CA2344435A1 - Compositions for the treatment of male erectile dysfunction - Google Patents
Compositions for the treatment of male erectile dysfunction Download PDFInfo
- Publication number
- CA2344435A1 CA2344435A1 CA002344435A CA2344435A CA2344435A1 CA 2344435 A1 CA2344435 A1 CA 2344435A1 CA 002344435 A CA002344435 A CA 002344435A CA 2344435 A CA2344435 A CA 2344435A CA 2344435 A1 CA2344435 A1 CA 2344435A1
- Authority
- CA
- Canada
- Prior art keywords
- composition
- buffer
- alprostadil
- arginine
- range
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/557—Eicosanoids, e.g. leukotrienes or prostaglandins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
- A61K31/415—1,2-Diazoles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/557—Eicosanoids, e.g. leukotrienes or prostaglandins
- A61K31/5575—Eicosanoids, e.g. leukotrienes or prostaglandins having a cyclopentane, e.g. prostaglandin E2, prostaglandin F2-alpha
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
- A61P15/10—Drugs for genital or sexual disorders; Contraceptives for impotence
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
Abstract
Improved drug compositions and methods useful in the treatment of male erectile dysfunction. An optimized mixture of the drugs phentolamine mesylat e, papaverine hydrochloride, and alprostadil in a buffer containing L-arginine and glycine is to be injected into the penile tissue to produce an erection in otherwise impotent men.
Claims (107)
1. A composition comprising one or more pharmaceutical agents selected from the group consisting of an .alpha.-adrenergic antagonist, a prostaglandin and optionally, a phosphodiesterase inhibitor.
2. A composition comprising one or more pharmaceutical agents selected from the group consisting of an .alpha.-adrenergic antagonist, a prostaglandin, and optionally, a phosphodiesterase inhibitor in a buffer wherein said buffer comprises a substrate for nitric oxide synthetase.
3. The composition of claim 1 or 2 wherein the .alpha.-adrenergic antagonist is phentolamine mesylate, or a pharmaceutically acceptable salt thereof.
4. The composition of claim 1 or 2 wherein the phosphodiesterase inhibitor is selected from the group consisting of papaverine hydrochloride, Sildenafil, class V phosphodiesterase inhibitors, and pharmaceutically acceptable salts thereof.
5. The composition of claim 3 wherein the phosphodiesterase inhibitor is selected from the group consisting of papaverine hydrochloride, Sildenafil, class V phosphodiesterase inhibitors, and pharmaceutically acceptable salts thereof.
6. The composition of claim 1 or 2 wherein the prostaglandin is alprostadil.
7. The composition of claim 3 wherein the prostaglandin is alprostadil.
8. The composition of claim 5 wherein the prostaglandin is alprostadil.
9. The composition of claim 2, 5, 7 or 8 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
10. The composition of claim 3 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
11. The composition of claim 4 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
12. The composition of claim 6 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
13. The composition of claims 2, 5, 7 or 8 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
14. The composition of claim 3 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
15. The composition of claim 4 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
16. The composition of claim 6 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
17. The composition of claim 1, 2, 5, 7 or 8 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
18. The composition of claim 3 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
19. The composition of claim 15 or 16 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
20. The composition of claim 13 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
21. The composition of claim 17 wherein the buffer comprises glycine and L-arginine in a weight ratio of about 1:20.
22. The composition of claim 18 wherein the buffer comprises a glycine and L-arginine in a weight ratio of about 1:20.
23. The composition of claim 16 or 18 wherein the buffer further comprises benzyl alcohol and mannitol and has a pH range of from about 3 to about 5.
24. The composition of claim 17 wherein the buffer further comprises benzyl alcohol and mannitol and has a pH range of from about 3 to about 5.
25. A composition comprising a combination of phentolamine mesylate, alprostadil and optionally, papaverine hydrochloride in a buffer wherein said buffer comprises a substrate for nitric oxide synthetase.
26. The composition of claim 25 wherein the weight ratio of phentolamine mesylate: papaverine hydrochloride: alprostadil is about 0.5:7.5:0.005 to about 5:30:0.02.
27. The composition of claim 26 wherein the weight ratio of phentolamine mesylate: papaverine hydrochloride: alprostadil is about 5:7.5:0.005.
28. The composition of claim 25 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are from about 0-10 mg/ml phentolamine, about 0-50 mg/ml papaverine, and about 0-40 µg/ml alprostadil.
