KR100500760B1 - Process for preparation of the propiverine hydrochloride - Google Patents

Process for preparation of the propiverine hydrochloride Download PDF

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KR100500760B1
KR100500760B1 KR10-2003-0050111A KR20030050111A KR100500760B1 KR 100500760 B1 KR100500760 B1 KR 100500760B1 KR 20030050111 A KR20030050111 A KR 20030050111A KR 100500760 B1 KR100500760 B1 KR 100500760B1
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acid
propylbenzylic
bladder
hydrochloride
propiberine
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KR20050011138A (en
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박찬신
이정권
최선희
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동방에프티엘 주식회사
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D211/00Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
    • C07D211/04Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D211/06Heterocyclic 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
    • C07D211/36Heterocyclic 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 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
    • C07D211/40Oxygen atoms
    • C07D211/44Oxygen atoms attached in position 4
    • 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
    • A61K31/435Heterocyclic 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C53/00Saturated compounds having only one carboxyl group bound to an acyclic carbon atom or hydrogen
    • C07C53/132Saturated compounds having only one carboxyl group bound to an acyclic carbon atom or hydrogen containing rings

Abstract

본 발명은 벤질릭산으로부터 O-n-프로필벤질릭산을 제조하는 단계; 및 상기 O-n-프로필벤질릭산을 4-히드록시-1-메칠피페리딘과 반응하여 프로피베린을 제조하고 염산을 사용하여 염산프로피베린을 제조하는 단계로 이루어진 염산프로피베린 제조방법에 관한 것이다.The present invention comprises the steps of preparing O-n-propylbenzylic acid from benzylic acid; And reacting the O-n-propylbenzylic acid with 4-hydroxy-1-methylpiperidine to produce propiberine, and to prepare propiberine hydrochloride using hydrochloric acid.

Description

염산 프로피베린의 제조방법{Process for preparation of the propiverine hydrochloride}Process for preparation of the propiverine hydrochloride

본 발명은 신경인성방광질환, 신경성빈뇨질환, 불안정성방광질환, 만성방광염 및 만성전립성염과 같은 방광자극상태질환 뿐만 아니라 신경인성방광질환, 신경성빈뇨질환, 불안정성방광질환, 만성방광염 및 만성전립성염과 같은 방광자극상태질환에 의한 빈뇨 및 요실금의 예방 및 치료제로 유용한 염산 프로피베린의 제조방법에 관한 것이다. The present invention is directed to bladder stimulating conditions such as neurogenic bladder disease, neuronal urinary disease, unstable bladder disease, chronic cystitis and chronic prostatitis, as well as neurogenic bladder disease, neuronal urinary disease, unstable bladder disease, chronic cystitis and chronic prostatitis. The present invention relates to a method for preparing propiberine hydrochloride, which is useful as an agent for preventing and treating urinary incontinence and urinary incontinence caused by bladder irritant conditions.

더욱 상세하게는, 본 발명은 벤질릭산으로부터 O-n-프로필벤질릭산을 제조하는 단계; 및 상기 O-n-프로필벤질릭산을 4-히드록시-1-메칠피페리딘과 반응하여 프로피베린을 제조하고 염산을 사용하여 염산프로피베린을 제조하는 단계로 이루어진 염산프로피베린 제조방법에 관한 것이다.More specifically, the present invention comprises the steps of preparing O-n-propylbenzylic acid from benzylic acid; And reacting the O-n-propylbenzylic acid with 4-hydroxy-1-methylpiperidine to produce propiberine, and to prepare propiberine hydrochloride using hydrochloric acid.

염산 프로피베린은 과민성(과활동성)방광질환의 치료제이다. 소변을 자주 보거나(빈뇨) 소변이 급하고(절박뇨) 심하면 본인의 의지나 활동에 관계없이 요실금(절박성 요실금)이 발생되어 환자를 괴롭히는 과민성(과활동성) 방광은 배뇨장애 분야 중 현재 가장 연구가 많이 진행되고 있고 발전하고 있는 분야이다. 현재 병인에 대한 연구가 활발하지만 아직 정확한 원인은 모르는 실정이다. 과민성(과활동성)방광질환의 증상은 하루 8회 이상의 빈뇨, 절박뇨 및 절박성 요실금이다. 세계요실금학회에 의하면 요역동학 검사, 특히 저장성 방광내압측정술로 진단될 수 있고 환자 자신은 억제하려고 하나 저절로 혹은 유발요인에 의해 불수의적인 배뇨근 수축이 발생하고 객관적으로 증명되는 경우로 정의한다. 신경학적 이상이 발견되면 "배뇨근 과반사"라고 하고 그렇지 않은 경우 "배뇨근 불안정"이라고 한다.Propyberine hydrochloride is a therapeutic agent for overactive bladder disease. Irritable (overactive) bladder that causes urinary incontinence (urgery incontinence) irrespective of one's will or activity if urine is frequent (urinary) or urine is urgent (urgency urinary) is the most researched in the field of urination disorder It is an ongoing and developing field. At present, etiology is active, but the exact cause is not known. Symptoms of overactive bladder disease include frequent urine, urgency and urge incontinence more than eight times a day. According to the World Urinary Incontinence Society, it can be diagnosed by urinadynamic test, especially hypotonic bladder pressure measurement, and the patient himself attempts to suppress it, but involuntary decay muscle contraction is caused by objective or causal factor. If a neurological abnormality is found, it is called "detrusor hyperreflection", otherwise it is called "detrusor root instability".

과민성(과활동성) 배뇨근에 대한 병인에 대해서는 아직도 상당한 논란이 있다. 과민성 배뇨근의 주된 형태로 배뇨근 과반사, 방광출구폐색과 연관성이 있는 배뇨근 불안정, 그리고 특발성 배뇨근 불안정이 있다. 이를 방광충만내압검사로 구분할 수 없고 병리기전도 다르다. 여러 다른 형태로 나타나는 것은 신경인성과 근육인성이 단독으로 혹은 복합적으로 작용한 결과라고 추측된다. 과민성(과활동성) 배뇨근의 정확한 기전에 대해 신경과 근육의 생리, 배뇨근 평활근의 미세구조, 그리고 세포생화학을 이용하여 현재 연구중이다. There is still considerable debate about the etiology of overactive detrusors. The main types of anaphylactic detrusors include detrusor hyperreflection, detrusor instability associated with bladder outlet obstruction, and idiopathic detrusor instability. This cannot be distinguished by bladder filling test and the pathology is different. It appears that the different forms are the result of neuronal and muscular toughness alone or in combination. The exact mechanism of overactive detrusor is currently being studied using the physiology of nerves and muscles, the microstructure of detrusor smooth muscle, and cell biochemistry.

배뇨근 과활동성의 진단에 있어서 방광내압검사는 아주 중요하다. 전에는 15cmH2O이상의 배뇨근 수축압력이 있어야 한다고 했으나 최근에는 환자는 배뇨를 억제하고 있는데 절박뇨나 요실금이 동반되어 조금이라도 배뇨근 수축압력이 나타나면 진단을 내릴 수 있다. 냉수검사로 배뇨근 과반사와 불안정을 잘 구분하지 못한다고 알려졌지만 신경인성 하부요로 기능이상의 여러 형태를 구분하는데 사용되어져 왔다.The bladder pressure test is very important in the diagnosis of detrusor hyperactivity. Previously, urinary muscle contraction pressure of 15cmH 2 O or more should be required. In recent years, patients have suppressed urination. Cold water tests have been used to distinguish between detrusor overreflection and instability, but they have been used to distinguish between various forms of neurogenic lower urinary tract dysfunction.

