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Use of hyaluronic acid or its derivatives to enhance delivery of antineoplastic agents

a technology of antineoplastic agents and hyaluronic acid, which is applied in the direction of drug composition, immunological disorders, metabolism disorders, etc., can solve the problems of difficult drug administration, increased risk of cancer,

Inactive Publication Date: 2006-06-15
ALCHEMIA ONCOLOGY PTY LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0078] Applicants have now discovered that combinations and formulations (for example an injectable formulation) can be provided for administration to a mammal for the treatment of a disease or condition, which combinations or formulations employ or incorporate as the case may be a therapeutically effective non-toxic amount of a medicinal and / or therapeutic agent to treat the disease or condition (for example a free radical scavenger (for example ascorbic acid (Vitamin C)), Vitamin C (for the treatment of mononucleosis), an anti-cancer agent, chemotherapeutic agent, anti-viral agents for example a nonionic surfactant, e.g. nonoxynol-9 [nonylphenoxy polyethoxy ethanol] found in Delfen™ contraceptive cream, and anionic surfactants (e.g. cetyl pyridinium chloride) and cationic surfactants (e.g. benzalkonium chloride), non-steroidal anti-inflammatory drugs (NSAID) for example indomethacin, naproxen and (+ / −) tromethamine salt of ketorolac (sold under the trademark Toradol™) and steroidal anti-inflammatory drugs, anti-fungal agent, detoxifying agents (for example for administration rectally in an enema), analgesic, bronchodilator, anti-bacterial agent, antibiotics, drugs for the treatment of vascular ischemia (for example diabetes and Berger's disease), anti-body monoclonal agent, minoxidil for topical application for hair growth, diuretics (for example furosemide (sold under the trademark Lasix™)), immunosuppressants (for example cyclosporins), lymphokynes (such as interleukin-2 and the like), alpha-and-1-interferon and the like) administered with, or carried in, an amount of hyaluronic acid and / or salts thereof (for example the sodium salt) and / or homologues, analogues, derivatives, complexes, esters, fragments, and / or sub units of hyaluronic acid (preferably hyaluronic acid and salts thereof) sufficient to facilitate the agent's penetration through the tissue (including scar tissue), at the site to be treated through the cell membranes into the individual cells to be treated. When such combinations and formulations are administered to patients suffering from the disease or condition, the disease or condition is unexpectedly improved.

Problems solved by technology

This compression makes it harder to administer drugs.
Moreover, tumors change daily as they grow and rearrange parts.
Pressure is not uniform in normal tissue, Dr.
By then, it may be too late for treatments to do any good.
In this regard, when agent (a) is transported into the tumor cells and the tumor cells are stressed, there is an inadequate amount of glucose available to the tumor cells for them to continue to function metabolically.
Thus the tumor cell is impaired in its energy supply and dies.
However, research into the drug delivery system over the past two decades has shown that the artificial, cell-sized spheres form spontaneously with only a small subset of drugs available today thus limiting their use.”
This observation is correct and represents a major challenge to the immune surveillance theory unless a specific reason can be shown as to why the individual cancer cell can develop plus individually evade the immune system.
There were continued problems with the use of any of these agents in the actual human in vivo experience.
All-of the non-steroidal anti-inflammatory agents (NSAID) produced major toxicity in terms of gastro-intestinal, neurological, and other areas.
While intravenous preparations exist of Indomethacin and now of other agents, the data is overwhelming, as is our own experience, that using these drugs alone produces prohibitive side effects in human subjects.
Therefore only insufficient amounts can be brought into the body to effect more than occasional responses in neoplasm.

Method used

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  • Use of hyaluronic acid or its derivatives to enhance delivery of antineoplastic agents
  • Use of hyaluronic acid or its derivatives to enhance delivery of antineoplastic agents

Examples

Experimental program
Comparison scheme
Effect test

case i

[0161] A 59 year old male with a laryngeal epidermoid (squamous type tumor) treated in its primary state with a combination of surgery and radiation developed metastatic disease in the liver some seven years later. Two major tumors were noted at a size of 12 cm and 6 cm diameter. These were treated with combination therapy using systemic chemotherapy with added DMSO to enhance penetration, phloretin

[0162] solubilized by N methyl glucamine with added DMSO to enhance penetration and the direct administration of

