The present invention relates in a first aspect to a compound of formula (I) for use in the treatment and/or in prevention of Alzheimer's dementia, wherein the compound of formula (I) is administered in a dosage<20 mg. In a second aspect, the invention relates to a pharmaceutical composition comprising the compound according to the first aspect.
A61K 31/5415 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and at least one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
2.
IDENTIFYING A SUBJECT SUFFERING FROM ALZHEIMER'S DEMENTIA OR BEING AT RISK OF DEVELOPING ALZHEIMER'S DEMENTIA
In a first aspect the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer's dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least a compound having a mass in gram/mol of 110.0367; (b) determining in a second body fluid sample of the subject the amount of the same compound as in (a); (c) determining the change of the amount of the compound determined according to (a) compared to the respective amount of the compound determined according to (b); (d) analyzing the change as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the compound, whereby a subject suffering from AD or being at risk of developing Alzheimer's dementia is identified if AD is predicted; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
A61P 25/28 - Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
G01N 33/68 - Chemical analysis of biological material, e.g. blood, urineTesting involving biospecific ligand binding methodsImmunological testing involving proteins, peptides or amino acids
3.
IDENTIFYING A SUBJECT SUFFERING FROM ALZHEIMER'S DEMENTIA OR BEING AT RISK OF DEVELOPING ALZHEIMER'S DEMENTIA
In a first aspect the invention relates to a method for identifying a subject suffering from Alzheimer's dementia (AD) or being at risk of developing Alzheimer's dementia, the method comprising: (a) determining in a first body fluid sample of the subject the amount of at least a compound having a mass in gram/mol of 110.0367; (b) determining in a second body fluid sample of the subject the amount of the same compound as in (a); (c) determining the change of the amount of the compound determined according to (a) compared to the respective amount of the compound determined according to (b); (d) analyzing the change as determined in (c) using a computer-implemented prediction algorithm that is capable of predicting AD in a subject based on the compound, whereby a subject suffering from AD or being at risk of developing Alzheimer's dementia is identified if AD is predicted; wherein said first body fluid sample had been obtained prior to administration of thiethylperazine or a pharmaceutically acceptable salt thereof and said second body fluid sample had been obtained after the subject had been administered thiethylperazine or a pharmaceutically acceptable salt thereof.
G01N 33/68 - Chemical analysis of biological material, e.g. blood, urineTesting involving biospecific ligand binding methodsImmunological testing involving proteins, peptides or amino acids
A61P 25/28 - Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
4.
SPECIFIC DOSAGE OF PHENOTHIAZINE COMPOUNDS FOR USE IN TREATMENT OR PREVENTION OF ALZHEIMER'S DEMENTIA
The present invention relates in a first aspect to a compound of formula (I) for use in the treatment and/or in prevention of Alzheimer's dementia, wherein the compound of formula (I) is administered in a dosage < 20 mg. In a second aspect, the invention relates to a pharmaceutical composition comprising the compound according to the first aspect.
A61K 31/5415 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and at least one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
A61K 9/00 - Medicinal preparations characterised by special physical form
A61P 25/28 - Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
5.
SPECIFIC DOSAGE OF PHENOTHIAZINE COMPOUNDS FOR USE IN TREATMENT OR PREVENTION OF ALZHEIMER'S DEMENTIA
The present invention relates in a first aspect to a compound of formula (I) for use in the treatment and/or in prevention of Alzheimer's dementia, wherein the compound of formula (I) is administered in a dosage < 20 mg. In a second aspect, the invention relates to a pharmaceutical composition comprising the compound according to the first aspect.
