TW200808791A - CGRP antagonists - Google Patents
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- TW200808791A TW200808791A TW096120440A TW96120440A TW200808791A TW 200808791 A TW200808791 A TW 200808791A TW 096120440 A TW096120440 A TW 096120440A TW 96120440 A TW96120440 A TW 96120440A TW 200808791 A TW200808791 A TW 200808791A
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Description
200808791 九、發明說明: 【發明所屬之技術領域】 本發明係關於一種藉由使用.有效量之充當CGRp拮抗劑 之化合物來預防及治療内臟痛及腸胃障礙(諸如功能性腸 障礙及發炎性腸疾病)之方法。 【先前技術】 内臟涵蓋腹腔之器官。與内臟相關之疼痛可分為消化性 内臟痛及非消化性内臟痛。通常遇到之腸胃障礙包括功能 性腸障礙及發炎性腸疾病。該等腸胃障礙包括多種當前僅 適度控制之病狀,包括胃食道逆流、消化不良、大腸急躁 症及功能性腹痛症候群、克羅恩氏症(Cr〇hn,s disease)、回 腸炎及潰瘍性結腸炎,以及所有規律性發生之内臟痛。 亦%為’’結腸激躁”、”結腸痙攣"或”黏液性結腸炎,,之大 腸急躁症(IBS)之特徵在於與排便紊亂相關之下腹不適或 疼痛。症狀之性質可隨患者而變化,由顯著便秘或腹瀉變 1匕主頌著疼痛。 最為常見之慢性腸胃障礙侵襲著約2〇%之全世界人口。 该生物-心理-社會性病症涉及神經系統之調節異常、腸道 運動之改變及内臟敏感性之增加。 所有该等病症均由受多種社會心理及環境因素調控之腸 及八腸神經系統與腦(腦_腸軸)之間的雙向通信之調節異常 (例如’感染、發炎)所引起。腦及腸中可見大量調節〇1活 ^生之神經傳遞素,包括羥基色胺(5_ΗΤ,血清素)及其 5-ΗΤ3及5-ΗΤ4受體。針對患者之當前方法係基於症狀 121019.doc 200808791 綜合體之陽性診斷、潛在器 .。疾病之排除及治療試驗之执 立。傳統症狀治療包括止涫 縻飞汾之叹 /爲条、輕為藥及膨化劑/纖維、 低片彳里二ί衣抗憂鬱華、用 ,α ;疼痛之鎮痙劑及,替代,療法(例 如,知神療法、催眠療法)。 支持該療法之科學證摅古服 ^ ^ 、。新穎方法包括内臟止痛劑 以及血清素促效劑及拮抗劑。在具有嚴重腹填之患者中, 經指示用5-HT3受體拮抗劑(例如,阿洛司璦―_ 選擇性M3型抗膽鹼能藥;在便秘患者中,經指示用%町4 促效劑(例如,替加色羅(tegaserGd));且在疼痛患者中, I扣不用(X2·腎上腺素(例如,可樂定(ci〇nidineu、膽囊收 縮素払抗劑、K-類鴉片促效劑(例如,非多托秦 (fedotozine))及神經激肽拮抗劑;一些該等藥劑仍在研究 之中。應瞭解,腦-腸軸在開發用於IBS之有效療法中至關 緊要(Med· Science Monit· 2004,10(6),RA125-131)。 已提出内臟高敏感性為IBS三個潛在機制中之一個且此 由如下事實所支持:患IBS之患者對内臟事件的感知力增 強。此内臟高敏感性似乎為極有可能為肽能c-纖維之内臟 傳入機構敏化之結果。彼等傳入C -纖維含有降妈素基因相 關肽(CGRP)且已展示該肽為傷害性前遞質 (pronociceptive) ° 【發明内容】 現在已發現,可藉由能拮抗CGRP效應之物質(CGRP拮 抗劑)或能抑制或減少CGRP自感覺神經末梢釋放之物質 (CGRP釋放抑制劑)而有效預防IBS之症狀且大體上減輕其 121019.doc 200808791 痛苦效應。 因此,本發明係關於CGRP拮抗劑(A)及/或釋放抑制劑 用於對抗IBS(包括預防與積極治療)之用途。