Methods and compositions for reducing or preventing vascular calcification during peritoneal dialysis treatment

A technology of peritoneal dialysis and vascular calcification, which is applied in the field of medical treatment, can solve the problems of reduced applicability and patients' inability to excrete drugs, and achieve the effect of preventing vascular calcification and reducing the progress of vascular calcification

A technology of peritoneal dialysis and vascular calcification, which is applied in the field of medical treatment, can solve the problems of reduced applicability and patients' inability to excrete drugs, and achieve the effect of preventing vascular calcification and reducing the progress of vascular calcification

CN107080752BActive Publication Date: 2020-07-31BAXTER INT INC +1

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  • Methods and compositions for reducing or preventing vascular calcification during peritoneal dialysis treatment
  • Methods and compositions for reducing or preventing vascular calcification during peritoneal dialysis treatment
  • Methods and compositions for reducing or preventing vascular calcification during peritoneal dialysis treatment

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0054] Pharmacokinetic / Bioavailability Studies

[0055] Fifty-four male Sprague Dawley rats, each approximately 250 g, were randomly divided into two groups, intravenous ("IV") administration and intraperitoneal ("IP") administration. Both groups received a pyrophosphate ("PPi") dose of 2.0 mg / kg. As a single bolus, Group 1 was administered pH-adjusted (7.4), 4 mL / kg via tail vein infusion, containing PPi 2.25 mM and P-32-labeled PPi (50 μCi, specific activity 84.5 Ci / mmol). saline solution, and then rinsed with 0.2 mL of saline. Group 2 was administered PPi and P-32-labeled PPi (50 μCi, specific activity 84.5 Ci / mmol) via a single intraperitoneal injection at 40 0.15mM solution in dialysis solution at a dose of 60mL / kg. Blood (IV) as well as blood (IP) and peritoneal fluid (IP) were collected at various time points up to 8 hours post-dose.

[0056] Plasma and peritoneal fluid were analyzed by two methods: a liquid scintillation method to analyze total radioactivity, an...

Embodiment 2

[0064] Establishing vascular calcification as a model of human disease in the dialysis population

[0065] The homozygous apolipoprotein E knockout (apoE - / - ) mice were housed in polycarbonate cages in a pathogen-free, temperature-controlled (25° C.) room with a strict 12-hour light / dark cycle, and had ad libitum access to laboratory chow and water. All procedures were in accordance with the National Institutes of Health ("NIH") Guidelines for the Care and Use of Laboratory Animals (NIH Publication No. 85-23).

[0066] In 8-week-old female apoE - / - Chronic renal failure ("CRF") was established in mice, which were then randomly assigned to 4 groups as follows:

[0067] 1) Non-CRF-EKO (ApoE knockout) animals (control group, 6 mice);

[0068] 2) CRF / EKO animals treated only with dialysis solution without PPi (CRF placebo group, 8 mice);

[0069] 3) CRF / EKO animals (CRF PPi low dose group, 8 mice) treated with low dose PPi (30 μM, about 0.21 mg PPi / kg body weight / day) in di...

Embodiment 3

[0080] The maximum tolerated dose study was conducted according to the study design in Table 3. The administered solution consisted of dextrose concentrate or modified dextrose concentrate mixed with buffer concentrate or modified buffer concentrate in a 3:1 ratio (dextrose:buffer). The compositions of the concentrates are shown in Tables 4-7. PPi was contained in the buffers or modified buffer solutions shown in Tables 5 and 7. As a bolus injection, each test article or control article was intraperitoneally administered once daily in a volume of 40 mL / kg to each of five different female rats through a butterfly needle for 7 consecutive days. Necropsy was performed one day after the last dose.

[0081] Septal tissue samples from all rats were trimmed, processed, embedded in paraffin, and sectioned. Hematoxylin and eosin stained slides were prepared and examined by light microscopy. Microscopic observations were subjectively graded according to the relative severity of the ...

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Abstract

The present invention provides methods and compositions for reducing or preventing vascular calcification during peritoneal dialysis treatment. In a specific embodiment, the present disclosure provides a method comprising administering to a patient during peritoneal dialysis treatment a dialysis solution comprising a therapeutically effective amount of pyrophosphate ranging between about 30 μM and about 400 μM. Formulation of dialysis solutions according to the dosage range claimed in the present disclosure allows delivery of therapeutic amounts of pyrophosphate to peritoneal dialysis patients.

Description

[0001] This application is a divisional application of the international application PCT / US2011 / 033571, which entered the Chinese national phase on October 23, 2012, with the application number 201180020505.9, and the title of the invention "Method and composition for reducing or preventing vascular calcification during peritoneal dialysis treatment" . technical field [0002] The present disclosure generally relates to medical treatment. More specifically, the present disclosure relates to methods and compositions for reducing, preventing, or reducing the progression of vascular calcification in a patient in conjunction with peritoneal dialysis treatment and replacement therapy for insufficient pyrophosphate levels. Background technique [0003] A person's kidney system can fail due to disease, injury, or other causes. In renal failure of any cause, there are several physiological disturbances. Water, mineral balance and excretion of the daily metabolic load are no longer...

Claims

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Application Information

Patent Timeline
31 Jul 2020
Publication
CN107080752B
IPC
A61K9/08; A61K33/42; A61P9/10
CPC
A61K9/0019; A61K9/08; A61K33/42; A61M1/287; A61P7/08; A61P9/00; A61P9/10
Inventors
布鲁斯·L·里瑟尔; 杰弗里·A·怀特