CN115583959A - 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 - Google Patents
二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 Download PDFInfo
- Publication number
- CN115583959A CN115583959A CN202211200627.2A CN202211200627A CN115583959A CN 115583959 A CN115583959 A CN 115583959A CN 202211200627 A CN202211200627 A CN 202211200627A CN 115583959 A CN115583959 A CN 115583959A
- Authority
- CN
- China
- Prior art keywords
- group
- formula
- fluorine
- methyl
- chlorine
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000011282 treatment Methods 0.000 title abstract description 47
- 208000023504 respiratory system disease Diseases 0.000 title abstract description 13
- 150000005237 imidazopyrimidines Chemical class 0.000 title description 3
- 239000003814 drug Substances 0.000 claims abstract description 14
- 150000001875 compounds Chemical class 0.000 claims description 211
- -1 cyclobutyloxy, oxetan-3-yloxy, tetrahydrofuran-3-yloxy, tetrahydro-2H-pyran-4-yloxy Chemical group 0.000 claims description 101
- 150000003839 salts Chemical class 0.000 claims description 54
- 229910052731 fluorine Inorganic materials 0.000 claims description 50
- 239000011737 fluorine Substances 0.000 claims description 50
- 239000012453 solvate Substances 0.000 claims description 49
- 239000000460 chlorine Substances 0.000 claims description 40
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 claims description 39
- 229910052801 chlorine Inorganic materials 0.000 claims description 39
- 229910052739 hydrogen Inorganic materials 0.000 claims description 39
- 239000001257 hydrogen Substances 0.000 claims description 39
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical compound FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 claims description 31
- 150000002431 hydrogen Chemical class 0.000 claims description 31
- WKBOTKDWSSQWDR-UHFFFAOYSA-N Bromine atom Chemical compound [Br] WKBOTKDWSSQWDR-UHFFFAOYSA-N 0.000 claims description 27
- GDTBXPJZTBHREO-UHFFFAOYSA-N bromine Substances BrBr GDTBXPJZTBHREO-UHFFFAOYSA-N 0.000 claims description 27
- 229910052794 bromium Inorganic materials 0.000 claims description 27
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 25
- 125000000217 alkyl group Chemical group 0.000 claims description 21
- 125000003545 alkoxy group Chemical group 0.000 claims description 20
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 claims description 18
- 125000001153 fluoro group Chemical group F* 0.000 claims description 18
- 125000001559 cyclopropyl group Chemical group [H]C1([H])C([H])([H])C1([H])* 0.000 claims description 17
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 15
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 claims description 14
- 229910052717 sulfur Inorganic materials 0.000 claims description 11
- 125000001995 cyclobutyl group Chemical group [H]C1([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 claims description 10
- 229910052760 oxygen Inorganic materials 0.000 claims description 10
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 8
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 8
- 125000004076 pyridyl group Chemical group 0.000 claims description 8
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 claims description 7
- 125000001511 cyclopentyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C1([H])[H] 0.000 claims description 7
- 125000002971 oxazolyl group Chemical group 0.000 claims description 7
- NQRYJNQNLNOLGT-UHFFFAOYSA-N Piperidine Chemical compound C1CCNCC1 NQRYJNQNLNOLGT-UHFFFAOYSA-N 0.000 claims description 6
- RWRDLPDLKQPQOW-UHFFFAOYSA-N Pyrrolidine Chemical compound C1CCNC1 RWRDLPDLKQPQOW-UHFFFAOYSA-N 0.000 claims description 6
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 6
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 claims description 6
- 125000004414 alkyl thio group Chemical group 0.000 claims description 5
- 125000000753 cycloalkyl group Chemical group 0.000 claims description 5
- UUEVFMOUBSLVJW-UHFFFAOYSA-N oxo-[[1-[2-[2-[2-[4-(oxoazaniumylmethylidene)pyridin-1-yl]ethoxy]ethoxy]ethyl]pyridin-4-ylidene]methyl]azanium;dibromide Chemical compound [Br-].[Br-].C1=CC(=C[NH+]=O)C=CN1CCOCCOCCN1C=CC(=C[NH+]=O)C=C1 UUEVFMOUBSLVJW-UHFFFAOYSA-N 0.000 claims description 5
- YNAVUWVOSKDBBP-UHFFFAOYSA-N Morpholine Chemical compound C1COCCN1 YNAVUWVOSKDBBP-UHFFFAOYSA-N 0.000 claims description 4
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 claims description 4
- 125000001352 cyclobutyloxy group Chemical group C1(CCC1)O* 0.000 claims description 4
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 claims description 4
- CYRMSUTZVYGINF-UHFFFAOYSA-N trichlorofluoromethane Chemical compound FC(Cl)(Cl)Cl CYRMSUTZVYGINF-UHFFFAOYSA-N 0.000 claims description 4
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 4
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims description 3
- 229910052736 halogen Inorganic materials 0.000 claims description 3
- 150000002367 halogens Chemical class 0.000 claims description 3
- 125000002816 methylsulfanyl group Chemical group [H]C([H])([H])S[*] 0.000 claims description 3
- VDKJCAWGDJJKNL-UHFFFAOYSA-N (3-chloro-6-methoxypyridin-2-yl)-[3-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octan-8-yl]methanone Chemical compound ClC=1C(=NC(=CC=1)OC)C(=O)N1C2CN(CC1CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C VDKJCAWGDJJKNL-UHFFFAOYSA-N 0.000 claims description 2
- OGGHXOJOVOYBOH-UHFFFAOYSA-N (3-fluoro-6-methoxypyridin-2-yl)-[3-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octan-8-yl]methanone Chemical compound FC=1C(=NC(=CC=1)OC)C(=O)N1C2CN(CC1CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C OGGHXOJOVOYBOH-UHFFFAOYSA-N 0.000 claims description 2
- LLVGWHFNQXAKJW-UHFFFAOYSA-N [5-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octan-2-yl]-(3-fluoro-6-methoxypyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1C2CN(C(C1)CC2)C(=O)C1=NC(=CC=C1F)OC LLVGWHFNQXAKJW-UHFFFAOYSA-N 0.000 claims description 2
- 125000003282 alkyl amino group Chemical group 0.000 claims description 2
- 125000001301 ethoxy group Chemical group [H]C([H])([H])C([H])([H])O* 0.000 claims description 2
- 125000000956 methoxy group Chemical group [H]C([H])([H])O* 0.000 claims description 2
- 125000004433 nitrogen atom Chemical group N* 0.000 claims description 2
- BRNULMACUQOKMR-UHFFFAOYSA-N thiomorpholine Chemical group C1CSCCN1 BRNULMACUQOKMR-UHFFFAOYSA-N 0.000 claims description 2
- 229910052727 yttrium Inorganic materials 0.000 claims description 2
- WCYWZMWISLQXQU-UHFFFAOYSA-N methyl Chemical compound [CH3] WCYWZMWISLQXQU-UHFFFAOYSA-N 0.000 claims 1
- 238000000034 method Methods 0.000 abstract description 106
- 208000001797 obstructive sleep apnea Diseases 0.000 abstract description 15
- 206010041235 Snoring Diseases 0.000 abstract description 13
- 238000002360 preparation method Methods 0.000 abstract description 13
- 230000000414 obstructive effect Effects 0.000 abstract description 10
- 208000003417 Central Sleep Apnea Diseases 0.000 abstract description 8
- 230000002265 prevention Effects 0.000 abstract description 8
- 230000008569 process Effects 0.000 abstract description 7
- 230000006806 disease prevention Effects 0.000 abstract description 3
- 150000005238 imidazo[1,2-a]pyrimidines Chemical class 0.000 abstract description 3
- 239000000203 mixture Substances 0.000 description 67
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 66
- 238000004895 liquid chromatography mass spectrometry Methods 0.000 description 61
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 58
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 50
- 239000000243 solution Substances 0.000 description 49
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 45
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-diisopropylethylamine Substances CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 44
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 42
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 38
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 38
- 201000010099 disease Diseases 0.000 description 36
- 238000005160 1H NMR spectroscopy Methods 0.000 description 34
- 238000006243 chemical reaction Methods 0.000 description 34
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 30
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 28
- 239000000126 substance Substances 0.000 description 27
- 239000003112 inhibitor Substances 0.000 description 25
- 239000012071 phase Substances 0.000 description 25
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 24
- 101001050878 Homo sapiens Potassium channel subfamily K member 9 Proteins 0.000 description 24
- 108091006146 Channels Proteins 0.000 description 23
- 239000002904 solvent Substances 0.000 description 23
- 238000002953 preparative HPLC Methods 0.000 description 22
- 239000011541 reaction mixture Substances 0.000 description 22
- 239000007821 HATU Substances 0.000 description 21
- 238000011321 prophylaxis Methods 0.000 description 21
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 20
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 18
- 239000003480 eluent Substances 0.000 description 18
- 239000003643 water by type Substances 0.000 description 18
- 239000000047 product Substances 0.000 description 17
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-Dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 16
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 16
- 238000000825 ultraviolet detection Methods 0.000 description 16
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 15
- 102100024986 Potassium channel subfamily K member 9 Human genes 0.000 description 15
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 15
- 239000005557 antagonist Substances 0.000 description 15
- 238000004128 high performance liquid chromatography Methods 0.000 description 15
- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 description 14
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 14
- 238000005481 NMR spectroscopy Methods 0.000 description 14
- 229960004756 ethanol Drugs 0.000 description 14
- 239000012074 organic phase Substances 0.000 description 14
- 210000002345 respiratory system Anatomy 0.000 description 14
- 239000007787 solid Substances 0.000 description 14
- 239000002585 base Substances 0.000 description 13
- 238000003756 stirring Methods 0.000 description 13
- PAMIQIKDUOTOBW-UHFFFAOYSA-N 1-methylpiperidine Chemical compound CN1CCCCC1 PAMIQIKDUOTOBW-UHFFFAOYSA-N 0.000 description 12
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 12
- SJRJJKPEHAURKC-UHFFFAOYSA-N N-Methylmorpholine Chemical compound CN1CCOCC1 SJRJJKPEHAURKC-UHFFFAOYSA-N 0.000 description 12
- 208000035475 disorder Diseases 0.000 description 12
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 11
- IXCSERBJSXMMFS-UHFFFAOYSA-N hydrogen chloride Substances Cl.Cl IXCSERBJSXMMFS-UHFFFAOYSA-N 0.000 description 11
- 229910000041 hydrogen chloride Inorganic materials 0.000 description 11
- 210000003205 muscle Anatomy 0.000 description 11
- 230000029058 respiratory gaseous exchange Effects 0.000 description 11
- OSWFIVFLDKOXQC-UHFFFAOYSA-N 4-(3-methoxyphenyl)aniline Chemical compound COC1=CC=CC(C=2C=CC(N)=CC=2)=C1 OSWFIVFLDKOXQC-UHFFFAOYSA-N 0.000 description 10
- HBAQYPYDRFILMT-UHFFFAOYSA-N 8-[3-(1-cyclopropylpyrazol-4-yl)-1H-pyrazolo[4,3-d]pyrimidin-5-yl]-3-methyl-3,8-diazabicyclo[3.2.1]octan-2-one Chemical class C1(CC1)N1N=CC(=C1)C1=NNC2=C1N=C(N=C2)N1C2C(N(CC1CC2)C)=O HBAQYPYDRFILMT-UHFFFAOYSA-N 0.000 description 10
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 10
- 210000004027 cell Anatomy 0.000 description 10
- 239000003795 chemical substances by application Substances 0.000 description 10
- 230000000694 effects Effects 0.000 description 10
- 235000019253 formic acid Nutrition 0.000 description 10
- 208000017169 kidney disease Diseases 0.000 description 10
- 230000000241 respiratory effect Effects 0.000 description 10
- 238000012360 testing method Methods 0.000 description 10
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 9
- WXIONIWNXBAHRU-UHFFFAOYSA-N [dimethylamino(triazolo[4,5-b]pyridin-3-yloxy)methylidene]-dimethylazanium Chemical compound C1=CN=C2N(OC(N(C)C)=[N+](C)C)N=NC2=C1 WXIONIWNXBAHRU-UHFFFAOYSA-N 0.000 description 9
- 239000013543 active substance Substances 0.000 description 9
- 125000004432 carbon atom Chemical group C* 0.000 description 9
- 239000012321 sodium triacetoxyborohydride Substances 0.000 description 9
- AIOULOBZHPNORY-UHFFFAOYSA-N tert-butyl 5-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octane-2-carboxylate Chemical compound C(C)(C)(C)OC(=O)N1C2CN(C(C1)CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)Cl AIOULOBZHPNORY-UHFFFAOYSA-N 0.000 description 9
- 206010019280 Heart failures Diseases 0.000 description 8
- BZLVMXJERCGZMT-UHFFFAOYSA-N Methyl tert-butyl ether Chemical compound COC(C)(C)C BZLVMXJERCGZMT-UHFFFAOYSA-N 0.000 description 8
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 8
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 8
- 239000002253 acid Substances 0.000 description 8
- 208000006673 asthma Diseases 0.000 description 8
- 230000002757 inflammatory effect Effects 0.000 description 8
- 230000005764 inhibitory process Effects 0.000 description 8
- 229910052943 magnesium sulfate Inorganic materials 0.000 description 8
- 235000019341 magnesium sulphate Nutrition 0.000 description 8
- XHXFXVLFKHQFAL-UHFFFAOYSA-N phosphoryl trichloride Chemical compound ClP(Cl)(Cl)=O XHXFXVLFKHQFAL-UHFFFAOYSA-N 0.000 description 8
- 125000006239 protecting group Chemical group 0.000 description 8
- 239000000376 reactant Substances 0.000 description 8
- 239000003826 tablet Substances 0.000 description 8
- XDTMQSROBMDMFD-UHFFFAOYSA-N Cyclohexane Chemical compound C1CCCCC1 XDTMQSROBMDMFD-UHFFFAOYSA-N 0.000 description 7
- 229910052786 argon Inorganic materials 0.000 description 7
- 230000015572 biosynthetic process Effects 0.000 description 7
- 210000002216 heart Anatomy 0.000 description 7
- 230000001965 increasing effect Effects 0.000 description 7
- 238000004519 manufacturing process Methods 0.000 description 7
- 150000003254 radicals Chemical class 0.000 description 7
- 238000000926 separation method Methods 0.000 description 7
- ZCDJIDOPTNDVAQ-UHFFFAOYSA-N tert-butyl 5-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octane-2-carboxylate Chemical compound C(C)(C)C1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1C2CN(C(C1)CC2)C(=O)OC(C)(C)C ZCDJIDOPTNDVAQ-UHFFFAOYSA-N 0.000 description 7
- CPELXLSAUQHCOX-UHFFFAOYSA-M Bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 description 6
- YXOSOQAVIOQDNY-UHFFFAOYSA-N Cl.Cl.Clc1ccc(cc1)-c1nc2ncccn2c1CN1CC2CCC(C1)N2 Chemical compound Cl.Cl.Clc1ccc(cc1)-c1nc2ncccn2c1CN1CC2CCC(C1)N2 YXOSOQAVIOQDNY-UHFFFAOYSA-N 0.000 description 6
- TZVCILDXHRIRBL-UHFFFAOYSA-N Cl.Cl.Clc1ccc(cc1)-c1nc2ncccn2c1CN1CC2COCC(C1)N2 Chemical compound Cl.Cl.Clc1ccc(cc1)-c1nc2ncccn2c1CN1CC2COCC(C1)N2 TZVCILDXHRIRBL-UHFFFAOYSA-N 0.000 description 6
- XTHFKEDIFFGKHM-UHFFFAOYSA-N Dimethoxyethane Chemical compound COCCOC XTHFKEDIFFGKHM-UHFFFAOYSA-N 0.000 description 6
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 6
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 6
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 6
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 6
- 239000008346 aqueous phase Substances 0.000 description 6
- 239000003613 bile acid Substances 0.000 description 6
- 239000001569 carbon dioxide Substances 0.000 description 6
- 229910002092 carbon dioxide Inorganic materials 0.000 description 6
- 230000001684 chronic effect Effects 0.000 description 6
- 238000004440 column chromatography Methods 0.000 description 6
- 239000007789 gas Substances 0.000 description 6
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 6
- 229920001223 polyethylene glycol Polymers 0.000 description 6
- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 6
- 238000003786 synthesis reaction Methods 0.000 description 6
- 125000005931 tert-butyloxycarbonyl group Chemical group [H]C([H])([H])C(OC(*)=O)(C([H])([H])[H])C([H])([H])[H] 0.000 description 6
- HJUGFYREWKUQJT-UHFFFAOYSA-N tetrabromomethane Chemical compound BrC(Br)(Br)Br HJUGFYREWKUQJT-UHFFFAOYSA-N 0.000 description 6
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 6
- RIOQSEWOXXDEQQ-UHFFFAOYSA-N triphenylphosphine Chemical compound C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 RIOQSEWOXXDEQQ-UHFFFAOYSA-N 0.000 description 6
- 238000004704 ultra performance liquid chromatography Methods 0.000 description 6
- HSINOMROUCMIEA-FGVHQWLLSA-N (2s,4r)-4-[(3r,5s,6r,7r,8s,9s,10s,13r,14s,17r)-6-ethyl-3,7-dihydroxy-10,13-dimethyl-2,3,4,5,6,7,8,9,11,12,14,15,16,17-tetradecahydro-1h-cyclopenta[a]phenanthren-17-yl]-2-methylpentanoic acid Chemical compound C([C@@]12C)C[C@@H](O)C[C@H]1[C@@H](CC)[C@@H](O)[C@@H]1[C@@H]2CC[C@]2(C)[C@@H]([C@H](C)C[C@H](C)C(O)=O)CC[C@H]21 HSINOMROUCMIEA-FGVHQWLLSA-N 0.000 description 5
- 125000003088 (fluoren-9-ylmethoxy)carbonyl group Chemical group 0.000 description 5
- DXMUKADKMZSSQF-UHFFFAOYSA-N 2-(4-chlorophenyl)-3-(2,5-diazabicyclo[2.2.2]octan-2-ylmethyl)imidazo[1,2-a]pyrimidine dihydrochloride Chemical compound Cl.Cl.ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1C2CNC(C1)CC2 DXMUKADKMZSSQF-UHFFFAOYSA-N 0.000 description 5
- LNUYRKFYGCLLJO-UHFFFAOYSA-N 2-(4-chlorophenyl)imidazo[1,2-a]pyrimidine-3-carbaldehyde Chemical compound C1=CC(Cl)=CC=C1C1=C(C=O)N2C=CC=NC2=N1 LNUYRKFYGCLLJO-UHFFFAOYSA-N 0.000 description 5
- WFMJTDBJJUEDDH-UHFFFAOYSA-N 3-chloro-6-methoxypyridine-2-carboxylic acid Chemical compound COC1=CC=C(Cl)C(C(O)=O)=N1 WFMJTDBJJUEDDH-UHFFFAOYSA-N 0.000 description 5
- AXSBPWGUSHDMMC-UHFFFAOYSA-N 3-fluoro-6-methoxypyridine-2-carboxylic acid Chemical compound COC1=CC=C(F)C(C(O)=O)=N1 AXSBPWGUSHDMMC-UHFFFAOYSA-N 0.000 description 5
- 206010020772 Hypertension Diseases 0.000 description 5
- 208000001647 Renal Insufficiency Diseases 0.000 description 5
- 241000282887 Suidae Species 0.000 description 5
- 210000001744 T-lymphocyte Anatomy 0.000 description 5
- 210000003169 central nervous system Anatomy 0.000 description 5
- 238000004587 chromatography analysis Methods 0.000 description 5
- 230000006378 damage Effects 0.000 description 5
- 235000014113 dietary fatty acids Nutrition 0.000 description 5
- 239000000194 fatty acid Substances 0.000 description 5
- 229930195729 fatty acid Natural products 0.000 description 5
- 210000001169 hypoglossal nerve Anatomy 0.000 description 5
- 239000000543 intermediate Substances 0.000 description 5
- 201000006370 kidney failure Diseases 0.000 description 5
- 229910052757 nitrogen Inorganic materials 0.000 description 5
- 210000000287 oocyte Anatomy 0.000 description 5
- 239000000843 powder Substances 0.000 description 5
- LJXQPZWIHJMPQQ-UHFFFAOYSA-N pyrimidin-2-amine Chemical compound NC1=NC=CC=N1 LJXQPZWIHJMPQQ-UHFFFAOYSA-N 0.000 description 5
- 230000002829 reductive effect Effects 0.000 description 5
- CDBYLPFSWZWCQE-UHFFFAOYSA-L sodium carbonate Substances [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 5
- 239000000725 suspension Substances 0.000 description 5
- GQHTUMJGOHRCHB-UHFFFAOYSA-N 2,3,4,6,7,8,9,10-octahydropyrimido[1,2-a]azepine Chemical compound C1CCCCN2CCCN=C21 GQHTUMJGOHRCHB-UHFFFAOYSA-N 0.000 description 4
- ZKICESLVDZXWOY-UHFFFAOYSA-N 2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidine-3-carbaldehyde Chemical compound C1=CC(C(C)C)=CC=C1C1=C(C=O)N2C=CC=NC2=N1 ZKICESLVDZXWOY-UHFFFAOYSA-N 0.000 description 4
- MCMAJQRHBORCAL-UHFFFAOYSA-N 3-(2,5-diazabicyclo[2.2.2]octan-2-ylmethyl)-2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidine dihydrochloride Chemical compound Cl.Cl.C12N(CC(NC1)CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C MCMAJQRHBORCAL-UHFFFAOYSA-N 0.000 description 4
- YZIWTQAVGMCYQK-UHFFFAOYSA-N 3-(3,8-diazabicyclo[3.2.1]octan-3-ylmethyl)-2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidine dihydrochloride Chemical compound Cl.Cl.C12CN(CC(CC1)N2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C YZIWTQAVGMCYQK-UHFFFAOYSA-N 0.000 description 4
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 4
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 4
- 208000024172 Cardiovascular disease Diseases 0.000 description 4
- ZAFNJMIOTHYJRJ-UHFFFAOYSA-N Diisopropyl ether Chemical compound CC(C)OC(C)C ZAFNJMIOTHYJRJ-UHFFFAOYSA-N 0.000 description 4
- 229940121710 HMGCoA reductase inhibitor Drugs 0.000 description 4
- 206010021143 Hypoxia Diseases 0.000 description 4
- 208000009525 Myocarditis Diseases 0.000 description 4
- 206010028980 Neoplasm Diseases 0.000 description 4
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 4
- YGYAWVDWMABLBF-UHFFFAOYSA-N Phosgene Chemical class ClC(Cl)=O YGYAWVDWMABLBF-UHFFFAOYSA-N 0.000 description 4
- 239000002202 Polyethylene glycol Substances 0.000 description 4
- 102000004257 Potassium Channel Human genes 0.000 description 4
- WCUXLLCKKVVCTQ-UHFFFAOYSA-M Potassium chloride Chemical compound [Cl-].[K+] WCUXLLCKKVVCTQ-UHFFFAOYSA-M 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 150000007513 acids Chemical class 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 4
- 239000003463 adsorbent Substances 0.000 description 4
- 229940083712 aldosterone antagonist Drugs 0.000 description 4
- 208000007502 anemia Diseases 0.000 description 4
- 238000002399 angioplasty Methods 0.000 description 4
- 238000010171 animal model Methods 0.000 description 4
- 239000003146 anticoagulant agent Substances 0.000 description 4
- 206010003119 arrhythmia Diseases 0.000 description 4
- 125000001584 benzyloxycarbonyl group Chemical group C(=O)(OCC1=CC=CC=C1)* 0.000 description 4
- 239000002876 beta blocker Substances 0.000 description 4
- 230000033228 biological regulation Effects 0.000 description 4
- 201000011510 cancer Diseases 0.000 description 4
- 239000002775 capsule Substances 0.000 description 4
- 239000003153 chemical reaction reagent Substances 0.000 description 4
- DDRJAANPRJIHGJ-UHFFFAOYSA-N creatinine Chemical compound CN1CC(=O)NC1=N DDRJAANPRJIHGJ-UHFFFAOYSA-N 0.000 description 4
- 206010012601 diabetes mellitus Diseases 0.000 description 4
- 239000000839 emulsion Substances 0.000 description 4
- 230000003176 fibrotic effect Effects 0.000 description 4
- 230000014509 gene expression Effects 0.000 description 4
- 229960005150 glycerol Drugs 0.000 description 4
- 235000011187 glycerol Nutrition 0.000 description 4
- 210000003709 heart valve Anatomy 0.000 description 4
- 239000002471 hydroxymethylglutaryl coenzyme A reductase inhibitor Substances 0.000 description 4
- 230000001771 impaired effect Effects 0.000 description 4
- 239000012442 inert solvent Substances 0.000 description 4
- 230000002401 inhibitory effect Effects 0.000 description 4
- 238000001990 intravenous administration Methods 0.000 description 4
- 230000000155 isotopic effect Effects 0.000 description 4
- NXPHGHWWQRMDIA-UHFFFAOYSA-M magnesium;carbanide;bromide Chemical compound [CH3-].[Mg+2].[Br-] NXPHGHWWQRMDIA-UHFFFAOYSA-M 0.000 description 4
- 230000004770 neurodegeneration Effects 0.000 description 4
- 230000002093 peripheral effect Effects 0.000 description 4
- UYWQUFXKFGHYNT-UHFFFAOYSA-N phenylmethyl ester of formic acid Natural products O=COCC1=CC=CC=C1 UYWQUFXKFGHYNT-UHFFFAOYSA-N 0.000 description 4
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 4
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 4
- 108020001213 potassium channel Proteins 0.000 description 4
- 230000002685 pulmonary effect Effects 0.000 description 4
- 208000002815 pulmonary hypertension Diseases 0.000 description 4
- 229940044601 receptor agonist Drugs 0.000 description 4
- 239000000018 receptor agonist Substances 0.000 description 4
- 102000005962 receptors Human genes 0.000 description 4
- 108020003175 receptors Proteins 0.000 description 4
- QZAYGJVTTNCVMB-UHFFFAOYSA-N serotonin Chemical compound C1=C(O)C=C2C(CCN)=CNC2=C1 QZAYGJVTTNCVMB-UHFFFAOYSA-N 0.000 description 4
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 4
- 235000017557 sodium bicarbonate Nutrition 0.000 description 4
- 208000011580 syndromic disease Diseases 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 238000001291 vacuum drying Methods 0.000 description 4
- YYGNTYWPHWGJRM-UHFFFAOYSA-N (6E,10E,14E,18E)-2,6,10,15,19,23-hexamethyltetracosa-2,6,10,14,18,22-hexaene Chemical compound CC(C)=CCCC(C)=CCCC(C)=CCCC=C(C)CCC=C(C)CCC=C(C)C YYGNTYWPHWGJRM-UHFFFAOYSA-N 0.000 description 3
- KWTSXDURSIMDCE-QMMMGPOBSA-N (S)-amphetamine Chemical compound C[C@H](N)CC1=CC=CC=C1 KWTSXDURSIMDCE-QMMMGPOBSA-N 0.000 description 3
- WSLDOOZREJYCGB-UHFFFAOYSA-N 1,2-Dichloroethane Chemical compound ClCCCl WSLDOOZREJYCGB-UHFFFAOYSA-N 0.000 description 3
- ASOKPJOREAFHNY-UHFFFAOYSA-N 1-Hydroxybenzotriazole Chemical compound C1=CC=C2N(O)N=NC2=C1 ASOKPJOREAFHNY-UHFFFAOYSA-N 0.000 description 3
- OISVCGZHLKNMSJ-UHFFFAOYSA-N 2,6-dimethylpyridine Chemical compound CC1=CC=CC(C)=N1 OISVCGZHLKNMSJ-UHFFFAOYSA-N 0.000 description 3
- ZWEHNKRNPOVVGH-UHFFFAOYSA-N 2-Butanone Chemical compound CCC(C)=O ZWEHNKRNPOVVGH-UHFFFAOYSA-N 0.000 description 3
- 239000005541 ACE inhibitor Substances 0.000 description 3
- CSCPPACGZOOCGX-UHFFFAOYSA-N Acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 3
- 108010064733 Angiotensins Proteins 0.000 description 3
- 102000015427 Angiotensins Human genes 0.000 description 3
- 102100040214 Apolipoprotein(a) Human genes 0.000 description 3
- 208000023275 Autoimmune disease Diseases 0.000 description 3
- UHOVQNZJYSORNB-UHFFFAOYSA-N Benzene Chemical compound C1=CC=CC=C1 UHOVQNZJYSORNB-UHFFFAOYSA-N 0.000 description 3
- 229940127291 Calcium channel antagonist Drugs 0.000 description 3
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 3
- 208000006545 Chronic Obstructive Pulmonary Disease Diseases 0.000 description 3
- YNYKGTOAAJKYSD-UHFFFAOYSA-N Cl.Cl.CC(C)c1ccc(cc1)-c1nc2ncccn2c1CN1CC2COCC(C1)N2 Chemical compound Cl.Cl.CC(C)c1ccc(cc1)-c1nc2ncccn2c1CN1CC2COCC(C1)N2 YNYKGTOAAJKYSD-UHFFFAOYSA-N 0.000 description 3
- 206010011224 Cough Diseases 0.000 description 3
- 201000011240 Frontotemporal dementia Diseases 0.000 description 3
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 3
- 241000282412 Homo Species 0.000 description 3
- 208000031226 Hyperlipidaemia Diseases 0.000 description 3
- 206010021133 Hypoventilation Diseases 0.000 description 3
- 229940127470 Lipase Inhibitors Drugs 0.000 description 3
- 108010033266 Lipoprotein(a) Proteins 0.000 description 3
- 102100031545 Microsomal triglyceride transfer protein large subunit Human genes 0.000 description 3
- 206010030113 Oedema Diseases 0.000 description 3
- 229920003171 Poly (ethylene oxide) Polymers 0.000 description 3
- KWYUFKZDYYNOTN-UHFFFAOYSA-M Potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 description 3
- 229920002472 Starch Polymers 0.000 description 3
- 241000282898 Sus scrofa Species 0.000 description 3
- BHEOSNUKNHRBNM-UHFFFAOYSA-N Tetramethylsqualene Natural products CC(=C)C(C)CCC(=C)C(C)CCC(C)=CCCC=C(C)CCC(C)C(=C)CCC(C)C(C)=C BHEOSNUKNHRBNM-UHFFFAOYSA-N 0.000 description 3
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Natural products NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 3
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 3
- 230000004913 activation Effects 0.000 description 3
- 239000000808 adrenergic beta-agonist Substances 0.000 description 3
- 229940044094 angiotensin-converting-enzyme inhibitor Drugs 0.000 description 3
- 229940127218 antiplatelet drug Drugs 0.000 description 3
- 208000008784 apnea Diseases 0.000 description 3
- 229940097320 beta blocking agent Drugs 0.000 description 3
- 210000004369 blood Anatomy 0.000 description 3
- 239000008280 blood Substances 0.000 description 3
- 230000037396 body weight Effects 0.000 description 3
- 210000004556 brain Anatomy 0.000 description 3
- 206010006451 bronchitis Diseases 0.000 description 3
- 150000001735 carboxylic acids Chemical class 0.000 description 3
- 239000007795 chemical reaction product Substances 0.000 description 3
- 239000003354 cholesterol ester transfer protein inhibitor Substances 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 230000008602 contraction Effects 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 238000007887 coronary angioplasty Methods 0.000 description 3
- 230000007547 defect Effects 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 239000002934 diuretic Substances 0.000 description 3
- PRAKJMSDJKAYCZ-UHFFFAOYSA-N dodecahydrosqualene Natural products CC(C)CCCC(C)CCCC(C)CCCCC(C)CCCC(C)CCCC(C)C PRAKJMSDJKAYCZ-UHFFFAOYSA-N 0.000 description 3
- 238000002567 electromyography Methods 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 230000005802 health problem Effects 0.000 description 3
- 230000007954 hypoxia Effects 0.000 description 3
- 239000012535 impurity Substances 0.000 description 3
- 238000000338 in vitro Methods 0.000 description 3
- 238000002347 injection Methods 0.000 description 3
- 239000007924 injection Substances 0.000 description 3
- 208000014674 injury Diseases 0.000 description 3
- 210000003734 kidney Anatomy 0.000 description 3
- 238000011813 knockout mouse model Methods 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- 235000019359 magnesium stearate Nutrition 0.000 description 3
- 238000012423 maintenance Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 230000010534 mechanism of action Effects 0.000 description 3
- 210000000412 mechanoreceptor Anatomy 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 230000002503 metabolic effect Effects 0.000 description 3
- 239000002394 mineralocorticoid antagonist Substances 0.000 description 3
- 210000002161 motor neuron Anatomy 0.000 description 3
- 201000006417 multiple sclerosis Diseases 0.000 description 3
- VLKZOEOYAKHREP-UHFFFAOYSA-N n-Hexane Chemical compound CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 3
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 3
- 208000015122 neurodegenerative disease Diseases 0.000 description 3
- 210000002569 neuron Anatomy 0.000 description 3
- 230000002474 noradrenergic effect Effects 0.000 description 3
- 238000007911 parenteral administration Methods 0.000 description 3
- 230000036961 partial effect Effects 0.000 description 3
- 239000000546 pharmaceutical excipient Substances 0.000 description 3
- 230000000144 pharmacologic effect Effects 0.000 description 3
- 239000000106 platelet aggregation inhibitor Substances 0.000 description 3
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 3
- 229910000027 potassium carbonate Inorganic materials 0.000 description 3
- 235000011181 potassium carbonates Nutrition 0.000 description 3
- 210000001147 pulmonary artery Anatomy 0.000 description 3
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 3
- 230000011514 reflex Effects 0.000 description 3
- 239000002461 renin inhibitor Substances 0.000 description 3
- 229940086526 renin-inhibitors Drugs 0.000 description 3
- 230000004044 response Effects 0.000 description 3
- 150000003333 secondary alcohols Chemical class 0.000 description 3
- 201000002859 sleep apnea Diseases 0.000 description 3
- 229910000029 sodium carbonate Inorganic materials 0.000 description 3
- 239000007921 spray Substances 0.000 description 3
- 229940031439 squalene Drugs 0.000 description 3
- TUHBEKDERLKLEC-UHFFFAOYSA-N squalene Natural products CC(=CCCC(=CCCC(=CCCC=C(/C)CCC=C(/C)CC=C(C)C)C)C)C TUHBEKDERLKLEC-UHFFFAOYSA-N 0.000 description 3
- 239000008107 starch Substances 0.000 description 3
- 235000019698 starch Nutrition 0.000 description 3
- 229940032147 starch Drugs 0.000 description 3
- 239000007858 starting material Substances 0.000 description 3
- 125000001424 substituent group Chemical group 0.000 description 3
- RBLOMFQUEUBEBG-UHFFFAOYSA-N tert-butyl 2,5-diazabicyclo[2.2.2]octane-2-carboxylate Chemical compound C1CC2N(C(=O)OC(C)(C)C)CC1NC2 RBLOMFQUEUBEBG-UHFFFAOYSA-N 0.000 description 3
- HNINFCBLGHCFOJ-UHFFFAOYSA-N tert-butyl 3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound C1NCC2CCC1N2C(=O)OC(C)(C)C HNINFCBLGHCFOJ-UHFFFAOYSA-N 0.000 description 3
- 102000004217 thyroid hormone receptors Human genes 0.000 description 3
- 108090000721 thyroid hormone receptors Proteins 0.000 description 3
- SGUVLZREKBPKCE-UHFFFAOYSA-N 1,5-diazabicyclo[4.3.0]-non-5-ene Chemical compound C1CCN=C2CCCN21 SGUVLZREKBPKCE-UHFFFAOYSA-N 0.000 description 2
- DKIYXNDOEFRGCR-UHFFFAOYSA-N 1-[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]ethanol Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1C(C)O DKIYXNDOEFRGCR-UHFFFAOYSA-N 0.000 description 2
- CNIIGCLFLJGOGP-UHFFFAOYSA-N 2-(1-naphthalenylmethyl)-4,5-dihydro-1H-imidazole Chemical compound C=1C=CC2=CC=CC=C2C=1CC1=NCCN1 CNIIGCLFLJGOGP-UHFFFAOYSA-N 0.000 description 2
