AMINOBIGUANIDES AND THE USE THEREOF TO DISINFECT CONTACT LENSES AND PRESERVE PHARMACEUTICAL COMPOSITIONS

Abstract: Aminobiguanides and the use of same as antimicrobial agents in pharmaceutical compositions are disclosed. The aminobiguanides are useful in the preservation of pharmaceutical compositions, particularly ophthalmic pharmaceutical compositions and compositions for treating contact lenses. The compounds are especially useful for disinfecting contact lenses.

Description: AMINOBIGUANIDES AND THE USE THEREOF TO DISINFECT CONTACT LENSES AND PRESERVE PHARMACEUTICAL COMPOSITIONS Background of the Invention The present invention is directed to aminobiguanides having antimicrobial activity, and to the use of these aminobiguanides in pharmaceutical compositions. More specifically, the invention is directed to use of the subject aminobiguanides in compositions and methods for disinfecting contact lenses, and to the use of these compounds to preserve various types of pharmaceutical compositions from microbial contamination, particularly ophthalmic and otic pharmaceutical compositions. Contact lenses are exposed to a broad spectrum of microbes during normal wear and become soiled relatively quickly. Routine cleaning and disinfecting of the lenses are therefore required. Although the frequency of cleaning and disinfecting may vary somewhat among different types of lenses and lens care regimens, daily cleaning and disinfecting is normally required. Failure to clean and disinfect the lens properly can lead to a multitude of problems ranging from mere discomfort when the lenses are being worn to serious ocular infections. Ocular infections caused by particularly virulent microbes, such as Pseudomonas aeruginosa, can lead to loss of the infected eye(s) if left untreated or if allowed to reach an advanced stage before treatment is initiated. It is therefore extremely important that patients disinfect their contact lenses in accordance with the regimen prescribed by their optometrist or ophthalmologist. Unfortunately, patients frequently fail to follow the prescribed regimens. Many patients find regimens to be difficult to understand and/or complicated, and as a result do not comply with one or more aspects of the regimen. Other patients may have a negative experience with the regimen, such as ocular discomfort attributable to the disinfecting agent, and as a result do not routinely disinfect their lenses or otherwise stray from the prescribed regimen. In either case, the risk of ocular infections is exacerbated. Despite the availability of various types of contact lens disinfecting systems, such as heat, hydrogen peroxide, and other chemical agents, there continues to be a need for improved systems which: 1) are simple to use, 2) have potent antimicrobial activity, and 3) are nontoxic (i.e., do not cause ocular irritation as the result of binding to the lens material). There is also a need for chemical disinfecting agents that retain their antimicrobial activity in the presence of salts (e.g., sodium chloride) and other components of compositions utilized to treat contact lenses. For example, United States Patent No. 4,438.011 (Howes) states that ionic species such as chloride inhibit the antimicrobial activity of the biguanide chlorhexidine, and teaches that the concentration of such ionic species must therefore be limited in order to maintain adequate antimicrobial activity for disinfecting contact lenses. There is also a need for an improved means of preserving pharmaceutical compositions from microbial contamination. This need is particularly prevalent in the fields of ophthalmic and otic compositions. The antimicrobial agents utilized to preserve aqueous ophthalmic and otic compositions must be effective in preventing microbial contamination of the compositions when used at concentrations that are non-toxic to ophthalmic and otic