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US5770609A Expired / Lapsed US ⏱️ 0.0 years remaining

Prevention and treatment of cardiovascular pathologies

Assignee: Poniard Pharmaceuticals Inc
•
Filing: 1995-06-07
•
Granted: 1998-06-23
•
Expires: 2015-06-07
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Abstract

Abstract A method for treating or preventing cardiovascular pathologies by administering a compound of the formula (I): <IMAGE> (I) wherein Z is C=O or a covalent bond; Y is H or O(C1-C4)alkyl, R1 and R2 are individually (C1-C4)alkyl or together with N are a saturated heterocyclic group, R3 is ethyl or chloroethyl, R4 is H or together with R3 is -CH2-CH2- or -S-, R5 is I, O(C1-C4)alkyl or H and R6 is I, O(C1-C4)alkyl or H with the proviso that when R4, R5, and R6 are H, R3 is not ethyl; or a pharmaceutically acceptable salt thereof, effective to activate or stimulate production of TGF-beta to treat and/or prevent conditions such as atherosclerosis, thrombosis, myocardial infarction, and stroke is provided. Useful compounds include idoxifene and salts thereof. Further provided is a method for identifying a compound that is a TGF-beta activator or production stimulator is provided. Another embodiment of the invention is an assay or kit to determine TGF-beta in vitro. Also provided is a therapeutic method comprising inhibiting smooth muscle cell proliferation associated with procedural vascular trauma employing the administration of tamoxifen or structural analogs thereof, including compounds of formula (I).

Inventors

  • 👤 David J. Grainger
  • 👤 James C. Metcalfe
  • 👤 Lawrence L. Kunz
  • 👤 Robert W. Schroff
  • 👤 Peter L. Weissberg

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 04:45
CPC Classifications
A; A61; A61K; A61K9/00; A61K9/0012; A61K9/0019; A61K9/0024; A61K31/00; A61K31/13; A61K31/135; A61K31/138; A61K31/33; A61K31/335; A61K31/337; A61K31/38; A61K31/395; A61K31/40; A61K31/4025; A61K31/403; A61K31/4035; A61K31/407; A61K31/70; A61K31/715; A61K47/00; A61K47/50; A61K47/51; A61K47/68; A61K47/6801; A61K47/6803; A61K47/6807; A61K47/6809; A61K47/6811; A61K47/6817; A61K47/6831; A61K47/6835; A61K47/6843; A61K47/69; A61K47/6921; A61K47/6927; A61K47/6929; A61K47/6931; A61K47/6935; A61K47/6937; A61K47/6957; C; C07; C07K; C07K14/00; C07K14/435; C07K14/705; C07K14/71; C07K16/00; C07K16/18; C07K16/22; G; G01; G01N; G01N2800/00; G01N2800/32

