EP3525778A1 - Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes - Google Patents

Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes

Info

Publication number
EP3525778A1
EP3525778A1 EP17777302.5A EP17777302A EP3525778A1 EP 3525778 A1 EP3525778 A1 EP 3525778A1 EP 17777302 A EP17777302 A EP 17777302A EP 3525778 A1 EP3525778 A1 EP 3525778A1
Authority
EP
European Patent Office
Prior art keywords
diseases
treatment
combination
prophylaxis
formula
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.)
Pending
Application number
EP17777302.5A
Other languages
German (de)
English (en)
Inventor
Peter Kolkhof
Peter Sandner
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.)
Bayer Pharma AG
Original Assignee
Bayer Pharma AG
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 Bayer Pharma AG filed Critical Bayer Pharma AG
Publication of EP3525778A1 publication Critical patent/EP3525778A1/fr
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/16—Amides, e.g. hydroxamic acids
    • A61K31/165—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • A61K31/167—Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the nitrogen of a carboxamide group directly attached to the aromatic ring, e.g. lidocaine, paracetamol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A61K31/192—Carboxylic acids, e.g. valproic acid having aromatic groups, e.g. sulindac, 2-aryl-propionic acids, ethacrynic acid 
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
    • A61K31/4365—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system having sulfur as a ring hetero atom, e.g. ticlopidine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00—Drugs for disorders of the respiratory system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P13/00—Drugs for disorders of the urinary system
    • A61P13/12—Drugs for disorders of the urinary system of the kidneys
    • 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

