NO313935B1 - Anvendelse av angiotensin II antagonister for fremstilling av et medikamentfor behandling av svekket nerveledningshastighet, s¶rligdiabetisk nevropati - Google Patents
Anvendelse av angiotensin II antagonister for fremstilling av et medikamentfor behandling av svekket nerveledningshastighet, s¶rligdiabetisk nevropati Download PDFInfo
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- NO313935B1 NO313935B1 NO19943846A NO943846A NO313935B1 NO 313935 B1 NO313935 B1 NO 313935B1 NO 19943846 A NO19943846 A NO 19943846A NO 943846 A NO943846 A NO 943846A NO 313935 B1 NO313935 B1 NO 313935B1
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- tetrazol
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- conduction velocity
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- 230000001771 impaired effect Effects 0.000 title claims abstract description 12
- 229940123413 Angiotensin II antagonist Drugs 0.000 title claims abstract description 6
- 208000032131 Diabetic Neuropathies Diseases 0.000 title claims abstract description 6
- 239000002333 angiotensin II receptor antagonist Substances 0.000 title claims abstract description 6
- 230000007830 nerve conduction Effects 0.000 title claims description 19
- 239000003814 drug Substances 0.000 title claims description 11
- 229940079593 drug Drugs 0.000 title claims description 7
- 239000005557 antagonist Substances 0.000 claims description 20
- 150000003839 salts Chemical class 0.000 claims description 17
- 150000001875 compounds Chemical class 0.000 claims description 12
- 230000000694 effects Effects 0.000 claims description 9
- 230000002265 prevention Effects 0.000 claims description 8
- 238000004519 manufacturing process Methods 0.000 claims description 6
- -1 2'-(1H-tetrazol-5-yl)biphenyl-4-yl Chemical group 0.000 claims description 5
- 230000002969 morbid Effects 0.000 claims description 5
- AWZMTWHHQXOWQR-UHFFFAOYSA-N 2-ethyl-4-[[4-[2-(2h-tetrazol-5-yl)phenyl]phenyl]methoxy]-5,6,7,8-tetrahydroquinoline Chemical compound C=12CCCCC2=NC(CC)=CC=1OCC(C=C1)=CC=C1C1=CC=CC=C1C1=NN=NN1 AWZMTWHHQXOWQR-UHFFFAOYSA-N 0.000 claims description 3
- FSJCYXPMWQPVOS-UHFFFAOYSA-N 2-ethyl-4-[[4-[2-(2h-tetrazol-5-yl)phenyl]phenyl]methoxy]quinoline Chemical compound C=12C=CC=CC2=NC(CC)=CC=1OCC(C=C1)=CC=C1C1=CC=CC=C1C=1N=NNN=1 FSJCYXPMWQPVOS-UHFFFAOYSA-N 0.000 claims description 3
- PSIFNNKUMBGKDQ-UHFFFAOYSA-N losartan Chemical compound CCCCC1=NC(Cl)=C(CO)N1CC1=CC=C(C=2C(=CC=CC=2)C=2NN=NN=2)C=C1 PSIFNNKUMBGKDQ-UHFFFAOYSA-N 0.000 claims description 3
- XOJFGOXJJNGYHP-UHFFFAOYSA-N 2-butyl-5-methyl-3-[4-[2-(2h-tetrazol-5-yl)phenyl]phenyl]imidazo[4,5-b]pyridine Chemical compound CCCCC1=NC2=CC=C(C)N=C2N1C(C=C1)=CC=C1C1=CC=CC=C1C1=NN=NN1 XOJFGOXJJNGYHP-UHFFFAOYSA-N 0.000 claims description 2
- ABWBGQRWTFBXJA-UHFFFAOYSA-N 2-ethyl-5,6,7-trimethyl-3-[4-[2-(2h-tetrazol-5-yl)phenyl]phenyl]imidazo[4,5-b]pyridine Chemical compound CCC1=NC2=C(C)C(C)=C(C)N=C2N1C(C=C1)=CC=C1C1=CC=CC=C1C1=NN=NN1 ABWBGQRWTFBXJA-UHFFFAOYSA-N 0.000 claims description 2
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 2
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims 1
- 239000003795 chemical substances by application Substances 0.000 abstract description 2
- 201000010099 disease Diseases 0.000 abstract 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract 2
- 230000001537 neural effect Effects 0.000 abstract 2
- 239000008194 pharmaceutical composition Substances 0.000 abstract 1
- 206010012601 diabetes mellitus Diseases 0.000 description 11
- 241001465754 Metazoa Species 0.000 description 6
- 238000000034 method Methods 0.000 description 5
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- BFVNEYDCFJNLGN-UHFFFAOYSA-N 5,7-diethyl-1-[[4-[2-(2H-tetrazol-5-yl)phenyl]phenyl]methyl]-3,4-dihydro-1,6-naphthyridin-2-one Chemical compound O=C1CCC=2C(CC)=NC(CC)=CC=2N1CC(C=C1)=CC=C1C1=CC=CC=C1C=1N=NNN=1 BFVNEYDCFJNLGN-UHFFFAOYSA-N 0.000 description 2
- SMWDFEZZVXVKRB-UHFFFAOYSA-N Quinoline Chemical compound N1=CC=CC2=CC=CC=C21 SMWDFEZZVXVKRB-UHFFFAOYSA-N 0.000 description 2
- 241000700159 Rattus Species 0.000 description 2
- 230000037396 body weight Effects 0.000 description 2
