Title of Invention

COMPOSITIONS COMPRISING NEBIVOLOL

Abstract Nebivolol has been shown to be beneficial in the treatment of cardiovascular diseases such hypertension, congestive heart failure, arterial stiffness and endothelial dysfunction. The present invention features a pharmaceutical composition comprising nebivolol and at least one other active agent, wherein the at least one other active agent is a cardiovascular agent.
Full Text WO 2006/130174 PCT/US2005/041275
Compositions Comprising Nebivolol
Eric Davis, John O'Donnell, Peter Bottini, Preston Mason, Andrew Shaw
This application is a continuation-in-part of application Ser. No, 11/141,235, filed May 31,
2005, which is based on and claims priority from U.S. Provisional Patent Application Serial
No, 60/577,423, Eric Davis, John O'Donnell, Peter Bottini, filed June 4,2004.
Technical Field
[0001] This invention relates to compositions comprising nebivolol and one or more
other active agent. More particularly, this invention relates to compositions
comprising nebivolol and one or more cardiovascular agents for the treatment and/or
prevention of cardiovascular diseases.
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Background of the Invention
[0002] Hypertension is a major health concern in the US. Approximately 50 million
Americans have elevated blood pressure defined as a systolic blood pressure (SBP)
≥140 mmHg or a diastolic blood pressure (DBP) ≥ 90 mmHg, In addition, individuals
with blood pressure of 120/80 mmHg or higher are at increased risk of developing
hypertension and are considered to be in a "pre-hypertension" state. Severity of
hypertension is currently classified by stage, with Stage 1 hypertension spanning
blood pressure ranges from 140/90 to 159/99 mmHg and Stage 2 including blood
pressures 360/100 mmHg.
[0003] Onset of hypertension (diastolic alone or in combination with systolic)
typically occurs between 25 and 55 years of age. The risk of developing hypertension
increases more dramatically with increasing age. According to the CDC, 68.3% of
men aged 65-74 have hypertension in the U.S. (Health United States, 2003,
CDC/National Center for Health Statistics) and 70.7% of men aged over 75 have
hypertension in the U.S. (Health United States, 2003, CDC/National Center for Health
Statistics). In addition, 73.4% of women aged 65-74 have hypertension in the US
(Health United States, 2003, CDC/National Center for Health Statistics) and 84.9 %
of women aged over 75 have hypertension in the US (Health United States, 2003,
CDC/National Center for Health Statistics).
[0004] Pharmaceutical formulations that stimulate, agonize, or potentiate endothelial
nitric oxide production, particularly formulations that produce increased nitric oxide
levels in Black Americans, are needed.
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Summary of the Invention
[0005] In one aspect, the present invention features a pharmaceutical composition
comprising nebivolol and at least one other active agent, In a further embodiment, at
least one of the active agents is a cardiovascular agent. In a further embodiment, the
at least one cardiovascular agent is selected from the group consisting of ACE
inhibitors (angiotensin II converting enzyme inhibitors), ARB's (angiotensin II
receptor antagonists), adrenergic blockers, adrenergic agonists, agents for
pheochromocytoma, antiarrhythmics, antiplatelet agents, anticoagulants,
antihypertensives, antilipemic agents, antidiabetics, antiinflammatory agents, calcium
channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin inhibitors,
diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors, inotropic
agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers
(advanced glycosylation end-product crosslink breakers, such as alagebrium, see USP
6,458,819), and AGE formation inhibitors (advanced glycosylation end-product
formation inhibitors, such as pimagedine), and mixtures thereof. In one embodiment,
the other cardiovascular agent is an ACE inhibitor or an ARB. In a further
embodiment, the other cardiovascular agent includes an ACE inhibitor and an ARB.
In a further embodiment, the ACE inhibitor is selected from the group consisting of:
alacepril, benazepril, captopril, ceronapril, cilazapril, delapril, enalapril, enalaprilat,
fosinopril, imidapril, lisinopril, perindopril, quinapril, ramipril, ramiprilat, spirapril,
temocapril, trandolapril. In a further embodiment, the ACE inhibitor is enalapril,
ramipril, or ramiprilat. In a further embodiment, the other cardiovascular agent is an
ARB selected from the group consisting of candesartan, eprosartan, irbesartan,
losartan, valsartan.
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[0006] In a further embodiment, the pharmaceutical composition comprises an
amount of nebivolol in the range of between about 0.125 mg and about 40 mg. In a
further embodiment, the amount of an ACE inhibitor may be in the range of between
about 0.5 mg to about 80 mg, and/or the amount of ARB may be in the range of
between about 1 mg and about 1200 mg.
[0007] In a further embodiment, the pharmaceutical composition comprises nebivolol
and only one other active agent. In a further embodiment, the pharmaceutical
composition comprises nebivolol and only one cardiovascular agent. In a further
embodiment, the cardiovascular agent is selected from the group consisting of ACE
inhibitors (angiotensin II converting enzyme inhibitors), ARB's (angiotensin II
receptor antagonists), adrenergic blockers, adrenergic agonists, agents for
pheochromocytoma, anti-anginal agents, antiarrhythmics, antiplatelet agents,
anticoagulants, antihypertensives, antilipemic agents, antidiabetics, antiinflammatory
agents, calcium channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin
inhibitors, diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors,
inotropic agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers
(advanced glycosylation end-product crosslink breakers, such as alagebrium, see USP
6,458,819), and AGE formation inhibitors (advanced glycosylation end-product
formation inhibitors, such as pimagedine). In a further embodiment, the active agent
is an ACE inhibitor or and ARB.
[0008] In another aspect, the present invention features a method of treating a subject
for a cardiovascular disorder comprising administering to the subject an effective
amount of nebivolol in combination with at least one other cardiovascular agent. In a
further embodiment, the cardiovascular disorder is selected from the group consisting
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of atherosclerosis, hypertension, diabetes mellitus, hyperhomocysteinemia, heart
failure, and renal failure.
[0009] In another aspect, the present invention features a method of preventing a
cardiovascular disorder comprising administration to a subject an effective amount of
nebivolol in combination with an effective amount of at least one other cardiovascular
agent. In a further embodiment, the cardiovascular disorder is selected from the
group consisting of congestive heart failure, hypertension, pulmonary hypertension,
myocardial and cerebral infarctions, atherosclerosis, atherogenesis, thrombosis,
ischemic heart disease, post-angioplasty restenosis, coronary artery diseases, renal
failure, stable, unstable and variant (Prinzmetal) angina, cardiac edema, renal
insufficiency, nephrotic edema, hepatic edema, stroke, transient ischemic attacks,
cerebrovascular accidents, restenosis, controlling blood pressure in hypertension,
platelet adhesion, platelet aggregation, smooth muscle cell proliferation, pulmonary
edema, and vascular complications associated with the use of medical devices.
[0010] In another aspect, the present invention features a kit comprising an effective
amount of nebivolol in combination with an effective amount of another
cardiovascular agent.
[0011] Even though nebivolol has β-blocking properties, nebivolol is different from
other classic β-blockers in that it is highly selective to the β1 adrenergic receptors and
also has vasodilaring effects related to its effect on endothelial nitric oxide. It is
believed mat nebivolol increases the levels of nitric oxide within the vascular
endothelium through the L-arginine-nitric oxide pathway and has been shown to
improve endothelial dysfunction and improve compliance of blood vessels. Nebivolol
has also been shown to have antioxidant characteristics which are favorable to the
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normal functioning of the vascular endothelium. These characteristics make
nebivolol an effective antihypertensive agent with favorable effects on the vascular
endothelium and cardiovascular system. Nebivolol has been shown to be beneficial in
the treatment of cardiovascular diseases such as hypertension, congestive heart
failure, arterial stiffness and endothelial dysfunction. In part, the present invention
features a composition comprising nebivolol and at least one other cardiovascular
agent that is believed to work via a different mechanism and is to be used for the
treatment and/or prevention of vascular diseases characterized by nitric oxide
insufficiency. This invention also describes a method of reducing mortality
associated with cardiovascular disease in a black patient comprising administering to
the black patient a therapeutically effective amount of nebivolol or its
pharmaceutically salt and at least one other cardiovascular agent. This invention also
relates to a method of improving NO release in a black patient in need thereof by
administering to the black patient a therapeutically safe and effective amount of
nebivolol or a pharmaceutically acceptable salt thereof and at least one other
cardiovascular agent, sufficient to improve NO release. This invention further
describes a method for improving exercise tolerance or for improving the quality of
life in a black patient in need thereof, comprising administering to the black patient a
therapeutically effective amount of nebivolol or a pharmaceutically salt thereof, and at
least one cardiovascular agent.
[0012] These embodiments of the present invention, other embodiments, and their
features and characteristics, will be apparent from the description, drawings and
claims that follow.
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Brief Description of the Drawings
[0013] Figure 1 depicts a comparison of NO release from Black and White donor
endothelial cells after chronic treatment with ramprilat followed by treatment with
nebivolol (lμM).
[0014] Figure 2 depicts a comparison of the increase in NO release from Black and
White donor endothelial cells after chronic treatment with ramiprilat followed by
treatment with nebivolol (1 μM).
[0015] Figure 3 depicts comparison of NO release from Black and White donor
endothelial cells after chronic treatment with enalapril followed by treatment with
nebivolol (lμM).
[0016] Figure 4 depicts a comparison of the increase in NO release from Black and
White donor endothelial cells after chronic treatment with enalapril followed by
treatment with nebivolol (lμM).
Detailed Description of the Invention
Definitions
[0017] For convenience, before further description of the present invention, certain
terms employed in the specification, examples and appended claims are collected
here. These definitions should be read in light of the remainder of the disclosure and
understood as by a person of skill in the art. Unless defined otherwise, all technical
and scientific terms used herein have the same meaning as commonly understood by a
person of ordinary skill in the art.
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[0018] The articles "a" and "an" are used herein to refer to one or to more than one
(i.e., to at least one) of the grammatical object of the article. By way of example, "an
element" means one element or more than one element.
[0019] "About the same time" means that within about thirty minutes of administering
one compound (nebivolol) to the patient, the other active compound(s) is/are
administered to the patient. "About the same time" also includes simultaneous
administration of the compounds.
[0020] The phrase "angiotensin converting enzyme inhibitor" or "ACE inhibitor" as
used herein refers to a compound that inhibits any enzyme from converting
angiotensin to any other form.
[0021] The phrase "angiotensin II receptor antagonist" or "ARB" refers to a
compound that binds to a receptor site on angiotensin II but does not cause any
physiological changes unless another receptor ligand is present.
[0022] The term "antagonist" is art-recognized and refers to a compound that binds to
a receptor site, but does not cause a physiological change unless another receptor
ligand is present.
[0023] The term "bioavailable" is art-recognized and refers to a form of the subject
invention that allows for it, or a portion of the amount administered, to be absorbed
by, incorporated to, or otherwise physiologically available to a subject or patient to
whom it is administered.
[0024] "Black" refers to a person of African descent or an African-American person but is
not necessarily limited to those of African origin (e.g., Carribean).
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[0025] "Therapeutically effective amount" refers to the amount of the compound and/or
composition that is effective to achieve its intended purpose.
[0026] The phrase "cardiovascular agent" or "cardiovascular drug" refers to a therapeutic
compound that is useful for treating or preventing a cardiovascular disease. Non-
limiting examples of suitable cardiovascular agents include ACE inhibitors
(angiotensin II converting enzyme inhibitors), ARB's (angiotensin II receptor
antagonists), adrenergic blockers, adrenergic agonists, agents for pheochromocytoma,
antianginal agents, antiarrhythmics, antiplatelet agents, anticoagulants,
antihypertensives, antilipemic agents, antidiabetics, antiinflammatory agents, calcium
channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin inhibitors,
diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors, inotropic
agents, renin inhibitors, vasodilators, vasopressors, AGE crosslink breakers
(advanced glycosylation end-product crosslink breakers, such as alagebrium, see USP
6,458,819), and AGE formation inhibitors (advanced glycosylation end-product
formation inhibitors, such as pimagedine), and combinations thereof.
[0027] Cardiovascular disease or disorder refers to any cardiovascular disease or
disorder known in the art, including, but not limited to, wherein the cardiovascular
disease is selected from the group consisting of congestive heart failure, hypertension,
pulmonary hypertension, myocardial and cerebral infarctions, atherosclerosis,
atherogenesis, thrombosis, ischemic heart disease, post-angioplasty restenosis,
coronary artery diseases, renal failure, stable, unstable and variant (Prinzmetal)
angina, cardiac edema, renal insufficiency, nephrotic edema, hepatic edema, stroke,
transient ischemic attacks, cerebrovascular accidents, restenosis, controlling blood
pressure in hypertension, platelet adhesion, platelet aggregation, smooth muscle cell
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proliferation, pulmonary edema, and vascular complications associated with the use of
medical devices.
[0028] The term "combination" refers to two or more different active agents which
are administered at roughly about the same time (for example, where the active agents
are in a single pharmaceutical preparation) or at different times (for example, one
agent is administered to the subject before the other).
[0029] The terms "drug," "pharmaceutically active agent," "bioactive agent,"
"therapeutic agent," and "active agent" may be used interchangeably and refer to a
substance, such as a chemical compound or complex, that has a measurable beneficial
physiological effect on the body, such as a therapeutic effect in treatment of a disease
or disorder, when administered in an effective amount. Further, when these terms are
used, or when a particular active agent is specifically identified by name or category,
it is understood that such recitation is intended to include the active agent per se, as
well as pharmaceutically acceptable, pharmacologically active derivatives thereof, or
compounds significantly related thereto, including without limitation, salts,
pharmaceutically acceptable salts, N-oxides, prodrugs, active metabolites, isomers,
fragments, analogs, solvates hydrates, radioisotopes, etc.
[0030] The phrase "effective amount" refers to that amount of a substance that
produces some desired local or systemic effect at a reasonable benefit/risk ratio
applicable to any treatment. The effective amount of such substance will vary
depending upon the subject and disease condition being treated, the weight and age of
the subject, the severity of the disease condition, the manner of administration and the
like, which can readily be determined by one of ordinary skill in the art.
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[0031] "Endothelial dysfunction" refers to the impaired ability of in any physiological
processes carried out by the endothelium, in particular, production of nitric oxide
regardless of cause. It may be evaluated by, such as, for example, invasive techniques,
such as, for example, coronary artery reactivity to acetylcholine or methacholine, and
the like, or by noninvasive techniques, such as, for example, blood flow
measurements, brachial artery flow dilation using cuff occlusion of the arm above or
below the elbow, brachial artery ultrasonography, imaging techniques, measurement
of circulating biomarkers, such as, asymmetric dimethylarginine (ADMA), and the
like. For the latter measurement the endothelial-dependent flow-mediated dilation will
be lower in patients diagnosed with an endothelial dysfunction.
[0032] The phrase "endothelial nitric oxide synthase" or "eNOS" refers to enzymes
that produce nitric oxide.
[0033] The phrase "nebivolol composition" refers to a composition comprising
nebivolol and the two are used interchangeably. Nebivolol is a mixture of d and /
isomers of α,α-[iminobismethylene]bis[6-fluoro-3,4-dihydro-2H-l -benzopyran-2-
methanol]. The composition may include at least one other cardiovascular agent or at
least one pharmaceutically acceptable carrier or both.
[0034] The term "pharmaceutically acceptable salts" is art-recognized and refers to
the relatively non-toxic, inorganic and organic acid addition salts of compounds,
including, for example, those contained in compositions of the present invention.
[0035] The term "pharmaceutically acceptable carrier" is art-recognized and refers to
a pharmaceutically-acceptable material, composition or vehicle, such as a liquid or
solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying
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or transporting any subject composition or component thereof from one organ, or
portion of the body, to another organ, or portion of the body. Each carrier must be
acceptable in the sense of being compatible with the subject composition and its
components and not injurious to the patient. Some examples of materials which may
serve as pharmaceutically acceptable excipients include: (1) sugars, such as lactose,
glucose and sucrose; (2) starches, such as corn starch and potato starch; (3) cellulose,
and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and
cellulose acetate; (4) powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8)
excipients, such as cocoa butter and suppository waxes; (9) oils, such as peanut oil,
cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; (10)
glycols, such as propylene glycol; (11) polyols, such as glycerin, sorbitol, mannitol
and polyethylene glycol; (12) esters, such as ethyl oleate and ethyl laurate; (13) agar;
(14) buffering agents, such as magnesium hydroxide and aluminum hydroxide; (15)
alginic acid; (16) pyrogen-free water; (17) isotonic saline; (18) IV fluids, including
but not limited to Ringer's solution, 5% dextrose in water, and half normal saline;
(19) ethyl alcohol; (20) phosphate buffer solutions; and (21) other non-toxic
compatible substances employed in pharmaceutical formulations.
[0036] "Patient" refers to animals, preferably mammals, most preferably humans, and
includes males and females.
[0037] "Quality of life" refers to one or more of a person's ability to walk, climb
stairs, do errands, work around the house, participate in recreational activities, and/or
not requiring rest during the day, and/or the absence of sleeping problems or shortness
of breath.
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[0038] The term "prophylactic" or "therapeutic" treatment is art-recognized and refers to
administration to the host of one or more of the subject compositions. If it is
administered prior to clinical manifestation of the unwanted condition (e.g., disease or
other unwanted state of the host animal) then the treatment is prophylactic, i.e., it
protects the host against developing the unwanted condition, whereas if administered
after manifestation of the unwanted condition, the treatment is therapeutic (i.e., it is
intended to diminish, ameliorate or maintain the existing unwanted condition or side
effects therefrom).
[0039] The term "structure-activity relationship" or "(SAR)" is art-recognized and
refers to the way in which altering the molecular structure of a drug or other
compound alters its interaction with a receptor, enzyme, nucleic acid or other target
and the like.
[0040] It will be understood that "substitution" or "substituted with" includes the
implicit proviso that such substitution is in accordance with permitted valence of the
substituted atom and the substituent, and that the substitution results in a stable
compound, e.g., which does not spontaneously undergo transformation such as by
rearrangement, cyclization, elimination, or other reaction.
[0041] The term "substituted" is also contemplated to include all permissible
substituents of organic compounds. In a broad aspect, the permissible substituents
include acyclic and cyclic, branched and unbranched, carbocyclic and heterocyclic,
aromatic and nonaromatic substituents of organic compounds. Illustrative
substituents include, for example, those described herein above. The permissible
substituents may be one or more and the same or different for appropriate organic
compounds. For purposes of this invention, the heteroatoms such as nitrogen may
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have hydrogen substituents and/or any permissible substituents of organic compounds
described herein which satisfy the valences of the heteroatoms. This invention is not
intended to be limited in any manner by the permissible substituents of organic
compounds.
[0042] The term "synthetic" is art-recognized and refers to production by in vitro
chemical or enzymatic synthesis.
[0043] The phrase "therapeutic effect" is art-recognized and refers to a local or
systemic effect in animals, particularly mammals, and more particularly humans
caused by a pharmacologically active substance. The term thus means any substance
intended for use in the diagnosis, cure, mitigation, treatment or prevention of disease
or in the enhancement of desirable physical or mental development and/or conditions
in an animal or human. The phrase "therapeutically-effective amount" means that
amount of such a substance that produces some desired local or systemic effect at a
reasonable benefit/risk ratio applicable to any treatment. The therapeutically effective
amount of such substance will vary depending upon the subject and disease condition
being treated, the weight and age of the subject, the severity of the disease condition,
the manner of administration and the like, which can readily be determined by one of
ordinary skill in the art.
[0044] The term "treating" is art-recognized and refers to curing as well as
ameliorating at least one symptom of any condition or disease.
Nebivolol
[0045] Nebivolol is a P-receptor blocking drug that is a mixture of d- and l-
enantiomers, of which d-nebivolol is a highly selective β1-receptor antagonist
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[0046] In addition to its p-receptor blocking properties, nebivolol has been shown to
cause endothelium-dependent vasodilation in both normotensive and hypertensive
subjects. Cockcroft JR, Chowienczyk PJ, Brett SE, Chen CP, Dupont AG, Nueten
LV, Wooding SJ, Ritter JM., Journal of Pharmacology and Experimental
Therapeutics. 1995;274:1067-1071; Tzemos N, Lim PO, MacDonald TM.,
Circulation, 2001;104:511-514; Breeders MA, Doevendans PA, Bekkers BC,
Bronsaer R, van Gorsel E, Heemskerk JW, Egbrink MG, van Breda E, Reneman RS,
van Der Zee R., Circulation 2000;102:677-684. Bowman, A.J., CPL-H Chen, GA
Ford. Br. J. Clin. Pharmac. 1994; 38:199-204. In experimental models, nebivolol has
been demonstrated to stimulate NO release through P2-adrenergic receptor-mediated
NO production and/or ATP efflux with consequent stimulation of P2Y-purinoceptor-
mediated NO release. Breeders MA, Doevendans PA, Bekkers BC, Bronsaer R, van
Gorsel E, Heemskerk JW, Egbrink MG, van Breda E, Reneman RS, van Der Zee R.,
Circulation, 2000;102:677-684; Kalinowski L, Dobrucki LW, Szczepanska-Konkel
M, Jankowski M, Martyniec L, Angielski S, Malinski T., Circulation, 2003; 107:2747-
2752. It has also been reported that nebivolol inhibits NO synthase uncoupling and
produces systemic antioxidant effects. Mollnau H, Schulz E, Daiber A, Baldus S,
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Oelze M, August M, Wendt M, Walter U, Geiger C, Agrawal R, Kleschyov AL,
Meinertz T, Thomas Mttazel T., Arteriosclerosis, Thrombosis, and Vascular Biology.
2003;23:615-621; Troost R, Schwedhelm E, Rojczyk S, Tsikas D, Frolich JC, British
Journal of Clinical Pharmacology, 2000;50:377-379.
Compositions Comprising Nebivolol
[0047] In part, the present invention features compositions comprising nebivolol and
at least one other active agent, wherein the at least one other active agent is a
cardiovascular agent The amount of each cardiovascular agent present in the
compositions may vary depending on a number of variables such as age, weight,
gender, and health related issues. In general, the dosage of the cardiovascular agents
will generally be in the range of about 0.01 ng to about 10 g per kg body weight,
specifically in the range of about 1 ng to about 0.1 g per kg, and more specifically in
the range of about 100 ng to about 10 mg per kg. In another embodiment, the amount
of nebivolol in the compositions of the present invention may be anywhere from
about 0.125 mg to about 40 mg. In one example, when the other cardiovascular agent
is an ACE inhibitor, the amount of the ACE inhibitor may be anywhere from 0.5 mg
to about 80 mg. When the other cardiovascular agent is an ARB, the amount of ARB
may be anywhere from about 1 mg to about 1200 mg. The amount of the other
cardiovascular agent will depend in part on the particular cardiovascular agent used.
[0048] In addition to ACE inhibitors and ARBs, additional cardiovascular agents
include, but are not limited to adrenergic blockers, adrenergic agonists, agents for
. pheochromocytoma, antianginal agents, antiarrhythmics, antiplatelet agents,
anticoagulants, antihypertensives, antilipemic agents, antidiabetics, antiinflammatory
agents, calcium channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin
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inhibitors, diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors,
inotropic agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers
(advanced glycosylation end-product crosslink breakers, such as alagebrium, see USP
6,458,819), and AGE formation inhibitors (advanced glycosylation end-product
formation inhibitors, such as pimagedine). Cardiovascular agents falling within these
general categories are exemplified by the following:
"Angiotensin I Converting Enzymes (ACE's) and Angiotensin II Receptor Antagonists
(ARB's)"
[0049] "Angiotensin II receptor antagonists"(ARB 's) are compounds which interfere
with the activity of angiotensin II by binding to angiotensin II receptors and
interfering with its activity. Angiotensin I and angiotensin II are synthesized by the
enzymatic renin-angiotensin pathway. The synthetic process is initiated when the
enzyme renin acts on angiotensinogen, a pseudoglobulin in blood plasma, to produce
the decapeptide angiotensin I. Angiotensin I is converted by angiotensin converting
enzyme (ACE) to angiotensin II (angiotensin-[l-8] octapeptide). The latter is an
active pressor substance which has been implicated as a causative agent in several
forms of hypertension in various mammalian species, e.g., humans.
[0050] Angiotensin II receptor antagonists (ARB's) are well known and include
peptide compounds and non-peptide compounds. Most angiotensin II receptor
antagonists are slightly modified congeners in which agonist activity is attenuated by
replacement of phenylalanine in position 8 with some other amino acid; stability can
be enhanced by other replacements that slow degeneration in vivo.
[0051] Examples of angiotensin II receptor antagonists include: peptidic compounds
(e.g., saralasin and related analogs); N-substituted imidazole-2-one (U.S. Pat. No.
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5,087,634); imidazole acetate derivatives including 2-N-butyl-4-chloro-l-(2-
chlorobenzile) imidazole-5-acetic acid (see Long et al., J. Pharmacol. Exp. Ther.
247(1), 1-7 (1988)); 4,5,6,7-tetrahydro-lH-imidazo [4,5-c]pyridine-6-carboxylic acid
and analog derivatives (U.S. Pat. No. 4,816,463); N2-tetrazole beta-glucuronide
analogs (U.S. Pat. No. 5,085,992); substituted pyrroles, pyrazoles, and tryazoles (U.S.
Pat. No. 5,081,127); phenoland heterocyclic derivatives such as 1,3-imidazoles (U.S.
Pat. No. 5,073,566); imidazo-fused 7-member ring heterocycles (U.S. Pat. No.
5,064,825); peptides (e.g., U.S. Pat. No. 4,772,684); antibodies to angiotensin II (e.g.,
U.S. Pat. No. 4,302,386); and aralkyl imidazole compounds such as biphenyl-methyl
substituted imidazoles (e.g., EP 253,310, Jan. 20,1988); ES8891 (N-
morpholinoacetyl-(-l-naphthyl)-L-alanyl-(4, thiazolyl)-L-alanyl (35,45)-4-amino-3-
hydroxy-5-cyclo-hexapentanoyl-N-hexylamide, Sankyo Company, Ltd., Tokyo,
Japan); SKF108566 (E-alpha-2-[2-butyl-l-(carboxyphenyl) methyl] lH-imidazole-5-
yl[methylane]-2-thiophenepropanoic acid, Smith Kline Beecham Pharmaceuticals,
Pa.); Losartan (DUP753/MK954, DuPont Merck Pharmaceutical Company);
Remikirin (RO42-5892, F. Hoffman LaRoche A G); A.sub.2 agonists (Marion Merrill
Dow) and certain non-peptide heterocycles (G. D. Searle and Company). Other non-
limiting examples of ARBs include candesartan, eprosartan, irbesartan, losartan, and
valsartan. Other ARBs may be identified using standard assaying techniques known
to one of ordinary skill in the art.
[0052] "Angiotensin converting enzyme" (ACE) is an enzyme which catalyzes the
conversion of angiotensin I to angiotensin U. ACE inhibitors include amino acids and
derivatives thereof, peptides, including di- and tri-peptides and antibodies to ACE
which intervene in the renin-angiotensin system by inhibiting the activity of ACE
thereby reducing or eliminating the formation of pressor substance angiotensin n.
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ACE inhibitors have been used medically to treat hypertension, congestive heart
failure, myocardial infarction and renal disease. Classes of compounds known to be
useful as ACE inhibitors include acylmercapto and mercaptoalkanoyl prolines such as
captopril (U.S. Pat No. 4,105,776) and zofenopril (U.S. Pat. No. 4,316,906),
carboxyalkyl dipeptides such as enalapril (U.S. Pat. No. 4,374,829), lisinopril (U.S.
Pat. No. 4,374,829), quinapril (U.S. Pat. No. 4,344,949), ramipril (U.S. Pat. No.
4,587,258), and perindopril (U.S. Pat. No. 4,508,729), carboxyalkyl dipeptide mimics
such as cilazapril (U.S. Pat. No. 4,512,924) and benazepril (U.S. Pat. No. 4,410,520),
phosphinylalkanoyl prolines such as fosinopril (U.S. Pat. No. 4,337,201) and
trandolapril. Other non-limiting examples of ACE inhibitors include, but are not
limited to, alacepril, benazepril, captopril, ceronapril, cilazapril, delapril, enalapril,
