LV12793B - Imidazole1,5-AU-pyrido-3,2-ECpyrazinone as a medicinal product - Google Patents

Imidazole1,5-AU-pyrido-3,2-ECpyrazinone as a medicinal product Download PDF

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LV12793B
LV12793B LV010109A LV010109A LV12793B LV 12793 B LV12793 B LV 12793B LV 010109 A LV010109 A LV 010109A LV 010109 A LV010109 A LV 010109A LV 12793 B LV12793 B LV 12793B
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alkyl
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aryl
pyrido
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LV12793A (en
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Norbert Hoefgen
Stefan Szelenyi
Marx Degenhard
Ute Egerland
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Dresden Arzneimittel
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Priority claimed from DE1999102082 external-priority patent/DE19902082A1/en
Priority claimed from DE1999161302 external-priority patent/DE19961302A1/en
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Publication of LV12793A publication Critical patent/LV12793A/en
Publication of LV12793B publication Critical patent/LV12793B/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D471/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
    • C07D471/12Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains three hetero rings
    • C07D471/14Ortho-condensed systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • A61P15/10Drugs for genital or sexual disorders; Contraceptives for impotence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/04Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/08Vasodilators for multiple indications
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
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  • Bioinformatics & Cheminformatics (AREA)
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  • General Chemical & Material Sciences (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Reproductive Health (AREA)
  • Endocrinology (AREA)
  • Gynecology & Obstetrics (AREA)
  • Hospice & Palliative Care (AREA)
  • Urology & Nephrology (AREA)
  • Vascular Medicine (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)

Abstract

The invention relates to the use of imidazo[1,5-a]-pyrido[3,2-e]-pyrazinones of formula (1) as inhibitors for phosphodiesterase 5 for the therapy of erectile dysfunction (impotence). The invention also relates to the use of imidazo[1,5-a]-pyrido[3,2-e]-pyrazinones of formula (1) as dual inhibitors of phosphodiesterase 3 and of phosphodiesterase 5 for the therapy of heart failure, pulmonic hypertonia and vascular diseases which are accompanied by insufficient blood supply. The invention further relates to a method for making the same.

Claims (27)

IZGUDROJUMA FORMULAINVENTION FORMULA 1. Paņēmiens imidazo[l,5-a]-pirido[3,2-e]-pirazinona ar formulu (1) iegūšanaiA process for the preparation of imidazo [1,5-a] -pyrido [3,2-e] -pyrazinone of formula (1) H (1), kurH (1), where A-apzīmē О vai NH,A-denotes О or NH, R1, R , R3 var būt vienādi vai dažādi un var nozīmēt ūdeņraža atomu kā arīR 1 , R, R 3 may be the same or different and may represent a hydrogen atom as well -Ci 8- alkilgrupu, nesazarotu vai sazarotu ķēdi, eventuāli vienreiz vai vairākkārt aizvietotu ar -OH, -SH, -NH2, -NHCj 6-alkilgrupu, -N(Ci .6-alkilgrupa)2, -NHC6...14-arilgrupu, -N(C6 ...i4-arilgrupa)2,-C 8 - alkyl, straight or branched chain, optionally substituted one or more times by -OH, -SH, -NH 2, -NHCj 6 -alkyl, -N (Ci .6 alkyl) 2, -NHC 6 ... 