WO2001013953A2 - Synergistic combination of pde inhibitors and beta 2 adrenoceptor agonist - Google Patents

Synergistic combination of pde inhibitors and beta 2 adrenoceptor agonist Download PDF

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Publication number
WO2001013953A2
WO2001013953A2 PCT/EP2000/007852 EP0007852W WO0113953A2 WO 2001013953 A2 WO2001013953 A2 WO 2001013953A2 EP 0007852 W EP0007852 W EP 0007852W WO 0113953 A2 WO0113953 A2 WO 0113953A2
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Prior art keywords
medicament
salt
adrenoceptor agonist
pde inhibitor
acid
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PCT/EP2000/007852
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French (fr)
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WO2001013953A3 (en
Inventor
Ulrich Kilian
Rolf Beume
Daniela Bundschuh
Armin Hatzelmann
Christian Schudt
Christian Weimar
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Takeda GmbH
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Byk Gulden Lomberg Chemische Fabrik GmbH
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Priority to EA200200208A priority Critical patent/EA006685B1/en
Priority to HU0203098A priority patent/HU229439B1/en
Priority to MXPA02001830A priority patent/MXPA02001830A/en
Priority to SK255-2002A priority patent/SK287231B6/en
Priority to IL14768800A priority patent/IL147688A0/en
Priority to DE60026855T priority patent/DE60026855T2/en
Priority to SI200030862T priority patent/SI1212089T1/en
Priority to CA2381802A priority patent/CA2381802C/en
Priority to AU67016/00A priority patent/AU777012B2/en
Priority to EP00954625A priority patent/EP1212089B1/en
Priority to BRPI0013478A priority patent/BRPI0013478B8/en
Priority to HK02108936.8A priority patent/HK1047244B/en
Priority to PL356252A priority patent/PL200923B1/en
Application filed by Byk Gulden Lomberg Chemische Fabrik GmbH filed Critical Byk Gulden Lomberg Chemische Fabrik GmbH
Priority to HR20020158A priority patent/HRP20020158B1/en
Priority to JP2001518088A priority patent/JP5038568B2/en
Priority to US10/049,999 priority patent/US6624181B1/en
Priority to NZ517166A priority patent/NZ517166A/en
Publication of WO2001013953A2 publication Critical patent/WO2001013953A2/en
Publication of WO2001013953A3 publication Critical patent/WO2001013953A3/en
Priority to IL147688A priority patent/IL147688A/en
Priority to NO20020815A priority patent/NO328340B1/en
Anticipated expiration legal-status Critical
Priority to US10/437,005 priority patent/US7056936B2/en
Priority to US11/286,391 priority patent/US20060079539A1/en
Priority to US11/433,419 priority patent/US20060205806A1/en
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • 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
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic 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
    • A61K31/4015Heterocyclic 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 having oxo groups directly attached to the heterocyclic ring, e.g. piracetam, ethosuximide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • A61K31/522Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/08Bronchodilators
    • 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 invention relates to the combination of certain known active compounds for therapeutic purposes.
  • the substances used in the combination according to the invention are known active compounds from the PDE inhibitors class and active compounds from the ⁇ 2 adrenoceptor agonists class. Their combined use in the sense according to the invention for therapeutic purposes has not yet been described in the prior art.
  • the invention thus relates to the combined use of a PDE inhibitor which can be used as a respiratory tract therapeutic and a ⁇ 2 adrenoceptor agonist in the treatment of respiratory tract disorders.
  • PDE inhibitors which can be used as respiratory tract therapeutics in the sense of the present invention are those compounds which slow the breakdown of cyclic AMP (cAMP) or cyclic GMP (cGMP) by inhibition of the phosphodiesterases, which can lead to a relative increase in the intracellular concentration of cAMP or cGMP.
  • Possible PDE inhibitors within the meaning of the present invention are primarily those substances which are to be considered part of the PDE4 inhibitor class and those substances which can be designated as mixed types of PDE3/4 inhibitors.
