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WO2001008682A2 - Utilisation de flupirtine pour apaiser les douleurs dues aux maladies degeneratives des articulations chez les chiens et les chats - Google Patents

Utilisation de flupirtine pour apaiser les douleurs dues aux maladies degeneratives des articulations chez les chiens et les chats Download PDF

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Publication number
WO2001008682A2
WO2001008682A2 PCT/EP2000/007356 EP0007356W WO0108682A2 WO 2001008682 A2 WO2001008682 A2 WO 2001008682A2 EP 0007356 W EP0007356 W EP 0007356W WO 0108682 A2 WO0108682 A2 WO 0108682A2
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WO
WIPO (PCT)
Prior art keywords
flupirtine
usable salts
therapeutically usable
salts according
dogs
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
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PCT/EP2000/007356
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German (de)
English (en)
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WO2001008682A3 (fr
Inventor
Gabriele Endler
Holger Lehmann
Michael Lobisch
Istvan Szelenyi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Asta Medica GmbH
Bayer AG
Teva GmbH
Original Assignee
Asta Medica GmbH
Bayer AG
AWD Pharma GmbH and Co KG
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to IL14766700A priority Critical patent/IL147667A0/xx
Priority to BR0012942-9A priority patent/BR0012942A/pt
Priority to AU72717/00A priority patent/AU7271700A/en
Priority to KR1020027001445A priority patent/KR20020040767A/ko
Priority to EP00960383A priority patent/EP1242078A2/fr
Priority to MXPA02000997A priority patent/MXPA02000997A/es
Priority to JP2001513412A priority patent/JP2003530308A/ja
Priority to PL00354484A priority patent/PL354484A1/xx
Priority to HU0301296A priority patent/HUP0301296A2/hu
Priority to HR20020192A priority patent/HRP20020192A2/hr
Application filed by Asta Medica GmbH, Bayer AG, AWD Pharma GmbH and Co KG filed Critical Asta Medica GmbH
Priority to SK171-2002A priority patent/SK1712002A3/sk
Publication of WO2001008682A2 publication Critical patent/WO2001008682A2/fr
Priority to NO20020364A priority patent/NO20020364D0/no
Anticipated expiration legal-status Critical
Publication of WO2001008682A3 publication Critical patent/WO2001008682A3/fr
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/28Asteraceae or Compositae (Aster or Sunflower family), e.g. chamomile, feverfew, yarrow or echinacea
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • A61K31/41521,2-Diazoles having oxo groups directly attached to the heterocyclic ring, e.g. antipyrine, phenylbutazone, sulfinpyrazone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4415Pyridoxine, i.e. Vitamin B6
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • A61K31/51Thiamines, e.g. vitamin B1
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
    • A61K31/573Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7135Compounds containing heavy metals
    • A61K31/714Cobalamins, e.g. cyanocobalamin, i.e. vitamin B12
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • A61K31/737Sulfated polysaccharides, e.g. chondroitin sulfate, dermatan sulfate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/76Salicaceae (Willow family), e.g. poplar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]

