WO2007061554A2 - Dosage de derives de 4-aminopyridine pour le traitement des lesions du systeme nerveux central - Google Patents
Dosage de derives de 4-aminopyridine pour le traitement des lesions du systeme nerveux central Download PDFInfo
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- WO2007061554A2 WO2007061554A2 PCT/US2006/041302 US2006041302W WO2007061554A2 WO 2007061554 A2 WO2007061554 A2 WO 2007061554A2 US 2006041302 W US2006041302 W US 2006041302W WO 2007061554 A2 WO2007061554 A2 WO 2007061554A2
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
- C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
- C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D213/72—Nitrogen atoms
- C07D213/75—Amino or imino radicals, acylated by carboxylic or carbonic acids, or by sulfur or nitrogen analogues thereof, e.g. carbamates
Definitions
- the invention provides novel pyridines, pharmaceutical compositions comprising such pyridines, and methods of using such compositions in treating injured mammalian nerve tissue, including but not limited to an injured spinal cord.
- the compounds, compositions, and methods of the instant invention treat a mammalian nerve tissue injury by restoring action potential or nerve impulse conduction though a nerve tissue lesion.
- the compounds provide longer lasting effects at lower concentrations than comparable treatment with the known agent 4-aminopyridine ("4 AP" or "4- AP").
- the methods of this invention can be used to promote repair of neuronal damage caused by disease or physical trauma.
- the biological basis for functional loss after spinal cord injury is the elimination of nerve impulse transmission "up and down" the spinal cord.
- the basis for a partial functional recovery, independent of how old the injury is, is the restoration of such nerve impulses - in the case of the instant invention, by pharmacological means.
- Traumatic injury to the spinal, axons (Waxman, S.G., Kocsis, J.D., Stys, P.K., Eds.): The Axon, New York: Oxford UP, pp 480- 503; Maxwell, W.L. (1996): Histopathological Changes at Central Nodes of Ranvier After Stretch-injury, Microscopy Research and Technique, 34: 522-535; Maxwell, W.L., Watt, C, Graham, DL, Gennarelli, LA.
- the loss of the electrical insulating capacity of myelin facilitates short circuit potassium current that aids in extinguishing the nerve impulse before it can begin to cross the nodal region.
- Drugs that block this exodus of potassium from inside the nerve fiber to the outside milieu are believed to be the biological basis for the restoration of action potential (or nerve impulse) conduction through spinal lesions associated with variable recoveries of functions in human patients.
- the compounds upon in vivo administration, reduced the deleterious effect of traumatic CNS tissue injury though restoration of nerve impulse conduction through nerve tissue lesions. Testing indicates that the compounds themselves are active, as the compounds were shown to remain stable and nondegrading in the test solution, yet showed lasting effects at low concentrations in vitro.
- R 1 is H or a C 1 -C 4 alkyl group
- R is a -C-R group, a -P-R group or an OR group
- R is a C 1 -C 20 alkyl group (preferably a C 1 -C 6 alkyl group), an aryl (preferably phenyl) group or an alkylene aryl group (where the alkylene group is a C 1 -C 20 alkylene group, preferably a C 1 -C 3 alkylene group, and the aryl group is preferably a phenyl group),
- R 1 is a C 1 -C 10 alkyl group (preferably, a C 1 -C 3 alkyl group), n is 1 to 20 (preferably 1 to 3),
- R 11 is selected from H, C 1 - C 4 alkyl,
- each of R7, R8 and R9 is independently selected from H, C 1 -C 4 alkyl, F, Cl, Br, I or NO 2 , preferably, at least two, and more preferably three of R 7 , R 8 and R 9 are H.
- the compounds of this invention include all stereoisomers (i.e., cis and trans isomers) and all optical isomers of compounds of the formula (I) (e.g., R and S enantiomers), as well as racemic, diastereomeric and other mixtures of such isomers, as well as all polymorphs of the compounds.
