Claims:
Note: Claims are shown in the official language in which they were submitted.
CLAIMS:
1. Use of a compound of formula (I)
Image wherein
X represents NR7, wherein R7 represents hydrogen atom or an acyl group
derived from a linear, branched or cyclic C1-10 aliphatic acid or a C6-10
aromatic acid,
R1 represents hydrogen atom, NH2, or a linear, branched or cyclic C1-10 alkyl
which may be substituted with a C6-10 aromatic group,
R2 represents hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or
COOH group,
R'2 represents hydrogen atom or a linear, branched or cyclic C1-10 alkyl
group,
R3 represents hydrogen atom, =O, OR8, SR8, or NR8R9, wherein R8 and R9
represent hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or an acyl
group derived from a linear or branched C1-10 aliphatic acid or a C6-10
aromatic acid, provided that R8 and R9 are not both an acyl group,
R4 and R5 each independently represents OH, NH2, or SH,
R6 represents hydrogen, F, Cl, Br, I, OR10, or SR10, wherein R10 represents
hydrogen or an acyl group derived from a linear or branched C1-10 aliphatic
acid or a C6-10
aromatic acid, R6 may be present more than once and each R6 may be the same or
different, a physiologically tolerated salt, prodrug, physiologically
functional derivative or
mixture thereof, for topical administration to an eye to prevent or delay the
onset of
diabetic cataracts.
23
2. The use according to claim 1, wherein X is NH.
3. The use according to claim 2, wherein R1 is -CH(CH3)2.
4. The use according to claim 3, wherein R2 is H.
5. The use according to claim 4, wherein R'2 is H.
6. The use according to claim 5, wherein R3 is OH.
7. The use according to claim 6, wherein the compound has S-configuration, in
which
contamination of R-isomer is less than 3% w/w sufficient to reduce undesired
adrenergic
effects and other side effects of the R-isomer.
8. The use according to claim 7, wherein R6 is H and R4 and R5 are both OH.
9. The use according to claim 1, wherein the compound is .alpha.-(1-methyl-3-
phenyl-
propylamino)-3,4-dihydroxyacetophenone, 3,4-dihydroxy-1-[.alpha.-(1-methyl-3-
phenyl-
propylamino)-.beta.-hydroxyethyl]benzene, 3,4-dihydroxy-1-[(.alpha.-
isopropylamino-.beta.-
methoxy)ethyl]benzene, 3,4-dihydroxy-1-[((x-methylamino-.beta.-
methoxy)ethyl]benzene,
isoethanne, (S)-isoproterenol, S(-)-carbidopa or corbadrine.
10. The use according to claim 1, wherein the compound is a prodrug or a
physiologically functional derivative.
11. The use according to claim 10, wherein the prodrug comprises at least one
acyl
group derived from a linear, branched or C1-10 cyclic aliphatic acid or a C6-
10 aromatic
acid.
12 The use according to claim 11, wherein the acyl group acylates at least one
of X,
R3, R4, R5 or R6.
13 The use according to claim 12, wherein the acyl group is pivaloyl.
14 The use according to claim 13, wherein X is NH, R1 is isopropyl, R3 is
hydroxy,
R2, R'2 and R6 are hydrogen, R4 and R5 are pivaloylated hydroxy groups, and
wherein the
compound has S-configuration.
24
15. Use of a compound of formula (II)
Image wherein:
X represents NR7, wherein R7 represents hydrogen atom or an acyl group
derived from a linear, branched or C1-10 cyclic aliphatic acid or a C6-10
aromatic acid,
R1 represents hydrogen atom, NH2, or a linear, branched or cyclic C1-10 alkyl
which may be substituted with a C6-10 aromatic group,
R2 represents hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or
COOH group,
R'2 represents hydrogen atom or a linear, branched or cyclic C1-10 alkyl
group,
R3 represents hydrogen atom, =O, OR8, SR8, or NR8R9, wherein R8 and R9
represent hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or an acyl
group derived from a linear, branched or C1-10 cyclic aliphatic acid or a C6-
aromatic acid, provided that R8 and R9 are not both an acyl group,
R4 and R5 each independently represents -O-, -NH- or -S-,
R6 represents hydrogen atom, F, Cl, Br, I, OR10, or SR10, wherein R10
represents hydrogen atom or an acyl group derived from a linear, branched or
C1-10 cyclic
aliphatic acid or a C6-10 aromatic acid, R6 may be present more than once and
each R6 may
be the same or different,
Y1 and Y2 are protecting groups of R5 and R4 respectively, and represent ~C-
R11,
~-R11, or C~-NR11R12, wherein R11 and R12 represent hydrogen atom, a linear,
branched or
cyclic C1-10 alkyl group which may be substituted with one or more C6-10
aromatic groups,
a physiologically tolerated salt, physiologically functional derivative or
mixture thereof, to
prevent or delay the onset of diabetic cataracts by contacting the compound
topically with
an eye.
