WO2000009103A2 - N-linked sulfonamides of n-heterocyclic carboxylic acids or isosteres for vision and memory disorders - Google Patents
N-linked sulfonamides of n-heterocyclic carboxylic acids or isosteres for vision and memory disorders Download PDFInfo
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- WO2000009103A2 WO2000009103A2 PCT/US1999/018231 US9918231W WO0009103A2 WO 2000009103 A2 WO2000009103 A2 WO 2000009103A2 US 9918231 W US9918231 W US 9918231W WO 0009103 A2 WO0009103 A2 WO 0009103A2
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- WFDYQPAPXYJYME-UHFFFAOYSA-N C/C(/NC(C)=S)=N/C Chemical compound C/C(/NC(C)=S)=N/C WFDYQPAPXYJYME-UHFFFAOYSA-N 0.000 description 1
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- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
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- A61K31/4025—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil not condensed and containing further heterocyclic rings, e.g. cromakalim
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- A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
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Definitions
- This invention relates to pharmaceutical compositions and methods for treating vision loss, preventing vision degeneration, " ⁇ n ⁇ promoting vision regeneration ("neopsis”.!. " using low molecular weight, small molecule ⁇ derivatives.
- the visual system is composed of the eyes, ocular acnexa ar.d the visual pathways. Dysfunction of the visual system may lead to permanent or temporary visual impairment, i.e. a deviation from normal in one or mere functions of the eye. Visual impairment manifests itself in various ways and includes a broad range of visual dysfunctions and disturbances. Without.
- these dysfunctions ar.d disturbances include partial or total less of vision, the need for correction of visual acuity for objects near and far, loss of visual field, impaired ocular motility without dipicpia (double vision) , impaired or skewed color perception, limited adaptation to light and dark, diminished accommodation, metamcrphopsic distortion, impaired binocular vision, paresis of • accommodation, iridoplegia, entropion, ectropion, epiphora, lagophthalmos, and scarring. See Physicians ' Desk Reference (FDR) ' for Ophthalmology, l ⁇ th Edition, 6:47 (1983).
- the visual system may be adversely affected by various ophthalmologic disorders, diseases, injuries, and complications, including, without limitation, genetic disorders; [non-genetic disorders;] disorders associated with aging or degenerative diseases-; disorders correlating to physical injury to the eye, head, or other parts of the body resulting from external forces; disorders resulting from environmental factors; disorders resulting from a broad range of diseases; and combinations of any of the above.
- the visual system is a complex system composed of numerous components . Visual impairment can involve the ⁇ entire visual system, any one component, or any combination of components, depending upon the precise nature of the circumstances.
- the eye is composed of a lens, which 'is suspended in the zonules of Zinn and is focused by the ciliary body.
- the ciliary body also secretes aqueous humor, which fills the posterior chamber, passes tJnrough the pupil into the anterior chamber, then drains primarily via the canal of Schlemm.
- the iris regulates the quantity of li ⁇ ht entering the eye by adjusting the size of its central 'opening, the pupil.
- a visual, image is focused onto the retina, the fovea centralis being the retinal area of sharpest visual acuity.
- the conjunctiva is the mucus membrane which lines the eyelids and the eyeball, and ends abruptly at the iimbus conjunctivae, the edge of the conjunctiva overlapping the cornea.
- the cornea is the clear, transparent anterior portion of the fibrous coat of the eye; it is important in light refraction and is cove-red with an epithelium that differs in many respects from the conjunctival epithelium.
- the retina is the innermost, light sensitive portion of the eye, containing two types of phctoreceptors, cones, which are responsible for color vision in brighter light, and rods, which are essential for vision in dim light but do not perceive colors-.
- light passes through the cornea, lens system, and the vitreous humor, it enters the retina from the inside; that is, it passes through the ganglion cells and nerve fibers, the inner and outer plexiform layers, the inner and outer nuclear layers, and the internal and external limiting membranes before it finally.. reaches the layer of photoreceptors located near the outside of the retina, just inside the outermost pigment epithelium layer.
- the cells of the pigment epithelium layer act as an anatomical ⁇ ba ⁇ rrier to li ⁇ uids and substances located outside of the eye, forming the "blood-retina" barrier, and provide nourishment, oxygen, a source of functionally useful substances like vitamin A, and phagocytosis of decomposition products to photoreceptor cells.
- rods or cones When rods or cones are excited by light, signals are transmitted through successive neurons in the retina itself, into the optic ,nerve fibers, and ultimately to the cerebral cortex. Both rods and cones contain molecules that decompose on exposure to light and, in the process, excite the nerve fibers leading from the eye.
- the molecule in rods is rhodopsin.
- the three light-sensitive molecules in cones, collectively called iodopsin have compositions only slightly different from that of rhodopsin and are maximally excited by red, blue, or green light, respectively.
- the transmitters released by rod and cone ceils induce signals in the bipolar neurons and horizontal ceils.
- the signals in both these cells are also transmitted by electrotonic conduction and net by action potential.
- the rod bipolar neurons connect with as many as 50 red ceils, while the dwarf and diffuse bipolar ceils connect with one or several cone cells.
- a depolarizing bipolar cell is stimulated when its connecting rods or cones are exposed to light. The release of transmitter molecules inhibits the depolarizing bipolar ceil. Therefore, in the dark, when the rods and cones are secreting large quantities of transmitter molecules, the depolarizing bipolar ceils are inhibited. In the light, the decrease in release of transmitter molecules from the rods and cones reduces the inhibition of the bipolar cell, allowing it to become excited.. In this manner, both positive and negative signals can be transmitted through different bipolar ceils from the rocs ana cones to the amacrine and ganglion cells.
- horizontal cells project horizontally in the retina, where they may synapse with rods, cones, other horizontal cells, or a combination of ceils types.
- the function of horizontal cells is unclear, -"although some mecnanism in the convergence of photoreceptor signaling has oeer. postulated.
- bipolar cells connect with ganglion cells, which are of two primary types.
- A-type ganglion cells predominately connect with rod bipolar cells
- B-type ganglion cells predominately connect with dwarf and diffuse bipolar cells. It appears that A-type ganglion cells are sensitive to contrast, light intensity, and perception of movement, while 3-type ganglion cells appear more concerned with color vision and visual acuity.
- the Amacrine cells horizontally synapse with several to many other cells, in this case bipolar cells, ganglion cells, and other Amacrine cells.