- MNORHLFOJIFIDA-UHFFFAOYSA-N 2-(4-chlorophenyl)imidazo[1,2-a]pyrimidine Chemical compound C1=CC(Cl)=CC=C1C1=CN(C=CC=N2)C2=N1 MNORHLFOJIFIDA-UHFFFAOYSA-N 0.000 description 2
- YHFOIFGYLQPQPM-UHFFFAOYSA-N 2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidine Chemical compound CC(C)c1ccc(cc1)-c1cn2cccnc2n1 YHFOIFGYLQPQPM-UHFFFAOYSA-N 0.000 description 2
- QZUPPAXAHFHZCC-UHFFFAOYSA-N 5-cyclopropyl-1,3-oxazole-4-carboxylic acid Chemical compound N1=COC(C2CC2)=C1C(=O)O QZUPPAXAHFHZCC-UHFFFAOYSA-N 0.000 description 2
- KSWBODXXZITTPO-UHFFFAOYSA-N 6-methoxypyridine-2-carboxylic acid Chemical compound COC1=CC=CC(C(O)=O)=N1 KSWBODXXZITTPO-UHFFFAOYSA-N 0.000 description 2
- 208000004476 Acute Coronary Syndrome Diseases 0.000 description 2
- 208000035285 Allergic Seasonal Rhinitis Diseases 0.000 description 2
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonia chloride Chemical compound [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 2
- ATRRKUHOCOJYRX-UHFFFAOYSA-N Ammonium bicarbonate Chemical compound [NH4+].OC([O-])=O ATRRKUHOCOJYRX-UHFFFAOYSA-N 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- 206010003658 Atrial Fibrillation Diseases 0.000 description 2
- 241000937413 Axia Species 0.000 description 2
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 description 2
- 206010071445 Bladder outlet obstruction Diseases 0.000 description 2
- 206010006187 Breast cancer Diseases 0.000 description 2
- 208000026310 Breast neoplasm Diseases 0.000 description 2
- VOVIALXJUBGFJZ-KWVAZRHASA-N Budesonide Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@@H]2[C@@H]1[C@@H]1C[C@H]3OC(CCC)O[C@@]3(C(=O)CO)[C@@]1(C)C[C@@H]2O VOVIALXJUBGFJZ-KWVAZRHASA-N 0.000 description 2
- 102100031168 CCN family member 2 Human genes 0.000 description 2
- CKDWPUIZGOQOOM-UHFFFAOYSA-N Carbamyl chloride Chemical compound NC(Cl)=O CKDWPUIZGOQOOM-UHFFFAOYSA-N 0.000 description 2
- 208000031229 Cardiomyopathies Diseases 0.000 description 2
- JZUFKLXOESDKRF-UHFFFAOYSA-N Chlorothiazide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC2=C1NCNS2(=O)=O JZUFKLXOESDKRF-UHFFFAOYSA-N 0.000 description 2
- 229940127328 Cholesterol Synthesis Inhibitors Drugs 0.000 description 2
- 206010009944 Colon cancer Diseases 0.000 description 2
- 208000014526 Conduction disease Diseases 0.000 description 2
- 208000020406 Creutzfeldt Jacob disease Diseases 0.000 description 2
- 208000003407 Creutzfeldt-Jakob Syndrome Diseases 0.000 description 2
- 208000010859 Creutzfeldt-Jakob disease Diseases 0.000 description 2
- IVOMOUWHDPKRLL-KQYNXXCUSA-N Cyclic adenosine monophosphate Chemical compound C([C@H]1O2)OP(O)(=O)O[C@H]1[C@@H](O)[C@@H]2N1C(N=CN=C2N)=C2N=C1 IVOMOUWHDPKRLL-KQYNXXCUSA-N 0.000 description 2
- 201000003883 Cystic fibrosis Diseases 0.000 description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 2
- YZCKVEUIGOORGS-OUBTZVSYSA-N Deuterium Chemical compound [2H] YZCKVEUIGOORGS-OUBTZVSYSA-N 0.000 description 2
- 206010014561 Emphysema Diseases 0.000 description 2
- 108050009340 Endothelin Proteins 0.000 description 2
- 102000002045 Endothelin Human genes 0.000 description 2
- 102000018711 Facilitative Glucose Transport Proteins Human genes 0.000 description 2
- 206010016654 Fibrosis Diseases 0.000 description 2
- 108010010803 Gelatin Proteins 0.000 description 2
- 206010018364 Glomerulonephritis Diseases 0.000 description 2
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 2
- 108091052347 Glucose transporter family Proteins 0.000 description 2
- 101000777550 Homo sapiens CCN family member 2 Proteins 0.000 description 2
- 101000851058 Homo sapiens Neutrophil elastase Proteins 0.000 description 2
- CPELXLSAUQHCOX-UHFFFAOYSA-N Hydrogen bromide Chemical compound Br CPELXLSAUQHCOX-UHFFFAOYSA-N 0.000 description 2
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 2
- 206010020591 Hypercapnia Diseases 0.000 description 2
- 206010020853 Hypertonic bladder Diseases 0.000 description 2
- 208000001953 Hypotension Diseases 0.000 description 2
- 102100021711 Ileal sodium/bile acid cotransporter Human genes 0.000 description 2
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 2
- 206010061218 Inflammation Diseases 0.000 description 2
- 108090000176 Interleukin-13 Proteins 0.000 description 2
- 108090000978 Interleukin-4 Proteins 0.000 description 2
- UQSXHKLRYXJYBZ-UHFFFAOYSA-N Iron oxide Chemical compound [Fe]=O UQSXHKLRYXJYBZ-UHFFFAOYSA-N 0.000 description 2
- QIVBCDIJIAJPQS-VIFPVBQESA-N L-tryptophane Chemical compound C1=CC=C2C(C[C@H](N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-VIFPVBQESA-N 0.000 description 2
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Chemical compound OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 2
- 239000004166 Lanolin Substances 0.000 description 2
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 2
- 102100040607 Lysophosphatidic acid receptor 1 Human genes 0.000 description 2
- 101710149745 Lysophosphatidic acid receptor 1 Proteins 0.000 description 2
- 229930195725 Mannitol Natural products 0.000 description 2
- 102000002274 Matrix Metalloproteinases Human genes 0.000 description 2
- 108010000684 Matrix Metalloproteinases Proteins 0.000 description 2
- 206010027525 Microalbuminuria Diseases 0.000 description 2
- UCHDWCPVSPXUMX-TZIWLTJVSA-N Montelukast Chemical compound CC(C)(O)C1=CC=CC=C1CC[C@H](C=1C=C(\C=C\C=2N=C3C=C(Cl)C=CC3=CC=2)C=CC=1)SCC1(CC(O)=O)CC1 UCHDWCPVSPXUMX-TZIWLTJVSA-N 0.000 description 2
- 208000034486 Multi-organ failure Diseases 0.000 description 2
- 208000010718 Multiple Organ Failure Diseases 0.000 description 2
- 108010000123 Myelin-Oligodendrocyte Glycoprotein Proteins 0.000 description 2
- 102000002233 Myelin-Oligodendrocyte Glycoprotein Human genes 0.000 description 2
- SNIXRMIHFOIVBB-UHFFFAOYSA-N N-Hydroxyl-tryptamine Chemical compound C1=CC=C2C(CCNO)=CNC2=C1 SNIXRMIHFOIVBB-UHFFFAOYSA-N 0.000 description 2
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 description 2
- 208000012902 Nervous system disease Diseases 0.000 description 2
- 208000025966 Neurological disease Diseases 0.000 description 2
- 102000002512 Orexin Human genes 0.000 description 2
- 208000009722 Overactive Urinary Bladder Diseases 0.000 description 2
- OFBQJSOFQDEBGM-UHFFFAOYSA-N Pentane Chemical compound CCCCC OFBQJSOFQDEBGM-UHFFFAOYSA-N 0.000 description 2
- 102000004861 Phosphoric Diester Hydrolases Human genes 0.000 description 2
- 108090001050 Phosphoric Diester Hydrolases Proteins 0.000 description 2
- 239000004372 Polyvinyl alcohol Substances 0.000 description 2
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 2
- ZTHYODDOHIVTJV-UHFFFAOYSA-N Propyl gallate Chemical compound CCCOC(=O)C1=CC(O)=C(O)C(O)=C1 ZTHYODDOHIVTJV-UHFFFAOYSA-N 0.000 description 2
- 208000004403 Prostatic Hyperplasia Diseases 0.000 description 2
- 206010037423 Pulmonary oedema Diseases 0.000 description 2
- YASAKCUCGLMORW-UHFFFAOYSA-N Rosiglitazone Chemical compound C=1C=CC=NC=1N(C)CCOC(C=C1)=CC=C1CC1SC(=O)NC1=O YASAKCUCGLMORW-UHFFFAOYSA-N 0.000 description 2
- 229920002125 Sokalan® Polymers 0.000 description 2
- 102000007637 Soluble Guanylyl Cyclase Human genes 0.000 description 2
- 108010007205 Soluble Guanylyl Cyclase Proteins 0.000 description 2
- 208000006011 Stroke Diseases 0.000 description 2
- GWEVSGVZZGPLCZ-UHFFFAOYSA-N Titan oxide Chemical compound O=[Ti]=O GWEVSGVZZGPLCZ-UHFFFAOYSA-N 0.000 description 2
- 229940123445 Tricyclic antidepressant Drugs 0.000 description 2
- DOOTYTYQINUNNV-UHFFFAOYSA-N Triethyl citrate Chemical compound CCOC(=O)CC(O)(C(=O)OCC)CC(=O)OCC DOOTYTYQINUNNV-UHFFFAOYSA-N 0.000 description 2
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 2
- 206010063968 Upper airway resistance syndrome Diseases 0.000 description 2
- 208000003800 Urinary Bladder Neck Obstruction Diseases 0.000 description 2
- 206010046543 Urinary incontinence Diseases 0.000 description 2
- 241000269370 Xenopus <genus> Species 0.000 description 2
- HUCJFAOMUPXHDK-UHFFFAOYSA-N Xylometazoline Chemical compound CC1=CC(C(C)(C)C)=CC(C)=C1CC1=NCCN1 HUCJFAOMUPXHDK-UHFFFAOYSA-N 0.000 description 2
- 229960000571 acetazolamide Drugs 0.000 description 2
- BZKPWHYZMXOIDC-UHFFFAOYSA-N acetazolamide Chemical compound CC(=O)NC1=NN=C(S(N)(=O)=O)S1 BZKPWHYZMXOIDC-UHFFFAOYSA-N 0.000 description 2
- 230000036982 action potential Effects 0.000 description 2
- 239000012190 activator Substances 0.000 description 2
- 206010069351 acute lung injury Diseases 0.000 description 2
- 210000004100 adrenal gland Anatomy 0.000 description 2
- 239000000443 aerosol Substances 0.000 description 2
- 239000000556 agonist Substances 0.000 description 2
- NDAUXUAQIAJITI-UHFFFAOYSA-N albuterol Chemical compound CC(C)(C)NCC(O)C1=CC=C(O)C(CO)=C1 NDAUXUAQIAJITI-UHFFFAOYSA-N 0.000 description 2
- 150000001299 aldehydes Chemical class 0.000 description 2
- 229910052783 alkali metal Inorganic materials 0.000 description 2
- 229910000288 alkali metal carbonate Inorganic materials 0.000 description 2
- 150000008041 alkali metal carbonates Chemical class 0.000 description 2
- 239000002160 alpha blocker Substances 0.000 description 2
- 229940124308 alpha-adrenoreceptor antagonist Drugs 0.000 description 2
- 229960002414 ambrisentan Drugs 0.000 description 2
- OUJTZYPIHDYQMC-LJQANCHMSA-N ambrisentan Chemical compound O([C@@H](C(OC)(C=1C=CC=CC=1)C=1C=CC=CC=1)C(O)=O)C1=NC(C)=CC(C)=N1 OUJTZYPIHDYQMC-LJQANCHMSA-N 0.000 description 2
- 238000010640 amide synthesis reaction Methods 0.000 description 2
- 150000001412 amines Chemical class 0.000 description 2
- 125000003277 amino group Chemical group 0.000 description 2
- 229910021529 ammonia Inorganic materials 0.000 description 2
- 239000001099 ammonium carbonate Substances 0.000 description 2
- 235000012501 ammonium carbonate Nutrition 0.000 description 2
- 229940025084 amphetamine Drugs 0.000 description 2
- 238000004458 analytical method Methods 0.000 description 2
- 230000001022 anti-muscarinic effect Effects 0.000 description 2
- 229940127219 anticoagulant drug Drugs 0.000 description 2
- 229960004676 antithrombotic agent Drugs 0.000 description 2
- 230000006907 apoptotic process Effects 0.000 description 2
- 238000003556 assay Methods 0.000 description 2
- 238000003149 assay kit Methods 0.000 description 2
- 125000004429 atom Chemical group 0.000 description 2
- 230000001746 atrial effect Effects 0.000 description 2
- 230000001363 autoimmune Effects 0.000 description 2
- NBMKJKDGKREAPL-DVTGEIKXSA-N beclomethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(Cl)[C@@H]1[C@@H]1C[C@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O NBMKJKDGKREAPL-DVTGEIKXSA-N 0.000 description 2
- 229940092705 beclomethasone Drugs 0.000 description 2
- 229960003065 bosentan Drugs 0.000 description 2
- SXTRWVVIEPWAKM-UHFFFAOYSA-N bosentan hydrate Chemical compound O.COC1=CC=CC=C1OC(C(=NC(=N1)C=2N=CC=CN=2)OCCO)=C1NS(=O)(=O)C1=CC=C(C(C)(C)C)C=C1 SXTRWVVIEPWAKM-UHFFFAOYSA-N 0.000 description 2
- 210000000133 brain stem Anatomy 0.000 description 2
- 229960004436 budesonide Drugs 0.000 description 2
- RYYVLZVUVIJVGH-UHFFFAOYSA-N caffeine Chemical compound CN1C(=O)N(C)C(=O)C2=C1N=CN2C RYYVLZVUVIJVGH-UHFFFAOYSA-N 0.000 description 2
- 239000004202 carbamide Substances 0.000 description 2
- 239000001768 carboxy methyl cellulose Substances 0.000 description 2
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 2
- 230000015556 catabolic process Effects 0.000 description 2
- 208000015114 central nervous system disease Diseases 0.000 description 2
- 238000000451 chemical ionisation Methods 0.000 description 2
- 239000003638 chemical reducing agent Substances 0.000 description 2
- FZFAMSAMCHXGEF-UHFFFAOYSA-N chloro formate Chemical compound ClOC=O FZFAMSAMCHXGEF-UHFFFAOYSA-N 0.000 description 2
- MVPPADPHJFYWMZ-UHFFFAOYSA-N chlorobenzene Chemical compound ClC1=CC=CC=C1 MVPPADPHJFYWMZ-UHFFFAOYSA-N 0.000 description 2
- 230000001906 cholesterol absorption Effects 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 208000029742 colonic neoplasm Diseases 0.000 description 2
- 238000007796 conventional method Methods 0.000 description 2
- 239000003246 corticosteroid Substances 0.000 description 2
- ZYGHJZDHTFUPRJ-UHFFFAOYSA-N coumarin Chemical compound C1=CC=C2OC(=O)C=CC2=C1 ZYGHJZDHTFUPRJ-UHFFFAOYSA-N 0.000 description 2
- 229940109239 creatinine Drugs 0.000 description 2
- 239000012043 crude product Substances 0.000 description 2
- 239000013078 crystal Substances 0.000 description 2
- ZOOGRGPOEVQQDX-KHLHZJAASA-N cyclic guanosine monophosphate Chemical compound C([C@H]1O2)O[P@](O)(=O)O[C@@H]1[C@H](O)[C@H]2N1C(N=C(NC2=O)N)=C2N=C1 ZOOGRGPOEVQQDX-KHLHZJAASA-N 0.000 description 2
- JBDSSBMEKXHSJF-UHFFFAOYSA-N cyclopentanecarboxylic acid Chemical compound OC(=O)C1CCCC1 JBDSSBMEKXHSJF-UHFFFAOYSA-N 0.000 description 2
- 229940127089 cytotoxic agent Drugs 0.000 description 2
- 239000002254 cytotoxic agent Substances 0.000 description 2
- 231100000599 cytotoxic agent Toxicity 0.000 description 2
- 230000003247 decreasing effect Effects 0.000 description 2
- 238000006731 degradation reaction Methods 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 229910052805 deuterium Inorganic materials 0.000 description 2
- DOIRQSBPFJWKBE-UHFFFAOYSA-N dibutyl phthalate Chemical compound CCCCOC(=O)C1=CC=CC=C1C(=O)OCCCC DOIRQSBPFJWKBE-UHFFFAOYSA-N 0.000 description 2
- SBZXBUIDTXKZTM-UHFFFAOYSA-N diglyme Chemical compound COCCOCCOC SBZXBUIDTXKZTM-UHFFFAOYSA-N 0.000 description 2
- 238000004090 dissolution Methods 0.000 description 2
- 229940030606 diuretics Drugs 0.000 description 2
- GUVUOGQBMYCBQP-UHFFFAOYSA-N dmpu Chemical compound CN1CCCN(C)C1=O GUVUOGQBMYCBQP-UHFFFAOYSA-N 0.000 description 2
- ADEBPBSSDYVVLD-UHFFFAOYSA-N donepezil Chemical compound O=C1C=2C=C(OC)C(OC)=CC=2CC1CC(CC1)CCN1CC1=CC=CC=C1 ADEBPBSSDYVVLD-UHFFFAOYSA-N 0.000 description 2
- 230000009977 dual effect Effects 0.000 description 2
- 239000000975 dye Substances 0.000 description 2
- 230000002500 effect on skin Effects 0.000 description 2
- 201000002491 encephalomyelitis Diseases 0.000 description 2
- 239000002308 endothelin receptor antagonist Substances 0.000 description 2
- ZUBDGKVDJUIMQQ-UBFCDGJISA-N endothelin-1 Chemical compound C([C@@H](C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(O)=O)NC(=O)[C@H]1NC(=O)[C@H](CC=2C=CC=CC=2)NC(=O)[C@@H](CC=2C=CC(O)=CC=2)NC(=O)[C@H](C(C)C)NC(=O)[C@H]2CSSC[C@@H](C(N[C@H](CO)C(=O)N[C@@H](CO)C(=O)N[C@H](CC(C)C)C(=O)N[C@@H](CCSC)C(=O)N[C@H](CC(O)=O)C(=O)N[C@@H](CCCCN)C(=O)N[C@@H](CCC(O)=O)C(=O)N2)=O)NC(=O)[C@@H](CO)NC(=O)[C@H](N)CSSC1)C1=CNC=N1 ZUBDGKVDJUIMQQ-UBFCDGJISA-N 0.000 description 2
- 150000002170 ethers Chemical class 0.000 description 2
- 235000019197 fats Nutrition 0.000 description 2
- 239000003527 fibrinolytic agent Substances 0.000 description 2
- 230000003480 fibrinolytic effect Effects 0.000 description 2
- 230000004761 fibrosis Effects 0.000 description 2
- 239000000706 filtrate Substances 0.000 description 2
- 229960002714 fluticasone Drugs 0.000 description 2
- MGNNYOODZCAHBA-GQKYHHCASA-N fluticasone Chemical compound C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@]1(F)[C@@H]2[C@@H]2C[C@@H](C)[C@@](C(=O)SCF)(O)[C@@]2(C)C[C@@H]1O MGNNYOODZCAHBA-GQKYHHCASA-N 0.000 description 2
- ASUTZQLVASHGKV-JDFRZJQESA-N galanthamine Chemical compound O1C(=C23)C(OC)=CC=C2CN(C)CC[C@]23[C@@H]1C[C@@H](O)C=C2 ASUTZQLVASHGKV-JDFRZJQESA-N 0.000 description 2
- 239000008273 gelatin Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 235000011852 gelatine desserts Nutrition 0.000 description 2
- 239000008187 granular material Substances 0.000 description 2
- 150000003278 haem Chemical class 0.000 description 2
- 229960002897 heparin Drugs 0.000 description 2
- 229920000669 heparin Polymers 0.000 description 2
- 102000052502 human ELANE Human genes 0.000 description 2
- 150000004677 hydrates Chemical class 0.000 description 2
- NPZTUJOABDZTLV-UHFFFAOYSA-N hydroxybenzotriazole Substances O=C1C=CC=C2NNN=C12 NPZTUJOABDZTLV-UHFFFAOYSA-N 0.000 description 2
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 2
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 2
- 239000001866 hydroxypropyl methyl cellulose Substances 0.000 description 2
- 235000010979 hydroxypropyl methyl cellulose Nutrition 0.000 description 2
- 229920003088 hydroxypropyl methyl cellulose Polymers 0.000 description 2
- UFVKGYZPFZQRLF-UHFFFAOYSA-N hydroxypropyl methyl cellulose Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC2C(C(O)C(OC3C(C(O)C(O)C(CO)O3)O)C(CO)O2)O)C(CO)O1 UFVKGYZPFZQRLF-UHFFFAOYSA-N 0.000 description 2
- 230000003463 hyperproliferative effect Effects 0.000 description 2
- 230000002990 hypoglossal effect Effects 0.000 description 2
- UTCSSFWDNNEEBH-UHFFFAOYSA-N imidazo[1,2-a]pyridine Chemical compound C1=CC=CC2=NC=CN21 UTCSSFWDNNEEBH-UHFFFAOYSA-N 0.000 description 2
- 239000003018 immunosuppressive agent Substances 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 208000027866 inflammatory disease Diseases 0.000 description 2
- 230000004054 inflammatory process Effects 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 208000030603 inherited susceptibility to asthma Diseases 0.000 description 2
- 230000010354 integration Effects 0.000 description 2
- 229940079865 intestinal antiinfectives imidazole derivative Drugs 0.000 description 2
- 238000007912 intraperitoneal administration Methods 0.000 description 2
- PNDPGZBMCMUPRI-UHFFFAOYSA-N iodine Chemical compound II PNDPGZBMCMUPRI-UHFFFAOYSA-N 0.000 description 2
- 125000000959 isobutyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])* 0.000 description 2
- 239000012948 isocyanate Substances 0.000 description 2
- 150000002513 isocyanates Chemical class 0.000 description 2
- 229940043355 kinase inhibitor Drugs 0.000 description 2
- 239000008101 lactose Substances 0.000 description 2
- 235000019388 lanolin Nutrition 0.000 description 2
- 238000004811 liquid chromatography Methods 0.000 description 2
- 239000006210 lotion Substances 0.000 description 2
- 201000005202 lung cancer Diseases 0.000 description 2
- 208000020816 lung neoplasm Diseases 0.000 description 2
- 239000000594 mannitol Substances 0.000 description 2
- 235000010355 mannitol Nutrition 0.000 description 2
- 229960001855 mannitol Drugs 0.000 description 2
- 230000007246 mechanism Effects 0.000 description 2
- 108091008704 mechanoreceptors Proteins 0.000 description 2
- 238000002844 melting Methods 0.000 description 2
- 230000008018 melting Effects 0.000 description 2
- 230000028161 membrane depolarization Effects 0.000 description 2
- 208000030159 metabolic disease Diseases 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- 229960004083 methazolamide Drugs 0.000 description 2
- FLOSMHQXBMRNHR-DAXSKMNVSA-N methazolamide Chemical compound CC(=O)\N=C1/SC(S(N)(=O)=O)=NN1C FLOSMHQXBMRNHR-DAXSKMNVSA-N 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 239000002808 molecular sieve Substances 0.000 description 2
- 125000002950 monocyclic group Chemical group 0.000 description 2
- 229960005127 montelukast Drugs 0.000 description 2
- 210000000214 mouth Anatomy 0.000 description 2
- 208000010125 myocardial infarction Diseases 0.000 description 2
- OKDQKPLMQBXTNH-UHFFFAOYSA-N n,n-dimethyl-2h-pyridin-1-amine Chemical compound CN(C)N1CC=CC=C1 OKDQKPLMQBXTNH-UHFFFAOYSA-N 0.000 description 2
- 125000004108 n-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 2
- 230000010352 nasal breathing Effects 0.000 description 2
- 239000007923 nasal drop Substances 0.000 description 2
- 229940100662 nasal drops Drugs 0.000 description 2
- 239000007922 nasal spray Substances 0.000 description 2
- 201000009925 nephrosclerosis Diseases 0.000 description 2
- 230000000626 neurodegenerative effect Effects 0.000 description 2
- 230000001703 neuroimmune Effects 0.000 description 2
- 230000002314 neuroinflammatory effect Effects 0.000 description 2
- 230000000926 neurological effect Effects 0.000 description 2
- 230000009223 neuronal apoptosis Effects 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 108060005714 orexin Proteins 0.000 description 2
- 208000020629 overactive bladder Diseases 0.000 description 2
- WYWIFABBXFUGLM-UHFFFAOYSA-N oxymetazoline Chemical compound CC1=CC(C(C)(C)C)=C(O)C(C)=C1CC1=NCCN1 WYWIFABBXFUGLM-UHFFFAOYSA-N 0.000 description 2
- 229910052763 palladium Inorganic materials 0.000 description 2
- 239000012188 paraffin wax Substances 0.000 description 2
- 230000008506 pathogenesis Effects 0.000 description 2
- 210000003800 pharynx Anatomy 0.000 description 2
- DHHVAGZRUROJKS-UHFFFAOYSA-N phentermine Chemical compound CC(C)(N)CC1=CC=CC=C1 DHHVAGZRUROJKS-UHFFFAOYSA-N 0.000 description 2
- 239000003757 phosphotransferase inhibitor Substances 0.000 description 2
- HYAFETHFCAUJAY-UHFFFAOYSA-N pioglitazone Chemical compound N1=CC(CC)=CC=C1CCOC(C=C1)=CC=C1CC1C(=O)NC(=O)S1 HYAFETHFCAUJAY-UHFFFAOYSA-N 0.000 description 2
- 229960003073 pirfenidone Drugs 0.000 description 2
- ISWRGOKTTBVCFA-UHFFFAOYSA-N pirfenidone Chemical compound C1=C(C)C=CC(=O)N1C1=CC=CC=C1 ISWRGOKTTBVCFA-UHFFFAOYSA-N 0.000 description 2
- 229940096701 plain lipid modifying drug hmg coa reductase inhibitors Drugs 0.000 description 2
- 239000003880 polar aprotic solvent Substances 0.000 description 2
- 229920001983 poloxamer Polymers 0.000 description 2
- 229920000058 polyacrylate Polymers 0.000 description 2
- 229920000193 polymethacrylate Polymers 0.000 description 2
- 229920000136 polysorbate Polymers 0.000 description 2
- 229950008882 polysorbate Drugs 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 229910052700 potassium Inorganic materials 0.000 description 2
- 239000011591 potassium Substances 0.000 description 2
- 229960003975 potassium Drugs 0.000 description 2
- 239000003450 potassium channel blocker Substances 0.000 description 2
- 239000001103 potassium chloride Substances 0.000 description 2
- 235000011164 potassium chloride Nutrition 0.000 description 2
- 230000003389 potentiating effect Effects 0.000 description 2
- 239000002244 precipitate Substances 0.000 description 2
- 230000002028 premature Effects 0.000 description 2
- 238000003825 pressing Methods 0.000 description 2
- 229940002612 prodrug Drugs 0.000 description 2
- 239000000651 prodrug Substances 0.000 description 2
- 230000035755 proliferation Effects 0.000 description 2
- BDERNNFJNOPAEC-UHFFFAOYSA-N propan-1-ol Chemical compound CCCO BDERNNFJNOPAEC-UHFFFAOYSA-N 0.000 description 2
- AQHHHDLHHXJYJD-UHFFFAOYSA-N propranolol Chemical compound C1=CC=C2C(OCC(O)CNC(C)C)=CC=CC2=C1 AQHHHDLHHXJYJD-UHFFFAOYSA-N 0.000 description 2
- 229960004063 propylene glycol Drugs 0.000 description 2
- 235000013772 propylene glycol Nutrition 0.000 description 2
- 208000020016 psychiatric disease Diseases 0.000 description 2
- 239000003368 psychostimulant agent Substances 0.000 description 2
- 238000000746 purification Methods 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 210000001034 respiratory center Anatomy 0.000 description 2
- 239000003169 respiratory stimulant agent Substances 0.000 description 2
- 229940066293 respiratory stimulants Drugs 0.000 description 2
- 230000002441 reversible effect Effects 0.000 description 2
- 229960002052 salbutamol Drugs 0.000 description 2
- 125000002914 sec-butyl group Chemical group [H]C([H])([H])C([H])([H])C([H])(*)C([H])([H])[H] 0.000 description 2
- 239000003772 serotonin uptake inhibitor Substances 0.000 description 2
- BNRNXUUZRGQAQC-UHFFFAOYSA-N sildenafil Chemical compound CCCC1=NN(C)C(C(N2)=O)=C1N=C2C(C(=CC=1)OCC)=CC=1S(=O)(=O)N1CCN(C)CC1 BNRNXUUZRGQAQC-UHFFFAOYSA-N 0.000 description 2
- 239000000377 silicon dioxide Substances 0.000 description 2
- 229960002578 sitaxentan Drugs 0.000 description 2
- PHWXUGHIIBDVKD-UHFFFAOYSA-N sitaxentan Chemical compound CC1=NOC(NS(=O)(=O)C2=C(SC=C2)C(=O)CC=2C(=CC=3OCOC=3C=2)C)=C1Cl PHWXUGHIIBDVKD-UHFFFAOYSA-N 0.000 description 2
- URGAHOPLAPQHLN-UHFFFAOYSA-N sodium aluminosilicate Chemical compound [Na+].[Al+3].[O-][Si]([O-])=O.[O-][Si]([O-])=O URGAHOPLAPQHLN-UHFFFAOYSA-N 0.000 description 2
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 2
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 2
- 239000008109 sodium starch glycolate Substances 0.000 description 2
- 229940127296 soluble guanylate cyclase stimulator Drugs 0.000 description 2
- 230000006641 stabilisation Effects 0.000 description 2
- 238000011105 stabilization Methods 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 238000003860 storage Methods 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- RMMXLENWKUUMAY-UHFFFAOYSA-N telmisartan Chemical compound CCCC1=NC2=C(C)C=C(C=3N(C4=CC=CC=C4N=3)C)C=C2N1CC(C=C1)=CC=C1C1=CC=CC=C1C(O)=O RMMXLENWKUUMAY-UHFFFAOYSA-N 0.000 description 2
- BRQUOSSZQFFDTO-UHFFFAOYSA-N tert-butyl 3-[1-[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]ethyl]-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1C(C)N1CC2CCC(C1)N2C(=O)OC(C)(C)C BRQUOSSZQFFDTO-UHFFFAOYSA-N 0.000 description 2
- HIXAUKLVHCOQTN-UHFFFAOYSA-N tert-butyl 3-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound C(C)(C)(C)OC(=O)N1C2CN(CC1CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)Cl HIXAUKLVHCOQTN-UHFFFAOYSA-N 0.000 description 2
- QTEXGWJDBDZJOB-UHFFFAOYSA-N tert-butyl 3-[[2-(4-cyclopropylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound C1(CC1)C1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2CCC(C1)N2C(=O)OC(C)(C)C QTEXGWJDBDZJOB-UHFFFAOYSA-N 0.000 description 2
- CSWJKVLBGDDCOW-UHFFFAOYSA-N tert-butyl 3-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound C(C)(C)C1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2CCC(C1)N2C(=O)OC(C)(C)C CSWJKVLBGDDCOW-UHFFFAOYSA-N 0.000 description 2
- ONCXRAVDLYHIJE-UHFFFAOYSA-N tert-butyl 3-oxa-7,9-diazabicyclo[3.3.1]nonane-9-carboxylate Chemical compound C1NCC2COCC1N2C(=O)OC(C)(C)C ONCXRAVDLYHIJE-UHFFFAOYSA-N 0.000 description 2
- OSTHKKUVVOYEMZ-UHFFFAOYSA-N tert-butyl 7-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonane-9-carboxylate Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2COCC(C1)N2C(=O)OC(C)(C)C OSTHKKUVVOYEMZ-UHFFFAOYSA-N 0.000 description 2
- LBMZKMNMONVSBP-UHFFFAOYSA-N tert-butyl 7-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonane-9-carboxylate Chemical compound C(C)(C)C1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2COCC(C1)N2C(=O)OC(C)(C)C LBMZKMNMONVSBP-UHFFFAOYSA-N 0.000 description 2
- VZGDMQKNWNREIO-UHFFFAOYSA-N tetrachloromethane Chemical compound ClC(Cl)(Cl)Cl VZGDMQKNWNREIO-UHFFFAOYSA-N 0.000 description 2
- BYJAVTDNIXVSPW-UHFFFAOYSA-N tetryzoline Chemical compound N1CCN=C1C1C2=CC=CC=C2CCC1 BYJAVTDNIXVSPW-UHFFFAOYSA-N 0.000 description 2
- ZFXYFBGIUFBOJW-UHFFFAOYSA-N theophylline Chemical compound O=C1N(C)C(=O)N(C)C2=C1NC=N2 ZFXYFBGIUFBOJW-UHFFFAOYSA-N 0.000 description 2
- URAYPUMNDPQOKB-UHFFFAOYSA-N triacetin Chemical compound CC(=O)OCC(OC(C)=O)COC(C)=O URAYPUMNDPQOKB-UHFFFAOYSA-N 0.000 description 2
- 229960005294 triamcinolone Drugs 0.000 description 2
- GFNANZIMVAIWHM-OBYCQNJPSA-N triamcinolone Chemical compound O=C1C=C[C@]2(C)[C@@]3(F)[C@@H](O)C[C@](C)([C@@]([C@H](O)C4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 GFNANZIMVAIWHM-OBYCQNJPSA-N 0.000 description 2
- 239000003029 tricyclic antidepressant agent Substances 0.000 description 2
- 210000003901 trigeminal nerve Anatomy 0.000 description 2
- LWIHDJKSTIGBAC-UHFFFAOYSA-K tripotassium phosphate Chemical compound [K+].[K+].[K+].[O-]P([O-])([O-])=O LWIHDJKSTIGBAC-UHFFFAOYSA-K 0.000 description 2
- 208000001072 type 2 diabetes mellitus Diseases 0.000 description 2
- 230000006442 vascular tone Effects 0.000 description 2
- 235000012431 wafers Nutrition 0.000 description 2
- 230000029663 wound healing Effects 0.000 description 2
- AHOUBRCZNHFOSL-YOEHRIQHSA-N (+)-Casbol Chemical compound C1=CC(F)=CC=C1[C@H]1[C@H](COC=2C=C3OCOC3=CC=2)CNCC1 AHOUBRCZNHFOSL-YOEHRIQHSA-N 0.000 description 1
- JWZZKOKVBUJMES-UHFFFAOYSA-N (+-)-Isoprenaline Chemical compound CC(C)NCC(O)C1=CC=C(O)C(O)=C1 JWZZKOKVBUJMES-UHFFFAOYSA-N 0.000 description 1
- XWTYSIMOBUGWOL-UHFFFAOYSA-N (+-)-Terbutaline Chemical compound CC(C)(C)NCC(O)C1=CC(O)=CC(O)=C1 XWTYSIMOBUGWOL-UHFFFAOYSA-N 0.000 description 1
- NXWGWUVGUSFQJC-GFCCVEGCSA-N (2r)-1-[(2-methyl-1h-indol-4-yl)oxy]-3-(propan-2-ylamino)propan-2-ol Chemical compound CC(C)NC[C@@H](O)COC1=CC=CC2=C1C=C(C)N2 NXWGWUVGUSFQJC-GFCCVEGCSA-N 0.000 description 1
- DMYZJLOWGSRVKP-RTBURBONSA-N (2r,4r)-1-n-(4-chlorophenyl)-4-hydroxy-2-n-[4-(3-oxomorpholin-4-yl)phenyl]pyrrolidine-1,2-dicarboxamide Chemical compound N1([C@H](C[C@H](C1)O)C(=O)NC=1C=CC(=CC=1)N1C(COCC1)=O)C(=O)NC1=CC=C(Cl)C=C1 DMYZJLOWGSRVKP-RTBURBONSA-N 0.000 description 1
- LJCBAPRMNYSDOP-LVCYMWGESA-N (2s)-3-(7-carbamimidoylnaphthalen-2-yl)-2-[4-[(3s)-1-ethanimidoylpyrrolidin-3-yl]oxyphenyl]propanoic acid;hydron;chloride;pentahydrate Chemical compound O.O.O.O.O.Cl.C1N(C(=N)C)CC[C@@H]1OC1=CC=C([C@H](CC=2C=C3C=C(C=CC3=CC=2)C(N)=N)C(O)=O)C=C1 LJCBAPRMNYSDOP-LVCYMWGESA-N 0.000 description 1
- BIDNLKIUORFRQP-XYGFDPSESA-N (2s,4s)-4-cyclohexyl-1-[2-[[(1s)-2-methyl-1-propanoyloxypropoxy]-(4-phenylbutyl)phosphoryl]acetyl]pyrrolidine-2-carboxylic acid Chemical compound C([P@@](=O)(O[C@H](OC(=O)CC)C(C)C)CC(=O)N1[C@@H](C[C@H](C1)C1CCCCC1)C(O)=O)CCCC1=CC=CC=C1 BIDNLKIUORFRQP-XYGFDPSESA-N 0.000 description 1
- GWCXCQVXKXFHMH-UHFFFAOYSA-N (3-chloro-6-methoxypyridin-2-yl)-[3-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octan-8-yl]methanone Chemical compound ClC=1C(=NC(=CC=1)OC)C(=O)N1C2CN(CC1CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)Cl GWCXCQVXKXFHMH-UHFFFAOYSA-N 0.000 description 1
- DAKTUVDDMZBJNU-UHFFFAOYSA-N (3-chloro-6-methoxypyridin-2-yl)-[5-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octan-2-yl]methanone Chemical compound ClC=1C(=NC(=CC=1)OC)C(=O)N1C2CN(C(C1)CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)Cl DAKTUVDDMZBJNU-UHFFFAOYSA-N 0.000 description 1
- DUJLETLIURKNQV-UHFFFAOYSA-N (3-chloro-6-methoxypyridin-2-yl)-[5-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octan-2-yl]methanone Chemical compound ClC=1C(=NC(=CC=1)OC)C(=O)N1C2CN(C(C1)CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C DUJLETLIURKNQV-UHFFFAOYSA-N 0.000 description 1
- CVFYGSDKHZIPAR-UHFFFAOYSA-N (3-chloro-6-methoxypyridin-2-yl)-[7-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]methanone Chemical compound ClC=1C(=NC(=CC=1)OC)C(=O)N1C2COCC1CN(C2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)Cl CVFYGSDKHZIPAR-UHFFFAOYSA-N 0.000 description 1
- PQXWBPGBEAUOBT-UHFFFAOYSA-N (3-fluoro-6-methoxypyridin-2-yl)-[7-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]methanone Chemical compound FC=1C(=NC(=CC=1)OC)C(=O)N1C2COCC1CN(C2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C PQXWBPGBEAUOBT-UHFFFAOYSA-N 0.000 description 1
- ZGGHKIMDNBDHJB-NRFPMOEYSA-M (3R,5S)-fluvastatin sodium Chemical compound [Na+].C12=CC=CC=C2N(C(C)C)C(\C=C\[C@@H](O)C[C@@H](O)CC([O-])=O)=C1C1=CC=C(F)C=C1 ZGGHKIMDNBDHJB-NRFPMOEYSA-M 0.000 description 1
- PALOETWSZLRKLX-UHFFFAOYSA-N (5-cyclopropyl-1,3-oxazol-4-yl)-[3-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octan-8-yl]methanone Chemical compound C1(CC1)C1=C(N=CO1)C(=O)N1C2CN(CC1CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C PALOETWSZLRKLX-UHFFFAOYSA-N 0.000 description 1
- JUFGAQSEOJOLNF-UHFFFAOYSA-N (5-cyclopropyl-1,3-oxazol-4-yl)-[5-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octan-2-yl]methanone Chemical compound C1(CC1)C1=C(N=CO1)C(=O)N1C2CN(C(C1)CC2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C JUFGAQSEOJOLNF-UHFFFAOYSA-N 0.000 description 1
- RWIUTHWKQHRQNP-ZDVGBALWSA-N (9e,12e)-n-(1-phenylethyl)octadeca-9,12-dienamide Chemical compound CCCCC\C=C\C\C=C\CCCCCCCC(=O)NC(C)C1=CC=CC=C1 RWIUTHWKQHRQNP-ZDVGBALWSA-N 0.000 description 1
- METKIMKYRPQLGS-GFCCVEGCSA-N (R)-atenolol Chemical compound CC(C)NC[C@@H](O)COC1=CC=C(CC(N)=O)C=C1 METKIMKYRPQLGS-GFCCVEGCSA-N 0.000 description 1
- WSEQXVZVJXJVFP-HXUWFJFHSA-N (R)-citalopram Chemical compound C1([C@@]2(C3=CC=C(C=C3CO2)C#N)CCCN(C)C)=CC=C(F)C=C1 WSEQXVZVJXJVFP-HXUWFJFHSA-N 0.000 description 1
- RTHCYVBBDHJXIQ-MRXNPFEDSA-N (R)-fluoxetine Chemical compound O([C@H](CCNC)C=1C=CC=CC=1)C1=CC=C(C(F)(F)F)C=C1 RTHCYVBBDHJXIQ-MRXNPFEDSA-N 0.000 description 1
- ZEUITGRIYCTCEM-KRWDZBQOSA-N (S)-duloxetine Chemical compound C1([C@@H](OC=2C3=CC=CC=C3C=CC=2)CCNC)=CC=CS1 ZEUITGRIYCTCEM-KRWDZBQOSA-N 0.000 description 1
- TWBNMYSKRDRHAT-RCWTXCDDSA-N (S)-timolol hemihydrate Chemical compound O.CC(C)(C)NC[C@H](O)COC1=NSN=C1N1CCOCC1.CC(C)(C)NC[C@H](O)COC1=NSN=C1N1CCOCC1 TWBNMYSKRDRHAT-RCWTXCDDSA-N 0.000 description 1
- KOHIRBRYDXPAMZ-YHBROIRLSA-N (S,R,R,R)-nebivolol Chemical compound C1CC2=CC(F)=CC=C2O[C@H]1[C@H](O)CNC[C@@H](O)[C@H]1OC2=CC=C(F)C=C2CC1 KOHIRBRYDXPAMZ-YHBROIRLSA-N 0.000 description 1
- 125000003363 1,3,5-triazinyl group Chemical class N1=C(N=CN=C1)* 0.000 description 1
- ZUCFGSAENWHFPO-UHFFFAOYSA-N 1-[4-amino-2,6-di(propan-2-yl)phenyl]-3-[1-butyl-4-[3-(3-hydroxypropoxy)phenyl]-2-oxo-1,8-naphthyridin-3-yl]urea;hydrate;hydrochloride Chemical compound O.Cl.CC(C)C=1C=C(N)C=C(C(C)C)C=1NC(=O)NC=1C(=O)N(CCCC)C2=NC=CC=C2C=1C1=CC=CC(OCCCO)=C1 ZUCFGSAENWHFPO-UHFFFAOYSA-N 0.000 description 1
