TW201118102A - Hydroxyasenapine compounds, derivatives thereof and pharmaceutical compositions comprising same - Google Patents

Hydroxyasenapine compounds, derivatives thereof and pharmaceutical compositions comprising same Download PDF

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TW201118102A
TW201118102A TW099124755A TW99124755A TW201118102A TW 201118102 A TW201118102 A TW 201118102A TW 099124755 A TW099124755 A TW 099124755A TW 99124755 A TW99124755 A TW 99124755A TW 201118102 A TW201118102 A TW 201118102A
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formula
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TW099124755A
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Werenfridus Adrianus Faassen
Gerardus Johannes Kemperman
Mohammed Shahid
Iersel Maria Louise Petra Stefanie Douglas-Van
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Organon Nv
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D491/00Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
    • C07D491/02Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
    • C07D491/04Ortho-condensed systems
    • C07D491/044Ortho-condensed systems with only one oxygen atom as ring hetero atom in the oxygen-containing ring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants

Abstract

The present invention provides isolated or purified hydroxyasenapine compounds, derivatives thereof, especially ester derivatives thereof, and pharmaceutical compositions comprising the same. The present invention provides also methods of treatment using the same.

Description

201118102 六、發明說明: 種新穎的羥基阿西那平(hydroxyasenapine) 化合物,其衍生物及包含彼等之醫藥組合物。201118102 VI. INSTRUCTIONS: A novel hydroxyasenapine compound, a derivative thereof and a pharmaceutical composition comprising the same.

式併入本文中,就如同已完全闡述於本文中一般。 【發明所屬之技術領域】 本申請案描述一種新潁 【先前技術】 本申請案之此部份或任何部份之任何公開案之確定並非 承認該公開案係本發明之先前技術。 在美國專利第4,145,434號(,434專利)之實例3中描述反 式-5-氯-2-曱基-2,3,3a,12b-四氫-1H-二苯并[2,3;6,7]氧呼 [4,5c]比η各之製法(亦稱為阿西那平(asenapine),參見默克 索弓丨(Merck Index)專著第832號),其具有式A化合物之結 構,The formula is incorporated herein by way of example as fully described herein. [Technical Field of the Invention] The present application describes a novel </ RTI> prior art. The determination of any part or any part of this disclosure is not an admission that the disclosure is prior art to the present invention. Trans-5-chloro-2-indolyl-2,3,3a,12b-tetrahydro-1H-dibenzo[2,3 is described in Example 3 of U.S. Patent No. 4,145,434 (the '434 patent). ;6,7] The method of oxo [4,5c] ratio η (also known as asenapine, see Merck Index, No. 832), which has the compound of formula A Structure,

已知式A化合物對患有中柩神經系統疾病(CNs疾病)之 病人具有治療活性。如,434專利中第一欄第45至50行所描 述’類似於式I化合物的化合物通常顯示明顯的CNS抑制劑 活性(其可用於治療緊張、激動及焦慮狀態,及治療精神 149868.doc 201118102 病及精神分裂症),且亦顯示極佳的抗組胺及抗血清素活 ί如1995年3月9日以國際申請案第卩(^/£?95/〇〇〇765號 申請的美國專利第5,763,476號(,476專利)中第—欄第43至 46行所描述,阿西那平鹽(例如,阿西那平馬來酸鹽)之舌 下或經頰投藥可用於治療或處理包括精神障礙之疾病(如 緊張、激動、焦慮、精神病、及精神分裂症)。上述各申 請案及專利係以引用的方式併入本文中,就如同其全文已 完全闡述於本文卜般。利用投與阿西那平或其鹽治療雙 極症及相關症狀之療法係描述於2006年4月20日以公開案 號2006/0084692公開之美國專利申請案中,該申請案之全 文以引用的方式併入本文中’就如同已完全闡述於本文中 一般。 用於治療多種CNS疾病之具有非典型抗精神病藥性質之 化合物通常係、受關注,尤其係、可用於可注射組合物或口服 組合物中’以為患有精神分裂症、雙極症、或與雙極症相 關之躁狂發作、抑鬱發作或混合發作的患者提供可接受的 阿西那平治療濃度之化合物。 【發明内容】 就上述内容而言,需要一種包含於組合物中之化合物, 該組合物係安定且在投藥給需要該治療的患者時提供如非 典型抗精神病藥之活性。本發明提供此等或其他目標及/ 或優點’其在-態樣中提供對⑽疾病具有治療活性之單 離及/或純化的羥基阿西那平化合物或其衍生物。 在某些實施射,該單離的經基阿西那平(—π—) I49868.doc 201118102 化合物係通式I、Π、或in化合物:The compound of formula A is known to have therapeutic activity in patients suffering from a disease of the middle sacral nervous system (CNs disease). For example, the compound of formula I, as described in the first column, lines 45 to 50 of the '434 patent, generally exhibits significant CNS inhibitor activity (which can be used to treat stress, agitation and anxiety, and therapeutic spirit 149868.doc 201118102 Disease and schizophrenia), and also showed excellent antihistamine and anti-serotonin activity as in the United States on March 9, 1995, the International Application No. (^/£?95/〇〇〇765 Sublingual or buccal administration of arnicapine salt (eg, cepinal maleate) can be used for treatment or treatment, as described in column 5, pp. 43-46 of Patent No. 5,763,476 (the '476 patent). Disorders of mental disorders (such as stress, agitation, anxiety, psychosis, and schizophrenia). The above-mentioned applications and patents are hereby incorporated by reference in their entirety as if their entire disclosures Therapeutic treatment of bipolar disorder and related symptoms with azinazepine or a salt thereof is described in U.S. Patent Application Serial No. 2006/008469, filed on Apr. 20, 2006, the disclosure of Incorporated in this article It has been fully described herein. Compounds having atypical antipsychotic properties for the treatment of various CNS diseases are generally of interest, in particular, useful in injectable compositions or oral compositions. A patient with schizophrenia, bipolar disorder, or manic episodes, depressive episodes, or mixed episodes associated with bipolar disorder provides an acceptable concentration of azepine in a therapeutic concentration. [Invention] For the above, a need is needed. A compound contained in a composition that is stable and provides activity, such as an atypical antipsychotic, when administered to a patient in need of such treatment. The present invention provides such or other objectives and/or advantages of its in-state Provided are isolated and/or purified hydroxy asconapine compounds or derivatives thereof which are therapeutically active against (10) diseases. In some implementations, the isolated single-base aspirin (-π-) I49868 .doc 201118102 Compound is a compound of formula I, hydrazine, or in:

本發明之另一態樣係提供式卜π、及ΠΙ之羥基阿西那平 化合物的單離或/及純化衍生物,尤其係酯衍生物,其中 式I或II化合物中之羥基取代基之位置在該酯衍生物中係被 酯官能基所佔據,或其中式m化合物中被至少一個羥基取 代基所佔據之位置在該衍生化合物物中係被酯官能基所佔 據。 本發明之另一態樣係一種醫藥組合物,其包含至少一種 式I、式π、或式III化合物’或至少—種式I、式„、或式 149868.doc 201118102 ΠΙ化合物的衍生物’及-或多種醫藥上可接受的賦形 劑。在某些實施財’較佳係使㈣合積存投藥(例如, 如2009年6月24日中請的美國臨時中請案第61/22_號 中所描述的積存投藥)之醫藥組合物,該案以引用的方式 併入本文中,就如同已完全闡述於本文中一般。 工 本發明之其他態樣及優寶上ή ιν τ , 70〜、俅汉傻點自以下詳細說明將變得明 【實施方式】 在人類臨床研究中,已注意到少量阿西那平(aSenapine) 及其鹽之氧化代謝物(包含式„化合物)。尚未注意到阿西 那平及其鹽之其他氧化產物,例如式ΜΠΙ化合物,但其 可在將阿西那平或其鹽投與人類時藉由代謝氧化作用產 生。在使用動物模型之研究中,本發明者已驚奇地發現式 I、II、及III之經基阿西那平(hydrGxyasenapine)化合物及 其衍生物具有如同非典型抗精神病化合物之活性,其適用 於為有此需要之患者提供CNS疾病的療法,例如,用於治 療精神分裂症、雙極症、或與雙極症相關的躁狂發作、S 鬱發作、或混合發作。 式I、II及III之羥基化合物可藉由修飾已知的阿西那平製 備方法來製備,例如,2008年12月24日申請的美國專利申 凊案第12/341281號中所描述之阿西那平製備方法,該申 請案以引用的方式併入本文中,就如同已完全闡述於本文 與又參照5亥2 8 1申凊案(其描述自選定之鹵芳基前體化 Q物製備阿西那平)’通常,可藉由在該,28丨申請案所描述 之方法中取代經適當取代之芳基化合物(例如,式Ha或IHa 149868.doc 201118102 化。物,其在该芳基前體之適合經基存在於產物化合物中 之位置上包含側接的甲氧基取代基)來製備本發明化合 物。Another aspect of the present invention provides an isolated or/and purified derivative of a hydroxyazinapine compound of the formula π, and hydrazine, especially an ester derivative wherein the hydroxy substituent in the compound of Formula I or II The position is occupied by the ester functional group in the ester derivative, or wherein the position of the compound of formula m occupied by at least one hydroxyl substituent is occupied by the ester functional group in the derivative compound. Another aspect of the invention is a pharmaceutical composition comprising at least one compound of formula I, formula π, or formula III or at least - a derivative of formula I, formula „, or formula 149868.doc 201118102 ΠΙ compound And - or a variety of pharmaceutically acceptable excipients. In some implementations, it is better to make (4) a combination of drugs (for example, as requested in the United States Interim Request No. 61/22_ on June 24, 2009 The pharmaceutical composition of the present invention is incorporated herein by reference in its entirety as if it has been fully described herein. The other aspects of the present invention and the superior ή ι ιν τ , 70~俅 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 傻 【 【 【 【 【 【 人类 【 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类 人类Other oxidation products of aspinapide and its salts have not been noted, such as the hydrazine compound, but it can be produced by metabolic oxidation when exenatine or its salt is administered to humans. In studies using animal models, the inventors have surprisingly found that hydrGxyasenapine compounds and derivatives thereof of formulas I, II, and III have activity as atypical antipsychotic compounds, which are suitable for use in Therapy for CNS disease is provided to patients in need thereof, for example, for the treatment of schizophrenia, bipolar disorder, or manic episodes associated with bipolar disorder, seizures of stagnation, or mixed episodes. The hydroxy compounds of the formulae I, II and III can be prepared by modifying the known exenatine preparation process, for example, as described in U.S. Patent Application Serial No. 12/341,281, filed on December 24, 2008. A method for the preparation of cilastatin, which is incorporated herein by reference, as it is fully incorporated herein by reference in its entirety, in its entirety, in its entirety, in Preparation of azinapine) 'In general, an appropriately substituted aryl compound can be substituted by the method described in the 28 丨 application (for example, Formula Ha or IHa 149868.doc 201118102. The compounds of the invention are prepared from suitable aryl precursors containing a pendant methoxy substituent at the position in the product compound.

