JP6010614B2 - 血清尿酸を低下させるための[1,2,4]チアジアジン1,1−ジオキサイド化合物 - Google Patents
血清尿酸を低下させるための[1,2,4]チアジアジン1,1−ジオキサイド化合物 Download PDFInfo
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- JP6010614B2 JP6010614B2 JP2014514591A JP2014514591A JP6010614B2 JP 6010614 B2 JP6010614 B2 JP 6010614B2 JP 2014514591 A JP2014514591 A JP 2014514591A JP 2014514591 A JP2014514591 A JP 2014514591A JP 6010614 B2 JP6010614 B2 JP 6010614B2
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- mmol
- dihydro
- dioxo
- mixture
- fluoro
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- TVWHNULVHGKJHS-UHFFFAOYSA-N Uric acid Natural products N1C(=O)NC(=O)C2NC(=O)NC21 TVWHNULVHGKJHS-UHFFFAOYSA-N 0.000 title claims description 53
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- XCHCHGNNHHKGLR-UHFFFAOYSA-N 4h-1,2,4-thiadiazine 1,1-dioxide Chemical class O=S1(=O)NC=NC=C1 XCHCHGNNHHKGLR-UHFFFAOYSA-N 0.000 title description 3
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- 125000005843 halogen group Chemical group 0.000 claims description 9
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 8
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- 239000000661 sodium alginate Substances 0.000 description 1
- 229940005550 sodium alginate Drugs 0.000 description 1
- PPASLZSBLFJQEF-RKJRWTFHSA-M sodium ascorbate Substances [Na+].OC[C@@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RKJRWTFHSA-M 0.000 description 1
- 235000010378 sodium ascorbate Nutrition 0.000 description 1
- 229960005055 sodium ascorbate Drugs 0.000 description 1
- WRIKHQLVHPKCJU-UHFFFAOYSA-N sodium bis(trimethylsilyl)amide Chemical compound C[Si](C)(C)N([Na])[Si](C)(C)C WRIKHQLVHPKCJU-UHFFFAOYSA-N 0.000 description 1
- 239000012279 sodium borohydride Substances 0.000 description 1
- 229910000033 sodium borohydride Inorganic materials 0.000 description 1
- 239000008354 sodium chloride injection Substances 0.000 description 1
- 239000012312 sodium hydride Substances 0.000 description 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 1
- 235000010265 sodium sulphite Nutrition 0.000 description 1
- PPASLZSBLFJQEF-RXSVEWSESA-M sodium-L-ascorbate Chemical compound [Na+].OC[C@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RXSVEWSESA-M 0.000 description 1
- 239000007905 soft elastic gelatin capsule Substances 0.000 description 1
- 239000007909 solid dosage form Substances 0.000 description 1
- 239000012439 solid excipient Substances 0.000 description 1
- 238000003797 solvolysis reaction Methods 0.000 description 1
- 239000003549 soybean oil Substances 0.000 description 1
