Sonstiges: |
- Nachgewiesen in: USPTO Patent Grants
- Sprachen: English
- Patent Number: 11992,479
- Publication Date: May 28, 2024
- Appl. No: 17/052359
- Application Filed: May 02, 2019
- Assignees: DAMIAN PHARMA AG (Walchwil, CH)
- Claim: 1. A method of treating a disease or disorder selected from primary aldosteronism and secondary aldosteronism in human a subject in need thereof, the method comprising orally administering once daily to said subject a therapeutically effective amount of a composition comprising 4 mg or 8 mg of a compound which is R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazo[1,5-a]pyridine dihydrogen phosphate, wherein said compound has an enantiomeric excess (ee) of the (R) form higher than or equal to 99%.
- Claim: 2. The method according to claim 1 , wherein an elimination half-life (T 1/2) of said compound upon administration of one 4mg or 8mg daily dose to the subject is longer than 8h, as measured in a blood sample of the subject obtained at 8, 12, 16 or 24 hours post-dose.
- Claim: 3. The method according to claim 1 , wherein said (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[1,5-a]pyridine dihydrogen phosphate is a crystalline form I of (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium [1,5-a]pyridine dihydrogen phosphate, wherein said crystalline form I has an X-ray powder diffraction pattern comprising the following 20 values measured using CuKα radiation: 19.504; 21.919 and 24.159, wherein each peak may vary by ±0.5.
- Claim: 4. The method according to claim 1 , wherein said disease or disorder is primary aldosteronism.
- Claim: 5. The method of claim 1 , wherein said disease or disorder is secondary aldosteronism.
- Claim: 6. The method according to claim 1 , wherein said compound has an enantiomeric excess (ee) of the (R) form higher than or equal to 99.5%.
- Claim: 7. The method according to claim 1 , wherein said compound has an enantiomeric excess (ee) of the (R) form higher than or equal to 99.8%.
- Claim: 8. The method according to claim 1 , wherein said compound has an enantiomeric excess (ee) of the (R) form higher than or equal to 99.9%.
- Claim: 9. The method according to claim 1 , wherein said disease or disorder is primary aldosteronism, and wherein said composition comprises 8 mg of the compound.
- Claim: 10. The method according to claim 1 , wherein said disease or disorder is secondary aldosteronism, and wherein said composition comprises 8 mg of the compound.
- Claim: 11. The method according to claim 1 , wherein said disease or disorder is primary aldosteronism, and wherein said composition comprises 4 mg of the compound.
- Claim: 12. The method according to claim 1 , wherein said disease or disorder is secondary aldosteronism, and wherein said composition comprises 4 mg of the compound.
- Claim: 13. A method of treating primary aldosteronism in a human subject in need thereof, the method comprising orally administering to the subject 4 mg of the compound (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[1,5-a]pyridine dihydrogen phosphate, once daily, wherein said compound has an enantiomeric excess (ee) of the (R) form higher than or equal to 99%.
- Claim: 14. A method of treating primary aldosteronism in a human subject in need thereof, the method comprising orally administering to the subject 8 mg of the compound (R)-(+)-5-(p-cyanophenyl)-5,6,7,8-tetrahydroimidazolium[1,5-a]pyridine dihydrogen phosphate, once daily, wherein said compound has an enantiomeric excess (ee) of the (R) form higher than or equal to 99%.
- Claim: 15. The method of claim 13 , wherein the human subject is a pediatric patient.
- Claim: 16. The method of claim 13 , wherein the human subject is a woman of child bearing potential.
- Claim: 17. The method of claim 14 , wherein the human subject is a pediatric patient.
- Claim: 18. The method of claim 14 , wherein the human subject is a woman of child bearing potential.
