Deuterated Droxidopa Metabolic Stability

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Solution Overview

Problem

Current treatments for conditions associated with norepinephrine deficiency, such as orthostatic hypotension, face challenges due to the rapid metabolism of norepinephrine and the formation of toxic metabolites, leading to side effects and compliance issues with existing medications like droxidopa, which has a short half-life and requires frequent dosing.

Innovation Solution

Deuterated droxidopa compounds are developed to slow down metabolism, increase half-life, and reduce toxic metabolite production, potentially offering a safer and more effective treatment option with extended-release formulations to manage norepinephrine levels effectively.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If droxidopa is used to treat norepinephrine deficiency, then norepinephrine levels are increased, but the drug has a short half-life and requires frequent dosing

Engineering Contradiction:
Improveeffectiveness in increasing norepinephrine levelsVSAvoidhalf-life of droxidopa
Core Design Contradiction:
ReliabilityVSDuration of action of moving object

Solution Approach 1:

The patent applies parameter changes by deuterating specific carbon positions in the droxidopa molecule (positions 3, 4, 5, or 6 of the catechol ring). This isotopic substitution changes the physical-chemical parameters of the molecule, specifically slowing metabolic degradation through the kinetic isotope effect, thereby extending the half-life from minutes to hours while maintaining the drug's ability to increase norepinephrine levels.

Inventive Principle:
Principle #35Parameter changes

2Reliability

If droxidopa is administered to increase norepinephrine levels, then therapeutic effect is achieved, but toxic metabolites are formed causing side effects

Engineering Contradiction:
Improvetherapeutic effectVSAvoidtoxic metabolites
Core Design Contradiction:
ReliabilityVSObject-generated harmful factors

Solution Approach 1:

The patent converts the harmful metabolic pathway into a beneficial outcome by deuterating the catechol ring positions that are normally sites of oxidative metabolism. The deuterium atoms slow down the formation of toxic quinone metabolites through the kinetic isotope effect, transforming a harmful metabolic process into a safer profile while preserving the therapeutic conversion of droxidopa to norepinephrine.

Inventive Principle:
Principle #22Blessing in disguise (Convert harm into benefit)

3Reliability

If droxidopa is given frequently to maintain norepinephrine levels, then therapeutic coverage is improved, but patient compliance deteriorates

Engineering Contradiction:
Improvetherapeutic coverageVSAvoidpatient compliance
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

By deuterating the droxidopa molecule, the patent changes the pharmacokinetic parameter of half-life from minutes to hours. This single parameter change enables once-daily or twice-daily dosing regimens, dramatically improving patient compliance while maintaining continuous therapeutic coverage of norepinephrine levels throughout the dosing interval.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The deuterated droxidopa compounds demonstrate enhanced pharmacokinetic and pharmacodynamic profiles, reducing toxicity and side effects, allowing for increased dosing intervals and improved efficacy in managing norepinephrine-related disorders.

Implementation Method 1

Deuterium (2H or D) is an isotope of hydrogen that has one neutron in its nucleus, whereas 1H has no neutrons. The carbon-deuterium (C-D) bond is stronger and breaks more slowly than the carbon-hydrogen (C-H) bond. This phenomenon is known as the kinetic isotope effect and is exploited in the compounds disclosed herein to slow down metabolism.

Methodology Applied
Scientific EffectKinetic isotope effect:

Implementation Method 2

Deuterium (2H or D) is an isotope of hydrogen that has one neutron in its nucleus, whereas 1H has no neutrons. The carbon-deuterium (C-D) bond is stronger and breaks more slowly than the carbon-hydrogen (C-H) bond. This phenomenon is known as the kinetic isotope effect and is exploited in the compounds disclosed herein to slow down metabolism.

Methodology Applied
Scientific EffectMetabolic slowing through isotopic substitution:

Data Source

PatentEP3611159B1Dihydroxyphenyl neurotransmitter compounds, compositions and methods
Publication Date: 2023.01.25 AUSPEX PHARMA INC
  • EP3611159B1 patent drawing
  • EP3611159B1 patent drawing
  • EP3611159B1 patent drawing

AI summary

The present invention relates to new dihydoxyphenyl modulators of neurotransmitter levels, pharmaceutical compositions thereof, and methods of use thereof.