CN100356923C - Use of s-10 hydroxy-10, 11-dihydro-carbamazepine for the treatment of anxiety and bipolar disorders - Google Patents
Use of s-10 hydroxy-10, 11-dihydro-carbamazepine for the treatment of anxiety and bipolar disorders Download PDFInfo
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- CN100356923C CN100356923C CNB200480003910XA CN200480003910A CN100356923C CN 100356923 C CN100356923 C CN 100356923C CN B200480003910X A CNB200480003910X A CN B200480003910XA CN 200480003910 A CN200480003910 A CN 200480003910A CN 100356923 C CN100356923 C CN 100356923C
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Abstract
The present invention relates to the use of a racemate of the compound of formula (I) consisting of at least 85 % S-enantiomer and not more than 15 % R-enantiomer or of pharmaceutically acceptable salts of said racemate or of the S-enantiomer of formula I or of pharmaceutically acceptable salts of said enantiomer for the treatment of anxiety or other psychiatric disorders with underlying anxiety symptomatologies or for the treatment of affective and attention disorders; pharmaceutical compositions for that purpose and packages comprising said pharmaceutical compositions together with instructions for the use of said compositions for the treatment of anxiety or other psychiatric disorders with underlying anxiety symptomatologies or of affective and attention disorders.
Description
The present invention relates to the new drug purposes of carbamazepine derivative.
More particularly, the present invention relates to the racemate of carbamazepine derivative of formula I and the new drug purposes of its pharmaceutically acceptable salt.
By known raceme licarbazepine (name is called 10-hydroxyl-10,11-dihydro-carbamazepine for MHD, formula I) in the document [referring to as Schuetz H. etc., Xenobiotica (GB), 16 (8), 769-778 (1986)], be antuepileptic oxcarbazepine (Trileptal
) major metabolite and can prepare by oxcarbazepine according to common method.Prove that racemate (formula I) and its two antiepileptic effects of pure enantiomer are identical.
According to the present invention, be surprisingly found out that during in prevention and treatment emotion and attention disorders, anxiety with other mental sickness of potential anxiety symptom, the S-enantiomer of formula I chemical compound is obviously more effective than the R-enantiomer.
Therefore, the pharmaceutically acceptable salt that the present invention relates to the racemate (by 85%S-enantiomer at least and be no more than the 15%R-enantiomer and form, hereinafter be called " racemate ") of formula I chemical compound, pure S-enantiomer and above-mentioned racemate or enantiomer is in treatment emotion and attention disorders, anxiety with the purposes in other mental sickness of potential anxiety symptom.
One embodiment of the invention relate to the S-enantiomer of formula I chemical compound or its pharmaceutically acceptable salt in treatment emotion and attention disorders, anxiety with the purposes in other mental sickness of potential anxiety symptom.
Term used herein " emotion and attention disorders " includes but not limited to depression or other mental sickness, single-phase or the bipolar affective disorder of picture is as manic-depression, paranoid psychosis (as manic), premenstrual dysphoric, postpartum depression, menopause retarded depression, neural degeneration depression of sex and depression.
Term used herein " anxiety or with other mental sickness of potential anxiety symptom " includes but not limited to the fear and the anxiety that occur together behind pressure mental maladjustment disease after generalized anxiety disorder, social anxiety disorder, the wound, obsession and the inactive psychostimulant.
Medicine of the present invention can be used for the treatment of emotion and attention disorders, and this point can be tested the counter-rotating of psychomotor stimulation by the calibrating medicine and be proved.Specifically, can prove by the described Vogel conflict of following embodiment experiment.Those skilled in the relevant art can select other related experiment to prove this effect fully.The effectiveness of medicine of the present invention in the above-mentioned disease of treatment can prove by suitable clinical research.Suitable clinical research refer in particular in the patient of bipolar affective disorder or with carry out in the psychiatric patient of potential anxiety symptom at random, the parallel study of double blinding, placebo.