enalaprilat, fosinopril, imidapril, lisinopril, perindopril, quinapril, ramipril, ramiprilat,
spirapril, temocapril, trandolapril.
Adrenergic Mockers
[0053] Non-limiting examples of adrenergic blockers, both α- and β-adrenergic
blockers, that may be used in the compositions of the present invention include Beta-
adrenergic receptor blockers include, but are not limited to, atenolol, acebutolol,
alprenolol, befunolol, betaxolol, bunitrolol, carteolol, celiprolol, hedroxalol,
indenolol, labetalol, levobunolol, mepindolol, methypranol, metindol, metoprolol,
metrizoranolol, oxprenolol, pindolol, propranolol, practolol, sotalohiadolol, tiprenolol,
tolamolol, timolol, bupranolol, penbutolol, trimepranol, yohimbine, 2-(3-(l,l-
dimethylethyl)-amino-2-hydroxypropoxy)-3-pyridenecarbonitrilHCl, l-butylamino-3-
(2,5-dichlorophenoxy)-2-propanol, 1 -isopropylamino-3-(4-(2-
cyclopropyhnethoxyethyl)phenoxy)-2-propanol, 3-isopropylamino-l-(7-methylindan-
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4-yloxy)-2-butanol, 2-(3-t-butylamino-2-hydroxy-propylthio)-4-(5-carbamoyl-2-
thienyl)thiazole, 7-(2-hydroxy-3-t-butylaminpropoxy)phthalide. The above-identified
compounds can be used as isomeric mixtures, or in their respective levorotating or
dextrorotating form.
Adrenergic Agonists
[0054] Non-limiting examples of adrenergic agonists, both a- and p-adrenergic
agonists, that may be used in the compositions of the present invention include
adrafinil, adrenalone, albuterol, amidephrine, apraclonidine, bitolterol, budralazine,
carbuterol, clenbuterol, clonidine, clorprenaline, clonidine, cyclopentamine,
denopamine, detomidine, dimetofrine, dioxethedrine, dipivefrin, dopexamine,
ephedrine, epinephrine, etafedrine, ethymorepinephrine, fenoterol, fenoxazoline,
formoterol, guanabenz, guanfacine, hexoprenaline, hydroxyamphetamine, ibopamine,
indanazoline, isoetharine, isometheptene, isoproterenol, mabuterol, mephentermine,
metaproterenol, metaraminol, metizoline, methoxamine, methylhexaneamine,
methoxyphenamine, midodrine, modafinil, moxonidine, naphazoline, norepinephrine
norfenefrine, octodrine, octopamine, oxyfedrine, oxymetazoline, phenylephrine
hydrochloride, phenylpropanolamine hydrochloride, phenylpropylmethylamine,
pholedrine, pirbuterol prenalterol, procaterol, propylhexedrine, protokylol,
pseudoephedrine, reproterol, rilmenidine, rimiterol, ritodrine, salmeterol, solterenol,
synephrine, talipexole, terbutaline, tetrahydrozoline, tiamenidine, tramazoline,
tretoquinol, tuaminoheptane, tulobuterol, tymazoline, tyramine, xamoterol,
xylometazoline, and mixtures thereof.
Agents for Pheochromocytoma
[0055] Include but are not limited to chemotherapeutics.
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Antianginal agents
[0056] Include but are not limited to amlodipine besylate, amlodipine maleate,
betaxolol hydrochloride, bevantolol hydrochloride, butoprozine hydrochloride,
carvedilol, cinepazet maleate, metoprolol succinate, molsidomine, monatepil maleate,
nitrates (including but not limited to glyceryl trinitrate (GTN, nitroglycerin, Nitro-
Bid), isosorbide-5-mononitrate (5-ISMN, Ismo), amyl nitrate and nicorandil (Icorel)),
primidolol, ranolazine hydrochloride, tosifen, verapamil hydrochloride).
Antiarrhythmics
[0057] Non-limiting examples of antiarrhythmics that may be used in the
compositions of the present invention include acebutolol, acecainide, adenosine,
ajmaline, alprenolol, amiodarone, amoproxan, aprindine, aprotinolol, atenolol,
azimilide, bevantolol, bidisomide, bretylium tosylate, bucumolol, butetolol, bunaftine,
bunitrolol, bupranolol, butidrine hydrochloride, butobendine, capobenic acid,
carazolol, carteolol, cifenline, cloranolol, disopyramide, dofetilide, encainide,
esmolol, flecainide, hydroquinidine, ibutilide, indecainide, indenolol, ipratropium
bromide, lidocaine, lorajmine, lorcainide, meobentine, mexiletine, moricizine,
nadoxolol, nifenaolol, oxprenolol, penbutolol, pentisomide, pilsicainide, pindolol,
pirmenol, practolol, prajmaline, procainamide hydrochloride, pronethalol,
propafenone, propranolol, pyrinoline, quinidine, sematilide, sotalol, talinolol, tilisolol,
timolol, tocainide, verapamil, viquidil, xibenolol, and mixtures thereof.
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Antiplatelet Agents
[0058] Non-limiting examples of antiplatelet agents that may be used in the
compositions of the present invention include clopidogrel, dipyridamole, abciximab,
and ticlopidine.
Anticoagulants
[0059] Anti-coagulant agents are agents which inhibit the coagulation pathway by
impacting negatively upon (he production, deposition, cleavage and/or activation of
factors essential in the formation of a blood clot. Non-limiting examples of
anticoagulants (i.e. coagulation-related therapy) that may be used in the compositions
of the present invention include Aggrenox, Agrylin, Amicar, Anturane, Arixtra,
Coumadin, Fragmin, Heparin Sodium, Lovenox, Mephyton, Miradon, Persantine,
Plavix, Pletal, Ticlid, Trental, Warfarin. Other "anti-coagulant" and/or "fibrinolytic"
agents include Plasminogen (to plasmin via interactions of prekallikrein, kininogens,
Factors XII, Xllla, plasminogen proactivator, and tissue plasminogen activator[TPA])
Streptokinase; Urokinase: Anisoylated Plasminogen-Streptokinase Activator
Complex; Pro-Urokinase; (Pro-UK); rTPA (alteplase or activase; r denotes
recombinant); rPro-UK; Abbokinase; Eminase; Streptase Anagrelide Hydrochloride;
Bivalirudin; Dalteparin Sodium; Danaparoid Sodium; Dazoxiben Hydrochloride;
Efegatran Sulfate; Enoxaparin Sodium; Ifetroban; Ifetroban Sodium; Tinzaparin
Sodium; reteplase; Trifenagrel; Warfarin; Dextrans.
[0060] Still other anti-coagulant agents include, but are not limited to, Ancrod;
Anticoagulant Citrate Dextrose Solution; Anticoagulant Citrate Phosphate Dextrose
Adenine Solution; Anticoagulant Citrate Phosphate Dextrose Solution; Anticoagulant
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Heparin Solution; Anticoagulant Sodium Citrate Solution; Ardeparin Sodium;
Bivalirudin; Bromindione; Dalteparin Sodium; Desirudin; Dicumarol; Heparin
Calcium; Heparin Sodium; Lyapolate Sodium; Nafamostat Mesylate;
Phenprocoumon; Tinzaparin Sodium.
[0061] Inhibitors of platelet function are agents that impair the ability of mature
platelets to perform their normal physiological roles (i.e., their normal function).
Platelets are normally involved in a number of physiological processes such as
adhesion, for example, to cellular and non-cellular entities, aggregation, for example,
for the purpose of forming a blood clot, and release of factors such as growth factors
(e.g., platelet-derived growth factor (PDGF)) and platelet granular components. One
subcategory of platelet function inhibitors are inhibitors of platelet aggregation which
are compounds which reduce or halt the ability of platelets to associate physically
with themselves or with other cellular and non-cellular components, thereby
precluding the ability of a platelet to form a thrombus.
[0062] Examples of useful inhibitors of platelet function include but are not limited to
acadesine, anagrelide (if given at doses exceeding 10 mg/day), anipamil, argatroban,
aspirin, clopidogrel, cyclooxygenase inhibitors such as nonsteroidal anti-
inflammatory drugs and the synthetic compound FR-122047, danaparoid sodium,
dazoxiben hydrochloride, diadenosine 5',5'"-Pl,P4-tetraphosphate (Ap4A) analogs,
difibrotide, dilazep dihydrochloride, 1,2- and 1,3-glyceryl dinitrate, dipyridamole,
dopamine and 3-methoxytyramine, efegatran sulfate, enoxaparin sodium, glucagon,
glycoprotein IIb/IIIa antagonists such as Ro-43-8857 and L-700,462, ifetroban,
ifetroban sodium, iloprost, Integrilin (eptifibatide), isocarbacyclin methyl ester,
isosorbide-5-mononitrate, itazigrel, ketanserin and BM-13.177, lamifiban, lifarizine,
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molsidomine, nifedipine, oxagrelate, PGE, platelet activating factor antagonists such
as lexipafant, prostacyclin (PGI2), pyrazines, pyridinol carbamate, ReoPro (i.e.,
abciximab), sulfinpyrazone, synthetic compounds BN-50727, BN-52021, CV-4151,
E-5510, FK-409, GU-7, KB-2796, KBT-3022, KC-404, KF-4939, OP-41483, TRK-
100, TA-3090, TFC-612 and ZK-36374,2,4,5,7-tetrathiaoctane, 2,4,5,7-
tetrathiaoctane 2,2-dioxide, 2,4,5-trithiahexane, theophylline, pentoxifylline,
thromboxane and thromboxane synthetase inhibitors such as picotamide and
sulotroban, ticlopidine, tirofiban, trapidil and ticlopidine, trifenagrel, trilinolein, 3-
substituted 5,6-bis(4-methoxyphenyl)-l,2,4-triazines, and antibodies to glycoprotein
IIb/IIIa as well as those disclosed in U.S. Pat. No. 5,440,020, and anti-serotonin
drugs, Clopidogrel; Sulfinpyrazone; Aspirin; Dipyridamole; Clofibrate; Pyridinol
Carbamate; PGE; Glucagon; Antiserotonin drags; Caffeine; Theophylline
Pentoxifylline; Ticlopidine.
Antihypertensives
[0063] Non-limiting examples of antihypertensives that may be used in the
compositions of the present invention include amlodipine, benidipine, benazepril,
candesartan, captopril, darodipine, diltiazem HC1, diazoxide, doxazosin HC1,
enalapril, eprosartan, losartan mesylate, felodipine, fenoldopam, fosinopril,
guanabenz acetate, irbesartan, isradipine, lisinopril, mecamylamine, minoxidil,
nicardipine HC1, nifedipine, nimodipine, nisoldipine, phenoxybenzamine HC1,
prazosin HC1, quinapril, reserpine, terazosin HC1, telmisartan, and valsartan.
[0064] This invention also contemplates fixed dose combinations of nebivolol with
hydrochlorothiazide and at least one other additional active agent.
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Antilipemic Agents
[0065] Non-limiting examples of antilipemic agents that may be used in the
compositions of the present invention include acipimox, aluminum nicotinate,
atorvastatin, cholestyramine resin, colestipol, polidexide, beclobrate, fluvastatin,
gemfibrozil, lovastatin, lysosomal acid lipase, icofibrate, niacin; PPARa agonist such
as fibrates, which include, but are not limited to fenofibrate, clofibrate, pirifibrate,
ciprofibrate, bezafibrate, clinofibrate, ronifibrate, theofibrate, clofibric acid,
etofibrate,and gemfibrozil; pravastatin sodium, simfibrate, simvastatin, niceritrol,
nicoclonate, nicomol. oxiniacic acid, etiroxate, thyropropic acid, thyroxine, actfran,
azacosterol, benfluorex, beta-benzalbutyramide, carnitine, chondroitin sulfate
clomestrone, detaxtran, dextran sulfate sodium, 5, 8,11,14,17-eicosapentaenoic acid,
eritadenine, furazabol, meglutol, melinamide, mytatrienediol, ornithinej gamma-
oryzanol, pantethine, pentaerythritol tetraacetate, alpha-phenylbutyramide, pirozadil,
probucol, beta-sitosterol, sultosilic acid (piperazine salt), tiadenol, triparanol,
xeribucin, and mixtures thereof.
Antidiabetics
[0066] Non-limiting examples of antidiabetics that may be used in the compositions
of the present invention include biguanides such as buformin, metformin, and
phenformin; hormones such as insulin; sulfonylurea derivatives such as
acetohexamide, l-butyl-3-metanilylurea, carbutamide, chlorpropamide, glibornuride,
gliclazide, glimepiride, glipizide, gliquidone, glisoxepid, glyburide, glybuthiazole,
glybuzole, glyhexamide, glymidine, glypinamide, phenbutamide, tolazamide,
tolbutamide, tolcyclamide; HDL agonists; PPARy agonists such as thiazolidinediones
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such as pioglitazone, rosiglitazone, and troglitazone; and others including acarbose,
calcium mesoxalate, miglitol, and repaglinide.
Antiinflammatory Agents
[0067] Non-limiting examples of antiinflammatory agents that may be used in the
compositions of the present invention include Alclofenac; Alclometasone
Dipropionate; Algestone Acetonide; Alpha Amylase; Amcinafal; Amcinafide;
Amfenac Sodium; Amiprilose Hydrochloride; Anakinra; Anirolac; Anitrazafen;
Apazone; Balsalazide Disodium; Bendazac; Benoxaprofen; Benzydamine
Hydrochloride; Bromelains; Broperamole; Budesonide; Carprofen; Cicloprofen;
Cintazone; Cliprofen; Clobetasol Propionate; Clobetasone Butyrate; Clopirac;
Cloticasone Propionate; Cormethasone Acetate; Cortodoxone; Defiazacort; Desonide;
Desoximetasone; Dexamethasone Dipropionate; Diclofenac Potassium; Diclofenac
Sodium; Diflorasone Diacetate; Diflumidone Sodium; Diflunisal; Difluprednate;
Diftalone; Dimethyl Sulfoxide; Drocinonide; Endrysone; Enlimomab; Enolicam
Sodium; Epirizole; Etodolac; Etofenamate; Felbinac; Fenamole; Feribufen;
Fenclofenac; Fenclorac; Fendosal; Fenpipalone; Fentiazac; Flazalone; Fluazacort;
Flufenamic Acid; Flumizole; Flunisolide Acetate; Flunixin; Flurrixin Meglumine;
Fluocortin Butyl; Fluorometholone Acetate; Fluquazone; Flurbiprofen; Fluretofen;
Fluticasone Propionate; Furaprofen; Furobufen; Halcinonide; Halobetasol Propionate;
Halopredone Acetate; Ibufenac; Ibuprofen; Ibuprofen Aluminum; Ibuprofen Piconol;
Ilonidap; Indomethacin; Lndomethacin Sodium; Indoprofen; Indoxole; Intrazole;
Isoflupredone Acetate; Isoxepac; Isoxicam; Ketoprofen; Lofemizole Hydrochloride;
Lomoxicam; Loteprednol Etabonate; Meclofenamate Sodium; Meclofenamic Acid;
Meclorisone Diburyrate; Mefenamic Acid; Mesalamine; Meseclazone;
Methylprednisolone Suleptanate; Morniflumate; Nabumetone; Naproxen; Naproxen
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Sodium; Naproxol; Nimazone; Olsalazine Sodium; Orgotein; Orpanoxin; Oxaprozin;
Oxyphenbutazone; Paranyline Hydrochloride; Pentosan Polysulfate Sodium;
Phenbutazone Sodium Glycerate; Pirfenidone; Piroxicam; Piroxicam Cinnamate;
Piroxicam Olamine; Piiprofen; Prednazate; Prifelone; Prodolic Acid; Proquazone;
Proxazole; Proxazole Citrate; Rimexolone; Romazarit; Salcolex; Salnacedin;
Salsalate; Salicylates; Sanguinarium Chloride; Seclazone; Sermetacin; Sudoxicam;
Sulindac; Suprofen; Talmetacin; Talniflumate; Talosalate; Tebufelone; Tenidap;
Tenidap Sodium; Tenoxicam; Tesicam; Tesimide; Tetrydamine; Tiopinac; Tixocortol
Pivalate; Tolmetin; Tolmetin Sodium; Triclonide; Triflumidate; Zidometacin;
Glucocorticoids; Zomepirac Sodium. One preferred antiinflammatory agent is aspirin.
Calcium Channel Blockers
[0068] Calcium channel blockers are a chemically diverse class of compounds having
important therapeutic value in the control of a variety of diseases including several
cardiovascular disorders, such as hypertension, angina, and cardiac arrhythmias
(Fleckenstein, Cir. Res. v. 52, (suppl. l),p. 13-16 (1983); Fleckenstein, Experimental
Facts and Therapeutic Prospects, John Wiley, New York (1983); McCall, D., Curr
Pract Cardiol, v. 10, p. 1-11 (1985)). Calcium channel blockers are a heterogeneous
group of drugs that prevent or slow the entry of calcium into cells by regulating
cellular calcium channels. (Remington, The Science and Practice of Pharmacy,
Nineteenth Edition, Mack Publishing Company, Eaton, Pa., p.963 (1995)). Most of
the currently available calcium channel blockers, and useful according to the present
invention, belong to one of three major chemical groups of drugs, the
dihydropyridines, such as nifedipine, the phenyl alkyl amines, such as verapamil, and
the benzothiazepines, such as diltiazem. Non-limiting examples of calcium channel
blockers that may be used in the compositions of the present invention include
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bepridil, clentiazem, diltiazem, fendiline, gallopamil, mibeftadil, prenylamine,
semotiadil, terodiline, verapamil, amlodipine, aranidipine, barnidipine, benidipine,
cilnidipine, efonidipine, elgodipine, felodipine, isradipine, lacidipine, lercanidipine,
manidipine, nicardipine, nifedipine, nilvadipine, nimodipine, nisoldipine,
nitrendipine, cinnarizine, flunarizine, lidoflazine, lomerizine, bencyclane, etafenone,
fantofarone, perhexiline, and mixtures thereof.
CETP Inhibitors
[0069] A non-limiting example of a CETP inhibitor that may be used in the
compositions of the present invention includes torcetrapib.
COX-2 Inhibitors
[0070] Non-limiting examples of COX-2 inhibitors that may be used in the
compositions of the present invention include compounds according to the following:
all of the compounds and substances beginning on page 8 of Winokur WO99/20110
as members of three distinct structural classes of selective COX-2 inhibitor
compounds, and the compounds and substances which are selective COX-2 inhibitors
in Nichtberger, U.S. Pat. No. 6,136,804, Oct. 24,2000, entitled "Combination therapy
for treating, preventing, or reducing the risks associated with acute coronary ischemic
syndrome and related conditions", and the compounds and substances which are
selective COX-2 inhibitors in Isakson et al, PCT application WO/09641645 published
Dec. 27,1996, filed as PCT/US 9509905 on Jun. 12,1995, entitled "Combination of a
Cyclooxygenase-2 Inhibitor and a Leukotriene B4 Receptor Antagonist for the
Treatment of Inflammations." The meaning of COX-2 inhibitor in this invention shall
include the compounds and substances referenced and incorporated into Winokur
WO99/20110 by reference to art therein, the compounds and substances referenced
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and incorporated into Nichtberger, U.S. Pat. No. 6,136,804, Oct. 24,2000, by
reference to art therein, and the compounds and substances which are COX-2
inhibitors referenced and incorporated into Isakson et al, PCT application
WO/09641645 published Dec. 27,1996, filed as PCT/US 9509905 on Jun. 12,1995,
entitled "Combination of a Cyclooxygenase-2 Inhibitor and a Leukotriene B4
Receptor Antagonist for the Treatment of Inflammations." The meaning of COX-2
inhibitor in this invention also includes rofecoxib, and celecoxib, marketed as VIOXX
and CELEBREX by Merck and Searle/Pfizer respectively. Rofecoxib is discussed in
Winokur, WO99/20110 as compound 3, on p.9. Celecoxib is discussed as SC-58635
in the same reference, and in T. Penning, Synthesis and biological evaluation of the
1,5-diarylpyrazole class of cyclooxygenase-2 inhibitors: identification of 4-[5-(4-
methylphenyl)-3-(trifluoromethyl)-lH-pyrozol-l-yl]benzenesulfonamide (SC-58635,
celecoxib)", J. Med. Chem. Apr. 25,1997:40(9): 1347-56. The meaning of COX-2
inhibitor in this invention also includes SC299 referred to as a fluorescent
diaryloxazole. C. Lanzo et al, "Fluorescence quenching analysis of the association and
dissociation of a diarylheterocycle to cyclooxygenasel-1 and cyclooxygenase-2:
dynamic basis of cycloxygenase-2 selectivity", Biochemistry May 23,2000, vol.
39(20):6228-34, and in J. Talley et al, "4,5-Diaryloxazole inhibitors of
cyclooxygenase-2 (COX-2)", Med. Res. Rev. May 1999; 19(3): 199-208. The
meaning of COX-2 inhibitor in this invention also includes valdecoxib, See, "4-[5-
Methyl-3-phenylisoxazol-l-yl]benzenesulfonamide, Valdecoxib: A Potent and
Selective Inhibitor of COX-2", J. Med. Chem. 2000, Vol. 43: 775-777, and parecoxib,
sodium salt or parecoxib sodium, See, N-[[(5-methyl-3-phenylixoxazol-4yl)-
phenyl]sulfonyl]propanimide, Sodium Salt, Parecoxib Sodium: A Potent and
Selective Inhibitor of COX-2 for Parenteral Administration", J. Med. Chem. 2000,
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Vol. 43:1661-1663. The meaning of COX-2 inhibitor in this invention also includes
the substitution of the sulfonamide moiety as a suitable replacement for the
methylsulfonyl moiety. See, J. Carter et al, Synthesis and activity of sulfonamide-
substituted 4,5-diaryl thiazoles as selective cyclooxygenase-2 inhibitors." Bioorg.
Med. Chem. Lett Apr. 19,1999: Vol. 9(8): 1171-74, and compounds referenced in the
article "Design and synthesis of sulfonyl-substituted 4,5-diarylthiazoles as selective
cyclooxygenase-2 inhibitors", Bioorg. Med. Chem. Lett Apr. 19,1999: Vol. 9(8):
1167-70. The meaning of this invention includes a COX-2 inhibitor, NS398
referenced in two articles: Attiga et al, "Inhibitors of Prostaglandin Synthesis Inhibit
Human Prostate Tumor Cell Invasiveness and Reduce the Release of Matrix
Metalloproteinases", 60 Cancer Research 4629-4637, Aug. 15, 2000, and in "The
cyclooxygenase-2 inhibitor celecoxib induces apoptosis by blocking Akt activation in
human prostate cancer cells independently of Bcl-2," Hsu et al, 275(15) J. Biol.
Chem. 11397-11403(2000). The meaning of COX-2 inhibitor in this invention
includes the cyclo-oxygenase-2 selective compounds referenced in Mitchell et al,
"Cyclo-oxygenase-2: pharmacology, physiology, biochemistry and relevance to
NSAED therapy", Brit. J. of Pharmacology (1999) vol.128:1121-1132, see especially
p. 1126. The meaning of COX-2 inhibitor in this invention includes so-called NO-
NSAIDs or nitric oxide-releasing-NSAIDs referred to in L. Jackson et al, "COX-2
Selective Nonsteroidal Anti-Inflammatory Drugs: Do They Really Offer Any
Advantages?", Drugs, June, 2000 vol. 59(6): 1207-1216 and the articles at footnotes
27, and 28. Also included in the meaning of COX-2 inhibitor in this invention
includes any substance that selectively inhibits the COX-2 isoenzyme over the COX-1
isoenzyme in a ratio of greater than 10 to 1 and preferably in ratio of at least 40 to 1 as
referenced in Winokur WO 99/20110, and has one substituent having both atoms with
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free electrons under traditional valence-shell-electron-pair-repulsion theory located on
a cyclic ring (as in the sulfylamine portion of celecoxib), and a second substituent
located on a different ring sufficiently far from said first substituent to have no
significant electron interaction with the first substituent. The second substituent
should have an electronegativity within such substituent greater than 0.5, or the
second substituent should be an atom located on the periphery of the compound
selected from the group of a halogen F, Cl, Br or I, or a group VI element, S or O.
Thus for purposes of this last included meaning of a COX-2 inhibitor, one portion of
the COX-2 inhibitor should be hydrophilic and the other portion lipophilic. Also
included as a COX-2 inhibitor are compounds listed at page 553 in Pharmacotherapy:
A Pathophysiologic Approach, Depiro et al (McGraw Hill 1999) including
nabumetone and etodolac. Recognizing that there is overlap among the selective
COX-2 inhibitors set out in this paragraph, the intent of the term COX-2 inhibitor is to
comprehensively include all selective COX-2 inhibitors, selective in the sense of
inhibiting COX-2 over COX-1. The inventors add to the class of COX-2 inhibitors
useful in the invention the drug bearing the name etoricoxib referenced in the Wall
Street Journal, Dec. 13,2000, manufactured by Merck. See, also, Chauret et al., "In
vitro metabolism considerations, including activity testing of metabolites, in the
discovery and selection of the COX-2 inhibitor etoricoxib (MK-0663)," Bioorg. Med.
Chem. Lett. 11(8): 1059-62 (Apr. 23,2001). Another selective COX-2 inhibitor is
DFU [5,5-dimethyl-3-(3-fluorophenyl)-4-(4-methylsulphonyl) phenyl-2(5H)-
furanone] referenced in Yergey et al, Drug Metab. Dispos. 29(5):638-44 (May 2001).
The inventors also include as a selective COX-2 inhibitor the flavonoid antioxidant
silymarin, and an active ingredient in silymarin, silybinin, which demonstrated
significant COX-2 inhibition relative to COX-1 inhibition. The silymarin also showed
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protection against depletion of glutathione peroxidase. Zhao et al, "Significant
Inhibition by the Flavonoid Antioxidant Silymarin against 12-O-tetracecanoylphorbol
13-acetate-caused modulation of antioxidant and inflammatory enzymes, and
cyclooxygenase 2 and interleukin-1 alpha expression in SENCAR mouse epidermis:
implications in the prevention of stage I tumor promotion," Mol. Carcinog. December
1999, Vol 26(4):321-33 PMID 10569809. Silymarin has been used to treat liver
diseases in Europe.
[0071] A number of the above-identified COX-2 inhibitors are prodrugs of selective
COX-2 inhibitors, and exert their action by conversion in vivo to the active and
selective COX-2 inhibitors. The active and selective COX-2 inhibitors formed from
the above-identified COX-2 inhibitor prodrugs are described in detail in WO
95/00501, published Jan. 5,1995, WO 95/18799, published Jul. 13,1995 and U.S.
Pat. No. 5,474,995, issued Dec. 12,1995. Given the teachings of U.S. Pat. No.
5,543,297, entitled: "Human cyclooxygenase-2 cDNA and assays for evaluating
cyclooxygenase-2 activity," a person of ordinary skill in the art would be able to
determine whether an agent is a selective COX-2 inhibitor or a precursor of a COX-2
inhibitor, and therefore part of the present invention.
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"Direct thrombin inhibitors"
[0072] Non limiting examples of direct thrombin inhibitors include hirudin, hirugen,
Hirulog, argatroban, PPACK, and thrombin aptamers.
Diuretics
[0073] Non-limiting examples of diuretics that may be used in the compositions of
the present invention include althiazide, bendroflumethiazide, benzthiazide,
buthiazide, chlorthalidone, cyclopentbiazide, cyclothiazide, epitbiazide, ethiazide,
fenquizone, indapamide, hydroflumethiazide, methyclothiazide, meticrane,
metolazone, paraflutizide, polythiazide, quinethazone, teclothiazide,
trichloromethiazide, chlormerodrin, meralluride, mercamphamide, mercaptomerin
sodium, mercumatilin sodium, mercurous chloride, mersalyl, acefylline, 7-
morpholinomethyl-theophylline, pamabrom, protheobromine, theobromine,
canrenone, oleandrin, spironolactone, acetazolamide, ambuside, azosemide,
bumetanide, butazolamide, clopamide, clorexolone, disulfamide, ethoxzolamide,
furosemide, mefruside, methazolamide, piretanide, torsemide, tripamide, xipamide,
aminometradine, amisometradine, amanozine, amiloride, arbutin, chlorazanil,
ethacrynic acid, etozolin, hydracarbazine, isosorbide, mannitol, metochalcone,
muzolimine, perhexiline, ticrynafen, triamterene, urea, and mixtures thereof.
Depending on the diuretic employed, potassium may also be administered to the
patient in order to optimize the fluid balance while avoiding hypokalemic alkalosis.
The administration of potassium can be in the form of potassium chloride or by the
daily ingestion of foods with high potassium content such as, for example, bananas or
orange juice.
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[0074] Endothelin Receptor Antagonists
[0075] Non-limiting examples of an endothelin receptor antagonist that may be used
in the compositions of the present invention include bosentan, sulfonamide endothelin
antagonists, BQ-123, SQ 28608, and the like); and mixtures thereof.
HMG-CoA Reductase Inhibitor (Statins)
[0076] HMG-CoA (3-hydroxy-3-methylglutaryl-coenzyme A) reductase is the
microsomal enzyme that catalyzes the rate limiting reaction in cholesterol
biosynthesis (HMG-CoA6Mevalonate). An HMG-CoA reductase inhibitor inhibits
HMG-CoA reductase, and as a result inhibits the synthesis of cholesterol. A number
of HMG-CoA reductase inhibitors have been used to treat individuals with
hypercholesterolemia. More recently, HMG-CoA reductase inhibitors have been
shown to be beneficial in the treatment of stroke (Endres M, et al., Proc Natl Acad Sci
USA, 1998, 95:8880-5).
[0077] HMG-CoA reductase inhibitors useful for co-administration with the agents of
the invention include, but are not limited to, simvastatin (U.S. Pat. No. 4,444,784),
lovastatin (U.S. Pat. No. 4,231,938), pravastatin sodium (U.S. Pat. No. 4,346,227),
fluvastatin (U.S. Pat. No. 4,739,073), atorvastatin (U.S. Pat. No. 5,273,995),
cerivastatin, and numerous others described in U.S. Pat. Nos. 5,622,985; 5,135,935;
5,356,896; 4,920,109; 5,286,895; 5,262,435; 5,260,332; 5,317,031; 5,283,256;
5,256,689; 5,182,298; 5,369,125; 5,302,604; 5,166,171; 5,202,327; 5,276,021;
5,196,440; 5,091,386; 5,091,378; 4,904,646; 5,385,932; 5,250,435; 5,132,312;
5,130,306; 5,116,870; 5,112,857; 5,102,911; 5,098,931; 5,081,136; 5,025,000;
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WO 2006/130174 PCT/US2005/041275
5,021,453; 5,017,716; 5,001,144; 5,001,128; 4,997,837; 4,996,234; 4,994,494;
4,992,429; 4,970,231; 4,968,693; 4,963,538; 4,957,940; 4,950,675; 4,946,864;
4,946,860; 4,940,800; 4,940,727; 4,939,143; 4,929,620; 4,923,861; 4,906,657;
4,906,624 and 4,897,402, the disclosures of which patents are incorporated herein by
reference.
[0078] Other non-limiting examples of HMG-CoA reductase inhibitors that may be
used in the compositions of the present invention include mevastatin, pitavastatin,
rosuvastatin, gemcabene, and probucol.
Inotropic Agents
[0079] Non-limiting examples of inotropic agents that may be used in the
compositions of the present invention include acefylline, acetyldigitoxins, 2-amino-4-
picoline, amrinone, benfurodil hemisuccinate, bucladesine, camphotamide,
convallatoxin, cymarin, denopamine, deslanoside, digitalin, digitalis, digitoxin,
digoxin, dobutamine, docarpamine, dopamine, dopexamine, enoximone,
erythrophleine, fenalsomine, gitalin, gitoxin, glycocyamine, heptaminol, hydrastinine,
ibopamine, lanatosides, loprinine, milrinone, nerifolin, oleandrin, ouabain,
oxyfedrine, pimobendan, prenalterol, proscillaridin, resibufogenin, scillaren,
scillarenin, strophanthin, sulmazole, theobromine, vesnarinone, xamoterol, and
mixtures thereof.
"Renin inhibitors"
[0080] Renin inhibitors are compounds which interfere with the activity of renin.
Renin inhibitors include amino acids and derivatives thereof, peptides and derivatives
thereof, and antibodies to renin. Examples of renin inhibitors that are the subject of
United States patents are as follows: urea derivatives of peptides (U.S. Pat. No.
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WO 2006/130174 PCT/US2005/041275
5,116,835); amino acids connected by nonpeptide bonds (U.S. Pat. No. 5,114,937);
di- and tri-peptide derivatives (U.S. Pat. No. 5,106,835); amino acids and derivatives
thereof (U.S. Pat. Nos. 5,104,869 and 5,095,119); diol sulfonamides and sulfinyls
(U.S. Pat. No. 5,098,924); modified peptides (U.S. Pat No. 5,095,006); peptidyl beta-
aminoacyl aminodiol carbamates (U.S. Pat. No. 5,089,471); pyrolimidazolones (U.S.
Pat. No. 5,075,451); fluorine and chlorine statine or statone containing peptides (U.S.
Pat. No. 5,066,643); peptidyl amino diols (U.S. Pat. Nos. 5,063,208 and 4,845,079);
N-morpholino derivatives (U.S. Pat. No. 5,055,466); pepstatin derivatives (U.S. Pat
No. 4,980,283); N-heterocyclic alcohols (U.S. Pat. No. 4,885,292); monoclonal
antibodies to renin (U.S. Pat. No. 4,780,401); and a variety of other peptides and
analogs thereof (U.S. Pat. Nos. 5,071,837, 5,064,965, 5,063,207, 5,036,054,
5,036,053, 5,034,512, and 4,894,437).
Vasodilators
[0081] Non-limiting examples of vasodilators that may be used in the compositions of
the present invention include bencyclane, cinnarizine, citicoline, cyclandelate,
ciclonicate, diisopropylamine dichloroacetate, eburnamonine, fasudil, fenoxedil,
flunarizine, ibudilast, ifenprodil, isosorbide dinitrate, isosorbide mononitrate,
lomerixine, nafronyl, nicametate, nicergoline, nimodipine, papaverine, pentifylline,
tinofedrine, vancamine, vinpocetine, viquidil, amotriphene, bendazol, benfurodil
hemisuccinate, benziodarone, chloracizine, chromonar, clobenfurol, clonitrate,
cloricromen, dilazep, dipyridamole, droprenilamine, efloxate, erythrityl tetranitrate,
etafenone, fendiline, floredil, ganglefence, heart muscle extract, hexestrol bis(alpha-
diethylaminoethyl ether), hexobendine, hydralazine compound, itramin tosylate
khellin, lidoflazine, mannitol hexanitrate, medibazine, nitroglycerin, isosorbide
mononitrate, isosorbide dinitrate, and other nitrates, pentaerythritol tetranitrate,
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WO 2006/130174 PCT/US2005/041275
pentrinitrol, perhexiline, pimefylline, prenylamine, propatyl nitrate, pyridofylline,
trapidil, tricromyl, trimetazidine, trolnitrate phosphate, visnadine, aluminum
nicotinate, bamethan, bencyclane, betahistine, bradyldnin, brovincamine, bufeniode,
buflomedil, butalamine, cetiedil, ciclonicate, cinepazide, cinnarizine, cyclandelate,
diisopropylamine dichloroacetate, eledoisin, fenoxedil, flunazine, hepronicate,
ifenprodil, iloprost, inositol niacinate, isoxsuprine, kallidin, kallikrein, moxisylyte,
nafronyl, nicametate nicergoline, nicofuranose, nicotinyl alcohol, nylidrin,
pentifylline, pentoxifylline, piribedil, prostaglandin El, suloctidil, tolazoline,
xanthinol niacinate, and mixtures thereof.
Note that "hydralazine compound" refers to a compound having the formula:

wherein a, b and c are each independently a single or a double bond; R1 and R2 are
each independently a hydrogen, an alkyl, an ester or a heterocyclic ring; R3 and R4 are
each independently a lone pair of electrons or a hydrogen, with the proviso that at
least one of R1, R2, R3 and R4 is not a hydrogen. Examples of hydralazine compounds
include, but are not limited to budralazine, cadralazine, dihydralazine, endralazine,
hydralazine, pildralazine, todralazine and the like.
Vasopressors
[0082] Non-limiting examples of vasopressors that may be used in the compositions
of the present invention include amezinium methyl sulfate, angiotensin amide,
dimetofrine, dopamine, etifelmin, etilefrin, gepefrine, metaraminol, methoxamine,
midodrine, norepinephrine, pholedrine, synephrine, and mixtures thereof.
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AGE Crosslink Breakers (advanced glycosylation end-product crosslink breakers)
[0083] Non-limiting examples of AGE crosslink breakers that may be used in the
compositions of the present invention include Alagebrium.
AGE Formation Inhibitors (advanced glycosylation end-product formation inhibitors)
[0084] Non-limiting examples of AGE formation inhibitors that may be used in the
compositions of the present invention include Pimagedine.
Other actives:
[0085] Non-limiting examples of other active ingredients that may be combined with
these nebivolol compositions include, but are not limited to, the following
representative classes of compounds, as well as their pharmaceutically acceptable
salts, isomers, esters, ethers and other derivatives:
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WO 2006/130174 PCT/US2005/041275
[0086] Analgesics and anti-inflammatory agents, such as aloxiprin, auranofin,
azapropazone, benorylate, capsaicin, celecoxib, diclofenac, diflunisal, etodolac,
fenbufen, fenoprofen calcium, flurbiprofen, ibuprofen, indomeihacin, ketoprofen,
ketorolac, leflunomide, meclofenamic acid, mefenamic acid, nabumetone, naproxen,
oxaprozin, oxyphenbutazone, phenylbutazone, piroxicam, rofecoxib, sulindac,
tetrahydrocannabinol, tramadol and tromethamine;
[0087] antihelminthics, such as albendazole, bephenium hydroxynaphthoate,
catnbendazole, dichlorophen, ivennectin, mebendazole, oxamniquine, oxfendazole,
oxantel embonate, praziquantel, pyrantel embonate and thiabendazole;
[0088] anti-asthma agents, such as zileuton, zafirlukast, terbutaline sulfate,
montelukast, and albuterol;
[0089] anti-bacterial agents, such as alatrofloxacin, azithromycin, baclofen,
benzathine penicillin, cinoxacin, ciprofloxacin HC1, clarithromycin, clofazimine,
cloxacillin, demeclocycline, dirithromycin, doxycycline, eiythromycin,
ethionamide, furazolidone, grepafloxacin, imipenem, levofloxacin, lorefloxacin,
moxifloxacin HC1, nalidixic acid, nitrofurantoin, norfloxacin, ofloxacin, rifampicin,
rifabutin, rifapentine, sparfloxacin, spiramycin, sulphabenzamide, sulphadoxine,
sulphamerazine, ulphacetamide, sulphadiazine, sulphafurazole, sulphamethpxazole,
sulphapyridine, tetracycline, trimethoprim, trovafloxacin, and vancomycin;
[0090] anti-viral agents, such as abacavir, amprenavir, delavirdine, efavirenz,
indinavir, lamivudine, nelfinavir, nevirapine, ritonavir, saquinavir, and stavudine;
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WO 2006/130174 PCT/US2005/041275
[0091] anti-depressants, such as amoxapine, bupropion, citalopram, clomipramine,
fluoxetine HC1, maprotiline HC1, mianserin HC1, nortriptyline HC1, paroxetine HC1,
sertraline HC1, trazodone HC1, triraipramine maleate, and venlafaxine HC1;
[0092] anti-epileptics, such as beclamide, carbamazepine, clonazepam, ethotoin,
felbamate, fosphenytoin sodium, lamotrigine, methoin, methsuximide,
methylphenobarbitone, oxcarbazepine, paramethadione, phenacemide,
phenobarbitone, phenytoin, phensuximide, primidone, sulthiame, tiagabine HC1,
topiramate, valproic acid, and vigabatrin;
[0093] anti-fungal agents, such as amphotericin, butenafine HC1, butoconazole
nitrate, clotrimazole, econazole nitrate, fluconazole, flucytosine, griseofulvin,
itraconazole, ketoconazole, miconazole, natamycin, nystatin, sulconazole nitrate,
oxiconazole, erbinafine HC1, terconazole, tioconazole and undecenoic acid;
[0094] anti-gout agents, such as allopurinol, probenecid and sulphinpyrazone;
[0095] anti-malarials, such as amodiaquine, chloroquine, chlorproguanil HC1,
halofantrine HC1, mefloquine HC1, proguanil HC1, pyrimethamine and quinine
sulfate;
[0096] anti-migraine agents, such as dihydroergotamine mesylate, ergotamine
tartrate, frovatriptan, methysergide maleate, naratriptan HC1, pizotifen maleate,
rizatriptan benzoate, sumatriptan succinate, and zolmitriptan;
[0097] anti-muscarinic agents, such as atropine, benzhexol HC1, biperiden,
ethopropazine HC1, hyoscyamine, mepenzolate bromide, oxyphencyclimine HC1 and
tropicamide;
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WO 2006/130174 PCT/US2005/041275
[0098] anti-neoplastic agents and immunosuppressants, such as aminoglutethimide,
amsacrine, azathioprine, bicalutamide, bisantrene, busulfan, camptothecin,
capecitabine, chlorambucil, cyclosporin, dacarbazine, ellipticine, estramustine,
etoposide, irinotecan, lomustine, melphalan, mercaptopurine, methotrexate,
mitomycin, mitotane, mitoxantrone, mofetil mycophenolate, nilutamide, paclitaxel,
procarbazine HC1, sirolimus, tacrolimus, tamoxifen citrate, teniposide, testolactone,
topotecan HC1, and toremifene citrate;
[0099] anti-protozoal agents, such as atovaquone, benznidazole, clioquinol,
decoquinate, diiodohydroxyquinoline, diloxanide furoate, dinitolmide, furazolidone,
metronidazole, nimorazole, nitrofurazone, ornidazole and tinidazole;
[00100] anti-psychotics, such as aripiprazole, clozapine, ziprasidone,
haloperidol, molindone, loxapine, thioridazdne, molindone, thiothixene, pimozide,
fluphenazine, risperidone mesoridazine, quetiapine, trifluoperazine, chlorprotbixene,
chlorproraazine, perphenazine, trifluopromazine, olanzapine;
[00101] anti-thyroid agents, such as carbimazole, paricalcitol, and
propylthiouracil;
[00102] anti-tussives, such as benzonatate;
[00103] anxiolytics, sedatives, hypnotics and neuroleptics, such as alprazolam,
amylobarbitone, barbitone, bentazepam, bromazepam, bromperidol, brotizolam,
butobarbitone, carbromal, chlordiazepoxide, chlormethiazole, chlorpromazine,
chlorprothixene, clonazepam, clobazam, clotiazepam, clozapine, diazepam,
droperidol, ethinamate, fluanisone, flunitrazepam, triflupromazine, flupenthixol
decanoate, fluphenthixol decanoate, flurazepam, gabapentin, haloperidol, lorazepam,
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lormetazepam, medazepam, meprobamate, mesoridazine, methaqualone,
methylphenidate, midazolam, molindone, nitrazepam, olanzapine, oxazepam,
pentobarbitone, perphenazine pimozide, prochloiperazine, pseudoephedrine,
quetiapine, risperidone, sertindole, sulpiride, temazepam, thioridazine, triazolam,
zolpidem, and zopiclone;
[00104] corticosteroids, such as beclomethasone, betamethasone, budesonide,
cortisone acetate, desoxymethasone, dexamethasone, fludrocortisone acetate,
flunisolide, fluocortolone, fluticasone propionate, hydrocortisone,
methylprednisolone, prednisolone, prednisone and triamcinolone;
[00105] anti-parkinsonian agents, such as apomorphine, bromocriptine mesylate,
lisuride maleate, pramipexole, ropinirole HC1, and tolcapone;
[00106] gastrointestinal agents, such as bisacodyl, cimetidine, cisapride,
diphenoxylate HC1, domperidone, famotidine, lansoprazole, loperamide, mesalazine,
nizatidine, omeprazole, ondansetron HCL, rabeprazole sodium, ranitidine HC1 and
sulphasalazine;
[00107] keratolytics, such as acitretin, calcipotriene, calcifediol, calcitriol,
cholecalciferol, ergocalcifetol, etretinate, retinoids, Targretin, and tazarotene;
[00108] lipid regulating agents, such as atorvastatin, bezafibrate, cerivastatin,
ciprofibrate, clofibrate, fenofibrate, fluvastatin, gemfibrozil, pravastatin, probucol,
and simvastatin;
[00109] muscle relaxants, such as dantrolene sodium and tizanidine HC1;
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[00110] nutritional agents, such as calcitriol, carotenes, dihydrotachysterol, essential
fatty acids, non-essential fatty acids, phytonadiol, vitamin A, vitamin B.sub.2, vitamin
D, vitamin E and vitamin K;
[00111] opioid analgesics, such as codeine, dextropropoxyphene, diamorphine,
dihydrocodeine, fentanyl, meptazinol, methadone, morphine, nalbuphine and
pentazocine;
[00112] sex hormones, such as clomiphene citrate, cortisone acetate, danazol,
dehydroepiandrosterone, ethynyl estradiol, finasteride, fludrocortisone,
fluoxymesterone, medroxyprogesterone acetate, megestrol acetate, mestranol,
methyltestosterone, norethisterone, norgestrel, oestradiol, conjugated estrogens,
progesterone, rimexolone, stanozolol, stilbestrol, testosterone and tibolone;
[00113] stimulants, such as amphetamine, dexamphetamine, dexfenfluramine,
fenfluramine and mazindol;
[00114] drugs for rheumatoid arthritis such as methotrexate, auranofin,
aurothioglucose and gold sodium thiomalate;
[00115] drugs for osteoporosis such as alendronate and raloxifene;
[00116] local anesthetics;
[00117] anti-herpes drugs such as acyclovir, valacyclovir and famciclovir;
[00118] anti-emetics such as ondansetron and granisetron;
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[00119] Flavonoids and Isoflavonoids include the anthocyanidins and anthocyanins;
proanthocyanidins; flavan-3-ols; flavonols; flavones; flavanones; isoflavanones; salts
and esters thereof. This development is however, not limited to flavonoid compounds
isolated from plant, part of plant or extracts of Astragalus Membranaceus, but
encompasses any suitable flavonoid compound isolated from different sources or
chemically synthesized. In addition, any suitable known or not yet discovered
flavonoid compound, and isoflavonoid compound, is within the scope of the present
technology. A number of flavonoids and isoflavonoids are described in USDA-Iowa
State University Database on the Isoflavone Content of Foods, Release 1.3-2002, and
in USDA Database for the Flavonoid Content of Selected Foods-2003
(http://www.nal.usda. gov/fnic/foodcomp/Data/isoflav/isoflav.html) and
(http://www.nal.usda.gov/fnic/foodcomp/Data/Flav/flav.html) (both of them herewith
incorporated by reference). It will be evident to any skilled person how to choose the
suitable flavonoid and/or isoflavonoid compound for the purpose of the present
development For example, flavonoid compounds for the purpose of the present
development may be, but are not limited to, (-)-epictechin, (+)-catechin, procyanidin
B2, quercetin dehydrate, taxifolin, resveratrol, and the like.
[00120] Carotenoids, generally are tetraterpenes originating from the mevalonate and
deoxyxylulose phosphate pathways (older sources sometimes refer to their source as
the 'isoprenoid' pathway). Two molecules of the C20 compound
geranylgeranyldiphosphate (GGDP) condense to form the symmetrical carotenoid
skeleton.
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[00121] Carotenoids are divided into two subclasses, i.e., more polar compounds called
xanthophylls, or oxycarotenoids, and the nonpolar hydrocarbon carotenes.
[00122] Terms such as carotenoid analog and carotenoid derivative may generally refer
to in some embodiments chemical compounds or compositions derived from a
naturally occurring carotenoid or simply to synthetic carotenoids. In some
embodiments, terms such as carotenoid analog and carotenoid derivative may
generally refer to chemical compounds or compositions which are synthetically
derived from non-carotenoid based parent compounds; however, which ultimately
substantially resemble a carotenoid derived analog. In certain embodiments, terms
such as carotenoid analog and carotenoid derivative may generally refer to a synthetic
derivative of a naturally occurring carotenoid. Examples of carotenoids are provided
in the book "Carotenoids Handbook," edited by G. Britton et al, 2004, which is herein
incorporated by reference.
[00123] It will be evident to any skilled person how to choose the suitable carotenoid
compound for the purpose of the present development.
[00124] Examples of carotenoids include astaxanthin, zeaxanthin, lutein, lycopene,
beta-carotene.
[00125] Other non-limiting examples of naturally occurring carotenoids include:
Aaptopurpurin; Actinioerythrin; Actinioerythrol; Adonirubin; Adonixanthin; A.g.470;
A.g.471; Agelaxanthin C; Aleuriaxanthin; Alloxanthin; Amarouciaxanthin A;
Amarouciaxanthin B; Anchovyxanthin; 3,4'-Anhydrodiatoxanthin;
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Anhydrodeoxyflexixantbin; Anhydroeschscholtzxanthin; Anhydrolutein;
Anhydroperidinin; Anhydrorhodovibrin; Anhydrosaproxanthin; Anhydrowarmingol;
Arihydrowarmingone; Antheraxanthin; Aphanicin; Aphanicol; Aphanin; Aphanol;
Aphanizophyll; 8'-Apo-beta-caroten-8'-al; l0'-Apo-beta-caroten-l0'- al; 12'-Apo-beta-
caroten-12'al; 14'-Apo-beta-caroten-14'-al; 6'-Apo- psi-caroten-6'-al; 8'-Apo-psi-
caroten-8'-al; beta-Apo-2-carotenal; beta-Apo-3-carotenal; beta-Apo-4-carotenal;
beta-Apo-2'-carotenal; beta-Apo-8'-carotenal; beta-Apo-l0'-carotenal; beta-Apo-12'-
carotenal; beta-Apo-14'-carotenal; Apo-8,8'-carotenedial; 8'-Apo-beta- carotene-3,81-
diol; 4'-Apo-beta-caroten-4'-oic acid; 8'-Apo-beta- caroten-8'-oic acid; l0'-Apo-beta-
caroten-l0'-oic acid; 12'-Apo-beta- caroten-12'-oic acid; beta-Apo-2'-carotenoic acid;
beta-Apo-2'- carotenoic acidmethylester; beta-Apo-8'-carotenoic acid; beta-Apo-10'-
carotenoic acid; beta-Apo-12'-carotenoic acid; 8'-Apo-beta- caroten-3-ol; beta-Apo-21-
carotenol; Apo-7-fucoxanthinol; Apo-2- lycopenal; Apo-3-lycopenal; Apo-61
lycopenal; Apo-8'-lycopenal; Apo-101- violaxanthal; Apo-12'-violaxanthal;
Apoviolaxantbinal; Apo-2-zeaxantbinal; Apo-3-zeaxanthinal; Apo-4-zeaxantbinal;
Astacein; Astacene; Astacene dipalmitate; Astaxanthin; Asterinic acid;
Asteroidenone; Asym. zeta- carotene; Aurochrome; Auroxanthin; Azaftin;
Azafrinaldehyde;
[0126] Bacterial phytoene; Bacterioerythrin alpha; Bacterioerythrin beta;
Bacteriopurpurin alpha; Bacterioruberin; alpha-Bacterioruberin; Bacterioruberin
diglycoside; Bacterioruberin monoglycoside; alpha-Bacterioruberin monomethyl
ether; Bisanhydrobacterioruberin; 3,4,3,4'-Bisdehydro-beta-carotene;
Bisdehydrolycopene; 2,2'-Bis(4-hydroxy-3-methyl-2-butenyl)-beta,beta-carotene;
2,2l-Bis[3-(glucosyloxy)-3-methylbutyl]-3,4,3,s4'-tetradehydro-l,2,ll,21-tetrahydro-
psiJpsi-carotene-l,ll-diol;2,2'-Bis[4-(beta,D-glucopyranosyloxy)-3-methyl-2-
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butenyl]-gamma,gamma-carotene; 2,2'-Bis(4-hydroxy-3-metiiyl-2-butenyl)-
gamma,gamma-carotene;2,2'-Bis(4-hydroxy-3-methyl-2-butenyl)-[epsi],[epsi]-
carotene;2J2'-Bis(3-hydroxy-3-methylbutyl-3,4,3l,4l-tetradehydro-l,2,l,2'tetrahydro-
psi,psi- carotene-l,l'-diol; 2,2'-Bis(3-methyl-2-butenyl)-[epsi],[epsi]-carotene; 2,2'-
Bis-methyl-butenyl-S.S'-tetradehydro-l -dihydro-psi.psi -caroten-1 -ol; 2,2'-
Bis(3-methyl-2-butenyl)-3,4,3',4l-tetradehydro-,r,2'-tetrahydro-psi,psi-carotene-
l,-diol;2,2l-Bis(3-methyl-2-butenyl)-l,22'-tetrahydro-psi,psi-carotene-l,r-diol;
2,2'-Bis(O-methyl-5-C-metb.ylpentosyloxy)-3,4,3',4'-tetradehydro-l,2,2-
tetrahydropsi, psi-carotene-l.l'-diol; 3,3'-Bis(rhamnosyloxy)-beta,beta-carotene; 2,2'-
Bis(rhamnosyloxy)-3,4,3 ',4'-tetradebydro-1,2,1 ',2'-tetrahydro-psi, psi-carotene-1,1'-
diol; Bixin;
[0127] Caloxanthin; Calihaxanthin; Canthaxanthin; Capsanthin; Capsantbin epoxide;
Capsanthinone; Capsanthone; Capsochrome; Capsorubin; Capsorubindione;
Capsorubone; Carangoxantbin; 16'-Carboxyl-3',4'-dehydro- gamma-carotene;
Carcinoxanthin; Caricaxanthin; beta-Carotenal; psi, psi-Caroten-20-al; Carotene;
Carotene X; alpha-Carotene; beta- Carotene; beta,beta-Carotene; beta,gamma-
Carotene; beta,[epsi]- Carotene; beta,[phi]-Carotene; beta,psi-Carotene; gamma-
Carotene; gamrna,gamma-Carotene; gamma,psi-Carotene; [delta]-Carotene; [epsi] -
Carotene; [epsi] (l)-Carotene; [epsi],[epsi]-Carotene; [epsi],psi -Carotene; zeta-
Carotene; zeta-Carotene, asym.; eta-Carotene; [theta]-Carotene; xi-Carotene; [phi]-
Carotene; [phi],[phi]-Carotene; [pbi],X-Carotene; [phi],psi-Carotene; X,X-Carotene;
psi-Carotene; psi,alpha-Carotene; psi,psi-Carotene; [theta-Carotene; beta- Carotene-
5,6,5',6'-diepoxide; beta-Carotene 5,8,5',8'-diepoxide; beta, beta-Carotene'-diol;
beta,beta-Carotene-2,3-diol; beta,beta- Carotene-3,4-diol; beta,beta-Carotene-3,3'-
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diol; beta,beta- Carotene-4,4'-diol; beta,[epsi]-Carotene-3,2'-diol; beta,[epsi]-
Carotene-3,3'-diol; beta,psi-Carotene-2,3-diol; beta,psi-Carotene- 3,3'-diol;
[epsi],[epsi]-Carotene-3,3'-diol; [phi],[phi]-Carotene-3,3'- diol; psi,psi-Carotene-
16,16'-diol; beta,beta-Carotene-3,3'-diol dipalmitate; beta,[epsi]-Carotene-3,3'-diol
dipalmitate; beta,beta- Carotene-2,2'-dione; beta,beta-Caxotene-3,4-dione; beta,beta-
Carotene-4,4'dione; beta,psi-Carotene-3,4-dione; [epsi],[epsi]- Carotene-3,3'-dione;
beta,chi-Carotene-3',6'-dione; beta,X-Carotene- 3,4-dione; beta,psi-Carotene-4,4'-
dione; beta,[phi]-Carotene-3,4- dione; psi,psi-Carotene-4,4'-dione; alpha-Carotene
5,6-epoxide; beta-Carotene 5,6-epoxide; zeta-Carotene epoxide; Carotene oxide;
beta,beta-Carotene-3,4,3',4'-tetrol; beta,beta-Carotene-2,3,2',3'- tetrol; beta,beta-
Carotene-'-tetrone; chi,chi-Carotene-3, 6s3',6-tetrone; beta,beta-Carotene-
2,3,2'-triol; beta,beta- Carotene-2,3,3'-triol; beta.beta-Carotene-S^^'-triol; beta,beta-
Carotene-3,4,4'-triol; beta,[epsi]-Carotene-3,4,3'-triol; beta,[epsi]- Carotene-3,19,31-
triol; beta,[epsi]-Carotene-3,20,3'-triol; beta, beta-Carotene-3,4,4'-trione; beta.beta-
Caroten-2-ol; beta,beta- Caroten-3-ol; beta,beta-Caroten-4-ol; beta,[epsi]-Caroten-2-
ol; beta,[epsi]-Caroten-3-ol; beta,[epsi]-Caroten-3'-ol; beta,[epsi]- Caroten-4-ol;
beta,[phi]-Caroten-3-ol; beta,X-Caroten-3-ol; beta, psi-Caroten-3-ol; beta,psi-
Caroten-4'-ol; [epsi],psi-Caroten-3-ol; [phi],[phi]-Caroten-3-ol; [phi],[phi]-Caroten-
I6-0I; [phi][phi]-Caroten- 20-ol; Carotenonaldehyd; beta-Carotenone; beta,beta-
Caroten-2-one; beta,beta-Caroten-4-one; beta,[epsi]-Caroten-2-one; beta,[epsi]-
Caroten-4-one; beta,psi-Caroten-4-one; gamma-Caroten-4-one; alpha- Carotene;
Celaxanthin; Chiriquixanthin A; Chiriquixanthin B; Chlorellaxanthin; Chlorobactene;
Chloroxanthin; Chrysanthemaxanthin; Citranaxanthin; alpha-Citraurin; beta-Citraurin;
beta-Citraurinene; beta-Citraininol; Citroxantbin; Compound X; C.p.:
Corynebacterium poinsettiae; Corynexanthin; Corynexanthin glucoside; C.p.; C.p.;
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C.p.; Crocetin; gamma-Crocetin; Crocetindial(dehyde); Crocetin diglucosyl ester,
Crocetin dimethyl ester; Crocetin gentiobiosyl glucosyl diester; Crocetin glucosyl
methyl diester; Crocetin monogentiobiosyl ester; Crocetinsemialdehyde; Crocin;
Crocoxanthin; Crustaxanthin; Cryptocapsin; Cryptocapsone; Cryptochrome; alpha-
Cryptoeutreptiellanone; beta- Cryptoeutreptiellanone; Cryptoflavin;
Cryptomonaxanthin; Cryptoxanthene; Cryptoxanthin; alpha-Cryptoxanthin; beta-
Cryptoxanthin; Cryptoxanthin 5,6,5',6' diepoxide; Cryptoxanthin 5,6,5',8' diepoxide;
Cryptoxanthin 5,8, 5',8' diepoxide; Cryptoxanthin 5,6-epoxide; Cryptoxanthin 5,8-
epoxide; Cryptoxanthol; Cucurbitaxanthin; Cyclic zeta-carotene; Cynthiaxanthin;
Decahydro-beta-carotene; 1,2,7,8,11,12,7',8', 11', 12'- Decahydro-psi,psi-carotene;
7,8,11,12,15,7',8',1 l',12',15' Decahydro- psi,psi-carotene; 1,2,7,8,11,12,7',8',1l',12'-
Decahydro-psi,psi- caroten-l-ol; Decahydrolycopene; Decaprenoxanthin;
Decaprenoxanthin diglucoside; Decaprenoxanthin monoglucoside;
Deepoxyneoxanthin; Dehydro- see also Bisdehydro-, Didehydro-,
MonodehydroDehydroadonirubin; Dehydroadonixantbin; Dehydrocarotene II;
Dehydrocarotene III; Dehydro- beta-carotene; 3,4-Dehydro-beta-carotene; 3',4'-
Dehydro-gamma- carotene; S'-Dehydrocryptoxanthin; Dehydrogenans-P;
Dehydrogenans-P; Dehydrogenans-P; Dehydrogenans-P; Dehydrogenans-P 439
mono-OH; dehydrogenans-Phytoene; dehydrogenans-Phytofluene;
Dehydrohydroxyechinenone; 3'-Dehydrolutein; 3,4-Dehydrolycopen-l6-al;
Dehydrolycopene; 3,4-Dehydrolycopene; 15,15'-Dehydrolycopersene; 7',8', 11', 12'-
Dehydrononapreno xanthin; ll',12'-Dehydrononaprenoxanthin; 3',4'-Dehydro-17 '(or
18')-oxo-gamma-carotene; Dehydropapilioerythrin; 11,12-Dehydrophytoene; ll',12'-
Dehydrophytoene; 2'-DehydropIectaniaxanthin; Dehydroretrocarotene; 3,4-
Dehydrorhodopin; Dehydrorhodovibrin; 3',4'- Dehydrorubixanthin; Dehydrosqualene;
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7,8,7',8'-Dehydrozeaxanthin; 7,8- Dehydrozeinoxanthin; Demethyl(ated) spheroidene;
Deoxyflexixanthin; Deoxylutein I; Deshydroxydecaprenoxanthin; Diadinochrome;
Diapocarotene-6,6'-dioic acid; 8,8'-Diapocarotene-8,8'-dioic acid; 4,4'-Diapocaroten- .
4-oic acid; 4,4'-Diaponeurosporene; 4,4'- Diaponeurosporen-4-oic acid; 4,4'-
Diapophytoene; 4,4'-Diapophytofluene; 4,4'-Diapo-7,8,ll,12-tetrahydro lycopene;
Diatoxanthin; Didehydro-, see also Dehydro-, Monodehydro 3',4'-Didehydro-2'-apo-
beta-caroten-2-al; 34'-Didehydro-2'-apo-beta-caroten-2'-ol; 7,8-
Didehydroastaxanthin; 3', 4l-Didehydro-beta,psi-caroten-16'-al; 3,4-Didehydro-
psi,psi- caroten-16-al; 3,4-Didehydro-beta,beta-carotene; 4,4'-Didehydro-beta -
carotene; 3,4-Didehydro-beta,[epsi]-earotene; 3,4-Didehydro-beta, [phi]-carotene;
3,4-Didehydro-beta,X-carotene; 3',4'-Didehydro-beta, psi-carotene; 3',4'-Didehydro-
gamma,psi-carotene; 7,8-Dideb.ydro- [phi],[phi]-carotene; 7,8-Didehydro-[phi],X-
carotene; 3,4-Didehydro-psi, psi-carotene; 7,8-Didehydro-beta,beta-carotene-3,3'-diol;
7,8- Didehydro-beta,[epsi]-carotene-3,3'-diol; 3,4-Didehydro-beta,beta- carotene-2,2'-
dione; S'-Didehydro-betajpsi-caroten-16-oic acid; 4'-Didehydro-beta.beta-
caroten-3-ol; 3',4'-Didehydro-beta,beta- caroten-4-ol; 7,8-Didehydro-beta,[epsi]-
caroten-3-ol; 7,8-Didehydro- beta,[phi]-caroten-3-ol; 7,8-Didehydro-beta,X-caroten-
3-ol; 3',4'- Didehydro-beta,psi-caroten-3-ol; 3'-'Didehydro-betajpsi-caroten- 16'-ol;
3',4'-Dideliydro-beta,psi-caroten-l 8'-ol; 3',4'-Didehydro- beta,beta-caroten-4-one;
3',4'-Didehydro-beta,psi-caroten-4-one; 7',8l-Didehydro-beta,beta-carotene3,4,3l-triol;
3,4-Didehydro-1,2- dihydro-psi,psi-carotene; 3,4-Didehydro-l ,2-dihydro-psi,psi-
caroten-20-al;6,7-Didehydro-5,6-dihydro-beta,beta-carotene-3,3'-diol;3',4'-
Didehydro-l',2'-dihydro-beta,psi-carotene-3,r-diol;3',4'-Didehydro-ll,2l-dihydro-
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beta,psi-carotene-r,2l-diol;3',4'-Didehydro-r,2l-dihydro-beta,psi-carotene-4,2l-
dione; 3,4-Didehydro-l,2-dihydro- psi,psi-carotene-l,2-diol; 7',8'-Didehydro-5,6-
dihydro-beta,beta-carotene-3,5,6,3'-tetrol;6J7-Didehydro-5,6-dihydro-beta,beta-
carotene-3,5,3'-triol; 7-8'-Didehydro-5,6-dihydro-beta,beta-carotene- 3,5,3'-triol; 3',4'-
Didehydro-1 ',2'-dihydro-beta,psi-carotene-2,1 ',2- triol; 1', 16'-Didehydro-1 2-
dihydro-beta,psi-caroten-2'-ol; 3',4'- Didehydro-1,2'-diliydro-beta,psi-caroten-l '-ol;
S'-Didehydro-l',- dihydro-beta,psi-caroten-2'-ol; 3,4-Didehydro-l,2-dihydro-
psi,psi- caroten-1-ol; S'-Didehydro-lS'-hydroxy-gamma-carotene; 7,8-
Didehydroisorenieratene; 3',4'-Didehydro-4-keto-gamma-carotene; 7,8-
Didehydrorenieiatene;4',5l-Didehydro-4,5'-retro-beta,beta-carotene;4l,5'-Didehydro-
4,5'-retro-beta,psi-carotene; Didehydroretro-gamma- carotene; 4',5I-Didehydro-4,5I-
retro-beta,beta-carotene-3,3'-diol;4', 5'-Didehydro-4,5'-retro-beta,beta-carotene-3,3'-
dione; l0'.ll- Didehydro-5,8,11',121 tetrahydro-10'-apo-beta-carotene-3,5,8-triol; 6',
7'-Didehydro-5,6,5',6l tetrahydro-beta,beta-carotene-3,5,6,3l,5l- pentol; 6,7-
Didehydro-5,6,5',6'-tetohydro-beta,beta-carotene-3,5,3', 5' tetrol; 3,4-Didehydro-
l,2,7',8'-tetra hydro-psi,psi-caroten-l-ol; Didehydrotrikentriorhodin; 7,8-
Didehydrozeaxanthin; Didemethylated spirilloxantbin; l,2,l',2'-Diepoxy-2,2'-b is (3-
hydroxy-3-methylbutyl)3,4- didehydro-1,2,1 ^'-tetrahydro-psi.psi-carotene; Diepoxy-
beta- carotene; 5,8,5',8'-Diepoxycryptoxanthin; 5,6,5',6'-Diepoxy-5,6,5',6'- tetrahydro-
idehydro-1 ',2'-dihydro-beta,psi-carotene-2,1 ',2- triol; 1', 16'-Didehydro-1 2-
dihydro-beta,psi-caroten-2'-ol; 3',4'- Didehydro-1,2'-diliydro-beta,psi-caroten-l '-ol;
S'-Didehydro-l',- dihydro-beta,psi-caroten-2'-ol; 3,4-Didehydro-l,2-dihydro-
psi,psi- caroten-1-ol; S'-Didehydro-lS'-hydroxy-gamma-carotene; 7,8-
Didehydroisorenieratene; 3',4'-Didehydro-4-keto-gamma-carotene; 7,8-
Didehydrorenieiatene;4',5l-Didehydro-4,5'-retro-beta,beta-carotene;4l,5'-Didehydro
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beta,beta-caroten-3-ol; 5,6,5',8'-Diepoxyzeaxanthin; 5,8,5',8'-Diepoxyzeaxanthin;
Digentiobiosyl 8,8'-diapocarotene-8,8'-dioate; Di-(beta,D-glucopyranosyi)-4,4'-
diapocarotene-4,4'-dioate; Diglucosyl 8,8'-diapocarotene-8,8'-dioate;
Dihydroanhydrorhodovibrin; 9',10'-Dihydro-9'-apo-beta-carotene-3,9'- dione; 9',10'-
Dihydro-9'-apo-[epsi]-carotene-3,9'-dione; 7',8'-Dihydro-7'-apo-beta-caroten-8'-one;
5',6'-Dihydro-5'-apo-18'-nor-beta-caroten-6'- one; 7,8-Dihydroastaxantbin; beta-
Dihydrocarotene; l,l'-Dihydro-beta-carotene; 3,4-Dihydro-beta-carotene; 7,7'-
Dihydro-beta-carotene; 7, 8'-Dihydro-beta,psi-carotene; 7',8'-Dihydro-gamma-
carotene; 7',8'- Dihydro-gamma,psi-carotene; 7l,8'-Dihydro-[delta]-carotene; 7',8'-
Dihydro-[epsi],psi-carotene; 1,2-Dihydro-zeta-carotene; 1,2-Dihydro- psi,psi-
carotene; 7,8-Dihydro-psi,psi-carotene; 7,8-Dihydro-beta ,beta-carotene 3,3'-diol;
7,8'-Dihydro-beta,psi-carotene 3,17'- diol;9'.l0'-Dihydro-beta,psi-carotene-3,17-diol;
7,8'-Dihydro- [epsi],psi-carotene-3,17'-diol; l,2-Dihydro-psi,psi-carotene-l,20- diol;
5,6-Dihydro-beta,beta-carotene 3,5,6,3'-tetrol; 5,6-Dihydro- beta,beta-carotene 3,5,3'-
triol; r,2'-Dihydro-beta,psi-caroten l'-ol; 7',8'-Dihydro-beta,psi-caroten3-ol; l',2'-
Dihydro-[phi],psi- caroten-l'-ol; l,2-Dihydro-psi,psi-caroten-l-ol; 5,6-Dfliydro-beta,
beta-carotene-3,5,6,3'-tetrol; 5,6-Dihydro-beta,[epsi]-carotene-3,5,6,3'-tetrol; 7,8 (or
7',8)-Dihydrodecaprenoxanthin monoglucoside; l',2'- Dihydro-3',4'-dehydro-3,4-
dihydroxy-gamma-carotene; l,2-Dihydro-3,4- dehydrolycopene; l,2-Dihydro-3,4-
dehydro-1-OH-lycopene; 7,8-Dihydro-4,4'- diapocarotene; 7.8'-Dihydro-
diapocaroten-4-al; 7',8'-Dihydro-4,4'- diapocaroten-4-oic acid; r-Dihydro-3,4'-
didehydro-3,l'-dihydroxy- ganuna-caroten-2'yl rhamnoside; l'-Dihydro-1-
dihydroxy-4- ketotorulene; l',2'-Dihydro-3,1-dihydroxytorulene glucoside; l',2'-
Dihydro-3,1dihydroxytorulene rhamnoside; r,2'-Dih.ydro-4,2'- diketotorulene; 3'-
Dihydro-[boxH]-doradecin; 1,2'-Dihydro-1'-glucosyl-3,4-dehydrotorulene; l',2'-
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Dihydro-l'-glucosyl-4-ketotorulene; 1,2'- Dihydro-l'-hydroxy-gamma-carotene; l',2'-
Dihydro-11-hydroxychiorobactene; l'-Dihydro-2-hydroxy-3,4'-dehydro-4,keto-
gamma-carotene; 1,2'-Dihydro-r-hydroxy-3,4-dehydrotorulene glucoside; l',2'-
Dihydro-1-hydroxy-4-keto-gamraa-carotene; r,2'-Dihydro-r- hydroxy-4-
ketotorulene; 1,2'-Dihydro-1-hydroxy-4-ketotorulene glucoside; l'^'-Dihydro-l'-
hydroxysphe roideneone; 1,2'-Dihydio-l'-hydroxytorulene glucoside; l',2'-Dihydro-
1-hydroxytorulene rhanmoside; 1,2-Dihydrolycopene; l',2'-Dihydrolycopene; 7,8-
Dihydrolycopene; 1,2- Dihydro-l-methoxy-lycopen-20-al; Dihydromethoxylycopene;
5,6-Dihydro-4- methoxy-lycopen-6-one; 1,2-Dihydroneurosporene; l',2'-
Dihydroneurosporene; 1,2-Dihydro-l-OH-lycopene; 1,2'-Dihydro-l'-OH-torulene; 2'-
Dihydrophillipsiaxanthin; Dihydrophytoene; 1,2-Dihydrophytoene; l',2'-
Dihydrophytoene; 1,2-Dihydrophytofluene; 1,2'-Dihydrophytofluene; 7,8-Dihydro-
8,7'-retro-beta,beta-carotene; 7,8'-Dihydrorhodovibrin; 7,8 (or 7',8')-
Dihydrosarcinaxanthin; 3,4-Dihydrospheroidene; 1,12'-Dihydrospheroidene; 3,4-
Dihydrospirilloxanthin; 3,3'- Dihydroxycanthaxanthin; 3,3'-Diliydroxy-alpha-