Definitions

  • the present invention relates to the use of flupirtine or its pharmaceutically acceptable salts for the treatment of pain and prevention of pain chronification in degenerative joint diseases of dogs and cats, which can be associated with inflammation.
  • Degenerative joint diseases are understood as non-inflammatory joint diseases. In English-speaking countries, these diseases are referred to as “degenerative joint diseases” (DJD). Degenerative joint diseases occur particularly in dogs and also in many old cats. The slowly progressing loss of the articular cartilage creates an increasing and pain-related restriction in the mobility of the affected joint. As a preliminary stage of these joint diseases in dogs and cats, e.g. Hip dysplasia (growth disorder), patellar dislocation (dislocation of the kneecap or kneecap prolapse). These preliminary stages of degenerative joint diseases are also painful, even if there is no damage to the cartilage. In dogs, ligament stretching, ligament tears (e.g. torn ligament rupture) or meniscus damage often occur, which on the one hand go hand in hand with pain and on the other hand promote a renewed kneecap.
  • DJD degenerative joint diseases
  • the degenerative joint diseases are generally accompanied by pain. Acute inflammatory flare-ups occur occasionally. However, there are differences in this regard between humans and dogs, because these inflammatory reactions take place in dogs in a clearly softened form (e.g. swellings which are hardly detectable in dogs, very pronounced swellings in humans). There are other painful diseases in animals that are partially accompanied by degenerative changes in the joints. These include, for example, Dachshund paralyzes or Cauda equina syndrome. The latter is the so-called "horse tail syndrome", which mainly affects dogs of large breeds (such as German shepherd). The cause of the pain is the narrowing of the spinal canal due to the partial collapse of the cartilaginous spinal disc.
  • corticosteroids are also used, which, according to their mechanism of action, also trigger serious side effects in animals.
  • NSAIDs non-steroidal anti-inflammatory drugs
  • cartilage protective / protective (chondroprotective) drugs are most often used.
  • the cartilage-protective substances include polysulfated glycosaminoglycan and the combination of chondroitin and glucosamine. polysulphated
  • Glycosaminoglycan is given intramuscularly or intra-articularly (directly into the joint).
  • Chondroitin and glucosamine are used either as monosubstances (glucosamine) or in combination orally. To date, their effectiveness is none controlled clinical study in both humans and animals (Leffler, CT, AF Philippi, SG Leffler, JC Mosure, PD Kim. Glucosamine, chondroitin, and magnesium ascorbate for degenerative Joint disease of the knee or low back: A randomized, double -blind, placebo-controlled pilot study. Military medicine 164: 85-91, 1999).
  • TNF ⁇ tumor necrosis factor ⁇
  • TNF ⁇ vascular endothelium in the inflammatory response: insights from the clinical trial of anti-TNF ⁇ antibody in rheumatoid arthritis. Mol. Pathol. 50: 225 -233, 1997).
  • Clinical studies have clearly demonstrated that neutralization of TNF ⁇ either by monoclonal antibodies directed against TNF ⁇ (anti-TNF mABs) or by the use of soluble TNF ⁇ receptors (soluble TNF receptor fusion proteins: sTNFR-lgGs) is not only the acute one Symptoms (e.g. swelling of the joints) but also the continuously progressing cartilage and bone destruction can be suppressed (Fenner, H. Immunopharmacological profile and therapeutic perspectives of anti-TNF ⁇ therapies. Journal. Rheumatol.
  • Veterinary medicine primarily prescribes NSAIDs for the treatment of chronic pain.
  • the following active ingredients are currently used in particular: aspirin, carprofen, ketoprofen, piroxicam, naproxen and meclofenamic (Papich, G. M., Hardie E. M., Management of chronic pain).
  • the non-steroidal anti-inflammatories can alleviate the pain, but rather promote cartilage destruction (Wang, B, Yao, YY, Chen MZ. Effects of indometacin on Joint damage in rat and rabbit.
  • NSAIDs as inhibitors of cyclooxyeganase, cause an increase in leukotrienes by shifting the arachidonic acid metabolism, which are able to promote the degenerative processes
  • Bennette, K, Aehringhaus, U, Peskar BA Pharmacological control of leukotriene and prostaglandin production from mouse peritoneal macrophages, Agents Actions 14: 729-34, 1984; Achterrath-Tuckermann, U., Th.Simmet, W. Luck, I. Szelenyi, BA Peskar. Inhibition of cysteinyl-leukotriene production by azelastine and its biological significance.
