EP1646627A1

EP1646627A1 - Chemical compounds containing tocopherol and at least one additional pharmaceutical active substance

Info

Publication number: EP1646627A1
Application number: EP04737365A
Authority: EP
Inventors: Manfred Windisch; Barbara Matuszczak
Original assignee: JSW-Research Forschungslabor GmbH; JSW Research Forschungslabor GmbH
Current assignee: JSW-Research Forschungslabor GmbH; JSW Research Forschungslabor GmbH
Priority date: 2003-07-17
Filing date: 2004-07-01
Publication date: 2006-04-19
Also published as: JP2007537979A; WO2005007650A1; US20060135489A1; AT500404A1; CA2496130A1; NZ538241A; AU2004257887A1

Abstract

The invention relates to chemical compounds in the form of racemates, enantiomers and/or diastereomers of general formula (I), wherein R represents the non-modified part of a variable pharmaceutical active substance molecule, B represents a spacer and Toc and corresponds to formula (II), R', R'' and R''' are H or methyl for tocopherol and A is C=X, SOm, X and/or CH2. X is O, S or NR<1> (n = 1) and/or S or NR<1> (n = 0) and B is a group X-R <2> y, wherein Y is C=X, SOm or C (XR <3> ) R<4,> and n is 0 - 6, preferably 0,1, 2 or 3 and m represents 1 or 2. R<1> represents H, C1 - C10 -alkyl, preferably C1 - C6-alkyl and/or aryl, Het or an aryl radical and/or a Het radical connected via a C1 - C6 spacer, preferably C1 - C3 and R<2> is selected from the group containing alkene, arylene and/or Het spacer and combinations thereof and can be combined directly with each other or via the A radical and/or via the group XO-A-Xp, wherein o and p can be equal or different and are 0, 1 or 2, and R<3> and R<4> represent H, C1 - C10 alkyl, preferably C1-C6-alkyl and/or aryl, Het or an aryl radical and/or a Het radical bound by means of a C1 - C6, preferably C1 - C3 spacer.

Description

Chemical compounds containing tocopherol and at least one other active pharmaceutical ingredient

The invention relates to chemical compounds containing tocopherol and at least one other pharmaceutical

Active ingredient, process for the preparation of this chemical

Compounds and their use as a medicament or prodrug. When using these chemical compounds as

Medicament or prodrug tocopherol has the effect of an antioxidant, whereas the other pharmaceutical active ingredient is preferably a non-steroidal anti-inflammatory drug (NSAID) which is linked to tocopherol directly or via a spacer. This "chemically fixed combination of two active pharmaceutical ingredients" leads to more effective and better contractual derivatives. In the patient's organism, the compounds claimed here are released by metabolic processes such as enzymatically catalyzed ester hydrolysis, the pharmaceutical active ingredient and tocopherol, which can then develop their known effects. The increase in efficacy results from the optimization of the physicochemical parameters and the resulting improved absorption and absorption of the active substances by the central nervous system (CNS). The improved tolerability is mainly due to the reduction of possible local toxic effects, such as the reduction of locally caused toxic effects of the NSAID component in the gastrointestinal tract by masking the carboxylic acid function, as well as the reduction of the active ingredient concentration in the periphery by increased absorption of the compounds in the CNS attributed. The invention further relates to a method for producing the aforementioned chemical compounds and their use as drugs or prodrugs for the treatment or prophylaxis of degenerative diseases of the central nervous system, such as Alzheimer's disease, Lewy body dementia, Parkinson's disease, Huntington's disease (chorea). , Multi-system atrophy and other similar illnesses as well as in diseases caused by TNF (tumor necrosis factor) -alpha, IL (interleukin) -1 beta, IL (interleukin) -6 and or IL (interleukin) -8 or other ailments such as pain , Diabetes etc. Also and especially the use of the chemical compounds according to the invention in the manufacture of medicaments for the treatment of radical stress affected diseases, such as respiratory diseases, such as

Pneumonia, the digestive system, the blood vessel system, such as leukemia, hamoglinopathy, the connective tissue, such as

Rheumatism, the eyes, as with lens opacification, are the subject of the invention. The chemical compounds according to the invention are expressly suitable for the production of medicaments for the

Treatment and prophylaxis of diseases in which inflammation and / or oxidative stress occur. The invention therefore encompasses the production and use of these chemical compounds in the case of all conditions touched here by generic terms and mentioned below. The medical background of the invention is explained in more detail below. Inflammatory processes play an important role in the neurodegenerative diseases mentioned in several respects. In previous work it was postulated that inflammatory processes in the brain only occur if the blood-brain barrier is damaged. However, it was later demonstrated that the brain can initiate and maintain its own inflammatory processes. It is now known that inflammation processes, particularly in the case of Alzheimer's disease, are very significantly involved in the beginning and progress of the disease. This has been proven by a number of epidemiological studies (McGeer, 1992, Akiyama 2000). The thesis that NSAIDs have a positive effect on the course of Alzheimer's disease is also supported by the fact that in the cortex of Alzheimer's and older control patients who had both neurofibrillary tangles (NFTs) and ß-amyloid plaques, the estimated Number of synapses determined on the basis of immunohistochemical data or the loss of synapses much more strongly with inflammation markers than correlated with the occurrence of NFTs and ß-amyloid deposits (Rogers et al. 1995). Inflammation reactions are partly also in the case of Alzheimer's disease see a consequence of the partly already existing damage. Nonetheless, in the case of Alzheimer's disease, as with some inflammatory diseases, such as asthma, arthritis, ... the brain provides the brain with a number of ways to cause inflammation in other parts of the body then greater damage than the original pathological

