HRP20020904A2 - Substituted 1-aminoalkyil-lactams and their use as muscarinic receptor antagonists - Google Patents
Substituted 1-aminoalkyil-lactams and their use as muscarinic receptor antagonistsInfo
- Publication number
- HRP20020904A2 HRP20020904A2 HRP20020904A HRP20020904A2 HR P20020904 A2 HRP20020904 A2 HR P20020904A2 HR P20020904 A HRP20020904 A HR P20020904A HR P20020904 A2 HRP20020904 A2 HR P20020904A2
- Authority
- HR
- Croatia
- Prior art keywords
- butyl
- compound
- methylethyl
- ethyl
- alkyl
- Prior art date
Links
- 229940121948 Muscarinic receptor antagonist Drugs 0.000 title claims description 11
- 150000001875 compounds Chemical class 0.000 claims description 259
- -1 (C0-3)-alkyl-alkoxy Chemical group 0.000 claims description 197
- 239000000203 mixture Substances 0.000 claims description 79
- 238000000034 method Methods 0.000 claims description 60
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 41
- 201000010099 disease Diseases 0.000 claims description 34
- 150000003839 salts Chemical class 0.000 claims description 34
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 claims description 33
- 125000000217 alkyl group Chemical group 0.000 claims description 31
- 238000011282 treatment Methods 0.000 claims description 26
- 125000003118 aryl group Chemical group 0.000 claims description 24
- 238000006243 chemical reaction Methods 0.000 claims description 24
- 239000001257 hydrogen Substances 0.000 claims description 22
- 229910052739 hydrogen Inorganic materials 0.000 claims description 22
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 22
- 229910052736 halogen Inorganic materials 0.000 claims description 21
- 150000002367 halogens Chemical class 0.000 claims description 21
- 239000000651 prodrug Substances 0.000 claims description 14
- 229940002612 prodrug Drugs 0.000 claims description 14
- 230000009467 reduction Effects 0.000 claims description 14
- 239000012453 solvate Substances 0.000 claims description 14
- 125000003545 alkoxy group Chemical group 0.000 claims description 13
- 229910052757 nitrogen Inorganic materials 0.000 claims description 13
- 210000002460 smooth muscle Anatomy 0.000 claims description 13
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 claims description 12
- 125000001188 haloalkyl group Chemical group 0.000 claims description 12
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 11
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 11
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Substances N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims description 10
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 claims description 10
- 239000003814 drug Substances 0.000 claims description 9
- 125000001072 heteroaryl group Chemical group 0.000 claims description 9
- 125000005842 heteroatom Chemical group 0.000 claims description 9
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 9
- 239000000825 pharmaceutical preparation Substances 0.000 claims description 9
- 229940079593 drug Drugs 0.000 claims description 8
- 150000002431 hydrogen Chemical class 0.000 claims description 8
- 229920006395 saturated elastomer Polymers 0.000 claims description 8
- 125000000753 cycloalkyl group Chemical group 0.000 claims description 7
- SYSQUGFVNFXIIT-UHFFFAOYSA-N n-[4-(1,3-benzoxazol-2-yl)phenyl]-4-nitrobenzenesulfonamide Chemical class C1=CC([N+](=O)[O-])=CC=C1S(=O)(=O)NC1=CC=C(C=2OC3=CC=CC=C3N=2)C=C1 SYSQUGFVNFXIIT-UHFFFAOYSA-N 0.000 claims description 7
- 230000008569 process Effects 0.000 claims description 7