  • NSAIDs have serious gastrointestinal and other potentially life-threatening side effects (Forsyth, SF, Guilford, WG, Haslett, SJ, Godfrey, J. Endoscopy of the gastrduodenal mucosa after carprofen, meloxicam and ketoprofen administration in dogs. J. Small Animal Practice 39: 421-4, 1998).
  • COX-1 cyclooxygenases
  • Enzyme whose job it is, among other things, to protect the gastrointestinal mucosa and to maintain the necessary renal blood flow and to maintain adequate blood circulation.
  • COX-2 enzyme is only induced by various factors and is responsible for the inflammatory processes.
  • NSAIDs cause gastrointestinal side effects.
  • NSAIDs such as acetylsalicylic acid, ibuprofen, ketoprofen, naproxen, carprofen,
  • diclofenac, meclofenamic acid, piroxicam, meloxicam are not selective
  • gastrointestinal side effects can occur when using such NSAIDs (Forsyth, SF, WG Guilford, SJ Haslett, J Godfrey. Endoscopy of the gastroduodenal mucosa after carprofen, meloxicam and ketoprofen administration in dogs. J. Small Animal Pract. 39: 421-424 , 1998; Tjalve, H. Adverse reactions to veterinary drugs reported in Sweden during 1991-1995. J. Vet. Pharmacol. Therap. 20: 105-10, 1997)).
  • analgesics can also cause other undesirable reactions that cannot be explained by the inhibition of the enzyme COX. They are substance-specific and occur with certain medications. For example, liver damage has occasionally been observed with diclofenac, naproxen, nimesuli and piroxicam (Helfgott SM, et al. Diclofenac-associated hepatotoxicity. JAMA 264: 2660-2662, 1990; Andrejak, M, et al. Cross hepatotoxicity between non-steroidal anti -inflammatory drugs. Br. Med. J. 295: 180-181, 1987; McCormick, PA, et al. COX-2 inhibitor and fulminant hepatic failure, Lancet 353: 40-41, 1990; Paterson D, et al. Piroxicam induced submassive necrosis of the liver. Gut 33: 1456-1458, 1992).
  • Organism loaded with 50% fiber may also contribute to drug interactions (Szelenyi, I, G Geisslinger, E Polymeropoulos, W Paul, M Herbst, K Brune. The real Gordian knot: Racemic mixtures versus pure enantiomers. Drug News & Perspectives 11: 139-160, 1998).
  • NSAIDs such as diciofenac
  • aspirin are incomparably better tolerated in human therapy than in dogs.
  • Pain treatment and the prevention of pain chronification in degenerative joint diseases in dogs and cats are becoming increasingly important.
  • the corresponding pharmaceutical preparations must be in a form that is easily ingestible for dogs and cats and that is well tolerated in terms of taste.
  • flupirtine or its pharmaceutically acceptable salts can be used for the treatment of pain and for the prevention of pain chronification in degenerative joint diseases in dogs and cats with little potential for side effects.
  • Flupirtin has not yet been used in veterinary medicine.
  • Flupirtine is a triaminopyridine derivative with the chemical name 2-amino-3-ethoxycarbonyl-amino-6- (p-fluoro-benzylamino) pyridine.
  • flupirtine is a centrally acting analgesic, but without addictive potential and without side effects typical of other central analgesics such as constipation, respiratory depression, development of tolerance and withdrawal symptoms. It is known from the literature that flupirtine can be used in human therapy for the treatment of various diseases.
  • flupirtine has muscle-relaxing properties, so that flupirtine can also be used for the treatment of muscle tension or for diseases based on muscle tension (DE 40 22 442, US 5 162 346, US 5 284 861).
  • flupirtine is also suitable for the treatment of NMDA-mediated CNS diseases, such as, for example, cerebral ischemia, neurodegenerative diseases and epilepsy (DE 43 27 516, US 5 721 258) ,
  • WO 97/17072 shows the use of flupirtine for the treatment of diseases of the hematopoietic cell system, such as AIDS.
  • flupirtine can be used for the treatment of diseases which are associated with an unphysiologically high cell death rate (WO 97/49398).
  • flupirtine also opens the so-called voltage-independent K + channels in the central nervous system.
  • flupirtine is also able to prevent the chronification of pain (Kornhuber, J. A pain reliever that differs from all known analgesics. Med. Week 64:10, 1999).
