Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D285/00—Heterocyclic compounds containing rings having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by groups C07D275/00 - C07D283/00
  • C07D285/01—Five-membered rings
  • C07D285/02—Thiadiazoles; Hydrogenated thiadiazoles
  • C07D285/04—Thiadiazoles; Hydrogenated thiadiazoles not condensed with other rings
  • C07D285/10—1,2,5-Thiadiazoles; Hydrogenated 1,2,5-thiadiazoles
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
  • A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/08—Vasodilators for multiple indications
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/12—Antihypertensives
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
  • C07C203/00—Esters of nitric or nitrous acid
  • C07C203/02—Esters of nitric acid
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K5/00—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof
  • C07K5/04—Peptides containing up to four amino acids in a fully defined sequence; Derivatives thereof containing only normal peptide links
  • C07K5/06—Dipeptides
  • C07K5/06008—Dipeptides with the first amino acid being neutral
  • C07K5/06017—Dipeptides with the first amino acid being neutral and aliphatic
  • C07K5/06026—Dipeptides with the first amino acid being neutral and aliphatic the side chain containing 0 or 1 carbon atom, i.e. Gly or Ala
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides

Definitions

• the present invention relates to new products having an antithrombotic activity.
• Cyclooxygenase (COX) -inhibiting anti-inflammatory products are known from previous patent applications in the name of the Applicant. See in particular the published patent applications WO 94/04484, WO 94/12463, WO 95/09831, WO95/30641. These patent applications referred to non-steroid anti -inflammatory products with a non-acid ending and to those with an acid ending mentioned as products known in the art .
• Said products showed a much lower toxicity level compared to the reference products not containing group -ON0 2 .
• the products of the invention as defined below are effective in inhibiting platelet aggregation induced by different kinds of stimuli, in particular collagen and thrombin, and at the same time exhibit high safety in general, in particular a high gastric safety, without causing lesions to the gastrointestinal mucosa in the treated animals.
• a subject of the present invention are the compounds, or their compositions, of the general formula:
• R Ia , R IIa , n Ia are as defined in la;
• N 3 is H, (CH 3 ) 2 CH-CH-OCOCH 2 CH 3 , or a free valence to which X ⁇ binds (that is, N 3 is absent) ;
• R Ib is chosen from:
• N 2 is as above defined, where at least one of the groups N 3 or N 2 has a free valence capable of binding to X (when it is
• Rg ⁇ is chosen fr ⁇ r ⁇ :
• X- j _ is a bivalent connecting bridge chosen from the following: YO where Y is a linear or whenever possible branched C 1 -C 20 alkylene, preferably having from 2 to 5 carbon atoms, or an optionally substituted cycloalkylene having from 5 to 7 carbon atoms; Y- j _ chosen from
• n 3 is an integer from 0 to 3 ;
• nf is an integer from 1 to 6 , preferably from 2 to 4;
• R lf H, CH 3 and nf is an integer from 1 to 6; preferably from 2 to 4.
• connection between A and X 1 is, as seen, of an ester or amide type (NH or NR lc , as defined in X) . Any synthetic route well known for forming these bonds can be used.
• the most direct synthetic route includes reaction of acyl chlorides A-C0-C1, or A-(C0-C1) 2 , in halogen alcohols of the type HO-Y a -Cl, HO-Y a -Br,- HO-Y a -I, where Y a is equal to Y or Y- ⁇ as above defined without the oxygen atom ⁇ 0- , in experimental conditions which are part of the known art .
• reaction products of formula A-CO-0-Y a -Cl (Br, I) can also be obtained by reacting the sodium or potassium salts of said acids A-CO-OH with di-halogen derivatives of the general formula Y a Cl 2 , Y a Br 2 or Y a I 2 .
• reaction products are converted into the final pro- ducts by reaction with AgN0 3 in acetonitrile according to processes known in the prior art.
• the synthetic sequence includes reaction of the same acyl chlorides A-CO-Cl with amino alcohols of the general formula NH 2 -Y a -OH or NHR lc -Y a -OH to give amides of the general formula: A-CO-NH-Y a -OH or A-CO-NR lc -Y a -OH in accordance with known methods.
• the sequence may be represented as follows:
• Example 1 A general method for the -OH group is described in Example 1 only for illustrative purposes.
• the products of the invention as described above are novel as medicaments in general .
• they are no- vel for their antithrombotic activity and are also novel as compounds as such.
• Additional pharmaceutical uses which can be mentioned for the products of the invention are, for example, their antihypertensive activity (e.g. arterial hypertension, glaucoma) and their cardioprotective activity (e.g. angina pe- ctoris, cardiac failure, coronary ischaemia) .
• their antihypertensive activity e.g. arterial hypertension, glaucoma
• their cardioprotective activity e.g. angina pe- ctoris, cardiac failure, coronary ischaemia
• the products of the invention showed an extremely satisfactory pharmaco-therapeutic profile with improved efficacy compared to the precursors which do not contain group -0N0 2 and, at the same time, showed superior safety.
