WO1997040012A1 - Pyridinyl-2-cyclopenten-1-ones utilisees comme inhibiteurs de cyclooxygenase selectifs - Google Patents

Pyridinyl-2-cyclopenten-1-ones utilisees comme inhibiteurs de cyclooxygenase selectifs Download PDF

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Publication number
WO1997040012A1
WO1997040012A1 PCT/CA1997/000270 CA9700270W WO9740012A1 WO 1997040012 A1 WO1997040012 A1 WO 1997040012A1 CA 9700270 W CA9700270 W CA 9700270W WO 9740012 A1 WO9740012 A1 WO 9740012A1
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Prior art keywords
pyridinyl
cyclopenten
cox
compound
methylsulfonyl
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PCT/CA1997/000270
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English (en)
Inventor
Cameron Black
Greg Hughes
Zhaoyin Wang
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Merck Frosst Canada Inc.
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Priority claimed from GBGB9608813.3A external-priority patent/GB9608813D0/en
Application filed by Merck Frosst Canada Inc. filed Critical Merck Frosst Canada Inc.
Priority to CA002252401A priority Critical patent/CA2252401C/fr
Priority to AU25633/97A priority patent/AU709609B2/en
Priority to EP97917190A priority patent/EP0900201A1/fr
Priority to JP9537535A priority patent/JP2000509032A/ja
Publication of WO1997040012A1 publication Critical patent/WO1997040012A1/fr

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    • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
    • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
    • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D213/62—Oxygen or sulfur atoms
    • C07D213/63—One oxygen atom
    • C07D213/64—One oxygen atom attached in position 2 or 6
    • A—HUMAN NECESSITIES
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    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00—Drugs for skeletal disorders
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P25/00—Drugs for disorders of the nervous system
    • A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • A61P27/02—Ophthalmic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00—Drugs for disorders of the senses
    • A61P27/02—Ophthalmic agents
    • A61P27/06—Antiglaucoma agents or miotics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00—Antineoplastic agents
    • A61P35/04—Antineoplastic agents specific for metastasis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
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    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
    • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
    • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D213/24—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with substituted hydrocarbon radicals attached to ring carbon atoms
    • C07D213/44—Radicals substituted by doubly-bound oxygen, sulfur, or nitrogen atoms, or by two such atoms singly-bound to the same carbon atom
    • C07D213/46—Oxygen atoms
    • C07D213/50—Ketonic radicals
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
    • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
    • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D213/61—Halogen atoms or nitro radicals

Definitions

  • This invention relates to methods of treating cyclooxygenase mediated diseases and certain pharmaceutical compositions therefor.
  • Non-steroidal, antiinflammatory drugs exert most of their antiinflammatory, analgesic and antipyretic activity and inhibit hormone-induced uterine contractions and certain types of cancer growth through inhibition of prostaglandin G/H synthase, also known as cyclooxygenase.
  • cyclooxygenase- 1 COX-1
  • COX-2 cyclooxygenase-2
  • COX-1 This enzyme is distinct from the COX-1 which has been cloned, sequenced and characterized from various sources including the sheep, the mouse and man.
  • the second form of cyclooxygenase, COX-2 is rapidly and readily inducible by a number of agents including mitogens, endotoxin, hormones, cytokines and growth factors.
  • prostaglandins have both physiological and pathological roles, we have concluded that the constitutive enzyme, COX-1, is responsible, in large part, for endogenous basal release of prostaglandins and hence is important in their physiological functions such as the maintenance of gastrointestinal integrity and renal blood flow.
  • COX-2 the inducible form
  • a selective inhibitor of COX-2 will have similar antiinflammatory, antipyretic and analgesic properties to a conventional non-steroidal antiinflammatory drug, and in addition would inhibit hormone-induced uterine contractions and have potential anti-cancer effects, but will have a diminished ability to induce some of the mechanism-based side effects.
  • such a compound should have a reduced potential for gastrointestinal toxicity, a reduced potential for renal side effects, a reduced effect on bleeding times and possibly a lessened ability to induce asthma attacks in aspirin-sensitive asthmatic subjects.
  • Such a compound will also inhibit prostanoid- induced smooth muscle contraction by preventing the synthesis of contractile prostanoids and hence may be of use in the treatment of dysmenorrhea, premature labour, asthma and eosinophil related disorders. It will also be of use in the treatment of Alzheimer's disease, for decreasing bone loss particularly in postmenopausal women (i.e. treatment of osteoporosis) and for the treatment of glaucoma.
  • the potential utilities of selective cyclooxygenase-2 inhibitors are discussed in the following articles:
  • World Patent Application 95/00501 disclose compounds represented by Formula A as being useful in the treatment of COX-2 mediated diseases, by virtue of their selective inhibition of COX-2 rather than COX-l.
  • -X-Y-Z- is -C(0)CH2CH2- and R2 is pyridinyl or substituted pyridinyl show unexpectedly superior selectivity for the inhibition of COX-2 over COX-l and/or superior potency as compared to the closest species disclosed in 95/00501.
  • This subset of compounds is the subject of the present invention and is represented by Formula I.
  • the invention encompasses the novel compound of Formula I as well as a method of treating COX-2 mediated diseases comprising administration to a patient in need of such treatment of a non-toxic therapeutically effective amount of a compound of Formula I.