과민성(과활동성) 방광의 치료 목표는 빈뇨, 야간뇨, 절박뇨, 절박성 요실금 등의 증상을 효과적으로 개선하는 것이다. 치료방법에는 여러 가지가 있으며 크게 내과적 치료와 외과적 치료로 나눌 수 있고 내과적 치료에는 행동요법, 약물요법 및 전기자극요법이 있다. The goal of treatment of overactive bladder is to effectively improve symptoms such as frequent urination, nocturia, urgency and urinary incontinence. There are various methods of treatment, and it can be divided into medical treatment and surgical treatment. Medical treatment includes behavioral therapy, pharmacotherapy and electro-stimulation therapy.

행동요법(Behavior therapy)으로서 방광기능에 대한 수의적인 조절은 소아 초기에 이루어지며 요자제는 학습을 통해 습득한 사회적 행동과 함께 정상적인 생리적 기능이 어우러져 이루어진다고 할 수 있다. 행동요법은 하부 요로 기능장애의 치료에 널리 이용되고 있으며, 특히 요도괄약근이나 배뇨근 기능장애에 의한 요실금과 원발성 감각성 요절박증에 효과적이다. 그 동안 다양한 행동요법들이 연구되어 왔지만 주관적 및 객관적 증상의 개선에 대한 장기적 추적 결과는 보고된 것이 별로 없는 실정이다. As behavior therapy, voluntary control of bladder function is done in early childhood, and urea medicine is a combination of normal physiological function with social behavior acquired through learning. Behavioral therapy is widely used for the treatment of lower urinary tract dysfunction, and is particularly effective for urinary incontinence and primary sensory urgency of urinary sphincter or detrusor dysfunction. A variety of behavioral therapies have been studied in the meantime, but the results of long-term follow-up on improving subjective and objective symptoms have not been reported.

방광훈련(bladder training or drill)은 잘못된 배뇨습관을 교정하는 일종의 바이오피드백치료이며 교육, scheduled voiding 및 positive reinforcement의 3가지 구성요소가 있다. 환자에게 정상적인 배뇨기전과 간격을 설명하여 환자본인의 잘못 형성된 배뇨형태를 이해시키고 방광훈련의 효과를 설명하며 방광훈련은 배뇨간격을 점진적으로 연장시키는 훈련으로서 1주간격으로 30분씩 배뇨간격을 연장하여 4시간까지 연장을 목표로 한다. 이러한 치료에 있어 성공을 예측하는 중요한 인자는 치료방법에 대한 환자의 순응도이므로 환자교육이 중요하다.Bladder training or drill is a type of biofeedback therapy that corrects poor urination habits and has three components: education, scheduled voiding, and positive reinforcement. Explain the normal urination mechanism and interval to the patient to understand the type of urination that is formed incorrectly by the patient and explain the effect of bladder training. Bladder training is a training that gradually extends the urination interval. We aim at extension to four hours. Patient education is important because the critical factor predicting success in this treatment is patient compliance with the treatment method.

약물요법(Pharmacological therapy)으로서 배뇨근 자체의 직접적인 억제와 콜린성 및 아드레날린성 신경기능의 조절이 과민성(과활동성) 방광의 약물치료의 대부분을 반영한다. 배뇨근 수축과 관련한 생리학적 기전을 억제하거나 감소시킬 수 있는 약물로는 항콜린제, 평활근 이완제, 칼슘길항제, 베타 교감신경 항진제, 삼환계 항우울제, K channel openers이 있으며 투여방법에 따라 경구 투여와 방광내 투여로 나눌 수 있다.As pharmacological therapy, the direct suppression of the detrusor itself and the regulation of cholinergic and adrenergic neuronal functions reflect most of the drug treatment of overactive bladder. Drugs that can inhibit or reduce physiological mechanisms associated with detrusor muscle contraction include anticholinergic drugs, smooth muscle relaxants, calcium antagonists, beta sympathetic agents, tricyclic antidepressants, and K channel openers. Can be divided.

항콜린제(Anticholinergics)로서 생리적 방광수축의 주요 신경자극이 콜린성이므로 항콜린성 약물이 과활동성 방광의 주치료가 된다. 항콜린성 약물은 아세칠콜린의 무스카린효과를 방해하는 경쟁적 억제제로서 정상적인 방광수축과 불수의적 배뇨근 수축을 억제하며 약물로는 atropine, propanthine bromide, glycopyrrolate, isopropamide, scopolamine, emepronium bromide, hyoscyamine이 있으며 부작용으로 구갈건조, 발한감소, 정서장애, 변비, 동공확장, 시야장애, 빈맥이 있고 심각한 심부정맥이 있거나 협각성 녹내장, 소화기의 폐색성 질환, 중증 근무력증 경우는 금기로 되어 있다. 항콜린제만으로는 불수의적 방광수축을 치료하는 것은 어려우며 다른 기전의 약물과 병용할 수 있다. Anticholinergic drugs (Anticholinergics), the main nerve stimulation of physiological bladder contraction is cholinergic, so anticholinergic drugs are the main treatment of overactive bladder. Anticholinergic drugs are competitive inhibitors that interfere with the muscarinic effect of acetylcholine. They inhibit normal bladder contractions and involuntary detrusor contractions. Dry mouth, decreased sweating, emotional disorders, constipation, pupil dilatation, visual field disorders, tachycardia, severe cardiac arrhythmias, angular glaucoma, gastrointestinal obstruction, severe myasthenia gravis are contraindicated. Anticholinergic medication alone is difficult to treat and can be combined with other mechanisms.

평활근 이완제(Musculotropic relaxants)로서 Atropine유사 약물에 대한 방광근육의 불안전한 반응 및 부작용으로 다른 약물을 찾으려는 노력이 있었다. 평활근 이완제는 콜린성수용체의 원위부에 직접 작용하여 평활근 활동을 억제시키므로 다양한 항콜린성 작용과 국소 마취효과를 나타낸다. 약물로는 oxybutynin chloride, dicyclomine·HCl, flavoxate·HCl, propiverine·HCl 등이 있으며 부작용은 다른 항콜린제와 유사하다. 최근에 항콜린성 부작용이 현저히 감소된 약물들인 tolterodine(Detrol)과 oxybutynin ER(Ditropan XL)이 개발되어 사용되고 있다. Oxybutynin의 방광내 주입은 배뇨근에서 높은 농도의 약물을 얻을 수 있고 전신적 부작용을 피할 수 있다는 가능성 때문에 시작되었으며 경구 투여가 힘든 경우에 효과적이다. As musculotropic relaxants, there have been efforts to find other drugs due to unsafe reactions and side effects of bladder muscle to Atropine-like drugs. Smooth muscle relaxant acts directly on the distal portion of cholinergic receptors and inhibits smooth muscle activity, resulting in various anticholinergic and local anesthetic effects. Drugs include oxybutynin chloride, dicyclomine HCl, flavoxate HCl, propiverine HCl, and side effects are similar to other anticholinergic drugs. Recently, tolterodine (Detrol) and oxybutynin ER (Ditropan XL), which have significantly reduced anticholinergic side effects, have been developed and used. Intracavitary infusions of oxybutynin were initiated due to the possibility of obtaining high concentrations of drugs in the detrusor muscle and avoiding systemic side effects and are effective when oral administration is difficult.

칼슘 길항제(calcium antagonists)로서 칼슘은 근육의 수축에 필요한 요소이므로 근세포내 칼슘의 유입을 막는 칼슘통로 차단제를 사용하여 방광수축을 억제할 수 있다. 약물로는 terodiline·HCl, nifedifine이 있으며 terodiline이 대표적인 약제로 칼슘 길항작용과 항무스카린 작용을 갖고 있으며 항콜린제와 비슷한 좋은 효과를 나타내면서 부작용도 적다. 칼슘 길항제의 흔한 부작용으로 저혈압, 두통, 변비, 빈맥, 복통이 있다.As calcium antagonists, calcium is a necessary element for muscle contraction. Therefore, calcium channel blockers that prevent the inflow of calcium into myocytes can be used to inhibit bladder contraction. Drugs include terodiline, HCl, and nifedifine. Terodiline is a representative drug with calcium antagonism and antimuscarinic action. Common side effects of calcium antagonists include hypotension, headache, constipation, tachycardia and abdominal pain.