It is the standard test of check psychotherapeutic drugs (being mainly anxiety and antidepressant drug) effect that Vogel conflict described in the following embodiment is tested, because various antianxiety drugs and antidepressants all are that common probability of falling ill is very high between effective and anxiety symptom and other mental sickness (as depression) in this experiment.Especially the wonderful specificity of S-enantiomer and height effectiveness have shown the activity of Drug therapy anxiety, depression and above-mentioned other mental sickness in this experiment.
The result who is obtained from Vogel conflict experiment clearly illustrates that, adopt heavy dose of (200mg/kg) R-enantiomer not as good as the curative effect that adopts low dose of (50mg/kg) S-enantiomer, and the usefulness of racemate/effect is than being between usefulness/effect ratio between R-and S-enantiomer.Wonderful discovery, the usefulness of three kinds of chemical compounds is identical aspect convulsion, the usefulness factor is less than 2.
Certainly, in treatment during above-mentioned disease, suitable dosage should according to the ratio of different enantiomer, patient, the disease for the treatment of, administering mode and treat state of an illness character and the different of the order of severity change.Yet, generally speaking, in animal, when the daily dose of racemate or S-enantiomer is the about 1-300mg of per kilogram the weight of animals every day, can obtain gratifying result.In large mammal (as the people), the daily dose of racemate or S-enantiomer for the about 3000mg of about 10-according to chemical compound of the present invention, easily with four administrations every day.
Racemate or enantiomer can be by any method administrations commonly used, as oral with tablet or capsule form, perhaps with injection solution or suspension form parenteral.
The present invention also is provided for treating emotion and attention disorders or anxiety or especially with the pharmaceutical composition of other mental sickness of potential anxiety symptom, this pharmaceutical composition contains the racemate of formula I chemical compound or pharmaceutically acceptable salt or its S-enantiomer and at least a pharmaceutical carrier or the diluent of described racemate, above-mentioned racemate is by 51%S-enantiomer at least and be no more than the 49%R-enantiomer and form, preferably by 85%S-enantiomer at least and be no more than the 15%R-enantiomer and form.These compositionss can prepare by common method.
Unit dosage forms can contain racemate or the S-enantiomer of the about 1000mg of 2.5mg-that has an appointment.
The pharmaceutically acceptable salt that the invention still further relates to the racemate of formula I chemical compound or S-enantiomer or above-mentioned racemate or enantiomer is in production for treating emotion and attention disorders or anxiety or with the purposes in the pharmaceutical composition of other mental sickness of potential anxiety symptom.
The present invention also provides treatment to suffer from emotion and attention disorders patient's method, and this Therapeutic Method comprises the pharmaceutically acceptable salt according to racemate of the present invention or S-enantiomer or above-mentioned racemate or enantiomer that gives above-mentioned patient treatment effective dose.
The present invention also provides treatment to suffer from anxiety or with the method for other psychiatric patients of potential anxiety symptom, this Therapeutic Method comprises the pharmaceutically acceptable salt according to racemate of the present invention or S-enantiomer or above-mentioned racemate or enantiomer that gives above-mentioned patient treatment effective dose.
An embodiment preferred of the present invention relates to racemate of the present invention or the purposes of S-enantiomer in the treatment bipolar affective disorder.
In addition, the present invention also provides the packing that contains pharmaceutical composition and description, this pharmaceutical composition contains the racemate of formula I chemical compound or pharmaceutically acceptable salt and at least a pharmaceutical carrier or the diluent of S-enantiomer or above-mentioned racemate or enantiomer, above-mentioned racemate is by 51%S-enantiomer at least and be no more than the 49%R-enantiomer and form, preferably by 85%S-enantiomer at least and be no more than the 15%R-enantiomer and form, description is used to illustrate aforementioned pharmaceutical compositions treatment emotion and attention disorders or anxiety or with the usage of other mental sickness of potential anxiety symptom.
