Pharmaceutical composition of male sexual dysfunction
A drug, selective technology, applied in the prevention and/or treatment of male sexual dysfunction, ejaculation disorders, ejaculation disorders, which can solve the problems of not very effective, high and high dropout rates
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Embodiment 1
[0660] Example 1. In the presence of a selective oxytocin receptor antagonist (L-368,899) ejaculation delay
[0661] The oxytocin receptor antagonist L-368,899 significantly delayed parachloramphetamine (PCA)-induced ejaculation in anesthetized rats (0.1-10 mg / kg sc) at oxytocin-selective doses. At 5.4±1.5nM (0.9xKi OT, see figure 1At free plasma concentrations of ), ejaculation was delayed by 140% (near maximal effect) - assuming that any activity at this dose was due to oxytocin receptor antagonism.
[0662] Erectile mechanisms were largely unaffected by oxytocin receptor blockade - the cup of the penis and expansion were similar between the control and oxytocin antagonist groups (see Table 1 below). Administer 1 mg / kg -1 After sc doses of L-368,899 (a dose that significantly delayed ejaculation) - 95% of PCA-induced erections resulted in cupping of the penis compared to 94% of the vehicle control group, and 61% of PCA-induced erections resulted in penis spreading, wh...
Embodiment 2
[0667] Example 2. Selective oxytocin antagonist (L-368,899) on the seminal vesicles of anesthetized rats effects of stress
[0668] L-368,899 can significantly reduce the increase in seminal vesicle pressure stimulated by splanchnic nerve in anesthetized rats (1-3 mg / kg iv). Contraction of the seminal vesicles is necessary for ejaculation, and delivery of semen into the prostatic portion of the urethra is thought to trigger ejaculation. Oxytocin has a direct contractile effect on mammalian seminal vesicles and may additionally have a neuromodulatory effect affecting sympathetic innervation in ejaculation. In this study, seminal vesicle contraction was reduced by 41% following 1 mg / kg bolus injection (see figure 2 ). Preliminary studies indicated that the achieved free plasma L-368,899 concentration after 1.0 mg / kg iv injection was approximately 60 nM - based on literature PK and protein plasma binding.
[0669] The data show that oxytocin is released during visceral ne...
Embodiment 3
[0670] Example 3. Selective Oxytocin Antagonist (L-368,899) Effects on Rat Mating Behavior for the influence
[0671] At doses up to 10 mg / kg sc, L-368,899 had no effect on the mating behavior of sexually experienced rats. Mating behavior in rodents is characterized by a series of upper body movements, with and without vaginal penetration (50-80% of the upper body results in penetration [vaginal penetration]) and ejaculation occurs after 6 to 12 thrusts. Each thrust lasts several seconds - it is not possible to quantify the length of penetration, ie the time in the vagina. The effect of L-368,899 was assessed on a number of mating parameters (see above). We focused on coitus efficiency as a measure to profile vaginal penetration.
[0672] L-368,899 had no effect on mating efficiency at any dose tested (0.05-10 mg / kg sc, see Table 2 below). Preliminary pharmacokinetic studies have shown that free plasma concentrations of 4.5 nM and 40 nM are expected to be achieved 30 mi...
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