EP0516792A1 - Derives d'heparine - Google Patents
Derives d'heparineInfo
- Publication number
- EP0516792A1 EP0516792A1 EP92901426A EP92901426A EP0516792A1 EP 0516792 A1 EP0516792 A1 EP 0516792A1 EP 92901426 A EP92901426 A EP 92901426A EP 92901426 A EP92901426 A EP 92901426A EP 0516792 A1 EP0516792 A1 EP 0516792A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- heparin
- process according
- salts
- molecular weight
- heparin derivatives
- 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.)
- Withdrawn
Links
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical class OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 title claims abstract description 159
- 239000002628 heparin derivative Substances 0.000 title claims abstract description 24
- 229920000669 heparin Polymers 0.000 claims abstract description 95
- 239000000047 product Substances 0.000 claims abstract description 56
- 229960002897 heparin Drugs 0.000 claims abstract description 36
- 150000003839 salts Chemical class 0.000 claims abstract description 28
- 229940127215 low-molecular weight heparin Drugs 0.000 claims abstract description 27
- 239000003055 low molecular weight heparin Substances 0.000 claims abstract description 22
- 150000003242 quaternary ammonium salts Chemical class 0.000 claims abstract description 22
- 239000007795 chemical reaction product Substances 0.000 claims abstract description 17
- 125000004432 carbon atom Chemical group C* 0.000 claims abstract description 15
- 239000002168 alkylating agent Substances 0.000 claims abstract description 14
- 229940100198 alkylating agent Drugs 0.000 claims abstract description 14
- 125000000623 heterocyclic group Chemical group 0.000 claims abstract description 14
- 239000003960 organic solvent Substances 0.000 claims abstract description 13
- 239000007864 aqueous solution Substances 0.000 claims abstract description 10
- 150000007530 organic bases Chemical class 0.000 claims abstract description 10
- 238000000034 method Methods 0.000 claims description 55
- 230000008569 process Effects 0.000 claims description 27
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 19
- 150000001875 compounds Chemical class 0.000 claims description 18
- 239000000243 solution Substances 0.000 claims description 16
- -1 alkaline earth metal salts Chemical class 0.000 claims description 14
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 13
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 claims description 12
- 238000006243 chemical reaction Methods 0.000 claims description 12
- 239000011780 sodium chloride Substances 0.000 claims description 11
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 claims description 10
- 125000000217 alkyl group Chemical group 0.000 claims description 10
- 208000007536 Thrombosis Diseases 0.000 claims description 9
- 239000000126 substance Substances 0.000 claims description 8
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 7
- 229910052784 alkaline earth metal Inorganic materials 0.000 claims description 7
- 239000002634 heparin fragment Substances 0.000 claims description 7
- 229910052751 metal Inorganic materials 0.000 claims description 7
- 239000002184 metal Substances 0.000 claims description 7
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 claims description 6
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 claims description 6
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 claims description 6
- 239000002253 acid Substances 0.000 claims description 6
- 229910052708 sodium Inorganic materials 0.000 claims description 6
- 239000011734 sodium Substances 0.000 claims description 6
- 239000004215 Carbon black (E152) Substances 0.000 claims description 5
- 229910052783 alkali metal Inorganic materials 0.000 claims description 5
- 150000001340 alkali metals Chemical class 0.000 claims description 5
- 150000002148 esters Chemical class 0.000 claims description 5
- 125000005842 heteroatom Chemical group 0.000 claims description 5
- 229930195733 hydrocarbon Natural products 0.000 claims description 5
- 150000002430 hydrocarbons Chemical class 0.000 claims description 5
- 150000007529 inorganic bases Chemical class 0.000 claims description 5
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 claims description 4
- 239000000872 buffer Substances 0.000 claims description 4
- 239000012153 distilled water Substances 0.000 claims description 4
- 239000003814 drug Substances 0.000 claims description 4
- 229910052700 potassium Inorganic materials 0.000 claims description 4
- 239000011591 potassium Substances 0.000 claims description 4
- 239000007858 starting material Substances 0.000 claims description 4
- 150000005621 tetraalkylammonium salts Chemical group 0.000 claims description 4
- DNIAPMSPPWPWGF-GSVOUGTGSA-N (R)-(-)-Propylene glycol Chemical group C[C@@H](O)CO DNIAPMSPPWPWGF-GSVOUGTGSA-N 0.000 claims description 3
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 claims description 3
- 125000001931 aliphatic group Chemical group 0.000 claims description 3
- 239000000010 aprotic solvent Substances 0.000 claims description 3
- 239000002585 base Substances 0.000 claims description 3
- 239000003085 diluting agent Substances 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-M hydroxide Chemical compound [OH-] XLYOFNOQVPJJNP-UHFFFAOYSA-M 0.000 claims description 3
- 150000002739 metals Chemical class 0.000 claims description 3
