RU2002107673A - Фармацевтические препараты и их применение для профилактики удара, диабета и/или застойной сердечной недостаточности - Google Patents
Фармацевтические препараты и их применение для профилактики удара, диабета и/или застойной сердечной недостаточностиInfo
- Publication number
- RU2002107673A RU2002107673A RU2002107673/15A RU2002107673A RU2002107673A RU 2002107673 A RU2002107673 A RU 2002107673A RU 2002107673/15 A RU2002107673/15 A RU 2002107673/15A RU 2002107673 A RU2002107673 A RU 2002107673A RU 2002107673 A RU2002107673 A RU 2002107673A
- Authority
- RU
- Russia
- Prior art keywords
- pharmaceutically acceptable
- acceptable derivative
- inhibitor
- prevention
- group
- Prior art date
Links
- 206010019280 Heart failures Diseases 0.000 title claims abstract 18
- 230000002265 prevention Effects 0.000 title claims abstract 15
- 206010012601 diabetes mellitus Diseases 0.000 title claims abstract 10
- 230000035939 shock Effects 0.000 title claims 2
- 229940079593 drug Drugs 0.000 title 1
- 206010007559 Cardiac failure congestive Diseases 0.000 claims abstract 17
- 229940044094 angiotensin-converting-enzyme inhibitor Drugs 0.000 claims abstract 11
- 208000006011 Stroke Diseases 0.000 claims abstract 10
- 238000000034 method Methods 0.000 claims abstract 10
- 229960003401 ramipril Drugs 0.000 claims abstract 7
- HDACQVRGBOVJII-JBDAPHQKSA-N ramipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 HDACQVRGBOVJII-JBDAPHQKSA-N 0.000 claims abstract 7
- 208000001953 Hypotension Diseases 0.000 claims abstract 5
- 239000003814 drug Substances 0.000 claims abstract 5
- 208000012866 low blood pressure Diseases 0.000 claims abstract 5
- 238000004519 manufacturing process Methods 0.000 claims abstract 5
- 239000003112 inhibitor Substances 0.000 claims abstract 2
- 239000000203 mixture Substances 0.000 claims abstract 2
- 230000036454 renin-angiotensin system Effects 0.000 claims abstract 2
- 229940078123 Ras inhibitor Drugs 0.000 claims 14
- GHOSNRCGJFBJIB-UHFFFAOYSA-N Candesartan cilexetil Chemical compound C=12N(CC=3C=CC(=CC=3)C=3C(=CC=CC=3)C3=NNN=N3)C(OCC)=NC2=CC=CC=1C(=O)OC(C)OC(=O)OC1CCCCC1 GHOSNRCGJFBJIB-UHFFFAOYSA-N 0.000 claims 12
- -1 ankovenin Chemical compound 0.000 claims 10
- 239000005541 ACE inhibitor Substances 0.000 claims 9
- 239000005557 antagonist Substances 0.000 claims 9
- RMMXLENWKUUMAY-UHFFFAOYSA-N telmisartan Chemical compound CCCC1=NC2=C(C)C=C(C=3N(C4=CC=CC=C4N=3)C)C=C2N1CC(C=C1)=CC=C1C1=CC=CC=C1C(O)=O RMMXLENWKUUMAY-UHFFFAOYSA-N 0.000 claims 8
- 239000002053 C09CA06 - Candesartan Substances 0.000 claims 6