- Patent References Cited: 5057521 October 1991 Hausler ; 5098911 March 1992 Ibrahim ; 5428160 June 1995 Browne ; 10822332 November 2020 Schumacher et al. ; 11447491 September 2022 Schumacher et al. ; 20090105278 April 2009 Hartmann et al. ; 1 886 695 February 2008 ; 534086 August 2006 ; 2001/76574 October 2001 ; 2005/099695 October 2005 ; WO2005/099695 October 2005 ; 2007/024945 March 2007 ; 2013/109514 July 2013 ; 2016/005880 January 2016 ; 2018/078049 May 2018
- Other References: Menard & Pascoe, 24(6) J. Hypertension 993-997 (2006) (Year: 2006). cited by examiner ; International Search Report dated Jul. 16, 2019, in International Appl. No. PCT/EP2019/061283. cited by applicant ; Azizi et al., “Aldosterone synthase inhibition in humans,” Nephrology Dialysis Transplantation 28(1): 36-43 (2013). cited by applicant ; Menard et al., “Can the dextroenantiomer of the aromatase inhibitor fadrozole be useful for clinical investigation of aldosterone-synthase inhibition?”, Journal of Hypertension 24(6):993-997 (2006). cited by applicant ; Minnaard-Huiban et al., “Fadrozole Reverses Cardiac Fibrosis in Spontaneously Hypertensive Heart Failure Rats: Discordant Enantioselectively Versus Reduction of Plasma Aldosterone,” Endocrinology 149(1):pp. 28-31 (2008). cited by applicant ; Browne et al., “Fadrozole hydrochloride: a potent, selective, nonsteroidal inhibitor of aromatase for the treatment of estrogen-dependent disease,” J. Med. Chem. 34:725-736 (1991). cited by applicant ; Fiebeler et al., “Aldosterone synthase inhibitor ameliorates angiotensin II—induced organ damage,” Circulation 111:3087-3094 (2005). cited by applicant ; Furet et al., “Aromatase inhibitors: synthesis, biological activity, and binding mode of azole-type compounds,” J. Med Chem. 36:1393-1400 (1993). cited by applicant ; Hojo et al., “Adult male rat hippocampus synthesizes estradiol from pregnenolone by cytochromes P45017α and P450 aromatase localized in neurons,” PNAS 101(3):865-870 (2004). cited by applicant ; Kandasamy et al., “Possible existence of the hypothalamic-pituitary-hippocampal (HPH) axis: a reciprocal relationship between hippocampal specific neuroestradiol synthesis and neuroblastosis in ageing brains with special reference to menopause and neurocognitive disorders,” Neurochem. Res. 44:1781-1795 (2019). cited by applicant ; Martin et al., “Discovery of 4-Aryl-5, 6, 7, 8-tetrahydroisoquinolines as potent, selective, and orally active aldosterone synthase (CYP11B2) inhibitors: in vivo evaluation in rodents and cynomolgus monkeys,” J. Med. Chem. 58:8054-8065 (2015). cited by applicant ; Menard et al., “Investigation of aldosterone-synthase inhibition in rats,” Journal of Hypertension, 24(6):1147-1155 (2006). cited by applicant ; Roumen et al., “Construction of 3D models of the CYP11B family as a tool to predict ligand binding characteristics,” J. Comp. Aided Mol. Des. 21(8):455-471 (2007). cited by applicant ; International Search Report mailed Nov. 27, 2017, in PCT/EP2017/077511. cited by applicant ; Amar et al., “Aldosterone synthase inhibition with LCI699: a proof-of-concept study in patients with primary aldosteronism,” Hypertension 56:831-838 (2010). cited by applicant ; Briones et al., “Adipocytes produce aldosterone through calcineurin-dependent signaling pathways: implications in diabetes mellitus-associated obesity and vascular dysfunction,” Hypertension 59(5):1069-1078 (2012). cited by applicant ; Brunssen et al., “Impact of aldosterone synthase inhibitor FAD286 on steroid hormone profile in human adrenocortical cells,” Horm Metab Res 49(9):701-706 (2017). cited by applicant ; Deliyanti et al., “Neovascularization is attenuated with aldosterone synthase inhibition in rats with retinopathy,” et al., Hypertension 59(3):607-13 (2012). cited by applicant ; Funder, “Trilostane, FAD286, and the role of aldosterone in the central regulation of blood pressure: focus on Role of central nervous system aldosterone synthase and mineralocorticoid receptors in salt-induced hypertension in Dahl salt-sensitive rats,” Am J Physiol Regul Integr Comp Physiol. 296(4):R992-3 (2009). cited by applicant ; Funder et al., “The Management of Primary Aldosteronism: Case Detection, Diagnosis, and Treatment: An Endocrine Society Clinical Practice Guideline,” J. Clinical Endocrinology & Metabolism 101(5):1889-1916 (2016). cited by applicant ; Gamliel-Lazarovich et al., “FAD286, an aldosterone synthase inhibitor, reduced atherosclerosis and inflammation in apolipoprotein E-deficient mice,” J Hypertens. 