14-aryl, -N (C 6 -C 14) aryl 2 , -N(Ci 6-alkilgrupa)(C6. i4-arilgrupa), -NO2, -CN, -COOH, -COOCi 5- alkilgrupu, -(C=O)Ci...5- alkilgrupu, -F, -Cl, -Br, -I,-N (Ci 6 alkyl) (C 6. I4-aryl), -NO 2, -CN, -COOH, -COOC 5- alkyl, - (C = O) Ci ... 5- alkyl, -F, -Cl, -Br, -I, -Ο-Ci 6-alkilgrupu, -O-C6...14-arilgrupu, -S-Ci 6-alkilgrupu,-Ο-Ci-6 alkyl, -OC 6 ... 14 -aryl, -S-Ci 6 alkyl, -S-C6.14-arilgrupu, -OSO2-Ci.6-alkilgrupu, -OSO2-C6... 14- arilgrupu, mono-, bi- vai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu karbociklisku savienojumu ar 3...14 gredzena locekļiem, mono-, bi- vai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu heterociklisku savienojumu ar 5...15 gredzena locekļiem un 1...6 heteroatomiem, kur priekšroka dota N, О un S,-SC 6 .14-aryl, -OSO 2 -Ci.6-alkyl, -OSO 2 C 6 ... 14- aryl, mono-, bi- or tricyclic saturated or mono- or several unsaturated carbocyclic connection with the third ..14 ring members, mono-, bi- or tricyclic saturated or mono- or poly-unsaturated heterocyclic compounds with 5 to 15 ring members and 1 to 6 heteroatoms, preferably N, О and S, -C2.8-alkenilgrupu, vien- vai vairākkārt nepiesātinātu, nesazarotu vai sazarotu ķēdi, eventuāli vienu vai vairākas reizes aizvietotu ar -ОН, -SH, -NH2, -NHCj 6-alkilgrupu, -N(Ct 6-alkilgrupa)2, -NHC6 [4-arilgrupu, -N(C6 i4-arilgrupa)2, -N(C|..6-alkilgrupa)(C6 14-arilgrupa), -NO2, -CN, -COOH, -COOCi 5-alkilgrupu, -(C=O)C 1 5-alkilgrupu, -F, -Cl, -Br, -I, -Ο-Ci 6-alkilgrupu, -O-C6. 14-arilgrupu, -S-CL 6-alkilgrupu, -S-C6.14-arilgrupu, C 2 .8-alkenyl, singly or repeatedly unsaturated, straight-chain or branched, optionally one or more substituted with -ОН, -SH, -NH 2, -NHCj 6 -alkyl, -N (C 6 -alkyl t ) 2, -NHC 6 [4-aryl, -N (C 6 i4-aryl) 2, -N (C | ..6 alkyl) (C6 14 aryl), -NO 2, -CN, -COOH, -COOC 5-alkyl, - (C = O) C 1 5 -alkyl, -F, -Cl, -Br, -I, -Ο-Ci-6 alkyl, -OC 6th 14-aryl, -SC 6 -alkyl, -SC 6 6-14 -aryl, -2-OSO2-Ci.6-alkilgrupu, -OSO2-C6. 14-arilgrupu, mono-, bi- vai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu karbociklisku savienojumu ar 3...14 gredzena locekļiem, mono-, bi- vai triciklisku piesātinātu vai vienvai vairākkārt nepiesātinātu heterociklisku savienojumu ar 5...15 gredzena locekļiem un 1...6 heteroatomiem, kur priekšroka dota N, О un S,-2-OSO 2 -C 1-6 alkyl, -OSO 2 -C 6 . 14-aryl, mono-, bi- or tricyclic saturated or singly or multiply unsaturated carbocyclic compounds with 3 to 14 ring members, mono-, bi- or tricyclic saturated or monounsaturated heterocyclic compounds with 5 to 15 ring members and 1-6 heteroatoms, with N, О and S being preferred, -C2 .g-alkinilgrupu, vien- vai vairākkārt nepiesātinātu, nesazarotu vai sazarotu ķēdi, eventuāli vienu vai vairākas reizes aizvietotu ar -ОН, -SH, -NH2, -NHCi...6-alkilgrupu, -N(Ci ,6-alkilgrupa)2, -NHC6... 14-arilgrupu, -N(C6 .i4-arilgrupa)2, -N(Ci...6-alkilgrupa)(C6.. u -arilgrupa), -NO2, -ČN, -COOH, -COOCi. .5-alkilgrupu, -(C=O)Ci.5-alkilgrupu, -F, -Cl, Br, -I, -Ο-Ci 6-alkilgrupu, -O-C6... 14-arilgrupu, -S-Cj 6-alkilgrupu, -S-Сб... 14-arilgrupu, -OSO2-C1.6-alkilgrupu, -OSO2-C6...14 -arilgrupu, mono-, bivai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu karbociklisku savienojumu ar 3...14 gredzena locekļiem, mono-, bi- vai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu heterociklisku savienojumu ar 5...15 gredzena locekļiem un 1...6 heteroatomiem, kur priekšroka dota N, O, un S,C 2 .g-alkynyl, mono- or several unsaturated, straight-chain or branched, optionally one or more substituted with -ОН, -SH, -NH 2, -NHC ... 6 -alkyl, -N (Ci, 6 alkyl) 2, -NHC 6 ... 