RU2011128013A - Композиции ингибиторов тирозинкиназных рецепторов белков - Google Patents
Композиции ингибиторов тирозинкиназных рецепторов белков Download PDFInfo
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- RU2011128013A RU2011128013A RU2011128013/04A RU2011128013A RU2011128013A RU 2011128013 A RU2011128013 A RU 2011128013A RU 2011128013/04 A RU2011128013/04 A RU 2011128013/04A RU 2011128013 A RU2011128013 A RU 2011128013A RU 2011128013 A RU2011128013 A RU 2011128013A
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- Prior art keywords
- oxo
- dihydro
- propyl
- methyl
- carboxamide
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- 239000003112 inhibitor Substances 0.000 title claims 6
- 239000000203 mixture Substances 0.000 title 1
- 150000001875 compounds Chemical class 0.000 claims abstract 30
- -1 -CONRR Chemical group 0.000 claims abstract 22
- 125000001072 heteroaryl group Chemical group 0.000 claims abstract 19
- 150000003839 salts Chemical class 0.000 claims abstract 19
- 239000012453 solvate Substances 0.000 claims abstract 19
- 125000003710 aryl alkyl group Chemical group 0.000 claims abstract 17
- 125000004404 heteroalkyl group Chemical group 0.000 claims abstract 17
- 125000004446 heteroarylalkyl group Chemical group 0.000 claims abstract 15
- 229910052757 nitrogen Inorganic materials 0.000 claims abstract 15
- 229910052739 hydrogen Inorganic materials 0.000 claims abstract 12
- 239000001257 hydrogen Substances 0.000 claims abstract 12
- 229910052760 oxygen Inorganic materials 0.000 claims abstract 11
- 229910052717 sulfur Inorganic materials 0.000 claims abstract 11
- 125000002252 acyl group Chemical group 0.000 claims abstract 10
- 125000004453 alkoxycarbonyl group Chemical group 0.000 claims abstract 10
- 125000000217 alkyl group Chemical group 0.000 claims abstract 10
- 125000003118 aryl group Chemical group 0.000 claims abstract 10
- 125000005161 aryl oxy carbonyl group Chemical group 0.000 claims abstract 10
- 150000002431 hydrogen Chemical group 0.000 claims abstract 10
- 125000000547 substituted alkyl group Chemical group 0.000 claims abstract 10
- 125000003107 substituted aryl group Chemical group 0.000 claims abstract 10
- 229910052799 carbon Inorganic materials 0.000 claims abstract 7
- 125000004429 atom Chemical group 0.000 claims abstract 5
- 229910052736 halogen Inorganic materials 0.000 claims abstract 5
- 150000002367 halogens Chemical class 0.000 claims abstract 5
- 125000004433 nitrogen atom Chemical group N* 0.000 claims abstract 3
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims abstract 2
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims 26
- KXDAEFPNCMNJSK-UHFFFAOYSA-N benzene carboxamide Natural products NC(=O)C1=CC=CC=C1 KXDAEFPNCMNJSK-UHFFFAOYSA-N 0.000 claims 13
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 claims 12
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims 11
- DLFVBJFMPXGRIB-UHFFFAOYSA-N Acetamide Chemical compound CC(N)=O DLFVBJFMPXGRIB-UHFFFAOYSA-N 0.000 claims 10
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 claims 10
- 208000002193 Pain Diseases 0.000 claims 9
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims 8
- 125000004847 2-fluorobenzyl group Chemical group [H]C1=C([H])C(F)=C(C([H])=C1[H])C([H])([H])* 0.000 claims 6
- 208000035475 disorder Diseases 0.000 claims 6
- 239000002246 antineoplastic agent Substances 0.000 claims 5
- 201000010099 disease Diseases 0.000 claims 5
- 125000003852 3-chlorobenzyl group Chemical group [H]C1=C([H])C(=C([H])C(Cl)=C1[H])C([H])([H])* 0.000 claims 4
- 125000006180 3-methyl benzyl group Chemical group [H]C1=C([H])C(=C([H])C(=C1[H])C([H])([H])[H])C([H])([H])* 0.000 claims 4
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- 101150111783 NTRK1 gene Proteins 0.000 claims 4
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 claims 4
- 125000004210 cyclohexylmethyl group Chemical group [H]C([H])(*)C1([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])C1([H])[H] 0.000 claims 4
- 238000000034 method Methods 0.000 claims 4
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- 208000024891 symptom Diseases 0.000 claims 4
