USE OF MACROLIDE COMPOUNDS FOR TREATING GLAUCOMA

Abstract: Macrolide compounds, such as the FK506 Substance and its related compounds, are provided for the prevention or treatment of eye diseases, particularly glaucoma. Composition containing such compounds is also disclosed.

Description: DESCRIPTION USE OF MACROLIDE COMPOUNDS FOR TREATING GLAUCOMA TECHNICAL FIELD This invention relates to a new use of macrolide compounds for eye diseases. More specifically, this invention relates to a new use of macrolide compounds for preventing or treating glaucoma. BACKGROUND ART Glaucoma is a group of eye diseases characterized by an increase in intraocular pressure that causes pathological changes in the optic disk and typical defects in the field of vision. Normally, primary glaucoma (e.g., primary angle-closure glaucoma, primary open-angle glaucoma, etc.,), secondary glaucoma (e.g., secondary angle-closure glaucoma, secondary open-angle glaucoma, etc.,) and congenital glaucoma are exemplified as the particular ones thereof. The progressive optic neuropathy that is accompanied by normal intraocular pressure, open iridocorneal angles and no evidence of other systemic disease is commonly termed normal- pressure glaucoma. 25% of patients suffering from glaucoma are regarded as the ones suffering normal-pressure glaucoma. Patients suffering from normal-pressure glaucoma also have neuronal damage, which results in loss of vision. However, the mechanism by which the damage occurs is not clearly understood. Many macrolide compounds having immunosuppressive activity are already known. For example, the tricyclic macrolide compound and its pharmaceutically acceptable salt for use in accordance with this invention is known to have excellent immunosuppressive activity, antimicrobial activity and other pharmacological activities and, as such, be of value for the treatment or prevention of rejection reactions by transplantation of organs or tissues, graft-vs . -host diseases, autoimmune diseases, and infectious diseases [EP-A-0184162, EP-A-0323042, etc.] . DISCLOSURE OF INVENTION The inventors of this invention have surprisingly found that the macrolide compounds mentioned here-in-below are useful for preventing or treating eye diseases, such as, glaucoma, more particularly, normal-pressure glaucoma. Accordingly, this invention provides a new use of the macrolide compounds for preventing or treating glaucoma. Further, this invention provides a prophylactic or therapeutic agent for glaucoma, which comprises the macrolide compounds . Still further, this invention provides a method for preventing or treating glaucoma, which comprises administering said macrolide compounds to mammals. As a particular example of the macrolide compounds, the tricyclic compound of the following formula (I) can be exemplified. •>24 R° R" R J - , (CH 2 )n ( I ) (wherein each of adjacent pairs of R 1 and R 2 , R 3 and R 4 , and R 5 and R 6 independently (a) is two adjacent hydrogen atoms, but R 2 may also be an alkyl group or (b) may form another bond formed between the carbon atoms to which they are attached; R 7 is a hydrogen atom, a hydroxy group, a protected hydroxy group, or an alkoxy group, or an oxo group together with R 1 ; R 8 and R 9 are independently a hydrogen atom or a hydroxy group; R 10 is a hydrogen atom, an alkyl group, an alkyl group substituted by one or more hydroxy groups, an alkenyl group, an alkenyl group substituted by one or more hydroxy groups, or an alkyl group substituted by an oxo group; X is an oxo group, (a hydrogen atom and a hydroxy group) , (a hydrogen atom and a hydrogen atom) , or a group represented by the formula -CH 2 0-; Y is an oxo group, (a hydrogen atom and a hydroxy group) , (a hydrogen atom and a hydrogen atom) , or a group represented by the formula N-NR n R 12 or N-OR 13 ; R 11 and R 12 are independently a hydrogen atom, an alkyl group, an aryl group or a tosyl group; R 13 , R 14 , R 15 , R 16 , R 17 , R 18 , R 19 , R 22 and R 23 are independently a hydrogen atom or an alkyl group; R 