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TW201102372A - Indane analogs and use as pharmaceutical agents and process of making - Google Patents

Indane analogs and use as pharmaceutical agents and process of making Download PDF

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TW201102372A
TW201102372A TW099118309A TW99118309A TW201102372A TW 201102372 A TW201102372 A TW 201102372A TW 099118309 A TW099118309 A TW 099118309A TW 99118309 A TW99118309 A TW 99118309A TW 201102372 A TW201102372 A TW 201102372A
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disease
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Kenneth James Ingold
Mary Katherine Delmedico
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Dara Biosciences Inc
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D263/00Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings
    • C07D263/02Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings
    • C07D263/30Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
    • C07D263/32Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/08Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system

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  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)

Abstract

This invention relates to novel indane analogues that are useful in the treatment of diseases and disorders such as treating and/or preventing diabetes and related disorders such as Syndrome X, impaired glucose tolerance, impaired fasting glucose, and hyperinsulinemia obesity, atherosclerotic disease, dyslipidemia, and related disorders such as hypertriglyceridemia, low HDL cholesterol, and hypercholesteremia, cardiovascular disease, cerebrovascular disease, psoriasis, or Alzheimer's disease. The invention also relates to intermediates useful in preparation of indane acetic derivatives and to methods of preparation.

Description

201102372 六、發明說明: 【發明所屬之技術領域】 本發明一般係關於二氳節類似物及其用於醫學治療之醫 藥組合物中之用途。 【先前技術】 π型糖尿病為常見糖尿病形式,有隊95%高血糖患者經 歷此形式之疾病m型檐尿病中,表現出存在姨腺㈣ 胞量減少、存在姨島素分泌之若干不同缺陷且組織對姨島 素之敏感性降低。此形式之糖尿病的症狀及後果包括疲 务尿頻、口屬、視力模糊、傷口頻繁感染及癒合緩慢、 糖尿病性神經損傷、視網膜病變、微血管及大血管損傷、 以及心臟病及腎病。 姨島素對新陳代謝作用之抗性為„型糖尿病的—個關鍵 特徵胰島素抗性特徵在於胰島素敏感性目標器官(例如 脂肪細胞及骨路肌)中葡萄糖攝取及利用受損以及對肝糖 輸出之抑制受損。功能性胰島素缺乏'周邊姨島素抗性及 胰島素對肝糖輸出之抑制衰竭產生空腹高血糖症。胰腺p 細胞藉由分泌更多量之胰島素來補償胰島素抗性。然而, β、’田胞無法維持此南胰島素輸出,且最終葡萄糖誘發之胰 島素刀泌下降’導致葡萄糖穩態受損且隨後產生顯性糖尿 病:高胰島素*症亦與姨島素抗性、高三酸甘油酯血症、 低m社度月g蛋白(HDL)膽固醇及低密度脂蛋白(LDL)血焚 濃度升高有關。胰島素抗性及高胰島素血症與此等代謝失 周之如0稱為「症候群χ」且與增加之高血壓及冠狀動脈 I48833.doc 201102372 疾病風險極為相關。 肥胖症為脂肪組織的過度累積。過多脂肪組織與例如π 型糖尿病'高血壓、冠狀動脈疾病、高脂質血症、肥胖症 及某些惡性疾病之嚴重醫學病況的產生有關。脂肪細胞亦 可藉由產生腫瘤壞死因子a(TNFa)及其他分子來影響葡萄 糖穩態。 已知動脈粥樣硬化症由多種因素引起,例如高血壓、糖 尿病、低HDL含量及高LDL含量。動脈粥樣硬化相關疾病 包括心血管疾病、冠心病(CHD)、腦血管疾病及周邊血管 疾病。冠心病包括CHD死亡、心肌梗塞及冠狀動脈血管重 建。腦血管疾病包括缺血性中風或出血性中風及短暫性腦 缺血發作。 牛皮癬為慢性、遺傳影響 '緩解型皮膚病。據估算,牛 皮癬影響1%至3%世界人口。牛皮癖之皮膚病灶反覆瘙 2。存有若干類型之牛皮癬,包括斑塊、膿皰、斑點及關 即九變體。該疾病可在兩個不同年齡範圍中出現。高峰發 病间峰在15歲與35歲之間的早期疾病表現(丨型)最頻發且通 韦-、豕私史有關。晚期疾病表現(2型)之發病高峰出現在Η 歲與60歲之間。 田刖,斑塊狀牛皮癖之可用治療併入使用潤膚劑、去角 貝片丨煤焦油、恩二酚、中效至強效皮質類固醇及鈣泊三 =(ealpotriene)。所有此等治療之功效不定。然而,此等 /口療均不能預防疾病頻繁復發,1其均展現不同程度的副 作用。在一些情況下,已對牛皮癬對身體、社會或經濟造 148833.doc 201102372 成重大影響且局部治療無反應之患者使用全身性治療。迄 今為止,選擇限於光療法或全身性藥物療法。一般而言, 全身性治療已採用使用紫外線B照射之光療法、組合光敏 性藥物甲氧沙林(methoxsalen)與紫外線A光療法(puVA)之 光化學療法、甲胺4吟(methotrexate)、依曲替醋(扣⑷仙⑷、 王身性·皮質^固醇及環孢素(Cycl〇Sp〇rine)。然而,此等全 身性治療各具有不定功效及非所要副作用。 阿兹海默氏病(「ADj )為全世界老年癡呆的主要誘因。 自65歲開始直至85歲,該疾病之發病率穩定上升。2嶋 年,全世界估計有26,6〇〇,〇〇〇人罹患阿兹海默氏病。 確定已確定AD為腦中異常摺疊之Α_ρ&τ蛋白累積引起 的蛋白質摺疊異常疾病。斑塊由長度為39_43個胺基酸的 小肽(稱為β-類澱粉肽,亦寫作A_beta肽或綱太)構成。β· 類澱粉肽為來自稱為類澱粉前驅蛋白質(ΑΡΡ)之較大蛋白 質(-種穿透神經元膜之跨膜蛋白)的片段。Αρρ涉及於神 經元生長、存活及損傷後修復十。在阿兹海默氏病中, ΑΡΡ藉由酶經蛋白水解分成較小片段。一種此等片段產生 β-類澱粉肽之原纖維’其形成沈積於神經元外部呈敏穷構 造之塊狀物⑽為料斑)。該㈣通轉致認知功能勢不 可擋的減退系伴有大體行為改變,導致患者在社會令無法 照顧自己’導致需要護理員及家庭護理及老人安養院服務 員^幫助迄今為止,對阿兹海默氏病無普遍滿意的 治療。 儘e存在些用於治療此等疾病之藥物,但仍需 148833.doc 201102372 要為治療疾病之安全且有效藥劑的新藥物。 【發明内容】 本發明係關於式I化合物,201102372 VI. INSTRUCTIONS OF THE INVENTION: TECHNICAL FIELD OF THE INVENTION The present invention is generally directed to the use of a scorpion analog and its pharmaceutical composition for medical treatment. [Prior Art] π-type diabetes is a common form of diabetes, and 95% of patients with hyperglycemia experience this type of disease. In m-type urinary disease, there are some defects in the presence of parotid gland (4) and the presence of lycopene secretion. And the tissue is less sensitive to 姨 素. Symptoms and consequences of this form of diabetes include frequent urination, genital tract, blurred vision, frequent wound infection and slow healing, diabetic nerve damage, retinopathy, microvascular and macrovascular damage, and heart disease and kidney disease. The resistance of 姨 素 对 to metabolism is a key feature of TYPE 2 diabetes. Insulin resistance is characterized by impaired glucose uptake and utilization in insulin-sensitive target organs (such as fat cells and bone musculature) and glucose output. Inhibition of damage. Functional insulin deficiency 'peripheral insulin resistance and insulin inhibition of hepatic glucose output produce fasting hyperglycemia. Pancreatic p cells compensate for insulin resistance by secreting more insulin. , 'The field cell can't maintain this southern insulin output, and finally the glucose-induced insulin cleavage decline' leads to impaired glucose homeostasis and subsequent development of dominant diabetes: high insulin* disease is also associated with lycopene resistance, high triglyceride Hypertension, low m-duration, monthly g protein (HDL) cholesterol, and low-density lipoprotein (LDL) blood-increasing concentrations are associated with insulin resistance and hyperinsulinemia and such metabolic disorders such as 0 is called "symptoms" And is associated with increased risk of hypertension and coronary artery I48833.doc 201102372. Obesity is an excessive accumulation of adipose tissue. Excessive adipose tissue is associated with the development of severe medical conditions such as π-diabetes, hypertension, coronary artery disease, hyperlipidemia, obesity, and certain malignant diseases. Adipocytes can also affect glucose homeostasis by producing tumor necrosis factor a (TNFa) and other molecules. Atherosclerosis is known to be caused by a variety of factors such as hypertension, diabetes, low HDL levels, and high LDL levels. Atherosclerosis-related diseases include cardiovascular disease, coronary heart disease (CHD), cerebrovascular disease, and peripheral vascular disease. Coronary heart disease includes CHD death, myocardial infarction, and coronary revascularization. Cerebrovascular diseases include ischemic stroke or hemorrhagic stroke and transient ischemic attack. Psoriasis is a chronic, genetically affected 'relieving skin disease. It is estimated that bovine skin affects 1% to 3% of the world's population. The skin lesions of psoriasis are repeated. There are several types of psoriasis, including plaques, pustules, spots, and nine variants. The disease can occur in two different age ranges. The peak disease peak between the ages of 15 and 35 is the most frequent and frequent, and is related to the history of sputum. The peak incidence of advanced disease manifestations (type 2) occurs between the age of Η and 60 years old. Tian Hao, the available treatment of plaque psoriasis is incorporated into the use of emollients, dehorned shell coal tar, enphenol, medium to strong corticosteroids and ealpotriene. The efficacy of all such treatments is variable. However, these/oral therapies do not prevent frequent recurrence of the disease, and they all exhibit varying degrees of side effects. In some cases, systemic treatment has been used in patients with psoriasis who have a significant impact on the body, society, or economy and who do not respond to topical treatment. To date, the choice has been limited to phototherapy or systemic drug therapy. In general, systemic therapy has used phototherapy with ultraviolet B radiation, photochemotherapy with methoxsalen and ultraviolet A phototherapy (puVA), methotrexate, and Qudi vinegar (deduction (4) celestial (4), king's body, corticosteroids and cyclosporine (Cycl〇Sp〇rine). However, these systemic treatments each have indefinite effects and undesirable side effects. Alzheimer's Disease ("ADj" is the main cause of Alzheimer's disease worldwide. From the age of 65 until the age of 85, the incidence of the disease has steadily increased. In 2 years, there are an estimated 26,6 million people worldwide. Zehmer's disease. Determining that AD is a protein folding abnormality caused by the accumulation of Αρ&τ protein in abnormal folds in the brain. The plaque consists of a small peptide of 39-43 amino acids in length (called β-amyloid peptide, Also written as A_beta peptide or genus. The β-amyloid peptide is a fragment from a larger protein called a starch-like precursor protein (ΑΡΡ), a transmembrane protein that penetrates the neuronal membrane. Αρρ is involved in the nerve. Meta growth, survival and post-injury repair In Alzheimer's disease, ΑΡΡ is separated into smaller fragments by proteolysis of the enzyme. One of these fragments produces fibrils of β-amyloid peptides, which form a mass that is deposited on the outside of the neuron in a poorly-performing structure. (10) is a spot.) (4) The unstoppable decline in cognitive function is accompanied by a general behavioral change, which leads to the inability of the patient to take care of themselves in the society, resulting in the need for caregivers and home care and elderly nursing home attendants. There is no universally satisfactory treatment for Alzheimer's disease. There are some drugs for the treatment of these diseases, but still need 148833.doc 201102372 New drugs for safe and effective treatment of diseases. The present invention relates to a compound of formula I,

其中 R為烷基; R丨為 Η、COOH、-C(,_0Ri、c3 c8 環烷基、Ci_C6 烷 基、CVC6烯基或Cl_c0烷氧基,其中R^C1_C6烷基,且該 、元基環烧基、埽基或燒氡基可視情況經—或多個選自由 以下組成之群的基團取代:I、亞甲二氧基苯基及苯基, /、中2 4亞曱一氧基苯基或苯基可視情況且獨立經R6取代; 為Η鹵基或Ci-C6烷基,其中該烷基可視情況經一或 多個選自由以下組成之群的基圈取代· 氧基、側 氧基(0X0)及氟,或 為Cs-M芳基、C3_M雜環或c^4雜芳基,其中該芳基、 雜環或雜芳基可視情況經一或多個r6取代; _為H Cl-C6烷基或苯基,其中該烷基或苯基可視情 經—或多個R6取代; ' X為〇或S ; R為c5-14芳基、C3 i4雜環或Cs "雜芳基,其中該芳基、 148833.doc 201102372 雜環或雜芳基經一或多個R7取代, |·青況經側氣 R5為η、i基或cva基’其中該烧基可視 基取代; R為鹵基’ CF3,c丨-C6烷基’其中該烷基可視情況經側 氧基或羥基取代;或視情況經氟取代之口<6烷氧基; R7係選自由以下組成之群 (a)經基, (b) CVC6院氧基,其中該烧氧基之一或多個⑽士⑼,及 (c) -〇-保護基; ⑷-0-C(=0)-Rh ’其中r、Ci_C6烧基或C5•"芳基,其 中該院基或芳基可視情況經_或多個選自由以下組成之群 的基團取代:幽素、羥基、-SH、醯胺、羧酸、CN、C& 烧基、ca硫烧基、一4芳基及C5"雜芳基;及视爪, 且其中Rc及Rd獨立為氫或Ci_C6烷基; (e) -〇-C(-0)-R11’其中Rl"為·做爪且其中^及^獨立 為氣或C!-C6炫基; 或其醤藥學上可接受之鹽、酯、前藥、立體異構體、非 對映異構體、對映異構體或外消旋體。 在-些貫施例巾,式j化合物為其葡甲胺鹽、卸鹽或納 鹽0 在一實施例中,對於式1化合物,尺為11,R1為H,ί 為H,R3為c丨-C:6烷基,\為〇且尺4為經一或多個R7取代二 苯基’其中R7係選自由以下組成之群:⑷羥基,⑻c〆 烷氧基,且烷氧基之—或多個11為2H(D),及⑷_〇_cH: 148833.doc 201102372Wherein R is an alkyl group; R is Η, COOH, -C(,_0Ri, c3 c8 cycloalkyl, Ci_C6 alkyl, CVC6 alkenyl or Cl_c0 alkoxy, wherein R^C1_C6 alkyl, and the The cycloalkyl, sulfhydryl or fluorenyl group may be optionally substituted with or a plurality of groups selected from the group consisting of: I, methylenedioxyphenyl and phenyl, /, 2, 4 fluorene oxide The phenyl or phenyl group may be optionally substituted by R6; is a fluorenyl halide or a Ci-C6 alkyl group, wherein the alkyl group may optionally be substituted with one or more aryl groups selected from the group consisting of: a pendant oxy group (0X0) and fluorine, or a Cs-M aryl group, a C3_M heterocyclic ring or a c^4 heteroaryl group, wherein the aryl group, heterocyclic ring or heteroaryl group may be optionally substituted by one or more r6; Is H Cl-C6 alkyl or phenyl, wherein the alkyl or phenyl group may be substituted by a plurality of R6; 'X is 〇 or S; R is c5-14 aryl, C3 i4 heterocyclic ring or Cs &quot a heteroaryl group, wherein the aryl group, 148833.doc 201102372 heterocyclic or heteroaryl group is substituted by one or more R7, and the side gas R5 is η, i group or cva group, wherein the alkyl group is visible Substituent; R is halo' CF3, c丨-C6 a base wherein the alkyl group may be optionally substituted with a pendant oxy group or a hydroxy group; or optionally a fluorine substituted ring <6 alkoxy group; R7 is selected from the group consisting of: (a) thiol, (b) CVC6 An oxy group, wherein one or more of the alkoxy groups are (10) (9), and (c) - oxime-protecting groups; (4) - 0-C(=0)-Rh 'where r, Ci_C6 alkyl or C5•" An aryl group, wherein the aryl or aryl group may be optionally substituted with _ or a plurality of groups selected from the group consisting of: ghrelin, hydroxy, -SH, decylamine, carboxylic acid, CN, C& a thiol group, a 4-aryl group, and a C5"heteroaryl group; and a parallax, wherein Rc and Rd are independently hydrogen or a Ci_C6 alkyl group; (e) -〇-C(-0)-R11' wherein Rl" ·Claws and wherein ^ and ^ are independently gas or C!-C6 leuco; or pharmaceutically acceptable salts, esters, prodrugs, stereoisomers, diastereomers, enantiomers thereof a compound or a racemate. In some embodiments, the compound of formula j is a meglumine salt, a salt or a salt thereof. In one embodiment, for a compound of formula 1, the ruler is 11, and R1 is H. ί is H, R3 is c丨-C: 6 alkyl, \ is 〇 and ruler 4 is one or more R7 Diphenylene' wherein R7 is selected from the group consisting of (4) hydroxy, (8) c〆 alkoxy, and alkoxy- or a plurality of 11 is 2H(D), and (4)_〇_cH: 148833.doc 201102372

Ph,其中該苯基可視情況經(:1-(:6烷氧基取代;且R5為Η, 或其醫藥學上可接受之鹽。 在另一實施例中,化合物具有以下結構:Ph, wherein the phenyl group may be optionally substituted with (: 1-(6 alkoxy; and R5 is hydrazine, or a pharmaceutically acceptable salt thereof. In another embodiment, the compound has the following structure:

本發明之另一態樣提供製備式la化合物之方法,其包含 使式B化合物脫烷基化獲得式la化合物Another aspect of the invention provides a process for the preparation of a compound of formula la, which comprises dealkylating a compound of formula B to obtain a compound of formula la

COORCOOR

COOR 其中對於式B及式la而言 R為HSCVCe烷基; 148833.doc 201102372COOR wherein R is HSCVCe alkyl for formula B and formula la; 148833.doc 201102372

Ri 為 Η、COOH、_C(=0)-0R,、C3-C8 環烧基、CJ-C6 烧 基、c2-c6烯基或CVC6烷氧基,其中R、Cl-C6烷基,且該 烷基、環烷基、烯基或烷氧基可視情況經一或多個選自由 以下組成之群的基團取代:氟、亞甲二氧基苯基及苯基, 其中該亞曱二氧基苯基或苯基可視情況經R6取代; R2為Η、鹵基或CrG烷基,其中該烷基可視情況經一或 多個選自由以下組成之群的基團取代:Cl-C6烷氧基、側 氧基及氟,或 R2為C5-C14芳基、C3-C14雜環或c5-C14雜芳基,其中該等 ^基' 雜環及雜芳基可視情況且獨立經一或多個R6取代; R為Η、Ci-C6烷基或苯基,其中該烷基或苯基可視情況 且獨立經一或多個R6取代; X為0或S ; R 為C「C6烧氧基, R5為Η、鹵基或Cl_C6烷基,其中該烷基視情況經側氧基 取代;且 R6為鹵基、CF3、視情況經側氧基或羥基取代之Ci_C6烷 基、或視情況經氟取代之匚丨-匕烷氧基。 根據本發明之另一態樣,提供製備化合物b之方法。該 等方法包括使化合物A脫烷基化Ri is hydrazine, COOH, _C(=0)-0R, C3-C8 cycloalkyl, CJ-C6 alkyl, c2-c6 alkenyl or CVC6 alkoxy, wherein R, Cl-C6 alkyl, and The alkyl, cycloalkyl, alkenyl or alkoxy group may be optionally substituted with one or more groups selected from the group consisting of fluorine, methylenedioxyphenyl and phenyl, wherein the anthracene dioxide The phenyl or phenyl group may be optionally substituted by R6; R2 is hydrazine, halo or CrG alkyl, wherein the alkyl group may optionally be substituted with one or more groups selected from the group consisting of: Cl-C6 alkoxylate a base, a pendant oxy group and a fluorine, or R 2 is a C 5 -C 14 aryl group, a C 3 -C 14 heterocyclic ring or a c 5 -C 14 heteroaryl group, wherein the hydroxy group and the heteroaryl group are optionally and independently passed through one or more R6 is substituted; R is hydrazine, Ci-C6 alkyl or phenyl, wherein the alkyl or phenyl group is optionally substituted with one or more R6; X is 0 or S; R is C"C6 alkoxy , R5 is hydrazine, halo or Cl_C6 alkyl, wherein the alkyl group is optionally substituted with a pendant oxy group; and R6 is halo, CF3, optionally substituted by a pendant oxy or hydroxy group, or optionally Fluorine substituted hydrazine-decyloxy. Ming another aspect, there is provided a method of preparing a compound b. The other method comprises Compound A dealkylation

獲得化合物B J48833.doc 201102372Obtained compound B J48833.doc 201102372

C〇〇Rc 其中Rc為氫或C「C6烷基。 在另一實施例中’在製備化合物B之方法中, 具有以下結構 化合物C〇〇Rc wherein Rc is hydrogen or C"C6 alkyl. In another embodiment, in the method of preparing compound B, has the following structure

A h3coA h3co

<r-C〇〇H 且化合物B具有以下結構<r-C〇〇H and Compound B has the following structure

COOH 此外’本發明之一態樣提供製備化合物〇之 方法包括使化合物C之O-CH^Ph的醚鍵斷裂 方法 該等COOH Further, a method of the present invention provides a method for preparing a compound hydrazine comprising a method of breaking an ether bond of O-CH^Ph of compound C.

其中Re為氫或烷基。 化合物c 在一些實施例中,對於製備化合物D之方法 148833.doc . ι〇. 201102372 具有以下結構 phH2C〇Wherein Re is hydrogen or an alkyl group. Compound c In some embodiments, for the preparation of Compound D 148833.doc . ι〇. 201102372 has the following structure phH2C〇

