KR20180068493A - Use of carbamate compound for prevention, alleviation or treatment of psychiatric disorder selected from schizophrenia, obsessive-compulsive disorder and tourette syndrome - Google Patents
Use of carbamate compound for prevention, alleviation or treatment of psychiatric disorder selected from schizophrenia, obsessive-compulsive disorder and tourette syndrome Download PDFInfo
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- KR20180068493A KR20180068493A KR1020160170223A KR20160170223A KR20180068493A KR 20180068493 A KR20180068493 A KR 20180068493A KR 1020160170223 A KR1020160170223 A KR 1020160170223A KR 20160170223 A KR20160170223 A KR 20160170223A KR 20180068493 A KR20180068493 A KR 20180068493A
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- disorder
- obsessive
- schizophrenia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/41—Heterocyclic 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/325—Carbamic acids; Thiocarbamic acids; Anhydrides or salts thereof
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
본 발명은 하기 화학식 1의 카바메이트 화합물을 포함하는 약제학적 조성물을 투여함으로써 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애를 예방, 경감 또는 치료하기 위한 목적으로 사용하는 용도에 대한 것이다: The present invention relates to the use of a pharmaceutical composition comprising a carbamate compound of the following formula 1 for the purpose of preventing, alleviating or treating a psychotic disorder selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome will be:
[화학식 1][Chemical Formula 1]
상기 화학식 1에서 R1, R2, A1 및 A2는 본 명세서에서 정의된 바와 같다.In Formula 1, R 1 , R 2 , A 1 and A 2 are as defined herein.
조현병(정신분열증, schizophrenia)은 대표적인 정신증 장애(psychiatric disorders)로서 사고 장애를 주된 병리로 하여 연관, 파생되는 말, 행동, 감정, 인지 등 다양한 영역에서 복합적인 증상들이 나타나는 정신병적 여러 증상들의 집합체(syndrome)이며, 인류 역사에서 오랫동안 흔히 광증(狂症, madness)이라고 불려왔던 일련의 증상들이다. Schizophrenia is a representative psychiatric disorder, which is defined as the main pathology of thinking disorders, and is a collection of psychosomatic symptoms that manifest complex symptoms in various areas such as related, derived words, behavior, emotion, (syndrome), a series of symptoms that have long been known in human history as madness (madness).
일반적으로 흔히 조현병의 유병율은 전 세계 인구의 약 1% 정도에 해당되며, 서양과 동양, 선진국과 개발도상국과 같은 인구특성, 지역 및 문화적 차이에 관계없이 일정한 것으로 관찰되었다. 조현병의 원인은 명확하진 않지만, 유전적인 소인 또는 임신 중의 문제, 양육 환경, 스트레스 같은 환경적인 요인에 의해 발병의 가능성이 커진다고 한다. In general, prevalence of prevalence is approximately 1% of the world's population and is constant regardless of population characteristics, regional and cultural differences, such as western and eastern, developed and developing countries. The cause of the disease is not clear, but it is said that the possibility of the disease is increased due to environmental factors such as genetic predisposition or problems during pregnancy, parenting environment and stress.
조현병의 증상은 양성 증상과 음성 증상, 인지 증상, 잔류 증상 등으로 분류될 수 있다. 양성 증상은 겉으로 드러나는 비정상적이고 괴이한 증상, 건강한 사람에게서는 발견할 수 없는 정신병적 증상을 의미하며, 환청이나 환시 같은 감각의 이상, 비현실적이고 기괴한 망상 같은 생각의 이상, 그리고 생각의 흐름에 이상이 생기는 사고 과정의 장애 등이 있을 수 있다. 음성 증상은, 정상적인 감정반응이나 행동이 감소하여 둔한 상태가 되고, 사고 내용이 빈곤해지며, 의욕 감퇴, 사회적 위축 등을 보이는 현상이며, 일반적으로 양성증상보다 약물치료 반응이 좋지 않다. 인지 증상은 집중력을 유지하기가 어렵고 새로운 정보를 학습하거나 자신의 생각을 정리하는 능력이 저하되는 증상을 뜻하여, 예전에는 능숙하게 처리하던 일도 제대로 해내지 못하고 기억력이나 문제해결능력도 현저히 감소시킴으로써, 환자의 사회적, 직업적 기능을 감퇴시켜 환자들이 사회에 복귀하지 못하고 실직하여 좌절감을 맛보게 하는 원인이 된다. Symptoms can be categorized as benign, negative, cognitive, and residual symptoms. Positive symptoms are abnormal and bizarre symptoms that appear on the surface, psychotic symptoms that can not be found in healthy people, abnormalities of sensation such as hallucination or hallucination, abnormalities of imagination such as unrealistic and bizarre delusions, There may be obstacles in the process. Negative symptoms are a dull state due to a decrease in normal emotional responses or behaviors. Predicted incidents, loss of motivation, social atrophy, etc., and generally the drug response is less favorable than positive symptoms. Cognitive symptoms are symptoms that are difficult to maintain concentration, and which impair their ability to learn new information or organize their thoughts. In the past, they did not do what they were proficient in doing well and drastically reduced their memory and problem solving abilities, It causes the patients' social and occupational function to decline, causing patients to fail to return to society and lose their job and become frustrated.
조현병은 이상과 같은 증상 및 신호에 따라 다양한 형태로 제시될 수 있다. 정신분열병에는 편집정신분열병, 파과정신분열병, 긴장정신분열병 및 미분류정신분열병 뿐만 아니라 정신분열병 후 우울증, 전류 정신분열병, 단순 정신분열병 및 불특정 정신분열병 등이 포함되고, 그 외에 정신분열형장애, 정신분열정동장애, 망상장애, 단기 조현병, 공유 정신증 장애, 일반적 의학 질환으로 인한 정신증 장애, 물질로 인한 정신증 장애 또는 원인 불명의 정신증 장애 등이 넓은 의미에서의 조현병에 포함된다. It can be presented in various forms according to the above symptoms and signals. Schizophrenia includes schizophrenia, paranoid schizophrenia, tension schizophrenia, and non-classified schizophrenia as well as depression after schizophrenia, current schizophrenia, simple schizophrenia, and unspecified schizophrenia, and schizophrenia, schizophrenia, Symptomatic disorders in a broad sense include affective disorders, delusional disorders, short term manifestations, shared psychotic disorders, psychotic disorders due to general medical disorders, psychotic disorders due to substance or psychotic disorders of unknown origin.
할로페리돌(haloperidol), 클로로프로마진(chlorpromazine) 등의 항정신병 약물이 개발되어 왔고 특히 조현병의 양성 증상에 효과적인 것으로 알려져 있다. 약물 치료를 시작하면 급성기의 정신운동성 초조, 환청 등은 수 일 내에 호전되고 망상 또한 수 주 내에 호전되는 것이 일반적이고, 대부분의 환자에서 적절한 약물을 적절한 용량으로 6-8주 유지할 경우 급성기 증상의 상당 부분이 호전되는 것으로 알려져 있다. 그러나 항정신병 약물을 처음 복용하면 졸리거나, 어지러움을 경험하는 경우가 많고 시야가 흐릿해 지거나 심계항진이 나타나기도 하고, 월경의 변화가 생기기도 하며 피부 발진이 나타나기도 한다. 비전형적 항정신병 약물인 클로자핀(clozapine)으로 심각한 부작용을 일으키지만 다른 약물에 반응이 없는 정신병 증상, 특히 음성증상에 사용되고 있다. 이 약물들은 환자들의 증상을 경감시키거나 해소시켜 삶의 질을 개선하지만 이것이 완전한 치유를 유도하지는 않는다. [Stephen H. Schultz, Sstephen W. North, Cleveland G. Shields, Schizophrenia: A Review, 2007, Am. Fam. Physician, 75, 1821-1829].Haloperidol, chlorpromazine, and other antipsychotic drugs have been developed and are known to be effective for the benign symptoms of asthma. When drug therapy is started, psychomotor retardation and hallucination in acute phase are improved within a few days and reticence is also improved within several weeks. In most patients, when appropriate drugs are maintained in appropriate doses for 6-8 weeks, The part is known to improve. However, the first dose of antipsychotic medication may cause sleepiness or dizziness, and blurred vision, palpitations, menstrual changes, and skin rash may occur. Clozapine, an atypical antipsychotic drug, is used for psychotic symptoms, especially negative symptoms, that cause serious side effects but do not respond to other medications. These medicines improve the quality of life by alleviating or relieving the symptoms of the patients, but this does not induce complete healing. [Stephen H. Schultz, Sstephen W. North, Cleveland G. Shields, Schizophrenia: A Review, 2007, Am. Fam. Physician, 75, 1821-1829].
