CN105899500A - 取代的1,2,4-三嗪-3,5-二酮及其作为类糜蛋白酶抑制剂的用途 - Google Patents
取代的1,2,4-三嗪-3,5-二酮及其作为类糜蛋白酶抑制剂的用途 Download PDFInfo
- Publication number
- CN105899500A CN105899500A CN201480072708.6A CN201480072708A CN105899500A CN 105899500 A CN105899500 A CN 105899500A CN 201480072708 A CN201480072708 A CN 201480072708A CN 105899500 A CN105899500 A CN 105899500A
- Authority
- CN
- China
- Prior art keywords
- compound
- alkyl
- represent
- formula
- represent hydrogen
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- SSPYSWLZOPCOLO-UHFFFAOYSA-N 6-azauracil Chemical class O=C1C=NNC(=O)N1 SSPYSWLZOPCOLO-UHFFFAOYSA-N 0.000 title abstract 2
- 239000003601 chymase inhibitor Substances 0.000 title description 7
- 238000000034 method Methods 0.000 claims abstract description 67
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 48
- 201000010099 disease Diseases 0.000 claims abstract description 43
- 239000003814 drug Substances 0.000 claims abstract description 29
- 150000001875 compounds Chemical class 0.000 claims description 231
- 239000002585 base Substances 0.000 claims description 76
- 125000004178 (C1-C4) alkyl group Chemical group 0.000 claims description 58
- 239000001257 hydrogen Substances 0.000 claims description 58
- 229910052739 hydrogen Inorganic materials 0.000 claims description 58
- 239000002904 solvent Substances 0.000 claims description 47
- 150000003839 salts Chemical class 0.000 claims description 37
- 239000003112 inhibitor Substances 0.000 claims description 31
- 238000002360 preparation method Methods 0.000 claims description 31
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 30
- 239000002253 acid Substances 0.000 claims description 30
- 125000001424 substituent group Chemical group 0.000 claims description 30
- 150000002431 hydrogen Chemical class 0.000 claims description 28
- 239000012453 solvate Substances 0.000 claims description 26
- RIOQSEWOXXDEQQ-UHFFFAOYSA-N triphenylphosphine Chemical compound C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 RIOQSEWOXXDEQQ-UHFFFAOYSA-N 0.000 claims description 26
- 229910052799 carbon Inorganic materials 0.000 claims description 25
- 229910052736 halogen Inorganic materials 0.000 claims description 23
- 150000002367 halogens Chemical class 0.000 claims description 22
- 208000017169 kidney disease Diseases 0.000 claims description 22
- VVWRJUBEIPHGQF-MDZDMXLPSA-N propan-2-yl (ne)-n-propan-2-yloxycarbonyliminocarbamate Chemical compound CC(C)OC(=O)\N=N\C(=O)OC(C)C VVWRJUBEIPHGQF-MDZDMXLPSA-N 0.000 claims description 22
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 16
- 206010019280 Heart failures Diseases 0.000 claims description 15
- 239000003795 chemical substances by application Substances 0.000 claims description 15
- 230000003176 fibrotic effect Effects 0.000 claims description 14
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 14
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 14
- LPXPTNMVRIOKMN-UHFFFAOYSA-M sodium nitrite Chemical compound [Na+].[O-]N=O LPXPTNMVRIOKMN-UHFFFAOYSA-M 0.000 claims description 14
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 14
- 208000006673 asthma Diseases 0.000 claims description 13
- 239000003513 alkali Substances 0.000 claims description 12
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 claims description 12
- 239000005557 antagonist Substances 0.000 claims description 11
- 230000008859 change Effects 0.000 claims description 11
- 125000000229 (C1-C4)alkoxy group Chemical group 0.000 claims description 10
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 claims description 10
- 206010016654 Fibrosis Diseases 0.000 claims description 10
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical compound FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 claims description 10
- 208000001647 Renal Insufficiency Diseases 0.000 claims description 10
- 239000000460 chlorine Substances 0.000 claims description 10
- 229910052801 chlorine Inorganic materials 0.000 claims description 10
- 230000004761 fibrosis Effects 0.000 claims description 10
- 239000011737 fluorine Substances 0.000 claims description 10
- 229910052731 fluorine Inorganic materials 0.000 claims description 10
- 125000001072 heteroaryl group Chemical group 0.000 claims description 10
- 201000006370 kidney failure Diseases 0.000 claims description 10
- 230000000694 effects Effects 0.000 claims description 9
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 claims description 8
- 125000006272 (C3-C7) cycloalkyl group Chemical group 0.000 claims description 8
- FAMRKDQNMBBFBR-BQYQJAHWSA-N diethyl azodicarboxylate Chemical compound CCOC(=O)\N=N\C(=O)OCC FAMRKDQNMBBFBR-BQYQJAHWSA-N 0.000 claims description 8
- 229910052760 oxygen Inorganic materials 0.000 claims description 8
- 108010064733 Angiotensins Proteins 0.000 claims description 7
- 102000015427 Angiotensins Human genes 0.000 claims description 7
- 208000006545 Chronic Obstructive Pulmonary Disease Diseases 0.000 claims description 7
- XPDWGBQVDMORPB-UHFFFAOYSA-N Fluoroform Chemical compound FC(F)F XPDWGBQVDMORPB-UHFFFAOYSA-N 0.000 claims description 7
- 230000036772 blood pressure Effects 0.000 claims description 7
- 125000004043 oxo group Chemical group O=* 0.000 claims description 7
- 235000010288 sodium nitrite Nutrition 0.000 claims description 7
- 206010048768 Dermatosis Diseases 0.000 claims description 6
- 239000012190 activator Substances 0.000 claims description 6
- 125000001028 difluoromethyl group Chemical group [H]C(F)(F)* 0.000 claims description 6
- 208000002815 pulmonary hypertension Diseases 0.000 claims description 6
- 208000017520 skin disease Diseases 0.000 claims description 6
- 229940127291 Calcium channel antagonist Drugs 0.000 claims description 5
- 239000002876 beta blocker Substances 0.000 claims description 5
- 229940097320 beta blocking agent Drugs 0.000 claims description 5
- 239000000480 calcium channel blocker Substances 0.000 claims description 5
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 5
- 239000002461 renin inhibitor Substances 0.000 claims description 5
- 229940086526 renin-inhibitors Drugs 0.000 claims description 5
- 229910052717 sulfur Inorganic materials 0.000 claims description 5
- TUQOTMZNTHZOKS-UHFFFAOYSA-N tributylphosphine Chemical compound CCCCP(CCCC)CCCC TUQOTMZNTHZOKS-UHFFFAOYSA-N 0.000 claims description 5
- 239000005541 ACE inhibitor Substances 0.000 claims description 4
- 229940083712 aldosterone antagonist Drugs 0.000 claims description 4
- 229940044094 angiotensin-converting-enzyme inhibitor Drugs 0.000 claims description 4
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 4
- 125000002837 carbocyclic group Chemical group 0.000 claims description 4
- 239000003153 chemical reaction reagent Substances 0.000 claims description 4
- 239000002934 diuretic Substances 0.000 claims description 4
- 230000001882 diuretic effect Effects 0.000 claims description 4
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 4
- 125000000623 heterocyclic group Chemical group 0.000 claims description 4
- 239000001301 oxygen Substances 0.000 claims description 4
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 4
- UEZVMMHDMIWARA-UHFFFAOYSA-M phosphonate Chemical compound [O-]P(=O)=O UEZVMMHDMIWARA-UHFFFAOYSA-M 0.000 claims description 4
- 241001465754 Metazoa Species 0.000 claims description 3
- 230000000903 blocking effect Effects 0.000 claims description 3
- 125000003917 carbamoyl group Chemical group [H]N([H])C(*)=O 0.000 claims description 3
- 125000000524 functional group Chemical group 0.000 claims description 3
- 239000002394 mineralocorticoid antagonist Substances 0.000 claims description 3
- 210000001147 pulmonary artery Anatomy 0.000 claims description 3
- 125000005913 (C3-C6) cycloalkyl group Chemical group 0.000 claims description 2
- 102000001253 Protein Kinase Human genes 0.000 claims description 2
- 239000002981 blocking agent Substances 0.000 claims description 2
- FHIVAFMUCKRCQO-UHFFFAOYSA-N diazinon Chemical class CCOP(=S)(OCC)OC1=CC(C)=NC(C(C)C)=N1 FHIVAFMUCKRCQO-UHFFFAOYSA-N 0.000 claims description 2
- 125000004786 difluoromethoxy group Chemical group [H]C(F)(F)O* 0.000 claims description 2
- 125000001301 ethoxy group Chemical group [H]C([H])([H])C([H])([H])O* 0.000 claims description 2
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims description 2
- 108060006633 protein kinase Proteins 0.000 claims description 2
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 2
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 claims description 2
- 125000004432 carbon atom Chemical group C* 0.000 claims 3
- FLKPEMZONWLCSK-UHFFFAOYSA-N diethyl phthalate Chemical compound CCOC(=O)C1=CC=CC=C1C(=O)OCC FLKPEMZONWLCSK-UHFFFAOYSA-N 0.000 claims 2
- 108010078321 Guanylate Cyclase Proteins 0.000 claims 1
- 102000014469 Guanylate cyclase Human genes 0.000 claims 1
- 229940099471 Phosphodiesterase inhibitor Drugs 0.000 claims 1
- 210000003038 endothelium Anatomy 0.000 claims 1
- 230000005764 inhibitory process Effects 0.000 claims 1
- 229940121386 matrix metalloproteinase inhibitor Drugs 0.000 claims 1
- 239000003771 matrix metalloproteinase inhibitor Substances 0.000 claims 1
- 239000002571 phosphodiesterase inhibitor Substances 0.000 claims 1
- 239000002574 poison Substances 0.000 claims 1
- 231100000614 poison Toxicity 0.000 claims 1
- 102000000568 rho-Associated Kinases Human genes 0.000 claims 1
- 108010041788 rho-Associated Kinases Proteins 0.000 claims 1
- 238000011282 treatment Methods 0.000 abstract description 17
- 238000011321 prophylaxis Methods 0.000 abstract 2
- -1 heterocyclic radicals Chemical class 0.000 description 77
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 54
- 239000000203 mixture Substances 0.000 description 51
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 50
- 239000000243 solution Substances 0.000 description 40
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 39
- 238000004895 liquid chromatography mass spectrometry Methods 0.000 description 39
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 39
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 38
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 36
- 238000005160 1H NMR spectroscopy Methods 0.000 description 28
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 27
- 238000006243 chemical reaction Methods 0.000 description 27
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 23
- IAZDPXIOMUYVGZ-WFGJKAKNSA-N Dimethyl sulfoxide Chemical compound [2H]C([2H])([2H])S(=O)C([2H])([2H])[2H] IAZDPXIOMUYVGZ-WFGJKAKNSA-N 0.000 description 22
- 229960000583 acetic acid Drugs 0.000 description 20
- 150000001721 carbon Chemical group 0.000 description 20
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 20
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 18
- HEDRZPFGACZZDS-MICDWDOJSA-N Trichloro(2H)methane Chemical compound [2H]C(Cl)(Cl)Cl HEDRZPFGACZZDS-MICDWDOJSA-N 0.000 description 18
- 102100024539 Chymase Human genes 0.000 description 17
- 108090000227 Chymases Proteins 0.000 description 17
- 230000004048 modification Effects 0.000 description 16
- 238000012986 modification Methods 0.000 description 16
- YMWUJEATGCHHMB-DICFDUPASA-N dichloromethane-d2 Chemical compound [2H]C([2H])(Cl)Cl YMWUJEATGCHHMB-DICFDUPASA-N 0.000 description 15
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 14
- 238000004128 high performance liquid chromatography Methods 0.000 description 14
- 239000007787 solid Substances 0.000 description 13
- FYSNRJHAOHDILO-UHFFFAOYSA-N thionyl chloride Chemical compound ClS(Cl)=O FYSNRJHAOHDILO-UHFFFAOYSA-N 0.000 description 13
- 239000012071 phase Substances 0.000 description 12
- 229940079593 drug Drugs 0.000 description 11
- 210000002216 heart Anatomy 0.000 description 11
- JUJWROOIHBZHMG-UHFFFAOYSA-N pyridine Substances C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 11
- 239000003826 tablet Substances 0.000 description 11
- OSWFIVFLDKOXQC-UHFFFAOYSA-N 4-(3-methoxyphenyl)aniline Chemical compound COC1=CC=CC(C=2C=CC(N)=CC=2)=C1 OSWFIVFLDKOXQC-UHFFFAOYSA-N 0.000 description 10
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 10
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 10
- 235000019253 formic acid Nutrition 0.000 description 10
- 239000012362 glacial acetic acid Substances 0.000 description 10
- 210000003734 kidney Anatomy 0.000 description 10
- 229910052757 nitrogen Inorganic materials 0.000 description 10
- 238000003756 stirring Methods 0.000 description 10
- 230000001629 suppression Effects 0.000 description 10
- 125000000217 alkyl group Chemical group 0.000 description 9
- 238000001914 filtration Methods 0.000 description 9
- 210000003630 histaminocyte Anatomy 0.000 description 9
- HSINOMROUCMIEA-FGVHQWLLSA-N (2s,4r)-4-[(3r,5s,6r,7r,8s,9s,10s,13r,14s,17r)-6-ethyl-3,7-dihydroxy-10,13-dimethyl-2,3,4,5,6,7,8,9,11,12,14,15,16,17-tetradecahydro-1h-cyclopenta[a]phenanthren-17-yl]-2-methylpentanoic acid Chemical compound C([C@@]12C)C[C@@H](O)C[C@H]1[C@@H](CC)[C@@H](O)[C@@H]1[C@@H]2CC[C@]2(C)[C@@H]([C@H](C)C[C@H](C)C(O)=O)CC[C@H]21 HSINOMROUCMIEA-FGVHQWLLSA-N 0.000 description 8
- LRHPLDYGYMQRHN-UHFFFAOYSA-N N-Butanol Chemical compound CCCCO LRHPLDYGYMQRHN-UHFFFAOYSA-N 0.000 description 8
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 description 8
- 230000001154 acute effect Effects 0.000 description 8
- 239000003146 anticoagulant agent Substances 0.000 description 8
- 239000003613 bile acid Substances 0.000 description 8
- 230000015572 biosynthetic process Effects 0.000 description 8
- 230000004054 inflammatory process Effects 0.000 description 8
- 239000001632 sodium acetate Substances 0.000 description 8
- 235000017281 sodium acetate Nutrition 0.000 description 8
- 241000699800 Cricetinae Species 0.000 description 7
- 229940121710 HMGCoA reductase inhibitor Drugs 0.000 description 7
- 206010061218 Inflammation Diseases 0.000 description 7
- 230000037396 body weight Effects 0.000 description 7
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 description 7
- LELOWRISYMNNSU-UHFFFAOYSA-N hydrogen cyanide Chemical compound N#C LELOWRISYMNNSU-UHFFFAOYSA-N 0.000 description 7
- 230000007062 hydrolysis Effects 0.000 description 7
- 238000006460 hydrolysis reaction Methods 0.000 description 7
- 230000006698 induction Effects 0.000 description 7
- 239000000463 material Substances 0.000 description 7
- 238000010992 reflux Methods 0.000 description 7
- 239000000725 suspension Substances 0.000 description 7
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-Dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 6
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 6
- 0 CN=CC(C(N1)=O)=NN(*)C1=O Chemical compound CN=CC(C(N1)=O)=NN(*)C1=O 0.000 description 6
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 6
- 208000024172 Cardiovascular disease Diseases 0.000 description 6
- 229940119334 Chymase inhibitor Drugs 0.000 description 6
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 6
- 102000004190 Enzymes Human genes 0.000 description 6
- 108090000790 Enzymes Proteins 0.000 description 6
- 208000009525 Myocarditis Diseases 0.000 description 6
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-Diisopropylethylamine (DIPEA) Chemical compound CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 6
- 238000005481 NMR spectroscopy Methods 0.000 description 6
- 206010030113 Oedema Diseases 0.000 description 6
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 6
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 6
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 6
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 6
- 229940127219 anticoagulant drug Drugs 0.000 description 6
- 239000002775 capsule Substances 0.000 description 6
- HVYWMOMLDIMFJA-DPAQBDIFSA-N cholesterol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 description 6
- 230000001684 chronic effect Effects 0.000 description 6
- 230000000875 corresponding effect Effects 0.000 description 6
- 229940088598 enzyme Drugs 0.000 description 6
- 150000002148 esters Chemical class 0.000 description 6
- IXCSERBJSXMMFS-UHFFFAOYSA-N hydrogen chloride Substances Cl.Cl IXCSERBJSXMMFS-UHFFFAOYSA-N 0.000 description 6
- 229910000041 hydrogen chloride Inorganic materials 0.000 description 6
- 239000007788 liquid Substances 0.000 description 6
- 230000002265 prevention Effects 0.000 description 6
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 6
- 239000001117 sulphuric acid Substances 0.000 description 6
- 235000011149 sulphuric acid Nutrition 0.000 description 6
- 238000012360 testing method Methods 0.000 description 6
- 108090000317 Chymotrypsin Proteins 0.000 description 5
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 5
- 239000000556 agonist Substances 0.000 description 5
- 208000026935 allergic disease Diseases 0.000 description 5
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 5
- 239000008280 blood Substances 0.000 description 5
- 201000011510 cancer Diseases 0.000 description 5
- 229960002376 chymotrypsin Drugs 0.000 description 5
- 125000004473 dialkylaminocarbonyl group Chemical group 0.000 description 5
- GLUUGHFHXGJENI-UHFFFAOYSA-N diethylenediamine Natural products C1CNCCN1 GLUUGHFHXGJENI-UHFFFAOYSA-N 0.000 description 5
- 239000002471 hydroxymethylglutaryl coenzyme A reductase inhibitor Substances 0.000 description 5
- 210000004072 lung Anatomy 0.000 description 5
- NBVXSUQYWXRMNV-UHFFFAOYSA-N monofluoromethane Natural products FC NBVXSUQYWXRMNV-UHFFFAOYSA-N 0.000 description 5
- 238000003786 synthesis reaction Methods 0.000 description 5
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 5
- 239000003643 water by type Substances 0.000 description 5
- YYGNTYWPHWGJRM-UHFFFAOYSA-N (6E,10E,14E,18E)-2,6,10,15,19,23-hexamethyltetracosa-2,6,10,14,18,22-hexaene Chemical compound CC(C)=CCCC(C)=CCCC(C)=CCCC=C(C)CCC=C(C)CCC=C(C)C YYGNTYWPHWGJRM-UHFFFAOYSA-N 0.000 description 4
- VHYFNPMBLIVWCW-UHFFFAOYSA-N 4-Dimethylaminopyridine Chemical compound CN(C)C1=CC=NC=C1 VHYFNPMBLIVWCW-UHFFFAOYSA-N 0.000 description 4
- 102100040214 Apolipoprotein(a) Human genes 0.000 description 4
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 4
- 229940122502 Cholesterol absorption inhibitor Drugs 0.000 description 4
- 208000011231 Crohn disease Diseases 0.000 description 4
- 201000004624 Dermatitis Diseases 0.000 description 4
- CPELXLSAUQHCOX-UHFFFAOYSA-N Hydrogen bromide Chemical compound Br CPELXLSAUQHCOX-UHFFFAOYSA-N 0.000 description 4
- 229940086609 Lipase inhibitor Drugs 0.000 description 4
- 108010033266 Lipoprotein(a) Proteins 0.000 description 4
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 4
- 102100031545 Microsomal triglyceride transfer protein large subunit Human genes 0.000 description 4
- 238000006751 Mitsunobu reaction Methods 0.000 description 4
- 206010028980 Neoplasm Diseases 0.000 description 4
- 102100038824 Peroxisome proliferator-activated receptor delta Human genes 0.000 description 4
- 108091000080 Phosphotransferase Proteins 0.000 description 4
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 4
- YASAKCUCGLMORW-UHFFFAOYSA-N Rosiglitazone Chemical compound C=1C=CC=NC=1N(C)CCOC(C=C1)=CC=C1CC1SC(=O)NC1=O YASAKCUCGLMORW-UHFFFAOYSA-N 0.000 description 4
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 4
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 4
- BHEOSNUKNHRBNM-UHFFFAOYSA-N Tetramethylsqualene Natural products CC(=C)C(C)CCC(=C)C(C)CCC(C)=CCCC=C(C)CCC(C)C(=C)CCC(C)C(C)=C BHEOSNUKNHRBNM-UHFFFAOYSA-N 0.000 description 4
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 4
- 125000002777 acetyl group Chemical group [H]C([H])([H])C(*)=O 0.000 description 4
- 239000003463 adsorbent Substances 0.000 description 4
- 206010064930 age-related macular degeneration Diseases 0.000 description 4
- 229910052783 alkali metal Inorganic materials 0.000 description 4
- 125000003545 alkoxy group Chemical group 0.000 description 4
- 125000004429 atom Chemical group 0.000 description 4
- 230000009787 cardiac fibrosis Effects 0.000 description 4
- 239000003354 cholesterol ester transfer protein inhibitor Substances 0.000 description 4
- 229940125881 cholesteryl ester transfer protein inhibitor Drugs 0.000 description 4
- 230000004087 circulation Effects 0.000 description 4
- 239000011248 coating agent Substances 0.000 description 4
- 238000000576 coating method Methods 0.000 description 4
- 230000008602 contraction Effects 0.000 description 4
- DDRJAANPRJIHGJ-UHFFFAOYSA-N creatinine Chemical compound CN1CC(=O)NC1=N DDRJAANPRJIHGJ-UHFFFAOYSA-N 0.000 description 4
- 230000007812 deficiency Effects 0.000 description 4
- 238000000502 dialysis Methods 0.000 description 4
- PRAKJMSDJKAYCZ-UHFFFAOYSA-N dodecahydrosqualene Natural products CC(C)CCCC(C)CCCC(C)CCCCC(C)CCCC(C)CCCC(C)C PRAKJMSDJKAYCZ-UHFFFAOYSA-N 0.000 description 4
- 239000002308 endothelin receptor antagonist Substances 0.000 description 4
- HSOGVWWWGVFXGF-UHFFFAOYSA-N ethyl n-(2-cyanoacetyl)carbamate Chemical class CCOC(=O)NC(=O)CC#N HSOGVWWWGVFXGF-UHFFFAOYSA-N 0.000 description 4
- NGOGFTYYXHNFQH-UHFFFAOYSA-N fasudil Chemical compound C=1C=CC2=CN=CC=C2C=1S(=O)(=O)N1CCCNCC1 NGOGFTYYXHNFQH-UHFFFAOYSA-N 0.000 description 4
- 229960002435 fasudil Drugs 0.000 description 4
- 125000005842 heteroatom Chemical group 0.000 description 4
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Natural products C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 4
- 208000002780 macular degeneration Diseases 0.000 description 4
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 4
- 208000010125 myocardial infarction Diseases 0.000 description 4
- 108091008765 peroxisome proliferator-activated receptors β/δ Proteins 0.000 description 4
- 102000020233 phosphotransferase Human genes 0.000 description 4
- HYAFETHFCAUJAY-UHFFFAOYSA-N pioglitazone Chemical compound N1=CC(CC)=CC=C1CCOC(C=C1)=CC=C1CC1C(=O)NC(=O)S1 HYAFETHFCAUJAY-UHFFFAOYSA-N 0.000 description 4
- 239000000843 powder Substances 0.000 description 4
- AQHHHDLHHXJYJD-UHFFFAOYSA-N propranolol Chemical compound C1=CC=C2C(OCC(O)CNC(C)C)=CC=CC2=C1 AQHHHDLHHXJYJD-UHFFFAOYSA-N 0.000 description 4
- 230000009103 reabsorption Effects 0.000 description 4
- 239000000376 reactant Substances 0.000 description 4
- 102000005962 receptors Human genes 0.000 description 4
- 108020003175 receptors Proteins 0.000 description 4
- 239000007921 spray Substances 0.000 description 4
- 229940031439 squalene Drugs 0.000 description 4
- TUHBEKDERLKLEC-UHFFFAOYSA-N squalene Natural products CC(=CCCC(=CCCC(=CCCC=C(/C)CCC=C(/C)CC=C(C)C)C)C)C TUHBEKDERLKLEC-UHFFFAOYSA-N 0.000 description 4
- 239000000758 substrate Substances 0.000 description 4
- 239000000375 suspending agent Substances 0.000 description 4
- 230000009885 systemic effect Effects 0.000 description 4
- RMMXLENWKUUMAY-UHFFFAOYSA-N telmisartan Chemical compound CCCC1=NC2=C(C)C=C(C=3N(C4=CC=CC=C4N=3)C)C=C2N1CC(C=C1)=CC=C1C1=CC=CC=C1C(O)=O RMMXLENWKUUMAY-UHFFFAOYSA-N 0.000 description 4
- QAEDZJGFFMLHHQ-UHFFFAOYSA-N trifluoroacetic anhydride Chemical compound FC(F)(F)C(=O)OC(=O)C(F)(F)F QAEDZJGFFMLHHQ-UHFFFAOYSA-N 0.000 description 4
- 238000004704 ultra performance liquid chromatography Methods 0.000 description 4
- JWZZKOKVBUJMES-UHFFFAOYSA-N (+-)-Isoprenaline Chemical compound CC(C)NCC(O)C1=CC=C(O)C(O)=C1 JWZZKOKVBUJMES-UHFFFAOYSA-N 0.000 description 3
- OFJRNBWSFXEHSA-UHFFFAOYSA-N 2-(3-amino-1,2-benzoxazol-5-yl)-n-[4-[2-[(dimethylamino)methyl]imidazol-1-yl]-2-fluorophenyl]-5-(trifluoromethyl)pyrazole-3-carboxamide Chemical compound CN(C)CC1=NC=CN1C(C=C1F)=CC=C1NC(=O)C1=CC(C(F)(F)F)=NN1C1=CC=C(ON=C2N)C2=C1 OFJRNBWSFXEHSA-UHFFFAOYSA-N 0.000 description 3
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 3
- ZRNSSRODJSSVEJ-UHFFFAOYSA-N 2-methylpentacosane Chemical compound CCCCCCCCCCCCCCCCCCCCCCCC(C)C ZRNSSRODJSSVEJ-UHFFFAOYSA-N 0.000 description 3
- BMYNFMYTOJXKLE-UHFFFAOYSA-N 3-azaniumyl-2-hydroxypropanoate Chemical compound NCC(O)C(O)=O BMYNFMYTOJXKLE-UHFFFAOYSA-N 0.000 description 3
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 3
