An Investigation Into the Interactions of Gold Nanoparticles and Anti-Arthritic Drugs with Macrophages, and Their Reactivity Towards Thioredoxin Reductase" (2015)
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Wo 2009/082437 A9
(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) CORRECTED VERSION (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date 2 July 2009 (02.07.2009) WO 2009/082437 A9 (51) International Patent Classification: KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, C07D 207/08 (2006.01) A61K 31/402 (2006.01) MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, C07D 207/09 (2006.01) A61P 5/26 (2006.01) NZ, OM, PG, PH, PL, PT, RO, RS, RU, SC, SD, SE, SG, C07D 498/04 (2006.01) SK, SL, SM, ST, SV, SY, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. (21) International Application Number: PCT/US2008/013657 (84) Designated States (unless otherwise indicated, for every kind of regional protection available): ARIPO (BW, GH, (22) International Filing Date: G M M N S D S L s z τ z U G Z M 12 December 2008 (12.12.2008) z w Eurasian (A M B γ KG> M D RU> τ (25) Filing Language: English TM), European (AT, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, LV, (26) Publication Language: English M C M T N L N O P L P T R O S E S I s T R OAPI (30) Priority Data: B F ' B J ' C F ' C G ' C I' C M ' G A ' G N ' 0 G W ' M L ' M R ' 61/008,731 2 1 December 2007 (21 .12.2007) US N E ' S N ' T D ' T G ) - (71) Applicant (for all designated States except US): LIG- Declarations under Rule 4.17: AND PHARMACEUTICALS INCORPORATED [US/ — as to applicant's entitlement to apply for and be granted US]; 11085 N. -
A Double-Blind Placebo-Controlled Study of Auranofin in Patients with Psoriatic Arthritis
158 A DOUBLE-BLIND PLACEBO-CONTROLLED STUDY OF AURANOFIN IN PATIENTS WITH PSORIATIC ARTHRITIS SIMON CARETTE, ANDRE1 CALIN, JIM P. McCAFFERTY, BRUCE A. WALLIN, and THE AURANOFIN COOPERATING GROUP Two hundred thirty-eight patients with psoriatic treatment was statistically superior to placebo treat- arthritis were entered into a 6-month, multicenter, ment, according to physician’s global assessment and double-blind trial comparing auranofin and placebo. functional scores. A trend in favor of auranofin treat- Polyarthritis (>5 tender joints) was present in 90% of ment was seen for each of the other disease parameters the patients, and 94% were seronegative. Auranofin studied. Psoriasis worsened in 6 auranofin-treated pa- tients and in 3 placebo-treated patients. The incidence Simon Carette, MD: Le Centre Hospitalier de I’Universitt and nature of other side effects were similar to those Laval, Quebec City, Canada: Andrei Calin, MD: Royal National observed in similar trials of patients with rheumatoid Hospital, Bath, UK; Jim P. McCafferty, BSc: Smith Kline & French arthritis. Our observations suggest that the use of Laboratories, Philadelphia, PA; Bruce A. Wallin, MD: Smith Kline & French Laboratories, Philadelphia, PA; Michael H. Weisman, auranofin in the treatment of psoriatic arthritis is safe, MD: University of California, San Diego; Susan G. Perlman, MD: although its therapeutic advantage over treatment with Northwestern University Medical School, Chicago, 1L; Robert F. nonsteroidal antiinflammatory drugs alone is modest. Willkens, MD: University of Washington, Seattle; Stephen J. Farber, MD: Toledo Clinic, Inc., Toledo, OH: H. Ralph Schuma- cher, Jr., MD: University of Pennsylvania, Philadelphia; Suthin Psoriatic arthritis is an inflammatory erosive Songcharoen, MD: Jackson Arthritis Clinic, Jackson, MS; Ronald joint disease characterized by its association with L. -
Classification of Medicinal Drugs and Driving: Co-Ordination and Synthesis Report
Project No. TREN-05-FP6TR-S07.61320-518404-DRUID DRUID Driving under the Influence of Drugs, Alcohol and Medicines Integrated Project 1.6. Sustainable Development, Global Change and Ecosystem 1.6.2: Sustainable Surface Transport 6th Framework Programme Deliverable 4.4.1 Classification of medicinal drugs and driving: Co-ordination and synthesis report. Due date of deliverable: 21.07.2011 Actual submission date: 21.07.2011 Revision date: 21.07.2011 Start date of project: 15.10.2006 Duration: 48 months Organisation name of lead contractor for this deliverable: UVA Revision 0.0 Project co-funded by the European Commission within the Sixth Framework Programme (2002-2006) Dissemination Level PU Public PP Restricted to other programme participants (including