WO1999032425A1 - Analgesic naproxene trometamonic salt - Google Patents
Analgesic naproxene trometamonic salt Download PDFInfo
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- WO1999032425A1 WO1999032425A1 PCT/MX1998/000059 MX9800059W WO9932425A1 WO 1999032425 A1 WO1999032425 A1 WO 1999032425A1 MX 9800059 W MX9800059 W MX 9800059W WO 9932425 A1 WO9932425 A1 WO 9932425A1
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- compound
- tris
- trometoxan
- inflammatory
- hydroxymethyl
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C59/00—Compounds having carboxyl groups bound to acyclic carbon atoms and containing any of the groups OH, O—metal, —CHO, keto, ether, groups, groups, or groups
- C07C59/40—Unsaturated compounds
- C07C59/58—Unsaturated compounds containing ether groups, groups, groups, or groups
- C07C59/64—Unsaturated compounds containing ether groups, groups, groups, or groups containing six-membered aromatic rings
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C215/00—Compounds containing amino and hydroxy groups bound to the same carbon skeleton
- C07C215/02—Compounds containing amino and hydroxy groups bound to the same carbon skeleton having hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton
- C07C215/04—Compounds containing amino and hydroxy groups bound to the same carbon skeleton having hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being saturated
- C07C215/06—Compounds containing amino and hydroxy groups bound to the same carbon skeleton having hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being saturated and acyclic
- C07C215/10—Compounds containing amino and hydroxy groups bound to the same carbon skeleton having hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being saturated and acyclic with one amino group and at least two hydroxy groups bound to the carbon skeleton
Definitions
- the present invention relates to an optically active isomer of the novel chemical compound, (s) -2- (6- methoxynaphthyl) propionate of tris (hydroxymethyl) methylammonium, which exhibits analgesic, anti-pyretic, anti-inflammatory activities in chronic and anti rheumatoid arthritis -inflammatory improved compared to the pharmaceutical activities of naproxen sodium (Naproxen). Also, the invention relates to the process for preparing said compound, pharmaceutical composition containing it and uses in the treatment of pain and inflammatory disorders in general; which makes it a compound of great commercial expectation in the pharmaceutical industry and of great therapeutic application in the medical field.
- the chemical compound of the present invention is a tromethammonium salt derived from (s) -6- (methoxynaphthyl) -propionic acid, which has the following chemical structure of formula (I):
- TROMETOXAN is the result of a neutralization reaction between the (s) -2- (6-methoxynaphthyl) propionic acid and tris (hydroxymethyl) methyl amine, followed by crystallization in a suitable solvent by using standard techniques known by subject matter experts Said chemical compound was subjected to a series of experimental studies and tests where its characterization was completely determined by elemental analysis, nuclear magnetic resonance imaging (NMR), infrared and mass spectroscopy. Likewise, the chemical compound TROMETOXAN has improved analgesic, anti-pyretic, anti-arthritic and anti-inflammatory activities compared to the pharmaceutical activities typical of sodium naproxen, in addition to presenting less ulcerogenic activity and being less toxic.
- Therapeutic use is the treatment of rheumatoid arthritis and other degenerative forms that have phlogistic characteristics.
- tris (hydroxymethyl) methyl amine is a well-known organic amino base, which does not have
- addition salts are prepared by conventional techniques using pharmaceutically acceptable non-toxic bases including metal salts, such as sodium, potassium, calcium, aluminum and the like; as well as organic amino salts, such as triethylamine, 2-dimethylamino ethanol, 2-diethylamino ethanol, lysine, arginine, histidine, caffeine, procaine, N-ethylpiperidine, hydrabamine and the like.
- pharmaceutically acceptable non-toxic bases including metal salts, such as sodium, potassium, calcium, aluminum and the like; as well as organic amino salts, such as triethylamine, 2-dimethylamino ethanol, 2-diethylamino ethanol, lysine, arginine, histidine, caffeine, procaine, N-ethylpiperidine, hydrabamine and the like.
- esters or derivatives of Naproxen which includes substituents in the naphthenic ring and / or in the alpha position of the propyl acid, which
- the present invention describes a novel, non-steroidal, non-salicylate chemical compound, which is a quaternary ammonium salt of Naproxen, that is, it is a tro-ethammonium salt derived from propionic acid (s) -6- (methoxynaphthyl), whose Analgesic, anti-pyretic, antiarthritic and anti-inflammatory activities are more highly effective than those shown by naproxen sodium, in addition to presenting less ulcerogenic activity and being less toxic.
- the fundamental part of the process of obtaining the TROMETOXAN compound is the importance of introducing a methylammonium ion into the general molecule, resulting in a substance more soluble in water and in organic solvents.
- the effect of this property is that the compound will have a greater bioavailability, which makes the required therapeutic doses lower and, therefore, the side reactions are reduced.
- the chemical compound of this invention has a high therapeutic value in the treatment of various conditions. inflammatory such as in the skin, eyes, respiratory tract, bones and internal organs, as well as in dermatitis, allergic reactions and rheumatoid arthritis; and in some cases in which the conditions include pain, pyrexia and pruritis accompanied by inflammation, this compound is useful for relieving the associated effects, as well as the main condition of the damage.
- TROMETOXAN a novel chemical compound called TROMETOXAN
- analgesic anti-pyretic
- anti-inflammatory activities in improved chronic and anti-inflammatory rheumatoid arthritis, with lower ulcerogenic activity and lower toxicity than naproxen sodium.
- Figure 1 graphically depicts the nuclear magnetic resonance (f ⁇ NMR) study of the tris (hydroxymethyl) methylammonium compound (s) -2- (6- methoxynaphthyl) propionate, called TROMETOXAN;
- Figure 2 is a graphical representation of the infrared spectrum, I.R. (KBr) of the same compound
- Figure 3 is a graphic representation of the 13 C analysis of the same compound
- Figure 5 represents a graph of the stretching means' induced by intraperitoneal acetic acid in unmedicated mice (control) and medicated orally with various doses of naproxen sodium and TROMETOXAN;
- Figure 6 shows the anti-pyretic effect of TROMETOXA ⁇ and sodium naproxen at a dose of 6.25 mg / kg in both cases, orally in mice, to which they were applied
- Figure 7 shows the anti-pyretic effect at doses of 12.5 mg / kg under the conditions of Figure 6;
- FIG. 8 shows the anti-pyretic effect at doses of
- Figure 9 shows the anti-pyretic effect at doses of 100 mg / kg under the conditions of Figure 6;
- FIG. 10 shows the anti-inflammatory effect of
- TROMETOXA ⁇ and sodium naproxen at a dose of 6.25 mg / kg in both cases, orally in mice, after administration of 0.03 ml of 0.5% suspension BCG with Freund's adjuvant for 13 days;
- Figure 11 shows the anti-inflammatory effect a
- Figure 12 shows the anti-inflammatory effect at doses of 50 mg / kg under the conditions of Figure 10;
- Figure 13 shows the anti-inflammatory effect at doses of 100 mg / kg under the conditions of Figure 10;
- Figure 14 shows the relationship of edema found with the treatment based on TROMETOXAN and sodium naproxen at several doses, after the application of 0.2 ml of carrageenan; Y
- Figure 15 graphically depicts acute mortality in mice dosed orally with sodium naproxen on a logarithm / probability scale.
- An object of the present invention is to provide a process for preparing the tris (hydroxymethyl) methylammonium compound (s) -2- (6-methoxynaphthyl) -propionate, which is a quaternary ammonium salt derived from Naproxen, said compound is obtained by means of a neutralization reaction of the (s) -2- (6-methoxynaphthyl) propionic acid with tris (hydroxymethyl) methyl amine, which has unexpectedly specific therapeutic properties superior to the activities of sodium naproxen.
- Another objective of the invention is to provide a compound with improved analgesic, anti-pyretic, anti-inflammatory activities in chronic rheumatoid arthritis and anti-inflammatory compared to sodium naproxen.
- An additional advantage in the process of obtaining the compound TROMETOXAN, is to introduce a methylammonium ion into the general chemical molecule.
- compositions containing the chemical compound TROMETOXAN in a therapeutically effective amount or amounts to treat or relieve conditions of pain and / or inflammations in general are also provided in the present invention.
- analgesic anti-pyretic, anti-inflammatory activities in chronic rheumatoid arthritis and improved anti-inflammatory.
- Another additional advantage still of greater importance of the compound TROMETOXAN is that it has lower ulcerogenic activity and less toxicity than naproxen sodium; being therefore used in the treatment of disorders, which include, but are not limited to inflammation, pain and pyrexia in mammalian animals, including man.
- disorders include, but are not limited to inflammation, pain and pyrexia in mammalian animals, including man.
- inflammatory conditions of the skeletal muscular system as well as the treatment of conditions characterized by inflammation, such as rheumatism, concussion, laceration, arthritis, bone fracture, post-traumatic conditions and gout.
- the preferred way of applying the present invention is by orally administering the chemical compound of formula (I), where a therapeutically effective amount is provided at a convenient daily unit dose regimen to an individual suffering from pain and / or inflammatory conditions in general, said regimen can be adjusted in accordance with the degree of affliction.
- a daily unit dose of from 2.5 mg to 100 mg of the active compound per kilogram of individual weight is employed. Preferably 3.0 mg / kg.
- compositions that includes the chemical compound TROMETOXAN, can be carried out by using standard techniques well known to those skilled in the art in combination with any of the pharmaceutically acceptable carriers described in the state of the art, including but not limited to starch, glucose, lactose, sucrose, gelatin, malt, rice, wheat flour, chalk, silica gel, magnesium stearate, sodium stearate, talc of glyceryl monostearate, sodium chloride, glycerol, propylene glycol, water, ethanol and the like.
- These compositions take the pharmaceutical form of solutions, suspensions, tablets, pills, capsules, powders and prolonged release formulation and the like.
- the compound TROMETOXAN is obtained as a single enantiomer and, therefore, optically active. This feature is recommended according to the Federal Drug Administration of the United States of America (FDA).
- Each of the optical isomers of the tromethammonium salt is included in the present invention.
- one enantiomer may exhibit greater analgesic, anti-pyretic and anti-inflammatory activity than the other enantiomer.
- Suitable solvents may include, but are not limited to hydrocarbon solvents, such as methanol, toluene, benzene, xylene, cyclohexane; ethers such as diethyl ether, tetrahydrofuran, tetrahydropyran, dimethoxyethane and the like. Preferably using methanol.
- TROMETOXAN at a certain percentage of transmittance,% T, with respect to a number of waves, # 0 (cm "1 ).
- mice of the strain CD-1 were used, with an average weight of 36 to 43 grams.
- mice After the acclimatization period of one week, 3 batches of 20 mice each were formed, randomly distributed.
- the doses were applied orally by means of a probe at a rate of 6.25, 12.5, 50 and 100 mg / kg body weight, dissolved in physiological saline solution in constant volume per kg of weight (10 ml / kg).
- mice treated with TRC-VIETOXAN, sodium naproxen and in the control group (untreated) are presented in Tables 1 to 9, and where the means and standard deviations of these values are presented in the form of frequency bars in Figure 5, which corresponds to the dose (D) of the analgesics TROMETOXAN (T) and sodium naproxen (N) in (mg / kg) in relation to the number of contractions every 5 minutes, No C / 5 min, in addition to the values of the mean (X) and effective dose (SD) of the control group (GT).
- mice of the strain CD-1 were randomly formed. The mice had an average weight of 31 to 40 grams.
- Group A received treatment with TROMETOXAN, group B received sodium naproxen and the control group received saline injection in the same volume as the previous groups. Rectal temperature was recorded using a digital thermometer three times to obtain basal body temperature. A 0.2 ml dose of bacterial detritus lysate, inactivated from Escherichia coli, was then applied.
- mice which produces hypertemia in mice, which can be reduced or abolished by the administration of the anti-pyretic drugs under study; upon registering a temperature of 41 ° C, the above-mentioned drugs were administered orally, at doses of 6.25, 12.5, 50 and 100 mg / kg, and the temperature was quantified every 15 minutes until 6 hours and the next day. No animal showed toxicity symptoms during the experiment.
