COMBINATION OF A NSPACHA (PERIPHERAL ANTICHOLINERGIC AGENT) LIKE SOLIFENACIN AND AN ACHEI (ACETYL CHOLINE ESTERASE INHIBITOR) LIKE DONEPEZIL FOR TREATING DEMENTIA
申请人:Chase Pharmaceuticals Corporation
公开号:EP3178477A1
公开(公告)日:2017-06-14
There is described a method for increasing the maximal tolerated dose and thus the efficacy of an acetyl choline esterase inhibitor (AChEI) in a patient suffering from an Alzheimer type dementia by decreasing concomitant adverse effects by administration of said AChEI in combination with a non-selective, peripheral anticholinergic agent, whereby an enhanced acetyl choline esterase inhibition in the CNS of said patient is achieved and alleviation of the symptoms of Alzheimer type dementia in said patient is thereby improved to a greater extent. The use of a non-selective, peripheral anticholinergic agent (nsPAChA) for the preparation of a pharmaceutical composition for increasing the maximal tolerated dose and thus the efficacy of an acetyl choline esterase inhibitor (AChEI) in a patient suffering from an Alzheimer type dementia and pharmaceutical compositions comprising a non-selective peripheral anticholinergic agent of formula II as illustrated in the description and an acetylcholine esterase inhibitor are also described.
本文描述了一种方法,通过将乙酰胆碱酯酶抑制剂(AChEI)与一种非选择性外周抗胆碱能药物联合使用,降低伴随的不良反应,从而提高乙酰胆碱酯酶抑制剂(AChEI)在阿尔茨海默型痴呆患者中的最大耐受剂量,进而提高其疗效、外周抗胆碱能药物,从而增强对患者中枢神经系统中乙酰胆碱酯酶的抑制作用,并在更大程度上缓解患者的阿尔茨海默型痴呆症状。此外,还描述了使用非选择性外周抗胆碱能剂(nsPAChA)制备药物组合物,以提高最大耐受剂量,从而提高乙酰胆碱酯酶抑制剂(AChEI)在阿尔茨海默型痴呆症患者中的疗效,以及包含描述中所示式 II 的非选择性外周抗胆碱能剂和乙酰胆碱酯酶抑制剂的药物组合物。
Oxybutynin transdermal therapeutic system combination
申请人:CHASE PHARMACEUTICALS CORPORATION
公开号:US10149828B2
公开(公告)日:2018-12-11
There is described a pharmaceutical combination comprising oxybutynin or a pharmaceutically acceptable addition salt thereof, in a transdermal therapeutic system, and an acetylcholinesterase inhibitor, useful for safely treating hypocholinergic disorders of the central nervous system such as Alzheimer type dementia. In this combination, the acetylcholinesterase inhibitor (AChEI) is present at a dose that is higher than the maximal recommended dose, per unit form. In particular, the transdermal therapeutic system comprising oxybutynin is in combination with rivastigmine in a transdermal formulation or oral form.
Oxybutynin transdermal therapeutic system muscarinic agonist combination
申请人:CHASE PHARMACEUTICALS CORPORATION
公开号:US10596139B2
公开(公告)日:2020-03-24
Pharmaceutical compositions and combinations containing a muscarinic receptor antagonist, such as oxybutynin in a transdermal therapeutic system, and a muscarinic receptor agonist, optionally with an acetyl cholinesterase inhibitor, and methods of using the same for treatment of hypocholinergic disorders of the central nervous system such as Alzheimer type dementia. The respective pharmaceutical compositions and combinations of the present invention allow for safe administration of high doses of muscarinic receptor agonist, and improved efficacy of the muscarinic receptor agonist for treatment of hypocholinergic disorders of the central nervous system. The pharmaceutical compositions and combinations also allow for a maximum supply of acetylcholine to the central nervous system, when an acetyl cholinesterase inhibitor is used in combination with a muscarinic receptor antagonist and a muscarinic receptor agonist.
There is described a method for increasing the maximal tolerated dose and thus the efficacy of an acetyl choline esterase inhibitor (AChEI) in a patient suffering from an Alzheimer type dementia by decreasing concomitant adverse effects by administration of said AChEI in combination with a non-selective, peripheral anticholinergic agent, whereby an enhanced acetyl choline esterase inhibition in the CNS of said patient is achieved and alleviation of the symptoms of Alzheimer type dementia in said patient is thereby improved to a greater extent. The use of a non-selective, peripheral anticholinergic agent (nsPAChA) for the preparation of a pharmaceutical composition for increasing the maximal tolerated dose and thus the efficacy of an acetyl choline esterase inhibitor (AChEI) in a patient suffering from an Alzheimer type dementia and pharmaceutical compositions comprising a non-selective peripheral anticholinergic agent of formula II as illustrated in the description and an acetylcholine esterase inhibitor are also described.