KR101677944B1 - 화합물 및 요산을 감소시키기 위한 방법 - Google Patents
화합물 및 요산을 감소시키기 위한 방법 Download PDFInfo
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- KR101677944B1 KR101677944B1 KR1020107021875A KR20107021875A KR101677944B1 KR 101677944 B1 KR101677944 B1 KR 101677944B1 KR 1020107021875 A KR1020107021875 A KR 1020107021875A KR 20107021875 A KR20107021875 A KR 20107021875A KR 101677944 B1 KR101677944 B1 KR 101677944B1
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- uric acid
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- 150000001875 compounds Chemical class 0.000 title claims abstract description 457
- LEHOTFFKMJEONL-UHFFFAOYSA-N Uric Acid Chemical compound N1C(=O)NC(=O)C2=C1NC(=O)N2 LEHOTFFKMJEONL-UHFFFAOYSA-N 0.000 title claims abstract description 173
- TVWHNULVHGKJHS-UHFFFAOYSA-N Uric acid Natural products N1C(=O)NC(=O)C2NC(=O)NC21 TVWHNULVHGKJHS-UHFFFAOYSA-N 0.000 title claims abstract description 162
- 229940116269 uric acid Drugs 0.000 title claims abstract description 162
- 238000000034 method Methods 0.000 title description 36
- 201000005569 Gout Diseases 0.000 claims abstract description 39
- 150000003839 salts Chemical class 0.000 claims abstract description 26
- 206010020772 Hypertension Diseases 0.000 claims abstract description 13
- 206010028980 Neoplasm Diseases 0.000 claims abstract description 10
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 10
- 201000010099 disease Diseases 0.000 claims abstract description 9
- 230000008085 renal dysfunction Effects 0.000 claims abstract description 8
- 208000000913 Kidney Calculi Diseases 0.000 claims abstract description 6
- 206010029148 Nephrolithiasis Diseases 0.000 claims abstract description 6
- 208000011580 syndromic disease Diseases 0.000 claims abstract description 6
- 230000002265 prevention Effects 0.000 claims abstract description 4
- 208000031226 Hyperlipidaemia Diseases 0.000 claims abstract 2
- 238000004090 dissolution Methods 0.000 claims abstract 2
- 239000000203 mixture Substances 0.000 claims description 22
- 239000003795 chemical substances by application Substances 0.000 claims description 20
- WHQCHUCQKNIQEC-UHFFFAOYSA-N benzbromarone Chemical compound CCC=1OC2=CC=CC=C2C=1C(=O)C1=CC(Br)=C(O)C(Br)=C1 WHQCHUCQKNIQEC-UHFFFAOYSA-N 0.000 claims description 12
- 229960002529 benzbromarone Drugs 0.000 claims description 12
- 239000008194 pharmaceutical composition Substances 0.000 claims description 12
- OFCNXPDARWKPPY-UHFFFAOYSA-N allopurinol Chemical compound OC1=NC=NC2=C1C=NN2 OFCNXPDARWKPPY-UHFFFAOYSA-N 0.000 claims description 10
- 239000003638 chemical reducing agent Substances 0.000 claims description 8
- 229960003459 allopurinol Drugs 0.000 claims description 7
- DBABZHXKTCFAPX-UHFFFAOYSA-N probenecid Chemical compound CCCN(CCC)S(=O)(=O)C1=CC=C(C(O)=O)C=C1 DBABZHXKTCFAPX-UHFFFAOYSA-N 0.000 claims description 7
- 229960003081 probenecid Drugs 0.000 claims description 7
- 108010068701 Pegloticase Proteins 0.000 claims description 5
- IYOFVSUBBMQUQM-UHFFFAOYSA-N 2-[3-[(2,6-dimethylphenyl)methoxy]-4-methylphenyl]acetic acid Chemical compound CC1=CC=C(CC(O)=O)C=C1OCC1=C(C)C=CC=C1C IYOFVSUBBMQUQM-UHFFFAOYSA-N 0.000 claims description 4
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Chemical compound NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 claims description 3
- MBGGBVCUIVRRBF-UHFFFAOYSA-N sulfinpyrazone Chemical compound O=C1N(C=2C=CC=CC=2)N(C=2C=CC=CC=2)C(=O)C1CCS(=O)C1=CC=CC=C1 MBGGBVCUIVRRBF-UHFFFAOYSA-N 0.000 claims description 3
- 229960003329 sulfinpyrazone Drugs 0.000 claims description 3
- XUKUURHRXDUEBC-KAYWLYCHSA-N Atorvastatin Chemical compound C=1C=CC=CC=1C1=C(C=2C=CC(F)=CC=2)N(CC[C@@H](O)C[C@@H](O)CC(O)=O)C(C(C)C)=C1C(=O)NC1=CC=CC=C1 XUKUURHRXDUEBC-KAYWLYCHSA-N 0.000 claims description 2
- XUKUURHRXDUEBC-UHFFFAOYSA-N Atorvastatin Natural products C=1C=CC=CC=1C1=C(C=2C=CC(F)=CC=2)N(CCC(O)CC(O)CC(O)=O)C(C(C)C)=C1C(=O)NC1=CC=CC=C1 XUKUURHRXDUEBC-UHFFFAOYSA-N 0.000 claims description 2