carotene; 3,4-Dihydroxy- beta-carotene; 2,3-Dihydroxy-beta,beta-carotene-4,4'-dione;
3,3'- Dihydroxy-[epsi]-carotene; 2,3'-Dihydroxy-beta,beta-carotene-4,4'- dione; 3,3'-
Dihydroxy-beta)beta-carotene-4,4'-diorxe;3,3'-Dihydroxy-beta,[epsi]-carotene-4,2l-
dione; 3,3'-Dihydroxy-beta,Chi-carotene, 6'-dione; 3,3'-Dihydroxy-chi,chi-carotene-
6,6'-dione; 2,3-Dihydroxy- beta,beta-caroten-4-one; 3,3'-Dihydroxy-beta,beta-
caroten-4-one; 3,2'-Dihydroxy-beta,[epsi]-caroten-4-one; 3,3'-Dihydroxy-beta,[epsi]-
caroten-4-one; S^'-Dihydroxy-betahi-caroten-e'-one; 3,8-Dihydroxy- chi,X-caroten-
6-one; 3,3'-Dihydroxydeh S.S'-Dihydroxy^.SJydro-beta-carotene; 3,3'- Dihydroxy-7,8-dehydro-beta-
carotene;'.ihydroxy-beta,[epsi]-caroten; 3,3'-Diliydroxy-7,8-
dehydro-beta-carotene-5,6-epoxide; 3,3'-Dihydroxy-2,3-didehydro-beta,beta-
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carotene-4,4'-dione;3,3'-Dihydroxy-7,8-didehydro-beta,beta-carotene-4,4l-dione;
3',8'- Dihydroxy-didehydro-beta.chi-carotene--dione; 3,3'-Dihydroxy- 2,3-
didehydro-beta,beta-caroten-4-one; -Dihydroxy--didehydro-betajbeta-caroten-
4-one; 3,4'-Dihydroxy-2,3-didehydro-beta,beta- caroten-4-one; 3,3'-Dihydroxy-2,3-
didehydro-beta,[epsi]-caroten-4-one; 3,8-Dihydroxy-7',8'-didehydro-chi,X-caroten-6-
one; 3,6'-Dihydroxy-7,8- didehydro-6',7-dihydro-beta,[epsi]-carotene-3l,8'-dione; 3,3'-
Dihydroxy- 7,8-didehydro-7',8'dihydro-beta,chi-carotene-6l,8l-dione; 3,1'- Dihydroxy-
3',4'-didehydro-r,2'-dihydro-beta,psi-caroten-4-one; 1 ',2'- Dihydroxy-3',4'-didehydro-
l',2'-dihydro-beta,psi-caroten-4-one;3,5-Dihydroxy-6,7-didehydro-5,6,7',8l-
tetrah.ydro-7l-apo-beta-caroten-8'-one;6,3'-Dihydroxy-7l,8'-didehydro-5,6,7,8-
tetrahydro-beta,beta-carotene-3,8-dione;3,3'-Dihydroxy-5,8,5',8l-diepoxy-beta-
carotene; 5,6- Dih.ydroxy-5,6-dihydro-10'-apo-beta-caroten-10'-al; 5,6-Dihydroxy-5,6-
dihydro-lO'-apo-beta-caroten-lO'-oicacid; 5,6-Dihydroxy-5,6-dihydro 12-apo-beta-
caroten-12'-oic acid; 3,3'-Dib.ydroxy-7,8-dihydro-beta, beta-carotene-4,4'-dione; 3,1'-
Dihydroxy-r,2'-dihydrotorulene; r,2'- Dihydroxy-r,2'-dihydrotorulene; 3,3'-
Dihydroxy-4,4'-diketo-beta-carotene; 3,3'-Dihydroxy-2,2'-dinor-beta,beta-carotene-
4,4'-dione-3,3'-diacylate; 3,19-Dihydroxy-3',6'-dioxo-7,8-didehyro-beta,chi- caroten-
17-al; 1,1 '-Dihydroxy-2,2'-dirhamnosyl-l,2,1 ',2'-tetrahydro-3,4, 3',4'-
tetrahydrolycopene; 3,3'-Dihydroxyechinenone; 3,3'-Dihydroxy-5,6- epoxy-
alphacarotene; 3,3'-Dihydroxy-5,8-epoxy-alpha-carotene; 3,3'- Dihydroxy-5,6-epoxy-
beta-carotene; 3,3'-Dihydroxy-5,8-epoxy-beta- carotene; 2-(Dihydroxyisopentenyl)-
2'-isopentenyl-beta-carotene; 3,3'- Dihydroxyisorenieratene; 3,3'-Dihydroxy-4-keto-
gcarotene; 3,3'- Dihydroxyluteochrome; Dihydroxylycopene; 3,r-Dihydroxy-2'-(5-C-
methylpentosyloxy)-3',4'-didehydro-ll,2'-dihydro-beta,psi-caroten-4-one;
Dihydroxyneurosporene; 2',3'-Dihydroxy-2-nor-beta,beta-carotene- 3,4-dione; 3,3'-
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Dihydroxy-2-nor-13-beta,beta-carotene-4,4'-dione-3-acylate;3,3'-Dihydroxy-2-nor-
13-beta,beta-carotene-4,4'-dione-3,3'- di-acylate; 1,2-Dihydroxyphytofluene;
Dihydroxypirardixanthin; 3,3'- Dihydroxyretro-beta-carotene; 3,3'-Dihydroxy-
2,3,2l,3l-tetradehydro-beta,beta-carotene-454'-dione;3)3'-Dihydroxy-7,8,7l;8l-
tetradehydro-beta,beta-carotene-4,4'-dione;3,3'-Dihydroxy-2s3,2l53l-teradehydro-
beta,beta-carotene-4,4'-dione dipalmitate; 3,3'-Dihydroxy-7,8,7',8'- tetradehydro-
beta,beta-caroten-4-one; 1,1'-Dihydroxy-3,4,3,4-tetradehydro-l,2,1,2'-tetrahydrod-
psi,psi-carotene-2,2'-dione; 3,8'- Dihydroxy-5',6',7^8'-te1iahydro-5'-apo-l 8'-nor-beta-
caroten-6'-one; 1, 1-Dihydroxy-l,2,1,2'-tetrahydro-zeta-carotene; 5,5'-Dihydroxy-
5,6,5', tetradehydro-beta,beta-carotene-454'-dione;3,3'-Dihydroxy-7,8,7;8-
tetrahydro-cbi,chi-carotene-6,6'-dione; 9',10'-Dihydro-beta- zeacarotene 3,17'-iol;
Diketo-, see also Dioxo- or -dione 2,2'- Diketobacterioruberin; 3,4-Diketo-beta-
carotene; 4,4'-Diketo-beta- carotene; 4,4'-Diketo-gamma-carotene; 4,4'-
Diketocynthiaxanthin; 3,3'- Diketodehydro-beta-carotene; 4,4'-Diketolycopene;
Diketopirardixanthin; 3,3'-Diketoretro-beta-carotene; 3,3'-Diketoretrodehydro-beta-
carotene; 2,2'-Diketospirilloxanthin; 4,4'-Diketo-7,8,7',8l-tetrade hydrozeaxanthin;
3,3'-Dimethoxy-beta,beta-carotene; 3,3'-Dimethoxy- beta,[epsi]-carotene; 3,3'-
Dimethoxy-ganuna-carotene; 3,3'-Dimethoxy- 3',4'-dehydro-gainma-carotene; 1,1'-
Dimethoxy-3,4-didehydro-1,2,1 ',2',7', 8'-hexahydro-psi,psi-carotene; 1,1 '-Dimethoxy-
3,4-didehydro-l,l',2', 7',8'-hexahydro-psi,psi-caroten-2-one; l,l'-Dimethoxy-3,4-
didehydro- 1,2,1 ',2'-tetrahydro-psi,psi-carotene; 1,1 '-Dimethoxy-3 ',4'-didehydro-1,
2,1 ',2'-tetrahydro-psi,psi-caroten-4-one; 1,1 '-Dimethoxy-1,2,7,8,1', 2'-hexahydro-
psi,psi-carotene; l,l'-Dimethoxy-l,2,7,8,11,12,1,2,'- octahydro-psi,psi-carotene; 1,1'-
Dimethoxy-3,4,3',4'-tetradehydro-1,2,1 ',2l-tetrahydro-psi,psi-carotene; 1,1'-
Dimethoxy-3,4,3',4'-tetradehydro-1,2,1 ',2-tetrahydro-ps,psi-carotene-2,2-dione;
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1,1'- Dimethoxy-l,2,1,2-tetrahydro-psi,psi-caroten-20-al; 1,1'-Dimethoxy- 1,2,1',2'-
tetrahydro-psi,psi-carotene; 1,1 '-Dimethoxy-1,2,1 ',2'- tetrahydro-psi,psi-carotene-4,4'-
dione; 1,1 '-Dimethoxy-1,2,1,2- tetrahydrolycopene; l.l'-Dimethoxy-l,1,2,2'
tetrahydroneurosporene;Dimethylcrocetin;Dimethyl-6,6'-diapocarotene-6,6-dioate;
Dimethyl-8,8-diapocarotene-8,8-dioate:Dineapolitanosyl-8,8'-diapocarotene-8,8'-
dioate; 2,2-Dinor-beta,beta-carotene-3,4,3',4'tetrone; Dinoxanthin; 3, 3'-Dioxi-4-oxo-
beta-carotene; Dioxo-, see also Diketo- or -dione 5,6- Dioxo-10'-apo-5,6-seco-beta-
caroten-l0'-al; 5,6,5',6'-Diseco-beta, beta-carotene 5,6,5',6'-tetrone;
7,8,1 l,12J13,14,15,7,8,11,1,2',15-Dodecahydro-13,15':14,15'biscyclo-15,15,-seco-
psi,psi-caroten-15-ol; Dodecahydrolycopene; alpha-Doradecin; beta-Doradecin;
alpha- Doradexanthin; beta-Doradexanthin;
[0128] Echinenone; Echininone; Eloxantbin; 6-Epikarpoxanthin; 3'- Epilutein; 5,6-
Epoxy-alpha-carotene; 5,8-Epoxy-alpha-carotene; 5,8-Epoxy-beta-carotene; 1,2-
Epoxy-1,2,7,8,11,12,7',8',1 l',12'-decahydro- psi,psi-carotene; 5,6-Epoxy-7',8'-
dideb.ydro-5,6-dihydro-beta,beta-carotene-3,3'-diol; 5,8-Epoxy-7',8'-didehydro-5,8-
dihydro-beta,beta-carotene-3,3'-diol; l',2'-Epoxy-3,4-didehydro-l,2'-dihydro-
beta,psi- caroten-2-ol; 5,8-Epoxy-alpha-carotene; 5,8-Epoxy-beta-carotene; 1,2-
carotene-3,5,19 (or 19'), 3'-tetrol; 5l,6'-Epoxy-6,7-didehydro-5,6,5l,6l- tetrahydro-
beta,psi- caroten-2-ol; 5,8-Epoxy-alpha-carotene; 5,8-Epoxy-beta-carotene; 1,2-
beta,beta-carotene-3,5,3'-triol 3-acetate; 5',8'- Epoxy-6,7-didehydro-5,6,5',8'-
beta,psi- caroten-2-ol; 5,8-Epoxy-alpha-carotene; 5,8-Epoxy-beta-carotene; 1,2-
carotene-3,12'-diol; 5,8- Epoxy-5,8-dihydro-10'-apo-beta-carotene-3,10'-diol; 5,8-
Epoxy-5,8-dihydro-12'-apo-beta-carotene-3,12'-diol; 5,6-Epoxy-5,6-dihydro-beta,
beta-carotene; 5,8-Epoxy-5,8-dihydro-beta,beta-carotene; 5,6-Epoxy- 5,6-dihydro-
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beta,[epsi]-Ecarotene; 5,8-Epoxy-5,8-dihydro-beta,[epsi]- carotene; 1,2-Epoxy-l,2'-
dihydro-beta,psi-carotene; l',2'-Epoxy- l',2'-dihydro-[epsi]5psi-carotene; 1,2-Epoxy-
l,2-dihydro-psi,psi- carotene; 5,6-Epoxy-5,6-dihydro-psi,psi-carotene; 5,6-Epoxy-5,6-
dihydro-beta,beta-carotene-3,3'-diol; 5,8-Epoxy-5,8-dihydro-beta, beta-carotene-3,31-
diol; 5,6-Epoxy-5,6-dihydro-beta,[epsi]-carotene-3, 3'-diol; 5,6-Epoxy-5,6-dihydro-
beta,[epsi]-carotene-3,3'-dioldipalmitate; 5,8-Epoxy-5,8-dihydro-beta,[epsi]-
carotene-3,3'-diol; 5,6- Epoxy-5,6-dihydro-betaepsi-carotene-3,3'-triol; 5,8-
Epoxy-5,8- dihydro-beta,[epsi]-carotene-3,3',6'-triol; 5,6-Epoxy-5,6-dihydro-beta,
beta-caroten-2-ol; 5,6-Epoxy-5,6-dihydro-beta,beta-caroten-3-ol; 5,8-Epoxy-5,8,
dihydro-beta,beta-caroten-3-ol; 5,6-Epoxy-5,6- dihydro-beta,[epsi]-caroten-2-ol; 5,6-
Epoxy-5,6-dihydro-beta,psi-caroten-3-ol; 5,8-Epoxy-5,8-dihydro-beta,psi-caroten-3-
ol; 5,8-Epoxy- 3,3'-dihydroxy-alpb.a-carotene; 5,6-Epoxy-3,3'-dihydroxy-
7',8'didehydro-5,6,7,8-tetrahydrod-beta,beta-caroten-8-one; 5',6'-Epoxy-3,3'-
dihydroxy-7,8-didehydro-5,6'-dihydro-lO,1 l,20-trinor-beta,beta- caroten-19',11'-
olide; 5,6, Epoxy-3,3-dihydroxy-4,7, didehydro-5,6 dihydro-10,11,20-trinor-
betajbeta-caroten-19-olide 3-acetate; 5', 6'-Epoxy-3,3'-dihydroxy-7,8-didehydro-
5,6-dihydro-l0.11,20-trinor-beta ,beta-caroten-19',11-olide 3-acetate; 5,6-Epoxy-
3,3'-dihydroxy-5,6-dihydro-beta,cbi-caroten-6'-one; 5,8-Epoxy-3,3'-dihydroxy-5,8-
dihydro- beta,chi-caroten-6'-one; 5', 6'-Epoxy-3,3'-dihydroxy-7,8-didehydro-
beta,[epsi]-caroten-l 1,19'-olide; 1,2'-Epoxy-2'-(2,3-epoxy- 3-methylbutyl)-2-(3-
hydroxy-3-methylbutyl)-3',4'-dideb.ydro-l,2,r,2'-tetrahydro-psi,psi-caroten-l-ol; 1,2-
Epoxy-l,2,7,8,7',8'-hexahydro-psi,psi-carotene; 5,6-Epoxy-3-hydroxy-8'-apo-beta-
caroten-8'-al; 5,6-Epoxy-5,6-dihydro-10'-apo-beta-carotene-3,10'-diol; 5,8-Epoxy-3-
hydroxy-gamma-carotene; 5,8-Epoxy-3-hydroxy-5,8-dihydro-8'-apo-beta-caroten-8'-
al; 5,6-Epoxy-3-hydroxy-5,6-dihydro-10'-apo-beta-caroten-10'- al 502; 5,6-Epoxy-3-
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hydroxy-5,6-dihydro-12'-apo-beta-caroten-12'-al;5, 5-Epoxy-3-hydroxy-5,6,7,8,
tetrahydro-7'-apo-beta-caroten-8'-one; 5,8-Epoxylutein; 1,2-Epoxy-
1,2,7,8,1 l,12,7',8'octahydro-psi,psi-carotene; 1,2-Epoxy-l A7,8,7',8',l 1',12'octahydro-
psi,psi-carotene; l'2,'-Epoxy.7,8,11,12,1,2,7,8'-octahydro-beta-si-caroten-ol;
1,2- Epoxyphytoene; 5,8-Epoxyrubixanthin; 5,8,'-Epoxy-5,6,5,8'-tetrahydro-
beta,beta-carotene-3,5,6,3'-tetrol; 5',6'-Epoxy-5,6,5',6l-tetrahydro-beta,beta-carotene-
3,5,6,3'-tetrol;5,6-Epoxy-3',4',7',8'-tetradehydro-5,6-dihydro-beta,beta-caroten-4-
one;5,6-Epoxy-3,3',5', 19'-tetra-hydroxy-6,7'-didehydro-5,67,85,6-hexahydro-
beta,beta- caroten-8-one 3'-acetate 19'-hexanoate; 5,6-Epoxy-3,3',5'-trihydroxy-6', 7'-
didehydro-5,6,7,8,5',6'-hexahydro-beta,beta-caroten-8-one; 5,6-Epoxy-3,3',51-
trihydroxy-6',7'-didehydro-5,6,7,8,5l,6l-hexahydro-beta, beta-caroten-8-one 3'-acetate;
one;5,6-Epoxy-3,3',5', 19'-tetra-hydroxy-6,7'-didehydro-5,67,85,6-hexahydro-
beta,beta-caroten-19', 1 l'-olide; 5,6'-Epoxy-3,5,3'-trihydroxy-6,7-didehydro-5,6,5,6
tetrah.ydro-10,1 l,20-trinor-beta,beta-caroten-19',11'-olide 3-acetate; 4',5'-Epoxy-
3,6,3l-trihydroxy-7,8,4',5I,7',8l-hexab.ydro-gainma,[epsi]-caroten-8-one; 5,6-
Epoxyzeaxanthin; 5,8-Epoxyzeaxanthin; Eschscholtzxanthin; Eschscholtzxanthone;
4'-Ethoxy-beta,beta-caroten- 4-one; 4'-Ethoxy-4-keto-beta-carotene; Euglenanone;
Euglenarhodon; Eutreptiellanone;
[0129] Flavacin; Flavochrome; Flavorhodin; Flavoxanthin; Flexixanthin;
Foliachrome; Foliaxanthin; Fritschiellaxanthin; Fucochrome; Fucoxanthin;
Fucoxanthinol; Fucoxanthol;
[0130] Gazaniaxanthin; beta,D-Gentiobiosyl beta,D-glucosyl 8, 8'-diapocarotene-8,8'-
dioate; Gentiobiosyl hydrogen-8,8'-dioate; Gentiobiosyl neapolitanosyl 8,8'-
diapocarotene-8,8'-dioate; beta,D- Glucosyl hydrogen-4,4'-diapocarotene-4,4'-dioate;
4'-beta,D-Glucosyl 4- hydrogen-7',8'-dihydro-4,4'-diapocarotene-4,4'-dioate; beta,D-
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Glucosyl hydrogen-8,8'-diapocarotene-8,8-dioate; beta,D-Glucosyl methyl-8,8'-
diapocarotene-8,8'-dioate; Glucopyranosyloxy (see Glucosyloxy); 4- Glucosyloxy-4,4'
diaponeurosporene; r-Glucosyloxy-3,4'-didehydro-1,2'-dihydro-beta,psi-carotene;
l-Glucosyloxy-3,4-didehydro-l,2-dihydro-psi,psi-carotene; 2'-Glucosyloxy-3',4'-
didehydro-1,2'-dihydro-beta,psi-carotene-3,1-diol; l'-Glucosyloxy-3,4'-didehydro-
1,2-dihydro-beta,psi-caroten-3-ol;1-Glucosyloxy-3l,4l-didehydro-1,2'-dihydro-
beta,psi-caroten-2'-ol; l'-Glucosyloxy-3',4 '-didehydro-r,2'-dihydro- beta,psi-caroten-
4-one; l-Glucosyloxy-3,4-didehydro-l,2,7,8'- tetrahydro-psi,psi-carotene; 1-
Glucosyloxy-l,2-dihydro-psi,psi-caroten-20-al; l-Glucosyloxy-1,2'-dihydro-beta,psi-
carotene; 1'- Glucosyloxy-l',2'-dihydro-[phil].psi-carotene; l-Glucosyloxy-1,2-
dihydro- psi,psi-carotene; 4-Glucosyloxy-7,8-dihydro-4,4'-diapocarotene; 1'-
Glucosyloxy-2'-hydroxy-3',4'-didehydro-1,2-dib.ydro-beta,psi-caroten-4-one;2-(4-
Glucosyloxy-3-methyl-2-butenyl)-2'-(4-hydroxy-3-methyl-2-butenyl)-
gamma,gamma-carotene;2-(4-Glucosyloxy-3-methyl-2-butenyl)-2'-(4-hydroxy-3-
methyl-2-butenyl)-[epsi],[epsi]-carotene;2-(4-Glucosyloxy-3-methyl-2-butenyl)-2'-
(4-hydroxy-3-methyl-2-butenyl)-7,8-dihydro-[epsi],[epsi]-carotene;2'-(4-
Glucosyloxy-3-methyl-2-butenyl)-2-(3-methyl-2-butenyl)-[epsi],[epsi]-caroten-18-ol;
2-[3-(Glucosyloxy)-3-methylbutyl]-2'-(3-hydroxy-3-methylbutyl)-3,4,3',4'-
tetradehydro-1,2,1'. 2'-tetrahydro-psi,psi-carotene-l, l'-diol; 1 '-Glucosyloxy-3,4,3',4'-
tetradehydro-l'2'-diliydro-beta.psi-carotene; Glycymerin; Guaraxanthin;
[0131] Halocynthiaxanthin; Helenien; Heteroxanthin; Hexadecahydrolycopene;
2,3,2l,3',4,5-Hexadehydro-4,5'-retro-beta,beta- carotene; 1,2,7,8,11,12-Hexahydro-
psi,psi-carotene; 1,2,7,8,1',2'- Hexahydro-psi,psi-carotene; 1,2,7,8,7,8-Hexahydro-
psi.psi- carotene; 7,8,1 l.12'.S'-Hexahydro-psi.psi-carotene; 7,8,11,12,7',8'-
Hexahydro-beta,psi-caroten-2-ol; 15,7',8',1 l,12',15'-Hexahydro-beta ,psi-caroten-2-
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ol; 1,2,7',8',1 11,12-Hexahydro-psi,psi-caroten-l-ol; 7,8,1 l,12,7',8'-Hexahydro-psi,psi-
caroten-16-ol; 7,8,11,12,7',8!- Hexahydro-4,4'-diapocarotene; 1,2,7,8,11,12-
Hexahydrolycopene; 1,2',7', 8'11,12'-Hexahydrolycopene; 7,8,11,12,7',8'-
Hexahydrolycopene; 7,8,1',2',7',8'-Hexahydrolycopene; 7,8,1',2',7',8'
Hexahydrospirilloxanthin; 19'- Hexanoyloxyfucoxanthin; 19-
Hexanoyloxyparacentrone; l-Hexosyl-l,2-dihydro- 3,4-didehydroapo-8'-lycopenol;
O-Hexosyl-1 '-hydroxy-1 ',2'-diliydro-gamma- carotene; O-Hexosy-1 -4-keto-1 '-
hydroxy-1,2'-dihydro-3',4'-didehydro- gamraa-carotene; Hopkinsiaxanthin; Hydroxy-,
see also Monohydroxy-, OH or -ol3-Hydroxy-beta-apo-2-carotenal; 3-Hydroxy-8'-
apo-beta-caroten- 8'-al; 3-Hydroxy-10'-apo-beta-caroten-10'-al: 3-Hydroxy-12'-apo-
beta- caroten-12'-al; S-Hydroxy-8'-apo-[epsi]-caroten-8'-al; 3-Hydroxy-8'-apo- beta-
caroten-8'-oic acid; 9'-Hydroxy-9'-apo-beta-caroten-3-one; 9'- Hydroxy-9'-apo-[epsi]-
caroten-3-one; Hydroxyasteroidenone; 3- Hydroxycanthaxanthin; 3-Hydroxy-
beta,psi-caroten-18'-al; 3-Hydroxy- alpha-carotene; 3'-Hydroxy-alpha-carotene; 4-
Hydroxy-alpha-carotene; 2-Hydroxy-beta-carotene; 3-Hydroxy-beta-carotene; 4-
Hydroxy-beta- carotene; 3-Hydroxy-gamma-carotene; 4'-Hydroxy-gamma-carotene;
3- Hydroxy-[delta]-carotene; 2-Hydroxy-beta,beta-carotene-4,4'-dione; 3- Hydroxy-
beta,beta-carotene-4,4'-dione; 3'-Hydroxy-beta,beta- carotene-3,4-dione; 4'-Hydroxy-
beta,beta-carotene-3,4-dione; 3- Hydroxy-beta,[epsil]-carotene-4,3'-dione; 3'-Hydroxy-
beta,[epsi]- carotene-3,4-dione; 3-Hydroxy-beta,chi-carotene-3',6'-dione; 3'- Hydroxy-
beta,beta-carotene-3,4,4'-trione; 2'-Hydroxy-beta,beta- caroten-2-one; 2-Hydroxy-
beta,beta-caroten-4-one; 3-Hydroxy-beta, beta-caroten-4-one; 3'-Hydroxy-beta,beta-
caroten-4-one; 4'-Hydroxy- beta,beta-caroten-4-one; 3-Hydroxy-beta,[epsi]-caroten-4-
one; 3- Hydroxy-beta,[epsi]-caroten-3'-one; 3'-Hydroxy-betajChi-caroten-6'- one;
3Hydroxy-beta,psi-caroten-4'-one; 3-Hydroxy-beta,psi-caroten- 4-one; 3-Hydroxy-
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[epsi],[epsi]-caroten-3'-one; 3'-Hydroxy-psi,psi- caroten-4-one; 3-
Hydroxycitranaxanthin; 3-Hydroxy-7,8-dehydro-alpha- carotene; 3'-Hydroxy-3,4-
dehydro-beta-carotene; 3-Hydroxy-3,4'-dehydro- gamma-carotene; 4-Hydroxy-4,4'-
diaponeurosporene; 3-Hydroxy-2,3-didehydro-betasbeta-carotene-4s4'-dione; 2-
Hydroxy-3,4-didehydro- beta,beta-caroten-2-one; 3-Hydroxy-2,3-didehydro-
beta,beta- caroten-4-one; 3-Hydroxy-2,3-didehydro-beta,[epsi]-caroten-4-one; 3-
Hydroxy-2,3-didehydro-beta,X-caroten-4-one; 3-Hydroxy-2,3-didehydro-beta,[phi]-
caroten-4-one; 3-Hydroxy-3',4'-didehydro-beta,psi- caroten-4-one; 3-Hydroxy-7,8-
didehydro-7,8-dihydrd-7'-apo-beta-carotene-4,8'-dione; 3-Hydroxy-7,8-didehydro-
7,8'-dihydro-7-apo-beta-caroten-8'-one; 3-Hydroxy-7,8'-didehydro-7,8-dihydro-
chi,X-carotene-6, 8-dione; 1-Hydroxy-3,4-didehydro-l',2'-dihydro-betajpsi-caroten-
4- one; r-Hydroxy-3,4-didehydro-1,2-dihydro-beta.psi-caroten-2-'-one; 2'-Hydroxy-
3',4'Tdidehydro-1,2'-dihydro-betajpsi-caroten-one; 5- Hydroxy-4',5'-didehydro-4,5-
dihydro-4,5'-retro-beta,beta-carotene-3, 3'-dione,3'-Hydroxy-2'.3'-didehydro-2--nor-
beta,beta-carotene-3,4,4-trione;3'-Hydroxy-4,5'-didehydro-4,5'-retro-beta,beta-
caroten-3-one; 3-Hydroxy-5,8,5',8'-diepoxy-beta-carotene; 3-Hydroxy-7,8-dihydro-
7'- apo-beta-caroten-8'-one; 3-Hydroxy-5,6'-dihydro-5'-apo-18-nor-beta- caroten-6'-
one; l-Hydroxy-l,2-dihydro-psi,psi-caroten-20-al; 1'- Hydroxy-1,2'-dihydro-gamma-
carotene; 3-Hydroxy-7,8-dihydro-chi,X- carotene-6,8-dione; 4'-Hydroxy-5',6'-
dihydro-beta,beta-caroten-4-one; l'-Hydroxy-1,2'-dihydro-beta,psi-caroten-4-one; 8'-
Hydroxy-7',8'- dihydrocitranaxanthin; 4-Hydroxy-7',8'-dihydro-4,4'-diapocarotene; 4'-
Hydroxy-5',6'-dihydroechinenone; 1 '-Hydroxy-1 ',2'-diliydro-2-isopentenyl- 2'-
(hydroxyisopentenyl)torulene; 1-Hydroxy-1,2-dihydrolycopene; 1-Hydroxy- 1,2-
dihydroneurosporene; 1-Hydroxy-1,2'-dihydroneurosporene; 1-Hydroxy-1,2-
dihydrophytoene; 1 (or l)-Hydroxy-l,2 (or 1,2')-dihydrophytofluene; 8'-Hydroxy-
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7',8'-dihydroreticulataxanthin; 1-Hydroxy-1',2'-dihydrospheroidene;2-Hydroxy-
1,2'-dihydrotorulene; 2-Hydroxy-1,2'- dihydrotorulene-1,2'-oxide; 5-Hydroxy-5,6-
dihydrozeaxanthin; 3-Hydroxy- 3,4-diketo-alpha-carotene; 3-Hydroxy-4,4'-diketo-
beta-carotene; 3'- Hydroxy-3,4-diketo-beta-carotene; 2'-Hydroxy-3,1-dimethoxy-3',4'-
didehydro-1,2-dihydro-beta,psi-caroten-4--one-Hydroxy-3,4'-dioxo-beta-carotene;
2-Hydroxyechinenone; 3-Hydroxyechinenone; 3'- Hydroxyechinenone; 4'-
Hydroxyechinenone; 3-Hydroxy-5,8-epoxy-beta- carotene; 3'-Hydroxy-3,6-epoxy-
didehydro-1,2-dihydro-beta,psi-caroten-4--one-Hydroxy-3,4'-dioxo-beta-carotene;
dihydro-beta,beta-caroten-4- one; 3'-Hydroxyeuglenanone; 2I-Hydroxyflexixanthin; 1-
Hydroxy-1,2,7',8, ll'.12-hexahydrolycopene; l'-Hydroxy-3,4,1,2,11'
12'hexahydrospheroidene; 2-(4-Hydroxy-3-hydroxymethyl-2-butenyl)-2'-(3-methyl-
2-butenyl)-beta,beta-carotene; 3-Hydroxyisorenieratene; 3- Hydroxy-4-keto-alpha-
carotene; 3-Hydroxy-3'-keto-alpha-carotene; 3- Hydroxy-4-keto-beta-carotene; 3-
Hydroxy-4'-keto-beta-carotene; 4- Hydroxy-4'-keto-beta-carotene; l'-Hydroxy-2'-
keto-l',2'-dihydrotorulene; 3-Hydroxy-3'-keto-retrodehydrocarotene; 19-
Hydroxylutein; 16-Hydroxylycopene; 3-Hydroxy-3'-methoxy-beta-carotene; l1-
Hydroxy-l-methoxy-3,4-didehydro-1,2,1,2,7,8-hexahydro-psi,psi-caroten-2--one;
l'-Hydroxy-l-methoxy-1,2,1,27,8'-hexahydro-psijpsi-caroten-one; l'-Hydroxy-l-
methoxy-3,4,3,4'-tetradehydro-1,2,1,2'-tetrahydro-psi-si-caroten-one; 1'-
Hydroxy-1 -methoxy-1,2,1 ',2'-tetrahydro-psi,psi -caroten-4-one; 2-(4-Hydroxy-3 -
methyl-2-butenyl)-beta,beta-carotene; 2-(4-Hydroxy-3 -methyl-2-butenyl)-[epsi] ,psi-
carotene; 2-(3- Hydroxymethyl-but-2-enyl)-7',8'-dihydro-[delta]-carotene; 2-(4-
Hydroxy-3-metiiyl-2-butenyl)-7',8'-dihydro-[epsi],psi-carotene;2-(4-Hydroxy-3-
metb.yl-2-butenyi)-2'-(3-methyl-2-butenyl)-[epsi],[epsi]-carotene;2-(4Hydroxy-3-
methyl-2-butenyl)-2'-(3-methyl-2-butenyl)-[epsi],[epsi]- caroten-18-ol; 2'-(4-
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Hydroxy-3-methyl--butenyl-(3-meihyl-buteny-3,4'-didehydro-l,2'-dihydro-
beta,psi-caroten-r-ol; 2 (or 2')-(4- Hydroxy-3-methyl-2-butenyl)-2' (or 2)-(3-methyl-
2-butenyl)-3',4'-didehydro-1,2'-dihydro-[epsi])psi-caroten-r-ol;2'-(4-Hydroxy-3-
methyl-2-butenyl)-2-(3-methyl-2-butenyl)-7,8 (or 7',8)-dihydro-[epsi], [epsi]-caroten-
18-ol; 2-(4-Hydroxy-3-methyl-2-butenyl)-7,8,7',8'- tetrahydro-[epsi],psi-carotene; 2-
(4-Hydroxy-3-methyl-2-butenyl)-7',8', 11,12'-tetrahydro-[epsi],psi-carotene; 16-(3-
Hydroxy-3-methylbuiyl)- 16'-(3-methyl-2-butenyl)-7,8,l 1,12,15,7,8',1 l,12,15-
decahydro-psi,psi-carotene;2-(3-Hydroxy-3-methylbutyl)-2'-(3-methyl-2-butenyl)-
3,4,3',4'-tetradehydro-l,2,1,2'-tetrahydro-psi,psi-carotene-l,r-diol; 2- Hydroxy-
monocyclic-phytofluene; 4-Hydroxymyxoxanthophyll; Hydroxyneurosporene; 15-
Hydioxy-7,8',9',10',11, 12'.13'.14'-octahydro- 6'-apo-beta-caroten-7'-one; l'-
Hydroxy-3,4,7,8,l',2',l l',12'- octahydrospheroidene; 3'-Hydroxy-4-oxo-beta-carotene;
3-Hydroxy-4-oxo-2, 3-dehydro-beta-carotene; 4'-Hydroxy-3-oxoechinenone;
Hydroxyphytoene; Hydroxyphytofluene; 4'-Hydroxy-4-oxo-pirardixanthin; 2-
Hydroxyplectaniaxantbin; S-Hydroxy-4,5.-retro-5'-apo-beta-caroten-5'- one; 3-
Hydroxy-4,12'-retro-beta,beta-carotene-3'.12'-dione; 3'- Hydroxyrubixantbin; 3'-
Hydroxy-5,6-seco-beta,beta-carotene-5,6-dione; 3-Hydroxysemi-beta-carotenone; 3-
Hydroxysintaxanthin; Hydroxyspheroidene; Hydroxyspheroidenone;
Hydroxyspirilloxanthin; 8'-Hydroxy-5'.6',7'.8'-tetrahydro-5'-apo-l8-nor-beta-caroten-
6'-one; 4'- Hydroxy-5,6,5',6'-tetrahydro-beta,beta-caroten-4-one; l-Hydroxy-3,4, 3',4'-
tetradebydro-l,2-dihydro-psi,psi-caroten-2-one; l-Hydroxy-1,2, 7',8'-
tetrahydrolycopene; 1-Hydroxy-3,4,l',2'-tetrahydrospheroidene; 3- Hydroxytorulene;
16'-Hydroxytorulene; 18'-Hydroxytorulene; 3-Hydroxy-3', 4'-triketo-beta-carotene; 3-
Hydroxy-beta-zeacarotene; 5- Hydroxyzeaxanthin;
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[0132] Idoxanthin; Isoagelaxanthin A; Isobixin; Isocarotene; Iso- zeta-carotene; Iso-
zeta-carotene; Isocrocetin; Isocryptoxanthin; Isofucoxanthin; Isofucoxanthinol;
Isolutein; Isomethylbixin; Isomytiloxanthin; 2-Isopentenyl-3,4-dehydrorhodopin;
Isorenieratene; beta-Isorenieratene; 3,3'-Isorenieratenediol; 3-Isorenieratenol;
Isotedaniaxanthin; Isotedanin; Isozeaxanthin;
[0133] Karpoxanthin; Keto-, see also oxo or -one Ketocapsanthin; 4-Ketocapsanthin;
4-Keto-alpha-carotene; 4-Keto-beta-carotene; 4-Keto- gamma-carotene; 4-
Ketocynthiaxanihin: 4-Keto-3',4'-dehydro-beta- carotene; 4-Keto-r,2'-dihydro-r-
hydroxytorulene; 2-Keto-7',8'- dihydrorhodovibrin; 4-Keto-3,3'-dihydroxy-alpha-
carotene; 4'-Keto-3- hydroxy-gamma-carotene; 4-Keto-3'-hydroxylycopene; 4-
Ketolutein 332 4- Ketomyxol 2'-(methylpentoside); 4-Ketomyxoxanthophyll; 2-Keto-
OH- spirilloxanthin; 4-Ketophleixanthophyll; 2-Ketorhodovibrin; 41- Ketorubixanthin;
2-Ketospirilloxanthin; 4-Ketotoralene; 4-Ketozeaxanthin;
[0134] Lactucaxanthin; Latochrome; Latoxantbin; leprotene; Lilixanthin;
Loniceraxanthin; Loroxanthin; Lusomycin; Lutein; Lutein dimethyl ether; Lutein
dipalmitate; Lutein epoxide; Luteochrome; Luteol; Luteoxanthin; Lycopenal;
Lycopen-20-al; Lycopene; Lycopene-16,16'-diol; Lycopene 1,2-epoxide; Lycopene
5,6-epoxide; Lycopen-16-ol; Lycopen-20-ol; Lycopersene; Lycophyll; Lycoxanthin;
[0135] Mactraxanthin; Manixanthin; l-Mannosyloxy-3,4-didehydro-l, 2-dihydro-8'-
apo-psi-caroten-8'-ol; 3'-Methoxy-beta,beta-caroten-3- ol; 3-Methoxy-beta,X-
carotene; 1,2,7,8,11,12,1,2,7,8, decahydro-psi.psi-carotene; l'-
Methoxy-1,2,7,8,1 l,12,r,2',7',8'- decahydro-psi,psi-caroten-l-ol; l-Methoxy-3,4-
didehydro-1,2-dihydro- psi,psi-caroten-20-al; 1 '-Methoxy-3 ',4'-didehydro-1',2'-
dihydro-beta ,psi-carotene; 1-Methoxy-3,4-didehydro-l,2-dihydro-psi,psi-carotene; 1-
Methoxy-3,4-didehydro-1,2,7,8,11,12-hexahydro-psi.psi-carotene; 1-Methoxy-3',41-
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didehydro-1,2,7,8,1',2'-hexahydro-psi,psi-caroten-1 - ol; 1 -Methoxy-3,4-didehydro-
1,2,7',8'-tetrahydro-psi,psi-carotene; 1'- Methoxy-3',4'-didehydro-l ,2,1 ',2'-tetrahydro-
psi,psi-caroten-l-ol; l-Methoxy-3;4-didehydro-l,2,7,8'-tetrahydro-psi,psi-caroten-2-
one; 1- Methoxy-l,2-dihydro-psi,psi-caroten-20-al; l-Methoxy-l,2-dihydro-psi ,psi-
carotene; 1-Methoxy-l,2'-dihydro-beta,psi-caroten-4'-one; 1'- Methoxy-l',2'-dihydro-
X,psi-caroten-4'-one; l-Methoxy-l,2-dihydro-psi, psi-caroten-4-one; l'-Methoxy-
1,2'-dihydro-3',4'-dehydro-gamma- carotene; l-Methoxy-l,2-dihydro-3,4-
dehydrolycopene; l-Methoxy-1,2- dihydro-3,4-didehydrolycopen-20-al; 1-Methoxy-
1,2-dihydrolycopene; 4-Methoxy-5,6-dihydrolycopene; 1-Methoxy-1,2-
dihydroneurosporene; 1-Methoxy- 1,2-dihydrophytoene; 1-Methoxy-1,2-
dihydrophytofluene; 1-Methoxy-1',2'- dihydrospheroidene; 3-Methoxy-19,3'-
dihydroxy-7,8-didehydro-beta,chi- carotene-6',8'-dione; l-Methoxy-1,2,7,8,11,12-
hexahydro-psi,psi-carotene; 1'-Methoxy-l,2,7,8,r,2'-hexahydro-psi,psi-caroten-l-ol;
1- Methoxy-1,2,7',8'11,12'-hexahydro-psi,psi-caroten-4-one; 1-Methoxy- l'-hydroxy-
l,2,r,2'-tetrahydrophytofluene; l-Methoxy-2-keto-7',8'- dihydro-3,4-
dehydrolycopene;Methoxylycopenal; l-Methoxy-1,2,7,8,7',8', 11', 12'-octahydro-
psi,psi-carotene; r-Metiioxy-l,2,7,8,ll,12,r,2'- octahydro-psi,psi-caroten-l-ol; 1-
Methoxy-4-oxo-1,2-dihydro-8'-apo- psi-caroten-8'-al; 1 -Methoxy-4-oxo-1,2-dihydro-
12'-apo-psi-caroten- 12'-al; Methoxyphytoene; Methoxyphytofluene;
Methoxyspheroidene; 1'- Methoxy-3 ,4,3,4,-teradehydro-1,2,1 ',2l-tetrahydro-psi,psi-
caroten-1-ol; l-Methoxy-l,2,7l,8'-tetrahydro-psi,psi-carotene; l-Methoxy-1,2,71, 8'-
tetrahydro-psi,psi-caroten-4-one; l-Methoxy-l,2,7',8'-tetrahydro-3,4-
dehydrolycopene; 3Methoxy-l 9,3',8'-trihydroxy-7,8-didehydro-beta,chi -caroten-6'-
one; Methyl 4'-apo-beta-caroten-4'-oate; Methyl 8'-apo- beta-caroten-8'-oate; Methyl
6'-apo-psi-caroten-6'-oate; Methyl apo- 6'-lycopenoate; Methylbixin; 2-(3-Methyl-2-
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butenyl)-beta,beta-caroten-18 (or 18')-ol; 2-(3-Methyl-2-butenyl)-3,4-didehydro-l,2-
dihydro-psi, psi-caroten-1-ol; 2-(3-Methyl-2-butenyl)-7,8,7',8'-tetrahydro-[epsi], psi-
caroten-18-ol; Methyl 3',4'-didehydro-beta,psi-caroten-16'-oate; Methyl 1-hexosyl-
l,2-dihydro-3,4-didehydro-apo-8'-lycopenoate; Methyl hydrogen 6,6-diapocarotene-
dioate; Methyl l-mannosyloxy-3,4-didehydro-l, 2-dihydro-8'-apo-psi-caroten-8'-oate;
Methyl 1'-methoxy-4'-oxo-1,2'- dihydro-X,psi-caroten-16 (or 17 or 18)-oate; 2'-(O-
Methyl-5-C- methylpentosyloxy)-3',4'-didehydro-1 ',2'-dihydro-beta,psi-carotene-3, 1 '-
diol; Metridene; Mimulaxanthin; Monadoxanthin; Monoanhydrobacterioruberin;
Monodehydro-beta-carotene; Monodehydrolycopene; Monodemethyl(ated)
spirilloxanthin; Monoepoxy-, see Epoxy-Monohydroxy cyclophytoene; Monohydroxy
cyclophytofluene; Mutatochrome; Mutatoxanthin; Mytiloxanthin; Mytiloxanthinone;
Myxobactin; Myxobactone; Myxol 2'-glucoside; Myxol 2'-O-methyl-
methylpentoside; Myxol 2'-rhamnoside; Myxoxanthin; Myxoxanthol;
Myxoxanthophyll;
[0136] Neocarotene; Neochrome; Neo-beta-carotene B; Neo-beta- cryptoxantbin A;
Neoxanthin; Neoxanthin 3-acetate; Neurosporaxanthin; Neurosporaxanthin methyl
ester; Neurosporene; Nonaprenoxanthin; 2'-Nor- astaxanthin diester; Norbixin;
Nostoxanthin;
[0137] Octahydro-beta-carotene; 1,2,7,8,1 l,12,7',8'-Octahydro- psi,psi-carotene;
7,8,11,12,7',8',1 l',12'-Octahydro-psi,psi- carotene; 1,2,7,8,1 l,12,7',8'-Octahydro-
psi,psi-carotene-l 1,2-diol; 1,27,8,1 ',2',7',8'-Octahydro-psi,psi-carotene-l, 1 '-diol;
1,2,7,8,11,12, 7',8'-Octahydro-psi,psi-caroten-l-ol; 7,8,11,12,7',8',11 ,12'- Octahydro-
beta,psi-caroten-2-ol; l,2,7,8,11,12'-Octahydro-psi,psi-caroten-l-ol;
7,8,11,12,7',8',1 l'.12'-Octahydro-4,4'-diapocarotene; Octahydrolycopene;
5,6,7,8,5',6',7',8'-Octahydrolycopene; 7,8,11,12,7', 8',1 l',12'-Octahydrolycopene;
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3,4,3',7,8',11,12- Octahydrospirilloxanthin; OH, see also Hydroxy- or -ol OH-
Chlorobactene; OH-Chlorobactene glucoside; OH-Lycopene; 2-OH-
Monocyclophytoene; 2-OH- Monocyclophytofluene; OH-Neurosporene; OH-
Okenone; OH-P 481; OH-P 482; OH- P 511; OH-R; OH-Rhodopin; OH-Sintaxanthin
5,6-epoxide; OH-Spheroidene; OH- Spheroidenone; OH-7,8,11,12-
Tetrahydrolycopene; OH-Y; Okenone; Ophioxanthin; Oscillaxanthin; Oscillol 2,2'-
di(O-methyl-methylpentoside); Oscillol 2,2'-dirhamnoside; Ovoester; Oxo-, see also
Keto or -one 3- Oxocanthaxanthin; 4'-Oxo-4,4'-diapocaroten-4-oic acid; 8'-Oxo-8,8'-
diapocarotenoic acid; 3-Oxoechinenone; 4-Oxosaproxanthin; 16'-Oxotorulene; 6'-
Oxychrysanthemaxanthin; P 412; P 444; P 450; P 452; P 481; P 500; P 518; l'-[(chi -
O-Palmitoyl-beta,D-glucosytyoxyl-3,4'-didehydro-l',2'-dihydro-beta, psi-caroten-2'-