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 3
- DZLFLBLQUQXARW-UHFFFAOYSA-N tetrabutylammonium Chemical class CCCC[N+](CCCC)(CCCC)CCCC DZLFLBLQUQXARW-UHFFFAOYSA-N 0.000 claims description 3
- 150000001447 alkali salts Chemical group 0.000 claims description 2
- 150000001732 carboxylic acid derivatives Chemical class 0.000 claims description 2
- 230000002255 enzymatic effect Effects 0.000 claims description 2
- 238000005194 fractionation Methods 0.000 claims description 2
- 238000004108 freeze drying Methods 0.000 claims description 2
- 230000003472 neutralizing effect Effects 0.000 claims description 2
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- 230000001376 precipitating effect Effects 0.000 claims description 2
- 238000001556 precipitation Methods 0.000 claims description 2
- 239000008194 pharmaceutical composition Substances 0.000 claims 3
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 claims 2
- 239000004480 active ingredient Substances 0.000 claims 2
- 159000000007 calcium salts Chemical class 0.000 claims 2
- 239000003937 drug carrier Substances 0.000 claims 2
- 238000004519 manufacturing process Methods 0.000 claims 2
- 239000003495 polar organic solvent Substances 0.000 claims 2
- 239000001632 sodium acetate Substances 0.000 claims 2
- 235000017281 sodium acetate Nutrition 0.000 claims 2
- 229940124597 therapeutic agent Drugs 0.000 claims 2
- UWLHSHAHTBJTBA-UHFFFAOYSA-N 1-iodooctane Chemical compound CCCCCCCCI UWLHSHAHTBJTBA-UHFFFAOYSA-N 0.000 claims 1
- CPELXLSAUQHCOX-UHFFFAOYSA-M Bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 claims 1
- 150000001348 alkyl chlorides Chemical class 0.000 claims 1
- 238000000502 dialysis Methods 0.000 claims 1
- 238000000605 extraction Methods 0.000 claims 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical group I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 claims 1
- 238000006386 neutralization reaction Methods 0.000 claims 1
- HNJBEVLQSNELDL-UHFFFAOYSA-N pyrrolidin-2-one Chemical compound O=C1CCCN1 HNJBEVLQSNELDL-UHFFFAOYSA-N 0.000 claims 1
- 238000001226 reprecipitation Methods 0.000 claims 1
- 239000000203 mixture Substances 0.000 abstract description 15
- 239000002904 solvent Substances 0.000 abstract description 10
- 239000003146 anticoagulant agent Substances 0.000 abstract description 8
- 159000000011 group IA salts Chemical class 0.000 abstract description 7
- 229960004676 antithrombotic agent Drugs 0.000 abstract description 2
- 229910001854 alkali hydroxide Inorganic materials 0.000 abstract 1
- 150000008044 alkali metal hydroxides Chemical class 0.000 abstract 1
- 238000002955 isolation Methods 0.000 abstract 1
- 238000012360 testing method Methods 0.000 description 35
- 230000000694 effects Effects 0.000 description 33
- 241001465754 Metazoa Species 0.000 description 28
- 238000007920 subcutaneous administration Methods 0.000 description 27
- 238000001990 intravenous administration Methods 0.000 description 22
- 238000002474 experimental method Methods 0.000 description 15
- TZCPCKNHXULUIY-RGULYWFUSA-N 1,2-distearoyl-sn-glycero-3-phosphoserine Chemical compound CCCCCCCCCCCCCCCCCC(=O)OC[C@H](COP(O)(=O)OC[C@H](N)C(O)=O)OC(=O)CCCCCCCCCCCCCCCCC TZCPCKNHXULUIY-RGULYWFUSA-N 0.000 description 14
- ZWZWYGMENQVNFU-UHFFFAOYSA-N Glycerophosphorylserin Natural products OC(=O)C(N)COP(O)(=O)OCC(O)CO ZWZWYGMENQVNFU-UHFFFAOYSA-N 0.000 description 14
- WTJKGGKOPKCXLL-RRHRGVEJSA-N phosphatidylcholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCCCCCCC=CCCCCCCCC WTJKGGKOPKCXLL-RRHRGVEJSA-N 0.000 description 14
- 208000032843 Hemorrhage Diseases 0.000 description 12
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- 229960004072 thrombin Drugs 0.000 description 12
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- 201000002282 venous insufficiency Diseases 0.000 description 7
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 6
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- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 6
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- 235000019441 ethanol Nutrition 0.000 description 5
- 238000002347 injection Methods 0.000 description 5
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- 231100000682 maximum tolerated dose Toxicity 0.000 description 5
- 230000017074 necrotic cell death Effects 0.000 description 5
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- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 4
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 4
- YNAVUWVOSKDBBP-UHFFFAOYSA-N Morpholine Chemical compound C1COCCN1 YNAVUWVOSKDBBP-UHFFFAOYSA-N 0.000 description 4
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- HVYWMOMLDIMFJA-DPAQBDIFSA-N cholesterol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 description 4
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- WVDDGKGOMKODPV-UHFFFAOYSA-N Benzyl alcohol Chemical compound OCC1=CC=CC=C1 WVDDGKGOMKODPV-UHFFFAOYSA-N 0.000 description 3
- 229920002683 Glycosaminoglycan Polymers 0.000 description 3
- AEMOLEFTQBMNLQ-HNFCZKTMSA-N L-idopyranuronic acid Chemical compound OC1O[C@@H](C(O)=O)[C@@H](O)[C@H](O)[C@H]1O AEMOLEFTQBMNLQ-HNFCZKTMSA-N 0.000 description 3
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 3
- 229930006000 Sucrose Natural products 0.000 description 3
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 3
