JP7142406B2 - インドリジン誘導体及びその医学的応用 - Google Patents
インドリジン誘導体及びその医学的応用 Download PDFInfo
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- JP7142406B2 JP7142406B2 JP2020513389A JP2020513389A JP7142406B2 JP 7142406 B2 JP7142406 B2 JP 7142406B2 JP 2020513389 A JP2020513389 A JP 2020513389A JP 2020513389 A JP2020513389 A JP 2020513389A JP 7142406 B2 JP7142406 B2 JP 7142406B2
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- Prior art keywords
- hydroxy
- oxo
- carbonyl
- indolizine
- spiro
- Prior art date
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- 125000001424 substituent group Chemical group 0.000 claims description 68
- 239000000203 mixture Substances 0.000 claims description 62
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Description
本発明は、新規なHIF プロリルヒドロキシラーゼ阻害剤を提供することを目的とする。本発明は、低酸素誘導因子関連の疾患(例えば、貧血)を治療又は予防するための新規な化合物を提供することを別の目的とする。
R3、R4及びR5は、水素、ハロゲン、ヒドロキシ、カルボキシル、シアノ、アミノ、アシル、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール、ヘテロアリール、R11O-、R11S-、R11(O=)S-、R11(O=)2S-からそれぞれ独立に選択され、R11は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、上記のアルキル、ヘテロシクリル、アルケニル、アルキニル、アリール、ヘテロアリール、アシル、アミノは、1つ以上の置換基で任意に置換され、上記の置換基は、ハロゲン、シアノ、ヒドロキシ、アミノ、カルボキシル、アシル、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール、ヘテロアリール、=O、=S、-SH、R12O-、R12S-、R12(O=)S-、R12(O=)2S-からそれぞれ独立に選択され、R12は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、
R6及びR6’は、水素及び任意に置換されたアルキルからそれぞれ独立に選択され、
R7は、水素、アルキル及びアシルから選択され、アルキル及びアシルは、ハロゲン、シアノ、ヒドロキシ、アミノ、カルボキシル、アシル、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール、ヘテロアリール、=O、=S、-SH、R13O-、R13S-、R13(O=)S-、R13(O=)2S-から選択される任意の基で置換され、R13は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、
R8は、水素、アルキル及び-OC(O)R14から選択され、R14は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールは、ハロゲン、シアノ、ヒドロキシ、アミノ、カルボキシル、アシル、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール、ヘテロアリール、=O、=S、-SH、R15O-、R15S-、R15(O=)S-、R15(O=)2S-から選択される任意の基で置換され、R15は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、
Xは、酸素原子又は硫黄原子又はNHである。
R1とR2とが結合して、3~8個の環原子を有する任意に置換されたシクロアルカン環、シクロアルケン環、ヘテロシクロアルカン環、複素環アルケン環が形成され、
R3、R4及びR5は、水素、ハロゲン、ヒドロキシ、カルボキシル、シアノ、C1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニル、C6-C14アリール、C3-C8シクロアルキル、C3-C8シクロアルケニル、3~8個の環原子を有するヘテロシクロアルキル、3~8個の環原子を有するヘテロシクロアルケニル、5~14個の環原子を有するヘテロアリール、C1-C12鎖状アルキル-C(=O)-、C2-C12鎖状アルケニル-C(=O)-、アミノ、R11O-、R11S-、R11(O=-C(=O)-)S-、R11(O=)2S-からそれぞれ独立に選択され、R11は、C1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニル、C6-C14アリール、C3-C8シクロアルキル、C3-C8シクロアルケニル、3~8個の環原子を有するヘテロシクロアルキルであり、上記のC1