24 is an optionally substituted ring system which may contain one or more heteroatoms; n is an integer of 1 or 2; and in addition to the above definitions, Y, R 10 and R 23 , together with the carbon atoms to which they are attached, may represent a saturated or unsaturated 5- or 6-membered nitrogen, sulfur and/or oxygen containing heterocyclic ring optionally substituted by one or more groups selected from the group consisting of an alkyl, a hydroxy, an alkoxy, a benzyl, a group of the formula -CH 2 Se (C 6 H 5 ) , and an alkyl substituted by one or more hydroxy groups. Preferable R 24 may be cyclo (C 5 _ 7 ) alkyl group, and the following ones can be exemplified. (a) a 3, -di-oxo-cyclohexyl group; (b) a 3-R 20 -4-R 21 -cyclohexyl group, in which R 20 is hydroxy, an alkoxy group, or a -OCH 2 OCH H 2 OCH 3 group, and R 21 is hydroxy, -OCN, an alkoxy group, a heteroaryloxy which may be substituted by suitable substituents, a -OCH 2 OCH 2 CH 2 OCH 3 group, a protected hydroxy group, chloro, bromo, iodo, aminooxalyloxy, an azido group, p-tolyloxythiocarbonyloxy, or R 25 R 26 CHCOO-, in which R 25 is optionally protected hydroxy or protected amino, and R 26 is hydrogen or methyl, or R 20 and R 21 together form an oxygen atom in an epoxide ring; or (c) cyclopentyl group substituted by methoxymethyl, optionally protected hydroxymethyl, acyloxymethyl (in which the acyl moiety optionally contains either a dimethylamino group which may be quaternized, or a carboxy group which may be esterified) , one or more amino and/or hydroxy groups which may be protected, or aminooxalyloxymethyl . A preferred example is a 2- formyl-cyclopentyl group. The definitions used in the above general formula (I) and the specific and preferred examples thereof are now explained and set forth in detail. The term "lower" means, unless otherwise indicated, a group having 1 to 6 carbon atoms. Preferable examples of the "alkyl groups" and an alkyl moiety of the "alkoxy group" include a straight or branched chain aliphatic hydrocarbon residue, for example, a lower alkyl group such as methyl, ethyl, propyl, isopropyl, butyl, isobutyl, pentyl, neopentyl and hexyl. Preferable examples of the "alkenyl groups" include a straight or branched chain aliphatic hydrocarbon residue having one double-bond, for example, a lower alkenyl group such as vinyl, propenyl (e.g., allyl group) , butenyl, methylpropenyl, pentenyl and hexenyl . Preferable examples of the "aryl groups" include phenyl, tolyl, xylyl, cumenyl, mesityl and naphthyl. Preferable protective groups in the "protected hydroxy groups" and the "protected amino" are 1- (lower alkylthio)- ( lower) alkyl group such as a lower alkylthiomethyl group (e.g., methylthiomethyl, ethylthiomethyl, propylthiomethyl, isopropylthiomethyl, butylthiomethyl, isobutylthiomethyl, hexylthiomethyl, etc.), more preferably C : -C 4 alkylthiomethyl group, most preferably methylthiomethyl group; trisubstituted silyl group such as a tri (lower) alkylsilyl (e.g., trimethylsilyl, triethylsilyl, tributylsilyl, tert- butyldimethylsilyl, tri-tert-butylsilyl, etc.) or lower alkyl-diarylsilyl (e.g., methyldiphenylsilyl, ethyldiphenylsilyl, propyldiphenylsilyl, tert-butyldiphenyl- silyl, etc.), more preferably tri (C^C alkylsilyl group and C^-C,, alkyldiphenylsilyl group, most preferably tert- butyldimethylsilyl group and tert-butyldiphenylsilyl group; and an acyl group such as an aliphatic, aromatic acyl group or an aliphatic acyl group substituted by an aromatic group, which are derived from a carboxylic acid, sulfonic acid or carbamic acid. Examples of the aliphatic acyl groups include a lower alkanoyl group optionally having one or more suitable substituents such as carboxy, e.g., formyl, acetyl, propionyl, butyryl, isobutyryl, valeryl, isovaleryl, pivaloyl, hexanoyl, carboxyacetyl, carboxypropionyl, carboxybutyryl, carboxyhexanoyl, etc.; a cyclo (lower) alkoxy (lower) alkanoyl group optionally having one or more suitable substituents such as lower