TW200848063A - Methods and compositions for the treatment of neurodegenerative disorders - Google Patents

Methods and compositions for the treatment of neurodegenerative disorders Download PDF

Info

Publication number
TW200848063A
TW200848063A TW097114792A TW97114792A TW200848063A TW 200848063 A TW200848063 A TW 200848063A TW 097114792 A TW097114792 A TW 097114792A TW 97114792 A TW97114792 A TW 97114792A TW 200848063 A TW200848063 A TW 200848063A
Authority
TW
Taiwan
Prior art keywords
group
agent
composition
agents
disease
Prior art date
Application number
TW097114792A
Other languages
Chinese (zh)
Inventor
Xiaowei Jin
Jane Staunton
Douglas Macdonald
Hua-Ling Dong
Lydia Kifle
Original Assignee
Combinatorx Inc
Chdi Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Combinatorx Inc, Chdi Inc filed Critical Combinatorx Inc
Publication of TW200848063A publication Critical patent/TW200848063A/en

Links

Classifications

    • 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
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • 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
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/551Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep
    • 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
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/551Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep
    • A61K31/55131,4-Benzodiazepines, e.g. diazepam or clozapine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia

Landscapes

  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Epidemiology (AREA)
  • Psychology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Biomedical Technology (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • General Chemical & Material Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Organic Chemistry (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

Provided are compositions, kits, and methods for treating, preventing, and ameliorating neurodegenerative disorders, e. g., Huntington's disease.

Description

200848063 九、發明說明: 【發明所屬之技術領域】 本發明係關於治療、預防及減輕神經退化性障礙,例 如亨廷頓舞蹈病及其症狀。 【先前技術】 一般而言,本發明係關於治療、預防及減輕神經退化 性障礙,例如亨廷頓舞蹈病及其症狀。 神經退化性障礙影響數百萬的個體。此種障礙中之一 類,多谷醯胺擴張障礙(polyglutainate expansi〇n disorder)’特徵在於存在經擴張的CAG重複區域於一基因 編碼序列中。雖然在此等障礙中,CAG擴張之臨界長度為 可匕但是較長的重複長度一般會造成較早發作該疾病。 針對予廷頓舞蹈病,對於疾病發作之臨界aG重複長度, 通常被視為大於38 CAG,造成於該亨廷頓蛋白質之n末端 近側形成一多谷醯胺結構域。 亨廷頓舞蹈病⑽,為至少9種已知的遺傳性多谷醯 胺擴張駟礙之-’以相同頻率影響男性與女性,約每 100: 000位有5_10位。其可由5個特徵來決定·可遺傳性; 舞a病’仃為或精神科的干擾;認知功能障礙(癌呆);及晚 期發病’於運動官能障礙發作後15_2〇年死亡。於多數病 患,此疾病之發作發生在生命的3〇~5〇歲。 HD為-種體染色體顯性遺傳性障礙,在第4號染色體 現基因突變。此基因編碼為-大蛋白質,huntmgtin (ϋ ΐ t),呑亥蛋白暂既文你去 s 要功能。HD係由於在huntingtiη200848063 IX. DESCRIPTION OF THE INVENTION: TECHNICAL FIELD OF THE INVENTION The present invention relates to the treatment, prevention, and alleviation of neurodegenerative disorders such as Huntington's disease and its symptoms. [Prior Art] In general, the present invention relates to the treatment, prevention, and alleviation of neurodegenerative disorders such as Huntington's disease and its symptoms. Neurodegenerative disorders affect millions of individuals. One such disorder, polyglutainate expansi〇n disorder, is characterized by the presence of an expanded CAG repeat region in a gene coding sequence. Although in these disorders, the critical length of CAG expansion is measurable, longer repeat lengths generally result in an earlier onset of the disease. For utton chorea, the critical aG repeat length for disease onset is generally considered to be greater than 38 CAG, resulting in the formation of a polyglutathione domain proximal to the n-terminus of the Huntington protein. Huntington's disease (10), which affects at least nine known hereditary polyglutamines, affects men and women at the same frequency, with about 5-10 per 100:000. It can be determined by five characteristics · heritability; dance a disease '仃 or psychiatric interference; cognitive dysfunction (cancer); and late onset 'death 15 2 years after the onset of motor dysfunction. In most patients, the onset of this disease occurs between 3 and 5 years of life. HD is a species-chromosomal dominant hereditary disorder with a mutation in chromosome 4. This gene is encoded as - large protein, huntmgtin (ϋ ΐ t), and 呑 蛋白 暂 暂 暂 暂 暂 暂 暂 暂 暂 暂 暂 暂 要 要 要 要 要 要 要HD due to the huntingtiη

1084>9596-PF 5 200848063 (htt)基的CAG重複擴張,造成在Htt之N端附近出現經 擴張的多谷醯胺(p〇 1 y Q)區。雖然HD之疾病進展係伴隨 著腦部神經元的廣泛喪失,但是其病變最早係觀察到在紋 狀體(striatum),尤其是中等棘神經元,並在在大腦皮層 程度較小。 HD之根本致病機轉尚未完全解明。主要的的假說包括: 興奮毒性(excitotoxicity)、粒腺體功能障礙、泛素 (ubi quit in)媒介的蛋白質分解缺陷,蛋白酶依賴的聚谷醯 胺蛋白質片段累積、形成胞漿和核夾雜物、基因表達變化, 及神經元細胞退化及死亡。雖然神經元細胞之死亡模式持 續受到爭議,然有相當的證據顯示細胞凋亡(ap〇pt〇sis) 扮演重要角色。 雖然對於一些病患以習知的抗精神病藥減少舞蹈病, 及精神藥物,以解決抑鬱症、強迫性症狀,或精神病 (psychosis),目前沒有HD療法。目前沒有針對預防發病 或減緩HD進展之有效療法。因此,需要開發有效的新療 法,以治療、預防或減輕HD及其他神經退化性障礙。 【發明内容】 預防及減輕神經退化性障礙之 本發明提供用於治療、預防及 組合物、 方法及套組可能1084>9596-PF 5 200848063 The (htt)-based CAG repeats expansion, resulting in the appearance of a dilated polysitrite (p〇 1 y Q) region near the N-terminus of Htt. Although the disease progression of HD is accompanied by extensive loss of brain neurons, the earliest lesions are observed in striatums, especially moderately spine neurons, and are less in the cerebral cortex. The fundamental pathogenesis of HD has not been fully resolved. The main hypotheses include: excitotoxicity, granulocyte dysfunction, ubiquitin-mediated cleavage of proteolysis, protease-dependent accumulation of polyglutamine protein fragments, formation of cytosol and nuclear inclusions, Changes in gene expression, and neuronal cell degradation and death. Although the pattern of death in neuronal cells continues to be controversial, there is considerable evidence that apoptosis (ap〇pt〇sis) plays an important role. Although some patients have reduced chorea and psychotropic medications with known antipsychotics to address depression, obsessive-compulsive symptoms, or psychosis, there is currently no HD therapy. There are currently no effective therapies for preventing or slowing the progression of HD. Therefore, there is a need to develop effective new therapies to treat, prevent or reduce HD and other neurodegenerative disorders. SUMMARY OF THE INVENTION The present invention provides for the treatment, prevention, and the possible use of compositions, methods, and kits.

組合物、方法及套組。此處所述組合物、 對於治療患有或有罹患多谷醯 之病患為有用。此處所述組合 與神經退化性障礙相關之症狀 鬱症、強迫性的行為、精神病Compositions, methods and kits. The compositions described herein are useful for treating patients suffering from or suffering from polygluten. The combination of symptoms associated with neurodegenerative disorders described here, depression, compulsive behavior, psychosis

1084-9596-PF 6 200848063 ,和行為的干擾。 因此,本發明提供一組合物,包括:1種以上第丨藥劑, 獨立地擇自於表13及11)之藥劑;及1種以上第2之不同藥 劑’獨立地擇自於表1^及2之類別及藥劑。該表la 及lb之一藥劑或多種藥劑,可為例如參環抗抑鬱劑、離子 載體抗生素(i— antibiQtiGS)、大麻素受體協同 劑二通道阻斷劑、抗組織胺、選擇性血清素再吸收抑制劑 (SSRIs” )、抗膽鹼藥物、PDE抑制劑,或雌激素調節 劑。於某些實施形態,該第1及第2藥劑擇自於··表3a及 3b之單列。於某些情形,該第!藥劑及第2藥劑存在之量 為,當對於一病患投予,足以治療、預防或減輕一神經退 化性障礙,例如擇自於以下所構成之族群的障礙:多谷醯胺 擴張障礙(例如HD、齒狀紅核蒼白球肌萎縮症 (Dentatorubropallidoluysian atrophy)、Kennedy 氏病 (也稱為脊延髓性肌萎縮症),及脊髓小腦性共濟失調(例 如1型、2型、3型(也稱為Mach ado-Joseph病)、6型、7 型’及1 7型))、其他三核苷酸重複擴張障礙(例如脆性X 系不合徵、脆性XE精神發育遲滯、Fr i edreich氏小腦性共 濟失調、強直性肌營養不良症、脊髓小腦性共濟失調8型, 和脊趙小腦性共濟失調12型)、亞歷山大病、A1 per氏病、 阿爾次海默病、肌萎縮側索硬化症、小腦性共濟失調毛細 血管擴張症 、Batten 病(也稱為 Spielmeyer-Vogt-Sjogren-Batten 病)、Canavan 疾病、 Cockayne綜合徵、皮質基底核退化症、creutzf eldt - Jakob1084-9596-PF 6 200848063 , and the interference of behavior. Accordingly, the present invention provides a composition comprising: one or more diterpenoids, independently selected from the agents of Tables 13 and 11); and one or more of the second different agents' independently selected from Table 1 and 2 categories and pharmaceuticals. One or a plurality of agents of the table la and lb may be, for example, a paracyclic antidepressant, an ionophore antibiotic (i-antibiQtiGS), a cannabinoid receptor synergist two-channel blocker, an antihistamine, a selective serotonin. Resorption inhibitors (SSRIs), anticholinergics, PDE inhibitors, or estrogen modulators. In some embodiments, the first and second agents are selected from the list of Tables 3a and 3b. In the case where the first agent and the second agent are present, when administered to a patient, it is sufficient to treat, prevent or alleviate a neurodegenerative disorder, such as a disorder selected from the group consisting of: Amine dilatation disorders (eg HD, Dentatorubropallidoluysian atrophy, Kennedy's disease (also known as spinal medullary muscular atrophy), and spinocerebellar ataxia (eg type 1 and type 2) , type 3 (also known as Mach ado-Joseph disease), type 6, type 7 'and type 17 () type), other trinucleotide repeat expansion disorders (eg, fragile X-line incompatibility, fragile XE mental retardation, Fr i edreich's cerebellar ataxia Tiao, myotonic dystrophy, spinal cord cerebellar ataxia type 8, and vertebral cerebellar ataxia type 12), Alexandria, A1 per disease, Alzheimer's disease, amyotrophic lateral sclerosis , cerebellar ataxia telangiectasia, Batten's disease (also known as Spielmeyer-Vogt-Sjogren-Batten disease), Canavan disease, Cockayne syndrome, cortical basal ganglia degeneration, creutzf eldt - Jakob

1084-9596-PF 7 200848063 病、缺血中風、克拉貝病、路易體癡呆症、多發性硬化症、 多發全身萎縮、帕金森氏病、Pel izaeus_Merzbacher疾病、 Pick氏疾病,原發性側索硬化、Refsum氏病,山德霍夫氏 病、SchUder氏病、脊髓損傷、脊髓性肌萎縮症、 Steele-Rlchards〇n —〇lszewski 病,及脊髓癆 dorsalis)。該組合物可配方為任意投予路徑,例如經口 服、全身性、顱内,椎管内,或硬膜外投予。 /本發明亦提供-種組合物,由有效成分及醫藥上可接 受之擔體構成,其中該有效成分由以下構成: ::::二表…之藥劑:及-第^不同的㈣卜獨 ,第…,及2之類別及藥劑。於某些實施形態, 該第1及第2藥劑擇自於表仏及3b之單列。 性障=:提:一種用於治療、預防或減輕-神經退化 注丨早礙之方法,藉由對一 劑獨立擇自於表丨a 。1 — 以上藥劑,該等藥 防或減輕該神經退化性障礙。 -里足夠治療、預 本發明更提供一種用於、、Λ 性障礙之方法,係藉由對於防或減輕一神經退化 等藥劑獨立擇自於表113之:又予·1#Μ上藥劑,該 該不同之藥劑獨立擇自、:種以上不同之藥削, 療、預防或減輕該神經退:性障:類別及藥劑,量足夠治 本發明更提供—種用於 性障礙之方法,係藉由對於一病患^或減輕一神經退化 劑,該等藥劑獨立擇自於〜χ 1少2種不同t藥 …&及1b之任意藥劑,其,該1084-9596-PF 7 200848063 Disease, ischemic stroke, celebral disease, dementia with Lewy bodies, multiple sclerosis, multiple systemic atrophy, Parkinson's disease, Pel izaeus_Merzbacher disease, Pick disease, primary lateral sclerosis , Refsum's disease, Sandhoff's disease, SchUder's disease, spinal cord injury, spinal muscular atrophy, Steele-Rlchards〇n - 〇lszewski disease, and spinal cord dorsalis). The composition can be formulated in any route of administration, for example, orally, systemically, intracranically, intrathecalally, or epidurally. / The present invention also provides a composition comprising an active ingredient and a pharmaceutically acceptable carrier, wherein the active ingredient consists of the following: :::: two forms of the agent: and - the second is different (four) , categories ... and 2, and pharmaceuticals. In some embodiments, the first and second medicaments are selected from the individual columns of Tables and 3b. Sexual Disability =: Lifting: A method for treating, preventing, or alleviating neurodegenerative injections, by using a single dose independently of the expression a. 1 — The above agents that prevent or alleviate this neurodegenerative disorder. In addition to the treatment, the present invention further provides a method for the treatment of sputum disorders, which is independently selected from Table 113 by means of an agent for preventing or alleviating a neurodegeneration: The different agents are independently selected from: different types of drugs, treatment, prevention or alleviation of the nerve retreat: sexual disorders: categories and medicaments, the amount is sufficient to treat the invention, and the method for the treatment of sexual disorders is From the treatment of a disease or a neurodegenerative agent, the agents are independently selected from ~ χ 1 less than 2 different t drugs ... & and any agent of 1b, which

1084-9596-PF 200848063 第1及第2藥劑同時投予’或彼此在28天投予,量a叶足 =療、預防或減輕該神經退化性障礙。於特定實施形態, 2率二第Γ劑擇自於:表一之單列。該第1及第 小時、12小時、18小時、24小時、3天、7天或 14天内投予。 1以 ::些情形’此處所述方法中,對於該病患投予之一 夕種樂劑,例如參環抗抑鬱劑、離子載體抗生辛 ^卿^邮心心)、大麻素受體協同劑、通道阻= n 组織胺、選擇性血清素再吸 二膽驗藥物、P…劑,或雌激素調節 :等患(例如人類)中的神經元死亡率。此:,、 該專方法可包括額外的療法。例如, 卜 對於該病患投予一額外的治療藥劑,使:卜:療法可包括 lb之藥劑或多種藥劑及該額外的治療 '該旦表la及 予該病患時,足以治療、預 「、子在之置,當投 該額外的治療藥劑可為例如擇自:=:退化性 自於表丨……種或多種華丄2:類別及藥劑。來 可同時投予或彼此在i小時、2 額外的治療藥劑, 小時…時、18小時、 經由任何路徑投予。 7天或14天内, 本發明更提供一種套組,包一— 及1b之藥劑;及指示說明書,用以脾―樂劑,擇自於表la 患神經退务卜4終 乂將該藥劑對患有或右》 化性㈣驗之病患^。«㈣1084-9596-PF 200848063 The first and second agents are administered simultaneously or administered in 28 days, and the amount of a leaf is used to treat, prevent or alleviate the neurodegenerative disorder. In a specific embodiment, the 2nd rate diterpene agent is selected from the list of Table 1. The first and the hour, 12 hours, 18 hours, 24 hours, 3 days, 7 days or 14 days are administered. 1 to:: In some cases, 'the method described here, for the patient to give one of the eclipse agents, such as the ring-shaped antidepressant, ionophore anti-sheng Xin ^ Qing ^ mail heart), cannabinoid receptor synergy Agent, channel resistance = n histamine, selective serotonin re-absorption of drugs, P ..., or estrogen regulation: neuronal mortality in patients (such as humans). This:,, the special method can include additional therapies. For example, if the patient is given an additional therapeutic agent, the treatment may include a lb of the drug or a plurality of agents and the additional treatment, which is sufficient for treatment and pre-treatment. The child is placed, and when the additional therapeutic agent is administered, for example, it can be selected from: =: degenerative from the appearance of the cockroach... species or a variety of Huajing 2: categories and medicaments. It can be administered simultaneously or at each other for one hour. 2 additional therapeutic agents, hour, hour, 18 hours, administered via any route. Within 7 days or 14 days, the present invention further provides a kit, a package of -1 and 1b; and instructions for the spleen - Loose agent, selected from the table la suffering from nerve withdrawal b 4 Finally, the agent for patients with or right (four) test ^. «(4)

1084-9596-PF 200848063 3、4或4種以上探白访主, ;表1a及1 b之藥劑,但不一定要預 先混合在相同組合物φ 以將該額外的藥劑或夕種从 可包括指示說明書,用 '或夕種樂劑或該混合好的組合物,對該 病患投予。 自於Π明及更:供—種套組,包括:2、3、4或4種以上擇 ,藥劑;及1種以上獨立擇自於表2之類 “。该等樂劑不-定要預先混合在相同組合物中。 此套組亦可包括指+ % + 心不說明書,用以將該等藥劑對患有或有 惟心神經退化性障礙風險之病患投予。 自明更提供一種套組’包括:2、3、4或4種以上擇 &及lb之藥劑;或1種以上獨立擇自於表2之類 職樂劑。該套組可尚包括指示說明f,用以將該等藥劑 一起對患有或有罹患神經退化性障礙風險之病患投予。 於此處所述任意套組’ 2種藥劑可擇自於表 补 之單列。 ( 士本發明更提供一種用於鑑別可能有用於治療、預防或 ?輕-神經退化性障礙之组合的方法,包括以下步驟:⑷ 提供-細胞’其包括編碼為多谷醯胺重複多胜肽之一基 因’以使得該多胜肽相較於野生型多谷醯胺重複多胜肽, 包括-經擴張的多谷醯胺重複區域;⑻料該基因表 現;(c)使此細胞接觸擇自於表13及“—之藥劑,及一候 選化合物’ ·及⑷決定相較於與該藥劑接觸但未接觸該候 選化合物之細胞,是否該藥劑與該候選化合物之組合,減 少p〇iyQ抗體例如1F8之細胞核周邊染色,其中於細胞核1084-9596-PF 200848063 3, 4 or more types of white visitor, the agents of Tables 1a and 1b, but not necessarily pre-mixed in the same composition φ to include the additional agent or evening seed The instructions are instructed to be administered to the patient using 'or a fungic agent or the well-mixed composition. From the Ming and the other: supply-type kits, including: 2, 3, 4 or more choices, pharmaceuticals; and more than one type independently selected from Table 2. "These agents are not - must Premixed in the same composition. This kit may also include a reference to + % + heart instructions for the administration of such agents to patients with or at risk of deliberate neurodegenerative disorders. The kit 'includes: 2, 3, 4 or 4 or more of the agents selected for &lb; or 1 or more of the ethical agents independently selected from Table 2. The kit may further include instructions f for These agents are administered together to patients with or at risk of developing neurodegenerative disorders. Any of the two sets of agents described herein can be selected from the list of supplements. A method for identifying a combination that may be used for treatment, prevention, or a light-neuronal degenerative disorder, comprising the steps of: (4) providing - a cell comprising a gene encoding one of a polyglutamine repeat polypeptide to cause the The multi-peptide repeats the multi-peptide with wild-type polyglutamine, including the expanded polyglutamine repeat region; (8) the gene is expressed; (c) the cell is contacted with cells selected from Table 13 and "-, and a candidate compound" and (4) is determined by comparison with cells that are in contact with the agent but are not in contact with the candidate compound, The combination of the agent and the candidate compound reduces the nuclear staining of the p〇iyQ antibody, such as 1F8, in the nucleus

1084-9596-PF 10 200848063 周邊染色(例如藉由免疫細胞化學(IC C)分析決定)之減 少,鑑別可能對於治療、預防或減輕一神經退化性障礙有 用之組合。包括經擴張的多谷醯胺重複區域之該多谷醯胺 重複多胜肽,可包括例如全長Htt Q111或與多谷醯胺擴張 障礙相關連之其他多胜肽變異體。該方法可使用例如哺乳 動物細胞,例如小鼠紋體細胞,例如衍生自基因導入 (knock-in)小鼠之 力Q111 細胞。 表 la 藥劑 (細胞核周邊 染色抑制50 EC50 (juM) (細胞核周邊 染色抑制90 Imax (細胞密度 抑制?0 EC50 (// M) (細胞密度 抑制90 1-[2-(1Η-吲哚-3-基)乙基]-3-曱基 -1H-°比洛_2, 5-二_ 97. 0°/〇 4.61 99.00% 1.51 2-胺基_8_羥基喹啉 61.9% 26.01 58.70% 16.81 A-134974 (例如二氣化氫鹽單水合物) 32. 5% 14.20 40.30% 15.10 Acetopromazine (例如馬來酸鹽) 49. 8% 23.89 32.10% 19.81 AG-879 87.4% 3.09 76. 23% 2.48 Ajmaline 52. 4% 18.40 -16.60% N/A Akt抑制劑IV 52. 4% 1.52 64.25% 1.07 Alverine (例如檸檬酸鹽) 67. 9% 15.49 6. 62% N/A Ami odarone (例如氯化氫鹽) 37. 9% 24.38 -4.99% N/A Amlodipine (例如苯續酸鹽) 91.4¾ 8.22 80.92¾ 13.46 Amsacrine 93. 8% 4. 54 63.81% 0.04 Andrographis 96.3% 15.92 53.10% 7.46 Antazoline填酸鹽 28. 3% 26.34 -5.19% N/A Apomorph i ne (例如氣化氫鹽) 50. 7% 25.72 46. 27% 15.11 Astemizole 91.9% 5.92 100.28% 10.60 Auranofin 90. 0% 2.42 99.18% 1.12 Azelastine 32.1% 7.32 17.18% BAPTA-AM 91.6% 10.79 80.70% 6.24 Bay 11-7082 93.1% 5.39 97·80% 4. 80 Benztrop i ne (例如曱確酸鹽鹽) 44.1% 18.70 -7. 27% N/A Bepridil 55. 7% 4.96 16.20¾ 13.60 BML-248 68. 9% 4.44 -13.33% N/A BTCP (例如氣化氩鹽) 49. 4¾ 4.36 -5.32% N/A Calcimycin A23187 78.5¾ 1.21 72.45% 0.77 Calmidazolium 95. 3¾ 8.72 95.89¾ 8.17 Capecitabine 56. 9% 20.06 1.05¾ N/A Carboxymethylene Norch1orpromaz i ne 54. 0% 12.14 2. 33% N/A Cepharanthine 97. 9% 10.67 96.81% 13.18 Cerivastatin (例如鈉鹽) 30.1% 0.15 9· 49¾ N/A CGP74514A 102.8% 19.61 101.23% 7. 601084-9596-PF 10 200848063 Peripheral staining (e.g., as determined by immunocytochemistry (IC C) analysis) identifies a combination that may be useful for treating, preventing, or ameliorating a neurodegenerative disorder. The polyglutamine repeat polypeptide comprising an expanded polyglutamine repeat region can include, for example, full length Htt Q111 or other multipeptide variants associated with polyglutamine dilatation disorders. The method may use, for example, a mammalian cell, such as a mouse striate cell, such as a force Q111 cell derived from a knock-in mouse. Table la Pharmacy (negative staining around the cell 50 EC50 (juM) (negative staining around the cell 90 Imax (cell density inhibition? 0 EC50 (// M) (cell density inhibition 90 1-[2-(1Η-吲哚-3- Ethyl]-3-mercapto-1H-°Pilo_2, 5-di_97. 0°/〇4.61 99.00% 1.51 2-Amino-8-hydroxyquinoline 61.9% 26.01 58.70% 16.81 A -134974 (eg dihydrogenated hydrogen salt monohydrate) 32. 5% 14.20 40.30% 15.10 Acetopromazine (eg maleate) 49. 8% 23.89 32.10% 19.81 AG-879 87.4% 3.09 76. 23% 2.48 Ajmaline 52 4% 18.40 -16.60% N/A Akt inhibitor IV 52. 4% 1.52 64.25% 1.07 Alverine (eg citrate) 67. 9% 15.49 6. 62% N/A Ami odarone (eg hydrogen chloride) 37. 9% 24.38 -4.99% N/A Amlodipine (eg benzoate) 91.43⁄4 8.22 80.923⁄4 13.46 Amsacrine 93. 8% 4. 54 63.81% 0.04 Andrographis 96.3% 15.92 53.10% 7.46 Antazoline sulphate 28. 3% 26.34 -5.19% N/A Apomorph i ne (eg gasified hydrogen salt) 50. 7% 25.72 46. 27% 15.11 Astemizole 91.9% 5.92 100.28% 10.60 Auranofin 90. 0% 2.42 99.18% 1.12 Azelastine 32.1% 7.32 17.18% BAPTA-AM 91.6% 10.79 80.70% 6.24 Bay 11-7082 93.1% 5.39 97.80% 4. 80 Benztrop i ne (eg bismuth salt) 44.1% 18.70 -7. 27% N/A Bepridil 55. 7% 4.96 16.203⁄4 13.60 BML-248 68. 9% 4.44 -13.33% N/A BTCP (eg gasified argon salt) 49. 43⁄4 4.36 -5.32% N/A Calcimycin A23187 78.53⁄4 1.21 72.45% 0.77 Calmidazolium 95. 33⁄4 8.72 95.893⁄4 8.17 Capecitabine 56. 9% 20.06 1.053⁄4 N/A Carboxymethylene Norch1orpromaz i ne 54. 0% 12.14 2. 33% N/A Cepharanthine 97. 9% 10.67 96.81% 13.18 Cerivastatin (eg sodium salt) 30.1% 0.15 9 · 493⁄4 N/A CGP74514A 102.8% 19.61 101.23% 7. 60

1084-9596-PF 11 200848063 藥劑 Inax (細胞核周邊 染色抑制» ECso ( " M) (細胞核周邊 染色抑制90 Iaax (細胞密度 抑制%) ~98.33%8=8 Ε〇5〇 ( ^ Μ) (細胞密度 抑制9〇 Chelerythrine (例如氣鹽) 94. 2% 1.56 1.52 Chiorhexidine 71.6% 4. 56 97. 88% 7. 39 Chlorhexidine (例如二乙酸鹽) 94. 4% 13. 56 74. 60% 4. 70 Chloroxine 43.1% 16.82 58. 91% 13.08 Chlortetracycline (例如氣化氫鹽) 75. 4% 21.89 30. 40% 14.50 氯馬斯汀(clemastine)(例如富馬酸 鹽) 80. 7% 9.91 6. 70% 10.20 Clemizole (例如氣化氩鹽) 44. 0% 7. 47% Ν/Α Clofoctol 83. 7% 17.83 47. 76% 27.08 Clomiphene (例如#檬酸鹽) 62. 5% 5.28 82. 00% 16.10 Cloperastine (例如氯化氫鹽) 53. 7% 7. 67 27.19% 21.95 Colchicine 60. 6% 0.47 66. 36% 0.38 Cycloheximide 89. 2% 0.12 75. 75% 0.53 Cyproheptad i ne (例如氣化氫鹽) 62. 2% 14.00 -0. 06% Ν/Α Dactinomycin 54. 9% 0.02 17. 95% Desloratadine 103.0% 20.50 76. 70% Dexamethasone (例如乙酸鹽) 57. 8% 17.90 11.70% Ν/Α Dibucaine (例如氣化氫鹽) 29. 5¾ 25.52 -2. 58% Ν/Α Dichlorophen 50. 6% 25.49 8.16% Ν/Α Dicyclomine (例如氯化氫鹽) 55. 4% 13.90 -4.10% Ν/Α diphenyleneiodonium (例如氣鹽) 60. 2% 19.55 33. 46% 1.22 Doxorubicin (例如氯化氩鹽)(經配 方) 56. 3¾ 0.38 29. 56% 0.04 Drofenine 59. 5% 25.33 -8. 69% Ν/Α Duloxetine 73. 0% 16.19 94.03% 28.86 Ethopropaz i ne (例如氣化氫鹽) 69. 5°/〇 15.50 -17. 70% Ν/Α Flunarizine (例如氣化氫鹽) 27. 3% 16.80 15.20% Fluvastatin 39.1¾ 8.09 33. 60% 6.42 Gemcitabine (例如氣化氫鹽) 43. 8% 0.02 47. 30% 0.01 六氣芬(Hexachlorophene) 79.1% 4. 23 -4. 72% Ν/Α Homochlorcyclizine (例如二氣化氫 鹽) 99.1% 15.70 95. 00% 15.40 Maduramicin (例如銨鹽) 75.5% 0.06 60. 00% 3.31 Mebhydroline 1,5-naphthalene (例 如二磺酸鹽) 32. 6¾ 5.80 18. 09% 9.02 Mefloquine 97. 8¾ 15.27 96. 53% 16.57 Menadiol (例如二硫酸二鈉鹽三水合 物) 86. 8% 11.91 100.47% 10.83 Metergoline 87. 8°/〇 10.90 32. 00% 21.20 Methdilazine 35. 2% 6.54 -8.13% Ν/Α Methdilazine (例如氯化氫鹽) 31.2°/〇 8.01 98. 56% 24.42 Methotrimeprazine (例如馬來酸鹽) 52. 9°/〇 22.77 -2. 01% Ν/Α Methyl benzimidate (例如氣化氫鹽) 40. 6°/〇 3. 04% Ν/Α MG-132 93. 6¾ 2.40 90. 50% 0.89 Mitoxantrone (例如氣化氫鹽) 56. 5¾ 0.15 52. 80% 0.02 Narasin 84. 6« 0.07 73. 70% 9.59 Niclosamide 73. 9% 0.76 32. 50% 2.16 Nigericin 81.3% 0.005 4. 75% Ν/Α Nitazoxanide 94. 4% 7.12 -8. 89% Ν/Α1084-9596-PF 11 200848063 Pharmacy Inax (Cellular Peripheral Staining Inhibition » ECso ( " M) (Nuclear Peripheral Staining Inhibition 90 Iaax (Cell Density Inhibition %) ~98.33%8=8 Ε〇5〇( ^ Μ) (Cell Density inhibition 9〇Chelerythrine (eg gas salt) 94. 2% 1.56 1.52 Chiorhexidine 71.6% 4. 56 97. 88% 7. 39 Chlorhexidine (eg diacetate) 94. 4% 13. 56 74. 60% 4. 70 Chloroxine 43.1% 16.82 58. 91% 13.08 Chlortetracycline (eg gasified hydrogen salt) 75. 4% 21.89 30. 40% 14.50 clemastine (eg fumarate) 80. 7% 9.91 6. 70% 10.20 Clemizole (eg gasified argon salt) 44. 0% 7. 47% Ν/Α Clofoctol 83. 7% 17.83 47. 76% 27.08 Clomiphene (eg #595) 62. 5% 5.28 82. 00% 16.10 Cloperastine (eg hydrogen chloride) 53. 7% 7. 67 27.19% 21.95 Colchicine 60. 6% 0.47 66. 36% 0.38 Cycloheximide 89. 2% 0.12 75. 75% 0.53 Cyproheptad i ne (eg gasified hydrogen salt) 62. 2 % 14.00 -0. 06% Ν/Α Dactinomycin 54. 9% 0.02 17. 95% Desloratadine 103.0% 20.50 76. 70% Dexamethasone (eg B Salt) 57. 8% 17.90 11.70% Ν/Α Dibucaine (eg gasification hydrogen salt) 29. 53⁄4 25.52 -2. 58% Ν/Α Dichlorophen 50. 6% 25.49 8.16% Ν/Α Dicyclomine (eg hydrogen chloride) 55 4% 13.90 -4.10% Ν/Α diphenyleneiodonium (eg gas salt) 60. 2% 19.55 33. 46% 1.22 Doxorubicin (eg argon chloride salt) (formulated) 56. 33⁄4 0.38 29. 56% 0.04 Drofenine 59. 5% 25.33 -8. 69% Ν/Α Duloxetine 73. 0% 16.19 94.03% 28.86 Ethopropaz i ne (eg gasified hydrogen salt) 69. 5°/〇15.50 -17. 70% Ν/Α Flunarizine (eg gasification Hydrogen salt) 27. 3% 16.80 15.20% Fluvastatin 39.13⁄4 8.09 33. 60% 6.42 Gemcitabine (eg gasification hydrogen salt) 43. 8% 0.02 47. 30% 0.01 Hexachlorophene 79.1% 4. 23 -4 72% Ν/Α Homochlorcyclizine (eg dihydrogenated hydrogen salt) 99.1% 15.70 95. 00% 15.40 Maduramicin (eg ammonium salt) 75.5% 0.06 60. 00% 3.31 Mebhydroline 1,5-naphthalene (eg disulfonate) 32. 63⁄4 5.80 18. 09% 9.02 Mefloquine 97. 83⁄4 15.27 96. 53% 16.57 Menadiol (eg disodium disulfate trihydrate) 86 8% 11.91 100.47% 10.83 Metergoline 87. 8°/〇10.90 32. 00% 21.20 Methdilazine 35. 2% 6.54 -8.13% Ν/Α Methdilazine (eg hydrogen chloride) 31.2°/〇8.01 98. 56% 24.42 Methotrimeprazine ( For example, maleate) 52. 9°/〇22.77 -2. 01% Ν/Α Methyl benzimidate (eg gasification hydrogen salt) 40. 6°/〇3. 04% Ν/Α MG-132 93. 63⁄4 2.40 90. 50% 0.89 Mitoxantrone (eg gasification hydrogen salt) 56. 53⁄4 0.15 52. 80% 0.02 Narasin 84. 6« 0.07 73. 70% 9.59 Niclosamide 73. 9% 0.76 32. 50% 2.16 Nigericin 81.3% 0.005 4. 75% Ν/Α Nitazoxanide 94. 4% 7.12 -8. 89% Ν/Α

1084-9596-PF 12 200848063 藥劑 Iaax (細胞核周邊 染色抑制?〇 55. 5¾ EC50 (//M) (細胞核周邊 染色抑制90 Iaax (細胞密度 抑制 EC50 ( M) (細胞密度 抑制!)〇 Oxiconazole (例如确酸鹽) 22.50 37. 40% 23.60 Paramethadione 14.1°/〇 6.80% N/A Perlapine 38. 2% 9.99 -6. 67% N/A PKR抑制劑 94. 9% 7.41 95.90% 5.25 Propoxyphene (例如氣化氫鹽) 21.9¾ 17.23 -16.73% 19.40 Pyrithione zinc 62. 3% 1.31 76. 30% 3.30 Quinidine (例如甘醇酸鹽) 35. 0% 23.60 -7. 95% N/A Raloxifene (例如氯化氫鹽) 63. 5% 14.00 59. 70°/〇 19.20 Salinomycin (例如鈉鹽) 81.3% 0.23 18.48% 1.31 Sorafenib 71.0% 26.83 16.75% 19.37 Spiramycin 39. 3% 17. 58 -10.40% N/A Tamoxifen (例如檸檬酸鹽) 88.1¾ 11.20 3. 69¾ N/A Thiethyl perazine (例如馬來酸鹽) 100.6% 16.76 96.20% 19.52 Thiram 36. 2% 7. 92 53. 70% 12.00 Toremifene (例如檸檬酸鹽) 70.2% 15.96 32.60% 26.24 Trihexyphenidyl (例如氣化氫鹽) 33.1% 21.80 -9. 49% N/A Trimeprazine 58.1% 23.25 3. 98% N/A Tyrphostin 9 70. 3% 1.01 48.80% 2.51 Ursolic acid 94· 0¾ 24.15 55.83% 20.91 Γ Valinomycin 93. 8°/〇 1.65 25.20% N/A II Vanoxerine 78. 5¾ 9.11 101.00% 26.50 Vinblastine (例如硫酸鹽) 81.0¾ 0.12 23.29% N/A Vincristine (例如硫酸鹽) 35. 5% 0.03 28.10% 0.05 II Vindesine (例如硫酸鹽) 32. 3% 0.07 17.64¾ 0.39 131084-9596-PF 12 200848063 Pharmacy Iaax (nuclear periplasmic staining inhibition? 〇55. 53⁄4 EC50 (//M) (Nuclear peripheral staining inhibition 90 Iaax (cell density inhibition EC50 (M) (cell density inhibition!) 〇Oxiconazole (eg Acid salt) 22.50 37. 40% 23.60 Paramethadione 14.1°/〇6.80% N/A Perlapine 38. 2% 9.99 -6. 67% N/A PKR inhibitor 94.9% 7.41 95.90% 5.25 Propoxyphene (eg gasification Hydrogen salt) 21.93⁄4 17.23 -16.73% 19.40 Pyrithione zinc 62. 3% 1.31 76. 30% 3.30 Quinidine (eg glycolate) 35. 0% 23.60 -7. 95% N/A Raloxifene (eg hydrogen chloride) 63 5% 14.00 59. 70°/〇19.20 Salinomycin (eg sodium salt) 81.3% 0.23 18.48% 1.31 Sorafenib 71.0% 26.83 16.75% 19.37 Spiramycin 39. 3% 17. 58 -10.40% N/A Tamoxifen (eg citrate 88.13⁄4 11.20 3. 693⁄4 N/A Thiethyl perazine (eg maleate) 100.6% 16.76 96.20% 19.52 Thiram 36. 2% 7. 92 53. 70% 12.00 Toremifene (eg citrate) 70.2% 15.96 32.60% 26.24 Trihexyphenidyl (eg gasified hydrogen salt) 33.1% 21.80 -9. 49% N/AT Rimeprazine 58.1% 23.25 3. 98% N/A Tyrphostin 9 70. 3% 1.01 48.80% 2.51 Ursolic acid 94· 03⁄4 24.15 55.83% 20.91 Γ Valinomycin 93. 8°/〇1.65 25.20% N/A II Vanoxerine 78. 53⁄4 9.11 101.00% 26.50 Vinblastine (eg sulphate) 81.03⁄4 0.12 23.29% N/A Vincristine (eg sulphate) 35. 5% 0.03 28.10% 0.05 II Vindesine (eg sulphate) 32. 3% 0.07 17.643⁄4 0.39 13

1084-9596-PF 200848063 表 lb1084-9596-PF 200848063 Table lb

藥劑 Ioax (細胞核周邊 染色抑制w EC50 (/z M) (細胞核周邊 染色抑制90 Iaax (細胞密度 抑制%) EC50 (// M) (細胞密度 抑制%) ACR16 56.4% 10.90 -9. 68% N/A Adenosine 34. 0% 22.49 -4. 57% N/A Amitriptyline (例如氣化氫鹽) 43. 6°/〇 28.00 -17. 60% N/A Amodiaquine 70.1°/〇 15.80 73. 70% 19.40 Amoxapine 43. 6°/〇 26.90 11.59% CGS 15943 37. 7% 12.34 11.88% N/A 氣啥淋(Chloroquine)(例如填酸鹽) 81.3¾ 8.14 -5.11% N/A Ch 1 orpromaz i ne (例如氣化氫鹽) 90. 9% 12.91 86. 94% 11.64 Chlorprothixene (例如氣化氫鹽) 60. 3% 16.60 -16.50% 5.48 Clomipramine (例如氯化氫鹽) 58. 6% 11.80 26. 90% 16.00 Clozapine 48. 4% 15.76 -16.43% N/A Desipramine (例如氯化氫鹽) 37. 9% 15.24 -19.54% N/A Dimebon 21.0% 12.40 3. 34% N/A Fluoxetine (例如氯化氫鹽) 71.4% 10.33 104.14% 25.18 Fluphenazine (例如氯化氫鹽) 29.1¾ 14.75 66. 46% 25.42 Fluvoxamine (例如馬來酸鹽) 34. 7% 19.00 13. 60% 24.20 Haloperidol 30. 8% 23.49 9. 50% N/A HU-210 89.1% 12.30 99.20% 16.50 經氣0查琳(hydroxy ch 1 oroqu i ne)(例 如硫酸鹽) 74. 9°/〇 14.10 -10.60% N/A IKK-2抑制劑VIII 71.9% 21.80 92. 30% 13.40 IMD-0354 81. 2X 0.64 60. 67% 2.65 Maprotiline (例如氣化氫鹽) 64. 5% 17.50 88.06% N6-Benzy1adenosine 84.4% 15.41 76. 20% 10.16 Nabilone 97.1% 12.70 57. 70% N/A Norfluoxetine (例如氣化氫鹽) 36. 6% 5.27 -12.21% N/A Nortriptyline (例如氣化氫鹽) 60. 8% 11.00 24.10% 26.90 Paroxetine (例如氣化氫鹽 hemihydrate) 47. 0% 11.31 64. 89% 27.02 Perphenazine 43. 8¾ 8.95 -26.73% 14.06 Pimethixene 69. 9% 18.08 -8. 72% N/A Prochlorperazine (例如馬來酸鹽) 51.8% 15.29 -17.02% 2.79 Promethazine (例如氣化氫鹽) 34. 6% 17. 80 -22. 70% N/A Protriptyline (例如氣化氫鹽) 31.5% 12.93 49. 98¾ 25.68 SAHA (Suberoylanilide hydroxamic acid) 56. 9% 3.33 60. 00% 0.47 Sertraline (例如氣化氫鹽) 55. 5¾ 8.31 88. 20% 24.60 Tetrabenazine 32. 6% 7.96 56.11% 22.85 Tetrahydrocannabinol 22. 3% 0.04 -3. 74% N/A Thioridazine (例如氯化氫鹽) 73. 5% 7. 78 98· 62% 14.37 1 WIN 55,212-2 76.1% 7. 45 -21.20% N/A 14Drug Ioax (negative staining around the cell w EC50 (/z M) (inhibition of nuclear staining around the cell 90 Iaax (% inhibition of cell density) EC50 (// M) (% inhibition of cell density) ACR16 56.4% 10.90 -9. 68% N/ A Adenosine 34. 0% 22.49 -4. 57% N/A Amitriptyline (eg gasified hydrogen salt) 43. 6°/〇28.00 -17. 60% N/A Amodiaquine 70.1°/〇15.80 73. 70% 19.40 Amoxapine 43. 6°/〇26.90 11.59% CGS 15943 37. 7% 12.34 11.88% N/A Chloroquine (eg, acid salt) 81.33⁄4 8.14 -5.11% N/A Ch 1 orpromaz i ne (eg gas Hydrogen salt) 90. 9% 12.91 86. 94% 11.64 Chlorprothixene (eg gasification hydrogen salt) 60. 3% 16.60 -16.50% 5.48 Clomipramine (eg hydrogen chloride) 58. 6% 11.80 26. 90% 16.00 Clozapine 48. 4% 15.76 -16.43% N/A Desipramine (eg hydrogen chloride) 37. 9% 15.24 -19.54% N/A Dimebon 21.0% 12.40 3. 34% N/A Fluoxetine (eg hydrogen chloride) 71.4% 10.33 104.14% 25.18 Fluphenazine (eg hydrogen chloride) 29.13⁄4 14.75 66. 46% 25.42 Fluvoxamine (eg maleate) 34. 7% 19.00 13. 60% 24.20 Haloperido l 30. 8% 23.49 9. 50% N/A HU-210 89.1% 12.30 99.20% 16.50 hydroxy ch 1 oroqu i ne (eg sulfate) 74. 9°/〇 14.10 -10.60% N/A IKK-2 inhibitor VIII 71.9% 21.80 92. 30% 13.40 IMD-0354 81. 2X 0.64 60. 67% 2.65 Maprotiline (eg gasified hydrogen salt) 64. 5% 17.50 88.06% N6-Benzy1adenosine 84.4% 15.41 76. 20% 10.16 Nabilone 97.1% 12.70 57. 70% N/A Norfluoxetine (eg gasification hydrogen salt) 36. 6% 5.27 -12.21% N/A Nortriptyline (eg gasification hydrogen salt) 60. 8% 11.00 24.10% 26.90 Paroxetine (eg hydrogenated hemihydrate) 47. 0% 11.31 64. 89% 27.02 Perphenazine 43. 83⁄4 8.95 -26.73% 14.06 Pimethixene 69. 9% 18.08 -8. 72% N/A Prochlorperazine (eg maleate) 51.8% 15.29 -17.02% 2.79 Promethazine (eg gasification hydrogen salt) 34. 6% 17. 80 -22. 70% N/A Protriptyline (eg gasification hydrogen salt) 31.5% 12.93 49. 983⁄4 25.68 SAHA (Suberoylanilide hydroxamic Acid) 56. 9% 3.33 60. 00% 0.47 Sertraline (eg gasification hydrogen salt) 55. 53⁄4 8.31 88. 20% 24.60 Tetrabenazine 32. 6% 7.96 56.11 % 22.85 Tetrahydrocannabinol 22. 3% 0.04 -3. 74% N/A Thioridazine (eg hydrogen chloride) 73. 5% 7. 78 98. 62% 14.37 1 WIN 55,212-2 76.1% 7. 45 -21.20% N/A 14

1084-9596-PF 200848063 表 2 1 例示之藥劑 抗細胞凋亡劑(Ant i apoptot i c) 美滿黴素(minocycl ine)、曲格列網(trogl itazone)、11比格列綱 (pioglitazone),及 taurosodeoxycholic acid (膽酸) 抗抑鬱劑(An t i depressant) 氟西^T(fluoxetine)、舍曲林氣化氩,及去曱替林(nortriptyline) 抗氧化劑(Ant i ox i dant) 硫辛酸(lipoicacid)、褪黑激素(meiat〇nin)、BN 8251、0PC-14117, 及抗壞血酸鹽 抗精神病藥物或精神藥物 (Anti psychot i c/psychotrop i c) 氟旅咬醇(haloperidol)、氣氮平(clozapine)、氯丙0秦 (chlorpromazine),及奥氮平(olanzapine) 生物能物質(Bioenergetic) 輔酶Q10、肌酸,及二氯乙酸酯 COX抑制劑/NSAID 氟0比洛芬(flurbiprofen)、萘普生鈉(naproxen sodium)、雙氯芬酸納 (diclofenac sodium)、雙氣芬酸鉀(diclofenac potassium)、阿 司匹靈、舒林酸(sulindac)、diflunisal、n比羅昔康(piroxicam)、吲 哚美辛(indomethacin)、異布洛芬(ibuprofen)、nabumetone、膽 驗三水楊酸鎖、水楊酸納、水揚醯水揚酸、非諾洛芬(fenoprofen)、 嗣洛芬(ketoprofen)、甲氣芬那酸納(meclofenamate sodium)、美洛 昔康(meloxicam)、oxaprozin、舒林酸(sulindac)、tolmetin、 rofecoxib、celecoxib、valdecoxib,及 lumiracoxib 多巴胺拮抗劑 奥氮平(olanzapine)、喹硫平(quetiapine),及丁苯那嗪 (tetrabenazine) 谷胺酸(Glutamate)结抗劑 利魯唾(riluzole)、remacemide、金剛烧胺(amantadine)、美金剛 (memantine)、ifendprodil,及 eliprodil 組蛋白去乙醯基酶抑制劑抑制劑 /轉錄調節因子 丁酸納、苯基丁 酸酯、suberoylanilide hydroxamic acid,及 mithramycin 熱休克蛋白調節因子調節因子 geldanamycin、celastrol、bimoclomol,及 arimoclomol 免疫調節因子 Copolymer 1 情緒穩定劑 链、丙戊酸鈉(valproate),及 carbamazepine 抗精神病藥物(Neuroleptic) 多巴胺受體阻斷劑(例如氟旅咬醇(haloperidol)、奮乃靜 (perphenazine)),及前突觸多巴胺耗盡劑(例如利血平(reserpine)) 蛋白質凝集抑制劑 cystamine,及海藻糖(trehalose) 鎮定劑(Tranqui 1 izer) clonazepam、苯并二氮呼(benzodiazepine)(例如 alprazolam、 bromazepam、chlordiazepoxide、clobazam、clonazepam、diazepam、 flunitrazepam、lorazepam、nitrazepam、oxazepam、temazepam 或 triazolam)、帕羅西汀、文拉法辛(venlafaxine),及beta-阻斷劑(例 如 acebutolol 、 atenolol 、 betaxolol 、 bisoprolol 、 carteolol 、 carvedilol 、 labetalol 、 metoprolol 、 nadolol 、 penbutolol 、 propranolol 、 sotalol 及 timolol) 營養劑或滋補劑 (Trophic/restorative) GDNF、BDNF、CNTF、胎兒紋體細胞,及其他用於移殖的細胞 其他 大麻素類(cannabinoid)(例如 delta-9-tetrahydrocannabinol、 tetrahydrocannabivarin、cannabidiol、cannabino卜 cannabivarin、 cannabidivarin 及 cannabinolic acid)、BCTC、链、乙基-EPA、游離 脂肪酸(例如棕櫚酸、硬脂酸,及花生烯酸)、rapamycin、KW60Q2,及 肉毒素1084-9596-PF 200848063 Table 2 1 Illustrated agent anti-apoptotic agent (Ant i apoptot ic) minocycline (minocycline), trogl itazone, 11 pioglitazone, and Taurosodeoxycholic acid (an ti depressant) fluoxetine, sertraline argon, and nortriptyline antioxidants (ant i ox i dant) lipoic acid ), melatonin, BN 8251, 0PC-14117, and antipsychotic antipsychotic drug or psychotropic drug (Anti psychot ic/psychotropic), haloperidol, clozapine, Chlorpromazine, and olanzapine Bioenergetic Coenzyme Q10, Creatine, and Dichloroacetate COX Inhibitor/NSAID Fluorbiprofen, Naproxen Naproxen sodium, diclofenac sodium, diclofenac potassium, aspirin, sulindac, diflunisal, n piroxicam, indomethacin (indomethacin), different cloth Ibuprofen, nabumetone, bilirubin salicylate, sodium salicylate, hydrazine, fenoprofen, ketoprofen, meclofenamate Sodium), meloxicam, oxaprozin, sulindac, tolmetin, rofecoxib, celecoxib, valdecoxib, and lumiracoxib dopamine antagonist olanzapine, quetiapine, and butylbenzene Terbenazine glutamate antagonists riluzole, remacemide, amantadine, memantine, ifendprodil, and eliprodil histone deacetylase inhibitors Agent/transcriptional regulators sodium butyrate, phenylbutyrate, suberoylanilide hydroxamic acid, and mithramycin heat shock protein regulators geldanamycin, celastrol, bimoclomol, and arimoclomol immunomodulator Copolymer 1 mood stabilizer chain, sodium valproate (valproate), and carbamazepine anti-psychotic drugs (Neuroleptic) dopamine receptor blockers (such as fluoride briquettes (hal Operidol), perphenazine, and presynaptic dopamine depleting agents (eg reserpine) protein agglutination inhibitor cystamine, and trehalose trehalose (Tranqui 1 izer) clonazepam, benzene And benzodiazepine (eg alprazolam, bromazepam, chlordiazepoxide, clobazam, clonazepam, diazepam, flunitrazepam, lorazepam, nitrazepam, oxazepam, temazepam or triazolam), paroxetine, venlafaxine, and beta-blocking Agents (eg acebutolol, atenolol, betaxolol, bisoprolol, carteolol, carvedilol, labetalol, metoprolol, nadolol, penbutolol, propranolol, sotalol and timolol) nutrients or tonics (GD), BDNF, CNTF, fetal streak cells, And other cells for colonization of other cannabinoids (eg, delta-9-tetrahydrocannabinol, tetrahydrocannabivarin, cannabidiol, cannabino, cannabidivarin, and cannabinolic acid), BCTC, chain, ethyl-EPA, free lipids Acids (e.g. palmitic acid, stearic acid, and arachidonic acid), rapamycin, KW60Q2, and botulinum toxin