14 -aryl, -N (C 6 .i4-aryl) 2, -N (Ci ... 6 -alkyl) (C 6 .. u -aryl) - NO 2 , -CN, -COOH, -COOCi. -5-alkyl, - (C = O) C 1-5 -alkyl, -F, -Cl, Br, -I, -O-C 1-6 -alkyl, -OC 6-14 aryl, -S-C 1 6- alkyl, -S-Cb ... 14-aryl, -OSO2-C1. 6- alkyl, -OSO2-C6-14 aryl, mono-, bi- or tricyclic saturated or singly or multiply unsaturated carbocyclic compounds with 3 to 14 ring members, mono-, bi- or tricyclic saturated or mono- a polyunsaturated heterocyclic compound having 5 to 15 ring members and 1 to 6 heteroatoms, preferably N, O, and S, -mono, -bi- vai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu karbociklisku savienojumu ar 3...14 gredzena locekļiem, eventuāli vienu vai vairākas reizes aizvietotu ar -OH, -SH, -NH2, -NHCi б-alkilgrupu, -N(Ci„ 6-alkilgrupa)2, -NHC6.. 14-arilgrupu, -N(C6...i4-arilgrupa)2, -N(Ci ..6-alkilgrupa)(C6..i4-arilgrupa), -NO2, -CN, -COOH, -COOCi 5-alkilgrupu, -(C=O)Ci. 5-alkilgrupu, -F, -Cl, -Br, -I, -Ο-Ci...б-alkilgrupu, -O-C6 14-arilgrupu, -S-Ci...6-alkilgrupu, -S-Сб... 14-arilgrupu, -OSO2-Ci 6-alkilgrupu, -OSO2-C6 .14-arilgrupu,-mono, -bi- or tricyclic saturated or mono- or poly-unsaturated carbocyclic compounds with 3 to 14 ring members, optionally substituted one or more times with -OH, -SH, -NH 2 , -NHCi-b-alkyl, - N (C "6 -alkyl) 2, -NHC 6 .. 14 -aryl, -N (C 6 ... i4-aryl) 2, -N (Ci .. 6 alkyl) (C 6 ..i4- aryl), -NO 2 , -CN, -COOH, -COOC 1-5 alkyl, - (C = O) Cl. 5-alkyl, -F, -Cl, -Br, -I, -Ο-Ci ... б-alkyl, -OC 6 14-aryl, -S-Ci ... 6 -alkyl, -S-Сб. 14-aryl, -OSO 2 -C 1-6 alkyl, -OSO 2 -C 6-14 aryl, -mono-, bi- vai triciklisku piesātinātu vai vien- vai vairākkārt nepiesātinātu heterociklisku savienojumu ar 5...15 gredzena locekļiem un-mono-, bi- or tricyclic saturated or mono- or polyunsaturated heterocyclic compounds having 5 to 15 ring members; and 1...6 heteroatomiem, kur priekšroka dota N, О un S, eventuāli vienu vai vairākas reizes aizvietotu ar -ОН, -SH, -NH2, -NHCi...6-alkilgrupu, -N(Ci...6-alkilgrupa)2, -NHC6... 14-arilgrupu, -N(C6 ...i4-arilgrupa)2,1 to 6 heteroatoms, preferably N, О and S, optionally substituted one or more times with -O, -SH, -NH 2 , -NHC 1-6 alkyl, -N (C 1-6) alkyl) 2, -NHC 6 ... 14 -aryl, -N (C 6 ... i4-aryl) 2, -N(Cj .6-alkilgrupa)(C6 i4-arilgrupa), -NO2, -CN, -COOH, -COOCi .5-alkilgrupu, -(C=O)Ci...5-alkilgrupu, -F, -Cl, -Br, -I,-N (Cj. 6 alkyl) (C 6 i4-aryl), -NO 2, -CN, -COOH, -COOC .5-alkyl, - (C = O) Ci ... 5-alkyl, -F , -Cl, -Br, -I, -Ο-Ci..6-alkilgrupu, -O-C6.14-arilgrupu, -S-Ci 6-alkilgrupu, -S-C6 . и -arilgrupu, -OSO2-C] .6-alkilgrupu, -0SO2-Ce..i4-ariīgrupu, atšķiras ar to, ka 3-aminopiridīni ar formulu (2) ar identisku A, R1, R2 un R3 nozīmi (2)-Ο-Ci..6-alkyl, -OC 6 .14-aryl, -S-Ci-6 alkyl, -SC 6th -I-aryl, -OSO 2 -C 1-6 alkyl, -OSO 2 -C 6-14 aryl, characterized in that the 3-aminopyridines of formula (2) are identical with A, R 1 , R 2 and R 3 meanings (2) -3organiskā šķīdinātājā skābes klātbūtnē reaģē ar cianātu un tā rezultātā veidojas urinvielas ar formulu (3) ar identisku A, R1, R2 un R3 nozīmiIn an organic solvent reacts with cyanate in the presence of an acid to form ureas of formula (3) having the same meaning as A, R 1 , R 2 and R 3 R (3).R (3). R kas pēc tam organiskā šķīdinātājā tiek sakarsētas tā, ka notiek ciklizēšanās par izgudrojumam atbilstošajiem savienojumiem ar formulu (1).Which is then heated in an organic solvent to cyclize to the compounds of the invention of formula (1). 