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニル、C6-C14アリール、C3-C8シクロアルキル、C3-C8シクロアルケニル、3~8個の環原子を有するヘテロシクロアルキル、3~8個の環原子を有するヘテロシクロアルケニル、5~14個の環原子を有するヘテロアリール、C1-C12鎖状アルキル-C(=O)-、C2-C12鎖状アルケニル-C(=O)-、アミノは、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルキル、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリール、C1-C6鎖状アルキル-O-、C3-C8シクロアルキル-O-、C2-C6鎖状アルケニル-O-、C2-C6鎖状アルキニル-O-、C3-C8シクロアルケニル-O-、C6-C14アリール-O-、5~14個の環原子を有するヘテロアリール-O-、C1-C6鎖状アルキル-S-、C3-C8シクロアルキル-S-、C2-C6鎖状アルケニル-S-、C2-C6鎖状アルキニル-S-、C3-C8シクロアルケニル-S-、C6-C14アリール-S-、5~14個の環原子を有するヘテロアリール-S-、3~8個の環原子を有するヘテロシクロアルキル基、3~8個の環原子を有するヘテロシクロアルケニル、=O、=S、SH、-SH、-CF3、-CO2C1-C6鎖状アルキル、C1-C6鎖状アルキル-S-、C1-C6鎖状アルキル(O=)S-及びC1-C6鎖状アルキル(O=)2S-からそれぞれ独立に選択され、
R6及びR6’は、水素、C1-C6鎖状アルキル及びC3-C8シクロアルキルからそれぞれ独立に選択され、上記のC1-C6鎖状アルキル及びC3-C8シクロアルキルは、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルキル、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリール、C1-C6鎖状アルキル-O-、C3-C8シクロアルキル-O-、C2-C6鎖状アルケニル-O-、C2-C6鎖状アルキニル-O-、C3-C8シクロアルケニル-O-、C6-C14アリール-O-、及び5~14個の環原子を有するヘテロアリール-O-からそれぞれ独立に選択され、
R7は、水素、C1-C6鎖状アルキル、C3-C8シクロアルキル、C1-C6鎖状アルキル-C(=O)-及びC2-C6鎖状アルケニル-C(=O)-から選択され、C1-C6鎖状アルキル、C3-C8シクロアルキル、C1-C6鎖状アルキル-C(=O)-及びC2-C6鎖状アルケニル-C(=O)-は、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルキル、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリール、C1-C6鎖状アルキル-O-、C3-C8シクロアルキル-O-、C2-C6鎖状アルケニル-O-、C2-C6鎖状アルキニル-O-、C3-C8シクロアルケニル-O-、C6-C14アリール-O-、及び5~14個の環原子を有するヘテロアリール-O-からそれぞれ独立に選択され、
R8は、水素、C1-C12鎖状アルキル、C3-C8シクロアルキル、及び-OC(O)-C1-C12鎖状アルキルから選択され、C1-C12鎖状アルキル、C3-C8シクロアルキル、及び-OC(O)-C1-C12鎖状アルキルは、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルキル、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリール、C1-C6鎖状アルキル-O-、C3-C8シクロアルキル-O-、C2-C6鎖状アルケニル-O-、C2-C6鎖状アルキニル-O-、C3-C8シクロアルケニル-O-、C6-C14アリール-O-、及び5~14個の環原子を有するヘテロアリール-O-からそれぞれ独立に選択され、
Xは、酸素原子又は硫黄原子又はNHである。
出願人らは、実験により、本発明による化合物が低酸素誘導因子HIF プロリルヒドロキシラーゼの特異的阻害剤であることを見出した。本発明の化合物は、生体酸素欠乏を模擬する相乗反応を提供して、HIF プロリルヒドロキシラーゼを阻害することによって、エリスロポエチンを増加させ、ヘモグロビンレベルを増加させる。本発明による化合物が、低酸素誘導因子HIFに関連する疾患、例えば、貧血、心血管疾患、糖尿病、神経疾患など、特に心不全、冠状動脈症、狭心症、心筋梗塞、脳卒中、動脈硬化症、原発性高血圧症、肺高血圧症、悪性高血圧症及び末梢動脈閉塞性疾患の治療及び/又は予防に有用であることを発見した。
特発性貧血、腎性貧血、及び腫瘍性疾患に伴う貧血(特に化学療法による貧血)のような造血性疾患、感染症(特にHIV感染症)、又は例えば関節リウマチのような別の炎症性疾患、
失血性貧血、鉄欠乏性貧血、ビタミン欠乏性貧血(例えばビタミンB12不足や葉酸欠乏による貧血)、細胞形成不全(cell hypoplastic)と再生不良性貧血又は溶血性貧血、又は鉄利用疾患(鉄欠乏性貧血)による貧血、又はその他の内分泌疾患(例えば甲状腺機能低下症(hypothyroidosis))による貧血、
外科手術後の手術関連の虚血及びその合併症の場合、特に心肺治療機を用いた心臓インターベンション(例えばバイパス手術、心臓弁移植)、頸動脈インターベンション、大動脈インターベンション、及び頭蓋骨容量器械の開放又は貫通を伴うインターベンション、
急性と長期の脳虚血状態の合併症(例えば脳卒中、胎児出産時窒息)、