1084-9596-PF 15 200848063 表 3a 組合 HSA體積 共效分數 (Synergy Score) Bepridil x Metergoline 5. 47 0.81 Metergoline x Tyrphostin 9 4.49 0.97 經氣喧琳硫酸鹽x Maduramicin铵鹽 4.49 0.93 Bepridil x Dactinomycin 4.32 1.81 氯啥琳破酸鹽x六氣芬(Hexachlorophene) 4.06 1.40 Cyproheptadine氣化氫x六氣芬 4. 02 0.98 氣啥琳鱗酸鹽x Nitazoxanide 3.83 0.73 Benztropine曱確酸鹽X六氣芬 3. 70 0.79 氣馬斯汀(clemastine)富馬酸鹽X六氣芬 3. 65 0.74 Cyproheptadine 氣彳匕氫 x Chlorprothixene 氣化氫 3.65 0.74 六氣芬X羥氣喹琳硫酸鹽 3. 65 0.54 Chlorprothixene 氯化氫 x Tyrphostin 9 3. 65 0.80 Bepridil x舍曲林氣化氫 3.60 0.20 Benztropine 曱確酸鹽 X Tyrphostin 9 3.52 0.84 他莫昔芬(tamoxifen)檸檬酸鹽X Tyrphostin 9 3.50 0.75 氯馬斯汀富馬酸鹽X Nitazoxanide 3.48 0.56 Chlorprothixene 氣彳b氫 x Metergoline 3.46 0.51 六氣芬 x Vanoxerine 3.41 0.52 六氣芬x Thioridazine氯化氫 3.38 0.95 Nitazoxanide x Tyrphostin 9 3.37 0.55 舍曲林氣化氩x Thioridazine氣化氫 3.37 0.47 經氣嗤琳硫酸鹽x Tetrahydrocannabinol 3.37 0.99 六氣芬X舍曲林氯化氫 3.36 0.75 Alverine檸檬酸鹽 X Nitazoxanide 3. 35 0·81 Thioridazine 氯化氫 x Vanoxerine 3.31 0.30 I Metergoline x Nitazoxanide 3.24 0.65 Dicyclomine 氯化氫 x Nitazoxanide 3. 20 0.53 氣馬斯汀富馬酸鹽x舍曲林氣化氫 3.16 0.74 經氣啥琳硫酸鹽X Nitazoxanide 3.11 0.38 Alverine檸檬酸鹽X Dicyclomine氣化氫 3.11 0.82 Metergoline x Niclosamide 3.10 0.50 Metergoline x Vanoxerine 3. 08 0.48 氣馬斯汀富馬酸鹽x Vanoxerine 3.08 0.42 六氣芬 x Tyrphostin 9 3.07 0.31 氣馬斯汀富馬酸鹽x Tyrphostin 9 2.98 0.32 Chlorprothixene 氣彳匕氮 x Nitazoxanide 2. 98 0.77 Bepridil x WIN 55,212-2 2. 97 0.35 六氣芬x他莫昔芬(tamoxifen)檸檬酸鹽 2. 95 0.58 Ajmaline X六氣芬 2.92 0.75 Dactinomycin x 六氣芬 2. 92 1.14 帕羅西汀氣化氫半水合物X舍曲林氣化氩 2.91 0.68 Chlorprothixene 氯化氫 X Maduramicin 敍鹽 2.86 0.62 Benztropine 曱石黃酸鹽 X Nitazoxanide 2.81 0.561084-9596-PF 15 200848063 Table 3a Combined HSA Volume Synergy Score (Synergy Score) Bepridil x Metergoline 5. 47 0.81 Metergoline x Tyrphostin 9 4.49 0.97 Gas 喧 硫酸 sulfate x Maduramicin ammonium salt 4.49 0.93 Bepridil x Dactinomycin 4.32 1.81 Chlorine Hexachlorophene 4.06 1.40 Cyproheptadine gasification hydrogen x hexaphene 4. 02 0.98 gas lindane sulphate x Nitazoxanide 3.83 0.73 Benztropine bismuth salt X hexaphene 3. 70 0.79 gas Clemastine fumarate X hexaphene 3. 65 0.74 Cyproheptadine gas hydrazine x Chlorprothixene gasification hydrogen 3.65 0.74 hexafluorophene X hydroxyquinoline sulphate 3. 65 0.54 Chlorprothixene Hydrogen chloride x Tyrphostin 9 3 65 0.80 Bepridil x sertraline hydrogenated hydrogen 3.60 0.20 Benztropine oxime acid salt X Tyrphostin 9 3.52 0.84 tamoxifen citrate X Tyrphostin 9 3.50 0.75 clemastine fumarate X Nitazoxanide 3.48 0.56 Chlorprothixene gas b hydrogen x Metergoline 3.46 0.51 six gas xenon Vanoxerine 3.41 0.52 six gas xenon Thioridazine hydrogen chloride 3.38 0.95 Nitazoxanide x Tyrphostin 9 3.37 0.55 sertraline gasified argon x Thioridazine gasification hydrogen 3.37 0.47 gas 嗤 硫酸 sulfate x Tetrahydrocannabinol 3.37 0.99 hexaphene fen X sertraline hydrogen chloride 3.36 0.75 Alverine citrate X Nitazoxanide 3. 35 0·81 Thioridazine Hydrogen Chloride x Vanoxerine 3.31 0.30 I Metergoline x Nitazoxanide 3.24 0.65 Dicyclomine Hydrogen Chloride x Nitazoxanide 3. 20 0.53 Gas Masking Fumarate x Sertraline Hydrogenated Hydrogen 3.16 0.74 Gas Sulfate Sulfate X Nitazoxanide 3.11 0.38 Alverine Citric Acid Salt X Dicyclomine Hydrogenated Hydrogen 3.11 0.82 Metergoline x Niclosamide 3.10 0.50 Metergoline x Vanoxerine 3. 08 0.48 Gas masted fumarate x Vanoxerine 3.08 0.42 hexaphene x Tyrphostin 9 3.07 0.31 gas masted fumarate x Tyrphostin 9 2.98 0.32 Chlorprothixene gas nitrogen x Nitazoxanide 2. 98 0.77 Bepridil x WIN 55,212-2 2. 97 0.35 hexaphene x tamoxifen citrate 2. 95 0.58 Ajmaline X hexaphene 2.92 0.75 Dactinomycin x Liuqifen 2. 92 1.14 Paroxetine Hydrogenated Hydrogen Hemihydrate X Sertraline Gasified Argon 2.91 0.68 Chlorprothixene Hydrogen Chloride X Maduramicin Salt 2.86 0.62 Benztropine Vermiculite X Nitazoxanide 2.81 0.56

1084-9596-PF 16 200848063 組合 HSA體積 共效分數 (Synergy Score) 經氣嗤琳硫酸鹽x Vanoxerine 2. 81 0.39 Nabilone X Thioridazine 氣化氫 2.79 0.29 六氣芬 x Oxiconazole nitrate 2.77 0.72 Alverine檸檬酸鹽x六氣芬 2.76 0.89 氣馬斯汀富馬酸鹽x Thioridazine氣化氫 2. 76 0.15 Maduramicin 錄鹽 X Tyrphostin 9 2. 76 0.22 Bepridil x Thioridazine 氯化氫 2.75 0.46 Chlorprothixene氣化氫x六氣芬 2.72 0.60 Met ergo line x Thioridazine 氣化氫 2.71 0.38 Chlorprothixene 氣化氫 x Nigericin 2. 66 0.65 Dicyclomine 氣化氫 x Tyrphostin 9 2.60 0.66 Chlorprothixene 氯化氫 x IMD-0354 2.60 0.09 羥氣喹琳硫酸鹽x Tyrphostin 9 2.60 0.32 氣嗤琳填酸鹽x Nigericin 2.59 0.97 Cyproheptadine氯化氫x舍曲林氯化氫 2.58 0.22 氣啥琳填酸鹽X Maduramicin錄鹽 2.56 0.72 Dicyclomine 氣化氫 X Nigericin 2. 54 0.66 Ethopropazine氯化氫X六氣芬 2. 53 0.47 Cyproheptadine 氣化氫 x Tyrphostin 9 2.47 0.49 Nitazoxanide x Oxiconazole nitrate 2.45 0.13 六氣芬x mD-0354 2.44 0.26 Dicyclomine氣化氫x六氣芬 2.43 0.71 氣馬斯汀富馬酸鹽x IMD-0354 2.41 0.27 Benztropine 曱績酸鹽 x Metergoline 2.39 0.37 Nitazoxanide x Thioridazine 氣化氮 2.39 0.07 Alverine檸檬酸鹽x舍曲林氣化氫 2. 37 0.08 六氣芬X Maduramicin敍鹽 2.36 0.30 Cyproheptadine 氣化氫 X Maduramicin 銨鹽 2.33 0.29 舍曲林氣化氫X他莫昔芬檸檬酸鹽 2.32 0.18 氣馬斯汀富馬酸鹽X Niclosamide 2.29 0.27 Benztropine 曱確酸鹽 X Niclosamide 2. 28 0.49 Dimebon x Niclosamide 2. 27 0.57 六氣芬 x Nigericin 2.24 0.36 Benztropine 甲確酸鹽 x Bepridil 2.23 0.44 Ajmaline x Tyrphostin 9 2.23 0.40 Nitazoxanide x Vanoxerine 2.21 0.16 Bepridil x他莫昔芬檸檬酸鹽 2. 18 0.51 Bepridil x六氣芬 2. 17 0.11 Niclosamide x Quinidine 甘醇酸鹽 2.16 0.51 舍曲林氣化氫x Tyrphostin 9 2. 15 0.30 Dicyclomine 氣化氫 x Trihexyphenidyl 氣化氫 2. 13 1.02 Quinidine 甘醇酸鹽 x Vanoxerine 2.13 0.60 Bepridil x Vanoxerine 2.13 0.14 Ethopropazine 匕氮 x Trihexyphenidyl 匕氮 2. 12 0.47 Bepridil x Chlorprothixene 氯化氫 2. 12 0.20 171084-9596-PF 16 200848063 Combined HSA Volume Synergic Score (Synergy Score) Meridian Sulfate X Vanoxerine 2. 81 0.39 Nabilone X Thioridazine Hydrogenated Hydrogen 2.79 0.29 Hexaphene x Oxiconazole nitrate 2.77 0.72 Alverine Citrate x Liuqifen 2.76 0.89 gas masted fumarate x Thioridazine hydrogenated hydrogen 2. 76 0.15 Maduramicin salt X Tyrphostin 9 2. 76 0.22 Bepridil x Thioridazine hydrogen chloride 2.75 0.46 Chlorprothixene hydrogenated gas x hexafen 2.72 0.60 Met ergo Line x Thioridazine Hydrogenated hydrogen 2.71 0.38 Chlorprothixene Hydrogenated hydrogen x Nigericin 2. 66 0.65 Dicyclomine Hydrogenated hydrogen x Tyrphostin 9 2.60 0.66 Chlorprothixene Hydrogen chloride x IMD-0354 2.60 0.09 Hydroxylquinone sulfate x Tyrphostin 9 2.60 0.32 Acid salt x Nigericin 2.59 0.97 Cyproheptadine hydrogen chloride x sertraline hydrogen chloride 2.58 0.22 gas hydrazine salt X Maduramicin salt 2.56 0.72 Dicyclomine hydrogen sulfide X Nigericin 2. 54 0.66 Ethopropazine hydrogen chloride X hexaphene 2. 53 0.47 Cyproheptadine gasification Hydrogen x Tyrphostin 9 2.47 0.49 Nitazoxanide x Oxiconazol e nitrate 2.45 0.13 hexafluorophene x mD-0354 2.44 0.26 Dicyclomine hydrogenated gas x hexafluorocarbon 2.43 0.71 gas masted fumarate x IMD-0354 2.41 0.27 Benztropine oxime acid salt x Metergoline 2.39 0.37 Nitazoxanide x Thioridazine gas Nitrogen 2.39 0.07 Alverine Citrate x Sertraline Hydrogenated Hydrogen 2. 37 0.08 Hexafen X Maduramicin Salt 2.36 0.30 Cyproheptadine Hydrogenated Hydrogen X Maduramicin Ammonium Salt 2.33 0.29 Sertraline Hydrogenated Hydrogen X Tamoxifen Lemon Acid salt 2.32 0.18 gas masted fumarate X Niclosamide 2.29 0.27 Benztropine oxime acid salt X Niclosamide 2. 28 0.49 Dimebon x Niclosamide 2. 27 0.57 hexafluorophene x Nigericin 2.24 0.36 Benztropine methic acid salt x Bepridil 2.23 0.44 Ajmaline x Tyrphostin 9 2.23 0.40 Nitazoxanide x Vanoxerine 2.21 0.16 Bepridil x tamoxifen citrate 2. 18 0.51 Bepridil x hexaphene 2. 17 0.11 Niclosamide x Quinidine Glycolate 2.16 0.51 Sertraline hydrogenated hydrogen x Tyrphostin 9 2. 15 0.30 Dicyclomine Hydrogenated Hydrogen x Trihexyphenidyl Hydrogenated Hydrogen 2. 13 1.02 Quinidine Glycolate x Vanoxerine 2. 13 0.60 Bepridil x Vanoxerine 2.13 0.14 Ethopropazine Nitrogen x Trihexyphenidyl Nitrogen 2. 12 0.47 Bepridil x Chlorprothixene Hydrogen chloride 2. 12 0.20 17

1084-9596-PF 200848063 組合 HSA體積 共效分數 (Synergy Score) Benztropine 甲石黃酸鹽 x Ethopropazine 氣化氫 2.10 0.47 氣馬斯汀富馬酸鹽x Nabilone 2.10 0.65 Alverine檸檬酸鹽 x Nigericin 2.09 0.40 Chlortetracycline氣化氫x六氯芬 2.08 0.19 六氣芬 X Met ergo line 2.07 0.31 六氣芬 x Nitazoxanide 2.07 0.56 Cyproheptadine氣化氫x經氣啥琳硫酸鹽 2. 05 0.39 Alverine檸檬酸鹽 X Tyrphostin 9 2. 04 0. 64 六氣芬X帕羅西汀氣化氫半水合物 2. 04 0.15 Ethopropazine氣化氫X經氯啥淋硫酸鹽 2. 04 0.22 Bepridil X IMD-0354 2. 02 0.59 Dicyclomine 氣化氫 X Thioridazine 氣化氫 2.00 0.34 經氣啥琳硫酸鹽X Niclosamide 1.99 0.15 Maduramicin 敍鹽 x Nitazoxanide 1.99 0.11 Tyrphostin 9 x Vanoxerine 1.99 0.18 Cyproheptadine 氣化A x Nitazoxanide 1.96 0.38 Ethopropazine 氯化氫 x Tyrphostin 9 1.95 0.48 Met ergo line x帕羅西汀氣化氫半水合物 1.93 0.22 Nitazoxanide x舍曲林氣化氫 1.92 0.26 Benztropine 曱石黃酸鹽 X Vanoxerine 1.92 0.62 Benztropine曱績酸鹽X氣馬斯汀富馬酸鹽 1.91 0.59 Benztropine甲磺酸鹽X他莫昔芬檸檬酸鹽 1.90 0.17 Ethopropazine 氣化氫 x Nabi lone 1.89 0.83 Alverine檸檬酸鹽x Benztropine甲確酸鹽 1.89 0.20 Chlorprothixene 氣化氫 x Nabi lone 1.84 0.55 六氣芬x Quinidine甘醇酸鹽 1.79 0.39 Nabilone x Nitazoxanide 1.77 0.32 Alverine檸檬酸鹽x Quinidine甘醇酸鹽 1.77 0.18 Nitazoxanide x Nigericin 1.76 0.13 Bepridil x Quinidine 甘醇酸鹽 1.75 0.28 帕羅西汀氯化氫半水合物x Tyrphostin 9 1.73 0.21 經氣喹琳硫酸鹽X Nigericin 1.69 0.65 IMD-0354 X Vanoxerine 1.69 0.15 Nitazoxanide x Trihexyphenidyl 氣化氫 1.68 0.70 Alverine檸檬酸鹽 x Vanoxerine 1.65 0.27 氯馬斯汀富馬酸鹽x他莫昔芬檸檬酸鹽 1.64 0.35 Bepridil X氯馬斯汀富馬酸鹽 1.57 0.26 Bepridil x Ethopropazine 氯化氫 1.57 0.32 Ethopropazine 氣化氫 x Thioridazine hydrochloride 1.53 0.39 Fluvastatin x Tyrphostin 9 1.50 0.57 舍曲林氣化氫x Vanoxerine 1.49 0.15 Chlorprothixene hydrochloride x Vanoxerine 1.48 0.27 Alverine擰檬酸鹽x經氣啥淋硫酸鹽 1.47 0.17 Bepridil x Nitazoxanide 1.44 0.21 Chlorprothixene hydrochloride x Quinidine 甘醇酸鹽 1.44 0.431084-9596-PF 200848063 Combined HSA volume synergy score (Synergy Score) Benztropine alpha phoxate x Ethopropazine Hydrogenated hydrogen 2.10 0.47 gas masted fumarate x Nabilone 2.10 0.65 Alverine citrate x Nigericin 2.09 0.40 Chlortetracycline Hydrogenated hydrogen x hexachlorophene 2.08 0.19 hexaphene X Met ergo line 2.07 0.31 hexaphene x Nitazoxanide 2.07 0.56 Cyproheptadine gasification hydrogen x gas 啥 硫酸 sulfate 2. 05 0.39 Alverine citrate X Tyrphostin 9 2. 04 0. 64 Liuqifen X Paroxetine Hydrogenated Hydrogen Hemihydrate 2. 04 0.15 Ethopropazine Hydrogenated Hydrogen X via Chloroquinone Sulfate 2. 04 0.22 Bepridil X IMD-0354 2. 02 0.59 Dicyclomine Hydrogenated Hydrogen X Thioridazine Hydrogen 2.00 0.34 Mercuryline Sulfate X Niclosamide 1.99 0.15 Maduramicin Salt x Nitazoxanide 1.99 0.11 Tyrphostin 9 x Vanoxerine 1.99 0.18 Cyproheptadine Gasification A x Nitazoxanide 1.96 0.38 Ethopropazine Hydrogen Chloride x Tyrphostin 9 1.95 0.48 Met ergo line x Paroxetine Gasification Hydrogen Hemihydrate 1.93 0.22 Nitazoxanide x Sertraline Hydrogenated Hydrogen 1.92 0.26 Benztropine Rhein X Vanoxerine 1.92 0.62 Benztropine acid salt X gas masted fumarate 1.91 0.59 Benztropine mesylate X tamoxifen citrate 1.90 0.17 Ethopropazine Hydrogenated hydrogen x Nabi lone 1.89 0.83 Alverine lemon Acid salt x Benztropine methacrylate 1.89 0.20 Chlorprothixene Hydrogenated hydrogen x Nabi lone 1.84 0.55 hexafluorophene x Quinidine glycolate 1.79 0.39 Nabilone x Nitazoxanide 1.77 0.32 Alverine citrate x Quinidine glycolate 1.77 0.18 Nitazoxanide x Nigericin 1.76 0.13 Bepridil x Quinidine Glycolate 1.75 0.28 Paroxetine Hydrogen Chloride Hemihydrate x Tyrphostin 9 1.73 0.21 Tricarboline Sulfate X Nigericin 1.69 0.65 IMD-0354 X Vanoxerine 1.69 0.15 Nitazoxanide x Trihexyphenidyl Hydrogenated Hydrogen 1.68 0.70 Alverine Citric Acid Salt x Vanoxerine 1.65 0.27 clastastine fumarate x tamoxifen citrate 1.64 0.35 Bepridil X clumastine fumarate 1.57 0.26 Bepridil x Ethopropazine Hydrogen chloride 1.57 0.32 Ethopropazine Hydrogenated hydrogen x Thioridazine hydrochloride 1.53 0.39 Fluvastatin x Tyrphosti n 9 1.50 0.57 sertraline hydrogenation x Vanoxerine 1.49 0.15 Chlorprothixene hydrochloride x Vanoxerine 1.48 0.27 Alverine citrate x gas leaching sulphate 1.47 0.17 Bepridil x Nitazoxanide 1.44 0.21 Chlorprothixene hydrochloride x Quinidine Glycolate 1.44 0.43

1084-9596-PF 18 200848063 組合 HSA體積 共效分數 (Synergy Score) IMD-0354 x Maduramicin 錄鹽 1.43 T〇6 Metergoline x舍曲林氯化氫 1.41 0.26 氣喧淋填酸鹽 x Cyproheptadine hydrochloride 1.33 0.76 IMD-0354 x Metergoline 1.23 0.14 他莫昔芬棒檬酸鹽 x Thioridazine hydrochloride 1.07 0.12 Chiorprothixene hydrochloride x Prochlorperazine 馬來酸鹽 4.83 2. 04 Methotrimeprazine馬來酸鹽x帕羅西汀氯化氫半水合物 4. 03 1.44 Perphenazine x Thioridazine hydrochloride 3.70 1.09 Chiorprothixene hydrochloride x Maprotiline hydrochloride 2.86 2.29 Metergoline x Promethazine hydrochloride 2.75 0.61 Clomipramine hydrochloride x 經氣喧淋硫酸鹽 2.71 1.37 Chiorprothixene hydrochloride x Trimeprazine 2.63 0.74 去曱替林(nortriptyline)氣化氫 x Thioridazine hydrochloride 2. 45 1.35 Maprotiline hydrochloride x帕羅西汀氣化氫半水合物 2. 39 1.23 Metergoline x 去曱替林(nortriptyline)氣化氫 2.38 1.64 帕羅西汀氯化氫半水合物X Perphenazine 2. 33 1.16 Chiorprothixene hydrochloride x Flunarizine hydrochloride 2.31 0.66 Amiodarone hydrochloride x 經氣喧琳硫酸鹽 2.18 1.12 Perphenazine x舍曲林氣化氛 2.02 1.12 帕羅西汀氯化氫半水合物x Pimethixene 2.01 0.81 Promethazine hydrochloride x Thioridazine hydrochloride 1.99 0.31 克羅米紛(clomiphene)檸檬酸鹽x舍曲林氣化氫 1.88 0.42 羥氣啥琳硫酸鹽X Trimeprazine 1.87 0.58 Flunarizine hydrochloride x Metergoline 1.76 0.58 羥氣喹琳硫酸鹽x去甲替林(nortriptyline)氯化氫 1.69 1.28 帕羅西汀氣化氫半水合物X Thioridazine hydrochloride 1.63 0.42 IMD-0354 x Trihexyphenidyl hydrochloride 3.12 0.84 Nigericin x Vanoxerine 2. 83 0.20 Trihexyphenidyl hydrochloride x Vanoxerine 2.60 0.67 Thioridazine hydrochloride x Trihexyphenidyl hydrochloride 2. 52 0.30 氣馬斯汀富馬酸鹽x Quinidine甘醇酸鹽 2.50 0.74 Bepridil x Dicyclomine hydrochloride 2.30 0.27 帕羅西汀氯化氫半水合物x他莫昔芬檸檬酸鹽 2.12 0.10 氣馬斯汀富馬酸鹽 X Trihexyphenidyl hydrochloride 2.10 0.66 Thioridazine hydrochloride x Nigericin 1.94 0.07 Nitazoxanide x他莫昔芬檸檬酸鹽 1.86 0.43 Oxiconazole nitrate x Tyrphostin 9 1.78 0.46 Tyrphostin 9 x Nigericin 1.63 0.25 氣馬斯汀富馬酸鹽x Metergoline 1.63 0.07 Cyproheptadine hydrochloride x Metergoline 1.62 0.26 Quinidine甘醇酸鹽x舍曲林氣化氫 1.58 0.31 Nitazoxanide x帕羅西汀氣化氫半水合物 1.56 0.08 _ 191084-9596-PF 18 200848063 Combined HSA Volume Synergy Score IMD-0354 x Maduramicin Recorded Salt 1.43 T〇6 Metergoline x Sertraline Hydrogen Chloride 1.41 0.26 Gastrope Leachate x Cyproheptadine hydrochloride 1.33 0.76 IMD-0354 x Metergoline 1.23 0.14 Tamoxifen citrate x Thioridazine hydrochloride 1.07 0.12 Chiorprothixene hydrochloride x Prochlorperazine Maleate 4.83 2. 04 Methotrimeprazine Maleate x Paroxetine Hydrogen Hydrochloride Hemihydrate 4. 03 1.44 Perphenazine x Thioridazine hydrochloride 3.70 1.09 Chiorprothixene hydrochloride x Maprotiline hydrochloride 2.86 2.29 Metergoline x Promethazine hydrochloride 2.75 0.61 Clomipramine hydrochloride x Mercury Sulfate 2.71 1.37 Chiorprothixene hydrochloride x Trimeprazine 2.63 0.74 Nortriptyline Hydrogenated Hydrogen x Thioridazine hydrochloride 2. 45 1.35 Maprotiline hydrochloride x Paroxetine Hydrogenated Hydrogen Hemihydrate 2. 39 1.23 Metergoline x Nortriptyline Hydrogenated Hydrogen 2.38 1.64 Paroxetine Hydrogen Hydrochloride Half Water Compound X Perphenazine 2. 33 1.16 Chiorprothixene hydrochloride x Flunarizine hydrochloride 2.31 0.66 Amiodarone hydrochloride x Meridian sulfate 1.18 1.12 Perphenazine x sertraline gasification 2.02 1.12 Paroxetine hydrogen chloride hemihydrate x Pimethixene 2.01 0.81 Promethazine hydrochloride x Thioridazine Hydrochloride 1.99 0.31 clomiphene citrate x sertraline hydrogenated hydrogen 1.88 0.42 hydroxy gas sulfonate sulfate X Trimeprazine 1.87 0.58 Flunarizine hydrochloride x Metergoline 1.76 0.58 hydroxyquinoline sulfate x nortriptyline ( Nortriptyline) Hydrogen Chloride 1.69 1.28 Paroxetine Hydrogenated Hydrogen Hemihydrate X Thioridazine hydrochloride 1.63 0.42 IMD-0354 x Trihexyphenidyl hydrochloride 3.12 0.84 Nigericin x Vanoxerine 2. 83 0.20 Trihexyphenidyl hydrochloride x Vanoxerine 2.60 0.67 Thioridazine hydrochloride x Trihexyphenidyl hydrochloride 2. 52 0.30 Sting fumarate x Quinidine glycolate 2.50 0.74 Bepridil x Dicyclomine hydrochloride 2.30 0.27 Paroxetine hydrogen chloride hemihydrate x hemo Fen citrate 2.12 0.10 gas mascot fumarate X Trihexyphenidyl hydrochloride 2.10 0.66 Thioridazine hydrochloride x Nigericin 1.94 0.07 Nitazoxanide x tamoxifen citrate 1.86 0.43 Oxiconazole nitrate x Tyrphostin 9 1.78 0.46 Tyrphostin 9 x Nigericin 1.63 0.25 gas Maastin fumarate x Metergoline 1.63 0.07 Cyproheptadine hydrochloride x Metergoline 1.62 0.26 Quinidine glycolate x sertraline hydrogenated hydrogen 1.58 0.31 Nitazoxanide xparoxetine hydrogenated hemihydrate 1.56 0.08 _ 19

1084-9596-PF 200848063 表 3b 组合 HSA體積 共效分數I (Synergy Score) 1 氟西汀(fluoxetine)氣化氫X托瑞米芬(toremifene)檸檬酸鹽 5.16 1.14 Ί Amiodarone hydrochloride X托瑞米芬檸檬酸鹽 2.85 0.78 克羅米SKclomiphene)檸檬酸鹽X舍曲林氣化氫 2. 74 1.04 氟西汀(fluoxetine)氣化氫X他莫昔芬檸檬酸鹽 2.41 0.71 Chlorprothixene hydrochloride X 去甲替林(nortriptyline)氣化氫 2. 34 0. 62 帕羅西汀氯化氫X托瑞米芬檸檬酸鹽 2.29 0.49 Thioridazine hydrochloride X 托瑞米芬檸檬酸鹽 2.15 0.64 || Chlorporthixene hydrochloride X 帕羅西丨丁 氣化氫 2.15 0.53 Duloxetine X托瑞米芬檸檬酸鹽 2.11 0.44 氟西汀(fluoxetine)氯化氫X舍曲林氣化氫 1.93 0.47 氟伏沙明(fluvoxamine)馬來酸鹽 X Thioridazine hydrochloride 1.90 0.39 氟西汀氣化氫x N-去甲基他莫昔芬 1.88 0.55 去甲替林(nortriptyline)氣化氫X他莫昔芬捧檬酸鹽 1.71 0.49 Duloxetine x Thioridazine hydrochloride 1.71 0.30 Chlorporthixene hydrochloride x Duloxetine 1.70 0.28 去曱替林氣化氩x托瑞米芬(toremifene)檸檬酸鹽 1.69 0.66 克羅米紛(clomiphene)檸檬酸鹽X Duloxetine 1.68 0.57 Amiodarone hydrochloride X 舍曲林氣化氫 1.67 0.54 Chlorporthixene hydrochloride X 氟伏沙明馬來酸鹽 1.67 0.47 Chlorporthixene hydrochloride X 氟西;丁氣化氫 1.65 0.29 |氟伏沙明馬來酸鹽X N-去曱基他莫昔芬 1.54 0.46 “有效量”意指一化合物,單獨或與其他治療療法組 合,於一臨床相關的方式,需要治療、預防或減輕一神經 退化性障礙,例如HD,之量。用於治療性治療神經退化性 障礙之活性化合物之有效量,取決於投予方式、病患年紀 及一般健康。最終地,開藥者將決定適當的量及劑量療法。 此外,有效量,可為組合中之化合物量,為安全且對於治 療患有神經退化性障礙例如HD之病患為有效力者,各藥劑 單獨係由主管單位決定及核准(例如美國食品及藥物管理 局)。 “候選化合物”意指一化學藥品,可為天然產生或人 201084-9596-PF 200848063 Table 3b Combined HSA Volume Synergy Score 1 (flucyetine) Hydrogenated hydrogen X toremifene citrate 5.16 1.14 Ί Amiodarone hydrochloride X toremifene Citrate 2.85 0.78 Clomi SKclomiphene) Citrate X Sertraline Hydrogenated Hydrogen 2. 74 1.04 Fluoxetine Hydrogenated Hydrogen X Tamoxifen Citrate 2.41 0.71 Chlorprothixene hydrochloride X Nortriptyline (nortriptyline) gasification hydrogen 2. 34 0. 62 paroxetine hydrogen chloride x toremifene citrate 2.29 0.49 Thioridazine hydrochloride X toremifene citrate 2.15 0.64 || Chlorporthixene hydrochloride X Paroxetine hydrogenated hydrogen 2.15 0.53 Duloxetine X toremifene citrate 2.11 0.44 fluoxetine hydrogen chloride X sertraline hydrogenated hydrogen 1.93 0.47 fluvoxamine maleate X Thioridazine hydrochloride 1.90 0.39 fluoxetine gasification Hydrogen x N-desmethyltamoxifen 1.88 0.55 Nortriptyline Hydrogenated hydrogen X Tamoxifen citrate 1.71 0.49 Duloxetine x Thioridazine hydrochloride 1 .71 0.30 Chlorporthixene hydrochloride x Duloxetine 1.70 0.28 Defertalin gasified argon x toremifene citrate 1.69 0.66 clomiphene citrate X Duloxetine 1.68 0.57 Amiodarone hydrochloride X sertraline gas Hydrogen 1.67 0.54 Chlorporthixene hydrochloride X Fluvoxamine maleate 1.67 0.47 Chlorporthixene hydrochloride X Fluoride; Dihydrogenated hydrogen 1.65 0.29 | Fluvoxamine maleate X N-desmethyl tamoxifen 1.54 0.46 By "effective amount" is meant a compound, alone or in combination with other therapeutic therapies, in a clinically relevant manner, in need of treatment, prevention or alleviation of a neurodegenerative disorder, such as HD. The effective amount of active compound for the therapeutic treatment of neurodegenerative disorders depends on the mode of administration, the age of the patient and general health. Ultimately, the prescriber will determine the appropriate amount and dose therapy. In addition, an effective amount, which may be the amount of the compound in the combination, is safe and effective for treating a patient suffering from a neurodegenerative disorder such as HD, each agent being determined and approved by the competent authority alone (eg, US food and medicine) Authority). "Candidate compound" means a chemical that can be naturally occurring or human 20

1084-9596-PF 200848063 造。候選化合物可包括例如胜肽、多胜肽、合成有機分子、 天然產生之有機分子、核酸分子、胜肽核酸分子,及成分 及其衍生物。 此處所述於本發明中有用的化合物者於任意其製藥上 可接受的形式,包括:同分異構物(isomers),例如··非鏡像 異構物(diastereomers)及鏡像異構物(enanti〇mer)、鹽、 酯、溶合物(s〇lvate)及其多形物(p〇lym〇rph),以及此處 所述化合物之(外)消旋體混合物以及純的同分異構物。 化δ物亦可為經同位素標定的化合物。有用的同位 素’包括:氫、碳、氮、氧、構、氟及氯(例如:2{1、%、13c、 -C-SN-8〇.^〇.3^32p^5s^8FA36ci)〇^^#^ 化合物之製備’可藉由使用可輕易得到之同位素標定試劑 取代非同位素標定試劑來合成化合物。 “經擴張的多谷醯胺重複區域”,意指一多谷醯胺重 複夕胜肽,其中谷醯胺殘基數大於對應的野生型多胜肽中 的谷酿胺殘基數D示之含經擴張的多谷醯胺重複區域的 夕胜肽例如全長HttQlll,其包括ln個谷醯胺殘基之 區域。經擴張的多谷醯胺重複區域包含多於例如5、】〇、 15、20、25、30、35、4〇、45、5〇、55、Mm、 80、、85、9G、95或甚至剛個谷醯胺殘基。或者經擴張的 多谷酿胺重複區域’相較於對應之野生型多胜肽中的谷酿 胺殘基數’包含多於例如1、2、3、4、5、10、15、20、 25、3〇、35、40、45、50、55、6〇、65、70、75、80、85、1084-9596-PF 200848063 Made. Candidate compounds can include, for example, peptides, polypeptides, synthetic organic molecules, naturally occurring organic molecules, nucleic acid molecules, peptide nucleic acid molecules, and components and derivatives thereof. The compounds useful in the present invention are in any of their pharmaceutically acceptable forms, including: isomers, such as diastereomers and mirror image isomers ( Enanti〇mer), salt, ester, sulphate and its polymorph (p〇lym〇rph), as well as the (exo) racemic mixture of the compounds described herein and the pure isoform Structure. The δ species may also be isotopically calibrated compounds. Useful isotopes' include: hydrogen, carbon, nitrogen, oxygen, structure, fluorine, and chlorine (eg, 2{1, %, 13c, -C-SN-8〇.^〇.3^32p^5s^8FA36ci)〇 ^^#^ Preparation of Compounds can be synthesized by substituting a non-isotopic calibration reagent using an easily available isotope calibration reagent. "Expanded polyglutamine repeat region" means a poly-glutamine repeating peptide, wherein the number of glutamine residues is greater than the number of glutamine residues in the corresponding wild-type polypeptide. The compound of the expanded polyglutamine repeat region, such as the full length HttQlll, includes a region of ln glutamine residues. The expanded polyglutamine repeat region comprises more than, for example, 5, 15, 15, 20, 25, 30, 35, 4, 45, 5, 55, Mm, 80, 85, 9G, 95 or even Just a glutamine residue. Or the expanded polyglutamine repeat region 'comprises more than, for example, 1, 2, 3, 4, 5, 10, 15, 20, 25 compared to the number of glutamine residues in the corresponding wild-type polypeptide. , 3〇, 35, 40, 45, 50, 55, 6〇, 65, 70, 75, 80, 85,

90、95或甚至100個以上谷醯胺殘基。 1084-9596-PF 21 200848063 “高劑量”係指任意人類疾病或病狀之治療時,高於 特定化合物之某一給定投予途徑的標準建議之處方至二 (例如:至少10%、20%、50%、職、2〇〇%或甚至職)。例。 如用於預防或減緩神經惡化速率或與神經退化性障礙相關 連之死亡且配方為供靜脈内投予之高劑量之一藥劑,可能 與相同藥劑配方為供口服投予之高劑量不同。 低劑量’’意指較特定化合物以既定路徑投予以治療 任何人類病症之最低標準建議劑量低至少5% (例如,至 少 1(U、 20%、 50%、80%、 90%或甚至 95%)。 “神經退化性障礙,,意指由於神經系統之細胞或組織 惡化相關之任何疾病或障礙。例示之神經退化性障礙為多 谷醯胺擴張障礙(例如HD、齒狀紅核蒼白球肌萎縮= (Dentatorubropallidoluysian atrophy)、Kennedy 氏病 (也稱為脊延髓性肌萎縮症),及脊髓小腦性共濟失調(例 如1型、2型、3型(也稱為Machado-Joseph病)、β型、7 型,及17型))、其他三核苷酸重複擴張障礙(例如脆性χ 綜合徵、脆性ΧΕ精神發育遲滯、Friedreich氏小腦性共 濟失調、強直性肌營養不良症、脊髓小腦性共濟失調8型, 和脊髓小腦性共濟失調12型)、亞歷山大病、Alper氏病、 阿爾茨海默病、肌萎縮侧索硬化症、小腦性共濟失調毛細 血管擴張症 、Batten 病(也稱為90, 95 or even more than 100 glutamine residues. 1084-9596-PF 21 200848063 “High dose” means the standard recommendation of a given route of administration above a given compound for any human disease or condition (eg, at least 10%, 20%) , 50%, job, 2〇〇% or even job). example. For example, one of the high doses for the prevention or slowing of the rate of neurodegeneration or death associated with neurodegenerative disorders and formulated for intravenous administration may be different from the high dose for the same pharmaceutical formulation for oral administration. A low dose '' means at least 5% lower than the recommended minimum dose for a particular compound to treat any human condition in a given path (eg, at least 1 (U, 20%, 50%, 80%, 90%, or even 95%) "Neurodegenerative disorder," means any disease or disorder associated with deterioration of cells or tissues of the nervous system. Exemplary neurodegenerative disorders are polystamine dysfunction disorders (eg HD, dentate red nucleus pallidus) Atrophy = (Dentatorubropallidoluysian atrophy), Kennedy's disease (also known as spinal medullary muscular atrophy), and spinocerebellar ataxia (eg type 1, type 2, type 3 (also known as Machado-Joseph disease), beta Type, type 7, and type 17)), other trinucleotide repeat dilatation disorders (eg, fragile sputum syndrome, fragile sputum mental retardation, Friedreich's cerebellar ataxia, myotonic dystrophy, spinal cord cerebral Ataxia type 8, and spinocerebellar ataxia type 12), Alexandria, Alper's disease, Alzheimer's disease, amyotrophic lateral sclerosis, cerebellar ataxia telangiectasia, Ba Teng disease (also known as

Spielmeyer-Vogt-Sjogren-Batten 病)、Canavan 疾病、Spielmeyer-Vogt-Sjogren-Batten disease), Canavan disease,

Cockayne綜合徵、皮質基底核退化症、Creutzf eldt — Jak〇b 病、缺血中風、克拉貝病、路易體癡呆症、多發性硬化症、Cockayne syndrome, cortical basal ganglia degeneration, Creutzf eldt — Jak〇b disease, ischemic stroke, celebral disease, dementia with Lewy bodies, multiple sclerosis,

1084-9596-PF 22 200848063 多發全身萎縮、帕金森氏病、PeHzaeus—Merzbacher疾病、 pick氏疾病、原發性側索硬化、Refsum氏病,山德霍夫氏 病、Schilder氏病、脊髓損傷、脊髓性肌萎縮症、 Steele-Richardson—01szewski 病,及脊髓癆 dorsal is) “病患”係指任意動物,例如哺乳動物(例如··人類)。 其他可使用本發明之方法、組合物及套組治療的動物包括: 馬、狗、猫、豬、山羊、兔、倉鼠、天竺鼠、大鼠、 小鼠、蜥蜴、蛇、綿羊、牛、魚及鳥。 欲針對神經退化性障礙例如HD治療之病患,係已經由 開業醫師診斷為患此病狀者。診斷可藉由任意適當方法實 施,例如此處所述者。欲預防神經退化性障礙之發展之病 患,可接^:或不接受此種診斷。此技術領域之人將瞭解可 於當有1個人由於存在1種以上風險因子,例如:年齡、神 經退化性障礙家族史及心理學或精神病學概況所致高風 險,則其可能曾實施標準測試或曾在無檢驗下經鑑別。 “多谷醯胺重複多胜肽,,意指包含至少5個連續谷酿 胺殘基之任意多胜肽。例示之多谷醯胺重複多胜肽,為與 多谷醯胺擴張障礙(例如HD、齒狀紅核蒼白球肌萎縮症 (Dentatorubropallidoluysian atrophy)、Kennedy 氏病 (也稱為脊延髓性肌萎縮症),及脊髓小腦性共濟失調(例 如1型、2型、3型(也稱為Machado-Joseph病)、6型、71084-9596-PF 22 200848063 Multiple systemic atrophy, Parkinson's disease, PeHzaeus-Merzbacher disease, Pick disease, Primary lateral sclerosis, Refsum's disease, Sandhoff's disease, Schilder's disease, Spinal cord injury, Spinal muscular atrophy, Steele-Richardson-01szewski disease, and spinal cord dorsal is "patient" refers to any animal, such as a mammal (eg, human). Other animals that can be treated using the methods, compositions, and kits of the invention include: horses, dogs, cats, pigs, goats, rabbits, hamsters, guinea pigs, rats, mice, lizards, snakes, sheep, cattle, fish, and bird. Patients who are to be treated for neurodegenerative disorders such as HD have been diagnosed with this condition by a medical practitioner. Diagnosis can be performed by any suitable method, such as those described herein. Patients who wish to prevent the development of neurodegenerative disorders may or may not receive such a diagnosis. Those skilled in the art will understand that a standard test may be performed when a person has a high risk due to the presence of more than one risk factor, such as age, family history of neurodegenerative disorders, and a psychological or psychiatric profile. Or has been identified without testing. "Domino-recitin repeats multi-peptide, meaning any multi-peptide that contains at least 5 consecutive glutamine residues. The illustrated polyglutamine repeats multi-peptide, which is an obstacle to expansion with polyglutamine (eg HD, Dentatorubropallidoluysian atrophy, Kennedy's disease (also known as spinal medullary muscular atrophy), and spinocerebellar ataxia (eg type 1, type 2, type 3 (also Called Machado-Joseph disease), type 6, 7

型,及1 7型))相關連者。例如,,與仙相關連,為一 多谷醯胺重複多胜肽。 1084-9596-PF 23 200848063 用扣夕胜肽及胜肽,係可互換地使用,並指大 於2個天然或非天然胺基酸之任意鏈,不論是否經轉譯後 修飾(例如糖化或磷酸化),構成如此處所述全部或部分天 然產生或非天然產生的多胜肽或胜肽。 如此處所述,一天然胺基酸為一天然具L —構型之α 一 胺基酸,例如於天然蛋白質通常發生者。非天然胺基酸係 指通常不發生於蛋白質中的胺基酸,例如具具L-構型之天 然α-胺基酸之表異構物(epimer),即指具非天然d構型 之胺基酸;或其(D,L)-同分異構混合物;或此種胺基酸之同 源體,例如沒-胺基酸、α —雙取代的胺基酸或α —胺基酸, 其中該胺基酸側鏈經丨或2個亞甲基縮短,或延長為至多 10個碳原子,例如一 α —胺基烷酸具5至丨〇碳原子於一直 鏈中 非取代或經取代芳香族(α -芳基或α -芳基低級 烧基)’例如經取代苯基丙胺酸或苯基甘胺酸。 王身I*生技予思指所有非經皮膚(nondermal)的投予路 徑,尤其排除局部(topical)及穿皮投予路徑。 治療、預防或減輕神經退化性障礙”,意指在發作 前或後減輕此一病狀。相對於均等之未治療之控制組,此 種減輕或預防程度,依照任意標準技術所測量,至少為、 m 、 20% 、 30% 、 40% 、 50% 、 60% 、 70% 、 80% 、 90% 、 95%或 100% 〇 於此處所述化合物之總括敘述,於取代基中之特定類 5L之原子數,通常係給定一範圍,例如包含1至6個碳原 子之烧基基團’或Ci-Ce燒基。此範圍係意欲包括在此特定Type, and type 1 7)) related. For example, associated with a fairy, the polypeptide is repeated for a poly glutamine. 1084-9596-PF 23 200848063 Used in combination with peptides and peptides, and refers to any chain of more than two natural or unnatural amino acids, whether or not post-translationally modified (eg, glycosylated or phosphorylated) ), which constitutes all or part of a naturally occurring or non-naturally occurring multi-peptide or peptide as described herein. As described herein, a native amino acid is a naturally occurring alpha-amino acid having an L-configuration, such as is typically found in natural proteins. An unnatural amino acid refers to an amino acid that does not normally occur in a protein, such as an epimer having a natural alpha-amino acid having an L-configuration, ie, having a non-natural d configuration. An amino acid; or a (D,L)-isomeric mixture thereof; or a homologue of such an amino acid, such as a non-amino acid, an α-disubstituted amino acid or an α-amino acid Wherein the amino acid side chain is shortened by hydrazine or 2 methylene groups, or is extended to up to 10 carbon atoms, for example, an α-amino alkanoic acid having 5 to fluorene carbon atoms is unsubstituted or in the straight chain Substituting aromatic (α-aryl or α-aryl lower alkyl) 'for example substituted phenylalanine or phenylglycine. Wang Yi I* biotechnology refers to all nondermal, nondermal, and especially topical and transdermal routes. Treating, preventing or ameliorating neurodegenerative disorders means reducing the condition before or after the onset. The degree of such reduction or prevention is measured according to any standard technique, relative to an equal untreated control group, at least , m , 20% , 30% , 40% , 50% , 60% , 70% , 80% , 90% , 95% or 100% 总 a general description of the compounds described herein, in a specific class of substituents The atomic number of 5 L is usually given a range, for example, a pyridyl group or a Ci-Ce alkyl group containing 1 to 6 carbon atoms. This range is intended to be included herein.

1084-9596-PF 24 200848063 範圍中具整數原子數的基團。例 . c y ,^ 例如,ϊ至β個碳原子之烷 基基團’包括 Cl、C2、C3、C4、C=i;® Γ Γ k及c6。Ci-Cu雜烷基,例 如除了 1種以上雜原子外,包括] T T丨匕祜1至i 2個碳原子。其他原 子數及其他原子類型,可以類似方式表示。 此處使用之用語“烷基”及字根“烷基(alk_),,包括 直鏈及分支鏈,及環狀基,即環烷基。環狀基可為單環或 多環,且於一些實施形態中,包含3至6個環碳原子。例 不之裱狀基,包括環丙基、環丁基、環戊基及環己基。1084-9596-PF 24 200848063 A group with an integer number of atoms in the range. For example, c y , ^ For example, an alkyl group ϊ to β carbon atoms 'includes Cl, C2, C3, C4, C=i; ® Γ Γ k and c6. The Ci-Cu heteroalkyl group includes, for example, in addition to one or more kinds of hetero atoms, including T T丨匕祜1 to i 2 carbon atoms. Other atomic numbers and other atom types can be represented in a similar manner. The term "alkyl" and radical "alk_", as used herein, includes both straight and branched chains, and cyclic groups, ie, cycloalkyl. The cyclic group may be monocyclic or polycyclic, and In some embodiments, it contains from 3 to 6 ring carbon atoms. Examples of the oxime group include cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl.