- UHOVQNZJYSORNB-UHFFFAOYSA-N Benzene Chemical compound C1=CC=CC=C1 UHOVQNZJYSORNB-UHFFFAOYSA-N 0.000 description 3
- 206010007572 Cardiac hypertrophy Diseases 0.000 description 3
- 206010011224 Cough Diseases 0.000 description 3
- XTHFKEDIFFGKHM-UHFFFAOYSA-N Dimethoxyethane Chemical compound COCCOC XTHFKEDIFFGKHM-UHFFFAOYSA-N 0.000 description 3
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 3
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 3
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 3
- 208000010412 Glaucoma Diseases 0.000 description 3
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 3
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 3
- 206010020751 Hypersensitivity Diseases 0.000 description 3
- BZLVMXJERCGZMT-UHFFFAOYSA-N Methyl tert-butyl ether Chemical compound COC(C)(C)C BZLVMXJERCGZMT-UHFFFAOYSA-N 0.000 description 3
- 208000034486 Multi-organ failure Diseases 0.000 description 3
- SJRJJKPEHAURKC-UHFFFAOYSA-N N-Methylmorpholine Chemical compound CN1CCOCC1 SJRJJKPEHAURKC-UHFFFAOYSA-N 0.000 description 3
- 229940080774 Peroxisome proliferator-activated receptor gamma agonist Drugs 0.000 description 3
- 208000004880 Polyuria Diseases 0.000 description 3
- RWRDLPDLKQPQOW-UHFFFAOYSA-N Pyrrolidine Chemical compound C1CCNC1 RWRDLPDLKQPQOW-UHFFFAOYSA-N 0.000 description 3
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 3
- 125000004457 alkyl amino carbonyl group Chemical group 0.000 description 3
- 229910021529 ammonia Inorganic materials 0.000 description 3
- 210000000709 aorta Anatomy 0.000 description 3
- 210000001367 artery Anatomy 0.000 description 3
- 235000012000 cholesterol Nutrition 0.000 description 3
- 208000019425 cirrhosis of liver Diseases 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 206010012601 diabetes mellitus Diseases 0.000 description 3
- 230000035619 diuresis Effects 0.000 description 3
- 239000000839 emulsion Substances 0.000 description 3
- 238000010931 ester hydrolysis Methods 0.000 description 3
- 238000005886 esterification reaction Methods 0.000 description 3
- FUBBWDWIGBTUPQ-UHFFFAOYSA-N ethyl 2-[4-[3-[(4-fluorophenyl)-hydroxymethyl]-4-hydroxyphenoxy]-3,5-dimethylanilino]-2-oxoacetate Chemical compound CC1=CC(NC(=O)C(=O)OCC)=CC(C)=C1OC1=CC=C(O)C(C(O)C=2C=CC(F)=CC=2)=C1 FUBBWDWIGBTUPQ-UHFFFAOYSA-N 0.000 description 3
- 210000003709 heart valve Anatomy 0.000 description 3
- 208000006454 hepatitis Diseases 0.000 description 3
- 230000001900 immune effect Effects 0.000 description 3
- 238000001990 intravenous administration Methods 0.000 description 3
- 229940039009 isoproterenol Drugs 0.000 description 3
- 206010025135 lupus erythematosus Diseases 0.000 description 3
- 210000004379 membrane Anatomy 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 238000002156 mixing Methods 0.000 description 3
- 201000008383 nephritis Diseases 0.000 description 3
- 125000004433 nitrogen atom Chemical group N* 0.000 description 3
- 125000002971 oxazolyl group Chemical group 0.000 description 3
- 230000010412 perfusion Effects 0.000 description 3
- 230000000144 pharmacologic effect Effects 0.000 description 3
- 208000030761 polycystic kidney disease Diseases 0.000 description 3
- 238000006116 polymerization reaction Methods 0.000 description 3
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 3
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 3
- 229960004618 prednisone Drugs 0.000 description 3
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 3
- 239000011541 reaction mixture Substances 0.000 description 3
- 229940044601 receptor agonist Drugs 0.000 description 3
- 239000000018 receptor agonist Substances 0.000 description 3
- 239000003087 receptor blocking agent Substances 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 210000003583 retinal pigment epithelium Anatomy 0.000 description 3
- 210000003491 skin Anatomy 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 125000000335 thiazolyl group Chemical group 0.000 description 3
- 238000002054 transplantation Methods 0.000 description 3
- BFGQTWYXWNCTSX-UHFFFAOYSA-N triazine-4,5-dione Chemical class O=C1C=NN=NC1=O BFGQTWYXWNCTSX-UHFFFAOYSA-N 0.000 description 3
- CEMAWMOMDPGJMB-UHFFFAOYSA-N (+-)-Oxprenolol Chemical compound CC(C)NCC(O)COC1=CC=CC=C1OCC=C CEMAWMOMDPGJMB-UHFFFAOYSA-N 0.000 description 2
- XWTYSIMOBUGWOL-UHFFFAOYSA-N (+-)-Terbutaline Chemical compound CC(C)(C)NCC(O)C1=CC(O)=CC(O)=C1 XWTYSIMOBUGWOL-UHFFFAOYSA-N 0.000 description 2
- DZLOHEOHWICNIL-QGZVFWFLSA-N (2R)-2-[6-(4-chlorophenoxy)hexyl]-2-oxiranecarboxylic acid ethyl ester Chemical compound C=1C=C(Cl)C=CC=1OCCCCCC[C@]1(C(=O)OCC)CO1 DZLOHEOHWICNIL-QGZVFWFLSA-N 0.000 description 2
- NXWGWUVGUSFQJC-GFCCVEGCSA-N (2r)-1-[(2-methyl-1h-indol-4-yl)oxy]-3-(propan-2-ylamino)propan-2-ol Chemical compound CC(C)NC[C@@H](O)COC1=CC=CC2=C1C=C(C)N2 NXWGWUVGUSFQJC-GFCCVEGCSA-N 0.000 description 2
- OVBICQMTCPFEBS-SATRDZAXSA-N (2s)-1-[(2s)-2-[[(2s)-2-[[(2r)-2-[[(2s)-2-[[(2s)-2-[[(2r)-2-[[(2r)-2-[[(2r)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-pyridin-3-ylpropanoyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-6-[bi Chemical compound CC(O)=O.CC(O)=O.C([C@@H](C(=O)N[C@H](CCCCN=C(NCC)NCC)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCCN=C(NCC)NCC)C(=O)N1[C@@H](CCC1)C(=O)N[C@H](C)C(N)=O)NC(=O)[C@H](CO)NC(=O)[C@@H](CC=1C=NC=CC=1)NC(=O)[C@@H](CC=1C=CC(Cl)=CC=1)NC(=O)[C@@H](CC=1C=C2C=CC=CC2=CC=1)NC(C)=O)C1=CC=C(O)C=C1 OVBICQMTCPFEBS-SATRDZAXSA-N 0.000 description 2
- AMNXBQPRODZJQR-DITALETJSA-N (2s)-2-cyclopentyl-2-[3-[(2,4-dimethylpyrido[2,3-b]indol-9-yl)methyl]phenyl]-n-[(1r)-2-hydroxy-1-phenylethyl]acetamide Chemical compound C1([C@@H](C=2C=CC=C(C=2)CN2C3=CC=CC=C3C3=C(C)C=C(N=C32)C)C(=O)N[C@@H](CO)C=2C=CC=CC=2)CCCC1 AMNXBQPRODZJQR-DITALETJSA-N 0.000 description 2
- BIDNLKIUORFRQP-XYGFDPSESA-N (2s,4s)-4-cyclohexyl-1-[2-[[(1s)-2-methyl-1-propanoyloxypropoxy]-(4-phenylbutyl)phosphoryl]acetyl]pyrrolidine-2-carboxylic acid Chemical compound C([P@@](=O)(O[C@H](OC(=O)CC)C(C)C)CC(=O)N1[C@@H](C[C@H](C1)C1CCCCC1)C(O)=O)CCCC1=CC=CC=C1 BIDNLKIUORFRQP-XYGFDPSESA-N 0.000 description 2
- ZGGHKIMDNBDHJB-NRFPMOEYSA-M (3R,5S)-fluvastatin sodium Chemical compound [Na+].C12=CC=CC=C2N(C(C)C)C(\C=C\[C@@H](O)C[C@@H](O)CC([O-])=O)=C1C1=CC=C(F)C=C1 ZGGHKIMDNBDHJB-NRFPMOEYSA-M 0.000 description 2
- METKIMKYRPQLGS-GFCCVEGCSA-N (R)-atenolol Chemical compound CC(C)NC[C@@H](O)COC1=CC=C(CC(N)=O)C=C1 METKIMKYRPQLGS-GFCCVEGCSA-N 0.000 description 2
- TWBNMYSKRDRHAT-RCWTXCDDSA-N (S)-timolol hemihydrate Chemical compound O.CC(C)(C)NC[C@H](O)COC1=NSN=C1N1CCOCC1.CC(C)(C)NC[C@H](O)COC1=NSN=C1N1CCOCC1 TWBNMYSKRDRHAT-RCWTXCDDSA-N 0.000 description 2
- KOHIRBRYDXPAMZ-YHBROIRLSA-N (S,R,R,R)-nebivolol Chemical compound C1CC2=CC(F)=CC=C2O[C@H]1[C@H](O)CNC[C@@H](O)[C@H]1OC2=CC=C(F)C=C2CC1 KOHIRBRYDXPAMZ-YHBROIRLSA-N 0.000 description 2
- PAMIQIKDUOTOBW-UHFFFAOYSA-N 1-methylpiperidine Chemical compound CN1CCCCC1 PAMIQIKDUOTOBW-UHFFFAOYSA-N 0.000 description 2
- GUSVHVVOABZHAH-OPZWKQDFSA-N 1aw8p77hkj Chemical compound O([C@@H]1[C@@H](CO)O[C@H]([C@@H]([C@H]1O)O)O[C@@H]1C[C@@H]2CC[C@H]3[C@@H]4C[C@H]5[C@@H]([C@]4(CC[C@@H]3[C@@]2(C)CC1)C)[C@@H]([C@]1(OC[C@H](C)CC1)O5)C)[C@@H]1O[C@H](CO)[C@@H](O)[C@H](O)[C@H]1O GUSVHVVOABZHAH-OPZWKQDFSA-N 0.000 description 2
- SGTNSNPWRIOYBX-UHFFFAOYSA-N 2-(3,4-dimethoxyphenyl)-5-{[2-(3,4-dimethoxyphenyl)ethyl](methyl)amino}-2-(propan-2-yl)pentanenitrile Chemical compound C1=C(OC)C(OC)=CC=C1CCN(C)CCCC(C#N)(C(C)C)C1=CC=C(OC)C(OC)=C1 SGTNSNPWRIOYBX-UHFFFAOYSA-N 0.000 description 2
- DEMLYXMVPJAVFU-UHFFFAOYSA-N 2-(chloromethyl)oxirane;2-methyl-1h-imidazole Chemical compound ClCC1CO1.CC1=NC=CN1 DEMLYXMVPJAVFU-UHFFFAOYSA-N 0.000 description 2
- LBLYYCQCTBFVLH-UHFFFAOYSA-N 2-Methylbenzenesulfonic acid Chemical compound CC1=CC=CC=C1S(O)(=O)=O LBLYYCQCTBFVLH-UHFFFAOYSA-N 0.000 description 2
- FBMYKMYQHCBIGU-UHFFFAOYSA-N 2-[2-hydroxy-3-[[1-(1h-indol-3-yl)-2-methylpropan-2-yl]amino]propoxy]benzonitrile Chemical compound C=1NC2=CC=CC=C2C=1CC(C)(C)NCC(O)COC1=CC=CC=C1C#N FBMYKMYQHCBIGU-UHFFFAOYSA-N 0.000 description 2
- SGUAFYQXFOLMHL-UHFFFAOYSA-N 2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide Chemical compound C=1C=C(O)C(C(N)=O)=CC=1C(O)CNC(C)CCC1=CC=CC=C1 SGUAFYQXFOLMHL-UHFFFAOYSA-N 0.000 description 2
- 229960000549 4-dimethylaminophenol Drugs 0.000 description 2
- 208000004476 Acute Coronary Syndrome Diseases 0.000 description 2
- 208000009304 Acute Kidney Injury Diseases 0.000 description 2
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 description 2
- UXOWGYHJODZGMF-QORCZRPOSA-N Aliskiren Chemical compound COCCCOC1=CC(C[C@@H](C[C@H](N)[C@@H](O)C[C@@H](C(C)C)C(=O)NCC(C)(C)C(N)=O)C(C)C)=CC=C1OC UXOWGYHJODZGMF-QORCZRPOSA-N 0.000 description 2
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 2
- 108010072661 Angiotensin Amide Proteins 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- 201000001320 Atherosclerosis Diseases 0.000 description 2
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 2
- XUKUURHRXDUEBC-KAYWLYCHSA-N Atorvastatin Chemical compound C=1C=CC=CC=1C1=C(C=2C=CC(F)=CC=2)N(CC[C@@H](O)C[C@@H](O)CC(O)=O)C(C(C)C)=C1C(=O)NC1=CC=CC=C1 XUKUURHRXDUEBC-KAYWLYCHSA-N 0.000 description 2
- XUKUURHRXDUEBC-UHFFFAOYSA-N Atorvastatin Natural products C=1C=CC=CC=1C1=C(C=2C=CC(F)=CC=2)N(CCC(O)CC(O)CC(O)=O)C(C(C)C)=C1C(=O)NC1=CC=CC=C1 XUKUURHRXDUEBC-UHFFFAOYSA-N 0.000 description 2
- PTQXTEKSNBVPQJ-UHFFFAOYSA-N Avasimibe Chemical compound CC(C)C1=CC(C(C)C)=CC(C(C)C)=C1CC(=O)NS(=O)(=O)OC1=C(C(C)C)C=CC=C1C(C)C PTQXTEKSNBVPQJ-UHFFFAOYSA-N 0.000 description 2
- 239000005552 B01AC04 - Clopidogrel Substances 0.000 description 2
- MLDQJTXFUGDVEO-UHFFFAOYSA-N BAY-43-9006 Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=CC(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 MLDQJTXFUGDVEO-UHFFFAOYSA-N 0.000 description 2
- VOVIALXJUBGFJZ-KWVAZRHASA-N Budesonide Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@@H]2[C@@H]1[C@@H]1C[C@H]3OC(CCC)O[C@@]3(C(=O)CO)[C@@]1(C)C[C@@H]2O VOVIALXJUBGFJZ-KWVAZRHASA-N 0.000 description 2
- 239000002083 C09CA01 - Losartan Substances 0.000 description 2
- 239000004072 C09CA03 - Valsartan Substances 0.000 description 2
- 239000002053 C09CA06 - Candesartan Substances 0.000 description 2
- 239000005537 C09CA07 - Telmisartan Substances 0.000 description 2
- 239000005461 Canertinib Substances 0.000 description 2
- 241000282472 Canis lupus familiaris Species 0.000 description 2
- 208000006029 Cardiomegaly Diseases 0.000 description 2
- 208000031229 Cardiomyopathies Diseases 0.000 description 2
- JOATXPAWOHTVSZ-UHFFFAOYSA-N Celiprolol Chemical compound CCN(CC)C(=O)NC1=CC=C(OCC(O)CNC(C)(C)C)C(C(C)=O)=C1 JOATXPAWOHTVSZ-UHFFFAOYSA-N 0.000 description 2
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical group ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 2
- 229920001268 Cholestyramine Polymers 0.000 description 2
- 208000005590 Choroidal Neovascularization Diseases 0.000 description 2
- 206010060823 Choroidal neovascularisation Diseases 0.000 description 2
- 206010008909 Chronic Hepatitis Diseases 0.000 description 2
- 208000015943 Coeliac disease Diseases 0.000 description 2
- 229920002905 Colesevelam Polymers 0.000 description 2
- 229920002911 Colestipol Polymers 0.000 description 2
- IVOMOUWHDPKRLL-KQYNXXCUSA-N Cyclic adenosine monophosphate Chemical compound C([C@H]1O2)OP(O)(=O)O[C@H]1[C@@H](O)[C@@H]2N1C(N=CN=C2N)=C2N=C1 IVOMOUWHDPKRLL-KQYNXXCUSA-N 0.000 description 2
- 208000007342 Diabetic Nephropathies Diseases 0.000 description 2
- 208000032928 Dyslipidaemia Diseases 0.000 description 2
- 208000005189 Embolism Diseases 0.000 description 2
- 206010014561 Emphysema Diseases 0.000 description 2
- 108010061435 Enalapril Proteins 0.000 description 2
- YARKMNAWFIMDKV-UHFFFAOYSA-N Epanolol Chemical compound C=1C=CC=C(C#N)C=1OCC(O)CNCCNC(=O)CC1=CC=C(O)C=C1 YARKMNAWFIMDKV-UHFFFAOYSA-N 0.000 description 2
- LMHIPJMTZHDKEW-XQYLJSSYSA-M Epoprostenol sodium Chemical compound [Na+].O1\C(=C/CCCC([O-])=O)C[C@@H]2[C@@H](/C=C/[C@@H](O)CCCCC)[C@H](O)C[C@@H]21 LMHIPJMTZHDKEW-XQYLJSSYSA-M 0.000 description 2
- 108020002908 Epoxide hydrolase Proteins 0.000 description 2
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 2
- 206010018364 Glomerulonephritis Diseases 0.000 description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 2
- 208000032759 Hemolytic-Uremic Syndrome Diseases 0.000 description 2
- 206010019668 Hepatic fibrosis Diseases 0.000 description 2
- 206010020852 Hypertonia Diseases 0.000 description 2
- 201000003838 Idiopathic interstitial pneumonia Diseases 0.000 description 2
- CZGUSIXMZVURDU-JZXHSEFVSA-N Ile(5)-angiotensin II Chemical compound C([C@@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1NC=NC=1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CC=1C=CC=CC=1)C([O-])=O)NC(=O)[C@@H](NC(=O)[C@H](CCCNC(N)=[NH2+])NC(=O)[C@@H]([NH3+])CC([O-])=O)C(C)C)C1=CC=C(O)C=C1 CZGUSIXMZVURDU-JZXHSEFVSA-N 0.000 description 2
- 102100021711 Ileal sodium/bile acid cotransporter Human genes 0.000 description 2
- 102100025306 Integrin alpha-IIb Human genes 0.000 description 2
- 101710149643 Integrin alpha-IIb Proteins 0.000 description 2
- 239000012839 Krebs-Henseleit buffer Substances 0.000 description 2
- 239000005517 L01XE01 - Imatinib Substances 0.000 description 2
- 239000005411 L01XE02 - Gefitinib Substances 0.000 description 2
- 239000005551 L01XE03 - Erlotinib Substances 0.000 description 2
- 239000005511 L01XE05 - Sorafenib Substances 0.000 description 2
- 239000002136 L01XE07 - Lapatinib Substances 0.000 description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 2
- 208000017170 Lipid metabolism disease Diseases 0.000 description 2
- 102100025357 Lipid-phosphate phosphatase Human genes 0.000 description 2
- 108010007859 Lisinopril Proteins 0.000 description 2
- TWRXJAOTZQYOKJ-UHFFFAOYSA-L Magnesium chloride Chemical compound [Mg+2].[Cl-].[Cl-] TWRXJAOTZQYOKJ-UHFFFAOYSA-L 0.000 description 2
- 102000000422 Matrix Metalloproteinase 3 Human genes 0.000 description 2
- FQISKWAFAHGMGT-SGJOWKDISA-M Methylprednisolone sodium succinate Chemical compound [Na+].C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)COC(=O)CCC([O-])=O)CC[C@H]21 FQISKWAFAHGMGT-SGJOWKDISA-M 0.000 description 2
- 206010027525 Microalbuminuria Diseases 0.000 description 2
- 208000010718 Multiple Organ Failure Diseases 0.000 description 2
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 description 2
- JRFWBYGYYILWPW-UHFFFAOYSA-N NC=1C=CC(CC1C(=O)O)(C(=O)O)C Chemical compound NC=1C=CC(CC1C(=O)O)(C(=O)O)C JRFWBYGYYILWPW-UHFFFAOYSA-N 0.000 description 2
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 description 2
- 208000002193 Pain Diseases 0.000 description 2
- 206010033645 Pancreatitis Diseases 0.000 description 2
- 208000031816 Pathologic Dilatation Diseases 0.000 description 2
- XYFCBTPGUUZFHI-UHFFFAOYSA-N Phosphine Chemical compound P XYFCBTPGUUZFHI-UHFFFAOYSA-N 0.000 description 2
- 102000004861 Phosphoric Diester Hydrolases Human genes 0.000 description 2
- 108090001050 Phosphoric Diester Hydrolases Proteins 0.000 description 2
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 2
- TUZYXOIXSAXUGO-UHFFFAOYSA-N Pravastatin Natural products C1=CC(C)C(CCC(O)CC(O)CC(O)=O)C2C(OC(=O)C(C)CC)CC(O)C=C21 TUZYXOIXSAXUGO-UHFFFAOYSA-N 0.000 description 2
- 108010067787 Proteoglycans Proteins 0.000 description 2
- 102000016611 Proteoglycans Human genes 0.000 description 2
- 206010037423 Pulmonary oedema Diseases 0.000 description 2
- SMWDFEZZVXVKRB-UHFFFAOYSA-N Quinoline Chemical compound N1=CC=CC2=CC=CC=C21 SMWDFEZZVXVKRB-UHFFFAOYSA-N 0.000 description 2
- 206010038380 Renal artery thrombosis Diseases 0.000 description 2
- 208000006265 Renal cell carcinoma Diseases 0.000 description 2
- 208000033626 Renal failure acute Diseases 0.000 description 2
- 206010038548 Renal vein thrombosis Diseases 0.000 description 2
- 208000013616 Respiratory Distress Syndrome Diseases 0.000 description 2
- 208000025747 Rheumatic disease Diseases 0.000 description 2
- 206010039710 Scleroderma Diseases 0.000 description 2
- GIIZNNXWQWCKIB-UHFFFAOYSA-N Serevent Chemical compound C1=C(O)C(CO)=CC(C(O)CNCCCCCCOCCCCC=2C=CC=CC=2)=C1 GIIZNNXWQWCKIB-UHFFFAOYSA-N 0.000 description 2
- 239000005463 Tandutinib Substances 0.000 description 2
- 101000712605 Theromyzon tessulatum Theromin Proteins 0.000 description 2
- 229940122388 Thrombin inhibitor Drugs 0.000 description 2
- 208000001435 Thromboembolism Diseases 0.000 description 2
- 208000007536 Thrombosis Diseases 0.000 description 2
- VXFJYXUZANRPDJ-WTNASJBWSA-N Trandopril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@H]2CCCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 VXFJYXUZANRPDJ-WTNASJBWSA-N 0.000 description 2
- 206010052779 Transplant rejections Diseases 0.000 description 2
- UHWVSEOVJBQKBE-UHFFFAOYSA-N Trimetazidine Chemical compound COC1=C(OC)C(OC)=CC=C1CN1CCNCC1 UHWVSEOVJBQKBE-UHFFFAOYSA-N 0.000 description 2
- 206010047115 Vasculitis Diseases 0.000 description 2
- 206010047249 Venous thrombosis Diseases 0.000 description 2
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 2
- 229930003448 Vitamin K Natural products 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 229960000446 abciximab Drugs 0.000 description 2
- 238000010306 acid treatment Methods 0.000 description 2
- 230000002378 acidificating effect Effects 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 206010069351 acute lung injury Diseases 0.000 description 2
- 150000001263 acyl chlorides Chemical class 0.000 description 2
- IPGLIOFIFLXLKR-AXYNENQYSA-N adaprolol Chemical compound C1=CC(OCC(O)CNC(C)C)=CC=C1CC(=O)OCCC1(C2)C[C@@H](C3)C[C@H]2C[C@@H]3C1 IPGLIOFIFLXLKR-AXYNENQYSA-N 0.000 description 2
- 229950000221 adaprolol Drugs 0.000 description 2
- 208000011341 adult acute respiratory distress syndrome Diseases 0.000 description 2
- 201000000028 adult respiratory distress syndrome Diseases 0.000 description 2
- 239000000443 aerosol Substances 0.000 description 2
- 238000013019 agitation Methods 0.000 description 2
- 229960004601 aliskiren Drugs 0.000 description 2
- 150000001340 alkali metals Chemical class 0.000 description 2
- 150000001447 alkali salts Chemical class 0.000 description 2
- 125000004453 alkoxycarbonyl group Chemical group 0.000 description 2
- 125000004448 alkyl carbonyl group Chemical group 0.000 description 2
- 230000007815 allergy Effects 0.000 description 2
- 229960002213 alprenolol Drugs 0.000 description 2
- PAZJSJFMUHDSTF-UHFFFAOYSA-N alprenolol Chemical compound CC(C)NCC(O)COC1=CC=CC=C1CC=C PAZJSJFMUHDSTF-UHFFFAOYSA-N 0.000 description 2
- 229960002414 ambrisentan Drugs 0.000 description 2
- OUJTZYPIHDYQMC-LJQANCHMSA-N ambrisentan Chemical compound O([C@@H](C(OC)(C=1C=CC=CC=1)C=1C=CC=CC=1)C(O)=O)C1=NC(C)=CC(C)=N1 OUJTZYPIHDYQMC-LJQANCHMSA-N 0.000 description 2
- HTIQEAQVCYTUBX-UHFFFAOYSA-N amlodipine Chemical compound CCOC(=O)C1=C(COCCN)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1Cl HTIQEAQVCYTUBX-UHFFFAOYSA-N 0.000 description 2
- 229960000528 amlodipine Drugs 0.000 description 2
- 206010002022 amyloidosis Diseases 0.000 description 2
- 230000033115 angiogenesis Effects 0.000 description 2
- 238000002399 angioplasty Methods 0.000 description 2
- 239000003420 antiserotonin agent Substances 0.000 description 2
- 229960004676 antithrombotic agent Drugs 0.000 description 2
- 239000007864 aqueous solution Substances 0.000 description 2
- 229960002274 atenolol Drugs 0.000 description 2
- 229960005370 atorvastatin Drugs 0.000 description 2
- 229950010046 avasimibe Drugs 0.000 description 2
- 229950003799 axitirome Drugs 0.000 description 2
- NBMKJKDGKREAPL-DVTGEIKXSA-N beclomethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(Cl)[C@@H]1[C@@H]1C[C@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O NBMKJKDGKREAPL-DVTGEIKXSA-N 0.000 description 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 2
- 229960002890 beraprost Drugs 0.000 description 2
- CTPOHARTNNSRSR-APJZLKAGSA-N beraprost Chemical compound O([C@H]1C[C@@H](O)[C@@H]([C@@H]21)/C=C/[C@@H](O)C(C)CC#CC)C1=C2C=CC=C1CCCC(O)=O CTPOHARTNNSRSR-APJZLKAGSA-N 0.000 description 2
- 229960002537 betamethasone Drugs 0.000 description 2
- UREBDLICKHMUKA-DVTGEIKXSA-N betamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-DVTGEIKXSA-N 0.000 description 2
- 229960004324 betaxolol Drugs 0.000 description 2
- CHDPSNLJFOQTRK-UHFFFAOYSA-N betaxolol hydrochloride Chemical compound [Cl-].C1=CC(OCC(O)C[NH2+]C(C)C)=CC=C1CCOCC1CC1 CHDPSNLJFOQTRK-UHFFFAOYSA-N 0.000 description 2
- 238000001574 biopsy Methods 0.000 description 2
- 229960002781 bisoprolol Drugs 0.000 description 2
- VHYCDWMUTMEGQY-UHFFFAOYSA-N bisoprolol Chemical compound CC(C)NCC(O)COC1=CC=C(COCCOC(C)C)C=C1 VHYCDWMUTMEGQY-UHFFFAOYSA-N 0.000 description 2
- OIRCOABEOLEUMC-GEJPAHFPSA-N bivalirudin Chemical compound C([C@@H](C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CC(C)C)C(O)=O)NC(=O)[C@H](CC(O)=O)NC(=O)CNC(=O)[C@H](CC(N)=O)NC(=O)CNC(=O)CNC(=O)CNC(=O)CNC(=O)[C@H]1N(CCC1)C(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](N)CC=1C=CC=CC=1)C1=CC=CC=C1 OIRCOABEOLEUMC-GEJPAHFPSA-N 0.000 description 2
- 108010055460 bivalirudin Proteins 0.000 description 2
- 229960001500 bivalirudin Drugs 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- GXJABQQUPOEUTA-RDJZCZTQSA-N bortezomib Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)B(O)O)NC(=O)C=1N=CC=NC=1)C1=CC=CC=C1 GXJABQQUPOEUTA-RDJZCZTQSA-N 0.000 description 2
- 229960001467 bortezomib Drugs 0.000 description 2
- 229960003065 bosentan Drugs 0.000 description 2
- GJPICJJJRGTNOD-UHFFFAOYSA-N bosentan Chemical compound COC1=CC=CC=C1OC(C(=NC(=N1)C=2N=CC=CN=2)OCCO)=C1NS(=O)(=O)C1=CC=C(C(C)(C)C)C=C1 GJPICJJJRGTNOD-UHFFFAOYSA-N 0.000 description 2
- 206010006451 bronchitis Diseases 0.000 description 2
- 229950005341 bucindolol Drugs 0.000 description 2
- 229960004436 budesonide Drugs 0.000 description 2
- 239000000872 buffer Substances 0.000 description 2
- 229960000330 bupranolol Drugs 0.000 description 2
- HQIRNZOQPUAHHV-UHFFFAOYSA-N bupranolol Chemical compound CC1=CC=C(Cl)C(OCC(O)CNC(C)(C)C)=C1 HQIRNZOQPUAHHV-UHFFFAOYSA-N 0.000 description 2
- SGZAIDDFHDDFJU-UHFFFAOYSA-N candesartan Chemical compound CCOC1=NC2=CC=CC(C(O)=O)=C2N1CC(C=C1)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SGZAIDDFHDDFJU-UHFFFAOYSA-N 0.000 description 2
- 229960000932 candesartan Drugs 0.000 description 2
- 229950002826 canertinib Drugs 0.000 description 2
- OMZCMEYTWSXEPZ-UHFFFAOYSA-N canertinib Chemical compound C1=C(Cl)C(F)=CC=C1NC1=NC=NC2=CC(OCCCN3CCOCC3)=C(NC(=O)C=C)C=C12 OMZCMEYTWSXEPZ-UHFFFAOYSA-N 0.000 description 2
- 229960000830 captopril Drugs 0.000 description 2
- FAKRSMQSSFJEIM-RQJHMYQMSA-N captopril Chemical compound SC[C@@H](C)C(=O)N1CCC[C@H]1C(O)=O FAKRSMQSSFJEIM-RQJHMYQMSA-N 0.000 description 2
- 239000004202 carbamide Substances 0.000 description 2
- 235000013877 carbamide Nutrition 0.000 description 2
- 239000001569 carbon dioxide Substances 0.000 description 2
- 229910002092 carbon dioxide Inorganic materials 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- NPAKNKYSJIDKMW-UHFFFAOYSA-N carvedilol Chemical compound COC1=CC=CC=C1OCCNCC(O)COC1=CC=CC2=NC3=CC=C[CH]C3=C12 NPAKNKYSJIDKMW-UHFFFAOYSA-N 0.000 description 2
- 229960004195 carvedilol Drugs 0.000 description 2
- 239000003054 catalyst Substances 0.000 description 2
- 229960002320 celiprolol Drugs 0.000 description 2
- 208000020832 chronic kidney disease Diseases 0.000 description 2
- 210000000589 cicatrix Anatomy 0.000 description 2
- GKTWGGQPFAXNFI-HNNXBMFYSA-N clopidogrel Chemical compound C1([C@H](N2CC=3C=CSC=3CC2)C(=O)OC)=CC=CC=C1Cl GKTWGGQPFAXNFI-HNNXBMFYSA-N 0.000 description 2
- 229960003009 clopidogrel Drugs 0.000 description 2
- GMRWGQCZJGVHKL-UHFFFAOYSA-N colestipol Chemical compound ClCC1CO1.NCCNCCNCCNCCN GMRWGQCZJGVHKL-UHFFFAOYSA-N 0.000 description 2
- 229960002604 colestipol Drugs 0.000 description 2
- 229960000562 conivaptan Drugs 0.000 description 2
- JGBBVDFNZSRLIF-UHFFFAOYSA-N conivaptan Chemical compound C12=CC=CC=C2C=2[N]C(C)=NC=2CCN1C(=O)C(C=C1)=CC=C1NC(=O)C1=CC=CC=C1C1=CC=CC=C1 JGBBVDFNZSRLIF-UHFFFAOYSA-N 0.000 description 2
