IP Library Granted Patent US 12,409,174
Granted Patent B2
US 12,409,174 · App. 18/764,612 · Granted Sep 9, 2025

Combination of zibotentan and dapagliflozin for the treatment of endothelin related diseases

Inventors: Peter Greasley (Mölndal, SE); Christine Ahlström (Mölndal, SE); Stanko Skrtic (Mölndal, SE); Robert Menzies (Mölndal, SE); Anne-Kristina Mercier (Mölndal, SE); Mikael Sunnåker (Mölndal, SE)
Assignee: ASTRAZENECA AB
A61K31/497A61K31/7034A61P13/12
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Quick Facts
Patent No.
US 12,409,174
App. No.
18/764,612
Granted
Sep 9, 2025
Kind
B2
Abstract

The present disclosure relates to the endothelin receptor antagonist (ERA) zibotentan in combination with the sodium-dependent glucose cotransporter 2 (SGLT-2) inhibitor dapagliflozin for use in the treatment of certain endothelin related diseases.

Claims (40)

1. A method of reducing blood pressure in a human patient with chronic kidney disease and in need thereof, the method comprising administering to the patient a combination of zibotentan, N-(3-methoxy-5-methylpyrazin-2-yl)-2-[4-(1,3,4-oxadiazol-2-yl)phenyl]pyridine-3-sulfonamide,

or a pharmaceutically acceptable salt thereof, and dapagliflozin, in amounts effective for reducing blood pressure in the patient.

2. The method according to claim 1 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered once daily in combination with dapagliflozin.

3. The method according to claim 2 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 5 mg and dapagliflozin is administered at a dose of 10 mg.

4. The method according to claim 2 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 1.5 mg and dapagliflozin is administered at a dose of 10 mg.

5. The method according to claim 2 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 0.25 mg and dapagliflozin is administered at a dose of 10 mg.

6. The method according to claim 2 , wherein the patient is a chronic kidney disease patient classified as a stage 1-4 patient having an eGFR 20-60 ml/min/1.73 m 2 .

7. The method according to claim 6 , wherein the patient is a chronic kidney disease patient classified as a stage 3-4 patient.

8. A method of reducing risk of blood pressure elevation in a human patient with chronic kidney disease and in need thereof, the method comprising administering to the patient a combination of zibotentan, N-(3-methoxy-5-methylpyrazin-2-yl)-2-[4-(1,3,4-oxadiazol-2-yl)phenyl]pyridine-3-sulfonamide,

or a pharmaceutically acceptable salt thereof, and dapagliflozin, in amounts effective for reducing risk of blood pressure elevation in the patient.

9. The method according to claim 8 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered once daily in combination with dapagliflozin.

10. The method according to claim 9 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 5 mg and dapagliflozin is administered at a dose of 10 mg.

11. The method according to claim 9 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 1.5 mg and dapagliflozin is administered at a dose of 10 mg.

12. The method according to claim 9 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 0.25 mg and dapagliflozin is administered at a dose of 10 mg.

13. The method according to claim 9 , wherein the patient is a chronic kidney disease patient classified as a stage 1-4 patient having an eGFR 20-60 ml/min/1.73 m 2 .

14. The method according to claim 13 , wherein the patient is a chronic kidney disease patient classified as a stage 3-4 patient.

15. A method of reducing incidence of a composite endpoint of ≥40% decline in eGFR, reaching end-stage kidney disease (ESKD), and renal death in a human patient with chronic kidney disease and in need thereof, the method comprising administering to the patient a combination of zibotentan, N-(3-methoxy-5-methylpyrazin-2-yl)-2-[4-(1,3,4-oxadiazol-2-yl)phenyl]pyridine-3-sulfonamide,

or a pharmaceutically acceptable salt thereof, and dapagliflozin, in amounts effective for reducing incidence of a composite endpoint of ≥40% decline in eGFR, reaching end-stage kidney disease (ESKD), and renal death in the human patient.

16. The method according to claim 15 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered once daily in combination with dapagliflozin.