A61K 9/00 - Medicinal preparations characterised by special physical form
A61K 31/5415 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and at least one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
A61P 25/28 - Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
01 - Chemical and biological materials for industrial, scientific and agricultural use
05 - Pharmaceutical, veterinary and sanitary products
Goods & Services
Chemical products for the production of viral, retroviral
and non-viral vectors. Pharmaceutical and veterinary products; sanitary
preparations for medical purposes; dietetic products for
medical purposes, food for babies; plasters, materials for
dressings; tooth filling materials and dental impression
materials; disinfectants; preparations for destroying
vermin; fungicides, herbicides; therapeutic and prophylactic
pharmaceutical products; chemical preparations for medical,
pharmaceutical and veterinary purposes; balms for medical
purposes, bandages for sanitary purposes, biological
preparations for medical purposes, detergents for medical
purposes, diagnostic means for medical purposes, enzymes and
enzyme preparations for medical and pharmaceutical purposes,
extracts, serums, ferments, oils and fats for medical and
pharmaceutical purposes, medical and pharmaceutical
preparations for skincare; products for gene therapy;
pharmaceutical preparations and substances; small molecules,
vaccines, biologicals, enzymes and enzyme preparations,
pharmaceuticals for supplying genes to cells, all for
medical purposes; viral, retroviral and non-viral vectors as
carriers for administering of nucleic acid sequences for
medical and veterinary purposes; biochemical and chemical
products for use in medicine; pharmaceutical and biochemical
products for treating or preventing inflammatory diseases,
cancer, infectious diseases, fungal diseases, diseases
caused by parasites, eye diseases, diseases of the central
and peripheral nervous system, cardiovascular diseases,
diseases, affecting the immune system, genetic diseases,
single gene disorders, oral diseases, skin-diseases,
hair-diseases and aural diseases, bone diseases and blood
diseases as well as reproductive system diseases;
pharmaceutical and biochemical products for contraception;
biochemical and chemical products in the form of pills,
tablets, dragées, capsules, creams, suppositories, gases,
drops, dispersions, lotions, ointments, fluids, sprays for
medical and pharmaceutical purposes; biochemical and
chemical preparations for medical purposes, in particular
those with the active ingredient thiethylperazine;
biochemical and chemical preparations for medical purposes
in particular those with the active ingredient
thiethylperazine, for use in neurodegenerative diseases;
biochemical and chemical preparations for medical purposes
in particular those with the active ingredient
thiethylperazine, for use in dementia disorders and their
earlier stages, in particular for use in Alzheimer's disease
and mild cognitive impairment; biochemical and chemical
preparations for medical purposes, in particular those with
the active ingredient thiethylperazine, for prevention
against neurodegenerative diseases; biochemical and chemical
preparations for medical purposes, in particular those with
the active ingredient thiethylperazine, for preventing
dementia disorders and their earlier stages, in particular
for preventing Alzheimer's disease and mild cognitive
impairment; biochemical and chemical preparations for
medical purposes, in particular those with the active
ingredient thiethylperazine, for the treatment of
neurodegenerative diseases; biochemical and chemical
preparations for medical purposes in oral administration
forms, namely pills, tablets, dragées, capsules, liquids,
drops, in particular including as active ingredient
thiethylperazine, for the prevention and/or treatment of
neurodegenerative diseases; biochemical and chemical
preparations for medical purposes in oral administration
form, namely pills, tablets, dragées, capsules, liquids,
drops, in particular including as active ingredient
thiethylperazine, for the prevention and/or treatment of
Alzheimer's disease and mild cognitive impairment;
biochemical and chemical preparations for medical purposes,
in particular those with the active ingredient
thiethylperazine, for the treatment of dementia disorders
and their earlier stages, in particular for the treatment of
Alzheimer's disease and mild cognitive impairment;
biochemical and chemical preparations for medical purposes
in parenteral administration form, namely injection
solutions and infusion solutions, in particular including as
active ingredient thiethylperazine, for the prevention
and/or treatment of neurodegenerative diseases; biochemical
and chemical preparations for medical purposes in parenteral
administration forms, namely injection solutions and
infusion solutions, in particular including as active
ingredient thiethylperazine, for the prevention and/or
treatment of Alzheimer's disease and mild cognitive
impairment.