- the therapeutic analysis to determine the comparative antipyretic activity between the temperature curves of the two drugs was determined by analysis of variance of d o s in t ra d as, graphing the results in the Origin program for Windows.
- T he results of measurements of I m pe rature rectally in mice receiving Fscherichia coli lysate and treated with TROMETOXAN, naproxen sodium and the control group (untreated) are given in Tables 10 to 18.
- the middle and Standard deviations of these values are presented in Figures 6 to 9, which correspond to the measurements of the temperature (MT) in relation to the temperature in degrees Celsius (T ° C), during the application (I) of the lysate of E. coli until the temperature measurement one day later (T + ld).
- mice 5 formed 3 batches of 20 male mice of the CD-1 strain, each, distributed randomly. The mice had an average weight of 25 to 40 grams.
- Group A received treatment with TROMETOXAN
- group B received treatment with sodium naproxen
- the control group received the injection of saline solution in the same volume as the previous groups.
- the drugs were administered orally at doses of 6.25, 12.5, 50 and 100 mg / kg body weight, dissolved in saline (0.9%) in constant volume per kg of weight (10 ml / kg). Subsequently he administered in the plantar bearing 5 right hind limb of the mouse an amount of 0.03 ml of 0.5% suspension of BCG, prepared in mineral oil with Freund 's adjuvant.
- Said BCG suspension causes chronic arthritis in the mouse, which can be reduced by the anti-inflammatory drugs under study.
- the treatment was continued for 13 days (additionally the limb volume was measured on alternate days). After that time, the mice were sacrificed and their right limbs were weighed. The calculation of the percentage of inflammation inhibition in chronic rheumatoid arthritis was obtained using the comparative difference in weight with the left limb. Additionally, they were processed according to routine methods.
- the therapeutic analysis to determine the anti ⁇ inflammatory activity in chronic rheumatoid arthritis was determined by a two-way analysis of variance of the quantitative variables of
- mice of strain CD-1 were formed, each randomly distributed. The mice had a weight of about 30 to 42 grams.
- Group A received treatment with the compound of the present invention, TROMETOXAN, group B received treatment with sodium naproxen and the control group received saline injection in the same volume as the previous groups.
- the analgesic compounds were administered orally, at a dose of 6.25, 12.5, 50 and 100 m 9 / k body weight, one hour later the carrageenan suspension was injected (1% weight / volume in physiological serum with a total volume of 0.2 ml).
- This carrageenan injection was applied in the plantar aponeurosis of the right hind limb of the mice to cause an inflammatory response, which can be reduced or abolished by the anti-inflammatory drugs under study. After a period of 3 hours the mice were sacrificed and the inflammation of the anteroposterior edema was measured with a micrometer (Vernier). The thickness of the edema of the injected limb was determined by comparison with the thickness of the other non-injected limb. During the course of the experiment, no animal died or had apparent symptoms of toxicity. The therapeutic analysis to determine the comparative anti-inflammatory activity among pharmaceutical compounds was based on an analysis of variance of two entries, response of edema and treatment, with successive
- Edemas produced are presented as frequency bars in Figure 14, which corresponds to the dose of the drugs in milligrams per kilogram of body weight, D (mg / kg), in relation to the size of the thickness of the edema in millimeters (mm ).
- the white bars correspond to the edema treated with TROMETOXAN (E / T) and the bars with stripes correspond to the edema treated with sodium naproxen (E / N).
- the upper lines correspond to the mean (X) and effective dose (ED) of the edema in the control group (E-GT).
- TROMETOXAN 6.25 mg / kg in mice that received the dose of carragenin in the right limb— (0.2ml)
- TROMETOXAN 12.5 mg / kg in mice that received the dose of carragenin in the right limb (0.2ml).
- mice were dosed ue g carrageenan right member (0-2ml).
- TROMETOXAN 100 mg / kg in mice that received the dose of carragenin in the right limb ( 0.2ml ) .
- mice of strain CD-1 After an acclimatization period of one week, 2 batches of male mice of strain CD-1, weighing 20 to 36 grams, were randomly distributed.
- the drugs under study, TROMETOXAN and naproxen sodium were administered orally, suspended in acacia gum prepared in water at the time of use, at varying concentrations and administered in cbp volumes.
- TROMETOXAN doses of 800, 1000, 1250, 1560, 2000 and 2500 mg / kg per day were administered, dividing the dose into two or more doses as needed, and in the case of sodium naproxen, doses of 100, 200, 300, 400, 500, 600, 700 and 800 mg / kg. One more lot was used as a witness and received only the vehicle.
- any non-steroidal anti-inflammatory induces ulcers and irritative gastritis that are inherent to its mechanism of action, but which varies in intensity and speed of presentation with respect to the agent used.
- mice After drug administration, the mice were observed every hour on the day of the administration and every 3 days during the subsequent 14 days, in order to record the number of deaths and symptoms caused by intoxication. The dead and surviving mice were subsequently subjected to
- TROMETOXAN compared to that of sodium naproxen, was determined by performing mortality curves vs. dose and time, using a logarithm / probability analysis included in the Origin for Windows package and based on the postulated by Lichfield & Wilcoxon.
- the toxicity results (% of mortality) that were presented by the administration of the naproxen sodium drug The initial doses are shown in Table 37. These toxicity results were plotted on a logarithm / probability scale according to the Litchfield & Wilkinson postulate in Figure 15, where sodium naproxen shows a lethal dose 1 (DLl) of 110 mg / kg and a lethal dose 50 (LD50) of 520 mg / kg, in relation to the base 10 logarithm (Log 10) of the doses administered in (mg / kg) with respect to the probability (P) of occurring events of mortality caused by the toxic effect of naproxen sodium.
- the symbols used to plot the curves correspond to -------- sodium naproxen and linear regression (R).
- mice 35 to 40 mice that were continuously administered 100 mg / kg of TROMETOXAN or sodium naproxen, twice daily, orally in acacia gum and subsequently 3 to 5 mice were sacrificed by barbiturate overdose every third day, until finishing with the group.
- Necropsy lesions were classified as: unchanged, moderate gastric irritation and
- TROMETOXAN chronic rheumatoid: With low doses of 6.25 mg / kg, TROMETOXAN is more effective than naproxen sodium.
- TROMETOXAN has lower ulcerogenic activity than naproxen sodium.
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Abstract
Description
SAL TROMETAMÓNICA DEL NAPROXENO ANALGÉSICA ANALGESIC NAPROXEN TROMETAMONIC SALT
CAMPO TÉCNICO DE LA INVENCIÓNTECHNICAL FIELD OF THE INVENTION
La presente invención se relaciona con un isómero ópticamente activo del compuesto químico novedoso, (s)-2-(6- metoxinaftil) propionato de tris (hidroximetil) metilamonio, que presenta actividades analgésica, anti-pirética, antiinflamatoria en artritis reumatoide crónica y anti-inflamatoria mejoradas en comparación con las actividades farmacéuticas propias del naproxeno sódico (Naproxen) . Así también, la invención se relaciona con el proceso para preparar dicho compuesto, composición farmacéutica que lo contiene y usos en el tratamiento del dolor y trastornos inflamatorios en general; lo que lo hace ser un compuesto de gran expectativa comercial en la industria farmacéutica y de gran aplicación terapéutica en el campo de la medicina.The present invention relates to an optically active isomer of the novel chemical compound, (s) -2- (6- methoxynaphthyl) propionate of tris (hydroxymethyl) methylammonium, which exhibits analgesic, anti-pyretic, anti-inflammatory activities in chronic and anti rheumatoid arthritis -inflammatory improved compared to the pharmaceutical activities of naproxen sodium (Naproxen). Also, the invention relates to the process for preparing said compound, pharmaceutical composition containing it and uses in the treatment of pain and inflammatory disorders in general; which makes it a compound of great commercial expectation in the pharmaceutical industry and of great therapeutic application in the medical field.
INTRODUCCIÓNINTRODUCTION
El compuesto químico de la presente invención es una sal de trometamonio derivada del ácido (s) -6- (metoxinaftil) - propiónico, que presenta la siguiente estructura química de fórmula (I) :The chemical compound of the present invention is a tromethammonium salt derived from (s) -6- (methoxynaphthyl) -propionic acid, which has the following chemical structure of formula (I):
cuyo nombre químico es (s) -2 - (6-metoxinaftil) propionato de tris (hidroximetil)metilamonio, denominado TROMETOXAN en lo que procede .whose chemical name is (s) -2 - (6-methoxynaphthyl) propionate from tris (hydroxymethyl) methylammonium, referred to as TROMETOXAN where appropriate.
El TROMETOXAN es el resultado de una reacción de neutralización entre el ácido (s) -2- (6--metoxinaftil) propiónico y la tris (hidroximetil)metil amina, seguido de cristalización en un disolvente adecuado mediante la utilización de técnicas estándar conocidas por los expertos en la materia. Dicho compuesto químico se sometió a una serie de estudios y pruebas experimentales en donde se determinó completamente su caracterización mediante análisis elemental, resonancia magnética nuclear (RMN) , espectroscopia de infrarrojo y de masas. Así mismo, el compuesto químico TROMETOXAN presenta actividades analgésica, anti-pirética, anti-artrítica y anti- inflamatoria mejoradas en comparación con las actividades farmacéuticas propias del naproxeno sódico, además de presentar menor actividad ulcerogénica y ser menos tóxico. Estos análisis se llevaron a cabo mediante un estudio experimental comparativo en roedores, entre el compuesto de la presente invención y el ácido (s) -2- (6-metoxinaftil) -propiónico, comercialmente conocido como Naproxen. Tanto la caracterización como las actividades analgésica, anti-pirética,TROMETOXAN is the result of a neutralization reaction between the (s) -2- (6-methoxynaphthyl) propionic acid and tris (hydroxymethyl) methyl amine, followed by crystallization in a suitable solvent by using standard techniques known by subject matter experts Said chemical compound was subjected to a series of experimental studies and tests where its characterization was completely determined by elemental analysis, nuclear magnetic resonance imaging (NMR), infrared and mass spectroscopy. Likewise, the chemical compound TROMETOXAN has improved analgesic, anti-pyretic, anti-arthritic and anti-inflammatory activities compared to the pharmaceutical activities typical of sodium naproxen, in addition to presenting less ulcerogenic activity and being less toxic. These analyzes were carried out by means of a comparative experimental study in rodents, between the compound of the present invention and the -2- (6-methoxynaphthyl) -propionic acid (s), commercially known as Naproxen. Both the characterization and the analgesic, anti-pyretic activities,
anti -artrítica y anti-inflamatoria mejoradas del compuestoimproved anti-arthritic and anti-inflammatory compound
TROMETOXAN se muestran en los ejemplos que posteriormente seTROMETOXAN are shown in the examples below
describen.describe.
ANTECEDENTES DE LA INVENCIÓNBACKGROUND OF THE INVENTION
El ácido (s) -2- (6-metoxinaftil) propiónico y métodos-2- (6-methoxynaphthyl) propionic acid (s) and methods
para su preparación se describen en las solicitudes de patentefor their preparation are described in patent applications
norteamericanas con Nos. de Serie 694,771 y 741,858 desde elAmericans with Nos. of Series 694,771 and 741,858 from the
año 1967, dicho principio activo conocido como Naproxen se encuentra incluido entre las substancias que tienen actividades1967, said active principle known as Naproxen is included among the substances that have activities
anti- inflamatorias, analgésicas y anti -piréticas; su principalanti-inflammatory, analgesic and anti-pyretic; his main
uso terapéutico es el tratamiento de artritis reumatoide y de otras formas degenerativas que tiene características flogísticas .Therapeutic use is the treatment of rheumatoid arthritis and other degenerative forms that have phlogistic characteristics.
Por otro lado, la tris (hidroximetil)metil amina es una base amino orgánica bien conocida, la cual no presentaOn the other hand, tris (hydroxymethyl) methyl amine is a well-known organic amino base, which does not have
actividad anti-inflamatoria, ni farmacéutica per se. Elanti-inflammatory or pharmaceutical activity per se. The
derivado obtenido mediante la combinación de estos dosderivative obtained by combining these two
compuestos es el objeto principal de la presente invención.Compounds is the main object of the present invention.