- the function of Amacrine cells is also unclear.
- the axons of ganglion ceils carry signals into the nerve fiber layer of the', eye, where the axons converge into fibers which further converge at the optic disc, where they exit the eye as the optic nerve.
- the ganglion cells transmit their signals through the optic nerve fibers to the brain in the form of action potentials. These cells, even when unstimulated, transmit continuous nerve impulses at an average, baseline rate of about 5 per second.
- the visual signal is superimposed - «nto this baseline level of ganglion cell stimulation. It can be either an excitatory signal, with the number of impulses increasing above the baseline rate, or an inhibitory signal, with the number of nerve impulses decreasing below the baseline rate.
- the eye As part of the central nervous system, the eye is in some ways an extension of the brain; as such, it has a limited capacity for regeneration. This limited regeneration capacity further complicates the challenging task of improving vision, -resolving dysfunction of the visual system, and/or treating or preventing ophthalmologic disorders.
- Many disorders of the eye such as retinal photic injury, retinal ischemia-induced- eye injury, age-related macular degeneration, free radical-induced eye diseases, as well as numerous other disorders, are considered to be entirely untreatable.
- Other ophthalmologic disorders •e..g., disorders causing permanent ' .visual impairment, are corrected only by the use of ophthalmic devices and/or surgery, with varying degrees of success.
- the im unosuppressant drugs FK506, rapamycin, and cyclosporin are well known as potent T-cell specific immunosuppressants, and are effective against autoimmunity, transplant or- graft rejection, inflammation, allergic responses, other autoimmune or immune-mediated diseases, and infectious diseases. It has been disclosed that application of Cyclosporin, FK-506, Rapamycin, Buspirone, Spiperone, and/or their derivatives are effective in treating seme ophthalmologic disorders of these types.
- Several ophthalmologic disorders or vision problems are known to be associated with autoimmune and immunologically- mediated activities; hence, immunomodulatory compounds are expected to demonstrate efficacy for treating those types of ophthalmologic disorders or vision problems.
- the immunosuppressive comp-cunds disclosed in the prior art suppress the immune system, by definition, and also exhibit other atoxic side effects. Accordingly, there is a need for non- immunosuppressan , small molecule compounds, and compositions and methods for use of such compounds, that are useful in improving vision; preventing, treating, and/or repairing visual impairment or dysfunction of the visual system; and preventing, treating, and/or resolving ophthalmologic disorders.
- non- immunosuppressive compounds disclosing methods of use for permitting or promoting wound healing (whether from injury or surgery) ; controlling intraocular pressure (often resulting from glaucoma) ; controlling neurodegenerative eye disorders, including damage or injury to retinal neurons, damage or injury to retinal ganglion cells, and macular degeneration; stimulating neurite outgrowth; preventing or reducing oxidative damage caused by free radicals; and treating impaired oxygen and nutrient supply, as well as imr.aired waste product removal, resulting from low blood flow.
- These non-immunosuppressive substances fall into one of two general categories: naturally occurring molecules, such as proteins, glycoproteins, peptides, hormones, and growth factors; and synthetic molecules.
- GDNF glial cell line denived neurotrophic factor
- retinal neurons i.e. photoreceptors
- retinal ganglion cells caused by glaucoma, or other degenerative or traumatic retinal diseases or injuries.
- O'Brien, et al., U.S. Patent Nos. 5,714,459 and 5,700,909 disclose the use of a glycoprotein, Saposin, and its derivatives for stimulating neurite outgrowth and increasing ⁇ myelination.
- Patent No. 5,667,968 discloses the use of a variety of neurotrophic proteins, including brain-derived neurotrophic factor, ciliary neurotrophic factor, neurotrophin-3 or neurotrophin-4, acidic or basic fibroblast growth factors, interleukin, tumor necrosis factor- ⁇ , insulin-like growth factor-2 and other growth factors.
- U.S. Patent No. 5,632,984 discloses the use of interferons, especially interferon -2a, for treating the symptoms of macular degeneration by reducing hemorrhage and limiting neovascularization.
- Wallace et al. U.S. Patent No. 5,441,937, discloses the use of a lung-derived neurotrophic factor (NTF) to maintain the functionality of ciliary ganglion and parasympathetic neuron cells .
- NTF lung-derived neurotrophic factor
- a key characteristic of factors derived from specific cell lines is their localization to specific cell lines or tissues; systemic treatment with these molecules would run a substantial risk of unintended, and potentially dangerous, effects in ceil lines where the genes encoding these moiecules are inactive. Similarly, hormones and growth factors often activate a large number of genes in many cell lines; again, non-localized application of these molecules would run • a substantial risk of provoking an inappropriate, and potentially dangerous, response.
- mos t of the patented compounds are immunosuppressive and disclose uses in treating inflammatory, autoimmune, and allergic responses, as discussed above.
- a few others are non-immunosuppressive and claim the ability to treat cellular degeneration, and in some cases promote cellular regeneration, most often in the context of their antioxidant properties.
- Tso et al. U.S. Patent No. 5,527,533, discloses the use of astaxanthin, a carotenoid antioxidant, for preventing or reducing photoreceptor damage resulting from the presence of free radicals.
- Babcoc et al. U.S. Patent No. 5,252,319, discloses the use of antioxidant aminosteroids for treating eye disease and injury, by increasing resistance to oxidative damage.
- Freeman U.S. Patent. ;No. 5,468,752 discloses the use of the antiviral phosphonylmethoxyalkylcytosines to reduce abnormally increased intraocular pressure.
- these compounds may be differentiated from the non-immunosuppressive compounds used to treat vision disorders by their _ novel small molecule structure and their lack of general, systemic effects.
- Naturally occurring hormones, growth factors, cytokines, and signaling molecules are generally multifunctional and activate many genes m diverse cell lines.
- the present compounds do not, thus avoiding the unexpected, and potentially dangerous, side effects of systemic use.
- the present compounds also avoid the potential unexpected side effects of introducing cell line-specific moiecules into other cell lines were they do not naturally occur.
- the present invention relates to the surprising discovery that a N-linked sulfonamide of an N- heterocyclic carboxylic acid or isostere may be useful for treating a vision disorder or improving vision or treating memory impairment or enhancing memory performance in an animal. Accordingly, novel compositions and methods of using a N-linked sulfonamide of an N-heterocyclic carboxylic aci ⁇ l or isostere are provided.
