University of Groningen Synthesis and Evaluation of Dopaminergic

Total Page:16

File Type:pdf, Size:1020Kb

University of Groningen Synthesis and Evaluation of Dopaminergic University of Groningen Synthesis and evaluation of dopaminergic prodrugs designed for transdermal iontophoretic drug delivery Graan, Jeroen de IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2012 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Graan, J. D. (2012). Synthesis and evaluation of dopaminergic prodrugs designed for transdermal iontophoretic drug delivery: highly water-soluble amino acid ester prodrugs applicable for the treatment of Parkinson's disease. s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne- amendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 29-09-2021 Synthesis and evaluation of dopaminergic prodrugs designed for transdermal iontophoretic drug delivery Highly water-soluble amino acid ester prodrugs applicable for the treatment of Parkinson's disease Jeroen de Graan The research project described in this thesis was carried out at the Department of Medicinal Chemistry, Groningen Research Institute of Pharmacy (Faculty of Mathematics and Natural Sciences, University of Groningen) in collaboration with the Division of Drug Delivery Technology of the Leiden/Amsterdam Center for Drug Research, Leiden University. This research is supported by the Dutch Technology Foundation STW, which is part of the Netherlands Organisation for Scientific Research (NWO) and partly funded by the Ministry of Economic Affairs, Agriculture and Innovation (project number STW LKG6507) The publication of this thesis was also financially supported by the University of Groningen and Axon Medchem B.V. Cover Design: Jeroen de Graan Layout: Jeroen de Graan Printed by: BOXPress BV, Proefschriftmaken.nl ISBN: 978-90-367-5499-6 ISBN: 978-90-367-5498-9 (electronic version) Copyright © 2012 by Jeroen de Graan. All rights reserved. No parts of this thesis may be reproduced or transmitted in any form or by any means without written permission of the author. RIJKSUNIVERSITEIT GRONINGEN Synthesis and evaluation of dopaminergic prodrugs designed for transdermal iontophoretic drug delivery Highly water-soluble amino acid ester prodrugs applicable for the treatment of Parkinson's disease Proefschrift ter verkrijging van het doctoraat in de Wiskunde en Natuurwetenschappen aan de Rijksuniversiteit Groningen op gezag van de Rector Magnificus, dr. E. Sterken, in het openbaar te verdedigen op maandag 21 mei 2012 om 14.30 uur door Jeroen de Graan geboren op 15 februari 1980 te Lima, Peru Promotor: Prof. dr. B.H.C. Westerink Copromotor: Dr. D. Dijkstra Beoordelingscommissie: Prof. dr. H.W. Frijlink Prof. dr. ir. A.J. Minnaard Prof. dr. C.G. Kruse To my grandparents, parents and sister Table of contents Chapter 1 Introduction 9 Chapter 2 Synthesis of a series of prodrugs of the potent 61 dopamine (DA) D2 agonist 5-hydroxy-2-(N,N,-di-n- propylamino)tetralin (5-OH-DPAT), compounds designed for iontophoretic transdermal delivery Chapter 3 Chemical stability and enzymatic hydrolysis of a 91 series of amino acid ester prodrugs of the dopamine D2 agonist 5-OH-DPAT Chapter 4 The pharmacokinetics and pharmacological effect 113 of (S)-5-OH-DPAT following controlled delivery with transdermal iontophoresis. Chapter 5 The in vitro and in vivo evaluation of new 141 synthesized prodrugs of 5-OH-DPAT for iontophoretic delivery Chapter 6 Synthesis and chemical stability studies of dipeptide 