Can cause changes. It is widely believed that ß-amyloid plaques are necessary but not sufficient to trigger and advance Alzheimer's disease. Inflammation reactions are a highly probable complementary factor that is also necessary for the development of the clinical picture (Rogers et al. 1995). It is interesting that the toxicity of ß-amyloid increases up to a thousandfold after activation of complement proteins found in the brain (Shalit et al. 1994). Aggregated ß-amyloid is much more toxic than - more easily soluble - non-aggregated. It could be demonstrated in vitro that the complement protein Clq increases the aggregation of β-amyloid (Webster et al. 1994). This appears to be particularly important when one considers that aggregated ß-amyloid activates Clq (Jiang et al. 1994). Tau pathology, which plays an essential role in addition to ß-amyloid in neurodegeneration, is closely related to inflammatory processes and the activation of the complement system (Shen et al. 2001). In inflammatory processes, pro-inflammatory cytokines, such as interleukin 1, tumor necrosis factor alpha, are released from various cell types in response to appropriate stimuli (which include lipopolysaccharide, as well as various forms of cell stress). An increased release of the cytokines mentioned stands alongside the Above-mentioned neurodegenerative processes in connection with various diseases, such as rheumatoid arthritis, Paget's disease, osteoporosis, multiple myeloma, uveitis, acute or chronic myelogenous leukemia, loss of beta cells, also as a concomitant phenomenon of insulin-dependent type I diabetes, osteoarthritis, rheumatoid spondylitis , Gouty arthritis, inflammatory bowel diseases, respiratory distress syndrome in adults, psoasis, Crohn's disease, hay fever, ulcerative colitis, anaphylaxis, contact atitis, asthma, muscle degeneration, cachexia, Reiter's syndrome, type I and type II diabetes, rejection reactions, reper fusion damage after ischemia, atherosclerosis, brain trauma, multiple sclerosis, cerebral malaria, sepsis, septic shock, toxic shock syndrome, infection-related fever and myalgia as well as infections with various viruses (HIV 1, HIV 2, HIV 3, CMV, influenza, adeno and herpes viruses. The

The invention therefore also relates to the use of the chemical compounds according to the invention for the production of

Medicines to treat the diseases just mentioned. Oxidative stress is a particularly important one in neurodegenerative diseases, both in the initial stage and later

Factor (Butterfield et al. 2002). A number of anatomical, physiological and biochemical properties allow this

Central nervous system appear to be particularly at risk in terms of damage caused by radicals: The brain uses a lot of oxygen compared to other body regions. Expressed in numbers, this means a share of 20% of the total 0 ₂ requirement with only a 2% share of body weight. The result is a particularly large potential for the formation of radicals. In this context, it was shown that several cellular components are changed by oxidative stress: proteins (Markesbery and Carney 1999), lipids (Sayre et al. 1997, Montine et al. 1998, Mc Kracken et al. 2001), nuclear and mitochondrial DNA (Mecocci et al. 1994, Gabbita et al. 1998) and RNA (Nunomura et al. 1999) are affected - as proven several times by literature. As far as preventive measures are concerned, reducing oxidative stress to reduce the risk of stroke is very useful (Chen and Zhou 2001, Mattson et al. 2001). But radical oxygen compounds (ROS) also develop during and immediately after ischemia, which have a detrimental effect on the survival of the nerve cells. The resulting cell biological changes usually last longer than the excitoxicity itself. In the course of the lipid peroxidation that occurs during hypoxia, toxic reaction products arise, such as the aldehyde 4-hydroxynonenal (Mc Kracken et al. 2001), which causes both necrotic and apoptotic cell death. Other factors that occur in the acute phase are also likely to be significantly influenced by antioxidant substances (El Kossi and Zakhary MM 2001). Oxidative stress therefore plays an important role in the damage caused by stroke, both in the first few hours and over longer-lasting reaction products even days later. Measurements of the 8-hydroxyguanosine (80HG) content have shown that increased oxidative stress is very early A characteristic of Alzheimer's disease is (Nunomura et al. 2001).

The emergence of the main components of the two best recognized theories for Alzheimer's disease, both β-amyloid and tau pathology, are evidently closely related to oxidative stress, as evidenced by several references

Connection (Pappolla MA et al. 2002). Especially in the early

Phases of Alzheimer's disease - before the formation of extracellular ß-amyloid deposits - there is intracellular accumulation of ß-amyloid (Gouras et al. 2000). Since the oxidative stress is also particularly pronounced during this early stage of the disease, there is a connection, for example, via metal ions bound to β-amyloid (Nunomura et al. 2001,) or neurofibrillary tangles (Sayre et al. 2000), which can then directly form hydrogen peroxide , most likely. The malfunction of mitochondria is another well-documented explanation for the radical stress that occurs so early (Hirai et al. 2001). α-Synuclein, which is also a protein that tends to aggregate and is at the heart of the pathology of Parkinson's disease, also increases oxidative stress. Even in vivo and in vitro studies, some of which are not directly related to α-synuclein, show that oxidative stress is an early and very striking, detectable parameter in the development of Parkinson's disease (Migliore et al. 2002, Munch et al. 2000, Roghani and Behzadi 2001). In addition to the diseases mentioned in the area of neurodegeneration, oxidative stress can lead to arrhythmias, myocardial infarction, arteriosclerosis, pneumonia, cerebral edema, hamorrhagic and non-hamorrhagic infarcts, such as stroke, diseases of the gastric mucosa, pancreas, cirrhosis, leukemia, sepsis, hemoglobinopathy, various forms Diabetes, stress reactions, diseases of the excretory system, such as inflammation of the kidneys, kidney failure, diseases of the supporting apparatus, such as rheumatism, of the sensory organs, such as lens clouding, lead, or make a significant contribution to the development of the disease or influence the course of recovery. Long-term use of non steroidal anti-inflammatory drugs (NSAIDs) is quite pronounced gastrotoxicity connected. With long-lasting treatments, irritation of the gastric mucosa, gastric bleeding and also occurs relatively often

Formation of ulcers. The second most common cause of gastric and

Duodenal ulcers are NSAIDs. The bleeding that occurs can be life-threatening. This fact is a major problem since in the case of neurodegenerative

Diseases almost only seem to make sense for long-term treatments. NSAIDs, such as ibuprofen, occupy prominent positions in drug side effects statistics. According to a report in the New England Journal of Medicme, 16,000 people die each year from the side effects of NSAIDs in the United States (Wolfe et al. 1999). As can be proven by literature, the toxicity of some ibuprofen derivatives is significantly lower than that of ibuprofen (Lolli et al. 2001). As mentioned at the beginning, the use of NSAIDs is a very interesting and realistic possibility for the treatment of degenerative diseases of the central nervous system. As already mentioned, antioxidant substances such as vitamin E and others also represent a promising approach. Nevertheless, the effectiveness of both treatment strategies is limited by the fact that these active substances, in particular the NSAID, only cross the blood-brain barrier to a very limited extent and ms CNS can reach. One strategy for improving the passage of the blood-brain barrier is the formation of prodrugs, ie compounds which themselves have little or no biological activity. The actual active ingredients are only released through metabolic processes and can then develop their effects (Albert, 1958). The claimed compounds are so-called "carπer-mutual prodrugs", ie NSAID and tocopherol are each to be regarded as carriers of the other component according to the invention. In order to be able to vary the properties of the compounds to a greater extent, in addition to the two-component prodrugs, derivatives according to the invention were also shown with a spacer between the active ingredient groups and thus a three-component prodrug. The spacer cannot only absorption and CNS movement, but also the extent and speed of hydrolysis are modified. The invention relates to chemical compounds of general structure I as racemates, enantiomers and diastereomers and in the form of their physiologically acceptable