、,CO〇H 以下結構,,CO〇H, the following structure

且化合物D具有 根據本發明之另一態樣,提供本文所述之化合物的醫藥 組合物。在—些實施例中,醫藥組合物進一步包括醫藥學 上可接受之裁劑。 在些貫施例中,本文所述之醫藥組合物可進一步包括 一或多種額外治療劑。 本發明之另一態樣係關於治療及/或預防以下之方法: 糖尿病及相關病症,諸如症候群X、葡萄糖耐受性異常、 空腹血糖異常及冑姨胃素血症;肥胖症;動脈粥樣硬化 症,血脂異常及相關病症,諸如高三酸甘油酯血症、低 HDL膽固醇及高膽固醇▲症;心血f疾病;及腦丘管疾 病0 本發明之另一態樣提供治療及/或預防牛皮癣及/或阿兹 海默氏病之方法。 -般熟習此項錢者藉由閱讀下文《圖式及實施例之詳 細描述將暸解本發明之目標,該描述僅為本發明之說明。 【實施方式】 A.定義: 148833.doc •II· 201102372 術語「鹵基」意謂F、Cl、Br或I。 術語「CrC6烧基」分別意謂具有1至約6個碳原子的直 鍵或分支鏈飽和烴碳鏈。該等基團之實例包括甲基、乙 基、異丙基、第二丁基、基戊基、正己基及其類似基 團。 術語「Cs-C6烯基」意謂具有2至約6個碳原子的直鏈或 分支鏈不飽和烴碳鏈。該等基團之實例包括乙烯基、烯丙 基、異丙烯基、2-丁烯基、3_乙基_2_ 丁烯基、4_己烯基及 其類似基團。 術語「CrC:6鹵烷基」意謂經1至3個鹵素原子取代或經 氟取代直至全氟程度之匸丨-匕烷基。該等基團之實例包括 三氟甲基、四氟乙基、1,2_二氯丙基、5_溴戊基、6_碘己 基及其類似基團。 術語「Cs-C6環烷基」及環烷基」分別意謂具有3 至約6個碳原子或3至約8個碳原子的飽和碳環系統。該等 基團之實例包括環丙基、環丁基、環戊基、環己基及其類 似基團。 術語「CrC6醯基」意謂在羰基碳原子處經連接之 烷基。基團在帶有碳原子之羰基處連接至分子其餘部分。 該等基團之實例包括乙醯基、丙醯基、正丁醯基、2_甲基 戊醯基及其類似基團。 術語「CrC6烷氧基」意謂具有1至約6個c原子之直鏈或 分支鏈飽和碳基團,該碳基團連接至〇原子。〇原子為烷 氧基取代基與分子其餘部分之連接點。該等基團包括(但 148833.doc 12 201102372 不限於)甲氧基、乙氧基、正丙氧基、異丙氧基及其類似 基團。 術語「q-c:6硫烷基」意謂具有}至約6個(:原子之直鏈或 分支鏈飽和碳基團,該碳基團連接至s原子。s原子 基取代基與分子其餘部分之連接點。該等基團包括例如甲 硫基、丙硫基、己硫基及其類似基團。 術語「CrC6齒烷氧基」意謂在c上經丨至3個鹵原子進一 步取代或經氟進一步取代直至全氟程度之c〗_c6烷氧基。 術浯「CrC8環烷氧基」意謂連接至〇原子之c3_Cg環烷 基。0原子為環烷氧基與分子其餘部分之連接點。 術語「苯氧基」意謂連接至ο原子之苯基。ο原子為苯 氧基與分子其餘部分之連接點。 術語「6員雜芳環」意謂含有丨至5個碳原子及至多指定 數目之N原子的6員單環雜芳環基團。6員雜 -基、射基、健嘻基、吼嗅基、三。秦基及其類^ 團。 術語「5員或6員雜環」意謂含有1至5個c原子及至多指 定數目之N、〇及S原子的5員或6員環,且可為芳族、部分 飽和或完全飽和的。 除非另外5尤明,否則術語「視情況經取代」意謂經修飾 部分可具有1至最多指定數目取代基,只要此項技術中認 為所造成之取代作用在化學上可行即可。各取代基可置換 經修飾部分上的任何Η原子,只要該置換法係化學上可行 且化學上穩定即可。舉例而言’若兩個取代基各自透過各 14S833.doc -13- 201102372 取代基雜原子鍵結至單一個c原子的化合物即為化學不穩 定化合物》化學不穩定化合物之另一實例為烷氧基鍵結至 烯烴的不飽和碳所形成之烯醇醚化合物。當任何部分上存 在兩個或兩個以上取代基時,各取代基係獨立於另一取代 基選擇’因此取代基可相同或不同。 當5員或6員雜環作為取代基連接至分子其餘部分時,其 即變為基團。5員或6員雜芳環基圑之實例為呋喃基、。比咯 基、嘆吩基、。比唑基、異嗯唾基、咪唑基、噁唑基、嘆唑 基、異噻唑基、三唑基、噻二唑基、噁二唑基、吡啶基、 哺咬基、噠嗪基1嗪基、三嗪基及其類似基團。部分不 飽和5員或6員雜環基團之實例包括二氫哌喃基 (dihydropyrano)、吡咯啉基、吡唑啉基、咪唑啉基、二= 。夫。南基及其類似基團。飽和5員或6_環基團之m2 料咬基、四氫㈣基、^基、嗎琳基、四氫吱喃基、 四氫。塞吩基、㈣基及其類似基困。基團之連接點可自$ 的任何可用L原子連接至分子其餘部分。當5員或6 = 雜環祠合至分子其餘部分中所含之另—環時,形成雙環。、 該等5·及6-雜環稍合環之實例包括心各并基咖1 喃并基(fUr〇卜比咬并基(pyrido)、派咬并基(pipers)、售 吩开基(thieno)及其類似基團。稠合點在雜環及母分子之 任何可用面處。 如本文所用,如本文所用之 (例如犬、貓、馬 '牛、綿羊、 類個體(包括男性及女性個體, 個體」意謂哺乳動物個體 山羊、猴等),且尤其為人 且包括新生兒、嬰兒、主 148833.doc • 14· 201102372 少年、青年、成年及老年個體,且另外包括各人種及種 族’包括(但不限於)白人、黑人、亞洲人、美洲印第安人 及西班牙人)。 如本文所用’「治療」係指逆轉、緩解、減輕或減緩如 本文所述之病症或疾㈣進展或抑㈣病症或疾病的進 展。 如本文所用,預防」係指相較於在不採用措施下所發 生之情形’可消除或降低如本文所述之病症或疾病的發病 率或發作。 如本文所用,「有效量」係指如臨床測試及評估、患者 觀測及/或類似方法所記錄,使病症或疾病之症狀緩解時 的用里 有效里」可進一步表示引起生物活.性或化學活 性達到可偵測之變化時之劑量。可由熟習相關機制或方法 之技術者偵測及/或進一步定量該可偵測之變化。此外, 「有效量」可表示維持所要生理狀態(亦即減輕或預防相 關病狀顯著惡化及/或促進改良相關病狀)時之用量。「有 效量」可進一步指治療有效量。 B·化合物 本發明涵蓋式I化合物,And Compound D has a pharmaceutical composition according to another aspect of the invention which provides a compound described herein. In some embodiments, the pharmaceutical composition further comprises a pharmaceutically acceptable cutting agent. In some embodiments, the pharmaceutical compositions described herein may further comprise one or more additional therapeutic agents. Another aspect of the invention relates to methods of treating and/or preventing: diabetes and related conditions, such as syndrome X, abnormal glucose tolerance, abnormal fasting blood glucose and sputum gastrinemia; obesity; atherosclerosis Sclerosis, dyslipidemia and related disorders such as hypertriglyceridemia, low HDL cholesterol and hypercholesterolemia; heart and blood disease; and cerebral tube disease 0 Another aspect of the invention provides for the treatment and/or prevention of psoriasis And/or methods of Alzheimer's disease. The subject matter of the present invention will be understood by reading the following detailed description of the drawings and embodiments. [Embodiment] A. Definition: 148833.doc • II· 201102372 The term "halo" means F, Cl, Br or I. The term "CrC6 alkyl" means a straight or branched chain saturated hydrocarbon carbon chain having from 1 to about 6 carbon atoms, respectively. Examples of such groups include methyl, ethyl, isopropyl, t-butyl, pentyl, n-hexyl and the like. The term "Cs-C6 alkenyl" means a straight or branched chain unsaturated hydrocarbon carbon chain having from 2 to about 6 carbon atoms. Examples of such groups include ethenyl, allyl, isopropenyl, 2-butenyl, 3-ethyl-2-butenyl, 4-hexenyl and the like. The term "CrC: 6 haloalkyl" means a fluorenyl-fluorenyl group substituted with 1 to 3 halogen atoms or substituted with fluorine up to the degree of perfluoro. Examples of such groups include trifluoromethyl, tetrafluoroethyl, 1,2-dichloropropyl, 5-bromopentyl, 6-iodohexyl and the like. The terms "Cs-C6 cycloalkyl" and cycloalkyl" mean a saturated carbocyclic ring system having from 3 to about 6 carbon atoms or from 3 to about 8 carbon atoms, respectively. Examples of such groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl and the like. The term "CrC6 fluorenyl" means an alkyl group attached at a carbon atom of a carbonyl group. The group is attached to the remainder of the molecule at the carbonyl group bearing a carbon atom. Examples of such groups include ethenyl, propyl fluorenyl, n-butyl fluorenyl, 2-methylpentenyl and the like. The term "CrC6 alkoxy" means a straight or branched chain saturated carbon group having from 1 to about 6 c atoms which is bonded to a ruthenium atom. A ruthenium atom is the point of attachment of an alkoxy substituent to the rest of the molecule. Such groups include (but 148833.doc 12 201102372 not limited to) methoxy, ethoxy, n-propoxy, isopropoxy and the like. The term "qc: 6 sulfanyl" means having from { to about 6 (: a straight or branched chain saturated carbon group of an atom, the carbon group being bonded to the s atom. The s atom based substituent and the rest of the molecule The group includes, for example, a methylthio group, a propylthio group, a hexylthio group, and the like. The term "CrC6 tooth alkoxy" means further substitution or passage via c to 3 halogen atoms on c. Fluorine is further substituted until the degree of perfluorination c _ c6 alkoxy. The term "CrC8 cycloalkoxy" means a c3_Cg cycloalkyl group attached to a ruthenium atom. The 0 atom is the point of attachment of the cycloalkoxy group to the rest of the molecule. The term "phenoxy" means a phenyl group attached to the ο atom. The atom is the point of attachment of the phenoxy group to the rest of the molecule. The term "6-membered heteroaryl ring" means having up to 5 carbon atoms and at most A 6-membered monocyclic heteroaryl ring group of a specified number of N atoms. 6 members of hetero-based, thiol, fluorenyl, oxime, trisyl and its like. The term "5 or 6 members" "Heterocycle" means a 5- or 6-membered ring containing from 1 to 5 c atoms and up to a specified number of N, oxime and S atoms, and may be aromatic or partially Saturated or fully saturated. Unless otherwise stated, the term "optionally substituted" means that the modified moiety may have from 1 to a maximum number of substituents, as long as the substitutions believed to be chemically feasible in the art are considered That is, each substituent may be substituted for any deuterium atom on the modified moiety, as long as the permutation method is chemically feasible and chemically stable. For example, 'if two substituents are each passed through each 14S833.doc -13- 201102372 A compound in which a substituent hetero atom is bonded to a single c atom is a chemically labile compound. Another example of a chemically labile compound is an enol ether compound formed by an alkoxy group bonded to an unsaturated carbon of an olefin. When two or more substituents are present on any moiety, each substituent is selected independently of the other substituent 'so the substituents may be the same or different. When a 5- or 6-membered heterocycle is attached as a substituent to the rest of the molecule When it becomes a group, an example of a 5- or 6-membered heteroaryl ring is a furyl group, a pyrrolyl group, a stilbene group, a pyrazolyl group, a thiol group, an imidazolyl group, an oxazolyl group. An oxazolyl group, an isothiazolyl group, a triazolyl group, a thiadiazolyl group, an oxadiazolyl group, a pyridyl group, a guanidino group, a pyridazinyl group, a triazinyl group and the like. Partially unsaturated 5 members Examples of the 6-membered heterocyclic group include dihydropyrano, pyrrolinyl, pyrazolinyl, imidazolinyl, bis-xanthyl, and the like. Saturated 5 or 6 The m2 of the ring group is a bite group, a tetrahydro(tetra)yl group, a benzyl group, a morphine group, a tetrahydrofuranyl group, a tetrahydrogen group, a thiophene group, a (tetra) group and the like. The connection point of the group may be Any available L atom of $ is attached to the rest of the molecule. When 5 or 6 = heterocyclic ring is attached to the other ring contained in the rest of the molecule, a bicyclic ring is formed. These 5 and 6-heterocyclic rings are slightly combined. Examples of the ring include a mercapto group (fUr), a pyrido, a piper, a thieno, and the like. The fused point is at any available face of the heterocycle and the parent molecule. As used herein, as used herein (eg, dogs, cats, horses 'bovines, sheep, individuals (including male and female individuals, individuals) mean mammalian goats, monkeys, etc.), and especially humans and including newborns , infant, master 148833.doc • 14· 201102372 juvenile, youth, adult and elderly individuals, and in addition to various races and races 'including (but not limited to) whites, blacks, Asians, American Indians and Hispanics). "Treatment" as used herein refers to the reversal, alleviation, alleviation or alleviation of progression of a condition or disease as described herein or (4) a condition or disease. As used herein, prophylaxis refers to the elimination or reduction of the incidence or onset of a condition or disease as described herein as compared to the situation occurring without the use of measures. As used herein, "effective amount" means an effective period of time when the symptoms of a disease or disease are alleviated as recorded by clinical testing and evaluation, patient observation, and/or the like, which may further indicate biological activity or chemistry. The dose at which the activity reaches a detectable change. The detectable change can be detected and/or further quantified by a person skilled in the relevant mechanism or method. In addition, an "effective amount" can mean an amount used to maintain a desired physiological state (i.e., to alleviate or prevent a significant deterioration of a related condition and/or to promote a modified related condition). "Effective amount" may further mean a therapeutically effective amount. B. Compounds The present invention encompasses compounds of formula I,

148833.doc •15· 201102372 其中 R為Η或C「C6炫基; R1 為 Η、COOH、-C(=〇)_ORi、C3_C8.環烷基、Ci C^ 基、(VC6烯基或C丨-C6烷氧基,其中烷基,且該 烷基、%烷基、烯基或烷氧基可視情況經一或多個選自由 以下組成之群的基團取代:氟、亞甲二氧基苯基及苯基, 其中該亞甲二氧基苯基或笨基可視情況且獨立經R6取代; R為Η、鹵基或C〗-C6烷基,其中該烷基可視情況經一或 夕個選自由以下組成之群的基團取代:(^_(:6烷氧基側 氧基及I,或 R為c^4芳基、C3-u雜環或c5 i4雜芳基,其中該芳基、 雜環或雜芳基可視情況經—或多個R6取代; R為Η、CrC6烷基或笨基,其中該烷基或苯基可視情況 經一或多個R6取代; X為Ο或S ; R為cs_M芳基、C:3·丨4雜環或C5 μ雜芳基,其中該芳基、 雜環或雜芳基經一或多個R7取代, R為Η、鹵基或C,-C6烷基,其中該烷基可視情況經側氡 基取代; 〆R為鹵基;CF3 ; Ci-C6烷基,其中該烷基可視情況經侧 氧基7或經基取代;或視情況經氟取代之ci C6烷氧基; R7係選自由以下組成之群 (a) 羥基, (b) C〗-C6烷氧基,其中該烷氧基之一或多個H為2H(D),及 148833.doc -16 · 201102372 (c) -Ο-保護基; ⑷-0-C(=0)-R",其中r、Ci_c6院基或c5."芳基,其 中該烧基或芳基可視情況經—或多個選自由以下組成之群 的基團取代.ii素、經基、_SH、醯胺、缓酸、CN、Ci_C6 烧基、CA硫烧基、c6_14芳基及c5 "雜芳基;及视也, 且其中Rc及Rd獨立為氫或(^-C;6燒基; ⑷_〇-C(=〇)-Rin,其中Rii、-NReRf且其中Re及Rf獨立 為氫或0^-(:6烷基; 或其醫藥學上可接受之鹽、酯、前藥、立體異構體、非 對映異構體、對映異構體或外消旋體。 在一些貫施例中,式〗化合物為鹼金屬鹽、含有鹼性氮 之基團。 在一些實施例中,式j化合物為其葡甲胺鹽、鈣鹽、鎂 鹽、銨鹽、鉀鹽或鈉鹽。 在另一實拖例中,式〗化合物具有以下結構148833.doc •15· 201102372 where R is Η or C “C6 炫; R1 is Η, COOH, —C(=〇)_ORi, C3_C8. cycloalkyl, Ci C^ group, (VC6 alkenyl or C丨) a C6 alkoxy group, wherein the alkyl group, and the alkyl group, % alkyl group, alkenyl group or alkoxy group may be optionally substituted with one or more groups selected from the group consisting of fluorine, methylenedioxy a phenyl group and a phenyl group, wherein the methylenedioxyphenyl group or a phenyl group is optionally substituted by R6; R is an anthracene, a halogen group or a C-C6 alkyl group, wherein the alkyl group may be subjected to one or the other Substituted from a group consisting of: (^_(:6 alkoxyoxy and I, or R is c^4 aryl, C3-u heterocycle or c5 i4 heteroaryl, wherein The aryl, heterocyclic or heteroaryl group may be optionally substituted with one or more R6; R is hydrazine, CrC6 alkyl or stupid, wherein the alkyl or phenyl group may be optionally substituted with one or more R6; Or S; R is cs_M aryl, C:3·丨4 heterocyclic or C5 μheteroaryl, wherein the aryl, heterocyclic or heteroaryl is substituted by one or more R 7 and R is deuterium, halo or a C,-C6 alkyl group, wherein the alkyl group may be optionally substituted with a pendant thiol group; 〆R is halo; CF3; Ci-C6 alkyl, wherein the alkyl group may be optionally substituted with a pendant oxy 7 or a thiol group; or a ci C6 alkoxy group optionally substituted by fluorine; R7 is selected from the group consisting of Group (a) hydroxy, (b) C-C6 alkoxy, wherein one or more H of the alkoxy group is 2H(D), and 148833.doc -16 · 201102372 (c) -Ο-protecting group (4)-0-C(=0)-R", wherein r, Ci_c6, or c5." aryl, wherein the alkyl or aryl group may optionally be - or a plurality of groups selected from the group consisting of The group replaces .ii, thiol, _SH, decylamine, acid retardation, CN, Ci_C6 alkyl, CA thiol, c6_14 aryl and c5 "heteroaryl; and arbitrarily, and wherein Rc and Rd are independently Hydrogen or (^-C; 6 alkyl; (4) _〇-C(=〇)-Rin, wherein Rii, -NReRf and wherein Re and Rf are independently hydrogen or 0^-(:6 alkyl; or its medicinal An acceptable salt, ester, prodrug, stereoisomer, diastereomer, enantiomer or racemate. In some embodiments, the compound is an alkali metal salt, a group of basic nitrogen. In some embodiments, the compound of formula j is a meglumine salt thereof, Salts, magnesium salts, ammonium, potassium or sodium salt. In another embodiment the real drag,〗 compound having the structure of formula

如本文在式I中所用,術語「〇保護基」係指暫時經阻斷 k而使反應可在多官能基化合物中在另一反應部位選擇性 進行的含氧S能基’諸如經基。保護基可在化合物合成期 間的適田階段使用一般熟習此項技術者已知的方法引入及 移除根據如文獻中所述之標準有機合成方法施用保護基 148833.doc -17- 201102372 (Theodora W. Green及Peter G.M. Wuts (2007) /W扣客 Grow/?·? 第 4 版,John Wiley andAs used herein, in the formula I, the term "anthracene protecting group" refers to an oxygen-containing S-energy group such as a mesogenic group which is temporarily blocked by k to allow the reaction to proceed selectively at another reaction site in the polyfunctional compound. The protecting group can be introduced and removed during the field phase of compound synthesis using methods known to those skilled in the art. The protecting group is applied according to standard organic synthesis methods as described in the literature. 148833.doc -17- 201102372 (Theodora W Green and Peter GM Wuts (2007) /W hacker Grow/?·? 4th edition, John Wiley and

Sons’關於保護基以引用的方式併入)。 例示性氧保護基包括(但不限於)曱醚、經取代之甲謎(例 如MOM(曱氧基甲醚)、MTM(曱硫基曱醚)、BOM(苯甲氧 基甲醚)、PMBM(對曱氧基苯曱氧基甲醚))、視情況經取 代之乙醚、視情況經取代之苯甲醚、矽院基醚(例如 TMS(三甲基矽烷基醚)、TES(三乙基矽烷基醚)、TIPS(三 異丙基矽烷基醚)、TBDMS(第三丁基二甲基矽烷基醚)、 三苯甲基矽烷基醚、TBDPS(第三丁基二苯基矽烷基醚))、 酯(例如甲酸酯、乙酸酯、苯甲酸酯(Bz)、三氟乙酸酯、二 氣乙酸酯、碳酸酯)、環狀縮搭及縮酮。 在一些實施例中,-〇-保護基為_0_CH2_Ph,其中該苯基 可視情況經CrC6烷氧基取代(例如_4_甲氧基苯甲基)。 在另一實施例中,對於式I化合物,r7為具有_〇_c(=〇)_ Rn結構之酯,其中R11如式I所定義。「_〇_c( = 〇)_Rii」之酯 可為式I化合物(其中R?為_〇H)與適當羧酸反應之產物。可 使用任何適用之羧酸。在一些實施例中,敌酸可為胺基 酸。在另一實施例中’羧酸可為天然α胺基酸。 如本文所用,術語「胺基酸」係指包含一級胺基(_ΝΗ2) 及羧酸(-COOH)基團之化合物。本發明所用之胺基酸包括 天然存在及合成之α、β、丫或§胺基酸,且包括(但不限於) 蛋白質中所見之胺基酸。例示性胺基酸包括(但不限於)甘 胺酸、丙胺酸、纈胺酸、白胺酸、異白胺酸、曱硫胺酸、 148833.doc -18- 201102372 苯丙胺酸、色胺酸、脯胺酸、絲胺酸、蘇胺酸、半胱胺 酸、酪胺酸、天冬醯胺、麩醯胺酸、天冬胺酸、麩胺酸、 離胺酸、精胺酸及組胺酸。在一些實施例十,胺基酸可為 以下之衍生物··丙胺醯基、纈胺醯基、白胺醯基、異白胺 醯基、脯胺醯基、苯丙胺醯基、色胺醯基、曱硫胺醯基、 甘胺酿基、絲胺酸基、I禾胺醯基、半胱胺醯基、赂胺酿 基、天冬酸胺酿基、麵醯胺醯基、天冬胺驢基、麩胺醯 基、離胺醯基、精胺醯基、組胺醯基、β_丙胺醯基、β_绳 胺醯基、β-白胺醯基、β-異白胺醯基、脯胺醯基、β—苯 丙胺醯基、β-色胺醯基、β-曱硫胺醯基、β_甘胺醯基、Ρ_ 絲胺醯基、β-蘇胺醯基、β-半胱胺醯基、β_酪胺醯基、β_ 天冬蕴胺醯基、β-麵醯胺醯基、β_天冬胺醯基、β_麩胺醯 基、β-離胺醯基、β-精胺醯基或β_組胺醯基。此外,如本 文所.用,「胺基酸」亦包括胺基酸之衍生物,諸如醋、及 醯胺、及鹽、以及其他衍生物,包括在代謝成活性形式後 具有藥物特性之衍生物。 如本文所用,術語「天然α胺基酸」係指天然存在之α胺基 酸,其包含鍵結至一級胺基(-ΝΗ2)之碳原子、羧酸(_c〇〇H) 基團、側鏈及氫原子。例示性天然α胺基酸包括(但不限 於)甘胺酸、丙胺酸、纈胺酸、白胺酸、異白胺酸、甲硫 胺酸、苯丙胺酸、色胺酸、脯胺酸、絲胺酸、蘇胺酸、半 胱胺酸、酪胺酸、天冬醯胺酸、麩醯胺酸、天冬胺酸、麩 胺酸、離胺酸、精胺酸及組胺酸。 在一實施例中,對於式^匕合物,11為11,Rl為H,R2為 148833.doc -19- 201102372 Η,R3為Ci-C6烷基,X為0且R4為經一或多個R7取代之苯 基,其中R7係選自由以下組成之群:(a)羥基,烷 氧基,且烷氧基之一或多個Η為2H(D),及(c)-0-CH2-Ph, 其中該苯基可視情況經匕-匕烷氧基取代;且R5為Η,或其 醫藥學上可接受之鹽。 在另一實施例中,化合物具有以下結構:Sons' is incorporated by reference to the protecting group. Exemplary oxygen protecting groups include, but are not limited to, oxime ethers, substituted gems (eg, MOM (decyloxymethyl ether), MTM (thiol oxime ether), BOM (benzyloxymethyl ether), PMBM (p-nonyl phenoxy methoxymethyl ether)), optionally substituted diethyl ether, optionally substituted anisole, decyl ether (eg TMS (trimethyl decyl ether), TES (tri-B) Base alkyl ether), TIPS (triisopropyl decyl ether), TBDMS (t-butyl dimethyl decyl ether), trityl decyl ether, TBDPS (tertiary butyl diphenyl decyl alkyl Ether)), esters (eg, formate, acetate, benzoate (Bz), trifluoroacetate, diacetate, carbonate), cyclic condensate and ketal. In some embodiments, the -〇-protecting group is _0_CH2_Ph, wherein the phenyl group is optionally substituted with a CrC6 alkoxy group (e.g., _4-methoxybenzyl). In another embodiment, for the compound of Formula I, r7 is an ester having the structure of _〇_c(=〇)_Rn, wherein R11 is as defined in Formula I. The ester of "_〇_c( = 〇)_Rii" may be the product of the reaction of a compound of formula I wherein R? is _〇H with a suitable carboxylic acid. Any suitable carboxylic acid can be used. In some embodiments, the diacid can be an amino acid. In another embodiment the 'carboxylic acid can be a natural alpha amino acid. As used herein, the term "amino acid" refers to a compound comprising a primary amine group (-ΝΗ2) and a carboxylic acid (-COOH) group. Amino acids for use in the present invention include naturally occurring and synthetic alpha, beta, indole or s-amino acids and include, but are not limited to, the amino acids found in proteins. Exemplary amino acids include, but are not limited to, glycine, alanine, valine, leucine, isoleucine, guanidine thione, 148833.doc -18- 201102372 phenylalanine, tryptophan, Proline, serine, threonine, cysteine, tyrosine, aspartame, glutamic acid, aspartic acid, glutamic acid, lysine, arginine and histamine acid. In some embodiments, the amino acid may be a derivative of the following: propylamine, amidino, leucine, isoleamine, amidino, amphetamine, tryptamine , guanidine thiol amide, glycine sulphate, serine acid group, lysine thiol group, cysteamine sulfhydryl group, amide amine, aspartic acid amine, acetoguanidine, aspartame Sulfhydryl, glutamine sulfhydryl, amide group, arginyl sulfhydryl, histamine sulfhydryl, β-alaninyl, β-arginyl sulfhydryl, β-leucine thiol, β-iso-araminyl thiol , amidoxime, β-phenylalanine thiol, β-tryptamine sulfhydryl, β-fluorenyl sulfhydryl sulfhydryl, β-glycosyl fluorenyl, Ρ_serotoninyl, β-threonyl, β-half Cystatamine, β-tyramine, β-aspartame, β-ammonium oxime, β-aspartate, β-glutamicin, β-amidoxime, --spermine thiol or β-histamine sulfhydryl. Further, as used herein, "amino acid" also includes derivatives of amino acids such as vinegar, and guanamine, and salts, and other derivatives, including derivatives having medicinal properties after being metabolized into an active form. . As used herein, the term "natural alpha amino acid" refers to a naturally occurring alpha amino acid comprising a carbon atom bonded to a primary amine group (-ΝΗ2), a carboxylic acid (_c〇〇H) group, side Chain and hydrogen atoms. Exemplary natural alpha amino acids include, but are not limited to, glycine, alanine, valine, leucine, isoleucine, methionine, phenylalanine, tryptophan, valine, silk Aminic acid, sulphate, cysteine, tyrosine, aspartic acid, glutamic acid, aspartic acid, glutamic acid, lysine, arginine and histidine. In one embodiment, for the formula, 11 is 11, R1 is H, R2 is 148833.doc -19- 201102372 Η, R3 is Ci-C6 alkyl, X is 0 and R4 is one or more a phenyl substituted with R7, wherein R7 is selected from the group consisting of: (a) a hydroxyl group, an alkoxy group, and one or more of the alkoxy groups are 2H(D), and (c)-0-CH2 - Ph, wherein the phenyl group may be optionally substituted with a fluorenyl-decyloxy group; and R5 is hydrazine, or a pharmaceutically acceptable salt thereof. In another embodiment, the compound has the structure:

/COOH/COOH

或其醫藥學上可接受之鹽。 在另一實施例中,化合物具有以下結構:Or a pharmaceutically acceptable salt thereof. In another embodiment, the compound has the structure:

148833.doc -20- 201102372148833.doc -20- 201102372

或其醫藥學上可接受之鹽。 此外,在一實施例中,式I化合物為以下結構之葡甲胺 (N-甲基-d-還原葡糖胺)鹽、鉀鹽或鈉鹽Or a pharmaceutically acceptable salt thereof. Further, in one embodiment, the compound of formula I is a meglumine (N-methyl-d-reducing glucosamine) salt, a potassium salt or a sodium salt of the following structure.

148833.doc -21 · 201102372 或其醫藥學上可接受之鹽。 在一實施例中,對於式I化合物而言,R2係選自由以下 組成之群:苯基、呋喃基、噻吩基、吡咯基、噁唑基、噻 °坐基、味°坐基、°比α坐基、異°惡。坐基 '異嗟β坐基、三°坐基、 σ惡二α坐基、°塞二。坐基、四°坐基、°比咬基、°比°各咬基、0底咬 基、四氫°底喃基、四氫硫旅喃基、派嗓基及嗎琳基,其可 各視情況經一或多個如本文所定義之R6取代。 在一實施例中,對於式I化合物而言,R4係選自由以下 組成之群:苯基、萘基、。夫喃基、°塞吩基、°比σ各基、四氫 0夫喃基、°比'^ σ定基、。比17各琳基、四氫°塞吩基、°惡°坐基、°塞 0坐基、ρ米°坐基、。比β坐基、異°惡α坐基、異。塞α坐基、三π坐基、 °惡二。坐基、嗟二α坐基、四。坐基、D比淀基、°底咬基、四氫0底 喃基、四氫硫派喃基、σ密咬基、。比°秦基、達嗪基、旅嗓 基、嗎琳基、苯并呋喃基、二氫苯并呋喃基、苯并噻吩 基、二氫苯并。塞吩基、吲哚基、吲哚淋基、吲唾基、苯并 噁唑基、苯并噻唑基、苯并咪唑基、苯并異噁唑基、苯并 異噻唑基、苯并間二氧雜環戊烯基、喹啉基、異喹啉基、 π奎唾琳基、0σ惡°坐淋基(quinoxazolinyl)、二氫苯并α底喃 基、二氫苯并硫哌喃基及1,4-苯并二噁烷基,其可各經一 或多個如本文所定義之R7取代。 在一實施例中,對於式I化合物而言,尺7為烷氧 基,其中烷氧基之一或多個Η為2H(D)。氘化經取代之化合 物可用作如下文所述之醫學治療。此外,氘化經取代之化 合物亦可用作化合物之藥理學研究的生物標誌。舉例而 148833.doc -22- 201102372 言’可使用氛化化合物,藉由使用質譜法量測血清中化合 物之量來測定化合物之生物可用性及定量。 當烧基、環烧基、烯基統氧基描料經氣取代時,其 可在任何可用碳原子處經—或多個氟原子取代直至全說程 度.。 當烧基取代基描Μ經絲絲糾,冑謂#&雙鍵鍵 結之氧原子取代,該氧原子與所連接之碳一起形成羰基-(C=0)- 〇 當任何部分描述為經取代時,其可具有—或多個所指示 之取代基,該等取代基可位於該部分上的任何可用位置。 當任何部分上存在兩個或兩個以上取代基時,各取代基可 獨立於任何其他取代基定義且因此可相同或不同。 術語「視情況經取代」意謂經修飾之部分可未經取代或 經確定之取代基取代。 R可連接至式I化合物之雜環部分的4或5位置(亦即任何 可用碳原子)處’且因此分子之其餘部分將在其餘可用碳 原子處連接。 —說明本發明但不以任何方式限制本發明之式〗化合物之 實例包括以下:148833.doc -21 · 201102372 or a pharmaceutically acceptable salt thereof. In one embodiment, for the compound of Formula I, R2 is selected from the group consisting of phenyl, furyl, thienyl, pyrrolyl, oxazolyl, thiol, stagnation, ° ratio α sits on the base, is different from evil. Sitting on the base 'iso-β sitting base, three-degree sitting base, σ evil two α sitting base, ° plug two. Sit-base, four-degree sitting base, °-bite base, ° ratio ° bite base, 0 bottom bite base, tetrahydrogen bottom base, tetrahydrosulfur bucky base, pie base and morphine base, which can be seen The situation is replaced by one or more R6 as defined herein. In one embodiment, for the compound of Formula I, R4 is selected from the group consisting of phenyl, naphthyl, and. Fraunyl, ° thiophene, ° ratio σ group, tetrahydro 0-folyl group, ° ratio '^ σ base. More than 17 Liner, tetrahydro-septyl, ° ° ° sit, ° plug 0 sit base, ρ m ° sit. It is more basic than β, and it is different from β. Plug α sitting base, three π sitting base, ° evil two. Sitting base, 嗟 two α sitting base, four. Sitting group, D is more than a decidyl group, a bottom biting group, a tetrahydro 0 thiol group, a tetrahydrothiopyranyl group, a σ dense bite group. Than Qin, darzinyl, ruthenium, morphinyl, benzofuranyl, dihydrobenzofuranyl, benzothienyl, dihydrobenzo. Queenyl, fluorenyl, indolinyl, oxime, benzoxazolyl, benzothiazolyl, benzimidazolyl, benzisoxazolyl, benzisothiazolyl, benzo Oxecyclopentenyl, quinolyl, isoquinolinyl, π quinalinyl, quinoxazolinyl, dihydrobenzoalpha-pyridyl, dihydrobenzothiopyranyl and 1,4-benzodioxanyl, which may each be substituted with one or more R7 as defined herein. In one embodiment, for the compound of Formula I, Rule 7 is an alkoxy group wherein one or more of the alkoxy groups are 2H (D). The deuterated substituted compound can be used as a medical treatment as described below. In addition, deuterated substituted compounds can also be used as biomarkers for pharmacological studies of compounds. For example, 148833.doc -22- 201102372 The biological availability and quantification of compounds can be determined by using an aerosolized compound to measure the amount of a compound in serum using mass spectrometry. When the alkyl, cycloalkyl, and alkenyloxy groups are substituted by a gas, they may be substituted at any available carbon atom - or a plurality of fluorine atoms until the full extent. When the alkyl substituent is traced by a wire, it is replaced by an oxygen atom of a double bond, which forms a carbonyl group with the attached carbon - (C = 0) - when any part is described as When substituted, it may have one or more of the indicated substituents, which may be located at any available position on the moiety. When two or more substituents are present on any moiety, each substituent may be defined independently of any other substituent and thus may be the same or different. The term "optionally substituted" means that the modified moiety may be substituted with an unsubstituted or determined substituent. R can be attached to the 4 or 5 position of the heterocyclic moiety of the compound of formula I (i.e., at any available carbon atom) and thus the remainder of the molecule will be attached at the remaining available carbon atoms. - Examples of compounds which illustrate the invention but are not intended to limit the invention in any way include the following:

[S】 148833.doc •23- 201102372[S] 148833.doc •23- 201102372

_—COOH_—COOH

或 或其醫藥學上可接受之鹽。 式I化合物之鹽可在化合物的最終分離及純化期間當場 製備,或藉由使游離鹼形式之經純化化合物單獨與適合有 機酸或無機酸反應,且分離因此形成之鹽來製備。同樣, 當式I化合物含有羧酸部分時(例如R=H),該式I化合物之 鹽可藉由使其單獨與適合無機鹼或有機鹼反應且分離因此 形成之鹽來製備。術語「醫藥學上可接受之鹽」係指本發 明化合物之相對無毒、無機或有機酸加成鹽(參看例如 Berge等人,J. Pharm. Sci. 66:1-19, 1977)。 148833.doc •24· 201102372 式i化合物之代表性鹽包括藉由此項技術中熟知之方式 例如由無機酸或無機鹼或有機酸或有機鹼形成的習知無毒 鹽及四級銨鹽。舉例而言,該等酸加成鹽包括乙酸鹽、己 二酸鹽、褐藻酸鹽、抗壞血酸鹽、天冬胺酸鹽、苯甲酸 鹽、苯磺酸鹽、硫酸氫鹽、丁酸鹽、檸檬酸鹽、樟腦酸 鹽、樟腦磺酸鹽、肉桂酸鹽、環戊烷丙酸鹽、二葡糖酸 鹽、十一烧基硫酸鹽、乙烧續酸鹽、反丁稀二酸鹽、葡糖 庚酸鹽、甘油磷酸鹽、半硫酸鹽、庚酸鹽、己酸鹽、鹽酸 鹽、氫溴酸鹽、氫碘酸鹽、2-羥基乙烷磺酸鹽、衣康酸 鹽、乳酸鹽、順丁烯二酸鹽、杏仁酸鹽、甲烷磺酸鹽、2-萘續酸鹽、菸鹼酸鹽、硝酸鹽、乙二酸鹽、雙羥萘酸鹽、 果膠酸鹽、過硫酸鹽、3 -苯基丙酸鹽、苦味酸鹽、特戊酸 鹽、丙酸鹽、丁二酸鹽、磺酸鹽、酒石酸鹽、硫氰酸鹽、 甲苯磺酸鹽、十一烷酸鹽及其類似鹽。 驗鹽包括例如鹼金屬鹽’諸如鉀鹽及鈉鹽;鹼土金屬 鹽’諸如約鹽及鎂鹽;及有機驗之録鹽,諸如二環己胺及 N-甲基-D-還原葡糖胺。此外,共軛鹼中之含有鹼性氮之 基團可經以下各物四級銨化:烧基齒化物,例如Gy烧基 ii化物,諸如曱基、乙基、丙基及丁基之氣化物、溴化物 及峨化物,硫酸^一烧醋,如硫酸二甲醋、硫酸二乙醋及硫 酸二丁酯;及硫酸二戊酯;c〗Q_4G烷基鹵化物,諸如癸 基、十一基、十四基及十八基之氯化物、漠化物及破化 物;或芳烷基齒化物’如苯曱基溴化物及苯乙基演化物。 在一些實施例中,鹽為鹼金屬鹽,諸如鈉鹽或鉀鹽或與可 148833.doc -25- 201102372 接^:之含氮鹼的加成物,諸如葡甲胺(N_甲基·心還原葡糖 胺)鹽。 本發明之式I酯為無毒、醫藥學上可接受之酯,例如烷 酯,諸如甲酯、乙酯、丙酯、異丙酯、丁酯、異丁酯或戊 s曰。可使用諸如曱酯或笨基_Cl_C5烷酯之其他酯。式J化合 物可藉由多種習知程序酯化,包括使適當酐、羧酸或酸氯 化物與式I化合物之醇基反應。適當酐可與醇在驗存在下 反應以促進醯化諸如1,8_雙[二甲胺基]萘或Ν,Ν—二甲胺基 °比咬。適當羧酸可與醇在諸如二環己基碳化二亞胺、1_[3_ 二甲胺基丙基]-3-乙基碳化二亞胺之脫水劑,或用於藉由 移除水來驅動反應之其他水溶性脫水劑、及視情況選用之 酿化催化劑存在下反應。酯化亦可使用適當羧酸在三氟乙 酸酐及視情況選用之吡啶存在下或在N,N_羰基二咪哇與吡 咬存在下貫現。酸氯化物與醇之反應可使用諸如4-DMAP 或吡啶之醯化催化劑進行。 熟習此項技術者將容易地獲知成功進行此等以及其他使 醇酯化之方法的途徑。 此外’式I化合物上之敏感性或反應性基團在形成酯之 任何上述方法期間可能需要經保護及脫除保護基。保護基 一般可藉由此項技術令熟知之習知方法添加及移除(參看 例如 T. w. Greene 及 P.G.M. Wuts, Gr〇«外 ζ·„Or a pharmaceutically acceptable salt thereof. Salts of the compounds of formula I can be prepared in situ during the final isolation and purification of the compound, or by reacting the purified compound in its free base form with a suitable organic or inorganic acid, and isolating the salt thus formed. Similarly, when the compound of formula I contains a carboxylic acid moiety (e.g., R = H), the salt of the compound of formula I can be prepared by reacting it separately with a suitable inorganic or organic base and isolating the salt thus formed. The term "pharmaceutically acceptable salt" refers to a relatively non-toxic, inorganic or organic acid addition salt of a compound of the invention (see, for example, Berge et al., J. Pharm. Sci. 66: 1-19, 1977). 148833.doc • 24· 201102372 Representative salts of the compounds of formula i include the conventional non-toxic salts and quaternary ammonium salts formed, for example, by mineral or inorganic or organic or organic bases by methods well known in the art. For example, such acid addition salts include acetates, adipates, alginate, ascorbate, aspartate, benzoate, besylate, hydrogen sulfate, butyrate, Citrate, camphorate, camphor sulfonate, cinnamate, cyclopentane propionate, digluconate, eleven alkyl sulfate, ethyl citrate, antibutanate, Glucose heptanoate, glycerol phosphate, hemisulfate, heptanoate, hexanoate, hydrochloride, hydrobromide, hydroiodide, 2-hydroxyethane sulfonate, itaconate, Lactate, maleate, mandelate, methanesulfonate, 2-naphthoate, nicotinic acid, nitrate, oxalate, pamoate, pectate, Persulfate, 3-phenylpropionate, picrate, pivalate, propionate, succinate, sulfonate, tartrate, thiocyanate, tosylate, undecane Acid salts and the like. Salts include, for example, alkali metal salts such as potassium and sodium salts; alkaline earth metal salts such as about salts and magnesium salts; and organic salts such as dicyclohexylamine and N-methyl-D-reduced glucosamine . Further, the basic nitrogen-containing group in the conjugate base can be quaternized by the following four groups: a calcined dentate such as a Gy alkyl group, such as a fluorenyl group, an ethyl group, a propyl group, and a butyl group. Compound, bromide and telluride, sulfuric acid, sulphuric acid, such as dimethyl sulphate, diethyl sulphate and dibutyl sulphate; and diamyl sulphate; c ** Q_4G alkyl halide, such as fluorenyl, eleven Chlorides, desertifications and breaks of base, tetradecyl and octadecyl; or aralkyl toothings such as phenylhydrazine bromide and phenethyl evolution. In some embodiments, the salt is an alkali metal salt, such as a sodium or potassium salt or an adduct of a nitrogenous base, such as meglumine (N-methyl), which may be attached to 148833.doc -25-201102372. Heart-reducing glucosamine salt. The ester of the formula I according to the invention is a non-toxic, pharmaceutically acceptable ester such as an alkyl ester such as methyl, ethyl, propyl, isopropyl, butyl, isobutyl or pentose. Other esters such as oxime ester or stupid _Cl_C5 alkyl ester can be used. The compound of formula J can be esterified by a variety of conventional procedures, including reacting an appropriate anhydride, carboxylic acid or acid chloride with an alcohol group of a compound of formula I. A suitable anhydride can be reacted with the alcohol in the presence of the test to promote deuteration such as 1,8-bis[dimethylamino]naphthalene or anthracene, hydrazine-dimethylaminol. A suitable carboxylic acid can be used in conjunction with an alcohol in a dehydrating agent such as dicyclohexylcarbodiimide, 1-[3-dimethylaminopropyl]-3-ethylcarbodiimide, or used to drive the reaction by removing water. The other water-soluble dehydrating agent and, in some cases, the brewing catalyst are reacted. Esterification can also be carried out using the appropriate carboxylic acid in the presence of trifluoroacetic anhydride and, optionally, pyridine or in the presence of N,N-carbonyldiimivir and pyridyl. The reaction of the acid chloride with the alcohol can be carried out using a deuteration catalyst such as 4-DMAP or pyridine. Those skilled in the art will readily be aware of ways to successfully carry out these and other methods of esterifying alcohols. Furthermore, a sensitive or reactive group on a compound of formula I may require protection and removal of the protecting group during any of the above methods of forming an ester. Protecting groups can generally be added and removed by well-known methods known in the art (see, for example, T. w. Greene and P.G.M. Wuts, Gr〇« 外ζ·„

Organic Synthesis; Wiley: New York, (1999)) ° 視多種所要取代基之位置及性質而定,式j化合物可含 有一或多個不對稱中心。不對稱碳原子可以(幻或(幻構型 148833.doc -26- 201102372 弋i化二構體為具有產生具有更合需要之生物活性的 二 絕對構型之異構體。在某些情形中,由於關 =疋鍵(❹聯結歧化合物之兩㈣❸谢心鍵)之 方疋軺叉限因而亦可能存在不對稱性。 環上之取代基亦可以順式或反式形式存在,且雙鍵上之 取代基可以z或五形式存在。 之 因預期因不對稱中心或旋轉受限而存在之所有異構體 (包括對映異構體及非對映異構體)’呈單獨、純或部分純 化異構體或其外消旋混合物形式,均包括於本發明範· 内二此項技術中已知之標準技術涵蓋該等異構體之純化及 該寻異構體混合物之分離可藉由此項技術中已知之標準技 術達成。 C.合成 待欲用於製備本發明化合物之特定方法視所要之特定化 合物而m特定X部分之選擇及分子上各部位處可能 的特定取代基之因素均在本發明特^化合物之製備所遵循 的途徑中起作用。一般技術者容易地辨別出彼等因素。 一般而言,本發明化合物可藉由此項技術中已知之標準 技術及其已知的類似方法製備。例示性合成方法於一般反 應流程中展示。式A化合物(式I,其中尺“為匕七芳基且 該芳基經心.6烷氧基或_〇_保護基取代)可在進行熟習此項 技術者已知之修改下根據文獻中所述之方法製備。舉例而 言’式A化合物可在進行熟習此項技術者已知之修改下, 根據美國專利第6,828,335號中所述之方法製備。 -27· 148833.doc 201102372 式A化合物可首先進行脫烷基化或脫除保護基以獲得式 B化合物。隨後,式B化合物可與適當酸反應獲得式C之 酯。式B化合物亦可與適當試劑反應以獲得式D化合物, 其中114<1為-Ο-保護基。舉例而言,式B可進行烷基化以獲 得式D化合物,其中R4dSCl_C6烷氧基,視情況其中烷氧 基之一或多個Η為D。或者,式b化合物可進行其他適當反 應條件以獲得其他類似物。舉例而言,如一般反應流程中 所不’式Β化合物可與含有異氰酸酯基之化合物反應獲得 式Β化合物之胺基甲酸酯類似物。 可根據热習此項技術者已知之方法製備式I化合物,其 中R為(^-(:6烧氧基且烷氧基之一或多個η為2H(D)。舉例 而。其可藉由使用適當氘化起始物質或氘化中間物根據 本文所述之方法(例如實例5)製備。 148833.doc 28- 201102372 —般反應流程Organic Synthesis; Wiley: New York, (1999)) ° Depending on the position and nature of the various substituents, the compound of formula j may contain one or more asymmetric centers. Asymmetric carbon atoms can be (phantom or illusory 148833.doc -26- 201102372 二i-dimers are isomers having a two-absolute configuration that produces a more desirable biological activity. In some cases Asymmetry may also exist due to the square 疋轺 限 关 ❹ 两 两 。 。 。 。 。 。 。 。 。 因而 因而 因而 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称 不对称Substituents may exist in z or five form. All isomers (including enantiomers and diastereomers) that are expected to exist due to asymmetric center or rotation limitation are isolated, purely or partially purified. Isomers or racemic mixture forms thereof are included in the present invention. Standard techniques known in the art encompass purification of such isomers and separation of the isomer mixtures can be carried out by this Standard techniques known in the art are achieved. C. Synthesis The specific method to be used in the preparation of the compounds of the invention depends on the particular compound desired, and the choice of the specific X moiety and the possible specific substituents at each position on the molecule are Invention special ^ The route followed by the preparation of the compounds functions. The average person readily discerns their factors. In general, the compounds of the invention can be prepared by standard techniques known in the art and analogous methods known per se. An exemplary synthetic method is shown in the general reaction scheme. A compound of formula A (Formula I, wherein the ruthenium is an octadecylaryl group and the aryl radical is substituted with a 6 alkoxy group or a hydrazine protecting group) can be cooked Prepared according to methods described in the literature by modifications known to those skilled in the art. For example, the compound of formula A can be prepared according to the method described in U.S. Patent No. 6,828,335, the disclosure of which is incorporated herein by reference. 27· 148833.doc 201102372 A compound of formula A may be first subjected to dealkylation or removal of a protecting group to obtain a compound of formula B. Subsequently, a compound of formula B may be reacted with a suitable acid to obtain an ester of formula C. The compound of formula B may also be suitably employed. Reagent reaction to obtain a compound of formula D, wherein 114 <1 is a -hydrazine-protecting group. For example, formula B can be alkylated to obtain a compound of formula D, wherein R4dSCl_C6 alkoxy, optionally alkoxy One or more of the oximes are D. Alternatively, the compound of formula b can be subjected to other suitable reaction conditions to obtain other analogs. For example, as in the general reaction scheme, the hydrazine compound can be reacted with a compound containing an isocyanate group. A urethane analog of the hydrazine compound. The compound of formula I can be prepared according to methods known to those skilled in the art, wherein R is (^-(6 alkoxy and one or more η alkoxy groups) 2H(D). For example, it can be prepared by using a suitable deuteration starting material or a deuterated intermediate according to the method described herein (for example, Example 5). 148833.doc 28- 201102372 General Reaction Process

COOR 芳基,其中R"於式I中定義 式D 114(1為0保護基 R5 R<c表示其他類似物, 例如如請求項1中定義之-0-C(=0)-RaCOOR aryl, wherein R" is defined in Formula I Formula D 114 (1 is a 0 protecting group R5 R<c represents other analogs, such as -0-C(=0)-Ra as defined in claim 1

式E 本發明之另一態樣提供製備式la化合物之方法,其包括 使式B化合物脫烷基化獲得式la化合物 148833.docFormula E Another aspect of the invention provides a process for the preparation of a compound of formula la which comprises dealkylating a compound of formula B to obtain a compound of formula la 148833.doc

COORCOOR

式B -29- 201102372B -29- 201102372

其中對於式B及式la而言 R為11或(:1-(:6烷基; R1 為 Η、COOH、-C(=0)-〇R'、c3-C8 環烷基、CVC6 烷 基、CrC6烯基或Ci-C:6烷氧基,其中R,為Cl-c6埤基,且該 烧基、環烧基、烯基或烷氧基可視情況經一或多個選自由 以下組成之群的基團取代:氟、亞甲二氧基苯基及苯基, 其中S亥亞甲二氧基苯基或苯基可視情況經R6取代; R為Η、鹵基或c〗-Ce烷基,其中該烷基可視情況經一或 多個選自由以下組成之群的基團取代:Ci_c6烷氧基、側 氧基及氟,或 2 R為Cs-Cm芳基、CVCm雜環或C5_Ci4雜芳基,其中該等 芳基、雜環及雜芳基可視情況且獨立經一或多個尺6取代; R為Η、C「C6烷基或苯基,其中該烷基或苯基可視情況 且獨立經一或多個R6取代; X為Ο或S ;Wherein R is 11 or (1:1-(:6 alkyl; R1 is oxime, COOH, -C(=0)-〇R', c3-C8 cycloalkyl, CVC6 alkyl for formula B and formula la , CrC6 alkenyl or Ci-C: 6 alkoxy, wherein R is a Cl-c6 fluorenyl group, and the alkyl, cycloalkyl, alkenyl or alkoxy group may optionally consist of one or more selected from the group consisting of Substituting groups of groups: fluorine, methylenedioxyphenyl and phenyl, wherein S-methylenedioxyphenyl or phenyl may be optionally substituted by R6; R is hydrazine, halo or c--Ce An alkyl group, wherein the alkyl group is optionally substituted with one or more groups selected from the group consisting of Ci_c6 alkoxy, pendant oxy and fluoro, or 2 R is Cs-Cm aryl, CVCm heterocycle or a C5_Ci4 heteroaryl group, wherein the aryl, heterocyclic and heteroaryl groups are optionally substituted with one or more sizing 6; R is hydrazine, C "C6 alkyl or phenyl", wherein the alkyl or phenyl group Depending on the situation and independently substituted by one or more R6; X is Ο or S;

Ra為匕-匕烷氧基, R為Η、函基或基’其中該烧基視情況經側氧基 取代;且 R6為齒基、CF3、視情況經側氧基或㈣取代之Ci_c々 基、或視情況經氟取代之匕-匕境氧其。 148833.doc .30- 201102372 根據本發明之另一態樣,提供製備化合物B之方法。該 等方法包括使化合物A脫烷基化Ra is a fluorenyl-decyloxy group, R is a fluorene, a aryl group or a aryl group, wherein the alkyl group is optionally substituted with a pendant oxy group; and R6 is a dentate group, CF3, optionally a pendant oxy group or a (iv) substituted Ci_c々 Base, or as the case may be replaced by fluorine - 匕 氧 oxygen. 148833.doc .30- 201102372 According to another aspect of the invention, a method of preparing Compound B is provided. Such methods include dealkylating compound A

獲得化合物BObtaining compound B

其中該Re為氫或烷基。 在一些實施例十,在製備化合物B之方法中,藉由在諸 如鹵化溶劑,例如二氯甲烷(CI^C〗2) '四氯化碳(ccu)、 氯仿(CHCI3)、1,1,1-三氯乙烷(甲基氯仿,CH3 CC1)、二 溴乙烷(I,2-二溴乙烷,BrCH2_CH2Br)、氯溴甲烷(溴氯甲 烷,CHJrCl)、甲基溴化物(溴曱烷,cHjr)等之溶劑中 用二溴化硼(BBr3)處理化合物A進行脫烷基化。 或者,脫烷基化可藉由在溶劑中以含氯化鋁之十二基硫 醇處理化合物A進行。 在一實施例令 方法進一 & 宁,當化合物A為酯時,^為(:丨_c6烷基。該 步包括使化合物B水解獲得以下結構之化合物:Wherein Re is hydrogen or an alkyl group. In some embodiments, in the method of preparing compound B, by using, for example, a halogenating solvent such as dichloromethane (CI^C 2) 'cCu, chloroform (CHCI3), 1, 1, 1-trichloroethane (methyl chloroform, CH3 CC1), dibromoethane (I,2-dibromoethane, BrCH2_CH2Br), chlorobromomethane (bromochloromethane, CHJrCl), methyl bromide (bromodecane) The solvent A is treated with boron dibromide (BBr3) in a solvent such as cHjr) to carry out dealkylation. Alternatively, the dealkylation can be carried out by treating the compound A with a dodecylthiol containing aluminum chloride in a solvent. In one embodiment, the method is as follows: when compound A is an ester, ^ is (: 丨_c6 alkyl. This step includes hydrolyzing compound B to obtain a compound of the following structure:

’化合物A 在一些實施例中,在製備化合方法中 148833.doc •31· 201102372 具有以下結構 h3co'Compound A In some embodiments, in the preparation of the compounding method 148833.doc •31· 201102372 has the following structure h3co

COOH 且化合物B具有以下結構COOH and compound B has the following structure

COOH 在另一實施例中,在製備化合物B之方法中,化合物A 具有以下結構 h3coCOOH In another embodiment, in the method of preparing compound B, compound A has the following structure h3co

COOH 且化合物B具有以下結構COOH and compound B has the following structure

HOHO

COOH 此外,本發明之一態樣提供製備化合物D之方法。該等 方法包括使化合物C之0-CH2Ph的醚鍵斷裂COOH In addition, one aspect of the invention provides a method of preparing Compound D. The methods include cleavage of the ether bond of 0-CH2Ph of compound C

PhH,C-0PhH, C-0

COORcCOORc

獲得化合物DObtaining compound D

COORc 148833.doc -32- 201102372 其中為氫或c〗-c6烷基。 在一些實施例中,斷裂步驟藉由氫解進行。氫解可藉由 可使〇_CH2Ph之醚鍵斷裂獲得化合物〇之任何已知方法進 行。舉例而言,氫解可藉由以催化劑及氫(H2)氣處理化合 物c來進行。例示性催化劑包括(但不限於)鈀(pd)/碳、氧 化翻、阮尼鎳(Raney nickel)或其组合。 在一實施例中,斷裂步驟藉由以三溴化硼或三氯化硼處 理化合物C來進行。 此外,在一實施例中,斷裂步驟藉由以三甲基矽烷基碘 化物處理化合物C來進行。 在貫把例中’在製備化合物D之方法中,對於化合物 匸而α,當尺為匸1丄0烧基時,該等方法進一步包括使化合 物D水解獲得以下結構之化合物COORc 148833.doc -32- 201102372 where is hydrogen or c--c6 alkyl. In some embodiments, the breaking step is performed by hydrogenolysis. Hydrogenolysis can be carried out by any known method for obtaining a compound oxime by cleavage of the ether bond of 〇_CH2Ph. For example, hydrogenolysis can be carried out by treating compound c with a catalyst and hydrogen (H2) gas. Exemplary catalysts include, but are not limited to, palladium (pd)/carbon, oxyfluoride, Raney nickel, or combinations thereof. In one embodiment, the breaking step is carried out by treating compound C with boron tribromide or boron trichloride. Further, in one embodiment, the cleavage step is carried out by treating compound C with trimethyldecyl iodide. In the method of preparing the compound D, in the method of preparing the compound D, for the compound 匸 and α, when the ruthenium is 匸1丄0, the methods further include hydrolyzing the compound D to obtain a compound having the following structure.

在—些實施例中’對於製備化合物〇之方法,化合物c 具有以下結構In some embodiments, for the method of preparing a compound, compound c has the following structure

且化合物D具有以下結構And compound D has the following structure

148833.doc •33- 201102372 在另一實施例中,對於製備化合物D之方法,化合物c 具有以下結構 σ148833.doc • 33- 201102372 In another embodiment, for the method of preparing compound D, compound c has the following structure σ