강박 장애(Obsessive-Compulsive Disorder, OCD)는 자신의 의지와는 상관없이 어떤 특정한 사고나 행동을 떨쳐 버리고 싶은데도 시도 때도 없이 반복적으로 하게 되는 상태를 말하며, 강박적 행동과 강박적 사고가 포함된다(DSM-IV). 강박적 사고는, 반복적이고 지속적으로 사고, 충동 및 이미지를 경험하는 것으로, 스스로 침투적이고 부적절한 것으로 느끼면서 현저한 불안이나 고통을 유발한다. 강박적 행동에는, 예를 들어 손 씻기, 정리정돈하기, 확인하기와 같은 반복적인 행동과 기도하기, 숫자세기, 속으로 단어 반복하기 등과 같은 행위를 포함하는 것으로, 자신이 경험하는 강박적 사고에 대한 반응으로 엄격한 규칙에 따라 수행하게 된다. 이러한 강박적 사고나 강박적 행위는 명백히 불편감을 유발하고 개인의 일상생활, 직업, 학업수행이나 사회적인 행위 및 사회적인 관계 등에도 상당한 지장을 일으킨다. 강박 장애의 평생유병율은 약 2~3% 정도 되는 것으로 알려져 있으며, 전체 정신증 장애 중에서 4번째로 많이 발생하는 질환이다. 연구결과, 강박 장애는 두뇌의 신경전달물질 중 세로토닌이 충분히 공급되지 못해서 발생하게 된다고 알려져 있으며, 뇌의 전두엽과 기저핵 부위를 잇는 신경망의 기능에 이상이 있어서 나타나게 된다. 강박 장애를 치료하는 방안의 하나로 적용되는 약물 치료는 주로 뇌의 세로토닌을 조절하도록 개발된 약물이 주로 사용되는데, 이들 약물은 뇌에서 세로토닌의 기능을 정상화시킴으로써 강박 장애의 치료에 약효를 제공한다 [Jennifer Schoelles Williams, Thea Moore, Candace L. Collins, Kerry-Ann E. Thomas, Selective Serotonin Reuptake Inhibitors for the Treatment of Obsessive-Compulsive Disorder in Children and Adolescents, 2003, J. Pediatr. Pharmacol. Ther., 8, 77-86].Obsessive-Compulsive Disorder (OCD) refers to a state of repetition without any attempt, regardless of whether or not it is desired to throw away any particular thought or behavior, including obsessive behavior and obsessive thoughts DSM-IV). Obsessive thoughts are repetitive and constantly experiencing accidents, impulses, and images, which cause significant anxiety and distress, feeling themselves intrusive and inappropriate. Obsessive behaviors include, for example, repetitive behaviors such as washing hands, organizing and confirming, praying, number counting, repetition of words, and so on. In response to this, strict rules are followed. These obsessive thoughts and compulsive behaviors are clearly uncomfortable and cause considerable disruption to the individual's daily life, work, academic performance, social behavior, and social relationships. The lifetime prevalence of obsessive - compulsive disorder is estimated to be about 2 ~ 3%, and it is the fourth most common psychiatric disorder. Obsessive - compulsive disorder is known to occur due to insufficient supply of serotonin among neurotransmitters in the brain. It is caused by abnormal function of the neural network between the frontal lobe and basal ganglia of the brain. Drug therapy, which is one of the measures to treat OCD, is mainly used for drugs that are designed to control serotonin in the brain, which medicines the treatment of obsessive-compulsive disorder by normalizing serotonin function in the brain [Jennifer Schoelles Williams, Thea Moore, Candace L. Collins, Kerry-Ann E. Thomas, Selective Serotonin Reuptake Inhibitors for the Treatment of Obsessive-Compulsive Disorders in Children and Adolescents, 2003, J. Pediatr. Pharmacol. Ther., 8, 77-86].
투렛증후군(Tourette syndrome 또는Tourette’s Disorder)이란 불수의적 움직임과 소리를 반복적으로 보이는 신경 질환으로, 눈깜박임, 고개를 갑자기 젖힘 등의 운동 틱(tic)과 더불어 기침 소리, 상스런 말하기(욕, 외설증) 등의 음성 틱(tic)이 1년 이상 나타날 때를 말하며, 운동 틱과 음성 틱은 동시에 나타나기도 하고 따로따로 나타나기도 한다. Tourette's syndrome (Tourette's syndrome or Tourette's Disorder) is a neurological disease that repeatedly shows involuntary movements and sounds. It is a blinking eye, a coughing sound, ) And a voice tick (tic) appear for more than one year. The motion tick and the voice tick may appear at the same time or separately.
틱은 학령기 아동에서 매우 흔하게 나타나는데, 전체 아동의 10~20%에서 일시적으로 틱 증상을 보이는 것으로 알려져 있으며, 틱 증상이 1개월 이상 지속되는 일과성 틱장애는 5-15%에서, 1년 이상 틱 증상이 지속되는 만성 틱장애는 1%의 아동에서 나타난다. 운동 틱과 음성 틱을 모두 경험하는 경우, 투렛증후군이라고 하며, 1만명 중에 4-5명 정도에서 나타난다. 틱은 조절이 되지 않고 반복적인 특징이 있으며 매우 다양한 형태로 나타나는데, 불안, 흥분, 분노, 피로 등과 같은 감정 변화로 인해 악화되기도 하고 틱 직전에 급박한 전조 증상을 보이기도 한다. Ticks are very common in school-aged children, with temporary tic symptoms in 10 to 20% of all children, transient tic disorders in which tic symptoms last longer than 1 month, 5-15% This persistent chronic tic disorder occurs in 1% of children. If you experience both exercise tics and vocal tics, it is called Tourette's syndrome and appears in about 4-5 out of 10,000 people. Ticks are unregulated, have repetitive features and appear in a wide variety of forms, which may be exacerbated by emotional changes such as anxiety, excitement, anger, fatigue,
투렛증후군의 발생원인으로는, 유전적 요인의 영향이 크고, 그 외에 스트레스나 감염 같은 환경적 요인, 뇌의 구조적, 기능적 이상, 뇌의 생화학적 이상, 호르몬, 출산 과정에서의 뇌 손상이나 세균감염과 관련된 면역반응 이상 등이 틱의 발생과 관련이 있는 것으로 알려져 있지만 정확한 원인은 규명되지 않았다. 또한 주로 주의력결핍 과잉행동 장애(ADHD), 강박 장애, 학습 장애, 수면 장애, 우울증 및 불안증 등의 행동장애 및 정서 장애와 동반되는 경우가 많다[James E. Swain, Lawrence Scahill, Paul J. Lombroso, Robert A. King, James F. Leckman, Tourette syndrome and Tic disorder: A decade of progress, Journal of the American Academy of Child and Adolescent Psychiatry, 2007, 46, 947-968].The causes of Tourette's syndrome include genetic factors, environmental factors such as stress and infection, structural and functional abnormalities of the brain, biochemical abnormalities of the brain, hormones, brain damage during the birth process, Are associated with the development of ticks, but the exact cause has not been elucidated. It is also often accompanied by behavioral and emotional disturbances, such as attention deficit hyperactivity disorder (ADHD), obsessive compulsive disorder, learning disabilities, sleep disorders, depression and anxiety [James E. Swain, Lawrence Scahill, Paul J. Lombroso, Robert A. King, James F. Leckman, Tourette syndrome and Tic disorder: A decade of progress, Journal of the American Academy of Child and Adolescent Psychiatry, 2007, 46, 947-968].