16. The use according to claim 15, wherein the compound is for the prevention
or
delay of the onset of ocular pathologies.
17. The use according to claim 16, wherein X is NH.
18. The use according to claim 17, wherein R1 is -CH(CH3)2.
19. The use according to claim 18, wherein R2 is H.
20. The use according to claim 19, wherein R'2 is H.
21. The use according to claim 20, wherein R3 is OH.
22. The use according to claim 21, wherein the compound has S-configuration,
in
which contamination of R-isomer is less than 3% w/w sufficient to reduce
undesired
adrenergic effects and other side effects of the R-isomer.
23. The use according to claim 22, wherein R6 is H and R4 and R5 are both -O-.
24. The use according to claim 23, wherein Y1 and Y2 are both pivaloyl.
25. The use according to claim 15, wherein the compound is of formula (II) or
a
physiologically functional derivative.
26. The use according to claim 25, wherein the compound comprises at least one
acyl
group derived from a linear or branched C1-10 aliphatic acid or a C6-10
aromatic acid.
27. The use according to claim 26, wherein the acyl group acylates at least
one of X,
R3, R4, R5, or R6.
28. The use according to claim 27, wherein the acyl group is pivaloyl.
29. The use according to claim 28, wherein X is NH, R1 is isopropyl, R3 is
hydroxy,
R2, R'2 and R6 are hydrogen, R4 and R5 are -O-, Y1 and Y2 are pivaloyl groups,
and
wherein the compound has S-configuration.
26
30. The use according to claim 15, wherein the compound is in a form suitable
for a
topical ocular administration.
31. The use according to claim 30, wherein the compound is in the form of an
ophthalmic solution.
32. A topical ophthalmic composition to prevent or delay onset of diabetic
cataracts,
said composition comprising a pharmaceutically acceptable diluent or carrier
and one or
more compounds of formula (II)
Image wherein:
X represents NR7, wherein R7 represents hydrogen atom or an acyl group
derived from a linear, branched or C1-10 cyclic aliphatic acid or a C6-10
aromatic acid,
R1 represents hydrogen atom, NH2, or a linear, branched or cyclic C1-10 alkyl
which may be substituted with a C6-10 aromatic group,
R2 represents hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or
COOH group,
R'2 represents hydrogen atom or a linear, branched or cyclic C1-10 alkyl
group,
R3 represents hydrogen atom, =O, OR8, SR8, or NR8R9, wherein R8 and R9
represent hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or an acyl
group derived from a linear, branched or C1-10 cyclic aliphatic acid or a C6-
aromatic acid, provided that R8 and R9 are not both an acyl group,
R4 and R5 each independently represents -O-, -NH- or -S-,
27
R6 represents hydrogen atom, F, Cl, Br, I, OR10, or SR10, wherein R10
represents hydrogen atom or an acyl group derived from a linear, branched or
C1-10 cyclic
aliphatic acid or a C6-10 aromatic acid, R6 may be present more than once and
each R6 may
be the same or different,
Y1 and Y2 are protecting groups of R5 and R4 respectively, and represent C-
R11,
~-R11, or C-NR11R12, wherein R1 and R12 represent hydrogen atom, a linear,
branched or
cyclic C1-10 alkyl group which may be substituted with one or more C6-10
aromatic groups,
a physiologically tolerated salt, physiologically functional derivative or
mixture thereof, to
prevent or delay onset of diabetic cataracts.
33. The composition according to claim 32, wherein X is NH.
34. The composition according to claim 33, wherein R1 is -CH(CH3)2.
35. The composition according to claim 34, wherein R2 is H.
36. The composition according to claim 35, wherein R'2 is H.
37. The composition according to claim 36, wherein R3 is OH
38. The composition according to claim 37, wherein the compound has S-
configuration, in which contamination of R-isomer is less than 3% w/w
sufficient to
reduce undesired adrenergic effects and other side effects of the R-isomer
39. The composition according to claim 38, wherein R6 is H and R4 and R5 are
both -
O-.
40. The composition according to claim 39, wherein Y1 and Y2 are both
pivaloyl.
41. A composition according to claim 32, wherein the compound is a
physiologically
functional derivative of the compound of formula (II).
42. A composition according to claim 41, wherein the compound comprises at
least
one acyl group derived from a linear, branched or cyclic C1-10 aliphatic acid
or a C6-10
aromatic acid
28
43 A composition according to claim 42, wherein the acyl group acylates at
least one
of X, R3, R4, R5, or R6.