- 108010061435 Enalapril Proteins 0.000 claims 6
- 108010066671 Enalaprilat Proteins 0.000 claims 6
- 108010007859 Lisinopril Proteins 0.000 claims 6
- 229960000932 candesartan Drugs 0.000 claims 6
- 229960004349 candesartan cilexetil Drugs 0.000 claims 6
- 229960000873 enalapril Drugs 0.000 claims 6
- GBXSMTUPTTWBMN-XIRDDKMYSA-N enalapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(O)=O)CC1=CC=CC=C1 GBXSMTUPTTWBMN-XIRDDKMYSA-N 0.000 claims 6
- 229960002680 enalaprilat Drugs 0.000 claims 6
- LZFZMUMEGBBDTC-QEJZJMRPSA-N enalaprilat (anhydrous) Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](CCC1)C(O)=O)C(O)=O)CC1=CC=CC=C1 LZFZMUMEGBBDTC-QEJZJMRPSA-N 0.000 claims 6
- 229960002394 lisinopril Drugs 0.000 claims 6
- RLAWWYSOJDYHDC-BZSNNMDCSA-N lisinopril Chemical compound C([C@H](N[C@@H](CCCCN)C(=O)N1[C@@H](CCC1)C(O)=O)C(O)=O)CC1=CC=CC=C1 RLAWWYSOJDYHDC-BZSNNMDCSA-N 0.000 claims 6
- 239000000825 pharmaceutical preparation Substances 0.000 claims 6
- 229960002231 ramiprilat Drugs 0.000 claims 6
- KEDYTOTWMPBSLG-HILJTLORSA-N ramiprilat Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)C(O)=O)CC1=CC=CC=C1 KEDYTOTWMPBSLG-HILJTLORSA-N 0.000 claims 6
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 claims 5
- 229960000830 captopril Drugs 0.000 claims 5
- FAKRSMQSSFJEIM-RQJHMYQMSA-N captopril Chemical compound SC[C@@H](C)C(=O)N1CCC[C@H]1C(O)=O FAKRSMQSSFJEIM-RQJHMYQMSA-N 0.000 claims 5
- WOIWWYDXDVSWAZ-RTWAWAEBSA-N fosinoprilat Chemical compound C([C@@H](C[C@H]1C(=O)O)C2CCCCC2)N1C(=O)CP(O)(=O)CCCCC1=CC=CC=C1 WOIWWYDXDVSWAZ-RTWAWAEBSA-N 0.000 claims 5
- 238000011321 prophylaxis Methods 0.000 claims 5
- BIDNLKIUORFRQP-XYGFDPSESA-N (2s,4s)-4-cyclohexyl-1-[2-[[(1s)-2-methyl-1-propanoyloxypropoxy]-(4-phenylbutyl)phosphoryl]acetyl]pyrrolidine-2-carboxylic acid Chemical compound C([P@@](=O)(O[C@H](OC(=O)CC)C(C)C)CC(=O)N1[C@@H](C[C@H](C1)C1CCCCC1)C(O)=O)CCCC1=CC=CC=C1 BIDNLKIUORFRQP-XYGFDPSESA-N 0.000 claims 4
- 239000002083 C09CA01 - Losartan Substances 0.000 claims 4
- 239000002080 C09CA02 - Eprosartan Substances 0.000 claims 4
- 239000004072 C09CA03 - Valsartan Substances 0.000 claims 4
- 239000002947 C09CA04 - Irbesartan Substances 0.000 claims 4
- 239000002081 C09CA05 - Tasosartan Substances 0.000 claims 4
- 239000005537 C09CA07 - Telmisartan Substances 0.000 claims 4
- 229960004563 eprosartan Drugs 0.000 claims 4
- OROAFUQRIXKEMV-LDADJPATSA-N eprosartan Chemical compound C=1C=C(C(O)=O)C=CC=1CN1C(CCCC)=NC=C1\C=C(C(O)=O)/CC1=CC=CS1 OROAFUQRIXKEMV-LDADJPATSA-N 0.000 claims 4
- 229960002490 fosinopril Drugs 0.000 claims 4
- 229960002198 irbesartan Drugs 0.000 claims 4