本發明之用 途較佳不僅包含用單一物質之單一療法,而且包括用多種 來自指定活性物質群之物質(B)的組合療法。 本發明亦係關於CGRP拮抗劑及/或釋放抑制劑用於製備 供治療IBS用之醫藥組合物之用途以及含有作為活性物質 之一或多種CGRP拮抗劑及/或釋放抑制劑之相應醫藥組合 物。 出於本發明之目的,可使用任何能拮抗CGRP之已知效 應或抑制CGRP自感覺神經末梢釋放之醫藥學上可接受之 活性物質。 【實施方式】 CGRP拮抗劑之實例包括國際專利申請案 PCT7EP97/04802中所述之胺基酸衍生物以及如下國際專利 申請案中所述之非肽類活性物質:PCT7EP03/1 1762、 PCT/EP03/11763、PCT/EP2004/000087、PCT/EP2005/003094、 PCT/US03/16576、PCT/US2004/040721、PCT/US2003/038799、 PCT/US2005/010330、PCT/GB99/03154、PCT/US2004/007226、 PCT/US2004/007289、PCT/US2004/007686、PCT/US2004/007678、 PCT/US2004/007715、PCT/US2004/011254、PCT/US2004/010851、 PCT/US2004/011280、PCT/US2004/020206、PCT/US2004/021888、 PCT/US2004/020209、PCT/US2005/002199、PCT/US2005/031713、 PCT/US2005/031617、PCT/US2005/031712、PCT/US2005/032036、 121019.doc 200808791 PCT/US2005/032041 > PCT/US2005/032288 > PCT/US2005/035654 及US 2006/0094707。 CGRP釋放抑制劑之實例包括諸如阿韋曲坦 (avitriptan)、依來曲普坦(eletriptan)、那拉曲坦 (naratriptan)、利紮曲普坦(rizatriptan)、舒馬普坦 (sumatriptan)或佐米曲普坦(zolmitriptan)之血清素 5-HT1D-促效劑以及5 -HT1 f-促效劑或NP Y-促效劑。
在上述CGRP拮抗劑中,下列化合物(A)(例如)可用於治 療IBS,用於製備相應醫藥組合物且用作相應醫藥組合物 之成分。 因此,本發明之第一目標為選自由以下各物組成之群之 CGRP拮抗劑(A): 編號 結構
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121019.doc 200808791 結構 編號
121019.doc -10- 200808791 (10) (11) (12) (13) (14) (15) (16) 121019.doc
-11 - 200808791 編號 結構 (17) (18)
(19)
〇\^v^CH3 (20)
(21) (22)
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121019.doc •12- 200808791 編號
結構
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其對映異構體、非對映異構體、混合物及鹽, 有機或無機酸或鹼形成之醫藥學上可接受之鹽, 藥調配物之一之形式用於製備供治療IBS用之 途: 含有1 mg活性物質(A)之粉末吸入劑之膠囊; 尤其為與 以下列醫 醫藥的用 121019.doc -13 - 200808791 含有1 mg活性物質(A)之喷霧劑之可吸入溶液; 含有1 mg活性物質(A)之氣體推進劑操作之計量氣霧劑; 含有1 mg活性物質(A)之鼻用喷霧; 含有20 mg活性物質(A)之錠劑; 含有20 mg活性物質(A)之膠囊; 含有10 mg活性物質(A)之鼻用水溶液; 含有5 mg活性物質(A)之鼻用水溶液; 含有20 mg活性物質(A)之鼻用懸浮液。 