이와 같은 정신증 장애에 대하여 약물을 통해 만족할 만한 수준의 치료 효과를 얻지 못하거나 부작용으로 인하여 사용의 제한되고 있어, 약효와 부작용이 개선된 새로운 약물의 개발이 요구되고 있다.In the case of such a psychotic disorder, a satisfactory level of therapeutic effect is not obtained through the use of a drug, or its use is restricted due to side effects, and development of a new drug having improved pharmacological efficacy and side effects is required.
본 발명은 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애를 예방, 경감 또는 치료하기 위한 방법을 제공하고자 하는 것이다.The present invention is intended to provide a method for preventing, alleviating or treating a psychotic disorder selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome.
또한, 본 발명은 하기 화학식 1의 카바메이트 화합물, 또는 이의 약제학적으로 허용가능한 염, 용매화물 또는 수화물을 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애의 예방, 경감 또는 치료에서 사용하기 위한 용도를 제공하고자 하는 것이다:The present invention also relates to the use of a carbamate compound of formula 1, or a pharmaceutically acceptable salt, solvate or hydrate thereof, in the prevention, alleviation or treatment of psychotic disorders selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome It is intended to provide use for:
[화학식 1][Chemical Formula 1]
상기 화학식 1에서 R1, R2, A1 및 A2는 본 명세서에서 정의된 바와 같다.In Formula 1, R 1 , R 2 , A 1 and A 2 are as defined herein.
본 발명은 치료적 유효량의 하기 화학식 1의 카바메이트 화합물, 또는 이의 약제학적으로 허용가능한 염, 용매화물 또는 수화물을 포함하는, 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애의 예방, 경감 또는 치료용 약제를 제공한다: The present invention provides a method for the prevention of a psychotic disorder selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome, comprising a therapeutically effective amount of a carbamate compound of formula 1, or a pharmaceutically acceptable salt, solvate or hydrate thereof: , ≪ / RTI > a medicament for alleviating or treating:
[화학식 1][Chemical Formula 1]
상기 화학식 1에서,In Formula 1,
R1 및 R2는 각각 독립적으로 수소, 할로겐, C1-C8 알킬, C1-C8 할로알킬, C1-C8 티오알콕시 및 C1-C8 알콕시로 이루어진 그룹으로부터 선택되고,R 1 and R 2 are each independently selected from the group consisting of hydrogen, halogen, C 1 -C 8 alkyl, C 1 -C 8 haloalkyl, C 1 -C 8 thioalkoxy and C 1 -C 8 alkoxy,
A1 및 A2에서 어느 하나는 CH이며, 다른 하나는 N이다.One of A 1 and A 2 is CH and the other is N.
또한, 본 발명은 치료적 유효량의 상기 화학식 1의 카바메이트 화합물, 또는 이의 약제학적으로 허용가능한 염, 용매화물 또는 수화물을 포함하고, 추가로 약제학적으로 허용되는 담체를 1종 이상 포함하는, 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애의 예방, 경감 또는 치료용 약제학적 조성물을 제공한다.The present invention also provides a pharmaceutical composition comprising a therapeutically effective amount of a carbamate compound of Formula 1, or a pharmaceutically acceptable salt, solvate or hydrate thereof, and further comprising one or more pharmaceutically acceptable carriers, A medicament for preventing, alleviating or treating a psychotic disorder selected from the group consisting of a disease, obsessive compulsive disorder and Tourette's syndrome.
또한, 본 발명은 상기 화학식 1의 카바메이트 화합물, 또는 이의 약제학적으로 허용가능한 염, 용매화물 또는 수화물을 치료적 유효량으로 치료 대상에게 투여하는 것을 포함하여, 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애를 예방, 경감 또는 치료하는 방법을 제공한다.The present invention also relates to the use of a carbamate compound of formula 1, or a pharmaceutically acceptable salt, solvate or hydrate thereof, in a therapeutically effective amount, A method for preventing, alleviating or treating a psychotic disorder selected from the group.
또한, 본 발명은 상기 화학식 1의 카바메이트 화합물, 또는 이의 약제학적으로 허용가능한 염, 용매화물 또는 수화물을 치료적 유효량으로 치료 대상에게 투여하는 것을 포함하여, 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애와 관련된 징후를 개선하는 방법을 제공한다.The present invention also relates to the use of a carbamate compound of formula 1, or a pharmaceutically acceptable salt, solvate or hydrate thereof, in a therapeutically effective amount, Lt; RTI ID = 0.0 > psychiatric < / RTI > disorder selected from the group.
또한, 본 발명은 상기 화학식 1의 카바메이트 화합물, 또는 이의 약제학적으로 허용가능한 염, 용매화물 또는 수화물의, 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애를 예방, 경감 또는 치료하거나, 이와 관련된 징후를 개선하기 위한 용도를 제공한다.The present invention also relates to the use of a carbamate compound of formula 1, or a pharmaceutically acceptable salt, solvate or hydrate thereof for the prevention, alleviation or treatment of a psychotic disorder selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome Or to improve the indications associated therewith.
본 발명의 일 구체예에 따르면, 상기 화학식 1에서 R1 및 R2는 각각 독립적으로 수소, 할로겐 및 C1-C8 알킬로 이루어진 그룹으로부터 선택된다.According to one embodiment of the present invention, R 1 and R 2 in the general formula (1) are each independently selected from the group consisting of hydrogen, halogen and C 1 -C 8 alkyl.
일 구체예에서, C1-C8 할로알킬은 퍼플루오로알킬이다.In one embodiment, the C 1 -C 8 haloalkyl is perfluoroalkyl.
본 발명의 다른 구체예에 따르면, 상기 화학식 1의 카바메이트 화합물은 하기 화학식 2의 카르밤산 (R)-1-(2-클로로페닐)-2-테트라졸-2-일)에틸 에스테르이다:According to another embodiment of the present invention, the carbamate compound of Formula 1 is carbamic acid (R) -1- (2-chlorophenyl) -2-tetrazol-2-yl) ethyl ester of Formula 2:
[화학식 2](2)
상기 화학식 1 및 2의 카바메이트 화합물의 제조는 당업계에서 화합물 합성에 관한 통상의 지식을 가진 자라면, 공지의 화합물들 또는 이로부터 용이하게 제조할 수 있는 화합물들을 사용하여 제조할 수 있다. 특히, 상기 화학식 1 화합물의 제조 방법은 국제공개특허 WO 2006/112685 A1, WO 2010/150946 A1 및 WO 2011/046380 A2에 상세히 기재되어 있으며, 상기 문헌은 본 명세서에 참고로서 인용된다. 화학식 1 화합물은 상기 문헌에 기재된 방법에 의해 화학적으로 합성될 수 있으나, 이는 하나의 예시적인 방법들을 제시하는 것에 지나지 않으며, 필요에 따라 단위 조작의 순서 등이 선택적으로 바뀔 수 있는 것으로서, 발명의 범위를 제한하고자 하는 것이 아니다.The carbamate compounds of Formulas (1) and (2) above can be prepared by using known compounds or compounds which can be easily prepared therefrom, as long as those skilled in the art are familiar with the synthesis of the compounds. In particular, the process for preparing the compound of formula 1 is described in detail in WO 2006/112685 A1, WO 2010/150946 A1 and WO 2011/046380 A2, which are incorporated herein by reference. The compound of the formula (1) can be synthesized chemically by the method described in the above document, but it is merely a suggestion of one exemplary method, and the order of the unit operation and the like can be selectively changed as necessary, Is not intended to limit.
상기 화학식 1의 카바메이트 화합물은 조현병, 강박장애 및 투렛증후군으로 이루어지는 군으로부터 선택되는 정신증 장애의 예방, 경감 또는 치료에 사용될 수 있다.The carbamate compound of Formula 1 may be used for the prevention, alleviation or treatment of psychotic disorders selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome.