베타 교감신경 항진제(beta-adrenergic agonists)로서 배뇨근내 베타-교감신경 수용체가 존재하므로 이를 자극하므로써 과활동성 방광을 치료하려는 연구가 있으며 terbutaline을 사용하여 일부 환자들에서 효과적이었다는 보고가 있다.As a beta-adrenergic agonists, there is a study to treat hyperactive bladder by stimulating the presence of beta-sympathetic receptors in the detrusor muscle, and it has been reported that terbutaline was effective in some patients.

삼환계 항우울제(tricyclic antidepressants)로서 소아의 야뇨증과 요실금 노인 환자에서 방광 용적과 요도 저항을 크게 하기 위해서 오랫동안 쓰여왔으며 정확한 약리기전은 논란이 있으나 진정 및 항히스타민 효과와 교감신경 말단부로 norepinephrine과 serotonin의 재흡수를 억제하여 알파-교감신경 자극효과가 나타난다. 방광에 대한 작용 기전에 논란이 많지만 하부 요로에서 요저장을 촉진하는 작용으로 방광 수축력을 감소시키고 괄약근 저항을 증강시키는 이중작용이 있다. 약물로는 imipramine·HCl, amitriptyline·HCl, doxepin이 있다.Tricyclic antidepressants have been used for a long time to increase bladder volume and urethral resistance in children with nocturnal enuresis and urinary incontinence. Inhibition results in alpha-sympathetic nerve stimulation. The mechanism of action on the bladder is controversial, but there is a dual action that promotes urinary storage in the lower urinary tract, which reduces bladder contractility and enhances sphincter resistance. Drugs include imipramine-HCl, amitriptyline-HCl, and doxepin.

Potassium channel openers로서 K channel openers는 평활근내 K 배출을 증가시키고 이에 의한 세포막 과분극(membrane yperpolarization)을 일으켜 평활근을 이완시킨다. 정상 배뇨에 관여하는 수축력에는 영향을 주지않는 장점이 있으나 아직 임상적 효율성이나 적정용량, 부작용 등에 관한 객관적 자료는 없다.K channel openers, as potassium channel openers, increase K excretion in smooth muscle, thereby relaxing membrane muscle hypermembrane (membrane yperpolarization). Although it does not affect the contractile force involved in normal urination, there are no objective data on clinical efficiency, proper dose, and side effects.

알파 교감신경 차단제(alpha-adrenergic antagonists)로서 알파 교감신경 차단제는 전립선비대증에 의한 폐색을 치료하는 약물로서 많이 사용되고 있으며 절박성 요실금에도 좋은 효과를 나타낸다. 특히 신경손상으로 방광이 decentralization되면 방광내 베타 교감신경 수용체가 점차 알파 교감신경 수용체로 변화되어서 방광의 탄성이 감소하고 방광내압이 올라가 절박성 요실금이 나타나는데 알파 교감 차단제를 사용하면 요실금의 호전과 함께 방광내압증가에 의한 신장의 손상 위험을 감소시킬 수 있다.Alpha sympathetic blockers (alpha-adrenergic antagonists) are widely used as a drug for the treatment of prostate hyperplasia and have a good effect on urinary incontinence. In particular, when the bladder is decentralized due to nerve damage, the beta-sympathetic nerve receptor in the bladder gradually changes to the alpha-sympathetic nerve receptor, which decreases the elasticity of the bladder and increases the pressure in the bladder, resulting in an urinary incontinence. Increase the risk of kidney damage.

다른 약물로서 방광내 투여에 사용가능한 약물로 capsaicin, resiniferatoxin, lidocaine을 사용할 수 있다. Capsaicin은 붉은 후추의 매운 성분으로 배뇨근 과활동성을 자극하는 C섬유를 탈감각화한 후 감각신경활동을 가역적으로 억제한다. 원래 피부 통증질환의 치료에 국소적으로 쓰여 왔으며 방광내 투여로 전신적인 부작용을 없애면서 방광용적을 증가시키고 방광자극증상을 감소시킨다.As other drugs, capsaicin, resiniferatoxin, and lidocaine may be used for intra- bladder administration. Capsaicin is a pungent ingredient of red pepper, which reversibly inhibits sensory nerve activity after desensitizing C-fibers that stimulate detrusor hyperactivity. It has been used topically for the treatment of skin pain disorders and increases the bladder volume and reduces bladder irritation symptoms by eliminating systemic side effects.

전기자극요법(Electrical stimulation therapy)으로서 1963년 Caldwell이 요실금 치료목적으로 요도주위에 전극을 심고 만성 전기자극을 가하여 약 50%의 성공률을 보고하였으나 요도주위의 전극을 심는 위험성에 비해 비교적 성공률이 낮아 질이나 항문, 피부를 통해 전기자극을 하는 비침습적인 방법으로 바뀌게 되었다. 전기자극은 골반근육의 수축과 방광활동의 이완 혹은 억제의 2가지 작용을 하는데 35mA이하의 낮은 전류에서는 골반근육만이 영향을 받으며 질내자극 65mA이상과 항문내자극 40mA이상의 높은 전류에 대해서는 골반근육 수축과 방광이완의 두가지 효과가 나타난다. 전기자극시 20Hz로 주파수를 고정해 놓고 전류의 세기만을 변화시킴으로써 골반근육 수축과 방광이완의 효과를 얻을 수 있으며 요도괄약근 수축을 위해서는 20∼50Hz, 방광활동 억제를 위해서는 5∼10Hz의 주파수를 사용할 수 있다. 과민성(과활동성) 방광에서 질내 혹은 항문내 전기자극은 요도근육을 강화시켜 출구저항을 증가시키고 배뇨근을 억제하여 배뇨근의 과활동성을 감소시킨다. 배뇨근의 반사적 억제는 전기자극으로 음부 구심성 신경이 자극되고 천수를 통해 pudendal-hypogastric 및 pudendal-pelvic spinal reflex에 의해 배뇨근 억제가 발생한다. 이러한 사실은 과민성(과활동성) 방광 환자에서 방광내압검사시 나타나는 방광수축이 전기자극 치료시 사라지거나 줄어드는 것과 방광용적이 2∼5배 증가하는 것으로 알 수 있다. 그러나 전기자극 치료가 특발성 원인인 경우는 효과적이고 오래 지속하는데 반하여 신경인성 원인에서는 짧은 기간만 효과가 있는 것으로 보고되고 있다.As electrical stimulation therapy, Caldwell reported a success rate of about 50% in 1963 by placing electrodes around the urethra and applying chronic electrical stimulation for the purpose of treating urinary incontinence, but the success rate was relatively lower than the risk of planting electrodes around the urethra. It has changed into a non-invasive way of electrical stimulation through the anus, anus and skin. Electrical stimulation has two effects: contraction of pelvic muscles and relaxation or inhibition of bladder activity. Only at low currents below 35 mA, only the pelvic muscles are affected. Pelvic muscle contractions for high currents of 65 mA or more and 40 mA or more And bladder relaxation have two effects. When the electrical stimulation is fixed at 20Hz and only the current intensity is changed, pelvic muscle contraction and bladder relaxation effect can be obtained. have. In an overactive bladder, intravaginal or intravaginal electrical stimulation strengthens the urethral muscles, increasing exit resistance and inhibiting the detrusor muscles, thereby reducing the overactive activity of the detrusor muscles. Reflexive suppression of the detrusor muscle is stimulated by the genital afferent nerves by electrical stimulation, and depressive muscle suppression is induced by pudendal-hypogastric and pudendal-pelvic spinal reflex through the shallow water. These findings indicate that bladder contractions during bladder pressure test in hypersensitive bladder patients disappear or decrease during electrostimulation treatment and the bladder volume increases by 2 to 5 times. However, it is reported that electrostimulation therapy is effective and long lasting for idiopathic causes, but only for a short period of time in neurogenic causes.