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- QCQCHGYLTSGIGX-GHXANHINSA-N 4-[[(3ar,5ar,5br,7ar,9s,11ar,11br,13as)-5a,5b,8,8,11a-pentamethyl-3a-[(5-methylpyridine-3-carbonyl)amino]-2-oxo-1-propan-2-yl-4,5,6,7,7a,9,10,11,11b,12,13,13a-dodecahydro-3h-cyclopenta[a]chrysen-9-yl]oxy]-2,2-dimethyl-4-oxobutanoic acid Chemical compound N([C@@]12CC[C@@]3(C)[C@]4(C)CC[C@H]5C(C)(C)[C@@H](OC(=O)CC(C)(C)C(O)=O)CC[C@]5(C)[C@H]4CC[C@@H]3C1=C(C(C2)=O)C(C)C)C(=O)C1=CN=CC(C)=C1 QCQCHGYLTSGIGX-GHXANHINSA-N 0.000 description 1
- LFEFVHFVYIXKME-UHFFFAOYSA-N 5,7-diethyl-1-[[4-[2-(2h-tetrazol-5-yl)phenyl]phenyl]methyl]-1,6-naphthyridin-2-one Chemical compound O=C1C=CC=2C(CC)=NC(CC)=CC=2N1CC(C=C1)=CC=C1C1=CC=CC=C1C1=NN=NN1 LFEFVHFVYIXKME-UHFFFAOYSA-N 0.000 description 1
- 208000003130 Alcoholic Neuropathy Diseases 0.000 description 1
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- 206010007559 Cardiac failure congestive Diseases 0.000 description 1
- 229940126062 Compound A Drugs 0.000 description 1
- 206010019280 Heart failures Diseases 0.000 description 1
- NLDMNSXOCDLTTB-UHFFFAOYSA-N Heterophylliin A Natural products O1C2COC(=O)C3=CC(O)=C(O)C(O)=C3C3=C(O)C(O)=C(O)C=C3C(=O)OC2C(OC(=O)C=2C=C(O)C(O)=C(O)C=2)C(O)C1OC(=O)C1=CC(O)=C(O)C(O)=C1 NLDMNSXOCDLTTB-UHFFFAOYSA-N 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- ZSJLQEPLLKMAKR-UHFFFAOYSA-N Streptozotocin Natural products O=NN(C)C(=O)NC1C(O)OC(CO)C(O)C1O ZSJLQEPLLKMAKR-UHFFFAOYSA-N 0.000 description 1
- 206010067722 Toxic neuropathy Diseases 0.000 description 1
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- 239000002253 acid Substances 0.000 description 1
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- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 210000003423 ankle Anatomy 0.000 description 1
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- 125000000319 biphenyl-4-yl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1C1=C([H])C([H])=C([*])C([H])=C1[H] 0.000 description 1
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- 210000004013 groin Anatomy 0.000 description 1
- 229940126904 hypoglycaemic agent Drugs 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
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- 208000019382 nerve compression syndrome Diseases 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- XAEFZNCEHLXOMS-UHFFFAOYSA-M potassium benzoate Chemical compound [K+].[O-]C(=O)C1=CC=CC=C1 XAEFZNCEHLXOMS-UHFFFAOYSA-M 0.000 description 1
- NLJMYIDDQXHKNR-UHFFFAOYSA-K sodium citrate Chemical compound O.O.[Na+].[Na+].[Na+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O NLJMYIDDQXHKNR-UHFFFAOYSA-K 0.000 description 1
- 239000001509 sodium citrate Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- ZSJLQEPLLKMAKR-GKHCUFPYSA-N streptozocin Chemical compound O=NN(C)C(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O ZSJLQEPLLKMAKR-GKHCUFPYSA-N 0.000 description 1
- 229960001052 streptozocin Drugs 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 230000003313 weakening effect Effects 0.000 description 1
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
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- 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
- A61K31/4164—1,3-Diazoles
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- 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
- A61K31/415—1,2-Diazoles
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- A61K31/4353—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems
- A61K31/4375—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom ortho- or peri-condensed with heterocyclic ring systems the heterocyclic ring system containing a six-membered ring having nitrogen as a ring heteroatom, e.g. quinolizines, naphthyridines, berberine, vincamine
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Description
Teknisk område
Foreliggende oppfinnelse angår anvendelse av forbindelser med angiotensin II antagonist-aktivitet (herefter betegnet "All antagonister") for fremstilling av et medikament for anvendelse ved behandling eller forhindring av sykelige tilstander knyttet til svekket nervelednings-hastighet.
