 207 A pharmaceutical composition according to any one of the embodiments 212 to 219 wherein R 64 is independently selected from hydrogen, halogen, -CF 3 , -OCF 3 , -OR 65 , -NR 65 R 66 , d-Ce-alkyl , -OC(O)R 65 , -OCrC 6 -alkyl-C(O)OR 65 , aryl-C 2 -C 6 -alkenyl, aryloxy or aryl, wherein C C 6 -alkyl is optionally substituted with one or more substituents independently selected from R 67 , and the cyclic moieties optionally are substituted with one or more substituents independently selected from R 68 .
- R 64 is independently selected from hydrogen, halogen, -CF 3 , -OCF 3 , -OR 65 , -NR 65 R 66 , d-Ce-alkyl , -OC(O)R 65 , -
- Embodiment 208 A pharmaceutical composition according to embodiment 220 wherein R 64 is independently selected from halogen, -CF 3 , -OCF 3 , -OR 65 , -NR 65 R 66 , methyl, ethyl, propyl, -OC(O)R 65 , -OCH 2 -C(O)OR 65 , -OCH 2 -CH 2 -C(O)OR 65 , phenoxy optionally substituted with one or more substituents independently selected from R 68 .
- Embodiment 209 A pharmaceutical composition according to any one of the embodiments 212 to 221 wherein R 65 and R 66 are independently selected from hydrogen, CF 3 , C C ⁇ 2 -alkyl, aryl, or heteroaryl optionally substituted with one or more substituents independently selected from R 71 .
- Embodiment 210 A pharmaceutical composition according to embodiment 222 wherein R 65 and R 66 are independently hydrogen, d-C ⁇ 2 -alkyl, aryl, or heteroaryl optionally substituted with one or more substituents independently selected from R 71 .
- Embodiment 211 A pharmaceutical composition according to embodiment 223 wherein R 65 and R 66 are independently hydrogen, methyl, ethyl, propyl, butyl, 2,2-dimethyl-propyl, ArG1 or Het1 optionally substituted with one or more substituents independently selected from R 71 .
- Embodiment 212. A pharmaceutical composition according to embodiment 224 wherein R 65 and R 66 are independently hydrogen, methyl, ethyl, propyl, butyl, 2,2-dimethyl-propyl, ArG1 or Het2 optionally substituted with one or more substituents independently selected from R 71 .
- Embodiment 215. A pharmaceutical composition according to any one of the embodiments 212 to 227 wherein R 71 is halogen or d-Ce-alkyl.
- Embodiment 216 A pharmaceutical composition according to embodiment 228 wherein R 71 is halogen or methyl.
- Embodiment 217 Method of prolonging the action of an insulin preparation comprising insulin, protamine and zinc ions wherein said method comprises adding a zinc-binding ligand according to any of embodiments 21 to 216 to the insulin preparation.
- Embodiment 218 A method of treating type 1 or type 2 diabetes comprising administering to a patient in need thereof a therapeutically effective amount of a pharmaceutical preparation according to any one of the embodiments 1 to216.
- Embodiment 219. Use of a preparation according to any one of the embodiments 1 to 216for the preparation of a medicament for treatment of type 1 or type 2 diabetes.
- Embodiment 220. A method of preparing a pharmaceutical preparation comprising the steps of mixing
- Embodiment 22 A method according to embodiment 233 wherein the ligand for the His 810
- Zn 2+ site is added to the mixture before crystal growth.
- Embodiment 222 A method according to embodiment 233 wherein the ligand for the His 810
- novel NPH-insulin preparations disclosed here can be used for parenteral or pulmonal administration.
- NPH preparations of the present invention are used in connection with pen-like injection devices, which may be prefilled and disposable, or the insulin preparations may be supplied from a reservoir which is removable.
- pen-like injection devices are FlexPen ® , InnoLet ® , InDuoTM, Innovo ® .
- NPH preparations of the present invention may be used in connection with devices for pulmonary administration of aqueous insulin preparations.
- the NPH preparation of the invention is dried to form a powder.
- suitable devices used in pulmonary administration of a NPH preparation according to the present invention may be the dry powder formulation and delivery devices being developed by Inhale Therapeutic Systems, Inc., and the Spiros® dry powder inhaler system being developed by Dura Pharmaceuticals, Inc.