167 ester prodrugs of (S)-5-OH-DPAT Chapter 7 Structural analogs of 5-OH-DPAT: synthesis and 187 their influence on in vitro transdermal iontophoretic delivery Chapter 8 Synthesis, and chemical stability studies of prodrugs 207 of (-)-8-OH-DPAC, a potent dopamine D2 agonist Chapter 9 Summary and general discussion 229 Appendix List of abbreviations 235 Samenvatting 239 Samenvatting voor niet ingewijden 244 Dankwoord 246 List of publications 249 1 Introduction INTRODUCTION 1.1 DOPAMINE AND ITS FUNCTION IN THE CENTRAL NERVOUS SYSTEM The nervous system is divided into the central nervous system (CNS) and the peripheral nervous system. Neurotransmission between nerve cells is realized by generation of action potentials. This generally results in a release of a chemical neurotransmitter which stimulates or inhibits another cell. An example of such a chemical neurotransmitter is dopamine (DA).1 DA (2-(3,4-dihydroxyphenyl)ethylamine) is a catecholamine neurotransmitter found in neurons of both the CNS and peripheral nervous system. Although DAergic neurons correspond to less than 1% of the total number of brain neurons, they play a significant role in brain functions, such as motivation, working memory and motor behavior. A high concentration of the DA is found in the striatum, which forms an important part of the extrapyramidal system and is known to control motor activity.2, 3 The DA neurons in this pathway play an important role in the pathophysiology and treatment of Parkinson’s disease. DA is formed from its precursor L-DOPA (3,4-dihydroxy-L-phenylalanine) by aromatic-L- amino-acid decarboxylase (AAAD) (Scheme 1.1). The clearance of DA occurs by re-uptake into the presynaptic neuron, or by metabolic inactivation by monoamine oxidase B (MAO- B) as well as catechol-O-methyltransferase (COMT).4 Homovanillic acid (HVA, 4- hydroxy-3-methoxyphenylacetic acid) is the final and main metabolic break-down product of DA in the human brain. Most of the brain DA is first attacked by MAO-B to give 3,4- dihydroxyphenylacetic acid (DOPAC) and subsequently attacked by COMT to form HVA. Another route occurs via initial O-methylation by COMT to give 3-methoxytyramine (3- MT) followed by oxidative deamination by MAO-B to give HVA.5 Scheme 1.1 Main pathway of biosynthesis and catabolism of DA in the mammalian organism.5 10 CHAPTER 1 1.2 ANATOMY OF THE DOPAMINE SYSTEM Techniques to detect DA neurons and localize DA receptors have identified distinct DA pathways in the brain of which the nigrostriatal, mesolimbic, mesocortical and tuberoinfundibular are the major pathways (Figure 1.1).4, 6 The highly organized nigrostriatal pathway is the major DA pathway of the brain and originates from the substantia nigra pars compacta (SNc) projecting to the corpus striatum of the basal nuclei, whose function is to produce a smooth coordination in movement. A second prominent DA pathway is the mesolimbic pathway, which has cell bodies in the ventral tegmental area and sends axons to the limbic system, whose primary responsibility is the regulation of reward and related emotion-based behaviour.1, 3, 6, 7 The mesocortical pathway has DAergic projections to the prefrontal cortex and modulates cognitive behaviour7, learning and memory.8 The tuberoinfundibular pathway has its cell bodies in the hypothalamus and projects toward the pituitary gland.9 Figure 1.1 Nigrostriatal, mesolimbic, mesocortical and tuberoinfundibular DAergic pathways.4, 9 11 INTRODUCTION 1.3 DOPAMINE RECEPTORS DA exerts its action by binding to specific membrane DA receptors. Five distinct DA receptors have been subdivided into two subfamilies, D1- and D2-like, on the basis of their 8 biochemical and pharmacological properties. The D1 and D5 receptors are classified as 10 “D1-like” and the D2, D3 and D4 receptors are considered to be “D2-like”. 