2. Paņēmiens savienojumu izgatavošanas pēc formulas (1) saskaņā ari. punktu, īpaša priekšroka dodama, izmantojot alkilcianātus starpproduktu iegūšanai pēc formulas (3).A process for the preparation of compounds of formula (1) according to formula (1). (3), particular preference is given to using alkyl cyanates to provide intermediates of formula (3). 3. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar 1. vai 2. punktu, īpaša priekšroka dodama, izmantojot protiskus šķīdinātājus starpproduktu iegūšanai pēc formulas (3).A process for the preparation of compounds of formula (1) according to claim 1 or 2, with particular preference being given to the use of protic solvents for the preparation of intermediates of formula (3). 4. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar 1., 2. vai 3. punktu, īpaša priekšroka dodama starpproduktu iegūšanai pēc formulas (3) minerālskābes klātbūtnē.Process for the preparation of compounds of formula (1) according to claim 1, 2 or 3, with particular preference for the preparation of intermediates of formula (3) in the presence of mineral acid. 5. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar vienu no 1. - 4. punktiem, īpaša priekšroka dodama starpproduktu iegūšanai pēc formulas (3) koncentrētas minerālskābes klātbūtnē, kuru var sajaukt ar protisku šķīdinātāju saskaņā ar 3. punktu.A process for preparing the compounds of formula (1) according to any one of claims 1 to 4, with particular preference for the preparation of intermediates of formula (3) in the presence of concentrated mineral acid which may be mixed with a protic solvent according to claim 3. 6. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar vienu no 1.-5. punktiem, īpaša priekšroka dodama urinvielu ciklizācijai pēc formulas (3), izmantojot šķīdinātājus ar vārīšanās punktu > 80° C.A process for the preparation of compounds of formula (1) according to any one of claims 1-5. is particularly preferred for the cyclization of urea according to formula (3) using solvents having a boiling point> 80 ° C. 7. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar vienu no 1.-6. punktiem, īpaša priekšroka dodama urīnvielu ciklizācijai pēc formulas (3), īpaši izdevīga, izmantojot šķīdinātājus ar vārīšanās punktu > 100° C.A process for preparing a compound of formula (1) according to any one of claims 1-6. is particularly preferred for urea cyclization according to formula (3), particularly advantageous using solvents having a boiling point> 100 ° C. 8. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar vienu no 1. - 7. punktiem, īpaša priekšroka dodama urīnvielu ciklizācijai pēc formulas (3), izmantojot reakcijas temperatūru > 80°C.A process for the preparation of compounds of formula (1) according to any one of claims 1 to 7, with particular preference for the cyclization of urea according to formula (3) using a reaction temperature of> 80 ° C. 9. Paņēmiens savienojumu pēc formulas (1) izgatavošanas saskaņā ar vienu no 1. - 8. punktiem, īpaša priekšroka dodama urīnvielu ciklizācijai pēc formulas (3), īpaši izdevīga, izmantojot reakcijas temperatūru > 100°C.A process for the preparation of compounds of formula (1) according to any one of claims 1 to 8, with particular preference for the cyclization of urea according to formula (3), particularly advantageous using a reaction temperature of> 100 ° C. 10. Savienojumu ar formulu (1) saskaņā ar 1. punktu kā terapeitiski iedarbīgu vielu izmantošana erekcijas disfunkcijas (impotences) ārstniecības līdzekļu iegūšanai.Use of compounds of formula (1) according to claim 1 as therapeutically active substances for the treatment of erectile dysfunction (impotence). 