- YCPOHTHPUREGFM-UHFFFAOYSA-N irbesartan Chemical compound O=C1N(CC=2C=CC(=CC=2)C=2C(=CC=CC=2)C=2[N]N=NN=2)C(CCCC)=NC21CCCC2 YCPOHTHPUREGFM-UHFFFAOYSA-N 0.000 claims 4
- 229960004773 losartan Drugs 0.000 claims 4
- KJJZZJSZUJXYEA-UHFFFAOYSA-N losartan Chemical compound CCCCC1=NC(Cl)=C(CO)N1CC1=CC=C(C=2C(=CC=CC=2)C=2[N]N=NN=2)C=C1 KJJZZJSZUJXYEA-UHFFFAOYSA-N 0.000 claims 4
- 229960002909 spirapril Drugs 0.000 claims 4
- 108700035424 spirapril Proteins 0.000 claims 4
- HRWCVUIFMSZDJS-SZMVWBNQSA-N spirapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CC2(C1)SCCS2)C(O)=O)CC1=CC=CC=C1 HRWCVUIFMSZDJS-SZMVWBNQSA-N 0.000 claims 4
- 229960000651 tasosartan Drugs 0.000 claims 4
- ADXGNEYLLLSOAR-UHFFFAOYSA-N tasosartan Chemical compound C12=NC(C)=NC(C)=C2CCC(=O)N1CC(C=C1)=CC=C1C1=CC=CC=C1C=1N=NNN=1 ADXGNEYLLLSOAR-UHFFFAOYSA-N 0.000 claims 4
- 229960005187 telmisartan Drugs 0.000 claims 4
- 229960004699 valsartan Drugs 0.000 claims 4
- SJSNUMAYCRRIOM-QFIPXVFZSA-N valsartan Chemical compound C1=CC(CN(C(=O)CCCC)[C@@H](C(C)C)C(O)=O)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SJSNUMAYCRRIOM-QFIPXVFZSA-N 0.000 claims 4
- XPCFTKFZXHTYIP-PMACEKPBSA-N Benazepril Chemical compound C([C@@H](C(=O)OCC)N[C@@H]1C(N(CC(O)=O)C2=CC=CC=C2CC1)=O)CC1=CC=CC=C1 XPCFTKFZXHTYIP-PMACEKPBSA-N 0.000 claims 3
- UWWDHYUMIORJTA-HSQYWUDLSA-N Moexipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CC2=CC(OC)=C(OC)C=C2C1)C(O)=O)CC1=CC=CC=C1 UWWDHYUMIORJTA-HSQYWUDLSA-N 0.000 claims 3
- VXFJYXUZANRPDJ-WTNASJBWSA-N Trandopril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@H]2CCCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 VXFJYXUZANRPDJ-WTNASJBWSA-N 0.000 claims 3
- 229960004530 benazepril Drugs 0.000 claims 3
- 229960005170 moexipril Drugs 0.000 claims 3
- TVTJZMHAIQQZTL-WATAJHSMSA-M sodium;(2s,4s)-4-cyclohexyl-1-[2-[[(1s)-2-methyl-1-propanoyloxypropoxy]-(4-phenylbutyl)phosphoryl]acetyl]pyrrolidine-2-carboxylate Chemical compound [Na+].C([P@@](=O)(O[C@H](OC(=O)CC)C(C)C)CC(=O)N1[C@@H](C[C@H](C1)C1CCCCC1)C([O-])=O)CCCC1=CC=CC=C1 TVTJZMHAIQQZTL-WATAJHSMSA-M 0.000 claims 3
- 229960004084 temocapril Drugs 0.000 claims 3
- FIQOFIRCTOWDOW-BJLQDIEVSA-N temocapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H]1C(N(CC(O)=O)C[C@H](SC1)C=1SC=CC=1)=O)CC1=CC=CC=C1 FIQOFIRCTOWDOW-BJLQDIEVSA-N 0.000 claims 3
- QKIVRALZQSUWHH-SFYZADRCSA-N (1s,2r)-2-[[2-(hydroxyamino)-2-oxoethyl]-methylcarbamoyl]cyclohexane-1-carboxylic acid Chemical compound ONC(=O)CN(C)C(=O)[C@@H]1CCCC[C@@H]1C(O)=O QKIVRALZQSUWHH-SFYZADRCSA-N 0.000 claims 2
