EP1263424A2 - Traitement de troubles lies au systeme serotonergique - Google Patents

Traitement de troubles lies au systeme serotonergique

Info

Publication number
EP1263424A2
EP1263424A2 EP01921387A EP01921387A EP1263424A2 EP 1263424 A2 EP1263424 A2 EP 1263424A2 EP 01921387 A EP01921387 A EP 01921387A EP 01921387 A EP01921387 A EP 01921387A EP 1263424 A2 EP1263424 A2 EP 1263424A2
Authority
EP
European Patent Office
Prior art keywords
deramciclane
treatment
anxiety
use according
daily dosage
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Withdrawn
Application number
EP01921387A
Other languages
German (de)
English (en)
Inventor
Harri Kanerva
Outi MÄKI-IKOLA
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Orion Oyj
Original Assignee
Orion Oyj
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Orion Oyj filed Critical Orion Oyj
Priority to EP01921387A priority Critical patent/EP1263424A2/fr
Publication of EP1263424A2 publication Critical patent/EP1263424A2/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/138Aryloxyalkylamines, e.g. propranolol, tamoxifen, phenoxybenzamine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

  • the present invention is directed to deramciclane, (lR,2S,4R)-(-)-2-[N,N- (d ⁇ methylam ⁇ noethoxy)]-2-phenyl-l,7,7-t ⁇ methyl-b ⁇ cyclo[2 2 l]heptane, and its use in the treatment of disorders relating to the serotonergic system Specifically, the present invention is directed to the use of deramciclane in the treatment of depression
  • the present invention is directed to the use of deramciclane m the treatment of anxiety, specifically chronic anxiety including GAD, m an oral daily dosage of about 30 mg in humans.
  • the daily dosage may be given as a once-a-day formulation or it may be divided
  • a once-a-day fomiulation may be used, and may lead to greater patient compliance than a multiple-dose daily formulation
  • deramciclane as a free base and as a fumarate salt has been desc ⁇ bed m Hunga ⁇ an Patent No 212,547
  • Other pharmaceutically acceptable acid addition salts of deramciclane may be formed with inorganic (e g , hydrochlo ⁇ c acid, sulfu ⁇ c acid) or organic acids (e g , acetic acid, tarta ⁇ c acid)
  • the fumarate salt is an example of such a pharmaceutically acceptable acid addition salt
  • Deramciclane has shown anxiolytic-hke effects m some conventional animal models with various routes of administration, and in receptor binding studies in vitro deramciclane has shown to bind with high affinity to serotonin 5HT A - and 5-HT 2 - receptor subtypes, being a potent antagonist of these receptors (Gacsalyi, I et al , Drug Dv Res (1997) 40 333-348) In punished drinking test in rats (Vogel, J R et al , Psychopharmacologia (1971) 21 : 1-7) deramciclane was active, after single oral administration at doses of 1 mg/kg and 10 mg/kg. In social interaction test in rats (File, S.E. J. Neurosci Methods (1980) 2:219-238) deramciclane enhanced the social interaction time in some extend, the minimum effective dose after single intraperitoneal administration was 0.7 mg/kg. In two compartment test in mice
  • Mithani 1984, Effects of Alpha- Adrenoceptor Agonists and Antagonists in a Maze- Exploration Model of "Fear"-Motivated Behaviour, Naunyn-Schmiedeberg's Archives of Pharmacology. 327, 1-5) after single intraperitoneal doses at range of 0.1 mg/kg - 5 mg/kg.
  • deramciclane was able to attenuate the caerulein- induced decrease in exploratory behavior at an intraperitoneal dose of 0.5 mg/kg in the elevated plus maze test.
  • deramciclane was clearly ineffective at oral doses of 25 and 100 mg/kg.
  • deramcilane has been effective in some animal models of anxiety after oral doses at range from 1 mg kg to 30 mg/kg in mice and rats.
  • deramciclane has showed negligible effects in animal models of depression even after high peroral doses in mice and rats, which is in line with the results reporting that 5-HT 2 c - receptor agonists are effective in animal models of depression (Moreau J-L. et al. European Neuropsychopharmacology 6:169-175, 1996).
  • Anxiety is a normal emotional feeling related to different situations of threat or fear. External threat is experienced as a fear whereas obscure and unidentified feeling of threat may be experienced as anxiety. When anxiety persists it can develop into a pathological disorder.
  • Anxiety disorders are divided more specifically in diagnostic disorders e.g., panic disorder, phobias, and generalised anxiety disorder (GAD).
  • GAD is a chronic illness associated with excessive anxiety and worry lasting for at least six months.
