Methods for the Treatment of Systemic Disorders Treatable with Mast Cell Stabilizers, including Mast Cell Related Disorders

a mast cell stabilizer and mast cell technology, applied in the direction of aerosol delivery, immunological disorders, inorganic non-active ingredients, etc., can solve the problems of systemic mast cell related disorders, abnormal release of pro, excessive proliferation of mast cells, etc., and achieve the effect of well-tolerated

Inactive Publication Date: 2015-08-13
RESPIVANT SCI GMBH
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0006]The foregoing and further needs are satisfied by embodiments of the methods disclosed herein. Specifically, disclosed herein are methods of treating a systemic mast cell related disorder by delivering a systemically effective amount of a mast cell stabilizer to a patient. In certain embodiments, the systemic mast cell related disorder is selected from the group consisting of a mast cell activation syndrome; mastocytosis; idiopathic urticaria; chronic urticaria; atopic dermatitis; idiopathic anaphylaxis; Ig-E and non Ig-E mediated anaphylaxis; angioedema; allergic disorders; irritable bowel syndrome; mastocytic gastroenteritis; mastocytic colitis; fibromyalgia; kidney fibrosis; atherosclerosis; myocardial ischemia; hypertension; congestive heart failure; pruritus; chronic pruritus; pruritus secondary to chronic kidney failure; heart, vascular, intestinal, brain, kidney, liver, pancreas, muscle, bone and skin conditions associated with mast cells; CNS diseases such as Parkinson's disease and Alzheimer's disease; metabolic diseases such as diabetes; sickle cell disease; autism; chronic fatigue syndrome; lupus; chronic lyme disease; interstitial cystitis; multiple sclerosis; cancer; migraine headaches; psoriasis; eosinophilic esophagitis; eosinophilic gastroenteritis; Churg-Strauss syndrome; hypereosinophilic syndrome; eosinophilic fasciitis...

Problems solved by technology

Systemic mast cell related disorders may result from excessive proliferation of mast cells or abnormal release of pro-inflammatory and vasoactive mediators.
The utility of mast cell stabilizers in the treatment of systemic mast cell related disorders, such as mastocytosis, has been limited.
For example, cromolyn sodium (also known as disodium cromoglycate or DSCG) was first approved in 1973 and is widely considered safe, but it has found limited utility because the amount of the compound that can be delivered systemically is inadequate.
However, the oral solutio...

Method used

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Examples

Experimental program
Comparison scheme
Effect test

example 1

Formulations

[0205]The formulations described in Table 1 are prepared as follows: The composition ingredients are added sequentially to a glass beaker with a magnet stirrer and about 90 g of purified water in the order listed in Table 1, ensuring that each ingredient is dissolved before the next is added. The weight is then adjusted to 100.0 g by adding additional purified water. The resulting solutions are then sterilized by filtration through 0.2-0.22 μm sterile filters, and 0.5 to 5 mL aliquots are added to pre-sterilized glass or sterile polyethylene or polypropylene blow fill and seal vials by a standard blow fill and seal procedure. Alternative sterilization methods may be applied using heat sterilization in an autoclave.

TABLE 1Formulation No.12345678910111213Cromolyn sodium (DSCG)2.03.04.04.04.04.04.05.06.03.03.03.03.0(wt %)NaCl (wt %)0.70.50.30.250.20.20.20.150.10.20.30.40.5Mannitol (wt %)0.40.81.01.11.21.25 1.25 1.41.5EDTA-Na (wt %)0.01 0.02 0.03 0.010.02 0.030.020.030.04 0....

example 2

Characterization of Aerosols Produced with a High Efficiency Nebulizer

[0206]The MMAD, GSD, DD, and RF of a representative inhaled cromolyn sodium formulation (PA-101) delivered via a high efficiency nebulizer (eFlow®, PARI, 30L) were determined as described in USP. The values determined were: MMAD=3.5 μm; GSD=1.7; DD=68%; RF (≦5 μm)=75%; and RF (≦3.3 μm)=44%.

[0207]The MMAD, GSD, and RF of a representative inhaled cromolyn sodium formulation (PA-101) delivered via a high efficiency nebulizer (eFlow®, PARI, 40L) were determined as described in USP. The values determined were: MMAD=4.1 μm; GSD=1.7; RF (≦5 μm)=66%; and RF (≦3.3 μm)=36%.

example 3

Single-Dose, Dose Escalation Study

Objectives:

[0208]The objectives of the study are as follows:

Primary:

[0209]Part 1: To determine the systemic availability and pharmacokinetic (PK) profile of single doses of a representative inhaled cromolyn sodium formulation (PA-101) delivered via a high efficiency nebulizer (eFlow®, PARI) using two different aerosol membranes (30L and 40L) in comparison with marketed formulations of cromolyn sodium (oral solution and an inhalation aerosol) in healthy subjects.

[0210]Part 2: To assess the pharmacokinetic profile of PA-101 administered as single day three times daily dosing via a high efficiency nebulizer (eFlow®, PARI) in comparison with marketed formulations of cromolyn sodium (oral solution and inhalation aerosol) administered as single day TID dosing in patients with systemic mastocytosis.

Secondary:

[0211]To assess the safety and tolerability of PA-101 in comparison with marketed formulations of cromolyn sodium (oral solution and an inhalation aer...

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Abstract

Methods for the treatment of systemic disorders treatable with mast cell stabilizers, including mast cell related disorders, are provided.

Description

CROSS-REFERENCE[0001]This application claims the benefit of U.S. Provisional Application No. 62 / 105,423, filed Jan. 20, 2015; and claims the benefit of U.S. Provisional Application No. 61 / 978,711, filed Apr. 11, 2014; and claims the benefit of U.S. Provisional Application No. 61 / 971,709, filed Mar. 28, 2014; and claims the benefit of U.S. Provisional Application No. 61 / 937,928, filed Feb. 10, 2014, all of which are incorporated herein by reference in their entireties.BACKGROUND OF THE INVENTION[0002]Mast cells play a key role in the inflammatory process. They are found in the perivascular spaces of most tissues and contain pro-inflammatory and vasoactive mediators, such as serine proteases, tryptase, histamine, serotonin, proteoglycans, thromboxane, prostaglandin D2, leukotriene C4, platelet-activating factor, and eosinophil chemotactic factor. When activated, mast cells rapidly release granules and various hormone mediators into the interstitium, a process referred to as degranulat...

Claims

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Application Information

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IPC IPC(8): A61K31/352A61K9/00
CPCA61K31/352A61K9/0078A61K9/0075A61K31/277A61K31/4422A61K31/4535A61K31/4741A61K47/183A61M11/00A61M11/005A61M11/041A61M11/06A61M15/00A61M15/009A61M2202/064A61P37/08Y02A50/30A61K9/12A61K47/02H05K999/99
Inventor GERHART, WILLIAMKELLER, MANFREDTUTUNCU, AHMETSONI, PRAVIN
Owner RESPIVANT SCI GMBH
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