- QIJLJZOGPPQCOG-NFAWXSAZSA-N (2s)-1-[(2s)-3-[(2r)-2-(cyclohexanecarbonylamino)propanoyl]sulfanyl-2-methylpropanoyl]pyrrolidine-2-carboxylic acid Chemical compound N([C@H](C)C(=O)SC[C@@H](C)C(=O)N1[C@@H](CCC1)C(O)=O)C(=O)C1CCCCC1 QIJLJZOGPPQCOG-NFAWXSAZSA-N 0.000 claims 2
- GKYIONYOYVKKQI-MPGHIAIKSA-N (2s)-2-[[(2s,3r)-2-(benzoylsulfanylmethyl)-3-phenylbutanoyl]amino]propanoic acid Chemical compound C([C@H](C(=O)N[C@@H](C)C(O)=O)[C@@H](C)C=1C=CC=CC=1)SC(=O)C1=CC=CC=C1 GKYIONYOYVKKQI-MPGHIAIKSA-N 0.000 claims 2
- FTYVYAGWBXTWTN-ZVZYQTTQSA-N (2s)-5-tert-butyl-3-[(2s)-2-[[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]-2h-1,3,4-thiadiazole-2-carboxylic acid Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](SC(=N1)C(C)(C)C)C(O)=O)CC1=CC=CC=C1 FTYVYAGWBXTWTN-ZVZYQTTQSA-N 0.000 claims 2
- AHYHTSYNOHNUSH-GBBGEASQSA-N (2s,3as,7as)-1-[(2s)-2-[[(1s)-1-carboxy-3-phenylpropyl]amino]propanoyl]-2,3,3a,4,5,6,7,7a-octahydroindole-2-carboxylic acid Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCCC[C@@H]21)C(O)=O)C(O)=O)CC1=CC=CC=C1 AHYHTSYNOHNUSH-GBBGEASQSA-N 0.000 claims 2
- FAKRSMQSSFJEIM-BQBZGAKWSA-N 1-(3-mercapto-2-methyl-propionyl)-pyrrolidine-2-carboxylic acid Chemical compound SC[C@H](C)C(=O)N1CCC[C@H]1C(O)=O FAKRSMQSSFJEIM-BQBZGAKWSA-N 0.000 claims 2
- XRKXJJYSKUIIEN-UHFFFAOYSA-N 2-[cyclopentyl-[3-(2,2-dimethylpropanoylsulfanyl)-2-methylpropanoyl]amino]acetic acid Chemical compound CC(C)(C)C(=O)SCC(C)C(=O)N(CC(O)=O)C1CCCC1 XRKXJJYSKUIIEN-UHFFFAOYSA-N 0.000 claims 2
- FHHHOYXPRDYHEZ-COXVUDFISA-N Alacepril Chemical compound CC(=O)SC[C@@H](C)C(=O)N1CCC[C@H]1C(=O)N[C@H](C(O)=O)CC1=CC=CC=C1 FHHHOYXPRDYHEZ-COXVUDFISA-N 0.000 claims 2
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 claims 2
- IFYLTXNCFVRALQ-OALUTQOASA-N Ceronapril Chemical compound O([C@@H](CCCCN)C(=O)N1[C@@H](CCC1)C(O)=O)P(O)(=O)CCCCC1=CC=CC=C1 IFYLTXNCFVRALQ-OALUTQOASA-N 0.000 claims 2
- UVAUYSRYXACKSC-ULQDDVLXSA-N Cilazaprilat Chemical compound C([C@@H](C(=O)O)N[C@@H]1C(N2[C@@H](CCCN2CCC1)C(O)=O)=O)CC1=CC=CC=C1 UVAUYSRYXACKSC-ULQDDVLXSA-N 0.000 claims 2
- BWRVBFMWWHWLBW-UHFFFAOYSA-N Lyciumin B Chemical compound C12=CC=CC=C2N2C=C1CC(C(O)=O)NC(=O)C(CO)NC(=O)CNC(=O)C(C(C)C)NC(=O)C2NC(=O)C(CC=1C2=CC=CC=C2NC=1)NC(=O)C1CCCN1C(=O)C1CCC(=O)N1 BWRVBFMWWHWLBW-UHFFFAOYSA-N 0.000 claims 2
- XRKXJJYSKUIIEN-LLVKDONJSA-N Pivopril Chemical compound CC(C)(C)C(=O)SC[C@@H](C)C(=O)N(CC(O)=O)C1CCCC1 XRKXJJYSKUIIEN-LLVKDONJSA-N 0.000 claims 2
- 239000002253 acid Substances 0.000 claims 2
- 229950007884 alacepril Drugs 0.000 claims 2
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- VPSRQEHTHIMDQM-FKLPMGAJSA-N benazepril hydrochloride Chemical compound Cl.C([C@@H](C(=O)OCC)N[C@@H]1C(N(CC(O)=O)C2=CC=CC=C2CC1)=O)CC1=CC=CC=C1 VPSRQEHTHIMDQM-FKLPMGAJSA-N 0.000 claims 2