且化合物D具有以下結構And compound D has the following structure

D.評估化合物之生物活性 本發明化合物之活性的證明可經由此項技術中熟知之活 體外、離體及活體内檢測法完成對本發明化合物活性之驗 證。 1·糖尿病及相關疾病及病症 舉例而言,可使用以下檢測法驗證醫藥劑治療以下疾病 之功效.糖尿病及相關病症,諸如症候群X、葡萄糖财受 性異¥、空腹血糖異常及尚騰島素血症;或動脈粥樣硬化 症及相關病症’諸如高三酸甘油酯血症及高膽固醇血症。 Α.經化合物處理之3T3-L1細胞中的騰島素受體結合 3T3-L1細胞以每孔9300個細胞接種至c〇star平底TC中, 且培育1週,直至其匯合(例如細胞已達到最大密度)後2 天。細胞接著以含有0.5 μΜ人類胰島素樣生長因子(igF-1) 及測試化合物之分化培養基(杜爾貝科改良伊格爾培養基 (Dulbecco’s Modified Eagle Medium,DMEM)、100 pg/ml 青徽素(Penicillin)/鏈黴素(Streptomycin)、2 mM L-鼓醯胺 148833.doc •34- 201102372 酸、10%胎牛血清)處理2天。處理後,以分化培養基置換 培養基,且培育細胞持續4天。接著檢測細胞之胰島素受 體活性。以緩衝液洗滌細胞後,將其與0.1 nM 125I-胰島素 及(+/-) 100 nM未標記之胰島素一起培育,且在室溫下培 育1小時。細胞接著以缓衝液洗滌細胞3次,以1 N NaOH 溶解,且在伽瑪計數器(gamma counter)上計數。若獲得平 穩狀態,則測定EC50值,且評定最大刺激百分比。 B.活體内檢測法 (1) .量測jk糖含量之方法 將 db/db小氣(自 Jackson Laboratories, Bar Harbor, ME獲 得)放血(經眼或尾靜脈)且根據相當之平均企糖含量分組。 每曰一次對其經口給予(藉由管飼,在醫藥學上可接受之 媒劑中)測試化合物持續14天。此時,動物經眼或尾靜脈 再次放血,且測定血糖含量。在各情況中,以Glucometer Elite XL(Bayer Corporation, Elkhart, IN)量測葡萄糖含 量。 (2) .量測三酸甘油酯含量之方法 將hApoAl小鼠(自 Jackson Laboratories, Bar Harbor, ME 獲得)放血(經眼或尾靜脈)且根據相當之平均血清三酸甘油 醋含量分組。每日一次對其經口給予(藉由管飼,在醫藥 學上可接受之媒劑中)測試化合物持續8天。接著動物經眼 或尾靜脈再次放血,且測定血清三酸甘油自旨含量。在各情 況中,使用 Technicon Axon 自動分析器(Bayer Corporation, Tarrytown, NY)量測三酸甘油g旨含量。 148833.doc -35- 201102372 (3) .量測HDL-膽固醇含量之方法 為了測定血漿HDL-膽固醇含量,將hApoAl小鼠放血且 根據相當之平均血漿HDL-膽固醇含量分組。每日一次對 小鼠經口給予媒劑或測試化合物持續7天,且接著在第8天 再次放血。使用Synchron臨床系統(CX4)(Beckman Coulter, Fullerton,CA)分析血漿之HDL-膽固醇。 (4) .量測總膽固醇、HDL-膽固醇、三酸甘油酯及葡萄 糖含量之方法 在另一活體内檢測法中,將肥胖猴子放血,接著每日一 次經口給予媒劑或測試化合物持續4週,且接著再次放 血。使用 Synchron 臨床系統(CX4)(Beckman Coulter, Fullerton, CA)分析血清之總膽固醇、HDL-膽固醇、三酸 甘油S旨及葡萄糖。如Oliver等人(Proc. Natl. Acad. Sci. USA 98:5306-531 1, 2001)所述藉由NMR光譜進行脂蛋白子 類分析。 (5) .量測對心血管參數之作用的方法 亦評估心血管參數(例如心跳速率及血壓)。每日一次對 SHR大鼠經口給予媒劑或測試化合物持續2週。如Grinsell 等人(Am. J. Hypertens. 13:370-375, 2000)所述使用尾套測 壓法測定血壓及心跳速率。在猴子中,如Shen等人(J. Pharmacol. Exp. Therap. 278:1435-1443, 1996)所述監測血 壓及心跳速率。 2牛皮癖、阿兹海默氏病 一些新近研究指示過氧化體增殖體活化受體(PPAR)之促 148833.doc -36- 201102372 效劑可能用作牛皮癬的潛在治療(參看Romanowska,尸/ Enhances Keratinocyte Proliferation in Psoriasis and Induces Heparin-Binding EGF-Like, Growth Factor, J Investigative Dermatology, 128, 1 10-124, (2008) ; Ellis, Troglitazone Improves Psoriasis and Normalizes Models of Proliferative Skin Disease, Arch Dermatology, 136, 609-616 (2000),及 Bongartz,Rheumatology,第 44卷,2004,第 126頁)。亦指示PPAR促效劑可用於治療阿茲海默氏病。 (參看 Escribano 等人,Rosiglitazone reverses memory decline and hippocampal glucocorticoid receptor down-regulation in an Alzheimer's disease mouse model, Biochemical and Biophysical Research Communications, 379, 406- 410(2009))。 可藉由熟習此項技術者已知之習知篩選方法測定PPAR 受體促效劑活性。舉例而言,美國專利申請公開案第 2007/0054907號、第2008/0262047號及美國專利第 7,3 14,879號中所述之方法,其以全文引用的方式併入本文 中。下文中描述例示性篩選測試: A.結合檢測法 可使用閃爍近接檢測法(SPA)測試化合物結合至hPPAR γ、hPPAR α或hPPAR δ之能力。PPAR配位體結合域(LBD) 可以聚His標記之融合蛋白形式表現於大腸桿菌中且經純 化。接著可以生物素標記LBD且固定於抗生蛋白鏈菌素修 飾之閃爍近接珠粒。接著珠粒可與恆定量之適當放射性配^ 148833.doc -37- 201102372 位體(5·{4-[2-(甲基-η比啶-2-基-胺基)_乙氧基μ苯甲基卜噻 唑啶-2,4-二酮(J. Med. Chem. 1994,37(23),3977),對於 PPAR γ而言;及經標記gw 2433(關於此配位體之結構及 合成’參看 Brown, P. J等人· Chem. Biol. 1997 4: 9〇9_ 918) ’對於ppAR α及PPAR δ而言);及可變濃度之測試化 合物一起培育,且在平衡後,可藉由閃爍計數器量測與珠 粒結合之放射能。自各資料點減去如含有5〇 相應未經 標記配位體之對照孔所評定的單特異性結合之量。對於所 測試之各化合物而言’可建構配位體濃度相對於放射性配 位體結合之CPM的曲線,且假定簡單競爭性結合,由資料 的非線性最小二乘擬合估算表觀Ki值。別處已報導此檢測 法之細節(參看 Blanchard,S. G.等人,Anal. Biochem.,257 1 12-1 19 (1998))。 Β·功能性檢測法 (a)開發基於細胞之功能性檢測法來區別促效劑與拮抗 劑。 促效劑檢測法:使用胰蛋白酶/EDTA溶液(0.25% ; Life Technologies,R0ckville,Md.)自組織培養燒瓶中解離出穩 定表現人類黑皮質素受體之HEK 293細胞(參看例如Yang等 人,Mol-Endocrinol·,11(3): 274-80,1997)。藉由離心收集 細胞,且再懸浮於補充有1 % L-麩醯胺酸及0.5%胎牛血清 之DMEM(Life Technologies, Rockville, Md_)中。計數細胞 且稀釋至4.5 xl05/ml。 將本發明化合物稀釋於二曱亞颯(DMSO)(3xlO·5至 148833.doc -38- 201102372 3χ10_1() Μ最終濃度)中,且向0.95體積細胞懸浮液中添加 0.05體積化合物溶液;最終DMSO濃度為0.5°/。。在37°C/5% C02下培育5小時後,藉由添加定量報導體基因螢光素酶活 性(胞内cAMP產量之間接量度)之螢光素溶液(50 mM Tris、1 mM MgCl2、0.2% Triton-X100、5 mM DTT、500 μπιοί輔酶A、150 μηιοί ATP及440 μηιοί螢光素)來溶解細 胞。 使用Wallac Victor 2光度計由細胞溶胞物量測螢光素酶 活性。將本發明化合物產生之流明(lumen)產生量與回應於 NDP-a-MSH產生之流明量(定義為1〇〇%促效劑)比較,獲得 化合物之相對功效。EC5Q定義為相較於自身最大刺激程度 產生半數最大刺激之化合物濃度。 (b) 黑皮質素受體全細胞caMP累積檢測法化合物製備: 在促效劑檢測法中,化合物於100% DMSO中製備成10 mM之儲備溶液且NDP-aMSH(對照物)於100% DMSO中製 備成33.3 μΜ之儲備溶液。將此等儲備溶液於1〇〇% DMSO 中連續稀釋。化合物盤進一步依1:200於化合物稀釋缓衝 液(HBSS-092、1 mM 抗壞血酸、1 mM ΙΒΜΧ、0.6% DMSO、0.1% BSA)中稀釋。化合物於0.5% DMSO中之最 • 終濃度範圍為1〇 μΜ-100 pM,且對照物於0.5% DMSO中之 最終濃度範圍為33.33 nM-0.3 pM。自此盤中取出20 μΐ移 至4個PET 96孔盤中(針對各受體之所有檢測法均進行二重 覆)。 (c) 細胞培養及細胞刺激: 148833.doc -39· 201102372 使接受MC3R及MC4R穩定轉染之HEK 293細胞在含有 10% FBS及1%抗生素/抗黴菌溶液之DMEM中生長。在檢 測當天,以無酶細胞解離溶液移走細胞且依每毫升1 xe6個 細胞再懸浮於細胞緩衝液(HBSS-092、0·1% BSA、10 mM HEPES)中。向含有20 μΐ經稀釋化合物及對照物之PET 9ό 孔盤中每孔添加40 μΐ細胞。在37°(:水浴中培育20分鐘。藉 由添加50 μΐ淬滅緩衝液(50 mM乙酸鈉、0.25% Triton X-100)停止檢測》 C. 放射性配位體結合檢測法 在SPA缓衝液(50 mM乙酸鈉' 0.1% BSA)中進行放射性 配位體結合檢測法。於SPA緩衝液中稀釋珠粒、抗體及放 射性配位體,以對各96孔盤提供足夠體積。向各經淬滅檢 測孔中添加100 μΐ含有3 3.33 μΐ珠粒' 33.33 μΐ抗體及33.33 μΐ 125I-cAMP之混合液。此係基於21 0 μΐ之最終檢測體積中 6.3 mg/ml 珠粒、0.65% 抗山羊抗體及 61 pM 125I-cAMP(含 有25 000-3 0000 CPM)的最終濃度。培育12小時後,在 Wallac MicroBeta計數器中對盤進行計數。 使用在相同條件下檢測之標準曲線,將數據換算為pmol cAMP。使用Activity Base軟體分析數據,產生促效劑效能 (EC50)及相對於NDP-aMSH的相對效力百分比數據。 D. 轉染檢測法 可在短暫性轉染檢測法中,在CV- 1細胞中針對化合物活 化PPAR亞型之能力(轉活化檢測法),篩選化合物之功能效 力。可採用先前建立之嵌合受體系統來比較受體亞型對相 148833.doc -40- 201102372 同目標基因之相對轉錄活性,且用於防止内源性受體活化 使結果之解釋複雜化。參看例WLehmann,〗Μ等人,夂 Biol· Chem” 1995 27〇:12953_6。鼠類及人類 ppAR α、D. Assessing the Biological Activity of a Compound The demonstration of the activity of a compound of the invention can be verified by in vitro, ex vivo and in vivo assays well known in the art. 1. Diabetes and related diseases and diseases For example, the following test methods can be used to verify the efficacy of pharmaceutical agents in the treatment of diseases such as diabetes X and related diseases, such as syndrome X, glucose tolerance, abnormal fasting blood glucose, and sedative Blood; or atherosclerosis and related conditions such as hypertriglyceridemia and hypercholesterolemia.腾. The compound-treated 3T3-L1 cells in which the T10-L1 cells bind to 3T3-L1 cells are seeded into c〇star flat-bottom TC at 9300 cells per well, and incubated for 1 week until they meet (eg, the cells have reached Maximum density) 2 days later. The cells were then subjected to a differentiation medium containing 0.5 μM human insulin-like growth factor (igF-1) and test compound (Dulbecco's Modified Eagle Medium (DMEM), 100 pg/ml chlorin (Penicillin). / Streptomycin, 2 mM L-drumamine 148833.doc • 34- 201102372 acid, 10% fetal bovine serum) for 2 days. After the treatment, the medium was replaced with a differentiation medium, and the cells were incubated for 4 days. The insulin receptor activity of the cells is then detected. After washing the cells with buffer, they were incubated with 0.1 nM 125I-insulin and (+/-) 100 nM unlabeled insulin and incubated for 1 hour at room temperature. The cells were then washed three times with buffer, dissolved with 1 N NaOH, and counted on a gamma counter. If a steady state is obtained, the EC50 value is determined and the maximum stimulation percentage is assessed. B. In Vivo Detection (1). Method for measuring jk sugar content db/db gas (obtained from Jackson Laboratories, Bar Harbor, ME) is bled (by eye or tail vein) and grouped according to the equivalent average sugar content. . Each time, the compound was administered orally (by gavage, in a pharmaceutically acceptable vehicle) to test the compound for 14 days. At this time, the animal was again bled through the eye or tail vein, and the blood sugar level was measured. In each case, the glucose content was measured by Glucometer Elite XL (Bayer Corporation, Elkhart, IN). (2) Method for measuring triglyceride content hApoAl mice (obtained from Jackson Laboratories, Bar Harbor, ME) were bled (by eye or tail vein) and grouped according to a comparable average serum triglyceride content. The compound was administered orally (by gavage, in a pharmaceutically acceptable vehicle) once a day for 8 days. The animal is then bled again via the eye or tail vein and serum triglyceride is determined. In each case, the triglyceride g content was measured using a Technicon Axon automated analyzer (Bayer Corporation, Tarrytown, NY). 148833.doc -35- 201102372 (3). Method for measuring HDL-cholesterol content To determine plasma HDL-cholesterol content, hApoAl mice were bled and grouped according to a comparable mean plasma HDL-cholesterol content. Mice were orally administered vehicle or test compound once daily for 7 days, and then bled again on day 8. Plasma HDL-cholesterol was analyzed using the Synchron Clinical System (CX4) (Beckman Coulter, Fullerton, CA). (4) Method for measuring total cholesterol, HDL-cholesterol, triglyceride and glucose content In another in vivo assay, an obese monkey is bled, followed by oral administration of a vehicle or test compound once a day. Week, and then bleeding again. Serum total cholesterol, HDL-cholesterol, triglyceride S and glucose were analyzed using the Synchron Clinical System (CX4) (Beckman Coulter, Fullerton, CA). Lipoprotein subclass analysis was performed by NMR spectroscopy as described by Oliver et al. (Proc. Natl. Acad. Sci. USA 98: 5306-531 1, 2001). (5). Methods for measuring the effects on cardiovascular parameters Cardiovascular parameters (such as heart rate and blood pressure) are also assessed. Vehicles or test compounds were administered orally to SHR rats once daily for 2 weeks. Blood pressure and heart rate were measured using tail sleeve compression as described by Grinsell et al. (Am. J. Hypertens. 13: 370-375, 2000). In monkeys, blood pressure and heart rate were monitored as described by Shen et al. (J. Pharmacol. Exp. Therap. 278: 1435-1443, 1996). 2 Psoriasis, Alzheimer's disease, some recent studies indicate the promotion of peroxisome proliferator-activated receptors (PPAR) 148833.doc -36- 201102372 efficacious agents may be used as potential treatment for psoriasis (see Romanowska, corpse / Enhances Keratinocyte Proliferation in Psoriasis and Induces Heparin-Binding EGF-Like, Growth Factor, J Investigative Dermatology, 128, 1 10-124, (2008) ; Ellis, Troglitazone Improves Psoriasis and Normalizes Models of Proliferative Skin Disease, Arch Dermatology, 136, 609 -616 (2000), and Bongartz, Rheumatology, Vol. 44, 2004, p. 126). PPAR agonists are also indicated for the treatment of Alzheimer's disease. (See Escribano et al., Rosiglitazone reverses memory decline and hippocampal glucocorticoid receptor down-regulation in an Alzheimer's disease mouse model, Biochemical and Biophysical Research Communications, 379, 406-410 (2009)). PPAR receptor agonist activity can be determined by conventional screening methods known to those skilled in the art. For example, the methods described in U.S. Patent Application Publication Nos. 2007/0054907, 2008/0262047, and U.S. Patent No. 7,3, 879, incorporated herein by reference. Exemplary screening tests are described below: A. Binding assays Scintillation proximity assays (SPA) can be used to test the ability of a compound to bind to hPPAR gamma, hPPAR alpha or hPPAR δ. The PPAR ligand binding domain (LBD) can be expressed in E. coli and purified in the form of a poly-His-tagged fusion protein. The LBD can then be labeled with biotin and immobilized to the streptavidin-modified scintillation proximity beads. The beads can then be combined with a constant amount of the appropriate radioactivity 148833.doc -37- 201102372 (5·{4-[2-(methyl-n-bipyridin-2-yl-amino)-ethoxy] Benzylthiazolidine-2,4-dione (J. Med. Chem. 1994, 37(23), 3977) for PPAR γ; and labeled gw 2433 (for the structure of this ligand and Synthesis 'See Brown, P. J et al. Chem. Biol. 1997 4: 9〇9_ 918) 'for ppAR α and PPAR δ); and variable concentrations of test compounds are incubated together, and after equilibration, The radioactivity combined with the beads was measured by a scintillation counter. The amount of monospecific binding as assessed by a control well containing 5 相应 of the corresponding unlabeled ligand was subtracted from each data spot. The apparent Ki value was estimated from the nonlinear least squares fit of the data for each compound tested to plot the concentration of the ligand relative to the CPM bound by the radioligand, and assuming simple competitive binding. Details of this test have been reported elsewhere (see Blanchard, S. G. et al., Anal. Biochem., 257 1 12-1 19 (1998)). Β·Functional detection method (a) Development of a cell-based functional assay to distinguish between agonists and antagonists. Agonist assay: HEK 293 cells stably expressing human melanocortin receptors were dissociated from tissue culture flasks using trypsin/EDTA solution (0.25%; Life Technologies, R0ckville, Md.) (see, eg, Yang et al., Mol-Endocrinol·, 11(3): 274-80, 1997). The cells were collected by centrifugation and resuspended in DMEM (Life Technologies, Rockville, Md_) supplemented with 1% L-glutamic acid and 0.5% fetal bovine serum. Count the cells and dilute to 4.5 x 105 / ml. The compound of the present invention was diluted in diterpenoid (DMSO) (3xlO·5 to 148833.doc -38 - 201102372 3χ10_1() Μ final concentration), and 0.05 volume of compound solution was added to 0.95 volume of cell suspension; final DMSO The concentration is 0.5 ° /. . After incubation for 5 hours at 37 ° C / 5% CO 2 , a luciferin solution (50 mM Tris, 1 mM MgCl 2 , 0.2) was added to quantify the reporter gene luciferase activity (intracellular cAMP production). % Triton-X100, 5 mM DTT, 500 μπιοίCoA, 150 μηιοί ATP, and 440 μηιοί luciferin) to dissolve the cells. Luciferase activity was measured from cell lysates using a Wallac Victor 2 luminometer. The amount of lumen production produced by the compounds of the present invention is compared to the amount of lumen produced by NDP-a-MSH (defined as 1% agonist) to obtain the relative potency of the compound. EC5Q is defined as the concentration of a compound that produces half the maximum stimulus compared to its own maximum stimulation level. (b) Melanocortin receptor whole-cell caMP accumulation assay Compound preparation: In the agonist assay, compounds were prepared as 10 mM stock solutions in 100% DMSO and NDP-aMSH (control) in 100% DMSO Prepare a stock solution of 33.3 μM. These stock solutions were serially diluted in 1% DMSO. Compound disks were further diluted 1:200 in compound dilution buffer (HBSS-092, 1 mM ascorbic acid, 1 mM guanidine, 0.6% DMSO, 0.1% BSA). The final concentration of the compound in 0.5% DMSO ranged from 1 〇 μΜ to 100 pM, and the final concentration of the control in 0.5% DMSO ranged from 33.33 nM to 0.3 pM. 20 μΐ from this plate was transferred to 4 PET 96-well plates (all assays for each receptor were double-coated). (c) Cell culture and cell stimulation: 148833.doc -39· 201102372 HEK 293 cells stably transfected with MC3R and MC4R were grown in DMEM containing 10% FBS and 1% antibiotic/antimycotic solution. On the day of the assay, the cells were removed by the enzyme-free cell dissociation solution and resuspended in cell buffer (HBSS-092, 0.1% BSA, 10 mM HEPES) at 1 xe6 cells per ml. 40 μM cells were added to each well of a PET 9-well plate containing 20 μM of the diluted compound and the control. Incubate for 20 minutes at 37° (: in a water bath. Stop the assay by adding 50 μM quenching buffer (50 mM sodium acetate, 0.25% Triton X-100) C. Radioligand binding assay in SPA buffer ( Radioligand binding assay was performed in 50 mM sodium acetate '0.1% BSA. The beads, antibodies and radioligands were diluted in SPA buffer to provide sufficient volume for each 96-well plate. Add 100 μΐ of a mixture containing 3 3.33 μΐ beads ' 33.33 μΐ antibody and 33.33 μΐ 125I-cAMP to the assay well based on 6.3 mg/ml beads and 0.65% anti-goat antibody in the final assay volume of 21 0 μΐ. Final concentration of 61 pM 125I-cAMP (containing 25 000-3 0000 CPM) After 12 hours of incubation, the plates were counted in a Wallac MicroBeta counter. Data were converted to pmol cAMP using a standard curve tested under the same conditions. The Activity Base software was used to analyze the data to generate agonist potency (EC50) and relative potency percentage data relative to NDP-aMSH. D. Transfection assays can be performed in CV-1 cells in transient transfection assays. Compound activation PPAR The ability of the type (transactivation assay) to screen for the functional potency of the compound. The previously established chimeric receptor system can be used to compare the relative transcriptional activity of the receptor subtype to the phase 148833.doc -40- 201102372 with the target gene, and It is used to prevent the activation of endogenous receptors to complicate the interpretation of the results. See WLehmann, Μ, et al, 夂 Biol·Chem” 1995 27〇: 12953_6. Rodent and human ppAR α,