Definitions

  • the present invention relates to the combination of activators of soluble guanylate cyclase (sGC activators) with mineralocorticoid receptor antagonists (MR antagonists) and the use of the combination for the treatment and / or prophylaxis of cardiovascular diseases, kidney and cardio -renal diseases, pulmonary and cardio-pulmonary diseases, as well as for the treatment and / or prophylaxis of fibrotic diseases.
  • sGC activators soluble guanylate cyclase
  • MR antagonists mineralocorticoid receptor antagonists
  • the object of the present invention is to provide combinations of pharmaceutically active substances, which act in more than one regulatory circuit and for the treatment of diseases of the cardiovascular system, renal and cardio-renal system or the lung and cardio-pulmonary system and fibrotic disorders can be used.
  • renin-angiotensin-aldosterone system It is a central cascade system of hormones and enzymes that control the salt and water balance and thus the body's blood pressure. Due to lack of salt and fluid or blood pressure drops, the hormone renin is formed in special kidney cells and distributed. Renin cleaves the liver-formed angiotensinogen into angiotensin I, while the angiotensin-converting enzyme (ACE) converts angiotensin I into angiotensin II. Angiotensin II has potent vasoconstrictive and thus hypertensive effects and stimulates the formation of the steroid hormone aldosterone in the adrenal cortex. Aldosterone calls for the recovery of sodium from the urine into the blood, increasing blood volume.
  • ACE angiotensin-converting enzyme
  • angiotensin II The specific effects of angiotensin II are mediated through corresponding extracellular receptors (angiotensin receptor, AT-R) expressed on target cells of the cardiovascular system.
  • aldosterone the specific effects of aldosterone are mediated via an intracellular receptor, the aldosterone or mineralocorticoid receptor (MR).
  • MR mineralocorticoid receptor
  • both angiotensin II and aldosterone have direct pro-inflammatory and fibrotic properties.
  • Both hormones play particularly in remodeling processes in the heart, kidneys and vessels, e.g. induced by a heart attack or an acute renal failure, an essential role: Aldosterone the incorporation of collagen proteins in the heart muscle, which can lead to increased stiffness and thus in the long term to a reduced functionality.
  • Aldosterone and angiotensin II form a classic, feed-forward 'regulatory circuit: in addition to potassium, angiotensin II is the main stimulus for the release of aldosterone from the adrenal glands, and conversely, aldosterone in cardiac and vascular tissues stimulates the production of ACE, the precursor enzyme - angiotensin which generates angiotensin II.
  • MR antagonists such as the steroidal compounds spironolactone, canrenone / canrenoate and eplerenone, as well as newer non-steroidal MR antagonists such as MT-3995 according to the compound of formula (VI), CS-3150 according to the compound of formula (V), LY2623091 PF-03882845 according to the compound of the formula (XIV) and finerenones, according to the compound of the formula (IV), counteract the aldosterone-mediated sodium retention in the kidneys (natriuretic action).
  • MR antagonists lead to increased sodium excretion, which is a proven therapeutic concept in hypertensive patients and / or in patients with heart failure and / or renal insufficiency.
  • MR antagonists can exert their natriuretic effect only in the kidney segments, in which aldosterone is also physiologically effective via MR.
  • these are, in particular, the late distal tubule and collection tube sections, which are involved in sodium reabsorption only to a limited extent, while the majority of sodium secretion and reabsorption occurs in proximal tubule sections.
  • NO nitric oxide
  • cGMP cyclic guanosine monophosphate
  • PDE phosphodiesterase
  • sGC soluble guanylate cyclase
  • GTP guanosine triphosphate
  • This cGMP is an important second messenger molecule and binds to a variety of intracellular proteins, including cGMP-dependent protein kinases (G-kinases) .G-kinases mediate the phosphorylation of various target proteins, such as potassium channels.
  • G-kinases cGMP-dependent protein kinases
  • NO stimulates vascular dilatation and thus lowers blood pressure by stimulating the sGC / cGMP pathway
  • cGMP also has numerous other effects, such as anti-thrombotic, anti-fibrotic or anti-thrombotic effects These effects, however, are less well understood than vascular dilation and have not yet been fully elucidated.
  • the NO / cGMP signaling cascade and the effects of cGMP are terminated by degradation of the cGMP to inactive GMP cyclic phosphate ring and the image 5 'GMP is catalyzed by phosphodiesterases (PDE).
  • PDE phosphodiesterases
  • the PDEs are a large family of enzymes with up to now 11 identified members and over 100 different so-called splicing variants.
  • the various PDEs differ, above all, in terms of tissue specificity (eg PDE6 is expressed exclusively in the eye), substrate specificity (eg cAMP or cGMP-specific) and regulation (eg by calcium / calmodulin or cyclic nucleotides).
  • PDE5 type 5
  • PDE6 PDE6
  • PDE9 PDE9
  • PDE5 inhibitors are limited, since they require a sufficiently high endogenous cGMP level for their effectiveness, which is then protected by the compounds from degradation. In many diseases, especially in cardiovascular diseases or lung diseases, however, the endogenous NO production and thus also the cGMP formation is at least partially disturbed. Therefore, PDE5 inhibitors also do not work comparatively well in all patients or are also treatment-resistant patients, for example in erectile dysfunction or in pulmonary hypertension. In order to circumvent this limitation of both nitrates and PDE5 inhibitors, it was attempted to stimulate the sGC directly pharmacologically.
  • sGC stimulators and sGC activators therefore represents a milestone in the pharmacology of the NO / cGMP signaling pathway.
  • sGC stimulators and sGC activators independently stimulate sGC NO and result in NO-independent production of cGMP.
  • these classes of compounds also act synergistically (sGC stimulators) and additively (sGC activators) to endogenously formed NO.
  • the main difference is the binding to the sGC.
  • the sGC is a heterodimeric protein formed from one alpha and one beta subunit, the last one carrying the NO-binding heme group.
  • the sGC stimulators bind to the alpha subunit of the non-oxidized and heme-containing sGC and cause the direct, non-independent formation of cGMP (Stasch et al. (A) 2001; Stasch & Hobbs 2009).
  • the sGC activators bind to the beta subunit of the oxidized and heme-free sGC, activate it and thus lead to the NO-independent formation of cGMP (Stasch et al. (B) 2001, Schmidt et al., 2009).
  • the sGC stimulator riociguat was approved for the treatment of pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) (Ghofrani et al. (A), Ghofrani et al. (B) 2013, 2013 Hambly & Granton 2015).
  • PAH pulmonary arterial hypertension
  • CTEPH chronic thromboembolic pulmonary hypertension
  • the sGC stimulator vericiguat is in Phase II / III for the treatment of heart failure (Pieske et al 2014, Gheorghiade et al., 2015).
  • MRAs MR antagonists
  • Steroidal MRAs such as spironolactone or its active metabolite kanrenone not only interact with the MR but also with the homologous androgen and progesterone receptors. These interactions may have undesirable effects on sex hormone metabolism such as gynecomastia, dysmenorrhea and libido loss to lead.
  • Nonsteroidal MRAs such as finerenones interact specifically with the MR, so that corresponding side effects that may result from interactions with other steroid hormone receptors are not to be expected.
  • steroidal mineralocorticoid receptor antagonists are (the subject matter published in the following publications with regard to the steroidal MR antagonists should also be the subject of the present application)
  • Eplerenones (epoxymexerenone) of the formula (II)
  • Kanrenone (10,13 -dimethylspiro [2,8,9,11,12,14,15,16-octahydro- lH-cyclopenta [a] phenanthrene-17,5'-oxolane] -2 ', 3-dione) of Formula (III)
  • Kanrenone is also known as Potassium Salt, Potassium Kanrenoate, and is commercially available.
  • non-steroidal mineralocorticoid receptor antagonists are (the subject matter published in the following publications with respect to the non-steroidal MR antagonists is also intended to be the subject of the present application):
  • Finereneone (S) -4- (4-cyano-2-methoxyphenyl) -5-ethoxy-2,8-dimethyl-1,4-dihydro-1,6-naphthyridine-3-carboxamide), as a selective antagonist, which is based on a Dihydropyridingrundgerüst, the formula (IV)
  • Esaxerenone (1- (2-hydroxyethyl) -4-methyl-N- (4- (methylsulfonyl) phenyl) -5- (2- (trifluoromethyl) phenyl) -1H-pyrrole-3-carboxamide) of the formula (V)
  • MR antagonists based on an aryl sulfonamide structure such as those described in Futatsugi K, Piotrowski DW, Casimiro-Garcia A, et al. Design and synthesis of aryl sulfonamide-based nonsteroidal mineralocorticoid receptor antagonists. Bioorg Med Chem Lett 2013; 23: 6239-6242 are disclosed
  • Suitable sGC activators are known from the following publications (the subject matter published in the following publications should also be the subject of the present application): WO2013 / 157528, WO2015 / 056663, WO2009 / 123316, WO2016 / 001875, WO2016 / 001876, WO2016 / 001878, WO2000 / 02851, WO2012 / 122340, WO2013 / 025425, WO2014 / 039434, WO2016 / 014463, WO2009 / 068652, WO2009 / 071504, WO2010 / 015652, WO2010 / 015653, WO2015 / 033307, WO2016 / 042536, WO2009 / 032249, WO2010 / 099054, WO2012 / 058132,
  • Both the RAAS and the NO / cGMP pathway play an important role in maintaining body homeostasis and regulate important functions in the cardiovascular, renal and cardio-renal systems or in the pulmonary and cardio-pulmonary systems.
  • the use of MR antagonists and the use of sGC activators as monotherapies in cardiovascular, renal and cardio-renal diseases, pulmonary and cardiopulmonary diseases or fibrotic diseases is also described. In fact, both the proportion of dysregulation of the two signaling pathways in these various diseases, as well as the absolute efficiency of the two mechanisms in the direct comparison is unknown.
  • Combinations of MR antagonists with sGC activators were used in these experiments and also tested in direct comparison to the individual compounds. Surprisingly, an extraordinary effectiveness of these combinations, which goes far beyond the efficacy of the individual components, and suggests a synergistic effect of the combination of MR antagonists and sGC activators.
  • the solution to the above problem can thus be seen in the provision of combinations which contain at least one sGC activator and at least one substance which intervenes in the RAAS system and which are used for the targeted treatment of cardiovascular diseases, Renal and cardio-renal diseases, pulmonary and cardio-pulmonary diseases and fibrotic diseases with over-additive effects can be used.
  • the invention therefore provides i.a. a combination containing MR antagonists and sGC activators ready.
  • the combination shows acute and especially chronic use, positive effects on end organ protection of the heart and kidneys, reduction of renal protein excretion, reduction of morbidity and mortality under experimental conditions.
  • These experimental conditions consist of healthy animals or animals with hypertension, cardiac and / or renal insufficiency (e.g., transgenic renin rats), L-NAME treated animals (e.g., transgenic renin rats + L-NAME treatment).
  • combinations containing at least one sGC activator and at least one non-steroidal MR antagonist having an oxazolidinedione scaffold are also preferred.
  • the at least one sGC activator and at least one steroidal MR antagonist selected from the group
  • Eplerenones (epoxymexerenone) of the formula (II)
  • Canrenone (10, 13 -dimethylspiro [2,8,9,1 1 1, 12,14,15,16-octahydro- lH-cyclopenta [a
  • potassium salt potassium canenoate
  • the at least one sGC activator and at least one non-steroidal MR antagonist selected from the group Finereneone, ((S) -4- (4-cyano-2-methoxyphenyl) -5-ethoxy-2,8-dimethyl - 1, 4-dihydro-1, 6-naphthyridine-3-carboxamide) of the formula (IV)
  • Esaxerenone (1- (2-hydroxyethyl) -4-methyl-N- (4- (methylsulfonyl) phenyl) -5- (2- (trifluoromethyl) phenyl) -1H-pyrrole-3-carboxamide) of the formula (V)
  • combinations containing at least one sGC activator containing a carboxylic acid function and at least one MR antagonist are also preferred. Also preferred are combination, the at least one sGC activator selected from the group
  • Esaxerenone (1- (2-hydroxyethyl) -4-methyl-N- (4- (methylsulfonyl) phenyl) -5- (2- (trifluoromethyl) phenyl) -1H-pyrrole-3-carboxamide) of the formula (V)
  • Another object of the invention is the use of MR antagonists in combination with sGC activators for the treatment of cardiovascular diseases such as cardiac and cardiovascular diseases.
  • Cardiac insufficiency with preserved ejection fraction or cardiac insufficiency with reduced ejection fraction, treatment and / or prophylaxis of atrial fibrillation, stroke or atherosclerosis for the treatment of renal and cardio-renal diseases, e.g. chronic renal failure or diabetic nephropathy, lung diseases and cardio-pulmonary diseases, e.g. pulmonary hypertension, central nervous system disorders, for the treatment and / or prophylaxis of fibrotic diseases, as well as other manifestations of disease (e.g., end-organ damage affecting the brain, kidney, heart or lung).
  • renal and cardio-renal diseases e.g. chronic renal failure or diabetic nephropathy
  • lung diseases and cardio-pulmonary diseases e.g. pulmonary hypertension, central nervous system disorders
  • other manifestations of disease e.g., end-organ damage affecting
  • An object of the present invention is a pharmaceutical formulation containing a combination of an MR antagonist and a sGC Aktivaotrs, and the salts, solvates and solvates of the salts of the components to be combined.
  • the components to be combined may be present as salts.
  • Salts which are preferred in the context of the present invention are physiologically acceptable salts of the compounds to be combined. Also included are salts which are not suitable for pharmaceutical applications, but which can be used, for example, for the isolation or purification of the compounds to be combined.
