EP1797079A1 - Derives de proline - Google Patents

Derives de proline

Info

Publication number
EP1797079A1
EP1797079A1 EP05787227A EP05787227A EP1797079A1 EP 1797079 A1 EP1797079 A1 EP 1797079A1 EP 05787227 A EP05787227 A EP 05787227A EP 05787227 A EP05787227 A EP 05787227A EP 1797079 A1 EP1797079 A1 EP 1797079A1
Authority
EP
European Patent Office
Prior art keywords
phenyl
oxo
formula
salts
pyrrolidine
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP05787227A
Other languages
German (de)
English (en)
Inventor
Werner Mederski
Christos Tsaklakidis
Dieter Dorsch
Bertram Cezanne
Johannes Gleitz
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Merck Patent GmbH
Original Assignee
Merck Patent GmbH
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Merck Patent GmbH filed Critical Merck Patent GmbH
Publication of EP1797079A1 publication Critical patent/EP1797079A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D413/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing three or more hetero rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/06—Antimigraine agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • A61P27/16—Otologicals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04—Antibacterial agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A61P35/04—Antineoplastic agents specific for metastasis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/08—Vasodilators for multiple indications
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/10—Drugs 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
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
    • C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
    • C07D417/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing three or more hetero rings

Definitions

  • the invention relates to compounds of the formula I.
  • R 1 H O, Hal, A, OH, OA, -O- (CH 2 ) m -OA, A-COO-,
  • R 2 is H or A
  • Ph unsubstituted or substituted once, twice or three times by A, OA, OH and / or Hal, phenyl
  • R 3 is H, Hal or A
  • R 4 is 2-oxopiperidin-1-yl, 2-oxopyrrolidin-1-yl, 2-oxo-1 / - / - pyridin-1-yl, 3-oxomorpholin-4-yl, 4-oxo -1 / - / - pyridin-1-yl, 2-oxo-1f7-pyrazine-1-yl, 2-oxo-imidazolidin-1-yl, 2-iminopiperidin-1-yl, 2-iminopyrrolidine 1-yl, 3-imino-morpholin-4-yl, 2-imino-imidazolidin-1-yl, 2-imino-1H-pyrazino-1-yl, 2,6-dioxo-piperidin-1-yl, 2-oxo piperazin-1-yl, 2,6-dioxo-piperazin-1-yl, 2,5-dioxopyrrolidin-1-yl, 2-oxo-1,3-oxazo
  • X is a bond, CONH or NHCO
  • A is unbranched, branched or cyclic alkyl having 1-10 C
  • Atoms in which also 1-7 H atoms can be replaced by F and / or chlorine,
  • Hal is F, Cl, Br or I, n is 1 or 2, and their pharmaceutically usable derivatives, solvates, salts and stereoisomers, including mixtures thereof in all ratios.
  • the object of the invention was to find new compounds with valuable properties, in particular those which can be used for the preparation of medicaments. It has been found that the compounds of the formula I and their salts, if well tolerated, have very valuable pharmacological properties. In particular, they show factor Xa inhibitory properties and can therefore be used for the control and prevention of thromboembolic disorders such as thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty and claudicatio intermittens.
  • thromboembolic disorders such as thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty and claudicatio intermittens.
  • the compounds of the formula I according to the invention can furthermore be
  • Inhibitors of coagulation factors factor VIIa, factor IXa and thrombin of the blood coagulation cascade are included in the blood coagulation cascade.
  • the antithrombotic and anticoagulant effect of the compounds according to the invention is based on the inhibiting action against the activated coagulation protease, known under the name of factor Xa, or on the inhibition of other activated serine proteases, such as factor VIIa,
  • Factor Xa is one of the proteases involved in the complex process of blood clotting. Factor Xa catalyzes the conversion of
  • thrombin Activation of thrombin may lead to the occurrence of thromboembolic Cause illness.
  • inhibition of thrombin can be found in the
  • the measurement of the inhibition of thrombin can e.g. according to the method of G.F. Cousins et al. in Circulation 1996, 94, 1705-1712.
  • Inhibition of factor Xa can thus prevent thrombin from being formed.
  • the compounds of the formula I according to the invention and their salts intervene in the blood clotting process by inhibiting the factor Xa and thus inhibit the formation of thrombi.
  • the inhibition of the factor Xa by the compounds according to the invention and the measurement of the anticoagulant and anti-thrombotic activity can be determined by conventional in vitro or in vivo methods.
  • a suitable method is described e.g. by J. Hauptmann et al. in Thrombosis and Haemostasis 1990, 63, 220-223.
  • the measurement of inhibition of factor Xa may be e.g. according to the method of T. Hara et al. in Thromb. Haemostas. 1994, 71, 314-319.