Preferred racemate is by 95%S-enantiomer at least and be no more than the 5%R-enantiomer and form, more preferably by 98%S-enantiomer at least and be no more than the 2%R-enantiomer and form, most preferably by 99.5%S-enantiomer at least and be no more than the 0.5%R-enantiomer and form.
Can obtain racemate of the present invention by for example the pure enantiomer of formula I chemical compound being mixed.Can obtain the pure enantiomer of formula I chemical compound by known method by racemate.Formation (for example can form salt) that can be by diastereoisomeric salt or carry out chromatography (as HPLC) by the chromatography substrate that employing has a chiral ligand and racemate is separated into its enantiomer by chiral acid with enantiomer-pure.
In one embodiment of the invention, according to the pure enantiomer of the method preparation I compound described in the following embodiment.
Following embodiment only is used to illustrate the present invention, rather than is used to limit the scope of the invention.
Abbreviation
The Ac acetyl group
Aqu. aqueous solution
Dansyl 5-(dimethylamino)-1-naphthalene sulfonyl base
The Et ethyl
The HPLC high-pressure liquid chromatography
The Me methyl
The NMR nuclear magnetic resonance, NMR
The RT room temperature
The THF oxolane
The Ts tosyl
Embodiment
Embodiment 1:With 10-oxo-10,11-dihydro-dibenzo [b, f] azepine -transfer hydrogenation of 5-carboxylic acid amide enantioselectivity is R (-)-10, the method for 11-dihydro-10-hydroxyl-5H-dibenzo [b, f] azepine -5-Methanamide
Under 23 ℃, to being dissolved in CH
2Cl
210-oxo-10 (15ml), and 11-dihydro-benzo [b, f] azepine -5-carboxylic acid amide (300mg, 1.189mmol) and RuCl[(1R, 2R)-p-TsNCH (C
6H
5) CH (C
6H
5) NH
2] (η
6-p-cymol, Aldrich, Switzerland) (8.8mg dropwise adds formic acid and NEt in mixture 0.0138mmol)
3(5: 2,328mg: aqueous premix 289mg) also stirred 10 minutes.With settled solution reflux 16 hours.Reactant mixture is cooled to room temperature, uses CH
2Cl
2(20ml) dilute and use NaHCO
3The aqueous solution neutralization.With concentrated solution under reduced pressure after the salt water washing.(eluent is the mixture of EtOAc and MeOH by flash chromatography on silica gel with residue, 6: 1) purification, obtain R (-)-10,11-dihydro-10-hydroxyl-5H-dibenzo [b, f] (HPLC through Chiracel OD determines azepine -5-Methanamide, enantiomeric purity (ee)>99%), retention time: 9.46 minutes.[α] D
Rt=-195.3 ° (ethanol).
1H-NMR (400MHz, CDCl
3): 7.70-7.20 (m, 8H), 5.30 (brs, 1H), 5.10-4.60 (brs, 2H), 3.75-3.40 (m, 1H), 3.20-2.90 (m, 1H), 2.50 (brs, 2 H).NMR data refer document: Benes, J etc., J.Med.Chem.1999,42,2582-2587.Molecular weight: 254.291.
Embodiment 2:With 10-oxo-10,11-dihydro-dibenzo [b, f] azepine -transfer hydrogenation of 5-carboxylic acid amide enantioselectivity is S (+)-10, the method for 11-dihydro-10-hydroxyl-5H-dibenzo [b, f] azepine -5-Methanamide
Under 23 ℃, to being dissolved in CH
2Cl
210-oxo-10 (15ml), and 11-dihydro-benzo [b, f] azepine -5-carboxylic acid amide (300mg, 1.189mmol) and RuCl[(1S, 2S)-p-TsNCH (C
6H
5) CH (C
6H
5) NH
2] (η
6-p-cymol) (11mg 0.0173mmol) adds formic acid and NEt at twice in the mixture
3(5: 2,656mg: aqueous premix 578mg) also stirred 10 minutes.Add formic acid (50 μ l) then and with settled solution reflux 16 hours.Reactant mixture is cooled to room temperature, uses CH
2Cl
2(20ml) dilute and use NaHCO
3The aqueous solution neutralization.With concentrated solution under reduced pressure after the salt water washing.(eluent is the mixture of EtOAc and MeOH by flash chromatography on silica gel with residue, 6: 1) purification, obtain S (+)-10,11-dihydro-10-hydroxyl-5H-dibenzo [b, f] (HPLC through Chiracel OD determines azepine -5-Methanamide, enantiomeric purity (ee)>99%), retention time: 12.00 minutes.[α]
D Rt=+196.6 ° (ethanol).
