EP0000338B1 - Isoxazolo(5,4-c)pyridine derivatives, their preparation and pharmaceutical compositions containing them - Google Patents

Isoxazolo(5,4-c)pyridine derivatives, their preparation and pharmaceutical compositions containing them Download PDF

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Publication number
EP0000338B1
EP0000338B1 EP78100191A EP78100191A EP0000338B1 EP 0000338 B1 EP0000338 B1 EP 0000338B1 EP 78100191 A EP78100191 A EP 78100191A EP 78100191 A EP78100191 A EP 78100191A EP 0000338 B1 EP0000338 B1 EP 0000338B1
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EP
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Prior art keywords
compound
group
hydrogen
general formula
salt
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EP78100191A
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German (de)
English (en)
French (fr)
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EP0000338A2 (en
EP0000338A3 (en
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Povl Krogsgaard-Larsen
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H Lundbeck AS
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H Lundbeck AS
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D491/00Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
    • C07D491/02Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
    • C07D491/10Spiro-condensed systems
    • 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
    • A61P25/08Antiepileptics; Anticonvulsants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D211/00Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
    • C07D211/04Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D211/06Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
    • C07D211/36Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D211/60Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals
    • C07D211/62Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals attached in position 4
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D211/00Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
    • C07D211/04Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D211/68Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member
    • C07D211/72Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms, with at the most one bond to halogen, directly attached to ring carbon atoms
    • C07D211/78Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02PCLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
    • Y02P20/00Technologies relating to chemical industry
    • Y02P20/50Improvements relating to the production of bulk chemicals
    • Y02P20/55Design of synthesis routes, e.g. reducing the use of auxiliary or protecting groups