- KKBIUAUSZKGNOA-HNAYVOBHSA-N benzyl (2s)-2-[[(2s)-2-(acetylsulfanylmethyl)-3-(1,3-benzodioxol-5-yl)propanoyl]amino]propanoate Chemical compound O=C([C@@H](NC(=O)[C@@H](CSC(C)=O)CC=1C=C2OCOC2=CC=1)C)OCC1=CC=CC=C1 KKBIUAUSZKGNOA-HNAYVOBHSA-N 0.000 claims 2
- IVBOFTGCTWVBLF-GOSISDBHSA-N benzyl 2-[[(2s)-2-(acetylsulfanylmethyl)-3-(1,3-benzodioxol-5-yl)propanoyl]amino]acetate Chemical compound O=C([C@H](CC=1C=C2OCOC2=CC=1)CSC(=O)C)NCC(=O)OCC1=CC=CC=C1 IVBOFTGCTWVBLF-GOSISDBHSA-N 0.000 claims 2
- 239000011575 calcium Substances 0.000 claims 2
- 229910052791 calcium Inorganic materials 0.000 claims 2
- 229950005749 ceronapril Drugs 0.000 claims 2
- 229960005025 cilazapril Drugs 0.000 claims 2
- HHHKFGXWKKUNCY-FHWLQOOXSA-N cilazapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H]1C(N2[C@@H](CCCN2CCC1)C(O)=O)=O)CC1=CC=CC=C1 HHHKFGXWKKUNCY-FHWLQOOXSA-N 0.000 claims 2
- 229950010233 cilazaprilat Drugs 0.000 claims 2
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- WOUOLAUOZXOLJQ-MBSDFSHPSA-N delapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N(CC(O)=O)C1CC2=CC=CC=C2C1)CC1=CC=CC=C1 WOUOLAUOZXOLJQ-MBSDFSHPSA-N 0.000 claims 2
- OYFJQPXVCSSHAI-QFPUQLAESA-N enalapril maleate Chemical compound OC(=O)\C=C/C(O)=O.C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(O)=O)CC1=CC=CC=C1 OYFJQPXVCSSHAI-QFPUQLAESA-N 0.000 claims 2
- 229960003018 fosinoprilat Drugs 0.000 claims 2
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- KLZWOWYOHUKJIG-BPUTZDHNSA-N imidapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1C(N(C)C[C@H]1C(O)=O)=O)CC1=CC=CC=C1 KLZWOWYOHUKJIG-BPUTZDHNSA-N 0.000 claims 2
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- AXTCRUUITQKBAV-KBPBESRZSA-N libenzapril Chemical compound OC(=O)CN1C(=O)[C@@H](N[C@@H](CCCCN)C(O)=O)CCC2=CC=CC=C21 AXTCRUUITQKBAV-KBPBESRZSA-N 0.000 claims 2
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- IPVQLZZIHOAWMC-QXKUPLGCSA-N perindopril Chemical compound C1CCC[C@H]2C[C@@H](C(O)=O)N(C(=O)[C@H](C)N[C@@H](CCC)C(=O)OCC)[C@H]21 IPVQLZZIHOAWMC-QXKUPLGCSA-N 0.000 claims 2
- ODAIHABQVKJNIY-PEDHHIEDSA-N perindoprilat Chemical compound C1CCC[C@H]2C[C@@H](C(O)=O)N(C(=O)[C@H](C)N[C@@H](CCC)C(O)=O)[C@H]21 ODAIHABQVKJNIY-PEDHHIEDSA-N 0.000 claims 2
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- 108700006892 spiraprilat Proteins 0.000 claims 2
- FMMDBLMCSDRUPA-BPUTZDHNSA-N spiraprilat Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](CC2(C1)SCCS2)C(O)=O)C(O)=O)CC1=CC=CC=C1 FMMDBLMCSDRUPA-BPUTZDHNSA-N 0.000 claims 2
