Combination therapy involving a sodium-hydrogen exchanger type 1 or NHE-1 inhibitor for use in treatment of ischemia
申请人:Pfizer Products Inc.
公开号:EP1226830A2
公开(公告)日:2002-07-31
The invention provdes methods of reducing tissue damage resulting from ischemia which comprise administering to a mammal in need of such reduction an effective amount of a combination, or a pharmaceutical composition comprising such combination, of an NHE-1 inhibitor and a second compound selected from the group consisting of: (a) a complement modulator, (b) a metabolic modulator, (c) an anti-apoptotic agent, (d) a nitric oxide synthase-related agent, and (e) an enzyme/protein modulator. The invention further provides pharmaceutical compositions comprising an amount of an NHE-1 inhibitor; an amount of a second compound selected from the group consisting of (a) a complement modulator, (b) a metabolic modulator, (c) an anti-apoptotic agent, (d) a nitric oxide synthase-related agent, and an enzyme/protein modulator selected from the group consisting of a protein kinase C activator, an endothelin converting enzyme inhibitor, a thrombin-activatable fibrinolysis inhibitor (TAFI) inhibitor, an activated thrombin-activatable fibrinolysis inhibitor (TAFIa) inhibitor, a Na+/Ca+2 exchanger isoform-1 (NCX-1) inhibitor, and a poly (ADP ribose) synthetase (PARS/PARP) inhibitor; and, preferably, a pharmaceutically acceptable pharmaceutically acceptable carrier, vehicle, or diluent. The invention further provides kits comprising an amount of a sodium-hydrogen exchanger type-1 inhibitor, and a pharmaceutically acceptable carrier, vehicle, or diluent in a first unit dosage form; an amount of a second compound selected from the group consisting of (a) a complement modulator, (b) a metabolic modulator, (c) an anti-apoptotic agent, (d) a nitric oxide synthase-related agent, and (e) an enzyme/protein modulator selected from the group consisting of a protein kinase C activator, an endothelin converting enzyme inhibitor, a thrombin-activatable fibrinolysis inhibitor (TAFI) inhibitor, an activated thrombin-activatable fibrinolysis inhibitor (TAFIa) inhibitor, a Na+/Ca+2 exchanger isoform-1 (NCX-1) inhibitor, and a poly (ADP ribose) synthetase (PARS/PARP) inhibitor, and a pharmaceutically acceptable carrier, vehicle, or diluent in a second unit dosage form; and a container.
本发明提供了减少缺血导致的组织损伤的方法,该方法包括向需要减少损伤的哺乳动物施用有效量的 NHE-1 抑制剂和选自以下组别的第二种化合物的组合或包含这种组合的药物组合物:(a) 补体调节剂,(b) 代谢调节剂,(c) 抗凋亡剂,(d) 一氧化氮合酶相关剂,和 (e) 酶/蛋白调节剂。本发明进一步提供了药物组合物,其中包含一定量的 NHE-1 抑制剂;一定量的选自以下组别的第二种化合物:(a) 补体调节剂;(b) 代谢调节剂;(c) 抗凋亡剂;(d) 一氧化氮合酶相关剂;以及选自以下组别的酶/蛋白调节剂:蛋白激酶 C 激活剂、内皮素转换酶抑制剂、凝血酶活化性纤维蛋白溶解抑制剂(TAFI)抑制剂、活化的凝血酶活化性纤维蛋白溶解抑制剂(TAFIa)抑制剂、Na+/Ca+2 交换异构体-1(NCX-1)抑制剂和多(ADP 核糖)合成酶(PARS/PARP)抑制剂;以及,优选药学上可接受的载体、载体或稀释剂。本发明进一步提供了包含一定量的钠-氢交换剂型-1 抑制剂和药学上可接受的载体、载体或稀释剂的试剂盒,试剂盒为第一单位剂型;一定量的选自以下组别的第二种化合物:(a) 补体调节剂;(b) 代谢调节剂;(c) 抗细胞凋亡剂;(d) 一氧化氮合酶相关剂;(e) 酶/蛋白调节剂,选自以下组别:蛋白激酶 C 激活剂;内皮素转换酶抑制剂;凝血酶激活的可凝血酶抑制剂、凝血酶活化性纤维蛋白溶解抑制剂(TAFI)抑制剂、活化的凝血酶活化性纤维蛋白溶解抑制剂(TAFIa)抑制剂、Na+/Ca+2 交换异构体-1(NCX-1)抑制剂和聚(ADP 核糖)合成酶(PARS/PARP)抑制剂,以及药学上可接受的载体、载体或稀释剂组成的组;以及一个容器。