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WO2007009698A1 - Combination of pyrazoline type cannabinoid receptor antagonist and statin - Google Patents

Combination of pyrazoline type cannabinoid receptor antagonist and statin Download PDF

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Publication number
WO2007009698A1
WO2007009698A1 PCT/EP2006/006972 EP2006006972W WO2007009698A1 WO 2007009698 A1 WO2007009698 A1 WO 2007009698A1 EP 2006006972 W EP2006006972 W EP 2006006972W WO 2007009698 A1 WO2007009698 A1 WO 2007009698A1
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Prior art keywords
group
optionally
substituted
mono
branched
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PCT/EP2006/006972
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French (fr)
Inventor
Helmut H. Buschmann
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Laboratorios Del Dr. Esteve, S.A
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Priority claimed from EP05384021A external-priority patent/EP1745781A1/en
Application filed by Laboratorios Del Dr. Esteve, S.A filed Critical Laboratorios Del Dr. Esteve, S.A
Publication of WO2007009698A1 publication Critical patent/WO2007009698A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/35Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom
    • A61K31/351Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having six-membered rings with one oxygen as the only ring hetero atom not condensed with another ring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • A61K31/41551,2-Diazoles non condensed and containing further heterocyclic rings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D231/00Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
    • C07D231/02Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
    • C07D231/06Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member
    • C07D231/08Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member with oxygen or sulfur atoms directly attached to ring carbon atoms

Definitions

  • the present invention relates to an active substance combination comprising at least one substituted pyrazoline compound and at least one statin compound, a medicament comprising said active substance combination, a pharmaceutical formulation comprising said active substance combination and the use of said active substance combination for the manufacture of a medicament.
  • HMG-CoA 3-hydroxy-3-methylglutaryl-coenzyme A
  • mevalonate is an early step in the biosynthetic pathway of cholesterol. This step is catalyzed by the enzyme HMG-CoA reductase.
  • Statins inhibit HMG-CoA reductase from catalyzing this conversion. Statins, as such, are quite potent lipid lowering agents and are useful for the prophylaxis and/or treatment of cardiovascular diseases.
  • a safety concern related to the use of statins is the development of rhabdomyolysis, the pathological breakdown of skeletal muscle, which may lead to acute renal failure when muscle breakdown products damage the kidney. Consequently, there is still a big demand for potent cardioprotective agents, possibly, showing less incidents of undesired side effects of statins, or at least less pronounced.
  • statins are supported by their administration in combination with one or more substituted pyrazoline compounds of general formula I and/or I' given below. Consequently, the dosage of the statin compound may be lowered and the incidence and intensity of undesired side effects may be reduced.
  • an active substance combination comprising
  • R 1 represents an optionally at least mono-substituted phenyl group
  • R 2 represents an optionally at least mono-substituted phenyl group
  • R 3 represents a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R 3 represents an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system, or R 3 represents an -NR 4 R 5 -moiety,
  • R 4 and R 5 identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group; an -SO2-R 6 - moiety; or an -NR 7 R 8 -moiety, with the proviso that R 4 and R 5 do not identically represent hydrogen;
  • R 6 represents a linear or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic group; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with a mono- or polycyclic ring- system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with a mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group;
  • R 7 and R 8 identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group;
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
  • R 1 represents hydrogen or a linear or branched Ci- 4 -alkyl group
  • R 2 , R 3 and R 4 independently of each other represent hydrogen, a linear or branched Ci- 6 -alkyl group, a linear or branched Ci. 6 -alkoxy group, a halogen atom, CH 2 F,
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
  • (B) at least one compound selected from the group of statins.
  • an active substance combination comprising as component (B) at least one lipase inhibitor may be excluded.
  • lipase inhibitors are the synthetic lipase inhibitor orlistat, lipase inhibitors isolated from micro organisms such as lipstatin (from Streptomyces toxytricini), ebelactone B (from Streptomyces eburaviensis), synthetic derivatives of these compounds, as well as extracts of plants known to possess lipase inhibitory activity, for instance extracts of Alpinia officinarum or compounds isolated from such extracts like 3-methylethergalangin (from A. officinarum).
  • R 1 represents a phenyl group, which is optionally substituted by one or more substituents selected from the group consisting of methyl, ethyl, F, Cl, Br and CF 3 , more preferably R 1 represents a phenyl group, which is mono-substituted with a chlorine atom in the 4-position.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R 2 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of a linear or branched Ci.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R 3 represents a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing C 3- ⁇ cycloaliphatic group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system, or R 3 represents an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R 3 represents an -NR 4 R 5 -moiety, preferably R 3 represents a saturated, optionally at least mono-substituted, optionally one or more nitrogen-atoms as ring member containing C 3 - 8 cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycycl
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R 4 and R 5 , identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono- substituted C- ⁇ - 6 -aliphatic radical; a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing C 3-8 - cycloaliphatic group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system; or an optionally at least mono- substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a methylene (-CH 2 -) or ethylene (-CH 2 -CH 2 )-group; an -S ⁇ 2 -R 6 -
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R 6 represents a linear or branched, saturated or unsaturated, optionally at least mono-substituted Ci -6 aliphatic group; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing C 3-8 cycloaliphatic group, which may be condensed with a mono- or polycyclic ring-system; or an optionally at least mono-substituted, 5- or 6- membered aryl or heteroaryl group, which may be condensed with a mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH 2 - CH 2 )-group, preferably R 6 represents a Cv ⁇ -alkyl group; a saturated, optionally at least mono-substituted cycloaliphatic group, which may be
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R 7 and R 8 , identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono- substituted C 1-6 aliphatic radical; a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing C 3-S cycloaliphatic group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system; or an optionally at least mono- substituted, 5- or 6- membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a methylene (-CH 2 -) or ethylene (-CH2-CH 2 )-group, preferably R 7 and R 8 , identical or different, represent a hydrogen atom; an un
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein
  • R 1 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF 3 ,
  • R 2 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF 3 ,
  • R 3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more of Ci- 6 -alkyl groups, or R 3 represents an -NR 4 R 5 -moiety, R 4 represents a hydrogen atom or a linear or branched Ci-e-alkyl group,
  • R 5 represents a linear or branched Ci -6 alkyl group; an -SO 2 -R 6 -moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a morpholinyl group; a triazolyl group; whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C ⁇ -alkyl groups, and
  • R 6 represents a phenyl group, which is optionally substituted with one or more d- 6 alkyl groups, which may be identical or different.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein
  • R 1 represents a phenyl ring, which is mono-substituted with a halogen atom, preferably a chlorine atom, in its 4-position,
  • R 2 represents a phenyl ring, which is di-substituted with two halogen atoms, preferably chlorine atoms, in its 2- and 4-position,
  • R 3 represents a pyrrolidinyl group, a piperidinyl group, a piperazinyl group, a homo- piperazinyl group, a morpholinyl group, or an -NR 4 R 5 -moiety,
  • R 4 represents a hydrogen atom or a linear or branched Ci- ⁇ -alkyl group
  • R 5 represents a linear or branched Ci -6 alkyl group; an -SO 2 -R 6 -moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a mo ⁇ holinyl group; or a triazolyl group whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C ⁇ -alky! groups, and
  • R 6 represents a phenyl group, which is optionally substituted with one or more C 1-6 alkyl groups, which may be identical or different.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above selected from the group consisting of
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
  • the active substance combination according to the present invention may as the pyrazoline compound of general formula I comprise one of the following compounds
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein at least one of R 2 , R 3 or R 4 represents hydrogen, while at least one of R 2 , R 3 or R 4 is different from hydrogen.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R 7 represents hydrogen.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R 2 , R 3 and R 4 independently of each other represent hydrogen, a linear or branched C ⁇ -alky! group, a halogen atom, or CF 3 , preferably R 2 , R 3 and R 4 independently of each other represent hydrogen, methyl, ethyl, F, Cl, Br and CF 3 .
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I 1 given above, wherein R 5 and R 6 independently of each other represent a linear or branched Ci- 6 -alkyl group, a halogen atom, or CF 3 , preferably R 5 and R 6 independently of each other represent methyl, ethyl, F, Cl, Br and CF 3 .
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R 2 represents a chlorine atom in the 4-position of the phenyl ring, while R 3 and R 4 represent hydrogen.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R 5 and R 6 each represent a chlorine atoms in the 2- and 4-position of the phenyl ring, while R 7 represents hydrogen.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R 1 represents hydrogen, methyl or ethyl, preferably hydrogen.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein the compounds of general formula I' are represented by the following structure II:
  • R 1 represents hydrogen or a linear or branched Ci ⁇ -alkyl group
  • R 12 or R 13 independently of each other represent a linear or branched Ci ⁇ -alkyl group, a linear or branched Ci -6 -alkoxy group, a halogen atom, CH 2 F, CHF 2 , CF 3 , CN, OH, NO 2 , SH, NH 2 , hydrogen, methyl, ethyl, F, Cl, Br and CF 3 ,
  • R 14 or R 15 independently of each other represent a linear or branched Ci- ⁇ -alkyl group, a linear or branched Ci-e-alkoxy group, a halogen atom, CH 2 F, CHF 2 , CF 3 , CN, OH, NO 2 , SH, NH 2 , methyl, ethyl, F, Cl, Br and CF 3 ,
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R 12 and R 13 independently of each other represent hydrogen, a linear or branched C-
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R 14 and R 15 independently of each other represent a linear or branched C-
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R 13 represents Cl and R 12 represents hydrogen.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R 14 and R 15 each represent Cl.
  • the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R 1 represents hydrogen, methyl or ethyl, preferably hydrogen.
  • the active substance combination according to the present invention comprises the compound
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding salt thereof, or a corresponding solvate thereof as compound of general formula I'.
  • the active substance combination according to the present invention may as the pyrazoline compound of general formula I' comprise one of the following compounds
  • the other active component of the inventive active substance combination, component (B), is a statin compound.
  • ,statin as used herein is synonymous with the terms ,,3-hydroxy-3- methylglutaryl-Coenzyme A reductase inhibitor” and ,,HMG-CoA reductase inhibitor” and these terms may be used interchangeably herein.
  • Statins as encompassed by the present invention include, but are not limited to, 4"- Hydroxymevastatin lactone, A-87049, AF-15831 , Aloxistatin, Amlodipine besylate, Angiopeptin acetate, Anglerfish somatostatin-28, AR-121 , aSS-28, atorvastatin,
  • statins contain either a free carboxlic acid or a free amine group as part of their chemical structure.
  • Some statins contain lactone moieties, which exist in quilibrium with the free carboxylic acid form. Such lactones can be maintained as carboxylates by preparing pharmaceutically active salts of the lactone. Such salts are also encompassed by the present invention.
  • statin compound of component (B) may be selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin,
  • the statin compound of component (B) may be selected from the group consisting of selected from the group consisting of atorvastatin, atorvastatin- calcium, rosuvastatin, rosuvastatin-sodium, simvastatin, pravastatin, pravastatin- sodium, cerivastatin, cerivastatin-sodium, mevastatin, velostatin, fluvastatin, fluvastatin-sodium, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin.
  • statins may be prepared by methods well known to those skilled in the art.
  • simvastatin may be prepared by the method disclosed in US 4,444,784, pravastatin may be prepared by the method disclosed in US 4,346,227, cerivastatin may be prepared by the method disclosed in US 5,502,199, EP617019 or EP0325130, mevastatin may be prepared by the method disclosed in US 3,983,140, velostatin may be prepared by the method disclosed in US 4,448,784 and US 4,450,171 , fluvastatin may be prepared by the method disclosed in US 4,739,073 or EP0244364, compactin may be prepared by the method disclosed in US 4,804,770, lovastatin may be prepared by the method disclosed in US 4,231 ,938 or EP0306210, dalvastatin may be prepared by the method disclosed in EP 738510, fluindostatin may be prepared by the method disclosed in EP 363934, atorvastatin may be prepared by the method disclosed in US
  • statins used in the present invention are depicted below:
  • inventive active substance combination comprising
  • R 1 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF 3 ,
  • R 2 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF 3 ,
  • R 3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more of Ci- 6 -alkyl groups, or R 3 represents an -NR 4 R 5 -moiety,
  • R 4 represents a hydrogen atom or a linear or branched Ci- 6 -alkyl group
  • R 5 represents a linear or branched C- ⁇ - 6 alkyl group; an -S ⁇ 2 -R 6 -moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a morpholinyl group; a triazolyl group; whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C ⁇ -alkyl groups, and
  • R 6 represents a phenyl group, which is optionally substituted with one or more Ci -6 alkyl groups, which may be identical or different.
  • 1 Q optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
  • R 1 represents hydrogen or a linear or branched Ci- 4 -alkyl group
  • R 12 or R 13 independently of each other represent a linear or branched Ci- ⁇ -alkyI group, a linear or branched Ci_6-alkoxy group, a halogen atom, CH 2 F, CHF 2 , CF 3 , CN, OH, NO 2 , SH, NH 2 , hydrogen, methyl, ethyl, F, Cl, Br and CF 3 ,
  • R 14 or R 15 independently of each other represent a linear or branched Ci- 6 -alkyl group, a linear or branched Cv ⁇ -alkoxy group, a halogen atom, CH 2 F, CHF 2 , CF 3 , CN, OH, NO 2 , SH, NH 2 , methyl, ethyl, F, Cl, Br and CF 3 ,
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
  • statin compound selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin, optionally in the form of a corresponding salt or a corresponding solvate thereof.
  • inventive active substance combination comprising
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
  • stereoisomers optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding salt thereof, or a corresponding solvate thereof,
  • statin compound selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin, optionally in the form of a corresponding salt or a corresponding solvate thereof.
  • inventively used substituted pyrazoline compounds may, for example, be obtained by the following process, according to which at least one benzaldehyde compound of general formula Il
  • G represents an OR group with R being a branched or unbranched C 1-6 alkyl radical, preferably an ethyl radical, or G represents an O K group with K being a cation, preferably a monovalent cation, more preferably an alkali metal cation, even more preferably a sodium cation, to yield a compound of general formula (IV)
  • R 1 and R 2 have the meaning as given above, which is optionally isolated and/or optionally purified, and optionally transferred under inert atmosphere to a compound of general formula (VII)
  • the reaction of the benzaldehyde compound of general formula Il with a pyruvate compound of general formula III is preferably carried out in the presence of at least one base, more preferably in the presence of an alkali metal hydroxide such as sodium hydroxide or potassium hydroxide or an alkali metal methoxide such as sodium methoxide, as described, for example, in Synthetic communications, 26(11 ), 2229-33, (1996).
  • an alkali metal hydroxide such as sodium hydroxide or potassium hydroxide
  • an alkali metal methoxide such as sodium methoxide
  • sodium pyruvate may be used as the pyruvate compound.
  • said reaction is carried out in a protic reaction medium such as a Ci -4 alkyl alcohol
  • Reaction temperature as well as the duration of the reaction may vary over a broad range.
  • Preferred reaction temperatures range from -10 0 C to the boiling point of the reaction medium.
  • Suitable reaction times may vary for example from several minutes to several hours.
  • reaction of the benzaldehyde compound of general formula Il with a pyruvate compound of general formula III is carried out under acid catalyzed conditions, more preferably by refluxing the mixture in dichloromethane in the presence of copper(ll)trifluoromethanesulfonate as described, for example, in Synlett, (1 ), 147-149, 2001.
  • acid catalyzed conditions more preferably by refluxing the mixture in dichloromethane in the presence of copper(ll)trifluoromethanesulfonate as described, for example, in Synlett, (1 ), 147-149, 2001.
  • the respective description is hereby incorporated by reference and forms part of the disclosure.
  • reaction of the compound of general formula (IV) with an optionally substituted phenyl Hydrazin of general formula (V) is preferably carried out in a suitable reaction medium such as C- ⁇ - 4 -alcohols or ethers such as dioxane or Tetrahydrofuran or mixtures of at least two of these afore mentioned compounds.
  • a suitable reaction medium such as C- ⁇ - 4 -alcohols or ethers such as dioxane or Tetrahydrofuran or mixtures of at least two of these afore mentioned compounds.
  • said reaction may be carried out in the presence of an acid, whereby the acid may be organic such as acetic acid and/or inorganic such as hydrochloric acid.
  • reaction may also be carried out in the presence of a base such as piperidine, piperazine, sodium hydroxide, potassium hydroxide, sodium methoxide or sodium ethoxide, or a mixture of at least two of these bases may also be used.
  • a base such as piperidine, piperazine, sodium hydroxide, potassium hydroxide, sodium methoxide or sodium ethoxide, or a mixture of at least two of these bases may also be used.
  • Reaction temperature as well as the duration of the reaction may vary over a broad range. Suitable reaction temperatures range from room temperature, i.e. approximately 25 0 C to the boiling point of the reaction medium. Suitable reaction times may vary for example from several minutes to several hours.
  • the carboxylic group of the compound of general formula (Vl) may be activated for further reactions by the introduction of a suitable leaving group according to conventional methods well known to those skilled in the art.
  • the compounds of general formula (Vl) are transferred into an acid chloride, an acid anhydride, a mixed anhydride, a d-4 alkyl ester, an activated ester such as p- nitrophenylester.
  • Other well known methods for the activation of acids include the activation with N,N-dicyclohexylcarbodiimide or benzotriazol-N- oxotris(dimethylamino) phosphonium hexafluorophosphate (BOP)).
  • said activated compound of general formula (VII) is an acid chloride
  • it is preferably prepared by reaction of the corresponding acid of general formula (Vl) with thionyl chloride or oxalyl chloride, whereby said chlorinating agent is also used as the solvent.