- 102000008130 Cyclic AMP-Dependent Protein Kinases Human genes 0.000 claims 3
- 108010049894 Cyclic AMP-Dependent Protein Kinases Proteins 0.000 claims 3
- 206010028980 Neoplasm Diseases 0.000 claims 3
- 239000000556 agonist Substances 0.000 claims 3
- 230000003444 anaesthetic effect Effects 0.000 claims 3
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 claims 3
- 201000011510 cancer Diseases 0.000 claims 3
- 229940079593 drug Drugs 0.000 claims 3
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- 208000011580 syndromic disease Diseases 0.000 claims 3
- 208000030507 AIDS Diseases 0.000 claims 2
- 208000007848 Alcoholism Diseases 0.000 claims 2
- WPYMKLBDIGXBTP-UHFFFAOYSA-N Benzoic acid Natural products OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 claims 2
- 239000005711 Benzoic acid Substances 0.000 claims 2
- 208000016192 Demyelinating disease Diseases 0.000 claims 2
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims 2
- 239000004471 Glycine Substances 0.000 claims 2
- 206010061218 Inflammation Diseases 0.000 claims 2
- 102000012777 Metabotropic Glutamate 5 Receptor Human genes 0.000 claims 2
- 108010065028 Metabotropic Glutamate 5 Receptor Proteins 0.000 claims 2
- 229940121954 Opioid receptor agonist Drugs 0.000 claims 2
- 208000027418 Wounds and injury Diseases 0.000 claims 2
- 230000002159 abnormal effect Effects 0.000 claims 2
- 239000013543 active substance Substances 0.000 claims 2
- 230000000202 analgesic effect Effects 0.000 claims 2
- 230000001773 anti-convulsant effect Effects 0.000 claims 2
- 230000001430 anti-depressive effect Effects 0.000 claims 2
- 239000001961 anticonvulsive agent Substances 0.000 claims 2
- 239000000935 antidepressant agent Substances 0.000 claims 2
- 229940005513 antidepressants Drugs 0.000 claims 2
- 229960003965 antiepileptics Drugs 0.000 claims 2
- 229940041181 antineoplastic drug Drugs 0.000 claims 2
- 229940125717 barbiturate Drugs 0.000 claims 2
- 229940049706 benzodiazepine Drugs 0.000 claims 2
- 150000001557 benzodiazepines Chemical class 0.000 claims 2
- 235000010233 benzoic acid Nutrition 0.000 claims 2
- 230000015572 biosynthetic process Effects 0.000 claims 2
- 230000006378 damage Effects 0.000 claims 2
- 230000004054 inflammatory process Effects 0.000 claims 2
- 125000004499 isoxazol-5-yl group Chemical group O1N=CC=C1* 0.000 claims 2
- 239000003589 local anesthetic agent Substances 0.000 claims 2
- 239000003176 neuroleptic agent Substances 0.000 claims 2
- 230000000701 neuroleptic effect Effects 0.000 claims 2
- 239000002858 neurotransmitter agent Substances 0.000 claims 2
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- 229940021182 non-steroidal anti-inflammatory drug Drugs 0.000 claims 2
- 239000003402 opiate agonist Substances 0.000 claims 2
- 150000003180 prostaglandins Chemical class 0.000 claims 2
- 229940075993 receptor modulator Drugs 0.000 claims 2
- 239000010802 sludge Substances 0.000 claims 2
- 239000000126 substance Substances 0.000 claims 2
- 238000003786 synthesis reaction Methods 0.000 claims 2
- 238000002560 therapeutic procedure Methods 0.000 claims 2
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D498/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D498/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms in which the condensed system contains two hetero rings
- C07D498/06—Peri-condensed systems
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
- C07D403/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a chain containing hetero atoms as chain links
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D207/00—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom
- C07D207/02—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D207/04—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
- C07D207/08—Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hydrocarbon radicals, substituted by hetero atoms, attached to ring carbon atoms
- C07D207/09—Radicals substituted by nitrogen atoms, not forming part of a nitro radical