Definitions

  • the present invention relates to novel compounds having GABA-related activity.
  • GABA gamma-aminobutyric acid
  • CNS central nervous system
  • muscimol of the formula (a substance found in fly amanita (Amanita muscaria)) has various interesting pharmacological properties and especially shows an inhibition of motoric functions. Later, it was reported that muscimol is a very potent GABA agonist with respect to bicuculline-sensitive postsynaptic receptors (Johnston et al., Biochem.
  • agents influencing the GABA system are therefore under consideration and research for the therapeutical treatment of such GABA system malfunction-related diseases. It is also under consideration to administer agents influencing the GABA system against diseases in which malfunctions of the pituitary hormones are involved, e.g. diseases where a decreased secretion of prolactin is involved, and it is, furthermore, contemplated that such agents may be useful against arteriosclerotic diseases in the brain where a vasodilatation is desired.
  • muscimol has toxic effects, such as narcotic effects (derealisation and depersonalisation), and the difference between the effective dose and the toxic dose of muscimol is very small (Arzneiffenaba, 1968, 18, 311-315), which may limit or prevent the therapeutic use of muscimol.
  • various muscimol-analogues or muscimol-like substances have been synthesized and tested (P.
  • the present invention relates to novel compounds showing GABA-related activity, to salts thereof with acids or bases, and to pharmaceutical compositions containing the novel compounds or a salt thereof as an active ingredient. Moreover, the present invention relates to methods for the preparation of the novel compounds and salts thereof.
  • the potent, specific GABA agonist activity of the compound la is especially remarkable on the background of the fact that the known very closely related compounds, that is, 5,6,7,8-tetrahydro-4H-isoxazolo-[4,5-c]-azepine-3-ol (P. Krogsgaard-Larsen, Acta Chem. Scand. B 31, 1977, 584-58,,, and P. Krogsgaard-Larsen and G.A.R. Johnston, J. Neurochem., 1978, 30, 1377-1382). 5,6,7,8-tetrahydro-4H-isoxazolo-[5,4-c]-azepine-3-ot (P.
  • the present invention is not to be limited by any theory, it is believed that the remarkable selective activity of the compound la is ascribable to the particular position of the nitrogen atom in the 6-membered ring in relation to the acidic hydroxy group in the 5-membered ring.
  • the present invention therefore relates to the novel compound la and to derivatives thereof which upon administration will be decomposed in situ to yield the parent compound la, in particular compounds of the general formula I wherein R" is hydrogen, acetyl or a group of the general formula VII wherein R 5 is C 1-8 alkyl; phenyl; phenyl substituted in the 4-position with halogen, C 1-4 alkoxy, or C 1-4 alkyl; or phenylalkyl such as benzyl or phenylethyl in which the phenyl group may be substituted in the 4-position with halogen, C 1-4 alkoxy, or C 1-4 alkyl; and salts thereof.
  • R is hydrogen, acetyl or a group of the general formula VII wherein R 5 is C 1-8 alkyl; phenyl; phenyl substituted in the 4-position with halogen, C 1-4 alkoxy, or C 1-4 alkyl; or phenylalkyl such as benzyl or
  • the compounds I the only species showing pronounced GABA agonist activity in the brain is the compound la.
  • the groups R" which are different from hydrogen may enhance the penetration of the compounds into the brain in that they may enhance the ability of the compounds to pass the blood-brain barrier, and will thereafter be split off in situ to yield the parent compound.
  • a prolonged effect of la may be obtained via decomposition in situ of compounds wherein R" is different from hydrogen, to yield the parent compound.
  • the compounds of the general formula I may exist in a tautomeric form, as shown by the formula and in the present specification and claims, the formula I is to be understood as covering also this tautomeric form and mixtures of the two tautomeric forms.
  • salts of the compound of the formula la are acid addition salts thereof, such as pharmaceutically acceptable salts with inorganic acids, e.g. hydrochloric, hydrobromic, nitric, sulfuric, phosphoric acids and the like, or with organic acids, such as organic carboxylic acids, e.g. acetic, propionic, glycolic, malonic, succinic, maleic, fumaric, malic, tartaric, citric, glucuronic, benzoic, pamoic acid and the like, or organic sulfonic acids, e.g.
  • salts may be prepared by procedures known per se, e.g. by adding the acid in question to the base, preferably in a solvent.
  • Compounds of formula I may form pharmaceutically acceptable salts with bases, such as metal salts, e.g. sodium, potassium, calcium or aluminium salts, and ammonium and substituted ammonium salts, e.g. salts of amines such as triethylamine, triethanolamine, ethylpiperidine, procaine, dibenzylamine and the like.
  • the compound la was tested in microelectrophoretic experiments. Experiments were performed on lumbar dorsal horn interneurones and Renshaw cells of cats anaesthetized with pentobarbitone sodium. The approximate potency of the depressant actions of the compound was assessed relative to that of GABA on the basis of electrophoretic currents required to produce equal and submaximal inhibitions of the firing of the central neurones. The inhibitory action of la on central neurones was antagonized by the specific GABA antagonist bicuculline methochloride (BMC).
  • BMC bicuculline methochloride
  • the compound la did not interact with the GABA uptake system at concentrations of 5 x 10- 4 M, and it did not interact with the GABA metabolizing enzymes GABA:2-oxo-glutarate aminotransferase and L-glutamate 1-carboxylase at concentrations of 10- 3 M.
  • the compound la is a specific and very potent GABA agonist.
  • Compound 1 a has been shown to be a well-tolerated substance:
  • compound la is considerably less toxic than muscimol.
  • test compound is injected i.p. in the doses 0, 1/2, 1/8 and 1/32 of the determined "i.v. LD 50 ''.
  • doses 0, 1/4, 1/16 and 1/64 of the determined "i.p. LD 50 '' are used.
  • mice are used for each dose level.
  • isoniazide 300 mg/kg is injected s.c. This dose of isoniazide induces intermittent tonic clonic seizures within 60 minutes.
  • compound 1 a has been shown to be a potent GABA agonist.
  • Compound la is weaker than muscimol but considerably less toxic.
  • the compounds of formula I may be prepared by
  • Compound IVa in reaction scheme I. is a key intermediate in the above synthesis and in other syntheses of the compounds of the present invention. Similar key intermediates may contain other hydrolysable N-protecting groups and other lower alkyl groups, and hence, in its broad concept, this key intermediate has the general formula IV in which Alk is a C 1-4 alkyl group and Z is hydrogen or an amino-protecting group readily removable, e.g. by hydrolysis, suitably a group R" (as defined above) or a trityl or formyl group.
  • Z are the following: hydrogen, methoxycarbonyl, ethoxycarbonyl, propyloxycarbonyl, tert.butyloxycarbonyl, benzyloxycarbonyl, p-chlorobenzyloxycarbonyl, trityl, formyl, acetyl.
  • An interesting aspect of the present invention is the compound la as intermediate in the preparation of compounds of formula I in which R" is different from hydrogen.
