CN1468110A - Combinations of statins, estrogenic agents and optionally estrogens - Google Patents

Combinations of statins, estrogenic agents and optionally estrogens Download PDF

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Publication number
CN1468110A
CN1468110A CNA018150896A CN01815089A CN1468110A CN 1468110 A CN1468110 A CN 1468110A CN A018150896 A CNA018150896 A CN A018150896A CN 01815089 A CN01815089 A CN 01815089A CN 1468110 A CN1468110 A CN 1468110A
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alkyl
acceptable salt
pharmaceutically acceptable
halogen
phenyl
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S・N・詹金斯
S·N·詹金斯
科姆
B·S·科姆
米勒
C·P·米勒
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Wyeth LLC
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/53Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with three nitrogens as the only ring hetero atoms, e.g. chlorazanil, melamine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • A61K31/4523Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems
    • A61K31/454Non condensed piperidines, e.g. piperocaine containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. pimozide, domperidone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/565Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids not substituted in position 17 beta by a carbon atom, e.g. estrane, estradiol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/06Antihyperlipidemics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system

Abstract

This invention comprises methods of treating cardiovascular disorders and lowering blood LDL levels comprising administration of a statin, an estrogen and compound of the formulae (I or II): wherein Z is a moiety selected from the group of: (III) wherein: R>1< is selected from H, OH or the C>1<-C>12< esters or C>1<-C>12< alkyl ethers thereof, benzyloxy, or halogen; or C>1<-C>4< halogenated ethers including trifluoromethyl ether and trichloromethyl ether; R>2<, R>3<, R>4<, R>5<, and R>6< are H, OH or C>1<-C>12< esters or C>1<-C>12< alkyl ethers thereof, halogens, or C>1<-C>4< halogenated ethers, cyano, C>1<-C>6< alkyl, or trifluoromethyl, with the proviso that, when R>1< is H>1<, R>2< is not OH; Y is the moiety: (IV) R>7< and R>8< are alkyl or concatenated together to form an optionally substituted, nitrogen-containing ring; or a pharmaceutically acceptable salt thereof.

Description

Statins, estrogenic and optional estrogenic use in conjunction
The benzazolyl compounds and one or more statinses that the present invention relates to replace are united the method that is used for the treatment of, prevents, suppresses or alleviate cardiovascular disease with one or more optional estrogen, and relevant Pharmaceutical composition and medicine box.
Background technology
EP 0 802 183 A1 and United States Patent (USP) have been introduced the substituted indole compound of following formula for the 5th, 780, No. 497:
Figure A0181508900091
Or And they are as the purposes of estrogenic drug, comprise treatment bone loss, cardiovascular disease, with endothelial tissue or endothelium sample hamartoplasia or misgrowth is relevant or because of its disease that causes and estrogen deficiency disease or syndrome.
EP 0 802 184 Al that announced on October 22nd, 1997 have introduced the similar applications of following formula substituted indole compound. Or
Figure A0181508900094
Similar benzazolyl compounds with following formula:
Figure A0181508900101
Be described in United States Patent (USP) the 5th, 880, No. 137 (Miller etc.).
The present invention's explanation
The present invention includes treatment, prevent, alleviate or suppress cardiovascular disease that comprises coronary artery disease of mammal (preferred human) and the method that reduces blood cholesterol levels, described method comprises that giving it needs the following medicinal compositions useful of mammal:
I) statins of medicinal effective dose is such as but not limited to the pharmaceutically acceptable salt of cerivastatin, fluvastatin, atorvastatin, simvastatin, pravastatin or lovastatin or these statins; With
The ii) substituted indole compound of the following formula I of medicinal effective dose or II or its pharmaceutically acceptable salt:
Figure A0181508900102
Or
Figure A0181508900103
Wherein Z is selected from the lower part:
Figure A0181508900111
Or
Figure A0181508900112
Wherein:
R 1Be selected from H, OH or its C 1-C 12Ester (straight or branched) or C 1-C 12(straight or branched or ring-type) alkyl ether, benzyloxy or halogen; Or comprise the C of trifluoromethyl ethers and trichloromethyl ether 1-C 4Halogen ether.
R 2, R 3, R 5And R 6Independently be selected from H, OH or its C 1-C 12Ester (straight or branched) or C 1-C 12Alkyl ether (straight or branched or ring-type), halogen or comprise trifluoromethyl ethers and the C of trichloromethyl ether 1-C 4Halogen ether, cyano group, C 1-C 6Alkyl (straight or branched) or trifluoromethyl, but R worked as 1During for H, R 2Be not OH
R 4Be selected from H, OH or its C 1-C 12Ester (straight or branched) or C 1-C 12Alkyl ether (straight or branched or ring-type), benzyloxy, halogen or comprise trifluoromethyl ethers and the C of trichloromethyl ether 1-C 4Halogen ether, cyano group, C 1-C 6Alkyl (straight or branched) or trifluoromethyl;
X is selected from H, C 1-C 6Alkyl, cyano group, nitro, trifluoromethyl, halogen;
N is 1,2 or 3;
Y is selected from:
A) with the lower part:
Figure A0181508900113
R wherein 7And R 8Independently be selected from H, C 1-C 6Alkyl or optional by CN, C 1-C 6Alkyl, C 1-C 6Alkoxyl, halogen ,-OH ,-CF 3Or-OCF 3The phenyl that replaces; Perhaps R 7And R 8Be combined into-(CH 2) p-, wherein p is the integer of 2-6, make to form a ring, described ring optional by at the most 3 be selected from following substituent group and replace: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two-(C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
B) five yuan of saturated, unsaturated or part unsaturated heterocycles, contain at the most two to be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-,-N=and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H-,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl;-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl;
C) hexa-atomic saturated, unsaturated or part unsaturated heterocycle, contain at the most two to be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-,-N=and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H-,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl ,-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl;
D) seven yuan of saturated, unsaturated or part unsaturated heterocycles, contain at the most two to be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-,-N=and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl ,-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl; Or
E) bridging or condensed bicyclic heterocycle, contain 6-12 carbon atom and contain at the most two be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl ,-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl;
And it is optional
Iii) one or more estrogen of medicinal effective dose or its pharmaceutically acceptable salt.
The preferred substituted indole compound of the present invention is chemical compound and the pharmaceutically acceptable salt thereof with above-mentioned formula I or II, wherein:
R 1Be selected from H, OH or its C 1-C 12Ester or alkyl ether, benzyloxy, halogen;
R 2, R 3, R 5And R 6Independently be selected from H, OH or its C 1-C 12Ester or alkyl ether, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group, preferred trifluoromethyl, but work as R 1During for H, R 2Be not OH;
R 4Be selected from H, OH or its C 1-C 12Ester or alkyl ether, benzyloxy, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group;
X is selected from H, C 1-C 6Alkyl, cyano group, nitro, trifluoromethyl, halogen;
Y is with the lower part
Figure A0181508900131
R 7And R 8Independently be selected from H, C 1-C 6Alkyl or be combined into-(CH 2) p-, wherein p is the integer of 2-6, make to form a ring, described ring optional by at the most 3 be selected from following substituent group and replace: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
Above-mentioned R 7And R 8The ring that is connected to form can include but not limited to aziridine, azetidine, pyrrolidine, piperidines, hexa-methylene amine or heptamethylene amine ring.
The most preferred substituted indole compound of the present invention is chemical compound and the pharmaceutically acceptable salt thereof with above-mentioned formula formula I or II, wherein R 1Be OH; R 2-R 6The same definition; X is selected from Cl, NO 2, CN, CF 3Or CH 3Y is with the lower part
Figure A0181508900141
And R 7And R 8Link together and be-(CH 2) r-, wherein r is the integer of 4-6, forms an optional quilt 3 rings that are selected from following substituent group replacement at the most: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
In another embodiment of the invention, work as R 7And R 8Link together and be-(CH 2) pIn-time, wherein p is the integer of 2-6, preferred 4-6, and so the ring that forms is optional is selected from C by 1-3 1-C 3Alkyl, trifluoromethyl, halogen, hydrogen, phenyl, nitro ,-substituent group of CN replaces.
