DK2276541T3 - Opretholdelse af trombocythæmning under antitrombocytbehandling - Google Patents
Opretholdelse af trombocythæmning under antitrombocytbehandling Download PDFInfo
- Publication number
- DK2276541T3 DK2276541T3 DK09747490.2T DK09747490T DK2276541T3 DK 2276541 T3 DK2276541 T3 DK 2276541T3 DK 09747490 T DK09747490 T DK 09747490T DK 2276541 T3 DK2276541 T3 DK 2276541T3
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- DK
- Denmark
- Prior art keywords
- reversible
- short
- acting
- inhibitor
- platelet
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Classifications
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- 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
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/706—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
- A61K31/7064—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
- A61K31/7076—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid
-
- 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
-
- 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
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
- A61K31/4365—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system having sulfur as a ring hetero atom, e.g. ticlopidine
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
- A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Medicinal Chemistry (AREA)
- Epidemiology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Organic Chemistry (AREA)
- Molecular Biology (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Dermatology (AREA)
- Hematology (AREA)
- Diabetes (AREA)
- Urology & Nephrology (AREA)
- Vascular Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- External Artificial Organs (AREA)
Claims (14)
1. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde til mindst delvis hæmning af trombocytaktiviteter hos en person, der tidligere er behandlet med mindst én thienopyridin, hvor behandling med den mindst ene thienopyridin afbrydes før administrering af den reversible, korttidsvirkende P2Yi2-hæmmer, hvor den reversible, korttidsvirkende P2Yi2-hæmmer er cangrelor og administreres til personen op til 5 dage før, der skal udføres en invasiv procedure på personen, eller mens en invasiv procedure udføres på personen.
2. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge krav 1, hvor den hæmmende aktivitet af den mindst ene thienopyridin er ikke-reversibel.
3. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge krav 1 eller krav 2, hvor den mindst ene thienopyridin er clopidogrel.
4. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af ovennævnte krav, hvor administration af den mindst ene thienopyridin til personen afbrydes mindst 5 dage før, der skal udføres en invasiv procedure på personen.
5. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af ovennævnte krav, hvor fremgangsmåden omfatter administration af den reversible, korttidsvirkende P2Yi2-hæmmer til personen op til 5 dage før, der skal udføres en invasiv procedure på personen.
6. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge krav 1, hvor administration of cangrelor afbrydes mellem 1 og 24 timer før den invasive procedure.
7. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge krav 1, hvor cangrelor administreres som en intravenøs infusion af mellem 0,5 og 2,0 yg/kg/minut.
8. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af kravene 4 til 7, hvor den invasive procedure er en koronararterie-bypassoperation.
9. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af kravene 4 til 7, hvor den invasive procedure er et perkutant koronarindgreb.
10. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af kravene 1 til 3, hvor personen tidligere har fået indsat en stent.
11. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge krav 10, hvor stenten er en "nøgen" metalstent.
12. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge krav 10, hvor stenten er en lægemiddel-eluerende stent.
13. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af ovennævnte krav, hvor hæmningen af trombocytaktivitet er en hæmning på mere end ca. 60 %.
