WO1996032136A1 - Polysaccharide-bound nitric oxide-nucleophile adducts - Google Patents

Polysaccharide-bound nitric oxide-nucleophile adducts Download PDF

Info

Publication number
WO1996032136A1
WO1996032136A1 PCT/US1996/004899 US9604899W WO9632136A1 WO 1996032136 A1 WO1996032136 A1 WO 1996032136A1 US 9604899 W US9604899 W US 9604899W WO 9632136 A1 WO9632136 A1 WO 9632136A1
Authority
WO
WIPO (PCT)
Prior art keywords
group
nitric oxide
branched chain
chain alkyl
substituted
Prior art date
Application number
PCT/US1996/004899
Other languages
French (fr)
Inventor
Daniel J. Smith
Debashish Chakravarthy
Larry K. Keefer
Original Assignee
The United States Of America, Represented By The Secretary, Department Of Health And Human Services
University Of Akron
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by The United States Of America, Represented By The Secretary, Department Of Health And Human Services, University Of Akron filed Critical The United States Of America, Represented By The Secretary, Department Of Health And Human Services
Priority to EP96911671A priority Critical patent/EP0822833A1/en
Priority to CA002216696A priority patent/CA2216696C/en
Priority to JP8531128A priority patent/JPH11503456A/en
Priority to AU54483/96A priority patent/AU695579C/en
Publication of WO1996032136A1 publication Critical patent/WO1996032136A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/655Azo (—N=N—), diazo (=N2), azoxy (>N—O—N< or N(=O)—N<), azido (—N3) or diazoamino (—N=N—N<) compounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/74Synthetic polymeric materials
    • A61K31/785Polymers containing nitrogen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/50Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
    • A61K47/51Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
    • A61K47/56Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule
    • A61K47/61Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an organic macromolecular compound, e.g. an oligomeric, polymeric or dendrimeric molecule the organic macromolecular compound being a polysaccharide or a derivative thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/10Drugs for genital or sexual disorders; Contraceptives for impotence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • A61P35/04Antineoplastic agents specific for metastasis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives
    • CCHEMISTRY; METALLURGY
    • C08ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08BPOLYSACCHARIDES; DERIVATIVES THEREOF
    • C08B15/00Preparation of other cellulose derivatives or modified cellulose, e.g. complexes
    • C08B15/05Derivatives containing elements other than carbon, hydrogen, oxygen, halogens or sulfur
    • C08B15/06Derivatives containing elements other than carbon, hydrogen, oxygen, halogens or sulfur containing nitrogen, e.g. carbamates
    • CCHEMISTRY; METALLURGY
    • C08ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08BPOLYSACCHARIDES; DERIVATIVES THEREOF
    • C08B37/00Preparation of polysaccharides not provided for in groups C08B1/00 - C08B35/00; Derivatives thereof
    • C08B37/0006Homoglycans, i.e. polysaccharides having a main chain consisting of one single sugar, e.g. colominic acid
    • CCHEMISTRY; METALLURGY
    • C08ORGANIC MACROMOLECULAR COMPOUNDS; THEIR PREPARATION OR CHEMICAL WORKING-UP; COMPOSITIONS BASED THEREON
    • C08FMACROMOLECULAR COMPOUNDS OBTAINED BY REACTIONS ONLY INVOLVING CARBON-TO-CARBON UNSATURATED BONDS
    • C08F8/00Chemical modification by after-treatment
    • C08F8/30Introducing nitrogen atoms or nitrogen-containing groups