PPAR γ及PPAR δ之配位體結合域各自融合至酵母轉錄因 子GAL4 DNA結合域。以各別抑八尺嵌合體之表現載體以及 3有5個驅使表現分泌性胎盤驗性磷酸酶(spAp)及β半乳糖 苷酶之GAL4 DNA結合位點複本的報導體構築體短暫性轉 染CV-1細胞。16小時後,培養基換為補充有1〇%去脂胎牛 血清及適當濃度之測試化合物的DME培養基。再過24小時 後’製備細胞提取物且檢測鹼性填酸酶及β半乳糖普酶活 性。使用β半乳糖苷酶活性作為内標校正鹼性磷酸酶活性 之轉染功效(參看例如Kliewer,S. Α.等人,Cell 1995 83: 813-819)。梵帝雅(Rosigiitazone^BRL 49653)可用作 hPPAR γ檢測法之陽性對照。hPPAR α檢測法中之陽性對照可為2-4-[2-(3-[4-氟苯基]-1-庚基脲基)乙基]-苯氧基-(2-,基丙酸 (WO 97/3 6579)。PPAR δ檢測法之陽性對照可為2-{2-f基-4_[({4-甲基-2-{三氟甲基)苯基]-1,3-噻唑-5-基}曱基)硫基] 苯氧基}乙酸(WO 01/00603)。可以化合物實現相對於適當 陽性對照50%活化的濃度的形式來測定EC50。 在上文所述之結合檢測法中,「促效劑」對相關PPAR 之pKi通常將為至少6.0,較佳至少7.0 ’且在上文所述之轉 染檢測法中,在1〇·5 ^^或10·5 M以下之濃度下’相對於適當 之指定陽性對照實現相關PPAR的至少50%活化。 E·動物模型 , 148833.doc • 41 201102372 (1)阿茲海默氏病 °在…、案此項技術者已知之任何動物模型中測試本發明 述化。物w不性動物模型包括(但不限阿兹海默 氏病轉殖基因小鼠模型;老年大鼠;内嗅皮質誘發性損傷 之大鼠;老年恆河猴及内嗅皮質損傷之猴子。 對於各模型,將測試結果與未經本發明所述化合物處理 之對照m預期經處理動物在多種學習及記憶測試中 表見‘”、頁著放此改良。舉例而言,預期觀測到經處理動物之 腦相較於未經處理之動物亦展現増大之細胞尺寸、改良之 細胞信號傳導及/或神經元功能活化(否則將退化)。此等益 處可擴展至處理短期記憶的正在退化之海馬體,海馬體為 大腦在阿茲海默氏病中首先受損的區域之一。 (2)牛皮癬 本發明中可使用熟習此項技術者已知之任何動物模型。 例示性動物㈣包括(但不限於)人類牛皮癖性皮膚-嚴重聯 合免疫缺陷(severe combined immun〇deficient,scid)小鼠 移植模型及AGR丨29小鼠模型。下# & ^ , 兴1 下文描述例示性SCID小鼠 模型。 在施用本發明化合物之前’使自正常人類志願者或牛皮 癬病灶皮膚移植至SCID小氣的皮膚癒合3至5週。在此期 間’在移植前厚度為相應正常皮膚之約3_4倍的牛皮癖性 皮膚維持其表型(亦即,增加之表皮厚度、純端網脊及病 灶内存在T淋巴細胞)。然而’移植之正常人類皮膚在此期 間進行增生性反應,導録皮厚度增加約2_3倍。在癒合 148833.doc •42· 201102372 期之後’藉由適當施用(諸如局部施用或注射)本發明所述 之化合物處理移植正常皮膚或牛皮癖性皮膚之動物持續14 天。在處理期結束時,處死小鼠,且對於牛皮癬病灶皮膚 及正常皮膚以形態量測方式評估組織的表皮厚度變化,且 以免疫組織學方式評估T淋巴細胞的存在。 E.醫藥組合物 根據本發明之另一態樣’提供本文所述之化合物的醫藥 組合物。在一些實施例中,醫藥組合物進一步包括醫藥學 上可接受之載劑。 在一些實施例中,本文所述之醫藥組合物可進一步包括 一或多種額外治療劑。 在一實施例中’額外治療劑用於治療或預防阿茲海默氏 病。例示性額外治療劑包括(但不限於)膽鹼酯酶抑制劑(例 如他克林(tacrine)、加蘭他敏(galantamine)、利凡斯的明 (rivastigamine)或冬尼培唑(donepezil))及 NMDA抑制劑(例 如美金剛(memantine))。本文所述之化合物可與一或多種 用於治療或預防其他癡呆的其他藥物組合投與。其他藥物 包括非類固醇消炎藥(NSAID),諸如萘普生(naproxen)、布 洛兮(ibuprofen)、雙氣分酸(diclofenac)、°引β朵美辛 (indomethacin)、秦 丁美酮(nabumetone)、°比羅昔康 (piroxicam)、塞來昔布(celecoxib)及阿司匹靈(aSpirin)。可 與本文所述之化合物組合的其他藥物包括HMG-CoA還原 酶抑制劑,諸如士他汀抑制素(statin)(例如辛伐他汀 (simvastatin ’ Zocor)、阿托伐他 ^j(at〇Vastatin,Lipitor)、 148833.doc -43 · 201102372 羅素他汀(rosuvastatin ’ Crestor)、I 伐他·汀(fluvastatin, Lescol))。 在一些實施例中,額外治療劑用於治療或預防其他疾 病。例示性額外治療劑包括(但不限於)抗氧化劑、消炎 劑、γ分泌酵素抑制劑、神經營養劑、乙醯膽鹼酯酶抑制 劑、士他>丁抑制素、Α β肽及抗Α β肽。然而,在不同實施 例中,例示性額外治療劑包括(但不限於):類皮質素;維 生素D類似物;甲胺嗓吟(methrotrexate);環孢素 (ciclosporin);反丁烯二酸鹽;阿達利姆那(adalimunag); 阿非賽特(alefecept);阿法珠單抗(afalizumab);依那西普 (etanercept);英利昔單抗(infHximab);類固醇;類視黃 素;抗微生物化合物;抗氧化劑;消炎化合物;水揚酸; 内皮素拮抗劑;免疫調節劑;血管新生抑制劑;fgf、 VEGF、HGF 或 EGF之抑制劑;EGF、FGF、Vegi^hgi^ 體之抑制劑;酪胺酸激酶抑制劑;蛋白激酶c抑制劑;及 其組合。 基於上述測試或用於測定治療哺乳動物之上文所確; 病狀之功效的其他熟知檢測法,及藉由比較此等結果$ 於治療此等病狀之已知藥物的結果,可容易地測定本考 化合物用於治療各所要適應症之有效劑量。欲投與治病 種此等病狀之活性成分之量可根據諸如以下之考户因^ 廣泛變化:所採用之特定化合物及劑量單位、投:心 :=、所治療患者之年齡及性別 '及所治療病狀: 質及程度。 I48833.doc •44- 201102372 欲投與之活性成分的總量一般可在每日每公斤體重約 0.001 mg至每日每公斤體重約200 mg範圍内,且較佳在每 曰每公斤體重約0.01 mg至每日每公斤體重約2〇〇 mg範圍 内。單位劑量可含有約0.05 mg至約1500 mg活性成分,且 可每日投與一或多次。藉由注射(包括靜脈内、肌肉内、 皮下及非經腸注射,及使用輸注技術)投與之日劑量可為 約0_01至約200 mg/kg。每曰經直腸給藥方案可為每公斤總 體重0.01至200 mg。經皮濃度可為維持曰劑量為〇〇1至2〇〇 mg/kg所需之濃度。 當然,各患者之特定初始及持續給藥方案將根據以下變 化.主治診斷醫師所確定的病狀性質及嚴重程度、所採用 特定化合物之活性、患者年齡、患者飲食、投與時間、投 與途徑、藥物排泄速率、藥物組合及其類似因素。熟習此 項技術者使用習知治療測試可_定所要治療模式及:發明 化合物或其醫藥學上可接受之鹽的給藥次數。 本叙明化合物可用於藉由以適當調 西带,,'且分物开 投與有需要之患者來實現所要藥理學作用。出於本發明 目的’患者為需要治療特定病㈣疾病之哺乳動物,^ 亡類。因此,本發明包括包含醫藥學上可接受之載劑及 樂學上有效量之本文所述方法辨識之化合物或其醫華學 可接受之鹽或醋的醫藥組合物。醫藥學上可接受 在與活性成分之右μ α 俠又之載劑 無害,使得可歸因=的濃度Μ患者相對無毒 之有益作何副作料會損害活性成 7载劑。化合物之醫藥有效量為對所治 148833.doc •45- 201102372 之特定病狀產生結果或發揮影響之量。本文所述之方法辨 識之化合物可使用任何有效習知單位劑型(包括例如立即 釋放製劑及定時釋放製劑)與醫藥學上可接受之載劑一起 以經口、非經腸、局部或其類似方式投與。 為進行經口投與,化合物可調配成諸如膠囊、丸劑、錠 劑、糖衣錠、口含錠、熔融物、散劑、溶液、懸浮 液或乳液之固體或液體製劑,且可根據製造醫藥組合物之 技術已知方法製備。固體單位劑型可為含有例如界面活性 劑、潤滑劑及惰性填充劑(諸如乳糖、嚴糖、鱗酸舞及玉 米澱粉)的可為常規硬殼或軟殼明膠型之膠囊。 在另貫施例中,本發明化合物可與以下各物一起製 錠·諸如乳糖、嚴糖及玉米殿粉之習知鍵劑基質與諸如阿 拉伯膠(acacia)、玉米澱粉或明膠之黏合劑的組合物·欲 在投與錠劑後幫助其分解及溶解之崩解劑,諸如馬铃箸殿 粉、褐藻酸、玉米殿粉及瓜爾膠(§而gum);欲改良顆粒 狀錠劑之㈣性及防錢騎料㈣於錠龍及衝頭之表 面㈣滑劑,例如滑石、硬脂酸或硬脂酸鎂、硬脂㈣或 月“文辞’木料’著色劑;及欲提高錠劑之感官品質及使 ^更為患者接受之調味劑。用於口服液體劑型之適合賦形 別匕括稀釋劑,諸如水及醇’例如乙醇、$甲醇及聚乙二 添加或未添加醫藥學上可接受之界面活性劑、懸 化!:各種其他材料可以包衣形式存在或以其他 狀舂-r、 π篮办式舉例而言,錠劑、丸劑或 多囊可以蟲膠、糖或其兩者塗佈。 148833.doc -46- 201102372 可分散粉末及顆粒適於製備水性懸浮液。其提供與分散 劑或濕潤劑、懸浮劑、及-或多種防腐劑混合之活性成 分。適合分散劑或濕调劑及懸浮劑例示為由上文所述之彼 等。亦可存在額外賦形劑,例如上文所述之彼等甜味劑、 調味劑及著色劑。 本發明之醫藥組合物亦可呈水包油乳液形式。油相可為 植物油,諸如液體石蠛;或植物油現合物。適合乳化劑可 為⑴天然存在之膠狀物,諸如阿拉伯膠及黃蓍膠,⑺天 然存在之破脂,諸如大豆及㈣脂,(3)由脂肪酸與己糖醇 酐衍生之醋或㈣’例如脫水山梨糖醇單油㈣,及⑷該 等偏醋與環氧乙烧之縮合產物,例如聚氧乙婦脫水山梨糖 醇單油酸酯。乳液亦可含有甜味劑及調味劑。 油性懸浮液可藉由將活性成分懸浮於植物油(諸如花生 油、撖禮油、芝麻油或椰子油)中或礦物油(諸如液體石壤) 中來調配。純懸浮液可含有增祠劑,諸如蜂樣、固體石 壤或十六醇。懸浮液亦可含有一或多種防腐劑,例如㈣ 基苯f酸乙醋或對經基苯甲酸正丙醋;一或多種著H 一或多種調味劑,·及-或多種甜味劑,諸如餘或_。 糖漿及醜劑可與諸如甘油、丙_ ^ ^ 内一転山梨糖醇或蔗糖之 甜味劑-㈣配。該等調配物亦可含有緩 劑、調味似著色劑。 方腐 :發明化合物亦可以生理學上可接受之稀釋劑與醫藥載 可主射劑罝之化合物形式非經腸(亦即皮下、靜脈 内、肌肉内或腹膜内)投與’醫藥載劑可為無菌液體或液 148833.doc •47- 201102372 體混合物,諸如水、生理令k . ^ . 生理g鹽水、右旋糖水溶液及相關糖 溶液;醇’諸如乙醇、異丙醇或十六醇;二醇,諸如丙二 醇或聚乙二醇;甘油縮_,諸如2,2_二甲基·U•二氧雜環 戊烷-4-甲醇;醚,諸如聚(乙二醇)4〇〇 ;油;脂肪酸;脂 肪酸酯或甘油酯;或乙醯化脂肪酸甘油酯,其中添加或未 添加諸如肥皂或清潔劑之醫藥學上可接受之界面活性劑; 諸如果膠、卡波姆(carbomer)、曱基纖維素、羥丙基甲基 纖維素或羧甲基纖維素之懸浮劑;或乳化劑及其他醫藥佐 劑。 可用於本發明之非經腸調配物中之說明性油為石油、動 物植物或合成來源之彼等油’例如花生油、大豆油、芝 麻油、棉籽油、玉米油、橄欖油、石蠟脂及礦物油。適合 脂肪酸包括油酸、硬脂酸及異硬脂酸。適合脂肪酸酯為例 如油酸乙酯及十四酸異丙酯。適合肥皂包括脂肪鹼金屬 鹽、録鹽及三乙醇胺鹽,且適合清潔劑包括陽離子型清潔 劑’例如齒化二甲基二烷基銨、_化烷基吡錠及乙酸烷基 胺;陰離子型清潔劑,例如烷基、芳基及烯烴磺酸鹽、烧 基、烯烴、醚及單甘油酸硫酸鹽及磺基丁二酸鹽;非離子 型清潔劑’例如脂肪胺氧化物、脂肪酸烧醇醯胺及聚氧乙 烯聚丙烯共聚物;及兩性清潔劑’例如烷基-β-胺基丙酸醋 及2 -烧基X»米嗤琳四級敍鹽以及混合物。 本發明之非經腸組合物通常可於溶液中含有約〇·5重量% 至約2 5重量%活性成分。亦宜使用防腐劑及緩衝液。為了 使注射部位之刺激最小或消除,該等組合物可含有親水 148833.doc • 48 · 201102372 性、親脂性平衡_)為約12至約17的非離子型界面活性 劑。界面活性劑於該調配物中之量在約5重量%至約㈣ 量%範圍内。界面活性劑可為具有上述hlb之單—組分或 可為兩種或兩種以上具有所要HLB之組分的混合物。 用於非經腸調配物中之說明性界面活性劑為以下類別·· 聚乙烯脫水山梨糖醇脂肪酸醋,例如脫水山梨糖醇單油酸 醋;及環氧乙烧與疏水性基質(由環氧丙烷與丙二醇縮合 形成)之高分子量加合物。 醫藥組合物可為無菌可注射水性懸浮液形式。該等懸浮 液可根據已知方法使用適合分散劑或濕潤劑及懸浮劑調 配,懸浮劑諸如竣甲基纖維素鈉、甲基纖維素、經丙基甲 基纖維素、褐蕩酸納、聚乙烯㈣_、黃轉及阿拉伯 ,;分散劑或濕潤劑可為天然存在之碌脂,諸如㈣脂; 環氧烧與脂肪酸之縮合產物,也丨Λ@ 心难《屋物,例如聚氧乙烯硬脂酸酯;環 氧乙烧與長鏈脂族醇之縮合產物,例如十七伸乙基氧基十 八醇’衣氧乙院與衍生自脂肪酸及己酶醇之偏酿的縮合產 物,諸如聚氧乙稀山梨糖醇單油酸或環氧乙烧與衍生 自脂肪酸及己骑醇酐之偏醋的縮合產物,例如聚氧乙稀脫 水山梨糖醇單油酸酿。 無菌可㈣製劑亦可為於無毒非經腸可接受稀釋劑或溶 劑中之無困可注射溶液或料液。可採用之稀釋劑及溶劑 為例如水林格氏洛液(Ringer,s s〇luti〇啦等張氯化納溶 液。此外’無菌不揮發性油f知用作溶劑或懸浮介質。為 此目的,可採用任何溫和不揮發性油,包括合成單甘油醋 148833.doc -49- 201102372 或一甘油酯❶此外,可使用諸如油酸之脂肪酸來製 射製劑。 ' 本發明組合物亦可以用於藥物直腸投與的栓劑形式投 與°此等組合物可藉由將藥物與在常溫下為固體但在直腸 ’皿度下為液體且因此將在直腸中熔融以釋放藥物的適合無 刺激賦形劑混合來製備。該等材料為例如可可脂及聚乙二 本^月方法中採用之另一調配物採用經 夕…)。該等經皮貼片可用於以控制量提供本= «物的連續或不連續輪注。用於傳遞醫藥劑之經皮貼片的 冓及使用為此項技術中所熟知(參看例如以引用的方式 併入本文中的美國專利第M23,252號)。可建構該等貼片 以供連續、脈動或根據需要傳遞醫藥劑。 可能需要或必需經機械傳遞器件將醫藥組合物引入至患 者二用於傳遞醫藥劑之機械傳遞器件之建構及使用為此項 技術所熟知。舉例而言, 將樂物直接投與至腦之直接技術 一般涉及將藥物傳遞導營署 置於心者腦室系統内以繞過血腦 屏障。用於將藥劑傳輪至I^ 身體特疋解剖區域的一種此類可 植入傳遞系統描述於美_ | Μ 0 ^ 1 1 六闯寻利弟5,01 1,472號中,其以引用 的方式併入本文中。 本發明組合物亦可能必堂―、 而或系要含有其他習知醫藥學上 可接受之混配成分’一般摇盍 稱為栽劑或稀釋劑。可藉由添加 諸如抗壞企酸之抗氧化劑或 ^错由其他適合防腐劑來保存任 何本發明組合物。可利用 S知程序來製備適當劑型之該等 148833.doc •50- 201102372 組合物。 “可根據需要用於針對預期投與途徑調配組合物之常用醫 .樂成分包括:酸化劑’例如(但不限於)乙酸、檸檬酸、反 、丁稀:酸、鹽酸、硝酸;及驗化劑,諸如(但不限於)氨溶 f、奴酸銨、:乙醇胺、單乙醇胺、氫氧化鉀、硼酸鈉、 石反自义鈉、氫氧化納、三乙醇胺。1_叫 (trolamine)。 其他醫藥成分包括例如(但不限於)吸附劑(例如粉末狀纖 維素及活性炭);推喷劑(例如:氧化碳、cci2F2、F2cic-CC1F2及CC1F3);排氣劑(例如氮氣及氬氣);抗真菌防腐劑 (例如笨曱酉文、對羥基苯曱酸丁酯、對羥基笨甲酸乙酯、 對羥基苯曱酸曱酯、對羥基苯甲酸丙酯、苯甲酸鈉”抗 微生物防腐劑(例如氯化苯曱烴銨、苄索氣銨、苯曱醇、 氣化十六基吡錠、氣丁醇、酚、苯乙醇、硝酸苯汞及硫柳 水),抗氧化劑(例如抗壞血酸、棕櫊酸抗壞血酸酯、丁基 化羥基甲氧笨、丁基化羥基甲苯、次磷酸、一硫代甘油、 沒食子酸丙酯、抗壞血酸鈉、亞硫酸氫鈉、甲醛合次硫酸 氫鈉、偏亞硫酸氫鈉);結合材料(例如嵌段聚合物、天然 及合成橡膠、聚丙烯酸酯、聚胺基甲酸酯、聚矽氧及苯乙 烯-丁二烯共聚物);緩衝劑(例如偏磷酸鉀、磷酸二氫鉀、 乙酸鈉、無水檸檬酸鈉及二水合檸檬酸鈉);載劑(例如阿 拉伯膠糖漿、芳族糖漿、芳族酏劑、櫻桃糖漿' 可可糖 装、橙皮糖漿、糖漿、玉米油、礦物油、花生油、芝麻 油、抑菌氯化鈉注射劑及注射用抑菌水);螯合劑(例如乙 148833.doc -51 - 201102372 二胺四乙酸二鈉及依地酸(edetic acid));著色劑(例如 FD&C紅色3號、FD&C紅色20號、FD&C黃色6號、FD&C 藍色2號、D&C綠色5號、D&C橙色5號、D&C紅色8號、焦 糖及氧化鐵紅);澄清劑(例如膨潤土);乳化劑(但不限於 阿拉伯膠、聚西托醇(cetornacrog〇i)、十六醇、甘油單硬 脂酸醋 '卵磷脂、脫水山梨糖醇單油酸酯、聚乙烯5〇硬脂 酸醋(polyethylene 50 stearate));囊封劑(例如明膠及鄰苯 二曱酸乙酸纖維素);調味劑(例如大茴香油' 肉桂油、可 可、薄荷腦、橙油、薄荷油及香草精);保濕劑(例如甘 油、丙二醇及山梨糖醇); 水磨劑(例如礦物油及甘油);油(例如花生油、礦物油、 撖欖油 '花生油、芝麻油及植物油);軟膏基質(例如羊毛 月曰、親水性軟膏、聚乙二醇軟膏、石蠟脂、親水性石蠟 月曰、白色軟貧、黃色軟膏及玫瑰水軟膏);穿透增強劑(經 皮傳遞)(例如一元醇或多元醇、飽和或不飽和脂肪醇、飽 和或不飽和脂肪酿、飽和或不飽和二羧酸、精油、磷脂醯 1生物腦❺知、萜類、醯胺類、醚類、酮)類及腺 類);增塑劑(例如鄰楚_ _ #本—曱酉文一乙酯及甘油);溶劑(例如 醇、玉米油、棉籽油、孙4 ^ . (/ 巾盯/由甘油、異丙醇、礦物油、油酸、花 生油、純水、注备}•田I» _ 用水' 無卤注射用水及無菌沖洗用 水);硬化劑(例如+ Μ十/、醇、十六酯蠟、微晶蠟、石蠟、十 人醇自壤及汽犧);㈣丨1基質(例如可可脂及聚乙二醇(混 ^界面/舌性劑(例如氣化苯曱烴銨、壬苯醇醚1 〇 '辛 — (Xt〇xyno丨9)、聚山梨醇酯肋、月桂基硫酸鈉及單 148833.doc -52- 201102372 棕櫚酸脫水山梨糖醇酯);懸浮劑(例如瓊脂、膨潤土、卡 波姆、羧甲基纖維素鈉、羥乙基纖维素、羥丙基纖維素、 羥丙基τ基纖維素、高嶺土、甲基纖維素、黃蓍及維格姆 (veegum));甜味劑,例如阿斯巴甜糖(aspartame)、右旋 糖、甘油、甘露糖醇、丙二醇、糖精鈉、山梨糖醇及蔗 糖);錠劑防黏剤(例如硬脂酸鎂及滑石);錠劑黏合劑(例 如阿拉伯膠、褐藻酸、羧甲基纖維素鈉、可壓縮糖、乙基 纖維素、明膠、液體葡萄糖、甲基纖維素、聚維酮 (povidone)及預膠凝化澱粉);錠劑及膠囊稀釋劑(例如磷酸 氫鈣、高嶺土、乳糖、甘露糖醇、微晶纖維素、粉末狀纖 維素、沈澱碳酸鈣、碳酸鈉、磷酸鈉、山梨糖醇及澱 粉);錠劑塗佈劑(例如,液體葡萄糖、羥乙基纖維素、羥 丙基纖維素、羥丙基曱基纖維素、曱基纖維素、乙基纖維 素、鄰苯二甲酸醋酸纖維素及蟲膠);錠劑直接壓縮賦形 劑(例如磷酸氫鈣);錠劑崩解劑(例如褐藻酸、羧甲基纖維 素鈣、微晶纖維素、潑拉克林鉀(p〇lacrillin p〇tassium>、 褐藻酸鈉、澱粉乙醇酸鈉及澱粉);錠劑滑動劑(例如膠態 二氧化矽、玉米澱粉及滑石);錠劑潤滑劑(例如硬脂酸 鈣、硬脂酸鎂、礦物油、硬脂酸及硬脂酸鋅);錠劑/膠囊 遮光劑(opaquant)(例如二氧化鈦);錠劑拋光劑(例如巴西 棕櫚蠟及白蠟);增稠劑(例如蜂蠟、十六醇及石壤);張力 劑(例如右旋糖及氯化鈉); 增黏劑(例如褐藻酸、膨满土、卡波姆、緩曱基纖維素 鈉、甲基纖維素、聚維酮、褐藻酸鈉及黃蓍);及濕潤劑 148833.doc -53- 201102372 (例。如十七伸乙基氧基十六醇、卵磷脂、聚氧乙烯山梨糖 醇单油酸酯'聚氧乙烯山梨糖醇單油酸酯及聚氧乙烯硬脂 酸酯)。 曰 本文所述之方法辨識的化合物可以單獨醫藥劑形式投與 或與一或多種其他醫藥劑組合投與,其中組合不會引起不 可接又之不利反應。舉例而言,本發明化合物可與已知抗 肥胖症藥^丨或已知抗糖尿病藥劑或其他適應症藥劑及其類 似藥劑、以及其混雜物及組合進行組合。 本文所述之方法辨識之化合物亦可以游離鹼形式或組合 物形式使用、用於研究及診斷中或用作分析參考標準物及 其類似者。因此,本發明包括包含惰性载劑及有效量之本 文所述方法辨識之化合物或其鹽或酯的組合物。惰性載劑 為不與欲攜帶之化合物相互作用的任何物質,且其向欲攜 帶之化合物提供支撐、運輸工具、增積、可示蹤材料及其 類似物。化合物之有效量為對所進行之特定程序產生結果 或發揮影響之量》 適於皮下、靜脈内、肌肉内及其類似方式之調配物;適 合醫藥載劑;以及調配及投與之技術可藉由此項技術中熟 知之任何方法預備(參看例如Remington,s pharmaceutieaiThe ligand binding domains of PPAR gamma and PPAR δ are each fused to the yeast transcriptional GAL4 DNA binding domain. Transient transfection of reporter constructs with separate expression vectors for the eight-foot chimera and three of the GAL4 DNA binding sites that drive the expression of secretory placental phosphatase (spAp) and beta-galactosidase CV-1 cells. After 16 hours, the medium was changed to DME medium supplemented with 1% fat-free fetal bovine serum and an appropriate concentration of test compound. After a further 24 hours, cell extracts were prepared and alkaline ligase and beta galactosidase activity were measured. The transfection efficiency of alkaline phosphatase activity was corrected using β-galactosidase activity as an internal standard (see, for example, Kliewer, S. Α. et al., Cell 1995 83: 813-819). Rosigiitazone (BRL 49653) can be used as a positive control for hPPAR gamma detection. The positive control in the hPPAR α assay can be 2-4-[2-(3-[4-fluorophenyl]-1-heptylureido)ethyl]-phenoxy-(2-, propylpropionic acid (WO 97/3 6579). The positive control for the PPAR δ assay can be 2-{2-f-group-4_[({4-methyl-2-{trifluoromethyl)phenyl]-1,3- Thiazol-5-yl}mercapto)thio]phenoxy}acetic acid (WO 01/00603). The EC50 can be determined in the form of a concentration at which the compound achieves 50% activation relative to the appropriate positive control. In the binding assay described above, the "activator" will typically have a pKi for the relevant PPAR of at least 6.0, preferably at least 7.0' and in the transfection assay described above, at 1〇·5. At least a 50% activation of the relevant PPAR is achieved relative to a suitably designated positive control at a concentration of ^^ or 10·5 M or less. E. Animal Model, 148833.doc • 41 201102372 (1) Alzheimer's Disease ° The present invention was tested in any animal model known to the skilled artisan. The animal model of the inferior animal includes (but is not limited to, a mouse model of Alzheimer's disease transgenic gene; aged rats; rats with entorhinal cortex-induced injury; monkeys with aged rhesus monkeys and entorhinal cortex injury). For each model, the test results were compared to the control m not treated with the compound of the present invention. It is expected that the treated animals will be shown in the various learning and memory tests, and the improvement is shown. For example, it is expected that the treated animals are observed. The brain also exhibits a large cell size, improved cell signaling, and/or activation of neuronal function (which would otherwise degenerate) compared to untreated animals. These benefits can be extended to degenerating hippocampus that treat short-term memory. The hippocampus is one of the first areas of the brain to be damaged in Alzheimer's disease. (2) Psoriasis Any animal model known to those skilled in the art can be used in the present invention. Exemplary animals (4) include (but are not limited to) Human psoriasis skin-severe combined immun〇deficient (scid) mouse transplantation model and AGR丨29 mouse model. 下# & ^ , Xing 1 below An exemplary SCID mouse model is described. 'Transplanting skin from normal human volunteers or psoriasis lesions to SCID-small skin for 3 to 5 weeks prior to administration of the compound of the invention. During this period, the thickness is corresponding to normal skin before transplantation. About 3 to 4 times of psoriasis skin maintains its phenotype (ie, increased epidermal thickness, pure reticular ridges, and T lymphocytes in the lesion). However, 'transplanted normal human skin undergoes a proliferative response during this period, The skin thickness is increased by about 2 to 3 times. After healing 148833.doc • 42· 201102372 period, the animals transplanted with normal skin or psoriasis skin are treated for 14 days by appropriate administration (such as topical administration or injection) of the compound of the present invention. At the end of the treatment period, the mice were sacrificed, and the changes in epidermal thickness of the tissues were evaluated by morphometric measurement for the skin of psoriasis lesions and normal skin, and the presence of T lymphocytes was evaluated immunohistochemically. E. Pharmaceutical composition according to the present Another aspect of the invention 'provides a pharmaceutical composition of a compound described herein. In some embodiments, a pharmaceutical The composition further comprises a pharmaceutically acceptable carrier. In some embodiments, the pharmaceutical compositions described herein may further comprise one or more additional therapeutic agents. In one embodiment, an additional therapeutic agent is used to treat or prevent Alzheimer's disease. Exemplary additional therapeutic agents include, but are not limited to, cholinesterase inhibitors (eg, tacrine, galantamine, rivastigamine or Donepezil and NMDA inhibitors (e.g., memantine). The compounds described herein can be administered in combination with one or more other drugs for the treatment or prevention of other dementias. Other drugs include non-steroidal anti-inflammatory drugs (NSAIDs) such as naproxen, ibuprofen, diclofenac, indomethacin, nabumetone ), ° piroxicam, celecoxib and aspirin. Other drugs that may be combined with the compounds described herein include HMG-CoA reductase inhibitors, such as statin (eg, simvastatin 'Zokocor, atorvastatin' j (at 〇Vastatin, Lipitor), 148833.doc -43 · 201102372 rosuvastatin 'Crestin, vavastatin ( Lescol)). In some embodiments, the additional therapeutic agent is used to treat or prevent other diseases. Exemplary additional therapeutic agents include, but are not limited to, antioxidants, anti-inflammatory agents, gamma secretase inhibitors, neurotrophic agents, acetylcholinesterase inhibitors, statins> butyl statins, Αβ peptides, and anticonvulsants Beta peptide. However, in various embodiments, exemplary additional therapeutic agents include, but are not limited to: corticosteroids; vitamin D analogs; methotrexate; ciclosporin; fumarate ;adalimunag; alefecept; afalizumab; etanercept; infHximab; steroid; retinoid; Microbial compounds; anti-oxidants; anti-inflammatory compounds; salicylic acid; endothelin antagonists; immunomodulators; angiogenesis inhibitors; inhibitors of fgf, VEGF, HGF or EGF; inhibitors of EGF, FGF, Vegi^hgi^ Tyrosine kinase inhibitor; protein kinase c inhibitor; and combinations thereof. Other well-known assays based on the above tests or for determining the efficacy of the above-described conditions for treating a mammal, and by comparing the results of the known drugs for treating such conditions, can be easily The effective dose of the compound of the present invention for treating each indication is determined. The amount of active ingredient to be administered to treat such conditions may vary widely depending on the tester's factors such as: the particular compound and dosage unit employed, the dose: heart: =, the age and sex of the patient being treated' And the condition to be treated: quality and extent. I48833.doc •44- 201102372 The total amount of active ingredient to be administered can generally range from about 0.001 mg per kilogram of body weight per day to about 200 mg per kilogram of body weight per day, and preferably about 0.01 per kilogram of body weight per week. From mg to about 2 〇〇mg per kilogram of body weight per day. The unit dose may contain from about 0.05 mg to about 1500 mg of the active ingredient and may be administered one or more times daily. The daily dose administered by injection (including intravenous, intramuscular, subcutaneous and parenteral injection, and using infusion techniques) can range from about 0_01 to about 200 mg/kg. Each rectal administration regimen can range from 0.01 to 200 mg per kg of total body weight. The transdermal concentration can be the concentration required to maintain a sputum dose of 〇〇1 to 2〇〇 mg/kg. Of course, the specific initial and sustained dosing regimen for each patient will be based on the following changes: the nature and severity of the condition as determined by the attending physician, the activity of the particular compound employed, the age of the patient, the patient's diet, the time of administration, and the route of administration. , drug excretion rate, drug combinations and similar factors. Those skilled in the art will be able to use the conventional therapeutic test to determine the mode of treatment and the number of times the compound of the invention or its pharmaceutically acceptable salt is administered. The compounds described herein can be used to achieve the desired pharmacological effect by appropriate conditioning, and the dispensing of the desired patient. For the purposes of the present invention, a patient is a mammal in need of treatment for a particular disease (IV) disease. Accordingly, the invention includes a pharmaceutical composition comprising a pharmaceutically acceptable carrier and a pharmaceutically effective amount of a compound identified by the methods described herein, or a pharmaceutically acceptable salt or vinegar thereof. It is pharmaceutically acceptable in the right-hand side of the active ingredient, which is harmless, so that the concentration attributable = the relatively non-toxic benefit of the patient can damage the activity into a carrier. The pharmaceutically effective amount of the compound is the amount that produces or affects the particular condition of the 148833.doc •45-201102372. The compounds identified by the methods described herein can be administered orally, parenterally, topically or the like together with a pharmaceutically acceptable carrier in any of the effective unit dosage forms, including, for example, immediate release formulations and time release formulations. Cast. For oral administration, the compound may be formulated into a solid or liquid preparation such as a capsule, a pill, a lozenge, a dragee, a lozenge, a melt, a powder, a solution, a suspension or an emulsion, and may be formulated according to the pharmaceutical composition. It is prepared by methods known in the art. The solid unit dosage form can be a conventional hard or soft shell gelatin type capsule containing, for example, a surfactant, a lubricant, and an inert filler such as lactose, Yan sugar, ginseng and corn starch. In still other embodiments, the compounds of the present invention may be combined with the following materials: compositions of conventional binder bases such as lactose, Yan sugar and corn powder, and binders such as acacia, corn starch or gelatin. · Disintegrators that want to help break down and dissolve after the administration of tablets, such as horse bell powder, alginic acid, corn house powder and guar gum (§ and gum); to improve the (four) nature of granular tablets And anti-money riding materials (4) on the surface of ingots and punches (4) slip agents, such as talc, stearic acid or magnesium stearate, stearic acid (four) or monthly "text" wood coloring agent; and to improve the senses of tablets A quality and a flavoring agent that is more acceptable to the patient. Suitable for use in oral liquid dosage forms including diluents such as water and alcohols such as ethanol, methanol and polyethylene are added or not added pharmaceutically acceptable Surfactant, suspension!: Various other materials may be present in the form of coatings or in other forms. -r, π basket. For example, tablets, pills or polycapsules may be coated with shellac, sugar or both. 148833.doc -46- 201102372 Dispersible powder and granules An aqueous suspension is prepared which provides the active ingredient in admixture with a dispersing or wetting, suspending, and/or preserving agents. Suitable dispersing or wetting agents and suspending agents are exemplified by the above. Additional excipients may be present, such as the sweeteners, flavoring agents, and coloring agents described above. The pharmaceutical compositions of the present invention may also be in the form of an oil-in-water emulsion. The oil phase may be a vegetable oil such as liquid sarcophagus. Or vegetable oils. Suitable emulsifiers can be (1) naturally occurring gums such as acacia and tragacanth, (7) naturally occurring fats such as soy and (iv) fat, and (3) fatty acids and hexitols. Anhydride-derived vinegar or (iv) such as sorbitan mono-oil (iv), and (4) condensation products of such partial vinegar with ethylene bromide, such as polyoxyethylene sorbitan monooleate. The emulsion may also contain sweetness. Flavoring agents and flavoring agents. Oily suspensions may be formulated by suspending the active ingredient in vegetable oils such as peanut oil, eucalyptus oil, sesame oil or coconut oil or in mineral oils such as liquid stone soil. Pure suspensions may contain Enhancing agent, Such as bee-like, solid stone or cetyl alcohol. The suspension may also contain one or more preservatives, such as (iv) phenyl ketone or propyl benzoic acid; one or more H or one or more seasonings An agent, and/or a plurality of sweeteners, such as a balance or a syrup. The syrup and the ugly agent may be combined with a sweetener such as glycerin, glycerin or sucrose - (iv). Containing a slowing agent, a flavoring-like coloring agent. Fangshu: The compound of the invention may also be in the form of a physiologically acceptable diluent and a pharmaceutical-borne primary sputum compound, parenteral (ie, subcutaneous, intravenous, intramuscular or peritoneal). The drug carrier can be a sterile liquid or liquid 148833.doc • 47- 201102372 body mixture, such as water, physiological order k. ^. physiological g saline, dextrose aqueous solution and related sugar solution; alcohol 'such as ethanol , isopropanol or cetyl alcohol; glycols such as propylene glycol or polyethylene glycol; glycerol, such as 2,2-dimethyl-U•dioxol-4-methanol; ethers, such as poly (ethylene glycol) 4 〇〇; oil; fatty acid; fatty acid ester or glyceride; or acetylated fatty acid Oil esters with or without the addition of pharmaceutically acceptable surfactants such as soaps or detergents; such as gums, carbomers, thiol cellulose, hydroxypropyl methylcellulose or carboxymethyl a suspension of cellulose based; or an emulsifier and other pharmaceutical adjuvants. Illustrative oils useful in parenteral formulations of the invention are oils of petroleum, animal or synthetic origin such as peanut oil, soybean oil, sesame oil, cottonseed oil, corn oil, olive oil, paraffin oil and mineral oil. . Suitable fatty acids include oleic acid, stearic acid and isostearic acid. Suitable fatty acid esters are, for example, ethyl oleate and isopropyl myristate. Suitable soaps include fatty alkali metal salts, salt and triethanolamine salts, and suitable cleaning agents include cationic detergents such as dentylated dimethyldialkylammonium, _alkylpyrrolidine and alkylamine acetate; anionic Detergents such as alkyl, aryl and olefin sulfonates, alkyl, olefins, ethers and monoglyceride sulfates and sulfosuccinates; nonionic detergents such as fatty amine oxides, fatty alcohols Indoleamine and polyoxyethylene polypropylene copolymers; and amphoteric detergents such as alkyl-β-aminopropionic acid vinegar and 2-carboyl X»米嗤琳 four-stage salt and mixtures. The parenteral compositions of the present invention typically comprise from about 5% by weight to about 25 % by weight of active ingredient in solution. Preservatives and buffers should also be used. In order to minimize or eliminate irritation at the injection site, the compositions may contain a nonionic surfactant having a hydrophilicity of from about 12 to about 17 in a hydrophilic, lipophilic balance. The amount of surfactant in the formulation ranges from about 5% by weight to about (four) percent by weight. The surfactant may be a single component having the above-mentioned hlb or a mixture of two or more components having the desired HLB. Illustrative surfactants for use in parenteral formulations are the following categories: • Polyethylene sorbitan fatty acid vinegar, such as sorbitan monooleate; and Ethylene Ethylene and hydrophobic matrices (by ring A high molecular weight adduct formed by the condensation of oxypropane with propylene glycol. The pharmaceutical composition can be in the form of a sterile injectable aqueous suspension. These suspensions may be formulated according to known methods using suitable dispersing or wetting agents and suspending agents, such as sodium methacrylate, methylcellulose, propylmethylcellulose, browning, poly Ethylene (four) _, yellow turn and Arabian; dispersant or wetting agent can be a naturally occurring fat, such as (four) fat; condensation products of epoxy burned with fatty acids, also 丨Λ @心难" house, such as polyoxyethylene hard a fatty acid ester; a condensation product of ethylene bromide with a long-chain aliphatic alcohol, such as a seven-fold ethyl octadecyl alcohol, a condensation product derived from a partial derivative derived from a fatty acid and a coenzyme, such as a fatty acid. A condensation product of polyoxyethylene sorbitan monooleate or epoxide with a partial vinegar derived from a fatty acid and an alcoholic anhydride, such as polyoxyethylene sorbitan monooleic acid. The sterile (4) preparation may also be a non-invasive injectable solution or solution in a non-toxic parenterally acceptable diluent or solvent. Diluents and solvents which can be used are, for example, Ringer's solution (Ringer, ss〇luti〇, etc.). In addition, 'sterile fixed oils are known to be used as a solvent or suspending medium. For this purpose, Any bland fixed oil may be employed, including synthetic monoglycerin 148833.doc -49- 201102372 or monoglyceride. In addition, fatty acids such as oleic acid may be used to prepare the formulation. 'The compositions of the invention may also be used in pharmaceuticals. Administration of suppository forms for rectal administration ° These compositions can be prepared by dissolving the drug with a drug that is solid at room temperature but liquid in the rectum and therefore will melt in the rectum to release the drug. Prepared by mixing. These materials are, for example, cocoa butter and another formulation used in the method of polyethylene glycol. The transdermal patches can be used to provide a continuous or discontinuous round of the present in a controlled amount. The use and use of a transdermal patch for the delivery of a pharmaceutical agent is well known in the art (see, for example, U.S. Patent No. M23,252, incorporated herein by reference). The patches can be constructed for continuous, pulsatile or delivery of the medicinal agent as needed. The construction and use of mechanical delivery devices that may or may not require the introduction of a pharmaceutical composition to a patient via a mechanical delivery device for delivery of a pharmaceutical agent are well known in the art. For example, the direct technique of directly administering a musical substance to the brain generally involves placing the Drug Delivery Agency in the ventricular system of the heart to bypass the blood-brain barrier. One such implantable delivery system for transferring a medicament to an anatomical region of the body is described in US _ | Μ 0 ^ 1 1 闯 闯 利 利 5 5, 01 1, 472, by way of citation Incorporated herein. The compositions of the present invention may also contain, or contain, other conventionally pharmaceutically acceptable compounding ingredients which are generally referred to as humectants or diluents. Any of the compositions of the present invention may be preserved by the addition of an anti-oxidant such as an acid or a suitable preservative. The S-knowledge program can be used to prepare the appropriate dosage form of the composition 148833.doc • 50- 201102372. "Common medical ingredients that can be used to formulate compositions for the intended route of administration, as needed, include: acidulants such as, but not limited to, acetic acid, citric acid, trans, butadiene: acid, hydrochloric acid, nitric acid; Agents such as, but not limited to, ammonia solution f, ammonium citrate, ethanolamine, monoethanolamine, potassium hydroxide, sodium borate, stone anti-sodium, sodium hydroxide, triethanolamine. 1_trolamine. Pharmaceutical ingredients include, for example, but are not limited to, adsorbents (eg, powdered cellulose and activated carbon); push sprays (eg, carbon oxide, cci2F2, F2cic-CC1F2, and CC1F3); venting agents (eg, nitrogen and argon); Antifungal preservatives (eg, abbreviated, butyl p-hydroxybenzoate, ethyl p-hydroxybenzoate, decyl p-hydroxybenzoate, propyl p-hydroxybenzoate, sodium benzoate) antimicrobial preservatives (eg Ammonium chlorinated ammonium chloride, benzethonium chloride, benzoyl alcohol, gasified hexadecanol, butanol, phenol, phenylethyl alcohol, phenylmercuric nitrate and sulphur water, antioxidants (eg ascorbic acid, palm sulphur) Acid ascorbate, butylated hydroxymethoxy stupid, butyl Alkyl hydroxytoluene, hypophosphorous acid, monothioglycerol, propyl gallate, sodium ascorbate, sodium hydrogen sulfite, sodium formaldehyde sulfoxylate, sodium metabisulfite); binding materials (eg block polymers) , natural and synthetic rubbers, polyacrylates, polyurethanes, polyoxo and styrene-butadiene copolymers; buffers (eg potassium metaphosphate, potassium dihydrogen phosphate, sodium acetate, anhydrous citric acid) Sodium and sodium citrate dihydrate); carrier (eg, gum arabic syrup, aromatic syrup, aromatic tincture, cherry syrup), cocoa candy, orange peel syrup, syrup, corn oil, mineral oil, peanut oil, sesame oil, Sodium chloride injection and bacteriostatic water for injection); chelating agent (for example, B 148833.doc -51 - 201102372 disodium diamine tetraacetate and edetic acid); coloring agent (for example, FD&C red 3 No., FD&C Red 20, FD&C Yellow 6, FD&C Blue 2, D&C Green 5, D&C Orange 5, D&C Red 8, Caramel and Iron Oxide Red); clarifying agent (eg bentonite); emulsifier (but not limited to Allah) Primary rubber, polytorol (cetornacrog〇i), cetyl alcohol, glycerol monostearate 'lecithin, sorbitan monooleate, polyethylene 5 〇 stearate (polyethylene 50 stearate) Encapsulating agents (such as gelatin and cellulose acetate phthalate); flavoring agents (such as anise oil 'cinnamon oil, cocoa, menthol, orange oil, peppermint oil and vanilla extract); humectants (such as glycerin, Propylene glycol and sorbitol); water-grinding agents (such as mineral oil and glycerin); oils (such as peanut oil, mineral oil, eucalyptus oil, peanut oil, sesame oil and vegetable oil); ointment base (such as wool moon, hydrophilic ointment, poly Diol ointment, paraffin, hydrophilic paraffin, white soft, yellow ointment and rose water ointment); penetration enhancer (transdermal delivery) (eg monohydric or polyhydric alcohol, saturated or unsaturated fatty alcohol, saturated Or unsaturated fat-brewed, saturated or unsaturated dicarboxylic acids, essential oils, phospholipids 1 biological brain knows, terpenoids, guanamines, ethers, ketones and glands); plasticizers (eg, neighboring Chu _ _ #本—曱酉文一乙And glycerol); solvent (eg alcohol, corn oil, cottonseed oil, sun 4 ^. (/ towel star / by glycerin, isopropanol, mineral oil, oleic acid, peanut oil, pure water, injection}} Tian I» _ Water 'halogen-free water for injection and sterile rinse water); hardener (eg + Μ 10 /, alcohol, hexadecyl ester wax, microcrystalline wax, paraffin, ten-person alcohol from the soil and steam sacrifice); (d) 丨 1 matrix (for example) Cocoa butter and polyethylene glycol (mixed interface / lingual agent (such as gasified benzoquinone ammonium, nonoxynol ether 1 〇 'Xin - (Xt〇xyno丨9), polysorbate rib, lauryl sulfate Sodium and single 148833.doc -52- 201102372 sorbitan palmitate); suspending agents (eg agar, bentonite, carbomer, sodium carboxymethylcellulose, hydroxyethylcellulose, hydroxypropylcellulose) , hydroxypropyl tau cellulose, kaolin, methyl cellulose, xanthine and veegum; sweeteners such as aspartame, dextrose, glycerol, mannitol , propylene glycol, sodium saccharin, sorbitol and sucrose); lozenge anti-adhesive (such as magnesium stearate and talc); lozenge adhesive (such as Binder, alginate, sodium carboxymethylcellulose, compressible sugar, ethylcellulose, gelatin, liquid glucose, methylcellulose, povidone and pregelatinized starch; tablets and capsules Diluents (eg, calcium hydrogen phosphate, kaolin, lactose, mannitol, microcrystalline cellulose, powdered cellulose, precipitated calcium carbonate, sodium carbonate, sodium phosphate, sorbitol, and starch); lozenge coating agents (eg, , liquid glucose, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropyl decyl cellulose, decyl cellulose, ethyl cellulose, cellulose acetate phthalate and shellac); direct compression of tablets Excipients (such as calcium hydrogen phosphate); tablet disintegrants (such as alginic acid, calcium carboxymethylcellulose, microcrystalline cellulose, potassium palladium (p〇lacrillin p〇tassium), sodium alginate, starch Sodium glycolate and starch); lozenge slip agents (eg colloidal cerium oxide, corn starch and talc); lozenge lubricants (eg calcium stearate, magnesium stearate, mineral oil, stearic acid and stearic acid) Zinc acid); lozenge / capsule sunscreen (opaquan t) (eg titanium dioxide); tablet polishes (eg carnauba wax and white wax); thickeners (eg beeswax, cetyl alcohol and rocky soil); tonicity agents (eg dextrose and sodium chloride); Agents (eg alginic acid, expanded soil, carbomer, slow-sodium cellulose sodium, methyl cellulose, povidone, sodium alginate and xanthine); and wetting agent 148833.doc -53- 201102372 (example . For example, heptaethylethoxide, lecithin, polyoxyethylene sorbitan monooleate, polyoxyethylene sorbitan monooleate and polyoxyethylene stearate.化合物 The compounds identified by the methods described herein can be administered as a single pharmaceutical agent or in combination with one or more other pharmaceutical agents, wherein the combination does not cause an unacceptable adverse reaction. For example, the compounds of the invention may be combined with known anti-obesity agents or known anti-diabetic agents or other indication agents and their analogous agents, as well as mixtures and combinations thereof. The compounds identified by the methods described herein can also be used in the form of a free base or in the form of a composition, used in research and diagnostics, or as an analytical reference standard and the like. Accordingly, the invention includes compositions comprising an inert carrier and an effective amount of a compound identified by the methods described herein, or a salt or ester thereof. An inert carrier is any material that does not interact with the compound to be carried, and which provides support, transport, accumulating, traceable materials, and the like to the compound to be carried. An effective amount of a compound is an amount that produces a result or exerts an effect on a particular procedure being performed." Formulations suitable for subcutaneous, intravenous, intramuscular, and the like; suitable for pharmaceutical carriers; and techniques for formulating and administering Prepared by any method well known in the art (see, for example, Remington, s pharmaceutieai)