- PMGZJNCIQHGNLT-UHFFFAOYSA-N 1-[bis(2,2-dimethylpropanoyloxymethoxy)phosphoryl]-4-(3-phenoxyphenyl)butane-1-sulfonic acid Chemical compound CC(C)(C)C(=O)OCOP(=O)(OCOC(=O)C(C)(C)C)C(S(O)(=O)=O)CCCC1=CC=CC(OC=2C=CC=CC=2)=C1 PMGZJNCIQHGNLT-UHFFFAOYSA-N 0.000 description 1
- GQIRIWDEZSKOCN-UHFFFAOYSA-N 1-chloro-n,n,2-trimethylprop-1-en-1-amine Chemical compound CN(C)C(Cl)=C(C)C GQIRIWDEZSKOCN-UHFFFAOYSA-N 0.000 description 1
- WRGQSWVCFNIUNZ-GDCKJWNLSA-N 1-oleoyl-sn-glycerol 3-phosphate Chemical compound CCCCCCCC\C=C/CCCCCCCC(=O)OC[C@@H](O)COP(O)(O)=O WRGQSWVCFNIUNZ-GDCKJWNLSA-N 0.000 description 1
- VSNHCAURESNICA-NJFSPNSNSA-N 1-oxidanylurea Chemical compound N[14C](=O)NO VSNHCAURESNICA-NJFSPNSNSA-N 0.000 description 1
- IIZPXYDJLKNOIY-JXPKJXOSSA-N 1-palmitoyl-2-arachidonoyl-sn-glycero-3-phosphocholine Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](COP([O-])(=O)OCC[N+](C)(C)C)OC(=O)CCC\C=C/C\C=C/C\C=C/C\C=C/CCCCC IIZPXYDJLKNOIY-JXPKJXOSSA-N 0.000 description 1
- HNENEALJPWJWJY-UHFFFAOYSA-N 2,4-difluoro-1-isocyanatobenzene Chemical compound FC1=CC=C(N=C=O)C(F)=C1 HNENEALJPWJWJY-UHFFFAOYSA-N 0.000 description 1
- SGTNSNPWRIOYBX-UHFFFAOYSA-N 2-(3,4-dimethoxyphenyl)-5-{[2-(3,4-dimethoxyphenyl)ethyl](methyl)amino}-2-(propan-2-yl)pentanenitrile Chemical compound C1=C(OC)C(OC)=CC=C1CCN(C)CCCC(C#N)(C(C)C)C1=CC=C(OC)C(OC)=C1 SGTNSNPWRIOYBX-UHFFFAOYSA-N 0.000 description 1
- CASCTHHMARGRLB-UHFFFAOYSA-N 2-(3-amino-1,2-benzoxazol-5-yl)-n-[4-[2-[(dimethylamino)methyl]imidazol-1-yl]-2-fluorophenyl]-5-(trifluoromethyl)pyrazole-3-carboxamide;hydrochloride Chemical compound Cl.CN(C)CC1=NC=CN1C(C=C1F)=CC=C1NC(=O)C1=CC(C(F)(F)F)=NN1C1=CC=C(ON=C2N)C2=C1 CASCTHHMARGRLB-UHFFFAOYSA-N 0.000 description 1
- MMCMDWIXWRSXGN-UHFFFAOYSA-N 2-(4-chlorophenyl)-3-[1-(3,8-diazabicyclo[3.2.1]octan-3-yl)ethyl]imidazo[1,2-a]pyrimidine dihydrochloride Chemical compound CC(C1=C(N=C2N1C=CC=N2)C3=CC=C(C=C3)Cl)N4CC5CCC(C4)N5.Cl.Cl MMCMDWIXWRSXGN-UHFFFAOYSA-N 0.000 description 1
- VTAKZNRDSPNOAU-UHFFFAOYSA-M 2-(chloromethyl)oxirane;hydron;prop-2-en-1-amine;n-prop-2-enyldecan-1-amine;trimethyl-[6-(prop-2-enylamino)hexyl]azanium;dichloride Chemical compound Cl.[Cl-].NCC=C.ClCC1CO1.CCCCCCCCCCNCC=C.C[N+](C)(C)CCCCCCNCC=C VTAKZNRDSPNOAU-UHFFFAOYSA-M 0.000 description 1
- HQSRVYUCBOCBLY-XOOFNSLWSA-N 2-[(2r)-butan-2-yl]-4-[4-[4-[4-[[(2s,4r)-2-(4-chlorophenyl)-2-[(4-methyl-1,2,4-triazol-3-yl)sulfanylmethyl]-1,3-dioxolan-4-yl]methoxy]phenyl]piperazin-1-yl]phenyl]-1,2,4-triazol-3-one Chemical compound O=C1N([C@H](C)CC)N=CN1C1=CC=C(N2CCN(CC2)C=2C=CC(OC[C@H]3O[C@@](CSC=4N(C=NN=4)C)(OC3)C=3C=CC(Cl)=CC=3)=CC=2)C=C1 HQSRVYUCBOCBLY-XOOFNSLWSA-N 0.000 description 1
- YFGHCGITMMYXAQ-UHFFFAOYSA-N 2-[(diphenylmethyl)sulfinyl]acetamide Chemical compound C=1C=CC=CC=1C(S(=O)CC(=O)N)C1=CC=CC=C1 YFGHCGITMMYXAQ-UHFFFAOYSA-N 0.000 description 1
- CMLUGNQVANVZHY-POURPWNDSA-N 2-[1-[2-[(3r,5s)-1-(3-acetyloxy-2,2-dimethylpropyl)-7-chloro-5-(2,3-dimethoxyphenyl)-2-oxo-5h-4,1-benzoxazepin-3-yl]acetyl]piperidin-4-yl]acetic acid Chemical compound COC1=CC=CC([C@@H]2C3=CC(Cl)=CC=C3N(CC(C)(C)COC(C)=O)C(=O)[C@@H](CC(=O)N3CCC(CC(O)=O)CC3)O2)=C1OC CMLUGNQVANVZHY-POURPWNDSA-N 0.000 description 1
- NGNBDVOYPDDBFK-UHFFFAOYSA-N 2-[2,4-di(pentan-2-yl)phenoxy]acetyl chloride Chemical compound CCCC(C)C1=CC=C(OCC(Cl)=O)C(C(C)CCC)=C1 NGNBDVOYPDDBFK-UHFFFAOYSA-N 0.000 description 1
- FBMYKMYQHCBIGU-UHFFFAOYSA-N 2-[2-hydroxy-3-[[1-(1h-indol-3-yl)-2-methylpropan-2-yl]amino]propoxy]benzonitrile Chemical compound C=1NC2=CC=CC=C2C=1CC(C)(C)NCC(O)COC1=CC=CC=C1C#N FBMYKMYQHCBIGU-UHFFFAOYSA-N 0.000 description 1
- GKHIVNAUVKXIIY-UHFFFAOYSA-N 2-[3-[4-(1h-indazol-5-ylamino)quinazolin-2-yl]phenoxy]-n-propan-2-ylacetamide Chemical compound CC(C)NC(=O)COC1=CC=CC(C=2N=C3C=CC=CC3=C(NC=3C=C4C=NNC4=CC=3)N=2)=C1 GKHIVNAUVKXIIY-UHFFFAOYSA-N 0.000 description 1
- UOJMJBUYXYEPFX-UHFFFAOYSA-N 2-[4-(4-hydroxy-3-propan-2-ylphenoxy)-3,5-dimethylanilino]-2-oxoacetic acid Chemical compound C1=C(O)C(C(C)C)=CC(OC=2C(=CC(NC(=O)C(O)=O)=CC=2C)C)=C1 UOJMJBUYXYEPFX-UHFFFAOYSA-N 0.000 description 1
- QHVBWSIFLCIXBD-UHFFFAOYSA-N 2-[[2-[3-(diaminomethylidene)-6-oxocyclohexa-1,4-dien-1-yl]oxy-3,5-difluoro-6-[3-(1-methyl-4,5-dihydroimidazol-2-yl)phenoxy]pyridin-4-yl]-methylamino]acetic acid Chemical compound N=1C(OC=2C=C(C=CC=2)C=2N(CCN=2)C)=C(F)C(N(CC(O)=O)C)=C(F)C=1OC1=CC(=C(N)N)C=CC1=O QHVBWSIFLCIXBD-UHFFFAOYSA-N 0.000 description 1
- VKUYLANQOAKALN-UHFFFAOYSA-N 2-[benzyl-(4-methoxyphenyl)sulfonylamino]-n-hydroxy-4-methylpentanamide Chemical compound C1=CC(OC)=CC=C1S(=O)(=O)N(C(CC(C)C)C(=O)NO)CC1=CC=CC=C1 VKUYLANQOAKALN-UHFFFAOYSA-N 0.000 description 1
- FLAYZKKEOIAALB-UHFFFAOYSA-N 2-bromo-1-(4-chlorophenyl)ethanone Chemical compound ClC1=CC=C(C(=O)CBr)C=C1 FLAYZKKEOIAALB-UHFFFAOYSA-N 0.000 description 1
- ZSCDQVYYLJSTFU-UHFFFAOYSA-N 2-bromo-1-(4-propan-2-ylphenyl)ethanone Chemical compound CC(C)C1=CC=C(C(=O)CBr)C=C1 ZSCDQVYYLJSTFU-UHFFFAOYSA-N 0.000 description 1
- JIVPVXMEBJLZRO-CQSZACIVSA-N 2-chloro-5-[(1r)-1-hydroxy-3-oxo-2h-isoindol-1-yl]benzenesulfonamide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC([C@@]2(O)C3=CC=CC=C3C(=O)N2)=C1 JIVPVXMEBJLZRO-CQSZACIVSA-N 0.000 description 1
- JCJODSMQBXMELN-UHFFFAOYSA-N 2-ethyl-5-phenyl-1,2-oxazol-2-ium Chemical compound O1[N+](CC)=CC=C1C1=CC=CC=C1 JCJODSMQBXMELN-UHFFFAOYSA-N 0.000 description 1
- SGUAFYQXFOLMHL-UHFFFAOYSA-N 2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide Chemical compound C=1C=C(O)C(C(N)=O)=CC=1C(O)CNC(C)CCC1=CC=CC=C1 SGUAFYQXFOLMHL-UHFFFAOYSA-N 0.000 description 1
- XWKFPIODWVPXLX-UHFFFAOYSA-N 2-methyl-5-methylpyridine Natural products CC1=CC=C(C)N=C1 XWKFPIODWVPXLX-UHFFFAOYSA-N 0.000 description 1
- YOETUEMZNOLGDB-UHFFFAOYSA-N 2-methylpropyl carbonochloridate Chemical compound CC(C)COC(Cl)=O YOETUEMZNOLGDB-UHFFFAOYSA-N 0.000 description 1
- KDHWCFCNNGUJCP-UHFFFAOYSA-N 2-phenylimidazo[1,2-a]pyridine Chemical class N1=C2C=CC=CN2C=C1C1=CC=CC=C1 KDHWCFCNNGUJCP-UHFFFAOYSA-N 0.000 description 1
- MPSXGPCFLAGJOM-UHFFFAOYSA-M 2-tert-butyl-5-methyl-1,2-oxazol-2-ium;perchlorate Chemical compound [O-]Cl(=O)(=O)=O.CC1=CC=[N+](C(C)(C)C)O1 MPSXGPCFLAGJOM-UHFFFAOYSA-M 0.000 description 1
- AUYYCJSJGJYCDS-UHFFFAOYSA-N 2/3/6893 Natural products IC1=CC(CC(N)C(O)=O)=CC(I)=C1OC1=CC=C(O)C(I)=C1 AUYYCJSJGJYCDS-UHFFFAOYSA-N 0.000 description 1
- FPQQSJJWHUJYPU-UHFFFAOYSA-N 3-(dimethylamino)propyliminomethylidene-ethylazanium;chloride Chemical compound Cl.CCN=C=NCCCN(C)C FPQQSJJWHUJYPU-UHFFFAOYSA-N 0.000 description 1
- WNEODWDFDXWOLU-QHCPKHFHSA-N 3-[3-(hydroxymethyl)-4-[1-methyl-5-[[5-[(2s)-2-methyl-4-(oxetan-3-yl)piperazin-1-yl]pyridin-2-yl]amino]-6-oxopyridin-3-yl]pyridin-2-yl]-7,7-dimethyl-1,2,6,8-tetrahydrocyclopenta[3,4]pyrrolo[3,5-b]pyrazin-4-one Chemical compound C([C@@H](N(CC1)C=2C=NC(NC=3C(N(C)C=C(C=3)C=3C(=C(N4C(C5=CC=6CC(C)(C)CC=6N5CC4)=O)N=CC=3)CO)=O)=CC=2)C)N1C1COC1 WNEODWDFDXWOLU-QHCPKHFHSA-N 0.000 description 1
- DUTOYTKLDRWBEK-UHFFFAOYSA-N 3-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-N-(2,4-difluorophenyl)-3,8-diazabicyclo[3.2.1]octane-8-carboxamide Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2CCC(C1)N2C(=O)NC1=C(C=C(C=C1)F)F DUTOYTKLDRWBEK-UHFFFAOYSA-N 0.000 description 1
- FULQPVSIXUJOMM-UHFFFAOYSA-N 3-acetyl-4-hydroxy-2,6-dioxoheptane-2,3,4-tricarboxylic acid Chemical compound CC(=O)C(C(O)=O)C(O)(C(O)=O)C(C(C)=O)(C(C)=O)C(O)=O FULQPVSIXUJOMM-UHFFFAOYSA-N 0.000 description 1
- NCGICGYLBXGBGN-UHFFFAOYSA-N 3-morpholin-4-yl-1-oxa-3-azonia-2-azanidacyclopent-3-en-5-imine;hydrochloride Chemical compound Cl.[N-]1OC(=N)C=[N+]1N1CCOCC1 NCGICGYLBXGBGN-UHFFFAOYSA-N 0.000 description 1
- 239000003477 4 aminobutyric acid receptor stimulating agent Substances 0.000 description 1
- MOILFCKRQFQVFS-UHFFFAOYSA-N 4,6,6-trimethylbicyclo[3.1.1]heptane-3,4-diol Chemical compound C1C2C(C)(C)C1CC(O)C2(O)C MOILFCKRQFQVFS-UHFFFAOYSA-N 0.000 description 1
- NOBZETMXGVAWIM-UHFFFAOYSA-N 4-[(2-carbamimidoyl-3,4-dihydro-1h-isoquinolin-7-yl)oxymethyl]-1-pyridin-4-ylpiperidine-4-carboxylic acid;methanesulfonic acid Chemical compound CS(O)(=O)=O.C1=C2CN(C(=N)N)CCC2=CC=C1OCC(CC1)(C(O)=O)CCN1C1=CC=NC=C1 NOBZETMXGVAWIM-UHFFFAOYSA-N 0.000 description 1
- KEWSCDNULKOKTG-UHFFFAOYSA-N 4-cyano-4-ethylsulfanylcarbothioylsulfanylpentanoic acid Chemical compound CCSC(=S)SC(C)(C#N)CCC(O)=O KEWSCDNULKOKTG-UHFFFAOYSA-N 0.000 description 1
- OCKGFTQIICXDQW-ZEQRLZLVSA-N 5-[(1r)-1-hydroxy-2-[4-[(2r)-2-hydroxy-2-(4-methyl-1-oxo-3h-2-benzofuran-5-yl)ethyl]piperazin-1-yl]ethyl]-4-methyl-3h-2-benzofuran-1-one Chemical compound C1=C2C(=O)OCC2=C(C)C([C@@H](O)CN2CCN(CC2)C[C@H](O)C2=CC=C3C(=O)OCC3=C2C)=C1 OCKGFTQIICXDQW-ZEQRLZLVSA-N 0.000 description 1
- LSLYOANBFKQKPT-DIFFPNOSSA-N 5-[(1r)-1-hydroxy-2-[[(2r)-1-(4-hydroxyphenyl)propan-2-yl]amino]ethyl]benzene-1,3-diol Chemical compound C([C@@H](C)NC[C@H](O)C=1C=C(O)C=C(O)C=1)C1=CC=C(O)C=C1 LSLYOANBFKQKPT-DIFFPNOSSA-N 0.000 description 1
- NEYKRKVLEWKOBI-UHFFFAOYSA-N 5-[2-ethoxy-5-[4-(2-hydroxyethyl)piperazin-1-yl]sulfonylphenyl]-1-methyl-3-propyl-4h-pyrazolo[4,3-d]pyrimidin-7-one Chemical compound CCCC1=NN(C)C(C(N=2)=O)=C1NC=2C(C(=CC=1)OCC)=CC=1S(=O)(=O)N1CCN(CCO)CC1 NEYKRKVLEWKOBI-UHFFFAOYSA-N 0.000 description 1
- 210000002348 5-ht neuron Anatomy 0.000 description 1
- SUBDBMMJDZJVOS-UHFFFAOYSA-N 5-methoxy-2-{[(4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl}-1H-benzimidazole Chemical compound N=1C2=CC(OC)=CC=C2NC=1S(=O)CC1=NC=C(C)C(OC)=C1C SUBDBMMJDZJVOS-UHFFFAOYSA-N 0.000 description 1
- MEFRDBYTHVUINK-UHFFFAOYSA-N 6-(difluoromethoxy)pyridine-2-carboxylic acid Chemical compound OC(=O)C1=CC=CC(OC(F)F)=N1 MEFRDBYTHVUINK-UHFFFAOYSA-N 0.000 description 1
- SNHJPJPXGPVKHM-UHFFFAOYSA-N 6-methoxy-3-methylpyridine-2-carboxylic acid Chemical compound COC1=CC=C(C)C(C(O)=O)=N1 SNHJPJPXGPVKHM-UHFFFAOYSA-N 0.000 description 1
- KDCZJBIMHDPTJP-UHFFFAOYSA-N 6-methylsulfanylpyridine-2-carboxylic acid Chemical compound CSC1=CC=CC(C(O)=O)=N1 KDCZJBIMHDPTJP-UHFFFAOYSA-N 0.000 description 1
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical compound [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- 206010000364 Accessory muscle Diseases 0.000 description 1
- 208000010444 Acidosis Diseases 0.000 description 1
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 description 1
- 206010001497 Agitation Diseases 0.000 description 1
- 208000000884 Airway Obstruction Diseases 0.000 description 1
- 108010088751 Albumins Proteins 0.000 description 1
- 102000009027 Albumins Human genes 0.000 description 1
- 206010001580 Albuminuria Diseases 0.000 description 1
- 201000010053 Alcoholic Cardiomyopathy Diseases 0.000 description 1
- UXOWGYHJODZGMF-QORCZRPOSA-N Aliskiren Chemical compound COCCCOC1=CC(C[C@@H](C[C@H](N)[C@@H](O)C[C@@H](C(C)C)C(=O)NCC(C)(C)C(N)=O)C(C)C)=CC=C1OC UXOWGYHJODZGMF-QORCZRPOSA-N 0.000 description 1
- KHOITXIGCFIULA-UHFFFAOYSA-N Alophen Chemical compound C1=CC(OC(=O)C)=CC=C1C(C=1N=CC=CC=1)C1=CC=C(OC(C)=O)C=C1 KHOITXIGCFIULA-UHFFFAOYSA-N 0.000 description 1
- WSVLPVUVIUVCRA-KPKNDVKVSA-N Alpha-lactose monohydrate Chemical compound O.O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O WSVLPVUVIUVCRA-KPKNDVKVSA-N 0.000 description 1
- 208000035939 Alveolitis allergic Diseases 0.000 description 1
- 208000024827 Alzheimer disease Diseases 0.000 description 1
- 206010002065 Anaemia megaloblastic Diseases 0.000 description 1
- 206010002199 Anaphylactic shock Diseases 0.000 description 1
- 206010002329 Aneurysm Diseases 0.000 description 1
- 206010002388 Angina unstable Diseases 0.000 description 1
- QNZCBYKSOIHPEH-UHFFFAOYSA-N Apixaban Chemical compound C1=CC(OC)=CC=C1N1C(C(=O)N(CC2)C=3C=CC(=CC=3)N3C(CCCC3)=O)=C2C(C(N)=O)=N1 QNZCBYKSOIHPEH-UHFFFAOYSA-N 0.000 description 1
- 238000006677 Appel reaction Methods 0.000 description 1
- 206010003130 Arrhythmia supraventricular Diseases 0.000 description 1
- 206010003175 Arterial spasm Diseases 0.000 description 1
- 206010003178 Arterial thrombosis Diseases 0.000 description 1
- 206010003210 Arteriosclerosis Diseases 0.000 description 1
- BSYNRYMUTXBXSQ-UHFFFAOYSA-N Aspirin Chemical compound CC(=O)OC1=CC=CC=C1C(O)=O BSYNRYMUTXBXSQ-UHFFFAOYSA-N 0.000 description 1
- 102000014461 Ataxins Human genes 0.000 description 1
- 108010078286 Ataxins Proteins 0.000 description 1
- XUKUURHRXDUEBC-KAYWLYCHSA-N Atorvastatin Chemical compound C=1C=CC=CC=1C1=C(C=2C=CC(F)=CC=2)N(CC[C@@H](O)C[C@@H](O)CC(O)=O)C(C(C)C)=C1C(=O)NC1=CC=CC=C1 XUKUURHRXDUEBC-KAYWLYCHSA-N 0.000 description 1
- XUKUURHRXDUEBC-UHFFFAOYSA-N Atorvastatin Natural products C=1C=CC=CC=1C1=C(C=2C=CC(F)=CC=2)N(CCC(O)CC(O)CC(O)=O)C(C(C)C)=C1C(=O)NC1=CC=CC=C1 XUKUURHRXDUEBC-UHFFFAOYSA-N 0.000 description 1
- 206010003662 Atrial flutter Diseases 0.000 description 1
- 206010003671 Atrioventricular Block Diseases 0.000 description 1
- 208000006808 Atrioventricular Nodal Reentry Tachycardia Diseases 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- PTQXTEKSNBVPQJ-UHFFFAOYSA-N Avasimibe Chemical compound CC(C)C1=CC(C(C)C)=CC(C(C)C)=C1CC(=O)NS(=O)(=O)OC1=C(C(C)C)C=CC=C1C(C)C PTQXTEKSNBVPQJ-UHFFFAOYSA-N 0.000 description 1
- 208000037157 Azotemia Diseases 0.000 description 1
- 239000005552 B01AC04 - Clopidogrel Substances 0.000 description 1
- 239000005528 B01AC05 - Ticlopidine Substances 0.000 description 1
- MLDQJTXFUGDVEO-UHFFFAOYSA-N BAY-43-9006 Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=CC(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 MLDQJTXFUGDVEO-UHFFFAOYSA-N 0.000 description 1
- KPYSYYIEGFHWSV-UHFFFAOYSA-N Baclofen Chemical compound OC(=O)CC(CN)C1=CC=C(Cl)C=C1 KPYSYYIEGFHWSV-UHFFFAOYSA-N 0.000 description 1
- 208000035143 Bacterial infection Diseases 0.000 description 1
- KXDAEFPNCMNJSK-UHFFFAOYSA-N Benzamide Chemical compound NC(=O)C1=CC=CC=C1 KXDAEFPNCMNJSK-UHFFFAOYSA-N 0.000 description 1
- 229940110385 Benzodiazepine receptor antagonist Drugs 0.000 description 1
- 208000014644 Brain disease Diseases 0.000 description 1
- 206010048962 Brain oedema Diseases 0.000 description 1
- 206010006458 Bronchitis chronic Diseases 0.000 description 1
- COVZYZSDYWQREU-UHFFFAOYSA-N Busulfan Chemical compound CS(=O)(=O)OCCCCOS(C)(=O)=O COVZYZSDYWQREU-UHFFFAOYSA-N 0.000 description 1
- NLZUEZXRPGMBCV-UHFFFAOYSA-N Butylhydroxytoluene Chemical compound CC1=CC(C(C)(C)C)=C(O)C(C(C)(C)C)=C1 NLZUEZXRPGMBCV-UHFFFAOYSA-N 0.000 description 1
- 239000002083 C09CA01 - Losartan Substances 0.000 description 1
- 239000004072 C09CA03 - Valsartan Substances 0.000 description 1
- 239000002053 C09CA06 - Candesartan Substances 0.000 description 1
- 239000005537 C09CA07 - Telmisartan Substances 0.000 description 1
- LERNTVKEWCAPOY-VOGVJGKGSA-N C[N+]1(C)[C@H]2C[C@H](C[C@@H]1[C@H]1O[C@@H]21)OC(=O)C(O)(c1cccs1)c1cccs1 Chemical compound C[N+]1(C)[C@H]2C[C@H](C[C@@H]1[C@H]1O[C@@H]21)OC(=O)C(O)(c1cccs1)c1cccs1 LERNTVKEWCAPOY-VOGVJGKGSA-N 0.000 description 1
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 1
- 239000005461 Canertinib Substances 0.000 description 1
- 229940122820 Cannabinoid receptor antagonist Drugs 0.000 description 1
- KXDHJXZQYSOELW-UHFFFAOYSA-M Carbamate Chemical compound NC([O-])=O KXDHJXZQYSOELW-UHFFFAOYSA-M 0.000 description 1
- 208000005623 Carcinogenesis Diseases 0.000 description 1
- 206010007556 Cardiac failure acute Diseases 0.000 description 1
- 206010007559 Cardiac failure congestive Diseases 0.000 description 1
- 206010007572 Cardiac hypertrophy Diseases 0.000 description 1
- 208000006029 Cardiomegaly Diseases 0.000 description 1
- 206010007637 Cardiomyopathy alcoholic Diseases 0.000 description 1
- JOATXPAWOHTVSZ-UHFFFAOYSA-N Celiprolol Chemical compound CCN(CC)C(=O)NC1=CC=C(OCC(O)CNC(C)(C)C)C(C(C)=O)=C1 JOATXPAWOHTVSZ-UHFFFAOYSA-N 0.000 description 1
- 229920000623 Cellulose acetate phthalate Polymers 0.000 description 1
- PTHCMJGKKRQCBF-UHFFFAOYSA-N Cellulose, microcrystalline Chemical compound OC1C(O)C(OC)OC(CO)C1OC1C(O)C(O)C(OC)C(CO)O1 PTHCMJGKKRQCBF-UHFFFAOYSA-N 0.000 description 1
- 206010008025 Cerebellar ataxia Diseases 0.000 description 1
- 102000034573 Channels Human genes 0.000 description 1
- 108010012236 Chemokines Proteins 0.000 description 1
- 102000019034 Chemokines Human genes 0.000 description 1
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 1
- 229940122502 Cholesterol absorption inhibitor Drugs 0.000 description 1
- 102100037637 Cholesteryl ester transfer protein Human genes 0.000 description 1
- 229920001268 Cholestyramine Polymers 0.000 description 1
- 208000032544 Cicatrix Diseases 0.000 description 1
- IKJSVUHLFGBYTN-UHFFFAOYSA-N Cl.Cl.C(N1CC2CCC(C1)N2)c1c(nc2ncccn12)-c1ccc(cc1)C1CC1 Chemical compound Cl.Cl.C(N1CC2CCC(C1)N2)c1c(nc2ncccn12)-c1ccc(cc1)C1CC1 IKJSVUHLFGBYTN-UHFFFAOYSA-N 0.000 description 1
- GDLIGKIOYRNHDA-UHFFFAOYSA-N Clomipramine Chemical compound C1CC2=CC=C(Cl)C=C2N(CCCN(C)C)C2=CC=CC=C21 GDLIGKIOYRNHDA-UHFFFAOYSA-N 0.000 description 1
- GJSURZIOUXUGAL-UHFFFAOYSA-N Clonidine Chemical compound ClC1=CC=CC(Cl)=C1NC1=NCCN1 GJSURZIOUXUGAL-UHFFFAOYSA-N 0.000 description 1
- 229920002905 Colesevelam Polymers 0.000 description 1
- 229920002911 Colestipol Polymers 0.000 description 1
- 206010009900 Colitis ulcerative Diseases 0.000 description 1
- 102000029816 Collagenase Human genes 0.000 description 1
- 108060005980 Collagenase Proteins 0.000 description 1
- 102100027995 Collagenase 3 Human genes 0.000 description 1
- 108050005238 Collagenase 3 Proteins 0.000 description 1
- 208000031288 Combined hyperlipidaemia Diseases 0.000 description 1
- 208000002330 Congenital Heart Defects Diseases 0.000 description 1
- 206010066131 Congenital central hypoventilation syndrome Diseases 0.000 description 1
- 208000019886 Congenital renal disease Diseases 0.000 description 1
- 206010056370 Congestive cardiomyopathy Diseases 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- 208000011990 Corticobasal Degeneration Diseases 0.000 description 1
- 208000011231 Crohn disease Diseases 0.000 description 1
- 229920002785 Croscarmellose sodium Polymers 0.000 description 1
- CMSMOCZEIVJLDB-UHFFFAOYSA-N Cyclophosphamide Chemical compound ClCCN(CCCl)P1(=O)NCCCO1 CMSMOCZEIVJLDB-UHFFFAOYSA-N 0.000 description 1
- 208000026292 Cystic Kidney disease Diseases 0.000 description 1
- 108090000695 Cytokines Proteins 0.000 description 1
- 102000004127 Cytokines Human genes 0.000 description 1
- XUIIKFGFIJCVMT-GFCCVEGCSA-N D-thyroxine Chemical compound IC1=CC(C[C@@H](N)C(O)=O)=CC(I)=C1OC1=CC(I)=C(O)C(I)=C1 XUIIKFGFIJCVMT-GFCCVEGCSA-N 0.000 description 1
- ZBNZXTGUTAYRHI-UHFFFAOYSA-N Dasatinib Chemical compound C=1C(N2CCN(CCO)CC2)=NC(C)=NC=1NC(S1)=NC=C1C(=O)NC1=C(C)C=CC=C1Cl ZBNZXTGUTAYRHI-UHFFFAOYSA-N 0.000 description 1
- 206010012289 Dementia Diseases 0.000 description 1
- 206010067889 Dementia with Lewy bodies Diseases 0.000 description 1
- 208000016192 Demyelinating disease Diseases 0.000 description 1
- 101000783577 Dendroaspis angusticeps Thrombostatin Proteins 0.000 description 1
- 101000783578 Dendroaspis jamesoni kaimosae Dendroaspin Proteins 0.000 description 1
- HCYAFALTSJYZDH-UHFFFAOYSA-N Desimpramine Chemical compound C1CC2=CC=CC=C2N(CCCNC)C2=CC=CC=C21 HCYAFALTSJYZDH-UHFFFAOYSA-N 0.000 description 1
- 102000001477 Deubiquitinating Enzymes Human genes 0.000 description 1
- 108010093668 Deubiquitinating Enzymes Proteins 0.000 description 1
- 208000007342 Diabetic Nephropathies Diseases 0.000 description 1
- 206010012689 Diabetic retinopathy Diseases 0.000 description 1
- 208000003037 Diastolic Heart Failure Diseases 0.000 description 1
- QOSSAOTZNIDXMA-UHFFFAOYSA-N Dicylcohexylcarbodiimide Chemical compound C1CCCCC1N=C=NC1CCCCC1 QOSSAOTZNIDXMA-UHFFFAOYSA-N 0.000 description 1
- 201000010046 Dilated cardiomyopathy Diseases 0.000 description 1
- 229940121891 Dopamine receptor antagonist Drugs 0.000 description 1
- 208000032928 Dyslipidaemia Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- GKQLYSROISKDLL-UHFFFAOYSA-N EEDQ Chemical compound C1=CC=C2N(C(=O)OCC)C(OCC)C=CC2=C1 GKQLYSROISKDLL-UHFFFAOYSA-N 0.000 description 1
- 108010061435 Enalapril Proteins 0.000 description 1
- 208000032274 Encephalopathy Diseases 0.000 description 1
- 229940118365 Endothelin receptor antagonist Drugs 0.000 description 1
- 102000004190 Enzymes Human genes 0.000 description 1
- 108090000790 Enzymes Proteins 0.000 description 1
- 206010065563 Eosinophilic bronchitis Diseases 0.000 description 1
- 208000010228 Erectile Dysfunction Diseases 0.000 description 1
- 108010008165 Etanercept Proteins 0.000 description 1
- 239000001856 Ethyl cellulose Substances 0.000 description 1
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 1
- 108010037362 Extracellular Matrix Proteins Proteins 0.000 description 1
- 102000010834 Extracellular Matrix Proteins Human genes 0.000 description 1
- 238000004252 FT/ICR mass spectrometry Methods 0.000 description 1
- 229940123583 Factor Xa inhibitor Drugs 0.000 description 1
- 208000027445 Farmer Lung Diseases 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 206010057671 Female sexual dysfunction Diseases 0.000 description 1
- 208000024412 Friedreich ataxia Diseases 0.000 description 1
- 208000002339 Frontotemporal Lobar Degeneration Diseases 0.000 description 1
- 102000013382 Gelatinases Human genes 0.000 description 1
- 108010026132 Gelatinases Proteins 0.000 description 1
- 108010072051 Glatiramer Acetate Proteins 0.000 description 1
- 208000010412 Glaucoma Diseases 0.000 description 1
- 208000022461 Glomerular disease Diseases 0.000 description 1
- 206010018366 Glomerulonephritis acute Diseases 0.000 description 1
- 241000235503 Glomus Species 0.000 description 1
- 208000002705 Glucose Intolerance Diseases 0.000 description 1
- 229940122459 Glutamate antagonist Drugs 0.000 description 1
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Polymers OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 1
- 206010019668 Hepatic fibrosis Diseases 0.000 description 1
- 208000002972 Hepatolenticular Degeneration Diseases 0.000 description 1
- 102100032742 Histone-lysine N-methyltransferase SETD2 Human genes 0.000 description 1
- 101000880514 Homo sapiens Cholesteryl ester transfer protein Proteins 0.000 description 1
- 101000654725 Homo sapiens Histone-lysine N-methyltransferase SETD2 Proteins 0.000 description 1
- 101000974733 Homo sapiens Potassium channel subfamily K member 18 Proteins 0.000 description 1
- 101001059454 Homo sapiens Serine/threonine-protein kinase MARK2 Proteins 0.000 description 1
- 241000701024 Human betaherpesvirus 5 Species 0.000 description 1
- 208000023105 Huntington disease Diseases 0.000 description 1
- 208000035150 Hypercholesterolemia Diseases 0.000 description 1
- 206010060378 Hyperinsulinaemia Diseases 0.000 description 1
- 208000002682 Hyperkalemia Diseases 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- 206010021024 Hypolipidaemia Diseases 0.000 description 1
- 206010021036 Hyponatraemia Diseases 0.000 description 1
- 206010058558 Hypoperfusion Diseases 0.000 description 1
- 101710156096 Ileal sodium/bile acid cotransporter Proteins 0.000 description 1
- 108060003951 Immunoglobulin Proteins 0.000 description 1
- 206010021639 Incontinence Diseases 0.000 description 1
- 208000022559 Inflammatory bowel disease Diseases 0.000 description 1
- 206010022489 Insulin Resistance Diseases 0.000 description 1
- 102100025306 Integrin alpha-IIb Human genes 0.000 description 1
- 101710149643 Integrin alpha-IIb Proteins 0.000 description 1
- 102000003996 Interferon-beta Human genes 0.000 description 1
- 108090000467 Interferon-beta Proteins 0.000 description 1
- 102000008070 Interferon-gamma Human genes 0.000 description 1
- 108010074328 Interferon-gamma Proteins 0.000 description 1
- 108010002352 Interleukin-1 Proteins 0.000 description 1
- 108010002616 Interleukin-5 Proteins 0.000 description 1
- 108090001005 Interleukin-6 Proteins 0.000 description 1
- 108090001007 Interleukin-8 Proteins 0.000 description 1
- 102000004310 Ion Channels Human genes 0.000 description 1
- 108090000862 Ion Channels Proteins 0.000 description 1
- 208000015710 Iron-Deficiency Anemia Diseases 0.000 description 1
- 206010048858 Ischaemic cardiomyopathy Diseases 0.000 description 1
- LPHGQDQBBGAPDZ-UHFFFAOYSA-N Isocaffeine Natural products CN1C(=O)N(C)C(=O)C2=C1N(C)C=N2 LPHGQDQBBGAPDZ-UHFFFAOYSA-N 0.000 description 1
- KLDXJTOLSGUMSJ-JGWLITMVSA-N Isosorbide Chemical compound O[C@@H]1CO[C@@H]2[C@@H](O)CO[C@@H]21 KLDXJTOLSGUMSJ-JGWLITMVSA-N 0.000 description 1
- 208000002260 Keloid Diseases 0.000 description 1
- 208000027747 Kennedy disease Diseases 0.000 description 1
- 206010023421 Kidney fibrosis Diseases 0.000 description 1
- PWKSKIMOESPYIA-BYPYZUCNSA-N L-N-acetyl-Cysteine Chemical compound CC(=O)N[C@@H](CS)C(O)=O PWKSKIMOESPYIA-BYPYZUCNSA-N 0.000 description 1
- QAQJMLQRFWZOBN-LAUBAEHRSA-N L-ascorbyl-6-palmitate Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](O)[C@H]1OC(=O)C(O)=C1O QAQJMLQRFWZOBN-LAUBAEHRSA-N 0.000 description 1
- 239000011786 L-ascorbyl-6-palmitate Substances 0.000 description 1
- 239000005517 L01XE01 - Imatinib Substances 0.000 description 1
- 239000005411 L01XE02 - Gefitinib Substances 0.000 description 1
- 239000005551 L01XE03 - Erlotinib Substances 0.000 description 1
- 239000002147 L01XE04 - Sunitinib Substances 0.000 description 1
- 239000005511 L01XE05 - Sorafenib Substances 0.000 description 1
- 239000002067 L01XE06 - Dasatinib Substances 0.000 description 1
- 239000002136 L01XE07 - Lapatinib Substances 0.000 description 1
- 239000005536 L01XE08 - Nilotinib Substances 0.000 description 1
- 239000003798 L01XE11 - Pazopanib Substances 0.000 description 1
- 239000002145 L01XE14 - Bosutinib Substances 0.000 description 1
- 239000002138 L01XE21 - Regorafenib Substances 0.000 description 1
- XNRVGTHNYCNCFF-UHFFFAOYSA-N Lapatinib ditosylate monohydrate Chemical compound O.CC1=CC=C(S(O)(=O)=O)C=C1.CC1=CC=C(S(O)(=O)=O)C=C1.O1C(CNCCS(=O)(=O)C)=CC=C1C1=CC=C(N=CN=C2NC=3C=C(Cl)C(OCC=4C=C(F)C=CC=4)=CC=3)C2=C1 XNRVGTHNYCNCFF-UHFFFAOYSA-N 0.000 description 1
- 206010024119 Left ventricular failure Diseases 0.000 description 1
- 201000002832 Lewy body dementia Diseases 0.000 description 1
- 102000003960 Ligases Human genes 0.000 description 1
- 108090000364 Ligases Proteins 0.000 description 1
- 229940086609 Lipase inhibitor Drugs 0.000 description 1
- 208000017170 Lipid metabolism disease Diseases 0.000 description 1
- 108010007859 Lisinopril Proteins 0.000 description 1
- 208000019693 Lung disease Diseases 0.000 description 1
- 241000124008 Mammalia Species 0.000 description 1
- 102100030417 Matrilysin Human genes 0.000 description 1
- 108090000855 Matrilysin Proteins 0.000 description 1
- 102000000380 Matrix Metalloproteinase 1 Human genes 0.000 description 1
- 108010016113 Matrix Metalloproteinase 1 Proteins 0.000 description 1
- 102100030412 Matrix metalloproteinase-9 Human genes 0.000 description 1
- 108010015302 Matrix metalloproteinase-9 Proteins 0.000 description 1
- 208000000682 Megaloblastic Anemia Diseases 0.000 description 1
- 108010052285 Membrane Proteins Proteins 0.000 description 1
- 201000009906 Meningitis Diseases 0.000 description 1
- 208000001145 Metabolic Syndrome Diseases 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- CESYKOGBSMNBPD-UHFFFAOYSA-N Methyclothiazide Chemical compound ClC1=C(S(N)(=O)=O)C=C2S(=O)(=O)N(C)C(CCl)NC2=C1 CESYKOGBSMNBPD-UHFFFAOYSA-N 0.000 description 1
- DUGOZIWVEXMGBE-UHFFFAOYSA-N Methylphenidate Chemical compound C=1C=CC=CC=1C(C(=O)OC)C1CCCCN1 DUGOZIWVEXMGBE-UHFFFAOYSA-N 0.000 description 1
- FQISKWAFAHGMGT-SGJOWKDISA-M Methylprednisolone sodium succinate Chemical compound [Na+].C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)COC(=O)CCC([O-])=O)CC[C@H]21 FQISKWAFAHGMGT-SGJOWKDISA-M 0.000 description 1
- 229920000168 Microcrystalline cellulose Polymers 0.000 description 1
- 208000020128 Mitral stenosis Diseases 0.000 description 1
- 206010027727 Mitral valve incompetence Diseases 0.000 description 1
- 101150101095 Mmp12 gene Proteins 0.000 description 1
- 239000004368 Modified starch Substances 0.000 description 1
- 229920000881 Modified starch Polymers 0.000 description 1
- PCZOHLXUXFIOCF-UHFFFAOYSA-N Monacolin X Natural products C12C(OC(=O)C(C)CC)CC(C)C=C2C=CC(C)C1CCC1CC(O)CC(=O)O1 PCZOHLXUXFIOCF-UHFFFAOYSA-N 0.000 description 1
- 206010028116 Mucosal inflammation Diseases 0.000 description 1
- 201000010927 Mucositis Diseases 0.000 description 1
- 208000001089 Multiple system atrophy Diseases 0.000 description 1
- 241000699666 Mus <mouse, genus> Species 0.000 description 1
- XKLMZUWKNUAPSZ-UHFFFAOYSA-N N-(2,6-dimethylphenyl)-2-{4-[2-hydroxy-3-(2-methoxyphenoxy)propyl]piperazin-1-yl}acetamide Chemical compound COC1=CC=CC=C1OCC(O)CN1CCN(CC(=O)NC=2C(=CC=CC=2C)C)CC1 XKLMZUWKNUAPSZ-UHFFFAOYSA-N 0.000 description 1
- LRHPLDYGYMQRHN-UHFFFAOYSA-N N-Butanol Chemical compound CCCCO LRHPLDYGYMQRHN-UHFFFAOYSA-N 0.000 description 1
- NQTADLQHYWFPDB-UHFFFAOYSA-N N-Hydroxysuccinimide Chemical compound ON1C(=O)CCC1=O NQTADLQHYWFPDB-UHFFFAOYSA-N 0.000 description 1
- HOKKHZGPKSLGJE-GSVOUGTGSA-N N-Methyl-D-aspartic acid Chemical compound CN[C@@H](C(O)=O)CC(O)=O HOKKHZGPKSLGJE-GSVOUGTGSA-N 0.000 description 1
- 206010028735 Nasal congestion Diseases 0.000 description 1
- 206010029164 Nephrotic syndrome Diseases 0.000 description 1
- 102100030411 Neutrophil collagenase Human genes 0.000 description 1
- 101710118230 Neutrophil collagenase Proteins 0.000 description 1
- 208000007256 Nevus Diseases 0.000 description 1
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 description 1
- 229940123925 Nicotinic receptor agonist Drugs 0.000 description 1
- SNIOPGDIGTZGOP-UHFFFAOYSA-N Nitroglycerin Chemical compound [O-][N+](=O)OCC(O[N+]([O-])=O)CO[N+]([O-])=O SNIOPGDIGTZGOP-UHFFFAOYSA-N 0.000 description 1
- 239000000006 Nitroglycerin Substances 0.000 description 1
- CTQNGGLPUBDAKN-UHFFFAOYSA-N O-Xylene Chemical compound CC1=CC=CC=C1C CTQNGGLPUBDAKN-UHFFFAOYSA-N 0.000 description 1
- 208000008589 Obesity Diseases 0.000 description 1
- 208000004166 Obesity Hypoventilation Syndrome Diseases 0.000 description 1
- 229940123257 Opioid receptor antagonist Drugs 0.000 description 1
- 208000003435 Optic Neuritis Diseases 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 108010016731 PPAR gamma Proteins 0.000 description 1
- 206010033645 Pancreatitis Diseases 0.000 description 1
- IQPSEEYGBUAQFF-UHFFFAOYSA-N Pantoprazole Chemical compound COC1=CC=NC(CS(=O)C=2NC3=CC=C(OC(F)F)C=C3N=2)=C1OC IQPSEEYGBUAQFF-UHFFFAOYSA-N 0.000 description 1
- 208000018737 Parkinson disease Diseases 0.000 description 1
- 208000027089 Parkinsonian disease Diseases 0.000 description 1
- 206010034010 Parkinsonism Diseases 0.000 description 1
- AHOUBRCZNHFOSL-UHFFFAOYSA-N Paroxetine hydrochloride Natural products C1=CC(F)=CC=C1C1C(COC=2C=C3OCOC3=CC=2)CNCC1 AHOUBRCZNHFOSL-UHFFFAOYSA-N 0.000 description 1
- 208000037273 Pathologic Processes Diseases 0.000 description 1
- 208000000450 Pelvic Pain Diseases 0.000 description 1
- 102000035195 Peptidases Human genes 0.000 description 1
- 108091005804 Peptidases Proteins 0.000 description 1
- 208000018262 Peripheral vascular disease Diseases 0.000 description 1
- 206010034665 Peritoneal fibrosis Diseases 0.000 description 1
- 102100038831 Peroxisome proliferator-activated receptor alpha Human genes 0.000 description 1
- 102100038824 Peroxisome proliferator-activated receptor delta Human genes 0.000 description 1
- 229940122054 Peroxisome proliferator-activated receptor delta agonist Drugs 0.000 description 1
- 102100038825 Peroxisome proliferator-activated receptor gamma Human genes 0.000 description 1
- 229940080774 Peroxisome proliferator-activated receptor gamma agonist Drugs 0.000 description 1
- 239000004264 Petrolatum Substances 0.000 description 1
- 229940123333 Phosphodiesterase 5 inhibitor Drugs 0.000 description 1
- OAICVXFJPJFONN-UHFFFAOYSA-N Phosphorus Chemical compound [P] OAICVXFJPJFONN-UHFFFAOYSA-N 0.000 description 1
- PIJVFDBKTWXHHD-UHFFFAOYSA-N Physostigmine Natural products C12=CC(OC(=O)NC)=CC=C2N(C)C2C1(C)CCN2C PIJVFDBKTWXHHD-UHFFFAOYSA-N 0.000 description 1
- 206010063985 Phytosterolaemia Diseases 0.000 description 1
- 208000000609 Pick Disease of the Brain Diseases 0.000 description 1
- 206010035004 Pickwickian syndrome Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 229920002565 Polyethylene Glycol 400 Polymers 0.000 description 1
- 229920000954 Polyglycolide Polymers 0.000 description 1
- CYLWJCABXYDINA-UHFFFAOYSA-N Polythiazide Polymers ClC1=C(S(N)(=O)=O)C=C2S(=O)(=O)N(C)C(CSCC(F)(F)F)NC2=C1 CYLWJCABXYDINA-UHFFFAOYSA-N 0.000 description 1
- 102100022756 Potassium channel subfamily K member 18 Human genes 0.000 description 1
- TUZYXOIXSAXUGO-UHFFFAOYSA-N Pravastatin Natural products C1=CC(C)C(CCC(O)CC(O)CC(O)=O)C2C(OC(=O)C(C)CC)CC(O)C=C21 TUZYXOIXSAXUGO-UHFFFAOYSA-N 0.000 description 1
- 208000002158 Proliferative Vitreoretinopathy Diseases 0.000 description 1