- alkyl and alkenyl groups referred to herein, as well as the alkyl moieties of other groups referred to herein (e.g., alkoxy), maybe linear or branched, and they may also be cyclic (e.g., cyclopropyl, cyclobutyl, cyclopentyl, or cyclohexyl) or be linear or branched and contain cyclic moieties.
- halogen includes fluorine, chlorine, bromine, and iodine.
- Methyl carbamate enhanced conduction maximally at 100 ⁇ M in vitro.
- Ethyl carbamate and t-butyl carbamate enhanced conduction maximally at concentrations of 10 ⁇ M and 1 ⁇ M. At higher concentrations, each of these compounds continued to increased CAP amplitude. Additionally, ethyl and t-butyl carbamate have effects on CAP amplitude when administered at or beyond 100 ⁇ M.
- the present invention also relates to a method for treating injured mammalian nerve tissue, especially injured human nerve tissue, including reducing the deleterious effect of CNS or PNS tissue injury, comprising administering to a mammal, preferably a human, requiring such treatment an effective amount of a compound of the formula (I) or a pharmaceutically acceptable salt, solvate, or polymorph thereof.
- the present invention also relates to a pharmaceutical composition for treating injured mammalian nerve tissue, especially injured human nerve tissue, including reducing the deleterious effect of CNS or PNS tissue injury, comprising:
- composition is effective in treating injured mammalian nerve tissue , including reducing the deleterious effects of CNS or PNS tissue injury.
- the present invention also relates to a method of reducing the deleterious effect of CNS or PNS tissue injury, and treating an associated nerve tissue lesion, by restoring action potential or nerve impulse conduction through the nerve tissue lesion by in vivo administration of an effective amount of a compound of the formula (I), or a pharmaceutically acceptable salt, solvate, or polymorph thereof.
- neurotrophic factor refers to compounds which are capable of stimulating growth or proliferation of nervous tissue.
- they may be administered alone or with known neurotrophic factors including, but are not limited to, nerve growth factor (NGF), insulin growth factor (IGF-I) and its active truncated derivatives such as gIGF-1, acidid and basic fibroblast growth factor (aFGF and bFGF, respectively), platelet-derived growth factors (PDGF), brain-derived neurotrophic factor (BDNF), ciliary neurotrophic factors (CNTF), glial cell line-derived neurotrophic factor (GDNF), neurotrophin-3 (NT-3) and neurotrophin 4/5 (NT-4/5).
- NGF nerve growth factor
- IGF-I insulin growth factor
- aFGF and bFGF basic fibroblast growth factor
- PDGF platelet-derived growth factors
- BDNF brain-derived neurotrophic factor
- CNTF ciliary neurotrophic factors
- GDNF glial cell line-derived neurotrophic factor
- NT-3)
- FIGURE 1 illustrates (i) a double sucrose gap isolation and recording chamber used to test compound action potential propagation through a standardized crush lesion to strips of guinea pig spinal cord white matter in organ culture (section A), (ii) a single elicited CAP (section B), (iii) a number of repetitive CAPs (section C), (iv) CAP conduction through the cord after being subjected to standardized crush injury (section D), and (v) a CAP beginning to reappear after pharmacological intervention.
- FIGURE 2 illustrates a SSEP testing protocol used to test compounds of the instant invention in vivo and reflects normal recordings in intact animals, the elimination of sensory impulses after a mid-thoracic spinal cord injury, and the importance of a median nerve control procedure.
- FIGURE 4 illustrates the structural formulae of certain examples of pyridine derivatives of the instant invention.
- FIGURE 6 illustrates the measurement of SSEP's in a sedated guinea pig.
- FIGURE 7 illustrates responses of recovered compound nerve impulses to in the presence of compounds of the present invention.
- Figure 8 illustrates the change in CAP in response to specific concentrations of N-(4- pyridyl)methyl carbamate according to one aspect of the present application.
- FIGURE 9 illustrates the change in CAP in response to specific concentrations of N-(4- pyridyl)ethyl carbamate according to one aspect of the present application.