수술로서 장을 이용한 방광성형 확대술은 일반적으로 특발성 절박성 요실금 환자에서 요로전환술을 시행하기 전에 마지막 수단으로 고려된다. 수술후 증상면에서 결과는 좋지만 방광성형술은 심한 합병증과 연관되어 있다. 배뇨근 부분절제술을 이용한 방광 자가확장술은 방광성형술보다 적지만 증상의 호전이 있고 요역동학적 변수에서도 현저한 호전이 관찰된다. 성공률은 과반사 환자보다 특발성 배뇨근 불안정 환자에서 확실하게 높은 결과를 보였다. 효과가 장을 이용했을 때보다 떨어지지만 장과 연관된 합병증을 피할 수 있고 나중에 장을 이용한 방광성형술을 시행할 수도 있다.Intestinal cystoplasty with surgery is generally considered as a last resort before urinary tract surgery in patients with idiopathic urinary incontinence. The results are good in terms of postoperative symptoms, but cystoplasty is associated with severe complications. Bladder self-expansion using detrusor partial resection is less than cystoplasty, but there is improvement in symptoms and significant improvement in urodynamic parameters. The success rate was clearly higher in patients with idiopathic detrusor instability than in hyperreflective patients. Although less effective than using the intestine, intestinal complications can be avoided and intestinal cystoplasty may be performed later.

본 발명 출원전 공지문헌에는 프로피베린 하이드로클로라이드의 제조방법이공지되어 있는데 그 합성공정은 다음과 같다(중국특허 추1285348 A 참조).Prior to the present application, there is known a method for preparing propiberine hydrochloride in the prior literature, the synthesis process of which is as follows (see Chinese Patent No. 1285348 A).

상기 합성공정은 디페닐하이드록시아세트산에 수산화나트륨을 가하여 디페닐하이드록시아세트산의 나트륨염을 제조하는 단계; 상기 디페닐하이드록시아세트산의 나트륨염에 4-클로로-1-메틸피페리딘을 가하여 하이드록시-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르를 제조하는 단계; 상기 하이드록시-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르에 티오닐클로라이드를 가하여 클로로-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르 하이드로클로라이드를 제조하는 단계; 상기 클로로-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르 하이드로클로라이드에 프로필알콜을 가하여 프로피베린 하이드로클로라이드를 제조하는 단계로 이루어진 프로피베린 하이드로클로라이드의 제조방법이 공지되어 있다.The synthesis process comprises the steps of adding sodium hydroxide to diphenyl hydroxyacetic acid to prepare a sodium salt of diphenyl hydroxyacetic acid; Adding 4-chloro-1-methylpiperidine to the sodium salt of diphenylhydroxyacetic acid to prepare hydroxy-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester; Thionylchloride was added to the hydroxy-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester to prepare chloro-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester hydrochloride. ; It is known to prepare propiberine hydrochloride, which comprises adding propyl alcohol to the chloro-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester hydrochloride to produce propiberine hydrochloride.

그러나 상기에서 기술한 종래의 프로피베린 하이드로클로라이드의 제조방법에 있어서 주요 단점은 디페닐하이드록시아세트산의 나트륨염에 4-클로로-1-메틸피페리딘을 가하여 하이드록시-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르를 제조하는 단계에서 강한 염기성 조건하에서 반응을 수행해야 하므로 피페리딘의 고리가 분해될 우려가 있으며 이로 인하여 디페닐하이드록시아세트산의 나트륨염에 4-클로로-1-메틸피페리딘을 가하여 하이드록시-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르의 제조시 수율이 실제로는 30% 이하에 불과하다. 또한 상기에서 기술한 종래의 하이드록시-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르에 티오닐클로라이드를 가하여 클로로-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르 하이드로클로라이드를 제조하는 단계에서 강한 산성인 티오닐클로라이드를 사용하여 반응을 수행해야 하므로 피페리딘의 고리가 분해될 우려가 있으며 이로 인하여 디페닐하이드록시아세트산의 나트륨염으로부터 클로로-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르 하이드로클로라이드의 제조시 수율이 단지 28%에 불과하다. 따라서 상기한 종래의 방법은 제조공정상 비효율적이며 공업적인 대량생산 방법에는 부적합하다. 또한 클로로-디페닐-아세트산 1-메틸-피페리딘-4-일 에스테르 하이드로클로라이드에 프로필알콜을 가하여 프로피베린 하이드로클로라이드를 제조하는 방법은 반응이 잘 진행되지 않고 수율도 저조하여 좋은 결과를 얻지 못하는 문제점이 발생하였다.However, the main drawback in the above-described method of preparing propiberine hydrochloride is that 4-chloro-1-methylpiperidine is added to the sodium salt of diphenylhydroxyacetic acid to give 1-methyl hydroxy-diphenyl-acetic acid. In the step of preparing piperidin-4-yl ester, the reaction must be carried out under strong basic conditions, so that the ring of piperidine may be decomposed, and thus 4-chloro-1 in the sodium salt of diphenylhydroxyacetic acid. In the preparation of the hydroxy-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester by addition of -methylpiperidine, the yield is actually only 30% or less. In addition, thionyl chloride was added to the conventional hydroxy-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester described above to give chloro-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester. In the step of preparing hydrochloride, the reaction must be carried out using strong acid thionyl chloride, and thus the ring of piperidine may be decomposed, which causes chloro-diphenyl-acetic acid 1 from the sodium salt of diphenylhydroxyacetic acid. The yield in the preparation of -methyl-piperidin-4-yl ester hydrochloride is only 28%. Therefore, the above conventional method is inefficient in the manufacturing process and unsuitable for the industrial mass production method. In addition, the method of preparing propiberine hydrochloride by adding propyl alcohol to chloro-diphenyl-acetic acid 1-methyl-piperidin-4-yl ester hydrochloride does not proceed well and yields poor results. A problem occurred.