ol; Papilioerythrin; Papilioerythxinone; Paracentrone; Parasiloxanthin; Pectenol;
Pectenolone; Pectenoxanthin; Pentaxanthin; Peridinin; Peridininol; Persicachrome;
Persicaxanthin; Phillipsiaxanthin; Philosamiaxanthin; Phleixanthophyll;
Phleixanthophyll palmitate; Phoeniconone; Phoenicopterone; Phoenicoxanihin;
Physalien; Physoxanthin; Phytoene; C (30)-Phytoene; Phytoene l,2-(ep)oxide;
Phytoenol; Phytofluene; Phytofluene epoxide; Phytofluenol; Pigment R; Pigment X;
Pigment Y; Plectaniaxanthin; Poly-cis-gamma-carotene; Poly-cis-psi- carotene; Poly-
cis-lycopene; Prasinoxanthin; Prelycopersene pyrophosphate; Prephytoene
pyrophosphate; Pro-gamma-carotene; Prolycopene; Proneurosporene;
Protetrahydrolycopene; Pseudo-alpha-carotene; Pyrenoxanthin; Pyrrhoxanthin;
Pyrrhoxanthinol;
[0138] 7-cis: Renieracistene; Renierapurpurin; Renieratene; Reticulaxanthin;
Retinylidenetiglic acid; Retrobisdehydro(-beta-) carotene; Retrodehydro(-beta-
)carotene; Retrodehydro-gamma-carotene; Retrodehydrozeaxanthin;
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Rhamnopyranosyloxy-, see Rhamnosyloxy-2'-0- Rhamnosyl-4-ketomyxol; 2'-O-
Rhamnosylmyxol; 3'-Rhamnosyloxy-beta,beta- caroten-3-ol; l-Rhamnosyloxy-3',4'-
didehydro-r,2'-dihydro-beta,psi-carotene; 2'-Rhamnosyloxy-3,4-didehydro-1,2'-
dihydro-beta,psi- carotene-3,1 '-diol; 2'-Rhamnosyloxy-3',4'-didehydro-1 ',2'-dihydro-
beta, psi-carotene-3,4,l'-triol; 1'-Rhamnosyloxy-3',4'-didehydro-1,2'- dihydro-
beta,psi-caroten-3-ol; Rhodoauranxanthin; Rhodopin; Rhodopin(- 20-)al; Rhodopinal
glucoside; Rhodopin glucoside; Rhodopinol; Rhodopurpurin; Rhodotorulene;
Rhodovibrin; Rhodoviolascin; Rhodoxanthin; Roserythrin; Rubichrome; Rubixanthin;
Rubixanthin 5,6-epoxide; Rubixanthone;
[0139] Salmon acid; Salmoxanthin; Saproxanthin; Sarcinaxantbin; Sarcinaxanthin
diglucoside; Sarcinaxanthin monoglucoside; Sarcinene; 5,6- Seco-beta,beta-carotene-
5,6-dione; 5,6-Seco-beta,[epsi]-carotene-5,6-dione; Semi-alpha-carotenone; Semi-
beta-carotenone; Sidnyaxanthin; Sintaxanthin; Siphonaxanthin; Siphonein; Sodium-
3,19-dihydroxy-7,8-di- dehydro-beta,Chi-carotene-3,6'-dione 3-sulfate; Sodium-3,19-
dihydroxy-3',6'-dioxo-7,8-didehydro-beta,chi-caroten-17'-al 3-sulfate; Sodium-
3,19,3'-trihydroxy-7,8-didehydro-6l-oxo-beta,chi-caroten-17'- oate 3-sulfate; Sodium-
3,19,17'-trihydroxy-7,8-didehydro-beta,chi- carotene-3 ',6'-dione 3-sulfate;
Sphaerobolin; Spheroidene; Spheroidenone; Spirilloxanthin; Sulcatoxanthin;
[0140] Tangeraxanthin; Taraxanthin; Taraxanthin dipahnitate; Taraxien;
Tareoxanthin; Tedaniaxanthin; Tedanin; Ternstroemiaxanthin; Tethyatene; 7,8,7',8'-
Tetradehydroastaxanthin; 3,4,3,4'-Tetradehydro- beta,beta-carotene; 3,4,3',4'-
Tetradehydro-psi,psi-carotene; 7,8,7',8'-Tetradehydro-beta,beta-carotene-3,3'-diol;
3,4,3',4'- Tetradehydro-beta,beta-carotene-2,2'-dione;3',4',7',8'-Tetradehydro-
beta,beta-caroten-3-ol; 3,4,3',4'Tetradehydrolycopene; 6,7,6,7- Tetradehydro-
5,6,5',6'-tetrahydro-beta,beta-carotene-3,3'-diol;6,7, 6,7'-Tetradehydro-5,6,5,6'-
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tetrahydro-beta,beta-carotene-3,5,3,5,-tetrol;7,8,7,8'-Tetradehydrozeaxanthin;
3,4,3',4'-Tetradehydrobisanhydrobacterioruberin;5,6,5',6'-Tetrahydrocanthaxanthin;
7,8,7',8'-Tetrahydrocapsorubin; Tetrahydro-beta-carotene; 7,8,7',8'- Tetrahydro-
beta,beta-carotene; 7,8,11,12'-Tetrahydro-beta,psi- carotene; 7',8',11',12'-Tetrahydro-
gamma-carotene; 7',8',11,12- Tetrahydro-gamma,psi-carotene; 1,2,7,8-Tetrahydro-
psi,psi- carotene; l,2,1,2'-Tetrahydro-psi,psi-carotene; 7,8,11,12-Tetrahydro- psi.psi-
carotene; 7,8,7',8'-Tetrahydro-psi,psi-carotene; 5,6,5', 6'-Tetrahydro-beta,beta-
carotene-4,4'-diol; 7,8,7',8'-Tetrahydro- beta,beta-carotene-3,3'-diol; 7,8,9,10'
Tetrahydro-beta,psi- carotene-3,17'-diol; 1,2,1 ',2'-Tetrahydro-psi,psi-carotene-l, 1 '-
diol; 5,6,5',6'-Tetrahydro-beta,beta-carotene-4,4'-dione; 5,6,5',6'- Tetrahydro-
beta,beta-carotene-3,5,6,3',5',6'-hexol; 1,2,7,8- Tetrahydro-psi,psi-caroten-l -ol;
l,2,7',8'-Tetrahydro-psi,psi- caroten-1-ol; 7,8,1 l,12-Tetrahydro-4,4'-diapocarotene;
7,8,7,8'- Tetrahydro-4,4'-diapocarotene; Tetrahydrolycopene; 1,2,1',2'-
Tetrahydrolycopene; 5,6,5',6'-Tetrahydrolycopene; 7,8,11,12- Tetrahydrolycopene;
7,8,7',8'-Tetrahydrolycopene; 7',8',11',12'- Tetrahydrolycopene; 1,2,1',2'-
Tetrahydrolycopene-l.l'-diol; l,2,r,2'- Tetrahydroneurosporene; 3,4,11',12'-
Tetrahydrospheroidene; 3,4,7,8- Tetrahydrospirilloxanthin; 3,4,3',4'-
Tetrahydrospirilloxanthin; 3,4,3',4'- Tetrahydrospirilloxanthin-20-al; 5,6,5',6'-
Tetrahydro-3,4,3',4'-tetrol 4,4'-disulfate; 2,3,2l,3'-Tetrahydroxy-beta,beta-carotene-
4,4'-dione; 2,3,2',3'-Tetrahydroxy-beta,beta-caroten-4-one; 3,19,3',17'- Tetrahydroxy-
beta,chi-caroten-6'-one 3-sulfate; 3,5,3',5'- Tetrahydroxy-6',7'-didehydro-5,8,5',6'-
tetrahydro-beta,beta-caroten-8-one;3,3',5,5'-Tetrahydroxy-6'-hydro-7-dehydro-beta-
carotene; 3,4,3',4'- Tetrahydroxypirardixanthin; 3,4,3',4'-Tetrahydroxy-5,6,5',6'-
tetrahydro- beta,beta-carotene; (3,4,3'4')-Tetraketo-beta-carotene; 4,5,4',5'- Tetraketo-
beta-carotene; Thiottiece-425; Thiothece-460; Thiothece-474; Thiothece-478;
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Thiothece-484; Thiothece-OH-484; Tilefishxanthin I; Tilefishxanthin II;
Tilefishxanthin III; Tilefishxanthin IV; Torularhodin; Torularhodinaldehyde;
Torularhodin methyl ester; Torulenal; Torulene; Torulenecarboxylic acid; 2,3,2'-
Trihydroxy-beta,beta-caroten-4-one;3,3,4,'-Trihydroxy-betajbeta-caroten-4--one;
3,4,3'-Trihydroxy-beta, chi-caroten-6'-one; 3,3l,5'-Trihydroxy-6',7'-dehydro-alpha-
carotene; 3,3',8'-Trihydroxy-7,8-didehydro-beta,chi-carotene-4,6'-dione; 3,3', 8'-
Trihydroxy-7,8-didehydro-beta,chi-caroten-6'-one; 3,19,3'-Trihydroxy-7,8-
didehydro-beta,chi-caroten-6'-one 3-sulfate; 3,1',2'- Trihydroxy-3',4'-didehydro-1,2'-
dihydro-beta,psi-caroten-4-one; 3,5,19-Trihydroxy-6,7-didehydro-5,6,7',8'-
tetrahydro-7'-apo-beta-caroten-8'- one 3-acetate 19-hexanoate; 3,5,6'-Trihydroxy-6,7-
didehydro-5,6,7',8'-tetrahydro-beta,[epsi]-carotene-3',8'-dione;3,5,3'-Trihydroxy-5,6-
dihydro-beta-carotene; 3,3,5'-Trihydroxy-5,6'-dihydro-beta-carotene 5',6-epoxide;
3,19,3'-Trihydroxy-7,8-dihydro-beta,[epsi]-caroten-8-one;3,19,3'-Trihydroxy-7,8-
dihydro-beta,beta-caroten-8-one 19-laurate; 3,6,3'-Trihydroxy-7,8-dihydro-
gamma,[epsi]-caroten-8-one; 3,3',19- Trihydroxy-7,8-dihydro-8-oxo-alpha-carotene;
3,3',6'-Trihydroxy-5,8- epoxy-alpha-carotene; 3,4,4'-Trihydroxypirardixanthin; 1,1',2'-
Trihydroxy-3,4,3',4'-tetradehydro-l,2,r,2'-tetrahydro-psi,psi- caroten-2-one; 3,4,4'-
Trihydroxy-5,6,5',6'-tetrahydro-beta,beta- carotene; Trikentriorhodin; 3,4,4'-Triketo-
beta-carotene; 3,1',2'- Trimethoxy-3,4'-didehydro-1,2 dihydro-beta,psi-caroten-4-
one; Triophaxanthin; Triphasiaxanthin; Trisanhydrobacterioruberin; Trollein;
Trollichrome; Trolliflavin; Trolliflor, Trollixanthin; Tunaxanthin; Uriolide;
Vaucheriaxanthin; Violaxanthin; Violeoxanthin; Violerythrin; Warmingol;
Warmingone; Webbiaxanthin; Xanthophyll; Xanthophyll K (1); Xanthophyll K ( 1)S;
Xanthophyll dipalmitate; Xanthophyll epoxide; alpha-Zeacarotene; beta-Zeacarotene;
beta (1)- Zeacarotene; alpha-Zeacarotene-3,17'-diol; beta-Zeacarotene-3,17'- diol;
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beta-Zeacaroten-3-ol; Zeaxanthene; Zeaxanthin; Zeaxanthin diepoxide; Zeaxanthin
dimethyl ether; Zeaxanthin dirhamnoside; Zeaxanthin dipahnitate; Zeaxanthin 5,6-
epoxide; Zeaxanthin 5,8-epoxide; Zeaxanthin furanoxide; Zeaxanthin monomethyl
ether; Zeaxanthin monorhamnoside; Zeaxanthol; and Zeinoxanthin.
[0141] The above list of naturally occurring carotenoids is meant to be a non-limiting
example of naturally occurring carotenoids. This list is not comprehensive as more
naturally occurring molecules are being discovered which will fall within the category
of carotenoids.
Sulfonylureas
[0142] Non-limiting examples of sulfonylureas include, but are not limited to
acetohexamide, DiaBeta, glibenclamide, gliclazide, glipizide (Glucotrol),
glyclopyramide, chlorpropamide, tolazamide, tolbutamide, glimepiride (Amaryl),
tolbutamide and meglitinide analogues (for example, repaglinide, nateglinide,
meglitmide and mitiglinide (KAD-1229)) and the like.
Niacin and related derivatives
[0143] The term niacin is the generic descriptor for nicotmic acid (pyridine-3-
carboxylic acid) and its derivatives. Non-limiting examples of nicotinic acid
derivatives include nicofuranose, Acipimox (5-methyl pyrazine-2-carboxylic acid 4-
oxide), niceritrol, probucol, isonicotinic acid, Cholexamin, oxiniacic acid,
nicoclonate, nicomol, NIASPAN, nicerikol and tocopherol nicotinate.
[0144] Further examples of other active agents which may be suitable for this
invention include, without limitation: abecarnil, acamprostate, acavir, acebutolol,
aceclofenac, acemetacin, acetaminophen, acetaminosalol, acetanilide, acetohexamide,
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acetophenazine maleate, acetophenazine, acetoxolone, acetoxypregnenolone,
acetretin, acrisorcin, acrivastine, acyclovir, adinazolam, adiphenine hydrochloride,
adrafinil, adrenolone, agatroban, ahnitrine, akatinol, alatrofloxacin, albendazole,
albuterol, aldioxa, alendronate, alfentanil, alibendol, alitretinoin, allopurinol,
allylamines, allylestrenol, alminoprofen, almotriptan, alosetron, aloxiprin, alprazolam,
alprenolol, amantadine, ambucetamide, amidephrine, amidinomycin, amiloride,
aminoaiylcarboxylic acid derivatives, aminoglutethimide, aminoglycosides,
aminopentamide, aminopromazine, aminorex, amiodarone, amiphenazole, amiprilose,
amisulpride, amitriptyline, amlexanox, amlodipine, amodiaquine, amosulalol,
amotriphene, amoxapine, amoxicillin, amphecloral, amphetamine, amphomycin,
amphotericin, ampicillin, ampiroxicam, amprenavir, amrinone, amsacrine, amyl
nitrate, amylobarbitone, anagestone acetate, anastrozole, andinocillin, androstenediol,
androstenediol-17- acetate, androstenediol- 17-benzoate, androstenediol-3-acetate,
androstenediol-3-acetate-17- benzoate, androstenedione, androsterone acetate,
androsterone benzoate, androsterone propionate, androsterone, angiotensin,
anidulatungin, aniracetam, apazone, apicycline, apoatropine, apomorphine,
apraclonidine, aprepitant, aprotinin, arbaprostil, ardeparin, aripiprazole, arnikacin,
arotinolol, arstiinol, arylacetic acid derivatives, arylalkylamines, arylbutyric acid
derivatives, arylcarboxylic acids, arylpiperazines, arylpropionic acid derivatives,
aspirin, astemizole, atenolol, atomoxetine, atorvastatin, atovaquone, atropine,
auranom, azapropazone, azathioprine, azelastine, azetazolamide, azithromycin,
baclofen, bambuterol, bamethan, barbitone, barnidipine, basalazide, beclamide,
beclobrate, befimolol, bemegride, benazepril, bencyclane, bendazac, bendazol,
bendroflumethiazide, benethamine penicillin, benexate hydrochloride, benfurodil
hemisuccinate, benidipine, benorylate, bentazepam, benzhexol, benziodarone,
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benznidazole, benzoctamine, benzodiazepine derivatives, benzodiazepine,
benzonatate, benzphetamine, benzylmorphine, beperiden, bephenium
hydroxynaphthoate, bepridil, betahistine, betamethasone, betaxolol, bevantolol,
bevonium methyl sulfate, bexarotene, bezadoxifine, bezafibrate, bialamicol,
biapenem, bicalutamide, bietamiverine, bifonazole, binedaline, binifibrate, biricodar,
bisacodyl, bisantrene, bisoprolol, bitolterol, bopindolol, boswellic acid, bradykinin,
bretylium, bromazepam, bromocriptine, bromperidol, brotizolam, brovincamine,
buciclate, bucloxic acid, bucumolol, budralazine, buieniode, bufetolol, buflomedil,
bufuralol, bumetanide, bunitrolol, bupranolol, buprenoiphine, bupropion, buspirone,
busulfan, butalamine, butorphanol, butaverine, butenatme, butidrine hydrochloride,
butobarbitone, butoconazole nitrate, butoconazole, butofilol, butropium bromide,
cabergoline, calcifediol, calcipotriene, calcitriol, caldibine, cambendazole,
camioxirole, camostat, campesterol, camptothecin, candesartan, candoxatril,
capecitabine, caprate, capsaicin, captopril, caiazolol, carbacephems, carbamates,
carbamazepine, carbapenems, carbarsone, Carbatrol, carbenoxolone, carbimazole,
carbromal, carbuterol, carisoprodol, carotenes, caroverine, carteolol, carvedilol,
cefaclor, cefazolin, cefbuperazone, cefepime, cefoselis, ceftibuten, celecoxib,
celiprolol, cephaeline, cephalosporin C, cephalosporins, cephamycins, cerivastatin,
certoparin, cetamolol, cetiedil, cetirizine, cetraxate, chloracizine, chloiambucil,
chlorbetamide, chlordantoin, chlordiazepoxide, chlonnadinone acetate,
chloimetbiazole, chloroquine, chlorothiazide, chlorpheniramine, chlorphenoxamide,
chlorphentermine, chlorproguanil, chlorpromazine, chlorpropamide, chlorprothixene,
chlortetracycline, chlorthalidone, cholecalciferol, chromonar, ciclesonide, ciclonicate,
cidofovir, ciglitazone, cilansetron, cilostazol, cimetidine, cimetropium bromide,
cinepazet maleate, cinnamedrine, cinnarizine, cinolazepam, cinoxacin, ciprofibrate,
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ciprofloxacin, cisapride, cisplatin, citalopram, citicoline, clarithromycin, clebopride,
clemastine, clenbuterol, clidanac, clinofibrate, clioquinol, clobazam, clobenfurol,
clobenzorex, clofazimine, clofibrate, clofibric acid, cloforex, clomipramine,
clonazepam, clonidine, clonitrate, clopidogrel, clopirac indomethacin, cloranolol,
cloricroraen, clorprenaline, clortermine, clotiazepam,: clotrimazole, cloxacillin,
clozapine, cmepazide, codeine methyl bromide, codeine phosphate, codeine sulfate,
codeine, colloidal bismuth subcitrate, cromafiban, cromolyn, cropropamide,
crotethamide, curcumin, cyclandelate, cyclarbamate, cyclazocine, cyclexedrine,
cyclizine, cyclobenzaprine, cyclodrine, cyclonium iodide, cyclopentamine,
cyclosporin, cypionate, cyproheptadine, cyproterone acetate, cytarabine, dacarbazine,
dalfopristine, dantrolene sodium, dapiprazole, darodipine, decanoate, decitabine,
decoquinate, dehydroemetine, delavirdine, delaviridine, demeclo cycline,
denopamine, deramciclone, descitalopram, desipramine, desloratadine, 3-
ketodesogeskel, desomorphine, desoxymethasone, detomidine, dexamphetamine,
dexanabinol, dexchlorpheniramine, dexfenfluramine, dexmethylphenidate,
dexrazoxane, dextroamphetamine sulfate, dextroamphetamine, dextropropoxyphene,
DHEA, diacetate, diamoiphine, diazemine, diazepam, diaziquinone, diazoxide,
dibromopropamidine, dichlorophen, diclofenac, dicoumaiol, didanosine,
dideoxyadenosine, diethylpropion, difemerine, difenamizole, diflunisal, digitoxin,
digoxin, dihydroergotamine, dihydrocodeine, dihydrocodeinone enol acetate,
dihydroergotamine mesylate, dihydroergotamine, dihydrogesterone,
dihydromorphine, dihydropyridine derivatives, dihydrostreptomycin,
dihydrotachysterol, dihydroxyaluminum acetylsalicylate, diiodohydroxyquinoline,
diisopromine, dilazep, dilevalol, diltiazem, diloxanide furoate, diloxanide, diltiazem,
dimefline, dimenhydrinate, dimethisterone, dimetotrine, dimorpholamine,
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dinitolmide, dioxaphetyl butyrate, dioxethedrine, diphemethoxidine,
diphenhydramine, diphenoxylate, diphetarsone, dipivefrin, diponium bromide,
dipyridamole, dirithromycin, disopyramide, divalproex sodium, dofetilide,
domperidone, donepezil, dopexamine, dopradil, dosmalfate, doxapratn, doxazosin,
doxefazepam, doxepin, doxycycline, drofenine, dromostanolone propionate,
dromostanolone, dronabinol, droperidol, droprenilamine, d-threo -methylphenidate,
duloxetine, ebrotidine, ebumamonine, ecabet, ecenofloxacin, econazole nitrate,
edavarone, edoxudine, efavirenz, effivarenz, efloxate, eledoisin, eletriptan,
elgodipine, ellipticine, emepronium bromide, emetine, enalapril, enanthate, encainide,
enlopitat, enoximone, enprostil, entacapone, epanolol, ephedrine, epinastine,
epinephrine, epirubicin, eplerenone, eprosartan, ergocalciferol, ergoloid mesylates,
ergotamine, ertapenmn, erythromycin, erytlirityl tetranitrate, esaprazole, escitalopram,
esmolol, esomeprazole, esonarimod, estazolam, estradiol benzoate, estramustine,
eskiol succinate, estrone acetate, estrone sulfate, etafedrine, etafenone, ethacrynic
acid, ethamivan, ethinamate, ethinyleskadiol 3-acetate, ethinyleskadiol 3-benzoate,
ethinylestradiol, ethionamide, ethisterone (17a-ethinyltestosterone), ethopropazine,
ethotoin, ethoxyphenamine, ethylestrenol, ethylmorphine, ethylnorepinephrine,
ethynodiol diacetate, etodolac, etofibrate, etoposide, etoricoxib, etretinate, everolimus,
exalamide, examestane, examorelin, ezemitibe, falecalcitriol, famciclovir, famotidine,
fantofarone, farapenum, farglitazar, fasudil, felbamate, felodipine, fenalamide,
fenbuLen, fenbutrazate, fendiline, fenfluramine, fenoldopam, fenoprofen, fenoterol,
fenoverine, fenoxazoline, fenoxedil, fenpiprane, fenproporex, fenspiride, fentanyl,
fexofenadine, flavoxate, flecainide, flopropione, floredil, floxuridine, fluconazole,
flucytosine, fludarabine, fludiazepam, fludrocortisone, flulenamic acid, flunanisone,
flunarizine, flunisolide, flunitrazepam, fluocortolone, fluoxetine, flupentbixol
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decanoate, fluphenazine decanoate, fluphenazine enanthate, fluphenazine,
fluproquazone, flurazepam, flurbiprofen, flurogestone acetate, fluticasone propionate,
fluvastatin, fluvoxamine, fominoben, fonnoterol, foscarnet, foscarnet, fosinopril,
fosphenytoin, frovatriptan, fudosteine, fumagillin, furazolidone, furazolidone,
furfurylmethyl amphetamine, furosemide, gabapentin, gabexate, gaboxadol,
galanthamine, gallopamil, gammaparin, ganciclovir, ganglefene, gefamate,
gemcitabine, gemfibrozil, gepirone, gestadene, ghrelin, glatiramer, glaucarabin,
glibenclamide, gliclazide, glimepiride, glipizide, gluconic acid, glutamic acid,
glyburide, glyceryl trinitrate, glimepiride, granisetron, grepafloxacin, griseofulvin,
guaiazulene, guanabenz, guanfacine, halofankine, haloperidol decanoate, haloperidol,
haloxazolam, hepronicate, heptanoate, hexobendine, hexoprenaline, hydramitrazine,
hydrazides, hydrocodone, hydrocortisone, hydromorphone, hydroxyamphetamine,
hydroxymethylprogesterone acetate, hydroxymethylprogesterone,
hydroxyprogesterone acetate, hydroxyprogesterone caproate, hydroxyprogesterone,
hymecromone, hyoscyamine, ibopamine, ibudilast, ibutenac, ibuprofen, ibutilide,
idoxuridine, ifenprodil, igmesine, iloprost, imatinib, imidapril, imidazoles, imipenem,
imipramine, imolamine, incadronic acid pergolide, indanazoline, indenolol, indinavir,
indomethacin, indoramin, inosine pranobex, inositol niacinate, iodoquinol, ipidracine,
iproniazid, irbesartan, irinotecan, irsogladine, isobutyrate, isocaprate esters,
isoetharine, isometheptene, isoproterenol, isosorbide dinitrate, isosorbide mononitrate,
isosorbide dinitrate, isoxsuprine, isradipine, itasetron, itraconazole, itramintosylate,
ivermectin, kallidin, kallikrein, kanamycin, ketarnine, ketoconazole, ketoprofen,
ketorolac, ketotifen, labetalol, lafutidine, lamifiban, lamivudine, lamotrigine,
lanatoside c, lansoprazole, lasofoxifene, leflunomide, leminoprazole, lercanidipine,
lesopitron, letrozole, leucovorin, levalbuterol, levallorphan, levetiracetam,
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levetriacetam, levobunolol, levodopa, levofloxacin, levophacetoperane, levorphanol,
lidocaine, lidoflazine, lifibrol, limaprost, linezolid, lintitript, liranaftate, lisinopril,
lisuride, lobeline, lobucavir, lodoxamide, lomefloxacin, lomerizine, lomustine,
loperamide, lopinavir, loprazolam, loracarbef, loratadine, lorazepam, lorefloxacin,
lonnetazepam, losartan, lovastatin, lovastatin, loxapine succinate, loxapine, 1-threo
methylphenidate, lumiracoxib, lysine acetylsalicylate, lysozyme, lisuride, mabuterol,
mafenide, magnesium acetylsalicylate, malgramostin, mannitol hexanitrate,
maprotiline, mazindol, mebendazole, meclizine, meclofenamic acid,
mecloxaminepentapiperide, medazepam, medibazine, medigoxin, medrogestone,
medroxyprogesterone acetate, mefenamic acid, mefenorex, mefloquin, mefloquine,
megestrol acetate, melengestrol acetate, melphalan, memantine, mepenzolate
bromide, meperidine, mephenoxalone, mephentermine, mepindolol, mepixanox,
meprobamate, meptazinol, mercaptopurine, meropenum, mesalamine, mesalazine,
mesoridazine besylate, mesoridazine, metaclazepam, metamfepramone,
metampicillin, metaproterenol, metaraminol, methacycline, methadone hydrochloride,
methadone, methamphetamine, methaqualone, methamphetamine, methoin,
methotrexate, methoxamine, methsuximide, methylhexaneamine, methylphenidate d-
threo-methylphenidate, methylphenidate, methylphenobarbitone, methylprednisolone,
methysergide, metiazinic acid, metizoline, metoclopramide, metolazone, metoprolol,
metoxalone, metripranolol, metronidazole, mexiletine, metaxalone, mianserin,
mibefradil, miconazole, midazolam, midodrine, miglitol, milnacipran, milrinone,
minoxidil, mirtazapine, misoprostol, mitomycin, mitotane, mitoxantrone, mizolastine,
modafinil, mofebutazone, mofetil, molindone hydrochloride, molindone,
molsidomine, monatepil, montelukast, Monteplase, moprolol, moricizine, morphine
hydrochloride, morphine sulfate, morphine, morpholine salicylate, mosapramine,
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moxifloxacin, moxisylyte, moxonidine, mycophenolate, nabumetone, nadolol,
nadoxolol, nadroparin, nafamostat, nafronyl, naftopidil, nalbuphine, nalidixic acid,
nalmefene, naloipbine, naloxone, naltrexone, nandrolone benzoate, nandrolone
cyclohexanecarboxylate, nandrolone cyclohexane-propionate, nandrolone decanoate,
nandrolone furylpropionate, nandrolone phenpropionate, naphazoline, naproxen,
naratriptan, natamycin, nateglinide, nedocromil, nefazodone, nefopam, nelfinavir,
nemonapride, neomycin undecylenate, neomycin, neokofin, nesiritide, n-
ethylamphetamine, nevirapine, nexopamil, nicametate, nicardipine, nicergoline,
nicofibrate, nicofuranose, nicomorphine, nicorandil, nicotinyl alcohol, nicoumalone,
nifedipine, nifenalol, nikeihamide, nilutamide, nilvadipine, nimodipine, nimorazole,
nipradilol, nisoldipine, nitisonone, nitrazepam, nitrofurantoin, nitrofiirazone,
nitroglycerin, nizatidine, norastemizole, norepinepbrine, norethynodrel, norfenefrine,
norfloxacin, norgestimate, norgeskel, norgestrienone, normethadone, normethisterone,
normorphine, norpseudoephedrine, nortriptyline, novantrone, nylidrin, nystatin,
octamylamine, octodrine, octopamine, ofloxacin, olanzapine, olanzapine, olapatadine,
olmesartan, Olapatadine, olsalazine, omapatrilat, omeprazole, ondansetron, opium,
oprevelkin, orlistat, ornidazole, ornoprostil, oseltamivir, oxaliplatin, oxamniquine,
oxandrolone, oxantel embonate, oxaprozin, oxatomide pemirolast, oxatomide,
oxazepam, oxcarbazepine, oxfendazole, oxiconazole, oxiracetam, oxolinic acid,
oxprenolol, oxycodone, oxyfedrine, oxymetazoline, oxymorphone, oxypheributazone,
oxyphencyclimine, ozagrel, paclitaxel, palonosetron, pantoprazole, papaverine,
paricalcitol, paramethadione, parecoxib, pariprazole, paromomycin, paroxetine,
parsalmide, pazinaclone, pemoline, penbutolol, penciclovir, penicillin G benzathine,
penicillin G procaine, penicillin V, penicillins, pentaeryfhritol tetranitrate,
pentaerythritol tetranitrate, pentapiperide, pentazocine, pentifylline, pentigetide,
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pentobarbitone, pentorex, pentoxifylline, pentrinitrol, pirbuterol, pirenzepine,
pergolide, perhexiline, perindopril erbumine, perospone, perphenazine pimozide,
peiphenazine, phanquinone, phenacemide, phenacetin, phenazopyridine,
phencarbamide, phendimetrazine, phenelzine, phenindione, phenmetrazine,
phenobarbitone, phenoperidine, phenothiazines, phenoxybenzamine, phensuximide,
phentermine, phentolamine, phenylsalicylate, phenylacetate, phenylbutazone,
phenylephrine hydrochloride, phenylpropanolamine hydrocbloride,
phenylpropanolamine hydrochloride, phenylpropyl-methylamine, phenytoin,
phloroglucinol, pholedrine, physostigmine salicylate, physostigmine, phytonadiol,
phytosterols, piapenum, picilorex, piclamilast, picrotoxin, picumast, pifarnine,
pilsicainide, pimagedine, pimeclone, pimecrolimus, pimefylline, pimozide,
pinaverium bromide, pindolol, pioglitazone, piperacillin, piperazine estrone sulfate,
piperazine derivatives, piperilate, piracetam, piribedil, pirifibrate, piroxicam,
pitavastatin, pizotyline, plaunotol, polaprezinc, polybenzarsol, polyestrol phosphate,
practolol, prahiacasan, pramipexole, pranlukast, pravastatin, prazepam, praziquantel,
prazosin, pregabalin, prenalterol, prenylamine, pridinol, prifinium bromide,
primidone, primipramine, probenecid, probucol, procainamide, procarbazine,
procaterol, prochlorperazine, proguanil, pronefhalol, propafenone, propamidine,
propatyl nitrate, propentoffyline, propionate, propiram, propoxyphene, propranolol,
propylhexedrine, propylthiouracil, protokylol, protriptyline, proxazole,
pseudoephedrine, purines, pyrantel embonate, pyrazoles, pyrazolones, pyridofylline,
pyrimethamine, pyrimidines, pyrrolidones, quazepam, quetiapine, quetuapine,
quinagolide, quinapril, quinestrol, quinfamide, quinidine, quinine sulfate, quinolones,
quinupritin, rabalzotan, rabeprazole sodium, rabeprazole, racefimine, ramahroban,
ramipril, ranitidine, ranolazine, ransoprazole, rasagiline, rebamipide, refludan,
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repaglinide, repinotan, repirinast, reproterol, reserpine, retinoids, ribavirin, rifabutine,
rifampicin, rifapentine, rilmenidine, riluzole, rimantadine, rimiterol, rioprostil,
risperidone, ritanovir, ritapentine, ritipenem, ritodrine, ritonavir, rivastigrnine,
rizatriptan, rociverine, rofecoxib, rohypnol, rolipram, remoxipride, ronifibrate,
ropinirole, ropivacaine, rosaprostol, rosiglitazone, rosuvastatin, rotinolol, rotraxate,
roxatidine acetate, roxindole, rubitecan, salacetamide, salicin, salicylamide, salicylic
acid derivatives, salmeterol, saquinavir, saquinavir, scopolamine, secnidazole,
selegiline, semotiadil, sertindole, sertraline, sibutramine, sildenafil, simvastatin,
siramesine, sirolimus, sitaxsentan, sofalcone, somotiadil, sorivudine, sotalol,
soterenol, sparfloxacin, spasmolytol, spectinomycin, spiramycin, spizofurone,
stavudine, streptomycin, succinylsulfathiazole, sucralfate, sufentanil, sulconazole
nitrate, sulfacetamide, sulfadiazine, sulfaloxicacid, sulfarside, sulfmalol, sulindac,
suloctidil, sulphabenzamide, sulphacetamide, sulphadiazine, sulphadoxine,
sulphafurazole, sulphamerazine, sulphamethoxazole, sulphapyridine, sulphasalazine,
sulphinpyrazone, sulpiride, sulthiame, sultopride, sulbroponium, sumanirole,
sumahriptan, sunepihon, superoxide dismutase, suplatast, suramin sodium,
synephrine, tacrine, tacrolimus, tacrolimus, tadalafil, talinolol, talipexole, tamoxifen,
tamsulosin, targretin, tazanolast, tazarotene, tazobactam, tecastimezole, teclozan,
tedisamil, tegaserod, telenzepine, telmisartan, temazepam, teniposide, teprenone,
terazosin, terbinafine, terbinafine, terbutaline sulfete, terbutaline, terconazole,
terfenadine, terodiline, terofenamate, tertatolol, testolactone, 4-dihydrotestosterone,
tetracyclics, tetracycline, tetrahydrocannabinol, tetrahydrozoline, thalidomide,
theofibrate, thiabendazole, thiazinecarboxamides, thiocarbamates, thiocarbamizine,
thiocarbarsone, thioridazine, thiothixene, tiagabine, tiamenidine, tianeptine,
tiaprofenic acid, tiaramide, ticlopidine, tigloidine, tilisolol, timolol, tinidazole,
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tinofedrine, tinzaparin, tioconazole, tipranavir, tirapazamine, tirofiban, tiropramide,
titanicene, tizanadine, tizanidine, tizinadine, tocainide, tolazamide, tolazoline,
tolbutamide, tolcapone, tolciclate, tolfenamic acid, toliprolol, tolteridine, tolterodine,
tonaberstat, topiramate, topotecan, torsemide, toremifene cibrate, toremifene,
tosufloxacin, tramadol, tramazoline, trandolapril, tranilast, tranylcypromine, trapidil,