  • the anxiety and worry are associated with restlessness, fatigue, difficulties in concentrating or mind going blank, irritability, muscle tension, and sleeping disturbances. The symptoms may be triggered by different events of life, and the control of anxiety is very difficult to the patient.
  • Anxiety is currently treated with benzodiazepines, SSRI's and buspirone, which are not optimal treatments regarding the adverse drug reaction and efficacy profiles.
  • benzodiazepines SSRI's and buspirone
  • SSRI's SSRI's
  • buspirone buspirone
  • relapse of the disease different kinds of withdrawal effects, development of tolerance as well as relapse and recurrence often happen, when traditional anxiolytics are used.
  • the doctors usually gradually taper the dosage of the medicine (i.e. gradually diminish its daily dosage) before the treatment may be stopped.
  • Patients tend to develop tolerance to those traditional compounds as well. Development of tolerance occurs when, for example, a patient requires greater quantities of a compound over time to achieve the same therapeutic effect.
  • the improved condition can be maintained, and relapses can thus be prevented by continuing the treatment in those who have responded to the treatment or who have reached remission during it.
  • the disease can be prevented by continuing the treatment further by the so called maintenance treatment, during which the daily dosage may be decreased, for example to a half from the original.
  • Figure 1 shows the number of responders (at least 50 % reduction in HAM-A scale).
  • An object of the present invention is to provide an oral daily dosage of about 20 to about 30 mg of deramciclane for the treatment of disorders of serotonergic systems in humans.
  • One disorder of the serotonergic system treatable according to the present invention is anxiety, for example chronic anxiety.
  • the present invention also includes the treatment of GAD.
  • Another object of the present invention is directed to the treatment of chronic anxiety where the patient does not experience relapse of the anxiety.
  • Another object of the present invention is directed to the method of treating depression in a human.
  • the patient may continue receiving the full treatment dosage up to the point of termination of the treatment, and will not suffer withdrawal effects that would have otherwise followed using other conventional treatments.
  • a standard daily dosage of deramciclane is given to the patient for a period long enough, e.g. for from three weeks to ten years, e.g. for from two months to five years, e.g. for from eight months to two years, to cause relief of the symptoms, whereafter the treatment is abruptly terminated.
  • a dosage of about 30 mg of deramciclane may be used, for example in a conventional relatively fast release formulation.
  • the dosage may be also lower, for example about 20 mg.
  • deramciclane is effective in treating depressive disorders in humans.
  • the same oral daily deramciclane dosage of 30 mg, which was effective in the treatment of anxiety was found to be effective on the depressive symptoms in the Montgomery Asberg Depression Rating Scale (MADRS).
  • MADRS Montgomery Asberg Depression Rating Scale
  • HAM-A efficacy variable Hamilton Anxiety Scale
  • the HAM-A score decreased 14.5 points from baseline in groups receiving either
  • Number of responders (at least 50 % reduction in HAM-A scale) is presented in Figure 1.
  • deramciclane did not cause any withdrawal symptoms after abrupt discontinuation of the treatment. Therefore, it may be used as a treatment for serotonergic diseases without any withdrawal effects.

Landscapes

  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • General Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Engineering & Computer Science (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Epidemiology (AREA)
  • Psychiatry (AREA)
  • Pain & Pain Management (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

L"invention concerne le deramciclane, (1R,2S,4R)-(-)-2-[N,N-(diméthylaminoéthoxy)]-2-phényl-1,7,7-triméthyl-bicyclo[2.2.1]heptane, et son utilisation dans le traitement de troubles liés au système sérotonergique chez des êtres humains, en particulier dans le traitement de la dépression et de l"anxiété.
EP01921387A 2000-03-17 2001-03-16 Traitement de troubles lies au systeme serotonergique Withdrawn EP1263424A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EP01921387A EP1263424A2 (fr) 2000-03-17 2001-03-16 Traitement de troubles lies au systeme serotonergique