本發明之特定提及之化合物(A)描述於國際專利申請案 PCT/EP97/04862及 PCT/EP2005/003094 中且可根據該等申 請案中所述之方法製備。 该專化合物係經口應用且在〇·〇1 mg/kg至1〇〇 mg/kg劑量 範圍内具有活性。 所使用之術語及定義 本發明之標的亦包括一或多個氫原子(例如1、2、3、4 或5個氫原子)經氛置換之本發明之化合物(包括其鹽)。 本發明之化合物可具有酸基(主要為羧基)及/或諸如胺基 官能基之鹼基。因此,本發明之化合物可以内鹽形式、與 醫藥學上可用之無機酸或有機酸形成之鹽形式存在,其中 該等無機酸係諸如氫溴酸、磷酸、硝酸、鹽酸、硫酸、甲 烷磺酸、乙烷磺酸、苯磺酸、對甲苯磺酸,該等有機酸係 諸如蘋果酸、丁二酸、乙酸、反丁烯二酸、順丁烯二酸、 扁桃酸、乳酸、酒石酸、檸檬酸;或以與醫藥學上可用之 驗形成之鹽形式存在,其中該等驗係諸如鹼金屬氫氧化物 121019.doc -14- 200808791 或鹼土金屬之氫氧化物(例如,氫氧化鈉或氫氧化鉀)或碳 酸鹽、氨、氫氧化鋅或氫氧化銨或尤其諸如二乙胺、三乙 胺、乙醇胺、二乙醇胺、三乙醇胺、環己胺、二環己胺之 有機胺類。 如上文所提及,本發明之化合物可轉化為其鹽,尤其就 醫藥用途而言可轉化為其生理學上及藥理學上可接受之 鹽。一方面,該等鹽可呈式丨化合物與無機酸或有機酸形 成之生理學上及藥理學上可接受之酸加成鹽形式。另一方 面,右其含有酚系0H基團,則本發明之化合物亦可藉由 與無機驗反應而轉化為與作&抗衡離子之驗金屬或驗土金 屬陽離子形成之生理學上及藥理學上可接受之i該等酸 加成鹽可(例如)使用以下各酸製備:鹽酸、氫溴酸、硫 甲烷磺酸、乙酸、反丁烯二酸、丁二酸、乳 、酒石酸或順丁烯二酸。亦有可能使用上述酸 酸、填酸、 酸、檸檬酸 之混合*。式I化合物之驗金屬鹽及驗土金屬帛較 :金屬及驗土金屬之氫氧化物及氫化物,丨中較佳為驗1 金屬之氫氧化物及氫化物,尤其為鈉及鉀之氫氧化物及氫 化物’且尤其較佳為氫氧化鈉及氫氧化鉀。 消 即 消 若本發明之化合物僅具有_個對掌性元素,則其可以 旋體之形式存在,但其亦可以純對映異構體之形式, 罐)型或⑻型之形式獲得。較佳化合物為彼等以 旋體或(R)型之形式存在之化合物 素 然而,若本發明之化合物中存在 ’本申請案亦包括其中所存在的對 一個以上之對掌性元 映體之個別非對映異 121019.doc 200808791 構體對或其混合物,以及構成上述外消旋體之個別光學活 性對映異構體。
本备明係關於所討論之化合物,其視情況呈個別光學異 2體'_對映異構體之混合物或外消旋體之形式,呈互 又異構體之形式以及呈游離鹼或與藥理學上可接受之酸形 成之相應酸加成鹽的形式,其中該等酸加成鹽係諸如與氫 鹵酸(例如,鹽酸或氫溴酸)或有機酸(諸如,草酸、反丁烯 一酸、二甘醇酸或甲烷磺酸)形成之酸加成鹽。 組合 如以上所提及,本發明之CGRP拮抗劑(A)可以單一療法 之形式使甩,但其亦可與其他活性化合物(B)組合使用以 治療IBS。 基於此目的,化合物(B)可選自由以下各物組成之群: 5·ΗΤΜ效劑、5-HT3拮抗劑、5_HT4促效劑、混合5_吨拮 抗劑/5-HT4促效劑、血清素去甲腎上腺素再攝取抑制劑、 鎮痙劑、抗膽鹼能藥、輕瀉藥、鎮定劑(ballast)、止瀉 藥、二裱抗憂鬱藥及SSRI、類鴉片、局部麻醉劑、u促效 劑、大麻素、P2X3/P2X2/3拮抗劑、CCK-拮抗劑、 VR-1/TRPV1拮抗劑、神經激肽拮抗劑、p3_腎上腺素受體 促效劑、NSAID、COX 2抑制劑及益生菌,其可與一或多 種惰性習知載劑及/或稀釋劑一起調配成習知蓋倫製^ (galenic preparation),其中該等载劑及/或稀釋劑係例如1 米澱粉、乳糖、葡萄糖、微晶纖維素、硬脂酸鎂、聚乙烯 吡咯啶酮、檸檬酸、酒石酸、水、水/乙醇、水/甘油、水/ 121019.doc -16- 200808791 山梨糖醇、水/聚乙二醇、丙二醇、十六基十八醇、羚甲 基纖維素或諸如硬脂之脂肪物質或其合適混合物,該^ 倫製劑係諸如普通錠劑或包衣錠劑、膠囊、散劑、懸; 液、溶液、計量氣霧劑或栓劑。 争 %ΗΤι促效劑可選自由阿韋曲坦、依 h 心札 日坦、那拉曲 利糸曲普坦、舒馬普坦或佐米曲普坦或其醫藥學上可 接受之鹽組成之群。 子