Los documentos del estado de la técnica relacionadosRelated state of the art documents
con la presente invención, se mencionan a continuación con elwith the present invention, they are mentioned below with the
propósito de incluirlos tan solo como referencias.purpose of including them only as references.
Las Patentes Norteamericanas Nos. 3,651,106; 3,787,580; 3,803,245; 3,828,038; 3,896,157; 3,975,432; 3,978,116; 4,051,233 y 4,097,674, cuyo propietario es la compañía Syntex Corp., así como las Patentes 3,720,708; 4,550,191; 4,922,010; 5,093,361; 5,145,993; 5,179,208 y 5,286,902 describen diferentes procedimientos de preparación del ácido (s) -2- (6-metoxinaftil) propiónico, así como sus derivados y las correspondientes amidas, esteres, ácidos hidroxámicos y sales de adición del mismo, mediante reacciones de substitución e hidrólisis; composiciones farmacéuticas que los contienen, las cuales presentan actividades analgésica, anti-pirética y anti-inflamatoria. Las Patentes Norteamericanas Nos. 3,904,683; 4,246,193; 4,395,571; 4,399,284; 4,423,244; 4,515,811; 4,546,201; 4,865,770 y 5,229,280 describen procesos para la resolución de enantiómeros D y/o L del naproxeno sódico.US Patents Nos. 3,651,106; 3,787,580; 3,803,245; 3,828,038; 3,896,157; 3,975,432; 3,978,116; 4,051,233 and 4,097,674, whose owner is Syntex Corp., as well as Patents 3,720,708; 4,550,191; 4,922,010; 5,093,361; 5,145,993; 5,179,208 and 5,286,902 describe different methods of preparing the (s) -2- (6-methoxynaphthyl) propionic acid, as well as its derivatives and the corresponding amides, esters, hydroxamic acids and addition salts thereof, by substitution and hydrolysis reactions; pharmaceutical compositions containing them, which have analgesic, anti-pyretic and anti-inflammatory activities. US Patents Nos. 3,904,683; 4,246,193; 4,395,571; 4,399,284; 4,423,244; 4,515,811; 4,546,201; 4,865,770 and 5,229,280 describe processes for the resolution of D and / or L enantiomers of sodium naproxen.
La Patente No. 3,896,157 y solicitudes divisionales de la misma, mencionan que las sales de adición se preparan mediante técnicas convencionales utilizando bases no tóxicas farmacéuticamente aceptables incluyendo sales de metal, tales como el sodio, potasio, calcio, aluminio y similares; así como sales amino orgánicas, tales como trietilamina, 2-dimetilamino etanol, 2-dietilamino etanol, lisina, arginina, histidina, cafeína, procaína, N-etilpiperidina, hidrabamina y similares. Particularmente este documento describe esteres o derivados del Naproxen que incluye substituyentes en el anillo nafténico y/o en la posición alfa del ácido propílico, lo cual no es una prioridad del presente invento.Patent No. 3,896,157 and divisional applications thereof, mention that the addition salts are prepared by conventional techniques using pharmaceutically acceptable non-toxic bases including metal salts, such as sodium, potassium, calcium, aluminum and the like; as well as organic amino salts, such as triethylamine, 2-dimethylamino ethanol, 2-diethylamino ethanol, lysine, arginine, histidine, caffeine, procaine, N-ethylpiperidine, hydrabamine and the like. Particularly this document describes esters or derivatives of Naproxen which includes substituents in the naphthenic ring and / or in the alpha position of the propyl acid, which is not a priority of the present invention.
La Solicitud de Patente Internacional PCT/US91/06398 con número de publicación WO 92/04021, describe un método para proporcionar un efecto analgésico mejorado mediante la actividad sinergista entre la combinación de un derivado del Naproxen, sales y esteres del mismo con una amina simpatomímetica. También menciona en la página 6, líneas 14-29 la definición del término "sales farmacéuticamente aceptables" a partir de bases no tóxicas, incluyendo bases inorgánicas y orgánicas. Sin embargo, este documento no se refiere explícitamente al uso de la tris (hidroximetil) metil amina, utilizada en esta invención, ni tampoco describe que al reaccionar esta base amino orgánica con el ácido (s)-2-(6- metoxinaftil) propiónico se originaría un compuesto novedoso con actividades y aplicaciones farmacéuticas inesperadas.International Patent Application PCT / US91 / 06398 with publication number WO 92/04021, describes a method for providing an improved analgesic effect by synergistic activity between the combination of a Naproxen derivative, salts and esters thereof with a sympathomimetic amine . He also mentions on page 6, lines 14-29 the definition of the term "pharmaceutically acceptable salts" from non-toxic bases, including inorganic and organic bases. However, this document does not explicitly refer to the use of tris (hydroxymethyl) methyl amine, used in this invention, nor does it describe that by reacting this organic amino base with the (s) -2- (6- methoxynaphthyl) propionic acid a novel compound with unexpected pharmaceutical activities and applications would originate.
Por otra parte, la Patente Norteamericana No. 5,093,361, recientemente otorgada, es un claro ejemplo de la necesidad de encontrar compuestos químicos novedosos con propiedades terapéuticas mejoradas, no obstante de pertenecer al grupo de compuestos derivados del Naproxen.On the other hand, US Patent No. 5,093,361, recently granted, is a clear example of the need to find novel chemical compounds with improved therapeutic properties, despite belonging to the group of Naproxen-derived compounds.
La importancia de la presente invención a diferencia de lo descrito en los documentos del estado de la técnica antes citados, radica en las características técnicas del propio invento, así como en las ventajas adicionales que se derivan del mismo, las cuales se describen con más detalle a continuación.The importance of the present invention, unlike what is described in the prior art documents mentioned above, lies in the technical characteristics of the invention itself, as well as in the additional advantages derived from it. thereof, which are described in more detail below.
El presente invento describe un compuesto químico novedoso, no esteroidal, no salicilato, el cual es una sal de amonio cuaternaria del Naproxen, es decir, es una sal de tro etamonio derivada del ácido (s) -6- (metoxinaftil) propiónico, cuyas actividades analgésica, anti-pirética, antiartrítica y anti-inflamatoria son más altamente eficaces que las mostradas por el naproxeno sódico, además de presentar menor actividad ulcerogénica y ser menos tóxico.The present invention describes a novel, non-steroidal, non-salicylate chemical compound, which is a quaternary ammonium salt of Naproxen, that is, it is a tro-ethammonium salt derived from propionic acid (s) -6- (methoxynaphthyl), whose Analgesic, anti-pyretic, antiarthritic and anti-inflammatory activities are more highly effective than those shown by naproxen sodium, in addition to presenting less ulcerogenic activity and being less toxic.
Asimismo, la parte fundamental del proceso de obtención del compuesto TROMETOXAN, estriba en la importancia de introducir un ion de metilamonio en la molécula general, dando por resultado una substancia más soluble en agua y en disolventes orgánicos . El efecto de esta propiedad es que el compuesto tendrá una mayor biodisponibilidad, lo cual hace que las dosis terapéuticas requeridas sean menores y, por lo tanto, las reacciones laterales se aminoren.Likewise, the fundamental part of the process of obtaining the TROMETOXAN compound is the importance of introducing a methylammonium ion into the general molecule, resulting in a substance more soluble in water and in organic solvents. The effect of this property is that the compound will have a greater bioavailability, which makes the required therapeutic doses lower and, therefore, the side reactions are reduced.
Por lo anterior, ninguno de los procedimientos de obtención de derivados del ácido (s) -2- (6 -metoxinaftil) propiónico descritos en los documentos del estado de la técnica resultarían relevantes con respecto al procedimiento de obtención del compuesto TROMETOXAN.Therefore, none of the processes for obtaining derivatives of the -2 (6-methoxinaphthyl) propionic acid (s) described in the prior art documents would be relevant with respect to the procedure for obtaining the TROMETOXAN compound.
El compuesto químico de esta invención, tiene un valor terapéutico elevado en el tratamiento de varias condiciones inflamatorias tales como en la piel, ojos, tracto respiratorio, huesos y órganos internos, así como en dermatitis, reacciones alérgicas y artritis reumatoide; y en algunos casos en los cuales las condiciones incluyen dolor, pirexia y pruritis acompañadas de inflamación, este compuesto es útil para aliviar los efectos asociados, así como la condición principal del daño.The chemical compound of this invention has a high therapeutic value in the treatment of various conditions. inflammatory such as in the skin, eyes, respiratory tract, bones and internal organs, as well as in dermatitis, allergic reactions and rheumatoid arthritis; and in some cases in which the conditions include pain, pyrexia and pruritis accompanied by inflammation, this compound is useful for relieving the associated effects, as well as the main condition of the damage.
Debido a la gran importancia que tienen estos compuestos en el campo farmacéutico, se han descrito infinidad de vías para su preparación, la mayor parte de ellas son procedimientos que implican largos períodos de tiempo para llegar a obtener el producto de interés, algunos con bajos rendimientos globales en el porcentaje de producción y otros en donde incluyen muchas etapas o que implican el manejo de productos tóxicos y/o peligrosos.Due to the great importance of these compounds in the pharmaceutical field, countless ways have been described for their preparation, most of them are procedures that involve long periods of time to get the product of interest, some with low yields global in the percentage of production and others where they include many stages or that involve the management of toxic and / or dangerous products.
En vista de lo anteriormente mencionado, los autores de la presente invención se han dado a la tarea de encontrar un proceso para producir un compuesto con gran aplicación terapéutica como agente analgésico, anti-pirético, anti- artrítico y anti-inflamatorio en comparación con aquéllos otros compuestos empleados en la industria farmacéutica, comerqialmente conocidos, como es el caso en particular del Naproxen .In view of the aforementioned, the authors of the present invention have been given the task of finding a process to produce a compound with great therapeutic application as an analgesic, anti-pyretic, anti-arthritic and anti-inflammatory agent compared to those other compounds used in the pharmaceutical industry, commercially known, as is the case in particular with Naproxen.
Es así, como en la presente invención se da a conocer el proceso de preparación, composición farmacéutica y usos terapéuticos de un compuesto químico novedoso denominado TROMETOXAN, con actividades analgésica, anti-pirética, antiinflamatoria en artritis reumatoide crónica y anti-inflamatoria mejoradas, con menor actividad ulcerogénica y menor toxicidad que el naproxeno sódico.Thus, as in the present invention, the preparation process, pharmaceutical composition and uses are disclosed. Therapeutics of a novel chemical compound called TROMETOXAN, with analgesic, anti-pyretic, anti-inflammatory activities in improved chronic and anti-inflammatory rheumatoid arthritis, with lower ulcerogenic activity and lower toxicity than naproxen sodium.
