EP0667777A1 - Xanthine derivatives for use as diuretics - Google Patents

Xanthine derivatives for use as diuretics

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Publication number
EP0667777A1
EP0667777A1 EP94900128A EP94900128A EP0667777A1 EP 0667777 A1 EP0667777 A1 EP 0667777A1 EP 94900128 A EP94900128 A EP 94900128A EP 94900128 A EP94900128 A EP 94900128A EP 0667777 A1 EP0667777 A1 EP 0667777A1
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EP
European Patent Office
Prior art keywords
group
propyl
methyl
diuretic
benzyl
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EP94900128A
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German (de)
French (fr)
Inventor
Stefan Adamus
Wolfram Gaida
Christopher Meade
Ulrike Küfner-Mühl
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Boehringer Ingelheim International GmbH
Boehringer Ingelheim Pharma GmbH and Co KG
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Boehringer Ingelheim International GmbH
Boehringer Ingelheim GmbH
Boehringer Ingelheim Pharma GmbH and Co KG
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Publication of EP0667777A1 publication Critical patent/EP0667777A1/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
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/519Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
    • A61K31/52Purines, e.g. adenine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/10Antioedematous agents; Diuretics

Definitions

  • the present invention relates to the use of 8- (3-oxocyclopentyl) -1,3-dipropyl 7H-purine-2, 6- .dione and structure-like xanthines as diuretics.
  • Diuretics play an important role in the treatment of edema, hypertension and other diseases.
  • All animals received an oral water load of 5 ml / 100 g body weight using a pharyngeal tube.
  • KFM 19 was dissolved in water and administered together with the water load (1 ml solution, 4 ml water) orally in doses of 0.01, 0.03, 0.1 and 0.3 mg / kg by gavage.
  • Control animals received 5 ml of water.
  • the excreted urine volume was measured two and five hours after application; the sodium and potassium content was determined by flame photometry, the chloride content was determined mercurimetrically.
  • These compounds can also be used to treat diseases caused by disturbed chloride ion transport.
  • R3 is a residue selected from the group consisting of furan, tetrahydrofuran, tetrahydrofuranone, thiophene, dithiol, Dithian or tetrahydrop ran which can carry one of the following substituents methyl, ethyl, propyl, butyl, CHO, CH 2 OR 4 , CH 2 OR 7 , COOR 4 , CONR 5 Rg,
  • R3 is a cyclopentane or cyclohexane, substituted by methyl, ethyl, propyl, isopropyl, t-butyl, allyl, vinyl, phenyl or benzyl, where a hydroxyl group may be present as the geminal substituent;
  • R a , Rfc, CH 3 , C 2 H5 or R a and R] -. together -CH 2 -CH 2 -,
  • R 3 is a cyclopentanone or cyclohexanone
  • R 3 is a cycloalkane or cycloalkene with 4-8
  • Carbon atoms which can optionally be substituted by a straight-chain or branched alkenyl group having 2 to 4 carbon atoms, a cyclopentanone or cyclopentanol or cyclohexanone or cyclohexanol, which are in the ⁇ -position to the keto or hydroxyl group by C to C 4 alkenyl, C3 or C 4 alkynyl , Benzyl, -CH CH 2 CN, (CH 2 ) 3 NR 5 R5 R 5 equal to or different), CH 2 C00R 4 , CH 2 0R 4 can be substituted, where R 4 can be hydrogen, methyl, ethyl or propyl;
  • R 4 is hydrogen, an alkyl group with 1 to 3
  • R5 is hydrogen, an alkyl group having 1 to 3 carbon atoms; a cyclopropyl group, a benzyl group;
  • R 7 prolinoyl, CO- (CH 2 ) 0 - 3 -CH 3 ,
  • Another object of the present invention is the combination of compounds of general formula I, especially the compounds mentioned by name with loop diuretics - for example furosemide, bumetamides and etacrynic acid.
  • the compounds of general formula I can be administered orally or parenterally or as a suppository.
  • the compounds are present as active ingredients in conventional dosage forms, e.g. in compositions consisting essentially of an inert pharmaceutical carrier and an effective dose of the active ingredient, e.g. Tablets, dragées, capsules, wafers, powders, solutions, suspensions, emulsions, syrups, suppositories, etc.
  • An effective dose of the compounds in the indication claimed according to the invention is between 5 and 100 mg per dose, preferably between 10 and 50 mg, for oral use.

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  • General Health & Medical Sciences (AREA)
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  • Bioinformatics & Cheminformatics (AREA)
  • Organic Chemistry (AREA)
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  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

The invention concerns the use of 8-(3-oxocyclopentyl)-1,3-dipropyl-7H-purin-2,6-dione as a diuretic.

Description

XANTHINDERIVATE ALS DIURETISCHES MITTEL. XANTHINE DERIVATIVES AS A DIURETIC AGENT.
