CA2466499A1 - Use of a mixture of sodium hyaluronate and chondroitin sulfate for the treatment of osteoarthritis - Google Patents
Use of a mixture of sodium hyaluronate and chondroitin sulfate for the treatment of osteoarthritis Download PDFInfo
- Publication number
- CA2466499A1 CA2466499A1 CA002466499A CA2466499A CA2466499A1 CA 2466499 A1 CA2466499 A1 CA 2466499A1 CA 002466499 A CA002466499 A CA 002466499A CA 2466499 A CA2466499 A CA 2466499A CA 2466499 A1 CA2466499 A1 CA 2466499A1
- Authority
- CA
- Canada
- Prior art keywords
- composition
- chondroitin sulfate
- weight
- concentration
- sodium hyaluronate
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/715—Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
- A61K31/726—Glycosaminoglycans, i.e. mucopolysaccharides
- A61K31/728—Hyaluronic acid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/715—Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
- A61K31/737—Sulfated polysaccharides, e.g. chondroitin sulfate, dermatan sulfate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
- A61K9/0024—Solid, semi-solid or solidifying implants, which are implanted or injected in body tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L27/00—Materials for grafts or prostheses or for coating grafts or prostheses
- A61L27/14—Macromolecular materials
- A61L27/26—Mixtures of macromolecular compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P41/00—Drugs used in surgical methods, e.g. surgery adjuvants for preventing adhesion or for vitreum substitution
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
- A61L2430/00—Materials or treatment for tissue regeneration
- A61L2430/24—Materials or treatment for tissue regeneration for joint reconstruction
Abstract
This invention is related to the use of the composition formed by sodium hyaluronate and sodium chondroitin sulfate for the treatment of chondral lesions in osteoarthritis, and to the use of such composition in the manufacture of a product for such treatment.
Claims (20)
1. A therapeutic method for the treatment of a joint exhibiting degeneration of articular cartilage comprising the intraarticular administration to said joint of a viscous composition comprising a therapeutically effective amount of a mixture of chondroitin sulfate and hyaluronic acid or pharmaceutically acceptable salts thereof.
2. The method of claim 1, wherein the joint is in a human patient and the degeneration of the cartilage is caused by chondromalacia or osteoarthritis of grade I or grade II.
3. The method of either claim 1 or claim 2, wherein the composition comprises a mixture of chondroitin sulfate at a concentration of 0.1 to 50% by weight and sodium hyaluronate at a concentration of 0.1 to 50% by weight.
4. The method of claim 3, wherein the chondroitin sulfate concentration is from 0.1 to 5.3% by weight and the sodium hyaluronate concentration is from 0.1 to 4.2% by weight of the composition.
5. The method of claim 9, wherein the composition is a sterile, non-pyrogenic, viscoelastic solution comprising a mixture of chondroitin sulfate and sodium hyaluronate in a ratio of about 4 parts by weight chondroitin sulfate to about 3 parts by weight sodium hyaluronate.
6. The method of claim 5, wherein the concentration cf chondroitin sulfate is about 40 mg/ml and the concentration of, sodium hyaluronate is about 30 mg/ml.
7. The method of claim 6, wherein the chondroitin sulfate has a molecular weight of 20,000 to 50,000 daltons, the sodium hyaluronate has a molecular weight. of 5 00,000 to 1,000,000 daltons, and the composition has a. viscosity of 20,000 to 60,000 cps.
8. The method of claim 1, wherein doses of between 0.5 and 1.5 cubic centimeters of the viscoelastic composition are periodically administered to the affected joint.
9. The method of claim 8, wherein 2 to 6 doses of the viscoelastic composition are administered over 1 to 3 months.
10. The method of claim 9, wherein 2 to 4 doses of the viscoelastic composition are administered at 10 to 20 day intervals.
11. The method of claim 10, wherein 3 doses of the viscoelastic composition are administered at 15 day intervals.
12. The therapeutic method according to claim 8, wherein the joint is a human joint selected from the group formed by the following joints: i) knees, shoulders and sacroiliac; ii) coxofemoral, ankles and elbows; and iii) interphalangeal. and wrists.
13. The therapeutic method according to claim 12, wherein each dose of the viscoelastic composition is 1.5 cubic centimeters of the composition for the knee, shoulder or sacroiliac joints.
14. The therapeutic method according to claim 8, wherein each dose of the viscoelastic composition is 0.75 cubic centimeters of the composition for the coxofemoral, ankle or elbow joints.
15. The therapeutic method according to claim 8, wherein each dose of the viscoelastic composition is 0,5 cubic centimeters of the composition for the interphalangeal or wrist joints.