11. Fizioloģiski savietojamu savienojumu pēc formulas (1) sāļu izmantošana saskaņā ar 10. punktu, kuru raksturo bāžu neitralizācija ar neorganiskām un organiskām skābēm, attiecīgi neitralizējot skābes ar neorganiskām un organiskām bāzēm, attiecīgi kvatemizējot amīnus par kvatemāriem amonija sāļiem kā terapeitiskas iedarbīgās vielas ārstniecības līdzekļu izgatavošanai erekcijas disfunkcijas (impotences) ārstēšanai.Use of the salts of the physiologically compatible compounds of formula (1) according to claim 10, characterized in that the bases are neutralized with inorganic and organic acids by the appropriate neutralization of acids with inorganic and organic bases, respectively by quaternization of amines to quaternary ammonium salts as therapeutic agents. for the treatment of erectile dysfunction (impotence). 12. Savienojumiem pēc formulas (1) saskaņā ar 10. un 11. punktiem ar asimetrisku oglekļa atomu šo savienojumu izmantošana D-formā, L-formā un D.L-maisījumā, kā ari savienojumu pēc formulas (1) gadījumā saskaņā ar 10. vai 11. punktu ar vairākiem asimetriskiem oglekļa atomiem dvielas ārstniecības līdzekļu izgatavošanai erekcijas disfunkcijas (impotences) ārstēšanai.Use of compounds of formula (1) according to claims 10 and 11 with asymmetric carbon atoms in the D-form, L-form and DL-mixture, as well as the compound of formula (1) according to claim 10 or 11 A compound having several asymmetric carbon atoms for the manufacture of a towel for the treatment of erectile dysfunction (impotence). 13. No savienojumiem pēc formulas (1) saskaņā ar 10., 11. vai 12. punktu īpaši sekojošo savienojumu izmantošana:Use of the compounds of formula (1) according to claim 10, 11 or 12, in particular the following: 8-metoksi-3 -metil-1 -propil-imidazof 1,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-3-methyl-1-propylimidazo [1,5-a] -pyrido [3,2-e] -pyrazinone; 8-metoksi-imidazo[l,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-imidazo [1,5-a] -pyrido [3,2-e] -pyrazinone; 8-metoksi-3-metil-imidazo[l,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-3-methylimidazo [1,5-a] pyrido [3,2-e] pyrazinone; 8-metoksi-l-metil-imidazo[l,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-1-methylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 8-metoksi-1 -propil-imidazof 1,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-1-propylimidazo [1,5-a] -pyrido [3,2-e] -pyrazinone; l-etil-8-hidroksi-3-metil-imidazo[l,5-a]-pirido[3,2-e]-pirazinons;1-ethyl-8-hydroxy-3-methylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 1 -etil-8-metoksi-3-metil-imidazo[ 1,5-a]-pirido[3,2-e]-pirazinons;1-ethyl-8-methoxy-3-methylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 1 -etil-8-(3-hidroksipropoksi)-3-metil-imidazo[l ,5-a]-pirido[3,2-e]pirazinons;1-ethyl-8- (3-hydroxypropoxy) -3-methylimidazo [1,5-a] pyrido [3,2-e] pyrazinone; 1 -etil-3-metil-8-(2-oksopropoksi)-imidazo[ 1,5-a]-pirido[3,2-e]pirazinons;1-ethyl-3-methyl-8- (2-oxopropoxy) -imidazo [1,5-a] pyrido [3,2-e] pyrazinone; 1 -etil-3-metil-(2-piridilmetoksi)-imidazo[ 1,5-a]-pirido[3,2-e]pirazinons;1-ethyl-3-methyl- (2-pyridylmethoxy) -imidazo [1,5-a] pyrido [3,2-e] pyrazinone; 8-metoksi-1 -fenil- imidazo[ 1,5 -a] -pirido[3,2-e] -pirazinons;8-methoxy-1-phenylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 8-metoksi-3-fenil- imidazo[ 1,5-a]-pirido[3,2-e]-pirazinons.8-methoxy-3-phenylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone. 14. Ārstniecības līdzekļi, kuri satur vienu vai vairākus savienojumus saskaņā ar 10. lidz 12. punktiem paralēli parastajiem fizioloģiski savietojamiem nesējiem un/vai atšķaidīšanas līdzekļiem, respektīvi, palīgvielām.Medicaments containing one or more compounds according to claims 10 to 12 in parallel with conventional physiologically compatible carriers and / or diluents, respectively adjuvants. 