或者,可藉由直接氧化阿西那平來製備羥基阿西那平化 合物(例如式I化合物),例如,使阿西那平之丨丨·碳位置酰 化,之後藉由(例如)使用間氣過氧基苯曱酸(m_CPBA)將所 得之酮氧化為酯,其可利用鹼水解法轉化為相應的醇(羥 基取代基)。 另外,本發明者相信本發明羥基阿西那平化合物上之一 或多個羥基取代基可視需要轉化成醋官能基(例如,甲酉旨 官能基)’以提供一種化合物,其具有改變的代謝及溶解 I1 生質且在技與至需要其之患者時亦提供如非典型抗精神 病化合物之活性。該等醋官能性化合物可有利於製備=於 治療精神分裂症、雙極症、或與雙極症相關的躁發作、抑 鬱發作、或混合發作之醫藥組合物。 式I、II或III之羥基阿西那平化合物或其衍生物(例如, 其酯衍生物)可與一或多種醫藥上可接受的賦形劑(例如, 彼等描述於Remington: The Science and Practice 〇fpha咖巧(如 第21版)中者)混合,以提供適合在CNS疾病(例如精神分裂 症、雙極症、或與雙極症相關的躁狂發作、抑鬱發作或〜 149868.doc 201118102 合發作)之治療中投與此等化合物之醫藥組合物&quot; 或III化合物之鹽或其衍生物 式1、11 W 7糟由-般方法形成。 s本文使用術語「單離」0夺,其意指該化 自然生成於其中之生理介:係以自其 得。 兄中移除或分離之形式獲 該化合物係以其經 當本文使用術語「純化」時,其意才丨 單離之形式之至少約70重量%存在。 實例 在以下貫例中,除非另外指明1則所有試劑皆係市售 之USP級物品。提供以下實例以說明而非限定本發明。應 :解此等方法之修鋅物及其他方法可代替彼等呈現於此等 實例中者,且仍在本發明之範圍内。 實例1:由阿西那平合成羥基阿西那平Alternatively, a hydroxyalcinapine compound (e.g., a compound of formula I) can be prepared by direct oxidation of azinapine, for example, acylation of the carbene azide carbon site, followed by, for example, the use of The gas oxybenzoic acid (m_CPBA) oxidizes the resulting ketone to an ester which can be converted to the corresponding alcohol (hydroxyl substituent) by alkaline hydrolysis. In addition, the inventors believe that one or more of the hydroxy substituents of the hydroxyarpineapine compound of the present invention can be converted to a vinegar functional group (e.g., formazan-functional group) as needed to provide a compound having altered metabolism. The activity of, for example, an atypical antipsychotic compound is also provided by dissolving the I1 germ and providing it to the patient in need thereof. Such vinegar-functional compounds may be useful in the preparation of pharmaceutical compositions for the treatment of schizophrenia, bipolar disorder, or bipolar disorder, stagnation episodes, or mixed episodes associated with bipolar disorder. The hydroxyalcinapine compound of formula I, II or III, or a derivative thereof (e.g., an ester derivative thereof), can be combined with one or more pharmaceutically acceptable excipients (e.g., as described in Remington: The Science and Practice 〇fpha café (as in the 21st edition) is mixed to provide a suitable for CNS disease (eg schizophrenia, bipolar disorder, or manic episodes associated with bipolar disorder, depressive episodes or ~ 149868.doc In the treatment of 201118102, the pharmaceutical composition of the compound or the salt of the compound III or a derivative thereof is formed by a general method. s This article uses the term "single-off", which means that the chemical is naturally formed in it: it is obtained from it. The form removed or isolated from the parent is obtained by the use of the term "purified" as used herein, at least about 70% by weight of the intended form. EXAMPLES In the following examples, all reagents are commercially available USP grade items unless otherwise indicated. The following examples are provided to illustrate and not to limit the invention. The zinc-repairing and other methods of solving such methods may be substituted for those of the examples and are still within the scope of the invention. Example 1: Synthesis of Hydroxy Ascipine by Acinapine

方案1之反應條件之圖例說明: 149868.doc 201118102 (a)氣甲酸乙酯’甲笨,回流:(b)乙醯基氣,A1C13, CH2C12’ 室溫,Legend of the reaction conditions of Scheme 1: 149868.doc 201118102 (a) Ethyl formate thiophene, reflux: (b) acetonitrile, A1C13, CH2C12' room temperature,