the Commission x Services) RE Restricted to a group specified by the consortium (including the Commission Services) CO Confidential, only for members of the consortium (including the Commission Services) DRUID 6th Framework Programme Deliverable D.4.4.1 Classification of medicinal drugs and driving: Co-ordination and synthesis report. Page 1 of 243 Classification of medicinal drugs and driving: Co-ordination and synthesis report. Authors Trinidad Gómez-Talegón, Inmaculada Fierro, M. Carmen Del Río, F. Javier Álvarez (UVa, University of Valladolid, Spain) Partners - Silvia Ravera, Susana Monteiro, Han de Gier (RUGPha, University of Groningen, the Netherlands) - Gertrude Van der Linden, Sara-Ann Legrand, Kristof Pil, Alain Verstraete (UGent, Ghent University, Belgium) - Michel Mallaret, Charles Mercier-Guyon, Isabelle Mercier-Guyon (UGren, University of Grenoble, Centre Regional de Pharmacovigilance, France) - Katerina Touliou (CERT-HIT, Centre for Research and Technology Hellas, Greece) - Michael Hei βing (BASt, Bundesanstalt für Straßenwesen, Germany). -
(Sodium Aurothiomalate Injection, Mfr. Std.) 10, 25 and 50 Mg/Ml Anti
PRESCRIBING INFORMATION PrMYOCHRYSINE® (sodium aurothiomalate injection, Mfr. Std.) 10, 25 and 50 mg/mL Anti-Rheumatic Agent (disease modifying) sanofi-aventis Canada Inc. Date of Revision: 2150 St. Elzear Blvd. West November 29, 2007 Laval, Quebec H7L 4A8 Submission Control No.: 114637 s-a Version 2.0 dated NAME OF DRUG PrMYOCHRYSINE® Sodium aurothiomalate injection, Mfr. Std. 10, 25 and 50 mg/mL THERAPEUTIC CLASSIFICATION Anti-rheumatic agent (disease modifying) ACTIONS AND CLINICAL PHARMACOLOGY Sodium aurothiomalate exhibits anti-inflammatory, antiarthritic and immunomodulating effects. The predominant clinical effect of MYOCHRYSINE (sodium aurothiomalate) appears to be suppression of the synovitis in the active stage of the rheumatoid disease. The precise mechanism of action is unknown but it has been suggested that the drug may act by inhibiting cell-mediated and humoral immune mechanisms. Additional modes of action include alteration or inhibition of various enzyme systems, suppression of phagocytic activity of macrophage and polymorphonuclear leukocytes, and alteration of collagen biosynthesis. The metabolic fate of sodium aurothiomalate in humans is unknown but it is believed not to be broken down to elemental gold. It is very highly bound to plasma proteins. Sixty to 90% is excreted very slowly by the renal route while 10 to 40% is eliminated in the feces mostly via biliary secretion. The biologic half-life of gold following a single 50 mg dose of parenteral gold has been reported to range from 6 to 25 days. It increases following successive weekly doses. The appearance of clinical effect is slow. It may take at least 8 weeks to become significant and the maximum benefits may not be achieved for at least 6 months. -
Should I Take Methotrexate
I have never taken medication for rheumatoid arthritis before. Should I take methotrexate (Rheumatrex®) alone or with other disease- modifying anti-rheumatic drugs for rheumatoid arthritis? A Cochrane decision aid to discuss options with your doctor This decision aid is for you if: □ You are16 or older. □ Your doctor has told you that you have active rheumatoid arthritis (RA). □ You have never taken methotrexate or any disease-modifying anti-rheumatic drug before such as azathioprine (Imuran®), cyclosporine (Neoral®), gold therapy or sodium aurothiomalate (Myochrysine®), hydroxychloroquine (Plaquenil®), leflunomide (Arava®), penicillamine (Cuprimine®) sulfasalazine (Salazopyrin®, generics), tacrolimus (Prograf®) or others. What is Rheumatoid Arthritis (RA)? When you have rheumatoid arthritis, your immune system, which normally fights infection, attacks the lining of your joints making them inflamed. This inflammation causes your joints to be hot, swollen, stiff, and painful. The small joints of your hands and feet are usually affected first. If the inflammation goes on without treatment, it can lead to damaged joints. Once the joint is damaged it cannot be repaired, so treating rheumatoid arthritis early is important. What is Methotrexate? Methotrexate is a disease-modifying antirheumatic drug (DMARD). It is the most commonly used DMARD in rheumatoid arthritis. It works to control inflammation in your joints. Methotrexate is taken once per week and it comes in pill form or as an injection. Methotrexate only works while you are taking it. It will take 6 to 8 weeks for the methotrexate to work. It is important for you to keep taking the medicine. Your doctor may start you on a low dose and gradually increase your dose. -
