JP3865450B2 - Parkinsonism treatment - Google Patents

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Publication number
JP3865450B2
JP3865450B2 JP04704297A JP4704297A JP3865450B2 JP 3865450 B2 JP3865450 B2 JP 3865450B2 JP 04704297 A JP04704297 A JP 04704297A JP 4704297 A JP4704297 A JP 4704297A JP 3865450 B2 JP3865450 B2 JP 3865450B2
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Prior art keywords
levodopa
parkinsonism
action
compound
present
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JPH10226646A (en
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昌哉 加藤
弘 岩田
寛 成田
泰一 片山
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Mitsubishi Tanabe Pharma Corp
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Mitsubishi Tanabe Pharma Corp
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Priority to PCT/JP1998/000517 priority patent/WO1998035671A1/en
Priority to AU57810/98A priority patent/AU5781098A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/42Oxazoles
    • A61K31/4211,3-Oxazoles, e.g. pemoline, trimethadione
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D263/00Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings
    • C07D263/02Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings
    • C07D263/08Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings having one double bond between ring members or between a ring member and a non-ring member
    • C07D263/16Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings not condensed with other rings 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
    • C07D263/18Oxygen atoms
    • C07D263/20Oxygen atoms attached in position 2
    • C07D263/24Oxygen atoms attached in position 2 with hydrocarbon radicals, substituted by oxygen atoms, attached to other ring carbon atoms

Description

【0001】
【発明の属する技術分野】
本発明は、パーキンソニズム治療剤に関する。さらに詳しくは、パーキンソニズムに対して単独もしくはレボドパとの併用で有効な治療剤が提供される。
【0002】
【従来の技術】
パーキンソン病およびパーキンソン症候群(以下、パーキンソニズムと総称する)の治療は、これまでドパミンの前駆体であるレボドパ(L−3,4−ジヒドロキシフェニルアラニン;L−DOPA)の投与を中心に行われてきた。レボドパは、ドパミンと異なり血液脳関門を通過でき、脳内でドパミンに変換され、パーキンソニズムの症状を改善することが知られている。
しかし、投与されたレボドパのほとんどは末梢組織で急速にドパミンに変換され、脳内に取り込まれるレボドパの量が少ないことから、脳線条体で不足したドパミンを補充するためにはレボドパの大量投与が必須とされている。また、レボドパは消化器症状(悪心、嘔吐等)、循環器症状(起立性低血圧等)、精神症状(興奮、不穏等)、神経症状(異常不随意運動等)等の副作用を発現するという問題があり、レボドパに替わるパーキンソニズム治療剤、またはレボドパ投与量を軽減させる併用剤の開発が期待されている。