본 발명자들은 종래의 방법에 있어서의 상기한 제반 문제점들을 해결하기 위하여 많은 연구와 노력을 기울인 결과 보다 간편하고 안전하면서 수율이 높은 신규한 제조방법을 발견하여 본 발명을 완성하였다. 본 발명은 염산프로피베린의 제조방법에 관한 것으로 항콜린 작용 및 칼슘길항작용을 가지며, 신경성 빈뇨, 신경인성 방광, 야뇨증, 불안정 방광, 만성방광염 등의 질환에 있어서의 빈뇨증, 뇨실금 등의 축뇨장해의 예방, 치료용의 의약 제제의 원료인 염산프로피베린의 제조방법에 관한 것이다. 신경성 빈뇨, 신경인성방광, 야뇨증, 불안정 방광, 만성 방광염에 의한 빈뇨증, 뇨실금 등의 축뇨장해를 예방, 치료하기 위해서는 반사성 방광수축을 억제하는 약물이 유용하며 종래, 반사성 방광수축을 억제하는 약물로서는 항콜린 작용을 갖는 염산옥시브티닌, 염산 프로피베린, 바미카미드, 톨테로딘 및 일본국 특개평2-262548호, 일본국 특개평6-92921호, 일본국 특개평6-135958호, 일본국 특개평7-258250호, 일본국 특개평8-291141호, 일본국 특개평9-71563호, WO93/16048호, WO95/06635호, WO96/33973호, WO97/13766호, WO97/45414 기재의 화합물이 보고되고 있다. 그러나, 이들 종래의 화합물은 반사성 방광수축을 억제하는 효과가 불충분하던가, 또는 충분하여도 항콜린 작용에 의한 부작용인 갈증(타액분비 억제작용)이 약효량으로 나타나며 주작용과 부작용의 분리가 불충분하여 임상상 문제가 되고 있다. 본 발명의 목적은 반사성 방광수축을 억제하고 부작용인 갈증(타액분비 억제작용)이 약하며 안전성이 높고 축뇨장해의 예방 및 치료용의 의약으로서 유용한 화합물을 제공하는 것에 있다. 이러한 실상에 감안하여 본 발명자는 각종 화합물을 합성하고, 그의 작용을 예의 연구한 결과, 뛰어난 항콜린 작용 및 칼슘길항작용을 가지며 갈증 등의 부작용이 적고 안전하며 축뇨장해의 예방 및 치료제로서 유용함을 발견하고 본 발명을 완성했다. The present inventors have made a lot of research and efforts to solve the above-mentioned problems in the conventional method and found a novel manufacturing method which is simpler, safer and higher in yield, and completed the present invention. The present invention relates to a method for producing propiberine hydrochloride, which has an anticholinergic action and calcium antagonistic action, and has an urinary tract disorder such as urinary insufficiency, urinary incontinence, and the like in diseases such as neuropathy, neurogenic bladder, enuresis, unstable bladder, and chronic cystitis. The present invention relates to a method for producing propiberine hydrochloride, which is a raw material of a pharmaceutical preparation for prophylaxis and treatment. Drugs that inhibit reflex bladder contraction are useful for preventing and treating urinary disorders such as anemia, neurogenic bladder, nocturnal enuresis, unstable bladder, anemia caused by chronic cystitis, and urinary incontinence. Oxyvintin hydrochloride with anticholinergic activity, propiberine hydrochloride, bamicamide, tolterodine and Japanese Patent Laid-Open No. 2-262548, Japanese Patent Laid-Open No. 6-92921, Japanese Patent Laid-Open No. 6-135958, Japanese Patent Laid-Open Compounds described in Japanese Patent Application Laid-Open No. 7-258250, Japanese Patent Application Laid-Open No. 8-291141, Japanese Patent Application Laid-Open No. 9-71563, WO93 / 16048, WO95 / 06635, WO96 / 33973, WO97 / 13766, and WO97 / 45414. This is being reported. However, these conventional compounds have insufficient effect of inhibiting reflex bladder contraction or, if sufficient, thirst (saliva secretion inhibitory effect), which is a side effect of anticholinergic action, appears as an effective amount, and the separation of main action and side effects is insufficient. It is a problem. An object of the present invention is to provide a compound that inhibits reflex bladder contraction, has a low side effect of thirst (saliva secretion inhibitory effect), has high safety, and is useful as a medicament for preventing and treating urinary tract disorders. In view of the above facts, the present inventors synthesized various compounds and studied intensively thereof, and found that they have excellent anticholinergic and calcium antagonistic effects, have little side effects such as thirst, are safe, and useful as preventive and therapeutic agents for urinary disorders. The present invention has been completed.

본 발명의 염산프로피베린 제조방법은 벤질릭산으로부터 O-n-프로필벤질릭산을 제조하는 단계; 및 상기 O-n-프로필벤질릭산을 4-히드록시-1-메칠피페리딘과 반응하여 프로피베린을 제조하고 염산을 사용하여 염산프로피베린을 제조하는 단계로 이루어진 것이다. Profiberine hydrochloride preparation method of the present invention comprises the steps of preparing O-n-propylbenzylic acid from benzyl acid; And reacting the O-n-propylbenzylic acid with 4-hydroxy-1-methylpiperidine to produce propibelin, and using hydrochloric acid to prepare propiberine hydrochloride.

본 발명의 염산프로피베린 제조방법에서 O-n-프로필벤질릭산은 벤질릭산을 오염화인으로 산화한 후 1-프로판올과 반응하여 O-n-프로필벤질릭산을 제조하는 단계로 이루어진 것이다. 또한 본 발명의 염산프로피베린 제조방법에서 O-n-프로필벤질릭산을 제조하는 다른 방법은 벤질릭산을 프로필클로라이드와 반응시켜 O-n-프로필벤질릭산을 제조하는 방법이다. O-n-propylbenzylic acid in the method for preparing propiberine hydrochloride of the present invention is to oxidize benzylic acid to phosphorus pentachloride and react with 1-propanol to prepare O-n-propylbenzylic acid. In addition, another method of preparing O-n-propylbenzylic acid in the method of preparing propiberine hydrochloride of the present invention is a method of producing O-n-propylbenzylic acid by reacting benzylic acid with propyl chloride.

본 발명은 벤질릭산을 벤젠에 가한 오염화인을 넣고 반응시킨 후 반응물을 감압 농축시키고, 상기 농축된 반응물에 1-프로판올을 넣고 환류 반응시킨 후 냉각하여, 상기 냉각된 반응물에 가성소다 및 정제수를 환류 반응시킨 후 냉각 후 여과 및 세척 건조하여 O-n-프로필벤질릭산을 얻는 단계; 및 질소분위기하에서 테트라히드로퓨란, 트리페닐포스핀 및 4-히드록시-1-메칠피페리딘을 차례로 넣고 교반한 후 상기 반응액에 40 중량% 디에칠아조디카르복실레이트를 실온에서 서서히 첨가한 후 O-n-프로필벤질릭산을 테트라히드로퓨란에 녹인 액을 서서히 첨가한 후 실온에서 반응하고 상기 반응 침전물을 여과한 후 여액을 증류하여 디클로메탄을 넣고, 수세 및 무수황산 나트륨으로 처리한 후 감압농축하면 프로피베린 베이스를 얻어 여기에 아세톤 및 35% 염산을 넣고 환류 반응한 후 냉각하여 염산프로피베린을 제조하는 단계로 이루어진 염산프로피베린의 제조방법에 관한 것이다.In the present invention, after reacting benzylic acid with phosphorus pentachloride added to benzene, the reactant is concentrated under reduced pressure, 1-propanol is added to the concentrated reactant, refluxed and cooled, and caustic soda and purified water are refluxed in the cooled reactant. After the reaction, cooling, washing and drying to obtain On-propylbenzylic acid; And tetrahydrofuran, triphenylphosphine, and 4-hydroxy-1-methylpiperidine were added and stirred in a nitrogen atmosphere, and 40% by weight of ethylazodicarboxylate was slowly added to the reaction solution at room temperature. After slowly adding the solution of On-propylbenzylic acid dissolved in tetrahydrofuran and reacting at room temperature, the reaction precipitate was filtered and the filtrate was distilled into dichloromethane, washed with water and anhydrous sodium sulfate, and concentrated under reduced pressure. When the propiberine base is obtained, acetone and 35% hydrochloric acid are added thereto to reflux, and then cooled to prepare propiberine hydrochloride.