29. The composition of claim 28 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are from about 1-5 mg/ml phentolamine, about 7.5-30 mg/ml papaverine, and about 5-20 µg/ml alprostadil.
30. The composition of claim 29 wherein the dosages of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 5 mg/ml phentolamine, about 7.5 mg/ml papaverine, and about 0.005 mg/ml alprostadil.
31. The composition of claims 28-30 wherein the vasoactive agents are present in a total volume of 0.5 ml.
32. The composition of claim 25 wherein the dosage of alprostadil is about 5 µg/ml in a total volume of 0.5 ml.
33. The composition of claim 25 wherein the dosage of phentolamine is about 1.25 mg/ml in a total volume of 0.5 ml.
34. The composition of claim 25 wherein the pH range of the composition in buffer is from about 3 to about 9.
35. The composition of claim 34 wherein the pH of the composition in buffer is about 7.
36. A method for the treatment of male erectile dysfunction which comprises administering a pharmacologically effective amount of a composition comprising one or more pharmaceutical agents selected from the group consisting of an a-adrenergic antagonist, a prostaglandin and optionally, a phosphodiesterase inhibitor.
37. A method for the treatment of mate erectile dysfunction which comprises administering a pharmacologically effective amount of a composition comprising one or more pharmaceutical agents selected from the group consisting of an .alpha.-adrenergic antagonist, a prostaglandin and optionally, a phosphodiesterase inhibitor in a buffer wherein said buffer comprises a substrate for nitric oxide synthetase.
38. The method of claim 36 or 37 wherein the .alpha.-adrenergic antagonist is phentolamine mesylate, or pharmaceutically acceptable salt thereof.
39. The method of claim 36 or 37 wherein the phosphodiesterase inhibitor is papaverine hydrochloride or pharmaceutically acceptable salt thereof.
40. The method of claim 38 wherein the phosphodiesterase inhibitor is papaverine hydrochloride or pharmaceutically acceptable salt thereof.
41. The method of claim 36, 37 or 40 wherein the prostaglandin is alprostadil.
42. The method of claim 38 wherein the prostaglandin is alprostadil.
43. The method of claims 36, 37, 40 or 42 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
44. The method of claim 38 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
45. The method of claim 39 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
46. The method of claim 41 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
47. The method of claim 43 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
48. The method of claims 44-46 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
49. The method of claim 47 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
50. The method of claim 48 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
51. The method of claim 49 or 50 wherein the buffer comprises glycine and L-arginine in a weight ratio of about 1:20.
52. The method of claim 49 wherein the buffer further comprises benzyl alcohol and mannitol and has a pH range of from about 3 to about 5.
53. The method of claim 37 wherein the pH of the composition in buffer is about 7.
54. A method for the treatment of male erectile dysfunction which comprises administering a pharmacologically effective amount of a composition comprising one or more of phentolamine mesylate, alprostadil, and optionally, papaverine hydrochloride in a buffer wherein said buffer comprises a substrate for nitric oxide synthetase.
55. The method of claim 50 wherein the weight ratio of phentolamine mesylate: papaverine hydrochloride: alprostadil is about 0.5:7.5:0.005 to about 5:30:0.02.
56. The method of claim 55 wherein the weight ratio of phentolamine mesylate: papaverine hydrochloride: alprostadil is about 5:7.5:0.005.
57. The method of claim 54 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 0-10 mg/ml phentolamine, about 0-50 mg/ml papaverine, and about 0-40 µg/ml alprostadil.
58. The method of claim 57 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 1-5 mg/ml phentolamine, about 7.5-30 mg/ml papaverine, and about 5-20 µg/ml alprostadil.
59. The method of claim 58 wherein the dosages of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 5 mg/ml phentolamine, about 7.5 mg/ml papaverine, and about 0.005 mg/ml alprostadil.
60. The method of claims 57, 58 or 59 wherein the vasoactive agents are present in a total volume of 0.5 ml.
61. The method of claims 54 wherein the dosage of alprostadil is about 5 µg/ml in a total volume of 0.5 ml.
62. The method of claims 54 wherein the dosage of phentolamine is about 1.25 mg/ml in a total volume of 0.5 ml.
63. The method of claim 54 wherein the pH range of the composition in buffer is from about 3 to about 9.
64. The method of claim 63 wherein the pH of the composition in buffer is about 7.
65. A composition comprising an .alpha.-adrenergic antagonist, a prostaglandin and optionally a phosphodiesterase inhibitor in a pharmaceutically acceptable carrier or excipient.
