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(12) Patent Application Publication (10) Pub. No.: US 2011/0003803 A1 Stroman Et Al US 2011 0003803A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2011/0003803 A1 Stroman et al. (43) Pub. Date: Jan. 6, 2011 (54) COMPOSITIONS AND METHODS FOR Related U.S. Application Data TREATING OPHTHALMIC, OTIC, OR NASAL INFECTIONS (60) Provisional application No. 61/222,625, filed on Jul. 2, 2009. (75) Inventors: David W. Stroman, Irving, TX Publication Classification (US); Masood A. Chowhan, (51) Int. Cl. Arlington, TX (US); Kenneth C. A6II 3/5383 (2006.01) Appell, Burleson, TX (US) C07D 49.8/04 (2006.01) A6IP27/02 (2006.01) Correspondence Address: A6IP27/16 (2006.01) ALCON A6IP3L/00 (2006.01) IP LEGAL, TB4-8, 6201 SOUTH FREEWAY (52) U.S. Cl. ...................................... 514/230.5:544/105 FORTWORTH, TX 76134 (US) (57) ABSTRACT The present invention relates to methods for treating an oph (73) Assignee: ALCON RESEARCH, LTD., Fort thalmic, otic, or nasal infection comprising treating the Worth, TX (US) infected tissue with a composition comprising finafloxacin or a finafloxacin derivative. The present invention also relates to (21) Appl. No.: 12/829,973 antimicrobial compositions comprising finafloxacin or a fina floxacin derivative. The compositions are suitable for the (22) Filed: Jul. 2, 2010 treatment of ophthalmic, otic, or nasal infections. Patent Application Publication Jan. 6, 2011 Sheet 1 of 8 US 2011/0003803 A1 e|'6|- 9 Z 0 ,B.9S #7(O. €5 ZZZZZZZ N. CO LO V of CN V O Patent Application Publication Jan. 6, 2011 Sheet 2 of 8 US 2011/0003803 A1 N Co Ltd v of CN Y O |u/n-O 6o N. CO LO V of CN Y Co Patent Application Publication Jan. 6, 2011 Sheet 3 of 8 US 2011/0003803 A1 S N. CO LO v c Cn Y O ZZZZZZZ N. co Lo V of CN Y Co Patent Application Publication Jan. 6, 2011 Sheet 4 of 8 US 2011/0003803 A1 N 2 SN 2 OO N Co Ltd v c Cn v O. Patent Application Publication Jan. 6, 2011 Sheet 5 of 8 US 2011/0003803 A1 O O OO N Co Ltd v c Cn V Cd (6rd) unouw Patent Application Publication Jan. 6, 2011 Sheet 6 of 8 US 2011/0003803 A1 N 5 CD X O X R O O C .9 O 1. NY sa N O O. O. O. O. O. O O. O. O. C CO CO. Y 3 S. s v (6/6u) uOpeueouOO Patent Application Publication Jan. 6, 2011 Sheet 7 of 8 US 2011/0003803 A1 N 5( s) S. 8H 5. O (u/6u) uole Jueouoo Patent Application Publication Jan. 6, 2011 Sheet 8 of 8 US 2011/0003803 A1 p??eeu?uno 0 US 2011/0003803 A1 Jan. 6, 2011 COMPOSITIONS AND METHODS FOR than half of Pseudomonas strains isolated from otic infections TREATING OPHTHALMIC, OTIC, OR NASAL are quinolone resistant. See Ballenger's Otorhinolaryngol INFECTIONS ogy. Head and Neck Surgery, Snow. J. et al., page 194, (2009). In addition, the external ear is generally an acidic CROSS-REFERENCE TO RELATED environment due to the presence of cerumen. There is accord APPLICATION ingly a need for additional topical compositions for the treat 0001. This application claims priority under 35 U.S.C. ment of otic infection that are efficacious at low pH. S119 to U.S. Provisional Patent Application No. 61/222,625, filed Jul. 2, 2009, the entire contents of which are incorpo BRIEF SUMMARY OF THE INVENTION rated herein by reference. 0008. The present invention relates to compositions for the treatment of ophthalmic, otic, and nasal disorders comprising TECHNICAL FIELD OF THE INVENTION finafloxacin or a pharmaceutically acceptable salt, derivative, 0002 The present invention generally relates to methods enantiomer, or hydrate thereof. In preferred embodiments, for treating an ophthalmic, otic, or nasal disorder. The present Such compositions are for the treatment of ophthalmic, otic, invention specifically relates to treating an ophthalmic, otic, and nasal infections, particularly infections caused by various or nasal infection with a composition comprising finafloxacin bacterial species. Preferred finafloxacin compositions have or a finafloxacin derivative. an acidic pH which provides for increased antimicrobial effi cacy. Additionally, the present invention relates to methods BACKGROUND OF THE INVENTION for treating an infected to ophthalmic, otic, or nasal tissue comprising treating the infected tissue with a composition 0003 Microbial resistance to conventional antimicrobial comprising finafloxacin. treatment is an ongoing concern to medical professionals. 0009. The compositions and methods of the present inven Until the problem of resistance is overcome, a steady Supply tion are useful in the treatment of acute otic infections, par of new treatments and therapies for treating microbial infec ticularly those of the external ear canal Such as acute otitis tions is required in order to blunt the effect of microbe muta externa (AOE) and acute otitis media with tympanostomy tions that render conventional therapies less effective or, in tubes (AOMT). Due to the presence of cerumen, the external certain cases, ineffective. In particular, resistance to qui ear environment is generally of acidic pH. The present inven nolone antibiotics is becoming a concern. tors have unexpectedly found that, when tested at acidic pH, 0004 