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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
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
- A61K31/404—Indoles, e.g. pindolol
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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
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Abstract
1. Соединение, имеющее структурную формулу (I):или его соль, сольват или физиологически функциональное производное;где:n равно 1, 2 или 3;m равно 0 или 1;А представляет собой С, N, O, S, NR, C=CR(E- и Z-изомеры), C=NR(E- и Z-изомеры) или C(RR), CR=CR-CR'R' (E- и Z-изомеры) или CR=CR-NR' (E- и Z-изомеры);когда n равно 2 или 3, любой из двух соседних A вместе с другими атомами образует одно или два кольца, где каждое из колец является, необязательно, замещенным;B представляет собой C, N, O, S, NRили C(RR);J, K, L и M независимо представляют собой N или CR;Y представляет собой O, S, NRили C(RR);каждый из R, R, R, R, R, Rи Rнезависимо представляет собой водород, галоген, ацил, замещенный ацил, алкоксикарбонил, замещенный алкоксикарбонил, арилоксикарбонил, замещенный арилоксикарбонил, -CONRR, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил;Rи Rнезависимо представляют собой водород, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил; или, альтернативно, Rи Rвместе с атомом азота, к которому они присоединены, образуют 4-, 5-, 6- или 7-членное циклогетероалкильное кольцо, при условии, что Rи Rотличны от водорода.2. Соединение по п.1, имеющее структурную формулу (IV):или его соль, сольват или физиологически функциональное производное;где:Aи A' являются независимо выбранными из NR, C=CR(E- и Z-изомеры), C=NR(E- и Z-изомеры) или C(RR); или, альтернативно, Aи A' вместе с другими атомами образуют кольцо, которое является, необязатель�
Claims (29)
1. Соединение, имеющее структурную формулу (I):
или его соль, сольват или физиологически функциональное производное;
где:
n равно 1, 2 или 3;
m равно 0 или 1;
А представляет собой С, N, O, S, NR1, C=CR1 (E- и Z-изомеры), C=NR1 (E- и Z-изомеры) или C(R1R2), CR1=CR2-CR1'R2' (E- и Z-изомеры) или CR1=CR2-NR1' (E- и Z-изомеры);
когда n равно 2 или 3, любой из двух соседних A вместе с другими атомами образует одно или два кольца, где каждое из колец является, необязательно, замещенным;
B представляет собой C, N, O, S, NR3 или C(R3R4);
J, K, L и M независимо представляют собой N или CR5;
Y представляет собой O, S, NR6 или C(R6R7);
каждый из R1, R2, R3, R4, R5, R6 и R7 независимо представляет собой водород, галоген, ацил, замещенный ацил, алкоксикарбонил, замещенный алкоксикарбонил, арилоксикарбонил, замещенный арилоксикарбонил, -CONR8R9, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил;
R8 и R9 независимо представляют собой водород, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил; или, альтернативно, R8 и R9 вместе с атомом азота, к которому они присоединены, образуют 4-, 5-, 6- или 7-членное циклогетероалкильное кольцо, при условии, что R8 и R9 отличны от водорода.
2. Соединение по п.1, имеющее структурную формулу (IV):
или его соль, сольват или физиологически функциональное производное;
где:
A4 и A4' являются независимо выбранными из NR1, C=CR1 (E- и Z-изомеры), C=NR1 (E- и Z-изомеры) или C(R1R2); или, альтернативно, A4 и A4' вместе с другими атомами образуют кольцо, которое является, необязательно, замещенным; и связь между A4 и A4' может быть одинарной или двойной.
3. Соединение по п.2, имеющее структурную формулу (IVd):
или его соль, сольват или физиологически функциональное производное;
где:
A4 и X4 независимо представляют собой CR11R12 или NR11;
C=X4 может быть либо Е-, либо Z-изомером; и
R11 и R12 независимо представляют собой водород, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил.
4. Соединение по п.3, выбранное из группы, состоящей из:
5. Соединение по п.2, имеющее структурную формулу (IVb):
или его соль, сольват или физиологически функциональное производное;
где: кольцо R представляет собой арил, замещенный арил, циклоалкил, замещенный циклоалкил, циклогетероалкил, замещенный циклогетероалкил, гетероарил или замещенное гетероарильное кольцо.
