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WO2008147170A1 - New process of synthesis for obtaining 5-methyl-1-phenyl-2 (ih) -pyridone, composition and use of the same - Google Patents

New process of synthesis for obtaining 5-methyl-1-phenyl-2 (ih) -pyridone, composition and use of the same Download PDF

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Publication number
WO2008147170A1
WO2008147170A1 PCT/MX2008/000069 MX2008000069W WO2008147170A1 WO 2008147170 A1 WO2008147170 A1 WO 2008147170A1 MX 2008000069 W MX2008000069 W MX 2008000069W WO 2008147170 A1 WO2008147170 A1 WO 2008147170A1
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Prior art keywords
pirfenidone
methyl
temperature
pyridone
hours
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Spanish (es)
French (fr)
Inventor
José Agustin Rogelio MAGANÃ CASTRO
Laura Vazquez Cervantes
Juan Socorro Armendariz Borunda
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Cell Therapy and Technology SA de CV
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Cell Therapy and Technology SA de CV
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D213/00Heterocyclic 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
    • C07D213/02Heterocyclic 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
    • C07D213/04Heterocyclic 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
    • C07D213/60Heterocyclic 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
    • C07D213/62Oxygen or sulfur atoms
    • C07D213/63One oxygen atom
    • C07D213/64One oxygen atom attached in position 2 or 6
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like

Definitions

  • the present invention relates to a new synthesis process for obtaining 5-methyl-l-phenyl- (IH) -pyridone, whose generic name is Pirfenidone, the process object of the present invention consists of three stages, which allow obtain a product of greater purity and better performance, whose characteristics represent an improvement over the other known methods.
  • the compound obtained shows excellent properties in the treatment of atopic dermatosis and actinic keratinosis, hypertrophic scars, keloid scars and acne scars, when applied in a suitable pharmaceutical composition.
  • Pirfe ⁇ i ⁇ one is itself a known compound and its pharmacological effects have been described in, for example, Japanese applications KOKAI Nos. 87677/1974 and 1284338/1976, as an anti-inflammatory agent that includes anti-inflammatory effects. - pyretic and analgesic.
  • a keloid is an overgrowth of dense fibrous tissue that usually develops after healing a skin wound. The tissue extends beyond the edges of the original wound, usually there is no spontaneous regression and tends to recur after being excised when it is altered by the fibroproliferation of human skin.
  • Keloid and hypertrophic scars are the only disorders Fibroproliferative human skin following trauma, inflammation, burn or surgery. The appearance of keloid scar has a familial tendency, and affects sex Arabs equally at an age mostly between 10 and 30 years. In affected individuals, scars that are raised, red and firm can cause itching and pain and create functional and cosmetic problems. Its incidence ranges from 4.5% to 16%, especially in blacks, Hispanics and Orientals.
  • Pirfenidone has demonstrated its effectiveness as an anti-fibrotic agent, in different pathologies and organs, as it has been shown in previous studies, where we have observed an effect on fibroblasts and collagen produced by them, both in experimental models and in clinical trials
  • Pirfenidone (5-methyl-l-phenyl-2- (IH) -pyridone), is an anti-fibrotic agent that has proven effective in preventing and resolving the accumulation of fibrous tissue, both in experimental models of pulmonary fibrosis (2) , uterine leiomyomas (3), renal fibrosis (4) and keloid scars (5); peritoneal adhesions (6), liver fibrosis (7); as well as in clinical trials of idiopathic pulmonary fibrosis (8), and cirrhosis liver (9).
  • a second object of the present invention is to provide a pharmaceutical composition of Pirfenidone, for dermal application.
  • the present invention relates to a three-stage process for obtaining 5-methyl-l-phenyl- (IH) -pyridone which is efficient and direct, in addition to providing high yields.
  • the process of obtaining the 5-methyl-2-pyridone object of the present invention is carried out in three stages which comprise; in the first one, obtain 5-methyl-2 (H) -pyridone from 2-amino-5- methyl-pyridine by a diazo reaction in medium acid, to then obtain 5-methyl-l-phenyl- (IH) -pyridone by reduction with copper in the presence of iodobenzene, carrying out the addition of the aromatic ring at the same stage.
  • the last step consists in the purification of the 5-methyl-l-phenyl- (IH) -pyridone obtained, which results in a high purity product useful in pharmaceutical compositions.
  • the reaction mixture is slowly heated to a temperature of 90 0 C, which remains constant for one hour, at the end of this time is allowed to cool the reaction mixture to reach room temperature.
  • Anhydrous sodium carbonate is added to the reaction mixture until a pH between 7 and 8 is achieved.
  • the reaction mixture is heated and distilled in vacuo at 70 ° C. After removing 90% of the aqueous phase, it is allowed to cool until reach 50 0 C, temperature at which methanol is added and stirred, to subsequently heat and maintain the reflux temperature for one hour.
  • the suspension is filtered, the solid is washed three times with hot methanol.
  • the filtrate and washings are combined and concentrated in vacuo until the crystallization of the product begins.
  • the solution is cooled to a temperature of 5 to 10 0 C for 12 hours.
  • the reddish solid is filtered, washed with cold methanol and dried in vacuo for 12 hours.
  • the reaction provides a yield of 98 to 99.5%.
  • 5-methyl-2 (H) -pyridone obtained in the previous step is mixed with anhydrous potassium carbonate, copper powder and iodobenzene, stirred and refluxed at 160 0 C for 18 to 20 hours.
  • the reaction mixture at a temperature between 60 and 70 0 C is cooled, the solid the liquid decanted.
  • ethyl acetate To the solid is added ethyl acetate, the mixture is stirred and heated under reflux for one hour, after which it is filtered hot, the solid is washed with hot ethyl acetate, the filtrate and the washings are combined, this suspension is distilled in vacuo and allowed to cool for 12 hours.
  • the brown solid obtained is dried and washed with cold ethyl acetate.
  • the Pirfenidone obtained is purified by dissolving it in acetone and adding activated carbon. The mixture is heated at reflux for one hour. The mixture is filtered on celite and washed with hot acetone, The filtrate and washings are combined and distilled to concentrate the solution and promote crystallization of the product. Water is added to the concentrated mixture and all acetone is distilled. The aqueous suspension of a white solid is passed vtn crystallizer and cooled under stirring at a temperature of 5 to 10 0 C for 12 hours. The white solid obtained was filtered and dried at a temperature of 60 0 C for 12 hours. The product obtained has a purity of 99.8%, a max in UV of 316.96, 01830 and a melting point of 109-111 0 C.
  • a mixture is prepared with 50 kilograms of 5-methyl-2 (H) -pyridone, obtained in the previous step, 70 kilograms of anhydrous potassium carbonate, 1 Kilogram of freshly prepared copper powder and 150 liters of iodobenzene.
  • the mixture is heated at reflux, 160 0 C, maintaining stirring. It is left at reflux for 18 to 20 hours. After this reaction time it is cooled to a temperature between SO and 70 0 C. The suspension is allowed to stand and the supernatant is decanted.
  • This is a solution of pirfenidone in iodobenzene, which is treated separately.
  • To the solid 400 liters of ethyl acetate are added, stirred and heated at reflux for 1 hour.
  • Iodobenzene solution is concentrated in vacuo to an approximate volume of 100 liters, it is passed to a crystallizer hot and cooled to a temperature between 4 and 10 0 C for 24 hours. The crystals obtained are filtered in the crentrifuge. You get approximately 40 M
  • Pirfenidone compositions for topical application are Pirfenidone compositions for topical application.
  • the Pirfenidone obtained is used in the manufacture of pharmaceutical compositions of dermatological application as described below: 22
  • Pirfenidone serum levels were assessed after 21 days of daily topical dermal application to albino rabbits, which were divided into four groups, of 9 rabbits each, and were topically medicated with graduated doses (200 to 5000 mg / kg / day) Pirfenidone hydrophilic ointment 10%, blood samples were taken for the Pirfenidone test before starting the application and again on day 22. Rabbits that received doses equal to or greater than 2000 mg / kg showed quantifiable levels in serum, of the order of 1.10 ⁇ 0.39 micrograms / ml. These levels are not toxicologically or pharmacologically significant, even after repeated massive topical doses of ointment with 10% Pirfenidone.
  • Topical cytoprotective activity of concentrations of 0.0% (control) r 1.0%, 2.5%, 5.0% and 10.0% of Pirfenidone in ointments were determined in albino mice according to the WaIz method. Ten mice were used for each dose. Dermal inflammation lesions were generated by the subcutaneous injection of 0.03 ml of a 0.05 M hydrochloric acid solution in a shaved area, centrally located in the ventral abdominal skin of each mouse. Each mouse received a topical application of 70 mg of ointment and was applied to a circle with a diameter of 20 mm, above the induced skin lesion.
  • Each rabbit's dorsal was pinched by an electric clamp. Twenty-four hours later, an ultraviolet lamp was suspended 9 inches above the rabbits' backs. Before exposure, the lamp was heated for a minimum of 10 minutes.
  • Each rabbit was prepared for exposure to dorsal radiation by covering its back with an aluminum foil in which 4 circular holes of 1.0 cm had been cut. From two of these holes, the aluminum cover was removed to allow penetration of DV radiation to the dorsal skin; the other two remained covered. They were exposed for 25 minutes in groups of three, 10 min after exposure, 0.5 grams of the respective cream preparations were applied. The animals were restricted until the erythema had been evaluated at 4 hours.
  • Readings were made after 24, 48 and 72 of the initial exposure. The complete resolution of the irritation occurred at 72 hours. In contrast, areas not treated with Pirfenidone cream showed marked irritation (grade 2 or 3) at 72 hours. The difference i s were statistically significant (P ⁇ 0.05).
  • the effect of 5.0% vs 10.0% pirfenidone ointment was evaluated in a study with 10 pregnant mares, in which inflammatory dermal neck injuries were experimentally induced by subcutaneous injection of 5.0 ml of sodium alginate followed by 5.0 ml of chloride of calcium within the same site.
  • the ointments were applied once a day starting 24 hours after the subcutaneous injection of the irritants and was continued for 5 days. Measurements in centimeters, length and width of the lesions were made daily. The peak inflammatory reaction was achieved between 48 and 72 hours.
  • Keloid human tissue weight in transplanted xenografts within nude mice Keloid human tissue weight in transplanted xenografts within nude mice.
  • Tissues of surgically obtained human keloids were transplanted into groups of nude mice, of which two series of groups were obtained. One series served as a control and did not receive Pirfenidone. The second series received Pirfenidone mixed in the. food. Subsequently, the measurement of transpiated keloids was performed at 30, 60 and 90 days after the transplant procedure. After the transplants were removed from their subcutaneous sites, wet and dry weights were determined and expressed as percentages of the original weights. Clearly the administration of Pirfenidone in the diet significantly reduced the weight of keloid transplants without altering the ratio of chondroitin sulfate. In addition, the final weight of the animals fed with Pirfenidone was comparable to that of the controls.