traxanox, trazodone, tretoquinol, triacetin, triamcinolone, triamterine, triamterene,
triazolam, trifluoperazine hydrochloride, trifluoperazine, triflupromazine,
trihexyphenidyl, trimazosin, trimebutine, trimetazidine, trimethoprim, trimgestone,
trimipramine, trimoprostil, trithiozine, troglitazone, trolnibrate phosphate,
tromethamine, tropicamide, trovafloxacin, troxipide, tuaminoheptane, tulobuterol,
tymazoline, tyramine, undecanoate, undecenoic acid, urinastatin, valacyclovir,
valdecoxib, valerate, valganciclovir, valproic acid, valsartan, vancomycin, vardenafil,
venlafaxine, venorelbine, verapamil, vidarabine, vigabakin, vincamine, vinpocetine,
viomycin, viquidil, visnadine, vitamin a derivatives, vitamin a, vitamin b2, vitamin d,
vitamin e, vitamin k, voglibose, voriconazole, xaliproden, xamoterol, xanthinol
niacinate, xenytropium bromide, xibenolol, ximelagatran, xylometazoline, yohimbine,
zacopride, zafirlukast, zalcitabine, zaleplon, zanamivir, zatebradine, ziconotide,
zidovudine, zileuton, zimeldine, zinc propionate, ziprasidone, zolimidine,
zolmitriptan, zolpidem, zonisamide, zopiclone, and mixtures thereof.
Formulation
[0145] The nebivolol compositions of the present invention may be administered by
various means, depending on their intended use, as is well known in the art. For
example, if compositions of the present invention are to be administered orally, they
may be formulated as tablets, capsules, granules, powders, suspensions or syrups.
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Alternatively, formulations of the present invention may be administered parenterally
as injections (intravenous, intramuscular or subcutaneous), drop infusion preparations
or suppositories. For application by the ophthalmic mucous membrane route,
compositions of the present invention may be formulated as eyedrops or eye
ointments. These formulations may be prepared by conventional means, and, if
desired, the compositions may be mixed with any conventional additive, such as an
excipient, a binder, a disintegrating agent, a lubricant, a corrigent, a solubilizing
agent, a suspension aid, an emulsifying agent or a coating agent.
[0146] In formulations of the subject invention, wetting agents, emulsifiers and
lubricants, such as sodium lauryl sulfate and magnesium stearate, as well as coloring
agents, release agents, coating agents, sweetening, flavoring and perfuming agents,
preservatives and antioxidants may be present in the formulated agents.
[0147] Subject compositions may be suitable for oral, nasal, topical (including buccal
and sublingual), rectal, vaginal, aerosol and/or parenteral administration. The
formulations may conveniently be presented in unit dosage form and may be prepared
by any methods well known in the art of pharmacy. The amount of composition that
may be combined with a carrier material to produce a single dose vary depending
upon the subject being treated, and the particular mode of administration.
[0148] Methods of preparing these formulations include the step of bringing into
association compositions of the present invention with the carrier and, optionally, one
or more accessory ingredients. In general, the formulations are prepared by uniformly
and intimately bringing into association agents with liquid carriers, or finely divided
solid carriers, or both, and then, if necessary, shaping the product.
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[0149] Formulations suitable for oral administration may be in the form of capsules,
cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose and acacia or
tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non-
aqueous liquid, or as an oil-in-water or water-in-oil liquid emulsion, or as an elixir or
syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and
acacia), each containing a predetermined amount of a subject composition thereof as
an active ingredient Compositions of the present invention may also be administered
as a bolus, electuary, or paste.
[0150] In solid dosage forms for oral administration (capsules, tablets, pills, dragees,
powders, granules and the like), the subject composition is mixed with one or more
pharmaceutically acceptable carriers, such as sodium citrate or dicalcium phosphate,
and/or any of the following: (1) fillers or extenders, such as starches, lactose, sucrose,
glucose, mannitol, and/or silicic acid; (2) binders, such as, for example,
carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or
acacia; (3) humectants, such as glycerol; (4) disintegrating agents, such as agar-agar,
calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium
carbonate; (5) solution retarding agents, such as paraffin; (6) absorption accelerators,
such as quaternary ammonium compounds; (7) wetting agents, such as, for example,
acetyl alcohol and glycerol monostearate; (8) absorbents, such as kaolin and bentonite
clay; (9) lubricants, such a talc, calcium stearate, magnesium stearate, solid
polyethylene glycols, sodium lauryl sulfete, and mixtures thereof; and (10) coloring
agents. In the case of capsules, tablets and pills, the compositions may also comprise
buffering agents. Solid compositions of a similar type may also be employed as
fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk
sugars, as well as high molecular weight polyethylene glycols and the like.
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[0151] A tablet may be made by compression or molding, optionally with one or
more accessory ingredients. Compressed tablets may be prepared using binder (for
example, gelatin or hydroxypropyl methyl cellulose), lubricant, inert diluent,
preservative, disintegrant (for example, sodium starch glycolate or cross-linked
sodium carboxymethyl cellulose), surface-active or dispersing agent. Molded tablets
may be made by molding in a suitable machine a mixture of the subject composition
moistened with an inert liquid diluent. Tablets, and other solid dosage forms, such as
dragees, capsules, pills and granules, may optionally be scored or prepared with
coatings and shells, such as enteric coatings and other coatings well known in the
pharmaceutical-formulating art.
[0152] Liquid dosage forms for oral administration include pharmaceutically
acceptable emulsions, microemulsion, solutions, suspensions, syrups and elixirs. In
addition to the subject composition, the liquid dosage forms may contain inert
diluents commonly used in the art, such as, for example, water or other solvents,
solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl
carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1,3-
butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor
and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty.
Suspensions, in addition to the subject composition, may contain suspending agents
such as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and
sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-
agar and tragacanth, and mixtures thereof.
[0153] Formulations for rectal or vaginal administration may be presented as a
suppository, which may be prepared by mixing a subject composition with one or
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more suitable non-irritating excipients or carriers comprising, for example, cocoa
butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at
room temperature, but liquid at body temperature and, therefore, will melt in the body
cavity and release the active agent. Formulations which are suitable for vaginal
administration also include pessaries, tampons, creams, gels, pastes, foams or spray
formulations containing such carriers as are known in the art to be appropriate.
[0154] Dosage forms for transdermal administration of a subject composition
includes powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches
and inhalants. The active component may be mixed under sterile conditions with a
pharmaceutically acceptable carrier, and with any preservatives, buffers, or
propellants which may be required.
[0155] The ointments, pastes, creams and gels may contain, in addition to a subject
composition, excipients, such as animal and vegetable fats, oils, waxes, paraffins,
starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites,
silicic acid, talc and zinc oxide, or mixtures thereof.
[0156] Powders and sprays may contain, in addition to a subject composition,
excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates
and polyamide powder, or mixtures of these substances. Sprays may additionally
contain customary propellants, such as chlorofluorohydrocarbons and volatile
unsubstituted hydrocarbons, such as butane and propane.
[0157] Compositions of the present invention may alternatively be administered by
aerosol. This is accomplished by preparing an aqueous aerosol, liposomal preparation
or solid particles containing the compound(s). A non-aqueous (e.g., fluorocarbon
propellant) suspension could be used. Sonic nebulizers may be used because they
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minimize exposing the agent to shear, which may result in degradation of the
compounds contained in the subject compositions.
[0158] Ordinarily, an aqueous aerosol is made by formulating an aqueous solution or
suspension of a subject composition together with conventional pharmaceutically
acceptable carriers and stabilizers. The carriers and stabilizers vary with the
requirements of the particular subject composition, but typically include non-ionic
surfactants (Tweens, Pluronics, or polyethylene glycol), innocuous proteins like
serum albumin, sorbitan esters, oleic acid, lecithin, amino acids such as glycine,
buffers, salts, sugars or sugar alcohols. Aerosols generally are prepared from isotonic
solutions.
[0159] Pharmaceutical compositions of this invention suitable for parenteral
administration comprise a subject composition in combination with one or more
pharmaceutically-acceptable sterile isotonic aqueous or non-aqueous solutions,
dispersions, suspensions or emulsions, or sterile powders which may be reconstituted
into sterile injectable solutions or dispersions just prior to use, which may contain
antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with
the blood of the intended recipient or suspending or thickening agents.
[0160] Examples of suitable aqueous and non-aqueous carriers which may be
employed in the pharmaceutical compositions of the invention include water, ethanol,
polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and
suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic
esters, such as ethyl oleate. Proper fluidity may be maintained, for example, by the
use of coating materials, such as lecithin, by the maintenance of the required particle
size in the case of dispersions, and by the use of surfactants.
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[0161] Pharmaceutical formulations may also be extended or delayed release
formulations where the active agents are released over an extended period of time.
Dosages
[0162] Administration of the compositions of the present invention will be in an
amount sufficient to achieve a therapeutic effect as recognized by one of ordinary
skill in the art.
[0163] The dosage of any compositions of the present invention will vary depending
on the symptoms, age and body weight of the patient, the nature and severity of the
disorder to be treated or prevented, the route of administration, and the form of the
subject composition. Any of the subject formulations may be administered in a single
dose or in divided doses. Dosages for the compositions of the present invention may
be readily determined by techniques known to those of skill in the art or as taught
herein.
[0164] The dosage range for nebivolol ranges from about 0.1 mg to about 100 mg per
day. In another embodiment, the dosage range may be from about 0.75 mg to about
50 mg per day. In yet another embodiment, the dosage range may be from about 1.25
mg to about 10 mg per day.
[0165] In certain embodiments, the dosage of the co-active compounds will generally
be in the range of about 0.01 ng to about 1 g per kg body weight, specifically in the
range of about 1 ng to about 0.1 g per kg, and more specifically in the range of about
100 ng to about 10 mg per kg body weight.
[0166] An effective dose or amount, and any possible affects on the timing of
administration of the formulation, may need to be identified for any particular
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composition of the present invention. This may be accomplished by routine
experiment as described herein, using one or more groups of animals (preferably at
least 5 animals per group), or in human trials if appropriate. The effectiveness of any
subject composition and method of treatment or prevention may be assessed by
administering the composition and assessing the effect of the administration by
measuring one or more applicable indices, and comparing the post-treatment values of
these indices to the values of the same indices prior to treatment.
[0167] The precise time of administration and amount of any particular subject
composition that will yield the most effective treatment in a given patient will depend
upon the activity, pharmacokinetics, and bioavailability of a subject composition,
physiological condition of the patient (including age, sex, disease type and stage,
general physical condition, responsiveness to a given dosage and type of medication),
route of administration, and the like. The guidelines presented herein may be used to
optimize the treatment, e.g., determining the optimum time and/or amount of
administration, which will require no more man routine experimentation consisting of
monitoring the subject and adjusting the dosage and/or timing.
[0168] While the subject is being treated, the health of the patient may be monitored
by measuring one or more of the relevant indices at predetermined times during the
treatment period. Treatment, including composition, amounts, times of administration
and formulation, may be optimized according to the results of such monitoring. The
patient may be periodically reevaluated to determine the extent of improvement by
measuring the same parameters. Adjustments to the amount(s) of subject composition
administered and possibly to the time of administration may be made based on these
reevaluations.
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[0169] Treatment may be initiated with smaller dosages which are less than the
optimum dose of the compound. Thereafter, the dosage may be increased by small
increments until the optimum therapeutic effect is attained.
[0170] The use of the subject compositions may reduce the required dosage for any
individual agent contained in the compositions (e.g., the steroidal anti inflammatory
drug) because the onset and duration of effect of the different agents may be
complimentary.
[0171] Toxicity and therapeutic efficacy of subject compositions may be determined
by standard pharmaceutical procedures in cell cultures or experimental animals, e.g.,
for determining the LD50 and the ED50.
[0172] The data obtained from the cell culture assays and animal studies may be used
in formulating a range of dosage for use in humans. The dosage of any subject
composition lies preferably within a range of circulating concentrations that include
the ED50 with little or no toxicity. The dosage may vary within this range depending
upon the dosage form employed and the route of administration utilized. For
compositions of the present invention, the therapeutically effective dose may be
estimated initially from cell culture assays.
[0173] In general, the doses of an active agent will be chosen by a physician based on
the age, physical condition, weight and other factors known in the medical arts.
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Efficacy of treatment
[0174] The efficacy of treatment with the subject compositions may be determined in
a number of fashions known to those of skill in the art.
[0175] In one exemplary method, the median rate of decrease in inflammation for
treatment with a subject composition may be compared to other forms of treatment
with the particular cardiovascular agent contained in the subject composition, or with
other cardiovascular agents. The decrease in inflammation for treatment with a
subject composition as compared to treatment with another method may be 10,25, 50,
75,100,150,200,300,400% greater or even more. The period of time for observing
any such decrease may be about 1,3,5,10,15,30,60 or 90 or more hours. The
comparison may be made against treatment with the particular cardiovascular agent
contained in the subject composition, or with other cardiovascular agents, or
administration of the same or different agents by a different method, or administration
as part of a different drug delivery device than a subject composition. The
comparison may be made against the same or a different effective dosage of the
various agents.
[0176] Alternatively, a comparison of the different treatment regimens described
above may be based on the effectiveness of the treatment, using standard indices
known to those of skill in the art. One method of treatment may be 10%, 20%, 30%,
50%, 75%, 100%, 150%, 200%, 300% more effective, than another method.
[0177] Alternatively, the different treatment regimens may be analyzed by comparing
the therapeutic index for each of them, with treatment with a subject composition as
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compared to another regimen having a therapeutic index two, three, five or seven
times that of, or even one, two, three or more orders of magnitude greater than,
treatment with another method using the same or different cardiovascular agents.
Kits
[0178] This invention also provides kits for conveniently and effectively
implementing the methods of this invention. Such kits comprise any subject
composition, and a means for facilitating compliance with methods of this invention.
Such kits provide a convenient and effective means for assuring mat the subject to be
treated takes the appropriate active in the correct dosage in the correct manner. The
compliance means of such kits includes any means which facilitates administering the
actives according to a method of this invention. Such compliance means include
instructions, packaging, and dispensing means, and combinations thereof. Kit
components may be packaged for either manual or partially or wholly automated
practice of the foregoing methods. In other embodiments involving kits, this
invention contemplates a kit including compositions of the present invention, and
optionally instructions for their use.
Exemplification
Example 1
Measurements of NO Release from Human Endothelium
[0179] All measurements presented were recorded in vitro using a sensitive
porphyrinic probe, as previously described. Malinski T, Taha Z., Nature.
1992;358:676-678; Malinski T, Czuchajowski L, Methods in Nitric Oxide Research.
1996:319-339. NO release was measured directly from HUVEC. HUVEC cells from
Black and White donors were grown in Ham's F12K medium with 2 mM L-glutamine
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adjusted to contain 1.5g/L sodium bicarbonate and supplemented with 0.1 mg/ml
heparin and 0.03-0.05mg/ml endothelial cell growth supplement (ECGS) + 10% fetal
bovine serum. The HUVEC cells were kept in an atmosphere of elevated CO2
concentration (5%). Nebivolol was obtained from Mylan Laboratories (Morgantown,
WV).
[0180] All measurements of endothelial NO release were conducted in Hank's
balance solution at 37°C. Cell wells were transferred to a Faraday cage and a
porphyrinic sensor (diameter 0.5mm) was positioned at a distance of 5±2um from the
surface of the endothelial cells using an inverted microscope (Leica Microsystems,
Wetzlar, Germany) and a computer-assisted micromanipulator. The sensor operated
with a three-electrode system: nanosensor (working electrode), saturated calomel
electrode (reference electrode) and platinum wire (counter electrode, 0.5mm
diameter). The three electrodes were connected to a potentiostat/galvanostat PAR273.
The baseline was stabilized after about 20 seconds. The test compounds were injected
with a nanoinjector onto the surface of the cells following solubilization in buffer.
Cells were incubated with the test compounds for a 24-hour period. The compounds
were then washed out of the system before being immediately reintroduced in order to
evaluate the consequences of chronic treatment on NO release from the cells. For
additive experiments, cells were incubated with ACE inhibitor for 24 hours, the
inhibitor was washed out of the system, nebivolol was added and the NO release
measured. The current proportional to the NO concentration was measured with the
sensor, which operated in amperometric mode at a constant potential of 0.63V. Data
were acquired with the use of an IBM computer with custom software and
amperograms (current vs. time curves) were recorded with a Guniry FAS1 Femtostat
(Warminster, PA). Maximum release of NO was produced using a calcium agonist
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(1μM). By increasing cytoplasmic levels of calcium, the ion can bind to calmodulin.
The Ca2+-calmodulin complex is a cofactor for endothelial NO synthase, along with
FAD, FMN, Heme and BH4.
[0181] Nanosensors were prepared from carbon fibers. The size of the tip of carbon
fiber was reduced from 6um to less than 1 um by temperature controlled burning. The
sensors were sensitized to NO by deposition of electrically conductive polymeric
porphyrin and covered with a thin layer of Nation. The porphyrinic microsensor has a
response time of 0.1 ms at a micromolar NO concentration and 10 ms at the detection
limit of 1 nM.
[0182] The nanosensor for NO was calibrated using saturated solution (concentration
1.82 mM verified with the coulometric method). Linear calibration curves were
constructed for each sensor from 5 x 10-9 to 3 x l0-6M NO before and after
measurements of cell activity. The concentration-dependent effects of nebivolol and
certain ACE-inhibitors on NO releasing capacity were tested using a calcium
ionophore (A23187) that stimulates NO release, independently of G-protein-coupled
receptors. The data were presented as the mean ± SEM for each of the triplicate
measurements. The data (calculation and plotting) were transferred to Microcal
Origin Software (OriginLab Corp., Northampton, MA).
[0183] The HUVEC preparation is stable over the course of these experiments with
the cells remaining viable in culture for >24 hours. Under non-stimulating conditions,
basal levels of NO release are very low ( function of treatment was conducted in individual endothelial cells. Multiple
measurements of NO release can be conducted on single cells following a brief
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refractory period. For robust statistical analysis, separate cells were used for each
concentration and type of drug used in these analyses.
[0184] In Figure 1, the extent of NO release from Black and White donors was
measured after chronic treatment with the ACE inhibitor, ramiprilat, followed by
treatment with nebivolol (1 μM). At concentrations of 1,5, and 10 JJM ramiprilat,
there were modest but significant effects in the ability of nebivolol to increase NO
release from Black and White donor endothelial cells. The magnitude of the increase
is greater in endothelial cells from Black donors.
[0185] In Figure 3, the extent of NO release from Black and White donors was
measured with nebivolol (lμM) following chronic treatment with the ACE-inhibitor,
enalapril. As observed with ramiprilat (above), enalapril significantly enhanced the
ability of nebivolol to increase NO release at concentrations of 5 and 10 μM and 1,5
and l0μM in Black and White donor cells, respectively. The magnitude of the
increase is greater in endothelial cells from Blacks than Whites (Figure 4).
[0186] There were significant concentration dependent effects on the ability of
nebivolol to enhance NO release from Black and White donor endothelial cells that
had been chronically treated with ACE inhibitors. Additionally, this property of the
drug appears to work independently of β1- adrenoceptor blockade. By promoting a
more normal vascular physiology through an NO-dependent pathway, nebivolol
treatment may have better efficacy and fewer side effects as compared to agents that
only inhibit the sympathetic nervous system. These data further support the
hypothesis that nebivolol may have distinct pharmacologic benefits through
modulation of endothelial function and NO metabolism.
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Incorporation by Reference
[0187] All of the patents and publications cited herein are hereby incorporated by
reference.
Equivalents
[0188] Those skilled in the art will recognize, or be able to ascertain using no more
than routine experimentation, many equivalents to the specific embodiments of the
invention described herein.
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Claims
What is claimed is:
1) A composition comprising nebivolol and at least one other active agent.
2) The composition of claim 1 wherein at least one of the other active agents is a
cardiovascular agent.
3) The composition of claim 2 wherein the cardiovascular agent is selected from the
group consisting of ACE inhibitors, ARB's, adrenergic blockers, adrenergic agonists,
agents for pheochromocytoma, antiarrhythmics, antiplatelet agents, anticoagulants,
antihypertensives, antilipemic agents, antidiabetics, antiinflammatory agents, calcium
channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin inhibitors,
diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors, inotropic
agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers, AGE
formation inhibitors, and mixtures thereof.
4) The composition of claim 2, wherein the cardiovascular agent is selected from the
group consisting of an ACE inhibitor, an ARB, and mixtures thereof.
5) The composition of claim 4, wherein the cardiovascular agent is an ACE inhibitor.
6) The composition of claim 5 wherein the ACE inhibitor is selected from the group
consisting of alacepril, benazepril, captopril, ceronapril, cilazapril, delapril, enalapril,
enalaprilat, fosinopril, imidapril, lisinopril, perindopril, quinapril, ramipril, ramiprilat,
spirapril, temocapril, trandolapril, and mixtures thereof.
7) The composition of claim 5 wherein the ACE inhibitor is selected from the group
consisting of enalapril, ramipril and ramiprilat and mixtures thereof.
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8) The composition of claim 4 wherein the cardiovascular agent is an ARB.
9) The composition of claim 8 wherein the ARB is selected from the group consisting of
candesartan, eprosartan, irbesartan, losartan, valsartan, and mixtures thereof.
10) The composition of claim 2, wherein the cardiovascular agent is selected from the
group consisting of AGE crosslink breakers, AGE formation inhibitors, and mixtures
thereof.
11) A composition comprising nebivolol and only one other active agent.
12) The composition of claim 11 wherein the other active agent is a cardiovascular agent.
13) The composition of claim 12 wherein the cardiovascular agent is selected from the
group consisting of ACE inhibitors, ARB's, adrenergic blockers, adrenergic agonists,
agents for pheochromocytoma, antiarrhythmics, antiplatelet agents, anticoagulants,
antihypertensives, antilipemic agents, antidiabetics, antiinflammatory agents, calcium
channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin inhibitors,
diuretics, endofhelin receptor antagonists, HMG Co-A reductase inhibitors, inotropic
agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers, AGE
formation inhibitors, and mixtures thereof.