1.3.1 G protein-coupled receptor structure The DA receptor subtypes belong to the large G protein-coupled receptor (GPCR) family. The receptors are characterized structurally by the presence of 7 transmembrane domains which form the DA binding site.4, 10 Members of the same DA subfamily share considerable homology in their transmembrane domains (Figure 1.2).11 Figure 1.2 DA receptor structure.11 1.3.2 Second messenger pathways The best-described effects mediated by DA are the activation or inhibition of the cyclic adenosine monophosphate (cAMP) pathway via adenylate cyclase (AC), and modulation of Ca2+ signalling.8 Two distinct guanosine triphosphate(GTP)-binding proteins regulate cAMP formation: one is specific for stimulation of AC (Gs), and the other is specific for its 1, 4, 8, 9, 12 10 inhibition (Gi). All D1-like receptors stimulate cAMP accumulation and the D2- like receptors inhibit the activity of AC.8, 10, 11, 13, 14 1.3.3 Distribution of the dopamine receptor families in the brain D1- and D2-like receptors have similar regional distributions in rat, monkey, and human brain, with the highest concentrations in striatum, olfactory bulb, and substantia nigra (SN). The DA receptor subtypes appear to be expressed by distinct populations of GABAergic 12 CHAPTER 1 (GABA, γ-aminobutyric acid) neurons: the DA D1
Recommended publications
  • Ubocom I' Iiiiiiiiiiiiiiiiiiiiiiii I'iii
    THETWO TORTOITUUS MALLITUANT20180243250A1 ANTONI MARINE ( 19) United States (12 ) Patent Application Publication (10 ) Pub. No. : US 2018/ 0243250 A1 Bolsöy (43 ) Pub . Date : Aug. 30 , 2018 (54 ) METHOD OF TREATING A DOPAMINE ( 30 ) Foreign Application Priority Data RELATED DISORDER IN A SUBJECT BY ADMINISTERING LEVODOPA , IN Sep . 4 , 2015 (SE ) .. .. .. PCT/ SE2015 / 050939 COMBINATION WITH A DOPAMINE DECARBOXYLASE INHIBITOR AND A CATECHOL - O -METHYLTRANSFERASE Publication Classification INHIBITOR (51 ) Int. Cl. A61K 31/ 198 (2006 .01 ) (71 ) Applicant : LobSor Pharmaceuticals Aktiebolag, A61P 25 / 16 ( 2006 .01 ) Knivsta (SE ) A61P 25 / 28 ( 2006 .01 ) U . S . CI. ( 72 ) Inventor : Roger Bolsöy, Knivsta (SE ) CPC . .. .. A61K 31 / 198 ( 2013 .01 ) ; A61P 25 / 16 ( 2018 .01 ) ; A61K 31/ 277 ( 2013 . 01 ) ; A61K (73 ) Assignees : LobSor Pharmaceuticals Aktiebolag , 2121/ 00 (2013 .01 ) ; AVIK 2300 /00 ( 2013 .01 ) ; Knivsta ( SE ) ; LobSor Pharmaceuticals Aktiebolag , Knivsta (SE ) A61P 25 / 28 ( 2018 .01 ) (21 ) Appl. No .: 15 /757 , 217 (57 ) ABSTRACT The invention relates to a method of treating a dopamine (22 ) PCT Filed : Sep . 5 , 2016 related disorder in a subject , the method comprises the steps of administering therapy to a subject, the therapy comprising ( 86 ) PCT No. : PCT/ SE16 / 50828 a plurality of doses of levodopa over a selected time period , $ 371 (c ) ( 1 ) , in combination with a dopamine decarboxylase inhibitor ( 2 ) Date : Mar. 2 , 2018 (DDI ) and a catechol- O -methyltransferase ( COMT) inhibi tor, wherein : ( i ) the dose of levodopa is lower; ( ii ) the dose Related U . S . Application Data of DDI is lower ; ( iii ) the dosing of levodopa is less frequent ; (60 ) Provisional application No .
