CN1756542A - Use of L-dopa, derivatives thereof and medicaments containing said compounds for the prevention of psychotic disorders - Google Patents

Use of L-dopa, derivatives thereof and medicaments containing said compounds for the prevention of psychotic disorders Download PDF

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Publication number
CN1756542A
CN1756542A CNA2003801066148A CN200380106614A CN1756542A CN 1756542 A CN1756542 A CN 1756542A CN A2003801066148 A CNA2003801066148 A CN A2003801066148A CN 200380106614 A CN200380106614 A CN 200380106614A CN 1756542 A CN1756542 A CN 1756542A
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Prior art keywords
dopa
physiological compatibility
derivant
inhibitor
compatibility salt
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CNA2003801066148A
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Chinese (zh)
Inventor
R-G·阿尔肯
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BDD Berolina Drug Development GmbH
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BDD Berolina Drug Development GmbH
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Publication of CN1756542A publication Critical patent/CN1756542A/en
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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
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/17Amides, e.g. hydroxamic acids having the group >N—C(O)—N< or >N—C(S)—N<, e.g. urea, thiourea, carmustine
    • A61K31/175Amides, e.g. hydroxamic acids having the group >N—C(O)—N< or >N—C(S)—N<, e.g. urea, thiourea, carmustine having the group, >N—C(O)—N=N— or, e.g. carbonohydrazides, carbazones, semicarbazides, semicarbazones; Thioanalogues thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/197Carboxylic acids, e.g. valproic acid having an amino group the amino and the carboxyl groups being attached to the same acyclic carbon chain, e.g. gamma-aminobutyric acid [GABA], beta-alanine, epsilon-aminocaproic acid, pantothenic acid
    • A61K31/198Alpha-aminoacids, e.g. alanine, edetic acids [EDTA]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Abstract

The invention relates to the use of L-dopa, derivatives thereof or their physiologically compatible salts for the prophylaxis of psychiatric disorders and for the treatment of diseases which are caused by a disturbed tyrosine transport or a disturbed tyrosine decarboxylase. In addition, the present invention relates to a pharmaceutical composition comprising L-dopa, derivatives thereof or physiologically compatible salts thereof for the prevention of psychiatric disorders in addition to pharmaceutically compatible adjuvants and additives. Furthermore, the invention relates to the combination of L-dopa, derivatives thereof or their physiologically compatible salts with enzyme inhibitors for the prevention of psychiatric disorders and for the treatment of diseases which are caused by a disturbed tyrosine transport or a disturbed tyrosine decarboxylase, and to corresponding pharmaceutical compositions for the prevention of psychiatric disorders and for the treatment of diseases which are caused by a disturbed tyrosine transport or a disturbed tyrosine decarboxylase.