Die vorliegende Erfindung betrifft die Verwendung von 8- (3-Oxocyclopentyl) -1,3-dipropyl 7H-purin-2, 6- .dion und strukturähnlichen Xanthinen als Diuretika. Diuretika spielen eine wichtige Rolle in der Behandlung von Oedemen, Hypertonie und anderen Krankheiten.The present invention relates to the use of 8- (3-oxocyclopentyl) -1,3-dipropyl 7H-purine-2, 6- .dione and structure-like xanthines as diuretics. Diuretics play an important role in the treatment of edema, hypertension and other diseases.
Die diuretische Wirkung von Xanthinen ist prinzipiell bekannt, jedoch sind die bisher untersuchten Verbindungen relativ schwach wirksam (siehe Beutler J.J., Koomans H.A., Bijlsma J.A. Dorhout- ees E.J., J Pharmacol. exp. Ther. (1990) 255, 1314).The diuretic effect of xanthines is known in principle, but the compounds investigated to date are relatively weakly active (see Beutler J.J., Koomans H.A., Bijlsma J.A. Dorhouteses E.J., J Pharmacol. Exp. Ther. (1990) 255, 1314).
Überraschenderweise wurde jetzt entdeckt, daß 8- (3- Oxocyclopentyl) -1,3-dipropyl-7H-purin-2,6-dion (KF 19) ein sehr stark wirksames Diuretiku ist. Eine signifikante diuretische Wirkung ist bereits nach einer oralen Dosis von 0.03 mg/kg Körpergewicht (Ratte) beobachtet. Besondere Vorteile werden für Kombinationen der Substanzen dieser Anmeldung mit sogenannten "Schleifendiuretika" wie Furosemid, Bumetanid und Etacrynsäure erwartet. Die "Schleifendiuretika" sind stark wirksame Substanzen, die den Natrium-Transport in den distalen Tubuli der Nieren hemmen. Gleichzeitig wird die Chlorid-Resorption gehemmt (NaCl co-Transport) (Imai M, Eur. J. Pharmacol. (1977) 41, 409) . 8- (3-Oxocyclopentyl) -1,3-dipropyl-7H-purin-2,6-dion steigert die Natrium- und Chloridausschύttung ohne einen großen Effekt auf die Kaliumausscheidung. Es ist bekannt, daß Adenosin die Chloridsekretion beeinflussen kann. Deshalb ist es wahrscheinlich, daß die diuretischen Wirkungsmechanismen hauptsächlich Chlorid-Ionen-Transport betreffen und die Substanz mit Natriumchlorid-Resorption hemmenden Mitteln komplementarisch wirken wird. Beschreibung des TestverfahrensSurprisingly, it has now been discovered that 8- (3-oxocyclopentyl) -1,3-dipropyl-7H-purine-2,6-dione (KF 19) is a very potent diuretic. A significant diuretic effect was observed after an oral dose of 0.03 mg / kg body weight (rat). Particular advantages are expected for combinations of the substances of this application with so-called "loop diuretics" such as furosemide, bumetanide and etacrynic acid. The "loop diuretics" are highly effective substances that inhibit sodium transport in the distal tubules of the kidneys. At the same time, chloride absorption is inhibited (NaCl co-transport) (Imai M, Eur. J. Pharmacol. (1977) 41, 409). 8- (3-Oxocyclopentyl) -1,3-dipropyl-7H-purine-2,6-dione increases sodium and chloride release without a major effect on potassium excretion. It is known that adenosine can affect chloride secretion. Therefore, it is probable that the diuretic mechanisms of action mainly concern chloride ion transport and that the substance will act complementarily with agents inhibiting sodium chloride absorption. Description of the test procedure
Die Versuche wurden mit männlichen, wachen, nüchternen Ratten (ChbbrTHOM, SPF) im Gewicht von 240 - 280 g durchgeführt. Pro Dosis wurden 10 Tiere eingesetzt, jeweils zwei Tiere in einen Stoffwechselkäfig (n = 5) . Zur Anregung der Diurese erhielten alle Tiere eine orale Wasserlast von 5 ml/100 g Körpergewicht mittels Schlundsonde. KFM 19 wurde in Wasser gelöst und zusammen mit der Wasserlast (1ml Lösung, 4 ml Wasser) oral in den Dosen 0,01, 0,03, 0,1 und 0,3 mg/kg per Schlundsonde verabreicht. Kontrolltiere erhielten 5 ml Wasser. Zwei und fünf Stunden nach der Applikation wurde das ausgeschiedene Harnvolumen gemessen; der Natrium- und Kaliumgehalt wurde flammenphotometrisch, der Chloridgehalt mercurimetrisch bestimmt.The experiments were carried out with male, awake, fasting rats (ChbbrTHOM, SPF) weighing 240-280 g. 10 animals were used per dose, two animals each in a metabolic cage (n = 5). To stimulate diuresis, all animals received an oral water load of 5 ml / 100 g body weight using a pharyngeal tube. KFM 19 was dissolved in water and administered together with the water load (1 ml solution, 4 ml water) orally in doses of 0.01, 0.03, 0.1 and 0.3 mg / kg by gavage. Control animals received 5 ml of water. The excreted urine volume was measured two and five hours after application; the sodium and potassium content was determined by flame photometry, the chloride content was determined mercurimetrically.