Claims Analysis

Total Claims: 60
Claim 1
Independent Claim 117 words
A therapeutic method comprising inhibiting smooth muscle cell (SMC) proliferation associated with procedural vascular trauma comprising the systemic administration to a mammal subjected to said procedure, an effective cytostatic SMC proliferative inhibitory amount of a compound of formula (1): ##STR3## wherein Z is C═O or a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H, R 5 is I, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H; or a pharmaceutically acceptable salt thereof.
Claim 2
Dependent Claim 117 words
A therapeutic method comprising inhibiting smooth muscle cell (SMC) proliferation associated with procedural vascular trauma comprising the systemic administration to a mammal subjected to said procedure, an effective cytostatic SMC proliferative inhibitory amount of a compound of formula (1): ##STR3## wherein Z is C═O or a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H, R 5 is I, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H; or a pharmaceutically acceptable salt thereof.
Claim 3
Dependent Claim 33 words
The method of claim 1 wherein the procedural vascular trauma is due to organ transplantation, vascular surgery, transcatheter vascular therapy, vascular grafting, placement of a vascular shunt or placement of an intravascular stent.
Claim 4
Dependent Claim 19 words
The method of claim 1 wherein the compound of formula (I) is tamoxifen or a pharmaceutically acceptable salt thereof.
Claim 5
Dependent Claim 22 words
The method of claim 1 wherein the compound of formula (I) is idoxifene, 4-iodotamoxifen, 3-iodotamoxifen, toremifene, or a pharmaceutically acceptable salt thereof.
Claim 6
Dependent Claim 19 words
The method of claim 4 wherein the compound of formula (I) is idoxifene or a pharmaceutically acceptable salt thereof.
Claim 7
Dependent Claim 13 words
The method of claim 1 wherein the administration is to a human patient.
Claim 8
Dependent Claim 21 words
The method of claim 6 wherein the administration is before or after said procedure, or both before and after said procedure.
Claim 9
Dependent Claim 15 words
The method of claim 6 wherein the administration is in a series of spaced doses.
Claim 10
Dependent Claim 10 words
The method of claim 6 wherein the administration is parenteral.
Claim 11
Dependent Claim 10 words
The method of claim 6 wherein the administration is oral.
Claim 12
Dependent Claim 19 words
The method of claim 1 wherein the compound of formula (I) is administered via a sustained release dosage form.
Claim 13
Dependent Claim 17 words
The method of claim 1 wherein the administration is localized at the site of the vascular trauma.
Claim 14
Dependent Claim 134 words
A therapeutic method comprising inhibiting vascular smooth muscle cell proliferation associated with procedural vascular trauma comprising administration to a mammal subjected to said procedural trauma an effective antiproliferative amount of a compound of formula (I): ##STR4## wherein Z is C═O or a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H, R 5 is I, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H with the proviso that when R 4 , R 5 , and R 6 are H, R 3 is not ethyl; or a pharmaceutically acceptable salt thereof.
Claim 15
Dependent Claim 134 words
A therapeutic method comprising inhibiting vascular smooth muscle cell proliferation associated with procedural vascular trauma comprising administration to a mammal subjected to said procedural trauma an effective antiproliferative amount of a compound of formula (I): ##STR4## wherein Z is C═O or a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H, R 5 is I, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H with the proviso that when R 4 , R 5 , and R 6 are H, R 3 is not ethyl; or a pharmaceutically acceptable salt thereof.
Claim 16
Dependent Claim 22 words
The method of claim 14 wherein the compound of formula (I) is idoxifene, 4-iodotamoxifen, 3-iodotamoxifen, toremifene, or a pharmaceutically acceptable salt thereof.
Claim 17
Dependent Claim 19 words
The method of claim 14 wherein the compound of formula (I) is idoxifene or a pharmaceutically acceptable salt thereof.
Claim 18
Dependent Claim 13 words
The method of claim 13 wherein the administration is to a human patient.
Claim 19
Dependent Claim 21 words
The method of claim 16 wherein the administration is before or after said procedure, or both before and after said procedure.
Claim 20
Dependent Claim 15 words
The method of claim 16 wherein the administration is in a series of spaced doses.
Claim 21
Dependent Claim 10 words
The method of claim 16 wherein the administration is parenteral.
Claim 22
Dependent Claim 10 words
The method of claim 16 wherein the administration is oral.
Claim 23
Dependent Claim 10 words
The method of claim 16 wherein the administration is systemic.
Claim 24
Dependent Claim 19 words
The method of claim 13 wherein the compound of formula (I) is administered via a sustained release dosage form.
Claim 25
Dependent Claim 17 words
The method of claim 13 wherein the administration is localized at the site of the vascular trauma.
Claim 26
Dependent Claim 142 words
A therapeutic method comprising treating non-aortal procedural vascular trauma comprising administering to a mammal, subjected to said procedural vascular trauma, an effective cytostatic antiproliferative amount of a compound of formula (I): ##STR5## wherein Z is a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H or together with R 3 is --CH 2 --CH 2 -- or --S--, R 5 is I, OH, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H with the proviso that when R 4 , R 5 , and R 6 are H, R 3 is not ethyl; or a pharmaceutically acceptable salt thereof.
Claim 27
Dependent Claim 142 words
