Title of Invention

AN INTRAOCULAR TENSION LOWERING COMPOSITION FOR TOPICAL APPLICATION .

Abstract An intraocular tension lowering composition for topical application comprising from 0.001% to 10% of an anagiotensin antagonist, 0.05% to 10% of a boric acid and 0.00025% to 0.2% of an ethylenedlamine tetraacetic acid, all percentages are by weight of the respective component in grams per 100 mL of the total volume of the composition; wherein the angiotensin  antagonist is a compound of the following general formula (1) or a pharmaceutically acceptable salt or derivative thereof; wherein R1 represents a group of the following structure (1a):
Full Text SPECIFICATION
Intraocular Tension Lowering Compositions for Topical Administration
[Field of the Invention]
The present invention relates to a novel medical composition for topical
administration showing excellent intraocular tension lowering activity.
[Background of the Technology]
It has been well-known that angiotensin II antagonists lower intraocular tension
when topically administered (EP 795326, EP 631780, WO 95/21609, WO 91/15206,
etc.). In particular, the following compounds are known as representative drugs.

[Disclosure of the Invention]
As the result of various investigation on preparations and pharmacologies of
topical compositions containing angiotensin II antagonists, the present inventors
have found that the intraocular tension lowering activity of angiotensin II antagonists
can be reinforced by adding one or more boric acids and one or more
ethylenediamine tetraacetic acids to the composition. Thus, the present invention
has been established.



The present invention relates to:
(1) an intraocular tension lowering topical composition containing an angiotensin II
antagonist, a boric acid and an ethylenediamine tetraacetic acid.
Said composition preferably is
(2) a composition in which the angiotensin II antagonist is a compound of the
following general formula (I) or a pharmacologically acceptable salt or derivative
thereof:

(3) a composition in which R1 represents a group of the structure (la), (lb) or (Ic);
(4) a composition in which the compound of general formula (I) is a compound
selected from 4-1-hydroxy-1-methylethyl)-2-propyl-1-{4-[2-(tetrazol-5-
yl)phenyl]phenyl}methylimidazole-5-carboxylic acid and 2-ethoxy-1-[2'-(1H-tetrazol-5-
yl)biphenyl-4-yl]methyl-1 H-benzimidazole-7-carboxylic acid;
(5) a composition additionally containing a preservative; and
(6) a composition in which the preservative is a paraben.
Further, another object of the present invention is to provide a method of lowering
intraocular tension which comprises administering a composition as described in any


one of (1) to (6) above containing a pharmacologically effective amount of an
angiotensin II antagonist to a warm-blooded animal (preferably human); In
particular, it is to provide a method of lowering intraocular tension caused by
glaucoma (including glaucoma with normal intraocular tension) or ocular
hypertension.
In the present invention,
"boric acid" includes boric acid and substances equivalent to a boric acid. A
substance equivalent to boric acid is a compound that gives rise to borate ion when
dissolved in water. Examples of such compounds are boric anhydride (B2O3),
tetraboric acid (H2B4O7), as well as pharmacologically acceptable salts of boric acid,
boric anhydride, and tetraboric acid. Boric acid, boric anhydride, borax and sodium
borate decahydrate are preferred. Boric acid is more preferred.
These boric acids may be used singly or in combination of two or more members.
"Ethylenediamine tetraacetic acid" indudes ethylenediamine tetraacetic acid and
substances equivalent to ethylenediamine tetraacetic add. A substance equivalent
to ethylenediamine tetraacetic add is a compound that gives rise to an
ethylenediamine tetraacetate ion when dissolved in water. Such compounds include
pharmacologically acceptable salts of ethylenediamine tetraacetic add, and
appropriate examples thereof are ethylenediamine tetraacetic acid, disodium
ethylenediamine tetraacetate dihydrate, trisodium ethylenediamine tetraacetate
trihydrate, disodium ethylenediamine tetraacetate dihydrate, and tetrasodium
ethylenediamine tetraacetate tetrahydrate. Disodium ethylenediamine tetraacetate
dihydrate is most preferred.
These ethylenediamine tetraacetic acids may be used singly or in combination of
two or more members.
"Angiotensin II antagonists" preferably mean the compounds of the following
general formula (I) or pharmacologically acceptable salts or derivatives thereof:

wherein R1 represents a group of the following structures (la), (lb), (Ic), (Id), (le) or
(If):