14) The composition of claim 12 wherein the cardiovascular agent is selected from the
group consisting of ACE inhibitors and ARB's.
15) The composition of claim 12 wherein the cardiovascular agent is an ACE inhibitor
selected from the group consisting of alacepril, benazepril, captopril, ceronapril,
cilazapril, delapril, enalapril, enalaprilat, fosinopril, imidapril, lisinopril, perindopril,
quinapril, ramipril, ramiprilat, spirapril, temocapril, and trandolapril.
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16) The composition of claim 12, wherein the cardiovascular agent is an ARB selected
from the group consisting of candesartan, eprosartan, irbesartan, losartan and
valsartan.
17) The composition of claim 12 wherein the cardiovascular agent is selected from the
group consisting of AGE crosslink breakers and AGE formation inhibitors.
18) A pharmaceutical composition comprising nebivolol and at least one other active
agent, and a pharmaceutically-acceptable carrier.
19) The pharmaceutical composition of claim 18 wherein at least one of the other active
agents is a cardiovascular agent.
20) The pharmaceutical composition of claim 19 wherein the cardiovascular agent is
selected from the group consisting of ACE inhibitors, ARB's, adrenergic blockers,
adrenergic agonists, agents forpheochromocytoma, antiarrhythmics, antiplatelet
agents, anticoagulants, antihypertensives, antilipemic agents, antidiabetics,
antiinflammatory agents, calcium channel blockers, CETP inhibitors, COX-2
inhibitors, direct thrombin inhibitors, diuretics, endothelin receptor antagonists, HMG
Co-A reductase inhibitors, inotropic agents, rennin inhibitors, vasodilators,
vasopressors, AGE crosslink breakers, AGE formation inhibitors, and mixtures
thereof.
21) The pharmaceutical composition of claim 19, wherein the cardiovascular agent is
selected from the group consisting of ACE inhibitors, an ARB's, and mixtures
thereof.
22) The pharmaceutical composition of claim 21, wherein the cardiovascular agent is an
ACE inhibitor.
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23) The pharmaceutical composition of claim 22 wherein the ACE inhibitor is selected
from the group consisting of alacepril, benazepril, captopril, ceronapril, cilazapril,
delapril, enalapril, enalaprilat, fosinopril, imidapril, lisinopril, perindopril, quinapril,
ramipril, ramiprilat, spirapril, temocapril, trandolapril, and mixtures thereof.
24) The pharmaceutical composition of claim 23 wherein the ACE inhibitor is selected
from the group consisting of enalapril, ramipril and ramiprilat and mixtures thereof
25) The pharmaceutical composition of claim 21 wherein the cardiovascular agent is an
ARB.
26) The pharmaceutical composition of claim 25 wherein the ARB is selected from the
group consisting of candesartan, eprosartan, irbesartan, losartan, valsartan, and
mixtures thereof.
27) The pharmaceutical composition of claim 19, wherein the cardiovascular agent is
selected from the group consisting of AGE crosslink breakers, AGE formation
inhibitors, and mixtures thereof.
28) A method of treating and/or preventing a cardiovascular disorder comprising
administering to a subject a therapeutically safe and effective amount of nebivolol and
at least one other active agent, sufficient to treat said condition.
29) The method of claim 28 wherein the at least one other active agent is a cardiovascular
agent.
30) The method of claim 29 wherein the cardiovascular agent is selected from the group
consisting of ACE inhibitors, ARB's, adrenergic blockers, adrenergic agonists, agents
for pheochromocytoma, antiarrhythmics, antiplatelet agents, anticoagulants,
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antihypertensives, antilipemic agents, antidiabetics, antiinfiammatory agents, calcium
channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin inhibitors,
diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors, inotropic
agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers, AGE
formation inhibitors, and mixtures thereof.
31) The method of claim 28 wherein the cardiovascular disorder is selected from the
group consisting of congestive heart failure, hypertension, pulmonary hypertension,
myocardial and cerebral infarctions, atherosclerosis, atherogenesis, thrombosis,
ischemic heart disease, post-angioplasty restenosis, coronary artery diseases, renal
failure, stable, unstable and variant (Prinzmetal) angina, cardiac edema, renal
insufficiency, nephrotic edema, hepatic edema, stroke, transient ischemic attacks,
cerebrovascular accidents, restenosis, controlling blood pressure in hypertension,
platelet adhesion, platelet aggregation, smooth muscle cell proliferation, pulmonary
edema, vascular complications associated with the use of medical devices, wounds
associated with the use of medical devices, pulmonary thromboembolism, cerebral
thromboembolism, thrombophlebitis, thrombocytopenia and bleeding disorders.
32) The method of claim 30 wherein the wherein the cardiovascular agent is selected from
the group consisting of ACE inhibitors, an ARB's, and mixtures thereof.
33) The method of claim 32 wherein the cardiovascular agent is an ACE inhibitor.
34) The method of claim 32 wherein the cardiovascular agent is an ARB.
35) The method of claim 30 wherein the cardiovascular agent is selected from the group
consisting of AGE crosslink breakers, AGE formation inhibitors, and mixtures
thereof.
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36) The pharmaceutical composition as set forth in claims 18, wherein said composition
comprises a pharmaceutical kit.
37) The composition of claim 2, wherein the cardiovascular agent is a vasodilator.
38) The composition of claim 37, wherein the vasodilator is selected from the group
consisting of isosorbide dinitrate, isosorbide mononitrate, and a hydralazine
compound, and mixtures thereof.
39) The composition of claim 1 wherein at least one of the other active agents is a
flavonoid.
40) The composition of claim 39 wherein the flavonoid is selected from the group
consisting of (-)-epictechin, (+)-catechin, procyanidin B2, quercetin dehydrate,
taxifolin and resveratrol, and mixtures thereof.
41) The composition of claim 1 wherein at least one other active agent is selected from
the group consisting of flavonoids, cartenoids, sulfonylureas, and niacin and related
derivatives, and mixtures thereof.
42) The composition of claim 41 wherein at least one other active agent is a carotenoid.
43) The composition of claim 42 wherein the carotenoid is selected from the group
consisting of astaxanthin, zeaxanthin, lutein, lycopene, beta-carotene, and mixtures
thereof.
44) The composition of claim 41 wherein the at least one other active agent is a
sulfonylurea.
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45) The composition of claim 44 wherein the sulfonylurea is selected from the group
consisting of acetohexamide, DiaBeta, glibenclamide, gliclazide, glipizide,
glyclopyramide, chlorpropamide, tolazamide, tolbutamide, glimepiride, tolbutamide
and meglitinide analogues, and mixtures thereof.
46) The method of claim 29 wherein the cardiovascular agent is a vasodilator.
47) The method of claim 46 wherein the vasodilator is selected from the group consisting
of isosorbide dinitrate, isosorbide mononitrate, isosorbide mononitrate and a
hydralazine compound, and mixtures thereof.
48) The method of claim 47 wherein the hydralazine compound is selected from the group
consisting of budralazine, cadralazine, dihydralazine, endralazine, hydralazine,
pildralazine and todralazine, or pharmaceutically acceptable salts thereof, and
mixtures thereof.
49) The method of claim 28 wherein at least one other active agent is a flavonoid.
50) The method of claim 49 wherein the flavonoid is selected from the group consisting
of (-)-epictechin, (+)-catechin, procyanidin B2, quercetin dehydrate, taxifolin and
resveratrol, and mixtures thereof.
51) The method of claim 28 wherein at least one other active agent is selected from the
group consisting of flavonoids, cartenoids, sulfonylureas, and niacin and related
derivatives, and mixtures thereof.
52) A method of improving NO release in a black patient in need thereof comprising
administering to the black patient a therapeutically safe and effective amount of
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nebivolol or a pharmaceutically acceptable salt thereof and at least one other
cardiovascular agent, sufficient to improve NO release.
53) The method of claim 52 wherein the at least one other cardiovascular agent is selected
from the group consisting of ACE inhibitors, ARB's, adrenergic blockers, adrenergic
agonists, agents forpheochromocytoma, antiarrhythmics, antiplatelet agents,
anticoagulants, antihypertensives, antilipemic agents, antidiabetics, antiinflammatory
agents, calcium channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin
inhibitors, diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors,
inotropic agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink
breakers, AGE formation inhibitors, and mixtures thereof.
54) The method of claim 53 wherein the at least one other cardiovascular agent is a
vasodilator.
55) The method of claim 54 wherein the vasodilator is selected from the group consisting
of isosorbide dinitrate, isosorbide mononitrate, a hydralazine compound, and mixtures
thereof.
56) The method of claim 55 wherein the hydralazine compound is selected from the group
consisting of budralazine, cadralazine, dihydralazine, endralazine, hydralazine,
pildralazine and todralazine, or pharmaceutically acceptable salts thereof, and
mixtures thereof.
57) A method of reducing mortality associated with cardiovascular disease in a black
patient comprising administering to the black patient a therapeutically effective
amount of:
(i) nebivolol or a pharmaceutically salt thereof;
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WO 2006/130174 PCT/US2005/041275
(ii) at least one hydralazine compound or a pharmaceutically acceptable salt thereof;
(iii) at least one of isosorbide dinitrate and/or isosorbide mononitrate; and
(iv) optionally, one or more compounds selected from the group consisting of a
digitalis compound, a diuretic compound, potassium, an angiotensin-converting
enzyme inhibitor, a beta-adrenergic blocker, a cholesterol reducer, a calcium channel
blocker, an angiotensin II receptor antagonist, and an endothelin antagonist.
58) The method of claim 57 wherein the cardiovascular disorder is selected from the
group consisting of congestive heart failure, hypertension, pulmonary hypertension,
myocardial and cerebral infarctions, atherosclerosis, atherogenesis, thrombosis,
ischemic heart disease, post-angioplasty restenosis, coronary artery diseases, renal
failure, stable, unstable and variant (Prinzmetal) angina, cardiac edema, renal
insufficiency, nephrotic edema, hepatic edema, stroke, transient ischemic attacks,
cerebrovascular accidents, restenosis, controlling blood pressure in hypertension,
platelet adhesion, platelet aggregation, smooth muscle cell proliferation, pulmonary
edema, vascular complications associated with the use of medical devices, wounds
associated with the use of medical devices, pulmonary thromboembolism, cerebral
thromboembolism, thrombophlebitis, thrombocytopenia and bleeding disorders.
59) The method of claim 58, wherein the cardiovascular disorder is hypertension.
60) The method of claim 59, wherein the hydralazine compound is budralazine,
cadralazine, dihydralazine, endralazine, hydralazine, pildralazine, todralazine or a
pharmaceutically acceptable salt thereof, and mixtures thereof.
61) The method of claim 57 wherein the nebivolol is administered in an amount of from
about 1 mg per day to about 10 mg per day.
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WO 2006/130174 PCT/US2005/041275
62) A method for improving NO release in a black patient in need thereof comprising
administering to the black patient a safe and therapeutically effective amount of:
(i) nebivolol or a pharmaceutically salt thereof;
(ii) at least one hydralazine compound or a pharmaceutically acceptable salt thereof;
(iii) at least one of isosorbide dinitrate and/or isosorbide mononitrate; and
(iv) optionally, one or more compounds selected from the group consisting of a
digitalis compound, a diuretic compound, potassium, an angiotensin-converting
enzyme inhibitor, a beta-adrenergic blocker, a cholesterol reducer, a calcium channel
blocker, an angiotensin II receptor antagonist, and an endothelin antagonist.
63) The method of claim 62, wherein the cardiovascular disorder is hypertension.
64) The method of claim 62, wherein the hydralazine compound is budralazine,
cadralazine, dihydralazine, endralazine, hydralazine, pildralazine, todralazine or a
pharmaceutically acceptable salt thereof, and mixtures thereof.
65) The method of claim 64, wherein the hydralazine compound is hydralazine
hydrochloride.
66) A method for improving exercise tolerance or for improving the quality of life in a
black patient in need thereof comprising administering to the black patient a
therapeutically effective amount of:
(i) nebivolol or a pharmaceutically salt thereof;
(ii) at least one hydralazine compound or a pharmaceutically acceptable salt thereof;
(iii) at least one of isosorbide dinitrate and/or isosorbide mononitrate; and
(iv) optionally, one or more compounds selected from the group consisting of a
digitalis compound, a diuretic compound, potassium, an angiotensin-converting
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WO 2006/130174 PCT/US2005/041275
enzyme inhibitor, a beta-adrenergic blocker, a cholesterol reducer, a calcium channel
blocker, an angiotensin II receptor antagonist, and an endothelin antagonist.
67) The method of claim 66, wherein the hydralazine compound is budralazine,
cadralazine, dihydralazine, endralazine, hydralazine hydrochloride, pildralazine,
todralazine or a pharmaceutically acceptable salt thereof, and mixtures thereof.
68) The method of claim 67, wherein the hydralazine compound is hydralazine
hydrochloride.
69) A method of improving NO release in a black patient in need thereof comprising
administering to the black patient nebivolol or a pharmaceutically acceptable salt in
an amount of about 1 mg per day to about 10 mg per day, and at least one other
cardiovascular agent.
70) The method of claim 69 wherein the cardiovascular agent is selected from the group
consisting of isosorbide dinitrate, isosorbide mononitrate, a hydralazine compound,
and mixtures thereof.
71) A method for the treatment and/or prevention of cardiovascular diseases characterized
by nitric oxide insufficiency, wherein said method comprises administering to a
patient nebivolol, or a pharmaceutically acceptable salt, in an amount of about 1 mg
per day to about 10 mg per day, and at least one other cardiovascular agent selected
from the group consisting of isosorbide dinitrate, isosorbide mononitrate, a
hydralazine compound, and mixtures thereof.
72) A method for improving exercise tolerance or for improving the quality of life in a
black patient in need thereof comprising administering to the black patient a
therapeutically effective amount of:
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WO 2006/130174 PCT/US2005/041275
(i) nebivolol or a pharmaceutically salt thereof in the amount of about 1 mg to about
10 mg per day;
(ii) at least one cardiovascular agent; and
(iii) optionally, one or more compounds selected from the group consisting of a
digitalis compound, a diuretic compound, potassium, an angiotensin-converting
enzyme inhibitor, a beta-adrenergic blocker, a cholesterol reducer, a calcium channel
blocker, an angiotensin II receptor antagonist, and an endothelin antagonist.
73) The method of claim 72 wherein the cardiovascular agent is selected from the group
consisting of ACE inhibitors, ARB's, adrenergic blockers, adrenergic agonists, agents
for pheochromocytoma, antiarrhythmics, antiplatelet agents, anticoagulants,
antihypertensives, antilipemic agents, antidiabetics, antiinflammatory agents, calcium
channel blockers, CETP inhibitors, COX-2 inhibitors, direct thrombin inhibitors,
diuretics, endothelin receptor antagonists, HMG Co-A reductase inhibitors, inotropic
agents, rennin inhibitors, vasodilators, vasopressors, AGE crosslink breakers, AGE
formation inhibitors, and mixtures thereof.
74) A composition comprising nebivolol, hydrochlorothiazide and at least one other
additional active agent.
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Nebivolol has been shown to be beneficial in the treatment of cardiovascular diseases such hypertension, congestive
heart failure, arterial stiffness and endothelial dysfunction. The present invention features a pharmaceutical composition comprising
nebivolol and at least one other active agent, wherein the at least one other active agent is a cardiovascular agent.

