CA2200541C - Utilisation d'antagonistes de la lh-rh dans le traitement des troubles de l'infertilite - Google Patents
Utilisation d'antagonistes de la lh-rh dans le traitement des troubles de l'infertilite Download PDFInfo
- Publication number
- CA2200541C CA2200541C CA2200541A CA2200541A CA2200541C CA 2200541 C CA2200541 C CA 2200541C CA 2200541 A CA2200541 A CA 2200541A CA 2200541 A CA2200541 A CA 2200541A CA 2200541 C CA2200541 C CA 2200541C
- Authority
- CA
- Canada
- Prior art keywords
- antagonist
- lhrh
- cetrorelix
- day
- treatment
- 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.)
- Expired - Lifetime
Links
- 229940124041 Luteinizing hormone releasing hormone (LHRH) antagonist Drugs 0.000 title claims description 18
- 208000021267 infertility disease Diseases 0.000 title abstract description 5
- 238000011282 treatment Methods 0.000 title description 23
- SBNPWPIBESPSIF-MHWMIDJBSA-N cetrorelix Chemical compound C([C@@H](C(=O)N[C@H](CCCNC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 SBNPWPIBESPSIF-MHWMIDJBSA-N 0.000 claims abstract description 18
- 229960003230 cetrorelix Drugs 0.000 claims abstract description 18
- 108700008462 cetrorelix Proteins 0.000 claims abstract description 17
- 239000002474 gonadorelin antagonist Substances 0.000 claims abstract description 15
- 238000000034 method Methods 0.000 claims abstract description 13
- 239000002622 gonadotropin Substances 0.000 claims abstract description 11
- 230000000638 stimulation Effects 0.000 claims abstract description 11
- 102000006771 Gonadotropins Human genes 0.000 claims abstract description 10
- 108010086677 Gonadotropins Proteins 0.000 claims abstract description 10
- 210000000287 oocyte Anatomy 0.000 claims description 8
- 230000003325 follicular Effects 0.000 claims description 7
- 230000002611 ovarian Effects 0.000 claims description 7
- 239000003814 drug Substances 0.000 claims description 6
- -1 Azaline B Chemical compound 0.000 claims description 4
- NOENHWMKHNSHGX-IZOOSHNJSA-N (2s)-1-[(2s)-2-[[(2s)-2-[[(2r)-2-[[(2r)-2-[[(2s)-2-[[(2r)-2-[[(2s)-2-[[(2r)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-pyridin-3-ylpropanoyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-6-(ca Chemical compound C([C@H](C(=O)N[C@H](CCCCNC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 NOENHWMKHNSHGX-IZOOSHNJSA-N 0.000 claims description 3
- WDYSQADGBBEGRQ-APSDYLPASA-N (2s)-2-[[(2r)-2-[[(2s)-2-[[(2s)-2-[[(2r)-2-[[(2r)-2-[[(2r)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-(1h-indol-3-yl)propanoyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-[(2r,3r,4r,5r,6s) Chemical compound C([C@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCN=C(N)N)C(=O)N1[C@@H](CCC1)C(=O)NNC(N)=O)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)O[C@@H]1O[C@@H](C)[C@H](O)[C@@H](O)[C@H]1O WDYSQADGBBEGRQ-APSDYLPASA-N 0.000 claims description 3
- VSZVSSYQFUFEQG-GJZGRUSLSA-N (2s)-5-amino-2-[[(2s)-2-amino-3-naphthalen-2-ylpropanoyl]amino]-5-oxopentanoic acid Chemical compound C1=CC=CC2=CC(C[C@H](N)C(=O)N[C@@H](CCC(N)=O)C(O)=O)=CC=C21 VSZVSSYQFUFEQG-GJZGRUSLSA-N 0.000 claims description 3
- 108010082661 2-naphthylalanyl-glutamic acid Proteins 0.000 claims description 3
- 108010070670 antarelix Proteins 0.000 claims description 3
- 229940127233 azaline B Drugs 0.000 claims description 3
- GJNXBNATEDXMAK-PFLSVRRQSA-N ganirelix Chemical compound C([C@@H](C(=O)N[C@H](CCCCN=C(NCC)NCC)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCN=C(NCC)NCC)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 GJNXBNATEDXMAK-PFLSVRRQSA-N 0.000 claims description 3
- 108700032141 ganirelix Proteins 0.000 claims description 3
- 229960003794 ganirelix Drugs 0.000 claims description 3
- 108010092834 ramorelix Proteins 0.000 claims description 3
- 229950000277 ramorelix Drugs 0.000 claims description 3
- 238000010254 subcutaneous injection Methods 0.000 claims description 3
- 239000007929 subcutaneous injection Substances 0.000 claims description 3
- 238000004519 manufacturing process Methods 0.000 claims 3
- 239000000203 mixture Substances 0.000 claims 3