  • the combinations according to the invention are suitable for the prophylaxis and / or treatment of various diseases and disease-related conditions, in particular for the treatment and / or prophylaxis of cardiovascular diseases such as heart failure with preserved ejection fraction or cardiac insufficiency with reduced ejection fraction, treatment and / or prophylaxis of atrial fibrillation, stroke or atherosclerosis, renal and cardiorenal diseases such as chronic renal failure or diabetic nephropathy , Pulmonary and cardiopulmonary disorders, such as pulmonary hypertension, central nervous system disorders, for the treatment and / or prophylaxis of fibrotic disorders, as well as other pathologies (eg end organ damage affecting the brain, kidney or heart).
  • cardiovascular diseases such as heart failure with preserved ejection fraction or cardiac insufficiency with reduced ejection fraction
  • atrial fibrillation such as chronic renal failure or diabetic nephropathy
  • Pulmonary and cardiopulmonary disorders such as pulmonary hypertension, central nervous system disorders, for the treatment and / or prophylaxi
  • the combinations according to the invention are suitable for the prophylaxis and / or treatment of various diseases and disease-related conditions, in particular for the treatment and / or prophylaxis of a disease selected from the group consisting of hypertension, heart failure (acute and chronic), decompensated heart failure, left ventricular dysfunction , hypertrophic cardiomyopathy, diabetic cardiomyopathy, supraventricular and ventricular arrhythmias, atrial fibrillation, atrial flutter, harmful vascular remodeling, myocardial infarction and sequelae thereof, atherosclerosis, angina (unstable or stable), renal insufficiency (diabetic and nondiabetic), heart failure, angina pectoris, diabetes, secondary hyperaldosteronism, primary and secondary pulmonary hypertension, glomerulonephritis, scleroderma and systemic sclerosis, glomerular sclerosis, proteinuria as a result of primary renal disease, renal vascular Hypertension, diabetic and nondiabetic retin
  • Another object of the present invention is the use of the combinations according to the invention for the manufacture of a medicament for the treatment and / or prevention of diseases, in particular the aforementioned diseases.
  • Another object of the present invention is a method for the treatment and / or prevention of diseases, in particular the aforementioned diseases.
  • combinations according to the invention can be used alone or as needed in combination with other active ingredients.
  • Another object of the present invention are pharmaceutical compositions containing at least one of the combinations according to the invention and one or more further active ingredients, in particular for the treatment and / or prevention of the aforementioned diseases.
  • suitable combination active ingredients may be mentioned by way of example and preferably:
  • Antihypertensive agents by way of example and preferably from the group of calcium antagonists, angiotensin receptor blockers (ARBs), ACE inhibitors, endothelin antagonists, renin inhibitors, alpha-receptor blockers, beta-receptor blockers and rho Kinase inhibitors; ⁇ Diuretics, especially loop diuretics and thiazides and thiazide-like diuretics; • Antidiabetics, by way of example and preferably insulin and derivatives, sulfonureas, biguanides, thiazolidinediones, acarbose, DPP4 inhibitors, GLP-1 analogs, or SGLT inhibitors
  • Antithrombotic agents by way of example and preferably from the group of platelet aggregation inhibitors, anticoagulants or profibrinolytic substances;
  • Lipid metabolism-altering agents by way of example and preferably from the group of thyroid receptor agonists, cholesterol synthesis inhibitors such as by way of example and preferably HMG-CoA reductase or squalene synthesis inhibitors, ACAT inhibitors, CETP inhibitors, MTP inhibitors, PPAR alpha, PPAR gamma and / or PPAR delta agonists, cholesterol absorption inhibitors, lipase inhibitors, polymeric bile acid adsorber, bile acid
  • cholesterol synthesis inhibitors such as by way of example and preferably HMG-CoA reductase or squalene synthesis inhibitors, ACAT inhibitors, CETP inhibitors, MTP inhibitors, PPAR alpha, PPAR gamma and / or PPAR delta agonists, cholesterol absorption inhibitors, lipase inhibitors, polymeric bile acid adsorber, bile acid
  • organic nitrates and NO donors such as sodium nitroprusside, nitroglycerin, isosorbide mononitrate, isosorbide dinitrate, molsidomine or SIN-1, and inhaled NO;
  • Positive-inotropic compounds such as cardiac glycosides (digoxin), beta-adrenergic and dopaminergic agonists such as isoproterenol, epinephrine, norepinephrine, dopamine and
  • cGMP cyclic guanosine monophosphate
  • cAMP cyclic adenosine monophosphate
  • PDE phosphodiesterases
  • sildenafil sildenafil
  • Vardenafil tadalafil
  • PDE 3 inhibitors such as amrinone and milrinone
  • Natriuretic peptides e.g. atrial natriuretic peptide (ANP), B-type natriuretic peptide (BNP, Nesiritide), C-type natriuretic peptide (CNP) and urodilatin;
  • ABP atrial natriuretic peptide
  • BNP B-type natriuretic peptide
  • CNP C-type natriuretic peptide
  • urodilatin urodilatin
  • NEP inhibitors e.g. Sacubitril, omapatrilat or AVE-7688
  • 'ARNIs' angiotensin receptor blockers
  • valsartan e.g. LCZ696
  • Calcium sensitizers such as by way of example and preferably levosimendan
  • If-channel blockers such as by way of example and preferably ivabradine;
  • Myosin activators by way of example and preferably Omecamtiv mecarbil;
  • HNE human neutrophil elastase
  • the signal transduction cascade inhibiting compounds such as tyrosine kinase inhibitors, especially sorafenib, imatinib, gefitinib and erlotinib; and or • the energy metabolism of the heart affecting compounds, such as by way of example and preferably etomoxir, dichloroacetate, ranolazines or trimetazidines.
  • the combination according to the invention is used in combination with a diuretic, such as by way of example and preferably furosemide, bumetanide, torsemide, bendroflumethiazide, chlorothiazide, hydrochlorothiazide, hydroflumethiazide, methyclothiazide, polythiazide, trichloromethiazide, chlorthalidone, indapamide, metolazone, quinethazone, acetazolamide, Dichlorophenamide, methazolamide, glycerol, isosorbide, mannitol, amiloride or triamterene.
  • a diuretic such as by way of example and preferably furosemide, bumetanide, torsemide, bendroflumethiazide, chlorothiazide, hydrochlorothiazide, hydroflumethiazide, methyclothiazide, polythiazide, trichloromethi
  • antihypertensive agents are preferably compounds from the group of calcium antagonists, angiotensin receptor blocker, ACE inhibitors, endothelin antagonists, renin inhibitors, alpha-receptor B-loosen, beta-receptor-B loosely, rho-kinase Inhibitors and diuretics understood.
  • the combined preparation according to the invention is used in combination with an antidiabetic, such as by way of example and preferably insulin and derivatives, sulfonylureas such as tolbutamide, carbutamide, acetohexamide, chlorpropamide, glipizide, gliclazide, glibenclamide, glyburide, glibornuride, gliquidone, glisoxepid, glyclopyramide, Glimepiride, JB253 and JB558, meglitinides such as repaglinide and nateglinide, biguanides such as metformin and buformin, thiazolidinediones such as rosiglitazone and pioglitazone, alpha-glucosidase inhibitors such as miglitol, acarbose and voglibose, DPP4 inhibitors such as vildagliptin, sitagliptin
  • an antidiabetic
  • the combination according to the invention is administered in combination with a calcium antagonist, such as, by way of example and by way of preference, nifedipine, amlodipine, verapamil or diltiazem.
  • a calcium antagonist such as, by way of example and by way of preference, nifedipine, amlodipine, verapamil or diltiazem.
  • the compounds according to the invention are administered in combination with an angiotensin all-antagonist, such as by way of example and with preference losartan, candesartan, valsartan, olmesartan, telmisartan or embursatan.
  • an angiotensin all-antagonist such as by way of example and with preference losartan, candesartan, valsartan, olmesartan, telmisartan or embursatan.
  • the combination according to the invention is administered in combination with an ACE inhibitor, such as by way of example and preferably enalapril, captopril, lisinopril, ramipril, delapril, fosinopril, quinopril, perindopril or trandopril.
  • an ACE inhibitor such as by way of example and preferably enalapril, captopril, lisinopril, ramipril, delapril, fosinopril, quinopril, perindopril or trandopril.
  • the combination according to the invention is administered in combination with an endothelin antagonist such as, by way of example and by way of preference, bosentan, darusentan, ambrisentan or sitaxsentan.
  • an endothelin antagonist such as, by way of example and by way of preference, bosentan, darusentan, ambrisentan or sitaxsentan.
  • the combination according to the invention is administered in combination with a renin inhibitor, such as by way of example and preferably aliskiren, SPP-600, SPP-635, SPP-676, SPP-800 or SPP-1148.
  • the combination according to the invention is administered in combination with an alpha-1-receptor blocker, such as by way of example and preferably prazosin.
  • the combination according to the invention is used in combination with a beta-receptor B, such as by way of example and preferably propranolol, atenolol, timolol, pindolol, alprenolol, oxprenolol, penbutolol, bupranolol, metipranolol, nadolol, mepindolol, carazalol, sotalol , Metoprolol, betaxolol, celiprolol, bisoprolol, carteolol, esmolol, labetalol, carvedilol, adaprolol, landiolol, nebivolol, epanolol or bucindolol.
  • a beta-receptor B such as by way of example and preferably propranolol, atenolol, timolol,
  • the combination according to the invention is used in combination with a rho-kinase inhibitor, such as by way of example and preferably Fasudil, Y-27632, SLx-2119, BF-66851, BF-66852, BF-66853, KI-23095 or BA-1049 administered.
  • a rho-kinase inhibitor such as by way of example and preferably Fasudil, Y-27632, SLx-2119, BF-66851, BF-66852, BF-66853, KI-23095 or BA-1049 administered.
  • the combination according to the invention in combination with prostanoids and prostacyclin receptor agonists, such as by way of example and preferably iloprost, beraprost, cicaprost, epoprostenol or treprostinil
  • Antithrombotic agents are preferably understood to mean compositions from the group of platelet aggregation inhibitors, anticoagulants or profibrinolytic substances.
  • the combination according to the invention is administered in combination with a platelet aggregation inhibitor, such as by way of example and preferably aspirin, clopidogrel, ticlopidine or dipyridamole.
  • a platelet aggregation inhibitor such as by way of example and preferably aspirin, clopidogrel, ticlopidine or dipyridamole.
  • the combination according to the invention is administered in combination with a thrombin inhibitor, such as by way of example and preferably ximelagatran, melagatran, bivalirudin or Clexane.
  • a thrombin inhibitor such as by way of example and preferably ximelagatran, melagatran, bivalirudin or Clexane.
  • the combination according to the invention is administered in combination with a GPIIb / IIIa antagonist, such as, by way of example and by way of preference, tirofiban or abciximab.
  • a GPIIb / IIIa antagonist such as, by way of example and by way of preference, tirofiban or abciximab.
  • the combination according to the invention in combination with a factor Xa inhibitor, such as by way of example and preferably rivaroxaban (BAY 59-7939), DU-176b, apixaban, otamixaban, fidexaban, razaxaban, fondaparinux, idraparinux, PMD-3112 , YM-150, KFA-1982, EMD-503982, MCM-17, MLN-1021, DX 9065a, DPC 906, JTV 803, SSR-126512 or SSR-128428.
  • a factor Xa inhibitor such as by way of example and preferably rivaroxaban (BAY 59-7939), DU-176b, apixaban, otamixaban, fidexaban, razaxaban, fondaparinux, idraparinux, PMD-3112 , YM-150, KFA-1982, EMD-503982, MCM-17,
  • the combination according to the invention is administered in combination with a vitamin K antagonist, such as by way of example and preferably coumarin.
  • lipid metabolizing agents are preferably compounds from the group of CETP inhibitors, thyroid receptor agonists, cholesterol synthesis inhibitors such as HMG-CoA reductase or squalene synthesis inhibitors, ACAT inhibitors, MTP inhibitors, PPAR-alpha, PPAR gamma and / or PPAR delta agonists, cholesterol absorption inhibitors, polymeric bile acid adsorbers, bile acid reabsorption inhibitors, lipase inhibitors and the lipoprotein (a) antagonists understood.
  • CETP inhibitors such as HMG-CoA reductase or squalene synthesis inhibitors
  • ACAT inhibitors such as HMG-CoA reductase or squalene synthesis inhibitors
  • MTP inhibitors MTP inhibitors
  • PPAR-alpha PPAR-alpha
  • PPAR gamma and / or PPAR delta agonists cholesterol absorption inhibitors
  • polymeric bile acid adsorbers bil
  • the combination according to the invention is administered with a CETP inhibitor such as, for example and preferably, torcetrapib (CP-529 414), JJT-705, BAY 60-5521, BAY 78-7499 or CETP vaccine (Avant) ,
  • a CETP inhibitor such as, for example and preferably, torcetrapib (CP-529 414), JJT-705, BAY 60-5521, BAY 78-7499 or CETP vaccine (Avant) ,
  • the combination according to the invention is administered in combination with a thyroid receptor agonist, such as by way of example and preferably D-thyroxine, 3,5,3'-triiodothyronine (T3), CGS 23425 or axitirome (CGS 26214).
  • a thyroid receptor agonist such as by way of example and preferably D-thyroxine, 3,5,3'-triiodothyronine (T3), CGS 23425 or axitirome (CGS 26214).
  • the combination according to the invention is administered in combination with an HMG-CoA reductase inhibitor from the class of statins, such as by way of example and preferably lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin, rosuvastatin, cerivastatin or pitavastatin.
  • statins such as by way of example and preferably lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin, rosuvastatin, cerivastatin or pitavastatin.
  • the combination according to the invention is administered in combination with a squalene synthesis inhibitor, such as by way of example and preferably BMS-188494 or TAK-475.
  • a squalene synthesis inhibitor such as by way of example and preferably BMS-188494 or TAK-475.
  • the combination according to the invention is administered in combination with an ACAT inhibitor, such as by way of example and preferably avasimibe, melinamide, pactimibe, eflucimibe or SMP-797.
  • an ACAT inhibitor such as by way of example and preferably avasimibe, melinamide, pactimibe, eflucimibe or SMP-797.
  • the combination according to the invention is administered in combination with an MTP inhibitor, such as by way of example and preferably implitapide, BMS-201038, R-103757 or JTT-130.
  • an MTP inhibitor such as by way of example and preferably implitapide, BMS-201038, R-103757 or JTT-130.