癌及び癌の治療中に発生する健康状態への損傷、特に細胞増殖抑制剤、抗生物質及び放射線による治療後に発生する健康状態への損傷、
リウマチ型及びその他の自己免疫疾患とみなされる疾患の形態、特にそのような疾患の医薬治療中に生じる健康状態への損傷障害の治療及び/又は予防、
眼疾患(例えば緑内障)、中枢神経系疾患(例えば認知症、慢性疼痛)、慢性腎疾患、腎不全及び急性腎不全、
性的機能障害(例えば性欲減退)、
糖尿病及びその合併症、例えば糖尿病性大血管疾患及び細小血管障害、糖尿病性腎疾患及び神経障害、
線維性疾患、例えば心臓、肺、肝臓の線維症、
神経変性疾患、例えばアルツハイマー病、パーキンソン病、牛海綿状脳症、クロイツフェルト・ヤコブ病、ハンチントン病、小脳萎縮症等、及び、
虚血性疾患、例えば虚血性脳血管疾患(ischemic cerebrovascular disease)、虚血性腎疾患(ischemicrenaldisease、IRD),虚血性心筋症(ischemic cardiomyopathy、ICM)。
治療用途のために、一般式Iの化合物は、通常医薬組成物の形態で患者に投与され、当該組成物は、上記化合物の少なくとも1種を活性成分として含むと同時に、薬学的に許容されるアジュバント及び/又は賦形剤、ならびに薬学的に許容される固体又は液体の担体も、任意に含む。
本明細書において、「治療的有効量」という用語は、本発明の化合物を患者に投与する際に、患者の症状を効果的に遅延又は除去するか、患者の健康状態を改善する量であるを指す。具体的な応用の用量は、医師が患者の状況に応じて決定することができる。使用される正確な投与量は、投与経路、状態、治療される状態の重症度、及び治療される対象に関連する様々な身体的要因に依存するだけでなく、医療従事者の判断に基づいて決定してもよい。インビトロまたはインビボ試験を使用して、最適な用量範囲の決定を支援することができる。
本発明の一般式Iの化合物は、有機合成分野の当業者が周知のさまざまな方法を用いて合成することができる。合成化学の分野で知られているいくつかの例示的な合成方法を以下に示す。一般式Iの化合物は、以下に記載される方法、及び有機合成化学者によって一般的に使用される方法及びこれらの方法の組み合わせ又は変化に基づいて合成される。本発明における化合物の合成ルートは、以下にまとめる方法に限定されない。個別の化合物は、様々な官能基の要件を満たすように操作条件を調節することが必要である。当業者に知られている様々な保護基を必要とする場合がある。精製は、必要に応じて、適切な有機溶媒系を使用したシリカゲルカラム溶出又は再結晶により行うことができる。また、本明細書の各実施例は、本発明の化合物を合成する方法も説明する。
2,5-ジメチルオキシテトラヒドロフラン(2,5-dimethyoxytetrahydrofuran)を酸性水溶液中で室温から50℃の条件下で1,4-ブタンジアルデヒドに加水分解するが、好ましい酸は塩酸である。その後塩基を添加して中和するが、好ましい塩基は酢酸ナトリウムである。α,α二置換αアミノ酸と反応させるが、好ましくは反応温度は室温から50℃である。反応により、一般式I-1の中間体が得られる。中間体をN-ヒドロキシベンゾトリオキサゾール/DCCと反応させて活性化エステルを生成し、次いで、これをジメチル又はジエチルマロネートのナトリウム塩と反応させて中間体I-2を生成する。中間体I-1はCDIとも反応でき、生成された中間体をさらにジメチル又はジエチルマロネートのナトリウム塩と反応させて、中間体I-2を生成する。中間体I-2を、酸性条件下で閉環して中間体I-3を得る。この工程の好ましい酸はメタンスルホン酸であり、好ましい温度は氷水浴温度からジクロロメタン還流温度までの範囲である。中間体I-3とグリシン又はアラニンとを塩基性条件下で反応させて実施例の化合物I-Xを得るが、好ましい塩基はナトリウムメトキシドであり、好ましい温度はメタノール還流温度から150℃までの範囲である。
一般式I-4(既知の方法で合成)とα,α二置換のαアミノ酸とを酸性条件下で加熱反応させて中間体I-5を得る。この工程の好ましい酸は酢酸である。この工程の好ましい温度は、80℃から酢酸還流温度までの範囲である。I-5からI-6への変換は技術案1のI-1からI-2への変換に類似の方法を採用する。I-6からI-7への変換も、技術案1のI-2からI-3への変換に類似の方法を採用する。I-7から式I-Yへの変換も、技術案1のI-3から式I-Xへの変換に類似の方法を採用する。
一般式I-1とNBSとを反応させて臭化物I-8を生成する。I-8を更にパラジウム触媒下でスズキ(Suzuki)カップリング反応させて中間体I-9を得る。I-9からI-10への変換も、技術案1のI-2からI-3への変換に類似の方法を採用する。I-10が酸性条件下で閉環されて2つの異性体I-11及びI-12を得る。I-11及びI-12は、それぞれ技術案1のI-3から一般式I-Xへの変換に類似の方法によって、一般式I-Z及びI-Z’の2つの構造を有する異性体を得る。
CDCl3:重水素化クロロホルム
CAS:ケミカル・アブストラクツ・サービス(Chemical Abstracts Service)の登録番号
NMR:核磁気共鳴
LCMS:液体クロマトグラフィー-質量分析法
ESI:エレクトロスプレーイオン化
ppm:百万分の1
δ:核磁気共鳴化学シフト
TMS:テトラメチルシラン
s:核磁気の単一ピーク
d:核磁気の2重ピーク
t:核磁気の3重ピーク
br:核磁気のブロードピーク
CDI:カルボニルジイミダゾール
DCC:N,N’-ジシクロヘキシルカルボジイミド
NBS:N-ブロモ-シクロブタルイミド