- 108010031335 A 76154 Proteins 0.000 claims 2
- 239000002552 dosage form Substances 0.000 claims 2
- 108010083551 iturelix Proteins 0.000 claims 2
- QRYFGTULTGLGHU-NBERXCRTSA-N iturelix Chemical compound C([C@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CCCCNC(=O)C=1C=NC=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)CCCNC(=O)C1=CC=CN=C1 QRYFGTULTGLGHU-NBERXCRTSA-N 0.000 claims 2
- OVJXZVMFCYBEPE-RWRBTDCVSA-N n-[(5r)-5-amino-6-[[(2s)-1-[[(2r)-2-[[(2s)-1-[(2s)-2-amino-6-(propan-2-ylamino)hexanoyl]pyrrolidine-2-carbonyl]-[(2s)-2-[[(2r)-2-[3-(4-fluorophenyl)propanoylamino]-3-naphthalen-1-ylpropanoyl]amino]-3-hydroxypropanoyl]amino]propanoyl]-[(2s)-3-(4-hydroxyphe Chemical compound C([C@H](NC)C(=O)N(C(=O)[C@@H](C)N(C(=O)[C@H](CO)NC(=O)[C@@H](CC=1C2=CC=CC=C2C=CC=1)NC(=O)CCC=1C=CC(F)=CC=1)C(=O)[C@H]1N(CCC1)C(=O)[C@@H](N)CCCCNC(C)C)C(=O)[C@H](CC(C)C)NC(=O)[C@H](N)CCCCNC(=O)C=1C=NC=CC=1)C1=CC=C(O)C=C1 OVJXZVMFCYBEPE-RWRBTDCVSA-N 0.000 claims 2
- 239000003937 drug carrier Substances 0.000 claims 1
- 239000008194 pharmaceutical composition Substances 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 12
- 230000016087 ovulation Effects 0.000 abstract description 10
- 230000009977 dual effect Effects 0.000 abstract description 7
- 239000000556 agonist Substances 0.000 abstract description 5
- 238000011161 development Methods 0.000 abstract description 5
- 230000018109 developmental process Effects 0.000 abstract description 5
- 230000001629 suppression Effects 0.000 abstract description 5
- 229940011871 estrogen Drugs 0.000 abstract description 4
- 239000000262 estrogen Substances 0.000 abstract description 4
- 230000028327 secretion Effects 0.000 abstract description 3
- 230000001939 inductive effect Effects 0.000 abstract description 2
- 230000029849 luteinization Effects 0.000 abstract description 2
- 208000011580 syndromic disease Diseases 0.000 abstract description 2
- 101000904177 Clupea pallasii Gonadoliberin-1 Proteins 0.000 abstract 6
- 239000000579 Gonadotropin-Releasing Hormone Substances 0.000 abstract 6
- 101000857870 Squalus acanthias Gonadoliberin Proteins 0.000 abstract 6
- XLXSAKCOAKORKW-AQJXLSMYSA-N gonadorelin Chemical compound C([C@@H](C(=O)NCC(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N1[C@@H](CCC1)C(=O)NCC(N)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)C1=CC=C(O)C=C1 XLXSAKCOAKORKW-AQJXLSMYSA-N 0.000 abstract 6
- 230000005906 menstruation Effects 0.000 abstract 1
- 230000003472 neutralizing effect Effects 0.000 abstract 1
- 238000007920 subcutaneous administration Methods 0.000 abstract 1
- 108010073521 Luteinizing Hormone Proteins 0.000 description 13
- 102000009151 Luteinizing Hormone Human genes 0.000 description 13
- 229940040129 luteinizing hormone Drugs 0.000 description 13
- 238000002347 injection Methods 0.000 description 11
- 239000007924 injection Substances 0.000 description 11
- 230000002028 premature Effects 0.000 description 11
- 108010057021 Menotropins Proteins 0.000 description 8
- 230000035935 pregnancy Effects 0.000 description 7
- 230000004720 fertilization Effects 0.000 description 6
- 230000008217 follicular development Effects 0.000 description 5
- XLXSAKCOAKORKW-UHFFFAOYSA-N gonadorelin Chemical compound C1CCC(C(=O)NCC(N)=O)N1C(=O)C(CCCN=C(N)N)NC(=O)C(CC(C)C)NC(=O)CNC(=O)C(NC(=O)C(CO)NC(=O)C(CC=1C2=CC=CC=C2NC=1)NC(=O)C(CC=1NC=NC=1)NC(=O)C1NC(=O)CC1)CC1=CC=C(O)C=C1 XLXSAKCOAKORKW-UHFFFAOYSA-N 0.000 description 5
- 101000904173 Homo sapiens Progonadoliberin-1 Proteins 0.000 description 4
- 206010033266 Ovarian Hyperstimulation Syndrome Diseases 0.000 description 4
- 102100024028 Progonadoliberin-1 Human genes 0.000 description 4
- 101000996723 Sus scrofa Gonadotropin-releasing hormone receptor Proteins 0.000 description 4
- 229940094892 gonadotropins Drugs 0.000 description 4
- 230000001817 pituitary effect Effects 0.000 description 4
- 230000001270 agonistic effect Effects 0.000 description 3
- 239000005557 antagonist Substances 0.000 description 3
- 230000003828 downregulation Effects 0.000 description 3
- 229940088597 hormone Drugs 0.000 description 3