  • the combination according to the invention is administered in combination with a PPAR-gamma agonist, such as by way of example and preferably pioglitazone or rosiglitazone.
  • a PPAR-delta agonist such as by way of example and preferably GW-501516 or BAY 68-5042.
  • the combination according to the invention with a cholesterol absorption inhibitor such as by way of example and preferably ezetimibe, Tiqueside or Pamaqueside administered.
  • the combination according to the invention with a lipase inhibitor such as by way of example and preferably orlistat, administered.
  • the combination according to the invention is administered in combination with a polymeric bile acid adsorbent such as, by way of example and by way of preference, cholestyramine, colestipol, colesolvam, cholesta gel or colestimide.
  • a polymeric bile acid adsorbent such as, by way of example and by way of preference, cholestyramine, colestipol, colesolvam, cholesta gel or colestimide.
  • ASBT IBAT
  • AZD-7806 S-8921
  • AK-105 AK-105
  • BARI-1741 AK-105
  • SC-435 SC-635.
  • the combination according to the invention is administered in combination with a lipoprotein (a) antagonist, such as by way of example and preferably gemcabene calcium (CI-1027) or nicotinic acid.
  • a lipoprotein (a) antagonist such as by way of example and preferably gemcabene calcium (CI-1027) or nicotinic acid.
  • the combination according to the invention is administered in combination with anti-fibrotic compounds such as, for example and preferably, sorafenib, regorafenib, imatinib, dasatinib, nilotinib, nintedanib, bortezomib or pirfenidone.
  • anti-fibrotic compounds such as, for example and preferably, sorafenib, regorafenib, imatinib, dasatinib, nilotinib, nintedanib, bortezomib or pirfenidone.
  • the combination according to the invention is administered in combination with anti-inflammatory compounds such as by way of example and preferably cyclophosphamide, methotrexate, rapamycin, azathioproin, tocilizumab, infliximab, rituximab, adalimumab, belimumab, abatacept, SARI 00842 or thalidomide derivatives.
  • anti-inflammatory compounds such as by way of example and preferably cyclophosphamide, methotrexate, rapamycin, azathioproin, tocilizumab, infliximab, rituximab, adalimumab, belimumab, abatacept, SARI 00842 or thalidomide derivatives.
  • the combinations according to the invention can act systemically and / or locally.
  • they may be applied in a suitable manner, e.g. oral, parenteral, pulmonary, nasal, sublingual, lingual, buccal, rectal, dermal, transdermal, conjunctival, otic or as an implant or stent.
  • the combinations according to the invention can be administered in suitable administration forms.
  • the inventive combinations rapidly and / or modified donating application forms, the contain the compounds of the invention in crystalline and / or amorphous and / or dissolved form, such as tablets (uncoated or coated tablets, for example with enteric or delayed dissolving or insoluble coatings, which control the release of the combinations of the invention), in the oral cavity rapidly disintegrating tablets or films / wafers, films / lyophilisates, capsules (for example hard or soft gelatin capsules), dragees, granules, pellets, powders, emulsions, suspensions, aerosols or solutions.
  • tablets uncoated or coated tablets, for example with enteric or delayed dissolving or insoluble coatings, which control the release of the combinations of the invention
  • in the oral cavity rapidly disintegrating tablets or films / wafers, films / lyophilisates, capsules (for example hard or soft gelatin capsules), dragees, granules, pellets, powders, emulsions, suspensions, aerosols or
  • Preferred forms of application include tablet form (uncoated or coated tablets, for example with enteric or delayed-dissolving or insoluble coatings which control the release of the combinations of the invention), tablets disintegrating rapidly in the oral cavity or films / wafers.
  • Parenteral administration can be accomplished by bypassing a resorption step (e.g., intravenously, intraarterially, intracardially, intraspinal, or intralumbar) or by resorting to absorption (e.g., intramuscularly, subcutaneously, intracutaneously, percutaneously, or intraperitoneally).
  • a resorption step e.g., intravenously, intraarterially, intracardially, intraspinal, or intralumbar
  • absorption e.g., intramuscularly, subcutaneously, intracutaneously, percutaneously, or intraperitoneally.
  • parenteral administration are suitable as application forms u.a. Injection and infusion preparations in the form of solutions, suspensions, emulsions, lyophilisates or sterile powders.
  • Inhalation medicaments including powder inhalers, nebulizers
  • nasal drops solutions or sprays
  • lingual, sublingual or buccal tablets films / wafers or capsules
  • suppositories ear or ophthalmic preparations
  • vaginal capsules aqueous suspensions (lotions, shake mixtures), lipophilic suspensions
  • Ointments creams, transdermal therapeutic systems (eg patches), milk, pastes, foams, powdered powders, implants or stents.
  • oral or parenteral administration with oral administration being more preferred.
  • oral administration by means of tablet form.
  • the combinations according to the invention can be converted into the mentioned application forms. This can be done in a conventional manner by mixing with inert, non-toxic, pharmaceutically suitable excipients.
  • These adjuvants include, among others.
  • Carrier materials for example microcrystalline cellulose, lactose, mannitol
  • solvents for example liquid polyethylene glycols
  • emulsifiers and dispersants or wetting agents for example sodium dodecyl sulfate, polyoxysorbitanoleate
  • binders for example polyvinylpyrrolidone
  • synthetic and natural polymers for example albumin
  • stabilizers for example antioxidants such as ascorbic acid
  • dyes eg, inorganic pigments such as iron oxides
  • flavor and / or odor remedies include, among others.
  • Carrier materials for example microcrystalline cellulose, lactose, mannitol
  • solvents for example liquid polyethylene glycols
  • emulsifiers and dispersants or wetting agents for example
  • the components may be used together or sequentially or separately in a combined unit dosage form or in two separate ones Unit dosage forms are administered.
  • the unit dosage form may also be a fixed combination.
  • a therapeutically effective amount of each component of the combination of the invention may be administered simultaneously or sequentially in any order.
  • the components may be in a so-called sustained-release formulation in which the release of the components according to the invention takes place at different times.
  • a sustained-release formulation in which the release of the components according to the invention takes place at different times.
  • the MR antagonists and sGC activators may each be provided as a capsule or tablet.
  • the dosage of finerenone according to the compound of formula (IV) is about 1 to 100 mg od, preferably about 2.5 to 50 mg od and most preferably 10 to 40 mg od.
  • the invention also relates to the combination of separate pharmaceutical compositions in kit form.
  • kit form This is a kit comprising two separate entities: a pharmaceutical composition of at least one MR antagoinst and a pharmaceutical composition of at least one sGC activator.
  • the invention also relates to a preferred kit form comprising two units: A pharmaceutical composition containing at least one MR antagonist and a pharmaceutical composition containing at least one sGC activator.
  • the kit is particularly advantageous when the separate components have to be administered in different dosage forms or administered at different dose intervals.
  • the compounds according to the invention can be converted into pharmaceutical preparations as follows: Tablet:
  • a granular solution of the compound of formula (IV) in crystalline form in micronised form, hypromellose 5 cP, sodium lauric sulfate in purified water was prepared.
  • Cellulose microcrystalline, lactose monohydrate and croscarmellose sodium were mixed in a container or a fluidized bed granulator (premix).
  • the premix and the granule solution were granulated in the fluid-bed granulator.
  • the Lubricant Magnesium Stearate was added after the granules were dried and sieved. Thus, a press-ready mixture was prepared.
  • a homogeneous coating suspension was made from hypromellose, talc, titanium dioxide, yellow iron oxide, red iron oxide and purified water. In a suitable coating device, the coating suspension was sprayed onto the tablets.
  • Titanium dioxide 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196 2.3196
  • Wistar rats 250-450 g body weight are kept with free access to feed (Altromin) and drinking water. Starting approx. 72 hours before the start of the experiment, instead of the normal diet, the animals are given only salt-reduced food with a content of 0.02% sodium chloride (ssniff R / MH, 10 mm with 0.02% Na, S0602-E081, ssniff Spezialdi decisiven GmbH). D-59494 Soest). During the experiment, the animals are kept individually for about 24 hours in suitable for rats of this weight category metabolic cages (Tecniplast Germany GmbH, D-82383 Hohenpeissenberg) with free access to salt-reduced feed and drinking water.
  • the substance to be tested is administered to the animals in a volume of 0.5 ml / kg body weight of a suitable solvent in the stomach by means of a gavage.
  • Control animals receive only solvents.
  • Controls and substance testing are done in parallel on the same day.
  • Control groups and substance dose groups each consist of 6 to 8 animals.
  • the urine excreted by the animals is continuously collected in a container on the floor of the cage.
  • the urine volume per unit of time is determined separately for each animal, and the concentration of the sodium or potassium ions excreted in the urine is measured by standard flame photometric methods.
  • the measuring intervals are typically the period up to 8 hours after the start of the test (day interval) and the period from 8 to 24 hours after the start of the test (night interval).
  • DHA desoxycorticosterone acetate
  • a high salt diet and unilateral renal clearance in the rat induces hypertension characterized by relatively low renin levels.
  • endocrine hypertension (DOCA is a direct precursor of aldosterone), depending on the DOCA concentration chosen, cardiac hypertrophy and other end organ damage, e.g. the kidney, the u.a. characterized by proteinuria and glomerulosclerosis.
  • test substances can thus be tested for the presence of antihypertrophic and endorphin protective effects.
  • Uninephrectomized SD rats receive 1% sodium chloride in drinking water and once weekly a subcutaneous injection of DOCA (company SIGMA, dissolved in sesame oil, high dose: 100 mg / kg / wk s.c., normal dose: 30 mg / kg / wk s.c.) injected between the shoulder blades.
  • DOCA company SIGMA, dissolved in sesame oil, high dose: 100 mg / kg / wk s.c., normal dose: 30 mg / kg / wk s.c.
  • the substances to be tested for their protective effect in vivo are administered by gavage or by food (Ssniff, Germany).
  • the substances (combinations) are administered once a day for 4-12 weeks by gavage or by food.
  • the placebo group used is animals that are treated in exactly the same way, but receive either only the solvent or the feed without the test substance.
  • Hemodynamic parameters blood pressure, heart rate, inotropy [dp / dt], relaxation time [tau], maximal left ventricular pressure, left ventricular enddiastolic pressure [LVEDP]), heart, kidney and lung weights, protein excretion and gene expression of Biomarkers (eg BNP, brain natriuretic peptides, plasma renin activity, angiotensin and aldosterone) are determined by RIA, ELISA or RT / TaqMan PCR after RNA isolation from cardiac and renal tissue.
  • Biomarkers eg BNP, brain natriuretic peptides, plasma renin activity, angiotensin and aldosterone
  • the transgenic renin rat, TGR (mRen2) 27 ' is a hypertensive rat line developed by Mullins and Ganten that overexpresses the mouse Ren-2 gene. Additional administration of the nitric oxide synthase inhibitor L-NAME induces endothelial dysfunction, which increases morbidity and mortality in this model. Homozygous animals die of secondary complications, such as heart and kidney failure, or stroke, unless they undergo lifelong, antihypertensive therapy.
  • renin rats Male TGR (mRen2) Twenty-seven renin rats aged 10 to 20 weeks are randomized to various pharmacological treatment groups and a placebo group.
  • the nitric oxide synthase inhibitor, L-NAME is administered via the drinking water at a concentration of 30 to 100 mg / l.
  • the substances are administered daily for 4-10 weeks by gavage or by food.
  • the placebo group used is animals that are treated in exactly the same way, but receive either only the solvent or the feed without the test substance.
  • tail cuff systolic blood pressure is measured at regular intervals, as well as the determination of proteinuria and urinary electrolyte composition by urine collection in metabolic cages.
  • Hemodynamic parameters blood pressure, heart rate, inotropy [dp / dt], relaxation time [tau], maximal left ventricular pressure, left ventricular enddiastolic pressure [LVEDP]
  • weights of heart, kidney and lung are determined, protein excretion and biomarkers (eg ANP , RIA Kit RK 005-24, Phoenix Pharmaceuticals, Inc., USA, cGMP, RIA Kit RE29075, IBL International GmbH, Hamburg, Renin, Angiotensin I, RIA Kit CA-1533, DiaSorin SpA, Italy, and Aldosterone, P2714, DiaSorin SpA, Italy), as well as gene expression of biomarkers by RT / TaqMan PCR after RNA isolation from cardiac and renal tissue.
  • Heart and cardiovascular diseases as well as kidney and cardiorenal diseases are characterized by a high morbidity of the patients but also by a high mortality.
  • This morbidity and mortality together with various risk factors, e.g. High blood pressure can be mapped very well in the previously described animal model of the L-NAME-treated renin transgenic rat. Therefore, e.g. this animal model uses MR antagonists, e.g. Finerenones according to the compound of formula (IV) and sGC activators, e.g. to study the compound of formula (X) and combinations of both:
  • the MR antagonist finerenone corresponding to the compound of formula (IV) and the sGC activator corresponding to the compound of formula (X) were tested alone and in combinations in TGR (mRen2) 27 renin rats at 10 to 20 weeks of age.
  • TGR mRen2
  • the animals were given drinking water and food ad libitum.
  • the substances were administered daily for 4-10 weeks by gavage.
  • the placebo group used were animals that were treated in the same way, but only received the solvent for the test substance.