- a preferred feature of the compounds of the present invention is that they do not exert any significant immunosuppressive activity.
- Preferred embodiments of this invention include methods and compositions containing a compound having the formula (I) :
- R ⁇ is selected from the group consisting of hydrogen, Ci-Cg straight or branched chain alkyl, C 2 -C 9 straight or branched chain alkenyl, aryl, heteroaryl, carbocycle, or heterocycle;
- D is a bond, or a C ⁇ -C ⁇ straight or branched chain alkyl, C 2 -C 10 alkenyl or C 2 -C 1Q alkynyl;
- R 2 is a carboxylic acid or a carboxylic acid isostere; wherein said alkyl, alkenyl, alkynyl, aryl, heteroaryl, carbocycle, heterocycle, or carboxylic acid isostere is optionally substituted with one or more substituents selected from R 3 , where
- R 3 is hydrogen, hydroxy, halo, haloalkyl, thiocarbonyl, alkoxy, alkenoxy, alkylaryloxy, aryloxy, arylalkyloxy, cyano, nitro, imino, alkylamino, aminoalkyl, sulfhydryl, thioalkyl, alkylthio, sulfonyl, straight or branched chain alkyl, C 2 -C 6 straight or branched chain alkenyl or alkynyl, aryl, heteroaryl, carbocycle, heterocycle, or C0 2 R where R 4 is hydrogen or C ⁇ -Cg straight or branched chain alkyl or alkenyl; or a pharmaceutically acceptable salt, ester or solvate thereof.
- R 2 is selected from the group below:
- R 3 is hydrogen, hydroxy, halo, haloalkyl, thiocarbonyl, alkoxy, alkenoxy, alkylaryloxy, aryloxy, arylalkyloxy, cyano, nitro, imino, alkylamino, aminoalkyl, sulfhydryl, thioalkyl, alkylthio, sulfonyl, or branched chain alkyl, C 2 -C 6 straight or branched chain alkenyl or alkynyl, aryl, heteroaryl, carbocycle, heterocycle, and C0 2 R 4 where R" is hydrogen or Cj-Cg straight or branched chain alkyl or alkenyl.
- R 2 is selected from the group consisting of -COOH, -S0 3 H, -S0 2 HNR 3 , -P0 2 (R 3 ) 2 , -CN, -P0 3 (R 3 ) 2 , -OR 3 , -SR 3 , -NHCOR 3 , -N(R 3 ) 2 , -CON(R 3 ) 2 , -CONH(0)R 3 , -C0NHNHS0 2 R 3 , -COHNS0 2 R 3 , and -C0NR 3 CN.
- FIG. 1 A, B and C show that GPI 1046 protects retinal ganglion cells against degeneration following retinal ischemia.
- Figure 2 shows that GPI 1046 prevents degeneration of optic nerve axons and myelin following retinal ischemi .
- Figure 3 shows that GPI 1046 provides moderate protection against retinal ganglion cell death after optic nerve transection.
- Figure 4 shows that GPI 1046 treatment duration significantly affects the process of optic nerve axonal degeneration after transection.
- Figure 5 shows that GPI 1046 treatment produces a greater effect ( on optic nerve axons than ganglion cell bodies .
- Figure 6 shows that GPI 1046 treatment for 28 days after optic nerve transection prevents myelin degeneration in the proximal stump.
- Figure 7 shows that FKBP-12 immunohistochemistry labels oligodendroglia (large dark cells with fibrous processes) , the cells which produce myelin, located between the fascicles of optic nerve fibers, and also some optic nerve axons .
- Figure 8 shows GPI 1046 treatment for 28 days after optic nerve transection prevents myelin degeneration in the distal stump.
- Figure 9 shows that 28 day treatment with GPI 1046 treatment beginning 8 weeks after onset of streptozotocin induced diabetes decreases the extent of neovascularization in the inner and outer retina and protects neurons in the inner nuclear layer (INL) and ganglion cell layer (GCL) from degeneration.
- INL inner nuclear layer
- GCL ganglion cell layer
- ⁇ ye refers to the anatomical structure responsible for vision in humans and other animals, and encompasses the following anatomical structures, without limitation: lens, vitreous body, ciliary body, posterior chamber, anterior chamber, pupil, cornea, iris, canal of Schlemm, zonules of Zinn, limbus, conjunctiva, choroid, retina, central vessels of the retina, optic nerve, fovea centralis, macula lutea, and sclera.
- Alkyl means a branched or unbranched saturated hydrocarbon chain comprising a designated number of carbon atoms.
- C -Z 6 straight or branched alkyl hydrocarbon chain contains 1 to 6 carbon atoms, and includes but is not limited to substituents such as methyl, ethyl, propyl, isc-propyl, btityl, isc-butvl, tert-butyl, n-pentyi, n-hexyl, and the like. It is also contemplated as within the scope of the present invention
- Lrccarbon wherein any of the carbon atoms of said alkyl are optionally replaced with C, NH, S, or SC : .
- carbon 2 of n-pentyi can be replaced with C to form 'lcxymethy! .
- Alkenyl means a branched or unbranched unsaturated hydrocarbon chain comprising' a designated number of carbon atoms.
- C.- ⁇ straight cr branched alkenyl hydrocarbon chain contains 2 to 5 carbon atoms having at least one double bond, and includes but is not limited to substituents such as ethenyi, propenyi, iso- propenyi, butenyl, isc-butenyi, tert-butenyl, r.-per.te yl, n-hexenyl, and the like.
- alkenyl may also refer to an unsaturated hydrocarbon chain wherein any of the carbon atoms of said alkenyl are optionally replaced with 0, NH, S, or S0 2 .
- carbon 2 of 4-pentene can be replaced with 0 to form (2- propene ) oxymethyl .
- Alkoxy means the group -OR wherein R is alkyl as herein defined.
- R is a branched or unbranched saturated hydrocarbon chain containing 1 to 6 carbon atoms .