- 235000012424 soybean oil Nutrition 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 125000003003 spiro group Chemical group 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 238000010186 staining Methods 0.000 description 1
- 229940032147 starch Drugs 0.000 description 1
- 239000008117 stearic acid Substances 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- MBGGBVCUIVRRBF-UHFFFAOYSA-N sulfinpyrazone Chemical compound O=C1N(C=2C=CC=CC=2)N(C=2C=CC=CC=2)C(=O)C1CCS(=O)C1=CC=CC=C1 MBGGBVCUIVRRBF-UHFFFAOYSA-N 0.000 description 1
- 229960003329 sulfinpyrazone Drugs 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-L sulfite Chemical class [O-]S([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-L 0.000 description 1
- BDHFUVZGWQCTTF-UHFFFAOYSA-M sulfonate Chemical compound [O-]S(=O)=O BDHFUVZGWQCTTF-UHFFFAOYSA-M 0.000 description 1
- 150000003467 sulfuric acid derivatives Chemical class 0.000 description 1
- 239000002600 sunflower oil Substances 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 229940037128 systemic glucocorticoids Drugs 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 238000003419 tautomerization reaction Methods 0.000 description 1
- 230000002123 temporal effect Effects 0.000 description 1
- 125000005931 tert-butyloxycarbonyl group Chemical group [H]C([H])([H])C(OC(*)=O)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 231100001274 therapeutic index Toxicity 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 125000005425 toluyl group Chemical group 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 231100000816 toxic dose Toxicity 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- 238000000844 transformation Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- 210000005239 tubule Anatomy 0.000 description 1
- 210000005233 tubule cell Anatomy 0.000 description 1
- RNSXATQSBDUWTH-UHFFFAOYSA-N undec-5-en-4-one Chemical compound CCCCCC=CC(=O)CCC RNSXATQSBDUWTH-UHFFFAOYSA-N 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 239000004474 valine Substances 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 239000008215 water for injection Substances 0.000 description 1
- 239000008136 water-miscible vehicle Substances 0.000 description 1
- 238000010626 work up procedure Methods 0.000 description 1
- 229940071104 xylenesulfonate Drugs 0.000 description 1
- 229910052725 zinc Inorganic materials 0.000 description 1
- 239000011701 zinc Substances 0.000 description 1
- XOOUIPVCVHRTMJ-UHFFFAOYSA-L zinc stearate Chemical compound [Zn+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O XOOUIPVCVHRTMJ-UHFFFAOYSA-L 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/54—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame
- A61K31/549—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one sulfur as the ring hetero atoms, e.g. sulthiame having two or more nitrogen atoms in the same ring, e.g. hydrochlorothiazide
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/04—Drugs for disorders of the urinary system for urolithiasis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/12—Drugs for disorders of the urinary system of the kidneys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/06—Antigout agents, e.g. antihyperuricemic or uricosuric agents
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
- C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
- C07D417/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D513/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for in groups C07D463/00, C07D477/00 or C07D499/00 - C07D507/00
- C07D513/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for in groups C07D463/00, C07D477/00 or C07D499/00 - C07D507/00 in which the condensed system contains two hetero rings
- C07D513/04—Ortho-condensed systems
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- General Chemical & Material Sciences (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Urology & Nephrology (AREA)
- Epidemiology (AREA)
- Pain & Pain Management (AREA)
- Hematology (AREA)
- Diabetes (AREA)
- Rheumatology (AREA)
- Obesity (AREA)
- Vascular Medicine (AREA)
- Physical Education & Sports Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Nitrogen- Or Sulfur-Containing Heterocyclic Ring Compounds With Rings Of Six Or More Members (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Description
Zは、−(CR11R12)n−であり、
Yは、−(CR13R14)m−であり、
nは、1又は2であり、
mは、2又は3であり、
R1は、H、−NH2、又は、−(CH2)q−NH−S(O)2CH3であり[式中、qは、0又は1であり]、
R2は、C1−C6アルキル、C3−C6シクロアルキル、アリール、又は、−(CH2)−R15であり[式中、R15は、
R3、R4、R5、R6、R7、R8、R9、R10、R11、R12、R13、及び、R14は、それぞれ独立して、H又はC1−C6アルキルであり、
アルキル、シクロアルキル、又は、アリールはそれぞれ、一つ以上のアルキル置換基、ヒドロキシル置換基、又は、ハロ置換基で置換されていてもよい]、又は、その薬学的に許容される塩、水和物、溶媒和物、互変異性体、若しくは、立体異性体によって、患者又は患畜の血清尿酸を低下させる方法に関する。
R3、R4、R5、R6、R7、R8、R9、R10、R11、R12、R13、及び、R14がHであり、且つ、
R16、R17、R18、R19、及び、R20が、それぞれ独立して、H又はハロである式Iの化合物を用いる方法に関する。
N−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イルメチル}−メタンスルホンアミド、
N−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
(1R,2S,7R,8S)−5−(1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−3−イル)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−4−オン、