Landscapes

  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Epidemiology (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Pulmonology (AREA)
  • Urology & Nephrology (AREA)
  • Pain & Pain Management (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)

Abstract

La présente invention concerne la combinaison d'activateurs de la guanylate cyclase soluble (activateur GCs) avec des antagonistes du récepteur des minéralocorticoïdes (antagonistes MR) et l'utilisation de la combinaison pour traiter et/ou prévenir des troubles cardiaques et cardio-vasculaires, des troubles rénaux et cardio-rénaux, des troubles pulmonaires et cardio-pulmonaires, et pour traiter et/ou prévenir des troubles fibrotiques.
EP17777302.5A 2016-10-11 2017-10-05 Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes Pending EP3525778A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
EP16193367 2016-10-11
PCT/EP2017/075356 WO2018069148A1 (fr) 2016-10-11 2017-10-05 Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes

Publications (1)

Publication Number Publication Date
EP3525778A1 true EP3525778A1 (fr) 2019-08-21

Family

ID=57133031

Family Applications (1)

Application Number Title Priority Date Filing Date
EP17777302.5A Pending EP3525778A1 (fr) 2016-10-11 2017-10-05 Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes

Country Status (6)

Country Link
US (2) US11331308B2 (fr)
EP (1) EP3525778A1 (fr)
JP (1) JP7237823B2 (fr)
CN (1) CN109890379A (fr)
CA (1) CA3039735A1 (fr)
WO (1) WO2018069148A1 (fr)

