Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
  • A61K31/52—Purines, e.g. adenine
  • A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/04—Drugs for skeletal disorders for non-specific disorders of the connective tissue
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P21/00—Drugs for disorders of the muscular or neuromuscular system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P25/00—Drugs for disorders of the nervous system
  • A61P25/02—Drugs for disorders of the nervous system for peripheral neuropathies
• • 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
  • A61P3/00—Drugs for disorders of the metabolism
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • 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
  • C07D473/00—Heterocyclic compounds containing purine ring systems
  • C07D473/02—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6
  • C07D473/04—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6 two oxygen atoms
  • C07D473/06—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6 two oxygen atoms with radicals containing only hydrogen and carbon atoms, attached in position 1 or 3
• • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
  • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
  • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
  • Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
  • Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

• the present invention relates to a preventive and / or therapeutic agent for a disease presenting with chronic musculoskeletal pain.
• Chronic musculoskeletal pain is a chronic musculoskeletal pain characterized by aching, tenderness, stiffness, etc. in the musculoskeletal (eg, muscles, tendons, ligaments, tendon attachments, adjacent soft tissues, etc.).
• Disorders that exhibit chronic musculoskeletal pain and include chronic musculoskeletal pain include, for example, fibromyalgia syndrome (FMS), fibromyalgia-related diseases, and the like. Edition, Chapters 59 and 108, Anals 'Ob' Juarmacotherapy (Ann. Pharmacother.), Vol. 121, .953-959 (1994), etc.].
• fibromyalgia examples include fibrositis, chronic fatigue (CFS; Chronic Fatigue Syndrome), myofascial pain (MFPS; Myofascial Pain Syndrome), and diffuse muscle muscle.
• Membrane pain Dermatise Myofascial Pain Syndrome
• Generalized Fibrositis Soft Tissue Rheumatism, Non-articular Rheumatism, Rheumatoid Arthritis, Primary Concomitant Fibromyalgia Syndrome (PFS; Primary Fibromyalgia Syndrome), Secondary Fibromyalgia) Concomitant Fibromyalgia Syndrome ⁇ Idiopathic 'muscular pain;) Elongate 3 ⁇ 4E (Idiopathic Muscle Pain Syndrome) (Chronic Widespread Musculoskeletal Pain), Lower Back Pain, Lyme Disease with Fibromyalgia, Generalized Tendon Muscle Fusa '((generalized Tendomyopathy), Temporomandibular Joint Disorder (TMJD) These fibers are known.
• An object of the present invention is to provide a compound having an adenosine A receptor antagonistic activity or its pharmacology.
• An object of the present invention is to provide a prophylactic and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain, which comprises a physiologically acceptable salt as an active ingredient.
• the present invention relates to the following (1) to (37).
• And / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain comprising a salt as an active ingredient.
• the compound having adenosine A receptor antagonistic activity is a xanthine derivative
• the preventive and / or therapeutic agent for the disease exhibiting chronic musculoskeletal pain according to the above (1).
• R 1 R 2 and R 3 are the same or different and represent a hydrogen atom, a lower alkyl, a lower alkyl or a lower alkyl,
• R 4 is cycloalkyl,-(CH 2) —R 5 (where R 5 is a substituted or unsubstituted aryl or
• n represents an integer of 0 to 4) or a formula (II)
• Y 1 and Y 2 are the same or different and represent a hydrogen atom, a halogen or a lower alkyl, and Z represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group
• X 1 and X 2 are the same or different prevention and Z or therapeutic agent for diseases which present with chronic musculoskeletal pain oxygen or above a xanthine derivative represented by a sulfur atom represent a (1) wherein.
• R 4 is the formula (II)
• Upsilon 1 and Upsilon 2 prophylaxis and ⁇ or therapeutic agent for diseases which present with the (5) chronic musculoskeletal pain, wherein the hydrogen atom.
• ⁇ is a substituted or unsubstituted aryl or formula (III)
• R 6 represents a hydrogen atom, hydroxy, lower alkyl, lower alkoxy, halogen, nitro or amino, and m represents an integer of 1 to 3).
• R 7 , R 8 and IT represents lower alkyl or lower alkoxy ,
• the other represents a hydrogen atom
• R 1Q represents a hydrogen atom or lower alkyl
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (1)
• R 11 represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group
• R 12 represents a hydrogen atom, a halogen, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group,
• R 13 is a hydrogen atom, halogen or —WR 14 (W represents —0— or —S—, and R 14 is a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted aryl. Represents a substituted heterocyclic group),
• Q 1 represents a hydrogen atom or 3,4-dimethoxybenzyl] (for example, 5-amino-7- (4-benzopiperazyl) -2- (2-furyl) [1,2,4 ] Triazolo [1,5-c] pyrimidine and the like), the agent for preventing and / or treating a disease exhibiting chronic musculoskeletal pain according to the above (1).
• 3,4-dimethoxybenzyl for example, 5-amino-7- (4-benzopiperazyl) -2- (2-furyl) [1,2,4 ] Triazolo [1,5-c] pyrimidine and the like
• R UA is a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic compound. Represents a ring group
• R 12A represents a hydrogen atom, a halogen, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group;
• nl and ml are the same or different and represent an integer of 0 to 4,
• Q 1A represents a hydrogen atom or 3,4-dimethoxybenzyl
• R 15 is a hydrogen atom, a substituted or unsubstituted aryl, a substituted or unsubstituted heterocyclic group, or -CI ⁇ VV 9 (wherein R 17 , R 18 and R 19 are the same or different and each represent a hydrogen atom, hydroxy, Represents a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkoxy, a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group, or a group in which R 18 and R 19 are taken together with adjacent carbon atoms. To form a substituted or unsubstituted carbocyclic ring)
• R 16 represents a hydrogen atom, a halogen, a hydroxy or a substituted or unsubstituted lower alkyl]], for example, 5-amino-2- (2-furyl) -7- [4- (2-hydroxy -2-methylpropyl) piperazyl) [1,2,4] triazolo [1,5-c] pyrimidine, 5-amino-2- (2-furyl) -7- [4- (3-hydroxy-3 -Methylpropyl) piperazyl) [1,2,4] triazolo [1,5-c] pyrimidine or the like; the agent for preventing and / or treating a disease exhibiting chronic musculoskeletal pain according to the above (1).