The present invention includes sulfate, sulfamate and the sulfuric ester of the phenolic group of substituted indole.The easy sulfur trioxide prepared in reaction of sulfate by described free phenol compounds and amine (for example pyridine, trimethylamine, triethylamine etc.) complexation.Sulfamate can prepare by for example handling described free phenol compounds with the sulfonamides chlorine of required amino or alkyl amino or dialkyl amido in the presence of the pyridine at suitable alkali.Sulfuric ester can suitable alkali for example in the presence of the pyridine with described free phenol and required alkanesulfonyl chloride prepared in reaction.In addition, the present invention includes the chemical compound of the phosphate ester that contains phenol and the chemical compound of dialkyl phosphate.Phosphate ester can prepare by described phenol and suitable chloro phosphatase reaction.Dialkyl phosphate can hydrolysis produce the free phosphorus acid esters.Generate under the situation of required dialkyl phosphinic acid ester of described phenol also claimed described phosphinate when time phosphonic chloride reaction of described phenol and required dialkyl group.
The present invention includes the acceptable substituted indole salt that generates with mineral acid or organic acid additive reaction.Mineral acid for example hydrochloric acid, hydrobromic acid, hydroiodic acid, sulphuric acid, phosphoric acid, nitric acid and organic acid for example acetic acid, propanoic acid, citric acid, maleic acid, malic acid, tartaric acid, phthalic acid, succinic acid, methanesulfonic acid, toluenesulfonic acid, LOMAR PWA EINECS 246-676-2, camphorsulfonic acid, benzenesulfonic acid all are operable acid.Known have alkaline nitrogen compound can with many different acid (Bronsted acid and aprotic acid) complexation, usually preferably give the The compounds of this invention of acid-addition salts form.In addition, the present invention includes the quaternary ammonium salt of chemical compound described herein.These salt can be by for example alkyl halide or benzyl halide react and prepare with the nucleophilic amine of described side chain and suitable reactive alkylating agent.
Method of the present invention comprises treatment, suppresses, alleviates or prevents cardiovascular disease, coronary artery disease and reduces blood cholesterol levels, comprises and reduces low-density lipoprotein white level (LDL).
These methods include needs mammal to give the substituted indole a kind of disclosed by the invention of his spit of fland medicine and medicinal effective dose and one or more estrogen of optional medicinal effective dose to it.Described medication can be therapeutic or preventive usage.The preferred substituted indole compound that wherein is used for these methods is 1-[4-(2-azepan-1 base (azepan-1yl)-ethyoxyl)-benzyl]-2-(4-hydroxyl-phenyl)-3-Methyl-1H-indole-5-phenol (being also referred to as TSE-424) and 2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-(4-(2-piperidines-1-base-ethyoxyl)-benzyl)-IH-indole-5-phenol (being also referred to as ERA-923).
The estrogen that can be used for preparation of the present invention comprises estrone, estriol, 1,3,5,7-estratetraen-3-ol-17-one, female diene (estradiene), (.+-.)-Equilenin., ethinyl estradiol, 17 beta estradiols, 17 'alpha '-dihydroequilenins, 17 β-dihydroequilenin (United States Patent (USP) 2,834,712), 17 α-dihydroequilin, 17 β-dihydroequilin, menstranol and conjugated estrogens, for example Premarin of Wyeth-Ayerst Laboratories Product (P.O.Box 8299, Philadelphia, and PA19101, USA.).Phytoestrogen (for example equol or enterolactone) also can be used for preparation of the present invention and method.The preferred embodiments of the invention comprise utilizes the conjugation hormone (Premarin of Wyeth-Ayerst Laboratories for example Product) with one or more formulas of the present invention (I) or (III) Pharmaceutical composition and the Therapeutic Method of chemical compound.(SolvayPharmaceuticals for example, Inc. is with trade name Estratab for esterified estriol Product sold) also can be used for preparation of the present invention.In addition, being preferred for of the present invention is described applicable estrogenic salt, most preferably sodium salt.The example of these preferred salt is an estrone sodium sulfate, the sodium sulfate 1,3,5,7-estratetraen-3-ol-17-one, sodium sulfate 17 α-dihydroequilin, sodium sulfate 17 alpha-estradiols, sodium sulfate δ 8,9-dehydrogenation estrone, the sodium sulfate (.+-.)-Equilenin., sodium sulfate 17 β-dihydroequilin, sodium sulfate 17 'alpha '-dihydroequilenins, sodium sulfate 17 beta estradiols, sodium sulfate 17 β-dihydroequilenin, the 3-estrone sodium sulfate, 3-sodium sulfate 1,3,5,7-estratetraen-3-ol-17-one, 3-sodium sulfate 17 α-dihydroequilin, 3-sodium sulfate 3 beta-hydroxies-female-5 (10), 7-diene-17-ketone, 20-sodium sulfate 5 alpha-pregnanes-3 β-20R-glycol, 3-sodium sulfate 5 alpha-pregnanes-3 β, 16 salmefamols-20-ketone, 3-sodium sulfate δ (8,9)-dehydrogenation estrone, female-3 β of 3-sodium sulfate, 17 salmefamols, 3-sodium sulfate 3 beta-hydroxies-female-5 (10)-alkene-17-ketone or 3-sodium sulfate 5 alpha-pregnanes-3 β, 16 α, the 20R-triol.Preferred estrone salt includes but not limited to sodium salt and piperate salt.Wherein being used for most preferably estrogen of the present invention is trade name Premarin The conjugated estrogens product.
Most preferred embodiment wherein of the present invention is the method for uniting the following component that gives the medicinal effective dose of mammal:
A) a kind of substituted indole compound, it is selected from: 1-[4-(2-azepan-1 base-ethyoxyl)-benzyl]-2-(4-hydroxyl-phenyl)-3-Methyl-1H-indole-5-phenol (being also referred to as TSE-424) and 2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-(4-(2-piperidines-1-base-ethyoxyl)-benzyl)-IH-indole-5-phenol (being also referred to as ERA-923), perhaps pharmaceutically acceptable salt of TSE-424 or ERA-923; With
B) a kind of statins, it is selected from: cerivastatin, fluvastatin, atorvastatin, simvastatin, pravastatin or lovastatin, perhaps a kind of pharmaceutically effective salt of described statins; And it is optional
C) conjugated estrogens, for example Wyeth-Ayerst Laboratories is with trade name Premarin Product sold.
The present invention includes Formula Il I or IV substituted indole compound or its pharmaceutically acceptable salt use in conjunction statins and the optional estrogenic method of first subclass: Or Comprising R 1, R 2, R 3, R 4, R 5, R 6, n, X and Y the same definition of variable substituent group.
Preferred substituted indole compound is chemical compound and the pharmaceutically acceptable salt thereof of above-mentioned formula III or IV in first subclass compound, wherein:
R 1Be selected from H, OH or its C 1-C 12Ester or alkyl ether, benzyloxy or halogen;
R 2, R 3, R 5And R 6Independently be selected from H, OH or its C 1-C 12Ester or alkyl ether, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group, preferred trifluoromethyl, but work as R 1During for H, R 2Be not OH;
R 4Be selected from H, OH or its C 1-C 12Ester or alkyl ether, benzyloxy, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group;
X is selected from H, C 1-C 6Alkyl, cyano group, nitro, trifluoromethyl, halogen;
Y is with the lower part
Figure A0181508900173
R 7And R 8Independently be selected from H, C 1-C 6Alkyl or be combined into-(CH 2) p-, wherein p is the integer of 2-6, make to form a ring, described ring optional by at the most 3 be selected from following substituent group and replace: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, C 1-C 4Dialkyl amido ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
Above-mentioned R 7And R 8The ring that is connected to form can include but not limited to aziridine, azetidine, pyrrolidine, piperidines, hexa-methylene amine or heptamethylene amine ring.
The most preferred substituted indole compound of first subclass compound is chemical compound and the pharmaceutically acceptable salt thereof of said structure formula I or II, wherein R 1Be OH; R 2-R 6The same definition; X is selected from Cl, NO 2, CN, CF 3Or CH 3Y is with the lower part
Figure A0181508900181
And R 7And R 8Link together and be-(CH 2) r-, wherein r is the integer of 4-6, forms an optional quilt 3 rings that are selected from following substituent group replacement at the most: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
In another embodiment of first subclass compound, work as R 7And R 8Link together and be-(CH 2) pIn-time, wherein p is the integer of 2-6, preferred 4-6, and so the ring that forms is optional is selected from C by 1-3 1-C 3Alkyl, trifluoromethyl, halogen, hydrogen, phenyl, nitro ,-substituent group of CN replaces.