1H-NMR(400MHz,CDCl
3):7.70-7.20(m,8H),5.30(brs,1H),5.10-4.60(brs,2H),3.75-3.40(m,1H),3.20-2.90(m,1H),2.50(brs,2H)。NMR data refer document: Benes, J etc., J.Med.Chem.1999,42,2582-2587.Molecular weight: 254.291.
Alternative approach: under 23 ℃, to being dissolved in CH
2Cl
210-oxo-10 (15ml), and 11-dihydro-benzo [b, f] azepine -5-carboxylic acid amide (300mg, 1.189mmol) and RuCl[(1S, 2S)-the red sulphonyl-NCH (C of p-
6H
5) CH (C
6H
5) NH
2] (η
6-p-cymol) (8.5mg dropwise adds formic acid and NEt in mixture 0.012mmol)
3(5: 2,328mg: aqueous premix 289mg) also stirred 10 minutes.With settled solution reflux 16 hours.Reactant mixture is cooled to room temperature, uses CH
2Cl
2(20ml) dilute and use NaHCO
3The aqueous solution neutralization.With concentrated solution under reduced pressure after the salt water washing.Residue by flash chromatography on silica gel (eluent is the mixture of EtOAc and MeOH, 6: 1) purification, is obtained S (+)-10,11-dihydro-10-hydroxyl-5H-dibenzo [b, f] azepine -5-Methanamide.
Embodiment 3: RuCl[(1S, 2S)-the red sulphonyl NCH of p-(C
6H
5) CH (C
6H
5) NH
2] (η
6-p-cymol) preparation
A) (S, S)-5-dimethylamino-naphthalene-1-sulfonic acid (2-amino-1,2-diphenyl-ethyl)-preparation of amide: under 0 ℃, (S in being dissolved in THF, S)-diphenyl ethylene diamine (250mg, 1.2mmol) and the solution of triethylamine (0.5ml) in dropwise add dansyl Cl (318mg, THF 1.2mmol) (2ml) solution.After at room temperature stirring 16 hours, remove solvent in a vacuum and residue is dissolved in the dichloromethane (20ml).Use NaHCO
3Solution (5ml) washing organic facies is through Na
2SO
4Solvent is removed in dry and filtration back.Flash chromatography obtains that (S S)-5-dimethylamino-naphthalene-1-sulfonic acid (2-amino-1,2-diphenyl-ethyl)-amide, is yellow oil, the vacuum drying post crystallization.M:445.59。
1H-NMR(400MHz,CDCl
3):8.36(t,J=7.5Hz,2H),8.17(dd,J=7.2,1.2Hz,1H),7.47(dd,J=8.8Hz,1H),7.34(dd,J=8.5Hz,1H),7.24-7.16(m,4H),7.11(d,J=7.5Hz,1H),6.99-6.74(m,6H),4.61(d,J=8.5Hz,1H),4.20(d,J=8.5Hz,1H),2.80(s,6H)。
B) RuCl[(1S, 2S)-the red sulphonyl NCH of p-(C
6H
5) CH (C
6H
5) NH
2] (η
6-p-cymol) preparation: under 80 ℃, will be dissolved in the 2-propanol (S, S)-5-dimethylamino-naphthalene-1-sulfonic acid (2-amino-1,2-diphenyl-ethyl)-amide (80mg, 0.18mmol), NEt
3(36mg is 0.36mmol) with [RuCl
2(p-cymol)]
2(55mg, 0.09mmol) the solution heating is 1 hour.Solvent removed in vacuo, water (2ml) washing kermesinus residue.Drying solid and can need not any purification and use in a vacuum.M:715.34。
Embodiment 4: the Vogel experiment that conflicts
A) method is described: this method according to Vogel etc. at Psychopharmacologia 1971;
21: the described method of 1-7 is carried out, and this method can detect anxiety and relevant spirit is active.(as Fontana etc., Psychopharmacology 1989 for various antianxiety drugs and antidepressants; 98 (2): 157-62) increased the number of times (punished drinking) that punitive is drunk water.