- the zinc-binding ligand for the His 810 Zn 2+ site is present in the preparation in a smaller concentration than that of Zn + -
- not all of the insulin hexamers will have zinc-binding ligand for the His 810 Zn 2+ site present, and thus insulin from these hexamers will be released rapidly.
- Such a preparation will therefore have a dual-release profile after administration, i.e. the administration will result in a both a rapid release of insulin and a protracted release.
- Insulin formulations of the invention are usually administered from multi-dose containers where a preservative effect is desired. Since phenolic preservatives also stabilize the R-state hexamer the formulations may contain up to 50 mM of phenolic molecules.
- the phenolic molecules in the insulin formulation may be selected from the group consisting of phenol, m- cresol, chloro-cresol, thymol, m-chlor-phenol, resorcinole, 7-hydroxyindole or any mixture thereof.
- 0.5 to 5.0 mg/ml of phenolic compound may be employed.
- 0.6 to 5.0 mg/ml of m-cresol may be employed.
- 0.5 to 5.0 mg/ml of phenol may be employed.
- 1.4 to 5.0 mg/ml of phenol may be employed.
- 0.5 to 5.0 mg/ml of a mixture of m-cresol or phenol may be employed.
- 1.4 to 5.0 mg/ml of a mixture of m-cresol or phenol may be employed.
- the pharmaceutical preparation may further comprises a buffer substance, such as a TRIS, phosphate, glycine or glycylglycine (or another ⁇ witterionic substance) buffer, an isotonicity agent, such as NaCl, glycerol, mannitol and/or lactose.
- a buffer substance such as a TRIS, phosphate, glycine or glycylglycine (or another ⁇ witterionic substance) buffer
- an isotonicity agent such as NaCl, glycerol, mannitol and/or lactose.
- Chloride would be used at moderate concentrations (e.g. up to 50 mM) to avoid competition with the zinc-site ligands of the present invention.
- the action of insulin may further be slowed down in vivo by the addition of physiologically acceptable agents that increase the viscosity of the pharmaceutical preparation.
- the pharmaceutical preparation according to the invention may furthermore comprise an agent which increases the viscosity, such as polyethylene glycol, polypropylene glycol, copolymers thereof, dextrans and/or polylactides.
- the insulin preparation of the invention comprises between 0.001 % by weight and 1 % by weight of a non-ionic surfactant, for example tween 20 or Poloxamer 188.
- a non-ionic surfactant for example tween 20 or Poloxamer 188.
- the insulin preparation of the present invention may have a pH value in the range of 3.5 to 8.5, more preferably 7.1 to 7.9.
- the invention furthermore relates to treatment of a patient in which the pharmaceutical preparation of the invention, i.e. comprising zinc ions, acid-stabilised insulin analogue and a ligand for the R-state His 810 Zn 2+ site, is combined with another form of treatment.
- the pharmaceutical preparation of the invention i.e. comprising zinc ions, acid-stabilised insulin analogue and a ligand for the R-state His 810 Zn 2+ site
- treatment of a patient with the pharmaceutical preparation of the invention is combined with diet and/or exercise.
- the pharmaceutical preparation of the invention is administered in combination with one or more further active substances in any suitable ratios.
- Such further active substances may e.g. be selected from antiobesity agents, antidiabetics, antihypertensive agents, agents for the treatment of complications resulting from or associated with diabetes and agents for the treatment of complications and disorders resulting from or associated with obesity.
- the pharmaceutical preparation of the invention may be administered in combination with one or more antiobesity agents or appetite regulating agents.
- Such agents may be selected from the group consisting of CART (cocaine amphetamine regulated transcript) agonists, NPY (neuropeptide Y) antagonists, ⁇ V1C4 (rnelano- cortin 4) agonists, MC3 (melanocortin 3) agonists, orexin antagonists, TNF (tumor necrosis factor) agonists, CRF (corticotropin releasing factor) agonists, CRF BP (corlicotropin releasing factor binding protein) antagonists, urocortin agonists, ⁇ 3 adrenergic agonists such as CL-316243, AJ-9677, GW-0604, LY362884, LY377267 or AZ-40140, MSH (melanoeyte- stimulating hormone) agonists, MCH (melanocyte-concentrating hormone) antagonists, CGK (cholecystokinin) agonists, serotonin re-uptake inhibitors such
- the antiobesity agent is leptin.