(c) m-CPBA,對曱苯績酸單水合物,CH2C12,回流; (d) KOH,EtOH,室溫;(e) A1C13,LiAlH4,THF,5°C 步驟1-化合物2之合成 在室溫及氮氣氛下,歷時30分鐘將含於甲苯(815 mL)中 之氣甲酸乙酯(532 mL,5.59 mol)之溶液滴加至含於甲笨 (1900 mL)中之1(245.14 g ; 858 mmol)之溶液中。在添加期 間,自反應混合物產生白色沉澱及氣體(曱基氯),且溫度 上升至45°C。在回流下,將該反應混合物攪拌19小時,且 然後冷卻至室溫。過濾移除所得之固體。用甲苯(1 L)沖洗 殘留物,並將過濾液蒸發至乾,以獲得2(334 g,976 mmol » 1 00%) 步驟2-化合物3之合成 將化合物 2(26.1 g,75.91 mmol)及氯化銘(27.7 g, 207.80 mmol)混合於二氣曱烧(220 mL)中,然後,在室溫下 緩慢添加乙醯基氣(8.14 mL,114.07 mL)。藉由TLC(甲苯/ EtOAc,8:2)通過用飽和NaHC〇3中止樣品來監湏ij該反應。 22小時之後,該反應完成,並將該混合物倒在飽和NaCl (350 mL)上。分離該有機相並用CH2C12萃取該水相二次。 用飽和NaHC03沖洗合併的有機層,在MgS04上乾燥,過 濾並蒸發溶劑。獲得化合物3(23.35 g,60.52 mmol, 80%),其無需進一步純化而用於下一步驟中。 步驟3-化合物4之合成 149868.doc 201118102 在加熱至回流溫度的化合物3(23.14 g,59.96 mmol)之溶 液中添加m-CPBA(59.49 g,344.74 mmol)及對甲苯磺酸單 水合物(11.71 g,61.56 mmo 1)。在回流下授拌該反應19小 時,然後冷卻至室溫且用水(170 mL)中止該反應。將所得 之懸浮液倒在25% Na2S2O3(550 mL)上並用CH2C12萃取兩 次。用飽和NaHC03沖洗合併的有機層,在MgS04上乾 燥,過濾並蒸發溶劑。獲得化合物4(22.99 g,57.21 mmol,95%),其無需進一步純化而用於下一步驟中。 步锁4-化合物5之合成 將 KOH(35.85 g,639.92 mmol)添加至含於 EtOH(400 mL)中之化合物4(22.99 g,57.22 mmol)之溶液中。將反應 混合物在室溫下攪拌3小時,然後將其倒在水(400 mL) 上。加入濃HC1使pH值為1,且形成一些結晶。用AcOEt (3x2 50 mL)萃取該混合物。過濾該水層以獲得某些產物。 在MgS04上乾燥合併的有機層並過濾。將溶劑蒸發至原體 積的約10%,並將該殘留物與甲苯(2x100 mL)共蒸發。添 加額外的曱苯(100 mL),且形成結晶,並過濾。將殘留物 與之前自水層獲得的結晶混合,並溶於THF(260 mL)中。 濾出該溶液中剩餘的固體物質,並蒸發THF以獲得部份產 物。收集過濾器上的殘留物並將其懸浮於額外的THF(260 mL)中。在45°C下攪拌該混合物30分鐘,過濾並蒸發 THF。在真空烘箱中乾燥該等合併的產物,以獲得化合物 5(15.23 g,42.34 mmol,74%) ° 步驟5-化合物6(目標物:11-羥基阿西那平)之合成 149868.doc -10- 201118102 在 5°C 下,將LiAlH4(26.5 mL之 1 M THF溶液,26.5 mmol) 添加至含於 THF 中(29 mL)之 A1C13(0.895 g,6.71 mmol)之 溶液中。在搜拌該混合物15分鐘之後,緩慢添加含於 丁11?(34 1111^)中之化合物5(3.43经,9.53 111111〇1)之溶液以形成 懸浮液。在5°C下攪拌該反應,並藉由TLC (CH2Cl2/MeOH,9/1)監測。完成後,藉由滴加酒石酸溶液 中止該反應並攪拌20分鐘。添加濃HC1(3 7%)直至pH=9, 並用曱苯/EtOAc (8/2)萃取該混合物兩次。分離該有機 層,在MgS04上乾燥,過渡並蒸發溶劑。藉由在碎膠上 (100%曱苯—曱苯/EtOAc (8/2))層析純化該粗製的殘留物,以 獲得 6(0.552 g,1.829 mmo 卜 19%)。 •ΗΝΜ^όΟΟ MHz &gt; DMSO-d6) : δ (ppm)=2.45 (3Η) » 2.94 (1Η) » 2.99 (1H),3.10 (1H),3.22 (1H),3.39 (1H),3.54 (1H),6.54 (1H),6_58 (1H),7.01 (1H),7.14 (1H),7.17 (1H),7.25 (1H),9_32 (1H) MS(ESI)m/z : 302=[M+H]+ 實例2 : 7-羥基阿西那平之合成(c) m-CPBA, p-benzoic acid monohydrate, CH2C12, reflux; (d) KOH, EtOH, room temperature; (e) A1C13, LiAlH4, THF, 5 °C Step 1 - Synthesis of compound 2 A solution of gaseous ethyl formate (532 mL, 5.59 mol) in toluene (815 mL) was added dropwise to 1 (245.14 g) in toluene (1900 mL) at room temperature under a nitrogen atmosphere for 30 minutes. ; 858 mmol) in solution. During the addition, a white precipitate and a gas (fluorenyl chloride) were produced from the reaction mixture, and the temperature was raised to 45 °C. The reaction mixture was stirred for 19 hours under reflux and then cooled to room temperature. The resulting solid was removed by filtration. The residue was washed with toluene (1 L), and the filtrate was evaporated to dryness to afford 2 ( 334 g, 976 s s s s s s s s s s s s s s s s s s s s s Chlorination (27.7 g, 207.80 mmol) was mixed in dioxane (220 mL), then acetonitrile (8.14 mL, 114.07 mL) was slowly added at room temperature. The reaction was monitored by TLC (toluene / EtOAc, 8:2) by quenching the sample with saturated NaHC. After 22 hours the reaction was complete and the mixture was poured onto saturated NaCI (350 mL). The organic phase was separated and the aqueous phase was extracted twice with CH2C12. The combined organic layers were washed with aq. NaHC.sub.3, dried over EtOAc. Compound 3 (23.35 g, 60.52 mmol, 80%) was obtained which was used in the next step without further purification. Step 3 - Synthesis of Compound 4 149868.doc 201118102 Add m-CPBA (59.49 g, 344.74 mmol) and p-toluenesulfonic acid monohydrate (11.71) to a solution of compound 3 (23.14 g, 59.96 mmol) heated to reflux. g, 61.56 mmo 1). The reaction was stirred under reflux for 19 hours, then cooled to room temperature and then quenched with water (170 mL). The resulting suspension was poured onto 25% Na2S2O3 (550 mL) and extracted twice with CH2C12. The combined organic layers were washed with aq. NaHC03, dried over EtOAc EtOAc Compound 4 (22.99 g, 57.21 mmol, 95%) was obtained which was used in the next step without further purification. Synthesis of Step Lock 4 - Compound 5 KOH (35.85 g, 639.92 mmol) was added to a solution of Compound 4 (22.99 g, 57.22 mmol) in EtOH (400 mL). The reaction mixture was stirred at room temperature for 3 hours and then poured onto water (400 mL). Concentrated HC1 was added to bring the pH to 1, and some crystals were formed. The mixture was extracted with AcOEt (3 x 2 50 mL). The aqueous layer was filtered to obtain certain products. The combined organic layers were dried over MgS04 and filtered. The solvent was evaporated to about 10% of the original volume and the residue was co-evaporated with toluene (2 x 100 mL). Additional toluene (100 mL) was added and crystallized and filtered. The residue was mixed with the crystals previously obtained from the aqueous layer and dissolved in THF (260 mL). The solid matter remaining in the solution was filtered off, and THF was evaporated to obtain a partial product. The residue on the filter was collected and suspended in additional THF (260 mL). The mixture was stirred at 45 ° C for 30 minutes, filtered and evaporated THF. The combined products were dried in a vacuum oven to give compound 5 (15.23 g, 42.34 mmol, 74%). Step 5 - Compound 6 (target: 11-hydroxyasinapine) Synthesis 149868.doc -10 - 201118102 To a solution of A1C13 (0.895 g, 6.71 mmol) in THF (29 mL) was added to EtOAc (26.5 mL, 1 M THF, 26.5 mmol). After the mixture was mixed for 15 minutes, a solution of the compound 5 (3.43, 9.53 111111 〇1) contained in butyl 11 (34 1111 ) was slowly added to form a suspension. The reaction was stirred at 5 &lt;0&gt;C and was monitored by TLC (CH.sub.2Cl.sub.2/MeOH, 9/1). After completion, the reaction was quenched by dropwise addition of a tartaric acid solution and stirred for 20 minutes. Concentrated HC1 (3 7%) was added until pH = 9, and the mixture was extracted twice with toluene/EtOAc (8/2). The organic layer was separated, dried over MgS04, and evaporated and evaporated. The crude residue was purified by chromatography on EtOAc (EtOAc: EtOAc (EtOAc) • ΗΝΜ^όΟΟ MHz &gt; DMSO-d6) : δ (ppm)=2.45 (3Η) » 2.94 (1Η) » 2.99 (1H), 3.10 (1H), 3.22 (1H), 3.39 (1H), 3.54 (1H ), 6.54 (1H), 6_58 (1H), 7.01 (1H), 7.14 (1H), 7.17 (1H), 7.25 (1H), 9_32 (1H) MS (ESI) m/z : 302 = [M+H ]+ Example 2: Synthesis of 7-hydroxyasinapine

149868.doc 201118102149868.doc 201118102

方案2 方案2之反應條件之圖例說明: (a) Org 213361-0(0.9 當量),第三 丁醇鉀(22當量), THF ’室溫’ 4.5小時’醋酸酐(2.5當量),室溫,15分鐘; (b)三甲胺N-氧化物二水合物(1.5當量),二異丙胺化鋰(7.7 當量)’ THF ’室溫,3.5小時;(c)峨化銅(ΐ)(〇·3當量),碳 酸铯(1.3當量),N,N-二甲基甘胺酸(〇.3當量),二噁烷,回 流,22小時;(d)醋酸(110當量),溴化氫(19當量),回流, 20小時 步驟1-化合物18之合成 在室溫下,以20分鐘時間將含於THF(36 mL)中之化合物 16(根據公開於 V. Daukasas,R. Martinkus,V. Kulesius,V. Stelbiene, Zhunal Organicheskoi Khimii,1983,19(3), 522-528中之Dauksas等人之步驟製得)(7.96 g,42.68 mmol)之溶液滴加至含於THF(40 mL)中之ΚΟιΒιι溶液中, 同時該灰色懸浮液變成紅褐色。以3分鐘時間將化合物 17(11.96 g ’ 38.94 mmol)(根據公開於J. Kalbitz,E. Leissring, H. Schmidt,Zeitschrift fuer Anorganische und Allgemeine 149868.doc 201118102Scheme 2 Scheme for the reaction conditions of Scheme 2: (a) Org 213361-0 (0.9 eq.), potassium butoxide (22 eq.), THF 'room temperature' 4.5 hrs acetic anhydride (2.5 eq.), room temperature , 15 minutes; (b) trimethylamine N-oxide dihydrate (1.5 equivalents), lithium diisopropylamide (7.7 equivalents) 'THF' room temperature, 3.5 hours; (c) copper telluride (ΐ) (〇) • 3 equivalents), cesium carbonate (1.3 equivalents), N,N-dimethylglycine (〇.3 equivalents), dioxane, reflux, 22 hours; (d) acetic acid (110 equivalents), hydrogen bromide (19 equivalents), reflux, 20 hours Step 1 - Synthesis of Compound 18 Compound 16 in THF (36 mL) was obtained over 20 min at room temperature (according to V. Daukasas, R. Martinkus, V. Kulesius, V. Stelbiene, Zhunal Organicheskoi Khimii, 1983, 19(3), proc. 522-528, prepared by the Dauksas et al.) (7.96 g, 42.68 mmol) solution was added dropwise to THF (40 mL) In the middle of the ΚΟιΒιι solution, the gray suspension turns reddish brown. Compound 17 (11.96 g '38.94 mmol) was taken over 3 minutes (according to J. Kalbitz, E. Leissring, H. Schmidt, Zeitschrift fuer Anorganische und Allgemeine 149868.doc 201118102