tissues. The present invention is directed to satisfying the above-cited needs. Summary of the Invention The present invention is directed to certain aminobiguanides having antimicrobial activity and to pharmaceutical compositions containing one or more of these aminobiguanides to preserve the compositions from contamination by microorganisms. The invention is also directed to the use of the subject aminobiguanides to disinfect contact lenses. The aminobiguanides of the present invention have excellent antimicrobial activity, even at very low concentrations. These compounds retain excellent antimicrobial activity, even in the presence of salt-containing media, such as saline solutions. The retention of antimicrobial activity in the presence of sodium chloride and other salts is highly significant, since such salts are commonly found in pharmaceutical compositions. For example, sodium chloride and other salts are frequently used to adjust the osmolality of ophthalmic compositions, so as to make the compositions isotonic with human tears. Sodium chloride or other salts may also be present in aqueous otic compositions. Moreover, compositions utilized to treat contact lenses frequently contain cleaning agents or other ingredients that may also have a negative effect on the activity of antimicrobial agents. The ability of the aminobiguanides of the present invention to retain a high level of antimicrobial activity, even in the presence of salts and other ingredients of pharmaceutical compositions, is therefore an important feature of the present invention. Description of Preferred Embodiments The aminobiguanide compounds of the present invention have the following formula: wherein: Rl, R2, R3 and R4 are the same or different and are selected from hydrogen, alkyl (C\ to C20), aminoalkyl (C \ to C20) . aryl, arylalkyl (C3 to C20) . aryloxyalkyl (C3 to C20) and cycloalkyl (C3 to C20) . and X is alkyl (C2 to C20) . optionally containing one or more substituents selected from the group consisting of cycloalkyl (C3 to C20 aryl, arylalkyl (C3 to C20) and aryloxyalkyl (C3 to C2θ)- In the foregoing definitions of the R 1 , R2, R3, R4 and X substituents, the alkyl groups may be saturated or unsaturated and may be in the form of either straight or branched chains, and all of the groups other than hydrogen may contain one or more heteroatoms. The compounds of the present invention also include pharmaceutically acceptable salts of the compounds of formula (I). The preferred compounds of formula (I) are those wherein Rl, R^, R and R are selected from the group consisting of hydrogen, alkyl (C \ to C20). aminoalkyl (Ci to C20) and cycloalkyl (C3 to C20 and X is selected from the group consisting of alkyl (C2 to C20) and alkyl (C2 to C20) substituted with one or more cycloalkyl (C3 to C20) groups. The most preferred compounds are those wherein Rl, R^, R3 and R4 are hydrogen or C \ to C20 alkyl, and X is C2 to C JO alkyl or C2 to C \Q alkyl containing one or more cycloalkyl (C3 to C20) substituents. Examples of such compounds are set forth in the following table: The compound wherein X is propyl, R is methyl, R^ is dodecyl, R3 is hydrogen and R is 1, 4-dimethylpentyl (i.e., Compound Number 1) is the most preferred compound of formula (I). The compounds of formula (I) may be synthesized in accordance with the following reaction scheme: Suitable methods for synthesizing the compounds of formula (I) are further demonstrated by the following examples, which describe the synthesis of certain preferred compounds: Example 1 Synthesis of Compound Number 1: .2HCI A mixture of 2,5-dimethylhexylamine hydrochloride (3 g. 19.9 mM) and 1.96 g (22 mM) of sodium dicyanamide in 30 ml of 1-butanol was reacted under reflux for 6 hours and concentrated in vacuo. This was suspended in 200 ml of water and extracted with chloroform (2x200ml). The organic layer was washed with