(4aR,7aS)−N−{3−[1−(4−フルオロ−ベンジル)−4−ヒドロキシ−2−オキソ−2,4a,5,6,7,7a−ヘキサヒドロ−1H−[1]ピリジン−3−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
N−[3−(1R,2S,7R,8S)−3−シクロペンチル−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル)−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル]−メタンスルホンアミド、
(1R,2S,7R,8S)−5−(7−アミノ−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−3−イル)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−4−オン、
N−{3−[(1S,2R,7S,8R)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
(1R,2S,7R,8S)−N−{3−[3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−チエノ[2,3−e][1,2,4]チアジアジン−7−イルメチル}−メタンスルホンアミド、
N−{3−[(2S,7R)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.2.02,7]ドデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
N−{3−[(1S,2S,7R,8R)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、及び、
N−{3−[(1R,2R,7S,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミドから選択される化合物、又は、その薬学的に許容される塩に関する。
(i)疾患、不調及び/又は症状が生じ易い傾向があるが、未だ発症しているとは診断されていない動物において、該疾患、不調又は症状を発症させないようにすること、
(ii)該疾患、不調又は症状を抑止する、すなわち、その発症を阻止すること、並びに、
(iii)該疾患、不調又は症状を和らげる、すなわち、該疾患、不調及び/又は症状を軽減させることをいう。
本発明は、必要とする患者又は患畜において、血漿尿酸を低下させ、高尿酸血症、痛風、炎症性疾患、尿路結石、再灌流疾患、腎機能障害、腫瘍崩壊症候群、高血圧症、又は、心血管疾患を治療又は予防する方法であって、治療上有効な量の式Iの化合物、及び、薬学的に許容される賦形剤、基剤、又は、ビヒクルを該患者又は患畜に投与することを含む方法を提供する。
本発明の方法に用いる化合物の毒性と効能は、細胞培養又は実験動物における標準的な薬学的手順により決定することができ、例えばLD50(母集団の50%が死亡する投与量)及びED50(母集団の50%において治療上有効な投与量)の測定等が挙げられる。毒性のある投与量と治療上効果のある投与量の比(投与量比)は治療上の指標であり、LD50/ED50比として表すことができる。
本発明の特定の方法は、さらに追加の治療剤(すなわち本発明の化合物以外の治療剤)を投与することを含む。本発明のある実施形態において、本発明の化合物は少なくとも一つの他の治療剤と組み合わせて使用することができる。治療剤としては、以下に限定されないが、コルヒチン、抗炎症剤、関節内グルココルチコイド、IL−bアンタゴニスト(例えばリロナセプト、カナキヌマブ)、キサンチンオキシダーゼ阻害剤等の尿酸生成阻害剤、又は、これらの阻害剤のプロドラッグ(フェブキソスタット、オキシプリノール、アロプリノール等)、ペグロチカーゼや他のウリカーゼ等の尿酸を分解する薬剤、並びに、尿酸排泄剤(プロベネシド、スルフィンピラゾン等)が挙げられる。本発明の化合物及び他の治療剤は相加的に、あるいは、より好ましくは相乗的に作用し得る。ある実施形態においては、本発明の化合物を含有する組成物を、他の治療剤の投与と同時に投与する。この場合、他の治療剤は同一組成物の一部であってもよく、あるいは本発明の化合物を含有する組成物とは別の組成物として投与してもよい。他の実施形態においては、本発明の化合物は、他の治療剤の投与の前に、又は他の治療剤の投与後に投与する。別の実施形態においては、過去に他の治療剤を用いた治療を受けたことがない患者若しくは患畜、又は他の治療剤を用いた治療を現在受けていない患者若しくは患畜に本発明の化合物を投与する。
本発明の方法に用いる化合物、又はその薬学的に許容される塩若しくは水和物を含有する医薬組成物及びシングルユニット型投与形態も本発明に包含される。本発明の各投与形態は、経口投与、経粘膜投与(舌下又は口腔投与を含む)、非経口投与(皮下、筋肉内、ボーラス注入、動脈内、又は静脈内投与を含む)、経皮投与、又は、局所投与に好適である。また、本発明の医薬組成物及び投与形態は、典型的には、1つ以上の薬学的に許容される賦形剤を含有する。無菌的投与形態も考えられる。
本発明の方法に用いる、経口投与に好適な医薬組成物は、個別の投与形態とすることができ、限定されないが、錠剤(例えば、チュアブル錠)、カプレット、カプセル及び液体(例えば、味付シロップ)等が挙げられる。このような投与形態は、所定量の有効成分を含有しており、当業者に周知の薬学的方法によって調製可能である。概して、Remington’s Pharmaceutical Sciences,18th ed.,Mack Publishing,ペンシルベニア州イーストン(1990)を参照されたい。