Rat was prohibited water 48 hours and placed transparent resin glass cage that the bottom is made of 1 centimetre rustless steel hurdle (0.4cm) at interval (in 15 * 32 * 34cm) respectively.The rear wall of cage is made of opaque plexiglas is convenient to hidden observation experiment animal.Over there the centre of cage wall far from the bottom 5 centimeters place a metal water nozzle of charging in the cage, this water nozzle extremely links to each other with one of electric shock generator (Apelex:Type 011346).Another utmost point of electric shock generator is connected on the metal grid of bottom.Rat is ignored until its discovery water nozzle.When it was drunk water, (1.7mA, 1sec.), it began to lick (lapping) after two seconds will to obtain a slight electric shock.The shock count that calculating was suffered in 3 minutes (number of times of punitive drinking-water).15 rats of every group of research.This experiment is double blinding.Test the chemical compound of preceding 60 minutes orally gives 50,100 and 200mg/kg, and compare with the solvent matched group.Under identical experiment condition, give clobazam (64mg/kg) as object of reference.The all assessments and all comparing under same experimental conditions of all chemical compounds with identical solvent and reference substance controls.Adopt and not match Shi Diteshi t check (unpaired Student ' s t tests) and data are analyzed by comparison process group and solvent matched group.
B) result: observed result is shown in table 1-3.These results clearly illustrate that, adopt heavy dose of (200mg/kg) R-enantiomer not as good as adopting low dose of (50mg/kg) S-enantiomer more effective, and the usefulness of racemate/effect is than being between usefulness/effect ratio between R-and S-enantiomer.In addition, in all test doses, the maximum effect of R-enantiomer is lower than the maximum effect of positive control (being clobazam), and the usefulness of S-enantiomer surpasses the usefulness of clobazam.
Table 1
The effect of racemate and clobazam in the Vogel of rat conflict experiment
(every group of 15 rats)
Preceding 60 minutes of M3 (mg/kg) experiment is oral | Punitive drinking times (shock count) | ||
Meansigma methods ± standard error | The p value | Variation % with respect to matched group | |
Solvent 50 100 200 | 4.4±0.2 5.9±0.5 * 8.4±1.0 *** 10.4±1.5 *** | - 0.012 0.001 0.001 | - +34% +91% +136% |
Clobazam 64mg/kg test preceding 60 minutes oral | 8.2±1.1 ** | 0.003 | +86% |
Shi Diteshi t check:
*=p<0.05;
*=p<0.01;
* *=p<0.001
Table 2
The effect of R-enantiomer and clobazam in the Vogel of rat conflict experiment
(every group of 15 rats)
Preceding 60 minutes of M4 (mg/kg) experiment is oral | Punitive drinking times (shock count) | ||
Mean+/-standard error | The p value | Variation % with respect to matched group | |
Solvent 50 100 200 | 4.4±0.2 5.0±0.4NS 5.5±0.5NS 7.4±1.3 * | - 0.203 0.088 0.033 | - +14% +25% +68% |
Clobazam 64mg/kg test preceding 60 minutes oral | 8.2±1.1 ** | 0.003 | +86% |
Shi Diteshi t check: NS=is not remarkable;
*=p<0.05;
*=p<0.01
Table 3
The effect of S-enantiomer and clobazam in the Vogel of rat conflict experiment
(every group of 15 rats)
Preceding 60 minutes of M5 (mg/kg) experiment is oral | Punitive drinking times (shock count) | ||
Mean+/-standard error | The p value | Variation % with respect to matched group | |
Solvent 50 100 200 | 4.4±0.2 8.4±1.3 ** 9.5±1.0 *** 10.5±1.3 *** | - 0.006 0.000 0.000 | - +91% +116% +139% |
Clobazam 64mg/kg test preceding 60 minutes oral | 8.2±1.1 ** | 0.003 | +86% |
Shi Diteshi t check:
*=p<0.01;
* *=p<0.001
Claims (10)
1. the purposes of pharmaceutically acceptable salt in the pharmaceutical composition of production for treating anxiety of the racemate of formula I chemical compound or its S-enantiomer or above-mentioned racemate or enantiomer,
This racemate is by 85%S-enantiomer at least and be no more than the 15%R-enantiomer and form.