    [Show full text]
  • I Regulations
    23.2.2007 EN Official Journal of the European Union L 56/1 I (Acts adopted under the EC Treaty/Euratom Treaty whose publication is obligatory) REGULATIONS COUNCIL REGULATION (EC) No 129/2007 of 12 February 2007 providing for duty-free treatment for specified pharmaceutical active ingredients bearing an ‘international non-proprietary name’ (INN) from the World Health Organisation and specified products used for the manufacture of finished pharmaceuticals and amending Annex I to Regulation (EEC) No 2658/87 THE COUNCIL OF THE EUROPEAN UNION, (4) In the course of three such reviews it was concluded that a certain number of additional INNs and intermediates used for production and manufacture of finished pharmaceu- ticals should be granted duty-free treatment, that certain of Having regard to the Treaty establishing the European Commu- these intermediates should be transferred to the list of INNs, nity, and in particular Article 133 thereof, and that the list of specified prefixes and suffixes for salts, esters or hydrates of INNs should be expanded. Having regard to the proposal from the Commission, (5) Council Regulation (EEC) No 2658/87 of 23 July 1987 on the tariff and statistical nomenclature and on the Common Customs Tariff (1) established the Combined Nomenclature Whereas: (CN) and set out the conventional duty rates of the Common Customs Tariff. (1) In the course of the Uruguay Round negotiations, the Community and a number of countries agreed that duty- (6) Regulation (EEC) No 2658/87 should therefore be amended free treatment should be granted to pharmaceutical accordingly, products falling within the Harmonised System (HS) Chapter 30 and HS headings 2936, 2937, 2939 and 2941 as well as to designated pharmaceutical active HAS ADOPTED THIS REGULATION: ingredients bearing an ‘international non-proprietary name’ (INN) from the World Health Organisation, specified salts, esters or hydrates of such INNs, and designated inter- Article 1 mediates used for the production and manufacture of finished products.
    [Show full text]
  • Stembook 2018.Pdf
    The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances FORMER DOCUMENT NUMBER: WHO/PHARM S/NOM 15 WHO/EMP/RHT/TSN/2018.1 © World Health Organization 2018 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. The use of stems in the selection of International Nonproprietary Names (INN) for pharmaceutical substances. Geneva: World Health Organization; 2018 (WHO/EMP/RHT/TSN/2018.1). Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data.
    [Show full text]
  • New Information of Dopaminergic Agents Based on Quantum Chemistry Calculations Guillermo Goode‑Romero1*, Ulrika Winnberg2, Laura Domínguez1, Ilich A
    www.nature.com/scientificreports OPEN New information of dopaminergic agents based on quantum chemistry calculations Guillermo Goode‑Romero1*, Ulrika Winnberg2, Laura Domínguez1, Ilich A. Ibarra3, Rubicelia Vargas4, Elisabeth Winnberg5 & Ana Martínez6* Dopamine is an important neurotransmitter that plays a key role in a wide range of both locomotive and cognitive functions in humans. Disturbances on the dopaminergic system cause, among others, psychosis, Parkinson’s disease and Huntington’s disease. Antipsychotics are drugs that interact primarily with the dopamine receptors and are thus important for the control of psychosis and related disorders. These drugs function as agonists or antagonists and are classifed as such in the literature. However, there is still much to learn about the underlying mechanism of action of these drugs. The goal of this investigation is to analyze the intrinsic chemical reactivity, more specifcally, the electron donor–acceptor capacity of 217 molecules used as dopaminergic substances, particularly focusing on drugs used to treat psychosis. We analyzed 86 molecules categorized as agonists and 131 molecules classifed as antagonists, applying Density Functional Theory calculations. Results show that most of the agonists are electron donors, as is dopamine, whereas most of the antagonists are electron acceptors. Therefore, a new characterization based on the electron transfer capacity is proposed in this study. This new classifcation can guide the clinical decision‑making process based on the physiopathological knowledge of the dopaminergic diseases. During the second half of the last century, a movement referred to as the third revolution in psychiatry emerged, directly related to the development of new antipsychotic drugs for the treatment of psychosis.
