CA2344435A1 - Compositions for the treatment of male erectile dysfunction - Google Patents

Compositions for the treatment of male erectile dysfunction Download PDF

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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
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Canada
Prior art keywords
composition
buffer
alprostadil
arginine
range
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Granted
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CA002344435A
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French (fr)
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CA2344435C (en
Inventor
Joseph S. Podolski
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Repros Therapeutics Inc
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Individual
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Publication of CA2344435A1 publication Critical patent/CA2344435A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/557Eicosanoids, e.g. leukotrienes or prostaglandins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/557Eicosanoids, e.g. leukotrienes or prostaglandins
    • A61K31/5575Eicosanoids, e.g. leukotrienes or prostaglandins having a cyclopentane, e.g. prostaglandin E2, prostaglandin F2-alpha
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/10Drugs for genital or sexual disorders; Contraceptives for impotence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs 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.
CA2344435A 1998-09-17 1999-09-17 Compositions for the treatment of male erectile dysfunction Expired - Fee Related CA2344435C (en)

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

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CA2344435A1 true CA2344435A1 (en) 2000-03-23
CA2344435C CA2344435C (en) 2010-02-16

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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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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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