Families Citing this family (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102011007272A1 (de) 2011-04-13 2012-10-18 Bayer Pharma Aktiengesellschaft Verzweigte 3-Phenylpropionsäure-Derivate und ihre Verwendung
EP3525778A1 (fr) * 2016-10-11 2019-08-21 Bayer Pharma Aktiengesellschaft Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes
WO2019081456A1 (fr) * 2017-10-24 2019-05-02 Bayer Aktiengesellschaft Utilisation d'activateurs et de stimulateurs de sgc comprenant une sous-unité bêta2
EP3566704A1 (fr) * 2018-05-11 2019-11-13 Bayer Aktiengesellschaft Utilisation d'antagonistes des récepteurs minéralocorticoïdes non stéroïdiens seuls ou en combinaison, pour le traitement de maladies musculaires ou neuromusculaires
CA3107174A1 (fr) * 2018-07-24 2020-01-30 Bayer Aktiengesellschaft Formes galeniques pharmaceutiques a liberation modifiee a administrer par voie orale
US10905667B2 (en) 2018-07-24 2021-02-02 Bayer Pharma Aktiengesellschaft Orally administrable modified-release pharmaceutical dosage form
TW202112359A (zh) * 2019-06-07 2021-04-01 德商拜耳廠股份有限公司 sGC活化劑於治療眼科疾病之用途
WO2022214206A1 (fr) * 2021-04-08 2022-10-13 Bayer Aktiengesellschaft Combinaison de finérénone et de pecavaptan pour le traitement et/ou la prévention de maladies cardiovasculaires et/ou rénales