  • the analgesic effect of flupirtine is most likely due to the combination of the above effects. For example, it was shown that the opening of the central ATP-dependent K + channels not only has an antinociceptive effect per se, but that it also activates the noradrenergic descending pain-modulating pathways in the spinal cord (Narita, M, Takamori, K, Kawashima, N , Funada, M, Kamei, J, Suzuki, T, Misawa, M, Nagase, H. Activation of central ATP-sensitive potassium Channels produces the antinociception and spinal noradrenaline tumover-enhancing effect in mice. Psychopharmacol. 113: 11-14, 1993).
  • flupirtin thus clearly differs from that of the so-called peripheral analgesics such as aspirin, ibuprofen, diciofenac, which develop their analgesic effect by inhibiting cyclooxygenase. Since flupirtine does not inhibit prostaglandin synthesis, there is no damage to the gastrointestinal mucous membranes.
  • Renal function is also not affected by flupirtine. In chronic toxicological studies (6-12 months), no evidence of a liver-damaging effect was found.
  • the animals were tested a week after the silver wire was implanted.
  • the silver wire was made with a
  • Pulse generator connected, with the help of which the current levels could be regulated continuously.
  • Flupirtine was administered orally to the dogs in a capsule. 30 minutes later, the current was ramped up at a steady rate. At the first sign of pain sensation, the power generator was switched off immediately. The current that was observed at the first sign of pain was considered the pain threshold. Symptoms such as salivation, lip licking, and twitching of the facial muscles were considered signs of pain sensation.
  • Table 1 nu: not examined
  • flupirtine is both in dogs
  • Ibuprofen as well as diciofenac clearly superior.
  • Buprenorphine is a very potent analgesic with a very low oral bioavailability and is one of the classic morphine derivatives.
  • buprenorphine had a significantly stronger analgesic effect than flupirtine after intravenous administration.
  • flupirtine has a very strong analgesic potential in dogs. Due to the mechanism of action and the available toxicological results, gastrointestinal, renal or hepatic damage is not expected with acute or long-term use. Flupirtine can preferably be administered orally, parenterally or rectally to treat pain in degenerative diseases in dogs and cats. Suitable dosage forms can be: granules, pellets, capsules, microcapsules, dragees, film-coated tablets, chewable tablets, prolonged-release tablets, two-layer tablets, prolonged-release capsules, bolus, powder, suppositories or injection solutions.
  • Tablet formulations with a single or double break notch can be advantageous here in order to be able to better administer the individually required amount to the animals.
  • taste enhancers such as Trigarol Digest P (Haarmann & Reimer GmbH) or artificial meat flavors, for example consisting of vegetable protein and oil from soybeans and dried pork liver powder, can be added to the tablet granules in proportions of between 5 and 10%.
  • Flupirtine maleate 0.1 to 20 mg / kg, preferably 1 to 5 mg / kg.
  • Capsules containing 100 mg flupirtine maleate can be administered two to three times a day.
  • the maximum daily dose should not exceed 600 mg.
  • Suppositories can contain 0.1 to 30 mg / kg, preferably 2.5 to 7.5 mg / kg, of flupirtine maleate as a single dose.
  • Parenteral dosage forms preferably injection solutions for intramuscular administration, preferably contain 1.5 to 5 mg / kg of flupirtine gluconate (because of the better local tolerance).
  • ampoules containing 164.5 mg of flupirtine gluconate in 3 ml solution can be administered once a day.
  • the breaking strength of the tablets is 80 N to 100 N (Schleuniger breaking strength tester).
  • the disintegration time according to DAB 8 is 5 minutes.
  • Each tablet contains 100 mg of active ingredient.
  • a capsule filling is produced in hard gelatin capsules of the appropriate size is filled. Filling quantity per capsule: 200 mg. One capsule contains 100 mg of active ingredient.
  • solution 1 8000.0 g of polyethylene glycol molecular weight 380 to 420 are weighed in and the solution is heated to 70 ° C. while gassing with nitrogen.
  • Solution 5 is cooled and made up to 20 liters with nitrogen-gassed water.
  • Solution 6 is sterile filtered through a membrane filter with a pore size of 0.2 ⁇ m and a glass fiber pre-filter.
  • Solution 7 is filled under aseptic conditions and under nitrogen gassing into colorless ampoules, content 3 ml.
  • One ampoule contains 164.5 mg flupirtine gluconate in 3 ml solution.
  • flupirtine or its pharmaceutically usable salts can also be used in combination with other active substances for treating pain in degenerative joint diseases in dogs and cats.

