JP6285352B2 - 3−デセン酸誘導体およびその用途 - Google Patents
3−デセン酸誘導体およびその用途 Download PDFInfo
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- JP6285352B2 JP6285352B2 JP2014507737A JP2014507737A JP6285352B2 JP 6285352 B2 JP6285352 B2 JP 6285352B2 JP 2014507737 A JP2014507737 A JP 2014507737A JP 2014507737 A JP2014507737 A JP 2014507737A JP 6285352 B2 JP6285352 B2 JP 6285352B2
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- 125000001072 heteroaryl group Chemical group 0.000 claims description 36
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- 125000004448 alkyl carbonyl group Chemical group 0.000 claims description 23
- 150000003839 salts Chemical class 0.000 claims description 23
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- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 22
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- 125000000392 cycloalkenyl group Chemical group 0.000 claims description 14
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 12
- 125000003282 alkyl amino group Chemical group 0.000 claims description 11
- 229940124597 therapeutic agent Drugs 0.000 claims description 10
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- SZUVGFMDDVSKSI-WIFOCOSTSA-N (1s,2s,3s,5r)-1-(carboxymethyl)-3,5-bis[(4-phenoxyphenyl)methyl-propylcarbamoyl]cyclopentane-1,2-dicarboxylic acid Chemical compound O=C([C@@H]1[C@@H]([C@](CC(O)=O)([C@H](C(=O)N(CCC)CC=2C=CC(OC=3C=CC=CC=3)=CC=2)C1)C(O)=O)C(O)=O)N(CCC)CC(C=C1)=CC=C1OC1=CC=CC=C1 SZUVGFMDDVSKSI-WIFOCOSTSA-N 0.000 claims description 8
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- WZZBNLYBHUDSHF-DHLKQENFSA-N 1-[(3s,4s)-4-[8-(2-chloro-4-pyrimidin-2-yloxyphenyl)-7-fluoro-2-methylimidazo[4,5-c]quinolin-1-yl]-3-fluoropiperidin-1-yl]-2-hydroxyethanone Chemical compound CC1=NC2=CN=C3C=C(F)C(C=4C(=CC(OC=5N=CC=CN=5)=CC=4)Cl)=CC3=C2N1[C@H]1CCN(C(=O)CO)C[C@@H]1F WZZBNLYBHUDSHF-DHLKQENFSA-N 0.000 claims description 2
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- SPXSEZMVRJLHQG-XMMPIXPASA-N [(2R)-1-[[4-[(3-phenylmethoxyphenoxy)methyl]phenyl]methyl]pyrrolidin-2-yl]methanol Chemical compound C(C1=CC=CC=C1)OC=1C=C(OCC2=CC=C(CN3[C@H](CCC3)CO)C=C2)C=CC=1 SPXSEZMVRJLHQG-XMMPIXPASA-N 0.000 claims description 2
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- UNILWMWFPHPYOR-KXEYIPSPSA-M 1-[6-[2-[3-[3-[3-[2-[2-[3-[[2-[2-[[(2r)-1-[[2-[[(2r)-1-[3-[2-[2-[3-[[2-(2-amino-2-oxoethoxy)acetyl]amino]propoxy]ethoxy]ethoxy]propylamino]-3-hydroxy-1-oxopropan-2-yl]amino]-2-oxoethyl]amino]-3-[(2r)-2,3-di(hexadecanoyloxy)propyl]sulfanyl-1-oxopropan-2-yl Chemical compound O=C1C(SCCC(=O)NCCCOCCOCCOCCCNC(=O)COCC(=O)N[C@@H](CSC[C@@H](COC(=O)CCCCCCCCCCCCCCC)OC(=O)CCCCCCCCCCCCCCC)C(=O)NCC(=O)N[C@H](CO)C(=O)NCCCOCCOCCOCCCNC(=O)COCC(N)=O)CC(=O)N1CCNC(=O)CCCCCN\1C2=CC=C(S([O-])(=O)=O)C=C2CC/1=C/C=C/C=C/C1=[N+](CC)C2=CC=C(S([O-])(=O)=O)C=C2C1 UNILWMWFPHPYOR-KXEYIPSPSA-M 0.000 claims 1