2-(1-(2-メチル-1H-ピロール-1-イル)シクロペンタン-1-カルボニル)マロン酸ジメチル (17b)
(1’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (52)
(2’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (53)
1’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (52c1)
2’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (52c2)
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (54)
(6’-ヒドロキシ-8’-オキソ-2’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (55)
6’-ヒドロキシ-8’-オキシ-1’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (54c1)
6’-ヒドロキシ-8’-オキシ-2’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (54c2)
(1’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (56)
(2’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (57)
1’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (56c1)
2’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (56c2)
(1’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (58)
(2’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (59)
1’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (58c1)
2’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (58c2)
(6’-ヒドロキシ-1’-(4-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (60)
(6’-ヒドロキシ-2’-(4-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン (61)
1’-(4-メトキシフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (60c1)
2’-(4-メトキシフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-ギ酸メチル (60c2)
(1’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシン (62)
(2’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシン (63)
1’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-ギ酸メチル (62c1)
2’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-ギ酸メチル (62c2)
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシン (64)
(6’-ヒドロキシ-8’-オキソ-2’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシン (65)
6’-ヒドロキシ-8’-オキシ-1’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-ギ酸メチル (64c1)
6’-ヒドロキシ-8’-オキシ-2’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-ギ酸メチル (64c2)
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)グリシン (70)
(6’-ヒドロキシ-8’-オキソ-2’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)グリシン (71)
6’-ヒドロキシ-8’-オキシ-1’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-ギ酸メチル (70c1)
6’-ヒドロキシ-8’-オキシ-2’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-ギ酸メチル (70c2)
1.HIF プロリルヒドロキシラーゼ-2の活性に対する化合物の作用