Ci-C6烷基”,意指具1至6個碳原子之分支或不分 支fe基團。Ci-C6烧基基團可為經取代或未經取代的。例示 之取代基包括烷氧基、芳氧基、硫氳基、烷硫基、芳硫基、 鹵素、羥基、氟烷基、全氟烷基、胺基、胺基烷基、雙取 代的胺基、四級胺基、羥基烷基、羧基烷基及羧基。Cl-c6 烷基包括但不限於:甲基、乙基、正丙基、異丙基、環丙基、 環丙基甲基、正丁基、異丁基、第2 丁基、第3 丁基及環 丁基。 “ C2-C6烯基”意指包含1個以上雙鍵及2至6個碳原 子之分支或不分支烴基團。C2-C6烯基可隨意地包括單環或 多環,其中,各環希望具3至6員環。該C2-C6烯基基團可 為經取代或未經取代的。例示之取代基包括烧氧基、芳氧 基、硫氳基、烷硫基、芳硫基、鹵素、羥基、氟烷基、全 氟烷基、胺基、胺基烷基、雙取代的胺基、四級胺基、羥 基烧基、緩基烧基及魏基。C2-C6烯基包括但不限於:乙烯 基,烯丙基、2-環丙基-1-乙烯基、卜丙烯基、卜丁烯基、 1084-9596-PF 25 200848063 2-丁婦基、3-丁烯基 稀基。 2-甲基-1 -丙烯基,及2-曱基-2-丙Ci-C6 alkyl" means a branched or unbranched fe group having 1 to 6 carbon atoms. The Ci-C6 alkyl group may be substituted or unsubstituted. The exemplified substituents include alkoxy groups. , aryloxy, thiol, alkylthio, arylthio, halogen, hydroxy, fluoroalkyl, perfluoroalkyl, amine, aminoalkyl, disubstituted amine, quaternary amine, hydroxy Alkyl, carboxyalkyl and carboxyl. Cl-c6 alkyl includes, but is not limited to, methyl, ethyl, n-propyl, isopropyl, cyclopropyl, cyclopropylmethyl, n-butyl, isobutyl , 2 butyl, 3 butyl and cyclobutyl. "C2-C6 alkenyl" means a branched or unbranched hydrocarbon group containing one or more double bonds and 2 to 6 carbon atoms. C2-C6 alkenyl Optionally, a monocyclic or polycyclic ring may be included, wherein each ring is desirably having a 3 to 6 membered ring. The C2-C6 alkenyl group may be substituted or unsubstituted. The exemplified substituents include alkoxy groups, aromatic groups. Oxygen, thiol, alkylthio, arylthio, halogen, hydroxy, fluoroalkyl, perfluoroalkyl, amine, aminoalkyl, disubstituted amine, quaternary amine, hydroxyalkyl , slow base burning and Wei The C2-C6 alkenyl group includes, but is not limited to, vinyl, allyl, 2-cyclopropyl-1-vinyl, propylene, butenyl, 1084-9596-PF 25 200848063 2-butyl Base, 3-butenyl group, 2-methyl-1 -propenyl group, and 2-mercapto-2-propane group

“ C 2 一 C 6 块篇:’,立 , A 思‘,包含1個以上參鍵及2至6個碳 j子之刀支或不分支烴基團。C2-C6炔基可隨意地包括單 %又%或參裱’其中,各環希望具5或6員環。該 炔基可為經取代或未經取代的。例示之取代基包括烷氧 基、芳氧基、硫氫基、燒硫基、芳硫基、齒素、經基、氟 =基、全氟烧基、胺基、胺基垸基、雙取代的胺基、四級 胺基經基烧基、竣基燒基及敌基。CrC6炔基包括但不限 於·乙快基、丙块基 3-丁炔基。 2-丙炔基、1-丁炔基、2-丁炔基及 C2—C6雜環基,,意指-穩定的5至7員單環或7至14員 雙壤雜環,其為飽和、部分不飽和或不飽和(芳香族),且 包括2至6個碳原子及卜2、3或4個獨立擇自於N、〇及 S之雜原子,並包括任意雙環基團,其中任意上述定義之 雜環稠合為-苯環。該雜環基基團可為經取代或未經取代 的。例示之取代基包括烧氧基、芳氧基、硫氫基、燒硫基、 芳硫基、函素、經基、氟烧基、全氣烧基、胺基、胺基烧 基、雙取代的胺基、四級胺基、㈣烧基、㈣垸基及叛 基。該氮及硫雜原子可隨意地經氧化。該雜環可以共價地 經任意雜原子或碳原子附著,造成穩定結才冓,例如二二坐 啉環可以連結於任一環碳原子位置或氮原子。雜環中之氮 原子,可以隨意地四級化。於一些實施形態,當雜環中之 s及〇原子總數超過丨,則此等雜原子彼此不鄰接。2環包"C 2 - C 6 block: ', stand, A think', containing more than one key and 2 to 6 carbon j-knife or non-branched hydrocarbon groups. C2-C6 alkynyl may optionally include a single %以上% or 参裱', wherein each ring is desirably having a 5 or 6 membered ring. The alkynyl group may be substituted or unsubstituted. The exemplified substituents include alkoxy, aryloxy, sulfhydryl, and Thio group, arylthio group, dentate, mercapto group, fluorine group, perfluoroalkyl group, amine group, amino group, amine group, quaternary amine group, thiol group, thiol group and The aryl group. The CrC6 alkynyl group includes, but is not limited to, a B-group, a propyl group, a 3-butynyl group, a 2-propynyl group, a 1-butynyl group, a 2-butynyl group, and a C2-C6 heterocyclic group, Means a stable 5 to 7 membered monocyclic ring or a 7 to 14 membered double soil heterocyclic ring which is saturated, partially unsaturated or unsaturated (aromatic) and includes 2 to 6 carbon atoms and 2, 3 or 4 heteroatoms independently selected from N, hydrazine and S, and including any bicyclic group, wherein any of the heterocyclic rings defined above is fused to a -benzene ring. The heterocyclyl group may be substituted or unsubstituted The exemplified substituents include alkoxy groups and aromatic groups. Base, sulfhydryl group, sulfur-sulfur group, arylthio group, hydroxyl element, mercapto group, fluoroalkyl group, all-gas alkyl group, amine group, amine group, disubstituted amine group, quaternary amine group, (four) a base, (d) a thiol group and a ruthenium group. The nitrogen and sulfur heteroatoms can be optionally oxidized. The heterocyclic ring can be covalently attached via any hetero atom or carbon atom, resulting in stable formation, for example, a di- ortho-position ring can be Linked to any ring carbon atom position or nitrogen atom. The nitrogen atom in the hetero ring can be arbitrarily quaternized. In some embodiments, when the total number of s and deuterium atoms in the heterocycle exceeds 丨, then the heteroatoms are not Adjacent. 2 ring package

1084-9596-PF 26 200848063 括但不限於:1H-吲唑、2-吡咯啶酮基、2H,6H-1,5, 2-二噻 唤基、2H-吼咯基、3H-吲哚基、4-呱啶酮基、4aH-味唑、 4H 0圭°秦基、-1,2,5-11¾ 一 σ秦基、σ丫咬基、π丫辛因基 (azocinyl)、苯苄咪唑基、苯并呋喃基、苯并硫呋喃基、 苯并硫苯基、苯苄禮吐基、苯苄嗟唾基、苯苄三唾基、苯 苄四唑基、苯苄異噁唑基、苯苄異噻唑基、苯苄咪唑酮基、 咔唑基、4aH-咔唑基、b-咔啉基、喷基(chromanyi)、喷烯 基(chromenyl)、cinnol inyl、十氫喹啉基、2H,6H-1,5,2- ' 二π塞噃基、二氫吱喃并[2,3-b ]四氫吱喃、n夫喃基、咬咕基' 咪唑啶基(imidazol idiny 1)、咪唑啉基、味峻基、iH-叫|。坐 基、假吲哚基(indoleny 1)、吲哚啉基、吲哚嗪基、吲哚基、 異苯并呋喃基、異喷基、異吲唑基、異吲哚啉基、異吲哚 基、異喧淋基、異嗔ϋ坐基、異。惡嗤基、嗎琳基、吩σ惡嗪基 (naphthyridinyl )、八氫異喹啉基、噁二唑基、1,2, 3-噁 二唑基、1,2, 4-噁二唑基、1,2, 5-噁二唑基、1,3, 4-噁二 嗤基、σ惡。坐°定基、°惡唾基、oxazolidinylperimidinyl、菲 σ定基(phenanthridinyl)、菲繞琳基(phenanthrolinyl)、 吩 °比唤基(phenarsaziny 1)、吩嗪基(phenaziny 1)、吩 σ塞口秦 基、吩嗟σ惡基(phenoxathiinyl)、 吩σ惡嗪基 (phenoxazinyl)、酞嗪基(phthalazinyl)、狐嗪基、。瓜口定 基、嗓11定基、狐°定酮基(piperidonyl)、4-17瓜咬酮基、嗓咬 基、σ票呤基、旅喃基、u比嗓基、σ比峻咬基、吼唆琳基、°比 σ坐基、塔17秦基、ϋ比咬并°惡嗤、吼咬并咪嗤、吼。定并喧唾、 吡啶基、吡啶基、嘧啶基、吡咯烷基、吡咯啉基、吡咯基、 1084-9596-PF 27 200848063 喹唑啉基、喹啉基、4H-喹嗪基、喹噁啉基、哏啶基、咔啉 基、四氫吱喃基、四氫異喹啉基、四氫喹啉基、 噻二嗪基、1,2, 3-噻二唑基、1,2, 4-噻二唑基、1,2, 5-噻 二唑基、1,3, 4-噻二唑基、噻蒽基(thianthrenyl)、噻唑 基、噻吩基、噻吩并噻唑基、噻吩并噁唑基、噻吩并咪唑 基、噻吩基、三嗪基、1,2,3-三唑基、1,2,4-三唑基、1,2, 5-二唑基、1,3,4-二嗤基、xanthenyl)於一些實施形態,5 至1 0員雜環包括但不限定於:吡啶基、嘧啶基、三唤基、 吱喃基、噻吩基、噻唑基、吡咯基、吡唑基、咪唑基、噁 唑基、異噁唑基、四唑基、苯并呋喃基、苯并硫呋喃基、 吲哚基、苯苄咪唑基、1吲唑基、噁唑啶基、異噁唑啶基、 苯并三唑基、苯苄異噁唑基、羥基吲哚基、苯并噁唑啉基、 噎啉基及異喹啉基。於一些實施形態,5至6員雜環,包 括但不限於吼啶基、嘧啶基、三嗪基、呋喃基、噻吩基、 塞σ坐基、σ比洛基、u瓜嘻基、狐σ定基、^比嗤基、味σ坐基、。惡 ϋ坐基、異嘆嗤基及四σ坐基。 芳基”係指芳香族基團,具有帶有共軛冗電子 之碳原子(例如:苯基)之環系統。該芳基基團具有6至i 2 個碳原子。芳基基團可選擇性包括單環、雙環或參環,其 中,各環較佳為5或6員環。該芳基基團可為取代或未取 代的。例示之取代基包括烷基、羥基、烷氧基、芳氧基、 硫氫基、烷硫基、芳硫基、鹵素、氟烷基、羧基、羥基烧 基、羧基烷基、胺基、胺基烷基、單取代的胺基、二取代 胺基及四級胺基基團。 1084-9596-PF 28 200848063 “ C?-M烷芳基”係指以一芳基基團(例如··苄美、苯乙 基或3, 4-二氣苯乙基)取代之烷基,具有7 ^ ,(至U個碳原子。 “Cm。烷雜環基”係指經烷基取代之除了一或多個雜 原子外,尚具有3至10個碳原子之雜環基團,(例如·3—呋喃 基甲基、2-呋喃基甲基、3一四氫呋喃基甲基或2_四氳呋喃 基甲基)。 “Ch雜烷基’’係指分支或未分支的除了卜2、3或4個 獨立地擇自於以下N、0、S及P所構成族群之雜原子以外, 尚具有1至7個碳原子之烷基、烯基或炔基基團。雜烷基, 包括但不限於三級胺、二級胺、醚、硫醚、醯胺、硫醯胺、 胺甲酸酯、硫胺甲酸酯、腙(hydrazones)、亞胺、磷雙酯、 氨基磷酸醋(phosphoramidates)、磺醯胺及雙硫化物。雜 烷基可選擇性地包括單環、雙環或參環,其中各環希望為3 至6員環。該雜烷基基團可為取代或未取代的。例示之取代 基包括烷氧基、芳氧基、硫氫基、烷硫基、芳硫基、_素、 羥基、氟烷基、全氟烷基、胺基、胺基烷基、二取代胺基' 四級胺基、經基烧基、羥基烷基、羧基烷基及羧基基團。1084-9596-PF 26 200848063 Includes but are not limited to: 1H-carbazole, 2-pyrrolidone, 2H, 6H-1,5,2-dithiacarbyl, 2H-fluorenyl, 3H-fluorenyl , 4-acridinone, 4aH-isoxazole, 4H 0 gu  Qin, 1, 2, 5-113⁄4 σ 秦 基, σ 丫 、, π 丫 octinyl, benzyl bromide Benzo, benzofuranyl, benzothiofuranyl, benzothiophenyl, benzethyl, benzathionyl, benzaltrisyl, benzethirazolyl, benzyl isoxazole, Benzylisothiazolyl, benzimidazolone, carbazolyl, 4aH-carbazolyl, b-carbolinyl, chromany, chromenyl, cinnol inyl, decahydroquinolyl, 2H,6H-1,5,2- 'di-π-s-decyl, dihydroindeno[2,3-b]tetrahydrofuran, n-folyl, acetoin-imidazol idiny 1 ), imidazolinyl, succinyl, iH-called | Sitting group, indoleny 1, porphyrin, pyridazinyl, fluorenyl, isobenzofuranyl, isopropenyl, isoxazolyl, isoindolyl, isoindole Basis, isoindole, heterosexual base, and different. Ruthenyl, morphinyl, naphthyridinyl, octahydroisoquinolinyl, oxadiazolyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl 1,2, 5-oxadiazolyl, 1,3,4-oxadidecyl, σ. Sitting on the base, ° sulphate, oxazolidinylperimidinyl, phenanthridinyl, phenanthrolinyl, phenarsaziny 1, phenaziny 1, phenazine嗟 恶 恶 恶 phen (phenoxathiinyl), phenoxazinyl, phthalazinyl, foxazinyl. Gualouding base, 嗓11 basal, piperidonyl, 4-17 melon ketone group, biting base, σ 呤 呤, 旅 基 base, u 嗓 base, σ 峻 峻 咬 base, 吼唆琳基,° ratio σ sit base, tower 17 Qin base, ϋ 咬 bite and 嗤 嗤 嗤 吼 吼 吼 吼 吼 吼 嗤 嗤 嗤 嗤 嗤 嗤 嗤 吼 吼 吼 吼喧 喧, pyridyl, pyridyl, pyrimidinyl, pyrrolidinyl, pyrrolinyl, pyrrolyl, 1084-9596-PF 27 200848063 quinazolinyl, quinolinyl, 4H-quinazinyl, quinoxaline , acridine, porphyrin, tetrahydrofuranyl, tetrahydroisoquinolinyl, tetrahydroquinolyl, thiadiazinyl, 1,2,3-thiadiazolyl, 1,2, 4 -thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, thianthrenyl, thiazolyl, thienyl, thienothiazolyl, thienooxazole Base, thienoimidazolyl, thienyl, triazinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 1,2,5-diazolyl, 1,3,4- Dimercapto, xanthenyl) In some embodiments, a 5- to 10-membered heterocyclic ring includes, but is not limited to, a pyridyl group, a pyrimidinyl group, a tripodyl group, a decyl group, a thienyl group, a thiazolyl group, a pyrrolyl group, a pyrazolyl group. , imidazolyl, oxazolyl, isoxazolyl, tetrazolyl, benzofuranyl, benzothiofuranyl, fluorenyl, benzimidazyl, 1-oxazolyl, oxazolidinyl, isoxazole Pyridyl, benzotriazolyl, benzylisoxazolyl, hydroxyindenyl, benzoic Oxazolinyl, porphyrinyl and isoquinolinyl. In some embodiments, a 5- to 6-membered heterocyclic ring includes, but is not limited to, an acridinyl group, a pyrimidinyl group, a triazinyl group, a furyl group, a thienyl group, a sigma group, a sigma-based group, a guar group, a fox sigma. Fixed base, ^ than sulfhydryl, taste σ sitting base. The scorpion sits on the base, the sigh base and the four sigma base. "Aryl" means an aromatic group having a ring system with a carbon atom (for example, a phenyl group) conjugated to a redundant electron. The aryl group has 6 to 2 carbon atoms. The aryl group may be optionally selected. The nature includes a monocyclic, bicyclic or cyclized ring wherein each ring is preferably a 5 or 6 membered ring. The aryl group may be substituted or unsubstituted. The exemplified substituents include alkyl, hydroxy, alkoxy, Aryloxy, sulfhydryl, alkylthio, arylthio, halogen, fluoroalkyl, carboxy, hydroxyalkyl, carboxyalkyl, amine, aminoalkyl, monosubstituted amine, disubstituted amine And a quaternary amine group. 1084-9596-PF 28 200848063 "C?-M alkaryl" means an aryl group (eg, benzyl, phenethyl or 3,4-dibenzene) Ethyl) substituted alkyl having 7 ^ , (to U carbon atoms. "Cm. alkane heterocyclyl" means having from 3 to 10 carbons in addition to one or more heteroatoms substituted by an alkyl group a heterocyclic group of an atom, (for example, 3-furylmethyl, 2-furylmethyl, 3-tetrahydrofuranylmethyl or 2-tetrahydrofurylmethyl). "Ch heteroalkyl" means Branch or An alkyl, alkenyl or alkynyl group having from 1 to 7 carbon atoms, in addition to the heteroatoms of the following N, 0, S and P groups, independently of the branch, 2, 3 or 4 Heteroalkyl, including but not limited to tertiary amines, secondary amines, ethers, thioethers, decylamines, thioguanamines, carbamates, carbamides, hydrazones, imines, phosphorus doubles Esters, phosphoramidates, sulfonamides and disulfides. Heteroalkyl groups may optionally include monocyclic, bicyclic or sulphonic rings, wherein each ring is desirably a 3 to 6 membered ring. It may be substituted or unsubstituted. The exemplified substituents include alkoxy, aryloxy, sulfhydryl, alkylthio, arylthio, _, hydroxy, fluoroalkyl, perfluoroalkyl, amine, Aminoalkyl, disubstituted amine 'quaternary amine', carbyl, hydroxyalkyl, carboxyalkyl and carboxyl groups.

Ci - 7雜烧基之例’包括但不限定於:甲氧基甲基及乙氧基乙 基。 “鹵素”係指溴、氯、碘或氟。 “氟烷基”係指經氟取代之烷基基團。 “全氟烧基”係指僅由碳及氟原子所構成之烷基基 團。 “羧基烧基”係指帶有式-(R)-COOH之化學結構,其Examples of the Ci - 7 miscellaneous group include, but are not limited to, methoxymethyl and ethoxyethyl. "Halogen" means bromine, chlorine, iodine or fluorine. "Fluoroalkyl" means an alkyl group substituted with fluorine. "Perfluoroalkyl" means an alkyl group consisting solely of carbon and fluorine atoms. "Carboxyl group" means a chemical structure having the formula -(R)-COOH, which

1084-9596-PF 29 200848063 中R係擇自於Cm烷基、ο ?烯基、C2 7炔基、雜環基、 C^2芳基、Ο-!4烷芳基、烷雜環基及Ci_?雜烷基。 ‘‘羥基烷基”係指帶有式—(R)-〇H之化學結構,其中R 係擇自於c"烷基、烯基、I·?炔基、CM雜環基、 芳基、C7-14烷芳基、C3-1G烷雜環基及Ch雜烷基。1084-9596-PF 29 200848063 wherein R is selected from Cm alkyl, o-alkenyl, C27 alkynyl, heterocyclyl, C^2 aryl, anthracene-!4 alkaryl, alkynyl and Ci_? heteroalkyl. ''Hydroxyalkyl" means a chemical structure having the formula -(R)-〇H, wherein R is selected from c"alkyl, alkenyl, I. alkynyl, CM heterocyclyl, aryl, C7-14 alkaryl group, C3-1G alkylene group and Ch heteroalkyl group.

烷氧基係指式_ 0R之化學取代基,其中R係擇自 於C"烷基、Cw烯基、心7炔基、6雜環基、Q十芳基、 O-M烧芳基、C3,烷雜環基或Ο ?雜烷基。 芳氧基係指式-0R之化學取代基,其中R為Ce ^ 芳基基團。 _ 6'12 “烷硫基”係指式—SR之化學取代基,其中R係擇自 於Ch烧基、C"烯基、c"炔基、C2 6雜環基、芳基、 C^4烧芳基、C3-H烷雜環基及Ci 7雜烷基。 “芳硫基”係指式_ SR之化學取代基,其中R為Ce 12 芳基基團。 _ “四級胺基,,係指式-(R)-N(R, )(R,,)(R,,,) 之化學取代基,其中R、R,、R,,及R,,,各獨立地, 為院基、烯基、炔基或芳基基團。R彳為―連結有四級胺 基氮原子作為取代基與其他部分之烷基基團。氮原子N共 價鍵結於烷基之4個碳原子及/或芳基基團,使得氮原子帶 以及申請專 本發明其他特徵及優點將由以下詳細敘述 利範圍而顯明。 【實施方式】Alkoxy means a chemical substituent of the formula _ 0R wherein R is selected from C" alkyl, Cw alkenyl, cardinyl alkynyl, 6 heterocyclyl, Q decaaryl, OM pyraryl, C3, Alkylheterocyclyl or anthracenealkyl. Aryloxy means a chemical substituent of the formula -0R wherein R is a Ce^aryl group. _ 6'12 "Alkylthio" refers to a chemical substituent of the formula -SR, wherein R is selected from the group consisting of Ch alkyl, C" alkenyl, c" alkynyl, C2 6 heterocyclyl, aryl, C^ 4 an aryl group, a C3-H alkane heterocyclic group and a Ci 7 heteroalkyl group. "Arylthio" refers to a chemical substituent of the formula _SR wherein R is a Ce12 aryl group. _ "Quaternary amine group, refers to a chemical substituent of the formula -(R)-N(R, )(R,,)(R,,,), wherein R, R, R, and R, , independently, is a decyl, alkenyl, alkynyl or aryl group. R 彳 is an alkyl group having a quaternary amine nitrogen atom as a substituent and other moieties. The four carbon atoms and/or aryl groups of the alkyl group, such as the nitrogen atomic band and other features and advantages of the invention, will be apparent from the following detailed description.

1084-9596-PF 30 200848063 本發明提供之化合物,當單獨或組合使用,能有效地 治療、預防或減輕神經退化性障礙。此處所述組合物、方 法及套組,可能有用於治療患有或有罹患多谷醯胺擴張障 礙例如HD之風險的病患。因此,對於已診斷為患有或有罹 患神經退化性障礙之病患,投予j、2、3或4種以上獨立 擇自於表1 a及1 b之該藥劑。隨意地,能採用該等藥劑之 類似物。於多谷醯胺擴張障礙之案例中,例如此投予可預 防或減慢神經惡化或死亡之速率。該藥劑預防或減慢神經 惡化或死亡之速率之能力,可歸功於例如其抑制造成疾病 之突變多谷醯胺蛋白質,例如Htt之能力。隨意地該病 患亦可接受其他治療療法。 於特定實施例,欲治療之該病患,被投予2種獨立 擇自么於表la及lb中任意藥劑,彼此在28天内,合計量足 以/U療、預防或減輕該神經退化性障礙。該等藥劑希望彼 在14天内♦又予’更佳為彼此在7天内投予,又更佳為彼 在24 J、日守内才又予,或甚至同時投予。視需要,2種藥劑 其中之一可以低劑量投予。 神經退化性障礙之診斷 此處所述方法及組合物,有用於治療任何已診斷為患 有或有羅患神經退化性障礙例如HD之病患。當欲預防神經 退化性障礙之發展之病患',可接受或不接受此種診斷。此 技咖領域之人將瞭解可於當有!個人由於存在】種以上風 險因子而為高風險’其可能曾實施標準測試或在曾無檢驗1084-9596-PF 30 200848063 The compounds provided by the present invention, when used alone or in combination, are effective in treating, preventing or ameliorating neurodegenerative disorders. The compositions, methods and kits described herein may be useful for treating patients at risk of developing or suffering from polystamine dilating disorders such as HD. Therefore, for patients who have been diagnosed with or suffering from neurodegenerative disorders, j, 2, 3 or 4 or more of the agents independently selected from Tables 1 a and 1 b are administered. Optionally, analogs of such agents can be employed. In the case of polyglutamine dilatation disorders, for example, this rate can prevent or slow the rate of neurological deterioration or death. The ability of the agent to prevent or slow the rate of neurological deterioration or death can be attributed, for example, to its ability to inhibit mutant polyglutamine proteins, such as Htt, which cause disease. Optionally, the patient can also receive other treatments. In a specific embodiment, the patient to be treated is administered two independent agents selected from Tables 1a and 1b, and within 28 days of each other, the total amount is sufficient to prevent, or alleviate, the neurodegenerative disorder. . These pharmacies hope that within 14 days ♦ they will be better placed within 7 days of each other, and even better if they are within 24 J, the Japanese Guardian, or even at the same time. One of the two agents can be administered in a low dose, as needed. Diagnosis of Neurodegenerative Disorders The methods and compositions described herein are useful for treating any condition that has been diagnosed as having or suffering from a neurodegenerative disorder such as HD. This diagnosis may or may not be accepted in patients who wish to prevent the development of neurodegenerative disorders. People in this technical field will know what to expect! Individuals are at high risk due to the presence of more than one risk factor. They may have implemented standard tests or have not tested

1084-9596-PF 31 200848063 下鑑別。 神、、、:退化性缽礙例如HD之診斷,可使用任意此技術領 域:已知的標準方法實施,例如此處所述者。用於診斷此 種F导礙之方法,例如敘述於美國專利號石馬6,奶,如及 6,21 0,9 7 0。HD可以藉由眘姑士 稽田貫施以方法而診斷及監控:例如遺 傳測試(例如將h 11其田中皮4 、 基因疋序並且測試是否存在經擴張的 CAG重複區域);神續璺的^ ^ r子的杈驗,例如測試肢體運動、反射 作用、眼運動、聽力戎单儉芬/+ ^ t刀次千衡及/或實施腦部影像檢查;評估 疾病家族史;或進行心理學或精神病學之訪談。能導致診斷 HD之症狀或改變的行為,包括例如侵略性、改變性傾向、 焦慮、冷漠、幻想、否認、抑鬱、抑制、沮喪、幻覺、煩 踪不安、躁狂症、重複,及缺乏知覺。 若實施遺傳測試且於hu基 c QO 土 u甲之CAG重稷數高於臨 界數,例如38,則病患可診斷為患有或有咖^ 重複數,通常與疾痣之阜细旅a α ^ ”、 、病之早期發作相關連。例如,針對該任 一夕谷醯胺擴張障礙,可使 便用類似的診斷方法。此外,可 使用运傳、精神病學及/或行 性障礙。 、以μ斷其他神經退化 治療藥劑 對於患有或有罹患神經退 效量之卜21早礙之病患’可投予有 3或4種以上獨立擇自於丰! η 1 該藥劑,俾治痕 , 、、a及1 b中任意 ’、 σ療、預防或減輕此一障礙。 於肋之情形’例如此處所述一藥 d T精由預防或減1084-9596-PF 31 200848063 Under identification. God, ,,: Degenerative disorders such as the diagnosis of HD can be performed using any of the technical fields known in the art, such as those described herein. Methods for diagnosing such F-guides are described, for example, in U.S. Patent No. 6, Shima 6, Milk, et al., 6, 21 0, 97. HD can be diagnosed and monitored by the method of careful application: such as genetic testing (for example, h 11 field epithelial 4, gene sequencing and testing for the presence of expanded CAG repeat regions); ^ r subtests, such as testing limb movements, reflexes, eye movements, hearing 戎 俭 / / / ^ ^ 次 及 及 and / or performing brain imaging examination; assessing family history of disease; or performing psychology or psychiatry Interview. Behaviors that can lead to the diagnosis of symptoms or changes in HD, including, for example, aggressiveness, altered sexual orientation, anxiety, apathy, fantasies, denials, depression, depression, depression, hallucinations, irritability, mania, duplication, and lack of perception. If a genetic test is carried out and the number of CAGs in the huji c QO soil is higher than the critical number, for example 38, the patient can be diagnosed as having or having a coffee repeat number, usually with a sputum. ^ ", , the early onset of the disease. For example, for any of the glutamate dilatation disorders, a similar diagnostic method can be used. In addition, transport, psychiatry and / or behavioral disorders can be used. Other neurodegenerative therapeutic agents for the treatment of patients with or with neurodegenerative effects can be administered with 3 or more independent choices from Yufeng! η 1 The agent, 俾治痕, , , a and 1 b any ', σ treatment, prevention or alleviation of this obstacle. In the case of ribs', for example, a drug d T sperm is prevented or reduced

1084-9596-PF 32 200848063 少Htt聚集,而抑制突變Ht 列於表U及lb之化合物成疾病之活性。 處所述任一方法、套組及 》了以用於此 類似物於此敘述。 了以使用於此處所述方法、 的治療㈣,包括參環抗抑腎;:5物之特定有效 农饥抑鬱劑、離子 (lonophore antibiotics)、大 " ” 蛛素又體協同劑、通道阻斷 劑、抗組織胺、選擇性血清素再吸收抑制劑(“SSRIs”)、 抗膽鹼樂物、PDE抑制劑’及雌激素調節 細敘述。 Γ肘又汁 參環抗抑鬱劑 參環抗抑鬱劑(TCAS)-般藉由抑制神經細胞回收神經 傳導因子,例如正腎上腺素、多巴胺或血清素而作用。似 可以用於治療神經退化性障礙。適用於此處所述方法、套 組及組合物之TCA,包括:例如莫沙平(am〇xapine)、阿米 替林(amitriptyline) 、BTCP氯化氫、氯米帕明 (clomipramine)(例如氣米帕明氣化氫)、地昔帕明 (desipramine)、dothiepin、多慮平(doxepin)、度洛西汀 (duloxetine)、氟西汀(fiuoxetine)氯化氫、馬來酸氟伏 沙明(fluvoxamine maleate)、7 -羥基莫沙平、8 —羥基莫 沙平、8 -羥基洛沙平、米帕明(imipramine)、 lof epramine、洛沙平(loxapine)(例如洛沙平琥珀酸_、 洛沙平氯化氫)、麥普替林(maprotiline)氯化氫、 norf luoxetine、去甲替林(nortripty 1 ine)(例如去甲替 1084-9596-PF 33 200848063 林氣化氫)、帕羅西汀(paroxetine)氯化氫、 protriptyl ine,舍曲林氯化氫、trimipramine 。 去甲替林(Nortriptyline) 去曱替林具以下結構:1084-9596-PF 32 200848063 Less Htt aggregation, while inhibiting mutant Ht compounds listed in Tables U and lb into disease activity. Any of the methods, kits and sets described herein are used herein for the purposes of this analog. Treatments used in the methods described herein (4), including Shenhuan anti-renal; 5 specific effective agricultural depression agents, lonophore antibiotics, large " arboreal synergists, channels Blockers, antihistamines, selective serotonin reuptake inhibitors ("SSRIs"), anticholinergic agents, PDE inhibitors, and estrogen regulation are described in detail. Elbow and juice ginseng antidepressants Antidepressants (TCAS) generally act by inhibiting the recovery of neurotransmitters such as norepinephrine, dopamine or serotonin from nerve cells. They may be used to treat neurodegenerative disorders. Suitable for methods, kits, as described herein. And TCA of the composition, including: for example, oxazepine (am〇xapine), amitriptyline, BTCP hydrogen chloride, clomipramine (eg, imipramine gasification hydrogen), desica Desipramine, dothiepin, doxepin, duloxetine, fiuoxetine hydrogen chloride, fluvoxamine maleate, 7-hydroxy oxapine, 8 - hydroxy oxapine, 8-hydroxyl Loxapine, imipramine, lof epramine, loxapine (eg loxapine succinic acid _, loxapine hydrogen chloride), maprotin (maprotiline) hydrogen chloride, norf luoxetine, nortripty Forest (nortripty 1 ine) (eg, formazan 1084-9596-PF 33 200848063 forest gasification hydrogen), paroxetine hydrogen chloride, protriptyl ine, sertraline hydrogen chloride, trimipramine. Nortriptyline (Nortriptyline) The following structure is used for the forest:

去甲替林之例示類似物,為:阿米替林 (amitriptyline)、莫沙平(amoxapine)、butriptyline、 氣米帕明(clomipramine)dothiepin、多慮平(doxepin)、 地昔帕明(desipramine)、8-羥基莫沙平、7-羥基莫沙平、 8-經基洛沙平、米帕明(imipramine)、iprind〇ie、 lof epramine、洛沙平(l〇xapine)、洛沙平琥珀酸鹽、洛沙 平氣化氣、麥普替林(mapr〇tiline) 、 mianserin 、 octripty1ine 、 opipramol 、 oxaprot i1i ne 、 protriptyl ine、trimipramine,及其醫藥上可接受之鹽(敘 述於例如美國專利號碼4, 933, 438及4, 931,435),此等為 參環抗抑鬱劑或藉由阻斷神經腎上腺素 (neuroepinephrine)運送而作用。去甲替林之類似物,亦 敛述於美國專利申請案公開號2〇〇5-〇〇8〇265之式pp。 離子載想抗生素(i〇noph〇re antibi〇tics)Exemplary analogs of nortriptyline are: amitriptyline, mosoxapine, butriptyline, clomipramine dothiepin, doxepin, desipramine ), 8-hydroxy oxapine, 7-hydroxy oxapine, 8-pyralfloxacin, imipramine, iprind〇ie, lof epramine, loxapine (l〇xapine), loxapine Succinate, loxapine gas, mapr〇tiline, mianserin, octripty1ine, opipramol, oxaprot i1i ne, protriptyl ine, trimipramine, and pharmaceutically acceptable salts thereof (described in, for example, US patents) Nos. 4, 933, 438 and 4, 931, 435), which are parasitic antidepressants or act by blocking the transport of neuroepinephrine. Analogs of nortriptyline are also described in U.S. Patent Application Publication No. 2〇〇5-〇〇8〇265. Ion-loaded antibiotics (i〇noph〇re antibi〇tics)

1084-9596-PF 34 200848063 離子載體破壞穿膜離子濃度梯度,此為細胞適當功能 及存活所必要,因此具抗生素性質。離子載體抗生素可以 用於治療神經退化性障礙。適用於此處所述方法、套組及 組合物之離子載體抗生素,包括例如:a 1 b〇r i x i n、抗生素 A204、抗生素χ2〇6、抗生素A32887、抗生素X-14766A、 beauvericin、calcimycine(亦稱為 A23187)、calixarene、 CCCP、綠原酸、化合物47, 224、化合物51,532、冠醚、 dianemycin、dinactin、2, 4-二硝基苯酚、N,N-二辛基癸 基曱基(亦稱為質子離子載體、etheromycin、 FCCP、gramicidin A、grisorixin、離子黴素(i〇n omyc in)、 isolasalocid A、K41、拉沙裡菌素(lasal〇cid)(A、B、C、 D及E因子’個別或其各種組合)、i〇nomyCin、 laidlomycin 、 lenoremycin 、 lysocellin 、馬杜黴素 (maduramicin)(例如 maduramicin 铵)、monactin、莫能 菌素(monensin) 、 mutalomycin 、 narasin 、 nigericin 、 nonactin (亦稱為銨離子載體 l)、4-nonadecylpyridine (亦稱為質子離子載體II)、鹽黴素(salinomycin)納、 semduramicin、 septamycin、 tetranactin、 tetronasin 、 trinactin,及纈氨黴素(valinomycin)。 馬杜擻素(maduramicin) 馬杜黴素具以下結構: 1084-9596-PF 35 2008480631084-9596-PF 34 200848063 The ionophore destroys the transmembrane ion concentration gradient, which is necessary for proper functioning and survival of the cells, and therefore has antibiotic properties. Ionophore antibiotics can be used to treat neurodegenerative disorders. Iophore antibiotics suitable for use in the methods, kits and compositions described herein, including, for example, a 1 b〇rixin, antibiotic A204, antibiotic χ2〇6, antibiotic A32887, antibiotic X-14766A, beauvericin, calcimycine (also known as A23187), calixarene, CCCP, chlorogenic acid, compound 47, 224, compound 51, 532, crown ether, dianemycin, dinactin, 2, 4-dinitrophenol, N,N-dioctylfluorenyl (also Known as proton ionophore, etheromycin, FCCP, gramicidin A, grisorixin, ionomycin (i〇n omyc in), isolasalocid A, K41, lasal〇cid (A, B, C, D and E factor 'individual or various combinations thereof', i〇nomyCin, laidlomycin, lenoremycin, lysocellin, maduramicin (eg maduramicin ammonium), monactin, monensin, mutalomycin, narasin, nigericin, nonactin (also known as ammonium ionophore l), 4-nonadecylpyridine (also known as proton ionophore II), salinomycin, semduramicin, septamycin, tetranactin, tetronasin, tr Inactin, and valinomycin. maduramicin maduramycin has the following structure: 1084-9596-PF 35 200848063

馬杜黴素類似物,包括其他上述所指聚醚抗生素。 大麻素受艘協同劑(Cannabin〇id Agonist) 大麻素受體協同劑,包括結構上相關於THC之物質族 群或、、5於大麻素受體(存在於大麻s sativa i/) 之例如diterpene C21化合物)之物質族群。大麻素受體 協同劑可以用於治療神經退化性障礙。適用於此處所述方 法、套組及組合物之大麻素受體協同劑,包括:例如 CP-55940、HU210、SR141716、SR144528、WIN55,212-2、 JWH-133、nabilone、levonantradol、marinol、sativex、 四氫大麻酚(tetrahydrocannabinol) (THC)及其類似物。 WIN 55, 212 - 2 WIN 55,212-2具以下結構:The maduramycin analogs include other polyether antibiotics as referred to above. Cannabinoid is a synergistic agent of Cannabin〇id Agonist, including a substance group structurally related to THC or 5, a cannabinoid receptor (present in cannabis s sativa i/) such as diterpene C21 The substance group of the compound). Cannabinoid receptor synergists can be used to treat neurodegenerative disorders. Cannabinoid receptor synergists suitable for use in the methods, kits and compositions described herein, including, for example, CP-55940, HU210, SR141716, SR144528, WIN55, 212-2, JWH-133, nabilone, levonantradol, marinol, Sativex, tetrahydrocannabinol (THC) and its analogues. WIN 55, 212 - 2 WIN 55,212-2 has the following structure:

1084-9596-PF 36 200848063 WIN 55, 212-2之類似物,包括CB1受體之配體及調節 因子(modulator),包括:SR 141716A;美國專利號碼 6,825,209之式(II)及(in);美國專利號碼5,596,106之 式(I)及(II);及美國專利號碼6,509,367之式(I)。 通道阻斷劑 通道阻斷劑為離子到複雜有機分子之化合物,其阻斷 離子經由離子通道流通。通道阻斷劑可用於治療神經退化 性障礙。適用於此處所述方法、套組及組合物之通道阻斷 劑,包括例如鈣通道阻斷劑及鈉通道阻斷劑。鈣通道阻斷 劑包括:例如二氫吡啶類(例如氨氯地平(aml〇dipine)(例 如苯磺酸氨氣地平);非洛地平(felodipine);拉西地平 (lacidipine);樂卡地平(lercanidipine);尼卡地平 (nicardipine);硝苯地平(nifedipine);尼莫地平 (nimodipine);尼索地平(nis〇idipine);及尼群地平 (nitrendipine));本基烧基胺(例如gaii〇pamii和維拉 帕米(verapamil ));苯並噻氮呼(例如地爾硫卓 (diltiazem));及其他藥劑,例如 BAPTA—AM;bepridil ; 鎂;及薄荷醇(menthol );及帕臘二酮(paramethadi〇ne)。鈉 通道阻斷劑,包括例如dibucaine (例如dibucaine氯化 氫);disopryamide ;達克羅寧(dyclonine)(例如達克羅 寧氣化氫);flecainide ;利多卡因(iid〇caine);美西 (mexiletine);莫雷西嘻(moricizine);苯妥英 (phenytoin);普魯卡因(procainamide);普羅帕酉同 (propafenone);奎尼丁(qUinidine)(例如奎尼丁 葡萄糖); 371084-9596-PF 36 200848063 WIN 55, an analog of 212-2, comprising a CB1 receptor ligand and a modulator, comprising: SR 141716A; US Patent No. 6,825,209 (II) and (in); U.S. Patent No. 5,596,106 (I) and (II); and U.S. Patent No. 6,509,367 (I). Channel Blockers Channel blockers are compounds of ions to complex organic molecules that block the passage of ions through the ion channel. Channel blockers can be used to treat neurodegenerative disorders. Channel blockers suitable for use in the methods, kits and compositions described herein include, for example, calcium channel blockers and sodium channel blockers. Calcium channel blockers include, for example, dihydropyridines (e.g., aml〇dipine (e.g., amlodipine besylate); felodipine; lacidipine; lercanidipine ( Lercanidipine); nicardipine; nifedipine; nimodipine; nis〇idipine; and nitrendipine; benzyl amide (eg gaii) 〇pamii and verapamil); benzothiazepines (eg diltiazem); and other agents, such as BAPTA-AM; bepridil; magnesium; and menthol; and prasedion (paramethadi〇ne). Sodium channel blockers, including, for example, dibucaine (eg, dibucaine hydrogen chloride); disopryamide; dyclonine (eg, drokonin hydrogenation); flecainide; lidocaine (iid〇caine); mexiletine ); moricizine; phenytoin; procainamide; propafenone; qunibin (eg quinidine glucose);

1084-9596-PF 200848063 及tocainide 0可能有用之雜 月b男用 < 頸外之通道阻斷劑,包括例如 拉西坦(levetiracetam)。1084-9596-PF 200848063 and tocainide 0 may be useful for miscellaneous men's < external cervical channel blockers, including, for example, levetiracetam.

Bepridi1Bepridi1

Bepridi 1具以下結構:Bepridi 1 has the following structure:

Bepridil之結構類似物’敘述於美國專利號碼 3,962,238之式(I)及化合物(1)-(6),及re3〇 577中之式 (I)。 抗組織胺 抗組織胺為阻斷組織胺作用之化合物。抗組織胺可用 於治療神經退化性障礙。抗組織胺之類別,包括: (1) 乙醇胺類(例如溴苯海拉明 (bromodiphenhydramine) 、 carbinoxamine 、氯馬斯汀 (clemastine) 、 dimenhydrinate 、 苯 海拉明 (diphenhydramine) 、 diphenylpyraline , 及 doxylamine); (2) 乙二胺類(例如 pheniramine、pyrilamine、 tripelennamine 及 triprolidine); (3) 吩口塞 口秦類(例如 diethazine、ethopropazine、 methdilazine (例如 methdilazine 氣化氫)、 promethazine、 thiethylperazine 及 trimeprazine); 1084-9596-PF 38 200848063 (4) 烧基胺類(例如阿伐司汀(acrivastine)、 brompheniramine 、 chlorpheniamine 、 desbrompheni ramine 、 dexchlorpheni rami ne 、 pyrrobutamine 及 triprolidine); (5) 派嗓類(例如 buclizine 、 西替利嗪 (cetirizine)、 chlorcyclizine、 cyclizine、 meclizine 、 hydroxyzine); (6 ) 旅口定類(例如阿司口米口坐(a s t: e m i z o 1 e)、 azatadine 、赛庚啶(cyproheptadine)、去氯雷他定 (des lor at adi ne)、非索非那定(fexofenadine)、氯雷他定 (loratadine)、酮替芬(ketotifen)、奥洛他定 (olopatadine) 、 phenindamine 及 特 非 那 丁 (terfenadine)); (7)非典型抗組織胺類(例如氮卓斯、汀 (azelastine)、卡巴斯汀(levocabastine)、 methapyrilene ,及 phenylphenyltoxamine)。 於此處所述方法、套組及組合物,可採用非鎮靜作用 及鎮靜作用之抗組織胺。可用於此處所述方法、套組及級 合物例示之抗組織胺,為非鎮靜作用抗組織胺,例如氯雷 他定(loratadine)及去氯雷他定(desl〇ratadine)。可用於 此處所述方法、套組及組合物之鎮靜作用抗組織胺,於此 敘述。可用於此處所述方法、套組及組合物例示之鎮靜作 用抗組織胺’例如azatadine,溴笨海拉明 (bromodiphenhydramine);馬來酸氯苯那敏 1084-9596-PF 39 200848063 钂 (chlorpheniramine);clemizole; 賽 庚口定 (cyproheptadine)(例如賽庚啶氯化氫);dimenhydr inate ; 苯海拉明(diphenhydramine);doxylamine;meclizine ;異 丙 嗪 (promethazine)( 例 如異 丙 嗪氣化 A);pyrilamine;thiethyl perazine;A tripelennamine ° 此處所述可適用於此處所述方法、套組及組合物之其 他抗 組織胺 , 為 阿伐司 汀 (acri vast ine); ahi stan; antazol ine (例如 antazol ine 填 i 酸鹽);息斯敏(astemizole);氮卓斯汀(azelastine)(例 如 氮卓斯 汀 氯 化 氫);bamipine;bepotastine;bietanautine;brompheniram ine (例如 brompheniramine maleate); carbinoxamine (例 如 carbinoxamine maleate);西替利嗪(cetirizine)(例如 西 替 利 嗪 氯 化 氫);cetoxime;chlorocyclizine;chloropyramine;chi orο 让611;(:111〇^116110又&1111116;桂利嗪((^1111&1^21116);氣馬斯汀 (clemastine)( 例 如 氯馬斯 汀 富 馬 酸);clobenzepam;clobenztropine;clocinizine;cyclizi ne (例 如 cycl izine 氣化氩;cycl izine lactate);deptropine;dexchlorpheniramine;dexchlorph eniramine maleate;dimebon, diphenylpyraline;多慮平 (doxepin);依巴斯汀(ebastine);embramine;emedastine (例如 emedastine di fumarate);依 匹斯汀 (epinast ine) ; etymeraazine 氯 4b 氮;It 索多_ fp 定 1084-9596-PF 40 200848063 (fexofenadine)(例如非索非那定氯化氫);氟桂利唤 (f lunar izine)氯化氫 (例如氟桂利唤氯化 氫 );hi stapyrrodine;homochlorcyclizine ( iH 如 homochlorcycl izine 二氣 4匕氫);hydroxyzine ( iH 士口 hydroxyzine 氣化氫 ;hydroxyzine pamoate);isopromethazine;i sothi pendy1;卡 巴斯汀 (1 evocabast ine)(例如卡巴斯汀氣化氫);mebhydrol ine (例如 mebhydro1ine 1,5-naphtha 1enedisu1fonate 鹽);mequitazine;raethafurylene;methapyrilene;methot rimeprazine;metron; 口米口坐 斯汀 (mizolastine);olapatadine (例 如奥 洛他定 (olopatadine)氣化氫);orphenadr i ne ; phen i ndami ne (例 如 phenindamine tartrate);pheniramine;phenyl toloxamine ( 例 如 phenyltoloxamine 檸檬酸鹽);pimei:hixene;對甲基苯海拉 明;pyrrobutamine;setastine;talastine;特非那 T (terfenadine);thenyldiamine;thiazinamium (例如 thiazinamiura 甲基硫酸酯);thonzylamine 氯化 氫;tolpropamine;triprolidine;及 tritoqualine 〇 可使用抗組織胺之結構類似物。抗組織胺類似物包括 但不限於:1 0-旅唤基丙基吩嗟嗪;4- ( 3- ( 2-氯吩嗟嗪-1 0-基)丙基)-1 -旅嗓乙醇二氯化氳;1— (10- (3- (4 -甲基 -1-哌嗪基)丙基)-10H-吩噻嗪-2 -基)-(9 Cl ) 1-丙酮;3-甲氧基賽庚啶;4- ( 3- ( 2-氯-10H-10-基)丙基)哌嗪-卜 1084-9596-PF 41 200848063 乙醇氣化氫;10,11 -二氫-5- (3- (4-乙氧基幾基-4 -笨 基旅嗪並)丙叉)-5H_二苯並(a,d) 環庚 烯;aceprometazine ; acetophenazine ; al imemazin (例如 al imeraazin 氯化氫);aminopromazine ;苯並口米 n坐· butaperazine ;carfenazine ;chlorfenethazine ;chl〇r midazole; cinprazole; 去 甲基息 斯 敏 (desraethylastemizole); 去 甲基賽 庚 啶 (desmethylcyproheptadine) ;diethazine ( 例 如 diethazine 氣化氫) ;ethopropaz i ne (例 如 ethopropazine氣化氫);2-(對溴苯基-(p,-曱苯酯) 曱氧基)_N,N-二甲基-乙基胺氯化氳;N,N -二曱基-2-(二 苯基甲氧基)-乙基胺甲基溴化 物4乂-10-542八;161161:11&21116;£叩『&2〇16;甲基10-(3-(4-甲基-1-旅嘻基)丙基)吩嗟嗪-2-基 酮 ;lerisetron;medrylamine; 美 索噠嗪 (mesoridazine);methyl promazine ; N -去甲基異丙 嗪 ;nilprazole; northioridazine; 奮乃靜 (perphenazine)(例如奮乃靜 enanthate ) ; 10-(3-二甲 基胺基丙基)-2-曱硫基-吩售唤;4-(二苯并 (b,e)thiepin-6(11H)-亞基)-1-曱基-哌啶氯化 氫;prochlorperazine;promazine;propiomazine (例如 propiomazine 氣化氫);rotoxamine;rupatadine;Sch 37370;Sch 434;tecastemizole;thiazinamium;thi〇pr〇pazate;甲硫 1084-9596-PF 42 200848063 達嗪(thioridazine)(例如曱硫達嗪氯化氫);及 3-(10,11-二氫-511-二苯并(3,(1)環庚烯-5-亞基)-托烧。 可適用之其他抗組織胺,為其他抗組織胺類似物, 為:AD-0261;AHR-5333;alinastine;arpr〇midine;ATI-19 00 0;bermast ine;bilastin;Bron-12;carebastine;chlorp henamine;clofurenadine;c〇rsym;DF-1105501;DF-11062; DF-1111301;EL-301;elbanizine;F-7946T;F-9505;HE-904 81;HE-90512;hivenyl;HSR-609;icotidine;KAA-276;KY-2 34;lamiakast;LAS-36509;LAS-36674;levocetirizine;le voproti1ine;metoclopramide;NIP-531;noberastine;oxa tomide;PR-881-884A;quisultazine;rocastine;selenoti fen;SK&F-94461;SODAS-HC;tagor izine;TAK-427;temelas tine;UCB-34742;UCB-35440;VUF-K-8707;Wy-49051 ; 及 ZCR-2060 〇 其他可能適當之抗組織胺類似物,敘述於美國專利號 碼:3, 956, 296; 4, 254, 1 29;4, 254, 130;4,282,833;4,283,4 08; 4, 362, 736;4, 394, 508;4, 285, 957;4, 285, 958;4, 440, 9 33;4, 51 0, 309;4, 550, 1 1 6;4, 692, 456;4, 742, 1 75;4, 833, 1 38;4, 908, 372;5, 204, 249;5, 375, 693;5, 578, 61 0;5, 581,0 11;5, 589, 487;5, 663, 41 2; 5, 994, 549;6, 201,124; 及 6, 458, 958。 氣馬斯江(clemastine) 氯馬斯汀具以下結構: 1084-9596-PF 43 200848063The structural analog of Bepridil' is described in formula (I) and compounds (1)-(6) of U.S. Patent No. 3,962,238, and formula (I) of re3〇577. Antihistamines Antihistamines are compounds that block the action of histamine. Antihistamines can be used to treat neurodegenerative disorders. Category of antihistamines, including: (1) ethanolamines (such as bromodiphenhydramine, carbinoxamine, clemastine, dimenhydrinate, diphenhydramine, diphenylpyraline, and doxylamine); (2) Ethylenediamines (eg, pheniramine, pyrilamine, tripelennamine, and triprolidine); (3) phenotypes of sputum (eg, diehazine, ethopropazine, methdilazine (eg, methdilazine hydrogenated hydrogen), promethazine, thiethylperazine, and trimeprazine); 1084 -9596-PF 38 200848063 (4) Alkylamines (eg, acrivastine, brompheniramine, chlorpheniamine, desbrompheni ramine, dexchlorpheni rami ne, pyrrobutamine, and triprolidine); (5) pyrenes (eg, buclizine, west) (cetirizine, chlorcyclizine, cyclizine, meclizine, hydroxyzine); (6) travel categorization (eg ast: emizo 1 e), azatadine, cyproheptadine, dechlorination Des lor at adi ne, fexofenadine (fexofe Nadine), loratadine, ketotifen, olopatadine, phenindamine and terfenadine; (7) atypical antihistamines (eg nitrogen Azelastine, levocabastine, methapyrilene, and phenylphenyltoxamine). For the methods, kits and compositions described herein, antihistamines which are non-sedating and sedative may be employed. The antihistamines exemplified for the methods, kits and compositions described herein are non-sedating antihistamines such as loratadine and desl〇ratadine. The sedative antihistamines useful in the methods, kits and compositions described herein are described herein. Sedative antihistamines such as azatadine, bromodiphenhydramine, which can be used in the methods, kits and compositions described herein; chlorpheniramine maleate 1084-9596-PF 39 200848063 钂 (chlorpheniramine) Clemizole; cyproheptadine (eg cyproheptadine hydrogen chloride); dimenhydr inate; diphenhydramine; doxylamine; meclizine; promethazine (eg promethazine gasification A); Pyrilamine; thiethyl perazine; A tripelennamine ° Other antihistamines suitable for use in the methods, kits and compositions described herein, are acri vast ine; ahi stan; antazol ine (eg Antazol ine); astemizole; azelastine (eg azelastine hydrogen chloride); bamipine; bepotastine; bietanautine; brompheniram ine (eg brompheniramine maleate); carbinoxamine (eg carbinoxamine maleate) ); cetirizine (eg cetirizine hydrogen chloride); cetoxime; chlorocyclizine; chloropyramine; chi orο let 611; (: 111〇^1 16110 &1111116; cinnarizine ((^1111&1^21116); clastastine (eg clemastine fumarate); clobenzepam; clobenztropine; clocinizine; cyclizi ne (eg cycl izine gas Cyclo izine lactate; deptropine; dexchlorpheniramine; dexchlorph eniramine maleate; dimebon, diphenylpyraline; doxepin; ebastine; embramine; emedastine (eg, emedastine di fumarate); Epinast ine) ; etymeraazine chloro 4b nitrogen; It Sodo _ fp Ding 1084-9596-PF 40 200848063 (fexofenadine) (eg fexofenadine hydrogen chloride); flurin izine hydrogen fluoride (eg fluclitis) Hydrogen chloride); hi stapyrrodine; homochlorcyclizine (iH such as homochlorcycl izine dihydrogen); hydroxyzine (iH hydroxyzine hydrogenated; hydroxyzine pamoate); isopromethazine; i sothi pendy1; 1 evocabast ine (eg Carbastine hydrogenation); mebhydrol ine (eg mebhydro1ine 1,5-naphtha 1enedisu1fonate salt); mequitazine; raethafurylene;methapyrilene;methot rimeprazine;me Tron; mizolastine; olapatadine (eg, olopatadine); orphenadr i ne ; phen i ndami ne (eg phenindamine tartrate); pheniramine; phenyl toloxamine (eg phenyltoloxamine citric acid) Salt);pimei:hixene;p-methylphenhydramine;pyrobutamine;setastine;talastine; terfenadine;thenyldiamine;thiazinamium (eg thiazinamiura methylsulfate); thonzylamine hydrogen chloride; tolpropamine; triprolidine; and tritoqualine Structural analogs that are resistant to histamine can be used. Antihistamine analogs include, but are not limited to, 10 - s-propyl propyl phenazine; 4- ( 3- ( 2-chlorophenoxazin-1 0-yl) propyl)-1 - 嗓 ethanol Barium chloride; 1-(10-(3-(4-methyl-1-piperazinyl)propyl)-10H-phenothiazine-2-yl)-(9Cl) 1-propanone; 3-A Oxycyproheptadine; 4-(3-(2-chloro-10H-10-yl)propyl)piperazine-b 1084-9596-PF 41 200848063 Hydrogenation of ethanol; 10,11-dihydro-5- (3-(4-ethoxydoxy-4-phenylidene))-5H-dibenzo(a,d)cycloheptene; aceprometazine; acetophenazine; al imemazin (eg al imeraazin hydrogen chloride) ;aminopromazine; benzoxanthene n. butaperazine; carfenazine; chlorfenethazine; chl〇r midazole; cinprazole; desraethylastemizole; desmethylcyproheptadine; diethazine (eg diethazine hydrogenated hydrogen) Ethopropaz i ne (eg ethopropazine hydrogenated hydrogen); 2-(p-bromophenyl-(p,-indolyl phenyl) decyloxy)_N,N-dimethyl-ethylamine ruthenium chloride; N, N-dimercapto-2-(diphenylmethoxy)-ethylamine Methyl bromide 4乂-10-542 VIII;161161:11&21116;£叩&2〇16; methyl 10-(3-(4-methyl-1-)-propyl) phen Leprozin-2-yl ketone; lerisetron; medrylamine; mesoridazine; methyl promazine; N-desmethylpromethazine; nilprazole; northioridazine; perphenazine (eg, perphenazine enanthate); 10-(3-dimethylaminopropyl)-2-indolethio-phenophene; 4-(dibenzo(b,e)thiepin-6(11H)-ylidene)-1-indenyl - piperidine hydrogen chloride; prochlorperazine; promazine; propiomazine (eg propiomazine gasification hydrogen); rotoxamine; rupatadine; Sch 37370; Sch 434; tecastemizole; thiazinamium; thi〇pr〇pazate; methyl sulfide 1084-9596-PF 42 200848063 Thioridazine) (e.g., hydrazine sulphate hydrogen chloride); and 3-(10,11-dihydro-511-dibenzo(3,(1)cycloheptene-5-ylidene)- torol. Other antihistamines that may be used are other antihistamine analogs: AD-0261; AHR-5333; alinastine; arpr〇midine; ATI-19 00 0; bermast ine; bilastin; Bron-12; carebastine; Henamine;clofurenadine;c〇rsym;DF-1105501;DF-11062;DF-1111301;EL-301;elbanizine;F-7946T;F-9505;HE-904 81;HE-90512;hivenyl;HSR-609;icotidine ;KAA-276;KY-2 34;lamiakast;LAS-36509;LAS-36674;levocetirizine;le voproti1ine;metoclopramide;NIP-531;noberastine;oxa tomide;PR-881-884A;quisultazine;rocastine;selenoti fen;SK&amp ; F-94461; SODAS-HC; tagor izine; TAK-427; temelas tine; UCB-34742; UCB-35440; VUF-K-8707; Wy-49051; and ZCR-2060 〇 other possible anti-histamines , described in U.S. Patent Nos.: 3, 956, 296; 4, 254, 1 29; 4, 254, 130; 4,282,833; 4,283,4 08; 4, 362, 736; 4, 394, 508; 4, 285, 957;4, 285, 958; 4, 440, 9 33; 4, 51 0, 309; 4, 550, 1 1 6; 4, 692, 456; 4, 742, 1 75; 4, 833, 1 38; 4, 908, 372; 5, 204, 249; 5, 375, 693; 5, 578, 61 0; 5, 581, 0 11; 5, 589, 487; 5, 663, 41 2; 5, 994, 549 ; 6, 201, 124; and 6, 458, 958. Clemastine Chloramastine has the following structure: 1084-9596-PF 43 200848063

ClCl

氣馬斯汀之結構類似物’敘述於英國專利號碼NO. 942152之式⑴,及美國專利號们,355,042之式(c)。 例示之氯馬斯、;丁類似物,包括甲基+[2,-(對氯 二苯甲氧基)-乙基]-哌啶;N-甲基_2_[2,—二苯曱氧基)_ 乙基]-哌啶;N_甲基-2-[2’ -(對溴一二苯甲氧基)一乙基]_ 哌啶;N-甲基_2-[2’ -(對氟_二苯甲氧基)一乙基]_哌 啶;N-曱基-2-[2 一(對甲基-二苯甲氧基)_乙基]_哌啶;N_ 曱基-2-[2’ -(對甲氧基z二苯甲氧基)乙基]_哌啶;N—曱 基-2-[2’ -甲基-二苯甲氧基)一乙基]一哌啶;N-甲基 -2-[2,-( α -甲基-對氣-二苯甲氧基)一乙基]—哌啶;N—甲 基-2-[2’ -( α -甲基-對溴-二苯曱氧基)一乙基]一哌啶;N — 甲基-2 - [2’ -(α -甲基-對曱基—二苯曱氧基)一乙基卜哌 啶;Ν-甲基-2-[2’ -(α -曱基-二苯甲氧基)一乙基]一吡咯 啶;Ν-甲基-2-[2’ -(α -曱基-對氯-二苯曱氧基)—乙基]一 吼咯啶;Ν-甲基-2-[2’ -( α -甲基-對溴—二苯甲氧基)一乙 基]-吡咯啶;Ν-曱基-2-[2’ -(α-對曱基-二苯甲氧基)一乙 基]-吼洛咬。 赛庚咬(cyproheptadine) 1084-9596-PF 44 200848063 赛庚啶具以下結構:The structural analog of the gas masting is described in the formula (1) of the British Patent No. 942152, and the formula (c) of the US Patent No. 355,042. Exemplary chloromass; butyl analogs, including methyl + [2,-(p-chlorodiphenylmethoxy)-ethyl]-piperidine; N-methyl_2_[2,-diphenyl fluorene () ethyl)-piperidine; N-methyl-2-[2'-(p-bromo-diphenylmethoxy)-ethyl]-piperidine; N-methyl-2-[2'- (p-fluoro-diphenylmethoxy)-ethyl]-piperidine; N-mercapto-2-[2-(p-methyl-diphenylmethoxy)-ethyl]-piperidine; N-decyl -2-[2'-(p-methoxyz-diphenylmethoxy)ethyl]-piperidine; N-mercapto-2-[2'-methyl-diphenylmethoxy)-ethyl] a piperidine; N-methyl-2-[2,-(α-methyl-p-oxy-diphenylmethoxy)-ethyl]-piperidine; N-methyl-2-[2'-( --methyl-p-bromo-diphenyl fluorenyloxy)-ethyl]-piperidine; N-methyl-2 - [2'-(α-methyl-p-fluorenyl-diphenyl fluorenyloxy) Ethyl piperidine; Ν-methyl-2-[2'-(α-mercapto-diphenylmethoxy)-ethyl]-pyrrolidine; Ν-methyl-2-[2'-(α - mercapto-p-chloro-diphenyl fluorenyloxy)-ethyl]-indolyl pyridine; hydrazine-methyl-2-[2'-(α-methyl-p-bromo-diphenylmethoxy)-B ]-pyrrolidine; Ν-mercapto-2-[2 - (Yue group of alpha] - diphenylmethoxy) monoethyl-yl] - Los roar bite. Cyproheptadine 1084-9596-PF 44 200848063 赛heptidine has the following structure:

賽庚啶之結構類似物,敘述於美國專利號碼 3, 014, 911。結構類似物亦以下結構式敘述:Structural analogs of cyproheptadine are described in U.S. Patent Nos. 3,014,911. Structural analogs are also described in the following structural formula:

Re R7 r A K9 β2, Βι 其中Ri、R2、R3、R4、R5、R6、R7及Rs各獨立地擇自於:Η、 Ci-6烧基、全鹵化之Ci-6烧基、OH、0Ci-6烧基、OCF3、SH、 SCh 烷基或 SCF3;Y 為 CH2、0、NH、S(0)〇-2、(CH2)3、(CH)2、 CH2〇、CH2NH、CHN或CH2S;A為一分支或不分支、飽和或單 飽和之烴鏈,包含1〜6個碳;R9為Η或Ch烷基;B!與B2擇 自於:H、全i化之Cl-6烧基、Cl-6烧基或Bl與B2、Bl及R9 或B2及R9結合在一起以形成一隨意地經取代的環。Re R7 r A K9 β2, Βι where Ri, R2, R3, R4, R5, R6, R7 and Rs are each independently selected from: Η, Ci-6 alkyl, perhalogenated Ci-6 alkyl, OH, 0Ci-6 alkyl, OCF3, SH, SCh alkyl or SCF3; Y is CH2, 0, NH, S(0)〇-2, (CH2)3, (CH)2, CH2〇, CH2NH, CHN or CH2S A is a branched or unbranched, saturated or monosaturated hydrocarbon chain containing 1 to 6 carbons; R9 is a ruthenium or a Ch alkyl group; B! and B2 are selected from: H, all-acidized Cl-6 The group, Cl-6 alkyl or Bl is combined with B2, Bl and R9 or B2 and R9 to form a randomly substituted ring.