PRESCRIBING INFORMATION RIDAURA®Auranofin Capsules
RIDAURA- auranofin capsule Prometheus Laboratories Inc. ---------- PRESCRIBING INFORMATION RIDAURA® Auranofin Capsules Rx Only RIDAURA® (auranofin) contains gold and, like other gold-containing drugs, can cause gold toxicity, signs of which include: fall in hemoglobin, leukopenia below 4,000 WBC/cu mm, granulocytes below 1,500/cu mm, decrease in platelets below 150,000/cu mm, proteinuria, hematuria, pruritus, rash, stomatitis or persistent diarrhea. Therefore, the results of recommended laboratory work (See PRECAUTIONS) should be reviewed before writing each RIDAURA prescription. Like other gold preparations, RIDAURA is only indicated for use in selected patients with active rheumatoid arthritis. Physicians planning to use RIDAURA should be experienced with chrysotherapy and should thoroughly familiarize themselves with the toxicity and benefits of RIDAURA. In addition, the following precautions should be routinely employed: 1. The possibility of adverse reactions should be explained to patients before starting therapy. 2. Patients should be advised to report promptly any symptoms suggesting toxicity. (See PRECAUTIONS—Information for Patients.) DESCRIPTION RIDAURA (auranofin) is available in oral form as capsules containing 3 mg auranofin. Auranofin is (2,3,4,6-tetra-O-acetyl-1-thio-ß-D-glucopyranosato-S-) (triethyl–phosphine) gold. Auranofin contains 29% gold and has the following chemical structure: Each RIDAURA capsule, with opaque brown cap and opaque tan body, contains auranofin, 3 mg, and is imprinted with the product name RIDAURA. Inactive ingredients consist of benzyl alcohol, cellulose, cetylpyridinium chloride, D&C Red No. 33, FD&C Blue No. 1, FD&C Red No. 40, FD&C Yellow No. 6, gelatin, lactose, magnesium stearate, povidone, sodium lauryl sulfate, sodium starch glycolate, starch, titanium dioxide and trace amounts of other inactive ingredients. -
NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (Nsaids)
NONSTEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs) A. Description Interfere with prostaglandin synthesis Alleviate inflammation and subsequent discomfort of rheumatoid conditions (GA) Available in oral and parenteral (IM) preparations CYCLOOXYGENASE INHIBITORS : are preferred because it does not decrease the cytoprotective lining of the stomach. Celebrex (Celecoxib) Vioxx (Rofecoxib)(No longer on market as of September 2004) Bextra (Valdecoxib)(No longer on market as of April 2005) There are also other COX-2 Inhibitors being developed, including: Prexige Lumiracoxib) Arcoxia (Etoricoxib) B. Examples Diclofenac (Voltaren) Etodolac (Lodine) Ibuprofen (Motrin) Naproxen (Naprosyn) Salicylates (ASA) COX-2 SELECTIVE INHIBITORS are the newest of the NSAIDs KETOROLAC is the only NSAID that can be administered by injection (intramuscularly or intravenously) and is indicated for the short-term use of severe to moderate pain. C. Major Side Effects GI irritation (local effect) Skin rash (hypersensitivity) Blood dyscrasias (decreased RBCs, WBCs, platelet synthesis) CNS and GU disturbances D. Nursing Care Administer with meals to reduce GI irritation Monitor blood work Assess vital signs Instruct client to report the occurrence of any side effects to the physician Encourage diet rich in nutrient-dense foods such as fruits, vegetables, whole grains, and legumes to improve and maintain nutritional status and prevent possible drug-induced nutrient deficiencies ANTIGOUT AGENTS (Uricosuric agent) A. Description Act by decreasing uric acid -
Report of the Expert Committee for the Selection and Inclusion Of
Report of the Expert Committee / A Report of the Expert Committee for the Selection and Inclusion of Medicines in the Pan American Health Organization Strategic Fund – July 2013 Report of the Expert Committee for the Selection and Inclusion of Medicines in the Pan American Health Organization Strategic Fund – July 2013 PAHO HQ Library Cataloguing-in-Publication Data ***************************************************************************************** Pan American Health Organization. Report of the Expert Committee for the Selection and Inclusion of Medicines in the Pan American Health Organization Strategic Fund – July 2013. Washington, DC : PAHO, 2013. 