TW200817329A - Compounds with combined serotonin and norepinephrine reuptake inhibition - Google Patents

Compounds with combined serotonin and norepinephrine reuptake inhibition Download PDF

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TW200817329A
TW200817329A TW096121999A TW96121999A TW200817329A TW 200817329 A TW200817329 A TW 200817329A TW 096121999 A TW096121999 A TW 096121999A TW 96121999 A TW96121999 A TW 96121999A TW 200817329 A TW200817329 A TW 200817329A
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pain
compound
depression
disease
addition salt
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TW096121999A
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Chinese (zh)
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TWI444365B (en
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Benny Bang-Andersen
Andre Faldt
Tine Bryan Stensboel
Silke Miller
Diego Heidi Lopez De
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Lundbeck & Co As H
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D211/00Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
    • C07D211/04Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D211/06Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings 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
    • C07D211/08Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings 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 or substituted hydrocarbon radicals directly attached to ring carbon atoms
    • C07D211/18Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings 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 or substituted hydrocarbon radicals directly attached to ring carbon atoms with substituted hydrocarbon radicals attached to ring carbon atoms
    • C07D211/20Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings 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 or substituted hydrocarbon radicals directly attached to ring carbon atoms with substituted hydrocarbon radicals attached to ring carbon atoms with hydrocarbon radicals, substituted by singly bound oxygen or sulphur atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • A61K31/4465Non condensed piperidines, e.g. piperocaine only substituted in position 4
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic 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
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • A61K31/451Non condensed piperidines, e.g. piperocaine having a carbocyclic group directly attached to the heterocyclic ring, e.g. glutethimide, meperidine, loperamide, phencyclidine, piminodine
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C229/00Compounds containing amino and carboxyl groups bound to the same carbon skeleton
    • C07C229/02Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton
    • C07C229/04Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated
    • C07C229/24Compounds containing amino and carboxyl groups bound to the same carbon skeleton having amino and carboxyl groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated having more than one carboxyl group bound to the carbon skeleton, e.g. aspartic acid
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C55/00Saturated compounds having more than one carboxyl group bound to acyclic carbon atoms
    • C07C55/02Dicarboxylic acids
    • C07C55/08Malonic acid
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C55/00Saturated compounds having more than one carboxyl group bound to acyclic carbon atoms
    • C07C55/02Dicarboxylic acids
    • C07C55/12Glutaric acid
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07CACYCLIC OR CARBOCYCLIC COMPOUNDS
    • C07C59/00Compounds having carboxyl groups bound to acyclic carbon atoms and containing any of the groups OH, O—metal, —CHO, keto, ether, groups, groups, or groups
    • C07C59/01Saturated compounds having only one carboxyl group and containing hydroxy or O-metal groups
    • C07C59/08Lactic acid
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07BGENERAL METHODS OF ORGANIC CHEMISTRY; APPARATUS THEREFOR
    • C07B2200/00Indexing scheme relating to specific properties of organic compounds
    • C07B2200/13Crystalline forms, e.g. polymorphs

Abstract

Crystalline forms of4-[2-(4-methylphenylsulfanyl)-phenyl]piperidine and salts thereof are provided e.g. for the treatment of neuropathic pain.

Description

200817329 九、發明說明: 【發明所屬之技術領域 本發明係關於化合物j 使用化合物I來治療之方法 的用途。 ,包括化合物I之醫藥組成物, ,以及化合物I在製造藥劑上 【先前技術】 疼痛的感覺比將來自身體受傷部位之信號直接傳遞至 腦中的特定受體 ’、 ,、中感見到的疼痛與傷害成比 例。更確切地說,周圍組織受傷並傷害神、經,可能引起涉 及疼痛感覺之中樞神經結構的改變,影響後續的疼痛敏感 性。該神經可塑性可致使巾樞反映較長持續之有害刺激而 敏可能以例如慢性疼痛來表現它自己,即疼痛的感覺 持項甚至到有害刺激已經停止之後,或以痛覺過敏表現, 即柘加對刺激之反應,其正常是疼痛的。其中更神秘和戲 劇化的貝例為,幻肢徵候群,,,即在先前已經截肢的肢體, 出現持績的疼痛。中樞神經可塑性和疼痛的最新回顧,參 見 MelZaCk 等人在 Ann. Ν·Υ· Acad· Sci·,933,157-174, 2001 中。 fe性疼痛’如神經病性疼痛,以與其他類型疼痛,例 如身體或内臟痛不同的方式表現。經常描述該疼痛像射 擊、燒灼、釘和針刺、麻木或刺痛。神經病性疼痛的常見 原因包括酒精中毒、截肢、背、腿和髖關節問題、化療、 糖尿病、HIV、多發性硬化症、脊椎手術和帶狀疱疹病毒 感染。 200817329 一慢性疼痛的中樞成分可解釋為何慢性疼痛,像是例如 神、、工:丨生疼痛對典型止痛劑的反應經常很差,如非類固醇 消炎樂(NSAIDS)和類鴉片止痛劑。三環抗抑鬱劑(tca), 以阿:替林(amitryhne)為代表,已經變成治療神經病性疼 痛的払準且相“藉著對血清素運載蛋白和正腎上腺素運 載蛋白的結合抑制影響來調解該效果[(:1比Th^.,26, %卜 979, 2004]。以,在臨床上已經使用所謂的雙重作用抗抑 鬱劑來治療神經病性疼痛,其對血清素和正腎上腺素再吸 收兩者有抑制影響[Human Psych〇pharm·,19, s2i_s25, 2004]。雙重作用抗抑鬱劑的實例為文拉法辛 和度羅昔丁(duloxetine),且經常將這類抗抑鬱劑稱為 SNRI。 缺少有關對神經病性疼痛使用選擇性血清素再吸收抑 制劑(SSRI)的資料,但通常暗示有限的效果ci^· PharmacoL,96, 399_4〇9, 2〇〇5]。事實上,已經假設 ssri,s 匕本身是輕微抗感受傷害的,但血清素運載蛋白的抑制 作用增加了正腎上腺素再吸收抑制之抗感受傷害的影響。 該想法得到回顧22隻動物和5位人類研究的支持,該研 究顯示SNRI,s與正腎上腺素再吸收抑制劑相比較,有優 異的抗感受傷害效果,其再度勝過SSRI[Pain Med· 4, 31〇_ 316, 2000] 〇 最近關於5-HT3拮抗劑昂丹司瓊(〇dansetr〇n)的資料暗 示5-HT3拮抗劑可能有止痛效果,並因此可用來治療神經 病性疼痛[Anesth· Analg·,97, 1474-1478, 2003] 〇 200817329 然而’三環抗抑鬱劑的使用,與已知的抗膽鹼能副作 用有關’像是例如瞌睡、焦慮、失眠和認知與記憶困難。 因此’此項技術需要找出另一種治療神經病性疼痛的方 公告為W02003/029232的國際專利申請案揭示例如為 自由驗形式的化合物4_[2_(4_甲苯基硫烷基(sulfanyl))苯基] 旅咬’以及相對應之HC1鹽。報告該化合物是血清素運載 、 蛋白和血清素受體2C(5-HT2C)的抑制劑,並說它可用來治 療情緒障礙,例如抑鬱和焦慮。 【發明内容】 發明概述 本發明人已經意外地發現,除了業已瞭解的藥理學輪 廓之外,4-[2-(4-甲苯基硫烷基)_苯基]哌啶是有潛力的血清 素再吸收和正腎上腺素再吸收的抑制劑、血清素受體3(5_ HT3)之拮抗劑、血清素受體2Α(5·ΗΤ2Α)之拮抗劑,以及q 1 腎上腺素能受體之抑制劑,並因此可使用該化合物本身來 ‘ 治療例如慢性疼痛。因此,本發明係關於化合物〗,其為 結晶形式之4-[2-(4-甲基苯基-硫烷基)苯基]哌啶,及其在 藥學上可接受的鹽類,只要該化合物不是‘[2_(4_甲基苯 基-硫烷基)苯基]-哌啶鹽酸加成鹽即可。 在一具體事實中,本發明係關於用於治療之化合物工。 在一具體事實中,本發明係關於一種治療方法,包括 對需要其之患者投與治療有效量之化合物I。 在一具體事實中,本發明係關於一種包括化合物〗之 7 200817329 醫藥組成物。 在-具體事實中’本發明係關於化合物200817329 IX. DESCRIPTION OF THE INVENTION: FIELD OF THE INVENTION The present invention relates to the use of a compound j for the treatment of Compound j. , including the pharmaceutical composition of Compound I, and Compound I in the manufacture of a medicament [Prior Art] The feeling of pain is transmitted directly to a specific receptor in the brain than the signal from the injured part of the body', Pain is proportional to injury. More specifically, the surrounding tissue is injured and harms God and menstruation, which may cause changes in the central nervous system involved in pain perception, affecting subsequent pain sensitivity. The neural plasticity can cause the towel to reflect a longer lasting harmful stimuli, and may be manifested by, for example, chronic pain, that is, the feeling of pain, even after the harmful stimuli have stopped, or manifested by hyperalgesia, ie, plus Stimulating reaction, which is normal and painful. Among the more mysterious and dramatic examples are the phantom limbs, that is, the limbs that have been previously amputated, and the pain of performance. A recent review of central nervous system plasticity and pain, see MelZaCk et al., Ann. Ν·Υ Acad Sci., 933, 157-174, 2001. Fe pain, such as neuropathic pain, manifests in a manner different from other types of pain, such as physical or visceral pain. The pain is often described as shooting, burning, nailing and acupuncture, numbness or tingling. Common causes of neuropathic pain include alcoholism, amputation, back, leg and hip problems, chemotherapy, diabetes, HIV, multiple sclerosis, spinal surgery, and herpes zoster infection. 200817329 A central component of chronic pain can explain why chronic pain, such as, for example, God, work: atypical pain often responds poorly to typical analgesics, such as non-steroidal anti-inflammatory (NSAIDS) and opioid analgesics. The tricyclic antidepressant (tca), represented by amitryhne, has become a standard for the treatment of neuropathic pain and is "mediated by the inhibition of the binding of serotonin and norepinephrine transporter. The effect [(: 1 vs. Th^., 26, % 979, 2004]. In order to treat neuropathic pain clinically, a so-called dual-acting antidepressant has been used, which resorbs both serotonin and norepinephrine. There are inhibitory effects [Human Psych〇pharm·, 19, s2i_s25, 2004]. Examples of dual-acting antidepressants are venlafaxine and duloxetine, and such antidepressants are often referred to as SNRI. There is a lack of information on the use of selective serotonin reuptake inhibitors (SSRIs) for neuropathic pain, but usually implies limited effects ci^· PharmacoL, 96, 399_4〇9, 2〇〇5]. In fact, it has been hypothesized Ssri, s 匕 itself is slightly anti-nociceptive, but the inhibition of serotonin transporter increases the antinociceptive effect of norepinephrine reuptake inhibition. The idea was reviewed in 22 animals and 5 human studies Support, the study showed that SNRI, s has superior antinociceptive effects compared to norepinephrine reuptake inhibitors, which once again outperformed SSRI [Pain Med· 4, 31〇_ 316, 2000] 〇Recently on 5- The data for the HT3 antagonist ondansetron (〇dansetr〇n) suggests that 5-HT3 antagonists may have analgesic effects and can therefore be used to treat neuropathic pain [Anesth· Analg·, 97, 1474-1478, 2003] 〇200817329 However, the use of tricyclic antidepressants is associated with known anticholinergic side effects such as drowsiness, anxiety, insomnia, and cognitive and memory difficulties. Therefore, this technique requires finding another treatment for neuropathic pain. The International Patent Application, which is hereby incorporated by reference in its entirety by reference in its entirety, the disclosure of the disclosure of the the the the the the the the the the the the the the It is an inhibitor of serotonin transport, protein and serotonin receptor 2C (5-HT2C), and it can be used to treat mood disorders such as depression and anxiety. SUMMARY OF THE INVENTION The present inventors have unexpectedly discovered that In addition to the well-understood pharmacological profile, 4-[2-(4-tolylsulfanyl)-phenyl]piperidine is a potent inhibitor of serotonin reuptake and norepinephrine reuptake, serotonin receptor An antagonist of 3(5_HT3), an antagonist of serotonin receptor 2Α(5·ΗΤ2Α), and an inhibitor of q 1 adrenergic receptor, and thus the compound itself can be used to treat, for example, chronic pain. Accordingly, the present invention relates to a compound which is 4-[2-(4-methylphenyl-sulfanyl)phenyl]piperidine in crystalline form, and a pharmaceutically acceptable salt thereof, as long as the The compound is not a '[2_(4-methylphenyl-sulfanyl)phenyl]-piperidine hydrochloride addition salt. In a specific fact, the invention relates to a compound for use in therapy. In a specific aspect, the invention relates to a method of treatment comprising administering to a patient in need thereof a therapeutically effective amount of Compound I. In a specific fact, the invention relates to a pharmaceutical composition comprising a compound of the formula 2008 17329. In the specific facts, the present invention relates to compounds

上的用途。 A 【實施方式】 發明之詳細說明 本發明係關於化合物I ,其為結晶形式之4 [2 4 本基硫烧基)苯基]派唆,及其在筚璺μ可拉一 ” j接雙的鹽類,只 要該化合物不是鹽酸加成鹽即可。4「? M m ^ ^ L2-(4-甲基苯基硫烷 基)-苯基]哌啶之結構為Use on. DETAILED DESCRIPTION OF THE INVENTION The present invention relates to Compound I, which is a crystalline form of 4 [2 4 thiol-alkyl)phenyl]anthracene, and As long as the compound is not a hydrochloric acid addition salt, the structure of 4"?M m ^ ^ L2-(4-methylphenylsulfanyl)-phenyl]piperidine is

在實例中描述本發明之化合物的藥理學輪κ曰可如 下概述。該化合物為血清素和正腎上腺素再吸收的抑制 劑;它們抑制血清素受冑2A、2C* 3;且它們抑制“ 腎上腺素能受體。 在一具體事實中,該在藥學上可接受之鹽類為無毒性 之酸類的酸加成鹽類。該鹽類包括由有機酸製成的鹽類, 如順丁烯二酸、反丁烯二酸、笨甲酸、抗壞血酸、琥站酸、 草酸、雙-亞曱水揚酸、曱烷磺酸、乙烷二磺酸、醋酸、丙 酸、酒石酸、水揚酸、檸檬酸、葡萄糖酸、乳酸、蘋果酸、 8 200817329 丙二酸、杏仁酸、肉桂酸 ^ ^ ^ ^ ^ ^ 彳T康馱天冬胺酸、硬脂酸、 才示櫚I衣康3文、乙醇酸、餅脸其贫m ^ ^ 卜胺基本甲酸、穀胺酸、苯磺 酸、命鹼乙酸,以及8# 及8_南余鹼,例如8_溴茶 可由無機酸製成,如氫溴 、木鹼t類7Γ ^ t λΑ 、-,丨L I、胺基磺酸、磷酸和硝 酉夂。在κ施例Id的表(表υ )r 率其他有用的鹽類。 在一具體事實_,本& .加成鹽。 θ之化口物,即式“匕合物為 在一具體事實中,本發 且特別是1:1鹽。 明之化合物為DL_乳酸加成鹽 在一具體事實中, 鹽,且特別是1:丨鹽。 在一具體事實中, 且特別是1:1鹽。 本發明之化合物為L•天冬胺酸加成 本發明之化合物為榖胺酸加成鹽, 本發明之化合物為戊二酸加成鹽 在一具體事實中 且特別是1:1鹽。 在-具體事實中,本發明之化合物為丙二酸加成鹽, 且特別是發現它是以兩種多形修飾…形式存 在’以較低之溶解度為基礎,咸相信6形式是最穩定的。 …在-具體事實中,本發明之化合物為經過純化之形式。” 匕屯化之形 < 一词,企圖表示視情況而定,該化合物基 本上不含其他形式的其他化合物,即該化合物之多形變 β 口服劑型’且特別是錠劑和膠囊,通常對患者和醫師 車仏的因為谷易投藥而結果較易順從。對鍵劑和膠囊 200817329 而言,活性成分最好是結晶狀的。 本發明之晶體可以溶劑合物之形式存在,即晶體中有 浴劑分子形成晶體結構的一部分。可由水形成溶劑合物, 在足種情況下,經常將該溶劑合物稱為水合物。或者,可 由其他的’谷劑开^成溶劑合物,像是例如乙醇、丙酮或乙酸 乙酗/容劑合物的精確量通常視情況而定。例如,水合物 通常將隨著溫度增加或相對溼度降低,釋放出水份。通常 認為當條件,像是例如溼度改變時,沒有改變或僅有些微 ( 改變的化合物,較適合醫藥調配物。注意到當從水中沉澱 出時’ HBr加成鹽沒有形成水合物,而諸如琥珀酸、蘋果 酸和酒石酸加成鹽則會。 有些化合物是吸濕性的,即當它們暴露在溼氣下時吸 收水分。通常認為吸濕性是不想要它出現在醫藥調配物, 尤其是乾調配物’如錠劑和膠囊中的化合物特性。在一具 體事貫中,本發明提供具低吸濕性的晶體。 M於使用結晶狀活性成分的口服劑型,若該晶體是明 I 確疋義的也疋有盈的。在前後文中,,,明確定義,,一詞,特 別Μ札化子计里學是明確定義的,即在形成鹽的離子之間 的比例是在小範圍内的比例,如1:1、1:2、2:1、1:1:1等 等。在-具體事實中,本發明之化合物是明確定義的晶體。 活性成分的溶解度,對於劑型的選擇也是很重要的, 因其可能對生物利用性有直接的影響。關於口服劑型,通 常相信較高溶解度的活性成分,獲益於其增加的生物利用 性。有些患者,例如較年長的患者吞讀劑可能有困難, 200817329 二:服=溶液可能是適合的另類選擇,避免吞_劑的 為了限制口服液滴溶液的體積,在溶液中必須有高 /辰度的活性成分,這再度需要古 ^要心解度的化合物。如同在 表_3中所不,DL-乳酸、L-天冬胺酸、穀胺酸、戊二酸和 丙一酸加成鹽類具有極高的溶解度。 晶形影響化合物的過據和加工特性。針狀的晶體,在 產製環境,如過遽時有較不易操作的傾向,因為變得較困 難且耗費時間。特定鹽的精確晶形’可視例如在盆下沉澱 出該鹽之條件而定。當從乙醇、醋酸和丙醇中沉殿出時, 本發明之HBr酸加成鴎, 夂加成鹽生長成針-狀、媒合的晶體,但當HBr 加成鹽從水中沉殿出時,非_水合形式的晶體則不是針狀 的’其提供了較佳的過濾特性。 ^表3亦描述所得的PH值,即鹽之飽和溶液中的pH值。 。亥特f生極為重要’因為在儲存期間可能無法完全避免潮 濕’且濕乳的累積將導致在包含低結& pH值鹽之鏡劑中 或上的pH值降低,其可能減少儲存壽命。此外,若是藉 著濕式成粒來製造錠劑,具有低結果pH值之鹽便可能導 致加工e又備的腐蚀。在表3中的數據暗示撕、⑽和己 二酸加成鹽類在此方面可能是佔優勢的。 在一具體事實中’本發明之化合物是結晶形式的HBr 加成鹽,特別是經過純化之形式。在更進一步的具體事實 中’邊ΗΒΓ鹽在X_射線粉末繞射圖(XRPD)中,在大約 6,〇δ I4·81 、19·26。和25·38°2Θ處具有高峰,特別是該 HBr鹽具有如在圖1中敘述的XRPD。 11 200817329 在一具體事實中,本發明之化合物是結晶形式之dl_ 乳酸加成鹽(1:1),特別是經過純化之形式。在更進一步的 具體事實中,該DL-乳酸加成鹽在XRPD中,在大約5·30。、 8,81 9.44和17·24°2Θ處具有高峰,特別是該DL乳酸加 成鹽具有如在圖4中敘述的xrpd。 在-具體事實十,本發明之化合物為結晶形式之W 冬胺酸加成鹽(1:1),特別是經過純化之形式。在更進一步 的具體事實中,該L_天冬胺酸加成鹽是非媒合的,且在 XR^PD 中’在大約 n.〇5。、2〇 16。、2〇6〇。、25〇〇〇2Θ 處具 有1峰’特別是言亥L-天冬胺酸加成鹽,#肖L-天冬胺酸混 合時,具有如在圖17中敘述的XRPD。在一具體事實中, 該L-天冬胺酸加成鹽為水合物,特別是經過純化之形式。 在更進—步的具體事實中,肖L-天冬胺酸加成鹽水二在 XRPD 中’在大約 7.8〇〇、13.8〇〇、14 1〇〇、ΐ9 63〇2θ 處具 有高峰,特別是該L-天冬胺酸加成鹽水合物,當與l 胺酸混合時,具有如在圖1 8中敘述的。 在一具體事實中,本發明之化合物Λ社曰 切馮結晶形式之榖胺 酸加成鹽(1:1),特別是經過純化之形, ^ _ 在更進一步的具 體事貫中,該縠胺酸加成鹽在XRPD φ,+丄 ’、 T ’在大約7.71。、 14_01。、19.26。、22.572Θ 處具有高峰,牯則 η 4 ,, 符別疋该榖胺酸加 成鹽,當與榖胺酸單水合物混合時,且 /、有如在圖19中# 述的XRPD。 T双 在一具體事實中,本發明之化合物為 π、、口日日形式之丙二 酸加成鹽(1:1),特別是經過純化之形式。 一 长更進_步的具 12 200817329 體事實中,該丙二酸加成鹽為α-形式,且在XRPD中’在 大約 10.77。、16.70。、19·93°、24.01。2 (9 處具有高峰,或該 丙二酸加成鹽為沒-形式,並在XRPD中,在大約6.08°、 10.11。、18.25。、20.26。2 0處具有高峰,特別是該丙二酸加 成鹽具有如在圖9或10中敘述的XRPD。The pharmacological rounds of the compounds of the present invention are described in the Examples as outlined below. The compound is an inhibitor of serotonin and norepinephrine reuptake; they inhibit serotonin from 胄2A, 2C*3; and they inhibit "adrenergic receptors. In a particular fact, the pharmaceutically acceptable salt An acid addition salt of a non-toxic acid. The salt includes salts made of organic acids, such as maleic acid, fumaric acid, stupid acid, ascorbic acid, albino acid, oxalic acid, Bis-arylene salicylic acid, decanesulfonic acid, ethane disulfonic acid, acetic acid, propionic acid, tartaric acid, salicylic acid, citric acid, gluconic acid, lactic acid, malic acid, 8 200817329 malonic acid, almond acid, Cinnamic acid ^ ^ ^ ^ ^ ^ 彳T Kangxi aspartic acid, stearic acid, chlorination I Yikang 3, glycolic acid, cake face lean m ^ ^ basal formic acid, glutamic acid, benzene Sulfonic acid, base acid acetic acid, and 8# and 8_Nalan base, for example, 8-bromine tea can be made of inorganic acid, such as hydrobromide, xyl base t 7Γ ^ t λΑ , -, 丨LI, amine sulfonic acid , phosphoric acid and nitronium. In the table of κ application Id (Table υ) r rate other useful salts. In a specific fact _, this & addition salt. θ The chemical substance, i.e., the formula "is in a specific fact, the present invention and especially the 1:1 salt. The compound of the formula is a DL_lactic acid addition salt. In a specific fact, a salt, and particularly a 1: sulfonium salt. In a specific fact, and especially a 1:1 salt. The compound of the present invention is L•aspartic acid addition The compound of the present invention is a valine acid addition salt, and the compound of the present invention is a glutaric acid addition salt in a specific fact and particularly a 1:1 salt. In a specific fact, the compound of the present invention is a malonic acid addition salt, and in particular it is found to exist in the form of two polymorphic modifications. 'Based on a lower solubility, it is believed that the 6 form is the most stable. . ...in the specific fact, the compounds of the invention are in purified form. The term "deformation" is intended to mean that the compound is substantially free of other forms of other compounds, i.e., polymorphic beta oral dosage forms of the compound, and especially lozenges and capsules, usually The patient and the physician's rut are more compliant because of the easy administration of the drug. For the key agent and capsule 200817329, the active ingredient is preferably crystalline. The crystal of the present invention may exist in the form of a solvate, that is, in the crystal. The bath molecule forms part of the crystal structure. The solvate can be formed from water, and in the case of the case, the solvate is often referred to as a hydrate. Alternatively, other glutamine can be used to form a solvate, such as For example, the exact amount of ethanol, acetone or acetonitrile/capacitor composition will generally depend on the situation. For example, hydrates will generally release moisture as temperature increases or relative humidity decreases. It is generally considered that when conditions such as, for example, When the humidity changes, there is no change or only a slight change (the compound is more suitable for pharmaceutical formulations. Note that when precipitated from water, the HBr addition salt does not form hydration) And such as succinic acid, malic acid and tartaric acid addition salts. Some compounds are hygroscopic, that is, they absorb moisture when they are exposed to moisture. It is generally considered that hygroscopicity is not expected to appear in pharmaceutical formulations. In particular, dry formulations, such as the properties of the compounds in tablets and capsules. In a particular aspect, the invention provides crystals having low hygroscopicity. M is in the form of an oral dosage form using a crystalline active ingredient if the crystal is Ming I is indeed arrogant and profitable. In the context of the text, the definition of the word, the word, especially the syllabus is clearly defined, that is, the ratio between the ions forming the salt is The ratio in a small range, such as 1:1, 1:2, 2:1, 1:1:1, etc. In the specific fact, the compound of the present invention is a well-defined crystal. The solubility of the active ingredient, for the dosage form The choice is also important as it may have a direct impact on bioavailability. For oral dosage forms, higher solubility active ingredients are generally believed to benefit from increased bioavailability. Some patients, such as older ones Patient swallow Can have difficulties, 200817329 2: Service = solution may be a suitable alternative, to avoid the swallowing agent in order to limit the volume of oral droplet solution, there must be high / minute active ingredients in the solution, which again requires ancient A compound with a degree of resolution. As shown in Table _3, DL-lactic acid, L-aspartic acid, glutamic acid, glutaric acid and a propionic acid addition salts have extremely high solubility. The acicular crystals have a tendency to be difficult to handle in the production environment, such as over-cracking, because it becomes more difficult and time consuming. The precise crystal form of a particular salt can be visualized, for example, under the basin. According to the conditions of the salt, the HBr acid of the present invention is added to the ruthenium, and the ruthenium addition salt is grown into a needle-like, medium-matched crystal when it is precipitated from ethanol, acetic acid and propanol, but when HBr is added When the salt emerges from the water, the non-hydrated form of the crystal is not needle-like, which provides better filtration characteristics. ^ Table 3 also describes the pH obtained, that is, the pH in a saturated solution of the salt. . Hite is extremely important 'because moisture may not be completely avoided during storage' and the accumulation of wet milk will result in a decrease in pH in or on the mirror containing low salt & pH salts, which may reduce shelf life. In addition, if the tablet is produced by wet granulation, a salt having a low pH value may cause corrosion of the process e. The data in Table 3 suggests that tear, (10) and adipic acid addition salts may be dominant in this regard. In a specific fact, the compound of the invention is a HBr addition salt in crystalline form, especially in purified form. In a further specific case, the bismuth salt is in the X-ray powder diffraction pattern (XRPD) at about 6, 〇δ I4·81, 19.26. There is a peak at 25 and 38 °2, especially the HBr salt has XRPD as described in Figure 1. 11 200817329 In a specific fact, the compound of the invention is a crystalline form of dl_lactic acid addition salt (1:1), especially in purified form. In a further specific case, the DL-lactic acid addition salt is in the XRPD at about 5.30. , 8, 81 9.44 and 17·24 ° 2 have a peak, especially the DL lactic acid addition salt has xrpd as described in FIG. In a specific fact, the compound of the invention is a crystalline form of the W-glycolic acid addition salt (1:1), especially in purified form. In a further specific fact, the L-aspartate addition salt is non-complexed and is in the range of about n.〇5 in XR^PD. 2〇 16. 2〇6〇. There is one peak at 25 〇〇〇 2 ’', especially the L-aspartic acid addition salt of Yanhai, and the XRPD as described in Fig. 17 when mixed with Xiao L-aspartic acid. In a specific fact, the L-aspartic acid addition salt is a hydrate, especially in a purified form. In the specific case of further progress, Xiao L-aspartate addition brine II has a peak at about 7.8 〇〇, 13.8 〇〇, 14 1 〇〇, ΐ 9 63 〇 2θ in XRPD, especially The L-aspartic acid addition salt hydrate, when mixed with the 1 amine acid, has as described in Figure 18. In a specific fact, the compound of the present invention is a valeric acid addition salt (1:1) in the form of a crystalline form, in particular a purified form, ^ _ in a further specific case, the 縠The amine acid addition salt is at about 7.71 at XRPD φ, +丄', T'. , 14_01. 19.26. There is a peak at 22.572 牯, 牯 η 4 , and the methionine addition salt, when mixed with glutamic acid monohydrate, and /, XRPD as described in Fig. 19. T Double In a specific fact, the compound of the present invention is a ginary acid addition salt (1:1) in the form of π, day-day, especially in a purified form. In the case of the body, the malonic acid addition salt is in the α-form and is in the XRPD at about 10.77. 16.70. , 19·93°, 24.01. 2 (9 has a peak, or the malonic acid addition salt is not-formed, and in XRPD, at about 6.08°, 10.11., 18.25., 20.26.20) The peak, especially the malonic acid addition salt, has an XRPD as described in Figure 9 or 10.