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  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Dermatology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pyridine Compounds (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The present invention concerns a new process for preparation of 5-methyl-l-phenyl-l (H) - pyridone, which consists in three steps which provide greater performance from a high purity product. Pharmaceutical compositions of topical application and use thereof are also described.

Description

NUEVO PROCESO DE SÍNTESIS PARA LA OBTENCIÓN DE N EUVO SYNTHESIS PROCESS FOR OBTAINING

5-METIL-1-FENIL-2- (IH) -PIRIDONA,5-METHYL-1-PHENYL-2- (IH) -PIRIDONE,

COMPOSICIÓN Y USO DE LA MISMACOMPOSITION AND USE OF THE SAME

CAMPO DE LA INVENCIÓN.FIELD OF THE INVENTION

La presente invención se relaciona con un nuevo proceso de síntesis para la obtención de 5-metil-l- fenil- (IH) -piridona, cuyo nombre genérico es Pirfenidona, el proceso objeto de la presente invención consta de tres etapas, las cuales permiten obtener un producto de mayor pureza y con mejor rendimiento, cuyas características representan una mejora sobre los demás métodos conocidos. El compuesto obtenido muestra excelentes propiedades en el tratamiento de dermatosis atópica y queratinosis actinica, cicatrices hipertróficas, cicatrices queloides y cicatrices ocasionadas por acné, cuando se aplica en una composición farmacéutica adecuada.The present invention relates to a new synthesis process for obtaining 5-methyl-l-phenyl- (IH) -pyridone, whose generic name is Pirfenidone, the process object of the present invention consists of three stages, which allow obtain a product of greater purity and better performance, whose characteristics represent an improvement over the other known methods. The compound obtained shows excellent properties in the treatment of atopic dermatosis and actinic keratinosis, hypertrophic scars, keloid scars and acne scars, when applied in a suitable pharmaceutical composition.

ANTECEDENTES DE LA INVENCIÓNBACKGROUND OF THE INVENTION

La 5-metil-l-fenil- (IH) -piridona, de fórmula;The 5-methyl-l-phenyl- (IH) -pyridone, of the formula;

Figure imgf000002_0001
Figure imgf000002_0001

es un fármaco que ha sido aplicado para inducir la remodelación de la cicatriz formada en varios órganos afectados por procesos que cursan con fibrosis, asi como en la prevención del establecimiento de diferentes fibrosis, restauración de los tejidos con lesiones fibróticas y para la prevención de lesiones fibróticas. Este compuesto, llamado Pirfeπiάona, es por si mismo un compuesto conocido y sus efectos farmacológicos han sido descritos en, por ejemplo, las solicitudes Japonesas KOKAI Nos. 87677/1974 y 1284338/1976, como un agente anti-inflamatorio que incluye los efectos anti- piréticos y analgésicos. Las patentes de los Estados Unidos Nos. 3,839,346, publicada el 1 de octubre de 1974, 3,974,281, publicada el 10 de agosto de 1976, 4,042,699, publicada el 16 de agosto de 1977, y 4,052,509, publicada el 4 de octubre de 1977, describen métodos para la obtención de Pirfenidona, asi como su uso como agente anti-inflamatorio. En la patente mexicana 182,266 se describe la actividad anti-fibrótica de la 5-metil-l-feπil- (IH) -piridona.It is a drug that has been applied to induce the remodeling of the scar formed in several organs affected by processes that occur with fibrosis as well as in prevention l establishment of different fibrosis, restoration of tissues with fibrotic lesions and for the prevention of fibrotic lesions. This compound, called Pirfeπiάone, is itself a known compound and its pharmacological effects have been described in, for example, Japanese applications KOKAI Nos. 87677/1974 and 1284338/1976, as an anti-inflammatory agent that includes anti-inflammatory effects. - pyretic and analgesic. U.S. Patents Nos. 3,839,346, published October 1, 1974, 3,974,281, published August 10, 1976, 4,042,699, published August 16, 1977, and 4,052,509, published October 4, 1977, describe methods for obtaining Pirfenidone, as well as its use as an anti-inflammatory agent. Mexican patent 182,266 describes the anti-fibrotic activity of 5-methyl-l-feπil- (IH) -pyridone.

Las patentes estadounidenses números 3,974,281 y 3,839,346 describen la preparación de 5-metil-l-fenil-U.S. Patent Nos. 3,974,281 and 3,839,346 describe the preparation of 5-methyl-l-phenyl-

(IH) -piridona partiendo de 5-metil-2- (IH) -piridina en presencia de carbonato de sodio anhidro, cobre precipitado con zinc, en iodobenceno, a reflujo durante(IH) -pyridone starting from 5-methyl-2- (IH) -pyridine in the presence of anhydrous sodium carbonate, copper precipitated with zinc, in iodobenzene, at reflux during

18 horas, de donde se obtiene 5-metil-l-fenil- (IH) - piridona, la cual después de ser cristalizada en benceno y éter de petróleo, proporciona un rendimiento del 85%, con un punto de fusión de 90 a 1040C, el cual después de una recristalización en agua caliente funde a 1020C.18 hours, where 5-methyl-l-phenyl- (IH) -pyridone is obtained, which after being crystallized from benzene and petroleum ether, yields 85%, with a melting point of 90 to 104 0 C, which after a recrystallization in hot water melts at 102 0 C.

Estos procesos y otros existentes en el estado de la técnica son difíciles, poco económicos y frecuentemente resultan en bajos rendimientos después de una extensa manipulación de materiales de partida caros .These processes and others existing in the state of the art are difficult, inexpensive and often result in low yields after extensive Handling of expensive starting materials.

Actividad biológica de PirfenidonaBiological activity of Pirfenidone

La primera descripción de la formación de una cicatriz anormal en la forma de queloides (registrada en un papiro llamado de Smith) se dio en relación a técnicas quirúrgicas utilizadas en Egipto en 1700 A.C. También en el arte de la África antigua, se incluyen representaciones de cicatrices queloides. Posteriormente en 1806, Alibert acuñó el término queloide, derivado del Griego chele, o tenazas del cangrejo, para describir el crecimiento lateral de tejido dentro de la piel no afectada. La cicatrización de una herida es un proceso normal que puede sufrir dos tipos de alteraciones: un exceso en la formación de tejido de granulación (cicatriz hipertrófica) o una formación anormal de tejido conjuntivo con abundantes bandas de colágena (cicatriz queloide) . La primera puede desaparecer espontáneamente con el transcurso del tiempo sin dar ningún tratamiento; sin embargo, en muchas ocasiones las cicatrices hipertróficas no desaparecen. Las cicatrices queloides rara vez son remodeladas sin ninguna intervención y por ende, no desaparecen.The first description of the formation of an abnormal scar in the form of keloids (recorded in a papyrus called Smith) was given in relation to surgical techniques used in Egypt in 1700 B.C. Also in the art of ancient Africa, representations of keloid scars are included. Later in 1806, Alibert coined the term keloid, derived from the Greek chele, or crab pincers, to describe the lateral growth of tissue within the unaffected skin. The healing of a wound is a normal process that can suffer two types of alterations: an excess in the formation of granulation tissue (hypertrophic scar) or an abnormal formation of connective tissue with abundant bands of collagen (keloid scar). The first may disappear spontaneously over time without giving any treatment; however, in many cases hypertrophic scars do not disappear. Keloid scars are rarely remodeled without any intervention and therefore do not disappear.