【0003】
【発明が解決しようとする課題】
本発明の目的は、パーキンソニズムに対して単独投与でも有効な薬理作用を有するパーキンソニズム治療剤を提供することにある。
本発明の他の目的は、レボドパの併用剤としてパーキンソニズムの治療に有効なレボドパ作用増強剤が提供される。
【0004】
【課題を解決するための手段】
本発明者らは、前記課題を解決するために鋭意検討した結果、抗うつ作用を有することが知られているナフチルオキサゾリドン誘導体(特開平5−155772号公報)の中に、意外にも本発明の目的を達成しえる薬理作用を有する化合物が存在することを見いだし、本発明を完成するに到った。
【0005】
即ち、本発明の要旨は、一般式(1)
【0006】
【化3】

Figure 0003865450
【0007】
(式中、R1 はシクロアルキル基で置換されていてもよい低級アルキル基、R2 は低級アルキル基を表す。)で示される化合物又はその薬理的に許容し得る塩を有効成分とするパーキンソニズム治療剤に関する。
本発明はさらに、一般式(1)で示される化合物又はその薬理的に許容し得る塩を有効成分とするレボドパ作用増強剤に関する。
【0008】
【発明の実施の形態】
一般式(1)において、R1 はシクロアルキル基で置換されていてもよい低級アルキル基を表す。シクロアルキル基としては炭素数3〜6のものが好ましく、特にシクロプロピル基が好ましい。低級アルキル基としては炭素数1〜6が挙げられ、特にメチル基が好ましい。R2 は低級アルキル基を表し、炭素数1〜6が好ましく、特にメチル基が好ましい。一般式(1)の化合物には、光学異性体が存在するが、本発明ではいずれの異性体であってもよく又はその混合物であってもよい。
【0009】
一般式(1)の化合物の好適例を具体的に挙げると、R1 がシクロプロピル基で置換された低級アルキル基である化合物が好ましく、この場合、さらにR2 がメチル基である化合物が好ましい。即ち、例えば(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンが好適例として挙げられる。その他にも、(R)−3−〔6−(n−プロポキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドン、(R)−3−〔6−(n−ブトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドン、(R)−3−(6−エトキシ−2−ナフチル)−5−メトキシメチル−2−オキサゾリドン等の化合物も好適なものとして挙げられる。本発明で用いる一般式(1)の化合物は、既知物質であり、例えば特開平3−218367号公報に記載の方法により容易に合成することができる。
【0010】
一般式(1)の化合物は、遊離の形でもまたその薬理的に許容し得る塩の形でも本発明の治療剤またはレボドパ作用増強剤として用いることができる。薬理的に許容し得る塩としては、特に限定されるものではないが、無機又は有機塩基との塩、例えばナトリウム塩、カリウム塩の如きアルカリ金属塩、カルシウム塩、マグネシウム塩の如きアルカリ土類金属塩、アンモニウム塩等、あるいは無機又は有機酸付加塩、例えば塩酸塩、硫酸塩、酢酸塩、ベンゼンスルホン酸塩等があげられる。
【0011】
本発明の治療剤およびレボドパ作用増強剤は、前記のような一般式(1)の化合物又はその薬理的に許容し得る塩を有効成分とするものであり、次のような各種の薬理実験によりパーキンソニズム治療薬として単独投与で、あるいはレボドパとの併用時にはレボドパ作用増強剤として有効な薬理作用を有することが示されている。特に、レボドパ作用増強剤として使用する場合は、レボドパ投与量を軽減させることが期待できるので有用である。
【0012】
(1)脳線条体内ドパミン量の増加作用、レボドパ増強作用
脳内のドパミン量を増加させる薬物またはレボドパの作用を増強させる薬物は、パーキンソニズムの治療に有効であると考えられているが、一般式(1)の化合物は、いずれの作用も有することから、パーキンソニズムの治療に有効であると考えられる。
即ち、一般式(1)の化合物は、脳線条体内ドパミン量の増加作用によりパーキンソニズム治療剤として単独投与でも有用であると共に、レボドパ増強作用によりレボドパ作用増強剤として使用できるのでパーキンソニズムの治療に有効であると考えられる。
【0013】
(2)低圧低酸素状態での延命効果
パーキンソニズムは神経細胞の変性・脱落を伴う疾患であるため、神経細胞保護作用を有する化合物を投与することにより、パーキンソニズムの進行を防ぐ作用が期待される。
一般式(1)の化合物は、低圧低酸素状態で延命効果が認められており、神経細胞保護作用を有するものと考えられるので、この点からもパーキンソニズムの治療剤として有効であると考えられる。
【0014】
(3)レセルピン誘発無動症拮抗作用