- 210000000795 conjunctiva Anatomy 0.000 description 2
- ZYGHJZDHTFUPRJ-UHFFFAOYSA-N coumarin Chemical compound C1=CC=C2OC(=O)C=CC2=C1 ZYGHJZDHTFUPRJ-UHFFFAOYSA-N 0.000 description 2
- 238000005336 cracking Methods 0.000 description 2
- 229940109239 creatinine Drugs 0.000 description 2
- 239000012043 crude product Substances 0.000 description 2
- FEJVSJIALLTFRP-LJQANCHMSA-N darusentan Chemical compound COC1=CC(OC)=NC(O[C@H](C(O)=O)C(OC)(C=2C=CC=CC=2)C=2C=CC=CC=2)=N1 FEJVSJIALLTFRP-LJQANCHMSA-N 0.000 description 2
- 229950008833 darusentan Drugs 0.000 description 2
- 229960005227 delapril Drugs 0.000 description 2
- WOUOLAUOZXOLJQ-MBSDFSHPSA-N delapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N(CC(O)=O)C1CC2=CC=CC=C2C1)CC1=CC=CC=C1 WOUOLAUOZXOLJQ-MBSDFSHPSA-N 0.000 description 2
- 125000005050 dihydrooxazolyl group Chemical group O1C(NC=C1)* 0.000 description 2
- HSUGRBWQSSZJOP-RTWAWAEBSA-N diltiazem Chemical compound C1=CC(OC)=CC=C1[C@H]1[C@@H](OC(C)=O)C(=O)N(CCN(C)C)C2=CC=CC=C2S1 HSUGRBWQSSZJOP-RTWAWAEBSA-N 0.000 description 2
- 229960004166 diltiazem Drugs 0.000 description 2
- 238000010790 dilution Methods 0.000 description 2
- 239000012895 dilution Substances 0.000 description 2
- 229960002768 dipyridamole Drugs 0.000 description 2
- IZEKFCXSFNUWAM-UHFFFAOYSA-N dipyridamole Chemical compound C=12N=C(N(CCO)CCO)N=C(N3CCCCC3)C2=NC(N(CCO)CCO)=NC=1N1CCCCC1 IZEKFCXSFNUWAM-UHFFFAOYSA-N 0.000 description 2
- 239000000428 dust Substances 0.000 description 2
- 229950006127 embusartan Drugs 0.000 description 2
- 229960000873 enalapril Drugs 0.000 description 2
- GBXSMTUPTTWBMN-XIRDDKMYSA-N enalapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(O)=O)CC1=CC=CC=C1 GBXSMTUPTTWBMN-XIRDDKMYSA-N 0.000 description 2
- 229960002711 epanolol Drugs 0.000 description 2
- JUKPWJGBANNWMW-VWBFHTRKSA-N eplerenone Chemical compound C([C@@H]1[C@]2(C)C[C@H]3O[C@]33[C@@]4(C)CCC(=O)C=C4C[C@H]([C@@H]13)C(=O)OC)C[C@@]21CCC(=O)O1 JUKPWJGBANNWMW-VWBFHTRKSA-N 0.000 description 2
- 229960001208 eplerenone Drugs 0.000 description 2
- 229960001123 epoprostenol Drugs 0.000 description 2
- 229960001433 erlotinib Drugs 0.000 description 2
- AAKJLRGGTJKAMG-UHFFFAOYSA-N erlotinib Chemical compound C=12C=C(OCCOC)C(OCCOC)=CC2=NC=NC=1NC1=CC=CC(C#C)=C1 AAKJLRGGTJKAMG-UHFFFAOYSA-N 0.000 description 2
- 229960003745 esmolol Drugs 0.000 description 2
- AQNDDEOPVVGCPG-UHFFFAOYSA-N esmolol Chemical compound COC(=O)CCC1=CC=C(OCC(O)CNC(C)C)C=C1 AQNDDEOPVVGCPG-UHFFFAOYSA-N 0.000 description 2
- 230000032050 esterification Effects 0.000 description 2
- 229950006213 etomoxir Drugs 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 210000002744 extracellular matrix Anatomy 0.000 description 2
- OLNTVTPDXPETLC-XPWALMASSA-N ezetimibe Chemical compound N1([C@@H]([C@H](C1=O)CC[C@H](O)C=1C=CC(F)=CC=1)C=1C=CC(O)=CC=1)C1=CC=C(F)C=C1 OLNTVTPDXPETLC-XPWALMASSA-N 0.000 description 2
- 230000020764 fibrinolysis Effects 0.000 description 2
- 229960000676 flunisolide Drugs 0.000 description 2
- 229960002714 fluticasone Drugs 0.000 description 2
- MGNNYOODZCAHBA-GQKYHHCASA-N fluticasone Chemical compound C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@]1(F)[C@@H]2[C@@H]2C[C@@H](C)[C@@](C(=O)SCF)(O)[C@@]2(C)C[C@@H]1O MGNNYOODZCAHBA-GQKYHHCASA-N 0.000 description 2
- 229960003765 fluvastatin Drugs 0.000 description 2
- KANJSNBRCNMZMV-ABRZTLGGSA-N fondaparinux Chemical compound O[C@@H]1[C@@H](NS(O)(=O)=O)[C@@H](OC)O[C@H](COS(O)(=O)=O)[C@H]1O[C@H]1[C@H](OS(O)(=O)=O)[C@@H](O)[C@H](O[C@@H]2[C@@H]([C@@H](OS(O)(=O)=O)[C@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O[C@@H]4[C@@H]([C@@H](O)[C@H](O)[C@@H](COS(O)(=O)=O)O4)NS(O)(=O)=O)[C@H](O3)C(O)=O)O)[C@@H](COS(O)(=O)=O)O2)NS(O)(=O)=O)[C@H](C(O)=O)O1 KANJSNBRCNMZMV-ABRZTLGGSA-N 0.000 description 2
- 229960001318 fondaparinux Drugs 0.000 description 2
- 229960002848 formoterol Drugs 0.000 description 2
- BPZSYCZIITTYBL-UHFFFAOYSA-N formoterol Chemical compound C1=CC(OC)=CC=C1CC(C)NCC(O)C1=CC=C(O)C(NC=O)=C1 BPZSYCZIITTYBL-UHFFFAOYSA-N 0.000 description 2
- 229960002490 fosinopril Drugs 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- ZZUFCTLCJUWOSV-UHFFFAOYSA-N furosemide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC(C(O)=O)=C1NCC1=CC=CO1 ZZUFCTLCJUWOSV-UHFFFAOYSA-N 0.000 description 2
- 229960003883 furosemide Drugs 0.000 description 2
- 108700032141 ganirelix Proteins 0.000 description 2
- 238000002290 gas chromatography-mass spectrometry Methods 0.000 description 2
- 229960002584 gefitinib Drugs 0.000 description 2
- XGALLCVXEZPNRQ-UHFFFAOYSA-N gefitinib Chemical compound C=12C=C(OCCCN3CCOCC3)C(OC)=CC2=NC=NC=1NC1=CC=C(F)C(Cl)=C1 XGALLCVXEZPNRQ-UHFFFAOYSA-N 0.000 description 2
- 239000008103 glucose Substances 0.000 description 2
- 229910000042 hydrogen bromide Inorganic materials 0.000 description 2
- 201000005991 hyperphosphatemia Diseases 0.000 description 2
- 229960002240 iloprost Drugs 0.000 description 2
- HIFJCPQKFCZDDL-ACWOEMLNSA-N iloprost Chemical compound C1\C(=C/CCCC(O)=O)C[C@@H]2[C@@H](/C=C/[C@@H](O)C(C)CC#CC)[C@H](O)C[C@@H]21 HIFJCPQKFCZDDL-ACWOEMLNSA-N 0.000 description 2
- KTUFNOKKBVMGRW-UHFFFAOYSA-N imatinib Chemical compound C1CN(C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)C=C1 KTUFNOKKBVMGRW-UHFFFAOYSA-N 0.000 description 2
- 229960002411 imatinib Drugs 0.000 description 2
- 125000002632 imidazolidinyl group Chemical group 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 229950005809 implitapide Drugs 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 229910052500 inorganic mineral Inorganic materials 0.000 description 2
- 230000004410 intraocular pressure Effects 0.000 description 2
- 230000000302 ischemic effect Effects 0.000 description 2
- 206010023332 keratitis Diseases 0.000 description 2
- 229940043355 kinase inhibitor Drugs 0.000 description 2
- 238000002372 labelling Methods 0.000 description 2
- 229960001632 labetalol Drugs 0.000 description 2
- JVTAAEKCZFNVCJ-UHFFFAOYSA-N lactic acid Chemical compound CC(O)C(O)=O JVTAAEKCZFNVCJ-UHFFFAOYSA-N 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- WMDSZGFJQKSLLH-RBBKRZOGSA-N landiolol Chemical compound O1C(C)(C)OC[C@H]1COC(=O)CCC(C=C1)=CC=C1OC[C@@H](O)CNCCNC(=O)N1CCOCC1 WMDSZGFJQKSLLH-RBBKRZOGSA-N 0.000 description 2
- 229950005241 landiolol Drugs 0.000 description 2
- 229960004891 lapatinib Drugs 0.000 description 2
- BCFGMOOMADDAQU-UHFFFAOYSA-N lapatinib Chemical compound O1C(CNCCS(=O)(=O)C)=CC=C1C1=CC=C(N=CN=C2NC=3C=C(Cl)C(OCC=4C=C(F)C=CC=4)=CC=3)C2=C1 BCFGMOOMADDAQU-UHFFFAOYSA-N 0.000 description 2
- VHOGYURTWQBHIL-UHFFFAOYSA-N leflunomide Chemical compound O1N=CC(C(=O)NC=2C=CC(=CC=2)C(F)(F)F)=C1C VHOGYURTWQBHIL-UHFFFAOYSA-N 0.000 description 2
- 229960000681 leflunomide Drugs 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 230000037356 lipid metabolism Effects 0.000 description 2
- 229960002394 lisinopril Drugs 0.000 description 2
- RLAWWYSOJDYHDC-BZSNNMDCSA-N lisinopril Chemical compound C([C@H](N[C@@H](CCCCN)C(=O)N1[C@@H](CCC1)C(O)=O)C(O)=O)CC1=CC=CC=C1 RLAWWYSOJDYHDC-BZSNNMDCSA-N 0.000 description 2
- 210000004185 liver Anatomy 0.000 description 2
- PPHTXRNHTVLQED-UHFFFAOYSA-N lixivaptan Chemical compound CC1=CC=C(F)C=C1C(=O)NC(C=C1Cl)=CC=C1C(=O)N1C2=CC=CC=C2CN2C=CC=C2C1 PPHTXRNHTVLQED-UHFFFAOYSA-N 0.000 description 2
- 229950011475 lixivaptan Drugs 0.000 description 2
- WDRYRZXSPDWGEB-UHFFFAOYSA-N lonidamine Chemical compound C12=CC=CC=C2C(C(=O)O)=NN1CC1=CC=C(Cl)C=C1Cl WDRYRZXSPDWGEB-UHFFFAOYSA-N 0.000 description 2
- 229960003538 lonidamine Drugs 0.000 description 2
- 229960004773 losartan Drugs 0.000 description 2
- KJJZZJSZUJXYEA-UHFFFAOYSA-N losartan Chemical compound CCCCC1=NC(Cl)=C(CO)N1CC1=CC=C(C=2C(=CC=CC=2)C=2[N]N=NN=2)C=C1 KJJZZJSZUJXYEA-UHFFFAOYSA-N 0.000 description 2
- 235000019359 magnesium stearate Nutrition 0.000 description 2
- 201000005857 malignant hypertension Diseases 0.000 description 2
- DKWNMCUOEDMMIN-PKOBYXMFSA-N melagatran Chemical compound C1=CC(C(=N)N)=CC=C1CNC(=O)[C@H]1N(C(=O)[C@H](NCC(O)=O)C2CCCCC2)CC1 DKWNMCUOEDMMIN-PKOBYXMFSA-N 0.000 description 2
- 229960002137 melagatran Drugs 0.000 description 2
- 229960003134 mepindolol Drugs 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- 229940098779 methanesulfonic acid Drugs 0.000 description 2
- LYVGOAYMIAQLHI-UHFFFAOYSA-N methyl 2-butyl-1-[[2-fluoro-4-[2-(2h-tetrazol-5-yl)phenyl]phenyl]methyl]-6-oxopyridine-4-carboxylate Chemical compound CCCCC1=CC(C(=O)OC)=CC(=O)N1CC1=CC=C(C=2C(=CC=CC=2)C2=NNN=N2)C=C1F LYVGOAYMIAQLHI-UHFFFAOYSA-N 0.000 description 2
- 150000004702 methyl esters Chemical class 0.000 description 2
- 229960004584 methylprednisolone Drugs 0.000 description 2
- 229960002704 metipranolol Drugs 0.000 description 2
- BLWNYSZZZWQCKO-UHFFFAOYSA-N metipranolol hydrochloride Chemical compound [Cl-].CC(C)[NH2+]CC(O)COC1=CC(C)=C(OC(C)=O)C(C)=C1C BLWNYSZZZWQCKO-UHFFFAOYSA-N 0.000 description 2
- 229960002237 metoprolol Drugs 0.000 description 2
- IUBSYMUCCVWXPE-UHFFFAOYSA-N metoprolol Chemical compound COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 IUBSYMUCCVWXPE-UHFFFAOYSA-N 0.000 description 2
- 235000010755 mineral Nutrition 0.000 description 2
- 239000011707 mineral Substances 0.000 description 2
- XLFWDASMENKTKL-UHFFFAOYSA-N molsidomine Chemical compound O1C(N=C([O-])OCC)=C[N+](N2CCOCC2)=N1 XLFWDASMENKTKL-UHFFFAOYSA-N 0.000 description 2
- 229960004027 molsidomine Drugs 0.000 description 2
- 125000002757 morpholinyl group Chemical group 0.000 description 2
- WRNXUQJJCIZICJ-UHFFFAOYSA-N mozavaptan Chemical compound C12=CC=CC=C2C(N(C)C)CCCN1C(=O)C(C=C1)=CC=C1NC(=O)C1=CC=CC=C1C WRNXUQJJCIZICJ-UHFFFAOYSA-N 0.000 description 2
- 229950000546 mozavaptan Drugs 0.000 description 2
- 229960004255 nadolol Drugs 0.000 description 2
- VWPOSFSPZNDTMJ-UCWKZMIHSA-N nadolol Chemical compound C1[C@@H](O)[C@@H](O)CC2=C1C=CC=C2OCC(O)CNC(C)(C)C VWPOSFSPZNDTMJ-UCWKZMIHSA-N 0.000 description 2
- 229960000619 nebivolol Drugs 0.000 description 2
- 201000009925 nephrosclerosis Diseases 0.000 description 2
- HYIMSNHJOBLJNT-UHFFFAOYSA-N nifedipine Chemical compound COC(=O)C1=C(C)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1[N+]([O-])=O HYIMSNHJOBLJNT-UHFFFAOYSA-N 0.000 description 2
- 229960001597 nifedipine Drugs 0.000 description 2
- 239000002674 ointment Substances 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- AHLBNYSZXLDEJQ-FWEHEUNISA-N orlistat Chemical compound CCCCCCCCCCC[C@H](OC(=O)[C@H](CC(C)C)NC=O)C[C@@H]1OC(=O)[C@H]1CCCCCC AHLBNYSZXLDEJQ-FWEHEUNISA-N 0.000 description 2
- 229960001243 orlistat Drugs 0.000 description 2
- JMANVNJQNLATNU-UHFFFAOYSA-N oxalonitrile Chemical compound N#CC#N JMANVNJQNLATNU-UHFFFAOYSA-N 0.000 description 2
- 125000000160 oxazolidinyl group Chemical group 0.000 description 2
- 229960004570 oxprenolol Drugs 0.000 description 2
- 125000004430 oxygen atom Chemical group O* 0.000 description 2
- 229910052763 palladium Inorganic materials 0.000 description 2
- WVUNYSQLFKLYNI-AATRIKPKSA-N pelitinib Chemical compound C=12C=C(NC(=O)\C=C\CN(C)C)C(OCC)=CC2=NC=C(C#N)C=1NC1=CC=C(F)C(Cl)=C1 WVUNYSQLFKLYNI-AATRIKPKSA-N 0.000 description 2
- 229950006299 pelitinib Drugs 0.000 description 2
- 229960002582 perindopril Drugs 0.000 description 2
- IPVQLZZIHOAWMC-QXKUPLGCSA-N perindopril Chemical compound C1CCC[C@H]2C[C@@H](C(O)=O)N(C(=O)[C@H](C)N[C@@H](CCC)C(=O)OCC)[C@H]21 IPVQLZZIHOAWMC-QXKUPLGCSA-N 0.000 description 2
- 229910000073 phosphorus hydride Inorganic materials 0.000 description 2
- 239000003757 phosphotransferase inhibitor Substances 0.000 description 2
- SHUZOJHMOBOZST-UHFFFAOYSA-N phylloquinone Natural products CC(C)CCCCC(C)CCC(C)CCCC(=CCC1=C(C)C(=O)c2ccccc2C1=O)C SHUZOJHMOBOZST-UHFFFAOYSA-N 0.000 description 2
- 229960002508 pindolol Drugs 0.000 description 2
- PHUTUTUABXHXLW-UHFFFAOYSA-N pindolol Chemical compound CC(C)NCC(O)COC1=CC=CC2=NC=C[C]12 PHUTUTUABXHXLW-UHFFFAOYSA-N 0.000 description 2
- 229960005095 pioglitazone Drugs 0.000 description 2
- 125000004193 piperazinyl group Chemical group 0.000 description 2
- 229960002797 pitavastatin Drugs 0.000 description 2
- VGYFMXBACGZSIL-MCBHFWOFSA-N pitavastatin Chemical compound OC(=O)C[C@H](O)C[C@H](O)\C=C\C1=C(C2CC2)N=C2C=CC=CC2=C1C1=CC=C(F)C=C1 VGYFMXBACGZSIL-MCBHFWOFSA-N 0.000 description 2
- 210000002381 plasma Anatomy 0.000 description 2
- 229920000136 polysorbate Polymers 0.000 description 2
- 229950008882 polysorbate Drugs 0.000 description 2
- 229910052700 potassium Inorganic materials 0.000 description 2
- 239000011591 potassium Substances 0.000 description 2
- SCVFZCLFOSHCOH-UHFFFAOYSA-M potassium acetate Chemical compound [K+].CC([O-])=O SCVFZCLFOSHCOH-UHFFFAOYSA-M 0.000 description 2
- 239000001103 potassium chloride Substances 0.000 description 2
- 235000011164 potassium chloride Nutrition 0.000 description 2
- LPNYRYFBWFDTMA-UHFFFAOYSA-N potassium tert-butoxide Chemical compound [K+].CC(C)(C)[O-] LPNYRYFBWFDTMA-UHFFFAOYSA-N 0.000 description 2
- 229960002965 pravastatin Drugs 0.000 description 2
- TUZYXOIXSAXUGO-PZAWKZKUSA-N pravastatin Chemical compound C1=C[C@H](C)[C@H](CC[C@@H](O)C[C@@H](O)CC(O)=O)[C@H]2[C@@H](OC(=O)[C@@H](C)CC)C[C@H](O)C=C21 TUZYXOIXSAXUGO-PZAWKZKUSA-N 0.000 description 2
- IENZQIKPVFGBNW-UHFFFAOYSA-N prazosin Chemical compound N=1C(N)=C2C=C(OC)C(OC)=CC2=NC=1N(CC1)CCN1C(=O)C1=CC=CO1 IENZQIKPVFGBNW-UHFFFAOYSA-N 0.000 description 2
- 229960001289 prazosin Drugs 0.000 description 2
- 239000002243 precursor Substances 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 229940002612 prodrug Drugs 0.000 description 2
- 239000000651 prodrug Substances 0.000 description 2
- BDERNNFJNOPAEC-UHFFFAOYSA-N propan-1-ol Chemical compound CCCO BDERNNFJNOPAEC-UHFFFAOYSA-N 0.000 description 2
- 229960003712 propranolol Drugs 0.000 description 2
- 208000005333 pulmonary edema Diseases 0.000 description 2
- 208000005069 pulmonary fibrosis Diseases 0.000 description 2
- 125000003072 pyrazolidinyl group Chemical group 0.000 description 2
- 125000003226 pyrazolyl group Chemical group 0.000 description 2
- MIXMJCQRHVAJIO-TZHJZOAOSA-N qk4dys664x Chemical compound O.C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O.C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O MIXMJCQRHVAJIO-TZHJZOAOSA-N 0.000 description 2
- 229960003401 ramipril Drugs 0.000 description 2
- HDACQVRGBOVJII-JBDAPHQKSA-N ramipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 HDACQVRGBOVJII-JBDAPHQKSA-N 0.000 description 2
- 229950010535 razaxaban Drugs 0.000 description 2
- 230000002829 reductive effect Effects 0.000 description 2
- 201000010384 renal tubular acidosis Diseases 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 208000004644 retinal vein occlusion Diseases 0.000 description 2
- 229960004586 rosiglitazone Drugs 0.000 description 2
- 229960000672 rosuvastatin Drugs 0.000 description 2
- BPRHUIZQVSMCRT-VEUZHWNKSA-N rosuvastatin Chemical compound CC(C)C1=NC(N(C)S(C)(=O)=O)=NC(C=2C=CC(F)=CC=2)=C1\C=C\[C@@H](O)C[C@@H](O)CC(O)=O BPRHUIZQVSMCRT-VEUZHWNKSA-N 0.000 description 2
- 229950003647 semaxanib Drugs 0.000 description 2
- WUWDLXZGHZSWQZ-WQLSENKSSA-N semaxanib Chemical compound N1C(C)=CC(C)=C1\C=C/1C2=CC=CC=C2NC\1=O WUWDLXZGHZSWQZ-WQLSENKSSA-N 0.000 description 2
- QZAYGJVTTNCVMB-UHFFFAOYSA-N serotonin Chemical compound C1=C(O)C=C2C(CCN)=CNC2=C1 QZAYGJVTTNCVMB-UHFFFAOYSA-N 0.000 description 2
- 229940121356 serotonin receptor antagonist Drugs 0.000 description 2
- 230000035939 shock Effects 0.000 description 2
- BNRNXUUZRGQAQC-UHFFFAOYSA-N sildenafil Chemical compound CCCC1=NN(C)C(C(N2)=O)=C1N=C2C(C(=CC=1)OCC)=CC=1S(=O)(=O)N1CCN(C)CC1 BNRNXUUZRGQAQC-UHFFFAOYSA-N 0.000 description 2
- PHWXUGHIIBDVKD-UHFFFAOYSA-N sitaxentan Chemical compound CC1=NOC(NS(=O)(=O)C2=C(SC=C2)C(=O)CC=2C(=CC=3OCOC=3C=2)C)=C1Cl PHWXUGHIIBDVKD-UHFFFAOYSA-N 0.000 description 2
- 229960002578 sitaxentan Drugs 0.000 description 2
- 201000000849 skin cancer Diseases 0.000 description 2
- 201000008261 skin carcinoma Diseases 0.000 description 2
- 235000017557 sodium bicarbonate Nutrition 0.000 description 2
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 2
- 229910000029 sodium carbonate Inorganic materials 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- QDRKDTQENPPHOJ-UHFFFAOYSA-N sodium ethoxide Chemical compound [Na+].CC[O-] QDRKDTQENPPHOJ-UHFFFAOYSA-N 0.000 description 2
- MFRIHAYPQRLWNB-UHFFFAOYSA-N sodium tert-butoxide Chemical compound [Na+].CC(C)(C)[O-] MFRIHAYPQRLWNB-UHFFFAOYSA-N 0.000 description 2
- 229960003787 sorafenib Drugs 0.000 description 2
- 229960002370 sotalol Drugs 0.000 description 2
- ZBMZVLHSJCTVON-UHFFFAOYSA-N sotalol Chemical compound CC(C)NCC(O)C1=CC=C(NS(C)(=O)=O)C=C1 ZBMZVLHSJCTVON-UHFFFAOYSA-N 0.000 description 2
- 238000001228 spectrum Methods 0.000 description 2
- 229960002256 spironolactone Drugs 0.000 description 2
- LXMSZDCAJNLERA-ZHYRCANASA-N spironolactone Chemical compound C([C@@H]1[C@]2(C)CC[C@@H]3[C@@]4(C)CCC(=O)C=C4C[C@H]([C@@H]13)SC(=O)C)C[C@@]21CCC(=O)O1 LXMSZDCAJNLERA-ZHYRCANASA-N 0.000 description 2
- 108091007196 stromelysin Proteins 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 125000000472 sulfonyl group Chemical group *S(*)(=O)=O 0.000 description 2
- 208000011580 syndromic disease Diseases 0.000 description 2
- UXXQOJXBIDBUAC-UHFFFAOYSA-N tandutinib Chemical compound COC1=CC2=C(N3CCN(CC3)C(=O)NC=3C=CC(OC(C)C)=CC=3)N=CN=C2C=C1OCCCN1CCCCC1 UXXQOJXBIDBUAC-UHFFFAOYSA-N 0.000 description 2
- 229950009893 tandutinib Drugs 0.000 description 2
- 229960005187 telmisartan Drugs 0.000 description 2
- 229960000195 terbutaline Drugs 0.000 description 2
- ZRKFYGHZFMAOKI-QMGMOQQFSA-N tgfbeta Chemical compound C([C@H](NC(=O)[C@H](C(C)C)NC(=O)CNC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CC(C)C)NC(=O)CNC(=O)[C@H](C)NC(=O)[C@H](CO)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@@H](NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](N)CCSC)C(C)C)[C@@H](C)CC)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(O)=O)C1=CC=C(O)C=C1 ZRKFYGHZFMAOKI-QMGMOQQFSA-N 0.000 description 2
- 125000001113 thiadiazolyl group Chemical group 0.000 description 2
- 238000004809 thin layer chromatography Methods 0.000 description 2
- 239000003868 thrombin inhibitor Substances 0.000 description 2
- 229960004605 timolol Drugs 0.000 description 2
- PLHJCIYEEKOWNM-HHHXNRCGSA-N tipifarnib Chemical compound CN1C=NC=C1[C@](N)(C=1C=C2C(C=3C=C(Cl)C=CC=3)=CC(=O)N(C)C2=CC=1)C1=CC=C(Cl)C=C1 PLHJCIYEEKOWNM-HHHXNRCGSA-N 0.000 description 2
- 229950004437 tiqueside Drugs 0.000 description 2
- COKMIXFXJJXBQG-NRFANRHFSA-N tirofiban Chemical compound C1=CC(C[C@H](NS(=O)(=O)CCCC)C(O)=O)=CC=C1OCCCCC1CCNCC1 COKMIXFXJJXBQG-NRFANRHFSA-N 0.000 description 2
- 229960003425 tirofiban Drugs 0.000 description 2
- GYHCTFXIZSNGJT-UHFFFAOYSA-N tolvaptan Chemical compound CC1=CC=CC=C1C(=O)NC(C=C1C)=CC=C1C(=O)N1C2=CC=C(Cl)C=C2C(O)CCC1 GYHCTFXIZSNGJT-UHFFFAOYSA-N 0.000 description 2
- 229960001256 tolvaptan Drugs 0.000 description 2
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 2
- 229960005294 triamcinolone Drugs 0.000 description 2
- GFNANZIMVAIWHM-OBYCQNJPSA-N triamcinolone Chemical compound O=C1C=C[C@]2(C)[C@@]3(F)[C@@H](O)C[C@](C)([C@@]([C@H](O)C4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 GFNANZIMVAIWHM-OBYCQNJPSA-N 0.000 description 2
- 125000001425 triazolyl group Chemical group 0.000 description 2
- 229960001177 trimetazidine Drugs 0.000 description 2
- FIQMHBFVRAXMOP-UHFFFAOYSA-N triphenylphosphane oxide Chemical compound C=1C=CC=CC=1P(C=1C=CC=CC=1)(=O)C1=CC=CC=C1 FIQMHBFVRAXMOP-UHFFFAOYSA-N 0.000 description 2
- 201000002327 urinary tract obstruction Diseases 0.000 description 2
- 210000002700 urine Anatomy 0.000 description 2
- 229960004699 valsartan Drugs 0.000 description 2
- SJSNUMAYCRRIOM-QFIPXVFZSA-N valsartan Chemical compound C1=CC(CN(C(=O)CCCC)[C@@H](C(C)C)C(O)=O)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SJSNUMAYCRRIOM-QFIPXVFZSA-N 0.000 description 2
- 229950000578 vatalanib Drugs 0.000 description 2
- YCOYDOIWSSHVCK-UHFFFAOYSA-N vatalanib Chemical compound C1=CC(Cl)=CC=C1NC(C1=CC=CC=C11)=NN=C1CC1=CC=NC=C1 YCOYDOIWSSHVCK-UHFFFAOYSA-N 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 229960001722 verapamil Drugs 0.000 description 2
- 235000019168 vitamin K Nutrition 0.000 description 2
- 239000011712 vitamin K Substances 0.000 description 2
- 150000003721 vitamin K derivatives Chemical class 0.000 description 2
- 229940046010 vitamin k Drugs 0.000 description 2
- ZXIBCJHYVWYIKI-PZJWPPBQSA-N ximelagatran Chemical compound C1([C@@H](NCC(=O)OCC)C(=O)N2[C@@H](CC2)C(=O)NCC=2C=CC(=CC=2)C(\N)=N\O)CCCCC1 ZXIBCJHYVWYIKI-PZJWPPBQSA-N 0.000 description 2
- 229960001522 ximelagatran Drugs 0.000 description 2
- MGLIYKZFLDTAMW-GFCCVEGCSA-N (1R)-1-(1-isoquinolin-5-ylsulfonylpiperidin-4-yl)ethanamine Chemical compound C[C@@H](N)C1CCN(CC1)S(=O)(=O)C1=CC=CC2=C1C=CN=C2 MGLIYKZFLDTAMW-GFCCVEGCSA-N 0.000 description 1
- DMYZJLOWGSRVKP-RTBURBONSA-N (2r,4r)-1-n-(4-chlorophenyl)-4-hydroxy-2-n-[4-(3-oxomorpholin-4-yl)phenyl]pyrrolidine-1,2-dicarboxamide Chemical compound N1([C@H](C[C@H](C1)O)C(=O)NC=1C=CC(=CC=1)N1C(COCC1)=O)C(=O)NC1=CC=C(Cl)C=C1 DMYZJLOWGSRVKP-RTBURBONSA-N 0.000 description 1
- ZXEIEKDGPVTZLD-NDEPHWFRSA-N (2s)-2-dodecylsulfanyl-n-(4-hydroxy-2,3,5-trimethylphenyl)-2-phenylacetamide Chemical compound O=C([C@@H](SCCCCCCCCCCCC)C=1C=CC=CC=1)NC1=CC(C)=C(O)C(C)=C1C ZXEIEKDGPVTZLD-NDEPHWFRSA-N 0.000 description 1
- LJCBAPRMNYSDOP-LVCYMWGESA-N (2s)-3-(7-carbamimidoylnaphthalen-2-yl)-2-[4-[(3s)-1-ethanimidoylpyrrolidin-3-yl]oxyphenyl]propanoic acid;hydron;chloride;pentahydrate Chemical compound O.O.O.O.O.Cl.C1N(C(=N)C)CC[C@@H]1OC1=CC=C([C@H](CC=2C=C3C=C(C=CC3=CC=2)C(N)=N)C(O)=O)C=C1 LJCBAPRMNYSDOP-LVCYMWGESA-N 0.000 description 1
- ZHFPIMSXEZPRLC-PMERELPUSA-N (4r)-1-[4-[(2-chloro-5-fluorobenzoyl)amino]-3-methoxybenzoyl]spiro[3,5-dihydro-2h-1-benzazepine-4,3'-cyclopentene]-1'-carboxylic acid Chemical compound COC1=CC(C(=O)N2C3=CC=CC=C3C[C@@]3(C=C(CC3)C(O)=O)CC2)=CC=C1NC(=O)C1=CC(F)=CC=C1Cl ZHFPIMSXEZPRLC-PMERELPUSA-N 0.000 description 1
- RWIUTHWKQHRQNP-ZDVGBALWSA-N (9e,12e)-n-(1-phenylethyl)octadeca-9,12-dienamide Chemical compound CCCCC\C=C\C\C=C\CCCCCCCC(=O)NC(C)C1=CC=CC=C1 RWIUTHWKQHRQNP-ZDVGBALWSA-N 0.000 description 1
- VLSDXINSOMDCBK-BQYQJAHWSA-N (E)-1,1'-azobis(N,N-dimethylformamide) Chemical compound CN(C)C(=O)\N=N\C(=O)N(C)C VLSDXINSOMDCBK-BQYQJAHWSA-N 0.000 description 1
- UCTWMZQNUQWSLP-VIFPVBQESA-N (R)-adrenaline Chemical compound CNC[C@H](O)C1=CC=C(O)C(O)=C1 UCTWMZQNUQWSLP-VIFPVBQESA-N 0.000 description 1
- 229930182837 (R)-adrenaline Natural products 0.000 description 1
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 description 1
- DKYBVKMIZODYKL-UHFFFAOYSA-N 1,3-diazinane Chemical compound C1CNCNC1 DKYBVKMIZODYKL-UHFFFAOYSA-N 0.000 description 1
- ADFXKUOMJKEIND-UHFFFAOYSA-N 1,3-dicyclohexylurea Chemical compound C1CCCCC1NC(=O)NC1CCCCC1 ADFXKUOMJKEIND-UHFFFAOYSA-N 0.000 description 1
- SLJMZNOYNSCQNU-UHFFFAOYSA-N 1-(4-aminophenyl)imidazolidin-2-one Chemical compound C1=CC(N)=CC=C1N1C(=O)NCC1 SLJMZNOYNSCQNU-UHFFFAOYSA-N 0.000 description 1
- FAFVVBJEQCPDIA-UHFFFAOYSA-N 1-[4-amino-2,6-di(propan-2-yl)phenyl]-3-[1-butyl-4-[3-(3-hydroxypropoxy)phenyl]-2-oxo-1,8-naphthyridin-3-yl]urea;hydrochloride Chemical compound Cl.CC(C)C=1C=C(N)C=C(C(C)C)C=1NC(=O)NC=1C(=O)N(CCCC)C2=NC=CC=C2C=1C1=CC=CC(OCCCO)=C1 FAFVVBJEQCPDIA-UHFFFAOYSA-N 0.000 description 1
- PMGZJNCIQHGNLT-UHFFFAOYSA-N 1-[bis(2,2-dimethylpropanoyloxymethoxy)phosphoryl]-4-(3-phenoxyphenyl)butane-1-sulfonic acid Chemical compound CC(C)(C)C(=O)OCOP(=O)(OCOC(=O)C(C)(C)C)C(S(O)(=O)=O)CCCC1=CC=CC(OC=2C=CC=CC=2)=C1 PMGZJNCIQHGNLT-UHFFFAOYSA-N 0.000 description 1
- FCEHBMOGCRZNNI-UHFFFAOYSA-N 1-benzothiophene Chemical compound C1=CC=C2SC=CC2=C1 FCEHBMOGCRZNNI-UHFFFAOYSA-N 0.000 description 1
- BMVXCPBXGZKUPN-UHFFFAOYSA-N 1-hexanamine Chemical compound CCCCCCN BMVXCPBXGZKUPN-UHFFFAOYSA-N 0.000 description 1
- PJUPKRYGDFTMTM-UHFFFAOYSA-N 1-hydroxybenzotriazole;hydrate Chemical compound O.C1=CC=C2N(O)N=NC2=C1 PJUPKRYGDFTMTM-UHFFFAOYSA-N 0.000 description 1