Un queloide es un crecimiento excesivo de tejido fibroso denso que se desarrolla usualmente después de sanar una herida en la piel. El tejido se extiende más allá de los bordes de la herida original, usualmente no hay regresión espontánea y tiende a recurrir después de ser escindida al verse alterada por la fibroproliferación de la piel humana. Las cicatrices queloides e hipertróficas son los únicos trastornos fibroproliferativos de la piel humana que siguen a un trauma, inflamación, quemadura o cirugía. La aparición de cicatriz queloide tiene una tendencia familiar, y afecta a arabos sexos por igual a una edad comprendida mayormente entre los 10 a los 30 años. En los individuos afectados, las cicatrices que son elevadas, rojas y firmes pueden ocasionar prurito y dolor y crear problemas funcionales y cosméticos. Su incidencia va de 4.5% al 16%, presentándose especialmente en negros, hispanos y orientales. Se asocia con antigenos HLA-B14,- B21, HLA-BWl6, -BW35, HLA-DR5, DQW3 y sujetos de sangre tipo A+. Se ha reportado su transmisión como autosómica dominante y autosómica recesiva.A keloid is an overgrowth of dense fibrous tissue that usually develops after healing a skin wound. The tissue extends beyond the edges of the original wound, usually there is no spontaneous regression and tends to recur after being excised when it is altered by the fibroproliferation of human skin. Keloid and hypertrophic scars are the only disorders Fibroproliferative human skin following trauma, inflammation, burn or surgery. The appearance of keloid scar has a familial tendency, and affects sex Arabs equally at an age mostly between 10 and 30 years. In affected individuals, scars that are raised, red and firm can cause itching and pain and create functional and cosmetic problems. Its incidence ranges from 4.5% to 16%, especially in blacks, Hispanics and Orientals. It is associated with antigens HLA-B14, - B21, HLA-BWl6, -BW35, HLA-DR5, DQW3 and blood type A + subjects. Its transmission has been reported as autosomal dominant and autosomal recessive.

Se han empleado diferentes recursos y tratamientos sin que a la fecha ninguno de ellos se muestre realmente efectivo. La Pirfenidona ha demostrado su efectividad como agente anti-fibrótico, en diferentes patologías y órganos, tal como ha sido demostrado en trabajos previos, donde hemos observado un efecto sobre los fibroblastos y la colágena producida por los mismos, tanto en modelos experimentales, como en ensayos clínicos .Different resources and treatments have been used without any of them being really effective to date. Pirfenidone has demonstrated its effectiveness as an anti-fibrotic agent, in different pathologies and organs, as it has been shown in previous studies, where we have observed an effect on fibroblasts and collagen produced by them, both in experimental models and in clinical trials

Estado actual de la investigación con PirfenidonaCurrent status of research with Pirfenidone

Pirfenidona (5-metil-l-fenil-2- (IH) -piridona) , es un agente anti-fibrótico que ha demostrado ser efectivo para prevenir y resolver la acumulación de tejido fibroso, tanto en modelos experimentales de fibrosis pulmonar (2), leiomiomas uterinos (3), fibrosis renal (4) y cicatrices queloides (5); adherencias peritoneales (6), fibrosis hepática (7); como también en ensayos clínicos de fibrosis pulmonar idiopática (8), y cirrosis hepática ( 9) .Pirfenidone (5-methyl-l-phenyl-2- (IH) -pyridone), is an anti-fibrotic agent that has proven effective in preventing and resolving the accumulation of fibrous tissue, both in experimental models of pulmonary fibrosis (2) , uterine leiomyomas (3), renal fibrosis (4) and keloid scars (5); peritoneal adhesions (6), liver fibrosis (7); as well as in clinical trials of idiopathic pulmonary fibrosis (8), and cirrhosis liver (9).

OBJETO DE LA INVENCIÓN / OBJECT OF THE INVENTION /

Es un objeto de la presente invención proporcionar un proceso de tres etapas para la obtención de Pirfenidona,, el cual permite obtener un producto de mayor pureza y con mejores condiciones de reacción.It is an object of the present invention to provide a three step process for obtaining Pirfenidone, which allows to obtain a product of greater purity and with better reaction conditions.

Un segundo objeto de la presente invención es proporcionar una composición farmacéutica de Pirfenidona, para su aplicación dérmica.A second object of the present invention is to provide a pharmaceutical composition of Pirfenidone, for dermal application.

También, es nuestro objetivo demostrar las propiedades farmacológicas de una composición farmacéutica de Pirfenidona, a nivel dérmico en pacientes con cicatrización hipertrófica o queloide, con la finalidad de prevenir o mejorar una cicatrización anormal en aquellos pacientes sometidos a una cirugía o como secuela de quemaduras, y con tendencia a formar cicatrices hipertróficas o queloides.Also, it is our objective to demonstrate the pharmacological properties of a pharmaceutical composition of Pirfenidone, at the dermal level in patients with hypertrophic or keloid healing, in order to prevent or improve an abnormal healing in those patients undergoing surgery or as a sequelae of burns, and with a tendency to form hypertrophic scars or keloids.

ESPECIFICACIÓN DE LA INVENCIÓNSPECIFICATION OF THE INVENTION

La presente invención se relaciona con un proceso de tres etapas para la obtención de 5-metil-l-fenil- (IH) - piridona que es eficiente y directo, además de que proporciona altos rendimientos.The present invention relates to a three-stage process for obtaining 5-methyl-l-phenyl- (IH) -pyridone which is efficient and direct, in addition to providing high yields.

Obtención de 5-metil-2-piridona.Obtaining 5-methyl-2-pyridone.

El proceso de obtención de la 5-metil-2-piridona objeto de la presente invención se lleva a cabo en tres etapas las cuales comprenden; en la primera de ellas obtener 5-metil-2 (H) -piridona a partir de 2-amino-5- metil-piridina mediante una reacción diazo en medio ácido, para luego obtener 5-metil-l-fenil- (IH) -piridona mediante la reducción con cobre en presencia de iodobenceno, llevando a cabo la adición del anillo aromático en la misma etapa. La última etapa consiste en la purificación de la 5-metil-l-fenil- (IH) -piridona obtenida, la cual da como resultado un producto de alta pureza útil en composiciones farmacéuticas. Primera etapaThe process of obtaining the 5-methyl-2-pyridone object of the present invention is carried out in three stages which comprise; in the first one, obtain 5-methyl-2 (H) -pyridone from 2-amino-5- methyl-pyridine by a diazo reaction in medium acid, to then obtain 5-methyl-l-phenyl- (IH) -pyridone by reduction with copper in the presence of iodobenzene, carrying out the addition of the aromatic ring at the same stage. The last step consists in the purification of the 5-methyl-l-phenyl- (IH) -pyridone obtained, which results in a high purity product useful in pharmaceutical compositions. First stage

Se prepara una mezcla de 2-amino-S-metil- piridina y agua, en una relación aproximada de 1:8 gr/ml, con ácido sulfúrico a una temperatura entre 5 y 100C. Por separado se prepara una solución acuosa de nitrito de sodio, la cual se agrega lentamente a la primera mezcla manteniendo la temperatura entre 5 y 100C, manteniendo la agitación durante una hora. S and prepares a mixture of 2-amino-S-methyl- pyridine and water in a ratio of 1: 8 g / ml, with sulfuric acid at a temperature between 5 and 10 0 C. Separately an aqueous solution is prepared of sodium nitrite, which is added slowly to the first mixture keeping the temperature between 5 and 10 0 C, keeping stirring for one hour.

La mezcla de reacción se calienta lentamente hasta una temperatura de 900C, la cual se mantiene constante durante una hora, al final de este tiempo se deja enfriar la mezcla de reacción hasta llegar a temperatura ambiente. A la mezcla de reacción se agrega carbonato de sodio anhidro hasta lograr un pH entre 7 y 8. Se calienta la mezcla de reacción y se destila al vacio a 700C. una vez eliminado el 90% de la fase acuosa se deja enfriar hasta alcanzar 500C, temperatura a la cual se agrega metanol y se agita, para posteriormente calentar y mantener la temperatura de reflujo durante una hora. Al final del paso anterior se filtra la suspensión, el sólido se lava tres veces con metanol caliente. El filtrado y los lavados se juntan y se concentran al vacio hasta que inicie la cristalización del producto. Se enfria la solución a una temperatura de 5 a 100C durante 12 horas. El sólido rojizo se filtra, se lava con metanol frió y se seca al vacio durante 12 horas. La reacción proporciona un rendimiento del 98 al 99.5%.The reaction mixture is slowly heated to a temperature of 90 0 C, which remains constant for one hour, at the end of this time is allowed to cool the reaction mixture to reach room temperature. Anhydrous sodium carbonate is added to the reaction mixture until a pH between 7 and 8 is achieved. The reaction mixture is heated and distilled in vacuo at 70 ° C. After removing 90% of the aqueous phase, it is allowed to cool until reach 50 0 C, temperature at which methanol is added and stirred, to subsequently heat and maintain the reflux temperature for one hour. At the end of the previous step the suspension is filtered, the solid is washed three times with hot methanol. The filtrate and washings are combined and concentrated in vacuo until the crystallization of the product begins. The solution is cooled to a temperature of 5 to 10 0 C for 12 hours. The reddish solid is filtered, washed with cold methanol and dried in vacuo for 12 hours. The reaction provides a yield of 98 to 99.5%.

Segunda Etapa.Second stage.