Chemie,1994,620(12),2041-2047 中之 Kalbitz 等人的步驟 製得)添加至該反應混合物中,且觀察到溫度自2〇°c上升 至3 5 C。在室溫下授拌該反應4.5小時並藉由GC監測。添 加醋酸酐(1 〇 mL)形成漿液,並將該漿液另外攪拌丨5分 鐘。藉由添加1 M HC1( 1 50 mL)中止該反應。將該懸浮液 冷卻至0°C並濾出所形成之結晶,並在真空烘箱中乾燥, 以獲得化合物18(14.93 g,&gt;99%)。 步驟2-化合物19之合成 將三曱胺N-氧化物二水合物(3.12 g,28.07 mmol)緩慢添 加至含於THF(50 mL)中之步驟1中製備的化合物18(7〇9 g, 18.57 mmol)之溶液中,接著添加二異丙胺化經(2 μ THF/ 正庚院溶液,71.5 mL,143.00 mmol)。在室溫下授拌該混 合物並藉由TLC(CH2Cl2/EtOH ’ 9/1)及HPLC監測。3.5小時 之後’添加水(100 mL)中止該反應。用4 M HC1處理所得 之乳液’以使其pH自11.5降至9,然後用AcOEt萃取兩次。 用水將合併的有機層沖洗兩次,並用鹽水處理。在MgS〇4 上乾燥該有機層’過濾並蒸發至乾。將該粗產物溶於The procedure of Kalbitz et al., Chemie, 1994, 620(12), 2041-2047) was added to the reaction mixture and the temperature was observed to rise from 2 ° C to 3 5 C. The reaction was stirred at room temperature for 4.5 hours and monitored by GC. A slurry of acetic anhydride (1 〇 mL) was added and the slurry was stirred for an additional 5 minutes. The reaction was quenched by the addition of 1 M HCl (1 50 mL). The suspension was cooled to 0 ° C and the crystals formed were filtered off and dried in a vacuum oven to afford compound 18 (14.93 g, &gt; 99%). Step 2 - Synthesis of compound 19 Triammonium N-oxide dihydrate (3.12 g, 28.07 mmol) was slowly added to compound 18 (7〇9 g, obtained in Step 1 in THF (50 mL) In a solution of 18.57 mmol), diisopropylation (2 μ THF / ng Gengyuan solution, 71.5 mL, 143.00 mmol) was then added. The mixture was stirred at room temperature and was monitored by TLC (CH.sub.2Cl.sub.2. After 3.5 hours, the reaction was stopped by adding water (100 mL). The resulting emulsion was treated with 4 M HCl to reduce its pH from 11.5 to 9, and then extracted twice with AcOEt. The combined organic layers were rinsed twice with water and treated with brine. The organic layer was dried on MgS(R) 4 filtered and evaporated to dryness. Dissolve the crude product

EtOH(32 mL)中並添加濃HCl(370/〇,10.5 mL)。在室溫下授 拌該溶液並添加1 mL水。濾出所形成之結晶並在真空烘箱 中乾燥,以獲得化合物19(1.49 g , 2〇%)。在母液中添加濃 HC1至PH為1並用庚烷萃取兩次。在MgS〇4上乾燥合併的有 機層,過濾並蒸發溶劑,以產生額外的化合物19(4 〇3 g, 10.16 mmo卜 55%)。 步称3 -化合物20之合成 149868.doc -13· 201118102 在室溫下,將碳酸铯(1.87 g ’ 5.73 mmol)、Ν,Ν-二曱基 甘胺酸(0.13 g’ 1.22 mmol)及埃化銅(I )(0.25 g’ 1.29 mmol)添加至含於二°惡烧(18 mL)中之化合物19(1.75 g, 4.42 mmol)之溶液中。將溫度升高至97°C並持續攪拌22小 時。通過矽藻土過濾該反應混合物並用二噁烷清洗該殘留 物。蒸發該溶劑以獲得化合物20(1.25 g,3.96 mmol, 90%),其無需進一步純化。 步驟4-目標化合物21(7-羥基阿西那平)之合成 將1^1*(5 1111〇添加至含於醋酸(18 1111〇中之化合物20(1.16 g,3.67 mmol)之溶液中並將該混合物加熱至回流溫度 (l〇〇°C )。藉由GC/MS監測該反應。當監測到未完全轉化 時,添加額外的醋酸(5 mL)及HBr(5 mL)。持續攪拌16小 時,蒸發該溶劑,並將該殘留物與曱苯共蒸發3次。將該 粗產物溶於AcOEt/NH4OH(l/l,pH~10)中並用AcOEt萃取 兩次。在MgS04上乾燥合併的有機層,過濾並蒸發至乾。 藉由在矽膠上層析(100%曱苯至曱苯/EtOH(8/2)之梯度)進 行純化,以獲得化合物21(520 mg,1.73 mmol,47%)。 hNMR (600 MHz,DMSO-d6) : δ (ppm)=2.44 (3H),2.94 (1H), 3.10 (1Η),3.09 (1Η),3.22 (1Η)3·39 (1Η),3.59 (1Η),6.63 (1H),6.83 (1H),7.08 (1H),7.11 (1H),7_22 (1H),7.38 (1H), 9.80 (1H) MS(ESI)m/z : 302 = [M+H] + 實例3: 10,11-羥基阿西那平之合成 149868.doc 14 201118102Concentrated HCl (370/〇, 10.5 mL) was added to EtOH (32 mL). This solution was stirred at room temperature and 1 mL of water was added. The crystals formed were filtered off and dried in a vacuum oven to give Compound 19 (1.49 g, 2%). Concentrated HC1 was added to the mother liquor to a pH of 1 and extracted twice with heptane. The combined organic layers were dried over MgS(R) 4, filtered and evaporated to give additional compound 19 (4 〇3 g, 10.16 mmo, 55%). Step 3 - Synthesis of Compound 20 149868.doc -13· 201118102 At room temperature, cesium carbonate (1.87 g ' 5.73 mmol), hydrazine, hydrazine-dimercaptoglycine (0.13 g' 1.22 mmol) and angstroms Copper (I) (0.25 g ' 1.29 mmol) was added to a solution of compound 19 (1.75 g, 4.42 mmol) in EtOAc (18 mL). The temperature was raised to 97 ° C and stirring was continued for 22 hours. The reaction mixture was filtered through celite and the residue was washed with dioxane. The solvent was evaporated to give compound 20 (1.25 g, m. Step 4 - Synthesis of target compound 21 (7-hydroxyasinapine) Add 1^1*(5 1111〇 to a solution of compound 20 (1.16 g, 3.67 mmol) in acetic acid (18 1111〇) The mixture was heated to reflux temperature (10 ° C.) The reaction was monitored by GC/MS. When incomplete conversion was observed, additional acetic acid (5 mL) and HBr (5 mL) were added. The solvent was evaporated and the residue was co-evaporated three times with toluene. The crude product was dissolved in AcOEt/NH 4 OH (l/l, pH~10) and extracted twice with AcOEt. The organic layer was filtered and evaporated to dryness purified eluting eluting eluting eluting eluting eluting eluting hNMR (600 MHz, DMSO-d6): δ (ppm) = 2.44 (3H), 2.94 (1H), 3.10 (1Η), 3.09 (1Η), 3.22 (1Η)3·39 (1Η), 3.59 ( 1Η), 6.63 (1H), 6.83 (1H), 7.08 (1H), 7.11 (1H), 7_22 (1H), 7.38 (1H), 9.80 (1H) MS (ESI) m/z : 302 = [M+ H] + Example 3: Synthesis of 10,11-hydroxyacenapine 149868.doc 14 201118102