- Aryl, heteroaryl, carbocycle, or heterocycle means a cyclic or fused cyclic ring and includes a mono-, bi- or tricyclic, carbo- or heterocyclic ring, wherein the ring is either unsubstituted or substituted in one or more position (s) with hydrogen, hydroxy, carbonyl, amino, amido, cyano, isocyano, nitro, nitroso, nitrilo, isonitriio, imino, azo, diazo, sulfonyl, sulfhydryl, suifoxy, thio, thiocarbonyl, ' thiocyano, formanilido, thioformamido, sulfhydryl, halo, haloalkyl, trifluoromethyl, alkoxy, alkenoxy, alkylaryloxy, aryloxy, arylalkyloxy, alkylamino, aminoalkyl, thioalkyl,
- Carbocyclic moieties include alicyclic and aromatic structures; wherein the individual ring sizes are 5-8 members; wherein the heterocyclic ring contains 1-4 heteroatom (s) selected from the group consisting of 0, N, or S; wherein aromatic or tertiary alkyl amines are optionally oxidized to a corresponding N-oxide.
- useful alkyl groups include, without limitation, methyl, ethyl, propyl, isopropyl, butyl, tert-butyl, n-pentyl, 2-methyl pentyl and the like.
- Examples of useful carbocyclic and heterocyclic moieties include, without limitation, phenyl, benzyl, naphthyl, indenyl, a ⁇ ulenyl, fluorenyl, anthracenyi, indolyl, isoindolyl, indolinyl, cyclohexyl, benzofuranyl, benzothiophenyl, indazolyl, benzimidazoiyl, benzthiazolyl, tetrahydrofuranyl, tetrahydropyranyl, pyridyl, pyrrolyl, pyrrolidinyl, pyridinyl, pyrimidinyl, purinyl, quinolinyl, isoquinolinyl, tetrahydroquinclinyl, quinolizinyi, furyl, thiophenyl, imidazolyl, oxazolyl, benzoxazolyl, thiazolyl, is
- Halo means at least one fluoro, chloro, bromo, or iodo moiety.
- salt, ester, or solvate refers to salt, ester, or solvates of the subject compounds which possess the desired pharmacological activity and which are neither biologically nor otherwise undesirable.
- the salt, ester, or solvates can be formed with inorganic or organic acids such as acetate, adipate, alginate, aspartate, benzoate, benzenesulfonat ⁇ , bisulfate, butyrate--, citrate, camphorate, camphorsulfonate, cyclopentanepropionate, digluconate, dodecylsuifate, ethanesiiifonate, fumarate, glucoh ⁇ ptanoate, gluconate, glycerophosphate, hemisuifate, heptanoate, hexanoate, hydrochloride hydrobromide, hydroiodide, 2-hydroxyethanesulfonate, lactate, maleate, methanesul
- Base salt, ester, or solvates include ammonium salts, alkali metal salts such as lithium, sodium and potassium salts, alkaline earth metal salts such as calcium and magnesium salts, salt with orga.iic bases such as dicyclohexylamine salts, N-methyi-D-glucamine, and salts with amino acids such as arginine, lysine, and so forth.
- alkali metal salts such as lithium, sodium and potassium salts
- alkaline earth metal salts such as calcium and magnesium salts
- salt with orga.iic bases such as dicyclohexylamine salts, N-methyi-D-glucamine, and salts with amino acids such as arginine, lysine, and so forth.
- the basic nitrogen-containing groups can be quarternized with such agents as: 1) lower alkyl halides, such as methyl, ethyl, propyl, and butyl chloride, bromides and iodides; 2) dialkyl sulfates like dimethyl, diethyl, ⁇ ibutyl and dia yl sulfates; 3) long chain alkyls such as decyl, lauryl, myristyl and stearyl substituted with one or more halide such as chloride, bromide and iodide; and 4) aryl or arylalkyl halides like benzyl and phenethyl bromide and others.
- lower alkyl halides such as methyl, ethyl, propyl, and butyl chloride, bromides and iodides
- dialkyl sulfates like dimethyl, diethyl, ⁇ ibutyl and dia yl sul
- the compounds of this invention may possess at least one asymmetric center and thus can be produced as mixtures of stereoisomers or as individual enantiomers or diastereomers .
- the individual stereoisomers may be obtained by using an optically activ_e starting material, by resolving a racemic or non-racemic mixture of an intermediate at some appropriate stage of the synthesis, or by resolution of the compound of formula (I). It is understood that the individual stereoisomers as well as mixtures (racemic and non-racemic) of stereoisomers are encompassed by the scope of the present invention.
- the S-sterecisomer at atom 1 of formula I is a most preferred embodiment of the invention.
- Steps are isomers that differ only in the way the atoms are arranged in space.
- “Isomers” are different compounds that have the same molecular formula and includes cyclic isomers such as (iso)indoie and other isomeric forms of cyclic moieties.
- Enantiomers are a pair of stereoisomers that are non-superi posabie mirror images of each other.
- “Diastereoisomers” are stereoisomers which are not mirror images of each other.
- Racemic mixture means a mixture containing equal parts of individual enantiomers.
- Non-racemic mixture is a mixture containing unequal parts of individual enantiomers or stereoisomers.
- isosteres are different compounds that have different molecular formulae but exhibit the same or similar properties.
- tetrazole is an isostere of carboxylic acid because it mimics the properties of carboxylic acid even ⁇ hough they both have very different molecular formulae. Tetrazole is one of many possible isosteric replacements for carboxylic acid.
- Other carboxylic acid isosteres contemplated by the present invention include
- carboxylic acid isosteres can include 5-7 membered carbocycles or heterocycles containing any combination of CH 2 ,...0, S, or N in any chemically stable oxidation state, where any of the atoms of said ring structure are optionally substituted in one or more positions.
- the following structures are non-limiting examples of preferred carbocyclic and heterocyclic isosteres contemplated by this invention. O 00/09103
- the atoms of said ring structure may be optionally substituted at one or more positions with R 3 .
- the present invention contemplates that when chemical substituents are added to a carboxylic isostere then the inventive compound retains the properties of a carboxylic isostere.
- the present invention contemplates that when a carboxylic isostere is optionally substituted with one or more moieties selected from R 3 , then the substitution can not eliminate the carboxylic acid isosteric properties of the inventive compound.
- the present invention contemplates that the placement of one or more substituents upon a carbocyclic or heterocyclic carboxylic acid isostere shall not be at an atom(s) which maintains or is integral to the carboxylic acid isosteric properties of the inventive compound if such a substituent (s) would destroy the carboxylic acid isosteric properties of the inventive compound. ;.