- 239000005556 hormone Substances 0.000 description 3
- 230000006698 induction Effects 0.000 description 3
- 230000027758 ovulation cycle Effects 0.000 description 3
- 230000002265 prevention Effects 0.000 description 3
- VOXZDWNPVJITMN-ZBRFXRBCSA-N 17β-estradiol Chemical compound OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 VOXZDWNPVJITMN-ZBRFXRBCSA-N 0.000 description 2
- 208000007984 Female Infertility Diseases 0.000 description 2
- 206010021928 Infertility female Diseases 0.000 description 2
- 208000007466 Male Infertility Diseases 0.000 description 2
- 241001465754 Metazoa Species 0.000 description 2
- RJKFOVLPORLFTN-LEKSSAKUSA-N Progesterone Chemical compound C1CC2=CC(=O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H](C(=O)C)[C@@]1(C)CC2 RJKFOVLPORLFTN-LEKSSAKUSA-N 0.000 description 2
- 208000007271 Substance Withdrawal Syndrome Diseases 0.000 description 2
- 206010042573 Superovulation Diseases 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 150000001875 compounds Chemical class 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 229960005309 estradiol Drugs 0.000 description 2
- 229930182833 estradiol Natural products 0.000 description 2
- 239000002434 gonadorelin derivative Substances 0.000 description 2
- 230000003054 hormonal effect Effects 0.000 description 2
- 210000001161 mammalian embryo Anatomy 0.000 description 2
- 230000035800 maturation Effects 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 108020003175 receptors Proteins 0.000 description 2
- 238000011277 treatment modality Methods 0.000 description 2
- 206010048010 Withdrawal syndrome Diseases 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 150000001408 amides Chemical class 0.000 description 1
- 230000003042 antagnostic effect Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 125000002619 bicyclic group Chemical group 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 230000037416 cystogenesis Effects 0.000 description 1
- 238000000586 desensitisation Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000035558 fertility Effects 0.000 description 1
- 238000003306 harvesting Methods 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 208000025661 ovarian cyst Diseases 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 238000009521 phase II clinical trial Methods 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 239000000186 progesterone Substances 0.000 description 1
- 229960003387 progesterone Drugs 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 230000004043 responsiveness Effects 0.000 description 1
- 238000011272 standard treatment Methods 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 230000001360 synchronised effect Effects 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000001228 trophic effect Effects 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
- 230000035899 viability Effects 0.000 description 1
Landscapes
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US78693797A | 1997-01-22 | 1997-01-22 | |
| US08/786,937 | 1997-01-22 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CA2200541A1 CA2200541A1 (fr) | 1998-07-22 |
| CA2200541C true CA2200541C (fr) | 2013-02-19 |
Family
ID=25139990
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA2200541A Expired - Lifetime CA2200541C (fr) | 1997-01-22 | 1997-03-20 | Utilisation d'antagonistes de la lh-rh dans le traitement des troubles de l'infertilite |
Country Status (1)
| Country | Link |
|---|---|
| CA (1) | CA2200541C (fr) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8173592B1 (en) * | 1999-03-31 | 2012-05-08 | Zentaris Ivf Gmbh | Method for a programmed controlled ovarian stimulation protocol |
| CN116350617A (zh) * | 2023-03-03 | 2023-06-30 | 南京师范大学 | Luf5771在制备预防和/或治疗卵巢过度刺激综合征的药物中的用途 |
-
1997
- 1997-03-20 CA CA2200541A patent/CA2200541C/fr not_active Expired - Lifetime
Also Published As
| Publication number | Publication date |
|---|---|
| CA2200541A1 (fr) | 1998-07-22 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request | ||
| MKEX | Expiry |
Effective date: 20170320 |