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- 125000003187 heptyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 125000004051 hexyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 102000052196 human PF4 Human genes 0.000 description 1
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- 159000000003 magnesium salts Chemical class 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- AFVFQIVMOAPDHO-UHFFFAOYSA-N methanesulfonic acid Substances CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 1
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- 125000002347 octyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
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- 230000007170 pathology Effects 0.000 description 1
- 229960001412 pentobarbital Drugs 0.000 description 1
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- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- 235000021317 phosphate Nutrition 0.000 description 1
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- XAEFZNCEHLXOMS-UHFFFAOYSA-M potassium benzoate Chemical compound [K+].[O-]C(=O)C1=CC=CC=C1 XAEFZNCEHLXOMS-UHFFFAOYSA-M 0.000 description 1
- 159000000001 potassium salts Chemical class 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 230000002335 preservative effect Effects 0.000 description 1
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- 229940048914 protamine Drugs 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 239000008213 purified water Substances 0.000 description 1
- 125000001453 quaternary ammonium group Chemical group 0.000 description 1
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- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- HRZFUMHJMZEROT-UHFFFAOYSA-L sodium disulfite Chemical compound [Na+].[Na+].[O-]S(=O)S([O-])(=O)=O HRZFUMHJMZEROT-UHFFFAOYSA-L 0.000 description 1
- 229940001584 sodium metabisulfite Drugs 0.000 description 1
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Classifications
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
-
- C—CHEMISTRY; METALLURGY
- C08—ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
- C08B—POLYSACCHARIDES; DERIVATIVES THEREOF
- C08B37/00—Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
- C08B37/006—Heteroglycans, i.e. polysaccharides having more than one sugar residue in the main chain in either alternating or less regular sequence; Gellans; Succinoglycans; Arabinogalactans; Tragacanth or gum tragacanth or traganth from Astragalus; Gum Karaya from Sterculia urens; Gum Ghatti from Anogeissus latifolia; Derivatives thereof
- C08B37/0063—Glycosaminoglycans or mucopolysaccharides, e.g. keratan sulfate; Derivatives thereof, e.g. fucoidan
- C08B37/0075—Heparin; Heparan sulfate; Derivatives thereof, e.g. heparosan; Purification or extraction methods thereof
-
- 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
Definitions
- the present invention concerns new heparin derivatives with pharmacological properties which are modified with respect to those of the heparin preparations currently available on the market and used in anticoagulant therapies.
- the relationship between the anti-thrombin activity and the activity on the Xa factor and the platelet factor 4 (PF of the new derivatives differs from that of heparin. In other words, their considerable affinity for PF 4 is accompanied by reduced activity on the reaction between anti-thrombin III and thro bin, catalyzed by heparin.
- the reaction between antithrombin III and the Xa factor, catalyzed by heparin itself, is even more sensitive to the new derivatives. Because of their different ratio of activity from that of heparin, on PF 4 and on the reactions activated by thrombin and Xa factor, the derivatives of the invention are able to prevent thrombosis without the risk of hemorrhage which accompanies the anti-thrombotic action of heparin. It must be noted that hemorrhagic activity can be caused by an excessive action of thrombin inhibition.
- the new heparin derivatives whose aforesaid pharmacological properties are different from those of heparin, also have a modified chemical structure and different molecular weight; their chemical structure has not yet been completely defined. It has however been ascertained that they: a) constitute a mixture of mostly depoly erized products and therefore have a medium-to-low molecular weight compared the starting products, which are rich in fragments similar to one another and with molecular weights coming within the same narrow range, and with a minimum of fragments which deviate from this mean. b) Compared to their starting products, they have a notably diminished ratio between the iduronic-type saccharide unit and the glucuronic-type unit.
- heparin esters such as those described in British patent No. 1501095. If these esters undergo alkaline treatment, such as that included in the second phase of the procedure of the present invention, different heparin fragments are obtained, as can be demonstrated by NMR analysis.
- the new "low-molecular-weight heparin" of the invention is a complex mixture of oligosaccharides, sulfated both at N and at O, reflecting the heterogeneity of the starting heparin. Its fundamental constituents IdoA and GlcnAc, differently sulfated, and secondary constituents (essentially GlcA) link together, giving rise to different sequential combinations.