alkyl, e.g., cyclopropyloxyacetyl, cyclobutyloxypropionyl, cycloheptyloxybutyryl, menthyloxyacetyl, menthyloxypropionyl, menthyloxybutyryl, menthyloxypentanoyl, menthyloxyhexanoyl, etc.; a camphorsulfonyl group; or a lower alkylcarbamoyl group having one or more suitable substituents such as carboxy or protected carboxy, for example, carboxy (lower) alkylcarbamoyl group (e.g., carboxymethylcarbamoyl, carboxyethylcarbamoyl, carboxypropylcarbamoyl , carboxybutylcarbamoyl , carboxypentylcarbamoyl, carboxyhexylcarbamoyl, etc.), tri- (lower) alkylsilyl (lower) alkoxycarbonyl (lower) alkylcarbamoyl group (e.g., trimethylsilylmethoxycarbonylethylcarbamoyl, trimethylsilylethoxycarbonylpropylcarbamoyl, triethylsilylethoxycarbonylpropylcarbamoyl, tert-butyldimethylsilylethoxycarbonylpropylcarbamoyl, tri- methylsilylpropoxycarbonylbutylcarbamoyl, etc.) and so on. Examples of the aromatic acyl groups include an aroyl group optionally having one or more suitable substituents such as nitro, e.g., benzoyl, toluoyl, xyloyl, naphthoyl, nitrobenzoyl, dinitrobenzoyl, nitronaphthoyl, etc.; and an arenesulfonyl group optionally having one or more suitable substituents such as halogen, e.g., benzenesulfonyl, toluenesulfonyl, xylenesulfonyl, naphthalenesulfonyl, fluorobenzenesulfonyl, chlorobenzenesulfonyl, bromobenzenesulfonyl, iodobenzenesulfonyl, etc. Examples of the aliphatic acyl groups substituted by an aromatic group include ar (lower) alkanoyl group optionally having one or more suitable substituents such as lower alkoxy or trihalo (lower) alkyl, e.g., phenylacetyl, phenylpropionyl, phenylbutyryl, 2-trifluoromethy1-2-methoxy-2-phenylacetyl, 2-ethyl-2-trifluoromethyl-2-phenylacetyl, 2-trifluoromethyl- 2-propoxy-2-phenylacetyl, etc. More preferable acyl groups among the aforesaid acyl groups are C 1 -C 4 alkanoyl group optionally having carboxy, cyclo (C 5 -C 6 ) alkoxy (C^-C alkanoyl group having two (C j -C alkyls at the cycloalkyl moiety, camphorsulfonyl group, carboxy- (C^C alkylcarbamoyl group, tri (C^-C,,) alkylsilyl {0-^-04 - alkoxycarbonyl (C^C alkylcarbamoyl group, benzoyl group optionally having one or two nitro groups, benzenesulfonyl group having halogen, or phenyl (C j -C alkanoyl group having C^C^ alkoxy and trihalo (C j -C alkyl group. Among these, the most 8 preferable ones are acetyl, carboxypropionyl, menthyloxyacetyl, camphorsulfonyl, benzoyl, nitrobenzoyl, dinitrobenzoyl, iodobenzenesulfonyl and 2-trifluoromethyl-2-methoxy-2- phenylacetyl. Preferable examples of the "5- or 6-membered nitrogen, sulfur and/or oxygen containing heterocyclic ring" include a pyrrolyl group and a tetrahydrofuryl group. The ticyclic compounds (I) and its pharmaceutically acceptable salt for use in accordance with this invention are well known to have excellent immunosuppressive activity, antimicrobial activity and other pharmacological activities and, as such, be of value for the treatment or prevention of rejection reactions by transplantation of organs or tissues, graft-vs- host diseases, autoimmune diseases, and infectious diseases [EP-A-0184162, EP-A-0323042, EP-A-423714, EP-A-427680, EP-A- 465426, EP-A-480623, EP-A-532088, EP-A-532089, EP-A-569337, EP-A-626385, O89/05303, O93/05058, W096/31514, 091/13889, W091/19495, WO93/5059, etc.] , the disclosures of which are incorporated herein by reference. Particularly, the compounds which are designated as FR900506 (=FK506), FR900520 (ascomycin), FR900523, and FR900525 are products produced by microorganisms of the genus Streptomyces, such as Streptomyces tsukubaensis No. 9993 [deposited with National Institute of Bioscience and Human Technology Agency of Industrial Science and Technology ( formerly 9 Fermentation Research Institute Agency of Industrial Science and Technology ) , at 1-3, Higashi 1-chome, Tsukuba-shi, Ibaraki, Japan, date of deposit October 5, 1984, accession number FERM BP-927] or Streptomyces hyαroscopicus subsp. yakushimaensis No. 7238 [deposited with National Institute of Bioscience and Human Technology Agency of Industrial Science and Technology (formerly Fermentation Research Institute