8′-hydroxy-dihydroergotamine compounds and compositions
Inventors
Kellerman, Donald J. • Armer, Thomas • Zhang, Jian
Assignees
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Abstract
8′-Hydroxy-Dihydroergotamine (8′-OH DHE) medicinal compounds, compositions, and dosage forms containing such compositions are provided. Also provided herein are methods of treatment, prevention, or amelioration of migraine disorders using the compounds, compositions, dosage forms and administration techniques disclosed herein.
Core Innovation
The invention relates to 8′-hydroxy-dihydroergotamine (8′-OH DHE) medicinal compounds and compositions for treating, preventing, or ameliorating migraine disease, condition or disorder symptoms. It is directed to administering a therapeutically effective dose of an 8′-OH DHE composition to a subject in need of migraine treatment. The disclosure frames migraine benefit in terms of symptom relief, including reduction of one or more migraine symptoms.
A receptor-targeting rationale is provided for 8′-OH DHE, including agonizing 5-HT1D and 5-HT1B while avoiding 5-HT2B-related fibrosis risk. The disclosure also includes antagonizing and inhibiting adrenergic α1/α2 receptors, and reducing dopamine receptor agonism to limit nausea and emesis. The stated approach ties pharmacological selectivity to reducing drug-induced side effects associated with migraine therapies.
The disclosure further emphasizes formulation and administration approaches for 8′-OH DHE, including oral pulmonary inhalation using DPI and pMDI, as well as other delivery routes. It also discusses achieving pharmacokinetic exposure by obtaining a therapeutically effective Cmax within T_max while keeping Cmax low to help avoid adrenergic/dopaminergic binding associated with side effects. Medicinal chemistry scope includes 8′-OH DHE derivatives with ergoline ring/peptide side chain substitutions, along with receptor-binding and functional profiling and composition examples.
Claims Coverage
The independent claim covers a migraine method defined by administering a therapeutically effective dose of an 8′-OH DHE composition, with multiple dependent refinements that add key inventive features including treatment outcome limitations, side-effect exclusion, and quantitative pharmacokinetic constraints.
Migraine treatment with a therapeutically effective 8′-OH DHE dose
A method for treating, preventing or ameliorating one or more symptoms of a migraine disease, condition or disorder by administering a therapeutically effective dose of an 8′-hydroxy-dihydroergotamine (8′-OH DHE) composition to a subject in need of migraine treatment.
Reducing at least one migraine symptom
The method includes reducing a migraine symptom.
Avoiding drug-induced side effects
The method is characterized by a treatment that does not induce one or more drug-induced side effects.
Oral pulmonary inhalation dosing via inhalation delivery devices
The method includes administering the 8′-OH DHE composition using a nebulizer, a DPI device, an MDI device, or a pMDI device.
Dosage form alternatives for 8′-OH DHE administration
The method specifies administering the 8′-OH DHE composition as one of multiple dosage forms including various solid, liquid, sustained-release, sterile parenteral, topical, transdermal, nasal, or pulmonary (inhalation) formulations.
Quantitative Cmax limitation below 500 pg/mL
The method includes administering an 8′-OH DHE composition at a rate sufficient to achieve a maximum circulating plasma level (Cmax) of 8′-OH DHE that is less than 500 pg/mL.
Overall claim coverage centers on administering a therapeutically effective dose of an 8′-OH DHE composition to treat, prevent or ameliorate migraine symptoms, with dependent features that specify inhalation delivery devices, broaden dosage-form options, exclude drug-induced side effects, and impose a Cmax threshold of less than 500 pg/mL.
Stated Advantages
Treating, preventing or ameliorating one or more symptoms of a migraine disease, condition or disorder.
Reducing one or more migraine symptoms.
Not inducing one or more drug-induced side effects.
Documented Applications
No documented applications found
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