  • the present invention also relates to the total sequence of synthesis stages IV ⁇ VII ⁇ IX' ⁇ V ⁇ I and to the final stages thereof, i.e., VIII' ⁇ IX' ⁇ V ⁇ I and IX' ⁇ V ⁇ 1.
  • the conversion of ethyl 1-benzyl-3-oxo-piperidine-4-carboxylate into the intermediate IV as exemplified by IVa is usually performed in lower alkanols, e.g. ethanol or ethanol/water.
  • the removal of the N-benzyl group may be effected with gaseous hydrogen in the presence of a hydrogenation catalyst, e.g. platinum, palladium or Raney nickel.
  • the alkyl 3-oxo-piperidine-4-carboxylate formed is dissolved, e.g. in water, and treated with an acid acceptor, e.g. alkali carbonate, and an ester of chloroformic acid, e.g. methyl chloroformate.
  • the temperature is kept near 0°C during the reaction.
  • the compound IV is isolated by extraction into an organic solvent followed by evaporation of the solvent.
  • the formation of the compound of formula VIII' as exemplified by the ethylene acetal Vllla is usually performed in a solvent, e.g. benzene, which forms an azeotropic mixture with water.
  • a solvent e.g. benzene
  • the reaction is preferably carried out at reflux temperature and with a strong acid, e.g. a sulfonic acid as catalyst.
  • the hydroxamic acid IX' as exemplified by IXa is synthesized by reaction Villa with hydroxylamine, preferably in water or a lower alcohol, e.g. methanol and usually at a temperature between -20°C and room temperature, preferably at 0-10°C.
  • the compound may be isolated and purified by a manner known per se, e.g. column chromatography.
  • Q in formula VIII' is a halogen or the residue of an acid
  • the reaction is effected in the presence of a base.
  • a condensing agent e.g. dicyclohexyl carbodiimide or carbonylidimidazole.
  • solvent an inert solvent, e.g.
  • the hydrolysis of the acetal group of IXa or, quite generally, the conversion of T in compounds of formula IX' into an oxo group, followed by cyclization to a compound of formula V as exemplified by Va may be effected by an aqueous solution of a strong acid optionally also containing acetic acid, e.g. concentrated hydrochloric acid or 70% perchloric acid at a temperature between 0°C and 100°C, preferably at 50-80°C.
  • the compound V may be isolated by extraction with an organic solvent or by evaporation of the water.
  • the compound can be purified by column chromatography or by crystallization.
  • Removal of the protecting group Z and/or W in compound V may be effected with a strong inorganic acid, e.g. hydrochloric or hydrobromic acid, in a solvent, e.g. glacial acetic acid or water, or a mixture of water and glacial acetic acid.
  • a strong inorganic acid e.g. hydrochloric or hydrobromic acid
  • the temperature may be kept between room temperature and the boiling point of the solvent.
  • the reaction time is usually short, e.g. less than 1 hour.
  • the la salt may be isolated by evaporation of the solvent.
  • the la salt may be transformed into la by treatment with a base, e.g. a tertiary amine, in a solvent, usually a mixture of water and a lower alkanol.
  • Compound la may be transformed into another salt as described above.
  • reaction of a compound of the general formula IV as exemplified by IVa with hydroxylamine may give a mixture of a compound of the general formula V and the corresponding isomeric compound V as exemplified by Va and Via.
  • the reaction may be effected at a temperature between -30°C and 50°C, preferably between -30 and -10°C.
  • the solvent is usually water or a lower alkanol or mixtures thereof.
  • reaction scheme II although yielding a mixture of two isomers, is nevertheless advantageous. It is very time-saving in that it avoids the protection of the oxo group in compounds of the general formula IV and the subsequent hydroxamic acid formation.
  • the compounds formed in the reaction of IV with hydroxylamine, as exemplified by Va and Via, are easily separated by manners known per se, e.g. by column chromatography.
  • the introduction of the group R" may be performed by manners known per se.
  • the introduction may be performed by treatment of compound la with the appropriate formic acid ester of the general formula wherein X' is a leaving group, especially halogen, azido, etc., in the presence of an acid acceptor, for example an alkali carbonate.
  • an acid acceptor for example an alkali carbonate.
  • the BOC-derivative can be made by means of tert.butyl azidoformate.
  • R" is acetyl
  • a reactive derivative of acetic acid e.g. acetyl chloride or acetanhydride may be used for the introduction of the group R".
  • the compounds of the formula I, and salts thereof may be formulated for administration in any convenient way by analogy with other pharmaceuticals.
  • compositions comprising the compounds of the invention may be in the form of pharmaceutical preparations, e.g. in solid, semisolid or liquid form, which contain the active compound of the invention in admixture with a pharmaceutical organic or inorganic carrier or excipient suitable for enteral or parenteral application.
  • the active ingredient may, e.g., be formulated with the usual carriers for tablets, pellets, capsules, suppositories, solutions, emulsions, aqueous suspensions and other suitable administration forms.
  • Examples of carriers are glucose, lactose, gum acacia, gelatin, mannitol, starch paste, magnesium trisilicate, talc, corn starch, keratin, colloidal silica, potato starch, urea, and other carriers suitable for use in manufacturing compositions in solid, semisolid, or liquid form, and in addition auxiliary, stabilizing, thickening, colouring, flavouring, and preservative agents can be contained in the composition of this invention.
  • the active compound is included in the compositions of the invention in an amount sufficient to produce the desired therapeutical effect upon administration.
  • the dosage or therapeutically effective quantity of the compound varies and also depends upon the age and condition of each individual patient being treated.
  • a preferred tablet or capsule formulation for oral administration contains 0.1-200 mg, preferably 1-100, especially 5-50, mg of a compound of the formula I or a salt thereof per unit dosage which may be administered 1-4 times per day or as a sustained release composition.
  • Injection preparations preferably contain 0.1-200 mg, preferably 1-100, especially 5-50, mg of a compound of the formula I or a salt thereof per unit dosage.
  • a preferred injected dose is about 0.5 to 2 ml.
  • the invention also relates to the use of the compounds of the general formula I and salts thereof for the preparation of medicaments for treating GABA system malfunction-related diseases, and to the pharmaceutical compositions so obtained.
  • compositions and the above-mentioned uses it may be suitable or preferred to combine the compounds of the general formula I or a salt thereof with minor tranquilizers such as benzodiazepines or neuroleptics, for example butyrophenones such as haloperidol, pheno- thiazines such as chloropromazine, thioxanthene, and the like.
  • minor tranquilizers such as benzodiazepines or neuroleptics, for example butyrophenones such as haloperidol, pheno- thiazines such as chloropromazine, thioxanthene, and the like.
  • the neuroleptics are suitably administered in their effective amounts or, in a preferred embodiment in lower amounts than the amounts in which they would be effective when used alone.