water and dried over MgSO4 and concentrated in vacuo. This residue was crystallized from ethyl acetate -n- hexane to yield 3.0 g. (75% yield). Nmr(CDCl3) δ 5.3 (m, 3H), 3.6 (m, 1H)), 1.6 (s, 3H), 1.6-1.4 (m, 3H), 1.3 (m, 5H), and 0.9 (d, 6). This material was used without further purification. To a pressure bottle added 8.0 g (24.3 mM) of N, N-dodecylmethyl-l,3-propanediamine dihydrochloride, 6.23 g (34.4 mM) of 1,4- dimethylpentylcyanoguanidine and 1.5 mL of amyl alcohol. The bottle was sealed and heated to 150°C. Melting began at about 110°C and the reaction mixture was stirred at 150°C for 4 hrs. after which ethanol was added to dissolve the material. This material was acidified with concentrated HCI to pH 0-1 and precipitated with acetone to yield white material. This was crystallized from isopropanol-acetone to give the desired compound as a white crystal. Elemental Analysis: Calcd. for C25H57N 6 Ci3(549.14): C, 54,68; H, 10.65; N, 15.31; CI, 19.37 Found: C, 55.06; H, 10.44; N, 15.14; CI, 19.10. Nmr (DMSO-d6): δ 3.7 (m, 1H), 3.3 (m, 4H), 3.0 (m, 2H), 2.8 (s, 3H, N-CH3), 2.1 (b. 2H), 1.8 (b, 2H), 1.5 (b, 2H), 1.3 (m, 21H), and 0.9 (d, 6H, CH3). LC/MS also confirmed the above structure. Example 2 Synthesis of Compound Number 2: By following the procedure described in the synthesis of Compound 1 (see Example 1, above) with a mixture of 0.658 g (0.658 g., 2 mM) of NN-dodecylmethyl- 1,3-propanediamine dihydrochlorides and 0.346 g (2mM) of n-hexylcyanoguanidine, 0.5 g (49% yield) of the desired product was obtained. Elemental Analysis: Calcd. for C25H58N6C13: C, 54.68; H, 10.65; N, 15.31; CI, 19,37 Found:, C, 54.71; H, 10.26; N, 15.29; CI; 19.19 Nmr (DMSO-d6): δ 3.4-2.9 (m, 8H), 2.7(s, 3H, N-CH3), 1.9 (b, 2H), 1.7 (b, 2H), 1.5 (b, NHCH 2 CH 2 , 2H), 1.3. (app. s, 26H), and 0.9 (t, 3H, CH3). Example 3 Synthesis of Compound Number 3: 2HCI 14.3 g (0.1 M) of benzylamine hydrochloride was reacted with 8.9 g (0.1 M) of sodium dicyanamide in 100 ml of n-butanol at 150 °C for 5 hrs. and treated with 50 ml of water. The collected organic layer was washed with 0.1N HCI (2x50ml) and water (1x50 ml) consequently and concentrated in vacuo to leave a viscous material which was taken up by ethyl acetate. This was dried over MgSθ4 and crystallized from ethylacetate-hexane to afford 13 g (75 % yield), m.p. 95-100 °C. Without further purification, this was used for the next reaction. By following the same procedure as described in the synthesis of Compound 1, with 0.987 g (3 mM) of N,N- dodecylmethyl-l,3-propanediamine dihydrochlorides and 0.678 g (3.9 mmol) of the above cyanoguanidine, the desired compound was obtained. Elemental Analysis: Calcd. for C25H49N6CI3: C, 55.60; H, 9.14; N, 15.56; CI 19.69 Found: C, 55.32; H, 9.25; N, 15.53; C, 19.36. Nmr. (DMSO-c ) δ 7.35 (app. s, C6H5, 5H), 4.4 (s, 2H, CH 2 C6H 5 ), 3.2 (t. 2H), 3.0 (broad, 4H), 2.7 (s, 3H, N-CH3), 1.9 (m, 2H), 1.6 (t, 3H), 1.3 (app. s, 18H), and 0.9 (t, 3H, CH 3 -CH 2 ). Example 4 Synthesis of Compound Number 4: The same procedure as described in the synthesis of Compound 1 (see Example 1, above) was utilized with 0.73 g (2.2 mM) of NN-dodecylmethy 1-1,3- propanediamine dihydrochlorides and 0.5 g (2.2 mM) of decylcyanoguanidine to afford 0.5 g (38.6 %) of the desired product. Elemental analysis: Calcd. for C28H63N6CI3 (590.20): C, 56.98; H, 10.76; N, 14.24; CI, 18.02 Found: C, 56.68; H, 10.62; N, 14.19; CI, 17.85 Nmr. (CDCI3) δ 2.9 (N-CH3), 2.3 (broad, 2H), 1.9 (broad, 2H), 1.7 (broad, 2H) 1.5 (s, 32H), and 1.1 (t, 6H). Example 5 Synthesis of Compound Number 5: A mixture of N,N-dodecylmethyl-l,3-propanediamine dihydrochloride (2.0 g. 6.1mM) and 0.7 g (7.9 mM) of sodiumdicyanamide was reacted in 40 ml n-butanol under reflux for 5 hrs and aqueous NaHCO3 was added. The organic layer was separated and dissolved in chloroform solution. This chloroform solution was washed with aqueous