TW200848020A - Use of 5-HT6 antagonists to prevent relapse into addiction - Google Patents

Use of 5-HT6 antagonists to prevent relapse into addiction Download PDF

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TW200848020A
TW200848020A TW97101327A TW97101327A TW200848020A TW 200848020 A TW200848020 A TW 200848020A TW 97101327 A TW97101327 A TW 97101327A TW 97101327 A TW97101327 A TW 97101327A TW 200848020 A TW200848020 A TW 200848020A
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alkyl
compound
labeled
addiction
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TW97101327A
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Chinese (zh)
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Bruin Natasja M W J De
Cornelis G Kruse
Loevezijn Arnold Van
Johan Wijnen
Arnoldus H J Herremans
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Solvay Pharm Bv
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    • 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
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • 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
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • 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
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A61K31/403Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/4045Indole-alkylamines; Amides thereof, e.g. serotonin, melatonin
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim

Abstract

The invention relates to a novel use of compounds and pharmaceutically acceptable salts thereof, which are 5-HT6 antagonists. These compounds are useful for the preparation of medicaments for preventing relapse into addiction, in particular relapse into addiction to substances of abuse, including opiates, hallucinogens, inhalants, phencyclidine, amphetamines, cocaine, cannabis, nicotine, and alcohol, into relapse to addiction to certain medicines, including sedatives, hypnotics and anxiolytics, and into relapse to certain addictive behaviors, including gambling.

Description

200848020 九、發明說明: t發明所屬戈^技術領域;j 技術領域 本發明涉及5-ΗΤ6拮抗劑和其藥學可接受的鹽的新用 5途。這些化合物可以用於製備預防成瘾或成癮行爲復發的 藥物。 L先前技術3 背景技術 由於遺傳、藥物-誘導和環境因素的組合,人們通常認 10爲成癮是一種慢性復發性疾病。它會發生多次。但是-幸運 的是-並不總是如此。“成瘾,,,身體和/或心理依賴可以是施 用很多濫用的物質,例如阿片劑、致幻劑、可卡因、大麻、 尼古丁和酒精(通常稱作“藥物,,)的結果。這有時會擾亂“真 正的藥物:藥品。但是,應當意識到,“藥物,,和“藥物,,之 15間的區別是不明確的。當以適當的濃度使用時,阿片劑、 可卡因和大麻當然有明確的治療性益處。Mutatis mUtandlS :當不適當地使用時,藥物,特別是某些鎮靜藥、 女眠某和抗焦慮藥必定會成瘾。對於很多人來說,跑步、 It物、賭博、吸煙和飲酒是令人愉快的娛樂。但是,特別 20疋對於後二種,它們通常會導致成癌。 除了训練以外,還沒有能夠預防成瘾的確定療法。心 里療法#彳&夕不同藥物很難成功地克服成瘾。當曾經成癌 的不再難以抑制地尋找藥物、不再渴求藥物,也不經受 戒斷症狀日守,就克服了成瘾,就不再認爲這個人是患者。 5 200848020 這是會發生的,但是-不幸的是-並不總是如此。一旦成瘾清 除時,至少就藥理學介入而言,故事就結束了。還沒有藥 物在臨床上被證明是可以用於預防復發的。 人們公知,在戒斷藥物較長時間後,復發的抗擾性是 5很高的。可以通過再暴露於藥物(De Wit,1996),通過再暴 露於與藥物有關的刺激(Childress,1992),或通過暴露於應 激劑(Sinha,1999)會引發復發。在世界上,酒精是一種最廣 泛和最常濫用的成瘾藥物。在實驗室動物中可以在所謂“復 發模型”中研究尋找酒精的復發性。在該模型中,與人的情 10況中類似的條件能夠在戒斷較長時間後使尋找酒精的情況 復發(Liu,2002 ; L6, 1998)。在該復發模型中,De Vries等 人觀測到CB!受體拮抗劑SR141716A(利莫那班)能夠選擇 性地減少先前與可卡因、海洛因、尼古丁和酒精遞送有關 的限制性藥物暗示誘導的復發行爲(De Vries,2001,2003, 15 2005)。這表明,CB〗-拮抗劑對於預防對濫用的物質成癮復 發可能有治療作用。200848020 IX. INSTRUCTIONS: t invention belongs to the technical field; j technical field The present invention relates to a new use of a 5-ΗΤ6 antagonist and a pharmaceutically acceptable salt thereof. These compounds can be used to prepare drugs for preventing relapse of addictive or addictive behavior. L Prior Art 3 Background Art Due to the combination of genetic, drug-induced and environmental factors, it is generally recognized that addiction is a chronic recurrent disease. It will happen multiple times. But - fortunately - not always. "Addiction, physical, and/or psychological dependence can be the result of applying many substances of abuse, such as opiates, hallucinogens, cocaine, marijuana, nicotine, and alcohol (often referred to as "drugs,"). This sometimes disturbs "the real drug: medicine. However, it should be realized that the difference between the "drug," and "drug," is unclear. When used at the proper concentration, opiates, cocaine And marijuana certainly have a clear therapeutic benefit. Mutatis mUtandlS: When used inappropriately, drugs, especially certain sedatives, sleepy and anti-anxiety drugs, are bound to become addictive. For many people, running, It Things, gambling, smoking, and drinking are enjoyable entertainments. However, in particular, for the latter two, they usually cause cancer. In addition to training, there is no definitive therapy to prevent addiction. It is difficult for different drugs to successfully overcome addiction. When it is once cancerous, it is no longer difficult to find drugs, no longer craving for drugs, and it is not subject to withdrawal symptoms. It overcomes addiction and no longer thinks This person is a patient. 5 200848020 This is happening, but - unfortunately - not always. Once the addiction is cleared, at least as far as pharmacological intervention is concerned, the story is over. There is no medicine yet. It has been clinically proven to be useful in preventing recurrence. It is well known that after a long period of withdrawal, the reciprocal immunity is very high. It can be re-exposed to the drug (De Wit, 1996). Re-exposure to drug-related stimuli (Childress, 1992), or by exposure to stressors (Sinha, 1999) can cause recurrence. Alcohol is one of the most widespread and abused addictive drugs in the world. In the so-called "recurrence model", the recurrence of alcohol can be studied in the laboratory animals. In this model, conditions similar to those in the human condition can recur for finding alcohol after a long period of withdrawal (Liu, 2002; L6, 1998). In this relapse model, De Vries et al. observed that the CB! receptor antagonist SR141716A (rimonabant) was able to selectively reduce previous limitations associated with cocaine, heroin, nicotine and alcohol delivery. Sex drugs suggest induced relapse behavior (De Vries, 2001, 2003, 15 2005). This suggests that CB-antagonists may have a therapeutic effect in preventing relapse of substance addiction.

人們已經建議,5-11丁6拮抗劑在治療藥物和酒精成癮 (酒精中毒),在治療藥物特別是酒精、可卡因、尼古丁和苯 二氮卓濫用的戒斷中是有價值的(GB 2,341,549,US 20 2003/0220325,US 2005/020575,US 2005/020596,USIt has been suggested that 5-11 D6 antagonists are valuable in the treatment of drugs and alcohol addiction (alcoholism) and in the withdrawal of therapeutic drugs, especially alcohol, cocaine, nicotine and benzodiazepines (GB 2,341). , 549, US 20 2003/0220325, US 2005/020575, US 2005/020596, US

6187805,WO 01/017963,WO 02/041889,WO 02/051832, WO 02/051837,WO 02/060903,WO 2002/089811,WO6 187 805, WO 01/017963, WO 02/041889, WO 02/051832, WO 02/051837, WO 02/060903, WO 2002/089811, WO

2002/098857,WO 2003/013510,WO 2003/053433,WO 2003/066632,WO 2003/072548,WO 2003/072558,WO 2008480202002/098857, WO 2003/013510, WO 2003/053433, WO 2003/066632, WO 2003/072548, WO 2003/072558, WO 200848020

2003/089438,WO 2003/099797,WO 2004/009600,WO 2005/066157和WO 2006/081332)。沒有5-HT6拮抗劑是治療 預防成瘾復發的潛在治療劑的啓示。 本發明的目的是開發出預防成瘾復發的藥物,具有與 5 大麻素-CB i受體的拮抗作用不同的作用機制的藥物。 【發明内容】 發明概要 令人驚奇的是,我們發現,5_HT6拮抗劑在預示人復發 行爲的動物模型中具有活性:大鼠中由刺激誘導的受抑制 10 自給藥行爲復發(Shaham,2003)。在兩-瓶範例中學習飲用 酒精12 % (v/v)後,訓練大鼠在操作籠中自飲用酒精。當回 應率穩定後,讓動物戒斷酒精3周。隨後,通過將動物再暴 露於與酒精有關的刺激來研究5-HT6拮抗劑對復發的效 果。我們發現,這些化合物能夠抑制暗示-誘導的尋找酒精 15 的行爲。 使用非常類似的試驗模型,我們也發現5-HT6拮抗劑能 夠抑制暗示_誘導的尋找尼古丁的行爲。因此,5-HT6拮抗 劑可以用於製備預防成瘾復發的藥物,特別是預防對濫用 的物質的成癮復發,其中濫用的物質包括阿片劑、致幻劑、 20吸入劑、苯環利定、苯丙胺、可卡因、大麻、尼古丁和酒 精,預防對某些藥物包括鎮靜藥 '安眠藥和抗焦慮藥的成 瘾復發,及預防某些成瘾行爲包括賭博的復發。 在一個優選的實施方案中,本發明包括下列5-HT6拮抗 劑的應用:BGC-20-761、BVT-74316、CNS-10000、 7 200848020 CNS-11010、CNS-25100、diF-BAMPI、E-6837、FMPD、 GSK-215083、JCF-177、KR-055014、KR-055015、LY-483518 (=SGS-518)、MS-245、PHA-565272A、PRX-07034、Ro 04-6790、Ro-4368554、Ro 63-0563、Ro 65,7199、Ro 5 65-7674、Ro 66-0074、SAM-315、SB-21411 卜 SB-258510、 SB-258585、SB-271046、SB-331711、SB-357134、 SB-399885、SB-699929、SB-737050A、SB_742457 (=GSK-742457)、ST-1938和 WAY-181187 (=SAX-187)。2003/089438, WO 2003/099797, WO 2004/009600, WO 2005/066157 and WO 2006/081332). The absence of a 5-HT6 antagonist is an inspiration for the treatment of potential therapeutic agents for the prevention of addiction relapse. The object of the present invention is to develop a drug for preventing relapse of addiction, which has a mechanism of action different from that of the 5 cannabinoid-CB i receptor. SUMMARY OF THE INVENTION Surprisingly, we have found that 5-HT6 antagonists are active in animal models predicting human relapse behavior: inhibition induced by stimulation in rats 10 Self-administration behavior recurrence (Shaham, 2003). After learning to drink alcohol 12% (v/v) in the two-bottle example, the rats were trained to self-drink alcohol in the operating cage. After the response rate stabilized, the animals were given alcohol for 3 weeks. Subsequently, the effect of the 5-HT6 antagonist on relapse was investigated by exposing the animal to an alcohol-related stimulus. We found that these compounds are able to inhibit the suggestive-induced behavior of finding alcohol 15 . Using a very similar experimental model, we also found that 5-HT6 antagonists can inhibit the suggestive-induced induction of nicotine behavior. Therefore, 5-HT6 antagonists can be used to prepare drugs for preventing relapse of addiction, especially to prevent addiction recurrence of substances abused, among which substances abused include opiates, hallucinogens, 20 inhalers, and benzocycline. Ding, amphetamine, cocaine, marijuana, nicotine and alcohol prevent the recurrence of addiction to certain drugs, including sedatives, sleeping pills and anxiolytics, and prevent certain addictive behaviors, including the recurrence of gambling. In a preferred embodiment, the invention includes the use of the following 5-HT6 antagonists: BGC-20-761, BVT-74316, CNS-10000, 7 200848020 CNS-11010, CNS-25100, diF-BAMPI, E- 6837, FMPD, GSK-215083, JCF-177, KR-055014, KR-055015, LY-483518 (=SGS-518), MS-245, PHA-565272A, PRX-07034, Ro 04-6790, Ro-4368554 , Ro 63-0563, Ro 65, 7199, Ro 5 65-7674, Ro 66-0074, SAM-315, SB-21411, SB-258510, SB-258585, SB-271046, SB-331711, SB-357134, SB-399885, SB-699929, SB-737050A, SB_742457 (=GSK-742457), ST-1938 and WAY-181187 (=SAX-187).