본 발명의 일 구체예에 따르면, 상기 조현병의 증상은 조현병의 양성 증상, 음성 증상, 인지 증상 및 잔류 증상으로 이루어진 군으로부터 선택되는 하나 이상일 수 있다.According to one embodiment of the present invention, the symptom of the asthmatic disease may be at least one selected from the group consisting of positive symptoms, negative symptoms, cognitive symptoms and residual symptoms of asthma.
본 발명의 일 구체예에 따르면, 상기 조현병은, 편집증 유형 정신분열증(paranoid schizophrenia), 해체 유형 정신분열증(disorganized schizophrenia), 균열 유형 정신분열증(catatonic schizophrenia), 구분화되지 않은 정신분열증(undifferentiated schizophrenia), 잠복형 정신분열증(residual schizophrenia), 정신분열병 후 우울증, 전류 정신분열병, 단순 정신분열병, 불특정 정신분열병, 정신분열형장애, 정신분열정동장애, 망상장애, 단기 조현병, 공유 정신증 장애, 일반적 의학 질환으로 인한 정신증 장애, 물질로 인한 정신증 장애 및 원인 불명의 정신증 장애로 이루어진 군으로부터 선택되는 하나 이상일 수 있다.According to one embodiment of the present invention, the outbreak disease is selected from the group consisting of paranoid schizophrenia, disorganized schizophrenia, catatonic schizophrenia, undifferentiated schizophrenia, Schizophrenia, schizophreniform disorder, schizophreniform disorder, delusional disorder, short-term schizophrenia, shared psychosis disorder, generalized schizophrenia, schizophrenia, schizophrenia, schizophrenia, schizophrenia, schizophrenia, schizophrenia A psychotic disorder caused by a medical condition, a psychotic disorder caused by a substance, and an unexplained psychotic disorder.
본 발명의 일 구체예에 따르면, 상기 강박장애는 강박적 행동, 강박적 사고 또는 이들 모두일 수 있다.According to one embodiment of the invention, the obsessive-compulsive disorder can be an obsessive behavior, an obsessive mind, or both.
본 발명의 일 구체예에 따르면, 상기 강박장애는 반복적인 침투적 생각, 의식적 행동, 반복적 행동, 집착, 오염/저장/보관/수집/또는 정돈에 대한 강박적 사고, 양심적이고 도덕적이어야 한다는 강박적 사고, 질병 등에 대한 신체적 강박적 사고, 자신 또는 상대에 위해를 미칠지 모른다는 공격성 관련 강박적 사고, 성(sex) 관련한 강박적 사고, 및 강박적 사고를 중화시키기 위해 반복되는 언어적 또는 신체적 반복 행위로서의 강박적 행동 및 그로 인해 야기되는 불안 심리로 이루어진 군으로부터 선택되는 하나 이상일 수 있다.According to one embodiment of the present invention, the obsessive-compulsive disorder is an obsessive thoughts to repetitive infiltrative thinking, conscious behavior, repetitive behavior, attachment, pollution / storage / storage / collection / Physical or obsessive thoughts on accidents, illnesses, aggression-related obsessive thoughts that may be harmful to oneself or opponents, obsessive thoughts related to sex, and repeated verbal or physical repetitions to neutralize obsessive thoughts And anxiety psychology caused by the obsessive behavior and the anxiety psychology resulting therefrom.
본 발명의 일 구체예에 따르면, 상기 투렛증후군은 운동 틱(tic) 장애, 음성 틱 장애 또는 이들 모두일 수 있다.According to one embodiment of the present invention, the Tourette's syndrome may be a movement tic disorder, a vocal tic disorder or both.
본 발명의 일 구체예에 따르면, 상기 투렛증후군은 눈깜박임, 눈동자굴리기, 얼굴·코의 실룩임, 어깨 들썩임, 고개를 갑자기 젖힘, 배 근육에 갑자기 힘 주기, 다리차기, 기침 소리, 코를 킁킁거리는 소리, 동물의 울음소리 및 상스런 말하기(욕, 외설증)로 이루어진 군으로부터 선택되는 하나 이상일 수 있다.According to one embodiment of the present invention, the Tourette's syndrome includes eye blinking, pupil rolling, facial and nasal obstruction, shoulder disturbance, sudden bowing of the head, abrupt force on the abdominal muscles, leg kick, coughing, sniffing The distance may be one or more selected from the group consisting of sounds, animal cries and false speech (bath, obscene).
조현병, 강박 장애(Obsessive-Compulsive Disorder) 및 투렛증후군(Tourette syndrome) 치료을 위한 약물 개발에 사용되는 동물 모델로 알려진 DOI-유도 두부-연축 동물 모델을 사용하여, 조현병, 강박 장애(Obsessive-Compulsive Disorder) 및 투렛증후군에 대한 화학식 1 화합물의 항정신병적 활성을 시험할 수 있다[Effect of co-treatment with mirtazapine and risperidone in animal models of the positive symptoms of schizophrenia in mice, Pharmacological Reports, 2012, 64, 1567-1572; Shlomit Flaisher-Grinberg, Oded Klavir, Daphna Joel, The role of 5-HT2A and 5-HT2C receptors in the signal attenuation rat model of obsessive-compulsive disorder, 2008, International Journal of Neuropsychopharmacology, 11, 811-825; Renee L. Hayslett, Yousef Tizabi, Effects of donepezil on DOI-induced head twitch response in mice: implications for Tourette syndrome, Pharmacology, Biochemistry and Behavior, 2003, 76, 409-415]. DOI(1-(2,5-디메톡시-4-요오도페닐)-2-아미노프로판 하이드로클로라이드)는 5-HT2A/2C 세로토닌 수용체에 대한 효능제로서 친화성 및 선택성이 높은 할루시노겐(hallucinogen)이다. 할루시노겐 투여로 인한 효과와 조현병으로 인한 증상이 유사하므로, 동물에 할루시노겐성(hallucinogenic) 약물을 투여하여 조현병의 모델로 사용할 수 있다. DOI에 의해 유도된(DOI-induced) 두부 연축(head-twitch 또는 head-shaking) 동물 모델에서, DOI를 투여하면 두부 연축을 유도하는데, 리스페리돈, 할로페리돌, 클로자핀 및 올란자핀 등의 비정형 항정신병 약물은, DOI의 투여량에 비례하여 두부 연축 행동 효과를 억제한다.Using a DOI-induced head-and-spasm animal model known as an animal model used in the development of drugs for the treatment of obsessive-compulsive disorder and Tourette syndrome, Obsessive-Compulsive Disorder, and Tourette's syndrome. [Effect of co-treatment with mirtazapine and risperidone in animal models of the positive symptoms of schizophrenia in mice, Pharmacological Reports, 2012, 64, 1567 -1572; Shlomit Flaisher-Grinberg, Oded Klavir, Daphna Joel, The role of 5-HT2A and 5-HT2C receptors in the signal attenuation rat model of obsessive-compulsive disorder, 2008, International Journal of Neuropsychopharmacology, 11, 811-825; Renee L. Hayslett, Yousef Tizabi, Effects of donepezil on DOI-induced head twitch response in mice: implications for Tourette syndrome, Pharmacology, Biochemistry and Behavior, 2003, 76, 409-415]. DOI (1- (2,5-dimethoxy-4-iodophenyl) -2-aminopropane hydrochloride) is an efficacious agent for 5-HT2A / 2C serotonin receptors and has a high affinity and selectivity for hallucinogen )to be. Since the effects of halushinogen administration are similar to those caused by asthma, it can be used as a model of asthma by administering hallucinogenic drugs to animals. In DOI-induced head-twitch or head-shaking animal models, dosing with DOI induces head spasm, whereas atypical antipsychotics such as risperidone, haloperidol, clozapine, and olanzapine, Inhibition of tof spasm behavior is proportional to dose of DOI.