    [Show full text]
  • Antiparkinsonianos
    Direcció General de Farmàcia i Productes Sanitaris ANÁLISIS DUPLICIDAD TERAPÉUTICA SUBRUPO TERAPÉUTICO N04 – ANTIPARKINSONIANOS CLASIFICACIÓN ATC N04A - AGENTES ANTICOLNINÉRGICOS N04AA - AMINAS TERCIARIAS TRIHEXIFENIDILO BIPERIDENO METIXENO PROCICLIDINA PROFENAMINA DEXETIMIDA FENGLUTARIMIDA MAZATICOL BORNAPRINA TROPATEPINA N04AB - ÉSTERES QUÍMICAMENTE RELACIONADOS CON ANTIHISTAMÍNICOS (No visible ni prescribible) ETANAUTINA ORFENADRINA (CLORHIDRATO) N04AC - ÉSTERES DE TROPINA O DERIVADOS DE LA TROPINA (No visible ni prescribible) BENZATROPINA ETIBENZATROPINA N04B - AGENTES DOPAMINÉRGICOS N04BA - DOPA Y DERIVADOS DE LA DOPA LEVODOPA LEVODOPA E INHIBIDORES DE LA CARBOXILASA LEVODOPA, INHIBIDORES DE LA CARBOXILASA E INHIBIDORES DE LA COMT MELEVODOPA MELEVODOPA E INHIBIDORES DE LA CARBOXILASA ETILEVODOPA E INHIBIDORES DE LA CARBOXILASA N04BB - DERIVADOS DEL ADAMANTANO (No visible ni prescribible) AMANTADINA Direcció General de Farmàcia i Productes Sanitaris N04BC - AGONISTAS DOPAMINÉRGICOS BROMOCRIPTINA PERGOLIDA ROPINIROL PRAMIPEXOL CABERGOLINA APOMORFINA PIRIBEDIL ROTIGOTINA N04BD - INHIBIDORES DE LA MONOAMINO OXIDASA TIPO B (IMAO- B) SELEGILINA RASAGILINA N04BX - OTROS AGENTES DOPAMINÉRGICOS TOLCAPONA ENTACAPONA BUDIPINO Direcció General de Farmàcia i Productes Sanitaris 1. Análisis de duplicidades a nivel 4 de la ATC N04AA: AMINAS TERCIARIAS - Duplicidad entre diferentes principios activos Los anticolinérgicos terciarios sintéticos, Trihexifenidilo, Biperideno y Prociclidina, se utilizan en la enfermedad de Parkinson. También pueden utilizarse en el tratamiento de las reacciones extrapiramidales inducidas por fármacos (reserpina, fenotiazinas, etc). En cuanto al mecanismo de acción, actúan disminuyendo la actividad colinérgica anormalmente exaltada en las neuronas de la vía nigro-estriada del encéfalo, que acompaña a la depleción dopaminérgica del Parkinson. Adicionalmente, parece que actúan sobre la actividad dopaminérgica a través del bloqueo del transportador de dopamina, permitiendo que la dopamina liberada permanezca más tiempo en la sinapsis.