Agency of Industrial Science and Technology ), at 1-3, Higashi 1-chome, Tsukuba-shi, Ibaraki, Japan, date of deposit January 12, 1985, accession number FERM BP-928] [EP-A-0184162] . The FK506 Substance (general name: tacrolimus) of the following chemical formula, in particular, is a representative compound. Chemical name: 17-allyl-l, 14-dihydroxy-12- [2- (4-hydroxy-3- methoxycyclohexyl) -1-methylvinyl] -23, 25- dimethoxy-13, 19, 21, 27-tetramethyl-ll, 28-dioxa- 4-azatricyclo [22.3.1.0 4,9 ] octacos-18-ene- 2,3,10, 16-tetraone 10 The preferred examples of the tricyclic compounds (I) are the ones, wherein each of adjacent pairs of R 3 and R 4 or R 5 and R 6 independently form another bond formed between the carbon atoms to which they are attached; each of R 8 and R 23 is independently a hydrogen atom; R 9 is a hydroxy group; R 10 is a methyl group, an ethyl group, a propyl group or an allyl group; X is (a hydrogen atom and a hydrogen atom) or an oxo group; Y is an oxo group; each of R 14 , R 15 , R 16 , R 17 , R 18 , R 19 , and R 22 is a methyl group; R 24 is a 3-R 20 -4-R 21 -cyclohexyl group, in which R 20 is hydroxy, an alkoxy group, or a -OCH 2 OCH 2 CH 2 OCH 3 group, and R 21 is hydroxy, -OCN, an alkoxy group, a heteroaryloxy which may be substituted by suitable substituents, a -OCH 2 OCH 2 CH 2 OCH 3 group, a protected hydroxy group, chloro, bromo, iodo, aminooxalyloxy, an azido group, p- tolyloxythiocarbonyloxy, or R 25 R 26 CHCOO-, in which R 25 is optionally protected hydroxy or protected amino, and R 26 is hydrogen or methyl, or R 20 and R 21 together form an oxygen atom in an epoxide ring; and 11 n is an integer of 1 or 2. The most preferable tricyclic compounds ( I ) is, in addition to FK506, ascomycin derivatives such as halogenated-ascomycin (e.g., 33-epi-chloro-33-desoxyascomycin) , which is disclosed in EP 427,680, example 66a. As the other preferable example of the macrolide as immunosuppressants, rapamycin [THE MERCK INDEX (12th edition) , No. 8288] and its derivatives can be exemplified. Preferred example of the derivatives is an O-substituted derivative in which the hydroxy in position 40 of formula A illustrated at page 1 of WO 95/16691, incorporated herein by reference, is replaced by -OR ! in which R x is hydroxyalkyl, hydroalkoxyalkyl, acylaminoalkyl and aminoalkyl; for example 40-O-(2- hydroxy) ethyl-rapamycin, 40-O- (3-hydroxy) propyl-rapamycin, 40-O- [2- (2-hydroxy) ethoxy] ethyl-rapamycin and 40-O-(2- acetaminoethyl) -rapamycin. These O-substituted derivatives may be produced by reacting rapamycin (or dihydro or deoxo- rapamycin) with an organic radical attached to a leaving group (for example RX where R is the organic radical which is desired as the O-substituent, such as an alkyl, allyl, or benzyl moiety, and X is a leaving group such as CC1 3 C(NH)0 or CF 3 S0 3 ) under suitable reaction conditions. The conditions may be acidic or neutral conditions, for example in the presence of an acid like trifluoromethanesulfonic acid, camphorsulfonic acid, p- 12 toluenesulfonic acid or their respective pyridinium or substituted pyridinium salts when X is CC1 3 C(NH)0 or in the presence of a base like pyridine, a substituted pyridine, diisopropylethylamine or pentamethylpiperidine when X is CF 3 S0 3 . The most preferable one is 40-O- (2-hydroxy) ethyl rapamycin, which is disclosed in WO94/09010, the disclosure of which is incorporated herein by reference. The tricyclic compounds (I) , and rapamycin and its derivatives, have a similar basic structure, i.e., tricyclic macrolide structure, and at least one of the similar biological properties (for example, immunosupressive activity) . The tricyclic compounds (I) , and rapamycin and its derivatives, may be in a form of its salt, which includes conventional non-toxic and pharmaceutically acceptable salt such as the salt with inorganic or organic bases, specifically, an alkali metal salt such as sodium salt and potassium salt, an alkali earth metal salt such as calcium salt and magnesium salt, an ammonium salt and an