- UZGKAASZIMOAMU-UHFFFAOYSA-N 124177-85-1 Chemical compound NP(=O)=O UZGKAASZIMOAMU-UHFFFAOYSA-N 0.000 description 1
- KAESVJOAVNADME-UHFFFAOYSA-N 1H-pyrrole Natural products C=1C=CNC=1 KAESVJOAVNADME-UHFFFAOYSA-N 0.000 description 1
- SNTWKPAKVQFCCF-UHFFFAOYSA-N 2,3-dihydro-1h-triazole Chemical compound N1NC=CN1 SNTWKPAKVQFCCF-UHFFFAOYSA-N 0.000 description 1
- ZWEHNKRNPOVVGH-UHFFFAOYSA-N 2-Butanone Chemical compound CCC(C)=O ZWEHNKRNPOVVGH-UHFFFAOYSA-N 0.000 description 1
- HQSRVYUCBOCBLY-XOOFNSLWSA-N 2-[(2r)-butan-2-yl]-4-[4-[4-[4-[[(2s,4r)-2-(4-chlorophenyl)-2-[(4-methyl-1,2,4-triazol-3-yl)sulfanylmethyl]-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one Chemical compound O=C1N([C@H](C)CC)N=CN1C1=CC=C(N2CCN(CC2)C=2C=CC(OC[C@H]3O[C@@](CSC=4N(C=NN=4)C)(OC3)C=3C=CC(Cl)=CC=3)=CC=2)C=C1 HQSRVYUCBOCBLY-XOOFNSLWSA-N 0.000 description 1
- CMLUGNQVANVZHY-POURPWNDSA-N 2-[1-[2-[(3r,5s)-1-(3-acetyloxy-2,2-dimethylpropyl)-7-chloro-5-(2,3-dimethoxyphenyl)-2-oxo-5h-4,1-benzoxazepin-3-yl]acetyl]piperidin-4-yl]acetic acid Chemical compound COC1=CC=CC([C@@H]2C3=CC(Cl)=CC=C3N(CC(C)(C)COC(C)=O)C(=O)[C@@H](CC(=O)N3CCC(CC(O)=O)CC3)O2)=C1OC CMLUGNQVANVZHY-POURPWNDSA-N 0.000 description 1
- GKHIVNAUVKXIIY-UHFFFAOYSA-N 2-[3-[4-(1h-indazol-5-ylamino)quinazolin-2-yl]phenoxy]-n-propan-2-ylacetamide Chemical compound CC(C)NC(=O)COC1=CC=CC(C=2N=C3C=CC=CC3=C(NC=3C=C4C=NNC4=CC=3)N=2)=C1 GKHIVNAUVKXIIY-UHFFFAOYSA-N 0.000 description 1
- UOJMJBUYXYEPFX-UHFFFAOYSA-N 2-[4-(4-hydroxy-3-propan-2-ylphenoxy)-3,5-dimethylanilino]-2-oxoacetic acid Chemical compound C1=C(O)C(C(C)C)=CC(OC=2C(=CC(NC(=O)C(O)=O)=CC=2C)C)=C1 UOJMJBUYXYEPFX-UHFFFAOYSA-N 0.000 description 1
- TXIIZHHIOHVWJD-UHFFFAOYSA-N 2-[7-(2,2-dimethylpropanoylamino)-4,6-dimethyl-1-octyl-2,3-dihydroindol-5-yl]acetic acid Chemical compound CC(C)(C)C(=O)NC1=C(C)C(CC(O)=O)=C(C)C2=C1N(CCCCCCCC)CC2 TXIIZHHIOHVWJD-UHFFFAOYSA-N 0.000 description 1
- QHVBWSIFLCIXBD-UHFFFAOYSA-N 2-[[2-[3-(diaminomethylidene)-6-oxocyclohexa-1,4-dien-1-yl]oxy-3,5-difluoro-6-[3-(1-methyl-4,5-dihydroimidazol-2-yl)phenoxy]pyridin-4-yl]-methylamino]acetic acid Chemical compound N=1C(OC=2C=C(C=CC=2)C=2N(CCN=2)C)=C(F)C(N(CC(O)=O)C)=C(F)C=1OC1=CC(=C(N)N)C=CC1=O QHVBWSIFLCIXBD-UHFFFAOYSA-N 0.000 description 1
- VKUYLANQOAKALN-UHFFFAOYSA-N 2-[benzyl-(4-methoxyphenyl)sulfonylamino]-n-hydroxy-4-methylpentanamide Chemical compound C1=CC(OC)=CC=C1S(=O)(=O)N(C(CC(C)C)C(=O)NO)CC1=CC=CC=C1 VKUYLANQOAKALN-UHFFFAOYSA-N 0.000 description 1
- ZOOGRGPOEVQQDX-UUOKFMHZSA-N 3',5'-cyclic GMP Chemical compound C([C@H]1O2)OP(O)(=O)O[C@H]1[C@@H](O)[C@@H]2N1C(N=C(NC2=O)N)=C2N=C1 ZOOGRGPOEVQQDX-UUOKFMHZSA-N 0.000 description 1
- FPQQSJJWHUJYPU-UHFFFAOYSA-N 3-(dimethylamino)propyliminomethylidene-ethylazanium;chloride Chemical compound Cl.CCN=C=NCCCN(C)C FPQQSJJWHUJYPU-UHFFFAOYSA-N 0.000 description 1
- NCGICGYLBXGBGN-UHFFFAOYSA-N 3-morpholin-4-yl-1-oxa-3-azonia-2-azanidacyclopent-3-en-5-imine;hydrochloride Chemical compound Cl.[N-]1OC(=N)C=[N+]1N1CCOCC1 NCGICGYLBXGBGN-UHFFFAOYSA-N 0.000 description 1
- NOBZETMXGVAWIM-UHFFFAOYSA-N 4-[(2-carbamimidoyl-3,4-dihydro-1h-isoquinolin-7-yl)oxymethyl]-1-pyridin-4-ylpiperidine-4-carboxylic acid;methanesulfonic acid Chemical compound CS(O)(=O)=O.C1=C2CN(C(=N)N)CCC2=CC=C1OCC(CC1)(C(O)=O)CCN1C1=CC=NC=C1 NOBZETMXGVAWIM-UHFFFAOYSA-N 0.000 description 1
- KEWSCDNULKOKTG-UHFFFAOYSA-N 4-cyano-4-ethylsulfanylcarbothioylsulfanylpentanoic acid Chemical compound CCSC(=S)SC(C)(C#N)CCC(O)=O KEWSCDNULKOKTG-UHFFFAOYSA-N 0.000 description 1
- IZVFFXVYBHFIHY-SKCNUYALSA-N 5alpha-cholest-7-en-3beta-ol Chemical compound C1[C@@H](O)CC[C@]2(C)[C@@H](CC[C@@]3([C@@H]([C@H](C)CCCC(C)C)CC[C@H]33)C)C3=CC[C@H]21 IZVFFXVYBHFIHY-SKCNUYALSA-N 0.000 description 1
- KKJUPNGICOCCDW-UHFFFAOYSA-N 7-N,N-Dimethylamino-1,2,3,4,5-pentathiocyclooctane Chemical compound CN(C)C1CSSSSSC1 KKJUPNGICOCCDW-UHFFFAOYSA-N 0.000 description 1
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical compound [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- 208000002874 Acne Vulgaris Diseases 0.000 description 1
- 206010000748 Acute febrile neutrophilic dermatosis Diseases 0.000 description 1
- 102000009027 Albumins Human genes 0.000 description 1
- 108010088751 Albumins Proteins 0.000 description 1
- 201000010053 Alcoholic Cardiomyopathy Diseases 0.000 description 1
- 208000035285 Allergic Seasonal Rhinitis Diseases 0.000 description 1
- WSVLPVUVIUVCRA-KPKNDVKVSA-N Alpha-lactose monohydrate Chemical compound O.O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O WSVLPVUVIUVCRA-KPKNDVKVSA-N 0.000 description 1
- 206010068172 Anal pruritus Diseases 0.000 description 1
- 206010002198 Anaphylactic reaction Diseases 0.000 description 1
- 206010002329 Aneurysm Diseases 0.000 description 1
- 102000005862 Angiotensin II Human genes 0.000 description 1
- 101800000733 Angiotensin-2 Proteins 0.000 description 1
- 208000031295 Animal disease Diseases 0.000 description 1
- 206010002660 Anoxia Diseases 0.000 description 1
- 241000976983 Anoxia Species 0.000 description 1
- 206010002915 Aortic valve incompetence Diseases 0.000 description 1
- 206010002921 Aortitis Diseases 0.000 description 1
- 102000007592 Apolipoproteins Human genes 0.000 description 1
- 108010071619 Apolipoproteins Proteins 0.000 description 1
- 239000004475 Arginine Substances 0.000 description 1
- BSYNRYMUTXBXSQ-UHFFFAOYSA-N Aspirin Chemical compound CC(=O)OC1=CC=CC=C1C(O)=O BSYNRYMUTXBXSQ-UHFFFAOYSA-N 0.000 description 1
- 208000037157 Azotemia Diseases 0.000 description 1
- 239000005528 B01AC05 - Ticlopidine Substances 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 239000005711 Benzoic acid Substances 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-M Bisulfite Chemical compound OS([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-M 0.000 description 1
- 206010048962 Brain oedema Diseases 0.000 description 1
- 206010006187 Breast cancer Diseases 0.000 description 1
- 208000026310 Breast neoplasm Diseases 0.000 description 1
- WKBOTKDWSSQWDR-UHFFFAOYSA-N Bromine atom Chemical compound [Br] WKBOTKDWSSQWDR-UHFFFAOYSA-N 0.000 description 1
- 206010006458 Bronchitis chronic Diseases 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- 206010007556 Cardiac failure acute Diseases 0.000 description 1
- 206010007558 Cardiac failure chronic Diseases 0.000 description 1
- 206010007559 Cardiac failure congestive Diseases 0.000 description 1
- 206010007637 Cardiomyopathy alcoholic Diseases 0.000 description 1
- 206010007882 Cellulitis Diseases 0.000 description 1
- 206010008190 Cerebrovascular accident Diseases 0.000 description 1
- 102100037637 Cholesteryl ester transfer protein Human genes 0.000 description 1
- 229920000230 Colestilan Polymers 0.000 description 1
- 108060005980 Collagenase Proteins 0.000 description 1
- 102000029816 Collagenase Human genes 0.000 description 1
- 102100027995 Collagenase 3 Human genes 0.000 description 1
- 108050005238 Collagenase 3 Proteins 0.000 description 1
- 208000031288 Combined hyperlipidaemia Diseases 0.000 description 1
- 208000002330 Congenital Heart Defects Diseases 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 206010056370 Congestive cardiomyopathy Diseases 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
- XUIIKFGFIJCVMT-GFCCVEGCSA-N D-thyroxine Chemical compound IC1=CC(C[C@@H](N)C(O)=O)=CC(I)=C1OC1=CC(I)=C(O)C(I)=C1 XUIIKFGFIJCVMT-GFCCVEGCSA-N 0.000 description 1
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 1
- 206010012688 Diabetic retinal oedema Diseases 0.000 description 1
- 206010012689 Diabetic retinopathy Diseases 0.000 description 1
- 206010012735 Diarrhoea Diseases 0.000 description 1
- 208000003037 Diastolic Heart Failure Diseases 0.000 description 1
- BWLUMTFWVZZZND-UHFFFAOYSA-N Dibenzylamine Chemical compound C=1C=CC=CC=1CNCC1=CC=CC=C1 BWLUMTFWVZZZND-UHFFFAOYSA-N 0.000 description 1
- 201000010046 Dilated cardiomyopathy Diseases 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- HGVDHZBSSITLCT-JLJPHGGASA-N Edoxaban Chemical compound N([C@H]1CC[C@@H](C[C@H]1NC(=O)C=1SC=2CN(C)CCC=2N=1)C(=O)N(C)C)C(=O)C(=O)NC1=CC=C(Cl)C=N1 HGVDHZBSSITLCT-JLJPHGGASA-N 0.000 description 1
- 206010014418 Electrolyte imbalance Diseases 0.000 description 1
- 206010014522 Embolism venous Diseases 0.000 description 1
- 206010065563 Eosinophilic bronchitis Diseases 0.000 description 1
- 206010015150 Erythema Diseases 0.000 description 1
- QUSNBJAOOMFDIB-UHFFFAOYSA-N Ethylamine Chemical compound CCN QUSNBJAOOMFDIB-UHFFFAOYSA-N 0.000 description 1
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 1
- 206010015548 Euthanasia Diseases 0.000 description 1
- 208000035126 Facies Diseases 0.000 description 1
- 108010049003 Fibrinogen Proteins 0.000 description 1
- 102000008946 Fibrinogen Human genes 0.000 description 1
- 102100037362 Fibronectin Human genes 0.000 description 1
- 108010067306 Fibronectins Proteins 0.000 description 1
- 102000017934 GABA-B receptor Human genes 0.000 description 1
- 108060003377 GABA-B receptor Proteins 0.000 description 1
- 206010017993 Gastrointestinal neoplasms Diseases 0.000 description 1
- 108010026132 Gelatinases Proteins 0.000 description 1
- 102000013382 Gelatinases Human genes 0.000 description 1
- 208000022461 Glomerular disease Diseases 0.000 description 1
- 206010018366 Glomerulonephritis acute Diseases 0.000 description 1
- 206010018367 Glomerulonephritis chronic Diseases 0.000 description 1
- 208000005232 Glossitis Diseases 0.000 description 1
- 206010018473 Glycosuria Diseases 0.000 description 1
- 239000007821 HATU Substances 0.000 description 1
- 206010018873 Haemoconcentration Diseases 0.000 description 1
- 229920002971 Heparan sulfate Polymers 0.000 description 1
- 101000880514 Homo sapiens Cholesteryl ester transfer protein Proteins 0.000 description 1
- 101000856199 Homo sapiens Chymotrypsin-like protease CTRL-1 Proteins 0.000 description 1
- 102000004286 Hydroxymethylglutaryl CoA Reductases Human genes 0.000 description 1
- 108090000895 Hydroxymethylglutaryl CoA Reductases Proteins 0.000 description 1
- 208000035150 Hypercholesterolemia Diseases 0.000 description 1
- 208000002682 Hyperkalemia Diseases 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 208000031354 Hyphema Diseases 0.000 description 1
- 206010021036 Hyponatraemia Diseases 0.000 description 1
- 208000001953 Hypotension Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 101710156096 Ileal sodium/bile acid cotransporter Proteins 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 206010053198 Inappropriate antidiuretic hormone secretion Diseases 0.000 description 1
- 208000022559 Inflammatory bowel disease Diseases 0.000 description 1
- 102000000589 Interleukin-1 Human genes 0.000 description 1
- 108010002352 Interleukin-1 Proteins 0.000 description 1
- 102000015696 Interleukins Human genes 0.000 description 1
- 108010063738 Interleukins Proteins 0.000 description 1
- 206010048858 Ischaemic cardiomyopathy Diseases 0.000 description 1
- 208000012659 Joint disease Diseases 0.000 description 1
- 208000002260 Keloid Diseases 0.000 description 1
- 206010023330 Keloid scar Diseases 0.000 description 1
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 1
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 description 1
- 239000002147 L01XE04 - Sunitinib Substances 0.000 description 1
- 239000002138 L01XE21 - Regorafenib Substances 0.000 description 1
- 102000007330 LDL Lipoproteins Human genes 0.000 description 1
- 108010007622 LDL Lipoproteins Proteins 0.000 description 1
- UIARLYUEJFELEN-LROUJFHJSA-N LSM-1231 Chemical compound C12=C3N4C5=CC=CC=C5C3=C3C(=O)NCC3=C2C2=CC=CC=C2N1[C@]1(C)[C@](CO)(O)C[C@H]4O1 UIARLYUEJFELEN-LROUJFHJSA-N 0.000 description 1
- 206010024119 Left ventricular failure Diseases 0.000 description 1
- 208000000185 Localized scleroderma Diseases 0.000 description 1
- 206010025323 Lymphomas Diseases 0.000 description 1
- 239000004472 Lysine Substances 0.000 description 1
- KDXKERNSBIXSRK-UHFFFAOYSA-N Lysine Natural products NCCCCC(N)C(O)=O KDXKERNSBIXSRK-UHFFFAOYSA-N 0.000 description 1
- 208000001344 Macular Edema Diseases 0.000 description 1
- 206010025415 Macular oedema Diseases 0.000 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- 102000000380 Matrix Metalloproteinase 1 Human genes 0.000 description 1
- 108010016113 Matrix Metalloproteinase 1 Proteins 0.000 description 1
- 108010000684 Matrix Metalloproteinases Proteins 0.000 description 1
- 102000002274 Matrix Metalloproteinases Human genes 0.000 description 1
- 102100030412 Matrix metalloproteinase-9 Human genes 0.000 description 1
- 108010015302 Matrix metalloproteinase-9 Proteins 0.000 description 1
- 206010027145 Melanocytic naevus Diseases 0.000 description 1
- 241000699673 Mesocricetus auratus Species 0.000 description 1
- 102000005741 Metalloproteases Human genes 0.000 description 1
- 108010006035 Metalloproteases Proteins 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- 208000020128 Mitral stenosis Diseases 0.000 description 1
- 101150101095 Mmp12 gene Proteins 0.000 description 1
- PCZOHLXUXFIOCF-UHFFFAOYSA-N Monacolin X Natural products C12C(OC(=O)C(C)CC)CC(C)C=C2C=CC(C)C1CCC1CC(O)CC(=O)O1 PCZOHLXUXFIOCF-UHFFFAOYSA-N 0.000 description 1
- 206010027982 Morphoea Diseases 0.000 description 1
- 229940121948 Muscarinic receptor antagonist Drugs 0.000 description 1
- 201000002481 Myositis Diseases 0.000 description 1
- XKLMZUWKNUAPSZ-UHFFFAOYSA-N N-(2,6-dimethylphenyl)-2-{4-[2-hydroxy-3-(2-methoxyphenoxy)propyl]piperazin-1-yl}acetamide Chemical compound COC1=CC=CC=C1OCC(O)CN1CCN(CC(=O)NC=2C(=CC=CC=2C)C)CC1 XKLMZUWKNUAPSZ-UHFFFAOYSA-N 0.000 description 1
- UEEJHVSXFDXPFK-UHFFFAOYSA-N N-dimethylaminoethanol Chemical compound CN(C)CCO UEEJHVSXFDXPFK-UHFFFAOYSA-N 0.000 description 1
- 101800000021 N-terminal protease Proteins 0.000 description 1
- 101150079463 NBL1 gene Proteins 0.000 description 1
- 208000000592 Nasal Polyps Diseases 0.000 description 1
- 206010029164 Nephrotic syndrome Diseases 0.000 description 1
- 201000009053 Neurodermatitis Diseases 0.000 description 1
- 102100030411 Neutrophil collagenase Human genes 0.000 description 1
- 101710118230 Neutrophil collagenase Proteins 0.000 description 1
- 208000007256 Nevus Diseases 0.000 description 1
- SNIOPGDIGTZGOP-UHFFFAOYSA-N Nitroglycerin Chemical compound [O-][N+](=O)OCC(O[N+]([O-])=O)CO[N+]([O-])=O SNIOPGDIGTZGOP-UHFFFAOYSA-N 0.000 description 1
- 239000000006 Nitroglycerin Substances 0.000 description 1
- 241001597008 Nomeidae Species 0.000 description 1
- 208000015914 Non-Hodgkin lymphomas Diseases 0.000 description 1
- CTQNGGLPUBDAKN-UHFFFAOYSA-N O-Xylene Chemical compound CC1=CC=CC=C1C CTQNGGLPUBDAKN-UHFFFAOYSA-N 0.000 description 1
- 206010029888 Obliterative bronchiolitis Diseases 0.000 description 1
- 208000036576 Obstructive uropathy Diseases 0.000 description 1
- 240000007594 Oryza sativa Species 0.000 description 1
- 235000007164 Oryza sativa Nutrition 0.000 description 1
- 108010016731 PPAR gamma Proteins 0.000 description 1
- 206010061902 Pancreatic neoplasm Diseases 0.000 description 1
- 201000010183 Papilledema Diseases 0.000 description 1
- 102100038825 Peroxisome proliferator-activated receptor gamma Human genes 0.000 description 1
- 229940123333 Phosphodiesterase 5 inhibitor Drugs 0.000 description 1
- 235000008331 Pinus X rigitaeda Nutrition 0.000 description 1
- 235000011613 Pinus brutia Nutrition 0.000 description 1
- 241000018646 Pinus brutia Species 0.000 description 1
- 206010035226 Plasma cell myeloma Diseases 0.000 description 1
- 208000007452 Plasmacytoma Diseases 0.000 description 1
- 102000013566 Plasminogen Human genes 0.000 description 1
- 108010051456 Plasminogen Proteins 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 229920002565 Polyethylene Glycol 400 Polymers 0.000 description 1
- 239000002202 Polyethylene glycol Substances 0.000 description 1
- 108010050808 Procollagen Proteins 0.000 description 1
- 206010036774 Proctitis Diseases 0.000 description 1
- 208000002158 Proliferative Vitreoretinopathy Diseases 0.000 description 1
- OFOBLEOULBTSOW-UHFFFAOYSA-N Propanedioic acid Natural products OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 description 1
- 208000009544 Pruritus Ani Diseases 0.000 description 1
- 201000002154 Pterygium Diseases 0.000 description 1
- 206010037520 Pupillary block Diseases 0.000 description 1
- 206010037596 Pyelonephritis Diseases 0.000 description 1
- CZPWVGJYEJSRLH-UHFFFAOYSA-N Pyrimidine Chemical compound C1=CN=CN=C1 CZPWVGJYEJSRLH-UHFFFAOYSA-N 0.000 description 1
- 208000004531 Renal Artery Obstruction Diseases 0.000 description 1
- 206010038378 Renal artery stenosis Diseases 0.000 description 1
- 206010038389 Renal cancer Diseases 0.000 description 1
- 206010038423 Renal cyst Diseases 0.000 description 1
- 206010063837 Reperfusion injury Diseases 0.000 description 1
- 208000017442 Retinal disease Diseases 0.000 description 1
- 206010038886 Retinal oedema Diseases 0.000 description 1
- 206010038923 Retinopathy Diseases 0.000 description 1
- 206010038934 Retinopathy proliferative Diseases 0.000 description 1
- 208000036284 Rhinitis seasonal Diseases 0.000 description 1
- 206010039163 Right ventricular failure Diseases 0.000 description 1
- RYMZZMVNJRMUDD-UHFFFAOYSA-N SJ000286063 Natural products C12C(OC(=O)C(C)(C)CC)CC(C)C=C2C=CC(C)C1CCC1CC(O)CC(=O)O1 RYMZZMVNJRMUDD-UHFFFAOYSA-N 0.000 description 1
- 108091006614 SLC10A2 Proteins 0.000 description 1
- 229940121742 Serine/threonine kinase inhibitor Drugs 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 1
- 206010040943 Skin Ulcer Diseases 0.000 description 1
- KEAYESYHFKHZAL-UHFFFAOYSA-N Sodium Chemical compound [Na] KEAYESYHFKHZAL-UHFFFAOYSA-N 0.000 description 1
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 1
- WQDUMFSSJAZKTM-UHFFFAOYSA-N Sodium methoxide Chemical compound [Na+].[O-]C WQDUMFSSJAZKTM-UHFFFAOYSA-N 0.000 description 1
- NWGKJDSIEKMTRX-AAZCQSIUSA-N Sorbitan monooleate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OC[C@@H](O)[C@H]1OC[C@H](O)[C@H]1O NWGKJDSIEKMTRX-AAZCQSIUSA-N 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 102100030416 Stromelysin-1 Human genes 0.000 description 1
- 101710108790 Stromelysin-1 Proteins 0.000 description 1
- 102100028848 Stromelysin-2 Human genes 0.000 description 1
- 101710108792 Stromelysin-2 Proteins 0.000 description 1
- 102100028847 Stromelysin-3 Human genes 0.000 description 1
- 108050005271 Stromelysin-3 Proteins 0.000 description 1
- 208000010265 Sweet syndrome Diseases 0.000 description 1
- 206010051379 Systemic Inflammatory Response Syndrome Diseases 0.000 description 1
- 208000001871 Tachycardia Diseases 0.000 description 1
- 102000006463 Talin Human genes 0.000 description 1
- 108010083809 Talin Proteins 0.000 description 1
- 208000001163 Tangier disease Diseases 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- DHXVGJBLRPWPCS-UHFFFAOYSA-N Tetrahydropyran Chemical compound C1CCOCC1 DHXVGJBLRPWPCS-UHFFFAOYSA-N 0.000 description 1
- 206010044302 Tracheitis Diseases 0.000 description 1
- 201000001943 Tricuspid Valve Insufficiency Diseases 0.000 description 1
- 206010044640 Tricuspid valve incompetence Diseases 0.000 description 1
- 206010044642 Tricuspid valve stenosis Diseases 0.000 description 1
- 239000007983 Tris buffer Substances 0.000 description 1
- 241000209140 Triticum Species 0.000 description 1
- 235000021307 Triticum Nutrition 0.000 description 1
- 208000007814 Unstable Angina Diseases 0.000 description 1
- 208000006593 Urologic Neoplasms Diseases 0.000 description 1
- 208000032594 Vascular Remodeling Diseases 0.000 description 1
- 208000024248 Vascular System injury Diseases 0.000 description 1
- 208000012339 Vascular injury Diseases 0.000 description 1
- 206010058990 Venous occlusion Diseases 0.000 description 1
- 108010031318 Vitronectin Proteins 0.000 description 1
- 102100035140 Vitronectin Human genes 0.000 description 1
- 208000000260 Warts Diseases 0.000 description 1
- 208000035222 X-linked skeletal dysplasia-intellectual disability syndrome Diseases 0.000 description 1
- 208000002223 abdominal aortic aneurysm Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000009102 absorption Effects 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 229960001138 acetylsalicylic acid Drugs 0.000 description 1
- 206010000496 acne Diseases 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 231100000851 acute glomerulonephritis Toxicity 0.000 description 1
- 201000011040 acute kidney failure Diseases 0.000 description 1
- 201000005180 acute myocarditis Diseases 0.000 description 1
- 208000012998 acute renal failure Diseases 0.000 description 1
- 239000000048 adrenergic agonist Substances 0.000 description 1
- NDAUXUAQIAJITI-UHFFFAOYSA-N albuterol Chemical compound CC(C)(C)NCC(O)C1=CC=C(O)C(CO)=C1 NDAUXUAQIAJITI-UHFFFAOYSA-N 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 150000001335 aliphatic alkanes Chemical class 0.000 description 1
- 229910000102 alkali metal hydride Inorganic materials 0.000 description 1
- 150000008046 alkali metal hydrides Chemical class 0.000 description 1
- 125000004466 alkoxycarbonylamino group Chemical group 0.000 description 1
- 125000003282 alkyl amino group Chemical group 0.000 description 1
- 230000029936 alkylation Effects 0.000 description 1
- 238000005804 alkylation reaction Methods 0.000 description 1
- 201000009961 allergic asthma Diseases 0.000 description 1
- 201000010105 allergic rhinitis Diseases 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N alpha-hydroxysuccinic acid Natural products OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 125000003368 amide group Chemical group 0.000 description 1
- 238000005576 amination reaction Methods 0.000 description 1
- 150000001412 amines Chemical class 0.000 description 1
- CKMXBZGNNVIXHC-UHFFFAOYSA-L ammonium magnesium phosphate hexahydrate Chemical compound [NH4+].O.O.O.O.O.O.[Mg+2].[O-]P([O-])([O-])=O CKMXBZGNNVIXHC-UHFFFAOYSA-L 0.000 description 1
- 150000003863 ammonium salts Chemical class 0.000 description 1
- 230000036783 anaphylactic response Effects 0.000 description 1
- 208000003455 anaphylaxis Diseases 0.000 description 1
- 208000007502 anemia Diseases 0.000 description 1
- 229950006323 angiotensin ii Drugs 0.000 description 1
- 230000007953 anoxia Effects 0.000 description 1
- 230000008485 antagonism Effects 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 239000002220 antihypertensive agent Substances 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 230000003078 antioxidant effect Effects 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 208000007474 aortic aneurysm Diseases 0.000 description 1
- 206010002906 aortic stenosis Diseases 0.000 description 1
- 201000002064 aortic valve insufficiency Diseases 0.000 description 1
- 239000011260 aqueous acid Substances 0.000 description 1
- 239000008346 aqueous phase Substances 0.000 description 1
- 239000007900 aqueous suspension Substances 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
- KBZOIRJILGZLEJ-LGYYRGKSSA-N argipressin Chemical compound C([C@H]1C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CSSC[C@@H](C(N[C@@H](CC=2C=CC(O)=CC=2)C(=O)N1)=O)N)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCN=C(N)N)C(=O)NCC(N)=O)C1=CC=CC=C1 KBZOIRJILGZLEJ-LGYYRGKSSA-N 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 229960005070 ascorbic acid Drugs 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 208000010668 atopic eczema Diseases 0.000 description 1
- 230000005784 autoimmunity Effects 0.000 description 1
- ZSIQJIWKELUFRJ-UHFFFAOYSA-N azepane Chemical compound C1CCCNCC1 ZSIQJIWKELUFRJ-UHFFFAOYSA-N 0.000 description 1
- 125000002393 azetidinyl group Chemical group 0.000 description 1
- 125000005604 azodicarboxylate group Chemical group 0.000 description 1
- 125000003943 azolyl group Chemical group 0.000 description 1
- 229960004495 beclometasone Drugs 0.000 description 1
- 229940092705 beclomethasone Drugs 0.000 description 1