Family Cites Families (130)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE19642255A1 (de) 1996-10-14 1998-04-16 Bayer Ag Verwendung von 1-Benzyl-3-(substituierten-hetaryl) -kondensierten Pyrazol-Derivaten
ES2325045T3 (es) 1996-10-14 2009-08-24 Bayer Healthcare Ag Nuevos derivados de pirazol heterociclilmetil sustituidos y su uso en el tratamiento de enfermedades cardiovasculares.
DE19649460A1 (de) 1996-11-26 1998-05-28 Bayer Ag Neue substituierte Pyrazolderivate
KR100720844B1 (ko) 1998-07-08 2007-05-25 사노피-아벤티스 도이칠란트 게엠베하 황 치환된 설포닐아미노카복실산 ｎ-아릴아미드, 이의 제조방법, 및 이를 함유하는 약제학적 제제
DE19834044A1 (de) 1998-07-29 2000-02-03 Bayer Ag Neue substituierte Pyrazolderivate
DE19834047A1 (de) 1998-07-29 2000-02-03 Bayer Ag Substituierte Pyrazolderivate
DE19943634A1 (de) 1999-09-13 2001-04-12 Bayer Ag Neuartige Dicarbonsäurederivate mit pharmazeutischen Eigenschaften
DE19943635A1 (de) 1999-09-13 2001-03-15 Bayer Ag Neuartige Aminodicarbonsäurederivate mit pharmazeutischen Eigenschaften
DE19943636A1 (de) 1999-09-13 2001-03-15 Bayer Ag Neuartige Dicarbonsäurederivate mit pharmazeutischen Eigenschaften
DE10054278A1 (de) 2000-11-02 2002-05-08 Bayer Ag Verwendung von Stimulatoren der löslichen Guanylatcyclase zur Behandlung von Osteoporose
ES2231581T3 (es) 2000-11-22 2005-05-16 Bayer Healthcare Ag Nuevos derivados de pirazolopiridina sustituidos con lactama.
DE10057751A1 (de) 2000-11-22 2002-05-23 Bayer Ag Neue Carbamat-substituierte Pyrazolopyridinderivate
AR031176A1 (es) 2000-11-22 2003-09-10 Bayer Ag Nuevos derivados de pirazolpiridina sustituidos con piridina
DE10057754A1 (de) 2000-11-22 2002-05-23 Bayer Ag Neue Sulfonamid-substituierte Pyrazolopyridinderivate
DE10109861A1 (de) 2001-03-01 2002-09-05 Bayer Ag Neuartige seitenkettenhalogenierte Aminodicarbonsäurederivate
DE10109858A1 (de) 2001-03-01 2002-09-05 Bayer Ag Neuartige halogensubstituierte Aminodicarbonsäurederivate
DE10109859A1 (de) 2001-03-01 2002-09-05 Bayer Ag Neuartige Aminodicarbonsäurederivate
DE10110749A1 (de) 2001-03-07 2002-09-12 Bayer Ag Substituierte Aminodicarbonsäurederivate
DE10110750A1 (de) 2001-03-07 2002-09-12 Bayer Ag Neuartige Aminodicarbonsäurederivate mit pharmazeutischen Eigenschaften
DE10122894A1 (de) 2001-05-11 2002-11-14 Bayer Ag Neue Sulfonat-substituierte Pyrazolopyridinderivate
DE10132416A1 (de) 2001-07-04 2003-01-16 Bayer Ag Neue Morpholin-überbrückte Pyrazolopyridinderivate
DE10220570A1 (de) 2002-05-08 2003-11-20 Bayer Ag Carbamat-substituierte Pyrazolopyridine
DE10222550A1 (de) 2002-05-17 2003-11-27 Bayer Ag Substituierte Benzyl-pyrazolopyridine
DE10232572A1 (de) 2002-07-18 2004-02-05 Bayer Ag Neue 2,5-disubstituierte Pyrimidinderivate
GB0325291D0 (en) 2003-10-29 2003-12-03 Pfizer Ltd Novel combination
KR101155288B1 (ko) 2004-07-30 2012-07-02 엑셀리시스, 인코포레이티드 의약제로서의 피롤 유도체
DE102005050498A1 (de) 2005-10-21 2007-06-06 Bayer Healthcare Aktiengesellschaft Cyclopropylessigsäure-Derivate und ihre Verwendung
DE102005050497A1 (de) 2005-10-21 2007-04-26 Bayer Healthcare Ag Difluorphenol-Derivate und ihre Verwendung
DE102005050375A1 (de) 2005-10-21 2007-04-26 Bayer Healthcare Ag Tetrazol-Derivate und ihre Verwendung
DE102005050376A1 (de) 2005-10-21 2007-05-31 Bayer Healthcare Ag Dicarbonsäure-Derivate und ihre Verwendung
DE102005050377A1 (de) 2005-10-21 2007-04-26 Bayer Healthcare Ag Heterocyclische Verbindungen und ihre Verwendung
TWI385161B (zh) 2006-02-02 2013-02-11 Mitsubishi Tanabe Pharma Corp 含氮雜雙環化合物
EP1842543A1 (fr) * 2006-04-05 2007-10-10 Speedel Pharma AG Composition pharmaceutique comprennant un inhibiteur de l'aldosteron synthase et un antagoniste de recepteur mineralcorticoide
DE102006020327A1 (de) 2006-04-27 2007-12-27 Bayer Healthcare Ag Heterocyclisch substituierte, anellierte Pyrazol-Derivate und ihre Verwendung
DE102006043443A1 (de) 2006-09-15 2008-03-27 Bayer Healthcare Ag Neue aza-bicyclische Verbindungen und ihre Verwendung
DE102006054757A1 (de) 2006-11-21 2008-05-29 Bayer Healthcare Ag Neue aza-bicyclische Verbindungen und ihre Verwendung
DE102007009494A1 (de) 2007-02-27 2008-08-28 Bayer Healthcare Ag Substituierte 4-Aryl-1, 4-dihydro-1,6-naphthyridinamide und ihre Verwendung
DE102007015034A1 (de) 2007-03-29 2008-10-02 Bayer Healthcare Ag Lactam-substituierte Dicarbonsäuren und ihre Verwendung
DE102007015035A1 (de) 2007-03-29 2008-10-02 Bayer Healthcare Ag Substituierte Dibenzoesäure-Derivate und ihre Verwendung
EA201070339A1 (ru) 2007-09-06 2010-10-29 Мерк Шарп Энд Домэ Корп. Активаторы растворимой гуанилатциклазы
WO2009068652A1 (fr) 2007-11-30 2009-06-04 Smithkline Beecham Corporation Pyridines 2, 6-disubstituées et pyrimidines 2, 4-disubstituées en tant qu'activateurs de guanylate cyclase soluble
PE20091258A1 (es) 2007-12-03 2009-09-12 Smithkline Beecham Corp Derivados de piridina como activadores de la guanilato ciclasa soluble
CA2708118A1 (fr) * 2007-12-14 2009-06-25 Merck Sharp & Dohme Corp. Modulateurs des recepteurs mineralocorticoides
US8461348B2 (en) 2008-04-04 2013-06-11 Takeda Pharmaceutical Company Limited Heterocyclic derivative and use thereof
DE102008018675A1 (de) 2008-04-14 2009-10-15 Bayer Schering Pharma Aktiengesellschaft Oxo-heterocyclisch substituierte Carbonsäure-Derivate und ihre Verwendung
WO2010015653A1 (fr) 2008-08-07 2010-02-11 Smithkline Beecham Corporation Dérivés de pyrimidine comme activateurs de guanylate cyclase soluble
WO2010015652A2 (fr) 2008-08-07 2010-02-11 Smithkline Beecham Corporation Composés thiazole utilisés comme activateurs de la guanylate cyclase soluble
CA2743864A1 (fr) 2008-11-25 2010-06-10 Merck Sharp & Dohme Corp. Activateurs de guanylate cyclase soluble
DE102009004245A1 (de) 2009-01-09 2010-07-15 Bayer Schering Pharma Aktiengesellschaft Neue anellierte, Heteroatom-verbrückte Pyrazol- und Imidazol-Derivate und ihre Verwendung
WO2010098286A1 (fr) * 2009-02-25 2010-09-02 第一三共株式会社 Préparation pharmaceutique contenant un antagoniste des récepteurs de minéralocorticoïdes
CA2753434C (fr) 2009-02-26 2014-07-15 Merck Sharp & Dohme Corp. Activateurs solubles de guanylate cyclase
DE102009012314A1 (de) 2009-03-09 2010-09-16 Bayer Schering Pharma Aktiengesellschaft Oxo-heterocyclisch substituierte Alkylcarbonsäuren und ihre Verwendung
DE102009046115A1 (de) 2009-10-28 2011-09-08 Bayer Schering Pharma Aktiengesellschaft Substituierte 3-Phenylpropansäuren und ihre Verwendung
US20130178475A1 (en) 2010-03-17 2013-07-11 Ironwood Pharmaceuticals, Inc. sGC STIMULATORS
EP2549875B1 (fr) 2010-03-25 2015-05-13 Merck Sharp & Dohme Corp. Activateurs de guanylate cyclase solubles
DE102010020553A1 (de) 2010-05-14 2011-11-17 Bayer Schering Pharma Aktiengesellschaft Substituierte 8-Alkoxy-2-aminotetralin-Derivate und ihre Verwendung
DE102010021637A1 (de) 2010-05-26 2011-12-01 Bayer Schering Pharma Aktiengesellschaft Substituierte 5-Fluor-1H-Pyrazolopyridine und ihre Verwendung
MA34330B1 (fr) 2010-05-27 2013-06-01 Merck Sharp & Dohme Activateurs de guanylate cyclase soluble
EP2687210A1 (fr) 2010-06-25 2014-01-22 Bayer Intellectual Property GmbH Stimulateurs et activateurs de la guanylate cyclase soluble pour leur utilisation dans le traitement de la drépanocytose et de la conservation des substituts sanguins
WO2012003405A1 (fr) 2010-06-30 2012-01-05 Ironwood Pharmaceuticals, Inc. Stimulateurs de sgc
CN103180327B (zh) 2010-07-09 2016-08-10 拜耳知识产权有限责任公司 稠环的4-氨基嘧啶及其作为可溶性鸟甘酸环化酶的刺激物的用途
EP2590979A1 (fr) 2010-07-09 2013-05-15 Bayer Intellectual Property GmbH Pyrimidines et triazines annelées et leur utilisation pour traiter ou prévenir des affections du système cardio-vasculaire
CN102372710A (zh) 2010-08-18 2012-03-14 山东轩竹医药科技有限公司 作为盐皮质激素受体拮抗剂的并环类化合物
DE102010040233A1 (de) 2010-09-03 2012-03-08 Bayer Schering Pharma Aktiengesellschaft Bicyclische Aza-Heterocyclen und ihre Verwendung
US8895583B2 (en) 2010-10-28 2014-11-25 Merck Sharp & Dohme Corp. Soluble guanylate cyclase activators
DE102010043380A1 (de) 2010-11-04 2012-05-10 Bayer Schering Pharma Aktiengesellschaft Benzyl-substituierte Carbamate und ihre Verwendung
DE102010043379A1 (de) 2010-11-04 2012-05-10 Bayer Schering Pharma Aktiengesellschaft Substituierte 6-Fluor-1H-Pyrazolo[4,3-b]pyridine und ihre Verwendung
AU2011326241B2 (en) 2010-11-09 2016-11-17 Ironwood Pharmaceuticals, Inc. sGC stimulators
WO2012076466A2 (fr) 2010-12-07 2012-06-14 Bayer Pharma Aktiengesellschaft Acides carboxyliques 1-benzylcycloalkyle substitués et leur utilisation
KR20140009291A (ko) 2011-01-20 2014-01-22 머크 샤프 앤드 돔 코포레이션 미네랄로코르티코이드 수용체 길항제
US8569339B2 (en) 2011-03-10 2013-10-29 Boehringer Ingelheim International Gmbh Soluble guanylate cyclase activators
DE102011007272A1 (de) 2011-04-13 2012-10-18 Bayer Pharma Aktiengesellschaft Verzweigte 3-Phenylpropionsäure-Derivate und ihre Verwendung
US9487506B2 (en) 2011-04-13 2016-11-08 Merck Sharp & Dohme Corp. Mineralocorticoid receptor antagonists
CA2833698A1 (fr) 2011-04-21 2012-10-26 Bayer Intellectual Property Gmbh Pyrazolopyridines substituees par un fluoro-alkyle et leur utilisation
DE102011075398A1 (de) 2011-05-06 2012-11-08 Bayer Pharma Aktiengesellschaft Substituierte Imidazopyridazine und ihre Verwendung
JP5976788B2 (ja) 2011-05-06 2016-08-24 バイエル・インテレクチュアル・プロパティ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツングＢａｙｅｒ Ｉｎｔｅｌｌｅｃｔｕａｌ Ｐｒｏｐｅｒｔｙ ＧｍｂＨ 置換イミダゾピリジンおよびイミダゾピリダジンならびにそれらの使用
CN103608347B (zh) 2011-05-30 2016-04-27 安斯泰来制药株式会社 咪唑并吡啶化合物
JP6109161B2 (ja) 2011-07-06 2017-04-05 バイエル・インテレクチュアル・プロパティ・ゲゼルシャフト・ミット・ベシュレンクテル・ハフツングＢａｙｅｒ Ｉｎｔｅｌｌｅｃｔｕａｌ Ｐｒｏｐｅｒｔｙ ＧｍｂＨ ヘテロアリール置換ピラゾロピリジン類およびその使用
JP5826393B2 (ja) 2011-08-12 2015-12-02 ベーリンガー インゲルハイム インターナショナル ゲゼルシャフト ミット ベシュレンクテル ハフツング 可溶性グアニル酸シクラーゼ活性化因子
MX348470B (es) 2011-09-02 2017-06-13 Bayer Ip Gmbh Pirimidinas anilladas sustituidas y uso de las mismas.
WO2013055607A1 (fr) 2011-10-13 2013-04-18 Merck Sharp & Dohme Corp. Antagonistes d'un récepteur des minéralocorticoïdes
ES2592818T3 (es) 2011-10-13 2016-12-01 Merck Sharp & Dohme Corp. Antagonistas del receptor de mineralocorticoides
WO2013055606A1 (fr) 2011-10-13 2013-04-18 Merck Sharp & Dohme Corp. Antagonistes de récepteur des minéralocorticoïdes
CA2861804C (fr) 2011-12-27 2021-10-26 Ironwood Pharmaceuticals, Inc. Pyrazoles 2-benzyle, 3-(pyrimidin-2-yle)-substitues utiles comme stimulateurs de scg
DE102012200352A1 (de) 2012-01-11 2013-07-11 Bayer Intellectual Property Gmbh Substituierte, annellierte Imidazole und Pyrazole und ihre Verwendung
DE102012200360A1 (de) 2012-01-11 2013-07-11 Bayer Intellectual Property Gmbh Substituierte Triazine und ihre Verwendung
DE102012200349A1 (de) 2012-01-11 2013-07-11 Bayer Intellectual Property Gmbh Substituierte annellierte Pyrimidine und Triazine und ihre Verwendung
CN104395313B (zh) 2012-03-06 2017-03-08 拜耳知识产权有限责任公司 取代的氮杂双环及其用途
EP2840076B1 (fr) 2012-04-16 2017-10-25 TOA Eiyo Ltd. Composé bicyclique
DE102012208530A1 (de) 2012-05-22 2013-11-28 Bayer Pharma AG Substituierte Piperidinoacetamide und ihre Verwendung
AR091731A1 (es) 2012-07-19 2015-02-25 Merck Sharp & Dohme Antagonistas del receptor de mineralocorticoides
EP2874993B1 (fr) 2012-07-20 2016-08-24 Bayer Pharma Aktiengesellschaft Acides aminoindane- et aminotétralinecarboxyliques substitués et leur utilisation
MX360863B (es) 2012-07-20 2018-11-09 Bayer Pharma AG Ácidos 5-aminotetrahidroquinolin-2-carboxílicos novedosos y su uso.
SI2892891T1 (sl) 2012-09-07 2019-11-29 Boehringer Ingelheim Int Alkoksi pirazoli kot topni aktivatorji gvanilat-ciklaze
US9309235B2 (en) 2012-09-18 2016-04-12 Ironwood Pharmaceuticals, Inc. SGC stimulators
CA2885645A1 (fr) 2012-09-19 2014-03-27 Ironwood Pharmaceuticals, Inc. Stimulateurs de sgc
US9624214B2 (en) 2012-11-05 2017-04-18 Bayer Pharma Aktiengesellschaft Amino-substituted imidazo[1,2-a]pyridinecarboxamides and their use
US8778964B2 (en) 2012-11-05 2014-07-15 Bayer Pharma Aktiengesellschaft Hydroxy-substituted imidazo[1,2-a]-pyridinecarboxamides and their use
US8796305B2 (en) 2012-11-05 2014-08-05 Bayer Pharma Aktiengesellschaft Carboxy-substituted imidazo[1,2-a]pyridinecarboxamides and their use
ES2644611T3 (es) 2012-11-30 2017-11-29 Astellas Pharma Inc. Compuestos de imidazopiridina
CA2901636A1 (fr) 2013-02-21 2014-08-28 Adverio Pharma Gmbh Formes du {4,6-diamino-2-[1-(2-fluorobenzyl)-1h-pyrazolo[3,4-b]pyridin-3-yl]pyrimidin-5-yl}methylcarbamate de methyle
BR112015020298A2 (pt) 2013-03-01 2017-07-18 Bayer Pharma AG pirimidinas de anel fundido substituídas com trifluormetil e uso das mesmas
US20160002267A1 (en) 2013-03-01 2016-01-07 Bayer Pharma Aktiengesellschaft Benzyl-substituted pyrazolopyridines and use thereof
EA031746B1 (ru) 2013-03-15 2019-02-28 Айронвуд Фармасьютикалз, Инк. СТИМУЛЯТОРЫ sGC
WO2014195333A1 (fr) 2013-06-04 2014-12-11 Bayer Pharma Aktiengesellschaft Imidazo[1,2-a]pyridines à substitution 3-aryle et leur utilisation
AP2016008970A0 (en) 2013-07-10 2016-01-31 Bayer Pharma AG Benzyl-1h-pyrazolo[3,4-b]pyridines and use thereof
WO2015012205A1 (fr) * 2013-07-23 2015-01-29 第一三共株式会社 Médicament destiné à la prévention ou au traitement de l'hypertension artérielle
US20160176880A1 (en) 2013-08-08 2016-06-23 Bayer Pharma Aktiengesellschaft Substituted imidazo[1,2-a]pyrazinecarboxamides and use thereof
US9422285B2 (en) 2013-08-08 2016-08-23 Bayer Pharma Aktiengesellschaft Substituted pyrazolo[1,5-A]-pyridine-3-carboxamides and use thereof
CA2923393A1 (fr) 2013-09-05 2015-03-12 Glaxosmithkline Intellectual Property Development Limited Nouveaux activateurs de guanylate cyclase soluble et leur utilisation
JPWO2015056663A1 (ja) 2013-10-15 2017-03-09 トーアエイヨー株式会社 ４−アミノメチル安息香酸誘導体
US9783552B2 (en) 2013-12-11 2017-10-10 Merck Sharp & Dohme Corp. Soluble guanylate cyclase activators
WO2015089182A1 (fr) 2013-12-11 2015-06-18 Ironwood Pharmaceuticals, Inc. Stimulateurs de la sgc
US9611278B2 (en) 2013-12-11 2017-04-04 Merck Sharp & Dohme Corp. Soluble guanylate cyclase activators
EP3152214B1 (fr) 2014-06-04 2020-01-29 Merck Sharp & Dohme Corp. Dérivés d'imidazo-pyrazine utiles en tant qu'activateurs de guanylate cyclases solubles
TW201625601A (zh) 2014-07-02 2016-07-16 諾華公司 噻吩－２－基－吡啶－２－基－１ｈ－吡唑－４－羧酸衍生物及其作為可溶性鳥苷酸環化酶活化劑之用途
TW201625586A (zh) 2014-07-02 2016-07-16 諾華公司 環己烯－１－基－吡啶－２－基－１ｈ－吡唑－４－羧酸衍生物及其作為可溶性鳥苷酸環化酶活化劑之用途
TW201625584A (zh) 2014-07-02 2016-07-16 諾華公司 茚滿及吲哚啉衍生物及其作為可溶性鳥苷酸環化酶活化劑之用途
US9353090B2 (en) 2014-07-22 2016-05-31 Boehringer Ingelheim International Gmbh Heterocyclic carboxylic acids as activators of soluble guanylate cyclase
WO2016044441A1 (fr) 2014-09-17 2016-03-24 Ironwood Pharmaceuticals, Inc. Stimulateurs de la sgc
EP3194386A2 (fr) 2014-09-17 2017-07-26 Ironwood Pharmaceuticals, Inc. Stimulateurs de sgc
MX2017003516A (es) 2014-09-17 2017-07-28 Ironwood Pharmaceuticals Inc Derivados de pirazol como estimuladores de guanilato ciclasa soluble (sgc).
CA2961745A1 (fr) 2014-09-19 2016-03-24 Glaxosmithkline Intellectual Property Development Limited Nouveaux activateurs de la guanylate cyclase soluble et leur utilisation
TW201625635A (zh) 2014-11-21 2016-07-16 默沙東藥廠 作為可溶性鳥苷酸環化酶活化劑之三唑并吡基衍生物
JP7101688B2 (ja) 2016-10-11 2022-07-15 バイエル・ファルマ・アクティエンゲゼルシャフト ｓＧＣ刺激薬とミネラルコルチコイド受容体拮抗薬とを含む組み合わせ
EP3525778A1 (fr) * 2016-10-11 2019-08-21 Bayer Pharma Aktiengesellschaft Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes
EP3498298A1 (fr) 2017-12-15 2019-06-19 Bayer AG Utilisation de stimulateurs sgc et d'activateurs sgc seuls ou en combinaison avec des inhibiteurs pde5 pour le traitement de troubles osseux, y compris l'ostéogénèse imparfaite (oi)
JP7314173B2 (ja) 2018-04-30 2023-07-25 バイエル アクチェンゲゼルシャフト 認知障害の治療のためのｓＧＣ活性化薬及びｓＧＣ刺激薬の使用
US20200237648A1 (en) 2018-07-24 2020-07-30 Bayer Pharma Aktiengesellschaft Orally administrable modified-released pharmaceutical dosage form
US10905667B2 (en) 2018-07-24 2021-02-02 Bayer Pharma Aktiengesellschaft Orally administrable modified-release pharmaceutical dosage form