在一具體事實中,本發明之化合物為結晶形式之戊二 酸加成鹽(1:1 ),特別是經過純化之形式。在更進一步的具 體事實中,該戊二酸加成鹽在XRPD中,在大約9.39。、 11.70。、14.05°和14.58。2 0處具有高峰,特別是該戊二酸 加成鹽具有如在圖8中敘述的XRPD。 如同上文提及的,本發明之化合物特別適合用來治療 慢性疼痛。慢性疼痛包括諸如幻肢痛、神經病性疼痛、糖 尿病性神經病變、帶狀癌疹後神經痛(PHN)、腕随道徵候 群(CTS)、HIV神經病變、複雜性區域疼痛徵候群(CRps)、 三又神經痛/三又神經痛/三又神經痛、手術介人(例如 後的止痛劑)、糖尿病性血管病變、毛細血管阻力 炎有關的糖尿病徵候、與心絞痛有關的疼痛 n:有關的疼痛、牙痛、頭痛、偏頭痛 、痛、二叉神經痛、顳下頜關節徵候群 肉傷害、纖維肌痛徵候群、骨骼 、、痛肌 濕性關節炎、起因於與燒傷有關之創=骨二節炎)、風 t腫起的扭傷或骨折骨疼痛;炎和 月轉移或未知的原因、痛風、纖 月貝疏鬆症、 靡出口徵候群、上背痛或τ背痛(其中;二筋膜疼痛、胸 性 月痛起因於全身 13 200817329 區域性或原發性脊椎疾病(脊神經根病))、骨盤疼痛、心臟 性胸痛、非-心臟性胸痛、與脊髓傷害(SCI)_有關的疼痛、 中樞性中風後疼痛、癌症神經病變、AIDS疼痛、鐮狀細 胞疼痛或老人痛之類的適應症。 特疋而σ本舍明之化合物可用於治療情緒障礙,如 與上文列舉之慢性疼痛適應症有關的抑鬱。 由國際疼痛研究協會(Internati〇nal Ass〇ciati〇n theIn a specific fact, the compound of the invention is a crystalline form of a glutaric acid addition salt (1:1), especially in a purified form. In still further specific facts, the glutaric acid addition salt is in the XRPD at about 9.39. , 11.70. There are peaks at 14.05° and 14.58. 20, especially the glutaric acid addition salt has XRPD as described in Fig. 8. As mentioned above, the compounds of the invention are particularly suitable for the treatment of chronic pain. Chronic pain includes, for example, phantom limb pain, neuropathic pain, diabetic neuropathy, banded cancer post-neopathic neuralgia (PHN), wrist-associated sign syndrome (CTS), HIV neuropathy, and complex regional pain syndrome (CRps) , three nerve pain / three and neuralgia / three and neuralgia, surgery (such as post-analgesic), diabetic angiopathy, diabetes resistance related to capillary resistance, pain associated with angina p: Pain, toothache, headache, migraine, pain, bipolar neuralgia, temporomandibular joint syndrome meat damage, fibromyalgia syndrome, bone, painful muscle arthritis, cause of burn-related wounds = bone 2 Joint inflammation), sprained or fractured bone pain caused by wind; inflammation and monthly metastasis or unknown cause, gout, scutellaria, sputum exit syndrome, upper back pain or τ back pain (where; second fascia Pain, chest pain, caused by systemic 13 200817329 regional or primary spinal disease (spinal radiculopathy), pelvic pain, cardiac chest pain, non-cardiac chest pain, pain associated with spinal cord injury (SCI),Indications for central post-stroke pain, cancer neuropathy, AIDS pain, sickle cell pain, or old-age pain. The compounds of the genus and sigma are useful for the treatment of mood disorders such as depression associated with the chronic pain indications listed above. International Association for Pain Research (Internati〇nal Ass〇ciati〇n the

Study 〇f Pain)(lASP)定義疼痛為,,與實際或可能的組織傷害 有關,或攸違類傷害之觀點來描述的不舒服感覺和情緒體 驗,,(IASP的慢性疼痛分類(1撕㈤仙㈤⑽〇f chr〇nicStudy 〇f Pain) (lASP) defines the pain, the uncomfortable feelings and emotional experiences associated with actual or possible tissue damage, or the deficiencies of the category of injury, (IASP's Chronic Pain Classification (1 tear)仙(五)(10)〇f chr〇nic

Pam),第 2 版,IASP Press(2〇〇2),21〇)。即使疼痛總是主 觀的,+但可將它的原因或徵候群分類。”神經病性疼痛,,被 疋義為由神經系統中原發性病灶或功能障礙發動或 引起的疼痛”的亞型。 由IASP認可神經病性疼痛的不同亞型,且實例為 •異常性疼痛,將其定義為”起因於正常不會引起疼痛 之刺激的疼痛”。 •灼痛’將其定義為,,在創傷性神經病灶之後,持續燒 灼痛、異常性疼痛和痛覺過敏的徵候群,、經常與血管運動 和催汗運動功能障礙混合,而稍晚有營養上的改變”。 f 3 k敏將其疋義為”除了感覺之外,增加對刺激 的敏感性’’。 ” ·神經痛,將其定義為”分布在神經或神經群中的疼 痛”。 、 200817329 •神經炎,將其定羞i,,、ι &我為砷經或神經群的炎症反應”。 •神經病變,將1佘莫从 ★ 八疋義為”在神經中的功能混亂或病理 學改變·在一神經中夕留ϋ r r之早神經病變、在數個神經中之單神 經病變’若是娜和雙側性,則為多神經病變'神經病 又可此與例如糖尿病有關,在該情況下稱之為糖尿病性神 經病變。 .痛覺過敏,將其定義為,,增加對正常會痛之刺激的反 應,,。 •痛覺過敏,將其定義為,,疼痛徵候群,其特徵在於對 刺激,尤其是重複刺激的異常疼痛反應,以及增加的閾值”。 誘發神經病性疼痛的刺激可能是機械或熱的。 本發明之化合物的獨特藥理學輪廓,使其適合用來治 療其他與慢性疼痛無直接關係的疾病。5_HT^受體,位在 例如多巴胺能神經元上,在那裡激活作用對多巴胺的釋放 發揮了增強的抑制影響,而S-HLc拮抗劑將導致多巴胺含 量的增加。在實施例2E中提供的數據,顯示本發明化合 物確實在腦中導致細胞外多巴胺含量的劑量依賴性增加。 在此背景下’可能假設5-HT2c拮抗劑特別適合用來治療以 選擇性血清素再吸收抑制劑難以治療的抑營 [Psychopharmacol· Bull·,39,147-166,2006]。該假設在數 個臨床研究中得到支持,其顯示米氮平(mirtazipine:^ SSRI 的組合’對於治療有不充分之臨床反應的抑營患者(治療抵 抗性抑鬱、TRD或難醫治之抑鬱),比單獨使用mri更好 [Psychother· Psychosom·,75,139-153,2006]。米氣平也是 15 200817329 5-HT2和5-ΗΤ3拮抗劑,這# _ 用表不結合SHI和5-HT3拮抗作 用,舍揮血清素再吸收抑制 1利邗用的化合物,如本發明 合物,可用來治療TRD,即拇Λ溫电、Λ汰 者的減輕率 、 卩9加罹患治療抵抗性抑鬱之患 在實施例2F和2G中接视λα今" 提i、的 > 料,顯示本發明之化合 物可致使增加在前額葦古暂4 ^ 。 ,、皮貝和腹側海馬中之乙醯膽鹼的細 胞外含量。有長時間的矽戍% 4务日= 门仏床轉顯示,增加腦中之乙酿膽 鹼含量,是-種治療阿茲海默氏症和認知損傷的方法,通 常參照乙醯膽鹼酯酶抑制劑在治療阿兹海默氏症上之用 途。在該背景了,咸相信本發明之化合物可用來治療阿茲 海默氏症和認知損傷,還右借蚀^立 ..Η . 遇有Μ緒Ρ早礙,像是與阿茲海默氏 症和認知損傷有關的抑蠻。 一部分抑鬱患者會對利用例如SSRI的治療有反應, 就此種意義來說,他們在臨床相關之抑鬱等級上會有改 善,如MADRD和HAMD,但仍保留其他的徵候,如睡眠 失常和認知損傷。在本發明之前後文中,稱這些患者為部 分反應者。歸因於上文討論對乙醯膽鹼含量的影響,預期 本發明之化合物除了抑鬱之外,還可用來治療認知損傷。 臨床研究已經顯示化合物哌唑嗪(praz〇sin),它是α _丨腎上 腺素能受體拮抗劑,降低睡眠失調[Bi〇l. Psychiatry,61, 928-934,2007]。而且,亦相信本發明之化合物的5-Ht2a 和5-ΗΤκ拮抗作用’有鎮靜、睡眠-改善的效果 [Nenropharmacol,33,467-471,1994],所以本發明之化合 物可用來治療部分反應者,或以本發明之化合物治療抑營 16 200817329 患者會減少一部分的部分反應者。 注意力缺失過動障礙(ADHD)是最常見的一種神經行為 病症。ADHD之特徵為出現社會審判和溝通損傷,並有受 限制、重複或固定的行為。ADHD通常始於兒童或青春期, 但症狀可此持績至成年。阿托西、;丁(at〇inoxetine)是目前唯 由FDA核准治療ADHD的非興奮劑[Drugs,64,205-222, 2004]。阿托西汀是正腎上腺素再吸收抑制劑,而這暗示本 發明之化合物可用來治療ADHD。此外,本發明之化合物 亦有鎮靜效果,因為上文討論的α 腎上腺素能受體和5_ HT2拮抗作用,其有益於治療adhD。 憂鬱症是抑鬱的特殊亞型,經常與嚴重抑鬱有關;這 類型的抑鬱亦稱為憂鬱抑鬱症。憂鬱症與焦慮、對未來的 不安、失眠和喪失食慾有關。抑制血清素和正腎上腺素兩 者之再吸收的化合物,像是例如文拉法辛,已經顯示在治 療患有嚴重抑#和憂營症患者方面是特別錢的[⑽⑴·Pam), 2nd edition, IASP Press (2〇〇2), 21〇). Even if the pain is always subjective, + can classify its cause or syndrome. "Neuropathic pain, a subtype that is derogatory as a pain caused or caused by a primary lesion or dysfunction in the nervous system." Different subtypes of neuropathic pain are recognized by the IASP, and examples are • allodynia, which is defined as “pain that results from a stimulus that does not cause pain normally”. • Burning pain defines it as a syndrome of persistent burning pain, allodynia and hyperalgesia after traumatic neuropathy, often mixed with vasomotor and sweating dysfunction, and later nutritionally The change.” f 3 kmin derogatoryly means “in addition to feeling, increase sensitivity to stimulation”. "Nerve pain, which is defined as "pain in the nerves or nerves.", 200817329 • Neuritis, shame it i,,, ι & I am the inflammatory response of arsenic or nerves. • Neuropathy, which will be 1 佘 ★ 疋 ” ” ” ” 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 功能 在一 在一 在一 在一 在一 在一 rr rr rr rr rr rr rr rr rr rr rr rr rr rr rr Na and bilateral, it is multi-neuropathy. Neuropathy can be related to, for example, diabetes, in this case called diabetic neuropathy. Hyperalgesia, which is defined as, to increase the stimulation of normal pain. The response, • hyperalgesia, is defined as, the pain syndrome, characterized by an abnormal pain response to stimuli, especially repeated stimuli, and an increased threshold”. Stimulations that induce neuropathic pain may be mechanical or thermal. The unique pharmacological profile of the compounds of the invention makes them suitable for the treatment of other conditions not directly related to chronic pain. The 5_HT^ receptor is located, for example, on dopaminergic neurons, where activation exerts an enhanced inhibitory effect on dopamine release, while S-HLc antagonists result in an increase in dopamine content. The data provided in Example 2E shows that the compounds of the invention do cause a dose-dependent increase in extracellular dopamine content in the brain. In this context, it may be assumed that 5-HT2c antagonists are particularly suitable for the treatment of refractory treatments with selective serotonin reuptake inhibitors [Psychopharmacol· Bull., 39, 147-166, 2006]. This hypothesis is supported in several clinical studies that show that mirtazapine (combination of sir > sir] is an inhibitor of treatment for patients with inadequate clinical response (treatment for depression, TRD or refractory depression), It is better than using mri alone [Psychother· Psychosom·, 75, 139-153, 2006]. Miqiping is also 15 200817329 5-HT2 and 5-ΗΤ3 antagonists, this # _ with the combination of SHI and 5-HT3 antagonism The effect of serotonin reuptake inhibits 1 compound, such as the compound of the present invention, can be used to treat TRD, that is, the rate of deafness of the thumb, the reduction rate of the sputum, and the treatment of resistance depression In Examples 2F and 2G, the λα is now referred to as ">, showing that the compound of the present invention can cause an increase in the amount of forehead in the forehead, and in the pelt and ventral hippocampus. Extracellular content of choline. There is a long-term 矽戍% 务% = 仏 转 转 转 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 仏 , , , , , , , , , , Usually refers to acetylcholinesterase inhibitors in the treatment of Alzheimer's disease Uses. In this context, it is believed that the compounds of the present invention can be used to treat Alzheimer's disease and cognitive impairment, and also to lie on the right side of the body. Mourn's disease is associated with cognitive impairment. Some depressed patients respond to treatments such as SSRI, in the sense that they have improved clinically relevant levels of depression, such as MADRD and HAMD, but still retain Other signs, such as sleep disorders and cognitive impairment. These patients are referred to hereinafter as partial responders before the present invention. Due to the effect of the above discussion on the acetylcholine content, the compounds of the present invention are expected to be in addition to depression. It can also be used to treat cognitive impairment. Clinical studies have shown that the compound prazrazin, which is an α-丨 adrenergic receptor antagonist, reduces sleep disorders [Bi〇l. Psychiatry, 61, 928-934 , 2007]. Moreover, it is also believed that the 5-Ht2a and 5-ΗΤκ antagonism of the compound of the present invention has a sedative, sleep-improving effect [Nenropharmacol, 33, 467-471, 1994], so the compound of the present invention It is used to treat partial responders, or to treat a compound with a compound of the invention. 16 200817329 Patients will reduce a fraction of partial responders. Attention deficit hyperactivity disorder (ADHD) is the most common neurobehavioral disorder. ADHD is characterized by the appearance Social trials and communication damage, and there are restrictions, repetitions or fixed behaviors. ADHD usually begins in children or adolescence, but the symptoms can be sustained to adulthood. Atosin, ding (at〇inoxetine) is currently only FDA Approved non-stimulants for the treatment of ADHD [Drugs, 64, 205-222, 2004]. Atoxetine is a norepinephrine reuptake inhibitor, and this suggests that the compounds of the invention are useful in the treatment of ADHD. In addition, the compounds of the present invention also have a sedative effect due to the alpha adrenergic receptors and 5-HT2 antagonism discussed above, which are beneficial for the treatment of adhD. Depression is a special subtype of depression and is often associated with severe depression; this type of depression is also known as depression. Depression is associated with anxiety, anxiety about the future, insomnia, and loss of appetite. Compounds that inhibit the reuptake of both serotonin and norepinephrine, such as, for example, venlafaxine, have been shown to be particularly costly in the treatment of patients with severe depression and sorrows [(10)(1)·