  • an additional solvent may be used.
  • Suitable solvents include hydrocarbons such as benzene, toluene or xylene, halogenated hydrocarbons such as dichloromethane, chloroform or carbon tetrachloride, ethers such as diethyl ether, dioxane, Tetrahydrofuran or dimethoxyethane. Mixtures of two or more solvents from one class or two or more solvents from different classes may also be used.
  • Preferred reaction temperature range from 0° C to the boiling point of the solvent and reaction times from several minutes to several hours.
  • said activated compound of general formula (VII) is a mixed anhydride
  • said anhydride may preferably be prepared, for example, by reaction of the corresponding acid of general formula (Vl) with ethyl chloroformiate in the presence of a base such as triethylamine or pyridine, in a suitable solvent.
  • reaction of general formula (VII) with a compound of general formula HR 3 to yield compounds of general formula I, wherein R 3 represents an -NR 4 R 5 moiety is preferably carried out in presence of a base such as triethylamine in a reaction medium such as methylenchloride.
  • a base such as triethylamine
  • a reaction medium such as methylenchloride.
  • the temperature is preferably in the range from O 0 C to the boiling point of the reaction medium.
  • the reaction time may vary over a broad range, e.g. from several hours to several days.
  • reaction is carried out in the presence of a Lewis acid, which is preferably selected from the group consisting of FeCI 3 , ZnCb and AICb, in a suitable reaction medium such as toluene, benzene, tetrahydrofurane or similar.
  • a Lewis acid which is preferably selected from the group consisting of FeCI 3 , ZnCb and AICb
  • the temperature is preferably in the range from O 0 C to the boiling point of the reaction medium, more preferably from 15 to 25 0 C.
  • the reaction time may vary over a broad range, e.g. from several minutes to several hours.
  • substituted pyrazoline compounds of general formula (I) themselves are obtained in form of a mixture of stereoisomers, particularly enantiomers or diastereomers, said mixtures may be separated by standard procedures known to
  • Salts of the inventively used active compounds may be obtained by a process, wherein at least one of the compounds having at least one basic group is reacted with at least one inorganic and/or organic acid, preferably in the presence of a suitable reaction medium.
  • Suitable reaction media include, for example, any of the ones given above.
  • Suitable inorganic acids include hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid, nitric acid
  • suitable organic acids are e.g. citric acid, maleic acid, fumaric acid, tartaric acid, or derivatives thereof, p-toluenesulfonic acid, methanesulfonic acid or camphersulfonic acid.
  • Salts of the inventively used active compounds may also be prepared by a method, wherein at least one of the compounds having at least one acidic group is reacted with one or more suitable bases, preferably in the presence of a suitable reaction medium.
  • suitable bases are e.g. hydroxides, carbonates or alkoxides, which include suitable cations, derived e.g. from alkaline metals, alkaline earth metals or organic cations, e.g. [NH n R ⁇ n] + , wherein n is 0, 1 , 2, 3 or 4 and R represents a branched or unbranched C- M -alkyl-radical.
  • suitable reaction media are, for example, any of the ones given above.
  • Solvates, preferably hydrates, of the inventively used substituted pyrazoline compounds of general formula (I), of corresponding stereoisomers, of corresponding N-oxides or of corresponding salts thereof may also be obtained by standard procedures known to those skilled in the art.
  • Substituted pyrazoline compounds of general formula I which comprise nitrogen- atom containing saturated, unsaturated or aromatic rings may also be obtained in the form of their N-oxides by methods well known to those skilled in the art and used in the active substance combination of the present invention.
  • substituted pyrazoline compounds as used herein is to be understood as encompassing derivatives such as ethers, esters and complexes of these compounds as well.
  • derivatives as used in this application is defined here as meaning a chemical compound having undergone a chemical derivation starting from an acting (active) compound to change
  • any of its physico-chemical properties especially a so-called prodrug, e.g. their esters and ethers.
  • prodrug e.g. their esters and ethers.
  • Examples of well known methods of producing a prodrug of a given acting compound are known to those skilled in the art and can be found e.g. in Krogsgaard-Larsen et al., Textbook of Drugdesign and Discovery, Taylor & Francis (April 2002). The respective description is hereby incorporated by reference and forms part of the disclosure.
  • the inventive active substance combination may comprise the components (A) and (B) in a molar ratio of component (A) to component (B) in the range of 1 :10 to 10:1 , preferably 1 :5 to 5:1.
  • the inventive active substance combination is suitable for the administration to humans, including infants, children and grown-ups, as well as animals.
  • the total amount of the active substance(s) according to component (A), calculated as the free compound(s), to be administered to the patient in a 24 hours period does not exceed 800 mg, preferably does not exceed 500 mg.
  • the total amount of the active substance(s) according to component (B), calculated as the free compound(s), to be administered to the patient in a 24 hours period does preferably not exceed 160 mg, more preferably does not exceed 80 mg.
  • the inventive active substance combination comprises components (A) and (B) in the above defined molar ratios and within the afore given limits for the
  • Medicaments on the basis of the inventive active substance combination may preferably be administered once daily, twice daily or three times daily, more preferably once daily or twice daily, most preferably once daily.
  • the present invention relates to a medicament comprising an inventive active substance combination and optionally at least one further active substance and/or optionally at least one auxiliary substance.
  • the inventive medicament is suitable for the modulation of cannabinoid- receptors, preferably cannabinoid 1 (CBi) receptors; and/or for HMG-CoA reductase inhibition.
  • cannabinoid- receptors preferably cannabinoid 1 (CBi) receptors
  • HMG-CoA reductase inhibition preferably cannabinoid 1 (CBi) receptors
  • the inventive medicament is particular useful for the prophylaxis and/or treatment of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperlipidemia, Lipoprotein disorders, Hypercholesterolemia, or for lowering of cardiac risk.
  • Cardiac risk as used herein means that a subject (human or animal) will suffer a future adverse cardiac event such as, e.g. myocardial infarction, cardiac arrest, cardiac failure, cardiac ischemia. Cardiac risk can be calculated using the Framingham Risk equation, as disclosed with respect to the Framingham Heart Study, in Wilson et al., Am. J. Cardiol. 1987, 59(14):91G-94G. The respective part of the literature is herewith incorporated by reference and forms part of the present disclosure.
  • the inventive medicament is also suitable for the modulation of cannabinoid- receptors, preferably cannabinoid 1 (CBi) receptors; for the regulation of triglyceride levels in the blood plasma; for the prophylaxis and/or treatment of disorders of the central nervous system; for the prophylaxis and/or treatment of disorders of the cardiovascular system; for the prophylaxis and/or treatment of disorders of the immune system; for the prophylaxis and/or treatment of disorders of the endocrinous system; for the prophylaxis and/or treatment of disorders of the respiratory system;
  • cannabinoid- receptors preferably cannabinoid 1 (CBi) receptors
  • CBDi cannabinoid 1
  • ⁇ o for the prophylaxis and/or treatment of disorders of the gastrointestinal tract and/or for the prophylaxis and/or treatment of reproductive disorders.
  • pyrazoline compounds as defined herein and optionally one or more pharmaceutically acceptable excipients, for the preparation of a medicament for the treatment of metabolic syndrome.
  • the metabolic syndrome is characterized by an interaction of several physiological parameters such as triglycerides, lipids, blood pressure, glucose levels and insuline levels.
  • Another aspect of the invention is the use of one or more pyrazoline compounds as defined herein for the manufacture of a medicament for improvement of cardiovascular and/or metabolic risk factors, such as one or more of the following factors:
  • Elevated triglycerides whereby elevated levels of triglycerides are preferably understood as being > 150 mg/dl,
  • Low HDL cholesterol whereby low levels of HDL cholesterol are preferably understood as being ⁇ 40 mg/dl in men and ⁇ 50 mg/dl in women,
  • Hypertension whereby hypertension is preferably understood as being > 130/85 mmHg,
  • Impaired fasting glucose whereby impaired fasting glucose levels are preferably understood as being > 110 mg/dl,
  • Another aspect of the invention is the use of one or more pyrazoline compounds as defined herein for the manufacture of a medicament for the treatment of the weight independent aspects of metabolic syndrome.
  • Another aspect of the invention is a method for improving cardiovascular and/or metabolic risk factors, such as one or more of the following factors:
  • Elevated triglycerides whereby elevated levels of triglycerides are preferably understood as being > 150 mg/dl,
  • Low HDL cholesterol whereby low levels of HDL cholesterol are preferably understood as being ⁇ 40 mg/d! in men and ⁇ 50 mg/dl in women,
  • Hypertension whereby hypertension is preferably understood as being > 130/85 mmHg,
  • a subject preferably a human.
  • Another aspect of the invention is a method for treating of the weight independent aspects of metabolic syndrome.
  • the pyrazoline compounds as defined herein also have a beneficial effect on the ratio of low density lipoprotein (LDL) to high density lipoprotein (HDL), i.e. they lower the LDL-levels and/or elevate the HDL levels; they are also useful as coating material or co-coating material in stents in order to prevent restenosis.
  • LDL low density lipoprotein
  • HDL high density lipoprotein
  • the inventive medicament is also suitable for the prophylaxis and/or - treatment of one or more of the following disorders: food intake disorders, preferably selected from the group consisting of bulimia; anorexia; cachexia; obesity and type Il diabetes mellitus (non-insuline dependent diabetes mellitus), more preferably obesity; psychosis; alcohol abuse and/or addiction; nicotine abuse and/or addiction; drug abuse and/or addiction; medicament abuse and/or addiction; schizophrenia; anxiety; depression; epilepsy; neurodegenerative disorders, preferably Morbus Parkinson; Morbus Huntington; Morbus Alzheimer and/or Multiple Sclerosis; cerebellar disorders; spinocerebellar disorders; cognitive disorders; cranial trauma; panic attacks; peripheric neuropathy; glaucoma; migraine; Raynaud's disease; tremblement disorders; compulsive disorders; senile dementia; thymic disorders; tardive dyskinesia; bipolar disorders; bone disorders including osteoporosis or Paget's disease of bone; cancer,
  • IK cancer and prostate cancer more preferably for the prophylaxis and/or treatment of one or more types of cancer selected from the group consisting of colon cancer; bowel cancer and prostate cancer, medicament-induced movement disorders; dystonia; endotoxemic shock; stroke; hemorrhagic shock; hypotension; insomnia; immunologic disorders; sclerotic plaques; vomiting; diarrhoea; asthma; memory disorders; pruritus; pain; or for potentiation of the analgesic effect of narcotic and non-narcotic analgesics; or for influencing intestinal transit.
  • cancer selected from the group consisting of colon cancer; bowel cancer and prostate cancer, medicament-induced movement disorders; dystonia; endotoxemic shock; stroke; hemorrhagic shock; hypotension; insomnia; immunologic disorders; sclerotic plaques; vomiting; diarrhoea; asthma; memory disorders; pruritus; pain; or for potentiation of the analgesic effect of narcotic and
  • the medicament is also suitable for the prophylaxis and/or treatment of one or more disorders selected from the group consisting of dementia and related disorders, preferably for the prophylaxis and/or treatment of one or more types of dementia selected from the group consisting of memory loss, vascular dementia, mild cognitive impairment, frontotemporal dementia and Pick's disease; binge eating disorders; juvenile obesity; drug induced obesity; atypical depression; behavioural addictions; attention deficit disorders; Tourette's syndrome; suppression of reward-related behaviours; e. g.
  • conditioned place avoidance such as suppression of cocaine- and morphine induced conditioned place preference; impulsivity; sexual dysfunction; preferably for the prophylaxis and/or treatment of one or more types of sexual dysfunction selected from the group consisting of erectile difficulty and female sexual dysfunction; seizure disorders; nausea; emesis; neuroinflammatory disease, preferably for the prophylaxis and/or treatment of one or more types of neuroinflammatory diseases selected from the group consisting of multiple sclerosis, demyelinisation related disorders, Guillan-Barre syndrome, viral encephalitis and cerebrovascular accidents; neurological disorders; muscle spasticity; traumatic brain injury; spinal cord injury; inflammation and immunomodulatory disorders, preferably for the treatment and/or prophylaxis of one or more types of inflammation and immunomodulatory disorders selected from the group consisting of cutaneous T-cell lymphoma, rheumatoid arthritis, systemic lupus erythematosus, sepsis, sarcoidosis, idiopathic pulmonary
  • ⁇ a « apoplexy; craniocerebral trauma; neuropathic pain disorders; gastric ulcers; atheriosclerosis and liver cirrhosis.
  • components (A) and (B) of the active substance combination as well as the different components of components (A) may be administered simultaneously or sequentially to one another, whereby in each case components (A) (including one or both of substituted pyrazoline compounds of general formula I and I') and (B) may be administered via the same or different administration pathways, e.g. orally or parenterally. preferably both components (A) and (B) are administered simultaneously in one and the same administration form.
  • Another aspect of the present invention relates to the use of an inventive pharmacologically active substance combination for the preparation of a medicament for the modulation of cannabinoid-receptors, preferably cannabinoid 1 (CBi) receptors; and/or for HMG-CoA reductase inhibition.
  • cannabinoid-receptors preferably cannabinoid 1 (CBi) receptors
  • HMG-CoA reductase inhibition cannabinoid 1
  • Another aspect of the present invention relates to the use of an inventive pharmacologically active substance combination for the preparation of a medicament for the prophylaxis and/or treatment of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperlipidemia, Lipoprotein disorders, Hypercholesterolemia, or for lowering of cardiac risk.
  • Another aspect of the present invention relates to the use of an inventive pharmacologically active substance combination for the preparation of a medicament for the modulation of cannabinoid-receptors, preferably cannabinoid 1 (CBi) receptors; for the regulation of triglyceride levels in the blood plasma; for the prophylaxis and/or treatment of disorders of the central nervous system; for the prophylaxis and/or treatment of disorders of the cardiovascular system; for the prophylaxis and/or treatment of disorders of the immune system; for the prophylaxis and/or treatment of disorders of the endocrinous system; for the prophylaxis and/or treatment of disorders of the respiratory system; for the prophylaxis and/or treatment of disorders of the gastrointestinal tract and/or for the prophylaxis and/or treatment of reproductive disorders.
  • CBDi cannabinoid 1
  • V7 The use for the preparation of a medicament for the prophylaxis and/or treatment of one or more of the following disorders:
  • food intake disorders preferably selected from the group consisting of bulimia; anorexia; cachexia; obesity and type Il diabetes mellitus (non-insuline dependent diabetes mellitus), more preferably obesity; psychosis; alcohol abuse and/or addiction; nicotine abuse and/or addiction; drug abuse and/or addiction; medicament abuse and/or addiction; schizophrenia; anxiety; depression; epilepsy; neurodegenerative disorders, preferably Morbus Parkinson; Morbus Huntington; Morbus Alzheimer and/or Multiple Sclerosis; cerebellar disorders; spinocerebellar disorders; cognitive disorders; cranial trauma; panic attacks; peripheric neuropathy; glaucoma; migraine; Raynaud's disease; tremblement disorders; compulsive disorders; senile dementia; thymic disorders; tardive dyskinesia; bipolar disorders; bone disorders including osteoporosis or Paget's disease of bone; cancer, preferably for the prophylaxis and/or treatment of one or more types of cancer selected from the group consisting of brain cancer; bone
  • ⁇ ft or more types of sexual dysfunction selected from the group consisting of erectile difficulty and female sexual dysfunction; seizure disorders; nausea; emesis; neuroinflammatory disease, preferably for the prophylaxis and/or treatment of one or more types of neuroinflammatory diseases selected from the group consisting of multiple sclerosis, demyelinisation related disorders, Guillan-Barre syndrome, viral encephalitis and cerebrovascular accidents; neurological disorders; muscle spasticity; traumatic brain injury; spinal cord injury; inflammation and immunomodulatory disorders, preferably for the treatment and/or prophylaxis of one or more types of inflammation and immunomodulatory disorders selected from the group consisting of cutaneous T-cell lymphoma, rheumatoid arthritis, systemic lupus erythematosus, sepsis, sarcoidosis, idiopathic pulmonary fibrosis, bronchopulmonary dysplasia, retinal disease, scleroderma, renal ischemia, mycocardial infarction, cerebral
  • a further aspect of the present invention relates to pharmaceutical formulations in different pharmaceutical forms comprising an inventive active substance combination and optionally at least one further active substance and/or optionally at least one auxiliary substance.
  • inventive pharmaceutical formulation is suitable for oral or parenteral administration, more preferably for oral, intravenous, intraperitoneal, intramuscular, subcutaneous, intrathekal, rectal, transdermal, transmucosal or nasal administration.
  • Inventive pharmaceutical formulation for oral administration are preferably selected from the group consisting of tablets, dragees, capsules, powders, drops, gels, juices, sirups, solutions and suspensions.
  • the pharmaceutical formulation of the present invention for oral administration may also be in the form of multiparticulates, preferably microparticles, microtablets, pellets or granules, optionally compressed into a tablet, filled into a capsule or suspended in a suitable liquid. Suitable liquids are known to those skilled in the art.
  • the respective pharmaceutical formulations may - depending on their route of administration - also contain one or more auxiliary substances known to those skilled in the art.
  • the pharmaceutical formulations according to the present invention may be produced according to standard procedures known to those skilled in the art, e.g. from the tables of contents from ..Pharmaceutics: the Science of Dosage Forms", Second Edition, Aulton, M. E. (Ed.) Churchill Livingstone, Edinburgh (2002); ..Encyclopedia of Pharmaceutical Technology", Second Edition, Swarbrick, J. and Boylan J.C. (Eds.), Marcel Dekker, Inc. New York (2002); ..Modern Pharmaceutics", Fourth Edition, Banker G. S. and Rhodes CT.