NaHCO3 and water successively and concentrated in vacuo. This residue was crystallized from methanol. m.p. 80-81. Elemental Analysis: Calcd. for C18H37N5 (323.53) C, 66.83; H, 11.53; N, 21.65 Found: C, 66.39; H, 11.51; N, 21.71. Nmr (CD3OD) δ 3.2 (t, 2H), 2.4 (m, 4H), 2.2 (s, 3, N-CH3), 1.7 (m, 2H), 1.5 (m, 2H), 1.3 (s, 18H), and 0.9 (t, 3H). This cyanoguanidine (0.5 g, 1.5 mM) was reacted with 0.51 g (1.5 mM) of dihydrochloride salt of N,N-dodecy lmethy 1-1,3 - propanediamine in 0.5 ml of amylalcohol at 155 °C for 3 hrs and precipitated with acetone. The precipitate was dissolved in ethanol and adjusted to pH 1.0 with HCI. This was concentrated in vacuo and crystallized from ethanol to afford 0.71 g. (70% yield). Elemental analysis: Calcd. for C34H73Ν7.4HCI (726.26): C, 56.23; H, 10.69; N, 13.56; CI 19.53 Found: C, 55.86; H, 10.30; N, 13.71 ; CI, 19.20. LC/MS confirmed the above structure. Nmr (DMSO-dό) δ 3.3-2.9 (m, 12H), 2.7 (s, 6H, NCH3), 1.9 (b, 4H), 1.6 (b, 4H), 1.3 (s, 36H), and 0.8 (t, 6H, CH3). The compounds of formula (I) can be used individually, in combination with one or more other compounds of formula (I), or in combination with other disinfectants or preservatives. The compounds may, for example, be used in combination with the polymeric quaternary ammonium compounds described in United States Patent No. 4,407,791 ; the entire contents of that patent are hereby incorporated in the present specification by reference. As described in the '791 patent, those polymeric quaternary ammonium compounds are useful in disinfecting contact lenses and preserving ophthalmic compositions. The most preferred polymeric quaternary ammonium compound is polyquaternium- 1. Such polymeric quaternary ammonium compounds are typically utilized in an amount of from about 0.0001 to 0.01 percent weight/volume ("w/v %"). For the agent polyquaternium- 1, a concentration of 0.001 w/v % is preferred. The amount of each compound used will depend on the purpose of the use, e.g., disinfection of contact lenses or preservation of pharmaceutical compositions, and the absence or inclusion of other antimicrobial agents. The concentrations determined to be necessary for the above-stated purposes can be functionally described as "an amount effective to disinfect" and "an amount effective to preserve" or variations thereof. The concentrations used for disinfection will generally be in the range of from about 0.0001 to about 0.1 percent w/v % ("w/v %"). The concentrations used for preservation will generally be in the range of from about 0.00001 to about 0.01 w/v %. The compositions of the present invention may be aqueous or nonaqueous, but will generally be aqueous. As will be appreciated by those skilled in the art, the compositions may contain a wide variety of ingredients, such as tonicity agents (e.g., sodium chloride or mannitol), surfactants (e.g., polyvinyl pyrrolidone and polyoxyethylene/polyoxypropylene copolymers), viscosity adjusting agents (e.g., hydroxypropyl methyl cellulose and other cellulose derivatives) and buffering agents (e.g., borates, citrates, phosphates and carbonates). As indicated above, the ability of the compounds of formula (I) to retain their antimicrobial activity in the presence of such agents is a significant advantage of the present invention. The ophthalmic compositions of the present invention will be formulated so as to be compatible with the eye and/or contact lenses to be treated with the compositions. As will be appreciated by those skilled in the art, the ophthalmic compositions intended for direct application to the eye will be formulated so as to have a pH and tonicity that are compatible with the eye. This will normally require a buffer to maintain the pH of the composition at or near physiologic pH (i.e., 7.4) and may require a tonicity-adjusting agent (e.g., NaCl) to bring the osmolality of the composition to a