Also Published As

Publication number Publication date
US11331308B2 (en) 2022-05-17
JP2019529521A (ja) 2019-10-17
US20190224176A1 (en) 2019-07-25
WO2018069148A1 (fr) 2018-04-19
US20220241255A1 (en) 2022-08-04
JP7237823B2 (ja) 2023-03-13
CA3039735A1 (fr) 2018-04-19
CN109890379A (zh) 2019-06-14

Similar Documents

Publication Publication Date Title
WO2018069148A1 (fr) Combinaison contenant des activateurs gcs et des antagonistes du récepteur des minéralocorticoïdes
EP3525779B1 (fr) Combinaison contenant le stimulateur sgc vericugat et l'antagoniste des récepteurs minéralcorticoïdes finerenone
EP3325013B1 (fr) Stimulateurs / activateurs de guanylate cyclase soluble en combinaison avec un inhibiteur de l'endopeptidase neutrale (nep) et/ou un antagonist d'angiotensin ii et son utilisation
WO2020245342A1 (fr) Utilisation d'activateurs de sgc pour le traitement de maladies ophtalmologiques
WO2009156089A1 (fr) Dyaryle-urées pour le traitement de l'insuffisance cardiaque
CA3120775A1 (fr) Procede de fabrication de formes pharmaceutiques contenant des inhibiteurs des canaux task-1 et task-3 et leur utilisation pour le traitement de troubles respiratoires
US20110178137A1 (en) Diaryl urea for treating heart failure
WO2017029261A1 (fr) Préparation combinée contenant de la finérénone et un inhibiteur de nep (sacubitril)
DE102017008472A1 (de) Kombination enthaltend PDE5 Inhibitoren und Mineralocorticoid-Rezeptor-Antagonisten
WO2018153899A1 (fr) Agonistes partiels sélectifs du récepteur a1 de l'adénosine en combinaison avec des stimulateurs et/ou activateurs de la guanylate cyclase soluble (sgc)
WO2017029258A1 (fr) Préparation combinée comprenant de la finérénone et du valsartan
WO2018153898A1 (fr) Agonistes partiels sélectifs du récepteur a1 de l'adénosine en combinaison avec des antagonistes du récepteur des minéralocorticoïdes
WO2018153900A1 (fr) Agonistes partiels sélectifs du récepteur a1 de l'adénosine en combinaison avec des inhibiteurs de sglt-2
WO2018153897A1 (fr) Agonistes partiels sélectifs du récepteur a1 de l'adénosine en combinaison avec des inhibiteurs des canaux hcn
WO2018153895A1 (fr) Agonistes partiels sélectifs du récepteur a1 de l'adénosine en combinaison avec un inhibiteur de l'endopeptidase neutre et/ou un antagoniste du récepteur de l'angiotensine ii
TW202412753A (zh) 用於治療女性心臟衰竭合併保留射出分率的可溶性鳥苷酸環化酶活化劑

Legal Events

Date Code Title Description
STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: UNKNOWN

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: THE INTERNATIONAL PUBLICATION HAS BEEN MADE

PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: REQUEST FOR EXAMINATION WAS MADE

17P Request for examination filed

Effective date: 20190513

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

AX Request for extension of the european patent

Extension state: BA ME

DAV Request for validation of the european patent (deleted)
DAX Request for extension of the european patent (deleted)
STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: EXAMINATION IS IN PROGRESS

17Q First examination report despatched

Effective date: 20210209

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: EXAMINATION IS IN PROGRESS