  • the pharmaceutical formulation comprises one or both of the components (A) and (B) at least partially in a sustained- release form.
  • the inventive pharmaceutical formulation comprises component (B) at least partially in a sustained-release form.
  • sustained-release form By incorporating one or both of these components at least partially or completely in a sustained-release form it is possible to extend the duration of their effect, allowing for the beneficial effects of such a sustained release form, e.g. the maintenance of even concentrations in the blood.
  • sustained-release forms as well as materials and methods for their preparation are known to those skilled in the art, e.g. from the tables of contents from ..Modified-Release Drug Delivery Technology", Rathbone, M.J. Hadgraft, J. and Roberts, M.S. (Eds.), Marcel Dekker, Inc., New York (2002); ..Handbook of Pharmaceutical Controlled Release Technology", Wise, D.L. (Ed.), Marcel Dekker, Inc. New York, (2000);”Controlled Drug Delivery", Vol. I, Basic Concepts, Bruck, S.D.
  • the pharmaceutical formulation according to the present invention comprises at least one of the components (A) and (B) at least partially in a sustained-release form
  • said sustained release may preferably be achieved by the application of at least one coating or provision of a matrix comprising at least one sustained-release material.
  • the sustained-release material is preferably based on an optionally modified, water- insoluble, natural, semisynthetic or synthetic polymer, or a natural, semisynthetic or synthetic wax or fat or fatty alcohol or fatty acid, or on a mixture of at least two of these afore mentioned components.
  • the water-insoluble polymers used to produce a sustained-release material are preferably based on an acrylic resin, which is preferably selected from the group of poly(meth)acrylates, particularly preferably poly(Ci- 4 )alkyl (meth)acrylates, poly(Ci -4 )dialkylamino(Ci -4 )alkyl (meth)acrylates and/or copolymers or mixtures thereof, and very particularly preferably copolymers of ethyl acrylate and methyl methacrylate with a monomer molar ratio of 2:1 (Eudragit NE30D ® ), copolymers of ethyl acrylate, methyl methacrylate and trimethylammonium ethyl methacrylate- chloride with a monomer molar ratio of 1 :2:0.1 (Eudragit RS ® ), copolymers of ethyl acrylate, methyl methacrylate and trimethylammonium ethyl methacrylate
  • coating materials are commercially available as 30 wt.% aqueous latex dispersions, i.e. as Eudragit RS30D ® , Eudragit NE30D ® or Eudragit RL30D ® , and may also be used as such for coating purposes.
  • the sustained-release material is based on water-insoluble cellulose derivatives, preferably alkyl celluloses, particularly preferably ethyl cellulose, or cellulose esters, e.g. cellulose acetate.
  • alkyl celluloses particularly preferably ethyl cellulose, or cellulose esters, e.g. cellulose acetate.
  • cellulose esters e.g. cellulose acetate.
  • a dispersions are commercially available, for example, under the trademarks Aquacoat ® or Surelease ® .
  • the sustained- release material may be based on carnauba wax, beeswax, glycerol monostearate, glycerol monobehenate, glycerol ditripalmitostearate, microcrystalline wax, cetyl alcohol, cetylstearyl alcohol or a mixture of at least two of these components.
  • the afore mentioned polymers of the sustained-release material may also comprise a conventional, physiologically acceptable plasticizer in amounts known to those skilled in the art.
  • plasticizers are lipophilic diesters of a C 6 -C 40 aliphatic or aromatic dicarboxylic acid and a CrC 8 aliphatic alcohol, e.g. dibutyl phthalate, diethyl phthalate, dibutyl sebacate or diethyl sebacate, hydrophilic or lipophilic citric acid esters, e.g. triethyl citrate, tributyl citrate, acetyltributyl citrate or acetyltriethyl citrate, polyethylene glycols, propylene glycol, glycerol esters, e.g.
  • Aqueous dispersions of Eudragit RS ® and optionally Eudragit RL ® preferably contain triethyl citrate.
  • the sustained-release material may comprise one or more plasticisers in amounts of, for example, 5 to 50 wt.% based on the amount of polymer(s) used.
  • the sustained-release material may also contain other conventional auxiliary substances known to those skilled in the art, e.g. lubricants, coloured pigments or surfactants.
  • the pharmaceutical formulation of the present invention may also comprise at least one of the components (A) and (B) covered by an enteric coating form which dissolves as a function of pH. Because of this coating, part or all of the pharmaceutical formulation can pass through the stomach undissolved and the components (A) and/or (B) are only released in the intestinal tract.
  • the enteric coating preferably dissolves at a pH of between 5 and 7.5.
  • the enteric coating may be based on any enteric material known to those skilled in the art, e.g. on methacrylic acid/methyl methacrylate copolymers with a monomer molar ratio of 1 :1 (Eudragit L ® ), methacrylic acid/methyl methacrylate copolymers with a monomer molar ratio of 1 :2 (Eudragit S ® ), methacrylic acid/ethyl acrylate copolymers with a monomer molar ratio of 1 :1 (Eudragit L30D-55 ® ), methacrylic acid/methyl acrylate/methyl methacrylate copolymers with a monomer molar ratio of 7:3:1 (Eudragit FS ® ), shellac, hydroxypropyl methyl cellulose acetate-succinates, cellulose acetate-phthalates or a mixture of at least two of these components, which can optionally also be used in combination with the above-
  • the coatings of the pharmaceutical formulations of the present invention may be applied by the conventional processes known to those skilled in the art, e.g. from Johnson, J. L., ..Pharmaceutical tablet coating", Coatings Technology Handbook (Second Edition), Satas, D. and Tracton, A.A. (Eds), Marcel Dekker, Inc. New York, (2001 ), 863-866; Carstensen, T., ..Coating Tablets in Advanced Pharmaceutical Solids", Swarbrick, J. (Ed.), Marcel Dekker, Inc. New York (2001 ), 455-468; Leopold, CS.
  • the pharmaceutical formulation of the present invention contains one or both of components (A) and (B) not only in sustained-release form, but also in non-retarded form.
  • a high initial dose can be achieved for the rapid onset of the beneficial effect.
  • the slow release from the sustained release form then prevents the beneficial effect from diminishing.
  • Such a pharmaceutical formulation is particularly useful for the treatment of acute health problems.
  • Al This may be achieved, for example, by a pharmaceutical formulation having at least one immediate-release coating comprising at least one of the components (A) and (B) to provide for rapid onset of the beneficial effect after administration to the patient.
  • Substances with affinity for cannabinoid receptors are known to produce a wide range of pharmacological effects. It is also known that intravenous administration of a substance with affinity for cannabinoid receptors in mice produces analgesia , hypothermia, sedation and catalepsy. Individually, none of these effects can be considered as proof that a tested substance has affinity for cannabinoid-receptors, since all of these effects are common for various classes of centrally active agents. However, substances, which show all of these effects, i.e. substances that are active in this so-called tetrad model are considered to have affinity for the cannabinoid receptors. It has further been shown that cannabinoid receptor antagonists are highly effective in blocking the effects of a cannabinoid agonist in the mouse tetrad model.
  • mice with a weight of 20-30 g Male NMRI mice with a weight of 20-30 g (Harlan, Barcelona, Spain) are used in all of the following experiments.
  • mice are acclimatised to the experimental setting.
  • Pre-Treatment control values are determined for analgesia hot plate latency (in seconds), rectal temperature, sedation and catalepsy.
  • mice are injected intravenously with the substance to be tested or the vehicle alone. 15 minutes after injection, latency in hot plate analgesia is measured. Rectal temperature, sedation and catalepsy are measured 20 minutes after injection.
  • the hot plate analgesia is determined according to the method described in Woolfe D. et al. ,,The evaluation of analgesic action of pethidine hydrochloride (Demerol)", J. Pharmacol. Exp. Ther. 80, 300-307,1944. The respective description is hereby incorporated by reference and forms part of the present disclosure.
  • mice are placed on a hot plate (Harvard Analgesimeter) at 55 ⁇ 0.5 0 C until they show a painful sensation by licking their paws or jumping and the time for these sensations to occur is recorded. This reading is considered the basal value (B).
  • B basal value
  • PC cut-off time
  • mice Fifteen minutes after the administration of the substance to be tested, the mice are again placed on the hot plate and the afore described procedure is repeated. This period is called the post-treatment reading (PT).
  • PT post-treatment reading
  • the degree of analgesia is calculated from the formula :
  • % MPE of Analgesia ( PT- B) / (PC-B) x 100
  • Sedation and ataxia is determined according to the method described in Desmet L. K. C. et al. ..Anticonvulsive properties of Cinarizine and Flunarizine in Rats and Mice", Arzneim. -Forsch. (Frug Res) 25, 9, 1975.
  • the respective description is hereby incorporated by reference and forms part of the present disclosure.
  • the chosen scoring system is
  • the percentage of sedation is determined according to the formula:
  • % of sedation arithmetic mean / 3 X 100
  • the base-line rectal temperatures are determined with a thermometer (YeIIo Springs Instruments Co., Panlabs) and a thermistor probe inserted to 25mm before the administration of the substance to be tested. Rectal temperature is again measured 20 minutes after the administration of the substances to be tested. The temperature
  • ⁇ difference is calculated for each animal, whereby differences of ⁇ -2 0 C are considered to represent activity.
  • Catalepsy is determined according to the method described in Alpermann H. G. et al. ..Pharmacological effets of Hoe 249: A new potential antidepressant", Drugs Dev. Res. 25, 267-282. 1992. The respective description is hereby incorporated by reference and forms part of the present disclosure.
  • the cataleptic effect of the substance to be tested is evaluated according to the duration of catalepsy, whereby the animals are placed head downwards with their kinlegs upon the top of the wooden block.
  • the chosen scoring system is:
  • the percentage of catalepsy is determined according to the following formula:
  • % Catalepsy arithmetic mean / 6 X 100
  • step a) 4-(4-chlorophenyl)-2-oxo-3-butenoic acid obtained according to step a) (12.6 g, 60 mmoles), 2,4-dichlorophenylhydrazine hydrochloride (12.8 g, 60 mmoles) and glacial acetic acid (200 ml_) were mixed under a nitrogen atmosphere and heated to reflux for 4 hours, cooled down to room temperature (approximately 25 0 C) and given into ice-water, whereby a sticky mass was obtained, which was extracted with methylene chloride. The combined methylene chloride fractions were washed with water, dried with sodium sulfate, filtered and evaporated to dryness to give a pale yellow solid (12.7 g, 57% of theoretical yield).
  • N-aminopiperidine (0.6 ml_, 5.6 mmoles) and triethylamine (4 mL) were dissolved in methylene chloride (25 ml_).
  • methylene chloride 25 ml_.
  • the resulting mixture was ice-cooled down to 0 0 C and a solution of 5-(4-chlorophenyl)-1-(2,4- dichlorophenyl ⁇ . ⁇ -dihydro-pyrazole-S-carboxylic acid chloride obtained in step (c) in methylene chloride (15 mL) was added dropwise.
  • the resulting reaction mixture was stirred at room temperature (approximately 25 0 C) overnight.
  • This compound was obtained in form of an oil.
  • N-piperidinyl-5-(4-chlorophenyl)-1-(2,4- dichlorophenyl)-4,5-dihydropyrazole-3-carboxamide (0,15 g, 332 mmoles) was dissolved in 7 ml of dichloromethane. The resulting solution was ice-cooled to 0 0 C and m-chloroperbenzoic acid (0,204 g, 0,83 mmoles) added in several portions. After stirring for 15 minutes a control via thin layer chromatography showed that no starting material was remaining. A saturated solution of sodium bicarbonate was then slowly added, the organic phase separated, washed with water, dried over sodium sulfate and filtered.
  • inventive pyrazoline compounds are particularly suitable for regulating the CBrReceptor.
  • inventive pyrazoline compounds show an antagonistic effect.

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Abstract

The present invention relates to an active substance combination comprising at least one substituted pyrazoline compound and at least one statin compound, a medicament comprising said active substance combination, a pharmaceutical formulation comprising said active substance combination and the use of said active substance combination for the manufacture of a medicament.

Description

COMBINATION OF PYRAZOLINE TYPECANNABINOID RECEPTOR ANTAGONIST AND STATIN
The present invention relates to an active substance combination comprising at least one substituted pyrazoline compound and at least one statin compound, a medicament comprising said active substance combination, a pharmaceutical formulation comprising said active substance combination and the use of said active substance combination for the manufacture of a medicament.
The conversion of 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) to mevalonate is an early step in the biosynthetic pathway of cholesterol. This step is catalyzed by the enzyme HMG-CoA reductase. Statins inhibit HMG-CoA reductase from catalyzing this conversion. Statins, as such, are quite potent lipid lowering agents and are useful for the prophylaxis and/or treatment of cardiovascular diseases. A safety concern related to the use of statins is the development of rhabdomyolysis, the pathological breakdown of skeletal muscle, which may lead to acute renal failure when muscle breakdown products damage the kidney. Consequently, there is still a big demand for potent cardioprotective agents, possibly, showing less incidents of undesired side effects of statins, or at least less pronounced.
It was therefore an object of the present invention to provide a medicament suitable for the prophylaxis and/or treatment of cardiovascular diseases.
It has now surprisingly been found that the pharmacological efficacy of statins is supported by their administration in combination with one or more substituted pyrazoline compounds of general formula I and/or I' given below. Consequently, the dosage of the statin compound may be lowered and the incidence and intensity of undesired side effects may be reduced. Thus, in one of its aspects the present invention relates to an active substance combination comprising
(A) at least one substituted pyrazoline compound of general formula I
Figure imgf000003_0001
wherein
R1 represents an optionally at least mono-substituted phenyl group;
R2 represents an optionally at least mono-substituted phenyl group;
R3 represents a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system, or R3 represents an -NR4R5-moiety,
R4 and R5, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group; an -SO2-R6- moiety; or an -NR7R8-moiety, with the proviso that R4 and R5 do not identically represent hydrogen;
R6 represents a linear or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic group; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with a mono- or polycyclic ring- system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with a mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group;
R7 and R8, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group;
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
and/or
at least one substituted pyrazoline compound of general formula I1,
Figure imgf000005_0001
wherein
R1 represents hydrogen or a linear or branched Ci-4-alkyl group,
R2 , R3 and R4 independently of each other represent hydrogen, a linear or branched Ci-6-alkyl group, a linear or branched Ci.6-alkoxy group, a halogen atom, CH2F,
CHF2, CF3, CN, OH, NO2, -(C=O)-R8', SH, SR8', SOR8', SO2R8', NH2, NHR8', NR8 R9', -(C=O)-NH2, -(C=O)-NHR8' or -(C=O)-NR8R9' whereby R8' and R9' for each substituent independently represent linear or branched C1-6 alkyl,
R5 and R6 independently of each other represent a linear or branched Ci-β-alkyl group, a linear or branched
Figure imgf000005_0002
group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R10', SH, SR10', SOR10', NH2, NHR10', NR10 R11', -(C=O)-NH2, - (C=O)-NHR10' and -(C=O)-NR10 R11', whereby R10' and optionally R11' for each substituent independently represent linear or branched C1.6 alkyl;
R7 represents hydrogen, a linear or branched Ci-6-alkyl group, a linear or branched d-e-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R 1100', SH SR10', SOR10', NH2, NHR10', NR10 R11', -(C=O)-NH2, -(C=O)-NHR10' and -(C=O)- NR10R11 , whereby R10 and optionally R11 for each substituent independently represent linear or branched Ci-6 alkyl;
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
and
(B) at least one compound selected from the group of statins.
Preferably an active substance combination comprising as component (B) at least one lipase inhibitor may be excluded. Specific examples of such lipase inhibitors are the synthetic lipase inhibitor orlistat, lipase inhibitors isolated from micro organisms such as lipstatin (from Streptomyces toxytricini), ebelactone B (from Streptomyces eburaviensis), synthetic derivatives of these compounds, as well as extracts of plants known to possess lipase inhibitory activity, for instance extracts of Alpinia officinarum or compounds isolated from such extracts like 3-methylethergalangin (from A. officinarum).
Preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R1 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of a linear or branched group, a linear or branched Ci-6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R1, SH, SR', SOR', SO2R*. NH2, NHR', NR1R", -(C=O)-NH2, -(C=O)-NHR' and -(C=O)-NR1R" whereby R' and R" for each substituent independently represent linear or branched C-i-e alkyl, preferably R1 represents a phenyl group, which is optionally substituted by one or more substituents selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3, more preferably R1 represents a phenyl group, which is mono-substituted with a chlorine atom in the 4-position.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R2 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of a linear or branched Ci.6-alkyl group, a linear or branched Ci-β-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R', SH, SR', SOR', SO2R', NH2, NHR', NR'R", -(C=O)-NH2, -(C=O)-NHR' and -(C=O)-NR1R", whereby R' and optionally R" for each substituent independently represent linear or branched Ci-6 alkyl, preferably R2 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3, more preferably R2 represents a phenyl group, which is di-substituted with two chlorine atoms in its 2- and 4-position.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R3 represents a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing C3-β cycloaliphatic group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system, or R3 represents an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an -NR4R5-moiety, preferably R3 represents a saturated, optionally at least mono-substituted, optionally one or more nitrogen-atoms as ring member containing C3-8 cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an -NR4R5-moiety, more preferably R3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more Ci-6-alkyl groups, or R3 represents an -NR4R5-moiety.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R4 and R5, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono- substituted C-ι-6-aliphatic radical; a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing C3-8- cycloaliphatic group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system; or an optionally at least mono- substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH2-CH2)-group; an -Sθ2-R6-moiety; or an -NR7R8-moiety, preferably one of these residues R4 and R5 represents a hydrogen atom and the other one of these residues R4 and R5 represents a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing C3-8-cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; an -SO2-R6-moiety; or an -NR7R8-moiety, or R4 and R5, identical or different, each represent a C1-6 alkyl group, more preferably one of these residues R4 and R5 represents a hydrogen atom and the other one of these residues R4 and R5 represents an optionally at least mono-substituted pyrrolidinyl group; an optionally at least mono-substituted piperidinyl group; an optionally at least mono- substituted piperazinyl group; an optionally at least mono-substituted triazolyl group; an -SO2-R6-moiety; or an -NR7R8-moiety, or R4 and R5, identical or different, represent a methyl group, an ethyl group, an n-propyl group, an isopropyl group, an n-butyl group, a sec-butyl group or a tert.-butyl group.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R6 represents a linear or branched, saturated or unsaturated, optionally at least mono-substituted Ci-6 aliphatic group; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing C3-8 cycloaliphatic group, which may be condensed with a mono- or polycyclic ring-system; or an optionally at least mono-substituted, 5- or 6- membered aryl or heteroaryl group, which may be condensed with a mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH2- CH2)-group, preferably R6 represents a Cvβ-alkyl group; a saturated, optionally at least mono-substituted cycloaliphatic group, which may be condensed with a mono- or polycyclic ring-system; or a phenyl group, which is optionally substituted with one or more Ci.6 alkyl groups.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein R7 and R8, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono- substituted C1-6 aliphatic radical; a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing C3-S cycloaliphatic group, which may be condensed with an optionally at least mono- substituted mono- or polycyclic ring system; or an optionally at least mono- substituted, 5- or 6- membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH2-CH2)-group, preferably R7 and R8, identical or different, represent a hydrogen atom or a C1-6 alkyl radical.
More preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein
R1 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3,
R2 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3,
R3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more of Ci-6-alkyl groups, or R3 represents an -NR4R5-moiety, R4 represents a hydrogen atom or a linear or branched Ci-e-alkyl group,
R5 represents a linear or branched Ci-6 alkyl group; an -SO2-R6-moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a morpholinyl group; a triazolyl group; whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C^-alkyl groups, and
R6 represents a phenyl group, which is optionally substituted with one or more d-6 alkyl groups, which may be identical or different.
Also, more preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above, wherein
R1 represents a phenyl ring, which is mono-substituted with a halogen atom, preferably a chlorine atom, in its 4-position,
R2 represents a phenyl ring, which is di-substituted with two halogen atoms, preferably chlorine atoms, in its 2- and 4-position,
R3 represents a pyrrolidinyl group, a piperidinyl group, a piperazinyl group, a homo- piperazinyl group, a morpholinyl group, or an -NR4R5-moiety,
R4 represents a hydrogen atom or a linear or branched Ci-β-alkyl group,
R5 represents a linear or branched Ci-6 alkyl group; an -SO2-R6-moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a moφholinyl group; or a triazolyl group whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C^-alky! groups, and
R6 represents a phenyl group, which is optionally substituted with one or more C1-6 alkyl groups, which may be identical or different. Yet more preferably, the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I given above selected from the group consisting of
N-piperidinyl-δ^-chloro-phenyO-i^^-dichlorophenylH.δ-dihydro-I H-pyrazol-β- carboxamide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid-[1 ,2,4]-triazole-4-yl-amide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid-(4-methyl-piperazin-1-yl)-amide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid diethylamide,
[5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-yl]-piperidine- 1-yl-methanone and
N-[5-(4-Chloro-phenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-1 H-pyrazole-3-carbonyl]-4- methylphenylsulfonamide,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
m Also, more preferably the active substance combination according to the present invention may as the pyrazoline compound of general formula I comprise one of the following compounds
Figure imgf000012_0001
in each case optionally in the form of a corresponding N-oxide, a corresponding salt or a corresponding solvate thereof.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein at least one of R2 , R3 or R4 represents hydrogen, while at least one of R2 , R3 or R4 is different from hydrogen.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R7 represents hydrogen.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R2 , R3 and R4 independently of each other represent hydrogen, a linear or branched C^-alky! group, a halogen atom, or CF3, preferably R2 , R3 and R4 independently of each other represent hydrogen, methyl, ethyl, F, Cl, Br and CF3.
1 1 Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I1 given above, wherein R5 and R6 independently of each other represent a linear or branched Ci-6-alkyl group, a halogen atom, or CF3, preferably R5 and R6 independently of each other represent methyl, ethyl, F, Cl, Br and CF3.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R2 represents a chlorine atom in the 4-position of the phenyl ring, while R3 and R4 represent hydrogen.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R5 and R6 each represent a chlorine atoms in the 2- and 4-position of the phenyl ring, while R7 represents hydrogen.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein R1 represents hydrogen, methyl or ethyl, preferably hydrogen.
<1 O Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein the compounds of general formula I' are represented by the following structure II:
Figure imgf000014_0001
wherein
R1 represents hydrogen or a linear or branched Ci^-alkyl group,
R12 or R13 independently of each other represent a linear or branched Ci^-alkyl group, a linear or branched Ci-6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, hydrogen, methyl, ethyl, F, Cl, Br and CF3,
R14 or R15 independently of each other represent a linear or branched Ci-β-alkyl group, a linear or branched Ci-e-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, methyl, ethyl, F, Cl, Br and CF3,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a
Λ Π corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R12 and R13 independently of each other represent hydrogen, a linear or branched C-|.6-alkyl group, a halogen atom, or CF3, preferably R12 and R13 independently of each other represent hydrogen, methyl, ethyl, F, Cl, Br and CF3.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R14 and R15 independently of each other represent a linear or branched C-|.6-alkyl group, a halogen atom, or CF3, preferably R14 and R15 independently of each other represent methyl, ethyl, F, Cl, Br and CF3.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R13 represents Cl and R12 represents hydrogen.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R14 and R15 each represent Cl.
Also, preferably the active substance combination according to the present invention comprises one or more substituted pyrazoline compounds of general formula I' given above, wherein in general structure Il R1 represents hydrogen, methyl or ethyl, preferably hydrogen.
Also, preferably the active substance combination according to the present invention comprises the compound
Λ A 5-(4-chloro-phenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-1 H-pyrazol-3-carboxylic acid,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding salt thereof, or a corresponding solvate thereof as compound of general formula I'.
Also, more preferably the active substance combination according to the present invention may as the pyrazoline compound of general formula I' comprise one of the following compounds
Figure imgf000016_0001
in each case optionally in the form of a corresponding N-oxide, a corresponding salt or a corresponding solvate thereof.
The other active component of the inventive active substance combination, component (B), is a statin compound.
The term ,,statin" as used herein is synonymous with the terms ,,3-hydroxy-3- methylglutaryl-Coenzyme A reductase inhibitor" and ,,HMG-CoA reductase inhibitor" and these terms may be used interchangeably herein.
Statins as encompassed by the present invention include, but are not limited to, 4"- Hydroxymevastatin lactone, A-87049, AF-15831 , Aloxistatin, Amlodipine besylate, Angiopeptin acetate, Anglerfish somatostatin-28, AR-121 , aSS-28, atorvastatin,
1 C atorvastatin calcium, avasimibe, AY-27773, Bay-w-6228, Bervastatin, BIM-23014C, BIM-23027, BIM-23052, BIM-23056, BIM-23197, BIM-23206, BIM-23268, BIM- 23268D, BIM-23454, BIM-23627, BN-52030, BN-82176, BW-B633C, Carvastatin, cerivastatin, CETi-1 , CI-981 , Cilastatino, colesevelam, Compactin, Crilvastatin, CS- 500, CS-514, CS-866PRV, Dalvastatin, DC13-116, DC-23-99, Dihydrocompactin, E- 64-d, EN-100, Eptastatin sodium, ES-305, ES-6864, ES-8891 , EST, Estatin A, Et- 3,4-dephostatin, ezetimibe, F-10463A, Fibrostatin A, Fluindostatin, Fluindostatin sodium, Fluvastatin, Folipastatin, Ghrelin, Glenvastatin, HR-780, ICI-213878, implitapide, INS-1 , iso-Simvastatin-6-one, Itavastatin, ITM-014, KB-3305, Kodaistatin A, Kodaistatin B1 Kodaistatin C, Kodaistatin D, KS-01-018, KS-01-019, L-054264, L- 054522, L-054852, L-154803, L-166143, L-362855, L49-vcMMAF, L-637312, L- 642957, L-669262, L-796778, L-797591 , L-803087, L-817818, Lanreotide acetate, Liposomal nystatin, Lipstatin, Lovastatin, Loxistatin, LS-2904, Methoxime-3,4- dephostatin, Mevastatin, Mevinolin, MK-733, MK-791 , MK-803, ML-236B, MND-21 , Monakolin K, MT5-hAST, Mumbaistatin, NCX-6550, NCX-6553, NCX-6554, niacin, Nisvastatin, NK-104, NKS-104, NO-Pravastatin, NR-300s, Omacor, P 23924A, Pancreastatin, Pitavastatin, Plastatin, PMD-387, Pravastatin, PRL-2894, R-212, RG- 12561 , Rivastatin, Ro-090154, Ro-18-0647, Ro-18-0647/002, rosuvastatin, RS-8891 , S-4522, S-8921 , Salbostatin, SB-710411 , Schizostatin, Scyphostatin, SDZ-221- 047ac, Simvastatin, SQ-31000, Squalestatin, SR 42654, SR 42991 , SR 43062, SR- 43571 , SR-43845, SRI-62320, Synvinolin, tesaglitazar, Tetrahydrolipstatin, TF-802, Tolrestat, Tolrestatin, Trestatin, U-70504E, velostatin, WOC-3B, XU-620, XU-62-320, YH-137, YH-138, YM-548, Zaragozic acid A and ZD-4522.
Those skilled in the art will recognize that some of the above statins contain either a free carboxlic acid or a free amine group as part of their chemical structure. Some statins contain lactone moieties, which exist in quilibrium with the free carboxylic acid form. Such lactones can be maintained as carboxylates by preparing pharmaceutically active salts of the lactone. Such salts are also encompassed by the present invention.
Preferably, the statin compound of component (B) may be selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin,
Λ R dalvastatin and fluindostatin, optionally in the form of a corresponding salt or a corresponding solvate thereof.
More preferably, the statin compound of component (B) may be selected from the group consisting of selected from the group consisting of atorvastatin, atorvastatin- calcium, rosuvastatin, rosuvastatin-sodium, simvastatin, pravastatin, pravastatin- sodium, cerivastatin, cerivastatin-sodium, mevastatin, velostatin, fluvastatin, fluvastatin-sodium, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin.
The statins may be prepared by methods well known to those skilled in the art. In particular, simvastatin may be prepared by the method disclosed in US 4,444,784, pravastatin may be prepared by the method disclosed in US 4,346,227, cerivastatin may be prepared by the method disclosed in US 5,502,199, EP617019 or EP0325130, mevastatin may be prepared by the method disclosed in US 3,983,140, velostatin may be prepared by the method disclosed in US 4,448,784 and US 4,450,171 , fluvastatin may be prepared by the method disclosed in US 4,739,073 or EP0244364, compactin may be prepared by the method disclosed in US 4,804,770, lovastatin may be prepared by the method disclosed in US 4,231 ,938 or EP0306210, dalvastatin may be prepared by the method disclosed in EP 738510, fluindostatin may be prepared by the method disclosed in EP 363934, atorvastatin may be prepared by the method disclosed in US 4,681 ,893, atorvastatin-calcium may be prepared by the method disclosed in US 5,273,995, Rosuvastatin may be prepared by the method disclosed in US 5,260,440 and dihydrocompatin may be prepared by the method disclosed in US 4,450,171. The respective parts of the descriptions are hereby incorporated by reference and form part of the present disclosure.
The structure of some of the statins used in the present invention is depicted below:
17
Figure imgf000019_0001
Lovastatin Atorvastatin Cerivastatin
Figure imgf000019_0002
Mevastatin Pravastatin
Fluvastatin
Figure imgf000019_0003
Rosuvastatin Simvastatin
More preferred is an inventive active substance combination comprising
A Ά (A) at least one substituted pyrazoline compound of general formula I
Figure imgf000020_0001
wherein
R1 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3,
R2 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3,
R3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more of Ci-6-alkyl groups, or R3 represents an -NR4R5-moiety,
R4 represents a hydrogen atom or a linear or branched Ci-6-alkyl group,
R5 represents a linear or branched C-ι-6 alkyl group; an -Sθ2-R6-moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a morpholinyl group; a triazolyl group; whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C^-alkyl groups, and
R6 represents a phenyl group, which is optionally substituted with one or more Ci-6 alkyl groups, which may be identical or different.
1 Q optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
and/or
at least one substituted pyrazoline compound of general formula I' represented by the following structure II:
Figure imgf000021_0001
wherein
R1 represents hydrogen or a linear or branched Ci-4-alkyl group,
R12 or R13 independently of each other represent a linear or branched Ci-β-alkyI group, a linear or branched Ci_6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, hydrogen, methyl, ethyl, F, Cl, Br and CF3,
on R14 or R15 independently of each other represent a linear or branched Ci-6-alkyl group, a linear or branched Cvβ-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, methyl, ethyl, F, Cl, Br and CF3,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
and
(B) at least one statin compound selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin, optionally in the form of a corresponding salt or a corresponding solvate thereof.
Yet more preferred is an inventive active substance combination comprising
one or more substituted pyrazoline compounds of general formula I selected from the group consisting of
N-piperidinyl-δ^-chloro-phenyO-i^^-dichlorophenyl^.δ-dihydro-I H-pyrazol-S- carboxamide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid-[1 ,2,4]-triazole-4-yl-amide,
5-(4-Chloro-phenyl)-1 -(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid-(4-methyl-piperazin-1-yl)-amide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid diethylamide,
OΛ [5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-yl]-piperidine- 1-yl-methanone and
N-[5-(4-Chloro-phenyl)-1 -(2,4-dichlorophenyl)-4,5-dihydro-1 H-pyrazole-3-carbonyl]-4- methylphenylsulfonamide,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
and/or
5-(4-chloro-phenyl)-1 -(2,4-dichlorophenyl)-4,5-dihydro-1 H-pyrazol-3-carboxylic acid
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding salt thereof, or a corresponding solvate thereof,
and
(B) at least one statin compound selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin, optionally in the form of a corresponding salt or a corresponding solvate thereof.
OO The inventively used substituted pyrazoline compounds may, for example, be obtained by the following process, according to which at least one benzaldehyde compound of general formula Il
Figure imgf000024_0001
(N)
wherein R1 has the meaning given above, is reacted with a pyruvate compound of general formula (III)
Figure imgf000024_0002
(III). wherein G represents an OR group with R being a branched or unbranched C1-6 alkyl radical, preferably an ethyl radical, or G represents an O K group with K being a cation, preferably a monovalent cation, more preferably an alkali metal cation, even more preferably a sodium cation, to yield a compound of general formula (IV)
Figure imgf000024_0003
(IV)
OI wherein R1 has the meaning given above, which is optionally isolated and/or optionally purified, and which is reacted with an optionally substituted phenyl hydrazine of general formula (V)
/ NH5
HN
R^
(V)
or a corresponding salt thereof, wherein R2 has the meaning given above, under an inert atmosphere, to yield a compound of general formula (Vl)
Figure imgf000025_0001
(Vl)
wherein R1 and R2 have the meaning as given above, which is optionally isolated and/or optionally purified, and optionally transferred under inert atmosphere to a compound of general formula (VII)
Figure imgf000025_0002
(VII)
OA wherein the substituents R1 and R2 have the meaning given above and A represents a leaving group, via the reaction with an activating agent, said compound being optionally isolated and/or optionally purified, and at least one compound of general formula (Vl) is reacted with a compound of general formula R3H, wherein R3 represents an -NR4R5-moiety, wherein R4 and R5 have the meaning given above, to yield a substituted pyrazoline compound of general formula I, wherein R3 represents an -NR4R5-moiety,
and/or at least one compound of general formula (VII) is reacted with a compound of the general formula R3H, in which R3 has the meaning given above to yield a compound of general formula (I) given above, which is optionally isolated and/or optionally purified.
The process is also illustrated in scheme I given below:
OR Scheme I:
Figure imgf000027_0001
for R being different from -NR4R5
The reaction of the benzaldehyde compound of general formula Il with a pyruvate compound of general formula III is preferably carried out in the presence of at least one base, more preferably in the presence of an alkali metal hydroxide such as sodium hydroxide or potassium hydroxide or an alkali metal methoxide such as sodium methoxide, as described, for example, in Synthetic communications, 26(11 ), 2229-33, (1996). The respective description is hereby incorporated by reference and forms part of the disclosure. Preferably sodium pyruvate may be used as the pyruvate compound. Preferably said reaction is carried out in a protic reaction medium such as a Ci-4 alkyl alcohol
OR or mixtures of these. Mixtures of such alcohols with water, e.g. ethanol/water may also be used.
Reaction temperature as well as the duration of the reaction may vary over a broad range. Preferred reaction temperatures range from -10 0C to the boiling point of the reaction medium. Suitable reaction times may vary for example from several minutes to several hours.
Also preferred the reaction of the benzaldehyde compound of general formula Il with a pyruvate compound of general formula III is carried out under acid catalyzed conditions, more preferably by refluxing the mixture in dichloromethane in the presence of copper(ll)trifluoromethanesulfonate as described, for example, in Synlett, (1 ), 147-149, 2001. The respective description is hereby incorporated by reference and forms part of the disclosure.