강박장애와 투렛증후군의 증상 중 하나가 틱인데, DOI 유발된 HTR이 이러한 유사한 행동을 보이므로, 강박장애와 투렛 증후군의 유효한 모델로서 DOI 유발된 HTR이 사용된다. 특히, 투렛증후군은 매우 복잡한 증후군으로, 도파민과 세로토닌을 포함한 신경자극을 전달하는 화학물질(신경전달물질)의 비정상적인 레벨 변화를 동반한다.세로토닌 및 도파민을 조절할 수 있는 5-HT2A 세로토닌 수용체 길항제인 올란자핀, 퀴에티아핀, 리스페리돈, 아리피프라졸 등이 투렛증후군 환자에서 임상적 약효를 입증하였다[Michael Behen, Harry T. Chugani, Csaba Juhasz, Emily Helder, Albert Ho, Mohsin Maqbool, Robert D. Rothermel, Jacquie Perry, Otto Muzik, Abnormal Brain Tryptophan Metabolism and Clinical Correlates in Tourette Syndrome, Movement Disorders, 2007, 22, 2256-2262; Myung Ho Lim, Soo Churl Cho, Psychotrophic Drug Therapy of the Tourette's Disorder, Clinical Psychopharmacology and Neuroscience, 2013, 24, 147-159]DOI-induced HTR is used as an effective model of OCD and Tourette's syndrome because DOI-induced HTRs exhibit this similar behavior, one of the symptoms of OCD and Tourette's syndrome being ticks. In particular, Tourette's syndrome is a very complex syndrome, accompanied by abnormal levels of chemicals (neurotransmitters) that transmit nerve impulses, including dopamine and serotonin. Olanzapine, a 5-HT2A serotonin receptor antagonist capable of controlling serotonin and dopamine , Quetiapine, risperidone, and aripiprazole have demonstrated clinical efficacy in patients with Tourette's syndrome [Michael Behen, Harry T. Chugani, Csaba Juhasz, Emily Helder, Albert Ho, Mohsin Maqbool, Robert D. Rothermel, Jacquie Perry, Otto Music, Abnormal Brain Tryptophan Metabolism and Clinical Correlates in Tourette Syndrome, Movement Disorders, 2007, 22, 2256-2262; Myung Ho Lim, Soo Churl Cho, Psychotrophic Drug Therapy of the Tourette's Disorder, Clinical Psychopharmacology and Neuroscience, 2013, 24, 147-159]
상기 질환의 예방, 경감 또는 치료를 위한 화학식 1의 카바메이트 화합물의 투여량은 통상적으로 질환의 중증도, 치료 대상의 체중 및 대사 상태에 따라 달라질 것이다. 개개의 환자에 대한 "치료적 유효량(therapeutically effective amount)"은 상기한 약리학적 효과, 즉 치료 효과를 달성하는데 충분한 양을 의미한다. 화학식 1 화합물의 치료적 유효량은 인간에게 투여 시 1일 1회 투여 기준 50 내지 500 mg, 바람직하게는 50 내지 400 mg, 더 바람직하게는 50 내지 300mg, 더 바람직하게는 50 내지 200 mg이다.The dosage of the carbamate compound of formula (I) for the prevention, amelioration or treatment of the disease will usually vary depending on the severity of the disease, the body weight of the subject being treated and the metabolic status. A "therapeutically effective amount" for an individual patient means an amount sufficient to achieve the pharmacological effect, i. The therapeutically effective amount of the compound of the formula (1) is 50 to 500 mg, preferably 50 to 400 mg, more preferably 50 to 300 mg, and more preferably 50 to 200 mg on a daily basis upon administration to a human.
본 발명의 화합물은 경구, 비경구, 정맥내, 근육내, 피하 또는 직장 투여와 같이, 치료제의 투여에 사용되는 통상적인 방법으로 투여할 수 있다.The compounds of the present invention may be administered by any conventional method used for administration of therapeutic agents, such as oral, parenteral, intravenous, intramuscular, subcutaneous or rectal administration.
본 발명의 일 구체예에 따른 약제 또는 약제학적 조성물은 치료적 유효량의 본 발명의 카바메이트 화합물, 이의 약제학적으로 허용가능한 염, 용매화물, 수화물 및 이들의 조합으로 이루어진 군으로부터 선택되는 화합물을 포함할 수 있다.A pharmaceutical or pharmaceutical composition according to one embodiment of the present invention comprises a therapeutically effective amount of a compound selected from the group consisting of a carbamate compound of the invention, a pharmaceutically acceptable salt, solvate, hydrate thereof and combinations thereof can do.
상기 화학식 1의 카바메이트 화합물의 약제학적으로 허용가능한 염에는, 예를 들어, 독립적으로, 아세테이트, 벤젠설포네이트, 벤조에이트, 비타르트레이트, 칼슘아세테이트, 캄실레이트, 카르보네이트, 시트레이트, 에데테이트, 에디실레이트, 에스톨레이트, 에실레이트, 푸마레이트, 글루셉테이트, 글루코네이트, 글루타메이트, 글리콜로일아르사닐레이트, 헥실레조르시네이트, 하이드라바민, 하이드로브로마이드, 하이드로클로라이드, 하이드로겐카르보네이트, 하이드록시나프토에이트, 요오다이드, 이세티오네이트, 락테이트, 락토비오네이트, 말레이트, 말리에이트, 만델레이트, 메실레이트, 메틸니트레이트, 메틸설페이트, 무케이트, 납실레이트, 니트레이트, 파모에이트 (엠보네이트), 판토테네이트, 포스페이트/디포스페이트, 폴리갈락트유로네이트. 살리실레이트, 스테아레이트, 서브아세테이트, 석시네이트 또는 헤미-석시네이트, 설페이트 또는 헤미-설페이트, 탄네이트, 타르트레이트, 옥살레이트(oxalate) 또는 헤미-타르트레이트, 테오클레이트, 트리에티오다이드, 벤자틴, 클로로프로카인, 콜린, 디에탄올아민, 에틸렌디아민, 메글루민, 프로카인, 알루미늄, 암모늄, 테트라메틸암모늄, 칼슘, 리튬, 마그네슘, 칼륨, 나트륨 및 아연 등이 포함된다.The pharmaceutically acceptable salts of the carbamate compounds of Formula 1 include, for example, acetate, benzenesulfonate, benzoate, bitartrate, calcium acetate, camsylate, carbonate, citrate, ede But are not limited to, tartrate, eddylate, esterylate, esterylate, esterylate, ethylate, fumarate, glucosate, gluconate, glutamate, glycoloylarsanylate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, But are not limited to, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, sodium carbonate, Pateoate (embonate), pantothenate, phosphate / diphosphate, polygalactous europaea It. Salicylates, stearates, subacetates, succinates or hemi-succinates, sulphates or hemi-sulphates, tannates, tartrates, oxalates or hemi-tartrates, theoclates, triethiodides , Benzenetine, chloroprocaine, choline, diethanolamine, ethylenediamine, meglumine, procaine, aluminum, ammonium, tetramethylammonium, calcium, lithium, magnesium, potassium, sodium and zinc.
