NOVEL DICARBOXYLIC ACID LINKED AMINO ACID AND PEPTIDE PRODRUGS OF OPIOIDS AND USES THEREOF
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Abstract
The present invention concerns dicarboxylic acid linked amino acid and peptide prodrugs of opioid analgesics and pharmaceutical compositions containing such prodrugs. Methods for providing pain relief, decreasing the adverse GI side effects of the opioid analgesic and increasing the bioavailability of the opioid analgesic with the aforementioned prodrugs are also provided. In one embodiment, prodrugs having the amino acid side chains of valine, leucine, isoleucine and glycine; and mono-, di- and tripeptides thereof are provided.
37 Citations
74 Claims
- 1. An oxycodone prodrug having the structure:
- 38. Oxycodone-[succinyl-valine] enol ester.
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41. A pharmaceutical composition comprising oxycodone-[succinyl-valine] enol ester or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.
- 42. Oxycodone succinyl-leucine enol ester.
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45. A pharmaceutical composition comprising oxycodone-[succinyl-leucine] enol ester or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.
- 46. Oxycodone-[glutaryl-valine] enol ester.
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49. A pharmaceutical composition comprising oxycodone-[glutaryl-valine] enol ester or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.
- 50. Oxycodone-[glutaryl-leucine] enol ester.
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53. A pharmaceutical composition comprising oxycodone-[glutaryl-leucine] enol ester or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable carrier.
- 54. A prodrug comprising oxycodone, a dicarboxylic acid linker, and a proteinogenic amino acid.
- 59. A method for reducing the incidence or severity of constipation associated with oral opiate administration which comprises orally administering to a patient in need thereof a prodrug comprising oxycodone, a dicarboxylic acid linker, and a proteinogenic amino acid.
- 64. A method for reducing the abuse of an opioid which comprises administering to a patient in need thereof a prodrug comprising oxycodone, a dicarboxylic acid linker, and a proteinogenic amino acid, wherein abuse of the prodrug by intranasal administration results in lower oxycodone absorption compared to intranasal administration of oxycodone itself.
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69. A method of maintaining the plasma concentration of an opioid which comprises orally administering to a patient in need thereof a prodrug comprising oxycodone, a dicarboxylic acid linker, and a proteinogenic amino acid;
- wherein the plasma concentration of the oxycodone is sustained longer than the oxycodone plasma concentration following oral administration of oxycodone itself.
- View Dependent Claims (70, 71, 72, 73)
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74. A method of improving the bioavailability of an opioid which comprises orally administering to a patient in need thereof a prodrug comprising oxycodone, a dicarboxylic acid linker, and a proteinogenic amino acid;
- wherein the bioavailability of the oxycodone is greater than the oxycodone bioavailability following oral administration of oxycodone itself.
Specification