  • Coagulation factor VIIa after binding to tissue factor, initiates the extrinsic part of the coagulation cascade and contributes to the activation of factor X to factor Xa. Inhibition of factor VIIa thus prevents the formation of factor Xa and thus subsequent thrombin formation.
  • the inhibition of the factor VIIa by the compounds according to the invention and the measurement of the anticoagulant and antithrombotic activity can be carried out according to customary in vitro or in vivo methods.
  • the coagulation factor IXa is generated in the intrinsic coagulation cascade and is also involved in the activation of factor X to factor Xa. Inhibition of factor IXa may thus otherwise prevent factor Xa from being formed.
  • the inhibition of factor IXa by the compounds according to the invention and the measurement of the anticoagulant and antithrombotic activity can be carried out according to customary in vitro or in vivo methods.
  • the compounds according to the invention can furthermore be used for the treatment of tumors, tumor diseases and / or tumor metastases.
  • the compounds of the formula I can be used as active pharmaceutical ingredients in the
  • thromboembolic disorders such as thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty, intermittent claudication, venous thrombosis, pulmonary embolism, arterial
  • Thrombosis myocardial ischemia, unstable angina, and thrombosis-based stroke.
  • the compounds according to the invention are also used for the treatment or
  • Prophylaxis of arteriosclerotic diseases such as coronary arterial disease, cerebral arterial disease or peripheral arterial disease used.
  • the compounds are also used in combination with other thrombolytic agents in myocardial infarction, prophylaxis for reocclusion after thrombolysis, percutaneous transluminal angioplasty (PTCA), and coronary artery bypass grafting.
  • the compounds according to the invention are also used for the prevention of rethrombosis in microsurgery, as anticoagulants in connection with artificial organs or in hemodialysis.
  • the compounds also find use in the cleaning of catheters and medical devices in patients in vivo, or as anticoagulants for the preservation of blood, plasma and other blood products in vitro.
  • the compounds of the invention continue to find use in those diseases in which blood coagulation contributes significantly to disease progression or is a source of secondary pathology, e.g. in cancer including metastasis, inflammatory diseases including arthritis, as well as diabetes.
  • the compounds according to the invention are furthermore used for the treatment of migraine (F.Morales-Asin et al., Headache, 40, 2000, 45-47).
  • the invention also relates to the use of compounds of the formula I and their pharmaceutically usable derivatives, solvates, salts and stereoisomers, including mixtures thereof in all ratios, for the preparation of a medicament for the prevention and treatment of thromboembolic disorders and / or thromboses as a result of surgery , Genetically related diseases with increased thrombosis, diseases of the arterial and venous vascular system, heart failure, atrial fibrillation, thrombophilia, tinnitus and / or sepsis.
  • CABG Coronaary Artery Bypass
  • the invention also provides the use of the compounds of the formula I for the manufacture of a medicament for the prevention and treatment of thromboembolic disorders and / or thromboses in adults and children.
  • the compounds according to the invention are also used in combination with other thrombolytically active compounds, such as e.g. with the
  • tissue plasminogen activator t-PA, modified t-PA, streptokinase or urokinase.
  • the compounds of the invention are with the other substances mentioned either simultaneously or before or after given.
  • the compounds of the invention are also used in
  • the invention relates to the compounds of the formula I and their salts and to a process for the preparation of compounds of the formula I according to claims 1-16 and their pharmaceutically usable derivatives, solvates, salts and stereoisomers, characterized in that a compound of the formula II
  • L is Cl, Br, I or a freely or reactively functionally modified OH group
  • the invention also relates to the optically active forms (stereoisomers), the enantiomers, the racemates, the diastereomers and the hydrates and solvates of these compounds.
  • Solvates of the compounds are understood to mean additions of inert solvent molecules to the compounds which form due to their mutual attraction. Solvates are e.g. Mono or dihydrate or alcoholates.
  • Salts of the compounds of the invention as well as so-called prodrug compounds are salts of the compounds of the invention as well as so-called prodrug compounds.
  • the invention also provides mixtures of the compounds of the formula I according to the invention, e.g. Mixtures of two diastereomers, e.g. in the ratio 1: 1, 1: 2, 1: 3, 1: 4, 1: 5, 1: 10, 1: 100 or 1: 1000. These are particularly preferably mixtures of stereo ⁇ isomeric compounds.
  • A is alkyl, is unbranched (linear) or branched, and has 1, 2, 3, 4,
  • A is preferably methyl, furthermore ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl or tert-butyl, furthermore also pentyl, 1-, 2- or 3-methylbutyl, 1, 1, 1, 2 or 2,2-dimethylpropyl, 1-ethylpropyl, hexyl, 1-, 2-, 3- or 4-methylpentyl, 1, 1-, 1, 2-, 1, 3-,
  • Cycloalkyl is preferably cyclopropyl, cyclobutyl, cyclopentyl,
  • R 2 is preferably H.