BREVE DESCRIPCIÓN DE LAS DIBUJOSBRIEF DESCRIPTION OF THE DRAWINGS
Otros objetos, particularidades y ventajas de la invención serán evidentes a partir de la siguiente descripción detallada, de las modalidades preferidas, de las reivindicaciones anexas y de los dibujos que se acompañan, en donde :Other objects, particularities and advantages of the invention will be apparent from the following detailed description, of the preferred embodiments, of the appended claims and of the accompanying drawings, wherein:
La figura 1, representa gráficamente el estudio de resonancia magnética nuclear (f^RMN) del compuesto (s)-2-(6- metoxinaftil )propionato de tris (hidroximetil) metilamonio, denominado TROMETOXAN;Figure 1 graphically depicts the nuclear magnetic resonance (f ^ NMR) study of the tris (hydroxymethyl) methylammonium compound (s) -2- (6- methoxynaphthyl) propionate, called TROMETOXAN;
La figura 2, es una representación gráfica del espectro infrarrojo, I.R. (KBr) del mismo compuesto;Figure 2 is a graphical representation of the infrared spectrum, I.R. (KBr) of the same compound;
La figura 3, es una representación gráfica del análisis 13C del mismo compuesto;Figure 3 is a graphic representation of the 13 C analysis of the same compound;
La figura 4, representa gráficamente el espectro de masas del mismo compuesto;Figure 4 graphically depicts the mass spectrum of the same compound;
La figura 5, representa una gráfica de las medias de estiramientos' inducidos por ácido acético intraperitoneal en ratones sin medicar (testigo) y medicados por vía oral con varias dosis de naproxeno sódico y TROMETOXAN;Figure 5 represents a graph of the stretching means' induced by intraperitoneal acetic acid in unmedicated mice (control) and medicated orally with various doses of naproxen sodium and TROMETOXAN;
La figura 6, muestra el efecto anti-pirético del TROMETOXAΝ y del naproxeno sódico a dosis de 6.25 mg/kg en ambos casos, por vía oral en ratones, a los que se les aplicóFigure 6 shows the anti-pyretic effect of TROMETOXAΝ and sodium naproxen at a dose of 6.25 mg / kg in both cases, orally in mice, to which they were applied
un lisado de Eschrichia coli;a lysate of Eschrichia coli;
La figura 7, muestra el efecto anti-pirético a dosis de 12.5 mg/kg en las condiciones de la figura 6;Figure 7 shows the anti-pyretic effect at doses of 12.5 mg / kg under the conditions of Figure 6;
La figura 8, muestra el efecto anti-pirético a dosis deFigure 8 shows the anti-pyretic effect at doses of
50 mg/kg en las condiciones de la figura 6;50 mg / kg under the conditions of Figure 6;
La figura 9, muestra el efecto anti-pirético a dosis de 100 mg/kg en las condiciones de la figura 6 ;Figure 9 shows the anti-pyretic effect at doses of 100 mg / kg under the conditions of Figure 6;
La figura 10, muestra el efecto anti -inflamatorio delFigure 10 shows the anti-inflammatory effect of
TROMETOXAΝ y del naproxeno sódico a dosis de 6.25 mg/kg en ambos casos, por vía oral en ratones, después de la administración de 0.03 mi de BCG en suspensión al 0.5% con adyuvante de Freund durante 13 días;TROMETOXAΝ and sodium naproxen at a dose of 6.25 mg / kg in both cases, orally in mice, after administration of 0.03 ml of 0.5% suspension BCG with Freund's adjuvant for 13 days;
La figura 11, muestra el efecto anti -inflamatorio aFigure 11 shows the anti-inflammatory effect a
dosis de 12.5 mg/kg en las condiciones de la figura 10; La figura 12, muestra el efecto anti-inflamatorio a dosis de 50 mg/kg en las condiciones de la figura 10;dose of 12.5 mg / kg under the conditions of figure 10; Figure 12 shows the anti-inflammatory effect at doses of 50 mg / kg under the conditions of Figure 10;
La figura 13, muestra el efecto anti -inflamatorio a dosis de 100 mg/kg en las condiciones de la figura 10;Figure 13 shows the anti-inflammatory effect at doses of 100 mg / kg under the conditions of Figure 10;
La figura 14, muestra la relación del edema encontrado con el tratamiento a base de TROMETOXAN y de naproxeno sódico a varias dosis, posterior a la aplicación de 0.2 mi de carragenina; yFigure 14 shows the relationship of edema found with the treatment based on TROMETOXAN and sodium naproxen at several doses, after the application of 0.2 ml of carrageenan; Y
La figura 15, representa gráficamente la mortalidad aguda en ratones dosificados por vía oral con naproxeno sódico en una escala de logaritmo/probabilidad.Figure 15 graphically depicts acute mortality in mice dosed orally with sodium naproxen on a logarithm / probability scale.
DESCRIPCIÓN DETALLADA DE LA INVENCIÓNDETAILED DESCRIPTION OF THE INVENTION
El compuesto químico TROMETOXAN de fórmula (I) , seThe chemical compound TROMETOXAN of formula (I), is
- obtiene mediante la reacción química que se puede ilustrar de la manera siguiente:- obtained by means of the chemical reaction that can be illustrated as follows:
(A) (B ) ( I ) en donde el compuesto representado por la fórmula (A) corresponde al ácido (s) -2- (6-metoxinaftil) propiónico; el compuesto de fórmula (B) es la tris (hidroximetil)metil amina, y el compuesto de fórmula (I) corresponde a una sal de trometamonio derivada del Naproxen, cuyo nombre químico es (s) - 2- (6-metoxinaftil) propionato de tris (hidroximetil)metil-amonio, denominado TROMETOXAN. Los compuestos de las fórmulas (A y B) y los procedimientos para su preparación han sido descritos previamente en el estado del arte anterior. A continuación se dan a conocer los objetos y ventajas que se derivan de esta invención.(A) (B) (I) wherein the compound represented by the formula (A) corresponds to -2- (6-methoxynaphthyl) propionic acid; the compound of formula (B) is tris (hydroxymethyl) methyl amine, and the compound of formula (I) corresponds to a tromethammonium salt derived from Naproxen, whose chemical name is (s) -2- (6-methoxynaphthyl) propionate of tris (hydroxymethyl) methyl ammonium, called TROMETOXAN. The compounds of the formulas (A and B) and the procedures for their preparation have been previously described in the prior art. The objects and advantages are presented below which are derived from this invention.
Un objeto de la presente invención es proporcionar un proceso para preparar el compuesto (s) -2- (6-metoxinaftil) - propionato de tris (hidroximetil) metilamonio, el cual es una sal de amonio cuaternaria derivada del Naproxen, dicho compuesto se obtiene mediante una reacción de neutralización del ácido (s) - 2- (6-metoxinaftil) propiónico con la tris (hidroximetil) metil amina, que tiene propiedades terapéuticas inesperadamente específicas superiores a las actividades propias del naproxeno sódico.An object of the present invention is to provide a process for preparing the tris (hydroxymethyl) methylammonium compound (s) -2- (6-methoxynaphthyl) -propionate, which is a quaternary ammonium salt derived from Naproxen, said compound is obtained by means of a neutralization reaction of the (s) -2- (6-methoxynaphthyl) propionic acid with tris (hydroxymethyl) methyl amine, which has unexpectedly specific therapeutic properties superior to the activities of sodium naproxen.
Otro objetivo de la invención es proporcionar un compuesto con actividades analgésica, anti-pirética, antiinflamatoria en artritis reumatoide crónica y anti-inflamatoria mejoradas en comparación con el naproxeno sódico. Una ventaja adicional en el proceso de obtención del compuesto TROMETOXAN, estriba en introducir un ion de metilamonio en la molécula química general .Another objective of the invention is to provide a compound with improved analgesic, anti-pyretic, anti-inflammatory activities in chronic rheumatoid arthritis and anti-inflammatory compared to sodium naproxen. An additional advantage in the process of obtaining the compound TROMETOXAN, is to introduce a methylammonium ion into the general chemical molecule.
También se proporciona en la presente invención composiciones farmacéuticas que contienen el compuesto químico TROMETOXAN en una cantidad o cantidades terapéuticamente efectivas para tratar o aliviar condiciones de dolor y/o inflamaciones en general. Así también, como sus usos terapéuticos con actividades analgésica, anti-pirética, antiinflamatoria en artritis reumatoide crónica y anti-inflamatoria mej oradas . Otra ventaja adicional todavía de mayor importancia del compuesto TROMETOXAN, es que éste presenta menor actividad ulcerogénica y menor toxicidad que el naproxeno sódico; siendo por consiguiente utilizado en el tratamiento de trastornos, que incluyen, pero que no quedan limitados a la inflamación, dolor y pirexia en animales mamíferos, incluyendo al hombre. Por ejemplo, condiciones inflamatorias del sistema muscular esquelético, así como el tratamiento de condiciones caracterizadas por la inflamación, tales como reumatismo, concusión, laceración, artritis, fractura de hueso, condiciones post-traumáticas y gota.Also provided in the present invention are pharmaceutical compositions containing the chemical compound TROMETOXAN in a therapeutically effective amount or amounts to treat or relieve conditions of pain and / or inflammations in general. Likewise, as its therapeutic uses with analgesic, anti-pyretic, anti-inflammatory activities in chronic rheumatoid arthritis and improved anti-inflammatory. Another additional advantage still of greater importance of the compound TROMETOXAN, is that it has lower ulcerogenic activity and less toxicity than naproxen sodium; being therefore used in the treatment of disorders, which include, but are not limited to inflammation, pain and pyrexia in mammalian animals, including man. For example, inflammatory conditions of the skeletal muscular system, as well as the treatment of conditions characterized by inflammation, such as rheumatism, concussion, laceration, arthritis, bone fracture, post-traumatic conditions and gout.
La manera preferida de aplicar la presente invención, es mediante el suministro vía oral del compuesto químico de fórmula (I) , en donde se proporciona una cantidad terapéuticamente efectiva a un régimen de dosis unitaria diaria conveniente a un individuo que padece de dolor y/o condiciones inflamatorias en general, dicho régimen se puede ajustar de conformidad con el grado de aflicción. Generalmente, se emplea una dosis unitaria diaria de desde 2.5 mg hasta 100 mg del compuesto activo por kilogramo de peso del individuo. Preferentemente 3.0 mg/kg .The preferred way of applying the present invention is by orally administering the chemical compound of formula (I), where a therapeutically effective amount is provided at a convenient daily unit dose regimen to an individual suffering from pain and / or inflammatory conditions in general, said regimen can be adjusted in accordance with the degree of affliction. Generally, a daily unit dose of from 2.5 mg to 100 mg of the active compound per kilogram of individual weight is employed. Preferably 3.0 mg / kg.
La preparación de una composición farmacéutica que incluya al compuesto químico TROMETOXAN, se puede llevar a cabo mediante el empleo de técnicas estándares bien conocidas por los expertos en la materia en combinación con cualesquiera de los portadores farmacéuticamente aceptables descritos en el estado de la técnica, incluyendo pero no limitando al almidón, glucosa, lactosa, sacarosa, gelatina, malta, arroz, harina de trigo, tiza, sílica-gel, estearato de magnesio, estearato de sodio, talco de monoestearato de glicerilo, cloruro de sodio, glicerol, propilenglicol , agua, etanol y similares. Estas composiciones toman la forma farmacéutica de soluciones, suspensiones, tabletas, pastillas, cápsulas, polvos y formulación de liberación prolongada y los similares. La descripción anterior y los siguientes ejemplos tienen como propósito el ilustrar modos particulares de llevar a cabo la invención y no deben ser considerados como limitativos del alcance de protección de la misma.The preparation of a pharmaceutical composition that includes the chemical compound TROMETOXAN, can be carried out by using standard techniques well known to those skilled in the art in combination with any of the pharmaceutically acceptable carriers described in the state of the art, including but not limited to starch, glucose, lactose, sucrose, gelatin, malt, rice, wheat flour, chalk, silica gel, magnesium stearate, sodium stearate, talc of glyceryl monostearate, sodium chloride, glycerol, propylene glycol, water, ethanol and the like. These compositions take the pharmaceutical form of solutions, suspensions, tablets, pills, capsules, powders and prolonged release formulation and the like. The above description and the following examples are intended to illustrate particular ways of carrying out the invention and should not be considered as limiting the scope of protection thereof.
EJEMPLOSEXAMPLES
Ejemplo 1 Obtención del compuesto (s) -2- (6-metoxinaftiDpropionato de tris (hidroximetil)metilamonioExample 1 Obtaining the compound (s) -2- (6-methoxynaphthipropionate of tris (hydroxymethyl) methylammonium
Una cantidad de 347.3 gr (1.5 mol) de ácido metoxinaftíl propiónico se disolvió en 1200 mi de metanol caliente. Por otra parte, una cantidad de 181.5 gr (1.5 mol) de trometamina se disolvió en 2000 mi de metanol caliente. La solución del ácido metoxinaftil propiónico se virtió sobre la solución de trometamina y se dejó calentar a ebullición durante 3 minutos. La mezcla de soluciones se enfrió en baño de hielo a 5°C, se filtró y se dejó secar al aire. Se obtuvieron 500 gramos del compuesto (s) -2- (6-metoxinaftil) propionato de tris (hidroximetil) metilamonio, con una producción del 94 por ciento de rendimiento. Si se toma como punto de partida el ácido metoxinaftil propiónico ópticamente activo, se obtiene el compuesto TROMETOXAN como un sólo enantiómero y, por lo tanto, ópticamente activo. Esta característica es la recomendable de acuerdo con la Administración Federal de Fármacos de los Estados Unidos de Norteamérica (FDA) .An amount of 347.3 gr (1.5 mol) of propionic methoxynaphthyl acid was dissolved in 1200 ml of hot methanol. On the other hand, an amount of 181.5 gr (1.5 mol) of tromethamine was dissolved in 2000 ml of hot methanol. The methoxynaphthyl propionic acid solution was poured onto the tromethamine solution and allowed to boil for 3 minutes. The solution mixture was cooled in an ice bath at 5 ° C, it was filtered and allowed to air dry. 500 grams of the tris (hydroxymethyl) methylammonium compound (s) -2- (6-methoxynaphthyl) propionate were obtained, with a yield of 94 percent yield. If the optically active methoxynaphthyl propionic acid is taken as the starting point, the compound TROMETOXAN is obtained as a single enantiomer and, therefore, optically active. This feature is recommended according to the Federal Drug Administration of the United States of America (FDA).