Die Überprüfung der Ergebnisse auf statistische Signifikanz erfolgt nach DUNNETT (1984) .The results are checked for statistical significance according to DUNNETT (1984).
Tabelle ITable I
Beeinflussung der Urin- und Elektrolytausscheidung durch orale Gabe von 8- (3-Oxocyclopentyl) -1,3-dipropyl- 7H-purin-2,β-dion in fünf Stunden nach der ApplikationInfluence of urine and electrolyte excretion by oral administration of 8- (3-oxocyclopentyl) -1,3-dipropyl-7H-purine-2, β-dione in five hours after application
Kalium Chlorid uVal/lOOg uVal 100g x +. S x ± SxPotassium chloride uVal / lOOg uVal 100g x +. S x ± Sx
68.0 ± 13.9 65.2 + 10.7 101.1 + 14.6 88.5 + 10.168.0 ± 13.9 65.2 + 10.7 101.1 + 14.6 88.5 + 10.1
85.4 +_ 4.4 87.0 + 8.1 101.3 + 9.1 138.5 + 14.0**85.4 + _ 4.4 87.0 + 8.1 101.3 + 9.1 138.5 + 14.0 **
* x* x
0.3 5.8 + 0.2λJr 131.5 + 10.0** 119.8 + 8.4 174.1 + 18.50.3 5.8 + 0.2 λJr 131.5 + 10.0 ** 119.8 + 8.4 174.1 + 18.5
= p < 0.05, ** = = p < 0.01 Aufgrund dieser Befunde erscheint die genannte Verbindung wie auch deren strukturell ähnliche Verbindungen als Diuretika insbesondere zur Behandlung von Oedemen, der Hypertonie und anderen Indikationen dieser Genese geeignet.= p <0.05, ** = = p <0.01 Based on these findings, the compound mentioned and its structurally similar compounds appear to be suitable as diuretics, in particular for the treatment of edema, hypertension and other indications of this origin.
Geeignete strukturähnliche Xanthin-Derivate sind in den Europäischen Patentanmeldungen 374 808 und 487 673 beschrieben, auf die hiermit ausdrücklich Bezug genommen wird, insbesondere auf die dort als bevorzugt beschriebenen Bereiche und Ausführungsbeispiele.Suitable structurally similar xanthine derivatives are described in European patent applications 374 808 and 487 673, to which reference is hereby expressly made, in particular to the areas and exemplary embodiments described as preferred there.
Diese Verbindungen können auch zur Behandlung von Krankheiten eingesetzt werden, die durch einen gestörten Chlorid-Ionen Transport verursacht sind.These compounds can also be used to treat diseases caused by disturbed chloride ion transport.
Von Interesse sind daher auch Xanthine der allgemeinen FormelXanthines of the general formula are therefore also of interest
worin in what
R3 einen Rest, ausgewählt aus der Gruppe Furan, Tetrahydrofuran, Tetrahydrofuranon, Thiophen, Dithiol, Dithian oder Tetrahydrop ran der einen der folgenden Substituenten tragen kann Methyl, Ethyl, Propyl, Butyl, CHO, CH2OR4, CH2OR7, COOR4, CONR5Rg,R3 is a residue selected from the group consisting of furan, tetrahydrofuran, tetrahydrofuranone, thiophene, dithiol, Dithian or tetrahydrop ran which can carry one of the following substituents methyl, ethyl, propyl, butyl, CHO, CH 2 OR 4 , CH 2 OR 7 , COOR 4 , CONR 5 Rg,
R3 ein durchR 3 a through
-CH=CH-CONR5R6, -CH=C(COOR4)2 -CH = CH-CONR 5 R 6 , -CH = C (COOR 4 ) 2
(R4 gleich oder verschieden) ,(R4 the same or different),
-CH=C- (COOR4) - (CONR5R6) ,-CH = C- (COOR 4 ) - (CONR 5 R 6 ),
-CH=C (COOR4) (CH2OR4)-CH = C (COOR 4 ) (CH 2 OR 4 )
(R4 gleich oder verschieden) ,(R 4 the same or different),
-CH=C (COOR4) (CH2OR7) ,-CH = C (COOR 4 ) (CH 2 OR 7 ),