- the product which is the object of the present invention shows a considerable decrease in the IdoA/GlcN ratio, this decrease being detectable by NMR. Accordingly, the signals of the ano eric sites of the typical IdoA sequence (2S0 3 ) -GlcNS0 3 ) (6S0 3 ) (102 and 99.5 pp for carbon; 5.18 and 5.32 ppm for the proton) prove to be drastically diminished. Such transformations cannot be detected in the known, low-molecular-weight heparins, or if they can, it is to a far lesser degree. Concomitantly, markedly intense signals appear of a new unsaturated monosaccharide unit (see point 4) .
- oligosaccharides terminate with an unsaturated monosaccharide unit, three-substituted in positions 1-2, as can be shown by NMR (signals at 147 and 172 ppm in C-13: doublet at 6 ppm for the proton) . These signals are absent or very reduced in the other known, low-molecular-weight heparins.
- the heparin-like products of the present invention are new and different from the heparin fragments already described in the literature.
- they are different from the fragments described in European patent No. 0 302 034, obtained by alkaline treatment of heparin esters, these fragments being suitable for the formation of complexes with copper ions having an angiogenic action.
- the heparin fragments described in U.S. patent No. 4,440,926, obtained starting from well-defined heparin esters by treatment with NaOH (0.1-0.5 N) between 20° and 60 ⁇ C, are not identical to the products of the present invention.
- Figure 1 shows the anticoagulant activity in vitro of PE compared to UFH and CY 216 in terms of thrombin time (sec).
- the data obtained are mean values of 7-10 replications for each test product.
- Figure 2 shows the ex vivo anticoagulant activity of PE, compared to UFH and CY 216, according to the effect on thrombin time after i.v. administration.
- the data are mean values from experiments on 5 rabbits for each test product.
- Figure 3 illustrates the ex vivo anticongulant activity of PE, compared to UFH and CY 216, based on anti-FXa activity (disappearance kinetics after s.c. administration) .
- the data are mean values from experiments on 5 rabbits per test product.
- Figure 4 shows the ex vivo activity for PF 4 after i.v. administration of PE, in comparison to UFH and CY 216.
- test products were dissolved in sterile saline and tested at concentrations ranging from 0.5 to 12.5 ⁇ g/ml. Parameters
- Thrombin time (as an indicator of anticoagulant activity)
- Anti-FXa activity (as an indicator of anticoagulant activity)
- the anticoagulant activity of PE is considerably inferior to that of unfractionated heparin UFH (thrombin time increases at concentrations about 4-5 times greater than UFH) .
- the data are means of 3 experiments per concentration, one for each test product.
- ex vivo in vitro measurement of blood withdrawn from an animal to which the chemical substance has been administered. Examined in particular were the following: a) thrombin time, on arterial blood after acute bolus intravenous administration (i.v.) of the test products; b) anti-FXa activity, on arterial blood after acute subcutaneous administration (s.c). This method, being highly sensitive, is indicative of the "bioavailability" of the test products, since it allows the kinetics of the disappearance of the test products to be monitored after subcutaneous administration.
- test products were dissolved in sterile saline solution and administered acutely at 0.86 mg/kg by the i.v. route and at 1-2 mg/kg by the s.c. route.
- Fig. 3 shows that:
- the affinity of the new heparin derivative PE of the present invention was assessed for human PF 4 , i.e. the "binding properties" of such products for PF 4 .
- test products able to bind PF 4 should therefore greatly prolong its presence in the circulation. This effect is proportional to the quantity of GAG injected and to its affinity for PF 4 .
- the test products were dissolved in sterile saline solution and administered at 0.86 mg/kg i.v. Description of the test Administration of the test products was acute (intravenous bolus), at a dose of 0.86 mg/kg. Samples of arterial blood were taken 2-3 ins later from the central artery of the ear (baseline sample) . 5 minutes after administration of the first bolus, a second bolus of purified human PF 4 was given (30 ⁇ g/kg) .
- - PE has affinity for platelet factor PF 4 and gradually disappears from the circulation reaching low values about 30 minutes after administration.
- the experiment described hereafter assessed the antithrombotic activity in vivo of the new heparin derivative PE.
- the objective was to test the efficacy of the products in preventing the formation of an arterial thrombus in an acute model of arterial thrombosis in the rabbit carotid artery, following endothelial damage and reduction of the vascular dia eter .
- test products were dissolved in sterile saline and administered by the i.v. route at concentrations ranging from 1.2 to 6 mg/kg.
- test products were then infused i.v. for eight minutes in all, with mechanical damage being performed after two minutes of infusion.
- the flow was monitored constantly until at least one hour after the end of treatment.
- the animal was sacrificed by an overdose of anesthetic at the end of the experiment.
- the antithro botic efficacy of PE is inferior (about 5x) to that of unfractionated heparin UFH (which can be seen to inhibit the formation of occlusive thrombi at a dose as low as 1.2 mg/kg) ; the pharmacological efficacy of PE is similar to that of CY 216.
- the experiment described hereafter was performed to assess the antithrombotic efficacy in vivo of PE in a model of venous thrombosis in the rat.