本発明の方法に用いる有効成分は、当業者に周知の制御放出手段又は送達デバイスにより投与可能である。その例としては、以下に限定されないが、米国特許第3,845,770号明細書;米国特許第3,916,899号明細書;米国特許第3,536,809号明細書;米国特許第3,598,123号明細書;及び米国特許第4,008,719号明細書、米国特許第5,674,533号明細書、米国特許第5,059,595号明細書、米国特許第5,591,767号明細書、米国特許第5,120,548号明細書、米国特許第5,073,543号明細書、米国特許第5,639,476号明細書、米国特許第5,354,556号明細書、及び米国特許第5,733,566号明細書に記載のものが挙げられる(上記文献の各々を本明細書に引用して援用する)。このような投与形態においては、例えばヒドロプロピルメチルセルロース、他のポリマーマトリクス、ゲル、浸透膜、浸透系、多層被膜、微粒子、リポソーム、マイクロスフェア、又はこれらの組み合わせを用いることによって、1つ以上の有効成分の放出を遅延又は制御することを可能にし、様々な割合での所望の放出様式を可能にする。本明細書に記載されたものを含む当業者に公知の好適な制御放出製剤は、本発明の有効成分と共に使用する上で容易に選択できる。従って、本発明は、以下に限定されないが、例えば錠剤、カプセル、ジェルカプセル及びカプレットといった放出制御に適応した、経口投与に好適なシングルユニット型投与形態を包含する。
非経口投与形態は、様々な経路により患者又は患畜に投与することができる。以下に限定されないが、上記経路には、皮下、静脈内(ボーラス注入を含む)、筋肉内及び動脈内が含まれる。通常、このような投与を行う場合、患者又は患畜が生来有する、汚染物質への防御系を通らないことから、非経口投与形態は無菌であること、又は、患者若しくは患畜への投与前に滅菌可能であることが好ましい。非経口投与形態の例としては、以下に限定されないが、注射用溶液、薬学的に許容されるビヒクルに溶解又は懸濁させて注射可能な調剤にできる乾燥物及び/又は凍結乾燥物(液体に溶いて再構成することが可能な粉末)、注射用懸濁液、並びにエマルジョン等が挙げられる。
経皮投与形態には、皮膚に貼り付け、所望量の有効成分が浸透するように、特定期間付着可能な「リザーバー式」又は「マトリクス式」パッチが含まれる。
本発明の局所投与形態には、以下に限定されないが、クリーム、ローション、軟膏、ゲル、溶液、エマルジョン、懸濁液、又は当業者に公知の他の投与形態が含まれる。Remington’s Pharmaceutical Sciences,18th eds.,Mack Publishing,ペンシルベニア州イーストン(1990)、及び、Introduction to Pharmaceutical Dosage Forms,4th ed.,Lea&Febiger,フィラデルフィア(1985)などを参照されたい。
本発明の粘膜投与形態には、以下に限定されないが、点眼液、点眼スプレー、又は当業者に公知の他の投与形態等が含まれる。例えば、Remington’s Pharmaceutical Sciences,18th eds.,Mack Publishing,ペンシルベニア州イーストン(1990);及び、Introduction to Pharmaceutical Dosage Forms,4th ed.,Lea&Febiger,フィラデルフィア(1985)を参照されたい。
本発明は、血清尿酸を低下させ、例えば痛風又は高尿酸血症を治療又は予防するのに有用な本発明の化合物が入った1つ以上の容器を含む医薬用パック又はキットを提供する。別の実施形態において、本発明は、血清尿酸の低下、及び、痛風又は高尿酸血症の治療又は予防に有用な本発明の化合物が入った1つ以上の容器と、追加の治療剤が入った1つ以上の容器とを含む医薬用パック又はキットを提供する。
下記に示す合成スキームにおいては、特に断りがない限り、温度は全て摂氏度(℃)であり、部は全て重量部、百分率は全て重量百分率で示してある。試薬はAldrich Chemical Company又はAlfa Aesar等の民間の供給元から購入し、特に断りがない限り、購入したものをさらに精製することなく使用した。溶媒は全てAldrich、EMD Chemicals又はFisher等の民間の供給元から購入し、購入した状態で使用した。以下に述べる反応は、概ね、無水溶媒中、(特に断りのない限り)周囲温度で、アルゴン又は窒素の正圧下で行った。反応フラスコにはゴム製のセプタムをつけて、シリンジで基質や試薬を投入できるようにした。ガラス器具はオーブン乾燥及び/又は熱乾燥させた。
時間(分) %B Flow(mL/分)
0.0 55 0.3
5.0 95 0.3
5.5 95 0.3
6.0 55 0.3
12.0 55 0.3
AS−RH,4.6×250mm,5ミクロン:二種の溶媒を混合した勾配HPLC分離。溶媒A:0.05%TFA水溶液、溶媒B:0.05%TFAアセトニトリル溶液。サンプルをアセトニトリルに溶解[1mg/mL]させたものを3〜5μl注入した。
時間(分) %B Flow(mL/分)
0.0 50 0.8
8.0 95 0.8
10.0 95 0.8
11.0 50 0.8
13.0 50 0.8
メチル(1S,2R,3S,4R)−3−アミノビシクロ[2.2.1]ヘプタン−2−カルボキシレート塩酸塩(0.5g,2.43mmol)をメタノール(12mL)に溶解させた。酢酸ナトリウム(0.4g,4.86mmol)を添加し、次に4Å粉末モレキュラーシーブ(0.5g)及び4−フルオロ−ベンズアルデヒド(0.302g,2.43mmol)を添加した。シアノ水素化ホウ素ナトリウム(0.305g,4.86mmol)を加え、混合物を25℃で16時間攪拌した。混合物を飽和重曹水溶液(200mL)と酢酸エチル(300mL)の混合物中に注ぎ込んだ。振盪後、両方の相をセライト〔Celite(登録商標)〕のプラグに通した。有機相をさらに飽和重曹水溶液(100mL)、飽和ブライン水溶液(100mL)で洗滌し、硫酸マグネシウムで乾燥し、濾過し、減圧下で濃縮することにより、粗生成物である、メチル(1S,2R,3S,4R)−3−[(4−フルオロベンジル)アミノ]ビシクロ[2.2.1]ヘプタン−2−カルボキシレート(0.663g,2.39mmol,収率98%)を透明油状液体として得た。LC−MS (ESI) C16H20FNO2に対する計算値277.15,実測値278.2[M+H+](100%)。
