# US 12,594,254 B2 · Intranasal administration of n-acetylcysteine and uses thereof

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- Number: US 12,594,254 B2
- Document ID: US12594254B2
- Status: Granted
- Kind: B2
- Application number: 18/855,563
- Filed: 2023-02-07
- Published: 2025-07-10
- Granted: 2026-04-07
- Earliest claimed: 2022-02-07
- Assignees: Neuronasal, Inc.
- Applicants: Neuronasal, Inc.
- Inventors: Douglas A. Greene; Thomas I. Bradshaw
- Web page: https://patentgrep.com/patent/US12594254B2

## CPC

- A61K 31/198: Alpha-amino acids, e.g. alanine or edetic acid [EDTA] (betaine A61K31/205; proline A61K31/401; tryptophan A61K31/405; histidine A61K31/4172; peptides not degraded to individual amino acids A61K38/00)
- A61K 9/0043: {Nose}
- A61K 31/045: Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates
- A61K 31/137: Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine {or methadone}
- A61K 38/063: {Glutathione}
- A61K 45/06: Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)

## Abstract

The present disclosure describes methods comprising administering N-acetylcysteine (NAC) or a pharmaceutically-acceptable salt or congener thereof. The disclosed methods can be used to treat a brain disorder.

## Claims

### Claim 1

A method comprising administering to a subject in need thereof:
a) a dose of a compound, wherein the compound is N-acetylcysteine (NAC) or a pharmaceutically-acceptable salt thereof or glutathione (GSH); and
b) a therapeutically-effective amount of a therapeutic agent,
wherein the administering delivers the therapeutic agent to a brain tissue of the subject in an amount that is at least about 20% greater than an amount of the therapeutic agent delivered to the brain tissue of the subject when administered without the dose of the compound.

### Claim 2 (depends on 1)

The method of claim 1, wherein the administering of the compound is intranasal.

### Claim 3 (depends on 1)

The method of claim 1, wherein the subject is human.

### Claim 4 (depends on 1)

The method of claim 1, wherein substantially all of the dose of the compound enters the brain without crossing a blood brain barrier of the subject.

### Claim 5 (depends on 1)

The method of claim 1, wherein the dose of the compound is a therapeutically-effective amount.

### Claim 6 (depends on 1)

The method of claim 1, wherein the dose of the compound is from about 1 mg/kg to about 10 mg/kg.

### Claim 7 (depends on 1)

The method of claim 1, wherein the dose of the compound is from about 100 mg to about 400 mg.

### Claim 8 (depends on 1)

The method of claim 1, wherein the dose of the compound is administered using a nasal pump.

### Claim 9 (depends on 1)

The method of claim 1, wherein the dose of the compound is administered using an atomizer.

### Claim 10 (depends on 1)

The method of claim 1, wherein the dose of the compound is administered using a nebulizer.

### Claim 11 (depends on 1)

The method of claim 1, wherein substantially all of the dose of the compound enters the nasal cavity of the subject.

### Claim 12 (depends on 1)

The method of claim 1, wherein the compound and the therapeutic agent are in a unit dose form.

### Claim 13 (depends on 1)

The method of claim 1, wherein the therapeutic agent is an antibiotic.

### Claim 14 (depends on 1)

The method of claim 1, wherein the therapeutic agent is a betalactam.

### Claim 15 (depends on 1)

The method of claim 1, wherein the therapeutic agent is an aminoglycosi de.

### Claim 16 (depends on 1)

The method of claim 1, wherein the therapeutic agent is ambroxol.

### Claim 17 (depends on 1)

The method of claim 1, wherein the therapeutic agent is an antibody.

### Claim 18 (depends on 1)

The method of claim 1, wherein the therapeutic agent is aducanumab.

### Claim 19 (depends on 1)

The method of claim 1, wherein the therapeutic agent is farnesol.

### Claim 20 (depends on 1)

The method of claim 1, wherein the administering delivers the therapeutically-effective amount of the therapeutic agent to the brain tissue of the subject in an amount that is at least about 30% greater than an amount of the therapeutic agent delivered to the brain tissue of the subject when administered without the dose of the compound.