- the venous stasis technique was used, by occluding the vena cava inferior, as this method causes the formation of a mainly fibrinic thrombus due to the variation in blood flow at the level of the bifurcation of the vena cava with the left renal vein.
- the model under examination therefore proves to be sensitive to the activity of anticoagulant drugs and in particular to the antithrombotic potential of heparin (after administration and stasis) .
- the test products were dissolved in sterile saline and administered intravenously at doses ranging from 0.5 to 3 mg/kg i.v. (15 minutes before stasis induction) .
- the experiment described hereafter assessed the effect of PE on bleeding time 15 minutes after intravenous administration of the test products.
- the test products were dissolved in sterile saline and administered i.v. at concentrations ranging from l to 3 mg/kg.
- the present experiment assessed the maximum tolerated dose of the compound PE after administration by the intravenous and subcutaneous route in the mouse.
- test products were dissolved in sterile saline and tested at concentrations ranging between 125 and 2000 mg/kg i.v. and s.c.
- mice Groups of five male and five female mice were treated (for each compound and each administration route) with the highest tolerated dose found on screening. The animals were observed for 14 days, during which mortality and the presence of altered behaviour and general toxicity symptoms were observed. In the case of mortality a lower dose was used, until the maximum tolerated dose was found. Where possible, autopsy was performed on the deceased animals. Results
- PE has greater tolerance dose than unfractionated heparin UFH.
- the subcutaneous tolerance data therefore show a difference between the compounds PE and CY 216.
- Treatment Deceased animals/Treated animals Time of death (mg/kg i.v.) males females days after treatment immediate
- the activity of PE differs slightly from that of CY 216, which is one of the best low-molecular-weight heparins currently on sale in France, and shows in particular better local tolerability after s.c. administration in the mouse. Indeed, although the maximum tolerated doses are the same, all animals treated with CY 216 (2000 mg/kg s.c.) had evident necrosis of the skin at the injection site, while the skin of the animals treated with PE was unaffected.
- PE has:
- the derivative PE at a dose of 1.5 mg/kg i.v., does not induce any alterations in bleeding time, unlike UFH.
- the new, low-molecular-weight heparin derivatives according to the present invention can therefore be used in the place of unfractionated heparin in all its indications, as an anticoagulant and thrombocyte aggregation inhibitor.
- the dose is adapted to each particular case, and is normally around 1-7 mg/kg per day, by the intravenous route.
- the heparins to be used in the previously described procedure of the present invention can be of any type and of various origin, for example heparins extracted from the intestine of pigs, cattle, and sheep and from ox heart, especially any one of the products which are commercially available or described in the literature.
- Such products have widely ranging molecular weights, for example between 2,000 and 30,000 daltons, especially unfractionated heparin UFH, and also low-molecular-weight heparins obtained by fractionation of standard heparins (2,000-10,000 daltons) and heparin fragments with a molecular weight of 500-10,000 daltons obtained by partial depolymerization of standard heparins by chemical or enzymatic means.
- the quaternary ammonium salts to be used as starting material for said procedure can be prepared in the known way, for instance by ion exchange of the heparin in aqueous solution as a sodium or potassium salt with resins based on quaternary ammonium salts, for example a salified sulfonic resin with a quaternary ammonium base.
- the quaternary ammonium salt can be obtained by freeze-drying the eluate.
- tetraalkylammonium salts derived from lower alkyls may be advantageously used, particularly tetraalkylammonium salts with alkyl groups having a maximum of 6 carbon atoms.
- alkyl-aryl-ammonium salts may also be used, for example those having long-chained alkyl groups.
- tetraalkylammonium salts tetrabutylammonium salts are preferably used.
- the quaternary ammonium salts to be used as starting substance for the procedure of the present invention are those obtainable by ion exchange in the aforesaid manner using alkaline salts, for example sodium or potassium salts, of heparin of the type used commercially, that is, neutral salts. They are reacted with an excess of quaternary ammonium ions so as to obtain also the corresponding neutral salts.
- Quaternary ammonium salts are soluble both in the aforesaid heterocyclic solvents, and in aprotic organic solvents, such as dimethylsulfoxide and dimethylformamide.
- the reaction with the alkylating agent, according to the first step of the procedure can be performed both in the aforesaid heterocyclic solvents, or in a solution of the same in one of the aforesaid aprotic organic solvents, preferably in a concentrated solution.
- heterocyclic solvents the preferred ones are above all those which are not substituted in the cyclic structure, that is, N-alkyl-o-aryl-2-pyrrolidone, or their derivatives containing a heterocyclic atom in the cyclic structure, such as the corresponding derivatives of imidazoline, piperazine or morpholine.
- the N-alkyl groups of heterocyclic solvents are derived preferably from a lower alkyl with a maximum of 6 carbon atoms, and the aryl group is primarily a phenyl group, optionally substituted by 1 to 3 lower alkyl groups, especially methyl groups.
- N-methyl-2-pyrrolidone is used.