2. according to the purposes of claim 1, wherein said racemate is by 95%S-enantiomer at least and be no more than the 5%R-enantiomer and form.
3. according to the purposes of claim 1 or 2, wherein said racemate is by 98%S-enantiomer at least and be no more than the 2%R-enantiomer and form.
4. pharmaceutical composition, this pharmaceutical composition comprise as the pharmaceutically acceptable salt of the racemate of the formula I chemical compound of active component or above-mentioned racemate and pharmaceutically acceptable carrier,
Above-mentioned racemate is by 51%S-enantiomer at least and be no more than the 49%R-enantiomer and form.
5. packaging product, this packaging product comprise that according to the pharmaceutical composition of claim 4 and description description is used to illustrate the usage of aforementioned pharmaceutical compositions treatment anxiety.
6. the pharmaceutically acceptable salt of the racemate of formula I chemical compound or its S-enantiomer or above-mentioned racemate or enantiomer is used for the pharmaceutical composition of production for treating emotion and attention disorders,
This racemate is by 85%S-enantiomer at least and be no more than the 15%R-enantiomer and form.
7. the racemate of formula I chemical compound or the purposes of above-mentioned racemate pharmaceutically acceptable salt in the pharmaceutical composition of production for treating emotion and attention disorders,
This racemate is by 85%S-enantiomer at least and be no more than the 15%R-enantiomer and form.
8. according to the purposes of claim 6 or 7, wherein said racemate is by 95%S-enantiomer at least and be no more than the 5%R-enantiomer and form.
9. according to the purposes of claim 6 or 7, wherein said racemate is by 98%S-enantiomer at least and be no more than the 2%R-enantiomer and form.
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GB0303614.2 | 2003-02-17 | ||
GB0303613.4 | 2003-02-17 | ||
GB0303613A GB0303613D0 (en) | 2003-02-17 | 2003-02-17 | Use of organic compounds |
GB0307278.2 | 2003-03-28 | ||
GB0307281.6 | 2003-03-28 |
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CN103980270A (en) * | 2014-05-19 | 2014-08-13 | 埃斯特维华义制药有限公司 | Method for preparing (R)-3-quinuclidinol |
Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
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EP0751129A1 (en) * | 1995-06-30 | 1997-01-02 | Portela & Ca., S.A. | Substituted dihydrodibenzo/b, f/azepines, method for their preparation, their use in the treatment of some central nervous system disorders, and pharmaceutical compositions containing them |
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2003
- 2003-02-17 GB GB0303613A patent/GB0303613D0/en not_active Ceased
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EP0751129A1 (en) * | 1995-06-30 | 1997-01-02 | Portela & Ca., S.A. | Substituted dihydrodibenzo/b, f/azepines, method for their preparation, their use in the treatment of some central nervous system disorders, and pharmaceutical compositions containing them |
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