- (CH2)n.CONR5R6,- (CH 2 ) n. CONR 5 R 6 ,
-CH=C (CH2OR4)2,-CH = C (CH 2 OR 4 ) 2 ,
-CH=C (CH2OR7)2,-CH = C (CH 2 OR 7 ) 2 ,
-CH=C (CONR5R6)CH2OR4 oder-CH = C (CONR 5 R 6 ) CH 2 OR 4 or
-CH=C (CONR5Rg)CH2OR7 substituiertes Furan;-CH = C (CONR 5 Rg) CH 2 OR 7 substituted furan;
R3 ein Cyclopentan oder Cyclohexan, substituiert durch Methyl, Ethyl, Propyl, iso-Propyl, t-Butyl, Allyl, Vinyl, Phenyl oder Benzyl, wobei als geminaler Substituent eine Hydroxygruppe vorhanden sein kann;R3 is a cyclopentane or cyclohexane, substituted by methyl, ethyl, propyl, isopropyl, t-butyl, allyl, vinyl, phenyl or benzyl, where a hydroxyl group may be present as the geminal substituent;
R3 ein Cyclopentan oder Cyclohexan, substituiert durch Hydroxy, Methoxy, Ethoxy, Propyloxy, Trimethoxycarbonyl, iso-Propyloxy, gegebenenfalls substituiertes Benzyloxy, Allyloxy, Propargyloxy, -CH2-CO-OCH3, =C-CO-OCH3, -CH2-CH2-OH, -CH2-COOCH3, =CH-COOCH3, CH2-CH2-OH, =CH-CN, -(CH2)2NH2 R 3 is a cyclopentane or cyclohexane, substituted by hydroxy, methoxy, ethoxy, propyloxy, trimethoxycarbonyl, isopropyloxy, optionally substituted benzyloxy, allyloxy, propargyloxy, -CH 2 -CO-OCH 3 , = C-CO-OCH 3 , -CH 2 -CH 2 -OH, -CH 2 -COOCH 3 , = CH-COOCH 3 , CH 2 -CH 2 -OH, = CH-CN, - (CH 2 ) 2 NH 2
=NOH, -CH OH, OR4 mit R4 = Methyl oder Trityl, OR7 worin R7 COCH3, COC2H5, COC3H7, CO t-Butyl, -CO-Phenyl oder= NOH, -CH OH, OR 4 with R 4 = methyl or trityl, OR 7 wherein R 7 is COCH 3 , COC 2 H 5 , COC3H 7 , CO t-butyl, -CO-phenyl or
COCH2-Phenyl, gegebenenfalls substituiert, CO- Pyridyl, -CO- (N-Methyl-4H-pyridyl) , -CO- (Methylpyridyl) , -COCH2-CH=CH2, -CO CH2-C=CH; R3 einen RestCOCH 2 -phenyl, optionally substituted, CO-pyridyl, -CO- (N-methyl-4H-pyridyl), -CO- (methylpyridyl), -COCH 2 -CH = CH 2 , -CO CH 2 -C = CH; R3 a rest
mit Ra, Rfc, = CH3, C2H5 oder Ra und R]-. zusammen -CH2-CH2-,with R a , Rfc, = CH 3 , C 2 H5 or R a and R] -. together -CH 2 -CH 2 -,
R3 ein Cyclopentanon oder Cyclohexanon,R 3 is a cyclopentanone or cyclohexanone,
R3 ein Cycloalkan oder Cycloalken mit 4 - 8R 3 is a cycloalkane or cycloalkene with 4-8
Kohlenstoffatomen, welches gegebenenfalls durch eine geradkettige oder verzweigte Alkenylgruppe mit 2 bis 4 Kohlenstoffatomen substituiert sein kann, ein Cyclopentanon oder Cyclopentanol oder Cyclohexanon oder Cyclohexanol, die in α-Position zur Keto- oder Hydroxygruppe durch C bis C4 Alkenyl, C3 oder C4 Alkinyl, Benzyl, -CH CH2CN, (CH2)3NR5R5 R5 gleich oder verschieden) , CH2C00R4, CH20R4 substituiert sein können, wobei R4 Wasserstoff, Methyl, Ethyl oder Propyl bedeuten können;Carbon atoms, which can optionally be substituted by a straight-chain or branched alkenyl group having 2 to 4 carbon atoms, a cyclopentanone or cyclopentanol or cyclohexanone or cyclohexanol, which are in the α-position to the keto or hydroxyl group by C to C 4 alkenyl, C3 or C 4 alkynyl , Benzyl, -CH CH 2 CN, (CH 2 ) 3 NR 5 R5 R 5 equal to or different), CH 2 C00R 4 , CH 2 0R 4 can be substituted, where R 4 can be hydrogen, methyl, ethyl or propyl;
R Norbonan oder Norbonen - gegebenenfalls substituiert,R norbonane or norbornene - optionally substituted,
R4 Wasserstoff, eine Alkylgruppe mit 1 bis 3R 4 is hydrogen, an alkyl group with 1 to 3