The reaction of the compound of general formula (IV) with an optionally substituted phenyl Hydrazin of general formula (V) is preferably carried out in a suitable reaction medium such as C-ι-4-alcohols or ethers such as dioxane or Tetrahydrofuran or mixtures of at least two of these afore mentioned compounds. Also preferably, said reaction may be carried out in the presence of an acid, whereby the acid may be organic such as acetic acid and/or inorganic such as hydrochloric acid. Furthermore, the reaction may also be carried out in the presence of a base such as piperidine, piperazine, sodium hydroxide, potassium hydroxide, sodium methoxide or sodium ethoxide, or a mixture of at least two of these bases may also be used.
Reaction temperature as well as the duration of the reaction may vary over a broad range. Suitable reaction temperatures range from room temperature, i.e. approximately 25 0C to the boiling point of the reaction medium. Suitable reaction times may vary for example from several minutes to several hours.
OT The carboxylic group of the compound of general formula (Vl) may be activated for further reactions by the introduction of a suitable leaving group according to conventional methods well known to those skilled in the art. Preferably the compounds of general formula (Vl) are transferred into an acid chloride, an acid anhydride, a mixed anhydride, a d-4 alkyl ester, an activated ester such as p- nitrophenylester. Other well known methods for the activation of acids include the activation with N,N-dicyclohexylcarbodiimide or benzotriazol-N- oxotris(dimethylamino) phosphonium hexafluorophosphate (BOP)).
If said activated compound of general formula (VII) is an acid chloride, it is preferably prepared by reaction of the corresponding acid of general formula (Vl) with thionyl chloride or oxalyl chloride, whereby said chlorinating agent is also used as the solvent. Also preferably an additional solvent may be used. Suitable solvents include hydrocarbons such as benzene, toluene or xylene, halogenated hydrocarbons such as dichloromethane, chloroform or carbon tetrachloride, ethers such as diethyl ether, dioxane, Tetrahydrofuran or dimethoxyethane. Mixtures of two or more solvents from one class or two or more solvents from different classes may also be used. Preferred reaction temperature range from 0° C to the boiling point of the solvent and reaction times from several minutes to several hours.
If said activated compound of general formula (VII) is a mixed anhydride, said anhydride may preferably be prepared, for example, by reaction of the corresponding acid of general formula (Vl) with ethyl chloroformiate in the presence of a base such as triethylamine or pyridine, in a suitable solvent.
The reaction of general formula (VII) with a compound of general formula HR3 to yield compounds of general formula I, wherein R3 represents an -NR4R5 moiety is preferably carried out in presence of a base such as triethylamine in a reaction medium such as methylenchloride. The temperature is preferably in the range from O0C to the boiling point of the reaction medium. The reaction time may vary over a broad range, e.g. from several hours to several days.
9« The reaction of general formula (VII) with a compound of general formula HR3 to yield compounds of general formula I1 wherein R3 represents a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system may be carried out according to conventional methods well known to those skilled in the art, e.g. from Pascual, A., J. Prakt Chem., 1999, 341(7), 695-700; Lin, S. et al., Heterocycles, 2001 , 55(2), 265-277; Rao, P. et al., J. Org. Chem., 2000, 65(22), 7323-7344, Pearson D.E and Buehler, CA. , Synthesis, 1972, 533-542 and references cited therein. The respective descriptions are hereby incorporated by reference and form part of the present disclosure.
Preferably said reaction is carried out in the presence of a Lewis acid, which is preferably selected from the group consisting of FeCI3, ZnCb and AICb, in a suitable reaction medium such as toluene, benzene, tetrahydrofurane or similar. The temperature is preferably in the range from O0C to the boiling point of the reaction medium, more preferably from 15 to 25 0C. The reaction time may vary over a broad range, e.g. from several minutes to several hours.
The afore mentioned reactions involving the synthesis of the 4,5-dihydro-pyrazole ring or the reaction of a compound comprising said ring are carried out under an inert atmosphere, preferably nitrogen or argon, to avoid oxidation of the ring-system.
During the processes described above the protection of sensitive groups or of reagents may be necessary and/or desirable. The introduction of conventional protective groups as well as their removal may be performed by methods well-known to those skilled in the art.
If the substituted pyrazoline compounds of general formula (I) themselves are obtained in form of a mixture of stereoisomers, particularly enantiomers or diastereomers, said mixtures may be separated by standard procedures known to
9Q those skilled in the art, e.g. chromatographic methods or fractionalised crystallisation with chiral reagents. It is also possible to obtain pure stereoisomers via stereoselective synthesis.
Salts of the inventively used active compounds may be obtained by a process, wherein at least one of the compounds having at least one basic group is reacted with at least one inorganic and/or organic acid, preferably in the presence of a suitable reaction medium. Suitable reaction media include, for example, any of the ones given above. Suitable inorganic acids include hydrochloric acid, hydrobromic acid, phosphoric acid, sulfuric acid, nitric acid, suitable organic acids are e.g. citric acid, maleic acid, fumaric acid, tartaric acid, or derivatives thereof, p-toluenesulfonic acid, methanesulfonic acid or camphersulfonic acid.
Salts of the inventively used active compounds may also be prepared by a method, wherein at least one of the compounds having at least one acidic group is reacted with one or more suitable bases, preferably in the presence of a suitable reaction medium. Suitable bases are e.g. hydroxides, carbonates or alkoxides, which include suitable cations, derived e.g. from alkaline metals, alkaline earth metals or organic cations, e.g. [NHnR^n]+, wherein n is 0, 1 , 2, 3 or 4 and R represents a branched or unbranched C-M-alkyl-radical. Suitable reaction media are, for example, any of the ones given above.
Solvates, preferably hydrates, of the inventively used substituted pyrazoline compounds of general formula (I), of corresponding stereoisomers, of corresponding N-oxides or of corresponding salts thereof may also be obtained by standard procedures known to those skilled in the art.
Substituted pyrazoline compounds of general formula I, which comprise nitrogen- atom containing saturated, unsaturated or aromatic rings may also be obtained in the form of their N-oxides by methods well known to those skilled in the art and used in the active substance combination of the present invention.
--in Those skilled in the art understand that the term substituted pyrazoline compounds as used herein is to be understood as encompassing derivatives such as ethers, esters and complexes of these compounds as well. The term "derivatives" as used in this application is defined here as meaning a chemical compound having undergone a chemical derivation starting from an acting (active) compound to change
(ameliorate for pharmaceutical use) any of its physico-chemical properties, especially a so-called prodrug, e.g. their esters and ethers. Examples of well known methods of producing a prodrug of a given acting compound are known to those skilled in the art and can be found e.g. in Krogsgaard-Larsen et al., Textbook of Drugdesign and Discovery, Taylor & Francis (April 2002). The respective description is hereby incorporated by reference and forms part of the disclosure.
The purification and isolation of the inventively used substituted pyrazoline compounds of general formula (I), of a corresponding stereoisomer, or salt, or N- oxide, or solvate or any intermediate thereof may, if required, be carried out by conventional methods known to those skilled in the art, e.g. chromatographic methods or recrystallization.
The inventive active substance combination may comprise the components (A) and (B) in a molar ratio of component (A) to component (B) in the range of 1 :10 to 10:1 , preferably 1 :5 to 5:1.
The inventive active substance combination is suitable for the administration to humans, including infants, children and grown-ups, as well as animals.
Preferably the total amount of the active substance(s) according to component (A), calculated as the free compound(s), to be administered to the patient in a 24 hours period does not exceed 800 mg, preferably does not exceed 500 mg.
The total amount of the active substance(s) according to component (B), calculated as the free compound(s), to be administered to the patient in a 24 hours period does preferably not exceed 160 mg, more preferably does not exceed 80 mg. Preferably the inventive active substance combination comprises components (A) and (B) in the above defined molar ratios and within the afore given limits for the
riΛ maximum dosis to be administered per day. Medicaments on the basis of the inventive active substance combination may preferably be administered once daily, twice daily or three times daily, more preferably once daily or twice daily, most preferably once daily.
In another aspect the present invention relates to a medicament comprising an inventive active substance combination and optionally at least one further active substance and/or optionally at least one auxiliary substance.
Specifically, the inventive medicament is suitable for the modulation of cannabinoid- receptors, preferably cannabinoid 1 (CBi) receptors; and/or for HMG-CoA reductase inhibition.
The inventive medicament is particular useful for the prophylaxis and/or treatment of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperlipidemia, Lipoprotein disorders, Hypercholesterolemia, or for lowering of cardiac risk.
Cardiac risk as used herein means that a subject (human or animal) will suffer a future adverse cardiac event such as, e.g. myocardial infarction, cardiac arrest, cardiac failure, cardiac ischemia. Cardiac risk can be calculated using the Framingham Risk equation, as disclosed with respect to the Framingham Heart Study, in Wilson et al., Am. J. Cardiol. 1987, 59(14):91G-94G. The respective part of the literature is herewith incorporated by reference and forms part of the present disclosure.
The inventive medicament is also suitable for the modulation of cannabinoid- receptors, preferably cannabinoid 1 (CBi) receptors; for the regulation of triglyceride levels in the blood plasma; for the prophylaxis and/or treatment of disorders of the central nervous system; for the prophylaxis and/or treatment of disorders of the cardiovascular system; for the prophylaxis and/or treatment of disorders of the immune system; for the prophylaxis and/or treatment of disorders of the endocrinous system; for the prophylaxis and/or treatment of disorders of the respiratory system;
^o for the prophylaxis and/or treatment of disorders of the gastrointestinal tract and/or for the prophylaxis and/or treatment of reproductive disorders.
Also particularly preferred is the use of at least one of the pyrazoline compounds as defined herein and optionally one or more pharmaceutically acceptable excipients, for the preparation of a medicament for the treatment of metabolic syndrome.
The metabolic syndrome and definitions thereof are described in detail by Eckel et al., The Lancet, Vol. 365 (2005), 1415-1428, included herewith by reference. One of the respective definitions was established by the WHO in 1998 (as described in
Alberti et al., Diabet. Med. 1998, 15, pages 539-53, the respective description thereof is herewith incorporated by reference and forms part of the present disclosure). The other, more widely accepted, definition of the metabolic syndrome was established by the Adult Treatment Panel (ATP III) of the US National Cholesterol Education Program (NCEP) in 2001 , as described in JAMA 2001 ; 285; 2486-97, the respective description thereof is herewith incorporated by reference and forms part of the present disclosure.
The metabolic syndrome is characterized by an interaction of several physiological parameters such as triglycerides, lipids, blood pressure, glucose levels and insuline levels.
Even though obesity may play a critical role in the development of metabolic syndrome, many of its aspects are weight independent, especially some lipid parameters. Especially the positive influence on the weight independent aspects of the metabolic syndrome (see e.g. Pagotto and Pasquali, The Lancet, Vol. 365 (2005), 1363, 1364, included herewith by reference) like some blood parameters, especially lipid parameters is one of the major and surprising advantages of the inventively used substituted pyrazoline compounds.
Another aspect of the invention is the use of one or more pyrazoline compounds as defined herein for the manufacture of a medicament for improvement of cardiovascular and/or metabolic risk factors, such as one or more of the following factors:
^ Elevated triglycerides, whereby elevated levels of triglycerides are preferably understood as being > 150 mg/dl,
Low HDL cholesterol, whereby low levels of HDL cholesterol are preferably understood as being < 40 mg/dl in men and < 50 mg/dl in women,
Hypertension, whereby hypertension is preferably understood as being > 130/85 mmHg,
Impaired fasting glucose, whereby impaired fasting glucose levels are preferably understood as being > 110 mg/dl,
Insulin resistance
Dyslipidemia.
Another aspect of the invention is the use of one or more pyrazoline compounds as defined herein for the manufacture of a medicament for the treatment of the weight independent aspects of metabolic syndrome.
Another aspect of the invention is a method for improving cardiovascular and/or metabolic risk factors, such as one or more of the following factors:
Elevated triglycerides, whereby elevated levels of triglycerides are preferably understood as being > 150 mg/dl,
Low HDL cholesterol, whereby low levels of HDL cholesterol are preferably understood as being < 40 mg/d! in men and < 50 mg/dl in women,
Hypertension, whereby hypertension is preferably understood as being > 130/85 mmHg,
1XA Impaired fasting glucose, whereby impaired fasting glucose levels are preferably understood as being > 110 mg/dl,
Insulin resistance
Dyslipidemia,
in a subject, preferably a human.
Another aspect of the invention is a method for treating of the weight independent aspects of metabolic syndrome.
Since the pyrazoline compounds as defined herein also have a beneficial effect on the ratio of low density lipoprotein (LDL) to high density lipoprotein (HDL), i.e. they lower the LDL-levels and/or elevate the HDL levels; they are also useful as coating material or co-coating material in stents in order to prevent restenosis.
Moreover, the inventive medicament is also suitable for the prophylaxis and/or - treatment of one or more of the following disorders: food intake disorders, preferably selected from the group consisting of bulimia; anorexia; cachexia; obesity and type Il diabetes mellitus (non-insuline dependent diabetes mellitus), more preferably obesity; psychosis; alcohol abuse and/or addiction; nicotine abuse and/or addiction; drug abuse and/or addiction; medicament abuse and/or addiction; schizophrenia; anxiety; depression; epilepsy; neurodegenerative disorders, preferably Morbus Parkinson; Morbus Huntington; Morbus Alzheimer and/or Multiple Sclerosis; cerebellar disorders; spinocerebellar disorders; cognitive disorders; cranial trauma; panic attacks; peripheric neuropathy; glaucoma; migraine; Raynaud's disease; tremblement disorders; compulsive disorders; senile dementia; thymic disorders; tardive dyskinesia; bipolar disorders; bone disorders including osteoporosis or Paget's disease of bone; cancer, preferably for the prophylaxis and/or treatment of one or more types of cancer selected from the group consisting of brain cancer; bone cancer; lip cancer; mouth cancer; esophageal cancer; stomach cancer; liver cancer; bladder cancer; pancreas cancer; ovary cancer; cervical cancer; lung cancer; breast cancer; skin cancer; colon cancer; bowl
IK cancer and prostate cancer, more preferably for the prophylaxis and/or treatment of one or more types of cancer selected from the group consisting of colon cancer; bowel cancer and prostate cancer, medicament-induced movement disorders; dystonia; endotoxemic shock; stroke; hemorrhagic shock; hypotension; insomnia; immunologic disorders; sclerotic plaques; vomiting; diarrhoea; asthma; memory disorders; pruritus; pain; or for potentiation of the analgesic effect of narcotic and non-narcotic analgesics; or for influencing intestinal transit.
The medicament is also suitable for the prophylaxis and/or treatment of one or more disorders selected from the group consisting of dementia and related disorders, preferably for the prophylaxis and/or treatment of one or more types of dementia selected from the group consisting of memory loss, vascular dementia, mild cognitive impairment, frontotemporal dementia and Pick's disease; binge eating disorders; juvenile obesity; drug induced obesity; atypical depression; behavioural addictions; attention deficit disorders; Tourette's syndrome; suppression of reward-related behaviours; e. g. conditioned place avoidance such as suppression of cocaine- and morphine induced conditioned place preference; impulsivity; sexual dysfunction; preferably for the prophylaxis and/or treatment of one or more types of sexual dysfunction selected from the group consisting of erectile difficulty and female sexual dysfunction; seizure disorders; nausea; emesis; neuroinflammatory disease, preferably for the prophylaxis and/or treatment of one or more types of neuroinflammatory diseases selected from the group consisting of multiple sclerosis, demyelinisation related disorders, Guillan-Barre syndrome, viral encephalitis and cerebrovascular accidents; neurological disorders; muscle spasticity; traumatic brain injury; spinal cord injury; inflammation and immunomodulatory disorders, preferably for the treatment and/or prophylaxis of one or more types of inflammation and immunomodulatory disorders selected from the group consisting of cutaneous T-cell lymphoma, rheumatoid arthritis, systemic lupus erythematosus, sepsis, sarcoidosis, idiopathic pulmonary fibrosis, bronchopulmonary dysplasia, retinal disease, scleroderma, renal ischemia, mycocardial infarction, cerebral ischemia, nephritis, hepatitis, glomerulonephritis, cryptogenic fibrosing aveolitis, psoriasis, transplant rejection, atopic dermatitis, vasculitis, allergy, seasonal allergic rhinitis, Crohn's disease, inflammatory bowel disease, reversible airway obstruction, adult respiratory distress syndrome, chronic obstructive pulmonary disease and bronchitis; cerebral
<a« apoplexy; craniocerebral trauma; neuropathic pain disorders; gastric ulcers; atheriosclerosis and liver cirrhosis.
Those skilled in the art understand that the components (A) and (B) of the active substance combination as well as the different components of components (A) may be administered simultaneously or sequentially to one another, whereby in each case components (A) (including one or both of substituted pyrazoline compounds of general formula I and I') and (B) may be administered via the same or different administration pathways, e.g. orally or parenterally. preferably both components (A) and (B) are administered simultaneously in one and the same administration form.
Another aspect of the present invention relates to the use of an inventive pharmacologically active substance combination for the preparation of a medicament for the modulation of cannabinoid-receptors, preferably cannabinoid 1 (CBi) receptors; and/or for HMG-CoA reductase inhibition.
Another aspect of the present invention relates to the use of an inventive pharmacologically active substance combination for the preparation of a medicament for the prophylaxis and/or treatment of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperlipidemia, Lipoprotein disorders, Hypercholesterolemia, or for lowering of cardiac risk.