La 5-metil-2 (H)-piridona obtenida en la etapa anterior se mezcla con carbonato de potasio anhidro, cobre en polvo y iodobenceno, se agita y se calienta a reflujo a 1600C, durante 18 a 20 horas. Al finalizar el tiempo de reacción se enfria la mezcla de reacción a una temperatura entre 60 y 700C, se decanta el sólido del liquido. Al sólido se le agrega acetato de etilo, se agita la mezcla y se calienta a reflujo durante una hora, después de lo cual se filtra en caliente, el sólido se lava con acetato de etilo caliente, se reúnen el filtrado y los lavados, esta suspensión se destila al vacio y se deja enfriar durante 12 horas. El sólido café obtenido se seca y se lava con acetato de etilo frió. Por otra parte la solución de iodobenceno obtenida en el primer paso de esta etapa, se concentra destilando el liquido al vacio, la suspensión obtenida se deja enfriar a una temperatura entre 4 y 100C durante 24 horas. Los cristales de color café se centrifugan. Este producto se reúne con el obtenido en el paso anterior, con lo cual se tiene un rendimiento del 84 al 85%.5-methyl-2 (H) -pyridone obtained in the previous step is mixed with anhydrous potassium carbonate, copper powder and iodobenzene, stirred and refluxed at 160 0 C for 18 to 20 hours. At the end of the reaction time the reaction mixture at a temperature between 60 and 70 0 C is cooled, the solid the liquid decanted. To the solid is added ethyl acetate, the mixture is stirred and heated under reflux for one hour, after which it is filtered hot, the solid is washed with hot ethyl acetate, the filtrate and the washings are combined, this suspension is distilled in vacuo and allowed to cool for 12 hours. The brown solid obtained is dried and washed with cold ethyl acetate. Moreover the solution of iodobenzene obtained in the first step of this stage, concentrated by distilling the liquid in vacuo, the suspension obtained is cooled to a temperature between 4 and 10 0 C for 24 hours. The brown crystals are centrifuged. This product meets the one obtained in the previous step, which gives a yield of 84 to 85%.

Tercera Etapa.Third Stage

La Pirfenidona obtenida se purifica disolviendo la misma en acetona y agregando carbón activado. La mezcla se calienta a reflujo durante una, hora. La mezcla se filtra sobre celita y se lava esta con acetona caliente, el filtrado y los lavados se reúnen y destilan para concentrar la solución y propiciar la cristalización del producto. A la mezcla concentrada se le agrega agua y se destila toda la acetona. La suspensión acuosa de un sólido blanco se pasa a vtn cristalizador y se enfria bajo agitación a una temperatura de 5 a 100C, durante 12 horas. El sólido blanco obtenido se filtra y se seca a una temperatura de 600C durante 12 horas. El producto obtenido tiene una pureza del 99.8%, un max en UV de 316.96, 01830 y un punto de fusión de 109-1110C.The Pirfenidone obtained is purified by dissolving it in acetone and adding activated carbon. The mixture is heated at reflux for one hour. The mixture is filtered on celite and washed with hot acetone, The filtrate and washings are combined and distilled to concentrate the solution and promote crystallization of the product. Water is added to the concentrated mixture and all acetone is distilled. The aqueous suspension of a white solid is passed vtn crystallizer and cooled under stirring at a temperature of 5 to 10 0 C for 12 hours. The white solid obtained was filtered and dried at a temperature of 60 0 C for 12 hours. The product obtained has a purity of 99.8%, a max in UV of 316.96, 01830 and a melting point of 109-111 0 C.

Ejemplo.Example.

Síntesis de 5-metil-2 (H) -piridona.Synthesis of 5-methyl-2 (H) -pyridone.

A una mezcla de cincuenta kilogramos de 2-amino-5- metil-piridina y 410 litros de agua deionizada, enfriada a una temperatura entre 5 y 100C, se le agrega lentamente una solución de 53.8 litros de ácido sulfúrico, manteniendo la temperatura constante. Una vez obtenida la mezcla anterior se agrega lentamente y con agitación, una solución de 36.2 kilogramos de nitrito de sodio en 97.5 litros de agua, manteniendo la temperatura constante. Se deja en agitación la mezcla de reacción durante una hora. Una vez homogenizada la mezcla se calienta lentamente hasta una temperatura de 900C, manteniendo dicha temperatura durante 1 hora más, pasado este tiempo se deja enfriar hasta temperatura ambiente. A la mezcla obtenida se agregan lentamente 105.75 kilogramos de carbonato de potasio anhidro, hasta lograr un pH entre 7 y 8. Se calienta lentamente y se destila a presión reducida, hasta lograr separar 450 litros de liquido. Se enfria a 500C y se agregan 300 litros de metanol, se agita y calienta a reflujo la mezcla durante una hora. La suspensión se filtra en caliente a través de un filtro "sparkler", se lava el sólido dos veces con 100 litros cada uno de metanol caliente. Las sales de potasio se desechan, el filtrado y los lavados, alrededor de 500 litros se concentran al vacio hasta que empiece a cristalizar el producto, cuando el volumen es de aproximadamente 150 litros. En este punto la mezcla se pasa a un cristalizador y se enfria a una temperatura entre 5 y 100C durante 12 horas. Bl sólido obtenido se centrifuga y se lava con 10 litros de metanol frió. Los cristales se pasan a una charola, se secan al vacio en la estufa a 60°Cr durante 12 horas. La 5 metil-2(H)- piridona obtenida tiene un peso de 50 Kilogramos y se emplea en la siguiente etapa.To a mixture of fifty kilograms of 2-amino-5- methyl-pyridine and 410 liters of deionized water, cooled to a temperature between 5 and 10 0 C, a solution of 53.8 liters of sulfuric acid is slowly added, maintaining the temperature constant. Once the previous mixture is obtained, a solution of 36.2 kilograms of sodium nitrite in 97.5 liters of water is added slowly and with stirring, keeping the temperature constant. The reaction mixture is allowed to stir for one hour. Once the mixture was homogenised slowly heated to a temperature of 90 0 C, keeping said temperature for 1 hour, after which time is cooled to room temperature. To the mixture obtained, 105.75 kilograms of anhydrous potassium carbonate are slowly added, until a pH between 7 and 8 is achieved. It is slowly heated and distilled under reduced pressure, until 450 liters of liquid. It is cooled to 50 0 C and 300 liters of methanol are added, stirred and the mixture refluxed for one hour. The suspension is filtered hot through a "sparkler" filter, the solid is washed twice with 100 liters each of hot methanol. The potassium salts are discarded, the filtrate and the washings, about 500 liters are concentrated in vacuo until the product begins to crystallize, when the volume is approximately 150 liters. At this point the mixture is passed to a crystallizer and cooled to a temperature between 5 and 10 0 C for 12 hours. Solid bl obtained is centrifuged and washed with 10 liters of cold methanol. The crystals are passed to a tray, dried in vacuum oven at 60 ° C for 12 hours r. The 5-methyl-2 (H) -pyridone obtained has a weight of 50 Kilograms and is used in the next step.

Preparación del catalizador de Cobre precipitado . de zinc.Preparation of the precipitated copper catalyst. of zinc

Se disuelven 100 gramos de sulfato cúprico pentahidratado en 350 mi de agua destilada, se calienta ligeramente la mezcla para lograr la disolución total del compuesto de cobre, alrededor de 30°. A esta temperatura y agitando se agrega lentamente polvo de zinc hasta la decoloración total de la solución, aproximadamente entre 20 y 35 gramos. El cobre en forma de polvo pesado de color café rojizo se separa del liquido por decantación y se lava tres veces con aproximadamente 350 mi de ácido clorhídrico al 5% (pH =100 grams of pentahydrate cupric sulfate are dissolved in 350 ml of distilled water, the mixture is slightly heated to achieve the total dissolution of the copper compound, around 30 °. At this temperature and stirring, zinc powder is slowly added until the solution is completely discolored, approximately 20 to 35 grams. Copper in the form of heavy reddish brown powder is separated from the liquid by decantation and washed three times with approximately 350 ml of 5% hydrochloric acid (pH =

1) , separando los lavados por decantación. Se filtra en un Büchner, lavando con agua hasta un pH neutro y se JO1), separating the washings by decantation. It is filtered in a Büchner, washing with water to a neutral pH and JO

guarda sin secar en un frasco ámbar.Store without drying in an amber jar.

Obtención de Pirfenidona Cruda.Obtaining Raw Pirfenidone.

Se prepara una mezcla con 50 kilogramos de 5-metil- 2 (H) -piridona, obtenida en el paso anterior, 70 kilogramos de carbonato de potasio anhidro, 1 Kilogramo de polvo de cobre recién preparado y 150 litros de iodobenceno. Se calienta la mezcla a reflujo, 1600C, manteniendo la agitación. Se deja a reflujo durante 18 a 20 horas. Después de este tiempo de reacción se enfria a una temperatura entre SO y 700C. Se deja reposar la suspensión y se decanta el liquido sobrenadante. Este es una solución de pirfenidona en iodobenceno, la cual se trata por separado. Al sólido se le agregan 400 litros de acetato de etilo, se agita y se calienta a reflujo durante 1 hora. Se filtra en caliente a través de un filtro "sparkler". Se lava con 50 litros de acetato de etilo caliente, se juntan las aguas madres y los lavados, se concentran ai vacio hasta un volumen de 200 litros, se pasa en caliente a un cristalizador. Se enfria la solución y se deja reposar durante 12 horas. Cristaliza un polvo café rojizo que se filtra por centifugado y se lava con 10 It de acetato de etilo frió. Se obtiene aproximadamente 30 Kilogramos de Pirfenidona cruda.A mixture is prepared with 50 kilograms of 5-methyl-2 (H) -pyridone, obtained in the previous step, 70 kilograms of anhydrous potassium carbonate, 1 Kilogram of freshly prepared copper powder and 150 liters of iodobenzene. The mixture is heated at reflux, 160 0 C, maintaining stirring. It is left at reflux for 18 to 20 hours. After this reaction time it is cooled to a temperature between SO and 70 0 C. The suspension is allowed to stand and the supernatant is decanted. This is a solution of pirfenidone in iodobenzene, which is treated separately. To the solid 400 liters of ethyl acetate are added, stirred and heated at reflux for 1 hour. It is filtered hot through a "sparkler" filter. It is washed with 50 liters of hot ethyl acetate, the mother liquor and the washings are combined, concentrated in vacuo to a volume of 200 liters, it is passed hot to a crystallizer. The solution is cooled and allowed to stand for 12 hours. A reddish brown powder crystallizes, which is filtered by centrifugation and washed with 10 It of cold ethyl acetate. About 30 Kilograms of raw Pirfenidone is obtained.