Kohlenstoffatomen, eine Cyclopropylgruppe, eine Cyclopentylgruppe, Benzyl eine Allylgruppe, eine Propargylgruppe, eine Triphenylmethylgruppe;Carbon atoms, a cyclopropyl group, a cyclopentyl group, benzyl an allyl group, a propargyl group, a triphenylmethyl group;
R5 Wasserstoff, eine Alkylgruppe mit 1 bis 3 Kohlenstoffatomen; eine Cyclopropylgruppe, eine Benzylgruppe;R5 is hydrogen, an alkyl group having 1 to 3 carbon atoms; a cyclopropyl group, a benzyl group;
Rδ Wasserstoff, Methyl, Ethyl, Propyl, -(CH2)n-NH2 (n=2-8) , - (CH2)nNEt2 (n=2,3) oder - (CH2)3-0- (CH2)4. 0- (CH2)3-NH , N-Benzyl-piperidin-4-yl- , oder R5 und Rg zusammen mit dem Stickstoffatom einen Piperidin-, Piperazin-, Morpholinrest, der gegebenenfalls durch C1-C4 Alkylrest - bevorzugt Methyl substituiert sein kann; Rδ is hydrogen, methyl, ethyl, propyl, - (CH 2 ) n -NH 2 (n = 2-8), - (CH 2 ) n NEt 2 (n = 2,3) or - (CH 2 ) 3-0 - (CH 2 ) 4 . 0- (CH 2 ) 3-NH, N-benzyl-piperidin-4-yl-, or R5 and Rg together with the nitrogen atom form a piperidine, piperazine, morpholine residue which is optionally substituted by C1-C 4 alkyl residue - preferably methyl can be;
R7 Prolinoyl, CO- (CH2) 0-3-CH3,R 7 prolinoyl, CO- (CH 2 ) 0 - 3 -CH 3 ,
(-) - Menthoxyacetyl, ein über eine Carbonylgruppe verknüpfter Camphansäurerest, Abietinoyl, Benzoyl, 4-Aminobutyroyl, 3,4,5-Trihydroxybenzoyl, 3,4,5- Trimethoxybenzoyl, ein Nicotinsäure- , Isonicotinsäure- oder Picolinsäurerest, N- Methylnicotinsäurerest, N-Methyl-4H- Nicotinsäurerest bedeuten können, sowie gegebenenfalls deren Säureadditionssalze bedeuten.(-) - Menthoxyacetyl, a camphanoic acid residue linked via a carbonyl group, abietinoyl, benzoyl, 4-aminobutyroyl, 3,4,5-trihydroxybenzoyl, 3,4,5-trimethoxybenzoyl, a nicotinic acid, isonicotinic or picolinic acid residue, N-methylnicotinic acid residue N-methyl-4H-nicotinic acid residue can mean, and optionally their acid addition salts.
Von besonderem Interesse in diesem Zusammenhang ist die Verwendung von 8- (3-Oxocyclopentyl) -1,3-di-n-propyl-7H-purin- 2,6-dion oder eines seiner Enantiomere (+) -8- (3-Oxocyclo- pentyl) -1,3-di-n-propyl-7H-purin-2,6-dion oder (-)-8-(3- Oxocyclopentyl) -1,3-di-n-propyl-7H-purin-2,6-dion als Diuretikum.Of particular interest in this context is the use of 8- (3-oxocyclopentyl) -1,3-di-n-propyl-7H-purine-2,6-dione or one of its enantiomers (+) -8- (3- Oxocyclopentyl) -1,3-di-n-propyl-7H-purine-2,6-dione or (-) - 8- (3-oxocyclopentyl) -1,3-di-n-propyl-7H-purine -2,6-dione as a diuretic.
Von Interesse ist ebenfalls die Verwendung von 8- (3- Hydroxycyclopentyl) -1,3-di-n-propyl-7H-pyrin-2,6-dion oder seiner Enantiomere als Diuretikum.Of interest is also the use of 8- (3-hydroxycyclopentyl) -1,3-di-n-propyl-7H-pyrine-2,6-dione or its enantiomers as a diuretic.
Ein weiterer Gegenstand der vorliegenden Erfindung ist die Kombination von Verbindungen der allgemeinen Formel I, besonders der namentlich aufgeführten Verbindungen mit Schleifendiuretika - beispielsweise Furosemid, Bumetamide und Etacrynsäure.Another object of the present invention is the combination of compounds of general formula I, especially the compounds mentioned by name with loop diuretics - for example furosemide, bumetamides and etacrynic acid.