level that ranges from slightly hypotonic to isotonic, relative to human tears. This range corresponds to an osmolality of from about 220 to about 320 milliosmoles per kilogram water ("mOsm/kg"). The formulation of compositions for treating contact lenses (e.g., disinfecting and/or cleaning) will involve similar considerations, as well as considerations relating to the physical effect of the compositions on contact lens materials and the potential for binding or absorption of the components of the composition by the lens. The contact lens disinfecting compositions of the present invention will preferably be formulated as aqueous solutions, but may also be formulated as nonaqueous solutions, as well as suspensions, gels, and so on. The compositions may contain a variety of tonicity agents, surfactants, viscosity adjusting agents and buffering agents, as described above. The above-described compositions may be used to disinfect contact lenses in accordance with processes known to those skilled in the art. More specifically, the lenses will first be removed from the eyes of the patients, and then will be immersed in the compositions for a time sufficient to disinfect the lenses. This immersion will typically be accomplished by means of soaking the lenses in a solution overnight (i.e., approximately six to eight hours). The lenses will then be rinsed and placed in the eye. Prior to immersion in the disinfecting compositions, the lenses will preferably also be cleaned and rinsed. The compositions and methods of the present invention may be used in conjunction with various types of contact lenses, including both lenses generally classified as "hard" and lenses generally classified as "soft". The compounds of formula (I) may also be included in various types of pharmaceutical compositions as preservatives, so as to prevent microbial contamination of the compositions. The types of compositions which may be preserved by the compounds of formula (I) include: ophthalmic pharmaceutical compositions, such as topical compositions used in the treatment of glaucoma, infections, allergies or inflammation; otic pharmaceutical compositions, such as topical compositions used in the treatment of bacterial infections or inflammation of the ear: compositions for treating contact lenses, such as cleaning products and products for enhancing the ocular comfort of patients wearing contact lenses; other types of ophthalmic compositions, such as ocular lubricating products, artificial tears, astringents, and so on; dermatological compositions, such as antiinflammatory compositions, as well as shampoos and other cosmetic compositions; and various other types of pharmaceutical compositions. The present invention is not limited with respect to the types of pharmaceutical compositions in which the compounds of formula (I) may be contained as preservatives, but the compounds are particularly useful in preserving ophthalmic and otic compositions from microbial contamination. The compounds are particularly useful in these types of compositions due to the ability of the compounds to exhibit a preservative effect at very low concentrations, without adversely affecting ophthalmic and otic tissues. The following examples are provided to further illustrate the use of the compounds of formula (I) in pharmaceutical compositions and to demonstrate the antimicrobial activity of the compounds. Example 6 The following formulation represents an example of a contact lens disinfecting solution of the present invention. In this formulation, the aminobiguanide compounds of the present invention function to preserve the formulation from microbial contamination during storage. The compounds also function as an active disinfecting agent when the formulation is applied to contact lenses. Ingredient Concentration (w/v %) Compound 0.0005 Sorbitol 1.2 AMP-95™ 0.45 Sodium Citrate 0.65 