- 239000002083 C09CA01 - Losartan Substances 0.000 claims description 2
- 229960005370 atorvastatin Drugs 0.000 claims description 2
- 239000004202 carbamide Substances 0.000 claims description 2
- BQSJTQLCZDPROO-UHFFFAOYSA-N febuxostat Chemical compound C1=C(C#N)C(OCC(C)C)=CC=C1C1=NC(C)=C(C(O)=O)S1 BQSJTQLCZDPROO-UHFFFAOYSA-N 0.000 claims description 2
- 229960005101 febuxostat Drugs 0.000 claims description 2
- YMTINGFKWWXKFG-UHFFFAOYSA-N fenofibrate Chemical compound C1=CC(OC(C)(C)C(=O)OC(C)C)=CC=C1C(=O)C1=CC=C(Cl)C=C1 YMTINGFKWWXKFG-UHFFFAOYSA-N 0.000 claims description 2
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- HXNFUBHNUDHIGC-UHFFFAOYSA-N oxypurinol Chemical compound O=C1NC(=O)N=C2NNC=C21 HXNFUBHNUDHIGC-UHFFFAOYSA-N 0.000 claims description 2
- 238000011287 therapeutic dose Methods 0.000 claims 1
- 125000004432 carbon atom Chemical group C* 0.000 abstract description 118
- 125000000217 alkyl group Chemical group 0.000 abstract description 104
- 229910052739 hydrogen Inorganic materials 0.000 abstract description 95
- 239000001257 hydrogen Substances 0.000 abstract description 91
- 125000004435 hydrogen atom Chemical class [H]* 0.000 abstract description 47
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 abstract description 45
- PXBRQCKWGAHEHS-UHFFFAOYSA-N dichlorodifluoromethane Chemical compound FC(F)(Cl)Cl PXBRQCKWGAHEHS-UHFFFAOYSA-N 0.000 abstract description 37
- -1 hydroxy, methyl Chemical group 0.000 abstract description 32
- 125000005843 halogen group Chemical group 0.000 abstract description 26
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 abstract description 20
- 201000001431 Hyperuricemia Diseases 0.000 abstract description 19
- 125000003545 alkoxy group Chemical group 0.000 abstract description 19
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 abstract description 18
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 abstract description 16
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- 229910052799 carbon Inorganic materials 0.000 abstract description 5
- UUEVFMOUBSLVJW-UHFFFAOYSA-N oxo-[[1-[2-[2-[2-[4-(oxoazaniumylmethylidene)pyridin-1-yl]ethoxy]ethoxy]ethyl]pyridin-4-ylidene]methyl]azanium;dibromide Chemical compound [Br-].[Br-].C1=CC(=C[NH+]=O)C=CN1CCOCCOCCN1C=CC(=C[NH+]=O)C=C1 UUEVFMOUBSLVJW-UHFFFAOYSA-N 0.000 abstract description 5
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- 125000000753 cycloalkyl group Chemical group 0.000 abstract description 4
- 238000003745 diagnosis Methods 0.000 abstract description 4
- 125000001072 heteroaryl group Chemical group 0.000 abstract description 4
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 abstract description 4
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 abstract description 3
- 230000002028 premature Effects 0.000 abstract description 3
- 125000005842 heteroatom Chemical group 0.000 abstract description 2
- 229910052757 nitrogen Inorganic materials 0.000 abstract description 2
- 229910052760 oxygen Inorganic materials 0.000 abstract description 2
- 229910052717 sulfur Inorganic materials 0.000 abstract description 2
- 125000004356 hydroxy functional group Chemical group O* 0.000 abstract 1
- 238000006243 chemical reaction Methods 0.000 description 249
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 156
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 96
- VLKZOEOYAKHREP-UHFFFAOYSA-N n-Hexane Chemical compound CCCCCC VLKZOEOYAKHREP-UHFFFAOYSA-N 0.000 description 84
- WYURNTSHIVDZCO-UHFFFAOYSA-N Tetrahydrofuran Chemical compound C1CCOC1 WYURNTSHIVDZCO-UHFFFAOYSA-N 0.000 description 80
- 239000000243 solution Substances 0.000 description 76
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 72
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 63
- 239000011734 sodium Substances 0.000 description 58
- 235000019439 ethyl acetate Nutrition 0.000 description 54
- 238000003818 flash chromatography Methods 0.000 description 54
