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Treatment for primary biliary cholangitis

a biliary cholangitis and compound technology, applied in the field of development of therapeutic compounds for the prevention and treatment can solve the problems of additional medical therapy and/or liver transplantation, one out of three patients does not adequately respond, etc., to achieve the effect of preventing the progression of primary biliary cholangitis, rapid onset of ductopenia, and increasing liver fibrosis

Inactive Publication Date: 2021-03-25
CADILA HEALTHCARE LTD
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention provides the use of a therapeutic compound, Saroglitazar, and its pharmaceutically acceptable salts, for the treatment of primary biliary cholangitis (PBC). The invention is based on the use of a combination of saroglitazar and other compounds, such as ursodeoxycholic acid and budesonide, which have been shown to have therapeutic effects in patients with PBC. The invention aims to provide an improved treatment for PBC that can prevent the disease from progressing to liver failure and offer an alternative to current treatments.

Problems solved by technology

One out of three patients does not adequately respond to UDCA therapy and may need additional medical therapy and / or liver transplantation.

Method used

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  • Treatment for primary biliary cholangitis
  • Treatment for primary biliary cholangitis
  • Treatment for primary biliary cholangitis

Examples

Experimental program
Comparison scheme
Effect test

example 1

of Compound of Formula (Ia) in Carbon Tetrachloride-Induced Liver Fibrosis in Male Sprague Dawley Rats

Purpose

[0104]The objective of this study was to evaluate the efficacy of Compound of formula (Ia) in hepatic fibrosis induced by carbon tetrachloride administration in male Sprague Dawley rats.

Methods

[0105]To assess the effect of Compound of formula (Ia) on the progression of established hepatic fibrosis, fibrosis was induced in rats by twice weekly carbon tetrachloride (CCl4) injections for 2 weeks via an intraperitoneal route. Compound (Ia) (0.4 and 4 mg / kg / day), pioglitazone (10 mg / kg / day), fenofibrate (100 mg / kg / day) or vehicle (Tween 80 and 0.5% sodium salt of carboxymethylcellulose at ratio of 0.5:99.5) was then orally administered for 4 weeks to animals concomitantly with continued CCl4 injections.

[0106]After 4 weeks of treatment, blood samples were collected 1 h post-dose, for estimation of non-fasted serum ALT and other serum parameters. All the animals were sacrificed; liv...

example 2

tic Activity of Compound of Formula (Ia) Will be Evaluated in the Thioacetamide (TAA) Model of Liver Fibrosis in Rats

Purpose

[0109]The objective of this study is to evaluate the efficacy of Compound (Ia) in hepatic fibrosis and induced by thioacetamide (TAA) administration in male Sprague Dawley rats. Secondarily hepatic fibrosis causes increased portal pressure so effect on portal pressure will also be evaluated in this model.

Methods

[0110]To assess the effect of Compound (Ia) on the progression of established hepatic fibrosis, fibrosis will be induced in rats by intraperitoneal TAA injections (50-150 mg / kg) or, and animals will be treated with Compound (Ia) at 4 mg / kg dose or vehicle according to the following study design. First TAA and or test compound will be given simultaneously for a period of 6 weeks and in second design first TAA was administered and for a period of 6 weeks and then week-6 onwards treatment will be initiated at 4 mg / kg dose of Compound (Ia).

[0111]After 6 week...

example 3

, Prospective, Multicenter, Randomized, Open Label, Study to Evaluate Safety, Tolerability and Efficacy of Saroglitazar (as its Magnesium Salt) in Patients with Primary Biliary Cholangitis

[0114]Objectives: The purpose of this study is to evaluate the safety tolerability, and efficacy of Saroglitazar (as its Magnesium salt) in patients with Primary Biliary Cholangitis.

Primary Evaluation Criteria:

[0115]To investigate the effect of a 16-week treatment regimen of Saroglitazar (as its Magnesium salt), 4 mg on alkaline phosphatase (ALP) levels in patients with Primary Biliary Cholangitis

Secondary Endpoints

[0116]To compare the effect of Saroglitazar (as its Magnesium salt) compared to Obeticholic Acid for the following parameters following a 16-week treatment regimen:[0117]Alkaline Phosphatase[0118]Pruritus[0119]Lipids profile: TG, TC, HDL, LDL, and VLDL[0120]Liver function test: GGT, ALT, AST, bilirubin and albumin[0121]Quality of life[0122]Safety and tolerability of Saroglitazar Magnesiu...

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Abstract

The present invention provides therapeutic compound for prevention and treatment of primary biliary cholangitis, (PBC). Specifically, the present invention provides pharmaceutical composition comprising a compound of Formula (I) or a pharmaceutically acceptable salt thereof, for the treatment of PBC.

Description

RELATED APPLICATIONS[0001]This application claims the benefit of and priority to Indian Patent Application No. 201621042122, filed Dec. 9, 2016; the contents of which are hereby incorporated by reference in their entirety.FIELD OF THE INVENTION[0002]The present invention is related to the development of therapeutic compound for prevention and treatment of primary biliary cholangitis, (PBC). Specifically, the present invention provides the use of Saroglitazar and its pharmaceutically acceptable salts for the treatment of PBC.BACKGROUND OF THE INVENTION[0003]Primary biliary cholangitis, (PBC) is a chronic inflammatory autoimmune disease that mainly targets the cholangiocytes of the interlobular bile ducts in the liver. The condition primarily affects middle-aged women. Without treatment, PBC generally progresses to cirrhosis and eventually liver failure over a period of 10-20 years. PBC is a rare disease with prevalence of less than 1 / 2000. PBC is thought to result from a combination ...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K31/40A61P1/16A61K9/00A61K31/575
CPCA61K31/40A61K31/575A61K9/0053A61P1/16
Inventor JAIN, MUKUL R.PARMAR, DEVEN V.GIRI, SURESHPHILIP, BINUPATEL, PANKAJ
Owner CADILA HEALTHCARE LTD