- AHYHTSYNOHNUSH-HXFGRODQSA-N trandolaprilat Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](C[C@H]2CCCC[C@@H]21)C(O)=O)C(O)=O)CC1=CC=CC=C1 AHYHTSYNOHNUSH-HXFGRODQSA-N 0.000 claims 2
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- IAIDUHCBNLFXEF-MNEFBYGVSA-N zofenopril Chemical compound C([C@@H](C)C(=O)N1[C@@H](C[C@@H](C1)SC=1C=CC=CC=1)C(O)=O)SC(=O)C1=CC=CC=C1 IAIDUHCBNLFXEF-MNEFBYGVSA-N 0.000 claims 2
- UQWLOWFDKAFKAP-WXHSDQCUSA-N zofenoprilat Chemical compound C1[C@@H](C(O)=O)N(C(=O)[C@@H](CS)C)C[C@H]1SC1=CC=CC=C1 UQWLOWFDKAFKAP-WXHSDQCUSA-N 0.000 claims 2
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- HBZJVGFXZTUXNI-XMQLQKOFSA-N (2s)-3-[(2s)-2-[[(1s)-1-carboxy-3-phenylpropyl]amino]propanoyl]-3-azabicyclo[2.2.2]octane-2-carboxylic acid Chemical compound C([C@H](N[C@@H](C)C(=O)N1[C@@H](C2CCC1CC2)C(O)=O)C(O)=O)CC1=CC=CC=C1 HBZJVGFXZTUXNI-XMQLQKOFSA-N 0.000 claims 1
- OMGPCTGQLHHVDU-SSXGPBTGSA-N (2s)-3-[(2s)-2-[[(2s)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]-3-azabicyclo[2.2.2]octane-2-carboxylic acid Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C2CCC1CC2)C(O)=O)CC1=CC=CC=C1 OMGPCTGQLHHVDU-SSXGPBTGSA-N 0.000 claims 1
- IFYLTXNCFVRALQ-UHFFFAOYSA-N 1-[6-amino-2-[hydroxy(4-phenylbutyl)phosphoryl]oxyhexanoyl]pyrrolidine-2-carboxylic acid Chemical compound C1CCC(C(O)=O)N1C(=O)C(CCCCN)OP(O)(=O)CCCCC1=CC=CC=C1 IFYLTXNCFVRALQ-UHFFFAOYSA-N 0.000 claims 1
- NEEBNBLVYKFVTK-VGMNWLOBSA-N Captopril-cysteine disulfide Chemical compound OC(=O)[C@@H](N)CSSC[C@@H](C)C(=O)N1CCC[C@H]1C(O)=O NEEBNBLVYKFVTK-VGMNWLOBSA-N 0.000 claims 1
- WEGGKZQIJMQCGR-RECQUVTISA-N Hemorphin-4 Chemical compound C([C@H](N)C(=O)N1CCC[C@H]1C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H]([C@H](O)C)C(O)=O)C1=CC=C(O)C=C1 WEGGKZQIJMQCGR-RECQUVTISA-N 0.000 claims 1
- IPOLXDNCMOVXCP-YZVVJARPSA-N Lyciumin A Natural products O=C(N[C@H]1C(=O)N[C@@H](C(C)C)C(=O)NCC(=O)N[C@@H](CO)C(=O)N[C@@H](C(=O)O)Cc2c3c(n1c2)cccc3)[C@H](NC(=O)[C@H]1N(C(=O)[C@@H]2NC(=O)CC2)CCC1)Cc1ccc(O)cc1 IPOLXDNCMOVXCP-YZVVJARPSA-N 0.000 claims 1
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- BARYJIKIMHXXOI-UHFFFAOYSA-N Lyciumin A methylate Natural products O=C1NC(C(C)C)C(=O)NCC(=O)NC(CO)C(=O)NC(C(=O)OC)CC(C2=CC=CC=C22)=CN2C1NC(=O)C(NC(=O)C1N(CCC1)C(=O)C1NC(=O)CC1)CC1=CC=C(O)C=C1 BARYJIKIMHXXOI-UHFFFAOYSA-N 0.000 claims 1
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Claims (28)
1. Применение ингибитора системы ренин-ангиотензин (RAS) или его фармацевтически приемлемого производного в производстве лекарственного средства для профилактики удара.