レセルピンに誘発される無動症はパーキンソニズムの無動と関連があると考えられている。一般式(1)の化合物は、レセルピンに誘発される無動症に対して強い拮抗作用を示し、その作用はパーキンソニズム治療剤として用いられている塩酸アマンタジン、塩酸デプレニル等の作用よりも強力であることから、パーキンソニズム治療剤として有効であると考えられる。
【0015】
本発明の治療剤およびレボドパ作用増強剤の投与量は、患者の年齢・体重・状態あるいは疾患の程度などにより異なるが、一般式(1)の化合物又はその薬理的に許容し得る塩を通常1日当たり0.01〜250mg/kg投与する。本発明の治療剤およびレボドパ作用増強剤は、経口的にも非経口的にも投与することができるが、とりわけ、経口的に投与するのが好ましい。
【0016】
経口投与する場合の剤形は、錠剤、散剤、カプセル剤、顆粒剤の如き固形剤であってもよく、溶液、懸濁液の如き液剤であってもよく、経口投与に適した医薬担体と共に、医薬製剤として使用することができる。かかる医薬担体としては、例えば、結合剤(シロップ、アラビアゴム、ゼラチン、ソルビット、トラガント、ポリビニルピロリドン等)、賦形剤(乳糖、砂糖、コーンスターチ、リン酸カリウム、ソルビット、グリシン等)、滑沢剤(ステアリン酸マグネシウム、タルク、ポリエチレングリコール、シリカ等)、崩壊剤(バレイショデンプン等)及び湿潤剤(ラウリル硫酸ナトリウム等)があげられる。
【0017】
一方、非経口投与する場合の剤形は、例えば、注射用蒸留水、生理食塩水、ブドウ糖水溶液等を用いて、注射剤や点滴注射剤とするのが好ましい。
【0018】
また、一般式(1)の化合物は、毒性が極めて低く、マウス(Slc:ddY系、雄性)5匹に本発明の有効成分である(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドン2g/kgを経口投与し、2週間観察したが、死亡例は観察されなかった。また、その薬理作用は顕著であり、後述の実施例で示すようにパーキンソニズムに対する治療剤として使用されている塩酸アマンタジン及び塩酸デプレニルと比較してより際立った効果を示すので、パーキンソニズム治療剤またはレボドパ作用増強剤として有用性が高い。
なお、本明細書において、パーキンソニズムとは前記のようにパーキンソン病とパーキンソン症候群の総称である。
【0019】
【実施例】
以下、実施例により本発明をさらに詳しく説明するが、本発明はこれらの実施例によりなんら限定されるものではない。
なお、各実施例で用いる本発明化合物である(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンは、特開平3−218367号公報の実施例27の記載に従って合成した。また、比較対照薬としては、パーキンソニズム治療剤として使用されている塩酸アマンタジン及び塩酸デプレニルを用いた。
【0020】
実施例1
ラット脳線条体内ドパミン量の増加作用
本発明化合物の(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンを0.5%カルボキシメチルセルロースNa(CMC.Na、和光純薬工業社製)に懸濁し、10mg/kgの用量で、1群8匹のSlc:SD系雄性ラット(10週齢、日本エスエルシー社)に経口投与した。投与2時間後に脳組織を摘出し、線条体を分割採取し、脳線条体内ドパミン量を高速液体クロマトグラフィー−電気化学的検出法で測定した。比較対照薬として塩酸デプレニルを用い、10mg/kgの用量で同様にして経口投与の4時間後に脳線条体を採取してドパミン量を測定した。対照群として薬物を含有しない0.5%のCMC.Naを同様に投与した。
その結果、表1に示すように、本発明化合物は脳線条体ドパミン量を対照群と比較して約15%増加させた。塩酸デプレニルはドパミン量に影響を与えなかった。
【0021】
【表1】
Figure 0003865450
【0022】
実施例2
レボドパ増強作用
1群10匹のCD−1系雄性マウス(5週齢、チャールズリバー・ジャパン社)に本発明化合物の(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンまたは比較対照薬の塩酸デプレニルを経口投与し、その60分後レボドパ(L−3,4−ジヒドロキシフェニルアラニン:シグマ社)150mg/kgを腹腔内投与した。さらにその30分後から20分間、興奮行動出現の有無を観察し、以下の式に基づいてレボドパ増強率(%)を算出した。被検薬が50%のレボドパ増強率を与える用量をED50とし、プロビットモデルを想定してED50値及び95%信頼限界を算出した。
レボドパ増強率(%)=100×(その群で興奮行動を示した個体数/10)
なお、レボドパは、生理食塩水に溶解し、10ml/kgの用量で腹腔内投与した。本発明化合物は0.5% カルボキシメチルセルロース Na(CMC.Na,和光純薬工業社製)に懸濁し、10ml/kgの用量で経口投与した。比較対照薬の塩酸デプレニルは蒸留水に溶解して10ml/kgの用量で経口投与した。また、対照群として薬物を含有しない0.5%CMC.Naを同様にして投与した。