Cada uno de los isómeros ópticos de la sal de trometamonio está incluido en la presente invención. En algunas instancias un enantiómero puede exhibir mayor actividad analgésica, anti-pirética y anti-inflamatoria que el otro enantiómero.Each of the optical isomers of the tromethammonium salt is included in the present invention. In some instances, one enantiomer may exhibit greater analgesic, anti-pyretic and anti-inflammatory activity than the other enantiomer.
Cualquier solvente comercial que sea inerte para los reactantes puede ser utilizado en esta reacción. Solventes adecuados pueden incluir, pero no se limitan a solventes hidrocarbonados , tales como metanol, tolueno, benceno, xileno, ciclohexano; éteres tales como dietiléter, tetrahidrofurano, tetrahidropirano, dimetoxietano y similares. Preferentemente utilizando el metanol.Any commercial solvent that is inert to the reactants can be used in this reaction. Suitable solvents may include, but are not limited to hydrocarbon solvents, such as methanol, toluene, benzene, xylene, cyclohexane; ethers such as diethyl ether, tetrahydrofuran, tetrahydropyran, dimethoxyethane and the like. Preferably using methanol.
Una vez obtenido el compuesto (s) -2- (6- metoxinaftil) propionato de tris (hidroximetil) metilamonio, por el procedimiento antes descrito, éste se sujetó a una serie de estudios y pruebas, en donde se determinó su Peso Molecular de 351 gramos/mol y su punto de fusión de aproximadamente 170- 172°C.Once the tris (hydroxymethyl) methylammonium tris (-2) methoxynaphthyl) propionate compound (s) was obtained by the procedure described above, it was subjected to a series of studies and tests, where its Molecular Weight of 351 grams / mol and its melting point of approximately 170-172 ° C was determined.
Los resultados del Análisis Elemental se muestran a continuación:The results of the Elemental Analysis are shown below:
Calculado para CisHzsNOe : 61.53%C; 7.12%H; 3.99%N; 27.35%0. Esperado 61.62%C; 7.09%H; 4.0%N, 27.29%0.Calculated for CisHzsNOe: 61.53% C; 7.12% H; 3.99% N; 27.35% 0. Expected 61.62% C; 7.09% H; 4.0% N, 27.29% 0.
Haciendo nuevamente referencia a las figuras, se pueden observar los resultados obtenidos del análisis de resonancia magnética nuclear (H^RMN) del TROMETOXAN, mostrados en la figura 1, cuyos valores máximos (picos o crestas) más significativos son: 1.39(d.), 3.40(s.), 3.60(q.), 3.85(s.), 7.11 (d.d.) , 7.24(d.), 7.44 (d.d.), 7.66(b.d.), 7.69(s.) y 7.73(d.).Referring again to the figures, the results obtained from the nuclear magnetic resonance analysis (H ^ NMR) of the TROMETOXAN, shown in Figure 1, whose maximum values (peaks or crests) are the most significant are: 1.39 (d.) , 3.40 (s.), 3.60 (q.), 3.85 (s.), 7.11 (dd), 7.24 (d.), 7.44 (dd), 7.66 (bd), 7.69 (s.) And 7.73 (d. ).
Los valores mostrados en la figura 2, de 3303, 1631, 1604, 1556 y 1070 cm"1 son el resultado de la espectroscopia de infrarrojo, I.R. delThe values shown in Figure 2 of 3303, 1631, 1604, 1556 and 1070 cm "1 are the result of infrared spectroscopy, IR of the
TROMETOXAN a un un determinado porcentaje de transmitancia, %T, con respecto a un número de ondas, #0 (cm"1) .TROMETOXAN at a certain percentage of transmittance,% T, with respect to a number of waves, # 0 (cm "1 ).
El resultado del análisis UC del TROMETOXAN que se muestra en la figura 3, corresponde a los siguientes valores expresados en partes por millón, (ppm) : 19.47, 47.24, 55.10, 15.69, 118.22, 125.16, 126.19, 127.09, 128.16, 128.96, 132.83, 139.18, 156.72 y 177.73. En análisis de la espectroscopia de masas realizado al compuesto TROMETOXAN, representado en la figura 4, muestra los siguientes valores: 230 (M*) y 185 (M-C02H) .The result of the U C analysis of the TROMETOXAN shown in Figure 3 corresponds to the following values expressed in parts per million , (ppm): 19.47, 47.24, 55.10, 15.69, 118.22, 125.16, 126.19, 127.09, 128.16, 128.96 , 132.83, 139.18, 156.72 and 177.73. In analysis of mass spectroscopy performed on the TROMETOXAN compound, represented in Figure 4, it shows the following values: 230 (M *) and 185 (M-C0 2 H).
Ejemplo 2 Actividad analgésica del TROMETOXANExample 2 Analgesic activity of TROMETOXAN
Se emplearon 60 ratones machos de la cepa CD-1, con peso promedio de 36 a 43 gramos.60 male mice of the strain CD-1 were used, with an average weight of 36 to 43 grams.
Después del período de aclimatación de una semana, se formaron 3 lotes de 20 ratones cada uno, aleatoriamente repartidos. Un grupo designado como A recibió tratamiento con TROMETOXAN y un grupo B recibió naproxeno sódico y el grupo testigo recibió una inyección de solución salina en el mismo volumen que los grupos anteriores. Las dosis se aplicaron por vía oral mediante una sonda a razón de 6.25, 12.5, 50 y 100 mg/kg de peso corporal, disueltas en solución salina fisiológica en volumen constante por kg de peso (10 ml/kg) . Treinta minutos después de la administración de los fármacos o del vehículo, se les inyectó por vía intraperitoneal una solución de ácido acético (0.5%, 10 ml/kg) para producir un síndrome doloroso, que puede ser reducido o abolido por los fármacos analgésicos en estudio. Posteriormente se contó el número de estiramientos o contracciones provocados por el dolor en el ratón, presentados cada 5 minutos, durante un tiempo total de 20 minutos . Los ratones que no presentaron estiramientos durante ese lapso de tiempo fueron eliminados . En este experimento ningún animal murió o presentó síntomas aparentes de toxicidad . El análisis terapéutico para determinar la actividad analgésica comparativa entre los dos fármacos , se determinó mediante un análisis de varianza de dos entradas , respuesta de estiramientos y tratamiento, con sucesivas pruebas t de Dunnet .After the acclimatization period of one week, 3 batches of 20 mice each were formed, randomly distributed. A group designated as A received treatment with TROMETOXAN and a group B received sodium naproxen and the control group received an injection of saline solution in the same volume as the previous groups. The doses were applied orally by means of a probe at a rate of 6.25, 12.5, 50 and 100 mg / kg body weight, dissolved in physiological saline solution in constant volume per kg of weight (10 ml / kg). Thirty minutes after the administration of the drugs or the vehicle, they were injected intraperitoneally with a solution of acetic acid (0.5%, 10 ml / kg) to produce a painful syndrome, which can be reduced or abolished by analgesic drugs in study. Subsequently, the number of stretches or contractions caused by the pain in the mouse, presented every 5 minutes, during a period of time was counted. 20 minutes total. Mice that did not stretch during that time were eliminated. In this experiment, no animal died or had apparent symptoms of toxicity. The therapeutic analysis to determine the comparative analgesic activity between the two drugs, was determined by an analysis of variance of two inputs, stretching response and treatment, with successive Dunnet t tests.
Los resultados del número de estiramientos debidos al ácido acético en ratones tratados con TRC-VIETOXAN, naproxeno sódico y en el grupo testigo (no tratado) se presentan en los cuadros 1 a 9, y en donde las medias y desviaciones estándar de esos valores se presentan a manera de barras de frecuencia en la figura 5, que corresponde a la dosis (D) de los analgésicos TROMETOXAN (T) y naproxeno sódico (N) en (mg/kg) en relación al número de contracciones cada 5 minutos, No. C/5 min, además de los valores de la media (X) y dosis efectiva (DE) del grupo testigo (GT) .The results of the number of stretches due to acetic acid in mice treated with TRC-VIETOXAN, sodium naproxen and in the control group (untreated) are presented in Tables 1 to 9, and where the means and standard deviations of these values are presented in the form of frequency bars in Figure 5, which corresponds to the dose (D) of the analgesics TROMETOXAN (T) and sodium naproxen (N) in (mg / kg) in relation to the number of contractions every 5 minutes, No C / 5 min, in addition to the values of the mean (X) and effective dose (SD) of the control group (GT).
El análisis estadístico comparando las medias del número de estiramientos reveló que no hubo diferencias significativas (P>0.05) por efecto de los fármacos con respecto al grupo testigo. Al realizar las comparaciones entre los efectos de ambos fármacos no se encontró diferencia de algún mejor efecto entre los fármacos (P=0.084) , a excepción del TRCMETOXAN a dosis de 100 mg/kg (P=0.05) , ni se logró detectar un efecto debido al incremento de la dosis (P=0.23) . CUADRO 1. Aplicación de naproxeno sódico a dosis de 6.25 mσ/kσ vía oral.Statistical analysis comparing the means of the number of stretches revealed that there were no significant differences (P> 0.05) due to the effect of the drugs with respect to the control group. When comparing the effects of both drugs, no difference was found for any better effect between the drugs (P = 0.084), with the exception of TRCMETOXAN at a dose of 100 mg / kg (P = 0.05), nor was it possible to detect an effect due to the increase in the dose (P = 0.23). TABLE 1. Application of naproxen sodium at a dose of 6.25 mσ / kσ orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 2. Aplicación de naproxeno sódico a dosis de 12.5 mg/kg vía oral. TABLE 2. Application of naproxen sodium at a dose of 12.5 mg / kg orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 3. Aplicación de naproxeno sódico a dosis de 50.0 mg/kσ vía oral. TABLE 3. Application of naproxen sodium at a dose of 50.0 mg / kg orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 4. Aplicación de naproxeno sódico a dosis de 100 g/kq vía oral. TABLE 4. Application of naproxen sodium at a dose of 100 g / kg orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 5. Aplicación de TROMETOXAN a dosis de 6.25 mg/kq vía oral. TABLE 5. Application of TROMETOXAN at a dose of 6.25 mg / kg orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 6. Aplicación de TROMETOXAN a dosis de 12.5 mg/kg vía oral . TABLE 6. Application of TROMETOXAN at doses of 12.5 m g / k g orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 7- Aplicaf-ión de TROMETOXAN a dosis de 50.0 mq/kq TABLE 7- Application of TROMETOXAN at a dose of 50.0 mq / kq
vía oral .orally .
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 8. Aplicación de TROMETOXAN a dosis de 100 mg/kg vía oral. TABLE 8. Application of TROMETOXAN at a dose of 100 mg / kg orally.
Contracciones cada 5 min.Contractions every 5 min.
CUADRO 9. Número, media γ desviación estándar de estiramientos en el grupo testigo después de la aplicación intraperitoneal de ácido acético. TABLE 9. Number, mean γ standard deviation of stretching in the control group after intraperitoneal application of acetic acid.
Contracciones cada 5 min.Contractions every 5 min.