28 方案3 方案3之反應條件之圖例說明: (a) i) P(〇Et)3 ’ 一 曱本 ’ ii) 5-氯水揚駿,k〇1Bu, THF ; (b)三曱胺 N-氧化物 ’ LDA,THF ; (c) CsC〇3, 2,2,6,6-四甲基-3,5-庚二酮,氣化銅(1),〇]^八;((1)三《;臭化 硼,CH2C12。 步驟1-化合物25之合成 將含於對二甲苯(20 mL)中之2-溴-2,5-二甲氧基节基漠 22(20.0 g,64.5 mmol)及亞磷酸三乙酯(1〇 8 ,64 mmol)加熱至回流’同時在&amp;氣氛下攪拌3天《將該溶液冷 卻至室溫’並添加至含於THF(375 mL)中之5-氯水揚醛24(1〇 〇 g,64 mmol ’ 1.0當量)的溶液中。將該溶液冷卻至,並 149868.doc •15- 201118102 分批添加ΚΟιΒιι(15.68 g,140 mmol,2.19 當量)。在0°C 下 將該反應混合物攪拌1 〇分鐘並使其升溫至室溫過夜❶添加 水(100 mL)及鹽水(40 mL)’並用AcOEt(160 mL)萃取該混 合物。用2 M HC1水溶液(40 mL)酸化該混合物,並分離該 有機層’在Na2S〇4上乾燥,過濾並在真空中濃縮,以獲得 灰白色固體。添加戊烷(80 mL)並將該懸浮液攪拌15分 鐘。濾出固體,用戊烷(8 mL)沖洗,並自CHC13再結晶, 以獲得純化合物25(12.8 g,32.3 mmol,50%)之白色固 體。 步驟2-化合物26之合成 在氮氣氛中’將含於無水THF( 127 mL)中的烯烴25(11.5 g ’ 31.1 mmol)及三甲胺 N-氧化物(10.93 g,95.0 mmol, 3.06當量)之溶液冷卻至0°c。隨後在約15小時内滴加含於 THF 中之 1.8 M LDA(115 mL,207 mmol,6.7當量)溶液。 在室溫下攪拌3天之後,將該反應混合物再冷卻至0°C,並 另外滴加含於THF中的1.8 M LDA(34.6 mL,62.2 mmo卜 2.0當量)。在攪拌一整夜後,用2 μ HC1中和該反應混合物 並用AcOEt(3x250 mL)萃取。用水(2x25 mL)沖洗合併的有 機層’在NaJCU上乾燥,過濾並在真空中濃縮。將殘留物 溶於乙醚中並沉澱於戊烷中(35〇 mL)。濾出該沉澱物,用 戊烷沖洗並藉由矽石管柱層析((:112(:12/]^011,97_5/2.5)進 一步純化,以獲得純化合物26( 1.02 g,2.39 mmo卜13%) 之標色油。 步驟3-化合物27之合成 149868.doc .16- 201118102 在N2氣氛下’將含於無水DMA(5 mL)中的化合物26(456 mg,1.09 mmol)、碳酸绝(711 mg,2.18 mmol,2.0當量) 及 2,2,6,6_四曱基-3,5-庚二酮(40 mg,0.218 mmol,0.2 當 I)之搜拌懸浮液加熱至150 °C。將氯化銅(1)(43 mg,0.436 mmol,0.4當量)添加至該懸浮液中並在下將該混合 物攪拌1.5小時。使該熱反應混合物通過一玻璃過遽器並 用二噁烷(20 mL)沖洗該殘留物。在濾液中添加η2〇(5 mL)、250/〇 NH4OH(20 mL)、AcOEt(25 mL)及 TBME(25 mL) 並分離各層。用5〇 mL TBME/AcOEt(l/l)萃取該水層。在 NadCU上乾燥合併的有機層,過濾並在真空中濃縮。藉由 矽石管柱層析(CI^Ch/MeOH,9/1)純化該棕色粗產物,以 獲得化合物27(141 mg,0.409 mmol,產率37.5%,純度 94_7%)之棕色油,其緩慢固化。 實例4 :活體内研究 在大鼠模型中研究通式I及II化合物相比於阿西那平之抑 制受苯異丙胺刺激之活動行為的能力。據信該大鼠模型反 映多巴胺受體拮抗作用,其可預計對抗CNS疾病(例如精神 分裂症、雙極症、或與雙極症相關的躁狂發作、抑繁發 作、或混合發作)之效力。 阿西那平係一種新穎的精神藥理學藥劑,其係作為多巴 胺D2受體亞型及多種血清素及腎上腺素能受體亞型之拮抗 劑,如 M. Shadid Μ及EHF Wong在「Asenapine has unique human receptor binding signature」,World J.Biol Psychiatr 2005; 6(suppl i):3〇6中所述’其以引用的方式併入本文 149868.doc -17- 201118102 中,就如同已完全闡述於本文中一般。如Mano及Kapur在 「Kapur S,Mano D. Half a century of antipsychotics and still a central role for dopamine D2 receptors. Progress in Neuro-Psychopharmacology and Biological Psychiatry 2003 · 27 : 1081-90」(其以引用的方式併入本文中,就如同已完全闡述於本 文中一般)中所述,據信D2受體拮抗作用或多巴胺活性之 降低係具有抗精神分裂症症狀功效之藥物之作用的主要機 制。可藉由測量當大鼠在一開放場所受間接(d-苯異丙胺) 或直接(阿樸嗎啡)作用的多巴胺能激動劑刺激時其活動能 力之抑制作用來進行功能型D2拮抗作用之活體内評估,此 係如「Serpa KA,Moore CL,Meltzer LT· Effects of the Novel Psychopharmacological Agent Asenapine on Amphetamine-Stimulated and Spontaneous Locomotor Activity in the Rat, 2006, 3月22日」中所論述,其以引用的方式併入本文中,就如同 已完全闡述於本文中一般。當將d-苯異丙胺投與大鼠時, 其引起多巴胺的釋放並導致活動能力之大幅提高或活動加 快(其可以在開放場所中移動之距離來測定),如Marston等 人在「Asenapine effects in animal models of psychosis and cognitive function」,Psychopharmacology(2009 年 5 月 22 曰 在「springerlink.com」於0033-3 158出版物之前線上公開) 中所述,其以引用的方式併入本文中,就如同已完全闡述 於本文中一般。如Roberts等人在「Roberts DCS、Zis AP及 Fibiger HC, Ascending catecholamine pathways and amphetamine-induced locomotor activity: Importance of dopamine and apparent 149868.doc -18- 201118102 noninvolvement of norepinephrine, Brain Research 1975;93 441- 54.」中,及Niemegeers CJE、Janssen PAJ在「A systematic study of the pharmacological activities of dopamine antagonists. Life28 Scheme 3 Legend of the reaction conditions of Scheme 3: (a) i) P(〇Et)3 ' 一曱' ii) 5-Chlorohydrazine, k〇1Bu, THF; (b) Tridecylamine N - oxide ' LDA, THF ; (c) CsC〇3, 2,2,6,6-tetramethyl-3,5-heptanedione, vaporized copper (1), 〇]^8; ((1) III"; boron odor, CH2C12. Step 1 - Synthesis of compound 25 2-bromo-2,5-dimethoxygangyl desert 22 (20.0 g, 64.5) contained in p-xylene (20 mL) Methyl) and triethyl phosphite (1〇8, 64 mmol) were heated to reflux' while stirring under &amp; atmosphere for 3 days "cooling the solution to room temperature" and added to THF (375 mL) 5-Chlorohydrin aldehyde 24 (1 〇〇g, 64 mmol '1.0 eq.) solution. Cool the solution to 149868.doc •15- 201118102 Add ΚΟιΒιι (15.68 g, 140 mmol, 2.19 eq. The reaction mixture was stirred at 0 ° C for 1 hr and allowed to warm to room temperature overnight. Water (100 mL) and brine (40 mL) were then weighed and the mixture was extracted with AcOEt (160 mL). Acidified the mixture with an aqueous solution of HC1 (40 mL) and separated the organic layer 'in Na2S〇4 Dry, filter and concentrate in vacuo to give EtOAc (EtOAc:EtOAc) Pure compound 25 (12.8 g, 32.3 mmol, 50%) was obtained as a white solid. Step 2 - Synthesis of compound 26 <RTIgt; </ RTI> </ RTI> </ RTI> </ RTI> <RTIgt; And a solution of trimethylamine N-oxide (10.93 g, 95.0 mmol, 3.06 equivalent) was cooled to 0 ° C. Then 1.8 M LDA (115 mL, 207 mmol, 6.7 equivalents) in THF was added dropwise over about 15 hours. After stirring at room temperature for 3 days, the reaction mixture was further cooled to 0 ° C, and 1.8 M LDA (34.6 mL, 62.2 mmo, 2.0 equivalent) in THF was added dropwise. After the night, the reaction mixture was neutralized with EtOAc (EtOAc) (EtOAc (EtOAc) (EtOAc) And precipitated in pentane (35 〇mL). The precipitate was filtered off, rinsed with pentane and borrowed Silica column chromatography ((: 112 (: 12 /] ^ 011,97_5 / 2.5) for further purification to obtain 26 (1.02 g, 2.39 mmo BU 13%) of pure compound as a colorless oil standard. Step 3 - Synthesis of Compound 27 149868.doc .16 - 201118102 'Compound 26 (456 mg, 1.09 mmol) in anhydrous DMA (5 mL) under N2 atmosphere, (711 mg, 2.18 mmol, 2.0 Equivalent) and a mixture of 2,2,6,6-tetradecyl-3,5-heptanedione (40 mg, 0.218 mmol, 0.2 when I) was heated to 150 °C. Copper chloride (1) (43 mg, 0.436 mmol, 0.4 eq.) was added to the suspension and the mixture was stirred for 1.5 hr. The hot reaction mixture was passed through a glass filter and the residue was washed with dioxane (20 mL). Η2〇 (5 mL), 250/〇 NH4OH (20 mL), AcOEt (25 mL), and TBME (25 mL) were added to the filtrate and the layers were separated. The aqueous layer was extracted with 5 mL of TBME/AcOEt (l/l). The combined organic layers were dried over NadCU, filtered and concentrated in vacuo. The brown crude product was purified by EtOAc EtOAc (EtOAc) (EtOAc) Slowly cure. Example 4: In vivo study The ability of compounds of formulas I and II to inhibit amphetamine-stimulated activity compared to acifluorin was investigated in a rat model. The rat model is believed to reflect dopamine receptor antagonism, which is expected to be effective against CNS diseases such as schizophrenia, bipolar disorder, or manic episodes associated with bipolar disorder, seizures, or mixed episodes. . Acinatrine is a novel psychopharmacological agent that acts as an antagonist of the dopamine D2 receptor subtype and various serotonin and adrenergic receptor subtypes, such as M. Shadid Μ and EHF Wong in "Asenapine has Unique human receptor binding signature", World J. Biol Psychiatr 2005; 6 (suppl i): 3〇6, which is incorporated herein by reference to 149868.doc -17- 201118102, as it is fully described This article is general. Such as Mano and Kapur in "Kapur S, Mano D. Half a century of antipsychotics and still a central role for dopamine D2 receptors. Progress in Neuro-Psychopharmacology and Biological Psychiatry 2003 · 27 : 1081-90" (which is by reference As described herein, as described in the general description herein, it is believed that D2 receptor antagonism or a decrease in dopamine activity is the primary mechanism of action of a drug having anti-schizophrenia symptoms. Functional D2 antagonism can be performed by measuring the inhibition of its ability to act when a rat is stimulated by an indirect (d-amphetamine) or direct (apomorphine) dopaminergic agonist in an open field. Internal evaluation, as described in "Serpa KA, Moore CL, Meltzer LT. Effects of the Novel Psychopharmacological Agent Asenapine on Amphetamine-Stimulated and Spontaneous Locomotor Activity in the Rat, 2006, March 22", which is cited Modes are incorporated herein as if they have been fully described herein. When d-amphetamine is administered to rats, it causes the release of dopamine and results in a substantial increase in mobility or activity (which can be measured by the distance traveled in an open space), such as Marston et al. in "Asenapine effects". In animal models of psychosis and cognitive function", Psychopharmacology (published on May 22, 2009, "springerlink.com" published online before 0033-3 158 publication), which is incorporated herein by reference, As has been fully explained in this article. For example, Roberts et al., "Roberts DCS, Zis AP and Fibiger HC, Ascending catecholamine pathways and amphetamine-induced locomotor activity: Importance of dopamine and apparent 149868.doc -18- 201118102 noninvolvement of norepinephrine, Brain Research 1975; 93 441- 54. ", and Niemegeers CJE, Janssen PAJ in "A systematic study of the pharmacological activities of dopamine antagonists. Life