Salts and solvates, in particular hydrates and addition compounds with alcohols. These compounds are characterized in that they contain an active pharmaceutical ingredient “R-A” and

Tocopherol "Toc", optionally via one or more spacers B according to the

formula

(I)

are linked together via an oxygen atom. The radical R denotes the unchanged part of the variable pharmaceutical active substance molecule. The structure RA-OH (if the partial structure 'A' can be represented as C = X or SO _m ) or R-AH (for A = X) can thus be ascribed to the active pharmaceutical ingredient used. R symbolizes in particular the acyl residues of the NSAID, such as acetylsalicylic acid, diclofenacid, ibuprofen, indomethacin, ketoprofen, mefenammic acid, naproxen and derivatives thereof, in particular reduction products of indomethacm, the CON substructure being formally replaced by -CH ₂ Noprofen and Ketoprofen the keto-carbonyl group is formally replaced by -CH (OH) - or by -CH ₂ -. The abbreviation Toc denotes a tocopheryl radical, in which R ', R''andR''' mean H or methyl. As can be seen from the following formula, there are three asymmetric carbon atoms, so there are eight diastereomeric forms. All diastereomers and mixtures thereof are to be claimed according to the invention.

The invention comprises the chemical compounds of the general formula I with regard to all possible racemates, enantiomers and diastereomers. If an acidic or basic partial structure is present in the compounds of the formula I (for example derivatives of mefenamic acid or diclofenic acid), their physiologically acceptable salts are also the subject of this invention. Furthermore, the invention also includes solvates, in particular hydrates and alcohol addition compounds, of the compounds I and their physiologically acceptable salts. For all radicals that can occur several times, such as the substituent 'X', the meanings are independent of one another: A stands for C = X, SO _m , X or CH ₂ where X 0, S or NR ¹ (for n > 1) or S or NR ¹ (when n = 0) B denotes the group XR ² -Y, where Y is C = X, SO _m or C (XR ³ ) R ⁴ . n represents 0, 1, 2, 3, 4, 5 or 6 and is preferably 0,1, 2 or 3, m is 1 or 2 (preferably) R ¹ is H, Cι-Cι ₀ alkyl (preferably C ₁ -C ₆ alkyl), aryl, Het or an aryl or Het radical bonded via a C ₆ spacer (preferably C1-C ₃ ). R ² stands for an alkylene, arylene or het spacer or combinations thereof, these either directly or via the function previously defined as A or via the

Grouping X ₀ -AX _p are linked together. The spacers are to be defined in analogy to the "alkyl", "aryl" and "het" radicals. o and p stand for 0, 1 or 2; they can be the same or different. R ³ and R ⁴ are H, Cι-Cι ₀ alkyl (preferably Cι-C ₆ - alkyl), aryl, Het or a C ₁ -C ₆ spacer (preferably Cι-C ₃₎ bound aryl or Het residue. Alkyl radicals include unbranched, branched or cyclic, saturated or with double and / or Triple bond (s) partially unsaturated, unsubstituted or at least single, preferably with F, Cl, Br, CN, N0 ₂ , NR ⁶ R ⁷ ,

CHO, SO _m alkyl, OR ⁶ , COR ⁶ , COOR ⁶ , COCOR ⁶ , CONR ⁶ R ⁷ substituted

Understand hydrocarbons. If the alkyl radical contains more than one substituent, these can be the same or different.

The alkyl radicals are preferably methyl, ethyl, propyl, isopropyl,

Butyl, isobutyl, tert-butyl, cyclopropyl, cyclopentyl or

Cyclohexyl. Aryl radical represents an unsubstituted or at least simple, preferably with F, Cl, Br, CN, alkyl, CF ₃ , N0 ₂ , NR ⁶ R ⁷ , CHO, SO _m alkyl, OH, OR ⁶ , COR ⁶ , COOR ⁶ , COCOR ⁶ , CONR ⁶ R ⁷ , CSNR ⁶ R ⁷ , aryl, or Het-substituted phenyl radical. The phenyl radical can be condensed with other cycles. The rest Het denotes a saturated, unsaturated or aromatic mono- or bicyclic heterocycle with 5 to 10 ring members, with at least one heteroatom, preferably nitrogen, oxygen and / or sulfur and which is optionally provided with a fused-on carbo- or heterocycle. R ⁶ and R ⁷ represent H, -C ₁₀ alkyl, preferably C ₆ alkyl, an aryl, heteroaryl or an aryl bonded via a C ₆ spacer, preferably Α-C ₃ - or heteroaryl residue. The invention further relates to a method for producing the chemical compounds of the general formula (I). Different methods can be used to prepare the compounds of the invention of type 1-1 with A = CO and n = 0 - these compounds are (AAcyltocopherols). In principle, two variants are available; on the one hand, the esterification of the tocopherol by direct reaction with a corresponding free carboxylic acid and on the other hand the acylation reaction of the phenol offspring tocopherol with an activated carboxylic acid derivative. These variants are presented in more detail below: JR x ^ ° - ^' Toc fJr A = CO and n = 0: _/ Toc (I) (1- 1) A) Starting from the free carboxylic acid, the synthesis of the claimed compounds of type II by reaction with a

Tocopherol done.

(1-1) Scheme 1. The following procedures are suitable for this variant, for example:

A 1) The reaction takes place in the presence of an organic condensation agent. Examples of suitable condensing agents are dicyclohexylcarbodimide (DCC), carbonyldumidazole (CDI), thionyldumidazole (ThDI) and l-hydroxy-l ^ - benzotriazole (HBT);

A 2) The reaction takes place in the presence of an inorganic condensation agent, for example an inorganic anhydride, such as phosphorus pentoxide or an inorganic acid halide, such as phosphorus oxychloride.

