SULODEXIDE (INN) PRODUCT PROFILE SYNTEX S.A. Luis De Sarro 501 - (B1838DQK) – Luis Guillón – Buenos Aires – Argentina – Tel./Fax: (54 11) 4367-6100 syntex@syntexar.com – www.syntexar.com Brief Introduction According to Martindale 34° Ed., Sulodexide is a heparinoid consisting of a mixture of low molecular weight heparin (Fast Moving Heparin, FMH) and Dermatan Sulfate (DS). Review of the 14th Annunal Pharmacy Conference on Anticoagulation Therapy (1999) (1) also defines Sulodexide as a mixture of 80 % low molecular weight heparin and 20 % dermatan sulfate, total components of sulodexide being from porcine origin. Use Sulodexide (INN) is well known for the treatment of vascular pathologies with thrombotic risk, such as peripheral occlusive arterial disease, cardiovascular pathologies, etc. Due to its hypolipemiant activity (reducing triglycerides and cholesterol values in plasma), it is used also in the prophylaxis of myocardial reinfarction. Recently, novel application was found for Sulodexide, in the treatment of diabetic nephropathy in patients with both insulin and non-insulin dependent diabetes mellitus. Strong reduction in albumin excretion was obtained by using Sulodexide in such cases (2). The precise mechanism is not known but it may include restoration of the physiologic glomerular membrane anionic charge via enhanced synthesis and sulfation of heparin in renal vascular membranes, direct replenishment of renal heparin sulfate, inhibition of transforming growth factor β 1-mediated mesangial matrix overproduction, inhibition of mesangial cell hyperplasia, etc. Production Currently, Syntex S.A. is producing Sulodexide at kilo-lab scale. SYNTEX S.A. Luis De Sarro 501 - (B1838DQK) – Luis Guillón – Buenos Aires – Argentina – Tel./Fax: (54 11) 4367-6100 syntex@syntexar.com – www.syntexar.com Specifications Appearance: Solubility (5% soln.): pH (5% soln.): Loss on drying: Organic Sulphur: Sulphate / carboxylic ratio: Electrophoresis: (cellulose acetate, barium acetate buffer) OSCS: Heavy metals: Anti-clotting activity: Anti-Xa activity: Residual solvents: Total plate count: E. Coli: Salmonella: S. Aureus: white or almost white powder clear solution 5.5 - 8.0 not more than 8.0% 7.0 – 11.0% d.b. ≥ 1.5 CS: not more than 5% DS: 15-25 % FM: 75-85 % SM: not more than 5% absent (NMR-H) not more than 30 ppm not more than 70 IU/mg not less than 50 IU/mg methanol ≤ 500 ppm ethanol ≤ 1.5 % acetone ≤ 1000 ppm not more than 1000 CFU/g absent /g absent / 10 g absent /g Note Ideas and data previously mentioned must be understood just as guidelines in applications development and not as a recommendation of use against any patent. SYNTEX S.A. Luis De Sarro 501 - (B1838DQK) – Luis Guillón – Buenos Aires – Argentina – Tel./Fax: (54 11) 4367-6100 syntex@syntexar.com – www.syntexar.com Bibliographic Reference 1. www.uspharmacist.com/ce/antico/lesson.html 2. Palazzini, E. et al, US Patent 7259152 3. Harenberg, J., Journal of Med. Res. Rev., 18, 1-20 (1998) 4. Gambaro, G. et al, J. Am. Soc. Nephr, 11, 359-368 (2000) 5. Skrha, J. et al, Diabetes Res. Clin. Pract., 38, 25-31 (1997) 6. Ofosu, F. et al, Sem. Thromb. Hemost., 24, N° 2, 127-138 (1998) 7. Bianchini, P. et al, US Patent 3936351 8. Edigio et al, US Patent 5236910 9. Marchi et al, US Patent 5496807 10. Baggio et al, US Patent 5686432 SYNTEX S.A. Luis De Sarro 501 - (B1838DQK) – Luis Guillón – Buenos Aires – Argentina – Tel./Fax: (54 11) 4367-6100 syntex@syntexar.com – www.syntexar.com