[0163] adriamycin, carboplatinum and methotrexate into the tumor by systemic and intratumor injection therapy but in this case but with added hyaluronic acid at a dose of 10 to 60 mgs for the different drugs. This was achieved without any adverse effects and the patient was reassessed four weeks later. At that point in time the smaller tumor had disappeared entirely. The larger tumor was apparent only as a necrotic focus measuring now 5 cm in diameter but no apparent surviving...

case ii

[0165] A 42 year old female developed malignant melanoma with tumor present in the left upper thigh and inguinal nodes, the abdominal cavity and liver, lungs, and the base of the brain affecting involvement of various cranial nerves. Her primary tumor had been excised and she had developed recurrent disease which was deemed untreatable as there is no cytotoxic or cytostatic chemotherapy that has major effects on this tumor when it is as widespread as observed in this patient. The patient was treated with a combination of phloretin solubilized in N methyl glucamine with added hyaluronic acid at a dose of 10 to 50 mg / 2 to 4 grams administered intravenously and this agent was given for five days over 4-24 hours / day. She also received hyperthermia to the various areas of the tumor and concomitant systemic therapy with carboplatinum with added hyaluronic acid at a dose of 250 mg carboplatinum total plus methyl CCNU administered at a total dose of 120 mg over 5 days orally while the patie...

case iii

[0167] A 55 year old female patient with cancer of the gallbladder occupying the entire right lobe of the liver. This patient had been treated on three previous occasions with a combination of heat, systemic chemotherapy with added DMSO, phloretin with added DMSO and direct injection of cytotoxic drugs with added DMSO. Beginning May 1989 she was treated with the comparable drugs with added hyaluronic acid as a carrier or dispersing molecule administered both systemically and by direct injection into the tumor. The tumor which had shrunk marginally by approximately 20% prior to this now reduced in size dramatically by over 50% and continues to diminish in size. This tumor is judged unresponsive to these drugs alone when administered by the normal routes.

Follow-Up

[0168] Unfortunately the patient relapsed, became depressed and died.

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Abstract

A combination for administration to a mammal which combination employs a therapeutically effective amount of a medicinal and / or therapeutic agent to treat a disease or condition and an amount of hyaluronic acid and / or salts thereof and / or homologues, analogues, derivatives, complexes, esters, fragments and subunits of hyaluronic acid sufficient to facilitate the agent's penetration through the tissue (including scar tissue) at the site to be treated, through the cell membranes into the individual cells to be treated.

Description

FIELD OF INVENTION [0001] The invention relates to, formulations suitable for use to treat conditions and disease, (for example cancer), the use of such formulations to treat conditions and disease, methods of treating conditions and disease, and the delivery of medicinal and therapeutic agents for the treatment of disease and conditions. BACKGROUND OF THE INVENTION [0002] In an article entitled “Solid cores of tumors keeping out best drugs” by Sandra Blakeslee published in the Jul. 8, 1989 edition of the Globe and Mail, Toronto, Ontario, Ms. Blakeslee submitted that a growing number of researchers believe that a basic misunderstanding of the structure of solid tumors has led researchers into designing cancer drugs that are doomed to fail in many patients. [0003] She relates that, Dr. Herberman, Director of the Pittsburgh Cancer Center, said that for decades, cancer researchers have simply developed drugs, put them in the bloodstream and assumed they would be carried to the tumor gi...

Claims

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Application Information

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IPC IPC(8): A61K31/728A61K31/60A61K31/405A61K31/192A61K31/34A61KA61K9/00A61K31/12A61K31/136A61K31/19A61K31/196A61K31/282A61K31/375A61K31/40A61K31/407A61K31/44A61K31/505A61K31/5415A61K31/56A61K31/70A61K31/7034A61K31/706A61K31/715A61K38/00A61K38/21A61K45/00A61K45/06A61K47/00A61K47/36A61P5/24A61P9/00A61P11/08A61P17/00A61P29/00A61P35/00A61P37/00C08B37/08
CPCA61K9/0014A61K9/0019A61K31/19A61K31/192A61K31/196A61K31/405A61K31/407A61K31/44A61K31/503A61K31/5415A61K31/616A61K31/715A61K31/728A61K45/06A61K47/36A61K47/4823A61K2300/00A61K31/54A61K31/40A61K31/195A61K31/375A61K31/13A61K31/10Y10S514/887Y10S514/886A61K47/61A61P11/08A61P17/00A61P29/00A61P3/00A61P31/00A61P35/00A61P37/00A61P5/24A61P7/10A61P9/00
Inventor FALK, RUDOLF EDGARASCULAI, SAMUEL S.
Owner ALCHEMIA ONCOLOGY PTY LTD
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