その結果、本発明化合物投与群では興奮行動がみられ、そのED50値は5.90mg/kgであり、レボドパ増強作用が認められた。一方、塩酸デプレニルではレボドパ増強作用は弱く、そのED50値は100mg/kgより大きかった。また対照群では興奮行動はみられなかった。
【0023】
実施例3
低圧低酸素状態での延命効果
1群10匹のCD−1系雄性マウス(5週齢、チャールズリバー・ジャパン社)に本発明化合物の(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンを経口投与(100mg/kg)し、その30分後にマウスを低圧低酸素状態(170〜172mmHg)のチャンバー内に入れ、体動・呼吸が認められなくなるまでの時間(生存時間)を測定した。対照群として薬物を含有しない0.5%CMC.Naを同様にして投与した。
その結果、本発明化合物は生存時間を対照群に比して約28%延長した(p<0.05)。一般に中枢抑制作用を発現する薬物は、その発現用量において延命効果(神経細胞保護作用)を示すことが知られているが、中枢抑制作用に基づく神経細胞保護作用は臨床では危険を伴い、使用は制限されている。本発明化合物が中枢抑制の認められない用量において延命効果を示したことは、本発明化合物が臨床においてパーキンソニズムのような神経脱落を伴う疾患に対して有用な神経細胞保護作用を有する可能性を示唆するものである。
【0024】
実施例4
レセルピン誘発無動症拮抗作用
Wormsらの方法〔J.Pharm.Exp.Ther.,240,241−249(1987)〕に準じて、以下のような方法で行った。1群10匹のCD−1系雄性マウス(5週齢、チャールズリバー・ジャパン社)に本発明化合物の(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンを経口投与し、その直後レセルピンを腹腔内投与(5mg/kg)した。無動症はレセルピン投与2時間後に、白紙上に描いた直径9.5cmの円の中央に動物を置いたとき円内に15秒以上留まれば陽性と判定した。無動症に対する作用は、症状の発現を50%の動物において抑制する用量をED50値とし、プロビットモデルを用いてED50値を求めた。また、比較対照薬として塩酸アマンタジンおよび塩酸デプレニルを用い、同様にして試験を行った。
【0025】
なお、レセルピン(シグマ社製)は特公昭32−1145号公報記載の方法に従い、注射液を調製し10ml/kgの用量で腹腔内投与した。すなわち、レセルピン250mgに1%正燐酸16.2ccとプロピレングリコール12.5g及び蒸留水50ccを加え、次いでベンジルアルコール5.0gと蒸留水を追加して全量を500ccとした。また、本発明化合物は0.5% カルボキシメチルセルロース Na(CMC.Na,和光純薬工業社製)に懸濁し、塩酸アマンタジンおよび塩酸デプレニルは蒸留水に溶解し、いずれも10ml/kgの用量で経口投与した。用量は全てフリー体の重量として表した。
その結果、塩酸アマンタジンのED50は42.9mg/kgであり、塩酸デプレニルのED50は14.4mg/kgであるのに対し、本発明化合物のED50は3.3mg/kgであり、いずれの比較対照薬よりも強力であったことからレセルピン誘発無動症に対する優れた拮抗作用が認められた。
【0026】
【発明の効果】
本発明により、パーキンソニズムに対して単独もしくはレボドパとの併用で有効な治療剤が提供される。特に本発明の治療剤は、脳線条体内ドパミン量の増加作用、レボドパ増強作用、低圧低酸素状態での延命効果、さらにレセルピン誘発無動症拮抗作用を有しており、パーキンソニズムの治療に優れた薬理作用を発揮する。また、本発明により、レボドパとの併用剤としてパーキンソニズムの治療に有効なレボドパ作用増強剤が提供される。[0001]
BACKGROUND OF THE INVENTION
The present invention relates to a therapeutic agent for parkinsonism. More specifically, a therapeutic agent effective against parkinsonism alone or in combination with levodopa is provided.
[0002]
[Prior art]
The treatment of Parkinson's disease and Parkinson's syndrome (hereinafter collectively referred to as Parkinsonism) has so far been centered on the administration of levodopa (L-3,4-dihydroxyphenylalanine; L-DOPA), a precursor of dopamine. . Unlike dopamine, levodopa can cross the blood-brain barrier and is converted to dopamine in the brain, which is known to improve the symptoms of parkinsonism.