Sciences,Mack Publishing Co·,Easton,Pa.,第 20 版, 2000) 〇 提出以下實例來說明本文所述之本發明’但不應解釋為 以任何方式限制本發明之範疇。 膠囊調配 148833.doc -54- 201102372 膠囊配方由以下製備: 本發明化合物 40 mg 殿粉 109 mg . 硬脂酸鎂 1 mg 摻合各組分’使其通過適當網篩,且填充至硬明膠膠囊 中。 錠劑調配 錠劑由以下製備: 本發明化合物 25 mg 微晶纖維素 膠態二氧化矽 硬脂酸 混合各成分且壓 包衣以提高適口性 無菌IV溶液 200 mg 10 mg 5.0 mg 縮形成錠劑。可塗覆適當水性及非水性 ’改良外觀及穩定性或延遲吸收。 使用無菌可注射水製備所要本發明化合物之5 mg/m〗溶 液,且需要時調整阳值。以無菌5%右旋糖將溶液稀釋至 卜2 mg/ml以供投與’且經6〇分鐘以靜脈内輸注形式投 與。 肌肉内懸浮液 製備以下肌肉内懸浮液: 50 mg/ml 5 mg/ml 4 mg/ml 本發明化合物 羧甲基纖維素鈉 TWEEN 80 148833.doc 55- 201102372 9 mg/ml 9 mg/ml 乳化納 苯曱醇 肌肉内投與懸浮液。 硬殼膠囊 藉由以100 mg粉末狀活性成分、15〇 mg乳糖、5〇 纖 維素及6 mg硬脂酸鎂填充各標準兩段式硬明膠膠囊來製備 大量單位膠囊。 軟明膠膠囊 、製備活性成分於可消化油(諸如大豆油、棉軒油或撤棍 油)中之混合物且藉助於正排量式泵注射至熔融明膠中形 成3有100 mg活性成分的軟明膠膠囊。洗滌膠囊且乾燥。 可將活性成分溶解於聚乙二醇、甘油與山梨糖醇之混合物 中,以製備可與水混溶之醫學混合物。 立即釋放錠劑/膠囊 此等錠劑/膠囊為ϋ由習知及新穎方法製成之固體口服 d里此等單70在不用水下經口服用以便立即溶解及傳遞 ㈣^在MB糖1膠、轉及甜味劑之成分之液體 中此口活性成分。藉由冷凍乾燥及固相萃取技術將此等液 體口化成固μ錠劑或囊片。藥物化合物可與黏彈性及熱彈 ί·生糖及聚σ物或發組分—^壓縮產生欲無需水即立即釋 放之多孔基質。 F.治療方法 (1)糖尿病及相關疾病及病症 式I化合物有效.底TT u σ Ί π型糖尿病(包括相關糖尿病血脂異 148833.doc ,56 - 201102372 常及其他糖尿病併發症),以及用於多種其他與其相關之 醫藥用途,諸如高金糖症、高胰島素血症、葡萄糖对受性 異常、空腹血糖異常、血脂異常、高三酸甘油醋也症、症 候群X及騰島素抗性。此外,本發明化合物亦在諸如肥胖 症之病症中有玄丈調控食懲及食物攝#,及用於治療動脈粥 樣硬化症、高脂質血症、高膽固醇血症、低hdl含量、高 血壓、心血管疾病(包括動脈粥樣硬化、冠心病、冠狀動 脈疾病及高血壓)、腦血管疾病及周邊血管疾病;及用於 治療狼瘡、多囊性卵巢症候群、癌發生及增生。式丨化合 物亦適用於治療與以下有關之生理學病症:例如細胞分化 產生脂質累積細胞’·例如騰腺P細胞功能異常、姨島素分 泌瘤及/或歸因於胰島素自體抗體、胰島素受體之自體抗 體或對胰腺β細胞有刺激性的自體抗體之自體免疫低血2 症中涉及的調控胰島素敏感性及血糖含量;巨噬細胞分 化,導致形成動脈粥樣硬化斑;發炎反應、癌發生、增 生、脂肪細胞基因表現、脂肪細胞分化、胰腺0細胞量減 少、騰島素分泌、組織對姨島素的敏感性、脂肉瘤細胞生 長、多囊性印巢疾病、慢性無排印、雄性素過多症、孕酮 產生、類固醇生成、細胞中之氧化還原可能及氧化應力、 氧化氮合成酶(NOS)產生、γ麩胺醯轉肽酶、過氧化氫酶、 血聚三酸甘油醋、HDL及LDL膽固醇含量升高,及盆類似 者。 〃 S } 本發明所述之特定適用化合物為具有降低血糖濃度及血 清二酸甘油酯含量以及升高血清HDL膽固醇含量之功效的 148833.doc 57- 201102372 彼等化合物。 因此,預期本發明所述之化合物有用作治療劑的價值。 因此’本發明實施例包括治療患者(包括哺乳動物)中上文 辨識之多種病狀的方法’其包括向該患者投與含有有效治 療目標病狀之量之式I化合物的組合物。 如上文所示,本發明所述之化合物可單獨投與或與一或 多種額外降錢触合投與。組合療法包括投與含有本發 明所述化合物及—或多種額外降血糖劑的單—藥物劑量調 配物’以及以本發明所述化合物及各額外降血糖劑自身的 各別藥物劑量調配物形式投與本發明所述化合物及各額外 降血糖劑。舉例而言,本發明所述化合物及降血糖劑可以 諸如錠劑或膠囊的單一口服劑量組合物形式共同投與患 者’或各藥劑可以各別口服劑量調配物形式投與。 當使用各別劑量調配物時,本發明化合物與一或多種額 外降血糖劑可基本上同時(例如共同)投與或以各別錯開之 時間(例如依序)投與。 舉例而έ,本發明化合物可與一或多種以下額外降血糖 劑組合投與·姨島素;雙胍,諸如二甲雙胍(metf〇rmin)或 丁福明(buformin);磺醯脲,諸如乙醯笨磺醯環己脲 (acetohexamide)、氯確丙脈(chl〇r〇pr〇pamide)、妥拉績脲 (tolazamide)、甲苯績丁脲(t〇ibutamide)、格列本腺(glyburide) 、格列°比嗪(glipizide)、格列齊特(giyciazide);或任何其 他姨島素促泌素,諸如諾和隆(repaglinide)及那格列奈 (nateglinide) ; α-醣苷酶抑制劑,諸如醣祿、伏格列波糖 148833.doc -58- 201102372 (voglibose)或米格列醇(migiitol);或pr腎上腺素受體促效 劑,諸如 CL-316,243。 如此項技術中熟知,本發明所述之化合物亦可以游離鹼 形式或組合物形式使用、以及用於研究及診斷中或用作分 析參考標準物及其類似物。因此’本發明包括包含惰性載 劑及有效量之本發明所述化合物或其鹽或醋的組合物。惰 性載劑為不與欲攜帶之化合物相互作用的任何物質,且其 向欲攜帶之化合物提供支撐、運輸工具、增積、可示蹤材 料及其類似物。化合物之有效量為對所進行之特定程序產 生結果或發揮影響之量。 ,、在另-態樣中,本發明提供治療患者之疾病病況的方 法,其中該疾病與血液中生理學有害含量之姨島素、葡萄 糖、游離脂肪酸(FFA)、膽固醇或三酸甘油醋有關,該方 法包含向患者投與治療有效量之式I化合物。在另一實施 J中本&明提供治療患者之疾病病況之方法,其中該疾 病與血液中生理學有害含量之胰島素、葡萄糖、游離脂肪 酸㈣曰A)或三酸甘油酷有關’該方法包含向患者投與治療 有效量之式1化合物及亦投與治療有效量之額外降血糖 劑,諸如姨島素、雙胍化合物及其類似物。 吻钓已知磺醯 ,、他胰島素促泌素能夠刺激胰島素 处’但不能對姨島素抗性起作用,且本發料述之化合 :夠對胰島素抗性起作用,因此設想此等藥物之組合可 ::胰島素分泌缺乏及胰島素抗性兩者皆有關之病狀的 。、。因此’本發明亦提供治療患者之„型糖尿病的 I48833.doc •59· 201102372 址"包含投與本發明所述之化合物及一或多種額外降也 *劑諸如續gg腺、雙胍、^腎上腺素受體促效劑、^釀 ㈣抑制劑及膜島素。又,式!化合物可與HMG c〇_A還原 今抑制d (士他汀抑制素)、膽汁酸結合樹脂或纖維酸衍生 、’ σ使用以改良血脂異常及胰島素抗性個體的脂質概 兄本發明所述化合物亦可與調控患胰島素抗性或2型糖 尿病個體的高血壓(例如血管緊張素轉換酶(ace)抑制劑、 阻斷劑、鈣離子通道阻斷劑)及體重之藥劑組合使用。 (2)牛皮癬 本發明之另一態樣提供預防或治療個體之牛皮癖的方 法。該等方法包括向有需要之個體投與有效量之本發明化 合物。在一些實施例中,本發明化合物係局部投與。在另 一實施例中,本發明化合物係皮内、皮下、經口、經頰、 經皮、經直腸或經耳投與。 在一些實施例中,本發明化合物可與一或多種治療劑組 合投與。在一實施例中,治療劑係選自由以下組成之群: 類皮質素;維生素D類似物;曱胺喋呤;環孢素;反丁烯 二酸鹽;阿達利姆那;阿非赛特;阿法珠單抗;依那西 普;英利昔單抗;類固醇;類視黃素;抗微生物化合物; 抗氧化劑;消炎化合物;水楊酸;内皮素拮抗劑;免疫調 節劑;血管新生抑制劑;FGF、VEGF、HGF或EGF之抑制 劑;EGF、FGF、VEGF或HGF受體之抑制劑;酪胺酸激酶 抑制劑;蛋白激酶C抑制劑;及其組合。 在另一實施例中’本發明化合物可與一或多種選自光療 148833.doc -60 - 201102372 法及/或光化學療法的協作療法組合投與。 (3)阿茲海默氏病 根據本發明之一態樣,提供預防或治療阿茲海默氏病之 方法《該等方法包括向需要該治療之個體投與有效量之本 發明化合物。在一些實施例中,化合物係靜脈内、經口、 經頰、經皮、經直腸、經鼻或經耳投與。 在另一實施例中,本發明化合物可與至少一種額外治療 劑組合投與◎例示性額外治療劑包括(但不限於)抗氧化 劑、消炎劑、γ分泌酵素抑制劑、神經營養劑、乙醯膽鹼 酯酶抑制劑、士他汀抑制素、A ρ肽及抗Α ρ肽。 本文所述之化合物可與一或多種用於治療或預防阿茲海 默氏病的其他藥物組合投與。用於治療或預防阿兹海默氏 病之其他藥物包括膽鹼酯酶抑制劑(例如他克林、加蘭他 敏、利凡斯的明或冬尼培唑)及NMDA抑制劑(例如美金 剛)。本文所述之化合物可與一或多種用於治療或預防其 他癡呆的其他藥物組合投與。其他藥物包括非類固醇消炎 藥(NSAID),諸如萘普生、布洛芬、雙氯芬酸…引哚美 辛、萘丁美酮、吡羅昔康、塞來昔布及阿司匹靈。可與本 文所述之化合物組合的其他藥物包括HMG_c〇A還原酶抑 制劑,諸如士他汀抑制素(例如辛伐他汀(z〇c〇r)、阿托伐 他汀(Lipitor)、羅素他 a(Crest〇r)、氟伐他汀(Lesc〇1))。 視組合療法中利用以供同時投與之個別藥物而定,其可 凋配成組合(其中可製備穩定調配物且其中所要給藥方案 為相谷的)或藥物可經各別調配(以供經相同或任選其一之 148833.doc 201102372 途徑相伴或各別投與)。 在一些實施例中,本發明之個體具有一或多種選自以下 之產生阿茲海默氏病的風險因素:家族疾病史;疾病之遺 傳素因;高血清膽固醇;成人發病型糖尿病;高基線海馬 體積;腦脊髓液中高總體τ蛋白含量;腦脊髓液中高磷酸 化τ蛋白含量;及腦脊髓液中低Αβ(1-42)含量。 實例 使用裝備有四元泵、可見波長偵測器、YMC Pro C18 2.0 mm><23 mm管柱及使用電喷霧電離之Finnigan LCQ離子 阱質譜儀的Hewlett-Packard 1100 HPLC獲得HPLC-電喷霧 質譜(HPLC ES-MS)。在HPLC上使用經4分鐘90% A至95% B的梯度溶離。缓衝液A為98%水、2%乙腈及0.02% TFA, 且缓衝液B為98%乙腈、2%水及0.0 18% TFA。根據來源中 之離子數目使用可變離子時間自140-1200 amu掃描光譜。 以 General Electric GA^-Omega 300(300 MHz)光譜儀使用 Me4Si(S 0.00)或殘餘質子化溶劑(CHC13 δ 7.26 ; MeOH δ 3.30 ; DMSO δ 2.49)作為標準物量測質子"Η)核磁共振 (NMR)光譜。以 General Electric GiV-Omega 300(75 MHz)光 譜儀使用溶劑(CDC13 δ 77.0 ; d3-MeOD ; δ 49.0 ; d6-DMSO δ 3 9.5)作為標準物量測碳(13(:州]\411光譜。 使用市售Chiracel® AD HPLC管柱,以己烷中之異丙醇 梯度(1%至15%)(添加0.1%三氟乙酸)溶離來進行對掌性分 離。 對於實例5,使用以下分析儀器: 148833.doc -62- 201102372 (1) HPLC :儀器:Perkin-Elmer Series 200,管柱: YMC Pro C18, S-3um, 12mm(4.6x150 mm/AS12503- 1546WT);移動 A :含0.1% TFA 之 HPLC H20,移動B :含 0.1% TFA之HPLC CH3CN,溫度=環境溫度;波長=220 nm 梯度: 時間(min) 速率(ml/min) 移動A 移動B 0 1.00 75 25 25 1.00 20 80 27 1.00 10 90 30 1.00 10 90 31 1.00 75 25 36 1.00 75 25 (2) NMR : Bruker 400 MHz (3)質譜儀:Waters Micromass ZQ 縮寫及首字母縮寫 當本文使用以下縮寫時,其具有以下含義: Ac2〇 乙酸酐 ADDP Ι,Γ-(偶氮二羰基)二哌啶 anhy 無水 BOC 第三丁氧羰基 «-BuOH 正丁醇 i-BuOH 第三丁醇 i-BuOK 第三丁醇鉀 CDI 羰基二咪唑 CD3〇D 曱醇-a 148833.doc -63 - 201102372Sciences, Mack Publishing Co., Easton, Pa., 20th ed., 2000) 以下 The following examples are presented to illustrate the invention described herein, but are not to be construed as limiting the scope of the invention in any way. Capsule Formulation 148833.doc -54- 201102372 The capsule formulation is prepared from the following: Compound of the invention 40 mg Powder 109 mg. Magnesium stearate 1 mg Blend each component 'make it through a suitable mesh and fill it to hard gelatin capsules in. Tablets Formulations Tablets are prepared from the following: 25 mg of the compound of the invention, microcrystalline cellulose, colloidal cerium oxide, stearic acid, various components and pressure coating to improve the palatability of the sterile IV solution 200 mg 10 mg 5.0 mg condensed tablet . Appropriate aqueous and non-aqueous can be applied to improve appearance and stability or delay absorption. A 5 mg/m solution of the compound of the present invention is prepared using sterile injectable water, and the cation value is adjusted as needed. The solution was diluted to 2 mg/ml with sterile 5% dextrose for administration' and administered as an intravenous infusion over 6 minutes. Intramuscular suspension The following intramuscular suspensions were prepared: 50 mg/ml 5 mg/ml 4 mg/ml The compound of the invention sodium carboxymethylcellulose TWEEN 80 148833.doc 55- 201102372 9 mg/ml 9 mg/ml emulsified sodium Benzoyl alcohol is administered intramuscularly with suspension. Hard Shell Capsules A large number of unit capsules were prepared by filling each standard two-stage hard gelatin capsule with 100 mg of powdered active ingredient, 15 mg of lactose, 5 g of cellulose and 6 mg of magnesium stearate. a soft gelatin capsule, a mixture of the active ingredient in a digestible oil such as soybean oil, cotton oil or a withdrawal oil, and injected into the molten gelatin by means of a positive displacement pump to form 3 soft gelatin with 100 mg of active ingredient capsule. The capsules are washed and dried. The active ingredient can be dissolved in a mixture of polyethylene glycol, glycerin and sorbitol to prepare a water-miscible medical mixture. Immediate release of tablets/capsules These tablets/capsules are solid oral orally prepared by conventional and novel methods. These singles 70 are used orally without water for immediate dissolution and delivery (4) in MB sugar 1 The active ingredient in the liquid of the ingredients of the sweetener. These liquids are stomatized into solid yam tablets or caplets by freeze drying and solid phase extraction techniques. The drug compound can be compressed with viscoelasticity and thermal bombs, raw sugars and poly-sigma or hair-components to produce a porous matrix that is immediately released without the need for water. F. Methods of treatment (1) Diabetes and related diseases and conditions Compounds of formula I are effective. Bottom TT u σ Ί π type diabetes (including related diabetes dyslipidemia 148833.doc, 56 - 201102372 often and other diabetic complications), and for A variety of other medical uses associated with it, such as hyperglycemia, hyperinsulinemia, abnormal glucose tolerance, impaired fasting blood glucose, dyslipidemia, glycerol triglyceride, syndrome X, and TB. In addition, the compounds of the present invention are also used in the treatment of diseases such as obesity, such as regulating pupa and food, and for treating atherosclerosis, hyperlipidemia, hypercholesterolemia, low hdl content, hypertension Cardiovascular diseases (including atherosclerosis, coronary heart disease, coronary artery disease and hypertension), cerebrovascular diseases and peripheral vascular diseases; and for the treatment of lupus, polycystic ovarian syndrome, carcinogenesis and hyperplasia. The guanidine compound is also suitable for the treatment of physiological conditions associated with, for example, cell differentiation to produce lipid-cumulative cells, such as dysfunctional dysfunction of the adeno-gland, gonadocin-secreting tumors, and/or due to insulin autoantibodies, insulin receptors. Autologous antibodies or autoimmune antibodies to stimulating autologous antibodies to pancreatic beta cells are involved in the regulation of insulin sensitivity and blood glucose levels; macrophage differentiation leads to the formation of atherosclerotic plaques; inflammation Reaction, carcinogenesis, hyperplasia, adipocyte gene expression, adipocyte differentiation, pancreatic 0 cell volume reduction, tensalin secretion, tissue sensitivity to lycopene, liposarcoma cell growth, polycystic nevus disease, chronic absence Typography, male hyperactivity, progesterone production, steroidogenesis, redox potential in cells and oxidative stress, nitric oxide synthase (NOS) production, gamma glutamine transpeptidase, catalase, blood polytrimic acid Glycerin, HDL and LDL cholesterol levels are elevated, and pots are similar. 〃 S } The specific applicable compounds described in the present invention are those having the effects of lowering blood glucose concentration and serum diglyceride content and increasing serum HDL cholesterol content, 148833.doc 57-201102372. Therefore, it is expected that the compounds of the present invention have value as therapeutic agents. Thus, the present invention includes a method of treating a plurality of conditions identified above in a patient, including a mammal, which comprises administering to the patient a composition comprising a compound of formula I in an amount effective to treat the target condition. As indicated above, the compounds of the invention may be administered alone or in combination with one or more additional money reductions. Combination therapies include administration of a single-drug dosage formulation comprising a compound of the invention and/or a plurality of additional hypoglycemic agents, and administration of a separate pharmaceutical dosage formulation of the compound of the invention and each additional hypoglycemic agent itself And the compound of the invention and each additional hypoglycemic agent. For example, the compounds of the present invention and hypoglycemic agents can be co-administered to a patient in the form of a single oral dosage composition such as a lozenge or capsule or each of the agents can be administered as a separate oral dosage formulation. When a separate dosage formulation is used, the compound of the invention and one or more additional hypoglycemic agents can be administered substantially simultaneously (e.g., co-) or at a time (e.g., sequentially) at various staggered times. By way of example, the compounds of the invention may be administered in combination with one or more of the following additional hypoglycemic agents; bismuth; such as metformin or metformin; sulfonamide, such as acesulfame Acetohexamide, chl〇r〇pr〇pamide, tolazamide, t〇ibutamide, glyburide, glyph Glipizide, gizazizide; or any other phytosulinin, such as repaglinide and nateglinide; α-glycosidase inhibitors, such as sugar sulphate , voglibose 148833.doc -58- 201102372 (voglibose) or migliol; or pr adrenergic receptor agonist, such as CL-316,243. As is well known in the art, the compounds of the present invention can also be used in the form of the free base or in the form of compositions, as well as in research and diagnostics or as analytical reference standards and analogs thereof. Thus, the invention includes compositions comprising an inert carrier and an effective amount of a compound of the invention, or a salt or vinegar thereof. An inert carrier is any material that does not interact with the compound to be carried, and which provides support, transport, accumulating, traceable materials, and the like to the compound to be carried. An effective amount of a compound is the amount that produces or affects the results of a particular procedure being performed. In another aspect, the invention provides a method of treating a disease condition in a patient, wherein the disease is associated with a physiologically harmful amount of phytotoxic, blood, free fatty acid (FFA), cholesterol or triglyceride in the blood. The method comprises administering to the patient a therapeutically effective amount of a compound of formula I. In another embodiment J, the method of treating a disease condition in a patient, wherein the disease is associated with a physiologically harmful amount of insulin, glucose, free fatty acid (tetra) A) or triglyceride in the blood, the method comprises A therapeutically effective amount of a compound of formula 1 is administered to a patient and a therapeutically effective amount of an additional hypoglycemic agent, such as imaginin, a biguanide compound, and the like, is also administered. Kiss fishing is known to be a sulfonate, and his insulin secretagogue can stimulate insulin, but it does not work on 姨 素, and the combination of the present invention: enough to act on insulin resistance, so imagine these drugs The combination can be: the condition of insulin secretion deficiency and insulin resistance are both related. ,. Therefore, the present invention also provides a method for treating a patient's diabetes type I48833.doc • 59· 201102372" comprising administering a compound of the present invention and one or more additional agents such as gg-gland, biguanide, and adrenal gland. Receptor agonist, stimulating (four) inhibitor and mesin. In addition, the compound can be reduced with HMG c〇_A to inhibit d (statin statin), bile acid binding resin or fiber acid derivative, ' Sigma used to improve dyslipidemia and insulin resistant individuals. The compounds of the present invention may also be associated with the regulation of hypertension in individuals with insulin resistance or type 2 diabetes (eg, angiotensin converting enzyme (ace) inhibitors, resistance A combination of a drug, a calcium channel blocker, and a body weight agent. (2) Psoriasis Another aspect of the invention provides a method of preventing or treating psoriasis in an individual. The methods include administering to an individual in need thereof An effective amount of a compound of the invention. In some embodiments, the compound of the invention is administered topically. In another embodiment, the compound of the invention is administered intradermally, subcutaneously, orally, buccally, transdermally, orally. Or administered otic. In some embodiments, a compound of the invention may be administered in combination with one or more therapeutic agents. In one embodiment, the therapeutic agent is selected from the group consisting of: a corticosteroid; a vitamin D analog Amidoxime; cyclosporine; fumarate; Adalimna; aficex; alfazumab; etanercept; infliximab; steroid; retinoid; Antimicrobial compound; anti-oxidant; anti-inflammatory compound; salicylic acid; endothelin antagonist; immunomodulator; angiogenesis inhibitor; inhibitor of FGF, VEGF, HGF or EGF; inhibition of EGF, FGF, VEGF or HGF receptor a tyrosine kinase inhibitor; a protein kinase C inhibitor; and combinations thereof. In another embodiment, the compound of the invention may be combined with one or more selected from phototherapy 148833.doc -60 - 201102372 and/or photochemistry The combination therapy of therapy is administered in combination. (3) Alzheimer's disease according to one aspect of the present invention, provides a method for preventing or treating Alzheimer's disease, and the methods include administering to an individual in need of such treatment An effective amount of a compound of the invention. In some embodiments, the compound is administered intravenously, orally, buccally, transdermally, rectally, nasally or otically. In another embodiment, the compound of the invention may be administered in combination with at least one additional therapeutic agent. ♦ Exemplary additional therapeutic agents include, but are not limited to, antioxidants, anti-inflammatory agents, gamma secretase inhibitors, neurotrophic agents, acetylcholinesterase inhibitors, statin inhibitors, A ρ peptides, and anti-Α peptides The compounds described herein can be administered in combination with one or more other drugs for the treatment or prevention of Alzheimer's disease. Other drugs for the treatment or prevention of Alzheimer's disease include cholinesterase inhibitors. (eg, tacrine, galantamine, rivastigmine or winter niperazole) and NMDA inhibitors (eg, memantine). The compounds described herein can be administered in combination with one or more other drugs for the treatment or prevention of other dementias. Other drugs include non-steroidal anti-inflammatory drugs (NSAIDs) such as naproxen, ibuprofen, diclofenac, acesulfame, nabumetone, piroxicam, celecoxib and aspirin. Other drugs that may be combined with the compounds described herein include HMG_c〇A reductase inhibitors, such as statin statins (eg, simvastatin (z〇c〇r), atorvastatin (Lipitor), russin a ( Crest〇r), fluvastatin (Lesc〇1)). Depending on the individual drug used in the combination therapy for simultaneous administration, it may be compounded into a combination (where a stable formulation may be prepared and the desired dosage regimen is phase) or the drug may be individually formulated (for The same or optional one of the 148833.doc 201102372 pathways are accompanied or individually administered). In some embodiments, an individual of the invention has one or more risk factors for developing Alzheimer's disease selected from the group consisting of a family history of disease; a genetic predisposition to disease; high serum cholesterol; adult onset diabetes; a high baseline hippocampus Volume; high total tau protein content in cerebrospinal fluid; high phosphorylated tau protein content in cerebrospinal fluid; and low Αβ(1-42) content in cerebrospinal fluid. An HPLC-electrospray was obtained using a Hewlett-Packard 1100 HPLC equipped with a quaternary pump, visible wavelength detector, YMC Pro C18 2.0 mm><23 mm column and Finnigan LCQ ion trap mass spectrometer using electrospray ionization. Fog mass spectrometry (HPLC ES-MS). A gradient elution of 90% A to 95% B over 4 minutes was used on HPLC. Buffer A was 98% water, 2% acetonitrile and 0.02% TFA, and Buffer B was 98% acetonitrile, 2% water and 0.018% TFA. The spectra were scanned from 140-1200 amu using variable ion times based on the number of ions in the source. Me4Si (S 0.00) or residual protonation solvent (CHC13 δ 7.26; MeOH δ 3.30; DMSO δ 2.49) was used as a standard for measuring proton & Η NMR on a General Electric GA^-Omega 300 (300 MHz) spectrometer ( NMR) spectra. Carbon (13(:州]\411 spectra were measured using a solvent (CDC13 δ 77.0 ; d3-MeOD ; δ 49.0 ; d6-DMSO δ 3 9.5) as a standard using a General Electric GiV-Omega 300 (75 MHz) spectrometer. Commercially available Chiracel® AD HPLC columns were separated by a solution of isopropanol in hexane (1% to 15%) (addition of 0.1% trifluoroacetic acid) for palm separation. For Example 5, the following analytical instrument was used: 148833.doc -62- 201102372 (1) HPLC: Instrument: Perkin-Elmer Series 200, column: YMC Pro C18, S-3um, 12mm (4.6x150 mm/AS12503-1546WT); Mobile A: 0.1% TFA HPLC H20, mobile B: HPLC CH3CN with 0.1% TFA, temperature = ambient temperature; wavelength = 220 nm gradient: time (min) rate (ml/min) mobile A mobile B 0 1.00 75 25 25 1.00 20 80 27 1.00 10 90 30 1.00 10 90 31 1.00 75 25 36 1.00 75 25 (2) NMR: Bruker 400 MHz (3) Mass Spectrometer: Waters Micromass ZQ Abbreviations and acronyms When used in the following abbreviations, this has the following meaning: Ac2〇乙Anhydride ADDP Γ, Γ-(azodicarbonyl)dipiperidine anhy anhydrous BOC tert-butoxycarbonyl «-BuOH n-butanol i -BuOH tert-butanol i-BuOK potassium butoxide potassium CDI carbonyl diimidazole CD3〇D sterol-a 148833.doc -63 - 201102372