A 3) The reaction takes place as an acid-catalyzed condensation reaction. The addition of catalytic amounts of a non-oxidizing, strong acid is suitable for this. This can be both inorganic (e.g. concentrated sulfuric acid) and organic (e.g. benzene or toluenesulfonic acid). In this process, it is useful to continuously remove the water formed in the condensation reaction, for example by azeotropic distillation and separation using a water separator.

The procedure can be carried out either in an inert solvent or solvent mixture, but also in the absence of a solvent. Depending on the reactivity of the components and the solvent used, the reaction takes place at -10 to 250 ° C, the reaction according to A) or usually already at low temperature (generally at room temperature), the esterification according to B) or C) usually requires relatively drastic conditions: This applies above all to variant C), since continuous distillation of the water is necessary here.

B) Because of the generally relatively low reactivity of carboxylic acids, carboxylic acid derivatives are usually used in acylation reactions. The bean below ^¬ cast-methods are characterized in that a derivative of the carboxylic acid is used with higher reactivity. This activated compound can also be formed in situ in that the derivative is not isolated from the reaction mixture, but instead is reacted directly with the nucleophile tocopherol to give the claimed structure I compounds.

(1-1) Scheme 2,

Examples of processes for the preparation of the compounds of type I according to the invention with A = CO and n = 0 are listed below:

B1) The ester synthesis based on an acid halide - usually an acid chloride or bromide - which has been found to be particularly effective has been carried out in the presence of base (usually triethylamine, triethylamine / 4-dimethylammopyridine, pyridine, pyridine / 4-dimethylaminopyridine, ΛHYIethylmorpholine, Hunigbase) is carried out. Different reagents of inorganic (e.g. thionyl chloride) or organic (e.g. oxalyl chloride or 2, 4, 6-trichloro-1, 3, 5- triazine) are used in nature, the activation by means of 2, 4, 6-trichloro-l, 3, 5-triazine in particular also being very good for the synthesis of the esters in a one-pot process, in which the acid chloride is primarily prepared and then directly on is implemented.

B2) Alternatively, the target compounds can be prepared by acylation of tocopherol using an acid anhydride. This reaction is optionally carried out with the addition of a base, for example pyridine. Suitable acylation reagents according to this method are both pure anhydrides of the drug and mixed anhydrides, preferably anhydrides from the drug and carbonic acid monoester.

B3) Representation of the claimed type I compounds by transesterification: in this process, an easily cleavable ester (for example methyl or ethyl ester, but also thioester) is reacted with tocopherol.

B4) An alternative technique is characterized in that the phenolic function in tocopherol is first deprotonated and the resulting phenolate is subsequently converted into the corresponding target compound by reaction with an activated acid derivative (in particular chloride or anhydride). As previously mentioned, the previous versions apply to compounds with X = CO and n = 0, ie for esters. Derivatives in which the remainder 'A' represents one of the other functions are analogous to generally known methods, such as those found in standard works, for example in 'Houben-Weyl: Methods of Organic Chemistry', Georg Thieme Verlag, Stuttgart) , made accessible. It is also possible to subsequently derivatize the carboxylic acid esters described above. In particular, the reduction of the -COOToc substructure to -CH ₂ OToc pays for this. This subsequent derivatization thus represents a variant of the direct etherification. The compound R-CH ₂ OH can, for example, represent a reduced form of a biologically active carboxylic acid. The compounds of structure I with n-1 according to the invention are formally made up of the components active ingredient (in structure I the unchanged part is identified by R), spacers (B) and

Tocopherol. These components can be linked in different ways and in different orders.

The required reaction steps are from the present ones

Substituents in compounds of structure I - especially of

'A' and the spacer 'B'. These reaction steps include the processes of oxidation, reduction, ether cleavage, acylation, alkylation, etc. which are familiar to the person skilled in the art. Furthermore, the use of protective groups, in particular common hydroxyl and ammo protective groups, may be necessary; The use of the p-methoxybenzyl group as a protective group, for example a hydroxyl function in combination with the benzyl group as an ammoprotective group, is particularly preferred. The following diagram shows some variants for the preparation of the compounds I. However, these variants are only for illustration and do not limit the scope of the invention to these. In general, it should be noted that bifunctional derivatives are often used in the reactions. It follows from this that the conditions in each case are selected such that the corresponding component does not react with itself, ie neither mter- nor intramolecularly, or that only one of the functions of the bifunctional component is devised. This can be achieved, on the one hand, by choosing optimal reaction conditions, such as reaction temperature, solvent, auxiliary base or acid, catalyst and / or reaction time, or by using suitable protective groups. Protection group techniques can be used both with isolated product and in the reaction mixture; The same applies to the splitting off of the protective groups. For the sake of clarity, no protective groups are listed in the reaction scheme. In many cases, however, this technique cannot be dispensed with. The person skilled in the art knows when protective groups are required and with which protective group the best results can be achieved for a given problem. An example of working with protecting groups is also given in the synthesis examples. It should also be noted that, if applicable, primarily an activation of the specified Component (s) is required. The person skilled in the art is aware of the cases in which this is necessary and the manner in which activation can take place. The activation succeeds in

If necessary, using known implementation reactions.

The following diagram 3 shows different variants

Presentation of such 'three-component products'

(Connections with spacer component).

_D + T0C-OH,, _{D τ} „„ „ _τ „ + ΪOC-OH _r R. ^H f O ~ "E ° T ^ '^""Xθ -AX RAH + + X'-BH X'-BX "+ - ^A X ^C Toc + Toc-OH Toc-OH

^H f O - * ^± ~ X1; _° X - Η ^B * -..... - ^ + RAH- * γ'f_ _ J- ^; ^B - ^, Λ

A, B, R, Toc X, X ', X "suitable leaving groups (can be of the same or different nature)

Scheme 3.

A variant of the multi-step synthesis of compounds of type I where n ≥ 1 is - as the diagram shows - the primary form of the spacer-tocopherol adducts is Subsequent To ^¬ reduction with the active substance leads to the introduction of the radical R and thereby. the compounds I according to the invention. In this variant C, a further distinction must be made as to which of the constituents - active ingredient to be introduced or spacer-spacer component - bears the leaving group and which of the compounds used takes on the acceptor function (see processes C1 and C2). An alternative procedure can be found in variant D. In this case, the active ingredient and spacer linked together and only finally implemented with tocopherol. A further differentiation into the methods Dl and D2 takes place in analogy to the previously described method C.