5-HT3拮抗劑可選自由阿洛司瓊、西蘭司瓊 (cdansetron)、格拉司瓊(granisetr〇n)或其醫藥卜 之鹽組成之群。 ’、上可接受 5-ΗΤ4促效劑可選自由替加色羅、並 曰卡比利 (pmCal〇pride)或其醫藥學上可接受之鹽組成之群。 此合5-HT3拮抗劑/5-HT4促效劑可選自由倫紮必利 (renzapride)、西沙必利(cisapride)或其醫藥學, /、卞工卩j接堂之 鹽組成之群。 血清素去甲腎上腺素再攝取抑制劑可選自由文拉法辛 (venlafaxine)、度洛西汀(duloxetine)及米那並人 (milnacipran)或其醫藥學上可接受之鹽組成之群。 鎮痙劑可選自由匹維溴銨(pinave:rium)、美貝維林 (mebeverine)、阿爾維林(alverine)或其醫藥學上可接a之 鹽組成之群。 抗膽驗能藥可選自由紮非那新(zamifenacin)、達非那新 (danfenacin)或其醫藥學上可接受之鹽組成之群。 輕瀉藥可選自由乳膠糖及聚乙二醇組成之群。 121019.doc -17- 200808791 •ά ^可4自由甲基纖維素及車前轩㈣Ui_)組成之 群。 止瀉藥可選自由洛哌丁胺(l〇peramide)、消膽胺 (㈤二yramine)或其醫藥學上可接受之鹽組成之群。° 衣抗抑鬱藥及SSRI可選自由阿米替林 (armtnptylme)、丙口米嗓(㈣贿㈣或其|藥學上可接受 之鹽組成之群。 類鴉片可選自由非多托秦、曲美布汀(tHmeb加h幻或其 醫藥學上可接受之鹽組成之群。 〃 局部麻醉劑可選自由曲美布、;丁或其醫藥學上可接受之鹽 組成之群。 α2促效劑可選自由可樂定或其醫藥學上可接受之鹽組成 之群。 大麻素可選自由瑞莫那班(rem〇nabant)或其醫藥學上可 接受之鹽組成之群。 神經激肽#抗劑可選自由艾羅皮坦(ez:l〇pitant)、那帕都 蘭(nepadulant)或其醫藥學上可接受之鹽組成之群。 β3-腎上腺素受體促效劑可選自由索拉比格隆 (solabegron)或ΥΜ178或其醫藥學上可接受之鹽組成之群。 NSAID可選自由以下各物組成之群:阿羅芬那 (acclofenac)、阿西美辛(acenietacin)、阿司匹林 (acetylsalicylic acid)、硫唑嘌呤(azathioprin)、塞來昔布 (celecoixb)、雙氯芬酸(diclofenac)、二敗尼柳 (diflunisal)、芬布芬(fenbufen)、非諾洛芬(fenopr〇fen)、 121019.doc -18- 200808791 氟比洛芬(flurbiprofen)、布洛芬(ibuprofen)、吲哚美辛 (indometacin)、酮基布洛芬(ket〇pr〇fen)、來氟米特 (leflunomid) 氣諾昔康(lornoxicam)、甲芬那酸 (mefenamic acid)、美儂西康(mei〇xicam)、萘普生 (naProxen)、保泰松(phenylbutazon) 、σ比羅昔康 (piroxicam)、柳氮績胺。比 σ定(suifasaiazin)、佐美酸 (zomepirac)或其醫藥學上可接受之鹽。
COX 2抑制劑可選自由美儂西康、羅非昔布 (rofecoxib) 伐地昔布(valdecoxib)、帕瑞昔布 (parecoxib)、依託昔布(et〇ric〇xib)、塞來昔布或其醫藥學 上可接受之鹽組成之群。 盈生&可為雙歧桿菌屬(bifidobacterium)。 調配物 根據本發明所製備之化合物可經靜脈内、皮下、肌肉 内、關節内、直腸内或鼻内路徑,藉由吸入、局部、經皮 或經口獨立投與或視情況與其他活性物質組合投與以用於 治療偏頭痛,而氣霧劑調配物尤其適合於吸入。該等組合 可同時或相繼投與。 投與之合適形式包括(例如)錠劑、膠囊、溶液 礼液或可吸人散劑或氣霧劑。