- treatment covers any treatment of a disease and/or condition in an animal, particularly a human, and includes:
- a compound of the present invention especially formula I, wherein n is 1, D is a bo ⁇ , R. is phenyimethyl, and R, is -CN, is named (23) -I- (phenylmethyi) sulfcnyl-2-pyrrolidine carbonitriie.
- “Enhancing memory performance” refers to improving or increasing the mental faculty by which to register, retain or recall past experiences, knowledge, ideas, sensations, thoughts or impressions.
- Memory impairment refers to a diminished mental registration, retention or recall of past experiences, knowledge, ideas, sensations, thoughts or impressions. Memory impairment may affect short and long-term information retention, facility with spatial relationships, memory (rehearsal) strategies, and verbal retrieval and production. Common causes of
- memory impairment are age, severe head trauma, brain anoxia or ischemia, alcoholic-nutritional diseases, and drug intoxications.
- Examples of memory impairment include, without limitation, benign forgetfulness, amnesia and any disorder in which memory deficiency is present, such as Korsakoff' s amnesic psychosis, dementia and learning disorders. '" "
- Neopsic factors or “neopsics” refers to compounds useful in treating vision loss, preventing vision degeneration, or promoting vision regeneration.
- Neopsis refers to the process of treating vision loss, preventing vision degeneration, or promoting vision regeneration.
- Optological refers to anything about or concerning the eye, without limitation, and is used interchangeably with “ocular,” “ophthalmic,”
- Preventing vision degeneration refers to the ability to prevent degeneration of vision in patients newly diagnosed as having a degenerative disease affecting vision, or at risk of developing a new degenerative disease affecting vision, and for preventing further degeneration of vision in patients who are already suffering from or have symptoms of a degenerative disease affecting vision.
- “Promoting vision regeneration” refers to maintaining, improving, stimulating or accelerating recovery of, or revitalizing one or more components of the visual system in a manner which improves or enhances vision, either in the presence or absence of any ophthalmologic disorder, *disease, or injury. “Treating” refers to:
- Vision refers to the ability of humans and other animals to process images, and is used interchangeably with “sight”, “seeing”, and other such terms, without “ limitation.
- Vision disorder refers to any disorder that affects or involves vision, including without limitation visual impairment, orbital disorders, disorders of the lacrimal apparatus, disorders of the eyelids, disorders of the conjunctiva, disorders of the cornea, cataracts, disorders of the uveal tract, disorders of the retina, disorders of the optic nerve or visual pathways, free radical induced eye disorders and diseases, immunologically-mediated eye disorders and diseases, eye injuries, and symptoms and complications of eye disease, eye disorder, or eye injury.
- Visual impairment refers to any dysfunction in vision including without limitation disturbances or diminution in vision (e.g., binocular, central, peripheral, scotopic), visual acuity for objects near and far, visual field, ocular motility, color perception, adaptation to light and dark, accommodation, refraction, and lacrimation. See Physician's Desk Reference (PDR) for Ophthalmology, 16 "h Edition, 6:47 (1988) .
- PDR Physician's Desk Reference
- the present invention relates to a method of treating a vision disorder, improving vision, treating memory impairment, or enhancing memory performance in an animal, which comprises administering to said animal an effective amount of a derivative .
- inventive methods are particularly useful for treating various eye disorders including but not limited to visual disorders, diseases, injuries, and complications, genetic disorders; disorders associated with aging or degenerative vision diseases; vision disorders correlating to physical injury to the eye, head, or other parts of the body resulting from external forces; vision disorders resulting from environmental factors; vision disorders resulting from a broad range of diseases; and combinations of any of the above.
- compositions and methods of the present invention are useful for improving vision, or correcting, treating, or preventing visual (ocular) impairment or dysfunction of the visual system, including permanent and temporary visual impairment, without limitation.
- the present invention is also useful in preventing and treating ophthalmologic diseases and disorders, treating damaged and injured eyes, and preventing and treating diseases, disorders, and injuries which result in vision deficiency, vision loss, or reduced capacity to see or process images, and the symptoms and complications resulting from same.
- the eye diseases and disorders which may be treated or prevented by the compositions and methods of the present invention are not limited with regard to the cause of said diseases or disorders. Accordingly, said compositions and methods are applicable whether the disease or disorder is caused by genetic or environmental factors, as well as any other influences.
- compositions and methods of the present invention are particularly useful for eye problems or vision loss or deficiency associated with all of the following, without limitation: aging, cellular or physiological degeneration, central nervous system or neurological disorder, vascular defects, muscular defects, and exposure to adverse environmental conditions or substances.
- compositions and methods of the present invention are particularly useful in correcting, treating, or improving visual impairment, without limitation.
- Visual impairment in varying degrees occurs in the presence of a deviation from normal in one or more functions of the eye, including (1) visual acuity for objects at distance and near; (2) visual fields; and (3) ocular motility without diplopia.
- PDR Physicians ' Desk Reference
- Vision is - imperfect without the coordinated function of all three. Id.
- compositions and methods of use are also useful in correcting, treating, or improving other ocular functions including, without limitation, color perception, adaptation to light and dark, accommodation, metamorphopsia, and binocular vision.
- the compositions and methods of use are particularly useful in treating, correcting, or preventing ocular disturbances including, without limitation, paresis of accommodation, iridoplegia, entropion, ectropion, epiphora, lagopnthalmos, scarring, vitreous opacities, non-reactive pupil, light scattering disturbances of the cornea or other media, and permanent deformities of the orbit.
- compositions and methods of use of the present invention are also highly useful in improving vision and treating vision loss. Vision loss ranging from slight loss to absolute loss may be treated cr prevented using said compositions and methods of use. Vision may be improved by the treatment of eye disorders, diseases, and injuries using the compositions and methods of the invention. However, improvements in vision using the compositions and methods of use are not so limited, and may occur in the absence of any such disorder, disease, or injury.
- the compositions and methods of the present invention are also useful in the treatment or prevention of the following non-limiting exemplary diseases and disorders, and symptoms and complications resulting therefrom.
