CA2396165A1 - Airway alkalinization as therapy for airway diseases - Google Patents

Airway alkalinization as therapy for airway diseases Download PDF

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Publication number
CA2396165A1
CA2396165A1 CA002396165A CA2396165A CA2396165A1 CA 2396165 A1 CA2396165 A1 CA 2396165A1 CA 002396165 A CA002396165 A CA 002396165A CA 2396165 A CA2396165 A CA 2396165A CA 2396165 A1 CA2396165 A1 CA 2396165A1
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composition
composition comprises
group
compound
airways
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CA002396165A
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French (fr)
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CA2396165C (en
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John F. Hunt
Benjamin M. Gaston
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/007Pulmonary tract; Aromatherapy
    • A61K9/0073Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy
    • A61K9/0078Sprays or powders for inhalation; Aerolised or nebulised preparations generated by other means than thermal energy for inhalation via a nebulizer such as a jet nebulizer, ultrasonic nebulizer, e.g. in the form of aqueous drug solutions or dispersions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid, pantothenic acid
    • A61K31/198Alpha-aminoacids, e.g. alanine, edetic acids [EDTA]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/553Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having at least one nitrogen and one oxygen as ring hetero atoms, e.g. loxapine, staurosporine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/57Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone
    • A61K31/573Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of two carbon atoms, e.g. pregnane or progesterone substituted in position 21, e.g. cortisone, dexamethasone, prednisone or aldosterone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/58Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids containing heterocyclic rings, e.g. danazol, stanozolol, pancuronium or digitogenin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7088Compounds having three or more nucleosides or nucleotides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K33/00Medicinal preparations containing inorganic active ingredients
    • A61K33/02Ammonia; Compounds thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/06Tripeptides
    • A61K38/063Glutathione
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca

Abstract

The present invention relates to a method of treating asthma by raising the pH
of the airways of an individual. The effect can be mediated directly by administering a pharmaceutically acceptable basic solution or alternatively, the effect can be mediated by enhancing the activity of glutaminase.

Claims (41)