66. The composition of claim 65 wherein the .alpha.-adrenergic antagonist is phentolamine or a pharmaceutically acceptable salt thereof.
67. The composition of claim 65 or 66 wherein the phosphodiesterase inhibitor is selected from the group consisting of papaverine hydrochloride, Sildenafil, class V phosphodiesterase inhibitors, and a pharmaceutically acceptable salt thereof.
68. The composition of claim 65 or 66 wherein the prostaglandin is alprostidil.
69. The composition of claim 67 wherein the prostaglandin is alprostidil.
70. The composition according to claims 65, 66 or 67 further comprising a buffer.
71. The composition of claim 67 further comprises a buffer.
72. The composition of claim 68 further comprises a buffer.
73. The composition according to claim 78 wherein the buffer comprises glycine, arginine, or a mixture thereof.
74. The composition according to claim 71 or 72 wherein the buffer comprises glycine, arginine, or a mixture thereof.
75. The composition according to claim 73 wherein the composition in buffer has a pH range from about 3 to about 9.
76. The composition according to claim 74 wherein the composition in buffer has a pH range from about 3 to about 9.
77. The composition according to claim 75 or 76 wherein the pH of the composition in buffer is about 7.
78. The use of one or more pharmaceutical agents selected from the group consisting of an .alpha.-adrenergic antagonist, a prostaglandin and optionally a phosphodiesterase inhibitor for the manufacture of a medicament for the treatment of erectile dysfunction wherein one or more of said agents are in a buffer comprising a substrate for nitric oxide synthetase.
79. The use of claim 78 wherein the .alpha.-adrenergic antagonist is phentolamine mesylate, or pharmaceutically acceptable salt thereof.
80. The use of claim 78 or 79 wherein the phosphodiesterase inhibitor is selected from the group consisting of papaverine hydrochloride, Sildenafil, class V phosphodiesterase inhibitors, and a pharmaceutically acceptable salt thereof.
81. The use of claim 78 or 79 wherein the prostaglandin is alprostadil.
82. The use of claim 80 wherein the prostaglandin is alprostadil.
83. The use of claims 78, 79 or 82 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
84. The use of claim 80 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
85. The use of claim 81 wherein the buffer comprises L-arginine and, optionally, a pharmaceutically acceptable excipient or carrier.
86. The use of claim 78, 79 or 82 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
87. The use of claim 80 when the buffer comprises glycine having a pH range of from about 3 to about 5.
88. The use of claim 81 wherein the buffer comprises glycine having a pH range of from about 3 to about 5.
89. The use of claim 78, 79 or 82 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
90. The use of claim 80 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
91. The use of claim 81 wherein the buffer comprises a mixture of arginine and glycine having a pH range of from about 3 to about 5.
92. The use of claim 89 wherein the buffer comprises glycine and L-arginine in a weight ratio of about 1:20.
93. The use of claim 90 or 91 wherein the buffer comprises glycine and L-arginine in a weight ratio of about 1:20.
94. The use of claim 89 wherein the buffer further comprises benzyl alcohol and mannitol and has a pH range of from about 3 to about 5.
95. The use of claim 90 wherein the buffer further comprises benzyl alcohol and mannitol and has a pH range of from about 3 to about 5.
96. The use of claim 78 wherein the composition in buffer has a pH of about 7.
97. The use of a composition comprising a combination of phentolamine mesylate, alprostadil and optionally, papaverine hydrochloride in a buffer for the manufacture of a medicament wherein said buffer comprises a substrate for nitric oxide synthetase.
98. The use of claim 97 wherein the weight ratio of phentolamine mesylate: papaverine hydrochloride: alprostadil is about 0.5:7.5:0.005 to about 5:30:02.
99. The use of claim 98 wherein the weight ratio of phentolamine mesylate: papaverine hydrochloride: alprostadil is about 5:7.5:0.005.
100. The use of claim 97 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 0-10 mg/ml phentolamine, about 0-50 mg/ml papaverine, and about 0-40,µg/ml alprostadil.
101. The use of claim 100 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 1-5 mg/ml phentolamine, about 7.5-30 mg/ml papaverine, and about 5-20 µg/ml alprostadil.
102. The use of claim 93 wherein the dosage of phentolamine mesylate, papaverine hydrochloride, and alprostadil are about 5 mg/ml phentolamine mesylate, about 7.5 mg/ml papaverine hydrochloride, and about 0.005 mg/ml alprostadil.