  • PDE inhibitors may be mentioned which are described or claimed in the following patent applications and patents: DE 1545687, DE 2028869, DE 2123328, DE 2315801 , DE 2402908, DE 2413935, DE 3900233, EP 0103497, EP 0139464, EP 0158380, EP 0163965, EP 0335386, EP 0389282, EP 0428302, EP 0435811 , EP 0459505, EP 0470805, EP 0490823, EP 0506194, EP 0511865, EP 0527117, EP 0557016, EP 0626939, EP 0664289, EP 0671389, EP 0685474, EP 0685475, EP 0685479, EP 0736532, EP 0738715, EP 0748805, EP 0763534, EP 0816357, EP 0819688, EP 0819689, EP 0832886, EP 0834508, EP 0848000, JP 92234389, JP 94329652, JP 95010875
  • PDE inhibitors are shown on the following pages with the aid of their formulae: cl Xo ;
  • PDE inhibitors to be emphasized which are selected from the abovementioned compounds and which may be mentioned are the active compounds arofylline, atizoram, AWD-12-281, BAY-19-8004, benafentrine, BYK-33043, CC-3052, CDP-840, CM 018, cipamfylline, CP- 220629, CP-293121, D-22888, D-4396, D-4418, denbufylline, filaminast, GW-3600, ibudilast, KF-17625, KS-506-G, laprafylline, NA-0226A, NA-23063A, ORG-20241 , ORG-30029, PDB- 093, pentoxifylline, piclamilast, roflumilast, rolipram, RPR-117658, RPR-122818, RPR- 132294, RPR-132703, RS-17597, RS-25344-000, SB-207499
  • the compounds preferred from the group of the abovementioned PDE inhibitors are arofylline, cipamfylline, D-4418, filaminast, ibudilast, laprafylline, ORG-20241 , piclamilast, rolipram, SB-207499, tibenelast and V-11294A.
  • the compounds particularly preferred are BYK-33043 and in particular roflumilast.
  • ⁇ 2 adrenoceptor agonists which may particularly be mentioned are those selectively acting substances which only have a slight cardiac action and therefore are also employed in therapy, in particular in the oral therapy of respiratory tract disorders.
  • ⁇ 2 adrenoceptor agonists which may be mentioned are, for example: AR-C68397AA, broxaterol, CHF-1035, HOKU-81 , ibuterol, KUL-1248, soterenol, meluadrine, TA-2005, tiaramide, salbutamol, levosalbutamol, tulobuterol, terbutaline, carbuterol, pirbuterol, reproterol, clenbuterol, fenotero!, hexoprenaline, orciprenaline, isopre ⁇ aline, formoterol, salmeterol, rimiterol, procaterol, ba buterol, bitolterol and mabuterol.
  • ⁇ 2 adrenoceptor agonists such as clenbuterol, orciprenaline, salbutamol, terbutaline, tulobuterol, bambuterol and reproterol are preferred. Particularly preferred are the so-called long acting ⁇ 2 adrenoceptor agonists, such as salmeterol.
  • the PDE inhibitors and the ⁇ 2 adrenoceptor agonists can be present as such or in chemically bonded form. It is understood hereby that the active compounds mentioned can also be present, for example, in the form of their pharmacologically tolerable salts and/or as solvates (e.g. hydrates), and/or in the form of their N-oxides etc.
  • Suitable pharmacologically tolerable salts here are in particular water-soluble and water-insoluble acid addition salts with acids such as, for example, hydrochloric acid, hydrobromic acid, phosphoric acid, nitric acid, sulfuric acid, acetic acid, citric acid, D-gluconic acid, benzoic acid, 2-(4-hydroxybenzoyl)- benzoic acid, butyric acid, sulfosalicylic acid, maleic acid, lauric acid, malic acid, fumaric acid, succinic acid, oxalic acid, tarta c acid, embonic acid, stearic acid, toluenesulfonic acid, methanesulfonic acid or 1-hydroxy-2-naphthoic acid, the acids being employed in salt preparation - depending on whether it is a mono- or polybasic acid and depending on which salt is desired - in an equimolar quantitative ratio or one differing therefrom.
  • the active compounds mentioned can also be present as pure
  • Respiratory tract disorders which may be mentioned are in particular allergen- and inflammation-induced bronchial disorders (bronchitis, obstructive bronchitis, spastic bronchitis, allergic bronchitis, allergic asthma, bronchial asthma, COPD), which can be treated by the combination according to the invention also in the sense of a long-term therapy (if desired with appropriate adjustment of the dose of the individual components to the needs at the time, for example needs subject to seasonally related variations).
  • allergen- and inflammation-induced bronchial disorders bronchitis, obstructive bronchitis, spastic bronchitis, allergic bronchitis, allergic asthma, bronchial asthma, COPD
  • Combined use or “combination” within the meaning of the present invention is to be understood as meaning that the individual components can be administered simultaneously (in the form of a combination medicament), more or less simultaneously (from separate pack units) or in succession (directly in succession or else alternatively at a relatively large time interval) in a manner which is known per se and customary.