FMPD E-6837 GSK-215083 8 200848020FMPD E-6837 GSK-215083 8 200848020

Ro-65-7199 Ro-65-7674 RO-66-0074Ro-65-7199 Ro-65-7674 RO-66-0074

SB-214111 SB-258510 SB-258585 9 200848020SB-214111 SB-258510 SB-258585 9 200848020

SB-357134 SB-271046 SB-331711SB-357134 SB-271046 SB-331711

SB-399885 SB-737050ASB-399885 SB-737050A

SB-699929 LY-483518 = SGS-518 10 本發明也涉及下列專利和專利申請所述的5-HT6拮抗 劑的應用:EP 0 815 861,DE 10053794,DE 10053795, DE 10053796,DE 10053799,DE 10053813,GB 2,341,549,SB-699929 LY-483518 = SGS-518 10 The invention also relates to the use of the 5-HT6 antagonists described in the following patents and patent applications: EP 0 815 861, DE 10053794, DE 10053795, DE 10053796, DE 10053799, DE 10053813 , GB 2,341,549,

US 2003/220325,US 2003/229069,US 2004/019064,USUS 2003/220325, US 2003/229069, US 2004/019064, US

2005/124613,US 2005/020575,US 2005/020596,US 15 2006/069094,US 2006/084676,US 5,990,105,US 6,133,287,US 6,187,805,US 6,191,14卜 US 6,194,410,2005/124613, US 2005/020575, US 2005/020596, US 15 2006/069094, US 2006/084676, US 5,990,105, US 6,133,287, US 6,187,805, US 6,191,14, US 6, 194,410,

US 6,943,169,WO 1998/027058,WO 1998/027081 ’ WO 10 200848020 1999/002502,WO 1999/037623,WO 1999/042465 1999/047516,WO 1999/065906,WO 2000/012073 2000/012623,WO 2000/034242,WO 2000/037452 2000/063203,WO 2001/012629,WO 2001/017963 5 2001/032646,WO 2001/032660,WO 2001/038316 2002/008178,WO 2002/008179,WO 2002/018358 2002/032863,WO 2002/036115,WO 2002/041889 2002/042293,WO 2001/017963,WO 2002/041889 2002/051832,WO 2002/051837,WO 2002/060871 10 2002/060903,WO 2002/078693,WO 2002/089811 2002/092585,WO 2002/098857,WO 2002/100822 2002/100842,WO 2003/013510,WO 2003/014097 2003/035061,WO 2003/039547,WO 2003/042175 2003/053433,WO 2003/066056,WO 2003/066632 15 2003/068220,WO 2003/068732,WO 2003/068740 2003/068752,WO 2003/072198,WO 2003/072548 2003/072558,WO 2003/080580,WO 2003/082877 2003/089438,WO 2003/099792,WO 2003/099797 2003/101962,WO 2003/101990,WO 2003/104193 20 2004/000828,WO 2004/009548,WO 2004/009600 2004/014895,WO 2004/026830,WO 2004/031181 2004/035047,WO 2004/041781,WO 2004/041792 2004/048328,WO 2004/050085,WO 2004/078176, 2004/080969,WO 2004/098588,WO 2005/014578, ,WO wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo wo 11 200848020 5US 6,943,169, WO 1998/027058, WO 1998/027081 'WO 10 200848020 1999/002502, WO 1999/037623, WO 1999/042465 1999/047516, WO 1999/065906, WO 2000/012073 2000/012623, WO 2000 /034242, WO 2000/037452 2000/063203, WO 2001/012629, WO 2001/017963 5 2001/032646, WO 2001/032660, WO 2001/038316 2002/008178, WO 2002/008179, WO 2002/018358 2002/032863 , WO 2002/036115, WO 2002/041889 2002/042293, WO 2001/017963, WO 2002/041889 2002/051832, WO 2002/051837, WO 2002/060871 10 2002/060903, WO 2002/078693, WO 2002/089811 2002/092585, WO 2002/098857, WO 2002/100822 2002/100842, WO 2003/013510, WO 2003/014097 2003/035061, WO 2003/039547, WO 2003/042175 2003/053433, WO 2003/066056, WO 2003 / 066632 15 2003/068220, WO 2003/068732, WO 2003/068740 2003/068752, WO 2003/072198, WO 2003/072548 2003/072558, WO 2003/080580, WO 2003/082877 2003/089438, WO 2003/099792 , WO 2003/099797 2003/101962, WO 2003/101990, WO 2003/104193 20 2004/000828, WO 2004/009548, WO 2004/009600 2004/014895, WO 2004/026830, WO 2004/031181 2004/035047, WO 2004/041781, WO 2004/041792 2004/048328, WO 2004/050085, WO 2004/078176, 2004/080969, WO 2004/098588, WO 2005, vol.

2005/016891,WO 2005/026177,WO 2005/051398,WO 2005/066157,WO 2005/105776,WO 2006/037482,WO 2006/062481,WO 2006/066748,WO 2006/081332,WO2005/016891, WO 2005/026177, WO 2005/051398, WO 2005/066157, WO 2005/105776, WO 2006/037482, WO 2006/062481, WO 2006/066748, WO 2006/081332, WO

2005/021530,WO 2005/037834,WO 2005/051399,WO 2005/067933,WO 2005/113539,WO 2006/038006,WO 2006/066745,WO 2006/066756,WO 2006/091703,WO2005/021530, WO 2005/037834, WO 2005/051399, WO 2005/067933, WO 2005/113539, WO 2006/038006, WO 2006/066745, WO 2006/066756, WO 2006/091703, WO

2005/025576, WO 2005/051397, WO 2005/058858, WO 2005/095346, WO 2006/037481, WO 2006/061126, WO 2006/066746, WO 2006/066790, WO 2006/114402 和 WO 10 2006/134150。 其他實施方案涉及一種或多種式(1)的化合物的應用:2005/025576, WO 2005/051397, WO 2005/058858, WO 2005/095346, WO 2006/037481, WO 2006/061126, WO 2006/066746, WO 2006/066790, WO 2006/114402 and WO 10 2006/134150. Other embodiments relate to the use of one or more compounds of formula (1):

R° 或其互變異構體、立體異構體、N-氧化物、同位素標 15 記的類似物,或上述任意物質的藥學可接受的鹽、水合物 或溶劑化物,其中: -Ri代表氫、未取代的烷基(CM)或被一個或多個鹵素 原子取代的烷基(Cm) ’ _ R2和R3獨立地代表氫,未取代的烷基(Ci 4)或被一個 20 或多個鹵素原子取代的炫基(Ci_4),或R° or its tautomers, stereoisomers, N-oxides, isotopes, analogs, or pharmaceutically acceptable salts, hydrates or solvates of any of the above, wherein: -Ri represents hydrogen An unsubstituted alkyl group (CM) or an alkyl group substituted by one or more halogen atoms (Cm) ' _ R 2 and R 3 independently represent hydrogen, an unsubstituted alkyl group (Ci 4) or a 20 or more Halogen-substituted thiol (Ci_4), or

Ri和R2與標記爲‘a和b的後原子一起形成環烧 12 200848020 基環,或 R2和R3與標記爲‘b’的碳原子一起形成c3 8_環烷基環, •標記爲‘b’和‘c’的碳原子之間的虛線代表單或雙鍵, • IU和I獨立地代表氫、未取代的烷基(CV4)或被一個 5 或多個鹵素原子取代的烷基(C!_4),或, R3和R4與標記爲b和c’的碳原子一起形成C3 環烧 基環,或 R4和&與標記爲‘c’的碳原子一起形成c3 8-環烷基環, -R6和R?獨立地代表氫、烷基(Cm)、被一個或多個鹵 1〇素原子取代的烷基(Ci-4)、(C^)烷氧基、二烷基(Cl_3)氨基一 烷基(Cm)、任選取代的芳基、任選取代的C5 8_環烷基或任 選取代的C5_8-雜環烷基,或 R6和I與和它們相連的氮原子一起形成任選取代的 C5-8-雜環燒基, 15 〇 “ -Rs代表任選取代的芳基、_CR9=CRi()_芳基,其中R9 和汉1()獨立地代表氫或烷基-(Cm)、或-C三C-芳基。 本發明涉及具有式(1)的化合物的外消旋物、非對映體 的混合物以及個體立體異構體。本發明也涉及具有式(1)的 化合物的E異構體、Z異構體和E/Z混合物的應用。 在2007年9月20日提交的PCT/EP2007/059944中公開了 式(1)的化合物,它們的合成,理化性質,與5-HT6受體的親 和力(pKr值)和作爲5_HT6受體的拮抗劑的功能活性(PA2 值),將其内容通過參考引入本文。 進一步的實施方案涉及一種或多種式(1)的化合物或其 13Ri and R2 together with the rear atoms labeled 'a and b form a ring-fired 12 200848020 base ring, or R2 and R3 together with a carbon atom labeled 'b' form a c3 8_cycloalkyl ring, • labeled 'b The dotted line between the carbon atoms of 'and 'c' represents a single or double bond, • IU and I independently represent hydrogen, unsubstituted alkyl (CV4) or alkyl substituted by one or more halogen atoms (C !_4), or, R3 and R4 together with the carbon atoms labeled b and c' form a C3 cycloalkyl ring, or R4 and & together with the carbon atom labeled 'c' form a c3 8-cycloalkyl ring , -R6 and R? independently represent hydrogen, alkyl (Cm), alkyl (Ci-4), (C^) alkoxy, dialkyl (Cl_3) substituted by one or more halogen 1 halogen atoms An amino-alkyl (Cm), optionally substituted aryl, optionally substituted C5-8-cycloalkyl or optionally substituted C5-8-heterocycloalkyl, or R6 and I together with the nitrogen atom to which they are attached Forming an optionally substituted C5-8-heterocyclic alkyl group, 15 〇 "-Rs represents an optionally substituted aryl group, _CR9=CRi()-aryl group, wherein R9 and Han 1() independently represent hydrogen or alkyl -(Cm), or -C tri C-aryl. The invention relates to having a racemate, a mixture of diastereomers and individual stereoisomers of the compound of (1). The invention also relates to the E isomer, the Z isomer and the E/Z mixture of the compound of formula (1). The compounds of formula (1), their synthesis, physicochemical properties, affinity to the 5-HT6 receptor (pKr value) and 5_HT6 are disclosed in PCT/EP2007/059944 filed on September 20, 2007. Functional activity (PA2 value) of an antagonist of a body, the contents of which are incorporated herein by reference. Further embodiments relate to one or more compounds of formula (1) or 13 thereof

ZUU848UZU 、N_氧化物、 可接受的鹽、 同位素標記的類似 水合物或溶劑化物 互變異構體、立體異構體 物或上述任意物質的藥學 的應用,其中·· 〜代表氫或匕和汉2,盥禅 形成環己基環, 、、° 4 α和‘b’的碳原子一起 -I和R·域代錢錢 爲‘b,的碳;土(Cl-3),或R2和R3與標記 人原子一起形成環戊基或環己基環, _ 1 票記紗心的碳原子之間的虛線代表單或雙鍵, 和R5獨立地代表氫、烷美 爲‘b,和‘C,的石山眉;, 土 1_3),或反3和R4與標記 的厌原子一起形成C3·8-環烷基環, 素原U6和R7獨立地代錢、綠(C1_3)、被-個或多個齒 基',、代的燒基(C1.4)、甲氧基、環己基、节基或4_π底咬 -R8代表任選取代的芳基、·CR9=CIW芳基,其中R9 10獨立地代表氫或烧基(Ci_3)、或-CeC_芳基。 綠在另一個實施方案中,本發明涉及式⑴的化合物或互 ’、構體立體異構體、N_氧化物、同位素標記的類似物、 或上述任意物質的藥學可接受的鹽、水合物或溶劑化物的 應用其中· Ri,IU,R5和R6代表氫,R2和r3獨立地代表烷 2〇基(Cm),或心和反3與標記爲‘b,的碳原子一起形成環戊基或 ¥己基環,標記爲‘b,和‘c,的碳原子之間的虛線代表單鍵, R7代表烷基(CM),R8代表被一個或多個鹵素原子取代的單_ 或雙-環芳基。 最優選的是在PCT/EP2007/059944中稱作“化合物33,, 200848020 的具有式(1)的化合物的應用,其具有下列結構:ZUU848UZU, N-oxide, an acceptable salt, an isotopically-labeled similar hydrate or solvate tautomer, a stereoisomer, or a pharmaceutical use of any of the above, wherein ~· represents hydrogen or hydrazine 2, 盥 禅 forms a cyclohexyl ring, , ° 4 α and 'b' carbon atoms together -I and R · domain money money for 'b, carbon; soil (Cl-3), or R2 and R3 and The labeled human atoms together form a cyclopentyl or cyclohexyl ring, the dotted line between the carbon atoms of the _ 1 ticketing yarn represents a single or double bond, and R5 independently represents hydrogen, and the alkane is 'b, and 'C, Shishanmei;, soil 1_3), or anti-3 and R4 together with the labeled anaerobic atoms form a C3·8-cycloalkyl ring, and the protons U6 and R7 independently represent money, green (C1_3), quilt or teeth a radical ', a substituted alkyl group (C1.4), a methoxy group, a cyclohexyl group, a benzyl group or a 4_π bottom bite-R8 represents an optionally substituted aryl group, CR9=CIW aryl group, wherein R9 10 independently represents Hydrogen or alkyl (Ci_3), or -CeC_aryl. Green In another embodiment, the invention relates to a compound of formula (1) or an inter', stereoisomer, N-oxide, isotopically-labelled analog, or a pharmaceutically acceptable salt, hydrate of any of the foregoing Or the use of solvates wherein Ri, IU, R5 and R6 represent hydrogen, R2 and r3 independently represent alkane 2 fluorenyl (Cm), or the core and counter 3 together with a carbon atom labeled 'b, form a cyclopentyl group Or a hexyl ring, the dotted line between the carbon atoms labeled 'b, and 'c, represents a single bond, R7 represents an alkyl group (CM), and R8 represents a single- or double-ring substituted by one or more halogen atoms. Aryl. Most preferred is the use of a compound of formula (1), referred to as "Compound 33," 200848020, in PCT/EP2007/059944, having the following structure:

化合物33 5 本發明的其他實施方案包括但不限於: 預防對濫用的物質、對藥物或成瘾行爲成癮復發的方 法; 預防對濫用的物質選自阿片劑、致幻劑、吸入劑、苯 環利定、苯丙胺、可卡因、大麻、尼古丁和酒精成瘾復發 10 的方法; 預防對酒精成瘾復發的方法; 預防對尼古丁成瘾復發的方法; 預防對大麻成癮復發的方法; 預防對阿片劑成癮復發的方法; 15 預防對可卡因成瘾復發的方法; 預防對選自鎮靜藥、安眠藥和抗焦慮藥的藥物成瘾復 發的方法; 預防對賭博成瘾復發的方法。 【實施方式3 20 詳細說明 定義 在本說明書的全文中,術語“5-HT6受體拮抗劑”是指顯 示下列活性化合物一其中該活性通過明確和普遍接受的藥 15 200848020 理學分析測定,包括在PCT/EP2007/059944中所述的那些一 其與其他受體不顯示實質性的交叉反應性。在一個實施方 案中,本發明的化合物作爲5-HT6受體拮抗劑的有效性比作 爲其他任意受體的激動劑或拮抗劑的活性大至少10倍。優 5 選具有100倍選擇性的化合物,最優選選擇性因子爲1000或 更高的化合物。 在化合物的說明中使用的一般性術語具有它們通常的 含義。本文使用的術語烧基是指一價飽和、支鏈或直鏈烴 鏈。除非另有說明,這些鏈包含1到18個碳原子,這些烷基 10 的代表是甲基、乙基、丙基,異丙基、丁基、異丁基、仲 丁基、叔丁基、戊基、異戊基、新戊基、叔戊基、己基、 異己基、庚基、辛基、壬基、癸基、十一烧基、十二烧基、 十三烧基、十四烧基、十五烧基、十六烧基、十七烧基、 十八烷基等等。當限定爲“低級”時,該烷基包含1到6碳原 15 子。對具有相同碳量適用於原術語“烷烴”及衍生術語,例 如“烷氧基”。各種包含烴的部分的碳量用前綴來表示,表 明該部分的碳原子的最小和最大數,即前綴(^-(^是指所存 在的碳原子的數目包括端點的從整數“X”到整數“y”。例如 “烷基(C^)”是指甲基、乙基、正丙基或異丙基,“烷基(<^_4)” 20 是指“甲基、乙基、正丙基、異丙基、正丁基、2-丁基、異 丁基或2-甲基_正丙基”。術語“烯基”是指具有一個或多個碳 -碳雙鍵的直鏈或支鏈烴基,例如乙烯基、丙烯基、丁烯基 等等,例如代表(C2_4)烯基。“炔基”是指具有一個或多個碳-碳三鍵的直鏈或支鏈烴基,例如乙炔基、丙炔基、1-丁炔 16 200848020 基、2- 丁炔基等等,例如代表(C2.4)炔基。除非另有說明,“稀 基”和“炔基”鏈可以包含1到18個碳原子。 術語“醯基”是指烷基(Cl_3)羰基、芳基羰基或芳基-烷義 (Cm)羰基。“芳基”包括單環或稠合雙環的芳香或雜-芳^ 5基,包括但不限於,呋喃基、噻吩基、吡咯基、呋唑美、9 噻唑基、咪唑基、咪唑[2,1七][1,3]噻唑基、吡唑基、^呋 唑基、異噻唑基、吡啶基、噠嗪基、嘧啶基、吡嗪基、/3 $ 三嗪基、苯基、吲唑基、吲哚基、吲嗪基、異吲哚基、笨 並[b]咬喃基、1,2,3,4-四氫萘基、四氫異啥琳基、節 10滿基、扣基、苯並[b]°塞吩基、2,3-二氫-1,4-苯並—咬4 (benzodioxin)-5-基、苯並咪唑基、苯並噻唑基、苯並u 2习 噻-二唑基、嘌呤基、喹啉基、異喹啉基、酞嗪基 (phtalazinyl)、喹唑啉基、喹呋啉基、18-萘啶基、蝶啶美 或脲基。“鹵代,,或“函素,,是指氯、氟、溴或碘;在“雜烷基、 15雜芳基”等等中的“雜,,是指包含一個或多個N、〇或8原^。 “雜烷基,,包括在任意位置具有雜原子的烷基,因此包括N_ 連接的、0-連接的或S-連接的烷基。 術語“取代的,,是指具有一個或多個取代基的特定基團 或部分。當任何基團可以具有多個取代基並提供了各種可 2〇能的取代基時,取代基是獨立選擇的,不必相同。術語“未 取代’’是指沒有取代基的特定基團。當用於取代基時,術語 “獨立’’是指當可能存在_個以上的取代基時,它們互相可 以相同或不同。 “任選取代的”是指一個基團可以被一個或多個基團進 17 200848020 v取代或不取代,其中所述基團選自Q-8烷基、Cm烯基、 炔基、芳基、氟、氯、漠、羥基、Cl虞氧基、Cm烯氧 基、芳氧基、醯氧基、氨基、c18烧基氨基、二燒基(Ci分 ; 方基氣基、硫、Cl·8烧硫基、芳硫基、氰基、氧代、 5肖基駄基、醯氨基、Cl-8烧基醯氨基、二烧基(Cu)氨基、 羧基,或者兩個任選的取代基可以與和它們連接的碳原子 一起形成包含0,1或2個選自氮、氧或硫的雜原子的5-或6-兀芳香或非芳香環。任選的取代基可以本身具有其他任選 的取代基。優選任選的取代基包括q虞基例如甲基、乙基 ίο和一氟甲基、氟、氯、演、經基、q·成氧基例如甲氧基, 乙氧基和三氟甲氧基、和氨基。Compound 33 5 Other embodiments of the invention include, but are not limited to: methods for preventing relapse of substances that are abused, addictive to drugs or addictive behaviors; substances that prevent abuse are selected from the group consisting of opiates, hallucinogens, inhalants, Methods for recurrence of phencyclidine, amphetamine, cocaine, marijuana, nicotine and alcohol addiction 10; methods for preventing relapse of alcohol addiction; methods for preventing relapse of nicotine addiction; methods for preventing recurrence of marijuana addiction; A method for recurrence of opiate addiction; 15 methods for preventing recurrence of cocaine addiction; methods for preventing relapse of drug addiction selected from sedatives, hypnotics, and anxiolytics; and methods for preventing relapse of gambling addiction. [Embodiment 3 20 Detailed Description Definitions Throughout the specification, the term "5-HT6 receptor antagonist" means the following active compound, wherein the activity is determined by a clear and generally accepted drug 15 200848020, including Those described in PCT/EP2007/059944 do not exhibit substantial cross-reactivity with other receptors. In one embodiment, a compound of the invention is at least 10 times more potent as a 5-HT6 receptor antagonist than an agonist or antagonist of any other receptor. Preferably, a compound having 100-fold selectivity is selected, and a compound having a selectivity factor of 1000 or higher is most preferred. The general terms used in the description of the compounds have their usual meanings. The term alkyl radical as used herein refers to a monovalent saturated, branched or straight chain hydrocarbon chain. Unless otherwise stated, these chains contain from 1 to 18 carbon atoms, and the representatives of these alkyl groups 10 are methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, tert-butyl, Pentyl, isopentyl, neopentyl, tert-amyl, hexyl, isohexyl, heptyl, octyl, decyl, fluorenyl, undecyl, twelfth, thirteen, fourteen Base, fifteen alkyl, hexadecane, heptadecyl, octadecyl and the like. When defined as "lower", the alkyl group contains from 1 to 6 carbon atoms. For the same amount of carbon, the original term "alkane" and derivative terms such as "alkoxy" are used. The amount of carbon in various hydrocarbon-containing fractions is indicated by a prefix, indicating the minimum and maximum number of carbon atoms in the moiety, ie the prefix (^-(^ means that the number of carbon atoms present includes the integer "X" from the endpoint To the integer "y". For example, "alkyl (C^)" means methyl, ethyl, n-propyl or isopropyl, and "alkyl (<^_4)" 20 means "methyl, ethyl" , n-propyl, isopropyl, n-butyl, 2-butyl, isobutyl or 2-methyl-n-propyl. The term "alkenyl" means having one or more carbon-carbon double bonds. a linear or branched hydrocarbon group such as a vinyl group, a propenyl group, a butenyl group or the like, for example, represents a (C2_4) alkenyl group. "Alkynyl group" means a straight or branched chain having one or more carbon-carbon triple bonds. Hydrocarbyl group, such as ethynyl, propynyl, 1-butyne 16 200848020, 2-butynyl, etc., for example, represents (C2.4) alkynyl. Unless otherwise indicated, "dilute" and "alkynyl" The chain may contain from 1 to 18 carbon atoms. The term "mercapto" refers to alkyl (Cl_3) carbonyl, arylcarbonyl or aryl-alkyl (Cm)carbonyl. "Aryl" includes monocyclic or fused bicyclic Aromatic or hetero-aryl ^ 5 base Including, but not limited to, furyl, thienyl, pyrrolyl, furazolidin, 9 thiazolyl, imidazolyl, imidazo[2,1-7][1,3]thiazolyl, pyrazolyl, oxazolyl, iso Thiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, /3 $ triazinyl, phenyl, oxazolyl, fluorenyl, pyridazinyl, isodecyl, stupid [b]bit Meryl, 1,2,3,4-tetrahydronaphthyl, tetrahydroisoindolyl, nodal 10, ketone, benzo[b]°secenyl, 2,3-dihydro-1, 4-benzo-Bis 4 (benzodioxin)-5-yl, benzimidazolyl, benzothiazolyl, benzo-u 2 thiadiazyl, fluorenyl, quinolinyl, isoquinolinyl, pyridazine Phtalazinyl, quinazolinyl, quinolinolinyl, 18-naphthyridinyl, pteridine or ureido. "Halo," or "fungel," means chloro, fluoro, bromo or iodo; "Hetero," in the "heteroalkyl, 15-heteroaryl" and the like, refers to one or more of N, oxime or hexamethylene. "Heteroalkyl, including alkyl having a hetero atom at any position," Thus including N_linked, 0-linked or S-linked alkyl. The term "substituted, means having one A specific group or moiety of a plurality of substituents. When any group may have multiple substituents and provide various substituents which are capable of being substituted, the substituents are independently selected and are not necessarily the same. The term "unsubstituted" Refers to a specific group having no substituent. When used in the substituent, the term "independent" means that when more than one substituent may be present, they may be the same or different from each other. "Optionally substituted" means A group may be substituted or unsubstituted by one or more groups selected from the group consisting of Q-8 alkyl, Cm alkenyl, alkynyl, aryl, fluoro, chloro, dimethyl, hydroxy , Cl虞oxy, Cm-alkenyloxy, aryloxy, decyloxy, amino, c18 alkylamino, dialkyl (Ci; square base gas, sulfur, Cl·8 sulfur-sulphur, arylthio , cyano, oxo, 5 schylhydrazyl, decylamino, Cl-8 alkylamino, dialkyl (Cu) amino, carboxyl, or two optional substituents may be attached to the carbon atom to which they are attached Together, a 5- or 6-fluorene aromatic or non-aromatic ring containing 0, 1 or 2 heteroatoms selected from nitrogen, oxygen or sulfur is formed. The optional substituent may itself have other optional substituents. Preferred optional substituents include q fluorenyl such as methyl, ethyl ίο and monofluoromethyl, fluoro, chloro, hydrazine, hydroxy, for example methoxy, ethoxy and trifluoromethoxy Base, and amino group.

