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。