  • the invention also encompasses certain pharmaceutical compositions for treatment of COX-2 mediated diseases comprising compounds of Formula I.
  • the invention encompasses the novel compound of Formula I as well as a method of treating COX-2 mediated diseases comprising administration to a patient in need of such treatment of a non-toxic therapeutically effective amount of a compound of Formula I
  • Rl is selected from the group consisting of
  • R2 is a mono-, di-, or tri-substituted pyridinyl, wherein the substituents are chosen from the group consisting of (a) hydrogen,
  • Ci-6fluoroalkoxy; R3 and R ⁇ are independently chosen from the group consisting of
  • a preferred sub-generic structure of compound I is that wherein R ⁇ is a mono-, di-, or trisubstituted 2-pyridinyl, and the remainder of the substituents are as described for I.
  • R2 is a mono-, di-, or trisubstituted 3-pyridinyl, and the remainder of the substituents are as described for I.
  • AIBN 2.2--azobisisobutyronitrile
  • EDTA emylenediaminetetraacetic acid
  • HEPES N-[2-Hydroxyethyl]piperazine-N -[2- ethanesulfonic acid]
  • HWB s human whole blood
  • KHMDS potassium hexamethyldisilazane
  • LPS lipopolysaccharide
  • MMPP magnesium monoperoxyphthalate
  • NBS N-bromosuccinimide
  • NCS N-chlorosuccinimide
  • NMP N-methylpyrrolidone
  • NSAID non-steroidal anti-inflammatory drug
  • PCC pyridinium chlorochromate
  • PEG polyethyleneglycol
  • rac. racemic
  • alkyl is defined to include linear, branched and cyclic stuctures, with the indicated number of carbon atoms.
  • alkyl are methyl, ethyl, propyl, s- and t- butyl, butyl, pentyl, hexyl, 1,1-dimethylethyl, cyclopropyl, cyclobutyl, cyclohexylmethyl and the like.
  • alkoxy and alkylthio mean linear, branched and cyclic stuctures, with the indicated number of carbon atoms.
  • fluoroalkyl means alkyl groups of the indicated number of carbon atoms in which one hydrogen or more is replaced by fluorine.
  • fluoroalkoxy means linear, branched and cyclic stuctures, with the indicated number of carbon atoms.
  • halo means F, CI, Br, or I.
  • the invention encompasses pharmaceutical compositions for inhibiting COX-2 and for treating COX-2 mediated diseases as disclosed herein comprising a pharmaceutically acceptable carrier and non-toxic therapeutically effective amount of a compound of formula I as described above.
  • the invention encompasses a method of inhibiting cyclooxygenase and treating cyclooxygenase mediated diseases, advantageously treated by an active agent that selectively inhibits COX-2 in preference to COX-l as disclosed herein comprising: administration to a patient in need of such treatment of a non-toxic therapeutically effective amount of a compound of Formula I as disclosed herein.
  • Some of the compounds described herein contain one or more asymmetric centres and may thus give rise to diastereomers and optical isomers.
  • the present invention is meant to comprehend such possible diastereomers as well as their racemic and resolved, enantiomerically pure forms and pharmaceutically acceptable salts thereof.
  • compositions of the present invention comprise a compound of Formula I as an active ingredient or a pharmaceutically acceptable salt, thereof, and may also contain a pharmaceutically acceptable carrier and optionally other therapeutic ingredients.
  • pharmaceutically acceptable salts refers to salts prepared from pharmaceutically acceptable non-toxic bases including inorganic bases and organic bases. Salts derived from inorganic bases include aluminum, ammonium, calcium, copper, ferric, ferrous, lithium, magnesium, manganic salts, manganous, potassium, sodium, zinc, and the like. Particularly preferred are the ammonium, calcium, magnesium, potassium, and sodium salts.
  • Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines, and basic ion exchange resins, such as arginine, betaine, caffeine, choline,
  • salts may be prepared from pharmaceutically acceptable non-toxic acids, including inorganic and organic acids.
  • acids include acetic, adipic, aspartic, 1,5-naphthalenedisulfonic, benzenesulfonic, benzoic, camphorsulfonic, citric, 1,2-ethanedisulfonic, ethanesulfonic, ethylenediaminetetraacetic, fumaric, glucoheptonic, gluconic, glutamic, hydriodic, hydrobromic, hydrochloric, isethionic, lactic, maleic, malic, mandelic, methanesulfonic, mucic, 2-naphthalenesulfonic, nitric, oxalic, pamoic, pantothenic, phosphoric, pivalic, propionic, salicylic, stearic, succinic, sulfuric, tartaric, p-toluenesulfonic acid, unde
  • the Compound of Formula I is useful for the relief of pain, fever and inflammation of a variety of conditions including rheumatic fever, symptoms associated with influenza or other viral infections, common cold, low back and neck pain, dysmenorrhea, headache, toothache, sprains and strains, myositis, neuralgia, synovitis, arthritis, including rheumatoid arthritis, degenerative joint diseases (osteoarthritis), gout and ankylosing spondylitis, bursitis, burns, injuries, following surgical and dental procedures.
  • a compound may inhibit cellular neoplastic transformations and metastic tumour growth and hence can be used in the treatment of cancer.