A sub-class of the substituted indole compound is preferably the following compounds or a pharmaceutically Acceptable salt thereof: 5 - Benzyloxy-2 - (4 - ethoxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - Benzyl]-1H-indole; 5 - benzyloxy-2 - phenyl-3 - methyl-1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl Yl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - [4 - (2 - aza ring heptane-1 - yl - acetic Oxy) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - [4 - (2 - 2-isopropyl-amino-1 - yl - Ethoxy) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - [4 - (2 - butyl - methyl-1 - yl - acetic Oxy) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - {4 - dimethylamino) ethoxy] - benzyl Yl}-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - {4 - [2 - (2 - methyl - piperidin-1 - yl) - Ethoxy] - benzyl}-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - {4 - [2 - (3 - methyl - piperidin-1 - yl) - Ethoxy] - benzyl}-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - {4 - [2 - (4 - methyl - piperidin-1 - yl) - Ethoxy] - benzyl}-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1-{4 - [2 - ((cis) -2,6 - dimethyl - Piperidin-1 - yl) - ethoxy] - benzyl}-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl - {4 - [2 - (1,3,3 - trimethyl-6 - aza - Bicyclo [3.2.1] oct-6 - yl) - ethoxy] - benzyl}-1H-indole; (1S, 4R) -5 - benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-{4 - [2 - (2 - aza - bicyclo [2.2.1] hept-2 - yl) - ethoxy] - benzyl}-1H-indole; 5 - Benzyloxy-2 - (4 - fluoro - phenyl) -3 - methyl-1 - [4 - (2 - aza ring heptane-1 - yl - ethoxycarbonyl Yl) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - fluoro - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] - 1H-indole; 5 - Benzyloxy-2 - (4 - chloro - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] - 1H-indole; 5 - benzyloxy-2 - [3,4 - methylenedioxy - phenyl] -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - acetic Oxy) - benzyl]-1H-indole; 5 - benzyloxy-2 - [4 - isopropoxy - phenyl] -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxycarbonyl Yl) - benzyl]-1H-indole; 5 - benzyloxy-2 - [4 - methyl - phenyl] -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl Yl]-IH-indole; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -5 - benzyloxy-2 - (3 - benzyloxy - Phenyl) -3 - methyl-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy-3 - fluoro - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxycarbonyl Yl) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy-3 - fluoro - phenyl) -3 - methyl-1 - [4 - (2 - aza ring heptane-1 - Yl - ethoxy) - benzyl]-1H-indole; 5 - benzyloxy-2 - (3 - methoxy - phenyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] -3 - Methyl-1H-indole; 5 - benzyloxy-3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] -2 - (4 - (trifluoromethoxy) Yl - phenyl)-1H-indole; (2 - {4 - [5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl - indol-1 - yl methyl] - phenoxy Yl} - ethyl) - cyclohexyl - amine; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - {4 - methyl-piperazin-1 - yl) - ethoxy Yl] - benzyl}-1H-indole; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -5 - benzyloxy-2 - (3 - methoxy - Phenyl) -3 - methyl-1H-indole; 4 - {3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole}; 4 - {3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indol-2 - yl} - phenyl Phenol; 3 - methyl - 2 - phenyl - 1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole-5 - phenol; 4 - {5 - methoxy-3 - methyl-1 - {4 - [2 - (piperidin-1 - yl) - ethoxy] - benzyl}-1H-indole -2 - Yl} - phenol; 2 - (4 - methoxy - phenyl) -3 - methyl-1 - {4 - [2 - (piperidin-1 - yl) - ethoxy] - benzyl} - 1H-indole-5 - phenol; 5 - methoxy -2 - (4 - methoxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - Benzyl]-IH-indole; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -5 - methoxy -2 - (4 - methoxy - Phenyl) -3 - methyl-1H-indole; 2 - (4 - ethoxy - phenyl) -3 - methyl-1 - [4 - (2 - (piperidin-1 - yl - ethoxy) - benzyl]-1H- Indol-5 - phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - ethoxy - phenyl) -3 - methyl Yl-1H-indole-5 - phenol; 4 - {5 - fluoro-3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indol-2 - yl} - Phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -3 - methyl-2 - phenyl-1H-indole - 5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - pyrrolidin-1 - yl - ethoxy) - benzyl]-1H- Indol-5 - phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl - 1H-indole-5 - phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl - 1H-indole-5 - phenol; 1 - [4 - (2-Azocan-1-yl - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl-1H- Indol-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - dimethyl-1 - yl - ethoxy) - benzyl]-1H- Indol-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - 2-ethyl-1 - yl - ethoxy) - benzyl]-1H- Indol-5 - phenol; 1 - [4 - (2 - dipropylamino - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl-1H- Indol-5 - phenol; 1 - [4 - (2 - 2-butylamino - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl-1H- Indol-5 - phenol; 1 - [4 - (2 - diisopropylamino - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl - 1H-indole-5 - phenol; 1 - {4 - [2 - (butyl - methyl - amino) - ethoxy] - benzyl} -2 - (4 - hydroxy - phenyl) -3 - methyl- -1H-indole-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - {4 - [2 - (2 - methyl - piperidin-1 - yl) - ethoxy] - benzyl Yl}-1H-indole-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - {4 - [2 - (3 - methyl - piperidin-1 - yl) - ethoxy] - benzyl Yl}-1H-indole-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - {4 - [2 - (4 - methyl - piperidin-1 - yl) - ethoxy] - benzyl Yl}-1H-indole-5 - phenol; 1 - {4 - [2 - (3,3 - dimethyl - piperidin-1 - yl) - ethoxy] - benzyl} -2 - (4 - hydroxy - phenyl) - 3 - methyl-1H-indol-5 - phenol; 1 - {4 - [2 - ((cis) -2,6 - dimethyl - piperidin-1 - yl) - ethoxy] - benzyl} -2 - (4 - hydroxy - Phenyl) -3 - methyl-1H-indol-5 - phenol; 2 - (4 - hydroxy - phenyl) -1 - {4 - [2 - (4 - hydroxy - piperidin-1 - yl) - ethoxy] - benzyl} -3 - methyl Yl-1H-indole-5 - phenol; (1S, 4R) -1 - {4 - [2 - (2 - aza - bicyclo [2.2.1] hept-2 - yl) - ethoxy] - benzyl} -2 - (4 - Hydroxy - phenyl) -3 - methyl-1H-indol-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - {4 - [2 - (1,3,3 - trimethyl-6 - azabicyclo [3.2.1] Oct-6 - yl) - ethoxy] - benzyl} -1 H-indole-5 - phenol; 2 - (4 - fluoro - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole - 5 - phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - fluoro - phenyl) -3 - methyl - 1H-indole-5 - phenol; 2 - (3 - methoxy - 4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl Yl]-1H-indole-5 - phenol; 2 - benzo [1,3] dioxol-5 --3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxycarbonyl Yl) - benzyl]-1H-indole-5 - phenol; 2 - (4 - isopropoxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] - 1H-indole-5 - phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - isopropoxy - phenyl) -3 - Methyl-1H-indol-5 - phenol; 2 - (4 - cyclopentyloxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy)-benzyl]-1H- Indol-5 - phenol; 3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] -2 - (4 - trifluoromethyl-phenyl)-1H- Indol-5 - phenol; 3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] -2 - p-tolyl-1H-indol-5 - Phenol; 2 - (4 - chloro - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole - 5 - phenol; 2 - (2,4 - dimethoxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] - 1H-indole-5 - phenol; 2 - (3 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole Indole -5 - phenol; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (3 - hydroxy - phenyl) -3 - methyl - 1H-indole-5 - phenol; 2 - (3 - fluoro-4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] - 1H-indole-5 - phenol; 2 - (3 - fluoro-4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (aza ring heptane-1 - yl - ethoxy) - benzyl Yl]-1H-indole-5 - phenol; 2 - (3 - methoxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H- Indol-5 - phenol; 3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] -2 - (4 - (Trifluoromethoxy) - phenyl) - 1H-indole-5 - phenol; 3 - chloro -2 - (4 - hydroxy - phenyl) -1 - [4 - (2 - pyrrolidin-1 - yl - ethoxy) - benzyl]-1H-indole Indole -5 - phenol; 3 - chloro -2 - (4 - hydroxy - phenyl) -1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole - 5 - phenol; 3 - chloro -2 - (4 - hydroxy - phenyl) -1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] - 1H-indole-5 - phenol; 3 - chloro -2 - (4 - hydroxy-2 - methyl - phenyl) -1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] - 1H-indole-5 - phenol; 2 - (4 - hydroxy - phenyl) -3 - ethyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole Indole -5 - phenol; 5 - hydroxy-2 - (4 - hydroxy - phenyl) -1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole Indole -3 - nitrile; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -5 - hydroxy-2 - (4 - hydroxy - phenyl) - 1H-indole-3 - carbonitrile; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - chloro-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl Yl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - chloro-1 - [4 - (2 - aza ring heptane-1 - yl - ethoxycarbonyl Yl) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (2 - methyl - 4 - benzyloxy - phenyl) -3 - chloro-1 - [4 - (2 - piperidin-1 - yl - ethoxycarbonyl Yl) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - ethyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - Benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl)-3 - cyano-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - Benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl)-3 - cyano-1 - [4 - (2 - aza ring heptane-1 - yl - acetic Oxy) - benzyl]-1H-indole; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl - 1H-indole-5 - phenol dipropionate; 1 - [4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl] -2 - (4 - hydroxy - phenyl) -3 - methyl - 1H-indole-5 - diamyl phenol ester; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -1 - [4 - (3 - piperidin-1 - yl - propoxy)-benzyl] -3 - Methyl-1H-indole; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - {4 - [3 - (piperidin-1 - yl) - propoxy] - benzyl}-1H- Indol-5 - phenol; 2 - (4 - hydroxy - phenyl) -1 - [3 - methoxy - 4 - (2 - piperidin-1 - yl - ethoxy) - benzyl] -3 - methyl Yl-1H-indole-5 - phenol; 2 - (4 - hydroxy - phenyl) -1 - [3 - methoxy - 4 - (2 - aza ring heptane-1 - yl - ethoxy) - benzyl Yl] -3 - methyl-1H-indol-5 - phenol; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - [3 - methoxy - 4 - (2 - piperidin-1 - yl - Ethoxy) - benzyl]-1H-indole; 5 - Benzyloxy-2 - (4 - benzyloxy - phenyl) -3 - methyl-1 - [2 - methoxy - 4 - (2 - azepan Adamantan-1 - yl - ethoxy) - benzyl]-1H-indole; 2 - (4 - hydroxy - phenyl) -3 - methyl-1 - [4 - (2 - piperidin-1 - yl - ethoxy) - benzyl]-1H-indole Indole -5 - phenol. ...