15. Paņēmiens ārstniecisko līdzekļu saskaņā ar 14. punktu pagatavošanai, atšķiras arto, ka viens vai vairāki savienojumi saskaņā ar 10., 11. vai 12. punktu kopā ar izmantojamajām farmaceitiskajām nesēj vielām un/vai atšķaidīšanas līdzekļiem, vai palīgvielām, tiek pārstrādāti farmaceitiskos preparātos vai terapeitiski izmantojamās formās.15. A process for the preparation of a medicament according to claim 14, wherein the one or more compounds according to claim 10, 11 or 12 together with the pharmaceutical carriers and / or diluents or excipients used are processed into pharmaceutical preparations. or in therapeutically useful forms. 16. Vispārējās formulas (1) savienojumu izmantošana saskaņā arUse of compounds of general formula (1) according to 10., 11. vai 12. punktu un/vai farmaceitisko preparātu saskaņā ar10, 11 or 12 and / or a pharmaceutical preparation according to 14. vai 15. punktu vieni paši vai kombinācijā viens ar otru vai kombinācijā ar nesējvielām un/vai atšķaidīšanas līdzekļiem vai citām palīgvielām.14 or 15 alone or in combination with one another or in combination with carriers and / or diluents or other excipients. 17. Savienojumu izmantošana saskaņā ar 10., 11. vai 12. punktu kā terapeitiskas iedarbīgās vielas ārstniecisko līdzekļu izgatavošanai erekcijas disfunkcijas (impotences) ārstēšanai saskaņā ar 14. vai 16. punktu īpaši priekšroka tiek dota orālai, parenterālai, buccaler vai subligvālai lietošanai.Use of compounds according to claim 10, 11 or 12 as therapeutic active substances for the manufacture of a medicament for the treatment of erectile dysfunction (impotence) according to claim 14 or 16, with particular preference for oral, parenteral, buccaler or sublingual use. 18. Savienojumu izmantošana saskaņā ar 10., 11., vai 12. punktu kā veterinārmedicīnas terapijas līdzekļus vīriešu kārtas zīdītāju erekcijas disfunkcijas (impotences) profilaksei un terapijai.Use of the compounds according to claim 10, 11 or 12 as veterinary therapeutic agents for the prophylaxis and treatment of erectile dysfunction (impotence) in male mammals. 19. Imidazo[l,5-A]-pirido[3,2-e]-pirazinona pēc formulas (1) izmantošana н19. Use of imidazo [1,5-a] -pyrido [3,2-e] -pyrazinone according to formula (1) kurwhere Α-aizvieto О vai NH,Α-replaces О or NH, 1 о1 о R , R var būt vienādi vai dažādi un var nozīmēt ūdeņraža atomu, kā arīR, R may be the same or different and may represent a hydrogen atom as well -Ci ...5-alkilgrupu, nesazarotu vai sazarotu ķēdi, eventuāli vienreiz vai vairākkārt aizvietotu ar -ОН, -SH, -NH2, -NO2, -CN, -COOH, -F, -Cl, -Br, -I, -Ο-Ci 6-alkilgrupu, -S-Ci 6-alkilgrupu un-Ci ... 5-alkyl, unbranched or branched, optionally substituted once or more with -O, -SH, -NH 2, -NO 2, -CN, -COOH, -F, -Cl, -Br, -I, -S-C 1-6 alkyl, -S-C 1-6 alkyl, and R3 var nozīmēt ūdeņraža atomu, kā arīR 3 can mean a hydrogen atom as well -Cj 5-alkilgrupu, nesazarotu vai sazarotu ķēdi, eventuāli vienreiz vai vairākkārt aizvietotiu ar -OH, -SH, -NH2, -NO2, -CN, -COOH, -F, -Cl, -Br, -I, -Ο-Ci . 6-alkilgrupu, -S-Ci...6-alkilgrupu vai fenilgrupu kā terapeitisku iedarbīgo vielu ārstniecības līdzekļu izgatavošanai sirds nepietiekamības, pulmonālās hipertonijas un asinsvadu saslimšanu ārstēšanai, kuras noris vienlaikus ar pavājinātu apasiņošanu.Phosphite 5-alkyl, straight or branched chain, optionally substituted one or more times by -OH, -SH, -NH 2, -NO 2, -CN, -COOH, -F, -Cl, -Br, -I, - Ο-Ci. 6-alkyl, -S-C 1-6 -alkyl, or phenyl as therapeutic active substances for the treatment of congestive heart failure, pulmonary hypertension and vascular disorders. 