- the double sucrose gap chamber is an exceptional means to "prescreen” numerous pharmacological interventions prior to the more arduous and time consuming means of testing similar functioning in the "whole" animal independent of other practical considerations such as the best route of administration (for example intravenous or oral administration) that can only be evaluated in animal testing.
- the isolated spinal cord (stippled band) is shown mounted in the chamber, with the central well continuously perfused with oxygenated Krebs solution (similar to extracellular fluid).
- the test drugs were added to this chamber.
- the two ends of the spinal cord lie in separate wells filled with isotonic KCl (similar to intracellular fluid) divided from the central well by narrow gaps filled with flowing, isotonic sucrose solution.
- Electrodes were formed from Ag/ AgCl wires. Action potentials were generated through a pair of electrodes at the left hand sucrose gap, conducted through the central part of the spinal cord and recorded by another pair of electrodes in the right-hand gap by conventional bridge amplification techniques. A compression to the cord is performed at its approximate midpoint, within the central Krebs solution containing chamber. This then interferes with conduction of compound action potentials through the cord to the pair of recording electrodes on the far side.
- a strip of isolated spinal cord white mailer obtained from adult guinea pigs, approximately 35-40 mm in length, is placed in the chamber and continuously supervised with oxygenated Krebs' solution (c. 2 ml/mm) by means of a peristaltic pump.
- the free ends of the spinal cord strip are placed across the sucrose gap channels to side compartments filled with isotonic (120 mM) potassium chloride.
- the temperature of the chamber is maintained with a Peltier unit in the base, thermostatically controlled with a thermistor system (Cambion Instruments).
- the axons are stimulated and compound action potentials, as well as compound membrane potential (in the form of gap potential) are recorded at opposite ends of the strip of white matter by silver/silver chloride wire electrodes positioned within the side chambers and the central bath.
- the central bath is connected to instrument ground.
- Stimuli are delivered through stimulus isolation units and are usually in the form of 0.1 msec constant current unipolar pulses. Recordings are made using a bridge amplifier and Neurocorder (both from Neurodata Instruments Inc.) for digital data storage on videotape. Subsequent analysis are performed using custom Labview® software (National Instruments) on a Macintosh Power PC G3 computer.
- Effective amount when used herein with reference to a novel pyridine of the instant invention denotes a quantity of the compound which, when administered to a patient or subject, is sufficient to result in a measurable improvement in electrical and/or behavioral function of a nerve which has been so damaged or injured that normal functioning is not possible.
- the efficacy of the treatment may be determined in a variety of ways, including methods which detect restoration of nerve function.
- effective amount with other agents, for example, 4 AP, that term is used to describe an amount of an agent effective within the context of that agent's use in the present invention.
- Nerv tissue refers to any vertebrate nerve tissue, particularly including mammalian cells of the central nervous system (CNS) and peripheral nervous system (PNS). More particularly, nerve tissue includes spinal cord neuronal structures, peripheral nervous system nerves, and even nerve cells of the brain.
- CNS central nervous system
- PNS peripheral nervous system
- Neve tissue injury includes any damage to relevant nerve tissue irrespective of cause, e.g., injuries attributable to trauma including but not limited to nerve tissue lesions, traumatically-induced compression, tumors, hemorrhage, infectious processes, spinal stenosis, or impaired blood supply.
- FIGURE 2 is a diagram of this testing protocol and provides examples of normal recordings in intact animals, the elimination of sensory impulses after a mid-thoracic spinal cord injury, and explains these issues in detail, as well as, emphasizing the importance of a median nerve control procedure.
- the acids which are used to prepare the pharmaceutically acceptable acid addition salts of the base compounds of this invention are those which form non-toxic acid addition salts, i.e., salts containing pharmacologically acceptable anions, such as hydrochloride, hydrobromide, hydroiodide, nitrate, sulfate or bisulfate, phosphate or acid phosphate, acetate, lactate, citrate or acid citrate, tartrate or bitartrate, succinate, maleate, fumarate, gluconate, saccharate, benzoate, methanesulfonate and pamoate [i.e., l,l'-methylene-bis-(2-hydroxy-3- naphthoate)] salts.