Definitions

  • the present invention relates to compositions comprising a nitric oxide/nucleophile adduct capable of releasing nitric oxide.
  • the present invention relates to compositions comprising nitric oxide/nucleophile adducts which are bound to a polysaccharide and which release nitric oxide in a physiological environment, pharmaceutical compositions comprising such nitric oxide/nucleophile adduct compositions, and methods of using same to treat a biological disorder for which the administration of nitric oxide is indicated.
  • Nitric oxide has recently been implicated in a variety of bioregulatory processes, including normal physiological control of blood pressure, macrophage- induced cytostasis and cytotoxicity, and neurotransmission (Moncada et al., "Nitric Oxide from L-Arginine: A Bioregulatory System,” Excerpta Medica. International Congress Series 897 (Elsevier Science Publishers B.V. : Amsterdam, 1990); Marietta et al., “Unraveling the Biological Significance of Nitric Oxide," Biofactors. 2., 219-225 (1990); Ignarro, "Nitric Oxide. A Novel Signal Transduction Mechanism for Transcellular Communication," Hypertension (Dallas) . 16.
  • nitric oxide nitric oxide upon being metabolized
  • compounds which release nitric oxide*spontaneously in aqueous solution include the widely used nitrovasodilators glyceryl trinitrate and sodium nitroprusside (Ignarro et al., J. Pharmacol. EXP. Ther.. 218. 739-749 (1981); Ignarro, Annu. Rev. Pharmacol. Toxicol.. 30. 535-560 (1990); Kruszyna et al., Toxicol. APPI. Pharmacol..
  • nitric oxide-nucleophile complexes Numerous nitric oxide-nucleophile complexes have been described, e.g., Drago, ACS Adv. Chem. Ser.. Vol. 36, p. 143-149 (1962) . See also Longhi and Drago, Inorg. Chem. 2.85, (1963) . Some of these complexes are known to evolve nitric oxide on heating or hydrolysis, e.g., Maragos et al., J. Med. Chem. 34. 3242-3247, 1991.
  • Endothelium-derived relaxing factor is a labile humoral agent which is part of a cascade of interacting agents involved in the relaxation of vascular smooth muscle. EDRF is thus important in the control of vascular resistance to blood flow and in the control of blood pressure. Some vasodilators act by causing EDRF to be released from endothelial cells. (See Furchgott, Ann.Rev.Pharmacol.Toxicol. 24. / 175-197, 1984.) In 1987, Palmer et al., presented evidence that EDRF is identical to the simple molecule, nitric oxide, NO (Nature 317.
  • Nitric oxide in its pure form is a highly reactive gas having limited solubility in aqueous media (WHO Task Group on Environmental Health Criteria for Oxides of Nitrogen, Oxides of Nitrogen. Environmental Health Criteria 4 (World Health Organization: Geneva, 1977)). Nitric oxide, therefore, is difficult to introduce reliably into most biological systems without premature decomposition.
  • nitric oxide The difficulty in administering nitric oxide can be overcome in some cases by administering nitric oxide pharmacologically in prodrug form.
  • the compounds glyceryl trinitrate and sodium nitroprusside are relatively stable but release nitric oxide only on redox activation (Ignarro et al., J. Pharmacol. Exp. Ther.. 218. 739-749 (1981); Ignarro, Annu. Rev. Pharmaco1. Toxicol.. 2£, 535-560
  • nitric oxide- nucleophile complexes A very important class of such agents is the nitric oxide- nucleophile complexes. Recently, a method for treating cardiovascular disorders in a mammal with certain nitric oxide-nucleophile complexes has been disclosed, e.g. in U.S. 4,954,526. These compounds contain the anionic N 2 0 2 ⁇ group or derivatives thereof. See also, Maragos et al., J. Med. Chem. 34, 3242-3247, 1991.
  • the NONOate function can be coordinated via the two oxygen atoms to metal centers; it can be attached to peptides; and it can be bound in solid polymeric matrices to provide a point source of NO.
  • Nitric oxide/nucleophile complexes which release nitric oxide in aqueous solution are also disclosed in U.S. Patent 4,954,526, U.S. Patent 5,039,705, U.S. Patent 5,212,204, U.S. Patent 5,155,137, U.S. Patent 5,208,233, U.S. Patent 5,250,550, U.S. Patent 5,366,997, and U.S. Patent 5,389,675 (see also Maragos et al., J. Med. Chem.. 2A, 3242-3247 (1991)).
  • nitric oxide-releasing compositions which are capable of concentrating the effect of the nitric oxide release to a situs of application and for which nitric oxide release may be controlled for effective dosing.
  • compositions which includes a nitric oxide/nucleophile adduct whose action can be localized to enhance the selectivity of nitric oxide release.
  • Another object of the invention is to provide a composition which includes a nitric oxide/nucleophile adduct whose release of nitric oxide can be controlled to effect efficient dosing for a prolonged biological effect.
  • a further object of the present invention is to provide compositions including nitric oxide/nucleophile adducts capable of releasing nitric oxide wherein the nitric oxide/nucleophile adduct is associated with a polymer.
  • a more specific object of the present invention is to provide polysaccharide compositions including nitric oxide/nucleophile adducts capable of releasing nitric oxide in the body and which are readily eliminated from the body after the release of NO.
  • the present invention provides a composition capable of releasing nitric oxide which includes a nitric oxide- releasing N 2 0 2 ⁇ functional group bound to a polymer, specifically a polysaccharide.
  • bound to a polymer it is meant that the N 2 0 2 " functional group is associated with, part of, incorporated with or contained within the polymer matrix physically or chemically. Physical association or bonding of the N 2 0 2 " functional group to the polymer may be achieved by coprecipitation of the polymer with a nitric oxide/nucleophile complex as well as by covalent bonding of the N 2 0 2 " group to the polymer.
  • Chemical bonding of the N 2 0 2 " functional group to the polymer may be by, for example, covalent bonding of the nucleophile moiety of the nitric oxide/nucleophile adduct to the polymer such that the nucleophile residue to which the N 2 0 2 " group is attached forms part of the polymer itself, i.e., is in the polymer backbone or is attached to pendant groups on the polymer backbone.
  • the manner in which the nitric oxide-releasing N 2 0 2 " functional group is associated, part of, or incorporated with or contained within, i.e., "bound,” to the polymer is inconsequential to the present invention and all means of association, incorporation and bonding are contemplated herein.
  • the present invention also provides a pharmaceutical composition which includes a pharmaceutically acceptable carrier and a polymer, specifically a polysaccharide, having a nitric oxide-releasing N 2 0 2 " functional group bound to said polymer.
  • a pharmaceutically acceptable carrier specifically a polysaccharide, having a nitric oxide-releasing N 2 0 2 " functional group bound to said polymer.
  • the polymer-bound nitric oxide- releasing N 2 0 2 " functional group compositions of the present invention may themselves function as a pharmaceutical composition, as, for example, when the polymer-bound composition is in the form of an implant, stent, patch, or the like.
  • the invention further provides a method of treating biological disorders in which dosage with nitric oxide would be beneficial which comprises administering a composition comprising a polymer, specifically a polysaccharide, and a nitric oxide-releasing N 2 0 2 ⁇ functional group bound to said polymer in an amount sufficient to release a therapeutically effective amount of nitric oxide.
  • the present invention is predicated on the discovery that useful pharmacological agents can be provided by incorporating nitric oxide-releasing N 2 0 2 " functional groups into a polymeric matrix, specifically a polysaccharide. Accordingly, the N 2 0 2 ⁇ functional group is "bound to the polymer" as that term has been defined herein. It has been discovered that incorporation of the N 2 0 2 " functional group into a polymeric matrix provides a polymer-bound nitric oxide/nucleophile adduct composition that can be applied with specificity to a biological site of interest.
  • N 2 0 2 " functional groups attached to the polymer are necessarily localized, then the effect of their nitric oxide release will be concentrated in the tissues with which they are in contact. If the polymer is soluble, selectivity of action can still be arranged, for example, by attachment to or derivatization of an antibody specific to the target tissue.
  • N 2 0 2 " containing polysaccharides to small peptides that mimic the recognition sequences of ligands for important receptors provides localized concentrated effect of nitric oxide release, as would attachment to oligonucleotides capable of site-specific interactions with target sequences in a nucleic acid.
  • incorporation of the N 2 0 2 ⁇ functional group into a polymeric matrix can reduce the propensity of the nitric oxide/nucleophile adduct for the relatively rapid release of nitric oxide. This prolongs the release of nitric oxide by the N 2 0 2 " functional group, and allows for efficient dosing to achieve a desired biological effect so the frequency of dosing can be reduced. While not being bound to any particular theory, it is believed that longevity of nitric oxide release in the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention is to be attributed both to the physical structure of the composition and to electrostatic effects.
  • N 2 0 2 " groups near the surface of the particle should be available for rapid release while those that are more deeply imbedded are sterically shielded, requiring more time and/or energy for the nitric oxide to work its way into the medium.
  • increasing positive charge in the vicinity of an N 0 2 " functional group also tends to increase the halflife of nitric oxide generation.
  • the mechanism of this rate retardation may be attributable simply to repulsive electrostatic interactions, i.e., increasing the number of H + -repelling positive charges in the vicinity of the N 2 0 2 " groups inhibits attack of positively charged H + ions on the N 0 2 " functional group and slows the rate of its H + - catalyzed decomposition.
  • partially converted structures can be produced on less-than-exhaustive treatment with nitric oxide that after exposure to water contain a large number of positively charged ammonium centers surrounding the N 2 0 2 " group that electrostatically inhibit the approach of H + ions capable of initiating nitric oxide loss from the nitric oxide releasing N 2 0 2 ⁇ functional group.
  • nitric oxide-releasing N 2 0 2 " functional groups that are bound to the polymer generally are capable of releasing nitric oxide in an aqueous environment spontaneously upon contacting an aqueous environment, i.e., they do not require activation through a redox reaction or electron transfer such as is required for glyceryl trinitrate and sodium nitroprusside.
  • Some of the nitric oxide/nucleophile complexes useful in the context of the present invention do require activation by particular means, but only as necessary to free the nitric oxide releasing X-fN(0)NO] ⁇ group in the vicinity of the particular cells of interest.
  • covalent attachment of a protecting group to the anionic [N(0)N0] ⁇ function provides a means of postponing nitric oxide release until the molecule reaches an organ capable of metabolically removing the protecting group.
  • a protecting group that is selectively cleaved by enzymes specific to a tumor, biological disorder, cell, or tissue of interest, for example, the action of the nitric oxide/nucleophile complex can be targeted to maximize the desired effect.
  • the polymer-bound, i.e., polysaccharide-bound, nitric oxide-releasing compositions of the present invention are capable of releasing nitric oxide in an aqueous solution, such a compound preferably releases nitric oxide under physiological conditions.
  • the nitric oxide releasing N 2 0 2 " functional group is preferably a nitric oxide/nucleophile adduct, e.g., a complex of nitric oxide and a nucleophile, most preferably a nitric oxide/nucleophile complex which contains the moiety [N(0)NO ⁇ -X or X-fN(0)N0], where X is any suitable nucleophile residue and may be an organic or inorganic moiety.
  • sulfite e.g., S0 3 "
  • Other suitable nitric oxide/nucleophile complexes include those having the following formulas:
  • J is an organic or inorganic moiety, preferably a moiety which is not linked to the nitrogen of the N 2 0 2 " group through a carbon atom
  • M +x is a pharmaceutically acceptable cation, where x is the valence of the cation, a is 1 or 2, and b and c are the smallest integers that result in a neutral compound, preferably such that the compound is not a salt of alanosine or dopastin, as described in U.S. Patent 5,212,204 and incorporated herein by reference;
  • R x , R 2 , R 3 , R 4 , and R 5 are the same or different and may be hydrogen, C 3 _ 8 cycloalkyl, C j . ⁇ straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2- trichloro-t-butoxycarbonyl, and x, y, and z are the same or different and are integers from 2 to 12, as described in U.S. Patent 5,155,137 and incorporated by reference;
  • R 6 and R 7 are the same or different and may be hydrogen, c 3 - 8 cycloalkyl, C 1 _ 12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p- toluyl, t-butoxycarbonyl, or 2,2,2-trichloro-t- butoxycarbonyl, f is an integer from 0 to 12, with the proviso that when B is the substituted piperazine moiety
  • f is an integer from 2 to 12, as described in U.S. Patent 5,250,550 and incorporated by reference;
  • R 8 is hydrogen, C 3 _ 8 cycloalkyl, C 1-12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2-tri- chloro-t-butoxycarbonyl
  • R 9 is hydrogen or a C-_-c 12 straight or branched chain alkyl, and g is 2 to 6, as described in U.S. Patent 5,250,550 and incorporated by reference;
  • R 1 and R are independently selected from the group consisting of a straight chain or branched chain C x - C 12 alkyl group and a benzyl group, with the proviso that no branch occur on the alpha carbon atom, or else R 1 and R 2 together with the nitrogen atom they are bonded to form a heterocyclic group, preferably a pyrrolidino, piperidino, piperazino or morpholino group, M +x is a pharmaceutically acceptable cation, and x is the valence of the cation, as described in U.S. Patent No. 5,039,705 and incorporated by reference;