Sodium Chloride 0.1 Boric Acid 0.6 EDTA 0.05 Tetronic 1304™ 0.05 Purified Water q.s. 100 HCl/NaOH q.s. pH 7.8 In the foregoing formulation, the term "Compound" is intended to represent any of the aminobiguanides of formula (I). The formulation is an aqueous, isotonic solution. The solution can be prepared by sequentially dissolving each ingredient in water, and adjusting the pH of the resulting solution, if necessary. Example 7 The following formulation represents another example of a contact lens disinfecting solution of the present invention: Ingredient Concentration (w/v %) Compound 0.001 Boric Acid 0.58 Sodium Borate 0.18 Disodium EDTA 0.05 Sodium Chloride 0.49 Purified Water q.s. 100 NaOH/HCI q.s. pH 7.0 The foregoing formulation is an aqueous, isotonic solution. It can be prepared in the same manner as the solution of Example 6 above. Example 8 The antimicrobial activity of the solution of Example 6, containing 0.0005 w/v % of the aminobiguanide identified above as Compound No. 1, was evaluated relative to three key microorganisms. The evaluation was conducted by determining the extent to which the solution reduced an initial population of about 10^/mL microorganisms over time. The results were as follows: Log 10 Reduction Log, 0 Reduction Microorganism at 6 hours at 24 hours Candida albicans 2.1 5.0 Serratia marcescens 3.9 6.1 Staphlococcus aureus 3.7 4.9 These results demonstrate that the aminobiguanides of formula (I) have potent antimicrobial activity. Example 9 The antimicrobial activity of the solution of Example 7. containing 0.0005 w/v % of Compound No. 1, was also evaluated using essentially the same procedure as those described in Example 8 above. The results were as follows: LoglO Reduction LoglO Reduction Microorganism at 6 hours at 24 hours Candida albicans 1.4 4.0 Serratia marcescens 3.0 4.8 Staphlococcus 3.4 4.6 aureus These results further demonstrate the potent antimicrobial activity of the aminobiguanides of the present invention. Example 10 The antimicrobial activity of Compound No. 1 at a concentration of 0.0005 w/v % in water was also evaluated. The results were as follows: LoglO Reduction LoglO Reduction Microorganism at 6 hours at 24 hours Candida albicans 2.1 3.8 Serratia marcescens 5.5 3.9 Staphylococcus 4.1 6.0 o reus These results demonstrate that the antimicrobial activity of the solutions tested in Examples 8 and 9 above is attributable to the aminobiguanide of the present invention (i.e., Compound No. 1), rather than other components of the solutions. A comparison of the activity of Compound No. 1 when contained in a distilled water vehicle to the activity of Compound No. 1 when contained in buffered, isotonic solutions shows that the aminobiguanides of the present invention retain their antimicrobial activity when utilized in the presence of sodium chloride and other excipients commonly contained in pharmaceutical compositions. This retention of activity is apparent from a comparison of the antimicrobial activity demonstrated in Examples 8 and 9 with the antimicrobial activity demonstrated in Example 10.

Claims: What is claimed is: 1. A sterile pharmaceutical composition for disinfecting contact lenses, comprising a compound of the following formula, in an amount effective to disinfect the lens: wherein: Rl, R2, R3 and R are the same or different and are selected from the group consisting of hydrogen, alkyl (C\ to C20 aminoalkyl (C\ to C20) . aryl, arylalkyl (C3 to C20). aryloxyalkyl (C3 to C20) and cycloalkyl (C3 to C20); and X is alkyl (C2 to C20) . optionally containing one or more substituents selected from the group consisting of cycloalkyl (C3 to C20) . aryl, arylalkyl (C3 to C20) and aryloxyalkyl (C3 to C20 or pharmaceutically acceptable salt thereof; and an aqueous vehicle therefor. 