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Classifications
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- C07C251/00—Compounds containing nitrogen atoms doubly-bound to a carbon skeleton
- C07C251/02—Compounds containing nitrogen atoms doubly-bound to a carbon skeleton containing imino groups
- C07C251/04—Compounds containing nitrogen atoms doubly-bound to a carbon skeleton containing imino groups having carbon atoms of imino groups bound to hydrogen atoms or to acyclic carbon atoms
- C07C251/06—Compounds containing nitrogen atoms doubly-bound to a carbon skeleton containing imino groups having carbon atoms of imino groups bound to hydrogen atoms or to acyclic carbon atoms to carbon atoms of a saturated carbon skeleton
- C07C251/08—Compounds containing nitrogen atoms doubly-bound to a carbon skeleton containing imino groups having carbon atoms of imino groups bound to hydrogen atoms or to acyclic carbon atoms to carbon atoms of a saturated carbon skeleton being acyclic
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- C07C233/00—Carboxylic acid amides
- C07C233/01—Carboxylic acid amides having carbon atoms of carboxamide groups bound to hydrogen atoms or to acyclic carbon atoms
- C07C233/02—Carboxylic acid amides having carbon atoms of carboxamide groups bound to hydrogen atoms or to acyclic carbon atoms having nitrogen atoms of carboxamide groups bound to hydrogen atoms or to carbon atoms of unsubstituted hydrocarbon radicals
- C07C233/09—Carboxylic acid amides having carbon atoms of carboxamide groups bound to hydrogen atoms or to acyclic carbon atoms having nitrogen atoms of carboxamide groups bound to hydrogen atoms or to carbon atoms of unsubstituted hydrocarbon radicals with carbon atoms of carboxamide groups bound to carbon atoms of an acyclic unsaturated carbon skeleton
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- C07C243/00—Compounds containing chains of nitrogen atoms singly-bound to each other, e.g. hydrazines, triazanes
- C07C243/24—Hydrazines having nitrogen atoms of hydrazine groups acylated by carboxylic acids
- C07C243/26—Hydrazines having nitrogen atoms of hydrazine groups acylated by carboxylic acids with acylating carboxyl groups bound to hydrogen atoms or to acyclic carbon atoms
- C07C243/30—Hydrazines having nitrogen atoms of hydrazine groups acylated by carboxylic acids with acylating carboxyl groups bound to hydrogen atoms or to acyclic carbon atoms to carbon atoms of an unsaturated carbon skeleton
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- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C327/00—Thiocarboxylic acids
- C07C327/02—Monothiocarboxylic acids
- C07C327/04—Monothiocarboxylic acids having carbon atoms of thiocarboxyl groups bound to hydrogen atoms or to acyclic carbon atoms