Another aspect of the present invention relates to the use of an inventive pharmacologically active substance combination for the preparation of a medicament for the modulation of cannabinoid-receptors, preferably cannabinoid 1 (CBi) receptors; for the regulation of triglyceride levels in the blood plasma; for the prophylaxis and/or treatment of disorders of the central nervous system; for the prophylaxis and/or treatment of disorders of the cardiovascular system; for the prophylaxis and/or treatment of disorders of the immune system; for the prophylaxis and/or treatment of disorders of the endocrinous system; for the prophylaxis and/or treatment of disorders of the respiratory system; for the prophylaxis and/or treatment of disorders of the gastrointestinal tract and/or for the prophylaxis and/or treatment of reproductive disorders.
V7 The use for the preparation of a medicament for the prophylaxis and/or treatment of one or more of the following disorders:
food intake disorders, preferably selected from the group consisting of bulimia; anorexia; cachexia; obesity and type Il diabetes mellitus (non-insuline dependent diabetes mellitus), more preferably obesity; psychosis; alcohol abuse and/or addiction; nicotine abuse and/or addiction; drug abuse and/or addiction; medicament abuse and/or addiction; schizophrenia; anxiety; depression; epilepsy; neurodegenerative disorders, preferably Morbus Parkinson; Morbus Huntington; Morbus Alzheimer and/or Multiple Sclerosis; cerebellar disorders; spinocerebellar disorders; cognitive disorders; cranial trauma; panic attacks; peripheric neuropathy; glaucoma; migraine; Raynaud's disease; tremblement disorders; compulsive disorders; senile dementia; thymic disorders; tardive dyskinesia; bipolar disorders; bone disorders including osteoporosis or Paget's disease of bone; cancer, preferably for the prophylaxis and/or treatment of one or more types of cancer selected from the group consisting of brain cancer; bone cancer; lip cancer; mouth cancer; esophageal cancer; stomach cancer; liver cancer; bladder cancer; pancreas cancer; ovary cancer; cervical cancer; lung cancer; breast cancer; skin cancer; colon cancer; bowl cancer and prostate cancer, more preferably for the prophylaxis and/or treatment of one or more types of cancer selected from the group consisting of colon cancer; bowel cancer and prostate cancer, medicament-induced movement disorders; dystonia; endotoxemic shock; stroke; hemorrhagic shock; hypotension; insomnia; immunologic disorders; sclerotic plaques; vomiting; diarrhoea; asthma; memory disorders; pruritus; pain; or for potentiation of the analgesic effect of narcotic and non-narcotic analgesics; or for influencing intestinal transit; or for the prophylaxis and/or treatment of one or more disorders selected from the group consisting of dementia and related disorders, preferably for the prophylaxis and/or treatment of one or more types of dementia selected from the group consisting of memory loss, vascular dementia, mild cognitive impairment, frontotemporal dementia and Pick's disease; binge eating disorders; juvenile obesity; drug induced obesity; atypical depression; behavioural addictions; attention deficit disorders; Tourette's syndrome; suppression of reward-related behaviours; e. g. conditioned place avoidance such as suppression of cocaine- and morphine induced conditioned place preference; impulsivity; sexual dysfunction; preferably for the prophylaxis and/or treatment of one
^ft or more types of sexual dysfunction selected from the group consisting of erectile difficulty and female sexual dysfunction; seizure disorders; nausea; emesis; neuroinflammatory disease, preferably for the prophylaxis and/or treatment of one or more types of neuroinflammatory diseases selected from the group consisting of multiple sclerosis, demyelinisation related disorders, Guillan-Barre syndrome, viral encephalitis and cerebrovascular accidents; neurological disorders; muscle spasticity; traumatic brain injury; spinal cord injury; inflammation and immunomodulatory disorders, preferably for the treatment and/or prophylaxis of one or more types of inflammation and immunomodulatory disorders selected from the group consisting of cutaneous T-cell lymphoma, rheumatoid arthritis, systemic lupus erythematosus, sepsis, sarcoidosis, idiopathic pulmonary fibrosis, bronchopulmonary dysplasia, retinal disease, scleroderma, renal ischemia, mycocardial infarction, cerebral ischemia, nephritis, hepatitis, glomerulonephritis, cryptogenic fibrosing aveolitis, psoriasis, transplant rejection, atopic dermatitis, vasculitis, allergy, seasonal allergic rhinitis, Crohn's disease, inflammatory bowel disease, reversible airway obstruction, adult respiratory distress syndrome, chronic obstructive pulmonary disease and bronchitis; cerebral apoplexy; craniocerebral trauma; neuropathic pain disorders; gastric ulcers; atheriosclerosis and liver cirrhosis;
is particularly preferred.
A further aspect of the present invention relates to pharmaceutical formulations in different pharmaceutical forms comprising an inventive active substance combination and optionally at least one further active substance and/or optionally at least one auxiliary substance.
Preferably the inventive pharmaceutical formulation is suitable for oral or parenteral administration, more preferably for oral, intravenous, intraperitoneal, intramuscular, subcutaneous, intrathekal, rectal, transdermal, transmucosal or nasal administration.
Inventive pharmaceutical formulation for oral administration are preferably selected from the group consisting of tablets, dragees, capsules, powders, drops, gels, juices, sirups, solutions and suspensions.
^Q The pharmaceutical formulation of the present invention for oral administration may also be in the form of multiparticulates, preferably microparticles, microtablets, pellets or granules, optionally compressed into a tablet, filled into a capsule or suspended in a suitable liquid. Suitable liquids are known to those skilled in the art.
The respective pharmaceutical formulations may - depending on their route of administration - also contain one or more auxiliary substances known to those skilled in the art. The pharmaceutical formulations according to the present invention may be produced according to standard procedures known to those skilled in the art, e.g. from the tables of contents from ..Pharmaceutics: the Science of Dosage Forms", Second Edition, Aulton, M. E. (Ed.) Churchill Livingstone, Edinburgh (2002); ..Encyclopedia of Pharmaceutical Technology", Second Edition, Swarbrick, J. and Boylan J.C. (Eds.), Marcel Dekker, Inc. New York (2002); ..Modern Pharmaceutics", Fourth Edition, Banker G. S. and Rhodes CT. (Eds.) Marcel Dekker, Inc. New York 2002 and ,,The Theory and Practice of Industrial Pharmacy", Lachman L., Lieberman H. and Kanig J. (Eds.), Lea & Febiger, Philadelphia (1986). The respective descriptions are incorporated by reference and are part of the present disclosure.
In one embodiment of the present invention the pharmaceutical formulation comprises one or both of the components (A) and (B) at least partially in a sustained- release form. Preferably the inventive pharmaceutical formulation comprises component (B) at least partially in a sustained-release form.
By incorporating one or both of these components at least partially or completely in a sustained-release form it is possible to extend the duration of their effect, allowing for the beneficial effects of such a sustained release form, e.g. the maintenance of even concentrations in the blood.
Suitable sustained-release forms as well as materials and methods for their preparation are known to those skilled in the art, e.g. from the tables of contents from ..Modified-Release Drug Delivery Technology", Rathbone, M.J. Hadgraft, J. and Roberts, M.S. (Eds.), Marcel Dekker, Inc., New York (2002); ..Handbook of Pharmaceutical Controlled Release Technology", Wise, D.L. (Ed.), Marcel Dekker, Inc. New York, (2000);"Controlled Drug Delivery", Vol. I, Basic Concepts, Bruck, S.D.
An (Ed.), CRC Press Inc., Boca Raton (1983) and from Takada, K. and Yoshikawa, H., ,,Oral Drug delivery", Encyclopedia of Controlled Drug Delivery, Mathiowitz, E. (Ed.), John Wiley & Sons, Inc., New York (1999), Vol. 2, 728-742; Fix, J., ,,Oral drug delivery, small intestine and colon", Encylopedia of Controlled Drug Delivery, Mathiowitz, E. (Ed.), John Wiley & Sons, Inc., New York (1999), Vol. 2, 698-728. The respective descriptions are incorporated by reference and are part of the disclosure.
If the pharmaceutical formulation according to the present invention comprises at least one of the components (A) and (B) at least partially in a sustained-release form, said sustained release may preferably be achieved by the application of at least one coating or provision of a matrix comprising at least one sustained-release material.
The sustained-release material is preferably based on an optionally modified, water- insoluble, natural, semisynthetic or synthetic polymer, or a natural, semisynthetic or synthetic wax or fat or fatty alcohol or fatty acid, or on a mixture of at least two of these afore mentioned components.
The water-insoluble polymers used to produce a sustained-release material are preferably based on an acrylic resin, which is preferably selected from the group of poly(meth)acrylates, particularly preferably poly(Ci-4)alkyl (meth)acrylates, poly(Ci-4)dialkylamino(Ci-4)alkyl (meth)acrylates and/or copolymers or mixtures thereof, and very particularly preferably copolymers of ethyl acrylate and methyl methacrylate with a monomer molar ratio of 2:1 (Eudragit NE30D®), copolymers of ethyl acrylate, methyl methacrylate and trimethylammonium ethyl methacrylate- chloride with a monomer molar ratio of 1 :2:0.1 (Eudragit RS®), copolymers of ethyl acrylate, methyl methacrylate and trimethylammonium ethyl methacrylate-chloride with a monomer molar ratio of 1 :2:0.2 (Eudragit RL®), or a mixture of at least two of the above-mentioned copolymers. These coating materials are commercially available as 30 wt.% aqueous latex dispersions, i.e. as Eudragit RS30D®, Eudragit NE30D® or Eudragit RL30D®, and may also be used as such for coating purposes.
In another embodiment, the sustained-release material is based on water-insoluble cellulose derivatives, preferably alkyl celluloses, particularly preferably ethyl cellulose, or cellulose esters, e.g. cellulose acetate. Aqueous ethyl cellulose
Λ A dispersions are commercially available, for example, under the trademarks Aquacoat® or Surelease®.
As natural, semisynthetic or synthetic waxes, fats or fatty alcohols, the sustained- release material may be based on carnauba wax, beeswax, glycerol monostearate, glycerol monobehenate, glycerol ditripalmitostearate, microcrystalline wax, cetyl alcohol, cetylstearyl alcohol or a mixture of at least two of these components.
The afore mentioned polymers of the sustained-release material may also comprise a conventional, physiologically acceptable plasticizer in amounts known to those skilled in the art.
Examples of suitable plasticizers are lipophilic diesters of a C6-C40 aliphatic or aromatic dicarboxylic acid and a CrC8 aliphatic alcohol, e.g. dibutyl phthalate, diethyl phthalate, dibutyl sebacate or diethyl sebacate, hydrophilic or lipophilic citric acid esters, e.g. triethyl citrate, tributyl citrate, acetyltributyl citrate or acetyltriethyl citrate, polyethylene glycols, propylene glycol, glycerol esters, e.g. triacetin, Myvacet® (acetylated mono- and diglycerides, C23H44O5 to C25H47O7), medium-chain triglycerides (Miglyol®), oleic acid or mixtures of at least two of said plasticizers. Aqueous dispersions of Eudragit RS® and optionally Eudragit RL® preferably contain triethyl citrate. The sustained-release material may comprise one or more plasticisers in amounts of, for example, 5 to 50 wt.% based on the amount of polymer(s) used.
The sustained-release material may also contain other conventional auxiliary substances known to those skilled in the art, e.g. lubricants, coloured pigments or surfactants.
The pharmaceutical formulation of the present invention may also comprise at least one of the components (A) and (B) covered by an enteric coating form which dissolves as a function of pH. Because of this coating, part or all of the pharmaceutical formulation can pass through the stomach undissolved and the components (A) and/or (B) are only released in the intestinal tract. The enteric coating preferably dissolves at a pH of between 5 and 7.5.
/I O The enteric coating may be based on any enteric material known to those skilled in the art, e.g. on methacrylic acid/methyl methacrylate copolymers with a monomer molar ratio of 1 :1 (Eudragit L®), methacrylic acid/methyl methacrylate copolymers with a monomer molar ratio of 1 :2 (Eudragit S®), methacrylic acid/ethyl acrylate copolymers with a monomer molar ratio of 1 :1 (Eudragit L30D-55®), methacrylic acid/methyl acrylate/methyl methacrylate copolymers with a monomer molar ratio of 7:3:1 (Eudragit FS®), shellac, hydroxypropyl methyl cellulose acetate-succinates, cellulose acetate-phthalates or a mixture of at least two of these components, which can optionally also be used in combination with the above-mentioned water-insoluble poly(meth)acrylates, preferably in combination with Eudragit NE30D® and/or Eudragit RL® and/or Eudragit RS®.
The coatings of the pharmaceutical formulations of the present invention may be applied by the conventional processes known to those skilled in the art, e.g. from Johnson, J. L., ..Pharmaceutical tablet coating", Coatings Technology Handbook (Second Edition), Satas, D. and Tracton, A.A. (Eds), Marcel Dekker, Inc. New York, (2001 ), 863-866; Carstensen, T., ..Coating Tablets in Advanced Pharmaceutical Solids", Swarbrick, J. (Ed.), Marcel Dekker, Inc. New York (2001 ), 455-468; Leopold, CS. , ,,Coated dosage forms for colon-specific drug delivery", Pharmaceutical Science & Technology Today, 2(5), 197-204 (1999), Rhodes, CT. and Porter, S.C., Coatings, in Encyclopedia of Controlled Drug Delivery. Mathiowitz, E. (Ed.), John Wiley & Sons, Inc., New York (1999), Vol. 1 , 299-311. The respective descriptions are incorporated by reference and are part of the present disclosure.
In another embodiment, the pharmaceutical formulation of the present invention contains one or both of components (A) and (B) not only in sustained-release form, but also in non-retarded form. By combination with the immediately released form, a high initial dose can be achieved for the rapid onset of the beneficial effect. The slow release from the sustained release form then prevents the beneficial effect from diminishing. Such a pharmaceutical formulation is particularly useful for the treatment of acute health problems.
Al This may be achieved, for example, by a pharmaceutical formulation having at least one immediate-release coating comprising at least one of the components (A) and (B) to provide for rapid onset of the beneficial effect after administration to the patient.
Pharmacological Methods
I. In-vitro determination of affinity to CB1/CB2-Receptors
The in-vitro determination of the affinity of the substituted pyrazoline compounds to CBi/CB2-Rezeptors is carried out as described in the publication of Ruth A. Ross, Heather C. Brockie et al., "Agonist-inverse agonist characterization at CBi and CB2 cannabinoid receptors of L-759633, L759656 and AM630", British Journal of Pharmacology, 126, 665-672, (1999), whereby the transfected human CBi and CB2 receptors of Receptor Biology, Inc. are used. The radioligand used for both receptors is [3H]-CP55940. The respective parts of the description is hereby incorporated by reference and forms part of the present disclosure.
AA II. In-vivo bioassay system for determination of cannabinoid activity
Mouse tetrad model
Substances with affinity for cannabinoid receptors are known to produce a wide range of pharmacological effects. It is also known that intravenous administration of a substance with affinity for cannabinoid receptors in mice produces analgesia , hypothermia, sedation and catalepsy. Individually, none of these effects can be considered as proof that a tested substance has affinity for cannabinoid-receptors, since all of these effects are common for various classes of centrally active agents. However, substances, which show all of these effects, i.e. substances that are active in this so-called tetrad model are considered to have affinity for the cannabinoid receptors. It has further been shown that cannabinoid receptor antagonists are highly effective in blocking the effects of a cannabinoid agonist in the mouse tetrad model.
The tetrad model is described, for example, in the publication of A. C. Howlett et al, International Union of Pharmacology XXVII. Classification of Cannabinoid Receptors, Pharmacol Rev 54, 161-202 , 2002 and David R. Compton et al., Jn-vivo Characterization of a Specific Cannabinoid Receptor Antagonist (SR141716A) inhibition of Tetrahydrocannbinol- induced Responses and Apparent Agonist
Activity", J. Pharmacol. Exp. Ther. 277 , 2, 586-594, 1996. The corresponding parts of the description are hereby incorporated by reference.
Material and Methods
Male NMRI mice with a weight of 20-30 g (Harlan, Barcelona, Spain) are used in all of the following experiments.
Before testing in the behavioural procedures given below, mice are acclimatised to the experimental setting. Pre-Treatment control values are determined for analgesia hot plate latency (in seconds), rectal temperature, sedation and catalepsy.
Λ r, In order to determine the agonistic activity of the substance to be tested, the mice are injected intravenously with the substance to be tested or the vehicle alone. 15 minutes after injection, latency in hot plate analgesia is measured. Rectal temperature, sedation and catalepsy are measured 20 minutes after injection.
In order to determine the antagonistic activity the identical procedure is used as for the determination of the agonistic effects, but with the difference that the substance to be evaluated for its antagonistic activity is injected 5 minutes before the intravenous injection of 1.25 mg/kg Win-55,212 a known cannabinoid-receptor agonist.
Hot plate analgesia
The hot plate analgesia is determined according to the method described in Woolfe D. et al. ,,The evaluation of analgesic action of pethidine hydrochloride (Demerol)", J. Pharmacol. Exp. Ther. 80, 300-307,1944. The respective description is hereby incorporated by reference and forms part of the present disclosure.
The mice are placed on a hot plate (Harvard Analgesimeter) at 55 ± 0.5 0C until they show a painful sensation by licking their paws or jumping and the time for these sensations to occur is recorded. This reading is considered the basal value (B). The maximum time limit the mice are allowed to remain on the hot plate in absence of any painful response is 40 seconds in order to prevent skin damage. This period is called the cut-off time (PC).
Fifteen minutes after the administration of the substance to be tested, the mice are again placed on the hot plate and the afore described procedure is repeated. This period is called the post-treatment reading (PT).
The degree of analgesia is calculated from the formula :
% MPE of Analgesia = ( PT- B) / (PC-B) x 100
MPE = Maximum possible effect.