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Abstract

La présente invention concerne l'utilisation de flupirtine ou de ses sels pharmaceutiques pour traiter les douleurs dues aux maladies dégénératives des articulations chez les chiens et les chats et prévenir leur chronicisation, ces douleurs pouvant s'accompagner d'inflammations.
PCT/EP2000/007356 1999-08-03 2000-07-29 Utilisation de flupirtine pour apaiser les douleurs dues aux maladies degeneratives des articulations chez les chiens et les chats Ceased WO2001008682A2 (fr)

Priority Applications (12)

Application Number Priority Date Filing Date Title
HU0301296A HUP0301296A2 (hu) 1999-08-03 2000-07-29 Flupirtin alkalmazása degeneratív ízületi fájdalom kezelésére
AU72717/00A AU7271700A (en) 1999-08-03 2000-07-29 Use of flupirtine for alleviating pain caused by degenerative joint diseases in dogs and cats
KR1020027001445A KR20020040767A (ko) 1999-08-03 2000-07-29 개와 고양이에서 퇴행성 관절 질환으로 인한 통증을경감시키기 위한 플루피르틴의 용도
EP00960383A EP1242078A2 (fr) 1999-08-03 2000-07-29 Utilisation de flupirtine pour apaiser les douleurs dues aux maladies degeneratives des articulations chez les chiens et les chats
MXPA02000997A MXPA02000997A (es) 1999-08-03 2000-07-29 Uso de flupirtina para aliviar el dolor ocasionado por enfermedades degenerativas de las articulaciones en perros y gatos.
JP2001513412A JP2003530308A (ja) 1999-08-03 2000-07-29 犬および猫の退行性関節疾患に起因する痛みを軽減するためのフルピルチンの使用
PL00354484A PL354484A1 (pl) 1999-08-03 2000-07-29 Zastosowanie flupirtyny do łagodzenia bólu związanego z chorobami zwyrodnieniowymi stawów u psów i kotów
IL14766700A IL147667A0 (en) 1999-08-03 2000-07-29 Use of flupiritine for alleviating pain caused by degenerative joint diseases in dogs and cats
BR0012942-9A BR0012942A (pt) 1999-08-03 2000-07-29 Aplicação de flupirtin para a diminuição de dores em doenças articulares degenerativas de cães e gatos
HR20020192A HRP20020192A2 (en) 1999-08-03 2000-07-29 Use of flupirtine for alleviating pain caused by degenerative joint diseases in dogs and cats
SK171-2002A SK1712002A3 (en) 1999-08-03 2000-07-29 Use of flupirtine for alleviating pain caused by degenerative joint diseases in dogs and cats
NO20020364A NO20020364D0 (no) 1999-08-03 2002-01-23 Anvendelse av flupirtin for å lindre smerter ved degenerative leddsykdommer hos hunder og katter

Applications Claiming Priority (2)

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US14703399P 1999-08-03 1999-08-03
US60/147,033 1999-08-03

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WO2001008682A2 true WO2001008682A2 (fr) 2001-02-08
WO2001008682A3 WO2001008682A3 (fr) 2002-07-18

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EP (1) EP1242078A2 (fr)
JP (1) JP2003530308A (fr)
KR (1) KR20020040767A (fr)
CN (1) CN1399550A (fr)
AR (1) AR025030A1 (fr)
AU (1) AU7271700A (fr)
BR (1) BR0012942A (fr)
CA (1) CA2314746A1 (fr)
CO (1) CO5180569A1 (fr)
CZ (1) CZ2002411A3 (fr)
HR (1) HRP20020192A2 (fr)
HU (1) HUP0301296A2 (fr)
IL (1) IL147667A0 (fr)
MX (1) MXPA02000997A (fr)
NO (1) NO20020364D0 (fr)
PL (1) PL354484A1 (fr)
RU (1) RU2002105502A (fr)
SK (1) SK1712002A3 (fr)
WO (1) WO2001008682A2 (fr)
ZA (1) ZA200200493B (fr)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005058420A1 (fr) * 2003-12-17 2005-06-30 Meda Pharma Gmbh & Co. Kg Combinaison de flupirtine et de tramadol
WO2005065713A3 (fr) * 2004-01-10 2006-05-11 Bayer Healthcare Ag Medicament destine a etre administre a des animaux par voie topique
WO2006024018A3 (fr) * 2004-08-24 2006-07-20 Neuromolecular Pharmaceuticals Methodes et compositions pour le traitement de la douleur nociceptive
JP2006520346A (ja) * 2003-03-20 2006-09-07 バイエル・ヘルスケア・アクチェンゲゼルシャフト 制御放出システム
EP1701725A4 (fr) * 2003-12-16 2009-07-01 Cnsbio Pty Ltd Methodes et compositions
US11496238B2 (en) 2018-12-25 2022-11-08 Huawei Technologies Co., Ltd. Data transmission method and communications device