17. The method according to claim 16 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 5 mg and dapagliflozin is administered at a dose of 10 mg.

18. The method according to claim 16 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 1.5 mg and dapagliflozin is administered at a dose of 10 mg.

19. The method according to claim 16 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 0.25 mg and dapagliflozin is administered at a dose of 10 mg.

20. The method according to claim 16 , wherein the patient is a chronic kidney disease patient classified as a stage 1-4 patient having an eGFR 20-60 ml/min/1.73 m 2 .

21. The method according to claim 20 , wherein the patient is a chronic kidney disease patient classified as a stage 3-4 patient.

22. A method of reducing the incidence of reaching end-stage kidney disease (ESKD) in a human patient with chronic kidney disease and in need thereof, the method comprising administering to the patient a combination of zibotentan, N-(3-methoxy-5-methylpyrazin-2-yl)-2-[4-(1,3,4-oxadiazol-2-yl)phenyl]pyridine-3-sulfonamide,

or a pharmaceutically acceptable salt thereof, and dapagliflozin, in amounts effective for reducing the incidence of the patient reaching ESKD.

23. The method according to claim 22 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered once daily in combination with dapagliflozin.

24. The method according to claim 23 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 5 mg and dapagliflozin is administered at a dose of 10 mg.

25. The method according to claim 23 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 1.5 mg and dapagliflozin is administered at a dose of 10 mg.

26. The method according to claim 23 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 0.25 mg and dapagliflozin is administered at a dose of 10 mg.

27. The method according to claim 23 , wherein the patient is a chronic kidney disease patient classified as a stage 1-4 patient having an eGFR 20-60 ml/min/1.73 m 2 .

28. The method according to claim 27 , wherein the patient is a chronic kidney disease patient classified as a stage 3-4 patient.

29. A method of reducing the incidence of renal death in a human patient with chronic kidney disease and in need thereof, the method comprising administering to the patient a combination of zibotentan, N-(3-methoxy-5-methylpyrazin-2-yl)-2-[4-(1,3,4-oxadiazol-2-yl)phenyl]pyridine-3-sulfonamide,

or a pharmaceutically acceptable salt thereof, and dapagliflozin, in amounts effective for reducing the incidence of renal death in the patient.

30. The method according to claim 29 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered once daily in combination with dapagliflozin.

31. The method according to claim 30 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 5 mg and dapagliflozin is administered at a dose of 10 mg.

32. The method according to claim 30 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 1.5 mg and dapagliflozin is administered at a dose of 10 mg.

33. The method according to claim 30 , wherein zibotentan, or a pharmaceutically acceptable salt thereof, is administered at a dose of about 0.25 mg and dapagliflozin is administered at a dose of 10 mg.

34. The method according to claim 30 , wherein the patient is a chronic kidney disease patient classified as a stage 1-4 patient having an eGFR 20-60 ml/min/1.73 m 2 .

35. The method according to claim 34 , wherein the patient is a chronic kidney disease patient classified as a stage 3-4 patient.

Assignments (3)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Sep 4, 2024
From: GREASLEY, PETER; AHLSTROM, CHRISTINE; SKRTIC, STANKO; MENZIES, ROBERT
To: ASTRAZENECA AB
Reel/Frame 068488/0326 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Sep 4, 2024
From: GREASLEY, PETER; AHLSTROM, CHRISTINE; SKRTIC, STANKO; MENZIES, ROBERT
To: ASTRAZENECA AB
Reel/Frame 068488/0382 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Sep 4, 2024
From: MERCIER, ANNE-KRISTINA; SUNNÅKER, MIKAEL
To: ASTRAZENECA AB
Reel/Frame 068488/0407 →
Continuity (5)
Continuation 18213601 · Jun 23, 2023
Continuation 17371162 · Jul 9, 2021
Provisional Application 63196793 · Jun 4, 2021
Provisional Application 63050147 · Jul 10, 2020
Related Publication 20240358698A1 · Oct 31, 2024
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