- 125000006239 protecting group Chemical group 0.000 description 54
- 239000011541 reaction mixture Substances 0.000 description 54
- 238000002360 preparation method Methods 0.000 description 53
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 51
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 51
- 239000000741 silica gel Substances 0.000 description 49
- 229910002027 silica gel Inorganic materials 0.000 description 49
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 48
- 239000012267 brine Substances 0.000 description 45
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 45
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 42
- 239000012044 organic layer Substances 0.000 description 42
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 34
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 33
- 238000003786 synthesis reaction Methods 0.000 description 33
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 33
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 31
- 210000002966 serum Anatomy 0.000 description 31
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 30
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 27
- 239000002904 solvent Substances 0.000 description 27
- IXCSERBJSXMMFS-UHFFFAOYSA-N hydrogen chloride Substances Cl.Cl IXCSERBJSXMMFS-UHFFFAOYSA-N 0.000 description 26
- RIOQSEWOXXDEQQ-UHFFFAOYSA-N triphenylphosphine Chemical compound C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 RIOQSEWOXXDEQQ-UHFFFAOYSA-N 0.000 description 26
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 25
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- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 18
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 18
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- 238000001704 evaporation Methods 0.000 description 16
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- 238000000605 extraction Methods 0.000 description 16
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 16
- 238000001953 recrystallisation Methods 0.000 description 16
- 239000007858 starting material Substances 0.000 description 16
- IAPCTXZQXAVYNG-UHFFFAOYSA-M Potassium 2,6-dihydroxytriazinecarboxylate Chemical compound [K+].[O-]C(=O)C1=NC(=O)NC(=O)N1 IAPCTXZQXAVYNG-UHFFFAOYSA-M 0.000 description 15
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- VVWRJUBEIPHGQF-UHFFFAOYSA-N propan-2-yl n-propan-2-yloxycarbonyliminocarbamate Chemical compound CC(C)OC(=O)N=NC(=O)OC(C)C VVWRJUBEIPHGQF-UHFFFAOYSA-N 0.000 description 12
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- SXZIWRQRPUTTAK-UHFFFAOYSA-N 2-[3-[(2-chloro-6-methylphenyl)methoxy]phenyl]acetic acid Chemical compound CC1=CC=CC(Cl)=C1COC1=CC=CC(CC(O)=O)=C1 SXZIWRQRPUTTAK-UHFFFAOYSA-N 0.000 description 4
- LHRMSYRQJIIADG-UHFFFAOYSA-N 2-[3-[(3,5-dimethylphenyl)methoxy]phenyl]acetic acid Chemical compound CC1=CC(C)=CC(COC=2C=C(CC(O)=O)C=CC=2)=C1 LHRMSYRQJIIADG-UHFFFAOYSA-N 0.000 description 4
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Abstract
상기 화학식 Ⅰ에서, m은 0,1,2,3 또는 4이고; n은 0 또는 1이며; m+n은 4 이하이고; t는 0 또는 1이며; q는 0 또는 1이고; r은 0, 1 또는 2이다. R6은 수소, 메틸 또는 에틸이고 R12는 수소 또는 메틸이거나, R6은 히드록시이고 R12가 수소이거나, R6은 O이고 R12가 부존재하거나, R6 및 R12는 함께 -CH2CH2-이다. R7은 수소 또는 1 내지 3개의 탄소 원자를 갖는 알킬이다. R8 및 R9 중 하나가 1 내지 3개의 탄소 원자를 갖는 알킬이고, 다른 하나는 수소 또는 1 내지 3개의 탄소 원자를 갖는 알킬이다. R10은 수소, 할로, 1 내지 3개의 탄소 원자를 갖는 알킬이거나 1 내지 3개의 탄소 원자를 갖는 알콕시이다. X는 C(O)이고 r은 0이며 t는 0이거나; X는 NH(R11)이며, 여기서 R11이 수소 또는 1 내지 3개의 탄소 원자를 갖는 알킬이다. A는 할로, 히드록시, 메틸, 에틸, 퍼플루오로메틸, 메톡시, 에톡시, 및 퍼플루오로메톡시로부터 선택된 1 또는 2개의 기에 의해 치환되거나, 비치환된 페닐; 또는 N, S 및 O로부터 선택되는 1 또는 2개의 고리 헤테로 원자를 갖는 5 또는 6 원의 헤테로 방향족 고리(여기서, 상기 헤테로 방향족 고리는 고리 탄소에 의해 화학식 Ⅰ의 화합물의 나머지에 공유결합되어 있다); 또는 3 내지 6개 고리 탄소 원자를 갖는 시클로알킬(여기서, 상기 시클로알킬은 비치환되거나 또는, 1 또는 2개의 고리 탄소가 메틸 또는 에틸에 의해 독립적으로 일치환된다)이다. 화학식 Ⅰ의 화합물의 요산-저하 효과가 통풍, 고요산혈증, 고요산혈증의 진단을 관례상 정당화시키는 수준을 충족시키지 못하는 요산의 증가된 수준, 신장기능 장애, 신장 결석, 심혈관 질환, 심혈관 질환을 증가시킬 위험, 종양 용해 증후군, 인지 장애 및 조발성 고혈압을 포함하는 다양한 질환을 치료하거나 예방하는데 사용된다.