    [Show full text]
  • (12) Patent Application Publication (10) Pub. No.: US 2010/0184806 A1 Barlow Et Al
    US 20100184806A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2010/0184806 A1 Barlow et al. (43) Pub. Date: Jul. 22, 2010 (54) MODULATION OF NEUROGENESIS BY PPAR (60) Provisional application No. 60/826,206, filed on Sep. AGENTS 19, 2006. (75) Inventors: Carrolee Barlow, Del Mar, CA (US); Todd Carter, San Diego, CA Publication Classification (US); Andrew Morse, San Diego, (51) Int. Cl. CA (US); Kai Treuner, San Diego, A6II 3/4433 (2006.01) CA (US); Kym Lorrain, San A6II 3/4439 (2006.01) Diego, CA (US) A6IP 25/00 (2006.01) A6IP 25/28 (2006.01) Correspondence Address: A6IP 25/18 (2006.01) SUGHRUE MION, PLLC A6IP 25/22 (2006.01) 2100 PENNSYLVANIA AVENUE, N.W., SUITE 8OO (52) U.S. Cl. ......................................... 514/337; 514/342 WASHINGTON, DC 20037 (US) (57) ABSTRACT (73) Assignee: BrainCells, Inc., San Diego, CA (US) The instant disclosure describes methods for treating diseases and conditions of the central and peripheral nervous system (21) Appl. No.: 12/690,915 including by stimulating or increasing neurogenesis, neuro proliferation, and/or neurodifferentiation. The disclosure (22) Filed: Jan. 20, 2010 includes compositions and methods based on use of a peroxi some proliferator-activated receptor (PPAR) agent, option Related U.S. Application Data ally in combination with one or more neurogenic agents, to (63) Continuation-in-part of application No. 1 1/857,221, stimulate or increase a neurogenic response and/or to treat a filed on Sep. 18, 2007. nervous system disease or disorder. Patent Application Publication Jul. 22, 2010 Sheet 1 of 9 US 2010/O184806 A1 Figure 1: Human Neurogenesis Assay Ciprofibrate Neuronal Differentiation (TUJ1) 100 8090 Ciprofibrates 10-8.5 10-8.0 10-7.5 10-7.0 10-6.5 10-6.0 10-5.5 10-5.0 10-4.5 Conc(M) Patent Application Publication Jul.
    [Show full text]
  • List of Psychoactive Drug Spirits for MD A-Methylfentanyl, Abilify
    List of Psychoactive Drug Spirits for MD A-Methylfentanyl, Abilify, abnormal basal ganglia function, abuse of medicines, Aceperone, Acepromazine, Aceprometazine, Acetildenafil, Aceto phenazine, Acetoxy Dipt, Acetyl morphone, Acetyl propionyl morphine, Acetyl psilocin, Activation syndrome, acute anxiety, acute hypertension, acute panic attacks, Adderall, Addictions to drugs, Addictions to medicines, Addictions to substances, Adrenorphin, Adverse effects of psychoactive drugs, adverse reactions to medicines, aggression, aggressive, aggressiveness, agitated depression, Agitation and restlessness, Aildenafil, Akuammine, alcohol abuse, alcohol addiction, alcohol withdrawl, alcohol-related brain damage, alcohol- related liver damage, alcohol mix with medicines for adverse reaction, Alcoholism, Alfetamine, Alimemazine, Alizapride, Alkyl nitrites, allergic breathing reactions to meds, choking to anaphallectic shock, & death; allergic skin reactions to meds, rash, itchyness, hives, welts, etc, Alletorphine, Almorexant, Alnespirone, Alpha Ethyltryptamine, Alpha Neoendorphin, alterations in brain hormones, alterations in mental status, altered consciousness, altered mind, Altoqualine, Alvimopan, Ambien, Amidephrine, Amidorphin, Amiflamine, Amisulpride, Amphetamines, Amyl nitrite, Anafranil, Analeptic, Anastrozole, Anazocine, Anilopam, Antabuse, anti anxiety meds, anti dopaminergic activity, anti seizure meds, Anti convulsants, Anti depressants, Anti emetics, Anti histamines, anti manic meds, anti parkinsonics, Anti psychotics, Anxiety disorders,
    [Show full text]
  • WO 2014/006004 Al 9 January 2014 (09.01.2014) P O P C T
    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2014/006004 Al 9 January 2014 (09.01.2014) P O P C T (51) International Patent Classification: (81) Designated States (unless otherwise indicated, for every A61K 9/20 (2006.01) A61K 31/485 (2006.01) kind of national protection available): AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, (21) International Application Number: BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, PCT/EP2013/06385 1 DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, (22) International Filing Date: HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KN, KP, KR, 1 July 20 13 (01 .07.2013) KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, (25) Filing Language: English OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SC, (26) Publication Language: English SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. (30) Priority Data: PA 2012 70405 6 July 2012 (06.07.2012) DK (84) Designated States (unless otherwise indicated, for every 61/668,741 6 July 2012 (06.07.2012) US kind of regional protection available): ARIPO (BW, GH, GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, SZ, TZ, (71) Applicant: EGALET LTD.