La solución de iodobenceno se concentra al vacio hasta un volumen aproximado de 100 litros, se pasa en caliente a un cristalizador y se enfria a una temperatura entre 4 y 100C durante 24 horas. Los cristales obtenidos se filtran en la crentrifuga. Se obtiene aproximadamente 40 MIodobenzene solution is concentrated in vacuo to an approximate volume of 100 liters, it is passed to a crystallizer hot and cooled to a temperature between 4 and 10 0 C for 24 hours. The crystals obtained are filtered in the crentrifuge. You get approximately 40 M

kilogramos de Pirfenidona cruda.kilograms of raw Pirfenidone.

Purificación de la Pirfenidona cruda.Purification of raw Pirfenidone.

A la Pirfenidona cruda obtenida en el paso anterior, aproximadamente 70 kilogramos, se disuelven en acetona y se le agregan 10 kilogramos de carbón activado calentando la mezcla a reflujo y con agitación durante una hora. Se prepara un filtro "sparkler" con discos de lona de algodón y 50 kilogramos de celita. Se filtra la solución de acetona caliente y se lava el residuo con aproximadamente 100 litros de acetona caliente. El filtrado y los lavados se concentra al vacio hasta obtener un volumen de 100 litros, a los cuales se adiciona 300 litros de agua y se destila al vacio el resto de acetona. La solución acuosa concentrada se pasa a un cristalizador y se enfria bajo agitación a una temperatura de entre 5 y 100C durante 12 horas. Se deja reposar en frió durante 24 horas, obteniendo un polvo fino blanco, el cual se filtra en centrifuga. El producto se pasa a charolas de secado y se deja en la estufa a 600C, al vacio durante 12 horas. Se obtiene Pirfenidona pura de punto de fusión 109-110C, un máximo en UV de 316.96, 018300, con una pureza delTo the crude Pirfenidone obtained in the previous step, approximately 70 kilograms, they are dissolved in acetone and 10 kilograms of activated carbon are added by heating the mixture at reflux and with stirring for one hour. A "sparkler" filter with cotton canvas disks and 50 kilograms of celite is prepared. The hot acetone solution is filtered and the residue is washed with approximately 100 liters of hot acetone. The filtrate and washings are concentrated in vacuo to a volume of 100 liters, to which 300 liters of water is added and the rest of acetone is distilled in vacuo. The concentrated aqueous solution is passed to a crystallizer and cooled under stirring at a temperature of between 5 and 10 0 C for 12 hours. Let it stand in the cold for 24 hours, obtaining a fine white powder, which is filtered in a centrifuge. The product is passed to drying trays and left in the oven at 60 0 C, under vacuum for 12 hours. Pure Pirfenidone with a melting point 109-11 0 C, a maximum UV of 316.96, 018300, is obtained with a purity of

Composiciones de Pirfenidona para su aplicación tópica.Pirfenidone compositions for topical application.

La Pirfenidona obtenida se emplea en la fabricación de composiciones farmacéuticas de aplicación dermatológica como la que se describe a continuación: 22

Figure imgf000013_0001
The Pirfenidone obtained is used in the manufacture of pharmaceutical compositions of dermatological application as described below: 22
Figure imgf000013_0001

* Monoestearato de Sorbitan* Sorbitan monostearate

EjemploExample

Un ejemplo de composición la cual puede ser preparada por los métodos conocidos en el estado de la técnica y que son del conocimiento de cualquier químico farmacéutico:An example of a composition which can be prepared by methods known in the state of the art and which are known to any pharmaceutical chemist:

Figure imgf000013_0002
Figure imgf000014_0001
Figure imgf000013_0002
Figure imgf000014_0001

Ensayos clínicos pilotos a nivel dérmico con Pirfenidona.Pilot clinical trials at the dermal level with Pirfenidone.

Inhibición de la formación de cicatriz excesiva por Pirfenidona tópica .Inhibition of excessive scar formation by topical Pirfenidone.

Se han obtenido resultados previos relacionados a la inhibición de la formación excesiva de cicatrización por la aplicación directa de pomada con Pirfenidona a lesiones de la piel. Esto se hizo mediante la aplicación directa de pomada de Pirfenidona a lesiones dérmicas, como son laceraciones leves a moderadas, las cuales no generan cicatrización en la piel o fue mínima cuando la pomada de Pirfenidona era directa y rápidamente aplicado a las lesiones. Esto refleja tanto las actividades anti- fibróticas y citoprotectoras análogas a los efectos sistémicos citados en otros trabajos.Previous results have been obtained related to the inhibition of excessive scar formation by the direct application of Pirfenidone ointment to skin lesions. This was done by direct application of Pirfenidone ointment to dermal lesions, such as mild to moderate lacerations, which do not cause scarring of the skin or was minimal when Pirfenidone ointment was directly and quickly applied to the lesions. This reflects both the anti-fibrotic and cytoprotective activities analogous to the systemic effects cited in other studies.

Ensayo clínico preliminar de pomada de Pirfenidona al 7.0% en queloides.Preliminary clinical trial of Pirfenidone ointment 7.0% in keloids.

En un ensayo clínico preliminar utilizando pomada de Pirfenidona al 7.0% en queloides, tres pacientes con cicatrización queloide, habían vuelto a desarrollar queloides después de la cirugía; un caso desarrolló cicatriz queloide en la herida quirúrgica después de cirugia para el síndrome del túnel del carpo. Después de cinco años el paciente empezó a quejarse de grave dolor en el sitio, el cual fue severo aún con el uso de analgésico. Posteriormente la pomada de Pirfenidona fue aplicada. Después de un mes se observó una mejoria clara, aunque el dolor persistía. Sin embargo cuando una mezcla de Pirfenidona y DMSO fue aplicada, aparecieron signos de una mejoria posterior y disipación del dolor. Las condiciones de mejoria se mantuvieron durante el año de seguimiento. En los otros dos casos, uno después de una histerectomia y el otro de una gangliostomia, las heridas quirúrgicas sanaron efectivamente con la aplicación de pomada de Pirfenidona y las cicatrices queloides no reaparecieron durante el seguimiento de 12 meses.In a preliminary clinical trial using 7.0% Pirfenidone ointment in keloids, three patients with keloid scarring had re-developed keloids after surgery; a case developed Keloid scar in the surgical wound after surgery for carpal tunnel syndrome. After five years the patient began to complain of severe pain at the site, which was severe even with the use of an analgesic. Subsequently Pirfenidone ointment was applied. After a month a clear improvement was observed, although the pain persisted. However, when a mixture of Pirfenidone and DMSO was applied, signs of subsequent improvement and pain dissipation appeared. The conditions of improvement were maintained during the year of follow-up. In the other two cases, one after a hysterectomy and the other after a gangliostomy, the surgical wounds effectively healed with the application of Pirfenidone ointment and the keloid scars did not reappear during the 12-month follow-up.

Actividad citoprotectora tópica dérmicaTopical dermal cytoprotective activity

En un ensayo doble-ciego, controlado, en 60 pacientes con desórdenes de la piel como neurodermatitis (dermatitis atópica) , se demostró una mejoria estadísticamente significativa, al comparar a nivel basal las lesiones, después de la aplicación tópica de pomada hidrofilica de Pirfenidona al 10% {30 pacientes) , No se encontró incidencia de efectos secundarios (sistémicos o locales) indeseables después de una y dos semanas. La respuesta obtenida no difirió significativamente de aquella observada con pomada de valerato de betametasona (30 pacientes) . Estudio doble-ciego controlado con placebo en Eccema dérmicoIn a double-blind, controlled trial, in 60 patients with skin disorders such as neurodermatitis (atopic dermatitis), a statistically significant improvement was demonstrated, comparing the lesions at baseline, after topical application of Pirfenidone hydrophilic ointment to 10% {30 patients), No incidence of undesirable (systemic or local) side effects was found after one and two weeks. The response obtained did not differ significantly from that observed with betamethasone valerate ointment (30 patients). Double-blind, placebo-controlled study in dermal eczema

En un ensayo doble ciego, controlado con placebo con 9 pacientes (promedio 46 años de edad) con eccema dérmico de larga duración, en el cual se utilizó pomada de pirfenidona al 10% comparada con placebo, se mostró una mejoria estadísticamente significativa en 4 de 5 parámetros clinicos (eritema, prurito, descamación, vesículas) , resultados notables pues en estos pacientes el eccema tenía duración de 2 a S años.In a double-blind, placebo-controlled trial of 9 patients (average 46 years of age) with long-term dermal eczema, in which 10% pirfenidone ointment was used compared to placebo, a statistically significant improvement was shown in 4 of 5 clinical parameters (erythema, pruritus, desquamation, vesicles), remarkable results because in these patients the eczema lasted from 2 to S years.