Anxiety,12,50-54,2000]。如同上文討論的,發揮 5_ht^ 拮抗作用的化合物,增加多巴胺含量,所以將預期這類化 合物在治療憂鬱症上是有效的[psychpharm· BuU·,39, i47- 166, 2006]。此外,亦預期本發明之化合物的腎上腺 素能受體考口 5-HT2拮抗作用,能幫助睡眠正常化,因此該 化合物可用來治療憂鬱症。 FDA最近已經核准舍曲林和帕羅西汀 (paroxetine),兩種SSRl,s,用來治療創傷後壓力障礙 (PTSD)。而且,具有5_町2八拮抗活性的化合物是有用的, 17 200817329 因為預期它們能夠在PTSD患者中控制煩亂、失眠和發脾 氣[Curr opinion Invest DrUg,4, 37-41,2003]。因此,預期 本發明之化合物可用來治療pTSD。 熱潮紅是與停經過渡期有關的徵候。有些婦女受熱潮 紅所含,到景> 響睡眠或一般活動的程度,且需要治療。過 去十年已經建立實行利用雌激素的激素替代療法,然而最 近已經表達對副作用的關心,如乳癌和心臟事件。SSRI和 SNRI的臨床試驗顯示,這些化合物具有對熱潮紅的效果, 雖然比雌激素差[j. Am Med ASS.,295, 2057-2071,2006]。 然而,以抑制血清素及/或正腎上腺素再吸收的化合物,例 如本發明之化合物來治療熱潮紅,可能是不能或不願接受 雌激素之婦女的另一種治療。 睡眠呼吸暫停或阻塞性睡眠呼吸暫停低通氣徵候群或 阻基性睡眠-呼吸障礙,是一種病症,對其有效的藥學治療 仍尚待確§忍。然而,數個對動物的研究,暗示5_ht3拮抗 劑,例如本發明之化合物,在治療介入上可能是有效的 [Sleep,21,131-136, 1998,Sleep,8, 871,2001]。 最近已經顯示5-HT3拮抗劑昂丹司瓊在治療渴望和酒 赤月與藥物濫用上是有效的[Drug Ale. Depend·,84,256-263, 2〇〇6 ; Pharmacol Therapeut·,111,855-876, 2006]。這似乎 支持5-HT3拮抗劑,例如本發明之化合物可用來治療渴望, 如/酉精、於驗或碳水化合物渴望;以及酒精和藥物濫用的 想法。 其他5 -HT3拮抗劑的建議用途,包括。區吐,特別是化 200817329 療引起的嘔吐、進食障礙,如暴食症和大腸激躁症(iBs)[Exp· 〇ριη· Ther· Targets,11,527-540, 2007]。 另外預期具有獨特藥理學輪廓的本發明之化合物,可 用來治療感情障礙、抑t、重度憂t、產後憂#症、與躁 鬱症有關之抑鬱、阿茲海默氏症、精神病或帕金森氏症、 焦慮、廣泛性焦慮症、社交焦慮症、強迫症、恐慌症、恐 慌發作、恐懼症、社交恐懼症、曠野恐懼症和應力性尿失 禁。 在一具體事實中,本發明係關於治療慢性疼痛、部分 反應者、冶療抵抗性抑鬱、阿茲海默氏症、認知損傷、 HD 反鬱症、PTSD、熱潮紅、睡眠呼吸暫停、酒精、 菸鹼或碳水化合物渴望、物質濫用、酒精或藥物濫用、嘔 吐、進食障礙、IBS、情感障礙、抑鬱、重度憂鬱、產後 憂鬱症、與躁鬱症有關之抑鬱、阿茲海默氏症、精神病或 帕金森氏症、焦慮、廣泛性焦慮症、社交焦慮症、強迫症、 恐慌症、恐慌發作、恐懼症、社交恐懼症、曠野恐懼症或 應力性尿失禁的方法,該方法包括對需要其之患者投與治 療有效量的化合物〗。在一具體事實中,該欲治療任何上 文列舉之疾病的患者,一開始已經被診斷出患有該疾病。 在一具體事實中,本發明係關於治療慢性疼痛的方法, 該方法包括對需要其之患者投與治療有效量之化合物I。 在一具體事實中,該慢性疼痛係選自幻肢痛、神經病性疼 痛、糖尿病性神經病變、帶狀疱疹後神經痛(PHN)、腕隨 迢徵候群(CTS)、HIV神經病變、複雜性區域疼痛徵候群 19 200817329 (CRPS)、二又神經痛/三又 如手術後的止痛劑)、糖尿广^ 又神經痛、手術介入(例 與胰島炎有關毛^管阻力或 人男關的糖尿病徵候、與心 經有關的疼痛、盥产疒 、^ 奇的疼痛、與月 雨興癌症有關的疼痛、牙痛、藤、虑^ 一 張力型頭痛、三又神經痛、顳下頜關節徵候群、:貝痛、 痛肌肉傷害、纖維肌痛徵候群 "、饥肋膜疼 風濕性關節炎、起因於鮮傷右關“關即痛(骨關節炎)、 Ο 和水腫、骨關節… 4有關之創傷的風濕性關節炎 月關即火引起的扭傷或骨折 骨轉移或未知的原闵.^ 月貝^ 症、 原口、痛風、纖維織炎、 廓出口徵候群、上背痼 肋膜疼痛、胸 F ^ ^ 月痛或下背痛(其中背痛起因於全身性、 &域性或原發性脊椎广 性胸痛、非-心臟性胸痛、愈詩β盤疼痛、心臟 中枢性t風後㈣r ㈣㈣⑽)㈣的疼痛、 胞疼痛或老人痛。 々局嫌狀細 =具體事貫中,該慢性疼痛為神經病性疼痛。 具體事實中’該神經病性疼 、 痛覺過敏、神Μ症料^ <曰爛見敏 < 尿病性神經病變、神經炎、神經 痛感見過敏、灼痛和異常性疼痛。 在一具體事實中,,ν — 公斤曰4 、 以母天大約〇.0〇1到大約100毫克/ 斤體重的讀與本發明之化合物。 典型的口服劑| — 疋在母天從大約0.001到大約100毫 克/公斤體重的範圍内 — 古 車乂<土的疋母天從大約0.01到大約50 I广:體重’投與一或多個劑量,如1至3個劑量。精 確的劑量將視投藥的頻 員羊和杈式、待治療個體之性別、年 20 200817329 齡、體重和一般健康狀況、待治療之狀況的性質與嚴重性, 和任何待治療之附隨疾病,以及任何對熟諳此藝者顯而易 見的因素而定。 適合成人的典型口服劑量是範圍^00毫克/天的本發 化合物,如i-30毫克/天,或5_25毫克/天。這通常藉 著每天一或兩次,投與(U — 50毫克,如丨_25毫克,如1、 5、10、15、20或25毫克的本發明之化合物而達成。 當在本文中使用時,化合物的,,治療有效量,,意指在包 括投與該化合物之治療介人中,^以治癒、減輕或部分阻 止特定疾病及其併發症之臨床徵候的量。將足以完成該目 的的里疋義為’’治療有效量,,。該名詞亦包括在包括投與該 化口物之治療中,足以治癒、減輕或部分阻止特定疾病及 其併發症之臨床徵候的量。每個目的的有效量,將視疾病 或傷害的嚴重性,以及個體之體重和一般健康狀況而定。 應瞭解可使用例行的實驗,藉著建構數值的矩陣,並測試 矩陣中的不同點,其在熟練醫師的一般技術範圍内,完 適當劑量的判定。 當在本文中使用,,治療(treatment),,或,,治療…⑽丨叫),,一 詞時,意指為了對抗狀況,>疾病或病症,來管理和照顧 患者。該名詞嘗試包括對特定狀況之治療的全部範圍,從 患者正在受苦,如投與活性化合物以減輕徵候或併發症, 到延遲疾病、病症或狀況的進行,到減輕或解除徵候或併 發症,及/或治癒或排除疾病、病症或狀況,以及預防疾病, 其中應瞭解預防是為了對抗疾病、狀況或病症而管理和昭 I φ % 21 200817329 顧患者2包括投與活性化合物’以防止徵候或併發症的 發生。儘管如此,預防性(預防)和治療性(治療)之治療是本 發明兩個不同的方面。待治療之患者最好是哺乳動物,特 別是人類。 在一具體事實中,本發明係關於本發明在製造藥劑上 的用途,該藥劑可用以治療慢性疼痛、部分反應者、、治療 抵抗性抑鬱、阿兹海默氏症、認知損傷、adhd、憂鬱症、 PTSD、熱潮紅、睡眠呼吸暫停、酒精、於驗或碳水化合物 渴主物貝1用、酒精或藥物濫用、α區吐、進食障礙、IB s、 情感障礙、抑鬱、重度憂•、產後憂鬱症、與躁鬱症有關 之抑鬱、阿茲海默氏症、精神病或帕金森氏症、焦慮、廣 泛性焦慮症、社交焦慮症、強迫症、恐慌症、恐慌發作、 恐懼症、社交恐懼症、曠野恐懼症或應力性尿失禁。 在一具體事實中,本發明係關於本發明在製造用以治 療悛性疼痛,如神經病性疼痛之藥劑上的用途。 在一具體事實中,本發明係關於本發明之化合物作為 藥劑之用途,該藥劑可用以治療慢性疼痛、部分反應者、 冶療抵抗性抑鬱、阿茲海默氏症、認知損傷、ADHD、憂 鬱症、PTSD、熱潮紅、睡眠呼吸暫停、酒精、菸鹼或碳水 化合物渴望、物質濫用、酒精或藥物濫用、嘔吐、進食障 礙、IBS、情感障礙、抑蠻、重度憂營、產後憂蠻症、與 躁鬱症有關之抑鬱、阿茲海默氏症、精神病或帕金森氏症、 焦慮、廣泛性焦慮症、社交焦慮症、強迫症、恐慌症、恐 慌發作、恐懼症、社交恐懼症、曠野恐懼症或應力性尿失 22 200817329 ' 禁。 在-具體事實中,本發明係關於本發明之化合物作為 以治療慢性疼痛,如神經病性疼痛之藥劑的用途。’ …本發明之化合物,彳以純化合物之形式單獨,或與在 :學上可接受之載劑或賦形劑混合’以單一或多個劑量投 藥。可根據傳統的技術,像是在雷明_:製藥科學與實行 (R_ngt〇n: The Science and Practice 〇f pharmacy),第Anxiety, 12, 50-54, 2000]. As discussed above, compounds that exert 5_ht^ antagonism increase dopamine content, so such compounds are expected to be effective in treating depression [psychpharm· BuU·, 39, i47-166, 2006]. Furthermore, it is also expected that the adrenergic receptor 5-HT2 antagonism of the compound of the present invention can help normalize sleep, and thus the compound can be used for the treatment of depression. The FDA has recently approved sertraline and paroxetine, two SSRl, s, for the treatment of post-traumatic stress disorder (PTSD). Moreover, compounds having 5_cho 2-8 antagonistic activity are useful, 17 200817329 because they are expected to control disorders, insomnia, and temper in PTSD patients [Curr opinion Invest DrUg, 4, 37-41, 2003]. Thus, the compounds of the invention are expected to be useful in the treatment of pTSD. Hot flashes are signs associated with the transition period of menopause. Some women are affected by the hot red, to the extent of sleep or general activity, and need treatment. Hormone replacement therapy using estrogen has been established over the past decade, but concerns about side effects such as breast cancer and cardiac events have recently been expressed. Clinical trials of SSRI and SNRI have shown that these compounds have an effect on hot flashes, albeit worse than estrogen [j. Am Med ASS., 295, 2057-2071, 2006]. However, compounds that inhibit serotonin and/or norepinephrine reuptake, such as the compounds of the present invention, for treating hot flashes may be another treatment for women who are unable or unwilling to receive estrogen. Sleep apnea or obstructive sleep apnea hypopnea syndrome or obstructive sleep-respiratory disorder is a condition and its effective pharmaceutical treatment remains to be determined. However, several studies on animals suggest that 5_ht3 antagonists, such as the compounds of the invention, may be effective in therapeutic intervention [Sleep, 21, 131-136, 1998, Sleep, 8, 871, 2001]. It has recently been shown that the 5-HT3 antagonist ondansetron is effective in treating cravings and alcohol redness and drug abuse [Drug Ale. Depend., 84, 256-263, 2〇〇6; Pharmacol Therapeut, 111, 855-876, 2006]. This appears to support 5-HT3 antagonists, e.g., the compounds of the invention can be used to treat cravings such as sputum, sputum or carbohydrate cravings; and the idea of alcohol and drug abuse. Suggested uses for other 5-HT3 antagonists, including. Area vomiting, especially 200817329 Treatment caused by vomiting, eating disorders, such as binge eating disorder and irritable bowel syndrome (iBs) [Exp· 〇ριη· Ther· Targets, 11, 527-540, 2007]. It is also contemplated that the compounds of the present invention having a unique pharmacological profile can be used to treat affective disorders, depression, severe anxiety, postpartum anxiety, depression associated with bipolar disorder, Alzheimer's disease, psychosis or Parkinson's disease. Symptoms, anxiety, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, panic attack, phobia, social phobia, wild phobia and stress urinary incontinence. In a specific fact, the present invention relates to the treatment of chronic pain, partial responders, treatment of depression, Alzheimer's disease, cognitive impairment, HD depression, PTSD, hot flashes, sleep apnea, alcohol, tobacco Alkali or carbohydrate cravings, substance abuse, alcohol or substance abuse, vomiting, eating disorders, IBS, affective disorder, depression, severe depression, postpartum depression, depression associated with bipolar disorder, Alzheimer's disease, psychosis or pa A method of treatment for patients with need, such as patients with sinus, anxiety, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, panic attack, phobia, social phobia, wild phobia or stress urinary incontinence Administration of a therapeutically effective amount of the compound. In a specific case, the patient who is to be treated for any of the diseases listed above has been diagnosed with the disease at the outset. In a specific aspect, the invention relates to a method of treating chronic pain, the method comprising administering to a patient in need thereof a therapeutically effective amount of Compound I. In a specific case, the chronic pain is selected from the group consisting of phantom limb pain, neuropathic pain, diabetic neuropathy, post-herpetic neuralgia (PHN), wrist follow-up syndrome (CTS), HIV neuropathy, complexity Regional pain syndrome 19 200817329 (CRPS), two neuropathic pain / three as analgesic after surgery), diabetes, and neuralgia, surgical intervention (for example, with islet inflammation related to hair tube resistance or diabetes) Symptoms, pain associated with the heart, sputum, sputum, pain, pain associated with the rain, toothache, vine, worry ^ a tension headache, three nerve pain, temporomandibular joint syndrome, Pain, painful muscle injury, fibromyalgia syndrome, hunger gluteal rheumatoid arthritis, caused by fresh wounds right Guan "guana pain (osteoarthritis), phlegm and edema, bone joints... 4 related trauma Rheumatoid arthritis is caused by a sprain or fracture bone metastasis or an unknown sputum caused by fire. ^ Yue Bei ^ Zheng, original mouth, gout, fibrositis, exudation sign group, upper back palpebral pain, chest F ^ ^ Monthly pain or lower back pain (where Back pain is caused by systemic, & domain or primary spinal wide chest pain, non-cardiac chest pain, gynecological β-plate pain, heart central t-wind (4) r (4) (4) (10)) (4) pain, cell pain or pain in the elderly 々 嫌 = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ , neuritis, neuropathic sensation, allergies, burning pain and allodynia. In a specific fact, ν - kg 曰 4, mother's day about 〇.0〇1 to about 100 mg / kg body weight read and the present invention The typical oral agent | — 疋 in the range of about 0.001 to about 100 mg / kg body weight on the mother's day — ancient 乂 乂 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土 土One or more doses, such as 1 to 3. The exact dose will depend on the frequency of administration of the sheep and sputum, the sex of the individual to be treated, the age of 20, 2008, 329 years of age, weight and general health, the nature of the condition to be treated And severity, and any treatment to be treated With the disease, and any factors that are obvious to those skilled in the art. A typical oral dose suitable for adults is a compound of the formula ^00 mg/day, such as i-30 mg/day, or 5-25 mg/day. This is usually By administering one or two times a day (U-50 mg, such as 丨25 mg, such as 1, 5, 10, 15, 20 or 25 mg of the compound of the invention). When used herein, A therapeutically effective amount of a compound means an amount of a clinical symptom that cures, alleviates or partially arrests a particular disease and its complications in a therapeutic agent comprising the administration of the compound. Derogatory meaning is ''therapeutic effective amount,,. The term also encompasses an amount sufficient to cure, alleviate or partially arrest a clinical condition of a particular disease and its complications in a treatment comprising administration of the emollient. The effective amount for each purpose will depend on the severity of the disease or injury, as well as the individual's weight and general health. It should be understood that routine experiments can be used, by constructing a matrix of values, and testing different points in the matrix, which are within the general skill of the skilled practitioner and determine the appropriate dose. As used herein, treatment, or, treatment ... (10) squeaking, as the term, means managing and caring for a patient in order to combat a condition, > disease or condition. The term attempts to include the full range of treatments for a particular condition, from the patient suffering from, such as administration of an active compound to alleviate a symptom or complication, to delaying the progression of the disease, condition or condition, to alleviating or relieving symptoms or complications, and / or cure or rule out diseases, conditions or conditions, and prevent diseases, it should be understood that prevention is to fight against diseases, conditions or conditions and to treat patients and patients, including patients with active compounds to prevent signs or concurrency The occurrence of the disease. Nonetheless, prophylactic (preventive) and therapeutic (therapeutic) treatments are two different aspects of the invention. The patient to be treated is preferably a mammal, especially a human. In a specific aspect, the invention relates to the use of the invention in the manufacture of a medicament for treating chronic pain, partial response, treatment of resistance depression, Alzheimer's disease, cognitive impairment, adhd, depression Symptoms, PTSD, hot flashes, sleep apnea, alcohol, test or carbohydrate thirst, use of alcohol, substance abuse, alpha vomiting, eating disorders, IB s, affective disorder, depression, severe anxiety • postpartum Depression, depression associated with bipolar disorder, Alzheimer's disease, psychosis or Parkinson's disease, anxiety, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, panic attack, phobia, social phobia , wilderness phobia or stress urinary incontinence. In one particular aspect, the invention relates to the use of the invention in the manufacture of a medicament for the treatment of spastic pain, such as neuropathic pain. In a specific aspect, the invention relates to the use of a compound of the invention as a medicament for the treatment of chronic pain, partial response, treatment of depression, Alzheimer's disease, cognitive impairment, ADHD, depression Symptoms, PTSD, hot flashes, sleep apnea, alcohol, nicotine or carbohydrate cravings, substance abuse, alcohol or substance abuse, vomiting, eating disorders, IBS, affective disorder, barbarism, severe sorrow, postpartum sorrow, Depression associated with bipolar disorder, Alzheimer's disease, psychosis or Parkinson's disease, anxiety, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, panic attack, phobia, social phobia, wilderness fear Symptoms or stress urinary loss 22 200817329 ' Forbidden. In particular, the invention relates to the use of a compound of the invention as a medicament for the treatment of chronic pain, such as neuropathic pain. The compound of the present invention, which is administered as a pure compound alone or in admixture with: a carrier or excipient which is acceptable for administration, is administered in single or multiple doses. Can be based on traditional techniques, such as in Remington _: Pharmaceutical Science and Practice (R_ngt〇n: The Science and Practice 〇f pharmacy),