16. The use of stable, viscous, buffered aqueous solution which comprises a mixture of chondroitin sulfate at a concentration of about 0.1 to 50% by weight and sodium hyaluronate at a concentration of about 0.1 to 50% by weight in the manufacture of a product for the intraarticular treatment of chondromalacia and/or osteoarthritis.
17. The use according to claim 16, wherein said. solution is maintained at a pH of about 7.0 to 8Ø
18. The use according to claim 16 or claim 17, wherein the solution has an osmolarity of from about 300 to about 350 mOsmo1/kg.
19. A method of repairing or regenerating cartilage in a mammalian joint characterized by cartilage disease or trauma, comprising the intraarticular instillation of a mixture of chondroitin sulfate and hyaluronic acid or pharmaceutically acceptable salts thereof.
20. Use of a mixture of chondroitin sulfate and hyaluronic acid or pharmaceutically acceptable salts thereof in the manufacture of a product for intraarticular administration to repair or regenerate cartilage in a mammalian joint characterized by cartilage disease or trauma.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
MXPA/A/2001/011542 | 2001-11-13 | ||
MXPA01011542A MXPA01011542A (en) | 2001-11-13 | 2001-11-13 | Regeneration of articular cartilage damaged by osteoarthritis i and ii, by means of intra-articular application of sodium hyaluronate and chondroitin sulphate in a gel carrier. |
US10/082,743 US6906044B2 (en) | 2001-11-13 | 2002-02-22 | Regeneration of articular cartilage damaged by grade I and II osteoarthritis by means of the intraarticular application of a mixture of sodium hyaluronate and chondroitin sulfate in a gel vehicle |
US10/082,743 | 2002-02-22 | ||
PCT/EP2002/012703 WO2003041724A1 (en) | 2001-11-13 | 2002-11-13 | Use of a mixture of sodium hyaluronate and chondroitin sulfate for the treatment of osteoarthritis |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2466499A1 true CA2466499A1 (en) | 2003-05-22 |
CA2466499C CA2466499C (en) | 2011-10-18 |
Family
ID=33297421
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2466499A Expired - Fee Related CA2466499C (en) | 2001-11-13 | 2002-11-13 | Use of a mixture of sodium hyaluronate and chondroitin sulfate for the treatment of osteoarthritis |
Country Status (16)
Country | Link |
---|---|
US (3) | US6906044B2 (en) |
EP (1) | EP1443945B1 (en) |
JP (2) | JP4741183B2 (en) |
KR (1) | KR100989109B1 (en) |
CN (1) | CN1585645A (en) |
AT (1) | ATE411807T1 (en) |
AU (1) | AU2002363589B2 (en) |
BR (1) | BR0214032A (en) |
CA (1) | CA2466499C (en) |
DE (1) | DE60229545D1 (en) |
DK (1) | DK1443945T3 (en) |
ES (1) | ES2312648T3 (en) |
HK (1) | HK1064043A1 (en) |
MX (2) | MXPA01011542A (en) |
WO (1) | WO2003041724A1 (en) |
ZA (1) | ZA200402717B (en) |
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2001
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2002
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- 2002-11-13 CA CA2466499A patent/CA2466499C/en not_active Expired - Fee Related
- 2002-11-13 US US10/469,258 patent/US6949525B2/en not_active Expired - Lifetime
- 2002-11-13 WO PCT/EP2002/012703 patent/WO2003041724A1/en active Application Filing
- 2002-11-13 DK DK02790371T patent/DK1443945T3/en active
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- 2002-11-13 KR KR1020047007179A patent/KR100989109B1/en active IP Right Grant
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MXPA01011542A (en) | 2003-05-22 |
DK1443945T3 (en) | 2009-01-12 |
WO2003041724A1 (en) | 2003-05-22 |
EP1443945B1 (en) | 2008-10-22 |
US6906044B2 (en) | 2005-06-14 |
KR100989109B1 (en) | 2010-10-25 |
CN1585645A (en) | 2005-02-23 |
DE60229545D1 (en) | 2008-12-04 |
ES2312648T3 (en) | 2009-03-01 |
BR0214032A (en) | 2004-10-13 |
US20040214793A1 (en) | 2004-10-28 |
ZA200402717B (en) | 2005-02-23 |
MXPA04004452A (en) | 2004-08-11 |
CA2466499C (en) | 2011-10-18 |
HK1064043A1 (en) | 2005-01-21 |
EP1443945A1 (en) | 2004-08-11 |
JP2005515181A (en) | 2005-05-26 |
US6949525B2 (en) | 2005-09-27 |
KR20050044415A (en) | 2005-05-12 |
AU2002363589B2 (en) | 2007-11-29 |
US20040082540A1 (en) | 2004-04-29 |
US20050244358A1 (en) | 2005-11-03 |
JP4741183B2 (en) | 2011-08-03 |
JP2011105741A (en) | 2011-06-02 |
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