ES2603958T3 - 4-Fenil-piridinas sustituidas para el tratamiento de enfermedades relacionadas con el receptor NK1 - Google Patents
4-Fenil-piridinas sustituidas para el tratamiento de enfermedades relacionadas con el receptor NK1 Download PDFInfo
- Publication number
- ES2603958T3 ES2603958T3 ES12798549.7T ES12798549T ES2603958T3 ES 2603958 T3 ES2603958 T3 ES 2603958T3 ES 12798549 T ES12798549 T ES 12798549T ES 2603958 T3 ES2603958 T3 ES 2603958T3
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- Spain
- Prior art keywords
- phenyl
- trifluoromethyl
- dimethylpropanamide
- emesis
- 5bis
- 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.)
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- -1 4-Phenyl-substituted pyridines Chemical class 0.000 title claims abstract description 9
- 201000010099 disease Diseases 0.000 title description 8
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 title description 8
- 102000002002 Neurokinin-1 Receptors Human genes 0.000 title description 7
- 108010040718 Neurokinin-1 Receptors Proteins 0.000 title description 7
- 150000003839 salts Chemical class 0.000 claims abstract description 11
- 150000001875 compounds Chemical class 0.000 claims abstract description 10
- XQTRIPAREQPNAC-UHFFFAOYSA-N 2-[3,5-bis(trifluoromethyl)phenyl]-n,2-dimethylpropanamide Chemical compound CNC(=O)C(C)(C)C1=CC(C(F)(F)F)=CC(C(F)(F)F)=C1 XQTRIPAREQPNAC-UHFFFAOYSA-N 0.000 claims abstract 10
- 125000004105 2-pyridyl group Chemical group N1=C([*])C([H])=C([H])C([H])=C1[H] 0.000 claims abstract 5
- 238000002512 chemotherapy Methods 0.000 claims description 17
- 206010047700 Vomiting Diseases 0.000 claims description 16
- 230000003111 delayed effect Effects 0.000 claims description 9
- 230000000095 emetic effect Effects 0.000 claims description 8
- 230000001154 acute effect Effects 0.000 claims description 4
- 206010069632 Bladder dysfunction Diseases 0.000 claims description 2
- PVOAHINGSUIXLS-UHFFFAOYSA-N 1-Methylpiperazine Chemical compound CN1CCNCC1 PVOAHINGSUIXLS-UHFFFAOYSA-N 0.000 claims 4
- 208000019901 Anxiety disease Diseases 0.000 claims 1
- 208000031649 Postoperative Nausea and Vomiting Diseases 0.000 claims 1
- 230000036506 anxiety Effects 0.000 claims 1
- GLUUGHFHXGJENI-UHFFFAOYSA-O hydron piperazine Chemical compound [H+].C1CNCCN1 GLUUGHFHXGJENI-UHFFFAOYSA-O 0.000 claims 1
- 238000000034 method Methods 0.000 claims 1
- 150000002978 peroxides Chemical class 0.000 claims 1
- 125000004076 pyridyl group Chemical group 0.000 claims 1
- 238000001959 radiotherapy Methods 0.000 claims 1
- 125000003261 o-tolyl group Chemical group [H]C1=C([H])C(*)=C(C([H])=C1[H])C([H])([H])[H] 0.000 abstract 1
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 39
- 230000015556 catabolic process Effects 0.000 description 14
- 238000006731 degradation reaction Methods 0.000 description 14
- 239000012300 argon atmosphere Substances 0.000 description 8
- 230000002265 prevention Effects 0.000 description 7
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 6
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 6
- WAXQNWCZJDTGBU-UHFFFAOYSA-N netupitant Chemical class C=1N=C(N2CCN(C)CC2)C=C(C=2C(=CC=CC=2)C)C=1N(C)C(=O)C(C)(C)C1=CC(C(F)(F)F)=CC(C(F)(F)F)=C1 WAXQNWCZJDTGBU-UHFFFAOYSA-N 0.000 description 6
- 239000002253 acid Substances 0.000 description 3
- 238000001990 intravenous administration Methods 0.000 description 3
- XKRFYHLGVUSROY-UHFFFAOYSA-N Argon Chemical compound [Ar] XKRFYHLGVUSROY-UHFFFAOYSA-N 0.000 description 2
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- WORJRXHJTUTINR-UHFFFAOYSA-N 1,4-dioxane;hydron;chloride Chemical compound Cl.C1COCCO1 WORJRXHJTUTINR-UHFFFAOYSA-N 0.000 description 1