또한 본 발명의 염산프로피베린을 제조하기 위한 중간체 생성물 O-n-프로필벤질릭산을 제조하는데 있어서 다른 합성방법으로서 벤질릭산, 디옥산 및 무수탄산칼륨을 차례로 넣고 교반 후 상기 반응물에 프로필클로라이드를 서서히 첨가하여 환류 반응시키고, 상기 반응물을 냉각하여 여과 후, 여액을 감압농축한 다음 석유에테르로 추출하고, 정제수로 세척 및 무수황산나트륨으로 건조한 다음 여과 후 여액을 증류하여 결정화하고 O-n-프로필벤질릭산을 제조하는 단계; 및 질소분위기하에서 테트라히드로퓨란, 트리페닐포스핀, 및 4-히드록시-1-메칠피페리딘을 차례로 넣고 교반한 후 상기 반응액에 40 중량% 디에칠아조디카르복실레이트를 실온에서 서서히 첨가한 후 O-n-프로필벤질릭산을 테트라히드로퓨란에 녹인 액을 서서히 첨가한 후 실온에서 반응하고 상기 반응 침전물을 여과한 후 여액을 증류하여 디클로메탄을 넣고, 수세 및 무수황산 나트륨으로 처리한 후 감압농축하면 프로피베린 베이스를 얻어 여기에 아세톤 및 35% 염산을 넣고 환류 반응한 후 냉각하여 염산프로피베린을 제조하는 단계로 이루어진 염산프로피베린의 제조방법에 관한 것이다. In addition, as another synthesis method for preparing intermediate product On-propylbenzylic acid for preparing propiberine hydrochloride of the present invention, benzylic acid, dioxane and potassium anhydrous potassium are sequentially added and stirred, followed by slowly adding propyl chloride to the reaction to reflux. Reacting, cooling the reaction product, filtration, concentrating the filtrate under reduced pressure, extracting with petroleum ether, washing with purified water and drying with anhydrous sodium sulfate, and then filtering and distilling the filtrate to crystallize to prepare On-propylbenzylic acid; And tetrahydrofuran, triphenylphosphine, and 4-hydroxy-1-methylpiperidine were added sequentially under a nitrogen atmosphere, followed by stirring. Then, 40 wt% diezaazodicarboxylate was slowly added to the reaction solution at room temperature. After slowly adding On-propylbenzylic acid in tetrahydrofuran, the solution was slowly added, and then reacted at room temperature. The reaction precipitate was filtered and the filtrate was distilled into dichloromethane, washed with water and anhydrous sodium sulfate, and then decompressed. When concentrated, to obtain a propiberine base, acetone and 35% hydrochloric acid is added to the reflux reaction, and then cooled to produce propiberine hydrochloride, comprising a step of producing a propiberine hydrochloride.

본 발명에 따른 염산프로피베린을 합성하기 위한 합성방법을 구체적으로 설명하면 다음과 같다. 본 발명의 염산프로피베린을 제조하기 위하여 먼저 O-n-프로필벤질릭산을 제조해야 하는데 상기 중간체 생성물을 제조하는 방법은 다음과 같다. Referring to the synthesis method for synthesizing propiberine hydrochloride according to the present invention in detail. In order to prepare propiberine hydrochloride of the present invention, O-n-propylbenzylic acid should be prepared first. The method for preparing the intermediate product is as follows.

본 발명의 염산프로피베린을 제조하기 위하여 먼저 O-n-프로필벤질릭산을 제조해야 하는데 O-n-프로필벤질릭산을 제조하기 위하여 벤질릭산을 벤젠에 가한 오염화인을 넣고 반응시킨 후 반응물을 감압 농축시키고, 상기 농축된 반응물에 1-프로판올을 넣고 환류 반응시킨 후 냉각하여, 상기 냉각된 반응물에 가성소다 및 정제수를 환류 반응시킨 후 냉각 후 여과 및 세척 건조하여 O-n-프로필벤질릭산을 얻는다. 상기 생성물을 정제하면 고수율 및 고순도의 중간체 생성물 O-n-프로필벤질릭산을 제조을 제조할 수 있다.In order to prepare propiberine hydrochloride of the present invention, on-propylbenzylic acid should be prepared first. To prepare on-propylbenzylic acid, the reaction product was concentrated under reduced pressure after reacting with benzylic acid added phosphorus pentachloride to benzene. 1-propanol was added to the reactant to reflux, followed by cooling. Caustic soda and purified water were refluxed in the cooled reaction, cooled, filtered and washed to obtain On-propylbenzylic acid. Purification of the product can prepare a high yield and high purity of the intermediate product O-n-propylbenzylic acid.

또한 상기 중간체 생성물 O-n-프로필벤질릭산을 이용하여 본 발명의 염산프로피베린을 합성하는 합성공정은 다음과 같다. In addition, the synthesis process of synthesizing propiberine hydrochloride of the present invention using the intermediate product On-propylbenzylic acid is as follows.

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O-n-프로필벤질릭산을 이용하여 본 발명의 염산프로피베린을 합성하기 위해서는 먼저 질소분위기하에서 테트라히드로퓨란, 트리페닐포스핀, 및 4-히드록시-1-메칠피페리딘을 차례로 넣고 교반한 후 상기 반응액에 40 중량% 디에칠아조디카르복실레이트를 실온에서 서서히 첨가한 후 O-n-프로필벤질릭산을 테트라히드로퓨란에 녹인 액을 서서히 첨가한 후 실온에서 반응하고 상기 반응 침전물을 여과한 후 여액을 증류하여 디클로메탄을 넣고, 수세 및 무수황산 나트륨으로 처리한 후 감압농축하면 프로피베린 베이스를 얻는다. 여기에 아세톤 및 35% 염산을 넣고 환류 반응한 후 냉각하여 염산프로피베린을 얻는다. 상기 생성물을 정제하면 고수율 및 고순도의 최종 생성물인 염산프로피베린을 제조할 수 있다.In order to synthesize propiber hydrochloride of the present invention using on-propylbenzylic acid, tetrahydrofuran, triphenylphosphine, and 4-hydroxy-1-methylpiperidine are sequentially added under a nitrogen atmosphere, followed by stirring. After slowly adding 40 wt% diezaazodicarboxylate to the reaction solution at room temperature, the solution obtained by dissolving On-propylbenzylic acid in tetrahydrofuran was added slowly, followed by reaction at room temperature, and filtering the reaction precipitate. Distillate is added to dichloromethane, washed with water and treated with anhydrous sodium sulfate, and then concentrated under reduced pressure to obtain propiberine base. Acetone and 35% hydrochloric acid were added thereto, refluxed, and cooled to obtain propiberine hydrochloride. Purification of the product can produce high yield and high purity of the final product, propiber hydrochloride.

또한 본 발명의 염산프로피베린을 제조하기 위한 중간체 생성물 O-n-프로필벤질릭산을 제조하는데 있어서 다른 합성방법을 사용할 수 있다.In addition, other synthetic methods may be used to prepare the intermediate product O-n-propylbenzylic acid for preparing propiberine hydrochloride of the present invention.

본 발명의 염산프로피베린을 제조하기 위한 중간체 생성물 O-n-프로필벤질릭산을 제조하는데 있어서 다른 합성방법은 먼저 벤질릭산, 디옥산 및 무수탄산칼륨을 차례로 넣고 교반 후 상기 반응물에 프로필클로라이드를 서서히 첨가하여 환류 반응시키고, 상기 반응물을 냉각하여 여과 후, 여액을 감압농축한 다음 석유에테르로 추출하고, 정제수로 세척 및 무수황산나트륨으로 건조한 다음 여과 후 여액을 증류하여 결정화하면 O-n-프로필벤질릭산을 얻는다.Another synthetic method for preparing the intermediate product On-propylbenzylic acid for preparing propiberine hydrochloride of the present invention is to first add benzylic acid, dioxane and anhydrous potassium carbonate one by one and stir and then slowly add propyl chloride to the reaction to reflux. After the reaction, the reaction product is cooled and filtered, and the filtrate is concentrated under reduced pressure, extracted with petroleum ether, washed with purified water and dried over anhydrous sodium sulfate, and then filtered and the filtrate is distilled to crystallize to obtain On-propylbenzylic acid.

이하, 본 발명을 하기 실시예에 의거하여 보다 구체적으로 설명한다. 그러나, 이들 실시예는 본 발명에 대한 이해를 돕기 위한 것일 뿐, 어떤 의미로든 본 발명의 범위가 이들 실시예로 한정되는 것은 아니다. Hereinafter, the present invention will be described in more detail based on the following examples. However, these examples are only for the understanding of the present invention, and the scope of the present invention in any sense is not limited to these examples.