- the antiobesity agent is dexamphetamine or amphetamine.
- the antiobesity agent is fenfluramine or dexfenfluramine.
- the antiobesity agent is sibutramine.
- the antiobesity agent is orlistat.
- the antiobesity agent is mazindol or phentermine.
- the antiobesity agent is phendimetrazine, diethylpropion, fluoxetine, bupropion, topiramate or ecopipam.
- the orally active hypoglycemic agents comprise imidazolines, sulphonylureas, biguanides, meglitinides, oxadiazolidinediones, thiazolidinediones, insulin sensitizers, insulin secretagogues such as glimepride, ⁇ -glucosidase inhibitors, agents acting on the ATP- dependent potassium channel of the ⁇ -cells eg potassium channel openers such as those disclosed in WO 97/26265, WO 99/03861 and WO 00/37474 (Novo Nordisk A/S) which are incorporated herein by reference, or mitiglinide, or a potassium channel blocker, such as BTS-67582, nateglinide, glucagon antagonists such as those disclosed in WO 99/01423 and WO 00/39088 (Novo Nordisk A/S and Agouron Pharmaceuticals, Inc.), which are incorporated herein by reference, GLP-1 agonists such as those disclosed in WO
- the pharmaceutical preparation of the invention is administered in combination with a sulphonylurea e.g. tolbutamide, chlorpropa- mide, tolazamide, glibenclamide, glipizide, glimepiride, glicazide or glyburide.
- a sulphonylurea e.g. tolbutamide, chlorpropa- mide, tolazamide, glibenclamide, glipizide, glimepiride, glicazide or glyburide.
- the pharmaceutical preparation of the invention is administered in combination with a biguanide, e.g. metformin.
- a biguanide e.g. metformin.
- the pharmaceutical preparation of the invention is administered in combination with a meglitinide eg repaglinide or nateglinide.
- the pharmaceutical preparation of the invention is administered in combination with a thiazolidinedione insulin sensitizer, e.g. trogli- tazone, ciglitazone, pioglitazone, rosiglitazone, isaglitazone, darglitazone, englitazone, CS- 011/CI-1037 or T 174 or the compounds disclosed in WO 97/41097, WO 97/41119, WO 97/41120, WO 00/41121 and WO 98/45292 (Dr. Reddy's Research Foundation), which are incorporated herein by reference.
- a thiazolidinedione insulin sensitizer e.g. trogli- tazone, ciglitazone, pioglitazone, rosiglitazone
- the pharmaceutical preparation of the invention may be administered in combination with an insulin sensitizer, e.g. such as GI 262570, YM-440, MCC-555, JTT-501 , AR-H039242, KRP-297, GW-409544, CRE-16336, AR-H049020, LY510929, MBX- 02, CLX-0940, GW-501516 or the compounds disclosed in WO 99/19313, WO 00/50414, WO 00/63191, WO 00/63192, WO 00/63193 (Dr.
- an insulin sensitizer e.g. such as GI 262570, YM-440, MCC-555, JTT-501 , AR-H039242, KRP-297, GW-409544, CRE-16336, AR-H049020, LY510929, MBX- 02, CLX-0940, GW-501516 or the compounds disclosed in WO 99/19313, WO 00/50414
- the pharmaceutical preparation of the invention is administered in combination with an ⁇ -glucosidase inhibitor, e.g. voglibose, emigli- tate, miglitol or acarbose.
- an agent acting on the ATP-dependent potassium channel of the ⁇ -cells e.g. tolbutamide, glibenclamide, glipizide, glicazide, BTS-67582 or re- paglinide.
- the pharmaceutical preparation of the invention may be administered in combination with nateglinide.
- the pharmaceutical preparation of the invention is administered in combination with an antilipidemic agent, e.g. cholestyramine, coleslipol, clofibrate, gemfibro ⁇ il, lovastatin, pravaslatin, simvastatin, probucol or dextrothy- roxine.
- an antilipidemic agent e.g. cholestyramine, coleslipol, clofibrate, gemfibro ⁇ il, lovastatin, pravaslatin, simvastatin, probucol or dextrothy- roxine.