- 108091006335 Prostaglandin I receptors Proteins 0.000 description 1
- 206010060862 Prostate cancer Diseases 0.000 description 1
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 1
- 239000004365 Protease Substances 0.000 description 1
- 102000004022 Protein-Tyrosine Kinases Human genes 0.000 description 1
- 108090000412 Protein-Tyrosine Kinases Proteins 0.000 description 1
- 206010037596 Pyelonephritis Diseases 0.000 description 1
- RVOLLAQWKVFTGE-UHFFFAOYSA-N Pyridostigmine Chemical compound CN(C)C(=O)OC1=CC=C[N+](C)=C1 RVOLLAQWKVFTGE-UHFFFAOYSA-N 0.000 description 1
- 206010038423 Renal cyst Diseases 0.000 description 1
- 206010063837 Reperfusion injury Diseases 0.000 description 1
- 206010038669 Respiratory arrest Diseases 0.000 description 1
- 206010038748 Restrictive cardiomyopathy Diseases 0.000 description 1
- 208000017442 Retinal disease Diseases 0.000 description 1
- 206010038923 Retinopathy Diseases 0.000 description 1
- 206010038934 Retinopathy proliferative Diseases 0.000 description 1
- 208000036284 Rhinitis seasonal Diseases 0.000 description 1
- 206010039163 Right ventricular failure Diseases 0.000 description 1
- XSVMFMHYUFZWBK-NSHDSACASA-N Rivastigmine Chemical compound CCN(C)C(=O)OC1=CC=CC([C@H](C)N(C)C)=C1 XSVMFMHYUFZWBK-NSHDSACASA-N 0.000 description 1
- RYMZZMVNJRMUDD-UHFFFAOYSA-N SJ000286063 Natural products C12C(OC(=O)C(C)(C)CC)CC(C)C=C2C=CC(C)C1CCC1CC(O)CC(=O)O1 RYMZZMVNJRMUDD-UHFFFAOYSA-N 0.000 description 1
- 108091006614 SLC10A2 Proteins 0.000 description 1
- IGMKTIJBFUMVIN-UHFFFAOYSA-N Sabeluzole Chemical compound N=1C2=CC=CC=C2SC=1N(C)C(CC1)CCN1CC(O)COC1=CC=C(F)C=C1 IGMKTIJBFUMVIN-UHFFFAOYSA-N 0.000 description 1
- 208000007893 Salpingitis Diseases 0.000 description 1
- 206010039710 Scleroderma Diseases 0.000 description 1
- 208000034189 Sclerosis Diseases 0.000 description 1
- 206010070834 Sensitisation Diseases 0.000 description 1
- 206010040047 Sepsis Diseases 0.000 description 1
- 206010040070 Septic Shock Diseases 0.000 description 1
- GIIZNNXWQWCKIB-UHFFFAOYSA-N Serevent Chemical compound C1=C(O)C(CO)=CC(C(O)CNCCCCCCOCCCCC=2C=CC=CC=2)=C1 GIIZNNXWQWCKIB-UHFFFAOYSA-N 0.000 description 1
- 102100028904 Serine/threonine-protein kinase MARK2 Human genes 0.000 description 1
- 229940121991 Serotonin and norepinephrine reuptake inhibitor Drugs 0.000 description 1
- 229920001800 Shellac Polymers 0.000 description 1
- 206010040639 Sick sinus syndrome Diseases 0.000 description 1
- 208000002227 Sitosterolemia Diseases 0.000 description 1
- 208000000453 Skin Neoplasms Diseases 0.000 description 1
- 208000013738 Sleep Initiation and Maintenance disease Diseases 0.000 description 1
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 1
- 208000009415 Spinocerebellar Ataxias Diseases 0.000 description 1
- 208000007718 Stable Angina Diseases 0.000 description 1
- 235000021355 Stearic acid Nutrition 0.000 description 1
- HFJHNGKIVAKCIW-UHFFFAOYSA-N Stearyl monoglyceridyl citrate Chemical compound OCC(O)CO.OC(=O)CC(O)(CC(O)=O)CC(O)=O.CCCCCCCCCCCCCCCCCC(O)=O HFJHNGKIVAKCIW-UHFFFAOYSA-N 0.000 description 1
- 206010066218 Stress Urinary Incontinence Diseases 0.000 description 1
- 102100030416 Stromelysin-1 Human genes 0.000 description 1
- 101710108790 Stromelysin-1 Proteins 0.000 description 1
- 102100028848 Stromelysin-2 Human genes 0.000 description 1
- 101710108792 Stromelysin-2 Proteins 0.000 description 1
- 102100028847 Stromelysin-3 Human genes 0.000 description 1
- 108050005271 Stromelysin-3 Proteins 0.000 description 1
- 208000034972 Sudden Infant Death Diseases 0.000 description 1
- 206010042440 Sudden infant death syndrome Diseases 0.000 description 1
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical compound [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 description 1
- 208000003734 Supraventricular Tachycardia Diseases 0.000 description 1
- 206010042600 Supraventricular arrhythmias Diseases 0.000 description 1
- 206010065342 Supraventricular tachyarrhythmia Diseases 0.000 description 1
- 239000000150 Sympathomimetic Substances 0.000 description 1
- 208000008253 Systolic Heart Failure Diseases 0.000 description 1
- 102000003691 T-Type Calcium Channels Human genes 0.000 description 1
- 108090000030 T-Type Calcium Channels Proteins 0.000 description 1
- 239000012317 TBTU Substances 0.000 description 1
- 206010043395 Thalassaemia sickle cell Diseases 0.000 description 1
- 101000712605 Theromyzon tessulatum Theromin Proteins 0.000 description 1
- 229940122388 Thrombin inhibitor Drugs 0.000 description 1
- 208000001435 Thromboembolism Diseases 0.000 description 1
- AUYYCJSJGJYCDS-LBPRGKRZSA-N Thyrolar Chemical compound IC1=CC(C[C@H](N)C(O)=O)=CC(I)=C1OC1=CC=C(O)C(I)=C1 AUYYCJSJGJYCDS-LBPRGKRZSA-N 0.000 description 1
- KJADKKWYZYXHBB-XBWDGYHZSA-N Topiramic acid Chemical compound C1O[C@@]2(COS(N)(=O)=O)OC(C)(C)O[C@H]2[C@@H]2OC(C)(C)O[C@@H]21 KJADKKWYZYXHBB-XBWDGYHZSA-N 0.000 description 1
- 208000018452 Torsade de pointes Diseases 0.000 description 1
- 208000002363 Torsades de Pointes Diseases 0.000 description 1
- NGBFQHCMQULJNZ-UHFFFAOYSA-N Torsemide Chemical compound CC(C)NC(=O)NS(=O)(=O)C1=CN=CC=C1NC1=CC=CC(C)=C1 NGBFQHCMQULJNZ-UHFFFAOYSA-N 0.000 description 1
- VXFJYXUZANRPDJ-WTNASJBWSA-N Trandopril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@H]2CCCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 VXFJYXUZANRPDJ-WTNASJBWSA-N 0.000 description 1
- 102000004887 Transforming Growth Factor beta Human genes 0.000 description 1
- 108090001012 Transforming Growth Factor beta Proteins 0.000 description 1
- 206010052779 Transplant rejections Diseases 0.000 description 1
- FNYLWPVRPXGIIP-UHFFFAOYSA-N Triamterene Chemical compound NC1=NC2=NC(N)=NC(N)=C2N=C1C1=CC=CC=C1 FNYLWPVRPXGIIP-UHFFFAOYSA-N 0.000 description 1
- XSTXAVWGXDQKEL-UHFFFAOYSA-N Trichloroethylene Chemical group ClC=C(Cl)Cl XSTXAVWGXDQKEL-UHFFFAOYSA-N 0.000 description 1
- 201000001943 Tricuspid Valve Insufficiency Diseases 0.000 description 1
- 206010044640 Tricuspid valve incompetence Diseases 0.000 description 1
- 206010044642 Tricuspid valve stenosis Diseases 0.000 description 1
- GSEJCLTVZPLZKY-UHFFFAOYSA-N Triethanolamine Chemical compound OCCN(CCO)CCO GSEJCLTVZPLZKY-UHFFFAOYSA-N 0.000 description 1
- DTQVDTLACAAQTR-UHFFFAOYSA-M Trifluoroacetate Chemical compound [O-]C(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-M 0.000 description 1
- 244000250129 Trigonella foenum graecum Species 0.000 description 1
- UHWVSEOVJBQKBE-UHFFFAOYSA-N Trimetazidine Chemical compound COC1=C(OC)C(OC)=CC=C1CN1CCNCC1 UHWVSEOVJBQKBE-UHFFFAOYSA-N 0.000 description 1
- YZCKVEUIGOORGS-NJFSPNSNSA-N Tritium Chemical compound [3H] YZCKVEUIGOORGS-NJFSPNSNSA-N 0.000 description 1
- 206010067584 Type 1 diabetes mellitus Diseases 0.000 description 1
- 201000006704 Ulcerative Colitis Diseases 0.000 description 1
- 208000007814 Unstable Angina Diseases 0.000 description 1
- 206010067775 Upper airway obstruction Diseases 0.000 description 1
- 208000000921 Urge Urinary Incontinence Diseases 0.000 description 1
- 208000026723 Urinary tract disease Diseases 0.000 description 1
- 208000012931 Urologic disease Diseases 0.000 description 1
- SECKRCOLJRRGGV-UHFFFAOYSA-N Vardenafil Chemical compound CCCC1=NC(C)=C(C(N=2)=O)N1NC=2C(C(=CC=1)OCC)=CC=1S(=O)(=O)N1CCN(CC)CC1 SECKRCOLJRRGGV-UHFFFAOYSA-N 0.000 description 1
- 206010047249 Venous thrombosis Diseases 0.000 description 1
- 208000008131 Ventricular Flutter Diseases 0.000 description 1
- 206010047281 Ventricular arrhythmia Diseases 0.000 description 1
- 238000005874 Vilsmeier-Haack formylation reaction Methods 0.000 description 1
- 208000018839 Wilson disease Diseases 0.000 description 1
- 201000008803 Wolff-Parkinson-white syndrome Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000006269 X-Linked Bulbo-Spinal Atrophy Diseases 0.000 description 1
- 206010048215 Xanthomatosis Diseases 0.000 description 1
- IYOZTVGMEWJPKR-IJLUTSLNSA-N Y-27632 Chemical compound C1C[C@@H]([C@H](N)C)CC[C@@H]1C(=O)NC1=CC=NC=C1 IYOZTVGMEWJPKR-IJLUTSLNSA-N 0.000 description 1
- SMVLTESEHRAPDU-UHFFFAOYSA-N [3-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octan-8-yl]-(3-fluoro-6-methoxypyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2CCC(C1)N2C(=O)C1=NC(=CC=C1F)OC SMVLTESEHRAPDU-UHFFFAOYSA-N 0.000 description 1
- YJADTYIFXPYAMV-UHFFFAOYSA-N [3-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octan-8-yl]-(6-methoxypyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2CCC(C1)N2C(=O)C1=NC(=CC=C1)OC YJADTYIFXPYAMV-UHFFFAOYSA-N 0.000 description 1
- KTKUCZRYJQWFBF-UHFFFAOYSA-N [5-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-2,5-diazabicyclo[2.2.2]octan-2-yl]-(6-methoxy-3-methylpyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1C2CN(C(C1)CC2)C(=O)C1=NC(=CC=C1C)OC KTKUCZRYJQWFBF-UHFFFAOYSA-N 0.000 description 1
- IQJPMLROUYSIIJ-UHFFFAOYSA-N [6-(difluoromethoxy)pyridin-2-yl]-[7-[[2-(4-propan-2-ylphenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]methanone Chemical compound FC(OC1=CC=CC(=N1)C(=O)N1C2COCC1CN(C2)CC1=C(N=C2N1C=CC=N2)C1=CC=C(C=C1)C(C)C)F IQJPMLROUYSIIJ-UHFFFAOYSA-N 0.000 description 1
- IDQHHCOWPCFYIN-UHFFFAOYSA-N [7-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]-(3-fluoro-6-methoxypyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2COCC(C1)N2C(=O)C1=NC(=CC=C1F)OC IDQHHCOWPCFYIN-UHFFFAOYSA-N 0.000 description 1
- PNRHBIXNPFBEKL-UHFFFAOYSA-N [7-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]-(6-methoxypyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2COCC(C1)N2C(=O)C1=NC(=CC=C1)OC PNRHBIXNPFBEKL-UHFFFAOYSA-N 0.000 description 1
- PUSPHEWNSUMZGD-UHFFFAOYSA-N [7-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]-(6-methylsulfanylpyridin-2-yl)methanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2COCC(C1)N2C(=O)C1=NC(=CC=C1)SC PUSPHEWNSUMZGD-UHFFFAOYSA-N 0.000 description 1
- LGQSRUQVMSVYOT-UHFFFAOYSA-N [7-[[2-(4-chlorophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3-oxa-7,9-diazabicyclo[3.3.1]nonan-9-yl]-cyclopentylmethanone Chemical compound ClC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2COCC(C1)N2C(=O)C1CCCC1 LGQSRUQVMSVYOT-UHFFFAOYSA-N 0.000 description 1
- CLZISMQKJZCZDN-UHFFFAOYSA-N [benzotriazol-1-yloxy(dimethylamino)methylidene]-dimethylazanium Chemical compound C1=CC=C2N(OC(N(C)C)=[N+](C)C)N=NC2=C1 CLZISMQKJZCZDN-UHFFFAOYSA-N 0.000 description 1
- 229960000446 abciximab Drugs 0.000 description 1
- 201000000690 abdominal obesity-metabolic syndrome Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- FHEAIOHRHQGZPC-KIWGSFCNSA-N acetic acid;(2s)-2-amino-3-(4-hydroxyphenyl)propanoic acid;(2s)-2-aminopentanedioic acid;(2s)-2-aminopropanoic acid;(2s)-2,6-diaminohexanoic acid Chemical compound CC(O)=O.C[C@H](N)C(O)=O.NCCCC[C@H](N)C(O)=O.OC(=O)[C@@H](N)CCC(O)=O.OC(=O)[C@@H](N)CC1=CC=C(O)C=C1 FHEAIOHRHQGZPC-KIWGSFCNSA-N 0.000 description 1
- 125000002777 acetyl group Chemical group [H]C([H])([H])C(*)=O 0.000 description 1
- 229960004308 acetylcysteine Drugs 0.000 description 1
- 229960001138 acetylsalicylic acid Drugs 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 230000007950 acidosis Effects 0.000 description 1
- 208000026545 acidosis disease Diseases 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 208000002552 acute disseminated encephalomyelitis Diseases 0.000 description 1
- 231100000851 acute glomerulonephritis Toxicity 0.000 description 1
- 201000005180 acute myocarditis Diseases 0.000 description 1
- IPGLIOFIFLXLKR-AXYNENQYSA-N adaprolol Chemical compound C1=CC(OCC(O)CNC(C)C)=CC=C1CC(=O)OCCC1(C2)C[C@@H](C3)C[C@H]2C[C@@H]3C1 IPGLIOFIFLXLKR-AXYNENQYSA-N 0.000 description 1
- 229950000221 adaprolol Drugs 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 239000002671 adjuvant Substances 0.000 description 1
- 210000004404 adrenal cortex Anatomy 0.000 description 1
- 239000000048 adrenergic agonist Substances 0.000 description 1
- 230000001476 alcoholic effect Effects 0.000 description 1
- 150000001298 alcohols Chemical class 0.000 description 1
- 229960004601 aliskiren Drugs 0.000 description 1
- 150000008044 alkali metal hydroxides Chemical class 0.000 description 1
- 150000001340 alkali metals Chemical class 0.000 description 1
- 201000009961 allergic asthma Diseases 0.000 description 1
- 201000010105 allergic rhinitis Diseases 0.000 description 1
- 208000006682 alpha 1-Antitrypsin Deficiency Diseases 0.000 description 1
- AWUCVROLDVIAJX-UHFFFAOYSA-N alpha-glycerophosphate Natural products OCC(O)COP(O)(O)=O AWUCVROLDVIAJX-UHFFFAOYSA-N 0.000 description 1
- 229960002213 alprenolol Drugs 0.000 description 1
- PAZJSJFMUHDSTF-UHFFFAOYSA-N alprenolol Chemical compound CC(C)NCC(O)COC1=CC=CC=C1CC=C PAZJSJFMUHDSTF-UHFFFAOYSA-N 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- DKNWSYNQZKUICI-UHFFFAOYSA-N amantadine Chemical compound C1C(C2)CC3CC2CC1(N)C3 DKNWSYNQZKUICI-UHFFFAOYSA-N 0.000 description 1
- 229960003805 amantadine Drugs 0.000 description 1
- 125000003368 amide group Chemical group 0.000 description 1
- XSDQTOBWRPYKKA-UHFFFAOYSA-N amiloride Chemical compound NC(=N)NC(=O)C1=NC(Cl)=C(N)N=C1N XSDQTOBWRPYKKA-UHFFFAOYSA-N 0.000 description 1
- 229960002576 amiloride Drugs 0.000 description 1
- 239000003194 amino acid receptor blocking agent Substances 0.000 description 1
- 229960000836 amitriptyline Drugs 0.000 description 1
- KRMDCWKBEZIMAB-UHFFFAOYSA-N amitriptyline Chemical compound C1CC2=CC=CC=C2C(=CCCN(C)C)C2=CC=CC=C21 KRMDCWKBEZIMAB-UHFFFAOYSA-N 0.000 description 1
- 229960000528 amlodipine Drugs 0.000 description 1
- ZPBWCRDSRKPIDG-UHFFFAOYSA-N amlodipine benzenesulfonate Chemical compound OS(=O)(=O)C1=CC=CC=C1.CCOC(=O)C1=C(COCCN)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1Cl ZPBWCRDSRKPIDG-UHFFFAOYSA-N 0.000 description 1
- 235000019270 ammonium chloride Nutrition 0.000 description 1
- VZTDIZULWFCMLS-UHFFFAOYSA-N ammonium formate Chemical compound [NH4+].[O-]C=O VZTDIZULWFCMLS-UHFFFAOYSA-N 0.000 description 1
- 206010002026 amyotrophic lateral sclerosis Diseases 0.000 description 1
- 208000003455 anaphylaxis Diseases 0.000 description 1
- 230000033115 angiogenesis Effects 0.000 description 1
- 230000003042 antagnostic effect Effects 0.000 description 1
- 230000003510 anti-fibrotic effect Effects 0.000 description 1
- 229940121363 anti-inflammatory agent Drugs 0.000 description 1
- 239000002260 anti-inflammatory agent Substances 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 230000003055 anti-obstructive effect Effects 0.000 description 1
- 239000000935 antidepressant agent Substances 0.000 description 1
- 229940005513 antidepressants Drugs 0.000 description 1
- 229940006133 antiglaucoma drug and miotics carbonic anhydrase inhibitors Drugs 0.000 description 1
- 239000002220 antihypertensive agent Substances 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 229940054053 antipsychotics butyrophenone derivative Drugs 0.000 description 1
- 239000003698 antivitamin K Substances 0.000 description 1
- 210000000709 aorta Anatomy 0.000 description 1
- 206010002906 aortic stenosis Diseases 0.000 description 1
- 201000002064 aortic valve insufficiency Diseases 0.000 description 1
- 229960003886 apixaban Drugs 0.000 description 1
- 230000005775 apoptotic pathway Effects 0.000 description 1
- 239000002830 appetite depressant Substances 0.000 description 1
- 239000000010 aprotic solvent Substances 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- 239000007900 aqueous suspension Substances 0.000 description 1
- 229960004823 armodafinil Drugs 0.000 description 1
- YFGHCGITMMYXAQ-LJQANCHMSA-N armodafinil Chemical compound C=1C=CC=CC=1C([S@](=O)CC(=O)N)C1=CC=CC=C1 YFGHCGITMMYXAQ-LJQANCHMSA-N 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 208000011775 arteriosclerosis disease Diseases 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 229960005070 ascorbic acid Drugs 0.000 description 1
- 235000010385 ascorbyl palmitate Nutrition 0.000 description 1
- 229960002274 atenolol Drugs 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 229960005370 atorvastatin Drugs 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 201000004562 autosomal dominant cerebellar ataxia Diseases 0.000 description 1
- WEAJZXNPAWBCOA-INIZCTEOSA-N avanafil Chemical compound C1=C(Cl)C(OC)=CC=C1CNC1=NC(N2[C@@H](CCC2)CO)=NC=C1C(=O)NCC1=NC=CC=N1 WEAJZXNPAWBCOA-INIZCTEOSA-N 0.000 description 1
- 229960000307 avanafil Drugs 0.000 description 1
- 229950010046 avasimibe Drugs 0.000 description 1
- 229960003005 axitinib Drugs 0.000 description 1
- RITAVMQDGBJQJZ-FMIVXFBMSA-N axitinib Chemical compound CNC(=O)C1=CC=CC=C1SC1=CC=C(C(\C=C\C=2N=CC=CC=2)=NN2)C2=C1 RITAVMQDGBJQJZ-FMIVXFBMSA-N 0.000 description 1
- 230000003376 axonal effect Effects 0.000 description 1
- 125000005334 azaindolyl group Chemical class N1N=C(C2=CC=CC=C12)* 0.000 description 1
- 229960002170 azathioprine Drugs 0.000 description 1
- LMEKQMALGUDUQG-UHFFFAOYSA-N azathioprine Chemical compound CN1C=NC([N+]([O-])=O)=C1SC1=NC=NC2=C1NC=N2 LMEKQMALGUDUQG-UHFFFAOYSA-N 0.000 description 1
- MQTOSJVFKKJCRP-BICOPXKESA-N azithromycin Chemical compound O([C@@H]1[C@@H](C)C(=O)O[C@@H]([C@@]([C@H](O)[C@@H](C)N(C)C[C@H](C)C[C@@](C)(O)[C@H](O[C@H]2[C@@H]([C@H](C[C@@H](C)O2)N(C)C)O)[C@H]1C)(C)O)CC)[C@H]1C[C@@](C)(OC)[C@@H](O)[C@H](C)O1 MQTOSJVFKKJCRP-BICOPXKESA-N 0.000 description 1
- 229960004099 azithromycin Drugs 0.000 description 1
- 229960000794 baclofen Drugs 0.000 description 1
- 208000022362 bacterial infectious disease Diseases 0.000 description 1
- 229960003515 bendroflumethiazide Drugs 0.000 description 1
- HDWIHXWEUNVBIY-UHFFFAOYSA-N bendroflumethiazidum Chemical compound C1=C(C(F)(F)F)C(S(=O)(=O)N)=CC(S(N2)(=O)=O)=C1NC2CC1=CC=CC=C1 HDWIHXWEUNVBIY-UHFFFAOYSA-N 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 229960000686 benzalkonium chloride Drugs 0.000 description 1
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid group Chemical group C(C1=CC=CC=C1)(=O)O WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 1
- CADWTSSKOVRVJC-UHFFFAOYSA-N benzyl(dimethyl)azanium;chloride Chemical compound [Cl-].C[NH+](C)CC1=CC=CC=C1 CADWTSSKOVRVJC-UHFFFAOYSA-N 0.000 description 1
- 229960002890 beraprost Drugs 0.000 description 1
- CTPOHARTNNSRSR-APJZLKAGSA-N beraprost Chemical compound O([C@H]1C[C@@H](O)[C@@H]([C@@H]21)/C=C/[C@@H](O)C(C)CC#CC)C1=C2C=CC=C1CCCC(O)=O CTPOHARTNNSRSR-APJZLKAGSA-N 0.000 description 1
- 235000021028 berry Nutrition 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 229960002537 betamethasone Drugs 0.000 description 1
- UREBDLICKHMUKA-DVTGEIKXSA-N betamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-DVTGEIKXSA-N 0.000 description 1
- 230000003454 betamimetic effect Effects 0.000 description 1
- 229960004324 betaxolol Drugs 0.000 description 1
- NWIUTZDMDHAVTP-UHFFFAOYSA-N betaxolol Chemical compound C1=CC(OCC(O)CNC(C)C)=CC=C1CCOCC1CC1 NWIUTZDMDHAVTP-UHFFFAOYSA-N 0.000 description 1
- 239000011230 binding agent Substances 0.000 description 1
- 230000004071 biological effect Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 229960002781 bisoprolol Drugs 0.000 description 1
- VHYCDWMUTMEGQY-UHFFFAOYSA-N bisoprolol Chemical compound CC(C)NCC(O)COC1=CC=C(COCCOC(C)C)C=C1 VHYCDWMUTMEGQY-UHFFFAOYSA-N 0.000 description 1
- 229960001500 bivalirudin Drugs 0.000 description 1
- OIRCOABEOLEUMC-GEJPAHFPSA-N bivalirudin Chemical compound C([C@@H](C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H]([C@@H](C)CC)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CC(C)C)C(O)=O)NC(=O)[C@H](CC(O)=O)NC(=O)CNC(=O)[C@H](CC(N)=O)NC(=O)CNC(=O)CNC(=O)CNC(=O)CNC(=O)[C@H]1N(CCC1)C(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](N)CC=1C=CC=CC=1)C1=CC=CC=C1 OIRCOABEOLEUMC-GEJPAHFPSA-N 0.000 description 1
- 108010055460 bivalirudin Proteins 0.000 description 1
- 229920001400 block copolymer Polymers 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 210000001185 bone marrow Anatomy 0.000 description 1
- 230000004097 bone metabolism Effects 0.000 description 1
- UBPYILGKFZZVDX-UHFFFAOYSA-N bosutinib Chemical compound C1=C(Cl)C(OC)=CC(NC=2C3=CC(OC)=C(OCCCN4CCN(C)CC4)C=C3N=CC=2C#N)=C1Cl UBPYILGKFZZVDX-UHFFFAOYSA-N 0.000 description 1
- 229960003736 bosutinib Drugs 0.000 description 1
- 230000003925 brain function Effects 0.000 description 1
- 210000000481 breast Anatomy 0.000 description 1
- 201000009267 bronchiectasis Diseases 0.000 description 1
- 229950005341 bucindolol Drugs 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- MAEIEVLCKWDQJH-UHFFFAOYSA-N bumetanide Chemical compound CCCCNC1=CC(C(O)=O)=CC(S(N)(=O)=O)=C1OC1=CC=CC=C1 MAEIEVLCKWDQJH-UHFFFAOYSA-N 0.000 description 1
- 229960004064 bumetanide Drugs 0.000 description 1
- 125000000484 butyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- CZBZUDVBLSSABA-UHFFFAOYSA-N butylated hydroxyanisole Chemical compound COC1=CC=C(O)C(C(C)(C)C)=C1.COC1=CC=C(O)C=C1C(C)(C)C CZBZUDVBLSSABA-UHFFFAOYSA-N 0.000 description 1
- KVNRLNFWIYMESJ-UHFFFAOYSA-N butyronitrile Chemical compound CCCC#N KVNRLNFWIYMESJ-UHFFFAOYSA-N 0.000 description 1
- 239000006227 byproduct Substances 0.000 description 1
- FJDQFPXHSGXQBY-UHFFFAOYSA-L caesium carbonate Chemical compound [Cs+].[Cs+].[O-]C([O-])=O FJDQFPXHSGXQBY-UHFFFAOYSA-L 0.000 description 1
- 229910000024 caesium carbonate Inorganic materials 0.000 description 1
- 229960001948 caffeine Drugs 0.000 description 1
- VJEONQKOZGKCAK-UHFFFAOYSA-N caffeine Natural products CN1C(=O)N(C)C(=O)C2=C1C=CN2C VJEONQKOZGKCAK-UHFFFAOYSA-N 0.000 description 1
- 239000011575 calcium Substances 0.000 description 1
- 229910052791 calcium Inorganic materials 0.000 description 1
- 239000000480 calcium channel blocker Substances 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- ZJKZKKPIKDNHDM-UHFFFAOYSA-L calcium;6-(5-carboxylato-5-methylhexoxy)-2,2-dimethylhexanoate Chemical compound [Ca+2].[O-]C(=O)C(C)(C)CCCCOCCCCC(C)(C)C([O-])=O ZJKZKKPIKDNHDM-UHFFFAOYSA-L 0.000 description 1
- 230000036952 cancer formation Effects 0.000 description 1
- SGZAIDDFHDDFJU-UHFFFAOYSA-N candesartan Chemical compound CCOC1=NC2=CC=CC(C(O)=O)=C2N1CC(C=C1)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SGZAIDDFHDDFJU-UHFFFAOYSA-N 0.000 description 1
- 229960000932 candesartan Drugs 0.000 description 1
- OMZCMEYTWSXEPZ-UHFFFAOYSA-N canertinib Chemical compound C1=C(Cl)C(F)=CC=C1NC1=NC=NC2=CC(OCCCN3CCOCC3)=C(NC(=O)C=C)C=C12 OMZCMEYTWSXEPZ-UHFFFAOYSA-N 0.000 description 1
- 229950002826 canertinib Drugs 0.000 description 1
- 229940121376 cannabinoid receptor agonist Drugs 0.000 description 1
- 239000003537 cannabinoid receptor agonist Substances 0.000 description 1
- 239000003536 cannabinoid receptor antagonist Substances 0.000 description 1
- 229960000830 captopril Drugs 0.000 description 1
- FAKRSMQSSFJEIM-RQJHMYQMSA-N captopril Chemical compound SC[C@@H](C)C(=O)N1CCC[C@H]1C(O)=O FAKRSMQSSFJEIM-RQJHMYQMSA-N 0.000 description 1
- 150000001718 carbodiimides Chemical class 0.000 description 1
- 230000023852 carbohydrate metabolic process Effects 0.000 description 1
- 235000021256 carbohydrate metabolism Nutrition 0.000 description 1
- 229910052799 carbon Inorganic materials 0.000 description 1
- 239000003489 carbonate dehydratase inhibitor Substances 0.000 description 1
- 150000004649 carbonic acid derivatives Chemical class 0.000 description 1
- PFKFTWBEEFSNDU-UHFFFAOYSA-N carbonyldiimidazole Chemical compound C1=CN=CN1C(=O)N1C=CN=C1 PFKFTWBEEFSNDU-UHFFFAOYSA-N 0.000 description 1
- 231100000504 carcinogenesis Toxicity 0.000 description 1
- 230000000747 cardiac effect Effects 0.000 description 1
- 210000004413 cardiac myocyte Anatomy 0.000 description 1
- 206010007625 cardiogenic shock Diseases 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- 229960001222 carteolol Drugs 0.000 description 1
- LWAFSWPYPHEXKX-UHFFFAOYSA-N carteolol Chemical compound N1C(=O)CCC2=C1C=CC=C2OCC(O)CNC(C)(C)C LWAFSWPYPHEXKX-UHFFFAOYSA-N 0.000 description 1
- NPAKNKYSJIDKMW-UHFFFAOYSA-N carvedilol Chemical compound COC1=CC=CC=C1OCCNCC(O)COC1=CC=CC2=NC3=CC=C[CH]C3=C12 NPAKNKYSJIDKMW-UHFFFAOYSA-N 0.000 description 1
- 229960004195 carvedilol Drugs 0.000 description 1
- 239000003054 catalyst Substances 0.000 description 1
- 238000006555 catalytic reaction Methods 0.000 description 1
- 229960002320 celiprolol Drugs 0.000 description 1
- 229940081734 cellulose acetate phthalate Drugs 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 108091008690 chemoreceptors Proteins 0.000 description 1
- 210000004978 chinese hamster ovary cell Anatomy 0.000 description 1
- 229960002152 chlorhexidine acetate Drugs 0.000 description 1
- 229960001701 chloroform Drugs 0.000 description 1
- USJRLGNYCQWLPF-UHFFFAOYSA-N chlorophosphane Chemical compound ClP USJRLGNYCQWLPF-UHFFFAOYSA-N 0.000 description 1
- 229960002155 chlorothiazide Drugs 0.000 description 1
- 229960001523 chlortalidone Drugs 0.000 description 1
- 229940125881 cholesteryl ester transfer protein inhibitor Drugs 0.000 description 1
- 239000000544 cholinesterase inhibitor Substances 0.000 description 1
- 210000000349 chromosome Anatomy 0.000 description 1
- 208000007451 chronic bronchitis Diseases 0.000 description 1
- 208000021735 chronic enteritis Diseases 0.000 description 1
- 235000019504 cigarettes Nutrition 0.000 description 1
- 208000019425 cirrhosis of liver Diseases 0.000 description 1
- 229960001653 citalopram Drugs 0.000 description 1
- 239000007979 citrate buffer Substances 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- 229960004606 clomipramine Drugs 0.000 description 1
- 229960002896 clonidine Drugs 0.000 description 1
- 229960003009 clopidogrel Drugs 0.000 description 1
- GKTWGGQPFAXNFI-HNNXBMFYSA-N clopidogrel Chemical compound C1([C@H](N2CC=3C=CSC=3CC2)C(=O)OC)=CC=CC=C1Cl GKTWGGQPFAXNFI-HNNXBMFYSA-N 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 229940110456 cocoa butter Drugs 0.000 description 1
- 235000019868 cocoa butter Nutrition 0.000 description 1
- 229960001152 colesevelam Drugs 0.000 description 1
- GMRWGQCZJGVHKL-UHFFFAOYSA-N colestipol Chemical compound ClCC1CO1.NCCNCCNCCNCCN GMRWGQCZJGVHKL-UHFFFAOYSA-N 0.000 description 1
- 229960002604 colestipol Drugs 0.000 description 1
- 229960002424 collagenase Drugs 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 208000020020 complex sleep apnea Diseases 0.000 description 1
- 238000006482 condensation reaction Methods 0.000 description 1
- 235000009508 confectionery Nutrition 0.000 description 1
- 208000036970 congenital 1 with or without Hirschsprung disease central hypoventilation syndrome Diseases 0.000 description 1
- 208000028831 congenital heart disease Diseases 0.000 description 1
- 208000016569 congenital mitral valve insufficiency Diseases 0.000 description 1
- 208000018631 connective tissue disease Diseases 0.000 description 1
- 230000001595 contractor effect Effects 0.000 description 1
- 239000002872 contrast media Substances 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 229920001577 copolymer Polymers 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- 208000029078 coronary artery disease Diseases 0.000 description 1
- 229960001334 corticosteroids Drugs 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 229960000956 coumarin Drugs 0.000 description 1
- 235000001671 coumarin Nutrition 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 239000006071 cream Substances 0.000 description 1
- 229960001681 croscarmellose sodium Drugs 0.000 description 1
- 235000010947 crosslinked sodium carboxy methyl cellulose Nutrition 0.000 description 1
- 229960004397 cyclophosphamide Drugs 0.000 description 1
- WLVKDFJTYKELLQ-UHFFFAOYSA-N cyclopropylboronic acid Chemical compound OB(O)C1CC1 WLVKDFJTYKELLQ-UHFFFAOYSA-N 0.000 description 1
- 201000003146 cystitis Diseases 0.000 description 1
- 230000016396 cytokine production Effects 0.000 description 1
- 229960003850 dabigatran Drugs 0.000 description 1
- YBSJFWOBGCMAKL-UHFFFAOYSA-N dabigatran Chemical compound N=1C2=CC(C(=O)N(CCC(O)=O)C=3N=CC=CC=3)=CC=C2N(C)C=1CNC1=CC=C(C(N)=N)C=C1 YBSJFWOBGCMAKL-UHFFFAOYSA-N 0.000 description 1
- 229960002448 dasatinib Drugs 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 229960005227 delapril Drugs 0.000 description 1
- WOUOLAUOZXOLJQ-MBSDFSHPSA-N delapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N(CC(O)=O)C1CC2=CC=CC=C2C1)CC1=CC=CC=C1 WOUOLAUOZXOLJQ-MBSDFSHPSA-N 0.000 description 1
- CARVNSROHCBVAO-BUGJESOBSA-N depelestat Chemical compound O=C([C@H](C(C)C)NC(=O)CNC(=O)[C@@H]1CSSC[C@@H](C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N2CCC[C@H]2C(=O)N[C@H](C(N[C@H](C(=O)N[C@@H](CCCNC(N)=N)C(=O)NCC(=O)N2CCC[C@H]2C(=O)N[C@@H]2C(=O)N[C@H](C(=O)N[C@@H](C)C(=O)N[C@@H](CC=3C=CC=CC=3)C(=O)N[C@@H](CC=3C=CC=CC=3)C(=O)N3CCC[C@H]3C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=3C4=CC=CC=C4NC=3)C(=O)N[C@@H](C)C(=O)N[C@@H](CC=3C=CC=CC=3)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@H](C(=O)N[C@@H](CCCCN)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N[C@H]3CSSC[C@H](NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CO)NC(=O)[C@H](CC=4C=CC(O)=CC=4)NC(=O)[C@H](CC=4C=CC=CC=4)NC(=O)[C@H](CCCCN)NC(=O)[C@H](CC(N)=O)NC(=O)CNC(=O)[C@H](CC(N)=O)NC(=O)CNC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](NC(=O)CNC(=O)CNC(=O)[C@H](CC=4C=CC(O)=CC=4)NC(=O)[C@H]4N(CCC4)C(=O)[C@H](CC=4C=CC=CC=4)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](NC3=O)C(C)C)CSSC2)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC=2C=CC(O)=CC=2)C(=O)N1)C(C)C)[C@@H](C)CC)C(C)C)=O)[C@@H](C)CC)NC(=O)[C@H](C)NC(=O)[C@@H](N)CCC(O)=O)N1CCC[C@H]1C(O)=O CARVNSROHCBVAO-BUGJESOBSA-N 0.000 description 1
- 230000003001 depressive effect Effects 0.000 description 1
- 229960003914 desipramine Drugs 0.000 description 1
- 229960003957 dexamethasone Drugs 0.000 description 1
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 1
- 229960001767 dextrothyroxine Drugs 0.000 description 1
- 208000033679 diabetic kidney disease Diseases 0.000 description 1
- 238000000502 dialysis Methods 0.000 description 1
- 230000003205 diastolic effect Effects 0.000 description 1
- 229940120124 dichloroacetate Drugs 0.000 description 1
- JXTHNDFMNIQAHM-UHFFFAOYSA-N dichloroacetic acid Chemical compound OC(=O)C(Cl)Cl JXTHNDFMNIQAHM-UHFFFAOYSA-N 0.000 description 1
- 229960005081 diclofenamide Drugs 0.000 description 1
- GJQPMPFPNINLKP-UHFFFAOYSA-N diclofenamide Chemical compound NS(=O)(=O)C1=CC(Cl)=C(Cl)C(S(N)(=O)=O)=C1 GJQPMPFPNINLKP-UHFFFAOYSA-N 0.000 description 1
- FPUQGCOBYOXAED-UHFFFAOYSA-N diethyl 2-[[2-[3-(dimethylcarbamoyl)-4-[[2-[4-(trifluoromethyl)phenyl]benzoyl]amino]phenyl]acetyl]oxymethyl]-2-phenylpropanedioate Chemical compound C=1C=CC=CC=1C(C(=O)OCC)(C(=O)OCC)COC(=O)CC(C=C1C(=O)N(C)C)=CC=C1NC(=O)C1=CC=CC=C1C1=CC=C(C(F)(F)F)C=C1 FPUQGCOBYOXAED-UHFFFAOYSA-N 0.000 description 1
- HPNMFZURTQLUMO-UHFFFAOYSA-N diethylamine Chemical compound CCNCC HPNMFZURTQLUMO-UHFFFAOYSA-N 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000010339 dilation Effects 0.000 description 1
- HSUGRBWQSSZJOP-RTWAWAEBSA-N diltiazem Chemical compound C1=CC(OC)=CC=C1[C@H]1[C@@H](OC(C)=O)C(=O)N(CCN(C)C)C2=CC=CC=C2S1 HSUGRBWQSSZJOP-RTWAWAEBSA-N 0.000 description 1
- 229960004166 diltiazem Drugs 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- LDCRTTXIJACKKU-ONEGZZNKSA-N dimethyl fumarate Chemical compound COC(=O)\C=C\C(=O)OC LDCRTTXIJACKKU-ONEGZZNKSA-N 0.000 description 1
- 229960004419 dimethyl fumarate Drugs 0.000 description 1
- UXGNZZKBCMGWAZ-UHFFFAOYSA-N dimethylformamide dmf Chemical compound CN(C)C=O.CN(C)C=O UXGNZZKBCMGWAZ-UHFFFAOYSA-N 0.000 description 1
- FEOTYLAGBAWURU-UHFFFAOYSA-N diphosphanium;dichloride Chemical compound [PH4+].[PH4+].[Cl-].[Cl-] FEOTYLAGBAWURU-UHFFFAOYSA-N 0.000 description 1
- 229960002768 dipyridamole Drugs 0.000 description 1
- IZEKFCXSFNUWAM-UHFFFAOYSA-N dipyridamole Chemical compound C=12N=C(N(CCO)CCO)N=C(N3CCCCC3)C2=NC(N(CCO)CCO)=NC=1N1CCCCC1 IZEKFCXSFNUWAM-UHFFFAOYSA-N 0.000 description 1
- 239000007884 disintegrant Substances 0.000 description 1
- SPBWMYPZWNFWES-UHFFFAOYSA-N disodium;azanylidyneoxidanium;iron(2+);pentacyanide;dihydrate Chemical compound O.O.[Na+].[Na+].[Fe+2].N#[C-].N#[C-].N#[C-].N#[C-].N#[C-].[O+]#N SPBWMYPZWNFWES-UHFFFAOYSA-N 0.000 description 1
- 239000002270 dispersing agent Substances 0.000 description 1
- 238000009826 distribution Methods 0.000 description 1
- 230000001882 diuretic effect Effects 0.000 description 1
- CETRZFQIITUQQL-UHFFFAOYSA-N dmso dimethylsulfoxide Chemical compound CS(C)=O.CS(C)=O CETRZFQIITUQQL-UHFFFAOYSA-N 0.000 description 1
- 229960003530 donepezil Drugs 0.000 description 1
- 239000003210 dopamine receptor blocking agent Substances 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 229960005426 doxepin Drugs 0.000 description 1
- ODQWQRRAPPTVAG-GZTJUZNOSA-N doxepin Chemical compound C1OC2=CC=CC=C2C(=C/CCN(C)C)/C2=CC=CC=C21 ODQWQRRAPPTVAG-GZTJUZNOSA-N 0.000 description 1
- 239000008298 dragée Substances 0.000 description 1