EthopropazineEthopropazine

Ethopropazine具以下結構Ethopropazine has the following structure

1084-9596-PF 45 2008480631084-9596-PF 45 200848063

Ethopropazine之結構類似物,敘述於美國專利號碼 2, 6 0 7, 773。Ethopropazine之類似物,亦以如下结構式敛 述: (f^NRoR,Structural analogs of Ethopropazine are described in U.S. Patent No. 2,605,773. The analog of Ethopropazine is also referred to by the following structural formula: (f^NRoR,

其中Χι及X2獨立擇自於Η、鹵素、〇H、CN、n〇2、Ci-6;J^^ 或〇〇1-6烧基;11為0、1、2、3、4、5或6;及反112及^3為 Η或隨意地經取代的Ci-6烷基或R2及R3結合形成一環。 選擇性血清素回收抑制劑 此處敘述之方法、組合物及套組,可採用SSRI或其結 構或功能類似物。適當之 SSRI 可包括:莫沙平 (amoxapine);BTCP (例如 BTCP 氣化氫);西文氣胺 (cericlamine)(例如西文氯胺氯化氫));西普蘭 (citalopram)(例如西普蘭溴化氫);氯伏胺(ci〇voxaminey; 氰基 度琉平 (dothiepin); 達 泊 西 、;丁 (dapoxetine);dothiepin;度洛西汀(duloxetine);依地普 侖(escitalopram)(草酸依地普侖);費蒙斯丁 (femoxetine)(例如費蒙斯丁 氯化氫);fenfluramine (例 如fenfluramine氣化氫);氟西汀(fluoxetine)(例如氟西 汀氣化氫);氟伏沙明(f 1 uvoxam i ne)(例如氟伏沙明馬來 酸);伊福西汀(ifoxetine);吲達品(indalpine)(例如吲達 品氯化氫);茚洛秦(indeloxazine)(例如茚洛秦氣化氫); 1084-9596-PF 46 200848063 利托西 >丁 (litoxetine);metergoline;米那普命 (milnacipran)(例如米那普侖氯化氫);帕羅西汀 (paroxetine)(例如帕羅西汀氣化氫半水合物;帕羅西汀馬 來酸;帕羅西、汀甲石黃酸);pr〇tripty 1 ine 例如 protriptyline氯化氫);舍曲林(seri:raline)(例如舍曲 林氣化氫);他美曲林(tametraline)氣化氫;維啥琳 (vidualine);及齊美定(zime;ldine)(例如齊美定氯化氫)。 西文氣胺(Cericlamine) 西文氣胺具以下結構:Wherein Χι and X2 are independently selected from hydrazine, halogen, hydrazine H, CN, n 〇 2, Ci-6; J^^ or 〇〇 1-6 alkyl; 11 is 0, 1, 2, 3, 4, 5 Or 6; and the anti-112 and ^3 are hydrazine or optionally substituted Ci-6 alkyl or R2 and R3 combine to form a ring. Selective serotonin recovery inhibitors The methods, compositions, and kits described herein can employ SSRI or a structural or functional analog thereof. Suitable SSRIs may include: oxaoxapine; BTCP (eg BTCP gasification hydrogen); cericlamine (eg, chloramine hydrochloride); citalopram (eg citrate bromide) Hydrogen); chlorohydrin (ciothvoxaminey; cyanodol (dothiepin); dapoxet; dapoxetine; dothiepin; duloxetine; escitalopram (oxalic acid) Denotex); femoxetine (eg, Fermons hydrogen chloride); fenfluramine (eg, fenfluramine hydrogenation); fluoxetine (eg, fluoxetine hydrogenated); fluvoxamine (f 1 uvoxam i ne) (eg fluvoxamine maleic acid); ifoxetine; indalpine (eg, hydrogen chloride); indeloxazine (eg 茚洛秦) Hydrogenated hydrogen); 1084-9596-PF 46 200848063 ritoxine; litoxetine; metergoline; milnacipran (eg milnacipran hydrogen chloride); paroxetine (eg paroxetine) Hydrogen hemihydrate; paroxetine maleic acid; paroxetine, thiomethic acid ; pr〇tripty 1 ine eg protriptyline hydrogen chloride; sererin (seri: raline) (eg sertraline hydrogenated hydrogen); tametraline hydrogenated hydrogen; vidualine; and Qimei Zime; ldine (eg, zimididine hydrogen chloride). Cereclamine Western serotonin has the following structure:

西文氣胺之結構類似物為具有下式者·The structural analog of serotonin is as follows:

R!為 C!- 及其製藥上可接受之鹽,其中 Ch 烧基,R3 為 η、Cl_6 烷基、C2 6 5 至6個環碳原子之環烷基烷基、搞 有3至6個環碳原子之環烷基羰基 連結之氮原子形成一雜環,該雜環; C6烧基及R2為Η咬 6烯基、苯基烷基或具有[ 、燒醯基、苯基烷醯基或具 (基,或R2及Rs —起與其所 環以5至7個鏈連結飽和, 子之弟2雜原子、氧、硫 ,該雜環以5 此等可具有未直接連結在該氮原子之第R! is C!- and its pharmaceutically acceptable salts, wherein Ch is calcined, R3 is η, Cl_6 alkyl, C2 6 5 to 6 cycloalkylalkylcycloalkyl, 3 to 6 The nitrogen atom to which the cycloalkylcarbonyl group of the ring carbon atom is bonded forms a heterocyclic ring; the heterocyclic ring; the C6 alkyl group and R2 are a bite 6 alkenyl group, a phenylalkyl group or have a [, decyl group, phenylalkyl fluorenyl group Or having (base, or R2 and Rs - saturated with 5 to 7 chains attached to its ring, 2, a hetero atom, oxygen, sulfur, which may have no direct linkage to the nitrogen atom First

1084-9596-PF 47 200848063 或氮’後者的雜環基可能帶有c2_6烷基。 例不之西文氣胺結構類似物為· 2 —甲 τ I -2-胺義 - 3-(3,4-二氯苯基)—丙醇、2一戊基-2 一胺 " u4-二氣笨 基)-丙醇、2-甲基-2-甲基胺基-3-(3,4 —二氣笨基)_丙醇 2-甲基-2-二甲基胺基一3_(3,4一二氣苯基)_丙醇及任一 j 之醫藥上可接受之鹽。 者 西普蘭(ci talopram) 西普蘭具以下結構:1084-9596-PF 47 200848063 or nitrogen 'The latter heterocyclic group may carry a c2-6 alkyl group. An example of a serotonin structural analog is 2 -methyl hydrazine - 1 - ylamine - 3 - (3, 4-dichlorophenyl) - propanol, 2 - pentyl - 2 - amine " u4 -diqi-based)-propanol, 2-methyl-2-methylamino-3-(3,4-dioxa)-propanol 2-methyl-2-dimethylamino 3-(3,4-diphenylphenyl)-propanol and a pharmaceutically acceptable salt of any of j. Citrus (ci talopram) ceplane has the following structure:

西普蘭(citalopram)之結構類似物為具有下式者The structural analogue of citalopram is of the following formula

及其醫藥上可接受之鹽,其中各^及R2獨立地擇自於以下 所構成之知群:溴、氣、氟、三氟曱基、氰基及R — — 中尺為Ch烷基。 例不之西普蘭結構類似物(其為SSRI結構類似物And a pharmaceutically acceptable salt thereof, wherein each of R and R2 is independently selected from the group consisting of bromine, gas, fluorine, trifluoromethyl, cyano and R--the middle is a Ch alkyl group. An example of a cepac structure analog (which is an SSRI structural analog)

1084-9596-PF 48 200848063 為:1-(4’ -氟苯基)-1-(3-二曱基胺基丙基)一5-溴酞 烧;1-(4’ -氯笨基)-1-(3-二甲基胺基丙基)一 5-氯酞 烧;1-(4’ -溴苯基)-1 -(3-二曱基胺基丙基)一5-氯酞 烷;1-(4’ -氟苯基)-1-(3-二甲基胺基丙基)一5-氯酞 烧;1-(4 —氯苯基)-1 -(3-二曱基胺基丙基)一 5-三氟甲基- 酞烷;1-( 4’ -溴苯基)-1 -(3-二甲基胺基丙基)一 5-三氟甲 基-S太烧;1-(4 -氣本基-二曱基胺基丙基)-5-三氟》 甲基-酜烧;1-(4’ -氟苯基)-1 -(3-二甲基胺基丙基)-5-氟 酉太烧;1 -(4 -亂本基)-1 -(3-二甲基胺基丙基)-5-貌狀 烷;1-(4’ -氣苯基)-1 -(3-二甲基胺基丙基)- 5-酞烷曱 腈;1-(4’ -氟苯基)-1 -(3-二甲基胺基丙基)-5_酞烷甲 猜;1-(4 -乳基苯基)-1 -(3-二甲基胺基丙基)-5-S太烧甲 腈;1 -(4’ -氰基苯基)-1-(3-二甲基胺基丙基)- 5-氯酜 烧;1-(4’ -氰基苯基)-1-(3 -二曱基胺基丙基)-5-三氟甲 基酞烷;1_(4’ -氟苯基)-1-(3-二甲基胺基丙基)_5-酞烷 甲腈;1-(4’ -氣苯基)-1-(3-二甲基胺基丙)- 5-醯基酞 烧;1-(4-(氯苯基)-1-(3-二甲基胺基丙基)-5 -丙酿基®太嫁, 及其醫藥上可接受之鹽。 氱伏胺(clovoxamine) 氣伏胺具以下結構:1084-9596-PF 48 200848063 is: 1-(4'-fluorophenyl)-1-(3-didecylaminopropyl)-5-bromofluorene; 1-(4'-chlorophenyl) 1-(3-dimethylaminopropyl)- 5-chloroindole; 1-(4'-bromophenyl)-1 -(3-didecylaminopropyl)-5-chloroindole Alkane; 1-(4'-fluorophenyl)-1-(3-dimethylaminopropyl)-5-chloroindole; 1-(4-chlorophenyl)-1 -(3-diindole Aminopropyl)-5-trifluoromethyl-decane; 1-( 4 ' -bromophenyl)-1 -(3-dimethylaminopropyl)- 5-trifluoromethyl-S Too calcined; 1-(4-propenyl-didecylaminopropyl)-5-trifluoromethyl-methyl oxime; 1-(4'-fluorophenyl)-1 -(3-dimethyl Aminopropyl)-5-fluoroanthracene; 1-(4-heterobenzyl)-1 -(3-dimethylaminopropyl)-5-morpholidine; 1-(4'-gas Phenyl)-1 -(3-dimethylaminopropyl)- 5-decanecarbonitrile; 1-(4'-fluorophenyl)-1 -(3-dimethylaminopropyl)- 5_decane-method; 1-(4-mercaptophenyl)-1 -(3-dimethylaminopropyl)-5-S-tanning carbonitrile; 1-(4'-cyanophenyl) )-1-(3-dimethylaminopropyl)- 5-chloroindole; 1-(4' -cyanophenyl)-1-(3-didecylaminopropyl)-5-trifluoromethyldecane; 1-(4'-fluorophenyl)-1-(3-dimethylamino) Propyl)_5-decanecarbonitrile; 1-(4'-phenylphenyl)-1-(3-dimethylaminopropyl)-5-mercaptopurine; 1-(4-(chlorophenyl) )-1-(3-dimethylaminopropyl)-5-propyl-branched® too-married, and its pharmaceutically acceptable salts. Clovoxamine Aerosols have the following structure:

1084-9596-PF 49 200848063 氣伏胺之結構類似物為具有下式結構者1084-9596-PF 49 200848063 The structural analog of gas valency amine is the one having the following structure

及其製藥上可接欠之鹽,其中,Hal為氯、溴或氟基團,且 ㈣氰基'甲氧基、乙氧基、甲氧基甲基、乙氧基甲基、甲 氧基乙氧基或氰基甲基基團。 例示之氣伏胺結構類似物,為:4,—氯_5-乙氧基苯戊 酮〇-(2-胺基乙基)肟;4,—氣—5 — (2—甲氧基乙氧基)苯戊 酮〇-(2-胺基乙基)肟;4’ —氯-6—甲氧基苯己酮〇—(2一胺 基乙基)两;4’ -氯-6-乙氧基苯己酮〇-(2 -胺基乙基) 將;4’ -溴-5-(2-曱氧基乙氧基)苯戊酮〇-(2-胺基乙基) 肟;4’ -溴-5-甲氧基苯戊酮〇—(2_胺基乙基)肟;4,-氯 6-氣基本己3同0_(2_胺基乙基)蔣;4’ —氣—5 —氣基本戍嗣 〇 -(2-胺基乙基)肟;4,-溴-5-氰基苯戊_ 〇一(2-胺基乙基) 肪;及其醫藥上可接受之鹽。 費蒙斯丁(femoxetine) 費蒙斯丁具以下結構: 1084-9596-PF 50 200848063And pharmaceutically acceptable salts thereof, wherein Hal is a chlorine, bromine or fluorine group, and (iv) cyano 'methoxy, ethoxy, methoxymethyl, ethoxymethyl, methoxy Ethoxy or cyanomethyl group. An exemplary gas-floamine structural analog is: 4,-chloro-5-ethoxypentanone-(2-aminoethyl)anthracene; 4,-gas-5-(2-methoxyethyl) Oxy)phenylphenone oxime-(2-aminoethyl)anthracene; 4'-chloro-6-methoxybenzoxanone oxime-(2-aminoethyl) two; 4'-chloro-6- Ethoxy phenoxy ketone oxime-(2-aminoethyl) will be; 4'-bromo-5-(2-decyloxyethoxy) phenylpentanone oxime-(2-aminoethyl) hydrazine; 4'-bromo-5-methoxyphenanone oxime-(2-aminoethyl) hydrazine; 4,-chloro 6-gas is substantially hexane 3 with 0-(2-aminoethyl) jiang; 4'- Gas-5-gas basic 戍嗣〇-(2-aminoethyl) hydrazine; 4,-bromo-5-cyanophenylpenta- oxime (2-aminoethyl) fat; and its pharmaceutically acceptable Salt. Femoxetine Fermons Ding has the following structure: 1084-9596-PF 50 200848063

och3 費蒙斯丁結構類似物為具有下式者:The och3 Fermons structure analog is of the following formula:

其中,L代表一 Ci-6烷基或C2-6炔基基團,或一苯基基團隨意 地經取代以C!-6烷基、Cl-6烷硫基、C!-6烷氧基、溴、氣、氟、 硝基、醯基胺基、甲基磺醯基、亞曱基二氧基或四氳萘基, R2代表一 Cl-6烧基或C2-6快基基團’ 1?3代表氮、Cl-6烧基、Cl-6 烷氧基、三氟烷基、羥基、溴、氣、氟、曱基硫或芳烷氧 基。Wherein L represents a Ci-6 alkyl or C2-6 alkynyl group, or a phenyl group is optionally substituted with C!-6 alkyl, Cl-6 alkylthio, C!-6 alkoxy Base, bromine, gas, fluorine, nitro, decylamino, methylsulfonyl, fluorenyldioxy or tetradecylnaphthyl, R2 represents a Cl-6 alkyl or C2-6 fast radical '1?3 represents nitrogen, Cl-6 alkyl, Cl-6 alkoxy, trifluoroalkyl, hydroxy, bromo, gas, fluorine, mercaptosulfide or aralkyloxy.

S 例示之費蒙斯丁結構類似物揭示於美國專利號碼 3, 91 2, 743 的實施例 7-67。 I 西汀(fluoxetine) 氟西汀具以下結構:An exemplary Fermons structure analog of S is disclosed in Examples 7-67 of U.S. Patent No. 3,91 2,743. I fluoxetine fluoxetine has the following structure:

ch3 1084-9596-PF 51 200848063 氟西汀之結構類似物為具有下式之化合物:Ch3 1084-9596-PF 51 200848063 The structural analog of fluoxetine is a compound of the formula:

Γ^ι R1 其中各Rl獨立地為氫或甲基;R為 及其製藥上可接受之鹽 萘基或Γ^ι R1 wherein each R1 is independently hydrogen or methyl; R is a pharmaceutically acceptable salt thereof naphthyl or

=\^(R2)n (R3)m 其中各R2及R3獨立地為漠、氣、螽、—翁 夭氣亂二鼠甲基、Cl-6烷基、 CH烷氧基或C3-4烯基;及各立地為〇、丨或2。當^為 萘基,可為α-萘基或万—萘基。 例示之氟西汀結構類似物為3-(對異丙氧基苯氧 基)-3-苯基丙基胺甲烷磺酸酯、Ν,Ν一二甲基3 —(3,,4,一 二甲氧基苯氧基)-3-苯基丙基胺對羥基笨甲酸酯、Ν,Ν一二 甲基3(α -奈氧基)一3一苯基丙基胺溴、& ν一二甲基 3 (/5 ^氧基)- 3-苯基一 1-曱基丙基胺碘、3_ (2,—甲基 4 ,5 一氣笨氧基)-3-苯基丙基胺硝酸酯、3 —(對-第三 ,土本氧基)3-本基丙基胺戊二酸酯、ν一曱基3_(2,—氯一 對-甲苯基氧S ) —3-苯基+曱基丙基胺乳酸酯、 (2 ,4 一氣苯氧基)-3 -苯基-2-甲基丙基胺檸檬酸 ^ Ν’Ν 一甲基3-(間茴香基氧基)-3-苯基一1_甲基丙基胺 :來酸_、"基3 —(對甲苯基氧基)—3 —苯基丙基胺硫酸 酯、Ν,Ν-二甲基3一(2,,4,—二氟苯氧基)—3 一苯基丙基胺=\^(R2)n (R3)m wherein each of R2 and R3 is independently m, qi, 螽, 夭 夭 乱 二 鼠 鼠 鼠 methyl, Cl-6 alkyl, CH alkoxy or C3-4 olefin Base; and each site is 〇, 丨 or 2. When ^ is a naphthyl group, it may be an α-naphthyl group or a 10,000-naphthyl group. An exemplary fluoxetine structural analog is 3-(p-isopropoxyphenoxy)-3-phenylpropylamine methanesulfonate, hydrazine, decyldimethyl 3-(3,,4, one Dimethoxyphenoxy)-3-phenylpropylamine p-hydroxybenzate, hydrazine, hydrazine monodimethyl 3(α-naphthyl)-3-phenylpropylamine bromo, & ν-Dimethyl 3 (/5 ^oxy)-3-phenyl-l-mercaptopropylamine iodine, 3-(2,-methyl 4,5-oxyloxy)-3-phenylpropyl Amine nitrate, 3-(p-third, earth-based oxy) 3-propenyl propylamine glutarate, ν-mercapto 3_(2,-chloro-p-tolyloxy S)-3 Phenyl + mercaptopropylamine lactate, (2,4 monophenoxy)-3-phenyl-2-methylpropylamine citrate Ν'Ν monomethyl 3-(isanyloxy) 3-phenyl-1-methylpropylamine: acid _, "yl 3 - (p-tolyloxy)-3-phenylpropylamine sulfate, hydrazine, hydrazine-dimethyl 3-(2,4,-difluorophenoxy)-3 monophenylpropylamine

1084-9596-PF 52 200848063 2,4-二硝基苯曱酸酯、3-(鄰乙基苯氧基)-3-苯基丙基胺二 氫磷酸酯、N-甲基3-(2氯_4,-異丙基苯氧基)-3-苯基 -2-甲基丙基胺馬來酸酯、N,n一二甲基3一(2,—烧基一4,一 氟本氧基—苯基-丙基胺琥拍酸S旨、N,N -二甲基3-(鄰異 丙氧基苯氧基)-3-苯基-丙基胺苯基乙酸酯、N,N-二甲基 3-(鄰溴苯氧基)—3一苯基-丙基胺石-苯基丙酸酯、N-甲基 3 (對埃本氧基)—3-苯基-丙基胺丙酸g旨及甲基正 丙基苯氧基)-3-苯基—丙基胺癸酸酯。 伏沙明(fluvoxamine) 氟伏沙明具以下結構: 氟伏沙明之結構類似物 之式(I )。氟伏沙明夕41084-9596-PF 52 200848063 2,4-Dinitrobenzoate, 3-(o-ethylphenoxy)-3-phenylpropylamine dihydrogen phosphate, N-methyl 3-(2 Chloro-4,-isopropylphenoxy)-3-phenyl-2-methylpropylamine maleate, N,n-dimethyl 3-(2,-alkyl- 4,fluoro The present oxy-phenyl-propylamine succinic acid S, N,N-dimethyl 3-(o-isopropoxyphenoxy)-3-phenyl-propylamine phenyl acetate, N,N-Dimethyl 3-(o-bromophenoxy)-3-phenyl-propylamine-phenylpropionate, N-methyl 3 (p-Ebenyloxy)-3-phenyl -Propylpropionic acid g is intended to be methyl-n-propylphenoxy)-3-phenyl-propylamine phthalate. Fluvoxamine Fluvoxamine has the following structure: Structural analogue of fluvoxamine Formula (I). Flufusamine eve 4

氟伏沙明之結構類似物 敛述於美國專利號碼4, 085,225 ^類似物,亦以下式敘述:The structural analog of fluvoxamine is described in U.S. Patent No. 4,085,225 ^ analog, which is also described in the following formula:

及其醫藥上可接受之鹽 其中R為氰基、 氰基甲基、甲氧And a pharmaceutically acceptable salt thereof, wherein R is cyano, cyanomethyl or methoxy

1084-9596-PF 53 200848063 基甲基或乙氧基甲基。 0弓I達品(Indalpine) 吲達品具以下結構:1084-9596-PF 53 200848063 methyl or ethoxymethyl. 0 bow Indapine Indica has the following structure:

吲達品之結構類似物具有下式: A-(CH2)nThe structural analog of 吲达品 has the following formula: A-(CH2)n

或其醫藥上可接受之鹽,其中Rl為氫原子、Cl—c6烷基 基團或一芳烧基基團,其中該烷基具丨或2個碳原子、!^2為 氫、Ch烷基、Ch烷氧基或匕-6烷硫基、氯、溴、氟、三氟 甲基、石肖基、羥基或胺基,後者隨意地經取代以1或2個Ci 6 烧基、醯基基團或C!-6烷基磺醯基基團;a代表-c〇或-CH2-基團;及η為0、1或2。 例示之叫|達品(Indalpine)結構類似物有:吲哚基一3 (哌啶基-4甲基)酮;(甲氧基—5-吲哚基一3)(哌啶基一4甲基) 酮;(氣-5-吲哚基-3)(哌啶基-4甲基)_;(吲哚基—3)-i(哌 啶基-4)-3丙酮、吲哚基-3哌啶基—4酮;(甲基_丨吲哚基 - 3)(旅咬基—4甲基)酮、(苄基一 J吲哚基_3)(哌啶基一 4甲 基)明;[(甲氧基-5吲哚基-3)-2乙基]-哌啶、[(甲基一 i 吲°木基-3)-2乙基]-4-哌啶;[(吲哚基—3)_2乙基]-4哌啶; (吲哚基-3甲基)-4哌啶、[(氯-5吲哚基—3) 一 2乙基]-4哌 1084-9596-PF 54 200848063 ϋ疋;[(σ引σ朵基-b 3) - 3丙基]-4派cr定;[(节基-1 °引σ朵基 -3)-2乙基]-4派啶;及其任一之醫藥上可接受的鹽。 茚洛秦(Indeloxazine) 茚洛秦具以下結構:Or a pharmaceutically acceptable salt thereof, wherein R1 is a hydrogen atom, a Cl-c6 alkyl group or an arylalkyl group, wherein the alkyl group has a hydrazine or 2 carbon atoms, ^2 is hydrogen, Ch alkyl, Ch alkoxy or 匕-6 alkylthio, chloro, bromo, fluoro, trifluoromethyl, schlossyl, hydroxy or amine, the latter optionally substituted with 1 or 2 Ci 6 an alkyl group, a mercapto group or a C!-6 alkylsulfonyl group; a represents a -c〇 or -CH2- group; and n is 0, 1 or 2. Illustratively known as Indalpine structural analogs are: mercapto-3 (piperidinyl-4-methyl) ketone; (methoxy-5-fluorenyl-3) (piperidinyl-4) Ketone; (gas-5-mercapto-3)(piperidinyl-4methyl)-;(mercapto-3)-i(piperidinyl-4)-3acetone, fluorenyl- 3 piperidinyl-4 ketone; (methyl-mercapto-3) (Benyl-4-methyl) ketone, (benzyl-J-yl-3) (piperidinyl- 4-methyl) [(Methoxy-5-mercapto-3)-2ethyl]-piperidine, [(methyl-i 吲°木基-3)-2 ethyl]-4-piperidine; [( Mercapto-3(2)-2-ethyl]-4 piperidine; (mercapto-3methyl)-4 piperidine, [(chloro-5-mercapto-3)-2-ethyl]-4pipeline 1084- 9596-PF 54 200848063 ϋ疋;[(σ引σ朵基-b 3) - 3 propyl]-4 派克定;[(节基-1 °引σ基基-3)-2ethyl]- 4 pyridine; and any of its pharmaceutically acceptable salts. Indeloxazine has the following structure:

茚洛秦之結構類似物為具有下式者.·The structural analog of Luo Luo Qin is of the following formula.

’及其醫藥上可接受之鹽,其中1及R3各代表氫、Ch烷 基或苯基;R2代表氫、Ci6烷基C47環烷基、苯基或苄基; ( 虛線其中之一意指單鍵,其他意指雙鍵或其互變異構混合 例不之茚洛秦結構類似物,為:2-(7-茚基氧基甲 基異丙基嗎啉;4- 丁基-2-(7-茚基氧基甲基)嗎 琳;2-(7-節基氧基甲基)一4一甲基嗎啉;4-乙基一2一(7一茚基 氧土甲基)馬琳,2 — (7 一茚基氧基甲基)一嗎琳;2一(7 -茚基氧 基甲基)—4一丙基嗎啉;4-環己基-2-(7-茚基氧基曱基)嗎 琳’4-卞基-2-(7-茚基氧基曱基)一嗎啉;2一(7_茚基氧基甲 基)一4一本基嗎啉;2 — (4-茚基氧基甲基)嗎啉;2-(3-曱基-7-And its pharmaceutically acceptable salts, wherein 1 and R3 each represent hydrogen, Ch alkyl or phenyl; R2 represents hydrogen, Ci6 alkyl C47 cycloalkyl, phenyl or benzyl; (one of the dotted lines means a single a bond, the other means a double bond or a tautomeric mixture thereof, which is an analog of the ruthenium, which is: 2-(7-fluorenyloxymethylisopropylmorpholine; 4-butyl-2-() 7-fluorenyloxymethyl) morphine; 2-(7-nodaloxymethyl)-tetramethylmorpholine; 4-ethyl-1-2 (7-decyloxymethyl) Ma Lin , 2 — (7-fluorenyloxymethyl)-isoline; 2-(7-fluorenyloxymethyl)- 4-propylmorpholine; 4-cyclohexyl-2-(7-fluorenyloxy)曱 ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) (4-mercaptooxymethyl)morpholine; 2-(3-indolyl-7-

1084-9596-PF 55 200848063 - 2-(3-甲基-7-茚基氧基曱 4 -知基氧基曱基)嗎琳;4 一 茚基氧基甲基)-嗎琳;4〜異&基 基)嗎啉;4-異丙基-2-(3〜甲| 異丙基-2-(3-甲基_5-茚基董莫 土氣基甲基)嗎啉;4-異丙基 - 2-(1 -甲基-3 -苯基-6-節基轰莫 I基甲基)嗎琳;2 -(5 -茚基氧 基甲基)-4-異丙基-嗎琳, 茚基氧基曱基)一4-異丙基 嗎琳;及4 -異丙基-2-(3〜笨基- 6 -Ip基氧基甲基)嗎啉;及 任一之醫藥上可接受之鹽。1084-9596-PF 55 200848063 - 2-(3-Methyl-7-fluorenyloxyindole-4-knotyloxyindenyl)-lin; 4-mercaptooxymethyl)-Merlin; 4~ Iso & base) morpholine; 4-isopropyl-2-(3~-methyl | isopropyl-2-(3-methyl-5-fluorenyl-tert-methyl) morpholine; 4- Isopropyl-2-(1-methyl-3-phenyl-6-nodal benzyl group) phenanthrene; 2-(5-fluorenyloxymethyl)-4-isopropyl- 】, 茚 曱 曱 ) ) 一 一 4- 4- 4- 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及 及A pharmaceutically acceptable salt.

MetergolineMetergoline

Me ter go 1 ine具以下結構: οMe ter go 1 ine has the following structure: ο

敘述於美國專利號碼Narrated in US patent number

Metergoline之結構類似物 3,238,211 之式(I)。 米那普侖(Milnacipram) 米那普余具以下結構:The structural analog of Metergoline is 3,238,211 (I). Milnacipram Minapura has the following structure:

nh9 EtNh9 Et

米那普侖之結構類似物,為具有下式者 1084-9596-PF 56 200848063The structural analog of milnacipran is 1084-9596-PF 56 200848063

及其醫藥上可接受之鹽,其中各R獨立地代表氫、溴、 氣、氣、C1 - 6烧基、C1 - 6烧氧基、經基、确 及R2獨立地代表氫、C!-6烷基、芳基或 硝基或胺基;各I 或C7-H烧基芳基、 隨意地經溴、氣或氟取代的,較佳為對位取代,或者l及 h與相鄰的氮原子一起形成具有5 —6員環之雜環;匕及L 代表氫或C!-6烷基基團,或R3及R4與相鄰的氮原子形成5 硫及氧之一額外雜原 或6員雜環,可隨意地包含擇自氮、 子0 例示之米那普侖結構類似物為:丨—苯基丨―胺基幾基2一And a pharmaceutically acceptable salt thereof, wherein each R independently represents hydrogen, bromine, gas, gas, C1-6 alkyl, C1-6 alkoxy, thiol, and R2 independently represent hydrogen, C!- a 6 alkyl, aryl or nitro or amine group; each I or C7-H alkylaryl, optionally substituted by bromine, gas or fluorine, preferably para-substituted, or l and h adjacent The nitrogen atoms together form a heterocyclic ring having a 5- to 6-membered ring; 匕 and L represent a hydrogen or C!-6 alkyl group, or R3 and R4 form an additional impurity of 5 sulphur and oxygen with an adjacent nitrogen atom or 6-membered heterocyclic ring, optionally containing nitrogen, sub- exemplified milnacipran structural analog: 丨-phenyl hydrazine - amino group 2

基胺基甲基環丙烷;1-苯基1一乙基胺基羰基2一二甲基胺基 曱基環丙烷;1-苯基1-二乙基胺基羰基2一胺基甲基環丙 烷;卜苯基2-二甲基胺基甲基^(4,一氯苯基)環丙烷羧醯 胺;卜苯基2一二甲基胺基甲基N-(4,-氯苄基)環丙烷羧醯 胺;卜苯基2-二甲基胺基甲基N 一(2—苯基乙基)環丙烷羧醯 胺;(3, 4-二氯-:!-苯基)2-二甲基胺基甲基n,N一二甲基環丙 烧叛醯胺;1-苯基卜吡咯烷并羰基2 —嗎啉代甲基環丙烷;卜 對氯苯基1-胺基羰基2-胺基甲基環丙烷;卜鄰氯苯基卜胺 基羰基2-二甲基胺基甲基環丙烷;1_對羥基苯基卜胺基羰 基2-二甲基胺基甲基環丙烷;1—對硝基苯基卜二甲基胺基Aminomethylcyclopropane; 1-phenyl 1-ethylaminocarbonyl 2 -dimethylaminoguanidinocyclopropane; 1-phenyl 1-diethylaminocarbonyl 2 -aminomethyl ring Propane; phenyl 2-dimethylaminomethyl^(4,monochlorophenyl)cyclopropanecarboxamide; phenyl 2-dimethylaminomethylmethyl N-(4,-chlorobenzyl Cyclopropane carboxamide; phenyl 2-dimethylaminomethyl N-(2-phenylethyl)cyclopropane carboxamide; (3, 4-dichloro-:!-phenyl) 2 - dimethylaminomethyl n, N-dimethylcyclopropanol rebel; 1-phenylpyrrolidinocarbonyl 2-morpholinomethylcyclopropane; p-chlorophenyl 1-amino Carbonyl 2-aminomethylcyclopropane; o-chlorophenyl-aminocarbonyl 2-dimethylaminomethylcyclopropane; 1-hydroxy-p-hydroxyphenylaminocarbonyl 2-dimethylaminomethyl Cyclopropane; 1-p-nitrophenyl dimethylamino

1084-9596-PF 57 200848063 羰基2-二曱基胺基甲基環丙烷;1-對胺基苯基丨一二甲基胺 基羰基2-二甲基胺基甲基環丙燒;1 —對甲苯基卜甲基胺基 羰基2-二甲基胺基甲基環丙烷;1 —對甲氧基苯基卜胺基甲 基羰基2 -胺基甲基環丙燒;及其任一之醫藥上可接受的鹽。 帕羅西汀(Paroxetine) 帕羅西汀具以下結構:1084-9596-PF 57 200848063 carbonyl 2-didecylaminomethylcyclopropane; 1-p-aminophenyl hydrazine monodimethylaminocarbonyl 2-dimethylaminomethylcyclopropane; 1 — p-Tolylmethylaminocarbonylcarbonyl 2-dimethylaminomethylcyclopropane; 1-p-methoxyphenyl-aminomethylcarbonyl 2-aminomethylcyclopropane; and any of them Acceptable salt. Paroxetine Paroxetine has the following structure:

帕羅西汀之結構類似物為具有下式者·The structural analog of paroxetine is of the following formula.

’其中Ri表示氫、隨意地經取代的 匕的Cw烯基或隨意地經取代的c2_6 1的Cl-6烧基、C2-6烯基、C2-6炔基、 「基;X為任意_素且可在任意可得 帕羅西汀類似物可使用立體化學混 及其醫藥上可接受之鹽,其中1表 C!-6烷基、隨意地經取代的Cw烯道 炔基;R2為隨意地經取代的Cl 6烷基、 之例示值為隨意地經取代的'wherein Ri represents hydrogen, optionally substituted Cw alkenyl, or optionally substituted c2_6 1 Cl-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, "base; X is arbitrary" And optionally, the paroxetine analog can be used in stereochemical mixing with a pharmaceutically acceptable salt thereof, wherein 1 is C!-6 alkyl, optionally substituted Cw alkynyl; R2 is optionally The substituted C 6 alkyl group, the exemplified value is optionally substituted

國專利號碼6, 90 0, 327之式(!)。 C2-C6-雜環基或Ce-Cu芳基;X為任^ 的位置;及Y為〇或S。帕羅西>、丁類a 合物或立體化學上純形式。R2之例方 1,3 -本并二噁嗤。帕羅西汀類似物, 3, 912, 743之式(I)及實施例 r 例示之帕羅西汀類似物為·The national patent number 6, 90 0, 327 (!). C2-C6-heterocyclic or Ce-Cu aryl; X is the position of any ^; and Y is 〇 or S. Parox>, a butyl complex or a stereochemically pure form. R2's example 1,3 - this is not a bad. Paroxetine analog, 3, 912, 743 Formula (I) and Example r The exemplary paroxetine analog is

1084-9596-PF 58 200848063 反式-4-(-4-氟苯基)-3-(3,4-亞甲基二氧基苯氧基甲 基)-1-乙基旅°定;(-)-反式_4-(-4-氟1苯基)-3-(3,4-亞甲 基二氧基苯氧基曱基)-1-丙基旅σ定;(-) -反式- 4- (- 4-氟苯 基)-3-(3,4-亞曱基二氧基苯氧基甲基)-1 -丁基哌啶氯化 氫;(-)-反式-4-( - 4 -氟苯基)-3 -(3,4-亞曱基二氧基苯氧 基甲基)-1-辛基哌啶;(-)-反式-4-(-4-氟苯基)-3-(3,4-亞甲基二氧基苯氧基甲基)-1-異戊基哌啶;反式 -4-(-4-氟苯基)-3-(3, 4-亞甲基二氧基苯氧基甲 基)-1-(4 -苯氧基丁基)派°定; 反式-4-( - 4 -氟苯基)-3-(3,4-亞甲基二氧基苯氧基甲 基)-1-己基哌啶;(-)-反式-4-(-4-氟苯基)-3-(3, 4-亞甲 基二氧基苯氧基曱基)-1-(3 -苯基丙基)旅σ定;(-) -反式 - 4-(-4-氟苯基)-3-(3,4-亞甲基二氧基苯氧基甲 基)-1-(2-乙基己基)-11 辰σ定;(-)-反式_4-(_4- 苯 基)-3-( 3, 4-亞甲基二氧基苯氧基曱基)-1 -(3, 3-二甲基丁 基)-哌啶;(-)-反式_4-(-4-氟苯基)-3-(3,4-亞甲基二氧 基苯氧基甲基)-1_環己基"旅σ定;(-) -反式-4-(-4-敗苯 基)-3-(3,4-亞甲基二氧基苯氧基甲基)-1-庚基-派11定 氣化氫;(-)-反式-4-(-4-氟苯基)-3-(3,4-亞甲基二氧基 苯氧基曱基)-1-環戊基-哌啶;反式-4-(-4-氟苯基)-3 -(3,4-亞甲基二氧基苯氧基甲基)-1-稀丙基-旅σ定;(-) -反 式一 4-(-4 -默苯基)-3-(3,4-亞甲基二氧基苯氧基甲基)-1 -環丙基曱基哌啶;(-)-反式-4-(-4-氟苯基)-3-(3, 4-亞甲 基二氧基苯氧基曱基)-1-環庚基-哌啶;(-)-反式-4-(-4 - 1084-9596-PF 59 200848063 敗苯基)-3-(3, 4 -亞曱基二氧基苯氧基甲基)-1-(2 -乙氧基 乙基)-旅σ定;(-)-反式_4-(-4 -氣苯基)-3-(3,4-亞甲基二 氧基苯氧基甲基)-1-(2-甲氧基甲基)-哌啶;(-)-反式 -4 - (- 4 -獻苯基)- 3 - (3,4-亞曱基二氧基苯氧基甲 基)-1-(2-反式-丁烯基)-哌啶;(-)-反式-4-(-4-氟苯 基)-3-( 3, 4-亞甲基二氧基苯氧基甲基)-1-( 3-丁烯基)-哌 啶;(-)-反式-4-(-4-氟苯基)-3-(3, 4-亞甲基二氧基苯氧 基甲基)-1 -(5-己烯基哌啶;(-)-反式-4-(-4-氟苯 基)-3-(3,4-亞甲基二氧基苯氧基甲基)-1-(4-戊烯基)-哌 σ定;(-)-反式-4-(-4-氟苯基)- 3-(3,4 -亞甲基二氧基苯氧 基甲基)-1-( 3-甲基-丁烯基)-哌啶;順式-4-(-4-氟苯 基)-3-(3, 4-亞甲基二氧基苯氧基甲基)-1-戊基哌啶;(-)-反式-1-丁基- 4-(4 -氟苯基)- 3-(4 -甲氧基苯氧基-甲基)-哌啶;(-)-反式-1-丙基-4-(4-氟苯基)-3-(4-甲氧基苯氧 基-曱基)-旅σ定氯化氫;反式-1-乙基-4-(4-敗苯 基)-3-(4-曱氧基苯氧基-甲基)-哌啶;反式-異丙基 -4-(4-氟苯基)-3-(4-甲氧基苯氧基-甲基)-哌啶;(-)-反 式- l-(2-(4 -甲氧基苯氧基乙基))-4 -(4-IL苯基)-3-(4 -甲 氧基苯氧基曱基)-哌啶;(-)-反式-卜戊基-4-(4-氟苯 基)-3-(4-甲氧基苯氧基-曱基)-哌啶;反式_1-庚基 -4-(4-氟苯基)-3-(4-甲氧基苯氧基-甲基)-哌啶;(-)-反 式-1-環己基-4-(4-敗苯基)-3 -(4 -甲氧基-苯氧基曱基)-°底°定;反式-1_丙基- 4- (4 -氟苯基)·~3-(4 -第三丁基苯氧基-曱基)_ΐΙ底σ定;反式-1-乙基-4-(4 -氟苯基)-3-(4 -第三丁基 1084-9596-PF 60 200848063 苯氧基:基)-哌啶;反式+丁基+ (4—氣笨基)—3一(4—第 三丁基苯氧基曱基)—㈣;㈠反式3 —(2—環己基苯氧基甲 基)—4-U-氟苯基)—丨―甲基—哌啶;反式4-(4—氟苯基)—卜 曱基-3-(5, 6, 7, 8,-四氫2-萘氧基甲基)-哌啶;反式 3一(4一节氧基苯氧基甲基)一4一(4-氟苯基)-卜甲基哌啶;L 式3-(4-节氧基一3一甲氧基苯氧基甲基)+㈠一氣苯基 甲基旅啶;…一(4'氟苯基)+甲基—3 —(2 —萘氧基甲基)— 哌啶;反式3-(2-環己基苯氧基甲基)—4 —(4—氟苯基)—哌啶; j式3-(4-节氧基苯氧基甲基)—4—苯基哌啶;反式4-(4一氟 苯基)-3-(5, 6, 7, 8,-四氫_2-萘氧基甲基)一哌啶;反式 3 (4苄氧基苯氧基甲基)_4_(4_氟苯基)—哌啶;(―)-反式 3 (2本并嗟ϋ坐基硫甲基)—4_(4-氟苯基)—派^定;(_)-反式 4-(4-氟苯基)-3 —(2_萘氧基甲基)—哌啶;(―)反式3-(2一環 己基苯氧基甲基)—4-(4—氟苯基)—卜戊基哌啶;(+ /-)反式 3-(4-节氧基苯氧基甲基)—卜戊基—4—苯基哌啶;(+ / —)反式 1 -烯丙基-3-(4-苄氧基苯氧基甲基)—4-苯基哌啶;(-)反式 3-(4-M乙氧基苯氧基甲基)—卜戊基—4—苯基哌啶;(―)反式 1-稀丙基-3-(4-曱氧基苯氧基甲基)一4-苯基哌啶;(+ )反式 3- (4-M乙氧基苯氧基甲基)-卜戊基—4—苯基哌啶;(+ )反式 1-烯丙基-3-(4-甲氧基苯氧基曱基)一4-苯基哌啶;(-)反式 4- (4-氟苯基卜卜戊基一3一(5, 6, 7, 8一四氫_2_萘氧基曱基)一 定;)反式3-(2-苯并噻唑基硫甲基)—4_(4-氟苯基)一卜 戍基旅唆;(-)反式4-(—氟苯基)—3 —(2—萘氧基曱基卜丨一戊 基旅咬;(-)反式1 —丁基-4-(4—氟苯基)-3-(5, 6, 7, 8—四氫1084-9596-PF 58 200848063 trans-4-(-4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-ethyl british; -)-trans_4-(-4-fluorolphenyl)-3-(3,4-methylenedioxyphenoxyindolyl)-1-propylbend sigma; (-)- Trans-4-(4-fluorophenyl)-3-(3,4-ylidenedioxyphenoxymethyl)-1-butylpiperidine hydrogen chloride; (-)-trans-4 -( - 4 -fluorophenyl)-3 -(3,4-ylidenedioxyphenoxymethyl)-1-octylpiperidine; (-)-trans-4-(-4- Fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-isopentylpiperidine; trans-4-(-4-fluorophenyl)-3-( 3, 4-methylenedioxyphenoxymethyl)-1-(4-phenoxybutyl)pyridine; trans-4-(-4-fluorophenyl)-3-(3) , 4-methylenedioxyphenoxymethyl)-1-hexylpiperidine; (-)-trans-4-(-4-fluorophenyl)-3-(3,4-methylene Dioxyphenoxyindenyl)-1-(3-phenylpropyl) brigade; (-)-trans-4-(-4-fluorophenyl)-3-(3,4-ya Methyldioxyphenoxymethyl)-1-(2-ethylhexyl)-11 yttrium; (-)-trans _4-(_4-phenyl --3-(3,4-Methylenedioxyphenoxymethyl)-1 -(3,3-dimethylbutyl)-piperidine; (-)-trans-_4-(- 4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1_cyclohexyl"Brigade sigma; (-)-trans-4-(-4- Depleted phenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-heptyl-pie 11 hydrogenated gas; (-)-trans-4-(-4- Fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-cyclopentyl-piperidine; trans-4-(-4-fluorophenyl)-3 (3,4-Methylenedioxyphenoxymethyl)-1-dipropyl-Brigade sigma; (-)-trans-4-(-4-merylphenyl)-3-(3 , 4-methylenedioxyphenoxymethyl)-1-cyclopropylhydrazine piperidine; (-)-trans-4-(-4-fluorophenyl)-3-(3, 4 -methylenedioxyphenoxymercapto)-1-cycloheptyl-piperidine; (-)-trans-4-(-4-1084-9596-PF 59 200848063 phenyl)-3- (3,4-]-indenyldioxyphenoxymethyl)-1-(2-ethoxyethyl)-Brigade sigma; (-)-trans-_4-(-4-gas phenyl --3-(3,4-Methylenedioxyphenoxymethyl)-1-(2-methoxymethyl)-piperidine; (-)- 4-(4- 4 -phenylene)- 3 - (3,4-decylenedioxyphenoxymethyl)-1-(2-trans-butenyl)-piperidine; -)-trans-4-(-4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-(3-butenyl)-piperidine; (-)-trans-4-(-4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1 -(5-hexenylpiperidine; -)-trans-4-(-4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-(4-pentenyl)-piperidine (-)-trans-4-(-4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-(3-methyl-butenyl) - piperidine; cis-4-(-4-fluorophenyl)-3-(3,4-methylenedioxyphenoxymethyl)-1-pentylpiperidine; (-)- Trans-1-butyl-4-(4-fluorophenyl)-3-(4-methoxyphenoxy-methyl)-piperidine; (-)-trans-1-propyl-4 -(4-fluorophenyl)-3-(4-methoxyphenoxy-indenyl)-Brigade sedative hydrogen chloride; trans-1-ethyl-4-(4-phenylene)-3- (4-decyloxyphenoxy-methyl)-piperidine; trans-isopropyl-4-(4-fluorophenyl)-3-(4-methoxyphenoxy-methyl)- Piperidine (-)-trans- l-(2-(4-methoxyphenoxyethyl))-4 -(4-ILphenyl)-3-(4-methoxyphenoxyfluorenyl) - piperidine; (-)-trans-p-pentyl-4-(4-fluorophenyl)-3-(4-methoxyphenoxy-indolyl)-piperidine; trans-_1-g 4-(4-fluorophenyl)-3-(4-methoxyphenoxy-methyl)-piperidine; (-)-trans-1-cyclohexyl-4-(4-phenylene) ))-3-(4-methoxy-phenoxyindenyl)-° bottom; trans-1_propyl-4-(4-fluorophenyl)·~3-(4 - third Butylphenoxy-fluorenyl) ΐΙ σ ; ;; trans-1-ethyl-4-(4-fluorophenyl)-3-(4-tributyl 1084-9596-PF 60 200848063 phenoxy Base: phenyl)-piperidine; trans + butyl + (4-air phenyl) - 3 - (4-t-butyl phenoxy fluorenyl) - (d); (a) trans 3 - (2-cyclohexyl) Phenoxymethyl)-4-U-fluorophenyl)-indole-methyl-piperidine; trans 4-(4-fluorophenyl)-diphenyl-3-(5, 6, 7, 8,- Tetrahydro-2-naphthyloxymethyl)-piperidine; trans 3-(4-oxophenoxymethyl)-tetra-(4-fluorophenyl)-bu-methylpiperidine; L-form 3-( 4-hydroxyl-3-methoxyphenoxymethyl)+(1)-benzene Methyl pyridine; (1,4'fluorophenyl)+methyl-3-(2-naphthyloxymethyl)-piperidine; trans 3-(2-cyclohexylphenoxymethyl)-4 -(4-fluorophenyl)-piperidine; j-form 3-(4-phenoxyphenoxymethyl)-4-phenylpiperidine; trans 4-(4-fluorophenyl)-3- (5, 6, 7, 8,-tetrahydro-2-naphthyloxymethyl)-piperidine; trans 3 (4-benzyloxyphenoxymethyl)_4_(4-fluorophenyl)-piperidine ;(-)-trans 3 (2 嗟ϋ 基 thiomethyl)-4_(4-fluorophenyl)- 派定; (_)-trans 4-(4-fluorophenyl)- 3-(2-naphthyloxymethyl)-piperidine; (-) trans 3-(2-cyclohexylphenoxymethyl)- 4-(4-fluorophenyl)-pentopylpiperidine; + /-) trans 3-(4-phenoxyphenoxymethyl)-bupentyl-4-phenylpiperidine; (+ / -) trans 1-allyl-3-(4- Benzyloxyphenoxymethyl)- 4-phenylpiperidine; (-) trans 3-(4-Methoxyphenoxymethyl)-bupentyl-4-phenylpiperidine; ―trans 1-1,3-propyl-3-(4-decyloxyphenoxymethyl)- 4-phenylpiperidine; (+) trans 3-(4-Methoxyphenoxymethyl) Base)-Bu (4-) trans 1-allyl-3-(4-methoxyphenoxymethyl)- 4-phenylpiperidine; (-) trans 4- ( 4-fluorophenylbubuyl-tris(5,6,7-8-tetrahydro-2-naphthyloxyfluorenyl); ;trans 3-(2-benzothiazolylthiomethyl) —4—(4-fluorophenyl)-diphenyl group; (-)trans 4-(-fluorophenyl)-3(2-naphthyloxyindolyl bromide-Benyl brigade; (-) anti Formula 1 - Butyl-4-(4-fluorophenyl)-3-(5, 6, 7, 8-tetrahydrogen

