(12) United States Patent (10) Patent No.: US 8.481,518 B2 Wood (45) Date of Patent: Jul

(12) United States Patent (10) Patent No.: US 8.481,518 B2 Wood (45) Date of Patent: Jul

USOO8481.518B2 (12) United States Patent (10) Patent No.: US 8.481,518 B2 WOOd (45) Date of Patent: Jul. 9, 2013 (54) QUATERNARY ANTIMUSCARINIC FOREIGN PATENT DOCUMENTS COMPOUNDS FOR THE TREATMENT OF WO WO98/OO133 1, 1998 BLADDER DISEASES WO WO98/OO138 1, 1998 WO WOO245711 A1 * 6, 2002 (75) Inventor: Ronald W. Wood, Rochester, NY (US) OTHER PUBLICATIONS (73) Assignee: University of Rochester, Rochester, NY Disse et al. (Life Sciences, 1993, 52/5-6:537-544).* (US) Deaney et al., JNeurolNeurosurg Psychiatry, abstract, 1998,65:957 958.* (*) Notice: Subject to any disclaimer, the term of this Walter et al., Neurourology and Urodynamics, 18:447-453, 1999.* patent is extended or adjusted under 35 Kuo, H.C. J. Formos. Med. Assoc. (May 2001), 100(5), 309-14 U.S.C. 154(b) by 1721 days. (abstract).* Chuang et al., Journal of Urology, (Oct. 2009), 182(4), 1393-400.* (21) Appl. No.: 10/542,501 "Anticholinergic Therapy: The State of the Art. Proceedings of a Symposium Held in Stratford-Upon Avon Sep. 8-9, 1986.” (22) PCT Filed: Jan. 15, 2004 Higgenbottam et al., eds. Postgrad. Med. J. 63(Suppl 1): 1-86 and Poster Abstracts and Discussion 63(Suppl 1): 1A-31A (1987). (86). PCT No.: PCT/US2OO4/OOO961 Autret et al., “Plasma Levels of Oxybutynine Chloride in Children.” Eur: J. Clin. Pharmacol. 46:83-85 (1994). S371 (c)(1), Barbalias, G.A., “Interstitial Cystitis: Bladder Training with (2), (4) Date: Jan. 10, 2006 Intravesical Oxybutynin.” J. Urol. 163:1818-1822 (2000). Brendler et al., “Topical Oxybutynin Chloride for Relaxation of (87) PCT Pub. No.: WO2004/064789 Dysfunctional Bladders.”.J. Urol. 141: 1350-1352 (1989). PCT Pub. Date: Aug. 5, 2004 Brown et al., “Proceedings of the National Institute of Diabetes and Digestive and Kidney Diseases International Symposium on (65) Prior Publication Data Epidemiologic Issues in Urinary Incontinence in Women.” Am. J. Obstet. Gynecol. 188:S77-S88 (2003). US 2006/O154951A1 Jul. 13, 2006 Chen et al., “Pulmonary Effects of the Cocaine Pyrolysis Product, Methylecgonidine, in Guinea Pigs.” Life Sciences 56(1):7-12 (1995). Related U.S. Application Data Davilla, G.W., “Advances in Anticholinergic Therapy Delivery Sys tems.” Urology Times, pp. 1-2 (Jun. 2002). (60) sial application No. 60/441,391, filed on Jan. Disse et al., “Ba 679 BR, A Novel Long-Acting Anticholinergic Bronchodilator.” Life Sciences 52:537-544 (1993). Disse et al., “Tiotropium (SpirivatM): Mechanistical Considerations (51) Int. Cl. and Clinical Profile in Obstructive Lung Disease.” Life Sciences A6 IK3I/33 (2006.01) 64(6/7);457-464 (1999). A61 K3I/00 (2006.01) Eichel et al., “Assessment of Murine Bladder Permeability with (52) U.S. C. Fluorescein: Validation With Cyclophosphamide and Protemine.” USPC ...................................... 514/183; 514/211.01 Urology 58(1): 113-118 (2001). (58) Field of Classification Search El-Fawal et al., Airway Smooth Muscle Relaxant Effects of the Cocaine Pyrolysis Product, Methylecgonidine.” J. Pharm. Exp. Ther. USPC .......................................................... 514f183 272(3):991-996 (1995) See application file for complete search history. Gearien, J.E., "Cholinergics, Acetylcholinesterases, and Antispasmodics.” Foye, W.O., eds. Principles of Medicinal Chem (56) References Cited istry, Lean and Febiger, Philadelphia, PA, Chapter 15, pp. 323-341 (1989). U.S. PATENT DOCUMENTS Fransta et al., “Implementing an Incontinence Management Protocol 2.648,667 A 8, 1953 Sternbach in Long-Term Care.” J. Gerontological Nursing 29(8):46-53 (2003). 4467,095 A 8, 1984 Treves et al. Heller et al., “Muscarinic Receptor Agonists and Antagonists.” 5,001,160 A 3, 1991 McPherson et al. 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Attorney, Agent, or Firm — LeClairRyan, a 6,063,808 A * 5/2000 Fabiano et al. ... 514,424 Professional Corporation 6,110,972 A * 8/2000 Fabiano et al. ... 514,643 6,124.354 A * 9/2000 Akerblom et al. .. 514,530 (57) ABSTRACT 6,171,298 B1* 1/2001 Matsuura et al. ... 604/891.1 6,183,461 B1* 2/2001 Matsuura et al. ... ... 604,502 The present invention relates to a method for treating bladder 6,204.285 B1* 3/2001 Fabiano et al. ............... 514,424 disease, including urinary incontinence, which involves intra 6,482,837 B1 1 1/2002 Wood vesical administration of quaternary antimuscarinic com 83 R $398 E. al pounds having longer duration of effect and fewer side effects 6,974,820 B2 * 12/2005 Aberg ........................... 514/278 than standard treatments. 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