- 239000006196 drop Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 238000001035 drying Methods 0.000 description 1
- 229960002866 duloxetine Drugs 0.000 description 1
- 238000010410 dusting Methods 0.000 description 1
- 229960000622 edoxaban Drugs 0.000 description 1
- PSMMNJNZVZZNOI-SJILXJHISA-N edoxaban tosylate hydrate Chemical compound O.CC1=CC=C(S(O)(=O)=O)C=C1.N([C@H]1CC[C@@H](C[C@H]1NC(=O)C=1SC=2CN(C)CCC=2N=1)C(=O)N(C)C)C(=O)C(=O)NC1=CC=C(Cl)C=N1 PSMMNJNZVZZNOI-SJILXJHISA-N 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 238000000132 electrospray ionisation Methods 0.000 description 1
- XFLQIRAKKLNXRQ-UUWRZZSWSA-N elobixibat Chemical compound C12=CC(SC)=C(OCC(=O)N[C@@H](C(=O)NCC(O)=O)C=3C=CC=CC=3)C=C2S(=O)(=O)CC(CCCC)(CCCC)CN1C1=CC=CC=C1 XFLQIRAKKLNXRQ-UUWRZZSWSA-N 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 229960000873 enalapril Drugs 0.000 description 1
- GBXSMTUPTTWBMN-XIRDDKMYSA-N enalapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(O)=O)CC1=CC=CC=C1 GBXSMTUPTTWBMN-XIRDDKMYSA-N 0.000 description 1
- 206010014599 encephalitis Diseases 0.000 description 1
- 206010014665 endocarditis Diseases 0.000 description 1
- 201000010048 endomyocardial fibrosis Diseases 0.000 description 1
- 230000008753 endothelial function Effects 0.000 description 1
- 230000037149 energy metabolism Effects 0.000 description 1
- 239000003623 enhancer Substances 0.000 description 1
- 229940088598 enzyme Drugs 0.000 description 1
- 201000010063 epididymitis Diseases 0.000 description 1
- 229960001208 eplerenone Drugs 0.000 description 1
- JUKPWJGBANNWMW-VWBFHTRKSA-N eplerenone Chemical compound C([C@@H]1[C@]2(C)C[C@H]3O[C@]33[C@@]4(C)CCC(=O)C=C4C[C@H]([C@@H]13)C(=O)OC)C[C@@]21CCC(=O)O1 JUKPWJGBANNWMW-VWBFHTRKSA-N 0.000 description 1
- 229960001123 epoprostenol Drugs 0.000 description 1
- KAQKFAOMNZTLHT-VVUHWYTRSA-N epoprostenol Chemical compound O1C(=CCCCC(O)=O)C[C@@H]2[C@@H](/C=C/[C@@H](O)CCCCC)[C@H](O)C[C@@H]21 KAQKFAOMNZTLHT-VVUHWYTRSA-N 0.000 description 1
- 230000001856 erectile effect Effects 0.000 description 1
- 229960001433 erlotinib Drugs 0.000 description 1
- AAKJLRGGTJKAMG-UHFFFAOYSA-N erlotinib Chemical compound C=12C=C(OCCOC)C(OCCOC)=CC2=NC=NC=1NC1=CC=CC(C#C)=C1 AAKJLRGGTJKAMG-UHFFFAOYSA-N 0.000 description 1
- WSEQXVZVJXJVFP-FQEVSTJZSA-N escitalopram Chemical compound C1([C@]2(C3=CC=C(C=C3CO2)C#N)CCCN(C)C)=CC=C(F)C=C1 WSEQXVZVJXJVFP-FQEVSTJZSA-N 0.000 description 1
- 229960004341 escitalopram Drugs 0.000 description 1
- 229960003745 esmolol Drugs 0.000 description 1
- AQNDDEOPVVGCPG-UHFFFAOYSA-N esmolol Chemical compound COC(=O)CCC1=CC=C(OCC(O)CNC(C)C)C=C1 AQNDDEOPVVGCPG-UHFFFAOYSA-N 0.000 description 1
- 229960004770 esomeprazole Drugs 0.000 description 1
- SUBDBMMJDZJVOS-DEOSSOPVSA-N esomeprazole Chemical compound C([S@](=O)C1=NC2=CC=C(C=C2N1)OC)C1=NC=C(C)C(OC)=C1C SUBDBMMJDZJVOS-DEOSSOPVSA-N 0.000 description 1
- 229960000403 etanercept Drugs 0.000 description 1
- BEFDCLMNVWHSGT-UHFFFAOYSA-N ethenylcyclopentane Chemical compound C=CC1CCCC1 BEFDCLMNVWHSGT-UHFFFAOYSA-N 0.000 description 1
- FUBBWDWIGBTUPQ-UHFFFAOYSA-N ethyl 2-[4-[3-[(4-fluorophenyl)-hydroxymethyl]-4-hydroxyphenoxy]-3,5-dimethylanilino]-2-oxoacetate Chemical compound CC1=CC(NC(=O)C(=O)OCC)=CC(C)=C1OC1=CC=C(O)C(C(O)C=2C=CC(F)=CC=2)=C1 FUBBWDWIGBTUPQ-UHFFFAOYSA-N 0.000 description 1
- 235000019325 ethyl cellulose Nutrition 0.000 description 1
- 229920001249 ethyl cellulose Polymers 0.000 description 1
- 229960004667 ethyl cellulose Drugs 0.000 description 1
- 125000004705 ethylthio group Chemical group C(C)S* 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 238000001704 evaporation Methods 0.000 description 1
- 230000008020 evaporation Effects 0.000 description 1
- 230000029142 excretion Effects 0.000 description 1
- 210000002744 extracellular matrix Anatomy 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 208000024711 extrinsic asthma Diseases 0.000 description 1
- 208000030533 eye disease Diseases 0.000 description 1
- 239000003889 eye drop Substances 0.000 description 1
- 229940012356 eye drops Drugs 0.000 description 1
- 239000003885 eye ointment Substances 0.000 description 1
- OLNTVTPDXPETLC-XPWALMASSA-N ezetimibe Chemical compound N1([C@@H]([C@H](C1=O)CC[C@H](O)C=1C=CC(F)=CC=1)C=1C=CC(O)=CC=1)C1=CC=C(F)C=C1 OLNTVTPDXPETLC-XPWALMASSA-N 0.000 description 1
- 229960000815 ezetimibe Drugs 0.000 description 1
- 208000022195 farmer lung disease Diseases 0.000 description 1
- NGOGFTYYXHNFQH-UHFFFAOYSA-N fasudil Chemical compound C=1C=CC2=CN=CC=C2C=1S(=O)(=O)N1CCCNCC1 NGOGFTYYXHNFQH-UHFFFAOYSA-N 0.000 description 1
- 229960002435 fasudil Drugs 0.000 description 1
- 150000002191 fatty alcohols Chemical class 0.000 description 1
- 239000010685 fatty oil Substances 0.000 description 1
- 229960001022 fenoterol Drugs 0.000 description 1
- 210000002950 fibroblast Anatomy 0.000 description 1
- 229950010034 fidexaban Drugs 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 229960000556 fingolimod Drugs 0.000 description 1
- KKGQTZUTZRNORY-UHFFFAOYSA-N fingolimod Chemical compound CCCCCCCCC1=CC=C(CCC(N)(CO)CO)C=C1 KKGQTZUTZRNORY-UHFFFAOYSA-N 0.000 description 1
- 229960004381 flumazenil Drugs 0.000 description 1
- OFBIFZUFASYYRE-UHFFFAOYSA-N flumazenil Chemical compound C1N(C)C(=O)C2=CC(F)=CC=C2N2C=NC(C(=O)OCC)=C21 OFBIFZUFASYYRE-UHFFFAOYSA-N 0.000 description 1
- 229960000676 flunisolide Drugs 0.000 description 1
- 229960002464 fluoxetine Drugs 0.000 description 1
- 229960003765 fluvastatin Drugs 0.000 description 1
- 229960004038 fluvoxamine Drugs 0.000 description 1
- CJOFXWAVKWHTFT-XSFVSMFZSA-N fluvoxamine Chemical compound COCCCC\C(=N/OCCN)C1=CC=C(C(F)(F)F)C=C1 CJOFXWAVKWHTFT-XSFVSMFZSA-N 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- XEKSTYNIJLDDAZ-JASSWCPGSA-F fondaparinux sodium Chemical compound [Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].[Na+].O[C@@H]1[C@@H](NS([O-])(=O)=O)[C@@H](OC)O[C@H](COS([O-])(=O)=O)[C@H]1O[C@H]1[C@H](OS([O-])(=O)=O)[C@@H](O)[C@H](O[C@@H]2[C@@H]([C@@H](OS([O-])(=O)=O)[C@H](O[C@H]3[C@@H]([C@@H](O)[C@H](O[C@@H]4[C@@H]([C@@H](O)[C@H](O)[C@@H](COS([O-])(=O)=O)O4)NS([O-])(=O)=O)[C@H](O3)C(O)=O)O)[C@@H](COS([O-])(=O)=O)O2)NS([O-])(=O)=O)[C@H](C(O)=O)O1 XEKSTYNIJLDDAZ-JASSWCPGSA-F 0.000 description 1
- 229960003661 fondaparinux sodium Drugs 0.000 description 1
- 235000003599 food sweetener Nutrition 0.000 description 1
- 229960002848 formoterol Drugs 0.000 description 1
- BPZSYCZIITTYBL-UHFFFAOYSA-N formoterol Chemical compound C1=CC(OC)=CC=C1CC(C)NCC(O)C1=CC=C(O)C(NC=O)=C1 BPZSYCZIITTYBL-UHFFFAOYSA-N 0.000 description 1
- 230000022244 formylation Effects 0.000 description 1
- 238000006170 formylation reaction Methods 0.000 description 1
- 229960002490 fosinopril Drugs 0.000 description 1
- ZZUFCTLCJUWOSV-UHFFFAOYSA-N furosemide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC(C(O)=O)=C1NCC1=CC=CO1 ZZUFCTLCJUWOSV-UHFFFAOYSA-N 0.000 description 1
- 229960003883 furosemide Drugs 0.000 description 1
- 229960003980 galantamine Drugs 0.000 description 1
- ASUTZQLVASHGKV-UHFFFAOYSA-N galanthamine hydrochloride Natural products O1C(=C23)C(OC)=CC=C2CN(C)CCC23C1CC(O)C=C2 ASUTZQLVASHGKV-UHFFFAOYSA-N 0.000 description 1
- 229960003692 gamma aminobutyric acid Drugs 0.000 description 1
- BTCSSZJGUNDROE-UHFFFAOYSA-N gamma-aminobutyric acid Chemical compound NCCCC(O)=O BTCSSZJGUNDROE-UHFFFAOYSA-N 0.000 description 1
- 210000004051 gastric juice Anatomy 0.000 description 1
- 229960002584 gefitinib Drugs 0.000 description 1
- XGALLCVXEZPNRQ-UHFFFAOYSA-N gefitinib Chemical compound C=12C=C(OCCCN3CCOCC3)C(OC)=CC2=NC=NC=1NC1=CC=C(F)C(Cl)=C1 XGALLCVXEZPNRQ-UHFFFAOYSA-N 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 229940052308 general anesthetics halogenated hydrocarbons Drugs 0.000 description 1
- 208000004104 gestational diabetes Diseases 0.000 description 1
- 229960003776 glatiramer acetate Drugs 0.000 description 1
- 230000001434 glomerular Effects 0.000 description 1
- 206010061989 glomerulosclerosis Diseases 0.000 description 1
- 239000003862 glucocorticoid Substances 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 125000000291 glutamic acid group Chemical group N[C@@H](CCC(O)=O)C(=O)* 0.000 description 1
- 239000001087 glyceryl triacetate Substances 0.000 description 1
- 235000013773 glyceryl triacetate Nutrition 0.000 description 1
- 229960003711 glyceryl trinitrate Drugs 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 239000003102 growth factor Substances 0.000 description 1
- 150000008282 halocarbons Chemical class 0.000 description 1
- 229940116364 hard fat Drugs 0.000 description 1
- 210000002837 heart atrium Anatomy 0.000 description 1
- 208000019622 heart disease Diseases 0.000 description 1
- 208000034737 hemoglobinopathy Diseases 0.000 description 1
- 208000007475 hemolytic anemia Diseases 0.000 description 1
- 239000002628 heparin derivative Substances 0.000 description 1
- 238000013537 high throughput screening Methods 0.000 description 1
- 229930195733 hydrocarbon Natural products 0.000 description 1
- 150000002430 hydrocarbons Chemical class 0.000 description 1
- 229960002003 hydrochlorothiazide Drugs 0.000 description 1
- 229960003313 hydroflumethiazide Drugs 0.000 description 1
- DMDGGSIALPNSEE-UHFFFAOYSA-N hydroflumethiazide Chemical compound C1=C(C(F)(F)F)C(S(=O)(=O)N)=CC2=C1NCNS2(=O)=O DMDGGSIALPNSEE-UHFFFAOYSA-N 0.000 description 1
- 229910000042 hydrogen bromide Inorganic materials 0.000 description 1
- 238000007327 hydrogenolysis reaction Methods 0.000 description 1
- 230000003301 hydrolyzing effect Effects 0.000 description 1
- 239000008311 hydrophilic ointment Substances 0.000 description 1
- 229920003132 hydroxypropyl methylcellulose phthalate Polymers 0.000 description 1
- 229940031704 hydroxypropyl methylcellulose phthalate Drugs 0.000 description 1
- 229940071676 hydroxypropylcellulose Drugs 0.000 description 1
- 201000001421 hyperglycemia Diseases 0.000 description 1
- 230000003451 hyperinsulinaemic effect Effects 0.000 description 1
- 201000008980 hyperinsulinism Diseases 0.000 description 1
- 201000005991 hyperphosphatemia Diseases 0.000 description 1
- 230000001631 hypertensive effect Effects 0.000 description 1
- 208000006575 hypertriglyceridemia Diseases 0.000 description 1
- 206010020871 hypertrophic cardiomyopathy Diseases 0.000 description 1
- 230000001969 hypertrophic effect Effects 0.000 description 1
- 208000026621 hypolipoproteinemia Diseases 0.000 description 1
- 230000036543 hypotension Effects 0.000 description 1
- 208000021822 hypotensive Diseases 0.000 description 1
- 230000001077 hypotensive effect Effects 0.000 description 1
- 230000000642 iatrogenic effect Effects 0.000 description 1
- 208000022368 idiopathic cardiomyopathy Diseases 0.000 description 1
- 229960002240 iloprost Drugs 0.000 description 1
- HIFJCPQKFCZDDL-ACWOEMLNSA-N iloprost Chemical compound C1\C(=C/CCCC(O)=O)C[C@@H]2[C@@H](/C=C/[C@@H](O)C(C)CC#CC)[C@H](O)C[C@@H]21 HIFJCPQKFCZDDL-ACWOEMLNSA-N 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- KTUFNOKKBVMGRW-UHFFFAOYSA-N imatinib Chemical compound C1CN(C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)C=C1 KTUFNOKKBVMGRW-UHFFFAOYSA-N 0.000 description 1
- 229960002411 imatinib Drugs 0.000 description 1
- 150000005236 imidazo[1,2-a]pyrazines Chemical class 0.000 description 1
- 150000005234 imidazo[1,2-a]pyridines Chemical class 0.000 description 1
- 229960004801 imipramine Drugs 0.000 description 1
- BCGWQEUPMDMJNV-UHFFFAOYSA-N imipramine Chemical compound C1CC2=CC=CC=C2N(CCCN(C)C)C2=CC=CC=C21 BCGWQEUPMDMJNV-UHFFFAOYSA-N 0.000 description 1
- 230000002519 immonomodulatory effect Effects 0.000 description 1
- 102000018358 immunoglobulin Human genes 0.000 description 1
- 229940072221 immunoglobulins Drugs 0.000 description 1
- 239000002955 immunomodulating agent Substances 0.000 description 1
- 229940121354 immunomodulator Drugs 0.000 description 1
- 230000001506 immunosuppresive effect Effects 0.000 description 1
- 229960003444 immunosuppressant agent Drugs 0.000 description 1
- 229940125721 immunosuppressive agent Drugs 0.000 description 1
- 201000001881 impotence Diseases 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- NDDAHWYSQHTHNT-UHFFFAOYSA-N indapamide Chemical compound CC1CC2=CC=CC=C2N1NC(=O)C1=CC=C(Cl)C(S(N)(=O)=O)=C1 NDDAHWYSQHTHNT-UHFFFAOYSA-N 0.000 description 1
- 229960004569 indapamide Drugs 0.000 description 1
- 230000002458 infectious effect Effects 0.000 description 1
- 208000018337 inherited hemoglobinopathy Diseases 0.000 description 1
- 239000001023 inorganic pigment Substances 0.000 description 1
- 206010022437 insomnia Diseases 0.000 description 1
- 102000006495 integrins Human genes 0.000 description 1
- 108010044426 integrins Proteins 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 229960003130 interferon gamma Drugs 0.000 description 1
- 229960001388 interferon-beta Drugs 0.000 description 1
- 201000004332 intermediate coronary syndrome Diseases 0.000 description 1
- 238000001361 intraarterial administration Methods 0.000 description 1
- 230000003834 intracellular effect Effects 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 201000010659 intrinsic asthma Diseases 0.000 description 1
- 229910052740 iodine Inorganic materials 0.000 description 1
- 239000011630 iodine Substances 0.000 description 1
- 229960001361 ipratropium bromide Drugs 0.000 description 1
- KEWHKYJURDBRMN-ZEODDXGYSA-M ipratropium bromide hydrate Chemical compound O.[Br-].O([C@H]1C[C@H]2CC[C@@H](C1)[N@@+]2(C)C(C)C)C(=O)C(CO)C1=CC=CC=C1 KEWHKYJURDBRMN-ZEODDXGYSA-M 0.000 description 1
- 208000002551 irritable bowel syndrome Diseases 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 229960004592 isopropanol Drugs 0.000 description 1
- 125000003253 isopropoxy group Chemical group [H]C([H])([H])C([H])(O*)C([H])([H])[H] 0.000 description 1
- 229940039009 isoproterenol Drugs 0.000 description 1
- 229960002479 isosorbide Drugs 0.000 description 1
- MOYKHGMNXAOIAT-JGWLITMVSA-N isosorbide dinitrate Chemical compound [O-][N+](=O)O[C@H]1CO[C@@H]2[C@H](O[N+](=O)[O-])CO[C@@H]21 MOYKHGMNXAOIAT-JGWLITMVSA-N 0.000 description 1
- 229960000201 isosorbide dinitrate Drugs 0.000 description 1
- YWXYYJSYQOXTPL-SLPGGIOYSA-N isosorbide mononitrate Chemical compound [O-][N+](=O)O[C@@H]1CO[C@@H]2[C@@H](O)CO[C@@H]21 YWXYYJSYQOXTPL-SLPGGIOYSA-N 0.000 description 1
- 229960003827 isosorbide mononitrate Drugs 0.000 description 1
- 239000007951 isotonicity adjuster Substances 0.000 description 1
- CTAPFRYPJLPFDF-UHFFFAOYSA-N isoxazole Chemical class C=1C=NOC=1 CTAPFRYPJLPFDF-UHFFFAOYSA-N 0.000 description 1
- 210000001117 keloid Anatomy 0.000 description 1
- 229960001632 labetalol Drugs 0.000 description 1
- 229940039717 lanolin Drugs 0.000 description 1
- 229940099367 lanolin alcohols Drugs 0.000 description 1
- 229960003174 lansoprazole Drugs 0.000 description 1
- SIXIIKVOZAGHPV-UHFFFAOYSA-N lansoprazole Chemical compound CC1=C(OCC(F)(F)F)C=CN=C1CS(=O)C1=NC2=CC=C[CH]C2=N1 SIXIIKVOZAGHPV-UHFFFAOYSA-N 0.000 description 1
- 229960004891 lapatinib Drugs 0.000 description 1
- 239000000787 lecithin Substances 0.000 description 1
- 235000010445 lecithin Nutrition 0.000 description 1
- 229940067606 lecithin Drugs 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 229940065725 leukotriene receptor antagonists for obstructive airway diseases Drugs 0.000 description 1
- 239000003199 leukotriene receptor blocking agent Substances 0.000 description 1
- 230000000670 limiting effect Effects 0.000 description 1
- 230000037356 lipid metabolism Effects 0.000 description 1
- 239000006193 liquid solution Substances 0.000 description 1
- 229960002394 lisinopril Drugs 0.000 description 1
- CZRQXSDBMCMPNJ-ZUIPZQNBSA-N lisinopril dihydrate Chemical compound O.O.C([C@H](N[C@@H](CCCCN)C(=O)N1[C@@H](CCC1)C(O)=O)C(O)=O)CC1=CC=CC=C1 CZRQXSDBMCMPNJ-ZUIPZQNBSA-N 0.000 description 1
- XGZVUEUWXADBQD-UHFFFAOYSA-L lithium carbonate Chemical compound [Li+].[Li+].[O-]C([O-])=O XGZVUEUWXADBQD-UHFFFAOYSA-L 0.000 description 1
- 229910052808 lithium carbonate Inorganic materials 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000002690 local anesthesia Methods 0.000 description 1
- 229960003566 lomitapide Drugs 0.000 description 1
- QKVKOFVWUHNEBX-UHFFFAOYSA-N lomitapide mesylate Chemical compound CS(O)(=O)=O.C12=CC=CC=C2C2=CC=CC=C2C1(C(=O)NCC(F)(F)F)CCCCN(CC1)CCC1NC(=O)C1=CC=CC=C1C1=CC=C(C(F)(F)F)C=C1 QKVKOFVWUHNEBX-UHFFFAOYSA-N 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 229960004773 losartan Drugs 0.000 description 1
- KJJZZJSZUJXYEA-UHFFFAOYSA-N losartan Chemical compound CCCCC1=NC(Cl)=C(CO)N1CC1=CC=C(C=2C(=CC=CC=2)C=2[N]N=NN=2)C=C1 KJJZZJSZUJXYEA-UHFFFAOYSA-N 0.000 description 1
- 229960004844 lovastatin Drugs 0.000 description 1
- PCZOHLXUXFIOCF-BXMDZJJMSA-N lovastatin Chemical compound C([C@H]1[C@@H](C)C=CC2=C[C@H](C)C[C@@H]([C@H]12)OC(=O)[C@@H](C)CC)C[C@@H]1C[C@@H](O)CC(=O)O1 PCZOHLXUXFIOCF-BXMDZJJMSA-N 0.000 description 1
- QLJODMDSTUBWDW-UHFFFAOYSA-N lovastatin hydroxy acid Natural products C1=CC(C)C(CCC(O)CC(O)CC(O)=O)C2C(OC(=O)C(C)CC)CC(C)C=C21 QLJODMDSTUBWDW-UHFFFAOYSA-N 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 238000004949 mass spectrometry Methods 0.000 description 1
- 229940057917 medium chain triglycerides Drugs 0.000 description 1
- 231100001016 megaloblastic anemia Toxicity 0.000 description 1
- DKWNMCUOEDMMIN-PKOBYXMFSA-N melagatran Chemical compound C1=CC(C(=N)N)=CC=C1CNC(=O)[C@H]1N(C(=O)[C@H](NCC(O)=O)C2CCCCC2)CC1 DKWNMCUOEDMMIN-PKOBYXMFSA-N 0.000 description 1
- 229960002137 melagatran Drugs 0.000 description 1
- 201000001441 melanoma Diseases 0.000 description 1
- 229950008446 melinamide Drugs 0.000 description 1
- BUGYDGFZZOZRHP-UHFFFAOYSA-N memantine Chemical compound C1C(C2)CC3(C)CC1(C)CC2(N)C3 BUGYDGFZZOZRHP-UHFFFAOYSA-N 0.000 description 1
- 229960004640 memantine Drugs 0.000 description 1
- 238000002779 membrane potential assay Methods 0.000 description 1
- 229960003134 mepindolol Drugs 0.000 description 1
- 210000003975 mesenteric artery Anatomy 0.000 description 1
- LMOINURANNBYCM-UHFFFAOYSA-N metaproterenol Chemical compound CC(C)NCC(O)C1=CC(O)=CC(O)=C1 LMOINURANNBYCM-UHFFFAOYSA-N 0.000 description 1
- 208000010658 metastatic prostate carcinoma Diseases 0.000 description 1
- 229960001252 methamphetamine Drugs 0.000 description 1
- MYWUZJCMWCOHBA-VIFPVBQESA-N methamphetamine Chemical compound CN[C@@H](C)CC1=CC=CC=C1 MYWUZJCMWCOHBA-VIFPVBQESA-N 0.000 description 1
- 229920000609 methyl cellulose Polymers 0.000 description 1
- 239000001923 methylcellulose Substances 0.000 description 1
- 235000010981 methylcellulose Nutrition 0.000 description 1
- 229960001344 methylphenidate Drugs 0.000 description 1
- 229960004584 methylprednisolone Drugs 0.000 description 1
- BQIPXWYNLPYNHW-UHFFFAOYSA-N metipranolol Chemical compound CC(C)NCC(O)COC1=CC(C)=C(OC(C)=O)C(C)=C1C BQIPXWYNLPYNHW-UHFFFAOYSA-N 0.000 description 1
- 229960002704 metipranolol Drugs 0.000 description 1
- TTWJBBZEZQICBI-UHFFFAOYSA-N metoclopramide Chemical compound CCN(CC)CCNC(=O)C1=CC(Cl)=C(N)C=C1OC TTWJBBZEZQICBI-UHFFFAOYSA-N 0.000 description 1
- 229960004503 metoclopramide Drugs 0.000 description 1
- AQCHWTWZEMGIFD-UHFFFAOYSA-N metolazone Chemical compound CC1NC2=CC(Cl)=C(S(N)(=O)=O)C=C2C(=O)N1C1=CC=CC=C1C AQCHWTWZEMGIFD-UHFFFAOYSA-N 0.000 description 1
- 229960002817 metolazone Drugs 0.000 description 1
- 229960002237 metoprolol Drugs 0.000 description 1
- IUBSYMUCCVWXPE-UHFFFAOYSA-N metoprolol Chemical compound COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 IUBSYMUCCVWXPE-UHFFFAOYSA-N 0.000 description 1
- 239000004530 micro-emulsion Substances 0.000 description 1
- 235000019813 microcrystalline cellulose Nutrition 0.000 description 1
- 239000008108 microcrystalline cellulose Substances 0.000 description 1
- 229940016286 microcrystalline cellulose Drugs 0.000 description 1
- 150000007522 mineralic acids Chemical class 0.000 description 1
- 229960001785 mirtazapine Drugs 0.000 description 1
- RONZAEMNMFQXRA-UHFFFAOYSA-N mirtazapine Chemical compound C1C2=CC=CN=C2N2CCN(C)CC2C2=CC=CC=C21 RONZAEMNMFQXRA-UHFFFAOYSA-N 0.000 description 1
- KKZJGLLVHKMTCM-UHFFFAOYSA-N mitoxantrone Chemical compound O=C1C2=C(O)C=CC(O)=C2C(=O)C2=C1C(NCCNCCO)=CC=C2NCCNCCO KKZJGLLVHKMTCM-UHFFFAOYSA-N 0.000 description 1
- 229960001156 mitoxantrone Drugs 0.000 description 1
- 208000005907 mitral valve insufficiency Diseases 0.000 description 1
- 208000006887 mitral valve stenosis Diseases 0.000 description 1
- 201000006646 mixed sleep apnea Diseases 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 229960001165 modafinil Drugs 0.000 description 1
- 235000019426 modified starch Nutrition 0.000 description 1
- XLFWDASMENKTKL-UHFFFAOYSA-N molsidomine Chemical compound O1C(N=C([O-])OCC)=C[N+](N2CCOCC2)=N1 XLFWDASMENKTKL-UHFFFAOYSA-N 0.000 description 1
- 229960004027 molsidomine Drugs 0.000 description 1
- 229960001664 mometasone Drugs 0.000 description 1
- QLIIKPVHVRXHRI-CXSFZGCWSA-N mometasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(Cl)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CCl)(O)[C@@]1(C)C[C@@H]2O QLIIKPVHVRXHRI-CXSFZGCWSA-N 0.000 description 1
- 239000012452 mother liquor Substances 0.000 description 1
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 1
- 210000000663 muscle cell Anatomy 0.000 description 1
- 108091008709 muscle spindles Proteins 0.000 description 1
- 230000035772 mutation Effects 0.000 description 1
- 206010028537 myelofibrosis Diseases 0.000 description 1
- 230000002107 myocardial effect Effects 0.000 description 1
- 208000031225 myocardial ischemia Diseases 0.000 description 1
- 125000001280 n-hexyl group Chemical group C(CCCCC)* 0.000 description 1
- 125000000740 n-pentyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- VWPOSFSPZNDTMJ-UCWKZMIHSA-N nadolol Chemical compound C1[C@@H](O)[C@@H](O)CC2=C1C=CC=C2OCC(O)CNC(C)(C)C VWPOSFSPZNDTMJ-UCWKZMIHSA-N 0.000 description 1
- 229960004255 nadolol Drugs 0.000 description 1
- UZHSEJADLWPNLE-GRGSLBFTSA-N naloxone Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(O)C2=C5[C@@]13CCN4CC=C UZHSEJADLWPNLE-GRGSLBFTSA-N 0.000 description 1
- 229960004127 naloxone Drugs 0.000 description 1
- DQCKKXVULJGBQN-XFWGSAIBSA-N naltrexone Chemical compound N1([C@@H]2CC3=CC=C(C=4O[C@@H]5[C@](C3=4)([C@]2(CCC5=O)O)CC1)O)CC1CC1 DQCKKXVULJGBQN-XFWGSAIBSA-N 0.000 description 1
- 229960003086 naltrexone Drugs 0.000 description 1
- 229960005016 naphazoline Drugs 0.000 description 1
- 229940097496 nasal spray Drugs 0.000 description 1
- 229960005027 natalizumab Drugs 0.000 description 1
- 229920005615 natural polymer Polymers 0.000 description 1
- 229960000619 nebivolol Drugs 0.000 description 1
- 125000001971 neopentyl group Chemical group [H]C([*])([H])C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 229960002362 neostigmine Drugs 0.000 description 1
- LULNWZDBKTWDGK-UHFFFAOYSA-M neostigmine bromide Chemical compound [Br-].CN(C)C(=O)OC1=CC=CC([N+](C)(C)C)=C1 LULNWZDBKTWDGK-UHFFFAOYSA-M 0.000 description 1
- 208000021971 neovascular inflammatory vitreoretinopathy Diseases 0.000 description 1
- 201000008383 nephritis Diseases 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 210000000461 neuroepithelial cell Anatomy 0.000 description 1
- 230000001272 neurogenic effect Effects 0.000 description 1
- 208000008795 neuromyelitis optica Diseases 0.000 description 1
- 201000001119 neuropathy Diseases 0.000 description 1
- 230000007823 neuropathy Effects 0.000 description 1
- 230000000324 neuroprotective effect Effects 0.000 description 1
- 229960003512 nicotinic acid Drugs 0.000 description 1
- 235000001968 nicotinic acid Nutrition 0.000 description 1
- 239000011664 nicotinic acid Substances 0.000 description 1
- 239000000181 nicotinic agonist Substances 0.000 description 1
- HYIMSNHJOBLJNT-UHFFFAOYSA-N nifedipine Chemical compound COC(=O)C1=C(C)NC(C)=C(C(=O)OC)C1C1=CC=CC=C1[N+]([O-])=O HYIMSNHJOBLJNT-UHFFFAOYSA-N 0.000 description 1
- 229960001597 nifedipine Drugs 0.000 description 1
- HHZIURLSWUIHRB-UHFFFAOYSA-N nilotinib Chemical compound C1=NC(C)=CN1C1=CC(NC(=O)C=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)=CC(C(F)(F)F)=C1 HHZIURLSWUIHRB-UHFFFAOYSA-N 0.000 description 1
- 229960001346 nilotinib Drugs 0.000 description 1
- XZXHXSATPCNXJR-ZIADKAODSA-N nintedanib Chemical compound O=C1NC2=CC(C(=O)OC)=CC=C2\C1=C(C=1C=CC=CC=1)\NC(C=C1)=CC=C1N(C)C(=O)CN1CCN(C)CC1 XZXHXSATPCNXJR-ZIADKAODSA-N 0.000 description 1
- 229960004378 nintedanib Drugs 0.000 description 1
- 239000002767 noradrenalin uptake inhibitor Substances 0.000 description 1
- 238000000655 nuclear magnetic resonance spectrum Methods 0.000 description 1
- 235000020824 obesity Nutrition 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- OQCDKBAXFALNLD-UHFFFAOYSA-N octadecanoic acid Natural products CCCCCCCC(C)CCCCCCCCC(O)=O OQCDKBAXFALNLD-UHFFFAOYSA-N 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 239000003883 ointment base Substances 0.000 description 1
- 229960000381 omeprazole Drugs 0.000 description 1
- 238000005580 one pot reaction Methods 0.000 description 1
- 208000005963 oophoritis Diseases 0.000 description 1
- 230000003287 optical effect Effects 0.000 description 1
- 229940100688 oral solution Drugs 0.000 description 1
- 229940100692 oral suspension Drugs 0.000 description 1
- 229960002657 orciprenaline Drugs 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 229940082615 organic nitrates used in cardiac disease Drugs 0.000 description 1
- AHLBNYSZXLDEJQ-FWEHEUNISA-N orlistat Chemical compound CCCCCCCCCCC[C@H](OC(=O)[C@H](CC(C)C)NC=O)C[C@@H]1OC(=O)[C@H]1CCCCCC AHLBNYSZXLDEJQ-FWEHEUNISA-N 0.000 description 1
- 229960001243 orlistat Drugs 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 230000002018 overexpression Effects 0.000 description 1
- 229960001609 oxitropium bromide Drugs 0.000 description 1
- LCELQERNWLBPSY-KHSTUMNDSA-M oxitropium bromide Chemical compound [Br-].C1([C@@H](CO)C(=O)O[C@H]2C[C@@H]3[N+]([C@H](C2)[C@@H]2[C@H]3O2)(C)CC)=CC=CC=C1 LCELQERNWLBPSY-KHSTUMNDSA-M 0.000 description 1
- TWNQGVIAIRXVLR-UHFFFAOYSA-N oxo(oxoalumanyloxy)alumane Chemical compound O=[Al]O[Al]=O TWNQGVIAIRXVLR-UHFFFAOYSA-N 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229960001528 oxymetazoline Drugs 0.000 description 1
- LXNAVEXFUKBNMK-UHFFFAOYSA-N palladium(II) acetate Substances [Pd].CC(O)=O.CC(O)=O LXNAVEXFUKBNMK-UHFFFAOYSA-N 0.000 description 1
- YJVFFLUZDVXJQI-UHFFFAOYSA-L palladium(ii) acetate Chemical compound [Pd+2].CC([O-])=O.CC([O-])=O YJVFFLUZDVXJQI-UHFFFAOYSA-L 0.000 description 1
- 210000000496 pancreas Anatomy 0.000 description 1
- 229960005019 pantoprazole Drugs 0.000 description 1
- 229960002296 paroxetine Drugs 0.000 description 1
- 230000001314 paroxysmal effect Effects 0.000 description 1
- 239000006072 paste Substances 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000009054 pathological process Effects 0.000 description 1
- 230000001991 pathophysiological effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 229960000639 pazopanib Drugs 0.000 description 1
- CUIHSIWYWATEQL-UHFFFAOYSA-N pazopanib Chemical compound C1=CC2=C(C)N(C)N=C2C=C1N(C)C(N=1)=CC=NC=1NC1=CC=C(C)C(S(N)(=O)=O)=C1 CUIHSIWYWATEQL-UHFFFAOYSA-N 0.000 description 1
- WVUNYSQLFKLYNI-AATRIKPKSA-N pelitinib Chemical compound C=12C=C(NC(=O)\C=C\CN(C)C)C(OCC)=CC2=NC=C(C#N)C=1NC1=CC=C(F)C(Cl)=C1 WVUNYSQLFKLYNI-AATRIKPKSA-N 0.000 description 1
- 229950006299 pelitinib Drugs 0.000 description 1
- KQXKVJAGOJTNJS-HNNXBMFYSA-N penbutolol Chemical compound CC(C)(C)NC[C@H](O)COC1=CC=CC=C1C1CCCC1 KQXKVJAGOJTNJS-HNNXBMFYSA-N 0.000 description 1
- 229960002035 penbutolol Drugs 0.000 description 1
- 239000003961 penetration enhancing agent Substances 0.000 description 1
- 125000003538 pentan-3-yl group Chemical group [H]C([H])([H])C([H])([H])C([H])(*)C([H])([H])C([H])([H])[H] 0.000 description 1
- 208000008494 pericarditis Diseases 0.000 description 1
- IPVQLZZIHOAWMC-QXKUPLGCSA-N perindopril Chemical compound C1CCC[C@H]2C[C@@H](C(O)=O)N(C(=O)[C@H](C)N[C@@H](CCC)C(=O)OCC)[C@H]21 IPVQLZZIHOAWMC-QXKUPLGCSA-N 0.000 description 1
- 229960002582 perindopril Drugs 0.000 description 1
- 208000033808 peripheral neuropathy Diseases 0.000 description 1
- 230000002572 peristaltic effect Effects 0.000 description 1
- 206010034674 peritonitis Diseases 0.000 description 1
- 108091008725 peroxisome proliferator-activated receptors alpha Proteins 0.000 description 1
- 108091008765 peroxisome proliferator-activated receptors β/δ Proteins 0.000 description 1
- 230000002085 persistent effect Effects 0.000 description 1
- 229940066842 petrolatum Drugs 0.000 description 1
- 235000019271 petrolatum Nutrition 0.000 description 1
- 239000008194 pharmaceutical composition Substances 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 229960003562 phentermine Drugs 0.000 description 1
- 229960001802 phenylephrine Drugs 0.000 description 1
- SONNWYBIRXJNDC-VIFPVBQESA-N phenylephrine Chemical compound CNC[C@H](O)C1=CC=CC(O)=C1 SONNWYBIRXJNDC-VIFPVBQESA-N 0.000 description 1
- 235000021317 phosphate Nutrition 0.000 description 1
- 239000008363 phosphate buffer Substances 0.000 description 1
- 239000002590 phosphodiesterase V inhibitor Substances 0.000 description 1
- 229940067631 phospholipid Drugs 0.000 description 1
- 150000003904 phospholipids Chemical class 0.000 description 1
- 125000005499 phosphonyl group Chemical group 0.000 description 1
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 1
- 229910052698 phosphorus Inorganic materials 0.000 description 1
- 239000011574 phosphorus Substances 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 229960001697 physostigmine Drugs 0.000 description 1
- PIJVFDBKTWXHHD-HIFRSBDPSA-N physostigmine Chemical compound C12=CC(OC(=O)NC)=CC=C2N(C)[C@@H]2[C@@]1(C)CCN2C PIJVFDBKTWXHHD-HIFRSBDPSA-N 0.000 description 1
- 239000006187 pill Substances 0.000 description 1
- 229960005095 pioglitazone Drugs 0.000 description 1
- 229960002797 pitavastatin Drugs 0.000 description 1
- VGYFMXBACGZSIL-MCBHFWOFSA-N pitavastatin Chemical compound OC(=O)C[C@H](O)C[C@H](O)\C=C\C1=C(C2CC2)N=C2C=CC=CC2=C1C1=CC=C(F)C=C1 VGYFMXBACGZSIL-MCBHFWOFSA-N 0.000 description 1
- 210000002826 placenta Anatomy 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 231100000614 poison Toxicity 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229940068918 polyethylene glycol 400 Drugs 0.000 description 1
- 229960005483 polythiazide Drugs 0.000 description 1
- 229920000046 polythiazide Polymers 0.000 description 1
- 229920002689 polyvinyl acetate Polymers 0.000 description 1
- 239000011118 polyvinyl acetate Substances 0.000 description 1
- 150000003109 potassium Chemical class 0.000 description 1
- 229910000028 potassium bicarbonate Inorganic materials 0.000 description 1
- 235000015497 potassium bicarbonate Nutrition 0.000 description 1
- 239000011736 potassium bicarbonate Substances 0.000 description 1
- 102000003788 potassium channel subfamily K member 3 Human genes 0.000 description 1
- 108090000161 potassium channel subfamily K member 3 Proteins 0.000 description 1
- TYJJADVDDVDEDZ-UHFFFAOYSA-M potassium hydrogencarbonate Chemical compound [K+].OC([O-])=O TYJJADVDDVDEDZ-UHFFFAOYSA-M 0.000 description 1
- 229940086066 potassium hydrogencarbonate Drugs 0.000 description 1
- 229910000160 potassium phosphate Inorganic materials 0.000 description 1
- 235000011009 potassium phosphates Nutrition 0.000 description 1
- 229960002965 pravastatin Drugs 0.000 description 1
- TUZYXOIXSAXUGO-PZAWKZKUSA-N pravastatin Chemical compound C1=C[C@H](C)[C@H](CC[C@@H](O)C[C@@H](O)CC(O)=O)[C@H]2[C@@H](OC(=O)[C@@H](C)CC)C[C@H](O)C=C21 TUZYXOIXSAXUGO-PZAWKZKUSA-N 0.000 description 1
- IENZQIKPVFGBNW-UHFFFAOYSA-N prazosin Chemical compound N=1C(N)=C2C=C(OC)C(OC)=CC2=NC=1N(CC1)CCN1C(=O)C1=CC=CO1 IENZQIKPVFGBNW-UHFFFAOYSA-N 0.000 description 1
- 229960001289 prazosin Drugs 0.000 description 1
- 201000011461 pre-eclampsia Diseases 0.000 description 1
- 239000002243 precursor Substances 0.000 description 1
- 201000009104 prediabetes syndrome Diseases 0.000 description 1
- 229960005205 prednisolone Drugs 0.000 description 1
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 1
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 1
- 229960004618 prednisone Drugs 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 1
- 208000037920 primary disease Diseases 0.000 description 1
- 230000000019 pro-fibrinolytic effect Effects 0.000 description 1
- 201000002212 progressive supranuclear palsy Diseases 0.000 description 1
- 230000006785 proliferative vitreoretinopathy Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 230000000069 prophylactic effect Effects 0.000 description 1
- 229960003712 propranolol Drugs 0.000 description 1
- 239000000473 propyl gallate Substances 0.000 description 1
- 235000010388 propyl gallate Nutrition 0.000 description 1
- 229940075579 propyl gallate Drugs 0.000 description 1