[실시예 1]Example 1

(제 1 공정) O-n-프로필벤질릭산의 제조(First Step) Preparation of O-n-propylbenzylic Acid

2L 반응기에 벤질릭산 107.27g(0.47mol), 벤젠 500g, 오염화인 212.4g(1.02mol)을 넣고 2시간동안 반응시킨 후 반응물을 감압농축 시켰다. 농축된 반응물에 1-프로판올 306g(5.1mol)을 넣고 6시간 동안 환류시킨 후 냉각하였다. 냉각된 반응물에 가성소다 22.56g(0.56mol)과 정제수 200mL를 넣고 1시간 동안 환류시킨 후 냉각 후 여과 및 세척 건조하면 O-n-프로필벤질릭산 117.91g을 얻었다.(수율 : 92.84%)Benzylic acid 107.27g (0.47mol), benzene 500g, phosphorus pentachloride 212.4g (1.02mol) was added to the 2L reactor for 2 hours and the reaction was concentrated under reduced pressure. 306 g (5.1 mol) of 1-propanol was added to the concentrated reaction mixture, refluxed for 6 hours, and cooled. 22.56 g (0.56 mol) of caustic soda and 200 mL of purified water were added to the cooled reaction mixture, and the mixture was refluxed for 1 hour, filtered, washed, and dried to obtain 117.91 g of O-n-propylbenzylic acid (yield: 92.84%).

(제 2 공정) 염산프로피베린의 제조 (2nd process) Preparation of propiberine hydrochloride

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2L 반응기에 질소분위기하에서 테트라히드로퓨란 700ml, 트리페닐포스핀 81.30g(0.31mol), 4-히드록시-1-메칠피페리딘 53.55g(0.47mol)을 차례로 넣고 교반하였다. 1시간 교반한 후 반응액에 40 중량% 디에칠아조디카르복실레이트 135g(54g, 0.31mol)을 실온에서 서서히 첨가한 후 O-n-프로필벤질릭산 83.77g(0.31mol)을 테트라히드로퓨란 700ml에 녹인 액을 2시간 동안 첨가한 후 실온에서 24시간 반응한다. 침전물을 여과한 후 여액을 증류하여 디클로로메탄 700g을 넣고, 수세 및 무수황산 나트륨으로 처리한 후 감압농축하면 프로피베린 base를 얻었다. 여기에 아세톤 500g과 35% 염산 32g(11.2g, 0.31mol)을 넣고 2시간 동안 환류 후 냉각하면 염산프로피베린 100g을 얻었다. (수율:79.86%)700 ml of tetrahydrofuran, 81.30 g (0.31 mol) of triphenylphosphine and 53.55 g (0.47 mol) of 4-hydroxy-1-methylpiperidine were added and stirred in a 2 L reactor under a nitrogen atmosphere. After stirring for 1 hour, 135 g (54 g, 0.31 mol) of 40 wt% diezaazodicarboxylate was slowly added to the reaction solution at room temperature, and 83.77 g (0.31 mol) of On-propylbenzylic acid was dissolved in 700 ml of tetrahydrofuran. The solution is added for 2 hours and then reacted at room temperature for 24 hours. The precipitate was filtered off, and the filtrate was distilled into 700 g of dichloromethane. The mixture was washed with water and treated with anhydrous sodium sulfate, and then concentrated under reduced pressure to obtain propibelin base. 500 g of acetone and 32 g of 35% hydrochloric acid (11.2 g, 0.31 mol) were added thereto, refluxed for 2 hours, and cooled to obtain 100 g of propiberine hydrochloride. (Yield: 79.86%)

[실시예 2]Example 2

(제 1 공정) O-n-프로필벤질릭산의 제조(First Step) Preparation of O-n-propylbenzylic Acid

2L 반응기에 벤질릭산 107.27g(0.47 mol), 디옥산 640g, 무수탄산칼륨 162.4g(1.18mol)을 차례로 넣고 교반하였다. 1시간 교반 후 반응물에 프로필클로라이드 71.45g(0.52mol)을 서서히 첨가한 후 24시간 환류시킨다. 반응물을 냉각하여 여과 후, 여액을 감압농축한 다음 석유에테르로 추출하였다. 정제수로 세척 및 무수황산나트륨으로 건조한 다음 여과 후 여액을 증류하여 결정화하면 O-n-프로필벤질릭산 83.77g을 얻었다. (수율 : 92.84%)107.27 g (0.47 mol) of benzylic acid, 640 g of dioxane, and 162.4 g (1.18 mol) of anhydrous potassium carbonate were sequentially added to the 2 L reactor and stirred. After stirring for 1 hour, 71.45 g (0.52 mol) of propyl chloride was slowly added to the reaction, followed by reflux for 24 hours. After the reaction was cooled and filtered, the filtrate was concentrated under reduced pressure and extracted with petroleum ether. After washing with purified water and drying over anhydrous sodium sulfate, and the filtrate was distilled and crystallized, 83.77 g of O-n-propylbenzylic acid was obtained. (Yield 92.84%)

(제 2 공정) 염산프로피베린의 제조 (2nd process) Preparation of propiberine hydrochloride

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2L 반응기에 질소분위기하에서 테트라히드로퓨란 700ml, 트리페닐포스핀 81.30g(0.31mol), 4-히드록시-1-메칠피페리딘 53.55g(0.47mol)을 차례로 넣고 교반하였다. 1시간 교반한 후 반응액에 40 중량% 디에칠아조디카르복실레이트 135g(54g, 0.31mol)을 실온에서 서서히 첨가한 후 O-n-프로필벤질릭산 83.77g(0.31mol)을 테트라히드로퓨란 700ml에 녹인 액을 2시간 동안 첨가한 후 실온에서 24시간 반응하였다. 침전물을 여과한 후 여액을 증류하여 디클로로메탄 700g을 넣고, 수세 및 무수황산 나트륨으로 처리한 후 감압농축하면 프로피베린 base를 얻었다. 여기에 아세톤 500g 과 35% 염산 32g(11.2g, 0.31mol)을 넣고 2시간 동안 환류 후 냉각하면 염산프로피베린 100g을 얻었다. (수율:79.86%)700 ml of tetrahydrofuran, 81.30 g (0.31 mol) of triphenylphosphine and 53.55 g (0.47 mol) of 4-hydroxy-1-methylpiperidine were added and stirred in a 2 L reactor under a nitrogen atmosphere. After stirring for 1 hour, 135 g (54 g, 0.31 mol) of 40 wt% diezaazodicarboxylate was slowly added to the reaction solution at room temperature, and 83.77 g (0.31 mol) of On-propylbenzylic acid was dissolved in 700 ml of tetrahydrofuran. The solution was added for 2 hours and then reacted at room temperature for 24 hours. The precipitate was filtered off, and the filtrate was distilled into 700 g of dichloromethane. The mixture was washed with water and treated with anhydrous sodium sulfate, and then concentrated under reduced pressure to obtain propibelin base. 500 g of acetone and 32 g (11.2 g, 0.31 mol) of 35% hydrochloric acid were added thereto, and the mixture was refluxed for 2 hours and then cooled to obtain 100 g of propibel hydrochloride. (Yield: 79.86%)

(시험예 1) 염산프로피베린의 아세틸콜린 유발 방광수축에 대한 작용Test Example 1 Effect of Propyberine Hydrochloride on Acetylcholine-Induced Bladder Contraction

체중 230∼390 g의 SD계 숫컷 랫트를 우레탄 500 mg/kg 및 ??-클로라로즈 50 mg/kg을 복강내 투여 마취시키고, 랫트를 등위고정한 후, 복부 한가운데를 절개하여 방광을 노출하고, 생리 식염수를 채운 폴리에틸렌 튜브를 방광 정부에 삽입하고, 방광내압을 측정했다. 대퇴 정맥에는 약물 투여용 정맥 캐뉼라를 삽입하고, 이를 통해 아세틸콜린 10??g/kg를 투여하여 방광수축을 야기하고, 그 후10분 간격으로 아세틸콜린을 투여했다. 아세틸콜린에 의한 방광수축이 안정된 후, 피험화합물을 위 한가운데를 절개하여 십이지장내에 주사바늘을 이용해 투여하고, 그 후 120분간 방광수축 반응에 대한 작용을 관찰했다.SD male rats weighing 230-390 g were intraperitoneally administered urethane 500 mg / kg and ??-chlorarose 50 mg / kg. After rats were fixed, the rats were fixed in the middle of the abdomen and the bladder was exposed. A polyethylene tube filled with physiological saline was inserted into the bladder government, and the bladder internal pressure was measured. An intravenous cannula for drug administration was inserted into the femoral vein, and 10 g / kg of acetylcholine was used to cause bladder contraction, followed by acetylcholine at 10 minute intervals. After bladder contraction by acetylcholine was stabilized, the center of the test compound was dissected and administered using a needle in the duodenum, and then the action on bladder contraction reaction was observed for 120 minutes.