- 229910052705 radium Chemical group 0.000 claims description 7
- 229910052701 rubidium Chemical group 0.000 claims description 7
- 229910052760 oxygen Inorganic materials 0.000 claims description 6
- 208000029578 Muscle disease Diseases 0.000 claims description 5
- 208000021642 Muscular disease Diseases 0.000 claims description 5
- 230000002152 alkylating effect Effects 0.000 claims description 5
- 125000003710 aryl alkyl group Chemical group 0.000 claims description 5
- 125000000623 heterocyclic group Chemical group 0.000 claims description 5
- 125000001316 cycloalkyl alkyl group Chemical group 0.000 claims description 4
- 239000003937 drug carrier Substances 0.000 claims description 4
- 210000001035 gastrointestinal tract Anatomy 0.000 claims description 4
- 229910052749 magnesium Inorganic materials 0.000 claims description 4
- 239000011777 magnesium Substances 0.000 claims description 4
- 229910052751 metal Inorganic materials 0.000 claims description 4
- 239000002184 metal Substances 0.000 claims description 4
- 239000008194 pharmaceutical composition Substances 0.000 claims description 4
- 238000007363 ring formation reaction Methods 0.000 claims description 4
- ITMCEJHCFYSIIV-UHFFFAOYSA-N triflic acid Chemical compound OS(=O)(=O)C(F)(F)F ITMCEJHCFYSIIV-UHFFFAOYSA-N 0.000 claims description 4
- HYUBNQSZFAEMLY-UHFFFAOYSA-N 1-[4-[1-(4-methylsulfonylphenyl)propan-2-yl-propylamino]butyl]piperazin-2-one Chemical compound C=1C=C(S(C)(=O)=O)C=CC=1CC(C)N(CCC)CCCCN1CCNCC1=O HYUBNQSZFAEMLY-UHFFFAOYSA-N 0.000 claims description 3
- VJTJSVJPZCBQCZ-UHFFFAOYSA-N 4-[4-[1-(4-methylsulfonylphenyl)propan-2-yl-propylamino]butyl]-1,4-oxazepan-3-one Chemical compound C=1C=C(S(C)(=O)=O)C=CC=1CC(C)N(CCC)CCCCN1CCCOCC1=O VJTJSVJPZCBQCZ-UHFFFAOYSA-N 0.000 claims description 3
- LVOGUECXRZHRNL-FQEVSTJZSA-N 4-methyl-1-[4-[[(2s)-1-(4-methylsulfonylphenyl)propan-2-yl]-propylamino]butyl]-1,4-diazepan-2-one Chemical compound CCCN([C@@H](C)CC=1C=CC(=CC=1)S(C)(=O)=O)CCCCN1CCCN(C)CC1=O LVOGUECXRZHRNL-FQEVSTJZSA-N 0.000 claims description 3
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 3
- 239000003149 muscarinic antagonist Substances 0.000 claims description 3
- 230000002265 prevention Effects 0.000 claims description 3
- HNDXKIMMSFCCFW-UHFFFAOYSA-N propane-2-sulphonic acid Chemical compound CC(C)S(O)(=O)=O HNDXKIMMSFCCFW-UHFFFAOYSA-N 0.000 claims description 3
- FXXQWRDJKRFOAY-IBGZPJMESA-N 1-[4-[[(2s)-1-(4-methylsulfonylphenyl)propan-2-yl]-propylamino]butyl]-1,4-diazepan-2-one Chemical compound CCCN([C@@H](C)CC=1C=CC(=CC=1)S(C)(=O)=O)CCCCN1CCCNCC1=O FXXQWRDJKRFOAY-IBGZPJMESA-N 0.000 claims description 2
- FIFOJJCDWIMDFZ-KRWDZBQOSA-N 1-[4-[ethyl-[(2s)-1-[4-(trifluoromethyl)phenyl]propan-2-yl]amino]butyl]-1,4-diazepan-2-one Chemical compound CCN([C@@H](C)CC=1C=CC(=CC=1)C(F)(F)F)CCCCN1CCCNCC1=O FIFOJJCDWIMDFZ-KRWDZBQOSA-N 0.000 claims description 2
- XJMRKRFOEKJSIE-UHFFFAOYSA-N 4-[4-[1-(4-tert-butylphenyl)propan-2-yl-propylamino]butyl]-1,4-diazepan-5-one Chemical compound C=1C=C(C(C)(C)C)C=CC=1CC(C)N(CCC)CCCCN1CCNCCC1=O XJMRKRFOEKJSIE-UHFFFAOYSA-N 0.000 claims description 2
- LKSVNYOHPRHYSG-IBGZPJMESA-N 4-[4-[[(2s)-1-(4-methylsulfonylphenyl)propan-2-yl]-propylamino]butyl]-1,4-diazepan-5-one Chemical compound CCCN([C@@H](C)CC=1C=CC(=CC=1)S(C)(=O)=O)CCCCN1CCNCCC1=O LKSVNYOHPRHYSG-IBGZPJMESA-N 0.000 claims description 2
- ZJFJORPJZZAMBR-IBGZPJMESA-N 4-methyl-1-[4-[[(2s)-1-(4-methylsulfonylphenyl)propan-2-yl]-propylamino]butyl]piperazin-2-one Chemical compound CCCN([C@@H](C)CC=1C=CC(=CC=1)S(C)(=O)=O)CCCCN1CCN(C)CC1=O ZJFJORPJZZAMBR-IBGZPJMESA-N 0.000 claims description 2