  • M is a pharmaceutically acceptable metal, or, where x is at least two, a mixture of two different pharmaceutically acceptable metals, L is a ligand different from (R 1 R 2 N-N 2 0 2 ) and is bound to at least one metal, R 1 and R 2 are each organic moieties and may be the same or different (with the proviso that where M is copper, x is one, L is methanol, and y is one, that at least one of R 1 or R 2 is not ethyl) , x is an integer of from 1 to 10, x* is the formal oxidation state of the metal M, and is an integer of from 1 to 6, y is an integer of from 1 to 18, and where y is at least 2, the ligands L may be the same or different, z is an integer of from 1 to 20, and K is a pharmaceutically acceptable counterion to render the compound neutral to the extent necessary, as described in U.S. Patent 5,389,675 and incorporated by reference; and
  • R is C 2 _ 8 lower alkyl, phenyl, benzyl, or C 3 _ 8 cycoloalkyl, any of which R groups may be substituted by one to three substituents, which are the same or different, selected from the group consisting of halo, hydroxy, C 1 _ 8 alkoxy, -NH 2 , -C(0)NH 2 , -CH(O), -C( ⁇ )OH, and -N0 2
  • X is a pharmaceutically acceptable cation, a pharmaceutically acceptable metal center, or a pharmaceutically acceptable organic group selected from the group consisting of C 1-8 lower alkyl, -C(0)CH 3 , and -C(0)NH 2
  • y is one to three, consistent with the valence of X, as described in U.S. Patent No. 4,954,526 and incorporated by reference;
  • R ⁇ and R 2 are independently chosen from C- ⁇ 2 straight chain alkyl, C ⁇ alkoxy or acyloxy substituted straight chain alkyl, C 2 _ 12 hydroxy or halo substituted straight chain alkyl, C 3 _ 12 branched chain alkyl, C 3 _ 1 hydroxy, halo, alkoxy, or acyloxy substituted branched chain alkyl, C 3 _ 12 straight chain olefinic and C 3 _ 12 branched chain olefinic which are unsubstituted or substituted with hydroxy, alkoxy, acyloxy, halo or benzyl, or R j and R 2 together with the nitrogen atom to which they are bonded form a heterocyclic group, preferably a pyrrolidino, piperidino, piperazino or orpholino group, and R 3 is a group selected from C 1 _ 12 straight chain and C 3 _ 12 branched chain alkyl which are unsubstituted or
  • the polymer is a polyether.
  • the polyether is a polysaccharide.
  • Polysaccharides include cellulose, starch, dextran, and xylans.
  • the polysaccharides may be modified or derivatized.
  • suitable modified polysaccharides include hydroxyethylcellulose, carboxymethyl cellulose, hydroxyethyl starch, dextran ethers, dextran esters, dextran carbamates and the like.
  • the physical and structural characteristics of the polymers suitable for use in the present invention are not narrowly critical, but rather will depend on the end use application.
  • the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention are intended for topical, dermal, percutaneous, or . similar use, they need not be biodegradable. For some uses, such as ingestion or the like, it may be desirable that the polymer of the polymer-bound compositions slowly dissolves in a physiological environment or that it is biodegradable.
  • the polymer-bound nitric oxide releasing compositions of the present invention will find utility in a wide variety of applications and in a wide variety of forms depending on the biological disorder to be treated.
  • the polymer may itself be structurally sufficient to serve as an implant, patch, stent or the like.
  • the polymer-bound composition may be incorporated into other polymer matrices, substrates or the like, or it may be microencapsulated, or the like.
  • nitric oxide-releasing complexes having N 2 0 2 " functional groups may be bound to the polymer support in a number of different ways.
  • the compounds described above may be bound to the polymer by coprecipitation of such compounds with the polymer. Coprecipitation involves, for example, solubilizing both the polymer and the nitric oxide/nucleophile compound and evaporating the solvent.
  • nitric oxide-releasing N 2 0 2 " functional groups may be bound to the polymer by formation of a nitric oxide/nucleophile complex of the types and having the formulas of those described above, in situ on the polymer.
  • the N 0 2 ⁇ functional group may be attached to an atom in the backbone of the polymer, or it may be attached to a group pendant to the polymer backbone, or it may simply be entrapped in the polymer matrix.
  • the polymer includes in its backbone sites which are capable of reacting with nitric oxide to bind the nitric oxide for future release.
  • the polymer is polyethylenimine
  • the polymer includes nucleophilic nitrogen atoms which react with nitric oxide to form the N 2 0 2 ⁇ functional group at the nitrogen in the backbone.
  • the polymer contains, or is derivatized with, a suitable nucleophilic residue capable of reacting with nitric oxide to form the N 2 o 2 " functionality. Reaction of the polymer which contains a suitable nucleophilic residue, or of the suitably derivatized polymers with nitric oxide thus provides a polymer-bound nitric oxide-releasing N 2 0 2 " functional group.
  • the polymer-bound nitric oxide/nucleophile compositions of the present invention have a wide range of biological utility.
  • nitric oxide is an especially versatile and important bioeffective species, having been implicated mechanistically in such critical bodily functions as vasorelaxation, neurotransmission and the immunological response (Moncada et al., Pharmacol. Rev. 43, 109-142, 1991)
  • the compositions of the present invention find utility in applications where nitric oxide release is needed.
  • the polymer-bound nitric oxide releasing N 2 0 2 " functional groups may be bound to the surface of a vascular graft to reduce its thrombogenicity.
  • the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention may be incorporated into suitable penile implants, dermal patches or condoms for treatment of impotence in men.
  • stents fabricated with polymer-bound nitric oxide-releasing N 2 0 2 ⁇ functional group compositions may be used both to inhibit cell division in areas with damaged endothelium and to prevent adhesion of platelets at these locations as well, minimizing the risk of recurring blockage.
  • polymer-bound nitric oxide/nucleophile compositions may be used to reduce the risk of metastasis in cancer patients.
  • polymer-bound nitric oxide/nucleophile adduct compositions of the present invention may be used to coat prostheses and medical implants, such as breast implants, prior to surgical connection to the body as a means of reducing the risk of solid state carcinogenisis associated therewith.
  • the compositions of this invention may be used for those applications as well.
  • compositions of the present invention suitable methods of administering the polymer-bound nitric oxide- releasing N 2 0 2 " functional group compositions of the present invention to an animal are available, and, although more than one route can be used to administer a particular composition, a particular route can provide a more immediate and more effective reaction than another route.
  • Pharmaceutically acceptable carriers are also well-known to those who are skilled in the art. The choice of carrier will be determined in part by the particular composition, as well as by the particular method used to administer the composition. Accordingly, there is a wide variety of suitable formulations of the pharmaceutical composition of the present invention.
  • Formulations suitable for oral administration can consist of (a) liquid solutions, such as an effective amount of the polymer-bound composition dissolved in diluents, such as water or saline, (b) capsules, sachets or tablets, each containing a predetermined amount of the active ingredient, as solids or granules, (c) suspensions in an appropriate liquid, and (d) suitable emulsions.
  • liquid solutions such as an effective amount of the polymer-bound composition dissolved in diluents, such as water or saline
  • diluents such as water or saline
  • capsules, sachets or tablets each containing a predetermined amount of the active ingredient, as solids or granules
  • suspensions in an appropriate liquid and (d) suitable emulsions.
  • Tablet forms can include one or more of lactose, mannitol, corn starch, potato starch, microcrystalline cellulose, acacia, gelatin, colloidal silicon dioxide, croscarmellose sodium, talc, magnesium stearate, stearic acid, and other excipients, colorants, diluents, buffering agents, moistening agents, preservatives, flavoring agents, and pharmacologically compatible carriers.
  • Lozenge forms can comprise the active ingredient in a flavor, usually sucrose and acacia or tragacanth, as well as pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin or sucrose and acacia emulsions, gels, and the like containing, in addition to the active ingredient, such carriers as are known in the art.
  • a flavor usually sucrose and acacia or tragacanth
  • pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin or sucrose and acacia emulsions, gels, and the like containing, in addition to the active ingredient, such carriers as are known in the art.
  • the polymer-bound nitric oxide-releasing compositions of the present invention can be made into aerosol formulations to be administered via inhalation. These aerosol formulations can be placed into pressurized acceptable propeHants, such as dichlorodifluoromethane, propane, nitrogen, and the like.
  • pressurized acceptable propeHants such as dichlorodifluoromethane, propane, nitrogen, and the like.
  • Formulations suitable for parenteral administration include aqueous and non-aqueous, isotonic sterile injection solutions, which can contain anti-oxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the intended recipient, and aqueous and non-aqueous sterile suspensions that can include suspending agents, solubilizers, thickening agents, stabilizers, and preservatives.
  • the formulations can be presented in unit-dose or multi-dose sealed containers, such as ampules and vials, and can be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, water, for injections, immediately prior to use.
  • Extemporaneous injection solutions and suspensions can be prepared from sterile powders, granules, and tablets of the kind previously described.
  • the dose administered to an animal, particularly a human, in the context of the present invention should be sufficient to effect a therapeutic response in the animal over a reasonable time frame.
  • the dose will be determined by the strength of the particular compositions employed and the condition of the animal, as well as the body weight of the animal to be treated.
  • the size of the dose also will be determined by the existence, nature, and extent of any adverse side-effects that might accompany the administration of a particular composition.
  • EXAMPLE I This example illustrates the preparation of a polysaccharide polymer containing pendant [N 2 0 2 ] groups by two different methods.
  • Sodium hydroxide (8 ml, 10 M, 80 mmole) and cyanogen bromide (CNBr, 8 g, 75 mmole) , freshly dissolved in 100 ml water, were added to the dextran solution.
  • Diethylenetriamine (DETA, 24.7 g, 222.9 mmole) or dipropylenetriamine (DPTA, 31.8 g, 222.9 mmole) was added quickly to the activated dextran solution. The pH was adjusted to 10.0 and the solution was continuously stirred overnight.
  • the solution was extracted with two 150-ml volumes of methylene chloride and dialyzed overnight against cold running water. After adjusting the pH of the solution to 7.0, the solution was freeze-dried to yield a white solid, which was crushed to a powder (9.6 g for DETA-grafted dextran and 9.2 g for DPTA-grafted dextran) . The success of the grafting was ensured by a titration of the grafted dextran (DETA- dextran) against 1 N NaOH.
  • the DPTA- or DETA-grafted dextran (3.6 g) was crosslinked by dissolution in 15.6 ml of water and 2 ml of 10 M NaOH, pouring the resulting solution into 300 ml of light mineral oil in a Waring blender, stirring for two minutes and adding CNBr (2 g, 18.87 mmole), freshly dissolved in water (16 ml), to the suspension, and stirring for an additional two minutes followed by extraction of the suspension with petroleum ether (300 ml, 3X) , ethanol (95%, 500 ml, 2X) and absolute ethanol (500 ml) .
  • the resulting DETA-grafted icrospheres (1 g) were suspended in dry tetrahydrofuran (THF, 25 ml) and stirred under NO pressure (70 psi) for 48 hrs. At the end of this period, the microspheres were filtered, washed with 200 ml THF, and dried.
  • DPTA-grafted microspheres (0.6 g) were likewise suspended in acetonitrile (25 ml) , reacted with NO and worked up under similar conditions. Approximately 40 nmoles NO per mg in IN HC1 wee obtained from DETA- grafted microspheres. Approximately 650 nmoles NO per mg in 1 N HC1 were obtained from DPTA-grafted microspheres.
  • NONOate grafted microspheres i.e., those containing the [N(0)NO] ⁇ functional group
  • the jLn vitro NO release profiles were determined using a nitric oxide analyzer (Lear-Siegler Corp., Englewood, CO).
  • the sampling chamber consisted of a gas impinger (bubbler) bottle modified at both ends with a two-way valve that allowed NO gas to accumulate in the chamber.
  • One end of the sampling chamber was connected to the NO analyzer while the other end was connected to a flow meter and a helium gas tank.
  • Helium gas was pumped through the system at 10 psig and the flow meter was adjusted to 150-200 ml/min.
  • the resulting signals were integrated by a Hewlett-Packard 350 integrator.
  • Standard curves for NO were prepared by injecting various volumes of potassium nitrate (100 or 1000 ⁇ M) into a hot solution of vanadium(III) chloride (1 M in 1 N HC1) . The resulting NO was similarly swept into the NO analyzer. The peak areas from the generated NO were plotted against the corresponding nanomoles of nitrate, with the assumption that nitrate was quantitatively reacted to form NO in the vanadium chloride-reducing medium. Approximately 190 nmoles of NO were obtained per mg of the microspheres produced from DPTA-NONO.
  • EXAMPLE II This example illustrates the preparation of polyethyleneimine cellulose NONOates.
  • Polyethyleneimine cellulose (PEI Cellulose) (7.0 g, 15.4 mmol) with 70 ml acetonitrile was placed in a modified Ace thread reaction bottle equipped with a magnetic stir bar.
  • the solution was charged with nitrogen gas for 10 minutes through a 4-way gas valve setup that consisted of two gas inlets for NO and N 2 that could be delivered simultaneously; a third outlet was used to keep the system open. All gas connections were made with transparent Teflon tubes and stainless steel swagelock fittings. Nitric oxide gas was then administered at a pressure of 70 psig for 30 minutes and the reaction bottle was closed, keeping the reaction under pressure.