  • R 3 is preferably H, methyl, F or Cl, very particularly preferably H -
  • R 4 is preferably 2-oxopiperidin-1-yl, 2-oxopyrrolidin-1-yl, 2
  • the compounds of the formula I can possess one or more chiral centers and therefore occur in different stereoisomeric forms.
  • Formula I encompasses all these forms.
  • the invention relates, in particular, to those compounds of the formula I in which at least one of the radicals mentioned has one of the preferred meanings given above.
  • Some preferred groups of compounds can be expressed by the following part formulas Ia to Iy, which correspond to the formula I and in which the unspecified radicals have the meaning given in the formula I, wherein, however
  • R 3 is H
  • R 4 is 3-oxomorpholin-4-yl
  • the starting materials may, if desired, also be formed in situ, so that they are not isolated from the reaction mixture, but immediately further reacted to the compounds of formula I.
  • the reaction is usually carried out in an inert solvent, in
  • an acid-binding agent preferably an alkali or
  • a weak acid of the alkali or alkaline earth metals preferably of potassium, sodium, calcium or cesium.
  • an organic base such as triethylamine, dimethylaniline, pyridine or quinoline or an excess of the phenol component of
  • Formula II or the alkylating derivative of the formula III may be favorable.
  • the reaction time is between a few minutes and 14 days, depending on the conditions used, and the reaction temperature is between about 0 ° and 150 °, normally between 20 ° and 130 °.
  • Suitable inert solvents are e.g. Hydrocarbons such as hexane, petroleum ether, benzene, toluene or xylene; chlorinated hydrocarbons such as
  • dichloromethane Dichloromethane
  • Alcohols such as methanol, ethanol, isopropanol, n-propanol, n-butanol or tert-butanol
  • Ethers such as diethyl ether, diisopropyl ether, Tetrahydrofuran (THF) or dioxane
  • Glycol ethers such as ethylene glycol monomethyl or monoethyl ether (methyl glycol or ethyl glycol), ethylene glycol dimethyl ether (diglyme); Ketones such as acetone or butanone;
  • Amides such as acetamide, dimethylacetamide or dimethylformamide (DMF);
  • Nitriles such as acetonitrile; Sulfoxides such as dimethylsulfoxide (DMSO); Sulfuric carbon; Carboxylic acids such as formic acid or acetic acid; Nitrover ⁇ compounds such as nitromethane or nitrobenzene; Esters such as ethyl acetate or mixtures of said solvents.
  • Sulfoxides such as dimethylsulfoxide (DMSO); Sulfuric carbon
  • Carboxylic acids such as formic acid or acetic acid
  • Nitrover ⁇ compounds such as nitromethane or nitrobenzene
  • Esters such as ethyl acetate or mixtures of said solvents.
  • L is preferably Cl, Br, I or a free or a reactively modified OH group, such as e.g. an activated ester, an imidazolide or alkylsulfonyloxy with 1-6 C atoms
  • Activated esters are conveniently formed in situ, e.g. B. by the addition of HOBt or N-hydroxysuccinimide.
  • the compound of the formula I contains a carboxylic acid group
  • one of its suitable salts can be formed by reacting the compound reacted with a suitable base to the corresponding base addition salt.
  • bases include, for example, alkali metal hydroxides, including potassium hydroxide, sodium hydroxide and lithium hydroxide; Alkaline earth metal hydroxides such as barium hydroxide and calcium hydroxide; Alkali metal alcoholates, eg potassium ethanolate and sodium propanolate; and various organic bases such as piperidine, diethanolamine and N-methylglutamine.
  • the aluminum salts of the compounds of formula I are also included. For certain compounds of formula I leave
  • Acid addition salts are formed by reacting these compounds with pharmaceutically acceptable organic and inorganic acids, e.g. Hydrogen halides such as hydrogen chloride, hydrogen bromide or hydrogen iodide, other mineral acids and their corresponding
  • salts such as sulphate, nitrate or phosphate and the like, and also alkyl and monoaryl sulphonates, such as ethanesulphonate, toluenesulphonate and benzenesulphonate, and also other organic acids and their corresponding salts, such as acetate, trifluoroacetate, tartrate, maleate, succinate, citrate, benzoate, salicylate,
  • 0 pharmaceutically acceptable acid addition salts of the compounds of formula I include the following: acetate, adipate, alginate, arginate, aspartate, benzoate, benzenesulfonate (besylate), bisulfate, bisulfite, bromide, butyrate, camphorate, camphorsulfonate, caprylate, chloride, chlorobenzoate, Citrate, 5 cyclopentane propionate, digluconate, dihydrogen phosphate, dinitrobenzoate, dodecylsulfate, ethanesulfonate, fumarate, galacterate (from mucic acid), galacturonate, glucoheptanoate, gluconate, glutamate, glycerophosphate, hemisuccinate, hemisulfate, heptanoate, hexanoate, hippurate, hydrochloride,
  • the base salts of the compounds of the formula I include aluminum, ammonium, calcium, copper, iron (III), iron (II), lithium, magnesium, manganese (III), manganese (II) , Potassium, sodium and zinc salts, but this is not intended to be limiting.