- 238000004519 manufacturing process Methods 0.000 claims description 2
- XRTBHTKCHQUCAM-SFHVURJKSA-N n-methyl-4-[(2s)-2-[4-(2-oxopiperazin-1-yl)butyl-propylamino]propyl]benzenesulfonamide Chemical compound CCCN([C@@H](C)CC=1C=CC(=CC=1)S(=O)(=O)NC)CCCCN1CCNCC1=O XRTBHTKCHQUCAM-SFHVURJKSA-N 0.000 claims description 2
- INKPZYRDOLDLST-UHFFFAOYSA-N ethyl 4-[4-[1-(4-methylsulfonylphenyl)propan-2-yl-propylamino]butyl]-5-oxo-1,4-diazepane-1-carboxylate Chemical compound C=1C=C(S(C)(=O)=O)C=CC=1CC(C)N(CCC)CCCCN1CCN(C(=O)OCC)CCC1=O INKPZYRDOLDLST-UHFFFAOYSA-N 0.000 claims 1
- 125000002485 formyl group Chemical class [H]C(*)=O 0.000 claims 1
- 230000000241 respiratory effect Effects 0.000 claims 1
- QCQCHGYLTSGIGX-GHXANHINSA-N 4-[[(3ar,5ar,5br,7ar,9s,11ar,11br,13as)-5a,5b,8,8,11a-pentamethyl-3a-[(5-methylpyridine-3-carbonyl)amino]-2-oxo-1-propan-2-yl-4,5,6,7,7a,9,10,11,11b,12,13,13a-dodecahydro-3h-cyclopenta[a]chrysen-9-yl]oxy]-2,2-dimethyl-4-oxobutanoic acid Chemical compound N([C@@]12CC[C@@]3(C)[C@]4(C)CC[C@H]5C(C)(C)[C@@H](OC(=O)CC(C)(C)C(O)=O)CC[C@]5(C)[C@H]4CC[C@@H]3C1=C(C(C2)=O)C(C)C)C(=O)C1=CN=CC(C)=C1 QCQCHGYLTSGIGX-GHXANHINSA-N 0.000 description 157
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 119
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 76
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 57
- 239000000243 solution Substances 0.000 description 46
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 45
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 45
- 238000002360 preparation method Methods 0.000 description 41
- 150000003254 radicals Chemical class 0.000 description 37
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 34
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 29
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 28
- 125000006308 propyl amino group Chemical group 0.000 description 25
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- 102000014415 Muscarinic acetylcholine receptor Human genes 0.000 description 21
- 108050003473 Muscarinic acetylcholine receptor Proteins 0.000 description 21
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- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 19
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- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 18
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- MBVFRSJFKMJRHA-UHFFFAOYSA-N 4-fluoro-1-benzofuran-7-carbaldehyde Chemical compound FC1=CC=C(C=O)C2=C1C=CO2 MBVFRSJFKMJRHA-UHFFFAOYSA-N 0.000 description 15
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- 239000000376 reactant Substances 0.000 description 1
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Classifications
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- C07D207/18—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member
- C07D207/22—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D207/24—Oxygen or sulfur atoms
- C07D207/26—2-Pyrrolidones
- C07D207/263—2-Pyrrolidones with only hydrogen atoms or radicals containing only hydrogen and carbon atoms directly attached to other ring carbon atoms
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- C07D211/04—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
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- C07D211/72—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having one double bond between ring members or between a ring member and a non-ring member with hetero atoms or with carbon atoms having three bonds to hetero atoms, with at the most one bond to halogen, directly attached to ring carbon atoms