Cwi辰烧基”是指環丙基、環丁基、環戊基、環己基、 裒庚基或%、辛基,c5_8雜ί魏基,,是指包含雜原子的環,包 括但不限於呢咬基、嗎琳基、氮雜環庚烧基(azepanyl)、吼 洛烧基1代嗎琳基十秦基'四里气咬喃基、四氮吼喃基; 作爲其他基團的-部分,本文使用的術語“氧,,、“硫” 和“幾基(carbo),,分別是指氧原子、硫原子和幾基(c=〇),用 於在兩個基團之間作爲連接基團,例如經基、氧烧基、硫 烧基、舰基等等。當單獨或作爲其他基團的一部分使用 時,術語“氨基,,是指可以在末端或兩個其他基團之間作爲 連接基1S的氮原子,其巾該基團可以是伯、仲或叔(分別是 指兩個氫原子與氮原子相連,一個氯原子與氣原子相連, 沒有氫原子與氮原子相連)胺。作爲其他基團的一部分,本 文使用的術語“亞績酿基,,和“續酿基,,分別是指-SO-或 18 200848020 -S〇2- 〇 爲了 k供更間明的描述’當沒有明確提及時,術語“化 合物”還包括互變異構體、立體異構體、N_氧化物、同位素 標記的類似物或藥學可接受的鹽、水合物或溶劑化物。 5 上述化合物的N_氧化物也屬於本發明。叔胺可以或可 以不産生N-氧化代謝産物。N-氧化發生的程度可以不同, 從痕量到近似定量轉換。N-氧化物可能比它們相應的叔胺 活性更大,或活性更小。同時,可以通過化學方法將N_氧 化物容易地還原成它們相應的叔胺,在人體中這會不同程 10度地發生。一些N-氧化物會近似定量地還原轉換爲相應的 叔胺,在其他情況中轉換是僅痕量反應,或甚至完全不會 發生(Bickel,1969)。 任何在體内代謝產生生物活性劑(即,式(1)的化合物) 的化合物是在本申請的範圍和精神内的前藥。前藥是治療 15劑’本身沒有活性’但是會轉換成一種或多種活性代謝産 物。因此,在本發明的治療方法中,術語“施用,,或“在治療 中使用”將包括用特定公開的化合物或用沒有具體公開但 是在施用於患者後可以在體内轉換爲該特定化合物的化合 物治療各種所述的疾病。前藥是藥物分子的生物可逆性衍 2〇 生物,用於克服一些對母體藥物分子應用的障礙。這些障 礙包括但不限於,溶解性、滲透性、穩定性、系統前代謝 和靶向局限性(Bundgaard,1985; King,1994; Stella,2004;"Cwichenyl" means cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, anthracene or %, octyl, c5_8 hetero-wetyl, meaning a ring containing a hetero atom, including but not limited to Ottomyl, morphinyl, azepanyl, azoprene, 1st generation, linalyl, decyl, sulphate, tetrahydrofuranyl, tetraazinyl; as part of other groups As used herein, the terms "oxygen,", "sulfur" and "carbo", mean an oxygen atom, a sulfur atom, and a few groups (c=〇), respectively, as a link between two groups. a group such as a thiol group, an oxyalkyl group, a thiol group, a ship group, etc. When used alone or as part of another group, the term "amino" refers to either at the end or between two other groups. As the nitrogen atom of the linker 1S, the group may be primary, secondary or tertiary (each two hydrogen atoms are connected to a nitrogen atom, one chlorine atom is connected to a gas atom, and no hydrogen atom is connected to a nitrogen atom). . As part of other groups, the term "Achieve," and "continued," respectively, refers to -SO- or 18 200848020 -S〇2- 〇 for a more lucid description of ' The term "compound" also includes tautomers, stereoisomers, N-oxides, isotopically labeled analogs or pharmaceutically acceptable salts, hydrates or solvates, when not explicitly mentioned. 5 N-oxides of the above compounds are also within the scope of the invention. The tertiary amine may or may not produce an N-oxidized metabolite. The extent to which N-oxidation occurs can vary from trace to near quantitative conversion. N-oxides may be more active or less active than their corresponding tertiary amines. At the same time, the N-oxides can be easily reduced chemically to their corresponding tertiary amines, which can occur in different degrees in the human body at 10 degrees. Some N-oxides are approximately quantitatively reduced to the corresponding tertiary amines, and in other cases the conversion is only a trace reaction, or even not at all (Bickel, 1969). Any compound that is metabolized in vivo to produce a bioactive agent (i.e., a compound of formula (1)) is a prodrug within the scope and spirit of the present application. The prodrug is a treatment of 15 doses which are not active by themselves but are converted into one or more active metabolites. Thus, in the methods of treatment of the present invention, the term "administering," or "using in therapy" will include the use of a specifically disclosed compound or with a compound that is not specifically disclosed but which can be converted to the particular compound in vivo after administration to a patient. The compounds are useful in the treatment of a variety of such diseases. Prodrugs are bioreversible derivatives of drug molecules that overcome some of the barriers to the application of parent drug molecules, including, but not limited to, solubility, permeability, stability, Pre-systematic metabolism and targeting limitations (Bundgaard, 1985; King, 1994; Stella, 2004;

Ettmayer, 2004 ; J注rvinen,2005)。前藥,即通過任何已知 途徑施用於人或哺乳動物時會代謝爲具有式(1)的化合物的 19 200848020 化合物也屬於本發明。特別地,這涉及具有伯或仲氨基或 經基的化合物。這些化合物可以與有機酸反應得到具有式 (1)的化口物’其中存在施用後易於除去的其他基團,例如 肺婦胺i尼西喊、輕基_亞甲基衍生物、〇_(酿氧基亞甲 5基氨基甲酸自旨)衍生物、氨基甲義、®旨、_或稀胺酮 (enaminone) 〇 、口口胆w八’巴π 芊矸重或非化学 計量的溶劑。通常,Α处曰 币在結晶的過程中,一些化合物具有在 體固態中引人固定摩爾比例的溶劑分子的傾向,因此形 〉谷劑化物。當汝添,丨Β .......... 晶 10 15 20 燜的洛劑勿、于的傾向,因此形 成合;ij化物。當溶劑是水時,可以形成“水合物”。式⑴ 的化合物和其樂學可接受的鹽可以以水合物或溶劑化物的 $式存在這些水合物和溶劑化物也包括在本發明中。其 例:咖水合物,二氫二氣二水合物等等。“無定形,,形 式有排歹1順序的非晶體物質,-般不會給出特徵性的Ettmayer, 2004; J. Rvinen, 2005). Prodrugs, i.e., compounds which are metabolized to a compound of formula (1) when administered to a human or mammal by any known route, are also within the scope of the invention. In particular, this relates to compounds having primary or secondary amino groups or via groups. These compounds can be reacted with an organic acid to give a hydration compound of the formula (1) in which other groups which are easily removed after administration, such as gynecamine, succinyl-methylene derivatives, 〇_( A derivative of a oxy-methylene-5-aminocarbamic acid derivative, a methionine, a ketone, or an aryl ketone, an oral biliary, an oral biliary, or a non-stoichiometric solvent. In general, some of the compounds have a tendency to introduce a fixed molar ratio of solvent molecules in the solid state during the crystallization process, and thus the form of the granules. When 汝 丨Β, 丨Β .......... 晶 10 15 20 焖 洛 洛 洛 洛 洛 洛 洛 洛 洛 洛 洛 洛 洛 ij ij ij ij ij ij ij ij ij ij When the solvent is water, a "hydrate" can be formed. The compound of the formula (1) and its orally acceptable salt may be present in the form of a hydrate or a solvate. These hydrates and solvates are also included in the present invention. Examples thereof are coffee hydrate, dihydrogen dihydrate, and the like. "Amorphous, the form has an amorphous material in the order of 1 row, and generally does not give a characteristic

私末X-射線衍同jj/ Q 圖形。日日形已經在Bym (1995)和Martin (1995)中進^了了 _般性的描述。 爲了提ί、更簡明的描述,本文給出的一些定量表示沒 有用術語“約’’限中 ^ ,, 。應畜理解的是,不論是否明確地使用 了 : t J3本文給出的每個數值都是值實際給出的值, 也疋出值的近似值,它是基於本領域的普通技術 可以合理推斷的,包 从^ , 祜由於沒些給出值的試驗和/或測定條 件而得到的近似值。 術語“選擇,,和“選 b ^ 、擇陘I扣對特定受體(例如,5-HT6 叉體)顯不反應性, /、雙體基本不顯示實質性的交叉 20 200848020 反應性的化合物。因此,^ 例如本發明的選擇性化合物可以 對5-ΗΤ6受體顯示反應性,^ 而對其他5-ΗΤ受體不顯示實質性 的父叉反應性。在一個督# 、、 案巾,本發明的化合物對於 5-HT6文體具有至少約1〇 ^的選擇性,對於5_HT受體呈有 至少約50倍的選擇性,對认Private X-rays are derived from jj/Q graphics. The sun shape has been described in Bym (1995) and Martin (1995). In order to make a more concise description, some quantitative expressions given in this paper do not use the term "about" to limit the number of ^, and the animal understands that whether or not it is explicitly used: t J3 each given in this paper The values are the values actually given by the values, and also the approximate values of the values, which can be reasonably inferred based on the ordinary techniques in the art, and the packets are obtained from the test and/or measurement conditions without giving values. Approximate values. The terms "select,, and" select b ^, select 扣 扣 对 对 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 特定 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 2008 The compound of the present invention, for example, can exhibit reactivity to the 5-ΗΤ6 receptor, and does not exhibit substantial parental reactivity to other 5-quinone receptors. The towel of the present invention has a selectivity of at least about 1 对于 for the 5-HT6 style and at least about 50 times selectivity for the 5 HT receptor.

宁於5-HT6受體具有至少約1〇〇倍的 選擇性,對於5-HT6受髀月+ J 昇有至少約250倍的選擇性,或對 於所需靶點具有至少約5〇〇倍的選擇性。 在本申請的說明書和中 該詞的變形,例如“包括,,和 10 物、組分、物質或步驟。 請專利範圍中,詞語“包含,,和 ‘含有”並不意欲排除其他添加 儘管可以將式(1)的化合物作爲原料化學品施用,但優 選它們作爲“藥物组合物,,存在。根據一個進一步的方面, 本發明提供-種藥物組合物,包含至少一種式⑴的化合 物,其至少-種藥學可接受的鹽或溶劑化物,或上述任意 15物質的混合物,與-種或多種藥學可接受的載體,和任選 一種或多種其他治療成分。載體必須是“可接受的”,它們 必須與製劑的其他成分相容,並且對於受者沒有毒性。本 文使用的術語“組合物”包括包含預定量或份數的特定成分 的産品,以及由特定量的特定成分組合而直接或間接産生 20的任意産品。與藥物組合物相關,該術語包括一種産品, 其包含一種或多種活性成分和包含惰性成分的任選載體, 以及由任意兩種或多種成分組合、混合或聚集,或者由一 種或多種成分的離解,或者一種或多種成分的其他形式的 反應或相互作用而直接或間接產生的任意産品。一般地, 21 200848020 製備藥物組合物,包括將活性成分均勻和直接與液體載體 或精細分離的固體載體或兩者混合,然後如果必要,使産 品成型,製成所需的製劑。該藥物組合物包括足夠的活性 目標化合物以對疾病的發展或情況産生所需的效果。因 5 此,本發明的藥物組合物包括通過將本發明的化合物與藥 學可接受的載體混合而製備成的任意組合物。“藥學可接受 的”是指載體、稀釋劑或賦形劑必須與製劑的其他成分相 容,並且對於受者沒有毒性。 劑量。如下所述確定本發明的化合物對於5-HT6受體的 10 親和力。從所測定的給定的式(1)化合物的結合親和力,我 們可以估計理論上的最低有效劑量。當化合物的濃度等於 所測定的Kr值的兩倍時,化合物可以佔據幾乎100%的 5-HT6受體。當假定爲理想的生物利用度時,將濃度轉換爲 每kg患者體重的化合物mg數得到理論上的最低有效劑量。 15 藥代動力學、藥效學和出於其他考慮可以將實際施用的劑 量調節至更高或更低的值。活性劑的典型每曰劑量可以在 較寬範圍内改變,其取決於很多因素例如相關的適應症、 施用途徑、患者的年齡、體重和性別,可以由醫生來確定。 一般地,以單一或個體劑量施用於患者的總每日劑量可以 20 是例如,每日0.001到10 mg/kg體重,更平常地從0.01到1,000 mg/日的總活性成分。這些劑量可以以每日1到3次施用於需 要治療的患者,或者每一次所需要的效力的劑量,且施用 至少2個月,更典型地至少6個月或長期施用。 本文使用的術語“治療有效量”是指治療通過施用本發 22 200848020 明的組合物可以治療的疾病的治療劑的量。該量是足以在 組織系統、動物或人中顯示可檢測的治療或改善應答的 量。效果可以包括,例如治療本文所列的疾病。患者的精 確有效量將取決於患者的大小和健康、所要治療疾病的性 5質和程度、治療醫生(研究者、獸醫、醫生或其他臨床醫師) 的推薦,和選擇用於施用的治療劑或治療劑的組合。因此, 不需要預先指定精確的有效篁。術语“樂學可接受的鹽”是 指那些在合理醫學判斷範圍内的鹽,其適合與人和低級動 物的組織接觸而沒有異常的毒性、刺激、變應性應答等等, 10 它與合理的效益/危險比例成比例。藥學可接受的鹽是本領 域公知的。當最後分離和純化本發明的化合物,或分別通 過將它們與藥學可接受的無毒性酸或鹹,包括無機或有機 鹹和無機或有機酸反應時,可以在原位置製備藥學可接受 的鹽(Berge,1977)。可以通過將鹽與鹹或酸接觸,並以常規 15方式分離母體化合物來再生爲“游離鹹,,形式。化合物的母 體形式與各種鹽形式在某些物理性質例如在極性溶劑中的 洛解度方面是不同的,但是對於本發明來說,鹽和化合物 的母體是等效的。“絡合物,,是指本發明例如式⑴的化:物 與金屬離子絡合的絡合物,其中至少一個金屬原子是螯人 的。可以通過本領域公知的方法(Dwyer,1964)來製備絡: 物。 本文使用的術語“治療,,是指哺乳動物例如人疾病或病 症的任意治療,包括:(1)抑制疾病或病症,即,阻止其發 生,(2)緩解疾㉟或病症,即導致疾病退行,或(3)停止^ 23 200848020Rather, the 5-HT6 receptor has a selectivity of at least about 1 fold, a selectivity of at least about 250-fold for 5-HT6 by the month + J liter, or at least about 5 times for the desired target. The selectivity. Variations of the word in the specification and the description of the present application, such as "including," and "comprising", "comprising," and "containing" are not intended to exclude other additions. The compounds of the formula (1) are administered as a raw material chemical, but they are preferably present as "pharmaceutical compositions. According to a further aspect, the present invention provides a pharmaceutical composition comprising at least one compound of the formula (1), at least one pharmaceutically acceptable salt or solvate thereof, or a mixture of any of the above 15 substances, with one or more pharmaceutics An acceptable carrier, and optionally one or more additional therapeutic ingredients. The carriers must be "acceptable" they must be compatible with the other ingredients of the formulation and are not toxic to the recipient. The term "composition" as used herein includes a product comprising a predetermined amount or fraction of a particular ingredient, as well as any product that produces 20 directly or indirectly from a particular amount of a particular combination of ingredients. In connection with a pharmaceutical composition, the term includes a product comprising one or more active ingredients and an optional carrier comprising an inert ingredient, and by any combination of two or more ingredients, mixed or aggregated, or dissociated from one or more ingredients. Any product that is produced directly or indirectly by other forms of reaction or interaction of one or more ingredients. Generally, 21 200848020 prepares a pharmaceutical composition comprising mixing the active ingredient homogeneously and directly with a liquid carrier or finely divided solid carrier or both, and then, if necessary, shaping the product to produce the desired formulation. The pharmaceutical composition includes sufficient active target compound to produce the desired effect on the development or condition of the disease. As a result, the pharmaceutical composition of the present invention includes any composition prepared by mixing the compound of the present invention with a pharmaceutically acceptable carrier. "Pharmaceutically acceptable" means that the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and is not toxic to the recipient. dose. The 10 affinity of the compounds of the invention for the 5-HT6 receptor was determined as described below. From the measured binding affinities of a given compound of formula (1), we can estimate the theoretical minimum effective dose. When the concentration of the compound is equal to twice the measured Kr value, the compound can occupy almost 100% of the 5-HT6 receptor. When the ideal bioavailability is assumed, the theoretically lowest effective dose is obtained by converting the concentration to the number of mg of compound per kg of patient body weight. 15 Pharmacokinetics, Pharmacodynamics, and other considerations may adjust the amount of the agent actually administered to a higher or lower value. The typical dose per dose of active agent can vary over a wide range depending on a number of factors such as the relevant indication, the route of administration, the age, weight and sex of the patient, as determined by the physician. Generally, the total daily dose administered to a patient in a single or individual dose may be, for example, from 0.001 to 10 mg/kg body weight per day, more usually from 0.01 to 1,000 mg/day total active ingredient. These doses can be administered from one to three times a day to the patient in need of treatment, or a dose of efficacy each time, and administered for at least 2 months, more typically at least 6 months or long term. The term "therapeutically effective amount" as used herein refers to an amount of a therapeutic agent that treats a condition treatable by administering the composition of the present invention. The amount is an amount sufficient to display a detectable therapeutic or ameliorating response in a tissue system, animal or human. Effects can include, for example, treating the diseases listed herein. The precise and effective amount of the patient will depend on the size and health of the patient, the nature and extent of the condition being treated, the recommendation of the treating physician (researcher, veterinarian, doctor or other clinician), and the therapeutic agent selected for administration or A combination of therapeutic agents. Therefore, it is not necessary to specify an accurate effective defect in advance. The term "learnably acceptable salt" refers to those salts within the scope of sound medical judgment that are suitable for contact with tissues of humans and lower animals without abnormal toxicity, irritation, allergic response, etc. 10 A reasonable benefit/risk ratio is proportional. Pharmaceutically acceptable salts are well known in the art. When the compounds of the present invention are finally isolated and purified, or by reacting them with a pharmaceutically acceptable non-toxic acid or salt, including inorganic or organic salts and inorganic or organic acids, respectively, a pharmaceutically acceptable salt can be prepared in situ. , 1977). It can be regenerated into "free salty, form by contacting the salt with salt or acid and separating the parent compound in a conventional manner. The parent form of the compound and the degree of resolution of the various salt forms in certain physical properties such as polar solvents. The aspect is different, but for the purposes of the present invention, the salt and the parent of the compound are equivalent. "Complex" means a compound of the present invention, for example, a complex of the formula (1): a complex complexed with a metal ion, wherein At least one metal atom is chelated. The complex can be prepared by methods well known in the art (Dwyer, 1964). The term "treatment," as used herein, refers to any treatment of a mammal, such as a human disease or condition, comprising: (1) inhibiting a disease or condition, ie, preventing its occurrence, and (2) ameliorating a disease 35 or a condition, ie, causing the disease to regress. , or (3) stop ^ 23 200848020