However, most of the levodopa administered is rapidly converted to dopamine in peripheral tissues and the amount of levodopa taken up into the brain is small, so a large dose of levodopa is needed to replace the lack of dopamine in the striatum Is required. Levodopa is also associated with side effects such as gastrointestinal symptoms (nausea, vomiting, etc.), cardiovascular symptoms (such as orthostatic hypotension), psychiatric symptoms (excitement, restlessness, etc.), neurological symptoms (abnormal involuntary movements, etc.) There is a problem, and development of a therapeutic agent for parkinsonism that replaces levodopa or a combination drug that reduces levodopa dosage is expected.
[0003]
[Problems to be solved by the invention]
An object of the present invention is to provide a therapeutic agent for parkinsonism having an effective pharmacological action even when administered alone to parkinsonism.
Another object of the present invention is to provide a levodopa action enhancer that is effective for treating parkinsonism as a combination drug of levodopa.
[0004]
[Means for Solving the Problems]
As a result of diligent studies to solve the above problems, the present inventors have surprisingly found that the present invention is among naphthyloxazolidone derivatives (Japanese Patent Laid-Open No. 5-155572) known to have antidepressant action. The present inventors have found that there is a compound having a pharmacological action that can achieve the above object, and have completed the present invention.
[0005]
That is, the gist of the present invention is the general formula (1).
[0006]
[Chemical 3]
Figure 0003865450
[0007]
(Wherein R 1 represents a lower alkyl group optionally substituted with a cycloalkyl group, and R 2 represents a lower alkyl group) or a pharmacologically acceptable salt thereof as an active ingredient It relates to a therapeutic agent for nism.
The present invention further relates to a levodopa action enhancer comprising a compound represented by the general formula (1) or a pharmacologically acceptable salt thereof as an active ingredient.
[0008]
DETAILED DESCRIPTION OF THE INVENTION
In the general formula (1), R 1 represents a lower alkyl group which may be substituted with a cycloalkyl group. As the cycloalkyl group, those having 3 to 6 carbon atoms are preferable, and a cyclopropyl group is particularly preferable. Examples of the lower alkyl group include 1 to 6 carbon atoms, and a methyl group is particularly preferable. R 2 represents a lower alkyl group, preferably having 1 to 6 carbon atoms, and particularly preferably a methyl group. The compound of the general formula (1) has optical isomers, but any isomer or a mixture thereof may be used in the present invention.
[0009]
Specifically, preferred examples of the compound of the general formula (1) include compounds in which R 1 is a lower alkyl group substituted with a cyclopropyl group, and in this case, compounds in which R 2 is a methyl group are more preferable. . That is, for example, (R) -3- [6- (cyclopropylmethoxy) -2-naphthyl] -5-methoxymethyl-2-oxazolidone is a preferred example. In addition, (R) -3- [6- (n-propoxy) -2-naphthyl] -5-methoxymethyl-2-oxazolidone, (R) -3- [6- (n-butoxy) -2- Compounds such as naphthyl] -5-methoxymethyl-2-oxazolidone and (R) -3- (6-ethoxy-2-naphthyl) -5-methoxymethyl-2-oxazolidone are also preferred. The compound of the general formula (1) used in the present invention is a known substance and can be easily synthesized, for example, by the method described in JP-A-3-218367.
[0010]
The compound of the general formula (1) can be used as the therapeutic agent or levodopa action enhancer of the present invention either in a free form or in the form of a pharmacologically acceptable salt thereof. The pharmacologically acceptable salt is not particularly limited, but is a salt with an inorganic or organic base, for example, an alkali metal salt such as sodium salt or potassium salt, an alkaline earth metal such as calcium salt or magnesium salt. Examples thereof include salts, ammonium salts and the like, or inorganic or organic acid addition salts such as hydrochloride, sulfate, acetate, benzenesulfonate and the like.
[0011]
The therapeutic agent and levodopa action-enhancing agent of the present invention comprises the compound of the general formula (1) as described above or a pharmacologically acceptable salt thereof as an active ingredient, and the following various pharmacological experiments. It has been shown to have an effective pharmacological action as a levodopa action enhancer when administered alone as a therapeutic drug for parkinsonism or when used in combination with levodopa. In particular, when used as a levodopa action enhancer, it is useful because it can be expected to reduce the levodopa dose.