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- MCSINKKTEDDPNK-UHFFFAOYSA-N propyl propionate Chemical compound CCCOC(=O)CC MCSINKKTEDDPNK-UHFFFAOYSA-N 0.000 description 1
- 150000003815 prostacyclins Chemical class 0.000 description 1
- 201000007094 prostatitis Diseases 0.000 description 1
- 238000000425 proton nuclear magnetic resonance spectrum Methods 0.000 description 1
- 229940126409 proton pump inhibitor Drugs 0.000 description 1
- 239000000612 proton pump inhibitor Substances 0.000 description 1
- 229960002601 protriptyline Drugs 0.000 description 1
- BWPIARFWQZKAIA-UHFFFAOYSA-N protriptyline Chemical compound C1=CC2=CC=CC=C2C(CCCNC)C2=CC=CC=C21 BWPIARFWQZKAIA-UHFFFAOYSA-N 0.000 description 1
- IENZFHBNCRQMNP-UHFFFAOYSA-N prx-08066 Chemical compound C1=C(C#N)C(F)=CC=C1CN1CCC(NC=2C=3C=C(Cl)SC=3N=CN=2)CC1 IENZFHBNCRQMNP-UHFFFAOYSA-N 0.000 description 1
- 208000005333 pulmonary edema Diseases 0.000 description 1
- 208000005069 pulmonary fibrosis Diseases 0.000 description 1
- 208000009138 pulmonary valve stenosis Diseases 0.000 description 1
- 230000008695 pulmonary vasoconstriction Effects 0.000 description 1
- 208000030390 pulmonic stenosis Diseases 0.000 description 1
- 239000008213 purified water Substances 0.000 description 1
- 229960002290 pyridostigmine Drugs 0.000 description 1
- MIXMJCQRHVAJIO-TZHJZOAOSA-N qk4dys664x Chemical compound O.C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O.C1([C@@H](F)C2)=CC(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2C[C@H]3OC(C)(C)O[C@@]3(C(=O)CO)[C@@]2(C)C[C@@H]1O MIXMJCQRHVAJIO-TZHJZOAOSA-N 0.000 description 1
- 229960001455 quinapril Drugs 0.000 description 1
- JSDRRTOADPPCHY-HSQYWUDLSA-N quinapril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](CC2=CC=CC=C2C1)C(O)=O)CC1=CC=CC=C1 JSDRRTOADPPCHY-HSQYWUDLSA-N 0.000 description 1
- AGMMTXLNIQSRCG-UHFFFAOYSA-N quinethazone Chemical compound NS(=O)(=O)C1=C(Cl)C=C2NC(CC)NC(=O)C2=C1 AGMMTXLNIQSRCG-UHFFFAOYSA-N 0.000 description 1
- 229960000577 quinethazone Drugs 0.000 description 1
- 229960004157 rabeprazole Drugs 0.000 description 1
- YREYEVIYCVEVJK-UHFFFAOYSA-N rabeprazole Chemical compound COCCCOC1=CC=NC(CS(=O)C=2NC3=CC=CC=C3N=2)=C1C YREYEVIYCVEVJK-UHFFFAOYSA-N 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 229960003401 ramipril Drugs 0.000 description 1
- HDACQVRGBOVJII-JBDAPHQKSA-N ramipril Chemical compound C([C@@H](C(=O)OCC)N[C@@H](C)C(=O)N1[C@@H](C[C@@H]2CCC[C@@H]21)C(O)=O)CC1=CC=CC=C1 HDACQVRGBOVJII-JBDAPHQKSA-N 0.000 description 1
- 229960000213 ranolazine Drugs 0.000 description 1
- 210000001609 raphe nuclei Anatomy 0.000 description 1
- CBQGYUDMJHNJBX-RTBURBONSA-N reboxetine Chemical compound CCOC1=CC=CC=C1O[C@H](C=1C=CC=CC=1)[C@@H]1OCCNC1 CBQGYUDMJHNJBX-RTBURBONSA-N 0.000 description 1
- 229960003770 reboxetine Drugs 0.000 description 1
- 239000003087 receptor blocking agent Substances 0.000 description 1
- 238000001953 recrystallisation Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000006722 reduction reaction Methods 0.000 description 1
- 238000006268 reductive amination reaction Methods 0.000 description 1
- 229960004836 regorafenib Drugs 0.000 description 1
- FNHKPVJBJVTLMP-UHFFFAOYSA-N regorafenib Chemical compound C1=NC(C(=O)NC)=CC(OC=2C=C(F)C(NC(=O)NC=3C=C(C(Cl)=CC=3)C(F)(F)F)=CC=2)=C1 FNHKPVJBJVTLMP-UHFFFAOYSA-N 0.000 description 1
- 230000001105 regulatory effect Effects 0.000 description 1
- 206010038464 renal hypertension Diseases 0.000 description 1
- 230000002336 repolarization Effects 0.000 description 1
- 229960002720 reproterol Drugs 0.000 description 1
- WVLAAKXASPCBGT-UHFFFAOYSA-N reproterol Chemical compound C1=2C(=O)N(C)C(=O)N(C)C=2N=CN1CCCNCC(O)C1=CC(O)=CC(O)=C1 WVLAAKXASPCBGT-UHFFFAOYSA-N 0.000 description 1
- 210000003019 respiratory muscle Anatomy 0.000 description 1
- 230000036387 respiratory rate Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 230000036390 resting membrane potential Effects 0.000 description 1
- 108010041788 rho-Associated Kinases Proteins 0.000 description 1
- 102000000568 rho-Associated Kinases Human genes 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 229960000529 riociguat Drugs 0.000 description 1
- WXXSNCNJFUAIDG-UHFFFAOYSA-N riociguat Chemical compound N1=C(N)C(N(C)C(=O)OC)=C(N)N=C1C(C1=CC=CN=C11)=NN1CC1=CC=CC=C1F WXXSNCNJFUAIDG-UHFFFAOYSA-N 0.000 description 1
- 229960001148 rivaroxaban Drugs 0.000 description 1
- KGFYHTZWPPHNLQ-AWEZNQCLSA-N rivaroxaban Chemical compound S1C(Cl)=CC=C1C(=O)NC[C@@H]1OC(=O)N(C=2C=CC(=CC=2)N2C(COCC2)=O)C1 KGFYHTZWPPHNLQ-AWEZNQCLSA-N 0.000 description 1
- 229960004136 rivastigmine Drugs 0.000 description 1
- 229960004586 rosiglitazone Drugs 0.000 description 1
- 229960000672 rosuvastatin Drugs 0.000 description 1
- BPRHUIZQVSMCRT-VEUZHWNKSA-N rosuvastatin Chemical compound CC(C)C1=NC(N(C)S(C)(=O)=O)=NC(C=2C=CC(F)=CC=2)=C1\C=C\[C@@H](O)C[C@@H](O)CC(O)=O BPRHUIZQVSMCRT-VEUZHWNKSA-N 0.000 description 1
- 229950008900 sabeluzole Drugs 0.000 description 1
- 229960004017 salmeterol Drugs 0.000 description 1
- 201000000306 sarcoidosis Diseases 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037390 scarring Effects 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 208000017022 seasonal allergic rhinitis Diseases 0.000 description 1
- 150000003335 secondary amines Chemical class 0.000 description 1
- 229960003841 selexipag Drugs 0.000 description 1
- QXWZQTURMXZVHJ-UHFFFAOYSA-N selexipag Chemical compound C=1C=CC=CC=1C1=NC(N(CCCCOCC(=O)NS(C)(=O)=O)C(C)C)=CN=C1C1=CC=CC=C1 QXWZQTURMXZVHJ-UHFFFAOYSA-N 0.000 description 1
- 229950003647 semaxanib Drugs 0.000 description 1
- WUWDLXZGHZSWQZ-WQLSENKSSA-N semaxanib Chemical compound N1C(C)=CC(C)=C1\C=C/1C2=CC=CC=C2NC\1=O WUWDLXZGHZSWQZ-WQLSENKSSA-N 0.000 description 1
- 230000008313 sensitization Effects 0.000 description 1
- 230000036303 septic shock Effects 0.000 description 1
- 239000003775 serotonin noradrenalin reuptake inhibitor Substances 0.000 description 1
- 229960002073 sertraline Drugs 0.000 description 1
- VGKDLMBJGBXTGI-SJCJKPOMSA-N sertraline Chemical compound C1([C@@H]2CC[C@@H](C3=CC=CC=C32)NC)=CC=C(Cl)C(Cl)=C1 VGKDLMBJGBXTGI-SJCJKPOMSA-N 0.000 description 1
- ZLGIYFNHBLSMPS-ATJNOEHPSA-N shellac Chemical compound OCCCCCC(O)C(O)CCCCCCCC(O)=O.C1C23[C@H](C(O)=O)CCC2[C@](C)(CO)[C@@H]1C(C(O)=O)=C[C@@H]3O ZLGIYFNHBLSMPS-ATJNOEHPSA-N 0.000 description 1
- 239000004208 shellac Substances 0.000 description 1
- 229940113147 shellac Drugs 0.000 description 1
- 235000013874 shellac Nutrition 0.000 description 1
- 206010040560 shock Diseases 0.000 description 1
- 230000035939 shock Effects 0.000 description 1
- UNAANXDKBXWMLN-UHFFFAOYSA-N sibutramine Chemical compound C=1C=C(Cl)C=CC=1C1(C(N(C)C)CC(C)C)CCC1 UNAANXDKBXWMLN-UHFFFAOYSA-N 0.000 description 1
- 229960004425 sibutramine Drugs 0.000 description 1
- 208000007056 sickle cell anemia Diseases 0.000 description 1
- 230000019491 signal transduction Effects 0.000 description 1
- 229960003310 sildenafil Drugs 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 235000012239 silicon dioxide Nutrition 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 229960002855 simvastatin Drugs 0.000 description 1
- RYMZZMVNJRMUDD-HGQWONQESA-N simvastatin Chemical compound C([C@H]1[C@@H](C)C=CC2=C[C@H](C)C[C@@H]([C@H]12)OC(=O)C(C)(C)CC)C[C@@H]1C[C@@H](O)CC(=O)O1 RYMZZMVNJRMUDD-HGQWONQESA-N 0.000 description 1
- 201000000849 skin cancer Diseases 0.000 description 1
- 230000003860 sleep quality Effects 0.000 description 1
- 210000000813 small intestine Anatomy 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 210000002460 smooth muscle Anatomy 0.000 description 1
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- PPASLZSBLFJQEF-RKJRWTFHSA-M sodium ascorbate Substances [Na+].OC[C@@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RKJRWTFHSA-M 0.000 description 1
- 235000010378 sodium ascorbate Nutrition 0.000 description 1
- 229960005055 sodium ascorbate Drugs 0.000 description 1
- WXMKPNITSTVMEF-UHFFFAOYSA-M sodium benzoate Chemical compound [Na+].[O-]C(=O)C1=CC=CC=C1 WXMKPNITSTVMEF-UHFFFAOYSA-M 0.000 description 1
- 239000004299 sodium benzoate Substances 0.000 description 1
- 235000010234 sodium benzoate Nutrition 0.000 description 1
- 229960003885 sodium benzoate Drugs 0.000 description 1
- 239000012279 sodium borohydride Substances 0.000 description 1
- 229910000033 sodium borohydride Inorganic materials 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- BEOOHQFXGBMRKU-UHFFFAOYSA-N sodium cyanoborohydride Chemical compound [Na+].[B-]C#N BEOOHQFXGBMRKU-UHFFFAOYSA-N 0.000 description 1
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 1
- 229940083618 sodium nitroprusside Drugs 0.000 description 1
- 229920003109 sodium starch glycolate Polymers 0.000 description 1
- 229940079832 sodium starch glycolate Drugs 0.000 description 1
- PPASLZSBLFJQEF-RXSVEWSESA-M sodium-L-ascorbate Chemical compound [Na+].OC[C@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RXSVEWSESA-M 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000011877 solvent mixture Substances 0.000 description 1
- 229960003787 sorafenib Drugs 0.000 description 1
- 235000010199 sorbic acid Nutrition 0.000 description 1
- 239000004334 sorbic acid Substances 0.000 description 1
- 229940075582 sorbic acid Drugs 0.000 description 1
- 229960002370 sotalol Drugs 0.000 description 1
- ZBMZVLHSJCTVON-UHFFFAOYSA-N sotalol Chemical compound CC(C)NCC(O)C1=CC=C(NS(C)(=O)=O)C=C1 ZBMZVLHSJCTVON-UHFFFAOYSA-N 0.000 description 1
- 210000003594 spinal ganglia Anatomy 0.000 description 1
- 208000002320 spinal muscular atrophy Diseases 0.000 description 1
- 229960002256 spironolactone Drugs 0.000 description 1
- LXMSZDCAJNLERA-ZHYRCANASA-N spironolactone Chemical compound C([C@@H]1[C@]2(C)CC[C@@H]3[C@@]4(C)CCC(=O)C=C4C[C@H]([C@@H]13)SC(=O)C)C[C@@]21CCC(=O)O1 LXMSZDCAJNLERA-ZHYRCANASA-N 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 239000008117 stearic acid Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 239000003890 substance P antagonist Substances 0.000 description 1
- 235000000346 sugar Nutrition 0.000 description 1
- 150000008163 sugars Chemical class 0.000 description 1
- 150000003460 sulfonic acids Chemical class 0.000 description 1
- 239000011593 sulfur Substances 0.000 description 1
- 125000004434 sulfur atom Chemical group 0.000 description 1
- 229960001796 sunitinib Drugs 0.000 description 1
- WINHZLLDWRZWRT-ATVHPVEESA-N sunitinib Chemical compound CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C WINHZLLDWRZWRT-ATVHPVEESA-N 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 239000002511 suppository base Substances 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000001975 sympathomimetic effect Effects 0.000 description 1
- 229940064707 sympathomimetics Drugs 0.000 description 1
- 206010042772 syncope Diseases 0.000 description 1
- 229920001059 synthetic polymer Polymers 0.000 description 1
- 229940066767 systemic antihistamines phenothiazine derivative Drugs 0.000 description 1
- 229940037128 systemic glucocorticoids Drugs 0.000 description 1
- 229960000835 tadalafil Drugs 0.000 description 1
- IEHKWSGCTWLXFU-IIBYNOLFSA-N tadalafil Chemical compound C1=C2OCOC2=CC([C@@H]2C3=C([C]4C=CC=CC4=N3)C[C@H]3N2C(=O)CN(C3=O)C)=C1 IEHKWSGCTWLXFU-IIBYNOLFSA-N 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 235000012222 talc Nutrition 0.000 description 1
- 229960005187 telmisartan Drugs 0.000 description 1
- 229960000195 terbutaline Drugs 0.000 description 1
- UTNUDOFZCWSZMS-YFHOEESVSA-N teriflunomide Chemical compound C\C(O)=C(/C#N)C(=O)NC1=CC=C(C(F)(F)F)C=C1 UTNUDOFZCWSZMS-YFHOEESVSA-N 0.000 description 1
- 229960000331 teriflunomide Drugs 0.000 description 1
- VPDMXQRQZVDONU-UHFFFAOYSA-N tert-butyl 3-[[2-(4-bromophenyl)imidazo[1,2-a]pyrimidin-3-yl]methyl]-3,8-diazabicyclo[3.2.1]octane-8-carboxylate Chemical compound BrC1=CC=C(C=C1)C=1N=C2N(C=CC=N2)C=1CN1CC2CCC(C1)N2C(=O)OC(C)(C)C VPDMXQRQZVDONU-UHFFFAOYSA-N 0.000 description 1
- 150000003512 tertiary amines Chemical class 0.000 description 1
- 210000001550 testis Anatomy 0.000 description 1
- WHRNULOCNSKMGB-UHFFFAOYSA-N tetrahydrofuran thf Chemical compound C1CCOC1.C1CCOC1 WHRNULOCNSKMGB-UHFFFAOYSA-N 0.000 description 1
- 229960000337 tetryzoline Drugs 0.000 description 1
- WROMPOXWARCANT-UHFFFAOYSA-N tfa trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F.OC(=O)C(F)(F)F WROMPOXWARCANT-UHFFFAOYSA-N 0.000 description 1
- ZRKFYGHZFMAOKI-QMGMOQQFSA-N tgfbeta Chemical compound C([C@H](NC(=O)[C@H](C(C)C)NC(=O)CNC(=O)[C@H](CCC(O)=O)NC(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@H]([C@@H](C)O)NC(=O)[C@H](CC(C)C)NC(=O)CNC(=O)[C@H](C)NC(=O)[C@H](CO)NC(=O)[C@H](CCC(N)=O)NC(=O)[C@@H](NC(=O)[C@H](C)NC(=O)[C@H](C)NC(=O)[C@@H](NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](N)CCSC)C(C)C)[C@@H](C)CC)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](C(C)C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](C)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](C)C(=O)N[C@@H](CC=1C=CC=CC=1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](C)C(=O)N[C@@H](CC(C)C)C(=O)N1[C@@H](CCC1)C(=O)N1[C@@H](CCC1)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CO)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CC(C)C)C(O)=O)C1=CC=C(O)C=C1 ZRKFYGHZFMAOKI-QMGMOQQFSA-N 0.000 description 1
- 229960000278 theophylline Drugs 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
- 239000002562 thickening agent Substances 0.000 description 1
- RTKIYNMVFMVABJ-UHFFFAOYSA-L thimerosal Chemical compound [Na+].CC[Hg]SC1=CC=CC=C1C([O-])=O RTKIYNMVFMVABJ-UHFFFAOYSA-L 0.000 description 1
- 229940033663 thimerosal Drugs 0.000 description 1
- 239000003868 thrombin inhibitor Substances 0.000 description 1
- 229960005001 ticlopidine Drugs 0.000 description 1
- PHWBOXQYWZNQIN-UHFFFAOYSA-N ticlopidine Chemical compound ClC1=CC=CC=C1CN1CC(C=CS2)=C2CC1 PHWBOXQYWZNQIN-UHFFFAOYSA-N 0.000 description 1
- 229960004605 timolol Drugs 0.000 description 1
- 229960000257 tiotropium bromide Drugs 0.000 description 1
- COKMIXFXJJXBQG-NRFANRHFSA-N tirofiban Chemical compound C1=CC(C[C@H](NS(=O)(=O)CCCC)C(O)=O)=CC=C1OCCCCC1CCNCC1 COKMIXFXJJXBQG-NRFANRHFSA-N 0.000 description 1
- 229960003425 tirofiban Drugs 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 239000004408 titanium dioxide Substances 0.000 description 1
- 229960004631 tixocortol Drugs 0.000 description 1
- YWDBSCORAARPPF-VWUMJDOOSA-N tixocortol Chemical compound O=C1CC[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CS)[C@@H]4[C@@H]3CCC2=C1 YWDBSCORAARPPF-VWUMJDOOSA-N 0.000 description 1
- 229960004394 topiramate Drugs 0.000 description 1
- 229960005461 torasemide Drugs 0.000 description 1
- 239000003440 toxic substance Substances 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
- 229960001262 tramazoline Drugs 0.000 description 1
- QQJLHRRUATVHED-UHFFFAOYSA-N tramazoline Chemical compound N1CCN=C1NC1=CC=CC2=C1CCCC2 QQJLHRRUATVHED-UHFFFAOYSA-N 0.000 description 1
- 229960002051 trandolapril Drugs 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 208000009174 transverse myelitis Diseases 0.000 description 1
- 229960003991 trazodone Drugs 0.000 description 1
- PHLBKPHSAVXXEF-UHFFFAOYSA-N trazodone Chemical compound ClC1=CC=CC(N2CCN(CCCN3C(N4C=CC=CC4=N3)=O)CC2)=C1 PHLBKPHSAVXXEF-UHFFFAOYSA-N 0.000 description 1
- 229960005032 treprostinil Drugs 0.000 description 1
- PAJMKGZZBBTTOY-ZFORQUDYSA-N treprostinil Chemical compound C1=CC=C(OCC(O)=O)C2=C1C[C@@H]1[C@@H](CC[C@@H](O)CCCCC)[C@H](O)C[C@@H]1C2 PAJMKGZZBBTTOY-ZFORQUDYSA-N 0.000 description 1
- 229960002622 triacetin Drugs 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- 229960001288 triamterene Drugs 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical class [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- 229960004813 trichlormethiazide Drugs 0.000 description 1
- LMJSLTNSBFUCMU-UHFFFAOYSA-N trichlormethiazide Chemical compound C1=C(Cl)C(S(=O)(=O)N)=CC2=C1NC(C(Cl)Cl)NS2(=O)=O LMJSLTNSBFUCMU-UHFFFAOYSA-N 0.000 description 1
- UBOXGVDOUJQMTN-UHFFFAOYSA-N trichloroethylene Natural products ClCC(Cl)Cl UBOXGVDOUJQMTN-UHFFFAOYSA-N 0.000 description 1
- WLPUWLXVBWGYMZ-UHFFFAOYSA-N tricyclohexylphosphine Chemical compound C1CCCCC1P(C1CCCCC1)C1CCCCC1 WLPUWLXVBWGYMZ-UHFFFAOYSA-N 0.000 description 1
- 239000001069 triethyl citrate Substances 0.000 description 1
- VMYFZRTXGLUXMZ-UHFFFAOYSA-N triethyl citrate Natural products CCOC(=O)C(O)(C(=O)OCC)C(=O)OCC VMYFZRTXGLUXMZ-UHFFFAOYSA-N 0.000 description 1
- 235000013769 triethyl citrate Nutrition 0.000 description 1
- GKASDNZWUGIAMG-UHFFFAOYSA-N triethyl orthoformate Chemical compound CCOC(OCC)OCC GKASDNZWUGIAMG-UHFFFAOYSA-N 0.000 description 1
- 229960001177 trimetazidine Drugs 0.000 description 1
- PYOKUURKVVELLB-UHFFFAOYSA-N trimethyl orthoformate Chemical group COC(OC)OC PYOKUURKVVELLB-UHFFFAOYSA-N 0.000 description 1
- 229960002431 trimipramine Drugs 0.000 description 1
- ZSCDBOWYZJWBIY-UHFFFAOYSA-N trimipramine Chemical compound C1CC2=CC=CC=C2N(CC(CN(C)C)C)C2=CC=CC=C21 ZSCDBOWYZJWBIY-UHFFFAOYSA-N 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 229910052722 tritium Inorganic materials 0.000 description 1
- 229960000281 trometamol Drugs 0.000 description 1
- 229960004799 tryptophan Drugs 0.000 description 1
- 230000004614 tumor growth Effects 0.000 description 1
- 230000000381 tumorigenic effect Effects 0.000 description 1
- 208000035408 type 1 diabetes mellitus 1 Diseases 0.000 description 1
- IYFNEFQTYQPVOC-UHFFFAOYSA-N udenafil Chemical compound C1=C(C=2NC=3C(CCC)=NN(C)C=3C(=O)N=2)C(OCCC)=CC=C1S(=O)(=O)NCCC1CCCN1C IYFNEFQTYQPVOC-UHFFFAOYSA-N 0.000 description 1
- 229960000438 udenafil Drugs 0.000 description 1
- 238000001195 ultra high performance liquid chromatography Methods 0.000 description 1
- 238000000870 ultraviolet spectroscopy Methods 0.000 description 1
- 150000003672 ureas Chemical class 0.000 description 1
- 208000009852 uremia Diseases 0.000 description 1
- 208000000143 urethritis Diseases 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
- 208000014001 urinary system disease Diseases 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
- 210000002700 urine Anatomy 0.000 description 1
- 210000002229 urogenital system Anatomy 0.000 description 1
- 125000005500 uronium group Chemical group 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
- 229960005486 vaccine Drugs 0.000 description 1
- 229960004699 valsartan Drugs 0.000 description 1
- SJSNUMAYCRRIOM-QFIPXVFZSA-N valsartan Chemical compound C1=CC(CN(C(=O)CCCC)[C@@H](C(C)C)C(O)=O)=CC=C1C1=CC=CC=C1C1=NN=N[N]1 SJSNUMAYCRRIOM-QFIPXVFZSA-N 0.000 description 1
- 229960002381 vardenafil Drugs 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 208000001319 vasomotor rhinitis Diseases 0.000 description 1
- 229950000578 vatalanib Drugs 0.000 description 1
- YCOYDOIWSSHVCK-UHFFFAOYSA-N vatalanib Chemical compound C1=CC(Cl)=CC=C1NC(C1=CC=CC=C11)=NN=C1CC1=CC=NC=C1 YCOYDOIWSSHVCK-UHFFFAOYSA-N 0.000 description 1
- 229960004688 venlafaxine Drugs 0.000 description 1
- PNVNVHUZROJLTJ-UHFFFAOYSA-N venlafaxine Chemical compound C1=CC(OC)=CC=C1C(CN(C)C)C1(O)CCCCC1 PNVNVHUZROJLTJ-UHFFFAOYSA-N 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 230000003519 ventilatory effect Effects 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
- 208000003663 ventricular fibrillation Diseases 0.000 description 1
- 206010047302 ventricular tachycardia Diseases 0.000 description 1
- 229960001722 verapamil Drugs 0.000 description 1
- 206010047470 viral myocarditis Diseases 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
- 229940019333 vitamin k antagonists Drugs 0.000 description 1
- 208000010484 vulvovaginitis Diseases 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 239000000080 wetting agent Substances 0.000 description 1
- 239000000230 xanthan gum Substances 0.000 description 1
- 229920001285 xanthan gum Polymers 0.000 description 1
- 235000010493 xanthan gum Nutrition 0.000 description 1
- 229940082509 xanthan gum Drugs 0.000 description 1
- ZXIBCJHYVWYIKI-PZJWPPBQSA-N ximelagatran Chemical compound C1([C@@H](NCC(=O)OCC)C(=O)N2[C@@H](CC2)C(=O)NCC=2C=CC(=CC=2)C(\N)=N\O)CCCCC1 ZXIBCJHYVWYIKI-PZJWPPBQSA-N 0.000 description 1
- 229960001522 ximelagatran Drugs 0.000 description 1
- 239000008096 xylene Substances 0.000 description 1
- 229960000833 xylometazoline Drugs 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D519/00—Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/4995—Pyrazines or piperazines forming part of bridged ring systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/535—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
- A61K31/537—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines spiro-condensed or forming part of bridged ring systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/535—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
- A61K31/5375—1,4-Oxazines, e.g. morpholine
- A61K31/5386—1,4-Oxazines, e.g. morpholine spiro-condensed or forming part of bridged ring systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P11/00—Drugs for disorders of the respiratory system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
- C07D487/04—Ortho-condensed systems
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
- C07D487/08—Bridged systems
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D498/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D498/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms in which the condensed system contains two hetero rings
- C07D498/08—Bridged systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Medicinal Chemistry (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Bioinformatics & Cheminformatics (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pulmonology (AREA)
- Neurosurgery (AREA)
- Biomedical Technology (AREA)
- Neurology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Nitrogen Condensed Heterocyclic Rings (AREA)
- Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
本申请涉及新型二氮杂双环取代的咪唑并[1,2‑a]嘧啶衍生物、其制备方法、其单独或以组合方式用于治疗和/或预防疾病的用途及其用于制备治疗和/或预防疾病,尤其是治疗和/或预防呼吸障碍,包括睡眠相关的呼吸障碍,如阻塞性和中枢性睡眠呼吸暂停和打鼾的药剂的用途。
Description
本申请是题为“二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途”的第201880039548.3号发明专利申请的分案申请。原申请对应国际申请PCT/EP2018/064977,申请日为2018年6月7日,优先权日为2017年6月14日。
技术领域
本申请涉及新型二氮杂双环取代的咪唑并[1,2-a]嘧啶衍生物、其制备方法、其单独或以组合方式用于治疗和/或预防疾病的用途及其用于制备治疗和/或预防疾病,尤其是治疗和/或预防呼吸障碍,包括睡眠相关的呼吸障碍,如阻塞性和中枢性睡眠呼吸暂停和打鼾的药剂的用途。
背景技术
钾通道是参与大量不同的生理过程的几乎无处不在的膜蛋白。这也包括膜电位和神经元和肌细胞的电兴奋性的调节。钾通道分成三大类,其中跨膜结构域的数量不同(2、4或6)。其中两个成孔结构域的两侧是四个跨膜结构域的钾通道类别被称作K2P通道。在功能上,K2P通道以基本与时间和电压无关的方式介导K+背景电流,并且对静息膜电位维持的贡献至关重要。K2P通道家族包括15个成员,它们基于序列、结构和功能的相似性分成6个亚族:TWIK、TREK、TASK、TALK、THIK和TRESK。
特别感兴趣的是TASK(TWIK相关酸敏感K+通道)亚族的TASK-1(KCNK3或K2P3.1)和TASK-3(KCNK9或K2P9.1)。在功能上,这些通道的特征在于,在电压无关性动力学的维持过程中,“泄漏”或“背景”电流流经它们,其中它们通过提高或降低活性而响应许多生理和病理影响。TASK通道的特征是对细胞外pH值变化的灵敏反应:该通道在酸性pH值下被抑制并在碱性pH值下活化。
TASK-1主要在中枢神经系统和心血管系统中表达。在脑、脊神经节、舌下神经和三叉神经的运动神经元、心脏、颈动脉球、肺动脉、主动脉、肺、胰腺、胎盘、子宫、肾、肾上腺、小肠和胃中以及在T淋巴细胞上可以发现TASK-1的相关表达。TASK-3主要在中枢神经系统中表达。在脑、舌下神经和三叉神经的运动神经元和颈动脉球和肺的神经上皮细胞中以及在T淋巴细胞上可以发现TASK-3的相关表达。在心脏、胃、睾丸组织和肾上腺中可发现较少表达。
TASK-1和TASK-3通道在呼吸调节中发挥作用。这两种通道都在脑干中的呼吸中枢的呼吸神经元中,尤其在生成呼吸节律的神经元(具有前包钦格复合体复合体的腹侧呼吸组)中和在去甲肾上腺素能Locus caeruleus中以及在中缝核的5-羟色胺能神经元中表达。由于pH依赖性,TASK通道在此具有将细胞外pH值变化转化成相应的细胞信号的传感器的功能[Bayliss等人,Pflugers Arch.467,917-929(2015)]。TASK-1和TASK-3也表达在颈动脉球(测量血液的pH、O2和CO2含量并将信号传送至脑干中的呼吸中枢以调节呼吸的外周化学感受器)中。已显示,TASK-1敲除小鼠具有降低的对缺氧和常氧高碳酸血症的通气反应(呼吸率和呼气容积提高)[Trapp等人,J.Neurosci.28,8844-8850(2008)]。此外,在舌下神经(在保持上呼吸道通畅中具有重要作用的XII颅神经)的运动神经元中已发现TASK-1和TASK-3通道[Berg等人,J.Neurosci.24,6693-6702(2004)]。
在麻醉猪的睡眠呼吸暂停模型中,在纳摩尔范围内阻滞TASK-1通道的钾通道阻滞剂的鼻内给药导致抑制咽部呼吸道肌肉组织的塌陷,并导致上呼吸道的负压反射的敏感化。推测钾通道阻滞剂的鼻内给药将上呼吸道中的机械感受器去极化,并经由负压反射的活化而导致上呼吸道的肌肉组织的活性增加,由此稳定上呼吸道和防止塌陷。经由上呼吸道的这种稳定化,TASK通道阻滞对阻塞性睡眠呼吸暂停以及打鼾非常重要[Wirth等人,Sleep 36,699-708(2013);Kiper等人,Pflugers Arch.467,1081-1090(2015)]。
阻塞性睡眠呼吸暂停(OSA)是以上呼吸道阻塞的反复发作为特征的睡眠相关的呼吸障碍。当吸气时,通过两个反向力的相互作用而确保上呼吸道的通畅。上呼吸道的肌肉组织的扩张作用对抗使腔收缩的负腔内压力。隔膜和其它呼吸辅助肌的主动收缩在呼吸道中生成负压,因此构成呼吸的驱动力。上呼吸道的稳定性极大取决于上呼吸道的扩张肌的协调和收缩性质。
颏舌肌在阻塞性睡眠呼吸暂停的发病机理中起到决定性作用。在扩张补偿机制的意义上,颏舌肌的活性随咽内压力降低而提高。受舌下神经支配,其驱动舌头向前和向下,由此增宽咽部呼吸道[Verse等人,Somnologie 3,14-20(1999)]。上呼吸道的扩张肌的张拉尤其借助鼻-咽喉-空间中的机械感受器/牵张感受器调节[Bouillette等人,J.Appl.Physiol.Respir.Environ.Exerc.Physiol.46,772-779(1979)]。在睡眠中具有严重睡眠呼吸暂停的患者中,通过上呼吸道的局部麻醉,可以观察到颏舌肌的活性的额外降低[Berry等人,Am.J.Respir.Crit.Care Med.156,127-132(1997)]。阻塞性睡眠呼吸暂停患者由于心血管疾病,如高血压、心肌梗塞和中风而具有高死亡率和发病率[Vrints等人,ActaClin.Belg.68,169-178(2013)]。
在中枢性睡眠呼吸暂停的情况下,由于脑功能受损或呼吸调节受损,出现呼吸驱动力的阵发式抑制。中枢呼吸障碍造成机械呼吸停止,即在这些发作过程中没有呼吸活动;包括隔膜在内的所有呼吸肌暂时静息。在中枢性睡眠呼吸暂停的情况下,没有上呼吸道的阻塞。
在原发性打鼾的情况下,同样没有上呼吸道的阻塞。但是,由于上呼吸道收缩,吸入和呼出的空气的流速提高。这与放松的肌肉组织组合着造成口腔和咽部的软组织在空气流中颤动。这种轻微振动随后产生典型的打鼾噪声。
阻塞性打鼾(上气道阻力综合征、严重打鼾、低通气综合征)由在睡眠过程中上呼吸道的反复部分阻塞造成。这造成提高的呼吸道阻力并因此造成呼吸功提高与胸内压显著波动。在吸气过程中,负胸内压的发展可达到与由于在阻塞性睡眠呼吸暂停过程中的完全呼吸道阻塞而遇到的那些类似的值。对心脏、循环和睡眠质量的病理生理学后果与阻塞性睡眠呼吸暂停相当。如同在阻塞性睡眠呼吸暂停中,推测发病机理是在睡眠时的吸气过程中咽扩张肌的反射机制受损。阻塞性打鼾经常是阻塞性睡眠呼吸暂停的初级阶段[Hollandt等人,HNO 48,628-634(2000)]。
此外,TASK通道也看起来在神经元的细胞凋亡中发挥作用。在髓鞘少突胶质细胞糖蛋白(MOG)诱发的自身免疫性脑脊髓炎的动物模型,多发性硬化的动物模型中,TASK-1敲除小鼠表现出降低的神经元变性。通过防止神经元细胞凋亡,TASK通道的抑制看起来起到神经保护作用,并因此对于治疗神经退行性疾病而言可能是令人感兴趣的[Bittner等人,Brain 132,2501-2516(2009)]。
此外,已经描述了T淋巴细胞表达TASK-1和TASK-3通道,并且这些通道的抑制导致在刺激T淋巴细胞后的细胞因子生成和增殖降低。T淋巴细胞上的TASK通道的选择性抑制改善在多发性硬化的动物模型中的病程。TASK通道的阻滞因此对自身免疫疾病的治疗也是重要的[Meuth等人,J.Biol.Chem.283,14559-14579(2008)]。
TASK-1和TASK-3也在心脏中表达[Rinné等人,J.Mol.Cell.Cardiol.81,71-80(2015)]。由于TASK-1在神经刺激传导系统中和在心房中特别强地表达,这一通道可能在引发神经刺激传导障碍或室上性心律失常中发挥作用。在心脏中,TASK-1看起来对背景电流做贡献,其本身又对静息电位的维持、动作电位时程和复极化做贡献[Kim等人,Am.J.Physiol.277,H1669-1678(1999)]。使用人心肌细胞表明,TASK-1离子电流的阻滞导致动作电位的延长[Limberg等人,Cell.Physiol.Biochem.28,613-624(2011)]。此外,对TASK-1敲除小鼠证实延长的QT时间[Decher等人,Cell.Physiol.Biochem.28,77-86(2011)]。TASK通道的抑制因此对心律失常,特别是心房纤颤的治疗是重要的。
在某些血管中,TASK通道也看起来在血管张力的调节中发挥作用。在肺动脉和肠系膜动脉的平滑肌中可以发现TASK-1的相关表达。在对人肺动脉的平滑肌细胞的研究中表明,TASK-1在肺血管张力的调节中发挥作用。TASK-1可能参与缺氧和酸中毒诱发的肺血管收缩[Tang等人,Am.J.Respir.Cell.Mol.Biol.41,476-483(2009)]。
在肾上腺皮质的球状细胞中,TASK-1在钾电导率中起到作用[Czirjak等人,Mol.Endocrinol.14,863-874(2000)]。
TASK通道也可能在细胞凋亡和肿瘤发生中起到重要作用。在乳腺癌、结肠癌和肺癌活检中以及在转移性前列腺癌中和在黑素瘤细胞中已经发现,极大地过度表达TASK-3[Mu等人,Cancer Cell 3,297-302(2003);Kim等人,APMIS 112,588-594(2004);Pocsai等人,Cell.Mol.Life Sci.63,2364-2376(2006)]。切断通道功能的在TASK-3通道处的点突变同时消除肿瘤形成作用(增殖、肿瘤生长、细胞凋亡抵抗)[Mu等人,Cancer Cell 3,297-302(2003)]。TASK-3和TASK-1在小鼠成纤维细胞系(C8细胞)中的过度表达抑制细胞内凋亡路径[Liu等人,Brain Res.1031,164-173(2005)]。相应地,TASK通道的阻滞对于各种癌症疾病的治疗也是重要的。
因此,本发明的目的是提供充当TASK-1和TASK-3通道的强效和选择性阻滞剂并因此特别适用于治疗和/或预防呼吸障碍,包括睡眠相关的呼吸障碍,如阻塞性和中枢性睡眠呼吸暂停和打鼾以及其它疾病的新型物质。
US 2002/0022624-A1描述了各种氮杂吲哚衍生物,包括咪唑并[1,2-a]吡啶作为用于治疗CNS疾病的物质P拮抗剂。WO 02/02557-A2和WO 2009/143156-A2公开了2-苯基咪唑并[1,2-a]吡啶衍生物,其作为GABAA受体的调节剂同样适用于治疗CNS疾病。WO 2011/113606-A1和WO 2012/143796-A2公开了适用于治疗细菌感染和炎性疾病的双环咪唑衍生物。EP 2 671 582-A1公开了另外的双环咪唑衍生物和它们作为T型钙通道抑制剂的治疗应用可能性。WO 2012/130322-A1描述了2,6-二芳基-3-(哌嗪子基(piperazino)甲基)咪唑并[1,2-a]吡啶衍生物,其由于它们的HIF-1抑制活性而特别适用于治疗炎性和过度增殖疾病。WO 2014/187922-A1公开了各种2-苯基-3-(杂环甲基)咪唑并[1,2-a]吡啶和-咪唑并[1,2-a]吡嗪衍生物,其可用作葡萄糖转运蛋白(GLUT)的抑制剂用于治疗炎性、过度增殖、代谢、神经和/或自身免疫疾病。WO 2015/144605-A1和WO 2017/050732-A1尤其描述了酰化双环胺化合物,其适合作为自毒素和溶血磷脂酸生产的抑制剂用于治疗各种疾病。WO2016/084866-A1、WO 2016/085783-A1和WO 2016/088813-A1公开了酰化二氮杂双环化合物,其由于其对食欲肽(Orexin)受体的拮抗作用,可用于治疗神经退化性、神经性和精神性疾病、精神病症和饮食和睡眠病症,特别是失眠症。
此外,化合物4-[(2-苯基咪唑并[1,2-a]嘧啶-3-基)甲基]哌嗪-1-甲酸乙酯[CAS登记号1783141-19-4]已被化学文摘(Chemical Abstracts)索引为“化学文库”物质而无参考文献;迄今尚未描述该化合物的药物治疗应用。
发明内容
本发明的主题是通式(I)的化合物及其盐、溶剂化物和盐的溶剂化物
其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键,
A代表CH或N,
R1代表卤素、氰基、(C1-C4)-烷基、环丙基或环丁基,
其中(C1-C4)-烷基可以被氟最多三取代且环丙基和环丁基可以被氟最多二取代,
R2代表氢或甲基,
且
R3代表(C4-C6)-环烷基,其中环CH2基团可以被-O-替代,
或
R3代表式(a)的苯基基团、式(b)或(c)的吡啶基基团或式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,且
R4代表氢、氟、氯、溴或甲基,
R5代表氢、氟、氯、溴、氰基、(C1-C3)-烷基或(C1-C3)-烷氧基,
其中(C1-C3)-烷基和(C1-C3)-烷氧基可以各自被氟最多三取代,
R6代表氢、氟、氯、溴或甲基,
R7代表氢、(C1-C3)-烷氧基、环丁基氧基、氧杂环丁烷-3-基氧基、四氢呋喃-3-基氧基、四氢-2H-吡喃-4-基氧基、单-(C1-C3)-烷基氨基、二-(C1-C3)-烷基氨基或(C1-C3)-烷基硫烷基,其中(C1-C3)-烷氧基可以被氟最多三取代,
R8代表氢、氟、氯、溴、(C1-C3)-烷基或(C1-C3)-烷氧基,
R9A和R9B是相同或不同的且彼此独立地代表氢、氟、氯、溴、(C1-C3)-烷基、环丙基或(C1-C3)-烷氧基,
其中(C1-C3)-烷基和(C1-C3)-烷氧基可以各自被氟最多三取代,
且
Y代表O或S,
或
R3代表-OR10或-NR11R12基团,其中
R10代表(C1-C6)-烷基、(C4-C6)-环烷基或[(C3-C6)-环烷基]甲基,
R11代表氢或(C1-C3)-烷基,
且
R12代表(C1-C6)-烷基、(C3-C6)-环烷基、苯基或苄基,
其中(C1-C6)-烷基可以被氟最多三取代,
且
其中苯基和苄基中的苯基基团可以被选自以下的基团相同或不同地最多三取代:氟、氯、甲基、乙基、三氟甲基、甲氧基、乙氧基、三氟甲氧基和(三氟甲基)硫烷基,
或
R11和R12与彼此连接且与它们所键合的氮原子一起形成吡咯烷环、哌啶环、吗啉环或硫代吗啉环。
具体实施方式
如果式(I)包括的在下文中给出的化合物尚未是盐、溶剂化物和盐的溶剂化物,则本发明的化合物是式(I)的化合物及其盐、溶剂化物和盐的溶剂化物、式(I)包括的下文给出的式(I-A)、(I-B)、(I-C)、(I-D)和(I-E)的化合物及其盐、溶剂化物和盐的溶剂化物以及式(I)包括的在下文中作为实施例给出的化合物及其盐、溶剂化物和盐的溶剂化物。
本发明中优选的盐是本发明的化合物的生理可接受盐。还包括本身不适合药物用途但可例如用于本发明的化合物的分离、提纯或储存的盐。
本发明的化合物的生理可接受盐包括无机酸、羧酸和磺酸的酸加成盐,例如盐酸、氢溴酸、硫酸、磷酸、甲磺酸、乙磺酸、苯磺酸、甲苯磺酸、萘二磺酸、甲酸、乙酸、三氟乙酸、丙酸、琥珀酸、富马酸、马来酸、乳酸、酒石酸、苹果酸、柠檬酸、葡糖酸、苯甲酸和扑酸的盐。
溶剂化物在本发明中被描述为以固态或液态通过与溶剂分子配位而形成络合物的本发明的化合物的那些形式。水合物是溶剂化物的一种特定形式,其中与水发生配位。本发明中优选的溶剂化物是水合物。
根据它们的结构,本发明的化合物可以以不同的立体异构形式,即以构型异构体或任选还以构象异构体(对映异构体和/或非对映异构体,包括阻转异构体的情况中的那些)的形式存在。本发明因此包括对映异构体和非对映异构体和它们各自的混合物。可以以已知方式从对映异构体和/或非对映异构体的此类混合物中分离出立体异构一致的成分;为该目的优选采用色谱法,尤其是在手性或非手性分离相上的HPLC色谱法。在手性胺作为中间产物或最终产物的情况下,也可以替代地使用对映异构纯的羧酸经由非对映异构体盐进行分离。
如果本发明的化合物可以以互变异构形式存在,则本发明包含所有互变异构形式。
本发明还包括本发明的化合物的所有合适的同位素变体。本发明的化合物的同位素变体在此被理解为是指本发明的化合物内的至少一个原子已被具有相同原子序数但原子质量不同于自然界中通常或主要存在的原子质量的另一原子替换的化合物。可并入本发明的化合物中的同位素的实例是氢、碳、氮、氧、磷、硫、氟、氯、溴和碘的同位素,如2H(氘)、3H(氚)、13C、14C、15N、17O、18O、32P、33P、33S、34S、35S、36S、18F、36Cl、82Br、123I、124I、129I和131I。本发明的化合物的特定同位素变体,尤其是其中已并入一种或多种放射性同位素的那些,可能有益于例如检查作用机制或体内的活性物质分布;由于可相对容易地制备和检测,用3H或14C同位素标记的化合物尤其适用于此用途。此外,同位素,例如氘的并入可由于该化合物的更大代谢稳定性而带来特定治疗益处,例如体内半衰期的延长或所需活性剂量的降低;本发明的化合物的此类改性因此可能也构成本发明的优选实施方案。可通过本领域技术人员已知的常用方法,例如通过下文进一步描述的方法和实施例中描述的程序、通过使用各自的试剂和/或起始化合物的相应同位素改性,制备本发明的化合物的同位素变体。
本发明另外还包括本发明的化合物的前药。术语“前药”在此是指可能本身在生物学上有活性或无活性但在体内的停留时间中例如通过代谢或水解途径而转化成本发明化合物的化合物。
在本发明中,除非另行规定,取代基和基团具有如下含义:
在本发明中,(C1-C6)-烷基是具有1至6个碳原子的直链或支化烷基基团。实例包括:甲基、乙基、正丙基、异丙基、正丁基、异丁基、仲丁基、叔丁基、正戊基、2-戊基、3-戊基、新戊基、正己基、2-己基和3-己基。
在本发明中,(C1-C4)-烷基是具有1至4个碳原子的直链或支化烷基。实例包括:甲基、乙基、正丙基、异丙基、正丁基、异丁基、仲丁基、叔丁基。
在本发明中,(C1-C3)-烷基是具有1至3个碳原子的直链或支化烷基。实例包括:甲基、乙基、正丙基和异丙基。
(C1-C3)-烷氧基在本发明中是具有1至3个碳原子的直链或支化烷氧基。实例包括:甲氧基、乙氧基、正丙氧基和异丙氧基。
单-(C1-C3)-烷基氨基在本发明中是包含具有1至3个碳原子的直链或支化烷基取代基的氨基基团。实例包括:甲基氨基、乙基氨基、正丙基氨基和异丙基氨基。
二-(C1-C3)-烷基氨基在本发明中是包含各自具有1至3个碳原子的两个相同或不同直链或支化烷基取代基的氨基基团。实例包括:N,N-二甲基氨基、N,N-二乙基氨基、N-乙基-N-甲基氨基、N-甲基-N-正丙基氨基、N-异丙基-N-甲基氨基、N,N-二-正丙基氨基、N-异丙基-N-正丙基氨基和N,N-二异丙基氨基。
(C1-C3)-烷基硫烷基[也称为(C1-C3)-烷基硫基]在本发明中是经由硫原子与分子的其它部分连接的具有1至3个碳原子的直链或支化烷基基团。实例包括:甲基硫烷基、乙基硫烷基、正丙基硫烷基和异丙基硫烷基。
(C3-C6)-环烷基在本发明中是具有3至6个环碳原子的单环饱和环烷基基团。实例包括:环丙基、环丁基、环戊基和环己基。
(C4-C6)-环烷基在本发明中是具有4至6个碳原子的单环饱和环烷基基团。实例包括:环丁基、环戊基和环己基。
卤素在本发明中包括氟、氯、溴和碘。优选的是氟、氯或溴。
在本发明中,对于所有多次出现的基团而言,其含义是彼此独立的。当本发明的化合物中的基团被取代时,除非另行规定,该基团可以被单-或多取代。优选是被一个或被两个相同或不同的取代基取代。特别优选被一个取代基取代。
在本发明中优选的是式(I)的化合物及其盐、溶剂化物和盐的溶剂化物及其盐、溶剂化物和盐的溶剂化物,其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键,
A代表CH,
R1代表氟、氯、溴、甲基、异丙基、叔丁基、环丙基或环丁基,
R2代表氢,
且
R3代表环丁基、环戊基或环己基,
或
R3代表式(a)的苯基基团、式(b)的吡啶基基团或式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,且
R4代表氢、氟或氯,
R5代表氟、氯、氰基、(C1-C3)-烷基、(C1-C3)-烷氧基或三氟甲氧基,
R6代表氢、氟、氯、溴或甲基,
R7代表(C1-C3)-烷氧基、环丁基氧基或(C1-C3)-烷基硫烷基,
其中(C1-C3)-烷氧基可以被氟最多三取代,
R9A和R9B是相同或不同的且彼此独立地代表氢、氯、溴、(C1-C3)-烷基或环丙基,
其中(C1-C3)-烷基可以被氟最多三取代,
且
Y代表O或S。
本发明的一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
A代表CH。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
R1代表氯、溴、异丙基或环丙基。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
R2代表氢。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
R3代表环戊基或环己基。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
R3代表式(a)的苯基基团
其中***标记与相邻羰基基团的键,
R4代表氢、氟或氯,
且
R5代表氟、氯、(C1-C3)-烷基或(C1-C3)-烷氧基。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
R3代表式(b)的吡啶基基团
其中***标记与相邻羰基基团的键,
R6代表氢、氟、氯、溴或甲基,
且
R7代表(C1-C3)-烷氧基、环丁基氧基或(C1-C3)-烷基硫烷基,
其中(C1-C3)-烷氧基可以被氟最多三取代。
本发明的另一个特别实施方案涉及式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中
R3代表式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,
R9A和R9B是相同或不同的且彼此独立地代表氢、氯、溴、(C1-C3)-烷基或环丙基,其中(C1-C3)-烷基可以被氟最多三取代,
且
Y代表O或S。
在本发明中,尤其优选式(I)的化合物及其盐、溶剂化物和盐的溶剂化物,其中环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键,
A代表CH,
R1代表氯、溴、异丙基或环丙基,
R2代表氢,
且
R3代表环戊基或环己基,
或
R3代表式(a)的苯基基团、式(b)的吡啶基基团或式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,且
R4代表氢、氟或氯,
R5代表氟、氯、甲基、异丙基、甲氧基或乙氧基,
R6代表氢、氟、氯、溴或甲基,
R7代表甲氧基、二氟甲氧基、三氟甲氧基、异丙氧基、环丁基氧基或甲基硫烷基,
R9A和R9B是相同或不同的且彼此独立地代表氢、甲基、三氟甲基、乙基、异丙基或环丙基,
且
Y代表O或S。
与所述基团的各自所示的组合无关,所述基团的各组合或优选组合中各自示出的基团定义也任意地被其它组合的基团定义替代。特别优选的是上述优选范围中两个或更多个的组合。
本发明的主题还是用于制备式(I)的本发明化合物的方法,
其中基团R2代表氢,所述方法的特征在于使式(II)的化合物
其中A和R1具有上面给出的含义
在合适还原剂存在的情况下
[A]与式(III)的化合物反应,
其中R3和环Q具有上面给出的含义
以得到式(I-A)的化合物
其中A、R1、R3和环Q具有上面给出的含义
或
[B]与式(IV)的受保护的二氮杂杂双环反应
其中环Q具有上面给出的含义
且
PG代表合适的氨基保护基团,例如叔丁氧基羰基、苄基氧基羰基或(9H-芴-9-基甲氧基)羰基,
以首先得到式(V)的化合物
其中A、PG、R1和环Q具有上面给出的含义,
然后裂解保护基团PG,且然后使所得的式(VI)的化合物
其中A、R1和环Q具有上面给出的含义
根据R3基团的特定含义,
[B-1]与式(VII)的羧酸在(VII)中的羧酸官能团的活化下反应,
其中
R3A代表(C4-C6)-环烷基,其中环CH2基团可以被-O-替换,或者是如上所述的式(a)的苯基基团、式(b)或(c)的吡啶基基团或式(d)、(e)或(f)的唑基团,
或与对应的式(VIII)的酰氯反应,
其中R3A具有上面给出的含义
以得到式(I-B)的化合物
其中A、R1、R3A和环Q具有上面给出的含义
或
[B-2]与式(IX)的氯甲酸酯或氨基甲酰氯反应
其中
R3B代表-OR10或-NR11AR12基团,其中
R10和R12具有上面给出的含义
且
R11A具有上面给出的R11的含义,但不是氢,
以得到式(I-C)的化合物
其中A、R1、R3B和环Q具有上面给出的含义
或
[B-3]与式(X)的异氰酸酯反应
其中R12具有上面给出的含义
以得到式(I-D)的化合物
其中A、R1、R12和环Q具有上面给出的含义
并且,因此获得的式(I-A)、(I-B)、(I-C)和(I-D)的化合物被任选地分离为其对映异构体和/或非对映异构体和/或任选地用适当的(i)溶剂和/或(ii)酸转化为其溶剂化物、盐和/或所述盐的溶剂化物。