1. Pharmaceutical Preparations. 2. Chronic Disease. 3. Cardiovascular Diseases. 4. Neoplasms. 5. Immunosuppressive Agents. 6. Complementary Therapies. 7. Americas. I. Title. II. PAHO Strategic Fund. ISBN 978-92-75-11814-6 (NLM Classification: QV55) The Pan American Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. Applications and inquiries should be addressed to the Department of Knowledge Management and Communications (KMC), Pan American Health plansOrganization, for new Washington,editions, and D.C.,reprints U.S.A. and ([email protected]). translations already available. The Department of Health Systems and Services (HSS) will be glad to provide the latest information on any changes made to the text, © Pan American Health Organization, 2013. All rights reserved. Publications of the Pan American Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights are reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the Pan American Health Organization concerning the status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. -
Chloroquine and Beyond: Exploring Anti-Rheumatic Drugs to Reduce Immune Hyperactivation in HIV/AIDS
Savarino and Shytaj. Retrovirology (2015) 12:51 DOI 10.1186/s12977-015-0178-0 REVIEW Open Access Chloroquine and beyond: exploring anti‑rheumatic drugs to reduce immune hyperactivation in HIV/AIDS Andrea Savarino* and Iart Luca Shytaj Abstract The restoration of the immune system prompted by antiretroviral therapy (ART) has allowed drastically reducing the mortality and morbidity of HIV infection. However, one main source of clinical concern is the persistence of immune hyperactivation in individuals under ART. Chronically enhanced levels of T-cell activation are associated with sev- eral deleterious effects which lead to faster disease progression and slower CD4+ T-cell recovery during ART. In this article, we discuss the rationale, and review the results, of the use of antimalarial quinolines, such as chloroquine and its derivative hydroxychloroquine, to counteract immune activation in HIV infection. Despite the promising results of several pilot trials, the most recent clinical data indicate that antimalarial quinolines are unlikely to exert a marked beneficial effect on immune activation. Alternative approaches will likely be required to reproducibly decrease immune activation in the setting of HIV infection. If the quinoline-based strategies should nevertheless be pursued in future studies, particular care must be devoted to the dosage selection, in order to maximize the chances to obtain effective in vivo drug concentrations. Keywords: Immune activation, HIV latency, Chloroquine, Hydroxychloroquine, Anti-rheumatic, Clinical trials, Auranofin Background acidic organelles, chloroquine exerts both direct antiviral The quest for clinical candidates to counteract immune effects on enveloped viruses and decreases activation of activation has become a “hot topic” in AIDS research, several cell types involved in the immune response. -
Drug Repositioning: New Approaches and Future Prospects for Life-Debilitating Diseases and the COVID-19 Pandemic Outbreak
viruses Review Drug Repositioning: New Approaches and Future Prospects for Life-Debilitating Diseases and the COVID-19 Pandemic Outbreak Zheng Yao Low 1 , Isra Ahmad Farouk 1 and Sunil Kumar Lal 1,2,* 1 School of Science, Monash University, Bandar Sunway, Subang Jaya 47500, Selangor Darul Ehsan, Malaysia; [email protected] (Z.Y.L.); [email protected] (I.A.F.) 2 Tropical Medicine & Biology Platform, Monash University, Subang Jaya 47500, Selangor Darul Ehsan, Malaysia * Correspondence: [email protected] Received: 3 July 2020; Accepted: 21 August 2020; Published: 22 September 2020 Abstract: Traditionally, drug discovery utilises a de novo design approach, which requires high cost and many years of drug development before it reaches the market. Novel drug development does not always account for orphan diseases, which have low demand and hence low-profit margins for drug developers. Recently, drug repositioning has gained recognition as an alternative approach that explores new avenues for pre-existing commercially approved or rejected drugs to treat diseases aside from the intended ones. Drug repositioning results in lower overall developmental expenses and risk assessments, as the efficacy and safety of the original drug have already been well accessed and approved by regulatory authorities. The greatest advantage of drug repositioning is that it breathes new life into the novel, rare, orphan, and resistant diseases, such as Cushing’s syndrome, HIV infection, and pandemic outbreaks such as COVID-19. Repositioning existing drugs such as Hydroxychloroquine, Remdesivir, Ivermectin and Baricitinib shows good potential for COVID-19 treatment. This can crucially aid in resolving outbreaks in urgent times of need. -