More preferably, the compound is 4-(1-hydroxy-1-methylethyl)-2-propyl-1-{4-[2-
(tetrazol-5-yl)phenyl]phenyI}methylimidazole-5-carboxylic acid and 2-ethoxy-1-[2'-
(1H-tetra2ol-5-yl)biphenyl-4-yl]rnethyl-1H-benimidazole-7-carboxylic acid, or a
pharmacologically acceptable salt or derivative thereof.
"Pharmacologically acceptable salts" mean those salts that may be prepared by
reacting the compound of general formula (I) above, boric acids, or ethylenediamine
tetraacetic acids with a base. Examples of such salts include metal salts including
alkali metal salts such as sodium salts, potassium salts, lithium salts, etc., alkaline
earth metal salts such as calcium salts, magnesium salts, etc., aluminium salts and
ferrous salts, etc.; amine salts including inorganic salts such as ammonium salts,
etc., organic salts such as t-octylamine salts, dibenzylamine salts, morpholine salts,
glucosamine salts, phenylglycine alkyl ester salts, ethylenediamine salts, N-
methylglucamine salts, guanidine salts, diethylamine salts, triethylamine salts,
dicydohexylamine salts, N,N'-dibenzylethylenediamine salts, chloroprocaine salts,
procaine salts, diethanolamine salts, N-benzylphenethylamine salts, piperazine salts,
tetramethylammonium salts, tris(hydroxymethyl)aminomethane salts, etc.; and amino
acid salts such as glycine salts, lysine salts, arginine salts, ornithine salts, glutamic
acid salts, aspartic acid salts.etc. Of them, alkali metal salts are preferred, and
sodium salts and potassium salts are more preferred.
Boric acids, ethylenediamine tetraacetic acids, and the compounds of the general
formula (I) above or their pharmacologically acceptable salts may occasionally
absorb water so that the absorbed water is incorporated, ie they become a hydrate,


by allowing them to stand in the air or during recrystallization. Such hydrates are
included in the present invention.
When the compound (I) has hydroxyl groups and/or carboxyl groups, such a
compound can be converted into its derivatives by modifying those groups. So.
pharmaceutically acceptable derivatives of the compound of the general formula (I)
above mean such derivatives. Such derivatives include "esters of hydroxyl groups",
"ethers of hydroxyl groups", "esters of carboxyl groups" and "amides of carboxyl
groups" and the residues of such ester, ether or amide groups include "general
protecting groups" or "protecting groups capable of being cleaved by biological
means like hydrolysis within living bodies".
"General protecting groups" mean protecting groups capable of being cleaved by
chemical methods such as hydrogenation, hydrolysis, electrolysis, photolysis, etc.
"General protecting groups" comprising the residue of "esters of hydroxyl groups"
and "ethers of hydroxyl groups" preferably mean aliphatic acyl groups (preferably
lower aliphatic acyl groups having 1 to 6 carbon atoms) including alkanoyl groups
such as formyl, acetyl, propionyl, butyryl, isobutyryl, pentanoyl, pivaloyl, valeryl,
isovaleryl, octanoyl, nonanoyl, decanoyl, 3-methylnonanoyl, 8-methylnonanoyl, 3-
ethyloctanoyl, 3,7-dimethyloctanoyl, undecanoyl, dodecanoyl. tridecanoyl,
tetradecanoyl, pentadecanoyl, hexadecanoyl, 1-methylpentadecanoyl, 14-
methylpentadecanoyl, 13,13-dimethyltetradecanoyl. heptadecanoyl. 15-
methylhexadecanoyl, octadecanoyl, 1-methylheptadecanoyl, nonadecanoyl,
eicosanoyl. heneicosanoyl, etc.. halogeno-alkylcarbonyl groups such as chloroacetyl,
dichloroacetyl, trichloroacetyl, trifluoroacetyl. etc., lower alkoxyalkylcarbonyl groups
such as methoxyacetyl, etc.. unsaturated alkylcarbonyl groups such as acrytoyl,
propioloyl, methacryloyl, crotonoyl, isocrotonoyl, (E)-2-methyl-2-butenoyl etc.;
aromatic acyl groups including arylcarbonyl groups such as benzoyl, -naphthoyl, -
naphthoyl, etc., halogenoarylcarbonyl groups such as 2-bromobenzoyl, 4-
chlorobenzoyl, etc., lower alkylarylcarbonyl groups such as 2,4,6-trimethylbenzoyl. 4-
toluoyl. etc., lower alkoxyarylcarbonyl groups such as 4-anisoyl. etc.,
nitroarylcarbonyl groups such as 4-nitrobenzoyl. 2-nitrobenzoyl, etc.. lower
alkoxycarbonylarylcarbonyl groups such as 2-(methoxycarbonyt)benzoyl, etc. and
arylarylcarbonyl groups such as 4-phenylbenzoyl, etc.; alkoxycarbonyl groups
including lower alkoxycarbonyl groups such as methoxycarbonyl, ethoxycarbonyl,
propoxycarbonyl, butoxycarbonyl. s-butoxycarbonyl, t-butoxycarbonyl.
isobutoxycarbonyl, etc., lower alkoxycarbonyl groups substituted with halogen atoms