  • Compound 1 may also be of use in the treatment and/or prevention of cyclooxygenase-mediated proliferative disorders such as may occur in diabetic retinopathy and tumour angiogenesis.
  • Compound I will also inhibit prostanoid-induced smooth muscle contraction by preventing the synthesis of contractile prostanoids and hence may be of use in the treatment of dysmenorrhea, premature labour, asthma and eosinophil related disorders. It will also be of use in the treatment of Alzheimer's disease, for decreasing bone loss particularly in postmenopausal women (i.e. treatment of osteoporosis) and for treatment of glaucoma.
  • compound I By virtue of its high inhibitory activity against COX-2 and/or its specificity for COX-2 over COX-l, compound I will prove useful as an alternative to conventional NS AID'S, particularly where such non-steroidal antiinflammatory drugs may be contra-indicated such as in patients with peptic ulcers, gastritis, regional enteritis, ulcerative colitis, diverticulitis or with a recurrent history of gastrointestinal lesions; Gl bleeding, coagulation disorders including anaemia such as hypoprothrombinemia, haemophilia or other bleeding problems; kidney disease; those prior to surgery or taking anticoagulants.
  • Pharmaceutical Compositions such as in patients with peptic ulcers, gastritis, regional enteritis, ulcerative colitis, diverticulitis or with a recurrent history of gastrointestinal lesions; Gl bleeding, coagulation disorders including anaemia such as hypoprothrombinemia, haemophilia or other bleeding problems; kidney disease; those prior to surgery or taking anticoagulants.
  • compound I may be administered orally, topically, parenterally, by inhalation spray or rectally in dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles.
  • parenteral as used herein includes subcutaneous injections, intravenous, intramuscular, intrasternal injection or infusion techniques.
  • the compound of the invention is effective in the treatment of humans.
  • compositions for treating COX-2 mediated diseases as defined may optionally include one or more ingredients as listed above.
  • the pharmaceutical compositions containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs.
  • Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavouring agents, colouring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations.
  • Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets.
  • excipients may be for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example, magnesium stearate, stearic acid or talc.
  • the tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
  • a time delay material such as glyceryl monostearate or glyceryl distearate may be employed. They may also be coated by the technique described in the U.S. Patent 4,256,108; 4,166,452; and 4,265,874 to form osmotic therapeutic tablets for control release.
  • Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredients is mixed with water or miscible solvents such as propylene glycol, PEGs and ethanol, or an oil medium, for example peanut oil, liquid paraffin, or olive oil.
  • an inert solid diluent for example, calcium carbonate, calcium phosphate or kaolin
  • water or miscible solvents such as propylene glycol, PEGs and ethanol
  • an oil medium for example peanut oil, liquid paraffin, or olive oil.
  • Aqueous suspensions contain the active material in admixture with excipients suitable for the manufacture of aqueous suspensions.
  • excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxypropylmethycellulose, sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxyethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan mono
  • the aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl, p-hydroxybenzoate, benzyl alcohol, one or more colouring agents, one or more flavouring agents, and one or more sweetening agents, such as sucrose, saccharin or aspartame.
  • preservatives for example ethyl, or n-propyl, p-hydroxybenzoate, benzyl alcohol, one or more colouring agents, one or more flavouring agents, and one or more sweetening agents, such as sucrose, saccharin or aspartame.
  • Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil or coconut oil, or in mineral oil such as liquid paraffin.
  • the oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol.
  • Sweetening agents such as those set forth above, and flavouring agents may be added to provide a palatable oral preparation.
  • These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.
  • Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavouring and colouring agents, may also be present.
  • the pharmaceutical compositions of the invention may also be in the form of an oil-in-water emulsions.
  • the oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these.
  • Suitable emulsifying agents may be naturally-occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, for example sorbitan monooleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate.
  • the emulsions may also contain sweetening and flavouring agents.
  • Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative and flavouring and colouring agents.
  • the pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above.
  • the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally- acceptable diluent or solvent, for example as a solution in 1,3-butane diol.
  • acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. Cosolvents such as ethanol, propylene glycol or polyethylene glycols may also be used.
  • sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or diglycerides.
  • fatty acids such as oleic acid find use in the preparation of injectables.
  • Compound of Formula I may also be administered in the form of a suppositories for rectal administration of the drug.
  • These compositions can be prepared by mixing the drug with a suitable non- irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug.
  • suitable non- irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug.
  • Such materials are cocoa butter and polyethylene glycols.
  • Topical formulations may generally be comprised of a pharmaceutical carrier, cosolvent, emulsifier, penetration enhancer, preservative system, and emollient.
  • Dose Ranges Dosage levels of the order of from about 0.01 mg to about 140 mg/kg of body weight per day are useful in the treatment of the above-indicated conditions, or alternatively about 0.5 mg to about 7 g per patient per day. For example, inflammation may be effectively treated by the administration of from about 0.01 to 50 mg of the compound per kilogram of body weight per day, or alternatively about 0.5 mg to about 3.5 g per patient per day.
  • the amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration.
  • a formulation intended for the oral administration of humans may contain from 0.5 mg to 5 g of active agent compounded with an appropriate and convenient amount of carrier material which may vary from about 5 to about 95 percent of the total composition.