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  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Cardiology (AREA)
  • Pain & Pain Management (AREA)
  • Urology & Nephrology (AREA)
  • Vascular Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Nitrogen And Oxygen Or Sulfur-Condensed Heterocyclic Ring Systems (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pyridine Compounds (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
  • Hydrogenated Pyridines (AREA)
EP78100191A 1977-06-20 1978-06-19 Isoxazolo(5,4-c)pyridine derivatives, their preparation and pharmaceutical compositions containing them Expired EP0000338B1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB2574077 1977-06-20
GB2574077 1977-06-20

Related Child Applications (2)

Application Number Title Priority Date Filing Date
EP80106497.3 Division-Into 1980-10-23
EP80106498.1 Division-Into 1980-10-23

Publications (3)

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EP0000338A2 EP0000338A2 (en) 1979-01-24
EP0000338A3 EP0000338A3 (en) 1979-06-27
EP0000338B1 true EP0000338B1 (en) 1981-11-25

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Family Applications (4)

Application Number Title Priority Date Filing Date
EP80106497A Withdrawn EP0027279A1 (en) 1977-06-20 1978-06-19 Isoxazolo(5,4-C)pyridines
EP78100190A Withdrawn EP0000167A1 (en) 1977-06-20 1978-06-19 1,2,3,6-Tetrahydroisonicotinic acid and derivatives thereof, methods and starting products for their preparation, and pharmaceutical compositions containing them.
EP80106498A Withdrawn EP0028017A1 (en) 1977-06-20 1978-06-19 3-Piperidinone-4-carboxylic acid derivatives
EP78100191A Expired EP0000338B1 (en) 1977-06-20 1978-06-19 Isoxazolo(5,4-c)pyridine derivatives, their preparation and pharmaceutical compositions containing them