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- 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
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- C07D213/44—Radicals substituted by doubly-bound oxygen, sulfur, or nitrogen atoms, or by two such atoms singly-bound to the same carbon atom
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- C07D223/06—Heterocyclic compounds containing seven-membered rings having one nitrogen atom as the only ring hetero atom not condensed with other rings 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
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- C07D225/00—Heterocyclic compounds containing rings of more than seven members having one nitrogen atom as the only ring hetero atom
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- Chemical & Material Sciences (AREA)
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- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Hydrogenated Pyridines (AREA)
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PCT/EP2001/005584 WO2001090081A1 (en) | 2000-05-25 | 2001-05-16 | Substituted 1-aminoalkyl-lactams and their use as muscarinic receptor antagonists |
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EP (1) | EP1289965B1 (ko) |
JP (1) | JP4071000B2 (ko) |
KR (1) | KR100544000B1 (ko) |
CN (1) | CN1178922C (ko) |
AR (1) | AR028624A1 (ko) |
AT (1) | ATE307806T1 (ko) |
AU (1) | AU782191B2 (ko) |
BR (1) | BR0111061A (ko) |
CA (1) | CA2409841C (ko) |
CZ (1) | CZ302807B6 (ko) |
DE (1) | DE60114413T2 (ko) |
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HU (1) | HUP0302010A2 (ko) |
IL (1) | IL152701A0 (ko) |
MA (1) | MA26906A1 (ko) |
MX (1) | MXPA02011418A (ko) |
MY (1) | MY140835A (ko) |
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NZ (1) | NZ522411A (ko) |
PE (1) | PE20011325A1 (ko) |
PL (1) | PL204753B1 (ko) |
RU (1) | RU2241702C2 (ko) |
TW (1) | TWI306095B (ko) |
UY (1) | UY26729A1 (ko) |
WO (1) | WO2001090081A1 (ko) |
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WO2001090081A1 (en) * | 2000-05-25 | 2001-11-29 | F. Hoffmann-La Roche Ag | Substituted 1-aminoalkyl-lactams and their use as muscarinic receptor antagonists |
AU2002345664C1 (en) * | 2001-06-11 | 2008-03-06 | Xenoport, Inc. | Prodrugs of gaba analogs, compositions and uses thereof |
US7186855B2 (en) | 2001-06-11 | 2007-03-06 | Xenoport, Inc. | Prodrugs of GABA analogs, compositions and uses thereof |
US8048917B2 (en) | 2005-04-06 | 2011-11-01 | Xenoport, Inc. | Prodrugs of GABA analogs, compositions and uses thereof |
US6818787B2 (en) | 2001-06-11 | 2004-11-16 | Xenoport, Inc. | Prodrugs of GABA analogs, compositions and uses thereof |
CN100358870C (zh) | 2001-12-03 | 2008-01-02 | 弗·哈夫曼-拉罗切有限公司 | 作为毒蕈碱受体拮抗剂的氨基四氢萘衍生物 |
AU2002352125A1 (en) | 2001-12-03 | 2003-06-17 | F. Hoffmann-La Roche Ag | 4-piperidinyl alkylamine derivatives as muscarinic receptor antagonists |
DE60230683D1 (de) | 2002-07-08 | 2009-02-12 | Ranbaxy Lab Ltd | 3,6-disubstituierte azabicyclo-3.1.0 hexan-derivat |
EP1618091A1 (en) | 2003-04-09 | 2006-01-25 | Ranbaxy Laboratories, Ltd. | Substituted azabicyclo hexane derivatives as muscarinic receptor antagonists |
CN100436414C (zh) | 2003-04-11 | 2008-11-26 | 兰贝克赛实验室有限公司 | 作为毒蕈碱受体拮抗剂的氮杂双环衍生物 |
WO2006050514A1 (en) | 2004-11-04 | 2006-05-11 | Xenoport, Inc. | Gabapentin prodrug sustained release oral dosage forms |