1084-9596-PF 61 200848063 I萘氧基甲基)_°底°定;㈠反式4-(4-1笨基)+丙基 3-(5,6,7,8-四氫-2-萘氧基甲基)十定;㈠反式*普氣 笨基)一1一己基-3-(5, 6, 7, 8-四氫笑条 、 1卜奈乳基甲基)-哌啶;(-) 反式1-乙基-4-(4-氣苯基)-3〜(5 & 7 〇 V,b,7, 8一四氣〜2-萘氧基甲 旅咬;及㈠反式31笨并嘆嗤基硫甲基)_4_(4_t 本基)-1 -曱基旅咬。 舍曲林(Sertraline) 舍曲林具以下結構: NHCH,1084-9596-PF 61 200848063 I naphthyloxymethyl)_° bottom; (a) trans 4-(4-1 stupyl) + propyl 3-(5,6,7,8-tetrahydro-2 -naphthyloxymethyl)decaine; (a) trans-formulas; a hexyl-3-(5,6,7,8-tetrahydro-smiling, 1-bu-butylmethyl)-peripipeline (-) trans 1-ethyl-4-(4-phenylphenyl)-3~(5 & 7 〇V,b,7,8-14 gas~2-naphthyloxybine bite; And (a) trans 31 stupid and sigh thiomethyl) _4_ (4_t base)-1 - thiol brigade bite. Sertraline Sertraline has the following structure: NHCH,

舍曲林之結構類似物,為具有下式者 RVR2The structural analog of sertraline is RVR2 with the following formula

^ 土,人及Y各擇自於以下之族群:氳、氟、氯、溴、 鼠:基、Ci-C3烷氧基及氰基;及w擇自於以下之族群: 一:、息 m甲基及Ci - C3烧氧基。於一些實施形 氫 態 π —軋甲基及Cl-軋基。於一些貫施形 —該舌曲林類似物為順式同分異構構形。用語“順式同 分異構”,传;a 节才日在%己烯環上,NRiR2及苯基結構之相關方 (亦p此兩者位在環之同側)。因為1 -及4-碳,為不^ Soil, human and Y are selected from the following groups: strontium, fluorine, chlorine, bromine, murine: basal, Ci-C3 alkoxy and cyano; and w are selected from the following groups: Methyl and Ci - C3 alkoxy groups. In some implementations, the hydrogen form is π-rolled methyl and Cl-rolled. In some forms - the koji forest analog is a cis isomeric configuration. The term "cis isomerization" is used to transfer; a day is on the % hexene ring, and NRIR2 and the phenyl structure are related (also p is located on the same side of the ring). Because 1 - and 4- carbon, no

1084-9596-PF 62 200848063 取代’因此各順式化合物具2種光學活性鏡像異構 ;:卜碳)’為順式-(1R)及順式-(⑻鏡像異構物。 …二!用的’為以下化合物,(ls),像異構或(is)⑽ ㈣及其醫藥上可接受之鹽:順式、"基_4_(3,4_二氣 :基卜1’2,3’4-四氫-1-萘胺;順式|甲基_4_(4-溪苯 :,2’3’4-四氫+萘胺;順式甲基-4_(4—氯苯 =)],2’ 3’ 4-四氫+萘胺;順式|甲基_4_(3_三氣甲基_ 苯基2, 3’ 4-四氫-卜萘胺;順式—N—甲基_4_(3_三敗甲 基4虱本基)],2,3,4_四氫+萘胺;順式二曱基 + (4-氯苯基Η,"}四氫+萘胺;順式_N,N_二甲基 —氟曱基-苯基Η’2’3’4-四氫蔡胺;及順式_N_ 曱基4 (4氯苯基)-7-氯+2^,4-四氫-卜萘胺。順式_N_ 甲基4 (3,4-一氣苯基)一^私四氫—卜萘胺之⑽卜鏡 像異構物也是受關注的。 舍曲林類似物敘述於美國專利號碼4, 。其他相 關化合物,包括(S,S)-N—去甲基舍曲林、外消旋順式—N一 去甲基舍曲林、(1S,4S) —去甲基舍曲林、卜去(甲基胺)一卜 侧氧基-2-(R,S)-羥基舍曲林、(1R,4R) —去甲基舍曲林、舍 曲林石頁醯胺、舍曲林(反轉)甲烷磺醯胺、1R,4R舍曲林鏡像 異構物、N,N-二甲基舍曲林、硝基舍曲林、舍曲林苯胺、 舍曲林碘、舍曲林磺醯胺關2、舍曲林磺醯胺乙醇、舍曲林 腈、舍曲林-CME、二甲基舍曲林反轉磺醯胺、舍曲林反轉 石戸、醯胺(Cih連結子)、B一環鄰甲氧甲氧基舍曲林、A環甲酯 舍曲林、A-環乙醇舍曲林、舍曲林N,N-二甲基磺醯胺、a環1084-9596-PF 62 200848063 Substitute 'so each cis compound has two optically active mirror image isomers;: carbon” is cis-(1R) and cis-((8) isomerism. 'for the following compounds, (ls), like isomerism or (is) (10) (iv) and its pharmaceutically acceptable salts: cis, "base_4_(3,4_二气:基卜1'2, 3'4-tetrahydro-1-naphthylamine; cis |methyl_4_(4-xibenzene:, 2'3'4-tetrahydro+naphthylamine; cis-methyl-4_(4-chlorobenzene = )], 2' 3' 4-tetrahydro + naphthylamine; cis | methyl _4_(3_trimethylmethyl phenyl 2, 3' 4-tetrahydro-naphthylamine; cis-N- Methyl _4_(3_three unsubstituted methyl 4 fluorenyl)], 2,3,4_tetrahydro+naphthylamine; cis-didecyl+(4-chlorophenylhydrazine, "}tetrahydro+ Naphthylamine; cis_N,N-dimethyl-fluoroindolyl-phenylhydrazine '2'3'4-tetrahydrocilamine; and cis_N_indenyl 4 (tetrachlorophenyl)-7- Chloro+2^,4-tetrahydro-naphthylamine. cis_N_methyl 4 (3,4-monophenyl)- 1,4-tetrahydro-naphthylamine (10) is also of interest. The sertraline analog is described in U.S. Patent No. 4, other related compounds, including (S,S)-N-desmethylsertraline, Cyclo-N-desmethylsertraline, (1S, 4S) - demethylsertraline, b (methylamine)-b-oxy-2-(R,S)-hydroxyl Lin, (1R, 4R) - demethyl sertraline, sertraline sulphate, sertraline (reverse) methanesulfonamide, 1R, 4R sertraline mirror isomer, N, N- Dimethyl sertraline, nitrosertraline, sertraline aniline, sertraline iodine, sertraline sulfonamide 2, sertraline sulfoximine ethanol, sertraline nitrile, sertraline-CME , dimethyl sertraline reverses sulfonamide, sertraline reversed sarcophagus, guanamine (Cih linker), B-ring methoxymethoxy sertraline, A-ring methyl ester sertraline, A- Cyclic ethanol sertraline, sertraline N,N-dimethylsulfonamide, a ring

1084-9596-PF 63 200848063 羧酸舍曲林、B-環對苯氧基舍曲林、B-環對三氟甲烷舍曲 林、B-環對三氟甲烷N,N-二甲基舍曲林,及UK-41 6244。此 等類似物之結構如下。1084-9596-PF 63 200848063 Sertraline carboxylic acid, B-cyclo-p-phenoxysertraline, B-ring p-trifluoromethane sertraline, B-ring p-trifluoromethane N,N-dimethyl Qu Lin, and UK-41 6244. The structures of these analogs are as follows.

1084-9596-PF 64 200848063 舍曲林類似物1084-9596-PF 64 200848063 Sertraline analogue

AA

ClCl

Cl 1R,4R舍曲林鏡像異構物Cl 1R, 4R sertraline mirror isomer

HNHN

NHNH

、NHNH

舍曲林苯胺Sertraline aniline

舍曲林反轉績醯胺(CH2連 結子)Sertraline reverses the yield of guanamine (CH2 linker)

H2N02SH2N02S

55

SMe UK-416244 1084-9596-PF 65 200848063 舍曲林類似物 nh2 NHMe « Me〇2CvY^Y^^ Γ^Ί X CI Cl (1R,4R)-去甲基舍曲林 A-環甲S旨舍曲林 ΝΗ2 HCI 1 Λ ρι 〇ι 外消旋-順式-Ν-去甲基舍 Cl 二甲基舍曲林反轉磺醯 曲林氣化氫 胺 ?Η ΪΗΜΘ 〇2 \ L α Λ I X ^Y^ci ΓΜ Cl 舍曲林N,N-二甲基磺醯胺 Lfl A-環乙醇舍曲林 1084-9596-PF 66 200848063 舍曲林類似物SMe UK-416244 1084-9596-PF 65 200848063 Sertraline analogue nh2 NHMe « Me〇2CvY^Y^^ Γ^Ί X CI Cl (1R,4R)-desmethylsertraline A-ring A舍曲林ΝΗ2 HCI 1 Λ ρι 〇ι racemic-cis-indole-demethylaseCl dimethylsertraline reverses sulfonamide hydrazine gasification hydrogenamine?Η ΪΗΜΘ \2 \ L α Λ IX ^Y^ci ΓΜ Cl sertraline N,N-dimethylsulfonamide Lfl A-cycloethanol sertraline 1084-9596-PF 66 200848063 Sertraline analogue

舍曲林-CMESertraline-CME

CI ΗCI Η

(1S,4S)-去甲基舍曲林 氣化氳 、^ΝΗ(1S,4S)-desmethylsertraline gasification 氲, ^ΝΗ

1-去(甲基胺)-1-側氧基 -2-(R,S)-經基舍曲林 \^ΝΗ1-de(methylamine)-1-o-oxy-2-(R,S)-trans-serforine \^ΝΗ

舍曲林腈Sertraline nitrile

1084-9596-PF 67 200848063 舍曲林類似物1084-9596-PF 67 200848063 Sertraline analogue

cf3 N,N-二甲基舍曲林B-環對 三氟*甲院 NHMeCf3 N,N-dimethylsertraline B-ring pair trifluoro*jiayuan NHMe

HNHN

、NHNH

A環羧酸舍曲林 NHMeA-ring carboxylic acid sertraline NHMe

NHNH

r^S CF3 B-環對三氟曱烷舍曲林 1084-9596-PF 68 200848063r^S CF3 B-cyclo-trifluorodecane sertraline 1084-9596-PF 68 200848063

ZimeldineZimeldine

Zimeldine具以下結構:Zimeldine has the following structure:

Zimeldine之結構類似物,為具有下式者:A structural analog of Zimeldine, having the following formula:

及其醫藥上可接受之鹽,其中該吡啶核以鄰位、間位或對 位鍵結於鄰近的碳原子,且其中1^擇自於以下所構成之族 群:Η、氯、氟及溴。 1084-9596-PF 69 i 200848063 例示之zimeldine類似物,為:(e) -及(z)_ 3-(4’ -溴 苯基-3-(2” -η比啶基)—二甲基烯丙基胺;3 —(4,-溴苯 基)一3一(3” — °比啶基)-二甲基烯丙基胺;3-(4’ -溴苯 基)-3-(4” -吼啶基)-二甲基烯丙基胺;及其醫藥上可接受 的鹽。 任思以上之SSRI結構類似物在此被考量為SSRI類似 物’且可採用在任一本發明之方法、組合物及套組中。 代謝物 任意以上的SSRI的醫藥上活性的代謝物亦可用於本發 明之方法、組合物及套組中。例示之代謝物有二去甲基西 普蘭、去甲基西普蘭、去甲基舍曲林及n〇rflu〇xetine。 類似物 之方法、組合物 如下。一類SSRI 回收抑制劑),其 SSR I之功能性類似物亦可用於本發明之 及套組中。例示之SSR I功能性類似物提供如 類似物包括SNRI(選擇性血清素/正上腺素回 包括:venlafaxine 及 duloxetine。And a pharmaceutically acceptable salt thereof, wherein the pyridine nucleus is bonded to an adjacent carbon atom in an ortho, meta or para position, and wherein the pyridine nucleus is selected from the group consisting of ruthenium, chlorine, fluorine and bromine . 1084-9596-PF 69 i 200848063 An exemplary zimeldine analogue is: (e) - and (z)-3-(4'-bromophenyl-3-(2"-n-pyridyl)-dimethyl Allylamine; 3-(4,-bromophenyl)-3-mono(3"-~pyridyl)-dimethylallylamine; 3-(4'-bromophenyl)-3-( 4"-Aridinyl)-dimethylallylamine; and pharmaceutically acceptable salts thereof. The above SSRI structural analogs are considered to be SSRI analogs' and may be employed in any of the present invention. In methods, compositions, and kits, pharmaceutically active metabolites of any of the above-described SSRIs of metabolites can also be used in the methods, compositions, and kits of the invention. The metabolites exemplified are di-desmethyl sulphate, Methyl sulphate, desmethyl sertraline, and n〇rflu〇xetine. Methods and compositions of the analogs are as follows. A class of SSRI recovery inhibitors, the functional analogs of SSR I can also be used in the present invention. In the group, exemplary SSR I functional analogs are provided as analogs including SNRI (selective serotonin/epinephrine back includes: venlafaxine and duloxetine).

VenlafaxineVenlafaxine

Venlafaxine具以下結構Venlafaxine has the following structure

H3C〇/ Venlafaxine之結構類似物為具有下式 之化合物: 1084-9596-PF 70 200848063The structural analog of H3C〇/ Venlafaxine is a compound having the formula: 1084-9596-PF 70 200848063

及其醫藥上可接受之鹽,其中A為以下結構: or4And a pharmaceutically acceptable salt thereof, wherein A is of the following structure: or4

其中虛線代表隨意的不飽和化;R!為氫或烷基;h為匕-6烷 基;R4為氫、Cu6烷基、曱醯基或烷醯基;r3為氫或匕-6烷基;r5 及R6獨立地為氫、羥基、Cl_6烷基、(^_6烷氧基、Ch烷醯基 氧基、氰基、硝基、烷基巯基、胺基、Ch烷基胺基、二烷 基胺基、C!-6燒醯胺基、鹵素、三氟甲基,或一起形成亞甲 基二氧基;及η為〇、1、2、3或4。Wherein the dotted line represents random unsaturation; R! is hydrogen or alkyl; h is 匕-6 alkyl; R4 is hydrogen, Cu6 alkyl, fluorenyl or alkenyl; r3 is hydrogen or 匕-6 alkyl ;r5 and R6 are independently hydrogen, hydroxy, Cl_6 alkyl, (^_6 alkoxy, Ch alkyl decyloxy, cyano, nitro, alkyl fluorenyl, amine, Ch alkylamino, dioxane Amino group, C!-6 decylamino group, halogen, trifluoromethyl group, or together form a methylenedioxy group; and η is 〇, 1, 2, 3 or 4.

DuloxetineDuloxetine

Duloxetine具以下結構:Duloxetine has the following structure:

m,ch3 Η duloxetine結構類似物為美國專利號碼4, 956, 388及美國 專利號碼5,0 2 3,2 6 9中所述化合物(參照,例如◦ 〇 1 ^ line 35之式’及請求項1之式)。例示之dul〇xetine類 1084-9596-PF 71 200848063 似物為:N-甲基-3 -(1-秦氧基)-3-(3-σ塞吩基)-丙胺;N-甲 基-3-(2-萘氧基)-3-(環己基)-丙胺;N,N-二曱基-3 -(4-氣 -1-萘氧基)-3-(3-呋喃基)丙胺;N-甲基-3 -(5 -曱基-2-萘 氧基)-3-(2-噻唑基)丙胺;N-甲基-3-[3-(三氟甲 基)-:l-naphthalemyl〇xy]-3-(3-甲基-2-噻吩基)丙胺;N- 甲基-3-(6-碘-1-萘氧基)—3-(4-吼啶基)丙胺;N,N-二甲基 -3-(1-萘氧基)-3-(環庚基)丙胺;N,N-二甲基-3-(2-萘氧 基)-3-(2-吡啶基)丙胺;^甲基-3-(1-萘氧基)-3-(2-呋喃 基)丙胺;N-甲基-3 -(4-甲萘氧基3-(4-。塞嗤基)丙胺;n -曱基—3-(2 -奈氧基)-3 -(2-°塞吩基)丙胺;N,N-二曱基-3-6-碘-2-萘氧基)-3-(4-溴-3-噻吩基)丙胺;N,N-二甲基 -3-(1-萘氧基)一3-(3-吼啶基)丙胺;N,N-二曱基-3-(4-甲 基-2-萘氧基)一3-(3-呋喃基)丙胺;N-甲基-3-(2-萘氧 基)-3-(環己基)丙胺;n-甲基-3-(6-η-丙基-1-萘氧 基)-3 -(3-異丙基-2-噻吩基)丙胺;Ν,Ν-二甲基一3-(2-甲基 -1-|乳基)-3-(4 -σ塞唾基)丙胺;3-(1-萘氧基)—3- (5 -乙基 - 3-噻吩基)丙胺;3 —3-(三氟曱基)—卜萘氧基]-3-(σ比啶基) 丙fe ;Ν-甲基-3-(6-甲基-1 -萘基-3 -(4 -氣-2-°塞吩基)丙 胺;3-(2-萘氧基)—3 —(環戊基)丙胺;1^—甲基—3 — (4-正丁基 -1-萘氧基)~3-(3- σ夫喃基)丙胺;3-(2-氣—英氧 基)-3-(5-噻唑基)丙胺;ν—甲基一3 —(1一萘氧基)一3-(3一呋喃 基)丙胺;Ν,Ν-二甲基-3-(苯氧基)-3 -(2-呋喃基)丙 胺;Ν,Ν-二甲基-3-[4-(三氟甲基)笨氧基]一3-(環己基)丙 胺;Ν-甲基-3一(4一甲基苯氧基)一3一(4—氣—2一噻吩基)丙 1084-9596-PF 72 200848063 胺;N-甲基-3-(苯氧基)-3 -(3-°比唆基)丙胺;3-[2-氯 -4-(二氟甲基)苯氧基]一3一(2-售吩基)丙胺;n,n-二甲基 -3 -(3-甲氧基苯氧基)一3 -(3 -溴-2 -售吩基)丙胺;N-甲基 -3-(4-溴苯氧基)-3-(4-噻唑基)丙胺;N,N-二甲基-3-(2-乙基本氧基3 -(5 -甲基-3嗟吩基)丙胺;n-甲基- 3- (2-溴 笨氧基)- 3-(3-嗔吩基)丙胺;N-甲基-3-(2, 6-二甲基苯氧 基)-3-(3-甲基-2-噻吩基)丙胺;3一[3一(三氟甲基)苯氧 基]-3-(3-呋喃基)丙胺;n-甲基一3一(2, 5-二氯苯氧 基)-3-(環戊基)丙胺;3-4-(三氟甲基)苯氧基]—3_(2-噻唑 基)丙胺;N-甲基-3-(苯氧基)-3-(5-甲基-2-噻吩基)丙 胺;3-(4-甲基苯氧基)一3-(4-吼啶基)丙胺;N,n一二甲基 3 (3-甲基-5-溴苯氧基)一3-(3-嗟吩基)丙胺;N-甲基 -3-(3-n-丙基苯氧基)—3-(2-噻吩基)丙胺;N—甲基-3 —(苯 氧基)-3-(3-噻吩基)丙胺;N-甲基一3-(4-甲氧基苯氧 基)-3-(環庚基)丙胺;3 —(2—氣苯氧基)—3 —(5 —噻唑基)丙 胺;3-2-氯-4-(三氟甲基)苯氧基]一3一(3—噻吩基)丙 胺;3-(苯氧基)一3一(4-甲基-2-噻吩基)丙胺;n,N—二甲美 -3-(4-乙基苯氧基)一3一(3一吡啶基)丙胺;及& n—二曱美 -3-[4 -(三氟甲基)苯氧基]—3 一(2-σ比啶基)丙胺。 土 其他SSRI類似物,為:1,2,3,4-四氫-甲美〜4 * 土 4〜本基 一卜萘基胺氯化氫;1,2,3,4-四氫-1甲基-4〜笨基〜(£)1 萘基胺氯化氫;Ν,Ν-二曱基-卜苯基-1-酞烷丙基胺氣化 氫;gamma-(4-(三氟甲基)苯氧基)—苯丙胺氣化氫·βρ 554;CP 53261;0-去甲基 venlafaxine;WY 。m, ch3 Η duloxetine structural analogs are compounds described in U.S. Patent No. 4,956,388 and U.S. Patent No. 5,0 2 3,2 6 9 (see, for example, ◦ ^ 1 ^ line 35) and claims 1)). Illustrative dul〇xetine class 1084-9596-PF 71 200848063 The analogy is: N-methyl-3-(1-hhenyloxy)-3-(3-σsecenyl)-propylamine; N-methyl- 3-(2-naphthyloxy)-3-(cyclohexyl)-propylamine; N,N-dimercapto-3(4-(4-naphthalenyloxy)-3-(3-furyl)propylamine N-methyl-3-(5-fluorenyl-2-naphthalenyloxy)-3-(2-thiazolyl)propylamine; N-methyl-3-[3-(trifluoromethyl)-:l -naphthalemyl〇xy]-3-(3-methyl-2-thienyl)propylamine; N-methyl-3-(6-iodo-1-naphthalenyloxy)-3-(4-acridinyl)propylamine N,N-dimethyl-3-(1-naphthyloxy)-3-(cycloheptyl)propylamine; N,N-dimethyl-3-(2-naphthyloxy)-3-(2 -pyridyl)propylamine; ^methyl-3-(1-naphthalenyloxy)-3-(2-furyl)propylamine; N-methyl-3-(4-methylnaphthalenyl 3-(4-. Propylamine; propylamine; n-mercapto-3-(2-n-oxy)-3-(2-°-sepyl)propylamine; N,N-dimercapto-3-6-iodo-2-naphthalene Oxy)-3-(4-bromo-3-thienyl)propylamine; N,N-dimethyl-3-(1-naphthyloxy)-3-(3-acridinyl)propylamine; N,N -didecyl-3-(4-methyl-2-naphthyloxy)-3-(3-furyl)propylamine; N-A -3-(2-naphthyloxy)-3-(cyclohexyl)propylamine; n-methyl-3-(6-η-propyl-1-naphthalenyloxy)-3 -(3-isopropyl- 2-thienyl)propylamine; hydrazine, hydrazine-dimethyl-3-(2-methyl-1-)lactyl-3-(4- stilbyryl)propylamine; 3-(1-naphthyloxy) )-3-(5-ethyl-3-thienyl)propylamine; 3-tris(3-trifluoromethyl)-bheptyloxy]-3-(σ-pyridyl) propyl fe; Ν-methyl- 3-(6-methyl-1 -naphthyl-3 -(4- gas-2-°secenyl)propylamine; 3-(2-naphthalenyloxy)-3-(cyclopentyl)propylamine; 1^ —Methyl—3 —(4-n-butyl-1-naphthyloxy)~3-(3- σ-furanyl)propylamine; 3-(2-Gas-Oxo)-3-(5-thiazole Propylamine; ν-methyl-3-(1-naphthyloxy)-3-(3-furanyl)propylamine; hydrazine, hydrazine-dimethyl-3-(phenoxy)-3 -(2- Furanyl) propylamine; hydrazine, hydrazine-dimethyl-3-[4-(trifluoromethyl) phenyloxy] 3-(cyclohexyl)propylamine; hydrazine-methyl-3-(4-methylbenzene) Oxyl)-3-(4-carbo- 2-thienyl)propene 1084-9596-PF 72 200848063 amine; N-methyl-3-(phenoxy)-3 -(3-° thiol) propylamine ;3-[2-chloro-4-(difluoromethyl)phenoxy] 3-(2-phenyl)propylamine; n,n-dimethyl-3-(3-methoxyphenoxy)-3-(3-bromo-2-propenyl)propylamine; N-A 3-(4-bromophenoxy)-3-(4-thiazolyl)propylamine; N,N-dimethyl-3-(2-ethylbenyloxy 3-(5-methyl-3嗟) Phenyl) propylamine; n-methyl-3-(2-bromophenyloxy)-3-(3-anthranyl)propylamine; N-methyl-3-(2,6-dimethylphenoxy) -3-(3-methyl-2-thienyl)propylamine; 3-mono[3-(trifluoromethyl)phenoxy]-3-(3-furanyl)propylamine; n-methyl-3 (2,5-Dichlorophenoxy)-3-(cyclopentyl)propylamine; 3-3-4-(trifluoromethyl)phenoxy]-3-(2-thiazolyl)propylamine; N-methyl- 3-(phenoxy)-3-(5-methyl-2-thienyl)propylamine; 3-(4-methylphenoxy)-3-(4-oxaridinyl)propylamine; N, n- Dimethyl 3 (3-methyl-5-bromophenoxy)-3-(3-indolyl)propylamine; N-methyl-3-(3-n-propylphenoxy)-3- (2-thienyl)propylamine; N-methyl-3-(phenoxy)-3-(3-thienyl)propylamine; N-methyl-l-(4-methoxyphenoxy)-3 -(cycloheptyl)propylamine; 3-(2-gasphenoxy)-3 (5-thiazolyl)propylamine; 3-2-chloro-4-(trifluoromethyl)phenoxy]-3-mono(3-thienyl)propylamine; 3-(phenoxy)-3-one (4- Methyl-2-thienyl) propylamine; n,N-dimethyl-3-(4-ethylphenoxy)-tris(3-pyridinyl)propylamine; and & n-dioxin-3 -[4-(Trifluoromethyl)phenoxy]-3 mono(2-signyridinyl)propylamine. Other SSRI analogues of the soil are: 1,2,3,4-tetrahydro-methyl-~4*, soil 4~benyl-p-naphthylamine hydrogen chloride; 1,2,3,4-tetrahydro-1methyl-4 ~ Stupid ~ (£) 1 naphthylamine hydrogen chloride; hydrazine, hydrazine-dimercapto-p-phenyl-1-decylpropylamine hydrogenation; gamma-(4-(trifluoromethyl)phenoxy ) - amphetamine hydrogenated gas · βρ 554; CP 53261; 0-demethyl venlafaxine; WY.

,1 4b,818;WY, 1 4b, 818; WY

1084-9596-PF 73 200848063 45,881;N-(3 -氟丙基)帕羅西丁;及 Lu 19005。 抗膽驗藥物(Anticholinergics) 抗膽驗藥物,為於受體部位例如於中樞神經系或周邊 神經系降低由乙醯膽鹼所媒介之效果的化合物。抗膽鹼藥 物包括乙醯膽鹼受體之可逆競爭性抑制劑,並依照所影響 之^:體來分類:抗毒蕈鹼藥劑,作用在毒蕈驗乙醯膽鹼受體; 及抗煙驗酸藥劑,作用在煙鹼酸乙醯膽鹼受體。抗膽鹼藥 i 物可用於治療神經退化性障礙。適用在此處所述組合物、 套組及方法之抗膽鹼藥物,包括例如: 阿 曲庫銨 (atracurium); 阿 托 品 (atropine) ;benztropine (例如 benztropine 甲石黃酸); 達非那新(darif enacin) ; dicyclomine (例如 dicyclomine 氣化氳 ) ;dimenhydrinate ; 苯 海拉明 (diphenhydramine) ;doxacurium ;ethopropazine (例如 ethopropazine氣化氫);黃酮旅g旨(f lavoxate);異丙托 i (ipratropiuni);inivacurium ;奥昔布寧(oxybutynin);潘 庫溴銨(pancuronium);哌备西平(pirenzepine);東莨菪鹼 (scopolamine); sol i fenacin ;玻珀膾驗(suxamethonium) (例如氯琥珀膽驗);tiotropium ;托特羅定(tol terodine) (例如酒石酸托特羅定);苯海索(trihexyphenidyl)(例 如 苯海 索氯化 氫);tr imethaphan ; tropicamide ; tubocurar ine ;及維庫 溴銨(vecuronium) 〇 1084-9596-PF 74 2008480631084-9596-PF 73 200848063 45,881; N-(3-fluoropropyl) paroxetine; and Lu 19005. Anticholinergics An anticholinergic drug that is a compound that reduces the effects mediated by acetylcholine at the receptor site, for example, in the central nervous system or peripheral nervous system. Anticholinergic drugs include reversible competitive inhibitors of acetylcholine receptors, and are classified according to the affected body: antimuscarinic agents, which act on chlorpyrifos to detect acetylcholine receptors; The agent acts on the nicotinic acid acetylcholine receptor. Anticholinergic drugs can be used to treat neurodegenerative disorders. Anticholinergic agents suitable for use in the compositions, kits and methods described herein, including, for example: atracurium; atropine; benztropine (e.g., benztropine); darif enacin Dicyclomine (eg dicyclomine gasification hydrazine); dimenhydrinate; diphenhydramine; doxacurium; ethopropazine (eg ethopropazine hydrogenation); flavone brigade; iprato i (ipratropiuni); inivacurium Oxybutynin; pancuronium; pirenzepine; scopolamine; sol i fenacin; suxamethonium (eg, chloramphenicol); tiotropium; Tol terodine (eg tolterodine tartrate); trihexyphenidyl (eg, trihexyphenidyl chloride); tr imethaphan; tropicamide; tubocurar ine; and vecuronium 〇1084- 9596-PF 74 200848063

BenztropineBenztropine

Benztropine具以下結構:Benztropine has the following structure:

Benztropine之結構類似物,敘述於暮圃奎 、六:间寻利號馬 5,792,775 之式(I);W02007/025005 之式(η·Β μ π a u j,及美國專利 號碼 5, 506, 359。 苯海索(trihexyphenidyl)氣化氫 苯海索氣化氫具以下結構:Structural analogues of Benztropine, described in 暮圃奎, 六: 义利马5,792,775 (I); W02007/025005 (η·Β μ π auj, and US Patent No. 5, 506, 359. Benzene Trihexyphenidyl gasified hydrogen catenol hydroformin has the following structure:

苯海索之結構類似物,敘述於美國專利號碼2, 682, 之式(I)及(II),及美國專利號碼2, 716, 121之通式。 本海索之結構類似物,亦具以下結構·Structural analogs of trihexyphenidate are described in U.S. Patent No. 2,682, formulas (I) and (II), and U.S. Patent No. 2,716,121. The structural analog of Benhasso also has the following structure·

其中’ R!、R2、R3、R4及r5獨立地為H、鹵素、〇H、⑶、 N〇2、Ch烷基或〇Ch烷基;Al& A2為H或隨意地經取代的 C!-6烷基,或^及Α2結合在一起形成一環;η為卜2、3、“Wherein 'R!, R2, R3, R4 and r5 are independently H, halogen, hydrazine H, (3), N〇2, Ch alkyl or 〇Ch alkyl; Al& A2 is H or optionally substituted C! -6 alkyl, or ^ and Α2 combine to form a ring; η is Bu 2, 3, "

1084-9596-PF 75 200848063 5或6’且與b2為η或隨意地經取代的Ci 6燒基,或& 與B2結合在一起形成一環。 雖激素調節劑(Estrogen Modulator) 雌激素調節冑可能有用於此處所述組合物、方法及套 組。雌激素調節劑包括選擇性及非選擇性雖激素受體調節 ^並進步包括類似雌激素化合物,此等類似雌激素化 合物調節雌激素水平。雌激素調節劑,包括雖激素產生结 抗劑,例如抗雌激素(antiestr〇gen),及雌激素產生協同 劑。選擇性雌激素受體調節劑為針對雌激素受體為高親和 性配體,但視所作用之組織,可作為協同劑或拮抗劑。 例示雌激素調節劑為: acolbifene 、 af imoxi fene 、 rzoxifene 、 bazedoxifene 、氯米芬(ci〇mifene)(或克羅米酚 ((clomiphene))、N-去甲基他莫昔芬(tamoxifen)、去 曱基化 arzoxifene 、屈洛昔芬(droloxifene)、 faslodex、4 -氟-去甲基 tedarzoxifene、fispemifene、 ulvestrant、4 -羥基他莫昔芬、id〇xifene、 1asof oxi f ene λ levormeloxifene ^ miproxi f ene 、 nafoxidine 、 orme1 oxi f ene 、 ospemi fene 、 pipendoxifene、雷洛昔芬(raloxifene)、托瑞米芬 (toremifene) 、 trioxifene 、 CI-680 、 CI-628 、 CN-55,956-27 、 MER-25 、 U-11,555A 、 U-11,100A 、 ICI-46,669、ICI-46,474、diphenolhydrochrysene、 1084-9596-PF 76 200848063 erythro-MEA、Parke Davis CN-35,945、GW5638、EM-800、 SP-5 0 0263、SRI 6234、ZK1 91 703、MDL 1 03, 323、LY-117018、 LY353381 、 NNC 45-0781 、 allenolic acid 、 cyclofenil 、 ethamoxytriphetol,及 triparanol,及美國專利號碼 7, 151,196;7, 1 38, 426;7, 045, 540;7, 19 6, 119; 6, 927, 224; 6,906,086;6,906,202;6,894,0 64;6,869,969;6,875,775; 6, 797,719;6, 750,213;6,458,811;6,132,774;5, 962,475; 5,384,332 、 4, 894, 373;4, 536, 516;4, 418, 068;及 2,914,563所述化合物。 克羅米紛(clomiphene) 克羅米酚具以下結構:1084-9596-PF 75 200848063 5 or 6' and is either η or optionally substituted Ci 2, or & B2 to form a ring. Although Estrogen Modulator estrogen modulators may be used in the compositions, methods and kits described herein. Estrogen modulators include both selective and non-selective hormone receptor regulation and progression includes similar estrogen compounds, and such estrogen-like compounds modulate estrogen levels. Estrogen modulators, including hormone-producing antagonists, such as antiestrogens, and estrogen-producing synergists. A selective estrogen receptor modulator is a high affinity ligand for the estrogen receptor, but acts as a synergist or antagonist depending on the tissue to which it acts. Exemplary estrogen modulators are: acolbifene, af imoxi fene, rzoxifene, bazedoxifene, ci〇mifene (or clomiphene), N-desmethyltamoxifen, tamoxifen, Demethylated arzoxifene, droloxifene, faslodex, 4-fluoro-desmethyl tedarzoxifene, fispemifene, ulvestrant, 4-hydroxytamoxifen, id〇xifene, 1asof oxi f ene λ levormeloxifene ^ miproxi f Ene, nafoxidine, orme1 oxi f ene, ospemi fene, pipendoxifene, raloxifene, toremifene, trioxifene, CI-680, CI-628, CN-55, 956-27, MER-25, U-11, 555A, U-11, 100A, ICI-46, 669, ICI-46, 474, diphenolhydrochrysene, 1084-9596-PF 76 200848063 erythro-MEA, Parke Davis CN-35, 945, GW5638, EM-800, SP-5 0 0263, SRI 6234, ZK1 91 703, MDL 1 03, 323, LY-117018, LY353381, NNC 45-0781, allenolic acid, cyclofenil, ethamoxytriphetol, and triparanol, and US Patent No. 7, 151, 196; 7, 1 38, 426; 7, 045, 54 0;7, 19 6, 119; 6, 927, 224; 6,906,086; 6,906,202; 6,894,0 64; 6,869,969; 6,875,775; 6, 797,719; 6, 750,213; 6,458,811; 6,132,774; 5, 962,475; 5,384,332, 4, 894, 373; 4, 536, 516; 4, 418, 068; and 2,914, 563. Clomiphene Clomiphene has the following structure:

克羅米酚之結構類似物,包括克羅# 鏡像異構物。結構類似物亦敘述於美國專利 鏡像異構物。結構類似 之通式;美國專利號碼 之通式;美國專利號碼5, 41 0, 080之通1 5, 189, 212 中。 雷洛昔芬(raloxifene) 紛之其他稀煙非 Η 號碼 2, 914, 563 ;及美國專利號碼 雷洛昔芬具以下結構: 1084-9596-PF 77 200848063Structural analogs of clomiphene, including Crotone # mirror isomers. Structural analogs are also described in U.S. Patent Mirror Image Isomers. The structure is similar to the formula; the U.S. patent number has the formula; U.S. Patent No. 5, 41 0,080, the number of 1, 5, 189, 212. Raloxifene (Raloxifene) has many other types of smoke. 2 No. 2, 914, 563; and US patent number Raloxifene has the following structure: 1084-9596-PF 77 200848063

OHOH

雷洛昔芬之例不結構類似物,為 L γ 117 〇 18及 LY 31 7 7 8 3。雷洛昔芬類似物’亦敘述於美國專利號碼 5,610,167 之式(I) ’及美國專利號碼 5, 393, 763;5, 457, 117;5, 478, 847;5, 811,12〇;5, 972, 383; 6,458,811;6,797,719;6,894,064;6,906, 〇8 6;RE38, 9 68;R E39,049;RE39,050;及 RE39,708;及 W02000037065 中。 他莫昔芬(tamoxi fen) 他莫昔芬具以下結構:Examples of raloxifene non-structural analogs are L γ 117 〇 18 and LY 31 7 7 8 3 . Raloxifene analogs are also described in U.S. Patent No. 5,610,167 (I)' and U.S. Patent Nos. 5,393,763; 5,457,117; 5,478,847; 5,811. 12〇; 5, 972, 383; 6,458,811; 6,797,719; 6,894,064; 6,906, 〇8 6; RE38, 9 68; R E39,049; RE39,050; and RE39,708; and W02000037065. Tamoxifen tamoxifen has the following structure:

他莫昔芬之結構類似具以下結構:The structure of tamoxifen is similar to the following structure:

其中 ’ Rla、Rib、Rlc、Rid、R2a、R2b、R2c、R2d、R2e、R3a、R3b、 1084-9596-PF 78 200848063 K3C、R3d 及 R3e 各 烷 η 甘η ς η、國素、Ch烷其 基;R4、K5及R6擇自於:H 土為卜2、,……心思地經取代的 、5 或 6。 、0H 或 0Ci-6 C 1 - 6烧基;且 之气⑴=議,亦敘述於美國專利號碼…⑺ 5〇47 = 之式⑴’關專利號碼5,8G7,899之式⑴;美 國專利號碼6,875,775之式⑴及表!之化合物⑴-(46)。Wherein 'Rla, Rib, Rlc, Rid, R2a, R2b, R2c, R2d, R2e, R3a, R3b, 1084-9596-PF 78 200848063 K3C, R3d and R3e each alkane η 甘η ς η, national element, Ch alkane Base; R4, K5 and R6 are selected from: H soil is 2, ... ... mentally substituted, 5 or 6. , 0H or 0Ci-6 C 1 - 6 base; and gas (1) = discussion, also described in the US patent number... (7) 5〇47 = (1) 'off patent number 5,8G7,899 (1); US patent Number 6,875,775 (1) and table! Compounds (1) to (46).

.¾ 他莫:芬之例示類似物包括:4一經基他莫昔芬;於去甲 土他莫昔一分;蘇+[4—(2, 3 —環氧丙氧苯基]―“ 2-二苯基 -一3,j,3-三氟—丙烷;(E)卜[4 —(2,3—環氧丙氧p苯基]-H 二苯基—3,3,3-三氟-丙烯;(£) — 1,2-二苯基-3,3,3—三氟 1 [4 (2 [雙—(2-羥基乙基胺基卜乙氧基卜苯基)]—丙 烯·(E) 1,2- 一苯基-3, 3, 3-三氟一1 一 [4一(2-[4-甲基哌嗪 =]乙氧基)-苯基]—丙烯;1一[4-(2一二甲基胺基乙氧基)-苯基]2-苯基-3,3,3-三氟-;ι一(4一甲氧基苯基)一丙 烯,1 [4-(2-二甲基胺基乙氧基苯基卜2_苯基_3, 3, 3一三 氟1 (4-羥基苯基)—丙烯;(Ε) —丨,2—二苯基_3,3,3-三氟 一 1-[4-(2-[2-羥基乙基胺基]一乙氧基)—苯基]一丙 烯;1-[4-(2-二甲基胺基乙氧基)一苯基μι一苯基-3, 3, 3一三 氟一2 —(4—羥基苯基)—丙烯;(E)-l,2-二苯基—3, 3, 3-三氟 - 2-[4-(2-吼咯啶并乙氧基)—苯基]—丙烯;二苯基 3’ 3’ 3-二氟—1-[4—(2-嗎啉代乙氧基)_苯基]-丙 烯;(E)-l-[4-(2-二乙基胺基乙氧基)—笨基]-12—二苯基 ^^一-三氟-丙烯“”—卜^ — “-疊氮乙氧基卜苯.3⁄4 hemo: Illustrative analogs of Fen include: 4 one by methtamoxifen; one part of dextromethorphan; s+[4—(2,3-epoxypropoxyphenyl)-” 2 -diphenyl-a 3,j,3-trifluoro-propane; (E)Bu [4-(2,3-epoxypropoxyl pphenyl)-H diphenyl-3,3,3-tri Fluoro-propene; (£)-1,2-diphenyl-3,3,3-trifluoro 1 [4 (2 [bis-(2-hydroxyethylamino)-ethoxyphenyl)]- Propylene·(E) 1,2-monophenyl-3,3,3-trifluoro-l-[4-(4-[4-methylpiperazine=]ethoxy)-phenyl]-propene; 1-[4-(2-dimethylamino)ethoxy)-phenyl]2-phenyl-3,3,3-trifluoro-; i-(4-methoxyphenyl)-propene, 1 [4-(2-Dimethylaminoethoxyphenyl) 2_phenyl_3,3,3-trifluoro-1 (4-hydroxyphenyl)-propene; (Ε)-丨, 2- Diphenyl-3,3,3-trifluoro-l-[4-(2-[2-hydroxyethylamino]-ethoxy)-phenyl]-propene; 1-[4-(2- Dimethylaminoethoxy)phenylphenyl-p-phenyl-3,3,3-trifluoro-2-(4-hydroxyphenyl)-propene; (E)-l,2-diphenyl- 3, 3, 3-trifluoro- 2-[4-(2-oxaridinyloxy) )-phenyl]-propene; diphenyl 3' 3' 3-difluoro-l-[4-(2-morpholinoethoxy)phenyl]-propene; (E)-l-[4 -(2-diethylaminoethoxy)- phenyl]-12-diphenyl^^-trifluoro-propene ""-----"--azidoethoxybenzene