AR Determination of sedation and ataxia
Sedation and ataxia is determined according to the method described in Desmet L. K. C. et al. ..Anticonvulsive properties of Cinarizine and Flunarizine in Rats and Mice", Arzneim. -Forsch. (Frug Res) 25, 9, 1975. The respective description is hereby incorporated by reference and forms part of the present disclosure.
The chosen scoring system is
0: no ataxia; 1 : doubtful;
2: obvious calmness and quiet; 3 pronounced ataxia;
prior to as well as after treatment.
The percentage of sedation is determined according to the formula:
% of sedation = arithmetic mean / 3 X 100
Hypothermia:
Hypothermia is determined according to the method described in David R. Compton et al. Jn-vivo Characterization of a Specific Cannabinoid Receptor Antagonist (SR141716A) Inhibition of Tetrahydrocannbinol- induced Responses and Apparent Agonist Activity", J. Pharmacol Exp Ther. 277 , 2, 586-594, 1996. The respective description is hereby incorporated by reference and forms part of the present disclosure.
The base-line rectal temperatures are determined with a thermometer (YeIIo Springs Instruments Co., Panlabs) and a thermistor probe inserted to 25mm before the administration of the substance to be tested. Rectal temperature is again measured 20 minutes after the administration of the substances to be tested. The temperature
ΛΎ difference is calculated for each animal, whereby differences of ≥ -2 0C are considered to represent activity.
Catalepsy:
Catalepsy is determined according to the method described in Alpermann H. G. et al. ..Pharmacological effets of Hoe 249: A new potential antidepressant", Drugs Dev. Res. 25, 267-282. 1992. The respective description is hereby incorporated by reference and forms part of the present disclosure.
The cataleptic effect of the substance to be tested is evaluated according to the duration of catalepsy, whereby the animals are placed head downwards with their kinlegs upon the top of the wooden block.
The chosen scoring system is:
Catalepsy for: more than 60 seconds = 6; 50 -60 seconds = 5, 40-50 seconds = 4, 30-40 seconds = 3, 20-30 seconds = 2, 5-10 seconds = 1 , and less than 5 seconds =0.
The percentage of catalepsy is determined according to the following formula:
% Catalepsy = arithmetic mean / 6 X 100
The present invention is illustrated below with the aid of examples. These illustrations are given solely by way of example and do not limit the general spirit of the present invention.
AΛ Examples:
Example 1 :
N-piperidinyl-5-(4-chlorophenyl)-1 -(2,4-dichlorophenyl)-4,5-dihydro-1 H- pyrazole-3-carboxamide
a) 4-(4-chlorophenyl)-2-oxo-3-butenoic acid
Figure imgf000050_0001
In a three neck flask p-chlorobenzaldehyde (13,3 g, 95 mmoles) and ethyl pyruvate (10 g, 86 mmoles) were dissolved in 150 ml of absolute ethanol. The solution was ice-cooled to 00C and an aqueous solution of NaOH (3.8 g in 45 ml_ water) was added dropwise keeping the temperature below or equal to 100C, whereby a yellow- orange coloured precipitate was formed. The reaction mixture was stirred for 1 hour at 00C and an additional 1.5 hours at room temperature (approximately 25 0C). Afterwards the reaction mixture was cooled down to approximately 5°C and the insoluble sodium salt of 4-(4-chlorophenyl)-2-oxo-3-butenoic acid was isolated by filtration.
The filtrate was left in the refrigerator overnight, whereby more precipitate is formed, which was filtered off, combined with the first fraction of the salt and washed with diethyl ether. The sodium salt of 4-(4-chlorophenyl)-2-oxo-3-butenoic acid was then treated with a solution of 2N HCI, stirred for some minutes and solid 4-(4- chlorophenyl)-2-oxo-3-butenoic acid was separated via filtration and dried to give 12.7 g of the desired product (70% of theoretical yield).
IR (KBr, cm 1 ) : 3500-2500, 1719,3, 1686,5, 1603,4, 1587,8, 1081 ,9. 1H NMR(CDCI3, δ) : 7,4 (d, J=8,4Hz, 2H), 7,5 (d, J=16,1 Hz, 1 H), 7,6 (d, J=8,4Hz, 2H), 8,1(d, J=16,1 Hz, 1 H).
AQ b) 5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-pyrazole-3-carboxylic acid
Figure imgf000051_0001
4-(4-chlorophenyl)-2-oxo-3-butenoic acid obtained according to step a) (12.6 g, 60 mmoles), 2,4-dichlorophenylhydrazine hydrochloride (12.8 g, 60 mmoles) and glacial acetic acid (200 ml_) were mixed under a nitrogen atmosphere and heated to reflux for 4 hours, cooled down to room temperature (approximately 25 0C) and given into ice-water, whereby a sticky mass was obtained, which was extracted with methylene chloride. The combined methylene chloride fractions were washed with water, dried with sodium sulfate, filtered and evaporated to dryness to give a pale yellow solid (12.7 g, 57% of theoretical yield).
IR (KBr, cm"1 ) : 3200-2200, 1668,4, 1458, 1251 ,4, 1104,8.
1H NMR (CDCI3, δ) : 3,3 (dd, 1 H), 3,7 (dd, 1 H), 5,9 (dd, 1 H), 7,09-7,25 (m, 7H).
(c) 5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-pyrazole-3-carboxylic acid chloride
Figure imgf000051_0002
Under nitrogen atmosphere 5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro- pyrazole-3-carboxylic acid (2.5 g, 6.8 mmols) obtained according to step (b) was dissolved in 4 ml_ of in thionyl chloride and heated to reflux for 2.5 hours. The excess
Rn thionyl chloride is removed from the reaction mixture under reduced pressure and the resulting crude residue (2.6 g) is used without any further purification.
IR (KBr, cm 1) : 1732,3, 1700, 1533,3, 1478,1 , 1212,9, 826,6.
d) N-piperidinyl-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4,5-dihydropyrazole- 3-carboxamide [this compound may also be referred to as 5-(4-Chloro-phenyl)-1- (2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-carboxylic acid piperidin-1-ylamide or as 1-(2,4-dichlorophenyl)-5-(4-chlorophenyl)-4,5-dihydro-N-(piperidin-1-yl)-1 H- pyrazole-3-carboxamide]
Figure imgf000052_0001
Under nitrogen atmosphere N-aminopiperidine (0.6 ml_, 5.6 mmoles) and triethylamine (4 mL) were dissolved in methylene chloride (25 ml_). The resulting mixture was ice-cooled down to 00C and a solution of 5-(4-chlorophenyl)-1-(2,4- dichlorophenyl^.δ-dihydro-pyrazole-S-carboxylic acid chloride obtained in step (c) in methylene chloride (15 mL) was added dropwise. The resulting reaction mixture was stirred at room temperature (approximately 25 0C) overnight. Afterwards the reaction mixture was washed with water, followed by a saturated aqueous solution of sodium bicarbonate, then again with water, dried over sodium sulfate, filtered and evaporated to dryness in a rotavapor. The resulting crude solid was crystallized from ethanol. The crystallized solid was removed via filtration and the mother liquors were concentrated to yield a second fraction of crystallized product. The two fractions were combined to give a total amount of 1.7 g (57% of theoretical yield) of N-piperidinyl-5-
C1 (4-chlorophenyl)-1 -(2,4-dichlorophenyl)-4,5-dihydropyrazole-3-cart)oxamide having a melting point of 183-1860C.
IR (KBr, cnT1) : 3222,9, 2934,9, 1647,4, 1474,7, 1268,3, 815,6. 1H NMR ( CDCI3, δ) : 1 ,4 (m, 2H), 1 ,7 (m, 4H), 2,8 (m, 4H), 3,3 (dd, J=6,1 y 18,3Hz, 1H), 3,7 (dd, J=12,5 and 18,3 Hz, 1 H), 5,7 (dd, J=6,1 and 12,5 Hz, 1 H), 7,0-7,2 (m, 6H), 7,4 (s, 1 H).
The compounds according to the following examples 2-6 have been prepared analogously to the process described in Example 1.
Example 2:
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1H-pyrazole-3- carboxylic acid-[1 ,2,4]triazol-4-yl amide
Melting point: 134-138 0C.
IR (KBr, cm 1): 3448, 1686, 1477, 1243, 1091 , 821. 1H NMR(CDCI3, δ): 3,1 (dd, J=6,2 and 17,9Hz, 1 H), 3,7 (dd, J=12,3 and 17,9Hz, 1 H), 5,9 (dd, J=6,2 and 12,3 Hz, 1 H), 7,2-7,5 (m, 7H), 8,7 (s, 2H), 12,0 (bs, 1 H).
RO Example 3:
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1H-pyrazole-3- carboxylic acid-(4-methyl-piperazin-1-yl)-amide hydrochloride
Melting point: 150-1550C.
IR (KBr, cm 1) : 3433, 1685, 1477, 1296, 1246, 1088, 1014, 825. 1H NMR (CDCI3, δ): 2,7 (d, J=4,2Hz, 3H), 3,0-3,4 (m, 9H), 3,6 (dd, J=11 ,9 and 17,9 Hz, 1H), 5,8 (dd, J=5,5 and 11 ,9 Hz, 1H), 7,1 (d, J=8,4Hz, 2H), 7,25 (2d, J= 8,4 and 8,7 Hz, 3H), 7,4 (d, J=2,2Hz, 1 H), 7,5 (d, J=8,7Hz, 1 H), 9,8 (s, 1 H), 11 ,2 (bs).
Example 4:
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3- carboxylic acid diethylamide
This compound was obtained in form of an oil.
IR (film, cm"1) : 2974, 1621 , 1471 , 1274, 1092, 820.
1H NMR (CDCI3, δ): 1 ,2 (m, 6H), 3,3-3,9 (m, 6H), 5,6 (dd, J=5,8 and 11 ,7 Hz,
1H), 7-7,25 (m, 7H).
Example 5:
[5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1H-pyrazol-3-yl]- piperidin-1-yl-methanone
Melting point: 105-1100C.
IR (KBr, cm 1) : 2934, 1622, 1470, 1446, 1266, 1010, 817.
1H NMR ( CDCI3, δ): 1,7 (m, 6H), 3,4 (dd, J=5,7 and 17,9Hz, 1H), 3,7 (m, 3H),
3,9 (m, 2H), 5,6 (dd, J=6,1 y 11 ,9 Hz, 1 H), 7-7,25 (m, 7H).
«;* Example 6:
N-IS^-Chloro-phenyO-i^^-dichloro-phenyO-A.S-dihydro-IH-pyrazole-S- carbonyl]-4-methyl-phenylsulfonamide
This compound was obtained in form of an amorph solid. IR (KBr, cm'1) : 1697, 1481 , 1436, 1340, 1169, 1074, 853.
1H NMR (CDCI3, δ): 2,4 (s, 3H), 3,2 (dd, J=6,6 and 18,3Hz, 1 H), 3,6 (dd, J=12,8 and 18,3Hz, 1H), 5,8 (dd, J=6,6 and 12,8Hz, 1H), 7 (d, J=8,2Hz, 2H), 7,2 (s, 1 H), 7,3-7,4 (m, 6H), 8 (d, J=8,1 Hz, 2H), 9 (s, 1 H).
Example 7:
N-oxide of N-piperidinyl-5-(4-chlorophenyl)-1 -(2,4-dichlorophenyl)-4,5- dihydropyrazole-3-carboxamide
Under nitrogen gas as an inert atmosphere N-piperidinyl-5-(4-chlorophenyl)-1-(2,4- dichlorophenyl)-4,5-dihydropyrazole-3-carboxamide (0,15 g, 332 mmoles) was dissolved in 7 ml of dichloromethane. The resulting solution was ice-cooled to 0 0C and m-chloroperbenzoic acid (0,204 g, 0,83 mmoles) added in several portions. After stirring for 15 minutes a control via thin layer chromatography showed that no starting material was remaining. A saturated solution of sodium bicarbonate was then slowly added, the organic phase separated, washed with water, dried over sodium sulfate and filtered. The filtered solution was evaporated to dryness and the crude product was purified via column chromatography yielding 78 mg (50 % of theoretical yield) of the N-oxide of N-piperidinyl-5-(4-chlorophenyl)-1-(2,4-dichlorophenyl)-4,5- dihydropyrazole-3-carboxamide in form of a white solid having a melting point of 115- 120 0C.
IR(KBr, cm1): 3202, 1678, 1654, 1474, 1309, 1107.
1H-NMR (CDCI3, δ): 1.6 (m, 2H), 1.8-2.0 (m, 4H), 2.55 (m, 2H), 3.3 (dd, J = 6.3 Hz and 18.2 Hz, 1H), 3.7 (m, 3H), 5.8 (dd, J = 6.3 Hzand 12.5 Hz, 1H), 7.0-7.3 (m, 7H), 8.5 (s, 1H.)
RA Pharmacological Data:
I. In-vitro determination of affinity to CBi/CB2-Rezeptors
The affinity of the inventive substituted pyrazoline compounds to CB1/CB2 receptors was determined as described above. Some of the values obtained are given in the following table I:
Table I:
Figure imgf000056_0001
As can be seen from the values given in table 1 the inventive pyrazoline compounds are particularly suitable for regulating the CBrReceptor.
EG II. In-vivo bioassay system for determination of cannabinoid activity
The determinination of cannabinoid activity in-vivo was determined as described above. Some of the values obtained are given in the following table II:
Table II:
Figure imgf000057_0001
i.v. intravenous A: Hot-Plate test B: Hypothermia C: Catalepsy D: Sedation
As can be seen from the values given in table Il the inventive pyrazoline compounds show an antagonistic effect.
CR

Claims

Claims:
1. Active substance combination comprising
(A) at least one substituted pyrazoline compound of general formula I
Figure imgf000058_0001
wherein
R1 represents an optionally at least mono-substituted phenyl group;
R2 represents an optionally at least mono-substituted phenyl group;
R3 represents a saturated or unsaturated, optionally at least mono- substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an -NR4R5-moiety,
R4 and R5, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an
C7 optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group; an - SO2-R6-moiety; or an -NR7R8-moiety, with the proviso that R4 and R5 do not identically represent hydrogen;
R6 represents a linear or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic group; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with a mono- or polycyclic ring-system; or an optionally at least mono- substituted aryl or heteroaryl group, which may be condensed with a mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group;
R7 and R8, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a linear or branched alkylene group;
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
cα and/or
at least one substituted pyrazoline compound of general formula I',
Figure imgf000060_0001
wherein
R1 represents hydrogen or a linear or branched Ci-4-alkyl group,
R2 , R3 and R4 independently of each other represent hydrogen, a linear or branched C^-alky! group, a linear or branched Ci-6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R8', SH, SR8', SOR8', SO2R8', NH2, NHR8', NR8R9', -(C=O)-NH2, -(C=O)-NHR8' Or -(C=O)-NR8 R9' whereby R8 and R9 for each substituent independently represent linear or branched Ci-6 alkyl,
R5 and R6 independently of each other represent a linear or branched Ci-6- alkyl group, a linear or branched Ci-e-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R10', SH, SR10', SOR10', NH2, NHR10', NR10 R11', -(C=O)-NH2, -(C=O)-NHR10' and -(C=O)-NR10R11', whereby R10' and
RQ optionally R11 for each substituent independently represent linear or branched C1-6 alkyl;
R7 represents hydrogen, a linear or branched Ci-6-alkyl group, a linear or branched d-6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2,
-(C=O)-R10', SH, SR10', SOR10', NH2, NHR10', NR10 R11', -(C=O)-NH2, -(C=O)- NHR10' and -(C=O)-NR10 R11', whereby R10' and optionally R11' for each substituent independently represent linear or branched Ci-β alkyl;
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
and
(B) at least one statin compound.
Active substance combination according to claim 1 , characterized in that R1 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of a linear or branched d-6-alkyl group, a linear or branched
Figure imgf000061_0001
group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R', SH, SR', SOR', SO2R', NH2, NHR', NR1R", -(C=O)-NH2, -(C=O)-NHR' and -(C=O)-NR1R" whereby R' and R" for each substituent independently represent linear or branched
Figure imgf000061_0002
alkyl, preferably R1 represents a phenyl group, which is optionally substituted by one or more substituents selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3, more preferably R1 represents a phenyl group, which is mono- substituted with a chlorine atom in the 4-position.
«n
3. Active substance combination according to claim 1 or 2, characterized in that R2 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of a linear or branched Ci-6-alkyl group, a linear or branched Ci.6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, -(C=O)-R1, SH, SR', SOR', SO2R', NH2,
NHR', NR'R", -(C=O)-NH2, -(C=O)-NHR' and -(C=O)-NR1R", whereby R' and optionally R" for each substituent independently represent linear or branched Ci. 6 alkyl, preferably R2 represents a phenyl group, which is optionally substituted by one or more substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3, more preferably R2 represents a phenyl group, which is di-substituted with two chlorine atoms in its 2- and 4-position.
4. Active substance combination according to one or more of claims 1-3, characterized in that R3 represents a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing
C3-8 cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an -NR4R5-moiety, preferably R3 represents a saturated, optionally at least mono-substituted, optionally one or more nitrogen- atoms as ring member containing C3^ cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system, or R3 represents an -NR4R5-moiety, more preferably R3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more Ci-6-alkyl groups, or R3 represents an -NR4R5-moiety.