First subclass compound can be by EP 0 802183 A1 and the United States Patent (USP) of announcing on October 22nd, 1997 the 5th, 780, the method of introducing in No. 497 or produce by other method known in the art, the theme of described patent is attached among the present invention by reference.Aryloxy group-alkyl-the dialkylamine or the aryloxy group-alkyl-cyclammonium that are used as intermediate in the production of above-claimed cpd can be as disclosed method production and uses among the WO 99/19293 that announced on April 22nd, 1999, and the theme of described patent also is attached among the present invention by reference.
Can be used for second subclass substituted indole compound of the present invention and comprise formula V or (VI) chemical compound or its pharmaceutically acceptable salt down: Or
Figure A0181508900262
Comprising R 1, R 2, R 3, R 4, R 5, R 6, n, X and Y the same definition of variable substituent group.
Preferred substituted indole compound is following chemical compound and pharmaceutically acceptable salt and ester in second subclass compound:
(E)-and N, N-diethyl-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
1 (E)-N-tert-butyl group-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-base-methyl]-phenyl }-acrylamide;
(E)-pyrrolidinyl-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-and N, N-dimethyl-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-and N, N-dibutyl-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-and the N-butyl, N '-methyl-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-morpholino (morpholinino)-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-and N, methyl-3-{4-[5-hydroxyl-2-(4-hydroxyl-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-and N, N-dibutyl-3-{4-[5-hydroxyl-2-(4-fluoro-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide;
(E)-and the N-butyl, N '-methyl-3-{4-[5-hydroxyl-2-(4-fluoro-phenyl)-3-methyl-indole-1-ylmethyl]-phenyl }-acrylamide.
Second subclass indole substituted compound can be produced by method described in EP 0 802 184 A1 that announced on October 22nd, 1997 or by other method known in the art, and described patent is attached among the present invention by reference.
Can be used for the 3rd subclass compound of the present invention and comprise following formula VII and VIII chemical compound or its pharmaceutically acceptable salt: Or Wherein n is 1,2 or 3, comprises R 1, R 2, R 3, R 4, R 5, R 6, n, X and Y the same definition of variable substituent group.
Preferred compound in the 3rd subclass substituted indole is following chemical compound or its pharmaceutically acceptable salt or ester:
2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-[4-(3-N, N-dimethyl-1-base-third-1-alkynyl)-benzyl]-1H-indole-5-phenol;
2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-[4-(3-piperidines-1-base-third-1-alkynyl)-benzyl]-1H-indole-5-phenol;
2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-[4-(3-pyrrolidine-1-base-third-1-alkynyl)-benzyl]-1H-indole-5-phenol.
The 3rd subclass substituted indole compound can be produced by the 5th, 880, No. 137 (Miller etc.) middle methods of introducing of United States Patent (USP) or by other method known in the art, and described patent is attached among the present invention by reference.
All chemical compounds in first, second and the 3rd the subclass substituted indole compound of the present invention can further be further divided into more preferably chemical compound and the pharmaceutically acceptable salt thereof with above-mentioned formula I-VIII, wherein:
R 1Be selected from H, OH or its C 1-C 12Ester or alkyl ether, halogen;
R 2, R 3, R 4, R 5And R 6Independently be selected from H, OH or its C 1-C 12Ester or alkyl ether, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group, preferred trifluoromethyl, but work as R 1During for H, R 2Be not OH;
X is selected from H, C 1-C 6Alkyl, cyano group, nitro, trifluoromethyl, halogen;
Y is with the lower part
Figure A0181508900281
R 7And R 8Independently be selected from H, C 1-C 6Alkyl or be combined into-(CH 2) p-, wherein p is the integer of 2-6, make to form a ring, described ring optional by at the most 3 be selected from following substituent group and replace: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
Above-mentioned R 7And R 8The ring that is connected to form can include but not limited to aziridine, azetidine, pyrrolidine, piperidines, hexa-methylene amine or heptamethylene amine ring.
The most preferred substituted indole compound of the present invention is chemical compound and the pharmaceutically acceptable salt thereof with said structure formula I-VIII, wherein R 1Be OH; R 2-R 6The same definition; X is selected from Cl, NO 2, CN, CF 3Or CH 3Y is with the lower part
Figure A0181508900291
And R 7And R 8Link together and be-(CH 2) r-, wherein r is the integer of 4-6, forms an optional quilt 3 rings that are selected from following substituent group replacement at the most: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
In another embodiment of substituted indole of the present invention, work as R 7And R 8Link together and be-(CH 2) pIn-time, wherein p is the integer of 2-6, preferred 4-6, and so the ring that forms is optional is selected from C by 1-3 1-C 3Alkyl, trifluoromethyl, halogen, hydrogen, phenyl, nitro ,-substituent group of CN replaces.
The present invention includes sulfate, sulfamate and the sulfuric ester of these substituted indole phenolic group.The easy sulfur trioxide prepared in reaction of sulfate by described free phenol compounds and amine (for example pyridine, trimethylamine, triethylamine etc.) complexation.Sulfamate can prepare by for example handling described free phenol compounds with the sulfonamides chlorine of required amino or alkyl amino or dialkyl amido in the presence of the pyridine at suitable alkali.Sulfuric ester can for example react described free phenol and required alkanesulfonyl chloride in the presence of the pyridine at suitable alkali and prepare.In addition, the present invention includes the phosphate compound that contains phenol and the chemical compound of dialkyl phosphate.Phosphate ester can prepare by described phenol and suitable chloro phosphatase reaction.Dialkyl phosphate can hydrolysis produce the free phosphorus acid esters.Generate under the situation of required dialkyl phosphinic acid ester of described phenol also claimed phosphinate when time phosphonic chloride reaction of described phenol and required dialkyl group.
The present invention includes the acceptable salt of the substituted indole that generates with mineral acid or organic acid additive reaction.Mineral acid for example hydrochloric acid, hydrobromic acid, hydroiodic acid, sulphuric acid, phosphoric acid, nitric acid and organic acid for example acetic acid, propanoic acid, citric acid, maleic acid, malic acid, tartaric acid, phthalic acid, succinic acid, methanesulfonic acid, toluenesulfonic acid, LOMAR PWA EINECS 246-676-2, camphorsulfonic acid, benzenesulfonic acid all are operable acid.People know, have alkaline nitrogen compound can with many different acid (Bronsted acid and aprotic acid) complexation, and preferably give the The compounds of this invention of acid-addition salts form usually.In addition, the present invention includes the quaternary ammonium salt of chemical compound described herein.These salt can be by for example alkyl halide or benzyl halide react and prepare with the nucleophilic amine of described side chain and suitable reactive alkylating agent.