- SRSXLGNVWSONIS-UHFFFAOYSA-N benzenesulfonic acid Chemical compound OS(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-N 0.000 description 1
- 229940092714 benzenesulfonic acid Drugs 0.000 description 1
- 235000010233 benzoic acid Nutrition 0.000 description 1
- 102000014974 beta2-adrenergic receptor activity proteins Human genes 0.000 description 1
- 108040006828 beta2-adrenergic receptor activity proteins Proteins 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 239000004305 biphenyl Substances 0.000 description 1
- 235000010290 biphenyl Nutrition 0.000 description 1
- 125000006267 biphenyl group Chemical group 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 208000006752 brain edema Diseases 0.000 description 1
- 201000008275 breast carcinoma Diseases 0.000 description 1
- GDTBXPJZTBHREO-UHFFFAOYSA-N bromine Substances BrBr GDTBXPJZTBHREO-UHFFFAOYSA-N 0.000 description 1
- 229910052794 bromium Inorganic materials 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 201000009267 bronchiectasis Diseases 0.000 description 1
- 201000003848 bronchiolitis obliterans Diseases 0.000 description 1
- 208000023367 bronchiolitis obliterans with obstructive pulmonary disease Diseases 0.000 description 1
- 229940124630 bronchodilator Drugs 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 239000001110 calcium chloride Substances 0.000 description 1
- 229910001628 calcium chloride Inorganic materials 0.000 description 1
- 159000000007 calcium salts Chemical class 0.000 description 1
- ZJKZKKPIKDNHDM-UHFFFAOYSA-L calcium;6-(5-carboxylato-5-methylhexoxy)-2,2-dimethylhexanoate Chemical compound [Ca+2].[O-]C(=O)C(C)(C)CCCCOCCCCC(C)(C)C([O-])=O ZJKZKKPIKDNHDM-UHFFFAOYSA-L 0.000 description 1
- BQXQGZPYHWWCEB-UHFFFAOYSA-N carazolol Chemical compound N1C2=CC=CC=C2C2=C1C=CC=C2OCC(O)CNC(C)C BQXQGZPYHWWCEB-UHFFFAOYSA-N 0.000 description 1
- 229960004634 carazolol Drugs 0.000 description 1
- 230000023852 carbohydrate metabolic process Effects 0.000 description 1
- 235000021256 carbohydrate metabolism Nutrition 0.000 description 1
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 1
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 1
- 206010007625 cardiogenic shock Diseases 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- 229960001222 carteolol Drugs 0.000 description 1
- LWAFSWPYPHEXKX-UHFFFAOYSA-N carteolol Chemical compound N1C(=O)CCC2=C1C=CC=C2OCC(O)CNC(C)(C)C LWAFSWPYPHEXKX-UHFFFAOYSA-N 0.000 description 1
- 210000004027 cell Anatomy 0.000 description 1
- 230000020411 cell activation Effects 0.000 description 1
- 208000015114 central nervous system disease Diseases 0.000 description 1
- 235000013339 cereals Nutrition 0.000 description 1
- CDSBFDCCJJDFCV-CKZSCMLPSA-N chembl2107777 Chemical compound C([C@H]1CC[C@@]2(C(=O)N(C3=CC=C(C=C32)OCC)S(=O)(=O)C=2C(=CC(=CC=2)C(=O)NC(C)(C)C)OC)CC1)CN1CCOCC1 CDSBFDCCJJDFCV-CKZSCMLPSA-N 0.000 description 1
- 238000000451 chemical ionisation Methods 0.000 description 1
- 239000007810 chemical reaction solvent Substances 0.000 description 1
- HRYZWHHZPQKTII-UHFFFAOYSA-N chloroethane Chemical compound CCCl HRYZWHHZPQKTII-UHFFFAOYSA-N 0.000 description 1
- 201000001352 cholecystitis Diseases 0.000 description 1
- 239000000812 cholinergic antagonist Substances 0.000 description 1
- 208000007451 chronic bronchitis Diseases 0.000 description 1
- 208000037976 chronic inflammation Diseases 0.000 description 1
- 230000006020 chronic inflammation Effects 0.000 description 1
- 208000022831 chronic renal failure syndrome Diseases 0.000 description 1
- 235000015165 citric acid Nutrition 0.000 description 1
- 229960004095 colestilan Drugs 0.000 description 1
- 206010009887 colitis Diseases 0.000 description 1
- 229960002424 collagenase Drugs 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 208000028831 congenital heart disease Diseases 0.000 description 1
- 229940039231 contrast media Drugs 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- 238000007887 coronary angioplasty Methods 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- 230000002596 correlated effect Effects 0.000 description 1
- 239000003246 corticosteroid Substances 0.000 description 1
- 229960000956 coumarin Drugs 0.000 description 1
- 235000001671 coumarin Nutrition 0.000 description 1
- 239000006071 cream Substances 0.000 description 1
- 238000002425 crystallisation Methods 0.000 description 1
- 230000008025 crystallization Effects 0.000 description 1
- 125000004122 cyclic group Chemical group 0.000 description 1
- 101150118520 dan gene Proteins 0.000 description 1
- 229960002887 deanol Drugs 0.000 description 1
- 230000018044 dehydration Effects 0.000 description 1
- 238000006297 dehydration reaction Methods 0.000 description 1
- 229960003957 dexamethasone Drugs 0.000 description 1
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 1
- 229960001767 dextrothyroxine Drugs 0.000 description 1
- 208000033679 diabetic kidney disease Diseases 0.000 description 1
- 201000011190 diabetic macular edema Diseases 0.000 description 1
- 125000004663 dialkyl amino group Chemical group 0.000 description 1
- 230000003205 diastolic effect Effects 0.000 description 1
- 239000012954 diazonium Substances 0.000 description 1
- 150000001989 diazonium salts Chemical class 0.000 description 1
- 229940120124 dichloroacetate Drugs 0.000 description 1
- JXTHNDFMNIQAHM-UHFFFAOYSA-N dichloroacetic acid Chemical compound OC(=O)C(Cl)Cl JXTHNDFMNIQAHM-UHFFFAOYSA-N 0.000 description 1
- ZBCBWPMODOFKDW-UHFFFAOYSA-N diethanolamine Chemical compound OCCNCCO ZBCBWPMODOFKDW-UHFFFAOYSA-N 0.000 description 1
- FPUQGCOBYOXAED-UHFFFAOYSA-N diethyl 2-[[2-[3-(dimethylcarbamoyl)-4-[[2-[4-(trifluoromethyl)phenyl]benzoyl]amino]phenyl]acetyl]oxymethyl]-2-phenylpropanedioate Chemical compound C=1C=CC=CC=1C(C(=O)OCC)(C(=O)OCC)COC(=O)CC(C=C1C(=O)N(C)C)=CC=C1NC(=O)C1=CC=CC=C1C1=CC=C(C(F)(F)F)C=C1 FPUQGCOBYOXAED-UHFFFAOYSA-N 0.000 description 1
- HPNMFZURTQLUMO-UHFFFAOYSA-N diethylamine Chemical compound CCNCC HPNMFZURTQLUMO-UHFFFAOYSA-N 0.000 description 1
- 208000010643 digestive system disease Diseases 0.000 description 1
- 125000005058 dihydrotriazolyl group Chemical group N1(NNC=C1)* 0.000 description 1
- UXGNZZKBCMGWAZ-UHFFFAOYSA-N dimethylformamide dmf Chemical compound CN(C)C=O.CN(C)C=O UXGNZZKBCMGWAZ-UHFFFAOYSA-N 0.000 description 1
- XBDQKXXYIPTUBI-UHFFFAOYSA-N dimethylselenoniopropionate Natural products CCC(O)=O XBDQKXXYIPTUBI-UHFFFAOYSA-N 0.000 description 1
- GPAYUJZHTULNBE-UHFFFAOYSA-N diphenylphosphine Chemical compound C=1C=CC=CC=1PC1=CC=CC=C1 GPAYUJZHTULNBE-UHFFFAOYSA-N 0.000 description 1
- XEYBHCRIKKKOSS-UHFFFAOYSA-N disodium;azanylidyneoxidanium;iron(2+);pentacyanide Chemical compound [Na+].[Na+].[Fe+2].N#[C-].N#[C-].N#[C-].N#[C-].N#[C-].[O+]#N XEYBHCRIKKKOSS-UHFFFAOYSA-N 0.000 description 1
- 239000002270 dispersing agent Substances 0.000 description 1
- GUVUOGQBMYCBQP-UHFFFAOYSA-N dmpu Chemical compound CN1CCCN(C)C1=O GUVUOGQBMYCBQP-UHFFFAOYSA-N 0.000 description 1
- CETRZFQIITUQQL-UHFFFAOYSA-N dmso dimethylsulfoxide Chemical compound CS(C)=O.CS(C)=O CETRZFQIITUQQL-UHFFFAOYSA-N 0.000 description 1
- POULHZVOKOAJMA-UHFFFAOYSA-N dodecanoic acid Chemical compound CCCCCCCCCCCC(O)=O POULHZVOKOAJMA-UHFFFAOYSA-N 0.000 description 1
- 239000008298 dragée Substances 0.000 description 1
- 238000010410 dusting Methods 0.000 description 1
- 239000000975 dye Substances 0.000 description 1
- 229960000622 edoxaban Drugs 0.000 description 1
- 229950005925 eflucimibe Drugs 0.000 description 1
- 238000007336 electrophilic substitution reaction Methods 0.000 description 1
- 230000008030 elimination Effects 0.000 description 1
- 238000003379 elimination reaction Methods 0.000 description 1
- XFLQIRAKKLNXRQ-UUWRZZSWSA-N elobixibat Chemical compound C12=CC(SC)=C(OCC(=O)N[C@@H](C(=O)NCC(O)=O)C=3C=CC=CC=3)C=C2S(=O)(=O)CC(CCCC)(CCCC)CN1C1=CC=CC=C1 XFLQIRAKKLNXRQ-UUWRZZSWSA-N 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 206010014665 endocarditis Diseases 0.000 description 1
- 210000001174 endocardium Anatomy 0.000 description 1
- 230000008753 endothelial function Effects 0.000 description 1
- 230000037149 energy metabolism Effects 0.000 description 1
- 238000007824 enzymatic assay Methods 0.000 description 1
- 230000002255 enzymatic effect Effects 0.000 description 1
- 238000006911 enzymatic reaction Methods 0.000 description 1
- 201000001564 eosinophilic gastroenteritis Diseases 0.000 description 1
- 229960005139 epinephrine Drugs 0.000 description 1
- 210000002919 epithelial cell Anatomy 0.000 description 1
- 231100000321 erythema Toxicity 0.000 description 1
- 208000006881 esophagitis Diseases 0.000 description 1
- 125000004185 ester group Chemical group 0.000 description 1
- CCIVGXIOQKPBKL-UHFFFAOYSA-N ethanesulfonic acid Chemical compound CCS(O)(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-N 0.000 description 1
- 150000002170 ethers Chemical class 0.000 description 1
- 125000003754 ethoxycarbonyl group Chemical group C(=O)(OCC)* 0.000 description 1
- XYIBRDXRRQCHLP-UHFFFAOYSA-N ethyl acetoacetate Chemical compound CCOC(=O)CC(C)=O XYIBRDXRRQCHLP-UHFFFAOYSA-N 0.000 description 1
- 229960003750 ethyl chloride Drugs 0.000 description 1
- 125000004494 ethyl ester group Chemical group 0.000 description 1
- WUOIAOOSKMHJOV-UHFFFAOYSA-N ethyl(diphenyl)phosphane Chemical compound C=1C=CC=CC=1P(CC)C1=CC=CC=C1 WUOIAOOSKMHJOV-UHFFFAOYSA-N 0.000 description 1
- 125000006260 ethylaminocarbonyl group Chemical group [H]N(C(*)=O)C([H])([H])C([H])([H])[H] 0.000 description 1
- 125000006125 ethylsulfonyl group Chemical group 0.000 description 1
- 230000003203 everyday effect Effects 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 208000024711 extrinsic asthma Diseases 0.000 description 1
- 208000030533 eye disease Diseases 0.000 description 1
- 229960000815 ezetimibe Drugs 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 229940012952 fibrinogen Drugs 0.000 description 1
- 229950010034 fidexaban Drugs 0.000 description 1
- 239000000796 flavoring agent Substances 0.000 description 1
- 235000019634 flavors Nutrition 0.000 description 1
- QEWYKACRFQMRMB-UHFFFAOYSA-N fluoroacetic acid Chemical compound OC(=O)CF QEWYKACRFQMRMB-UHFFFAOYSA-N 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 230000002431 foraging effect Effects 0.000 description 1
- 239000013022 formulation composition Substances 0.000 description 1
- 239000001530 fumaric acid Substances 0.000 description 1
- 235000011087 fumaric acid Nutrition 0.000 description 1
- 125000002541 furyl group Chemical group 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 210000004051 gastric juice Anatomy 0.000 description 1
- 208000018685 gastrointestinal system disease Diseases 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 208000007565 gingivitis Diseases 0.000 description 1
- 230000001434 glomerular Effects 0.000 description 1
- 206010061989 glomerulosclerosis Diseases 0.000 description 1
- 239000003862 glucocorticoid Substances 0.000 description 1
- 125000000291 glutamic acid group Chemical group N[C@@H](CCC(O)=O)C(=O)* 0.000 description 1
- RWSXRVCMGQZWBV-WDSKDSINSA-N glutathione Chemical compound OC(=O)[C@@H](N)CCC(=O)N[C@@H](CS)C(=O)NCC(O)=O RWSXRVCMGQZWBV-WDSKDSINSA-N 0.000 description 1
- 235000003969 glutathione Nutrition 0.000 description 1
- 229960003180 glutathione Drugs 0.000 description 1
- 229960003711 glyceryl trinitrate Drugs 0.000 description 1
- 229930182470 glycoside Natural products 0.000 description 1
- 150000002338 glycosides Chemical class 0.000 description 1
- 125000003630 glycyl group Chemical group [H]N([H])C([H])([H])C(*)=O 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- ZDPUTNZENXVHJC-UUOKFMHZSA-N guanosine 3'-monophosphate Chemical compound C1=NC=2C(=O)NC(N)=NC=2N1[C@@H]1O[C@H](CO)[C@@H](OP(O)(O)=O)[C@H]1O ZDPUTNZENXVHJC-UUOKFMHZSA-N 0.000 description 1
- 239000004226 guanylic acid Substances 0.000 description 1
- 235000013928 guanylic acid Nutrition 0.000 description 1
- 150000008282 halocarbons Chemical class 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 210000005003 heart tissue Anatomy 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 208000006750 hematuria Diseases 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 231100000283 hepatitis Toxicity 0.000 description 1
- 230000002363 herbicidal effect Effects 0.000 description 1
- 239000004009 herbicide Substances 0.000 description 1
- 229930195733 hydrocarbon Natural products 0.000 description 1
- 150000002430 hydrocarbons Chemical class 0.000 description 1
- 230000003301 hydrolyzing effect Effects 0.000 description 1
- NPZTUJOABDZTLV-UHFFFAOYSA-N hydroxybenzotriazole Substances O=C1C=CC=C2NNN=C12 NPZTUJOABDZTLV-UHFFFAOYSA-N 0.000 description 1
- 206010020718 hyperplasia Diseases 0.000 description 1
- 230000009610 hypersensitivity Effects 0.000 description 1
- 230000001631 hypertensive effect Effects 0.000 description 1
- 210000000835 hypertrophic cicatrix Anatomy 0.000 description 1
- 230000001969 hypertrophic effect Effects 0.000 description 1
- 230000036543 hypotension Effects 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 230000001976 improved effect Effects 0.000 description 1
- 201000008284 inappropriate ADH syndrome Diseases 0.000 description 1
- 229910052738 indium Inorganic materials 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 230000002757 inflammatory effect Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 208000030603 inherited susceptibility to asthma Diseases 0.000 description 1
- 108091006086 inhibitor proteins Proteins 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000001023 inorganic pigment Substances 0.000 description 1
- 238000001361 intraarterial administration Methods 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 239000011630 iodine Substances 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 229960001361 ipratropium bromide Drugs 0.000 description 1
- KEWHKYJURDBRMN-ZEODDXGYSA-M ipratropium bromide hydrate Chemical compound O.[Br-].O([C@H]1C[C@H]2CC[C@@H](C1)[N@@+]2(C)C(C)C)C(=O)C(CO)C1=CC=CC=C1 KEWHKYJURDBRMN-ZEODDXGYSA-M 0.000 description 1
- UQSXHKLRYXJYBZ-UHFFFAOYSA-N iron oxide Inorganic materials [Fe]=O UQSXHKLRYXJYBZ-UHFFFAOYSA-N 0.000 description 1
- 235000013980 iron oxide Nutrition 0.000 description 1
- VBMVTYDPPZVILR-UHFFFAOYSA-N iron(2+);oxygen(2-) Chemical class [O-2].[Fe+2] VBMVTYDPPZVILR-UHFFFAOYSA-N 0.000 description 1
- 208000002551 irritable bowel syndrome Diseases 0.000 description 1
- 125000000959 isobutyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])* 0.000 description 1
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- 125000005928 isopropyloxycarbonyl group Chemical group [H]C([H])([H])C([H])(OC(*)=O)C([H])([H])[H] 0.000 description 1
- MOYKHGMNXAOIAT-JGWLITMVSA-N isosorbide dinitrate Chemical compound [O-][N+](=O)O[C@H]1CO[C@@H]2[C@H](O[N+](=O)[O-])CO[C@@H]21 MOYKHGMNXAOIAT-JGWLITMVSA-N 0.000 description 1
- YWXYYJSYQOXTPL-SLPGGIOYSA-N isosorbide mononitrate Chemical compound [O-][N+](=O)O[C@@H]1CO[C@@H]2[C@@H](O)CO[C@@H]21 YWXYYJSYQOXTPL-SLPGGIOYSA-N 0.000 description 1
- 229960003827 isosorbide mononitrate Drugs 0.000 description 1
- 125000001786 isothiazolyl group Chemical group 0.000 description 1
- 125000000842 isoxazolyl group Chemical group 0.000 description 1
- 210000001117 keloid Anatomy 0.000 description 1
- 150000002576 ketones Chemical class 0.000 description 1
- 230000003907 kidney function Effects 0.000 description 1
- 239000004310 lactic acid Substances 0.000 description 1
- 235000014655 lactic acid Nutrition 0.000 description 1
- 229950001845 lestaurtinib Drugs 0.000 description 1
- 208000032839 leukemia Diseases 0.000 description 1
- 206010024627 liposarcoma Diseases 0.000 description 1
- 239000006193 liquid solution Substances 0.000 description 1
- AFRJJFRNGGLMDW-UHFFFAOYSA-N lithium amide Chemical compound [Li+].[NH2-] AFRJJFRNGGLMDW-UHFFFAOYSA-N 0.000 description 1
- OVEHNNQXLPJPPL-UHFFFAOYSA-N lithium;n-propan-2-ylpropan-2-amine Chemical compound [Li].CC(C)NC(C)C OVEHNNQXLPJPPL-UHFFFAOYSA-N 0.000 description 1
- MBBCVAKAJPKAKM-UHFFFAOYSA-N lomitapide Chemical compound C12=CC=CC=C2C2=CC=CC=C2C1(C(=O)NCC(F)(F)F)CCCCN(CC1)CCC1NC(=O)C1=CC=CC=C1C1=CC=C(C(F)(F)F)C=C1 MBBCVAKAJPKAKM-UHFFFAOYSA-N 0.000 description 1
- 229960003566 lomitapide Drugs 0.000 description 1
- DHMTURDWPRKSOA-RUZDIDTESA-N lonafarnib Chemical compound C1CN(C(=O)N)CCC1CC(=O)N1CCC([C@@H]2C3=C(Br)C=C(Cl)C=C3CCC3=CC(Br)=CN=C32)CC1 DHMTURDWPRKSOA-RUZDIDTESA-N 0.000 description 1
- 229950001750 lonafarnib Drugs 0.000 description 1
- 229960004844 lovastatin Drugs 0.000 description 1
- PCZOHLXUXFIOCF-BXMDZJJMSA-N lovastatin Chemical compound C([C@H]1[C@@H](C)C=CC2=C[C@H](C)C[C@@H]([C@H]12)OC(=O)[C@@H](C)CC)C[C@@H]1C[C@@H](O)CC(=O)O1 PCZOHLXUXFIOCF-BXMDZJJMSA-N 0.000 description 1
- QLJODMDSTUBWDW-UHFFFAOYSA-N lovastatin hydroxy acid Natural products C1=CC(C)C(CCC(O)CC(O)CC(O)=O)C2C(OC(=O)C(C)CC)CC(C)C=C21 QLJODMDSTUBWDW-UHFFFAOYSA-N 0.000 description 1
- 230000000527 lymphocytic effect Effects 0.000 description 1
- 229960003511 macrogol Drugs 0.000 description 1
- 210000002189 macula lutea Anatomy 0.000 description 1
- 201000010230 macular retinal edema Diseases 0.000 description 1
- 229910001629 magnesium chloride Inorganic materials 0.000 description 1
- 159000000003 magnesium salts Chemical class 0.000 description 1
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 1
- 239000011976 maleic acid Substances 0.000 description 1
- 239000001630 malic acid Substances 0.000 description 1
- 235000011090 malic acid Nutrition 0.000 description 1
- 208000015486 malignant pancreatic neoplasm Diseases 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- 238000013507 mapping Methods 0.000 description 1
- 238000001819 mass spectrum Methods 0.000 description 1
- 208000008585 mastocytosis Diseases 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 229950008446 melinamide Drugs 0.000 description 1
- 201000008350 membranous glomerulonephritis Diseases 0.000 description 1
- LMOINURANNBYCM-UHFFFAOYSA-N metaproterenol Chemical compound CC(C)NCC(O)C1=CC(O)=CC(O)=C1 LMOINURANNBYCM-UHFFFAOYSA-N 0.000 description 1
- 125000001160 methoxycarbonyl group Chemical group [H]C([H])([H])OC(*)=O 0.000 description 1
- 125000004458 methylaminocarbonyl group Chemical group [H]N(C(*)=O)C([H])([H])[H] 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 238000005497 microtitration Methods 0.000 description 1
- 239000002395 mineralocorticoid Substances 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 208000006887 mitral valve stenosis Diseases 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 229910000403 monosodium phosphate Inorganic materials 0.000 description 1
- 235000019799 monosodium phosphate Nutrition 0.000 description 1
- 210000000214 mouth Anatomy 0.000 description 1
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 1
- 230000004118 muscle contraction Effects 0.000 description 1
- 206010028537 myelofibrosis Diseases 0.000 description 1
- 201000000050 myeloid neoplasm Diseases 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 210000004165 myocardium Anatomy 0.000 description 1
- ZQGJEUVBUVKZKS-UHFFFAOYSA-N n,2-dimethylpropan-2-amine Chemical compound CNC(C)(C)C ZQGJEUVBUVKZKS-UHFFFAOYSA-N 0.000 description 1
- FMYPJTRYAPFMCM-UHFFFAOYSA-N n,n-dimethyl-4-phosphanylaniline Chemical compound CN(C)C1=CC=C(P)C=C1 FMYPJTRYAPFMCM-UHFFFAOYSA-N 0.000 description 1
- DUWWHGPELOTTOE-UHFFFAOYSA-N n-(5-chloro-2,4-dimethoxyphenyl)-3-oxobutanamide Chemical compound COC1=CC(OC)=C(NC(=O)CC(C)=O)C=C1Cl DUWWHGPELOTTOE-UHFFFAOYSA-N 0.000 description 1
- YNTOKMNHRPSGFU-UHFFFAOYSA-N n-Propyl carbamate Chemical compound CCCOC(N)=O YNTOKMNHRPSGFU-UHFFFAOYSA-N 0.000 description 1
- LQEATNFJCMVKAC-UHFFFAOYSA-N n-[2-(1h-indol-3-yl)ethyl]-n-prop-2-enylprop-2-en-1-amine Chemical compound C1=CC=C2C(CCN(CC=C)CC=C)=CNC2=C1 LQEATNFJCMVKAC-UHFFFAOYSA-N 0.000 description 1
- YOVNFNXUCOWYSG-UHFFFAOYSA-N n-[3-[2-(4-amino-1,2,5-oxadiazol-3-yl)-1-ethylimidazo[4,5-c]pyridin-6-yl]oxyphenyl]-4-(2-morpholin-4-ylethoxy)benzamide Chemical compound C1=C2N(CC)C(C=3C(=NON=3)N)=NC2=CN=C1OC(C=1)=CC=CC=1NC(=O)C(C=C1)=CC=C1OCCN1CCOCC1 YOVNFNXUCOWYSG-UHFFFAOYSA-N 0.000 description 1
- GKTNLYAAZKKMTQ-UHFFFAOYSA-N n-[bis(dimethylamino)phosphinimyl]-n-methylmethanamine Chemical compound CN(C)P(=N)(N(C)C)N(C)C GKTNLYAAZKKMTQ-UHFFFAOYSA-N 0.000 description 1
- 125000000740 n-pentyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000004888 n-propyl amino group Chemical group [H]N(*)C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 125000006124 n-propyl sulfonyl group Chemical group 0.000 description 1
- YZMHQCWXYHARLS-UHFFFAOYSA-N naphthalene-1,2-disulfonic acid Chemical compound C1=CC=CC2=C(S(O)(=O)=O)C(S(=O)(=O)O)=CC=C21 YZMHQCWXYHARLS-UHFFFAOYSA-N 0.000 description 1
- 208000016366 nasal cavity polyp Diseases 0.000 description 1
- 210000002850 nasal mucosa Anatomy 0.000 description 1
- 229920005615 natural polymer Polymers 0.000 description 1
- 208000018389 neoplasm of cerebral hemisphere Diseases 0.000 description 1
- 208000021971 neovascular inflammatory vitreoretinopathy Diseases 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 229960003512 nicotinic acid Drugs 0.000 description 1
- 235000001968 nicotinic acid Nutrition 0.000 description 1
- 239000011664 nicotinic acid Substances 0.000 description 1
- 239000002840 nitric oxide donor Substances 0.000 description 1
- 150000002825 nitriles Chemical class 0.000 description 1
- MVPQUSQUURLQKF-MCPDASDXSA-E nonasodium;(2s,3s,4s,5r,6r)-6-[(2r,3r,4s,5r,6r)-6-[(2r,3s,4s,5r,6r)-2-carboxylato-4,5-dimethoxy-6-[(2r,3r,4s,5r,6s)-6-methoxy-4,5-disulfonatooxy-2-(sulfonatooxymethyl)oxan-3-yl]oxyoxan-3-yl]oxy-4,5-disulfonatooxy-2-(sulfonatooxymethyl)oxan-3-yl]oxy-4,5-di Chemical compound [Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[O-]S(=O)(=O)O[C@@H]1[C@@H](OS([O-])(=O)=O)[C@@H](OC)O[C@H](COS([O-])(=O)=O)[C@H]1O[C@H]1[C@H](OC)[C@@H](OC)[C@H](O[C@@H]2[C@@H]([C@@H](OS([O-])(=O)=O)[C@H](O[C@H]3[C@@H]([C@@H](OC)[C@H](O[C@@H]4[C@@H]([C@@H](OC)[C@H](OC)[C@@H](COS([O-])(=O)=O)O4)OC)[C@H](O3)C([O-])=O)OC)[C@@H](COS([O-])(=O)=O)O2)OS([O-])(=O)=O)[C@H](C([O-])=O)O1 MVPQUSQUURLQKF-MCPDASDXSA-E 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 238000010606 normalization Methods 0.000 description 1
- 210000001331 nose Anatomy 0.000 description 1
- 229940126701 oral medication Drugs 0.000 description 1
- 229940100688 oral solution Drugs 0.000 description 1
- 229940100692 oral suspension Drugs 0.000 description 1
- 229960002657 orciprenaline Drugs 0.000 description 1
- 150000007530 organic bases Chemical class 0.000 description 1
- 229940082615 organic nitrates used in cardiac disease Drugs 0.000 description 1
- 238000006053 organic reaction Methods 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 201000008482 osteoarthritis Diseases 0.000 description 1
- 150000002924 oxiranes Chemical class 0.000 description 1
- 229950003510 pactimibe Drugs 0.000 description 1
- VWMZIGBYZQUQOA-QEEMJVPDSA-N pamaqueside Chemical compound O([C@@H]1[C@@H](CO)O[C@H]([C@@H]([C@H]1O)O)O[C@@H]1C[C@@H]2CC[C@H]3[C@@H]4C[C@H]5[C@@H]([C@]4(CC(=O)[C@@H]3[C@@]2(C)CC1)C)[C@@H]([C@]1(OC[C@H](C)CC1)O5)C)[C@@H]1O[C@H](CO)[C@@H](O)[C@H](O)[C@H]1O VWMZIGBYZQUQOA-QEEMJVPDSA-N 0.000 description 1
- 229950005482 pamaqueside Drugs 0.000 description 1
- 208000012111 paraneoplastic syndrome Diseases 0.000 description 1
- 230000036961 partial effect Effects 0.000 description 1
- 239000006072 paste Substances 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 229960002035 penbutolol Drugs 0.000 description 1
- KQXKVJAGOJTNJS-HNNXBMFYSA-N penbutolol Chemical compound CC(C)(C)NC[C@H](O)COC1=CC=CC=C1C1CCCC1 KQXKVJAGOJTNJS-HNNXBMFYSA-N 0.000 description 1
- 208000008494 pericarditis Diseases 0.000 description 1
- 201000001245 periodontitis Diseases 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 206010034674 peritonitis Diseases 0.000 description 1
- 230000002688 persistence Effects 0.000 description 1
- 239000003208 petroleum Substances 0.000 description 1