Bakgrunn for oppfinnelsen
Svekket nervelednings-hastighet er et trekk ved forstyr-ret nervefunksjon som ofte finnes f.eks. hos diabetiske pasi-enter, og ved sykelige tilstander så som alkoholisk, toksisk eller kompresjons-nevropati. Et middel som forhindrer eller reverserer svekkelse av nervelednings-hastigheten, kan følge-lig ha en gunstig virkning ved behandling eller forhindring av slike medisinske tilstander hvor nerveledningshastigheten er redusert, f.eks. diabetisk nevropati. Vi har nu overraskende funnet at svekket nerveledningshastighet hos en diabetisk rotte blir betydelig bedret ved administrering av en All antagonist.
Beskrivelse av oppfinnelsen
Ifølge oppfinnelsen tilveiebringes en anvendelse av en angiotensin II antagonist eller et farmasøytisk godtagbart salt derav, for fremstilling av et medikament for behandling eller forhindring av utvikling av sykelige tilstander knyttet til svekket nerveledningshastighet hos et varmblodig dyr (innbefattet mennesket) som trenger slik behandling.
Typiske All antagonister som er nyttige for oppfinnelsen, omfatter: (a) 2-butyl-4-klor-5-hydroksymetyl-l-[(2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]imidazol beskrevet i europeisk patent-søknad (EPA), publikasjon nr. 253310; (b) 2-butyl-3-(2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)-metyl-3H-imidazo[4,5-b]pyridin beskrevet i EPA, publikasjon nr. 399731; (c) 5,7-dimetyl-2-etyl-3-(2' -(tetrazol-5-yl)bifenyl-4-yl)-metyl-3H-imidazo[4,5-b]pyridin beskrevet i EPA, publikasjon nr. 400974; (d) 1-[[3-brom-2-[2-(lH-tetrazol-5-yl)fenyl]-5-benzofuranyl]-metyl-2-butyl-4-klor-lH-imidazol-5-karboksylsyre beskrevet i EPA, publikasjon nr. 434249; (e) 2-etyl-4-[(2•-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)-metoksy]kinolin beskrevet i EPA, publikasjon nr. 412848; (f) 2-etyl-5,6,7,8-tetrahydro-4-[(2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)metoksy]kinolin beskrevet i EPA, publikasjon nr. 453210; (g) 5,7-dietyl-l-[(2(lH-tetrazol-5-yl)bifenyl-4-yl)metyl] - 1,6-naftyridin-2(1H)-on beskrevet i EPA, publikasjon nr. 516392; og (h) 5,7-dietyl-l-[(2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]-1,2,3,4-tetrahydro-l,6-naftyridin-2-on beskrevet i EPA, publikasjon nr. 516392;
og farmasøytisk godtagbare salter derav.