- the pharmaceutical preparation of the invention is administered in combination with more than one of the above-mentioned compounds, e.g. in combination with metformin and a sulphonylurea such as glyburide; a sulphonylurea and acarbose; nateglinide and metformin; acarbose and metformin; a sulphonylurea, metformin and troglitazone; metformin and a sulphonylurea; etc.
- metformin and a sulphonylurea such as glyburide
- a sulphonylurea and acarbose such as glyburide
- a sulphonylurea and acarbose such as glyburide
- a sulphonylurea and acarbose such as glyburide
- the pharmaceutical preparation of the invention may be administered in combination with one or more antihypertensive agents.
- antihypertensive agents are ⁇ -blockers such as alprenolol, atenolol, timolol, pindolol, propranolol and metoprolol, ACE (angiotensin converting enzyme) inhibitors such as benazepril, captopril, enalapril, fosinopril, lisinopril, quinapril and ramipril, calcium channel blockers such as nifedipine, felodipine, nicardipine, isradipine, nimodipine, diltiazem and verapamil, and ⁇ - blockers such as doxazosin, urapidil, prazosin and terazosin.
- the pharmaceutical preparation of the invention may also be combined with NEP inhibitors such as candoxatril.
- the HPLC pump was connected to two eluent reservoirs containing:
- the analysis was performed at 40 °C by injecting an appropriate volume of the sample (preferably 1 ⁇ L) onto the column, which was eluted with a gradient of acetonitrile.
- an appropriate volume of the sample preferably 1 ⁇ L
- the HPLC conditions, detector settings and mass spectrometer settings used are given in the following table.
- Sciex AP1 100 Single quadropole mass spectrometer
- a Valco column switch with a Valco actuator controlled by timed events from the pump is a Valco column switch with a Valco actuator controlled by timed events from the pump.
- the Sciex Sample control software running on a Macintosh PowerPC 7200 computer was used for the instrument control and data acquisition.
- the HPLC pump was connected to four eluent reservoirs containing:
- samples contain approximately 500 ⁇ g/mL of the compound to be analysed in an acceptable solvent such as methanol, ethanol, acetonitrile, THF, water and mixtures thereof. (High concentrations of strongly eluting solvents will interfere with the chromatography at low acetonitrile concentrations.)
- an acceptable solvent such as methanol, ethanol, acetonitrile, THF, water and mixtures thereof.
- the analysis was performed at room temperature by injecting 20 ⁇ L of the sample solution on the column, which was eluted with a gradient of acetonitrile in either 0.05% TFA or 0.002 M ammonium acetate. Depending on the analysis method varying elution conditions were used.
- the eluate from the column was passed through a flow splitting T-connector, which passed approximately 20 ⁇ L/min through approx. 1 m. 75 ⁇ fused silica capillary to the API interface of AP1 100 spectrometer.
- the remaining 1.48 mL/min was passed through the UV detector and to the ELS detector.
- the detection data were acquired concurrently from the mass spectrometer, the UV detector and the ELS detector.
- the HPLC pump is connected to two eluent reservoirs containing:
- ELS analogue output from ELS
- a Valco column switch with a Valco actuator controlled by timed events from the pump is a Valco column switch with a Valco actuator controlled by timed events from the pump.
- the Sciex Sample control software running on a Macintosh Power G3 computer was used for the instrument control and data acquisition.
- the HPLC pump was connected to two eluent reservoirs containing:
- the analysis was performed at room temperature by injecting 20 ⁇ l of the sample solution on the column, which was eluted with a gradient of acetonitrile in 0.05% TFA
- the eluate from the column was passed through a flow splitting T-connector, which passed approximately 20 ⁇ l/min through approx. 1 m 75 ⁇ fused silica capillary to the API interface of AP1 150 spectrometer.
- the remaining 1.48 ml/min was passed through the UV detector and to the ELS detector.
- the detection data were acquired concurrently from the mass spectrometer, the UV detector and the ELS detector.
- LG conditions, detector settings and mass spectrometer settings used for the different methods are given in the following table.
- D, E and R 19 are as defined above, and E is optionally substituted with up to three substituents R 21 , R 22 and R 23 independently as defined above.