14. Reversibel, korttidsvirkende P2Yi2-hæmmer til anvendelse i en fremgangsmåde ifølge et hvilket som helst af ovennævnte krav, hvor trombocytaktiviteten er trombocytaggregering.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US12741408P | 2008-05-13 | 2008-05-13 | |
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| DE102006020386A1 (de) * | 2006-04-28 | 2007-10-31 | Dade Behring Marburg Gmbh | Verfahren zur Bestimmung der Thrombozytenfunktion unter Flussbedingungen |
| CA2623449C (en) | 2008-03-27 | 2010-11-02 | Lance Baldo | A novel use of bivalirudin in the treatment of acute coronary syndrome |
| WO2009140092A1 (en) | 2008-05-13 | 2009-11-19 | The Medicines Company | Maintenance of platelet inhibition during antiplatelet therapy |
| US9427448B2 (en) | 2009-11-11 | 2016-08-30 | The Medicines Company | Methods of treating, reducing the incidence of, and/or preventing ischemic events |
| US20120141468A1 (en) | 2008-05-13 | 2012-06-07 | Lisa Ruderman Chen | Maintenance of platelet inhibition during antiplatelet therapy |
| US20130303477A1 (en) | 2008-05-13 | 2013-11-14 | The Medicines Company | Maintenance of Platelet Inhibition During Antiplatelet Therapy |
| US8759316B2 (en) * | 2008-05-13 | 2014-06-24 | The Medicines Company | Maintenance of platelet inhibition during antiplatelet therapy |
| US8680052B1 (en) * | 2013-03-09 | 2014-03-25 | The Medicines Company | Methods of treating, reducing the incidence of, and/or preventing ischemic events |
| BR112012011298B1 (pt) | 2009-11-11 | 2021-12-14 | Chiesi Farmaceutici S.P.A. | Uso de cangrelor e/ou bivalirudina na preparação de medicamentos e combinação de medicamentos |
| US10376532B2 (en) | 2009-11-11 | 2019-08-13 | Chiesi Farmaceutici, S.P.A. | Methods of treating, reducing the incidence of, and/or preventing ischemic events |
| EP2563369A2 (en) | 2010-04-29 | 2013-03-06 | Thrombologic APS | Methods of treatment of patients at increased risk of development of ischemic events and compounds hereof |
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- 2009-05-13 EP EP09747490.2A patent/EP2276541B1/en active Active
- 2009-05-13 WO PCT/US2009/043820 patent/WO2009140407A1/en not_active Ceased
- 2009-05-13 HR HRP20161443TT patent/HRP20161443T1/hr unknown
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- 2009-05-13 CN CN2009801266781A patent/CN102089035A/zh active Pending
- 2009-05-13 AU AU2009246396A patent/AU2009246396B2/en active Active
- 2009-05-13 PT PT97474902T patent/PT2276541T/pt unknown
- 2009-05-13 DK DK09747490.2T patent/DK2276541T3/da active
- 2009-05-13 JP JP2011509659A patent/JP5792059B2/ja active Active
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- 2009-05-13 HU HUE09747490A patent/HUE031704T2/hu unknown
- 2009-05-13 PL PL09747490T patent/PL2276541T3/pl unknown
- 2009-05-13 CA CA2724470A patent/CA2724470C/en active Active
- 2009-05-13 BR BRPI0912693A patent/BRPI0912693B8/pt active IP Right Grant
- 2009-05-13 LT LTEP09747490.2T patent/LT2276541T/lt unknown
- 2009-05-13 SI SI200931550A patent/SI2276541T1/sl unknown
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2013
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2016
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2009140092A1 (en) | 2009-11-19 |
| WO2009140407A1 (en) | 2009-11-19 |
| SI2276541T1 (sl) | 2017-02-28 |
| AU2009246396A1 (en) | 2009-11-19 |
| CY1118653T1 (el) | 2017-07-12 |
| EP2276541A1 (en) | 2011-01-26 |
| CA2724470A1 (en) | 2009-11-19 |
| US10022391B2 (en) | 2018-07-17 |
| HUE031704T2 (hu) | 2017-07-28 |
| JP2011520899A (ja) | 2011-07-21 |
| JP2014077005A (ja) | 2014-05-01 |
| HRP20161443T1 (hr) | 2016-12-30 |
| BRPI0912693A2 (pt) | 2019-01-15 |
| AU2009246396B2 (en) | 2015-07-09 |
| ES2601524T3 (es) | 2017-02-15 |
| LT2276541T (lt) | 2016-12-12 |
| EP2276541A4 (en) | 2012-05-09 |
| US8871736B2 (en) | 2014-10-28 |
| EP2276541B1 (en) | 2016-08-03 |
| BRPI0912693B8 (pt) | 2021-05-25 |
| US20170049798A1 (en) | 2017-02-23 |
| CN102089035A (zh) | 2011-06-08 |
| PL2276541T3 (pl) | 2017-08-31 |
| BRPI0912693B1 (pt) | 2021-05-11 |
| US20110288043A1 (en) | 2011-11-24 |
| JP5792059B2 (ja) | 2015-10-07 |
| CA2724470C (en) | 2018-01-02 |
| PT2276541T (pt) | 2016-11-10 |
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