or tri-lower alkylsilyl groups such as 2,2,2-trichloroethoxycarbonyl, 2-
trimethylsilylethoxycarbonyl, etc; tetrahydropyranyl or tetrahydrothiopyranyl groups
such as tetrahydropyran-2-yl, 3-bromotetrahydropyran-2-yl, 4-
methoxytetrahydropyran-4-yl, tetrahydrothiopyran-2-yl, 4-
methoxytetrahydrothiopyran-4-yl, etc.; tetrahydrofuranyl or tetrahydrothiofuranyl
groups such as tetrahydrofuran-2-yl, tetrahydrothiofuran-2-yl, etc.; silyl groups
including tri-lower alkylsilyl groups such as trimethylsilyl, triethylsilyl,
isopropyldimethylsilyl, t-butyldimethylsilyl, methyldiisopropylsilyl, methyldi-t-butylsilyl,
triisopropylsilyl, etc., tri-lower alkylsilyl groups where 1 or 2 of the alkyl groups are
replaced by 1 or 2 aryl groups such as diphenylmethylsilyl, diphenylbutylsilyl,
diphenylisopropylsilyl, phenyldiisopropylsilyl, etc; alkoxymethyl groups includng lower
alkoxymethyl groups such as methoxymethyl, 1,1-dimethyl-1-methoxymethyl,
ethoxymethyl, propoxymethyl, isopropoxymethyl, butoxymethyl, t-butoxymethyl, etc.,
lower alkoxy-lower alkoxymethyl groups such as 2-methoxyethoxymethyl,etc,
halogeno lower alkoxymethyl groups such as 2,2,2-trichloroethoxymethyl, bis(2-
chloroethoxy)methyl, etc.; substituted ethyl groups including lower alkoxyethyl groups
such as 1-ethoxyethyl, 1-(isopropoxy)ethyl, etc., halogenoethyl groups such as 2,2,2-
trichloroethyl, etc.; aralkyl groups including lower alkyl groups substituted with 1 to 3
aryl groups such as benzyl, a-naphthylmethyl, p-naphthylmethyl, diphenylmethyl,
triphenylmethyl, a-naphthyldiphenylmethyl, 9-anthrylmethyl, etc., lower alkyl groups
substituted with 1 to 3 aryl groups where said aryl group is substituted with one or
more lower alkyl, lower alkoxy, nitro, halogen or cyano groups, e.g. 4-methylbenzyl,
2,4,6-trimethylbenzyl, 3,4,5-trimethylbenzyl, 4-methoxybenzyl, 4-
methoxyphenyldiphenylmethyl, 2-nitrobenzyl, 4-nitrobenzyl, 4-chlorobenzyl, 4-
bromobenzyl, 4-cyanobenzyl,etc; alkenyloxycarbonyl groups such as
vinyloxycarbonyl, allyloxycarbonyl, etc.; and aralkyloxycarbonyl groups where said
aryl group may be substituted with 1 or 2 lower alkoxy or nitro groups, e.g.
benzyloxycarbonyl, 4-methoxybenzyloxycarbonyl, 3,4-dimethoxybenzyloxycarbonyl,
2-nitrobenzyloxycarbonyl, 4-nitrobenzyloxycarbonyl, etc.
"General protecting groups" comprising the residue of "esters of carboxyl groups"
preferably mean lower alkyl groups such as methyl, ethyl, propyl, isopropyl, n-butyl,
isobutyl, s-butyl, tert-butyl, n-pentyl, isopentyl, 2-methylbutyl, neopentyl, 1-
ethylpropyl, n-hexyl, 4-methylpentyl, 3-methylpentyl, 2-methylpentyl, 1-methylpentyl,
3,3-dimethylbutyl, 2,2-dimethylbutyl, 1,1-dimethylbutyl, 1,2-dimethylbutyl, 1,3-
dimethylbutyl, 2,3-dimethylbutyl, 2-ethylbutyl, etc.; lower alkenyl groups such as
vinyl, 2-propenyl, 1-methyl-2-propenyl, 2-methyl-2-propenyl, 2-ethyl-