  • Preferred among the above salts are ammonium; the alkali metal salts sodium and potassium, and the alkaline earth metal salts calcium and magnesium.
  • Salts of compounds of formula I derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary and tertiary amines, substituted amines, including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, eg arginine, betaine , Caffeine, chloroprocaine, choline, N, N'-dibenzylethylenediamine (benzathine), e dicyclohexylamine, diethanolamine, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, Hydrabamine, iso-propylamine, lidocaine, lysine, meglumine, N-methyl-D-glucamine, morpholine,
  • Triethanolamine Triethanolamine, triethylamine, trimethylamine, tripropylamine and tris
  • Compounds of formula I of the present invention containing basic nitrogen-containing groups can be reacted with agents such as (C 1 -C 4 ) alkyl halides, for example methyl, ethyl, isopropyl and tert-butyl chloride, bromide and iodide; Di (C 1 -C 4 ) alkyl sulfates, eg dimethyl, diethyl and Q diamylsulfate; (Cio-Ci 8 ) alkyl halides, eg decyl, dodecyl, lauryl, myristyl and stearyl chloride, bromide and iodide; and quaternize aryl (C 1 -C 4 ) alkyl halides, eg benzyl chloride and phenethyl bromide.
  • agents such as (C 1 -C 4 ) alkyl halides, for example methyl, ethyl, is
  • Preferred pharmaceutical salts include acetate, trifluoroacetate, besylate, citrate, fumarate, gluconate, hemisuccinate, hippurate, hydrochloride, hydrobromide, isethionate, mandelate,
  • the acid addition salts of basic compounds of formula I are prepared by contacting the free base form with a sufficient amount of the desired acid to form the salt in a conventional manner.
  • the free base can be regenerated by contacting the salt form with a base and isolating the free base in a conventional manner.
  • the free base forms differ in certain sense from their corresponding salt forms with respect to certain physical properties such as solubility in polar solvents; however, in the context of the invention, the salts otherwise correspond to their respective free base forms.
  • the pharmaceutically acceptable base addition salts of the compounds of the formula I are formed with metals or amines, such as alkali metals and alkaline earth metals or organic amines.
  • metals are sodium, potassium, magnesium and calcium.
  • Preferred organic amines are N, N'-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, N-methyl-D-glucamine and procaine.
  • the base addition salts of acidic compounds of formula I are prepared by contacting the free acid form with a sufficient amount of the desired base to form the salt in a conventional manner.
  • the free acid can be regenerated by contacting the salt form with an acid and isolating the free acid in a conventional manner.
  • the free acid forms differ in some sense from their corresponding salt forms in terms of certain physical properties such as solubility in polar solvents; However, in the context of the invention, the salts otherwise correspond to their respective free acid forms.
  • formula I also encompasses multiple salts.
  • Typical multiple salt forms include, for example, bitartrate, diacetate, difumarate, dimeglumine, diphosphate, disodium 10 and trihydrochloride, but this is not intended to be limiting.
  • the active ingredient first conferred a desired pharmacokinetic property that it did not previously possess, and may even positively affect the pharmacodynamics of that agent in terms of its therapeutic efficacy in the body.
  • the pharmaceutical activity of the racemates or of the stereoisomers of the compounds according to the invention may differ, it may be desirable to use the enantiomers.
  • the end product or else the intermediates may already be separated into enantiomeric compounds, chemical or physical measures known to those skilled in the art, or already be used as such in the synthesis.
  • Suitable separating agents are, for example, optically active acids, such as the R and S forms of tartaric acid, diacetyltartaric acid, dibenzoyltartaric acid, mandelic acid, malic acid, lactic acid, suitable N-protected amino acids (e.g., N-benzoylproline or N-benzenesulfonylproline) or the various optically active camphorsulfonic acids.
  • optically active acids such as the R and S forms of tartaric acid, diacetyltartaric acid, dibenzoyltartaric acid, mandelic acid, malic acid, lactic acid, suitable N-protected amino acids (e.g., N-benzoylproline or N-benzenesulfonylproline) or the various optically active camphorsulfonic acids.
  • a chromatographic separation of enantiomers by means of an optically active separating agent (for example dinitrobenzoylphenylglycine, cellulose triacetate or other derivatives of carbohydrates or silica-gel-fixed chirally derivatized methacrylate polymers).