[0012]
(1) Increased action of cerebral striatum dopamine, levodopa enhancing action Drugs that increase the amount of dopamine in the brain or drugs that enhance the action of levodopa are considered to be effective in the treatment of parkinsonism. Since the compound of the general formula (1) has any action, it is considered effective for the treatment of parkinsonism.
That is, the compound of general formula (1) is useful as a therapeutic agent for parkinsonism due to its action to increase the amount of dopamine in the striatum, and can also be used as a levodopa action enhancer due to its levodopa potentiating action. It is considered effective.
[0013]
(2) Life-prolonging effect in hypobaric hypoxia Parkinsonism is a disease accompanied by degeneration / dropout of nerve cells. Therefore, administration of a compound that protects against nerve cells is expected to prevent the progression of parkinsonism. The
Since the compound of the general formula (1) has a life-prolonging effect in a low-pressure hypoxic state and is considered to have a nerve cell protecting action, it is considered that it is effective as a therapeutic agent for parkinsonism from this point as well. .
[0014]
(3) Reserpine-induced ataxia antagonism It is believed that reserpine-induced ataxia is associated with parkinsonism. The compound of the general formula (1) exhibits a strong antagonistic action against reserpine-induced ataxia, which is stronger than the action of amantadine hydrochloride, deprenyl hydrochloride and the like used as a therapeutic agent for parkinsonism. Therefore, it is considered effective as a therapeutic agent for parkinsonism.
[0015]
The dosage of the therapeutic agent and the levodopa action enhancer of the present invention varies depending on the age, body weight, condition or degree of disease of the patient, but the compound of the general formula (1) or a pharmacologically acceptable salt thereof is usually 1 Administer 0.01-250 mg / kg per day. The therapeutic agent and levodopa action enhancer of the present invention can be administered either orally or parenterally, but it is particularly preferable to administer them orally.
[0016]
The dosage form for oral administration may be a solid such as a tablet, powder, capsule or granule, or a liquid such as a solution or suspension, together with a pharmaceutical carrier suitable for oral administration. It can be used as a pharmaceutical preparation. Such pharmaceutical carriers include, for example, binders (syrup, gum arabic, gelatin, sorbite, tragacanth, polyvinylpyrrolidone, etc.), excipients (lactose, sugar, corn starch, potassium phosphate, sorbit, glycine, etc.), lubricants (Magnesium stearate, talc, polyethylene glycol, silica, etc.), disintegrating agents (potato starch, etc.) and wetting agents (sodium lauryl sulfate, etc.).
[0017]
On the other hand, the dosage form for parenteral administration is preferably an injection or a drip injection using, for example, distilled water for injection, physiological saline, aqueous glucose solution, or the like.
[0018]
Further, the compound of the general formula (1) has extremely low toxicity, and (R) -3- [6- (cyclopropylmethoxy)-which is an active ingredient of the present invention in 5 mice (Slc: ddY system, male). 2-Naphtyl] -5-methoxymethyl-2-oxazolidone 2 g / kg was orally administered and observed for 2 weeks, but no death was observed. In addition, its pharmacological action is remarkable, and as shown in the examples below, it exhibits a more remarkable effect compared to amantadine hydrochloride and deprenyl hydrochloride, which are used as therapeutic agents for parkinsonism. It is highly useful as a levodopa action enhancer.
In the present specification, parkinsonism is a general term for Parkinson's disease and Parkinson's syndrome as described above.
[0019]
【Example】
EXAMPLES Hereinafter, although an Example demonstrates this invention further in detail, this invention is not limited at all by these Examples.
In addition, (R) -3- [6- (cyclopropylmethoxy) -2-naphthyl] -5-methoxymethyl-2-oxazolidone which is a compound of the present invention used in each example is disclosed in JP-A-3-218367. Synthesized as described in Example 27. Further, amantadine hydrochloride and deprenyl hydrochloride, which are used as a therapeutic agent for parkinsonism, were used as comparative control drugs.