2. Применение ингибитора RAS или его фармацевтически приемлемого производного в производстве лекарственного средства для профилактики удара у пациентов с нормальным или пониженным кровяным давлением.
3. Применение ингибитора RAS или его фармацевтически приемлемого производного в производстве лекарственного средства для профилактики диабета.
4. Применение ингибитора RAS или его фармацевтически приемлемого производного в производстве лекарственного средства для профилактики развития застойной сердечной недостаточности (CHF) у пациентов, ранее не имевших CHF.
5. Применение по любому из предшествующих пунктов, где ингибитором RAS является ингибитор ангиотензин-превращающего фермента (АСЕ) или антагонист рецептора типа 1 ангиотензина II (AT II) или фармацевтически приемлемое производное любого из них.
6. Применение по п.5, где ингибитор АСЕ или его фармацевтически приемлемое производное выбрано из группы, состоящей из: алацеприла, алатриоприла, алтиоприла кальция, анковенина, беназеприла, гидрохлорида беназеприла, беназеприлата, бензоилкаптоприла, каптоприла, каптоприл-цистеина, каптоприлглутатиона, церанаприла, цераноприла, церонаприла, цилазаприла, цилазаприлата, делаприла, делаприлдикислоты, эналаприла, эналаприлата, энаприла, эпикаптоприла, фороксимитина, фосфеноприла, фосеноприла, фосеноприла натрий, фосиноприла, фосиноприла натрий, фосиноприлата, фосиноприловой кислоты, гликоприла, геморфина-4, идраприла, имидаприла, индолаприла, индолаприлата, либензаприла, лизиноприла, лициумина А, лициумина В, миксанприла, моэксиприла, моэксиприлата, мовелтиприла, мурацеина А, мурацеина В, мурацеина С, пентоприла, периндоприла, периндоприлата, пивалоприла, пивоприла, хинаприла, гидрохлорида хинаприла, хинаприлата, рамиприла, рамиприлата, спираприла, гидрохлорида спираприла, спираприлата, спироприла, гидрохлорида спироприла, темокаприла, гидрохлорида темокаприла, тепротида, трандолаприла, трандолаприлата, утибаприла, забициприла, забициприлата, зофеноприла и зофеноприлата.
7. Применение по п.6, где ингибитор АСЕ выбран из группы, состоящей из рамиприла, рамиприлата, лизиноприла, эналаприла и эналаприлата.
8. Применение по п.5, где антагонист AT II или его фармацевтически приемлемое производное выбрано из группы, состоящей из кандесартана, кандесартана цилексетила, лозартана, валсартана, ирбесартана, тасосартана, телмисартана и эпросартана.
9. Применение по п.8, где антагонист AT II или его фармацевтически приемлемое производное выбрано из группы, состоящей из кандесартана и кандесартан цилексетила.
10. Способ профилактики удара, включающий введение терапевтически эффективного количества ингибитора RAS или его фармацевтически приемлемого производного пациенту при необходимости такой профилактики.
11. Способ профилактики удара у пациентов с нормальным или пониженным кровяным давлением, включающий ведение терапевтически эффективного количества ингибитора RAS или его фармацевтически приемлемого производного пациенту при необходимости такой профилактики.
12. Способ профилактики диабета, включающий введение терапевтически эффективного количества ингибитора RAS или его фармацевтически приемлемого производного пациенту при необходимости такой профилактики.
13. Способ профилактики развития CHF у пациентов, ранее не имевших CHF, включающий введение терапевтически эффективного количества ингибитора RAS или его фармацевтически приемлемого производного пациенту при необходимости такой профилактики.