  • Dosage unit forms will generally contain between from about 1 mg to about 500 mg of an active ingredient, typically 25 mg, 50 mg, 100 mg, 200 mg, 300 mg, 400 mg, 500 mg, 600 mg, 800 mg, or 1000 mg.
  • compositions for treating COX-2 mediated diseases as defined above comprising a non-toxic therapeutically effective amount of the compound of Formula I as defined above and one or more ingredients such as another pain reliever including acetaminophen or phenacetin; a potentiator including caffeine; an H2-antagonist, aluminum or magnesium hydroxide, simethicone, a decongestant including phenylephrine, phenylpropanolamine, pseudophedrine, oxymetazoline, ephinephrine, naphazoline, xylometazoline, propylhexedrine, or levo- desoxyephedrine; an antiitussive including codeine, hydrocodone, caramiphen, carbetapentane,
  • the invention encompasses a method of treating cyclooxygenase mediated diseases comprising: administration to a patient in need of such treatment a non-toxic therapeutically effective amount of the compound of Formula I, optionally co-administered with one or more of such ingredients as listed immediately above.
  • the compounds of the present invention can be prepared according to the following methods. Method A
  • Cyclopentenone may be halogenated with bromine or iodine followed by treatment with a base to give III (see Organic Syntheses 61 65).
  • An appropriately substituted pyridine boronic acid may then be added via a palladium-catalyzed coupling reaction to form IV.
  • 4-Bromothioanisole may be metalated with nBuLi or magnesium, and then treated with TV to give the alcohol V.
  • Oxidation with ally lie transposition may then be accomplished using an oxidant such as PDC to give cyclopentenone VI.
  • Sulfide oxidation using an oxidant such as MMPP or mCPBA then provides sulfone la.
  • VI may be converted to sulfonamide lb as described in U.S. Patent 5,474,995.
  • lithio or magnesium thioanisole To bromocyclopentenone Ilia is added lithio or magnesium thioanisole to give tertiary alcohol VII. Oxidation with a reagent such as PDC then provides the ketone VUI. The sulfide may be oxidized at this point using an oxidant such as MMPP or mCPBA to give the sulfone IX. Palladium-catalyzed coupling of an appropriately substituted pyridinyl boronic acid then provides la.
  • An appropriately substituted methylpyridine X may be deprotonated with an alkyl lithium reagent and the resulting anion added to a diamide XI to provide the ketoamide XII. Cyclization of this intermediate with a base such as DBU provides the enol XIII which can then be converted to the triflate XIV. A palladium-catalyzed coupling reaction with 4-(methylthio)phenylboronic acid in the presence of an appropriate base then provides sulfide VI which can be oxidized to give the sulfone la or the sulfonamide lb as described in Method A.
  • Table I illustrates compounds of formula I, which are representative of the present invention.
  • the compound of Formula I can be tested using the following assays to determine their COX-2 inhibiting activity.
  • Compounds are tested as inhibitors of cyclooxygenase activity in whole cell cyclooxygenase assays. Both of these assays measure prostaglandin E2 synthesis in response to AA, using a radioimmunoassay. Cells used for these assays are human osteosarcoma 143 cells (which specifically express COX-2) and human U-937 cells (which specifically express COX-l). In these assays, 100% activity is defined as the difference between prostaglandin E ⁇ synthesis in the absence and presence of arachidonate.
  • osteosarcoma cells are cultured in 1 mL of media in 24- well multidishes (Nunclon) until confluent (1-2 x 10 cells/well).
  • U-937 cells are grown in spinner flasks and resuspended to a final density of 1.5 x 10 cells/mL in 24- well multidishes (Nunclon).
  • 1 ⁇ L of a DMSO solution of test compound or DMSO vehicle is added, and samples gently mixed. All assays are performed in triplicate.
  • AA peroxide-free, Cayman Chemical
  • AA peroxide-free, Cayman Chemical
  • AA peroxide-free, Cayman Chemical
  • Control samples are incubated with ethanol vehicle instead of AA.
  • Samples are again gently mixed and incubated for a further 10 min. at 37°C.
  • For osteosarcoma cells reactions are then stopped by the addition of 100 ⁇ L of IN HCl, with mixing and by the rapid removal of the solution from cell monolayers.
  • For U-937 cells reactions are stopped by the addition of 100 ⁇ L of IN HCl, with mixing.
  • Samples are then neutralized by the addition of 100 ⁇ L of IN NaOH and PGE2 levels measured by radioimmunoassay.
  • CHO Chinese hamster ovary
  • CHO[hCOX-l] cells from suspension cultures and CHO[hCOX-2] cells prepared by trypsinization of adherent cultures are harvested by centrifugation (300 x g, 10 min) and washed once in HBSS containing 15 mM HEPES, pH 7.4, and resuspended in HBSS, 15 mM HEPES, pH 7.4, at a cell concentration of 1.5 x 10 cells/ml.
  • Drugs to be tested are dissolved in DMSO to 66.7-fold the highest test drug concentration. Compounds are typically tested at 8 concentrations in duplicate using serial 3-fold serial dilutions in DMSO of the highest drug concentration.
  • Cells are then challenged in the presence or absence of drug with the AA/HBSS solution to yield a final concentration of 0.5 ⁇ M AA in the CHO[hCOX-l] assay and a final concentration of 10 ⁇ M AA in the CHO[hCOX-2] assay.