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- 108010092160 Dactinomycin Proteins 0.000 description 1
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- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 1
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- 229910052786 argon Inorganic materials 0.000 description 1
- VSRXQHXAPYXROS-UHFFFAOYSA-N azanide;cyclobutane-1,1-dicarboxylic acid;platinum(2+) Chemical compound [NH2-].[NH2-].[Pt+2].OC(=O)C1(C(O)=O)CCC1 VSRXQHXAPYXROS-UHFFFAOYSA-N 0.000 description 1
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- 229960004316 cisplatin Drugs 0.000 description 1
- 229960000684 cytarabine Drugs 0.000 description 1
- 229960003901 dacarbazine Drugs 0.000 description 1
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- 229960000975 daunorubicin Drugs 0.000 description 1
- STQGQHZAVUOBTE-VGBVRHCVSA-N daunorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(C)=O)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 STQGQHZAVUOBTE-VGBVRHCVSA-N 0.000 description 1
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- 239000000411 inducer Substances 0.000 description 1
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- UWKQSNNFCGGAFS-XIFFEERXSA-N irinotecan Chemical compound C1=C2C(CC)=C3CN(C(C4=C([C@@](C(=O)OC4)(O)CC)C=4)=O)C=4C3=NC2=CC=C1OC(=O)N(CC1)CCC1N1CCCCC1 UWKQSNNFCGGAFS-XIFFEERXSA-N 0.000 description 1
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- HAWPXGHAZFHHAD-UHFFFAOYSA-N mechlorethamine Chemical compound ClCCN(C)CCCl HAWPXGHAZFHHAD-UHFFFAOYSA-N 0.000 description 1
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- 230000001272 neurogenic effect Effects 0.000 description 1
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- DWAFYCQODLXJNR-BNTLRKBRSA-L oxaliplatin Chemical compound O1C(=O)C(=O)O[Pt]11N[C@@H]2CCCC[C@H]2N1 DWAFYCQODLXJNR-BNTLRKBRSA-L 0.000 description 1
- CPZBLNMUGSZIPR-NVXWUHKLSA-N palonosetron Chemical compound C1N(CC2)CCC2[C@@H]1N1C(=O)C(C=CC=C2CCC3)=C2[C@H]3C1 CPZBLNMUGSZIPR-NVXWUHKLSA-N 0.000 description 1
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Classifications
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- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
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- C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
- C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
- C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D213/72—Nitrogen atoms
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Abstract
Un compuesto seleccionado entre el grupo que consiste en:**Tabla** GA1**Fórmula** 4-(5-(2-(3,5-bis(trifluorometil)fenil)-N,2-dimetilpropanamido)-4- (o-tolil)piridin-2-il)-1-metil-1-((fosfonooxi)metil)piperazin-1-io, GA2**Fórmula** 1-(acetoximetil)-4-(5-(2-(3,5-bis(trifluorometil)fenil)-N,2- dimetilpropanamido)-4-(o-tolil)piridin-2-il)-1-metilpiperazin-1-io, GA3**Fórmula** 4-(5-(2-(3,5-bis(trifluorometil)fenil)-N,2-dimetilpropanamido)-4- (o-tolil)piridin-2-il)-1-((butiriloxi)metil)-1-metilpiperazin-1-io, GA4**Fórmula** 1,4-dioxido de 1-(5-(2-(3,5-bis(trifluorometil)fenil)-N,2- dimetilpropanamido)-4-(o-tolil)piridin-2-il)-4-metilpiperazina, GA6**Fórmula** 1-oxido 4-(5-(2-(3,5-bis(trifluorometil)fenil)-N,2- dimetilpropanamido)-1-oxido-4-(o-tolil)piridin-2-il)-1- metilpiperazina, o una sal farmaceuticamente aceptable del mismo.
Description
7
- o una sal o un aducto farmacéuticamente aceptables del mismo. En una realización adicional, la invención es un compuesto de fórmula GA1,
- o una sal o un aducto farmacéuticamente aceptables del mismo.