- 239000008194 pharmaceutical composition Substances 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- ZUOUZKKEUPVFJK-UHFFFAOYSA-N phenylbenzene Natural products C1=CC=CC=C1C1=CC=CC=C1 ZUOUZKKEUPVFJK-UHFFFAOYSA-N 0.000 description 1
- 239000002590 phosphodiesterase V inhibitor Substances 0.000 description 1
- 239000006187 pill Substances 0.000 description 1
- 150000003053 piperidines Chemical class 0.000 description 1
- 125000005936 piperidyl group Chemical group 0.000 description 1
- 229920001223 polyethylene glycol Polymers 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 230000008092 positive effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000000291 postprandial effect Effects 0.000 description 1
- 235000011056 potassium acetate Nutrition 0.000 description 1
- XAEFZNCEHLXOMS-UHFFFAOYSA-M potassium benzoate Chemical compound [K+].[O-]C(=O)C1=CC=CC=C1 XAEFZNCEHLXOMS-UHFFFAOYSA-M 0.000 description 1
- 235000015497 potassium bicarbonate Nutrition 0.000 description 1
- 229910000028 potassium bicarbonate Inorganic materials 0.000 description 1
- 239000011736 potassium bicarbonate Substances 0.000 description 1
- RPDAUEIUDPHABB-UHFFFAOYSA-N potassium ethoxide Chemical compound [K+].CC[O-] RPDAUEIUDPHABB-UHFFFAOYSA-N 0.000 description 1
- TYJJADVDDVDEDZ-UHFFFAOYSA-M potassium hydrogencarbonate Chemical compound [K+].OC([O-])=O TYJJADVDDVDEDZ-UHFFFAOYSA-M 0.000 description 1
- 201000011461 pre-eclampsia Diseases 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 229960005205 prednisolone Drugs 0.000 description 1
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 1
- 238000002953 preparative HPLC Methods 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000000019 pro-fibrinolytic effect Effects 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 108090000765 processed proteins & peptides Proteins 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 230000000770 proinflammatory effect Effects 0.000 description 1
- 230000006785 proliferative vitreoretinopathy Effects 0.000 description 1
- 229940043274 prophylactic drug Drugs 0.000 description 1
- 230000000069 prophylactic effect Effects 0.000 description 1
- 235000019260 propionic acid Nutrition 0.000 description 1
- 125000004742 propyloxycarbonyl group Chemical group 0.000 description 1
- 150000003815 prostacyclins Chemical class 0.000 description 1
- 201000001514 prostate carcinoma Diseases 0.000 description 1
- 201000001474 proteinuria Diseases 0.000 description 1
- IENZFHBNCRQMNP-UHFFFAOYSA-N prx-08066 Chemical compound C1=C(C#N)C(F)=CC=C1CN1CCC(NC=2C=3C=C(Cl)SC=3N=CN=2)CC1 IENZFHBNCRQMNP-UHFFFAOYSA-N 0.000 description 1
- 208000009138 pulmonary valve stenosis Diseases 0.000 description 1
- 208000030390 pulmonic stenosis Diseases 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 125000003373 pyrazinyl group Chemical group 0.000 description 1
- 125000002098 pyridazinyl group Chemical group 0.000 description 1
- 125000000719 pyrrolidinyl group Chemical group 0.000 description 1
- 229960001455 quinapril Drugs 0.000 description 1
- JSDRRTOADPPCHY-HSQYWUDLSA-N quinapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CC2=CC=CC=C2C1)C(O)=O)CC1=CC=CC=C1 JSDRRTOADPPCHY-HSQYWUDLSA-N 0.000 description 1
- 229960000213 ranolazine Drugs 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 229960004836 regorafenib Drugs 0.000 description 1
- FNHKPVJBJVTLMP-UHFFFAOYSA-N regorafenib Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=C(F)C(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 FNHKPVJBJVTLMP-UHFFFAOYSA-N 0.000 description 1
- 201000010174 renal carcinoma Diseases 0.000 description 1
- 210000005000 reproductive tract Anatomy 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- QEVHRUUCFGRFIF-MDEJGZGSSA-N reserpine Chemical compound O([C@H]1[C@@H]([C@H]([C@H]2C[C@@H]3C4=C(C5=CC=C(OC)C=C5N4)CCN3C[C@H]2C1)C(=O)OC)OC)C(=O)C1=CC(OC)=C(OC)C(OC)=C1 QEVHRUUCFGRFIF-MDEJGZGSSA-N 0.000 description 1
- 208000037803 restenosis Diseases 0.000 description 1
- 210000001525 retina Anatomy 0.000 description 1
- 201000011195 retinal edema Diseases 0.000 description 1
- 230000002207 retinal effect Effects 0.000 description 1
- 206010039083 rhinitis Diseases 0.000 description 1
- 235000009566 rice Nutrition 0.000 description 1
- 229960001148 rivaroxaban Drugs 0.000 description 1
- KGFYHTZWPPHNLQ-AWEZNQCLSA-N rivaroxaban Chemical compound S1C(Cl)=CC=C1C(=O)NC[C@@H]1OC(=O)N(C=2C=CC(=CC=2)N2C(COCC2)=O)C1 KGFYHTZWPPHNLQ-AWEZNQCLSA-N 0.000 description 1
- 229960002052 salbutamol Drugs 0.000 description 1
- 229960004017 salmeterol Drugs 0.000 description 1
- WCCSCVJXWJFKGW-ZOVUEIEASA-N satavaptan Chemical compound O([C@H]1CC[C@@]2(C(=O)N(C3=CC=C(C=C32)OCC)S(=O)(=O)C=2C(=CC(=CC=2)C(=O)NC(C)(C)C)OCCCOC=2C=C3[C@@]4(CC[C@H](CC4)OCCN4CCOCC4)C(=O)N(C3=CC=2)S(=O)(=O)C=2C(=CC(=CC=2)C(=O)NC(C)(C)C)OC)CC1)CCN1CCOCC1 WCCSCVJXWJFKGW-ZOVUEIEASA-N 0.000 description 1
- 229950010413 satavaptan Drugs 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 208000017022 seasonal allergic rhinitis Diseases 0.000 description 1
- 125000002914 sec-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 1
- 230000003248 secreting effect Effects 0.000 description 1
- 229940076279 serotonin Drugs 0.000 description 1
- 230000019491 signal transduction Effects 0.000 description 1
- 229960003310 sildenafil Drugs 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 238000006884 silylation reaction Methods 0.000 description 1
- 229960002855 simvastatin Drugs 0.000 description 1
- RYMZZMVNJRMUDD-HGQWONQESA-N simvastatin Chemical compound C([C@H]1[C@@H](C)C=CC2=C[C@H](C)C[C@@H]([C@H]12)OC(=O)C(C)(C)CC)C[C@@H]1C[C@@H](O)CC(=O)O1 RYMZZMVNJRMUDD-HGQWONQESA-N 0.000 description 1
- 238000013424 sirius red staining Methods 0.000 description 1
- 208000025869 skeletal dysplasia-intellectual disability syndrome Diseases 0.000 description 1
- 208000013363 skeletal muscle disease Diseases 0.000 description 1
- 201000010153 skin papilloma Diseases 0.000 description 1
- 231100000019 skin ulcer Toxicity 0.000 description 1
- 230000035943 smell Effects 0.000 description 1
- 230000000391 smoking effect Effects 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- ODZPKZBBUMBTMG-UHFFFAOYSA-N sodium amide Chemical compound [NH2-].[Na+] ODZPKZBBUMBTMG-UHFFFAOYSA-N 0.000 description 1
- AJPJDKMHJJGVTQ-UHFFFAOYSA-M sodium dihydrogen phosphate Chemical compound [Na+].OP(O)([O-])=O AJPJDKMHJJGVTQ-UHFFFAOYSA-M 0.000 description 1
- 239000012312 sodium hydride Substances 0.000 description 1
- 229910000104 sodium hydride Inorganic materials 0.000 description 1
- 229940083618 sodium nitroprusside Drugs 0.000 description 1
- 159000000000 sodium salts Chemical class 0.000 description 1
- 229910052938 sodium sulfate Inorganic materials 0.000 description 1
- 235000011152 sodium sulphate Nutrition 0.000 description 1
- 229950004959 sorbitan oleate Drugs 0.000 description 1
- 238000005507 spraying Methods 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 230000035882 stress Effects 0.000 description 1
- 229910052567 struvite Inorganic materials 0.000 description 1
- 238000010254 subcutaneous injection Methods 0.000 description 1
- 239000007929 subcutaneous injection Substances 0.000 description 1
- 239000007940 sugar coated tablet Substances 0.000 description 1
- HXJUTPCZVOIRIF-UHFFFAOYSA-N sulfolane Chemical compound O=S1(=O)CCCC1 HXJUTPCZVOIRIF-UHFFFAOYSA-N 0.000 description 1
- 150000008053 sultones Chemical class 0.000 description 1
- 229960001796 sunitinib Drugs 0.000 description 1
- WINHZLLDWRZWRT-ATVHPVEESA-N sunitinib Chemical compound CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C WINHZLLDWRZWRT-ATVHPVEESA-N 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000012622 synthetic inhibitor Substances 0.000 description 1
- 229940037128 systemic glucocorticoids Drugs 0.000 description 1
- 230000006794 tachycardia Effects 0.000 description 1
- 229960000835 tadalafil Drugs 0.000 description 1
- IEHKWSGCTWLXFU-IIBYNOLFSA-N tadalafil Chemical compound C1=C2OCOC2=CC([C@@H]2C3=C([C]4C=CC=CC4=N3)C[C@H]3N2C(=O)CN(C3=O)C)=C1 IEHKWSGCTWLXFU-IIBYNOLFSA-N 0.000 description 1
- WOXKDUGGOYFFRN-IIBYNOLFSA-N tadalafil Chemical compound C1=C2OCOC2=CC([C@@H]2C3=C(C4=CC=CC=C4N3)C[C@H]3N2C(=O)CN(C3=O)C)=C1 WOXKDUGGOYFFRN-IIBYNOLFSA-N 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 125000004213 tert-butoxy group Chemical group [H]C([H])([H])C(O*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 125000006318 tert-butyl amino group Chemical group [H]N(*)C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 125000005931 tert-butyloxycarbonyl group Chemical group [H]C([H])([H])C(OC(*)=O)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 1
- WROMPOXWARCANT-UHFFFAOYSA-N tfa trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F.OC(=O)C(F)(F)F WROMPOXWARCANT-UHFFFAOYSA-N 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 125000001984 thiazolidinyl group Chemical group 0.000 description 1
- 125000001544 thienyl group Chemical group 0.000 description 1
- 125000004568 thiomorpholinyl group Chemical group 0.000 description 1
- PHWBOXQYWZNQIN-UHFFFAOYSA-N ticlopidine Chemical compound ClC1=CC=CC=C1CN1CC(C=CS2)=C2CC1 PHWBOXQYWZNQIN-UHFFFAOYSA-N 0.000 description 1
- 229960005001 ticlopidine Drugs 0.000 description 1
- 229950009158 tipifarnib Drugs 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- CMSGWTNRGKRWGS-NQIIRXRSSA-N torcetrapib Chemical compound COC(=O)N([C@H]1C[C@@H](CC)N(C2=CC=C(C=C21)C(F)(F)F)C(=O)OCC)CC1=CC(C(F)(F)F)=CC(C(F)(F)F)=C1 CMSGWTNRGKRWGS-NQIIRXRSSA-N 0.000 description 1
- 229950004514 torcetrapib Drugs 0.000 description 1
- 238000007832 transition metal-catalyzed coupling reaction Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 229960005032 treprostinil Drugs 0.000 description 1
- PAJMKGZZBBTTOY-ZFORQUDYSA-N treprostinil Chemical compound C1=CC=C(OCC(O)=O)C2=C1C[C@@H]1[C@@H](CC[C@@H](O)CCCCC)[C@H](O)C[C@@H]1C2 PAJMKGZZBBTTOY-ZFORQUDYSA-N 0.000 description 1
- ITMCEJHCFYSIIV-UHFFFAOYSA-N triflic acid Chemical compound OS(=O)(=O)C(F)(F)F ITMCEJHCFYSIIV-UHFFFAOYSA-N 0.000 description 1
- UFTFJSFQGQCHQW-UHFFFAOYSA-N triformin Chemical compound O=COCC(OC=O)COC=O UFTFJSFQGQCHQW-UHFFFAOYSA-N 0.000 description 1
- 125000000026 trimethylsilyl group Chemical group [H]C([H])([H])[Si]([*])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 229940121358 tyrosine kinase inhibitor Drugs 0.000 description 1
- 239000005483 tyrosine kinase inhibitor Substances 0.000 description 1
- 150000004917 tyrosine kinase inhibitor derivatives Chemical class 0.000 description 1
- 238000000825 ultraviolet detection Methods 0.000 description 1
- 238000002211 ultraviolet spectrum Methods 0.000 description 1
- 208000009852 uremia Diseases 0.000 description 1
- 150000003673 urethanes Chemical class 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
- 229960005486 vaccine Drugs 0.000 description 1
- 210000003934 vacuole Anatomy 0.000 description 1
- 239000006200 vaporizer Substances 0.000 description 1
- 229960002381 vardenafil Drugs 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 208000001319 vasomotor rhinitis Diseases 0.000 description 1
- 239000002536 vasopressin receptor antagonist Substances 0.000 description 1
- 208000004043 venous thromboembolism Diseases 0.000 description 1
- 230000003612 virological effect Effects 0.000 description 1
- 238000010792 warming Methods 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- 239000000080 wetting agent Substances 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
- 239000000230 xanthan gum Substances 0.000 description 1
- 229920001285 xanthan gum Polymers 0.000 description 1
- 235000010493 xanthan gum Nutrition 0.000 description 1
- 229940082509 xanthan gum Drugs 0.000 description 1
- 239000008096 xylene Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/53—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with three nitrogens as the only ring hetero atoms, e.g. chlorazanil, melamine
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
- A61P11/06—Antiasthmatics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/12—Drugs for disorders of the urinary system of the kidneys
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/12—Antihypertensives
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D253/00—Heterocyclic compounds containing six-membered rings having three nitrogen atoms as the only ring hetero atoms, not provided for by group C07D251/00
- C07D253/02—Heterocyclic compounds containing six-membered rings having three nitrogen atoms as the only ring hetero atoms, not provided for by group C07D251/00 not condensed with other rings
- C07D253/06—1,2,4-Triazines
- C07D253/065—1,2,4-Triazines having three double bonds between ring members or between ring members and non-ring members
- C07D253/07—1,2,4-Triazines having three double bonds between ring members or between ring members and non-ring members with hetero atoms, or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D253/075—Two hetero atoms, in positions 3 and 5
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
- C07D403/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
- C07D403/10—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a carbon chain containing aromatic rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
- C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
- C07D405/10—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a carbon chain containing aromatic rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
- C07D413/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings directly linked by a ring-member-to-ring-member bond
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
- C07D413/10—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a carbon chain containing aromatic rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
- C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
- C07D417/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
Landscapes
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Epidemiology (AREA)
- Pulmonology (AREA)
- Heart & Thoracic Surgery (AREA)
- Cardiology (AREA)
- Physical Education & Sports Medicine (AREA)
- Dermatology (AREA)
- Urology & Nephrology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Plural Heterocyclic Compounds (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
本发明涉及新的取代的1,2,4‑三嗪‑3,5‑二酮衍生物、其制备方法、其单独或组合用于治疗和/或预防疾病的用途,以及其用于制备用于治疗和/或预防疾病的药物的用途。
Description
本发明涉及新的取代的1,2,4-三嗪-3,5-二酮衍生物、其制备方法、其单独或组合用于治疗和/或预防疾病的用途,以及其用于制备用于治疗和/或预防疾病的药物的用途。
类糜蛋白酶是一种糜蛋白酶样丝氨酸蛋白酶,其与肝素蛋白聚糖一起作为大分子复合物存储于肥大细胞的分泌泡中。在肥大细胞活化后,类糜蛋白酶被释放到细胞外基质中并被激活。
活化的肥大细胞在愈合伤口和炎症过程(例如,伤口的纤维化、血管生成和心肌重塑)中起着重要作用(Miyazak等人,Pharmacol.Ther.112(2006),第668-676页;Shiota等人,J.Hypertens.21(2003),第1823-1825页)。在心力衰竭、心肌梗塞及局部缺血的事件中,在人动脉粥样硬化斑块和腹主动脉瘤中观察到肥大细胞数量增加(Kovanen等人,Circulation 92(1995),第1084-1088页;Libby and Shi,Circulation 115(2007),第2555-2558页;Bacani and Frishman,Cardiol.Rev.14(4)(2006),第187-193页)。在哮喘和慢性阻塞性肺病的事件中,类糜蛋白酶-阳性肥大细胞也在呼吸通路的血管重塑中起着重要作用。已在哮喘患者的支气管内活组织检查中发现了肥大细胞数量增加(Zanini等人,J.Allergy Clin.Immunol.120(2007),第329-333页)。此外,类糜蛋白酶被怀疑是多种肾疾病(例如,糖尿病性肾病和多囊性肾病)产生的部分起因(Huang等人,J.Am.Soc.Nephrol.14(7)(2003),第1738-1747页;McPherson等人,J.Am.Soc.Nephrol.15(2)(2004),第493-500页)。
类糜蛋白酶主要参与心脏、动脉壁及肺中血管紧张素II的产生,而血管紧张素转化酶负责循环系统中肽的形成(Fleming I.,Circ.Res.98(2006),第887-896页)。另外,类糜蛋白酶裂解大量其他具有重要病理学意义的物质。糜蛋白酶引起细胞外基质蛋白质(例如,纤连蛋白、原骨胶原及玻连蛋白)的降解,并且使粘着斑脱落。类糜蛋白酶引起TGFβ从其潜在的形式活化并释放,TGFβ在心脏肥大和心脏纤维化的产生中起着重要作用。类糜蛋白酶通过降解载脂蛋白和防止胆固醇被HDL吸收而具有致动脉粥样硬化作用。类糜蛋白酶的作用导致具有促炎特性的细胞因子白细胞介素1的释放和活化。此外,它有助于白细胞介素1的产生(Bacani and Frishman,Cardiol.Rev.14(4)(2006),第187-193页)。已在患有过敏性皮炎、克罗恩氏病(Crohn's disease)、慢性肝炎和肝硬化以及特发性间质性肺炎的患者的活组织检查中发现了类糜蛋白酶-阳性肥大细胞的积累(Dogrell S.A.,ExpertOpin.Ther.Patents 18(2008),第485-499页)。
许多涉及动物实验的研究已经证明了使用类糜蛋白酶抑制剂用于治疗不同疾病的可能性。抑制类糜蛋白酶可用于治疗心肌梗塞。Jin等人(Pharmacol.Exp.Ther.309(2004),第409-417页)指出,狗的冠状动脉的结扎导致室性心律失常,增加了心脏中血管紧张素II的产生,增强了类糜蛋白酶活性。类糜蛋白酶抑制剂TY-501076的静脉内给药降低类糜蛋白酶活性和血浆中血管紧张素II浓度,并且抑制心律失常的发生。在仓鼠的心肌梗塞的体内模型中显示出了类糜蛋白酶抑制的阳性效果。使用类糜蛋白酶抑制剂BCEAB对动物进行治疗,降低了类糜蛋白酶活性、改善了血液动力并降低了死亡率(Jin等人,LifeSci.71(2002),第437-446页)。在患有心肌病的叙利亚仓鼠(其中心脏中的肥大细胞数量被提高)中,用类糜蛋白酶抑制剂口服治疗动物使心脏纤维化降低了50%(Takai等人,Jpn.J.Pharmacol.86(2001),第124-126页)。在狗的心动过速诱发的心力衰竭模型中,用SUN-C82257进行的类糜蛋白酶抑制导致心脏中肥大细胞数量和纤维化降低。另外,心脏的舒张功能在治疗后得到改善(Matsumoto等人,Circulation 107(2003),第2555-2558页)。
因此,类糜蛋白酶的抑制作用构成了在治疗心血管疾病、炎症和变态反应性疾病以及各种纤维化疾病中的有效原则。
WO 2007/150011和WO 2009/049112公开了一种制备具有甘氨酸取代基的嘧啶三酮的方法。WO 2008/056257记载了三嗪二酮作为GABA-B受体调节剂用于治疗CNS疾病,WO2004/058270记载了三嗪二酮作为P2X7拮抗剂,且WO 2012/002096记载了三嗪二酮衍生物作为除草剂。WO 2008/103277公开了用于治疗癌症的各种氮杂环。本发明的目的是提供新的物质,其用作类糜蛋白酶的抑制剂并且适于例如治疗和/或预防疾病,尤其是心血管疾病。
本发明涉及通式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,
其中
R1表示氢或(C1-C4)-烷基,
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-、-CH2-CH2-、-O-CH2-**或氧,
其中**表示与苯环连接的点,
m表示数字0、1或2,
R4表示氢、卤素、二氟甲基、三氟甲基、(C1-C4)-烷基、二氟甲氧基、三氟甲氧基或(C1-C4)-烷氧基,
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢、卤素、(C1-C4)-烷基或(C1-C4)-烷氧基,
R11表示(C1-C4)烷基、(C1-C4)-烷氧基或-N(R14R15),
其中(C1-C4)-烷基可至多被卤素三取代,
其中(C1-C4)-烷氧基可被选自以下的取代基取代:羟基、(C1-C4)-烷氧基羰基、氨基、单-(C1-C4)-烷基氨基、二-(C1-C4)-烷基氨基、氨基羰基、单-(C1-C4)-烷基氨基羰基及二-(C1-C4)-烷基氨基羰基,
其中
R14表示(C1-C4)-烷基、(C1-C4)-烷氧基羰基或(C1-C4)-烷基氨基羰基,
其中(C1-C4)-烷基氨基羰基可被羟基或(C1-C4)-烷氧基取代,
R15表示氢或(C1-C4)-烷基,
或
R11表示4至7元杂环基或5至6元杂芳基,
其中4至7元杂环基可被1至3个取代基取代,所述取代基彼此独立地选自卤素、三氟甲基、(C1-C4)-烷基、羟基、氧代、氨基及(C1-C4)-烷氧基羰基,
其中5至6元杂芳基可被1或2个取代基取代,所述取代基彼此独立地选自卤素、三氟甲基、(C1-C4)-烷基、羟基、氨基及(C1-C4)-烷氧基羰基,
R12表示氢、卤素、氰基、(C1-C4)-烷基或(C1-C4)-烷氧基,
R13表示氢、卤素、(C1-C4)-烷基或(C1-C4)-烷氧基,
或
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
环Q表示5至7元杂环基或5或6元杂芳基,
其中5至7元杂环基和5或6元杂芳基可被1至4个取代基取代,所述取代基独立地选自卤素、二氟甲基、三氟甲基、三氘代甲基、(C1-C6)-烷基、(C3-C7)-环烷基、氧代、羟基、(C1-C4)-烷基羰基、(C1-C4)-烷氧基羰基、氨基羰基及(C1-C4)-烷基磺酰基,
其中(C1-C6)-烷基和(C3-C7)-环烷基本身可被1至3个取代基取代,所述取代基独立地选自卤素、氰基、三氟甲基、(C3-C7)-环烷基、羟基、(C1-C4)-烷氧基及4至7元杂环基,
并且
其中连接至5至7元杂环基的碳原子上的两个(C1-C6)-烷基与它们所连接的碳原子一起可形成3至6元碳环,
R16表示卤素、(C1-C4)-烷基或(C1-C4)-烷氧基,
n表示数字0、1、2或3。
若式(I)所包括的并在下文中提及的化合物并没有已成为盐、溶剂合物和盐的溶剂合物,则本发明的化合物为式(I)的化合物及其盐、溶剂合物和盐的溶剂合物,式(I)所包括的和下文中给出的式的化合物及其盐、溶剂合物和盐的溶剂合物,以及式(I)所包括的和下文中作为实施方案所提及的化合物及其盐、溶剂合物和盐的溶剂合物。
根据本发明化合物的结构,它们可以不同的立体异构形式存在,即以构型异构体或者如果合适以构象异构体(对映异构体和/或非对映异构体,包括阻转异构体的那些)的形式存在。因此,本发明包括对映异构体和非对映异构体及其各自的混合物。可以将立体异构上均一的组分以已知的方式从该对映异构体和/或非对映异构体的混合物中分离。
若本发明化合物可以互变异构形式出现,则本发明包括所有的互变异构形式。
在本发明的上下文中,优选的盐为本发明化合物的生理学上可接受的盐。还包括本身不适于制药应用但可以用于例如分离或纯化本发明的化合物的盐。
本发明化合物的生理学上可接受的盐包括无机酸、羧酸和磺酸的酸加成盐,例如以下酸的盐:盐酸、氢溴酸、硫酸、磷酸、甲磺酸、乙磺酸、甲苯磺酸、苯磺酸、萘二磺酸、乙酸、三氟乙酸、丙酸、乳酸、酒石酸、苹果酸、柠檬酸、富马酸、马来酸及苯甲酸。
本发明化合物的生理学上可接受的盐还包括常规碱的盐,例如且优选碱金属盐(例如,钠盐和钾盐)、碱土金属盐(例如,钙盐和镁盐)及衍生自氨或具有1至16个碳原子的有机胺的铵盐,例如且优选乙胺、二乙胺、三乙胺、乙基二异丙基胺、单乙醇胺、二乙醇胺、三乙醇胺、二环己胺、二甲基氨基乙醇、普鲁卡因、二苄基胺、N-甲基吗啉、精氨酸、赖氨酸、乙二胺和N-甲基哌啶。
在本发明的上下文中,溶剂合物被描述为本发明化合物的那些形式,所述本发明化合物通过与溶剂分子配位而形成呈固态或液态的络合物。水合物是其中与水配位的溶剂合物的一种具体形式。在本发明的上下文中,优选的溶剂合物是水合物。
另外,本发明还包括本发明化合物的前药。术语“前药”包括其本身可为生物学活性的或非活性,但其在体内的停留时间过程中被转化(例如,通过代谢作用或通过水解作用)为本发明化合物的化合物。
在本发明的上下文中,除非另外具体指明,取代基定义如下:
在本发明的上下文中,烷基为具有1至4个碳原子的直链或支链烷基。例如且优选地可提及以下烷基:甲基、乙基、正丙基、异丙基、正丁基、异丁基、仲丁基和叔丁基。
在本发明的上下文中,烷基羰基氧基为经由氧原子连接且烷基链中具有1至4个碳原子的直链或支链的烷基羰基。例如且优选地可提及以下烷基羰基氧基:甲基羰基氧基、乙基羰基氧基、正丙基羰基氧基、异丙基羰基氧基、正丁基羰基氧基、异丁基羰基氧基及叔丁基羰基氧基。
在本发明的上下文中,烷氧基为具有1至4个碳原子的直链或支链的烷氧基。例如且优选地可提及以下烷氧基:甲氧基、乙氧基、正丙氧基、异丙氧基、正丁氧基和叔丁氧基。
在本发明上下文中,烷氧基羰基为具有1至4个碳原子的直链或支链的烷氧基和连接至氧的羰基。优选的是烷氧基中具有1至4个碳原子的直链或支链的烷氧基羰基。例如且优选地可提及以下烷氧基羰基:甲氧基羰基、乙氧基羰基、正丙氧基羰基、异丙氧基羰基及叔丁氧基羰基。
在本发明上下文中,烷氧基羰基氨基为具有直链或支链的烷氧基羰基取代基的氨基,所述烷氧基羰基取代基的烷基链中具有1至4个碳原子且经由羰基连接至氮原子。例如且优选地可提及以下烷氧基羰基氨基:甲氧基羰基氨基、乙氧基羰基氨基、丙氧基羰基氨基、正丁氧基羰基氨基、异丁氧基羰基氨基及叔丁氧基羰基氨基。
在本发明上下文中,烷基磺酰基为具有1至4个碳原子且经由磺酰基连接的直链或支链烷基。优选的实例包括:甲基磺酰基、乙基磺酰基、正丙基磺酰基、异丙基磺酰基、正丁基磺酰基及叔丁基磺酰基。
在本发明上下文中,单烷基氨基为具有直链或支链的烷基取代基的氨基,所述烷基取代基具有1至4个碳原子。例如且优选地可提及以下单烷基氨基:甲基氨基、乙基氨基、正丙基氨基、异丙基氨基及叔丁基氨基。
在本发明上下文中,二烷基氨基为具有两个相同或不同的直链或支链的烷基取代基的氨基,所述烷基取代基各自具有1至4个碳原子。例如且优选地可提及以下二烷基氨基:N,N-二甲基氨基、N,N-二乙基氨基、N-乙基-N-甲基氨基、N-甲基-N-正丙基氨基、N-异丙基-N-正丙基氨基及N-叔丁基-N-甲基氨基。
在本发明上下文中,单烷基氨基羰基为经由羰基连接且具有直链或支链的烷基取代基的氨基,所述烷基取代基具有1至4个碳原子。例如且优选地可提及以下单烷基氨基羰基:甲基氨基羰基、乙基氨基羰基、正丙基氨基羰基、异丙基氨基羰基、正丁基氨基羰基及叔丁基氨基羰基。
在本发明的上下文中,二烷基氨基羰基为经由羰基连接且具有两个相同或不同的、直链或支链的烷基取代基的氨基,所述烷基取代基各自具有1至4个碳原子。例如且优选地可提及以下二烷基氨基羰基:N,N-二甲基氨基羰基、N,N-二乙基氨基羰基、N-乙基-N-甲基氨基羰基、N-甲基-N-正丙基氨基羰基、N-正丁基-N-甲基氨基羰基和N-叔丁基-N-甲基氨基羰基。
在本发明的上下文中,单烷基氨基羰基氨基为具有直链或支链的烷基氨基羰基取代基且经由羰基连接的氨基,所述烷基氨基羰基取代基的烷基链中具有1至4个碳原子。例如且优选地可提及以下单烷基氨基羰基氨基:甲基氨基羰基氨基、乙基氨基羰基氨基、正丙基氨基羰基氨基、异丙基氨基羰基氨基、正丁基氨基羰基氨基和叔丁基氨基羰基氨基。
在本发明的上下文中,二烷基氨基羰基氨基为具有直链或支链的二烷基氨基羰基取代基且经由羰基连接的氨基,所述二烷基氨基羰基取代基的烷基链(其可相同或不同)在各种情况下具有1至4个碳原子。例如且优选地可提及以下二烷基氨基羰基氨基:N,N-二甲基氨基羰基氨基、N,N-二乙基氨基羰基氨基、N-乙基-N-甲基氨基羰基氨基、N-甲基-N-正丙基氨基羰基氨基、N-正丁基-N-甲基氨基羰基氨基及N-叔丁基-N-甲基氨基羰基氨基。
在本发明上下文中,杂环基或杂环为具有总计4至7个环原子的饱和或部分饱和的杂环,其含有1至3个选自N、O和S的环杂原子且经由环碳原子或任选的环氮原子连接。实例包括:氮杂环丁烷基、吡咯烷基、四氢呋喃基、咪唑烷基、二氢咪唑基、吡唑烷基、二氢三唑基、噁唑烷基、二氢噁唑基、噻唑烷基、二氢噁二唑基、哌啶基、哌嗪基、四氢吡喃基、噁嗪烷基(oxazinanyl)、六氢嘧啶基、吗啉基、硫代吗啉基和氮杂环庚烷基。优选的是具有1至3个环杂原子的5元或6元杂环基。例如且优选地可提及以下杂环基或杂环:咪唑烷基、二氢咪唑基、吡唑烷基、二氢三唑基、噁唑烷基、二氢噁唑基、哌嗪基和吗啉基。
在本发明上下文中,杂芳基为具有总计5或6个环原子的单环芳族杂环(杂芳族化合物),其含有最高达三个相同或不同的选自N、O和S的环杂原子且经由环碳原子或经由任何环氮原子连接。实例包括:呋喃基、吡咯基、噻吩基、吡唑基、咪唑基、噻唑基、噁唑基、异噁唑基、异噻唑基、三唑基、噁二唑基、噻二唑基、吡啶基、嘧啶基、哒嗪基、吡嗪基和三嗪基。优选的是具有两个或三个选自N、O和S的环杂原子的单环5元杂芳基,例如,噻唑基、噁唑基、异噻唑基、异噁唑基、吡唑基、咪唑基、三唑基、噁二唑基及噻二唑基。
在本发明上下文中,卤素包括氟、氯、溴及碘。优选的是氯或氟。
在本发明上下文中,氧代基团为经由双键连接至碳原子上的氧原子。
在A、R2、R3及R11可表示的基团的式中,由符号*或**或#或##标记的线的端点并不表示碳原子或CH2基团而是键合至相应原子的部分,所述相应原子分别与A、R2、R3和R11连接。
除非另外具体指明,当本发明化合物中的基团被取代时,则该基团可被单取代或多取代。在本发明的上下文中,将出现超过一次的所有基团彼此独立地定义。优选被一个或两个相同或不同的取代基取代。非常特别优选的是被一个取代基取代。
在本发明的上下文中,优选的是式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,其中
R1表示氢或(C1-C4)-烷基,
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-或-CH2-CH2-,
m表示数字0、1或2,
R4表示氢、氟、氯、二氟甲基、三氟甲基或甲基,
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢、卤素或(C1-C4)-烷氧基,
R11表示(C1-C4)-烷基、(C1-C4)-烷氧基或-N(R14R15),
其中
R14表示(C1-C4)-烷基,
R15表示氢或(C1-C4)-烷基,
或
R11表示5或6元杂环基,
其中5或6元杂环基可被1或2个取代基取代,所述取代基彼此独立地选自三氟甲基、(C1-C4)-烷基及氧代,
R12表示氢,
R13表示氢或(C1-C4)-烷基,
或者
R3表示下式的基团
其中
#表示与三嗪二酮氮原子连接的点,
G1表示C=O或SO2,
G2表示CR21AR21B、NR22、O或S,
其中
R21A表示氢、氟、(C1-C4)-烷基或羟基,
R21B表示氢、氟、氯、(C1-C4)-烷基或三氟甲基,
或者
R21A和R21B与它们所连接的碳原子一起形成3至6元碳环,
R22表示氢、(C1-C6)-烷基或(C3-C7)-环烷基,
R19表示氟或甲基,
n表示数字0或1,
R20表示氢、(C1-C6)-烷基或(C3-C6)-环烷基。
在本发明的上下文中,特别优选的是式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,其中
R1表示氢、甲基或乙基,
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-或-CH2-CH2-,
R4表示氯或三氟甲基,
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢,
R11表示甲氧基或乙氧基,
或者
R11表示下式的基团
其中
##表示与苯环连接的点,
R12表示氢,
R13表示氢或甲基,
或者
R3表示下式的基团
其中
#表示与三嗪二酮氮原子连接的点。
在本发明的上下文中,还优选的是式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,其中
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-或-CH2-CH2-,
R4表示氯或三氟甲基。
在本发明的上下文中,还优选的是式(I)的化合物及其盐、溶剂合物和盐的溶剂合物,其中
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢,
R11表示下式的基团
其中
##表示与苯环连接的点,
R12表示氢,
R13表示氢。
在本发明的上下文中,还优选的是式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,其中
R3表示下式的基团
其中
#表示与三嗪二酮氮原子连接的点。
不管是指定基团的特定组合,还是指定以基团的特定组合或优选组合的各个基团定义均可根据需要被其它组合的基团定义代替。
非常特别优选的是两种以上的上述优选范围的组合。
本发明还提供了用于制备本发明式(I)的化合物的方法,其特征在于
[A]使用亚硝酸钠和合适的酸,将式(II)的化合物在惰性溶剂中进行重氮化,以得到式(II-1)的化合物,
H2N-R3 (II)
其中
R3具有上文给出的含义,
其中
R3具有上文给出的含义,
并且任选在合适碱的存在下,将该重氮盐与式(III)的化合物反应,以得到式(IV)的化合物,
其中
T1表示(C1-C4)-烷基,
其中
R3和T1各自具有上文给出的含义,
然后任选在合适碱的存在下,将式(IV)的化合物在惰性溶剂中转化为式(V)的化合物,
其中
R3具有上文给出的含义,
随后,在惰性溶剂中,将式(V)的化合物在Mitsunobu条件下用活化剂(例如,偶氮二甲酸二乙酯(DEAD)或偶氮二甲酸二异丙酯(DIAD))和膦试剂(例如,三苯基膦或三丁基膦)与式(VI)的化合物反应,以得到式(VII)的化合物,
其中
A、m、R3和R4具有上文给出的含义,
然后在合适酸或碱的存在下,将式(VII)的化合物在惰性溶剂中进行水解,以得到式(I-1)的化合物,
其中
A、m、R3和R4具有上文给出的含义,
且
R1A表示氢,
或者
[B]在合适酸或碱的存在下,将式(V)的化合物在惰性溶剂中进行水解,以得到式(VIII)的化合物
其中
R3具有上文给出的含义,
其中
R1A表示氢,
且
R3具有上文给出的含义,
然后,将酸官能团酯化,以得到式(IX)的化合物,
其中
R3具有上文给出的含义,
且
R1B表示(C1-C4)-烷基,
随后与方法[A]类似,在惰性溶剂中,将式(IX)的化合物在Mitsunobu条件下用活化剂(如,偶氮二甲酸二乙酯(DEAD)或偶氮二甲酸二异丙酯(DIAD))和膦试剂(例如,三苯基膦或三丁基膦)与式(VI)的化合物反应转化为式(I-2)的化合物,
其中
A、m和R4具有上文给出的含义,
其中
A、m、R和R4具有上文给出的含义,
且
R1B表示(C1-C4)-烷基,
或者
[C]在合适酸或碱的存在下,将式(I-2)的化合物在惰性溶剂中进行水解,以得到式(I-1)的化合物
其中A、m、R3和R4各自具有上文给出的含义,
且
R1A表示氢,
将任何保护基团分离和/或在适当情况下将式(I-1)和(I-2)的化合物用合适的(i)溶剂和/或(ii)碱或酸转化为其溶剂合物、盐和/或盐的溶剂合物。
式(I-1)与(I-2)的化合物一起形成本发明式(I)的化合物组。
用于方法步骤(II)→(II-1)和(II-1)+(III)→(IV)的惰性溶剂为,例如,醇(例如,甲醇、乙醇、正丙醇、异丙醇或正丁醇)或其他溶剂(例如,二甲基甲酰胺、二甲基亚砜、N,N′-二甲基亚丙基脲(DMPU)、N-甲基吡咯烷酮(NMP)、吡啶、丙酮、2-丁酮;环丁砜、环丁烯砜、水或乙腈。还可以使用上述溶剂的混合物。优选的是使用水。
用于方法步骤(II)→(II-1)的合适的酸为,例如,盐酸、硫酸、磷酸或乙酸。优选的是使用盐酸。
用于方法步骤(II-1)+(III)→(IV)和(IV)→(V)的合适的碱为碱金属醇盐(例如,甲醇钠或甲醇钾、乙醇钠或乙醇钾或叔丁醇钠或叔丁醇钾)、碱金属羧酸盐(例如,乙酸钠或乙酸钾)、碱金属氢化物(例如,氢化钠或氢化钾)、氨基化合物(例如,氨基钠、双(三甲基甲硅烷基)氨基锂或双(三甲基甲硅烷基)氨基钾或二异丙基氨基锂),或有机碱(例如,吡啶、三乙胺、二异丙基乙胺、1,5-二氮杂双环[4.3.0]壬-5-烯(DBN)、1,8-二氮杂双环[5.4.0]十一碳-7-烯(DBU)或1,4-二氮杂双环[2.2.2]辛烷或磷腈碱(例如,1-[N-叔丁基-P,P-二(吡咯烷-1-基)磷酰亚胺基]吡咯烷或N”’-叔丁基-N,N,N’,N’-四甲基-N”-[三(二甲基氨基)-λ5-膦烯]磷酰亚胺三酰胺)。优选的是吡啶、乙酸钠、乙醇钠及叔丁醇钾。