Actividad citoprotectora (anti-TNF-a) tópica dérmica no- cegada en pacientes:Topical dermal cytoprotective (anti-TNF-a) activity in patients:

1 Dermatitis por contacto {8 casos) tratados por la aplicación local de pomada de Pirfenidona al 5% o al 10%, que produjo una pronta liberación del prurito, enrojecimiento, inflamación y edema, y las lesiones desaparecieron en unos pocos dias. La dermatitis fue atribuida a diversos detergentes, hiedra venenosa (venenos) y preparaciones para el cuidado personal.1 Contact dermatitis {8 cases) treated by the local application of 5% or 10% Pirfenidone ointment, which resulted in a rapid release of pruritus, redness, inflammation and edema, and the lesions disappeared within a few days. Dermatitis was attributed to various detergents, poison ivy (poisons) and personal care preparations.

2 Neurodermatitis (2 casos) medicados con pomada de Pirfenidona al 10%, los cuales obtuvieron una pronta liberación del prurito y las lesiones desaparecieron en unos pocos días.2 Neurodermatitis (2 cases) medicated with 10% Pirfenidone ointment, which obtained an early release of pruritus and the lesions disappeared within a few days.

3 Dermatitis fúngica (10 casos) el prurito de las infecciones fúngicas (por ej . , el pie de atleta) fue terminado por la aplicación de pomada de Pirfenidona al 5% o 10%, y las lesiones se limpiaron rápidamente. 4 Dermatitis por Herpes Simple-1 (7 casos) . Las ámpulas, sensibilidad y prurito de lesiones herpéticas que afectan a los labios, incluyendo áreas dérmicas alrededor de la boca, fueron prontamente eliminadas con la aplicación tópica de pomada de Pirfenidona al 10% y las lesiones desaparecieron en 5 a 7 dias.3 Fungal dermatitis (10 cases) the pruritus of fungal infections (eg, athlete's foot) was terminated by the application of 5% or 10% Pirfenidone ointment, and the lesions were quickly cleaned. 4 Herpes Simplex-1 dermatitis (7 cases). The ampules, tenderness and pruritus of herpetic lesions affecting the lips, including dermal areas around the mouth, were promptly eliminated with the topical application of 10% Pirfenidone ointment and the lesions disappeared within 5 to 7 days.

5 Reacciones agudas con heridas músculo-esqueléticas en humanos (medicación local o sistémica) . Un ensayo clínico controlado doble-ciego (14 pacientes seleccionados aleatorizadamente) conducido en Argentina demostró las distintas acciones citoprotectoras de la pomada tópica de Pirfenidona al 10.0%, cuando fue aplicada a jugadores del soccer con heridas traumáticas agudas. El edema y dolor fueron rápida y agudamente aliviados con la pomada de Pirfenidona. Ningún efecto indeseable fue reportado.5 Acute reactions with musculoskeletal wounds in humans (local or systemic medication). A double-blind controlled clinical trial (14 randomly selected patients) conducted in Argentina demonstrated the different cytoprotective actions of topical Pirfenidone ointment at 10.0%, when applied to soccer players with acute traumatic wounds. Edema and pain were quickly and acutely relieved with Pirfenidone ointment. No undesirable effects were reported.

Inhibición de la formación excesiva de cicatriz por la aplicación directa de pomada de Pirfenidona a lesiones de la piel.Inhibition of excessive scar formation by direct application of Pirfenidone ointment to skin lesions.

Laceraciones o lesiones leves a moderadas de la piel no lograron ocasionar cicatrices de la piel, o causaron únicamente cicatriz mínima, cuando la pomada de Pirfenidona fue pronta y directamente aplicada a las lesiones. Esta acción probablemente refleja tanto la actividad tópica anti-fibrótica y citoprotectora (anti- TNF-a) , actividades análogas a los efectos sistémicos citados en varios sitios. Varios ensayos clínicos humanos abiertos y controlados, han explorado las propiedades citoprotectoras de Pirfenidona. Ellos son nMild to moderate lacerations or lesions of the skin failed to cause skin scarring, or caused only minimal scarring, when Pirfenidone ointment was prompt and directly applied to the lesions. This action probably reflects both topical anti-fibrotic and cytoprotective activity (anti-TNF-a), activities analogous to the systemic effects cited at various sites. Several open and controlled human clinical trials have explored the cytoprotective properties of Pirfenidone. They are n

incluidos primariamente como un antecedente que soporta la seguridad relativa de Pirfenddona en sujetos humanos.included primarily as a background that supports the relative safety of Pirfenddone in human subjects.

Experimentos adicionales de excreción (aclaramiento) y Biotransformación con PirfenidonaAdditional excretion experiments (clearance) and Biotransformation with Pirfenidone

Niveles séricos de Pirfenidona después de 21 dias de aplicación dérmica tópica a conejos albinos :Serum levels of Pirfenidone after 21 days of topical dermal application to albino rabbits:

Fueron valorados los niveles séricos de Pirfenidona después de 21 dias de aplicación dérmica tópica diaria a conejos albinos, los cuales fueron divididos dentro de cuatro grupos, de 9 conejos cada uno, y fueron medicados tópicamente con dosis gradúalas (de 200 a 5000 mg/kg/dia) de pomada hidrofilica de Pirfenidona al 10%, se tomaron muestras sanguíneas para el ensayo de Pirfenidona antes de iniciar la aplicación y de nuevo al día 22. Los conejos que recibieron dosis iguales o mayores de 2000 mg/kg mostraron niveles cuantificables en suero, del orden de 1.10 ± 0.39 microgramos/ml . Estos niveles no son toxicológica o farmacológicamente significativos, aun después de dosis masivas repetidas tópicas de pomada con Pirfenidona al 10%.Pirfenidone serum levels were assessed after 21 days of daily topical dermal application to albino rabbits, which were divided into four groups, of 9 rabbits each, and were topically medicated with graduated doses (200 to 5000 mg / kg / day) Pirfenidone hydrophilic ointment 10%, blood samples were taken for the Pirfenidone test before starting the application and again on day 22. Rabbits that received doses equal to or greater than 2000 mg / kg showed quantifiable levels in serum, of the order of 1.10 ± 0.39 micrograms / ml. These levels are not toxicologically or pharmacologically significant, even after repeated massive topical doses of ointment with 10% Pirfenidone.

Efecto tópico sobre la reacción dérmica inducida en perros por endotoxina de Bordetella intradérπticaTopical effect on the dermal reaction induced in dogs by intradermal Bordetella endotoxin

El efecto de Pirfenidona en pomada hidrofilica al 10% aplicado tópicamente a lesiones de piel dorsal en perros (región tóraco-lumbar de la espalda) , inducidas por inyecciones intradérmicas de endotoxina de BordetellaThe effect of Pirfenidone on 10% hydrophilic ointment applied topically to dorsal skin lesions in dogs (thoraco-lumbar region of the back), induced by intradermal injections of Bordetella endotoxin

(0.3 mi), con cuidadosas mediciones del diámetro de las ¡8(0.3 mi), with careful measurements of the diameter of the ¡8

lesiones comparadas con pomada placebo equivalente, una vez al dia por 3 días consecutivos. Aunque las mediciones del edema, enrojecimiento y dolor no fueron diferentes de manera significativa de los controles, el diámetro del área indurada (dentro de la lesión) tuvo una reducción distintiva para el cuarto dia, como resultado de la aplicación tópica de Pirfenidona en pomada.lesions compared with equivalent placebo ointment, once a day for 3 consecutive days. Although the measurements of edema, redness and pain were not significantly different from the controls, the diameter of the indurated area (within the lesion) had a distinctive reduction for the fourth day, as a result of topical application of Pirfenidone in ointment.

Actividad tópica citoprotectora contra las lesiones dérmicas inducida con ácido clorhídrico diluido en ratones.Topical cytoprotective activity against dermal lesions induced with dilute hydrochloric acid in mice.

La actividad tópica citoprotectora de concentraciones al 0.0% (control) r 1.0%, 2.5%, 5.0 % y 10.0% de Pirfenidona en pomadas fueron determinadas en ratones albinos de acuerdo al método de WaIz. Diez ratones fueron utilizados para cada dosis. Las lesiones de inflamación dérmica fueron generadas por la inyección subcutánea de 0.03 mi de una solución de ácido hidroclórico al 0.05 M en ana zona afeitada, localizada centralmente en la piel abdominal ventral de cada ratón. Cada ratón recibió una aplicación tópica de 70 mg de pomada y fue aplicada a un círculo de diámetro de 20 mm, encima de la lesión inducida en la piel.Topical cytoprotective activity of concentrations of 0.0% (control) r 1.0%, 2.5%, 5.0% and 10.0% of Pirfenidone in ointments were determined in albino mice according to the WaIz method. Ten mice were used for each dose. Dermal inflammation lesions were generated by the subcutaneous injection of 0.03 ml of a 0.05 M hydrochloric acid solution in a shaved area, centrally located in the ventral abdominal skin of each mouse. Each mouse received a topical application of 70 mg of ointment and was applied to a circle with a diameter of 20 mm, above the induced skin lesion.