1. A method for alleviating the symptoms associated with an asthma attack, said method comprising the step of contacting the airways of an asthmatic patient with a composition comprising an agent selected from the group consisting of albuterol, levalbuterol HC1, ipratroprium bromide and budesonide in a pharmaceutically acceptable basic solution.
2. The method of claim 1 wherein the pH of the basic solution ranges from about 7.4 to about 9.5.
3. A kit for treating asthma, said kit comprising a conventional agent selected from the group consisting of albuterol, levalbuterol HC1, ipratroprium bromide and budesonide; and a buffered diluent having a pH greater than 7.4.
4. The kit of claim 3 further comprising glutamine.
5. The kit of claim3 wherein the pH of the buffered diluent ranges from about 7.5 to about 9Ø
6. A method for enhancing the therapeutic efficacy of conventional asthmatic agents, said method comprising contacting the airways of a patient with a composition that reduces the proton/hydronium concentration in said airways either simultaneously or prior to administering the conventional asthmatic agent.
7. The method of claim 6 wherein the conventional asthmatic agent is selected from the group consisting of albuterol, levalbuterol HC1, and ipratroprium bromide.
8. The method of claim 7 wherein said composition comprises a corticosteroid.
9. The method of claim 8 wherein said corticosteroid is selected from the group consisting of hydrocortisone or dexamethasone and budesonide.
10. The method of claim 7 wherein said composition comprises an inhibitor of V ATP'ase or a stimulant of glutaminase.
11. The method of claim 7 wherein said composition comprises a basic solution.
12. The method of claim 7 wherein said composition comprises glutamine.
13. A method of treating asthma, said method comprising the step of administering to a patient a compound that inhibits aldehyde dehydrogenase.
14. The method of claim 13 wherein the aldehyde dehydrogenase inhibitor is disulfiram.
15. The method of claim 14 wherein the compound is administered by nebulization.
16. The method of claim 14 wherein the compound is administered systemically.
17. A method of treating asthma, said method comprising the step of administering to a patient an antifungal agent.
18. The method of claim 17 wherein the antifungal agent is fluconazole or disulfiram.
19. The method of claim 18 wherein the compound is administered by nebulization.
20. The method of claim 18 wherein the compound is administered systemically.
21. A method of treating asthma said method comprising the step of administering to a patient a compound selected from the group consisting of CuCl, Cu/Zn SOD, glutathione peroxidase, glutathione-dependent formaldehyde dehydrogenase or gamma glutamyl transpeptidase.
22. The method of claim 21 wherein the compound is administered by nebulization.
23. The method of claim 21 wherein the compound is administered systemically.
24. A composition comprising a conventional agent selected from the group consisting of albuterol, levalbuterol HCl, ipratroprium bromide and budesonide; and glutamine.
25. The composition of claim 24 further comprising a buffer having a pH
greater than 7.4.
26. The composition of claim 24 further comprising a compound selected from the group consisting of CuCl, Cu/Zn SOD, glutathione peroxidase, glutathione-dependent formaldehyde dehydrogenase or gamma glutamyl transpeptidase.
27. The composition of claim 24 further comprising a corticosteroid.
28. A method for treating asthma prophylactically, said method comprising the step of scrubbing protons present in the air through the use of environmental filters.
29. A method for treating asthma, said method comprising the step of administering a nebulized formulation comprising an antibody to gamma interferon.
30. The method of claim 29 wherein the antibody in a monoclonal antibody.
31. A method for treating microbial infection of the airways of a patient, said method comprising the steps of administering a composition that lowers the pH
of the airways to a range of about 6.0 to about 6.9.
32. The method of claim 31 wherein the microbial infection is a gram negative or mycobacterial infection.
33. The method of claim 32 wherein the composition comprises a proton donor.
34. The method of claim 33 wherein the proton donor is selected from the group consisting of acetic acid, phosphoric acid and hydrochloric acid.
35. The method of claim 32 wherein the composition comprises an S-nitrosothiols.
36. The method of claim 32 wherein the composition comprises Diazo-5-oxo-L-norleucine.
37. A method for treating a viral infection of the airways of a patient, said method comprising the steps of administering a composition that lowers the pH
of the airways to a range of about 6.0 to about 6.9.
38. The method of claim 37 wherein the composition comprises a proton donor.
39. The method of claim 38 wherein the proton donor is selected from the group consisting of acetic acid, phosphoric acid and hydrochloric acid.
40. The method of claim 37 wherein the composition comprises an S-nitrosothiols.
41. The method of claim 37 wherein the composition comprises Diazo-5-oxo-L-norleucine.
CA2396165A 2000-01-14 2001-01-12 Airway alkalinization as therapy for airway diseases Expired - Fee Related CA2396165C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US17638800P 2000-01-14 2000-01-14
US60/176,388 2000-01-14
PCT/US2001/001062 WO2001051046A1 (en) 2000-01-14 2001-01-12 Airway alkalinization as therapy for airway diseases

Publications (2)

Publication Number Publication Date
CA2396165A1 true CA2396165A1 (en) 2001-07-19
CA2396165C CA2396165C (en) 2011-01-04

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CA2396165A Expired - Fee Related CA2396165C (en) 2000-01-14 2001-01-12 Airway alkalinization as therapy for airway diseases

Country Status (4)

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US (5) US6930125B2 (en)
AU (1) AU2001232787A1 (en)
CA (1) CA2396165C (en)
WO (1) WO2001051046A1 (en)

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US7347825B2 (en) * 2001-04-17 2008-03-25 University Of Virginia Patent Foundation Device and method for assessing asthma and other diseases
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US7101341B2 (en) * 2003-04-15 2006-09-05 Ross Tsukashima Respiratory monitoring, diagnostic and therapeutic system
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US8911711B2 (en) * 2008-09-30 2014-12-16 The Invention Science Fund I, Llc Method, device, and system to control pH in pulmonary tissue of a subject
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Also Published As

Publication number Publication date
CA2396165C (en) 2011-01-04
US6930125B2 (en) 2005-08-16
AU2001232787A1 (en) 2001-07-24
US20070134166A1 (en) 2007-06-14
US20050222103A1 (en) 2005-10-06
US20070128126A1 (en) 2007-06-07
US7888385B2 (en) 2011-02-15
US20090054384A1 (en) 2009-02-26
WO2001051046A1 (en) 2001-07-19
US20030013695A1 (en) 2003-01-16

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