01 - Chemical and biological materials for industrial, scientific and agricultural use
05 - Pharmaceutical, veterinary and sanitary products
Goods & Services
Chemical products for the production of viral, retroviral
and non-viral vectors. Pharmaceutical and veterinary products; sanitary
preparations for medical purposes; dietetic products for
medical purposes, food for babies; plasters, materials for
dressings; tooth filling materials; dental impression
materials; disinfectants; preparations for destroying
vermin; fungicides, herbicides; therapeutic and prophylactic
pharmaceutical products; chemical preparations for medical,
pharmaceutical and veterinary purposes; balms for medical
purposes, bandages for sanitary purposes, biological
preparations for medical purposes, detergents for medical
purposes, diagnostic means for medical purposes, enzymes and
enzyme preparations for medical and pharmaceutical purposes,
extracts, serums, ferments, oils and fats for medical and
pharmaceutical purposes, medical and pharmaceutical
preparations for skincare; products for gene therapy;
pharmaceutical preparations and substances; small molecules,
vaccines, biologicals, enzymes and enzyme preparations,
pharmaceutical for genes to cell, all for medical purposes;
viral, retroviral and non-viral vectors as carriers, for
administering nucleic acid sequences for medical and
veterinary purposes; biochemical and chemical products for
use in medicine; pharmaceutical and biochemical products for
treating of or preventing against inflammatory diseases,
cancer, infectious diseases, fungal- diseases, diseases
caused by parasites, eye diseases, diseases of the central
and peripheral nervous systems, cardiovascular diseases,
diseases affecting the immune system, genetic diseases,
single gene disorders, oraldiseases, periodonthaldiseases,
skindiseases, hairdiseases and eardiseases, bone and blood
diseases as well as reproductive system diseases;
pharmaceutical and biochemical products for contraception;
biochemical and chemical products in the form of pills,
tablets, dragées, capsules, creams, suppositories, gases,
drops, dispersions, lotions, ointments, fluids, sprays for
medical and pharmaceutical purposes; biochemical and
chemical preparations for medical purposes, in particular
those with the active ingredient thiethylperazine;
biochemical and chemical preparations for medical purposes,
in particular those with the active ingredient
thiethylperazine, for use in neurodegenerative diseases;
biochemical and chemical preparations for medical purposes,
in particular those with the active ingredient
thiethylperazine, for use in trinucleotide repeat disorders,
in particular for use in Huntington's Chorea; biochemical
and chemical preparations for medical purposes, in
particular those with the active ingredient
thiethylperazine, for preventing neurodegenerative diseases;
biochemical and chemical preparations for medical purposes,
in particular those with the active ingredient
thiethylperazine, for preventing trinucleotide repeat
disorders, in particular for preventing Huntington's Chorea;
biochemical and chemical preparations for medical purposes,
in particular those with the active ingredient
thiethylperazine, for the treatment of neurodegenerative
diseases; biochemical and chemical preparations for medical
purposes, in particular those with the active ingredient
thiethylperazine, for the treatment of trinucleotide repeat
disorders, in particular for the treatment of Huntington'a
chorea; biochemical and chemical preparations for medical
purposes in oral administration forms, namely pills,
tablets, dragées, capsules, liquids, drops, in particular
including as active ingredient thiethylperazine, for the
prevention and/or treatment of neurodegenerative diseases;
biochemical and chemical preparations for medical purposes
in oral administration forms, namely pills, tablets,
dragées, capsules, liquids, drops, in particular including
as active ingredient thiethylperazine, for the prevention
and/or treatment of trinucleotide repeat disorders;
biochemical and chemical preparations for medical purposes
in oral administration forms, namely pills, tablets,
dragées, capsules, liquids, drops, in particular including
as active ingredient thiethylperazine, for the prevention
and/or treatment of Huntington's Chorea; biochemical and
chemical preparations for medical purposes in parenteral
administration forms, namely injection solutions and
infusion solutions, in particular including as active
ingredient thiethylperazine, for the prevention and/or
treatment of neurodegenerative diseases; biochemical and
chemical preparations for medical purposes in parenteral
administration forms, namely injection solutions and
infusion solutions, in particular including as active
ingredient thiethylperazine, for the prevention and/or
treatment of trinucleotide repeat disorders; biochemical and
chemical preparations for medical purposes in parenteral
administration forms, namely injection solutions and
infusion solutions, in particular including as active
ingredient thiethylperazine, for the prevention and/or
treatment of Huntington's chorea.