Ej emplo 3 Ex emplo 3
Actividad anti-pirética del TROMETOXANTROMETOXAN anti-pyretic activity
Después de un período de aclimatación de una semana, se formaron aleatoriamente 3 lotes de 20 ratones machos de la cepa CD-1, cada uno. Los ratones tuvieron un peso promedio de 31 a 40 gramos. El grupo A recibió tratamiento con TROMETOXAN, el grupo B recibió naproxeno sódico y el grupo testigo recibió la inyección de solución salina en el mismo volumen que los grupos anteriores . Se registró la temperatura rectal mediante un termómetro digital en tres ocasiones para obtener la temperatura corporal basal . A continuación se aplicó una dosis de 0.2 mi de lisado de detritus bacterianos, inactivados de Escherichia coli. la cual produce hipertemia en los ratones, que puede ser reducida o abolida por la administración de los fármacos anti-piréticos en estudio; al registrarse una temperatura de 41°C, se administraron los fármacos mencionados por vía oral, a dosis de 6.25, 12.5, 50 y 100 mg/kg, y se cuantificó cada 15 minutos la temperatura hasta las 6 horas y el día posterior. Ningún animal presentó síntomas de toxicidad durante el experimento.After an acclimatization period of one week, 3 batches of 20 male mice of the strain CD-1, each were randomly formed. The mice had an average weight of 31 to 40 grams. Group A received treatment with TROMETOXAN, group B received sodium naproxen and the control group received saline injection in the same volume as the previous groups. Rectal temperature was recorded using a digital thermometer three times to obtain basal body temperature. A 0.2 ml dose of bacterial detritus lysate, inactivated from Escherichia coli, was then applied. which produces hypertemia in mice, which can be reduced or abolished by the administration of the anti-pyretic drugs under study; upon registering a temperature of 41 ° C, the above-mentioned drugs were administered orally, at doses of 6.25, 12.5, 50 and 100 mg / kg, and the temperature was quantified every 15 minutes until 6 hours and the next day. No animal showed toxicity symptoms during the experiment.
El análisis terapéutico para determinar la actividad antipirética comparativa entre las curvas de temperatura de los dos fármacos, se determinó mediante el análisis de varianza de dos entradas, graficando los resultados en el programa de Origin para Windows .The therapeutic analysis to determine the comparative antipyretic activity between the temperature curves of the two drugs was determined by analysis of variance of d o s in t ra d as, graphing the results in the Origin program for Windows.
Los resultados de las mediciones de la temperatura rectal en ratones que recibieron un lisado de Fscherichia coli y tratados con TROMETOXAN, naproxeno sódico y en el grupo testigo (sin tratamiento) se presentan en los cuadros 10 a 18. Las medias y desviaciones estándar de esos valores se presentan en las figuras 6 a 9, que corresponden a las mediciones de la temperatura (M.T.) con relación a la temperatura en grados centígrados (T°C) , durante la aplicación (I) del lisado de E. coli hasta la medición de temperatura un día después (T+ld) . Los símbolos utilizados para graficar las curvas corresponden a -M- TROMETOXAN, -•- naproxeno sódico y - A- testigo, para cada una de las concentraciones de 6.25, 12.5, 50 y 100 mg/kg, en las figuras 6, 7, 8 y 9, respectivamente. T he results of measurements of I m pe rature rectally in mice receiving Fscherichia coli lysate and treated with TROMETOXAN, naproxen sodium and the control group (untreated) are given in Tables 10 to 18. The middle and Standard deviations of these values are presented in Figures 6 to 9, which correspond to the measurements of the temperature (MT) in relation to the temperature in degrees Celsius (T ° C), during the application (I) of the lysate of E. coli until the temperature measurement one day later (T + ld). The symbols used to plot the curves correspond to -M- TROMETOXAN, - • - sodium naproxen and - A- control, for each of the concentrations of 6.25, 12.5, 50 and 100 mg / kg, in figures 6, 7, 8 and 9, respectively.
El análisis estadístico comparando las medias de medición de la temperatura rectal en ratones, reveló que hubo diferencias significativas (P<0.05) por efecto de los fármacos con respecto al grupo testigo. Al comparar los efectos entre ambos fármacos se encontró un mejor efecto del TROMETOXAN con respecto al naproxeno sódico. CUADRO 10. Efecto anti-pirético del TROMETOXAN a dosis de 6.25 mg/kg.Statistical analysis comparing the means of measuring the rectal temperature in mice revealed that there were significant differences (P <0.05) due to the effect of the drugs with respect to the control group. When comparing the effects between both drugs, a better effect of TROMETOXAN was found with respect to sodium naproxen. TABLE 10. Anti-pyretic effect of TROMETOXAN at a dose of 6.25 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli .* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos. CUADRO 11. Efecto anti-pirético de naproxeno sódico a dosis de 6.25 mg/kg.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 11. Anti-pyretic effect of naproxen sodium at a dose of 6.25 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli.* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos. CUADRO 12. Efecto anti-pirético de TROMETOXAN a dosis de 12.5 mg/kg.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 12. Anti-pyretic effect of TROMETOXAN at a dose of 12.5 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia CQli.* A suspension of cellular debris from Escherichia CQli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos. CUADRO 13. Efecto anti-pirético de naproxeno sódico** The temperature of each animal was taken three times and an average of them was obtained. TABLE 13. Anti-pyretic effect of naproxen sodium
a dosis de 12.5 mg/kg.at a dose of 12.5 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli .* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos. CUADRO 14. Efecto anti-pirético del TROMETOXAN a dosis de 50 mg/kg.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 14. Anti-pyretic effect of TROMETOXAN at a dose of 50 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli .* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos. CUADRO 15. Efecto anti-pirético de naproxeno sódico a dosis de 50 mg/kg.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 15. Anti-pyretic effect of naproxen sodium at a dose of 50 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli .* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos . CUADRO 16. Efecto anti-pirético de TROMETOXAN a dosis de 100 mg/kg.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 16. Anti-pyretic effect of TROMETOXAN at a dose of 100 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli.* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos. CUADRO 17. Efecto anti-pirético de naproxeno sódico a dosis de 100 mg/kg.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 17. Anti-pyretic effect of naproxen sodium at a dose of 100 mg / kg.
* Se utilizó una suspensión de detritos celulares de Escherichia coli .* A suspension of cellular debris from Escherichia coli was used.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos . CUADRO 18. Efecto pirético de un lisado de Escherichia coli inactivado.** The temperature of each animal was taken three times and an average of them was obtained. TABLE 18. Pyretic effect of an inactivated Escherichia coli lysate.
* Se ut zo una suspens ón de detritos celulares e* A suspension of cell debris was used
Escherichia coli.Escherichia coli.
** Se tomó tres veces la temperatura a cada animal y se obtuvo un promedio de los mismos.** The temperature of each animal was taken three times and an average of them was obtained.
*** Ratones muertos. Ej emplo 4*** Dead mice. Ex emplo 4
Actividad anti-inflamatoria en artritis reumatoide crónica del TROMETOXANAnti-inflammatory activity in chronic rheumatoid arthritis of TROMETOXAN
Después de un período de aclimatación de una semana, seAfter an acclimatization period of one week, it
5 formaron 3 lotes de 20 ratones machos de la cepa CD-1, cada uno, repartidos de manera aleatoria. Los ratones tuvieron un peso promedio de 25 a 40 gramos. El grupo A recibió tratamiento con TROMETOXAN, el grupo B recibió tratamiento con naproxeno sódico y el grupo testigo recibió la inyección de ° solución salina en el mismo volumen que los grupos anteriores. Los fármacos se administraron por vía oral a dosis de 6.25, 12.5, 50 y 100 mg/kg de peso corporal, disueltos en solución salina (0.9%) en volumen constante por kg de peso (10 ml/kg) . Posteriormente se administró en el cojinete plantar de la 5 extremidad posterior derecha del ratón una cantidad de 0.03 mi de suspensión al 0.5% de BCG, preparada en aceite mineral con adyuvante de Freund. Dicha suspensión de BCG provoca artritis crónica en el ratón, la cual puede ser reducida por los fármacos anti-inflamatorios en estudio. El tratamiento se prosiguió durante 13 días (adicionalmente se medió el volumen de las extremidades en días alternos) . Trascurrido ese tiempo, se sacrificaron los ratones y se pesaron sus extremidades derechas. El cálculo de porcentaje de inhibición de la inflamación en artritis reumatoide crónica se obtuvo mediante 5 la diferencia comparativa en peso con la extremidad izquierda. Adicionalmente, se procesaron conforme a métodos rutinarios las 5 formed 3 batches of 20 male mice of the CD-1 strain, each, distributed randomly. The mice had an average weight of 25 to 40 grams. Group A received treatment with TROMETOXAN, group B received treatment with sodium naproxen and the control group received the injection of saline solution in the same volume as the previous groups. The drugs were administered orally at doses of 6.25, 12.5, 50 and 100 mg / kg body weight, dissolved in saline (0.9%) in constant volume per kg of weight (10 ml / kg). Subsequently he administered in the plantar bearing 5 right hind limb of the mouse an amount of 0.03 ml of 0.5% suspension of BCG, prepared in mineral oil with Freund 's adjuvant. Said BCG suspension causes chronic arthritis in the mouse, which can be reduced by the anti-inflammatory drugs under study. The treatment was continued for 13 days (additionally the limb volume was measured on alternate days). After that time, the mice were sacrificed and their right limbs were weighed. The calculation of the percentage of inflammation inhibition in chronic rheumatoid arthritis was obtained using the comparative difference in weight with the left limb. Additionally, they were processed according to routine methods.
articulaciones para examen histopatológico.joints for histopathological examination.
El tratamiento durante los 13 días no produjo toxicidad aparenteThe treatment during the 13 days did not produce apparent toxicity
de acuerdo con las dosis administradas, la cual se evaluó por el aspectoaccording to the administered doses, which was evaluated by appearance
general, conducta y peso de los animales.general, behavior and weight of animals.
El análisis terapéutico para determinar la actividad anti¬ inflamatoria en artritis reumatoide crónica, se determinó mediante un análisis de varianza de dos entradas de las variables cuantitativas deThe therapeutic analysis to determine the anti ¬ inflammatory activity in chronic rheumatoid arthritis was determined by a two-way analysis of variance of the quantitative variables of
peso y volumen de las extremidades.weight and volume of the limbs.
Los resultados de las mediciones de los miembros inflamados con la suspensión de BCG, tratados con TRC-YEE-TOXAN, naproxeno sódico y en el grupo testigo (sin tratamiento) se presentan en los cuadros 19 a 27. Las medidas y desviaciones estándar de esos valores se presentan en las figuras 10 a 13, que corresponden a las mediciones del ancho del miembro (m.a.m.) con relación al tamaño del ancho del miembro en milímetros (mm) . Los símbolos utilizados para graficar estos resultados son los mismos que los empleados en las figuras 6 a 9.The results of the measurements of the inflamed members with the BCG suspension, treated with TRC-YEE-TOXAN, sodium naproxen and in the control group (without treatment) are presented in tables 19 to 27. The measurements and standard deviations of those Values are presented in Figures 10 to 13, which correspond to the measurements of the member width (mam) in relation to the size of the member width in millimeters (mm). The symbols used to graph these results are the same as those used in Figures 6 to 9.
El análisis estadístico de la comparación de las medidas de los anchos de los miembros experimentales reveló que hubo diferencias significativas (P<0.05) por efecto de los fármacos con respecto al grupo testigo. Cuando se compararon los efectos entre ambos fármacos, se encontró un mejor efecto del TROMETOXAN con respecto al naprαxeno sódico a nivel del 93% (P=0.069), en la dosis de 6.25 mg/kg. CUADRO 19. Tratamiento con TROMETOXAN 6.25 mg/kg. Mediciones en días alternos del ancho del miembro (mm) .Statistical analysis of the comparison of the measurements of the widths of the experimental members revealed that there were significant differences (P <0.05) due to the effect of the drugs with respect to the control group. When the effects between both drugs were compared, a better effect of TROMETOXAN was found with respect to sodium naprαxen at a level of 93% (P = 0.069), at a dose of 6.25 mg / kg. TABLE 19. Treatment with TROMETOXAN 6.25 mg / k g. Measurements on alternate days of the width of the member (mm).