Documents:

04526-kolnp-2007-abstract.pdf

04526-kolnp-2007-claims.pdf

04526-kolnp-2007-correspondence others.pdf

04526-kolnp-2007-description complete.pdf

04526-kolnp-2007-drawings.pdf

04526-kolnp-2007-form 1.pdf

04526-kolnp-2007-form 3.pdf

04526-kolnp-2007-form 5.pdf

04526-kolnp-2007-gpa.pdf

04526-kolnp-2007-international publication.pdf

04526-kolnp-2007-international search report.pdf

4526-KOLNP-2007-(07-06-2013)-ABSTRACT.pdf

4526-KOLNP-2007-(07-06-2013)-ANNEXURE TO FORM-3.pdf

4526-KOLNP-2007-(07-06-2013)-CLAIMS.pdf

4526-KOLNP-2007-(07-06-2013)-CORRESPONDENCE.pdf

4526-KOLNP-2007-(07-06-2013)-DESCRIPTION (COMPLETE).pdf

4526-KOLNP-2007-(07-06-2013)-DRAWINGS.pdf

4526-KOLNP-2007-(07-06-2013)-FORM-1.pdf

4526-KOLNP-2007-(07-06-2013)-FORM-13.pdf

4526-KOLNP-2007-(07-06-2013)-FORM-2.pdf

4526-KOLNP-2007-(07-06-2013)-OTHERS PCT FORM.pdf

4526-KOLNP-2007-(07-06-2013)-OTHERS.pdf

4526-KOLNP-2007-(07-06-2013)-PETITION UNDER RULE 137-1.pdf

4526-KOLNP-2007-(07-06-2013)-PETITION UNDER RULE 137.pdf

4526-KOLNP-2007-CORRESPONDENCE OTHERS 1.1.pdf

4526-KOLNP-2007-CORRESPONDENCE.pdf

4526-kolnp-2007-form 18.pdf

4526-KOLNP-2007-FORM 3 1.1.pdf


Patent Number 260880
Indian Patent Application Number 4526/KOLNP/2007
PG Journal Number 22/2014
Publication Date 30-May-2014
Grant Date 27-May-2014
Date of Filing 23-Nov-2007
Name of Patentee MYLAN LABORATORIES, INC
Applicant Address 781 CHESTNUT RIDGE ROAD MORGANTOWN, WV
Inventors:
# Inventor's Name Inventor's Address
1 ODONNELL JOHN 24 HEATHER DRIVE, MORGANOWN, WV 26505
2 MASON PRESTON 781 CHESTNUT RIDGE ROAD, MORGANTOWN, WV 26504
3 DAVIS ERIC 12 COBUN RIDGE, MORGANTOWN, WV 26508
4 BOTTINI PETER BRUCE 1460 WESTERN AVENUE, MORGANTOWN, WV 26505
5 SHAW ANDREW PRESTON 781 CHESTNUT RIDGE ROAD, MORGANTOWN, WV 26504
PCT International Classification Number A61K 31/352
PCT International Application Number PCT/US2005/041275
PCT International Filing date 2005-11-16
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 11/273992 2005-11-15 U.S.A.
2 11/141235 2005-05-31 U.S.A.
3 11/272562 2005-11-10 U.S.A.