Die Verbindungen der allgemeinen Formel I können oral oder parenteral oder als Zäpfchen verabreicht werden. Die Verbindungen liegen hierbei als aktive Bestandteile in üblichen Darreichungsformen vor, z.B. in Zusammensetzungen, die im wesentlichen aus einem inerten pharmazeutischen Träger und einer effektiven Dosis des Wirkstoffes bestehen, wie z.B. Tabletten, Dragees, Kapseln, Oblaten, Pulver, Lösungen, Suspensionen, Emulsionen, Sirupe, Suppositorien usw. Eine wirksame Dosis der Verbindungen bei der erfindungsgemäß beanspruchten Indikation liegt bei oraler Anwendung zwischen 5 und 100 mg pro Dosis, bevorzugt zwischen 10 und 50 mg. The compounds of general formula I can be administered orally or parenterally or as a suppository. The compounds are present as active ingredients in conventional dosage forms, e.g. in compositions consisting essentially of an inert pharmaceutical carrier and an effective dose of the active ingredient, e.g. Tablets, dragées, capsules, wafers, powders, solutions, suspensions, emulsions, syrups, suppositories, etc. An effective dose of the compounds in the indication claimed according to the invention is between 5 and 100 mg per dose, preferably between 10 and 50 mg, for oral use.

Claims

Patentansprüche Claims
1. Verwendung von Verbindungen der allgemeinen Formel I1. Use of compounds of general formula I
worinwherein
R3 einen Rest, ausgewählt aus der Gruppe Furan, Tetrahydrofuran, Tetrahydrofuranon, Thiophen, Dithiol, Dithian oder Tetrahydropyran der einen der folgenden Substituenten tragen kann Methyl, Ethyl, Propyl, Butyl, CHO, CH OR4, CH20R7, C00R4, CONR5R6,R 3 is a radical selected from the group consisting of furan, tetrahydrofuran, tetrahydrofuranone, thiophene, dithiol, dithiane or tetrahydropyran, which can carry one of the following substituents: methyl, ethyl, propyl, butyl, CHO, CH OR 4 , CH 2 0R 7 , C00R 4 , CONR 5 R 6 ,
R3 ein durchR 3 a through
-CH=CH-CONR5R6, -CH=C(COOR4)2 (R gleich oder verschieden) ,-CH = CH-CONR 5 R 6 , -CH = C (COOR 4 ) 2 (R same or different),
-CH=C (COOR4) (CONR5R6) ,-CH = C (COOR 4 ) (CONR 5 R 6 ),
-CH=C (COOR4) (CH2OR4) (R4 gleich oder verschieden) ,-CH = C (COOR 4 ) (CH 2 OR 4 ) (R 4 the same or different),
-CH=C (COOR4) (CH2OR7) , - (CH2)n-C0NR5R6,-CH = C (COOR 4 ) (CH 2 OR 7 ), - (CH 2 ) n -C0NR 5 R 6 ,
-CH=C (CH20R4)2,-CH = C (CH 2 0R 4 ) 2 ,
-CH=C (CH20R7)2,-CH = C (CH 2 0R 7 ) 2 ,
-CH=C (CONR5Rg)CH2OR4 oder-CH = C (CONR 5 Rg) CH 2 OR 4 or
-CH=C (C0NR5Rg) CH20R7 substituiertes Furan;-CH = C (C0NR 5 Rg) CH 2 0R 7 substituted furan;
R3 ein Cyclopentan oder Cyclohexan, gegebenenfalls substituiert durch Methyl, Ethyl, Propyl, iso- Propyl, t-Butyl, Allyl, Vinyl, Phenyl oder Benzyl, wobei als geminaler Substituent eine Hydroxygruppe vorhanden sein kann;R 3 is a cyclopentane or cyclohexane, optionally substituted by methyl, ethyl, propyl, isopropyl, t-butyl, allyl, vinyl, phenyl or benzyl, a hydroxyl group being able to be present as the geminal substituent;
R3 ein Cyclopentan oder Cyclohexan, substituiert durch Hydroxy, Methoxy, Ethoxy, Propyloxy, Trimethoxycarbonyl, iso-Propyloxy, gegebenenfalls substituiertes Benzyloxy, Allyloxy, Propargyloxy, -CH2-C0-0CH3, =C-C0-0CH3, -CH2-CH2-OH, -CH2-COOCH3, =CH-C00CH3, CH2-CH2-OH, =C-CN,R 3 is a cyclopentane or cyclohexane, substituted by hydroxy, methoxy, ethoxy, propyloxy, trimethoxycarbonyl, isopropyloxy, optionally substituted benzyloxy, allyloxy, propargyloxy, -CH 2 -C0-0CH 3 , = C-C0-0CH 3 , -CH 2 -CH 2 -OH, -CH 2 -COOCH 3 , = CH-C00CH 3 , CH 2 -CH 2 -OH, = C-CN,