—或多種醫藥活性化合物之 比例應在總組合物之O.i重量%至9〇重量%、較佳U重量% 至50重量%之範圍内,亦即,為足以 範圍之量。 $成下文k及之劑量 該等製劑可以鍵劑 散劑、於膠囊中之散劑(例如 硬 121019.doc -19- 200808791 之形式經口給予。當 散劑、水溶液或水性 調配物投與。 明膠膠囊)之形式或以溶液或懸浮液 藉由吸入服用時,活性物質組合可以 乙醇溶液之形式或借助於氣體推進劑 上 因此’醫藥調配物之特徵較佳在於其含有—或多種根據 述較佳實施例之式I化合物。 若式I之化合物係經口投與,則為尤其較佳,且若其— 天投與-或兩次’則為最佳。合適錠劑可(例如)藉由將活
性物質與已知賦形劑混合來獲得,其中該等賦形劑例如為 諸如碳_、輕料乳糖之惰性稀_ ;諸如n殿粉 或褐藻酸之崩解劑;諸如澱粉或明膠之黏合劑;諸如硬脂 酸鎂或滑石之潤滑劑;及/或諸如竣甲基纖維素、酜心 酸纖維素或聚乙酸乙❹旨之心延遲釋放之試劑。鍵劑亦 可包含數層。 相應地,包衣錠劑可藉由用常用於錠劑包衣之物質(例 如可力酮(collidone)或蟲膠、阿拉伯膠(gum訂此⑷、滑 石、二氧化鈦或糖)包覆類似於錠劑所產生之核心來製 備。為達成延遲釋放或防止不相容性,該核心亦可由若干 層組成。類似地,錠劑包衣可由若干層組成,以便可能使 用以上提及用於錠劑之賦形劑來達成延遲釋放。 3有本明之活性物質或其組合之糖漿可另外含有諸如 糖精、賽克拉美(cyclamate)、甘油或糖之甜味劍及例如芳 香背i (諸如香蘭素或柑橘提取物)之香味增強劑。其亦可含 有諸如羧甲基纖維素鈉之懸浮佐劑或增稠劑、諸如脂肪醇 與%氧乙烷之縮合產物之潤濕劑或諸如對羥基苯甲酸鹽之 121019.doc -20- 200808791 防腐劑。 含有—或多種活性物質或活性物質之組合的膠囊可(例 將该等活性物質與諸如乳糖或山梨糖醇之惰性載 劑混合且將其填充至明膠膠囊中來製備。 =適栓劑可(例如)藉由與為此目的提供之諸如中性脂肪 攻隶乙二醇或其衍生物之載劑混合來製備。 一可使用之賦形劑包括(例如)水;醫藥學上可接受之有 溶劑二諸如石蠟(石油餾分)、植物油(例如花生油或芝麻 油)、早官能醇或多官能醇(例如乙醇或甘油);冑劑,諸如 天然礦物粉末(例如高嶺土、黏土、滑石、白堊)、合成礦 物粉末(例如高度分散之㈣及㈣鹽);糖(例如斧糖、乳 糖及葡萄糖);乳化劑(例如木質素、亞硫酸廢液、甲基纖 、准素、澱粉及聚乙烯吡咯啶酮);及潤滑劑(例如硬脂酸 鎮、滑石、硬脂酸及月桂基硫酸鈉)。 就口服使用而言’除所說明之載劑外,錠劑可顯然含有 冑如檸檬酸鈉、碳_及魏二狀添加劑以及各種諸如 歲粉(較佳為馬鈴薯澱粉)、明膠及其類似物之其他物質。 諸如硬脂酸鎮、月桂基硫酸鈉及滑石之潤滑劑亦可用於製 仏叙劑。在水性懸浮液之情況下,除上述賦形劑以外,活 生物貝可與各種香味增強劑或著色劑組合。 治療方法 本發明之CGRP拮抗劑(A)在齧齒動物之内臟痛模型中具 有/舌丨生在5亥模型中,由結腸激躁(例如,藉由丁酸鹽、 三硝基苯磺酸或乙酸滴注)誘導高敏感性。將結腸直腸氣 121019.doc 200808791 囊擴張用於誘導例如腹部收縮之疼痛行為(見Bourdu等 人,Gastroenterology 2005,128,1996-2008 ; Diop等人,J· Phamacol. Exp. Ther. 2002,302,1013-1022 ; Plourde 等 人,Am. J. Physiol. 1997, 273, G191-G196)。 因為該等化合物在以上所提及之模型中使結腸高敏感性 逆轉,所以主張本發明之CGRP拮抗劑(A)可用於治療内臟 痛/高敏感性,尤其具有IBS之患者之腹痛,以及絞痛及痛 121019.doc -22-
Claims (1)