对于此类目的,适用于方法步骤[A](II)+(III)→(I-A)和[B](II)+(IV)→(V)[还原胺化]的还原剂是常规的碱金属硼氢化物,如硼氢化钠、氰基硼氢化钠或三乙酰氧基硼氢化钠;优选使用三乙酰氧基硼氢化钠。酸,特别如乙酸和/或脱水剂,例如分子筛或原甲酸三甲酯或原甲酸三乙酯的加入在这些反应中可能是有利的。
适用于这些反应的溶剂尤其是醇,如甲醇、乙醇、正丙醇或异丙醇,醚,如二异丙基醚、甲基叔丁基醚、四氢呋喃、1,4-二氧杂环己烷或1,2-二甲氧基乙烷,极性非质子溶剂,如乙腈或N,N-二甲基甲酰胺(DMF)或这些溶剂的混合物;优选使用四氢呋喃。该反应通常在0℃至+50℃的温度范围内实施。
化合物(IV)中所用的保护基PG可以是常规的氨基保护基,例如叔丁氧基羰基(Boc)、苄氧基羰基(Z)或(9H-芴-9-基甲氧基)羰基(Fmoc);优选使用叔丁氧基羰基(Boc)。方法步骤[B](V)→(VI)中的保护基的裂解通过已知方法实施。例如,通常通过在惰性溶剂,如二乙醚、1,4-二氧杂环己烷、二氯甲烷或乙酸中用强酸,如氯化氢、溴化氢或三氟乙酸处理而裂解叔丁氧基羰基。在苄氧基羰基作为保护基的情况下,这优选通过在合适的钯催化剂,如活性炭载钯存在下氢解而除去。通常借助仲胺碱,如二乙胺或哌啶裂解(9H-芴-9-基甲氧基)羰基[参见例如T.W.Greene和P.G.M.Wuts,Protective Groups in OrganicSynthesis,Wiley,New York,1999;P.J.Kocienski,Protecting Groups,第3版,Thieme,2005]。
某些式(V)的化合物,特别是其中PG是叔丁氧基羰基的那些,同样对TASK-1和/或TASK-3具有显著抑制活性,并就此而言也涵盖在本发明,即式(I)的化合物的含义范围内。
方法步骤[B-1](VI)+(VII)→(I-B)[酰胺形成]通过已知方法借助缩合剂或活化剂进行。合适的这种类型的试剂是例如碳二亚胺,如N,N'-二乙基-、N,N'-二丙基-、N,N'-二异丙基-、N,N'-二环己基碳二亚胺(DCC)或N-(3-二甲基氨基丙基)-N'-乙基碳二亚胺盐酸盐(EDC),光气衍生物,如N,N'-羰基二咪唑(CDI)或氯甲酸异丁酯,1,2-噁唑鎓化合物,如3-硫酸2-乙基-5-苯基-1,2-噁唑鎓或高氯酸2-叔丁基-5-甲基异噁唑鎓,酰氨基化合物,如2-乙氧基-1-乙氧基羰基-1,2-二氢喹啉,α-氯烯胺,如1-氯-N,N,2-三甲基丙-1-烯-1-胺,1,3,5-三嗪衍生物,如氯化4-(4,6-二甲氧基-1,3,5-三嗪-2-基)-4-甲基吗啉鎓,磷化合物,如正丙烷膦酸酐(PPA)、氰基膦酸二乙酯、二苯基磷酰基叠氮(DPPA)、双(2-氧代-3-噁唑烷基)磷酰氯、六氟磷酸苯并三唑-1-基氧基三(二甲基氨基)鏻或六氟磷酸苯并三唑-1-基氧基三(吡咯烷基)鏻(PyBOP),或脲鎓化合物,如四氟硼酸O-(苯并三唑-1-基)-N,N,N',N'-四甲基脲鎓(TBTU)、四氟硼酸O-(1H-6-氯苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(TCTU)、六氟磷酸O-(苯并三唑-1-基)-N,N,N',N'-四甲基脲鎓(HBTU)、六氟磷酸O-(7-氮杂苯并三唑-1-基)-N,N,N',N'-四甲基脲鎓(HATU)或四氟硼酸2-(2-氧代-1-(2H)-吡啶基)-1,1,3,3-四甲基脲鎓(TPTU),任选与其它辅助剂,如1-羟基苯并三唑(HOBt)或N-羟基琥珀酰亚胺(HOSu)以及作为碱的碱金属碳酸盐,例如碳酸钠或碳酸钾,或叔胺碱,如三乙胺、N,N-二异丙基乙基胺、N-甲基吗啉(NMM)、N-甲基哌啶(NMP)、吡啶或4-N,N-二甲基氨基吡啶(DMAP)组合。优选使用的缩合剂或活化剂是与作为碱的N,N-二异丙基乙基胺组合的六氟磷酸O-(7-氮杂苯并三唑-1-基)-N,N,N',N'-四甲基脲鎓(HATU)。
经由羰基氯(VIII)的替代方法[(VI)+(VIII)→(I-B)]通常在碱,如碳酸钠、碳酸钾、三乙胺、N,N-二异丙基乙基胺、N-甲基吗啉(NMM)、N-甲基哌啶(NMP)、吡啶、2,6-二甲基吡啶、4-N,N-二甲基氨基吡啶(DMAP)、1,5-二氮杂双环[4.3.0]壬-5-烯(DBN)或1,8-二氮杂双环[5.4.0]十一-7-烯(DBU)存在下进行;优选使用三乙胺或N,N-二异丙基乙基胺。
适用于这些酰胺形成反应的惰性溶剂是例如醚,如二乙醚、二异丙基醚、甲基叔丁基醚、四氢呋喃、1,4-二氧杂环己烷、1,2-二甲氧基乙烷或双(2-甲氧基乙基)醚,烃,如苯、甲苯、二甲苯、戊烷、己烷或环己烷,卤代烃,如二氯甲烷、三氯甲烷、四氯化碳、1,2-二氯乙烷、三氯乙烯或氯苯,或极性非质子溶剂,如丙酮、甲乙酮、乙酸乙酯、乙腈、丁腈、吡啶、二甲亚砜(DMSO)、N,N-二甲基甲酰胺(DMF)、N,N'-二甲基亚丙基脲(DMPU)或N-甲基吡咯烷酮(NMP);也可以使用此类溶剂的混合物。优选使用二氯甲烷、1,2-二氯乙烷、四氢呋喃、N,N-二甲基甲酰胺或这些溶剂的混合物。该反应通常在-20℃至+60℃,优选0℃至+40℃的温度范围内进行。
方法[B-2](VI)+(IX)→(I-C)[氨基甲酸酯或取代的脲的形成]在溶剂、碱的添加和温度方面在如上文对酰胺形成[B-1](VI)+(VIII)→(I-B)所述的类似反应条件下进行。
反应[B-3](VI)+(X)→(I-D)同样在上列惰性溶剂之一或溶剂混合物中在0℃至+60℃的温度下进行;在这一反应中可任选省略碱的添加。
胺化合物(VI)也可以以盐形式,例如作为盐酸盐或三氟乙酸盐用于方法步骤[B-1](VI)+(VII)或(VIII)→(I-B)、[B-2](VI)+(IX)→(I-C)和[B-3](VI)+(X)→(I-D)。在这样的情况下,在适当增加的量的所用各辅助碱存在下实施该转化。
式(I)的本发明化合物(其中基团R2代表甲基)可以通过如下获得:使已如上所提及的式(II)的醛
其中A和R1具有上面给出的含义
最初与甲基溴化镁反应,以得到式(XI)的仲醇,
其中A和R1具有上面给出的含义,
然后将其借助三苯基膦和四溴化碳转化为式(XII)的对应的溴化物
其中A和R1具有上面给出的含义,
随后与式(IV)的受保护的二氮杂杂双环反应
其中环Q具有上面给出的含义
且
PG代表合适的氨基保护基团,例如叔丁氧基羰基、苄基氧基羰基或(9H-芴-9-基甲氧基)羰基,
以得到式(XIII)的化合物
其中A、PG、R1和环Q具有上面给出的含义,
然后裂解保护基团PG,且然后使所得的式(XIV)的化合物
其中A、R1和环Q具有上面给出的含义
根据基团R3的特定含义根据上述方法[B-1]、[B-2]和[B-3]之一转化为式(I-E)的目标化合物
其中A、R1、R3和环Q具有上面给出的含义
并且,任选地将后者分离为其对映异构体和/或非对映异构体和/或任选地用适当的(i)溶剂和/或(ii)酸转化为其溶剂化物、盐和/或所述盐的溶剂化物。
用甲基溴化镁使醛(II)转化为仲醇(XI)通常在醚溶剂诸如二乙醚、二异丙基醚、甲基叔丁基醚、四氢呋喃或其混合物在-20℃至+40℃的温度范围内进行。后续转化为溴化物(XII)有利地使用三苯基膦和四溴化碳的试剂组合在作为碱的三乙基胺存在的情况下在温和条件下进行(“Appel反应”)。该反应优选地在作为惰性溶剂的二氯甲烷中在-10℃至+30℃的温度范围内进行。对于与二氮杂杂双环(IV)的后续反应,溴化物(XII)优选地不在先前分离,而直接作为粗产物在一锅方法中在溶剂改变的情况下使用。对于此反应(XII)+(IV)→(XIII),使用的溶剂优选地为乙腈,且该反应通常在+20℃至+60℃的温度范围内发生。
方法步骤(XIII)→(XIV)和(XIV)→(I-E)最终与上面针对方法[B](V)→(VI)和[B-1]、[B-2]或[B-3]所述的那些类似地进行。
上述方法可以在常压、升高的压力或减压(例如0.5至5巴)下进行;这些反应通常各自在常压下进行。
如果适宜,本发明的化合物的分离为对应的对映异构体和/或非对映异构体也可以任选地分别在化合物(III)、(IV)、(V)或(VI)和(XI)、(XIII)或(XIV)的阶段就已进行,其然后根据上述方法步骤进一步转化成分离形式。这样的立体异构物的分离可根据本领域技术人员已知的常规方法进行。在本发明中,优选的是使用手性或非手性分离相上的色谱法;在手性胺作为中间产物或最终产物的情况下,也可以替代地借助对映异构纯的羧酸经由非对映异构体盐进行分离。
式(II)的化合物本身可以通过从文献已知的方法通过如下制备:将2-氨基嘧啶(XV)
在碱的影响下与式(XVI)的化合物缩合
其中A和R1具有上面给出的含义
且
X代表合适的离去基团,例如氯、溴或碘,
以得到式(XVII)的咪唑并[1,2-a]嘧啶衍生物
其中A和R1具有上面给出的含义
且然后将其用N,N-二甲基甲酰胺和三氯氧化磷的混合物甲酰化以得到(II)。
缩合反应(XV)+(XVI)→(XVII)通常在醇溶剂,如甲醇、乙醇、正丙醇、异丙醇或正丁醇中,在醚,如二乙醚、二异丙基醚、甲基叔丁基醚、四氢呋喃、1,4-二氧杂环己烷、1,2-二甲氧基乙烷或双(2-甲氧基乙基)醚中,在偶极非质子溶剂,如N,N-二甲基甲酰胺(DMF)、N,N'-二甲基亚丙基脲(DMPU)或N-甲基吡咯烷酮(NMP)或者在水中在+50℃至+150℃的温度下进行;所用溶剂优选是乙醇或水。
适用于这一反应的碱特别是碱金属碳酸氢盐或碱金属碳酸盐,如碳酸氢钠或碳酸氢钾或碳酸锂、碳酸钠、碳酸钾或碳酸铯,碱金属氢氧化物,如氢氧化钠或氢氧化钾,或氧化铝;优选使用碳酸氢钠或氢氧化钠。任选地,该反应也可以在适当地提高反应温度的情况下不添加碱进行。
在Vilsmaier-Haack反应的常规条件下通过用N,N-二甲基甲酰胺和三氯氧化磷的预制混合物(其大过量使用并同时也充当溶剂)处理(XVII)而进行区域选择性甲酰化(XVII)→(II)。该反应通常在0℃至+100℃的温度范围内进行。
式(III)、(IV)、(VII)、(VIII)、(IX)、(X)、(XV)和(XVI)的化合物可商业购得或本身描述在文献中,或它们可由其它商购化合物通过本领域技术人员熟悉的并从文献中已知的方法以简单方式制备。许多详细程序和其它参考文献也可见于实验部分在关于起始化合物和中间体制备的章节中。
可以例如通过下列反应图式举例说明本发明的化合物的制备:
图式1
图式2
本发明的化合物具有有价值的药理性质并可用于预防和治疗人类和动物的疾病。
本发明的化合物是TASK-1和TASK-3通道的强效和选择性阻滞剂,因此适用于治疗和/或预防疾病和病理学过程,特别是由TASK-1和/或TASK-3的活化或由活化的TASK-1和/或TASK-3造成的那些,以及由TASK-1和/或TASK-3造成的损伤以继发方式引发的疾病。
对本发明而言,这特别包括选自呼吸障碍和睡眠相关呼吸障碍,如阻塞性睡眠呼吸暂停(成年人和儿童)、原发性打鼾、阻塞性打鼾(上气道阻力综合征、严重打鼾、低通气综合征)、中枢性睡眠呼吸暂停、混合睡眠呼吸暂停、陈-施呼吸、婴儿原发性睡眠呼吸暂停、新生儿窒息、由于使用药剂或使用其它物质的中枢性睡眠呼吸暂停、肥胖低通气综合征、紊乱中枢呼吸驱动、婴儿猝死、原发性肺泡低通气综合征、术后缺氧和呼吸暂停、肌肉呼吸障碍、长期通气后的呼吸障碍、在高山适应期间的呼吸障碍、伴随缺氧和高碳酸血症的急性和慢性肺病、睡眠相关的非阻塞性肺泡换气不足和先天性中枢性肺泡换气不足综合征的疾病。
本发明的化合物可另外用于治疗和/或预防神经退行性疾病,如痴呆、路易体痴呆、阿尔茨海默氏症、帕金森氏病、亨廷顿氏病、皮克氏病、威尔逊氏病、进行性核上麻痹、皮质基底节变性、滔蛋白病、额颞叶痴呆和染色体17帕金森综合征、多系统萎缩、脊髓小脑共济失调、Kennedy型脊延髓肌萎缩症、弗里德赖希共济失调、齿状核红核-苍白球丘脑下部核萎缩、肌萎缩性脊髓侧索硬化症、原发性脊髓侧索硬化、脊髓性肌萎缩、克雅氏病和克雅氏病的变体、婴儿神经轴索营养不良、伴随脑铁积聚的神经变性、泛素蛋白酶体系统的额颞叶变性和具有神经丝氨酸蛋白酶内含物的家族性脑病。
此外,本发明的化合物可用于治疗和/或预防中枢神经系统(CNS)的神经炎性和神经免疫疾病,例如多发性硬化(播散性脑脊髓炎)、横贯性脊髓炎、视神经脊髓炎、急性播散性脑脊髓炎、视神经炎、脑膜炎、脑炎、脱髓鞘病以及中枢神经系统的炎性血管变化。
此外,本发明的化合物适用于治疗和/或预防癌症疾病,例如皮肤癌、乳腺癌、肺癌、结肠癌和前列腺癌。
本发明的化合物也适用于治疗和/或预防心律失常和心律不齐,例如房性和室性心律失常、传导障碍,如一度至三度房室传导阻滞、室上性快速性心律失常、心房颤动、心房扑动、心室颤动、心室扑动、室性心动过速、尖端扭转型心动过速、房性和室性期前收缩、房室结性期前收缩、病窦综合征、晕厥和房室结折返性心动过速。
本发明的化合物可用于治疗和/或预防的其它心血管疾病是例如心力衰竭、冠心病、稳定和不稳定心绞痛、高血压(血压过高)、肺动脉高压(PAH)和其它形式的肺高压(PH)、肾性高血压、周围和心脏血管疾病、Wolff-Parkinson-White综合征、急性冠状动脉综合征(ACS)、自身免疫性心脏病(心包炎、心内膜炎、心瓣炎、主动脉炎、心肌病)、拳师犬心肌病、动脉瘤、休克,如心源性休克、脓毒性休克和过敏性休克,还有血栓栓塞疾病和缺血,如心肌缺血、心肌梗死、中风、心肌肥厚、短暂性和缺血性发作、先兆子痫、炎性心血管疾病、冠状动脉和外周动脉痉挛、水肿形成,例如肺水肿、脑水肿、肾水肿或由心力衰竭造成的水肿、外周血液循环障碍、再灌注损伤、动脉和静脉血栓形成、微量白蛋白尿、心肌机能不全、内皮功能疾病、微血管和大血管损伤(血管炎),以及预防再狭窄,例如在溶栓疗法、经皮腔内血管成形术(PTA)、经皮腔内冠状动脉成形术(PTCA)、心脏移植和搭桥手术后。
在本发明中,术语“心力衰竭”包括心力衰竭的急性和慢性形式,及其特定或相关的疾病类型,如急性失代偿性心力衰竭、右心衰竭、左心衰竭、全心衰竭、缺血性心肌病、扩张性心肌病、肥厚性心肌病、特发性心肌病、先天性心脏缺损、心脏瓣膜缺损、与心脏瓣膜缺损相关的心力衰竭、二尖瓣狭窄、二尖瓣闭锁不全、主动脉瓣狭窄、主动脉瓣闭锁不全、三尖瓣狭窄、三尖瓣闭锁不全、肺动脉狭窄、肺动脉瓣闭锁不全、联合心脏瓣膜缺损、心肌炎症(心肌炎)、慢性心肌炎、急性心肌炎、病毒性心肌炎、糖尿病心力衰竭、酒精性心肌病、心脏贮积病以及舒张性和收缩性心力衰竭。
本发明的化合物另外可用于治疗和/或预防具有间歇或持续特征的严重程度不同的气喘性疾病(难治性哮喘、支气管哮喘、变应性哮喘、内因性哮喘、外因性哮喘、由药物或粉尘诱发的哮喘)、各种形式的支气管炎(慢性支气管炎、传染性支气管炎、嗜酸粒细胞性支气管炎)、支气管扩张、肺炎、农民肺和相关疾病、咳嗽和寒病(慢性炎性咳嗽、医源性咳嗽)、鼻粘膜炎症(包括药物性鼻炎、血管舒缩性鼻炎和季节性变应性鼻炎,例如枯草热)和息肉。
本发明的化合物也适用于治疗和/或预防肾病,特别是肾机能不全和肾衰竭。在本发明中,术语“肾机能不全”和“肾衰竭”包括其急性和慢性表现以及基础的或相关的肾病,如肾灌注不足、透析中低血压、阻塞性尿路病、肾小球病、肾小球肾炎、急性肾小球肾炎、肾小球硬化症、肾小管间质性疾病、肾病,如原发性和先天性肾病、肾炎、免疫性肾病,如肾移植排斥和免疫复合物诱发的肾病、由毒性物质诱发的肾病、造影剂诱发的肾病、糖尿病和非糖尿病性肾病、肾盂肾炎、肾囊肿、肾硬化、高血压肾硬化和肾病综合征,它们在诊断上的特征例如在于异常降低的肌酐和/或水排泄、异常升高的尿素、氮、钾和/或肌酐的血浓度,肾酶,例如谷氨酰合成酶的活性改变、改变的尿渗透压或尿量、升高的微量白蛋白尿、大量白蛋白尿、肾小球和小动脉病变、肾小管扩张、高磷血症和/或需要透析。本发明还包括本发明的化合物用于治疗和/或预防肾机能不全的后遗症,例如高血压、肺水肿、心力衰竭、尿毒症、贫血、电解质紊乱(例如高钾血症、低钠血症)和骨和碳水化合物代谢紊乱的用途。
此外,本发明的化合物适用于治疗和/或预防泌尿生殖系统的疾病,例如良性前列腺综合征(BPS)、良性前列腺增生(BPH)、良性前列腺增大(BPE)、膀胱出口梗阻(BOO)、下尿路综合征(LUTS)、神经源性膀胱过度活动症(OAB)、失禁,例如混合性尿失禁、急迫性尿失禁、压力性尿失禁或充溢性尿失禁(MUI、UUI、SUI、OUI)、骨盆痛以及勃起功能障碍和女性性功能障碍。
本发明的化合物还适用于治疗和/或预防炎性疾病和自身免疫疾病,例如类风湿性疾病、炎性眼病、慢性阻塞性肺病(COPD)、急性呼吸窘迫综合征(ARDS)、急性肺损伤(ALI)、α-1-抗胰蛋白酶缺乏症(AATD)、肺气肿(例如由香烟烟雾诱发的肺气肿)、囊性纤维化(CF)、败血症(SIRS)、多器官功能衰竭(MODS、MOF)、炎性肾病、慢性肠炎(IBD、克罗恩病、溃疡性结肠炎)、胰腺炎、腹膜炎、膀胱炎、尿道炎、前列腺炎、附睾炎、卵巢炎、输卵管炎和外阴阴道炎,以及用于治疗和/或预防内脏器官,例如肺、心、肾、骨髓,尤其是肝的纤维化疾病、皮肤纤维化和眼部纤维化疾病。在本发明中,术语“纤维化疾病”特别包括如肝纤维化、肝硬化、肺纤维化、心内膜心肌纤维化、肾病、肾小球肾炎、肾间质纤维化、由糖尿病造成的纤维化损伤、骨髓纤维化、腹膜纤维化和类似的纤维化疾病、硬皮病、硬斑病、瘢痕疙瘩、增生性瘢痕、痣、糖尿病视网膜病变、增殖性玻璃体视网膜病变和结缔组织病(例如结节病)之类的疾病。本发明的化合物同样可用于促进伤口愈合、用于控制术后瘢痕形成(例如在青光眼手术后)和在化妆品中用于老化或角质化的皮肤。
此外,本发明的化合物可用于治疗和/或预防动脉硬化、脂质代谢受损和血脂异常(低脂蛋白血症、高甘油三酯血症、高脂血症、混合型高脂血症、高胆固醇血症、无β脂蛋白血症、谷固醇血症)、黄瘤病、丹吉尔病、脂肪过多(多脂)、肥胖(肥大)、代谢疾病(代谢综合征、高血糖、胰岛素依赖性糖尿病、非胰岛素依赖性糖尿病、妊娠糖尿病、高胰岛素血症、胰岛素抵抗、葡萄糖耐受不良和糖尿病后遗症,如视网膜病、肾病和神经病)、贫血,如溶血性贫血,特别是血红蛋白病,如镰状细胞贫血和地中海贫血、巨幼红细胞性贫血、缺铁性贫血、归因于急性失血的贫血、压抑性贫血和再生疾病性贫血,胃肠道和腹部疾病(舌炎、牙龈炎、牙周炎、食管炎、嗜酸细胞性胃肠炎、肥大细胞增多症、克罗恩氏病、结肠炎、直肠炎、肛门瘙痒、腹泻、乳糜泻、肝炎、肝纤维化、肝硬变、胰腺炎和胆囊炎)、中枢神经系统疾病(中风、癫痫、抑郁)、免疫紊乱、甲状腺疾病(甲状腺机能亢进)、皮肤病(牛皮癣、痤疮、湿疹、神经性皮炎、各种形式的皮炎、角膜炎、大疱病、血管炎、蜂窝组织炎、脂膜炎、红斑狼疮、红斑、淋巴瘤、皮肤癌、Sweet综合征、Weber-Christian综合征、瘢痕形成、疣形成、冻疮)、炎性眼病(肉样瘤病、睑炎、结膜炎、虹膜炎、葡萄膜炎、脉络膜炎、眼炎)、病毒性疾病(由流感病毒、腺病毒和冠状病毒造成,例如HPV、HCMV、HIV、SARS)、骨骼、关节和骨骼肌的疾病、炎性动脉病变(各种形式的动脉炎,例如动脉内膜炎、动脉中层炎、动脉周围炎、全身动脉炎、风湿性动脉炎、变形性动脉炎、颞肌动脉炎、颅动脉炎、巨细胞性动脉炎和肉芽肿性动脉炎以及Horton综合征、Churg-Strauss综合征和高安氏动脉炎)、Muckle-Well综合征、菊池病、多软骨炎、硬皮病以及其它具有炎性或免疫组成的疾病,例如白内障、恶病质、骨质疏松、痛风、失禁、麻风、Sezary综合征和副肿瘤综合征、用于器官移植后的排斥反应和用于伤口愈合和血管生成,特别是在慢性创伤的情况下。
由于它们的性质状况,本发明的化合物优选适用于治疗和/或预防呼吸障碍,特别是睡眠相关的呼吸障碍,如阻塞性和中枢性睡眠呼吸暂停,以及原发性和阻塞性打鼾,用于治疗和/或预防心律失常和心律不齐以及用于治疗和/或预防神经退行性、神经炎性和神经免疫疾病。
人类中的上述良好表征的疾病也可以以类似的病因学出现在其它哺乳动物中,并在其中同样可用本发明的化合物治疗。
在本发明中,术语“治疗”包括抑制、延迟、阻止、缓解、减弱、限制、降低、遏止、击退或治愈疾病、病症、障碍、损伤或健康问题、或此类状态和/或此类状态的症状的发展、过程或进行。术语“疗法”在此被理解为与术语“治疗”同义。
术语“防止”、“预防”或“预防措施”在本发明中同义使用并且是指避免或降低感染、发生、受困于或患上疾病、病症、障碍、损伤或健康问题或此类状态和/或此类状态的症状的发展或进行的风险。
疾病、病症、障碍、损伤或健康问题的治疗或预防可以是部分或完全的。
因此,本发明的主题还是本发明的化合物用于治疗和/或预防疾病,尤其是上述疾病的用途。
本发明的主题还是本发明的化合物用于制造治疗和/或预防疾病,尤其是上述疾病的药剂的用途。
本发明的主题还是用于治疗和/或预防疾病,尤其是上述疾病的包含至少一种本发明的化合物的药剂。
本发明的主题还是本发明的化合物在治疗和/或预防疾病,尤其是上述疾病的方法中的用途。
本发明的主题还是使用有效量的至少一种本发明的化合物治疗和/或预防疾病,尤其是上述疾病的方法。
本发明的化合物可以单独使用或在需要时与一种或多种其它药理活性物质组合着使用,只要这种组合不会造成不合意和不可接受的副作用。因此本发明的主题还是包含至少一种本发明的化合物和一种或多种附加活性物质的药剂,其尤其用于治疗和/或预防上述疾病。适合此用途的组合活性物质的优选实例包括:
·呼吸兴奋剂,例如和优选茶碱、多沙普仑、尼可刹米或咖啡因;
·精神兴奋化合物,例如和优选莫达非尼或阿莫达非尼;
·苯丙胺和苯丙胺衍生物,例如和优选苯丙胺、甲基苯丙胺或哌甲酯;
·羟色胺再摄取抑制剂,例如和优选氟西汀、帕罗西汀、西酞普兰、依他普仑、舍曲林、氟伏沙明或曲唑酮;
·羟色胺前体,例如和优选L-色氨酸;
·选择性羟色胺去甲肾上腺素再摄取抑制剂,例如和优选文拉法辛或度洛西汀;
·去甲肾上腺素能和特异性羟色胺能的抗抑郁药,例如和优选米氮平;
·选择性去甲肾上腺素再摄取抑制剂,例如和优选瑞波西汀;
·三环抗抑郁药,例如和优选阿米替林、普罗替林、多塞平、三甲丙咪嗪、丙咪嗪、氯米帕明或地昔帕明;
·α2-肾上腺素能激动剂,例如和优选可乐定;
·GABA激动剂,例如和优选巴氯芬;
·α拟交感神经药,例如和优选赛洛唑啉、羟甲唑啉、苯肾上腺素、萘甲唑啉、四氢唑啉或曲马唑啉;
·糖皮质激素,例如和优选氟替卡松、布地奈德、倍氯米松、莫米松、替可的松或去炎松;
·大麻素受体激动剂;
·碳酸酐酶(Carboanhydrase)抑制剂,例如和优选乙酰唑胺、醋甲唑胺或双氯非那胺;
·阿片-和苯二氮受体拮抗剂,例如和优选氟马西尼、纳洛酮或纳曲酮;
·胆碱酯酶抑制剂,例如和优选新斯的明、吡啶斯的明、毒扁豆碱、多奈哌齐、加兰他敏或卡巴拉汀;
·N-甲基-D-天冬氨酸酯和谷氨酸酯拮抗剂,例如和优选金刚烷胺、美金刚或沙贝鲁唑;
·烟碱受体激动剂;
·白三烯受体拮抗剂,例如和优选孟鲁司特或Tripelukast;
·多巴胺受体拮抗剂,例如和优选Dromperidon、甲氧氯普胺或苯甲酰胺-、丁酰苯-或吩噻嗪-衍生物;
·食欲抑制剂,例如和优选西布曲明、托吡酯、芬特明、脂肪酶抑制剂或大麻素受体拮抗剂;
·质子泵抑制剂,例如和优选泮托拉唑、奥美拉唑、埃索美拉唑、兰索拉唑或雷贝拉唑;
·有机硝酸酯和NO供体,例如硝普钠、硝酸甘油、单硝酸异山梨酯、硝酸异山梨酯、吗多明或SIN-1以及吸入性NO;
·抑制环单磷酸鸟苷(cGMP)和/或环单磷酸腺苷(cAMP)降解的化合物,例如磷酸二酯酶(PDE)1、2、3、4和/或5的抑制剂,尤其是PDE 5抑制剂,如西地那非、伐地那非、他达拉非、乌地那非、达生他非、阿伐那非、米罗那非或Lodenafil;
·NO-和血红素-独立性的可溶性鸟苷酸环化酶(sGC)活化剂,特别例如WO 01/19355、WO 01/19776、WO 01/19778、WO 01/19780、WO 02/070462和WO 02/070510中描述的化合物;
·NO-独立性但血红素依赖性的可溶性鸟苷酸环化酶(sGC)刺激剂,特别例如利奥西呱、Vericiguat,和WO 00/06568、WO 00/06569、WO 02/42301、WO 03/095451、WO 2011/147809、WO 2012/004258、WO 2012/028647和WO 2012/059549中描述的化合物;
·前列环素类似物和IP受体激动剂,例如和优选伊洛前列素、贝前列素、曲前列环素、依前列醇或Selexipag;
·内皮素受体拮抗剂,例如和优选波生坦、达卢生坦、安倍生坦或西他生坦;
·抑制人中性粒细胞弹性蛋白酶(HNE)的化合物,例如和优选西维来司他或DX-890(Reltran);
·抑制细胞外基质的降解和改变的化合物,例如和优选基质金属蛋白酶(MMPs)的抑制剂,尤其是基质溶素、胶原酶、明胶酶和聚蛋白多糖酶(在此特别是MMP-1、MMP-3、MMP-8、MMP-9、MMP-10、MMP-11和MMP-13)和金属弹性蛋白酶(MMP-12)的抑制剂;
·阻断5-羟色胺结合到其受体上的化合物,例如和优选5-HT2B受体的拮抗剂,如PRX-08066;
·生长因子、细胞因子和趋化因子的拮抗剂,例如和优选TGF-β、CTGF、IL-1、IL-4、IL-5、IL-6、IL-8、IL-13和整合素的拮抗剂;
·Rho激酶抑制化合物,例如和优选法舒地尔、Y-27632、SLx-2119、BF-66851、BF-66852、BF-66853、KI-23095或BA-1049;
·影响心脏能量代谢的化合物,例如和优选依托莫司、二氯乙酸盐、雷诺嗪或曲美他嗪;
·抑制信号转导级联的化合物,例如和优选选自激酶抑制剂,特别选自酪氨酸激酶和/或丝氨酸/苏氨酸激酶抑制剂,例如和优选尼达尼布、达沙替尼、尼洛替尼、博舒替尼、瑞格非尼、索拉非尼、舒尼替尼、西地尼布、阿西替尼、替拉替尼、伊马替尼、布立尼布、帕唑帕尼、瓦他拉尼、吉非替尼、埃罗替尼、拉帕替尼、卡奈替尼、来他替尼、培利替尼、Semaxanib或坦度替尼;
·例如用于治疗慢性阻塞性肺病(COPD)或支气管哮喘的抗阻塞剂,例如和优选选自吸入或全身给药的β-肾上腺素能受体激动剂(β-模拟物)和吸入给药的抗毒蕈碱物质;
·抗炎、免疫调节、免疫抑制和/或细胞毒性剂,例如和优选选自全身或吸入给药的皮质类固醇以及富马酸二甲酯、芬戈莫德、醋酸格拉替雷、β-干扰素、那他珠单抗、特立氟胺、米托蒽醌、免疫球蛋白、乙酰基半胱氨酸、孟鲁司特、Tripelukast、硫唑嘌呤、环磷酰胺、羟基脲、阿奇霉素、干扰素-γ、吡非尼酮或依那西普;
·抗纤维化剂,例如和优选溶血磷脂酸受体1(LPA-1)拮抗剂、CTGF抑制剂、IL-4拮抗剂、IL-13拮抗剂、TGF-β拮抗剂或吡非尼酮;
·抗血栓形成剂,例如和优选选自血小板聚集抑制剂、抗凝血剂和促溶纤(profibrinolytisch)物质;
·降血压活性物质,例如和优选选自钙拮抗剂、血管紧张素AII拮抗剂、ACE抑制剂、血管肽酶抑制剂、内皮素拮抗剂、肾素抑制剂、α受体阻滞剂、β受体阻滞剂、盐皮质激素受体拮抗剂和利尿剂;和/或
·改变脂肪代谢的活性物质,例如和优选选自甲状腺受体激动剂、胆固醇合成抑制剂,例如和优选HMG-CoA还原酶抑制剂或角鲨烯合成抑制剂、ACAT抑制剂、CETP抑制剂、MTP抑制剂、PPAR-α、PPAR-γ和/或PPAR-δ激动剂、胆固醇吸收抑制剂、脂肪酶抑制剂、聚合胆汁酸吸附剂、胆汁酸再吸收抑制剂和脂蛋白(a)拮抗剂。
在本发明的一个优选实施方案中,本发明的化合物与β-肾上腺素能受体激动剂,例如和优选舒喘灵、异丙肾上腺素、奥西那林、特布他林、非诺特罗、福莫特罗、瑞普特罗、沙丁胺醇或沙美特罗联合给药。
在本发明的一个优选实施方案中,本发明的化合物与抗毒蕈碱物质,例如和优选异丙托溴铵、噻托溴铵或氧托溴铵联合给药。
在本发明的一个优选实施方案中,本发明的化合物与皮质类固醇,例如和优选强的松、泼尼松龙、甲基泼尼松龙、去炎松、地塞米松、倍他米松、倍氯米松、氟尼缩松、布地奈德或氟替卡松联合给药。
抗血栓形成剂优选被理解为是指选自血小板聚集抑制剂、抗凝血剂和促纤溶物质的化合物。
在本发明的一个优选实施方案中,本发明的化合物与血小板聚集抑制剂,例如和优选阿司匹林、氯吡格雷、噻氯匹定或双嘧达莫联合给药。
在本发明的一个优选实施方案中,本发明的化合物与凝血酶抑制剂,例如和优选希美加群、美拉加群、达比加群、比伐卢定或克赛联合给药。
在本发明的一个优选实施方案中,本发明的化合物与GPIIb/IIIa拮抗剂,例如和优选替罗非班或阿昔单抗联合给药。
在本发明的一个优选实施方案中,本发明的化合物与因子Xa抑制剂,例如和优选利伐沙班、阿哌沙班、Fidexaban、雷扎沙班、磺达肝癸钠、艾卓肝素、DU-176b、PMD-3112、YM-150、KFA-1982、EMD-503982、MCM-17、MLN-1021、DX 9065a、DPC 906、JTV 803、SSR-126512或SSR-128428联合给药。
在本发明的一个优选实施方案中,本发明的化合物与肝素或与低分子量(LMW)肝素衍生物联合给药。
在本发明的一个优选实施方案中,本发明的化合物与维生素K拮抗剂,例如和优选香豆素联合给药。
降血压剂优选被理解为是指选自钙拮抗剂、血管紧张素AII拮抗剂、ACE抑制剂、内皮素拮抗剂、肾素抑制剂、α受体阻滞剂、β受体阻滞剂、盐皮质激素受体拮抗剂和利尿剂的化合物。
在本发明的一个优选实施方案中,本发明的化合物与钙拮抗剂,例如和优选硝苯地平、氨氯地平、维拉帕米或地尔硫卓联合给药。
在本发明的一个优选实施方案中,本发明的化合物与α-1受体阻滞剂,例如和优选哌唑嗪联合给药。
在本发明的一个优选实施方案中,本发明的化合物与β受体阻滞剂、例如和优选普萘洛尔、阿替洛尔、噻吗洛尔、吲哚洛尔、阿普洛尔、氧烯洛尔、喷布洛尔、布拉洛尔、美替洛尔、纳多洛尔、甲吲洛尔、卡拉洛尔、索他洛尔、美托洛尔、倍他洛尔、塞利洛尔、比索洛尔、卡替洛尔、艾司洛尔、拉贝洛尔、卡维地洛、阿达洛尔、兰替洛尔、奈必洛尔、依泮洛尔或布新洛尔联合给药。
在本发明的一个优选实施方案中,本发明的化合物与血管紧张素AII拮抗剂,例如和优选氯沙坦、坎地沙坦、缬沙坦、替米沙坦或恩布沙坦联合给药。
在本发明的一个优选实施方案中,本发明的化合物与ACE抑制剂,例如和优选依那普利、卡托普利、赖诺普利、雷米普利、地拉普利、福辛普利、奎诺普利、培哚普利或群多普利联合给药。
在本发明的一个优选实施方案中,本发明的化合物与内皮素拮抗剂,例如和优选波生坦、达卢生坦、安倍生坦或西他生坦联合给药。
在本发明的一个优选实施方案中,本发明的化合物与肾素抑制剂,例如和优选阿利吉仑、SPP-600或SPP-800联合给药。
在本发明的一个优选实施方案中,本发明的化合物与盐皮质激素受体拮抗剂,例如和优选安体舒通、依普利酮或Finerenon联合给药。
在本发明的一个优选实施方案中,本发明的化合物与利尿剂,例如和优选速尿、布美他尼、托拉塞米、苄氟噻嗪、氯噻嗪、氢氯噻嗪、氢氟噻嗪、甲氯噻嗪、泊利噻嗪、三氯甲噻嗪、氯噻酮、吲达帕胺、美托拉宗、喹乙宗、乙酰唑胺、二氯磺胺、醋甲唑胺、甘油、异山梨醇、甘露醇、阿米洛利或氨苯蝶啶联合给药。
脂肪代谢调节剂优选被理解为是指选自CETP抑制剂、甲状腺受体激动剂、胆固醇合成抑制剂,如HMG-CoA还原酶抑制剂或角鲨烯合成抑制剂,ACAT抑制剂、MTP抑制剂、PPAR-α、PPAR-γ和/或PPAR-δ激动剂、胆固醇吸收抑制剂、聚合胆汁酸吸附剂、胆汁酸再吸收抑制剂、脂肪酶抑制剂和脂蛋白(a)拮抗剂的化合物。
在本发明的一个优选实施方案中,本发明的化合物与CETP抑制剂,例如和优选托彻普(CP-529 414)、JJT-705或CETP疫苗(Avant)联合给药。
在本发明的一个优选实施方案中,本发明的化合物与甲状腺受体激动剂,例如和优选D-甲状腺素、3,5,3'-三碘甲腺原氨酸(T3)、CGS 23425或阿昔替罗(CGS 26214)联合给药。
在本发明的一个优选实施方案中,本发明的化合物与选自他汀类的HMG-CoA还原酶抑制剂,例如和优选洛伐他汀、辛伐他汀、普伐他汀、氟伐他汀、阿托伐他汀、瑞舒伐他汀或匹伐他汀联合给药。
在本发明的一个优选实施方案中,本发明的化合物与角鲨烯合成抑制剂,例如和优选BMS-188494或TAK-475联合给药。
在本发明的一个优选实施方案中,本发明的化合物与ACAT抑制剂,例如和优选阿伐麦布、甲亚油酰胺、帕替麦布、依鲁麦布或SMP-797联合给药。
在本发明的一个优选实施方案中,本发明的化合物与MTP抑制剂,例如和优选Implitapid、BMS-201038、R-103757或JTT-130联合给药。
在本发明的一个优选实施方案中,本发明的化合物与PPAR-γ激动剂,例如和优选吡格列酮或罗格列酮联合给药。
在本发明的一个优选实施方案中,本发明的化合物与PPAR-δ激动剂,例如和优选GW 501516或BAY 68-5042联合给药。
在本发明的一个优选实施方案中,本发明的化合物与胆固醇吸收抑制剂,例如和优选依泽替米贝、替奎安或帕马苷联合给药。
在本发明的一个优选实施方案中,本发明的化合物与脂肪酶抑制剂,例如和优选奥利司他联合给药。
在本发明的一个优选实施方案中,本发明的化合物与聚合胆汁酸吸附剂,例如和优选消胆胺、考来替泊、Colesolvam、考来胶或Colestimid联合给药。
在本发明的一个优选实施方案中,本发明的化合物与胆汁酸再吸收抑制剂,例如和优选ASBT(=IBAT)抑制剂,例如AZD-7806、S-8921、AK-105、BARI-1741、SC-435或SC-635联合给药。
在本发明的一个优选实施方案中,本发明的化合物与脂蛋白(a)拮抗剂,例如和优选Gemcabene钙(CI-1027)或烟酸联合给药。
特别优选的是本发明的化合物与选自呼吸兴奋剂、精神兴奋药、羟色胺再摄取抑制剂、去甲肾上腺素能、羟色胺能和三环抗抑郁药、sGC刺激剂、盐皮质激素受体拮抗剂、抗炎药、免疫调节剂、免疫抑制剂和细胞毒素药的一种或多种附加活性物质的组合。
如果需要,本发明的物质也可以与一种或多种医疗技术设备或辅助设备联合使用,只要这不造成不想要和不可接受的副作用。可考虑用于这样的联合应用的医疗设备和辅助设备是例如和优选:
·用于呼吸道正压通气的设备,例如和优选CPAP(连续气道正压通气)设备、BiPAP(双相气道正压通气)设备和IPPV(间歇正压通气)设备;
·舌下神经的神经刺激器;
·口内辅助设备,例如和优选凸出支具(Protrusionsspangen);
·鼻用一次性阀;
·鼻支撑器。
本发明的主题还是包含至少一种本发明的化合物与通常一种或多种惰性、无毒、药用合适的赋形剂的药剂,及其用于上述目的的用途。
本发明的化合物可以全身和/或局部作用。为此,它们可以以合适方式给药,例如通过口服、肠道外、肺、肺内(吸入)、鼻、鼻内、咽部、舌、舌下、口腔、直肠、皮肤、透皮、结膜、经耳或作为植入物或支架。
本发明的化合物可以以适合这些给药途径的给药形式给药。
适合口服给药的给药形式是根据现有技术工作并快速和/或以调控方式释放本发明的化合物并含有结晶和/或非晶和/或溶解形式的本发明的化合物的那些,例如片剂(未包衣或包衣片剂,其例如带有控制本发明的化合物的释放的抗胃液或延迟溶出或不可溶的包衣)、在口腔中快速崩解的片剂或薄膜剂/圆片、薄膜剂/冻干产物、胶囊(例如硬或软明胶胶囊)、糖衣丸、颗粒剂、丸剂、粉剂、乳剂、混悬剂、气雾剂或溶液剂。
肠道外给药可以避开再吸收步骤(例如静脉内、动脉内、心脏内、脊柱内或腰内)或包括再吸收(例如吸入、肌肉内、皮下、皮内、经皮或腹膜内)进行。适合肠道外给药的给药形式尤其包括溶液剂、混悬剂、乳剂、冻干产物或无菌粉末形式的注射和输液制剂。
适合其它给药途径的是例如吸入剂型(包括粉末吸入器、喷雾器、计量气雾剂)、滴鼻剂、鼻用溶液剂或喷雾剂、咽喉喷剂、舌、舌下或口腔给药的片剂、薄膜剂/圆片或胶囊、栓剂、滴眼剂、眼药膏或洗眼剂、眼插入剂、洗耳剂、耳用喷雾剂、粉剂、洗剂或棉球、阴道胶囊、水混悬剂(洗剂、振荡混合物)、亲脂混悬剂、乳剂、微乳剂、软膏剂、乳膏剂、透皮治疗系统(例如贴剂)、乳剂、糊剂、泡沫剂、扑粉剂、植入物或支架。
优选的是口服、静脉内、鼻内和咽部给药。
在一个实施方案中,通过鼻内途径给药。在一个实施方案中,借助滴鼻剂或鼻腔喷雾剂实施鼻内给药。在一个实施方案中,借助鼻腔喷雾剂实施鼻内给药。
本发明的化合物可转化成所提到的给药形式。这可以以本身已知的方式通过与惰性、无毒、药用合适的赋形剂混合而实现。这些赋形剂包括
·软膏基质(例如凡士林、石蜡、甘油三酯、蜡、羊毛蜡、羊毛蜡醇、羊毛脂、亲水性软膏、聚乙二醇),
·栓剂基质(例如聚乙二醇、可可脂、硬脂肪),
·溶剂(例如水、乙醇、异丙醇、甘油、丙二醇、中链甘油三酯、脂肪油、液体聚乙二醇、石蜡),
·表面活性剂、乳化剂、分散剂或润湿剂(例如十二烷基硫酸钠、卵磷脂、磷脂、脂肪醇例如失水山梨糖醇脂肪酸酯例如聚氧乙烯失水山梨糖醇脂肪酸酯例如聚氧乙烯脂肪酸甘油酯例如聚氧乙烯脂肪酸酯、聚氧乙烯脂肪醇醚、甘油脂肪酸酯、泊洛沙姆例如),
·缓冲物质,以及酸和碱(例如磷酸盐、碳酸盐、柠檬酸、乙酸、盐酸、氢氧化钠、碳酸铵、氨丁三醇、三乙醇胺),
·等渗剂(例如葡萄糖、氯化钠),
·吸附剂(例如细分散二氧化硅),
·涂覆剂(例如糖、虫胶)和用于快速或改性溶解的薄膜或扩散膜的成膜剂(例如聚乙烯吡咯烷酮例如聚乙烯醇、乙基纤维素、羟基丙基纤维素、羟丙基甲基纤维素、羟丙基甲基纤维素邻苯二甲酸酯、乙酸纤维素、乙酸邻苯二甲酸纤维素、聚丙烯酸酯、聚甲基丙烯酸酯例如),
·胶囊材料(例如明胶、羟丙基甲基纤维素),
·天然聚合物(例如白蛋白),
·增塑剂(例如聚乙二醇、丙二醇、甘油、三醋精、柠檬酸三乙酯(Triacetylcitrat)、邻苯二甲酸二丁酯),
·渗透增强剂;
·稳定剂(例如抗氧化剂,例如抗坏血酸、抗坏血酸钠、抗坏血酸棕榈酸酯、丁基羟基苯甲醚、丁基羟基甲苯、没食子酸丙酯),
·防腐剂(例如对羟基苯甲酸酯、山梨酸、苯甲酸钠、硫柳汞、苯扎氯铵、醋酸氯己定),
·染料(例如无机颜料,例如氧化铁、二氧化钛),
·香气、甜味剂、口味和/或气味校正剂。
通常发现在肠道外给药的情况下有利的是给予大约0.001至1mg/kg,优选大约0.01至0.5mg/kg体重的量的活性物质以实现有效结果。在口服给药的情况下,该剂量为大约0.01至100mg/kg,优选大约0.01至20mg/kg,最优选0.1至10mg/kg体重。在肺内给药的情况下,活性物质量通常为每次吸入约0.1至50mg。
在一个实施方案中,在鼻内给药的情况下该剂量为每天大约0.1μg至500μg。在另一个实施方案中,在鼻内给药的情况下该剂量为每天大约1μg至250μg。在另一个实施方案中,在鼻内给药的情况下该剂量为每天大约1μg至120μg。在另一个实施方案中,每天一次在睡前通过鼻内途径给予每天大约0.1μg至500μg,或每天大约1μg至250μg,或每天大约1μg至120μg的剂量。在一个实施方案中,每天一次给予每天大约0.1μg至500μg,或每天大约1μg至250μg,或每天大约1μg至120μg的剂量,每个鼻孔各一半。在一个实施方案中,每天一次在睡前给予每天大约0.1μg至500μg,或每天大约1μg至250μg,或每天大约1μg至120μg的剂量,每个鼻孔各一半。
然而,在一些情况下可能必须偏离所示的活性物质量,尤其取决于体重、给药途径、个体对活性物质的响应、制剂性质和给药的时间或时间间隔。因此在一些情况下使用少于上述最低量可能是足够的,而在另一些情况下必须超过所提到的上限。在给予更大量的情况下,可能推荐的是将它们在一天内分成几个单剂。
下列实施例例示本发明。本发明不限于这些实施例。
A.实施例
缩写和首字母缩略词:
abs. 纯
Ac 乙酰基
aq. 水性,水溶液
Boc 叔丁氧基羰基
br. 宽(在NMR信号中)
Bsp. 实施例
Bu 丁基
c 浓度
ca. 约,大约
cat. 催化
CI 化学电离(在MS中)
d 双重峰(在NMR中)
d 天
DCI 直接化学电离(在MS中)
dd 双重双峰(在NMR中)
DMF N,N-二甲基甲酰胺
DMSO 二甲亚砜
dq 双重四峰(在NMR中)
dt 双重三峰(在NMR中)
d.Th. 理论值的(在化学产率中)
EI 电子碰撞电离(在MS中)
eq. 当量
ESI 电喷雾电离(在MS中)
Et 乙基
h 小时
HATU 六氟磷酸O-(7-氮杂苯并三唑-1-基)-N,N,N',N'-四甲基脲鎓
HOBt 1-羟基-1H-苯并三唑水合物
HPLC 高压、高效液相色谱法
iPr 异丙基
konz. 浓缩(在溶液的情况下)
LC 液相色谱法
LC-MS 液相色谱法-质谱法联用
Lit. 文献(参考)
m 多重峰(在NMR中)
Me 甲基
min 分钟
MS 质谱法
NMR 核磁共振谱法
Ph 苯基
Pr 丙基
q 四重峰(在NMR中)
quant. 定量(在化学产率中)
RP 反相(反相,在HPLC中)
RT 室温
Rt 保留时间(在HPLC、LC/MS中)
s 单峰(在NMR中)
SFC 超临界液相色谱
t 三重峰(在NMR中)
tBu 叔丁基
TFA 三氟乙酸
THF 四氢呋喃
UV 紫外分光法
v/v (溶液的)体积/体积比
zus. 一起。
LC-MS和HPLC方法:
方法1(LC-MS):
仪器:Waters Acquity SQD UPLC System;柱:Waters Acquity UPLC HSS T3 1.8μm,50mm x 1mm;洗脱剂A:1升水+0.25毫升99%甲酸、洗脱剂B:1升乙腈+0.25毫升99%甲酸;梯度:0.0min 90%A→1.2min 5%A→2.0min 5%A;温度:50℃;流速:0.40ml/min;UV检测:208-400nm。
方法2(LC-MS):
MS仪器:Thermo Scientific FT-MS;仪器型号UHPLC:Thermo ScientificUltiMate 3000;柱:Waters HSS T3 C18 1.8μm,75mm x 2.1mm;洗脱剂A:1升水+0.01%甲酸,洗脱剂B:1升乙腈+0.01%甲酸;梯度:0.0min 10%B→2.5min 95%B→3.5min 95%B;温度:50℃;流速:0.90ml/min;UV检测:210nm/最佳整合路径210-300nm。
方法3(LC-MS):
MS仪器:Waters Micromass QM;HPLC仪器:Agilent 1100系列;柱:AgilentZORBAX Extend-C18 3.5μm,50mm x 3.0mm;洗脱剂A:1升水+0.01摩尔碳酸铵,洗脱剂B:1升乙腈;梯度:0.0min 98%A→0.2min 98%A→3.0min 5%A→4.5min 5%A;温度:40℃;流速:1.75ml/min;UV检测:210nm。
方法4(LC-MS):
MS仪器:Waters Micromass Quattro Micro;HPLC仪器:Waters UPLC Acquity;柱:Waters BEH C18 1.7μm,50mm x 2.1mm;洗脱剂A:1升水+0.01摩尔甲酸铵,洗脱剂B:1升乙腈;梯度:0.0min 95%A→0.1min 95%A→2.0min 15%A→2.5min 15%A→2.51min10%A→3.0min 10%A;温度:40℃;流速:0.5ml/min;UV检测:210nm。
方法5(LC-MS):
仪器:Agilent MS Quad 6150与HPLC Agilent 1290;柱:Waters Acquity UPLCHSS T3 1.8μm,50mm x 2.1mm;洗脱剂A:1升水+0.25毫升99%甲酸、洗脱剂B:1升乙腈+0.25毫升99%甲酸;梯度:0.0min 90%A→0.3min 90%A→1.7min 5%A→3.0min 5%A;流速1.20ml/min;温度:50℃;UV检测:205-305nm。
方法6(LC-MS):
MS仪器:Waters Single Quad MS System;HPLC仪器:Waters UPLC Acquity;柱:Waters BEH C18 1.7μm,50mm x 2.1mm;洗脱剂A:1升水+1.0毫升25%甲酸、洗脱剂B:1升乙腈;梯度:0.0min 92%A→0.1min 92%A→1.8min 5%A→3.5min 5%A;温度:50℃;流速:0.45ml/min;UV检测:210nm(208-400nm)。
方法7(LC-MS):
MS仪器:Waters SQD;HPLC仪器:Waters UPLC;柱:Zorbax SB-Aq(Agilent)、50mmx 2.1mm,1.8μm;洗脱剂A:水+0.025%甲酸、洗脱剂B:乙腈+0.025%甲酸;梯度:0.0min98%A→0.9min 25%A→1.0min 5%A→1.4min 5%A→1.41min 98%A→1.5min98%A;温度:40℃;流速:0.60ml/min;UV检测:DAD,210nm。
方法8(制备型HPLC):
仪器:Abimed Gilson 305;柱:Reprosil C18 10μm,250mm x 30mm;洗脱剂A:水,洗脱剂B:乙腈;梯度:0-3min 10%B,3-27min 10%B→95%B,27-34.5min 95%B,34.5-35.5min95%B→10%B,35.5-36.5min 10%B;流速:50ml/min;室温;UV检测:210nm。
方法9(制备型HPLC):
仪器:Waters Prep LC/MS System;柱:XBridge C18 5μm,100mm x 30mm;洗脱剂A:水,洗脱剂B:乙腈;梯度概况:0-2min 10%B,2-2.2min→30%B,2.2-7min→70%B,7-7.5min→92%B,7.5-9min 92%B;流速:65ml/min+5ml 2%氨/水;室温;UV检测:200-400nm;柱中注射(完全注射)。
另外的细节:
除非另有规定,以下的实施例-和测试说明中的百分比数据为重量百分比;份为重量份。液体/液体溶液的溶剂比率、稀释比率和浓度数据在每种情况下都基于体积。
纯度数据一般基于LC/MS色谱图中的对应峰积分,但也可额外借助1H-NMR波谱来测定。如果没有说明纯度,则根据LC/MS色谱图中的自动峰积分,纯度一般为>95%,或者纯度未被明确测定。
如果说明<100%的纯度,则以理论值的%的产率数据一般是针对纯度校正的。在含有溶剂或被污染的批次中,形式产率可以是“>100%”;在这些情况下,产率并非是针对溶剂或纯度校正的。
在通过搅拌萃取、搅拌或重结晶获得反应产物的情况下,通常可以通过色谱法从各自的母液中分离进一步量的产物。但是,下面省略这种色谱法的描述,除非总产率的大部分在这一步骤中才能分离。
如果说明,熔点和熔融范围是未校正的。
下列的对于1H-NMR-信号的偶联模式的描述在一些情况下直接取自ACDSpecManager(ACD/Labs释放12.00,产品版本12.5)的建议,并且不必严格详细检查。在一些情况下,手动调整SpecManager的建议。手动调整或指定的描述通常基于所涉信号的光学外观,并且不必对应于严格的、物理上正确的解释。一般而言,化学位移数据基于所涉信号的中心。在宽的多重峰的情况下,给出区间。被溶剂或水遮蔽的信号被假定地赋值,或未列出。
合成中间体和实施例的1H-NMR-数据也可以以1H-NMR-峰列表的形式给出。在此,对于各信号峰,首先列出以ppm计的δ值且然后列出圆括号内的信号强度。不同信号峰的δ值/信号强度-数字对通过逗号彼此分开列出;因此,化合物的峰列表具有下列形式:δ1(强度1)、δ2(强度2)、…、δi(强度i)、…、δn(强度n)。
尖锐信号的强度与NMR波谱的打印实施例中的信号(以cm计)的高度相关并显示信号强度相对于其它信号的真实比率。在宽信号的情况下,多个峰或信号的中心和其相对强度可与波谱图中的最强信号比较给出。1H-NMR-峰的列表类似于常规1H-NMR-打印输出且因此通常含有列于常规NMR解释中的所有峰。此外,像常规1H-NMR-打印输出一样,它们可包含溶剂信号、所涉目标化合物的立体异构体的信号、杂质的峰、13C卫星峰和/或旋转侧带。目标化合物的立体异构体的峰和/或杂质的峰具有的强度通常平均低于目标化合物(例如纯度>90%)的峰。此类立体异构体和/或杂质可能对于各自的制备方法是典型的。它们的峰因此可有助于借助“副产物指纹”鉴定制备方法的再现性。借助已知方法(MestreC、ACD-模拟或使用凭经验测定的期望值)计算目标化合物的峰值的专家在需要时可以分离目标化合物的峰,其中任选地使用额外的强度过滤器。该分离类似于常规1H-NMR解释中的所涉的“峰拣取”。
以峰列表形式呈现NMR数据的详细描述可见于出版物“Citation of NMRPeaklist Data within Patent Applications”(参见http://www.researchdisclosure.com/searching-disclosures,Research Disclosure DatabaseNumber 605005,2014,2014年8月1日)。在给出的Research Disclosure中所述的峰拣取惯例中,参数“最小高度”可在1%和4%之间设定。然而,根据化学结构的类型和/或待测量的化合物的浓度,将参数“最小高度”设定为<1%的值也可以是可取的。
对于下文未明确描述其制备的所有反应物或试剂而言适用的是,它们购自一般可获取的来源。对于下文同样未描述其制备并且不可购得或获自通常不可获取的来源的所有其它反应物或试剂,参考描述了其制备的公开文献。
起始化合物和中间体:
实施例1A
2-(4-氯苯基)咪唑并[1,2-a]嘧啶
将碳酸氢钠(10.8g,128mmol)加入2-溴-1-(4-氯苯基)乙酮(20.0g,85.7mmol)和嘧啶-2-胺(8.96g,94.2mmol)于200ml乙醇中的溶液中,并将混合物在80℃下搅拌5小时。然后将该批次冷却至0℃(冰浴)。将所得沉淀物过滤出并用乙醇/水混合物(1:1)洗涤两次。然后将固体在真空下在40℃下干燥过夜。这得到15.9g(69.23mmol,理论值的80.8%)的目标产物。
LC-MS(方法2):Rt=1.25min;m/z=230(M+H)+。
1H-NMR(400MHz,DMSO-d6,δ/ppm):7.07(dd,1H),7.53(d,2H),8.03(d,2H),8.41(s,1H),8.54(dd,1H),8.97(dd,1H)。
实施例2A
2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶
将碳酸氢钠(0.52g,6.22mmol)加入2-溴-1-(4-异丙基苯基)乙酮(1.0g,4.15mmol)和嘧啶-2-胺(0.43g,4.6mmol)于50ml乙醇中的溶液中,并将混合物在80℃下搅拌5小时。然后将该批次浓缩至干燥。将残余物与二乙醚搅拌,并将留下的固体过滤出并在40℃下在真空下干燥过夜。这得到1.15g粗目标产物,其可用于后续反应中而无需进一步提纯。
LC-MS(方法2):Rt=1.48min;m/z=238(M+H)+。
1H-NMR(400MHz,DMSO-d6,δ/ppm):1.24(d,6H),2.87-3.00(m,1H),7.04(dd,1H),7.34(d,2H),7.92(d,2H),8.33(s,1H),8.51(dd,1H),8.95(dd,1H)。
类似于实施例1A和2A,以下化合物由所给出的反应物制备:
实施例4A
2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-甲醛
首先将300ml DMF加入并冷却至0℃。然后缓慢逐滴加入三氯氧化磷(16ml,173mmol)。然后将溶液缓慢温热至室温,并在该温度下再搅拌1小时。然后逐份加入2-(4-氯苯基)咪唑并[1,2-a]嘧啶(15.9g,69.2mmol)。在添加已结束后,将反应混合物加热至80℃,并在该温度搅拌1小时。然后将该批次冷却至0℃(冰浴)。将所得的固体用抽吸过滤出,用水重复洗涤并在高真空干燥箱中在40℃下干燥过夜。这得到13.75g(53.36mmol,理论值的77%)的目标产物。
LC-MS(方法2):Rt=1.44min;m/z=258(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=7.46(dd,1H),7.65(d,2H),8.01(d,2H),8.91(dd,1H),9.83(dd,1H),10.07(s,1H)。
实施例5A
2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-甲醛
首先将50ml DMF加入并冷却至0℃。然后缓慢逐滴加入三氯氧化磷(2.86ml,30.66mmol)。然后将溶液缓慢温热至室温,并在该温度再搅拌1小时。然后逐份加入2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶(2.91g,12.26mmol)。在添加已结束后,使反应混合物加热至80℃,并在该温度搅拌1小时。然后将该批次冷却至0℃(冰浴)。将获得的固体用抽吸过滤出并在真空下干燥。随后将所得粗产物通过柱色谱(Biotage Isolera,Biotage SNAP-KP-NH柱,流动相环己烷/乙酸乙酯梯度)提纯两次。这得到3g(11.3mmol,理论值的92%)的目标化合物。
LC-MS(方法2):Rt=1.75min;m/z=266(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.27(d,6H),2.92-3.07(m,1H),7.39-7.52(m,3H),7.90(d,2H),8.89(dd,1H),9.83(dd,1H),10.08(s,1H)。
类似于实施例4A和5A,以下化合物由所给出的反应物制备:
实施例7A
7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐
在搅拌下,将12ml 4M氯化氢于二氧杂环己烷中的溶液加入7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷-9-甲酸叔丁酯(1.52g,3.23mmol)中。将混合物在室温下搅拌过夜。然后将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到1.76g的目标产物。
LC-MS(方法2):Rt=0.71min;m/z=370(M+H)+。
实施例8A
7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐
在搅拌下,将2.2ml 4M氯化氢于二氧杂环己烷中的溶液加入7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷-9-甲酸叔丁酯(420mg,0.88mmol)中。将混合物在室温下搅拌过夜。然后将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到430g的目标产物。
LC-MS(方法2):Rt=0.87min;m/z=378(M+H)+。
实施例9A
2-(4-氯苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐
在搅拌下,将15ml 4M氯化氢于二氧杂环己烷中的溶液加入3-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(2.72g,6.00mmol)中。将混合物在室温下搅拌过夜。然后将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到3.5g的目标产物。
LC-MS(方法6):Rt=1.36min;m/z=354(M+H)+。
实施例10A
3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐
在搅拌下,将2.57ml 4M氯化氢于二氧杂环己烷中的溶液加入3-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(493mg,1.03mmol)中。将混合物在室温下搅拌过夜。然后将反应溶液浓缩至干燥,并将所得的残余物在高真空下在40℃下干燥。这得到393mg的目标产物。
LC-MS(方法2):Rt=0.93min;m/z=362(M+H)+。
实施例11A
2-(4-氯苯基)-3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体1)
在搅拌下,将7.1ml 4M氯化氢于二氧杂环己烷中的溶液加入5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(对映异构体1;1.29g,2.84mmol)中。将混合物在室温下搅拌过夜。然后将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到1.4g的目标产物。
LC-MS(方法2):Rt=0.79min;m/z=354(M+H)+。
实施例12A
2-(4-氯苯基)-3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体2)
在搅拌下,将3.9ml 4M氯化氢于二氧杂环己烷中的溶液加入5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(对映异构体2;710mg,1.56mmol)中。将混合物在室温下搅拌过夜。然后将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到740mg的目标产物。
LC-MS(方法1):Rt=0.49min;m/z=354(M+H)+。
实施例13A
3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体1)
在搅拌下,将4.2ml 4M氯化氢于二氧杂环己烷中的溶液加入5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(对映异构体1;774mg,1.88mmol)中。将混合物在室温下搅拌过夜。然后将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到850mg的目标产物。
LC-MS(方法1):Rt=0.54min;m/z=362(M+H)+。
实施例14A
3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体2)
在搅拌下,将4.0ml 4M氯化氢于二氧杂环己烷中的溶液加入5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(对映异构体2;734mg,1.59mmol)中。将混合物在室温下搅拌过夜。将获得的固体用抽吸过滤出,用二乙醚重复洗涤并在高真空下在40℃下干燥。这得到761mg的目标产物。
LC-MS(方法1):Rt=0.55min;m/z=362(M+H)+。
实施例15A
1-[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]乙醇(外消旋物)
将2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-甲醛(500mg,1.94mmol)悬浮于5ml的THF中。随后,在冰冷却下,加入甲基溴化镁/二乙醚(3.0M,710μl,2.1mmol),并将混合物在室温下搅拌1小时。然后,加入额外4ml THF和更多的甲基溴化镁/二乙醚(3.0M,237μl,0.7mmol)。将混合物在室温下搅拌过夜。然后添加氯化铵水溶液,添加水和乙酸乙酯。将所得有机相分离出来,用饱和氯化钠溶液洗涤,经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将残余物在二乙醚中搅拌。将剩余的固体用抽吸过滤出并在高真空干燥箱中在40℃下干燥过夜。这得到370mg(1.35mmol,理论值的70%)的目标产物。
LC-MS(方法2):Rt=1.22min;m/z=274(M+H)+。
实施例16A
2-(4-氯苯基)-3-[1-(3,8-二氮杂双环[3.2.1]辛-3-基)乙基]咪唑并[1,2-a]嘧啶二盐酸盐(外消旋物)
在搅拌下,将0.21ml 4M氯化氢于二氧杂环己烷中的溶液和0.2ml二氧杂环己烷加入3-{1-[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]乙基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(外消旋物;39.8mg,0.09mmol)中。将混合物在室温下搅拌过夜。然后将反应溶液浓缩至干燥,并将所得的残余物在高真空下在40℃下干燥。这得到41mg的目标产物。
LC-MS(方法2):Rt=0.86min;m/z=256/258(M+H)+。
类似于实施例7A-14A,以下化合物由在每种情况下所给出的反应物制备:
实施例19A
2-(4-环丙基苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐
将3-{[2-(4-环丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(720mg,1.57mmol)溶解于3ml二氧杂环己烷中,并在搅拌下加入3.92ml 4M氯化氢于二氧杂环己烷中的溶液。将混合物在室温下搅拌过夜。然后将反应溶液浓缩至干燥,并将所得的残余物在高真空下在40℃下干燥。这得到808mg的目标产物。
LC-MS(方法1):Rt=0.48min;m/z=360(M+H)+。
实施例:
实施例1
7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷-9-甲酸叔丁酯
在氩气和室温下,将2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-甲醛(1.50g,5.82mmol)溶解于25ml THF中,并加入3-氧杂-7,9-二氮杂双环[3.3.1]壬烷-9-甲酸叔丁酯(1.59g,6.99mmol)和乙酸(670μl,12mmol)。然后逐份加入三乙酰氧基硼氢化钠(1.85g,8.73mmol),并将反应溶液在室温下搅拌过夜。然后缓慢和小心地逐滴加入水(小心:产生气体),且随后加入乙酸乙酯。将所得的有机相分离出来并用乙酸乙酯萃取水相两次。将合并的有机相用饱和氯化钠溶液洗涤,经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将获得的残余物由二乙醚中结晶。将形成的晶体用抽吸过滤出并在高真空干燥箱中在40℃下干燥过夜。这得到1.52g(3.23mmol,理论值的56%)的目标化合物。
LC-MS(方法2):Rt=1.65min;m/z=470/472(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.40(s,9H),2.42(br.d,2H),2.87(br.d,2H),3.57(br.d,2H),3.72(br.dd,2H),3.84(br.d,2H),3.92(s,2H),7.08(dd,1H),7.55(d,2H),7.96(d,2H),8.58(dd,1H),9.28(dd,1H)。
实施例2
7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷-9-甲酸叔丁酯
在氩气和室温下,将2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-甲醛(500mg,1.89mmol)溶解于10ml THF中,并加入3-氧杂-7,9-二氮杂双环[3.3.1]壬烷-9-甲酸叔丁酯(516mg,2.26mmol)和乙酸(220μl,3.77mmol)。然后逐份加入三乙酰氧基硼氢化钠(599mg,2.83mmol),并将反应溶液在室温下搅拌过夜。然后缓慢和小心地逐滴加入水(小心:产生气体),且随后加入乙酸乙酯。将所得的有机相分离出来并用乙酸乙酯萃取水相两次。将合并的有机相用饱和氯化钠溶液洗涤,经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将所得的残余物通过柱色谱(Biotage Isolera,Biotage SNAP-KP-NH柱;流动相:环己烷/乙酸乙酯梯度)提纯。这得到431mg(0.9mmol,理论值的48%)的目标化合物。
LC-MS(方法2):Rt=1.79min;m/z=478(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.25(d,6H),1.40(s,9H),2.39(br.d,2H),2.87(br.d,2H),2.90(m,1H),3.57(br.d,2H),3.72(br.dd,2H),3.84(br.d,2H),3.95(s,2H),7.05(dd,1H),7.36(d,2H),7.80(d,2H),8.55(dd,1H),9.27(dd,1H)。
实施例3
5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(外消旋物)
在氩气和室温下,将2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-甲醛(4.00g,15.5mmol)溶解于100ml THF中,并加入2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(3.95g,18.6mmol)和乙酸(1.8ml,31mmol)。然后逐份加入三乙酰氧基硼氢化钠(4.93g,23.3mmol),并将反应溶液在室温下搅拌过夜。然后加入额外的2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(1.6g,7.76mmol)和三乙酰氧基硼氢化钠(1.2g,5.8mmol),并将反应溶液再次在室温下搅拌过夜。然后缓慢和小心地逐滴加入水(小心:产生气体),且随后加入乙酸乙酯。将所得的有机相分离出来并用乙酸乙酯萃取水相两次。将合并的有机相经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将所得的残余物通过柱色谱(Biotage Isolera,Biotage SNAP-KP-NH柱;流动相:环己烷/乙酸乙酯梯度)提纯。这得到3.17g(6.7mmol,理论值的43%)的目标化合物。
LC-MS(方法2):Rt=1.55min;m/z=454/456(M+H)+。
实施例4和实施例5
5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(对映异构体1和2)
将3.17g(6.70mmol)外消旋的5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(实施例3)通过手性相上的制备型SFC-HPLC[柱:Daicel Chiralpak OJ-H,5μm,250mm x 30mm;流动相:二氧化碳/乙醇85:15(v/v);流速:150ml/min;压力:135巴;UV检测:210nm;温度:38℃]分离为对映异构体:
实施例4(对映异构体1):
产率:1.29g
Rt=4.15min;化学纯度>99%;>99%ee
[柱:Daicel Chiralpak OJ-H,3μm,100mm x 4.6mm;流动相:二氧化碳/乙醇85:15(v/v);流速:3ml/min;压力:130巴;温度:40℃;UV检测:210nm]。
LC-MS(方法2):Rt=1.55min;m/z=454/456(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.36(d,9H),1.42-1.55(m,1H),1.57-1.73(m,2H),1.79-1.92(m,1H),2.63-2.80(m,3H),3.09-3.17(m,1H),3.47-3.56(m,1H),3.80(br.d,1H),4.18-4.29(m,2H),7.12(dd,1H),7.56(d,2H),7.84-7.93(m,2H),8.59(dd,1H),9.02(br.d,1H)。
实施例5(对映异构体2):
产率:720mg
Rt=6.6min;化学纯度>99%;>99%ee
[柱:Daicel Chiralpak OJ-H,3μm,100mm x 4.6mm;流动相:二氧化碳/乙醇85:15(v/v);流速:3ml/min;压力:130巴;温度:40℃;UV检测:210nm]。
LC-MS(方法2):Rt=1.56min;m/z=454/456(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.36(d,9H),1.43-1.55(m,1H),1.57-1.73(m,2H),1.80-1.92(m,1H),2.63-2.80(m,3H),3.14(br.dd,1H),3.47-3.56(m,1H),3.80(br.d,1H),4.18-4.29(m,2H),7.12(dd,1H),7.56(d,2H),7.84-7.94(m,2H),8.59(dd,1H),9.02(br.d,1H)。
实施例6
3-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯
在氩气和室温下,将2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-甲醛(1.50g,5.82mmol)溶解于25ml THF中,并加入3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(1.48g,6.99mmol)和乙酸(670μl,12mmol)。然后逐份加入三乙酰氧基硼氢化钠(1.85g,8.73mmol),并将反应溶液在室温下搅拌过夜。然后缓慢和小心地逐滴加入水(小心:产生气体),且随后加入乙酸乙酯。将所得的有机相分离出来并用乙酸乙酯萃取水相两次。将合并的有机相用饱和氯化钠溶液洗涤,经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将获得的残余物由二乙醚中结晶。使形成的晶体置于乙腈中,并将剩余的沉淀物用抽吸过滤出,并在高真空干燥箱中在40℃下干燥过夜。这得到840mg(1.85mmol,理论值的32%)的目标化合物。
LC-MS(方法2):Rt=2.06min;m/z=454/456(M+H)+
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.39(s,9H),1.64(br.s,4H),2.26(br.d,2H),2.42-2.60(m,2H,被DMSO信号遮蔽),3.96-4.05(m,4H),7.14(dd,1H),7.56(d,2H),7.95(d,2H),8.59(dd,1H),9.03(dd,1H)。
实施例7
5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(外消旋物)
在氩气和室温下,将2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-甲醛(1.50g,5.65mmol)溶解于20ml THF中,并加入2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(外消旋;1.44g,6.78mmol)和乙酸(650μl,11.31mmol)。然后逐份加入三乙酰氧基硼氢化钠(1.8g,8.48mmol),并将反应溶液在室温下搅拌过夜。然后缓慢和小心地逐滴加入水(小心:产生气体),且随后加入乙酸乙酯。将所得的有机相分离出来并用乙酸乙酯萃取水相两次。将合并的有机相用饱和氯化钠溶液洗涤,经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将所得的残余物通过柱色谱(Biotage Isolera,Biotage SNAP-KP-NH柱;流动相:环己烷/乙酸乙酯梯度)提纯。这得到1760mg(3.81mmol,理论值的67%)的目标化合物。
LC-MS(方法2):Rt=1.71min;m/z=462(M+H)+。
实施例8和实施例9
5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(对映异构体1和2)
将1.66g(3.59mmol)外消旋的5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛烷-2-甲酸叔丁酯(实施例7)通过手性相上的制备型SFC-HPLC[柱:Daicel Chiralpak OX-H(SFC),5μm,250mm x 30mm;流动相:二氧化碳/甲醇62:38(v/v);流速:80g/min;压力:120巴;UV检测:210nm;温度:38℃]分离为对映异构体:
实施例8(对映异构体1):
产率:774mg
Rt=4.91min;化学纯度>99%;>99%ee
[柱:Daicel Chiralpak OX-3(SFC),3μm,100mm x 4.6mm;流动相:二氧化碳/乙醇70:30(v/v);流速:3ml/min;压力:130巴;温度:40℃;UV检测:210nm]。
LC-MS(方法1):Rt=0.85min;m/z=462(M+H)+。
[α]D 20=+16.21°(c=0.270,甲醇)。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.25(d,6H),1.36(2s,9H),1.44-1.56(m,1H),1.66(br.s,2H),1.79-1.95(m,1H),2.65-2.83(m,3H),2.89-3.03(m,1H),3.09-3.20(m,1H),3.53(br.d,1H),3.81(br.d,1H),4.24(s,2H),7.10(dd,1H),7.37(d,2H),7.78(dd,2H),8.56(dd,1H),8.99(br.d,1H)。
实施例9(对映异构体2):
产率:734mg
Rt=6.88min;化学纯度>99%;>99%ee
[柱:Daicel Chiralpak OX-3(SFC),3μm,100mm x 4.6mm;流动相:二氧化碳/乙醇70:30(v/v);流速:3ml/min;压力:130巴;温度:40℃;UV检测:210nm]。
LC-MS(方法1):Rt=0.85min;m/z=462(M+H)+。
[α]D 20=-15.67°(c=0.270,甲醇)。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.25(d,6H),1.36(2s,9H),1.44-1.56(m,1H),1.66(br.s,2H),1.79-1.94(m,1H),2.64-2.83(m,3H),2.95(dt,1H),3.09-3.20(m,1H),3.53(br.d,1H),3.81(br.d,1H),4.24(s,2H),7.10(dd,1H),7.37(d,2H),7.78(dd,2H),8.56(dd,1H),8.99(br.d,1H)。
实施例10
3-{1-[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]乙基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(外消旋物)
首先将1-[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]乙醇(473mg,1.73mmol)和三苯基膦(906mg,3.46mmol)加入10ml二氯甲烷中,并在冷却(冰浴)下逐份加入四溴化碳(1.15g,3.46mmol)。然后加入三乙胺(480μl,3.5mmol),并将混合物在室温下搅拌1小时。然后将该批次通过蒸发浓缩,并将残余物溶解于10ml乙腈中。加入3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(734mg,3.46mmol),并将反应混合物在40℃下搅拌过夜。然后将该混合物再一次浓缩至干燥。将以该方式获得的400mg残余物通过制备型HPLC(方法8)直接分离为组分。将剩余量的残余物置于硅胶上并通过柱色谱(Biotage Isolera,Biotage SNAP-KP-NH柱,流动相环己烷/乙酸乙酯梯度)预提纯。然后将由此预提纯的产物通过制备型HPLC(方法8)再提纯。这得到50mg(0.11mmol,理论值的6%)的目标化合物。