방광수축 반응은 아세틸콜린 투여 전후의 방광내압차로 측정했다. 또한, 피험화합물 투여전의 방광수축을 투여전 값으로 하고, 이에 대한 각 피험화합물 투여후의 수축 반응으로부터 그 50%억제 용량(ID50)을 산출했다. 결과를 하기 표에 나타냈다.Bladder contraction response was measured by the difference in bladder pressure before and after the administration of acetylcholine. In addition, the bladder contraction before administration of the test compound was taken as the pre-administration value, and the 50% inhibitory dose (ID50) was calculated from the contraction response after administration of each test compound. The results are shown in the table below.

(시험예 2) 염산프로피베린의 카르바콜 유발 타액 분비항진에 대한 작용 Experimental Example 2 Effect of Propyberine Hydrochloride on Carbacol-Induced Saliva Secretion Hyperactivity

체중 100∼150g의 SD계 숫컷 랫트에 피험화합물을 경구투여하고, 30분 후에 카르바콜 0.1 mg/kg을 복강내 투여했다. 이 카르바콜 투여 직후부터 랫트를 무마취하, 손으로 고정하고, 그 상태에서 10분간, 면공으로 타액을 닦아 취했다. 이 타액의 중량을 측정하고, 부형제만을 투여한 군의 타액 분비량을 100%로서50%의 타액분비 억제용량(ID50)를 산출했다. 결과를 하기 표에 나타냈다.The test compound was orally administered to SD male rats weighing 100 to 150 g, and carbacol 0.1 mg / kg was intraperitoneally administered 30 minutes later. Immediately after this carbacol administration, the rat was anesthetized and fixed by hand, and the saliva was wiped off with a cotton ball for 10 minutes in that state. The weight of this saliva was measured, and the saliva secretion inhibitory dose (ID50) of 50% was computed as 100% of the saliva secretion amount of the group which administered only the excipient. The results are shown in the table below.

화합물 번호Compound number 방광수축억제작용Bladder contraction 타액분비억제작용Saliva secretion 타액분비억제작용방광수축억제작용Saliva secretion inhibitory bladder contraction 선택성Selectivity 33 9.4 9.4 33.933.9 3.63.6 4.04.0 44 9.8 9.8 56.656.6 5.85.8 6.26.2 1212 10.010.0 22.522.5 2.32.3 2.42.4 염산 옥시부티닌Oxybutynin hydrochloride 3.4 3.4 3.5 3.5 1.01.0 1.11.1 염산 프로피페린Hydrochloric acid 9.9 9.9 9.2 9.2 0.90.9 1.01.0

상기 결과보다, 본 발명 화합물은 비교 대조약인 염산옥시부티닌 및 시중에서 구입한 타사 제품 염산프로피베린보다 우수한 방광선택성을 나타내고, 신경성빈뇨, 신경인성방광, 야뇨증, 불안정방광, 만성방광염 등의 질환에서의 빈뇨증, 뇨실금 등의 축뇨장해의 예방, 치료제로서 유용한 것임을 확인할 수 있다. From the above results, the compound of the present invention showed better bladder selectivity than the comparative control oxybutynin hydrochloride and the other company's commercially available propiberine hydrochloride, and showed diseases such as anemia, neurogenic bladder, enuresis, unstable bladder, and chronic cystitis. It can be confirmed that it is useful as an agent for the prevention and treatment of urinary disorders such as urinary frequency and urinary incontinence.

본 발명의 염산프로피베린 제조방법은 중간체 생성물인 O-n-프로필벤질릭산을 사용하여 용이하게 합성할 수 있는 것으로서 본 발명의 염산프로피베린은 우수한 항콜린 작용 및 칼슘길항작용을 가지며 방광선택성이 높기 때문에 각종 축뇨장해의 예방 또는 치료제로서 우수한 효과가 있다. Profiberine hydrochloride preparation method of the present invention can be easily synthesized by using the intermediate product On-propylbenzylic acid, propiberine hydrochloride of the present invention has excellent anticholine action and calcium antagonism action and various bladder urination It has an excellent effect as an agent for preventing or treating an obstacle.

Claims (5)

벤질릭산으로부터 O-n-프로필벤질릭산을 제조하는 단계; 및 상기 O-n-프로필벤질릭산을 4-히드록시-1-메칠피페리딘과 반응하여 프로피베린을 제조하고 염산을 사용하여 염산프로피베린을 제조하는 단계로 이루어진 것을 특징으로 하는 염산프로피베린의 제조방법.Preparing O-n-propylbenzylic acid from benzylic acid; And reacting the on-propylbenzylic acid with 4-hydroxy-1-methylpiperidine to produce propiberine and to prepare propiberine hydrochloride using hydrochloric acid. . 제 1항에 있어서, 상기 O-n-프로필벤질릭산은 벤질릭산을 오염화인으로 산화한 후 1-프로판올과 반응하여 제조하는 것을 특징으로 하는 염산프로피베린의 제조방법.The method of claim 1, wherein the O-n-propylbenzylic acid is prepared by oxidizing benzylic acid to phosphorus pentachloride and reacting with 1-propanol. 제 1항에 있어서, 상기 O-n-프로필벤질릭산은 벤질릭산을 프로필클로라이드와 반응시켜 제조하는 것을 특징으로 하는 염산프로피베린의 제조방법.The method of claim 1, wherein the O-n-propylbenzylic acid is prepared by reacting benzylic acid with propyl chloride. 제 1항에 있어서, 상기 O-n-프로필벤질릭산은 벤질릭산을 오염화인을 넣고 반응시킨 후 상기 반응물에 1-프로판올을 반응시켜 O-n-프로필벤질릭산을 제조하는 단계; 및 상기 염산프로피베린은 질소분위기 하에서 테트라히드로퓨란, 트리페닐포스핀 및 4-히드록시-1-메칠피페리딘을 넣고 교반한 후 상기 반응액에 40 중량% 디에칠아조디카르복실레이트를 서서히 첨가하고 O-n-프로필벤질릭산과 반응하여 프로피베린을 제조하고 염산을 가하여 염산프로피베린을 제조하는 단계로 이루어진 것을 특징으로 하는 염산프로피베린의 제조방법.The method of claim 1, wherein the O-n-propylbenzylic acid comprises reacting benzylic acid with phosphorus pentachloride and reacting 1-propanol with the reactant to produce O-n-propylbenzylic acid; And Propyl hydrochloride was added with tetrahydrofuran, triphenylphosphine and 4-hydroxy-1-methylpiperidine under a nitrogen atmosphere, followed by stirring. Then, 40 wt% diezaazodicarboxylate was slowly added to the reaction solution. A method for preparing propiberine hydrochloride, comprising the steps of adding propylene and reacting with on-propylbenzylic acid to produce propiberine and adding hydrochloric acid to produce propiberine hydrochloride. 제 1항에 있어서, 상기 O-n-프로필벤질릭산은 벤질릭산, 디옥산 및 무수탄산칼륨을 차례로 넣고 교반 후 상기 반응물에 프로필클로라이드를 반응시켜 제조하는 것을 특징으로 하는 염산프로피베린의 제조방법.The method of claim 1, wherein the O-n-propylbenzylic acid is prepared by sequentially adding benzylic acid, dioxane and anhydrous potassium carbonate, and then reacting the propyl chloride with the reactant.
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