版,Gennaro 編輯,Mack publishing c〇,Ε_η,% ⑼$ 中描述的那些’利用在藥學上可接受之載劑或稀釋劑,以 及任何其他已知的佐劑和賦形劑,來調配根據本發明之醫 藥組成物。 可特別調配醫藥組成物,以便藉著任何適當的路徑投 藥,如口服、經直腸、經鼻、經肺臟、局部(包括頰部和舌 下)、經皮、腦池内、腹腔内、經陰道和非經腸(包括皮下、 肌肉内、鞘内、靜脈内和皮内)路徑,口服路徑是較佳的。 明瞭較佳的路徑將視待治療之患者的一般健康狀況和年 齡、待治療之狀況的性質和所選擇的活性成分而定。 口服投藥的醫藥組成物,包括固體劑型,如膠囊、鍵 劑、糖衣鍵、藥丸、含片、散劑和顆粒。在適當之處,可 利用塗料製備它們。 口服投樂的液體劑型包括〉谷液、乳劑、懸浮液、糖浆 和醜劑。 非經腸投藥的醫藥組成物包括無菌含水或非水注射用 溶液、分散體、懸浮液或乳劑,以及無菌的散劑,在使用 23 200817329 之前重組成無菌的注射用溶液或分散體。 其他適S的投藥形式包括检劑、喷霧劑、軟膏 凝膠、吸入劑、經皮貼片、植入物等等。 孔相、 為了方便,以單位劑型投與本發明之化合物,其以大 約0.1到50毫克的量含有該化合物,如i毫克、5毫克、 毛克15毛克、2〇毫克或25毫克的本發明化合物。 Γ 一至於非經腸路徑,如靜脈内、鞘内、肌肉内和類似的 投樂’劑量通常是口服投藥所使用之劑量的大約一半。 關於非經腸投藥,可使用在無菌水溶液、含水丙二醇、 a水維生f E $芝麻或花生油中的本發明化合物之溶液。 若需[應it當地緩衝這類水溶液,i先以足夠的生理鹽 水或葡萄糖使液體稀釋劑成為等張的。水溶液特別適合ς 脈内、肌肉内、皮下和腹腔内投藥。可藉著熟諳此藝者已 知的標準技術’輕易地獲得所有使用的無菌含水介質。 適當的藥學載劑包括惰性的固體稀釋劑或填料、無菌 的水溶液和各種有機溶劑。固體載劑之實例為乳糖、白土、 蔗糖、環糊精、滑石、明膠、瓊脂、㈣、阿拉伯樹膠、 硬脂酸鎂、硬脂酸和纖維素的低碳數烷基醚。液體載劑的 貝例為糖漿、花生油、撖欖油、磷脂類、,脂肪酸、脂肪酸 月女環氧乙院和水。藉著混合本發明之化合物與在藥學 上可接叉之載劑形成醫藥組成物,然後以各種適合上文揭 不之投藥路徑的劑型,迅速地投藥。 適合口服投藥的本發明之調配物,可以分開的單位, 如膠囊或錠劑提供,各含有預定量的活性成分,且其可含 24 200817329 有適當的賦形劑。此外,可口服 用的调配物★可U早五冬 劑或顆粒、在含水或非水液體 疋政 油或油包水液體乳劑之形式。…懸洋液,或水包 =服投藥使用固體載劑’則該製劑可能是錠劑,例 ==明膠膠囊中的散劑或小球形式,或是以 片之形式。可改變固體載劑的量 克到大約… 通吊疋從大約25毫Edition, Gennaro Editor, Mack publishing c〇, Ε_η, % (9) $ those described in 'utilizing pharmaceutically acceptable carriers or diluents, as well as any other known adjuvants and excipients, to be formulated according to this The pharmaceutical composition of the invention. The pharmaceutical composition can be specially formulated to be administered by any appropriate route, such as oral, rectal, nasal, transpulmonary, topical (including buccal and sublingual), transdermal, intracisternal, intraperitoneal, transvaginal and Oral routes are preferred for parenteral (including subcutaneous, intramuscular, intrathecal, intravenous, and intradermal) routes. It is clear that the preferred route will depend on the general health and age of the patient to be treated, the nature of the condition to be treated, and the active ingredient chosen. Pharmaceutical compositions for oral administration include solid dosage forms such as capsules, granules, sugar-coated linkages, pills, troches, powders and granules. Where appropriate, they can be prepared using coatings. Liquid dosage forms for oral administration include: gluten, emulsions, suspensions, syrups, and ugly agents. Pharmaceutical compositions for parenteral administration include sterile aqueous or non-aqueous solutions, dispersions, suspensions or emulsions, and sterile powders, which are reconstituted in a sterile injectable solution or dispersion prior to use. Other forms of administration include Strain, Spray, Ointment Gel, Inhalation, Transdermal Patch, Implant, and the like. Pore phase, for convenience, the compound of the invention is administered in unit dosage form, containing the compound in an amount of from about 0.1 to 50 mg, such as i mg, 5 mg, 15 g of hair, 2 mg or 25 mg. Inventive compound. Γ As far as the parenteral route is concerned, such as intravenous, intrathecal, intramuscular, and the like, the dose is usually about half of the dose used for oral administration. For parenteral administration, solutions of the compounds of the invention in sterile aqueous solutions, aqueous propylene glycol, a water-sustained f E sesame or peanut oil may be employed. If you need to [locally buffer this type of aqueous solution, i first make the liquid diluent into isotonic with enough physiological saline or glucose. The aqueous solution is particularly suitable for intra-pulmonary, intramuscular, subcutaneous and intraperitoneal administration. All sterile aqueous media used can be readily obtained by standard techniques known to those skilled in the art. Suitable pharmaceutical carriers include inert solid diluents or fillers, sterile aqueous solutions and various organic solvents. Examples of solid carriers are lactose, terra alba, sucrose, cyclodextrin, talc, gelatin, agar, (iv), gum arabic, magnesium stearate, stearic acid and lower alkyl ethers of cellulose. Examples of liquid carriers are syrup, peanut oil, eucalyptus oil, phospholipids, fatty acids, fatty acids, and women's epoxides. The pharmaceutical composition is formed by mixing the compound of the present invention with a pharmaceutically acceptable carrier, and then rapidly administered in a variety of dosage forms suitable for the above-mentioned routes of administration. Formulations of the invention suitable for oral administration can be provided in separate units, such as capsules or lozenges, each containing a predetermined amount of active ingredient, and may contain the appropriate excipients. In addition, the orally administrable formulation can be in the form of an early or winter granule, in the form of an aqueous or non-aqueous liquid eucalyptus oil or a water-in-oil liquid emulsion. ...suspension, or water pack = use of a solid carrier for administration] The preparation may be a tablet, for example, in the form of a powder or pellet in a gelatin capsule, or in the form of a tablet. The amount of solid carrier can be changed to about ......

若使用液體載劑’該製劑可能是糖浆、乳劑、軟明膠 膠囊或無讀的注射用液體之形式,如含水或非水液 液或溶液。 可藉著混合活性成分與普通的佐劑及/或稀釋劑,接著 以傳統的製錠機壓緊該混合物,來製備錠劑。佐劑或稀釋 劑的實例包括:玉米澱粉、馬鈴薯澱粉、滑石、硬脂酸鎂、 明膠、乳糖、樹膠以及類似物。可使用任何常用於這類目 的的其他佐劑或添加物,如著色劑、香料、防腐劑等等, 只要它們與活性成分相容即可。 可藉著將包括該化合物之散劑與微晶纖維素和硬脂酸 鎂混合,並將該散劑放在硬明膠膠囊中,來製備包括本發 明化合物的膠囊。該膠囊可視需要以適當的色素著色。通 系’膠晨將包括0.25-20%的本發明化合物,如 3· 0-4 · 〇 %、14.0-16.0%的本發明化合物。可便利地使用這此 強度,以單位劑型遞送1、5、10、15、20和25毫克的本 發明化合物。 可藉著將活性成分和可能的添加物溶解於一部分注射 25 200817329 用溶劑中,最好是無菌的水,將溶液調整到想要的體積, 將该溶液滅菌,並裝入適當的安瓿或小瓶中,製備注射用 溶液。可加入在此項技術中慣用的任何適當添加物,如緊 張劑、防腐劑、抗氧化劑等等。 可按照在W02003/029232中概述的,製備化合物工。 可藉著加入適當的酸,接著沉澱,製備化合物i的鹽類。 可藉著例如冷卻、移除溶劑、加入其他溶劑或其混合物, 而引起沉殿。 所有在本文中引用的參考文獻,包括公開案、專利申 請案和專利,全部以引用的方式納入本文中,該引用的程 度就如同已特定地及個別地將各個參考文獻以引用的方式 納入-般’並在本文中全部陳述(至法律許可的最大程度): 不考慮任何分開提供之在本文中另行納人的特定文件。 在描述本發明之前後文中,使用名詞,,-個,,和,,這個,, 及類似對象,將其解釋為涵蓋單數和複數兩者,除 文中另行指定,或由前後文明確地駁斥。例如,應 個化合物”,除非另行指定’意指本發明或特別說明 方面的各種,,化合物”。 了兄明 隹本文中提供的精確數值, 表相對應之近似值(例如可將對於特殊因的 有精確數值視為亦提供相對r 、丨里楗仏的所 攸h相對應之近似測量值, 以,,大約”修飾)〇 你W田之處 在本文中任何方面的磅日月 包括,,、”且右,,”: 本發明之觀點,使用諸如” a祜、具有、”包含,,或,,令 x 類的名詞,意指企圖替 26 200817329 本發明之類似觀點或方面提供支持的元件或元件們,其,,包 由…組成、”基本上由._·組成”或”實質上包括,,特定的元件 或元件們,除非由前後文另行陳述或明確地駁斥(例如,應 瞭解在本文中描述之包括特定元件的組合物,亦形容一組 合物是由該元件組成,除非由前後文另行陳述或明確地駁 斥)。 實施例 分析方法 在?八他171^&1\,?州?尺0又-射線衍射儀上,使用(::1^ α 1輪射’測夏X-射線粉末繞射圖(XRPD)。以在2 0 _範圍 5-40°的反射模式,使用又’(^161^〇1^探測器,測量試樣。在 得自Elementar的Elementar Vario EL儀器上,測量元素 組成(CHN)。每次測量使用大約4毫克的試樣,並以兩次 測量之平均值提供結果。 f施例1 a化合物τ的HBr鹽 在442克經過攪拌並稍微加熱(約45°C)的油狀4-(2-對 -甲苯基硫烷基-苯基)_哌啶-^羧酸乙酯中,加入545毫升 在AcOH中之33重量%的HBr(5.7M,2.5當量)。該混合 產生1 〇°C的放熱。在最後加入之後,將該反應混合物加熱 至80°C,並靜置18小時。取回試樣,並藉HPLC分析, 若未完成就必須加入更多在AcOH中之33重量%的HB r。 另一方面將該混合物冷卻至25 °C,使產物4-(2-對-甲苯基 硫烷基-苯基)-哌啶氫溴酸鹽沉澱。在25 °C下1小時之後, 在濃稠的懸浮液中加入800毫升二乙醚。持續攪拌另外1 27 200817329 小時,然後藉著過濾分離產物,以400毫升二乙醚沖洗, 並在40 °C真空中脫水過夜。分離出的化合物I之氫溴酸鹽 為白色固體。 實施例lb化合物T.的HBr鹽 2-(4-甲苯基硫烷基)-苯基溴 在經過攪拌氮覆蓋的反應器中,以氮氣沖刷N_甲基_ 吡咯烷酮,ΝΜΡ(4·5公升)20分鐘。加入4-甲基苯硫酚(9〇〇 克,7·25莫耳),然後加入1,2-二溴苯(1709克,7.25莫耳)。 最後加入第三-丁醇鉀(8 13克,7·25莫耳),成為最後的反 應劑。該反應是放熱的,使該反應混合物溫度升高至70°C。 然後將該反應混合物加熱至12 0 °C 2 - 3小時。將該反應混合 物冷卻至室溫。加入乙酸乙酯(4公升)和氣化鈉水溶液 (1 5 % ’ 2 · 5公升)。擾拌該混合物2 0分鐘。分離液相,並 以另一部分的乙酸乙S旨(2公升)萃取。分離液相,並混合 有機相,然後以氣化鈉溶液(1 5 %,2 · 5公升)沖洗。分離有 機相,利用硫酸鈉脫水,並在降低的壓力下蒸發,成為紅 色的油,其含有20-30% NMP。以甲醇將該油稀釋成兩倍 的體積,並迴流該混合物。加入更多的曱醇,直到獲得澄 清的溶液為止。慢慢地將該溶液冷卻至室溫,同時密封。 產物結晶成灰白色的結晶’藉著過濾分離它們,並以曱醇 沖洗,然後在40°C的真空烘箱中脫水,直到恆重為止。 4 -經基- 4- (2-(4 -甲苯基硫烧基)苯基)-旅u定-1-竣酸乙酉旨 在經過攪拌的反應器中,在氮氣覆蓋下,將2-(4_甲笨 基硫烷基)-苯基溴(600克,2· 15莫耳)懸浮於庚烷(4·5公升) 28 200817329 中。在室溫下,在10分鐘内加入1〇M在己烷中之BuLi(235 愛升’ 2·36莫耳)。只注意到少許的放熱。在周圍溫度下攪 拌邊懸浮液1小時,然後冷卻至-4()c>c。以不比將反應溫度 保持在-40 C下更快的速度,加入溶解於THF(1.5公升)中 之1-乙氧羰基(carbeth〇xy)-4-派啶酮(368克,2.15莫耳)。 當反應進行至完成時,將其加溫至,並加入1M HC1(1 公升)’保持溫度低於丨〇 。分離酸性液相,並以乙酸乙 醋(1公升)萃取。混合有機相,並以氯化鈉溶液(丨,1公 升)萃取。將有機相覆以硫酸鈉脫水,並蒸發至半結晶狀的 團塊。以乙鱗(250毫升)使其形成淤漿,並過濾。在4(rc 之真空烘箱中脫水,直到恆重為止。 4-(2-(4 -甲苯基硫烧基)_苯基)0定_丨_竣酸乙酯 將二II乙酸(2.8公斤,24.9莫耳)和三乙基矽烷(362 克’ 3.1莫耳)裝入裝有有效率之攪拌器的反應器中。經由 粉末漏斗分批加入4-羥基-4-(2-(4-曱苯基硫烷基)苯基)-哌 啶-1-羧酸乙酯(462克,1.24莫耳)。該反應為些許放熱的。 使溫度升鬲至50°C。在加入停止之後,將該反應混合物加 皿至60 C 1 8小時。將該反應混合物冷卻至室溫。加入甲 苯(750耄升)和水(750毫升)。分離有機相,並以另一部分 的甲苯(750毫升)萃取液相。混合有機相,並以氯化鈉溶 液(15%,500毫升)沖洗,然後覆以硫酸鈉脫水。濾掉硫酸 納,在減低的壓力下蒸發濾液,成為紅色的油,在下一個 步驟中進一步處理。 4-(2-(4-甲苯基硫烧基)苯基定氫漠酸鹽 29 200817329 在經過攪拌的反應器中,將得自實施例3,紅色油狀 的粗製4-(2-(4 -甲苯基硫烧基)苯基)_旅ϋ定-1-叛酸乙酯與在 醋酸中之氫溴酸(40%,545毫升,3·η莫耳)混合。將該混 合物加熱至80°C 18小時。將該反應混合物冷卻至室溫。 在冷卻期間產物結晶出來。在室溫下1小時之後,在該反 應混合物中加入乙醚(800毫升),並擾拌該混合物另一小 時。過濾產物,以乙醚沖洗,並在50°C的真空烘箱中脫水, 直到恆重為止。 f施例1 c化合物I之HBr鹽的爯結晶作用 在100毫升H20中,將ΐ〇·〇克化合物I之HBr鹽(例 如如上製備)的混合物加熱至迴流。該混合物在8 〇 _ 9 〇 變 成澄清且完全溶解。在該澄清的溶液中,加入1克活性碳, 並繼續迴流15分鐘,然後過濾並留下自動冷卻至室溫。 在冷卻期間,發生白色固體的沉澱,並在室溫下攪拌該懸 浮液1小時。過濾並在40°C之真空中脫水過夜,產生6.9 克(69%)的化合物I之HBr酸加成鹽。參見圖1之XRpD。 元素分析· 3·92%Ν,59.36%C,6·16%Η(理論值:3·85%Ν 59.43%C,6·09%Η)。 實施例1 d製備自由鹼的母液 將500毫升乙酸乙酯和200毫升H2〇的混合物,加至 50克化合物I之HBr鹽中’產生兩-相的於聚。在該丨於聚 中加入大約25毫升濃NaOH,其引起澄清兩-相溶液的形 成(測量pH值到13 -14)。劇烈地攪拌該溶液丨5分鐘,並 分離有機相。以200毫升ΗζΟ沖洗有機相,覆以Na2S〇4 30 200817329 ψ 脫水,過濾並在60°C之真空中蒸發,產生自由驗,產量38 克(99%),為幾乎無色的油。 使用乙酸乙酯溶解10克的油,並調整體積至15〇毫升, 產生在乙酸乙酯中0.235Μ的母液,使用來自其之15毫升 等份(100毫克的自由驗)。 使用96體積%的Et〇H溶解10克的油,並調整體積 至100毫升,產生在EtOH中0.353M的母液,使用來自其 之1.0毫升等份(1〇〇毫克的自由鹼)。 fAl1] le使用自由鹼之母液形成 將指定的等份放在試管中,同時加以攪拌,按照在表 1中的指示,加入適當量的酸。若酸為液體便直接加入, 否則在加入前先將其溶解於指定的溶劑中。在混合和沉殿 之後’繼續攪拌過夜,並藉著過濾收集沉澱物。在3(rc真 空中脫水之前,取出少量的參考試樣,並在室溫但不需真 空下脫水。納入該程序以便測試溶劑合物。在表1中提交 些結果。在圖1_22中出示XRPD繞射圖,並在表2中將 選出的高峰位置作成圖表。表3顯示本發明之化合物在水 中的/谷解度’連同在所得飽和溶液中的pH值。,,沉澱物” 棚顯示在判定溶解度之後分離的沉澱物,是否與溶解的化 合物相同,這代表水合物的形成。 31 200817329 表1If a liquid carrier is used, the preparation may be in the form of a syrup, an emulsion, a soft gelatin capsule or a non-reading injectable liquid such as an aqueous or non-aqueous liquid or solution. The lozenge can be prepared by mixing the active ingredient with a conventional adjuvant and/or diluent, followed by compacting the mixture with a conventional tablet machine. Examples of adjuvants or diluents include: corn starch, potato starch, talc, magnesium stearate, gelatin, lactose, gums, and the like. Any other adjuvants or additives commonly used for such purposes, such as coloring agents, perfumes, preservatives and the like, may be used as long as they are compatible with the active ingredients. A capsule comprising a compound of the present invention can be prepared by mixing a powder comprising the compound with microcrystalline cellulose and magnesium stearate and placing the powder in a hard gelatin capsule. The capsule may be colored with a suitable pigment as desired. The system "gel morning" will comprise from 0.25 to 20% of a compound of the invention, such as 3·0-4 · 〇 %, 14.0-16.0% of the compound of the invention. These strengths can be conveniently used to deliver 1, 5, 10, 15, 20 and 25 mg of the compound of the invention in unit dosage form. The solution can be sterilized and filled into appropriate ampoules or vials by dissolving the active ingredient and possible additives in a portion of the injected solvent, preferably sterile water, to the desired volume. In the preparation of an injection solution. Any suitable additives conventionally used in the art, such as tensioning agents, preservatives, antioxidants, and the like, may be added. Compounds can be prepared as outlined in WO2003/029232. The salt of compound i can be prepared by adding an appropriate acid followed by precipitation. The sink can be caused by, for example, cooling, removing the solvent, adding other solvents, or a mixture thereof. All references cited herein, including publications, patent applications, and patents, are hereby incorporated by reference in their entirety as if It is described in this article (to the maximum extent permitted by law): Does not consider any separate documents provided separately in this document. Before the present invention is described, the terms singular and plural are used to mean both the singular and the plural, unless otherwise specified herein or otherwise explicitly recited. For example, a compound ", unless otherwise specified," means a compound of the invention or the particular aspect. The exact value provided in this article, the approximate value corresponding to the table (for example, the exact value for a particular cause can be regarded as an approximate measurement corresponding to the 攸h of the relative r, 丨里楗仏, , about "modification" 〇 W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W , a noun of the class x, means an element or component that attempts to provide support for a similar aspect or aspect of the invention, which consists of, consists essentially of, or consists essentially of. Including, a particular element or element, unless otherwise stated or explicitly refuted (for example, a composition comprising a particular element as described herein is also understood to be a component of the composition, unless Unless otherwise stated or explicitly refuted). Example Analysis Method At? Eight him 171^&1\,? State? On the ruler 0-ray diffractometer, use the (::1^ α 1 round shot 'metry X-ray powder diffraction pattern (XRPD). In the reflection mode in the range of 2 0 _ 5-40 °, use ' (^161^〇1^ detector, measuring sample. Elemental composition (CHN) was measured on Elementar Vario EL instrument from Elementar. Approximately 4 mg of sample was used for each measurement and averaged twice. Values provide the results. f Example 1 a HBr salt of compound τ in 442 g of 4-(2-p-tolylsulfanyl-phenyl)-piperidine as an oil which was stirred and heated slightly (about 45 ° C) To the ethyl carboxylate, 545 ml of 33 wt% HBr (5.7 M, 2.5 equiv.) in AcOH was added. This mixture gave an exotherm of 1 ° C. After the last addition, the reaction mixture was heated to 80. °C, and allowed to stand for 18 hours. The sample was taken back and analyzed by HPLC. If it was not completed, more 33% by weight of HB r in AcOH had to be added. On the other hand, the mixture was cooled to 25 °C. The product 4-(2-p-tolylsulfanyl-phenyl)-piperidine hydrobromide precipitated. After 1 hour at 25 ° C, 800 ml of the thick suspension was added. Ether. Stirring was continued for an additional 1 27 200817329 hours, then the product was isolated by filtration, washed with 400 mL of diethyl ether and dehydrated overnight at 40 ° C. The isolated hydrobromide salt of Compound I was a white solid. Lb compound T. of HBr salt 2-(4-tolylsulfanyl)-phenyl bromide in a stirred nitrogen blanketed reactor, flushing N_methyl-pyrrolidone with nitrogen, ΝΜΡ (4·5 liters) 20 Min. Add 4-methylthiophenol (9 g, 7.25 mol), then add 1,2-dibromobenzene (1709 g, 7.25 mol). Finally add potassium third potassium butoxide ( 8 13 g, 7.25 mol), the final reactant. The reaction is exothermic, raising the temperature of the reaction mixture to 70 ° C. The reaction mixture is then heated to 12 0 ° C for 2 - 3 hours. The reaction mixture was cooled to room temperature. Ethyl acetate (4 liters) and aqueous sodium sulphate (1 5 % ' 2 · 5 liters) were added. The mixture was stirred for 20 minutes. The liquid phase was separated and taken in another part. Extraction of acetic acid B (2 liters). Separation of the liquid phase, mixing of the organic phase, followed by gasification of sodium (1 5 %, 2 · 5 liters) rinse. The organic phase is separated, dehydrated with sodium sulfate, and evaporated under reduced pressure to become a red oil containing 20-30% NMP. The oil is diluted to two with methanol. a volume of vol., and refluxing the mixture. Add more sterol until a clear solution is obtained. Slowly cool the solution to room temperature while sealing. The product crystallizes into an off-white crystal 'separate them by filtration, It was rinsed with decyl alcohol and then dehydrated in a vacuum oven at 40 ° C until constant weight. 4-Hydroxy- 4-(2-(4-tolylsulfanyl)phenyl)-Blu-u-butyl phthalate is designed to be stirred in a reactor under nitrogen blanket. 4_methylphenylthioalkyl)-phenyl bromide (600 g, 2.15 mol) was suspended in heptane (4.5 liter) 28 200817329. At room temperature, 1 〇M of BuLi (235 liters < 2.36 moles) in hexane was added over 10 minutes. Just notice a little exotherm. The suspension was stirred at ambient temperature for 1 hour and then cooled to -4 () c > c. The 1-ethoxycarbonyl(carbeth〇xy)-4-pyridinone (368 g, 2.15 mol) dissolved in THF (1.5 liters) was added at a rate not faster than maintaining the reaction temperature at -40 C. . When the reaction was complete, it was warmed to and 1 M HCl (1 liter) was added to keep the temperature below 丨〇. The acidic liquid phase was separated and extracted with ethyl acetate (1 liter). The organic phases were combined and extracted with a sodium chloride solution (丨, 1 liter). The organic phase was dehydrated with sodium sulfate and evaporated to a semi-crystalline mass. It was slurried in ethyl scale (250 ml) and filtered. Dehydrated in a 4 (rc vacuum oven until constant weight. 4-(2-(4-tolylthiol)-phenyl) 0 丨 丨 竣 竣 竣 将 二 II II 2.8 2.8 24.9 mol) and triethyldecane (362 g '3.1 mol) were charged into a reactor equipped with an efficient stirrer. 4-hydroxy-4-(2-(4-曱) was added in portions via a powder funnel. Ethyl phenylsulfanyl)phenyl)-piperidine-1-carboxylate (462 g, 1.24 mol). The reaction is somewhat exothermic. The temperature is allowed to rise to 50 ° C. After the addition is stopped, The reaction mixture was added to 60 C for 8 hours. The reaction mixture was cooled to room temperature. Toluene (750 liters) and water (750 ml) were added. The organic phase was separated and extracted with toluene (750 ml) In the liquid phase, the organic phase is mixed and washed with sodium chloride solution (15%, 500 ml) and then dehydrated with sodium sulfate. The sodium sulphate is filtered off and the filtrate is evaporated under reduced pressure to become a red oil in the next step. Further treatment in. 4-(2-(4-Tolylsulfenyl)phenyldine hydrogen oxalate 29 200817329 In a stirred reactor, Example 3, crude 4-(2-(4-tolylsulfanyl)phenyl)-red oil in the form of a red oil, and ethyl hydrobromide in acetic acid (40%, 545 ml, 3·η moles were mixed. The mixture was heated to 80 ° C for 18 hours. The reaction mixture was cooled to room temperature. The product crystallized during cooling. After 1 hour at room temperature, in the reaction mixture Diethyl ether (800 ml) was added and the mixture was stirred for another hour. The product was filtered, washed with diethyl ether and dried in a vacuum oven at 50 ° C until constant weight. f Example 1 c HBr salt of compound I Crystallization of ruthenium in 100 ml of H20, heating a mixture of HBr salt of ruthenium compound I (for example as prepared above) to reflux. The mixture became clear and completely dissolved at 8 〇 -9 。. To the solution, 1 g of activated carbon was added and reflux was continued for 15 minutes, then filtered and left to cool automatically to room temperature. During cooling, a white solid precipitated and the suspension was stirred at room temperature for 1 hour. Dehydrated overnight in a vacuum at 40 ° C, yielding 6.9 grams (6 9%) HBr acid addition salt of compound I. See XRpD of Figure 1. Elemental analysis · 3.92% Ν, 59.36% C, 6.16% Η (theoretical value: 3.85% Ν 59.43% C, 6·09% Η). Example 1 d Preparation of a free base mother liquor A mixture of 500 ml of ethyl acetate and 200 ml of H 2 hydrazine was added to 50 g of the compound HH salt to produce a two-phase polymer. The crucible was added to about 25 ml of concentrated NaOH which caused the formation of a clear two-phase solution (measuring the pH to 13-14). The solution was vigorously stirred for 5 minutes and the organic phase was separated. The organic phase was washed with 200 mL of hydrazine, dried over Na 2 s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s 10 g of oil was dissolved in ethyl acetate, and the volume was adjusted to 15 ml to give a mother liquor of 0.235 Torr in ethyl acetate, using a 15 ml aliquot from it (100 mg free test). 10 g of oil was dissolved using 96% by volume of Et〇H, and the volume was adjusted to 100 ml to give a mother liquor of 0.353 M in EtOH, using a 1.0 ml aliquot (1 mg of free base) therefrom. fAl1] le is formed using a free base mother liquor. The specified aliquots are placed in a test tube while stirring, and an appropriate amount of acid is added as indicated in Table 1. If the acid is a liquid, add it directly, otherwise dissolve it in the specified solvent before adding it. Stirring was continued overnight after mixing and sinking, and the precipitate was collected by filtration. Prior to dehydration in 3 (rc vacuum), a small amount of reference sample was taken and dehydrated at room temperature but without vacuum. The procedure was included to test the solvate. The results are presented in Table 1. XRPD is shown in Figure 1-22. The diffraction pattern is plotted and the selected peak positions are tabulated in Table 2. Table 3 shows the /glutinability of the compounds of the invention in water along with the pH in the resulting saturated solution. Whether the precipitate separated after the solubility is determined is the same as the dissolved compound, which represents the formation of the hydrate. 31 200817329 Table 1