Certainly, the dosage, scheme and the mode that give these chemical compounds will change according to disease degree of being treated and individuality, and must judge through the medical practitioner.Give one or more he spit of fland and substituted indole compound of the present invention with low dosage when preferably beginning, increase dosage then gradually until reaching required treatment effect.
Can be effectively to give these chemical compounds in about 0.1mg/ days to about 500mg/ days with the effective dose.Preferably about 1mg/ days to about 200mg/ days, give with single dose or twice or more times divided dose.Any way (comprising oral, parenteral (comprising intravenous, intraperitoneal and subcutaneous injection) and transdermal) that described dosage can use reactive compound of the present invention to enter receiver's blood flow gives.For the disclosure of invention, transdermal administration is interpreted as and comprises all administrations that see through body surface and body passageway endosexine (comprising epithelial tissue and mucosal tissue).Such administration can use lotion, emulsifiable paste, foam, patch, suspensoid, solution and the suppository (rectum and vagina) of The compounds of this invention or its pharmaceutically acceptable salt to carry out.
When the effective ingredient in preparation of the present invention and the method is 1-[4-(2-azepan-1 base-ethyoxyl)-benzyl]-when 2-(4-hydroxyl-phenyl)-3-Methyl-1H-indole-5-phenol (being also referred to as TSE-424) or its pharmaceutically acceptable salt, the preferred daily dose of oral administration is about 0.1mg/ days to about 50mg/ days, preferably about 2.5mg/ days to about 40mg/ days.
When the effective ingredient in preparation of the present invention and the method is 2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-(4-(2-piperidines-1-base-ethyoxyl)-benzyl)-1H-indole-5-phenol (being also referred to as ERA-923) or its pharmaceutically acceptable salt form, the preferred daily dose of oral administration is about 0.1mg/ days to about 200mg/ days, preferably about 2.5mg/ days to about 100mg/ days.
The oral formulations that contains reactive compound of the present invention can comprise any conventional peroral dosage form that uses, and comprises tablet, capsule, buccal, dragee, lozenge and liquid oral, suspensoid or solution.Capsule can contain for example mixture of crystalline cellulose and microcrystalline Cellulose, flour, gelatin, natural gum etc. of for example pharmaceutically acceptable starch of described reactive compound and inert filler and/or diluent (for example corn starch, potato starch or tapioca), sugar, artificial sweetening agent, Powderd cellulose.Effectively tablet formulation can pass through conventional pressed disc method, wet granulation or dry granulation method prepare, and use pharmaceutically acceptable diluent, binding agent, lubricant, disintegrating agent, suspensoid or stabilizing agent include but not limited to magnesium stearate, stearic acid, Pulvis Talci, sodium lauryl sulphate, microcrystalline Cellulose, carboxymethylcellulose calcium, polyvinylpyrrolidone, gelatin, alginic acid, arabic gum, xanthan gum, sodium citrate, complex silicate, calcium carbonate, glycine, dextrin, sucrose, Sorbitol, dicalcium phosphate, calcium sulfate, lactose, Kaolin, mannitol, sodium chloride, Pulvis Talci, dried starch and powdered sugar.Oral formulations of the present invention can use standard delay or time release formulation, to change the absorption of described reactive compound.The preparation of suppository formulations can comprise cocoa butter, adding or not add the wax that changes the suppository fusing point with traditional material, and glycerol.Also can use water soluble suppository bases, for example various molecular weight polyethylene glycol.
The medicinal effective dose of statins and substituted indole and estrogen (when the present invention uses) should be understood to reduce the dosage of suffering from cardiovascular disease risk or its morbidity.Most preferably, effective dose is such dosage: reduce the whole blood of receiver or serum cholesterol level, especially LDL level, or these levels that keep described individuality are considered his or her initial level, comprehensive health, cardiovascular diseases's family history, age, body weight etc. in the reasonable concentration scope.
The statins of these methods can give according to scheme known in the art and dosage.For example (Bayer Corporation is with Baycol for cerivastatin The trade name sale) recommended dose is 0.3mg/ days and takes between the lights, is 0.2mg/ days to patient's predose that severe renal failure is arranged, and takes once every night.(Novartis Pharmaceuticals is with trade name Lescol for fluvastatin sodium Sale) oral dose scope was recommended 20-80mg/ days, to the preferred 20-40mg/ of Most patients days.20-40mg/ days dosage is preferably taken in that h.d. is disposable.80mg/ days dose prescription is 40mg dosage b.i.d. and only recommends to be used for and can not to reach the patient who reduces the horizontal effect of LDL satisfactorily with 40mg/ days dosage.(Parke Davis is with Lipitor for atorvastatin Trade name is sold) the initial daily dose of recommendation be 10mg once a day, total daily dose scope from 10 to 80mg.Simvastatin (Merck ﹠amp; Co., Inc. sells) can be with predose 20mg (taking at dusk) once a day, the daily dose that only needs the horizontal patient of moderate reduction LDL is 10mg.Total daily dose scope of recommending (disposable taking at dusk) from 5 to 80mg.(Bristol-Meyers Squibb is with Pravachol for pravastatin sodium Trade name is sold) recommendation predose 10 or 20mg/ days, once take at h.d. every day, final overall daily dose scope from 10 to 40mg.Lovastatin (Merck ﹠amp; Co. with Mevacor Trade name is sold) the initial daily dose 20mg/ of recommendation days, take during dinner.The final daily dose scope of recommending is from 10 to 80mg/ days, with single dose or administered in divided doses.
Estrogen can give according to scheme known in the art or dosage among the present invention.For example preferred Premarin The conjugated estrogens sheet can be according to the 3302-3305 page or leaf, Physicians ' Desk Reference, and the 54th edition, 2000, Medical Economics Company, Inc., Montvale, NJ 07645-1742 introduces and gives.Other can be used for commercially available estrogen of the present invention and comprises OGEN (piperazine estrone sulfate tablet), ESTRATAB (esterified estriol tablet), ESTRACE Estradiol vaginal cream, CLIMARA (estradiol transdermal system), ESTRADERM (transdermal system), MENESTTM (esterified estriol tablet), ORTHO-EST (piperazine estrone sulfate tablet), CENESTIN TM(synthetic conjugated estrogens), ALORA (estradiol transdermal system), ESTINYL (ethinyl estradiol) and VIVELLE And VIVELLE-DOT (estradiol transdermal system).All these commercially available estrogen products can be according to Physicians ' Desk Reference, and the 54th edition, the relevant portion introduction gives in 2000.
The listed controversies in hormone replacement in the elderly mediating recipe of following table gauge lattice can obtain in the U.S. and/or Europe.Common name trade name size oral estrogen yoke closes premarin (natural) Premarin 0.3,0.625,0.9,1.25,2.5mg conjugated estrogens (synthesizing) Cenestin 0.625,0.9mg esterified estriol (75-80% OES Estratab 0.3,0.625,1.25, the sulphuric acid 1,3,5,7-estratetraen-3-ol-17-one that 2.5mg6-15% is obtained by plant sterol) piperazine estrone sulfate Ogen Ortho-Est 0.625,1.25,2.5mg estradiol micronized Estrace 0.5,1.0,2.0mg raloxifene (selective estrogen receptor modulators) Evista 60mg esterified estriol and methylestosterone Estratest 1.25mg esterified estriol and
2.5mg?methylestosterone
Estratest HS 0.625mg esterified estriol and
1.25mg methylestosterone Estradiol Valerate Climaval 1mg; 2mg estradiol Elleste Solo 1mg, 2mg estradiol Estrofem 2mg estradiol Estrofem Forte 4mg Piperazine Estrone Sulfate Harmogen 1.5mg associating: oestrone Hormonin 1.4mg
Estradiol 0.6mg
Estriol 0.27mg estradiol valerate Progynova 1mg, 2mg estradiol Zumenon 1mg, 2mg transdermal estrogen estradiol Alora (twice weekly) discharges 0.025 every day, 0.0375
Climara (once in a week) 0.05,0.075,0.1mg is female
Estraderm (twice weekly) glycol (is selected according to different product
Fem Patch (once in a week) dosage)
Vivelle (twice weekly) estradiol Dermestril estradiol Estraderm 25,50,100 μ g estradiol Evorel (Systen) 25,50,100 μ g estradiol Fematrix 25,50,75,100 μ g estradiol Menorest, 40,80 μ g
Progynova TS 25,37.5,50,75 μ g estradiol And TS Forte 50,100 μ g
(Climara) vagina closes premarin vagina Premarin dienestrol emulsifiable paste estradiol Ortho dienestrol emulsifiable paste 0.625mg/g piperazine estrone sulfate Estring 0.1mg/g estradiol micronized Ogen vagina emulsifiable paste 7.5 μ g with the estrogen yoke
Estrace vagina emulsifiable paste 1.5mg/g
1.0mg/g
Should be understood that the scheme low-cholesterol diet that all preferred combination is suitable of all cholesterol reducing levels and minimizing related cardiovascular disease risk is implemented.