- the carboxylic acid of 1 H-ben ⁇ otriazoIe-5-carboxylic acid is activated, ie the OH functionality is converted into a leaving group L (selected from eg fluorine, chlorine, bromine, iodine, 1- imida ⁇ olyl, 1,2,4-tria ⁇ oIyl, 1-ben ⁇ otriazolyloxy, 1-(4-aza benzotriazolyl)oxy, pentafluoro- phenoxy, N-succinyloxy 3,4-dihydro-4-oxo-3-(1,2,3-benzotriazinyl)oxy, benzotriazole 5-COO, or any other leaving group known to act as a leaving group in acylation reactions.
- L selected from eg fluorine, chlorine, bromine, iodine, 1- imida ⁇ olyl, 1,2,4-tria ⁇ oIyl, 1-ben ⁇ otriazolyloxy, 1-(4-aza benzotriazolyl)
- the activated benzotriazole-5-carboxylic acid is then reacted with R 2 -(CH 2 ) n -B' in the presence of a base.
- the base can be either absent (i.e. R 2 -(CH 2 ) n -B' acts as a base) or triethylamine, N- ethyl-N,N.-diisopropylamine, N-methylmorpholine, 2,6-lutidine, 2,2,6,6-tetramethylpiperidine, potassium carbonate, sodium carbonate, caesium carbonate or any other base known to be useful in acylation reactions.
- the reaction is performed in a solvent solvent such as THF, di- oxane, toluene, dichloromethane, DMF, NMP or a mixture of two or more of these.
- a solvent solvent such as THF, di- oxane, toluene, dichloromethane, DMF, NMP or a mixture of two or more of these.
- the reaction is performed between 0 °C and 80 °C, preferably between 20 °C and 40 °C.
- the product is isolated by extraction, filtration, chromatography or other methods known to those skilled in the art.
- Benzotria ⁇ ole-5-carboxylic acid (856 mg), HOAt (715 mg) and EDAC (1.00 g) were dissolved in DMF (17.5 mL) and the mixture was stirred at room temperature 1 hour. A 0.5 mL aliqot of this mixture was added to aniline (13.7 L, 0.15 mmol) and the resulting mixture was vigorously shaken at room temperature for 16 hours. 1N hydrochloric acid (2 mL) and ethyl ace- tate (1 mL) were added and the mixture was vigorously shaken at room temperature for 2 hours. The organic phase was isolated and concentrated in vacuo to afford the title compound.
- the compounds in the following examples were similarly made.
- the compounds may be isolated by filtration or by chromatography.
- a base such as sodium acetate, potassium acetate, ammonium a
- the compounds in the following examples were similarly prepared.
- the compounds can be further purified by filtration and washing with water, ethanol and / or heptane instead of concentration in vacuo.
- the compounds can be purified by washing with ethanol, water and/or heptane, or by chromatography, such as preparative HPLC.
- Example 67 General procedure (B)) 5-(4-Dimethylaminobenzylidene)thiazolidine-2,4-dione
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Abstract
Description
Claims
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DKPA200300383 | 2003-03-13 | ||
| DK200300383 | 2003-03-13 | ||
| US45534103P | 2003-03-17 | 2003-03-17 | |
| US455341P | 2003-03-17 | ||
| PCT/DK2004/000160 WO2004080481A1 (en) | 2003-03-13 | 2004-03-12 | Novel nph insulin preparations |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP1605967A1 true EP1605967A1 (en) | 2005-12-21 |
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ID=32992157
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP04719932A Withdrawn EP1605967A1 (en) | 2003-03-13 | 2004-03-12 | Novel nph insulin preparations |
Country Status (3)
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| EP (1) | EP1605967A1 (en) |
| JP (1) | JP2006519791A (en) |
| WO (1) | WO2004080481A1 (en) |
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|---|---|---|---|---|