酸(鹼:酸) MW (克/莫耳) 酸的量 (毫克或微升) 溶劑 CHN(實驗值) CHN(理論值) 棕櫚酸,十六烷酸1:1 256.42 90.5 EtOAc 75.36 9.77 2.46 75.64 9.9 2.6 DL-乳酸,DL-2-羥基丙酸 1:1 90.1 31.8 EtOAc 66.88 7.26 3.52 67.53 7.29 3.75 己二酸,1,6-己二酸1:1 146.14 51.6 EtOAc 66.08 7.23 2.98 67.1 7.27 3.26 己二酸,1,6-己二酸2:1 146.14 25.8 EtOAc 70.66 7.32 3.82 70.75 7.35 3.93 反丁烯二酸1:1 116.01 40.9 EtOH 65.71 6.41 3.35 66.14 6.31 3.51 戊二酸,1,5-戊二酸1:1 132.12 46.6 EtOAc 66.09 6.97 3.2 66.48 7.03 3.37 丙二酸1:1 104.1 36.7 EtOAc 65.04 6.53 3.54 65.09 6.5 3.62 草酸1:1 90.1 31.8 EtOH 64.28 6.41 3.61 64.32 6.21 3.75 癸二酸 (sebacoinic acid),1,8- 202.02 35.6 EtOAc 71.79 7.86 3.58 71.83 7.86 3.64 辛二酸2:1 琥珀酸,1,4-丁二酸2:1 118.1 20.8 EtOAc 65.65 6.86 3.4 65.80 6.78 3.49 (形成1:1鹽) L-蘋果酸,L-2-羥基丁二酸 1:1α 134.1 47.3 EtOAc 62.87 6.20 3.22 63.29 6.52 3.36 L-蘋果酸,L-2-羥基丁二酸 1:1 β 134.1 47.3 EtOH 62.99 6.66 3.13 63.29 6.52 3.36 D-酒石酸,D-2,3-二羥基丁二酸1:1 150.1 53.0 EtOH 60.67 6.4 3.07 60.95 6.28 3.23 L_天冬胺酸1:1 133.1 47.0 EtOH 59.31 6.7 7.1 (含有過量的酸) 63.43 6.78 6.73 穀胺酸1:1 165.15 58.3 EtOH 56.38 6.88 7.35 (含有過量的酸) 56.46 6.94 7.06 (1:1-鹽和酸-單水合物1:1) 檸檬酸2:1 192.13 33.9 EtOAc 65.93 6.72 3.44 66.46 6.64 3.69 HCl/Et,0 1:1 2M 176.4 EtOH 磷酸1:1 14.7M 24.0 EtOAc 55.79 6.47 3.43 56.68 6.34 3.67 32 200817329 表2 :選出之X-射線高峰位置(°2Θ),2:1意指2個鹼對1 個酸。所有的值均+ - 0.1Acid (base: acid) MW (g/mole) Acid amount (mg or microliter) Solvent CHN (experimental value) CHN (theoretical value) palmitic acid, palmitic acid 1:1 256.42 90.5 EtOAc 75.36 9.77 2.46 75.64 9.9 2.6 DL-lactic acid, DL-2-hydroxypropionic acid 1:1 90.1 31.8 EtOAc 66.88 7.26 3.52 67.53 7.29 3.75 adipic acid, 1,6-hexanedioic acid 1:1 146.14 51.6 EtOAc 66.08 7.23 2.98 67.1 7.27 3.26 Acid, 1,6-adipate 2:1 146.14 25.8 EtOAc 70.66 7.32 3.82 70.75 7.35 3.93 Fumaric acid 1:1 116.01 40.9 EtOH 65.71 6.41 3.35 66.14 6.31 3.51 glutaric acid, 1,5-glutaric acid 1 :1 132.12 46.6 EtOAc 66.09 6.97 3.2 66.48 7.03 3.37 Malonic acid 1:1 104.1 36.7 EtOAc 65.04 6.53 3.54 65.09 6.5 3.62 Oxalic acid 1:1 90.1 31.8 EtOH 64.28 6.41 3.61 64.32 6.21 3.75 Sebacoinic acid, 1,8 - 202.02 35.6 EtOAc 71.79 7.86 3.58 71.83 7.86 3.64 suberic acid 2:1 succinic acid, 1,4-succinic acid 2:1 118.1 20.8 EtOAc 65.65 6.86 3.4 65.80 6.78 3.49 (forms a 1:1 salt) L-malic acid, L-2-hydroxysuccinic acid 1:1α 134.1 47.3 EtOAc 62.87 6.20 3.22 63.29 6.52 3. 36 L-malic acid, L-2-hydroxysuccinic acid 1:1 β 134.1 47.3 EtOH 62.99 6.66 3.13 63.29 6.52 3.36 D-tartaric acid, D-2,3-dihydroxysuccinic acid 1:1 150.1 53.0 EtOH 60.67 6.4 3.07 60.95 6.28 3.23 L_aspartic acid 1:1 133.1 47.0 EtOH 59.31 6.7 7.1 (containing excess acid) 63.43 6.78 6.73 glutamic acid 1:1 165.15 58.3 EtOH 56.38 6.88 7.35 (with excess acid) 56.46 6.94 7.06 ( 1:1-salt and acid-monohydrate 1:1) Citric acid 2:1 192.13 33.9 EtOAc 65.93 6.72 3.44 66.46 6.64 3.69 HCl/Et, 0 1:1 2M 176.4 EtOH Phosphate 1:1 14.7M 24.0 EtOAc 55.79 6.47 3.43 56.68 6.34 3.67 32 200817329 Table 2: X-ray peak position (°2Θ), 2:1 means 2 bases to 1 acid. All values are + - 0.1

棕櫚酸鹽 7.00 16.34 22.73 28.21 硬脂酸鹽 6.70 15.52 21.81 28.91 乳酸鹽 5.30 8.18 9.44 17.24 乳酸鹽水合物 11.67 16.70 18.25 21.76 羥基-異丁酸鹽 5.09 16.60 20.38 27.37 癸二酸鹽 7.18 12.53 21.11 24.19 己二酸鹽2:1 8.03 13.52 17.90 24.60 己二酸鹽1:1 α 9.33 14.01 18.72 20.63 己二酸鹽1:1 β 15.69 21.53 25.81 31.18 戊二酸鹽1:1 9.39 11.70 14.05 14.58 琥珀酸鹽1:1 11.74 14.33 17.75 26.84 反丁烯二酸鹽1:1 8.90 11.47 19.25 22.33 反丁烯二酸鹽2:1 8.49 12.48 17.78 23.97 順丁烯二酸鹽1:1 12.11 15.51 17.48 22.53 順丁烯二酸鹽1:1水合物 12.81 18.76 20.53 27.31 丙二酸鹽α 10.77 16.70 19.93 24.01 丙二酸鹽β 6.08 10.11 18.25 20.26 天冬胺酸鹽 11.05 20.1 20.60 25.00 天冬胺酸鹽水合物 7.80 13.80 14.10 19.63 穀胺酸鹽 7.71 14.01 19.26 22.57 草酸鹽 14.68 17.45 19.50 23.90 蘋果酸鹽1:1 α 8.30 12.04 17.23 20.67 蘋果酸鹽1:1 β 10.91 12.87 14.14 26.16 蘋果酸鹽水合物 12.30 15.56 19.56 23.30 D-酒石酸鹽(得自EtOH) 5.08 17.18 19.42 22.10 鹽酸鹽 12.44 16.72 19.45 25.02 氫溴酸鹽 6.08 14.81 19.26 25.38 氫溴酸鹽Ι-PrOH溶劑合物 6.57 13.12 19.07 24.77 33 200817329 表3 酸(鹼:酸) 溶解度 (毫克/毫升) 所得的pH值 沉澱物 棕櫚酸,十六烧酸1:1 0.4 ___ 8.6 =開始 DL-乳酸,DL-2-羥基丙酸1:1 >150 ___ 6.1 =開始(在蒸發之後) 己二酸,1,6-己二酸1:1 2.5 —__ 4.0 部分2:1鹽 己二酸,1,6-己二酸2:1 1.0 ___ 7.8 =開始 反丁烯二酸1:1 0.2 ____ 3.3 =開始__ 戊二酸,1,5-戊二酸1:1 13 4.6 =開始 丙二酸 1:1(〇〇 5.2 4.0 =新形式(β) _ 草酸1:1 1.1 2.7 =開始 癸二酸,1,8-己二酸2:1 0.7 _ 5.5 =開始 琥珀酸,1,4-丁二酸2:1 2.0 4.0 水合物 L-蘋果酸,L-2-羥基丁二酸1:1,β 2.8 4.0 水合物 D-酒石酸,D-2,3-二羥基丁二酸,ι:1 1.8 3.5 水合物 L-天冬胺酸1:1 39 4.3 水合物 穀胺酸1:1 >35 4.6 檸檬酸2:1 0.5 4.7 =開始· 磷酸1:1 6.0 2.0 ? HC1 4.5 6.8 =開始 HBr 2.4 7.0 =開始 i施例2A血清和正腎上腺素(NE)再吸收之抑制 作用Palmitate 7.00 16.34 22.73 28.21 Stearate 6.70 15.52 21.81 28.91 Lactate 5.30 8.18 9.44 17.24 Lactic acid salt hydrate 11.67 16.70 18.25 21.76 Hydroxy-isobutyrate 5.09 16.60 20.38 27.37 Sebacate 7.18 12.53 21.11 24.19 Adipic acid Salt 2:1 8.03 13.52 17.90 24.60 Adipate 1:1 α 9.33 14.01 18.72 20.63 Adipate 1:1 β 15.69 21.53 25.81 31.18 glutarate 1:1 9.39 11.70 14.05 14.58 Succinate 1:1 11.74 14.33 17.75 26.84 fumarate 1:1 8.90 11.47 19.25 22.33 fumarate 2:1 8.49 12.48 17.78 23.97 maleate 1:1 12.11 15.51 17.48 22.53 maleate 1: 1 hydrate 12.81 18.76 20.53 27.31 Malonate α 10.77 16.70 19.93 24.01 Malonate β 6.08 10.11 18.25 20.26 Aspartate 11.05 20.1 20.60 25.00 Aspartate hydrate 7.80 13.80 14.10 19.63 Glutamine 7.71 14.01 19.26 22.57 Oxalate 14.68 17.45 19.50 23.90 Malate 1:1 α 8.30 12.04 17.23 20.67 Malate 1:1 β 10.91 12.87 14.14 26.16 Malate hydrate 12.30 15.56 19.56 23.30 D-tartrate (from EtOH) 5.08 17.18 19.42 22.10 Hydrochloride 12.44 16.72 19.45 25.02 Hydrobromide 6.08 14.81 19.26 25.38 Hydrobromide hydrobromide-PrOH solvate 6.57 13.12 19.07 24.77 33 200817329 Table 3 Acids (alkali : acid) Solubility (mg/ml) The resulting pH precipitate palmitic acid, hexadecanoate 1:1 0.4 ___ 8.6 = start DL-lactic acid, DL-2-hydroxypropionic acid 1:1 >150 ___ 6.1 = Start (after evaporation) adipic acid, 1,6-hexanedioic acid 1:1 2.5 —__ 4.0 Part 2:1 salt adipic acid, 1,6-hexanedioic acid 2:1 1.0 ___ 7.8 = start reverse Alkenedioic acid 1:1 0.2 ____ 3.3 = start __ glutaric acid, 1,5-glutaric acid 1:1 13 4.6 = start malonic acid 1:1 (〇〇5.2 4.0 = new form (β) _ oxalic acid 1:1 1.1 2.7 = start azelaic acid, 1,8-adipate 2:1 0.7 _ 5.5 = start succinic acid, 1,4-succinic acid 2:1 2.0 4.0 hydrate L-malic acid, L- 2-hydroxysuccinic acid 1:1,β 2.8 4.0 hydrate D-tartaric acid, D-2,3-dihydroxysuccinic acid, ι:1 1.8 3.5 hydrate L-aspartic acid 1:1 39 4.3 Hydration Glutamic acid 1:1 > 35 4.6 Citric acid 2:1 0.5 4.7 = Start · Acid 1:? 1 6.0 2.0 HC1 4.5 6.8 = Start HBr 2.4 7.0 = start i 2A serum and norepinephrine (NE) of Example resorption inhibition

將等份的受試化合物和大鼠皮質突觸體製備物預先培 養10分鐘/37°C,然後加入[3H;]NE或[3H]5-HT(終濃度 1 OnM)。在 1 〇μΜ 他舒普命(taiSUpram)或西酞普蘭(citai〇pram) 的存在下判定非-專一性吸收,並在緩衝溶液的存在下判定 總吸收。在37°C下培養等份15分鐘。在培養之後,藉著 通過預先浸泡0·1%ΡΕΙ 30分鐘的Unifilter GF/C,使用 Tomtec Cell Harverter程式,分離被突觸體吸收的[3H]N]E 34 200817329 或[3Η]5-ΗΤ。沖洗濾器並在Wallae Micr〇Beu計數器中計 數0 本發明之NET化合物展現出23nMi IC5〇值。本發明 之SERT化合物展現出8nM之IC5〇值。 實筵2B 拮抗作用 測試本發明之化合物對血清素受體之親和力,並發現 在5-HTm受體上展現出親和力的拮抗輪廓(幻54nM)。從An aliquot of the test compound and the rat cortical synaptosome preparation were pre-incubated for 10 minutes / 37 ° C, followed by [3H;] NE or [3H] 5-HT (final concentration 1 OnM). Non-specific absorption was determined in the presence of 1 〇μΜ taSUpram or citai 〇pram, and total absorption was determined in the presence of a buffer solution. Aliquots were incubated at 37 ° C for 15 minutes. After incubation, [3H]N]E 34 200817329 or [3Η]5-ΗΤ absorbed by the synaptosome was isolated by using the Tomtech Cell Harverter program by pre-soaking 0.1% ΡΕΙ 30 minutes of Unifilter GF/C. . The filter was rinsed and counted in a Wallae Micr(R) Beu counter. The NET compound of the present invention exhibited a 23 nMi IC5 enthalpy value. The SERT compounds of the present invention exhibit an IC5 enthalpy of 8 nM.筵2B Antagonism The affinity of the compounds of the present invention for serotonin receptors was tested and an antagonistic profile (fantasy 54 nM) showing affinity at the 5-HTm receptor was found. From