Abstract

A polymeric composition capable of releasing nitric oxide comprises a polysaccharide including a nitric oxide-releasing N2O2- functional group bound to the polymer; pharmaceutical compositions including the polymeric composition; and methods for treating biological disorders in which dosage with nitric oxide is beneficial. The compositions can be used as and/or incorporated into implants, injectables, condoms, prosthesis coatings, patches, and the like for use in a wide variety of medical applications.

Description

1 POLYSACCHARIDE-BOUND NITRIC OXIDE-NUCLEOPHILE AODUCT8
Technical Field of the Invention The present invention relates to compositions comprising a nitric oxide/nucleophile adduct capable of releasing nitric oxide. In particular, the present invention relates to compositions comprising nitric oxide/nucleophile adducts which are bound to a polysaccharide and which release nitric oxide in a physiological environment, pharmaceutical compositions comprising such nitric oxide/nucleophile adduct compositions, and methods of using same to treat a biological disorder for which the administration of nitric oxide is indicated.
Background of the Invention Nitric oxide (NO) has recently been implicated in a variety of bioregulatory processes, including normal physiological control of blood pressure, macrophage- induced cytostasis and cytotoxicity, and neurotransmission (Moncada et al., "Nitric Oxide from L-Arginine: A Bioregulatory System," Excerpta Medica. International Congress Series 897 (Elsevier Science Publishers B.V. : Amsterdam, 1990); Marietta et al., "Unraveling the Biological Significance of Nitric Oxide," Biofactors. 2., 219-225 (1990); Ignarro, "Nitric Oxide. A Novel Signal Transduction Mechanism for Transcellular Communication," Hypertension (Dallas) . 16. 477-483 (1990)). A number of compounds have been developed which are capable of delivering nitric oxide, including compounds which release nitric oxide upon being metabolized and compounds which release nitric oxide*spontaneously in aqueous solution. Those compounds which release nitric oxide upon being metabolized include the widely used nitrovasodilators glyceryl trinitrate and sodium nitroprusside (Ignarro et al., J. Pharmacol. EXP. Ther.. 218. 739-749 (1981); Ignarro, Annu. Rev. Pharmacol. Toxicol.. 30. 535-560 (1990); Kruszyna et al., Toxicol. APPI. Pharmacol.. 91. 429-438 (1987); Wilcox et al., Che . Res. Toxicol.. 3., 71- 76 (1990) . Another compound, S-nitroso-N- acetylpenicillamine, has been reported to release nitric oxide in solution and to be effective at inhibiting DNA synthesis (Garg et al., Biochem. and Biophys. Res. Comm.. 171. 474-479 (1990)).
Numerous nitric oxide-nucleophile complexes have been described, e.g., Drago, ACS Adv. Chem. Ser.. Vol. 36, p. 143-149 (1962) . See also Longhi and Drago, Inorg. Chem. 2.85, (1963) . Some of these complexes are known to evolve nitric oxide on heating or hydrolysis, e.g., Maragos et al., J. Med. Chem. 34. 3242-3247, 1991.
The cytostatic effect of nitric oxide solutions on tumor cells in vitro has been demonstrated. In particular, it has been shown that solutions of nitric oxide inhibit DNA synthesis and mitochondrial respiration of tumor cells in vitro (Hibbs et al., Biochem. and Biophvs. Res. Comm.. 157. 87-94 (1988); Stuehr et al., J-_ EXP. Med.. 169. 1543-1555 (1989)).
Endothelium-derived relaxing factor (EDRF) is a labile humoral agent which is part of a cascade of interacting agents involved in the relaxation of vascular smooth muscle. EDRF is thus important in the control of vascular resistance to blood flow and in the control of blood pressure. Some vasodilators act by causing EDRF to be released from endothelial cells. (See Furchgott, Ann.Rev.Pharmacol.Toxicol. 24./ 175-197, 1984.) In 1987, Palmer et al., presented evidence that EDRF is identical to the simple molecule, nitric oxide, NO (Nature 317. 524- 526, 1987) , though more recently, that conclusion has been challenged (Myers et al., Nature, 3_45, 161-163, 1990). Nitric oxide in its pure form, however, is a highly reactive gas having limited solubility in aqueous media (WHO Task Group on Environmental Health Criteria for Oxides of Nitrogen, Oxides of Nitrogen. Environmental Health Criteria 4 (World Health Organization: Geneva, 1977)). Nitric oxide, therefore, is difficult to introduce reliably into most biological systems without premature decomposition.
The difficulty in administering nitric oxide can be overcome in some cases by administering nitric oxide pharmacologically in prodrug form. The compounds glyceryl trinitrate and sodium nitroprusside are relatively stable but release nitric oxide only on redox activation (Ignarro et al., J. Pharmacol. Exp. Ther.. 218. 739-749 (1981); Ignarro, Annu. Rev. Pharmaco1. Toxicol.. 2£, 535-560
(1990); Kruszyna et al., Toxicol. APPI. Pharmacol.. 9_I, 429-438 (1987); Wilcox et al., Chem. Res. Toxicol.. 2, 71- 76 (1990)). While this feature may be an advantage in some applications, it can also be a significant liability, as in the development of tolerance to glyceryl trinitrate via the exhaustion of the relevant enzyme/cofactor system (Ignarro et al., Annu. Rev. Pharmacol. Toxicol.. 25. 171- 191 (1985); Kuhn et al., J. Cardiovasc. Pharmacol.. 14 (Suppl. 11), S47-S54 (1989)) and toxicity from metabolically produced cyanide during prolonged administration of nitroprusside (Smith et al., "A Potpourri of Biologically Reactive Intermediates" in Biological Reactive Intermediates IV. Molecular and Cellular Effects and Their Impact on Human Health (Witmer et al., eds.), Advances in Experimental Medicine and Biology Volume 283 (Plenum Press: New York, 1991) , pp. 365-369) .
Evidence that nitric oxide is released from the endothelial cells and is responsible for the relaxation of the vascular smooth muscle, and hence the control of blood pressure, has resulted in the development of artificial agents that can deliver nitric oxide in vivo. A very important class of such agents is the nitric oxide- nucleophile complexes. Recently, a method for treating cardiovascular disorders in a mammal with certain nitric oxide-nucleophile complexes has been disclosed, e.g. in U.S. 4,954,526. These compounds contain the anionic N202~ group or derivatives thereof. See also, Maragos et al., J. Med. Chem. 34, 3242-3247, 1991. Many of these compounds have proven especially promising pharmacologically because, unlike nitrovasodilators such as nitroprusside and nitroglycerin, they release nitric oxide without first having to be metabolized. The only other series of drugs currently known to be capable of releasing nitric oxide purely spontaneously is the S- nitrosothiol series, compounds of structure R-S-NO (Stamler et al., Proc. Natl. Acad. Sci. U.S.A. 89, 444- 448, 1992) ; however, the R-S-NO-»NO reaction can be kinetically complicated and difficult to control (Morley et al., J. Cardiovasc. Pharmacol. , 21. 670-676 (1993)), and extensive redox activation (McAninly et al., J. Chem. Soc.. Chem. Comm. ■ 1758-1759 ri993,, and Metalbolism
Kowaluk et al.. J. Pharmacol. EXP. Ther.. 221, 1256-1264 (1990)) have been documented for these compounds. Moreover, the oxidation state of nitrogen in the S- nitrosothiols is +3, rather than the +2 of nitric oxide. While variation in the R group of the R-S-N=0 compounds provides a means of altering their chemical, and hence pharmacological, properties, the NONOate series is especially versatile in this respect. NONOates having reproducible half-lives ranging from 2 seconds to 20 hours have been prepared. They can be O-alkylated to provide either spontaneous NO-generators with half-lives of up to a week or more or prodrugs that cannot release NO at all until the oxygen substituent is removed metabolically. The NONOate function can be coordinated via the two oxygen atoms to metal centers; it can be attached to peptides; and it can be bound in solid polymeric matrices to provide a point source of NO. By providing such a wide variety of NO release rates, physical forms, and potential strategies for targeting NO delivery to specific sites in the body, the NONOates constitute a most advantageous series of compounds on which to base NO donor drug development efforts.
Nitric oxide/nucleophile complexes (NONOates) which release nitric oxide in aqueous solution are also disclosed in U.S. Patent 4,954,526, U.S. Patent 5,039,705, U.S. Patent 5,212,204, U.S. Patent 5,155,137, U.S. Patent 5,208,233, U.S. Patent 5,250,550, U.S. Patent 5,366,997, and U.S. Patent 5,389,675 (see also Maragos et al., J. Med. Chem.. 2A, 3242-3247 (1991)).
Despite the promise of the mono eric nitric oxide/nucleophile adducts that have been investigated, their pharmacological application has been limited by their tendency to distribute evenly throughout the medium. Such even distribution is a great advantage in many research applications, but tends to compromise their selectivity of action. Another limitation to the application of some of these nitric oxide/nucleophile adducts is their propensity for relatively rapid release of nitric oxide which may necessitate frequent dosing to achieve a prolonged biological effect. Thus there remains a need for nitric oxide-releasing compositions which are capable of concentrating the effect of the nitric oxide release to a situs of application and for which nitric oxide release may be controlled for effective dosing.
It is therefore a principal object of the present invention to provide a composition which includes a nitric oxide/nucleophile adduct whose action can be localized to enhance the selectivity of nitric oxide release. Another object of the invention is to provide a composition which includes a nitric oxide/nucleophile adduct whose release of nitric oxide can be controlled to effect efficient dosing for a prolonged biological effect. A further object of the present invention is to provide compositions including nitric oxide/nucleophile adducts capable of releasing nitric oxide wherein the nitric oxide/nucleophile adduct is associated with a polymer. A more specific object of the present invention is to provide polysaccharide compositions including nitric oxide/nucleophile adducts capable of releasing nitric oxide in the body and which are readily eliminated from the body after the release of NO. These and other objects and advantages of the present invention, as well as additional inventive features, will be apparent from the description of the invention provided herein.
BRIEF SUMMARY OF THE INVENTION The present invention provides a composition capable of releasing nitric oxide which includes a nitric oxide- releasing N202~ functional group bound to a polymer, specifically a polysaccharide. By "bound to a polymer," it is meant that the N202 " functional group is associated with, part of, incorporated with or contained within the polymer matrix physically or chemically. Physical association or bonding of the N202 " functional group to the polymer may be achieved by coprecipitation of the polymer with a nitric oxide/nucleophile complex as well as by covalent bonding of the N202 " group to the polymer. Chemical bonding of the N202 " functional group to the polymer may be by, for example, covalent bonding of the nucleophile moiety of the nitric oxide/nucleophile adduct to the polymer such that the nucleophile residue to which the N202 " group is attached forms part of the polymer itself, i.e., is in the polymer backbone or is attached to pendant groups on the polymer backbone. The manner in which the nitric oxide-releasing N202 " functional group is associated, part of, or incorporated with or contained within, i.e., "bound," to the polymer is inconsequential to the present invention and all means of association, incorporation and bonding are contemplated herein.
The present invention also provides a pharmaceutical composition which includes a pharmaceutically acceptable carrier and a polymer, specifically a polysaccharide, having a nitric oxide-releasing N202 " functional group bound to said polymer. The polymer-bound nitric oxide- releasing N202 " functional group compositions of the present invention may themselves function as a pharmaceutical composition, as, for example, when the polymer-bound composition is in the form of an implant, stent, patch, or the like.
The invention further provides a method of treating biological disorders in which dosage with nitric oxide would be beneficial which comprises administering a composition comprising a polymer, specifically a polysaccharide, and a nitric oxide-releasing N202~ functional group bound to said polymer in an amount sufficient to release a therapeutically effective amount of nitric oxide.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS The present invention is predicated on the discovery that useful pharmacological agents can be provided by incorporating nitric oxide-releasing N202 " functional groups into a polymeric matrix, specifically a polysaccharide. Accordingly, the N202 ~ functional group is "bound to the polymer" as that term has been defined herein. It has been discovered that incorporation of the N202" functional group into a polymeric matrix provides a polymer-bound nitric oxide/nucleophile adduct composition that can be applied with specificity to a biological site of interest. Site specific application of the polymer- bound adduct composition enhances the selectivity of action of the nitric oxide releasing N202 " functional group. If N202" functional groups attached to the polymer are necessarily localized, then the effect of their nitric oxide release will be concentrated in the tissues with which they are in contact. If the polymer is soluble, selectivity of action can still be arranged, for example, by attachment to or derivatization of an antibody specific to the target tissue. Similarly, attachment of N202" containing polysaccharides to small peptides that mimic the recognition sequences of ligands for important receptors provides localized concentrated effect of nitric oxide release, as would attachment to oligonucleotides capable of site-specific interactions with target sequences in a nucleic acid.
Additionally, incorporation of the N202 ~ functional group into a polymeric matrix can reduce the propensity of the nitric oxide/nucleophile adduct for the relatively rapid release of nitric oxide. This prolongs the release of nitric oxide by the N202 " functional group, and allows for efficient dosing to achieve a desired biological effect so the frequency of dosing can be reduced. While not being bound to any particular theory, it is believed that longevity of nitric oxide release in the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention is to be attributed both to the physical structure of the composition and to electrostatic effects. Thus, it is believed that if the polymer is an insoluble solid, N202 " groups near the surface of the particle should be available for rapid release while those that are more deeply imbedded are sterically shielded, requiring more time and/or energy for the nitric oxide to work its way into the medium. Unexpectedly, it has been found that increasing positive charge in the vicinity of an N 02 " functional group also tends to increase the halflife of nitric oxide generation. The mechanism of this rate retardation may be attributable simply to repulsive electrostatic interactions, i.e., increasing the number of H+-repelling positive charges in the vicinity of the N202 " groups inhibits attack of positively charged H+ ions on the N 02" functional group and slows the rate of its H+- catalyzed decomposition. For example, by attaching amino groups to the polymeric support that are capable of forming the nitric oxide-releasing N202 " functional group on reaction with nitric oxide, partially converted structures can be produced on less-than-exhaustive treatment with nitric oxide that after exposure to water contain a large number of positively charged ammonium centers surrounding the N202 " group that electrostatically inhibit the approach of H+ ions capable of initiating nitric oxide loss from the nitric oxide releasing N202 ~ functional group.
The nitric oxide-releasing N202 " functional groups that are bound to the polymer generally are capable of releasing nitric oxide in an aqueous environment spontaneously upon contacting an aqueous environment, i.e., they do not require activation through a redox reaction or electron transfer such as is required for glyceryl trinitrate and sodium nitroprusside. Some of the nitric oxide/nucleophile complexes useful in the context of the present invention do require activation by particular means, but only as necessary to free the nitric oxide releasing X-fN(0)NO]~ group in the vicinity of the particular cells of interest. As an example, covalent attachment of a protecting group to the anionic [N(0)N0]~ function provides a means of postponing nitric oxide release until the molecule reaches an organ capable of metabolically removing the protecting group. By choosing a protecting group that is selectively cleaved by enzymes specific to a tumor, biological disorder, cell, or tissue of interest, for example, the action of the nitric oxide/nucleophile complex can be targeted to maximize the desired effect. While the polymer-bound, i.e., polysaccharide-bound, nitric oxide-releasing compositions of the present invention are capable of releasing nitric oxide in an aqueous solution, such a compound preferably releases nitric oxide under physiological conditions.
The nitric oxide releasing N202 " functional group is preferably a nitric oxide/nucleophile adduct, e.g., a complex of nitric oxide and a nucleophile, most preferably a nitric oxide/nucleophile complex which contains the moiety [N(0)NO}-X or X-fN(0)N0], where X is any suitable nucleophile residue and may be an organic or inorganic moiety. The nucleophile residue is preferably that of a primary amine (e.g., X = (CH3)2CHNH, as in (CH3)2CHNH[N(0)NO]Na) , a secondary amine (e.g., X = (CH3CH2)2N, as in (CH3CH2)2N[N(0)NO]Na) , a polyamine (e.g., X = spermine, as in the zwitterion H2N(CH2)3NH2 +(CH2)4N[N(0)NO]"(CH2)3NH2, or X 3-(n- propylamino) propylamine, as in the zwitterion CH3CH2CH2N[N(0)NO]~CH2CH2CH2NH3 +) , or oxide (i.e., x = o", as in Naθ[N(0)NO]Na) , or a derivative thereof. Such nitric oxide/nucleophile complexes are stable solids and are capable of delivering nitric oxide in a biologically usable form at a predictable rate.
The nucleophile residue is preferably not an entity such as that of sulfite (e.g., X = S03 ", as in NH403S[N(0)NO]NH4) even though the complex is a stable compound, since it is capable of releasing nitric oxide in an aqueous environment only under harsh, nonphysiological conditions. Other suitable nitric oxide/nucleophile complexes include those having the following formulas:
Figure imgf000012_0001
wherein J is an organic or inorganic moiety, preferably a moiety which is not linked to the nitrogen of the N202 " group through a carbon atom, M+x is a pharmaceutically acceptable cation, where x is the valence of the cation, a is 1 or 2, and b and c are the smallest integers that result in a neutral compound, preferably such that the compound is not a salt of alanosine or dopastin, as described in U.S. Patent 5,212,204 and incorporated herein by reference; R1-NH+-(CH2)χ-N-[(CH2)yN]d-[(CH2)2-N]b-R3 (II)
R2 N202 " R5 R4
wherein b and d are the same or different and may be zero or one, Rx, R2, R3, R4, and R5 are the same or different and may be hydrogen, C3_8 cycloalkyl, Cj.^ straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2- trichloro-t-butoxycarbonyl, and x, y, and z are the same or different and are integers from 2 to 12, as described in U.S. Patent 5,155,137 and incorporated by reference;
Figure imgf000013_0001
wherein B is or —N N—N20"
Figure imgf000013_0002
R6 and R7 are the same or different and may be hydrogen, c 3-8 cycloalkyl, C1_12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p- toluyl, t-butoxycarbonyl, or 2,2,2-trichloro-t- butoxycarbonyl, f is an integer from 0 to 12, with the proviso that when B is the substituted piperazine moiety
—N N-N202"
then f is an integer from 2 to 12, as described in U.S. Patent 5,250,550 and incorporated by reference;
Figure imgf000014_0001
wherein R8 is hydrogen, C3_8 cycloalkyl, C1-12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2-tri- chloro-t-butoxycarbonyl, R9 is hydrogen or a C-_-c12 straight or branched chain alkyl, and g is 2 to 6, as described in U.S. Patent 5,250,550 and incorporated by reference;
Figure imgf000014_0002
wherein R1 and R are independently selected from the group consisting of a straight chain or branched chain Cx - C12 alkyl group and a benzyl group, with the proviso that no branch occur on the alpha carbon atom, or else R1 and R2 together with the nitrogen atom they are bonded to form a heterocyclic group, preferably a pyrrolidino, piperidino, piperazino or morpholino group, M+x is a pharmaceutically acceptable cation, and x is the valence of the cation, as described in U.S. Patent No. 5,039,705 and incorporated by reference;