2. A composition according to Claim 1, wherein Rl, R2, R3 and R4 are selected from the group consisting of hydrogen, alkyl (C\ to C20) . benzyl and 1,4- dimethylpentyl, and X is selected from the group consisting of alkyl (C2 to C\Q) and alkyl (C2 to C 10) substituted with cycloalkyl (C3 to C2θ)- 3. A composition according to Claim 2, wherein X is propyl, Rl is methyl ^ R^ is dodecyl, R^ is hydrogen, and R is selected from the group consisting of 1 ,4- dimethylpentyl, heptyl, benzyl, decyl and N-methyl-N-dodecyl amino propyl. 4. A composition according to Claim 2, wherein R is methyl, R2 is dodecyl, R^ is hydrogen, R4 is 1, 4-dimethylpentyl and X is propyl. 5. A composition according to Claim 1, wherein the composition further comprises 0.001 to 0.01 w/v % of a polymeric quaternary ammonium compound. 6. A composition according to Claim 5 wherein the polymeric quaternary ammonium compound comprises polyquaternium- 1 at a concentration of 0.001 w/v %. 7. A method of disinfecting a contact lens which comprises applying the composition of Claim 1 to the lens for a time sufficient to disinfect the lens. 8. A method according to Claim 7, wherein the lens is soaked in the composition for at least four hours. 9. A compound of the following formula: R1 NH NH R 3 R 2 — N I — x NH I cI NH C I N I R4 (I) wherein: Rl, R2, R3 and R4 are selected from the group consisting of hydrogen, alkyl (C\ to C20 aminoalkyl (Ci to C20) and cycloalkyl (C3 to C20); and X is selected from the group consisting of alkyl (C2 to C ^Q) and alkyl (C2 to C10) substituted with cycloalkyl (C3 to C20). or a pharmaceutically acceptable salt thereof. 10. A compound according to Claim 9, wherein Rl, R^, R3 and R4 are selected from the group consisting of hydrogen and alkyl (C\ to C2θ)- 11. A compound according to Claim 10, wherein X is propyl, Rl is methyl, R^ is dodecyl, R is hydrogen, and R4 is selected from the group consisting of 1,4- dimethylpentyl, heptyl, decyl and N-methyl-N-dodecyl amino propyl. 12. A compound according to Claim 11, wherein R* is methyl, R2 is dodecyl, R3 is hydrogen, R4 is 1 , 4-dimethylpentyl, and X is propyl. 13. A pharmaceutical composition comprising an amount of a compound of Claim 9 effective to preserve the composition from microbial contamination. 14. A pharmaceutical composition according to Claim 13, wherein the composition is an aqueous ophthalmic composition. 15. A pharmaceutical composition according to Claim 13, wherein the composition is an aqueous otic composition. 16. A pharmaceutical composition according to Claim 13, wherein the composition is utilized to treat contact lenses. 17. A pharmaceutical composition according to Claim 16, wherein the composition contains a compound of formula (I) wherein R*, R2, R3 and R4 are selected from the group consisting of hydrogen and alkyl (C \ to C20 and X is selected from the group consisting of alkyl (C2 to C JO) nd alkyl (C2 to C \Q) substituted with cycloalkyl (C3 to C2θ)- 18. A pharmaceutical composition according to Claim 17, wherein the composition contains a compound of formula (I) wherein X is propyl, Rl is methyl, R2 is dodecyl, R is hydrogen, and R4 is selected from the group consisting of 1,4- dimethylpentyl, heptyl, benzyl, decyl and N-methyl-N-dodecyl amino propyl. 19. A pharmaceutical composition according to Claim 18, wherein the composition contains a compound of formula (I) where R! is methyl, R^ is dodecyl, R is hydrogen, R4 is 1, 4-dimethylpentyl and X is propyl.

Inventors: DASSANAYAKE NISSANKE L, MCQUEEN NATHANIEL D, PARK JOONSUP, SCHLITZER RONALD L, DASSANAYAKE, NISSANKE, L., MCQUEEN, NATHANIEL, D., PARK, JOONSUP, SCHLITZER, RONALD, L.
Applicants: ALCON LAB INC, DASSANAYAKE NISSANKE L, MCQUEEN NATHANIEL D, PARK JOONSUP, SCHLITZER RONALD L, ALCON LABORATORIES, INC., DASSANAYAKE, NISSANKE, L., MCQUEEN, NATHANIEL, D., PARK, JOONSUP, SCHLITZER, RONALD, L.
Application year: 1998
Main classification: A61L2
IPC codes: A01N47, A61K9, A61K47, A61L2, A61L12, A61P27, C07C279, G02C13