反应(II)→(II-1)通常在0℃至+30℃、优选在0℃下进行。通常,该反应在大气压下进行。
反应(II-1)+(III)→(IV)通常在0℃至+150℃、优选在+20℃至+120℃的温度范围内进行。该反应可以在大气压、加压或减压(例如,0.5至5巴)下进行。通常,该反应在大气压下进行。
反应(V)+(V1)→(VII)和(IX)+(VI)→(I-1)在Mitsunobu条件[参见:a)Hughes,D.L.“The Mitsunobu Reaction”Organic Reactions;John Wiley&Sons,Ltd,1992,第42卷,第335页。b)Hughes,D.L.Org.Prep.Proceed.Int.1996,第28卷,第127页]下进行。Mitsunobu反应使用以下物质进行:三苯基膦或三正丁基膦、1,2-双(二苯基膦基)乙烷(DPPE)、二苯基(2-吡啶基)膦(Ph2P-Py)、(对二甲基氨基苯基)二苯基膦(DAP-DP)、三(4-二甲基氨基苯基)-膦(Tris-DAP),及合适的偶氮二甲酸二烷基酯,例如,偶氮二甲酸二乙酯(DEAD)、偶氮二甲酸二异丙酯(DIAD)、偶氮二甲酸二叔丁酯、N,N,N',N-’四甲基偶氮二甲酰胺(TMAD)、1,1’-(偶氮二羰基)二哌啶(ADDP)或4,7-二甲基-3,5,7-六氢-1,2,4,7-四氮杂环辛四烯-3,8-二酮(DHTD)。优选的是使用三苯基膦和偶氮二甲酸二异丙酯(DIAD)。
用于Mitsunobu反应(V)+(VI)→(VII)和(IX)+(VI)→(I-1)的惰性溶剂为,例如,醚类(例如,四氢呋喃、乙醚)、烃类(例如,苯、甲苯、二甲苯)、卤代烃类(例如,二氯甲烷、二氯乙烷),或其他溶剂(例如,乙腈或二甲基甲酰胺(DMF)。还可以使用上述溶剂的混合物。优选的是使用THF或THF与DMF的混合物。
Mitsunobu反应(V)+(VI)→(VlI)和(IX)+(VI)→(I-1)通常在-78℃至+180℃、优选在0℃至+50℃的温度范围内、任选在微波中进行。该转化可在大气压、加压或减压(例如,0.5至5巴)下进行。
将化合物(V)和(VII)的腈基水解而得到式(VIII)或(I-1)的化合物是通过在惰性溶剂中用合适的酸处理腈基来进行的。
通常,用于水解腈基的合适的酸为硫酸、氯化氢/盐酸、溴化氢/氢溴酸、磷酸或乙酸或其混合物,任选地加入水。优选的是氯化氢。
用于这些反应的合适的惰性溶剂为水、乙醚、四氢呋喃、二噁烷或乙二醇二甲醚,或其它溶剂(例如,乙腈、乙酸、二甲基甲酰胺或二甲基亚砜)。还可以使用上述溶剂的混合物。优选的是乙酸。
所述腈基的水解通常在0℃至180℃、优选在+80℃至120℃的温度范围内进行。
这些转化可以在大气压、加压或减压(例如,0.5至5巴)下进行。通常,所述反应在各自情况下在大气压下进行。
将化合物(VIII)的酸基R1A酯化而得到式(IX)的化合物是通过在合适的溶剂中在亚硫酰氯的存在下使用醇(例如,甲醇或乙醇)处理该酸来进行的。
用于该反应的合适的溶剂为,醇类(例如,甲醇、乙醇、正丙醇、异丙醇、正丁醇或叔丁醇)、四氢呋喃、二噁烷或乙二醇二甲醚,或其他溶剂(例如,乙腈、二甲基甲酰胺或二甲基亚砜)。还可以使用上述溶剂的混合物。优选的溶剂是参与该反应的醇,例如,甲醇或乙醇。
或者,首先可使用亚硫酰氯将所述酸转化为酰氯,然后所述酰氯可与式R1BOH的醇反应。
或者,将化合物(VIII)的酸基R1A酯化而得到式(IX)的化合物可以通过在无机酸(例如,氯化氢、硫酸或磷酸)的存在下使用式R1BOH的醇加热式(VIII)的化合物来进行。
所述酯化通常在0℃至180℃、优选在+20℃至120℃的温度范围内进行。
这些转化可以在大气压、加压或减压(例如,0.5至5巴)下进行。通常,所述反应在各自情况下在大气压下进行。
将化合物(I-2)的酯基水解而得到式(I-1)的化合物是通过在惰性溶剂中使用酸或碱处理该酯来实现的,其中使用碱所形成的盐首先通过用酸处理而转化为游离羧酸。通常,所述酯水解优选使用酸实现。
用于这些反应的合适的惰性溶剂为水、乙醚、四氢呋喃、二噁烷或乙二醇二甲醚,或其它溶剂(例如,乙腈、乙酸、二甲基甲酰胺或二甲基亚砜)。还可以使用上述溶剂的混合物。在碱性酯水解的情况下,优选的是使用水与二噁烷、四氢呋喃或乙腈的混合物。对于叔丁酯的水解,在与三氟乙酸反应的情况下所用的溶剂优选为二氯甲烷,而在与氯化氢反应的情况下所用的溶剂优选为四氢呋喃、乙醚或二噁烷。对于其他酯在酸性条件下的水解,优选的是乙酸或乙酸与水的混合物。
合适的碱为碱金属或碱土金属碳酸氢盐,例如,碳酸氢钠或碳酸氢钾。优选的是碳酸氢钠。
用于酯裂解的合适的酸通常为硫酸、氯化氢/盐酸、溴化氢/氢溴酸、磷酸、乙酸、三氟乙酸、甲苯磺酸、甲磺酸或三氟甲磺酸,或其混合物,任选地加入水。在叔丁酯的情况下优选的是氯化氢或三氟乙酸,及以与乙酸的混合物形式的盐酸,并且在甲酯和乙酯的情况下,优选的是以与乙酸和水的混合物形式的硫酸。
所述酯水解通常在0℃至180℃、优选在+20℃至120℃的温度范围内进行。
这些转化可以在大气压、加压或减压(例如,0.5至5巴)下进行。通常,所述反应在各自情况下在大气压下进行。
根据本发明的化合物的制备可通过以下合成方案(方案1和2)来示例性地说明:
方案1:
[a)亚硝酸钠、6N盐酸、0℃-5℃;b)吡啶、水、室温(RT);c)碳酸钠、水、回流;d)DIAD、三苯基膦、DMF/THF 2:1、RT;e)冰乙酸/浓盐酸2:1、回流]。
方案2:
[a)亚硝酸钠、6N盐酸、0℃-5℃;b)乙酸钠、水、RT;c)乙酸钠、冰乙酸、回流;d)冰乙酸/浓盐酸2∶1、回流;e)亚硫酰氯、甲醇、回流;f)DIAD、三苯基膦、DMF/THF 2∶1、RT;e)冰乙酸/浓盐酸2∶1、回流]。
式(II)、(III)及(VI)的化合物为市售可得的、文献中已知的,或可通过类似于文献中已知的方法进行制备。
本发明的其他化合物还可任选地通过以下方式制备:转化通过上述方法获得的式(I)化合物的各个取代基的官能团,特别是对于R3列出的那些。如本发明实验部分所描述的,这些转化通过本领域普通技术人员已知的常规方法来进行,并且包括,例如,反应如亲核和亲电取代、氧化、还原、氢化、过渡金属催化的偶联反应、消除、烷基化、氨基化、酯化、酯水解、醚化、醚裂解、形成碳酰胺,以及引入和除去临时保护基团。
本发明的化合物具有有价值的药理学特性并且可用于治疗和/或预防人类和动物的疾病。
本发明的化合物是类糜蛋白酶抑制剂,因此适用于治疗和/或预防心血管疾病、炎症疾病、变态反应性疾病和/或纤维化疾病。
在本发明的上下文中,心血管系统的疾病或心血管疾病应理解为意指,例如,以下的疾病:急性和慢性心力衰竭、动脉高血压、冠状动脉心脏病、稳定型和不稳定型心绞痛、心肌缺血、心肌梗塞、休克、动脉粥样硬化、心脏肥大、心脏纤维化、房性和室性心律失常、短暂性和局部缺血性发作、中风、先兆子痫、炎症性心血管疾病、外周和心血管疾病、外周灌注疾病、动脉性肺高压、冠状动脉和外周动脉的痉挛、血栓形成、血栓栓塞性疾病、水肿形成(例如,肺水肿、脑水肿、肾水肿或与心力衰竭相关的水肿),及如溶栓治疗、经皮腔内血管成形术(PTA)、经腔冠状动脉血管成形术(PTCA)、心脏移植及搭桥手术后的再狭窄,以及微血管和大血管损伤(血管炎)、再灌注损伤、动脉和静脉血栓形成、微量白蛋白尿、心肌机能不全、内皮功能障碍、纤维蛋白原和低密度LDL的水平升高及纤溶酶原激活物/抑制剂-1(PAI-1)的浓度升高。
在本发明的上下文中,术语“心力衰竭”还包括更具体的或相关类型的疾病,例如急性代偿失调的心力衰竭、右心衰竭、左心衰竭、全心衰竭、缺血性心肌病、扩张型心肌病、先天性心脏缺损、心瓣膜缺损、与心瓣膜缺损相关的心力衰竭、二尖瓣狭窄、二尖瓣关闭不全、主动脉瓣狭窄、主动脉瓣关闭不全、三尖瓣狭窄、三尖瓣关闭不全、肺动脉瓣狭窄、肺动脉瓣闭锁不全、组合性心瓣膜缺损、心肌炎症(心肌炎)、慢性心肌炎、急性心肌炎、病毒性心肌炎、糖尿病性心力衰竭、酒精性心肌病、心脏贮积(storage)病及舒张性心力衰竭和收缩性心力衰竭。
本发明的化合物还适用于预防和/或治疗多囊性肾病(PCKD)和ADH分泌异常综合征(SIADH)。
本发明的化合物还适用于治疗和/或预防肾脏疾病,特别是急性和慢性肾功能不全及急性和慢性肾脏功能衰竭。
在本发明的上下文中,术语“急性肾功能不全”包括肾病、肾衰竭和/或需要和不需要透析的肾功能不全的急性表症,以及潜在的或相关的肾疾病,例如肾灌注不足、透析时低血压(intradialytic hypotension)、体液不足(volume deficiency)(例如,脱水、失血)、休克、急性肾小球肾炎、溶血性尿毒症综合征(HUS)、血管激变(vascular catastrophe)(动脉或静脉血栓形成或栓塞)、胆固醇栓塞、浆细胞瘤中的急性Bence-Jones肾病、极性囊上(supravesicular)或囊下(subvesicular)流出障碍、免疫性肾疾病(例如,肾移植排斥、免疫复合物诱发的肾脏疾病)、肾小管扩张、高磷血症和/或以需要透析为特征的急性肾疾病,包括肾脏的部分切除、通过强迫利尿而脱水、伴有恶性高血压的不受控制的血压升高,尿路梗阻和感染及淀粉样变性,以及伴有肾小球因素的系统疾病,例如风湿性-免疫性系统疾病(例如,红斑狼疮)、肾动脉血栓、肾静脉血栓、止痛药性肾病和肾小管性酸中毒,及x-射线造影剂和药剂诱发的急性间质性肾疾病。
在本发明的上下文中,术语“慢性肾功能不全”包括肾病、肾衰竭和/或需要和不需要透析的肾功能不全的慢性表症,以及潜在的或相关的肾疾病,例如肾灌注不足、透析时低血压、梗阻性尿路病、肾小球病、肾小球和肾小管性蛋白尿、肾水肿、血尿症、原发性肾小球性肾炎、继发性肾小球性肾炎和慢性肾小球性肾炎、膜性肾小球性肾炎和膜性增生性肾小球性肾炎、奥尔波特(Alport)综合症、肾小球硬化症、肾小管间质性疾病、肾病疾病(例如原发性和先天性肾疾病)、肾炎症、免疫性肾疾病(例如,肾移植排斥、免疫复合物诱发的肾疾病)、糖尿病性和非糖尿病性肾病、肾盂肾炎、肾囊肿、肾硬化、高血压性肾硬化以及可通过以下进行诊断性表征的肾病综合征:例如肌酐和/或水排泄的异常减少,尿素、氮、钾和/或肌酐的血液浓度的异常升高,肾脏酶(例如谷氨酰基合成酶)的活性改变,尿液渗透压或尿量的改变,微量白蛋白尿的增加、大量清蛋白尿(macroalbuminuria),肾小球和小动脉的病变,肾小管扩张(tubular dilatation),高磷血症和/或需要透析,且在肾细胞癌中,当部分切除肾脏后,通过强迫利尿引起的脱水,伴有恶性高血压的不受控的血压升高、尿路梗阻和感染及淀粉样变性,以及具有肾小球因素的系统疾病,例如风湿性-免疫性系统疾病(例如,红斑狼疮),以及肾动脉狭窄、肾动脉血栓、肾静脉血栓、止痛药性肾病及肾小管性酸中毒。另外,x-射线造影剂和药剂诱发的慢性间质性肾脏疾病、代谢综合征及血脂异常。本发明还包括本发明化合物用于治疗和/或预防肾功能不全后遗症——肺水肿、心力衰竭、尿毒症、贫血、电解质紊乱(例如高钾血症、低钠血症)以及骨和碳水化合物代谢紊乱——的用途。
另外,本发明的化合物还适用于治疗和/或预防肺动脉性高压(PAH)和其他形式的肺动脉高血压(PH)、慢性阻塞性肺疾病(COPD)、急性呼吸窘迫综合征(ARDS)、急性肺损伤(ALI)、α-1-抗胰蛋白酶缺乏症(AATD)、肺纤维化、肺气肿(例如,由吸烟导致的肺气肿)、囊性纤维化(CF)、急性冠状动脉综合征(ACS)、心肌炎症(心肌炎)及其他自身免疫性心脏疾病(心包炎、心内膜炎、心脏瓣膜炎(valvolitis)、主动脉炎、心肌病)、心原性休克、动脉瘤、败血症(SIRS)、多器官衰竭(MODS、MOF)、肾脏的炎症疾病、慢性肠疾病(IBD、克罗恩氏病、UC)、胰腺炎、腹膜炎、类风湿性疾病、炎症性皮肤疾病及炎症性眼病。
此外,本发明的化合物可用于治疗和/或预防具有间歇性或持续性特性的严重程度不同的哮喘疾病(顽固性哮喘(refractive asthma)、支气管哮喘、过敏性哮喘、内源性哮喘、外源性哮喘、药剂或粉尘诱发的哮喘)、各种形式的支气管炎(慢性支气管炎、传染性支气管炎、嗜酸性支气管炎)、闭塞性细支气管炎、支气管扩张、肺炎、特发性间质性肺炎、农民肺及相关疾病、咳嗽及感冒(慢性炎症性咳嗽、医源性咳嗽)、鼻粘膜的炎症(包括药剂相关的鼻炎、血管运动性鼻炎和季节性过敏性鼻炎,例如花粉过敏)及鼻息肉。
另外,本发明的化合物还适用于治疗和/或预防内部器官——例如,肺、心脏、肾脏、骨髓且特别是肝脏——的纤维化疾病,以及皮肤纤维化和纤维化眼病。在本发明的上下文中,术语“纤维化疾病”特别包括以下术语:肝纤维化、肝硬化、肺纤维化、心内膜心肌纤维化、心肌病、肾病、肾小球性肾炎、肾间质纤维化、由糖尿病引起的纤维化损伤、骨髓纤维化及类似的纤维化疾病、硬皮病、硬斑病、瘢痕瘤、肥厚性瘢痕(以下也称外科手术)、痣、糖尿病性视网膜病变及增生性玻璃体视网膜病变。
本发明的化合物还适用于防治术后疤痕,例如青光眼手术导致的疤痕。
此外,本发明的化合物还可在美容上用于老化和角质化的皮肤。
另外,本发明的化合物还可用于治疗和/或预防血脂异常(高胆固醇血症、高甘油三酯血症、餐后血浆甘油三酯浓度增高、低α-脂蛋白血症、混合型高脂血症)、肾病和神经病、癌症(皮肤癌、脑肿瘤、乳腺癌、骨髓瘤、白血病、脂肪肉瘤、胃肠道癌、肝癌、胰腺癌、肺癌、肾癌、泌尿道癌、前列腺癌及生殖道癌,以及淋巴增殖系统中的恶性肿瘤,例如,霍奇金氏(Hodgkin)和非霍奇金氏淋巴瘤)、胃肠道疾病和腹部疾病(舌炎、牙龈炎、牙周炎、食道炎、嗜酸细胞性胃肠炎、肥大细胞增多症、克罗恩氏病、结肠炎、直肠炎、肛门瘙痒症、腹泻、乳糜泄、肝炎、慢性肝炎、肝纤维化、肝硬化、胰腺炎及胆囊炎)、皮肤病(过敏性皮肤病、银屑病、痤疮、湿疹、神经性皮炎、各种形式的皮炎,以及角膜炎、大疱病、血管炎、蜂窝组织炎、脂膜炎、红斑狼疮、红斑、淋巴瘤、皮肤癌、Sweet综合征、Weber-Christian综合征、瘢痕、疣、冻疮)、骨骼疾病和关节疾病及骨骼肌疾病(各种形式的关节炎、各种形式的关节病、硬皮病)及其他伴随炎症或免疫学成分的疾病,例如肿瘤伴随综合征,在器官移植后的排斥反应的事件中,用于伤口愈合和血管发生、尤其是在慢性创伤的情况下。
此外,本发明式(I)的化合物适用于治疗/或预防眼科疾病,例如,青光眼、血压正常的青光眼、高眼压及其组合、年龄相关性黄斑变性(AMD)、干性或非渗出性AMD、湿性或渗出性或新血管性AMD、脉络膜血管新生(CNV)、视网膜脱落、糖尿病性视网膜病变、视网膜色素上皮细胞(RPE)的萎缩性病变、视网膜色素上皮细胞(RPE)的肥厚性病变、糖尿病性黄斑水肿、视网膜静脉闭塞、脉络膜视网膜静脉闭塞、黄斑水肿、因视网膜静脉闭塞导致的黄斑水肿、在眼睛前部的血管生成(例如,在角膜炎、角膜移植或角膜移植术之后的角膜血管生成、因缺氧(过度配戴隐形眼镜)导致的角膜血管生成)、翼状胬肉结膜、视网膜水肿及视网膜内水肿。
另外,本发明式(I)的化合物适用于治疗和/或预防由外伤性眼前房出血、眶周水肿、术后粘弹性保留、眼内炎症、使用皮质类固醇、瞳孔阻滞或先天性的原因导致的高眼压,和小梁切除术之后的眼压升高以及因术前条件导致的眼压升高。
本发明进一步提供了本发明的化合物用于治疗和/或预防疾病——尤其是上文提及的疾病——的用途。
本发明进一步提供了本发明的化合物用于制备用于治疗和/或预防疾病——尤其是上文提及的疾病——的药物的用途。
本发明进一步提供了本发明的化合物用于治疗和/或预防心力衰竭、肺动脉高血压、慢性阻塞性肺病、哮喘、肾衰竭、肾病、内部器官的纤维化疾病及皮肤纤维化的方法中。
本发明的化合物可以单独使用或者——如果需要——可与其他活性成分组合使用。因此,本发明进一步提供了药物,其包含至少一种本发明的化合物和一种或多种其他活性化合物,尤其用于治疗和/或预防上述疾病。适合于组合的活性化合物的优选实例包括:
抑制信号传导级联的化合物,例如且优选选自激酶抑制剂,尤其选自酪氨酸激酶抑制剂和/或丝氨酸/苏氨酸激酶抑制剂;
抑制细胞外基质的降解和改变的化合物,例如且优选基质金属蛋白酶(MMP)的抑制剂,尤其是溶基质素(stromelysin)、胶原酶、明胶酶及蛋白聚糖酶(在本上下文中,特别是MMP-1、MMP-3、MMP-8、MMP-9、MMP-10、MMP-11及MMP-13)的抑制剂及金属弹性蛋白酶(MMP-12)的抑制剂;
阻断血清素与其受体结合的化合物,例如且优选5-HT2b受体的拮抗剂;
有机硝酸酯和NO供体,例如硝普钠、硝酸甘油、单硝酸异山梨酯、二硝酸异山梨酯、吗多明(molsidomine)或SIN-1,以及吸入性NO;
不依赖于NO但依赖于血红素的可溶性鸟苷酸环化酶的刺激物,例如尤其是在WO00/06568、WO 00/06569、WO 02/42301及WO 03/095451中描述的化合物;
不依赖于NO和血红素的可溶性鸟苷酸环化酶的激活物,例如尤其是在WO 01/19355、WO 01/19776、WO 01/19778、WO 01/19780、WO 02/070462及WO 02/070510中描述的化合物;
前列腺环素类似物,例如且优选伊洛前列素(iloprost)、贝前列素(beraprost)、曲罗尼尔(treprostinil)或依前列醇(epoprostenol);
抑制可溶性环氧化物水解酶(sEH)的化合物,例如,N,N'-二环己脲、12-(3-金刚烷-1-基脲基)十二烷酸或1-金刚烷-1-基-3-{5-[2-(2-乙氧基乙氧基)乙氧基]戊基}脲;
影响心脏能量代谢的化合物,例如且优选乙莫克舍(etomoxir)、二氯乙酸盐、雷诺嗪(ranolazine)或曲美他嗪(trimetazidine);
抑制环鸟苷酸(cGMP)和/或环腺苷酸(cAMP)降解的化合物,例如,例如磷酸二酯酶(PDE)1、2、3、4和/或5的抑制剂,特别是PDE 5抑制剂,例如西地那非(sildenafil)、伐地那非(vardenafil)及他达拉非(tadalafil);
抗血栓形成剂,例如且优选选自血小板聚集抑制剂、抗凝血剂或致纤溶作用物质(profibrinolytic substance);
降低血压的活性成分,例如且优选选自钙拮抗剂、血管紧张素AII拮抗剂、ACE抑制剂、血管肽酶抑制剂、内皮素拮抗剂、肾素抑制剂、α受体阻滞剂、β受体阻滞剂、盐皮质激素受体拮抗剂,以及ρ-激酶抑制剂和利尿剂;
血管加压素受体拮抗剂,例如且优选考尼伐坦(conivaptan)、托伐普坦(tolvaptan)、利希普坦(lixivaptan)、莫扎伐普坦(mozavaptan)、沙他伐坦(satavaptan)、SR-121463、RWJ 676070或BAY 86-8050;
支气管扩张剂,例如且优选选自β肾上腺素受体激动剂,例如尤其是沙丁胺醇、异丙肾上腺素、奥西那灵(metaproterenol)、特布他林(terbutalin)、福莫特罗(formoterol)或沙美特罗(salmeterol),或选自抗胆碱药,例如尤其是异丙托溴铵;
抗炎剂,例如且优选选自糖皮质激素类,例如尤其是泼尼松(prednisone)、泼尼松龙(prednisolone)、甲泼尼龙(methylprednisolone)、曲安西龙(triamcinolone)、地塞米松(dexamethasone)、倍氯米松(beclomethasone)、倍他米松(betamethasone)、氟尼缩松(flunisolide)、布地奈德(budesonide)或氟替卡松(fluticasone);和/或
改变脂类代谢的活性化合物,例如且优选选自甲状腺受体激动剂、胆固醇合成抑制剂,例如且优选,HMG-CoA还原酶抑制剂或角鲨烯合成抑制剂、ACAT抑制剂、CETP抑制剂、MTP抑制剂、PPAR-a、PPAR-γ和/或PPAR-δ激动剂、胆固醇吸收抑制剂、脂肪酶抑制剂、聚合胆汁酸吸附剂、胆汁酸再吸收抑制剂及脂蛋白(a)拮抗剂。
在本发明的一个优选实施方案中,本发明的化合物与激酶抑制剂组合使用,所述激酶抑制剂例如且优选硼替佐米(bortezomib)、卡纽替尼(canertinib)、埃罗替尼(erlotinib)、吉非替尼(gefitinib)、伊马替尼(imatinib)、拉帕替尼(lapatinib)、来妥替尼(lestaurtinib)、氯那法尼(lonafarnib)、哌加他尼(pegaptinib)、培利替尼(pelitinib)、司马沙尼(semaxanib)、索拉非尼(sorafenib)、瑞戈非尼(regorafenib)、舒尼替尼(sunitinib)、坦度替尼(tandutinib)、替匹法尼(tipifarnib)、伐他拉尼(vatalanib)、法舒地尔(fasudil)、氯尼达明(lonidamine)、来氟米特(leflunomide)、BMS-3354825或Y-27632。
在本发明的一个优选的实施方案中,本发明的化合物与血清素受体拮抗剂组合使用,所述血清素受体拮抗剂例如且优选PRX-08066。
抗血栓形成剂优选应理解为意指选自血小板聚集抑制剂、抗凝血剂或致纤溶作用物质的化合物。
在一个优选的实施方案中,本发明的化合物与血小板聚集抑制剂组合给药,所述血小板聚集抑制剂例如且优选阿司匹林、氯吡格雷(clopidogrel)、噻氯匹定(ticlopidin)或双嘧达莫(dipyridamole)。
在本发明的一个优选实施方案中,本发明的化合物与凝血酶抑制剂组合给药,所述凝血酶抑制剂例如且优选希美加群(ximelagatran)、美拉加群(melagatran)、比伐卢定(bivalirudin)或克赛(clexane)。
在本发明的一个优选实施方案中,本发明的化合物与GPIIb/IIIa拮抗剂组合给药,所述GPIIb/IIIa拮抗剂例如且优选替罗非班(tirofiban)或阿昔单抗(abciximab)。
在本发明的一个优选实施方案中,本发明的化合物与Xa因子抑制剂组合给药,所述Xa因子抑制剂例如且优选利伐沙班(rivaroxaban)、DU-176b、非德沙班(fidexaban)、雷扎沙班(razaxaban)、磺达肝素(fondaparinux)、依达肝素(idraparinux)、PMD-3112、YM-150、KFA-1982、EMD-503982、MCM-17、mLN-1021、DX 9065a、DPC 906、JTV 803、SSR-126512或SSR-128428。
在本发明的一个优选的实施方案中,本发明的化合物与肝素或低分子量(LMW)肝素衍生物组合给药。
在本发明的一个优选的实施方案中,本发明的化合物与维生素K拮抗剂组合给药,所述维生素K拮抗剂例如且优选香豆素。
降血压剂优选应理解为选自以下的化合物:钙拮抗剂、血管紧张素AII拮抗剂、ACE抑制剂、内皮素拮抗剂、肾素抑制剂、α-受体阻滞剂、β-受体阻滞剂、盐皮质激素受体拮抗剂、ρ-激酶抑制剂及利尿剂。
在本发明的一个优选实施方案中,本发明的化合物与钙拮抗剂组合给药,所述钙拮抗剂例如且优选硝苯地平(nifedipine)、氨氯地平(amlodipine)、维拉帕米(verapamil)或地尔硫卓(diltiazem)。
在本发明的一个优选实施方案中,本发明的化合物与α-1-受体阻滞剂组合给药,所述α-1-受体阻滞剂例如且优选哌唑嗪(prazosin)。
在本发明的一个优选的实施方案中,本发明的化合物与β-受体阻滞剂组合给药,所述β-受体阻滞剂例如且优选普萘洛尔(propranolol)、阿替洛尔(atenolol)、噻吗洛尔(timolol)、吲哚洛尔(pindolol)、阿普洛尔(alprenolol)、氧烯洛尔(oxprenolol)、喷布洛尔(penbutolol)、布拉洛尔(bupranolol)、美替洛尔(metipranolol)、纳多洛尔(nadolol)、甲吲洛尔(mepindolol)、卡拉洛尔(carazalol)、索他洛尔(sotalol)、美托洛尔(metoprolol)、倍他洛尔(betaxolol)、塞利洛尔(celiprolol)、比索洛尔(bisoprolol)、卡替洛尔(carteolol)、艾司洛尔(esmolol)、拉贝洛尔(labetalol)、卡维地洛(carvedilol)、阿达洛尔(adaprolol)、兰地洛尔(landiolol)、奈比洛尔(nebivolol)、依泮洛尔(epanolol)或布新洛尔(bucindolol)。
在本发明的一个优选实施方案中,本发明的化合物与血管紧张素AII拮抗剂组合给药,所述血管紧张素AII拮抗剂例如且优选洛沙坦(losartan)、坎地沙坦(candesartan)、缬沙坦(valsartan)、替米沙坦(telmisartan)或恩布沙坦(embusartan)。
在本发明的一个优选实施方案中,本发明的化合物与ACE抑制剂组合给药,所述ACE抑制剂例如且优选依那普利(enalapril)、卡托普利(captopril)、赖诺普利(lisinopril)、雷米普利(ramipril)、地拉普利(delapril)、福辛普利(fosinopril)、喹那普利(quinapril)、培哚普利(perindopril)或川多普利(trandopril)。
在本发明的一个优选实施方案中,本发明的化合物与内皮素拮抗剂组合给药,所述内皮素拮抗剂例如且优选波生坦(bosentan)、达卢生坦(darusentan)、安立生坦(ambrisentan)或西他生坦(sitaxsentan)。
在本发明的一个优选实施方案中,本发明的化合物与肾素抑制剂组合给药,所述肾素抑制剂例如且优选阿利吉仑(aliskiren)、SPP-600或SPP-800。
在本发明的一个优选实施方案中,本发明的化合物与盐皮质激素受体拮抗剂组合给药,所述盐皮质激素受体拮抗剂例如且优选螺内酯(spironolactone)或依普利酮(eplerenone)。
在本发明的一个优选实施方案中,本发明的化合物与p激酶抑制剂组合给药,所述ρ激酶抑制剂例如且优选法舒地尔(fasudil)、Y-27632、SLx-2119、BF-66851、BF-66852、BF-66853、KI-23095、SB-772077、GSK-269962A或BA-1049。
在本发明的一个优选实施方案中,本发明的化合物与利尿剂组合给药,所述利尿剂例如且优选呋塞米(furosemide)。
脂类代谢调节剂优选应理解为选自以下的化合物:CETP抑制剂、甲状腺受体激动剂、胆固醇合成抑制剂(例如HMG-CoA还原酶抑制剂或鲨烯合成抑制剂)、ACAT抑制剂、MTP抑制剂、PPAR-α激动剂、PPAR-γ激动剂和/或PPAR-δ激动剂、胆固醇吸收抑制剂、聚合胆汁酸吸附剂、胆汁酸再吸收抑制剂、脂肪酶抑制剂及脂蛋白(a)拮抗剂。
在本发明的一个优选的实施方案中,本发明的化合物与CETP抑制剂组合给药,所述CETP抑制剂例如且优选托塞曲匹(torcetrapib)(CP-529414)、JJT-705或CETP疫苗(Avant)。
在本发明的一个优选实施方案中,本发明的化合物与甲状腺受体激动剂组合给药,所述甲状腺受体激动剂例如且优选D-甲状腺素、3,5,3’-三碘甲状腺原氨酸(T3)、CGS23425或阿昔替罗(axitirome)(CGS 26214)。
在本发明的一个优选实施方案中,本发明的化合物与他汀类的HMG-CoA还原酶抑制剂组合给药,所述他汀类的HMG-CoA还原酶抑制剂例如且优选咯伐他汀(lovastatin)、辛伐他汀(simvastatin)、普伐他汀(pravastatin)、氟伐他汀(fluvastatin)、阿托伐他汀(atorvastatin)、罗舒伐他汀(rosuvastatin)或匹伐他汀(pitavastatin)。
在本发明的一个优选实施方案中,本发明的化合物与鲨烯合成抑制剂组合给药,所述鲨烯合成抑制剂例如且优选BMS-188494或TAK-475。
在本发明的一个优选实施方案中,本发明的化合物与ACAT抑制剂组合给药,所述ACAT抑制剂例如且优选阿伐麦布(avasimibe)、甲亚油酰胺(melinamide)、帕替麦布(pactimibe)、依鲁麦布(eflucimibe)或SMP-797。
在本发明的一个优选实施方案中,本发明的化合物与MTP抑制剂组合给药,所述MTP抑制剂例如且优选英普他派(implitapide)、BMS-201038、R-103757或JTT-130。
在本发明的一个优选实施方案中,本发明的化合物与PPAR-γ激动剂组合给药,所述PPAR-γ激动剂例如且优选吡格列酮(pioglitazone)或罗格列酮(rosiglitazone)。
在本发明的一个优选实施方案中,本发明的化合物与PPAR-δ激动剂组合给药,所述PPAR-δ激动剂例如且优选GW 501516或BAY 68-5042。
在本发明的一个优选实施方案中,本发明的化合物与胆固醇吸收抑制剂组合给药,所述胆固醇吸收抑制剂例如且优选依泽替米贝(ezetimibe)、替奎安(tiqueside)或帕马苷(pamaqueside)。
在本发明的一个优选的实施方案中,本发明的化合物与脂肪酶抑制剂组合给药,所述脂肪酶抑制剂例如且优选奥利司他(orlistat)。
在本发明的一个优选实施方案中,本发明的化合物与聚合胆汁酸吸附剂组合给药,所述聚合胆汁酸吸附剂例如且优选消胆胺(cholestyramine)、考来替泊(colestipol)、colesolvam、考来胶(CholestaGel)或考来替兰(colestimide)。
在本发明的一个优选实施方案中,本发明的化合物与胆汁酸再吸收抑制剂组合给药,所述胆汁酸再吸收抑制剂例如且优选ASBT(=IBAT)抑制剂,例如AZD-7806、S-8921、AK-105、BARI-1741、SC-435或SC-635。
在本发明的一个优选实施方案中,本发明的化合物与脂蛋白(a)拮抗剂组合给药,所述脂蛋白(a)拮抗剂例如且优选吉卡宾钙(gemcabene calcium)(CI-1027)或烟酸。
本发明还提供包含至少一种本发明化合物,通常连同一种或多种惰性、非毒性、药学上合适的赋形剂的药物,并提供所述药物用于上述目的的用途。
本发明的化合物可全身和/或局部地作用。为此,其可以适合的方式给药,例如通过口服、肠胃外、经肺、经鼻、经舌下、经舌、经颊、经直肠、经真皮、经皮、经结膜或经耳给药,或作为埋植剂或支架。
本发明的化合物可以适合于这些给药途径的给药形式进行给药。
用于口服给药的适合给药形式为这样的给药形式,即所述给药形式根据现有技术发挥功能、快速和/或以缓和方式释放本发明化合物并且含有呈结晶和/或无定形和/或溶解形式的本发明化合物,例如片剂(未包衣或包衣片剂,例如具有耐胃液包衣或延缓溶解的包衣或不溶性包衣的片剂,所述包衣控制本发明化合物的释放)、在口腔中迅速分解的片剂或膜剂/扁片剂(oblate)、膜剂/冻干剂、胶囊(例如,硬明胶或软明胶胶囊)、糖衣片剂、颗粒剂、丸剂、粉剂、乳剂、悬液剂、气雾剂或溶液剂。
肠胃外给药可避免吸收步骤(例如,静脉内、动脉内、心内、脊柱内或腰内)或包括吸收(例如,吸入、肌内、皮下、皮内、经皮或腹膜内)。适于肠胃外给药的给药形式包括以溶液剂、悬液剂、乳剂、冻干剂或无菌粉剂形式的注射剂和输注剂。
对于其他给药途径,适合的实例为吸入药物(包括粉雾吸入剂、喷剂、气雾剂)、滴鼻剂、溶液剂或喷雾剂;用于经舌、经舌下或经颊给药的片剂、膜剂/扁片剂或胶囊剂、栓剂、耳部或眼部制剂、阴道胶囊剂、水性悬液剂(洗液、振荡合剂(shaking mixture))、亲脂性悬液剂、软膏剂、乳膏剂(cream)、经皮治疗系统(例如贴剂)、乳剂、糊剂、泡沫剂、洒粉剂(dusting powder)、埋植剂或支架。
优选口服或肠胃外给药,尤其是口服、静脉内及吸入给药。
本发明的化合物可转化为上文提及的给药形式。这可用本身已知的方式,通过与惰性的、非毒性的、药学上合适的赋形剂混合来进行。这些赋形剂包括载体(例如,微晶纤维素、乳糖、甘露醇)、溶剂(例如,液体聚乙二醇)、乳化剂和分散剂或润湿剂(例如,十二烷基硫酸钠、聚氧脱水山梨糖醇油酸酯)、粘合剂(例如,聚乙烯吡咯烷酮)、合成和天然的聚合物(例如,白蛋白)、稳定剂(例如抗氧化剂,如抗坏血酸)、着色剂(例如无机颜料,如铁氧化物)及风味和/或气味的矫味剂。
通常,已经发现有利的是,在肠胃外给药的情况下,为获得有效的结果,给药量为约0.001至1mg/kg体重、优选约0.01至0.5mg/kg体重。在口服给药的情况下,所述剂量为约0.01至100mg/kg体重、优选约0.01至20mg/kg体重且最优选0.1至10mg/kg体重。
然而,在某些情况下,可能有必要偏离所述用量,特别是根据体重、给药途径、个体对活性成分的响应、制剂的性质及进行给药的时间或间隔。因此,在某些情况下,低于上述最小量可能是足够的,而在其他情况下,必须超过所述上限。当给予较大量时,建议可将这些剂量分成一天内几个单独的剂量。
下列工作实施例说明了本发明。但本发明不限于这些实施例。
除非另有说明,在下列试验和实施例中的百分比为重量百分比;份为重量份。除非另有说明,液体/液体溶液的溶剂比、稀释比及浓度数据,各自基于体积计。
A.实施例
缩写:
Ac 乙酰基
aq. 含水的、水溶液
br.d 宽双重峰(NMR)
br.m 宽多重峰(NMR)
br.s 宽单峰(NMR)
br.t 宽三重峰(NMR)
Ex. 实施例
c 浓度
cat. 催化的
TLC 薄层色谱
DCI 直接化学电离(在MS中)
DIAD 偶氮二甲酸二异丙酯
DIEA N,N-二异丙基乙胺
DMAP 4-N,N-二甲基氨基吡啶
DMF 二甲基甲酰胺
DMSO 二甲基亚砜
EDC N′-(3-二甲基氨基丙基)-N-乙基碳二亚胺盐酸盐
ee 对映体过量
eq. 当量
ESI 电喷雾电离(在MS中)
Et 乙基
GC-MS 气相色谱-质谱联用
h 小时
HATU O-(7-氮杂苯并三唑-1-基)-N,N,N′,N′-四甲基脲六氟磷酸盐
HOBt 1-羟基-1H-苯并三唑水合物
HPLC 高压、高效液相色谱法
conc. 浓缩的
LC-MS 液相色谱-质谱联用
Me 甲基
min 分钟
MS 质谱
MTBE 甲基叔丁基醚
NMR 核磁共振光谱
Pd/C 在活性炭上的钯
Ph 苯基
PyBOP 苯并三唑-1-基氧基三(吡咯烷基)磷鎓六氟磷酸盐
quant. (产量中)定量的
rac 外消旋的、外消旋体
RT 室温
Rt 保留时间(在HPLC中)
tBu 叔丁基
tert 叔
TFA 三氟乙酸
TFAA 三氟乙酸酐
THF 四氢呋喃
TPPO 三苯基氧膦
UV 紫外光谱
v/v (溶液的)体积比
HPLC、GC-MS及LC-MS方法:
方法1(LC-MS):仪器:Waters ACQUITY SQD UPLC系统;柱:Waters Acquity UPLCHSS T3 1.8μ 50×1mm;流动相A:1L水+0.25mL 99%浓度的甲酸,流动相B:1L乙腈+0.25mL99%浓度的甲酸;梯度:0.0min 90%A→1.2min 5%A→2.0min 5%A;柱温:50℃;流速:0.40mL/min;UV检测:210-400nm。
方法2(LC-MS):MS仪器类型:Micromass ZQ;HPLC仪器类型:HP 1100系列;UV DAD;柱:Phenomenex Gemini 3μ,30mm×3.00mm;流动相A:1L水+0.5m L 50%浓度的甲酸,流动相B:1L乙腈+0.5m L 50%浓度的甲酸;梯度:0.0min 90%A→2.5min 30%A→3.0min 5%A→4.5min 5%A;流速:0.0min 1m L/min,2.5min/3.0min/4.5min 2mL/min;柱温:50℃;UV检测:210nm。
方法3(LC-MS):仪器:Agilent MS Quad 6150;HPLC:Agilent 1290;柱:WatersAcquity UPLC HSS T31.8μ 50×2.1mm;流动相A:1L水+0.25mL 99%浓度的甲酸,流动相B:1L乙腈+0.25m L 99%浓度的甲酸;梯度:0.0min 90%A→0.3min 90%A→1.7min 5%A→3.0min 5%A;柱温:50℃;流速:1.20m L/min;UV检测:205-305nm。
方法4(制备型HPLC):柱:Reprosil C18,10μm,250mm×30mm.流动相A:0.1%的甲酸水溶液,流动相B:乙腈;流速:50mL/min;程序:0至6min:90%A/10%B;6min至27min:梯度至95%B;27min至38min:95%B;38min至39min:梯度至10%B;39min至43min(结束):60%A/40%B。梯度可轻微地变化。
方法5(制备型HPLC):如方法4,除了使用Chromatorex C18 5μm,250x20mm柱。
方法6(LC-MS):仪器:配有Waters UPLC Acquity的Micromass Quattro Premier;柱:Thermo Hypersil GOLD 1.9μ50×1mm;流动相A:1L水+0.5mL 50%浓度的甲酸,流动相B:1L乙腈+0.5mL 50%浓度的甲酸;梯度:0.0min 97%A→0.5min 97%A→3.2min 5%A→4.0min 5%A;柱温:50℃;流速:0.3mL/min;UV检测:210nm。
方法7(MS;ESI):仪器:Waters ZQ 2000;电喷雾电离;流动相A:1L水+0.25mL 99%浓度的甲酸,流动相B:1L乙腈+0.25mL 99%浓度的甲酸;25%A,75%B;流速:0.25mL/min。
起始原料和中间体:
实施例1A
{2-氰基-2-[2-(4-甲氧基-2-甲基苯基)亚肼基]乙酰基}氨基甲酸乙酯
将5.00g(36.45mmol)4-甲氧基-2-甲基苯胺于50mL 6N盐酸水溶液的溶液冷却至0℃。滴加2.51g(36.45mmol)亚硝酸钠于15mL水的溶液,使得反应温度不超过5℃。然后将该混合物在0℃下再搅拌30分钟。在另一个烧瓶中,将6.09g(39.0mmol)(氰基乙酰基)氨基甲酸乙酯溶于150mL水中,加入30mL吡啶,并将该混合物冷却至0℃。在搅拌下缓慢地滴加预先制备的4-甲氧基-2-甲基苯胺的重氮盐溶液,然后将该反应混合物在RT下搅拌30分钟。将所形成的固体经抽滤滤出,用水洗涤,并在HV下干燥。得到7.42g(纯度64%)标题化合物。
LC-MS(方法2):Rt=2.05min.,m/z=305(M+H)+
实施例2A
2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈
将2.91g(27.5mmol)碳酸钠加入至7.4g实施例1A的粗产物于60mL水的悬浮液中,且将该混合物在100℃下加热2.5h。冷却至RT后,通过加入1N盐酸水溶液而将pH调节至pH=1。将所形成的固体经抽滤滤出,用石油醚洗涤,并在HV下干燥。得到4.46g(两步理论值的45%)标题化合物。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=2.15(s,3H),3.79(s,3H),6.84-6.95(m,2H),7.27(d,1H),12.94(br.s,1H).
实施例3A
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈
溶液1的制备:将1.49g(9.54mmol)(氰基乙酰基)氨基甲酸乙酯于5mL乙醇的溶液加入至3.44g(42.0mmol)乙酸钠于13mL水的溶液中,并将该混合物在RT下搅拌2h。
溶液2的制备:依次将5mL乙醇、8mL水及1.2mL浓盐酸加入至1.70g(9.54mmol)3-(4-氨基苯基)-1,3-噁唑烷-2-酮(对于制备:参见WO2010/019903,第222页,方法38;或Farmaco Sci.Ed.(1969),179)中。将得到的混合物冷却至0℃,并缓慢地加入658g(9.54mmol)亚硝酸钠于5mL水的溶液,使得该反应温度不超过2℃。将得到的溶液在0℃下再搅拌30min。
将冷却的溶液2搅拌加入溶液1中,并将该混合物在RT下继续搅拌过夜,得到固体沉淀。加入40mL 6N盐酸水溶液,将该悬浮液再搅拌30min,并经抽滤滤出固体。将该固体用25mL水洗涤,使用50mL 2-丙醇搅拌并再次过滤。然后将该固体悬浮于80mL冰乙酸中。向该悬浮液中加入1.15g(14.0mmol)乙酸钠。将该混合物在回流温度下加热过夜。在冷却至RT后,将所得溶液倒入1L冰水中,并将该混合物搅拌10min。所形成的固体经抽滤滤出,并在HV下干燥。得到1.57g(理论值的55%)标题化合物。
LC-MS(方法1):Rt=0.70min.,m/z=300(M+H)+
1H-NMR(400MHz,DMSO-d6):δ[ppm]=4.10(t,2H),4.47(t,2H),7.50(d,2H),7.70(d,2H),13.02(br.s,1H).
实施例4A
3,5-二氧代-2-[4-(2-氧代咪唑烷-1-基)苯基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈
类似于实施例3A,由500mg(2.82mmol)1-(4-氨基苯基)咪唑烷-2-酮(制备参见:P.Stabile等人,Tetrahedron Letters 2010,51(24),第3232-3235页)和441mg(2.82mmol)(氰基乙酰基)氨基甲酸乙酯来制备标题化合物,区别在于将粗产物于冰乙酸的溶液完全通过制备型HPLC(方法4)来进行分离。得到173mg(理论值的16%,纯度80%)标题化合物。
LC-MS(方法1):Rt=0.58min.,m/z=299(M+H)+
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.38-3.49(m,2H),3.88(dd,2H),7.37-7.43(m,2H),7.65-7.70(m,2H),12.98(br.s.,1H).
实施例5A
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噁唑-6-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈
类似于实施例3A,由1.53g(9.30mmol)6-氨基-3-甲基-1,3-苯并噁唑-2(3H)-酮和1.45g(9.30mmol)(氰基乙酰基)氨基甲酸乙酯来制备标题化合物并进行分离。得到0.82g(理论值的30%)标题化合物。
LC-MS(方法1):Rt=0.71min.,m/z=286(M+H)+
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.38(s,3H),7.32-7.42(m,2H),7.48(d,1H),13.07(br.s,1H).
实施例6A
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸
将13.8mL冰乙酸和6.9mL浓盐酸加入至1.50g(5.01mmol)来自实施例3A的化合物中,并将该混合物在回流温度下加热2.5天。冷却至RT后,将200mL经冰冷却的水加入至该溶液中,并用乙酸乙酯萃取该混合物。有机相经硫酸钠干燥。在旋转蒸发器上除去溶剂,将残余物在HV下干燥。得到1.20g标题化合物(根据LC-MS纯度约42%)。也将水相在旋转蒸发器上浓缩至干燥。残余物(380mg)含有约52%的标题化合物(LC-MS)。将两份残余物合并,并转化为相应的甲酯(参见实施例7A)。
LC-MS(方法1):Rt=0.23min.,m/z=319(M+H)+
实施例7A
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯
将实施例6A中合并的残余物(1.58g)溶于100mL甲醇中,并向该悬浮液中滴加1.81mL亚硫酰氯。然后将该反应混合物回流加热过夜。冷却至RT后,加入100mL乙醚。将所形成的固体经抽滤滤出并在HV下干燥。得到418mg(两步的理论值的25%)标题化合物。
LC-MS(方法1):Rt=0.58min.,m/z=333(M+H)+
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.81(s,3H),4.06-4.14(m,2H),4.41-4.51(m,2H),7.51(d,2H),7.68(d,2H),12.55(s,1H).
实施例8A
2-(4-甲氧基苯基)-3,5-二氧代-4-[5-(三氟甲基)-1,2,3,4-四氢化萘-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(外消旋体)
首先将50.0mg(0.205mmol)2-(4-甲氧基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(制备:参见J.Slouka,Monatshefte für Chemie 1968,99(5),第1808页)、53.1mg(0.25mmol)5-(三氟甲基)-1,2,3,4-四氢化萘-1-醇(外消旋体)及91.3mg(0.35mmol)三苯基膦加入1.22mL DMF与0.61mL THF中。在RT下,向该混合物中滴加65μL(0.33mmol)DIAD,并将得到的混合物在RT下搅拌1h。在冰冷却下加入1mL 1N盐酸水溶液。将该混合物再搅拌10min,然后直接通过制备型HPLC(方法5)进行分离。得到15mg(理论值的17%)标题化合物和17mg具有纯度为约60%的另一级分。
LC-MS(方法3):Rt=1.54min.,ESI-neg.m/z=487(M+HCOOH-H)-
1H-NMR(400MHz,CDCl3):δ[ppm]=1.71-1.89(m,1H),2.11-2.24(m,2H),2.29-2.44(m,1H),2.86-3.02(m,1H),3.05-3.17(m,1H),3.84(s,3H),6.14-6.30(m,1H),6.88-7.02(m,2H),7.13(d,1H),7.20-7.25(m,1H,部分被CHCl3信号遮盖)7.34(d,2H)7.53(d,1H).
实施例9A
4-(5-氯-1,2,3,4-四氢化萘-1-基)-2-(4-甲氧基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(外消旋体)
类似于实施例8A,将50.0mg(0.205mmol)2-(4-甲氧基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(制备:参见J.Slouka,Monatshefte für Chemie 1968,99(5),第1808页)与44.9mg(0.25mmol)5-氯-1,2,3,4-四氢化萘-1-醇(外消旋体)反应。得到24mg(理论值的28%)标题化合物。
1H-NMR(400MHz,CDCl3):δ[ppm]=1.70-1.88(m,1H),2.07-2.24(m,2H),2.31-2.44(m,1H),2.68-2.83(m,1H),3.05(br.d,1H),3.84(s,3H),6.12-6.24(m,1H),6.85(d,1H),6.96(d,2H),7.07(t,1H),7.23-7.27(m,1H,部分在CHCl3信号下),7.34(d,2H).
实施例10A
2-(4-甲氧基苯基)-3,5-二氧代-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(R对映异构体)
类似于实施例8A,将50.0mg(0.205mmol)2-(4-甲氧基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(制备:参见J.Slouka,Monatshefte für Chemie 1968,99(5),第1808页)与49.7mg(0.25mmol)(1S)-4-(三氟甲基)茚-1-醇(S对映异构体)反应。得到17mg(理论值的18%)标题化合物。
LC-MS(方法1):Rt=1.22min.,ES neg.m/z=473(M+HCOOH-H)-
1H-NMR(400MHz,CDCl3):δ[ppm]=2.38-2.50(m,1H),2.63-2.72(m,1H),3.11-3.27(m,1H),3.51-3.64(m,1H),3.84(s,3H),6.48-6.59(m,1H),6.97(d,2H),7.29-7.38(m,4H),7.50-7.59(m,1H).
实施例11A
2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-4-[5-(三氟甲基)-1,2,3,4-四氢化萘-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(外消旋体)
类似于实施例8A,将50.0mg(0.194mmol)来自实施例2A的2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈与50.2mg(0.23mmol)5-(三氟甲基)-1,2,3,4-四氢化萘-1-醇(外消旋体)反应。得到20mg(理论值的23%)标题化合物。
LC-MS(方法1):Rt=1.29min.,ES neg.m/z=501(M+HCOOH-H)-
1H-NMR(400MHz,CDCl3):δ[ppm]=1.71-1.87(m,1H),2.07(br.s,3H),2.13-2.25(m,2H),2.28-2.42(m,1H),2.86-2.98(m,1H),3.05-3.15(m,1H),3.81(s,3H),6.15-6.28(m,1H),6.75-6.86(m,2H),7.12(dd,2H),7.19-7.25(m,1H),7.47-7.58(m,1H).
实施例12A
4-(5-氯-1,2,3,4-四氢化萘-1-基)-2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三条6-甲腈(外消旋体)
类似于实施例8A,将50.0mg(0.194mmol)来自实施例2A的2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈与42.4mg(0.23mm0l)5-氯-1,2,3,4-四氢化萘-1-醇(外消旋体)反应。得到38mg(理论值的36%,纯度77%)标题化合物。
1H-NMR(400MHz,CDCl3):δ[ppm]=1.71-1.86(m,1H),2.03-2.21(m,5H),2.30-2.43(m,1H),2.65-2.80(m,1H),2.98-3.10(m,1H),3.81(s,3H),6.10-6.23(m,1H),6.75-6.88(m,3H),7.07(s,1H),7.12-7.17(m,1H),7.22-ca.7.27(m,1H,部分在氯仿信号下).
实施例13A
2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(R对映异构体)
类似于实施例8A,将50.0mg(0.194mmol)来自实施例2A的2-(4-甲氧基-2-甲基苯基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈与52.2mg(0.23mmol,纯度90%)(1S)-4-(三氟甲基)茚-1-醇(S对映异构体)反应。得到38mg(理论值的40%,纯度90%)标题化合物。
LC-MS(方法1):Rt=1.25min.,ES neg.m/z=487(M+HCOOH-H)-
1H-NMR(400MHz,CDCl3):δ[ppm]=2.09(s,3H),2.36-2.48(m,1H),2.64-2.72(m,1H),3.12-3.25(m,1H),3.49-3.62(m,1H),3.81(s,3H),6.52(dd,1H),6.79-6.85(m,2H),7.14(d,1H),7.28-7.34(m,2H),7.54(d,1H).
实施例14A
3,5-二氧代-2-[4-(2-氧代咪唑烷-1-基)苯基]-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(R对映异构体)
类似于实施例8A,将100.0mg(0.34mmol)来自实施例4A的化合物与81.4mg(0.40mmol)(1S)-4-(三氟甲基)茚-1-醇(S对映异构体)反应。得到73mg(理论值的38%,纯度85%)标题化合物。
LC-MS(方法1):Rt=1.07min.,m/z=483(M+H)+
1H-NMR(400MHz,CDCl3):δ[ppm]=2.38-2.51(m,1H),2.60-2.76(m,1H),3.11-3.27(m,1H),3.50-3.71(m,3H),3.88-4.13(m,2H),4.72(br.s.,1H),6.53(dd,1H),7.29-7.35(m,2H),7.40(d,2H),7.51-7.58(m,1H),7.65-7.70(m,2H).
实施例15A
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(R对映异构体)
类似于实施例8A,将60.0mg(0.20mmol)来自实施例3A的化合物与48.6mg(0.24mmol)(1S)-4-(三氟甲基)茚-1-醇(S对映异构体)反应。得到35mg(理论值的36%)标题化合物。
LC-MS(方法1):Rt=1.12min.,ES neg.m/z=528(M+HCOOH-H)-
1H-NMR(400MHz,CDCl3):δ[ppm]=2.39-2.50(m,1H),2.63-2.72(m,1H),3.14-3.26(m,1H),3.52-3.64(m,1H),4.09(dd,2H),4.53(dd,2H),6.53(dd,1H),7.30-7.34(m,2H),7.47(d,2H),7.52-7.58(m,1H),7.66-7.70(m,2H).
实施例16A
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噁唑-6-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸
将620mg(2.17mmol)来自实施例5A的化合物于6mL冰乙酸和3mL浓盐酸在回流温度下搅拌2天。冷却至RT后,将该反应混合物用50mL水稀释,并且在10min后将所形成的固体经抽滤滤出。在HV下干燥该产物。得到502mg(理论值的75%)标题化合物。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.38(s,3H),7.32-7.41(m,2H),7.52(d,1H),12.55(br.s,1H),13.70(br.s,1H).
实施例17A
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噁唑-6-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯
将550μL(7.56mmol)亚硫酰氯加入至460mg(1.51mmol)来自实施例16A的化合物于20mL甲醇的悬浮液中,并将该混合物在回流温度下加热过夜。然后在旋转蒸发器上除去所有挥发性成分。将残余物用少量乙醚研磨,经抽滤过滤并在HV下干燥。得到475mg(理论值的99%)标题化合物。
LC-MS(方法1):Rt=0.58min.,m/z=319(M+H)+
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.38(s,3H),3.81(s,3H),7.36(s,2H),7.51(s,1H),12.59(s,1H).