HIF プロリルヒドロキシラーゼの活性は、文献に記載の方法(AnalBiochem,2004,330:74-80)をわずかに修正された上で測定した。96ウェルプレートを予めブロッカーカゼイン及び1mMのビオチンで30分間処理した後、ビオチン結合HIF-1α556-574(biotinyl-DLDLEMLAPYIPMDDDDFQL)を96ウェルプレートに固定する。次に96ウェルプレートを適量のHIF-PHD2含有緩衝液(20mM Tris(pH7.5)、5mM KCl、1.5mM MgCl2、20mM 2-オキソグルタレート(2-ケトペンタンジオン酸)、10mM FeSO4、2mM アスコルビン酸、4%のEDTA不含有プロテアーゼ阻害剤)を利用して室温で1~60分間インキュベートする。反応混合物は、さらに異なる濃度の試験予定のプロリルヒドロキシラーゼ阻害剤を含有する。96ウェルプレートを洗浄緩衝液で3回洗浄して反応を終了する。100μlの結合緩衝液(50mM トリス(ヒドロキシメチル)アミノメタン、pH7.5、120mM NaCl)において、ヒドロキシル化されたHIF-1α556-574と結合緩衝液中のEu-VBCタンパク質とが室温で60分間反応する。反応液を吸引し、結合していないEu-VBCタンパク質を、溶出緩衝液で3回洗浄する。その後、10μlのウサギ抗Eu-VBCポリクローナル抗体を添加する。さらに30分後、西洋ワサビペルオキシダーゼに結合した抗ウサギ免疫グロブリン10μlを、結合緩衝液に添加した。結合されたEu-VBCタンパク質の量を測定するために、TMBで15分間培養する。1Mの硫酸を100μl添加ことにより発色反応を終了する。450nmで光密度を測定することにより、結合されたEu-VBCタンパク質の含有量を測定する。これはペプチド基質中のヒドロキシル化プロリンの量に正比例する。
8~10週間の雄C57Bl/6マウス(Shanghai SLAC Laboratory Animal Co.,Ltd.)に30mg/kgの試験化合物を経口投与し(陽性対照ロキサデュスタット(CAS:808118-40-3)の投与量は60mg/kg)、週3回で2週間投与続ける。1回目の投与前及び最後の投与後の6時間後に、それぞれ下顎静脈から約30μlの血液を採血し、Hemocueヘモグロビン測定器を用いてヘモグロビンの含有量を測定する。ヘモグロビンの上昇値は、最後の投与後のヘモグロビン値から、最初の投与前のヘモグロビン値を引いた値である。
Claims (17)
- 一般式Iで表される化合物、又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。
R3、R4及びR5は、水素、ハロゲン、アルキル、アルケニル、アルキニル、アリール、ヘテロアリールからそれぞれ独立に選択され、上記のアルキル、アルケニル、アルキニル、アリール、ヘテロアリール、は、1つ以上の置換基で任意に置換され、上記の置換基は、ハロゲン、アルキル、アルケニル、アルキニル、アリール、ヘテロアリールからそれぞれ独立に選択され、
R6及びR6’は、水素及び任意に置換されたアルキルからそれぞれ独立に選択され、
R7は、水素であり、
R8は、水素、アルキル及び-OC(O)R14から選択され、R14は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールは、ハロゲン、シアノ、ヒドロキシ、アミノ、カルボキシル、アシル、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール、ヘテロアリール、=O、=S、-SH、R15O-、R15S-、R15(O=)S-、R15(O=)2S-から選択される任意の基で置換され、R15は、アルキル、ヘテロシクリル、アルケニル、アルキニル、アリール又はヘテロアリールであり、
Xは、酸素原子又は硫黄原子又はNHである。 - R1及びR2は、C1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニルからそれぞれ独立に選択され、上記のC1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニルは、1~3個の置換基で任意に置換され、上記の置換基は、ハロゲン、C1-C6鎖状アルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニルからそれぞれ独立に選択される、
R3、R4及びR5は、水素、ハロゲン、C1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニル、C6-C14アリール、C3-C8シクロアルキル、C3-C8シクロアルケニル、3~8個の環原子を有するヘテロシクロアルキル、5~14個の環原子を有するヘテロアリールからそれぞれ独立に選択され、上記のC1-C12鎖状アルキル、C2-C12鎖状アルケニル、C2-C12鎖状アルキニル、C6-C14アリール、C3-C8シクロアルキル、C3-C8シクロアルケニル、3~8個の環原子を有するヘテロシクロアルキル、5~14個の環原子を有するヘテロアリールは、1~3個の置換基で任意に置換され、上記の置換基は、ハロゲン、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリールからそれぞれ独立に選択され、
R6及びR6’は、水素、C1-C6鎖状アルキル及びC3-C8シクロアルキルからそれぞれ独立に選択され、上記のC1-C6鎖状アルキル及びC3-C8シクロアルキルは、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリール、C1-C6鎖状アルキル-O-、C3-C8シクロアルキル-O-、C2-C6鎖状アルケニル-O-、C2-C6鎖状アルキニル-O-、C3-C8シクロアルケニル-O-、C6-C14アリール-O-、及び5~14個の環原子を有するヘテロアリール-O-からそれぞれ独立に選択され、