Linking of the individual components required reaction steps depend on the substituents present in the compounds involved, with acylation and alkylation reactions in particular playing an important role. The

Reaction management can be analogous to that described in the literature

Methods are carried out. These are known to the person skilled in the art and do not require any further execution. The reaction can also be carried out in such a way that the two-component intermediates are only formed in situ and then reacted further, without isolation from the reaction mixture. General statements regarding the suitability or preference of one of the synthesis variants described are not possible. Rather, the choice of the appropriate method is based, among other things, on the availability of the required starting materials or the access to them and the protective group techniques required in each case. The required starting materials are generally known or commercially available; unknown starting materials can be prepared analogously to the known compounds. Under suitable reaction conditions, the claimed compounds can also be synthesized directly from the three components, although this generally results in lower yields of the desired compound. On the basis of compounds of structure 1-2, ie compounds of type I with A = CO, n = 1 and B = 0-CH ₂ CO, key steps in the synthesis of the claimed compounds are to be explained in more detail below. However, the substance class selected for this or the examples given serve only for illustration, without restricting the scope of the invention. The following explanations can also be transferred, directly or with minor changes, to substituted derivatives.

A compound of glycolic acid is present as a spacer in compounds 1-2, and this component can correspond to that previously discussed

Variants are introduced in different ways

(Protective groups are not mentioned here), for example by • reacting activated glycolic acid or free glycolic acid according to one of the processes described under A1-A3 with tocopherol and subsequent O-acylation by reaction with the active ingredient R-COOH or an activated derivative from this (= variant Cl) • primary reaction of α-haloacetic acid or an activated derivative such as, for example, α-haloacetyl halide; Due to the different reactivity of the two halogen atoms, only acylation with tocopherol and subsequent alkylation of the carboxylic acid function of the active substance molecule takes place here under suitable reaction conditions by reaction with the free active substance (R-COOH) in the presence of base (= variant C2). Primary acylation of the drug molecule by reacting R-COOH or an activated derivative with glycolic acid and subsequent O-acylation of tocopherol under suitable reaction conditions or after prior activation (variant Dl). Esterification of the drug by alkylation reaction with α-haloacetic acid or of a non-activated derivative and subsequent acylation of the tocopherol (variant D2). The second step is generally preceded by an activation. Starting from the starting materials used in C or D, all components can also be converted directly. The variants discussed here are in the scheme below

4 shown.

₊ ► _f Base

R, Toc definition according to claim X suitable leaving group (especially halogen)

Scheme. Below and in the experimental section, one of these synthesis strategies (D2) - this time taking protective groups into account - is explained in more detail using examples (see also Scheme 5). However, this should not lead to any preference for the method over any of the other methods described or analog methods. The first step in the construction of these double carboxylic acid esters according to the method presented in the experimental part is the linking of the active substance with the spacer. These active ingredient glycolic acid esters can be produced, for example, by an alkylation reaction. While the use of free α-haloacetic acid can lead to the formation of undesired by-products, the use of a compound with a protected carboxylic acid function has proven itself. With regard to the further synthetic steps, a protective group must be selected which can be split off under very mild reaction conditions. This A suitable benzyl ester, for example, fulfills the requirement, since experience has shown that such esters can be selectively cleaved. To prepare the -acylated glycolic acid benzyl ester, a solution of the respective active ingredient, for example the corresponding NSAID, is mixed with an auxiliary base, and the carboxylate anion formed is then converted into the corresponding c_> acylated glycolic acid ester by reaction with benzyl bromoacetate. After the hydrogenolytic splitting off of the protective group and subsequent activation of the carboxylic acid function, for example by conversion into the corresponding acid chloride, which can be achieved, inter alia, by reacting the free carboxylic acid with 2, 4, 6-trichloro-l, 3, 5-triazine and Λ ^ methylmorpholine the three-component prodrugs claimed here are obtained by esterification with tocopherol.

Scheme 5 Depending on the substitution pattern, the described type I compounds and their precursors can be identified further functionalize literature-known journeys.

These derivatizations include those familiar to those skilled in the art

Processes of oxidation, reduction, ether cleavage, acylations,

Alkylations etc. In addition to the carrier-linked prodrugs

Compounds which are to be regarded as bioprecursors, i.e. which are converted into the corresponding ones by nonhydrolytic metabolism

Two- or three-component prodrugs or directly into the

Active ingredients can be claimed. The compounds listed below are only examples of this type of combined bioprecursor carrier prodrugs; however, the scope of the invention should not be limited to this scope. The keto function present in the NSAID ketoprofen lends itself, for example, to derivatization; by reduction, this can be converted into the corresponding alcohol or into a methylene group. In the organism, the benzophenone structure can be restored by oxidation of the benzhydrol or diphenylmethane partial structure. Combined bioprecursor carrier prodrugs of this type are produced by a reduction reaction, which can take place at different stages. Since the synthesis sequence described includes a hydrogenation step, it is advantageous to carry out the reduction of the ketone at this stage.

Activation Activation ■ Toc-OH + Toc-OH

Figure 4. Examples of combined bioprecursor-carrier prodrugs of ketoprofen

Examples of strategies for the synthesis of novel two- and three-component prodrugs. The invention is explained in more detail below on the basis of exemplary embodiments for carrying out the invention. These examples are for illustration only, but are not intended to limit the scope of the invention to this scope. Procedure for the synthesis of two-component prodrugs using the example of NSAID tocopherol esters, one-pot method: 1.3 equivalents (2.80-4.85 mmol) of the respective carboxylic acid are suspended in 40 ml of acetonitrile, with 0.33 equivalents (0 , 72-1.24 mmol) 2, 4, 6-trichloro-1, 3, 5-triazine and 1.1 equivalents (2.37-4.10 mmol) Λ methylmorpholine were added and the mixture was stirred at room temperature for 2.5 hours. After adding 1.0 equivalent (2.15-3.73 mmol) of α-tocopherol (dissolved in approx. 5 ml of absolute dichloromethane) and catalytic amounts of 4-diraethylaminopyridine, the reaction mixture is heated to 45-50 ° C. and until preferably complete conversion stirred at this temperature