- Vision disorders include but are not limited to the following: visual impairment, such as diminished visual acuity for objects near and far, visual fields, and ocular motility; orbital disorders, such as orbital cellulitis, periorbital cellulitis, cavernous sinus thrombosis, and exophthalmos (proptosis) ; disorders of the lacrimal apparatus, such as dacryostenosis, congenital dacryostenosis, and dacryocystitis (acute or chronic) ; disorders of the eyelids, such as lid edema, blepharitis, ptosis, ' Bell's palsy, blepharospasm, hordeolum (stye), external-- hordeolum, internal hordeolum (meibomian stye) , chalazion, entropion (inversion of the eyelid), ectropion (eversion of the eyelid), tumors (b
- compositions and methods of the present invention are also useful in the treatment of the following non-limiting eye injuries, and symptoms and complications resulting therefrom: conjunctival and cornea! foreign body injuries, corneal abrasion, intraocular foreign body injuries, lacerations, lid lacerations, contusions, lid contusions (black eye), trauma to the globe, laceration of the iris, cataract, dislocated lens, glaucoma, vitreous hemorrhage, orbital-floor fractures, retinal hemorrhage or detachment, and rupture of the eyeball, anterior chamber hemorrhage (traumatic hypnema) , burns, eyelid burns, chemical burns, chemical burns of the cornea and conjunctiva, and ultraviolet light burns (sunburn) . See The Merck Manual , Sixteen th Edi tion, 217:2364-2365 (1992).
- compositions and methods of the present invention are also useful m treating and/or preventing the following non-limiting exemplary symptoms and complications of eye disease, eye disorder or eye injury: subconjunctival hemorrhages, vitreous hemorrhages, retinal hemorrhages, floaters, retinal detachments, photophobia, ocular pain, scotomas (negative and positive) , errors of refraction, emmetropia, ametropia, hyperopia (farsightedness), myopia (nearsightedness), astigmatism, anisometropia, aniseikonia, presbyopia, bleeding, recurrent bleeding, * sympathetic ophthalmia, inflammation, swelling, redness of the eye, irritation of the eye, corneal ulc ⁇ ration and scarring, iridocyclitis, perforation of the globe, lid deformities, exophthalmos, impaired mobility of the eye, lid swelling, chemosis, loss of vision, including partial or total blindness, optic neuritis, fever, mal
- the derivative may be administered in combination with an effective amount of one or more factor (s) useful in treating vision disorder, improving vision, treating memory impairment, or enhancing memory performance.
- the factor (s) to be combined with the derivative is/are selected from the group consisting of immunosuppressants for treating autoimmune, inflammatory, and immunologically-mediated disorders; wound healing agents for treating wounds resulting from injury or surgery; antiglaucomatous medications for treating abnormally elevated intraocular pressure; neurotrophic factors and growth factors for treating neurodegenerative disorders or stimulating neurite outgrowth; compounds effective in limiting or preventing hemorrhage or neovascularization for treating macular degeneration; and antioxidants for treating oxidative damage to eye tissues.
- Pharmaceutical Compositions of the Present Invention The present invention also relates to a phar a- ceu ical composition comprising:
- the derivative may be administered in combination with an effective amount of one or mere factor (s! useful m treating vision disorders, improving vision, treating memory impairment, or enhancing memory performance.
- the compounds used in the inventive methods and pharmaceutical compositions have an affinity for the FK506 binding protein, particularly FKBP12.
- the inhibition of the prolyl peptidyl cis-trans isomerase activity of FKBP may be measured as an indicator of this affinity.
- the cis-trans isomerization of an alanine-proline bond in a model substrate, N-succinyl-Ala-Ala-Pro-Phe- p-nitroanilide is monitored spectrophotometrically in a chymotrypsin-coupled assay, which releases para- nitroanilide from the trans form of the substrate.
- the inhibition of this reaction caused by the addition of different concentrations of inhibitor' is determined, and the data is analyzed as a change in first-order rate constant as a function of inhibitor concentration to yield the apparent K. values.
- a plastic cuvette In a plastic cuvette are added 950 ml of ice cold assay buffer (25 mM H ⁇ P ⁇ S, pK 7.8, 100 mM NaCl), 10 ml of FKBP (2.5 mM in 10 mM Tris-Cl pH 7.5, 100 mM NaCl, 1 mM dithiothreitol), 25 ml of chymotrypsin (50 mg/ml in 1 mM HC1) and 10 mi of test compound at various concentrations in dimethyl sulfoxide.
- ice cold assay buffer 25 mM H ⁇ P ⁇ S, pK 7.8, 100 mM NaCl
- FKBP 2.5 mM in 10 mM Tris-Cl pH 7.5, 100 mM NaCl, 1 mM dithiothreitol
- 25 ml of chymotrypsin 50 mg/ml in 1 mM HC1
- 10 mi of test compound at various concentrations in
- the reaction is initiated by the addition of 5 ml of substrate (succinyl-Ala-Phe-?ro-Phe-para-nitroanilide, 5 mg/ml in 2.35 mM LiCl in trifluoroethanol) .
- the absorbance at 390 nm versus time is monitored for 90 seconds using a spectrophotometer and the rate constants are determined from the absorbance versus time data files.
- the compounds are preferaoly administered [topically to the skin.]
- the compounds can be formulated into suitable ointments containing the compounds suspended or dissolved in, for example, mixtures with one or more of the following: mineral oil, liquid petrolatum, wnite petrolatum, propylene glycol, polyoxyethylene polyoxypropylene compound, emulsifying wax and water.
- Dosage levels on the order of about 0.1 mg to about 10,000 mg of the active ingredient compound are useful m the treatment of the aoove conditions, with preferred levels of about 0.1 mg to about 1,000 mg.
- the compounds can be administered with other agents for treating vision loss, preventing vision degeneration, or promoting vision regeneration. Specific dose "levels for such other agents will depend upon the factors previously stated and the effectiveness of the drug combination.
- the fol_5W.ing examples are preferred embodiments of the invention and are not to be construed as limiting the invention thereto . All polymer molecular weights are mean average molecular weights. All percentages are based on the percent by weight of the final delivery system or formulation prepared unless otherwise indicated and all totals equal 100% by weight.
- inventive compounds may be prepared by a variety of synthetic sequences that utilize established chemical transformations.
- An exemplary general pathway to the present compounds is described in Scheme I, Scheme II, and Scheme III.
- GPI 1046 protects retinal ganglion cells against degeneration following retinal ischemia. Retinal ganglion cells were retrogradely labeled in adult rats by bilateral injection of fluorogold in their lateral geniculate nuclei.