8.
Method for diagnosing or prediagnosing a beta-amyloidopathy or an alpha-synucleopathy
The invention relates to a method for the diagnosis or prediagnosis of a β-amyloidopathy or an α-synucleopathy accompanied by a cerebral protein deposit and a reduced activity of the cerebral ABCC1-transporter, or for determining the risk of a proband suffering from such an illness, the proband already having accumulated substances transported by the cerebral ABCC1 transporter.
G01N 33/68 - Chemical analysis of biological material, e.g. blood, urineTesting involving biospecific ligand binding methodsImmunological testing involving proteins, peptides or amino acids
A61K 31/5415 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and at least one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
C07D 279/24 - [b, e]-condensed with two six-membered rings with carbon atoms directly attached to the ring nitrogen atom with hydrocarbon radicals, substituted by amino radicals, attached to the ring nitrogen atom
C07D 417/06 - Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
C07D 417/14 - Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group containing three or more hetero rings
A61K 31/495 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two nitrogen atoms as the only ring hetero atoms, e.g. piperazine
C07D 279/28 - [b, e]-condensed with two six-membered rings with carbon atoms directly attached to the ring nitrogen atom with hydrocarbon radicals, substituted by amino radicals, attached to the ring nitrogen atom with other substituents attached to the ring system
G01N 33/48 - Biological material, e.g. blood, urineHaemocytometers
9.
2-(R2-THIO)-10-[3-(4-R1-PIPERAZIN-1-YL)PROPYL]-10H-PHENOTHIAZINE FOR TREATING A B-AMYLOIDOPATHY OR AN ALPHA-SYNUCLEOPATHY, AND METHOD FOR THE DIAGNOSIS OR PREDIAGNOSIS THEREOF
The invention relates to 2-(R2-thio)-10-[3-(4-R1-piperazin-1-yl)propyl]-10H-phenothiazine according to general formula I, for treating a ß-amyloidopathy or an a-synucleinopathy accompanied by a cerebral protein deposit and a reduced activity of the cerebral ABCC1-transporter. The invention also relates to a method for the diagnosis or prediagnosis of a ß-amyloidopathy or an a-synucleopathy accompanied by a cerebral protein deposit and a reduced activity of the cerebral ABCC1-transporter, or for determining the risk of a proband suffering from such an illness, the proband already having accumulated substances transported by the cerebral ABCC1 transporter.
A61K 31/5415 - Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and at least one sulfur as the ring hetero atoms, e.g. sulthiame ortho- or peri-condensed with carbocyclic ring systems, e.g. phenothiazine, chlorpromazine, piroxicam
A61P 25/28 - Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
C07D 417/06 - Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
C07D 417/14 - Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group containing three or more hetero rings
G01N 33/68 - Chemical analysis of biological material, e.g. blood, urineTesting involving biospecific ligand binding methodsImmunological testing involving proteins, peptides or amino acids
10.
2-(R2-THIO)-10-[3-(4-R1-PIPERAZIN-1-YL)PROPYL]-10H-PHENOTHIAZINE FOR TREATING A BETA-AMYLOIDOPATHY OR AN ALPHA-SYNUCLEOPATHY, AND METHOD FOR THE DIAGNOSIS OR PREDIAGNOSIS THEREOF
This invention relates to 2- (R2-thio) -10- [3- (4-R1--piperazin-1-yl) propyl]-10H-phenothiazines according to the general formula I, for treating a .beta.-amyloidopathy or .alpha.-synucleinopathy accompanied by a cerebral protein deposit and a reduced activity of the cerebral ABCC1-transporter. This invention also relates to a method for the diagnosis or prediagnosis of a .beta.-amyloidopathy or .alpha.-synucleopathy accompanied by a cerebral protein deposit and a reduced activity of the cerebral ABCC1-transporter, or for determining the risk of a proband suffering from such an illness, the proband already having accumulated substances transported by the cerebral ABCC1 transporter.