Description
도 2: 다양한 투여량의 화합물 BI를 투여한 환자의 초기 24시간 기간 동안의 혈장 UA(요산) 수준.
도 3: 다양한 투여량의 화합물 BI를 투여한 환자의 7일째에 24시간 기간 동안의 혈장 UA(요산) 농도.
도 4: 화합물 EH 보정곡선(Calibration curve), AGILENT LC-MS.
도 5: 래트 혈장(plasma) 내에서의 화합물 EH 농도.
도 6: 쥐 혈장 내에서의 화합물 EH 농도.
실험 그룹 | 소변 요산(mg/dL) |
옥소네이트 300mg/kg 복강내(대조군) | 118±7 |
옥소네이트 복강내+화합물 BI 100mg/kg 경구적으로 | 293±13** |
옥소네이트 복강내+알로퓨리놀 20mg/kg 경구적으로 | 79±5 |
옥소네이트 복강내+벤즈브로마론 30mg/kg 경구적으로 | 185±12* |
옥소네이트 복강내+벤즈브로마론 100mg/kg 경구적으로 | 173±8* |
HLPC 구배(gradient) 시간 용매 C 용매 D 분 % % 0 60 40 2 60 40 용매 C: 물 중의 0.1% 포름산 52 31 69 용매 D: 0.1% 포름산, 89.9% 아세토니트릴, 10% 메탄올 58 31 69 60 60 40 75 60 40 |
HLPC 구배(gradient) 시간 용매 C 용매 D 분 % % 0 60 40 2 60 40 용매 C: 물 중의 0.1% 포름산 52 31 69 용매 D: 0.1% 포름산, 89.9% 아세토니트릴, 10% 메탄올 58 31 69 60 60 40 75 60 40 |
Claims (39)
- 2-(3-(2,6-디메틸벤질옥시)-4-메틸페닐)아세트산, 또는 그의 제약학적으로 허용가능한 염.
- 제1항의 화합물 또는 그의 제약학적으로 허용가능한 염을 포함하는, 포유동물 대상에서, 통풍, 고요산혈증, 신장기능 장애, 신장 결석, 종양 용해 증후군, 및 조발성 고혈압으로 이루어진 군에서 선택된 질환의 치료 또는 예방에 사용하기 위한 약제학적 조성물.
- 제2항에 있어서, 상기 대상은 인간인 것을 특징으로 하는 약제학적 조성물.
- 제2항에 있어서, 상기 대상에서 상기 질환을 치료 또는 예방하는데 유효한 조합된 양으로, 알로푸리놀(allopurinol), 페북소스타트(febuxostat), 옥시푸리놀(oxypurinol), 퓨리케이스(Puricase)/PEG-요산분해효소(PEG-uricase), 설핀피라존(sulfinpyrazone), 프로베네시드(probenecid), 로살탄(losartan), 페노피브레이트(fenofibrate), 벤즈브로마론(benzbromarone), 및 아토르바스타틴(atorvastatin)으로 이루어진 군에서 선택된 적어도 하나의 다른 요산 저하제와 함께 조합하여 투여하기 위해 제형화되는 것을 특징으로 하는 약제학적 조성물.
- 제4항에 있어서, 상기 다른 요산 저하제는 독립적으로 투여될 때의 통상의 치료학적 투여량보다 적은 양으로 투여되는 것을 특징으로 하는 약제학적 조성물.
- 제4항에 있어서, 상기 조성물은 혼합물의 형태로 함께 혼합된 청구항 1의 화합물 또는 그의 제약학적으로 허용가능한 염 및 상기 적어도 하나의 다른 요산 저하제를 포함하고, 상기 혼합물이 대상에게 투여되는 것을 특징으로 하는 약제학적 조성물.
- 제4항에 있어서, 상기 청구항 1의 화합물 또는 그의 제약학적으로 허용가능한 염 및 상기 적어도 하나의 다른 요산 저하제는 혼합물의 형태로 함께 혼합되지 않지만 대상에게 독립적으로 투여되는 것을 특징으로 하는 약제학적 조성물.
- 제2항에 있어서, 경구 투여용으로 제형화되는 것을 특징으로 하는 약제학적 조성물.
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