療和/或預防性施用。 5括在人或其他哺孔動物的體内或體外實施的預防性、診斷 性和治療性方案。“哺乳動物,,包括經濟上重要的動物例如 牛羊和豬類動物,特別是産肉的那些,以及家畜、運動 改善和減慢、停止或逆轉發展、嚴重 這樣,如果適當,該方法包括醫學治 本文使用的術語“醫學治療,,是意欲包 動物、動物園動物和人 ’優選後者。本文使用的術語“患者” 疋私已成爲治療、觀测或實驗主體的動物,優選哺乳動物, 10 最優選人。 實施例 刺激誘導的消除的酒精自施用的復發 動物:將剛買到的重量爲280-300 g的64只雄性Wistar 大氣(Harlan,the Netherlands)用於試驗化合物33。將這些動 15物個別置於溫度_ (T = 22 ± 2°C)和濕度(rel% = 60 ± 5 %) 可控的房間中,置於逆向的12小時光亮-黑暗循環中(在早上 7 · 00關燈)’卩边思飲用水。動物的食物爲每只動物每天1 $ σΑ 的食物。在適應環境1周後開始試驗,並持續12_14周。 藥物的自施用:所有的培養和試驗在由聲音衰減通風 2〇 室(Med Associates,Georgia, VT)圍繞的 16個操作室(3 24.1 x 29.2 cm)中進行。該室安裝有網格門,紅色的較暗的 室内燈和正對室内燈的智慧板。在智慧板中,在網袼門上 5.5 cm處具有兩個鼻戮孔(nose-poke hole)(0 2.5 cm),它們Therapeutic and/or prophylactic administration. 5 A prophylactic, diagnostic, and therapeutic regimen implemented in vivo or in vitro of a human or other mammal. "Mammals, including economically important animals such as cattle and sheep and pigs, especially those that produce meat, as well as livestock, exercise improvement and slowing, stopping or reversing development, severe, if appropriate, the method includes medicine The term "medical treatment, which is intended to encompass animals, zoo animals and humans" is preferred herein. The term "patient" as used herein has become an animal, preferably a mammal, and most preferably a human, which is the subject of treatment, observation or experiment. EXAMPLES Stimulation-induced elimination of alcohol self-administered relapse Animals: 64 male Wistar atmospheres (Harlan, the Netherlands) weighing 280-300 g were purchased for test compound 33. Place these moving objects individually in a controlled room with temperature _ (T = 22 ± 2 °C) and humidity (rel% = 60 ± 5 %) in a reverse 12-hour light-dark cycle (in the morning) 7 · 00 turn off the lights) 'Bianbian thinking drinking water. Animal food is 1 $ σΑ of food per animal per day. The test was started 1 week after the adaptation to the environment and lasted for 12-14 weeks. Self-administration of the drug: All cultures and experiments were performed in 16 operating chambers (3 24.1 x 29.2 cm) surrounded by a sound attenuating ventilation chamber (Med Associates, Georgia, VT). The room is fitted with grid doors, red darker interior lights and smart panels facing the interior lights. In the Wisdom Board, there are two nose-poke holes (0 2.5 cm) at 5.5 cm on the net door.

之間相距16 cm。紅色暗淡的刺激光位於兩鼻戳孔上U 24 200848020 cm。在雨個鼻戳孔之間是遞送酒精的容器。在容器上方是 固體音調發生器語音模組。一個鼻戳孔用作活性孔,另一 個用作非活性孔。活性孔中産生的戳孔導致在容器中遞送 酒滴(0.19 ml ; 12 %)。用輸注泵(PHM-100, MedAssociates, 5 Georgia,VT)在4.2秒的時間裏遞送酒滴。在酒精遞送期間, 照亮活性的鼻戳孔,並通過sonalert語音模組産生2秒的聲音 (± 65 dB)。關掉刺激光5秒(區別的信號)。在該15秒的暫停 時間裏,結果沒有鼻戳。在所有的時間裏,檢測無活性孔 中的應答,但沒有結果。 10 獲得和戒斷:將動物根據固定比例1日程表(FR1-曰程 表)培訓10天(每次活性應答獎賞一次;每天6〇分鐘)。隨後, 通過FR2-日程表直至FR4-日程表培養動物(每2nd和f活性 應答分別獎賞一次;每天6〇分鐘)。如果所飲的酒精劑量 (FR4-日程表)在文獻描述的藥物有效劑量〇·3 g/kg/hr(LinSeman,1987)之上,則選擇該動物用於進一步試 驗。Ik後,當對FR4-日程表的應答行爲穩定後,將其置於 飼養籠中戒斷3周時間。 20 復發的試驗:在戒斷期後,將每只動物對信號誘導的 復發試驗兩次,在進—步消除培訓和間歇(W—之間爲 1周。將動輯配林_試驗Μ,並且絕不接受兩 人相同的/ 口療在4驗日’將動物置於沒有酒精和與酒精 相關刺激(不連續和有區別的信號)的操作籠中3或4小時(試 驗曰1:仏;試驗日2:3hd;肖除應答㈣。在該消除 期結束刖1小時,將動物從操作料移出划5抓拮抗劑 25 200848020 治療。在施用藥物後,將動物放回到操作室中,並繼續該 消除期。當最後一小時過後,開始信號-誘導的復發試驗期 (持續:45分鐘)。在該試驗期間,實驗條件類似於根據服4· 曰程表培訓期間的條件,區別在於U在該期開始時,使用 5 〇·20 ml的12%酒滴(試驗者在試驗期開始時遞送到容器中) 和2)在每次4th應答後,僅存在信號(不遞送酒精)。進行該試 驗並通過MED-PCIV程式(Tatham,1989)保存原始資料。 藥物:酒精12% (v/v)是由酒精96 %並用自來水稀釋來 製成的。將化合物33懸浮於5% Tween 80,0.25%甲基纖維 1〇素,5%PEG40(^H2OHPLC(最終體積的65%)中。加入乙 醇並在Νπ氣下蒸發。將pH調節至5.8。在試驗前15分鐘, 腹腔内施用劑量範圍爲〇,3,10和30 mg/kg的化合物33。 注射體積是2 ml/kg。 統什为析·對#號-誘導的復發資料進行分析,將活性 15和非活性孔中的鼻戳(應答)的總數進行單向ANOVA分析, 然後進行Fisher’s LSD多重比較檢驗,將不同劑量的5_Ht6 拮抗劑用作中間因子。由於每只動物要進行兩次信號_誘導 的復發並且在第二次試驗期間信號-反應性一般較低,因此 可以將試驗日用作協變數。 2〇 刺激誘導的消除的尼古丁自施用的復發 動物:將剛買到的重量爲280-300 g的32只雄性 大鼠(Harlan,the Netherlands)用於試驗化合物。將這此動 物分別置於溫度-(T = 22 ± 2°C)和濕度(rel% = 6〇 ± 5 %) 可控的房間中,置於逆向的12小時光亮-黑暗循環中(在早上 26 200848020 7 · 00關燈)’隨意用水和食物。在適應環境丨周後開始試驗, 並持續12-14周。 手術:在適應環境1周後,如前所詳述(De Vries, 1999),在異氟烧麻醉下將靜脈矽橡膠導管植入到右側頸靜 5 脈中。 藥物的自施用:所有的培訓和試驗在由聲音衰減通風16 cm apart. The red dim stimulus is located on the two nose puncture holes U 24 200848020 cm. Between the rain nose puncture holes is a container for delivering alcohol. Above the container is a solid tone generator voice module. One nose puncture hole is used as the active hole and the other is used as the inactive hole. The puncture holes created in the active wells resulted in the delivery of wine drops (0.19 ml; 12%) in the container. The wine drops were delivered in 4.2 seconds using an infusion pump (PHM-100, MedAssociates, 5 Georgia, VT). During the alcohol delivery, the active nose puncture hole is illuminated and a 2 second sound (± 65 dB) is produced by the sonalert speech module. Turn off the stimulating light for 5 seconds (the difference signal). In the 15-second pause, the result was no nose stamp. At all times, the response in the inactive wells was detected, but no results were obtained. 10 Acquisition and withdrawal: Animals were trained for 10 days according to a fixed scale 1 schedule (FR1-曰表) (reward for each active response; 6 minutes per day). Subsequently, animals were cultured through the FR2-schedule up to the FR4-schedule (reward once every 2nd and f activity responses; 6 minutes per day). If the alcohol dose (FR4-schedule) is above the drug effective dose 〇·3 g/kg/hr (Lin Seman, 1987) as described in the literature, the animal is selected for further testing. After Ik, when the response to the FR4-schedule was stabilized, it was placed in a cage for 3 weeks. 20 Relapsed trials: After the withdrawal period, each animal was tested for signal-induced recurrence twice, in the step-by-step elimination training and interval (W-between 1 week. Will be mobilized with the forest _ test Μ, And never accept the same / oral therapy for two people on the 4th day of 'the animal is placed in the operating cage without alcohol and alcohol-related stimulation (discontinuous and differentiated signals) for 3 or 4 hours (test 曰 1: 仏On the test day 2:3 hd; the response was removed (4). At the end of the elimination period, 1 hour, the animals were removed from the control material and treated with the antagonist 25 200848020. After the drug was administered, the animals were returned to the operation room. And continue the elimination period. When the last hour has elapsed, the signal-induced relapse test period (continued: 45 minutes) is started. During the test, the experimental conditions are similar to those during the training according to the service schedule, except that At the beginning of the period, U used 12 〇·20 ml of 12% wine drop (tester delivered to the container at the beginning of the test period) and 2) after each 4th response, there was only a signal (no alcohol was delivered). The test was performed and saved by the MED-PCIV program (Tatham, 1989) The drug: alcohol 12% (v/v) is made from 96% alcohol and diluted with tap water. Compound 33 is suspended in 5% Tween 80, 0.25% methyl fiber 1 〇, 5% PEG40 (^ H2OHPLC (65% of final volume). Ethanol was added and evaporated under Νπ gas. The pH was adjusted to 5.8. Compounds in the range of 〇, 3, 10 and 30 mg/kg were administered intraperitoneally 15 minutes before the test. The injection volume was 2 ml/kg. The analysis of the ##-induced recurrence data was performed, and the total number of nasal punctures (responses) in the active 15 and inactive wells was analyzed by one-way ANOVA, followed by Fisher's. The LSD multiple comparison test used different doses of 5_Ht6 antagonist as an intermediate factor. Since each animal had two signal-induced recurrences and the signal-reactivity was generally low during the second trial, the test day could be Used as a covariate. 2 〇 stimuli-induced elimination of nicotine self-administered recurrent animals: 32 male rats (Harlan, the Netherlands) weighing 280-300 g were purchased for the test compound. Placed separately at temperature - (T = 22 ± 2 C) and humidity (rel% = 6〇 ± 5 %) in a controlled room, placed in a reverse 12-hour light-dark cycle (in the morning 26 200848020 7 · 00 turn off the lights) 'arbitrary water and food. The environment began to be tested after the week and lasted for 12-14 weeks. Surgery: After 1 week of adaptation to the environment, as detailed above (De Vries, 1999), the venous fistula rubber catheter was implanted to the right under isoflurane anesthesia. The neck is quiet 5 veins. Self-administration of drugs: all training and testing in attenuated ventilation by sound