K[(M)xx χ'(L) .(R 1xPR2'MN--?N< 202)χ] (VI)
wherein M is a pharmaceutically acceptable metal, or, where x is at least two, a mixture of two different pharmaceutically acceptable metals, L is a ligand different from (R1R2N-N202) and is bound to at least one metal, R1 and R2 are each organic moieties and may be the same or different (with the proviso that where M is copper, x is one, L is methanol, and y is one, that at least one of R1 or R2 is not ethyl) , x is an integer of from 1 to 10, x* is the formal oxidation state of the metal M, and is an integer of from 1 to 6, y is an integer of from 1 to 18, and where y is at least 2, the ligands L may be the same or different, z is an integer of from 1 to 20, and K is a pharmaceutically acceptable counterion to render the compound neutral to the extent necessary, as described in U.S. Patent 5,389,675 and incorporated by reference; and
[R-N(H)N(NO)0-]yX (VII)
wherein R is C2_8 lower alkyl, phenyl, benzyl, or C3_8 cycoloalkyl, any of which R groups may be substituted by one to three substituents, which are the same or different, selected from the group consisting of halo, hydroxy, C1_8 alkoxy, -NH2, -C(0)NH2, -CH(O), -C(θ)OH, and -N02, X is a pharmaceutically acceptable cation, a pharmaceutically acceptable metal center, or a pharmaceutically acceptable organic group selected from the group consisting of C1-8 lower alkyl, -C(0)CH3, and -C(0)NH2, and y is one to three, consistent with the valence of X, as described in U.S. Patent No. 4,954,526 and incorporated by reference;
Figure imgf000015_0001
wherein R^ and R2 are independently chosen from C-^2 straight chain alkyl, C^^ alkoxy or acyloxy substituted straight chain alkyl, C2_12 hydroxy or halo substituted straight chain alkyl, C3_12 branched chain alkyl, C3_1 hydroxy, halo, alkoxy, or acyloxy substituted branched chain alkyl, C3_12 straight chain olefinic and C3_12 branched chain olefinic which are unsubstituted or substituted with hydroxy, alkoxy, acyloxy, halo or benzyl, or Rj and R2 together with the nitrogen atom to which they are bonded form a heterocyclic group, preferably a pyrrolidino, piperidino, piperazino or orpholino group, and R3 is a group selected from C1_12 straight chain and C3_ 12 branched chain alkyl which are unsubstituted or substi¬ tuted by hydroxy, halo, acyloxy or alkoxy, C2_12 straight chain or C3_12 branched chain olefinic which are unsubstituted or substituted by halo, alkoxy, acyloxy or hydroxy, C1-12 unsubstituted or substituted acyl, sulfonyl and carboxamido; or R3 is a group of the formula -(CH2)n- ON=N(0)NR1R2, wherein n is an integer of 2-8, and Rx and R2 are as defined above; with the proviso that Rlf R2 and R3 do not contain a halo or a hydroxy substituent α to a heteroatom, as described in U.S. Patent 5,366,997.
In accordance with the invention, the polymer is a polyether. Preferably the polyether is a polysaccharide. Polysaccharides include cellulose, starch, dextran, and xylans. The polysaccharides may be modified or derivatized. By way of illustration and not in limitation, suitable modified polysaccharides include hydroxyethylcellulose, carboxymethyl cellulose, hydroxyethyl starch, dextran ethers, dextran esters, dextran carbamates and the like. The physical and structural characteristics of the polymers suitable for use in the present invention are not narrowly critical, but rather will depend on the end use application. It will be appreciated by those skilled in the art that where the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention are intended for topical, dermal, percutaneous, or .similar use, they need not be biodegradable. For some uses, such as ingestion or the like, it may be desirable that the polymer of the polymer-bound compositions slowly dissolves in a physiological environment or that it is biodegradable. The polymer-bound nitric oxide releasing compositions of the present invention will find utility in a wide variety of applications and in a wide variety of forms depending on the biological disorder to be treated. For example, the polymer may itself be structurally sufficient to serve as an implant, patch, stent or the like. Further, by way of illustration, the polymer-bound composition may be incorporated into other polymer matrices, substrates or the like, or it may be microencapsulated, or the like.
The nitric oxide-releasing complexes having N202 " functional groups, including the compounds described above, may be bound to the polymer support in a number of different ways. For example, the compounds described above may be bound to the polymer by coprecipitation of such compounds with the polymer. Coprecipitation involves, for example, solubilizing both the polymer and the nitric oxide/nucleophile compound and evaporating the solvent. Alternatively, nitric oxide-releasing N202 " functional groups may be bound to the polymer by formation of a nitric oxide/nucleophile complex of the types and having the formulas of those described above, in situ on the polymer. The N 02~ functional group may be attached to an atom in the backbone of the polymer, or it may be attached to a group pendant to the polymer backbone, or it may simply be entrapped in the polymer matrix. Where the N202" functional group is in the polymer backbone, the polymer includes in its backbone sites which are capable of reacting with nitric oxide to bind the nitric oxide for future release. For example, where the polymer is polyethylenimine, the polymer includes nucleophilic nitrogen atoms which react with nitric oxide to form the N202~ functional group at the nitrogen in the backbone. Where the N202" functional group is a group pendant to the polymer backbone, the polymer contains, or is derivatized with, a suitable nucleophilic residue capable of reacting with nitric oxide to form the N2o2 " functionality. Reaction of the polymer which contains a suitable nucleophilic residue, or of the suitably derivatized polymers with nitric oxide thus provides a polymer-bound nitric oxide-releasing N202 " functional group.
The polymer-bound nitric oxide/nucleophile compositions of the present invention have a wide range of biological utility. In view of the growing awareness that nitric oxide is an especially versatile and important bioeffective species, having been implicated mechanistically in such critical bodily functions as vasorelaxation, neurotransmission and the immunological response (Moncada et al., Pharmacol. Rev. 43, 109-142, 1991) , the compositions of the present invention find utility in applications where nitric oxide release is needed. For example, the polymer-bound nitric oxide releasing N202" functional groups may be bound to the surface of a vascular graft to reduce its thrombogenicity.
The following are further illustrative of, and not in any way in limitation of, the broad uses and applications of the polymer-bound compositions of this invention. Thus, for example, in view of dramatic but short-lived pulmonary vaso-and bronchodilatory properties exhibited by nitric oxide (Roberts et al., Circulation (Suppl. II) 84:A1279, 1991), administration of polymer-bound nitric oxide/nucleophile adduct compositions into the lungs in aerosolized form may be used in treating a variety of pulmonary disorders. Oral dosage forms for long-lived drugs containing anionic N202~ functional groups that survive the acid conditions of the stomach may be used for the treatment of hypertension. Since natural, endogenous nitric oxide has been identified as an effector of penile erection (Blakeslee, New York Times, Jan. 9, 1992, page Al) , the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention may be incorporated into suitable penile implants, dermal patches or condoms for treatment of impotence in men. The ability of certain monomeric nitric oxide/nucleophile adducts to inhibit platelet aggregation coupled with their demonstrated cytostatic activity allows for an invaluable two-pronged approach to prevention of restenosis following angioplasty; stents fabricated with polymer-bound nitric oxide-releasing N202~ functional group compositions may be used both to inhibit cell division in areas with damaged endothelium and to prevent adhesion of platelets at these locations as well, minimizing the risk of recurring blockage. With an inverse relationship between generation of nitric oxide by tumor cells and their metastatic potential having been proposed (Radomski et al., Cancer Res. 51, 6073-6078, 1991), polymer-bound nitric oxide/nucleophile compositions may be used to reduce the risk of metastasis in cancer patients. Similarly, it is contemplated that the polymer-bound nitric oxide/nucleophile adduct compositions of the present invention may be used to coat prostheses and medical implants, such as breast implants, prior to surgical connection to the body as a means of reducing the risk of solid state carcinogenisis associated therewith. With nitric oxide being additionally implicated in gastric motility, neurotransmission, nociception, and other natural roles, the compositions of this invention may be used for those applications as well.
One skilled in the art will appreciate that suitable methods of administering the polymer-bound nitric oxide- releasing N202" functional group compositions of the present invention to an animal are available, and, although more than one route can be used to administer a particular composition, a particular route can provide a more immediate and more effective reaction than another route. Pharmaceutically acceptable carriers are also well-known to those who are skilled in the art. The choice of carrier will be determined in part by the particular composition, as well as by the particular method used to administer the composition. Accordingly, there is a wide variety of suitable formulations of the pharmaceutical composition of the present invention.
Formulations suitable for oral administration can consist of (a) liquid solutions, such as an effective amount of the polymer-bound composition dissolved in diluents, such as water or saline, (b) capsules, sachets or tablets, each containing a predetermined amount of the active ingredient, as solids or granules, (c) suspensions in an appropriate liquid, and (d) suitable emulsions. Tablet forms can include one or more of lactose, mannitol, corn starch, potato starch, microcrystalline cellulose, acacia, gelatin, colloidal silicon dioxide, croscarmellose sodium, talc, magnesium stearate, stearic acid, and other excipients, colorants, diluents, buffering agents, moistening agents, preservatives, flavoring agents, and pharmacologically compatible carriers. Lozenge forms can comprise the active ingredient in a flavor, usually sucrose and acacia or tragacanth, as well as pastilles comprising the active ingredient in an inert base, such as gelatin and glycerin or sucrose and acacia emulsions, gels, and the like containing, in addition to the active ingredient, such carriers as are known in the art.
The polymer-bound nitric oxide-releasing compositions of the present invention, alone or in combination with other suitable components, can be made into aerosol formulations to be administered via inhalation. These aerosol formulations can be placed into pressurized acceptable propeHants, such as dichlorodifluoromethane, propane, nitrogen, and the like. Formulations suitable for parenteral administration include aqueous and non-aqueous, isotonic sterile injection solutions, which can contain anti-oxidants, buffers, bacteriostats, and solutes that render the formulation isotonic with the blood of the intended recipient, and aqueous and non-aqueous sterile suspensions that can include suspending agents, solubilizers, thickening agents, stabilizers, and preservatives. The formulations can be presented in unit-dose or multi-dose sealed containers, such as ampules and vials, and can be stored in a freeze-dried (lyophilized) condition requiring only the addition of the sterile liquid carrier, for example, water, for injections, immediately prior to use. Extemporaneous injection solutions and suspensions can be prepared from sterile powders, granules, and tablets of the kind previously described.
The dose administered to an animal, particularly a human, in the context of the present invention should be sufficient to effect a therapeutic response in the animal over a reasonable time frame. The dose will be determined by the strength of the particular compositions employed and the condition of the animal, as well as the body weight of the animal to be treated. The size of the dose also will be determined by the existence, nature, and extent of any adverse side-effects that might accompany the administration of a particular composition.
The following examples further illustrate the present invention, but do not limit the scope thereof.
EXAMPLE I This example illustrates the preparation of a polysaccharide polymer containing pendant [N202] groups by two different methods.
A. Dextran (MW = 515,000, 9 g, 55 mmole, 167 meq - OH, available from Sigma Chemical Co. , St. Louis, MO) was dissolved in 800 ml water. Sodium hydroxide (8 ml, 10 M, 80 mmole) and cyanogen bromide (CNBr, 8 g, 75 mmole) , freshly dissolved in 100 ml water, were added to the dextran solution. Diethylenetriamine (DETA, 24.7 g, 222.9 mmole) or dipropylenetriamine (DPTA, 31.8 g, 222.9 mmole) was added quickly to the activated dextran solution. The pH was adjusted to 10.0 and the solution was continuously stirred overnight. The next day, the solution was extracted with two 150-ml volumes of methylene chloride and dialyzed overnight against cold running water. After adjusting the pH of the solution to 7.0, the solution was freeze-dried to yield a white solid, which was crushed to a powder (9.6 g for DETA-grafted dextran and 9.2 g for DPTA-grafted dextran) . The success of the grafting was ensured by a titration of the grafted dextran (DETA- dextran) against 1 N NaOH.
The DPTA- or DETA-grafted dextran (3.6 g) was crosslinked by dissolution in 15.6 ml of water and 2 ml of 10 M NaOH, pouring the resulting solution into 300 ml of light mineral oil in a Waring blender, stirring for two minutes and adding CNBr (2 g, 18.87 mmole), freshly dissolved in water (16 ml), to the suspension, and stirring for an additional two minutes followed by extraction of the suspension with petroleum ether (300 ml, 3X) , ethanol (95%, 500 ml, 2X) and absolute ethanol (500 ml) .
The resulting DETA-grafted icrospheres (1 g) were suspended in dry tetrahydrofuran (THF, 25 ml) and stirred under NO pressure (70 psi) for 48 hrs. At the end of this period, the microspheres were filtered, washed with 200 ml THF, and dried. DPTA-grafted microspheres (0.6 g) were likewise suspended in acetonitrile (25 ml) , reacted with NO and worked up under similar conditions. Approximately 40 nmoles NO per mg in IN HC1 wee obtained from DETA- grafted microspheres. Approximately 650 nmoles NO per mg in 1 N HC1 were obtained from DPTA-grafted microspheres.
B. The NO adduct of DPTA ("DPTA-NONO," [H2N(CH2)3]2 N[N(0)N0]H, zwitterionic form) was prepared as described by Hrabie et al., J. Pro. Chem.. 58., 1472-1476 (1993). Dextran (3.6 g, 22.2 mmole) was dissolved in 15.6 ml water. Sodium hydroxide (5 ml, 10 M, 50 mmole) and DPTA- NONO (1.5 g, 9.2 mmole) were added to the solution. The solution was then poured into light mineral oil (300 ml) in a Waring blender and the mixture was stirred for 2 min. CNBr (5 g) , freshly dissolved in 35 ml water, was added and the stirring was continued for another 2 min. The solution was worked up in petroleum ether (300 ml, 3X) , 95% ethanol (500 ml), and 35% ethanol (1 liter, 3X) . The absorbance of the last wash at 262 nm was determined. When no peak corresponding to the DPTA-NONO was observed, the microspheres were finally dehydrated by washing with 1 liter of absolute ethanol. The filtered and dried product weighed 2.7 g. Microspheres were obtained using a CNBr:dextran-OH molar ratio of 0.70 (3.6 g dextran crosslinked with 5 g CNBr and 5 ml 10 M NaOH) . These NONOate grafted microspheres, i.e., those containing the [N(0)NO]~ functional group, were analyzed for NO content. The jLn vitro NO release profiles were determined using a nitric oxide analyzer (Lear-Siegler Corp., Englewood, CO). The sampling chamber consisted of a gas impinger (bubbler) bottle modified at both ends with a two-way valve that allowed NO gas to accumulate in the chamber. One end of the sampling chamber was connected to the NO analyzer while the other end was connected to a flow meter and a helium gas tank. Helium gas was pumped through the system at 10 psig and the flow meter was adjusted to 150-200 ml/min. The sampling chamber was charged with 50 ml of 1 M HC1 or other appropriate medium and the solution was degassed. Weighed quantities of the NONOate-grafted microspheres were added to the aqueous solution (pH = 7.0, phosphate buffered saline or 1 N HC1, 50 ml) contained in the headspace analyzer. The nitric oxide that accumulated in the headspace of the suspension was swept with helium into the NO analyzer. The NO release studies were performed either entirely at ambient temperatures or initiated at ambient temperatures following which the sample suspension was heated in steps of 10°C. Following this period, nitric oxide was collected for various periods in the headspace, and then swept into the analyzer for a period of 2 min. The resulting signals were integrated by a Hewlett-Packard 350 integrator. Standard curves for NO were prepared by injecting various volumes of potassium nitrate (100 or 1000 μM) into a hot solution of vanadium(III) chloride (1 M in 1 N HC1) . The resulting NO was similarly swept into the NO analyzer. The peak areas from the generated NO were plotted against the corresponding nanomoles of nitrate, with the assumption that nitrate was quantitatively reacted to form NO in the vanadium chloride-reducing medium. Approximately 190 nmoles of NO were obtained per mg of the microspheres produced from DPTA-NONO.
EXAMPLE II This example illustrates the preparation of polyethyleneimine cellulose NONOates. Polyethyleneimine cellulose (PEI Cellulose) (7.0 g, 15.4 mmol) with 70 ml acetonitrile was placed in a modified Ace thread reaction bottle equipped with a magnetic stir bar. The solution was charged with nitrogen gas for 10 minutes through a 4-way gas valve setup that consisted of two gas inlets for NO and N2 that could be delivered simultaneously; a third outlet was used to keep the system open. All gas connections were made with transparent Teflon tubes and stainless steel swagelock fittings. Nitric oxide gas was then administered at a pressure of 70 psig for 30 minutes and the reaction bottle was closed, keeping the reaction under pressure. This procedure for administering NO gas was repeated every other day for 10 days after which the excess NO was vented and N2 gas was administered for 15 minutes. The yellow product (6.82 g) was isolated by filtration, washed with acetonitrile and then with ether, and dried in vacuo overnight. The polyethyleneimine cellulose polymer released approximately 67 nmoles of NO/mg of polymer in a pH 7.4 buffer. EXAMPLE III This Example illustrates the synthesis of polyethyleneimine cellulose (PEI Cellulose) NONOate fibers. Epichlorohydrin (0.43 mL) and triethylamine (1.0 mL) were added to cellulose fibers (2.0g) in 100 mL of distilled water. This solution was shaken for 24 hours at room temperature, filtered and then washed with distilled water to remove unreacted starting material. The fibers were resuspended in 100 mL distilled water and 3.0 g of polyethyleneimine (PEI, MW 600) was added. The PEI- grafted fibers were then filtered, washed with distilled water and dried at room temperature for 24 hours. High pressure (70 psig) nitric oxide gas was used to derivatize the fibers for 24 hours. The product was isolated by filtration, washed with 200 mL acetonitrile and then with 100 mL ether and dried overnight at room temperature. The PEI Cellulose NONOate fibers were found to release 0.98 nmoles of NO/mg of polymer in phosphate buffered saline at pH 7.2.
All publications cited herein are hereby incorporated by reference to the same extent as if each publication were individually and specifically indicated to be incorporated by reference and were set forth in its entirety herein.
While this invention has been described with emphasis upon preferred embodiments, it will be obvious to those of ordinary skill in the art that the preferred embodiments may be varied. It is intended that the invention may be practiced otherwise than as specifically described herein. Accordingly, this invention includes all modifications encompassed within the spirit and scope of the appended claims.