R8は、水素、C1-C12鎖状アルキル、C3-C8シクロアルキル、及び-OC(O)-C1-C12鎖状アルキルから選択され、C1-C12鎖状アルキル、C3-C8シクロアルキル、及び-OC(O)-C1-C12鎖状アルキルは、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル、C3-C8シクロアルキル、C2-C6鎖状アルケニル-、C2-C6鎖状アルキニル-、C3-C8シクロアルケニル、C6-C14アリール、5~14個の環原子を有するヘテロアリール、C1-C6鎖状アルキル-O-、C3-C8シクロアルキル-O-、C2-C6鎖状アルケニル-O-、C2-C6鎖状アルキニル-O-、C3-C8シクロアルケニル-O-、C6-C14アリール-O-、及び5~14個の環原子を有するヘテロアリール-O-からそれぞれ独立に選択され、
Xは、酸素原子又は硫黄原子又はNHである、
請求項1に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R1及びR2は、無置換のC1-C6鎖状アルキルからそれぞれ独立に選択される、
請求項2に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R1及びR2は、メチル、エチルからそれぞれ独立に選択される、
請求項3に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R3、R4及びR5は、水素、ハロゲン、C1-C6鎖状アルキル、C6-C14アリール、C3-C8シクロアルキル、C1-C6鎖状アルキル-O-、5~14個の環原子を有するヘテロアリールからそれぞれ独立に選択され、上記のC1-C6鎖状アルキル、C6-C14アリール、C3-C8シクロアルキル、C1-C6鎖状アルキル-O-、5~14個の環原子を有するヘテロアリールは、1~3個の置換基で任意に置換され、上記の置換基は、ハロゲン、C6-C14アリール及びC1-C6鎖状アルキルからそれぞれ独立に選択される、
請求項1乃至4のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R3、R4及びR5は、水素、ハロゲン、メチル、エチル、プロピル、ブチル、フェニル、ベンジル、トリル、クロロフェニル、フルオロフェニル、ブロモフェニル、シクロプロピル、シクロブチル、シクロペンチル、シクロヘキシル及びピリジルからそれぞれ独立に選択される、
請求項5に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R6及びR6’は、水素、無置換のC1-C6鎖状アルキル、無置換のC3-C8シクロアルキル、及び1~3個のハロゲンで置換されたC1-C6鎖状アルキルからそれぞれ独立に選択される、
請求項1乃至6のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R6及びR6’は、水素、メチル、エチル、プロピル、シクロプロピル及びシクロブチルからそれぞれ独立に選択される、
請求項7に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R8は、水素、C1-C6鎖状アルキル、及び-OC(O)-C1-C12鎖状アルキルから選択され、C1-C6鎖状アルキル及び-OC(O)-C1-C12鎖状アルキルは、1~3個の置換基で任意に置換され、上記の置換基は、ヒドロキシ、ハロゲン、シアノ、アミノ、カルボキシル、C1-C6鎖状アルキル及びC1-C6鎖状アルキル-O-から選択される、
請求項1乃至8のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - R8は、水素、メチル、エチル、プロピル、ブチル、ペンチル、アセトキシ、プロピオニルオキシ、ブチロイルオキシ及びペンタノイルオキシから選択される、
請求項9に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - Xは、酸素原子である、
請求項1乃至10のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - (6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロプロパン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロプロパン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロプロパン-1,5’-インドリジン]-7’-カルボニル)-D-アラニン、
(6-ヒドロキシ-5,5-ジメチル-8-オキソ-5,8-ジヒドロインドリジン-7-カルボニル)グリシン、
(6-ヒドロキシ-5,5-ジメチル-8-オキソ-5,8-ジヒドロインドリジン-7-カルボニル)-L-アラニン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシンメチルエステル、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシンエチルエステル、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-D-アラニン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(3’-シクロブチル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-3’-メチル-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(tert-ブチル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-シクロペンチル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-シクロヘキシル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-L-アラニンエチルエステル、