20. Fizioloģiski savietojamu sāļu izmantošana savienojumos pēc formulas (1) saskaņā ar 19. punktu, kas raksturīga ar bāzu neitralizāciju ar neorganiskām vai organiskām skābēm attiecīgi skābju neitralizāciju ar neorganiskām vai organiskām bāzēm attiecīgi terciāru amīnu kvatemizāciju amonija sāļos, kā terapeitisku iedarbīgo vielu ārstniecības līdzekļu izgatavošanai sirds nepietiekamības, pulmonālās hipertonijas un asinsvadu saslimšanas ārstēšanai, kas noris vienlaikus ar pavājinātu apasiņošanu.The use of physiologically compatible salts in the compounds of formula (1) according to claim 19, characterized by the neutralization of bases with inorganic or organic acids, respectively, by the quaternization of tertiary amines in ammonium salts, as therapeutic agents for the preparation of therapeutic agents. for the treatment of heart failure, pulmonary hypertension and vascular disease, which occurs in association with impaired bleeding. 21. Savienojumiem pēc formulas (1) saskaņā ar 19. vai 20. punktu ar asimetrisku oglekļa atomu šo savienojumu izmantošana D-formā, L-formā, D.L-maisījumā kā arī savienojumu pēc formulas (1) gadījumā saskaņā ar 19. vai 20. punktu ar vairākiem asimetriskiem oglekļa atomiem diastereomeroformu unto maisījumu izmantošana kā terapeitisku iedarbīgo vielu ārstniecības līdzekļu izgatavošanai sirds epietiekamības, pulmonālās hipertonijas un asinsvadu saslimšanas ārstēšanai, kas noris vienlaikus ar pavājinātu apasiņošanu.Use of the compounds of formula (1) according to claim 19 or 20 with asymmetric carbon atoms in the D-form, the L-form, in the DL mixture as well as in the case of the compounds of formula (1) according to claim 19 or 20. Use of mixtures of diastereomeric forms with several asymmetric carbon atoms as therapeutic active substances for the manufacture of a medicament for the treatment of cardiac insufficiency, pulmonary hypertension and vascular disease accompanied by impaired bleeding. 22. No savienojumiem pēc formulas (1) saskaņā ar 19.,20. vai 12. punktu īpaši viens no sekojošajiem savienojumiem izmantošana:Compounds of formula (1) according to claims 19, 20. or 12, using one of the following compounds, in particular: 8-metoksi-3-metil-l-propil-imidazo[l,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-3-methyl-1-propylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 8-metoksi-imidazo[l,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-imidazo [1,5-a] -pyrido [3,2-e] -pyrazinone; 8-metoksi-3 -metil-imidazo [ 1,5 -a] -pirido [3,2-e] -pirazinons;8-methoxy-3-methylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 8-metoksi-1 -metil-imidazoļ 1,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-1-methylimidazol-1,5-a] -pyrido [3,2-e] -pyrazinone; 8-metoksi-l -propil-imidazoļ 1,5-a]-pirido[3,2-e]-pirazinons;8-methoxy-1-propylimidazol-1,5-a] -pyrido [3,2-e] -pyrazinone; 1 -etil-8-hidroksi-3-metil-imidazo[ 1,5-a]-pirido[3,2-e]-pirazinons;1-ethyl-8-hydroxy-3-methylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 1 -etil-8-metoksi-3-metil-imidazo[ 1,5-a]-pirido[3,2-e]-pirazinons;1-ethyl-8-methoxy-3-methylimidazo [1,5-a] pyrido [3,2-e] -pyrazinone; 8-benzilamino-1 -etil-3 -metil-imidazoļ 1,5 -a]-pirido[3,2-e] -pirazinons;8-benzylamino-1-ethyl-3-methylimidazol-1,5-a] pyrido [3,2-e] -pyrazinone; l-etil-8-(3-hidroksipropoksi)-3-metil-imidazo[l,5-a]-pirido[3,2-e]pirazinons.1-ethyl-8- (3-hydroxypropoxy) -3-methylimidazo [1,5-a] pyrido [3,2-e] pyrazinone. 