室(Med Associates,Georgia,VT)圍繞的 16個操作室(30.5 X 24·1 X 29.2 cm)中進行。該室安裝有網格門,紅色的較暗的 室内燈和正對室内燈的智慧板。在智慧板中,在網格門上 10 5.5 cm處具有兩個鼻戳孔(0 2.5 cm),它們之間相距16 cm。 紅色暗淡的刺激光位於兩鼻戳孔上12 cm。一個語音模組位 於智慧板中心的頂上。在自施用期間,通過轉軸將動物與 輸注泵(PHM-100, Med Associates,Georgia,V.T·)相連,以接 受靜脈輸注的尼古丁(40 pg/kg/inf)。一個鼻戳孔用作活性 15 孔,另一個用作非活性孔。活性孔中産生的戳孔導致尼古 丁輸注的遞送,共2秒。在該輸注期間,照亮活性的鼻戳孔 (黃光),並存在聲音刺激(2900 Hz和65 dB的聲音,共2秒)(不 連續的信號)。在尼古丁遞送的時間開始,關掉刺激光15秒 (區別的信號)。在該暫停時間裏,沒有鼻戳孔結果。在所有 20 的時間裏,檢測無活性孔中的應答,但沒有結果。 獲得,戒斷和復發:在手術後5-7天後開始行爲培訓。 將動物根據固定比例1日程表(FR1-日程表)培養10天(每次 活性鼻戳導致尼古丁輸注和相關信號;每天60分鐘)。隨 後,通過FR2-日程表培訓動物3天,然後移至FR3-日程表培 27 200848020 訓動物(分別是每2n% yd活性鼻戳導致獎賞和相關信號;每 天60分鐘)。當應答行爲穩定後,如果在FR3日程表的最後 三個時間期間獲得至少5次獎賞益且所獲得的獎賞在該時 間内平均分佈,則選擇該動物用於進一步試驗。隨後對尼 5古丁的應答消除。在該消除期(11天,每天6〇分鐘),將動物 置於操作至中’但是不使用尼古丁和與尼古丁有關的刺激 (不連續和有區別的信號)。最後,進行動物的信號_誘導的 復發忒驗。在試驗期間(持續3 〇分鐘),實驗條件類似於根據 FR3-日程表培訓期間的條件,區別在於不使用尼古丁並且 10動物不與轉軸相連。將信號_誘導的復發的試驗進行2次; 在這兩们減驗日之間,有一周的進一步消除培訓(間歇)。在 仏號誘導的復發期間,在輸$败巾研究5·ΗΤ6拮抗劑的 效果。 藥物·自施用的尼古丁:將㈠尼古丁酒石酸氫鹽(Sigma, 15 St Loins,MO)溶解於無菌鹽水中。用稀釋將溶液的阳 周節至7·4尼古丁的劑量用游離鹹的重量表示。將化合 物邱浮於占最終體積5%的TWeen 8〇中。加入乙醇,並在 N2氣下…七3〇分鐘。隨後加入占最終體積5%的PEG 400, 占最、、體矛貝25%的曱基纖維素1%,占最終體積55%的邮 20 HPLC,這樣産生了 J ρΗ局3·76的均勻混懸液。在將pH調節至 5·5後加入占最終體積10%的112〇 HPLC。在試驗前15分 鐘,腹腔内施用劑量範圍爲〇,3,10和30 mg/kg的化合物 33。注射體積是2ml/kg。 、、充。十刀析·對信號_誘導的復發資料進行分析,將活性 28 200848020 和非活性孔中的鼻戳(應答)的總數 双運仃單向ANOVA分析, 然後進行Fisher’s LSD多重比較檢 像驗’將不同劑量的5-HT6 括抗劑用作中間因子。由於每只動物要進行兩次信號誘導 的復發並且在第二次試驗期間信號_反應性一般較低,因此 5可以將試驗日用作協變數。 藥理學試驗結果 在大鼠中㈣·料的尋脑精復發:化合物 在操作籠中,所有動物都容易發生酒精自施用行爲, 並耗費掉它們的獎賞。它們在活性和非活性孔之間產生了 H)明確的差別。酒精攝入的平均量是〇 5〇 g/kg/hr。在試驗日 的消除期期間,所有動物的前述活性孔中的應答消除。The chamber (Med Associates, Georgia, VT) was carried out in 16 operating chambers (30.5 X 24·1 X 29.2 cm). The room is fitted with grid doors, red darker interior lights and smart panels facing the interior lights. In the Wisdom Board, there are two nose stamp holes (0 2.5 cm) at 10 5.5 cm on the grid door, which are 16 cm apart. The red dim stimulus is located 12 cm above the two nose puncture holes. A voice module is placed on top of the center of the smartboard. During self-administration, animals were connected to an infusion pump (PHM-100, Med Associates, Georgia, V.T.) via a shaft to receive intravenous infusion of nicotine (40 pg/kg/inf). One nose puncture hole is used as the active 15 hole and the other is used as the inactive hole. The puncture holes created in the active wells resulted in the delivery of the nicotine infusion for a total of 2 seconds. During this infusion, the active nose puncture hole (yellow light) is illuminated and there is a sound stimulus (2900 Hz and 65 dB sound for 2 seconds) (discontinuous signal). At the time of nicotine delivery, turn off the stimulating light for 15 seconds (the difference signal). During the timeout period, there was no nasal puncture hole result. The response in the inactive wells was detected at all 20 times, but no results were obtained. Obtain, Withdraw and Relapse: Conduct behavioral training 5-7 days after surgery. Animals were cultured for 10 days according to a fixed ratio 1 schedule (FR1-schedule) (each active nose mark resulted in nicotine infusion and related signals; 60 minutes per day). Animals were then trained for 3 days via the FR2-schedule and then moved to the FR3-Schedule 27 200848020 training animals (respectively every 2n% yd active nose pokes resulted in rewards and related signals; 60 minutes per day). After the response behavior is stabilized, if at least 5 rewards are obtained during the last three time periods of the FR3 schedule and the prizes obtained are evenly distributed over that time, the animal is selected for further testing. Subsequent responses to nicotine were eliminated. During this elimination period (11 days, 6 days per day), the animals were placed in operation 'but no nicotine and nicotine-related stimuli (discontinuous and differentiated signals) were used. Finally, the animal's signal-induced relapse test was performed. During the test period (lasting 3 〇 minutes), the experimental conditions were similar to those during the FR3-schedule training, except that nicotine was not used and 10 animals were not connected to the shaft. The signal-induced relapse test was performed twice; between the two test days, there was one week of further elimination training (intermittent). During the nickname-induced relapse, the effect of the 5·ΗΤ6 antagonist was studied in the loss of the scar. Drugs - Self-administered nicotine: (i) Nicotine tartrate (Sigma, 15 St Loins, MO) was dissolved in sterile saline. The dose from the week of the solution to 7.4 nicotine of the solution is expressed by the weight of the free salt. The compound was suspended in TWeen 8〇, which is 5% of the final volume. Add ethanol and under N2 gas... seven 3 minutes. Subsequently, PEG 400, which accounts for 5% of the final volume, accounts for 1% of the most sulfhydryl cellulose, which is 25% of the genus Spear, and accounts for 55% of the final volume of the HPLC 20 HPLC, which produces a uniform mixing of J ρ Η 3.76 Suspension. After adjusting the pH to 5.9, a 112 〇 HPLC was added to the final volume of 10%. Compounds 33 in the range of 〇, 3, 10 and 30 mg/kg were administered intraperitoneally 15 minutes before the test. The injection volume was 2 ml/kg. ,,Charge. Ten analysis • Analysis of signal-induced recurrence data, the total number of nasal punctures (responses) in activity 28 200848020 and inactive wells was double-tuned, one-way ANOVA analysis, and then Fisher's LSD multiple comparison imaging test Different doses of 5-HT6 antagonist were used as intermediate factors. Since each animal is subjected to two signal-induced relapses and the signal_reactivity is generally low during the second test, the test day can be used as a covariation. Pharmacological test results Recurrence of cerebral palsy in rats (4): Compounds In the operating cage, all animals are prone to alcohol self-administration and consume their reward. They produce a clear difference in H) between active and inactive wells. The average amount of alcohol intake is 〇 5〇 g/kg/hr. The response in the aforementioned active wells of all animals was eliminated during the elimination period of the test day.

化合物33 的信號後的鼻戳 治療組 從前&4酒的 戒酒者總數 _ 0 mg/kg的化合物33 22.1 ± 4.7 1.2 ± 0.6 3 mg/kg的化合物33 27.0 ± 6.1 1.1 ± 0.2 10 mg/kg的化合物3 3 —^3.5 ± 4.2 2.2 ± 1.5 30 mg/kg的化合物33 卜 1.8* ± 0.9 0.8 ± 0.1 單向ANOVA後的Fisher’s LSD多重比較檢驗表明,在信 號誘導的哥找酒精的試驗期間’用3〇 mg/kg化合物33治療 的動物的活性鼻戳的量顯著低於用安慰劑治療的動物。(*p 29 200848020 < 0.005)。安慰劑和受試劑量的化合物33的非活性鼻戳沒有 顯著差異。 在大鼠中信號-誘導的尋找酒精復發:SB-271046 在操作籠中,所有動物都容易發生酒精自施用行爲, 5 並耗費掉它們的獎賞。它們在活性和非活性孔之間産生了 明確的差別。酒精攝入的平均量是0.50 g/kg/hr。在試驗曰 的消除期期間,所有動物的前述活性孔中的應答消除。The post-signal rhinoceros treatment group of Compound 33 from the total & 4 alcoholic drinkers total _ 0 mg / kg of compound 33 22.1 ± 4.7 1.2 ± 0.6 3 mg / kg of compound 33 27.0 ± 6.1 1.1 ± 0.2 10 mg / Kg of compound 3 3 —^3.5 ± 4.2 2.2 ± 1.5 30 mg/kg of compound 33 卜 1.8* ± 0.9 0.8 ± 0.1 Fisher's LSD multiple comparison test after one-way ANOVA showed that during the signal-induced test for alcohol The amount of active nasal puncture of animals treated with 3 mg/kg Compound 33 was significantly lower than that treated with placebo. (*p 29 200848020 < 0.005). There was no significant difference between the placebo and the reagent amount of Compound 33 in the inactive nose. Signal-induced Finding Alcohol Recurrence in Rats: SB-271046 In animals, all animals are prone to alcohol self-administration, 5 and they are rewarded for their reward. They produce a clear difference between active and inactive wells. The average amount of alcohol intake is 0.50 g/kg/hr. During the elimination phase of the test ,, the response in the aforementioned active wells of all animals was eliminated.