Celite® 矽藻土過濾劑,®Celite Corp. CH2C12 二氯甲烷 CI-MS 化學電離質譜法 cone 濃 DCC 二環己基碳化二亞胺 DCM 二氯甲烷 de 非對映異構體過量 DEAD 偶氮二甲酸二乙酯 dec 分解 DIA 二異丙胺 DIBAL-H 氫氧化二異丁基鋁 DMAP 二曱胺基)。比啶 DME 二曱氧基乙烷 DMF 二甲基曱醯胺 DMSO 二曱亞颯 EDC1 1-(3-二f胺基丙基)-3-乙基碳化二亞胺鹽酸鹽 ee 對映異構體過量 ELSD 蒸發光散射偵測器 ES-MS 電喷霧質譜法 EtOAc 乙酸乙酯 EtOH 乙醇(100%) EtSH 乙硫醇 Et20 乙醚 Et3N 三乙胺 148833.doc -64- 201102372 GC-MS 氣相層析法-質譜法 HPLC 高效液相層析法 IPA 異丙胺 LAH 氫化鋰鋁 LC-MS 液相層析法-質譜法 LDA 二異丙胺基鋰 m/z 質荷比 MeCN 乙腈 NMM 4-甲基嗎啉 Ph3P 三苯膦 Pd(dppf)Cl2 [1,Γ-雙(二苯膦基)二茂鐵]二氣鈀(II) Pd(PPh3)4 肆(三苯膦)鈀(0) Pd(OAc)2 乙酸鈀 P(〇)Cl3 氧氣化填 Rf 滞留率(TLC) RT 滯留時間(HPLC) rt 室溫 TEA 三乙胺 THF 四氫呋喃 TFA 三氟乙酸 TLC 薄層層析法 TMAD Ν,Ν,Ν',Ν'-四曱基乙二胺 TMSC1 三甲基矽烷基氯化物 實例1. 148833.doc -65- 201102372 製備化合物1 (5·{2-[5-乙基-2-(4-羥基-苯基)-噁唑-4-基I-乙 氧基}-二氫茚-1-基)-乙酸Celite® Algae Filter,®Celite Corp. CH2C12 Dichloromethane CI-MS Chemical Ionization Mass Spectrometry Cone Concentrated DCC Dicyclohexylcarbodiimide DCM Dichloromethane de Diastereomeric excess DEAD Azodicarboxylic acid Diethyl ester dec decomposes DIA diisopropylamine DIBAL-H diisobutylaluminum hydride DMAP diamine. Bipyridine DME Dimethoxyethane DMF dimethyl decylamine DMSO Diterpenoid EDC1 1-(3-difaminopropyl)-3-ethylcarbodiimide hydrochloride ee enantiomeric Excessive ELSD Evaporative Light Scattering Detector ES-MS Electrospray Mass Spectrometry EtOAc Ethyl Acetate EtOH Ethanol (100%) EtSH Ethyl Mercaptan Et20 Ethyl Ether Et3N Triethylamine 148833.doc -64- 201102372 GC-MS Gas Phase Chromatography-mass spectrometry HPLC high performance liquid chromatography IPA isopropylamine LAH lithium aluminum hydride LC-MS liquid chromatography-mass spectrometry LDA diisopropylamine lithium m/z mass-to-charge ratio MeCN acetonitrile NMM 4-methyl Morpholine Ph3P Triphenylphosphine Pd(dppf)Cl2 [1,Γ-bis(diphenylphosphino)ferrocene]digas palladium(II) Pd(PPh3)4 肆(triphenylphosphine)palladium(0) Pd( OAc)2 Palladium acetate P(〇)Cl3 Oxygenation Rf Retention rate (TLC) RT Retention time (HPLC) rt Room temperature TEA Triethylamine THF Tetrahydrofuran TFA Trifluoroacetic acid TLC Thin layer chromatography TMAD Ν, Ν, Ν ',Ν'-tetradecylethylenediamine TMSC1 trimethylsulfonium alkyl chloride Example 1. 148833.doc -65- 201102372 Preparation of Compound 1 (5·{2-[5-ethyl-2-(4-hydroxyl) -phenyl)-cacao I- 4-ethoxy} - indan-1-yl) - acetic acid

化合物1 藉由使用有機驗或無機驗,在適合溶劑中,在適合反應 條件(例如含CsfO3之乙腈(Acn),在約70°C之高溫下) 下’使化合物la與化合物比反應獲得化合物ic來開始反應 流程1 °在適合反應條件下(例如Na〇I1/EtOH,在约65T: 下)以適當鹼處理化合物丨c,使酯部分水解,且接著繼之 以鲅化(例如HC1)產生化合物1 d。隨後,於二氣曱烷(Dcm) 中以三演化硼(BBr3)處理化合物Id獲得化合物1 ^或者,可 在適田溶劑中以氯化鋁/十二基硫醇處理化合物1 d獲得化 合物1。 可在進仃熟習此項技術者已知之修改下,根據文獻中所 述之方法(例如美國專利第6,828,335號),製備化合物1&及 148833.doc -66- 201102372 反應流程1 ^C〇2EtCompound 1 obtains a compound by reacting a compound la with a compound by using an organic or inorganic test in a suitable solvent under suitable reaction conditions (for example, CsfO3-containing acetonitrile (Acn) at a high temperature of about 70 ° C) Ic to start the reaction scheme 1 ° under appropriate reaction conditions (eg Na〇I1/EtOH, at about 65T:) with a suitable base to treat the compound 丨c, the ester is partially hydrolyzed, and then followed by deuteration (eg HC1) Compound 1 d is produced. Subsequently, the compound Id is treated with tri-boron boron (BBr3) in dioxane (Dcm) to obtain compound 1 ^ or compound 1 can be obtained by treating compound 1 d with aluminum chloride / dodecyl mercaptan in an appropriate solvent. . Compounds 1 & and 148833.doc -66-201102372 Reaction Scheme 1 ^C〇2Et can be prepared according to the methods described in the literature (for example, U.S. Patent No. 6,828,335), as is known to those skilled in the art.

(1) NaOH/EtOH, 65°C (2) HQ(1) NaOH/EtOH, 65°C (2) HQ

BBr3 / CH2CI2 或者:A1C13/十二基硫醇BBr3 / CH2CI2 or: A1C13/dodecylmercaptan

實例2 合成化合物2 (5-{2-[2-(4-苯甲氧基-苯基)-5-乙基-噫唑-4-基】-乙氧基}-二氫茚-1-基)-乙酸Example 2 Synthesis of Compound 2 (5-{2-[2-(4-Benzyloxy-phenyl)-5-ethyl-oxazol-4-yl]-ethoxy}-dihydroindole-1- Base)-acetic acid

藉由在適合反應條件下(例如含Cs2C03之乙腈(ACN),在 7〇°C之高溫下)使化合物la與化合物2b偶合獲得化合物2c [ I48833.doc •67· 201102372 來開始反應流程2。接著,在適合反應條件下(例如 NaOH/Et〇H,在約65°C下)以適當鹼處理化合物2c,使酯 部分水解。隨後酸化(使用例如HC1)獲得化合物2。 可在進行熟習此項技術者已知的修改下,根據文獻中所 述之方法(例如美國專利第6,828,335號),製備化合物2b。 反應流程2 ^C〇2EtThe reaction scheme 2 is started by coupling the compound la with the compound 2b under suitable reaction conditions (for example, acetonitrile (ACN) containing Cs2C03 at a temperature of 7 ° C) to obtain the compound 2c [I48833.doc •67·201102372. Next, compound 2c is treated with a suitable base under suitable reaction conditions (e.g., NaOH/Et〇H at about 65 ° C) to partially hydrolyze the ester. Compound 2 is then obtained by acidification (using, for example, HCl). Compound 2b can be prepared according to methods described in the literature (e.g., U.S. Patent No. 6,828,335), which is incorporated herein by reference. Reaction Scheme 2 ^C〇2Et

(l)NaOH/EtOH, 65°C(l) NaOH/EtOH, 65 ° C

COOH 實例3化合物1之替代合成 根據反應流程3,亦可藉由使化合物2c氫解產生化合物 3b,來製備化合物1。接著,可在適合反應條件下(例如 NaOH/EtOH,在約65°C下)以適當鹼處理化合物3b,使酯 部分水解。隨後酸化(使用例如HC1)產生化合物2。或者, 可藉由使化合物2氫化獲得化合物1,來製備化合物1。 148833.doc -68- 201102372 反應流程3COOH Example 3 Alternative Synthesis of Compound 1 According to Reaction Scheme 3, Compound 1 can also be produced by hydrogenolysis of Compound 2c to give Compound 3b. Next, compound 3b can be treated with a suitable base under suitable reaction conditions (e.g., NaOH/EtOH at about 65 ° C) to partially hydrolyze the ester. Subsequent acidification (using, for example, HCl) produces Compound 2. Alternatively, Compound 1 can be produced by hydrogenating Compound 2 to obtain Compound 1. 148833.doc -68- 201102372 Reaction Process 3

實例4製備化合物1 -3之鹽 製備化合物1 -3之鹽的例示性程序顯示於反應流程4中。 可藉由在適合溶劑(例如含NaOEt之乙醇)中以適當驗處 理,隨後使用適當反溶劑(例如乙醚)沈澱,產生化合物工_3 之鹽’將化合物1 -3轉化為鹽。 148833.doc 69- 201102372 反應流程4Example 4 Preparation of a salt of Compound 1-3 An exemplary procedure for preparing a salt of Compound 1-3 is shown in Reaction Scheme 4. Compound 1-3 can be converted to a salt by appropriate treatment in a suitable solvent (e.g., ethanol containing NaOEt) followed by precipitation with a suitable anti-solvent (e.g., diethyl ether) to afford a salt of compound. 148833.doc 69- 201102372 Reaction Process 4

化合物1: R4為OH 化合物2:R4為-OBn 化合物3:R4為-0CDCompound 1: R4 is OH Compound 2: R4 is -OBn Compound 3: R4 is -CD

--COOH ⑴ NaOEt/EtOH (2)反溶劑(例如乙醚)--COOH (1) NaOEt/EtOH (2) Antisolvent (eg diethyl ether)

COONa 化合物1: R4為OH 化合物2:R4為-OBn 化合物3:R4為-OCD3 實例5.製備化合物4 (5-{2-[5 -乙基- 2- (D3-4-甲氧基-苯基)-11惡嗤-4-基】-乙氧基}- 二風Bp _ 1_基)_乙酸COONa Compound 1: R4 is OH Compound 2: R4 is -OBn Compound 3: R4 is -OCD3 Example 5. Preparation of Compound 4 (5-{2-[5-ethyl-2-(D3-4-methoxy-) Phenyl)-11 oxind-4-yl]-ethoxy}- dioxin Bp _ 1_yl)-acetic acid

(5-{2-[5-乙基-2*(D3^4-甲氧基-苯基)-噁唑斗基]-乙氡基}-二氫茚-1-基)·乙酸 可類似於化合物Id及2,藉由以適當氘化起始物質或如 反應流程5中所示之t間物開始,製備化合物4。 MS: m/z: 425.3 (M+H); ^NMR (CDC13) δ 7.906(d, 2H), 7.07(d, H), 6.93(d, 2H), 6.72(d, 1H), 6.70(dd, 1H), 4.19(t, 2H), 3.51(q, 1H), 2.86(t, 2H), 2.75(m, 5H), 2.48(m, 2H), 1.75(t,1H),1.29(t,3H)。 148833.doc -70- 201102372 反應流程5 ^C〇2Et(5-{2-[5-ethyl-2*(D3^4-methoxy-phenyl)-oxazolidine]-ethenyl}-dihydroindol-1-yl)·acetic acid can be similar Compounds 4 are prepared starting from compounds Id and 2 by the appropriate deuteration of the starting material or the t-substance as shown in Reaction Scheme 5. MS: m/z: 425.3 (M+H); NMR (CDC13) δ 7.906 (d, 2H), 7.07 (d, H), 6.93 (d, 2H), 6.72 (d, 1H), 6.70 (dd , 1H), 4.19(t, 2H), 3.51(q, 1H), 2.86(t, 2H), 2.75(m, 5H), 2.48(m, 2H), 1.75(t,1H), 1.29(t, 3H). 148833.doc -70- 201102372 Reaction Process 5 ^C〇2Et

一般技術人員應顯而易見,可在不悖離本文所述的本發 明之精神或範疇下,對本發明進行改變及修正。 148833.doc -71 -It will be apparent to those skilled in the art that the present invention may be modified and modified without departing from the spirit and scope of the invention. 148833.doc -71 -

Claims (1)