본 발명의 일 구체예에 따른 약제 또는 약제학적 조성물은 경구 또는 비경구로 투여할 수 있고, 비경구 투여인 경우에는 정맥내 주입, 피하 주입, 근육 주입, 복강 주입, 내피 투여, 국소 투여, 비내 투여, 질내 투여, 폐내 투여 및 직장내 투여 등으로 투여할 수 있다. 경구 투여시, 일 구체예에 따른 약제학적 조성물은 나정으로, 또는 활성 약제를 코팅하거나 위에서의 분해로부터 보호되도록 제형화될 수 있다. 또한, 상기 조성물은 활성 물질이 표적 세포로 이동할 수 있는 임의의 장치에 의해 투여될 수 있다. 투여되는 경로는 치료 대상의 일반적인 조건 및 연령, 치료 조건의 성질 및 선택되는 활성 성분에 따라 달라질 수 있다The pharmaceutical or pharmaceutical composition according to one embodiment of the present invention may be administered orally or parenterally. In the case of parenteral administration, intravenous injection, subcutaneous injection, muscle injection, intraperitoneal injection, endothelial administration, topical administration, intranasal administration , Intravaginal administration, intrapulmonary administration, rectal administration, and the like. Upon oral administration, the pharmaceutical composition according to one embodiment may be formulated to be nasal, or to be coated against, or protected from degradation from, the active agent. In addition, the composition may be administered by any device capable of transferring the active agent to the target cell. The route of administration may vary depending upon the general conditions and age of the subject to be treated, the nature of the treatment conditions, and the active ingredient selected
본 발명의 일 구체예에 따른 약제 또는 약제학적 조성물의 적합한 투여량은 제제화 방법, 투여 방식, 환자의 연령, 체중, 성, 병적 상태, 음식, 투여 시간, 투여 경로, 배설 속도 및 반응 감응성과 같은 요인들에 의해 다양하며, 보통으로 숙련된 의사는 소망하는 치료 또는 예방에 효과적인 투여량을 용이하게 결정 및 처방할 수 있다. 일 구체예에 따른 상기 약제학적 조성물은 한 번 또는 여러 번의 투여량으로 투여될 수 있으며, 예를 들어, 하루 1회 내지 4회로 나누어 투여될 수 있다. 일 구체예에 따른 상기 약제학적 조성물은 화학식 1의 화합물을 50 내지 500mg, 바람직하게는 50 내지 400mg, 더 바람직하게는 50 내지 300mg, 더 바람직하게는 50 내지 200mg 포함할 수 있다.The appropriate dosage of the pharmaceutical or pharmaceutical composition according to one embodiment of the present invention may be appropriately determined depending on the formulation method, administration method, age, body weight, sex, pathological condition, food, administration time, administration route, Factors, and the ordinarily skilled physician can readily determine and prescribe dosages effective for the desired treatment or prophylaxis. The pharmaceutical composition according to one embodiment may be administered in one or more doses, for example, one to four times per day. The pharmaceutical composition according to one embodiment may contain 50 to 500 mg, preferably 50 to 400 mg, more preferably 50 to 300 mg, more preferably 50 to 200 mg of the compound of formula (1).
본 발명의 일 구체예에 따른 약제 또는 약제학적 조성물은 당해 발명이 속하는 기술분야에서 통상의 지식을 가진 자가 용이하게 실시할 수 있는 방법에 따라, 약제학적으로 허용되는 담체 및/또는 부형제를 이용하여 제제화함으로써 단위 용량 형태로 제조되거나 또는 다용량 용기 내에 내입시켜 제조될 수 있다. 이때, 제형은 오일 또는 수성 매질중의 용액, 현탁액 또는 유화액 형태이거나 엑스제, 분말제, 과립제, 정제 또는 캅셀제 형태일 수도 있으며, 분산제 또는 안정화제를 추가적으로 포함할 수 있다. 또한, 상기 약제학적 조성물은 좌약, 스프레이, 연고, 크림, 젤, 흡입제 또는 피부 패치의 형태로 투여될 수 있다. 또한 상기 약제학적 조성물은 포유동물 투여용, 더 바람직하게는 인간 투여용으로 제조될 수 있다.The pharmaceutical composition or the pharmaceutical composition according to one embodiment of the present invention may be prepared by using a pharmaceutically acceptable carrier and / or excipient according to a method which can be easily carried out by a person skilled in the art Or may be prepared in unit dosage form by injection or by intrusion into a multi-dose container. Here, the formulations may be in the form of solutions, suspensions or emulsions in oils or aqueous media, or in the form of excipients, powders, granules, tablets or capsules, and may additionally contain dispersing or stabilizing agents. In addition, the pharmaceutical composition may be administered in the form of suppositories, sprays, ointments, creams, gels, inhalants or skin patches. The pharmaceutical composition may also be prepared for mammalian administration, more preferably for human administration.
약제학적으로 허용되는 담체는 고체이거나 액체일 수 있으며, 부형제, 항산화제, 완충액, 정균제, 분산제, 흡착제, 계면활성제, 결합제, 방부제, 붕해제, 감미제, 향미제, 활택제, 방출조절제, 습윤제, 안정화제, 현탁화제 및 윤활제에서 선택되는 1종 이상일 수 있다. 또한, 약제학적으로 허용되는 담체는 식염수, 멸균수, 링거액, 완충 식염수, 덱스트로오스 용액, 말토덱스트린 용액, 글리세롤, 에탄올 및 이들의 혼합물로부터 선택될 수 있다.Pharmaceutically acceptable carriers may be solid or liquid and may be in the form of pharmaceutical preparations such as excipients, antioxidants, buffers, bacteriostats, dispersants, adsorbents, surfactants, binders, preservatives, disintegrants, sweeteners, flavors, lubricants, release modifiers, Stabilizers, suspending agents, and lubricants. In addition, pharmaceutically acceptable carriers may be selected from saline, sterile water, Ringer's solution, buffered saline, dextrose solution, maltodextrin solution, glycerol, ethanol and mixtures thereof.
일 구체예에서, 적절한 부형제(filler)로는, 당(예컨대, 덱스트로스, 수크로스, 말토스 및 락토스), 전분(예컨대, 옥수수 전분), 당-알코올(예컨대, 만니톨, 솔비톨, 말티톨, 에리스리톨 및 자일리톨), 전분 가수분해물(starch hydrolysates)(예컨대, 덱스트린 및 말토덱스트린), 셀롤로스 또는 셀룰로스 유도체 (예컨대, 미세결정질 셀룰로스) 또는 이들의 혼합물을 사용할 수 있으나, 이에 한정되지 않는다.In one embodiment, suitable fillers include sugars (such as dextrose, sucrose, maltose and lactose), starches (such as corn starch), sugar alcohols (e.g., mannitol, sorbitol, maltitol, erythritol, Starch hydrolyzates (e.g., dextrin and maltodextrin), celluloses or cellulose derivatives (such as microcrystalline cellulose), or mixtures thereof, but are not limited thereto.
일 구체예에서, 적절한 결합제(binder)로는, 포비돈, 코포비돈, 메틸셀룰로오스, 히드록시메틸셀룰로오스, 히드록시프로필메틸셀룰로오스, 히드록시프로필셀룰로오스, 히드록시에틸셀룰로오스, 젤라틴, 검류, 수크로스, 전분 또는 이들의 혼합물을 사용할 수 있으나, 이에 한정되지 않는다.In one embodiment, suitable binders include povidone, copovidone, methylcellulose, hydroxymethylcellulose, hydroxypropylmethylcellulose, hydroxypropylcellulose, hydroxyethylcellulose, gelatin, gum, sucrose, starch or Mixtures of these may be used, but are not limited thereto.
일 구체예에서, 적절한 방부제(preservative)로는, 벤조산, 소듐 벤조에이트, 벤질 알콜, 부틸화 하이드록시아니솔, 부틸화 하이드록시톨루엔, 클로르부톨, 갈레이트, 하이드록시벤조에이트, EDTA 또는 이들의 혼합물을 사용할 수 있으나, 이에 한정되지 않는다. In one embodiment, suitable preservatives include, but are not limited to, benzoic acid, sodium benzoate, benzyl alcohol, butylated hydroxyanisole, butylated hydroxytoluene, chlorbutol, gallate, hydroxybenzoate, EDTA, But is not limited thereto.
일 구체예에서, 적절한 붕해제(disintegrant)로는, 전분 글리콜레이트 소듐염(sodium starch glycolate), 가교된 폴리비닐 피롤리돈, 가교된 카르복시메틸셀룰로스, 전분, 미세결정질 셀룰로스 또는 이들의 혼합물을 사용할 수 있으나, 이에 한정되지 않는다.In one embodiment, suitable disintegrants include starch glycolate, cross-linked polyvinylpyrrolidone, cross-linked carboxymethylcellulose, starch, microcrystalline cellulose, or mixtures thereof But is not limited thereto.
일 구체예에서, 적절한 감미제로는 수크랄로스, 사카린, 소듐 또는 포타슘 또는 칼슘 사카린, 아세설팜 포타슘 또는 소듐 시클라메이트, 만니톨, 프럭토스, 수크로스, 말토스 또는 이들의 혼합물을 사용할 수 있으나, 이에 한정되지 않는다. In one embodiment, suitable sweeteners may be sucralose, saccharin, sodium or potassium or calcium saccharin, acesulfame potassium or sodium cyclamate, mannitol, fructose, sucrose, maltose or mixtures thereof It is not limited.