2-propenyl, 2-butenyl, 1-methyl-2-butenyl, 2-methyl-2-butenyl, 1-ethyl-2-butenyl, 3-
butenyl, 1-methyl-3-butenyl, 2-methyl-3-butenyl, 1-ethyl-3-butenyl, 2-pentenyl, 1-
methyl-2-pentenyl, 2-methyl-2-pentenyl, 3-pentenyl, 1-methyl-3-pentenyl, 2-methyl-3-
pentenyl, 4-pentenyl, 1-methyl-4-pentenyl, 2-methyl-4-pentenyl, 2-hexenyl, 3-
hexenyl, 4-hexenyl, 5-hexenyl, etc.; lower alkynyl groups such as ethynyl, 2-propynyl,
1-methyl-2-propynyl, 2-butynyl, 1-methyl-2-butynyl, 1-ethyl-2-butynyl, 3-butynyl, 1-
methyl-3-butynyl, 2-methyl-3-butynyl, 1-ethyl-3-butynyl, 2-pentynyl, 1-methyl-2-
pentynyl, 3-pentynyl, 1-methyl-3-pentynyl, 2-methyl-3-pentynyl, 4-pentynyl, 1-methyl-
4-pentynyl, 2-methyl-4-pentynyl, 2-hexynyl, 3-hexynyl, 4-hexynyl, 5-hexynyl, etc.;
halogeno lower alkyl groups such as trifluoromethyl, trichloromethyl, difluoromethyl,
dichloromethyl, dibromomethyl, fluoromethyl, 2,2,2-trichloroethyl, 2,2,2-trifluoroethyl,
2-bromoethyl, 2-chloroethyl, 2-fluoroethyl, 2,2-dibromoethyl, etc.; hydroxy lower alkyl
groups such as 2-hydroxyethyl, 2,3-dihydroxypropyl, 3-hydroxypropyl, 3,4-
di hydroxy butyl, 4-hydroxybutyl, etc.; lower aliphatic acyl - lower alkyl groups such as
acetylmethyl, etc.; aralkyl groups mentioned above; and silyl groups mentioned
above.
"Protecting groups capable of being cleaved by biological means like hydrolysis
within living bodies" mean protecting groups which can be cleaved by hydrolysis or
the like within living bodies to yield the original compound or its pharmacologically
acceptable salt. Whether a group is a "protecting group capable of being cleaved by
biological means like hydrolysis within living bodies" or not can be determined by
administering such a derivative by intravenous injection into test animals such as rats
or mice, examining the body liquid thereafter and detecting the original compound or
its pharmacologically acceptable salt.
"Protecting groups capable of being cleaved by biological means like hydrolysis
within living bodies" comprising the residue of "esters of hydroxyl groups" and "ethers
of hydroxyl groups" preferably mean carbonyloxyalkyl groups, for example, 1-
(acyloxy)lower alkyl groups including 1-(lower aliphatic acyloxy)-lower alkyl groups
such as formyloxymethyl, acetoxymethyl, propionyloxymethyl, butyryloxymethyl,
pivaloyloxymethyl, valeryloxymethyl, isovaleryloxymethyl, hexanoyloxymethyl, 1-
formyloxyethyl, 1-acetoxyethyl, 1-propionyloxyethyl, 1-butyryloxyethyl, 1-
pivaloyloxyethyl, 1-valeryloxyethyl, 1-isovaleryloxyethyl, 1-hexanoyloxyethyl, 1-
formyloxypropyl, 1-acetoxypropyl, 1-propionyloxypropyl, 1-butyryloxypropyl, 1-
pivaloyloxypropyl, 1-valeryloxypropyl, 1-isovaleryloxypropyl, 1-hexanoyloxypropyl, 1-
acetoxybutyl, 1-propionyloxybutyl, 1-butyryloxybutyl, 1-pivaloyloxybutyl, 1-
acetoxypentyl, 1-propionyloxypentyl, 1-