CA2616918A1 (en) | 2005-07-01 | 2007-01-11 | Jenrin Discovery | Mao-b inhibitors useful for treating obesity |
US20090221664A1 (en) | 2005-10-19 | 2009-09-03 | Abhijit Ray | Pharmaceutical compositions of muscarinic receptor antagonists |
TWI423967B (zh) * | 2008-02-21 | 2014-01-21 | Dainippon Sumitomo Pharma Co | 醯胺衍生物及含有其之醫藥組合物 |
US8008291B2 (en) * | 2008-02-29 | 2011-08-30 | Mimetica Pty Ltd | 3-aminoalkyl-1,4-diazepan-2-one melanocortin-5 receptor antagonists |
MX2010009486A (es) * | 2008-02-29 | 2011-02-22 | Mimetica Pty Ltd | Antagonistas de tipo 1,4-diazepan 2 ona 3-sustituida del receptor de melanocortina-5. |
PL2300461T3 (pl) * | 2008-05-01 | 2013-09-30 | Vitae Pharmaceuticals Inc | Cykliczne inhibitory dehydrogenazy 11beta-hydroksysteroidów 1 |
EP2687525B1 (en) * | 2008-07-25 | 2015-09-23 | Boehringer Ingelheim International GmbH | Cyclic inhibitors of 11-beta-hydroxysteroid dehydrogenase 1 |
AU2009276090A1 (en) | 2008-07-28 | 2010-02-04 | F. Hoffmann-La Roche Ag | Diazepan and piperazine derivatives modulators of chemokine receptors |
US9737047B2 (en) | 2011-03-22 | 2017-08-22 | Ccd Holdings Llc | Method for the treatment, control, minimization, and prevention of bovine mastitis |
US8757092B2 (en) | 2011-03-22 | 2014-06-24 | Eco-Composites Llc | Animal bedding and associated method for preparing the same |
MA39950B1 (fr) * | 2014-06-06 | 2019-08-30 | Astellas Pharma Inc | Dérivé de 2-acylaminothiazole pour le traitement des maladies des voies urinaires et de la vessie |
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US3054794A (en) | 1958-01-17 | 1962-09-18 | Us Vitamin Pharm Corp | Process for preparing 3-(aminoalkyl)-oxazolidine-2, 4-diones |
US3354178A (en) | 1965-04-09 | 1967-11-21 | Sterling Drug Inc | Nu-(4-amino-2-butynyl)-nu-alkylcarboxamides |
US4065471A (en) | 1965-04-09 | 1977-12-27 | Sterling Drug Inc. | N-(4-Amino-2-butynyl)imides |
AT345806B (de) | 1975-03-06 | 1978-10-10 | Thomae Gmbh Dr K | Verfahren zur herstellung neuer substituierter arylalkylamine und deren salze |
US4087541A (en) | 1975-03-06 | 1978-05-02 | Boehringer Ingelheim Gmbh | 2-(Aralkylaminoalkyl)phthalimidines |
DD123741A5 (ko) | 1975-03-06 | 1977-01-12 | ||
US4083407A (en) * | 1977-02-07 | 1978-04-11 | The Dow Chemical Company | Spacer composition and method of use |
US4490369A (en) | 1981-05-19 | 1984-12-25 | Dr. Karl Thomae Gesellschaft Mit Beschrankter Haftung | Benzazepine derivatives, their pharmaceutical compositions and method of use |
US4729994A (en) | 1986-08-20 | 1988-03-08 | Mcneilab, Inc. | Benzothiazepine vasodilators having aralkyl substitution |
DE3631013A1 (de) | 1986-09-12 | 1988-03-24 | Thomae Gmbh Dr K | Neue naphthylderivate, diese verbindungen enthaltende arzneimittel und verfahren zu ihrer herstellung |
FI892362A (fi) | 1988-06-01 | 1989-12-02 | Eisai Co Ltd | Buten- eller propensyraderivat. |
US5177089A (en) | 1988-06-01 | 1993-01-05 | Eisai Co., Ltd. | Butenoic or propenoic acid derivative |
US5998452A (en) | 1993-06-23 | 1999-12-07 | Chugai Seiyaku Kabushiki Kaisha | Benzene derivatives, compositions and methods for treating ischemic diseases |
SE9303274D0 (sv) | 1993-10-07 | 1993-10-07 | Astra Ab | Novel phenylethyl and phenylproplamines |
US6319920B1 (en) * | 1998-02-27 | 2001-11-20 | Syntex (U.S.A.) Llc | 2-arylethyl-(piperidin-4-ylmethyl)amine derivatives |
WO2001090081A1 (en) * | 2000-05-25 | 2001-11-29 | F. Hoffmann-La Roche Ag | Substituted 1-aminoalkyl-lactams and their use as muscarinic receptor antagonists |
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