amine salt such as triethylamine salt and N-benzyl-N-methylamine salt. With respect to the macrolide compounds usable in the present invention, it is to be understood that there may be conformers and one or more stereoisomers such as optical and geometrical isomers due to asymmetric carbon atom(s) or double 13 bond (s) , and such conformers and isomers are also included within the scope of the present invention. And further, the macrolide compounds can be in the form of a solvate, which is included within the scope of the present invention. The solvate preferably include a hydrate and an ethanolate. The macrolide compounds usable in the present invention may be administered as pure compounds or mixtures of compounds or preferably, in a pharmaceutical vehicle or carrier. The pharmaceutical compositions of this invention can be used in the form of a pharmaceutical preparation, for example, in solid, semisolid or liquid form, which contains the macrolide compounds of the present invention, as an active ingredient, in admixture with an organic or inorganic carrier or excipient suitable for external (topical) , enteral, intravenous, intramuscular, or parenteral applications. The active ingredient may be compounded, for example, with the usual non-toxic, pharmaceutically acceptable, carriers for tablets, pellets, capsules, eye drops, suppositories, solutions (saline, for example) , emulsion, suspensions (olive oil, for example) , ointment and any other form suitable for use. The carriers which can be used are water, glucose, lactose, gum acacia, gelatin, mannitol, starch paste, magnesium trisilicate, talc, corn starch, keratin, colloidal silica, potato starch, urea and other carriers suitable for use in manufacturing preparations, in solid, semisolid, or liquid form, and in addition auxiliary, 14 stabilizing, thickening and coloring agents and perfumes may be used. The active object compound is included in the pharmaceutical composition in an effective amount sufficient to produce the desired effect upon the process or condition of the disease. Mammals which may be treated using the method of the present invention include livestock mammals such as cows, horses, etc., domestic animals such as dogs, cats, rats, etc. and humans . For applying this composition to a human, it is preferable to apply it by external (topical) administration, particularly in the form of eye drops. While the dosage of therapeutically effective amount of the macrolide compounds varies from and also depends upon the age and condition of each individual patient to be treated, a daily dose of about 0.0001-1000 mg, preferably 0.001-500 mg and more preferably 0.01-100 mg. of the active ingredient is generally given for treating diseases, and an average single dose of about 0.001-0. Olmg, 0.2-0.5 mg, 1 mg, 5 mg, 10 mg, 50 mg, 100 mg, 250 mg and 500 mg is generally administered. Daily doses for chronic administration in humans will be in the range of about 0.1-0.3 mg/kg/day. The most suitable disease among glaucoma is normal- pressure glaucoma. Normal-pressure glaucoma patients have been found to have increased serum immunoreactivity to human Heat Shock Proteins (Hsp) , particularly Hsp60. Therefore, Glaucomatous optic neuropathy in a cohort of patients with 15 normal-pressure glaucoma deems to involve aberrant autoimmunity (Am. J. Ophthalmol, 1998; 125145-157), the disclosure of which is incorporated herein by reference. The effectiveness of the macrolide compounds on normal- pressure glaucoma can be confirmed by evaluating the inhibiting activity on such aberrant autoimmunity, as well as the direct treatment of patients suffering from normal-pressure glaucoma. Particularly, the eye drop prepared in the below mentioned Example 2, which contains FK506 Substance, can inhibit the aberrant autoimmunity and is quite effective for treating glaucoma, particularly normal-pressure glaucoma. The following examples are given for the purpose of illustrating the present invention. Example 1 FK 506 Substance 1 g Hydroxypropyl methylcellulose 