LC-MS(方法2):Rt=2.14min;MS(ESIpos):m/z=468/470[M+H]+。
类似于实施例1-3和6-7,以下化合物由在每种情况下所给出的反应物制备:
实施例13
(7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)(6-甲氧基吡啶-2-基)甲酮
将6-甲氧基吡啶-2-甲酸(35.1mg,230μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得74mg(0.15mmol,理论值的70%)的标题化合物。
LC-MS(方法2):Rt=1.48min;m/z=505/507(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=2.46-2.66(m,2H,被DMSO信号部分遮蔽),2.91(br.d,1H),3.05(br.d,1H),3.66-3.83(m,3H),3.80(s,3H),3.89(d,1H),3.93-4.03(m,2H),4.20(br.s,1H),4.44(br.s,1H),6.93(d,1H),7.09(dd,1H),7.29(d,1H),7.54(d,2H),7.83(t,1H),7.97(d,2H),8.58(dd,1H),9.28(dd,1H)。
实施例14
(3-氯-6-甲氧基吡啶-2-基)(7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)甲酮
将3-氯-6-甲氧基吡啶-2-甲酸(43.1mg,230μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,使反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得78mg(0.15mmol,理论值的70%)的标题化合物。
LC-MS(方法1):Rt=0.86min;m/z=539/541(M+H)+。
实施例15
(7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)(3-氟-6-甲氧基吡啶-2-基)甲酮
将3-氟-6-甲氧基吡啶-2-甲酸(39.3mg,230μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得82mg(0.16mmol,理论值的76%)的标题化合物。
LC-MS(方法1):Rt=0.82min;m/z=523/525(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=2.45-2.60(m,2H,被DMSO信号遮蔽),2.90(br.d,1H),3.05(br.d,1H),3.58-3.70(m,3H),3.72-3.84(m,1H),3.80(s,3H),3.89(d,1H),3.98(s,2H),4.45(br.s,1H),6.97(dd,1H),7.08(dd,1H),7.55(d,2H),7.80(t,1H),7.97(d,2H),8.58(dd,1H),9.28(dd,1H)。
实施例16
(7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)[6-(甲基硫烷基)吡啶-2-基]甲酮
将6-(甲基硫烷基)吡啶-2-甲酸(38.8mg,230μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得84mg(0.16mmol,理论值的77%)的标题化合物。
LC-MS(方法1):Rt=0.85min;m/z=521/523(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=2.46(s,3H),2.56-2.65(m,2H),2.91(br.d,1H),3.06(br.d,1H),3.65-3.81(m,3H),3.86-4.03(m,3H),4.15(br.s,1H),4.46(br.s,1H),7.09(dd,1H),7.40(dd,2H),7.55(d,2H),7.77(t,1H),7.98(d,2H),8.58(dd,1H),9.28(dd,1H)。
实施例17
(7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)(环戊基)甲酮
将环戊烷甲酸(18μl,230μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得72mg(0.15mmol,理论值的74%)的标题化合物。
LC-MS(方法1):Rt=0.81min;m/z=466/468(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.43-1.81(m,8H),2.31-2.61(m,2H,被DMSO信号部分遮蔽),2.86-2.97(m,3H),3.47-3.54(m,1H),3.56-3.63(m,1H),3.77(dd,2H),3.94(s,2H),4.04(br.s,1H),4.32(br.s,1H),7.08(dd,1H),7.55(d,2H),7.97(d,2H),8.59(dd,1H),9.27(dd,1H)。
实施例18
(3-氟-6-甲氧基吡啶-2-基)(7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)甲酮
将3-氟-6-甲氧基吡啶-2-甲酸(39mg,0.23mmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(117mg,031mmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得83mg(0.16mmol,理论值的76%)的标题化合物。
LC-MS(方法1):Rt=0.84min;m/z=531(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.26(d,6H),2.46-2.58(m,2H,被DMSO信号遮蔽),2.86-3.01(m,2H),3.06(br.d,1H),3.57-3.70(m,3H),3.75(br.d,1H),3.79(s,3H),3.89(d,1H),3.99(s,2H),4.46(br.s,1H),6.97(dd,1H),7.06(dd,1H),7.36(d,2H),7.74-7.84(m,3H),8.55(dd,1H),9.26(dd,1H)。
实施例19
[6-(二氟甲氧基)吡啶-2-基](7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬-9-基)甲酮
将6-(二氟甲氧基)吡啶-2-甲酸(43mg,0.23mmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(117mg,0.31mmol),并将混合物在室温下搅拌30分钟。然后加入7-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3-氧杂-7,9-二氮杂双环[3.3.1]壬烷二盐酸盐(100mg)和N,N-二异丙基乙胺(180μl,1.0mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得72mg(0.13mmol,理论值的61%)的标题化合物。
LC-MS(方法1):Rt=0.89min;m/z=549(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.25(d,6H),2.45-2.64(m,3H,被DMSO信号部分遮蔽),2.86-2.99(m,2H),3.05(br.d,1H),3.65-3.79(m,3H),3.89(d,1H),4.00(s,2H),4.09(br.s,1H),4.44(br.s,1H),7.06(dd,1H),7.21(d,1H),7.36(d,2H),7.54-7.62(m,1H),7.81(d,2H),8.06(t,1H),8.55(dd,1H),9.28(dd,1H)。
实施例20
(3-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛-8-基)(6-甲氧基吡啶-2-基)甲酮
将6-甲氧基吡啶-2-甲酸(36.4mg,237μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入2-(4-氯苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得79mg(0.16mmol,理论值的74%)的标题化合物。
LC-MS(方法1):Rt=1.76min;m/z=489/491(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.63-1.84(m,4H),2.45(br.d,1H),2.56-2.65(m,2H),2.73(dd,1H),3.77(s,3H),4.00-4.12(m,2H),4.67(br.d,2H),6.93(d,1H),7.15(dd,1H),7.35(d,1H),7.57(d,2H),7.82(t,1H),7.96(d,2H),8.59(dd,1H),9.06(dd,1H)。
实施例21
(3-氯-6-甲氧基吡啶-2-基)(3-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛-8-基)甲酮
将3-氯-6-甲氧基吡啶-2-甲酸(44.5mg,237μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,313μmol),并将混合物在室温下搅拌30分钟。然后加入2-(4-氯苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得56mg(0.11mmol,理论值的49%)的标题化合物。
LC-MS(方法2):Rt=1.81min;m/z=523/524/525(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.62-1.82(m,4H),2.34-2.46(m,2H),2.47-2.59(m,1H,被DMSO信号遮蔽),2.69-2.78(m,1H),3.62(br.s,1H),3.79(s,3H),4.06(s,2H),4.59(br.s,1H),6.92(d,1H),7.15(dd,1H),7.57(d,2H),7.87(d,1H),7.94(d,2H),8.59(dd,1H),9.04(dd,1H)。
实施例22
(3-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛-8-基)(3-氟-6-甲氧基吡啶-2-基)甲酮
将3-氟-6-甲氧基吡啶-2-甲酸(40.6mg,237μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(123mg,324μmol),并将混合物在室温下搅拌30分钟。然后加入2-(4-氯苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得93mg(0.18mmol,理论值的85%)的标题化合物。
LC-MS(方法2):Rt=1.73min;m/z=507/509(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.62-1.83(m,4H),2.44(br.t,2H),2.48-2.58(m,1H,被DMSO信号部分遮蔽),2.75(dd,1H),3.76(s,3H),3.92(br.s,1H),4.01-4.12(m,2H),4.61(br.s,1H),6.95(dd,1H),7.14(dd,1H),7.57(d,2H),7.77(t,1H),7.95(d,2H),8.59(dd,1H),9.06(dd,1H)。
实施例23
(3-氯-6-甲氧基吡啶-2-基)(5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛-2-基)甲酮(对映异构体1)
将3-氯-6-甲氧基吡啶-2-甲酸(44.5mg,237μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(123mg,324μmol),并将混合物在室温下搅拌30分钟。然后加入2-(4-氯苯基)-3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体1;100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得87mg(0.16mmol,理论值的74%)的标题化合物。
LC-MS(方法2):Rt=1.62min;m/z=523/524/525(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.52-2.00(m,4H),2.57-3.24(m,3.75H),3.35-3.46(m,1.25H),3.70-3.86(m,3.75H),4.20-4.40(m,2.25H),6.84-6.96(m,1H),7.08-7.19(m,1H),7.49-7.61(m,2H),7.79-7.93(m,3H),8.56-8.64(m,1H),8.98-9.07(m,1H)。
实施例24
(5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛-2-基)(3-氟-6-甲氧基吡啶-2-基)甲酮(对映异构体2)
将3-氟-6-甲氧基吡啶-2-甲酸(40.6mg,237μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(123mg,324μmol),并将混合物在室温下搅拌30分钟。然后加入2-(4-氯苯基)-3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体2;100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得84mg(0.17mmol,理论值的77%)的标题化合物。
LC-MS(方法6):Rt=1.52min;MS(ESIpos):m/z=507/509[M+H]+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.50-2.00(m,4H),2.62-2.87(m,2.25H),2.92(br.s,0.75H),3.15(br.d,0.25H),3.38-3.50(m,1.5H),3.56(br.d,0.25H),3.70-3.83(m,3.75H),4.20-4.35(m,2H),4.38(br.s,0.25H),6.89-6.99(m,1H),7.07-7.17(m,1H),7.49-7.60(m,2H),7.70-7.83(m,1H),7.84-7.95(m,2H),8.56-8.63(m,1H),8.99-9.09(m,1H)。
实施例25
(5-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛-2-基)(6-甲氧基-3-甲基吡啶-2-基)甲酮(对映异构体1)
将6-甲氧基-3-甲基吡啶-2-甲酸(39.7mg,237μmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(123mg,324μmol),并将混合物在室温下搅拌30分钟。然后加入2-(4-氯苯基)-3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体1;100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得25mg(0.05mmol,理论值的23%)的标题化合物。
LC-MS(方法2):Rt=1.55min;MS(ESIpos):m/z=503/505[M+H]+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.49-1.97(m,4H),2.02-2.12(m,3H),2.58-2.84(m,2.25H),2.91-3.02(m,1H),3.23(br.s,0.75H),3.34-3.45(m,1H),3.65-3.83(m,3.75H),4.19-4.42(m,2.25H),6.71-6.81(m,1H),7.06-7.17(m,1H),7.49-7.65(m,3H),7.82-7.94(m,2H),8.56-8.63(m,1H),8.97-9.08(m,1H)。
实施例26
(3-氯-6-甲氧基吡啶-2-基)(5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛-2-基)甲酮(对映异构体2)
将3-氯-6-甲氧基吡啶-2-甲酸(43mg,0.21mmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(121mg,0.32mmol),并将混合物在室温下搅拌30分钟。然后加入3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体2;100mg)和N,N-二异丙基乙胺(190μl,1.1mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得82mg(0.15mmol,含量96%,理论值的70%)的标题化合物。
LC-MS(方法2):Rt=1.73min;m/z=531/533(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.20-1.31(m,6H),1.53-2.01(m,4H),2.62(br.d,0.75H),2.69-2.85(m,1.5H),2.89-3.03(m,2H),3.21(br.s,0.75H),3.43(br.d,1H),3.70-3.85(m,3.75H),4.21-4.35(m,2H),4.39(br.s,0.25H),6.85-6.96(m,1H),7.05-7.14(m,1H),7.30-7.43(m,2H),7.70-7.87(m,2.75H),7.90(d,0.25H),8.56(dd,1H),8.95-9.04(m,1H)。
实施例27
(5-环丙基-1,3-噁唑-4-基)(5-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-2,5-二氮杂双环[2.2.2]辛-2-基)甲酮(对映异构体2)
将5-环丙基-1,3-噁唑-4-甲酸(32mg,0.21mmol)溶解于1.35ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(109mg,0.29mmol),并将混合物在室温下搅拌30分钟。然后加入3-(2,5-二氮杂双环[2.2.2]辛-2-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(对映异构体2;90mg)和N,N-二异丙基乙胺(170μl,0.96mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得67mg(0.14mmol,理论值的71%)的标题化合物。
LC-MS(方法2):Rt=1.51min;m/z=497(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=0.83-0.95(m,2H),0.96-1.08(m,2H),1.25(d,6H),1.51-1.61(m,1H),1.67-1.99(m,3H),2.44-2.57(m,0.7H,被DMSO信号部分遮蔽),2.57-2.66(m,0.3H),2.73-3.01(m,4H),3.37(dd,0.7H),3.64-3.76(m,1H),4.03(br.d,0.3H),4.23-4.33(m,2H),4.37(br.s,0.3H),4.59(br.s,0.7H),7.06-7.14(m,1H),7.31-7.40(m,2H),7.75-7.83(m,2H),8.12-8.20(m,1H),8.53-8.59(m,1H),8.98-9.06(m,1H)。
实施例28
(3-氟-6-甲氧基吡啶-2-基)(3-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛-8-基)甲酮
将3-氟-6-甲氧基吡啶-2-甲酸(39.2mg,0.21mmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(119mg,0.31mmol),并将混合物在室温下搅拌30分钟。然后加入3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(98mg)和N,N-二异丙基乙胺(180μl,1.04mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得65mg(0.13mmol,理论值的61%)的标题化合物。
LC-MS(方法5):Rt=1.22min;MS(ESIpos):m/z=515[M+H]+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.26(d,6H),1.63-1.86(m,4H),2.44(br.t,2H),2.48-2.60(m,1H,被DMSO信号部分遮蔽),2.76(dd,1H),2.96(quin,1H),3.76(s,3H),3.92(br.s,1H),4.00-4.11(m,2H),4.61(br.s,1H),6.95(dd,1H),7.12(dd,1H),7.36(d,2H),7.77(t,1H),7.83(d,2H),8.57(dd,1H),9.02(dd,1H)。
实施例29
(3-氯-6-甲氧基吡啶-2-基)(3-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛-8-基)甲酮
将3-氯-6-甲氧基吡啶-2-甲酸(43mg,0.23mmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(118mg,0.31mmol),并将混合物在室温下搅拌30分钟。然后加入3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(98mg)和N,N-二异丙基乙胺(180μl,1.04mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法8)直接分离为其组分。获得67mg(0.13mmol,理论值的60%)的标题化合物。
LC-MS(方法5):Rt=1.27min;MS(ESIpos):m/z=531/533[M+H]+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.26(d,6H),1.63-1.84(m,4H),2.41(br.t,2H),2.46-2.57(m,1H,被DMSO信号遮蔽),2.75(br.d,1H),2.96(quin,1H),3.63(br.s,1H),3.79(s,3H),4.00-4.11(m,2H),4.60(br.s,1H),6.92(d,1H),7.12(dd,1H),7.37(d,2H),7.82(d,2H),7.87(d,1H),8.56(dd,1H),9.01(dd,1H)。
类似于实施例13-29,以下化合物由在每种情况下所给出的反应物制备:
实施例85
3-{[2-(4-氯苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-N-(2,4-二氟苯基)-3,8-二氮杂双环[3.2.1]辛烷-8-甲酰胺
首先将15.5mg(0.10mmol)异氰酸2,4-二氟苯酯加入96孔多孔滴定板的孔中并冷却至0℃。分别地,将46.3mg 2-(4-氯苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐溶解于0.8ml 1,2-二氯乙烷中,加入0.052ml(0.3mmol)N,N-二异丙基乙胺,并将混合物冷却至8℃。将两种溶液合并于多孔滴定板中,加入分子筛且使其首先在0℃下振摇1小时。随后,使混合物温热至室温并在室温下振摇过夜。其后,通过离心干燥器的方式完全除去溶剂。将残余物溶解于0.6ml DMF中并过滤,并使滤液通过制备型LC-MS通过以下方法之一分离为其组分:
MS仪器:Waters,HPLC仪器:Waters;柱:Phenomenex Luna 5μC18(2)100A,AXIATech.,50mm x 21.2mm;流动相A:水,流动相B:乙腈,具有流动相梯度;流速:38.5ml/min+1.5ml/min 10%甲酸水溶液;UV检测:DAD,210-400nm
或
MS仪器:Waters,HPLC仪器:Waters;柱:Phenomenex Luna 5μC18(2)100A,AXIATech.,50mm x 21.2mm;流动相A:水,流动相B:甲醇,具有流动相梯度;流速:38.5ml/min+1.5ml/min 10%氨水;UV检测:DAD,210-400nm。
以该方式,获得17.9mg(理论值的35%,100%纯度)的标题化合物。
LC-MS(方法7,ESIpos):Rt=1.14min;m/z=509(M+H)+。
以类似于实施例85的平行合成方式,由2-(4-氯苯基)-3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)咪唑并[1,2-a]嘧啶二盐酸盐和适当的异氰酸酯、氨基甲酰氯或氯甲酸酯制备以下化合物:
实施例130
在氩气和室温下,将2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-甲醛(700mg,2.64mmol)溶解于14ml THF中,并加入3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯(672mg,3.17mmol)。然后逐份加入三乙酰氧基硼氢化钠(839mg,3.96mmol),并将反应溶液在室温下搅拌过夜。然后缓慢和小心地逐滴加入水(小心:产生气体),且随后加入乙酸乙酯。将所得的有机相分离出来并用乙酸乙酯萃取水相两次。将合并的有机相用饱和氯化钠溶液洗涤,经硫酸镁干燥,过滤并在真空下在旋转蒸发器上浓缩至干燥。将获得的残余物通过柱色谱(Biotage Isolera,Biotage SNAP-KP-NH柱;流动相:环己烷/乙酸乙酯梯度)提纯。这得到896mg(1.94mmol,理论值的74%)的目标化合物。
LC-MS(方法2):Rt=2.14min;m/z=462(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=1.25(d,6H),1.39(s,9H),1.65(br.s,4H),2.26(br.d,2H),2.47-2.60(m,2H,被DMSO信号部分遮蔽),2.95(quin,1H),3.98(s,2H),4.02(br.s,2H),7.12(dd,1H),7.37(d,2H),7.83(d,2H),8.56(dd,1H),8.99(dd,1H)。
实施例131
(5-环丙基-1,3-噁唑-4-基)(3-{[2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛-8-基)甲酮
将5-环丙基-1,3-噁唑-4-甲酸(39mg,0.26mmol)溶解于1.5ml DMF中,加入六氟磷酸2-(7-氮杂-1H-苯并三唑-1-基)-1,1,3,3-四甲基脲鎓(HATU)(121mg,0.32mmol),并将混合物在室温下搅拌30分钟。然后加入3-(3,8-二氮杂双环[3.2.1]辛-3-基甲基)-2-(4-异丙基苯基)咪唑并[1,2-a]嘧啶二盐酸盐(100mg)和N,N-二异丙基乙胺(190μl,1.06mmol),并将混合物在室温下搅拌过夜。其后,将反应混合物经由制备型HPLC(方法9)直接分离为其组分。获得65mg(0.13mmol,理论值的61%)的标题化合物。
LC-MS(方法2):Rt=1.81min;MS(ESIpos):m/z=497[M+H]+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=0.85-0.99(m,2H),1.01-1.13(m,2H),1.25(d,6H),1.63-1.85(m,4H),2.35-2.45(m,2H),2.60-2.74(m,3H),2.88-3.01(m,1H),4.03(s,2H),4.53-4.64(m,1H),5.12(br.s,1H),7.12(dd,1H),7.37(d,2H),7.85(d,2H),8.17(s,1H),8.57(dd,1H),9.03(dd,1H)。
实施例132
3-{[2-(4-环丙基苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯
在氩气和室温下,首先将1090mg(2.19mmol)3-{[2-(4-溴苯基)咪唑并[1,2-a]嘧啶-3-基]甲基}-3,8-二氮杂双环[3.2.1]辛烷-8-甲酸叔丁酯加入30ml微波容器中的15ml甲苯和3ml水中,然后加入环丙基硼酸(376mg,4.37mmol)、磷酸钾(1625mg,7.65mmol)、乙酸钯(II)(49mg,0.22mmol)和三环己基膦(123mg,0.44mmol)。然后闭合微波容器并将混合物加热至120℃并在该温度下搅拌过夜。在冷却至室温后,将反应混合物通过硅藻土过滤且逐份用少量乙酸乙酯再洗涤残余物。将更多量的乙酸乙酯和水加入所得的滤液并分离相。将有机相用饱和氯化钠溶液洗涤,经硫酸镁干燥并浓缩至干燥。然后将残余物与二乙醚一起搅拌。过滤后,使获得的固体在高真空下干燥过夜。这得到667mg(1.36mmol,理论值的62%)的目标化合物。
LC-MS(方法2):Rt=2.00min;m/z=460(M+H)+。
1H-NMR(400MHz,DMSO-d6):δ[ppm]=0.69-0.77(m,2H),0.95-1.03(m,2H),1.39(s,9H),1.65(br.s,4H),1.93-2.03(m,1H),2.24(br.d,2H),2.45-2.61(m,2H,被DMSO信号部分遮蔽),3.97(s,2H),4.02(br.s,2H),7.11(dd,1H),7.20(d,2H),7.78(d,2H),8.55(dd,1H),8.99(dd,1H)。
类似于实施例13-29,以下化合物由在每种情况下所给出的反应物制备:
B.药理效力的评估
可以通过如本领域技术人员已知的体外和体内研究证实本发明的化合物的药理活性。下列应用实施例描述了本发明的化合物的生物作用,但不将本发明限于这些实施例。
B-1.在非洲爪蟾卵母细胞中通过双电极电压钳技术以体外电生理方式分析人 TASK-1和TASK-3通道
如别处举例描述的那样选择非洲爪蟾卵母细胞[Decher等人,FEBS Lett.492,84-89(2001)]。随后,用0.5-5ng的编码TASK-1或TASK-3的cRNA溶液注射卵母细胞。为了电生理分析在卵母细胞中表达的通道蛋白,使用双电极电压钳技术[Stühmer,MethodsEnzymol.207,319-339(1992)]。如所述[Decher等人,FEBS Lett.492,84-89(2001)]在室温(21-22℃)下使用Turbo TEC 10CD放大器(NPI)进行测量,在2kHz下记录并用0.4kHz过滤。使用重力驱动灌注系统进行物质给药。在此,卵母细胞位于测量室中并暴露在10ml/min的溶液流下。通过使用蠕动泵吸出溶液,监测并调整测量室中的水位。
下表1显示在这一试验中测定的本发明的代表性实施例对人TASK-1和TASK-3通道的半峰抑制(IC50值):
表1
由表1中的数据显而易见,TASK-1和TASK-3都被阻断。因此,表1中的结果证实本发明的化合物作为双重TASK-1/3抑制剂的作用机制。
B-2.重组TASK-1和TASK-3的体外抑制
使用稳定转染的CHO细胞进行对重组TASK-1和TASK-3通道抑制的研究。在这种情况下根据下列参考资料中详细描述的方法通过在电压敏感染料存在下施加40mM氯化钾来测试本发明的化合物[Whiteaker等人,Validation of FLIPR membrane potential dyefor high-throughput screening of potassium channel modulators,J.Biomol.Screen.6(5),305-312(2001);Molecular Devices FLIPR Application Note:Measuring membrane potential using the membrane potential assay kit onFluorometric Imaging Plate Readersystems,http://www.moleculardevices.com/reagents-supplies/assay-kits/ion-channels/flipr-membrane-potential-assay-kits]。作为它们抑制在重组细胞中由40mM氯化钾诱发的去极化的能力,测定受试物质的活性。能够阻断这种去极化的一半时的浓度被称作IC50。
下表2列出由这一检测对本发明的各个实施例测定的IC50值(一些作为来自多个独立的单次测定的平均值):
表2
由表2中的数据显而易见,TASK-1和尤其TASK-3都被阻断。因此,表2中的结果证实本发明的化合物作为双重TASK-1/3抑制剂的作用机制。
B-3.猪中的阻塞性睡眠呼吸暂停的动物模型
通过使用负压,可以诱发麻醉的自主呼吸猪的上呼吸道的塌陷和因此阻塞[Wirth等人,Sleep36,699-708(2013)]。
德国长白猪(Landschwein)用于该模型。将猪麻醉并切开气管。在气管的嘴侧和尾侧部分中各插入一根套管。使用T接头,将嘴侧套管一方面连接到生成负压的装置上,另一方面连接到尾侧套管上。使用T接头,将尾侧套管连接到嘴侧套管上以及连接到允许绕过上呼吸道自发呼吸的管上。通过管的相应关闭和打开,可以使猪从正常鼻呼吸变成经由尾侧套管呼吸,而上呼吸道被隔离并连接到生成负压的装置上。通过肌电图(EMG)记录颏舌肌的肌肉活动。
在特定时间点,通过使猪经由尾侧套管呼吸并向上呼吸道施加-50、-100和-150cm水柱(cmH2O)的负压,测试上呼吸道的塌陷。由此造成上呼吸道塌陷,这体现为管系统中的气流中断和压降。在给予受试物质之前和在给予受试物质后以一定时间间隔进行这一试验。相应有效的受试物质可防止在吸气期的这种呼吸道塌陷。
在从鼻呼吸转换成经由尾侧套管呼吸后,不可测量麻醉猪的颏舌肌的EMG活动。作为进一步的试验,随后测定EMG活动重新开始时的负压。如果受试物质有效,将这一阈值调动至更正的值。同样在给予受试物质之前和在给予受试物质后的特定时间点进行该研究。受试物质的给药可以是鼻内、静脉内、皮下、腹膜内或胃内进行的。
C.药物组合物的实施例
本发明的化合物可以如下转化成药物制品:
片剂:
组成:
100毫克本发明的化合物、50毫克乳糖(一水合物)、50毫克玉米淀粉(天然)、10毫克聚乙烯基吡咯烷酮(PVP 25)(BASF公司,Ludwigshafen,德国)和2毫克硬脂酸镁。
片剂重量212毫克。直径8毫米,曲率半径12毫米。
制造:
本发明的化合物、乳糖和淀粉的混合物用5%PVP水溶液(质量/质量)造粒。将颗粒在干燥后与硬脂酸镁混合5分钟。使用常规压片机压制这种混合物(关于片剂样式,见上文)。作为用于压制的标准值,使用15kN的压制力。
可口服给药的混悬剂:
组成:
10毫升口服混悬剂相当于100毫克本发明的化合物的单剂。
制造:
将Rhodigel悬浮在乙醇中;将本发明的化合物添加到该悬浮液中。在搅拌的同时加入水。搅拌大约6小时直至Rhodigel溶胀完成。
可口服给药的溶液剂:
组成:
500毫克本发明的化合物、2.5克聚山梨酯和97克聚乙二醇400。20克口服溶液剂相当于100毫克本发明的化合物的单剂。
制造:
将本发明的化合物在搅拌下悬浮在聚乙二醇和聚山梨酯的混合物中。继续搅拌操作直至本发明的化合物完全溶解。
静脉内溶液剂:
将本发明的化合物以低于饱和溶解度的浓度溶解在生理相容的溶剂(例如等渗盐水溶液、5%葡萄糖溶液和/或30%PEG 400溶液)中。对该溶液施以无菌过滤并灌装到无菌且无热原的注射容器中。
可鼻内给药的溶液剂:
将本发明的化合物以低于饱和溶解度的浓度溶解在生理相容的溶剂(例如经提纯的水、磷酸盐缓冲液、柠檬酸盐缓冲液)中。该溶液可含有用于等渗化、用于保藏、用于调节pH值、用于改进溶解度和/或用于稳定化的附加添加剂。
Claims (6)
1.包含式(I)的化合物及其盐、溶剂化物和盐的溶剂化物的药剂,
其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键,
A代表CH或N,
R1代表卤素、氰基、(C1-C4)-烷基、环丙基或环丁基,
其中(C1-C4)-烷基可以被氟最多三取代且环丙基和环丁基可以被氟最多二取代,
R2代表氢或甲基,
且
R3代表(C4-C6)-环烷基,其中环CH2基团可以被-O-替代,
或
R3代表式(a)的苯基基团、式(b)或(c)的吡啶基基团或式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,且
R4代表氢、氟、氯、溴或甲基,
R5代表氢、氟、氯、溴、氰基、(C1-C3)-烷基或(C1-C3)-烷氧基,
其中(C1-C3)-烷基和(C1-C3)-烷氧基可以各自被氟最多三取代,
R6代表氢、氟、氯、溴或甲基,
R7代表氢、(C1-C3)-烷氧基、环丁基氧基、氧杂环丁烷-3-基氧基、四氢呋喃-3-基氧基、四氢-2H-吡喃-4-基氧基、单-(C1-C3)-烷基氨基、二-(C1-C3)-烷基氨基或(C1-C3)-烷基硫烷基,
其中(C1-C3)-烷氧基可以被氟最多三取代,
R8代表氢、氟、氯、溴、(C1-C3)-烷基或(C1-C3)-烷氧基,
R9A和R9B是相同或不同的且彼此独立地代表氢、氟、氯、溴、(C1-C3)-烷基、环丙基或(C1-C3)-烷氧基,
其中(C1-C3)-烷基和(C1-C3)-烷氧基可以各自被氟最多三取代,
且
Y代表O或S,
或
R3代表-OR10或-NR11R12基团,其中
R10代表(C1-C6)-烷基、(C4-C6)-环烷基或[(C3-C6)-环烷基]甲基,
R11代表氢或(C1-C3)-烷基,
且
R12代表(C1-C6)-烷基、(C3-C6)-环烷基、苯基或苄基,
其中(C1-C6)-烷基可以被氟最多三取代,
且
其中苯基和苄基中的苯基基团可以被选自以下的基团相同或不同地最多三取代:氟、氯、甲基、乙基、三氟甲基、甲氧基、乙氧基、三氟甲氧基和(三氟甲基)硫烷基,
或
R11和R12与彼此连接且与它们所键合的氮原子一起形成吡咯烷环、哌啶环、吗啉环或硫代吗啉环。
2.根据权利要求1所述的包含式(I)的化合物及其盐、溶剂化物和盐的溶剂化物的药剂,其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键,
A代表CH,
R1代表氟、氯、溴、甲基、异丙基、叔丁基、环丙基或环丁基,
R2代表氢,
且
R3代表环丁基、环戊基或环己基,
或
R3代表式(a)的苯基基团、式(b)的吡啶基基团或式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,且
R4代表氢、氟或氯,
R5代表氟、氯、氰基、(C1-C3)-烷基、(C1-C3)-烷氧基或三氟甲氧基,
R6代表氢、氟、氯、溴或甲基,
R7代表(C1-C3)-烷氧基、环丁基氧基或(C1-C3)-烷基硫烷基,
其中(C1-C3)-烷氧基可以被氟最多三取代,
R9A和R9B是相同或不同的且彼此独立地代表氢、氯、溴、(C1-C3)-烷基或环丙基,
其中(C1-C3)-烷基可以被氟最多三取代,
且
Y代表O或S。
3.根据权利要求1或2所述的包含式(I)的化合物及其盐、溶剂化物和盐的溶剂化物的药剂,其中
环Q代表下式的二氮杂杂双环:
其中*表示与相邻CHR2基团的键且**表示与羰基基团的键,
A代表CH,
R1代表氯、溴、异丙基或环丙基,
R2代表氢,
且
R3代表环戊基或环己基,
或
R3代表式(a)的苯基基团、式(b)的吡啶基基团或式(d)、(e)或(f)的唑基团
其中***标记与相邻羰基基团的键,且
R4代表氢、氟或氯,
R5代表氟、氯、甲基、异丙基、甲氧基或乙氧基,
R6代表氢、氟、氯、溴或甲基,
R7代表甲氧基、二氟甲氧基、三氟甲氧基、异丙氧基、环丁基氧基或甲基硫烷基,
R9A和R9B是相同或不同的且彼此独立地代表氢、甲基、三氟甲基、乙基、异丙基或环丙基,
且
Y代表O或S。
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202211200627.2A CN115583959B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP17176046 | 2017-06-14 | ||
EP17176046.5 | 2017-06-14 | ||
EP17193252 | 2017-09-26 | ||
EP17193252.8 | 2017-09-26 | ||
PCT/EP2018/064977 WO2018228907A1 (de) | 2017-06-14 | 2018-06-07 | Diazabicyclisch substituierte imidazopyrimidine und ihre verwendung zur behandlung von atemstörungen |
CN201880039548.3A CN110719911B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
CN202211200627.2A CN115583959B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201880039548.3A Division CN110719911B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
Publications (2)
Publication Number | Publication Date |
---|---|
CN115583959A true CN115583959A (zh) | 2023-01-10 |
CN115583959B CN115583959B (zh) | 2024-04-26 |
Family
ID=62492660
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201880039548.3A Active CN110719911B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
CN202211199746.0A Pending CN115554299A (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
CN202211200547.7A Pending CN115554300A (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
CN202211200627.2A Active CN115583959B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
Family Applications Before (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201880039548.3A Active CN110719911B (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
CN202211199746.0A Pending CN115554299A (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
CN202211200547.7A Pending CN115554300A (zh) | 2017-06-14 | 2018-06-07 | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 |
Country Status (33)
Country | Link |
---|---|
US (2) | US11098063B2 (zh) |
EP (1) | EP3638675B1 (zh) |
JP (2) | JP6896113B2 (zh) |
KR (1) | KR102364134B1 (zh) |
CN (4) | CN110719911B (zh) |
AR (1) | AR112099A1 (zh) |
AU (1) | AU2018283331B2 (zh) |
BR (1) | BR112019026450A2 (zh) |
CA (1) | CA3066942A1 (zh) |
CL (1) | CL2019003650A1 (zh) |
CO (1) | CO2019014047A2 (zh) |
CR (1) | CR20190563A (zh) |
CU (1) | CU24603B1 (zh) |
DO (1) | DOP2019000308A (zh) |
EA (1) | EA202090043A1 (zh) |
EC (1) | ECSP19088492A (zh) |
GE (1) | GEP20227366B (zh) |
HR (1) | HRP20240678T1 (zh) |
HU (1) | HUE066512T2 (zh) |
IL (1) | IL271117B (zh) |
JO (1) | JOP20190284A1 (zh) |
MA (1) | MA49368A (zh) |
MX (2) | MX2019014983A (zh) |
NI (1) | NI201900126A (zh) |
PE (1) | PE20200016A1 (zh) |
PH (1) | PH12019502828A1 (zh) |
PL (1) | PL3638675T3 (zh) |
RS (1) | RS65543B1 (zh) |
SG (1) | SG11201911508XA (zh) |
TW (1) | TWI801388B (zh) |
UA (1) | UA125186C2 (zh) |
UY (1) | UY37773A (zh) |
WO (1) | WO2018228907A1 (zh) |
Families Citing this family (13)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR20180088462A (ko) | 2015-12-10 | 2018-08-03 | 바이엘 파마 악티엔게젤샤프트 | 수면-관련 호흡기 장애의 치료를 위한 TASK-1 및 TASK-2 채널의 차단제로서의 2-페닐-3-(피페라지노메틸)이미다조[1,2-a]피리딘 유도체 |
JOP20190284A1 (ar) * | 2017-06-14 | 2019-12-11 | Bayer Pharma AG | مركبات إيميدازوبيريميدين مستبدلة بديازا ثنائي الحلقة واستخدامها للمعالجة من اضطرابات التنفس |
WO2018227427A1 (en) | 2017-06-14 | 2018-12-20 | Bayer Aktiengesellschaft | Substituted bridged diazepane derivatives and use thereof |
CA3147105A1 (en) * | 2019-05-09 | 2020-11-12 | Bayer Aktiengesellschaft | Combination of an a2-adrenoceptor subtype c (alpha-2c) antagonists with a task1/3 channel blocker for the treatment of sleep apnea |
TW202108135A (zh) | 2019-05-09 | 2021-03-01 | 德商拜耳廠股份有限公司 | 治療睡眠呼吸中止症之α2-腎上腺素受體亞型C (α-2C)拮抗劑與TASK1/3通道阻斷劑之組合 |
CN114929694A (zh) | 2019-11-06 | 2022-08-19 | 拜耳公司 | 肾上腺素能受体adrac2拮抗剂 |
US20240000767A1 (en) * | 2020-07-06 | 2024-01-04 | Bayer Aktiengesellschaft | Combination of an alpha2-adrenoceptor subtype c (alpha-2c) antagonist with a task1/3 channel blocker for the treatment of sleep apnea |
GB202101734D0 (en) * | 2021-02-08 | 2021-03-24 | Cerevance Inc | Novel Compounds |
KR20240127384A (ko) | 2021-12-22 | 2024-08-22 | 바이엘 악티엔게젤샤프트 | 수면 무호흡의 치료를 위한 task1/3 채널 차단제와 노르에피네프린 재흡수 억제제의 조합물 |
KR20240124998A (ko) | 2021-12-22 | 2024-08-19 | 바이엘 악티엔게젤샤프트 | 수면 무호흡의 치료를 위한 task1/3 채널 차단제와 무스카린성 수용체 길항제의 조합물 |
AU2022420723A1 (en) | 2021-12-22 | 2024-07-04 | Bayer Aktiengesellschaft | Combination of a task1/3 channel blocker with a p2x3 receptor antagonist for the treatment of sleep apnea |
KR20240132345A (ko) | 2022-01-07 | 2024-09-03 | 바이엘 악티엔게젤샤프트 | 수면 무호흡의 치료를 위한 2,3-디히드로벤조[b][1,4]디옥신-2-일메틸)피페라진-1-일 유도체 |
CN118785902A (zh) | 2022-01-07 | 2024-10-15 | 拜耳公司 | 用于治疗睡眠呼吸暂停的α2-肾上腺素受体亚型C拮抗剂 |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2013037914A1 (en) * | 2011-09-16 | 2013-03-21 | Sanofi | Substituted 4,5,6,7-tetrahydro-1h-pyrazolo[4,3-c]pyridines, their use as medicament, and pharmaceutical preparations comprising them |
WO2014187922A1 (en) * | 2013-05-24 | 2014-11-27 | Iomet Pharma Ltd. | Slc2a transporter inhibitors |
WO2016085783A1 (en) * | 2014-11-26 | 2016-06-02 | Merck Sharp & Dohme Corp. | Bridged diazepane orexin receptor antagonists |
Family Cites Families (47)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE19834044A1 (de) | 1998-07-29 | 2000-02-03 | Bayer Ag | Neue substituierte Pyrazolderivate |
DE19834047A1 (de) | 1998-07-29 | 2000-02-03 | Bayer Ag | Substituierte Pyrazolderivate |
DE19943636A1 (de) | 1999-09-13 | 2001-03-15 | Bayer Ag | Neuartige Dicarbonsäurederivate mit pharmazeutischen Eigenschaften |
DE19943634A1 (de) | 1999-09-13 | 2001-04-12 | Bayer Ag | Neuartige Dicarbonsäurederivate mit pharmazeutischen Eigenschaften |
DE19943639A1 (de) | 1999-09-13 | 2001-03-15 | Bayer Ag | Dicarbonsäurederivate mit neuartigen pharmazeutischen Eigenschaften |
DE19943635A1 (de) | 1999-09-13 | 2001-03-15 | Bayer Ag | Neuartige Aminodicarbonsäurederivate mit pharmazeutischen Eigenschaften |
MY125533A (en) * | 1999-12-06 | 2006-08-30 | Bristol Myers Squibb Co | Heterocyclic dihydropyrimidine compounds |
US6552037B2 (en) | 2000-06-30 | 2003-04-22 | Neurogen Corporation | 2-Substituted imidazo[1,2-A]pyridine derivatives |
GB0017256D0 (en) | 2000-07-13 | 2000-08-30 | Merck Sharp & Dohme | Therapeutic agents |
AR031176A1 (es) | 2000-11-22 | 2003-09-10 | Bayer Ag | Nuevos derivados de pirazolpiridina sustituidos con piridina |
SE0100568D0 (sv) | 2001-02-20 | 2001-02-20 | Astrazeneca Ab | Compounds |
DE10110749A1 (de) | 2001-03-07 | 2002-09-12 | Bayer Ag | Substituierte Aminodicarbonsäurederivate |
DE10110750A1 (de) | 2001-03-07 | 2002-09-12 | Bayer Ag | Neuartige Aminodicarbonsäurederivate mit pharmazeutischen Eigenschaften |
DE10220570A1 (de) | 2002-05-08 | 2003-11-20 | Bayer Ag | Carbamat-substituierte Pyrazolopyridine |
DE10247269A1 (de) | 2002-10-10 | 2004-04-22 | Grünenthal GmbH | Substituierte C-Imidazo[1,2-a]pyridin-3-yl-methylamine |
US7855194B2 (en) * | 2006-03-27 | 2010-12-21 | Hoffmann-La Roche Inc. | Pyrimidine, quinazoline, pteridine and triazine derivatives |
CN101636154B (zh) * | 2006-04-27 | 2011-12-14 | 塞诺菲-安万特德国有限公司 | Task-1和task-3离子通道抑制剂 |
EP2049110B1 (en) * | 2006-07-14 | 2014-08-20 | Merck Sharp & Dohme Corp. | Bridged diazepan orexin receptor antagonists |
EP1974729A1 (en) | 2007-03-28 | 2008-10-01 | Santhera Pharmaceuticals (Schweiz) AG | Substituted imidazopyridine derivates as melanocortin- 4 receptor antagonists |
JP5774982B2 (ja) | 2008-05-19 | 2015-09-09 | サノビオン ファーマシューティカルズ インクSunovion Pharmaceuticals Inc. | イミダゾ[1,2−a]ピリジン化合物 |
US20130178475A1 (en) | 2010-03-17 | 2013-07-11 | Ironwood Pharmaceuticals, Inc. | sGC STIMULATORS |
EP2547678B1 (en) | 2010-03-18 | 2016-03-16 | Institut Pasteur Korea | Anti-infective compounds |
DE102010021637A1 (de) | 2010-05-26 | 2011-12-01 | Bayer Schering Pharma Aktiengesellschaft | Substituierte 5-Fluor-1H-Pyrazolopyridine und ihre Verwendung |
PE20130779A1 (es) | 2010-07-09 | 2013-06-21 | Bayer Ip Gmbh | Pirimidinas y triazinas condensadas y su uso |
DE102010040233A1 (de) | 2010-09-03 | 2012-03-08 | Bayer Schering Pharma Aktiengesellschaft | Bicyclische Aza-Heterocyclen und ihre Verwendung |
DE102010043379A1 (de) | 2010-11-04 | 2012-05-10 | Bayer Schering Pharma Aktiengesellschaft | Substituierte 6-Fluor-1H-Pyrazolo[4,3-b]pyridine und ihre Verwendung |
EP2671582B1 (en) | 2011-02-01 | 2016-07-13 | Kyowa Hakko Kirin Co., Ltd. | Ring-fused heterocyclic derivative |
EP2691392A1 (en) | 2011-03-31 | 2014-02-05 | EMBLEM Technology Transfer GmbH | Imidazo [1,2-a]pyridine compounds for use in therapy |
US9029389B2 (en) | 2011-04-21 | 2015-05-12 | Institut Pasteur Korea | Anti-inflammation compounds |
BR112014005583A2 (pt) | 2011-09-12 | 2017-03-21 | Sanofi Sa | 4,5,6,7-tetra-hidro-1h-pirazolo[4,3-c]piridinas substituídas com indanila, seu uso como medicamento, e preparações farmacêuticas que as contêm |
KR20140077912A (ko) | 2011-09-16 | 2014-06-24 | 사노피 | 치환된 4,5,6,7-테트라하이드로-1H-피라졸로[4,3-c]피리딘, 약물로서의 그 용도, 및 그를 포함한 약제학적 제제 |
CA2860933C (en) | 2012-02-03 | 2020-01-14 | Sanofi | Fused pyrroledicarboxamides and their use as pharmaceuticals |
CN106103446B (zh) | 2014-03-26 | 2019-07-30 | 豪夫迈·罗氏有限公司 | 作为自分泌运动因子(atx)和溶血磷脂酸(lpa)生产抑制剂的二环化合物 |
WO2016085784A1 (en) | 2014-11-26 | 2016-06-02 | Merck Sharp & Dohme Corp. | Methyl diazepane orexin receptor antagonists |
JP2018012645A (ja) * | 2014-11-26 | 2018-01-25 | 持田製薬株式会社 | 新規ジアザビシクロ誘導体 |
TWI585785B (zh) * | 2014-11-26 | 2017-06-01 | Murata Manufacturing Co | Electronic parts manufacturing methods, electronic components and electronic devices |
JP2018016544A (ja) | 2014-12-03 | 2018-02-01 | 持田製薬株式会社 | 新規ジアザビシクロ[2.2.2]オクタン誘導体 |
EP3353180B1 (en) | 2015-09-24 | 2022-03-16 | F. Hoffmann-La Roche AG | Bicyclic compounds as atx inhibitors |
WO2017097671A1 (de) | 2015-12-10 | 2017-06-15 | Bayer Pharma Aktiengesellschaft | Substituierte perhydropyrrolo[3,4-c]pyrrol-derivate und ihre verwendung |
KR20180088462A (ko) | 2015-12-10 | 2018-08-03 | 바이엘 파마 악티엔게젤샤프트 | 수면-관련 호흡기 장애의 치료를 위한 TASK-1 및 TASK-2 채널의 차단제로서의 2-페닐-3-(피페라지노메틸)이미다조[1,2-a]피리딘 유도체 |
JOP20190005A1 (ar) | 2016-07-20 | 2019-01-20 | Bayer Ag | مركبات ديازاهيترو ثنائية الحلقة مستبدلة واستخداماتها |
JOP20190148A1 (ar) | 2016-12-21 | 2019-06-18 | Bayer Pharma AG | أشكال جرعات صيدلية تحتوي على مثبطات قنوات task-1 و task-3 واستخدامها لمعالجة الاضطرابات التنفسية |
JOP20190141A1 (ar) | 2016-12-21 | 2019-06-12 | Bayer Pharma AG | أشكال جرعات صيدلية تحتوي على مثبطات لقناة task-1 و task-3 واستخدامها في معالجة اضطراب تنفسي |
WO2018227427A1 (en) | 2017-06-14 | 2018-12-20 | Bayer Aktiengesellschaft | Substituted bridged diazepane derivatives and use thereof |
JOP20190284A1 (ar) * | 2017-06-14 | 2019-12-11 | Bayer Pharma AG | مركبات إيميدازوبيريميدين مستبدلة بديازا ثنائي الحلقة واستخدامها للمعالجة من اضطرابات التنفس |
CA3147105A1 (en) | 2019-05-09 | 2020-11-12 | Bayer Aktiengesellschaft | Combination of an a2-adrenoceptor subtype c (alpha-2c) antagonists with a task1/3 channel blocker for the treatment of sleep apnea |
TW202108135A (zh) | 2019-05-09 | 2021-03-01 | 德商拜耳廠股份有限公司 | 治療睡眠呼吸中止症之α2-腎上腺素受體亞型C (α-2C)拮抗劑與TASK1/3通道阻斷劑之組合 |
-
2017
- 2017-06-16 JO JOP/2019/0284A patent/JOP20190284A1/ar unknown
-
2018
- 2018-06-07 KR KR1020207000676A patent/KR102364134B1/ko active IP Right Grant
- 2018-06-07 CN CN201880039548.3A patent/CN110719911B/zh active Active
- 2018-06-07 GE GEAP201815256A patent/GEP20227366B/en unknown
- 2018-06-07 WO PCT/EP2018/064977 patent/WO2018228907A1/de active Application Filing
- 2018-06-07 EP EP18728646.3A patent/EP3638675B1/de active Active
- 2018-06-07 AU AU2018283331A patent/AU2018283331B2/en active Active
- 2018-06-07 SG SG11201911508XA patent/SG11201911508XA/en unknown
- 2018-06-07 CN CN202211199746.0A patent/CN115554299A/zh active Pending
- 2018-06-07 MX MX2019014983A patent/MX2019014983A/es unknown
- 2018-06-07 HU HUE18728646A patent/HUE066512T2/hu unknown
- 2018-06-07 EA EA202090043A patent/EA202090043A1/ru unknown
- 2018-06-07 RS RS20240581A patent/RS65543B1/sr unknown
- 2018-06-07 CR CR20190563A patent/CR20190563A/es unknown
- 2018-06-07 BR BR112019026450-7A patent/BR112019026450A2/pt unknown
- 2018-06-07 CU CU2019000101A patent/CU24603B1/es unknown
- 2018-06-07 HR HRP20240678TT patent/HRP20240678T1/hr unknown
- 2018-06-07 MA MA049368A patent/MA49368A/fr unknown
- 2018-06-07 CN CN202211200547.7A patent/CN115554300A/zh active Pending
- 2018-06-07 PL PL18728646.3T patent/PL3638675T3/pl unknown
- 2018-06-07 US US16/622,233 patent/US11098063B2/en active Active
- 2018-06-07 JP JP2019569416A patent/JP6896113B2/ja active Active
- 2018-06-07 CN CN202211200627.2A patent/CN115583959B/zh active Active
- 2018-06-07 CA CA3066942A patent/CA3066942A1/en active Pending
- 2018-06-07 PE PE2019002541A patent/PE20200016A1/es unknown
- 2018-06-07 UA UAA202000222A patent/UA125186C2/uk unknown
- 2018-06-12 TW TW107120117A patent/TWI801388B/zh active
- 2018-06-13 AR ARP180101619A patent/AR112099A1/es unknown
- 2018-06-14 UY UY0001037773A patent/UY37773A/es unknown
-
2019
- 2019-12-02 IL IL271117A patent/IL271117B/en unknown
- 2019-12-11 MX MX2022012716A patent/MX2022012716A/es unknown
- 2019-12-12 CL CL2019003650A patent/CL2019003650A1/es unknown
- 2019-12-12 NI NI201900126A patent/NI201900126A/es unknown
- 2019-12-12 CO CONC2019/0014047A patent/CO2019014047A2/es unknown
- 2019-12-12 EC ECSENADI201988492A patent/ECSP19088492A/es unknown
- 2019-12-13 PH PH12019502828A patent/PH12019502828A1/en unknown
- 2019-12-13 DO DO2019000308A patent/DOP2019000308A/es unknown
-
2021
- 2021-06-04 JP JP2021094338A patent/JP2021127346A/ja active Pending
- 2021-07-16 US US17/305,927 patent/US20220017540A1/en active Pending
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2013037914A1 (en) * | 2011-09-16 | 2013-03-21 | Sanofi | Substituted 4,5,6,7-tetrahydro-1h-pyrazolo[4,3-c]pyridines, their use as medicament, and pharmaceutical preparations comprising them |
WO2014187922A1 (en) * | 2013-05-24 | 2014-11-27 | Iomet Pharma Ltd. | Slc2a transporter inhibitors |
WO2016085783A1 (en) * | 2014-11-26 | 2016-06-02 | Merck Sharp & Dohme Corp. | Bridged diazepane orexin receptor antagonists |
Also Published As
Similar Documents
Publication | Publication Date | Title |
---|---|---|
CN110719911B (zh) | 二氮杂双环取代的咪唑并嘧啶及其用于治疗呼吸障碍的用途 | |
US10414765B2 (en) | Substituted perhydropyrrolo[3,4-c]pyrrole derivatives and the use of same | |
CN109476665B (zh) | 取代的二氮杂杂双环化合物及其用途 | |
US10759794B2 (en) | 2-phenyl-3-(piperazinomethyl)imidazo[1,2-A]pyridine derivatives as blockers of task-1 and task-2 channels, for the treatment of sleep-related breathing disorders | |
US11208422B2 (en) | Substituted bridged diazepane derivatives and use thereof as TASK-1 and TASK-3 inhibitors | |
EA040559B1 (ru) | Диазабициклические замещенные имидазопиримидины и их применение |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
REG | Reference to a national code |
Ref country code: HK Ref legal event code: DE Ref document number: 40085266 Country of ref document: HK |
|
GR01 | Patent grant | ||
GR01 | Patent grant |