CUADRO 20. Tratamiento con naproxeno sódico 6.25 mg/kg. Mediciones en días alternos del ancho del miembro (mm) TABLE 20. Treatment with naproxen sodium 6.25 mg / kg. Measurements on alternate days of member width (mm)
CUADRO 21. Tratamiento con TROMETOXAN 12.5 mg/kg. Mediciones en días alternos del ancho del miembro (mm) . TABLE 21. Treatment with TROMETOXAN 12.5 mg / kg. Measurements on alternate days of the width of the member ( mm ) .
CUADRO 22. Tratamiento con naproxeno sódico 12.5 mg/kg. Mediciones en días alternos del ancho del miembro (mm) . TABLE 22. Treatment with sodium naproxen 12.5 mg / kg. Measurements on alternate days of the width of the member (mm).
CUADRO 23. Tratamiento con TROMETOXAN 50 mg/kg. Mediciones en días alternos del ancho del miembro (mm) . TABLE 23. Treatment with TROMETOXAN 50 mg / kg. Measurements on alternate days of the width of the member (mm).
CUADRO 24. Tratamiento con naproxeno sódico 50 mg/kg. Mediciones en días alternos del ancho del miembro (mm) . TABLE 24. Treatment with naproxen sodium 50 mg / kg. Measurements on alternate days of the width of the member (mm).
CUADRO 25. Tratamiento con TROMETOXAN 100 mg/kg. Mediciones en días alternos del ancho del miembro (mm) TABLE 25. Treatment with TROMETOXAN 100 mg / kg. Measurements on alternate days of member width ( mm )
CUADRO 26. Tratamiento con naproxeno sódico 100 mg/kg. Mediciones en días alternos del ancho del miembro (mm) . TABLE 26. Treatment with naproxen sodium 100 mg / kg. Measurements on alternate days of the width of the member (mm).
CUADRO 27. Grupo Testigo. Mediciones en días alternos del ancho del miembro (mm) TABLE 27. Witness Group. Measurements on alternate days of member width (mm)
E-iemolo 5 Actividad anti-inflamatoria del TROMETOXAN E-iemolo 5 Anti-inflammatory activity of TROMETOXAN
Después de un período de aclimatación de una semana, se formaron 3 lotes de 20 ratones machos de la cepa CD-1, cada uno, repartidos de manera aleatoria. Los ratones tuvieron un peso de aproximadamente 30 a 42 gramos. El grupo A recibió tratamiento con el compuesto de la presente invención, TROMETOXAN, el grupo B recibió tratamiento con naproxeno sódico y el grupo testigo recibió la inyección de solución salina en el mismo volumen que los grupos anteriores. En cada uno de los dos casos experimentales los compuestos analgésicos se administraron por vía oral, a dosis de 6.25, 12.5, 50 y 100 m9/k de peso corporal, una hora después se inyectó la suspensión de carragenina (al 1% peso/volumen en suero fisiológico con un volumen total de 0.2 mi) . Esta inyección de carragenina se aplicó en la aponeurosis plantar de la extremidad posterior derecha de los ratones para provocar una respuesta inflamatoria, que puede ser reducida o abolida por los fármacos anti-inflamatorios en estudio. Después de un período de 3 horas los ratones se sacrificaron y se midió la inflamación del edema antero-posterior con un micrómetro (Vernier) . El espesor del edema de la extremidad inyectada se determinó mediante comparación con el espesor de la otra extremidad no inyectada. Durante el transcurso del experimento ningún animal murió o presentó síntomas aparentes de toxicidad. El análisis terapéutico para determinar la actividad anti-inflamatoria comparativa entre los compuestos farmacéuticos se baso en un análisis de varianza de dos entradas, respuesta del edema y tratamiento, con sucesivasAfter an acclimatization period of one week, 3 batches of 20 male mice of strain CD-1 were formed, each randomly distributed. The mice had a weight of about 30 to 42 grams. Group A received treatment with the compound of the present invention, TROMETOXAN, group B received treatment with sodium naproxen and the control group received saline injection in the same volume as the previous groups. In each of the two experimental cases the analgesic compounds were administered orally, at a dose of 6.25, 12.5, 50 and 100 m 9 / k body weight, one hour later the carrageenan suspension was injected (1% weight / volume in physiological serum with a total volume of 0.2 ml). This carrageenan injection was applied in the plantar aponeurosis of the right hind limb of the mice to cause an inflammatory response, which can be reduced or abolished by the anti-inflammatory drugs under study. After a period of 3 hours the mice were sacrificed and the inflammation of the anteroposterior edema was measured with a micrometer (Vernier). The thickness of the edema of the injected limb was determined by comparison with the thickness of the other non-injected limb. During the course of the experiment, no animal died or had apparent symptoms of toxicity. The therapeutic analysis to determine the comparative anti-inflammatory activity among pharmaceutical compounds was based on an analysis of variance of two entries, response of edema and treatment, with successive
pruebas t de Dunnet .Dunnet t tests.
Los resultados de las mediciones de los miembros inflamados con carragenina, tratados con TROMETOXAN, naproxeno sódico y en el grupo testigo (no tratado) , se presentan en los cuadros 28 a 36. Las medidas y desviaciones estándar de losThe results of the measurements of the limbs inflamed with carrageenan, treated with TROMETOXAN, sodium naproxen and in the control group (untreated), are presented in Tables 28 to 36. The standard measurements and deviations of the
edemas producidos se presentan a manera de barras de frecuencias en la figura 14, que corresponde a la dosis de los fármacos en miligramos por kilogramo de peso corporal, D (mg/kg), con relación al tamaño del espesor del edema en milímetros (mm) . Las barras blancas corresponden al edema tratado con TROMETOXAN (E/T) y las barras con franjas corresponden al edema tratado con naproxeno sódico (E/N) . Las líneas superiores corresponden a la media (X) y dosis efectiva (DE) del edema en el grupo testigo (E-GT) .Edemas produced are presented as frequency bars in Figure 14, which corresponds to the dose of the drugs in milligrams per kilogram of body weight, D (mg / kg), in relation to the size of the thickness of the edema in millimeters (mm ). The white bars correspond to the edema treated with TROMETOXAN (E / T) and the bars with stripes correspond to the edema treated with sodium naproxen (E / N). The upper lines correspond to the mean (X) and effective dose (ED) of the edema in the control group (E-GT).
El análisis estadístico comparando las medidas de los anchos de los miembros experimentales reveló que hubo diferencias significativas (P<0.05) por efecto de los fármacos con respecto al grupo testigo. Cuando se compararon los efectos entre arabos fármacos, se encontró un mejor efecto del TRCMETOXAN con respecto al naproxeno sódico, a una dosis de 100 mg/kg (P<0.05) . CUADRO 28Statistical analysis comparing the measurements of the widths of the experimental members revealed that there were significant differences (P <0.05) due to the effect of the drugs with respect to the control group. When the effects between Arab drugs were compared, a better effect of TRCMETOXAN was found with respect to sodium naproxen, at a dose of 100 mg / kg (P <0.05). TABLE 28
TROMETOXAN 6.25 mg/kg en ratones que recibieron la dosis de carragenina en el miembro derecho—(0.2ml)TROMETOXAN 6.25 mg / kg in mice that received the dose of carragenin in the right limb— (0.2ml)
CUADRO 29 TABLE 29
Naproxeno sódico 6.25 mg/kg en ratones que recibieron la dosis de carragenina en el miembro derecho (Q 12ml) .Naproxen sodium 6.25 mg / kg in mice that received the dose of carragenin in the right limb (Q 1 2ml).
CUADRO 30 TABLE 30
TROMETOXAN 12.5 mg/kg en ratones que recibieron la dosis de carragenina en el miembro derecho (0.2ml).TROMETOXAN 12.5 mg / kg in mice that received the dose of carragenin in the right limb (0.2ml).
CUADRO 31 TABLE 31
Naproxeno sódico 13-5 g/kg e ratones gue recibieron la dosis de carragenina en el miembro derecho (0-2ml). N sodium aproxeno 13.05 g / kg and mice were dosed ue g carrageenan right member (0-2ml).
CUADRO 32 TABLE 32
TROMETOXAN 50 mg/kg en ratones gue recibieron la dosis de carragenina en el miembro derecho (Q-2ml) t,TROMETOXAN 50 mg / kg in mice that received the dose of carragenin in the right limb (Q-2ml) t ,
CUADRO 33 TABLE 33
Uaproxeno sódico 50 mg/kg en ratones gue recibierpp. la dosis de carragenina en el miembro derecho (Qt2ml)f, U aproxeno sodium 50 mg / kg in mice gue recibierpp. the dose of carrageenan in the right limb (Q t 2ml) f ,
CUADRO 34 TABLE 34
TROMETOXAN 100 mg/kg en ratones que recibieron la dosis de carragenina en el miembro derecho (0.2ml).TROMETOXAN 100 mg / kg in mice that received the dose of carragenin in the right limb ( 0.2ml ) .
CUADRO 35 TABLE 35
Naproxeno sódico 100 mg/kg en ratones cπie recibieron la dosis de carragenina en el miembro derecho—(0.2ml)Naproxen sodium 100 mg / kg in cπie mice received the dose of carragenin in the right limb— (0.2ml)
CUADRO 36. Grupo Testigo. TABLE 36. Witness Group.
Ratones que recibieron una inyección de carragenina en el miembro derecho (0.2ml) . R atons who received an injection of carra g enina in the right limb ( 0.2ml ) .
99/32425 99/32425
6060
CUADRO 36. Grupo Testigo.TABLE 36 Group or Testi g.
Ratones qι,ι« recib.^ron una invección <* carrijiqenina Rato nes q ι , ι « received. ^ Rum an invention <* carrijiqenina
.=>p <->! miembro derecho (0-2 l t. => p < ->! right member (0-2 lt
Ejemplo 6 Evaluación del efecto tóxico del TROMETOXAN en ratones Example 6 E evaluation of the toxic effect of TROMETOXAN in mice
Después de un período de aclimatación de una semana, se formaron 2 lotes de ratones machos de la cepa CD-1, de 20 a 36 gramos de peso, aleatoriamente repartidos. Los fármacos en estudio, TROMETOXAN y naproxeno sódico, se administraron por vía oral, suspendidos en goma de acacia preparada en agua al momento de usarse, a concentraciones variables y administradas en volúmenes cbp.After an acclimatization period of one week, 2 batches of male mice of strain CD-1, weighing 20 to 36 grams, were randomly distributed. The drugs under study, TROMETOXAN and naproxen sodium, were administered orally, suspended in acacia gum prepared in water at the time of use, at varying concentrations and administered in cbp volumes.
En el caso del TROMETOXAN se administraron dosis de 800, 1000, 1250, 1560, 2000 y 2500 mg/kg por día, dividiendo la dosis en dos o más tomas conforme a lo necesitado, y en el caso del naproxeno sódico se administraron dosis de 100, 200, 300, 400, 500, 600, 700 y 800 mg/kg. Un lote más se utilizó como testigo y recibió únicamente el vehículo.In the case of TROMETOXAN, doses of 800, 1000, 1250, 1560, 2000 and 2500 mg / kg per day were administered, dividing the dose into two or more doses as needed, and in the case of sodium naproxen, doses of 100, 200, 300, 400, 500, 600, 700 and 800 mg / kg. One more lot was used as a witness and received only the vehicle.
La sobredosis de cualquier anti-inflamatorio no esteroidal induce úlceras y gastritis irritativa que son inherentes a su mecanismo de acción, pero que varía en intensidad y velocidad de presentación con respecto al agente utilizado.The overdose of any non-steroidal anti-inflammatory induces ulcers and irritative gastritis that are inherent to its mechanism of action, but which varies in intensity and speed of presentation with respect to the agent used.
Después de la administración de los fármacos, se observaron los ratones cada hora durante el día de la administración y cada 3 días durante los 14 días subsiguientes, con el objeto de registrar el número de muertes y sintomatología provocada por la intoxicación. Los ratones muertos y sobrevivientes se sometieron posteriormente aAfter drug administration, the mice were observed every hour on the day of the administration and every 3 days during the subsequent 14 days, in order to record the number of deaths and symptoms caused by intoxication. The dead and surviving mice were subsequently subjected to
autopsia.autopsy.