aliphatic acyl groups mentioned above; aromatic acyl groups mentioned above;
residues of a succinic acid half ester salt; residues of a phosphoric acid ester salt;
residues of ester-forming groups such as amino acids; carbamoyl groups; carbamoyl
groups substituted with 1 or 2 lower alkyl groups; and 1-(acyioxy)alkyloxycarbonyl
groups such as pivaloytoxymothyloxycarbonyl, etc. Carbonyloxyalkyl groups are
preferred.
On the other hand, "protecting groups capable of being cleaved by biological
means like hydrolysis within living bodes" comprising the residue of "esters of
carboxy groups" preferably mean alkoxy-lower alkyl groups including lower alkoxy-
lower alkyl groups such as methoxyethyl, 1-ethoxyethyi, 1-methyl-1-methoxyethyl, 1-
(isopropoxy)ethyl, 2-methoxyethyl, 2-ethoxyethyl, 1,1-dimethyl-1-methoxyethyl,
ethoxymethyl, n-propoxymethyi, isoprapoxymethyl, n-butoxymethyl t-butoxymethyi,
etc., lower aJkoxy-iower alkoxy-lower alkyl groups such as 2-methoxyethoxymethyl,
etc., aryloxy-fower alkyl groups such as phenoxymethyt, etc., (halogeno lower
alkoxy lower alkyl groups such as 2,2,2-trichloroethoxymethyl, bis(2-
chioroethaxy)methyl, etc.; (lower alkoxy-carbonyl)lower alkyl groups such as
methoxycarbonylmethyl, etc,; cyano-lower alkyl groups such as cyanorrtethyl, 2-
cyanoethyl, etc.; (lower alkyl}thiomethyl groups such as methylthiomethyl,
ethylthiomethyl, etc.; arylthiomethyl groups such as phenylthiomethyl,
naphthylthitomethyl, etc.; (optionally halogenated lower alkyl)-sulfonyll lower alky'
groups such as 2-methanesulfonylethyl, 2-trifluoromethanesulfonylethyl, etc.; (aryl
sulfonyl)-lower alkyl groups such as 2-benzenesulfonylethyl, 2-tolenesulfonylethyl,
etc.,; 1-(acytoxy)-lower alkyl groups mentioned above; phthalidyl groups mentioned
above; lower alkyl groups mentioned above; carboxyalkyl groups such as
carboxymethyl, etc.; and residues of amide-forming groups of amino acids" such as
phenylalanine, etc.
[Mode for Carrying out the Invention]
The intraocular tension lowering composition for topical admtnistration of the
present invention can be prepared in a conventional manner by using one or more
angiotensin II antagonists, one or more boric acids and one or more emylenediamine
tetraacetic acids. For example, the ophthalmic composition can be used in a
formulation suitable for topical administration such as eye drops e.g. aqueous eye
drops, aqueous ophthalmic suspensions, non-aqueous eye drops and non-aqueous
ophthalmic suspensions, gels, ophthalmic ointments, etc. For preparing such
formulations, pharmacologically acceptable carriers may be added to said