- non-toxic acid addition salts i.e., salts containing pharmacologically acceptable anions, such as hydrochloride, hydrobromide, hydroiodide, nitrate, sulfate or bisulfate, phosphate or acid phosphat
- Those compounds of the formula (I) which are also acidic in nature are capable of forming base salts with various pharmacologically acceptable cations.
- such salts include the alkali metal or alkaline-earth metal salts and particularly, the sodium and potassium salts. These salts are all prepared by conventional techniques.
- the chemical bases which are used as reagents to prepare the pharmaceutically acceptable base salts of this invention are those which form non-toxic base salts with the herein described acidic compounds of formula (I). These non-toxic base salts include those derived from such pharmacologically acceptable cations as sodium, potassium, calcium and magnesium, etc.
- salts can easily be prepared by treating the corresponding acidic compounds with an aqueous solution containing the desired pharmacologically acceptable cations, and then evaporating the resulting solution to dryness, preferably under reduced pressure.
- they may also be prepared by mixing lower alkanolic solutions of the acidic compounds and the desired alkali metal alkoxide together, and then evaporating the resulting solution to dryness in the same manner as before, hi either case, stoichiometric quantities of reagents are preferably employed in order to ensure completeness of reaction and maximum product yields.
- compositions of the present invention may be formulated in a conventional manner using one or more pharmaceutically acceptable carriers.
- Pharmaceutically acceptable earners that may be used in these pharmaceutical compositions include, but are not limited to, ion exchangers, alumina, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes, such as prolamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose- based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, polyethylene glycol and wool fat.
- compositions of the present invention may be administered orally, parenterally, by inhalation spray, topically, rectally, nasally, buccally, vaginally or via an implanted reservoir.
- parenteral as used herein includes subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrasternal, intrathecal, intrahepatic, intralesional and intracranial injection or infusion techniques.
- the compositions are administered orally, intraperitoneally, or intravenously.
- Sterile injectable forms of the compositions of this invention may be aqueous or oleaginous suspension. These suspensions maybe formulated according to techniques known in the art using suitable dispersing or wetting agents and suspending agents.
- the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example as a solution in 1, 3-butanediol.
- the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution.
- sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose, any bland fixed oil may be employed including synthetic mono- or di-glycerides.
- Fatty acids such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially in their polyoxyothylated versions.
- oils such as olive oil or castor oil, especially in their polyoxyothylated versions.
- These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant, such as Ph. HeIv or similar alcohol.
- compositions of this invention may be orally administered in any orally acceptable dosage form including, but not limited to, capsules, tablets, aqueous suspensions or solutions.
- carriers which are commonly used include lactose and corn starch.
- Lubricating agents such as magnesium stearate, are also typically added.
- useful diluents include lactose and dried corn starch.
- aqueous suspensions are required for oral use, the active ingredient is combined with emulsifying and suspending agents. If desired, certain sweetening, flavoring or coloring agents may also be added.
- compositions of this invention maybe administered in the form of suppositories for rectal administration.
- suppositories for rectal administration.
- a suitable non-irritating excipient which is solid at room temperature but liquid at rectal temperature and therefore will melt in the rectum to release the drug.
- suitable non-irritating excipient include cocoa butter, beeswax and polyethylene glycols.
- compositions of this invention may also be administered topically, especially when the target of treatment includes areas or organs readily accessible by topical application, including diseases of the eye, the skin, or the lower intestinal tract. Suitable topical formulations are readily prepared for each of these areas or organs.
- Topical application for the lower intestinal tract can be effected in a rectal suppository formulation (see above) or in a suitable enema formulation. Topically-transdermal patches may also be used.
- the pharmaceutical compositions may be formulated in a suitable ointment containing the active component suspended or dissolved in one or more carriers.