Description

L-DOPA, its derivant and contain the purposes that the medicine of this chemical compound is used to prevent mental sickness
The present invention relates to 3,4-dihydroxy-L-phenylalanine (L-DOPA) and its derivant are used to prepare the purposes of medicine, and they are used to prevent mental sickness and are used for the treatment of because the purposes of the disease that the tyrosine decarboxylase of disorderly tyrosine transhipment or disorder causes.
At present, usually treat the symptom of schizophrenia disease by means of neuroleptic such as chlorpromazine, haloperidol, sulpiride and chemical analog thereof.Because use the treatment of neuroleptic can not cure underlying diseases, so therapy discontinued can cause patient's recurrence usually.
Different mental sickness is all relevant with the dysbolismus of norepinephrine, dopamine and 5-hydroxy tryptamine.
L-DOPA and its derivant particularly ester are particularly useful for treating parkinson disease and restless leg syndrome so far.The L-DOPA affects the dopamine level in the cranial nerve cell.Different with dopamine itself, the L-DOPA can pass through blood brain barrier, and is transformed into dopamine in brain.
The L-DOPA gives in the medicine that has active additive usually.Particularly can use the combination of the inhibitor of the inhibitor of inhibitor, monoamine oxidase, MAO (MAO) of L-DOPA and periphery decarboxylase inhibitor, catechol O-methyltransferase (COMT) and dopamine-.
The relevant therewith decarboxylase inhibitor of using for example is D, L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides (benserazide), (-)-L-a-diazanyl-3,4-dihydroxy-a-hydrogenated methyl cinnamic acid (carbidopa), L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides, glycine-2-(2,3,4-trihydroxy benzyl) hydrazides and L-tyrosine-2-(2,3,4-trihydroxy benzyl) hydrazides.The example of the combination preparation of being made up of L-DOPA and decarboxylase inhibitor is Madopar  (L-DOPA and Ro-4-4602 .) and Nacom  (L-DOPA and carbidopa) especially.
The example of COMT inhibitor is that entacapone (Comtan ) and cabergoline are SelegilineHydrochloride, moclobemide and tranylcypromine with MAO inhibitor commonly used.
As the inhibitor of dopamine-, describing has 5-butyl picolinate calcium and 5-pentyl pyridine calcium formate (DE-A 2 049 115).
Be preferred for preventing the purposes of the recurrence of mental sickness according to the present invention, be meant the recurrence of schizophrenia disease especially.
Be surprisingly found out that, the L-DOPA can be used to prevent mental sickness.If known can produce the side effect of mental disorder when the L-of administered with high dose DOPA the time, this just more makes us surprised.
At this, preferably unite and use L-DOPA, its derivant and their physiological compatibility salt and one or more to be used to prevent mental sickness and be used for the treatment of because disorderly tyrosine is transported or the enzyme inhibitor of the disease that the tyrosine decarboxylase of disorder causes.
If enzyme inhibitor is decarboxylase inhibitor and/or catechol O-methyltransferase inhibitor and/or oxidase inhibitor and/or B-hydroxylase inhibitors, this is favourable so.
If decarboxylase inhibitor is selected from D, L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides (benserazide), (-)-L-a-diazanyl-3,4-dihydroxy-a-hydrogenated methyl cinnamic acid (carbidopa), L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides, glycine-2-(2,3,4-trihydroxy benzyl) hydrazides and L-tyrosine-2-(2,3,4-trihydroxy benzyl) hydrazides with and physiological compatibility salt, this is particularly advantageous so.
In addition, if the catechol O-methyltransferase inhibitor be selected from entacapone and cabergoline with and physiological compatibility salt, this is particularly advantageous so.
If oxidase inhibitor be selected from selegiline, moclobemide and tranylcypromine with and physiological compatibility salt, this also is particularly advantageous so.
If B-hydroxylase inhibitors be selected from 5-butyl picolinate calcium and 5-pentyl pyridine calcium formate with and physiological compatibility salt, this is further particularly advantageous so.
Another target of the present invention is the purposes that L-DOPA, its derivant and their physiological compatibility salt are used to prepare medicine, and this medicine is used to prevent mental sickness and is used for the treatment of the disease that causes owing to disorderly tyrosine transhipment or disorderly tyrosine decarboxylase.
Another one target of the present invention is a kind of pharmaceutical composition, it also contains and is useful on the prevention mental sickness and is used for the treatment of because L-DOPA, its derivant and their the physiological compatibility salt of the disease that the tyrosine decarboxylase of disorderly tyrosine transhipment or disorder causes except containing drug compatibility auxiliary agent and additive.
Particularly preferably be such pharmaceutical composition at this, it is except containing drug compatibility auxiliary agent and additive, also contain and be useful on the prevention mental sickness and be used for the treatment of because L-DOPA, its derivant and their physiological compatibility salt and one or more enzyme inhibitors of the disease that the tyrosine decarboxylase of disorderly tyrosine transhipment or disorder causes.
Such pharmaceutical composition is particularly preferred, and promptly wherein enzyme inhibitor is decarboxylase inhibitor and/or catechol O-methyltransferase inhibitor and/or oxidase inhibitor and/or B-hydroxylase inhibitors.
Such pharmaceutical composition be into-step is preferred, promptly wherein decarboxylase inhibitor is selected from D, L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides (benserazide), (-)-L-a-diazanyl-3,4-dihydroxy-a-hydrogenated methyl cinnamic acid (carbidopa), L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides, glycine-2-(2,3,4-trihydroxy benzyl) hydrazides and L-tyrosine-2-(2,3,4-trihydroxy benzyl) hydrazides with and physiological compatibility salt.
Such pharmaceutical composition is particularly advantageous, promptly wherein the catechol O-methyltransferase inhibitor be selected from entacapone and cabergoline with and physiological compatibility salt.
Such pharmaceutical composition is further favourable, promptly wherein oxidase inhibitor be selected from selegiline, moclobemide and tranylcypromine with and physiological compatibility salt.