[0020]
Example 1
Effect of increasing dopamine amount in rat striatum In the compound of the present invention, (R) -3- [6- (cyclopropylmethoxy) -2-naphthyl] -5-methoxymethyl-2-oxazolidone was added to 0.5. % Carboxymethylcellulose Na (CMC.Na, manufactured by Wako Pure Chemical Industries, Ltd.) and orally administered to a group of 8 Slc: SD male rats (10 weeks old, Japan SLC) at a dose of 10 mg / kg. Administered. Two hours after administration, the brain tissue was removed, the striatum was divided and collected, and the amount of dopamine in the striatum was measured by high performance liquid chromatography-electrochemical detection method. Deprenyl hydrochloride was used as a comparative control drug, and the amount of dopamine was measured by collecting brain striatum 4 hours after oral administration in the same manner at a dose of 10 mg / kg. As a control group, 0.5% CMC. Na was administered similarly.
As a result, as shown in Table 1, the compound of the present invention increased the amount of striatum dopamine by about 15% as compared with the control group. Deprenyl hydrochloride did not affect the amount of dopamine.
[0021]
[Table 1]
Figure 0003865450
[0022]
Example 2
Levodopa potentiating action 1 group of 10 CD-1 male mice (5 weeks old, Charles River Japan Co., Ltd.) was added (R) -3- [6- (cyclopropylmethoxy) -2-naphthyl]- 5-Methoxymethyl-2-oxazolidone or deprenyl hydrochloride as a comparison drug was orally administered, and 60 minutes later, 150 mg / kg of levodopa (L-3,4-dihydroxyphenylalanine: Sigma) was intraperitoneally administered. Furthermore, the presence or absence of the appearance of excitement behavior was observed for 20 minutes after 30 minutes, and the levodopa enhancement rate (%) was calculated based on the following formula. The dose at which the test drug gave a 50% levodopa enhancement rate was taken as ED 50, and ED 50 values and 95% confidence limits were calculated assuming a probit model.
Levodopa enhancement rate (%) = 100 × (number of individuals exhibiting excitatory behavior in the group / 10)
Levodopa was dissolved in physiological saline and administered intraperitoneally at a dose of 10 ml / kg. The compound of the present invention was suspended in 0.5% carboxymethylcellulose Na (CMC.Na, manufactured by Wako Pure Chemical Industries, Ltd.) and orally administered at a dose of 10 ml / kg. The comparative drug deprenyl hydrochloride was dissolved in distilled water and orally administered at a dose of 10 ml / kg. As a control group, 0.5% CMC. Na was administered in the same manner.
As a result, excitatory behavior was observed in the group administered with the compound of the present invention, the ED 50 value was 5.90 mg / kg, and a levodopa potentiating action was observed. On the other hand, deprenyl hydrochloride had a weak levodopa enhancing action, and its ED 50 value was larger than 100 mg / kg. There was no excitement in the control group.
[0023]
Example 3
Life Prolongation Effect under Low Pressure Hypoxia One Group of 10 CD-1 Male Mice (5 Weeks Old, Charles River Japan Co.) Invented Compound (R) -3- [6- (Cyclopropylmethoxy)- 2-Naphthyl] -5-methoxymethyl-2-oxazolidone was orally administered (100 mg / kg), and 30 minutes later, the mouse was placed in a low-pressure hypoxic (170 to 172 mmHg) chamber, and body movement / respiration was observed. The time until it was lost (survival time) was measured. As a control group, 0.5% CMC. Na was administered in the same manner.
As a result, the compound of the present invention prolonged the survival time by about 28% compared to the control group (p <0.05). In general, drugs that exhibit central inhibitory action are known to exhibit life-prolonging effects (nerve cell protective action) at their doses, but neuroprotective actions based on central inhibitory action are dangerous in clinical use. Limited. The fact that the compound of the present invention showed a life-prolonging effect at a dose at which central inhibition was not observed indicates that the compound of the present invention may have a neuronal protective effect useful for diseases associated with neuronal loss such as parkinsonism in clinical practice. It is a suggestion.