实施例18A
5-氨基-1,3-二甲基-1,3-二氢-2H-苯并咪唑-2-酮盐酸盐
在RT和氢标准压力下,将33.2g(160mmol)1,3-二甲基-5-硝基-1,3-二氢-2H-苯并咪唑-2-酮(制备:参见WO 2007/120339,实施例2,第33页)于1790mL乙醇在8.8g钯催化剂(10%在活性碳上,用50%水润湿)的存在下进行氢化。在6h后完成转化后,通过硅藻土过滤除去催化剂。将45mL氯化氢溶液(4N的二噁烷溶液)加入至该滤出液中,并将该混合物在旋转蒸发器上浓缩至干燥。将残余物在HV下进一步干燥。得到31.8g(理论值的91%)标题化合物。
LC-MS(方法1):Rt=0.18min;m/z=178(M+H)+.
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.33(s,3H),3.34(s,3H),7.06-7.15(m,2H),7.23(d,1H),10.29(br.s,3H).
实施例19A
2-(1,3-二甲基-2-氧代-2,3-二氢-1H-苯并咪唑-5-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸
将3.65g(23.4mmol)(氰基乙酰基)氨基甲酸乙酯于10mL乙醇的溶液加入至8.5g(103mmol)乙酸钠于25mL水的溶液中,并将该混合物在RT下搅拌2h。在另一烧瓶中,将5.00g(23.4mmol)来自实施例18A的化合物悬浮于10mL乙醇中。依次加入15mL水和3mL浓盐酸。将该混合物冷却至0℃,并缓慢地加入1.62g(23.4mmol)亚硝酸钠于5mL水的溶液,使得温度不超过2℃。在加入结束时,将该溶液在0℃下再搅拌30min,然后搅拌加入至预先制备的(氰基乙酰基)氨基甲酸乙酯溶液中。该反应混合物在RT下搅拌过夜。将所形成的悬浮液用80mL6N盐酸水溶液稀释并搅拌10min。将固体经抽滤滤出,用少量水洗涤,再与200mL 2-丙醇一起搅拌,并再次滤出。将该固体悬浮于100mL冰乙酸中,并加入2.9g(35.1mmol)乙酸钠。该混合物在回流温度下加热过夜。少量样品的LC-MS显示为中间体2-(1,3-二甲基-2-氧代-2,3-二氢-1H-苯并咪唑-5-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-甲腈(方法1,Rt=0.62min;m/z=299(M+H)+)。将该混合物稍微冷却(至约95℃),加入19mL浓盐酸,并将该混合物回流加热3天,同时通过LC-MS监测该反应。在完全水解后,使该混合物冷却至RT,然后加入至1.5L冰水中。将所形成的固体滤出,用乙醚洗涤,并在HV下干燥。得到4.10g(理论值的54%)标题化合物。
LC-MS(方法6):Rt=0.51min;m/z=318(M+H)+.
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.37(s,3H),7.16-7.27(m,2H),7.30(d,iH),12.54(br.s,1H),13.67(br.s,1H).(一个甲基的信号可能隐藏在水信号下).
实施例20A
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噻唑-6-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸
类似于实施例19A,标题化合物由2.50g(13.9mm0l)6-氨基-3-甲基-1,3-苯并噻唑-2(3H)-酮(J.Het.Chem.1992,29(5),第1069-1076页,实施例8b)和2.17g(13.9mmol)(氰基乙酰基)氨基甲酸乙酯来制备。收率:2.24g(理论值的50%)。
MS(方法7):ESpos.:m/z=321(M+H)+.
实施例21A
2-(1,3-二甲基-2-氧代-2,3-二氢-1H-苯并咪唑-5-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯
类似于实施例17A,将在75mL甲醇中的1.86g(5.86mmol)来自实施例19A的化合物与2.13mL(29.1mmol)亚硫酰氯反应。得到2.0g(理论值的94%)标题化合物。
LC-MS(方法1):Rt=0.54min;m/z=331(M+H)+.
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.37(s,3H),3.81(s,3H),7.15-7.21(m,1H),7.22-7.27(m,1H),7.29(d,1H),12.56(s,1H).(一个甲基的信号可能隐藏在水信号下).
实施例22A
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噻唑-6-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯
类似于实施例17A,将在89mL甲醇中的2.24g(6.99mmol)来自实施例20A的化合物与2.55mL(34.9mmol)亚硫酰氯反应。得到2.10g(理论值的75%,纯度83%)标题化合物。
LC-MS(方法1):Rt=0.69min;m/z=335(M+H)+.
1H-NMR(400MHz,DMSO-d6):δ[ppm]=3.44(s,3H),3.81(s,3H),7.43(d,1H),7.52(dd,1H),7.82(d,1H),12.60(br.s,1H).
工作实施例:
实施例1:
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸(R对映异构体)
将在2mL冰乙酸中的32mg(66μmol)来自实施例15A的化合物与1mL浓盐酸在回流温度下加热1h。在冷却至RT后,将全部反应混合物通过制备型HPLC(方法5)进行分离。得到22mg(理论值的66%)标题化合物。
LC-MS(方法1):Rt=0.94min;m/z=503(M+H)+.
1H-NMR(400MHz,CDCl3):δ[ppm]=2.43-2.55(m,1H),2.64-2.76(m,1H),3.16-3.30(m,1H),3.53-3.66(m,1H),4.05-4.13(m,2H),4.49-4.57(m,2H),6.60(dd,1H),7.30-7.38(m,2H),7.49-7.61(m,3H),7.68(d,2H).
下列表1中的化合物(实施例2至8)按照类似于实施例1的方法由相应的前体制备,其中反应时间通过HPLC或LC-MS监测反应来确定。表1中给出的所有LC-MS数据均根据方法1进行测量。
表1:
实施例9
2-(1,3-二甲基-2-氧代-2,3-二氢-1H-苯并咪唑-5-基)-3,5-二氧代-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯(R对映异构体)
首先将100mg(302μmol)来自实施例21A的化合物和79.3mg(392μmol)(1S)-4-(三氟甲基)茚-1-醇及261.3mg(1mmol)三苯基膦加入3mLTHF与3mL DMF中。再滴加89μL(453μmol)DIAD,并将该混合物在RT下搅拌2h。然后将全部反应混合物通过制备型HPLC(方法5)进行分离。得到85mg(理论值的55%)标题化合物。
LC-MS(方法1):Rt=1.07min.,m/z=516(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=2.36-2.51(m,1H),2.57-2.72(m,1H),3.11-3.24(m,1H),3.39(s,3H),3.41(s,3H),3.46-3.58(m,1H),3.91(s,3H),6.55(dd,1H),6.99-7.08(m,2H),7.13-7.18(m,1H),7.29-7.40(m,2H),7.54(d,1H).
实施例10
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噻唑-6-基)-3,5-二氧代-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯(R对映异构体)
类似于实施例9,将100mg(0.29mmol)来自实施例22A的化合物与156mg(598μmol)三苯基膦、106μL(538μmol)DIAD及66.5mg(0.33mmol)(1S)-4-(三氟甲基)茚-1-醇(S对映异构体)反应。得到50mg(理论值的30%)标题化合物。
LC-MS(方法1):Rt=1.17min.,m/z=519(M+H)+.
1H-NMR(400MHz,CD2C12):δ[ppm]=2.38-2.50(m,1H),2.58-2.71(m,1H),3.12-3.25(m,1H),3.45(s,3H),3.43-3.58(m,1H),3.91(s,3H),6.54(dd,1H),7.12(d,1H),7.28-7.39(m,2H),7.46(dd,1H),7.54(d,1H),7.58(d,1H).
实施例11
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-4-[5-(三氟甲基)-1,2,3,4-四氢化萘-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯(外消旋体)
将150mg(451μmol)来自实施例7A的化合物和117.1mg(542μmol)5-(三氟甲基)-1,2,3,4-四氢化萘-1-醇(外消旋体)及201.3mg(767μmmol)三苯基膦溶于3.1mL THF与6.2mLDMF中。滴加142μL(722μmol)DIAD,并将该混合物在RT下搅拌2h。然后将全部反应混合物通过制备型HPLC(方法5)进行分离。得到102mg(理论值的43%)标题化合物。
LC-MS(方法1):Rt=1.15min.,m/z=531(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=1.73-1.88(m,1H),2.11-2.23(m,2H),2.31-2.44(m,1H),2.88-3.00(m,1H),3.05-3.15(m,1H),3.91(s,3H),4.03-4.09(m,2H),4.45-4.52(m,2H),6.18-6.27(m,1H),7.18-7.27(m,2H),7.46-7.55(m,3H),7.66(d,2H).
实施例12
4-(5-氯-1,2,3,4-四氢化萘-1-基)-3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯(外消旋体)
类似于实施例11,在Mitsunobu条件下,将150mg(0.45mmol)来自实施例7A的化合物与90.9mg(0.54mmol)5-氯-1,2,3,4-四氢化萘-1-醇反应。得到140mg(理论值的62%)标题化合物。
LC-MS(方法1):Rt=1.13min.,m/z=497(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=1.72-1.88(m,1H),2.06-2.21(m,3H),2.33-2.46(m,1H),2.68-2.80(m,1H),2.99-3.09(m,1H),3.91(s,3H),4.03-4.09(m,2H),4.49(t,2H),6.12-6.23(m,1H),6.92(d,1H),7.08(t,1H),7.25(d,1H),7.50(d,2H),7.66(d,2H).
实施例13
4-(5-氯-1,2,3,4-四氢化萘-1-基)-2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噁唑-6-基)-3,5-二氧代-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯(外消旋体)
类似于实施例11,将150mg(0.47mmol)来自实施例17A的化合物、210mg(801μmol)三苯基膦基及148μL(754μmol)DIAD与103.3mg(570μmol)5-氯-1,2,3,4-四氢化萘-1-醇(外消旋体)反应。得到140mg(理论值的62%)标题化合物。
LC-MS(方法1):Rt=1.14min.,m/z=483(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=1.73-1.88(m,1H),2.06-2.22(m,1H),2.31-2.45(m,1H),2.67-2.79(m,1H),3.04(br.d,1H),3.41(s,3H),3.92(s,3H),6.11-6.23(m,1H),6.92(d,1H),7.01-7.12(m,2H),7.26(d,1H),7.31-7.44(m,2H).
实施例14
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噁唑-6-基)-3,5-二氧代-4-[5-(三氟甲基)-1,2,3,4-四氢化萘-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸甲酯(外消旋体)
类似于实施例11,将150mg(0.47mmol)来自实施例17A的化合物、210mg(801μmol)三苯基膦及148μL(754μmol)DIAD与122.3mg(570μmol)5-(三氟甲基)-1,2,3,4-四氢化萘-1-醇(外消旋体)反应。得到135mg(理论值的55%)标题化合物。
LC-MS(方法1):Rt=1.16min.,m/z=517(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=1.73-1.88(m,1H),2.12-2.23(m,2H),2.30-2.44(m,1H),2.87-2.99(m,1H),3.04-3.15(m,1H),3.41(s,3H),3.92(s,3H),6.18-6.27(m,1H),7.04(d,1H),7.18-7.27(m,2H),7.31-7.38(m,2H),7.53(d,1H).
实施例15
3,5-二氧代-2-[4-(2-氧代-1,3-噁唑烷-3-基)苯基]-4-[5-(三氟甲基)-1,2,3,4-四氢化萘-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸(外消旋体)
将90mg(0.17mmol)来自实施例11的化合物于3mL冰乙酸/浓盐酸2:1(v/v)在回流温度下加热2h。冷却至RT后,将该混合物用2.5mL DMSO和2.5mL乙腈稀释,并通过制备型HPLC(方法5)直接进行分离。得到59mg(理论值的67%)标题化合物。
LC-MS(方法1):Rt=1.16min.,m/z=517(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=1.76-1.89(m,1H),2.14-2.27(m,2H),2.33-2.44(m,1H),2.90-3.01(m,1H),3.13(d,1H),4.03-4.11(m,2H),4.49(dd,2H),6.25-6.34(m,1H),7.15-7.21(m,1H),7.23-7.30(m,1H),7.51-7.58(m,3H),7.69(d,2H),11.93(br.s,1H).
下列表2的化合物(实施例16至19)按照类似于实施例1的方法由相应的前体在酸性水解条件下制备:
表2:(所有LC-MS数据均根据方法1进行测量)
实施例20
2-(3-甲基-2-氧代-2,3-二氢-1,3-苯并噻唑-6-基)-3,5-二氧代-4-[(1R)-4-(三氟甲基)-2,3-二氢-1H-茚-1-基]-2,3,4,5-四氢-1,2,4-三嗪-6-羧酸(R对映异构体)
将95mg(0.18mmol)来自实施例10的化合物于1.9mL冰乙酸/浓盐酸2:1(v/v)在回流温度下加热2h。冷却至RT后,将该混合物用50mL水稀释,并剧烈搅拌5分钟。将所形成的固体经抽滤滤出,用乙醚洗涤,并在HV下干燥。得到58mg(理论值的63%)标题化合物。
LC-MS(方法1):Rt=0.99min.,m/z=505(M+H)+.
1H-NMR(400MHz,CD2Cl2):δ[ppm]=2.33-2.44(m,1H),2.57-2.69(m,1H),3.09-3.20(m,1H),3.38(s,3H),3.46(dd,1H),6.52(dd,1H),7.07(d,1H),7.24-7.33(m,2H),7.43(dd,1H),7.47-7.53(m,1H),7.56(d,1H).
B.药理学功效评估
本发明的化合物的药理学活性可在以下测定法中示出:
缩写:
B-1.类糜蛋白酶的酶法测定
所用的酶源是重组人类糜蛋白酶(在HEK293细胞中表达)或由仓鼠的舌中纯化的类糜蛋白酶。糜蛋白酶所用的底物为Abz-HPFHL-Lys(Dnp)-NH2。对于测定,将1μL测试物质于DMSO中的50倍浓缩液、24μL酶溶液(稀释1∶80 000人或1∶4000仓鼠)及25μL底物溶液(最终浓度10μM)于测定缓冲液(Tris 50mM(pH 7.5)、氯化钠150mM、BSA 0.10%、Chaps0.10%、谷胱甘肽1mM、EDTA 1mM)合并于白色384孔微量滴定板(Greiner Bio-One,Frickenhausen,德国)中。将该反应在32度下培养60min,并且在荧光读取器例如TecanUltra(Tecan,Switzerland)中测量于340nm处激发后在465nm处的荧光发射光谱。
将一个测试化合物在同一微量板上以从30μM至1nM的10个不同浓度各测定两次。将数据归一化(无抑制剂的酶反应=0%抑制,无酶的所有测定组分=100%抑制),并且使用内部软件计算出IC50值。在本发明的上下文中,该测定中所测试的化合物抑制类糜蛋白酶活性的IC50小于10μM。
本发明化合物的代表性IC50值列于下表3中:
B-2.仓鼠的离体主动脉环的收缩测量
用二氧化碳对雄性Syrian仓鼠(120-150g)实施安乐死。取出主动脉,并将其置于用冰冷的Krebs-Henseleit缓冲液(以mmol/1计的组成:氯化钠112、氯化钾5.9、氯化钙2.0、氯化镁1.2、磷酸二氢钠1.2、碳酸氢钠25、葡萄糖11.5)中。将主动脉切成长度为2mm的环,转移至填充有5mL Krebs-Henseleit缓冲液的器官浴槽中,并连接至肌动描记器(DMT,Denmark)。所述缓冲液升温至37℃并鼓入95%氧气、5%二氧化碳。为了测量等长肌肉收缩,将主动脉环安装在两个钩子之间。其中一个钩子被连接至压力传感器。第二个钩子是可移动的,并且允许通过Mulvany和Halpern(Circulation Research 1977;41:19-26)所描述的方法精确设定初始负载。
每次实验之前,通过加入含有钾的Krebs-Henseleit溶液(50mmol/L KCl)来测试制剂的响应性。合成肽——血管紧张素1-18——被用于诱发主动脉环的收缩。血管紧张素1-18不需要ACE即可转化成血管紧张素II。随后,将该主动脉环用测试底物培养20分钟并重复进行该收缩测量。类糜蛋白酶抑制作用显示为由血管紧张素1-18诱导的收缩降低。
B-3.异丙肾上腺素诱导的仓鼠心脏纤维化模型
对于该试验,使用体重为130-160g的雄性叙利亚仓鼠。通过7天内每日皮下注射20mg/kg异丙肾上腺素来诱发心肌肥厚和心脏纤维化。在注射异丙肾上腺素2小时前口服测试物质。对照组以相应的方式经皮下或口服溶剂。在实验结束时,将心脏摘除、称重并固定。用天狼猩红染料(Sirius Red staining)标记心脏组织切片中的纤维化组织。随后,通过面积法来测定纤维化面积。
C.药物组合物的工作实施例
本发明的化合物可被制成如下的药物制剂:
片剂:
组成:
100mg本发明的化合物、50mg乳糖(一水合物)、50mg玉米淀粉(天然)、10mg聚乙烯吡咯烷酮(PVP 25)(BASF,Ludwigshafen,德国)及2mg硬脂酸镁。
片剂重212mg、直径8mm、曲率半径12mm。
制备:
将本发明的化合物、乳糖及淀粉的混合物用5%(w/w)的PVP水溶液制粒。将所述颗粒干燥,然后与硬脂酸镁混合5分钟。将该混合物在常规压片机中进行压缩(对于片剂尺寸参见上文)。用于压片的指导值为15kN的压力。
用于口服给药的悬液剂:
组成:
1000mg本发明的化合物、1000mg乙醇(96%)、400mg(购自FMC,Pennsylvania,USA的黄原胶)及99g水。
10mL口服悬液剂相当于100mg本发明化合物的单一剂量。
制备:
将Rhodigel悬浮于乙醇中;并将本发明的化合物加入至该悬浮液中。在搅拌下加入水。将所述混合物搅拌约6h直到Rhodigel完全膨胀。
用于口服给药的溶液剂:
组成:
500mg本发明的化合物、2.5g聚山梨酸酯和97g聚乙二醇400。20g口服溶液剂相当于100mg本发明化合物的单一剂量。
制备:
在搅拌下,将本发明的化合物悬浮于聚乙二醇和聚山梨酸酯的混合物中。持续搅拌操作直到本发明的化合物完全溶解。
i.v.溶液:
将本发明的化合物以低于饱和溶解度的浓度溶解于生理学上可接受的溶剂(例如等渗盐水、5%葡萄糖溶液和/或30%PEG 400溶液)中。将该溶液进行无菌过滤并分装到无菌且无热原的注射容器中。
Claims (11)
1.一种式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,
其中
R1表示氢或(C1-C4)-烷基,
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-、-CH2-CH2-、-O-CH2-**或氧,
其中**表示与苯环连接的点,
m表示数字0、1或2,
R4表示氢、卤素、二氟甲基、三氟甲基、(C1-C4)-烷基、二氟甲氧基、三氟甲氧基或(C1-C4)-烷氧基,
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢、卤素、(C1-C4)-烷基或(C1-C4)-烷氧基,
R11表示(C1-C4)烷基、(C1-C4)-烷氧基或-N(R14R15),
其中(C1-C4)-烷基可至多被卤素三取代,
其中(C1-C4)-烷氧基可以被选自以下的取代基取代:
羟基、(C1-C4)-烷氧基羰基、氨基、单-(C1-C4)-烷基氨基、二-(C1-C4)-烷基氨基、氨基羰基、单-(C1-C4)-烷基氨基羰基及二-(C1-C4)-烷基氨基羰基,
其中
R14表示(C1-C4)-烷基、(C1-C4)-烷氧基羰基或(C1-C4)-烷基氨基羰基,
其中(C1-C4)-烷基氨基羰基可被羟基或(C1-C4)-烷氧基取代,
R15表示氢或(C1-C4)-烷基,
或
R11表示4至7元杂环基或5至6元杂芳基,
其中4至7元杂环基可被1至3个取代基取代,所述取代基彼此独立地选自卤素、三氟甲基、(C1-C4)-烷基、羟基、氧代基、氨基及(C1-C4)-烷氧基羰基,
其中5至6元杂芳基可被1或2个取代基取代,所述取代基彼此独立地选自卤素、三氟甲基、(C1-C4)-烷基、羟基、氨基及(C1-C4)-烷氧基羰基,
R12表示氢、卤素、氰基、(C1-C4)-烷基或(C1-C4)-烷氧基,
R13表示氢、卤素、(C1-C4)-烷基或(C1-C4)-烷氧基,
或
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
环Q表示5至7元杂环基或5或6元杂芳基,
其中5至7元杂环基和5或6元杂芳基可被1至4个取代基取代,所述取代基独立地选自卤素、二氟甲基、三氟甲基、三氘代甲基、(C1-C6)-烷基、(C3-C7)-环烷基、氧代、羟基、(C1-C4)-烷基羰基、(C1-C4)-烷氧基羰基、氨基羰基及(C1-C4)-烷基磺酰基,
其中(C1-C6)-烷基和(C3-C7)-环烷基本身可被1至3个取代基取代,所述取代基独立地选自卤素、氰基、三氟甲基、(C3-C7)-环烷基、羟基、(C1-C4)-烷氧基及4至7元杂环基,
并且
其中连接至5至7元杂环基的碳原子上的两个(C1-C6)-烷基与它们所连接的碳原子一起可形成3至6元碳环,
R16表示卤素、(C1-C4)-烷基或(C1-C4)-烷氧基,
n表示数字0、1、2或3。
2.根据权利要求1所述的式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,其中
R1表示氢或(C1-C4)-烷基,
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-或-CH2-CH2-,
m表示数字0、1或2,
R4表示氢、氟、氯、二氟甲基、三氟甲基或甲基,
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢、卤素或(C1-C4)-烷氧基,
R11表示(C1-C4)-烷基、(C1-C4)-烷氧基或-N(R14R15),
其中
R14表示(C1-C4)-烷基,
R15表示氢或(C1-C4)-烷基,
或
R11表示5或6元杂环基,
其中5或6元杂环基可被1或2个取代基取代,所述取代基彼此独立地选自三氟甲基、(C1-C4)-烷基及氧代,
R12表示氢,
R13表示氢或(C1-C4)-烷基,
或
R3表示下式的基团
其中
#表示与三嗪二酮氮原子连接的点,
G1表示C=O或SO2,
G2表示CR21AR21B、NR22、O或S,
其中
R21A表示氢、氟、(C1-C4)-烷基或羟基,
R21B表示氢、氟、氯、(C1-C4)-烷基或三氟甲基,
或
R21A和R21B与它们所连接的碳原子一起形成3至6元碳环,
R22表示氢、(C1-C6)-烷基或(C3-C7)-环烷基,
R19表示氟或甲基,
n表示数字0或1,
R20表示氢、(C1-C6)-烷基或(C3-C6)-环烷基。
3.根据权利要求1或2所述的式(I)的化合物,及其盐、溶剂合物和盐的溶剂合物,其中
R1表示氢、甲基或乙基,
R2表示下式的基团
其中
*表示与三嗪二酮氮原子连接的点,
A表示-CH2-或-CH2-CH2-,
R4表示氯或三氟甲基,
R3表示
其中
#表示与三嗪二酮氮原子连接的点,
R9表示氢,
R10表示氢,
R11表示甲氧基或乙氧基,
或者
R11表示下式的基团
其中
##表示与苯环连接的点,
R12表示氢,
R13表示氢或甲基,
或者
R3表示下式的基团
其中
#表示与三嗪二酮氮原子连接的点。
4.一种制备式(I)的化合物的方法,其中
[A]使用亚硝酸钠和合适的酸,将式(II)的化合物在惰性溶剂中进行重氮化,以得到式(II-1)的化合物,
H2N-R3 (II)
其中
R3为如上所定义的,
其中
R3具有上文给出的含义,
并且任选在合适碱的存在下,将该重氮盐与式(III)的化合物反应,以得到式(IV)的化合物,
其中
T1表示(C1-C4)-烷基,
其中
R3和T1各自具有上文给出的含义,
然后任选在合适碱的存在下,将式(IV)的化合物在惰性溶剂中转化为式(V)的化合物,
其中
R3具有上文给出的含义,
随后,在惰性溶剂中,将式(V)的化合物在Mitsunobu条件下用活化剂(例如,偶氮二甲酸二乙酯(DEAD)或偶氮二甲酸二异丙酯(DIAD))和膦试剂(例如,三苯基膦或三丁基膦)与式(VI)的化合物反应以得到式(VII)的化合物,
其中
A、m、R3和R4具有上文给出的含义,
然后在合适酸或碱的存在下,将(VII)的化合物在惰性溶剂中进行水解,以得到式(I-1)的化合物,
其中
A、m、R3和R4具有上文给出的含义,
且
R1A表示氢,
或者
[B]在合适酸或碱的存在下,将式(V)的化合物在惰性溶剂中进行水解,以得到式(VIII)的化合物,
其中
R3具有上文给出的含义,
其中
R1A表示氢,
且
R3具有上文给出的含义,
然后,将酸官能团酯化,以得到式(IX)的化合物
其中
R3具有上文给出的含义,
且
R1B表示(C1-C4)-烷基,
随后与方法[A]类似,在惰性溶剂中,将式(IX)的化合物在Mitsunobu条件下用活化剂(例如,偶氮二甲酸二乙酯(DEAD)或偶氮二甲酸二异丙酯(DIAD))及膦试剂(例如,三苯基膦或三丁基膦)与式(VI)的化合物反应而转化成式(I-2)的化合物,
其中
A、m和R4具有上文给出的含义,
其中
A、m、R和R4具有上文给出的含义,
且
R1B表示(C1-C4)-烷基,
或者
[C]在合适酸或碱的存在下,将式(I-2)的化合物在惰性溶剂中进行水解,以得到式(I-1)的化合物
其中A、m、R3和R4各自具有上文给出的含义,
且
R1A表示氢,
将任何保护基团分离和/或如果合适,将式(I-1)和(I-2)的化合物用适当的(i)溶剂和/或(ii)碱或酸转化为其溶剂合物、盐和/或盐的溶剂合物。
5.根据权利要求1至3中任一项所定义的化合物用于治疗和/或预防疾病。
6.权利要求1至3中任一项所定义的化合物用于治疗和/或预防心力衰竭、肺动脉高血压、慢性阻塞性肺病、哮喘、肾衰竭、肾病、内部器官的纤维化疾病及皮肤病纤维化的方法中。
7.根据权利要求1至3中任一项所定义的化合物用于制备用于治疗和/或预防心力衰竭、肺动脉高血压、慢性阻塞性肺病、哮喘、肾衰竭、肾病、内部器官的纤维化疾病及皮肤病纤维化的药物的用途。
8.一种药物,其包含权利要求1至3中任一项所定义的化合物与一种或多种惰性、非毒性、药学上合适的赋形剂。
9.一种药物,其包含权利要求1至3中任一项所定义的化合物与一种或多种其他活性成分,所述活性成分选自钙拮抗剂、血管紧张素AII拮抗剂、ACE抑制剂、血管肽酶抑制剂、内皮素拮抗剂、肾素抑制剂、α-受体阻滞剂、β-受体阻滞剂、盐皮质激素受体拮抗剂、ρ-激酶抑制剂、利尿剂、激酶抑制剂、基质金属蛋白酶抑制剂、可溶的鸟苷酸环化酶的刺激剂和激活物,及磷酸二酯酶抑制剂。
10.根据权利要求8或9所述的药物,用于治疗和/或预防心力衰竭、肺动脉高血压、慢性阻塞性肺病、哮喘、肾衰竭、肾病、内部器官的纤维化疾病及皮肤病纤维化。
11.一种用于治疗和/或预防人和动物的心力衰竭、肺动脉高血压、慢性阻塞性肺病、哮喘、肾衰竭、肾病、内部器官的纤维化疾病及皮肤病纤维化的方法,所述方法使用有效量的至少一种权利要求1至3中任一项所定义的化合物,或者有效量的权利要求8至10中任一项所定义的药物。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP13192182.7 | 2013-11-08 | ||
EP13192182 | 2013-11-08 | ||
PCT/EP2014/073799 WO2015067650A1 (de) | 2013-11-08 | 2014-11-05 | Substituierte 1,2,4-triazin-3,5-dione und ihre verwendung als chymase hemmern |
Publications (1)
Publication Number | Publication Date |
---|---|
CN105899500A true CN105899500A (zh) | 2016-08-24 |
Family
ID=49552232
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201480072708.6A Pending CN105899500A (zh) | 2013-11-08 | 2014-11-05 | 取代的1,2,4-三嗪-3,5-二酮及其作为类糜蛋白酶抑制剂的用途 |
Country Status (7)
Country | Link |
---|---|
US (1) | US20160287599A1 (zh) |
EP (1) | EP3066095A1 (zh) |
JP (1) | JP2016535095A (zh) |
CN (1) | CN105899500A (zh) |
CA (1) | CA2929762A1 (zh) |
HK (1) | HK1223610A1 (zh) |
WO (1) | WO2015067650A1 (zh) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113811530A (zh) * | 2019-07-03 | 2021-12-17 | 南京明德新药研发有限公司 | 作为糜酶抑制剂的嘧啶酮类化合物及其应用 |
CN114671878A (zh) * | 2020-12-25 | 2022-06-28 | 广东东阳光药业有限公司 | 取代的含氮双环化合物及其用途 |
WO2022135514A1 (zh) * | 2020-12-25 | 2022-06-30 | 广东东阳光药业有限公司 | 多取代的尿嘧啶衍生物及其用途 |
Families Citing this family (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3338780A1 (de) | 2016-12-20 | 2018-06-27 | Bayer Pharma Aktiengesellschaft | Verwendung von chymaseinhibitoren zur behandlung von endometriose, post-operativer fibrose und erkrankungen die durch fibrosebildung gekennzeichnet sind |
EP4504201A1 (en) | 2022-04-05 | 2025-02-12 | Socpra Sciences Santé Et Humaines S.E.C. | Inhibitors of chymase for use in the selective resolution of thrombi in thrombotic or thromboembolic disorders |
CN117510426B (zh) * | 2024-01-04 | 2024-04-19 | 山东国邦药业有限公司 | 一种抗球虫类兽药三嗪环的合成方法 |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1229405A (zh) * | 1996-09-06 | 1999-09-22 | 日本化药株式会社 | 新颖的乙酰胺衍生物和蛋白酶抑制剂 |
CN1291197A (zh) * | 1998-02-17 | 2001-04-11 | 日本化药株式会社 | 新的乙酰胺衍生物及其用途 |
JP2003342265A (ja) * | 2002-05-22 | 2003-12-03 | Senju Pharmaceut Co Ltd | トリアゾリジン誘導体およびその医薬用途 |
WO2010088195A1 (en) * | 2009-01-30 | 2010-08-05 | Boehringer Ingelheim International Gmbh | Azaquinazolinediones useful as chymase inhibitors |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
UA112897C2 (uk) * | 2012-05-09 | 2016-11-10 | Байєр Фарма Акцієнгезелльшафт | Біциклічно заміщені урацили та їх застосування для лікування і/або профілактики захворювань |
-
2014
- 2014-11-05 EP EP14793181.0A patent/EP3066095A1/de not_active Withdrawn
- 2014-11-05 CN CN201480072708.6A patent/CN105899500A/zh active Pending
- 2014-11-05 JP JP2016551036A patent/JP2016535095A/ja not_active Withdrawn
- 2014-11-05 US US15/035,171 patent/US20160287599A1/en not_active Abandoned
- 2014-11-05 CA CA2929762A patent/CA2929762A1/en not_active Abandoned
- 2014-11-05 HK HK16111803.6A patent/HK1223610A1/zh unknown
- 2014-11-05 WO PCT/EP2014/073799 patent/WO2015067650A1/de active Application Filing
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN1229405A (zh) * | 1996-09-06 | 1999-09-22 | 日本化药株式会社 | 新颖的乙酰胺衍生物和蛋白酶抑制剂 |
CN1291197A (zh) * | 1998-02-17 | 2001-04-11 | 日本化药株式会社 | 新的乙酰胺衍生物及其用途 |
JP2003342265A (ja) * | 2002-05-22 | 2003-12-03 | Senju Pharmaceut Co Ltd | トリアゾリジン誘導体およびその医薬用途 |
WO2010088195A1 (en) * | 2009-01-30 | 2010-08-05 | Boehringer Ingelheim International Gmbh | Azaquinazolinediones useful as chymase inhibitors |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113811530A (zh) * | 2019-07-03 | 2021-12-17 | 南京明德新药研发有限公司 | 作为糜酶抑制剂的嘧啶酮类化合物及其应用 |
CN113811530B (zh) * | 2019-07-03 | 2022-07-19 | 南京明德新药研发有限公司 | 作为糜酶抑制剂的嘧啶酮类化合物及其应用 |
CN114671878A (zh) * | 2020-12-25 | 2022-06-28 | 广东东阳光药业有限公司 | 取代的含氮双环化合物及其用途 |
WO2022135534A1 (zh) * | 2020-12-25 | 2022-06-30 | 广东东阳光药业有限公司 | 取代的含氮双环化合物及其用途 |
WO2022135514A1 (zh) * | 2020-12-25 | 2022-06-30 | 广东东阳光药业有限公司 | 多取代的尿嘧啶衍生物及其用途 |
CN114671878B (zh) * | 2020-12-25 | 2023-08-04 | 广东东阳光药业有限公司 | 取代的含氮双环化合物及其用途 |
Also Published As
Publication number | Publication date |
---|---|
WO2015067650A1 (de) | 2015-05-14 |
US20160287599A1 (en) | 2016-10-06 |
EP3066095A1 (de) | 2016-09-14 |
HK1223610A1 (zh) | 2017-08-04 |
JP2016535095A (ja) | 2016-11-10 |
CA2929762A1 (en) | 2015-05-14 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
AU2017265047B2 (en) | Bicyclically substituted uracils and the use thereof | |
CN105308055B (zh) | 三氟甲基取代的稠合嘧啶类及其用途 | |
ES2616036T3 (es) | Nuevos ácidos 5-aminotetrahidroquinolin-2-carboxílicos y su uso | |
JP5608217B2 (ja) | スルホン酸アミドおよびスルホキシイミン置換ジアリール−シヒドロピリミジノンおよびその使用 | |
JP6234938B2 (ja) | 置換トリアジン誘導体および可溶性グアニル酸シクラーゼの刺激剤としてのその使用 | |
CN105899500A (zh) | 取代的1,2,4-三嗪-3,5-二酮及其作为类糜蛋白酶抑制剂的用途 | |
US9695131B2 (en) | Substituted uracils as chymase inhibitors | |
JP2013533250A (ja) | 環縮合4−アミノピリミジンおよびその使用 | |
JP2009541384A (ja) | 肺動脈高血圧の処置のための1,4−ジアリール−ジヒドロピリミジン−2−オン誘導体の使用 | |
TW202237588A (zh) | 經取代之吡唑並哌啶羧酸 | |
TW201605812A (zh) | 經雙取代之三氟甲基嘧啶酮類及其用途 | |
JP2016536362A (ja) | 置換されているウラシル類及びそれらの使用 | |
CN114671878B (zh) | 取代的含氮双环化合物及其用途 | |
HK40073287A (zh) | 取代的吡唑并哌啶羧酸 |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
C06 | Publication | ||
PB01 | Publication | ||
C10 | Entry into substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
REG | Reference to a national code |
Ref country code: HK Ref legal event code: DE Ref document number: 1223610 Country of ref document: HK |
|
WD01 | Invention patent application deemed withdrawn after publication | ||
WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20160824 |
|
REG | Reference to a national code |
Ref country code: HK Ref legal event code: WD Ref document number: 1223610 Country of ref document: HK |