ピバル酸(((6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシル)オキシ)メチル、
(6’-ヒドロキシ-8’-オキソ-3’-(ピリジン-3-イル)-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(6’-ヒドロキシ-3’-(4-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-(4-メチルフェニル)-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-tert-ブチル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-3’-メチル-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-D-アラニン、
(3’-シクロブチル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-フルオロフェニル)6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-3’-(4-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロプロパン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6-ヒドロキシ-5,5-ジメチル-8-オキソ-3-フェニル-5,8-ジヒドロインドリジン-7-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(6-ヒドロキシ-8-オキソ-3-フェニル-2’,3’,5’,6’-テトラヒドロ-8H-スピロ[インドリジン-5,4’-ピラン]-7-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-D-アラニン、
(6-ヒドロキシ-8-オキソ-2’,3’,5’,6’-テトラヒドロ-8H-スピロ[インドリジン-5,4’-ピラン]-7-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシンエチル、
(3’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシンエチル、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン-2,2-ジ重水素、
(6’-ヒドロキシ-8’-オキソ-3’-(フェニル-4-重水素)-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(3’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシンメチルエステル、
(3’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシンメチルエステル、
(1’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(2’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル]グリシン、
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-2’-フェニル-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(1’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(2’-(4-フルオロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(1’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(2’-(4-クロロフェニル)-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-1’-(4-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-2’-(4-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(1’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(2’-シクロプロピル-6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシン、
(6’-ヒドロキシ-8’-オキソ-2’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル]グリシン、
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)-L-アラニン、
(6’-ヒドロキシ-8’-オキソ-8’H-スピロ[シクロヘプタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