La FIGURA 1 reproduce los datos de estabilidad para diversas sales de 4(5(2(3,5bis(trifluorometil)fenil)N,2
8
la emesis. La emesis retardada se refiere al segundo, tercer, cuarto y quinto período de veinticuatro horas siguientes a un acontecimiento inductor de la emesis. Cuando se dice que un tratamiento es eficaz durante la fase tardía, se entenderá en el sentido de que la eficacia del tratamiento es estadísticamente significativa durante toda la fase retardada, independientemente de si el tratamiento es eficaz durante cualquier período en particular de veinticuatro 5 horas la fase retardada. También se entenderá que el uso médico puede definirse basándose en su eficacia durante cualquiera de los períodos de veinticuatro horas de la fase retardada. Por tanto, a menos que se especifique lo contrario, cualquiera de los usos médicos para el tratamiento de las náuseas y/o vómitos durante las fases retardadas, como se describen en el presente documento, también podrían practicarse para tratar las náuseas y/o vómitos durante el segundo, tercer, cuarto y quinto período de veinticuatro horas siguientes a un acontecimiento
10 inductor de la emesis o una combinación de los mismos.
En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que están fisiopatológicamente moduladas por el receptor NK1, en los que dichas fases agudas y/o retardadas de las NVIQ son inducidas la quimioterapia moderada o altamente emetógena. "Quimioterapia altamente emetógena" se
15 refiere a la quimioterapia que tiene un alto grado de potencial emético, e incluye la quimioterapia a base de carmustina, cisplatino, ciclofosfamida ≥ 1500 mg/m2, dacarbazina, dactinomicina, mecloretamina y estreptozotocina. "Quimioterapia moderadamente emetógena" se refiere a la quimioterapia que tiene un grado moderado de potencial emético, e incluye la quimioterapia a base de carboplatino, ciclofosfamida < 1500 mg/m2, citarabina > 1 mg/m2, daunorubicina, doxorubicina, epirubicina, idarubicina, ifosfamida, irinotecán y oxaliplatino.
20 En una realización preferida, los usos médicos de la presente invención son eficaces para tratar la emesis aguda y retardada resultante de la quimioterapia moderadamente y altamente emetógena, a partir de una sola dosis del derivado de netupitant administrado antes de la quimioterapia, opcionalmente en combinación con otros principios activos.
25 Una posología particularmente preferida para el tratamiento de la emesis, especialmente la emesis inducida por la quimioterapia, implica un derivado de netupitant de la presente invención, un antagonista de 5HT3 tal como palonosetrón o una sal farmacéuticamente aceptable del mismo y un corticoesteroide tal como dexametasona. Una posología fija adecuada para el tratamiento de las NVIQ agudas y retardadas incluye una única administración del
30 derivado de netupitant el día uno (preferentemente antes de la quimioterapia), una única administración del antagonista de 5HT3 el día 1 (preferentemente antes de la quimioterapia). Se añade un corticoesteroide opcionalmente a la combinación en un día y, cuando se administra la quimioterapia altamente emetógena, en días 2, 3 y 4 también. Una dosis intravenosa preferida de HCl de palonosetrón es de 0,25 mg sobre la base del peso de la base libre. Las dosis preferidas de dexametasona son 12 mg por vía oral el día 1, seguidos de 8 mg por vía oral los
35 días 2, 3 y 4 para la quimioterapia altamente emetógena.
En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que están fisiopatológicamente moduladas por el receptor NK1, en los que dicha disfunción de la vejiga se selecciona entre urgencia, frecuencia, poliaquiuria, nicturia, bajo tiempo el aplazamiento, umbral de volumen subóptimo y vejiga
40 neurógena o una combinación de los mismos.
En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que están fisiopatológicamente moduladas por el receptor NK1, en los que dicho compuesto o una sal o un aducto farmacéuticamente aceptables del mismo, se administra por una o más vías seleccionadas entre el grupo que
45 consiste en la administración rectal, bucal, sublingual, intravenosa, subcutánea, intradérmica, transdérmica, intraperitoneal, oral, colirio, parenteral y tópica.
