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Compositions and methods to prevent toxicity induced by nonsteroidal antiinflammatory drugs

a non-steroidal anti-inflammatory drug and composition technology, applied in the direction of drug compositions, peptides, peptides/protein ingredients, etc., can solve the problems of potentially toxic to cells, irritating salicylic acid itself, and only being used externally

Inactive Publication Date: 2005-02-17
NICOX SA
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

In another aspect the invention provides a method to decrease or reverse the gastrointestinal toxicity of nonsteroidal antiinflammatory drugs adminstered to an animal, particularly a human, by co-administering to said animal a nitric oxide donor. The NSAID and nitric oxide donor can be administered separately or as components of the same composition.
In another aspect the invention provides a method to decrease or reverse the renal toxicity of nonsteroidal antiinflammatory drugs administered to an animal, particularly a human, by co-administering to said animal a nitric oxide donor. The NSAID and nitric oxide donor can be administered separately or as components of the same composition.
Another contemplated NSAID is tolmetin which, like the other NSAIDs discussed herein, causes gastric erosion and prolonged bleeding time.

Problems solved by technology

Salicylic acid itself is so irritating that it can only be used externally.
NO. is a highly reactive short-lived species that is potentially toxic to cells.

Method used

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  • Compositions and methods to prevent toxicity induced by nonsteroidal antiinflammatory drugs
  • Compositions and methods to prevent toxicity induced by nonsteroidal antiinflammatory drugs
  • Compositions and methods to prevent toxicity induced by nonsteroidal antiinflammatory drugs

Examples

Experimental program
Comparison scheme
Effect test

example 2

N—(N-L-γ-glutamyl-S-Nitroso-L-cysteinyl)glycine

N—(N-L-γ-glutamyl-L-cysteinyl)glycine (100 g, 0.325 mol) was dissolved in deoxygenated water (200 ml) and 2N HCl (162 ml) at room temperature and then the reaction mixture was cooled to 0° C. With rapid stirring, a solution of sodium nitrite (24.4 g, 0.35 mol) in water (40 ml) was added and stirring with cooling of the reaction mixture was continued for approximately 1 hour after which time the pink precipitate which formed was collected by vacuum filtration. The filter cake was resuspended in chilled. 40% acetone-water (600 ml) and collected by vacumm filtration. The filter cake was washed with acetone (2×200 ml) and ether (100 ml) and then dried under high vacuum at room temperature in the dark to afford the title compound as a pink powder. 1H NMR (D2O) δ: 1.98 (m, 2H), 2.32 (t, 2H), 3.67 (t, 1H), 3.82 (s 2H), 3.86 (dd, 1H), 3.98 (dd, 1H), 4.53 (m, 1H).

example 3

S-Nitroso-triphenylmethanethiol

Triphenylmethyl mercaptan (0.050 g, 0.18 mmol) was dissolved in anhydrous methylene chloride and cooled to 0° C. Tert-butyl nitrite (0.186 g, 1.80 mmol) was added and the resulting mixture was stirred at 0° C. for 30 min. The reaction mixture was allowed to warm to room temperature and stirred at room temperature for 1 hour. The solvent and excess of tert-butyl nitrite were evaporated to give the title compound as a green solid (0.054 g, 98%). 1H NMR (CDCl3) δ: 7.13-7.18 (m, 4H), 7.25-7.39 (m, 11␣H).

example 4

4-O-Nitroso-1-(3-benzoyl-α-methylbenzeneacetic acid)butyl ester

4a. 4-Hydroxy-1-(3-benzoyl-α-methylbenzeneacetic acid)butyl ester

3-Benzoyl-α-methylbenzeneacetic acid (4 g, 16 mmol) and 100 μL DMF were dissolved in benzene (25 mL). Oxalyl chloride (1.6 mL, 18 mmol) was added dropwise. Stirring was continued for 2 hr before concentration to a syrup. Butanediol (9 mL, 100 mmol) and pyridine (1.67 mL, 21 mmol) were dissolved in CH2Cl2 (100 mL) and dioxane (15 mL) and cooled to 0° C. A solution of the acid chloride was added in CH2Cl2 (20 mL). The reaction mixture was stirred cold for 20 min then warmed to room temperature with stirring for 2 hr. The solution was washed 1×30 H2O, 1 N HCl, satd NaHCO3 and brine; dried over Na2SO4; and the volatiles were evaporated. The residue was filtered through a pad of silica gel eluting with 2:1 Hex:EtOAc to yield 4.8 g (91%) of hydroxy ester. 1H NMR (CDCl3) δ 7.41-7.81 (mult, 9H), 4.08-4.15 (mult, 2H), 3.79 (q, J=7.2 Hz, 1H), 3.59 (t, J=6.3 Hz, 2...

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Abstract

Nonsteroidal antiinflammatory drugs which have been substituted with a nitrogen monoxide group; compositions comprising (i) a nonsteroidal antiinflammatory drug, which can optionally be substituted with a nitrogen monoxide group and (ii) a compound that directly donates, transfers or releases a nitrogen monoxide group (preferably as a charged species, particularly nitrosonium); and methods of treatment of inflammation, pain, gastrointestinal lesions and / or fever using the compositions are disclosed. The compounds and compositions protect against the gastrointestinal, renal and other toxicities that are otherwise induced by nonsteroidal antiinflammatory drugs.

Description

FIELD OF THE INVENTION This invention relates to the field of “aspirin-like” or nonsteroidal antiinflammatory drug compounds and compositions that prevent, reduce or reverse the gastrointestinal, renal, and other toxicities associated with nonsteroidal antiinflammatory drugs. BACKGROUND OF THE INVENTION Arena et al., WO94 / 12463, discloses the chemistry and pharmacology of nitroxybutylester ((CH2)4—ONO2) derivatives of several aryl propionic acid non-steroidal antiinflammatory drugs including ketoprofen, flurbiprofen, suprofen, indobufen and etodolac. Studies on nitroxybutylester derivatives of flurbiprofen and ketoprofen are also reported in Wallace et al., Gastroenterology, 107:173-179 (1994). See, also, Cuzzolin et al., Pharmacol. Res., 29(1):89-97 (1994); Reuter et al., Life Sci. (USA), 55 / 1(PL1-PL8) (1994); Reuter et al., Gastroenterology, 106(4):Suppl. A759 (1994); Wallace et al., Eur. J. Pharmacol., 257(3):249-255 (1994); Wallace et al., Gastroenterology, 106(4):Suppl. A208 ...

Claims

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Application Information

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IPC IPC(8): C07D417/04A61K31/00A61K31/19A61K31/403A61K31/404A61K31/405A61K31/54A61K31/541A61K38/00A61K45/00A61P1/00A61P1/04A61P29/00A61P43/00C07C203/00C07C327/28C07C381/00C07D209/28C07D417/12C07J41/00C07K5/02
CPCA61K31/343A61K31/60A61K38/00C07C203/00C07C327/28C07C381/00C07D209/28C07K5/0215C07J41/0055C07D417/12A61K2300/00A61P1/00A61P1/04A61P9/00A61P19/02A61P25/28A61P29/00A61P43/00
Inventor GARVEY, DAVID S.LETTS, L. GORDONRENFROE, H. BURTTAM, SANG WILLIAM
Owner NICOX SA