Gold Levels Produced by Treatment with Auranofin and Sodium Aurothiomalate
Ann Rheum Dis: first published as 10.1136/ard.42.5.566 on 1 October 1983. Downloaded from Annals ofthe Rheumatic Diseases, 1983, 42, 566-570 Gold levels produced by treatment with auranofin and sodium aurothiomalate D. LEWIS,' H. A. CAPELL,1 C. J. McNEIL,2 M. S. IQBAL,2 D. H. BROWN, 2 AND W. E. SMITH2 From the 1CentreforRheumatic Diseases, University DepartmentofMedicine, Baird Street, Glasgow G4 OEH, and the 2Department ofPure and Applied Chemistry, University ofStrathclyde, Glasgow GJ IXL SUMMARY Sixty-three patients with rheumatoid arthritis were randomly divided into 3 groups, and treated with either sodium aurothiomalate (Myocrisin), auranofin, or placebo. Gold levels in whole blood, plasma, and haemolysate were measured serially along with clinical and laboratory para- meters of efficacy. Auranofin produced a higher ratio of haemolysate to plasma gold than Myocrisin, and it appears that the affinity of the red cell for gold is reduced during therapy with auranofin. Gold levels did not correlate with changes in the pain score, erythrocyte sedimentation rate, and C-reactive protein, nor with the development of toxicity. In the Myocrisin group the haemolysate gold level achieved was dependent on the number of cigarettes smoked. In the auranofin group there was no such correlation, but the haemolysate gold level was higher for smokers than non-smokers. The likely action of gold is discussed. copyright. Gold compounds have been used in the treatment of The purpose of the present study was to measure rheumatoid arthritis for over 50 years, and theirplace the distribution ofgold in the blood of patients receiv- in clinical practice is firmly established.' 2 However, ing Myocrisin or auranofin, both in order to deter- there remains a need to monitor the use of these mine whether or not parameters such as haemolysate compounds very carefully to establish efficacy and to gold or the ratio of haemolysate to plasma gold are anticipate the onset of any toxic reaction which may correlated with efficacy or toxicity and to improve http://ard.bmj.com/ occur. -
The Antiproliferative Effect of Sodium Aurothiomalate
Annals of the Rheumatic Diseases, 1986; 45, 389-395 Cultured human cells can acquire resistance to the antiproliferative effect of sodium aurothiomalate A GLENNAS' 2 AND H E RUGSTAD' From the 'Division of Clinical Pharmacology, Institute for Surgical Research, Rikshospitalet, the National Hospital, and the 2Oslo Sanitetsforening Rheumatism Hospital, Oslo, Norway SUMMARY Cultured human epithelial cells (HE), grown as monolayers, acquired resistance to otherwise lethal concentrations (300 [tmol/l, culture medium) of sodium aurothiomalate during five months' exposure to stepwise increased concentrations of the drug. The resistance acquired was shown by exposure to drug concentrations ranging from 25 to 300 [mol/, resulting in 100% of the resistant cells (HeMy(,) surviving compared with controls. Only 13% of the sensitive parent cells survived when exposed to 300 [tmol/l for four days. The IHEMV, cells were also resistant to the antiproliferative effects of equimolar concentrations of thiomalic acid without gold. The cytosolic gold concentration and the association of '99Au with cytosolic proteins after gel filtration were similar in both cell lines after sodium aurothiomalate exposure to the exponentially growing cells. No synthesis of gold binding proteins of metallothionein character was observed in the HEMyo cells. The concentration of free thiomalate in the sonicates and cytosols of the HeMV, cells was decreased to 25-30% of the concentration found in the HE cells. Comparison with previous data for the cytosolic concentration of total thiomalate in the HE cells suggests that most of the cytosolic thiomalate present was free thiomalate. We conclude that the cells can develop resistance to the antiproliferative effect of sodium aurothiomalate, and that the resistance may be due to their capacity to maintain low concentrations of free thiomalate in the sonicates and cytosols.