ingredients. No limitation is given to the carriers to be used if they are those
customarily applied to ophthalmic formulations, and they illustratively include inert
diluents, preservatives, isotonic agents, buffering agents, pH regulating agents,
thickeners, surfactants, ointment bases, and the like.
Examples of inert diluents include aqueous solvents such as water, Ringer
solution, isotonic saline, etc. or oily solvents such as castor oil, olive oil, sesame oil,
soybean oil, liquid paraffin, propylene glycol, -octyldodecanol, etc.
Examples of preservatives include parabens such as methylparaben,
ethylparaben, propylparaben, butylparaben, etc., benzalkonium chloride,
chlorohexidine, benzethonium chloride, benzyl alcohol, sorbic acid and its salts,
thimerosal, chlorobutanol, etc. Parabens, benzalkonium chloride and benzethonium
chloride are preferred,-
Since excellent preservative effects can be attained by using boric acids and
ethylenediamine tetraacetic acids together with parabens, the parabens are most
preferred.
Examples of isotonic agents are sodium chloride, mannitol, sorbitol, glycerin, etc.
Examples of buffering agents are phosphates, acetates, citrates, etc.
Examples of pH regulating agents are hydrochloric acid, acetic acid, sodium
hydroxide, and the like.
Examples of ointment bases are vaseline, plastibase (trade mark), liquid paraffin,
etc.
Examples of thickeners are methyl cellulose, carmelose and its salts, hydroxyethyl
cellulose, sodium alginate, carboxy vinyl polymer, polyvinylpyrrolidone, and the like.
Examples of surfactants are polyethylene glycol, polypropylene glycol,
polyoxyethylene hardened castor oil, polysorbate, etc.
For preparing a gel, for example, carboxyvinyl polymer, methyl cellulose, sodium
alginate, hydroxypropyl cellulose, ethylene maleic anhydride polymer and the like
can be used.
Concerning the formulation of the topical composition of the present invention, the
lower limit of the angiotensin II antagonist is 0.001% (preferably 0.01%) and the
upper limit is 10% (preferably 5%).
The dose of the composition of the present invention differs, depending upon the
patient's condition. When the composition of the present invention is used as eye
drops, for example, one to several drops per unit dose, preferably 1 or 2 drops
(about 50 µL per 1 drop), are applicable about 1 to about 6 times daily.
The composition of the present invention can be administered to warm-blooded
animals, preferably humans.


[Best Mode for Carrying Out the Invention]
A concrete description of the present invention will now be illustrated by the
following Examples and Experiments, but the scope of the present invention is not
limited thereby.
[Examples]
[Example 1] Eye Drops
A hot solution of 6.6 mg of methylparaben and 3.6 mg of propylparaben in 14 ml of
water for injection is cooled down to room temperature, and 0.2 g of boric acid and 1 .
mg of disodium ethylenediamine tetraacetate dihydrate were added thereto to give a
solution.
To this solution were added 0.1 g of 4-(1-hydroxy-1-methylethyl)-2-propyl-1-{4-[2-
(tetrazol-5-yl)phenyl]phenyl}methylimidazole-5-carboxylic acid (hereinafter referred to
as "Compound A") and 61 mg of sodium chloride, and then about 0.4 ml of a 1 mol/L
aqueous solution of sodium hydroxide was added. The resultant mixture was
adjusted to pH 7.0 with an aqueous solution of sodium hydroxide (concentration: 1
mol/L) and diluted with water for injection up to a total volume of 20 ml.
This solution was aseptically filtered through Membrane Filter (Manufactured by
MILLIPORE Corp.) [Hydrophilic Durapore (Material: hydrophilic polyvinylidene
difluoride), 0.22 µm (hereinafter referred to as "GV")] to give the eye drops
formulation.

[Example 2] Eye Drops
Preparation was carried out in the same manner as described in Example 1,
except that 2-etho)cy-1-[2H1H-tetrazol-5-yl)biphenyl-4-^KTiethyl-1H-ben2imida20le-7-
carboxylic acid (hereinafter referred to as "Compound B") was used in place of
Compound A, to give the following eye drops formulation.
Doc. FP0010s.doc/Sankyo/P82644/Engli$h translation/GAD/07.11.2001


("EDTA-2Na" represents disodium ethylenediamine tetraacetate dihydrate. In
addition to the description above, appropriate amounts of sodium hydroxide and
hydrochloric acid were added for adjusting to pH 7.0.)
[Example 3]
("EDTA-2Na" represents disodium ethylenediamine tetraacetate dihydrate. In
Preparation was carried out in the same manner as described in Example 1,
except that N-valeryl-N-[(2'-(1H-tetrazol-5-yl)biphenyl-4-yl)methyl]-valine (hereinafter
referred to as "Compound C") was used in place of Compound A, to give the
following eye drops formulation.