γ=100/(1+10(χ·對數丨C5〇))來計算親和力,其中Y代表結合%, 且X代表化合物之濃度。使用5種濃度之化合物(1、1〇、 30、100、l〇〇〇nM)來計算 ic5()值。從 Cheng Prus〇ff 等式 Ki = (IC5Q/(l + ([L]/Kd))來計算 Ki。在 MDL Pharmaserices 目 錄第271650號處,判定親和力。 在表現人類-HTm受體之哺乳動物細胞中,本發明之 化合物展現出競爭性拮抗特性。該化合物以<1〇〇nM之幻 與5-HT2a又體結合,並在功能測定中,該化合物以 之Kb拮抗了 5-HT誘發之從細胞内儲存處中釋放Ca2+。 Schlld分析顯示競爭性拮抗作用有ΙΟΟηΜ之Kb。 如下進行實驗。在實驗之前2或3天,以足以在實驗 當天產生單·匯合層的密度,平舖表現25〇毫微微莫耳/毫 克人類5-HT2a受體的CHO細胞。在37°C下,在95%溼度 的5%C〇2恆溫箱中,以染料裝載細胞60分鐘(得自 Molecular Devices的Ca2+-套組)。以螢光分析顯影板讀取 态或知自 Molecular Devices(Sunnyvale,CA)的 FLIPR3 84, 具有488奈米之激發波長和5〇〇至5 60奈米之發射範圍, 35 200817329 監視基礎螢光。將激光強度設定在適當水準,以便獲得大 約8〇〇〇-1〇〇〇0螢光單位的基礎值。在基礎螢光上的^化應 低於1〇%。使用涵蓋至少3個十進位之漸增濃度的受試^ 合物,評估EC5。值。以四種不同濃度的化合物(15〇、4〇〇、 1500和4000nM)’挑戰5-HT的全劑量反應曲線,評估pA2 值。亦以5-HT之ECU挑戰2個十進位濃度的受試物質, 評估Kb值。在5-HT之前5分鐘,將受試物質加至細胞中。 使用Cheng-Prusoff等式計算Ki值。 fife例2C 5-HT^受體拮抗作用 在表現人類·同聚肽(h〇m〇meric)5-HT3A受體的卵細胞 中,5-HT激活電流具有26〇〇nM之ECS()。可利用典型的5_ HA拮抗劑,如昂丹司瓊拮抗該電流。在該系統中,昂丹 司瓊顯示低於InM的Ki值。本發明之化合物在低濃度 (O.lnM-lOOnM)時顯示出有效的拮抗作用(IC5〇約1〇nM/Kb 約2nM),並在以較高濃度^⑻-丨⑻⑻叱]^)使用時顯示出激 動劑特性(EC”約2600nM),達到的最大電流約為由5_ht 本身誘發之最大電流的大約70-80%。在表現大鼠_同聚肽 kHTsA受體的卵細胞中,5-ΗΤ激活電流具有3·3μΜ之 EC50。如下進行該實驗。從利用0.4%MS-222麻醉10_15 分鐘的成熟雌性Xenepus laevis中以手術移出印細胞。然 後在室溫下以0.5毫克/毫升在OR2缓衝溶液(82.5mN NaCl, 2.0mM KC1,l.OmM MgCl2 和 5.0mM HEPES,ΡΗ7·6)中的膠 原酶(IA型Sigma-Aldrich)消化卵細胞2-3小時。選出沒有 卵泡層的卵細胞,並在補充有2mM丙酮酸鈉、0el單位/公 36 200817329 升青黴素和0.1微克/公升鏈黴素的經過修飾之Barth,s生 理鹽水緩衝溶液[88mM NaCl,ImM KC1,15mM HEPES, 2.4mM NaHC03? 〇.41mM CaCl25 0.82mM MgS045 〇.3mM Ca(N03)2]中培養24小時。確認IV-XV期的卵細胞,並以12-48 宅微升不含水,但含有14-50微微克編碼人類5-HT3A受體 之cRNA的核酸酶注射,並在1 8艽下培養,直到為了電生 理δ己錄(在注射後1 _7天)使用它們為止。將表現人類5_hT3 受體之卵細胞放在丨毫升浴中,並以林格氏緩衝溶液 (115mM NaCl,2.5mM KC1,10mM HEPES,1.8mM CaCl2, O.lmM MgCl2,ΡΗ7·5)灌注。以塞有0.5-1百萬歐姆電極之 壤脂插入細胞,其含有3M KC卜並藉著GeneClamp 5〇〇Β 擴大機將電壓鎖在_90毫伏特。以林格氏緩衝溶液連續灌 注印細胞’並將藥物施用於灌注液。施用5_Ητ激動劑溶 液10-30秒。藉著測量對1〇uM5_HT刺激的濃度-反應,檢 查5-HT3受體拮抗劑的效力。 ^ΛΜ^2Ό_^ια受體結抗作用 測試本發明之化合物對α ια受體的親和力,並發現對 « 1Α文體展現出中等親和力(Ki = 34nM)的拮抗輪廓。 在只驗當天’在緩衝溶液中將膜(參見下文關於膜製備 的虎月)融解並均質化,使用分散機(ultra Unax),並稀釋 成想要的濃度(5微克/孔約5微克/9〇〇微升,儲存在冰上 直到使用為止)。 藉著混合50微升受試化合物、5〇微升[3H]_哌唑嗪和 9〇〇微升膜開始實驗,並在25t下培養該混合物2〇分鐘。 37 200817329 在10μΜ WB-4101的存在下判定非_專一性結合,並在緩衝 溶液的存在下判定總結合。在培養之後,藉著通過浸泡在 0·1%ΡΕΙ 中 30 分鐘的 Unifilter GF/B 過濾,使用 Tomtec Cell Harvester程式(D4.2..4) 96孔,從未結合的中分離已結合 的配體。以1毫升冰冷的緩衝溶液沖洗濾器3次,在50〇c 下脫水’並在濾液中加入35微升閃爍液/孔。在Wallac ΟΥ 1450 MicroBeta中計數已結合的放射性。從γ=1〇〇/(1 + 1〇(χ· 、 對數1C5〇))來計算親和力,其中Υ代表結合%,且X代表化 合物之濃度。使用涵蓋2個十進位的化合物濃度,計算IC5〇 值。從 Cheng Prusoff 等式 Ki = (IC5〇/(l-([L]/Kd))來計算 Ki。 在功能測定中,本發明之化合物拮抗了腎上腺素誘發 之從細胞内儲存處中釋放Ca2+,且該功能測定顯示該化合 物為拮抗劑。 基本上如下述進行這些實驗。γ = 100 / (1 + 10 (χ · logarithm 丨 C5 〇)) to calculate the affinity, where Y represents the % binding, and X represents the concentration of the compound. Five concentrations of the compound (1, 1 〇, 30, 100, l〇〇〇nM) were used to calculate the ic5() value. Ki was calculated from Cheng Prus〇ff equation Ki = (IC5Q/(l + ([L]/Kd)). Affinity was determined at MDL Pharmaserices catalog No. 271650. Mammalian cells expressing human-HTm receptors In the present invention, the compound of the present invention exhibits competitive antagonistic properties. The compound binds to 5-HT2a in a phantom of <1〇〇nM, and in a functional assay, the compound antagonizes 5-HT-induced Kb Ca2+ was released from the intracellular storage. Schlld analysis showed that the competitive antagonism was Kb of ΙΟΟηΜ. The experiment was carried out as follows. 2 or 3 days before the experiment, the density of the single confluent layer was generated on the day of the experiment, and the expression was 25 CHO cells with a nanomolar/mg human 5-HT2a receptor. The cells were loaded with dye for 60 minutes at 37 ° C in a 95% humidity 5% C 2 incubator (Ca2+ from Molecular Devices) - Set). Fluorescence analysis of the developed plate readout or FLIPR3 84 from Molecular Devices (Sunnyvale, CA) with an excitation wavelength of 488 nm and an emission range of 5 to 5 60 nm, 35 200817329 Monitor basic fluorescence. Set the laser intensity to suit Level to obtain a base value of approximately 8〇〇〇-1〇〇〇0 fluorescent units. The amount of phosphorescence on the base fluorescence should be less than 1%. Use an increasing concentration covering at least 3 decimals. The test compound was evaluated for EC5 values. The pA2 values were evaluated at four different concentrations of compounds (15 〇, 4 〇〇, 1500, and 4000 nM) to challenge the 5-HT full-dose response curve. The ECU challenged the test substance of two decimal concentrations and evaluated the Kb value. The test substance was added to the cells 5 minutes before 5-HT. The Ki value was calculated using the Cheng-Prusoff equation. fife Example 2C 5-HT^ Receptor antagonism In an egg cell expressing the human heptopeptide (h〇m〇meric) 5-HT3A receptor, the 5-HT activation current has an ECS of 26〇〇nM. A typical 5_HA antagonist can be utilized. For example, ondansetron antagonizes this current. In this system, ondansetron shows a Ki value lower than InM. The compounds of the invention show potent antagonism at low concentrations (O.lnM-lOOnM) (IC5 〇 about 1〇nM/Kb about 2nM), and when used at a higher concentration ^(8)-丨(8)(8)叱]^), the agonist characteristic (EC" is about 2600nM), the maximum is reached. The current is about 70-80% of the maximum current induced by 5_ht itself. In the egg cells expressing the rat_homopeptide kHTsA receptor, the 5-ΗΤ activation current has an EC50 of 3·3 μΜ. The experiment was carried out as follows. The cells were surgically removed from mature female Xenepus laevis anesthetized with 0.4% MS-222 for 10-15 minutes. The egg cells were then digested with collagenase (type IA-Sigma) in 0.5 mg/ml in OR2 buffer (82.5 mN NaCl, 2.0 mM KC1, 1.0 MmM MgCl2 and 5.0 mM HEPES, ΡΗ7·6) at room temperature. 2-3 hours. Egg cells without follicular layer were selected and modified Barth,s physiological saline buffer solution [88 mM NaCl, 1 mM KC1, supplemented with 2 mM sodium pyruvate, 0el units/cm 36 200817329 liter of penicillin and 0.1 μg/liter streptomycin. 15 mM HEPES, 2.4 mM NaHC03® 41.41 mM CaCl25 0.82 mM MgS045 3.3 mM Ca(N03)2] was cultured for 24 hours. The IV-XV phase of the egg cells was confirmed, and the nuclease containing 12-50 micrograms of cRNA encoding human 5-HT3A receptor was injected at 12-48 liters, and cultured at 18 , until Electrophysiology δ has been recorded (1-7 days after injection) until they are used. Egg cells expressing human 5_hT3 receptor were placed in a 丨ml bath and perfused with Ringer's buffer solution (115 mM NaCl, 2.5 mM KCl, 10 mM HEPES, 1.8 mM CaCl2, O.lmM MgCl2, ΡΗ7·5). The cell was inserted into the cell with a 0.5-1 million ohm electrode plug containing 3M KC and locked to _90 millivolts by a GeneClamp 5〇〇Β amplifier. The cells were continuously infused with Ringer's buffer solution and the drug was applied to the perfusate. The 5_Ητ agonist solution was applied for 10-30 seconds. The potency of the 5-HT3 receptor antagonist was examined by measuring the concentration-response to 1 〇uM5_HT stimulation. ^ΛΜ^2Ό_^αα receptor binding effect The affinity of the compound of the present invention for the α ια receptor was tested, and it was found that the «1Α style exhibited an antagonistic profile of medium affinity (Ki = 34 nM). On the day of the test alone, the membrane (see below for membrane preparation) was thawed and homogenized, using a disperser (ultra Unax) and diluted to the desired concentration (5 μg/well approximately 5 μg/ 9 〇〇 microliters, stored on ice until use). The experiment was started by mixing 50 microliters of the test compound, 5 liters of [3H]-prazosin and 9 liter microliters of membrane, and the mixture was incubated at 25 Torr for 2 minutes. 37 200817329 Non-specific binding was determined in the presence of 10 μΜ WB-4101 and total binding was determined in the presence of buffer solution. After incubation, the Tomtec Cell Harvester program (D4.2..4) 96 wells were used to separate the unbound ones by filtration through Unifilter GF/B soaked in 0.1% hydrazine for 30 minutes. body. The filter was rinsed 3 times with 1 ml of ice-cold buffer solution, dehydrated at 50 °c and 35 μl of scintillation fluid/well was added to the filtrate. The bound radioactivity was counted in Wallac® 1450 MicroBeta. Affinity is calculated from γ = 1 〇〇 / (1 + 1 〇 (χ· , log 1C5 〇)), where Υ represents % of binding and X represents the concentration of the compound. IC5〇 values were calculated using compound concentrations covering 2 decimals. Ki was calculated from Cheng Prusoff's equation Ki = (IC5〇/(l-([L]/Kd)). In functional assays, the compounds of the invention antagonize adrenaline-induced release of Ca2+ from intracellular stores, And this functional assay showed the compound to be an antagonist. These experiments were carried out essentially as follows.

將所有細胞培養在37 °C,5%C02下,在補充有 〔 10%BCS、4mM L-榖胺醯胺(或在COS-7的案例中為2mM) 和100單位/毫升青黴素加1〇〇微克/毫升鏈黴素的DMEM 培養基中。 在測定之前24小時,將表現人類α 1Α·7受體的CHO 細胞播種在塗覆聚離胺酸的384-孔黑孔微量滴定盤中。 吸出培養基,並在37°C,5°/〇C02下,以在由漢克氏平衡鹽 溶液(138mM NaCl,5mM KC1,1.3mM CaCl2, 0.5mM MgCl2, 〇.4mM MgS04, 〇.3mM KH2P04, 0.3mM Na2HP04, 5.6mM 葡 萄糖)加 20mM HEPES ρΗ7·4、0.05%BSA 和 2.5mM 丙石黃舒 38 200817329 (probenicid)(50微升/孔)組成的測定緩衝溶液中之15^M Fluo-4,將細胞裝載染料1小時。在拋棄過量的染料之後, 以測定緩衝溶液沖洗細胞,並以等於45微升/孔(或拮抗劑 測定為30微升/孔)之終體積,使其成層。在拮抗劑評估的 案例中,在此時以15微升一等份,在含有4%DMS〇之緩 衝洛液中為4x終濃度(終DMSO=l%)加入拮抗劑或媒劑, 接著培養20分鐘。以螢光分析顯影板讀取器或得自 Molecular Devices(SunnyVale,以)的 FUpR384,具有 488 奈米之激發波長和500至560奈米之發射範圍,監視基礎 螢光。調整激光激發能量,使得基礎螢光的範圍為大約8,〇〇〇 相對螢光單位(RFU)。然後在室溫下,以利用測定緩衝溶 液(15微升)稀釋之激動劑刺激細胞,並在2·5分鐘的期間 内以1·5秒之間隔測量RFU。計算每孔的最大螢光變化。 藉著非線性回歸(Hill等式)分析衍生自最大螢光變化的濃 度-反應曲線。至於拮抗劑的判定,在化合物培養(如上)2〇 ( 分鐘之後,加入固定濃度之標準激動劑血清素。 多巴脍的增知 本發明之化合物的單次注射,在大鼠額葉皮質中以劑 蓋-依賴性之方式增加細胞外DA含量。本發明之化合物以 心9宅克/公斤和18毫克/公斤皮下注射,分別提高了 da 含量大約10〇%和150%,在圖23中敘述以上之基準線含 量。按自由鹼來計算含量。 方法 使用一開始重275-300克的雄性Sprague-Dawley大 39 200817329 鼠二在12_小時亮/暗循環下,並在調節室内溫度(21±2它 和涯度(55±5%)的控制條件下飼養動物,自由供應食物和 自來水。關於3_天治療實驗,使用渗透迷你幫浦⑷zd 2ML i )。在無菌的條件下注滿幫浦,並在七㈣w) 麻醉之下皮下植人。利用裝載迷你幫浦來完成實驗。在治 療之後3 A,在實驗結束時收集血液試樣,測量受試化合 物的血漿含量。 口 手術和微透析實驗All cells were cultured at 37 ° C, 5% CO 2 supplemented with [ 10% BCS, 4 mM L-melamine amide (or 2 mM in the case of COS-7) and 100 units/ml penicillin plus 1 〇 〇μg/ml streptomycin in DMEM medium. CHO cells expressing the human α 1Α·7 receptor were seeded in a 384-well black well microtiter plate coated with poly-aspartic acid 24 hours before the assay. Aspirate the medium at 37 ° C, 5 ° / 〇 C02, in a solution of Hank's balanced salt solution (138 mM NaCl, 5 mM KC1, 1.3 mM CaCl2, 0.5 mM MgCl2, 〇. 4 mM MgS04, 〇. 3 mM KH2P04, 0.3 mM Na2HP04, 5.6 mM glucose) plus 20 mM HEPES ρΗ7·4, 0.05% BSA and 2.5 mM propyl sulphate 38 200817329 (probenicid) (50 μl/well) in assay buffer solution 15^M Fluo-4 The cells were loaded with the dye for 1 hour. After discarding the excess dye, the cells were washed with the assay buffer solution and layered at a final volume equal to 45 microliters/well (or 30 microliters/well as determined by the antagonist). In the case of antagonist evaluation, an antagonist or vehicle was added to the final concentration of 4x (final DMSO = 1%) in a buffer solution containing 4% DMS in 15 microliters at this time, followed by incubation. 20 minutes. Fluorescence analysis of a developing plate reader or FUpR384 from Molecular Devices (SunnyVale, USA) with an excitation wavelength of 488 nm and an emission range of 500 to 560 nm monitors the base fluorescence. Adjust the laser excitation energy so that the base fluorescence range is approximately 8, 相对 relative fluorescence units (RFU). The cells were then stimulated with an agonist diluted with assay buffer solution (15 microliters) at room temperature and RFU was measured at intervals of 1.5 seconds over a period of 2.5 minutes. Calculate the maximum fluorescence change per well. The concentration-response curve derived from the maximum fluorescence change was analyzed by nonlinear regression (Hill equation). As for the determination of the antagonist, a fixed concentration of the standard agonist serotonin was added after 2 minutes of compound culture (as above). A single injection of the compound of the present invention in the rat frontal cortex was added to dopaquinone. The extracellular DA content was increased in a cap-dependent manner. The compounds of the present invention were injected subcutaneously at 9 oz/kg and 18 mg/kg, respectively, increasing the da content by about 10% and 150%, respectively, in Figure 23. The above baseline content is described. The content is calculated as free base. The method uses a male Sprague-Dawley large 39 200817329 rat weighing 275-300 g at the beginning, under a 12-hour light/dark cycle, and adjusting the room temperature (21 ±2 It and the degree of (55 ± 5%) control animals, freely supply food and tap water. For the 3 day treatment experiment, use the infiltration mini pump (4) zd 2ML i ). Fill under sterile conditions Pu, and implanted under the anesthesia under seven (four) w) anesthesia. The experiment was completed using a mini-loader. At 3 A after the treatment, blood samples were collected at the end of the experiment, and the plasma content of the test compound was measured. Oral surgery and microdialysis

以芬太尼(hyPn〇rm)/導眠靜(d〇rmicum)(2毫升/公斤)麻 醉動物,並將腦内導向套f(CMA/12R向植人海馬内,使 透析探針尖端位在腹側海馬中(座標··在前囟之前5·6毫米, 側面_5·〇 $米’ 7·〇毫米腹面至硬膜),或在額葉皮質中(座 標:在前包之前3.2毫米;側面3()毫米;4()毫米腹面至 硬膜)。使用固定螺釘和丙烯酸骨水泥固定該導向套管。藉 著直腸探針監視動物的體溫,並維持在抓。容許大鼠從 手術中恢復2天,單獨飼養在籠子裏。在實驗當天,經由 該導向套管插入微透析探針(CMA/12,〇·5毫米直徑,3毫 米長)。探針經由雙道轉盤連接至微注射幫浦。在將探針插 入腦中之W不久’開始以經過過濾之林格氏溶液(145mMThe animals were anesthetized with hyPn〇rm/d〇rmicum (2 ml/kg), and the brain was guided into the set of f (CMA/12R into the hippocampus to make the dialysis probe tip In the ventral hippocampus (coordinates · 5.6 mm before the anterior iliac crest, lateral _5 · 〇 $ m '7 〇 mm ventral to the dura mater), or in the frontal cortex (coordinates: before the front pack 3.2 Mm; side 3 () mm; 4 () mm ventral to dura mater). Fix the guide cannula with a set screw and acrylic cement. Monitor the animal's body temperature with a rectal probe and maintain it in the grip. Allow the rat to The surgery was resumed for 2 days and housed in a cage alone. On the day of the experiment, a microdialysis probe (CMA/12, 〇·5 mm diameter, 3 mm long) was inserted through the guide cannula. The probe was connected via a two-way turntable to Microinjection of the pump. Immediately after inserting the probe into the brain, 'filtered Ringer's solution (145 mM)

NaCl,3mM KC1,1罐 MgCl2,1.2mM CaCl2)灌注該微透析 探針,並在實驗期間持續以1(1,3)微升/分鐘的恒定流速灌 /主在180为鐘的穩定作用之後,開始實驗。每2〇(3〇)分 鐘收集透析液。 在貫驗之後’藉著斷頭術犧牲大鼠,移出牠們的腦, 200817329 冷凍並切片,以便確認探針的位置。 透析液的分析 藉著利用電化學檢測的HPLC,分析在透析液中之多 巴胺的濃度。藉著逆相液態層析法(〇DS 150x3毫米,3μΜ), 分離單胺。多巴胺:以〇·5毫升/分鐘之流速,含有 NaHJO4, 50mM檸檬酸鈉,367毫克/公升丨_辛烷磺酸鈉, 5 0uM EDTA和8%乙腈(ρΗ4·0)的移動相。使用電量檢測器; 將電位設定在250毫伏特(防護電池在35〇毫伏 特)(Coixl〇chem Π,ES Α),完成電化學檢測。 實施例2F乙醯贍硷的增^ 設計本實驗,評估本發明之化合物在自由移動之大鼠 的鈾頭葉皮質中’對乙醯膽驗之細胞外含量的影響。 本實驗使用雄性Wistar大鼠(280-350克;Harlan,Zeist, The Netherlands)。將大鼠個別飼養在塑料籠(3〇χ3〇χ4〇公 分)中,並可自由接近食物和水。 使用異氟烷(isoflurane)(2%,400毫升/分鐘N20,400 宅升/分鐘〇2)麻醉大鼠。使用利度卡因(1〇0/〇重量/體積)進 行局部麻醉。將每隻動物放在定向架(K〇pf儀器,USA)上, 並使用Paxinos和Watson(1982)的大鼠腦圖譜,將自製的I-形探針(Hospal AN 69膜,4毫米接觸表面)插入中央前額 葉皮質(mPFC)内。探針尖端的座標為mPpctAPy /毫米, L = -0.8毫米’ V==5.0毫米]。然後利用牙科骨水泥和螺釘將 探針固定在頭骨上。投與氟辛尼(flunixin)(l毫克/公斤皮 下)作為手術後的止痛劑。 41 200817329 在手術後24-48小時進行實驗。在實驗當天,以有彈 性的PEEK管子連接大鼠與微灌注幫浦(CMA102),並以1.5 微升/分鐘之流速,以含有147mMNaCl, 3_0mMKCl,1.2mM CaCl2 # 1·2ηιΜ MgCl2的林格氏缓衝溶液灌注透析探針。 以3〇分鐘之間隔,將微透析試樣收集到含有55微升0.02M 甲酉欠的迷你-小瓶中,判定乙醯膽鹼。藉著自動溶離份收集 裔(C:MA 142)收集試樣,並儲存在-80°C下直到分析為止。 在完成實驗之後,犧牲大鼠。移出腦,並保存在仲甲醛溶 /夜(4 /〇重χ /體積)中。藉著製造腦部的冠狀切片,根據The microdialysis probe was perfused with NaCl, 3 mM KC1, 1 can of MgCl2, 1.2 mM CaCl 2 ) and continued to flow at a constant flow rate of 1 (1, 3) microliters per minute during the experiment/main after 180 minutes of stabilization. , start the experiment. The dialysate was collected every 2 〇 (3 〇) minutes. After the test, the rats were sacrificed by decapitation, their brains were removed, and 200817329 was frozen and sectioned to confirm the position of the probe. Analysis of dialysate The concentration of dopamine in the dialysate was analyzed by HPLC using electrochemical detection. The monoamine was isolated by reverse phase liquid chromatography (〇DS 150 x 3 mm, 3 μΜ). Dopamine: a mobile phase containing NaHJO4, 50 mM sodium citrate, 367 mg/liter sodium oxalate sulfonate, 50 uM EDTA and 8% acetonitrile (ρΗ4·0) at a flow rate of 毫升·5 ml/min. Use a gas detector; set the potential at 250 millivolts (protective battery at 35 〇 millivolts) (Coixl〇chem®, ES Α) to complete the electrochemical test. Example 2: Enhancement of acetamidine design This experiment was conducted to evaluate the effect of the compound of the present invention on the extracellular content of acetaminophen in the uranium cephalic cortex of a freely moving rat. Male Wistar rats (280-350 g; Harlan, Zeist, The Netherlands) were used in this experiment. The rats were individually housed in plastic cages (3〇χ3〇χ4〇) and were freely accessible to food and water. Rats were anesthetized with isoflurane (2%, 400 ml/min N20, 400 house liters per minute 〇 2). Local anesthesia was performed with lidycaine (1〇0/〇 weight/volume). Each animal was placed on a directional rack (K〇pf instrument, USA) and a self-made I-shaped probe (Hospal AN 69 membrane, 4 mm contact surface) was used using a rat brain map of Paxinos and Watson (1982). ) inserted into the central prefrontal cortex (mPFC). The coordinates of the probe tip are mPpctAPy / mm, L = -0.8 mm ' V == 5.0 mm]. The probe is then secured to the skull using dental cement and screws. Flunixin (1 mg/kg subcutaneous) was administered as an analgesic after surgery. 41 200817329 Experiments were performed 24-48 hours after surgery. On the day of the experiment, the rat and micro-perfusion pump (CMA102) were connected with a flexible PEEK tube and at a flow rate of 1.5 μl/min to Ringer's containing 147 mM NaCl, 3_0 mM KCl, 1.2 mM CaCl2 #1·2ηιΜ MgCl2. The buffer solution is perfused with a dialysis probe. The microdialysis sample was collected into a mini-vial containing 55 μl of 0.02 M hyperthyroidism at intervals of 3 minutes to determine acetylcholine. Samples were collected by autodissolved collectors (C:MA 142) and stored at -80 °C until analysis. After completing the experiment, the rats were sacrificed. Remove the brain and store in a solution of secondary formaldehyde (4 / 〇 heavy / volume). By making a coronal slice of the brain, according to

