Dosage forms and therapeutic uses of L-4-chlorokynurenine

Inventors

Snodgrass, H. Ralph • CATO, Allen E. • HICKLIN, Jack S.

Assignees

Vistagen Therapeutics Inc

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Publication Number

US-10632091-B2

Patent

Publication Date

2020-04-28

Expiration Date


Abstract

Compositions of L-4-chlorokynurenine are provided, as are methods for the treatment of neurologica dyslinction.

Core Innovation

The disclosed invention provides unit-dose oral pharmaceutical compositions comprising L-4-chlorokynurenine (AV-101). It is framed for therapeutic use in neurological disorders involving NMDA receptor overactive glutamatergic transmission and links the approach to glycine B co-agonist site antagonism through conversion to 7-chlorokynurenic acid in astrocytes.

The pharmaceutical compositions are presented with therapeutically effective amounts and unit doses of L-4-chlorokynurenine. The disclosure also characterizes pharmacokinetic behavior by reporting plasma levels of 7-chlorokynurenic acid and a Phase 1b clinical study in healthy subjects.

A central therapeutic application described in the document is ameliorating the side effect of dyskinesia induced by administration of L-DOPA. The disclosure therefore uses administration of L-4-chlorokynurenine to a subject receiving L-DOPA to address levodopa-induced dyskinesia, and it further frames the approach in connection with conditions involving allodynia and mechanical and heat hyperalgesia.

Claims Coverage

The independent claim set is directed to a method of ameliorating an L-DOPA-induced dyskinesia side effect by administering L-4-chlorokynurenine, with dependent claim refinements adding quantitative unit-dose constraints and specifying oral and unit-dose forms. The claims present 5 inventive features.

Ameliorating L-DOPA-induced dyskinesia using L-4-chlorokynurenine

Administering a therapeutically effective amount of L-4-chlorokynurenine to a subject to ameliorate the side effect of dyskinesia induced by administration of L-DOPA.

Unit-dose pharmaceutical composition with an L-4-chlorokynurenine amount range

Administering a pharmaceutical composition per unit dose containing about 50 to about 1,800 mg of L-4-chlorokynurenine plus a pharmaceutically acceptable ingredient.

Preferred unit-dose range of L-4-chlorokynurenine

Administering a pharmaceutical composition per unit dose containing essentially L-4-chlorokynurenine in an amount of about 360 to about 1,440 mg.

Tablet or capsule unit dose form

Carrying out the method in which the pharmaceutical unit dose form is a tablet or a capsule.

Oral administration

Including orally administering L-4-chlorokynurenine.

Overall, the claims cover amelioration of L-DOPA-induced dyskinesia by administering L-4-chlorokynurenine, with claim coverage refined by specific unit-dose composition amounts and by oral delivery in tablet or capsule unit-dose forms.

Stated Advantages

Amelioration of the side effect of dyskinesia induced by administration of L-DOPA (levodopa-induced dyskinesia).

Better safety rationale versus classic NMDA antagonists based on glycine B co-agonist site antagonism through conversion to 7-chlorokynurenic acid in astrocytes.

Antihyperalgesic effects trends in capsaicin-induced hyperalgesia, including decreased AUPC for allodynia and mechanical and heat hyperalgesia.

Mood/well-being reports suggestive of antidepressant activity.

Documented Applications

Therapeutic use for neurological disorders involving NMDA receptor overactive glutamatergic transmission, framed around glycine B co-agonist site antagonism and conversion to 7-chlorokynurenic acid in astrocytes.

Ameliorating the side effect of dyskinesia induced by administration of L-DOPA in a subject.

Antihyperalgesic assessment in capsaicin-induced hyperalgesia, including outcomes for allodynia and mechanical and heat hyperalgesia.

Mood/well-being assessment with reports suggestive of antidepressant activity.

Phase 1b randomized double-blind placebo-controlled study in healthy subjects evaluating pharmacokinetics of L-4-chlorokynurenine and 7-chlorokynurenic acid after multiple oral doses.

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