Sci 1979; 24:2201-15」(兩者皆以引用的方式併入本文中, 就如同已完全闡述於本文中一般)中所述,對受d—苯異丙胺 刺激之活動的抑制作用係D2拮抗作用的度量標準。利用此 等模型,選定的阿西那平羥基代謝物相對於阿西那平之抗 多巴胺能性質係藉由檢測其對由苯異丙胺誘導之大鼠活動 加快的作用來測定。 方法 此研究中所使用的原理及步驟係根據犯}1 Guidelines f〇r the Care and Use of Laboratory Animals進行。 試驗動物 使用送達時重13〇至丨5〇 g之雄性Sprague Dawley大鼠 (Harlan)。在測試前將大鼠以5隻一組圈養7至1〇天且大 鼠在測試時重180至200 g。將圈養室維持在12小時光/暗循 環(6: 0G開燈,18: _燈)下。可自由獲取食物及水。在 〇〇至16 · 〇〇之間進行測試。所有大鼠在測試前整夜禁 食°將該等大鼠隨機分配至㈣或藥物處理組。 藥物製備 將d-苯異丙胺溶於〇·9%鹽水溶液中。將測試或對照藥物 (阿西那平、11_羥基阿西那平(式I化合物)、或7-羥基阿西 平(式III化合物))溶解或懸浮於丨% crem〇ph〇r EL、1% 1 N HC卜及含於水中之〇 5%甲基纖維素(其係作為媒劑對 149868.doc •19· 201118102 照)中°所有測試化合物均係溶液。劑量係以活性成份(即 驗)表示且投藥量為5 mL/kg。 測試裝置 使用16束數位掃描動物活動監測器(Accuscan Eiectr〇nics, Columbus ’ Ohio)對大鼠進行活動能力(LMA)測試。各試驗 室係由16x16x16英吋之PLEXIGLAS®箱組成,其周圍係利 用紅外光束(16/側,間隔1英吋)之中斷來測定活動能力之 活動監測器。將各箱置於一不鏽鋼通風的聲衰減室(SAC) 中。在該室内藉由兩盞白熾燈提供照明,並以每室一隻大 鼠進行測試。 步驟 在測試室對該等大鼠進行稱重並投藥。對大鼠經口(p〇) 投與藥物或媒劑,然後將其關進測試室内。經過一段適應/ 吸收期(30分鐘)後,對每隻大鼠皮下注射丄mg/kg d-苯異 胺,並放回該測試室巾,然後開始記錄活動㉟力(lma) 在兩小時内’每隔5分鐘記錄—次LMA。在測試期結 後’對該等大鼠實行安樂死。 之測試化 每次測試包括4組,一個媒劑對照組及3種劑量 合物組。所有組接受相同的d—苯異丙胺處理。 數據分析 LMA係以移動之㈣數測量,並表示為針對㈣媒 照物之動物所測得之LMA的抑制v ^ ^ 』。。依序利用單因奇 ANOVA及事後Duunett試驗(使用劑量竹 '、 F馮早因素,將顯垄 性設置為p&lt;0.05)對完整的2小時試驗 . w J之總移動距離(c 149868.doc -20- 201118102 進行統计刀析。利用jandei sigmastat進行統計分析,其進 行作為ANOVA之部份的正態性及方差檢驗。將具有Sci 1979; 24:2201-15" (both of which are incorporated herein by reference in its entirety as if fully described herein) A metric for D2 antagonism. Using these models, the anti-dopaminergic properties of the selected anazepine hydroxy metabolite relative to azinapine were determined by measuring its effect on the acceleration of amphetamine-induced rat activity. Methods The principles and procedures used in this study were performed according to the 1st Guidelines f〇r the Care and Use of Laboratory Animals. Test animals Male Sprague Dawley rats (Harlan) weighing 13 〇 to 〇 5 〇 g were used. Rats were housed in groups of 5 for 7 to 1 day before the test and rats were weighed 180 to 200 g at the time of the test. Maintain the enclosure in a 12-hour light/dark cycle (6: 0G on, 18: _light). Free access to food and water. Test between 〇〇 and 16 · 。. All rats were fasted overnight before the test. The rats were randomly assigned to (d) or the drug-treated group. Drug Preparation D-amphetamine was dissolved in a 9%·9% saline solution. Dissolve or suspend the test or control drug (asinapine, 11-hydroxyasinapine (compound of formula I), or 7-hydroxyazepine (compound of formula III)) in 丨% crem〇ph〇r EL,1 % 1 N HC and 5% methylcellulose contained in water (which is used as a vehicle pair 149868.doc • 19. 201118102) All test compounds are solutions. The dosage is expressed as the active ingredient (instant test) and the dosage is 5 mL/kg. Test Devices Rats were tested for activity (LMA) using a 16-beam digital scanning animal activity monitor (Accuscan Eiectr〇nics, Columbus' Ohio). Each laboratory consisted of a 16x16x16 inch PLEXIGLAS® box surrounded by an infrared light beam (16/side, 1 inch apart) to measure the activity monitor. Place each box in a stainless steel vented sound attenuating chamber (SAC). The room was illuminated by two incandescent lamps and tested in one mouse per room. Procedure The rats were weighed and administered in a test room. The rats were orally administered (p〇) with a drug or vehicle and then placed in the test chamber. After an adaptation/absorption period (30 minutes), each rat was injected subcutaneously with 丄mg/kg d-phenylisoamine and placed back in the test chamber, then began recording activity 35 liters (lma) within two hours. ' Record every 5 minutes - LMA. The rats were euthanized after the end of the test period. Tests Each test included 4 groups, one vehicle control group and three dose groups. All groups received the same d-amphetamine treatment. Data Analysis The LMA was measured by the number of movements (four) and expressed as the inhibition of LMA measured for the animals of the (four) medium. . The single 2-inch ANOVA and the subsequent Duunett test (using the dose of bamboo ', F Feng early factors, set the ridgeability to p < 0.05) for the complete 2 hour test. w J total moving distance (c 149868.doc) -20- 201118102 Perform statistical analysis. Use jandei sigmastat for statistical analysis, which performs normality and variance test as part of ANOVA.