- 200808791 十、申請專利範圍: 1. 一種選自以下 編號 (1) (2) (3) (4) / : v (5) I (6) 各物之CGRP拮抗劑(A) 結構121019.doc 200808791121019.doc -2- 200808791 編"5^ (13) 結構 (14)(15)(16) (17) (18) (19)121019.doc 200808791 編號 (20) (21) 結構(22) Br(23)(24)(25) (26)121019.doc 200808791 編號 結構(27) (28) 其對映異構體、非對映異構體、混合物及其生理學上 可接受之鹽之用途,其用於製備適用於預防或治療内臟 痛之藥劑。 2. —種選自以下各物之CGRP拮抗劑(A) ·· 編號 結構 (1)121019.doc 200808791 編號 結構121019.doc 200808791 編號 結構1210I9.doc 200808791 編號 (16) (17) , (18) (19) (20) . (21) (22) 結構121019.doc 200808791 編號 (23) (24)(25) 結構其對映異構體、非對映異構體、混合物及其生理學上 可接受之鹽之用途,其用於製備適用於預防或治療腸胃 障礙之藥劑。 121019.doc 200808791 3·如請求項丨或2之用途,其特徵在於該内臟痛係選自由功 能性腸障礙及發炎性腸疾病組成之群。 4·如請求項3之用途,其特徵在於該功能性腸障礙係選自 由月食道逆流、消化不良、大腸急躁症及功能性腹痛症 候群組成之群。 5·如请求項3之用途,其特徵在於該發炎性腸疾病係選自 由克羅恩氏症(Cr〇hn,s disease)、回腸炎及潰瘍性結腸炎 組成之群。 6·如明求項3之用途,其特徵在於該功能性腸障礙為該大 腸急躁症。 7·如明求項丨或2之用途,其特徵在於其係以用單一活性物 質之單一療法形式實現。 月求項7之用途,其特徵在於該藥劑僅含有一種活 物質。 月长項7之用途,其特徵在於該藥劑為用於經口投與 之调配物。 1〇.=用於治療或預防内臟痛及腸胃障礙之醫藥組合物, 其3有作為活性物質之一或多種選自如請求項1之群之 :拮抗劑⑷,視情況連同一或多種惰性載劑及/或稀 释劑。 、、項1 〇之商藥組合物,其用於治療或預防選自由以 '且成之群之病症··功能性腸障礙,諸如胃食道逆 、消4匕不_ $,日 大腸急躁症及功能性腹痛症候群;或發 腸疾病,諸如克羅恩氏症、回腸炎及潰瘍性結腸 121D19.doc •10- 200808791 炎。 12·如請求項11之醫藥組合物,其用於治療或預防該大腸急 躁症。 13.如請求項10至12中任一項之醫藥組合物,其呈適合用於 經口投與之形式。121019.doc 200808791 七、指定代表圖: (一) 本案指定代表圖為:(無) (二) 本代表圖之元件符號簡單說明: 八、本案若有化學式時,請揭示最能顯示發明特徵的化學式: (無) 121019.doc
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| WO2010070023A2 (en) * | 2008-12-19 | 2010-06-24 | Boehringer Ingelheim International Gmbh | Formulations |
| FR2963738B1 (fr) * | 2010-08-10 | 2012-09-28 | Assist Publ Hopitaux De Paris | Compose destine au traitement des douleurs abdominales fonctionnelles |
| BR112013029951B1 (pt) | 2011-05-20 | 2020-10-20 | Alderbio Holdings Llc | composição farmacêutica e uso de anticorpos ou fragmentos de anticorpos anti-cgrp para tratar ou prevenir formas de diarreia crônicas e agudas |