In addition, such pharmaceutical composition is preferred, promptly wherein B-hydroxylase inhibitors be selected from 5-butyl picolinate calcium and 5-pentyl pyridine calcium formate with and physiological compatibility salt.
The preparation of L-DOPA and its derivant such as Arrcostab is that itself is known.
In order to prepare the physiological compatibility salt of L-DOPA and its derivant, can use the inorganic and organic acid of common physiological compatibility, example hydrochloric acid, hydrobromic acid, phosphoric acid, sulphuric acid, oxalic acid, maleic acid, fumaric acid, lactic acid, tartaric acid, malic acid, citric acid, salicylic acid, adipic acid and benzoic acid.Other operable acid for example are described in " drug research progress (Fortschritte derArzneimittelforschung) ", the mat woven of fine bamboo strips 10 volumes, the 224-225 page or leaf, Birkh  user publishing house, Basel and Stuttgart (1966), " pharmaceutical science magazine (Journal ofPharmaceutical Sciences) ", the 66th volume, mat woven of fine bamboo strips 1-5 page or leaf (1977).
The acid-addition salts of L-DOPA and its derivant obtains by free alkali or its solution are mixed in organic solvent with corresponding sour or its solution usually in known manner, this organic solvent for example is lower alcohol such as methanol, ethanol, normal propyl alcohol or isopropyl alcohol, perhaps lower ketones such as acetone, methyl ethyl ketone or methyl iso-butyl ketone (MIBK), perhaps ether such as ether, oxolane Huo diox.Separate out in order to obtain better crystal, can also use the mixture of described solvent.In addition, can also in aqueous acid solution, prepare physiological compatibility aqueous solution according to the acid-addition salts of chemical compound used in the present invention.
The acid-addition salts of L-DOPA and its derivant can be in known manner, for example uses alkali or ion-exchanger and be transformed into free alkali.From free alkali, by with inorganic or organic acid, particularly be fit to form treatment and go up the acid reaction of spendable salt and can obtain other salt.This or other salt such as the picrate of this new compound also can be used for the free alkali of purification, and this is by free alkali being changed salify, isolate this salt, and discharge alkali once more from this salt and finish.
Target of the present invention is also oral for being used for, oral cavity, Sublingual, nose, rectum, subcutaneous, intravenous or intramuscular administration, and the medicine that is used to suck, these medicines also contain L-DOPA, derivant or their acid-addition salts as active substance except containing common carrier and diluent.
Adopt known mode, prepare medicine of the present invention with common solid or liquid carrier material or diluent and the normally used and required corresponding pharmaceutical technology auxiliary agent of type of using with proper dosage.Preferred preparation exists to be suitable for Orally administered form of medication.Such form of medication for example is tablet, suction tablet, film coated tablet, dragee, capsule, pill, powder, solution, aerosol or suspension or long-acting form.
Self-evident, also can consider parenteral administration such as injection solution.In addition, for example also suppository is called preparation.
Corresponding tablet for example can obtain by active substance is mixed with known auxiliary agent, known auxiliary agent for example is inert diluent such as glucose, sugar, Sorbitol, mannitol, polyvinylpyrrolidone, disintegrating agent such as corn starch or alginic acid, binding agent such as starch or gelatin, lubricant such as magnesium stearate or Talcum and/or be used to obtain the reagent of long-acting effect such as carboxyl polymethylene, carboxymethyl cellulose, acetic acid-O-phthalic acid cellulose or polyvinyl acetate.Tablet can also multilamellar constitute.
Correspondingly, dragee (also comprising the dragee that is used for controlled or the dosage form that postpone to discharge) can prepare by following method, is about to be similar to nuclear that tablet makes and applies with the reagent that uses in the dragee coating usually such as polyvinylpyrrolidone or Lac, arabic gum, Talcum, titanium dioxide or sugar.At this, the dragee shell also can be made of multilamellar, wherein can use to regard to the described auxiliary agent of tablet.
The solution or the suspension that have according to active substance used in the present invention can also contain sense of taste improving agent such as glucide, cyclamate or sugar in addition, and for example aromatic substance such as vanillin or orange extract.In addition, they can also contain suspension aids such as sodium carboxymethyl cellulose, or antiseptic such as P-hydroxybenzoic acid.The capsule that contains active substance for example can so prepare, and is about to active substance and inert carrier such as lactose or Sorbitol and mixes, in the gelatine capsule of packing into then.
Suitable suppository for example can by with the carrier that is applicable to suppository, mix as neutral fat or Polyethylene Glycol or its derivant and to prepare.
The preparation of pharmaceutical preparation of the present invention is that itself is known, and is described in the known handbook of professional and technical personnel, Hager ' s Handbuch (5.) 2 for example, 622-1045; People such as List, Arzneiformenlehre, Stuttgart:Wiss. publishing house 1985; People such as Sucker, Pharmazeutische Technologie, Stuttgart:Thieme 1991; Ullmann ' s Enzyklop  die (5.) A 19,241-271; Voigt, PharmazeutischeTechnologie, Berlin:Ullstein Mosby 1995.
The following examples have been explained the present invention:
Embodiment
10 patients that suffer from acute schizophrenia have accepted to use keeping treatment and keeping stable clinically of fluphenazine after ill in year, end treatment subsequently.According to clinical experience (referring to Gitlin M., Nuechterlein K., people such as Subotnik K.L., Am.J.Psychiatry (2001) 158 (11), the 1835-42 page or leaf), once recurrence appears in about 8 meetings that are expected among 10 patients in subsequently 12 months.Our patient before stopping to keep treatment 2 months and treat with L-DOPA or the combination formulations that contains the L-DOPA during keeping the treatment adjourning whole.In these patients, only recurrence has appearred in 2 in 10 cases.