- C07C327/10—Monothiocarboxylic acids having carbon atoms of thiocarboxyl groups bound to hydrogen atoms or to acyclic carbon atoms to carbon atoms of an acyclic unsaturated carbon skeleton
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- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C69/00—Esters of carboxylic acids; Esters of carbonic or haloformic acids
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- C07C69/533—Monocarboxylic acid esters having only one carbon-to-carbon double bond
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- C07C69/00—Esters of carboxylic acids; Esters of carbonic or haloformic acids
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- C07C69/65—Halogen-containing esters of unsaturated acids
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- C07D209/80—[b, c]- or [b, d]-condensed
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- C07D209/86—Carbazoles; Hydrogenated carbazoles with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to carbon atoms of the ring system
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- C07D211/00—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
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- C07D211/16—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 no double bonds between ring members or between ring members and non-ring members with hydrocarbon or substituted hydrocarbon radicals directly attached to ring carbon atoms with radicals containing only carbon and hydrogen atoms attached to ring carbon atoms with acylated ring nitrogen atom
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- C07D213/24—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 substituted hydrocarbon radicals attached to ring carbon atoms
- C07D213/44—Radicals substituted by doubly-bound oxygen, sulfur, or nitrogen atoms, or by two such atoms singly-bound to the same carbon atom
- C07D213/46—Oxygen atoms
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- 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
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- C07D223/22—Dibenz [b, f] azepines; Hydrogenated dibenz [b, f] azepines
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- C07D239/28—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having three or more double bonds between ring members or between ring members and non-ring members 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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- C07D265/38—[b, e]-condensed with two six-membered rings
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Description
Aは、−NR1R2、−OR3、−SR3、−C(R3)3、または−N=C(R3)2を表し、
この際、R1およびR2は、互いに独立して、水素原子、アルキル基、アルケニル基、アルキニル基、シクロアルキル基、シクロアルケニル基、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、アルキルカルボニル基、−NR4R5(ここで、R4およびR5は、互いに独立して、水素原子、アルキル基、アルケニル基、アルキニル基、シクロアルキル基、シクロアルケニル基、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、またはアルキルカルボニル基を表すか、結合して複素環を形成してもよい)、または−N=C(R3)2を表す、