Families Citing this family (5)

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Publication number Priority date Publication date Assignee Title
AU2004298288B2 (en) * 2003-12-16 2011-06-30 Relevare Aust. Pty Ltd Methods and compositions
KR101067443B1 (ko) * 2009-06-23 2011-09-27 여오영 하이드록시클로로퀸을 함유하는 치핵 치료를 위한 국소투여용 주사제 조성물
ITMI20120896A1 (it) * 2012-05-23 2013-11-24 Bongulielmi Reto Condroitina per uso in medicina
CN104523634A (zh) * 2014-11-21 2015-04-22 哈尔滨圣吉药业股份有限公司 一种马来酸氟吡汀缓释片及其制备方法
RU2680244C1 (ru) * 2017-12-28 2019-02-19 Общество С Ограниченной Ответственностью "Валента-Интеллект" Комбинации флупиртина и циклобензаприна для лечения болевых синдромов

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EP0189788B1 (fr) * 1985-01-23 1989-09-13 ASTA Pharma Aktiengesellschaft Combinaison synergétique de flupirtine et d'anti-phlogistiques non-stéroidaux
FI855016A7 (fi) * 1985-06-28 1986-12-29 Degussa Flupirtiinin ja 4-asetamido-fenolin synergistinen yhdistelmä.
IN172468B (fr) * 1990-07-14 1993-08-14 Asta Medica Ag
DE4236752A1 (de) * 1992-10-30 1994-05-05 Asta Medica Ag Kombinationspräparat aus Flupirtin und Morphin zur Behandlung von Schmerzen und zur Vermeidung der Morphin-Abhängigkeit

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2006520346A (ja) * 2003-03-20 2006-09-07 バイエル・ヘルスケア・アクチェンゲゼルシャフト 制御放出システム
JP4863867B2 (ja) * 2003-03-20 2012-01-25 バイエル・アニマル・ヘルス・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツング 制御放出システム
EP1701725A4 (fr) * 2003-12-16 2009-07-01 Cnsbio Pty Ltd Methodes et compositions
US8268821B2 (en) 2003-12-16 2012-09-18 Relevare Aust. Pty Ltd Methods and compositions
US8334263B2 (en) 2003-12-16 2012-12-18 Raymond Nadeson Analgesic methods and compositions
WO2005058420A1 (fr) * 2003-12-17 2005-06-30 Meda Pharma Gmbh & Co. Kg Combinaison de flupirtine et de tramadol
RU2463042C2 (ru) * 2003-12-17 2012-10-10 МЕДА Фарма ГмбХ унд Ко.КГ. Синергическая фармацевтическая комбинация для лечения боли (варианты)
WO2005065713A3 (fr) * 2004-01-10 2006-05-11 Bayer Healthcare Ag Medicament destine a etre administre a des animaux par voie topique
AU2005203884B2 (en) * 2004-01-10 2011-04-14 Bayer Intellectual Property Gmbh Topically applied medicament for animals
WO2006024018A3 (fr) * 2004-08-24 2006-07-20 Neuromolecular Pharmaceuticals Methodes et compositions pour le traitement de la douleur nociceptive
US11496238B2 (en) 2018-12-25 2022-11-08 Huawei Technologies Co., Ltd. Data transmission method and communications device

Also Published As

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RU2002105502A (ru) 2004-03-20
IL147667A0 (en) 2002-08-14
WO2001008682A3 (fr) 2002-07-18
PL354484A1 (pl) 2004-01-26
HRP20020192A2 (en) 2004-02-29
AR025030A1 (es) 2002-11-06
CZ2002411A3 (cs) 2003-03-12
CO5180569A1 (es) 2002-07-30
HUP0301296A2 (hu) 2003-08-28
SK1712002A3 (en) 2003-03-04
BR0012942A (pt) 2002-07-09
NO20020364L (no) 2002-01-23
KR20020040767A (ko) 2002-05-30
MXPA02000997A (es) 2003-10-14
NO20020364D0 (no) 2002-01-23
ZA200200493B (en) 2003-04-30
CA2314746A1 (fr) 2001-02-03
CN1399550A (zh) 2003-02-26
JP2003530308A (ja) 2003-10-14
AU7271700A (en) 2001-02-19
EP1242078A2 (fr) 2002-09-25

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