| MX2007003897A (en) * | 2004-10-05 | 2007-05-21 | Novo Nordisk As | A pharmaceutical formulation comprising crystalline insulin and dissolved insulin. |
| WO2006104400A1 (en) * | 2005-03-26 | 2006-10-05 | Protemix Corporation Limited | Copper antagonist compositions |
| WO2006104396A1 (en) * | 2005-03-26 | 2006-10-05 | Protemix Corporation Limited | Pre-complexed copper antagonist compositions |
| CN101217965B (en) * | 2005-07-07 | 2012-07-18 | 学校法人浦项工科大学校 | Glucose uptake modulator and method for treating diabetes or diabetic complications |
| EP2468752A1 (en) | 2005-08-04 | 2012-06-27 | Sirtris Pharmaceuticals, Inc. | Thiazolopyridine derivatives as sirtuin-modulators |
| JP5191155B2 (en) * | 2006-03-27 | 2013-04-24 | 大塚製薬株式会社 | Medicaments comprising carbostyril compounds |
| CL2008001821A1 (en) | 2007-06-20 | 2009-03-13 | Sirtris Pharmaceuticals Inc | Imidazo [2,1-b] -thiazole derived compounds; pharmaceutical composition comprising said compound; and use of the compound for the treatment of diabetes, metabolic syndrome, insulin resistance, among others. |
| CN102731429A (en) * | 2012-07-18 | 2012-10-17 | 西南大学 | 5-arylmethylenethiazolidine-2,4-diketone and synthesis method and application thereof |
| SG11201600108PA (en) | 2013-07-17 | 2016-02-26 | Otsuka Pharma Co Ltd | Cyanotriazole compounds |
| EP3229807A4 (en) | 2014-12-11 | 2018-10-17 | President and Fellows of Harvard College | Inhibitors of cellular necrosis and related methods |
| JP6853619B2 (en) * | 2015-01-16 | 2021-03-31 | 大塚製薬株式会社 | Pharmaceutical use of cyanotriazole compounds |
| WO2017176812A1 (en) | 2016-04-05 | 2017-10-12 | Immune Sensor, Llc | cGAS ANTAGONIST COMPOUNDS |
| MX389692B (en) | 2017-02-24 | 2025-03-20 | Univ California | COMPOSITIONS AND METHODS FOR PROMOTING HAIR GROWTH WITH MPC INHIBITORS. |
| IL271443B2 (en) * | 2017-06-30 | 2024-01-01 | Univ California | Preparations and methods for regulating hair growth |
| US10654828B2 (en) * | 2017-07-28 | 2020-05-19 | Novartis Ag | Indole derivatives and uses thereof |
| CN113929588B (en) * | 2020-06-29 | 2023-08-15 | 沈阳化工研究院有限公司 | A kind of method of synthesizing 4-aminomethylbenzoic acid |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3060093A (en) * | 1957-07-18 | 1962-10-23 | Nordisk Insulinlab | Slowly acting insulin preparation in crystalline form and method of preparation |
| US5830999A (en) * | 1995-01-26 | 1998-11-03 | Regents Of The University Of California | Stabilization of insulin through ligand binding interations |
| EA200000453A1 (en) * | 1997-10-24 | 2000-10-30 | Эли Лилли Энд Компани | COMPOSITIONS OF INSOLUBLE INSULIN |
| CO4970787A1 (en) * | 1997-12-23 | 2000-11-07 | Lilly Co Eli | INSOLUBLE COMPOSITIONS OF INSULIN AND INSULIN DERIVATIVES THAT CONTROL BLOOD GLUCOSE |
| EP1396272A1 (en) * | 1997-12-23 | 2004-03-10 | Eli Lilly & Company | Insoluble Insulin Compositions for Controlling Blood Glucose |
| WO2000029013A1 (en) * | 1998-11-18 | 2000-05-25 | Novo Nordisk A/S | Stable aqueous insulin preparations without phenol and cresol |
| WO2003053460A1 (en) * | 2001-12-19 | 2003-07-03 | Eli Lilly And Company | Crystalline compositions for controlling blood glucose |
-
2004
- 2004-03-12 EP EP04719932A patent/EP1605967A1/en not_active Withdrawn
- 2004-03-12 JP JP2006504321A patent/JP2006519791A/en not_active Withdrawn
- 2004-03-12 WO PCT/DK2004/000160 patent/WO2004080481A1/en not_active Ceased
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| See references of WO2004080481A1 * |
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| JP2006519791A (en) | 2006-08-31 |
| WO2004080481A1 (en) | 2004-09-23 |
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