    [Show full text]
  • Design and Evaluation of Levodopa Methyl Ester Intranasal Delivery Systems
    Journal of Parkinson’s Disease 1 (2011) 101–107 101 DOI 10.3233/JPD-2011-10011 IOS Press Design and Evaluation of Levodopa Methyl Ester Intranasal Delivery Systems In Koo Chunb, Yeon Hong Leea, Kyung Eun Leea and Hye Sun Gwaka,* aCollege of Pharmacy & Division of Life and Pharmaceutical Sciences, Ewha Womans University, Korea bCollege of Pharmacy, Dongduk Women’s University, Seoul 501-759, Korea Abstract. Objectives: This study aimed to examine the feasibility of nasal powder formulations for the delivery of levodopa (L-dopa) into the brain using highly water-soluble levodopa methyl ester hydrochloride (LDME). Methods: For designing nasal LDME powders, pH-rate stabilities of LDME in buffer solutions and their enzymatic degra- dations in rabbit nasal mucosal and serosal extracts were investigated. In vitro permeation studies were carried out with four LDME nasal powders. Results: LDME was degraded fast in weakly acidic and neutral solutions, but relatively stable in acidic solutions. In nasal extracts, LDME (50 and 200 ␮g/mL) was rapidly hydrolyzed, forming L-dopa, and there were no significant differences in first- order degradation rates between mucosal and serosal extracts. From the in vitro permeation studies, LDME powder formulations resulted in faster appearance rates (1.07 ± 0.39 mg/cm2/hr) of L-dopa than solution formulations (0.35 ± 0.08 mg/cm2/hr). Conclusions: These results suggested that LDME nasal powder formulations could be useful delivery systems of L-dopa. Keywords: Levodopa methyl ester, levodopa, nasal delivery, stability, permeation INTRODUCTION L-aromatic amino acid decarboxylase (also known as dopa decarboxylase) in the brain [2, 3].
    [Show full text]
  • Continuous Dopaminergic Stimulation in a Patient Treated with Daytime
    Acta Biomed 2017; Vol. 88, N. 2: 190-195 DOI: 10.23750/abm.v88i2.5038 © Mattioli 1885 Case report Continuous dopaminergic stimulation in a patient treated with daytime Levodopa-carbidopa intestinal gel and overnight Rotigotine: a case report Paola Imbriani1, Tommaso Schirinzi1, Alessio D’Elia1, Antonio Pisani2 1 Department of Systems Medicine, University of Rome “Tor Vergata” , Rome , Italy; 2 Dr Antonio Pisani, Department of Sy- stems Medicine, University of Rome «Tor Vergata», RRCCS Santa Lucia Foundation, Rome, Italy Summary. Patients with Parkinson’s disease (PD) receiving long-term L-Dopa therapy eventually develop motor complications with unpredictable “on-off” response fluctuations and involuntary movements, leading to progressive disability. Hence, the search for alternative therapeutic choices based on continuous dopamin- ergic stimulation (CDS) becomes crucial for the treatment of advanced PD. Here, we describe the case of a 70-year-old man with a 9-year history of PD, treated with daytime levodopa-carbidopa intestinal gel (LCIG) and overnight Rotigotine transdermal patch. LCIG monotherapy significantly reduced motor fluctuations and prevented the appearance of unpredictable off periods; concurrently, overnight Rotigotine improved his sleep quality and morning akinesia. Both LCIG and Rotigotine induce CDS, which conceptually mimics physiologic striatal dopamine receptor function. Hence, they both represent a good therapeutic option for the treatment of advanced PD. (www.actabiomedica.it) Key words: Parkinson’s disease, Continuous dopaminergic stimulation, levodopa/carbidopa intestinal gel in- fusion, Rotigotine, motor fluctuations, morning akinesia Background Consequently, the search for alternative therapeutic choices based on continuous dopaminergic stimulation Parkinson’s disease (PD) is characterized by a (CDS) becomes crucial for the treatment of advanced progressive degeneration of dopaminergic neurons PD and the reduction of long-term complications.