Paxmos和Wats〇n(1982),在組織學上確認每個探針的位 置。 將X試化合物溶解於1〇0/。2_〇H_丙基冷-環糊精中, 亚藉著皮下注射5毫升/公斤體積,以不同的劑量投藥。 藉著具有串聯質譜分析(MS/MS)檢測的HPLC判定乙 酉&膽驗的濃度。 藉 I 自動試樣注射器(perkinElmer Instruments,200 系 列)將一等份(25微升)注射到HPLC管柱中。在藉著4x2.0 宅米保護管柱(Phenomenex Synergy MAX-RP AJO-6073, Bester)保護的逆相150x2.00毫米(4微米)分析管柱 (Phenomenex Synergy MAX-RP,Bester)上進行層析分離, 兩個管柱均保持在30°C的溫度下。移動相(等梯度)由超純 水(UP)、乙腈(ACN)和三氟乙酸(TFA)(UP..ACN:TFA 二95·0:0·5:0·1體積/體積/體積%)組成。在整個系統中,藉 著 HPLC 幫浦(PerkinElmer Instruments,200 系列微幫浦)以 42 200817329 0-300毫升/分鐘之流速來跑移動相。 使用由API 4000 MS/MS檢測器和渴輪離子喷射(τ_〇 I〇n Spray)介面(兩者均得自Applied Bi〇syst簡,如 Nethedands)組成的 API 4〇〇〇Ms/MS 系統進行 lc/ms 分 析。以正電離模式進行探測,電離噴射電壓設定在5·5千 伏,霧化器氣體壓力為50磅/平方英吋(在sciek刻度Ορο) 具有6〇〇 C的探針溫度。以多_反應_監視(mrm)模式 操作儀器,檢測乙醯膽鹼(前驅物1461Da,產物86.8Da)。 碰撞能罝為21.0eV,且碰撞氣體(氮)壓力保持在7(在scmx 刻度0-12)。权正數據並使用AnalystTM數據系統(AppHed Biosystem,1.2 版)定量。 取兩個變異不超過50%的連續微透析試樣,作為基準 線含1,並设定為1 〇〇0/。。以在相同個體中之基準線的百 分比來表示在乙醯膽鹼濃度上的改變。在圖24中出示數 據。 免施例2G兔鹼上的增加 設計本實驗,評估本發明之化合物在自由移動之大鼠 的前額葉皮質和腹側海馬中,對乙醯膽鹼之細胞外含量的 影響。 使用一開始重275·300克的雄性Sprague-Dawley大 鼠。在12-小時亮/暗循環下,並在調節室内溫度(21±2〇c ) 和、屋度(5 5 ±5%)的控制條件下飼養動物,自由供應食物和 自來水。 手術和微透析复^ 43 200817329 以分太尼/導眠靜(2毫升/公斤)府酸 斤)麻醉大鼠,並將腦内導 向套管(CMA/12)定向植入海馬内 性+ # 便透析操針尖端位置瞄 準在腹側海馬中(座標:在前危之前5.6毫米,側面_5〇毫 未二7.0毫米腹面至硬膜),或在額葉皮質中(座標:在前包 之别3.2毫米;側面0.8毫米;4 〇毫米腹面至硬膜)。使 用固定螺釘和丙稀酸骨水泥固定該導向I管。冑著直腸探 :監視動物的體溫’並維持在3rc。容許大鼠:手術中: 復2天,單獨飼養在籠子裏。在實驗當天,經由該導向套 管插入微透析探針(CMA/12,〇5毫米直徑,3毫米長 探❹由雙道轉盤連接至微注射幫冑。在將探針插入 腦中之前不久’開始讀過過濾、之林格氏溶液(⑷福❿以, 3mMKC1’ lmMMgCl2, 12mMCaCl2 含有 〇5_ 新斯的明 (ne〇stlgmine))灌注該微透析探針,並在實驗期間持續以1 微升/分鐘的恆定流速灌注。在18〇分鐘的穩定作用之後, 開始實驗。每20分鐘收集透析液。在實驗之後犧牲動物, 私出牠們的腦,冷凍並切片,以便確認探針位置。 醯膽睑的公析 藉著具有電化學檢測之HPLC,使用由100mM磷酸氫 二鈉、2.〇mM辛烷磺酸、〇.5mM氣化四甲基銨和〇.〇〇5%mb (ESA),ρΗ8·0組成的移動相,分析在透析液中之乙醯膽鹼 (ACh)的濃度。前_管柱酵素反應器(ESA)含有固定的膽鹼氧 化酶’在分析管柱(ESA ACH-250)上分離ACh之前,先排 除來自注射試樣(1〇微升)的膽鹼;流速0.35毫升/分鐘, 溫度:35 °C。在分析管柱之後,使試樣通過含有固定乙醯 44 200817329 膽鹼酶和膽鹼氧化酶的後-管柱固相反應器(ESA)。後反應 器將ACh轉變為膽鹼,隨後再將膽鹼轉變為甜菜鹼和 H2〇2。藉著使用鉑電極(Analytical cell·· ESA,5040 型),以 電化學檢測後者。 數據提交 f'Paxmos and Wats〇n (1982) confirmed the position of each probe histologically. The X test compound was dissolved in 1〇0/. In 2_〇H_propyl cold-cyclodextrin, subcutaneous injection of 5 ml/kg volume was administered at different doses. The concentration of the acetaminophen was determined by HPLC with tandem mass spectrometry (MS/MS) detection. An aliquot (25 microliters) was injected into the HPLC column using an I automated sample syringe (perkinElmer Instruments, Series 200). Layers were performed on a reverse phase 150x2.00 mm (4 micron) analytical column (Phenomenex Synergy MAX-RP, Bester) protected by a 4x2.0 house protection column (Phenomenex Synergy MAX-RP AJO-6073, Bester) The separation was carried out and both columns were maintained at a temperature of 30 °C. The mobile phase (equal gradient) consists of ultrapure water (UP), acetonitrile (ACN) and trifluoroacetic acid (TFA) (UP..ACN: TFA 2 95·0:0·5:1·vol/vol/vol% )composition. Throughout the system, the mobile phase was run by a HPLC pump (PerkinElmer Instruments, Series 200 Micro Pump) at a flow rate of 42 200817329 0-300 ml/min. Use an API 4〇〇〇Ms/MS system consisting of an API 4000 MS/MS detector and a thirsty ion spray (τ_〇I〇n Spray) interface (both from Applied Bi〇syst, such as Nethedands) Perform lc/ms analysis. Probing in a positive ionization mode with an ionization injection voltage set at 5·5 kV and an atomizer gas pressure of 50 psi (at the sciek scale Ορο) with a probe temperature of 6 〇〇 C. The instrument was operated in a multi-reaction-monitoring (mrm) mode to detect acetylcholine (precursor 1461 Da, product 86.8 Da). The collision energy is 21.0 eV and the collision gas (nitrogen) pressure is maintained at 7 (on the scmx scale 0-12). Quanzheng data was quantified using the AnalystTM data system (AppHed Biosystem, version 1.2). Take two consecutive microdialysis samples with a variation of no more than 50%, as a baseline with 1 and set to 1 〇〇0/. . The change in the concentration of acetylcholine is expressed as a percentage of the baseline in the same individual. The data is shown in Fig. 24. Inhibition of the increase in the 2G rabbit base This experiment was conducted to evaluate the effect of the compound of the present invention on the extracellular content of acetylcholine in the prefrontal cortex and ventral hippocampus of freely moving rats. Male Sprague-Dawley rats weighing 275.300 grams at the beginning were used. Animals were kept under free-charged food and tap water under a 12-hour light/dark cycle and under controlled conditions of room temperature (21 ± 2 〇 c) and house (5 5 ± 5%). Surgical and microdialysis complex ^ 43 200817329 Anesthetized rats with sub-Tini / guide sleep (2 ml / kg), and directed the intracerebral guide cannula (CMA / 12) into the hippocampus + # The position of the dialysis needle tip is aimed at the ventral hippocampus (coordinates: 5.6 mm before the pre-crisis, side _5 〇 not 7.0 mm ventral to the dura mater), or in the frontal cortex (coordinate: in the front) 3.2 mm; side 0.8 mm; 4 mm ventral to dura mater). The guide I tube was fixed with a set screw and acrylic cement. Looking at the rectum: monitor the animal's body temperature' and maintain it at 3rc. Rats allowed: During surgery: 2 days in duplicate, kept in cages. On the day of the experiment, a microdialysis probe (CMA/12, 〇5 mm diameter, 3 mm long probe was connected by a two-way turntable to the microinjection sputum via the guide cannula. Shortly before inserting the probe into the brain) The microdialysis probe was perfused with the filtration, Ringer's solution ((4) Fuxi, 3 mM KC1' lmMMgCl2, 12 mM CaCl2 containing 〇5_ne〇stlgmine), and continued for 1 μl during the experiment. Constant flow perfusion at /min. After the stabilization of 18 〇 minutes, the experiment was started. The dialysate was collected every 20 minutes. After the experiment, the animals were sacrificed, their brains were vacated, frozen and sectioned to confirm the position of the probe. The analysis of hydrazine was performed by HPLC with electrochemical detection using 100 mM disodium hydrogen phosphate, 2. mM octane sulfonic acid, 5 5 mM tetramethylammonium hydride and 〇〇 〇〇 5% mb (ESA). The mobile phase consisting of ρΗ8·0 was analyzed for the concentration of acetylcholine (ACh) in the dialysate. The pre-column enzyme reactor (ESA) contained immobilized choline oxidase' in the analytical column (ESA ACH) -250) before the separation of ACh, first exclude the sample from the injection (1 〇 microliter Choline; flow rate 0.35 ml/min, temperature: 35 ° C. After analysis of the column, the sample was passed through a post-column solid phase reactor containing immobilized acetamidine 44 200817329 cholinesterase and choline oxidase ( ESA). The post reactor converts ACh to choline and then converts choline to betaine and H2〇2. The latter is electrochemically detected by using a platinum electrode (Analytical cell·ESA, model 5040). Submit f'

在單一注射實驗中,以在化合物投藥之前才取得的3 個連續ACh試樣之平均值作為每個實驗的基準值,並將數 據轉變為基準值的百分比(將平均注射前基準值標準化為 100%)。在圖25a和25b中提交數據。 在圖24中的數據顯示在乙醯膽鹼含量上的意外降低 (參見,例如8毫克/公斤),這很難解釋,並被認為是實驗 不可靠。整體上,得自實施例2F和2G的兩組數據,顯示 疋相同的,即在腦中有劑量依賴性之細胞外乙醯膽鹼含量 的增加。預期將該前_臨床發現解釋為在臨床環境中認知上 的改善’ T用來治療例如特徵為認知損傷的疾病,像是例 如阿兹海默氏症、部分反應者、認知損傷等等。 古奴證貫對抗神經病性疼痛㈤效力,在神經病性疼痛的 ^ ^ [Neuropharm., 48, 252-263, 2005; Pain, 51, 5-17, =]中’測試本發明之化合物。在該模式中,老鼠在左後 旱之足底表面接受褐馬林(4 5%,2〇微升)注射,之後放 射^的破璃燒杯(2公升容量)中來觀察。藉著福馬林注 腳激,誘發特有的二相行為應答,並藉著綠受傷 所化f的時間量來量化。[階段⑼〇·Η)分鐘)代表 45 200817329 直接的化和感受料,並 鐘)代表神經病性起源 弟…又(約2〇,分 間’隔開兩個階段。列量在二仃4回復正常的靜止期 的時間量,坪估〜人 階段中添受傷腳掌所花費 〜子估心式化合物降低疼痛刺激的效力。 母組測試8隻C57/B6老鼠(約 在兩階段中添受傷腳掌所花費的時間4,即在福H示 之後〇-5分鐘和2〇_3〇八 卩在細馬林注射 合物的量。 …知自由鹼來計算所投與之化In a single injection experiment, the average of 3 consecutive ACh samples taken before the compound was administered was used as the baseline value for each experiment, and the data was converted to a percentage of the reference value (the average pre-injection reference value was normalized to 100). %). The data is submitted in Figures 25a and 25b. The data in Figure 24 shows an unexpected reduction in acetylcholine content (see, for example, 8 mg/kg), which is difficult to interpret and is considered experimentally unreliable. Overall, the two sets of data from Examples 2F and 2G showed the same enthalpy, a dose-dependent increase in extracellular acetylcholine content in the brain. It is contemplated that this pre-clinical finding is interpreted as a cognitive improvement in the clinical setting' to treat, for example, diseases characterized by cognitive impairment, such as, for example, Alzheimer's disease, partial responders, cognitive impairment, and the like. The Cunu syndrome is effective against neuropathic pain (five) and the compounds of the invention are tested in neuropathic pain ^ ^ [Neuropharm., 48, 252-263, 2005; Pain, 51, 5-17, =]. In this model, mice were injected with brown horse forest (4 5%, 2 〇 microliters) on the left foot surface of the left back, and then observed in a glass beaker (2 liter capacity). By using Fumalin's footsteps, a unique two-phase behavioral response is induced and quantified by the amount of time that green injury is f. [Phase (9) 〇·Η) minutes) on behalf of 45 200817329 direct chemical and sensation, and clock) represents the neurological origin of the younger brother... again (about 2 〇, the interval is separated by two stages. The column amount returns to normal at 2仃4 The amount of time in the quiescent period, the ping estimate ~ the cost of adding the injured foot to the human phase ~ sub-evaluation of the heart-shaped compound to reduce the effectiveness of the pain stimulus. The mother group tested 8 C57/B6 mice (about the cost of adding the injured foot in two stages) The time of 4, that is, the amount of the injection of fine marlin in the 〇-5 minutes and 2〇_3〇 gossip after the Fu H show. ... know the free base to calculate the investment

」·〇亳克/公斤 37 43 一 在表4中的數據顯示本發明之化合物在代表直接化學 刺激和感受傷害的第一 b 曰 扪弟卩自奴有一點點效力。更值得注意的 疋’數據亦顯示在第二階段舔腳掌所花費的時間上,有明 ‘、、、員且劑里依賴性的減少,代表本發明化合物在治療神經病 性疼痛上的效力。 复皇例4膠主 在第一個步驟中,將4-[2-(4·曱基苯基硫烷基)-苯基] 辰疋氫溴酉夂鹽與微晶纖維素混合。在第二個步驟中,混入 更月曰S欠鎂製備具有四種強度的膠囊—按自由鹼來陳述活性 成分 46 200817329 1毫克 5毫克 25毫克 活性成分 ___12.85 克 64.25 克 321.25 克 微晶纖維素 2034.55 克 1846.85 克 硬脂酸鎂 〜_1〇·6克 21.2 克 21.9 克 膠囊内容物之重量 毫克 212毫克 219毫克 每批製備1〇,〇〇〇顆膠囊。 【圖式簡單說明】 圖1 :化合物T —〇亳克/公斤 37 43 A The data in Table 4 shows that the compounds of the present invention have little effect on the first b 扪 扪 代表 代表 代表 代表 代表 代表 代表 代表 代表 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 The more noteworthy 疋' data also shows that in the second phase of the time spent on the soles of the feet, there is a reduction in the dependence of the agents, agents, and agents, representing the efficacy of the compounds of the invention in the treatment of neuropathic pain. In the first step, 4-[2-(4-mercaptophenylsulfanyl)-phenyl] sulfonium hydrobromide salt was mixed with microcrystalline cellulose. In the second step, a capsule containing four strengths is prepared by mixing with the sulphuric acid S. The active ingredient is stated as a free base. 46 200817329 1 mg 5 mg 25 mg active ingredient ___12.85 g 64.25 g 321.25 g microcrystal Cellulose 2035.55 g 1684.85 g magnesium stearate ~_1 〇 · 6 g 21.2 g 21.9 g capsule content weight mg 212 mg 219 mg per batch 1 〇, capsules. [Simple diagram of the diagram] Figure 1: Compound T -

W丄之HBr加成鹽的X-射線繞射圖 圖2 ·化入% "切1之HBr加成鹽溶劑合物的X-射線繞射 圖 圖3 :化合物J 圖4 :化合物工 圖5 :化合物j (〇: + /5 形式) 圖6 :化合物I 圖7 ··化合物工 射圖 之棕櫚酸加成鹽的X-射線繞射圖 之DL-乳酸加成鹽的X-射線繞射圖 之己二酸加成鹽(1:1)的X-射線繞射圖 之己二酸加成鹽(2:1)的X-射線繞射圖 之反丁烯二酸加成鹽(1:1)的X-射線繞 圖 ·化合物I之戊二酸加成鹽(1:1)的X-射線繞射圖 圖9·化合物I之丙二酸加成鹽(1:1)的X—射線繞射圖, α -形式 ® 10 :化合物I之丙二酸加成鹽的X-射線繞射圖, /5 -形式 圖11 ··化合物I之草酸加成鹽(1:1)的X-射線繞射圖 圖12 :化合物I之癸二酸加成鹽(2:1)的X-射線繞射 圖 47 200817329 圖13 ·化合物I之號轴酸加成鹽(2:1)的X -射線繞射 圖 圖14 :化合物I之L-蘋果酸加成鹽(1:1)的X-射線繞 射圖,(2 -形式 圖15 :化合物I之L-蘋果酸加成鹽(1:1)的X-射線繞 射圖,Θ -形式 圖16 :化合物I之D-酒石酸加成鹽(1:1)的X-射線繞 〇 射圖 圖1 7 ·化合物I之L-天冬胺酸加成鹽(1:1),與L-天 冬胺酸之混合物的χ-射線繞射圖 圖18 :化合物I之L-天冬胺酸加成鹽水合物(1:1), 與L-天冬胺酸之混合物的X-射線繞射圖 圖19:化合物I之穀胺酸加成鹽(1:1),與縠胺酸單水 合物之混合物的X-射線繞射圖 圖20:化合物I之擰檬酸加成鹽(2:1)的χ-射線繞射 ϋ 圖 圖21 :化合物ί之HCi酸加成鹽的χ_射線繞射圖 圖22 :化合物工之磷酸加成鹽(1:1)的χ_射線繞射圖 圖23」當投與本發明之化合物時,在前額葉皮質中的 多巴胺含量 的 圖24:當投與本發明之化合物時,在前額葉 乙醯膽鹼含量。 ' 圖25a+b:當投與本發明之化合物時,在_ 和腹側海馬中的乙醯膽驗含量。 、 48 200817329 【主要元件符號說明】 無 49X-ray diffraction pattern of WBr HBr addition saltFig. 2 · X-ray diffraction pattern of HBr addition salt solvate cut into % " cut 1 Figure 3: Compound J Figure 4: Compound drawing 5: Compound j (〇: + /5 form) Figure 6: Compound I Figure 7 · X-ray diffraction of DL-lactic acid addition salt of X-ray diffraction pattern of palmitic acid addition salt of compound image X-ray diffraction pattern of adipic acid addition salt (1:1) of the adipic acid addition salt (2:1) X-ray diffraction pattern of fumaric acid addition salt X-ray diffraction pattern of 1:1) X-ray diffraction pattern of glutaric acid addition salt (1:1) of compound I. Figure 9. Malonate addition salt of compound I (1:1) X-ray diffraction pattern, α-formation® 10: X-ray diffraction pattern of malonate addition salt of compound I, /5 - form Figure 11 · oxalic acid addition salt of compound I (1:1) X-ray diffraction pattern Figure 12: X-ray diffraction of the azelaic acid addition salt of compound I (2:1) Figure 47 200817329 Figure 13 · Aromatic acid addition salt of compound I (2:1) X-ray diffraction pattern Figure 14: X-ray diffraction pattern of compound I L-malic acid addition salt (1:1), (2 - Form Figure 15: Compound X-ray diffraction pattern of L-malic acid addition salt (1:1) of substance I, Θ-form Figure 16: X-ray diffraction of D-tartaric acid addition salt of compound I (1:1) Figure 1 7 · L-aspartic acid addition salt of compound I (1:1), χ-ray diffraction pattern of mixture with L-aspartic acid Figure 18: L-aspartate of compound I X-ray diffraction pattern of acid addition salt hydrate (1:1), mixture with L-aspartic acid Figure 19: glutamic acid addition salt of compound I (1:1), with proline X-ray diffraction pattern of a mixture of monohydrates Figure 20: χ-ray diffraction of compound I of citric acid addition salt (2:1) Figure 21: ί of compound ί of HCi acid addition salt _Ray diffraction pattern Figure 22: χ-ray diffraction pattern of the compound phosphate addition salt (1:1) Figure 23" Figure of dopamine content in the prefrontal cortex when the compound of the invention is administered 24: Ethylcholine content in the prefrontal locus when administered to a compound of the invention. 'Figure 25a+b: Ethylquinone content in the _ and ventral hippocampus when administered to a compound of the invention. , 48 200817329 [Main component symbol description] No 49