Ytterligere All antagonister omfatter de som er beskrevet i EPA, publikasjon nr. 253310, 323841, 324377, 399731, 400974, 401030, 403158, 403159, 407102, 407342, 409332, 411507, 411766, 412594, 412848, 415886, 419048, 420237, 424317, 425921, 425211, 426021, 427463, 429257, 430709, 430300, 434249, 432737, 434038, 435827, 437103, 438869, 442473, 443983, 443568, 445811, 446062, 449699, 450566, 453210, 454511, 454831, 456442, 459136, 456442, 456510, 461039, 461040, 465323, 465368, 467207, 467715, 468372, 468470, 470543, 475206, 475898, 479479, 480204, 480659, 481448, 481614, 483683, 485929, 487252, 487745, 488532, 490587, 490820, 492105, 497121, 497150, 497516, 498721, 498722, 498723, 499414, 499415, 499416, 500297, 500409, 501269, 501892, 502314, 502575, 502725, 503162, 503785, 503838, 504888, 505098, 505111, 505893, 505954, 507594, 508393, 508445, 508723, 510812, 510813, 511767, 511791, 512675, 512676, 512870, 513533, 513979, 514192, 514193, 514197, 514198, 514216, 514217, 515265, 515357, 515535, 515546, 515548, 516392, 517357, 517812, 518033, 518931, 520423, 520723, 520724, 521768, 522038, 523141, 526001,
527534 og 528762. Andre All antagonister omfatter de som er beskrevet i de internasjonale patentsøknader, publikasjon nr. WO91/00277, WO91/00281, WO91/11909, W091/11999, WO91/12001, WO91/12002, WO91/13063, WO91/15209, W091/15479, W091/16313, W091/17148, W091/18888, W091/19697, W091/19715, WO92/00067, WO92/00068, WO92/00977, WO92/02510, WO92/04335, WO92/04343, WO92/05161, WO92/06081, WO92/07834, WO92/07852, WO92/09278, WO92/09600, WO92/10189, W092/11255, W092/14714, W092/16523, W092/16552, W092/17469, WO92/18092, W092/19211, WO92/20651, WO92/20660, WO92/20687, W092/21666, W092/22533, WO93/00341, WO93/01177, WO93/03018, WO93/03033 og WO93/03040.
Før foreliggende oppfinnelse har All antagonister vært angitt å være nyttige for f.eks. behandling av hypertensjon og kongestiv hjertesvikt. Det har imidlertid ikke vært foreslått at en forbindelse med All antagonist-aktivitet, eller et farmasøytisk godtagbart salt derav, kan anvendes for fremstilling av et medikament for anvendelse ved behandling eller for forhindring av utvikling av sykelige tilstander knyttet til svekket nerveledningshastighet.
I henhold til et ytterligere aspekt ved oppfinnelsen anvendes en forbindelse med All antagonist-aktivitet, eller et farmasøytisk godtagbart salt derav, for fremstilling av et medikament for anvendelse for å bedre svekket nervelednings-hastighet .
I henhold til et ytterligere aspekt ved oppfinnelsen anvendes en forbindelse med All antagonist-aktivitet, eller et farmasøytisk godtagbart salt derav, for fremstilling av et medikament for anvendelse ved behandling eller forhindring av diabetisk nevropati.
Foretrukne All antagonister for anvendelse ifølge oppfinnelsen omfatter: i) 2-butyl-4-klor-5-hydroksymetyl-l-[{2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]imidazol; ii) 2-etyl-4-[(2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)-metoksy]kinolin; iii) 2-etyl-5,6,7,8-tetrahydro-4-[{2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)metoksy]kinolin; iv) 5,7-dietyl-l-[(2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]-1,6-naftyridin-2(1H)-on; og (v) 5,7-dietyl-l-[(2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]-1,2,3,4-tetrahydro-l,6-naftyridin-2-on;
og farmasøytisk godtagbare salter derav.
En foretrukket All antagonist er forbindelse (ii).
Et foretrukket farmasøytisk godtagbart salt av forbindelse (i) er f.eks. et alkalimetallsalt, særlig kaliumsaltet.
Et foretrukket farmasøytisk godtagbart salt av forbindel-sene (ii), (iii), (iv) eller (v) er f.eks. et syreaddisjons-salt, særlig hydroklorid-saltet.
All antagonistene og de farmasøytisk godtagbare saltene derav kan f.eks. oppnås ved metoder angitt i de relevante europeiske og internasjonale patentsøknadene angitt ovenfor.
Ved anvendelse vil All antagonisten (eller et farmasøy-tisk godtagbart salt derav) generelt bli anvendt for fremstilling av et medikament for behandling eller forhindring av utvikling av svekket nerveledningshastighet hos et varmblodig dyr (innbefattet mennesket) som trenger slik behandling, i form av et vanlig farmasøytisk preparat, f.eks. som beskrevet i de relevante publiserte europeiske eller internasjonale patentsøknadene angitt ovenfor, og vanligvis i en form som er egnet for oral administrering (f.eks. som en tablett, kapsel, suspensjon eller oppløsning). Det vil forstås at en All antagonist kan administreres sammen med ett eller flere farma-søytiske midler som innen faget er kjent å være av verdi for behandling eller forhindring av medisinske tilstander hvor nerveledningshastigheten er redusert, så som diabetisk nevropati. I sistnevnte tilfelle kan et spesielt egnet farma-søytisk middel f.eks. være en aldose reduktase inhibitor eller et hypoglykemisk middel.