일 구체예에서, 적절한 활택제(glidant)로는 콜로이드성 실리콘 디옥사이드를 사용할 수 있으나, 이에 한정되지 않는다. In one embodiment, a suitable glidant may be, but is not limited to, colloidal silicon dioxide.
일 구체예에서, 적절한 윤활제(lubricant)로는, 장쇄 지방산 및 그 염, 예컨대, 마그네슘 스테아레이트 및 스테아르산, 탈크, 글리세라이드 왁스 또는 이들의 혼합물을 사용할 수 있으나, 이에 한정되지 않는다.In one embodiment, suitable lubricants include, but are not limited to, long chain fatty acids and salts thereof, such as magnesium stearate and stearic acid, talc, glyceride wax, or mixtures thereof.
본 명세서에 사용된 용어 "예방하다(prevent)", "예방하는(preventing)" 및 "예방(prevention)"은 질병에 걸릴 가능성을 감소시키거나 가능성을 제거하는 것이다.As used herein, the terms "preventing "," preventing ", and "prevention" are intended to reduce the likelihood of or susceptibility to disease.
본 명세서에 사용된 용어 "경감시키다(alleviate)", "경감시키는(alleviating)" 및 "경감(alleviation)"은 질병 및/또는 이의 수반되는 증상을 모두 또는 일부 완화시키는 것이다. The terms " alleviate, "" alleviating," and "alleviation ", as used herein, refer to alleviating all or part of the disease and /
본 명세서에 사용된 용어 "치료하다(treat)", "치료하는(treating)" 및 "치료(treatment)"는 질병 및/또는 이의 수반되는 증상을 모두 또는 일부 제거하는 것이다.The terms "treat", "treating" and "treatment" as used herein refer to the elimination of all or part of the disease and / or its attendant symptoms.
본 명세서에 사용된 용어 "대상"은 치료, 관찰 또는 실험의 객체가 되는 동물, 바람직하게는 포유동물(예컨대, 영장류(primates)(예를 들어, 사람), 소, 양, 염소, 말, 개, 고양이, 토끼, 쥐, 마우스 등), 가장 바람직하게는 사람을 의미한다.The term "subject" as used herein refers to an animal, preferably a mammal (e.g., primates (e.g., a person), cow, sheep, goat, horse, dog , A cat, a rabbit, a mouse, a mouse, etc.), and most preferably a human.
본 명세서에 사용된 용어 "치료적 유효량"은 연구원, 수의사, 의사 또는 다른 임상의에 의해 모색되며, 치료될 질환 또는 장애의 징후를 경감시킴을 포함하는, 조직계, 동물 또는 사람에서의 생물학적 또는 의학적 반응을 유도하는 활성 화합물 또는 약제학적 제제의 양을 의미한다.The term "therapeutically effective amount ", as used herein, is intended to be sought by a researcher, veterinarian, physician or other clinician, and refers to any biological or medicinal agent in the system, animal or human, including alleviating the symptoms of the disease or disorder Quot; means the amount of active compound or pharmaceutical agent that elicits the response.
본 명세서에 사용된 용어 "조성물"은 특정 성분을 특정량으로 포함하는 생성물 및 특정량의 특정 성분의 배합물로부터 직접 또는 간접적으로 생성되는 임의의 생성물을 포함한다.The term "composition" as used herein encompasses any product that results, directly or indirectly, from a product comprising a specified amount of a particular ingredient and a specified amount of a particular ingredient combination.
상기 본 발명에 따른 약제 및 약제학적 조성물은 조현병, 강박 장애, 투렛증후군 등 정신증 장애를 효율적으로 치료할 수 있다.The medicines and pharmaceutical compositions according to the present invention can effectively treat psychotic disorders such as asthma, obsessive compulsive disorder, and Tourette's syndrome.
이하에서 본 발명을 실시예를 통하여 보다 상세하게 설명한다. 그러나, 이들 실시예는 하나 이상의 구체예를 예시적으로 설명하기 위한 것일 뿐 발명의 범위가 이들에 의해서 한정되는 것은 아니다.Hereinafter, the present invention will be described in more detail with reference to examples. However, these embodiments are intended to illustrate one or more embodiments only and are not intended to limit the scope of the invention.
제조예Manufacturing example : 카르밤산 (R)-1-(2-: Carbamic acid (R) -1- (2- 클로로페닐Chlorophenyl )-2-)-2- 테트라졸Tetrazole -2-일)에틸 에스테르의 제조-2-yl) ethyl ester
카르밤산 (R)-1-(2-클로로페닐)-2-테트라졸-2-일)에틸 에스테르(화학식 2의 화합물, 이하에서 "시험 화합물"이라고도 한다)를 국제공개특허 WO 2010/150946호의 제조예 50에 기재된 방법에 따라 제조하였다.2-tetrazol-2-yl) ethyl ester (compound of formula (2), hereinafter also referred to as "test compound") was prepared according to the method described in WO 2010/150946 Prepared according to the method described in Production Example 50. [
실시예Example 1: One: DOI처리에In DOI processing 의해 유도된 두부 Induced tofu 연축Spasm 모델에 대한 효과 Effects on models
DOIDOI 유도된 두부 Induced tofu 연축Spasm 모델 Model
정신증 장애 치료제의 잠재적 효능을 평가하기 위한 모델로서, DOI의 설치류 투여에 따른 두부 연축(head-shaking) 모델을 사용했다. As a model for assessing the potential efficacy of psychotic disorder treatments, a head-shaking model according to DOI's rodent administration was used.
수컷 ICR 마우스(Crlj:CD1)를 한국의 Bio Genomics, Inc.로부터 구입하여, 20~24℃의 주위 온도, 55~75% 상대습도 및 12시간 주기로 명/암이 자동 조절되면서 사료(Agri Brands Purina Korea, Inc.에서 구입) 및 물을 자유롭게 섭취할 수 있는 환경하에 와이어망 케이지에 넣어, 동물실험 윤리위원회(Institutional Animal Care and Use Committee (IACUC))의 실험실 동물 관리 기준에 따라, 보관, 관리하였다. 일주일 가량 안정화를 시킨 후, 체중이 20 내지 23g인 마우스를 실험에 사용하였다. Male ICR mice (Crlj: CD1) were purchased from Bio Genomics, Inc. of Korea and cultured for 20 days at an ambient temperature of 20 to 24 ° C, 55 to 75% relative humidity and 12- (Purchased from Korea, Inc.) and placed in a wire mesh cage under an environment in which water can be freely taken, maintained and maintained in accordance with the Laboratory Animal Care Standards of the Institutional Animal Care and Use Committee (IACUC) . After approximately one week of stabilization, mice weighing 20-23 g were used in the experiment.
