Use of the combination of ciclesonide and antihistamines for the treatment of allergic rhinitis
View Patent ↗The present invention relates to a combination of ciclesonide with antihistamines.
1. A pharmaceutical composition for application to the mucosa comprising as the sole active ingredients a combination of
a.) 4-[(4-chlorophenyl)methyl]-2-(hexahydro-1-methyl-1H-azepin-4-yl)-1(2H)phthalazinone (AZELASTINE), or a stereoisomer, a pharmaceutically acceptable salt or physiologically functional derivative thereof, and
b.) ciclesonide, or a pharmaceutically acceptable salt of ciclesonide, an epimer of ciclesonide, or a physiologically functional derivative of ciclesonide,
and a pharmaceutically acceptable carrier and/or one or more excipients, wherein said pharmaceutical composition has an osmotic pressure of less than 290 mOsm.
2. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein said osmotic pressure is 150 mOsm or less.
3. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein said osmotic pressure is 60 mOsm or less.
4. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein said osmotic pressure is 40 mOsm or less.
5. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein said osmotic pressure is 20 mOsm or less.
6. The pharmaceutical composition for application to the mucosa according to claim 1 , further comprising an osmotic pressure-controlling agent.
7. The pharmaceutical composition for application to the mucosa according to claim 1 , further comprising a water-insoluble and/or water-low soluble substance.
8. The pharmaceutical composition for application to the mucosa according to claim 7 , wherein said water-insoluble and/or water-low soluble substance is a cellulose.
9. The pharmaceutical composition for application to the mucosa according to claim 8 , wherein said cellulose is microcrystalline cellulose.
10. The pharmaceutical composition for application to the mucosa according to claim 7 , wherein said one or more water-insoluble and/or water-low soluble substances is/are present as solid particles in an aqueous medium.
11. The pharmaceutical composition for application to the mucosa according to claim 7 , further comprising a water-soluble polymer substance.
12. The pharmaceutical composition for application to the mucosa according to claim 11 , wherein a combination of said water-insoluble substance and water-soluble polymer consists of microcrystalline cellulose and carboxymethyl cellulose sodium.
13. The pharmaceutical composition for application to the mucosa according to claim 1 , further comprising a surfactant and/or a wetting agent.
14. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein said mucosa is nasal mucosa.
15. A method for the treatment of allergic rhinitis and/or allergic conjunctivitis in a mammal, which comprises administration of a therapeutically effective amount of a pharmaceutical formulation comprising as the sole active ingredients a combination of
a.) 4-[(4-chlorophenyl)methyl]-2-(hexahydro-1-methyl-1H-azepin-4-yl)-1(2H)phthalazinone (AZELASTINE) or a stereoisomer, a pharmaceutically acceptable salt or physiologically functional derivative thereof, and
b.) ciclesonide, or a pharmaceutically acceptable salt of ciclesonide, an epimer of ciclesonide, or physiologically functional derivative of ciclesonide,
and a pharmaceutically acceptable carrier and/or one or more excipients, wherein said pharmaceutical formulation has an osmotic pressure of less than 290 mOsm.
16. The pharmaceutical composition according to claim 1 , wherein said epimer of ciclesonide is [11β,16α(S)]-16,17-[(cyclohexylmethylen)bis(oxy)]-11-hydroxy-21-(2-methyl-1-oxopropoxy)-pregna-1,4-dien-3,20-dion and is present in any mixing ratio with ciclesonide, [11β,16α(R)]-16,17-[(cyclohexylmethylen)bis(oxy)]-11-hydroxy-21-(2-methyl-1-oxopropoxy)-pregna-1,4-dien-3,20-dion.
17. The method of claim 15 , wherein said mammal is a human.
18. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein the sole active ingredients are a combination of azelastine or a pharmaceutically acceptable salt thereof, and ciclesonide, or a pharmaceutically acceptable salt of ciclesonide, an epimer of ciclesonide, or a physiologically functional derivative of ciclesonide.
19. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein the pharmaceutically acceptable salt of azelastine is azelastine hydrochloride.
20. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein ciclesonide is [11β,16α(R)]-16,17-[(cyclohexylmethylen)bis(oxy)]-11-hydroxy-21-(2-methyl-1-oxopropoxy)-pregna-1,4-dien-3,20-dion.
21. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein the sole active ingredients are a combination of azelastine or a pharmaceutically acceptable salt thereof and ciclesonide.
22. The pharmaceutical composition for application to the mucosa according to claim 1 , wherein the sole active ingredients are a combination of azelastine hydrochloride and ciclesonide.
23. The method for the treatment of allergic rhinitis and/or allergic conjunctivitis in a mammal according to claim 15 , wherein the sole active ingredients are a combination of azelastine or a pharmaceutically acceptable salt thereof and ciclesonide, or a pharmaceutically acceptable salt of ciclesonide, an epimer of ciclesonide, or a physiologically functional derivative of ciclesonide.
24. The method for the treatment of allergic rhinitis and/or allergic conjunctivitis in a mammal according to claim 15 , wherein the pharmaceutically acceptable salt of azelastine is azelastine hydrochloride.
25. The method for the treatment of allergic rhinitis and/or allergic conjunctivitis in a mammal according to claim 15 , wherein ciclesonide is [11β,16α(R)]-16,17-[(cyclohexylmethylen)bis(oxy)]-11-hydroxy-21-(2-methyl-1-oxopropoxy)-pregna-1,4-dien-3,20-dion.
26. The method for the treatment of allergic rhinitis and/or allergic conjunctivitis in a mammal according to claim 15 , wherein the sole active ingredients are a combination of azelastine or a pharmaceutically acceptable salt thereof and ciclesonide.
27. The method for the treatment of allergic rhinitis and/or allergic conjunctivitis in a mammal according to claim 15 , wherein the sole active ingredients are a combination of azelastine hydrochloride and ciclesonide.