A therapeutic method comprising treating non-aortal procedural vascular trauma comprising administering to a mammal, subjected to said procedural vascular trauma, an effective cytostatic antiproliferative amount of a compound of formula (I): ##STR5## wherein Z is a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H or together with R 3 is --CH 2 --CH 2 -- or --S--, R 5 is I, OH, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H with the proviso that when R 4 , R 5 , and R 6 are H, R 3 is not ethyl; or a pharmaceutically acceptable salt thereof.
Claim 28
Dependent Claim 21 words
The method of claim 24 wherein the administration is before or after said procedure, or both before and after said procedure.
Claim 29
Dependent Claim 15 words
The method of claim 24 wherein the administration is in a series of spaced doses.
Claim 30
Dependent Claim 10 words
The method of claim 24 wherein the administration is parenteral.
Claim 31
Dependent Claim 10 words
The method of claim 24 wherein the administration is oral.
Claim 32
Dependent Claim 10 words
The method of claim 24 wherein the administration is systemic.
Claim 33
Dependent Claim 16 words
The method of claim 24 wherein the compound is administered via a sustained release dosage form.
Claim 34
Dependent Claim 17 words
The method of claim 24 wherein the administration is localized at the site of the vascular trauma.
Claim 35
Dependent Claim 16 words
The method of claim 24 wherein the compound is droloxifene, or a pharmaceutically acceptable salt thereof.
Claim 36
Dependent Claim 16 words
The method of claim 24 wherein the compound is toremifene, or a pharmaceutically acceptable salt thereof.
Claim 37
Dependent Claim 16 words
The method of claim 24 wherein the compound is idoxifene, or a pharmaceutically acceptable salt thereof.
Claim 38
Dependent Claim 18 words
The method of claim 1 or 13 wherein the compound is toremifene, or a pharmaceutically acceptable salt thereof.
Claim 39
Dependent Claim 16 words
The method of claim 1, 13 or 24 wherein the compound increases the level of TGF-beta.
Claim 40
Dependent Claim 29 words
The method of claim 1, 13 or 24 wherein the administration increases the level of active TGF-beta relative to the level of active TGF beta prior to said administration.
Claim 41
Dependent Claim 28 words
The method of claim 1, 13 or 24 wherein the administration increases the level of latent TGF-beta relative to the level of latent TGF-beta prior to said administration.
Claim 42
Dependent Claim 21 words
The method of claim 1, 13 or 24 wherein the administration of the therapeutic agent increases the level of TGF-beta MRNA.
Claim 43
Dependent Claim 28 words
The method of claim 1, 13 or 24 wherein the administration of the therapeutic agent increases the conversion of the latent form of TGF-beta to the active form.
Claim 44
Dependent Claim 20 words
The method of claim 1, 13 or 24 wherein the administration of the therapeutic agent increases the bioavailability of TGF-beta.
Claim 45
Dependent Claim 19 words
The method of claim 1, 13 or 24 wherein the administration is before, during or after said vascular trauma.
Claim 46
Dependent Claim 11 words
The method of claim 24 wherein the procedure is vessel anosthomosis.
Claim 47
Dependent Claim 11 words
The method of claim 24 wherein the procedure is organ transplantation.
Claim 48
Dependent Claim 10 words
The method of claim 44 wherein the organ is kidney.
Claim 49
Dependent Claim 11 words
The method of claim 44 wherein the organ is a liver.
Claim 50
Dependent Claim 11 words
The method of claim 24 wherein the procedure is a biopsy.
Claim 51
Dependent Claim 10 words
The method of claim 24 wherein the procedure is thrombectomy.
Claim 52
Dependent Claim 13 words
The method of claim 24 wherein the procedure is a vascular bypass graft.
Claim 53
Dependent Claim 11 words
The method of claim 24 wherein the cells comprise ocular tissue.
Claim 54
Dependent Claim 132 words
A therapeutic method comprising inhibiting vascular smooth muscle cell proliferation comprising administering to a mammal an effective cytostatic antiproliferative amount of a compound of formula (I): ##STR6## wherein Z is a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H or together with R 3 is --CH 2 --CH 2 -- or --S--, R 5 is I, OH, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H; or a pharmaceutically acceptable salt thereof, wherein the administration is by placement of a vascular shunt or intravascular stent comprising said compound.
Claim 55
Dependent Claim 132 words
A therapeutic method comprising inhibiting vascular smooth muscle cell proliferation comprising administering to a mammal an effective cytostatic antiproliferative amount of a compound of formula (I): ##STR6## wherein Z is a covalent bond; Y is H or O(C 1 -C 4 )alkyl, R 1 and R 2 are individually (C 1 -C 4 )alkyl or together with N are a saturated heterocyclic group, R 3 is ethyl or chloroethyl, R 4 is H or together with R 3 is --CH 2 --CH 2 -- or --S--, R 5 is I, OH, O(C 1 -C 4 )alkyl or H and R 6 is I, O(C 1 -C 4 )alkyl or H; or a pharmaceutically acceptable salt thereof, wherein the administration is by placement of a vascular shunt or intravascular stent comprising said compound.
Claim 56
Dependent Claim 20 words
The method of claim 51 wherein the compound is droloxifene, raloxifene, toremifene, tamoxifen, idoxifene, or a pharmaceutically acceptable salt thereof.
Claim 57
Dependent Claim 19 words
The method of claim 51 wherein the shunt or stent matrix is impregnated with the compound of formula (I).
Claim 58
Dependent Claim 19 words
The method of claim 53 wherein the shunt or stent comprises a coating incorporating said compound of formula (I).
Claim 59
Dependent Claim 19 words
The method of claim 51 wherein the shunt or stent comprises a coating incorporating said compound of formula (I).
Claim 60
Dependent Claim 16 words
The method of claim 53, 54, or 55 wherein said matrix or said coating is biodegradable.

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3.5 Years (Year 4) 2001-06-22 2001-12-22 2002-06-23 $2000.00 Window Closed / Lapsed
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