  • the reaction is terminated by the addition of 10 ⁇ l 1 N HCl followed by neutralization with 20 ⁇ l of 0.5 N NaOH.
  • the samples are centrifuged at 300 x g at 4°C for 10 min, and an aliquot of the clarified supernatant is appropriately diluted for the determination of PGE2 levels using an enzyme-linked immunoassay for PGE2 (Correlate PGE2 enzyme immunoassay kit, Assay Designs, Inc.).
  • Cyclooxygenase activity in the absence of test compounds is determined as the difference in PGE2 levels of cells challenged with AA versus the PGE2 levels in cells mock-challenged with ethanol vehicle. Inhibition of PGE2 synthesis by test compounds is calculated as a percentage of the activity in the presence of drug versus the activity in the positive control samples.
  • U 937 cells are pelleted by centrifugation at 500 x g for 5 min and washed once with phosphate-buffered saline and repelleted.
  • Cells are resuspended in homogenization buffer consisting of 0.1 M Tris-HCl, pH 7.4, 10 mM EDTA, 2 ⁇ g/ml leupeptin, 2 ⁇ g/ml soybean trypsin inhibitor, 2 ⁇ g/ml aprotinin and 1 mM phenyl methyl sulfonyl fluoride.
  • the cell suspension is sonicated 4 times for 10 sec and is centrifuged at 10,000 x g for 10 min at 4°C.
  • the supernatant is centrifuged at 100,000 x g for 1 hr at 4°C.
  • the 100,000 x g microsomal pellet is resuspended in 0.1 M Tris-HCl, pH 7.4, 10 mM EDTA to approximately 7 mg protein ml and stored at -80°C.
  • Microsomal preparations are thawed immediately prior to use, subjected to a brief sonication, and then diluted to a protein concentration of 125 ⁇ g/ml in 0.1 M Tris-HCl buffer, pH 7.4 containing 10 mM EDTA, 0.5 mM phenol, 1 mM reduced glutathione and 1 ⁇ M hematin. Assays are performed in duplicate in a final volume of 250 ⁇ l. Initially, 5 ⁇ l of DMSO vehicle or drug in DMSO are added to 20 ⁇ l of 0.1 M Tris-HCl buffer, pH 7.4 containing 10 mM EDTA in wells of a 96-deepwell polypropylene titre plate.
  • the enzyme activity is measured using a chromogenic assay based on the oxidation of N,N,N',N'-tetramethyl-p-phenylenediamine (TMPD) during the reduction of PGG 2 to PGH 2 by COX-2 (Copeland et al. (1994) Proc. Natl. Acad. Sci. 91, 11202-11206).
  • TMPD N,N,N',N'-tetramethyl-p-phenylenediamine
  • Recombinant human COX-2 is purified from Sf9 cells as previously described (Percival et al (1994) Arch. Biochem. Biophys. 15, 111-118).
  • the assay mixture (180 ⁇ L) contains 100 mM sodium phosphate, pH 6.5, 2 mM genapol X-100, 1 ⁇ M hematin, 1 mg/ml gelatin , 80-100 units of purified enzyme (One unit of enzyme is defined as the amount of enzyme required to produce an O.D. change of 0.001/min at 610 nm) and 4 ⁇ L of the test compound in DMSO.
  • the mixture is pre-incubated at room temperature (22°C) for 15 minutes prior to initiation of the enzymatic reaction by the addition of 20 ⁇ L of a sonicated solution of 1 mM AA and 1 mM TMPD in assay buffer (without enzyme or hematin).
  • the enzymatic activity is measured by estimation of the initial velocity of TMPD oxidation over the first 36 sec of the reaction. A non-specific rate of oxidation is observed in the absence of enzyme (0.007 - 0.010 O.D. /min) and is subtracted before the calculation of the % inhibition.
  • IC50 values are derived from 4- parameter least squares non-linear regression analysis of the log-dose vs % inhibition plot.
  • Human whole blood provides a protein and cell-rich milieu appropriate for the study of biochemical efficacy of anti-inflammatory compounds such as selective COX-2 inhibitors.
  • This assay can be used to evaluate the inhibitory effect of selective COX-2 inhibitors on PGE2 production.
  • platelets in whole blood contain a large amount of the COX-l enzyme. Immediately following blood clotting, platelets are activated through a thrombin- mediated mechanism.
  • TxB2 thromboxane B2
  • COX-l thromboxane B2
  • COX-2 LPS-induced PGE2 production
  • Fresh blood is collected in heparinized tubes by venipuncture from both male and female volunteers. The subjects have no apparent inflammatory conditions and have not taken any NSAlDs for at least 7 days prior to blood collection. Plasma is immediately obtained from a 2mL blood aliquot to use as blank (basal levels of PGE2). The remaining blood is incubated with LPS (100 ⁇ g/ml final concentration, Sigma Chem, #L-2630 from E. coli; diluted in 0.1% BSA (Phosphate buffered saline) for 5 minutes at room temperature.