• HCI 10 SB-271046 在酒精誘導的信號後的鼻戳 ^::;::::||:_議画麵圓 從前酗酒的 戒酒者總數 0 mg/kg SB-271046 17.7 ± 3.3 1.5 ± 0.6 3 mg/kg SB-271046 11.9 ± 5.4 1.1 ± 0.5 10 mg/kg SB-271046 6.0* ± 2.7 0.9 ± 0.5 20 mg/kg SB-271046 1.2** ± 0.7 2.7 ± 1.9 單向ANOVA後的Fisher’s LSD多重比較檢驗表明,在信 號誘導的尋找酒精的試驗期間,用10 mg/kg SB-271046治療 的動物的活性鼻戳的量顯著低於用安慰劑治療的動物。(*p 15 <0.05)。對於劑量爲20 mg/kg的SB-271046,活性鼻戳的量 顯著低於安慰劑,**ρ < 0.005。安慰劑和受試劑量的 30 200848020 SB-271046的非活性鼻戳沒有顯著差異。 在大鼠中信號誘導的尋找尼古丁復發 在操作籠中,32只大鼠中有27只滿足尼古丁自施用的 標準,並選擇進行進一步試驗。所選擇的動物容易産生尼 5古丁自施用行爲,對於活性鼻戳孔顯示出明確的偏每。在 消除期期間,所有動物的前述活性孔中的應答消除二 .η..........................ι.....^ ___L*疋古丁諉奠沾棺 _ 戒酒者 治療組 ~—-— 0 mg/kg的化合物33 24.50 ± 4.25 3.14 + 0.64 3 mg/kg的化合物33 24.83 土 3^^' 4.58 ± 1.17 10 mg/kg的化合物33 28.50 ± 7.40 3.00 + 1.04 30 mg/kg的化合物33 7.92* ± 4.44 1.75 ± 0.74 單向ANOVA後的Fisher’s LSD多重比較檢驗表明,在信 10號誘導的尋找尼古丁的試驗期間,用30 mg/kg化合物33治 療的動物的活性鼻戳的量顯著低於用安慰劑治療的動物。 (*p < 0.05)。安慰劑和受試劑量的化合物33的非活性鼻戳沒 有顯著差異。 藥物製劑 15 對於臨床使用,將5-HT6拮抗劑配製到藥物組合物中, 這是本發明重要和新的實施方案,因爲它們包含化合物, 更特別的疋本文所公開的特定化合物。可以使用的藥物組 合物的類型包括但不限於,片劑、咀嚼片、膠囊(包括微囊)、 溶液、胃腸外用溶液、軟膏(乳膏和凝膠)、栓劑、混懸液和 20本文公開的其他類型,或者本領域技術人員從說明書和本 31 200848020 領域的一般知識顯而易見的其他類型。例如,活性成分也 可以是在環糊精、它們的醚或它們的酯中的包合絡合物的 形式。該組合物用於口服、靜脈、皮下、氣管、支氣管、 鼻内、肺、經皮、含化、直腸、胃腸外或其他施用途徑。 5 該藥物製劑包含至少一種5 - Η T 6拮抗劑與藥學可接受 的輔料、稀釋劑和/或載體的混合。活性成分的總量的適當 範圍是該製劑的約〇· 1 % (w/w)到約95% (w/w),適當地是 0.5%到50% (w/w),優選 1%到25% (w/w)。 化合物33 10 微晶纖維素 200 發煙二氧化矽 10 硬脂酸 10 5-HT6拮抗劑可以是適合施用的形式,包括通過通常的 10 方法,用輔助性物質例如液體或固體、粉末狀成分,例如 藥學常用的液體或固體填充劑和增充劑、溶劑、乳化劑、 潤滑劑、調味劑、著色劑和/或緩衝物質。常用的辅助性物 質包括破酸鎮、二氧化鈦、乳糖、蔑糖、山梨糖醇、甘露 醇和其他的糖或糖醇、滑石、乳蛋白質、明膠、澱粉、支 15 鏈澱粉、纖維素及其衍生物、動物和植物油例如魚肝油、 葵花油、花生油或芝麻油、聚乙二醇和溶劑例如無菌水和 單-或多元醇例如甘油,以及崩解劑和潤滑劑例如硬脂酸 鎂、硬脂酸鈣、硬脂醯醇富馬酸鈉和聚乙二醇蠟。然後可 以將混合物處理成顆粒或壓成片。用下列成分製備片劑: 20 成分_量(mg/片) 25 總共 230 32 200848020 將這些組分混合,並壓成片劑,每片重230 mg。 可以在混合形成製㈣,將活性成分㈣於其他無活 性的成分預混合。在與無活性成分混合形成製劑前,也可 以將活性成分互相混合。 5 彳以用包含本發明的活性成分、植物油、脂肪或其他 適合軟膠囊的載體的混合物的膠囊來製備軟勝囊。硬膠囊 可以包含活性成分的顆粒。硬膠囊也可以包含活性成分與 固體粉末狀成分例如乳糖、蔗糖、山梨糖醇、甘露醇、馬 铃薯澱粉、玉米殿粉、支鏈殺粉、纖維素衍生物或明膠。 10 彳以將直腸施用的劑量單元製備成⑴栓劑的形式,其 包含活性物質與中性脂肪基質的混合;⑻明膠直腸膠囊的 形式,其包含活性物質與植物油、液狀石臘或其他適合明 膠直腸膠囊的載體的混合物;(iii)制好的微灌腸劑形式;或 ㈣幹微灌腸_形式,其需要個前在適#的溶劑中 15 構建。 、肢衣備成糖漿、酏劑、濃滴劑或混懸液, 例如溶液或混懸液’包含活性成分和剩餘部分,其中剩 部分包括例如糖或糖醇和醇、水、甘油、丙二醇和聚乙二 20 醇的此合物。如果需要’這些液體製劑可以包含著色劑、 調味劑、防腐劑、炙^ 夕糖和竣甲基纖維素或其他增稠 體製劑也可以製備成太你 /文 、 有戍在使用丽用適當溶劑重新構建的幹# 末的形式。胃腸外施用 & / :Ά 用的洛液可以在藥學可接受的溶劍中 製備成本發明的製劑 中 衣d的洛液。這些溶液也可以包含 分、防腐劑和/或緩衝 田 ^疋成 成刀。月腸外施用的溶液也可以製備 33 200848020 成在使用前用適當的溶劑重新構建的幹製劑。 根據本發明也提供了製劑和“各部分的試劑盒”,包含 用一種或多種填充本發明的藥物組合物的成分的一個或多 個容器,用於醫學治療。與這些容器相連的是各種書面材 5 料例如使用說明或以政府機構規定形式的通知,該機構用 於調節藥品的製造、使用或銷售,通知反映了用於人或獸 醫學施用的製造、使用或銷售機構的認可。 本發明的製劑在製造預防成癮復發的藥物中的應用, 醫學治療的方法或包括給患者施用治療有效總量的至少一 10 種5-HT6拮抗劑,或5-HT6拮抗劑或在前藥的情況中是在施 用後。 例如但不限於,可以給出數種藥物組合物,包含全身 使用或局部使用的優選活性化合物。可以使用本發明的其 他化合物或其組合物來替代所述化合物(或另外再給予)。活 15 性成分的濃度可以在本文討論的廣泛範圍内改變。可以包 括的各成分的量和類型是本領域公知的。 34 200848020 參考書目 由於下列參考對於本領域技術人員是有用的,或者對 於更完整地描述本發明是有用的,因此將它們通過參考引 入本文。但這些和本文引用的其他任何文獻或引述,以及 5對任意參考的引述都不是承認它們是現有技術的文獻或引 文。• HCI 10 SB-271046 Nasal postmark after alcohol-induced signal ^::;::::||:_ The total number of alcoholics in the previous round of alcoholics 0 mg/kg SB-271046 17.7 ± 3.3 1.5 ± 0.6 3 mg/kg SB-271046 11.9 ± 5.4 1.1 ± 0.5 10 mg/kg SB-271046 6.0* ± 2.7 0.9 ± 0.5 20 mg/kg SB-271046 1.2** ± 0.7 2.7 ± 1.9 Fisher's LSD after one-way ANOVA Multiple comparison tests showed that animals treated with 10 mg/kg SB-271046 had significantly lower active nasal punctures than those treated with placebo during the signal-induced alcohol-seeking trial. (*p 15 < 0.05). For SB-271046 at a dose of 20 mg/kg, the amount of active nasal puncture was significantly lower than placebo, **ρ < 0.005. There was no significant difference in the inactive nasal puncture between placebo and the amount of the agent 30 200848020 SB-271046. Signal-induced Finding of Nicotine Recurrence in Rats In the operating cage, 27 out of 32 rats met the criteria for nicotine self-administration and were selected for further testing. The selected animals were prone to produce nicotine self-administration behavior, showing a clear bias for the active nasal puncture. During the elimination period, the response in the aforementioned active wells of all animals was eliminated. η...................................... ^ ___L*疋古丁诿精棺棺 _ Alcoholics treatment group~—- 0 mg/kg of compound 33 24.50 ± 4.25 3.14 + 0.64 3 mg/kg of compound 33 24.83 Soil 3^^' 4.58 ± 1.17 10 mg /kg of compound 33 28.50 ± 7.40 3.00 + 1.04 30 mg/kg of compound 33 7.92* ± 4.44 1.75 ± 0.74 Fisher's LSD multiple comparison test after one-way ANOVA showed that during the letter 10 induction of nicotine-inducing trials, Animals treated with 30 mg/kg Compound 33 had significantly lower active nasal punctures than those treated with placebo. (*p < 0.05). There was no significant difference in the inactive nasal puncture of placebo and the amount of compound 33 administered. Pharmaceutical Formulations 15 For clinical use, 5-HT6 antagonists are formulated into pharmaceutical compositions, which are important and novel embodiments of the invention as they comprise compounds, more particularly the specific compounds disclosed herein. Types of pharmaceutical compositions that may be used include, but are not limited to, tablets, chewable tablets, capsules (including microcapsules), solutions, parenteral solutions, ointments (creams and gels), suppositories, suspensions, and 20 disclosed herein. Other types, or other types apparent to those skilled in the art from the description and general knowledge of the field of this document 2008 200848020. For example, the active ingredients may also be in the form of inclusion complexes in cyclodextrins, their ethers or their esters. The composition is for oral, intravenous, subcutaneous, tracheal, bronchial, intranasal, pulmonary, transdermal, gastrointestinal, rectal, parenteral or other routes of administration. 5 The pharmaceutical preparation comprises a mixture of at least one 5 - Η T 6 antagonist and a pharmaceutically acceptable adjuvant, diluent and/or carrier. A suitable range of the total amount of active ingredients is from about 1% (w/w) to about 95% (w/w) of the formulation, suitably from 0.5% to 50% (w/w), preferably 1% to 25% (w/w). Compound 33 10 microcrystalline cellulose 200 fuming ceria 10 stearic acid 10 5-HT6 antagonist may be in a form suitable for administration, including by a usual 10 method, with auxiliary substances such as liquid or solid, powdery ingredients, For example, liquid or solid fillers and extenders, solvents, emulsifiers, lubricants, flavoring agents, colorants and/or buffering substances which are commonly used in pharmacy. Commonly used auxiliary substances include acid-breaking town, titanium dioxide, lactose, sucrose, sorbitol, mannitol and other sugars or sugar alcohols, talc, milk protein, gelatin, starch, branched starch, cellulose and their derivatives. , animal and vegetable oils such as cod liver oil, sunflower oil, peanut oil or sesame oil, polyethylene glycol and solvents such as sterile water and mono- or polyhydric alcohols such as glycerol, and disintegrating and lubricating agents such as magnesium stearate, calcium stearate, hard Sodium decyl fumarate and polyethylene glycol wax. The mixture can then be processed into granules or compressed into tablets. Tablets were prepared with the following ingredients: 20 Ingredients_amount (mg/tablet) 25 Total 230 32 200848020 These ingredients were mixed and compressed into tablets, each weighing 230 mg. The active ingredient (4) may be premixed with other inactive ingredients in a mixed form (4). The active ingredients may also be mixed with one another prior to mixing with the inactive ingredients to form a formulation. 5 软 A soft capsule is prepared by using a capsule comprising a mixture of the active ingredient of the present invention, vegetable oil, fat or other carrier suitable for soft capsules. Hard capsules may contain granules of the active ingredient. The hard capsules may also contain the active ingredient together with solid powdery ingredients such as lactose, sucrose, sorbitol, mannitol, potato starch, corn powder, branched powder, cellulose derivatives or gelatin. 10 剂量 The dosage unit for rectal administration is prepared in the form of (1) a suppository comprising a mixture of the active substance and a neutral fat base; (8) a form of gelatin rectal capsule comprising the active substance and vegetable oil, liquid paraffin or other suitable gelatin a mixture of carriers of rectal capsules; (iii) a microenema form; or (iv) a dry micro-enema form, which requires 15 build-up in a solvent. The limbs are prepared as syrups, elixirs, concentrates or suspensions, such as solutions or suspensions, which comprise the active ingredient and the remainder, the remainder of which includes, for example, sugars or sugar alcohols and alcohols, water, glycerol, propylene glycol and poly This compound of ethylene di 20 alcohol. If necessary, 'these liquid preparations may contain coloring agents, flavoring agents, preservatives, sucrose and sputum methylcellulose or other thickening preparations can also be prepared into too much / you can use 适当 in the appropriate solvent Rebuilt the form of the dry # end. Parenteral administration & / : The sputum used in the preparation of the invention can be prepared in a pharmaceutically acceptable solution. These solutions may also contain ingredients, preservatives and/or buffers. Solutions for parenteral administration can also be prepared 33 200848020 into a dry formulation that is reconstituted with a suitable solvent prior to use. Also provided in accordance with the invention are formulations and "kits of parts," comprising one or more containers filled with one or more of the ingredients of the pharmaceutical compositions of the invention for medical treatment. Attached to these containers are various written materials, such as instructions for use or notifications in the form prescribed by government agencies, which are used to regulate the manufacture, use or sale of pharmaceuticals, and the notifications reflect the manufacture and use of human or veterinary applications. Or the approval of the sales organization. The use of a formulation of the invention in the manufacture of a medicament for preventing relapse of addiction, a method of medical treatment or comprising administering to a patient a therapeutically effective amount of at least one 10 5-HT6 antagonist, or a 5-HT6 antagonist or prodrug In the case of application. For example, without limitation, several pharmaceutical compositions may be provided, including preferred active compounds for systemic or topical use. Other compounds of the invention or compositions thereof may be used in place of the compound (or otherwise administered). 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Ld,A. D·,Quan,B·,Juzytch,W·,Fletcher, P. J·, Joharchi, N.寿口 Shaham, Y·, ” Reinstatement of alcohol-seeking by priming injections of alcohol and 10 exposure to stress in rats” , Psychopharmacology (1998); 135 : 169-174Ld, A. D·, Quan, B., Juzytch, W., Fletcher, P. J., Joharchi, N. Shoukou Shaham, Y·, “Reinstatement of alcohol-seeking by priming injections of alcohol and 10 exposure to Stress in rats" , Psychopharmacology (1998); 135 : 169-174