  • ⁇ 2 adrenoceptor agonist is understood in particular as meaning topical application in inhalatory form.
  • the ⁇ 2 adrenoceptor agonist is preferably administered by inhalation in the form of an aerosol, the aerosol particles of solid, liquid or mixed composition having a diameter of 0.5 to 10 ⁇ m, advantageously of 2 to 6 ⁇ m.
  • Aerosol generation can be carried out, for example, by pressure-driven jet atomizers or ultrasonic atomizers, but advantageously by propellant-driven metered aerosols or propellant-free administration of micronized active compounds from inhalation capsules.
  • the active compounds are dosed in an order of magnitude customary for the individual dose, it more likely being possible, on account of the individual actions, which are mutually positively influencing and reinforcing, to reduce the respective doses on the combined administration of the active compounds compared with the norm.
  • the ⁇ 2 adrenoceptor agonist (depending on potency) is administered in a dose of, for example, 0.002 to 2.0 mg per day on administration by inhalation.
  • the administration forms additionally contain the required excipients, such as, for example, propellants (e.g. Frigen in the case of metered aerosols), surface-active substances, emulsifiers, stabilizers, preservatives, flavorings, fillers (e.g. lactose in the case of powder inhalers) or, if appropriate, further active compounds.
  • propellants e.g. Frigen in the case of metered aerosols
  • surface-active substances e.g. Frigen in the case of metered aerosols
  • emulsifiers emulsifiers
  • stabilizers emulsifiers
  • preservatives e.g., emulsifiers, stabilizers, preservatives
  • flavorings e.g. lactose in the case of powder inhalers
  • fillers e.g. lactose in the case of powder inhalers
  • the ⁇ 2 adrenoceptor agonist is administered in a daily dose of, for example, 0.05 to 60 mg.
  • the PDE inhibitors it is possible in the case of oral administration to vary the doses - depending on the active compound - within a wide range, it being possible, as bounds, to start from a dose of 1 - 2000 ⁇ g/kg of body weight.
  • the dose is in the range from 2 - 20 ⁇ g/kg of body weight.
  • the PDE inhibitors to be administered orally are formulated - if appropriate together with the ⁇ 2 adrenoceptor agonists - to give medicaments according to processes known per se and familiar to the person skilled in the art.
  • the pharmacologically active compounds are employed as medicaments, preferably in combination with suitable pharmaceutical excipients or vehicles, in the form of tablets, coated tablets, capsules, emulsions, suspensions or solutions, the active compound content advantageously being between 0.1 and 95% and, by the appropriate choice of the excipients and vehicles, it being possible to achieve a pharmaceutical administration form precisely tailored to the active compound(s) and/or to the desired onset of action (e.g. a sustained-release form or an enteric form).
  • oral administration of both active compounds according to the invention are oral administration forms, e.g. tablets or capsules, in which one part of the ⁇ 2 adrenoceptor agonist and the PDE inhibitor is present in non sustained- release form and a further, preferably larger part, of the ⁇ 2 adrenoceptor agonist is present in sustained-release form.
  • excipients or vehicles are suitable for the desired pharmaceutical formulations.
  • solvents for example, antioxidants, dispersants, emulsifiers, antifoams, flavor corrigents, preservatives, solubilizers, colorants or permeation promoters and complexing agents (e.g. cyclodextrins).
  • OVA ovalbumin
  • Sensitization was done by simultaneous injection of Bordetella pertussis suspension i.p. and OVAAHG suspension s.c. on day 1 , 14 and 21. 28 days after start of sensitization, conscious Brown-Norway rats were challenged by inhalation of the aerosolized OVA solution for 1 h ( ⁇ 20 ml/h). Non-challenged, only sensitized animals were used as baseline control.
  • the drugs were administered intratracheally (i.t.) as dry powders 1 h before OVA-challenge. 48h later, OVA-challenged or non-challenged animals were anaesthetized and bronchoalveolar lavage (BAL) was performed using 3x4 ml BAL buffer per animal. The number of total cells and eosinophils in the BAL fluid, and the concentration of protein in the cell-free BAL fluid were determined. Drug-induced relative changes were calculated and statistically analyzed by the Jonckheere Terpstra test.