Efecto de crema de Pirfenidona sobre el eritema dérmico inducido por Is radiación ultravioleta en conejos albinos:Effect of Pirfenidone cream on dermal erythema induced by ultraviolet radiation in albino rabbits:

Doce conejos albinos fueron asignados a cuatro grupos por un sistema de distribución al azar. La superficie dorsal de cada conejo fue pinzada por una pinza eléctrica. Veinticuatro horas más tarde, una lámpara de luz ultravioleta fue suspendida a 9 pulgadas por encima de las espaldas de los conejos. Antes de la exposición, la lámpara fue calentada por un mínimo de 10 minutos. Cada conejo fue preparado para la exposición a la radiación dorsal al cubrir su espalda con una lámina de aluminio en la cual 4 hoyos circulares de 1.0 cm había sido cortado. De dos de estos orificios, la cubierta de aluminio fue removida para permitir la penetración de la radiación DV a la piel dorsal; las otras dos permanecieron cubiertas. Fueron expuestos por 25 minutos en grupos de tres, 10 min después de la exposición, 0.5 gramos de las respectivas preparaciones de crema fueron aplicadas. Se restringió a los animales hasta que el eritema había sido evaluado a las 4 horas. Se hicieron lecturas posteriores a las 24, 48 y 72 de la exposición inicial. La completa resolución de la irritación ocurrió a las 72 hs. En contraste las áreas no tratadas con la crema de Pirfenidona, mostró marcada irritación (grado 2 o 3) a las 72 hs. Las diferenciáis fueron estadísticamente significativas (P<0.05).Twelve albino rabbits were assigned to four groups by a random distribution system. The surface Each rabbit's dorsal was pinched by an electric clamp. Twenty-four hours later, an ultraviolet lamp was suspended 9 inches above the rabbits' backs. Before exposure, the lamp was heated for a minimum of 10 minutes. Each rabbit was prepared for exposure to dorsal radiation by covering its back with an aluminum foil in which 4 circular holes of 1.0 cm had been cut. From two of these holes, the aluminum cover was removed to allow penetration of DV radiation to the dorsal skin; the other two remained covered. They were exposed for 25 minutes in groups of three, 10 min after exposure, 0.5 grams of the respective cream preparations were applied. The animals were restricted until the erythema had been evaluated at 4 hours. Readings were made after 24, 48 and 72 of the initial exposure. The complete resolution of the irritation occurred at 72 hours. In contrast, areas not treated with Pirfenidone cream showed marked irritation (grade 2 or 3) at 72 hours. The difference i s were statistically significant (P <0.05).

Actividad citoprotectora tópica contra el edema de extremidades de equino, inducido por dermoplastía; un estudio clínico farmacológico.Topical cytoprotective activity against edema of equine limbs, induced by dermoplasty; A clinical pharmacological study.

Con el fin de generar lesiones inflamatorias controladas inducidas experimentalmente, seis caballos fueron pinchados bilateralmente sobre la superficie interna de sus extremidades por un veterinario de equinos. Cada extremidad fue tratada ya sea con pomada hidrofilica de Pirfenidona al 10.0% modificada USP, o la pomada control (pomada hidrofilica modificada USP sin Pirfenidona) . Diez gramos de pomada fue aplicada a las lesiones, tres veces al dia, por 7 dias, iniciando 24 horas después de los pinchazos. Cada extremidad fue medida cada dia en tres localizaciones a través de los puntos localizadas a las 2, 4 y 6 pulgadas por encima del ergot. Se hicieron mediciones diarias de la circunferencia de las patas. El pico del edema apareció al cuarto dia. Las mediciones demostraron que las aplicaciones tópicas de Pirfenidona fueron claramente efectivas para reducir el edema y la mejoría fue estadísticamente significativa vs placebo.In order to generate experimentally induced inflammatory lesions, six horses were punctured bilaterally on the inner surface of their limbs by an equine veterinarian. Each limb was treated with either ointment 10.0% modified Pirfenidone hydrophilic USP, or the control ointment (USP modified hydrophilic ointment without Pirfenidone). Ten grams of ointment was applied to the lesions, three times a day, for 7 days, starting 24 hours after the punctures. Each limb was measured every day in three locations through the points located at 2, 4 and 6 inches above the ergot. Daily measurements of the circumference of the legs were made. The edema peak appeared on the fourth day. The measurements showed that topical applications of Pirfenidone were clearly effective in reducing edema and the improvement was statistically significant vs placebo.

Comparación de pomada de Pirfenidona al 5.0% y 10.0% contra reacciones dérmicas experimentalmente inducidas en yeguas embarazadas:Comparison of 5.0% and 10.0% Pirfenidone ointment against experimentally induced dermal reactions in pregnant mares:

El efecto de pomada de pirfenidona al 5.0% vs 10.0% fue evaluado en un estudio con 10 yeguas embarazadas, en las cuales lesiones dérmicas inflamatorias del cuello fueron experimentalmente inducidas por la inyección subcutánea de 5.0 mi de alginato de sodio seguido por 5.0 mi de cloruro de calcio dentro del mismo sitio. Las pomadas fueron aplicadas una vez al dia iniciando 24 hs después de la inyección subcutánea de los irritantes y fue continuada por 5 dias. Las mediciones en centímetros, a lo largo y ancho de las lesiones fueron hechas diariamente. La reacción inflamatoria pico se logró entre las 48 y 72 hs. Las mediciones de la superficie del área de las lesiones en el día final (día 5) mostró una reducción del 71.6±6.3 % en la medida de la lesión con la pomada al 5.0%; y una reducción del 80.4±3.2 % en el área de la lesión con la pomada del 10.0%. Sin embargo, la diferencia entre las respuestas a ambas concentraciones no fue estadísticamente significativa (P>0.20) .The effect of 5.0% vs 10.0% pirfenidone ointment was evaluated in a study with 10 pregnant mares, in which inflammatory dermal neck injuries were experimentally induced by subcutaneous injection of 5.0 ml of sodium alginate followed by 5.0 ml of chloride of calcium within the same site. The ointments were applied once a day starting 24 hours after the subcutaneous injection of the irritants and was continued for 5 days. Measurements in centimeters, length and width of the lesions were made daily. The peak inflammatory reaction was achieved between 48 and 72 hours. The measurements of the surface area of the lesions on the final day (day 5) showed a reduction of 71.6 ± 6.3% in the measurement of 5.0% ointment injury; and a reduction of 80.4 ± 3.2% in the area of the lesion with the ointment of 10.0%. However, the difference between the responses at both concentrations was not statistically significant (P> 0.20).

Peso de los tejidos humanos queloides en xenoinjertos transplantados dentro de ratones desnudos.Keloid human tissue weight in transplanted xenografts within nude mice.

Tejidos de queloides humanos quirúrgicamente obtenidos, fueron transplantados dentro de grupos de ratones desnudos, de los cuales dos series de grupos fueron obtenidos. Una serie sirvió como control y no recibió Pirfenidona. La segunda serie recibió Pirfenidona mezclado en la. comida. Subsecuentemente la medición de queloides transpiantados fue realizada a los 30, 60 y 90 días después del procedimiento de transplante. Después de que los transplantes fueron removidos de sus sitios subcutáneos, los pesos húmedos y secos fueron determinados y expresados como porcentajes de los pesos originales. Claramente la administración de Pirfenidona en la dieta redujo significativamente el peso de los transplantes de queloides sin alterar la relación de sulfato de condroitina. Además el peso final de los animales alimentados con Pirfenidona fue comparable al de los controles. Tissues of surgically obtained human keloids were transplanted into groups of nude mice, of which two series of groups were obtained. One series served as a control and did not receive Pirfenidone. The second series received Pirfenidone mixed in the. food. Subsequently, the measurement of transpiated keloids was performed at 30, 60 and 90 days after the transplant procedure. After the transplants were removed from their subcutaneous sites, wet and dry weights were determined and expressed as percentages of the original weights. Clearly the administration of Pirfenidone in the diet significantly reduced the weight of keloid transplants without altering the ratio of chondroitin sulfate. In addition, the final weight of the animals fed with Pirfenidone was comparable to that of the controls.