In these methods, unite and give two groups or three groups of chemical compounds and must determine according to the disease of receiver's situation and prevention or treatment by the medical professional.Described chemical compound can begin to give maybe a kind of chemical compound can be introduced in other chemical compound scheme of well afoot simultaneously.
The Pharmaceutical composition of preferred the inventive method provides with unit dosage forms, for example tablet or capsule.In described dosage form, chemical compound is subdivided into the unit dose that comprises the suitable dose active component; Unit dosage forms can be packaged composition, for example parcel powder, the bottle that liquid agent is housed, ampoule, pre-filled syringe or sachet.Unit dosage forms can be for example capsule or tablet itself, or the also any described compositions of the right quantity of packaged form.
The substituted indole compound of preparation of the present invention and Ta Ting medicine and optional estrogen give with separate dosage units, for example independent pill, tablet, powder etc., or be mixed into a kind of preparation and give.After the optimal dosage of having determined benzazolyl compounds and described his spit of fland in the preparation, can preferably both be blended into a kind of preparation to make things convenient for medication.In addition, should be understood that preparation of the present invention also can comprise or not comprise other medicinal active ingredient.
The present invention also comprises medicine box or the packing that is designed for the pharmaceutical formulation in scheme of the present invention or the method.These medicine box decision design be used for the regulation administration time or in the cycle every day oral administration, the day orally give quantity that is preferred for stipulating, and carry out single oral formulations or the combination oral formulations of assembly to point out that need take every day in described scheme or in the cycle.Preferred each medicine box comprises the oral tablet that need take every day, and a kind of oral tablet comprises all described composite reagent daily doses in the part embodiment, and each chemical compound medication is independently preparation or compositions in other embodiments.Most preferably described packing or medicine box have schedule or the operation instruction of every day weekly, instruct and take suitable compositions at suitable date or time.
In preferred embodiments, packing of the present invention or medicine box comprise the independent oral dose preparation of each component of the present invention.For example take the every day of regulation scheme: a kind of his spit of fland medicine of daily dose (is selected from cerivastatin, fluvastatin, atorvastatin, simvastatin, pravastatin or lovastatin) or the tablet of its pharmaceutically acceptable salt and a kind of substituted indole compound of the present invention (preferred 1-[4-(2-azepan-1 base-ethyoxyl)-benzyl]-2-(4-hydroxyl-phenyl)-3-Methyl-1H-indole-5-phenol or 2-(4-hydroxyl-phenyl)-3-methyl isophthalic acid-(4-(2-piperidines-1-base-ethyoxyl)-benzyl)-1H-indole-5-phenol) or the oral formulations of its pharmaceutically acceptable salt and the Premarino of the daily dose of choosing any one kind of them Progens Tab.Certainly any or each described component can be divided into multidose and take in every day in medicine box or packing.In another preferred embodiment, medicine box or packing comprise the supply in January of component of the present invention, each component consumption per day of promptly 28-31 days.
Be used for carrier or excipient systems that preferred solid orally ingestible of the present invention (film-coated tablet or capsule) comprises active substituted indole medicine disclosed by the invention and following component;
A) filler and disintegrating agent component, account for total preparation about 5% to about 82% (weight), preferred described preparation about 30% to about 80%, wherein about 4% to about 40% of total preparation comprises one or more pharmaceutically acceptable disintegrating agents;
B) optional wetting agent, account for described compositions about 0.2% to about 5% (weight), for example be selected from the sugar ester of sodium lauryl sulphate, polyoxyethylene sorbitan fatty acid ester, polyoxyethylene alkyl ether, sorbitan fatty acid esters, Polyethylene Glycol, castor oil derivatives, docusate sodium, quaternary ammonium compound, fatty acid and the glyceride of fatty acid;
C) lubricant, account for described compositions about 0.2% to about 10% (weight), for example be selected from magnesium stearate or other Metallic stearates (for example calcium stearate or zinc stearate), fatty acid ester (for example sodium stearyl fumarate), fatty acid (for example stearic acid), aliphatic alcohol, Glyceryl Behenate, mineral oil, paraffin, hydrogenated vegetable oil, leucine, Polyethylene Glycol, lauryl sulphate acid slaine and sodium chloride;
D) optional fluidizer, account for described compositions about 0.1% to about 10% (weight), be selected from fluidizer known in the art, comprise silicon dioxide, Pulvis Talci, Metallic stearates, calcium silicates or lauryl sulphate acid slaine.
Although preparation of the present invention can use non-coating or non-encapsulation solid form, preferred coating or encapsulation final composition.Described pharmacology's compositions can be chosen wantonly and use the film-coat coating, preferably account for described total composition about 0.3% to about 8% (weight).The film-coat that is used for preparation of the present invention is known in the art, generally is made up of polymer (being generally the polymer of Cellulosed molded article), coloring agent and plasticizer.In film-coated preparation, can comprise other composition for example wetting agent, sugar, flavoring agent, oil and lubricant, to give described some characteristic of film coating.Compositions of the present invention and preparation can also hybrid process be solid, put into capsule then, for example gelatine capsule.
Above-mentioned filler component can be used filler or the adhesive component that is used for solid orally ingestible known in the art.Pharmaceutically acceptable filler or binding agent are selected from filler known in the art or binding agent, include but not limited to lactose, microcrystalline Cellulose, sucrose, mannitol, calcium phosphate, calcium carbonate, Powderd cellulose, maltodextrin, Sorbitol, starch or xylitol.
Coupling or replace above-mentioned filler component materials, preparation of the present invention uses disintegrating agent.These disintegrating agents can be selected from disintegrating agent known in the art, comprise pregelatinized starch and sodium starch glycollate.Other useful disintegrating agent comprises cross-linking sodium carboxymethyl cellulose, crospovidone, starch, alginic acid, sodium alginate, clay (for example veegum or xanthan gum), cellulose wadding condensate, ion exchange resin or effervescent system, for example uses food acids (for example citric acid, tartaric acid, malic acid, fumaric acid, lactic acid, adipic acid, ascorbic acid, aspartic acid, arabo-ascorbic acid, glutamic acid and succinic acid) and basic carbonate component (for example sodium bicarbonate, calcium carbonate, magnesium carbonate, potassium carbonate, ammonium carbonate etc.) effervescent system.Be used for disintegrating agent of the present invention account for described compositions about 4% to about 40% (weight), preferred about 15% to about 35%, more preferably from about 20% to about 35%.In preparation of the present invention, some component can have multiple function, and for example not only as filler but also as disintegrating agent, such component can be called fills the dosage form disintegrating agent, and its function in particular formulations may be a kind of, even its character has multifunctionality.
Pharmaceutical formulation of the present invention and carrier or excipient systems also preferably contain a kind of antioxidant or antioxidant blends, most preferably ascorbic acid.Operable other antioxidant comprises sodium ascorbate and ascorbic palmitate, preferably with a certain amount of ascorbic acid coupling.The preferable range of described antioxidant is about 0.5% to about 15% (weight), most preferably is about 0.5% to about 5% (weight).
Medicinal preparation contains active medicine and the carrier or the excipient systems of medicinal effective dose in the preparation of the present invention, and described carrier or excipient systems comprise:
A) filler and disintegrating agent component, account for described preparation about 50% to about 87%, and described preparation about 4% to about 40% comprise one or more disintegrating agents;
B) wetting agent accounts for about 0.5% to about 2.7% of described preparation;
C) lubricant accounts for about 0.2% to about 5.5% of described preparation;
D) fluidizer accounts for about 0.1% to about 5.5% of described preparation.
More than cited preparation percentage ratio represent a)-d) percentage by weight of cited component gross weight.Above-mentioned preparation also preferably contains optional antioxidant ingredients, preferred ascorbic acid, concentration be described preparation about 0.5% to about 5.5% (weight).Described preparation also preferably is contained in the pharmaceutically acceptable capsule example gel capsule, or with the about 0.3% film-coat coating to about 8% (weight) that accounts for described preparation.
The present invention also comprises pharmaceutical carrier or the excipient systems that can be used for Pharmaceutical composition, and one or more chemical compounds of the present invention or its pharmaceutically acceptable salt of the present invention are active component in the said composition.These pharmaceutical carriers or excipient systems comprise by weight:
A) filler and disintegrating agent component, account for described preparation about 54% to about 80%, wherein disintegrating agent account for described total preparation about 4% to about 40% (weight);
B) wetting agent accounts for about 0.55% to about 2.5% of described preparation;
C) lubricant accounts for about 0.2% to about 5.5% of described preparation;
D) fluidizer accounts for about 0.1% to about 5.0% of described preparation.