  • the long-acting ⁇ 2-adrenergic receptor agonist Salmeterol given at a dose of 3 ⁇ mol/kg i.t exhibited inhibitory effects on total cell and eosinophil influx into alveolar space and protein levels in BAL fluid. However, the data failed to reach significance.

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Abstract

The invention relates to the combined administration of PDE inhibitors and beta 2 adrenoceptor agonists for the treatment of respiratory tract disorders.

Description

Synergistic combination
Field of application of the invention
The invention relates to the combination of certain known active compounds for therapeutic purposes.
The substances used in the combination according to the invention are known active compounds from the PDE inhibitors class and active compounds from the β2 adrenoceptor agonists class. Their combined use in the sense according to the invention for therapeutic purposes has not yet been described in the prior art.
Description of the invention
It is the object of the present invention to make available respiratory tract therapeutics which fulfill the following conditions:
Good antiinflammatory action
Marked bronchorelaxation and -dilatation
Good oral availability, at least with respect to the PDE inhibitor
Minor side effects
Good suitability for long-term therapy
Favorable influence on bronchial hyperreactivity.
It has now been found that the combined use of a PDE inhibitor which can be used as a respiratory tract therapeutic and of a β2 adrenoceptor agonist outstandingly fulfills the abovementioned conditions.
The invention thus relates to the combined use of a PDE inhibitor which can be used as a respiratory tract therapeutic and a β2 adrenoceptor agonist in the treatment of respiratory tract disorders.
PDE inhibitors which can be used as respiratory tract therapeutics in the sense of the present invention are those compounds which slow the breakdown of cyclic AMP (cAMP) or cyclic GMP (cGMP) by inhibition of the phosphodiesterases, which can lead to a relative increase in the intracellular concentration of cAMP or cGMP. Possible PDE inhibitors within the meaning of the present invention are primarily those substances which are to be considered part of the PDE4 inhibitor class and those substances which can be designated as mixed types of PDE3/4 inhibitors. By way of example, those PDE inhibitors may be mentioned which are described or claimed in the following patent applications and patents: DE 1545687, DE 2028869, DE 2123328, DE 2315801 , DE 2402908, DE 2413935, DE 3900233, EP 0103497, EP 0139464, EP 0158380, EP 0163965, EP 0335386, EP 0389282, EP 0428302, EP 0435811 , EP 0459505, EP 0470805, EP 0490823, EP 0506194, EP 0511865, EP 0527117, EP 0557016, EP 0626939, EP 0664289, EP 0671389, EP 0685474, EP 0685475, EP 0685479, EP 0736532, EP 0738715, EP 0748805, EP 0763534, EP 0816357, EP 0819688, EP 0819689, EP 0832886, EP 0834508, EP 0848000, JP 92234389, JP 94329652, JP 95010875, JP 98072415, JP 98147585, US 5703098, US 5739144, WO 9117991 , WO 9200968, WO 9212961 , WO 9307146, WO 9315044, WO 9315045, WO 9318024, WO 9319068, WO 9319720, WO 9319747, WO 9319749, WO 9319751 , WO 9325517, WO 9402465, WO 9412461 , WO 9420455, WO 9422852, WO 9427947, WO 9501338, WO 9501980, WO 9503794, WO 9504045, WO 9504046, WO 9505386, WO 9508534, WO 9509623, WO 9509624, WO 9509627, WO 9509836, WO 9514667, WO 9514680, WO 9514681, WO 9517392, WO 9517399, WO 9519362, WO 9520578, WO 9522520, WO 9524381 , WO 9527692, WO 9535281 , WO 9535283, WO 9535284, WO 9600218, WO 9601825, WO 9606843, WO 9611690, WO 9611917, WO 9612720, WO 9631486, WO 9631487, WO 9635683, WO 9636595, WO 9636596, WO 9636611 , WO 9636625, WO 9636638, WO 9638150, WO 9639408, WO 9640636, WO 9703967, WO 9704779, WO 9705105, WO 9708143, WO 9709345, WO 9712895, WO 9718208, WO 9719078, WO 9720833, WO 9722585, WO 9722586, WO 9723457, WO 9723460, WO 9723461 , WO 9724117, WO 9724355, WO 9725312, WO 9728131 , WO 9730999, WO 9731000, WO 9732853, WO 9735854, WO 9736905, WO 9743288, WO 9744036, WO 9744322, WO 9747604, WO 9748697, WO 9804534, WO 9805327, WO 9806692, WO 9806704, WO 9807715, WO 9808828, WO 9808830, WO 9808841 , WO 9808844, WO 9809946, WO 9809961 , WO 9811113, WO 9814448, WO 9818796, WO 9821208, WO 9822453, WO 9845268, WO 9855481 , WO 9856756, WO 9905111 , WO 9905112, WO 9505113, WO 9906404 and WO 9918095. Those PDE inhibitors are to be emphasized which are claimed in the patent applications or patents EP 0393500, EP 0510562, EP 0553174, WO 9501338, WO 9603399, WO 9636625, WO 9636626, WO 9735854, WO 9821208, WO 9831674, WO 9840382, WO 9855481 , WO 9905111 , WO 9905112, WO 9905113, WO 9931071 and WO 9931090. Substances having good oral availability are preferred here.