- An alkylating agent derived from a hydrocarbon having from 6 to 30 carbon atoms, preferably from 8 to 18 carbon atoms, is a compound easily capable of yielding the corresponding hydrocarbyl groups, such as a reagent ester group of an acid with an alcohol with a corresponding number of carbon atoms, which can be an aliphatic or araliphatic alcohol having preferably a maximum of 18 carbon atoms, for example a hexyl, heptyl, octyl or nonyl alcohol.
- the reagent esters can be derived from inorganic or organic acids, such as hydracids, sulfuric or sulfurous acid, or alkyl- or aryl-sulfonic acids, for example methane-sulfonic or p-toluenesulfonic acid.
- the esters of the hydracids are in particular chlorides, bromides and iodides.
- the reaction between the quaternary ammonium salt of the aforesaid alkylating agent is performed at room temperature (20°C.)or slightly higher, for example at a temperature of from 30 - 35 ⁇ C. but not exceeding 60°C, and is maintained for a prolonged period of time of about 5 to 20 hours, typically about 16 hours.
- the reaction product can be isolated and subsequently submitted to the second step of the procedure, that is, to alkaline treatment, or it can be converted directly into the final product, performing the alkaline treatment directly on the solution, optionally concentrated, of the reaction product of the first step. It is also possible to evaporate the solvent under bland (mild) conditions after the first step of the procedure and to perform alkaline treatment on the residue. It is therefore possible to perform the procedure of the invention as a "one-pot" process.
- the basic treatment of the reaction product between the quaternary ammonium salt of heparin with the alkylating agent is performed at a temperature of from 5° to 120"C, suitably at a temperature between 50°C and 120 " C, preferably about 70*C, for about two hours.
- Alkaline hydrates are used, such as NaOH or KOH, or other inorganic and/or organic bases, preferably at a concentration of between 0.1 and 1M.
- the bases are used in aqueous or alcoholic solutions, but other solvents can be present which are miscible with water or with an aqueous-alcoholic mixture, such as, for example, the residue solvents used in the first step of the procedure in the case of the aforesaid "one-pot" process.
- the reaction product of the first step of the procedure can be precipitated by the addition of an organic polar solvent, preferably an aliphatic alcohol such as methyl or ethyl alcohol, to which a basic buffer has preferably been added, such as especially a basic salt of a carboxylic acid, e.g., an acetate or propionate of sodium or potassium.
- a basic buffer can be used, such as alkaline bicarbonates or alkaline phosphates.
- the precipitated product is preferably washed with the polar solvent used in the precipitation, for example methanol. It is advisable to purify the precipitated product further by reprecipitating it once more or several times, that is, by dissolving the product in water and precipitating it with an alcohol.
- the reaction product comprising the low-molecular-weight heparin derivative and having the previously described properties, can be released in free form either from a metal salt or from an organic base in the conventional way.
- the alkaline salt corresponding to the alkaline hydrate used in the second step of the procedure may be obtained by neutralizing the solution with an acid, e.g., 2M hydrochloric acid, purifying the solution, extracting it with an organic solvent which cannot be mixed with water, for example methylene chloride, and repeating this operation several times.
- the salt is then dialyzed with distilled water and sodium chloride and freeze-dried.
- the products of the invention are used mainly in the form of their metal salts or organic base salts. If it is desired to obtain metal salts other than alkaline salts corresponding to the ions of the alkaline hydrates used in the aforesaid alkaline treatment, it is possible to use ion exchange methods by known techniques. Alternatively, it is possible to isolate the heparin product in its acid form, adding the alkaline salt obtained with the calculated quantity of a diluted strong acid, such as hydrochloric acid or sulfuric acid, extracting the product with a suitable organic solvent, isolating the heparin compound in free form and then converting it into the desired salt.
- a diluted strong acid such as hydrochloric acid or sulfuric acid
- metal or organic base salts which can be used according to the present invention, of particular importance are those which are therapeutically acceptable, such as alkali and alkaline-earth metals, for example sodium, potassium, ammonium, calcium, and magnesium salts, or heavy metal salts, such as copper and iron salts.
- the salts of organic bases can be derived from primary, secondary or tertiary aliphatic,- aromatic or heterocyclic amines, such as methylamine, ethylamine, propylamine, piperidine, morpholine, ephedrine, furfurylaminecholine, ethylenediamine and aminoethanol.
- Salts which cannot be directly used in therapy which are also part of the invention, are for example those which can be used for the purification of the new heparin derivatives of the invention, such as some of the heavy metal salts.
- the invention also includes pharmaceutical preparations containing as active substance a new low-molecular-weight heparin derivative obtainable by the procedure described herein, especially in the form of their therapeutically acceptable salts.
- Such preparations can be for parenteral use, for example for subcutaneous or intravenous administration, or for topical use, for example in the form of creams or ointments, or suppositories, or nose sprays.
- the invention includes, besides the new low-molecular-weight heparin derivatives, the aforesaid procedure for their pr paration. Included in the invention is also the performance of the single steps of the preparation procedure, that is, the reaction of a quaternary ammonium salt of heparin with an alkylating agent as defined above in one of said solvents and the alkaline treatment of the reaction product.