6. Соединение по п.5, имеющее структурную формулу (IVb.2):
или его соль, сольват или физиологически функциональное производное;
где: A4-U1, U1-U2, U2-U3, U3-X3, A4'-X3, A4-A4' независимо представляют собой одинарную или двойную связь;
U1, U2, U3 и X3 независимо представляют собой S, O, N, N(R20), C(R20) или C(R20R21);
A4 и A4' независимо представляют собой N, C или CR22;
R20, R21 и R22 независимо представляют собой водород, галоген, ацил, замещенный ацил, алкоксикарбонил, замещенный алкоксикарбонил, арилоксикарбонил, замещенный арилоксикарбонил, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил.
7. Соединение по п.6, выбранное из группы, состоящей из:
9. Соединение по п.8, выбранное из группы, состоящей из:
11. Соединение по п.10, выбранное из группы, состоящей из:
12. Соединение по п.1, имеющее структурную формулу (V):
или его соль, сольват или физиологически функциональное производное;
где: A4-X4, A5-X5 независимо представляют собой NR1, C=CR1 (E- и Z-изомеры), C=NR1 или C(R1R2);
Z3 и Z4 независимо представляют собой O, S, NR3 или C(R3R4); или, альтернативно, Z3-A4-X4 или X4-A4-A5-X5 вместе с другими атомами образуют шести- или семичленное кольцо, которое, необязательно, является замещенным.
13. Соединение по п.12, выбранное из группы, состоящей из:
14. Соединение по п.12, имеющее структурную формулу (Vd):
или его соль, сольват или физиологически функциональное производное;
где: Z3-U4, U4-U5, U5-U6, U6-X4, A4-X4, Z3-A4 независимо представляют собой одинарную или двойную связь;
U4, U5, U6 и X4 независимо представляют собой S, O, Ν, N(R19), C(R19), C(R19R20);
Z3 и A4 независимо представляют собой N, C или CR21;
R19, R20 и R21 независимо представляют собой водород, галоген, ацил, замещенный ацил, алкоксикарбонил, замещенный алкоксикарбонил, арилоксикарбонил, замещенный арилоксикарбонил, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил.
15. Соединение по п.14, выбранное из группы, состоящей из:
17. Соединение по п.16, выбранное из группы, включающей в себя:
18. Соединение по п.1, имеющее структурную формулу (VI):
или его соль, сольват или физиологически функциональное производное;
где: A61, A62 и A63 независимо представляют собой C, N, O, S, NR1, C=CR1 (E- и Z-изомеры), C=NR1 (E- и Z-изомеры) или C(R1R2);
A61-A62 и A62-A63 независимо представляют собой одинарную или двойную связь.
20. Соединение по п.19, имеющее структурную формулу (VIa.11):
или его соль, сольват или физиологически функциональное производное;
где: nn представляет собой целое число от 0 до 4;
A66 представляет собой NR73 или CR73R74;
R72, R73 и R74 независимо представляют собой водород, галоген, цианогруппу, нитрогруппу, аминогруппу, замещенную аминогруппу, сульфонил, замещенный сульфонил, ацил, замещенный ацил, алкоксикарбонил, замещенный алкоксикарбонил, арилоксикарбонил, замещенный арилоксикарбонил, -CONR75R76, S(O)2NR75R76, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил;
R75 и R76 независимо представляют собой водород, алкил, замещенный алкил, арил, замещенный арил, арилалкил, замещенный арилалкил, гетероарил, замещенный гетероарил, гетероарилалкил, замещенный гетероарилалкил, гетероалкил или замещенный гетероалкил или, альтернативно, R75 и R76 вместе с атомом азота, к которому они присоединены, образуют 4-, 5-, 6- или 7-членное циклогетероалкильное кольцо.
21. Соединение по п.20, выбранное из группы, состоящей из:
22. Фармацевтическая композиция, содержащая терапевтически эффективное количество соединения или его соли, сольвата или физиологически функционального производного; и, по меньшей мере, один фармацевтически приемлемый носитель; где указанное соединение представляет собой соединение по любому из пп.1-21.
23. Способ лечения заболевания, расстройства, симптома или состояния, связанного с аномальной активностью TrkA у пациента, включающий введение пациенту терапевтически эффективного количества соединения по любому из пп.1-21 или его соли, сольвата или физиологически функционального производного.
24. Фармацевтическая композиция по п.22, которая включена в пероральную дозу или в инъекцию, или в трансдермальный пластырь, или в имплантируемый препарат-депо.