Exemplary PDE inhibitors are shown on the following pages with the aid of their formulae: cl Xo;
Figure imgf000004_0002
Figure imgf000004_0001
Figure imgf000004_0003
Figure imgf000004_0004
Figure imgf000005_0001
Figure imgf000006_0001
Figure imgf000007_0001
Figure imgf000008_0001
Figure imgf000009_0001
Figure imgf000010_0001
Figure imgf000011_0001
Figure imgf000012_0001
Figure imgf000013_0001
BYK-33043
(Pumafentrin)
Figure imgf000014_0001
Roflumilast
Figure imgf000015_0002
Figure imgf000015_0001
Figure imgf000015_0003
Figure imgf000016_0001
Figure imgf000016_0002
No hydrogen atoms are indicated in the above formulae. -O is accordingly -OH, -N is NH2. Methyl groups, e.g. on the oxygen atoms, are indicated by lines.
PDE inhibitors to be emphasized which are selected from the abovementioned compounds and which may be mentioned are the active compounds arofylline, atizoram, AWD-12-281, BAY-19-8004, benafentrine, BYK-33043, CC-3052, CDP-840, CM 018, cipamfylline, CP- 220629, CP-293121, D-22888, D-4396, D-4418, denbufylline, filaminast, GW-3600, ibudilast, KF-17625, KS-506-G, laprafylline, NA-0226A, NA-23063A, ORG-20241 , ORG-30029, PDB- 093, pentoxifylline, piclamilast, roflumilast, rolipram, RPR-117658, RPR-122818, RPR- 132294, RPR-132703, RS-17597, RS-25344-000, SB-207499, SB-210667, SB-211572, SB- 211600, SB-212066, SB-212179, SDZ-ISQ-844, SDZ-MNS-949, SKF-107806, SQ-20006, T- 2585, T-440, tibenelast, tolafentrine, UCB-29646, V-11294A, YM-58997, YM-976 and zardaverine.
The compounds preferred from the group of the abovementioned PDE inhibitors are arofylline, cipamfylline, D-4418, filaminast, ibudilast, laprafylline, ORG-20241 , piclamilast, rolipram, SB-207499, tibenelast and V-11294A. The compounds particularly preferred are BYK-33043 and in particular roflumilast.
β2 adrenoceptor agonists which may particularly be mentioned are those selectively acting substances which only have a slight cardiac action and therefore are also employed in therapy, in particular in the oral therapy of respiratory tract disorders. β2 adrenoceptor agonists which may be mentioned are, for example: AR-C68397AA, broxaterol, CHF-1035, HOKU-81 , ibuterol, KUL-1248, soterenol, meluadrine, TA-2005, tiaramide, salbutamol, levosalbutamol, tulobuterol, terbutaline, carbuterol, pirbuterol, reproterol, clenbuterol, fenotero!, hexoprenaline, orciprenaline, isopreπaline, formoterol, salmeterol, rimiterol, procaterol, ba buterol, bitolterol and mabuterol. The orally readily available β2 adrenoceptor agonists such as clenbuterol, orciprenaline, salbutamol, terbutaline, tulobuterol, bambuterol and reproterol are preferred. Particularly preferred are the so-called long acting β2 adrenoceptor agonists, such as salmeterol.