5. Active substance combination according to one or more of claims 1-4, characterized in that R4 and R5, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted d-6-aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing Cs-β-cycloaliphatic group, which may be condensed with an
Al optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH2- CH2)-group; an -SO2-R6-moiety; or an -NR7R8-moiety, preferably one of these residues R4 and R5 represents a hydrogen atom and the other one of these residues R4 and R5 represents a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing C3-8-cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; an -SO2-R6-moiety; or an -NR7R8-moiety, or R4 and R5, identical or different, each represent a Ci-6 alkyl group, more preferably one of these residues R4 and R5 represents a hydrogen atom and the other one of these residues R4 and R5 represents an optionally at least mono-substituted pyrrolidinyl group; an optionally at least mono-substituted piperidinyl group; an optionally at least mono-substituted piperazinyl group; an optionally at least mono-substituted triazolyl group; an -SO2-R6-moiety; or an -NR7R8-moiety, or R4 and R5, identical or different, represent a methyl group, an ethyl group, an n- propyl group, an isopropyl group, an n-butyl group, a sec-butyl group or a tert.- butyl group.
6. Active substance combination according to one or more of claims 1-5, characterized in that R6 represents a linear or branched, saturated or unsaturated, optionally at least mono-substituted C1-6 aliphatic group; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing C3-8 cycloaliphatic group, which may be condensed with a mono- or polycyclic ring-system; or an optionally at least mono-substituted, 5- or 6-membered aryl or heteroaryl group, which may be condensed with a mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH2-CH2)-group, preferably R6 represents a Ci. 6-alkyl group; a saturated, optionally at least mono-substituted cycloaliphatic
βθ group, which may be condensed with a mono- or polycyclic ring-system; or a phenyl group, which is optionally substituted with one or more Ci-6 alkyl groups.
7. Active substance combination according to one or more of claims 1-6, characterized in that R7 and R8, identical or different, represent a hydrogen atom; an unbranched or branched, saturated or unsaturated, optionally at least mono-substituted d-β aliphatic radical; a saturated or unsaturated, optionally at least mono-substituted, optionally at least one heteroatom as ring member containing C3-β cycloaliphatic group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system; or an optionally at least mono-substituted, 5- or 6- membered aryl or heteroaryl group, which may be condensed with an optionally at least mono-substituted mono- or polycyclic ring system and/or bonded via a methylene (-CH2-) or ethylene (-CH2-CH2)- group, preferably R7 and R8, identical or different, represent a hydrogen atom or a Ci-6 alkyl radical.
8. Active substance combination according to one or more of claims 1 -7, characterized in that
R1 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3,
R2 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl,
F, Cl, Br and CF3,
R3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more of C-i-β-alkyi groups, or R3 represents an -NR4R5-moiety,
fi^ R4 represents a hydrogen atom or a linear or branched Ci-6-alkyl group,
R5 represents a linear or branched Ci-6 alkyl group; an -SO2-R6-moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a morpholinyl group; a triazolyl group; whereby each of the heterocyclic rings may be substituted with one or more, identical or different, C-ι-6-alkyl groups, and
R6 represents a phenyl group, which is optionally substituted with one or more Ci-6 alkyl groups, which may be identical or different.
9. Active substance combination according to one or more of claims 1-8, characterized in that
R1 represents a phenyl ring, which is mono-substituted with a halogen atom, preferably a chlorine atom, in its 4-position,
R2 represents a phenyl ring, which is di-substituted with two halogen atoms, preferably chlorine atoms, in its 2- and 4-position,
R3 represents a pyrrolidinyl group, a piperidinyl group, a piperazinyl group, a homo-piperazinyl group, a morpholinyl group, or an -NR4R5-moiety,
R4 represents a hydrogen atom or a linear or branched Ci.6-alkyl group,
R5 represents a linear or branched Ci-6 alkyl group; an -SO2-R6-moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo-piperazinyl group; a morpholinyl group; or a triazolyl group whereby each of the heterocyclic rings may be substituted with one or more, identical or different, Ci-6-alkyl groups, and
R6 represents a phenyl group, which is optionally substituted with one or more Ci-6 alkyl groups, which may be identical or different.
&A
10. Active substance combination according to one or more of claims 1-9, characterized in that the pyrazoline compound of general formula I is selected from the group consisting of
N-piperidinyl-5-(4-chloro-phenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-1 H- pyrazol-3-carboxamide,
δ-^-Chloro-phenylJ-i-^^-dichloro-phenyl^.δ-dihydro-IH-pyrazole-S- carboxylic acid-[1 ,2,4]-triazole-4-yl-amide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1H-pyrazole-3- carboxylic acid-(4-methyl-piperazin-1 -yl)-amide,
5-(4-Chloro-phenyl)-1 -(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3- carboxylic acid diethylamide,
[5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3-yl]- piperidine-1-yl-methanone and
N-tδ-^-Chloro-phenylJ-i-^^-dichlorophenyO^.δ-dihydro-I H-pyrazole-S- carbonyl]-4-methylphenylsulfonamide,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
«K
11. Active substance combination according to one or more of claims 1 -10, characterized in that the pyrazoline compound of general formula I is one of the following compounds
Figure imgf000067_0001
in each case optionally in the form of a corresponding N-oxide, a corresponding salt or a corresponding solvate thereof.
12. Active substance combination according to one or more of claims 1-11 , characterized in that at least one of R 21 , D R3' or R i4' , represents hydrogen, while at least one of R ϊ2' , D R3' or R 54' is different from hydrogen.
13. Active substance combination according to one or more of claims 1-12, characterized in that R7 represents hydrogen.
14. Active substance combination according to one or more of claims 1-13, characterized in that R2 , R3 and R4 independently of each other represent hydrogen, a linear or branched Ci-6-alkyl group, a halogen atom, or CF3, preferably R2 , R3 and R4 independently of each other represent hydrogen, methyl, ethyl, F, Cl, Br and CF3.
RR
15. Active substance combination according to one or more of claims 1-14, characterized in that R5 and R6 independently of each other represent a linear or branched Ci.6-alkyl group, a halogen atom, or CF3, preferably R5 and R6 independently of each other represent methyl, ethyl, F, Cl, Br and CF3.
16. Active substance combination according to one or more of claims 1-15, characterized in that R2 represents a chlorine atom in the 4-position of the phenyl ring, while R3 and R4 represent hydrogen.
17. Active substance combination according to one or more of claims 1-16, characterized in that R5 and R6 each represent a chlorine atoms in the 2- and 4- position of the phenyl ring, while R7 represents hydrogen.
18. Active substance combination according to one or more of claims 1-17, characterized in that R1 represents hydrogen, methyl or ethyl, preferably hydrogen.
«7
19. Active substance combination according to one or more of claims 1-18, characterized in that the compounds of general formula I' are represented by the following structure II:
Figure imgf000069_0001
wherein
R1 represents hydrogen or a linear or branched Ci-4-alkyl group,
R12 or R13 independently of each other represent a linear or branched Ci.6- alkyl group, a linear or branched Ci-β-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, hydrogen, methyl, ethyl, F, Cl, Br and CF3,
R14 or R15 independently of each other represent a linear or branched C1-6- alkyl group, a linear or branched C1-6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, methyl, ethyl, F, Cl, Br and CF3,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing
ΛQ ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
20. Active substance combination according to claim 19, characterized in that R12 and R13 independently of each other represent hydrogen, a linear or branched
Ci-6-alkyl group, a halogen atom, or CF3, preferably R12 and R13 independently of each other represent hydrogen, methyl, ethyl, F, Cl, Br and CF3.
21. Active substance combination according to claim 19 or 20, characterized in that R14 and R15 independently of each other represent a linear or branched Chalky! group, a halogen atom, or CF3, preferably R14 and R15 independently of each other represent methyl, ethyl, F, Cl, Br and CF3.
22. Active substance combination according to one or more of claims 19-21 , characterized in that R13 represents Cl and R12 represents hydrogen.
23. Active substance combination according to one or more of claims 19-22, characterized in that R14 and R15 each represent Cl.
24. Active substance combination according to one or more of claims 19-23, cchhaarraacctteerirized in that R1 represents hydrogen, methyl or ethyl, preferably hydrogen.
25. Active substance combination according to one or more of claims 1-24, characterized in that the compound of general formula I' is
δ^-chloro-phenyO-I^Λ-dichlorophenylH.δ-dihydro-I H-pyrazol-S- carboxylic acid,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding salt thereof, or a corresponding solvate thereof.
RO
26. Active substance combination according to one or more of claims 1-25, characterized in that the pyrazoline compound of general formula I1 is one of the following compounds
Figure imgf000071_0001
in each case optionally in the form of a corresponding N-oxide, a corresponding salt or a corresponding solvate thereof.
27. Active substance combination according to one or more of claims 1-26, wherein the statin compound of component (B) is selected from the group consisting of atorvastatin, rosuvastatin, simvastatin, pravastatin, cerivastatin, mevastatin, velostatin, fluvastatin, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin, optionally in the form of a corresponding salt or a corresponding solvate thereof.
28. Active substance combination according to one or more of claims 1 -27, wherein the statin compound of component (B) is selected from the group consisting of atorvastatin, atorvastatin-calcium, rosuvastatin, rosuvastatin-sodium, simvastatin, pravastatin, pravastatin-sodium, cerivastatin, cerivastatin-sodium, mevastatin, velostatin, fluvastatin, fluvastatin-sodium, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin.
29. Active substance combination according to one or more of claims 1-28 comprising
(A) at least one substituted pyrazoline compound of general formula I
Figure imgf000072_0001
wherein
R1 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F1 Cl, Br and CF3,
R2 represents a phenyl group, which is optionally substituted with 1 , 2, 3, 4 or 5 substituents independently selected from the group consisting of methyl, ethyl, F, Cl, Br and CF3,
R3 represents a pyrrolidinyl group, a piperidinyl group or a piperazinyl group, whereby each of these groups may be substituted with one or more of Ci-6-alkyl groups, or R3 represents an -NR4R5-moiety,
R4 represents a hydrogen atom or a linear or branched Ci-β-alkyl group,
R5 represents a linear or branched Ci-6 alkyl group; an -SO2-R6-moiety; a pyrrolidinyl group; a piperidinyl group; a piperazinyl group; a homo- piperazinyl group; a morpholinyl group; a triazolyl group; whereby each of
-7Λ the heterocyclic rings may be substituted with one or more, identical or different, Ci-6-alkyl groups, and
R6 represents a phenyl group, which is optionally substituted with one or more C1-6 alkyl groups, which may be identical or different.
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
and/or
at least one substituted pyrazoline compound of general formula I' represented by the following structure II:
Figure imgf000073_0001
7O wherein
R1 represents hydrogen or a linear or branched C^-alkyl group,
R12 or R13 independently of each other represent a linear or branched Ci-6- alkyl group, a linear or branched Ci-β-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, hydrogen, methyl, ethyl, F, Cl, Br and CF3,
R14 or R15 independently of each other represent a linear or branched d-β- alkyl group, a linear or branched Ci-6-alkoxy group, a halogen atom, CH2F, CHF2, CF3, CN, OH, NO2, SH, NH2, methyl, ethyl, F, Cl, Br and CF3,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof.
and
(B) at least one statin compound selected from the group consisting of atorvastatin, atorvastatin-calcium, rosuvastatin, rosuvastatin-sodium, simvastatin, pravastatin, pravastatin-sodium, cerivastatin, cerivastatin- sodium, mevastatin, velostatin, fluvastatin, fluvastatin-sodium, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin.
30. Active substance combination according to one or more of claims 1-29 comprising
(A) one or more substituted pyrazoline compounds of general formula I selected from the group consisting of
Ti. N-piperidinyl-5-(4-chloro-phenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-1 H- pyrazol-3-carboxamide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3- carboxylic acid-[1 ,2,4]-triazole-4-yl-amide,
5-(4-Chloro-phenyl)-1-(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3- carboxylic acid-(4-methyl-piperazin-1 -yl)-amide,
5-(4-Chloro-phenyl)-1 -(2,4-dichloro-phenyl)-4,5-dihydro-1 H-pyrazole-3- carboxylic acid diethylamide,
[δ^-Chloro-phenyO-I^Λ-dichloro-phenylH.δ-dihydro-I H-pyrazole-S-yl]- piperidine-1-yl-methanone and
N-[5-(4-Chloro-phenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-1 H-pyrazole-3- carbonyl]-4-methylphenylsulfonamide,
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding N-oxide thereof, or a corresponding salt thereof, or a corresponding solvate thereof,
and/or
5-(4-chloro-phenyl)-1-(2,4-dichlorophenyl)-4,5-dihydro-1 H-pyrazol-3- carboxylic acid
optionally in form of one of the stereoisomers, preferably enantiomers or diastereomers, a racemate or in form of a mixture of at least two of the stereoisomers, preferably enantiomers and/or diastereomers, in any mixing ratio, or a corresponding salt thereof, or a corresponding solvate thereof,
IA and
(B) at least one statin compound selected from the group consisting of atorvastatin, atorvastatin-calcium, rosuvastatin, rosuvastatin-sodium, simvastatin, pravastatin, pravastatin-sodium, cerivastatin, cerivastatin- sodium, mevastatin, velostatin, fluvastatin, fluvastatin-sodium, compactin, dihydrocompactin, lovastatin, dalvastatin and fluindostatin.
31. Active substance combination according to one or more of claims 1 -30, characterized in that the molar ratio of component (A) to component (B) is in the range of 1 :10 to 10:1 , preferably 1 :5 to 5:1.
32. Medicament comprising an active substance combination according to one or more of claims 1 to 31 and optionally at least one further active substance and/or optionally at least one auxiliary substance.
33. Medicament according to claim 32 for the modulation of cannabinoid-receptors, preferably cannabinoid 1 (CBi) receptors; and/or for HMG-CoA reductase inhibition.
34. Medicament according to claim 32 or 33 for the prophylaxis and/or treatment of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperiipidemia, Lipoprotein Disorders, Hypercholesterolemia, or for lowering of cardiac risk.
35. Use of at least one active substance combination according to one or more of claims 1 to 31 and optionally at least one further active substance and/or optionally at least one auxiliary substance for the manufacture of a medicament for the modulation of cannabinoid-receptors, preferably cannabinoid 1 (CB1) receptors; and/or HMG-CoA reductase inhibition.
36. Use of at least one active substance combination according to one or more of claims 1 to 31 and optionally at least one further active substance and/or optionally at least one auxiliary substance for the manufacture of a medicament for the prophylaxis and/or treatment of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperlipidemia,
Hypercholesterolemia, or for lowering of cardiac risk.
37. Pharmaceutical formulation comprising an active substance combination according to one or more of claims 1 to 31 and optionally at least one further active substance and/or optionally at least one auxiliary substance.
38. Pharmaceutical formulation according to claim 37, characterized in that it is suitable for oral or parenteral administration, preferably for oral, intravenous, intraperitoneal, intramuscular, subcutaneous, intrathekal, rectal, transdermal, transmucosal or nasal administration.
39. Pharmaceutical formulation for oral administration according to claim 38, characterized in that it is in the form of a tablet, a dragee, a powder, a capsule, drops, a gel, juice, sirup, chewing gum, solution or suspension.
40. Pharmaceutical formulation for oral administration according to claim 38, characterized in that it is in form of multiparticulates, preferably microparticles, microtablets, pellets or granules, optionally compressed into a tablet, filled into a capsule or suspended in a suitable liquid.
41. Pharmaceutical formulation for oral administration according to claims 38-40, characterized in that it comprises at least one enteric coating.
42. Pharmaceutical formulation according to claim 37-41 characterized in that it comprises component (A) and/or component (B) at least partially in a sustained- release form.
43. Pharmaceutical formulation according to claim 42, characterized in that the sustained release is achieved by at least one coating or matrix comprising at least one sustained-release material.
44. Pharmaceutical formulation according to claim 43, characterized in that the sustained-release material is based on an optionally modified, water-insoluble, natural, semisynthetic or synthetic polymer, or a natural, semisynthetic or synthetic wax or fat or fatty alcohol or fatty acid, or on a mixture of at least two of these afore mentioned components.
45. Pharmaceutical formulation according to claim 44, characterized in that the water-insoluble polymer is based on an acrylic resin, which is preferably selected from the group of poly(meth)acrylates, poly(C1-4)dialkylamino(Ci^)alkyl (meth)acrylates and/or copolymers thereof or a mixture of at least two of the afore-mentioned polymers.
46. Pharmaceutical formulation according to claim 44, characterized in that the water-insoluble polymers are cellulose derivatives, preferably alkyl cellulose, particularly preferably ethyl cellulose, or cellulose esters.
47. Pharmaceutical formulation according to claim 44, characterized in that the wax is carnauba wax, beeswax, glycerol monostearate, glycerol monobehenate, glycerol ditripalmitostearate, microcrystalline wax or a mixture of at least two of these components.
48. Pharmaceutical formulation according to any one of claims 44-47, characterized in that the polymers have been used in combination with one or more plasticizers.
49. Pharmaceutical formulation according to any one of claims 37-48, characterized in that it comprises component (A) and/or (B) in immediate-release form as well as in sustained release form.
77
50. A method of modulating cannabinoid-receptors, preferably cannabinoid 1 (CBi) receptors; and/or for inhibiting HMG-CoA reductase, comprising administering to a subject, preferably a human, a therapeutically effective amount of an active substance combination according to one or more of claims 1 -31.
51. A method of treating one or more diseases selected from the group consisting of coronary heart disease, myocardial ischemia, angina pectoris, atherosclerosis, hypertension, hyperlipidemia, Lipoprotein Disorders and Hypercholesterolemia, comprising administering to a subject, preferably a human, a therapeutically effective amount of an active substance combination according to one or more of claims 1-31.
52. A method for lowering of cardiac risk, comprising administering to a subject, preferably a human, a therapeutically effective amount of an active substance combination according to one or more of claims 1-31.
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