28(9):1900-1907 (2010). cited by applicant ; Gomez-Sanchez et al., “Aldosterone synthesis in the brain contributes to Dahl salt-sensitive rat hypertension,” Exp Physiol. 95(1):120-130 (2010). cited by applicant ; Hamlyn et al., “Neuroendocrine humoral and vascular components in the pressor pathway for brain angiotensin II: a new axis in long term blood pressure control,” PLos One 9(10):e108916 (2014). cited by applicant ; Hofmann et al., “The aldosterone synthase inhibitor FAD286 is suitable for lowering aldosterone levels in ZDF rats but not in db/db mice,” Horm Metab Res 49(6):466-471 (2017). cited by applicant ; Hofmann et al., “Aldosterone synthase inhibition improves glucose tolerance in Zucker diabetic fatty (ZDF) rats,” Endocrinology 157(10):3844-3855 (2016). cited by applicant ; Huang et al., “Central infusion of aldosterone synthase inhibitor prevents sympathetic hyperactivity and hypertension by central Na+ in Wistar rats,” Am J Physiol Regul Integr Comp Physiol. 295(1):R166-R172 (2008). cited by applicant ; Huang et al., “Central infusion of aldosterone synthase inhibitor attenuates left ventricular dysfunction and remodelling in rats after myocardial infarction,” Cardiovasc Res. 81(3):574-581 (2009). cited by applicant ; Huang et al., “Role of central nervous system aldosterone synthase and mineralocorticoid receptors in salt-induced hypertension in Dahl salt-sensitive rats,” Am J Physiol Regul Integr Comp Physiol. 296(4):R994-R1000 (2009). cited by applicant ; Huang et al., “Role of brain corticosterone and aldosterone in central angiotensin II-induced hypertension,” Hypertension 62(3):564-571 (2013). cited by applicant ; Kawarazaki et al. “Mineralocorticoid receptor activation: a major contributor to salt-induced renal injury and hypertension in young rats,” Am J Physiol Renal Physiol. 300(6): F1402-F1409 (2011). cited by applicant ; Korte et al., “Feedforward activation of endothelial ENaC by high sodium,” Faseb J 28(9):4015-4025 (2014). cited by applicant ; LaSala et al., “Co-expression of CYP11B2 or CYP11B1 with adrenodoxin and adrenodoxin reductase for assessing the potency and selectivity of aldosterone synthase inhibitors,” Anal Biochem. 394(1):56-61 (2009). cited by applicant ; Launonen et al., “Adverse effects of an aldosterone synthase (CYP11B2) inhibitor, fadrozole (FAD286), on inflamed rat colon,” Basic Clin Pharmacol Toxicol 133(3):211-225 (2023). cited by applicant ; Lea et al., “Aldosterone antagonism or synthase inhibition reduces end-organ damage induced by treatment with angiotensin and high salt,” Kidney Int. 75(9):936-44 (2009). cited by applicant ; Monticone et al., “Cardiovascular events and target organ damage in primary aldosteronism compared with essential hypertension: a systematic review and meta-analysis,” Lancet Diabetes Endocrinol. 6(1):41-50 (2018). cited by applicant ; Mulder et al., “Aldosterone synthase inhibition improves cardiovascular function and structure in rats with heart failure: a comparison with spironolactone,” Eur Heart J. 29(17): 2171-2179 (2008). cited by applicant ; Omata et al., “Cellular and Genetic Causes of Idiopathic Hyperaldosteronism,” Hypertension 72(4):874-880 (2018). cited by applicant ; Oshima et al., “Aldosterone is synthesized in and activates bulbospinal neurons through mineralocorticoid receptors and ENaCs in the RVLM,” Hypertens Res. 36(6):504-512 (2013). cited by applicant ; Rana et al., “Angiotensin II and aldosterone activate retinal microglia,” Exp Eye Res 191:107902 (2020). cited by applicant ; Rigel et al., “Pharmacodynamic and Pharmacokinetic Characterization of the Aldosterone Synthase Inhibitor FAD286 in Two Rodent Models of Hyperaldosteronism: Comparison with the 11ß-Hydroxylase Inhibitor Metyrapone,” J Pharmacol Exp Ther. 334(1):232-243 (2010). cited by applicant ; Shimoni et al., “Aldosterone and the autocrine modulation of potassium currents and oxidative stress in the diabetic rat heart,” British Journal of Pharmacology 154(3):675-687 (2008). cited by applicant ; Wang et al., “Role of brain aldosterone and mineralocorticoid receptors in aldosterone-salt hypertension in rats,” Neuroscience 314:90-105 (2016). cited by applicant ; Weldon et al., “Selectivity of BI 689648, a novel, highly selective aldosterone synthase inhibitor: comparison with FAD286 and LCI699 in nonhuman primates,” Pharmacol Exp Ther. 359(1): 142-150 (2016). cited by applicant
- Primary Examiner: Rozof, Timothy R
- Attorney, Agent or Firm: MEDLER FERRO WOODHOUSE & MILLS PLLC
|