ここで、上記アルキル基、アルケニル基、アルキニル基、シクロアルキル基、アリール基、ヘテロアリール基、アルコキシ基、アリールオキシ基、またはアルキルカルボニル基は、ハロゲン原子、アルキル基、シクロアルキル基、シクロアルケニル基、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、ヘテロアリールオキシ基、カルボキシ基もしくはそのエステル、アルキルカルボニル基、アリールカルボニル基、アミノ基、アルキルアミノ基、アリールアミノ基、メルカプト基、アルキルチオ基、アリールチオ基、シアノ基、ニトロ基または複素環基で置換されていてもよく、
さらに当該アルキル基、シクロアルキル基、アリール基、ヘテロアリール基、アルコキシ基、アリールオキシ基、アルキルカルボニル基、アリールカルボニル基、アルキルアミノ基、アリールアミノ基、アルキルチオ基、アリールチオ基または複素環基は、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、ヘテロアリールオキシ基、アルコキシアルコキシ基またはカルボキシ基もしくはそのエステルで置換されていてもよい;
あるいは、R1とR2とは結合して複素環を形成してもよい、
ここで、上記複素環は、ハロゲン原子、アルキル基、シクロアルキル基、アリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基またはカルボキシ基もしくはそのエステルで置換されていてもよく、
さらに当該アルキル基、シクロアルキル基、アリール基、アルコキシ基またはアリールオキシ基は、アリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、アルコキシアルコキシ基またはカルボキシ基もしくはそのエステルで置換されていてもよい;
R3は、互いに独立して、水素原子、アルキル基、アルケニル基、アルキニル基、シクロアルキル基、シクロアルケニル基、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基またはアルキルカルボニル基を表し、
当該アルキル基、アルケニル基、アルキニル基、シクロアルキル基、アリール基、ヘテロアリール基、アルコキシ基、アリールオキシ基またはアルキルカルボニル基は、ハロゲン原子、アルキル基、シクロアルキル基、シクロアルケニル基、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、ヘテロアリールオキシ基、カルボキシ基もしくはそのエステル、アルキルカルボニル基、アリールカルボニル基、アミノ基、アルキルアミノ基、アリールアミノ基、メルカプト基、アルキルチオ基、アリールチオ基、シアノ基、ニトロ基または複素環基で置換されていてもよく、
さらに当該アルキル基、シクロアルキル基、アリール基、ヘテロアリール基、アルコキシ基、アリールオキシ基、アルキルカルボニル基、アリールカルボニル基、アルキルアミノ基、アリールアミノ基、アルキルチオ基、アリールチオ基または複素環基は、アリール基、ヘテロアリール基、ヒドロキシ基もしくはそのエステル、アルコキシ基、アリールオキシ基、ヘテロアリールオキシ基、アルコキシアルコキシ基またはカルボキシ基もしくはそのエステルで置換されていてもよい。
本発明において、下記の用語は、特に断らない限り、以下の意味を有する。
本発明の一形態は、下記化学式1で表される化合物またはその製薬上許容されうる塩(3−デセン酸誘導体)に関する。
まず、Aが−NR1R2を表す場合、化学式1で表される化合物は、下記化学式2で表されるアミド誘導体である:
続いて、Aが−OR3を表す場合、化学式1で表される化合物は、下記化学式3で表されるエステル誘導体である:
また、Aが−SR3を表す場合、化学式1で表される化合物は、下記化学式4で表されるチオエステル誘導体である:
さらに、Aが−C(R3)3を表す場合、化学式1で表される化合物は、下記化学式5で表されるケトン誘導体である:
また、Aが−N=C(R3)2を表す場合、化学式1で表される化合物は、下記化学式6で表されるイミン誘導体である:
他の形態において、本発明は、上述した化合物の用途として、上述した化合物またはその製薬上許容されうる塩(またはプロドラッグもしくは溶媒和物)を有効成分として含有する医薬を提供する。特に、本発明の一形態によれば、当該医薬からなるがんの予防および/または治療剤が提供される。また、他の形態として、がんの治療方法もまた、提供される。当該治療方法は、がんに関連した病状を治療する必要のある患者に、化学式1で表される化合物の1つ以上の有効量を投与することを含む。
(化合物3(第2級アミド誘導体)の合成)
3−デセン酸(17 g, 0.1 mol)(東京化成工業社製)を塩化チオニル(25 ml)(和光純薬工業社製)と室温で2時間、次いで水浴上で1時間加熱還流した。過剰な塩化チオニルは減圧下に留去し、酸塩化物である3−デセン酸クロライドを得た。
化合物3の合成と同様の手法により合成した3−デセン酸クロライド(0.94 g, 5 mmol)のテトラヒドロフラン溶液(15 ml)にN−イソプロピルヘキシルアミン(705 mg, 5 mmol)(東京化成工業社製)およびピリジン(400 mg)を含むテトラヒドロフラン溶液(20 ml)を加えて、水浴上で3時間加熱還流した。テトラヒドロフランを減圧下に留去し、水を加えて酢酸エチルで抽出した。酢酸エチル層を水洗後濃縮し、シリカゲルカラムクロマトグラフィー(展開溶媒;ヘキサン:酢酸エチル=5:1)で精製して、(E)−N−シクロヘキシル−N−イソプロピルデセ−3−エンアミド(化合物14)1.2gを得た。
化合物3の合成と同様の手法により合成した3−デセン酸クロライド(1.7 g) のエタノール溶液(20 ml)に濃硫酸 (0.5 ml)を加え、水浴上で3時間加熱還流した。冷却後、反応液に水を加えて酢酸エチルで分配し、水洗後、酢酸エチルを留去した。残渣はシリカゲルカラムクロマトグラフィー(展開溶媒;ヘキサン:酢酸エチル=3:1)で精製して、(E)−エチルデセ−3−エノエート(化合物39)1.3gを得た。
化合物3の合成と同様の手法により合成した3−デセン酸クロライド(2.0 g, 10.1 mmol)のテトラヒドロフラン溶液(10 ml)に桂皮アルコール(1.4 g, 10.1 mmol)(東京化成工業社製)およびピリジン(950 mg)を含むテトラヒドロフラン溶液(20 ml)を加え、水浴上で3時間加熱還流した。テトラヒドロフランを減圧下で留去した後、水を加えて酢酸エチルで抽出した。酢酸エチル層を水洗後濃縮し、シリカゲルカラムクロマトグラフィー(展開溶媒;ヘキサン:ベンゼン=2:1)で精製して、(E)−シンナミルデセ−3−エノエート(化合物44)2.5 gを得た。