시험 화합물과 양성대조군 약물인 케탄세린[ketanserin, 미국 몬태나주 세인트 루이스 소재의 시그마(Sigma)사로부터 구입]은, 각각의 실험 30~45분 전에 비히클로 사용된 30% 폴리에틸렌글리콜400[polyethylene glycol400, 시그마사로부터 구입]에 녹여 새로이 제조하였고, 마우스 체중 1kg당 10ml의 용적으로, 시험 화합물은 3, 10, 30 mg/kg 용량을, 케탄세린은 2 mg/kg 용량을 복강 내로 각각 투여하였다. 30분 후에, 염수에 용해하여 3 mg/kg 용량을 준비한 (±)-2,5-Dimethoxy-4-iodoamphetamine (DOI) hydrochloride[시그마사로부터 구입]를 마우스 목 뒤편에 피하주사하였다. DOI를 투여한 마우스를 즉시 투명한 폴리카보네이트로 제조된 관찰 실린더(직경 25㎝, 폭 20 cm, 높이 13㎝)에 넣어서, 1분이 지난 후 6분 동안 진행되는 두부 연축 행동의 횟수를 기계식 계수기를 사용하여 측정, 기록하였다. 이 모든 실험은 하루 중 오전 10시에서 오후 4시 사이에 수행하였다[Darmani NA, Martin BR, Pandey U and Glennon RA, Do functional relationships exist between 5-HT1A and 5-HT2 receptors?, Pharmacol. Biochem. Behav., 1990, 36, 901-906].The test compound and a positive control drug, ketanserin (purchased from Sigma, St. Louis, Mo., USA) were mixed with 30% polyethylene glycol 400, a vehicle used as a vehicle 30-45 minutes before each experiment, Sigma Corp.). Test compounds were administered at a dose of 3, 10, 30 mg / kg and Ketanserin at a dose of 10 mg / kg body weight per mouse, respectively. After 30 minutes, (±) -2,5-Dimethoxy-4-iodoamphetamine (DOI) hydrochloride (purchased from Sigma) dissolved in saline and prepared at a dose of 3 mg / kg was subcutaneously injected into the back of mouse neck. The mice dosed with DOI were immediately placed in an observation cylinder (diameter 25 cm, width 20 cm, height 13 cm) made of clear polycarbonate, and the number of tofu spasticity behavior for 6 minutes after 1 minute was measured using a mechanical counter Respectively. All these experiments were performed between 10:00 am and 4:00 pm [Darmani NA, Martin BR, Pandey U and Glennon RA, Do functional relationships exist between 5-HT1A and 5-HT2 receptors, Pharmacol. Biochem. Behav., 1990, 36, 901-906].
실험 결과 통계 분석Results of statistical analysis
모든 데이터는 평균±SEM으로 나타낸다. 시험 화합물 및 양성대조군인 케탄세린으로 처리된 그룹에서의 DOI 유도된 두부 연축 행동 횟수를 음성대조군인 비히클 그룹과 비교하여 억제율(%)로서 나타낸다. 그룹 간의 두부 연축 행동 횟수의 통계 분석은, 그래프패드 프리즘(GraphPad Prism ver. 4.0) 프로그램을 사용하여, 단방향 ANOVA(one-way analysis of variance) 및 던넷 다중비교 방식(Dunnett's multiple comparison test)으로 분석 처리하였다. 음성대조군인 비히클 그룹에서의 두부 연축 행동 횟수 평균은 26.5±1.2로 관찰되었고, DOI 유도된 두부 연축 행동 빈도를 양성대조군인 케탄세린 투여군은 100% 억제하였다. 시험 화합물 투여군은 투여량 의존적으로 두부 연축 행동 횟수를억제하여, 3 ㎎/kg에서는 25.8%, 10 mg/kg에서는 46.5%, 30 mg/kg에서는 67.9%의 억제율을 보임으로써 반수 유효량 (ED50) 값이 11.6 mg/kg로 계산되었다. 즉, 조현병, 강박장애, 투렛증후군의 대표적인 동물 모델인, DOI 유도 두부 연축 모델에서 시험 화합물은 유의적인 약효를 보여주었다.All data are expressed as mean ± SEM. The number of DOI-induced head flushing behavior in the test compound and the group treated with the positive control, ketanserin, is expressed as percent inhibition compared to the negative control vehicle group. Statistical analysis of the number of head-to-head spasticity behaviors was performed using one-way analysis of variance (ANOVA) and Dunnett's multiple comparison test using the GraphPad Prism ver. 4.0 program. Respectively. The mean number of head injuries in the vehicle group, a negative control group, was 26.5 ± 1.2, and the frequency of DOI - induced head injury was 100% inhibited in the positive control group, ketanserin. In the test compound administration group, the half-effective dose (ED 50 ) was inhibited by 25.8% at 3 mg / kg, 46.5% at 10 mg / kg and 67.9% at 30 mg / The value was calculated as 11.6 mg / kg. In other words, the test compound showed a significant effect in the DOI-induced head spasticity model, which is a representative animal model of amyotrophic lateral sclerosis, obsessive-compulsive disorder, and Tourette's syndrome.
표 1은 실험 데이타(억제율)를 요약한 것이다.Table 1 summarizes the experimental data (inhibition rate).
Claims (22)
[화학식 1]
상기 화학식 1에서,
R1 및 R2는 각각 독립적으로 수소, 할로겐, C1-C8 알킬, C1-C8 할로알킬, C1-C8 티오알콕시 및 C1-C8 알콕시로 이루어진 그룹으로부터 선택되고,
A1 및 A2에서 어느 하나는 CH이며, 다른 하나는 N이다.The prevention, alleviation or prevention of a psychotic disorder selected from the group consisting of asthma, obsessive compulsive disorder and Tourette's syndrome, comprising a therapeutically effective amount of a carbamate compound of formula 1: EMI2.1 or a pharmaceutically acceptable salt, solvate or hydrate thereof. Therapeutic Agents:
[Chemical Formula 1]
In Formula 1,
R 1 and R 2 are each independently selected from the group consisting of hydrogen, halogen, C 1 -C 8 alkyl, C 1 -C 8 haloalkyl, C 1 -C 8 thioalkoxy and C 1 -C 8 alkoxy,
One of A 1 and A 2 is CH and the other is N.
[화학식 2]
The pharmaceutical composition according to claim 1, wherein the carbamate compound of formula (1) is carbamic acid (R) -1- (2-chlorophenyl) -2-tetrazol-
(2)
[화학식 1]
상기 화학식 1에서,
R1 및 R2는 각각 독립적으로 수소, 할로겐, C1-C8 알킬, C1-C8 할로알킬, C1-C8 티오알콕시 및 C1-C8 알콕시로 이루어진 그룹으로부터 선택되고,
A1 및 A2에서 어느 하나는 CH이며, 다른 하나는 N이다.Or a pharmaceutically acceptable salt, solvate or hydrate thereof, which further comprises one or more pharmaceutically acceptable carriers, and a pharmaceutically acceptable salt, solvate or hydrate of the compound of formula (I), or a pharmaceutically acceptable salt, solvate or hydrate thereof, A pharmaceutical composition for preventing, alleviating or treating a psychotic disorder selected from the group consisting of Tourette's syndrome:
[Chemical Formula 1]
In Formula 1,
R 1 and R 2 are each independently selected from the group consisting of hydrogen, halogen, C 1 -C 8 alkyl, C 1 -C 8 haloalkyl, C 1 -C 8 thioalkoxy and C 1 -C 8 alkoxy,
One of A 1 and A 2 is CH and the other is N.
[화학식 2]
The pharmaceutical composition according to claim 12, wherein the carbamate compound of formula (1) is carbamic acid (R) -1- (2-chlorophenyl) -2-tetrazol-
(2)
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WO2020060252A1 (en) * | 2018-09-21 | 2020-03-26 | 에스케이바이오팜 주식회사 | Use of carbamate compound for prevention, alleviation, or treatment of concurrent seizures |
WO2020060251A1 (en) * | 2018-09-21 | 2020-03-26 | 에스케이바이오팜 주식회사 | Carbamate compound and use of formulation comprising same in preventing, alleviating, or treating acute stress disorder or post-traumatic stress disorder |
CN111432813A (en) * | 2017-11-14 | 2020-07-17 | 爱思开生物制药株式会社 | Blends comprising carbamate compounds for use in preventing, alleviating, or treating schizophrenia |
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CN111432813A (en) * | 2017-11-14 | 2020-07-17 | 爱思开生物制药株式会社 | Blends comprising carbamate compounds for use in preventing, alleviating, or treating schizophrenia |
CN111432813B (en) * | 2017-11-14 | 2024-01-09 | 爱思开生物制药株式会社 | Blends comprising carbamate compounds for use in preventing, alleviating, or treating schizophrenia |
WO2020060252A1 (en) * | 2018-09-21 | 2020-03-26 | 에스케이바이오팜 주식회사 | Use of carbamate compound for prevention, alleviation, or treatment of concurrent seizures |
WO2020060251A1 (en) * | 2018-09-21 | 2020-03-26 | 에스케이바이오팜 주식회사 | Carbamate compound and use of formulation comprising same in preventing, alleviating, or treating acute stress disorder or post-traumatic stress disorder |
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