  • LPS 100 ⁇ g/ml final concentration
  • Sigma Chem Sigma Chem, #L-2630 from E. coli
  • BSA Phosphate buffered saline
  • Fresh blood is collected into vacutainers containing no anticoagulants. Aliquots of 500 ⁇ L are immediately transferred to siliconized microcentrifuge tubes preloaded with 2 ⁇ L of either DMSO or a test compound at final concentrations varying from lOnM to 30 ⁇ M. The tubes are vortexed and incubated at 37°C for 1 hour to allow blood to clot. At the end of incubation, serum is obtained by centrifugation (12,000 x g for 5 min.). A lOO ⁇ L aliquot of serum is mixed with 400 ⁇ L of methanol for protein precipitation. The supernatant is obtained and is assayed for TxB2 using a enzyme immunoassay kit (Cayman, #519031) according to the manufacturer's instruction.
  • a enzyme immunoassay kit (Cayman, #519031) according to the manufacturer's instruction.
  • mice Male Sprague-Dawley rats (150-200 g) are fasted overnight and are given, po, either vehicle (1% methocel or 5% Tween 80) or a test compound. One hr later, a line is drawn using a permanent marker at the level above the ankle in one hind paw to define the area of the paw to be monitored. The paw volume (V 0 ) is measured using a plethysmometer (Ugo-Basile, Italy) based on the principle of water displacement. The animals are then injected subplantarly with 50 ⁇ l of 1% carrageenan solution in saline (FMC Corp, Maine) into the paw using an insulin syringe with a 25-gauge needle (i.e.
  • NSAlDs The major side effect of conventional NSAlDs is their ability to produce gastric lesions in man. This action is believed to be caused by inhibition of COX-l in the gastrointestinal tract. Rats are particularly sensitive to the actions of NSAlDs. In fact, rat models have been used commonly in the past to evaluate the gastrointestinal side effects of current conventional NSAlDs. In the present assay, NSAID- induced gastrointestinal damage is observed by measuring fecal Cr excretion after systemic injection of Cr-labeled red blood cells. Fecal Cr excretion is a well-established and sensitive technique to detect gastrointestinal integrity in animals and man.
  • mice Male Sprague Dawley rats (150 - 200 g) are administered orally a test compound either once (acute dosing) or b.i.d. for 5 days (chronic dosing). Immediately after the administration of the last dose, the rats are injected via a tail vein with 0.5 mL of Cr-labeled red blood cells from a donor rat. The animals are placed individually in metabolism cages with food and water ad lib. Feces are collected for a 48 h period and Cr fecal excretion is calculated as a percent of total injected dose. Cr-labeled red blood cells are prepared using the following procedures. Ten mL of blood is collected in heparinized tubes via the vena cava from a donor rat.
  • Plasma is removed by centrifugation and replenished with equal volume of HBSS.
  • the red blood cells are incubated with 400 ⁇ Ci of sodium chromate for 30 min. at 37°C. At the end of the incubation, the red blood cells are washed twice with 20 mL HBSS to remove free sodium chromate. The red blood cells are finally reconstituted in 10 mL HBSS and 0.5 mL of the solution (about 20 ⁇ Ci) is injected per rat.
  • Protein-losing gastropathy (manifested as appearance of circulating cells and plasma proteins in the Gl tract) is a significant and dose-limiting adverse response to standard non-steroidal anti ⁇ inflammatory drugs (NSAlDs). This can be quantitatively assessed by intravenous administration of CrCl3 solution. This isotopic ion can avidly bind to cell and serum globins and cell endoplasmic reticulum. Measurement of radioactivity appearing in feces collected for 24 h after administration of the isotope thus provides a sensitive and quantitative index of protein-losing gastropathy.
  • NSAlDs non-steroidal anti ⁇ inflammatory drugs
  • Groups of male squirrel monkeys (0.8 to 1.4 kg) are treated by gavage with either 1% methocell or 5% Tween 80 in H2 ⁇ vehicles, (3mL kg b.i.d.) or test compounds at doses from 1 - 100 mg/kg b.i.d. for 5 days.
  • Intravenous Cr (5 ⁇ Ci/kg in 1 ml kg phosphate buffer saline (PBS)) is administered 1 h after the last drug/vehicle dose, and feces collected for 24 h in a metabolism cage and assessed for excreted Cr by gamma-counting.
  • Venous blood is sampled 1 h and 8 h after the last drug dose, and plasma concentrations of drug measured by RP-HPLC.
  • the animals are housed, fed and cared for according to the Guidelines of the Canadian Council on Animal Care.
  • mice Male Sprague Dawley rats (325-375 g) are fasted overnight prior to each PO blood level study. The rats are placed in the restrainer one at a time and the box firmly secured. The zero blood sample is obtained by nicking a small (1 mm or less) piece off the tip of the tail. The tail is then stroked with a firm but gentle motion from the top to the bottom to milk out the blood. Approximately 1 mL of blood is collected into a heparinized vacutainer tube.
  • Compounds are prepared as required, in a standard dosing volume of lOmL/kg, and administered orally by passing a 16 gauge, 3" gavaging needle into the stomach.
  • Typical time points for determination of rat blood levels after PO dosing are:
  • the following vehicles may be used in PO rat blood level determinations:
  • PEG 200/300/400 restricted to 2 mL/kg
  • Compounds for PO blood levels can be in suspension form. For better dissolution, the solution can be placed in a sonicator for approximately 5 minutes. For analysis, aliquots are diluted with an equal volume of acetonitrile and centrifuged to remove protein precipitate. The supernatant is injected directly onto a C-18 HPLC column with UV detection. Quantitation is done relative to a clean blood sample spiked with a known quantity of drug. Bioavailability (F) is assessed by comparing area under the curve (AUC) i.v. versus p.o.