The PDE inhibitors and the β2 adrenoceptor agonists can be present as such or in chemically bonded form. It is understood hereby that the active compounds mentioned can also be present, for example, in the form of their pharmacologically tolerable salts and/or as solvates (e.g. hydrates), and/or in the form of their N-oxides etc. Suitable pharmacologically tolerable salts here are in particular water-soluble and water-insoluble acid addition salts with acids such as, for example, hydrochloric acid, hydrobromic acid, phosphoric acid, nitric acid, sulfuric acid, acetic acid, citric acid, D-gluconic acid, benzoic acid, 2-(4-hydroxybenzoyl)- benzoic acid, butyric acid, sulfosalicylic acid, maleic acid, lauric acid, malic acid, fumaric acid, succinic acid, oxalic acid, tarta c acid, embonic acid, stearic acid, toluenesulfonic acid, methanesulfonic acid or 1-hydroxy-2-naphthoic acid, the acids being employed in salt preparation - depending on whether it is a mono- or polybasic acid and depending on which salt is desired - in an equimolar quantitative ratio or one differing therefrom. Furthermore, the active compounds mentioned can also be present as pure enantiomers or as enantiomer mixtures in any mixing ratio.
Respiratory tract disorders which may be mentioned are in particular allergen- and inflammation-induced bronchial disorders (bronchitis, obstructive bronchitis, spastic bronchitis, allergic bronchitis, allergic asthma, bronchial asthma, COPD), which can be treated by the combination according to the invention also in the sense of a long-term therapy (if desired with appropriate adjustment of the dose of the individual components to the needs at the time, for example needs subject to seasonally related variations).
"Combined use" or "combination" within the meaning of the present invention is to be understood as meaning that the individual components can be administered simultaneously (in the form of a combination medicament), more or less simultaneously (from separate pack units) or in succession (directly in succession or else alternatively at a relatively large time interval) in a manner which is known per se and customary.
Within the meaning of the present invention, "use" is preferably understood as meaning the oral administration of both active compounds. If only the PDE inhibitor is administered orally, "use" with respect to the β2 adrenoceptor agonist is understood in particular as meaning topical application in inhalatory form. For this, the β2 adrenoceptor agonist is preferably administered by inhalation in the form of an aerosol, the aerosol particles of solid, liquid or mixed composition having a diameter of 0.5 to 10 μm, advantageously of 2 to 6 μm.
Aerosol generation can be carried out, for example, by pressure-driven jet atomizers or ultrasonic atomizers, but advantageously by propellant-driven metered aerosols or propellant-free administration of micronized active compounds from inhalation capsules.
The active compounds are dosed in an order of magnitude customary for the individual dose, it more likely being possible, on account of the individual actions, which are mutually positively influencing and reinforcing, to reduce the respective doses on the combined administration of the active compounds compared with the norm. Customarily, the β2 adrenoceptor agonist (depending on potency) is administered in a dose of, for example, 0.002 to 2.0 mg per day on administration by inhalation.
Depending on the inhaler system used, in addition to the active compounds the administration forms additionally contain the required excipients, such as, for example, propellants (e.g. Frigen in the case of metered aerosols), surface-active substances, emulsifiers, stabilizers, preservatives, flavorings, fillers (e.g. lactose in the case of powder inhalers) or, if appropriate, further active compounds.
For the purposes of inhalation, a large number of apparatuses are available with which aerosols of optimum particle size can be generated and administered, using an inhalation technique which is as right as possible for the patient. In addition to the use of adaptors (spacers, expanders) and pear-shaped containers (e.g. Nebulator®, Volumatic®), and automatic devices emitting a puffer spray (Autohaler®), for metered aerosols, in particular in the case of powder inhalers, a number of technical solutions are available (e.g. Diskhaler®, Rotadisk®, Turbohaler® or the inhaler described in European Patent Application EP 0 505 321), using which an optimal administration of active compound can be achieved.
In the case of the oral administration of the β2 adrenoceptor agonists together with the PDE inhibitor, which is the preferred administration form, the β2 adrenoceptor agonist is administered in a daily dose of, for example, 0.05 to 60 mg. For the PDE inhibitors, it is possible in the case of oral administration to vary the doses - depending on the active compound - within a wide range, it being possible, as bounds, to start from a dose of 1 - 2000 μg/kg of body weight. In the case of the administration of the preferred PDE inhibitor roflumilast, the dose is in the range from 2 - 20 μg/kg of body weight.