Claims (1)

200817329 十、申請專利範園: 1·一種化合物I ,其為結晶形式之私[2_(4•甲基苯基 硫烷基(sulfanyl))苯基]旅啶200817329 X. Patent application garden: 1. A compound I, which is a crystalline form of the private [2_(4•methylphenyl sulfanyl)phenyl] 及其在藥學上可接受的鹽類,其限制條件為該化合物 不疋4-[2-(4 -甲基苯基-硫烧基)苯基]^D定鹽酸加成鹽(4_[2_ (4-methylphenylsulfanyl)phenyl]-piperidine hydrochloride addition salt) 〇 2·如申請專利範圍第1項之化合物,其中該化合物為 HBr加成鹽。 3·如申請專利範圍第2項之化合物,其中該化合物之 特徵為在XRPD中之高峰,在大約6 08、14.81、19.26和 25.3802 0 處。 4 ·如申請專利範圍第2項之化合物,其中該化合物之 特徵為具有如在圖1中敘述的XRPD。 5 ·如申請專利範圍第1項之化合物,其中該化合物為 D L -乳酸加成鹽。 6 ·如申請專利範圍第5項之化合物,其中該化合物之 特徵為在乂1^〇中之高峰,在大約5.30、8.18、9.44和17.24〇;2 β處。 50 200817329 7·如申請專利範圍第5項之化合物,其中該化合物之 特徵為具有如在圖4中敘述的XRPD。 8·如申請專利範圍第1項之化合物,其中該化合物為 戊二酸加成鹽(1 :1)。 9·如申請專利範圍第8項之化合物,其中該化合物之 特徵為在XRPD中之高峰,在大約9.39、11.70、14·〇5和 14.58。26» 處。 1〇·如申請專利範圍第8項之化合物,其中該化合物之 特徵為具有如在圖8中敘述的XRPD。 11 ·如申請專利範圍第1項之化合物,其中該化合物為 丙一酸加成鹽(1 :1)。 12·如申請專利範圍第11項之化合物,其中該化合物 之特徵為在XRPD中之高峰,在10.77。、16.70。、19.930和 24·〇1°20 處,或在 6.08。、10.11。、18.25。和 2〇.26。20 處。 13. 如申請專利範圍第11項之化合物,其中該化合物 之特徵為具有如在圖9或10中敘述的xrpd。 14. 如申請專利範圍第丨項之化合物,其中該化合物為 L•天冬胺酸加成鹽(1:1)或L-天冬胺酸加成鹽水合物(1:1)。 15·如申請專利範圍第丨項之化合物,其中該化合物為 縠胺酸加成鹽(1:1)或穀胺酸加成鹽單水合物。 16·如申請專利範圍帛丨至15項中任—項之化合物, 其係用來治療。 丨7.-種醫藥組成物,其包括如中請專利範圍第^ 項中任-項之化合物,連同在藥學上可接受之賦形劑。 51 200817329 \ 18·-種治療疾病的方法,該疾㈣ϋ自❹m /刀反應者、治療抵抗性抑鬱、阿兹海默氏症、認知: ADHD、憂鬱症、PTSD、熱潮 、 # 朝、、工、睡眠呼吸暫停、酒精、 於驗或碳水化合物渴望、物質濫用、酒精或藥物濫 二進食障礙、,情感障礙、抑蠻、重度《、產: 二::、與躁鬱症有關之抑鬱、阿兹海默氏症、精神病或 孟林氏症、焦慮、廣泛性焦慮症、社交焦慮症、強迫症、 ,症、恐慌發作、恐懼症、社交恐懼症、瞻野恐 f力性尿失禁,該方法包括對需要其之患者投與治效 篁的如申請專利範圍第中任一項之化合物。 19·如申請專利範圍第18項之方法,其中該疾病為慢 性疼痛。 20.如申請專利_ 19項之方法,其中該慢性疾病 係延自幻肢痛、神經病性疼痛、糖尿病性神經病變、帶狀 癌療後神經痛(PHN)、腕随道徵候群(cts)、hiv##病變、 複雜性區域疼痛徵候群(CRPS)、Z又神經痛⑻娜㈤ η⑽lgia)/三叉神經痛⑻geminus峨响⑷/三叉神經痛 (douloureux)手術介入(例如手術後的止痛劑)、糖尿 病性血管病變、毛細血管阻力或與騰島炎有關的糖尿病徵 候、與心絞痛有關的疼痛、與月經有關的疼痛、與癌症有 關的疼痛、牙痛、頭痛、偏頭痛、張力型頭痛、三又神經 痛、顧下頜關節徵候群、肌筋膜疼痛肌肉傷害、纖維肌痛 徵候群、骨路和關節痛(骨關節炎)、風濕性關節炎、起因 於與燒傷有關之創傷的風濕、性關節炎和水腫、骨關節炎引 52 200817329 起的扭傷或骨折骨疼痛 ^屬、骨質疏鬆症、骨轉移或未知的原 1、痛風、纖維織炎、肌筋膜疼痛、胸麼出Π徵候群、上 背痛或下背痛(盆中昔、虑 雨u、γ月痛起因於全身性、區域性或原發性脊 食疾病(脊神經根病))、骨盤疼痛、心臟性胸痛、非-心臟性 胸痛、與脊髓傷害叫有關的疼痛、中樞性中風後疼痛、 癌症神經病變、細、鐮狀細胞疼痛和老人痛。 1.如中明專利關第2G項之方法,其中該慢性疼痛 為神經病性疼痛。 △如申請專利範圍帛21項之方法,其中該神經病性 疼痛係選自痛螯讲 見過破(hyperpathia)、痛覺過敏 yp gesia)神L病變、糖尿病性神經病變、神經炎、 神經痛、《覺過敏、灼痛和異常性疼痛。 、 23·-種如中請專利範圍第丨i 15項中任—項之化合 物的用逆其係用以製造用來治療選自慢性疼痛、部分反 應者、治療抵抗性抑鬱、阿兹海默氏症、認'知損傷、ADHD、 ,鬱症、PTSD、熱潮紅、睡眠呼吸暫停、酒精、柊驗或碳 水化合物渴望、物質濫用、酒精或藥物濫用、嘔吐、進食 障礙、㈣、冑感障礙、抑鬱、重度憂鬱、產後憂鬱症^ 與_症有關之抑鬱、阿兹海默氏症、精神病或帕金森氏 症、焦慮、廣泛性焦慮症、社交焦慮症、強迫症、恐慌症、 =發作、恐懼症、W症1野㈣症或應力性尿 失禁之疾病的藥劑。 24.如中請專利範㈣23項之用途,其中該 性疼痛。 53 200817329 25 .如申請專利範圍第24項之用途,其中該慢性疼痛 係選自幻肢痛、神經病性疼痛、糖尿病性神經病變、帶狀 疱疹後神經痛(PHN)、腕隧道徵候群(CTS)、HIV神經病變、 複雜性區域疼痛徵候群(CRps)、三又神經痛(trigeminai neuralgia)/三叉神經痛(trigeminus neuralgia)/三叉神經痛 (tic douloureux)、手術介入(例如手術後的止痛劑)、糖尿 病性血管病變、毛細也管阻力或與胰島炎有關的糖尿病徵 候、與心絞痛有關的疼痛、與月經有關的疼痛、與癌症有 關的疼痛、牙痛、頭痛、偏頭痛、張力型頭痛、三又神經 痛、顳下頜關節徵候群、肌筋膜疼痛肌肉傷害、纖維肌痛 徵候群、骨絡和關節痛(骨關節炎)、風濕性關節炎、起因 於與燒傷有關之創傷的風濕性關節炎和水腫、骨關節炎引 起的扭傷或骨折骨疼痛、骨質疏鬆症、骨轉移或未知的原 因匕、痛風、纖維織炎、肌筋膜疼痛、胸廓出口徵候群、上 月痛或下背痛(其中背痛起因於全身性、區域性或原發性脊 椎疾病(脊神經根病))、骨盤疼痛、心、臟性胸痛、非-心臟性 胸痛#脊髓傷告(SCI)_有關的疼痛、中樞性中風後疼痛、 癌症神經病變、AIDS疼痛、鐮狀細胞疼痛和老人痛。、 ^如中請專利範圍帛25項之用途,其中該慢 為神經病性疼痛。 、朋 27·如申請專利範圍第 疼痛孫、s占产 貝之用述其中該神經病性 、雨係&自痛覺過敏(hyp Μ (hyperalgesia)、神絲 肩見過破 、工病k;、糖尿病性神經病變、神叙 神經痛、感覺過敏、灼痛和異常性疼痛。 火、 54 200817329 28·如申請專利範圍第丨i 15項中任—項之化合物, 其:在治療選自慢性疼痛、部分反應者、治療抵抗性抑鬱、 阿兹海默氏症、認知損傷、ADHD、憂鬱症、PTSD、熱潮 紅、睡眠呼吸暫停、酒精、菸鹼或碳水化合物渴望、物質 -用酒精或藥物濫用、嘔吐、進食障礙、㈣、情减障 礙、抑鬱、重度憂鬱、產後憂鬱症、與躁鬱症有關之抑營、 阿兹海默氏症、精神病或帕金森氏症、焦慮、廣泛性焦慮 症、社父焦慮症、強迫症、恐慌症、恐慌發作、恐懼症、 社交恐懼症、曠野恐懼症或應力性尿失禁之疾病。 29.如申請專利範圍第28項之化合物,其用在慢性疼 痛之治療。 < 3〇·如申請專利範圍第29項之化合物,其用在治療幻 肢痛、神經病性疼痛、糖尿病性神經病變、帶狀疱疹後神 經痛(PHN)、腕隧道徵候群(CTS)、HIV神經病變、複雜性 區域疼痛徵候群(CRPS)、三叉神經痛(trigeminal neuraigia)/ 三叉神經痛(trigeminus neuralgia)/三叉神經痛(Uc d〇 = 〇ureux)、手術介入(例如手術後的止痛劑)、糖尿病性 笞病堯毛細血管阻力或與騰島炎有關的糖尿病徵候、 與心絞痛有關的疼痛、肖月經有關的疼痛、與癌症有關的 疼痛、牙貞、頭貞、偏頭痛、張力型頭痛、三叉神經痛、 顳下頜關節徵候群、肌筋膜疼痛肌肉傷害、纖維肌痛徵候 群、骨骼和關節痛(骨關節炎)、風濕性關節炎、起因於與 燒傷有關之創傷的風濕性關節炎和水腫、骨關節炎引起的 扭傷或月折月疼痛、骨質疏鬆症、骨轉移或未知的原因、 55 200817329 痛風、鐵维織炎、 — 或下背痛(其t背痛起:::痛、胸廓出口徵候群、上背痛 病(脊神經根病)、骨*疚/全身性、區域性或原發性脊椎疾 與脊髓傷害(SCI)-有:的痛皮心臟性胸痛、非-心臟性胸痛、 、一 ▲ 有關的疼痛、中樞性中風後疼痛、#,广 神紅病3C、AIDS疼痛、鐮狀細胞疼痛或老人痛、。Ί 31·如申請專利範圍第%項之化合物,其用在治療神 經病性疼痛。 ^And a pharmaceutically acceptable salt thereof, the restriction condition is that the compound is not a 4-[2-(4-methylphenyl-thioalkyl)phenyl]-D-dihydrochloride addition salt (4_[2_ (4-methylphenylsulfanyl)phenyl]-piperidine hydrochloride addition salt) The compound of claim 1, wherein the compound is an HBr addition salt. 3. A compound as claimed in claim 2, wherein the compound is characterized by a peak in XRPD at about 6 08, 14.81, 19.26 and 25.3802 0. 4. A compound as claimed in claim 2, wherein the compound is characterized by having an XRPD as described in Figure 1. 5. A compound as claimed in claim 1, wherein the compound is a D L -lactic acid addition salt. 6. A compound as claimed in claim 5, wherein the compound is characterized by a peak in 乂1^〇 at about 5.30, 8.18, 9.44 and 17.24 〇; 2 β. 50. The compound of claim 5, wherein the compound is characterized by having an XRPD as described in Figure 4. 8. The compound of claim 1, wherein the compound is a glutaric acid addition salt (1:1). 9. A compound as claimed in claim 8 wherein the compound is characterized by a peak in XRPD at about 9.39, 11.70, 14·5 and 14.58.26». The compound of claim 8, wherein the compound is characterized by having XRPD as described in Fig. 8. 11. A compound as claimed in claim 1 wherein the compound is a propionic acid addition salt (1:1). 12. A compound as claimed in claim 11, wherein the compound is characterized by a peak in XRPD at 10.77. 16.70. , 19.930 and 24·〇1°20, or at 6.08. 10.11. 18.25. And 2〇.26.20. 13. The compound of claim 11, wherein the compound is characterized by having xrpd as described in Figure 9 or 10. 14. The compound of claim 3, wherein the compound is L•aspartic acid addition salt (1:1) or L-aspartic acid addition salt hydrate (1:1). 15. The compound of claim 3, wherein the compound is a proline addition salt (1:1) or a glutamic acid addition salt monohydrate. 16. If the patent application is in the range of 15 to 15, the compound is used for treatment.丨 7. A pharmaceutical composition comprising a compound of any of the items in the scope of the patent application, together with a pharmaceutically acceptable excipient. 51 200817329 \ 18·-A method for treating diseases, the disease (4) ϋ ❹ m / knife responders, treatment of resistance depression, Alzheimer's disease, cognition: ADHD, depression, PTSD, craze, #朝,,工, sleep apnea, alcohol, test or carbohydrate cravings, substance abuse, alcohol or drug abuse disorder, emotional disorders, barbarism, severe ", production: two::, depression associated with bipolar disorder, Az Haimo's disease, psychosis or Monlin's disease, anxiety, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, illness, panic attack, phobia, social phobia, and urinary incontinence A compound according to any one of the claims of the patent application is intended to be administered to a patient in need thereof. 19. The method of claim 18, wherein the disease is chronic pain. 20. The method of claim 19, wherein the chronic disease is extended from phantom limb pain, neuropathic pain, diabetic neuropathy, post-therapy neuropathic pain (PHN), and wrist-associated syndrome (cts) , hiv## lesions, complex regional pain syndrome (CRPS), Z and neuralgia (8) Na (five) η (10) lgia) / trigeminal neuralgia (8) geminus snoring (4) / trigeminal neuralgia (douloureux) surgical intervention (eg postoperative analgesic) , diabetic angiopathy, capillary resistance or diabetes associated with island inflammation, pain associated with angina pectoris, pain associated with menstruation, pain associated with cancer, toothache, headache, migraine, tension headache, three again Neuropathic pain, mandibular joint syndrome, myofascial pain muscle injury, fibromyalgia syndrome, bone and joint pain (osteoarthritis), rheumatoid arthritis, rheumatism and sexual joints caused by burn-related trauma Inflammation and edema, osteoarthritis cited 52200817329 sprain or fracture bone pain genus, osteoporosis, bone metastasis or unknown original 1, gout, fibrositis, myofascial Pain, chest, sputum syndrome, upper back pain or lower back pain (in the basin, rain, u, gamma pain caused by systemic, regional or primary spinal disease (spinal radiculopathy)), pelvis Pain, heart chest pain, non-cardiac chest pain, pain associated with spinal cord injury, central post-stroke pain, cancer neuropathy, fine, sickle cell pain, and old man pain. 1. The method of claim 2, wherein the chronic pain is neuropathic pain. △ For example, the method of claim 21, wherein the neuropathic pain is selected from the group consisting of hyperpathia, hyperalgesia, yp gesia, pathological changes, diabetic neuropathy, neuritis, neuralgia, Allergies, burning and allodynia. , 23·- such as the scope of the patent scope of the 丨i 15 item - the use of the compound is used to treat the treatment selected from chronic pain, partial response, treatment of resistance depression, Alzheimer Disease, cognitive impairment, ADHD, depression, PTSD, hot flashes, sleep apnea, alcohol, test or carbohydrate cravings, substance abuse, alcohol or substance abuse, vomiting, eating disorders, (four), dysfunction, Depression, severe depression, postpartum depression ^ Depression associated with _ illness, Alzheimer's disease, psychosis or Parkinson's disease, anxiety, generalized anxiety disorder, social anxiety disorder, obsessive-compulsive disorder, panic disorder, = episode, A remedy for a disease of phobia, W1 (4) or stress urinary incontinence. 24. For the purpose of the 23rd patent case (4), which is the pain. 53 200817329 25 . The use of claim 24, wherein the chronic pain is selected from the group consisting of phantom limb pain, neuropathic pain, diabetic neuropathy, post-herpetic neuralgia (PHN), and carpal tunnel syndrome (CTS) ), HIV neuropathy, complex regional pain syndrome (CRps), trigeminal neuralgia / trigeminus neuralgia / tic douloureux, surgical intervention (eg postoperative analgesics) ), diabetic angiopathy, capillary resistance or diabetes associated with isletitis, pain associated with angina pectoris, pain associated with menstruation, pain associated with cancer, toothache, headache, migraine, tension headache, three Neuropathic pain, temporomandibular joint syndrome, myofascial pain muscle injury, fibromyalgia syndrome, osteogenesis and joint pain (osteoarthritis), rheumatoid arthritis, rheumatoid joints resulting from burn-related trauma Inflammation and edema, sprain or fracture bone pain caused by osteoarthritis, osteoporosis, bone metastasis or unknown cause 匕, gout, fiber Weizhiyan, myofascial pain, thoracic outlet sign, upper or lower back pain (where back pain results from systemic, regional or primary spinal disease (radial radiculopathy)), pelvic pain, heart, Dirty chest pain, non-cardiac chest pain # spinal cord injury (SCI) _ related pain, central post-stroke pain, cancer neuropathy, AIDS pain, sickle cell pain and old man pain. ^ If the scope of the patent application is 25, the slowness is neuropathic pain.朋27·If you apply for the patent scope, the painful grandchildren, s occupies the production of the shellfish, the neuropathy, rain system & self-hyperalgesia (hyp Μ (hyperalgesia), silk shoulder see broken, work disease k; Diabetic neuropathy, neuropathic pain, hyperesthesia, burning pain, and allodynia. Fire, 54 200817329 28 · For example, in the scope of the patent application 丨i 15 item, the compound: in the treatment selected from chronic pain , partial responders, treatment for resistance depression, Alzheimer's disease, cognitive impairment, ADHD, depression, PTSD, hot flashes, sleep apnea, alcohol, nicotine or carbohydrate cravings, substance-alcohol or substance abuse , vomiting, eating disorders, (4), depression, depression, severe depression, postpartum depression, depression related to bipolar disorder, Alzheimer's disease, psychosis or Parkinson's disease, anxiety, generalized anxiety disorder, Father's anxiety, obsessive-compulsive disorder, panic disorder, panic attack, phobia, social phobia, wild phobia or stress urinary incontinence. 29. Compounds as claimed in Article 28 It is used in the treatment of chronic pain. < 3〇·The compound of claim 29, for treating phantom limb pain, neuropathic pain, diabetic neuropathy, post-herpetic neuralgia (PHN), Wrist tunnel syndrome (CTS), HIV neuropathy, complex regional pain syndrome (CRPS), trigeminal neuraigia / trigeminus neuralgia / trigeminal neuralgia (Uc d〇 = 〇ureux), Surgical intervention (eg analgesic after surgery), diabetic rickets, capillary resistance or diabetes associated with island inflammation, pain associated with angina pectoris, pain associated with cerebral menstruation, pain associated with cancer, gums, Head lice, migraine, tension headache, trigeminal neuralgia, temporomandibular joint syndrome, myofascial pain muscle injury, fibromyalgia syndrome, bone and joint pain (osteoarthritis), rheumatoid arthritis, cause Rheumatoid arthritis and edema associated with burns, sprains or monthly pain caused by osteoarthritis, osteoporosis, bone metastases or unknown origin , 55 200817329 Gout, iron worm inflammation, or lower back pain (its t back pain::: pain, thoracic export syndrome, upper back pain (rock radiculopathy), bone * 疚 / systemic, regional Or primary spinal disease and spinal cord injury (SCI) - have: painful skin, chest pain, non-cardiac chest pain, ▲ related pain, central post-stroke pain, #, 广红红病 3C, AIDS Pain, sickle cell pain, or pain in the elderly. Ί 31. For the treatment of neuropathic pain, as in the compound of the scope of patent application. 32·如申明專利範圍第31項之化合物,其中該神經病 性疼痛係選自痛覺過敏(hyperpathia)、痛覺過敏 (hyperalgesia)、神經病變、糖尿病性神經病變、神經炎、 神經痛、感覺過敏、灼痛和異常性疼痛。 十一、圈式: 如次頁 5632. The compound according to claim 31, wherein the neuropathic pain is selected from the group consisting of hyperpathia, hyperalgesia, neuropathy, diabetic neuropathy, neuritis, neuralgia, hyperesthesia, burning Pain and allodynia. Eleven, circle: as the next page 56
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