Preferred above-mentioned carrier or excipient systems are also optional and preferably contain antioxidant ingredients, preferred ascorbic acid, and concentration is about 0.1% to about 5.0% (weight).
Carrier of the present invention or excipient systems comprise:
A) filler and disintegrating agent component, as mentioned above, account for described preparation about 50% to about 87%, wherein disintegrating agent account for described preparation about 25% to about 35% (weight);
B) wetting agent accounts for about 0.55% to about 2.7% of described preparation;
C) lubricant accounts for about 0.2% to about 5.5% of described preparation;
D) fluidizer accounts for about 0.1% to about 5.5% of described preparation;
E) antioxidant ingredients, preferred ascorbic acid, concentration is about 0.1% to about 5.5% (weight).
Correspondingly, the present invention also provides a kind of product, this product comprises formula I or II chemical compound or its pharmaceutically acceptable salt and statins or its pharmaceutically acceptable salt of above definition, and choose any one kind of them or multiple estrogen or its pharmaceutically acceptable salt, described product as combination preparation simultaneously, separately or sequential administration be used for the treatment of the mammal cardiovascular disease.
The present invention also provides a kind of Pharmaceutical composition, said composition comprises formula I or II chemical compound or its pharmaceutically acceptable salt and statins or its pharmaceutically acceptable salt of above definition, and chooses any one kind of them or multiple estrogen or its acceptable salt pharmaceutically; Also comprise pharmaceutically acceptable carrier.
Embodiment 1. acetic acid TSE-424-dissolution formulations
Composition Do not contain ascorbic acid Contain ascorbic acid
Micronization acetic acid TSE-424 * ??10.00 ??10.00
Lactose NF high fluidity ??33.10 ??31.60
Microcrystalline Cellulose NF (Avicel PH101) ??25.00 ??25.00
Starch 1500 ??20.00 ??20.00
Sodium lauryl sulphate NF ??1.50 ??1.50
Sodium starch glycollate ??10.00 ??10.00
Ascorbic acid USP ??- ??1.5
??Syloid?244?FP ??0.15 ??0.15
Magnesium stearate ??0.25 ??0.25
*According to the actual adjusting formula ratio of tiring of TSE-424 free alkali.
Carry out corresponding adjusting with lactose.
The preparation of last table 1 preparation is to mix the described excipient of part in pelletization, and a part adds in last blend step with dry powder.The solubility curve figure of described preparation proves that medicine almost discharged 90% in 30 minutes.Therefore, the unique combination of disintegrating agent and solubility diluent adds graininess and powdery solid be incorporated into and guarantees the fastest release of medicine in the described compositions.
The wet granulation of preparation shown in the table 1 can be that described medicine and ascorbic acid are mixed with a part of lactose, microcrystalline Cellulose, pregelatinized starch and sodium starch glycollate.Sodium lauryl sulphate is soluble in water, in high-shear mixer, use so that various mixture of powders is granulated.Particulate matter is dried to moisture in fluidized bed dryer be 2-3%.The granularity of dried particles make its by blade is housed mill and use 20 orders or 30 mesh sieve are controlled.Silicon dioxide and remaining lactose, microcrystalline Cellulose, pregelatinized starch and sodium starch glycollate are mixed in tumbling mixer with levigated granule.Whole mixture prepares by adding magnesium stearate and mix in tumbling mixer.Tabletting uses the mould of suitable size to carry out on rotary tablet machine.Coating carries out in conventional coating pan, uses the coating suspensoid and realizes suitable film coating.Embodiment 2. modified model TSE-424 preparations
%w/w
Composition 5% particulate matter
Micronization acetic acid TSE-424 a 5.00
Lactose NF 41.00
Microcrystalline Cellulose, NF 35.00
Pregelatinized starch NF 10.00
Sodium lauryl sulphate NF 1.50
1-ascorbic acid USP 1.50
Sodium starch glycollate NF 5.50
Magnesium stearate NF 0.50
Pure water USP b qs
aAccording to the actual adjusting formula ratio of tiring of TSE-424 free alkali.Adjust accordingly with lactose. bWork in-process uses but does not appear in the end article.Embodiment 3.ERA-923 preparation
%w/w
Composition 10.86% particulate matter 11.19% particulate matter 17.5% particulate matter 17.9% particulate matter
Micronization ERA-923 a ??10.867 ??11.193 ??17.489 ????17.909
Lactose NF ??29.000 ??29.000 ??17.380 ????18.000
Microcrystalline Cellulose, NF ??40.633 ??42.807 ??38.000 ????39.090
Pregelatinized starch NF ??10.000 ??10.000 ??14.630 ????15.000
Sodium lauryl sulphate NF ??2.500 ??-- ??2.500 ????--
1-ascorbic acid USP ??1.500 ??1.500 ??1.500 ????1.500
Sodium starch glycollate NF ??5.000 ??5.000 ??8.000 ????8.000
Magnesium stearate NF ??0.500 ??0.500 ??0.500 ????0.500
Pure water USP b ??qs ??qs ??qs ????qs
aHydrochloride monohydrate.Adjusted.Regulate consumption (theoretical value=89.34%) according to actual tiring. bWork in-process uses but does not appear in the end article.
The ERA-923 tablet press is become the every weight tablet of 640mg at the most, to reach target dose (100mg at the most).Then tablet is carried out the film coating.Embodiment 4. 5% particulate TSE-424
The preferred vector or the excipient systems that are used to prepare particulate matter (wherein a kind of active medicine of the present invention is about 2% to about 8% (weight), preferred about 5%) can be used following percentage by weight carrier or excipient component production: lactose is about 32% to about 38%, microcrystalline Cellulose is about 32% to about 38%, pregelatinized starch is about 12% to about 16%, ascorbic acid is about 1% to about 2%, sodium lauryl sulphate is about 1% to about 2%, sodium starch glycollate is about 4% to about 8%, silicon dioxide is about 0.1% to about 0.2%, magnesium stearate is about 0.3% to about 0.7%.
Use 5% particulate TSE-424 as effective ingredient, preparation of the present invention prepares with following particulate fraction and drying nest component. bullets composition Mg/ unit grain part: 1 acetic acid TSE-424 5.002 lactose NF 26.603 microcrystalline cellulose NF 25.004 pregelatinized starch NF 10.005 ascorbic acid USP 1.506 lauryl sodium sulfate NF 1.507 sodium starch glycollate NF 4.008 pure water USP Q.S.
73.60 drying nest: 9 lactose NF (high fluidity), 9.7510 microcrystalline Cellulose NF, 10.0011 pregelatinized starch NF, 4.0012 sodium starch glycollate NF, 2.0013 silicon dioxide NF, 0.1514 magnesium stearate NF 0.50
100.00
White Opadry I (YS-1-18027-A) film coating is applied to described tablet, the following compacting of described tablet:
TSE-424 dosage Tablet weight, mg Used film coating mg/ sheet
5mg????????????100?????????????6.0
10mg???????????200?????????????8.0
20mg???????????400?????????????13.0

Claims (19)

1. method for the treatment of the mammal cardiovascular disease, this method comprises that giving it needs the following medicine of mammal:
I) statins of medicinal effective dose or its pharmaceutically acceptable salt; With
The ii) substituted indole compound of following formula I or II or its pharmaceutically acceptable salt:
Figure A0181508900021
Or
Figure A0181508900022
Wherein Z is selected from following part:
Figure A0181508900023
Or
Figure A0181508900024
Wherein:
R 1Be selected from H, OH or its C 1-C 12Ester or C 1-C 12Alkyl ether, benzyloxy or halogen; Or C 1-C 4Halogen ether comprises trifluoromethyl ethers and trichloromethyl ether;
R 2, R 3, R 5And R 6Independently be selected from H, OH or its C 1-C 12Ester or C 1-C 12Alkyl ether, halogen or C 1-C 4Halogen ether, cyano group, C 1-C 6Alkyl or trifluoromethyl, but R worked as 1During for H, R 2Be not OH;
R 4Be selected from H, OH or its C 1-C 12Ester or C 1-C 12Alkyl ether, halogen or C 1-C 4Halogen ether, benzyloxy, cyano group, C 1-C 6Alkyl or trifluoromethyl;
X is selected from H, C 1-C 6Alkyl, cyano group, nitro, trifluoromethyl, halogen; N is 1,2 or 3; Y is selected from: a) with the lower part:
R wherein 7And R 8Independently be selected from H, C 1-C 6Alkyl or optional by CN, C 1-C 6Alkyl, C 1-C 6Alkoxyl, halogen ,-OH ,-CF 3Or-OCF 3The phenyl that replaces; Perhaps R 7And R 8Be combined into-(CH 2) p-, wherein p is the integer of 2-6, make to form a ring, described ring optional by at the most 3 be selected from following substituent group and replace: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two-(C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
B) five yuan of saturated, unsaturated or part unsaturated heterocycles, contain at the most two to be selected from-O-,-NH-,-N (C 1C 4Alkyl)-,-N=and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 2-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H-,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl;-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl;
C) hexa-atomic saturated, unsaturated or part unsaturated heterocycle, contain at the most two to be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-,-N=and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 2-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H-,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl ,-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl;
D) seven yuan of saturated, unsaturated or part unsaturated heterocycles, contain at the most two to be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-,-N=and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 2-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl ,-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl; Or
E) bridging or condensed bicyclic heterocycle, contain 6-12 carbon atom and contain at the most two be selected from-O-,-NH-,-N (C 1-C 4Alkyl)-and-S (O) m-hetero atom, wherein m is the integer of 0-2, described heterocycle is optional independently to be selected from following substituent group replacement by 1-3: hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 2-C 4Acyloxy, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONHR 1,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2R 1,-NHCOR 1,-CONH (C 1-C 4) alkyl ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl ,-NO 2With optional by 1-3 (C 1-C 4) phenyl that replaces of alkyl;
And it is optional
Iii) one or more estrogen or its pharmaceutically acceptable salt.