The PDE inhibitors to be administered orally are formulated - if appropriate together with the β2 adrenoceptor agonists - to give medicaments according to processes known per se and familiar to the person skilled in the art. The pharmacologically active compounds are employed as medicaments, preferably in combination with suitable pharmaceutical excipients or vehicles, in the form of tablets, coated tablets, capsules, emulsions, suspensions or solutions, the active compound content advantageously being between 0.1 and 95% and, by the appropriate choice of the excipients and vehicles, it being possible to achieve a pharmaceutical administration form precisely tailored to the active compound(s) and/or to the desired onset of action (e.g. a sustained-release form or an enteric form). Particularly worthy of mention within the meaning of the combined, oral administration of both active compounds according to the invention are oral administration forms, e.g. tablets or capsules, in which one part of the β2 adrenoceptor agonist and the PDE inhibitor is present in non sustained- release form and a further, preferably larger part, of theβ2 adrenoceptor agonist is present in sustained-release form.
The person skilled in the art is familiar on the basis of his/her expert knowledge with which excipients or vehicles are suitable for the desired pharmaceutical formulations. In addition to solvents, gel-forming agents, tablet excipients and other active compound carriers, it is possible to use, for example, antioxidants, dispersants, emulsifiers, antifoams, flavor corrigents, preservatives, solubilizers, colorants or permeation promoters and complexing agents (e.g. cyclodextrins).
Pharmacology
Model
Late Inflammatory Airway Reaction in the Ovalbumin-sensitized/-challenged Brown-Norway Rat
Anti-inflammatory activity of Roflumilast, Pumafentrine (BYK-33043), and Salmeterol was determined in ovalbumin (OVA)-sensitized and OVA-challenged Brown Norway rats. Sensitization was done by simultaneous injection of Bordetella pertussis suspension i.p. and OVAAHG suspension s.c. on day 1 , 14 and 21. 28 days after start of sensitization, conscious Brown-Norway rats were challenged by inhalation of the aerosolized OVA solution for 1 h (~20 ml/h). Non-challenged, only sensitized animals were used as baseline control. The drugs (thoroughly mixed with lactose) or the placebo control (lactose) were administered intratracheally (i.t.) as dry powders 1 h before OVA-challenge. 48h later, OVA-challenged or non-challenged animals were anaesthetized and bronchoalveolar lavage (BAL) was performed using 3x4 ml BAL buffer per animal. The number of total cells and eosinophils in the BAL fluid, and the concentration of protein in the cell-free BAL fluid were determined. Drug-induced relative changes were calculated and statistically analyzed by the Jonckheere Terpstra test.
Results
Figure imgf000020_0001
*p< 0.05, ** p< 0.01 v.s. untreated, OVA-challenged control groups
Summary
The PDE inhibitors Roflumilast (PDE4 inhibitor) and Pumafentrine (PDE3>4 inhibitor) administered at doses of 0.3 μmol/kg and 3 μmol/kg i.t., respectively, did not show any significant effects on cell infiltration and protein accumulation. The negative values obtained (trend: amplification of inflammation) fall into the range of biological variability of the model and therefore, no significance must be attached to these data. In contrast, the long-acting β2-adrenergic receptor agonist Salmeterol given at a dose of 3 μmol/kg i.t exhibited inhibitory effects on total cell and eosinophil influx into alveolar space and protein levels in BAL fluid. However, the data failed to reach significance.
Co-administration of the PDE inhibitor Roflumilast or Pumafentrine with Salmeterol resulted in synergistic effects compared to administration of every compound alone, i.e. both PDE inhibitors combined with the β2 agonist displayed a significant inhibition of eosinophilia and reduction of protein concentration in the BAL fluid. The combination of the PDE3/4 inhibitor Pumafentrine and Salmeterol was more efficacious on all parameters measured (difference was not significant), and additionally, showed a significant effect on inhibition of total cell influx into the alveolar space.

Claims

Patent claims
1. A medicament comprising a PDE inhibitor, which is to be administered orally, from the PDE4 or PDE3/4 inhibitors group combined with a β2 adrenoceptor agonist in fixed or free combination.
2. The medicament as claimed in claim 1 , which is a fixed oral combination.
3. The medicament as claimed in claim 1 or 2 for use in the therapeutic treatment of respiratory tract disorders.
4. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is a compound selected from the group consisting of arofylline, cipamfylline, D-4418, filaminast, ibudilast, laprafylline, ORG-20241 , piclamilast, rolipram, SB-207499, tibenelast and V- 11294A or a salt thereof.
5. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is roflumilast, its salt and/or its N-oxide.
6. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is BYK-33043, its salt and/or its N-oxide.
7. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is roflumilast, its salt and/or its N-oxide and the β2 adrenoceptor agonist is salmeterol or a salt thereof.
8. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is BYK-33043, its salt and/or its N-oxide and the β2 adrenoceptor agonist is salmeterol or a salt thereof.
9. The medicament as claimed in claim 1 or 2, wherein the β2 adrenoceptor agonist is clenbuterol, orciprenaline, salbutamol, terbutaline, tulobuterol, bambuterol or reproterol or a salt thereof.
10. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is arofylline, cipamfylline, D-4418, filaminast, ibudilast, laprafylline, ORG-20241 , piclamilast, rolipram, SB-207499, tibenelast or V-11294A or a salt thereof, and the β2 adrenoceptor agonist is clenbuterol, orciprenaline, salbutamol, terbutaline, tulobuterol, bambuterol or reproterol or a salt thereof.
11. The medicament as claimed in claim 1 or 2, wherein the PDE inhibitor is roflumilast or BYK-33043, their salts and/or their N-oxides and the β2 adrenoceptor agonist is clenbuterol, orciprenaline, salbutamol, terbutaline, tulobuterol, bambuterol or reproterol or a salt thereof.
12. The use of a PDE inhibitor, which is to be administered orally, from the PDE4- or PDE3/4 inhibitors group in the combined use with a β2 adrenoceptor agonist in the therapeutic treatment of respiratory tract disorders.
PCT/EP2000/007852 1997-02-28 2000-08-11 Synergistic combination of pde inhibitors and beta 2 adrenoceptor agonist Ceased WO2001013953A2 (en)

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PL356252A PL200923B1 (en) 1999-08-21 2000-08-11 SYNERGISTIC COMBINATION OF PDE INHIBITORS AND ß₂ ADRENOCEPTOR AGONIST
MXPA02001830A MXPA02001830A (en) 1999-08-21 2000-08-11 Synergistic combination of pde inhibitors and beta 2 adrenoceptor agonist.
SK255-2002A SK287231B6 (en) 1999-08-21 2000-08-11 Medicament comprising a PDE inhibitor and a beta2 adrenoreceptor agonist
IL14768800A IL147688A0 (en) 1999-08-21 2000-08-11 Synergistic combination
DE60026855T DE60026855T2 (en) 1999-08-21 2000-08-11 SYNERGISTIC COMBINATION OF ROFLUMILAST AND SALMETEROL
SI200030862T SI1212089T1 (en) 1999-08-21 2000-08-11 Synergistic combination of roflumilast and salmeterol
CA2381802A CA2381802C (en) 1999-08-21 2000-08-11 Synergistic combination of roflumilast and salmeterol
AU67016/00A AU777012B2 (en) 1999-08-21 2000-08-11 Synergistic combination of PDE inhibitors and beta 2 adrenoceptor agonist
HU0203098A HU229439B1 (en) 1999-08-21 2000-08-11 Synergistic combination roflumilast and salmeterol
BRPI0013478A BRPI0013478B8 (en) 1999-08-21 2000-08-11 medicament comprising pde inhibitor and use of roflumilast
HR20020158A HRP20020158B1 (en) 1999-08-21 2000-08-11 Action of synergistic combination
EA200200208A EA006685B1 (en) 1999-08-21 2000-08-11 Synergistic combination
EP00954625A EP1212089B1 (en) 1999-08-21 2000-08-11 Synergistic combination of roflumilast and salmeterol
HK02108936.8A HK1047244B (en) 1999-08-21 2000-08-11 Synergistic combination of roflumilast and salmeterol
JP2001518088A JP5038568B2 (en) 1999-08-21 2000-08-11 Combination of synergists
US10/049,999 US6624181B1 (en) 1997-02-28 2000-08-11 Synergistic combination
NZ517166A NZ517166A (en) 1999-08-21 2000-08-11 Synergistic combination of PDE inhibitors and beta 2 adrenoceptor agonists
IL147688A IL147688A (en) 1999-08-21 2002-01-17 Medicaments comprising roflumilast and uses thereof
NO20020815A NO328340B1 (en) 1999-08-21 2002-02-19 Synergistic combination drug of roflumilast and salmeterol and use thereof.
US10/437,005 US7056936B2 (en) 1998-02-24 2003-05-14 Synergistic combination
US11/286,391 US20060079539A1 (en) 1998-02-24 2005-11-25 Synergistic combination
US11/433,419 US20060205806A1 (en) 1998-02-24 2006-05-15 Synergistic combination

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