式Iの化合物の患者の血清尿酸値を低下させる作用を、健常者の第I相試験によって示した。6人の患者に経口投与形態のN−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド(実施例2の化合物)800mgを1回投与し、2人の患者に対しては対応するプラシーボを与えた。該化合物を与えられたすべての患者において、基準値から試験終了時において、予想していなかった有意な尿酸の減少(24−40%)が認められた(表1参照)。
尿酸(UA)は、ヒトにおける、プリン代謝の最終生成物である。尿中に分泌され、尿酸の90%は血流に再吸収される。URAT1を阻害する主要な化合物の選定では、ある患者集団にとって有益であると思われる、UAの再吸収を低下させ、血中のUA濃度を低下させる効果を評価する。
Claims (20)
- 式Iの化合物:
[式中、環Bは、
であり、
Aは、
であり、
Zは、−(CR11R12)n−であり、
Yは、−(CR13R14)m−であり、
nは、1又は2であり、
mは、2又は3であり、
R1は、H、−NH2、又は、−(CH2)q−NH−S(O)2CH3であり[式中、qは、0又は1であり]、
R2は、C1−C6アルキル、C3−C6シクロアルキル、アリール、又は、−(CH2)−R15であり[式中、R15は、
であり[式中、R16、R17、R18、R19、及び、R20は、それぞれ独立して、H、C1−C6アルキル、ヒドロキシル、又は、ハロであり]]、
R3、R4、R5、R6、R7、R8、R9、R10、R11、R12、R13、及び、R14は、それぞれ独立して、H又はC1−C6アルキルであり、
アルキル、シクロアルキル、又は、アリールはそれぞれ、一つ以上のアルキル置換基、ヒドロキシル置換基、又は、ハロ置換基で置換されていてもよい]、又は、その薬学的に許容される塩、水和物、溶媒和物、互変異性体、若しくは、立体異性体を含有し、血清尿酸を低下させて高尿酸血症及び痛風から選択される少なくとも1つを治療又は予防するための血清尿酸低下剤。 - R1がHである、請求項1に記載の血清尿酸低下剤。
- qが0である、請求項1に記載の血清尿酸低下剤。
- nが1である、請求項1に記載の血清尿酸低下剤。
- qが0であり、nが1である、請求項1に記載の血清尿酸低下剤。
- R3、R4、R5、R6、R7、R8、R9、R10、R11、R12、R13、及び、R14がHである、請求項1に記載の血清尿酸低下剤。
- R16、R17、R18、R19、及び、R20が、それぞれ独立して、H、メチル、又は、ハロである、請求項1に記載の血清尿酸低下剤。
- R16、R17、R18、R19、及び、R20が、それぞれ独立して、H、又は、ハロである、請求項1に記載の血清尿酸低下剤。
- R18がフルオロであり、R16、R17、R19、及び、R20がHである、請求項1に記載の血清尿酸低下剤。
- qが0であり、nが1であり、
R3、R4、R5、R6、R7、R8、R9、R10、R11、R12、R13、及び、R14がHであり、且つ、
R16、R17、R18、R19、及び、R20が、それぞれ独立して、H又はハロである、請求項1に記載の血清尿酸低下剤。 - ヒトの血清尿酸を低下させる、請求項1に記載の血清尿酸低下剤。
- 追加の治療剤をさらに含む、請求項1に記載の血清尿酸低下剤。
- N−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イルメチル}−メタンスルホンアミド、
N−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
(1R,2S,7R,8S)−5−(1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−3−イル)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−4−オン、
(4aR,7aS)−N−{3−[1−(4−フルオロ−ベンジル)−4−ヒドロキシ−2−オキソ−2,4a,5,6,7,7a−ヘキサヒドロ−1H−[1]ピリジン−3−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
N−[3−(1R,2S,7R,8S)−3−シクロペンチル−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル)−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル]−メタンスルホンアミド、
(1R,2S,7R,8S)−5−(7−アミノ−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−3−イル)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−4−オン、
N−{3−[(1S,2R,7S,8R)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
(1R,2S,7R,8S)−N−{3−[3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−チエノ[2,3−e][1,2,4]チアジアジン−7−イルメチル}−メタンスルホンアミド、
N−{3−[(2S,7R)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.2.02,7]ドデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、
