Effective Amounts of (3aR)-1,3a,8-Trimethyl-1,2,3,3a,8,8a-hexahydropyrrolo [2,3-b]indol-5-yl Phenylcarbamate and Methods of Treating or Preventing Neurodegeneration
a technology of phenylcarbamate and effective amounts, which is applied in the field of effective amounts of (3ar)-1,3a,8-trimethyl-1,2,3,3a,8,8a-hexahydropyrrolo and methods of treating or preventing neurodegeneration, can solve the problems of deterioration of brain function, nerve cell death, and impairment of brain function, and achieve the effect of inhibiting production
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example 1
Inhibition of Aβ1-42 Levels
[0172]In order to correlate plasma and tissue levels of Compound (1) with reduction of amyloid protein levels, mice were administered Compound (1) orally at various doses (25 mg / kg / day; 50 mg / kg / day; and 100 mg / kg / day) for a period of 21 days. The Aβ1-42 levels in the brain of the mice were determined (FIG. 20A), using a sandwich ELISA assay.
[0173]Mice and humans were orally dosed with Compound (1) and the plasma levels of this compound were determined as a function of time after administration (FIG. 20B). The plasma concentrations of Compound (1) were determined by LC / MS / MS. The data illustrated in FIGS. 20A and 20B suggest that the levels of Compound (1) in human plasma upon oral administration of this compound are greater than the levels of Compound (1) in mice for which a reduction in amyloid protein was observed.
example 2
Proof of Mechanism Study
[0174]For a proof of mechanism study of Compound (1), patients suffering from mild cognitive impairment (MCI) were treated with Compound (1) for 10 days. The patients were dosed with 4×60 mg Compound (1) for 10 days orally, using Posiphen® powder filled into gelatin capsules. Cerebrospinal fluid (CSF) and plasma were drawn from the subjects over a 12 hour period on day 0 and day 11.
[0175]Pharmacokinetic analysis was performed for Compound (1) and selected metabolites: N1-norposiphen, N8-norposiphen, and N1,N8-norposiphen. Pharmacodynamic analysis was performed for APP protein and other AD associated biomarkers in CSF and plasma: APP, Aβ1-40, Aβ1-42, N-APP, AChEI, BChEI, Tau / p-Tau, NGF, BDNF, and inflammatory factors.
[0176]The following schedule of PK monitoring was implemented for each species:
(a) in the mouse, oral / gavage or ip / injection: plasma and brain were analyzed at 90, 120, and 180 minutes after administration of the drug, on days 1, 10, 14 and 21.
(b)...
example 3
Effect of Administration of Posiphen® on Human Biomarkers
[0180]Levels of biomarkers were monitored in humans after 10 days of administration of Compound (1). The results are summarized in FIG. 23.
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