44. A composition according to claim 43, wherein the acyl group is pivaloyl.
45. A composition according to claim 44, wherein X is NH, R1 is isopropyl, R3
is
hydroxy, R2, R'2 and R6 are hydrogen, R4 and R5 are -O-, Y, and Y2 are
pivaloyl groups,
and wherein the compound has S-configuration.
46. A 97% to 98% w/w isomerically pure S-isoproterenol dipivalate.
47. Use of a pharmaceutically effective amount of (S)-isoproterenol, a prodrug
or a salt
thereof in preparation of a medicament for topical administration to an eye
for prevention
or delay of onset or a cataract in a subject.
48 Use of a pharmaceutically effective amount of (S)-isoproterenol, a prodrug
or a salt
thereof for topical administration to an eye for prevention or delay of onset
of a cataract in
a subject.
49. A commercial package compnsing a pharmaceutically effective amount of the
compound of formula (I) as defined in any one of claims 1 to 14, a prodrug or
a salt
thereof together with instructions for use in prevention or delay of onset of
a cataract in an
eye of a subject by topical application to the eye.
50. A method for delaying onset of diabetic cataracts in a subject which
method
comprises applying a pharmaceutically effective amount of a solution of the
compound of
formula (I) as defined in any one of claims I to 14, a prodrug or a salt
thereof topically to
an eye of said subject.
51. The method of claim 50 wherein said compound is (S)-isoproterenol or a
salt
thereof
52. The method of claim 51 wherein said compound comprises 0.01% to 10% w/v of
said solution.
53. The method of claim 50 wherein said compound is in unit dose form and said
dose
is 5-200 µL.
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54. A method for delaying onset of diabetic cataracts in a subject which
method
comprises applying a pharmaceutically effective amount of a solution of the
compound of
formula (II) as defined in any one of claims 15 to 31 or a salt thereof
topically to an eye of
said subject.
55. The method of claim 54 wherein said compound is (S)-isoproterenol
dipivalate or a
salt thereof.
56. The method of claim 55 wherein said compound comprises 0 01% to 10% w/v of
said solution.
57. The method of claim 54 wherein said compound is in unit dose form and said
dose
is 5-200 µL.
The invention disclosed relates to the use of anti-glycation agents of formula
(I),
Image wherein
X represents NR7, wherein R7 represents hydrogen atom or an acyl group derived
from a linear, branched or cyclic C1-10 aliphatic acid or a C6-10 aromatic
acid,
R1 represents hydrogen atom, NH2, or a linear, branched or cyclic C1-10 alkyl
which may be substituted with a C6-10 aromatic group,
R2 represents hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or COOH
group,
R'2 represents hydrogen atom or a linear, branched or cyclic C1-10 alkyl
group,
R3 represents hydrogen atom, =O, OR8, SR8, or NR8R9, wherein R8 and R9
represent hydrogen atom, a linear, branched or cyclic C1-10 alkyl, or an acyl
group derived from a linear or branched C1-1o aliphatic acid or a C6-10
aromatic
acid, provided that R8 and R9 are not both an acyl group,
R4 and R5 each independently represents OH, NH2, or SH,
R6 represents hydrogen, F, Cl, Br, I, OR10, or SR10, wherein R10 represents
hydrogen or an acyl group derived from a linear or branched C1-10 aliphatic
acid or a C6-10
aromatic acid, R6 may be present more than once and each R6 may be the same or
different, a
physiologically tolerated salt, prodrug, physiologically functional derivative
or mixture
thereof, such as (S)-isoproterenol, and its prodrug, (S)-isoproterenol
dipivalate hydrochloride
on the initiation of diabetic cataracts. (S)-Isoproterenol is a strong anti-
glycation agent with
an in vitro IC50 value of 16.8 ~ 0.8 µM. (S)-isoproterenol dipivalate
hydrochloride was
31
prepared in eye drop form at 0.1 % concentration and was applied to diabetic
rats twice a day
up to 30 weeks. No cataract was observed in non-diabetic rats with or without
treatment of
the prodrug. In diabetic rats without treatment of the prodrug (group III),
88% of eyes got
cataract at 8.6 ~ 1.5 weeks. In diabetic rats with treatment of the prodrug,
only 53% of the
eyes initiated cataract at 8.6 ~ 1.2 weeks, and the remaining 26% of the eyes
prolonged the
initiation to 17.1 ~ 3.1 weeks. Furthermore, no cataract was observed in 21%
of the eyes
even at 30 weeks.
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