N−{3−[(1S,2S,7R,8R)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミド、及び、
N−{3−[(1R,2R,7S,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イル}−メタンスルホンアミドから選択される化合物、又は、その薬学的に許容される塩を含有し、血清尿酸を低下させて高尿酸血症及び痛風から選択される少なくとも1つを治療又は予防するための血清尿酸低下剤。 - 該化合物が、N−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イルメチル}−メタンスルホンアミドである、請求項17に記載の血清尿酸低下剤。
- 式Iの化合物:
[式中、環Bは、
であり、
Aは、
であり、
Zは、−(CR11R12)n−であり、
Yは、−(CR13R14)m−であり、
nは、1又は2であり、
mは、2又は3であり、
R1は、H、−NH2、又は、−(CH2)q−NH−S(O)2CH3であり[式中、qは、0又は1であり]、
R2は、C1−C6アルキル、C3−C6シクロアルキル、アリール、又は、−(CH2)−R15であり[式中、R15は、
であり[式中、R16、R17、R18、R19、及び、R20は、それぞれ独立して、H、C1−C6アルキル、ヒドロキシル、又は、ハロであり]]、
R3、R4、R5、R6、R7、R8、R9、R10、R11、R12、R13、及び、R14は、それぞれ独立して、H又はC1−C6アルキルであり、
アルキル、シクロアルキル、又は、アリールはそれぞれ、一つ以上のアルキル置換基、ヒドロキシル置換基、又は、ハロ置換基で置換されていてもよい]、又は、その薬学的に許容される塩を含有する、
高尿酸血症、及び、痛風から選択される少なくとも1つを治療又は予防するための薬剤。 - 前記化合物が、N−{3−[(1R,2S,7R,8S)−3−(4−フルオロ−ベンジル)−6−ヒドロキシ−4−オキソ−3−アザ−トリシクロ[6.2.1.02,7]ウンデカ−5−エン−5−イル]−1,1−ジオキソ−1,4−ジヒドロ−1λ6−ベンゾ[1,2,4]チアジアジン−7−イルメチル}−メタンスルホンアミドである、請求項19に記載の薬剤。
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| WO2014160638A1 (en) * | 2013-03-25 | 2014-10-02 | United Therapeutics Corporation | Process of making prostacyclin compounds with linker thiol and pegylated forms |
| CN111233768B (zh) * | 2020-03-18 | 2021-08-03 | 徐州圣元化工有限公司 | 一种3-(二氟甲基)-1-甲基-1h-吡唑-4-羧酸乙酯的制备方法 |
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| US3536809A (en) | 1969-02-17 | 1970-10-27 | Alza Corp | Medication method |
| US3598123A (en) | 1969-04-01 | 1971-08-10 | Alza Corp | Bandage for administering drugs |
| US3969518A (en) | 1972-05-24 | 1976-07-13 | Merck & Co., Inc. | Inhibiting xanthine oxidase with 3-haloalkyl substituted benzothiadiazine-1,1-dioxides |
| US3845770A (en) | 1972-06-05 | 1974-11-05 | Alza Corp | Osmatic dispensing device for releasing beneficial agent |
| US3916899A (en) | 1973-04-25 | 1975-11-04 | Alza Corp | Osmotic dispensing device with maximum and minimum sizes for the passageway |
| US4008719A (en) | 1976-02-02 | 1977-02-22 | Alza Corporation | Osmotic system having laminar arrangement for programming delivery of active agent |
| IE58110B1 (en) | 1984-10-30 | 1993-07-14 | Elan Corp Plc | Controlled release powder and process for its preparation |
| US5073543A (en) | 1988-07-21 | 1991-12-17 | G. D. Searle & Co. | Controlled release formulations of trophic factors in ganglioside-lipsome vehicle |