Claims

REIVINDICACIONES 1.- Un proceso para la obtención de 5-metil-l-fenil- (IH) -piridona, caracterizado dicho proceso porque comprende las siguientes tres etapas: primera etapa: obtener 5-metil-2 (H) -piridona a partir de 2-amino-5-metil-piridina mediante una reacción diazo en medio ácido; segunda etapa; obtener 5-metil-l-fenil- (IH) -piridona mediante la reducción con cobre en presencia de iodobenceno, llevando a cabo la adición del anillo aromático en la misma etapa; y tercera etapa; purificar la 5-metil-l-fenil- (IH) - piridona obtenida, lo cual da como resultado un producto de alta pureza útil en composiciones farmacéuticas. 1.- A process for obtaining 5-methyl-l-phenyl- (IH) -pyridone, characterized by said process because it comprises the following three stages: first stage: obtaining 5-methyl-2 (H) -pyridone from 2-amino-5-methyl-pyridine by a diazo reaction in acid medium; second stage; obtain 5-methyl-l-phenyl- (IH) -pyridone by reduction with copper in the presence of iodobenzene, by adding the aromatic ring at the same stage; and third stage; Purify the 5-methyl-l-phenyl- (IH) -pyridone obtained, which results in a high purity product useful in pharmaceutical compositions. 2.- El proceso según la reivindicación 1, caracterizado porque la primera etapa consiste en: preparar una mezcla de 2-amino-5-metil- piridina y agua, en una relación aproximada de 1:8 gr/ml, con ácido sulfúrico a una temperatura entre 5 y IQ0C; preparar por separado una solución acuosa de nitrito de sodio; agregar lentamente a la primera mezcla manteniendo la temperatura entre 5 y 100C, manteniendo la agitación durante una hora; calentar lentamente hasta una temperatura de 900C, la cual se mantiene constante durante una hora; enfriar la mezcla de reacción hasta llegar a temperatura ambiente; agregar carbonato de sodio anhidro hasta lograr un pH entre 7 y 8; calentar la mezcla de reacción y se destila al vacio a 700C, eliminado el 90% de la fase acuosa se deja enfriar hasta alcanzar 500C; agregar metanol y agitar, para posteriormente calentar y mantener la temperatura de reflujo durante una hora filtrar la suspensión, lavar tres veces con metanol caliente; concentrar el filtrado y los lavados al vacio hasta que inicie la cristalización del producto; enfriar la solución a temperatura de entre 5 a 100C durante 12 horas, lavar el sólido rojizo y filtrar; lavar con metanol frió y secar al vacio durante 12 horas, se obtiene un rendimiento del 98 al 99.5%. 2. The process according to claim 1, characterized in that the first step consists in: preparing a mixture of 2-amino-5-methyl-pyridine and water, in an approximate ratio of 1: 8 gr / ml, with sulfuric acid a a temperature between 5 and IQ 0 C; separately prepare an aqueous solution of sodium nitrite; slowly add to the first mixture keeping the temperature between 5 and 10 0 C, keeping stirring for one hour; warm slowly to a temperature of 90 0 C, which remains constant for one hour; cool the reaction mixture to room temperature; add anhydrous sodium carbonate until a pH between 7 and 8 is achieved; heating the reaction mixture and distilled under vacuum at 70 0 C, removed 90% of the aqueous phase is allowed to cool to reach 50 0 C; add methanol and stir, to subsequently heat and maintain the reflux temperature for one hour, filter the suspension, wash three times with hot methanol; concentrate the filtrate and washings in vacuo until crystallization of the product begins; cool the solution at a temperature between 5 to 10 0 C for 12 hours, wash the reddish solid and filter; wash with cold methanol and dry in vacuo for 12 hours, a yield of 98 to 99.5% is obtained. 3.- El proceso según la reivindicación 1, caracterizado porque la segunda etapa consiste: mezclar la 5-metil-2 (H) -piridona obtenida en la etapa anterior con carbonato de potasio anhidro, cobre en polvo y iodobenceno, agitando y calentar a reflujo a 1600C, durante 18 a 20 horas; enfriar la mezcla de reacción a una temperatura entre 60 y 700C, decantar el sólido del liquido; agregar acetato de etilo, agitar la mezcla y calentar a reflujo durante una hora; filtrar en caliente, lavar el sólido con acetato de etilo caliente; destilar al vacio el filtrado y los lavados, dejar enfriar durante 12 horas; secar y lavar el sólido café con acetato de etilo frió.3. The process according to claim 1, characterized in that the second stage consists of: mixing the 5-methyl-2 (H) -pyridone obtained in the previous stage with anhydrous potassium carbonate, copper powder and iodobenzene, stirring and heating to reflux at 160 0 C for 18 to 20 hours; cooling the reaction mixture to a temperature between 60 and 70 0 C, decanting the solid , the liquid; add ethyl acetate, stir the mixture and heat at reflux for one hour; hot filter, wash the solid with hot ethyl acetate; distil the filtrate and washings in vacuo, allow to cool for 12 hours; Dry and wash the brown solid with cold ethyl acetate. 4.- El proceso según la reivindicación 3, caracterizado porque la solución de iodobenceno obtenida en el segundo paso anterior, se concentra destilando el liquido al vacio y se deja enfriar a una temperatura entre 4 y 100C durante 24 horas. 4. The process according to claim 3, wherein the solution of iodobenzene obtained in the previous step second, concentrated by distilling the liquid vacuum and allowed to cool to a temperature between 4 and 10 0 C for 24 hours. 5.- El proceso según la reivindicación 4, caracterizado porque los cristales de color café obtenidos se centrifugan.5. The process according to claim 4, characterized because the brown crystals obtained are centrifuged. 6.- El proceso según la reivindicación 3, caracterizado porque el rendimiento es del 84 al 85%. 6. The process according to claim 3, characterized in that the yield is from 84 to 85%. 7,- El proceso según la reivindicación 1, caracterizado porque la tercera etapa consiste: disolver la Pirfenidona obtenida en la segunda etapa en acetona y agregar carbón activado; calentar a reflujo durante una hora; filtrar sobre celita y lavar la celita con acetona caliente; concentrar el filtrado y los lavados por destilación, hasta la cristalización del producto; agregar agua y destilar toda la acetona; pasar a un cristalizadora la suspensión acuosa del sólido blanco y enfriar bajo agitación a una temperatura de 5 a 10°Cr durante 12 horas; filtrar y secar el sólido blanco a una temperatura de 600C durante 12 horas. 8.- El proceso según cualquiera de las reivindicaciones anteriores, caracterizado porque la 5-metil-l-fenil- 1 (H) -piridona obtenida tiene una pureza del 99.7 - The process according to claim 1, characterized in that the third stage consists in dissolving the Pirfenidone obtained in the second stage in acetone and adding activated carbon; heat at reflux for one hour; filter on celite and wash the celite with hot acetone; concentrate the filtrate and washings by distillation, until the product crystallizes; add water and distill all acetone; go to a crystallizing the aqueous suspension of the white solid and cool under stirring to a temperature 5 to 10 ° C for 12 hours r; filtering and drying the white solid at a temperature of 60 0 C for 12 hours. 8. The process according to any of the preceding claims, characterized in that the 5-methyl-l-phenyl-1 (H) -pyridone obtained has a purity of 99. 8%, un max en UV de 316.96, 01830 y un punto de fusión de 109- 111°C. 8%, a max in UV of 316.96, 01830 and a melting point of 109-111 ° C. 9.- Una composición farmacéutica que comprende: 9.- A pharmaceutical composition comprising: PP
Figure imgf000026_0001
Figure imgf000026_0001
10.- El uso de pirfenidona para la fabricación de un medicamento, caracterizado porque dicho medicamento tiene la composición descrita en la reivindicación 9 y además tiene actividad tópica citoprotectora en mamíferos .10. The use of pirfenidone for the manufacture of a medicament, characterized in that said medicament has the composition described in claim 9 and also has topical cytoprotective activity in mammals. 11.- El uso de pirfenidona para la fabricación de un medicamento según la reivindicación 10, en donde la actividad tópica citoprotectora consiste en inhibir la formación de cicatrices hipertróficas, cicatrices queloides, dermatosis atópica y queratinosis actinica. 11. The use of pirfenidone for the manufacture of a medicament according to claim 10, wherein the cytoprotective topical activity consists in inhibiting the formation of hypertrophic scars, keloid scars, atopic dermatosis and actinic keratinosis. 12.- El uso de pirfenidona para la fabricación de un medicamento según la reivindicación 10, en donde la actividad tópica citoprotectora consiste en prevenir cicatrices hipertróficas, cicatrices queloides, dermatosis atópica y queratinosis actinica. 12. The use of pirfenidone for the manufacture of a medicament according to claim 10, wherein the topical cytoprotective activity consists of preventing hypertrophic scars, keloid scars, atopic dermatosis and actinic keratinosis. 13.- El uso de pirfenidona para la fabricación de un medicamento según la reivindicación 10, en donde la actividad tópica citoprotectora consiste en tratar cicatrices hipertróficas, cicatrices queloides, dermatosis atópica y queratiπosis actinica. 13. The use of pirfenidone for the manufacture of a medicament according to claim 10, wherein the cytoprotective topical activity consists in treating hypertrophic scars, keloid scars, atopic dermatosis and actinic keratiπosis. 14.- El uso de pirfenidona según cualquiera de las reivindicaciones 11 a 13, en donde la dermatosis atópica es seleccionada del grupo que consiste de dermatitis por contacto, neurodermatitis, dermatitis fúngica; dermatitis por Herpes Simple-1 y reacciones agudas con heridas musco-esqueléticas.14. The use of pirfenidone according to any of claims 11 to 13, wherein the atopic dermatosis is selected from the group consisting of contact dermatitis, neurodermatitis, fungal dermatitis; Herpes Simple-1 dermatitis and acute reactions with musculoskeletal wounds. 15.- El uso de pirfenidona según cualquiera de las reivindicaciones 11 a 13, en donde la queratinosis actinica es seleccionada del grupo que consiste de formación excesiva de cicatriz o cicatrización queloide; eritema, prurito, descamación, vesículas. 15. The use of pirfenidone according to any of claims 11 to 13, wherein actinic keratinosis is selected from the group consisting of excessive scar formation or keloid scarring; Erythema, pruritus, peeling, vesicles.
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