En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que están fisiopatológicamente moduladas por el receptor NK1, en los que dicha administración se realiza mediante la
50 administración por vía intravenosa de una forma líquida de dicho compuesto o una sal o un aducto farmacéuticamente aceptables del mismo.
En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que están fisiopatológicamente moduladas por el receptor NK1, en particular por los derivados de netupitant, en los que
55 dicha administración se consigue mediante la administración por vía oral de dicho compuesto o una sal o un aducto farmacéuticamente aceptables del mismo. En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que están fisiopatológicamente moduladas por el receptor NK1, en los que dicho derivado de netupitant se administra por vía oral a una dosis de aproximadamente 50 mg a aproximadamente 500 mg, de aproximadamente 100 mg a aproximadamente 400 mg, de aproximadamente 150 mg a
60 aproximadamente 350 mg o aproximadamente 300 mg, sobre la base del peso del componente netupitant de la molécula.
En algunas otras formas, se desvelan usos médicos para la prevención y/o el tratamiento de enfermedades que
23
Cuando la especie de ácido parental no se almacenó en estado seco se descubrió que experimentó una degradación de más del 8 % en la primera semana y una degradación de más del 65 % en los primeros seis meses. Cuando la especie de ácido parental seca se mantuvo a 30 ºC al aire experimentó una degradación del 0,05 % en los primeros 7 días y una degradación total del 7,03 % en seis meses. Cuando la especie de ácido parental seca se mantuvo en atmósfera de argón a temperatura ambiente experimentó una degradación de hasta el 0,13 % en los primeros 7 días, pero después fue esencialmente estable durante seis meses. Se muestran resultados para diversas sales derivadas en la Tabla 1 a continuación.
Tabla 1: Resultados de degradación representativos para sales
- Disolventes
- Aditivos % de Rendimiento Pureza % de A por HPLC Comentarios
- MeOH
- LHistidina, 2 eq. 26,6 % 95,94 % Degradación: +0,70 % en 6 días (en aire) +0,46 % en 6 días (en atmósfera de argón)
- MeOH
- Mg(OH)2, 2 eq. 48,6 % 94,11 % Degradación: +0,81 % en 6 días (en aire) +0,29 % en 6 días (en atmósfera de argón)
- MeOH + DCM, 1:1
- Ácido cítrico, 2 eq. N.A. 94,40 % A partir de especie protegida.
- MeOH
- 1. HCl de dioxano, 4 eq. 2. Ca(OH)2 > 90 % 94,50 % A partir de especie protegida.
- MeOH
- H3PO4, 85 %, 2 eq. > 90 % 98,81 % A partir de especie protegida y conserva el 0,39 % de esa especie.
- MeOH
- HBr, 48 %, 4 eq. 84,6 % 96,11 % A partir de especie protegida. El producto se degrada rápidamente.
- MeOH + DCM, 1:4
- CH3SO3H N.A. 61,54 % A partir de especie protegida. Producto NO estable: contiene el 32,45 % de especie de descomposición.
- MeOH
- NaH2PO4, 4 eq. N.A. n.d. Solo se formó 1,27 de especie parental. Reacción pobre.
- MeOH
- NmetilDglucamina N.A. 96,88 % Degradación: +0,87 % en 6 días (en aire)
- (Meglumina), 2 eq.