  • an optically active separating agent for example dinitrobenzoylphenylglycine, cellulose triacetate or other derivatives of carbohydrates or silica-gel-fixed chirally derivatized methacrylate polymers.
  • Suitable eluents for this purpose are aqueous or alcoholic solvent mixtures, such as e.g. Hexane / isopropanol / acetonitrile e.g. in the ratio 82: 15: 3.
  • the invention furthermore relates to the use of the compounds of the formula I and / or their physiologically acceptable salts for the preparation of a pharmaceutical preparation (pharmaceutical preparation), in particular by a non-chemical route.
  • a pharmaceutical preparation pharmaceutical preparation
  • they can be brought into a suitable dosage form together with at least one solid, liquid and / or semi-liquid carrier or adjuvant and optionally in combination with one or more further active ingredients.
  • the invention furthermore relates to medicaments comprising at least one compound of the formula I and / or pharmaceutically usable derivatives, solvates, salts and stereoisomers thereof, including their O. Mixtures in all ratios, and optionally excipients and / or adjuvants.
  • preparations can be used as medicaments in human or veterinary medicine.
  • compositions may be presented in the form of dosage units containing a predetermined amount of active ingredient per unit dose.
  • a moiety may contain, for example, 0.5 mg to 1 g, preferably 1 mg to 700 mg, more preferably 5 mg to 100 mg of a compound of the invention, depending on the condition being treated, the route of administration and the age, weight and condition of the patient, or pharmaceutical formulations may be presented in the form of dosage units containing a predetermined amount of active ingredient per unit dose.
  • Preferred dosage unit formulations are those containing a daily or partial dose as indicated above or a corresponding fraction thereof
  • compositions may be administered by any suitable route, for example, oral (including buccal or sublingual), rectal, nasal, topical (including buccal, sublingual or transdermal), vaginal or parenteral (including subcutaneous, intramuscular, intravenous or intravenous intradermal) routes.
  • Such formulations can be prepared by any method known in the pharmaceutical art, for example, by bringing the active ingredient together with the carrier (s) or excipient (s).
  • Pharmaceutical formulations adapted for oral administration may be presented as separate entities, such as capsules or tablets; Powder or granules; Solutions or suspensions in aqueous or non-aqueous liquids; edible foams or foam foods; or 01-in-water liquid emulsions or water-in-oil liquid emulsions.
  • the active ingredient component in the case of oral administration in the form of a tablet or capsule, can be mixed with an oral, non-toxic and pharmaceutically acceptable inert carrier, e.g. Ethanol, glycerin, water and the like. combine. Powders are prepared by comminuting the compound to a suitable fine size and using a similarly comminuted pharmaceutical grade
  • Carrier such as e.g. an edible carbohydrate such as starch or mannitol.
  • a flavor, preservative, dispersant and dye may also be present.
  • Capsules are made by preparing a powder mix as described above and filling shaped gelatin casings therewith.
  • Lubricants such as e.g. fumed silica, talc, magnesium stearate, calcium stearate or polyethylene glycol in solid form can be added to the powder mixture before the filling process.
  • Disintegrants or solubilizers e.g. Agar-agar, calcium carbonate or sodium carbonate may also be added to improve the availability of the drug after ingestion of the capsule.
  • Lubricants and disintegrants as well as dyes are also incorporated into the mixture.
  • Suitable binders include starch,
  • Gelatin natural sugars, e.g. Glucose or beta-lactose, sweetened
  • the lubricants used in these dosage forms include sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride, etc.
  • the disintegrating agents include, but are not limited to, starch, methyl cellulose, agar, 5
  • the tablets are formulated by, for example, preparing a powder mixture, granulating or dry-pressing, adding a lubricant and a disintegrating agent and pressing the whole into tablets.
  • a powder mixture is
  • a binder e.g. Carboxymethylcellulose, an alginate, gelatin or polyvinylpyrrolidone, a solution
  • c such as e.g. Paraffin
  • a resorption accelerator such as a quaternary salt and / or an absorbent, e.g. Bentonite, kaolin or dicalcium phosphate
  • an absorbent e.g. Bentonite, kaolin or dicalcium phosphate
  • the powder mixture can be granulated by mixing it with a binder, e.g. Syrup, starch paste, Acadia slime or solutions of cellulose or polymer
  • Granulation can run the powder mixture through a tableting machine, resulting in irregularly shaped lumps, which are broken up into granules.