Hochbergs夕樣性控制程序之Fiigner_p〇ijceii〇應用於正態 性-方差檢驗失敗之數據。該原始數據係列表於丨至3中。 結果 在經媒劑處理之大鼠中皮下投與1 mg/kg d-苯異丙胺 (AMP)可刺激活動能力’其在投藥後約45分鐘達到峰值且 大多數在兩小時後結束。在試驗中,媒劑+AMP處理組之 平均總移動距離係相似,其在兩小時測試期間為255〇9至 30624楚米之間。阿西那平以最低有效劑量(MED,其定義 為產生統計上顯著減少之LMa之最低劑量)為〇.3 mg/kg(經 口)之劑量依賴型方式抑制由1 mg/kg AMP(皮下)所誘導之 LMA刺激。該MED劑量較之經媒劑處理之對照組減少83〇/〇 的LMA’而1,〇 mg/kg(經口)之高劑量減少97%的lma(表 4)。 發現11 -羥基阿西那平以MED為1 .〇 mg/kg(經口)之劑量 依賴型方式抑制由i mg/kg AMP(皮下)所誘導之LMA刺 激’其較之經媒劑處理之對照組減少75%的LMA(表4),且 7-沒基阿西那平以MED為1 ·0 mg/kg(經口)之劑量依賴型方 式抑制由1 mg/kg AMP(皮下)所誘導之LMA刺激,其較之 媒劑處理組減少39%的LMA(表5)。在1.0 mg/kg之MED劑 量與另一最低劑量0.3 mg/kg之間存在極小的效果差異。針 對1.0 mg/kg(MED)及0.3 mg/kg之媒劑處理組之LMA減少量 刀別為39%及34%(表5)。在此分析中,約30%之減少量通 149868.doc •21- 201118102 常達到統計顯著性。然而,在本文所述之該等試驗中, 0.3 mg/kg所引起之減少量在〇 〇5的水平下並未達到顯著 性。 討論 目前精神分裂症之治療主要依靠使用非典型抗精神病 藥。大多數非典型藥的共同特徵係具有中等至強效血清素 能、腎上腺素能及毒蕈鹼活性之多巴胺D2受體拮抗作用的 性質,但阿西那平及其衍生物係具有多巴胺能、血清素 月b、及腎上腺素旎枯抗作用新穎的精神藥理學藥劑,其具 有結合至多巴胺D2受體及多種血清素能及腎上腺素能受體 之高親和力之臨床前受體結合分佈。冑受心苯#丙胺刺激 之活動之抑制作用係D2拮抗作用的度量標準且其顯示抗精 神病效力。在先前研究中,阿西那平之特徵在於在其可在 大鼠經皮下投藥後抑制受d_苯異丙胺刺激之活動能力。彼 等研究結果顯示阿西那平以與非典型抗精神病藥金芏薩 ㈤anzapine)及料必妥㈣eHdGne)類似之方式抑㈣及 南劑量d·苯異丙胺之作用。在本發明研究中,所研究之咳 等經基阿西那平化合物之活體内⑴受體活性顯示盆抑制二 心苯異丙胺刺激之大鼠LMA的強效能力,且因此顯示心 效治療及處理CNS疾病(例如’精神分裂症、雙極症、或盘 雙極症相關的躁狂發作、抑營發作、或混合發作)相關^ 活性。 149868.doc 22- 201118102 表1-阿西那平對活動能力的抑制作用 投與d-amp 後的測試時間 (分)The Hochbergs evening control program, Fiigner_p〇ijceii〇, is applied to the data for the normality-variance test failure. The original data series is shown in 丨3. Results Subcutaneous administration of 1 mg/kg d-amphetamine (AMP) in vehicle-treated rats stimulated mobility. It peaked approximately 45 minutes after administration and most ended after two hours. In the test, the average total movement distance of the vehicle + AMP treated group was similar, which was between 255 〇 9 and 30 624 during the two hour test period. Aspirin is inhibited by 1 mg/kg AMP (subcutaneously) in a dose-dependent manner of 〇.3 mg/kg (oral) at the lowest effective dose (MED, which is defined as the lowest dose of LMa that produces a statistically significant decrease). ) induced LMA stimulation. The MED dose was reduced by 83 〇/〇 of LMA' compared to the vehicle-treated control group, and the high dose of 〇 mg/kg (oral) was reduced by 97% of lma (Table 4). 11-hydroxyasinapine was found to inhibit LMA stimulation induced by i mg/kg AMP (subcutaneous) in a dose-dependent manner with MED of 1. 〇mg/kg (oral), which was compared with vehicle-treated The control group reduced LMA by 75% (Table 4), and 7-no acenapine was inhibited by 1 mg/kg AMP (subcutaneous) in a dose-dependent manner with MED of 1.0 mg/kg (oral). Induced LMA stimulation was reduced by 39% of LMA compared to the vehicle treated group (Table 5). There is a minimal difference in effect between the 1.0 mg/kg MED dose and the other lowest dose 0.3 mg/kg. The LMA reduction for the 1.0 mg/kg (MED) and 0.3 mg/kg vehicle treatment groups was 39% and 34% (Table 5). In this analysis, approximately 30% of the reductions were 149868.doc •21-201118102 often reached statistical significance. However, in the tests described herein, the reduction caused by 0.3 mg/kg did not reach a significant level at the level of 〇5. Discussion The current treatment of schizophrenia relies mainly on the use of atypical antipsychotics. The common feature of most atypical drugs is the property of dopamine D2 receptor antagonism with moderate to potent serotonergic, adrenergic and muscarinic activities, but aspirin and its derivatives have dopaminergic properties, A novel psychopharmacological agent with serotonin b and adrenaline anti-aging effects, which has a pre-clinical receptor binding profile that binds to the dopamine D2 receptor and a high affinity for various serotonergic and adrenergic receptors. The inhibitory effect of 胄xin benzene# propylamine-stimulated activity is a measure of D2 antagonism and it shows anti-psychotic efficacy. In previous studies, azinazepine was characterized by its ability to inhibit d-amphetamine-stimulated activity after it was administered subcutaneously in rats. The results of these studies showed that azinazepine was similar to the atypical antipsychotic drug 芏金 (萨 (5) anzapine and 必必(四) eHdGne) (iv) and the southern dose of d-amphetamine. In the study of the present invention, the in vivo (1) receptor activity of the cathiconine compound studied in the present invention showed potent inhibition of the potency of diazepam-stimulated rat LMA, and thus showed cardiac therapy and Treatment of CNS diseases (eg, 'schizophrenia, bipolar disorder, or bipolar disorder-related manic episodes, camping episodes, or mixed episodes) associated with activity. 149868.doc 22- 201118102 Table 1 - Inhibition of activity capacity of azinazepine Test time after administration of d-amp (minutes)

媒劑對照組 POVehicle control group PO

阿西那平 0,1 mg/kg, POAsinapine 0,1 mg/kg, PO

阿西那平 0.3 mg/kg,PO 移動之CM (平均數)Aspirin 0.3 mg/kg, PO mobile CM (mean)

SEM 移動之CM (平均數)SEM moving CM (mean)

SEM 移動之CM (平均數)SEM moving CM (mean)

SEMSEM

阿西那平 1.0 mg/kg, PO 移動之CM (平均數)Ashenapride 1.0 mg/kg, PO mobile CM (mean)