Quinolone antibiotics are known to have desirable compositions comprising finafloxacin are generally more antimicrobial properties. For example, quinolone compounds efficacious than other quinolone compositions against for use in the treatment of ophthalmic, otic, and nasal condi microbes commonly found in otic infections. Finafloxacin tions are disclosed in U.S. Pat. No. 6,716,830, the entire compositions of the present invention also have low potential contents of which are incorporated by reference herein. for inner ear toxicity when used for the topical treatment of 0005 Finafloxacin has been described as useful in the external ear infections. The compositions and methods of the treatment of H. pylori infections. Buissonniere et al., “Anti present invention are accordingly well Suited for the topical microbial activity of a new fluoroquinolone, finafloxacin, treatment of otic infections. against H. Pylori in comparison to levofloxacin' Helico 0010 Certain finafloxacin compositions provide bacter, Vol. 13(5):465, October 2008; U.S. Pat. No. 6,133, enhanced antimicrobial activity and may be used to treat 260 to Matzke et al. Ophthalmic, otic, and nasal applications infections resulting from quinolone-resistant microbes. Such of finafloxacin are not described. enhanced activity is believed to result from a combination of 0006 To cite one of many applications, the use of compo the increased potency and betterpenetration characteristics of sitions having antimicrobial properties is important for the finafloxacin relative to other antibiotics. Ophthalmic fina treatment of ophthalmic infections such as conjunctivitis. floxacin compositions are particularly well suited for the Conjunctivitis can be caused by various kinds of microbes, topical treatment of ophthalmic infection. Such compositions with most cases being due to bacteria and/or viruses. Unfor can be formulated at a neutral pH and retain their efficacy tunately, conjunctivitis symptoms are not specific to the eti against common ophthalmic pathogens Such as Staphylococ ology of the infectious agent and significant testing may be CS Cai.S. required to determine the causative agent or microbe. Care 0011. The foregoing brief summary broadly describes the must be taken in selecting appropriate agents for treating features and technical advantages of certain embodiments of conjunctivitis, given the sensitive tissues affected by the the present invention. Additional features and technical infection. In view of the above-recited difficulties in treat advantages will be described in the detailed description of the ment, compositions for treating conjunctivitis are needed that invention that follows. Novel features which are believed to have broad-spectrum antimicrobial properties, a benign toxi be characteristic of the invention will be better understood cological profile, and/or characteristics that prevent the trans from the detailed description of the invention when consid mission of contagious infectious agents. ered in connection with any accompanying figures. However, 0007. Otic infections such as acute otitis externa (AOE) figures provided herein are intended to help illustrate the and acute otitis media with tympanostomy tubes (AOMT) are invention or assist with developing an understanding of the preferably treated by topical antimicrobial compositions, as invention, and are not intended to be definitions of the inven the use of oral antimicrobials carries the risk of systemic side tion's scope. effects, and can occasionally fail to eradicate Such infections with the possible development of drug-resistant strains. BRIEF DESCRIPTION OF THE DRAWINGS Recent years have seen a steady increase in quinolone-resis tant strains of Staphylococcus and Pseudomonas bacteria, the 0012. A more complete understanding of the present most common causes of otic infections. In some areas, more invention and the advantages thereof may be acquired by US 2011/0003803 A1 Jan. 6, 2011 referring to the following description, taken in conjunction present invention is also particularly directed to antimicrobial with the figures of the accompanying drawing in which like compositions for and methods of treating ophthalmic, otic, reference numbers indicate like features and wherein: and nasal/sinus infections. 0013 FIGS. 1a-1d are bar charts presenting the results of 0022. Certain embodiments of the present invention are a guinea pig model of otic infection; particularly useful for treating ophthalmic tissue infections. 0014 FIG. 2 is a graph showing comparative corneal per Examples of ophthalmic conditions that may be treated using fusion data for several quinolone antimicrobials; compositions and methods of the present invention include 0015 FIG. 3 presents the results of an ocular pharmaco conjunctivitis, keratitis, blepharitis, dacyrocystitis, kinetic study of finafloxacin and ciprofloxacin in corneal hordeolum and corneal ulcers. The methods and composi tissue following topical administration; tions of the invention may also be used prophylactically in 0016 FIG.
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