  • AUC area under the curve
  • the units of CL are mL/h»kg (milliliters per hour kilogram)
  • mice are housed, fed and cared for according to the Guidelines of the Canadian Council on Animal Care.
  • Male Sprague Dawley (325-375 g) rats are placed in plastic shoe box cages with a suspended floor, cage top, water bottle and food.
  • the compound is prepared as required, in a standard dosing volume of 1 mL/kg.
  • Rats are bled for the zero blood sample and dosed under C ⁇ 2 sedation.
  • the rats one at a time, are placed in a primed C ⁇ 2 chamber and taken out as soon as they have lost their righting reflex.
  • the rat is then placed on a restraining board, a nose cone with C ⁇ 2 delivery is placed over the muzzle and the rat restrained to the board with elastics.
  • the jugular vein is exposed and the zero sample taken, followed by a measured dose of compound which is injected into the jugular vein.
  • Light digital pressure is applied to the injection site, and the nose cone is removed. The time is noted. This constitutes the zero time point.
  • the 5 min bleed is taken by nicking a piece (1-2 mm) off the tip of the tail.
  • the tail is then stroked with a firm but gentle motion from the top of the tail to the bottom to milk the blood out of the tail.
  • Approximately 1 mL of blood is collected into a heparinized collection vial.
  • Subsequent bleeds are taken in the same fashion, except that there is no need to nick the tail again.
  • the tail is cleaned with a piece of gauze and bled, as described above, into the appropriate labelled tubes.
  • Typical time points for determination of rat blood levels after I.V. dosing are either:
  • the following vehicles may be used in IV rat blood level determinations:
  • DMSO dimethylsulf oxide
  • PEG 200 Not more than 60% mixed with 40% sterile water - lmL/kg
  • the units of CL are mL/h » kg (milliliters per hour kilogram)
  • Compounds of the present invention are inhibitors of COX-
  • the compounds of the present invention show greater COX-2 selectivity and/or potency than A, B, and C.
  • the basicity of the pyridine ring in these examples also permits the formation of acid salts, resulting in increased water solubility and give the potential for parenteral administration in aqueous vehicles.
  • melting points are uncorrected and s d' indicates decomposition; the melting points given are those obtained for the materials prepared as described; polymorphism may result in isolation of materials with different melting points in some preparations;
  • NMR data when given, NMR data is in the form of delta (d) values for major diagnostic protons, given in parts per million (ppm) relative to tetramethylsilane (TMS) as internal standard, determined at 300 MHz or 400 MHz using the indicated solvent; conventional abbreviations used for signal shape are: s. singlet; d. doublet; t. triplet; m. multiplet; br. broad; etc.: in addition "Ar" signifies an aromatic signal;
  • Step 2 2-Bromo-3-f4-f methylthiolphenyl V 2-cvclopenten- 1 -one
  • 4-bromothioanisole 35.1 g, 173 mmol
  • nBuLi 1.6 M in hexanes, 107.5 mL, 172 mmol
  • the solution was stirred for 45 min, then a solution of 2-bromo-2-cyclopenten-l-one (25.4 g, 158 mmol) in THF (150 mL) was added and the mixture was allowed to warm to 0°C and was quenched with saturated aqueous NH4CI.
  • Step 4 Lithium 3-pyridinyltrimethyl boronate
  • Step 5 3-(4-(Methylsulfonyl)phenyl)-2-(3-pyridinyl)-2- cy clopenten- 1 -one
  • 2-bromo-3-(4-(methylsulfonyl)phenyl)-2- cyclopenten-1-one (3.37 g, 10.7 mmol)
  • lithium 3-pyridinyltrimethyl boronate (3.43 g, 18.2 mmol)
  • Pd2(dba)3 (0.196 g, 0.214 mmol)
  • PPh3 (0.224 g, 0.855 mmol
  • Step 6 3-(4-(Methylsulfonyl)phenyl)-2-(3-pyridinyl)-2- cvclopenten-1-one hydrochloride
  • 3-(4-(methylsulfonyl) ⁇ henyl)-2-(3- pyridinyl)-2-cyclopenten-l-one 5.0 g, 15.96 mmol
  • CH 2 CI 2 50 mL
  • Step 7 3-(4-(Methylsulfonyl)phenyl)-2-(3-pyridinyl)-2- cvclopenten- 1-one hvdromethanesulfonate
  • Step 3 2-(5-Chloro-3-pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cvclopenten- 1 -one
  • Step 2 2-(3-Pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cyclopenten- 1 -one
  • Step 2 5-Trimethylstannanyl-2-methylpyridine To a mixture of Pd2(dba)3 (0.047 g, 0.04 mmol), and PPI13
  • Step 3 2-(2-Methyl-5-pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cvclopenten-1-one
  • Step 1 5 -B romo-2-methox vp yridine To a solution of 2,5-dibromopyridine (1.4 g, 5.9 mmol) in
  • Step 2 Lithium 2-methoxy-5-pyridinyltrimethyl boronate
  • Step 3 2-(2-Methoxy-5-pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cyclopenten-1-one
  • Step 3 2-(2-Pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cyclopenten-1-one
  • Step 3 2-(5-Chloro-2-pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cyclopenten- 1 -one
  • Step 2 2-(5-Bromo-2-pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cyclopenten- 1 -one
  • Step 1 Lithium 4-pvridinvltrimethyl boronate
  • Step 2 2-(4-Pyridinyl)-3-(4-(methylsulfonyl)phenyl)-2- cyclo ⁇ enten-1-one
  • reaction mixture was cooled to r.t., diluted with CH2CI2, washed with H2O and brine, and filtered through cotton. The filtrate was concentrated to dryness and the residue was purified by flash chromatography (5 % MeOH/EtOAc) followed by a CH2CI2/E12O swish, to yield 0.130 g of the title product.