Family Applications Before (3)

Application Number Title Priority Date Filing Date
EP80106497A Withdrawn EP0027279A1 (en) 1977-06-20 1978-06-19 Isoxazolo(5,4-C)pyridines
EP78100190A Withdrawn EP0000167A1 (en) 1977-06-20 1978-06-19 1,2,3,6-Tetrahydroisonicotinic acid and derivatives thereof, methods and starting products for their preparation, and pharmaceutical compositions containing them.
EP80106498A Withdrawn EP0028017A1 (en) 1977-06-20 1978-06-19 3-Piperidinone-4-carboxylic acid derivatives

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US (2) US4278676A (it)
EP (4) EP0027279A1 (it)
JP (2) JPS5436275A (it)
AT (1) AT368505B (it)
AU (2) AU3724478A (it)
CA (1) CA1107736A (it)
DK (2) DK270278A (it)
ES (2) ES470912A1 (it)
FI (2) FI64376C (it)
IE (1) IE47200B1 (it)
IT (2) IT7868449A0 (it)
NO (3) NO782128L (it)
NZ (1) NZ187615A (it)
ZA (2) ZA783492B (it)

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US10626123B2 (en) 2015-03-24 2020-04-21 H. Lundbeck A/S Manufacture of 4,5,6,7-tetrahydroisoxazolo[5,4-c]pyridin-3-ol
US11123332B2 (en) 2018-11-21 2021-09-21 Certego Therapeutics Inc. Gaboxadol for reducing risk of suicide and rapid relief of depression
US11597726B2 (en) 2020-05-20 2023-03-07 Certego Therapeutics Inc. Ring deuterated gaboxadol and its use for the treatment of psychiatric disorders

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DE3145473A1 (de) * 1980-11-27 1982-08-26 Kefalas A/S, Koebenhavn-Valby 2-substituierte 4,5,6,7-tetrahydroisoxazolo (5,4-c) pyridin-3-on-verbindungen, verfahren zu ihrer herstellung und diese enthaltende arzneimittel
EP0083378A1 (en) * 1981-12-22 1983-07-13 Chugai Seiyaku Kabushiki Kaisha Tetrahydronicotinamide derivatives, a process for producing the same and a pharmaceutical composition comprising the same
GB8314391D0 (en) * 1983-05-24 1983-06-29 Kefalas As Heterocyclic compounds
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US20050234093A1 (en) * 2003-06-25 2005-10-20 H. Lundbeck A/S Treatment of depression and other affective disorders
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US20050137222A1 (en) * 2003-12-18 2005-06-23 H. Lundbeck A/S Treatment of insomnia in human patients
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US4278676A (en) 1981-07-14
ATA448678A (de) 1982-02-15
ES470912A1 (es) 1979-02-01
ZA783492B (en) 1979-06-27
IE47200B1 (en) 1984-01-11
DK270378A (da) 1978-12-21
EP0000338A2 (en) 1979-01-24
EP0000167A1 (en) 1979-01-10
US4301287A (en) 1981-11-17
NO152049C (no) 1985-07-24
FI64376C (fi) 1983-11-10
AT368505B (de) 1982-10-25
JPS5436275A (en) 1979-03-16
NZ187615A (en) 1981-12-15
CA1107736A (en) 1981-08-25
JPS5436290A (en) 1979-03-16
NO152049B (no) 1985-04-15
FI64376B (fi) 1983-07-29
NO782127L (no) 1978-12-21
IE781234L (en) 1978-12-20
FI781955A (fi) 1978-12-21
IT7868450A0 (it) 1978-06-20
IT1159739B (it) 1987-03-04
ES470913A1 (es) 1979-02-01
ZA783493B (en) 1979-06-27
EP0027279A1 (en) 1981-04-22
IT7868449A0 (it) 1978-06-20
EP0028017A1 (en) 1981-05-06
DK270278A (da) 1978-12-21
EP0000338A3 (en) 1979-06-27
NO792839L (no) 1978-12-21
FI781954A (fi) 1978-12-21
AU521040B2 (en) 1982-03-11
AU3724478A (en) 1980-01-03
NO782128L (no) 1978-12-21
AU3729878A (en) 1980-01-03

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