1084-9596-PF 79 200848063 基]-1,2-二苯基-3, 3, 3-三氟〜丙烯;— 二苯基 -3, 3, 3-三氟-1-[4-(2-[雙-(2〜氣乙基)—胺基]一乙氧基)一 苯基]-丙烯;1-[4-(2-二甲基胺基乙氧基)一苯基]一3, 3, 3-三氟-1,2-雙-(4-羥基苯基)-丙烯;1—苯基_2_(4-甲氧基苯 基)-1-[4-(2-二甲基胺基乙氧基)苯基]_3,3,3一三氟一丙 烯;(E)-1,2-二苯基-3, 3, 3-三氟—1-[4-(2-[硝基脈]乙氧 基)-苯基]-丙烯;(E)-1-[4’(2 -二甲基胺基乙氧基)笨 基]-1-(3’-經基苯基)-b 2 苯基丁—1-烯;(e)-1-[4,-(2-二 甲基胺基乙氧基)苯基]_1-(3,-經基苯基)-2 -苯基丁—1 一 烯;(E)-l-[4’(2-二乙基胺基乙氧基)苯基]-1-(3,-羥基苯 基)-2-苯基丁-1-烯;(E) -1-[4’ -(2-二乙基胺基乙氧基)笨 基]-1-(3’ -羥基苯基)2-苯基丁 -1-烯;(E)-l-(3,-羥基苯 基)-1-[ 4’ -(2-曱基胺基乙氧基)苯基]- 2-苯基丁一卜 烯;(E)-1(3’-羥基苯基)-1_ [4,-(2-曱基胺基乙氧基)笨 基]-2-苯基丁 -1-烯;(e)-1-[ 4-乙基胺基乙氧基)苯 基]-1- (3 -备基苯基)-2 -苯基丁—1 —烯·,(E) -1-[4,-乙基胺 基乙氧基)苯基]-1-)3’-羥基苯基)-2苯基丁 -1-烯 {5-[4-(1,2-二苯基-丁 -1—烯基苯氧基卜戊 基}-(4, 4, 5, 5, 5-五氟戊基)-硫;{5—[4-(1,2-二苯基一丁 -1-烯基)-本氧基]—戊基}-(4, 4, 5, 5, 5 -五II戊基)-亞 砜;{5-[4-(1,2-二苯基-丁 -1—烯基)—苯氧基戊 基}-(4, 4, 5, 5, 5-五氟戊基)-颯;4-(ι_{4-[5-(4, 4, 5, 5, 5- 五氟戊基硫基)-戊氧基]—苯基卜2-苯基_丁-1-烯基)一笨 盼;4-(l-{4-[5-(4,4,5,5,5 -五氟戊烷亞磺醯基)-戊氧 1084-9596-PF 80 200848063 基]-苯基 }-2- 苯基-丁 -1- 稀基)-苯 酚;4-((E,Z)-l-{4-[5-(4, 4, 5, 5, 5-五氟戊烷磺醯基)-戊 氧基]-苯基}- 2-苯基-丁 -1-烯基)-苯酚;(4, 4, 5, 5, 5-五 氟戊基)-{6-[4-((E,Z)-苯基-1,2, 3, 4-四氫萘-1-亞基曱 基)-苯氧基]-己基}-亞礙;(3-苯基丙-2-炔 基)-{5-[4-((£,2)-苯基-1,2,3,4-四氫萘-1-亞基甲基)-苯氧基)-戊基}""亞石風;{5-[4-((Ε,Ζ)_1,2 -二苯基-丁烯 基)-苯氧基]-戊基卜吼啶-2-基甲基-亞砜;{5-(4-(1, 2-二 苯基-丁 -1_稀基)-苯氧基]-戊基}_°比°定-2 -基曱基-硫;4 -((E,Z)-2-苯基-1-{4-[5-(σ比°定-2_基曱基硫基)-戊 氧基]-苯基}-丁 -卜烯基)-苯酚;4-((Ε,Ζ)-2-苯基 -1 - {4-[5-(σιέ*ϋ定-2-基甲烧亞績酿基)-戊氧基]-苯基}-丁 -1-烯基)-苯酚;4-((Ε,Ζ)-2-苯基-1-{4-[5-(吼啶-2-基甲 烧項醯基)-戊氧基]-苯基}- 丁 -1-烯基)-苯 酚;(5-{4-[(Ε,Z)-1-(4-碘苯基)-2-苯基-丁 -1-烯基]-苯 氧基丨-戊基)-(4,4,5, 5, 5-五氟戊基)- ί 硫;(5-{4-((Ε,Z)-l-(4 -蛾苯基)-2 -苯基-丁 -1-稀基]-苯 氧基卜戊基)-(4, 4, 5, 5,5-五氟戊基)-亞 颯;3-(1-{4-[5-(4, 4, 5, 5, 5-五氟戊基硫基)-戊氧基]-苯 基 }-2- 苯 基-丁 -1- 稀基 )-苯 酚;3-((E,Z)-l-{4-[5-(4, 4, 5, 5, 5-五氟戊烷亞磺醯基)-戊氧基]-苯基}- 2-苯基-丁 -1 -稀基)-苯 酚;(E,Z)-l-{4-[5-(4, 4, 5, 5, 5-五氟戊基亞磺醯基)-戊氧 基]苯基}-1-(4- 經基苯基)-2-苯基-丁 -1- 1084-9596-PF 81 200848063 烯;(E)-1-{4-[5-(4, 4, 5, 5, 5-五氟戊基亞磺醯基)-戊氧 基]-苯基}-1-(4-經基苯基)-2-苯基-丁 -1-烯;{5-[4-((E,Z)-1,2_ 二苯基-丁-1-烯基)-苯氧基)-戊 基} -σ比σ定-2-基甲基-石風;{5-[4-(1,2 -二苯基-丁-1(Z) -稀 基)-苯氧基]-戊基}-(4,4,5,5,5-五氟戊基)-亞 石風;{5-[4-(1,2-二苯基·丁 -1(E) -稀基)-苯氧基]-戊 基 }-(4, 4, 5, 5, 5- 五 氟戊基 )- 亞 颯;4-(1-{4_[4-(4, 4, 5, 5, 5-五氟戊烷亞磺醯基)-丁氧 基]-苯基}-2-苯基-丁 -1(E,Z)-稀基)-苯 酚;4-(1-{ 4-[6-(4, 4, 5, 5, 5-五氟戊烷亞磺醯基)-己氧 基]-苯基卜2-苯基-丁 - 1(E,Z)_烯基)-苯酚;4-(l-{4-[(N-曱基-1^-2-(4,4,5,5,5-五氟戊烧石黃酿基)-乙基-胺基)-乙 氧基]-苯基} - 2 -苯基-丁 -1 (E,Z)-稀基)-苯 酚;4-(1-{4-(2-(^甲基州-2-(4,4,5,5,5-五氟戊烷亞磺 酿基)-乙基-胺基)-乙氧基]-苯基}_2 -苯基-丁-1(E,Z)-稀 基)-苯酚;(Z)-4-{12-(4, 4, 5, 5, 5-五氟戊基亞磺醯 / k _基)-l-[4_(5-(4, 4, 5, 5, 5-五氟戊基亞磺醯基)-戊氧基)-苯 基 ]_2- 苯 基十二 -1- 稀基 }•苯 紛;(E)-4-{12-(4,4,5,5,5- 五氟戊基亞續醯 基)-1-[4-(5-(4, 4, 5, 5, 5-五氟戊基亞磺醯基)-戊氧基)-苯基]-2-苯基十二-1-稀基)}-苯盼;N- 丁基 -2-(6-{4-[1-(4 -經基-苯基)-2 -苯基-丁-1(E,Z) -烯基]-苯氧基}-己硫基)_N-甲基乙酿胺;N -丁基-2-(6-{4-[1-(4-經基-苯基)-2_苯基-丁-1(E,Z)-稀基]-苯氧基}-己烧亞績 1084-9596-PF 82 200848063 酿基)-N-甲基乙酿胺;N-丁基-2 -(6 - {4-[1 -(4-經基-笨 基)-2_苯基-丁-1(E,Z)-烯基]-苯氧基卜己烷磺醯基)一N-曱基乙醯胺;(Z) - 4 - {12 -(4, 4, 5, 5, 5-五II戊基磺醯 基)-1_[ 4-(5-( 4, 4, 5, 5, 5-五氟戊基磺醯基)-戊氧基)-苯 基]-2-苯基十二-1-烯基}-苯酚;4-(1-{4-[2-(4, 4, 5, 5, 5~ 五氟戊硫基)-乙氧基]-苯基}-2-苯基-丁-1(E,Z)-烯基 苯酚;4-(1_{4-[2-(4, 4, 5, 5, 5-五氟戊基亞磺醯基)-乙氧 基]-本基}-2-苯基 -丁 -1 (E,Z)-稀基)-苯 酚;4-U- {4-[2-(N-甲基-N-3-(4, 4, 5, 5, 5-五氟戊硫基)-丙基-胺基)-乙氧基]-苯基}-2-苯基-丁-1(E,Z)-烯基)-笨 酚;4-(1-{4-[2-(4, 4, 5, 5, 5-五氟戊基磺醯基)-乙氧基]-苯基}-2 -苯基-丁-1(E,Z)-烯基)-苯酴;4-(1-{4-[2-(Ν-甲基-N-3-(4, 4, 5, 5, 5-五貌戊烧亞績醯基)-丙基胺基-乙 氧基]-苯基}-2-苯基-丁 -1-(E,Z)-烯基)-笨 紛;4-(3-{3-[4-(4, 4, 5, 5, 5-五氟戊硫基)-丙氧基]苯 基}-2-苯基-丁-1(£,2)-烯基)-苯盼;4-(1-{4-[3-(1^-曱基 - N-2-(4,4,5,5,5 -五氟戊硫基)-乙基-胺基)-丙氧基]-苯 基}-2-苯基-丁-1(E,Z)-烯基)-苯酚;4-(1-{4-[3-(N-曱基 -N-3-(4, 4, 5, 5, 5-五氟戊硫基)-丙基-胺基)-丙氧基]-苯 基 }-2- 苯 基 -丁 -1(E,Z)- 稀 基)-苯 齡;4-(1-{4-[3-(4, 4, 5, 5, 5-五氟戊基亞石黃醯基)-丙氧 基]-苯基}-2-苯基-丁 _1(E,Z)-烯基)-笨 酚;4-(卜{4-[3-(N-甲基-N-2-(4, 4, 5, 5, 5-五氟戊烷亞磺 酉盘基)-乙基-胺基)-丙氧基]-苯基}-2-本基-丁-1(E,Z)-稀 1084-9596-PF 83 200848063 基)-苯紛;4-(1-{4-[3-(N-曱基-N —3一(4, 4, 5, 5, 5-五氟戊 烧亞績醯基)-丙基胺基-丙氧基]-苯基卜2-苯基-丁 -1(£,2)-烯基)-苯酚;1^-丁基—2-(4_{4-[1-(4-羥基-苯 基)-2-笨基-丁-1(e,Z)-烯基-苯氧基卜丁基亞磺醯基)一 n-甲基乙醯胺;及N-丁基_2-(4-{4-[1-(4-羥基-苯基)-2-苯 基-丁-1(E,Z)-烯基-苯氧基卜戊基亞磺醯基)—N_f基乙醯 胺0 托瑞米芬(toremifene) 托瑞米芬具以下結構:1084-9596-PF 79 200848063 base]-1,2-diphenyl-3,3,3-trifluoro-propene; —diphenyl-3,3,3-trifluoro-1-[4-(2 -[bis-(2~gasethyl)-amino]-ethoxy)-phenyl]-propene; 1-[4-(2-dimethylaminoethoxy)-phenyl]-3 , 3, 3-Trifluoro-1,2-bis-(4-hydroxyphenyl)-propene; 1-phenyl-2-(4-methoxyphenyl)-1-[4-(2-dimethyl (amino)ethoxy)phenyl]_3,3,3-trifluoro-propene; (E)-1,2-diphenyl-3,3,3-trifluoro-l-[4-(2- [nitroxyl]ethoxy)-phenyl]-propene; (E)-1-[4'(2-dimethylaminoethoxy)phenyl]-1-(3'- mercaptobenzene (b) phenylbutan-1-ene; (e)-1-[4,-(2-dimethylaminoethoxy)phenyl]_1-(3,-phenylphenyl)- 2-(phenyl)-1-ene; (E)-l-[4'(2-diethylaminoethoxy)phenyl]-1-(3,-hydroxyphenyl)-2-phenyl But-1-ene; (E)-1-[4'-(2-diethylaminoethoxy)phenyl]-1-(3'-hydroxyphenyl)2-phenylbut-1- (E)-l-(3,-Hydroxyphenyl)-1-[ 4' -(2-decylaminoethoxy)phenyl]-2-phenylbutyrene; (E) -1 (3 '-Hydroxyphenyl)-1_[4,-(2-decylaminoethoxy)phenyl]-2-phenylbut-1-ene; (e)-1-[4-ethylamino Ethoxy)phenyl]-1-(3-presylphenyl)-2-phenylbutan-1-ene, (E)-1-[4,-ethylaminoethoxy)phenyl ]-1-) 3'-hydroxyphenyl)-2phenylbut-1-ene {5-[4-(1,2-diphenyl-but-1-enyloxyphenethyl)- (4, 4, 5, 5, 5-pentafluoropentyl)-sulfur; {5-[4-(1,2-diphenyl-but-1-enyl)-yloxy]-pentyl} -(4, 4, 5, 5, 5-penta-pentyl)-sulfoxide; {5-[4-(1,2-diphenyl-but-1-enyl)-phenoxypentyl} -(4, 4, 5, 5, 5-pentafluoropentyl)-indole; 4-(ι_{4-[5-(4, 4, 5, 5, 5-pentafluoropentylthio)-pentyl Oxy]-phenyl-2-phenyl-but-1-enyl) is a vain; 4-(l-{4-[5-(4,4,5,5,5-pentafluoropentane) Sulfhydryl)-pentyloxy 1084-9596-PF 80 200848063 yl]-phenyl}-2-phenyl-but-1- yl)-phenol; 4-((E,Z)-l-{4- [5-(4, 4, 5, 5, 5-pentafluoropentanesulfonyl)-pentyloxy]-phenyl}- 2-phenyl-but-1-enyl)-phenol; (4, 4, 5, 5, 5-pentafluoropentyl)-{6-[4-((E,Z)-phenyl-1,2, 3, 4 - tetrahydronaphthalen-1-ylidene)-phenoxy]-hexyl}-suborder; (3-phenylprop-2-ynyl)-{5-[4-((£,2)- Phenyl-1,2,3,4-tetrahydronaphthalene-1-ylidenemethyl)-phenoxy)-pentyl}""Yashi Feng;{5-[4-((Ε,Ζ ,1,2-diphenyl-butenyl)-phenoxy]-pentylbupyridin-2-ylmethyl-sulfoxide; {5-(4-(1,2-diphenyl-butyl) -1_thyl)-phenoxy]-pentyl}_° ratio -2 -ylindolyl-sulfur; 4-((E,Z)-2-phenyl-1-{4-[5 -(σ ratio ° -2 - fluorenylthio)-pentyloxy]-phenyl}-butenyl-p-yl)-phenol; 4-((Ε,Ζ)-2-phenyl-1 - {4-[5-(σιέ*ϋ定-2-yl-methylpyrrolidine)-pentyloxy]-phenyl}-but-1-enyl)-phenol; 4-((Ε,Ζ) -2-phenyl-1-{4-[5-(acridin-2-ylpyridinyl)-pentyloxy]-phenyl}-but-1-enyl)-phenol; (5- {4-[(Ε,Z)-1-(4-iodophenyl)-2-phenyl-but-1-enyl]-phenoxyindole-pentyl)-(4,4,5, 5 , 5-pentafluoropentyl)- ί sulfur; (5-{4-((Ε,Z)-l-(4-mothyl)-2-phenyl-but-1-yl]-phenoxy (i,4-(4-[5-(4, 4, 5, 5)) , 5-pentafluoropentylthio)-pentyloxy]-phenyl}-2-phenyl-but-1-yl)-phenol; 3-((E,Z)-l-{4-[ 5-(4, 4, 5, 5, 5-pentafluoropentanesulfinyl)-pentyloxy]-phenyl}-2-phenyl-butan-1-yl)-phenol; (E, Z)-l-{4-[5-(4, 4, 5, 5, 5-pentafluoropentylsulfinyl)-pentyloxy]phenyl}-1-(4-phenylphenyl) -2-phenyl-but-1- 1084-9596-PF 81 200848063 olefin; (E)-1-{4-[5-(4, 4, 5, 5, 5-pentafluoropentylsulfinyl) )-pentyloxy]-phenyl}-1-(4-phenylphenyl)-2-phenyl-but-1-ene; {5-[4-((E,Z)-1,2_ 2 Phenyl-but-1-enyl)-phenoxy)-pentyl}-σ ratio σ-denyl-2-ylmethyl-lithite; {5-[4-(1,2-diphenyl-butyl) -1(Z)-diyl)-phenoxy]-pentyl}-(4,4,5,5,5-pentafluoropentyl)- sapite; {5-[4-(1,2 -diphenyl-butan-1(E)-dilyl)-phenoxy]-pentyl}-(4, 4, 5, 5, 5-pentafluoropentyl)-arylene; 4-(1- {4_[4-(4, 4, 5, 5, 5-pentafluoropentanesulfinyl)-butoxy]-phenyl}-2-phenyl-butan-1(E,Z)-diluted -Phenyl; 4-(1-{ 4-[6-(4, 4, 5, 5, 5-pentafluoropentanesulfinyl)-hexyloxy]-phenyl-2-phenyl- - 1(E,Z)-alkenyl)-phenol; 4-(l-{4-[(N-mercapto-1^-2-(4,4,5,5,5-pentafluoropentanestone) Yellow-based)-ethyl-amino)-ethoxy]-phenyl}-2-phenyl-but-1-(E,Z)-thyl)-phenol; 4-(1-{4-( 2-(^Methylstate-2-(4,4,5,5,5-pentafluoropentanesulfinyl)-ethyl-amino)-ethoxy]-phenyl}_2-phenyl -butyl-1(E,Z)-thyl)-phenol; (Z)-4-{12-(4, 4, 5, 5, 5-pentafluoropentylsulfinyl / k _ group)-l -[4_(5-(4, 4, 5, 5, 5-pentafluoropentylsulfinyl)-pentyloxy)-phenyl]_2-phenyldodecylad-1-yl} (E)-4-{12-(4,4,5,5,5-pentafluoropentyl)-[4-(5-(4, 4, 5, 5, 5- Pentafluoropentylsulfinyl)-pentyloxy)-phenyl]-2-phenyldodecylad-yl)}-benzene; N-butyl-2-(6-{4-[ 1-(4-fluoro-phenyl)-2-phenyl-butan-1(E,Z)-alkenyl]-phenoxy}-hexylthio)-N-methylethanoamine; N-butyl Benzyl-2-(6-{4-[1-(4-carbyl-phenyl)-2-phenyl-butan-1(E,Z)-diyl]-phenoxy}-hexan 1084-9596-PF 82 200848063 Styrene)-N-methylethylamine; N-butyl-2 -(6 - {4-[1 -(4-yl-phenyl)) 2-phenyl-butyr-1(E,Z)-alkenyl]-phenoxybuhexanesulfonyl)-N-mercaptoacetamide; (Z) - 4 - {12 -(4, 4 , 5, 5, 5-penta-II-pentylsulfonyl)-1_[ 4-(5-( 4, 4, 5, 5, 5-pentafluoropentylsulfonyl)-pentyloxy)-phenyl ]-2-phenyldode-1-enyl}-phenol; 4-(1-{4-[2-(4, 4, 5, 5, 5~pentafluoropentylthio)-ethoxy] -phenyl}-2-phenyl-butan-1(E,Z)-alkenylphenol; 4-(1_{4-[2-(4, 4, 5, 5, 5-pentafluoropentylsulfinyl) Mercapto)-ethoxy]-benph}-2-phenyl-but-1 (E,Z)-thyl)-phenol; 4-U-{4-[2-(N-methyl-N -3-(4, 4, 5, 5, 5-pentafluoropentylthio)-propyl-amino)-ethoxy]-phenyl}-2-phenyl-butan-1 (E, Z) -alkenyl)- phenol; 4-(1-{4-[2-(4, 4, 5, 5, 5-pentafluoropentylsulfonyl)-ethoxy]-phenyl}-2 Phenyl-butyr-1(E,Z)-alkenyl)-benzoquinone; 4-(1-{4-[2-(Ν-methyl-N-3-(4, 4, 5, 5, 5) -五貌戊烧亚亚醯))-propylamino-ethoxy]-phenyl}-2-phenyl-but-1-(E,Z)-alkenyl)- idiot; 4-( 3-{3-[4-(4, 4, 5, 5, 5-pentafluoropentylthio)-propoxy]phenyl}-2-phenyl-but-1(£,2)-alkenyl )-Benzene; 4-(1-{4-[3-(1^-曱) - N-2-(4,4,5,5,5-pentafluoropentylthio)-ethyl-amino)-propoxy]-phenyl}-2-phenyl-butane-1 (E, Z)-alkenyl)-phenol; 4-(1-{4-[3-(N-fluorenyl-N-3-(4, 4, 5, 5, 5-pentafluoropentylthio)-propyl) -amino)-propoxy]-phenyl}-2-phenyl-butan-1(E,Z)-dilute)-benzene age; 4-(1-{4-[3-(4, 4 , 5, 5, 5-pentafluoropentyl sulfite, fluorenyl)-propoxy]-phenyl}-2-phenyl-but-1-(E,Z)-alkenyl)-indolol; 4-(b {4-[3-(N-methyl-N-2-(4, 4, 5, 5, 5-pentafluoropentanesulfinyl)-ethyl-amino)-propoxy]- Phenyl}-2-benyl-but-1 (E,Z)-lean 1084-9596-PF 83 200848063 base)-benzene; 4-(1-{4-[3-(N-fluorenyl-N) —3—(4, 4, 5, 5, 5-pentafluoropentyl sulfhydryl)-propylamino-propoxy]-phenyl b-2-phenyl-but-1 (£, 2) -alkenyl)-phenol; 1^-butyl-2-(4_{4-[1-(4-hydroxy-phenyl)-2-indolyl-but-1(e,Z)-alkenyl-benzene Oxybutyl sulfinyl)-n-methylacetamide; and N-butyl-2-(4-{4-[1-(4-hydroxy-phenyl)-2-phenyl-butyl- 1(E,Z)-alkenyl-phenoxybupentylsulfinyl)-N-f-ethylamine 0 Tory Finland (toremifene) toremifene has the following structure:

把瑞米芬類似物,敘述於美國專利號碼4, 696, 949之 式(1)及(2),EP1475087 之式(1)。 托瑞米芬之例示類似物為:1-苯基-1,2-雙(4-羥基苯 基)-1-丁烯-4-醇;4-溴-卜苯基—1,2-雙(4-羥基苯基)-卜 丁稀;2-苯基-2, 3-雙(4-羥基苯基)四氫吱喃;1,2-二苯基 -1-(4-經基苯基)-i —戊烯-5-醇;2,3-二苯基-2-(4-經基苯 基)四氮旅喃;1,—本基-1-(4 -輕基苯基)_1_戊稀-5 -酸;1,2-二苯基-1-( 4-羥基苯基)-卜丁烯—4-醇;2,3-二苯 基-2-(4-羥基苯基)四氫呋喃;1,2-二苯基-1-[4-[2-(N,N- 二甲基胺基)乙氧基]苯基]-1-丁烯-4-醇;4 -氯-1,2-二苯 基-1-[4-[2-(N,N-二甲基胺基)乙氧基]苯基]-卜丁烯;4一 1084-9596-PF 84 200848063 氯-1,2 -二苯基- (1- 氮丙。定基(aziridinyl))乙氧 基]本基]-1~丁烯;4-填 ~1,2 -二苯基-1-[4-[2-(1-11比。各。定 基)乙氧基]苯基]-卜丁烯;2, 3-二苯基-2-[4-[2-(N,二 乙基胺基)乙氧基]苯基]四氳呋喃;1 —苯基—1,2-雙(4 —經基 苯基)丁 -4-醇;4-溴-1-苯基_1,2-雙(4-羥基苯基)丁 烷;1,2-二苯基-1-(4-羥基苯基)丁 —4-醇;4-氯-1,2-二苯 基-卜[4-(2-哌啶并乙氧基)苯基]丁烷;1,2_二苯基 羥基苯基)丁烷-1,4-二醇;1_苯基_;!,2_雙(4_羥基苯基)丁 烷-1,4-二醇;1,2-二苯基4-(4-甲氧基苯基)4— 丁烯_4_ 醇;4-溴-1,2-二苯基-h4_[2_(n,n_二曱基胺基)乙氧基] 苯基]-1-丁稀;4-氣],2_二苯基+([經基苯基)丁烷十 氯一1,2-二苯基-1 -(4-#里其贫盆、1 &基本基)-卜丁烯;及1,2-二苯基 丁烷-1,4-二 醇。 -H4-[2-(N,N-二甲基胺基)乙氧基]笨基] 額外的藥劑 AlverineThe rimifene analog is described in the formula (1) and (2) of U.S. Patent No. 4,696,949, and the formula (1) of EP 1475087. Exemplary analogs of toremifene are: 1-phenyl-1,2-bis(4-hydroxyphenyl)-1-buten-4-ol; 4-bromo-buphenyl- 1,2-double (4-hydroxyphenyl)-butadiene; 2-phenyl-2,3-bis(4-hydroxyphenyl)tetrahydrofuran; 1,2-diphenyl-1-(4-carbazide) Base)-i-penten-5-ol; 2,3-diphenyl-2-(4-pyridylphenyl)tetrazole; 1,-benyl-1-(4-methoxyphenyl) _1_penta-5-acid; 1,2-diphenyl-1-(4-hydroxyphenyl)-buten-4-ol; 2,3-diphenyl-2-(4-hydroxyl) Phenyl)tetrahydrofuran; 1,2-diphenyl-1-[4-[2-(N,N-dimethylamino)ethoxy]phenyl]-1-buten-4-ol; -Chloro-1,2-diphenyl-1-[4-[2-(N,N-dimethylamino)ethoxy]phenyl]-butene; 4-1084-9596-PF 84 200848063 Chloro-1,2-diphenyl-(1-azapropion. aziridinyl)ethoxy]benyl]-1~butene; 4-filled~1,2-diphenyl-1-[ 4-[2-(1-11 ratio. each. fixed) ethoxy]phenyl]-butene; 2, 3-diphenyl-2-[4-[2-(N, diethylamine) Ethyl]phenyl]tetramethylene furan; 1-phenyl- 1,2-bis(4-cyanophenyl)butan-4-ol; 4-bromo-1 -phenyl_1,2-bis(4-hydroxyphenyl)butane; 1,2-diphenyl-1-(4-hydroxyphenyl)butan-4-ol; 4-chloro-1,2- Diphenyl-bu [4-(2-piperidinyloxy)phenyl]butane; 1,2-diphenylhydroxyphenyl)butane-1,4-diol; 1-phenylene ; 2, bis(4-hydroxyphenyl)butane-1,4-diol; 1,2-diphenyl 4-(4-methoxyphenyl)4-butene-4-ol; -Bromo-1,2-diphenyl-h4_[2_(n,n-didecylamino)ethoxy]phenyl]-1-butylene; 4-carbo],2-diphenyl+( [Phenylphenyl)butane, decachloro-1,2-diphenyl-1 -(4-#里中的盆,1 &base)-bubutene; and 1,2-diphenylbutyl Alkane-1,4-diol. -H4-[2-(N,N-dimethylamino)ethoxy] phenyl] additional agent Alverine

Alverine具以下結構:Alverine has the following structure:

Alverine結構類似物,Alverine structural analogues,

以下式: 其中或Ch燒基;R2、R3、r” :6、R7、R8、R!The following formula: where or Ch base; R2, R3, r": 6, R7, R8, R!

1084-9596-PF 85 2008480631084-9596-PF 85 200848063

Rn及Rh獨立擇自於:Η、鹵素、0H,Ch烷基及〇Ch烷基;m 為0、1、2、3、4、5或6;且11為〇、;[、2、3、4、5或6。Rn and Rh are independently selected from: oxime, halogen, 0H, Ch alkyl and 〇Ch alkyl; m is 0, 1, 2, 3, 4, 5 or 6; and 11 is 〇,; [, 2, 3 , 4, 5 or 6.

AmiodaroneAmiodarone

Amiodarone具以下結構:Amiodarone has the following structure:

amiodarone結構類似物,敘述於美國專利號碼 3, 248, 401之通式及實施例I、Π及m;美國專利號碼 5, 849, 788之通式(參照’例如請求項1);揭示美國專利號 碼5,567,728之化合物;及美國專利號碼4,851,554之式 (I) ° amiodarone額外的類似物,於美國專利號碼 7, 148, 240;6, 515, 147;6, 31 6, 487;及 5, 981,514。The amiodarone structural analogs are described in U.S. Patent No. 3,248, 401 and in the Examples I, Π and m; U.S. Patent No. 5,849,788 (see, for example, claim 1); Compounds of the number 5,567,728; and U.S. Patent No. 4,851,554 (I) ° amiodarone additional analogs, U.S. Patent Nos. 7,148,240; 6,515,147; 6,31, 487; 981,514.

Amiodarone之例示結構類似物:3, 5-二碘-4-(2_N,N_ 二乙基胺基乙氧基)苯基-(2-丁基苯并呋喃_3_基)曱醇氣 化氫;2-甲基-3-(3,5一二碘_4 — (2^二乙基胺基_乙氧 基)-苯甲醯基)苯并呋喃氯化氫;丁基二碘 -4-缓基甲氧基-苯甲酿基)苯并咦淹;2_甲基_3_(3,5_二埃 -4-羥基-苯甲醯基)苯并吱喃;2_甲基_3_(3,卜二蛾缓 基甲氧基-苄基)苯并呋喃;4’_羥基—3,—碘_3,5二碘 -4-(2-N,N-二甲基胺基-乙氧基)_ 八’ 軋丞)一本基_氯化氫;2_ 丁基An exemplary structural analog of Amiodarone: 3, 5-diiodo-4-(2_N,N-diethylaminoethoxy)phenyl-(2-butylbenzofuran-3-yl)nonanol hydrogenated hydrogen ; 2-methyl-3-(3,5-di-diiodo_4 - (2^diethylamino-ethoxy)-benzylidene)benzofuran hydrogen chloride; butyldiiodo-4- slow Benzomethoxy-benzonitrile) benzopyrene; 2_methyl_3_(3,5-die-4-hydroxy-benzylidene)benzopyran; 2_methyl_3_( 3, Bishen moth methoxy-benzyl)benzofuran; 4'-hydroxy-3,-iodo-3,5 diiodo-4-(2-N,N-dimethylamino-B Oxy) _ 八' rolling 丞) a base _ hydrogen chloride; 2 butyl

1084-9596-PF 86 200848063 - 3-(3 -埃_4-經基苯甲酿基)苯并π夫喃;及 4’,4 -二經基 -3’ 3, 5-三碘-二苯基曱烷。 氣喹琳 (Chloroquine) 及經 氣喹琳 (hydroxychloroquine) 氣喹啉具以下結構:1084-9596-PF 86 200848063 - 3-(3 - ang-4-yl-benzoyl yl) benzopyran; and 4',4-di-di--3' 3, 5-triiodo-di Phenyl decane. Chloroquine and hydroxychloroquine gas quinoline have the following structure:

羥氯喹啉具以下結構:Hydroxychloroquinoline has the following structure:

氣喹琳及羥氯喹琳結構類似物,敘述於美國專利號碼 2, 233, 970或具有以下結構··The quinoxaline and hydroxychloroquine structural analogs are described in U.S. Patent No. 2, 233, 970 or have the following structure:

R,N、R8, 其中獨立地,X為Η或鹵素;Ri、R2、R3、R4及R5擇自於:H、 1084-9596-PF 87 200848063 鹵素、Ci-6院基、0H,0Ci-6烧基、CN或N〇2;A為一分支或不 分支、飽和或單飽和之具1〜6個碳烴鏈;R6、R?、R8及R9, 為 Η、Ch 烷基或(CH2)n(CH2〇H),其中,η 為 0、1、2、3、 4或5 〇 氣普嘆嘴(Chlorprothixene) 氯普噻噸具以下結構: CH;R, N, R8, wherein independently, X is hydrazine or halogen; Ri, R2, R3, R4 and R5 are selected from: H, 1084-9596-PF 87 200848063 Halogen, Ci-6 yard, 0H, 0Ci- 6 alkyl, CN or N〇2; A is a branched or unbranched, saturated or monosaturated with 1 to 6 carbon hydrocarbon chains; R6, R?, R8 and R9 are Η, Ch alkyl or (CH2 n)(CH2〇H), wherein η is 0, 1, 2, 3, 4 or 5 pro 普 pro ( (Chlorprothixene) chloropyrazine has the following structure: CH;

氯普噻噸結構類似物具以下結構:The chlorobutioxol structural analogue has the following structure:

其中,獨立地,Ri、R2、r3、r4、r5、r6、r7、r8 及 r9 各擇 自於:H、鹵素、Ch烷基、全鹵化之Ch烷基、OH、OCh 烷基、0CF3、SH、SCh烷基或SCF3,其中RrR8至少之一為 一鹵素;Y 為 Cfh、〇、NH、S(0)〇-2、(CH2)3、(CH)2、CH2〇、 ClhNH、CHN或CihS ;A為一分支或不分支、飽和或單飽和之 具1〜6個碳fe鏈;Βι與B2擇自於:H、全鹵化之Ci-e院基、匕 烧基或B1與B2結合在一起以形成一隨意地經取代的产Wherein, independently, Ri, R2, r3, r4, r5, r6, r7, r8 and r9 are each selected from: H, halogen, Ch alkyl, perhalogenated Ch alkyl, OH, OCh alkyl, 0CF3, SH, SCh alkyl or SCF3, wherein at least one of RrR8 is a halogen; Y is Cfh, 〇, NH, S(0) 〇-2, (CH2)3, (CH)2, CH2〇, ClhNH, CHN or CihS ; A is a branched or unbranched, saturated or monosaturated with 1 to 6 carbon fe chains; Βι and B2 are selected from: H, fully halogenated Ci-e, smoldering or B1 combined with B2 Together to form a randomly substituted product

Dicyclomine 1084-9596-PF 88 200848063Dicyclomine 1084-9596-PF 88 200848063

Dicyclomine具以下結構:Dicyclomine has the following structure:

Dicyclomine結構類似物,敘述於美國專 2, 474, 796。Dicyclomine之結構類似物,亦教述 利號 石馬Dicyclomine structural analogs are described in U.S. Patent 2,474,796. Structural analogue of Dicyclomine, also teaches the name

於下式: 擇自於:〇 其中,獨立地,n為l、2、3、4、5或6;X及γ 及S;及Ri及R2為Η或Ci-6烧基。 六氣芬(Hexachlorophene) 六氣分具以下結構:In the following formula: From: 〇 where, independently, n is 1, 2, 3, 4, 5 or 6; X and γ and S; and Ri and R2 are hydrazine or Ci-6 alkyl. Hexachlorophene six gas distribution with the following structure:

其中,獨立地,Xl、X2、X3、、 0、;l、2、3、4 或 5. 為 X5及Xe為11或_素且η IMD-0354 IMD-0354具以下結構:Wherein, independently, Xl, X2, X3, 0, ; 1, 2, 3, 4 or 5. X5 and Xe are 11 or _ and η IMD-0354 IMD-0354 has the following structure:

1084-9596-PF 89 2008480631084-9596-PF 89 200848063

IMD-0354之類似物,肖也甘 枯其他小分子腳-/c B抑制 劑。例示之小分子NF- /c Β φ:卩制為丨& t . 卩’]剤為:抗氧化劑;SP1 00030; 之 ^ epoxyquinomicin (DHMEQ) ; W02006/032322 式(I)。IMD-0354之類似物,亦敛述於下式:An analog of IMD-0354, Xiao Gangan, other small molecule foot-/c B inhibitor. The exemplified small molecule NF- /c Β φ: 卩 is 丨 & t. 卩'] 剤 is: antioxidant; SP1 00030; ^ epoxyquinomicin (DHMEQ); W02006/032322 Formula (I). Analogs of IMD-0354 are also condensed in the following formula:

r4 R5R4 R5

X 其中’獨立地,X為環上任意位置之鹵素;义為〇或X;Ri、 R2、R3、R4及R5為或全鹵化之Ci 6烷基;及Re為H或Ci 6 烧基。X whereinin independently, X is a halogen at any position on the ring; meaning is 〇 or X; Ri, R2, R3, R4 and R5 are or fully halogenated Ci 6 alkyl; and Re is H or Ci 6 alkyl.

NitazoxanideNitazoxanide

Ni tazoxanide具以下結構.Ni tazoxanide has the following structure.

ii

Nitazoxanide之結構類似物,包括tizoxanide或具 有以下結構:Structural analogues of Nitazoxanide, including tizoxanide or having the following structure:

1084-9596-PF 90 200848063 其中獨立地,Ri及R2擇自於:H、鹵素、CN、N〇2,CF3或Ci-6 烧基;R3為Η或C1-6烧基;R4、R5、1?6、R7及ί?8擇自於:H、鹵 素、CN、N〇2,CF3,Ch烷基或0CH烷基;X、Y及Z擇自於 0、S或NR9;A為一鍵、0、S或NR9;R9為Η或Ch烷基;且B 為 Η 或 C(Z)-X-R8 。 甲硫達嗪(thioridazine) 甲硫達嗪具以下結構:1084-9596-PF 90 200848063 wherein, independently, Ri and R2 are selected from: H, halogen, CN, N〇2, CF3 or Ci-6 alkyl; R3 is hydrazine or C1-6 alkyl; R4, R5, 1?6, R7 and ί?8 are selected from: H, halogen, CN, N〇2, CF3, Ch alkyl or 0CH alkyl; X, Y and Z are selected from 0, S or NR9; A bond, 0, S or NR9; R9 is a hydrazine or a Ch alkyl group; and B is Η or C(Z)-X-R8. Thioridazine methylthiodazine has the following structure:

sch3 曱硫達嗪之結構類似物具以下結構The structural analog of sch3 thiodazine has the following structure

鹵素、Cl-6烧基、全鹵化之Cl-6烧基、0H,0Cl-6烧基、0CF3、 SH、SCu 烷基或 SCF3;Y 為 CH2、0、NH,S(0)〇-2、(CH2)3、 (CH)2、CH2O、CH2NH、CHN或CH2S; A為一鍵或分支或不分支、 飽和或單飽和具1〜6個碳之烴鏈;各Β!、B2、B3,與B4獨立 地為Η、鹵素、全鹵化之Cl-6烧基、Cl-6烧基、OCl-6:):完基、 0(全鹵化之0Ci-6烧基)或Βι與B2、Βι與B3、Βι與B4、B2與 1084-9596-PF 91 200848063 隨意地經取代 請案公開號碼 B3、B2與B4或&與B4結合在一起以形成一 的環。 甲硫達嗪類似物,亦敘述於美國專利申 2007-〇287702 之式(I)、(IIA)及(IIB)。 伐諾司林(厂 伐諾司林具以下結構··Halogen, Cl-6 alkyl, fully halogenated Cl-6 alkyl, 0H, 0Cl-6 alkyl, 0CF3, SH, SCu alkyl or SCF3; Y is CH2, 0, NH, S(0)〇-2 , (CH2)3, (CH)2, CH2O, CH2NH, CHN or CH2S; A is a bond or branched or unbranched, saturated or monosaturated hydrocarbon chain with 1 to 6 carbons; each Β!, B2, B3 , independently of B4, is halogen, halogen, fully halogenated Cl-6 alkyl, Cl-6 alkyl, OCl-6:): complete, 0 (fully halogenated 0Ci-6 alkyl) or Βι and B2 Βι and B3, Βι and B4, B2 and 1084-9596-PF 91 200848063 Optionally, the public number B3, B2 and B4 or & B4 are combined to form a ring. The methylthiodazine analogs are also described in U.S. Patent Application No. 2007-〇287702, formulas (I), (IIA) and (IIB). Varnostrine (factory vanosin has the following structure··

^0^0 4 2。2伐:司:之…㈣,敘述於美國專利號碼 ,2’896之式(Π;美國專利號碼4,476,129之式 美國專利號碼4, 874, 765之式(I)。 , 額外的治療療法 J見需要’該病患亦可接受額外的治療療法。例如,治 療樂劑可與此處所述該藥劑或多種藥劑,投予已知針對此 為有效之濃度。特別有用之藥劑,包括對於預防 或錢神經惡化或死亡或治療、預防_ i種以上神經 退化性障礙者。例示之治療類別及藥劑,列料2。可使 用表2之類別及藥劑組合。 若採用1種以上藥劑,可將卜 — ,3入 將此專治療樂劑分別地或預先 …早-配方中後傳遞。當藥劑存在 物中,可採不同的投予路徑。各種實施形態之投予==^0^0 4 2. 2 fell: Division: (4), described in US Patent No. 2'896 (Π; US Patent No. 4,476,129, US Patent No. 4, 874, 765 (I) Additional therapeutic Therapy J Seek Needs 'The patient may also receive additional therapeutic therapies. For example, a therapeutic agent can be administered to a concentration known to be effective against the agent or agents described herein. Particularly useful agents include those for the prevention or prevention of death or death or treatment of the nerves, prevention or prevention of neurodegenerative disorders. Examples of treatment categories and medicaments, Listing 2. The categories and combinations of agents of Table 2 can be used. When more than one type of agent is used, the special therapeutic agent can be transferred separately or in advance... early in the formula. Different dosage paths can be used in the presence of the drug. To ==

1084-9596-PF 92 200848063 包括,但不 内、肌肉内、皮下、吸入、經直腊 靜脈 、直腸、經頰、經陰道、你 腔内、關節内、經眼或口服投予)。或者,藥劑可:腹 椎管内或硬膜外投予。任何投予方 ㈧杈于方法,若能繞道血 或增強穿透性(例如投予NaVCa++ F早礙1084-9596-PF 92 200848063 Included, but not administered intramuscularly, intramuscularly, subcutaneously, inhaled, via a vein, rectal, buccal, transvaginal, intraluminal, intra-articular, transdermal or oral). Alternatively, the agent can be administered intra-abdominal or epidural. Any donor (8) is in a way to bypass the blood or enhance penetration (for example, to give NaVCa++ F early obstruction)

CereP㈣,可為有用。 醇或 於某些情形’-藥劑及額外的治療藥劑,分 少1小時、2小時、4小時、6小時、!。小時、12小時、 18小時、24小時、3天、7天或“天。組合物中各成分投 藥之劑量及頻率…獨立控制。例如-化合物可以每: 投予3次,而第2化合物可以每曰投予卜欠。組合治療可 以開-及-II周期投h包括休息期間,以便病患身體有機 會從任意未曾預見的副作用中回復。該化合物亦可—起配 方,使得-投予傳遞兩者化合物。隨意地,此組合物之該 藥劑,可以低劑量或高劑量投予,低劑量或高劑量定義; 此。 、 此等治療藥劑可以與額外的活性或純性成分,例如習 知:樂上可接受擔體預先混合。一醫藥擔體,可為能相容、 …、毋社物貝’適於投予此處所述組合物給病患者。醫藥上 可接受擔體包括例如:水 '鹽水、緩衝液及其他化合物^敛 述於例如Μ⑽k Index,Merck & &,㈣㈣,^CereP (4) can be useful. Alcohol or in some cases '-agents and additional therapeutic agents, 1 hour, 2 hours, 4 hours, 6 hours, respectively! . Hours, 12 hours, 18 hours, 24 hours, 3 days, 7 days or "days. The dose and frequency of administration of the ingredients in the composition are independently controlled. For example - the compound can be administered every 3 times, and the second compound can be Each sputum is administered owing. Combination therapy can be administered on-and-II cycles including rest periods so that the patient has the opportunity to recover from any unforeseen side effects. The compound can also be formulated to enable delivery. Optionally, the agent of the composition may be administered in a low dose or in a high dose, as defined by a low dose or a high dose; such therapeutic agents may be combined with additional active or pure ingredients, such as conventional The above-mentioned acceptable carrier can be pre-mixed. A pharmaceutical carrier can be compatible, and the composition can be administered to a patient. The pharmaceutically acceptable carrier includes, for example, for example. : Water 'saline, buffer and other compounds ^ are condensed, for example, in Μ(10)k Index, Merck &&, (4)(d), ^

Jersey。可使用緩釋配方或緩釋裝置,以供持續投予。 —除了投予治療藥劑,此額外的治療療法可涉及其他的 治療’例如移殖神經細胞(包括視需要的抗發炎及/或免疫Jersey. A sustained release formulation or a sustained release device can be used for continuous administration. - In addition to administering a therapeutic agent, this additional therapeutic therapy may involve other treatments such as transplanting nerve cells (including anti-inflammatory and/or immune as needed)

1084-9596-PF 93 200848063 抑制療法)或改變欲治療病患之生活形態。 結合物(Con jugate) 視需要,使用在此處所述組合物中任 以共價地彼此附著,以形成4 I之結合物。㈣物,可 (A)'(L)~(B)⑴ 於式1中,(A)為一列於表la或lb之藥 過連結子(L)栓至⑻,⑻為列於表ia、 、價地經 藥劑中任一藥劑。 及2之類別及 、’。口物可以經任意路徑對於一對象投予, 療任意此處所述疾病。 並針對於治 醯胺:结Γ二可為_,於藉由胞内及胞外酵素(例如 - •曰·,及磷解酶)切開結合物時,釋出藥物 =於二内及:包外酵素切開具耐受性。此結合物於體内之 "精由設計連結子(L)及於合成此結合物 物(A:士及藥物⑻之共價鍵來控制。 成於樂 釔合物可使用此技術領域之人士所熟悉之技術製備。 例如i該結合物可使用G· Hermanson,Bi〇conjugate u hniques,Academic Press, Inc·,1 996 中揭露的方法 製備結合物之合成,可涉及選擇性保護及脫保護藥物 (A)、連結子及/或藥物(B)之醇、胺、酮、硫氫基或羧基官 月b基°例如’針對胺之普通使用保護基,包括胺甲醯基,1084-9596-PF 93 200848063 Inhibition therapy) or change the lifestyle of the patient to be treated. Conjugates may optionally be attached to each other using the compositions described herein to form a combination of 4 I, as desired. (4), (A) '(L) ~ (B) (1) In Formula 1, (A) is a list of drugs in Table la or lb. The linker (L) is tied to (8), and (8) is listed in Table ia. , the price of any drug in the drug. And the categories of 2 and , '. The oral substance can be administered to an object via any route to treat any of the diseases described herein. And for the treatment of guanamine: the sputum can be _, when the conjugate is cut by intracellular and extracellular enzymes (such as - • 曰 ·, and phospholyase), release the drug = in the two and: package The exogenous enzyme is cut tolerant. The combination of the conjugate in the body is controlled by the design of the linker (L) and the synthesis of the conjugate (A: the covalent bond of the drug and the drug (8). The composition of the drug can be used in this technical field. The preparation of the conjugate is carried out by the method disclosed in G. Hermanson, Bi〇 conjugate u hniques, Academic Press, Inc., 1996, and may involve selective protection and deprotection. The alcohol (A), the linker and/or the alcohol (A) of the drug (B), the amine, the ketone, the sulfhydryl group or the carboxy group b group, for example, the common protecting group for the amine, including the amine carbenyl group,

1084-9596-PF 94 200848063 例如茗三^基、苄基、2, 2, 2-三氯乙基、2-三甲基矽乙基、 第甲基、烯丙基及間硝基苯基。針對胺之其他普通使 保言蒦其 ,^ 土,匕括醯胺,例如曱醯胺、乙醯胺、三氟乙醯胺、 尹、·ώ胺二氟曱烷磺醯基磺醯胺、三甲基矽基乙烷磺醯胺, 及農二丁基確醯基續醯胺。 十對竣基之普通使用保護基,例如··甲基、乙基、彦三 y基、9〜荼曱基、2一(三甲基矽基)乙氧基甲基、苄基、二 土甲基、〇-硕基苄基、原酯(〇rth〇—ester),及鹵酯。針 十醇匕括醚之普通使用保護基,例如:甲基、甲氧基甲基、 甲氧基乙氧基甲基、甲硫基甲基、苄氧基曱基、四氫哌喃 基乙氧基乙基、苄基、2-nap thy 1 methyl、鄰硝基苄基、 對硝基苄基、對甲氧基节基、9-苯基黃嘌呤基、三苯甲基(包 括甲氧基二苯甲基),及矽基醚。針對硫氫基之普通使用保 °蒦基包括與多與羥基之保護基相同者。此外,硫氫基可 以於還原型(例如二硫化物)或氧化型(例如磺酸、磺酸酯或 石只醯胺)之形式保護。保護基之選擇可使得需要在選擇性條 件(例如酸性條件、鹼性條件、由親核試劑催化、由路易士 酉文催化,或氳化)移除分子中之保護基,而其他保護基不受 影響。加成保護基至胺、醇、硫氫基及羧基官能基之條件, 以及其移除所需條件,在T.w· Green an(i P.G.M. Wuts, Protective Groups in Organic Synthesis (2nd Ed. ), John Wiley & Sons, 1991 and P. J. Kocienski, Protecting Groups, Georg Thieme Verlag,1994 提供 了細節。額外 的合成細節提供於下。1084-9596-PF 94 200848063 For example, trisyl, benzyl, 2,2,2-trichloroethyl, 2-trimethylsulfoniumethyl, methyl, allyl and m-nitrophenyl. Other common remedies for amines, such as guanamine, acetamide, trifluoroacetamide, yin, guanamine difluorodecane sulfonylsulfonamide, Trimethyldecylethanesulfonamide, and octabutylidene hydrazide. Commonly used protecting groups for ten pairs of fluorenyl groups, such as methyl group, ethyl group, ninth yl group, 9-mercapto group, 2-mono(trimethylfluorenyl)ethoxymethyl group, benzyl group, two earths Methyl, anthracene-based benzyl, orthoester (〇rth〇-ester), and haloester. A common protecting group for the use of a pentadecyl alcohol, such as methyl, methoxymethyl, methoxyethoxymethyl, methylthiomethyl, benzyloxyindenyl, tetrahydropyranyl Oxyethyl, benzyl, 2-nap thy 1 methyl, o-nitrobenzyl, p-nitrobenzyl, p-methoxyl, 9-phenylxanthyl, trityl (including methoxy) Diphenylmethyl), and mercapto ether. The general use of a sulfhydryl group includes the same as the protecting group with a plurality of hydroxy groups. Further, the sulfhydryl group may be protected in the form of a reduced form (e.g., a disulfide) or an oxidized form (e.g., a sulfonic acid, a sulfonate or a decylamine). The choice of protecting group may necessitate removal of the protecting group in the molecule under selective conditions (eg, acidic conditions, basic conditions, catalyzed by a nucleophile, catalyzed by Lewis, or deuterated), while other protecting groups are not Affected. Conditions for addition of protecting groups to amines, alcohols, sulfhydryl groups and carboxyl functional groups, as well as conditions for their removal, in Tw· Green an (i PGM Wuts, Protective Groups in Organic Synthesis (2nd Ed. ), John Wiley Details are provided by & Sons, 1991 and PJ Kocienski, Protecting Groups, Georg Thieme Verlag, 1994. Additional synthetic details are provided below.

1084-9596-PF 95 200848063 連結子(1 inker) 該連結子成分’最簡單者,為藥物(幻及藥物之鍵, 但疋一般會提供一線形、環或分支分子骨架,具懸吊基團 共價地連結藥物(A)至藥物(B)。 因此,連結藥物(A)至藥物(B)係藉由共價方式達成,涉及 與藥物(A)及藥物(B)上之1種以上官能基形成鍵結。可用 於此用途的化學性反應性官能基之例,包括但不限於:胺 基、羥基、硫氫基、羧基、羰基、碳水化合物基團、鄰近 二醇、硫醚、2-胺基醇、2-胺基硫醇、胍基、咪唑基,及 苯酚性基團。 藥物(A)及藥物(B)之共價連結,可使用包括能與此等 存在於藥物(A)及藥物(B)中之官能基反應的反應性結構的 連結子。例如藥物(A)之胺基,可以與連結子之羧基基團或 其活化衍生物反應,造成連結此兩者的醯胺形成。 能與硫氫基基團反應之結構例,包括xch2co-(其中 X-Br,C1或I)類型之鹵乙酿基化合物,其顯示對於硫 氳基基團特別的反應性,但亦可用於修飾咪唑基、硫鱗、 苯酚,及胺基,如Gurd,卯人1 1 :532 ( 1 967) 所述。N-馬來醯亞胺衍生物亦被認為對於硫氫基基團有選 擇性,但可能在某些條件下有用於偶合至胺基。例如2-亞 胺基四氫 11 塞吩(Traut et al.,12 : 3266 ( 1 973))之試劑,會經由轉換胺基基團而導入一硫醇基團, 若經由形成雙硫鍵發生連結,則可視為一硫氫基試劑。 能與胺基反應之反應性結構,例如烷基化及醯基化藥 1084-9596-PF 96 200848063 劑。代表性的烷基化劑,包括: (i) α -鹵乙醯基化合物,在不存在反應性硫醇基團 時,對於胺基顯示專一性,且為XCH2C0-(其中,Χ = Π、Br 或 ί )類型,例如 Wong 万24 : 5337 ( 1 979)所述; (Π) N-馬來醯亞胺衍生物,可經Michael型反應或 經由加成至此環羰基基團而醯基化,與胺基反應,如Smyth e*t a 1 ·,又 j见〔力己见 Soc· 8 2 : 4 6 0 0 ( 1 9 6 0 )與 B /己见 乂 91 :589 ( 1 964)所述; / (i i i)芳基鹵化物例如反應性硝基_芳香族化合物; (iv) 烧基鹵化物,欽述於例如McKenzie et al,Λ Protein Chem. 7:581 (1988); (v) 駿及酮,能與胺基形成Schiff氏驗,形成之加成 物通常經由還原成安定的胺以穩定化胺; (vi) 環氧衍生物,例如表氯醇(epichior〇hy(jrin)及 bisoxirane,可與胺基、硫氫基或苯酚性羥基; ( (v i i) s —二嗪之含氣衍生物’對於親核試劑例如胺 基、巯基(sufhydryl),及羥基非常有反應性; (乂:^〇氮丙啶(&:2;[1^(^1^),基於上述三嗪化合物, 例如 Ross,/· 如& 2:1 (1 954)所示者,藉 開環與親核試劑例如胺基反應; (lx)方酸(squaric acid)二乙酯,敘述於 Tietze 如厂 124:1215 (1991);及 (X) α-鹵烷基醚,由於醚氧原子之活化,相較於通常 的烷基鹵化物,為更有反應性烷基化劑。敘述於以⑽⑼以1084-9596-PF 95 200848063 Linker (1 inker) The simplest component of the linker is the drug (the magical and drug bond, but the 疋 generally provides a linear, ring or branched molecular skeleton with a hanging group Covalently linking the drug (A) to the drug (B). Therefore, the linking drug (A) to the drug (B) is achieved by a covalent method involving one or more of the drug (A) and the drug (B). The functional groups form linkages. Examples of chemically reactive functional groups that can be used for this purpose include, but are not limited to, amine groups, hydroxyl groups, sulfhydryl groups, carboxyl groups, carbonyl groups, carbohydrate groups, adjacent diols, thioethers, a 2-amino alcohol, a 2-amino mercaptan, a mercapto group, an imidazolyl group, and a phenolic group. A covalent linkage of the drug (A) and the drug (B), which can be used, including the presence of the drug ( A) a linker of a reactive structure which reacts with a functional group in the drug (B). For example, an amine group of the drug (A) may react with a carboxyl group of a linker or an activated derivative thereof to cause a linkage between the two. Indoleamine formation. Examples of structures that can react with sulfhydryl groups, including xch2co- (where X-Br, C1 I) a type of halogenated vinyl compound which exhibits particular reactivity to thioindolyl groups, but can also be used to modify imidazolyl, sulfur scale, phenol, and amine groups, such as Gurd, 卯人1 1 : 532 ( 1 967). The N-maleimide derivative is also considered to be selective for sulfhydryl groups, but may be used for coupling to an amine group under certain conditions. For example, 2-iminotetrahydrogen 11 The reagent of Traut et al. (12: 3266 (1 973)) introduces a thiol group via a conversion of an amine group, and if it is linked via a disulfide bond, it can be regarded as a sulfur. Base reagents. Reactive structures capable of reacting with amine groups, such as alkylating and thiolation drugs 1084-9596-PF 96 200848063. Representative alkylating agents, including: (i) α-haloethenyl The compound, in the absence of a reactive thiol group, exhibits specificity for the amine group and is of the type XCH2C0- (wherein Χ = Π, Br or ί), as described, for example, in Wong Wan 24: 5337 (1 979); (Π) N-maleimide derivatives which can be thiolated via Michael type reaction or via addition to the cyclocarbonyl group to react with an amine group. Smyth e*ta 1 ·, see j (see Soc· 8 2 : 4 6 0 0 (1 9 6 0 ) and B / 见 乂 91: 589 (1 964); / (iii) aryl halogenation For example, a reactive nitro-aromatic compound; (iv) an alkyl halide, as described, for example, in McKenzie et al, Λ Protein Chem. 7: 581 (1988); (v) ketone, which forms an amine group Schiff's test, the formed adduct is usually stabilized by reduction to a stable amine; (vi) epoxy derivatives, such as epichlorohydrin (jrin) and bisoxirane, with amines, sulphur a phenolic hydroxyl group; ((vii) s - a gas-containing derivative of a diazine" is very reactive with nucleophiles such as an amine group, a sufhydryl group, and a hydroxyl group; (乂:^〇 aziridine (&;:2; [1^(^1^), based on the above triazine compound, such as Ross, /· as shown in & 2:1 (1 954), by ring opening with a nucleophile such as an amine group; (lx) squaric acid diethyl ester, described in Tietze, et al., 124:1215 (1991); and (X) alpha-haloalkyl ether, due to activation of the ether oxygen atom, compared to the usual alkyl group Halide, more counterproductive Alkylating agent. Described in (10) (9)