El análisis de toxicidad del TROMETOXAN en comparación con el del naproxeno sódico, se determinó mediante la realización de curvas de mortalidad vs . dosis y tiempo, utilizando un análisis de logaritmo/probabilidad incluido en el paquete Origin para Windows y basado en lo postulado por Lichfield & Wilcoxon.The toxicity analysis of TROMETOXAN compared to that of sodium naproxen, was determined by performing mortality curves vs. dose and time, using a logarithm / probability analysis included in the Origin for Windows package and based on the postulated by Lichfield & Wilcoxon.
Se intentó inducir toxicidad oral con naproxeno sódico y TROMETOXAΝ en ratones (10 ratones por dosis) , utilizando otras dosis de 100, 500, 1000, 1500, 2000 y 2500 mg/kg. A partir de la dosis de 1500 mg el TROMETOXAΝ no se pudo disolver totalmente, pero fue administrado con el propósito de que se disolviera en el ratón. Νo se logró inducir mortalidad con el TROMETOXAΝ, aun a dosis de 2500 mg/kg, dado que esto representa una dosis de 175 g/sujeto humano (70 kg) , se consideró irrelevante continuar con dosis mayores.An attempt was made to induce oral toxicity with naproxen sodium and TROMETOXAΝ in mice (10 mice per dose), using other doses of 100, 500, 1000, 1500, 2000 and 2500 mg / kg. From the dose of 1500 mg the TROMETOXAΝ could not be completely dissolved, but it was administered with the purpose of dissolving it in the mouse. Νo it was possible to induce mortality with TROMETOXAΝ, even at doses of 2500 mg / kg, since this represents a dose of 175 g / human subject (70 kg), it was considered irrelevant to continue with larger doses.
Los resultados de toxicidad (% de mortalidad) que se presentaron por la administración del fármaco naproxeno sódico con las dosis iniciales se muestran en el cuadro 37. Estos resultados de toxicidad fueron graficados en una escala logaritmo/probabilidad de acuerdo con el postulado de Litchfield & Wilkinson en la figura 15, en donde el naproxeno sódico muestra una dosis letal 1 (DLl) de 110 mg/kg y una dosis letal 50 (DL50) de 520 mg/kg, en relación al logaritmo base 10 (Log 10) de las dosis administradas en (mg/kg) con respecto a la probabilidad (P) de eventos ocurrentes de mortalidad causada por efecto tóxico del naproxeno sódico. Los símbolos utilizados para graficar las curvas corresponden a -------- naproxeno sódico y regresión lineal (R) .The toxicity results (% of mortality) that were presented by the administration of the naproxen sodium drug The initial doses are shown in Table 37. These toxicity results were plotted on a logarithm / probability scale according to the Litchfield & Wilkinson postulate in Figure 15, where sodium naproxen shows a lethal dose 1 (DLl) of 110 mg / kg and a lethal dose 50 (LD50) of 520 mg / kg, in relation to the base 10 logarithm (Log 10) of the doses administered in (mg / kg) with respect to the probability (P) of occurring events of mortality caused by the toxic effect of naproxen sodium. The symbols used to plot the curves correspond to -------- sodium naproxen and linear regression (R).
CUADRO 37. Valores de toxicidad para naproxeno sódico en ratones dosificados por la vía oral.TABLE 37. Toxicity values for naproxen sodium in mice dosed orally.
Ej emplo 7 Ex emplo 7
Actividad ulcerogénica del TROMETOXANUlcerogenic activity of TROMETOXAN
Para la fase ulcerogénica se utilizaron un promedio deFor the ulcerogenic phase, an average of
35 a 40 ratones a los que se les administró en forma continua 100 mg/kg de TROMETOXAN o naproxeno sódico, dos veces al día, vía oral en goma de acacia y posteriormente se sacrificaron 3 a 5 ratones por sobredosis de barbitúrico cada tercer día, hasta terminar con el grupo. Las lesiones a la necropsia se clasificaron como: sin cambios, moderada irritación gástrica y35 to 40 mice that were continuously administered 100 mg / kg of TROMETOXAN or sodium naproxen, twice daily, orally in acacia gum and subsequently 3 to 5 mice were sacrificed by barbiturate overdose every third day, until finishing with the group. Necropsy lesions were classified as: unchanged, moderate gastric irritation and
severa .severe
Los resultados de actividad ulcerogénica de los fármacos se presentan en el cuadro 38, en donde se detalla el número y porcentaje de ratones que presentaron ulceración o evidencia de irritación gástrica, con la medicación constante de los fármacos .The results of ulcerogenic activity of the drugs are presented in Table 38, which details the number and percentage of mice that presented ulceration or evidence of gastric irritation, with the constant medication of the drugs.
El efecto ulcerogénico provocado por el TROMETOXAN en comparación con el naproxeno sódico, demostró que en el caso del TROMETOXAN no se encontraron lesiones severas y el porcentaje de lesiones moderadas fue muy bajo, la diferencia significativa se mostró a favor del TROMETOXAN utilizando una prueba de Chi2 (P<0.001) . CUADRO 38. Relación de lesiones sugerentes de úlcera o irritación gástrica inducidas por la aplicación oral deThe ulcerogenic effect caused by TROMETOXAN compared to sodium naproxen, showed that in the case of TROMETOXAN no severe lesions were found and the percentage of moderate lesions was very low, the significant difference was in favor of TROMETOXAN using a Chi test 2 (P <0.001). TABLE 38. List of lesions suggestive of gastric ulcer or irritation induced by the oral application of
TROMETOXAN o naproxeno sódico en ratones a dosis deTROMETOXAN or sodium naproxen in mice at doses of
100 mg/kg dos veces al día- vía oral.100 mg / kg twice daily - orally.
comparativo entre estos dos fármacos, se puede dar a conocer en la presente invención las siguientes ventajas terapéuticas del TROMETOXAN en relación a la actividad farmacéutica del naproxeno sódico: Comparative between these two drugs, the following therapeutic advantages of TROMETOXAN in relation to the pharmaceutical activity of sodium naproxen can be disclosed in the present invention:
1) Menor actividad analgésica: con dosis de 100 mg/kg, el TROMETOXAN presenta un mejor efecto analgésico que el naproxeno sódico.1) Lower analgesic activity: with a dose of 100 mg / kg, TROMETOXAN has a better analgesic effect than naproxen sodium.
2) Superior actividad anti-pirética: con dosis de 6.252) Superior anti-pyretic activity: with a dose of 6.25
a 100 mg/kg, el efecto anti-pirético del TROMETOXAN es mejorat 100 mg / kg, the anti-pyretic effect of TROMETOXAN is better
que el del naproxeno sódico, manteniendo la temperatura por debajo del nivel de la temperatura sostenida por el naproxeno sódico.than that of sodium naproxen, keeping the temperature below the level of the temperature sustained by sodium naproxen.
3) Mejor actividad anti-inflamatoria en artritis3) Better anti-inflammatory activity in arthritis
reumatoide crónica: con dosis bajas de 6.25 mg/kg, el TROMETOXAN es más eficaz que el naproxeno sódico.Chronic rheumatoid: With low doses of 6.25 mg / kg, TROMETOXAN is more effective than naproxen sodium.
4) Mayor actividad anti-inflamatoria: a dosis de 50 a 100 mg/kg, el TROMETOXAN inhibe la inflamación más que el naproxeno sódico.4) Increased anti-inflammatory activity: at a dose of 50 to 100 mg / kg, TROMETOXAN inhibits inflammation more than naproxen sodium.
5) Menor toxicidad: la determinación de la DL50 mostró que con TROMETOXAN hasta con dosis de 2500 mg/kg mantiene un5) Lower toxicity: the determination of LD50 showed that with TROMETOXAN up to a dose of 2500 mg / kg maintains a
0% de mortalidad y con naproxeno sódico la DL50 fue de 520 mg/kg, alcanzando un 100% de mortalidad con dosis de 800 mg/kg.0% mortality and with naproxen sodium the LD 50 was 520 mg / kg, reaching 100% mortality with doses of 800 mg / kg.
6) Menor actividad ulcerogénic : el TROMETOXAN tiene menor actividad ulcerogénica que el naproxeno sódico. Las ventajas anteriormente señaladas del compuesto (s) - 2- (6-metoxinaftil) propionato de tris (hidroximetil) metil amonio como analgésico, anti-pirético, anti-artrítico y antiinflamatorio con menor toxicidad y menor efecto ulcerogénico, hacen que el TROMETOXAN sea un producto farmacéutico de grandes espectativas comerciales en la Industria Farmacéutica y terapéuticas en el campo de la medicina, particularmente en e,l tratamiento del dolor y condiciones inflamatorias en general.6) Lower ulcerogenic activity: TROMETOXAN has lower ulcerogenic activity than naproxen sodium. The above-mentioned advantages of the compound (s) - 2- (6-Methoxynaphthyl) propionate of tris (hydroxymethyl) methyl ammonium as an analgesic, anti-pyretic, anti-arthritic and anti-inflammatory with lower toxicity and lower ulcerogenic effect, make TROMETOXAN a pharmaceutical product of great commercial expectations in the Industry Pharmaceutical and therapeutic in the medical field, particularly in the treatment of pain and inflammatory conditions in general.
Es evidente que otras modificaciones y variaciones de conformidad con lo planteado en la presente invención pueden efectuarse sin salirse del espíritu y alcance de la misma, como lo podrán observar fácilmente aquellos expertos en la materia, quedando protegida la invención al tenor de las siguientes reivindicaciones . It is clear that other modifications and variations in accordance with the provisions of the present invention can be made without departing from the spirit and scope thereof, as those skilled in the art can easily observe, the invention being protected under the following claims.
Claims
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU17858/99A AU1785899A (en) | 1997-12-19 | 1998-12-16 | Analgesic naproxene trometamonic salt |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| MXPA/A/1997/010494A MXPA97010494A (en) | 1997-12-19 | Composite (s) -2- (6-methyoxythhyl) propionate of tris (hydroxymethyl) methylamonium which has analgesic, anti-piretica, anti-arthritic and anti-inflammatory activities improved; process to prepare it, pharmaceutical composition that contain it and use | |
| MX9710494 | 1997-12-19 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1999032425A1 true WO1999032425A1 (en) | 1999-07-01 |
Family
ID=19745006
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/MX1998/000059 Ceased WO1999032425A1 (en) | 1997-12-19 | 1998-12-16 | Analgesic naproxene trometamonic salt |
Country Status (2)
| Country | Link |
|---|---|
| AU (1) | AU1785899A (en) |
| WO (1) | WO1999032425A1 (en) |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4033816A (en) * | 1973-06-18 | 1977-07-05 | The Upjohn Company | Process for inhibiting platelet aggregation |
| GB2059768A (en) * | 1979-09-27 | 1981-04-29 | Ilona Kahan | Water-soluble derivatives of non-steroidal anti-inflammatory agnets and a process for the production thereof |
| US5183829A (en) * | 1991-09-27 | 1993-02-02 | Applied Analytical Industries, Inc. | Oral liquid compositions of non-steroidal anti-inflammatory drugs |
-
1998
- 1998-12-16 AU AU17858/99A patent/AU1785899A/en not_active Abandoned
- 1998-12-16 WO PCT/MX1998/000059 patent/WO1999032425A1/en not_active Ceased
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4033816A (en) * | 1973-06-18 | 1977-07-05 | The Upjohn Company | Process for inhibiting platelet aggregation |
| GB2059768A (en) * | 1979-09-27 | 1981-04-29 | Ilona Kahan | Water-soluble derivatives of non-steroidal anti-inflammatory agnets and a process for the production thereof |
| US5183829A (en) * | 1991-09-27 | 1993-02-02 | Applied Analytical Industries, Inc. | Oral liquid compositions of non-steroidal anti-inflammatory drugs |
Non-Patent Citations (2)
| Title |
|---|
| DATABASE WPI Section Ch Week 8406, Derwent World Patents Index; Class B05, AN 84-031960, XP002099349 * |
| GU L ET AL: "Preformulation salt selection. Physical property comparisons of the tris(hydroxymethyl)aminomethane (THAM) salts of four analgesic/anti- inflammatory agents with the sodium salts and the free acids", PHARMACEUTICAL RESEARCH, vol. 4, no. 3, 1987, pages 255 - 7, XP002099348 * |
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