Steroid compounds comprising superoxide dismutase mimic groups and nitric oxide donor groups, and their use in the preparation of medicaments
First Claim
1. Use of a multifunctional steroid compound comprising i) a steroid component, ii) at least one SOD mimic component, and optionally iii) at least one NO donor component in the preparation of a medicament.
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Accused Products
Abstract
The present invention relates to multifunctional steroid compounds combining a steroid component with SOD mimic component and optionally also with NO donor component, and to their use in treating and preventing disorders associated with oxidative stress and free radical injury, or disorders in which treatment with steroids is indicated, whereas such combination increases the efficacy of treatment and reduces side effects associated with steroid treatment. The invention further relates to methods and devices for administering the compounds.
127 Citations
50 Claims
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1. Use of a multifunctional steroid compound comprising
i) a steroid component, ii) at least one SOD mimic component, and optionally iii) at least one NO donor component in the preparation of a medicament.
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24. A multifunctional steroid compound comprising
i) a steroid component, ii) at least one SOD mimic component, and iii) at least one NO donor component, for use as a medicament.
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26. A method of treating or preventing a disorder selected from the group consisting of asthma, chronic bronchitis, bronchiectasis, bronchospasms, emphysema, Chronic Obstructive Pulmonary Diseases (COPDs), bronchial hyperreactivity, respiratory distress syndrome or Chronic Obstructive Airway Disease (COADs), allergic conditions, arthritis, autoimmune hematologic disorders, systemic lupus erythematosus, systemic dermatomyositis, thrombocytopenia, psoriasis, contact dermatitis, atopic dermatitis, exfoliative dermatitis, acne, hirsutism, erythema nodosum, inflamed cysts, discoid lupus, bullous diseases, collagen vascular diseases, malignancies, neoplastic disease, trauma, shock, acute and chronic inflammatory conditions, sarcoidosis, Sweet'"'"'s disease, graft-versus-host disease, multiple sclerosis, Alzheimer diseases, Parkinson'"'"'s diseases, amyotrophic lateral sclerosis, convulsive disorders, AIDS-dementia, disorders related to learning, disorders related to olfaction, disorders related to nociception, cerebral edema, migraine, ophthalmic disorders, chronic adrenal insufficiency, congenital adrenal hyperplasia, gastrointestinal diseases, hepatic diseases, inflammatory bowel disease, Crohn'"'"'s disease, ulcerative colitis, renal disease, gastric secretory and peristaltic functions, drug and disease-induced neuropathies and nephropathies, pathological uterine contractions, sinus tachycardia, ischaemic heart disease, angina pectoris, myocardial infarction, congestive heart failure, atherosclerosis, rheumatic disorders, hypertension, arrhythmia, hyperthyroidism, cellular defense impairment, hypercholestemia, Reaven'"'"'s Syndrome, vasculitis, arteritis, endothelial dysfunction-induced diseases, diabetes mellitus, insulin-resistance and glucose intolerance in diabetes, ischemia-reperfusion tissue injury, chemotaxis and phagocytic impairment in immunological disorders, aging-mediated changes, cerebrovascular diseases, thyrotoxicosis, aggregation disorders, fertility conditions and reproductive disorders, menopause, ovarian dysfunction, testicular dysfunction, and penile erection, in a mammal in need thereof comprising administering to said mammal an effective amount of a a multifunctional steroid compound comprising
i) a steroid component, ii) at least one SOD mimic component, and optionally iii) at least one NO donor component.
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31. A multifunctional steroid compound of formula (4)
optical isomers thereof, salts thereof, and solvates thereof; -
wherein is a single or double bond, with the proviso that two double bonds are not adjacent;
R2 is NO donor, —
H, —
OH, —
CH3, —
OC(O)R8 wherein R8 is C1-C5 alkyl or 5- or 6-member heteroaryl, or R2 and R7 together form a substituted N-oxide free radical;
R3 is —
H, —
OH, or —
CH3, or R2 and R3 together form a heterocyclic ring;
R4 is —
H or halogen;
R5 is —
H, ═
O, NO donor or a substituted N-oxide free radical;
R6 is ═
O or NO donor, andR6A, if present, is —
H, or R6 and R6A together form a substituted N-oxide free radical;
R7 is —
H, NO donor, or a substituted N-oxide free radical wherein the nitrogen of the N-oxide group in the substituted N-oxide free radical is within a 5- or 6-member ring, which ring is optionally substituted by —
OCOCH2-PEG wherein said PEG may by optionally coupled to another steroid compound, and which ring is further optionally substituted by or one or more independently selected C1-C5 alkyl groups which may be further independently substituted by a group selected from an NO donor component, —
SR11, -halogen, and —
OC(O)R13 wherein R11 is C1-C5 alkyl and wherein R13 is C1-C5 alkyl or 5- or 6-member heteroaryl, or R2 and R7 together form a substituted N-oxide free radical; and
wherein the nitrogen of the N-oxide group in the substituted N-oxide free radical is within a 5- or 6-member ring substituted by one or more independently selected C1-C5 alkyl groups which may be further independently substituted by an NO donor component; and
wherein said NO donor is a group comprising one of —
ONO2, —
ONO, —
SNO, and —
NONOate; and
with the proviso that said compound contains at least one N-oxide free radical and at least one NO donor. - View Dependent Claims (32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48)
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49. A kit for administration of a multifunctional steroid compound comprising i) a dosage amount of at least one multifunctional steroid compound that comprises a steroid component, at least one SOD mimic component, and optionally at least one NO donor component;
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ii) instructions for use; and
iii) optionally means for the delivery of said compound. - View Dependent Claims (50)
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Specification