Claims

WHAT IS CLAIMED IS:
1. A polymeric composition capable of releasing nitric oxide, said composition comprising a polysaccharide including a nitric oxide-releasing [N202] functional group selected from the group consisting of X-trN(0)NO] and [N(0)NO-_-X, wherein X is a moiety bonded to said - N(0)NO] or [N(0)N0-3- and wherein the [N202] group is bonded in said polysaccharide through said moiety X.
2. The polymeric composition of claim 1, wherein said nitric oxide-releasing [N202] functional group is included in said polysaccharide from a compound of the formula selected from the group consisting of I, II, III, IV, V, VI, VII and VIII as follows:
Figure imgf000026_0001
wherein J is an organic or inorganic moiety, preferably a moiety which is not linked to the nitrogen of the remainder of the complex through a carbon atom, M+x is a pharmaceutically acceptable cation, where x is the valence of the cation, a is 1 or 2, and b and c are the smallest integers that result in a neutral compound;
R1-NH+-(CH2)χ-N-[(CH2)yN]d-[(CH2)z-N]b-R3 (II)
R N2°2~ R5 R4
wherein b and d are the same or different and may be zero or one, R^ R2, R3, R , and R5 are the same or different and may be hydrogen, C3_8 cycloalkyl, C1-12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2- trichloro-t-butoxycarbonyl, and x, y, and z are the same or different and are integers from 2 to 12;
Figure imgf000027_0001
wherein B is N-N202 " ,
Figure imgf000027_0002
R6 and R7 are the same or different and may be hydrogen, c 3-8 cycloalkyl, C1_12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p- toluyl, t-butoxycarbonyl, or 2 , 2 , 2-trichloro-t- butoxycarbonyl, f is an integer from 0 to 12, with the proviso that when B is the substituted piperazine moiety
—N N-N202 "
\ /
then f is an integer from 2 to 12;
Figure imgf000027_0003
wherein R8 is hydrogen, C3_8 cycloalkyl, C1-12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2-tri- chloro-t-butoxycarbonyl, R9 is hydrogen or a ^-C^ straight or branched chain alkyl, and g is 2 to 6;
Figure imgf000027_0004
wherein Rχ and R2 are independently selected from the group consisting of a straight chain or branched chain Cλ - C12 alkyl group and benzyl, M+x is a pharmaceutically acceptable cation, and x is the valence of the cation;
K[(M)x χ(L)y(R1R2N-N202)2] (VI)
wherein M is a pharmaceutically acceptable metal, or where x is at least two, a mixture of two different pharmaceutically acceptable metals, L is a ligand different from (R1R N-N202) and is bound to at least one metal, R1 and R2 are each organic moieties and are the same or different, x is an integer of from 1 to 10, x' is the formal oxidation state of the metal M, and is an integer of from 1 to 6, y is an integer of from 1 to 18, and where y is at least 2, the ligands L are the same or different, z is an integer of from 1 to 20, and K is a pharmaceutically acceptable counterion to render the compound neutral to the extent necessary;
[R-N(H)N(NO)0-]yX (VII)
wherein R is C2_8 lower alkyl, phenyl, benzyl, or C3_8 cycoloalkyl, any of which R groups may be substituted by one to three substituents, which are the same or different, selected from the group consisting of halo, hydroxy, C^ alkoxy, -NH2, -C(0)NH2, -CH(0) , -C(0)0H, and -N02, X is a pharmaceutically acceptable cation, a pharmaceutically acceptable metal center, or a pharmaceutically acceptable organic group selected from the group consisting of C1_8 lower alkyl, -C(0)CH3, and -C(0)NH2, and y is one to three, consistent with the valence of X; and
Figure imgf000028_0001
wherein R and R2 are independently chosen from C^-^ straight chain alkyl, C1-12 alkoxy or acyloxy substituted straight chain alkyl, C2_12 hydroxy or halo substituted straight chain alkyl, C3_12 branched chain alkyl, C3_12 hydroxy, halo, alkoxy, or acyloxy substituted branched chain alkyl, C3_12 straight chain olefinic and C3_12 branched chain olefinic which are unsubstituted or substituted with hydroxy, alkoxy, acyloxy, halo or benzyl, or Rx and R2 together with the nitrogen atom to which they are bonded form a heterocyclic group, preferably a pyrrolidino, piperidino, piperazino or morpholino group, and R3 is a group selected from C^^ straight chain and C3_ 12 branched chain alkyl which are unsubstituted or substi¬ tuted by hydroxy, halo, acyloxy or alkoxy, C2_12 straight chain or C3_12 branched chain olefinic which are unsubstituted or substituted by halo, alkoxy, acyloxy or hydroxy, C1-12 unsubstituted or substituted acyl, sulfonyl and carboxamido; or R3 is a group of the formula -(CH2)n- ON=N(0)NR1R2, wherein n is an integer of 2-8, and Rj and R2 are as defined above.
3. The polymeric composition of claim 2, wherein said [N202] functional group is from a compound of formula III, and B is the substituted piperazine moiety
—N N-N202 "
4. The polymeric composition of claim 2, wherein said [N202] functional group is from a compound of formula
V, and Rx and R2 are selected so that Rx and R , together with the nitrogen atom to which they are bonded, form a heterocyclic group.
5. The polymeric composition of claim 4, wherein the heterocyclic group is selected from the group consisting of pyrrolidino, piperidino, piperazino and morpholino.
6. The polymeric composition of claim 2, wherein said [N202] functional group is from a compound of formula VIII, and the heterocyclic group is selected from the group consisting of pyrrolidino, piperidino, piperazino and morpholino.
7. The polymeric composition of claim 1, wherein the moiety X of said functional group is part of a group pendant to the polysaccharide chain.
8. A polymeric composition capable of releasing nitric oxide, said composition comprising a coprecipitation product of a polysaccharide and a compound comprising a nitric oxide-releasing [N202] functional group selected from the group consisting of X- N(0)N0] and (N(O)NO-J-X, wherein X is a moiety bonded to said - N(0)NO] or [N(0)N }-.
9. The polymeric composition of claim 8, wherein said [N202~] functional group is contained in a compound of the formula selected from the group consisting of I, II, III, IV, V, VI, VII and VIII as follows:
Figure imgf000030_0001
wherein J is an organic or inorganic moiety, M x is a pharmaceutically acceptable cation, where x is the valence of the cation, a is 1 or 2 , and b and c are the smallest integers that result in a neutral compound.
R1-NH+-(CH2)χ-N-[(CH2)yN]d-[(CH2)z-N]b-R3 (II) R2 N202 " R5 R4
wherein b and d are the same or different and may be zero or one, Rχ, R2, R3, R4, and R5 are the same or different and may be hydrogen, c3_8 cycloalkyl, C1_12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2- trichloro-t-butoxycarbonyl, and x, y, and z are the same or different and are integers from 2 to 12;
Figure imgf000031_0001
wherein B is N—N202"
Figure imgf000031_0002
R6 and R7 are the same or different and may be hydrogen, c 3-β cycloalkyl, C1-12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p- toluyl, t-butoxycarbonyl, or 2, 2 , 2-trichloro-t- butoxycarbonyl, f is an integer from 0 to 12, with the proviso that when B is the substituted piperazine moiety r \
— N N-N202 "
^ /
then f is an integer from 2 to 12 ;
Figure imgf000031_0003
wherein R8 is hydrogen, C3_8 cycloalkyl, C1_12 straight or branched chain alkyl, benzyl, benzoyl, phthaloyl, acetyl, trifluoroacetyl, p-toluyl, t-butoxycarbonyl, or 2,2,2-tri- chloro-t-butoxycarbonyl, R9 is hydrogen or a C1-C12 straight or branched chain alkyl, and g is 2 to 6;
Figure imgf000032_0001
wherein R1 and R2 are independently selected from the group consisting of a C1-C1 straight or branched chain alkyl and benzyl, M+x is a pharmaceutically acceptable cation, and x is the valence of the cation;
K[(M)x χ(L) (R1R2N-N 2<>2> (VI)
wherein M is a pharmaceutically acceptable metal, or where x is at least two, a mixture of two different pharmaceutically acceptable metals, L is a ligand different from (R1R2N-N202) and is bound to at least one metal, R1 and R2 are each organic moieties and are the same or different, x is an integer of from 1 to 10, x' is the formal oxidation state of the metal M, and is an integer of from 1 to 6, y is an integer of from l to 18, with the proviso that y is at least 2, the ligands L are the same or different, z is an integer from 1 to 20, and K is a pharmaceutically acceptable counterion to render the compound neutral to the extent necessary; [R-N(H)N(N0)0-]yX (VII)
wherein R is C2_8 lower alkyl, phenyl, benzyl, or C3_8 cycloalkyl, any of which R groups may be substituted by one to three substituents, which are the same or different, and are selected from the group consisting of halo, hydroxy, Cλ.B alkoxy, -NH2, -C(0)NH2, -CH(0) , -C(0)OH, and -N02, X is a pharmaceutically acceptable cation, a pharmaceutically acceptable metal center, or a pharmaceutically acceptable organic group selected from the group consisting of C1_8 lower alkyl, -C(0)CH3, and -C(0)NH2, and y is an integer from 1 to 3, consistent with the valence of X; and
Figure imgf000033_0001
wherein Rx and R2 are independently chosen from C^^ straight chain alkyl, C1-12 alkoxy or acyloxy substituted straight chain alkyl, C2_12 hydroxy or halo substituted straight chain alkyl, C3_12 branched chain alkyl, C3_12 hydroxy, halo, alkoxy, or acyloxy substituted branched chain alkyl, a C3_12 straight or branched chain olefinic unsubstituted or substituted with hydroxy, alkoxy, acyloxy, halo or benzyl, or j and R2 together with the nitrogen atom to which they are bonded form a heterocyclic group, and R3 is a group selected from C^^ straight chain and C3_12 branched chain alkyl which are unsubstituted or substituted by hydroxy, halo, acyloxy or alkoxy, C2_12 straight chain or C3_12 branched chain olefinic which are unsubstituted or substituted by halo, alkoxy, acyloxy or hydroxy, C1-12 unsubstituted or substituted acyl, sulfonyl and carboxa ido; or R3 is a group of the formula -(CH2)n-ON=N(0)NR1R2, wherein n is an integer of 2-8, and R} and R2 are as defined above.
10. The polymeric composition of claim 9, wherein said compound is a compound of formula III, and B is the substituted piperazine moiety
-N N-N202 "
\
11. The polymeric composition of claim 9, wherein said compound is a compound of formula V, and Rx and R2 are selected so that Rx and R2, together with the nitrogen atom to which they are bonded, form a heterocyclic group.
12. The polymeric composition of claim 11, wherein the heterocyclic group is selected from the group consisting of pyrrolidino, piperidino, piperazino and morpholino.
13. The polymeric composition of claim 9, wherein said compound is a compound of formula VIII, and the heterocyclic group is selected from the group consisting of pyrrolidino, piperidino, piperazino, and morpholino.
PCT/US1996/004899 1995-04-10 1996-04-10 Polysaccharide-bound nitric oxide-nucleophile adducts WO1996032136A1 (en)

Priority Applications (4)

Application Number Priority Date Filing Date Title
EP96911671A EP0822833A1 (en) 1995-04-10 1996-04-10 Polysaccharide-bound nitric oxide-nucleophile adducts
CA002216696A CA2216696C (en) 1995-04-10 1996-04-10 Polysaccharide-bound nitric oxide-nucleophile adducts
JP8531128A JPH11503456A (en) 1995-04-10 1996-04-10 Polysaccharide-bound nitric oxide-nucleophile adduct
AU54483/96A AU695579C (en) 1995-04-10 1996-04-10 Polysaccharide-bound nitric oxide-nucleophile adducts

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/419,424 US5691423A (en) 1992-08-24 1995-04-10 Polysaccharide-bound nitric oxide-nucleophile adducts
US08/419,424 1995-04-10

Publications (1)

Publication Number Publication Date
WO1996032136A1 true WO1996032136A1 (en) 1996-10-17

Family

ID=23662207

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/004899 WO1996032136A1 (en) 1995-04-10 1996-04-10 Polysaccharide-bound nitric oxide-nucleophile adducts

Country Status (5)

Country Link
US (1) US5691423A (en)
EP (1) EP0822833A1 (en)
JP (2) JPH11503456A (en)
CA (1) CA2216696C (en)
WO (1) WO1996032136A1 (en)

Cited By (18)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001015738A2 (en) * 1999-09-02 2001-03-08 Rice University Nitric oxide-producing hydrogel materials
WO2001026702A2 (en) * 1999-10-08 2001-04-19 The University Of Akron Nitric oxide-modified linear poly(ethylenimine) fibers and uses therefor
US7052711B2 (en) 1999-09-02 2006-05-30 Rice University Nitric oxide-producing hydrogel materials
WO2006084914A2 (en) * 2005-02-11 2006-08-17 Nolabs Ab Device for gastric treatment and manufacturing process for the same
US7279176B1 (en) 1999-09-02 2007-10-09 Rice University Nitric oxide-producing hydrogel materials
US7618954B2 (en) 2002-04-29 2009-11-17 Normoxys, Inc. Inositol pyrophosphates, and methods of use thereof
US7829553B2 (en) 2004-02-09 2010-11-09 Amulet Pharmaceuticals, Inc. Nitric oxide-releasing polymers
US8282967B2 (en) 2005-05-27 2012-10-09 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US8298563B2 (en) 2004-01-22 2012-10-30 The University Of Akron Polymer no donor predrug nanofiber coating for medical devices and therapy
US8591876B2 (en) 2010-12-15 2013-11-26 Novan, Inc. Methods of decreasing sebum production in the skin
US8981139B2 (en) 2011-02-28 2015-03-17 The University Of North Carolina At Chapel Hill Tertiary S-nitrosothiol-modified nitric—oxide-releasing xerogels and methods of using the same
US9526738B2 (en) 2009-08-21 2016-12-27 Novan, Inc. Topical gels and methods of using the same
US9919072B2 (en) 2009-08-21 2018-03-20 Novan, Inc. Wound dressings, methods of using the same and methods of forming the same
CN111836648A (en) * 2018-03-06 2020-10-27 北卡罗来纳大学查佩尔希尔分校 Nitric oxide releasing cyclodextrins as biodegradable antimicrobial scaffolds and related methods
US11072668B2 (en) 2017-01-03 2021-07-27 The University Of North Carolina At Chapel Hill Nitric oxide-releasing alginates as biodegradable antibacterial scaffolds and methods pertaining thereto
US11186681B2 (en) 2016-10-07 2021-11-30 The University Of North Carolina At Chapel Hill S-Nitrosothiol-mediated hyperbranched polyesters
US11421044B2 (en) 2018-12-28 2022-08-23 The University Of North Carolina At Chapel Hill Nitric oxide-releasing antibacterial polymers and scaffolds fabricated therefrom and methods pertaining thereto
US11723914B2 (en) 2017-03-28 2023-08-15 The University Of North Carolina At Chapel Hill Nitric oxide-releasing polyaminoglycosides as biodegradable antibacterial scaffolds and methods pertaining thereto

