[EN] COMPOSITIONS FOR THE TREATMENT OF GLAUCOMA AND OCULAR HYPERTENSION<br/>[FR] COMPOSITIONS POUR LE TRAITEMENT DU GLAUCOME ET DE L'HYPERTENSION OCULAIRE
申请人:NICOX SA
公开号:WO2021156275A1
公开(公告)日:2021-08-12
The invention relates to ophthalmic compositions comprising a nitric oxide releasing phosphodiesterase type 5 inhibitor (NO-PDE5 inhibitor) and a prostaglandin analog, and to the use of these ophthalmic compositions for the treatment of all forms of glaucoma or ocular hypertension as well as eyes diseases or conditions associated with elevated intraocular pressure. The NO-PDE5 inhibitor is selected from the following compounds: [(2S)-1-(4-[(3-chloro-4-methoxyphenyl)methyl]amino}-5-[(pyrimidin-2- yl)methyl]carbamoyl}pyrimidin-2-yl)pyrrolidin-2-yl]methyl 6-(nitrooxy) hexanoate (Compound (1)), [(2S)-1-(4-[(3-chloro-4-methoxyphenyl)methyl]amino}-5- [(pyrimidin-2-yl)methyl]carbamoyl}pyrimidin-2-yl)pyrrolidin-2-yl]methyl 3-[(2S)-2,3- bis(nitrooxy)propoxy]propanoate (Compound (1A)) or 2-4-[3-(5-Ethyl-4-oxo-7-propyl- 4,5-dihydro-3H-pyrrolo[3,2-d]pyrimidin-2-yl)-4-propoxybenzene-1-sulfonyl]piperazin-1- yl}ethyl 3-[(2S)-2,3-bis(nitrooxy) propoxy]propanoate (Compound (2)). The prostaglandin analog is selected from latanoprost, bimatoprost, travoprost or tafluprost.
该发明涉及含有一氧化氮释放磷酸二酯酶5抑制剂(NO-PDE5抑制剂)和前列腺素类似物的眼科组合物,以及利用这些眼科组合物治疗所有形式的青光眼或眼压高以及与眼内压升高相关的眼部疾病或病况。NO-PDE5抑制剂选自以下化合物:[(2S)-1-(4-[(3-氯-4-甲氧基苯基)甲基]氨基}-5-[(嘧啶-2-基)甲基]羰基}嘧啶-2-基)吡咯烷-2-基]甲基6-(硝基氧基)己酸酯(化合物(1)),[(2S)-1-(4-[(3-氯-4-甲氧基苯基)甲基]氨基}-5-[(嘧啶-2-基)甲基]羰基}嘧啶-2-基)吡咯烷-2-基]甲基3-[(2S)-2,3-双(硝基氧基)丙氧基]丙酸酯(化合物(1A))或2-4-[3-(5-乙基-4-氧代-7-丙基-4,5-二氢吡咯[3,2-d]嘧啶-2-基)-4-丙氧基苯基-1-磺酰基]哌嗪-1-基}乙基3-[(2S)-2,3-双(硝基氧基)丙氧基]丙酸酯(化合物(2))。前列腺素类似物选自拉唑前列醇、比马前列素、曲前列醇或他夫前列醇。