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NZ788970B2 - Methods for treating behavioral and psychological symptoms in patients with dementia - Google Patents
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NZ788970B2 - Methods for treating behavioral and psychological symptoms in patients with dementia - Google Patents

Methods for treating behavioral and psychological symptoms in patients with dementia

Info

Publication number
NZ788970B2
NZ788970B2 NZ788970A NZ78897020A NZ788970B2 NZ 788970 B2 NZ788970 B2 NZ 788970B2 NZ 788970 A NZ788970 A NZ 788970A NZ 78897020 A NZ78897020 A NZ 78897020A NZ 788970 B2 NZ788970 B2 NZ 788970B2
Authority
NZ
New Zealand
Prior art keywords
dementia
medicament
acceptable salt
masupirdine
pharmaceutically acceptable
Prior art date
Application number
NZ788970A
Other versions
NZ788970A (en
Inventor
Renny Abraham
Rajesh Badange
Vijay Sidram Benade
Venkateswarlu Jasti
Pradeep Jayarajan
Ramakrishna Nirogi
Veena Reballi
Anil Karbhari Shinde
Original Assignee
Suven Life Sciences Limited
Filing date
Publication date
Application filed by Suven Life Sciences Limited filed Critical Suven Life Sciences Limited
Priority claimed from PCT/IB2020/061367 external-priority patent/WO2021111320A1/en
Publication of NZ788970A publication Critical patent/NZ788970A/en
Publication of NZ788970B2 publication Critical patent/NZ788970B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2300/00Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/21Esters, e.g. nitroglycerine, selenocyanates
    • A61K31/27Esters, e.g. nitroglycerine, selenocyanates of carbamic or thiocarbamic acids, meprobamate, carbachol, neostigmine
    • 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
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
    • 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
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Abstract

The present invention provides a method for treating behavioral and psychological symptoms in patients with dementia comprising administering an effective dose of pure 5-HT6 receptor antagonist and acetylcholinesterase inhibitor or NMDA receptor antagonist. The present invention also relates to a pharmaceutical combination comprising pure 5-HT6 receptor antagonist and acetylcholinesterase inhibitor or NMDA receptor antagonist, in particular for treating behavioral and psychological symptoms in patients with dementia. The present invention further provides use of the said compounds in the manufacture of a medicament, and a pharmaceutical composition comprising the said compounds intended for the treatment of disorders described herein.

Claims (18)

We claim:
1. Use of masupirdine, or a pharmaceutically acceptable salt thereof and an acetylcholinesterase inhibitor or NMDA receptor antagonist in the manufacture of medicament for the treatment of agitation/aggression, delusions, 5 inations, or delusions and hallucinations in a patient with dementia, wherein the acetylcholinesterase inhibitor is donepezil, or a pharmaceutically able salt thereof; and the NMDA receptor antagonist is memantine or a ceutically acceptable salt thereof.
2. The use of claim 1, n the pharmaceutically acceptable salt of 10 masupirdine is dimesylate monohydrate.
3. The use of claim 1, wherein the acetylcholinesterase inhibitor is zil hydrochloride.
4. The use of claim 1, wherein the NMDA receptor antagonist is memantine hydrochloride. 15
5. The use of claim 1, wherein the medicament comprises an effective dose of masupirdine dimesylate monohydrate and donepezil hydrochloride.
6. The use of claim 1, wherein the medicament comprises an ive dose of masupirdine dimesylate drate and memantine hydrochloride.
7. The use of any one of claims 1 to 6, wherein the dementia is selected from 20 Alzheimer’s disease dementia, dementia associated with phrenia, Parkinson’s disease dementia, Lewy body dementia, vascular dementia, or frontotemporal dementia.
8. The use of claim 1, wherein the medicament is for the treatment of agitation/aggression, delusions, hallucinations, or delusions and inations 25 in a patient with Alzheimer’s disease dementia.
9. The use of claim 1, wherein the medicament is for the treatment of agitation/aggression, delusions, hallucinations, or delusions and hallucinations in a patient with Parkinson’s disease dementia.
10. The use of claim 1, wherein the medicament comprises 25 mg to 125 mg of rdine or a pharmaceutically acceptable salt thereof. 5
11. The use of claim 1, wherein the medicament comprises 25 mg to 75 mg of masupirdine or a ceutically acceptable salt f.
12. The use of claim 1, wherein the ment comprises 75 mg to 125 mg of masupirdine or a pharmaceutically acceptable salt thereof.
13. The use of claim 1, wherein the medicament comprises 50 mg or 100 mg of 10 masupirdine or a pharmaceutically acceptable salt thereof.
14. The use of claim 1, wherein the medicament comprises 5 mg to 25 mg of donepezil or a pharmaceutically acceptable salt thereof.
15. The use of claim 1, wherein the medicament comprises 5 mg to 30 mg of memantine or a pharmaceutically acceptable salt thereof. 15
16. The use of any one of claims 1 to 15, wherein the medicament is to be stered to the patient by oral, nasal, local, or parenteral .
17. The use of any one of claims 1 to 15, wherein the medicament is to be administered to the patient one to three times per day, one to three times per week, or one to three times per month. 20
18. The use of claim 1, substantially as herein described with reference to any one of the examples and/or
NZ788970A 2020-12-02 Methods for treating behavioral and psychological symptoms in patients with dementia NZ788970B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
IN201941049515 2019-12-02
IN201941049513 2019-12-02
PCT/IB2020/061367 WO2021111320A1 (en) 2019-12-02 2020-12-02 Methods for treating behavioral and psychological symptoms in patients with dementia

Publications (2)

Publication Number Publication Date
NZ788970A NZ788970A (en) 2025-05-02
NZ788970B2 true NZ788970B2 (en) 2025-08-05

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