- Carriers for topical administration of the compounds of this invention include, but are not limited to, mineral oil, liquid petrolatum, white petrolatum, propylene glycol, polyoxyethylene, polyoxypropylene compound, emulsifying wax and water.
- the pharmaceutical compositions can be formulated in a suitable lotion or cream containing the active components suspended or dissolved in one or more pharmaceutically acceptable carriers.
- Suitable carriers include, but are not limited to, mineral oil, sorbitan monostearate, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.
- compositions of this invention may also be administered by nasal aerosol or inhalation.
- Such compositions are prepared according to techniques well-known in the art of pharmaceutical formulation and may be prepared as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, fluorocarbons, and/or other conventional solubilizing or dispersing agents.
- compositions should be formulated so that a dosage of between about 5-100 mg/kg, more preferably about 10-50 mg/kg body weight/day of the novel pyridine can be administered to a patient receiving these compositions.
- a specific dosage and treatment regimen for any particular patient will depend upon a variety of factors, including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, rate of excretion, drug combination, and the judgment of the treating physician and the severity of the particular disease or injury being-treated.
- the invention provides a method of administering a novel pyridine compound and a neurotrophic agent in a single dosage form or in separate, multiple dosage forms. If separate dosage forms are utilized, they may be administered concurrently, consecutively or within less than about 12 hours, more preferably within less than about 8 hours of one another, depending upon the bioavailability and pharmacokinetics of the agents.
- the methods of this invention are used to restore nerve impulse conduction through nerve tissue lesions in a patient.
- the composition of the Krebs' solution was as follows (in niM): 124 NaCl, 2 KCl, 1.2 KH 2 PO 4 , 1.3 MgSO 4 , 1.2 CaCl 2 , 10 dextrose, 5.6 sodium ascorbate, and 26 NaHCO 3 , equilibrated with 95%-0 2 5%- CO 2 to produce a pH of 7.2-7.4.
- the term "ventral white matter strips” will be used interchangeably below with “cords” or “spinal cords” for ease of description.
- the biological basis for the loss of behavior after spinal cord injury is the interruption of nerve impulse "traffic” ascending the cord to the brain from nerve "inputs” from the body, and the reverse - loss of impulse traffic arising in the brain "descending” the spinal cord to targets in the body.
- this test vehicle is a.- first evaluation of the crucial and relevant biological basis for paralysis.
- the length of the spinal cord spans all three chambers along with two small reservoirs located in- between the chambers. These small reservoirs contain sucrose which is continuously pumped and aspirated.
- sucrose helps to electrically isolate the ends of the cord from the center section in a physiological solution.
- Stimulation at one end of the spinal cord produces compound action potentials (CAPs) that are conducted through the white matter to be recorded at the other end of the chamber. It is the electrical isolation of the ends, permitted by the flowing sucrose, and the fact that the ends of the cord segment are closer to intracellular potential than the center (at extracellular potential) that provides unexcelled resolution of CAPs.
- continuous monitoring of the compound membrane potential (gap potential) can also be followed during the course of each experiment.
- the spinal cord is allowed to stabilize in the recording chamber for about 1 h in order to produce a characteristic response to electrical stimulation.
- the cord is stretched in its center (in the central chamber) using an impactor at about 1.5 m/s. This stretches the spinal cord in a standardized fashion. The stretching induces a transitory loss in CAP propagation across the lesion, which improves with time.
- Once spontaneous recovery produces a stable "recovery CAP”, drug is added to the medium bathing the central chamber. Recording of CAPs is continuous, however about 0.5 h is required for the drug induced changes in amplitude to stabilize. This response is reported as an increase (or decrease) in the "pre-drug" recovered potential (which is normalized to 100%).
- the drug is washed out of the chamber, and the cord's lesion exposed to fresh aerated Krebs solution for approximately 1 h prior to obtaining "post-drug” electrical recordings.
- FIG. 1, Section A illustrates features of a slightly different embodiment of this apparatus.
- a schematic 3D drawing at the top right of FIG. 1 shows its dimensions - the chamber is fashioned from clear Plexiglas.