2. the process of claim 1 wherein in formula I chemical compound or formula II chemical compound or its pharmaceutically acceptable salt:
R 1Be selected from H, OH or its C 1-C 12Ester or alkyl ether, benzyloxy or halogen;
R 2, R 3, R 5And R 6Independently be selected from H, OH or its C 1-C 12Ester or alkyl ether, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group; But work as R 1During for H, R 2Be not OH;
R 4Be selected from H, OH or its C 1-C 12Ester or alkyl ether, benzyloxy, halogen, cyano group, C 1-C 6Alkyl or trihalomethyl group;
X is selected from H, C 1-C 6Alkyl, cyano group, nitro, trifluoromethyl, halogen;
Y is with the lower part
Figure A0181508900051
R 7And R 8Independently be selected from H, C 1-C 6Alkyl or be combined into-(CH 2) p-, wherein p is the integer of 2-6, make to form a ring, described ring optional by at the most 3 be selected from following substituent group and replace: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
3. claim 1 or 2 method, wherein in the chemical compound of formula I or II, R 7And R 8By-(CH 2) p-the ring that is connected to form is selected from aziridine, azetidine, pyrrolidine, piperidines, hexa-methylene amine or heptamethylene amine.
4. the method for claim 1, described method is used chemical compound or its pharmaceutically acceptable salt, the wherein R of formula I or II 1Be OH; R 2-R 6Define with claim 1; X is selected from Cl, NO 2, CN, CF 3Or CH 3Y is with the lower part:
Figure A0181508900052
And R 7And R 8Link together and be-(CH 2) r-, wherein r is the integer of 4-6, forms an optional quilt 3 rings that are selected from following substituent group replacement at the most: hydrogen, hydroxyl, halogen, C 1-C 4Alkyl, trihalomethyl group, C 1-C 4Alkoxyl, three halogenated methoxies, C 1-C 4Alkylthio group, C 1-C 4Alkyl sulphinyl, C 1-C 4Alkyl sulphonyl, hydroxyl (C 1-C 4) alkyl ,-CO 2H ,-CN ,-CONH (C 1-C 4) alkyl ,-NH 2, C 1-C 4Alkyl amino, two (C 1-C 4) alkyl amino ,-NHSO 2(C 1-C 4) alkyl ,-NHCO (C 1-C 4) alkyl and-NO 2
5. method for the treatment of the mammal cardiovascular disease, described method comprise and give its statins that needs the medicinal effective dose of mammal or its pharmaceutically acceptable salt; The Formula Il I of medicinal effective dose or the chemical compound of IV or its pharmaceutically acceptable salt:
Figure A0181508900061
Or R wherein 1, R 2, R 3, R 4, R 5, R 6, n, X and Y be with claim 1 definition, and choose any one kind of them or multiple estrogen or its pharmaceutically acceptable salt.
6. method for the treatment of the mammal cardiovascular disease, described method comprise and give its statins that needs the medicinal effective dose of mammal or its pharmaceutically acceptable salt; The following formula V of medicinal effective dose or chemical compound (VI) or its pharmaceutically acceptable salt: Or
Figure A0181508900064
R wherein 1, R 2, R 3, R 4, R 5, R 6, X and Y be with claim 1 definition, and choose any one kind of them or multiple estrogen or its pharmaceutically acceptable salt.
7. method for the treatment of the mammal cardiovascular disease, described method comprises following formula VII chemical compound and formula VIII chemical compound or its pharmaceutically acceptable salt that gives its statins that needs the medicinal effective dose of mammal or its pharmaceutically acceptable salt and medicinal effective dose: Or R wherein 1, R 2, R 3, R 4, R 5, R 6, n, X and Y define with claim 1; And choose any one kind of them or multiple estrogen or its pharmaceutically acceptable salt.
8. method for the treatment of the mammal cardiovascular disease, described method comprise give its 1-[4-that needs the medicinal effective dose of mammal (2-azepan-1 base-ethyoxyl)-benzyl]-statins or its pharmaceutically acceptable salt of 2-(4-hydroxyl-phenyl)-3-Methyl-1H-indole-5-phenol or its pharmaceutically acceptable salt and medicinal effective dose, and choose any one kind of them or multiple estrogen or its pharmaceutically acceptable salt.
9. each method of claim 1-8, wherein said statins is selected from cerivastatin, fluvastatin, atorvastatin, simvastatin, pravastatin or lovastatin or their pharmaceutically acceptable salt.
10. each method of claim 1-9, use therein one or more estrogen are selected from estrone, estriol, 1,3,5,7-estratetraen-3-ol-17-one, female diene, (.+-.)-Equilenin., ethinyl estradiol, 17 beta estradiols, 17 'alpha '-dihydroequilenins, 17 β-dihydroequilenin, 17 α-dihydroequilin, 17 β-dihydroequilin, menstranol, conjugated estrogens, equol, enterolactone or their pharmaceutically acceptable salt.
11. each method of claim 1-9, wherein said one or more estrogen are conjugated estrogens.
12. a method for the treatment of the mammal cardiovascular disease, described method comprise statins or its pharmaceutically acceptable salt that gives its 2-that needs the medicinal effective dose of mammal (4-hydroxyl-phenyl)-3-methyl isophthalic acid-(4-(2-piperidines-1-base-ethyoxyl)-benzyl)-1H-indole-5-phenol or its pharmaceutically acceptable salt, one or more estrogen or its pharmaceutically acceptable salt and medicinal effective dose.
13. the method for claim 12, wherein said statins are selected from cerivastatin, fluvastatin, atorvastatin, simvastatin, pravastatin or lovastatin or their pharmaceutically acceptable salt.
14. the method for claim 12 or 13, wherein said one or more estrogen are conjugated estrogens.
15. each method of claim 1-14, wherein said cardiovascular disease is a coronary artery disease.
16. each method of claim 1-14, described method is used to reduce mammal LDL blood levels.
17. product, this product comprises the formula I of each definition of claim 1-8 or chemical compound or its pharmaceutically acceptable salt and statins or its pharmaceutically acceptable salt of II, and choose any one kind of them or multiple estrogen or its pharmaceutically acceptable salt, described product as combination preparation simultaneously, separately or sequential administration be used for the treatment of mammiferous cardiovascular disease.
18. Pharmaceutical composition, said composition comprises the formula I of each definition of claim 1-8 or chemical compound or its pharmaceutically acceptable salt and statins or its pharmaceutically acceptable salt of II, and chooses any one kind of them or multiple estrogen or its acceptable salt pharmaceutically; And comprise pharmaceutically acceptable carrier.
19. the formula I of each definition of claim 1-8 or the chemical compound of II or its pharmaceutically acceptable salt and statins or its pharmaceutically acceptable salt and choose any one kind of them or multiple estrogen or its purposes of acceptable salt in preparation medicine or product pharmaceutically, described medicine or product as combination preparation simultaneously, separately or sequential administration be used for the treatment of the mammal cardiovascular disease.
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