((1,4-トランス式)-6’-ヒドロキシ-4-メチル-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
((1,4-シス式)-6’-ヒドロキシ-4-メチル-8’-オキソ-8’H-スピロ[シクロヘキサン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-1’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-2’-フェニル-8’H-スピロ[シクロブタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-8’-オキソ-3’-フェニル-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン-2,2-ジ重水素、
(6’-ヒドロキシ-3’-(4-ヒドロキシフェニル)-8’-オキソ-8’-H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-3’-(2-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン、
(6’-ヒドロキシ-3’-(3-メトキシフェニル)-8’-オキソ-8’H-スピロ[シクロペンタン-1,5’-インドリジン]-7’-カルボニル)グリシン
から選択される化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩。 - 請求項1乃至12のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩と、
1つ以上の薬学的に許容される担体、アジュバント又は賦形剤と
を含む、医薬組成物。 - 請求項1乃至12のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩の、HIF プロリルヒドロキシラーゼ阻害剤の調製における使用。
- 請求項1乃至12のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩の、低酸素誘導因子関連の疾患の治療及び/又は予防用の医薬の調製における使用。
- 低酸素誘導因子関連の疾患は、貧血[例えば、特発性貧血、腎性貧血、腫瘍疾患に伴う貧血(特に化学療法による貧血)、失血による貧血、女性の月経過多による貧血、鉄欠乏性貧血、ビタミン欠乏症貧血、細胞の低形成や再生不良性貧血、溶血性貧血、鉄の利用障害による貧血、甲状腺機能低下による貧血など]、心血管疾患(例えば、心不全、冠状動脈症、狭心症、心筋梗塞、脳卒中、動脈硬化症、原発性高血圧症、肺高血圧症、悪性高血圧症及び末梢動脈閉塞性疾患)、神経疾患、HIV感染症、関節リウマチ、手術関連の虚血、胎児出産時の窒息、癌及び癌関連症状(例えば、細胞増殖抑制剤、抗生物質の使用後、及び放射線による治療後に発生する健康状態への損傷)、眼疾患(例えば緑内障)、中枢神経系疾患(例えば、認知症、慢性痛覚)、慢性腎疾患、腎不全及び急性腎不全、性機能障害(例えば、性欲減退)、糖尿病及び合併症(例えば、糖尿病性大血管疾患、細小血管障害、糖尿病性腎疾患)、神経変性疾患(例えば、アルツハイマー病、パーキンソン病など)、虚血性疾患(例えば、虚血性脳血管病、虚血性腎症、虚血性心筋症など)及びセルロース性疾患(例えば、心臓、肺及び肝臓の線維化)から選択される、
請求項15に記載の使用。 - 請求項1乃至12のいずれか1項に記載の化合物又はその同位体標識化合物、又はその光学異性体、幾何異性体、互変異性体或いはそれら異性体の混合物、又はその薬学的に許容される塩の、外科手術の創傷治癒の促進及び/又は回復時間の短縮用の医薬の調製における使用。
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CN108484598B (zh) | 2021-03-02 |
US11655249B2 (en) | 2023-05-23 |
AU2018264313A1 (en) | 2019-12-12 |
CN113004271A (zh) | 2021-06-22 |
AU2018264313B2 (en) | 2020-06-04 |
US20230257379A1 (en) | 2023-08-17 |
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US20230242527A1 (en) | 2023-08-03 |
EP3613742B1 (en) | 2022-12-07 |
WO2018205928A1 (zh) | 2018-11-15 |
NZ759294A (en) | 2021-10-29 |
EP3613742A4 (en) | 2021-01-06 |
US11021478B2 (en) | 2021-06-01 |
CN108484598A (zh) | 2018-09-04 |
US20210253570A1 (en) | 2021-08-19 |
ES2934361T3 (es) | 2023-02-21 |
EP3613742A1 (en) | 2020-02-26 |
US11945817B2 (en) | 2024-04-02 |
US11970495B2 (en) | 2024-04-30 |
CA3062972A1 (en) | 2019-12-02 |
JP2020519697A (ja) | 2020-07-02 |
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