(Control of reaction by thin layer chromatogram = TLC). For working up, the solvent is distilled off in vacuo and the residue is taken up in dichloromethane. The organic phase is washed with 2M hydrochloric acid and saturated sodium hydrogen carbonate solution, then washed neutral with water and predried with saturated sodium chloride solution; after drying over anhydrous sodium sulfate, the solvent is distilled off. The crude product thus obtained is then purified, for example by means of column chromatography. Two-step synthesis: One equivalent of the respective carboxylic acid is obtained using one of the common methods, i.e. converted, for example by treatment with thionyl chloride or oxalyl chloride, into the corresponding carboxylic acid chloride. The crude product obtained after the reaction is complete can be used either directly or after purification (preferably by distillation) to acylate the corresponding nucleophile (e.g. α-tocopherol). For acylation, the activated carboxylic acid and the nucleophile are mixed in approximately equivalent amounts in an inert solvent (e.g. dichloromethane, tetrahydrofuran, dioxane, dimethylformamide, acetonitrile or the like) in the presence of an auxiliary base (preferably triethylamine or pyride) - if necessary after adding an acylation catalyst (preferably 4 -Dιmethylammopyridin) - brought to reaction. The following are some examples of connections that can be made in this way:

Example 1 :

Active ingredient components: NSAID: dexibuprofen antioxidant: α-tocopherol reaction time 43 h

Appearance: light yellow viscous 01 Purification column chromatography: stationary phase: silica gel, mobile phase: dichloromethane / petroleum ether (ratio: 10/1)

Elemental analysis C H

Based on C ₄₂ H ₆₆ 0 ₃ calc. 81.50% 10.75% (618, 99) found. 81.31% 10.95%

IR (KBr) 1751 cm ^"1

MS (CI) 619.5 (M + 1) ⁺

^: H-NMR (CDC1 ₃ )

Example 2:

Active ingredient components: NSAID: Naproxen antioxidant: α-tocopherol reaction time 40 h Appearance: yellow, tough 01

Purification column chromatography: stationary phase: silica gel, mobile phase: dichloromethane / petroleum ether (ratio: 4/1)

Elemental analysis C H

Based on C ₄₃ H ₆₂ 0 calc. 80.33% 9.72% (642, 97) found. 80.27% 10.02%

IR (KBr) 1749 cm ^"1

MS (CI) 643.5 (M + i;

^: H-NMR (CDC1 ₃ )

Example 3:

Active ingredient components: NSAID: indomethacin antioxidant: α-tocopherol reaction time 40 h Appearance: light yellow, tough 01

Purification column chromatography: stationary phase: silica gel, mobile phase: dichloromethane / petroleum ether (ratio: 10/1)

Elemental analysis HN based on C ₄₈ H ₆₄ C1N0 ₅ calc. 72.88% 8.18% 1.76 x 0.3 CH ₂ C1 _{2 found} . 72.89% 8.25% 2.18

IR (KBr) 1752, 1686 cm ^"1

MS (Cl) 770.4 (M + 1) ⁺

^: H-NMR (CDC1 ₃ )

Example 4

Active ingredient components: NSAID: ketoprofen antioxidant: α-tocopherol reaction time 15 h

Appearance: light yellow viscous oil

Purification column chromatography: stationary phase: silica gel, mobile phase: petroleum ether / diethyl ether (ratio: 3/1) Elemental analysis CH based on C ₄₅ H ₆₂ 0 ₄ calc. 78.57% 9.11% x 0.3 CH ₂ C1 _{2 found} . 78.57% 9.37%

IR (KBr) 1750, 1662 cm ^"1

MS (CI) 667.4 (M + 1) ⁺

^ -NR (CDC1 ₃ )

Process for the synthesis of three-component prodrugs using the example of NSAID-glycolic acid tocopherol esters

Representation of the benzyl ester One equivalent (4.5-9.0 mmol) of the respective carboxylic acid is absolute in 20 ml suspended, mixed with 1.5 equivalents of potassium carbonate (6.75-13.5 mmol) and a spatula tip of sodium iodide. 5.0 equivalents (22.5-45.0 mmol) of benzyl bromoacetate (dissolved in 10 ml of absolute N, N-o-methylformamide) are then added dropwise over the course of an hour, with constant stirring and ice-cooling. The batch is stirred until the conversion is as complete as possible; the reaction time is 16-18 hours (reaction control by TLC). After the reaction has ended, the reaction solution is brought to about

Given 50 ml of ice water: If a precipitate then forms, it is filtered off and washed several times with water and petroleum ether. The crude product obtained is recrystallized from diisopropyl ether, the pure substance obtained in a desiccator until

Weight constant dried. If a precipitate forms, the aqueous phase is exhaustively extracted with dichloromethane. The combined organic phases are washed several times with saturated sodium chloride solution and dried over anhydrous sodium sulfate. The solvent is then distilled off. In order to remove the - ^y , - <V-dimethylformamide present - this has a disruptive effect on column chromatography - the residue is taken up in ether, the ether phase is washed with water and saturated sodium chloride solution. After drying over anhydrous sodium sulfate, the solvent is distilled off and the crude product obtained is purified by column chromatography (silica gel, LM: 1) PE (for eluting the bromoacetic acid benzyl ester), 2) ether (for eluting the product). Splitting off of the protective group by means of hydrogenation One equivalent (4.92-8.17 mmol) of the respective benzyl ester derivative is dissolved in 150 ml of tetrahydrofuran, covered with nitrogen for three minutes and mixed with 0.2 g of palladium on activated carbon per g of the benzyl ester. At a pressure of maximum 50 psi, the mixture is hydrogenated at room temperature under constant rubble (reaction time: 2.5-24 hours, the reaction is controlled by means of TLC). After the reaction has ended, the solution is again covered with nitrogen, the catalyst is filtered off and the solvent is distilled off in vacuo. The crude product obtained is purified either by recrystallization from a suitable solvent (for example diisopropyl ether) or by column chromatography.