- the four compartments are diagrammed and labeled according to the solutions that are pumped into them. These solutions are drawn off by aspiration, producing a modest, but continuous, flow of media using a capillary pump (not shown).
- the outside compartments are at or near intracellular potential while the middle chamber (containing a balanced physiological organ culture solution) is at extracellular potential. Therefore, the inversion of the membrane potential during a nerve impulse episode is directly measured in a similar manner to "single" unit intracellular electrophysiological recordings - producing an increase in resolution of the Compound Action Potential (CAP).
- CAP Compound Action Potential
- the CAP is produced by the synchronous firing of individual nerve fibers (called axons) numbering in the tens of thousands spanning the length of the guinea pig spinal cord.
- the cord is stimulated to synchronously "fire" CAPs on one side of the chamber (in the example shown, the left side) and the arrival of the CAPs are recorded on the right end.
- Mixing of the two-different solutions is greatly reduced by a swiftly flowing boundary of sucrose through the indicated chambers, which also electrically isolates the ends of the spinal cord segment which spans the entire width of the chamber.
- the physiological solution (Krebs 1 ) is also pH stabilized and oxygenated in the reservoir that provides the media pumped though the middle chamber.
- Compound nerve impulse (CAP) conduction though the cord following a standardized crush injury to the cord in its, middle - that is - in the, central physiological compartment is shown in Section D.
- the passage of the nerve impulses stimulated on the left side reaches the injury and is blocked - failing to traverse the chamber to be recorded on the right side.
- a CAP is beginning to reappear after pharmacological intervention: the compound of the instant invention was introduced into the physiological solution bathing the injury site in the middle compartment, i.e. the compartment containing Kreb's solution.
- the most precise means of comparing the quantitative aspects of recovery of nerve impulse conduction is to compute the derivative of the magnitude and duration of the CAP (i.e., the "area under the curve") for comparison of the pre-injury values to those values produced by the introduction of a "test" drug.
- novel pyridine derivatives of the instant invention were administered through a gastric tube to large adult guinea pigs which had previously received a standardized compression injury to their mid-thoracic spinal cords.
- the ability of these compounds to restore conduction in this second technique was determined by a quantitative evaluation of SSEPs. The following protocols and routes of administration were employed.
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Abstract
L'invention concerne de nouvelles pyridines, des compositions pharmaceutiques comprenant ces pyridines et l'utilisation de ces compositions dans le traitement des lésions du tissu nerveux mammifère, y compris mais non de façon limitative, une lésion de la moelle épinière. Dans un mode de réalisation, les composés, les compositions et les méthodes selon l'invention traitent une lésion du tissu nerveux mammifère en rétablissant le potentiel d'action ou la conduction nerveuse à travers une lésion du tissu nerveux. De manière significative, l'application in vivo de composés selon l'invention établit, sur la base d'un test de potentiel évoqué somesthésique, que les composés produisent à de faibles concentrations des effets plus durables qu'un traitement comparable à l'aide de l'agent 4-aminopyridine (4 AP) connu.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US72896005P | 2005-10-21 | 2005-10-21 | |
| US60/728,960 | 2005-10-21 |
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| WO2007061554A2 true WO2007061554A2 (fr) | 2007-05-31 |
| WO2007061554A3 WO2007061554A3 (fr) | 2007-10-11 |
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| PCT/US2006/041302 Ceased WO2007061554A2 (fr) | 2005-10-21 | 2006-10-23 | Dosage de derives de 4-aminopyridine pour le traitement des lesions du systeme nerveux central |
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| WO (1) | WO2007061554A2 (fr) |
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Family Cites Families (2)
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|---|---|---|---|---|
| US6242468B1 (en) * | 1997-02-27 | 2001-06-05 | Jia-He Li | Carbamate and urea compositions and neurotrophic uses |
| CA2508165C (fr) * | 2002-12-06 | 2014-05-06 | Purdue Research Foundation | Pyridines destinees au traitement de tissus nerveux mammaliens leses |
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