  • the granules can be added by adding
  • the active ingredients can also be combined with a free-flowing inert carrier and then
  • a transparent or impermeable protective layer consisting of a shellac sealant, a layer of sugar or polymer material and a glossy layer
  • Wax may be present. These coatings can dyes
  • Oral fluids such as solution, syrups and elixirs may be prepared in unit dosage form such that a given
  • Syrups can be prepared by dissolving the compounds in an aqueous solution of suitable taste, while elixirs are prepared using a non-toxic alcoholic vehicle.
  • Suspensions can be obtained by dispersion of the compounds in
  • Solubilizers and emulsifiers e.g. ethoxylated isostearyl alcohols and polyoxyethylene sorbitol ethers, preservatives, flavoring additives, such as e.g. Peppermint oil or natural sweeteners or saccharin or others
  • a c artificial sweeteners may also be added.
  • the unit dosage formulations for oral administration may optionally be encapsulated in microcapsules.
  • the formulation can also be prepared so that the release is prolonged or retarded
  • the compounds of the formula I and also salts, solvates and physiologically functional derivatives thereof and the other active compounds can also be administered in the form of liposome delivery systems, such as, for example, small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles.
  • liposome delivery systems such as, for example, small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles.
  • Can liposomes from various phospholipids, such as cholesterol 3Q, stearylamine or phosphatidylcholines are formed.
  • the compounds of formula I as well as the salts, solvates and physiologically functional derivatives thereof as well as the other active compounds can also be prepared using monoclonal antibodies as individual carriers to which
  • Drug carriers are coupled.
  • Such polymers may include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropylmethacrylamidephenol, polyhydroxyethylaspartamidephenol or polyethyleneoxidepolylysine substituted with palmitoyl radicals.
  • Biodegradable polymers suitable for the controlled release of a drug e.g. Polylactic acid, polyepsilon-caprolactone, polyhydroxybutyric acid, polyorthoesters, polyacetals, polydihydroxypyrans, polycyano-10-acrylates, and cross-linked or amphipathic block copolymers of hydrogels.
  • adapted pharmaceutical formulations ⁇ 5 of the receiver can be administered as independent plasters for extended, close contact with the epidermis.
  • the drug may be delivered from the patch by iontophoresis as generally described in Pharmaceutical Research, 3 (6), 318 (1986). 20
  • Pharmaceutical compounds adapted for topical administration may be formulated as ointments, creams, suspensions, lotions, powders, solutions, pastes, gels, sprays, aerosols or oils.
  • the formulations are preferably applied as a topical ointment or cream.
  • the active ingredient When formulated into an ointment, the active ingredient
  • the active ingredient can be formulated into a cream with an oil-in-water cream base or a water-in-oil base.
  • the pharmaceutical formulations adapted for topical application to the eye include eye drops, the active substance being in a suitable carrier, in particular an aqueous solvent, dissolved or suspended.
  • Formulations include lozenges, lozenges and mouthwashes.
  • compositions adapted for rectal administration may be presented in the form of suppositories or enemas.
  • compositions adapted for nasal administration in which the carrier is a solid, contain a coarse powder having a particle size, for example, in the range of 20-500
  • Fine particulate dusts or mists which can be generated by means of 25 different types of pressurized dosing dispensers with aerosols, nebulizers or insufflators.
  • compositions adapted for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams or spray formulations.
  • Formulations include aqueous and non-aqueous sterile injection
  • 35 solutions containing antioxidants, buffers, bacteriostats and solutes, by the the formulation is made isotonic with the blood of the recipient to be treated; and aqueous and non-aqueous sterile suspensions which may contain suspending agents and thickeners.
  • the formulations may be presented in single or multi-dose, eg sealed vials and vials, and stored in freeze-dried (lyophilized) condition so that only the addition of the sterile carrier liquid, eg water for injections, is required immediately before use.
  • 10 Injection solutions and suspensions prepared by prescription can be prepared from sterile powders, granules and tablets.
  • formulations in addition to the above particular A c mentioned components may contain other conventional means in the art with respect to the respective type of formulation; for example, formulations suitable for oral administration may contain flavorings.
  • a therapeutically effective amount of a compound of formula I as well as the other active ingredient will depend on a number of factors, including e.g. the age and weight of the animal, the exact condition of the disease requiring treatment, and his
  • an effective amount of a compound is generally in the range of 0.1 to 100 mg / kg
  • An effective amount of a salt or solvate or a physiologically functional derivative thereof can be determined as a proportion of the effective amount of the compound per se.
  • Salts may be used in the control and prevention of thromboembolic diseases such as thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty, intermittent claudication, migraine, tumors,
  • thromboembolic diseases such as thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty, intermittent claudication, migraine, tumors,
  • Tumor diseases and / or tumor metastases are used.
  • the invention further provides the use of compounds according to one or more of claims 1-27, in combination with at least one further active pharmaceutical ingredient.