### Claim 21 (depends on 1)

The method of claim 1, wherein the administering delivers the therapeutically-effective amount of the therapeutic agent to the brain tissue of the subject in an amount that is at least about 50% greater than an amount of the therapeutic agent delivered to the brain tissue of the subject when administered without the dose of the compound.

### Claim 22

A method of treating a brain disorder in a subject in need thereof, the method comprising intranasally administering to a nose of the subject:
a) a dose of a compound, wherein the compound is N-acetylcysteine (NAC) or a pharmaceutically-acceptable salt thereof or glutathione (GSH); and
b) a therapeutically-effective amount of a therapeutic agent, wherein the brain disorder is any of a traumatic brain injury, a mild traumatic brain injury, a concussion, post-concussion syndrome, a stroke, a neurodegenerative disease, dementia, Parkinson's disease, or an age-related disorder.

### Claim 23 (depends on 22)

The method of claim 22, wherein the dose of the compound is a therapeutically-effective amount.

### Claim 24 (depends on 22)

The method of claim 22, wherein the brain disorder is a concussion.

### Claim 25 (depends on 22)

The method of claim 22, wherein the brain disorder is a mild traumatic brain injury.

### Claim 26 (depends on 22)

The method of claim 22, wherein the brain disorder is a traumatic brain injury.

### Claim 27 (depends on 22)

The method of claim 22, wherein the brain disorder is associated with athletic activity.

### Claim 28 (depends on 22)

The method of claim 22, wherein the brain disorder is a neurodegenerative disease.

### Claim 29 (depends on 22)

The method of claim 22, wherein the brain disorder is dementia.

### Claim 30 (depends on 22)

The method of claim 22, wherein the brain disorder is age-related.

### Claim 31 (depends on 22)

The method of claim 22, wherein the brain disorder is a stroke.

### Claim 32 (depends on 22)

The method of claim 22, wherein substantially all of the dose of the compound enters the brain without crossing a blood brain barrier of the subject.

### Claim 33 (depends on 22)

The method of claim 22, wherein the therapeutically-effective amount of the compound is about 1 mg/kg to about 10 mg/kg.

### Claim 34 (depends on 22)

The method of claim 22, wherein the therapeutically-effective amount of the compound is from about 100 mg to about 400 mg.

### Claim 35 (depends on 22)

The method of claim 22, wherein the dose of the compound is administered using a nasal pump.

### Claim 36 (depends on 22)

The method of claim 22, wherein the dose of the compound is administered using an atomizer.

### Claim 37 (depends on 22)

The method of claim 22, wherein the dose of the compound is administered using a nebulizer.

### Claim 38 (depends on 22)

The method of claim 22, wherein substantially all of the dose of the compound enters a nasal cavity of the subject.

### Claim 39 (depends on 22)

The method of claim 22, wherein the compound and the therapeutic agent are in a unit dose form.

### Claim 40 (depends on 22)

The method of claim 22, wherein the administering delivers the therapeutically-effective amount of the therapeutic agent to a brain tissue of the subject in an amount that is at least about 20% greater than an amount of the therapeutic agent delivered to the brain tissue when administered without the dose of the compound.

### Claim 41 (depends on 22)

The method of claim 22, wherein the administering delivers the therapeutically-effective amount of the therapeutic agent to a brain tissue of the subject in an amount that is at least about 30% greater than an amount of the therapeutic agent delivered to the brain tissue of the subject when administered without the dose of the compound.

### Claim 42 (depends on 22)

The method of claim 22, wherein the administering delivers the therapeutically-effective amount of the therapeutic agent to a brain tissue of the subject in an amount that is at least about 50% greater than an amount of the therapeutic agent delivered to the brain tissue of the subject when administered without the dose of the compound.

### Claim 43 (depends on 22)

The method of claim 22, wherein the brain disorder is Parkinson's disease.