25. Фармацевтическая композиция, содержащая: (а) соединение по любому из пп.1-21 или его соль, сольват или физиологически функциональное производное и (b), по меньшей мере, одно дополнительное активное вещество, выбранное из группы, состоящей из ингибитора протеинкиназы A (PKA), ингибитора сигнальной системы cAMP, нестероидного противовоспалительного лекарственного средства, ингибитора синтеза простагландинов, местного анестетика, антиконвульсанта, антидепрессанта, агониста опиоидных рецепторов, нейролептика, агониста рецепторов GABAA, анальгетика или противоопухолевого средства, действующего по механизму, отличному от агониста TrkA, бензодиазепина, барбитурата, нейростероида и ингаляционного анестетика, анестетика, противоракового лекарственного средства, модулятора рецептора mGluR5 и их комбинации.
26. Способ лечения заболевания, расстройства, симптома или состояния, связанного с аномальной активностью TrkA у пациента, включающий совместное введение пациенту терапевтически эффективного количества
(a) соединения по любому из пп.1-21 или его соли, сольвата или физиологически функционального производного в комбинации с
(b), по меньшей мере, одним дополнительным активным веществом, выбранным из группы, состоящей из ингибитора протеинкиназы A (PKA), ингибитора сигнальной системы cAMP, нестероидного противовоспалительного лекарственного средства, ингибитора синтеза простагландинов, местного анестетика, антиконвульсанта, антидепрессанта, агониста опиоидных рецепторов, нейролептика, агониста рецепторов GABAA, анальгетика или противоопухолевого средства, действующего по механизму, отличному от агониста TrkA, бензодиазепина, барбитурата, нейростероида и ингаляционного анестетика, анестетика, противоракового лекарственного средства, модулятора рецептора mGluR5 и их комбинации.
27. Способ по п.23 или 26, где заболевание, расстройство, симптом или состояние являются выбранными из группы, состоящей из: острой боли, хронической боли, воспалительной боли, невропатической боли, тонической боли, постоянной боли, послеоперационной боли, боли, вызванной химическими реагентами, боли, вызванной химиотерапевтическими средствами, боли при раке, боли, вызванной лекарственными средствами, костной боли, боли, связанной с гипералгезией, индуцированной алкоголем, тревожностью, спазмами скелетных мышц, конвульсивными судорогами, эпилепсией, рестенозом, атеросклерозом, псориазом, тромбозом, ожогом, расстройствами послетравматического стресса, сердечными расстройствами, курением, воспалением и иммунологически опосредуемыми расстройствами (включая микробную инфекцию и трансплантацию органов), раком (включая рак молочной железы, головы и шеи, предстательной железы и легкого), заболеваниями, расстройствами или повреждениями, относящимися к дисмиелинизации или демиелинизации, или их комбинации.
28. Способ по п.23 или 26, где заболевание, расстройство или симптом, или состояние являются обусловленными или связанными с каузалгией, диабетом, коллагеновым сосудистым заболеванием, невралгией тройничного нерва, повреждением спинного мозга, повреждением ствола мозга, таламическим болевым синдромом, комплексным региональным болевым синдромом типа I/симпатической рефлекторной дистрофией, синдромом Фабри, невропатией мелких волокон, раком, химиотерапией рака, хроническим алкоголизмом, инсультом, абсцессом, демиелинизирущим заболеванием, вирусной инфекцией, антивирусной терапией, СПИД, терапией СПИД, ожогом, солнечным ожогом, артритом, колитом, кардитом, дерматитом, невритом, мукозитом, уретритом, циститом, гастритом, пневмонией, травмой, хирургической операцией, ампутацией, токсином, дезадаптирующим употреблением психоактивных веществ, зависимостью от психоактивных веществ, потреблением алкоголя или злоупотреблением алкоголем, потреблением психоактивных веществ или злоупотреблением психоактивными веществами, потреблением наркотиков или злоупотреблением наркотиками, эффектом, связанный с наркотиками, метастазированием, фибромиалгией, синдромом раздраженной толстой киски, височно-нижнечелюстным расстройством, воспалением, иммунной аномалией и их комбинацией.
29. Набор-комплект соединения по любому из пп.1-21 или фармацевтической композиции по любому из пп.22, 24 или 25.
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