| AU2012258980B8 (en) | 2011-05-20 | 2017-06-15 | H. Lundbeck A/S | Use of anti-CGRP antibodies and antibody fragments to prevent or inhibit photophobia or light aversion in subjects in need thereof, especially migraine sufferers |
| TR201904088T4 (tr) | 2011-05-20 | 2019-05-21 | Alderbio Holdings Llc | Anti-CGRP bileşimleri ve bunların kullanımları. |
| US20170114122A1 (en) | 2015-10-23 | 2017-04-27 | Alderbio Holdings Llc | Regulation of glucose metabolism using anti-cgrp antibodies |
| TWI636041B (zh) * | 2015-08-12 | 2018-09-21 | 美國禮來大藥廠 | Cgrp受體拮抗劑 |
| GB201519195D0 (en) | 2015-10-30 | 2015-12-16 | Heptares Therapeutics Ltd | CGRP Receptor Antagonists |
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| EP3366286A1 (en) | 2017-02-22 | 2018-08-29 | Johannes Keller | Compounds for treating sepsis |
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| US7807666B2 (en) | 2010-10-05 |
| PE20080370A1 (es) | 2008-06-13 |
| WO2007141285A1 (en) | 2007-12-13 |
| CN101500653A (zh) | 2009-08-05 |
| KR20090021214A (ko) | 2009-02-27 |
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| US20080139591A1 (en) | 2008-06-12 |
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| WO2007141284A2 (en) | 2007-12-13 |
| CA2654048A1 (en) | 2007-12-13 |
| IL195712A0 (en) | 2009-09-01 |
| PE20080153A1 (es) | 2008-04-14 |
| CL2007001662A1 (es) | 2008-01-25 |
| CA2654047A1 (en) | 2007-12-13 |
| EA200802381A1 (ru) | 2009-06-30 |
| AR061271A1 (es) | 2008-08-13 |
| AU2007255395A1 (en) | 2007-12-13 |
| TW200815010A (en) | 2008-04-01 |
| MX2008015562A (es) | 2008-12-17 |
| BRPI0712492A2 (pt) | 2012-08-21 |
| EP2029234A1 (en) | 2009-03-04 |
| JP2009539799A (ja) | 2009-11-19 |
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| EP2029233A2 (en) | 2009-03-04 |
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