SEM 050505050505050505)0)50520 1122334455667788991010ππ12 886544369293129815269763995964865644373348 18467483101417171818181761491251161089661817157454231 97869757596153586 3 396 ^0746192415044228^902 4967464474945398389801014118511541122110411791023958977836819793742666663545611 150186ss128216244240260244228230183170175^110116102124105130w 3 4 5 0*3489939364758142458 240^635017794921903567840 11 111122121222122211111 608738052458322054027952 561444357444965467743453 13 9 3 2 3 3 6 4- ο 5 8 3 4 ο ? 4 2 9 9 3 4 8 5 4 ( 12 1 -34125535949324142 9061213112243918332715335212715141592111 數據係移動之CM=五分鐘内移動的平均釐米數;N=8 表2-11-羥基阿西那平對活動能力的抑制作用 投與d-amp 媒劑對照組 Π-經Ϊ:阿西那$ 11-經基阿西那平 II·羥裏阿西那平 後的測試時間 _PO_0.1 mg/kg,PO_0.3 mg/kg, PO_1.0 mg/kg, PO (分) 移動之CM SEM 移動之CM SEM 移動之CM SEM 移動之CM SEM (平均數) (平均數) (平均數) (平均數) 5101520253035404550556065707580859095100105110115120 如2475438221125146118571877191717161658114311329110859461031923626589582313373 31988088107901591201361101507711294139168183190168951781498686 I 468436256269068424371130622713445: 2230304484113132166156150138142133121231068482797650503341 6311050761212163172942452902092382631851981741599684132931094976 42171055076078,8210036904859129 20354152749512014512714013813811111092847179555941454230 139948977146163205171145150142160186951121191116463125716790 2 8 175721680833461566015404 ^^474523000005157105748 (ί112222333443432342222 443627,2,910}8692884130}28585 643547nn11K998797898lc763 7 數據係移動之CM=五分鐘内移動的平均釐米數;N=8 149868.doc •23- 201118102 用 作 制 抑 的 力 能 動 活 對 平 那 西 阿 基I間¥-7 7 d 1 3-頌 I 表4後 组 |照3 對P0 劑 媒SEM 050505050505050505) 0) 50520 1122334455667788991010ππ12 886544369293129815269763995964865644373348 18467483101417171818181761491251161089661817157454231 97869757596153586 3 396 ^ 0746192415044228 ^ 902 4967464474945398389801014118511541122110411791023958977836819793742666663545611 150186ss128216244240260244228230183170175 ^ 110116102124105130w 3 4 5 0 * 3489939364758142458 240 ^ 635017794921903567840 11 111122121222122211111 608738052458322054027952 561444357444965467743453 13 9 3 2 3 3 6 4- ο 5 8 3 4 ο? 4 2 9 9 3 4 8 5 4 ( 12 1 -34125535949324142 9061213112243918332715335212715141592111 CM of data system movement = average number of centimeters moving within five minutes; N=8 Table 2-11 - Inhibition of activity by hydroxyasinapin D-amp vehicle control Π-jing Ϊ: Axiana $ 11 - test time after kealoxipine II hydroxyaroxibine _PO_0.1 mg/kg, PO_0.3 mg/kg , PO_1.0 mg/kg, PO (min) Moving CM SEM Moving CM SEM Moving CM SEM Moving CM SEM (Average) (Average) (Average) (Flat Number) 5101520253035404550556065707580859095100105110115120 as 2475438221125146118571877191717161658114311329110859461031923626589582313373 31988088107901591201361101507711294139168183190168951781498686 I 468436256269068424371130622713445: 2230304484113132166156150138142133121231068482797650503341 6311050761212163172942452902092382631851981741599684132931094976 42171055076078,8210036904859129 20354152749512014512714013813811111092847179555941454230 139948977146163205171145150142160186951121191116463125716790 2 8 175721680833461566015404 ^^ 474523000005157105748 (ί112222333443432342222 443627,2,910} 8692884130} 28585 643547nn11K998797898lc763 7 of the mobile data-based CM = Mean centimeters moves within five minutes; N = 8 149868.doc •23- 201118102 Used as a restraining force to move to the Pingnaisiaki I between ¥ -7 7 d 1 3-颂I Table 4 after the group | Photo 3 for the P0 agent

My LC數 I 之均 動和 移f 平 那 SJ 基mg -M0.1 平 那 西k:,i 基mi 羥 0. 101520253035404550556065707580859095100105110115120 1:650666^13621607168116641655166211407142412851216944949^914710證 69252775380631334583549 03031143243599219952633 11112222222221221111111 832500168838435531004780223078718)86414587333730 18375901316182020201917191715131310109478836353 Μ 均 平 7-羥基阿 l.Omg/ke. Ρη SEM~~ (平均數) 5 6 J 9 3 9 3 ό 5 6 9 3 7 4 2 4 9 1 5 6 5 5 8 ^30337680068605552133943 ^65765992010666536138777 ^80^12091753578906459^/12 611911212222222222111- 1 1 11413338359743342ΐ636807479344870 154247698710311813511712312411410310894978984695770475935 141|44556083696811431231123711621087_10381093838905780830625535523448442337 34101113681151541231701531631611461641729818117710688114709767111 數據係移動之CM=五分鐘内移動的平均釐米數;N=8 表4-針對抑制受笨異丙胺刺激之活動能力之阿西那平及經基阿西那平的 劑量比較 7The mean shift and shift of My LC number I is flat SJ base mg -M0.1 Pinnaxi k:, i base mi hydroxy 0. 101520253035404550556065707580859095100105110115120 1:650666^13621607168116641655166211407142412851216944949^914710 certificate692527753806333334583549 03031143243599219952633 11112222222221221111111 832500168838435531004780223078718)86414587333730 18375901316182020201917191715131310109478836353 均7-hydroxyl a.Omg/ke. Ρη SEM~~ (Average) 5 6 J 9 3 9 3 ό 5 6 9 3 7 4 2 4 9 1 5 6 5 5 8 ^30337680068605552133943 ^65765992010666536138777 ^80^12091753578906459^ /12 611911212222222222111- 1 1 11413338359743342ΐ636807479344870 154247698710311813511712312411410310894978984695770475935 141|44556083696811431231123711621087_103810938389057808306255355234448443337 34101113681151541231701531631611461641741718117710688114709767111 Data system moving CM=average number of centimeters moving within five minutes; N=8 Table 4 - Aspirin and warp against inhibition of stupid isopropylamine-stimulated activity Comparison of doses of keasiatin

劑量(ms/kg.p〇) 阿西那平 η-羥基阿西那平 7-羥基阿西那平 媒劑 0.1 0.3 1.0 25509±2774(0.0±10.9) 19929±3174(21.9±12.4) 4429±678 (82.6±2.7)b · 7.9±172 (97.2±0.7)6 25555士 1698 (0.0±6.6) 21945±3035 (14.1±11.9) 19538±1888 (23.5±7.4) 6498±1352 i74.6±5.3&gt;b 30624士3693 (0.0±12.1) 26050土3132 (14.9±1〇·2) 20158±4047 (34.1±13.2) 18562±2200 Π9.4+7 粗體部份=最低有效劑量(MED)下之LMA a數據係120分鐘内移動的平均釐米數±SEM ;(自對照組減少之平均百公勃 b相對於媒劑對照組ρ&lt;0.05;單因素ANOVA } 希望本發明之以上描述係說明性而非限制性。熟習此項 技術者可對本文所描述之實施例進行各種變化及修飾。可 在不脫離本發明之範圍或精神的情況下進行此等變化。 -24· 149868.docDosage (ms/kg.p〇) azinapine η-hydroxyasinapine 7-hydroxyazinapine agent 0.1 0.3 1.0 25509±2774 (0.0±10.9) 19929±3174 (21.9±12.4) 4429± 678 (82.6±2.7)b · 7.9±172 (97.2±0.7)6 25555士1698 (0.0±6.6) 21945±3035 (14.1±11.9) 19538±1888 (23.5±7.4) 6498±1352 i74.6±5.3&gt ;b 30624士3693 (0.0±12.1) 26050土3132 (14.9±1〇·2) 20158±4047 (34.1±13.2) 18562±2200 Π9.4+7 Bold part=Minimum effective dose (MED) The LMA a data is the average number of centimeters ± SEM within 120 minutes; (the average hundred lbs b reduced from the control group versus the vehicle control ρ &lt;0.05; one-way ANOVA) It is intended that the above description of the invention is illustrative. Various changes and modifications may be made to the embodiments described herein, and such changes may be made without departing from the scope or spirit of the invention. -24· 149868.doc

Claims (1)

201118102 七、申請專利範圍: 1. 一種單離的式I、II、或III化合物,201118102 VII. Patent application scope: 1. An isolated compound of formula I, II, or III, 2. —種式I、II、或III化合物之酯衍生物。 3. 一種醫藥組合物,其包括下列中之至少一者:(i)式I、 II、或III化合物 149868.doc 201118102 HO2. An ester derivative of a compound of formula I, II, or III. 3. A pharmaceutical composition comprising at least one of the following: (i) a compound of formula I, II, or III 149868.doc 201118102 HO HOHO 式III ; (ii)式I、II、或III化合物之酯 衍生物,·或或(ii)化合物之鹽,及一或多種醫藥上 可接受的賦形劑。 4. 一種治療精神分裂症、雙極症、或與雙極症相關的躁狂 發作、抑鬱發作、或混合發作方法,其包括投與如請求 項3之醫藥組合物。 149868.doc 201118102 四、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: 五、本案若有化學式時,請揭示最能顯示發明特徵的化學式:Formula III; (ii) an ester derivative of a compound of formula I, II, or III, or or (ii) a salt of the compound, and one or more pharmaceutically acceptable excipients. 4. A method of treating schizophrenia, bipolar disorder, or manic episodes, depressive episodes, or mixed seizures associated with bipolar disorder comprising administering a pharmaceutical composition according to claim 3. 149868.doc 201118102 IV. Designated representative map (1) The representative representative of the case is: (none) (2) The symbol of the symbol of the representative figure is simple: 5. If there is a chemical formula in this case, please reveal the characteristics that can best show the invention. Chemical formula: 149868.doc149868.doc
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