Generelt administreres All antagonisten (eller et farma-søytisk godtagbart salt derav) slik at f.eks. en daglig oral dose på opptil 50 mg/kg kroppsvekt (og fortrinnsvs opptil 10 mg/kg), eller en daglig parenteral dose på opptil 5 mg/kg kroppsvekt (og fortrinnsvis opptil 1 mg/kg), mottas, om nød-vendig gitt i oppdelte doser. Det vil imidlertid lett forstås at det kan være nødvendig å variere dosen av det terapeutiske middel som administreres, i henhold til velkjent medisinsk praksis, for å ta hensyn til typen og alvorlighetsgraden av den svekkede nerveledningshastigheten som behandles, og alder, vekt og kjønn til pasienten som får behandlingen.
Virkningene av en representativ forbindelse for anvendelse ifølge oppfinnelsen, er beskrevet i det følgende ikke-begrensende eksempel:
Eksempel 1
I henhold til en metode analog med den som er beskrevet av Cameron et al i Quarterly Journal of Experimental Physiology, 1989, 74, 917-926, ble voksne hannrotter delt inn i grupper på ikke-diabetiske dyr (normal kontroll-gruppe) og dyr som var gjort diabetiske (ved administrering av streptozotocin (40-45 mg/kg i 20 mmol/1 natriumcitrat-buffer, pH 4,5, i.p.). De diabetiske dyrene ble videre delt inn i to grupper. Efter 1 måned ble motor-nerveledningshastigheten hos en av de diabetiske gruppene (den diabetiske kontroll-gruppen 1) målt in vivo mellom hofteskålen og kneet på motor-grener som går til gastrocnemius og tibialis anterior-musklene i leggen, ved anvendelse av metoden beskrevet av Cameron et al (ibid) (ytterligere detaljer ved fremgangsmåtene er gitt i Experimental Neurology, 1986, 92, 757-761) . Sensor-nervelednings-hastigheten ble også målt for den diabetiske kontrollgruppen 1 i saphena-nerven mellom lysken og ankelen (igjen ved anvendelse av metoden ifølge Cameron et al (ibid)). Den resterende gruppen av diabetiske dyr ble videre delt inn i to grupper. En av disse gruppene ble daglig gitt 2-etyl-4-[(2(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)metoksy]kinolin-hydroklorid (Forbindelse A; 50 mg/kg) ved tvangsforing, mens den andre gruppen forble ubehandlet (diabetisk kontrollgruppe 2) . Efter ytterligere én måned ble motor- og sensor-nerveledningshastigheten målt som ovenfor både for den behandlede gruppen og den diabetiske kontrollgruppen 2. Disse verdiene ble sammenlignet med de tilsvarende nerveledningshastigheter funnet for den normale kontrollgruppen ved begynnelsen av undersøkelsen. De følgende nerveledningshastigheter (NLH) ble funnet for de relevante hofte-grener og for saphena-nerven.
Claims (5)
1. Anvendelse av en angiotensin II antagonist, eller et farmasøytisk godtagbart salt derav, for fremstilling av et medikament for anvendelse ved behandling eller forhindring av utvikling av sykelige tilstander knyttet til svekket nerveledningshastighet .
2. Anvendelse av en forbindelse med All antagonist-aktivitet, eller et farmasøytisk godtagbart salt derav, for fremstilling av et medikament for anvendelse for å bedre svekket nerveledningshastighet.
3. Anvendelse av en forbindelse med All antagonist-aktivitet, eller et farmasøytisk godtagbart salt derav, for fremstilling av et medikament for anvendelse ved behandling eller forhindring av diabetisk nevropati.