- GPI 1046 prevents degeneration of optic nerve axons and myelin following retinal ischemia Examination of: the optic nerves from the same retinal ischemia cases reveals that GPI 1046 produces dramatic protection of optic nerve element from ischemic degeneration. Toluidine blue staining of epon embedded optic nerve cross sections revealed the detail of myelin sheaths (white circles) and optic nerve axons (black centers) in the normal rat optic nerve. Optic nerves from vehicle treated cases examined 28 days after a 1 hour retinal ischemic episode are characterized by a decreased density of optic nerve axons and the appearance of numerous degenerating myelin figures (bright white filled circles) . Treatment with GPI 1046 protected the majority of optic nerve axons from degeneration and also dramatically decreased the density of degenerating myelin figures.
- GPI 1046 provides moderate protection against retinal ganglion cell death after optic nerve transection
- GPI 1046 treatment duration significantly affects the process of optic nerve axonal degeneration after transection.
- FIG. 5 shows data from Figure 3 ganglion cell protection and higher power photomicrographs of optic nerve axon protection ( Figure 5A&B, upper panels) . 28 day treatment with GPI 1046 produced a significant increase in the density of large, and particularly medium and small caliber optic nerve axons ( Figure 5C&D, lower panels) .
- FIG. 6 GPI 1046 treatment for 28 days after optic nerve transection prevents myelin degeneration in the proximal stump Myelin basic protein immunohistochemistry labels fascicles (darker labeled 'islands') of yelinated axons in the normal optic nerve ⁇ ( Figure 6A, upper left) . 90 days after transection extensive degeneration of myelin is evident in vehicle treated cases, characterized by the loss of fascicular organization and the appearance of numerous large dense degenerating myelin figures ( Figure 6B, upper right) .
- FIG. 7 FKBP-12 immunohistochemistry labels oligodendroglia (large dark cells with fibrous processes) , the cells which produce myelin, located between the fascicles of optic nerve fibers, and also some optic nerve axons .
- GPI 1046 treatment for the first 14 days after transection did not protect against shrinkage of the distal stump but did slightly increase the density of myelin, though the density of degenerating myelin figures remained high ( Figure 8C, Table 1) .
- GPI 1046 treatment through the first 28 days produced dramatic protection of the fascicular pattern of myelin labeling, decreased the density of degenerating myelin figures, prevented cross sectional shrinkage of the distal stump of the transected nerve and maintained the myelin levels at -99% of normal levels (Figure 8D, Table 1) .
- Figure 9 28 day treatment with GPI 1046 treatment beginning 8 weeks after onset of streptozotocin induced diabetes decreases the extent of neovascularization in the inner and outer retina and protects neurons in the inner nuclear layer (INL) and ganglion cell layer (GCL) from degeneration.
- INL inner nuclear layer
- GCL ganglion cell layer
- ONL and INL decreased thickness of the Outer plexiform layer (the dark area between ONL and INL) and a dramatic increase in the size and density of retinal blood vessels (large black circular outlines) in the INL, OPL, ONL and the photoreceptor layer (PR, the gray fuzzy area above the ONL) .
- GPI 1046 treatment reduced neovascularization (i.e. prevented the proliferation of blood vessels) in the PR, ONL, OPL and INL. Although GPI 1046 did not appear to protect against neuronal loss in the ONL, it appeared to decrease the loss of neurons in both the INL and GCL compared to streptozotocin/vehicle treated controls.
- FG labeled rats underwent a second surgery for icrosurgical bilateral intra ⁇ ' rbital optic nerve transection 4-5 millimeters behi d the orbit.
- One group received a neuroimmunophilin FK3P ligand (10 milligrams per kg per day sc in PEG vehicle (20 percent propylene glycol, 20 percent ethanol, and 60 p ercent saline)) for 14 days.
- a second group received the same neuroimmunophilin FK3? ligand dose for 28 days.
- Each treated group had a corresponding sham/surgery and transection control group which received corresponding 14 or 28 day dosing with the vehicle only.
- Retinas were removed from eyes and prepared for wholemount analysis. For each group, five eyes with dense and intense FG labeling were selected for quantitative analysis using a 20 power objective. Digital images were obtained from five fields in the central retina (3-4 millimeters radial to optic nerve head). FG labeled Large (>18 ⁇ m) , medium (12-16 ⁇ m) , and small ( ⁇ 10 ⁇ m) ganglion cells and microglia were counted in five 400 ⁇ m by 400 ⁇ m fields per case, 5 cases per group. Examination cf Ootic Nerves
- Proximal and distal optic nerve stumps were identified, measured, and transferred to 30% sucrose saline.
- the proximal stumps of five nerves were blocked and affixed to a chuck, and 10 micron cross sections were cut on a cryostat; one in ten sections were saved per set. Sections including the region 1-2 mm behind the orbit were reacted for RT97 neurofilament immunohistochemistry.
- Analysis of optic nerve axon density was performed using a 63 power oil immersion lens, a Dage 81 camera, and the Simple Image Analysis program.
- RT97 positive optic nerve axons were counted in three 200 ⁇ m by 200 ⁇ m fields per nerve. The area of the nerve was also determined for each case at 10 power.
- GFI 1046 preserves optic nerve axons in the proximal stump following transection
- a patient is suffering from macular degeneration.
- a derivative as identified above, alone or in combination with one or mere other neopsic factors or a pharmaceutical composition comprising the same, may be administered to the patient.
- a reduction' in vision loss, prevention of vision degeneration, and/or promotion of vision regeneration are-/is expected to occur following treatment.
- a patient is suffering from glaucoma, resulting ir. cupping cf the c tic nerve disc and damage to nerve ibers.
- a derivative as identified above, alone or in combination with one or mere other neoosic factors, or ⁇ pharmaceutical composition comprising the same, may be administered to the patient.
- a reduction in vision loss, prevention cf vision degeneration, ar.d/or promotion of vision regeneration are/is exoected to occur foiicwinc treatment.
- a patient is suffering from cataracts requiring surgery. Following surgery, a derivative as identified above, alone or in combination with one or mere other neccs c factors, or a pharmaceutical . . / composit D . comprising tne same, may be " ⁇ ministered to the pd.tie.nt. A reduction in vision loss prevention of vision degeneration, and/or promotion of vision regeneration are/is expected to occur following treatment.
- a patient is suffering from an impairment or blockage of retinal blood supply relating to diabetic retinopathy, ischemic optic neuropathy, or retinal artery or vein blockage.
- a derivative as identified above, alone or in combination with one or mere ether neopsic factors, or a pharmaceutical comccsitie comprising the same, may be administered tc the patient.