14. Способ профилактики по любому из пп.10-13, в котором ингибитором RAS является ингибитор АСЕ или антагонист AT II или фармацевтически приемлемое производное любого из них.
15. Способ профилактики по п.14, в котором ингибитор АСЕ или его фармацевтически приемлемое производное выбрано из группы, состоящей из: алацеприла, алатриоприла, алтиоприла кальция, анковенина, беназеприла, гидрохлорида беназеприла, беназеприлата, бензоилкаптоприла, каптоприла, каптоприла-цистеина, каптоприла-глутатиона, церанаприла, цераноприла, церонаприла, цилазаприла, цилазаприлата, делаприла, делаприлдикислоты, эналаприла, эналаприлата, энаприла, эпикаптоприла, фороксимитина, фосфеноприла, фосеноприла, фосеноприла натрия, фосиноприла, фосиноприла натрия, фосиноприлата, фосиноприловой кислоты, гликоприла, геморфина-4, идраприла, имидаприла, индолаприла, индолаприлата, либензаприла, лизиноприла, лициумина А, лициумина В, миксанприла, моэксиприла, моэксиприлата, мовелтиприла, мурацеина А, мурацеина В, мурацеина С, пентоприла, периндоприла, периндоприлата, пивалоприла, пивоприла, хинаприла, гидрохлорида хинаприла, хинаприлата, рамиприла, рамиприлата, спираприла, гидрохлорида спираприла, спираприлата, спироприла, гидрохлорида спироприла, темокаприла, гидрохлорида темокаприла, тепротида, трандолаприла, трандолаприлата, утибаприла, забициприла, забициприлата, зофеноприла и зофеноприлата.
16. Способ профилактики по п.15, в котором ингибитор АСЕ выбран из группы, состоящей из рамиприла, рамиприлата, лизиноприла, эналаприла и эналаприлата.
17. Способ профилактики по п.14, в котором антагонист AT II или его фармацевтически приемлемое производное выбрано из группы, состоящей из кандесартана, кандесартана цилексетила, лозартана, валсартана, ирбесартана, тасосартана, телмисартана и эпросартана.
18. Способ профилактики по п.17, в котором антагонист AT II или его фармацевтически приемлемое производное выбрано из группы, состоящей из кандесартана и кандесартан цилексетила.
19. Фармацевтический препарат для применения в профилактике удара, диабета и/или CHF, содержащий терапевтически эффективное количество ингибитора RAS или его фармацевтически приемлемого производного.
20. Фармацевтический препарат по п.19, в котором ингибитором RAS является ингибитор АСЕ или антагонист AT II или фармацевтически приемлемое производное любого из них.
21. Фармацевтический препарат по п.20, в котором ингибитор АСЕ выбран из группы, состоящей из рамиприла, рамиприлата, лизиноприла, эналаприла и эналаприлата.
22. Фармацевтический препарат по п.20, в котором антагонист AT II или его фармацевтически приемлемое производное выбрано из группы, состоящей из кандесартана, кандесартана цилексетила, лозартана, валсартана, ирбесартана, тасосартана, телмисартана и эпросартана.
23. Фармацевтический препарат по любому из пп.19-22 в смеси с фармацевтически приемлемым адъювантом, разбавителем и/или носителем.
24. Фармацевтический препарат по любому из пп.19-23 в форме стандартной лекарственной формы.
25. Применение ингибитора RAS или его фармацевтически приемлемого производного в профилактике удара, диабета и/или CHF путем введения ингибитора RAS или его фармацевтически приемлемого производного пациенту при необходимости такой профилактики.
26. Применение по п.25, где ингибитором RAS является ингибитор АСЕ или антагонист AT II или фармацевтически приемлемое производное любого из них.
27. Применение по п.26, где ингибитор АСЕ выбран из группы, состоящей из рамиприла, рамиприлата, лизиноприла, эналаприла и эналаприлата.
28. Применение по п.26, где антагонист AT II или его фармацевтически приемлемое производное выбрано из группы, состоящей из кандесартана, кандесартана цилексетила, лозартана, валсартана, ирбесартана, тасосартана, телмисартана и эпросартана.
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