23. Savienojumu pēc formulas (1) saskaņā ar 19., 20., 21. vai 22. punktu izmantošana kā terapeitisku iedarbīgo vielu ārstniecības līdzekļu izgatavošanai sirds nepietiekamības, pulmonālās hipertonijas un asinsvadu saslimšanas ārstēšanai, kas noris vienlaikus ar pavājinātu apasiņošanu, kas raksturīga ar to, ka ar šiem savienojumiem divējādi - vienlaikus un vienlīdz stipri - tiek inhibēta fosfodiesterase 3 un fosfodiesterase 5, ar ko tiek panākta pozitīva inotropa iedarbības uz sirdi kombinēta ar dekompensējošu arteriālo asinsvadu paplašināšanos vienas un tās pašas iedarbīgās vielas ietekmē.Use of a compound of formula (1) according to claim 19, 20, 21 or 22 as a therapeutically active substance for the manufacture of a medicament for the treatment of heart failure, pulmonary hypertension and vascular disease, which is accompanied by the reduced bleeding characteristic. the fact that these compounds inhibit phosphodiesterase 3 and phosphodiesterase 5 in two ways, simultaneously and equally potently, resulting in a positive inotropic effect on the heart combined with decompensating dilation of the arterial blood vessels under the influence of the same active substance. 24. Ārstnieciskie līdzekļi, kuri satur vienu vai vairākus savienojumus saskaņā ar 19., 20., 21. vai 22. punktu paralēli parastajiem fizioloģiski savietojamajiem nesējiem un/vai atšķaidītājiem attiecīgi palīgvielām.24. Medicaments comprising one or more compounds according to claim 19, 20, 21 or 22, in parallel with conventional physiologically compatible carriers and / or diluents, respectively, excipients. 25. Paņēmiens ārstniecisko līdzekļu sagatavošanai saskaņā ar 25. punktu, raksturīgs ar to, ka viens vai vairāki savienojumi saskaņā ar 19., 20., 21. vai 22. punktu ar pielietojamām farmaceitiskām nesējvielām un/vai atšķaidītājiem attiecīgi citām palīgvielām tiek pārstrādāti farmaceitiskos izstrādājumos vai terapeitiski izmantojamā formā.A process for the preparation of a medicament according to claim 25, characterized in that one or more compounds according to claim 19, 20, 21 or 22 are used in the pharmaceutical preparations, respectively, with the applicable pharmaceutical carriers and / or diluents. or in a therapeutically useful form. 26. Vispārējās formulas (1) savienojumu izmantošana saskaņā ar 19., 20., 21. vai 22. punktu un/vai farmaceitiski produktu saskaņā ar 23. vai 24. punktu vienu vai kombinācijā ar nesējvielām un/vai atšķaidītājiem vai citām palīgvielām.Use of compounds of general formula (1) according to claim 19, 20, 21 or 22 and / or of a pharmaceutical product according to claim 23 or 24, alone or in combination with carriers and / or diluents or other excipients. 27. Savienojumu saskaņā ar 19., 20., 21. vai 22. punktu kā terapeitisko iedarbīgo vielu izmantošana ārstniecisko līdzekļu izgatavošanai sirds nepietiekamības, pulmonālās hipertonijas un asinvadu saslimšanu ārstēšanai, kas noris ar pazeminātu apasiņošanu, īpaši piemērota orālai, intravenozai, intramuskulārai, zemādas, parenterālai, buccal vai sublingvālai lietošanai.Use of a compound according to claim 19, 20, 21 or 22 as therapeutic active ingredients for the manufacture of a medicament for the treatment of cardiac insufficiency, pulmonary hypertension and vascular hyporesponsiveness, particularly suitable for oral, intravenous, intramuscular, subcutaneous , parenteral, buccal or sublingual use.
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