4. Anvendelse av en forbindelse med All antagonist-aktivitet som angitt i et av kravene 1, 2 eller 3, karakterisert ved at All antagonisten er valgt fra (a) 2-butyl-4-klor-5-hydroksymetyl-l-[(2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]imidazol; (b) 2-butyl-3-(2'-(lH-l,2,3,4-tetrazol-5-yl)bifenyl-4-yl)-metyl-3H-imidazo[4,5-b]pyridin; (c) 5,7-dimetyl-2-etyl-3-{2'-(tetrazol-5-yl)bifenyl-4-yl)-metyl-3H-imidazo[4,5-b]pyridin; (d) 1-[[3-brom-2-[2-(lH-tetrazol-5-yl)fenyl]-5-benzofuranyl]-metyl-2-butyl-4-klor-1H-imidazol-5-karboksylsyre; (e) 2-etyl-4-[(2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)-metoksy]kinolin; (f) 2-etyl-5,6,7,8-tetrahydro-4-[(2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)metoksy]kinolin; (g) 5,7-dietyl-l-[(2'-(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]-1,6-naftyridin-2C1H)-on; og (h) 5,7-dietyl-l-[(2(lH-tetrazol-5-yl)bifenyl-4-yl)metyl]-1,2,3,4-tetrahydro-l,6-naftyridin-2-on;
eller et farmasøytisk godtagbart salt derav.
5. Anvendelse av en forbindelse med All antagonist-aktivitet som angitt i krav 1, 2 eller 3, karakterisert ved at All antagonisten er 2-etyl-4-[{2'-(1H-1,2,3,4-tetrazol-5-yl)bifenyl-4-yl)metoksy]kinolin, eller et farmasøy-tisk godtagbart salt derav.
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GB929208116A GB9208116D0 (en) | 1992-04-13 | 1992-04-13 | Therapeutic agents |
GB929211289A GB9211289D0 (en) | 1992-05-28 | 1992-05-28 | Heterocyclic therapeutic agents |
PCT/GB1993/000732 WO1993020816A1 (en) | 1992-04-13 | 1993-04-07 | Angiotensin ii antagonists against disorders associated with impaired neuronal conduction velocity, especially diabetic neuropathy |
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WO1997031634A1 (en) | 1996-02-29 | 1997-09-04 | Novartis Ag | At1 receptor antagonist for the stimulation of apoptosis |
SK283348B6 (sk) * | 1996-04-05 | 2003-06-03 | Takeda Chemical Industries, Ltd. | Farmaceutický prípravok obsahujúci zlúčeninu s antagonickým účinkom na angiotenzín II |
US6465502B1 (en) | 1998-12-23 | 2002-10-15 | Novartis Ag | Additional therapeutic use |
CA2351357A1 (en) | 1998-12-23 | 2000-07-06 | Novartis Ag | Use of at-1 receptor antagonist or at-2 receptor modulator for treating diseases associated with an increase of at-1 or at-2 receptors |
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US6211217B1 (en) | 1999-03-16 | 2001-04-03 | Novartis Ag | Method for reducing pericardial fibrosis and adhesion formation |
DE10335027A1 (de) | 2003-07-31 | 2005-02-17 | Boehringer Ingelheim Pharma Gmbh & Co. Kg | Verwendung von Angiotensin II Rezeptor Antagonisten |
EP1830869B1 (en) | 2004-12-24 | 2013-05-22 | Spinifex Pharmaceuticals Pty Ltd | Method of treatment or prophylaxis |
US20130131007A1 (en) | 2005-09-07 | 2013-05-23 | Bebaas, Inc. | Vitamin b12 compositions |
AU2007229322B2 (en) | 2006-03-20 | 2012-04-05 | Novartis Ag | Method of treatment or prophylaxis inflammatory pain |
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DK0636027T3 (da) | 2000-01-31 |
WO1993020816A1 (en) | 1993-10-28 |
ATE181830T1 (de) | 1999-07-15 |
HUT71331A (en) | 1995-11-28 |
NO943846L (no) | 1994-10-12 |
AU3958993A (en) | 1993-11-18 |
NZ251741A (en) | 1997-06-24 |
JPH07505646A (ja) | 1995-06-22 |
CA2132544A1 (en) | 1993-10-28 |
DE69325574D1 (de) | 1999-08-12 |
ES2135472T3 (es) | 1999-11-01 |
KR100292396B1 (no) | 2001-09-17 |
HU9402932D0 (en) | 1995-02-28 |
EP0872235A1 (en) | 1998-10-21 |
NO943846D0 (no) | 1994-10-12 |
EP0636027B1 (en) | 1999-07-07 |
DE69325574T2 (de) | 2000-03-16 |
GR3031261T3 (en) | 1999-12-31 |
CA2132544C (en) | 2005-10-18 |
AU675935B2 (en) | 1997-02-27 |
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