  • the other active pharmaceutical ingredients are selected from the
  • the antithrombotic is preferably selected from the group of vitamin K antagonists, heparin compounds, platelet aggregation inhibitors, enzymes, other antithrombotic agents,
  • Platelet glycoprotein receptor (IIb / IIIa) antagonists IIb / IIIa
  • thromboxane antagonists platelet adhesion inhibitors.
  • the vitamin K antagonists are preferably selected from the group Dicoumarol, Phenindione, Warfarin, Phenprocoumon, Acenocoumarol, Ethyl biscoumacetate, Clorindione, Diphenadione, Tioclomarol.
  • the heparin compounds are preferably selected from the group
  • the platelet aggregation inhibitors are preferably selected from the group of ditazoles, cloricromes, picotamides, clopidogrel,
  • the enzymes are preferably selected from the group streptokinase, alteplase, anistreplase, urokinase, fibrinolysin, brinase, reteplase, saruplase.
  • the other antithrombotic agents are preferably selected from Defibrotide, Desirudin, Lepirudin.
  • the thromboxane antagonists are preferably selected from the group Ramatroban, Equalen Sodium, Seratrodast.
  • the antiarrhythmics are preferably selected from the group a) quinidine, disopyramide, ajmaline, detmium, b) lidocaine, mexiletine, phenytoin, tocainide, c) propafenone, flecainide, d) metoprolol, esmolol, propranolol, atenolol, oxprenolol, e) amiodarone, Sotalol, f) diltiazem, verapamil, gallopamil, g) adenosine, orciprenaline, ipratropium, h) cardiac glycosides.
  • the contraceptives are preferably selected from the group desogestrel, medroxyprogesterone acetate, levonorgestrel, etonogestrel,
  • the PDE V - inhibitors are preferably selected from the group a) sildenafil (Viagra ®), tadalafil (Cialis ®), vardenafil (Levitra ®), b) the compounds of formula described in WO 99/55708 I
  • R 1 , R 2 are each independently H, A, OA, OH or Hal,
  • R 1 and R 2 together also alkylene having 3-5 C atoms
  • R 6 is phenyl or phenylmethyl
  • R 7 is COOH, COOA, CONH 2 , CONHA, CON (A) 2 or CN,
  • A is alkyl having 1 to 6 C atoms
  • Hal are F, Cl, Br or I, and / or their physiologically acceptable salts and / or solvates,
  • R 1 . , R 2 are each, independently of one another, H, A or Hal, where one of the radicals R 1 or R 2 is always ⁇ H,
  • R 1 and R 2 together also alkylene having 3-5 C atoms
  • R 3 , R 4 are each independently H 1 A, OH 1 OA or Hal,
  • R 3 and R 4 together also alkylene having 3-5 C atoms
  • X is R 5 or R 6 which is monosubstituted by R 7 ,
  • R £ linear or branched alkylene having 1-10 C atoms, wherein one or two CH 2 groups may be replaced by -CH CH groups, or
  • R b is cycloalkylalkylene having 6-12 C atoms
  • R 7 is COOH, COOA 1 CONH 2 , CONHA, CON (A) 2 or CN 1
  • A is alkyl having 1 to 6 C atoms
  • Receptor (Ilb / IIIa) antagonists that inhibit platelet aggregation.
  • Preferred compounds are e.g. described in EP 0 623 615 B1
  • Aspirin is also preferred as a further active pharmaceutical ingredient.
  • the invention is also a set (kit), consisting of separate packages of
  • the kit contains suitable containers, such as boxes or boxes, individual bottles, bags or ampoules.
  • the set may e.g. containing separate ampoules in each of which an effective amount of a compound of formula I and / or its pharmaceutically acceptable derivatives, solvates and stereoisomers, including mixtures thereof in all proportions, and an effective amount of another drug substance is dissolved or in lyophilized form.
  • the invention furthermore relates to the use of compounds of the formula I and / or pharmaceutically usable derivatives, solvates, salts and stereoisomers thereof, including mixtures thereof in all ratios, for the production of a medicament for the treatment of thromboses, myocardial infarction, arteriosclerosis, inflammation, apoplexy , Angina pectoris, restenosis after angioplasty, intermittent claudication, migraine,
  • Tumors, tumors and / or tumor metastases for the prevention and treatment of thromboembolic disorders and / or thrombosis as a result of surgery, genetically determined diseases with increased thrombosis, diseases of the arterial and venous vascular system, heart failure, atrial
  • Fibrillation, thrombophilia, tinnitus and / or sepsis in combination with at least one other drug.