- +1,52 % en 11 días (en atmósfera de argón)
- MeOH
- NmetilDglucamina (Meglumina), 1 eq. > 99 % 97,42 % Degradación: +0,77 % en 6 días (en aire) +0,83 % en 7 días (en atmósfera de argón)
- MeOH + DCM, 5:2
- 1. NaOH, 3 eq 2. Ácido cítrico, 1 eq. 96,5 % 97,49 % Degradación: +0,09 % en 2 días (en atmósfera de argón) +0,59 % en 89 días (en atmósfera de argón)
- MeOH + DCM, 5:2
- 1. NaOH, 3 eq. 2. Ácido fumárico, 1 eq. 93,8 % 97,46 % Degradación: +1,95 % en 14 días (en aire) +1,80 % en 12 días (en atmósfera de argón)
- MeOH
- Llisina, 1 eq. > 99 % 97,62 % Degradación: +0,69 % en 14 días (en aire) +0,48 % en 12 días (en atmósfera de argón)
Una muestra más completa de los resultados de estabilidad se proporciona en la Fig. 1, donde el eje horizontal representa el número de días del ensayo y el eje vertical representa el porcentaje en masa de degradación. Se usan
35
Claims (4)
- REIVINDICACIONES1. Un compuesto seleccionado entre el grupo que consiste en:
- GA1
-
imagen1 4(5(2(3,5bis(trifluorometil)fenil)N,2dimetilpropanamido)4(otolil)piridin2il)1metil1((fosfonooxi)metil)piperazin1io,
- GA2
-
imagen2 1(acetoximetil)4(5(2(3,5bis(trifluorometil)fenil)N,2dimetilpropanamido)4(otolil)piridin2il)1metilpiperazin1io,
- GA3
-
imagen3 4(5(2(3,5bis(trifluorometil)fenil)N,2dimetilpropanamido)4(otolil)piridin2il)1((butiriloxi)metil)1metilpiperazin1io,
- GA4
-
imagen4 1,4dióxido de 1(5(2(3,5bis(trifluorometil)fenil)N,2dimetilpropanamido)4(otolil)piridin2il)4metilpiperazina,
- GA6
-
imagen5 1óxido 4(5(2(3,5bis(trifluorometil)fenil)N,2dimetilpropanamido)1oxido4(otolil)piridin2il)1metilpiperazina,
5o una sal farmacéuticamente aceptable del mismo. - 2. Un compuesto de acuerdo con la reivindicación 1 para su uso en un método de tratamiento de la emesis, ladisfunción de la vejiga, la depresión o la ansiedad, en un paciente que lo necesite. 10
- 3. El compuesto para el uso de acuerdo con la reivindicación 2, en el que dicha emesis comprende las náuseas y vómitos inducidos por quimioterapia (NVIQ), las náuseas y vómitos inducidos por radioterapia (NVIR) o las nausea y vómitos postoperatorios (NVPO).15 4. El compuesto para el uso de acuerdo con cualquiera de las reivindicaciones 23, en el que dicha emesis es inducida por la quimioterapia moderadamente o altamente emetógena.
- 5. El compuesto para el uso de acuerdo con cualquiera de las reivindicaciones 24, en el que la emesis es la emesisaguda y retardada inducida por la quimioterapia moderadamente o altamente emetógena. 2042
imagen6 imagen7 imagen8
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US201161564537P | 2011-11-29 | ||
US13/478,361 US8426450B1 (en) | 2011-11-29 | 2012-05-23 | Substituted 4-phenyl pyridines having anti-emetic effect |
US201213478361 | 2012-05-23 | ||
PCT/US2012/066778 WO2013082102A1 (en) | 2011-11-29 | 2012-11-28 | Substituted 4 - phenyl - pyridines for the treatment of nk-1 receptor related diseases |
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DK2605655T3 (en) | 2010-08-19 | 2019-02-04 | Buck Institute For Age Res | METHODS OF TREATING SMALL COGNITIVE DISABILITY (MCI) AND RELATED DISORDERS |
CA2820626C (en) | 2010-12-07 | 2018-01-09 | Allison Transmission, Inc. | Energy storage system for hybrid electric vehicle |
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US8426450B1 (en) | 2011-11-29 | 2013-04-23 | Helsinn Healthcare Sa | Substituted 4-phenyl pyridines having anti-emetic effect |
KR20160078997A (ko) | 2013-11-08 | 2016-07-05 | 깃세이 야쿠힌 고교 가부시키가이샤 | 카복시메틸피페리딘 유도체 |
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TWI649307B (zh) | 2014-05-07 | 2019-02-01 | 日商橘生藥品工業股份有限公司 | Cyclohexylpyridine derivative |
TW201613888A (en) * | 2014-09-26 | 2016-04-16 | Helsinn Healthcare Sa | Crystalline forms of an NK-1 antagonist |
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MD3435980T2 (ro) * | 2016-06-06 | 2020-03-31 | Helsinn Healthcare Sa | Formulări injectabile de fosnetupitant echilibrate fiziologic |
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CN108619525B (zh) * | 2017-03-15 | 2020-12-29 | 和龙 | 奈妥吡坦-mPEG-PLA纳米粒及其制备方法和用途 |
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