201102372 七、申請專利範圍: 1. 一種式I化合物,201102372 VII. Patent application scope: 1. A compound of formula I, 其中 R為11或(^-(:6烷基; R1為 Η、COOH、-Cd-OR1、(:3-(:8環烧基、Ci_C6^ 基、CVC6烯基或CVC6烷氧基’其中以為c〗_c6院基,且 該烧基、環烷基、烯基或烷氧基可視情況經一或多個選 自由以下組成之群的基團取代:氟、亞甲二氧基苯基及 本基’其中S亥亞甲一氧基苯基或苯基可視情況且獨立經 R6取代; R2為Η、函基或CrC6烷基,其中該烷基可視情況經一 或多個選自由以下組成之群的基團取代:(^-(:6烷氧基、 側氧基(oxo)及氟,或 R2為C5-14芳基、C3-14雜環或c5_14雜芳基,其中該芳 基、雜環或雜芳基可視情況經一或多個R6取代; R3為Η、(^-0:6烷基或苯基,其中該烷基或苯基可視情 況經一或多個R6取代; X為0或S ; R4為C5-14芳基、Cn4雜環或c5_14雜芳基’其中該芳 基、雜環或雜芳基經一或多個R7取代, 148833.doc 201102372 R5為Η、鹵基或C「C6烷基’其中該烷基可視情況經側 氧基取代; R6為鹵基;CF3 ; CrC6烷基,其中該烷基可視情況經 側氧基或羥基取代;或視情況經氟取代之氧基; R7係選自由以下組成之群 (a) 羥基, (b) CVC6烷氧基,其中該烷氧基之一或多個H為2h(d) ,及 ⑻-O-CHrPh,其中該苯基可 取代; W _0_c(=0)_Rii’ 其中R、CiC道基或 C5"芳基, ”中該貌基或芳基可視情況經一或多個選自由以下组成 之群的基團取代:_素、_ A、 u I 基、-SH、醯胺、羧酸、 烷基、。心硫烷基、芳基及。"雜芳 土,及俯cRd,且其獨立為氣或ΙΑ烧基; 立為氧或(Vc6烷基; 對映4Γ: 鹽、醋、前藥、立體異構體、非 2 &二構體、對映異構體或外消旋體。 4項1之化合物,其中該式1化合物具有以下結構:Wherein R is 11 or (^-(:6 alkyl; R1 is oxime, COOH, -Cd-OR1, (:3-(:8-cycloalkyl, Ci_C6^, CVC6-alkenyl or CVC6 alkoxy) It is considered that c _c6 is a base group, and the alkyl group, cycloalkyl group, alkenyl group or alkoxy group may be optionally substituted with one or more groups selected from the group consisting of fluorine, methylenedioxyphenyl group and The present group 'wherein the S-methoxy-1-phenylene group or the phenyl group may be optionally substituted by R6; R2 is an anthracene, a functional group or a CrC6 alkyl group, wherein the alkyl group may optionally consist of one or more selected from the group consisting of Substituting groups of groups: (^-(:6 alkoxy, pendant oxo and fluoro, or R2 is C5-14 aryl, C3-14 heterocyclic or c5_14 heteroaryl, wherein the aryl group a heterocyclic or heteroaryl group optionally substituted by one or more R 6 ; R 3 is fluorene, (^-0: 6 alkyl or phenyl, wherein the alkyl or phenyl group may be optionally substituted with one or more R 6 ; X is 0 or S; R4 is C5-14 aryl, Cn4 heterocyclic or c5_14 heteroaryl 'wherein the aryl, heterocyclic or heteroaryl is substituted by one or more R7, 148833.doc 201102372 R5 is Η, Halogen or C "C6 alkyl" wherein the alkyl group Substituted by a pendant oxy group; R6 is a halo group; CF3; CrC6 alkyl group, wherein the alkyl group may be optionally substituted with a pendant oxy group or a hydroxy group; or optionally an oxy group substituted by fluorine; R7 is selected from the group consisting of Group (a) hydroxy, (b) CVC6 alkoxy, wherein one or more H of the alkoxy group is 2h(d), and (8)-O-CHrPh, wherein the phenyl group is substituted; W _0_c (=0 Wherein R_CiC group or C5" aryl group, wherein the form or aryl group is optionally substituted with one or more groups selected from the group consisting of: _, _ A, u I , -SH, decylamine, carboxylic acid, alkyl, sulfoalkyl, aryl and "hetero-aromatics, and declination of cRd, and independently of gas or sulphur-burning; as oxygen or (Vc6 alkane) Enantiomers: salts, vinegars, prodrugs, stereoisomers, non-2&dimers, enantiomers or racemates. Compounds of claim 1 wherein the compound of formula 1 has the following structure: 148833.doc 201102372 3. 如請求項1或2之化合物,其中 R為Η ; R1為 Η ; R2 為 Η ; …為匕-仏烷基; X為Ο ; R4為經一或多個R7取代之苯基,其中R7係選自由以下 組成之群 (a) 經基, (b) Ci-Q烷氧基,且該烷氧基之一或多個Η為2H(D),及 (c) -0-CH2-Ph,其中該苯基可視情況經<^-(:6烷氧基取 代;且 R5 為 Η ; 或其醫藥學上可接受之鹽。 4. 如請求項1之化合物,其中該化合物具有以下結構:148833.doc 201102372 3. The compound of claim 1 or 2, wherein R is Η; R1 is Η; R2 is Η; ... is 匕-仏alkyl; X is Ο; R4 is substituted by one or more R7 a phenyl group, wherein R7 is selected from the group consisting of (a) a meridine, (b) a Ci-Q alkoxy group, and one or more of the alkoxy groups are 2H (D), and (c) - 0-CH2-Ph, wherein the phenyl group is optionally substituted by <^-(:6 alkoxy; and R5 is hydrazine; or a pharmaceutically acceptable salt thereof. 4. The compound of claim 1, wherein This compound has the following structure: 或其醫藥學上可接受之鹽。 5.如請求項1之化合物,其中該化合物具有以下結構:Or a pharmaceutically acceptable salt thereof. 5. The compound of claim 1, wherein the compound has the structure: 或其醫藥學上可接受之鹽。 148833.doc 201102372 6.如請求項1之化合物,其中該化合物具有以下結構:Or a pharmaceutically acceptable salt thereof. 148833.doc 201102372 6. The compound of claim 1, wherein the compound has the structure: PhH2COPhH2CO 或其醫藥學上可接受之鹽。 7. 如請求項1、2、4、5及6中任一項之化合物,其為其醫 藥學上可接受之鹽,其中該醫藥學上可接受之鹽選自由 以下組成之群:鹼金屬鹽、鹼土金屬鹽、與有機鹼之銨 鹽、及經選自由烷基ii化物及芳烷基組成之群的試劑四 級銨化之共軛鹼中之含鹼性氮的基團。 8. 如請求項1、2、4、5及6中任一項之化合物’其中該化 合物為其葡曱胺鹽、鉀鹽或鈉鹽。 9. 如請求項1之化合物,其中R2係選自由以下組成之群: 苯基、吱喃基、塞吩基、°比σ各基、°惡°坐基、嘆°坐基、°米 〇坐基、。比。坐基、異°惡°坐基、異°塞。坐基、三°坐基、°惡二0坐 148833.doc 201102372 基、噻二唑基、四唑基、吡啶基、吡咯啶基、哌啶基、 四氫°底喃基、四氫硫略喃基、派嗪基及嗎嚇·基’其可各 視情況經一或多個R6取代。 10·如請求項1之化合物,其中r4係選自由以下組成之群: 苯基、萘基、呋喃基、噻吩基、°比咯基 '四氫呋喃基、 吡咯啶基、吡咯啉基、四氫噻吩基、噁唑基、噻唑基、 咪唑基、吡唑基、異噁唑基、異噻唑基、三唑基、。惡二 °坐基、。塞二唆基、四。生基、°比咬基、派咬基、四氫娘0南 基、四氫硫哌喃基、嘧啶基、D比嗪基、噠嗪基、哌嗅 基、嗎啉基、苯并呋喃基、二氫苯并呋喃基、苯并噻吩 基、二氫苯并〇塞吩基、W α朵基、叫丨。朵淋基、弓丨嗤基、笨 并噁唑基、笨并噻唑基、苯并咪唑基、苯并異噁唑基、 苯并異噻唑基、苯并間二氧雜環戊烯基 '喹琳基、異啥 琳基 '喹唑啉基、喹噁唑啉基(quin〇xaz〇linyl)、二氫苯 并哌喃基、二氫苯并硫哌喃基及M_苯并二噁烷基,其 可各經一或多個R7取代。 H· —種醫藥組合物,其包含有效量之如請求項丨至⑺中任 一項之化合物及醫藥學上可接受之載劑。 12.如請求之醫藥組合物,其進一步包含—或多種降血 糖劑。 13. 如請求項12之醫藥組合物,其中該降A糖劑係選自 下組成之群:胰島素、雙胍、㈣脲、胰島素促泌 ㈣酶抑制劑及β3_腎上腺素受體促效劑。 14. 如請求中任一項之醫藥組合物,盆進一步 148833.doc 201102372 一或多種選自由以下組成之群的藥劑:HMG c〇A還原酶 抑制劑、膽汁酸結合劑、纖維酸衍生物、調控高血壓之 藥劑及調控體重之藥劑。 15. 如請求項11至13中任一項之醫藥組合物,其進一步包含 一或多種選自由以下組成之群的藥劑:類皮質素;維生 素D類似物;曱胺喋呤(meth〇trexate);環孢素(cycl〇sp〇rin) :反丁烯二酸鹽;阿達利姆那(adalimunag);阿非賽特 (alefecept);阿法珠單抗(afaHzumab);依那西普 (etanercept);英利昔單抗(infUximab);類固醇;類視黃 素;抗微生物化合物;抗氧化劑;消炎化合物;水楊 酸;内皮素拮抗劑;免疫調節劑;血管新生抑制劑; FGF、VEGF、HGF 或 EGF之抑制劑;EGF、FGF、VEGF 或HGF受體之抑制劑;酪胺酸激酶抑制劑;蛋白激酶c 抑制劑;及其組合。 16. 如請求項11至13中任一項之醫藥組合物,其進一步包含 一或多種選自由以下組成之群的藥劑:抗氧化劑、消炎 劑、γ分泌酵素抑制劑、神經營養劑、乙醯膽鹼酯酶抑 制劑、士他汀抑制素(statin)、Αβ肽及抗Αρ肽。 17. —種如請求項1至10中任一項之化合物的用途,其係用 於製造治療或預防糖尿病之藥物。 18· —種如睛求項1至1〇中任一項之化合物的用途,其係用 於製造治療或預防症候群X之藥物。 19. 一種如請求項丨至⑺令任一項之化合物的用途,其係用 於製造治療或預防糖尿病相關病症之藥物。 148833.doc -6 · 201102372 20·如w求項19之用途,其中該糖尿病相關病症係選自由以 下=成之群··高血糖症、高胰島素血症、葡萄糖耐受性 異㊉、空腹血糖異常、血脂異常、高三酸甘油酯血症及 胰島素抗性。 21. 一種如請求項u1〇中任一項之化合物的用途,其係用 於製造治療或預防肥胖症之藥物。 22· —種如請求項丨至^中任一項之化合物的用途,其係用 於製造治療或預防心血管疾病之藥物。 如π求項22之用途,其中該心血管疾病係選自由以下組 成之群··動脈粥樣硬化症、血脂異常、高膽固醇血症、 低HDL含量、高血廢、冠心病及冠狀動脈疾病。 24. —種如請求項丨至⑺中任一項之化合物的用途,其係用 於製造治療或預防腦血管疾病之藥物。 25. —種如請求項丨至1〇中任一項之化合物的用途,其係用 於製造治療或預防周邊血管疾病之藥物。 26. —種如請求項丨至1〇中任一項之化合物的用途其係用 於製造治療或預防狼瘡之藥物。 27. —種如請求項丨至1〇中任一項之化合物的用途,其係用 於製造治療或預防多囊性卵巢疾病之藥物。 28. —種如請求項1至1〇中任一項之化合物的用途其係用 於製造治療或預防癌發生及增生之藥物。 29. —種如請求項丨至1〇中任一項之化合物的用途其係用 於製造與一或多種降血糖劑組合治療或預防糖尿病、症 候群X及/或糖尿病相關病症的藥物。 148833.doc 201102372 3〇·如請求項29之料,其中該糖尿病相關病症係選自由以 下組成之群:高血糖症、高膦島素血症、葡萄糖耐受性 異常、空腹血糖異常、血脂異常、高三酸甘油醋血症及 胰島素抗性。 31. 32. 33. 如請求項29之用途’其中該藥物及該一或多種降血糖劑 調配為單一藥物劑量調配物。 —種如請求項丨至10中任一項之化合物的用途,其係用 於製造與-或多種選自由以下組成之群的藥劑組合治療 糖尿病、症候群又及/或糖尿病相關病症之藥物:HMG CM還原酶抑制劑、膽汁酸結合劑、纖維酸衍生物、調 控高血壓之藥劑及調控體重之藥劑。 如請求項32之請,其巾該糖尿射目關病症係選自由以 下組成之群:高金糖症、高胰島素血症、葡萄糖耐受性 異常、空腹血糖異常、血脂異常、高三酸甘油症及 胰島素抗性。 34·—種如請求項丨至1〇中任一項之化合物的用途,其係用 於製造治療或預防牛皮癣之藥物。 35. 如請求項34之用途,其中該藥物係局部投與。 36. 如請求項34之用途,其中該藥物係皮内、皮下、經口、 經頰、經皮、經直腸或經耳投與。 37. 如请求項34之用$ ’其中該藥物係與—或多種額外治療 劑一起投與。 、 38. 如請求項37之用途,其中該額外治療劑係選自由以下組 成之群.類皮質素;維生素D類似物;甲胺嗓吟;環抱 148833.doc 201102372 素’反丁稀m阿達利姆那;阿非賽特;阿法珠單 抗’依那西普;英利昔單抗;類固醇;類視黃素;抗微 生物化合物;抗氧化劑;消炎化合物;水楊酸;内皮素 结抗劑;免疫調節劑;血管新生抑制劑;fgf、vegf、 HGF或EGF之抑制劑;咖、FGF、VEGF或HGF受體之 抑制劑’絡胺酸激酶抑制劑;蛋白激酶c抑制劑;及其 組合。 ^ 39·如請求項34至38t任—項之用途,其中該藥物係與一或 多種選自光療法或光化學療法之協作療法一起投與。 40. -種如請求項lil〇中任一項之化合物的用途其係用 於製造為有需要個體治療或預防阿兹海默氏病 (Alzheimer's disease)的藥物。 4 1 ·如明求項40之用途’其中該藥物係經靜脈内、經口、經 頰、經皮、經直腸、經鼻或經耳投與。 、 42.如凊求項41之用途,其中該藥物係與―或多種額外治療 劑一起投與。 43·如請求項42之用途,其中該—或多種額外治療劑係用於 治療或預防阿茲海默氏病。 44. 如請求項42之用途,其令該―或多種額外治療劑為膽驗 酯酶抑制劑或NMDA抑制劑。 45. 如請求項42之用途,其中該額外治療劑係選自由以下組 成之群:他克林(tacrine)、加蘭他敏(galantamine)、利凡 斯的明(dvastigamine)、冬尼培唑(d〇nepezil)及美金剛 (memantine) 〇 I48833.doc 201102372 46.如請求項42之用途,其中一或多種額外治療劑係選自由 以下組成之群:抗氧化劑、消炎劑、γ分泌酵素抑制 劑、神經營養劑、乙醯膽鹼酯酶抑制劑、HMG-CoA還原 酶抑制劑(或士他汀抑制素)、Αβ肽及抗Αβ肽。 47_如請求項42之用途,其中一或多種額外治療劑係選自由 以下組成之群:萘普生(naproxen)、布洛芬(ibuprofen)、 雙氯芬酸(diclofenac)、吲哚美辛(indomethacin)、萘丁美 酮(nabumetone)、》比羅昔康(piroxicam)、塞來昔布(ceieC0xib) 、阿司匹靈(aspirin)、辛伐他汀(simvastatin,z〇c〇r)、 阿托伐他汀(atovastatin,Lipitor)、羅素他、汀(rosuvastatin ’ Crestor)及氟伐他 ί丁(fiuvastatin,Lescol)。 48. 如請求項40至47中任一項之用途,其中該個體具有一或 多種選自以下之發生阿茲海默氏病之風險因素:家族疾 病史;疾病之遺傳素因;高血清膽固醇;成人發病型糖 尿病;海馬基線體積高;腦脊髓液中1蛋白總含量高;腦 脊髓液中磷酸化τ蛋白含量高;及腦脊髓液中a β(ΐ-42) 含量低。 49. 一種製備式la化合物之方法,其包含使式β化合物脫烷 基化獲得式la化合物Or a pharmaceutically acceptable salt thereof. 7. A compound according to any one of claims 1, 2, 4, 5 and 6, which is a pharmaceutically acceptable salt thereof, wherein the pharmaceutically acceptable salt is selected from the group consisting of alkali metals a salt, an alkaline earth metal salt, an ammonium salt with an organic base, and a basic nitrogen-containing group in a conjugated base which is quaternized by a reagent selected from the group consisting of an alkyl group and an aralkyl group. 8. The compound of any one of claims 1, 2, 4, 5 and 6, wherein the compound is a glucosamine salt, a potassium salt or a sodium salt. 9. The compound of claim 1, wherein R2 is selected from the group consisting of: phenyl, decyl, thiophene, ° ratio σ, 恶 ° sit, stagnation, ° 〇 Sitting on the base. ratio. Sitting base, different ° ° ° sitting on the base, different ° plug. Sitting base, three-degree sitting base, ° 恶二0 sitting 148833.doc 201102372 base, thiadiazolyl, tetrazolyl, pyridyl, pyrrolidinyl, piperidinyl, tetrahydronaphthyl, tetrahydrothiolan The base, the pyrazinyl group and the acetonyl group can be substituted by one or more R6, as appropriate. 10. The compound of claim 1, wherein r4 is selected from the group consisting of phenyl, naphthyl, furyl, thienyl, pyrrolyltetrahydrofuranyl, pyrrolidinyl, pyrrolinyl, tetrahydrothiophene Base, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, isothiazolyl, triazolyl. Evil two ° sitting base,. Saijiji, four. Shengji, ° ratio, biting group, tetrahydrogeninyl, tetrahydrothiopyranyl, pyrimidinyl, D-pyridinyl, pyridazinyl, piperidinyl, morpholinyl, benzofuranyl , Dihydrobenzofuranyl, benzothienyl, dihydrobenzoxanthene, W α, and 丨. Dulphonyl, sulfhydryl, stupid and oxazolyl, stupid thiazolyl, benzimidazolyl, benzisoxazolyl, benzisothiazolyl, benzodioxolyl quin琳基, isoindolyl 'quinazolinyl, quinoxaxazinyl, dihydrobenzopyranyl, dihydrothiothiazepine and M_benzodioxane A group, each of which may be substituted with one or more R7 groups. A pharmaceutical composition comprising an effective amount of a compound of any one of claims 丨 to (7) and a pharmaceutically acceptable carrier. 12. A pharmaceutical composition as claimed, further comprising - or a plurality of hypoglycemic agents. 13. The pharmaceutical composition of claim 12, wherein the hypoglycemic agent is selected from the group consisting of insulin, biguanide, (iv) urea, insulin secretagogue (d) enzyme inhibitor, and beta 3 adrenergic receptor agonist. 14. The pharmaceutical composition according to any one of the preceding claims, further comprising 148833.doc 201102372 one or more agents selected from the group consisting of HMG c〇A reductase inhibitors, bile acid binders, fibric acid derivatives, An agent for regulating hypertension and a medicament for regulating body weight. The pharmaceutical composition according to any one of claims 11 to 13, further comprising one or more agents selected from the group consisting of corticosteroids; vitamin D analogues; meth〇trexate Cyclosporin (cyclin sp〇rin): fumarate; adalimunag; effeet; afaxumab; etanercept ); infUximab; steroids; retinoids; antimicrobial compounds; antioxidants; anti-inflammatory compounds; salicylic acid; endothelin antagonists; immunomodulators; angiogenesis inhibitors; FGF, VEGF, HGF Or an inhibitor of EGF; an inhibitor of EGF, FGF, VEGF or HGF receptor; a tyrosine kinase inhibitor; a protein kinase c inhibitor; and combinations thereof. The pharmaceutical composition according to any one of claims 11 to 13, further comprising one or more agents selected from the group consisting of antioxidants, anti-inflammatory agents, gamma secretase inhibitors, neurotrophic agents, acetamidine Cholinesterase inhibitors, statins, Αβ peptides and anti-Α peptides. 17. Use of a compound according to any one of claims 1 to 10 for the manufacture of a medicament for the treatment or prevention of diabetes. 18. The use of a compound according to any one of items 1 to 1 which is for the manufacture of a medicament for the treatment or prevention of syndrome X. 19. Use of a compound according to any one of claims 1 to 7 for the manufacture of a medicament for the treatment or prevention of a diabetes-related disorder. 148833.doc -6 · 201102372 20. The use of claim 19, wherein the diabetes-related disorder is selected from the group consisting of: hyperglycemia, hyperinsulinemia, glucose tolerance, and fasting blood glucose Abnormalities, dyslipidemia, hypertriglyceridemia, and insulin resistance. 21. Use of a compound according to any one of claims 1 to 1 for the manufacture of a medicament for the treatment or prevention of obesity. 22. Use of a compound according to any one of claims 1 to 2 for the manufacture of a medicament for the treatment or prevention of cardiovascular disease. The use of XX, wherein the cardiovascular disease is selected from the group consisting of atherosclerosis, dyslipidemia, hypercholesterolemia, low HDL content, high blood consumption, coronary heart disease, and coronary artery disease. . 24. The use of a compound according to any one of claims 1 to 7 for the manufacture of a medicament for the treatment or prevention of cerebrovascular diseases. 25. Use of a compound according to any one of claims 1 to 3 for the manufacture of a medicament for the treatment or prevention of peripheral vascular disease. 26. Use of a compound according to any one of claims 1 to 3 for the manufacture of a medicament for the treatment or prevention of lupus. 27. Use of a compound according to any one of claims 1 to 3 for the manufacture of a medicament for the treatment or prevention of polycystic ovarian disease. 28. Use of a compound according to any one of claims 1 to 1 for the manufacture of a medicament for the treatment or prevention of carcinogenesis and proliferation. 29. Use of a compound according to any one of claims 1 to 3 for the manufacture of a medicament for the treatment or prevention of diabetes, Syndrome X and/or diabetes related disorders in combination with one or more hypoglycemic agents. 148833.doc 201102372 3〇. The material of claim 29, wherein the diabetes-related disorder is selected from the group consisting of hyperglycemia, hyperphosphazeneemia, abnormal glucose tolerance, abnormal fasting glucose, and dyslipidemia High triglyceride and insulin resistance. 31. 32. 33. The use of claim 29 wherein the drug and the one or more hypoglycemic agents are formulated as a single drug dosage formulation. The use of a compound according to any one of claims 1 to 10 for the manufacture of a medicament for treating diabetes, a syndrome and/or a diabetes-related disorder in combination with - or a plurality of agents selected from the group consisting of: HMG CM reductase inhibitors, bile acid binders, fibric acid derivatives, agents for regulating hypertension, and agents for regulating body weight. In the case of claim 32, the condition of the diarrhea is selected from the group consisting of high glucose, hyperinsulinemia, abnormal glucose tolerance, abnormal fasting blood glucose, dyslipidemia, and hypertriglyceridemia. And insulin resistance. 34. Use of a compound according to any one of claims 1 to 3 for the manufacture of a medicament for the treatment or prevention of psoriasis. 35. The use of claim 34, wherein the drug is administered topically. 36. The use of claim 34, wherein the medicament is administered intradermally, subcutaneously, orally, buccally, transdermally, rectally or otically. 37. For use in claim 34, where the drug is administered with - or multiple additional therapeutic agents. 38. The use of claim 37, wherein the additional therapeutic agent is selected from the group consisting of: corticosteroids; vitamin D analogues; methotrexate; embracing 148833.doc 201102372 primed 'anti-butyls m-adali姆那;阿非赛特; Alfazumab 依依西普; Infliximab; Steroids; Retinoids; Antimicrobial compounds; Antioxidants; Anti-inflammatory compounds; Salicylic acid; Endothelin antagonists Immunomodulator; angiogenesis inhibitor; inhibitor of fgf, vegf, HGF or EGF; inhibitor of tyrosine kinase inhibitor of gamma, FGF, VEGF or HGF receptor; protein kinase c inhibitor; . The use of any of claims 34 to 38t, wherein the drug is administered with one or more synergistic therapies selected from phototherapy or photochemotherapy. 40. Use of a compound of any of the claims lil〇 for the manufacture of a medicament for treating or preventing Alzheimer's disease in need of an individual. 4 1 • The use of claim 40 wherein the drug is administered intravenously, orally, buccally, transdermally, rectally, nasally or otically. 42. The use of claim 41, wherein the drug is administered with or with a plurality of additional therapeutic agents. 43. The use of claim 42, wherein the one or more additional therapeutic agents are for treating or preventing Alzheimer's disease. 44. The use of claim 42, wherein the one or more additional therapeutic agents are a cholesterol esterase inhibitor or an NMDA inhibitor. 45. The use of claim 42, wherein the additional therapeutic agent is selected from the group consisting of tacrine, galantamine, dvastigamine, and winternipazole (d〇nepezil) and memantine 〇 I48833.doc 201102372 46. The use of claim 42, wherein the one or more additional therapeutic agents are selected from the group consisting of antioxidants, anti-inflammatory agents, gamma secretase inhibition Agent, neurotrophic agent, acetylcholinesterase inhibitor, HMG-CoA reductase inhibitor (or statin statin), Αβ peptide and anti-Αβ peptide. 47. The use of claim 42, wherein the one or more additional therapeutic agents are selected from the group consisting of naproxen, ibuprofen, diclofenac, indomethacin , nabumetone, piroxicam, ceieC0xib, aspirin, simvastatin, z〇c〇r, atovava Statins (atovastatin, Lipitor), russin, rosuvastatin 'Crestron' and vavastatin (Lescol). The use of any one of claims 40 to 47, wherein the individual has one or more risk factors for developing Alzheimer's disease selected from the group consisting of a family history of disease; a genetic predisposition of the disease; high serum cholesterol; Adult onset diabetes; high hippocampal baseline volume; high total protein 1 in cerebrospinal fluid; high content of phosphorylated tau protein in cerebrospinal fluid; and low content of a β (ΐ-42) in cerebrospinal fluid. 49. A process for the preparation of a compound of formula la, which comprises dealkylating a compound of formula β to obtain a compound of formula la 148833.doc -10- 201102372148833.doc -10- 201102372 R為烷基; R1 為 Η、C〇〇H、_C(=0)-〇R,、03-(:8環烷基、Cl_cw 基、CVC6烯基或C丨-C6烧氧基,其中r、Ci_c6烷基,且 δ亥烷基、環燒基、烯基或烷氧基可視情況經一或多個選 自由以下組成之群的基團取代:氟、亞曱二氧基苯基及 苯基’其中該亞曱二氧基苯基或苯基可視情況經R6取 代; R為Η、鹵基或Ci-C6烷基,其中該烷基可視情況經一 或多個選自由以下組成之群的基團取代:Ci_C6烷氧基、 側氧基及氟,或 R2為C5_M芳基、C3_M雜環或c:5」4雜芳基,其中該等芳 基、雜環及雜芳基可視情況且獨立經一或多個R6取代; R3為H、c^c:6烷基或苯基,其中該烷基或苯基可視情 況且獨立經一或多個R6取代; X為〇或s; ^為匕-匕烷氧基; R5為Η '鹵基或C〗-C6烷基,其中該烷基視情況經側氧 基取代;且 148833.doc • 11 · 201102372 R6為齒基、CF3、視情況經側氧基或羥基取代2Ci_c< 统基、或視情況經氟取代之c】烧氧基。 50. 51. 52. 53. 54. 55. 一種製造化合物B之方法,其包含使化合物a脫烷基化 rco〇Rc Λ ^ ▲ /R is an alkyl group; R1 is Η, C〇〇H, _C(=0)-〇R,, 03-(:8-cycloalkyl, Cl_cw-based, CVC6-alkenyl or C丨-C6 alkoxy, wherein r a Ci_c6 alkyl group, and the ?-alkyl, cycloalkyl, alkenyl or alkoxy group may be optionally substituted with one or more groups selected from the group consisting of fluorine, anthracene dioxyphenyl and benzene. Wherein the fluorene dioxyphenyl or phenyl group may be optionally substituted by R6; R is hydrazine, halo or Ci-C6 alkyl, wherein the alkyl group may optionally be selected from the group consisting of Substituted for: Ci_C6 alkoxy, pendant oxy and fluoro, or R2 is C5_M aryl, C3_M heterocycle or c: 5"4 heteroaryl, wherein the aryl, heterocycle and heteroaryl are as appropriate And independently substituted by one or more R6; R3 is H, c^c: 6 alkyl or phenyl, wherein the alkyl or phenyl group may be optionally substituted with one or more R6; X is hydrazine or s; ^ is 匕-decyloxy; R5 is Η 'halo or C〗-C6 alkyl, wherein the alkyl group is optionally substituted with a pendant oxy group; and 148833.doc • 11 · 201102372 R6 is a dentate group, CF3, Substituting a side oxy or hydroxy group for 2Ci_ c< or a fluoro group substituted by fluorine. 50. 51. 52. 53. 54. 55. A method of producing compound B, which comprises dealkylating compound a to rco〇Rc Λ ^ ▲ / H3CO 獲得化合物BH3CO obtains compound B COORc 溶劑中’以三溴化硼(BBr3) 其中該Rc為氫或Cl_C6烷基 如請求項50之方法,其係在 處理化合物A,進行該脫烷基化 如^求項51之方法,其中該溶劑為二氣甲烧。 如明求項5G之方法’其係在溶劑中,以含氯化铭之十二 烧基硫醇處理化合物A,進行該脫烧基化。 如清求項50之方法,其中R、cvc^基, 水解化合物B,獲得以下結叙化合物: 凡括 COOHIn the COORc solvent, the method of 'BBr3, wherein the Rc is hydrogen or Cl_C6 alkyl, as in the claim 50, is the treatment of the compound A, and the dealkylation is carried out as in the method of claim 51, wherein The solvent is a gas-fired gas. The de-alkylation is carried out by treating the compound A with a chlorinated decyl mercaptan in the same manner as in the method of 5G. For example, in the method of claim 50, wherein R, cvc^, hydrolyzed compound B, the following compound is obtained: H。识;C。. 結構: 如請求項50之方法,其中化合物A具有以下 148833.doc -12- 201102372H. Knowledge; C. Structure: The method of claim 50, wherein compound A has the following 148833.doc -12- 201102372 且化合物B具有以下結構:And compound B has the following structure: 56. 種製造化合物D之方法,其包括使化合物C之〇-CH2Ph 的喊鍵斷裂56. A method of making compound D comprising cleavage of a bond of 〇-CH2Ph of compound C ^cvc6院基。 57. 58. 59. 60. 如明求項56之方法,其中該斷裂步驟係藉由氫解進 如求項57之方法,其中以催化劑及氫(H2)氣處王: 物C,進行該氫解作用。 如β月求項58之方法,其中該催化劑係選自由以下參 • 1巴(Pd)/碳、氧化鉑及阮尼鎳(Haney nickel)。 月求項56之方法’其中以三溴化硼或三氣化硼々 合物C,進行該斷裂步驟。 148833.doc 201102372 61. 如請求項56之方法,其中以三曱基矽烷基碘化物處理化 合物C,進行該斷裂步驟。 62. 如請求項56之方法,其中11<;為(:1-(:6烷基,其進一步包括 水解化合物D,獲得以下結構之化合物:^cvc6 yard base. 57. The method of claim 56, wherein the cleavage step is carried out by hydrogenolysis into the method of claim 57, wherein the hydrogenolysis is carried out by using a catalyst and hydrogen (H2) gas: effect. A method of claim 7, wherein the catalyst is selected from the group consisting of Pb/carbon, platinum oxide, and Haney nickel. The method of claim 56, wherein the cleavage step is carried out with boron tribromide or boron trioxide hydride C. 148833.doc 201102372 61. The method of claim 56, wherein the compound C is treated with a trimethyl sulfonium alkyl iodide, and the cleavage step is carried out. 62. The method of claim 56, wherein 11 <; is (: 1-(: 6 alkyl, further comprising hydrolyzing compound D, obtaining a compound of the structure: 63.如請求項56之方法,其中化合物C具有以下結構: /COOH63. The method of claim 56, wherein compound C has the structure: /COOH 且化合物D具有以下結構And compound D has the following structure 148833.doc -14- 201102372 四、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: 五、本案若有化學式時,請揭示最能顯示發明特徵的化學式:148833.doc -14- 201102372 IV. Designation of representative drawings: (1) The representative representative of the case is: (none) (2) The symbol of the symbol of the representative figure is simple: 5. If there is a chemical formula in this case, please reveal the best display. Chemical formula of the inventive feature: 148833.doc -2 -148833.doc -2 -
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