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Abstract

L'invention concerne le nouveau composé de la formule (I), ainsi qu'un procédé pour traiter les maladies à médiation par COX-2. Ce procédé consiste à administrer à un patient nécessitant ce type de traitement une quantité thérapeutiquement efficace, non toxique, d'un composé présentant la formule (I). L'invention concerne aussi certaines compositions pharmaceutiques pour le traitement des maladies à médiation par COX-2, comprenant les composés de la formule (I).
PCT/CA1997/000270 1996-04-23 1997-04-22 Pyridinyl-2-cyclopenten-1-ones utilisees comme inhibiteurs de cyclooxygenase selectifs WO1997040012A1 (fr)

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CA002252401A CA2252401C (fr) 1996-04-23 1997-04-22 Pyridinyl-2-cyclopenten-1-ones utilisees comme inhibiteurs de cyclooxygenase selectifs
AU25633/97A AU709609B2 (en) 1996-04-23 1997-04-22 Pyridinyl-2-cyclopenten-1-ones as selective cyclooxygenase-2 inhibitors
EP97917190A EP0900201A1 (fr) 1996-04-23 1997-04-22 Pyridinyl-2-cyclopenten-1-ones utilisees comme inhibiteurs de cyclooxygenase selectifs
JP9537535A JP2000509032A (ja) 1996-04-23 1997-04-22 選択的シクロオキシゲナーゼ―２阻害剤としてのピリジニル―２―シクロペンテン―１―オン

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6649629B2 (en) 1999-12-23 2003-11-18 Nitromed, Inc. Nitrosated and nitrosylated cyclooxygenase-2 inhibitors, compositions and methods of use
US7135484B2 (en) 2002-08-14 2006-11-14 Abbott Laboratories Azabicyclic compounds are central nervous system active agents
US7211598B2 (en) 2002-06-28 2007-05-01 Nitromed, Inc. Oxime and/or hydrozone containing nitrosated and/or nitrosylated cyclooxygenase-2 selective inhibitors, compositions and methods of use
WO2022195579A1 (fr) 2021-03-15 2022-09-22 Saul Yedgar Dipalmitoyl-phosphatidyl-éthanol-amine conjuguée à l'acide hyaluronique en combinaison avec des médicaments anti-inflammatoires non stéroïdiens (ains) pour traiter ou soulager des maladies inflammatoires

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995000501A2 (fr) * 1993-06-24 1995-01-05 Merck Frosst Canada Inc. Heterocycles phenyle utilises comme inhibiteurs de la cyclo-oxygenase-2
WO1997016435A1 (fr) * 1995-10-30 1997-05-09 Merck Frosst Canada Inc. 3,4-diaryle-2-hydroxy-2,5-dihydrofurans utilises comme promedicaments pour inhibiteurs de cox-2

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1995000501A2 (fr) * 1993-06-24 1995-01-05 Merck Frosst Canada Inc. Heterocycles phenyle utilises comme inhibiteurs de la cyclo-oxygenase-2
WO1997016435A1 (fr) * 1995-10-30 1997-05-09 Merck Frosst Canada Inc. 3,4-diaryle-2-hydroxy-2,5-dihydrofurans utilises comme promedicaments pour inhibiteurs de cox-2

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6649629B2 (en) 1999-12-23 2003-11-18 Nitromed, Inc. Nitrosated and nitrosylated cyclooxygenase-2 inhibitors, compositions and methods of use
US7166618B2 (en) 1999-12-23 2007-01-23 Nitromed, Inc. Nitrosated and nitrosylated cyclooxygenase-2 inhibitors, compositions and methods of use
US7432285B2 (en) 1999-12-23 2008-10-07 Nitromed, Inc. Nitrosated and nitrosylated cyclooxygenase-2 inhibitors, compositions and methods of use
US7211598B2 (en) 2002-06-28 2007-05-01 Nitromed, Inc. Oxime and/or hydrozone containing nitrosated and/or nitrosylated cyclooxygenase-2 selective inhibitors, compositions and methods of use
US7135484B2 (en) 2002-08-14 2006-11-14 Abbott Laboratories Azabicyclic compounds are central nervous system active agents
WO2022195579A1 (fr) 2021-03-15 2022-09-22 Saul Yedgar Dipalmitoyl-phosphatidyl-éthanol-amine conjuguée à l'acide hyaluronique en combinaison avec des médicaments anti-inflammatoires non stéroïdiens (ains) pour traiter ou soulager des maladies inflammatoires

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AU709609B2 (en) 1999-09-02

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