  • the invention furthermore relates to a medicament containing a compound of the formula I and / or its pharmaceutically usable derivatives, solvates, salts and stereoisomers, including the same
  • the invention furthermore relates to the use of a compound of the formula I and / or its pharmaceutically usable derivatives, solvates,
  • thrombosis myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty, intermittent claudication, migraine, tumors, tumors and / or tumor metastases, for the prevention and treatment of thromboembolic disorders and / or thrombosis as a result of surgery, genetically Conditional diseases with increased thrombosis, diseases
  • OQ of the arterial and venous vascular system heart failure, atrial fibrillation, thrombophilia, tinnitus and / or sepsis, in combination with aspirin.
  • “usual work-up” means: water is added, if necessary, if necessary, depending on the constitution of the Final product to pH values between 2 and 10, extracted with ethyl acetate or dichloromethane, separated, the organic phase dried over sodium sulfate, evaporated and purified by chromatography on silica gel and / or by crystallization. Rf values on silica gel; Eluent:
  • the crude product is recrystallized from ethanol / diethyl ether.
  • the TEMPO oxidation is carried out according to the following literature: L. DeLuca et al., J. Org. Chem. 68, 4999-5001 (2003).
  • Example A Injection glasses
  • a solution of 100 g of an active compound of the formula I and 5 g of disodium hydrogen phosphate is adjusted to pH 6.5 in 3 l of bidistilled water with 2N hydrochloric acid, filtered sterile, filled into injection jars, lyophilized under sterile conditions and closed under sterile conditions , Each injection glass contains 5 mg of active ingredient.
  • a mixture of 20 g of an active compound of the formula I is melted with 100 g of soya lecithin and 1400 g of cocoa butter, poured into molds and allowed to cool. Each suppository contains 20 mg of active ingredient.
  • a solution of 1 g of an active compound of the formula I, 9.38 g of NaH 2 PO 4 • 2H 2 O, 28.48 g of Na 2 HPO 4 • 12H 2 O and 0.1 g of benzalkonium chloride in 940 is prepared ml of double distilled water. Adjust to pH 6.8, make up to 1 liter and sterilize by irradiation. This solution can be used in the form of eye drops.
  • a mixture of 1 kg of active compound of the formula I, 4 kg of lactose, 1.2 kg of potato starch, 0.2 kg of talc and 0.1 kg of magnesium stearate is customary
  • Tablets are pressed analogously to Example E, which are then coated in the usual way with a coating of sucrose, potato starch, talc, tragacanth and dye.
  • a solution of 1 kg of active compound of the formula I in 60 l of bidistilled water is sterile filtered, filled into ampoules, lyophilized under sterile conditions and sealed sterile. Each vial contains 10 mg of active ingredient.

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Abstract

La présente invention concerne de nouveaux composés de formule (I) dans laquelle X, Y, R1, R2, R3, R4 et n ont les significations énoncées dans la revendication 1. Ces composés sont des inhibiteurs du facteur de coagulation Xa et peuvent être utilisés afin de prévenir et/ou traiter des maladies thromboemboliques et de traiter des tumeurs.
EP05787227A 2004-09-29 2005-09-16 Derives de proline Withdrawn EP1797079A1 (fr)

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DE102004047255A DE102004047255A1 (de) 2004-09-29 2004-09-29 Prolinderivate
PCT/EP2005/010025 WO2006034789A1 (fr) 2004-09-29 2005-09-16 Derives de proline

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US (1) US20070265259A1 (fr)
EP (1) EP1797079A1 (fr)
JP (1) JP2008514656A (fr)
KR (1) KR20070058543A (fr)
CN (1) CN101031566A (fr)
AU (1) AU2005289184A1 (fr)
BR (1) BRPI0516157A (fr)
CA (1) CA2581737A1 (fr)
DE (1) DE102004047255A1 (fr)
MX (1) MX2007003472A (fr)
RU (1) RU2007116035A (fr)
WO (1) WO2006034789A1 (fr)
ZA (1) ZA200703442B (fr)

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WO2008049747A1 (fr) * 2006-10-25 2008-05-02 F. Hoffmann-La Roche Ag Nouveaux carboxamides hétéroaryliques

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US7030141B2 (en) * 2001-11-29 2006-04-18 Christopher Franklin Bigge Inhibitors of factor Xa and other serine proteases involved in the coagulation cascade
BR0317659A (pt) * 2002-12-23 2005-12-06 Aventis Pharma Gmbh Derivados de pirazol como inibidores de fator xa

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CA2581737A1 (fr) 2006-04-06
MX2007003472A (es) 2007-05-10
JP2008514656A (ja) 2008-05-08
ZA200703442B (en) 2008-08-27
DE102004047255A1 (de) 2006-04-13
BRPI0516157A (pt) 2008-08-26
KR20070058543A (ko) 2007-06-08
RU2007116035A (ru) 2008-11-10
US20070265259A1 (en) 2007-11-15
AU2005289184A1 (en) 2006-04-06
WO2006034789A1 (fr) 2006-04-06

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