Activation and esterification with tocopherol 1.3 equivalents (1.50-3.98 mmol) of the respective glycolic acid derivative are suspended in 40 ml acetonitrile, with 0.33 equivalents (0.38-0.97 mmol) 2, 4, 6- Trichloro-1,3,5-triazine and 1.1 equivalents (1.27-3.20 mmol) of Λ ^ -methylmorpholine were added and the mixture was stirred at room temperature for 2.5-3 h. After adding 1.0

Equivalent (1.15-2.91 mmol) α-tocopherol (dissolved in approx. 5 mL absolute dichloromethane) and a spatula tip of 4-dimethylaminopyride, the reaction mixture is heated to 45-60 ° C and stirred until the conversion is as complete as possible: The

Response time is 17-65.5 hours (reaction control by means of

DC). For working up, the solvent is distilled off in vacuo, the residue is taken up in ethyl acetate. The organic phase is washed with 2M hydrochloric acid and saturated sodium hydrogen carbonate solution, neutralized with water and predried with saturated sodium chloride solution. After drying over anhydrous sodium sulfate, the solvent is completely distilled off and the crude product thus obtained is purified by means of column chromatography.

Example 5:

Active ingredient components: NSAID: naproxen spacer: glycolic acid antioxidant: α-tocopherol reaction time 17 h

Appearance: dark yellow tough 01

Purification column chromatography: stationary phase: silica gel, mobile phase: petroleum ether

Elemental analysis CH based on C ₄₅ H ₆₄ 0 ₆ calc. 77.10% 9.20% (701.01) found. 77.34% 8.93% IR (KBr) 1777, 1746 cm ^"1

MS (CI) 701.3 (M + 1) ⁺

^ - MR (CDC1 ₃ )

Example 6:

Active ingredient components: NSAID: indomethacin spacer: glycolic acid antioxidant: α-tocopherol reaction time 24 h Appearance: light yellow foam resin Purification column chromatography: stationary phase: silica gel, mobile phase: dichloromethane / petroleum ether (ratio: 10/1)

Elemental analysis CHN based on C ₅ oH ₆₆ ClN0 ₇ calc. 72.48% 8.03% 1.69% (828, 54) found. 72.30% 7.91% 1.81%

IR (KBr) 1770, 1736, 1680 cm ^"1

MS (CI) 828.3 (M + 1) ⁺

^: H NMR (CDC1.

Example 7:

Active ingredient components: NSAID: dexibuprofen spacer: glycolic acid antioxidant: α-tocopherol reaction time 47 h

Appearance: light yellow viscous 01

Purification column chromatography: stationary phase: silica gel, mobile phase: petroleum ether / diethyl ether (ratio: 4/1)

Elemental analysis CH based on C ₄₄ H ₆₈ 0 ₅ calc. 78.06% 10.12%

(677.03) found. 77.84% 9.94%

IR (KBr) 1780, 1749 cm ^{"" 1}

MS (CI) 677.5 (M + 1) ⁺

^ -NMR (CDC1 ₃ )

Example 8:

Active ingredient components: NSAID: spacer diclofenate: antioxidant glycolic acid: α-tocopherol reaction time 34 h Appearance: white-yellowish resin

Elemental analysis CHN based on C ₄₅ H ₆ ιCl ₂ N0 ₅ calc. 70.48% 1.02% 1.83%

(766.90) found 70.76% 1.17% 1.74%

IR (KBr) 3368, 1763, 1745 cm ^"1

MS (Cl) 766.2 (M + 1) ⁺

^X H-NMR (CDC1 ₃ )

Example 9:

Active ingredient components: NSAID: mefenamic acid spacer: glycolic acid antioxidant: α-tocopherol reaction time 66 h

Appearance: light yellow foam resin

Purification column chromatography: stationary phase: silica gel, mobile phase: dichloromethane / petroleum ether (ratio: 10/1) Elemental analysis CHN based on CC ₄₄₆₆ HH ₆₆₅₅ Nθ0 ₅₅ calc. 77.60% 9.20% 1.97% (712.03) found. 77.34% 8.97% 2.12%

IR (KBr) 3336, 1779, 1690 cm ^"1

MS (CI) 712.3 (M + 1) ⁺

^: H-NMR (CDC1,

Examples of combined bioprecursor carrier prodrugs:

The keto function is reduced as part of the splitting off of the benzyl protective group by reaction with hydrogen at 50 psi in the presence of a suitable catalyst; after the required amount of hydrogen has been taken up, the reaction is stopped. The corresponding O-acylated glycolic acid is then activated and reacted with tocopherol. Example 10:

Active ingredient components: NSAID: (C = 0) - partially reduced ketoprofen spacer: glycolic acid antioxidant: α-tocopherol

Response time 60 h

Appearance: light yellow tough 01

Elemental analysis CH related to C ₇ H ₆₆ θ ₆ calc. 76.20% 9.00% x 0.2 CH ₂ C1 ₂ ge f. 76.35% 8.83%

IR (KBr) 3428, 1775, 1746 cm ^"1 MS (CI) 727.6 (M + l) ⁺ ^ -NMR (CDC1 ₃ )

Example 11

Active ingredient components: NSAID: (C = 0) -reduced ketoprofen spacer: glycolic acid antioxidant: α-tocopherol reaction time 60 h Appearance: light yellow viscous oil

Purification column chromatography: stationary phase: silica gel, mobile phase: dichloromethane / petroleum ether (ratio: 4/1) Elemental analysis CH based on C ₄₇ H ₆ 6θ5 calc. 78.60% 9.37% x 0.4 H ₂ 0 found. 78.58% 9.11%

IR (KBr) 1779, 1748 cm ^"1

MS (Cl) 711.3 (M + 1) ⁺

^ -NMR (CDC1 ₃ )

The chemical compounds according to the invention containing tocopherol and at least one further pharmaceutical active substance are, due to their different pharmaceutical active substance groups, suitable for the healing or prophylaxis of, in particular, inflammatory diseases, since the pharmaceutical active substance preferably selected from the group of non-steroidal anti-inflammatories reduces the inflammatory process or even interrupts, whereas the tocopherol residue acts as an antioxidant. In these chemical compounds, the active pharmaceutical ingredient and the tocopherol used are linked to one another either directly or via a spacer. This chemically fixed combination of two active pharmaceutical ingredients when used as

Medicines or prodrug a higher degree of effectiveness or an increased tolerance for the patient. These advantageous effects can in particular in the

Long-term therapy, such as for diseases of the

Central nervous system is required to be exploited.