2910 (TC-5R) 1 g Lactose 2 g Croscarmellose sodium (Ac-Di-Sol) 1 g The FK 506 Substance (1 g) was dissolved in ethanol (10 ml) , and thereto was added hydroxypropyl methylcellulose 2910 (TC-5R) (1 g) to prepare a suspension. To this suspension was added dichloromethane (5 ml) to prepare a homogeneous solution. Lactose (2 g) and croscarmellose sodium (Trade Mark: Ac-Di- 16 Sol, maker: Asahi Chemical Industry) were homogeneously suspended to this solution, and then the organic solvent was removed by evaporation. The residual product was dried under reduced pressure for 10 hours by vacuum dryer, milled for 2 minutes by coffee mill and then passed through a sieve (32 mesh) to give the solid dispersion composition of FK 506 Substance (5 g) . This composition was capsulated by a conventional manner to provide capsules containing 1 mg or 5 mg of FK 506 Substance per each capsule. Example 2 FK 506 Substance (fine powder) 1 mg Polysorbate 80 0.5mg Polyvinyl alcohol 2.8mg Benzalkonium chloride 0. lmg Sodium chloride 8.6mg pH5.25 Phosphate buffer to 1 ml An aqueous suspending eye drop containing the above- mentioned ingredients is prepared according to a conventional manner shown in EP-A-0406791, the disclosure of which is incorporated herein by reference. 17

Claims: CLAIMS 1. A use of macrolide compounds for manufacturing a medicament for preventing or treating glaucoma. 2. The use of Claim 1, in which the macrolide compounds is the tricyclic compounds of the following formula (I) : (i) (wherein each of adjacent pairs of R 1 and R 2 , R 3 and R 4 , and R 5 and R 6 independently (a) is two adjacent hydrogen atoms, but R 2 may also be an alkyl group or (b) may form another bond formed between the carbon atoms to which they are attached; R 7 is a hydrogen atom, a hydroxy group, a protected hydroxy group, or an alkoxy group, or an oxo group together with R 1 ; R 8 and R 9 are independently a hydrogen atom or a hydroxy group; R 10 is a hydrogen atom, an alkyl group, an alkyl group substituted by one or more hydroxy groups, an alkenyl group, an alkenyl 18 group substituted by one or more hydroxy groups, or an alkyl group substituted by an oxo group; X is an oxo group, (a hydrogen atom and a hydroxy group) , (a hydrogen atom and a hydrogen atom) , or a group represented by the formula -CH 2 0-; Y is an oxo group, (a hydrogen atom and a hydroxy group) , (a hydrogen atom and a hydrogen atom) , or a group represented by the formula N-NR n R 12 or N-OR 13 ; R 11 and R 12 are independently a hydrogen atom, an alkyl group, an aryl group or a tosyl group; R 13 , R 14 , R 15 , R 16 , R 17 , R 18 , R 19 , R 22 and R 23 are independently a hydrogen atom or an alkyl group; R 24 is an optionally substituted ring system which may contain one or more heteroatoms; n is an integer of 1 or 2; and in addition to the above definitions, Y, R 10 and R 23 , together with the carbon atoms to which they are attached, may represent a saturated or unsaturated 5- or 6-membered nitrogen, sulfur and/or oxygen containing heterocyclic ring optionally substituted by one or more groups selected from the group consisting of an alkyl, a hydroxy, an alkoxy, a benzyl, a group of the formula -CH 2 Se (C 6 H 5 ) , and an alkyl substituted by one or more hydroxy groups. 3. A method for preventing or treating glaucoma, which comprises administering macrolide compounds to mammals. 19 4. A pharmaceutical composition for treating or preventing glaucoma, which comprises macrolide compounds in admixture with a carrier or excipient. 5. A process for preparing the pharmaceutical composition of Claim 4, which is characterized by admixing the macrolide compounds with a carrier or excipient. 6. The macrolide compound used in Claims 1 to 5 is FK 506 Substance. 7. The glaucoma in Claims 1 is normal-pressure glaucoma. 20

Inventors: SAKUMA SHOZO, SAKUMA, SHOZO
Applicants: FUJISAWA PHARMACEUTICAL CO, SAKUMA SHOZO, FUJISAWA PHARMACEUTICAL CO., LTD., SAKUMA, SHOZO
Application year: 1999
Main classification: A61K31
IPC codes: A61K31, A61P27, C07D498