化合物3の合成と同様の手法により合成した3−デセン酸クロライド(2.0 g, 10.1 mmol)のテトラヒドロフラン溶液(10 ml)に2−フェニルエタンチオール(1.4 g, 10.1 mmol)(東京化成工業社製)およびピリジン(950 mg)を含むテトラヒドロフラン溶液(20 ml)を加え、水浴上で3時間加熱還流した。テトラヒドロフランを減圧下で留去した後、水を加えて酢酸エチルで抽出した。酢酸エチル層を水洗後濃縮し、シリカゲルカラムクロマトグラフィー(展開溶媒;ヘキサン:酢酸エチル=5:1)で精製して、(E)−S−フェニルエチルデセ−3−エンチオエート(化合物48)2.6gを得た。
上述した化合物の合成と同様の手法により、または当該手法を常法により一部改変して、化合物1、2、4〜13、15〜38、40〜43、45〜47、49〜52を合成した。
上記で合成した化合物の一部について、物性(色、形状)および構造(MS、1H−NMR)の確認を行った。結果を以下に示す。なお、物性および構造を確認したことが以下に記載されていない化合物についても、所望の構造を有するものが得られていると考えられる。
(増殖阻害アッセイ)
上記で合成した化合物のいくつかを試験化合物として用いて、以下の手法による増殖阻害アッセイにより、抗がん活性を評価した。
本発明に係る化合物(化合物14、化合物24、または化合物38;濃度10μM、処理時間48時間)で処理したK562細胞を、倒立顕微鏡(オリンパス株式会社製)にて観察した。観察結果をコントロールの観察結果と併せて図1に示す。図1に示すように、本発明に係る化合物で処理した細胞は、化合物処理により膨化して、最終的には細胞死に至ることが観察された(図1に示す矢印)。
本発明者らは、上述した顕微鏡観察による観察結果を受けて、細胞死のメカニズムがオートファジーによるものではないかとの仮説を設定した。そして、当該仮説を検証する目的で、オートファジーのマーカータンパク質であるLC3Bタンパク質の発現をウエスタンブロットにより確認した。
ヒト膀胱癌細胞株NKB1 2×106個を5週齢ヌードマウスの皮下に移植し、一定の大きさに腫瘍が生着したところで7匹ずつ3群(コントロール群、少用量投与群、および高用量投与群)に分けた。そして、各群のマウスの腹腔内に週に1回薬液を投与し、その都度腫瘍体積を測定した。ここで、コントロール群には薬液として大豆油を投与し、少用量投与群および高用量投与群にはそれぞれ、薬液として大豆油に上記の化合物24を乳化させたものを投与した。なお、少用量投与群における投与量は9mg/kg体重となるように調整し、高用量投与群における投与量は45mg/kg体重となるように調整した。
Claims (15)
- 下記化学式1で表される化合物またはその製薬上許容されうる塩:
Aは、−NR1R2を表し、
この際、R1が非置換のアルキル基を表し、R2が非置換のシクロアルキル基を表すか、あるいは、
R1が水素原子を表し、R2 がシクロアルキル基;アルキルアミノ基で置換されたアリール基;アルキルアミノ基で置換されたアルキル基;アリール基で置換された−NR4R5(R4およびR5は、ともにアルキル基である);またはアルキル基で置換されたアリール基を表す。 - 下記の化合物1、化合物2、化合物4、化合物7〜化合物9、化合物11、化合物13もしくは化合物14またはこれらの製薬上許容されうる塩:
- 下記化学式1で表される化合物またはその製薬上許容されうる塩:
Aは、−NR1R2を表し、
この際、R1とR2とは結合して複素環を形成しており、かつ、
上記複素環は、非置換のアザシクロオクタン環;アルキル基で置換されたピペリジン環;アルキル基もしくはアリール基もしくはヘテロアリール基で置換されたピペラジン環;非置換のイミノスチルベン環;非置換のジベンズアゼピン環;非置換のフェノチアジン環;または非置換のフェノキサジン環を表す。 - 下記の化合物24〜化合物30、化合物32、化合物33もしくは化合物36またはこれらの製薬上許容されうる塩:
- 下記化学式1で表される化合物またはその製薬上許容されうる塩:
Aは、−OR3を表し、
この際、R3は、ハロゲン原子で置換されたアリール基;アルコキシ基で置換されたアリール基;アルケニル基;アルキニル基;シクロアルキル基;シクロアルケニル基;ヘテロアリール基;ヒドロキシ基もしくはそのエステル;アルコキシ基;アリールオキシ基;またはアルキルカルボニル基を表す。 - 下記の化合物41もしくは化合物42またはこれらの製薬上許容されうる塩:
- 下記化学式1で表される化合物またはその製薬上許容されうる塩:
Aは、−SR3を表し、
この際、R3は、非置換のヘテロアリール基;水素原子;アルケニル基;アルキニル基;シクロアルケニル基;ヘテロアリール基;ヒドロキシ基もしくはそのエステル;アルコキシ基;アリールオキシ基;またはアルキルカルボニル基を表す。 - 下記の化合物49もしくは化合物50またはこれらの製薬上許容されうる塩:
- 下記化学式1で表される化合物またはその製薬上許容されうる塩:
Aは、−C(R3)3を表し、
この際、R3は、それぞれ独立して、水素原子;アルキル基;アルケニル基;アルキニル基;シクロアルキル基;シクロアルケニル基;アリール基;ヘテロアリール基;ヒドロキシ基もしくはそのエステル;アルコキシ基;アリールオキシ基;またはアルキルカルボニル基を表し、かつ、R3の少なくとも1つが、アリール基で置換されたアルキル基を含む。 - 下記の化合物51またはその製薬上許容されうる塩:
- 下記化学式1で表される化合物またはその製薬上許容されうる塩:
Aは、−N=C(R3)2を表し、
この際、R3は、それぞれ独立して、水素原子;アルキル基;アルケニル基;アルキニル基;シクロアルキル基;シクロアルケニル基;アリール基;ヘテロアリール基;ヒドロキシ基もしくはそのエステル;アルコキシ基;アリールオキシ基;またはアルキルカルボニル基を表す。 - R3の少なくとも一方が、置換されていてもよいアリール基を含む、請求項11に記載の化合物またはその製薬上許容されうる塩。
- 下記の化合物52またはその製薬上許容されうる塩:
- 請求項1〜13のいずれか1項に記載の化合物またはその製薬上許容されうる塩を有効成分として含有する医薬。
- 請求項14に記載の医薬からなる、がんの予防および/または治療剤。
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