- PE g 150 300 other components water for injection in ml 4 8
- Example 1.5 the preservative chlorbutanol can be substituted by: benzyl alcohol mg 50 100 or by: chlorocresol mg 5 10
- sucrose may be substituted by fructose
- the ratios between the phosphatidylcholine and phosphatidylserine present in the formulations may vary 2.5 (gastroresistant tablet)
- the ratios between the phosphatidylcholine and phosphatidylserine present in the formulations may vary 2.7 (solution to be administered orally as drops) PE mg 30 60 120 other components: citric acid mg 7.5 15 30 purified water to ml 0.25 0.5 1
- PE fine white powder mg 20 40 The active principle, as a fine white powder, is contained in a gelatin capsule to be broken open when ready for use and loaded into suitable apparatus for inhalation.
- the active principle as a fine white powder, is contained in a gelatin capsule to be broken open when ready for use and loaded into suitable apparatus for inhalation.
- the low molecular weight heparin derivatives and salts thereof according to the present invention are obtainable by treatment of a quaternary ammonium salt of a heparin, dissolved in a heterocyclic organic solvent chosen from the group formed by N-alkyl- pyrrolidine-2-one , N-alky1-piperidine-2-one , unsubstituted or substituted by lower alkyl groups, and their derivatives interrupted in the heterocyclic ring by another heteroatom or heterogroup selected from -O-, -S-, and -NH-, or in a concentrated solution of said compound in an aprotic solvent, with an alkylating (etherifying) agent derived from a hydrocarbon having from 6 to 30 carbon atoms, preferably from 8 to 18 carbon atoms, at a temperature of from about 20° (room
- the resulting reaction product is then treated at a temperature of from 5 ⁇ to 120"C, preferably about 70 ⁇ C, with an inorganic or organic base in an aqueous solution.
- the product resulting from this alkaline treatment is then isolated in free form or as an alkali metal or alkaline earth metal salt thereof. Salts of other metals or organic base salts may be obtained therefrom by conversion from one to the other.
- the reaction product is treated with an alkaline hydroxide in aqueous solution.
- the resulting low molecular weight heparin derivatives and salts thereof are useful therapeutically, for example, as anti-thrombotic agents.
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Abstract
On prépare des dérivés d'héparine à faible poids moléculaire et leurs sels par le traitement d'un sel d'ammonium quaternaire d'une héparine, dissous dans un solvant organique hétérocyclique ou dans un solvant exempt de protons, avec un agent d'alkylation possédant de 6 à 30 atomes de carbone, à une température comprise entre environ 20 °C et environ 60 °C et pour une durée prolongée; par le traitement du produit réactionnel ainsi obtenu à une température comprise entre environ 5 °C et environ 120 °C et avec une base organique ou non, telle qu'un hydroxyde alcalin, dans une solution aqueuse; et par l'isolation, sous forme libre ou sous forme de leurs sels alcalins, des dérivés d'héparine ainsi obtenus. Les dérivés d'héparine ainsi obtenus constituent un mélange de produits pour la plupart dépolymérisés dont les poids moléculaires sont proches les uns des autres. Ces produits sont utiles en tant qu'agents antithrombotiques.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| IT4175290 | 1990-12-20 | ||
| IT04175290A IT1243300B (it) | 1990-12-20 | 1990-12-20 | Derivati dell'eparina |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| EP0516792A1 true EP0516792A1 (fr) | 1992-12-09 |
Family
ID=11253436
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP92901426A Withdrawn EP0516792A1 (fr) | 1990-12-20 | 1991-12-20 | Derives d'heparine |
Country Status (13)
| Country | Link |
|---|---|
| EP (1) | EP0516792A1 (fr) |
| JP (1) | JPH05504785A (fr) |
| KR (1) | KR920703644A (fr) |
| CN (1) | CN1062537A (fr) |
| AU (1) | AU658594B2 (fr) |
| BR (1) | BR9106234A (fr) |
| CA (1) | CA2075970A1 (fr) |
| FI (1) | FI923762A7 (fr) |
| HU (1) | HUT62917A (fr) |
| IT (1) | IT1243300B (fr) |
| NO (1) | NO923240L (fr) |
| PT (1) | PT99898A (fr) |
| WO (1) | WO1992011294A1 (fr) |