1084-9596-PF 97 200848063 et al·,办厂 /·於义 见 28:463 ( 1 993)。 代表性的胺基反應性醯基化藥劑,包括: (1 )異氰酸鹽(酯)及異硫氰酸鹽(酯),特別是芳香族 々亍生物’各形成穩定的脈及硫脈衍生物; (ii)石頁醯基氯化物,其已敘述於Herzig et al BiopoJy/ners 2:349 (1 964); (i i i)酸鹵化物; (iv) 活性酯,例如硝基苯基酯或N—羥基琥珀醯亞胺 基酯; (v) 酸酐,例如混合、對稱或N-羧基無水物; (vi) 其他對於醯胺鍵形成為有用的試劑,例如敘述於 M· Bodansky, Principles of Peptide Synthesis, Springer-Verlag, 1984; (vii) 醯基疊氮化物,例如其中該疊氮基,係使用亞 硝酸鈉從實施醯肼(hydrazide)衍生物產生,敘述於Wetz et al·,方/ocAe 见 58:347 ( 1 974);及 i (vi i i)醯亞胺酯,其與胺基反應時,形成穩定的肺, 例如敘述於 Hunter and Ludwig, /, 见 Soc. 84:3491 (1962)。 醛及酮可與胺反應,以形成Sch iff氏鹼,能有利經由 還原性胺化而穩定。烷氧基胺基結構容易與酮及醛反應, 以產生穩定的院氧胺例如,敘述於Webb et a 1., in 厶见 1:96 ( 1 990 )。 能與魏基反應之反應性結構,包括重氮(diazo)化合 1084-9596-PF 98 200848063 物,例如重氮乙酸酯及重氮乙醯胺, ,、Μ阿專一性反應以 產生醋基,例如敛述於Herriot, .户3:169 (1 947)。羧基修飾試劑例如碳二醯亞胺,可採用經〇-醯基 脲形成後,形成醯胺鍵。 ^ 應瞭解到,藥物(A)及/或藥物(B)中之官能基,視需 要,可以在反應前轉換為其他官能基,例如以帶來額外: 反應性或選擇性。對於此目的有用之方法,包括例如,將 胺使用試劑例如二羧酸酐轉換為羧基;使用例如n_乙醯基 同胱胺酸硫醇丙酮、S-乙醯基巯基琥珀酸酐、2_亞胺基= 氳噻吩或含硫醇之琥拍醯亞胺基衍生物,將胺轉換為硫醇W 將硫醇使用試劑例如α _鹵乙酸醋轉換為幾基;將硫醇使 用4 d例如乙烯亞胺或2-溴乙基胺轉換為胺;將羧基使用 試劑例如碳二醯亞胺,接著二胺,轉換為胺;及將醇使用試 劑例如甲苯磺醯基氯’接著以硫乙酸酯進行轉酯化,並以 乙酸納水解為硫醇。 所謂零長度之連結子,涉及直接共價鍵結藥物(A)之一 反應性化學基團及藥物(B)之反應性化學基團,而不引入視 需要會使用之額外的連結材料。 最普通地,然而,該連結子將包括2個以上反應性結 構如上述,以一間隔元件連接。存在此一間隔元件能使 得雙官能連結子與藥物(A)及藥物(B)之中特殊官能基反 應’而造成在兩者之間形成共價鍵結。於連結子中之反應 性結構’可為相同(同雙官能連結子)或不同(雜雙官能連結 子’或者’當存在數個不相似反應性結構時,為雜多官能1084-9596-PF 97 200848063 et al·, set up a factory /· Yu Yi see 28:463 (1 993). Representative amine-reactive thiolation agents, including: (1) isocyanates and isothiocyanates, especially aromatic steroids, each forming stable veins and sulfur veins a derivative; (ii) a sulphate chloride as described in Herzig et al Biopo Jy/ners 2: 349 (1 964); (iii) an acid halide; (iv) an active ester such as nitrophenyl ester Or N-hydroxyamber succinimide; (v) anhydride, such as a mixed, symmetric or N-carboxy anhydrate; (vi) other reagents useful for the formation of guanamine bonds, as described, for example, in M. Bodansky, Principles of Peptide Synthesis, Springer-Verlag, 1984; (vii) Mercapto azide, for example wherein the azide group is produced from a hydrazide derivative using sodium nitrite, as described in Wetz et al., ocAe See 58:347 (1 974); and i (vi ii) sulfhydryl ester, which forms a stable lung when reacted with an amine group, as described, for example, in Hunter and Ludwig, /, see Soc. 84:3491 (1962) ). The aldehydes and ketones can be reacted with an amine to form a Schiff base, which is advantageously stabilized by reductive amination. The alkoxyamino structure readily reacts with ketones and aldehydes to produce stable oxime amines, for example, as described in Webb et al., in 1: 1:96 (1 990). A reactive structure capable of reacting with Wei Ke, including diazo compound 1084-9596-PF 98 200848063, such as diazoacetate and diazonium, and a specific reaction to produce a vine group For example, condensed in Herriot, . 3:169 (1 947). A carboxyl group-modifying agent such as carbodiimide can be formed by the formation of a guanamine bond after the formation of hydrazine-hydrazino. ^ It should be understood that the functional groups in the drug (A) and/or drug (B) can be converted to other functional groups before the reaction, if desired, for example to bring additional: reactivity or selectivity. Useful methods for this purpose include, for example, converting an amine using a reagent such as a dicarboxylic anhydride to a carboxyl group; using, for example, n-acetamido-cysteine thiol acetone, S-ethyl decyl succinic anhydride, 2-imine Base = thiophene or a mercaptan-containing sulfonium imino derivative, converting an amine to a thiol W converting a thiol using a reagent such as α-haloacetic acid vinegar to a few groups; using a thiol for 4 days such as ethylene Conversion of the amine or 2-bromoethylamine to an amine; conversion of the carboxyl group to a amine using a reagent such as carbodiimide followed by a diamine; and the use of a reagent such as toluenesulfonyl chloride in the alcohol followed by thioacetate It is transesterified and hydrolyzed with sodium acetate to a mercaptan. The so-called zero-length linker involves a reactive chemical group which is a direct covalently bonded drug (A) and a reactive chemical group of the drug (B), without introducing an additional linking material as needed. Most commonly, however, the linker will include more than two reactive structures, as described above, joined by a spacer element. The presence of such a spacer element enables the bifunctional linker to react with a particular functional group in the drug (A) and drug (B) to cause a covalent bond between the two. The reactive structure in the linker can be the same (homobifunctional linker) or different (heterobifunctional linker' or 'heteropolyfunctional when there are several dissimilar reactive structures

1084-9596-PF 99 200848063 連結子)’而提供潛在試劑多樣性,在藥物(A)及藥物(B) 之間產生共價附著。 連結子中之間隔元件,一般由直鏈或分支鏈構成,且 可包括一 C〗-C1G烷基、c2-c1Q烯基、C2-Cl。炔基、c2 —c6雜環 基、C6-Ci2芳基、CrC“烷芳基、C3_Ci〇烷雜環基或Cl —Cl0 雜烧基。 於某些情形,該連結子以式(〗丨)敘述: G1-(Z1)〇~(Y1)u-(z2)s-(R30)-(z3)t-(Y2)v-(Z4)p~ G2 (Π) 於式(II),G1為介於藥物(a)及該連結子間之一鍵結;g2 為介於該連結子及藥物(B)之一鍵結;Z1、Z2、Z3及Z4 ,各 獨立地擇自於〇、S及NR31;R31為氫、Cl-C6烧基、C2-C6烯基、 C2-C6炔基、C2-c6 雜環基、c6-Ci2 芳基、Ct-Cu烷芳基、c3 —c10 燒雜環基或Ci-C?雜烷基;γ1及γ2各獨立地擇自於羰基、硫 罗炭基、績醯基,及鱗酸基;0、p、s、t、u及ν各獨立地, 為0或1;及R3。為一 Cl-Cl。烧基、C2-Cl。稀基、C2~~Cl〇块基、 C2 - Ce雜環基、Ce-Cl2芳基、C7-Cl4烧芳基、C3-Cl。烧雜環基 或Ci-CH雜烷基或一化學鍵連結G1- (ZOa-aJu-Ui-至 -(Z3)r(Y2)v-(Z4)P- G2。 有用於製備結合物之同雙官能連結子之例,包括但不 限於:二胺及二醇,擇自於乙二胺、丙二胺及六亞甲基二 胺、乙二醇、二乙二醇、丙二醇、1,4-丁烷二醇、1,6—己 烷二醇、環己烷二醇,及聚己内酯二醇。 配方 1084-9596-PF 100 2008480631084-9596-PF 99 200848063 Linker) provides potential reagent diversity and covalent attachment between drug (A) and drug (B). The spacer elements in the linker are generally composed of a straight chain or a branched chain, and may include a C-C1G alkyl group, a c2-c1Q alkenyl group, and a C2-Cl group. Alkynyl, c2-c6 heterocyclyl, C6-Ci2 aryl, CrC "alkylaryl, C3_Ci nonylheterocyclyl or Cl-Cl0 heteroalkyl. In some cases, the linker is of the formula ("丨) Description: G1-(Z1)〇~(Y1)u-(z2)s-(R30)-(z3)t-(Y2)v-(Z4)p~ G2 (Π) In formula (II), G1 is Between the drug (a) and one of the linkers; g2 is a bond between the linker and the drug (B); Z1, Z2, Z3 and Z4, each independently selected from 〇, S And NR31; R31 is hydrogen, Cl-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C2-c6 heterocyclic, c6-Ci2 aryl, Ct-Cu alkaryl, c3 - c10 a cyclic group or a Ci-C? heteroalkyl group; γ1 and γ2 are each independently selected from a carbonyl group, a thiocarbyl group, a fluorenyl group, and a squary group; and 0, p, s, t, u, and ν are each independently , is 0 or 1; and R3 is a Cl-Cl. Acryl group, C2-Cl. Dilute group, C2~~Cl〇 block group, C2 - Ce heterocyclic group, Ce-Cl2 aryl group, C7-Cl4 Aryl, C3-Cl. A heterocyclic or Ci-CH heteroalkyl group or a chemical bond to G1-(ZOa-aJu-Ui- to -(Z3)r(Y2)v-(Z4)P-G2. Examples of the preparation of the same bifunctional linker of the conjugate, including but not limited to: diamine and , selected from ethylenediamine, propylenediamine and hexamethylenediamine, ethylene glycol, diethylene glycol, propylene glycol, 1,4-butanediol, 1,6-hexanediol, cyclohexane Alkanediol, and polycaprolactone diol. Formulation 1084-9596-PF 100 200848063

此處所述任意該藥劑,可以包含任意適當量於一適當 擔體物質中,且通常存在該組合物總重量之u5%。該組 合物可以適於口服、非口服之劑型提供(例如靜脈内、肌肉 内)、經直腸、經皮膚、經鼻、經陰道、吸入、皮膚(貼 布)或經眼投予路徑。因此,該組合物可為以下形式,例 如:錠片、膠囊、藥片、粉末、顆粒、懸浮液、乳狀液、溶 液、包括水凝膠的凝膠、糊劑、軟膏、乳膏、膏藥、灌藥 (drenches)、滲透傳遞裝置、栓劑、栓劑、灌腸劑、可注 射劑、植入物、喷霧劑或氣溶膠。該醫藥組合物,可以依 照習知醫藥實務配方(參照,例如Remingtc)n:The Seienee and Practice of Pharmacy, 20th edition, 2000, ed. A. R.Any of the agents described herein may comprise any suitable amount in a suitable carrier material, and typically present at 5% of the total weight of the composition. The composition may be provided in an oral, parenteral dosage form (e.g., intravenous, intramuscular), transrectally, transdermally, nasally, vaginally, inhaled, dermal (applied) or ocular route. Accordingly, the composition may be in the form of, for example, tablets, capsules, tablets, powders, granules, suspensions, emulsions, solutions, gels including hydrogels, pastes, ointments, creams, plasters, Drenches, osmotic delivery devices, suppositories, suppositories, enemas, injectables, implants, sprays or aerosols. The pharmaceutical composition can be formulated according to the conventional pharmaceutical practice (see, for example, Remingtc) n: The Seienee and Practice of Pharmacy, 20th edition, 2000, ed. A. R.

Gennaro, Lippincott Wi11iams & WilkinS5 Philadelphia, and Encyclopedia of Pharmaceutical Technology, eds. J. Swarbrick and J. C. Boylan, 1988-1999, Marcel Dekker, New York) o 若採用 各藥劑可以此領域已知之多種 種以上藥劑 方式配方。較佳地,該藥劑-起配方,以供同時或近乎同 時投予該藥劑。此種共同配方之組合物,彳以包括一起配 方在同-藥丸、膠囊、液體等之2種藥劑。應瞭解到,冬 提及此種組合之配方’此配方技術亦有用於配方組合中: 個別樂劑’以及其他此處所述組合。#由針對不同藥劑使 用不同的配方策略,能使針對各藥劑之藥動學曲線適當配 合0 個別或分開配方之藥劑 可以包裝在一起成為—套Gennaro, Lippincott Wi11iams & Wilkin S5 Philadelphia, and Encyclopedia of Pharmaceutical Technology, eds. J. Swarbrick and JC Boylan, 1988-1999, Marcel Dekker, New York) o Formulations can be formulated in a variety of pharmaceuticals known in the art using various agents. . Preferably, the medicament is formulated to be administered to the medicament simultaneously or nearly simultaneously. The composition of such a co-formulation comprises two agents which are formulated together in the same form as pills, capsules, liquids and the like. It should be understood that winter refers to the formulation of such combinations. This formulation technique is also used in formula combinations: individual agents' and other combinations described herein. #Depending on the different formulation strategies for different agents, the pharmacokinetic curves for each agent can be appropriately matched with 0 individual or separate formulas.

1084-9596-PF 101 200848063 組。非限制例包括的套組,包含例如:2個藥丸、丨個藥丸 及一粉末、一栓劑及一瓶中的液體、2個外用乳霜等。誃 套組可包括選擇性成分,幫助投予單位劑量給病患,例= 用於將粉末復水的小瓶、注射用針筒、客製化IV遞藥系、 吸入器等。此外,該單位劑量套組可包括用法指示,以供 製備及投予此組成物。此套組可以製造成供丨位病患單次 使用單位劑量,供特定病患多次使用劑量(固定劑量或各= 合物視療程之效價不同);或該套組可包括多次劑量,適於 對多位病患投予大包裝”)。該套組成分可以組裝在紙 盒、透明塑料罩(blister pack)、瓶、管材等。 將藥劑傳遞至腦部之配方及方法 治療神經退化性障礙例如HD,可能會因為活性、治療 性化合物無法穿過血腦障壁(BBB)而受阻。傳遞此處所述組 合物至腦部的策略,包括繞過麵(例如通過開顱手術之顧 内技予和鞘内投予),及通過(例如將增加對於Bbb穿透 性之化合物舆此處所述組合物—起全身性投予,及修飾此 處所述組合物以增加其通透性或運送穿過)。 開顱手術(Craniotomy)為此技術領域已知之程序,可 、/、此處所述任意組合物一起使用以供傳遞至腦部。於此 方法中,在病患的顱部製作一開口,並經由導管傳遞化合 物。此方法可以用來將一化合物標靶至腦部特定區域。 鞠内投予提供另一繞過BBB以供藥物傳遞之方法。簡言 之,將藥物投予至脊髓,例如經腰椎穿刺或使用例如系浦1084-9596-PF 101 200848063 Group. The non-limiting examples include kits including, for example, 2 pills, one pill and one powder, one suppository and one bottle of liquid, two external creams, and the like. The 誃 kit may include optional ingredients to aid in the administration of a unit dose to the patient, eg, vials for reconstituting the powder, syringes for injection, customized IV delivery systems, inhalers, and the like. In addition, the unit dose kit can include instructions for preparation and administration of the composition. This kit can be made into a single-use unit dose for patients with sputum, for multiple doses in a specific patient (fixed dose or each compound has different potency); or the kit can include multiple doses Suitable for large packages of multiple patients.) The kit can be assembled in cartons, blister packs, bottles, tubing, etc. Formulations and methods for delivering agents to the brain to treat nerves Degenerative disorders such as HD may be impeded by the inability of active, therapeutic compounds to cross the blood-brain barrier (BBB). Strategies for delivering the compositions described herein to the brain, including bypassing the face (eg, by craniotomy) Intrathecal administration, and by (for example, adding a compound for Bbb penetration, a composition described herein, systemically, and modifying the composition described herein to increase its Permeability or transport through. Craniotomy is a procedure known in the art, and any of the compositions described herein can be used together for delivery to the brain. In this method, in patients The cranium makes an opening, and The compound is delivered by a catheter. This method can be used to target a compound to a specific region of the brain. Intra-oral administration provides another means of bypassing the BBB for drug delivery. Briefly, the drug is administered to the spinal cord, for example Trans-lumbar puncture or use

1084-9596-PF 102 200848063 之裝置。腰椎穿刺可用在單一或不頻繁的投予,而固定及/ 或忮性投予,可藉由使用任意市售可得之泵浦附著至一脊 内V官而達成,例如泵浦及導管可由Medtronic (Minneapolis, Minn.)製造。 為容許傳遞通過BBB,此處所述組合物可以與會誘導暫 時性f曰加BBB牙透性之1種化合物或多種化合物一起投予。 此種化合物包括甘露醇、Cerep〇rt (·ρ-7),及KB_R7943、 Na + /Ca + +交換阻斷劑。 此處所述化合物可以經修飾(例如脂化或乙醯化)以增 加在全身性投予(例如非口服)後運送通過βΒΒ,修飾使用此 技術領域中標準的化學修飾。於一些實施形態,此處所述 化合物’結合至胜肽載體而運送通過BBB。例如可將化合物 、、、cr 0至針對人類騰島素受體之一單株抗體,如i dge (Jpn· J· Pharmacol· 87··97-103,2001)所述,因而容許 此化合物在全身性投予後運送通過BBB。此處所述化合物可 以例如使用生物素-鏈黴親合素(bi〇tin — 術結合至此種胜肽載體。 劑量 一般而言,對於人類投藥時,此處所述組合中之任意 藥劑之劑量,將取決於該藥劑天性,並可輕易地由熟悉此 技術領域之人士決定。一般而言,此劑量正常為約每曰 0· 001 mg 至 2, 〇〇〇 mg,每日約 1 mg 至 1,〇〇〇 mg,或每日 約 5 nig 至 5 〇 〇 mg。1084-9596-PF 102 200848063 device. Lumbar puncture can be used for single or infrequent administration, and fixed and / or sputum administration can be achieved by using any commercially available pump attached to a ridged V official, such as pumps and catheters. Manufactured by Medtronic (Minneapolis, Minn.). To allow delivery through the BBB, the compositions described herein can be administered with one or more compounds that induce temporary sputum plus BBB opacity. Such compounds include mannitol, Cerep〇rt (·ρ-7), and KB_R7943, Na + /Ca + + exchange blockers. The compounds described herein may be modified (e.g., lipidated or acetaminolated) to increase delivery through the beta oxime after systemic administration (e.g., non-oral), modified using standard chemical modifications in the art. In some embodiments, the compound ' described herein is bound to a peptide carrier and transported through the BBB. For example, the compound, cr 0 can be described as a monoclonal antibody against a human receptor, such as i dge (Jpn J. Pharmacol 87. 97-103, 2001), thereby allowing the compound to After systemic administration, it is transported through the BBB. The compounds described herein can be used, for example, with biotin-streptavidin (bi〇tin) to bind to such a peptide carrier. Dosage Generally, the dose of any of the combinations described herein when administered to humans It will depend on the nature of the agent and can be readily determined by those skilled in the art. Generally, this dose is normally from about 0.001 mg to about 2 mg per mg, about 1 mg per day. 1, 〇〇〇mg, or about 5 nig to 5 〇〇mg per day.

1084-9596-PF 103 200848063 投予組合中之各藥物’可以獨立地,在丨日至丨年期 間,每日投予1至4次。於許多案例中,會指示習慣性/、 長期投藥。 額外的應用 視需要’可以採用化合物於機轉分析,使用此技術領 域中一般已知的分析法’以決定是否有其他組合或單一藥 劑’作為組合在治療、預防或減輕神經退化性障礙(例如 HD或其相關連病狀之任一者)為有效。例如,可將候選化 合物單獨或與一 1種以上獨立擇自於表la及ib之藥劑的 化合物組合,並施用於細胞例如神經細胞或小鼠紋體基因 導入(knock-in)細胞株STAMQl 11,其表現一毒性突變多 谷醯胺重複蛋白質。經過一適當期間後,使用抗 體,1F8,檢驗此等細胞之免疫反應性。若相較於未以候選 化合物處理之控制組細胞,顯示細胞核周邊染色減少,則 表示候選化合物或藥劑組合,在治療、預防或減輕一神經 退化性障礙為有效藥劑。 此處所述該藥劑,亦可作為有用的工具,以解明關於 涉及神經細胞惡化及死亡之生物學路徑的機轉資訊。此種 資訊可導致開發新的組合物或單一藥劑,以供治療、預防 或減輕神經退化性障礙。在此技術領域中已知之決定生物 學路徑之方法,可以使用於決定由於使細胞,例如例如神 經細胞,接觸此處所述化合物,所影響之路徑或網絡路徑。 此種方法,可包括相較於未處理、陽性控制組或陰性控制1084-9596-PF 103 200848063 Each drug administered in the combination can be administered independently 1 to 4 times a day from the next day to the next year. In many cases, habitual/long-term medications are indicated. Additional applications can be used to treat, prevent, or alleviate neurodegenerative disorders (eg, using a compound in a mechanical analysis, using assays generally known in the art to determine if there are other combinations or single agents' as a combination. Any of HD or its associated conditions) is effective. For example, the candidate compound can be administered alone or in combination with one or more compounds independently selected from the agents of Tables la and ib, and administered to a cell such as a neural cell or a mouse striatum-introduced cell line STAMQ11. It exhibits a toxic mutant polyglutamine repeat protein. After an appropriate period of time, the immunoreactivity of these cells was examined using an antibody, 1F8. If the control group cells which are not treated with the candidate compound show a decrease in peripheral staining of the cell, it means that the candidate compound or combination of agents is an effective agent for treating, preventing or alleviating a neurodegenerative disorder. The agent described herein can also be used as a useful tool to resolve information about the biological pathways involved in neuronal cell deterioration and death. Such information can lead to the development of new compositions or single agents for the treatment, prevention or alleviation of neurodegenerative disorders. Methods for determining biological pathways known in the art can be used to determine the pathway or network pathway that is affected by contacting a cell, such as, for example, a neural cell, with a compound described herein. Such methods may include comparison to untreated, positive control or negative controls

1084-9596-PF 104 200848063 ==及/或新的單一藥劑及組合物,分析在接觸此處 斤述化5物之後’表現或再表現之細胞成分,《分析其他 的-些細胞活性’例如酵素活性、養分攝取,及辦生了八 析之細胞成分,可包括基因轉錄物及蛋白質表現:適當: 方法’可包括標準生化技術、放射性標定此處所述化合物 (例如14c或3h標定),及使用21)凝膠觀察與蛋白質社人 之化合物’基因表現輪庵化。一旦鑑別,&等化合物可使 用在體内模型,以進一步驗證該工具或開發新的藥劑或策 略,以治療、預防或減輕神經退化性障礙。 如上所示,此處所述方法,亦可用於預防性地用有增 高風險發展為神經退化性障礙例# HD或相關於此障礙之 :狀的病患、。風險因子’包括例如年齡、神經退化性障礙 家族史,及心理學或經神病學輪廓(pr〇fiie)。 例示之候選化合物 胜肽結構 胜肽、胜肽擬似物,及胜肽片段(天然、合成,或經化 學修飾)可適用。例示之化合物包括降低標乾蛋白質或謝 水平之化合物(例如反義化合物、dsRNA、核糖酵素 (ribozyme))及與内生性粒腺體驅動蛋白(kine sin)或蛋 白質酪胺酸磷解酶競爭結合夥伴之化合物(例如顯性抑制 (dominant negative)蛋白質或編碼為此之多核苷酸)。 反義化合物1084-9596-PF 104 200848063 == and/or new single agents and compositions for analysis of cellular components that are 'expressed or re-expressed after exposure to 5, "Analysis of other - some cellular activities" eg Enzyme activity, nutrient uptake, and cellular components that can be included in the analysis, including gene transcripts and protein expression: appropriate: The method 'can include standard biochemical techniques, radioactive calibration of the compounds described herein (eg, 14c or 3h calibration), And using 21) gel observation and protein compound human 'gene expression rim. Once identified, compounds such as & can be used in in vivo models to further validate the tool or develop new agents or strategies to treat, prevent or ameliorate neurodegenerative disorders. As indicated above, the methods described herein can also be used prophylactically to develop a neurodegenerative disorder #HD or a condition associated with this disorder with increased risk. Risk factors 'include, for example, age, family history of neurodegenerative disorders, and psychology or pr〇fiie. Illustrative candidate compounds peptide structure peptides, peptide mimetics, and peptide fragments (natural, synthetic, or chemically modified) are applicable. Exemplary compounds include compounds that reduce the level of the stem protein or the level of the target (eg, antisense compounds, dsRNA, ribozyme) and compete with endogenous glial kine sin or protein tyrosine phospholyase A compound of a partner (eg, a dominant negative protein or a polynucleotide encoding the same). Antisense compound

1084-9596-PF 105 200848063 增加細胞死亡之任意蛋白質例如突變H11之生物學活 性,例如可以通過使用導向於編碼為該標把蛋白質之rna 的一反義化合物而降低。降低表現該標靶分子之反義化合 物’可以利用標準技術鍵別。例如,可以使用RNA2級結構 折豐程式例如 MFOLD (M· Zuker,D· H· Mathews & D. H· Turner, Algorithms and Thermodynamics for RNA Secondary Structure Prediction:A Practical Guide.1084-9596-PF 105 200848063 The biological activity of any protein that increases cell death, such as mutation H11, can be reduced, for example, by using an antisense compound directed to the rna encoded as the target protein. Reducing the antisense compound that exhibits the target molecule can utilize standard technical means. For example, an RNA2 structure can be used, such as MFOLD (M. Zuker, D. H. Mathews & D. H. Turner, Algorithms and Thermodynamics for RNA Secondary Structure Prediction: A Practical Guide.

In.RNA Biochemistry and Biotechnology, J. Barciszewski & B. F. C. Clark, eds. , NATO ASI Series, Kluwer Academic Publishers,( 1 999))來預測標靶酵素之 mRNA之可接近區域。具有游離能值在mRNA最安定折疊之 5%内的次最適折疊,可以使用j個2〇〇個鹼基的窗範圍預 測,於此範圍内,一殘基可以找到一互補鹼基而形成一鹼 基對鍵結。未形成鹼基對之開放區與次最適折疊加總在一 起’此等被預測為開放之區域被認為對於結合至反義核鹼 券t物具更佳的接近性。其他反義設計之方法,敘述於例 如美國專利號碼 6, 472, 521,Antisense Nucleic Acid Drug Dev· 1 997 7.439-444, Nucleic Ac ids Research 28.2597 2604, 2000, and Nucleic Acids Research 31:4989-4994,2003。 RNA干擾 仏乾为子之生物學活性,可藉由使用RNA干擾 (RNAi),採用導向於問題中之標靶分子的例如一雙股rnaIn. RNA Biochemistry and Biotechnology, J. Barciszewski & B. F. C. Clark, eds., NATO ASI Series, Kluwer Academic Publishers, (1 999)) to predict the accessible region of the mRNA of the target enzyme. A suboptimal fold with a free energy value within 5% of the most stable fold of the mRNA can be predicted using a window range of 2 2 bases. Within this range, a residue can find a complementary base to form a Base pair bonding. The open region where no base pair is formed and the suboptimal fold are added together. These regions, which are predicted to be open, are considered to have better accessibility to the binding to the antisense nucleus. Other methods of antisense design are described, for example, in U.S. Patent No. 6,472,521, Antisense Nucleic Acid Drug Dev. 1 997 7.439-444, Nucleic Ac ids Research 28.2597 2604, 2000, and Nucleic Acids Research 31: 4989-4994, 2003. RNA interference The biological activity of sputum can be achieved by using RNA interference (RNAi), such as a double-stranded RNA that targets the target molecule in question.

1084-9596-PF 106 200848063 (dsRNA)或小段干擾RNA (siRNA),而降低(參照,例如 Miyamoto et al·,Prog. Cell Cycle Res. 5:349-360, 2003;U.S. Patent Application Publication No. 20030157030). Methods for designing such interfering RNAs are known in the art. , software for designing interfering RNA is available from Oligoengine (Seattle, WA)。 顯性抑制(Dominant Negative)蛋白質 熟悉此項技藝之人士,將瞭解如何製作針對欲標把之 標乾分子的顯性抑制蛋白質。此種顯性抑制蛋白質,敘述 於例如 in Gupta et al·,J. Exp. Med.,186:473-478, 1 997;Maegawa et al. , J. Biol. Chem. 274:30236-30243, 1 999;Wo〇dford-Thomas et al. , J· Cell Biol 117:401-414, 1992)。 以下貝施例係為了供瞭解本發明,絕非用來限制本發 明。 實施例1:篩選試驗 提供篩選方法,以供篩選治療、預防或減輕神經退化 性障礙例如HD之候選化合物。 許多模型系統,包括細胞及動物模型,已證明Η忖之 外介子(exonM,包含一經擴張的多谷醯胺區,足以造成致 病例如從HD基因導入小鼠模型衍生之ST^%Q1丨丨細胞 株,以正確的基因脈絡以内生性水平表現突變Η忖,已被1084-9596-PF 106 200848063 (dsRNA) or small interfering RNA (siRNA), but reduced (see, for example, Miyamoto et al., Prog. Cell Cycle Res. 5:349-360, 2003; US Patent Application Publication No. 20030157030 Methods for designing such interfering RNAs are known in the art. , software for designing interfering RNA is available from Oligoengine (Seattle, WA). Dominant Negative Protein A person familiar with the art will learn how to make a dominant inhibitory protein against the target molecule. Such dominant inhibitory proteins are described, for example, in In Gupta et al., J. Exp. Med., 186: 473-478, 1 997; Maegawa et al., J. Biol. Chem. 274: 30236-30243, 1 999; Wo〇dford-Thomas et al., J. Cell Biol 117:401-414, 1992). The following examples are for the purpose of understanding the invention and are not intended to limit the invention. Example 1: Screening assays Screening methods are provided for screening for candidate compounds for the treatment, prevention or alleviation of neurodegenerative disorders such as HD. Many model systems, including cellular and animal models, have demonstrated that exon M, which contains an expanded polyglutamine region, is sufficient to cause disease, such as ST^%Q1 derived from the HD gene-introduced mouse model. Cell lines, with the correct gene network showing endogenous levels of mutations, have been

1084-9596-PF 107 200848063 廣泛使用,並良好地定性。此細胞株再現許多hd致病原性 特徵’例如粒腺體功能障礙及能量不足,因此被認為至 HD -最相關細胞模型之一。 為了實施篩選,已開發出ICC影響為基礎之高内容篩 選(HCS)試驗方法,並於 Cell〇micsArrayScanVTi上,使 用P〇lyQ抗體1F8及STA/AQlll細胞株最適化。多個HD- 相關終點,已被鑑別出,該等終點可以區分突變i工 細胞株及其野生型對應體,且主要用在此試驗之終 點’由1F8抗體所細胞核周邊染色。篩選之目標,係鑑別 出降低ST#〇7?Qiii細胞株之中被1F8抗體所細胞核周邊染 色強度的單一藥劑及組合。此外,關於細胞密度之資訊, 係在藥物處理後收集,以監控由於藥物處理造成之細胞毒 性。 試驗成果,係藉由觀察各種參數來評量,例如z,因 子(欽述如下)、盤與盤間變異,及陽性控制化合物六氯芬 (15 // M)之成果。 下式係用於計算受測試化合化對於1F8抗體之細胞核 周邊染色抑制: • %抑制=[(經DMS0處理-經化合物處理)/經DMS0 處理]X 1 0 0 相較於經DMS0處理之細胞,在六氣芬處理後72小時 仍持續達成50%以上之致死率。針對單一藥劑排序,此試 驗貫施於384井盤,以劑量比例f = 2在千的範圍於12步 驟稀釋,以得到雙重劑量回應曲線。1084-9596-PF 107 200848063 Widely used and well characterized. This cell line reproduces many hd pathogenic features such as granulocyte dysfunction and energy deficiency and is therefore considered to be one of the most relevant cell models of HD. In order to carry out the screening, a high content screening (HCS) test method based on ICC influence has been developed, and P〇lyQ antibody 1F8 and STA/AQl11 cell strains are optimized on Cell〇micsArrayScanVTi. A number of HD-related endpoints have been identified which distinguish between mutant i-cell strains and their wild-type counterparts and are primarily used at the end of this assay to stain the nucleus of the 1F8 antibody. The objective of the screening was to identify a single agent and combination that reduced the staining intensity of the nucleus around the nucleus of the 1F8 antibody among the ST#〇7?Qiii cell lines. In addition, information on cell density is collected after drug treatment to monitor cytotoxicity due to drug treatment. The results of the test were evaluated by observing various parameters such as z, the factor (described below), disc-to-disk variation, and the result of the positive control compound hexachlorophene (15 // M). The following formula was used to calculate the nuclear staining inhibition of the 1F8 antibody by the tested chemical synthesis: • % inhibition = [(treated by DMS0 - treated with compound) / treated with DMS0] X 1 0 0 compared to cells treated with DMSO The mortality rate of more than 50% was continued for 72 hours after the treatment with Liuqifen. For single agent sequencing, this test was applied to a 384 well plate with a dose ratio of f = 2 in the range of one thousand in 12 steps to obtain a double dose response curve.

1084-9596-PF 108 200848063 單一藥劑活性,藉由使用下坡311111)1以演算法,以最 小平方近似s型方程式丨=IraaxCV[ca+EC5()a] (c為濃度, EG。為用以得到50%最大效果所需之該藥劑濃度,q為$ 度(sigmoidicity))。各次近似參數之不確定性,係從以下 範圍評估··於減小(reduced)i chi-squared變化小於工, 或當最小值超過1則小於最小之減小之,以 低估σ I錯誤。 單一藥劑曲線數據用在定義各化合物之稀釋系列,以 供用在6x6矩陣格式中篩選組合。視該單一藥劑曲線之$ 度,使用稀釋因子f為2、3或4,選出5個劑量水平,其 中’中心濃度接近近㈣心。針對具有未檢出單一藥劑 活性之化合物,使用稀釋因子4,從最高可達濃度開始。 組合效果,可以很容易地藉由比較各數據點之抑制與 組合參考之模型來定義’組合參考之模型從單—藥劑曲線 而來。使用2個模型以量組合效果:⑴最高單—藥劑 (HSA)模型/HSA(^Y)=maxUx,/Y),為一簡單參考模型, 其中L A X及γ化合物之濃度,/χγ為單—藥劑在 之抑制J (2)Loewe加成性,其巾/L_e(以)為滿足 (广孤)+ (&/孤)=!之抑制,1為針對該 藥劑曲線’在A_e之有效濃度。L〇ewe加成性為—z通常 針對共效(Synergy)之可接受的參考,其表示若叉及Y為同 一,合物,產生之組合回應。/hsa可以輕易的從A』計算, 但是決定/uewe需要内插及數值根求解。 # 組合起始依照脇Excess VQl隱排列,然後依湯1084-9596-PF 108 200848063 Single agent activity, using the downhill 311111)1 algorithm, with the least square approximation s-type equation 丨=IraaxCV[ca+EC5()a] (c is the concentration, EG. The concentration of the agent required to obtain a 50% maximum effect, q is sigmoidicity). The uncertainty of each approximation parameter is evaluated from the following range: · Reduced i chi-squared change is less than work, or when the minimum value exceeds 1 then less than the minimum decrease to underestimate the σ I error. Single agent curve data was used to define a dilution series for each compound for screening combinations in a 6x6 matrix format. Depending on the degree of the single agent curve, use a dilution factor f of 2, 3 or 4 to select 5 dose levels, where the 'central concentration is close to the near (four) heart. For compounds with undetected single agent activity, use a dilution factor of 4 starting from the highest concentration. By combining the effects, it is easy to define the model of the combined reference from the single-agent curve by comparing the suppression of each data point with the model of the combined reference. Use two models to combine effects: (1) The highest single-agent (HSA) model / HSA (^Y) = maxUx, /Y), is a simple reference model, where the concentration of LAX and γ compounds, / χ γ is single - The agent inhibits J (2) Loewe addition, and the towel / L_e (I) satisfies the inhibition of (Guangan) + (&/orphan) =!, 1 is the effective concentration of the drug curve 'A_e . L〇ewe addition is -z is generally an acceptable reference for Synergy, which means that if the fork and Y are the same, the combination produces a combined response. /hsa can be easily calculated from A", but the decision /uewe requires interpolation and numerical root solution. # Combination start according to the threat Excess VQl hidden, then Yi Tang

1084-9596-PF 109 2008480631084-9596-PF 109 200848063

Excess V〇1_排列。亦使用“共效分數(Synergy Score) ’ 其巾’共效分數 s=1〇gfxi〇gf^idata(i_-Excess V〇1_ arranged. Also use the "Synergy Score" ‘the towel’ common effect score s=1〇gfxi〇gf^idata(i_-

h。"0,將所有非單—藥劑濃度配對加總,且其巾lQg fxY 為針對各單-藥劑之稀釋因子的自然對數。此有效地計瞀 經測量及Loewe加成回應表現之體積,並料高抑制= 榷,並針對各種稀釋因子校正。基於針對^值之經Μ ㈣及標準錯誤料(prQpagatiQn),針對每—共效分數計 鼻不確定性(7 δ。 為了針對追蹤定性選擇所望組合,建立以下準則(1) 顯著共效,如以HSA體積測量具臨界值=〇5之加成模 式,-⑺#質上活性,當針對組合,最大功效大於或等鱼 50%,則為發生共效及/或足夠的效力偏移。 基於上述組合篩選,鑑別出列於表3a之組合藥劑。 讀取平盤後,分析原始數據,並使用自動化品質控制 準則,基於含在該平盤中之控制組數據,評量各平盤所得 到之數據。此自動化分析,首次決定欲驗證、拒絕平盤, 或不決定。所有平盤以逐片平盤之方式,手動評估,並視 需要,指定一手可接受或拒絕之狀態。此外,經驗證平盤 上的各別資料區塊,可以手動標記排除。 針對自動化分析之品質控制,稱為Z,因子,定義如 下: Z3 =1 - 3 SD DMSO+ 3 SD 控制組 位DMSO-中位控制細h. "0, all non-single-agent concentration pairs are summed, and the towel lQg fxY is the natural logarithm of the dilution factor for each single-agent. This effectively measures the volume of the measured and Loewe addition response, and the high inhibition = 榷, and is corrected for various dilution factors. Based on the 值(4) and standard error material (prQpagatiQn) for the value of ^, the nose uncertainty is calculated for each-common effect score (7 δ. In order to qualitatively select the desired combination for tracking, the following criteria (1) are established, such as significant common effects, such as In the HSA volume measurement with a critical value = 〇 5 addition mode, - (7) # qualitative activity, when the maximum efficacy is greater than or equal to 50% of the fish for the combination, then the co-effect and / or sufficient efficiency shift occurs. The above combination screening identifies the combination agents listed in Table 3a. After reading the flat disk, the raw data is analyzed, and the automated quality control criteria are used to evaluate the flat disks based on the control group data contained in the flat disk. This automated analysis, for the first time, determines whether to verify, reject, or not. All flats are manually evaluated on a piece-by-piece basis and, if necessary, specify the status of acceptable or rejected. The individual data blocks on the flat panel can be manually marked for exclusion. For the quality control of automated analysis, called Z, the factor is defined as follows: Z3 =1 - 3 SD DMSO+ 3 SD Control group DMSO-median System fine

1084-9596-PF 110 200848063 之栽具。控制 但沒有2次抗 此處,SD表示標準偏差,D_表示處理 組表示背景值,係定義為經所有分析步驟, 體之井。 依據Z,因子,自動化品質控制,標記 證(z,>0.3)、拒絕(Z,<0.3或2, ^ 為讀 ..^ ^ , 將由自動或目視 …拒絕之平盤,排除在進一步分析外,並重新再做。 除以邊界Z’目子’手動驗證平盤以外,對所有平盤 進行目視檢查,以找出偶發不良之井或“插出值 (spikes)’’ 。與其相鄰之井的數據值差很多的各井(在同一 處理類別中),被標出並且排除接續的分析。包含不尋常大 篁插出值之平盤,全部一起拒絕。 數據顯示使用ST#fl%Qlll細胞及1F8抗體之Icc-為主 的HCS試驗,表現相當良好,Z,分數優異(0.3及0.8之 間),且平盤間的變異非常小。 選擇以1F8抗體抑制20%細胞核周邊染色作為挑取之 臨界值。針對至少一劑量,得到至少2〇%抑制之所有化合 物’被包括。從排序實驗中挑取者,如表la及lb所示。 ICC Cellomics試驗之細節如下。 使用小鼠紋體細胞株之Cenomics-ICC試驗方案 第1天接種細胞並添加化合物 I製作完整DMEM培養基,包含 10% FBS, 1%盤尼西林/鏈黴素 〇·4 mg/ml G4181084-9596-PF 110 200848063 of the plant. Control but no 2 resistance Here, SD indicates the standard deviation, and D_ indicates that the treatment group represents the background value, which is defined as the well of all the analysis steps. According to Z, factor, automated quality control, labeling (z, > 0.3), rejection (Z, <0.3 or 2, ^ for reading..^^, will be rejected by automatic or visual...rejected, further excluded Analyze and re-do it. Divide the boundary Z' heads to 'manually verify the flat plate, and visually inspect all the flat plates to find the well-infected wells or "spikes". The wells with a lot of data values in the neighboring wells (in the same processing category) are marked and the subsequent analysis is excluded. The flats containing unusual large 篁 insert values are rejected together. The data is displayed using ST#fl The Icc-based HCS test of %Qlll cells and 1F8 antibody showed quite good performance, Z score was excellent (between 0.3 and 0.8), and the variation between the plates was very small. Selecting 1F8 antibody to inhibit 20% nuclear peripheral staining As a critical value for picking, all compounds that are at least 2% inhibited for at least one dose are included. The ones selected from the sequencing experiments are shown in Tables la and lb. The details of the ICC Cellomics test are as follows. Chromosome cell line of Cenomics- ICC test protocol Inoculate cells on day 1 and add compound I to make complete DMEM medium containing 10% FBS, 1% penicillin/streptomycin 〇·4 mg/ml G418

1084-9596-PF 111 2008480631084-9596-PF 111 200848063

2·將培養基’ 0.25%胰蛋白酶—EDTA水浴加溫至 33〇C 3·抽吸舊的培養基’以25ml PBS洗1次 4·加入7 ml 0.25%胰蛋白酶-EDTA至T175燒瓶, 並靜置5〜6分鐘,溫和地搖動2〜3分鐘,確保所 有細胞分離 5 ·將8 m 1培養基加至燒瓶中,將胰蛋白酶去活 6 ·將細胞滴吸數次,以確保細胞充分分離 7. 於l〇〇〇rpm離心5分鐘 8. 再次懸浮於5ml (每一燒瓶)完整培養基,並且 研製 9. 以血球計數器或細胞計數器計算細胞數 1〇·製作最終細胞溶液為密度1 78000細胞/ml,並 以多重滴加器接種45 //1 (8,〇〇〇)細胞/井至384 井盤 11 ·將平盤放入3 3 C培養箱約2小時,不要堆疊 平盤。 12·從乾燥箱移出化合物平盤 13·使用PlateMate,製備稀釋平盤,於乾淨的384 井平盤中,於室溫,每井為1〇〇 # }完整細胞培 養基 14·使用MiniTrak,製作化合物稀釋平盤,取原 :度平盤之每一井取i #丨,加1〇〇 ^^培養基, 於稀釋平盤,以成1:100稀釋(1〇χ原濃度於培養2. Warm the medium '0.25% trypsin-EDTA water bath to 33 〇C 3 ·Pump the old medium' and wash once with 25ml PBS. 4. Add 7 ml of 0.25% trypsin-EDTA to the T175 flask and let stand. 5 to 6 minutes, gently shake for 2 to 3 minutes to ensure separation of all cells 5 · Add 8 m 1 of medium to the flask, trypsin to deactivate 6 · Pipette the cells several times to ensure adequate cell separation 7. Centrifuge at l〇〇〇 rpm for 5 minutes 8. Resuspend in 5 ml (each flask) of complete medium and develop 9. Count the number of cells in a hemocytometer or cytometer 1 〇 Make a final cell solution at a density of 1 78000 cells/ml Inoculate 45 / 1 (8, 〇〇〇) cells / well to 384 well plate 11 with multiple adders. Put the plate into the 3 3 C incubator for about 2 hours, do not stack flat plates. 12. Remove the compound pan from the dry box. 13. Prepare the dilution plate using PlateMate. In a clean 384 well plate, at room temperature, each well is 1〇〇# } intact cell culture medium. 14. MiniTrak is used to make compound dilution. Flat plate, take the original: each well of the flat plate takes i #丨, add 1〇〇^^ medium, dilute the flat plate, and dilute to 1:100 (1〇χ original concentration in culture

1084-9596-PF 112 200848063 基中)。添加5 // 1的稀釋原濃度至分析平盤之細 胞中之各井 15·溫育平盤於33°C整夜(〜24小時) 第2天_細胞固定、通透化,及1次抗體染色 1. 製備以下燒瓶或原濃度溶液1084-9596-PF 112 200848063 Base)). Add 5 / 1 dilution of the original concentration to each well in the cells of the analysis plate 15 · Incubate the plate at 33 ° C overnight (~ 24 hours) Day 2 _ cell fixation, permeabilization, and 1 antibody staining 1. Prepare the following flask or original concentration solution

5% BSA於PBS5% BSA in PBS

5% Triton X-100於PBS5% Triton X-100 in PBS

1M甘胺酸(〇· 75%)於PBS PBS+ (PBW 及 0.5% BSA及 0.15% 甘胺酸) 4%甲醛-MeOH游離於PBS (從16%原濃度新 鮮稀釋) 0. 5〇/〇 Triton X -100 於 PBS (新鮮稀釋) 2. 以4% FA固定15分鐘。將多重滴加器以4% fa 灌注’將Biotek autowash 灌注 100 mi pbs,以 β 0 u 1 P B S清洗1次,最後抽吸,一次對一平盤執 行以下步驟: 1. 抽吸 ii·添加 4% FA 60ul/井 i i i · 於室溫溫育15分鐘 (1 0個平盤可隨意地交互排列,有許多時間準備下 步驟用的自清洗及多重滴加。當處理多於1 〇個 平盤時,將平盤分批) 3·設定自清洗程式為2X清洗(60 mi pbs/ 井),最後抽吸,將多重滴加器灌注5〇ml 〇. 5%1M glycine (〇·75%) in PBS PBS+ (PBW and 0.5% BSA and 0.15% glycine) 4% formaldehyde-MeOH free in PBS (freshly diluted from 16% original concentration) 0. 5〇/〇Triton X-100 in PBS (freshly diluted) 2. Fix at 4% FA for 15 minutes. The multi-drip was perfused with 4% fa'. Biotek autowash was perfused with 100 mi pbs, washed once with β 0 u 1 PBS, and finally aspirated. The following steps were performed on one plate at a time: 1. Suction ii· Add 4% FA 60ul/well iii · Incubate for 15 minutes at room temperature (10 flat plates can be randomly arranged alternately, there are many times to prepare for self-cleaning and multiple drops for the next step. When handling more than 1 inch flat plate , batching the plate) 3·Set the self-cleaning program for 2X cleaning (60 mi pbs/well), and finally pumping, inject the multi-dropper with 5〇ml 〇. 5%

1084-9596-PF 113 2008480631084-9596-PF 113 200848063

Triton X-l〇〇 4. 一次對一平盤實施以下步驟,每批丨〇個平盤: i ·以PBS清洗2X。抽吸 11·添加 0.5% Triton X-1 00 60 ml/井 ιιι·開始計時,將每一平盤以PBS/ 〇 5%Triton X-l〇〇 4. Perform the following steps on a flat plate at a time, each batch of flat plates: i • Wash 2X with PBS. Suction 11·Add 0.5% Triton X-1 00 60 ml/well ιιι· Start timing, each plate is in PBS/ 〇 5%

Triton X-1〇〇溫育15分鐘,並處理次一平盤 5·改變自清洗程式為2χ清洗並抽吸,將多重滴加 器灌注PBS+,一次對一平盤實施以下步驟 i ·以PBS清洗2Χ,抽吸 ii·添加 BS+ 60 ml/井 ill·溫育於RT > 30分鐘(容許長的中斷) 6·稀釋1次抗體(針對11?8,為1:2〇〇〇)於PBS+ 7·將多重滴加器灌注1 〇m 1 1次抗體,設定自清洗 為抽吸 8. 抽吸並添加1次抗體 40 ml/井至行 (columnM〜23,手動添加4〇 ml/井PBS+至行24 9. 與1次抗體一起在室溫溫育1小時,溫和搖動, 將平盤包裝在塑膠包裝中,並於4。c溫育整夜 第3天_ 2次抗體溫育及Cellomics矩陣染色 10·以於至溫溫和搖動3 0分鐘〜1小時,將平盤加 溫 11.設定自動清洗,將多重滴加器灌注pbs。一次 對一平盤實施以下步驟: i.抽吸 1084-9596-PF 114 200848063 ii·添加 PBS 60 ml/井 iii·溫育於RT >5分鐘(5〜15分鐘) 重複2次 12. 製備 2 次抗體(l:500)/Hoechst 33342 (1 :1 000)於PBS + 13. 將多重滴加器灌注2次抗體。一次對一平盤實 施以下步驟: i. 抽吸 ii·添加經稀釋之2次抗體 40ml/井 iii·溫育於RT >1 hr (容許長的中斷) 14· 5又疋自清洗為抽吸’將多重滴加器灌注p B S。 一次對一平盤實施以下步驟: i.抽吸, ii·添加 PBS 60 ml/井 iii·溫育於RT >5分鐘(5〜15分鐘) 以最後在井中之PBS重複以上清洗2次 1 5 ·以熱封或鋁封密封 16·以Cel lomic ArrayScanVTi掃描平盤。掃描可 使用Twister II進行整夜。 第4天:將數據輸出到平盤管理器及分析器 此處所述蒒選方法,可以變化。例如,可使用包含經 擴張的CAG重複區域之表現CAG重複基因之任意細胞株。 導向於一既定多谷醯胺重複障礙之篩選試驗,可以變化, 例如藉由利用表現與該障礙有關連之多谷醯胺重複蛋白質Triton X-1〇〇 was incubated for 15 minutes, and the next flat plate was processed. 5. Change the self-cleaning program to 2 χ wash and aspirate. Inject the multiplexer into PBS+, and perform the following steps on one plate at a time. i. Clean with PBS. , aspirate ii · add BS + 60 ml / well ill · incubate at RT > 30 minutes (allow for long interruptions) 6 - dilute 1 antibody (for 11 to 8, 1:2 〇〇〇) in PBS + 7 · Inject the multi-dripper with 1 〇m 1 1 antibody, set the self-cleaning to aspiration 8. Aspirate and add 1 antibody 40 ml/well to the line (column M~23, manually add 4 〇ml/well PBS+ to Line 24 9. Incubate for 1 hour at room temperature with 1 antibody, gently shake, place the plate in plastic packaging, and incubate overnight at 4 °C for 2 days _ 2 antibody incubation and Cellomics matrix Dye 10· to warm the temperature and shake for 30 minutes to 1 hour, warm the flat plate 11. Set the automatic cleaning, pour the multiple drops into the pbs. Perform the following steps on a flat plate: i. Pumping 1084-9596 -PF 114 200848063 ii·Add PBS 60 ml/well iii· Incubate at RT > 5 minutes (5~15 minutes) Repeat 2 times 12. Prepare 2 times antibody (l:500)/Ho Echst 33342 (1 : 1 000) in PBS + 13. Infuse the multi-drip adder 2 times of antibody. Perform the following steps on a flat plate at once: i. aspirate ii · add diluted 2 times antibody 40ml / well iii · warm Breeding at RT > 1 hr (allowable for long interruptions) 14·5 Self-cleaning for suction'. Infuse the multi-dropper with pBS. Perform the following steps on one plate at a time: i. aspirate, ii· add PBS 60 ml / well iii · Incubate at RT > 5 minutes (5 to 15 minutes) to repeat the above cleaning in the well PBS 2 times 1 5 · Seal with heat seal or aluminum seal 16 · Scan the plate with Cel lomic ArrayScanVTi Scanning can be done overnight using Twister II. Day 4: Outputting data to the flat panel manager and analyzer The selection method described here can vary. For example, CAG can be used to include the extended CAG repeat region. Any cell line that repeats a gene. A screening test directed to a defined polyglutamine repeat disorder can be varied, for example, by utilizing a polyglutamate-repeating protein that is associated with the disorder.