Claims

Claims: 1. Chemical compounds in the form of their racemates, enantiomers or diastereomers with the general formula I

(I)

wherein R for the unchanged part of a variable pharmaceutical active substance molecule, B for a spacer and Toc with the formula

and R ', R "and R"' are H or methyl for tocopherol and A is C = X, SO _m , X or CH ₂ , where X is O, S or NR ¹ (if n ≥ 1) or S or NR ¹ (when n = 0) and B represent a grouping XR ² - Y with Y equal to C = X, SO _m or C (XR ³ ) R ⁴ and n equal to 0 to 6, preferably 0.1, 2 or 3 is and m is 1 or 2, where R ^{1 is} H, Ci to C _ι0 alkyl, preferably Ci to Cε alkyl or aryl, Het or one via a Ci to C ₆ spacer, preferably Ci to C _3rd bound aryl or Het radical and where R ^{2 is selected} from the group consisting of alkylene, arylene or Het spacers and combinations thereof, either directly or via the radical A or via the group X _Q -AX _P are linked together, where o and p is 0, 1 or 2 and may be the same or different, and wherein R ³ and R ⁴ is H, Ci to C ₁₀ - alkyl, preferably C _{_ι-C6} alkyl or Aryl, Het or a via a C _x to C ₆ , preferably Ci to C ₃ spacer bound aryl or het residue.

2. Compound of general formula I according to claim 1, wherein RA for A = C = 0 denotes an acyl radical of an active pharmaceutical ingredient from the group of non-steroidal anti-inflammatory agents.

3. Compound according to claim 2, wherein RA for A = C = 0 is an acyl residue of a non-steroidal anti-inflammatory selected from the group acetylsalicylic acid, diclophene acid, ibuprofen, indomethacin, ketoprofen, mefenamic acid, naproxen and derivatives thereof, in particular reduction products and indometopin products of indometopaceno represents.

4. Chemical compound of general formula I according to claim 1, wherein the radicals R ¹ , R ² , R ³ and R ⁴ from the group of unbranched, branched or cyclic, saturated or with double and / or triple bond (s) partially unsaturated unsubstituted or at least monosubstituted, preferably substituted with F, Cl, Br, CN, NO ₂ , NR ⁶ R ⁷ , CHO, SO _m alkyl, OR ⁶ , COR ⁶ , COOR ⁶ , COCOR ⁶ and CONR ⁶ R ⁷ ,

5. Chemical compound of general formula I according to claim 1, wherein the aryl radical from the group of unsubstituted or at least simple, preferably with F, Cl, Br, CN, alkyl, CF ₃ , N0 ₂ , NR ⁶ R ⁷ , CHO, SO _m alkyl, OH, OR ⁶ , COR ⁶ , COOR ⁶ , COCOR ⁶ , CONR ⁶ R ⁷ , CSNR ⁶ R ⁷ substituted or aryl- or het-substituted phenyl radicals is selected, the phenyl radical optionally being condensed with further cyclic compounds.

6. Chemical compounds of the general formula I, where the alkyl or aryl radicals have the meaning according to claims 4 and / or 5, characterized in that the radicals R ⁶ and R ⁷ for H, Ci to C ₁₀ alkyl, aryl, Heteroaryl or aryl or heteroaryl radical bonded to a C ₁ to C ₆ spacer.

7. Chemical compound of general formula I according to claim 1 with a substitution according to one of claims 2 to 6, characterized in that the radical Het is a compound selected from the group of saturated, unsaturated or aromatic mono- or bicyclic heterocycles with 5 to 10 Ring members and at least one heteroatom, preferably nitrogen, oxygen and / or sulfur, wherein the heterocycle is optionally fused to another carbocycle or heterocycle.

8. Chemical compounds in the form of their racemates, enantiomers or diastereomers with the general formula I (1) (1) wherein R and Toc have the meaning according to any one of claims 1 to 7.

9. Chemical compounds in the form of their racemates, enantiomers or diastereomers with the general formula I (2)

R _{\ /} O _x ^ Toc [T spacer — OO (2) in which R, spacer and Toc have the meaning according to one of Claims 1 to 7.

10. Chemical compounds in the form of their racemates, enantiomers or diastereomers of the general formula I (3)

(3) wherein R and Toc have the meaning according to any one of claims 1 to 7.

11. Carrier-linked prodrugs for non-steroidal anti-inflammatories and tocopherol containing at least one chemical compound according to one of claims 1 to 10 in isolated form or as a physiologically acceptable salt and / or solvate.

12. Combined bioprecursor carrier prodrugs containing at least one chemical compound according to one of claims 1 to 10 in isolated form or as a physiologically acceptable salt and / or solvate.

13. Combined bioprecursor carrier prodrugs according to claim 12, characterized in that one or more additional derivatizations are carried out on the pharmaceutically active radical R or on the tocopherol radical.

14. A method for producing a combined bioprecursor-carrier prodrug according to claim 12 or 13, characterized in that the function characteristic of the bioprecursor is introduced by a reduction reaction.

15. Medicament containing at least one chemical compound according to one of claims 1 to 10 in isolated form or as a physiologically acceptable salt and / or solvate.

16. A method for producing a medicament according to claim. 15, characterized in that at least one chemical compound according to one of claims 1 to 10 in isolated form and / or in the form of the corresponding physiologically acceptable salt and / or solvate is mixed with additives common in pharmacy.

17. Use of a chemical compound according to any one of claims 1 to 10 in isolated form or in the form of the corresponding physiologically acceptable salts and / or solvates for the manufacture of medicaments for the treatment or prophylaxis of degenerative diseases of the central nervous system, such as Alzheimer's disease, Lewy Body Dementia, Parkinson's disease, Huntington's disease (chorea), multisystem atrophy and other similar diseases.

18. Use of a chemical compound according to one of claims 1 to 10 in isolated form or in the form of the corresponding physiologically acceptable salts and / or

Solvate for the manufacture of medicinal products for the treatment of

Painful or inflammatory reactions, especially for long-term therapy of chronic conditions.

19. Use of a chemical compound according to one of the

Claims 1 to 10 m in isolated form or in the form of the corresponding physiologically acceptable salts and / or solvates for the manufacture of medicaments which can be administered orally, transdermally, transmucosally, rectally, by inhalation or intracerebroventricularly.

20. Use of a chemical compound according to any one of claims 1 to 10 in isolated form or in the form of the corresponding physiologically acceptable salts and / or solvates for the production of drug administration forms suitable for implants and / or injections and / or infusions.