[0024]
Example 4
Reserpine-induced ataxia antagonism Worms et al. [J. Pharm. Exp. Ther. , 240, 241-249 (1987)]. (R) -3- [6- (Cyclopropylmethoxy) -2-naphthyl] -5-methoxy of the compound of the present invention was applied to 10 CD-1 male mice (5 weeks old, Charles River Japan) per group. Methyl-2-oxazolidone was orally administered, and immediately thereafter, reserpine was intraperitoneally administered (5 mg / kg). Ataxia was determined to be positive if an animal was placed in the center of a circle of 9.5 cm in diameter drawn on a white paper 2 hours after administration of reserpine and stayed in the circle for 15 seconds or more. Effect on akinesia is the onset of symptoms and 50 values ED suppressing doses in 50% of animals, was calculated ED 50 value using probit model. Moreover, the test was similarly conducted using amantadine hydrochloride and deprenyl hydrochloride as comparative control drugs.
[0025]
Reserpine (manufactured by Sigma) was prepared as an injection solution according to the method described in Japanese Patent Publication No. 32-1145 and administered intraperitoneally at a dose of 10 ml / kg. Namely, 16.2 cc of 1% orthophosphoric acid, 12.5 g of propylene glycol and 50 cc of distilled water were added to 250 mg of reserpine, and then 5.0 g of benzyl alcohol and distilled water were added to make the total amount 500 cc. The compound of the present invention is suspended in 0.5% carboxymethylcellulose Na (CMC.Na, manufactured by Wako Pure Chemical Industries), and amantadine hydrochloride and deprenyl hydrochloride are dissolved in distilled water, both of which are orally administered at a dose of 10 ml / kg. Administered. All doses were expressed as free body weight.
As a result, the ED 50 of amantadine hydrochloride was 42.9 mg / kg, and the ED 50 of deprenyl hydrochloride was 14.4 mg / kg, whereas the ED 50 of the compound of the present invention was 3.3 mg / kg. It was more potent than the comparative control drug, and an excellent antagonism against reserpine-induced ataxia was observed.
[0026]
【The invention's effect】
The present invention provides a therapeutic agent effective against parkinsonism alone or in combination with levodopa. In particular, the therapeutic agent of the present invention has an action to increase the amount of dopamine in the striatum, levodopa enhancing action, life-prolonging effect in hypobaric hypoxia, and reserpine-induced ataxia antagonism, and is used for the treatment of parkinsonism. Excellent pharmacological action. The present invention also provides a levodopa action enhancer effective for treating parkinsonism as a concomitant drug with levodopa.

Claims (4)

一般式(1)
Figure 0003865450
(式中、R1 はシクロアルキル基で置換されていてもよい低級アルキル基、R2 は低級アルキル基を表す。)で示される化合物又はその薬理的に許容し得る塩を有効成分とするパーキンソニズム治療剤。
General formula (1)
Figure 0003865450
(Wherein R 1 represents a lower alkyl group optionally substituted with a cycloalkyl group, and R 2 represents a lower alkyl group) or a pharmacologically acceptable salt thereof as an active ingredient Antibiotic agent.
1 がシクロプロピル基で置換された低級アルキル基である請求項1記載のパーキンソニズム治療剤。The parkinsonism therapeutic agent according to claim 1, wherein R 1 is a lower alkyl group substituted with a cyclopropyl group. 有効成分が(R)−3−〔6−(シクロプロピルメトキシ)−2−ナフチル〕−5−メトキシメチル−2−オキサゾリドンである請求項1記載のパーキンソニズム治療剤。The therapeutic agent for parkinsonism according to claim 1, wherein the active ingredient is (R) -3- [6- (cyclopropylmethoxy) -2-naphthyl] -5-methoxymethyl-2-oxazolidone. 一般式(1)
Figure 0003865450
(式中、R1 はシクロアルキル基で置換されていてもよい低級アルキル基、R2 は低級アルキル基を表す。)で示される化合物又はその薬理的に許容し得る塩を有効成分とするレボドパ作用増強剤。
General formula (1)
Figure 0003865450
(Wherein R 1 represents a lower alkyl group optionally substituted with a cycloalkyl group, R 2 represents a lower alkyl group) or a levodopa comprising a pharmacologically acceptable salt thereof as an active ingredient Action enhancer.
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