- a reduction m vision loss, crever.ticr. of vision deceleration, and/or oromcticn of vision receneraticn are/is excected tc occur followmc treatmen .
- a patient is suffering from a detached retina.
- a reduction in vision loss, " crevention of vision degeneration, and/cr promotion of vision regeneration are/is ⁇ xpected to occur following treatment.
- a patient is suffering from tissue damage caused by inflammation associated with uveitis or conjunctivitis.
- a derivative as identified above, alone or in combination with one or mere other neopsic factors, or a pharmaceutical composition comprising the ' -sans, may be administered to the patient.
- a reduction in vision loss, prevention of vision degeneration, and/or promotion of vision regeneration are/is expected to occur following treatment .
- a patient is suffering from photoreceptor damage caused by chronic cr acute exposure to ultraviolet light.
- a derivative as identified above, alone cr in combination with one cr more other neopsic factors, cr a pharmaceutical composition comprising the same, may be administered to the patient.
- a reduction in vision loss, prevention of vision degeneration, and/or promotion of vision regeneration are/is exoected to occur following treatment. ⁇ Example 15 '
- a patient is suffering from optic neuritis.
- a derivative as identified above, alone or in combination with one or more other neopsic factors, cr a pharmaceutical composition comprising the same, may be administered to the patient.
- a reduction in vision loss, prevention of vision degeneration, and/or promotion cf vision regeneration are ' /is expected to occur following treatment.
- a patient is suffering from tissue damage asscciated with a "dry eye” disorder.
- a derivative as identified above, alone or in combination with one cr more ether neopsic factors, or a pharmaceutical composition comprising the same, may be administered to the oatient.
- a reduction in vision loss, prevention of vision degeneration, and/or promotion of vision regeneration are/is expected to eccur foiiowinc treatment.
- Retinal ganglion cells in adult male Sprague Dawley rats were retrogradely labeled by flucrogold injection ir. the LGNd ar.d four days later the oo t ic nerves were transected 5 mm behind the globe. Grou D s of animals received either GPI-1046 lOmg/kg/day s.c. o . vehicle for 28 days. All experimental animals and controls were sacrificed 90 days after transection.
- Peripheral neuropathy is a common debilitating complication of Type 2 diabetes in some 30-40% of diabetic patients .
- Neurotrophic factors such as nerve growth factor ; (NGF) are known to promote survival of developing and ! adult neurons of the peripheral nervous system (PNS), and have also " been..evaluated as ' treatments for diabetic peripheral neuropathy.
- NGF nerve growth factor
- PNS peripheral nervous system
- Some of the selective ligands of the neuroimmunophilin FKBP-12 such as the small molecule GPI-1046, have also been shown to promote repair and regeneration in the central and peripheral nervous systems (Proc. Nat ' 1. Acad. Sci. USA 94, 2019-2024, 1997).
- the Mcrris watermaze is widely used for assessing spatial memory formation and retention in experimental animals.
- the test depends on the animal's ability to utilize spatial visual information in order to locate a submerged escape platform in a water tank. It is important that the tank itself be as devoid of specific visual features as possib ⁇ -- thus, it is always ci c ⁇ r ⁇ ,, s ⁇ t ⁇ e, .ftfe* sides are kept smooth and in uniform dull colors, and the wa t er is rendered opaque with nontoxic watercolour pigment cr powdered milk. This is to ensure that the animal navigates only by the use of more distan t visual cues, cr by the use of intra- aze cues specifically provided by the experimenter.
- the tank is filled to a level which forces the animal to • swim actively. Normal mice. and rats react aversively to the swimming part of the test an will climb on t o, and remain on, an escape platform from which they are removed to a heated resting cage .
- the test can be adapted to assess several aspects of spatial memory: a) acquisition of a cued task, where the animal's ability to link one visual cue directly with the escape platform depends on cortical function (i.e. a ball is suspended over the escape platform and the animal learns to follow this cue to find the platform) ; b) acquisition cf a spatial task, where the animal's ability to learn the location of a submerged escape platform based on a combination of distant visual cues is dependent upon hippocampal function (i.e. the animal learns to triangulate its position in the tank by visually aligning the paper- tower dispenser with the door
- This Example shows the effects of chronic treatment with the svstemically available FK3P-ligand GPI-1046 on spatial learning and memory in aged rodents.
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
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JP2000564606A JP2002522479A (en) | 1998-08-14 | 1999-08-12 | N-heterocyclic carboxylic acids or isostere N-linked sulfonamides for visual and memory impairment |
MXPA00013030A MXPA00013030A (en) | 1998-08-14 | 1999-08-12 | N-linked sulfonamides of n-heterocyclic carboxylic acids or isosteres for vision and memory disorders. |
EP99941051A EP1105124A2 (en) | 1998-08-14 | 1999-08-12 | N-linked sulfonamides of n-heterocyclic carboxylic acids or isosteres for vision and memory disorders |
CA002336147A CA2336147A1 (en) | 1998-08-14 | 1999-08-12 | N-linked sulfonamides of n-heterocyclic carboxylic acids or isosteres for vision and memory disorders |
AU54775/99A AU5477599A (en) | 1998-08-14 | 1999-08-12 | N-linked sulfonamides of N-heterocyclic carboxylic acids or isosteres for vision and memory disorders |
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US09/134,471 US6339101B1 (en) | 1998-08-14 | 1998-08-14 | N-linked sulfonamides of N-heterocyclic carboxylic acids or isosteres for vision and memory disorders |
US09/134,471 | 1998-08-14 |
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WO2000009103A2 true WO2000009103A2 (en) | 2000-02-24 |
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US (1) | US6339101B1 (en) |
EP (1) | EP1105124A2 (en) |
JP (1) | JP2002522479A (en) |
AU (1) | AU5477599A (en) |
CA (1) | CA2336147A1 (en) |
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Also Published As
Publication number | Publication date |
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JP2002522479A (en) | 2002-07-23 |
EP1105124A2 (en) | 2001-06-13 |
CA2336147A1 (en) | 2000-02-24 |
WO2000009103A9 (en) | 2000-06-08 |
MXPA00013030A (en) | 2002-04-24 |
WO2000009103A3 (en) | 2000-11-16 |
US6339101B1 (en) | 2002-01-15 |
AU5477599A (en) | 2000-03-06 |
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