Claims (8)

1.L-DOPA, its derivant and their physiological compatibility salt are used to prevent psychosis particularly schizophrenia and the purposes that is used for the treatment of the disease that causes owing to disorderly tyrosine transhipment or disorderly tyrosine decarboxylase.
2.L-DOPA, its derivant and their physiological compatibility salt are used to prepare the purposes of medicine, this medicine is used to prevent particularly schizophrenia and be used for the treatment of the disease that causes owing to disorderly tyrosine transhipment or disorderly tyrosine decarboxylase of psychosis.
3. according to the purposes of L-DOPA, its derivant and their the physiological compatibility salt of claim 1 or 2, it unites at least a enzyme inhibitor.
4. according to the purposes of L-DOPA, its derivant and their the physiological compatibility salt of claim 3, it is characterized in that this enzyme inhibitor is decarboxylase inhibitor and/or catechol O-methyltransferase inhibitor and/or oxidase inhibitor and/or B-hydroxylase inhibitors.
5. according to the purposes of L-DOPA, its derivant and their the physiological compatibility salt of claim 4, it is characterized in that, decarboxylase inhibitor is selected from D, L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides (benserazide), (-)-L-a-diazanyl-3,4-dihydroxy-a-hydrogenated methyl cinnamic acid (carbidopa), L-serine-2-(2,3,4-trihydroxy benzyl) hydrazides, glycine-2-(2,3,4-trihydroxy benzyl) hydrazides and L-tyrosine-2-(2,3,4-trihydroxy benzyl) hydrazides and physiological compatibility salt thereof.
6. according to the purposes of L-DOPA, its derivant and their the physiological compatibility salt of claim 4, it is characterized in that the catechol O-methyltransferase inhibitor is selected from entacapone and cabergoline and physiological compatibility salt thereof.
7. according to the purposes of L-DOPA, its derivant and their the physiological compatibility salt of claim 4, it is characterized in that oxidase inhibitor is selected from selegiline, moclobemide and tranylcypromine and physiological compatibility salt thereof.
8. according to the purposes of L-DOPA, its derivant and their the physiological compatibility salt of claim 4, it is characterized in that, B-hydroxylase inhibitors be selected from 5-butyl picolinate calcium and 5-pentyl pyridine calcium formate with and physiological compatibility salt.
CNA2003801066148A 2002-12-19 2003-12-18 Use of L-dopa, derivatives thereof and medicaments containing said compounds for the prevention of psychotic disorders Pending CN1756542A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10261808A DE10261808A1 (en) 2002-12-19 2002-12-19 Use of L-DOPA, its derivatives and medicaments containing these compounds for the prophylaxis of psychotic diseases
DE10261808.9 2002-12-19

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CN1756542A true CN1756542A (en) 2006-04-05

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EP (1) EP1615631A2 (en)
JP (1) JP2006511558A (en)
CN (1) CN1756542A (en)
AU (1) AU2003294664A1 (en)
CA (1) CA2513077A1 (en)
DE (1) DE10261808A1 (en)
EA (1) EA200500957A1 (en)
MX (1) MXPA05006409A (en)
PL (1) PL377524A1 (en)
WO (1) WO2004056306A2 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078952A (en) * 2015-08-10 2015-11-25 中国康复研究中心 Levodopa preparation and application thereof

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
SE0401842D0 (en) 2004-07-12 2004-07-12 Dizlin Medical Design Ab Infusion and injection solution of levodopa
USRE46555E1 (en) * 2006-02-17 2017-09-19 Teva Pharmaceuticals International Gmbh Deuterated catecholamine derivatives and medicaments comprising said compounds

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS52102431A (en) * 1976-02-25 1977-08-27 Kyowa Hakko Kogyo Co Ltd Remedies for mental disorder
IE47082B1 (en) * 1977-07-01 1983-12-14 Merrell Toraude & Co -acetylenic amino acids
US5149786A (en) * 1989-10-12 1992-09-22 Chiron Corporation Dopamine releasing protein and antibody

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105078952A (en) * 2015-08-10 2015-11-25 中国康复研究中心 Levodopa preparation and application thereof

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WO2004056306A2 (en) 2004-07-08
MXPA05006409A (en) 2006-05-31
DE10261808A1 (en) 2004-07-08
PL377524A1 (en) 2006-02-06
EP1615631A2 (en) 2006-01-18
WO2004056306A3 (en) 2004-11-11
JP2006511558A (en) 2006-04-06
EA200500957A1 (en) 2006-02-24
AU2003294664A1 (en) 2004-07-14
CA2513077A1 (en) 2004-07-08

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