103. The use of claims 100, 101 or 102 wherein the vasoactive agents are present in a total volume of 0.5 ml.
104. The use of claim 97 wherein the dosage of alprostadil is about 5 µg/ml in a total volume of 0.5 ml.
105. The use of claim 97 or 104 wherein the dosage of phentolamine is about 1.25 mg/ml in a total volume of 0.5 ml.
106. The use of claim 97 wherein the pH range of the composition in buffer is from about 3 to about 9.
107. The use of claim 106 wherein the pH of the composition in buffer is about 7.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/154,677 | 1998-09-17 | ||
US09/154,677 US6482426B1 (en) | 1998-09-17 | 1998-09-17 | Compositions for the treatment of male erectile dysfunction |
PCT/US1999/021513 WO2000015233A1 (en) | 1998-09-17 | 1999-09-17 | Compositions for the treatment of male erectile dysfunction |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2344435A1 true CA2344435A1 (en) | 2000-03-23 |
CA2344435C CA2344435C (en) | 2010-02-16 |
Family
ID=22552291
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2344435A Expired - Fee Related CA2344435C (en) | 1998-09-17 | 1999-09-17 | Compositions for the treatment of male erectile dysfunction |
Country Status (12)
Country | Link |
---|---|
US (3) | US6482426B1 (en) |
EP (1) | EP1112075B1 (en) |
JP (1) | JP4721517B2 (en) |
CN (1) | CN1338939B (en) |
AT (1) | ATE338554T1 (en) |
AU (1) | AU772922B2 (en) |
CA (1) | CA2344435C (en) |
DE (1) | DE69933128T2 (en) |
DK (1) | DK1112075T3 (en) |
ES (1) | ES2273509T3 (en) |
PT (1) | PT1112075E (en) |
WO (1) | WO2000015233A1 (en) |
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-
1998
- 1998-09-17 US US09/154,677 patent/US6482426B1/en not_active Expired - Lifetime
-
1999
- 1999-09-17 EP EP99946977A patent/EP1112075B1/en not_active Expired - Lifetime
- 1999-09-17 DK DK99946977T patent/DK1112075T3/en active
- 1999-09-17 JP JP2000569817A patent/JP4721517B2/en not_active Expired - Fee Related
- 1999-09-17 CA CA2344435A patent/CA2344435C/en not_active Expired - Fee Related
- 1999-09-17 CN CN998132926A patent/CN1338939B/en not_active Expired - Fee Related
- 1999-09-17 AU AU59270/99A patent/AU772922B2/en not_active Ceased
- 1999-09-17 PT PT99946977T patent/PT1112075E/en unknown
- 1999-09-17 WO PCT/US1999/021513 patent/WO2000015233A1/en active IP Right Grant
- 1999-09-17 ES ES99946977T patent/ES2273509T3/en not_active Expired - Lifetime
- 1999-09-17 AT AT99946977T patent/ATE338554T1/en active
- 1999-09-17 DE DE69933128T patent/DE69933128T2/en not_active Expired - Lifetime
-
2000
- 2000-01-31 US US09/494,627 patent/US6696072B1/en not_active Expired - Lifetime
-
2003
- 2003-11-03 US US10/700,274 patent/US7776899B2/en not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
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CN1338939A (en) | 2002-03-06 |
EP1112075A1 (en) | 2001-07-04 |
DE69933128T2 (en) | 2007-08-16 |
ATE338554T1 (en) | 2006-09-15 |
US20040102475A1 (en) | 2004-05-27 |
US7776899B2 (en) | 2010-08-17 |
DK1112075T3 (en) | 2006-12-27 |
JP2002524520A (en) | 2002-08-06 |
DE69933128D1 (en) | 2006-10-19 |
CA2344435C (en) | 2010-02-16 |
ES2273509T3 (en) | 2007-05-01 |
AU5927099A (en) | 2000-04-03 |
PT1112075E (en) | 2006-12-29 |
EP1112075B1 (en) | 2006-09-06 |
WO2000015233A1 (en) | 2000-03-23 |
US6696072B1 (en) | 2004-02-24 |
AU772922B2 (en) | 2004-05-13 |
US6482426B1 (en) | 2002-11-19 |
JP4721517B2 (en) | 2011-07-13 |
CN1338939B (en) | 2012-07-04 |
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