Families Citing this family (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6200558B1 (en) * 1993-09-14 2001-03-13 The United States Of America As Represented By The Department Of Health And Human Services Biopolymer-bound nitric oxide-releasing compositions, pharmaceutical compositions incorporating same and methods of treating biological disorders using same
US6528483B2 (en) 1995-06-07 2003-03-04 André Beaulieu Method of producing concentrated non-buffered solutions of fibronectin
US6610660B1 (en) 1996-09-27 2003-08-26 The United States Of America As Represented By The Department Of Health And Human Services O2-arylated or O2-glycosylated 1-substituted diazen-1-ium-1,2-diolates and O2-substituted 1-[(2-carboxylato) pyrrolidin-1-yl] diazen-1-ium-1,2-diolates
US7914814B2 (en) 1997-09-17 2011-03-29 Strategic Science & Technologies, Llc Topical delivery of arginine of cause beneficial effects
US7629384B2 (en) * 1997-09-17 2009-12-08 Strategic Science & Technologies, Llc Topical delivery of L-arginine to cause beneficial effects
US6207713B1 (en) * 1997-09-17 2001-03-27 Eric T. Fossel Topical and oral delivery of arginine to cause beneficial effects
US5962520A (en) * 1998-04-02 1999-10-05 The University Of Akron Hydrolytically unstable, biocompatible polymer
US6261594B1 (en) * 1998-11-25 2001-07-17 The University Of Akron Chitosan-based nitric oxide donor compositions
US7572374B2 (en) * 2000-04-13 2009-08-11 Transvivo, Inc. Anticoagulant and thrombo-resistant hollow fiber membranes for in-vivo plasmapheresis and ultrafiltration
US6270779B1 (en) 2000-05-10 2001-08-07 United States Of America Nitric oxide-releasing metallic medical devices
SE0004026D0 (en) * 2000-11-03 2000-11-03 Peter Wiklund New use
CA2453433A1 (en) * 2001-08-10 2003-02-20 Nitromed, Inc. Methods of use for novel sulfur containing organic nitrate compounds
EP1436018A1 (en) * 2001-09-26 2004-07-14 THE GOVERNMENT OF THE UNITED STATES OF AMERICA, as represented by THE SECRETARY, DEPARTMENT OF HEALTH AND HUMAN SERVICES Nitric oxide-releasing coated medical devices and method of preparing same
US6703046B2 (en) * 2001-10-04 2004-03-09 Medtronic Ave Inc. Highly cross-linked, extremely hydrophobic nitric oxide-releasing polymers and methods for their manufacture and use
EP1340772A1 (en) * 2002-02-28 2003-09-03 Nicox S.A. Nitro-derivatives of epoxyheparin
WO2003080730A1 (en) 2002-03-20 2003-10-02 Michigan Biotechnology Institute Conductive polymer-based material
WO2004012874A1 (en) 2002-08-02 2004-02-12 The Government Of The United States Of America, Represented By The Secretary, Dept. Of Health And Human Services Cross-linked nitric oxide-releasing polyamine coated substrates, compositions comprising same and method of making same
US6951902B2 (en) * 2002-08-16 2005-10-04 Michigan Biotechnology Institute Two dimensional polymer that generates nitric oxide
WO2005011575A2 (en) * 2003-07-25 2005-02-10 The University Of Akron Stabilization and ionic triggering of nitric oxide release
US7569559B2 (en) * 2004-02-09 2009-08-04 Noxilizer, Inc. Nitric oxide-releasing molecules
EP1732577B1 (en) * 2004-02-23 2013-04-10 Strategic Science & Technologies, LLC Topical delivery of l-arginine to improve body and skin appearance
US20090105336A1 (en) * 2004-04-19 2009-04-23 Strategic Science & Technologies, Llc Beneficial Effects of Increasing Local Blood Flow
WO2005102307A2 (en) 2004-04-19 2005-11-03 Strategic Science & Technologies, Llc Beneficial effects of increasing local blood flow
US9226909B2 (en) 2004-04-19 2016-01-05 Strategic Science & Technologies, Llc Beneficial effects of increasing local blood flow
WO2006037105A2 (en) 2004-09-27 2006-04-06 Government Of The United States Of America, Represented By The Secretary Department Of Health And Human Services Nitric oxide-releasing diazeniumdiolated acrylonitrile-based polymers, and compositions, medical devices, and uses thereof
WO2006084911A2 (en) * 2005-02-11 2006-08-17 Nolabs Ab Improved device for application of medicaments, manufacturing method therefor, and method of treatment
EP1700611A1 (en) * 2005-02-11 2006-09-13 NOLabs AB Device for treatment of disorders in the oral cavity, and manufacturing process for the same
EP1846058B1 (en) 2005-02-11 2009-07-15 NOLabs AB Device method, and use for treatment of neuropathy involving nitric oxide
PT1861130E (en) * 2005-02-11 2008-12-02 Nolabs Ab Device and method for treatment of dermatomycosis, and in particular onychomycosis
ES2326387T3 (en) 2005-03-24 2009-10-08 Nolabs Ab COSMETIC TREATMENT WITH NITRIC OXIDE, DEVICE FOR CARRYING OUT SUCH TREATMENT AND MANUFACTURING PROCEDURE OF THE SAME.
EP1741463A1 (en) 2005-07-05 2007-01-10 Millimed A/S A guiding and an embolization catheter
AU2006309212B2 (en) * 2005-10-31 2011-09-15 Government Of The United States Of America, Represented By The Secretary Department Of Health And Human Services Polysaccharide-derived nitric oxide-releasing carbon-bound diazeniumdiolates
CA2632683A1 (en) * 2005-12-06 2007-06-14 Amulet Pharmaceuticals, Inc. Nitric oxide-releasing polymers
CN100441225C (en) * 2006-06-29 2008-12-10 上海交通大学 Amino-acid modified chitin nucleophic NO donor and its synthesis method
US8636995B2 (en) * 2006-08-31 2014-01-28 Cardiac Pacemakers, Inc. Methods and devices to regulate stem cell homing
US20080058922A1 (en) * 2006-08-31 2008-03-06 Cardiac Pacemakers, Inc. Methods and devices employing vap-1 inhibitors
US8372399B2 (en) * 2006-08-31 2013-02-12 Cardiac Pacemakers, Inc. Bispecific antibodies and agents to enhance stem cell homing
US20100178319A1 (en) * 2007-03-27 2010-07-15 Lars Lindgren Topical Dermal Delivery Device For Nitric Oxide Delivery
AU2010215774B2 (en) 2009-02-23 2015-05-21 Noxilizer, Inc. Device and method for gas sterilization
US11684624B2 (en) 2009-06-24 2023-06-27 Strategic Science & Technologies, Llc Treatment of erectile dysfunction and other indications
WO2012092528A1 (en) 2010-12-29 2012-07-05 Strategic Science & Technologies, Llc Treatment of erectile dysfunction and other indications
MA33454B1 (en) 2009-06-24 2012-07-03 Strategic Science & Tech Llc TOPICAL COMPOSITION CONTAINING IBUPROFEN
WO2010151241A1 (en) 2009-06-24 2010-12-29 Strategic Science & Technologies, Llc Topical composition containing naproxen
WO2011115804A1 (en) 2010-03-17 2011-09-22 Ironwood Pharmaceuticals, Inc. Sgc stimulators
US20110251265A1 (en) * 2010-04-02 2011-10-13 Alberta Innovates - Technology Futures Polyamine-containing polymers and methods of synthesis and use
UY33476A (en) 2010-06-30 2012-02-29 Ironwood Pharmaceuticals Inc SGC STIMULATORS
EP2591009A1 (en) * 2010-07-09 2013-05-15 Fresenius Kabi Deutschland GmbH Nitric oxide delivering hydroxyalkyl starch derivatives
NZ609955A (en) 2010-11-09 2015-05-29 Ironwood Pharmaceuticals Inc Sgc stimulators
CN105878172A (en) 2010-12-29 2016-08-24 战略科学与技术有限责任公司 Systems and methods for treatment of allergies and other indications
ES2357601B1 (en) 2011-01-26 2012-03-21 Laboratorios Farmacéuticos Rovi, S.A. PROCEDURE FOR THE PREPARATION OF DERIVATIVES OF GLYCONAMINOGLYCAN DONORS OF NORTIC OXIDE AND ITS USE IN THE TREATMENT OF CHRONIC ULCERS.
EP2678041A4 (en) 2011-02-24 2015-12-23 Univ Colorado State Res Found Materials for modulating biological responses and methods of making
BR112014000178A2 (en) 2011-07-05 2017-02-07 Novan Inc topical compositions
CN106117194A (en) 2011-12-27 2016-11-16 铁木医药有限公司 Can be used as 2 benzyls of SGC stimulant, 3 (pyrimidine 2 base) substituted pyrazoles
WO2014047111A1 (en) 2012-09-18 2014-03-27 Ironwood Pharmaceuticals, Inc. Sgc stimulators
CA2885645A1 (en) 2012-09-19 2014-03-27 Ironwood Pharmaceuticals, Inc. Sgc stimulators
US8883857B2 (en) 2012-12-07 2014-11-11 Baylor College Of Medicine Small molecule xanthine oxidase inhibitors and methods of use
US9855211B2 (en) 2013-02-28 2018-01-02 Novan, Inc. Topical compositions and methods of using the same
CN105408328B (en) 2013-03-15 2018-11-16 铁木医药有限公司 Sgc stimulant
US11813284B2 (en) 2013-08-08 2023-11-14 Novan, Inc. Topical compositions and methods of using the same
CA2933250A1 (en) 2013-12-11 2015-06-18 Ironwood Pharmaceuticals, Inc. Sgc stimulators
EP3094327A1 (en) 2014-01-13 2016-11-23 Ironwood Pharmaceuticals, Inc. USE OF sGC STIMULATORS FOR THE TREATMENT OF NEUROMUSCULAR DISORDERS
EP3177262A4 (en) 2014-08-08 2018-04-18 Novan Inc. Topical emulsions
US20170291889A1 (en) 2014-09-17 2017-10-12 Ironwood Pharmaceuticals, Inc. Pyrazole derivatives as sgc stimulators
EP3194386A2 (en) 2014-09-17 2017-07-26 Ironwood Pharmaceuticals, Inc. Sgc stimulators
WO2016044445A2 (en) 2014-09-17 2016-03-24 Ironwood Pharmaceuticals, Inc. sGC STIMULATORS
US11439609B2 (en) * 2015-06-11 2022-09-13 The Regents Of The University Of Michigan Nitric oxide releasing PLGA microspheres for biomedical applications
WO2017151905A1 (en) 2016-03-02 2017-09-08 Novan, Inc. Compositions for treating inflammation and methods of treating the same
JP6899845B2 (en) 2016-04-13 2021-07-07 ノヴァン,インコーポレイテッド Compositions, systems, kits and methods for treating infectious diseases
MA45592A (en) 2016-07-07 2019-05-15 Ironwood Pharmaceuticals Inc SBS STIMULATOR PHOSPHORUS MEDICINAL PRODUCTS
JP2019524710A (en) 2016-07-07 2019-09-05 アイアンウッド ファーマシューティカルズ インコーポレイテッド Solid form of SGC stimulant
WO2018191415A1 (en) 2017-04-11 2018-10-18 Colorado State University Research Foundation Functionalization of metal-organic frameworks
KR101909382B1 (en) 2017-05-19 2018-12-10 성균관대학교산학협력단 Vasodilation―inducing, gas―generating nanoparticles, preparation method and drug delivery system comprising the same

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996013164A1 (en) * 1994-10-28 1996-05-09 University Of Akron, The Polymeric wound healing accelerators