=NOH, -CH OH, OR4 mit R4 = Methyl oder Trityl, 0R7 worin R7 COCH3, COC H5, COC3H7, CO t-Butyl, -CO-Phenyl oder C0CH2-Phenyl, gegebenenfalls substituiert, CO-Pyridyl, -CO- (N- Methyl-4H-pyridyl) , = NOH, -CH OH, OR 4 with R 4 = methyl or trityl, 0R 7 in which R 7 COCH3, COC H 5 , COC 3 H 7 , CO t-butyl, -CO-phenyl or C0CH 2 -phenyl, optionally substituted , CO-pyridyl, -CO- (N-methyl-4H-pyridyl),
1010
- CO- (Methylpyridyli COCH2-CH=CH2, -CO CH2-C=CH;- CO- (methylpyridyli COCH 2 -CH = CH 2 , -CO CH 2 -C = CH;
*3 einen Rest* 3 a rest
mit Ra, RD = CH3, C2H5 oder Ra und Rj-, zusammen -CH2-CH2-,with R a , R D = CH 3 , C 2 H5 or R a and Rj-, together -CH 2 -CH 2 -,
R- ein Cyclopentanon oder Cyclohexanon,R- a cyclopentanone or cyclohexanone,
*3 ein Cycloalkan oder Cycloalken mit 4 - 8 Kohlenstoffatomen, welches durch eine geradkettige oder verzweigte Alkenylgruppe mit 2 bis 4 Kohlenstoffatomen substituiert sein kann, ein Cyclopentanon oder Cyclopentanol oder Cyclohexanon oder Cyclohexanol, die in α-Position zur Keto- oder Hydroxygruppe durch C2 bis C4 Alkenyl, C3 oder C Alkinyl, Benzyl, -CH2CH2CN, (CH2)3NR5R5 R5 gleich oder verschieden) , CH2COOR4, CH2OR4 substituiert sein können, wobei R4 Wasserstoff, Methyl, Ethyl oder Propyl bedeuten können,-* 3 a cycloalkane or cycloalkene with 4 - 8 carbon atoms, which can be substituted by a straight-chain or branched alkenyl group with 2 to 4 carbon atoms, a cyclopentanone or cyclopentanol or cyclohexanone or cyclohexanol which is in the α-position to the keto or hydroxy group by C 2 to C 4 alkenyl, C 3 or C alkynyl, benzyl, -CH 2 CH 2 CN, (CH 2 ) 3 NR 5 R5 R 5 identical or different), CH 2 COOR4, CH 2 OR 4 , where R 4 Can mean hydrogen, methyl, ethyl or propyl,
*3 Norbonan oder Norbonen - gegebenenfalls substituiert,* 3 norbonane or norbornene - optionally substituted,
1 i 1 i
R4 Wasserstoff, eine Alkylgruppe mit 1 bis 3R 4 is hydrogen, an alkyl group with 1 to 3
Kohlenstoffatomen, eine Cyclopropylgruppe, eine Cyclopentylgruppe, Benzyl eine Allylgruppe, eine Propargylgruppe, eine Triphenylmethylgruppe;Carbon atoms, a cyclopropyl group, a cyclopentyl group, benzyl an allyl group, a propargyl group, a triphenylmethyl group;
R5 Wasserstoff, eine Alkylgruppe mit 1 bis 3R5 is hydrogen, an alkyl group with 1 to 3
Kohlenstoffatomen; eine Cyclopropylgruppe, eine Benzylgruppe;Carbon atoms; a cyclopropyl group, a benzyl group;
Rg Wasserstoff, Methyl, Ethyl, Propyl, -(CH2)n-NH2 (n-2-8), -(CH2)nNEt2 (n=2,3) oder -(CH2)3_0- (CH )4-0- (CH2) 3-NH2, N-Benzyl-piperidin-4-yl- , oder R5 und Rg zusammen mit dem Stickstoffatom einen Piperidin- , Piperazin- , Morpholinrest, der gegebenenfalls durch ^- ^ Alkylrest - bevorzugt Methyl substituiert sein kann;Rg is hydrogen, methyl, ethyl, propyl, - (CH 2 ) n -NH 2 (n-2-8), - (CH 2 ) n NEt 2 (n = 2,3) or - (CH 2 ) 3 _0- (CH) 4-0- (CH 2 ) 3-NH 2 , N-benzyl-piperidin-4-yl, or R5 and Rg together with the nitrogen atom form a piperidine, piperazine, morpholine residue, which may be replaced by ^ - ^ Alkyl radical - preferably methyl may be substituted;
Prolinoyl, CO- (CH ) 0-3-CH3,Prolinoyl, CO- (CH) 0-3-CH3,
(-) -Menthoxyacetyl, ein über eine Carbonylgruppe verknüpfter Camphansäurerest, Abietinoyl, Benzoyl, 4-Aminobutyroyl, 3,4,5-Trihydroxybenzoyl, 3,4,5- Trimethoxybenzoyl, ein Nicotinsäure- , Isonicotinsäure- oder Picolinsäurerest, N- Methylnicotinsäurerest, N-Methyl-4H- Nicotinsäurerest bedeuten können, sowie gegebenenfalls deren S ureadditionssalze bedeuten, als Diurethikum. (-) -Mentoxyacetyl, a camphanic acid residue linked via a carbonyl group, abietinoyl, benzoyl, 4-aminobutyroyl, 3,4,5-trihydroxybenzoyl, 3,4,5-trimethoxybenzoyl, a nicotinic acid, isonicotinic acid or picolinic acid residue, N-methylnicotinic acid residue N-methyl-4H-nicotinic acid residue can mean, and optionally their acid addition salts, as a diuretic.