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
EP00302207 2000-03-17
EP00302207A EP1133986A1 (fr) 2000-03-17 2000-03-17 Utilisation de la deramciclane pour le traitement de la dépression et de l'anxiété
PCT/FI2001/000266 WO2001068067A2 (fr) 2000-03-17 2001-03-16 Traitement de troubles lies au systeme serotonergique
EP01921387A EP1263424A2 (fr) 2000-03-17 2001-03-16 Traitement de troubles lies au systeme serotonergique

Publications (1)

Publication Number Publication Date
EP1263424A2 true EP1263424A2 (fr) 2002-12-11

Family

ID=8172804

Family Applications (2)

Application Number Title Priority Date Filing Date
EP00302207A Withdrawn EP1133986A1 (fr) 2000-03-17 2000-03-17 Utilisation de la deramciclane pour le traitement de la dépression et de l'anxiété
EP01921387A Withdrawn EP1263424A2 (fr) 2000-03-17 2001-03-16 Traitement de troubles lies au systeme serotonergique

Family Applications Before (1)

Application Number Title Priority Date Filing Date
EP00302207A Withdrawn EP1133986A1 (fr) 2000-03-17 2000-03-17 Utilisation de la deramciclane pour le traitement de la dépression et de l'anxiété

Country Status (19)

Country Link
EP (2) EP1133986A1 (fr)
JP (1) JP2004500394A (fr)
KR (1) KR20020089399A (fr)
CN (1) CN1418094A (fr)
AR (1) AR028260A1 (fr)
AU (2) AU2001248383A1 (fr)
BG (1) BG107196A (fr)
BR (1) BR0109172A (fr)
CA (1) CA2403350A1 (fr)
CZ (1) CZ20023025A3 (fr)
EA (1) EA200200987A1 (fr)
HU (1) HUP0204528A3 (fr)
IL (1) IL151493A0 (fr)
MX (1) MXPA02008998A (fr)
NO (1) NO20024331D0 (fr)
PL (1) PL359288A1 (fr)
SK (1) SK12982002A3 (fr)
WO (1) WO2001068067A2 (fr)
ZA (1) ZA200207111B (fr)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FI20002612A0 (fi) * 2000-11-28 2000-11-28 Orion Yhtymae Oyj Yhdistelmäterapia serotoniinivälityksen häiriöiden hoitamiseksi
CN105497021A (zh) * 2014-09-25 2016-04-20 中国人民解放军军事医学科学院毒物药物研究所 胺类化合物治疗焦虑障碍的医药用途
CN105497020A (zh) * 2014-09-25 2016-04-20 中国人民解放军军事医学科学院毒物药物研究所 胺类化合物的光学异构体治疗疼痛的医药用途
CN109758452A (zh) * 2014-09-25 2019-05-17 石药集团中奇制药技术(石家庄)有限公司 胺类化合物治疗疼痛的医药用途
CN109758454A (zh) * 2014-09-25 2019-05-17 石药集团中奇制药技术(石家庄)有限公司 胺类化合物的光学异构体治疗焦虑障碍的医药用途

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO0168067A2 *

Also Published As

Publication number Publication date
MXPA02008998A (es) 2003-04-25
NO20024331L (no) 2002-09-10
ZA200207111B (en) 2003-12-04
AU4838301A (en) 2001-09-24
KR20020089399A (ko) 2002-11-29
HUP0204528A3 (en) 2004-08-30
AU2001248383A1 (en) 2002-07-16
CA2403350A1 (fr) 2001-09-20
EP1133986A1 (fr) 2001-09-19
JP2004500394A (ja) 2004-01-08
EA200200987A1 (ru) 2003-04-24
CN1418094A (zh) 2003-05-14
PL359288A1 (en) 2004-08-23
BR0109172A (pt) 2002-11-26
NO20024331D0 (no) 2002-09-10
HUP0204528A2 (en) 2003-05-28
IL151493A0 (en) 2003-04-10
BG107196A (bg) 2003-02-28
WO2001068067A2 (fr) 2001-09-20
CZ20023025A3 (cs) 2003-05-14
AR028260A1 (es) 2003-04-30
SK12982002A3 (sk) 2003-05-02
WO2001068067A3 (fr) 2002-07-11

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