1084-9596-PF 115 200848063 或其片段之細胞株。挑取之臨界值 5%、1心5%,、3。%、4。%、5。二_如1%、2%、 DU/ο、60%、70%、βη〇/ + 90%°此外’可採❹何分析細胞存活率之方法 _ 實施例2··進一步篩選試驗:使 鼠紋體細胞株之TMRE試 驗万茶 神經退化性障礙 。此方法用於篩選 造成鑑別出列於 提供一種用於鑑別治療、預防或減輕 例如HD之候選化合物的進一步篩選方法 配對之化合物,其各選擇於表la及lb 表 3b之組合藥劑。 用於此篩選方法之方案提供如下。 1 ·製作完全培養基及原濃度溶液: DMEM,含10% FBS、1%盤尼西林/鏈黴素、Q 4 G418、四甲基右丹明(Rh〇damine)、乙基酯、稀釋於完全培 養基(上述)過氯酸鹽(“TMRE”)1〇〇nM,及羰基氰化^ -4-(三氟甲氧基)-苯基腙(“Fccp,,)原溶液:5〇 # M於 DMSO; 2·於水浴中加溢培養基及〇.25%胰蛋白酶—EDTA至 33〇C; 3 ·抽吸舊的培養基,並以ρβς清洗1次; 4·加入7 ml 〇· 25%胰蛋白酶一edta至Τ175燒瓶,並 靜置5〜6分鐘,溫和地搖動; 5 ·溫育2 - 3分鐘,確保所有細胞分離; 6.將8 m 1培養基加至燒瓶中,將胰蛋白酶去活性; 1084-9596-PF 116 200848063 7.將細胞滴吸數次,以確保細胞充分分離; 8·於l〇〇〇rpm離心5分鐘; 9·再次懸浮於5ml (每一燒瓶)完整培養基,並滴吸 數次; 1 〇 ·以血球計數器或細胞計數器計算細胞數; H·製作最終細胞溶液為密度178〇〇〇細胞/ml,並以 多重滴加裔接種45 // 1 (8, 000)細胞/井至384井盤; 12·將平盤放入培養箱約2小時,不要堆疊平盤 13·抽吸並加入50 TMRE (最終1〇〇nM)至行 (column)l-23,並加入原始完整培養基至行24。於室溫在 暗處溫育平盤30分鐘; 14·抽吸及添加45 // 1培養基,加入5 #丨化合物 原濃度溶液,在室溫於暗處溫育丨小時; 15.讀取前15分鐘加入FCCP; 16·使用自清洗,以完全培養基清洗2χ5分鐘;及 U·以底部鏡,於Ex/Em:53〇nm/59〇nm以以“以⑽ 讀取平盤。 其他實施形態 所有在此說明書提及之出版物、專利及專利申請案, 引入作為參考,如同各獨立出版物或專利t請案特別並個 別引入作為參考。本發明之已敘述的方法及系統,對於熟 悉此項技藝之人士而言,應瞭解在不脫離本發明範圍及精 神下,各種修飾及變化為顯明的。雖本發明已以其特別實1084-9596-PF 115 200848063 or a cell line thereof. The critical value of picking is 5%, 1 heart 5%, and 3. %, 4. %, 5. 2_such as 1%, 2%, DU/ο, 60%, 70%, βη〇 / + 90% ° In addition, 'How to analyze cell survival rate _ Example 2 · · Further screening test: Rat The TMRE test of striated cell strains is a neurodegenerative disorder of 10,000 teas. This method is used to screen for compounds that are identified by further screening methods that provide for the identification of a candidate compound for the treatment, prevention, or amelioration of, for example, HD, each of which is selected from the combination agents of Tables la and lb Table 3b. The protocol used for this screening method is provided below. 1 · Preparation of complete medium and original concentration solution: DMEM, containing 10% FBS, 1% penicillin / streptomycin, Q 4 G418, tetramethyl dextran (Rh〇damine), ethyl ester, diluted in complete medium ( Above) perchlorate ("TMRE") 1〇〇nM, and carbonyl cyanide ^ -4-(trifluoromethoxy)-phenyl hydrazine ("Fccp,") original solution: 5 〇 # M in DMSO 2) Add the overflow medium and 〇.25% trypsin-EDTA to 33〇C in the water bath; 3) Aspirate the old medium and wash it once with ρβς; 4. Add 7 ml 〇· 25% trypsin Edta to Τ175 flask, and let stand for 5 to 6 minutes, gently shake; 5 · Incubate for 2 - 3 minutes to ensure separation of all cells; 6. Add 8 m 1 of medium to the flask to deactivate trypsin; 1084 -9596-PF 116 200848063 7. The cells were pipetted several times to ensure sufficient separation of the cells; 8. Centrifuge at l〇〇〇 rpm for 5 minutes; 9. Resuspend in 5 ml (each flask) of complete medium and drip Several times; 1 〇· Calculate the number of cells by blood cell counter or cell counter; H· Make the final cell solution to a density of 178 〇〇〇 cells/ml, and Multiple drops of genus inoculation 45 / 1 (8, 000) cells / well to 384 well plate; 12 · put the flat plate into the incubator for about 2 hours, do not stack the flat plate 13 · suction and add 50 TMRE (final 1 〇〇nM) to column l-23, and add the original intact medium to line 24. Incubate the plate for 30 minutes at room temperature in the dark; 14·Aspirate and add 45 // 1 medium, add 5 #丨 compound The original concentration solution was incubated in the dark for 丨 hours at room temperature; 15. Add FCCP 15 minutes before reading; 16. Use self-cleaning, wash with complete medium for 2 χ 5 minutes; and U· with bottom mirror, at Ex/Em: 53 〇 Nm / 59 〇 nm to "read the flat disk with (10). Other Embodiments All publications, patents, and patent applications mentioned in this specification are hereby incorporated by reference in their entirety in their entirety in the the the the the the the The various modifications and variations of the present invention are apparent to those skilled in the art. Although the invention has been particularly

1084-9596-PF 117 2008480631084-9596-PF 117 200848063

施形態連結說明,伸庫勝备 ^ 〇 ffl -iA 一 1- μ m解不限於此特定實施形態。用於 貫施各種本發明之p #> 、 之已敘述拉式中,對於熟悉此技術領域者 為顯而易見的各稽你綠 ... 其他實施形態二於申;在本發明之範圍内。 【圖式簡單說明】 無 【主要元件符號說明】 無Description of the connection of the form, the extension of the library ^ 〇 ffl -iA 1- 1-m solution is not limited to this particular embodiment. It is to be understood that the various embodiments of the present invention are applicable to those skilled in the art. Other embodiments are within the scope of the present invention. [Simple diagram description] None [Main component symbol description] None

1084-9596-PF1084-9596-PF

Claims (1)

200848063 十、申請專利範圍: 1 · 一種組合物,包含: (:)一第1樂劑,擇自於表la及lb之藥劑;以及 —第2藥劑,該第藥劑不同於第1藥劑且擇自於 表1a、lb及表2之類別及藥劑。 如申明專利乾圍第1項所述之組合物,其中該第1 樂剑及該第2藥劑擇自於表3a及3b之一列。 ^如申請專利範圍第1或2項所述之組合物,其中該 第1藥W及該帛2藥劑對於—病患投予時,其劑量足以治 療、預防或減輕一神經退化性障礙。 4. 如申請專利範圍第1或2項所述之組合物,更包括 一種或複數種擇自於表“及lb之額外藥劑。 5. 如申請專利範圍第…項所述之組合物,更包括 一種或複數種擇自於表2之類別及藥劑。 \ 6 ·如申叫專利範圍第1項所述之組合物,其中該第1 藥劑或該帛2藥劑擇自於下列所構成之族群:參環抗抑營 劑〜離子載體抗生素^⑽叩“^⑽以“的丨以^大麻素受 體協同劑、通道阻斷劑、抗組織胺、選擇性血清素再吸收 抑制劑、抗膽鹼藥物、PDE抑制劑,及雌激素調節劑。 7·如申請專利範圍第丨項所述之組合物,其中該第2 藥劑為一抗細胞凋亡劑,其擇自於下列所構成之族群:美 滿黴素(minocycline)、曲格列酮(troglitaz〇ne)、吡格列 酮(pioglitazone),及 taurosodeoxycholic aci(j。 8·如申請專利範圍第1項所述之組合物,其中該第 1084-9596-PF 119 200848063 之族群 及去 • 鼠西$了 甲替林 藥劑為一抗抑鬱劑,其擇自於下列所構成 (fluoxetine)、舍曲林氯化氫, (nortripty1ine)。 9.如申請專利範圍第!項所述之組合物 樂劑為-抗氧化劑,其擇自於下列所構成之族群2 (lipoic acid)、H數素(melat〇nin)、βΝ ^酸 OPC-1411 7,及抗壞血酸鹽。 、 1 〇·如申印專利範圍第丨項所述之組合物,其中該第^ 藥劑為一抗精神病藥物或精神藥物,其擇自於下列所構成 ,族群··氟哌啶醇(hai〇peridol)、氯氮平(cl〇zapine)、 氯丙嗪(Chi〇rpr〇fflazine),及奥氮平(〇lanzapine)。 11·如申請專利範圍第1項所述之組合物,其中該第2 藥劑為一生物能物質(Bi〇energetic),其擇自於下列所構 成之族群:輔酶Q1 〇、肌酸,及二氯乙酸酯。 1 2 ·如申睛專利範圍第1項所述之組合物,其中該第2 藥劑為一 C0X抑制劑或NSAID,其擇自於下列所構成之族 群:氟σ比洛芬(flurbiprofen)、萘普生鈉(naproxen sodium)、雙氯芬酸鈉(diclofenac sodium)、雙氣芬酸 鉀(diclofenac potassium )、阿司匹靈、舒林酸 (su 1 indac)、di f luni sa 1、吼羅昔康(pi roxi cam)、叫卜朵美 辛(indomethacin)、異布洛芬(ibuprofen)、nabumetone、 膽鹼三水揚酸鎂、水揚酸鈉、水楊醯水楊酸、非諾洛芬 (fenoprofen) 、_ 洛芬(ketoprofen)、甲氯芬那酸納 (meclofenamate sodium)、美洛昔康(meloxicam) 1084-9596-PF 120 200848063 oxaprozin、舒林酸(suiindac)、tolmetin、rofecoxib、 celecoxib 、 valdecoxib ,及 lumiracoxib 〇 13·如申請專利範圍第i項所述之組合物,其中該第2 藥劑為一多巴胺拮抗劑,其擇自於下列所構成之族群··奥氮 平(olanzapine)、唾硫平(quetiapine),及丁 苯那嘻 (tetrabenazine) 〇 14·如申請專利範圍第1項所述之組合物,其中該第2 藥劑為一谷胺酸拮抗劑,其擇自於下列所構成之族群:利 魯唑(ri luzole)、remacemide、金剛烷胺(amantadine)、 美金剛(memantine)、ifendprodil,及 el iprodi 1。 1 5·如申請專利範圍第丨項所述之組合物,其中該第2 藥劑為一組蛋白去乙醯基酶抑制劑或轉錄調節因子,其擇 自於下列所構成之族群··丁酸鈉、苯基丁酸自旨、 suberoylanilide hydroxamic acid,及 mithramycin。 1 6.如申请專利範圍第1項所述之組合物,其中該第2 藥劑為一熱休克蛋白調節因子,其擇自於下列所構成之族 群:geldanamycin 、 celastrol 、 bimoclomol , Ώ . 及 arimoclomol ° 1 7·如申請專利範圍第丨項所述之組合物,其令該第 樂劑為免疫调郎因子Copolymer 1。 1 8.如申請專利範圍第1項所述之組合物,其令哕第 藥劑為一情緒穩定劑,其擇自於下列所構成之族群:鋰、2 戊酸鈉(valproate),及 carbamazepine。 1 9 ·如申請專利範圍第1項所述之組合物,A μ 八τ邊第2 1084-9596-PF 121 200848063 藥劑為一抗精神病藥物,其擇自於下列所 」W攝成之族群:氟 哌啶醇(hai〇peridol)、奮乃靜(perphenazine),及利血平 (reserpine) 〇 20.如申請專利範圍第丨項所述之組合物,其中該第2 藥劑為-蛋白質凝集抑制劑’其擇自於下列所構成之族 群:cystamine,及海藻糖(trehai〇se)。 21.如申請專利範圍第丨項所述之組合物,其中該第$ 藥劑為一鎮定劑,其擇自於下列所構成之族 群、苯并二氮呼(benz〇diazepine)、帕羅西 >丁、文拉法辛(venlafaxine),及beta-阻斷劑。 22·如申請專利範圍第丨項所述之組合物,其中該第2 藥劑為一營養劑或滋補劑,其擇自於以下所構成之族 群:GDNF、BDNF、CNTF,及胎兒紋體細胞。 23·如申請專利範圍第丨項所述之組合物,其中該第 藥劑擇自於下列所構成之族群:大麻素類(⑶麵b i η。丄d) BCTC、鋰、乙基-EPA、一游離脂肪酸、rapamycin、KW6〇〇2 及肉毒素。 24_如申請專利範圍第1或2項所述之組合物,更包括 至少一藥劑,其係擇自於表2之類別及藥劑。 25·如申請專利範圍第3項所述之組合物,其中該神經 退化性卩早礙為一多谷醯胺擴張障礙。 26·如申請專利範圍第25項所述之組合物,其中該多 谷醯胺擴張障礙為亨廷頓舞蹈病。 2 7.如申請專利範圍第1至26項中任一項所述之組合 1084-9596-PF 122 200848063 物,其中該組合物配方為口服投予。 28·如申請專利範圍第〗 6項中任一項所述之組合 物,其中該組合物配方為全身性投予。 29·如申請專利範圍第1 物 Z 6項_任一項所述之組合 其中3亥組合物配方為顧内 q m n 稚官内,或硬膜外投予。 30. —種用於治療、箱jj太十、4 法 味預防或減輕神經退化性障礙之方 5亥方法包括投予一有效詈 ^ 另双里之或複數種擇自於表la 之藥劑至一病患,以治療、 懷頂丨方或減輕該神經退化性障礙。 31·種用於冶療 '預防或減輕神經退化性障礙之方 法’該方法包括投予—擇自於表lb之第1藥劑以及一擇自 於表2之不同的第2筹劑至一病患,以治療、預防或減輕 該神經退化性障礙。 3 2 · —種用於治療、預防或減輕神經退化性障礙之方 法,該方法包括投予獨立擇自於表la及lb之至少2種不 同的藥劑至-病患,其中該帛1及第2藥劑同時或彼此在 28天投予,合併劑量足以治療、預防或減輕該神經退化性 障礙。 33·如申請專利範圍第32所述之方法,其中該第}及 第2藥劑擇自於表3a及补之單一列。 34.如申請專利範圍第32或33項所述之方法,其中該 第1及第2藥劑彼此在14天内投予。 35·如申請專利範圍第34項所述之方法,其中該第1 及第2藥劑彼此在7天内投予。 36_如申請專利範圍第35項所述之方法,其中該第1 1084-9596-PF 123 200848063 及第2藥劑彼此在24小時内投予。 37·如申請專利範圍第3〇至36中任一項所述之方法, 其中該神經退化性障礙為一多谷醯胺擴張障礙。 38 ·如申凊專利範圍第3 7項所述之方法,其中該多谷 醯胺擴張障礙為亨廷頓舞蹈病。 39·如申請專利範圍第3〇至36中任_項所述之方法, 其中該神經退化性障礙擇自於下列所構成之族群:亞歷山 大病、Alper氏病、阿爾茨海默病、肌萎縮側索硬化症、 小腦性共濟失調毛細血管擴張症、Batten病、一糊疾 病、Cockayne綜合徵、皮質基底核退化症、creutzfeidt 一 Jakob病、齒狀紅核蒼白球肌萎縮症、脆性$綜合徵、脆 性XE精神發育遲滞、FHedreieh氏小腦性共濟失調、缺 血中風、克拉貝病、路易體癡呆症、多發性硬化症、多發 全身萎縮、強直性肌營養不良症、帕金森氏症、 Pelizaeus Merzbacher疾病、pick氏疾病,原發性側索硬 化、RefSUm氏病,山德霍夫氏病、Schilder氏病、脊髓損 傷、脊髓性肌萎縮症、脊髓小腦性共濟失調i型、2型、3 型、6型、7型、8型、12型、17型、 Steele-Richardson^Olszewski Γ, ^ ^ ^ # (Tabes dorsal is) 4〇如申請專利範圍第3〇至36中任一項所述之方法, 其中相車父於控制组的神鄉分 幻砰A 7L死亡率,該藥劑降低該病患中 的神經元死亡率。 41·如申請專利範圍第別至32中任—項所述之用方法 1084-9596-PF 124 200848063 ’其中該藥劑擇自 於下列構& + # 載體抗生素、大麻素 知群:參環抗抑鬱劑、離子 選擇性血清素再叨从4 通道阻斷劑、抗組織胺、 I丹吸收抑制劑、 及雌激素調節劑。 几各鹼樂物、PDE抑制劑, 42·如申凊專利範圍第3 其中該病患為一人類。 36中任一項所述之方法, 43·如申清專利範圍第30至36中紅 更包括-額外的治療法。 36中任-項所述之方法, 44·如申請專利範圍第43項所述 的治療法包括對該病患投予、 二’,、該額外 表la及lb之該藥劑以及 二°療藥劑,其中來自 療、預防$ # k 〇名外的治療藥劑之劑量足以治 療預防或減輕一神經退化性障礙。 45.如申睛專利範圍第44項所述之方法,1中 的治療藥劑擇自於表2之類別及藥劑。 /… 恢如申請專利範圍第45項所述之方法,其中該額外 的治療樂劑為一抗細胞〉周亡劑,其擇自於下列所構成之族 群:美滿黴素(mi獄yeline)、曲格列酮(⑽山拉㈣、、 ^ ^ ^ (pioglitazone),a A taurosodeoxychol i c acid ° 47.如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一抗抑鬱劑,其擇自於下列所構成之族群· 氟西汀(fluoxetine)、舍曲林氣化氫,及去曱替林 (nortriptyline)。 48·如申請專利範圍第45項所述之方法,其中該額外 1084-9596-PF 125 200848063 的治療藥劑為一抗氧化劑,其擇自於下列所構成之族群: 硫辛酸(lipoic acid)、褪黑激素(melat〇nin)、825卜 0PC-14117,及抗壞血酸鹽。 49·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一抗精神病藥物或精神藥物,其擇自於下列 所構成之族群:氟哌啶醇(hai〇perid〇1)、氯氮平 (clozapine)、氯丙嗓(chi〇rpromazine),及奥氮平 (olanzapine) 〇 5 0 ·如申請專利範圍第4 5項所述之方法,其中該額外 的治療藥劑為一生物能物質(Bi〇energetic),其擇自於下 列所構成之族群:輔酶Q1 〇、肌酸,及二氣乙酸酯。 51 ·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一 C0X抑制劑或NSAID,其擇自於下列所構 成之族群:氟吼洛芬(f lurbiprof en)、萘普生鈉(napr〇xen sodium)、雙氣芬酸鈉(diclofenac sodium)、雙氣芬酸 鉀(diclofenac potassium )、阿司匹靈、舒林酸 %, · (sulindac)、diflunisal、° 比羅昔康(piroxicam)、叫卜朵美 辛(indomethacin)、異布洛芬(ibuprofen)、nabumetone、 膽鹼三水揚酸鎂、水揚酸鈉、水揚醯水揚酸、非諾洛芬 (f enoprof en )、酮洛芬(ketoprofen)、曱氯芬那酸鈉 (meclofename sodium)、美洛昔康(meloxicam)、 oxaprozin、舒林酸(sulindac)、tolmetin、rofecoxib、 celecoxib、valdecoxib,以及 lumiracoxib o 52.如申請專利範圍第45項所述之方法,其中該額外 1084-9596-PF 126 200848063 的治療藥劑為一多巴胺拮抗劑,其擇自於下列所構成之族 群··奥氮平(olanzapine)、喧硫平(quetiapine),及丁苯那 唤(tetrabenazine) 〇 53·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一谷胺酸拮抗劑,其擇自於下列所構成之族 群:利魯嗤(riluzole) 、remacemide、金剛烧胺 (amantadine)、美金剛(memantine) 、 ifendprodil ,及 e1iprodi 1 ° 54·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一組蛋白去乙醯基酶抑制劑或轉錄調節因 子’其擇自於下列所構成之族群:丁酸鈉、苯基丁酸醋、 suberoylanilide hydroxamic acid,及 mithramycin。 55.如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一熱休克蛋白調節因子,其擇自於下列所構 成之族群:geldanamycin、celastrol、bim〇cl〇m〇i,及 ar i moc1omo1 ° 56. —如申請專利範圍帛45項所述之方法,其中該額外 的治療藥劑為免疫調節因子C〇p〇lymerl。 57. 如中請專利範圍第45項所述之方法,其中該額外 的治療樂劑為-情緒穩定劑’其擇自於下列所構成之族群. 鋰、丙戊酸納(valproate),及·。 58. 如申請專利範圍第杨項所述之方法,1 的治療藥劑為一抗精神病藥物,其擇自於下列;構::族 1084-9596-PF 127 200848063 群:氟哌啶醇(haloper idol)、奮乃靜(perphenazine),及 利血平(reserpine) 〇 59·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一蛋白質凝集抑制劑,其擇自於下列所構成 之族群:cyst amine,及海藻糖(trehalose)。 60·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一鎮定劑,其擇自於下列所構成之族 群:clonazepam、苯并二氮呼(benzodiazepine)、帕羅西 >丁、文拉法辛(venlafaxine),及beta-阻斷劑。 61·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑為一營養劑或滋補劑,其擇自於下列所構成之 族群:GDNF、BDNF、NTF,及胎兒紋體細胞。 62·如申請專利範圍第45項所述之方法,其中該額外 的治療藥劑擇自於下列所構成之族群:大麻素類 (cannabinoid)、BCTC、鋰、乙基一EPA、游離脂肪酸、 rapamycin、KW6002,及肉毒素。 63·如申請專利範圍第44項所述之方法,其中來自於 表1 a及1 b之該藥劑或多種藥劑,及該額外的治療藥劑, 彼此在14天内投予。 64·如申請專利範圍第63項所述之方法,其中來自於 表la及lb之該藥劑或多種藥劑,及該額外的治療藥劑, 彼此在7天内投予。 65·如申請專利範圍第64項所述之方法,其中來自於 表la及lb之該藥劑或多種藥劑,及該額外的治療藥劑, 1084-9596-PF 128 200848063 s 彼此在24小時内投予。 6 6·如申請專利範圍第3〇至65中任一項所述之方法, 八λ ;表1a及1 b之該藥劑或多種藥刻威該額外的治 療藥劑係口服投予。 67.如申請專利範圍第3〇至65中任一項所述之方法, ’、中來自於表1 a及b之該藥劑或多種藥劑或該額外的治 療藥劑係全身性投予。 … 68·如申請專利範圍第30至65中任一項所述之方法, ,、申來自於表1 a及丨b之該藥劑或多種藥劑或該額外的治 療藥劑,係顱内、椎管内或硬膜外投予。 69· —種套組,包括: (1) 一藥劑,擇自於表1 a及丨b之藥劑;以及 (1 1)指不說明書,用以將該藥劑對患有或有罹患神經 退化性障礙風險之病患投予。 7 0 · —種套組,包括: (i) 一種組合物,包含2種藥劑,擇自於表la及lb 之藥劑;以及 (1 i)指示說明書,指示將該組合物對患有或有罹患神 經退化性障礙風險之病患投予。 71. —種套組,包括·· (i) 一第1藥劑,擇自於表la及^之藥劑; (ii) 一第2藥劑,擇自於表ia及lb之藥劑·,以及 (i i i).指示說明書’用於指示將該第1及該第2藥劑 對患有或有罹患神經退化性障礙風險之病患投予。 1084-9596-PF 129 200848063 72.如申請專利範圍第7〇或71項之套組,其中該 擇自於:表3a及3b之單一列 ’、 7 3,一種套組,包括: (1) 一藥劑,擇自於表la及lb之藥劑;及 (ii)指示說明書,用以將該藥劑,與擇自於表“及 lb之藥劑之-第2藥劑’對患有或有罹患神經退化性障礙 風險之病患投予,其中該第2藥劑非為⑴中之該藥劑。 7 4 · —種套組,包括: (i ) 一組合物,包含·· (a) 一第1藥劑,擇自於表1&及“之藥劑;及 ()第2藥劑,擇自於表2之類別及藥劑;以及 (11)指示說明書,指示將該組合物對患有或有罹患神 經退化性障礙風險之病患投予。 75. —種套組,包括: (Ο —第1藥劑,擇自於表la及lb之藥劑; (ι〇 一第2藥劑,擇自於表2之類別及藥劑;以及 (iii)指示說明書,用以將該第i及該第2藥劑對患有 或有罹患神經退化性障礙風險之病患投予。 7 6 · —種套組,包括: (i) 一藥劑,擇自於表la及lb之藥劑;及 (1 1)指示說明書,用以將該藥劑及一第2藥劑對患有 或有罹患神經退化性障礙風險之病患投予,其中該第2藥 劑擇自於表2之類別及藥劑。 77· —種套組,包括: 1084-9596-PF 130 200848063 (1 ) 一樂劑,擇自於表2 別及藥劑;以及 (11)“示說明書,用以將 — 樂劑與擇自於表la及lb 之樂劑之一樂劑,對患有或有權 —由 淮患砷經退化性障礙風險之 病患投予。 78. —種用於鑑別可用於治 餘預防或減輕神經退化性 P早礙之組合的方法,包含以下步驟: ⑷提供一細胞,其包括編碼為多谷醯胺重複多胜肽 之-基因’以使得該多胜肽相較於野生型多谷醯胺重複多 胜肽,包括一經擴張的多谷醯胺重複區域; (b) 誘導該基因表現; (c) 使該細胞接觸擇自於表1&及lb_之藥劑及一候 選化合物;及 ' (d) 比較與該藥劑接觸但未接觸該候選化合物之細 胞,是否該藥劑與該候選化合物之組合,減少p〇iyQ抗體 之細胞核周邊染色,其中該細胞核周邊染色(例如藉由免 疫細胞化學(ICC)分析決定)之滅少,可能對於治療、預防 或減輕一神經退化性障礙有用之組合物。 7 9 ·如申請專利範圍第7 8項所述之方法,其中該含有 擴張多谷醯胺重複區域之多谷醯胺重複多胜肽包含Htt Qin。 8 0 ·如申請專利範圍第7 8頊所述之方法,其中該細胞 核周邊染色以免疫細胞化學分析測量。 81·如申請專利範圍第78項所述之方法,其中該p〇ly Q抗體包含一 1F8抗體。 1084-9596-PF 131 200848063 82. 如申請專利範圍第78項所述之方法 鼠紋體細胞。 83. 如申請專利範圍第82項所述之方法 紋體細胞為ST价MQ111細胞。 132 1084-9596-PF 200848063 七、指定代表圖: (一) 本案指定代表圖為:無 (二) 本代表圖之元件符號簡單說明:無 八、本案若有化學式時,請揭示最能顯示發明特徵的化學式: 無 1084-9596-PF200848063 X. Patent application scope: 1 · A composition comprising: (:) a first agent, selected from the agents of the table la and lb; and - a second agent, the agent is different from the first agent From the categories and pharmaceuticals of Tables 1a, 1b and Table 2. The composition of claim 1, wherein the first sword and the second medicament are selected from one of the tables 3a and 3b. The composition of claim 1 or 2, wherein the first drug and the sputum 2 agent are administered in a dose sufficient to treat, prevent or alleviate a neurodegenerative disorder. 4. The composition of claim 1 or 2, further comprising one or more additional agents selected from the table "and lb. 5. The composition of claim [...], Included in one or more of the classes and agents of Table 2. [6] The composition of claim 1, wherein the first agent or the agent is selected from the group consisting of : Shenhuan anti-inhibition agent ~ ionophore antibiotic ^ (10) 叩 "^ (10) to "cure cannabinoid receptor synergist, channel blocker, antihistamine, selective serotonin reuptake inhibitor, anticholinergic drugs The PDE inhibitor, and the estrogen modulator. The composition of claim 2, wherein the second agent is an anti-apoptotic agent selected from the group consisting of: A minocycline, troglitaz 〇ne, pioglitazone, and taurosodeoxycholic aci (j. 8. The composition of claim 1 wherein the 1084-9596-PF 119 200848063 The ethnic group and go • Mouse West $ The dylinol agent is an antidepressant selected from the group consisting of fluoxetine, sertraline, and nortripty1. 9. The composition as described in the scope of claim 2 is an antioxidant. It is selected from the following group 2 (lipoic acid), H number (melat〇nin), βΝ^ acid OPC-1411 7, and ascorbate. 1 〇·such as the scope of the patent application The composition wherein the drug is an antipsychotic or psychotropic drug, which is selected from the group consisting of haloperidol, clozapine, and chlorine. The composition of the first aspect of the invention, wherein the second agent is a bioenergy substance (Bi〇energetic), It is selected from the group consisting of coenzyme Q1 肌, creatine, and dichloroacetate. 1 2 The composition of claim 1, wherein the second agent is a C0X inhibition Agent or NSAID, which is selected from the group consisting of: flurbiprofen Naproxen sodium, diclofenac sodium, diclofenac potassium, aspirin, sulindac (su 1 indac), di f luni sa 1, piroxicam (pi roxi cam), called indomethacin, ibuprofen, nabumetone, choline magnesium salicylate, sodium salicylate, salicylic acid, fenoprofen , _ ketoprofen, meclofenamate sodium, meloxicam 1084-9596-PF 120 200848063 oxaprozin, sulindac, tolmetin, rofecoxib, celecoxib, valdecoxib, And lumiracoxib 〇13. The composition of claim i, wherein the second agent is a dopamine antagonist selected from the group consisting of olanzapine and sulphur (quetiapine), and tetrabenazine 〇14. The composition of claim 1, wherein the second agent is a glutamate antagonist selected from the group consisting of : riluzole (ri luz Ole), remacemide, amantadine, memantine, ifendprodil, and el iprodi 1. The composition of claim 2, wherein the second agent is a group of protein deacetylase inhibitors or transcriptional regulators selected from the group consisting of: butyric acid Sodium, phenylbutyrate, suberoylanilide hydroxamic acid, and mithramycin. The composition of claim 1, wherein the second agent is a heat shock protein regulator selected from the group consisting of geldanamycin, celastrol, bimoclomol, Ώ. and arimoclomol ° 1 7 The composition of claim 2, wherein the agent is an immunomodulatory factor Copolymer 1. The composition of claim 1, wherein the medicinal agent is an emotional stabilizer selected from the group consisting of lithium, sodium valproate, and carbamazepine. 1 9 · The composition of claim 1 of the patent scope, A μ 八τ边 2 1084-9596-PF 121 200848063 The medicament is an antipsychotic drug selected from the following groups: a composition according to the above-mentioned claim, wherein the second agent is a protein agglutination inhibition. The composition of the second aspect of the invention is hai 〇 id id id per per per per per per per per per per per per per 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 〇 The agent 'selects from the following group: cystamine, and trehalose (trehai〇se). 21. The composition of claim 2, wherein the first agent is a tranquilizer selected from the group consisting of benz〇diazepine, paroxet> Ding, venlafaxine, and beta-blockers. The composition of claim 2, wherein the second agent is a nutrient or a tonic, selected from the group consisting of GDNF, BDNF, CNTF, and fetal striated cells. The composition according to claim 2, wherein the pharmaceutical agent is selected from the group consisting of: cannabinoids ((3) face bi η. 丄d) BCTC, lithium, ethyl-EPA, one Free fatty acids, rapamycin, KW6〇〇2 and botulinum toxin. The composition of claim 1 or 2, further comprising at least one agent selected from the group of Table 2 and an agent. 25. The composition of claim 3, wherein the neurodegenerative disorder is a polyglutamine dilatation disorder. The composition of claim 25, wherein the polyglutamine dilating disorder is Huntington's disease. The combination of 1084-9596-PF 122 200848063, wherein the composition is formulated for oral administration, as described in any one of claims 1 to 26. The composition of any one of claims 6 to 6, wherein the composition is formulated for systemic administration. 29. If the scope of the patent application is the first item, the combination of any one of the items Z 6 or any one of them is formulated in the form of a submarine, or an epidural. 30. A method for treating, boxing, preventing or alleviating neurodegenerative disorders. 5 Hai method includes administering an effective 詈^ another double or a plurality of agents selected from the table la to A patient with treatment, nourishing the sputum or relieving the neurodegenerative disorder. 31. A method for treating or preventing a neurodegenerative disorder. The method comprises administering a first agent selected from Table lb and a second agent selected from Table 2 to a disease. Suffering to treat, prevent or alleviate this neurodegenerative disorder. 3 2 - A method for treating, preventing or ameliorating a neurodegenerative disorder, the method comprising administering at least two different agents independently selected from Tables 1a and 1b to the patient, wherein the 帛1 and the 2 The agents are administered simultaneously or at 28 days each other in a combined dose sufficient to treat, prevent or ameliorate the neurodegenerative disorder. 33. The method of claim 32, wherein the first and second medicaments are selected from Table 3a and a single column. 34. The method of claim 32, wherein the first and second medicaments are administered within 14 days of each other. 35. The method of claim 34, wherein the first and second medicaments are administered within 7 days of each other. 36. The method of claim 35, wherein the 1 1084-9596-PF 123 200848063 and the second medicament are administered within 24 hours of each other. The method of any one of claims 3 to 36, wherein the neurodegenerative disorder is a polyglutamine-expanding disorder. 38. The method of claim 3, wherein the polyglutamine dilatation disorder is Huntington's disease. 39. The method of any of claims 3 to 36, wherein the neurodegenerative disorder is selected from the group consisting of: Alexandria, Alper's disease, Alzheimer's disease, muscular atrophy Lateral sclerosis, cerebellar ataxia telangiectasia, Batten's disease, a disease, Cockayne syndrome, cortical basal ganglia degeneration, creutzfeidt-Jakob disease, dentate red globus pallidus atrophy, fragility$ comprehensive Symptoms, fragile XE mental retardation, FHedreieh's cerebellar ataxia, ischemic stroke, celebral disease, Lewy body dementia, multiple sclerosis, multiple systemic atrophy, myotonic dystrophy, Parkinson's disease , Pelizaeus Merzbacher disease, Pick disease, primary lateral sclerosis, RefSUm's disease, Sandhoff's disease, Schilder's disease, spinal cord injury, spinal muscular atrophy, spinocerebellar ataxia, type 2, 2 Type, Type 3, Type 6, Type 7, Type 8, Type 12, Type 17, Steele-Richardson^Olszewski Γ, ^ ^ ^ # (Tabes dorsal is) 4, as in Patent Application Nos. 3 to 36 The party mentioned in the item The law, in which the father of the car is in the control group's hometown phantom A 7L mortality, the agent reduces neuronal mortality in the patient. 41. The method of claim 1084-9596-PF 124 200848063, wherein the agent is selected from the following structures & + # carrier antibiotics, cannabinoids: ginseng Depressants, ion-selective serotonin are further mediated from 4-channel blockers, antihistamines, I-dan absorption inhibitors, and estrogen modulators. Several alkali music, PDE inhibitors, 42. For example, the scope of the patent is 3rd, wherein the patient is a human. The method according to any one of the preceding paragraphs, 43, and the red of the patent scopes 30 to 36 include an additional treatment method. 36. The method according to any one of the preceding claims, wherein the method of claim 43 includes administering the medicament to the patient, the second, the additional table la and lb of the medicament, and the second therapeutic agent. The dose of the therapeutic agent from the treatment and prevention of $ # k 〇 is sufficient to treat or prevent a neurodegenerative disorder. 45. The method of claim 44, wherein the therapeutic agent of claim 1 is selected from the classes and agents of Table 2. Resolving the method of claim 45, wherein the additional therapeutic agent is a primary antibody, a weekly death agent selected from the group consisting of: mitomycin (mi prison yeline), The method of claim 45, wherein the additional therapeutic agent is an antidepressant, the method of claim 45, wherein the method of claim 45, wherein the additional therapeutic agent is exemplified by the method of claim 45, wherein the remedy is an antidepressant, It is selected from the group consisting of fluoxetine, sertraline hydrogenated hydrogen, and nortriptyline. 48. The method of claim 45, wherein the additional The therapeutic agent of 1084-9596-PF 125 200848063 is an antioxidant selected from the group consisting of lipoic acid, melatin, 825, 0PC-14117, and ascorbate. 49. The method of claim 45, wherein the additional therapeutic agent is an antipsychotic or psychotropic drug selected from the group consisting of haloperidol (hai〇perid〇1) ), clozapine, 〇 〇 rom rom rom 〇 ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol ol The method is selected from the group consisting of coenzyme Q1 肌, creatine, and diacetate acetate. 51. The method of claim 45, wherein the additional therapeutic agent is a COX inhibitor or NSAID It is selected from the group consisting of flifluprofen, napr〇xen sodium, diclofenac sodium, and diclofenac potassium. ), aspirin, sulindac%, · (sulindac), diflunisal, ° piroxicam, called indomethacin, ibuprofen, nabumetone, choline Magnesium salicylate, sodium salicylate, salicylic acid, fenoprof en, ketoprofen, meclofename sodium, meloxicam Meloxicam), oxaprozin, sulindac, tolmetin, rofecoxib, ce The method of claim 45, wherein the additional therapeutic agent of 1084-9596-PF 126 200848063 is a dopamine antagonist selected from the group consisting of: · olanzapine, quetiapine, and tetrabenazine 〇53. The method of claim 45, wherein the additional therapeutic agent is a glutamine antagonism The agent is selected from the group consisting of: riluzole, remacemide, amantadine, memantine, ifendprodil, and e1iprodi 1 ° 54 as set forth in claim 45 The method wherein the additional therapeutic agent is a group of protein deacetylase inhibitors or transcriptional regulators selected from the group consisting of sodium butyrate, phenylbutyrate, suberoylanilide hydroxamic acid, And mithramycin. 55. The method of claim 45, wherein the additional therapeutic agent is a heat shock protein regulator selected from the group consisting of geldanamycin, celastrol, bim〇cl〇m〇i, And ar i moc1omo1 ° 56. The method of claim 45, wherein the additional therapeutic agent is the immunomodulator C〇p〇lymerl. 57. The method of claim 45, wherein the additional therapeutic agent is a mood stabilizer which is selected from the group consisting of: lithium, valproate, and . 58. The method of claim 1, wherein the therapeutic agent is an antipsychotic drug selected from the group consisting of: 1088-9596-PF 127 200848063 Group: haloperidol (haloper idol) The method of claim 45, wherein the additional therapeutic agent is a protein agglutination inhibitor, selected from the group consisting of the following: The group of constituents: cyst amine, and trehalose. 60. The method of claim 45, wherein the additional therapeutic agent is a tranquilizer selected from the group consisting of clonazepam, benzodiazepine, parosy > Ding, venlafaxine, and beta-blockers. 61. The method of claim 45, wherein the additional therapeutic agent is a nutrient or tonic, selected from the group consisting of GDNF, BDNF, NTF, and fetal striated cells. 62. The method of claim 45, wherein the additional therapeutic agent is selected from the group consisting of cannabinoids, BCTC, lithium, ethyl-EPA, free fatty acids, rapamycin, KW6002, and botulinum toxin. 63. The method of claim 44, wherein the agent or agents from Tables 1 a and 1 b, and the additional therapeutic agent, are administered within 14 days of each other. 64. The method of claim 63, wherein the medicament or agents from Tables la and lb, and the additional therapeutic agent are administered within 7 days of each other. 65. The method of claim 64, wherein the agent or agents from Tables 1 and 1b, and the additional therapeutic agent, 1084-9596-PF 128 200848063 s are administered within 24 hours of each other. . 6 6. The method of any one of claims 3 to 65, wherein the medicinal agent or the plurality of medicinal agents of Tables 1a and 1b are administered orally. 67. The method of any one of claims 3 to 65, wherein the agent or agents from Tables 1 a and b or the additional therapeutic agent are administered systemically. 68. The method according to any one of claims 30 to 65, wherein the medicament or the plurality of medicaments or the additional therapeutic agent derived from Tables 1 a and 丨b are intracranial and spinal canal Intra or epidural administration. 69·—a kit comprising: (1) a medicament selected from the agents of Tables 1 a and 丨b; and (1 1) means a non-instruction for the treatment of the agent with or without neurodegenerative Patients with risk of disorder are given. 7 0 - a kit comprising: (i) a composition comprising two agents selected from the agents of Tables la and lb; and (1 i) an instruction indicating that the composition is afflicted with or Patients who are at risk for neurodegenerative disorders are administered. 71. - a set of kits, including (i) a first potion, selected from the pots of la and ^; (ii) a second potion, selected from the pots of tables ia and lb, and (iii) The instruction manual is for instructing the first and second medicaments to be administered to a patient suffering from or at risk of developing neurodegenerative disorders. 1084-9596-PF 129 200848063 72. If the kit of claim 7 or 71 is selected, the selection is from: a single column ', 7 3 of Tables 3a and 3b, a set including: (1) a medicament selected from the agents of Tables 1 and 1b; and (ii) instructions for the treatment of the medicament and the neurological degeneration of the medicament selected from the "and the second medicament" selected from the table "and lb" A patient with a risk of sexual disorder is administered, wherein the second agent is not the agent of (1). 7 4 · a kit comprising: (i) a composition comprising: (a) a first medicament, Selected from Tables 1 & and "pharmaceutical; and () second agent, selected from the categories and agents of Table 2; and (11) instructions indicating that the composition is or has neurodegenerative disorders Patients with risk are given. 75. - a set of kits, comprising: (Ο - the first potion, selected from the pots of la and lb; (ι 〇 a second potion, selected from the categories and medicaments of Table 2; and (iii) instructions For administering the i-th and the second agent to a patient suffering from or at risk of developing neurodegenerative disorders. 7 6 · a kit comprising: (i) a medicament selected from the table And (1) an instruction manual for administering the medicament and a second medicament to a patient suffering from or at risk of developing neurodegenerative disorders, wherein the second medicament is selected from Table 2 Category and Pharmacy. 77·—Groups, including: 1084-9596-PF 130 200848063 (1) One agent, selected from Table 2, and Pharmacy; and (11) “Instructions for use—will The agent and one of the agents selected from the la and lb agents are administered to patients suffering from or having the right to be at risk of degenerative disorders due to arsenic. 78. A method for preventing or alleviating a combination of neurodegenerative P premature hamstrings, comprising the steps of: (4) providing a cell comprising a coded polyglutamine weight Multi-peptide-gene's such that the multi-peptide repeats the multi-peptide with wild-type polyglutamine, including an expanded polyglutamine repeat region; (b) induces the gene expression; (c) The cells are contacted with the agents of Tables 1 & and lb_ and a candidate compound; and '(d) comparing cells that are in contact with the agent but are not in contact with the candidate compound, whether the agent is combined with the candidate compound, reduces p Peripheral staining of the 〇iyQ antibody, wherein the perinuclear staining (as determined, for example, by immunocytochemistry (ICC) analysis), may be useful for treating, preventing, or ameliorating a neurodegenerative disorder. The method of claim 7, wherein the polyglutamine repeat polypeptide comprising the expanded polysitride repeat region comprises Htt Qin. 80 0 as described in claim 7 The method, wherein the nuclear peripheral staining is measured by immunocytochemical analysis. The method of claim 78, wherein the p〇ly Q antibody comprises a 1F8 antibody. 1084-9596-PF 131 2 00848063 82. The method of claim 78, wherein the striatum cells are ST-valent MQ111 cells as described in claim 82. 132 1084-9596-PF 200848063 VII. Designated representative map: (1) The representative representative figure of this case is: None (2) The symbol of the symbol of the representative figure is simple: No. 8. If there is a chemical formula in this case, please disclose the chemical formula that best shows the characteristics of the invention: No. 1084-9596- PF
TW097114792A 2007-04-23 2008-04-23 Methods and compositions for the treatment of neurodegenerative disorders TW200848063A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US92575307P 2007-04-23 2007-04-23
US95877407P 2007-07-09 2007-07-09

Publications (1)

Publication Number Publication Date
TW200848063A true TW200848063A (en) 2008-12-16

Family

ID=39926265

Family Applications (1)

Application Number Title Priority Date Filing Date
TW097114792A TW200848063A (en) 2007-04-23 2008-04-23 Methods and compositions for the treatment of neurodegenerative disorders

Country Status (2)

Country Link
TW (1) TW200848063A (en)
WO (1) WO2008133884A2 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110505902A (en) * 2017-01-20 2019-11-26 普瑞尼亚神经治疗有限公司 More applications determined for treating fragile X mental retardation of Puli
WO2021189256A1 (en) 2020-03-24 2021-09-30 中国医药大学 Use of menthol for preparing external composition for treating neurodegenerative disease and stroke

Families Citing this family (49)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20160331729A9 (en) 2007-04-11 2016-11-17 Omeros Corporation Compositions and methods for prophylaxis and treatment of addictions
US11241420B2 (en) 2007-04-11 2022-02-08 Omeros Corporation Compositions and methods for prophylaxis and treatment of addictions
WO2008150509A1 (en) * 2007-05-31 2008-12-11 The Trustees Of The University Of Pennsylvania Methods and compositions for treating spinal muscular atrophy
GB2456183A (en) * 2008-01-04 2009-07-08 Gw Pharma Ltd Anti-psychotic composition comprising cannabinoids and anti-psychotic medicament
CL2008002267A1 (en) * 2008-07-31 2009-07-03 Servicios Cientificos Neuroinnovation Ltda Use of compounds derived from pyrinmethylsulfinylbenzimadazole and piperidinylaminobenzimidazole as specific markers for neurodegenerative diseases and tau pathologies; and as a method of diagnosing Alzheimer's disease, and pharmaceutical formulation comprising said radiolabelled or fluorescently labeled compounds.
RU2374245C1 (en) * 2008-08-22 2009-11-27 Андрей Александрович Иващенко Ligand with wide range of simultaneous receptor activity, pharmaceutical composition, method of preparing said composition and medicinal agent
US20110172262A1 (en) 2008-09-15 2011-07-14 Biovista, Inc. Compositions and methods for treating epilepsy
US20110195049A1 (en) * 2008-10-13 2011-08-11 Biovista, Inc. Compositions and methods for treating multiple sclerosis
US20120058085A1 (en) * 2009-05-15 2012-03-08 Persichetti Rose A Deuterium Modified Benzimidazoles
EP2266550A1 (en) * 2009-06-15 2010-12-29 Institut Curie Antagonists of ß-catenin for preventing and/or treating neurodegenerative disorders
US8865901B2 (en) 2009-10-02 2014-10-21 Fred Hutchinson Cancer Research Center Gain-of-function Bcl-2 inhibitors
WO2011041731A2 (en) * 2009-10-02 2011-04-07 Fred Hutchinson Cancer Research Center Method of inhibiting bcl-2-related survival proteins
EP2332930A1 (en) * 2009-11-23 2011-06-15 Laboratorios Del. Dr. Esteve, S.A. Salts of duloxetine and NSAIDs for the treatment of pain
WO2011107583A1 (en) * 2010-03-04 2011-09-09 Nsab, Filial Af Neurosearch Sweden Ab, Sverige Substituted 4-phenyl-n-alkyl-piperidines for preventing onset or slowing progression of neurodegenerative disorders
US9856210B2 (en) * 2010-09-02 2018-01-02 Kyoto University Pharmaceutical composition for prevention and treatment of amyotrophic lateral sclerosis
DE102010062810B4 (en) * 2010-09-07 2014-03-13 Immungenetics Ag 2- (R2-thio) -10- [3- (4-R1-piperazin-1-yl) -propyl] -10H-phenothiazines for the treatment of neurodegenerative diseases selected from beta-amyloidopathies and alpha-synucleinopathies
CN103070876B (en) * 2011-10-25 2015-09-16 中国农业科学院上海兽医研究所 The compositions that the anti-encephalitis b virus of one class infects and application thereof
US20150018362A1 (en) 2012-02-27 2015-01-15 Biovista, Inc. Compositions and methods for treating mitochondrial diseases
CA2869145A1 (en) 2012-04-04 2013-10-10 IVAX International GmbH Pharmaceutical compositions for combination therapy
CA2872012C (en) 2012-05-08 2017-06-20 Aeromics, Llc New methods
EP2854818A4 (en) * 2012-06-01 2016-04-06 Oxalys Pharmaceuticals Chemical suppressors of neurotoxicity in synucleinopathic diseases
MX2014014902A (en) 2012-06-05 2015-03-04 Neuroderm Ltd Compositions comprising apomorphine and organic acids and uses thereof.
US9114130B2 (en) 2013-05-06 2015-08-25 University Of South Florida Compounds and related methods for treatment of neurodegenerative diseases
KR20160009617A (en) 2013-05-07 2016-01-26 바이오 블라스트 파마 리미티드 Treatment of protein aggregation myopathic and neurodegenerative diseases by parenteral administration of trehalose
US9084720B2 (en) * 2013-05-07 2015-07-21 BioBlast Pharma Ltd. Compositions and methods for treating oculopharyngeal muscular dystrophy
EP3045169B1 (en) 2013-09-13 2018-05-02 Akiko Itai Aqueous solution formulation, and manufacturing method for same
RU2691951C2 (en) 2013-11-06 2019-06-19 Аэромикс, Инк. Novel compounds
US9974767B2 (en) * 2014-07-14 2018-05-22 University Of Washington Statins in the treatment of muscular dystrophies and myopathies
EP3034074A1 (en) 2014-12-18 2016-06-22 Universitat De València, Estudi General Compound for treatment of myotonic dystrophy type 1
CA2977135C (en) * 2015-02-25 2023-08-22 The Regents Of The University Of California 5ht agonists for treating disorders
EP3285800B1 (en) * 2015-04-24 2019-09-18 Consiglio Nazionale Delle Ricerche A new therapeutic use of the botulinum neurotoxin serotype a
CN105078947A (en) * 2015-08-07 2015-11-25 王红兵 Purpose of nolvadex
GB2549278B (en) * 2016-04-11 2021-02-17 Gw Res Ltd Use of cannabidivarin in the treatment of autism spectrum disorder
CN107375280B (en) * 2016-05-17 2021-03-05 中国科学院上海药物研究所 Application of nitazoxanide and pharmaceutically acceptable salt thereof in preparing medicament for treating Alzheimer disease
CN105924641B (en) * 2016-06-06 2018-10-16 陕西省生物农业研究所 A kind of hydroxychloroquine sulfate polyglutamic acid polymer and its preparation method and application
WO2018004391A1 (en) * 2016-06-29 2018-01-04 Общество С Ограниченной Ответственностью "Валента-Интеллект" Pharmaceutical composition containing combination of memantine and melatonin
CN105920019B (en) * 2016-07-05 2018-08-17 福州大学 A kind of pharmaceutical composition and its application in preparation of anti-tumor drugs containing ursolic acid and Sorafenib
JP7217700B2 (en) 2016-09-13 2023-02-03 アラーガン、インコーポレイテッド Stabilized non-protein Clostridial toxin composition
WO2018176098A1 (en) 2017-03-31 2018-10-04 The Florey Institute Of Neuroscience And Mental Health Prophylaxis and treatment of cognitive dysfunction and decline
US20200121666A1 (en) * 2017-06-05 2020-04-23 The Methodist Hospital System Tau phosphorylation inhibitors and methods for treating or preventing alzheimer's disease
CN116370473A (en) 2017-08-14 2023-07-04 普瑞尼亚神经治疗有限公司 Method of treating amyotrophic lateral sclerosis with pridopidine
CN111989120A (en) * 2018-04-13 2020-11-24 Healx有限公司 Kits, compositions and combination therapies for fragile X syndrome
WO2019241376A1 (en) * 2018-06-14 2019-12-19 The Trustees Of Columbia University In The City Of New York Treatment of cognitive disorders using nitazoxanide (ntz), nitazoxanide (ntz) analogs, and metabolites thereof
CA3167214A1 (en) * 2020-02-13 2021-08-19 Michal Geva Combination therapy for treating amyotrophic lateral using pridopidine and another active agent
EP4134363A4 (en) * 2020-04-09 2024-05-22 Aventi Inc Pharmaceutical composition for preventing or treating muscular weakness-related diseases comprising alverine, 4-hydroxy alverine, derivative thereof, or pharmaceutically acceptable salt thereof
CN114470215A (en) * 2020-11-12 2022-05-13 北京科辉智药生物科技有限责任公司 SARM1 enzyme activity inhibitor and application thereof in neurodegenerative diseases
CN112641784A (en) * 2020-12-31 2021-04-13 南京中医药大学 A pharmaceutical composition for treating neuron injury and/or nerve inflammation related neurodegenerative diseases
CN113679719B (en) * 2021-08-17 2023-03-28 南京中医药大学 Application of desloratadine and salt thereof in preparing medicament for treating motor dysfunction related neurodegenerative diseases
US20230233595A1 (en) * 2022-01-25 2023-07-27 New York Medical College Use of stat4 inhibitors for prevention and treatment of alzheimer's disease

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110505902A (en) * 2017-01-20 2019-11-26 普瑞尼亚神经治疗有限公司 More applications determined for treating fragile X mental retardation of Puli
WO2021189256A1 (en) 2020-03-24 2021-09-30 中国医药大学 Use of menthol for preparing external composition for treating neurodegenerative disease and stroke

Also Published As

Publication number Publication date
WO2008133884A2 (en) 2008-11-06

Similar Documents

Publication Publication Date Title
TW200848063A (en) Methods and compositions for the treatment of neurodegenerative disorders
JP6245983B2 (en) Novel D3 dopamine receptor agonists for treating dyskinesia in Parkinson's disease
Zhou Norepinephrine transporter inhibitors and their therapeutic potential
US8754119B2 (en) Use of rotigotine for the treatment of depression
JP4993523B2 (en) Use of 20 (S) -protopanaxadiol for the production of antidepressants
JP6545788B2 (en) How to treat depression
JP2008542378A (en) Methods and compositions for managing psychotic disorders
US20130236573A1 (en) Esketamine for the treatment of treatment-refractory or treatment-resistant depression
US8461389B2 (en) Psycho-pharmaceuticals
US20130289024A1 (en) Compositions and methods for treatment of filovirus-mediated diseases
US7855195B2 (en) Method of treating mental disorders using D4 and 5-HT2A antagonists, inverse agonists or partial agonists
EP2288345B1 (en) Psycho-pharmaceuticals
JP2017537129A (en) Pharmaceutical combination comprising a selective S1P1 receptor agonist
van Amsterdam et al. Mechanism of action of the bimodal antidepressant vilazodone: evidence for serotonin 1A-receptor-mediated auto-augmentation of extracellular serotonin output
JP2024516297A (en) Compositions and methods for the treatment of depression
JP2018524306A (en) Enantiomers of tetrahydro-N, N-dimethyl-2,2-diphenyl-3-furanmethanamine (ANAVEX2-73) and their use in the treatment of Alzheimer type and other injuries regulated by sigma 1 receptor
JP2007513052A (en) Combination of serotonin reuptake inhibitor and agomelatine.
AU2004238379B2 (en) Combination of the analeptic modafinil and an antidepressant for the treatment of depression
AU2004238381A1 (en) Combination of the analeptic modafinil and an antidepressant for the treatment of depression
TW202345795A (en) Pure forms of crystalline aticaprant
WO2023081899A1 (en) Isotopically enriched n-methyl-1,3-benzodioxolylbutanamine (mbdb) and stereoisomers thereof
KR20050012284A (en) Combination therapy wherein a serotonin reuptake inhibitor is used
US20080200556A1 (en) Amine Compounds And Inhibiting Neurotrasmitter Reuptake
Du et al. Clinically relevant concentrations of ketamine inhibit osteoclast formation in vitro in mouse bone marrow cultures
KR20220041134A (en) Serotonergic agents and 5-HT1A-receptor antagonists