| IT1229203B (it) | 1989-03-22 | 1991-07-25 | Bioresearch Spa | Impiego di acido 5 metiltetraidrofolico, di acido 5 formiltetraidrofolico e dei loro sali farmaceuticamente accettabili per la preparazione di composizioni farmaceutiche in forma a rilascio controllato attive nella terapia dei disturbi mentali organici e composizioni farmaceutiche relative. |
| US5120548A (en) | 1989-11-07 | 1992-06-09 | Merck & Co., Inc. | Swelling modulated polymeric drug delivery device |
| US5733566A (en) | 1990-05-15 | 1998-03-31 | Alkermes Controlled Therapeutics Inc. Ii | Controlled release of antiparasitic agents in animals |
| US5580578A (en) | 1992-01-27 | 1996-12-03 | Euro-Celtique, S.A. | Controlled release formulations coated with aqueous dispersions of acrylic polymers |
| US5591767A (en) | 1993-01-25 | 1997-01-07 | Pharmetrix Corporation | Liquid reservoir transdermal patch for the administration of ketorolac |
| IT1270594B (it) | 1994-07-07 | 1997-05-07 | Recordati Chem Pharm | Composizione farmaceutica a rilascio controllato di moguisteina in sospensione liquida |
| PT1560827E (pt) * | 2002-11-01 | 2011-03-17 | Abbott Lab | Agentes anti-infecciosos |
| US7462611B2 (en) | 2006-06-22 | 2008-12-09 | Anadys Pharmaceuticals, Inc. | Pyrro[1,2-b]pyridazinone compounds |
| WO2008011337A1 (en) | 2006-07-19 | 2008-01-24 | Abbott Laboratories | Hcv inhibitors |
| UA100120C2 (en) * | 2007-04-03 | 2012-11-26 | Анадис Фармасьютикалз, Инк. | 5,6-dihydro-1h-pyridin-2-one compounds |
| US20100137289A1 (en) * | 2007-04-17 | 2010-06-03 | Johnson Richard J | Methods and Compositions for Ameliorating Thiazide Induced Hyperlipidemia |
| CN102316871B (zh) * | 2008-06-10 | 2014-06-04 | 安那迪斯药品股份有限公司 | [1,2,4]噻二嗪1,1-二氧化合物 |
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- 2012-06-06 WO PCT/US2012/041106 patent/WO2012170536A1/en not_active Ceased
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| MY183704A (en) | 2021-03-09 |
| CN103827100A (zh) | 2014-05-28 |
| IL229701A0 (en) | 2014-01-30 |
| US20120316156A1 (en) | 2012-12-13 |
| CA2838257A1 (en) | 2012-12-13 |
| JP2014516077A (ja) | 2014-07-07 |
| EA201391827A1 (ru) | 2014-06-30 |
| US8815847B2 (en) | 2014-08-26 |
| BR112013031484A2 (pt) | 2018-04-24 |
| EA023336B1 (ru) | 2016-05-31 |
| WO2012170536A1 (en) | 2012-12-13 |
| AR086852A1 (es) | 2014-01-29 |
| ZA201309706B (en) | 2017-04-26 |
| KR20140037193A (ko) | 2014-03-26 |
| MX2013014240A (es) | 2014-01-24 |
| EP2718273A4 (en) | 2014-12-10 |
| AU2012268119A1 (en) | 2014-01-23 |
| HK1197245A1 (zh) | 2015-01-09 |
| NZ619685A (en) | 2016-01-29 |
| SG195288A1 (en) | 2013-12-30 |
| EP2718273A1 (en) | 2014-04-16 |
| CN103827100B (zh) | 2015-08-12 |
| AU2012268119B2 (en) | 2017-03-02 |
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