Family Cites Families (34)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3153094A (en) * 1959-06-10 1964-10-13 Du Pont Nitrosamine manufacture
NL145762B (en) * 1970-05-27 1975-05-15 Sandoz Ag PROCESS FOR PREPARING A PHARMACEUTICAL PREPARATION WITH HYPOTENSIVE / ANTIHYPERTENSIVE ACTION AND FORMED PREPARATION.
US3826832A (en) * 1970-06-08 1974-07-30 Sandoz Ag N-substituted amino-n-nitro-amino-acetonitriles as anti-anginal agents
US4265714A (en) * 1980-03-24 1981-05-05 General Electric Company Gas sensing and measuring device and process using catalytic graphite sensing electrode
US4482533A (en) * 1982-01-11 1984-11-13 Key Pharmaceuticals, Inc. Polymeric diffusion matrix containing propranolol
DD211789A1 (en) * 1982-08-25 1984-07-25 Adw Ddr PROCESS FOR PREPARING POLYHYDROXYPOLYMER ESTERS, ESPECIALLY CELLULOSE ESTERS
JPS6125481A (en) * 1984-07-12 1986-02-04 Noguchi Kenkyusho Bead carrier for anchorage dependent cell culture
SE465907B (en) * 1984-11-01 1991-11-18 Nyegaard & Co As DIAGNOSTIC AGENT CONTENT AND PARAMAGNETIC METAL
US4638079A (en) * 1985-01-17 1987-01-20 Mallinckrodt, Inc. Inhibiting polymerization of ethylenically unsaturated monomers
US4708854A (en) * 1986-03-10 1987-11-24 The Dow Chemical Company Process for the removal of NO from fluid streams using a water-soluble polymeric chelate of a polyvalent metal
JPS63260971A (en) * 1987-04-20 1988-10-27 Hitachi Chem Co Ltd Radiation-curable pressure-sensitive adhesive composition
US4952289A (en) * 1988-05-09 1990-08-28 Aquanautics Corporation Macrocyclic amine complexes for ligand extraction and generation
US5094815A (en) * 1988-05-18 1992-03-10 Cornell Research Foundation, Inc. Photolytic interface for HPLC-chemiluminescence detection of non volatile N-nitroso compounds
US5025001A (en) * 1988-06-15 1991-06-18 Brigham And Women's Hospital S-nitroso derivatives of ACE inhibitors and the use thereof
US4954526A (en) * 1989-02-28 1990-09-04 The United States Of America As Represented By The Department Of Health And Human Services Stabilized nitric oxide - primary amine complexes useful as cardiovascular agents
US4921683A (en) * 1989-06-20 1990-05-01 The Dow Chemical Company Nitric oxide abatement with polymeric cobalt(III) chelates
US5039705A (en) * 1989-09-15 1991-08-13 The United States Of America As Represented By The Department Of Health And Human Services Anti-hypertensive compositions of secondary amine-nitric oxide adducts and use thereof
US5212204A (en) * 1989-10-18 1993-05-18 The United States Of America As Represented By The Department Of Health And Human Services Antihypertensive compositions and use thereof
FR2653337B1 (en) * 1989-10-23 1992-02-07 Dow Corning Sa SUSTAINED RELEASE ELEMENT AND METHOD FOR MANUFACTURING THE SAME.
US5087671A (en) * 1990-06-25 1992-02-11 The Curators Of The University Of Missouri Polymers for scavenging nitrosating agents
US5155137A (en) * 1990-09-20 1992-10-13 The United States Of America As Represented By The Secretary Of The Department Of Health And Human Services Complexes of nitric oxide with polyamines
US5087631A (en) * 1990-12-18 1992-02-11 Glaxo Inc. Oxathi(SIV)azol-5-one compounds
JPH0576588A (en) * 1991-03-29 1993-03-30 Jinkou Ketsukan Gijutsu Kenkyu Center:Kk Composite artificial blood vessel
JPH06506690A (en) * 1991-04-19 1994-07-28 ザ チルドレンズメディカルセンター コーポレーション Methods for blocking neuronal damage mediated by NMDA receptor complexes
WO1993007114A1 (en) * 1991-09-24 1993-04-15 The United States Of America, Represented By The Secretary, Department Of Health And Human Services Oxygen substituted derivatives of nucleophile-nitric oxide adducts as nitric oxide donor prodrugs
FR2686250A1 (en) * 1992-01-16 1993-07-23 Coletica INJECTABLE COMPOSITIONS CONTAINING SUSPENSION OF COLLAGEN - BASED MICROCAPSULES, THEIR BIOMEDICAL USE AND PHARMACEUTICAL COMPOSITIONS.
US5480644A (en) * 1992-02-28 1996-01-02 Jsf Consultants Ltd. Use of injectable biomaterials for the repair and augmentation of the anal sphincters
US5389675A (en) * 1992-03-27 1995-02-14 The United States Of America As Represented By The Department Of Health And Human Services Mixed ligand metal complexes of nitric oxide-nucleophile adducts useful as cardiovascular agents
AU3969793A (en) * 1992-04-13 1993-11-18 United States Of America, Represented By The Secretary, Department Of Health And Human Services, The Use of nitric oxide/nucleophile complexes for the treatment of cancer
US5405919A (en) * 1992-08-24 1995-04-11 The United States Of America As Represented By The Secretary Of Health And Human Services Polymer-bound nitric oxide/nucleophile adduct compositions, pharmaceutical compositions and methods of treating biological disorders
DE69332120T2 (en) * 1993-08-12 2003-02-27 Advanced Magnetics Inc USE OF SUPERPARAMAGNETIC OXIDE COLLOIDS COVERED WITH POLYSACCHARIDES
CA2106105C (en) * 1993-09-14 2008-03-18 Larry K. Keefer Polymer-bound nitric oxide/nucleophile adduct compositions, pharmaceutical compositions incorporating same and methods of treating biological disorders using same
US5650442A (en) * 1993-10-08 1997-07-22 The United States Of America As Represented By The Department Of Health And Human Services Use of nitric oxide releasing compounds as hypoxic cell radiation sensitizers
US5482925A (en) * 1994-03-17 1996-01-09 Comedicus Incorporated Complexes of nitric oxide with cardiovascular amines as dual acting cardiovascular agents

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996013164A1 (en) * 1994-10-28 1996-05-09 University Of Akron, The Polymeric wound healing accelerators

Non-Patent Citations (5)

* Cited by examiner, † Cited by third party
Title
(1993) 142 PP. AVAIL.: UNIV. MICROFILMS INT., ORDER NO. DA9415527 FROM: DISS. ABSTR. INT. B 1994, 55(2), 445, 1993 *
(1994) 241 PP. AVAIL.: UNIV. MICROFILMS INT., ORDER NO. DA9505926 FROM: DISS. ABSTR. INT. B 1995, 55(10), 4353, 1994 *
CHEMICAL ABSTRACTS, vol. 121, no. 18, 31 October 1994, Columbus, Ohio, US; abstract no. 206644, MASCARENHAS, OSCAR CARLTON: "Epoxy-based medical grade adhesive hydrogels and nitric oxide releasing polymers" XP002012118 *
CHEMICAL ABSTRACTS, vol. 122, no. 26, 26 June 1995, Columbus, Ohio, US; abstract no. 322432, CHAKRAVARTHY, DEBASHISH: "Fabrication and evaluation of novel wound dressings and related biomaterials (dextran, microspheres)" XP002012119 *
D. J. SMITH ET AL.: "NITRIC OXIDE-RELEASING POLYMERS CONTAINING THE [N(O)NO] GROUP.", JOURNAL OF MEDICINAL CHEMISTRY, vol. 39, no. 5, March 1996 (1996-03-01), WASHINGTON US, pages 1148 - 1156, XP002012117 *

Cited By (40)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7052711B2 (en) 1999-09-02 2006-05-30 Rice University Nitric oxide-producing hydrogel materials
WO2001015738A2 (en) * 1999-09-02 2001-03-08 Rice University Nitric oxide-producing hydrogel materials
US7651697B2 (en) 1999-09-02 2010-01-26 Rice University Nitric oxide-producing hydrogel materials
WO2001015738A3 (en) * 1999-09-02 2002-01-31 Rice University Nitric oxide-producing hydrogel materials
US7279176B1 (en) 1999-09-02 2007-10-09 Rice University Nitric oxide-producing hydrogel materials
US6737447B1 (en) 1999-10-08 2004-05-18 The University Of Akron Nitric oxide-modified linear poly(ethylenimine) fibers and uses thereof
WO2001026702A2 (en) * 1999-10-08 2001-04-19 The University Of Akron Nitric oxide-modified linear poly(ethylenimine) fibers and uses therefor
US6855366B2 (en) 1999-10-08 2005-02-15 The University Of Akron Nitric oxide-modified linear poly(ethylenimine) fibers and uses therefor
WO2001026702A3 (en) * 1999-10-08 2001-12-13 Univ Akron Nitric oxide-modified linear poly(ethylenimine) fibers and uses therefor
US9078908B2 (en) 2002-04-29 2015-07-14 Normoxys, Inc. Inositol pyrophosphates, and methods of use thereof
US7618954B2 (en) 2002-04-29 2009-11-17 Normoxys, Inc. Inositol pyrophosphates, and methods of use thereof
US7648970B2 (en) 2002-04-29 2010-01-19 Normoxys, Inc. Inositol pyrophosphates, and methods of use thereof
US8298563B2 (en) 2004-01-22 2012-10-30 The University Of Akron Polymer no donor predrug nanofiber coating for medical devices and therapy
US7829553B2 (en) 2004-02-09 2010-11-09 Amulet Pharmaceuticals, Inc. Nitric oxide-releasing polymers
US8894985B2 (en) 2004-02-09 2014-11-25 Amulet Pharmaceuticals, Inc. Nitric oxide-releasing polymers
WO2006084914A2 (en) * 2005-02-11 2006-08-17 Nolabs Ab Device for gastric treatment and manufacturing process for the same
WO2006084914A3 (en) * 2005-02-11 2006-11-16 Nolabs Ab Device for gastric treatment and manufacturing process for the same
US9403851B2 (en) 2005-05-27 2016-08-02 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US8956658B2 (en) 2005-05-27 2015-02-17 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US8962029B2 (en) 2005-05-27 2015-02-24 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US8282967B2 (en) 2005-05-27 2012-10-09 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US9403852B2 (en) 2005-05-27 2016-08-02 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US11691995B2 (en) 2005-05-27 2023-07-04 The University Of North Carolina At Chapel Hill Nitric oxide-releasing particles for nitric oxide therapeutics and biomedical applications
US11583608B2 (en) 2009-08-21 2023-02-21 Novan, Inc. Wound dressings, methods of using the same and methods of forming the same
US9526738B2 (en) 2009-08-21 2016-12-27 Novan, Inc. Topical gels and methods of using the same
US9737561B2 (en) 2009-08-21 2017-08-22 Novan, Inc. Topical gels and methods of using the same
US9919072B2 (en) 2009-08-21 2018-03-20 Novan, Inc. Wound dressings, methods of using the same and methods of forming the same
US10376538B2 (en) 2009-08-21 2019-08-13 Novan, Inc. Topical gels and methods of using the same
US8591876B2 (en) 2010-12-15 2013-11-26 Novan, Inc. Methods of decreasing sebum production in the skin
US8981139B2 (en) 2011-02-28 2015-03-17 The University Of North Carolina At Chapel Hill Tertiary S-nitrosothiol-modified nitric—oxide-releasing xerogels and methods of using the same
US9713652B2 (en) 2011-02-28 2017-07-25 The University Of North Carolina At Chapel Hill Nitric oxide-releasing S-nitrosothiol-modified silica particles and methods of making the same
US11186681B2 (en) 2016-10-07 2021-11-30 The University Of North Carolina At Chapel Hill S-Nitrosothiol-mediated hyperbranched polyesters
US11072668B2 (en) 2017-01-03 2021-07-27 The University Of North Carolina At Chapel Hill Nitric oxide-releasing alginates as biodegradable antibacterial scaffolds and methods pertaining thereto
US11697693B2 (en) 2017-01-03 2023-07-11 The University Of North Carolina At Chapel Hill Nitric oxide-releasing alginates as biodegradable antibacterial scaffolds and methods pertaining thereto
US11723914B2 (en) 2017-03-28 2023-08-15 The University Of North Carolina At Chapel Hill Nitric oxide-releasing polyaminoglycosides as biodegradable antibacterial scaffolds and methods pertaining thereto
US11026965B2 (en) 2018-03-06 2021-06-08 The University Of North Carolina At Chapel Hill Nitric oxide-releasing cyclodextrins as biodegradable antibacterial scaffolds and methods pertaining thereto
EP3762039A4 (en) * 2018-03-06 2021-12-22 The University of North Carolina at Chapel Hill Nitric oxide-releasing cyclodextrins as biodegradable antibacterial scaffolds and methods pertaining thereto
CN111836648A (en) * 2018-03-06 2020-10-27 北卡罗来纳大学查佩尔希尔分校 Nitric oxide releasing cyclodextrins as biodegradable antimicrobial scaffolds and related methods
US11672818B2 (en) 2018-03-06 2023-06-13 The University Of North Carolina At Chapel Hill Nitric oxide-releasing cyclodextrins as biodegradable antibacterial scaffolds and methods pertaining thereto
US11421044B2 (en) 2018-12-28 2022-08-23 The University Of North Carolina At Chapel Hill Nitric oxide-releasing antibacterial polymers and scaffolds fabricated therefrom and methods pertaining thereto

Also Published As

Publication number Publication date
JPH11503456A (en) 1999-03-26
EP0822833A1 (en) 1998-02-11
AU695579B2 (en) 1998-08-13
US5691423A (en) 1997-11-25
AU5448396A (en) 1996-10-30
CA2216696C (en) 2009-01-06
JP2010111675A (en) 2010-05-20
CA2216696A1 (en) 1996-10-17

Similar Documents

Publication Publication Date Title
US5691423A (en) Polysaccharide-bound nitric oxide-nucleophile adducts
US5405919A (en) Polymer-bound nitric oxide/nucleophile adduct compositions, pharmaceutical compositions and methods of treating biological disorders
US5525357A (en) Polymer-bound nitric oxide/nucleophile adduct compositions, pharmaceutical compositions incorporating same and methods of treating biological disorders using same
EP0793500B1 (en) Pharmaceutical compositions comprising nitric oxide-releasing polysaccharides
US7425218B2 (en) Nitric oxide-releasing medical devices
AU698525B2 (en) Use of nitric oxide-releasing polymers to treat restenosis and related disorders
CA2205555C (en) Use of nitric oxide-releasing agents for reducing metastasis risk
US5910316A (en) Use of nitric oxide-releasing agents to treat impotency
WO2000030658A1 (en) Chitosan-based nitric oxide donor compositions
CA2106105C (en) Polymer-bound nitric oxide/nucleophile adduct compositions, pharmaceutical compositions incorporating same and methods of treating biological disorders using same
WO1995009612A1 (en) Encapsulated and non-encapsulated nitric oxide generators used as antimicrobial agents
AU695579C (en) Polysaccharide-bound nitric oxide-nucleophile adducts
CA2205564C (en) Pharmaceutical compositions comprising nitric oxide-releasing biopolymers

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): AL AM AT AU AZ BB BG BR BY CA CH CN CZ DE DK EE ES FI GB GE HU IS JP KE KG KP KR KZ LK LR LS LT LU LV MD MG MK MN MW MX NO NZ PL PT RO RU SD SE SG SI SK TJ TM TR TT UA UG UZ VN AM AZ BY KG KZ MD RU TJ TM

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): KE LS MW SD SZ UG AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE BF BJ CF CG CI CM GA GN ML

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
121 Ep: the epo has been informed by wipo that ep was designated in this application
ENP Entry into the national phase

Ref document number: 2216696

Country of ref document: CA

Ref country code: CA

Ref document number: 2216696

Kind code of ref document: A

Format of ref document f/p: F

ENP Entry into the national phase

Ref country code: JP

Ref document number: 1996 531128

Kind code of ref document: A

Format of ref document f/p: F

WWE Wipo information: entry into national phase

Ref document number: 1996911671

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 1996911671

Country of ref document: EP

REG Reference to national code

Ref country code: DE

Ref legal event code: 8642

WWW Wipo information: withdrawn in national office

Ref document number: 1996911671

Country of ref document: EP