Families Citing this family (13)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2663639B1 (fr) * | 1990-06-26 | 1994-03-18 | Rhone Poulenc Sante | Melanges de polysaccharides de bas poids moleculaires procede de preparation et utilisation. |
| FR2704861B1 (fr) * | 1993-05-07 | 1995-07-28 | Sanofi Elf | Fractions d'héparine purifiées, procédé d'obtention et compositions pharmaceutiques les contenant. |
| ES2077533B1 (es) * | 1994-02-28 | 1996-07-01 | Bioiberica | Procedimiento de obtencion de fracciones de oligosacaridos por despolimerizacion quimica de heparina. |
| US5639469A (en) * | 1994-06-15 | 1997-06-17 | Minnesota Mining And Manufacturing Company | Transmucosal delivery system |
| US5744457A (en) * | 1995-03-31 | 1998-04-28 | Hamilton Civic Hospitals Research Development Inc. | Compositions and methods for inhibiting thrombogenesis |
| US6001820A (en) * | 1995-03-31 | 1999-12-14 | Hamilton Civic Hospitals Research Development Inc. | Compositions and methods for inhibiting thrombogenesis |
| US5763427A (en) * | 1995-03-31 | 1998-06-09 | Hamilton Civic Hospitals Research Development Inc. | Compositions and methods for inhibiting thrombogenesis |
| WO1997033593A1 (fr) * | 1996-03-15 | 1997-09-18 | Takara Shuzo Co., Ltd. | Produit obtenu par traitement thermique d'acide uronique, et aliments, boissons ou medicaments contenant ce produit |
| US5767269A (en) * | 1996-10-01 | 1998-06-16 | Hamilton Civic Hospitals Research Development Inc. | Processes for the preparation of low-affinity, low molecular weight heparins useful as antithrombotics |
| FR2763848B1 (fr) | 1997-05-28 | 2000-01-28 | Rhone Poulenc Rorer Sa | Utilisation des heparines de bas poids moleculaire pour la prevention et le traitement du trauma du systeme nerveux central |
| EP1503742A2 (fr) * | 2002-04-19 | 2005-02-09 | Bioghurt Biogarde GmbH & Co. KG. | Matrice a constituant bioactif contenant des phospholipides |
| DE10217557A1 (de) * | 2002-04-19 | 2003-11-06 | Degussa Bioactives Gmbh | Funktionsnahrungsmittel enthaltend eine Phospholipid-haltige stabile Matrix |
| CN100335506C (zh) * | 2004-05-20 | 2007-09-05 | 汕头市金丰医疗器械科技有限公司 | 一种肝素化合物及其制备方法和应用 |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR2482603A1 (fr) * | 1980-05-14 | 1981-11-20 | Pharmindustrie | Nouveaux esters d'heparine utilisables pour la preparation de medicaments, et procedes pour leur preparation |
| EP0256880B1 (fr) * | 1986-08-20 | 1995-05-03 | Miami University | Alkylesters d'héparine ayant un bas poids moléculaire |
| SE8702254D0 (sv) * | 1987-05-29 | 1987-05-29 | Kabivitrum Ab | Novel heparin derivatives |
-
1990
- 1990-12-20 IT IT04175290A patent/IT1243300B/it active IP Right Grant
-
1991
- 1991-12-20 AU AU90964/91A patent/AU658594B2/en not_active Ceased
- 1991-12-20 KR KR1019920701996A patent/KR920703644A/ko not_active Withdrawn
- 1991-12-20 WO PCT/EP1991/002479 patent/WO1992011294A1/fr not_active Ceased
- 1991-12-20 FI FI923762A patent/FI923762A7/fi not_active Application Discontinuation
- 1991-12-20 CA CA002075970A patent/CA2075970A1/fr not_active Abandoned
- 1991-12-20 EP EP92901426A patent/EP0516792A1/fr not_active Withdrawn
- 1991-12-20 CN CN91111853A patent/CN1062537A/zh active Pending
- 1991-12-20 BR BR919106234A patent/BR9106234A/pt unknown
- 1991-12-20 HU HU922685A patent/HUT62917A/hu unknown
- 1991-12-20 PT PT99898A patent/PT99898A/pt not_active Application Discontinuation
- 1991-12-20 JP JP4501399A patent/JPH05504785A/ja active Pending
-
1992
- 1992-08-18 NO NO92923240A patent/NO923240L/no unknown
Non-Patent Citations (1)
| Title |
|---|
| See references of WO9211294A1 * |
Also Published As
| Publication number | Publication date |
|---|---|
| KR920703644A (ko) | 1992-12-18 |
| CN1062537A (zh) | 1992-07-08 |
| FI923762A0 (fi) | 1992-08-20 |
| PT99898A (pt) | 1992-12-31 |
| WO1992011294A1 (fr) | 1992-07-09 |
| CA2075970A1 (fr) | 1992-06-21 |
| HUT62917A (en) | 1993-06-28 |
| BR9106234A (pt) | 1993-03-30 |
| IT1243300B (it) | 1994-05-26 |
| NO923240L (no) | 1992-10-19 |
| IT9041752A0 (it) | 1990-12-20 |
| AU9096491A (en) | 1992-07-22 |
| FI923762L (fi) | 1992-08-20 |
| JPH05504785A (ja) | 1993-07-22 |
| NO923240D0 (no) | 1992-08-18 |
| IT9041752A1 (it) | 1992-06-21 |
| FI923762A7 (fi) | 1992-08-20 |
| AU658594B2 (en) | 1995-04-27 |
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