2. Verwendung von 8- (3-Oxocyclopentyl) -1, 3-di-n-propyl-7E- purin-2, 6-dion oder (+) -8- (3-0xocyclo-pentyl) -1,3-di-n- propyl-7H-purin-2, 6-dion oder (-) -8- (3-Oxocyclopentyl) -1,3- di-n-propyl-7H-purin-2, 6-dion als Diuretikum.2. Use of 8- (3-oxocyclopentyl) -1, 3-di-n-propyl-7E-purine-2, 6-dione or (+) -8- (3-0xocyclopentyl) -1,3- di-n-propyl-7H-purine-2, 6-dione or (-) -8- (3-oxocyclopentyl) -1,3-di-n-propyl-7H-purine-2, 6-dione as a diuretic.
•3. Verwendung von 8-- (3-Hydroxycyclopentyl) -1,• 3. Using 8-- (3-hydroxycyclopentyl) -1,
3-di-n-propyl-7H- purin-2,6-dion oder eines seiner Enantiomere als Diuretikum.3-di-n-propyl-7H-purine-2,6-dione or one of its enantiomers as a diuretic.
4. Arzneimittel enthaltend eine Verbindung wie in Anspruch l, 2 oder 3 definiert in Kombination mit einem Schleifen- Diuretikum.4. Medicament containing a compound as defined in claim 1, 2 or 3 in combination with a loop diuretic.
5. Verwendung von einer Verbindung wie in einem der Ansprüche 1, 2 oder 3 definiert zur Herstellung eines Arzneimittels mit diuretischer Wirkung 5. Use of a compound as defined in any one of claims 1, 2 or 3 for the manufacture of a medicament with a diuretic effect
EP94900128A 1992-11-13 1993-11-11 Xanthine derivatives for use as diuretics Withdrawn EP0667777A1 (en)

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DE4238367 1992-11-13
DE4238367A DE4238367A1 (en) 1992-11-13 1992-11-13 Diuretic
PCT/EP1993/003158 WO1994011000A1 (en) 1992-11-13 1993-11-11 Xanthine derivatives for use as diuretics

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EP1386609A1 (en) * 1998-04-24 2004-02-04 Cv Therapeutics Adenosine A1 receptor antagonist containing composition and method for restoring diuretic and renal function
ES2211079T3 (en) * 1998-04-24 2004-07-01 Cv Therapeutics COMPOSITION CONTAINING AN ADENOSINE A1 RECEIVER ANTAGONIST AND METHOD TO RESTORE DIURETIC AND RENAL FUNCTION.
EP0970696A1 (en) * 1998-05-05 2000-01-12 Kyowa Hakko Kogyo Co., Ltd. Combination of loop diuretics with adenosine A1-receptor antagonists
US20040229901A1 (en) * 2003-02-24 2004-11-18 Lauren Otsuki Method of treatment of disease using an adenosine A1 receptor antagonist
NZ543109A (en) * 2003-04-25 2008-06-30 Novacardia Inc Method of improved diuresis in individuals with impaired renal function
US20060293312A1 (en) * 2003-04-25 2006-12-28 Howard Dittrich Method of improved diuresis in individuals with impaired renal function
US20050239759A1 (en) * 2004-04-16 2005-10-27 Lauren Otsuki Method of treatment of disease using an adenosine A1 receptor antagonist and an aldosterone inhibitor
CN101466383A (en) * 2006-06-16 2009-06-24 美国诺华卡迪亚公司 Prolonged improvement of renal function comprising infrequent administration of an AAIRA
US20090197900A1 (en) * 2007-03-29 2009-08-06 Howard Dittrich Methods of treating heart failure and renal dysfunction in individuals with an adenosine a1 receptor antagonist
US20080242684A1 (en) * 2007-03-29 2008-10-02 Howard Dittrich Methods of administration of adenosine a1 receptor antagonists
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