    [Show full text]
  • WO 2016/036308 Al 10 March 2016 (10.03.2016) P O P C T
    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2016/036308 Al 10 March 2016 (10.03.2016) P O P C T (51) International Patent Classification: BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, A61K 31/195 (2006.01) A61K 31/277 (2006.01) DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, A61K 9/06 (2006.01) A61P 25/16 (2006.01) HN, HR, HU, ID, IL, IN, IR, IS, JP, KE, KG, KN, KP, KR, A61K 31/198 (2006.01) KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, OM, (21) International Application Number: PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, SC, PCT/SE2015/050939 SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, TN, (22) International Filing Date: TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, ZW. 4 September 2015 (04.09.2015) (84) Designated States (unless otherwise indicated, for every (25) Filing Language: English kind of regional protection available): ARIPO (BW, GH, GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, (26) Publication Language: English TZ, UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, (30) Priority Data: TJ, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, 1451034-1 4 September 2014 (04.09.2014) SE DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, 1550344-4 24 March 2015 (24.03.2015) SE LV, MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, SM, TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, (71) Applicant: LOBSOR PHARMACEUTICALS AK- GW, KM, ML, MR, NE, SN, TD, TG).
    [Show full text]
  • Overview of Parkinson's Disease Treatment Options
    OVERVIEW OF PARKINSON’S DISEASE TREATMENT OPTIONS Delaram Safarpour, MD MSCE Assistant Professor of Neurology OHSU Parkinson Center July, 19 th, 2018 OVERVIEW • Common classes of • What therapies beside medications medication? • Common side effects • What new therapies to expect in the coming years WHAT ARE THE TREATMENT OPTIONS? Medications Exercise Healthy diet Mindfulness Surgical MEDICINE • Carbidopa/levodopa (Sinemet, Rytary) • Dopamine Agonists (pramipexole, ropinirole) • COMT-inhibitors (entacapone) • MAO-I’s (selegiline, rasagiline) LEVODOPA – “OLDIE BUT GOODIE” • Also known as.. • Carbidopa-Levodopa • Sinemet • L-dopa • FDA Approved over 35 years ago • Still the strongest medicine • Still the safest, best tolerated LEVODOPA • How does it work? • Brain converts it into Dopamine • So, restores some of the supply of dopamine to the brain • Restores some of the dopamine signal to get moving again SIDE EFFECTS • Nausea • Fatigue • Visual hallucination, illusions • Dyskinesias (extra movements) • Orthostatic hypotension (low blood pressure when standing) • Cognitive changes RYTARY: (NOT A NEW DRUG! BUT A NEW WAY TO DELIVER AN OLD DRUG!) RYTARY: Indications: • Significant on- off times or dyskinesia • Frequent dosing of Sinemet (carbidopa- levodopa) • Morning off symptoms Important to know that Rytary is the same as C/L but stays in blood for a longer time (4-5 hrs) SIDE EFFECTS: • Nausea • Orthostatic hypotension • Hallucinations and delusions DOPAMINE AGONISTS • Pramipexole (Mirapex) • Ropinirole (ReQuip) • Apomorphine (Apokyn), “rescue”
    [Show full text]