• the products of the invention exhibit an antihypertensive activity combined with an antithrombotic activity. This is an outstanding benefit in the treatment of cardiovascular disease in general since the purpose of any therapeutical approach is to ensure to the patient an altogether reduced risk of cardiovascular disease, such as myocardial or cerebral infarction and atherosclerosis (Goodman & Gilman "The pharmacological basis of therapeutics", Ed . J. Hardman, L. Limbrid, pages 747, 1354-7, 1996) .
• the starting point is timolol maleate (a commercial product) , the timolol having the general formula
• Timolol maleate (2.0 g) was treated with a solution of 10% NaOH (30 ml) . 30 ml of CH 2 C1 2 were added and ' then the phases were separated. The aqueous phase was extracted several times with CH 2 C1 2 . The pooled organic phases were dried (Na 2 S0 4 ) and the solvent evaporated at reduced pressure. 1.4 g of pure product were obtained (yield 96%) .
• NO-ENA enalaoril
• DMF dimechylfarmacni.de
• TAA triethylamine
• the experimental groups were made up of 6 to 8 samples to allow appropriate statistical evaluation, which was carried out when needed.
• Collagen (type 6, Sigma) was then administered intravenously at a dose of 2 mg/kg.
• Three minutes later two blood samples (A and B) were colle- cted from the carotid artery using 2.5-ml plastic syringes in the following manner: sample A, 0.4 ml of blood in 1.6 ml of EDTA/formalin buffer (ETDA tetrasodium salt 24 mM, KH 2 P0 4 1.3 mM, Na 2 P0 4 13.4 mM) , the samples were then transferred into 5-ml polystyrene test tubes and allowed to settle for 15 minutes at ambient temperature. After this time, the platelet aggregations in sample A were fixed in formalin, while those from sample B were treated with EDTA.
• Platelet count was then made in each sample using a conventional microscope.
• the count for sample B was the total number of platelets, while for sample A were considered only non-aggregated platelets.
• the results were expressed as per-cent aggregation, calculated as follows: [1- (platelet count in sample A) / (platelet count in sample B) ] x 100 ⁇ .
• the results were expressed as per-cent inhibition of the control group (vehicle) and shown in Table 1.
• NO-ENA The ability of NO-ENA to inhibit hypertension was evaluated using an in vivo model as described by Ribeiro et al . (Hypertension 20, 298, 1992). 5 groups of male Wistar rats (235 to 284 g) received a daily intravenous dose of 10 mg/kg of, respectively, NO-ENA, enalapril, NO-TIM, timolol or vehicle for 5 days. Arterial hypertension was induced by administration of N w -nitro-L-argininemethyl ester (L-NAME) in the drinking water for 6 weeks . L-NAME was dissolved in the drinking water at a concentration of 60 to 70 mg 100 ml so as to administer a daily amount of about 60 mg kg -1 . One hour after treatment the systemic blood pressure- was raeasu- red by the tail-cap method (Zats, Lab. Anim. Sci.42, 198,
• EXAMPLE 3B STUDY OF OCULAR HYPOTENSIVE ACTIVITY AND OCULAR SAFETY OF NO-ENA OR NO-TIM VERSUS ENALAPRIL OR TIMOLOL IN RABBITS
• EXAMPLE 3E STUDY OF NO-ENA EFFECTS ON INDUCED BRONCHOCON- STRICTION IN GUINEA PIGS VERSUS ENALAPRIL
• Bronchoconstriction induced by capsaicin in Guinea pigs is an animal model related to the ability of ACE (angioten- sin-converting enzyme) inhibitors to cause cough in patients (Subissi et al . , J. Cardiovasc . Pharmacol .20/1, 139-146, 1992) .
• ACE angioten- sin-converting enzyme
• Adopted test conditions were as previously described by Del Soldato et al.(J. Pharmacological Methods 5, 279, 1981).
• Female Guinea pigs weighing 300 to 400 g were anaesthetised by intraperitoneal injection of sodium 5 , 5-diethylbarbitu- rate (200 mg/kg) and maintained under artificial respiration at constant positive pressure.
• the right jugular vein was incannulated for administering test compound.
• the other end of the can- nula was connected to a syringe for intraduodenal administration of NO-ENA (10 mg/kg) , enalapril (10 mg/kg) or vehicle. 45 minutes later, 0.1 ml of capsaicin (1 ⁇ g/kg) was injected into the jugular vein of the animals. Before and after injection of capsaicin, changes in the tidal area were measured by a modified Konzett apparatus connected to a suitable polygraphic amplifier (Hewlett Packard) .
• the nitroderivatives which are an object of the present invention show marked antithrombotic and cardiovascular activity with excellent safety when compared to reference products.

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• Chemical Kinetics & Catalysis (AREA)
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• Genetics & Genomics (AREA)
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• Urology & Nephrology (AREA)
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• Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
• Materials For Medical Uses (AREA)
• Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
• Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
• Pyrrole Compounds (AREA)
• Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
• Nitrogen- Or Sulfur-Containing Heterocyclic Ring Compounds With Rings Of Six Or More Members (AREA)
• Peptides Or Proteins (AREA)

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• 1996
  • 1996-11-14 IT IT96MI002368A patent/IT1295694B1/it active IP Right Grant
• 1997
  • 1997-11-12 RU RU99112517/04A patent/RU2190594C2/ru not_active IP Right Cessation
  • 1997-11-12 US US09/297,933 patent/US6242432B1/en not_active Expired - Fee Related
  • 1997-11-12 WO PCT/EP1997/006311 patent/WO1998021193A1/en not_active Ceased
  • 1997-11-12 JP JP52217998A patent/JP4264137B2/ja not_active Expired - Fee Related
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  • 1997-11-12 AT AT97951890T patent/ATE226199T1/de active
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