addition to the description above, appropriate amounts of sodium hydroxide and
hydrochloric acid were added for adjusting to pH 7.0.)
[Comparative Examples]
For evaluating the topical composition of the present invention, the following
compositions were prepared, and compared with the composition of the Examples
above in experiments described below.
[Comparative Example 1]
In 14 ml of water for injection were dissolved with heating 6.6 mg of methylparaben
and 3.6 mg of propylparaben.
To this solution were added 0.1 g of Compound A and 166.2 mg of sodium
chloride, and then about 0.4 ml of a 1 mol/L aqueous solution of sodium hydroxide
was added and dissolved with stirring. This solution was adjusted to pH 7.0 with an
aqueous solution of sodium hydroxide (concentration: 1 mol/L) and diluted with water
for injection up to a total volume of 20 ml.
This solution was aseptically filtered with GV to give an eye drops formulation.
[Comparative Example 2]
In 14 ml of water for injection were dissolved with heating 6.6 mg of methylparaben
and 3.6 mg of propylparaben. The resultant solution was cooled down to room
temperature and mixed with 1 mg of disodium ethylenediamine tetraacetate
dihydrate to give a solution.
To this solution were added 0.1 g of Compound A and 166.2 mg of sodium
chloride, and about 0.4 ml of 1 mol/L of an aqueous solution of sodium hydroxide
was added with stirring to give a solution. The solution was adjusted to pH 7.0 with
aqueous solution of sodium hydroxide (concentration: 1 mol/L), and diluted with
water up to a total volume of 20 mi.
This solution was aseptically filtered with GV to give an eye drops formulation.
[Comparative Example 3]
In 14 ml of water for injection were dissolved with heating 6.6 mg of methylparaben
and 3.6 mg of propylparaben. The solution was cooled down to room temperature
and mixed with 0.2 g of boric acid to give a solution.
To this solution were added 0.1 g of Compound A and 61 mg of sodium chloride,
and about 0.4 ml of a 1 mol/L aqueous solution of sodium hydroxide was added with


stirring to give a solution. The solution was adjusted to pH 7.0 with an aqueous
solution of sodium hydroxide (concentration: 1 mol/L) and mixed with water for
injection up to a total volume of 20 ml.
This solution was aseptically filtered with GV to give an eye drops formulation.
[Comparative Example 4]
Preparation was carried out in the same manner as described in Comparative
Examples 1 to 3, except that Compound B was used in place of Compound A. Thus,
the following eye drops formulations a, b and c were prepared.

("EDTA-2Na" represents disodium ethylenediamine tetraacetate dihydrate. in
addition to the description above, appropriate amounts of sodium hydroxide and
hydrochloric acid were added for adjusting to pH 7.0.)
[Experiment]
The effects of the present invention are illustrated by the following experiment.
[Test Example 1] Intraocular Tension Lowering Test
A model of raised intraocular tension was prepared by using New Zealand white
rabbits weighing 2 to 3 kg according to the method of Kurihara et al. (Ophthalmic
Pharmacology. Vol. 4, 62-64, 1990), and the intraocular tension lowering activity of
the test compositions was examined. That is, rabbits were totally paralyzed with
urethane, and the intraocular tension was measured with Alcon Applanation
Pneumotonography.
The rabbit's eye was treated with a topical anesthetic, and 0.1 mi of a 5% aqueous
solution of sodium chloride was injected into the glass body through a 30 gauge
injection needle. Half an hour after the injection, elevation of intraocular tension was
confirmed, and 50 µl of a test composition was dropped. (As a control, a
physiological saline solution was dropped.)


After dropping, the intraocular tension was measured every 30 minutes. The
lowering of intraocular tension (mmHg) was calculated from the intraocular tension of
the group in which the test composition was dropped and that of the group in which
the control composition was dropped.
The results are shown in Table 1-1 and Table 1-2. (Note: the formulation of each
composition used for the experiment is shown in Table 2-1 and Table 2-2,
respectively.)




(In the above tables, "MP" represents methylparaben, "PP" represents
propylparaben, and "EDTA-2Na" represents disodium ethytenediamine tetraacetate
dihydrate. In addition to the description above, appropriate amounts of sodium
hydroxide and hydrochloric acid were added for adjusting to pH 7.0.)
It was found from the results of Compositions 2 to 4 and Compositions 6 to 8 that
there was hardly an influence on the intraocular tension lowering degree when boric
acids alone or ethytenediamine tetraacetic acids alone were used in combination with
angiotensin II antagonists.
In contrast to these results, Composition 1 containing boric acids and
ethytenediamine tetraacetic acids together showed marked intraocular tension
lowering activity compared with Compositions 2 to 4. Similarly, Composition 5
showed marked intraocular tension lowering activity compared with Compositions 6
to 8. Thus, the intraocular tension lowering activity of angiotensin II antagonists was
markedly increased by adding a combination of boric acids and ethytenediamine
tetraacetic acids, as shown by the results of Table 1-1 and Table 2-2.
[Industrial Applicability]
The intraocular tension lowering composition for topical administration of the
present invention shows excellent intraocular tension lowering activity with weak side
effects and can lower effectively the intraocular tension raised by glaucoma
(including normal tension glaucoma) and ocular hypertension, etc.