Linseman,Μ. A·,” alcohol consumption in free -feeding rats · procedural, genetic and pharmacokinetic factors”, Psychopharmacology (1987) ; 92 : 254-261 15 Liu,X.矛口 Weiss,F·,” Additive Effect of Stress and DrugLinseman, Μ. A·,” alcohol consumption in free -feeding rats · procedural, genetic and pharmacokinetic factors”, Psychopharmacology (1987) ; 92 : 254-261 15 Liu, X. spear Weiss, F·,” Additive Effect of Stress and Drug

Cues on Reinstatement of Ethanol Seeking ' Exacerbation by History of Dependence and Role of Concurrent Activation of Corticotropin-Releasing Factor and Opioid Mechanisms”,J. of Neuroscience (2002) ; 22(18) : 7856-7861 20 Martin,E.W· (Editor), “Remington : The Science andCues on Reinstatement of Ethanol Seeking 'Exacerbation by History of Dependence and Role of Concurrent Activation of Corticotropin-Releasing Factor and Opioid Mechanisms”, J. of Neuroscience (2002) ; 22(18) : 7856-7861 20 Martin, EW· (Editor ), "Remington : The Science and

Practice of Pharmacy”,Mack Publishing Company,19th Edition,Easton,Pa,Vol 2·,Chapter 83,1447-1462,1995.Practice of Pharmacy", Mack Publishing Company, 19th Edition, Easton, Pa, Vol 2, Chapter 83, 1447-1462, 1995.

Shaham,Y·,等人, “The reinstatement model of drug relapse : history,methodology and major findsings ” , 37 200848020 5 Psychopharmacology (Berl.)? 168, 164-169, 2003. Sinha,R·,Catapano, D·和O’Mally,S·, "Stress-induced craving and stress responses in cocaine dependent individuals”,Psychopharmacology (1999) ; 142 : 343-351 Stella,J·, “Prodrugs as therapeutics”,Expert Opin. Ther· Patents,14(3),277-280, 2004. Tatham,T. A·,Zurn,K. R·, The MED-PC experimental apparatus programming system”,Behav Res Meth Instr Comp (1989) ; 21 : 294-302 10 【圖式簡單說明3 (無) 【主要元件符號說明】 (無) 38Shaham, Y., et al., "The reinstatement model of drug relapse : history,methodology and major findsings", 37 200848020 5 Psychopharmacology (Berl.)? 168, 164-169, 2003. Sinha, R·, Catapano, D· And O'Mally, S·, "Stress-induced craving and stress responses in cocaine dependent individuals", Psychopharmacology (1999); 142: 343-351 Stella, J., "Prodrugs as therapeutics", Expert Opin. Ther· Patents , 14(3), 277-280, 2004. Tatham, T. A., Zurn, K. R., The MED-PC experimental apparatus programming system”, Behav Res Meth Instr Comp (1989); 21 : 294-302 10 [Simple description of the diagram 3 (none) [Description of main component symbols] (none) 38

Claims (1)

200848020 十、申請專利範圍: 1· 一種5-11丁6拮抗劑用於製備預防成瘾復發之藥物組成物 的用途。 2·如申請專利範圍第1項的用途,其中所述5_ht6拮抗劑選 l:BGC-20-76hBVT-74316、CNS-10000、CNS-11010、 CNS-25100、diF-BAMPI、E-6837、FMPD、GSK-215083、 JCF-177、KR-055014、KR-055015、LY-483518、MS-245、 PHA-565272A、PRX-07034、Ro 04-6790、R0-4368554、 Ro 63-0563、Ro 65-7199、Ro 65-7674、R〇 66-0074、 SAM-315、SB-214111、SB-258510、SB_258585、 SB-271046 、 SB-331711 、 SB-357134 、 SB-399885 、 SB-699929、SB-737050A、SB-742457、ST-1938 和 WAY-181187,或其互變異構體、立體異構體、N_氧化 物、同位素標記的類似物,或上述任意物質的藥理學可 接受的鹽、水合物或溶劑化物。 3·如申请專利範圍第1項的用途,其中所述5_Ητ6拮抗劑是 式(1)的化合物: R1 °2200848020 X. Patent application scope: 1. The use of a 5-11 butyl 6 antagonist for the preparation of a pharmaceutical composition for preventing relapse of addiction. 2. The use of the first aspect of the patent application, wherein the 5_ht6 antagonist is selected from the group consisting of: BGC-20-76hBVT-74316, CNS-10000, CNS-11010, CNS-25100, diF-BAMPI, E-6837, FMPD , GSK-215083, JCF-177, KR-055014, KR-055015, LY-483518, MS-245, PHA-565272A, PRX-07034, Ro 04-6790, R0-4368554, Ro 63-0563, Ro 65- 7199, Ro 65-7674, R〇66-0074, SAM-315, SB-214111, SB-258510, SB_258585, SB-271046, SB-331711, SB-357134, SB-399885, SB-699929, SB-737050A , SB-742457, ST-1938 and WAY-181187, or their tautomers, stereoisomers, N-oxides, isotopically labeled analogues, or pharmacologically acceptable salts, hydrates of any of the foregoing Or solvate. 3. The use of claim 1, wherein the 5_Ητ6 antagonist is a compound of formula (1): R1 °2 〇 = S=〇 R7 R8〇 = S=〇 R7 R8 標記的類似物,或上述任意物質的藥理的鹽、水合物或 39 200848020 溶劑化物,其中: -I代表氫、未取代的烷基(Ci 4)或被一個或多個鹵 素原子取代的烷基, -R2和&獨立地代表氫,未取代的烷或被一 個或多個齒素原子取代的烷基(Cm),或 仏和仏與標記爲v和‘b,的碳原子一起形成C58-環 院基環,或 R2和R3與標記爲‘b’的碳原子一起形成C3 8-環烷基 環, -—ό己爲b和‘c’的碳原子之間的虛線代表單或雙 鍵, -R4和R5獨立地代表氫、未取代的烷基(Ci 4)或被一 個或多個鹵素原子取代的烷基(Ci 4),或, &和I與標記爲‘b,和‘c,的碳原子一起形成C3『環 烧基環,或 R4和Rs與標記爲‘C’的碳原子一起形成C3_8_環烷基 環, -R6和R7獨立地代表氫、烷基(Ci_4)、被一個或多個 鹵素原子取代的烷基(Cl-4)、(Cl-3)烷氧基、二烷基(C!_3) 氨基-烷基(Cl-3)、任選取代的芳基、任選取代的C5 8-環 烧基或任選取代的C5_8-雜環烷基,或 R6和R7與和它們相連的氮原子一起形成任選取代 的Cw雜環烷基, -R8代表任選取代的芳基、_CR9=CRl〇_芳基,其中 40 200848020 R9和R1()獨立地代表氫或烷基_(Ci 3)、或<三^芳基。 4·如申請專利範圍第3項的用途,其中所述5_ΗΤ6拮抗劑是 通式(1)的化合物··其中:Rl、r4、化和仏代表氫,r2 和R3獨立地代表烧基(Ci 3),或仏和化與標記爲…,的碳 原子一起形成環戊基或環己基環,標記爲‘b,和‘c,的碳 原子之間的虛線代表單鍵,心代表烷基(Cm),Rs代表被 一個或多個iS素原子取代的單或二環芳基。 •如申4專利範圍第3項的用途,其中所述5_ΗΤό拮抗劑是 化合物:A labeled analog, or a pharmacological salt, hydrate or a solvate of any of the above, wherein: -I represents hydrogen, unsubstituted alkyl (Ci 4) or alkyl substituted by one or more halogen atoms , -R2 and & independently represent hydrogen, unsubstituted alkane or alkyl (Cm) substituted by one or more dentate atoms, or ruthenium and osmium together with carbon atoms labeled v and 'b, form C58 - a ring-based ring, or R2 and R3 together with a carbon atom labeled 'b' form a C3 8-cycloalkyl ring, - the dotted line between the carbon atoms of b and 'c' represents a single or double a bond, -R4 and R5 independently represent hydrogen, an unsubstituted alkyl group (Ci 4) or an alkyl group substituted with one or more halogen atoms (Ci 4), or, & and I are labeled with 'b, and The carbon atoms of 'c, together form a C3 "cycloalkyl ring, or R4 and Rs together with the carbon atom labeled 'C' form a C3_8_cycloalkyl ring, -R6 and R7 independently represent hydrogen, alkyl (Ci_4 An alkyl (Cl-4), (Cl-3) alkoxy group, a dialkyl (C!_3) amino-alkyl group (Cl-3) substituted with one or more halogen atoms, optionally substituted And optionally substituted C5 8-cycloalkyl or optionally substituted C5_8-heterocycloalkyl, or R6 and R7 together with the nitrogen atom to which they are attached form an optionally substituted Cw heterocycloalkyl group, -R8 represents Optionally substituted aryl, _CR9=CRl〇-aryl, wherein 40 200848020 R9 and R1() independently represent hydrogen or alkyl-(Ci 3), or <triaryl. 4. The use according to claim 3, wherein the 5_ΗΤ6 antagonist is a compound of the formula (1): wherein: R1, r4, hydride and hydrazine represent hydrogen, and r2 and R3 independently represent a burnt group (Ci 3), or hydrazine and together with the carbon atom labeled as ..., form a cyclopentyl or cyclohexyl ring, the dotted line between the carbon atoms labeled 'b, and 'c, represents a single bond, and the heart represents an alkyl group ( Cm), Rs represents a mono- or bicyclic aryl group substituted by one or more iS atom. • The use of claim 3, wherein the 5_ΗΤό antagonist is a compound: 6· ^申請專利範圍第W項任一項的用途,其中所述成瘾 疋針對濫㈣物質、藥物或成瘾行爲。 7.如申請專利範圍第6項的用途,其中所述濫用的物質選 自阿片劑、致幻劑、吸人劑、苯環利^、苯丙胺、可卡 口 大麻、尼古丁和酒精。 8 申請專利範圍第6項的用途,其中所述濫用的物質是 酒精。 9.:申:專利範圍第6項的用途,其中所述藥物選自鎮靜 系、安眠藥和抗焦慮藥。 ” 1〇t申請相制第6韻用途,其情述趣行爲是賭 41 200848020 七、指定代表圖: (一) 本案指定代表圖為:第( )圖。(無) (二) 本代表圖之元件符號簡單說明: 八、本案若有化學式時,請揭示最能顯示發明特徵的化學式:6. The use of any of the W items of the patent application scope, wherein the addiction is directed against abuse (4) substances, drugs or addictive behaviors. 7. The use of claim 6 wherein the substance of abuse is selected from the group consisting of opiates, hallucinogens, inhalants, benzocycline, amphetamine, cocaine marijuana, nicotine and alcohol. 8 The use of the sixth application of the patent scope, wherein the substance abused is alcohol. 9. The use of claim 6 wherein the drug is selected from the group consisting of a sedative, a hypnotic, and an anxiolytic. 1〇t application for the sixth rhyme use, its emotional behavior is bet 41 200848020 VII, designated representative map: (a) The representative representative of the case is: () map. (none) (two) representative map A brief description of the component symbols: 8. If there is a chemical formula in this case, please disclose the chemical formula that best shows the characteristics of the invention:
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