WE CLAIM:
1. An Intraocular tension lowering composition for topical
application comprising from 0.001% to 10% of an angiotensin
II antagonist, 0.05% to 10% of a boric acid and 0.00025% to
0.2% of an ethytenedlamlne tetraacettc acid, aH percentages are
by weight of the respective component in grams per 100 mL of
the total volume of the composition; wherein the angiotensin II
antagonist is a compound of the following general formula (1) or a
pharmaceutically acceptable salt or derivative thereof:

wherein R1 represents a group of the following structure (1a):


2. The compostion as claimed in claim 1, wherein the
angiotensin II antagonist is in an amount of from 0.01% to 5%,
boric acid is in an amount of from 0.1 to 5% and ethytenedlamine
tetracetic acid is in an amount of from 0.0005% to 0.1%, all
percents are by weight of the respective component in grams per
100 mL of the total volume of said composition.
3. The composition as claimed in claim 2 wherein the
angiotensin II antagonist is in an amount of from 0.01% to 5.%,
boric acid is in an amount of from 0.5% to 2%, and
ethytenedlamine tetraacetic acid is in an amount of from 0.005%
to 0.05%, all percents are by weight of the respective component
in grams per 100 mL of the total volume of said composition.
4. The composition as claimed in claim 1, additionally
containing a preservative.

5. The compostion as claimed in claim 4, in which said
preservative is a paraben.

An intraocular tension lowering composition for topical
application comprising from 0.001% to 10% of an anagiotensin
antagonist, 0.05% to 10% of a boric acid and 0.00025% to
0.2% of an ethylenedlamine tetraacetic acid, all percentages are
by weight of the respective component in grams per 100 mL of
the total volume of the composition; wherein the angiotensin 
antagonist is a compound of the following general formula (1) or a
pharmaceutically acceptable salt or derivative thereof;
wherein R1 represents a group of the following structure (1a):

Documents:

in-pct-2001-1265-kol-granted-abstract.pdf

in-pct-2001-1265-kol-granted-claims.pdf

in-pct-2001-1265-kol-granted-correspondence.pdf

in-pct-2001-1265-kol-granted-description (complete).pdf

in-pct-2001-1265-kol-granted-examination report.pdf

in-pct-2001-1265-kol-granted-form 1.pdf

in-pct-2001-1265-kol-granted-form 18.pdf

in-pct-2001-1265-kol-granted-form 2.pdf

in-pct-2001-1265-kol-granted-form 3.pdf

in-pct-2001-1265-kol-granted-form 5.pdf

in-pct-2001-1265-kol-granted-gpa.pdf

in-pct-2001-1265-kol-granted-reply to examination report.pdf

in-pct-2001-1265-kol-granted-specification.pdf


Patent Number 231428
Indian Patent Application Number IN/PCT/2001/1265/KOL
PG Journal Number 10/2009
Publication Date 06-Mar-2009
Grant Date 04-Mar-2009
Date of Filing 29-Nov-2001
Name of Patentee SANKYO COMPANY LIMITED
Applicant Address 5-1, NIHONBASHI HONCHO 3-CHOME, CHUO-KU, TOKYO 103-8426
Inventors:
# Inventor's Name Inventor's Address
1 YOKOYAMA TOMIHISA 2-58, HIROMACHI 1-CHOME, SHINAGAWA-KU, TOKYO 140-8710
2 SHIOKARI TAKASHI 2-58, HIROMACHI 1-CHOME, SHINAGAWA-KU, TOKYO 140-8710
PCT International Classification Number A61K 45/00
PCT International Application Number PCT/JP00/03779
PCT International Filing date 2000-06-09
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 11/164945 1999-06-11 Japan