• R 15 is one CR 17A R 18A R 19A (wherein, R 17A represents hydroxy, hydroxy lower alkyl, substituted or unsubstituted lower alkoxy or imidazo [1,2-a] pyridyl,
• R 18A and R 19A are the same or different and each represent a hydrogen atom, substituted or unsubstituted lower alkyl or substituted or unsubstituted aryl, or R 18A and R 19A are substituted or substituted together with the adjacent carbon atom. (Forming an unsubstituted carbon ring).
• R 2 ° represents a hydrogen atom, a substituted or unsubstituted lower alkyl or a substituted or unsubstituted lower alkanol
• R 21 represents a substituted or unsubstituted heterocyclic group
• R 22 represents a hydrogen atom, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted cycloalkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group.
• X 3 is (wherein, R 24 represents a hydrogen atom or a substituted or unsubstituted lower ⁇ alkyl) nitrogen atom or CR 24 chronic musculoskeletal pain above (1), wherein the compound represented by the representative of the ' Preventive and / or therapeutic agents for presenting diseases.
• W 2 represents a single bond, 0— or —S—
• Z 1 represents a hydrogen atom, a halogen or a substituted or unsubstituted lower alkyl, n2 represents an integer of 0 to 5); the agent for preventing and / or treating a disease exhibiting chronic musculoskeletal pain according to the above (1), which is a compound represented by the formula (1):
• R 26 is a hydrogen atom, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted cycloalkyl, a substituted or unsubstituted aryl
• X 4 represents an oxygen atom, a sulfur atom or NR 27 (where R 27 is a hydrogen atom, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted cycloalkyl, or a substituted or unsubstituted heteroalkyl group; (Representing unsubstituted aryl).
• A is a compound represented by the following formula (1), which forms a substituted or unsubstituted carbocyclic ring or a substituted or unsubstituted heterocyclic ring together with two adjacent carbon atoms: Prevention and / or treatment of painful diseases.
• R 29 represents a hydrogen atom, a substituted or unsubstituted lower alkenyl, a substituted or unsubstituted cycloalkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group;
• R 3 ° is hydrogen atom, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkyl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted aryl Or a substituted or unsubstituted aromatic heterocyclic group,
• R 31 is a substituted or unsubstituted lower alkyl or a substituted or unsubstituted aryl
• the preventive and / or therapeutic agent for the disease exhibiting chronic musculoskeletal pain according to (1).
• R represents a hydrogen atom or a substituted or unsubstituted lower alkyl
• R 33 and R 34 are the same or different and represent a hydrogen atom, a substituted or unsubstituted lower alkyl or a substituted or unsubstituted aryl,
• R 35 , R 36 , R 37 , R 38 , R 39 and R 4 ° are the same or different and each represents a hydrogen atom, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group.
• the preventive and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain according to the above (1) which is a compound represented by:
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (XII)
• R 41 represents a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group
• R 42 represents a substituted or unsubstituted lower alkyl or a substituted or unsubstituted heterocyclic group
• R 43 represents hydroxy, halogen or substituted or unsubstituted lower alkyl
• X 5 is a nitrogen atom or an CH) compound represented by (e.g., 3- [2- (thiazol-2-I Rumechiru) - 3- Okiso-2,3-dihydro-pyridazin - 6-I le] -2 Or the agent for preventing or treating chronic musculoskeletal pain according to the above (1), which is -ferubirazolo [1,5-a] pyridin and the like.
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (XIII)
• R 44 and R 45 are the same or different and represent a hydrogen atom, hydroxy, nitro nitro, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkoxy or substituted or unsubstituted aryl, Or R 44 and R 45 are taken together to form oxo, hydroxy imino imino or hydrazono,
• R 46 represents a substituted or unsubstituted lower alkyl or a substituted or unsubstituted aryl.
• R 47 , R 48 and R 49 are the same or different and represent hydroxy, halogen, nitro nitro, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkoxy or substituted or unsubstituted aryl,
• X 6 is prevention and Z or therapeutic agent for diseases which present with chronic musculoskeletal pain (1), wherein the compound represented by an oxygen atom or a sulfur atom).
• R is hydrogen, hydroxy, halogen, substituted or unsubstituted lower alkyl, Or substituted or unsubstituted amino,
• R 51 represents a hydrogen atom, halogen, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkenyl, substituted or unsubstituted lower alkynyl, substituted or unsubstituted lower alkoxy or substituted or unsubstituted amino,
• R 52 represents a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group
• R 53 represents a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group
• X 7 and X 8 are the same or different and each represent a nitrogen atom or CH (eg, 5- [6-amino-8- (3-fluorophenyl) -9H-9-pryl]) -1-methyl-1,2-dihydro-2-pyrimidine or the like), which is an agent for preventing and / or treating a disease exhibiting chronic musculoskeletal pain according to the above (1).
• CH eg, 5- [6-amino-8- (3-fluorophenyl) -9H-9-pryl]
• R represents a substituted or unsubstituted cycloalkenyl, a substituted or unsubstituted aryl, or a substituted or unsubstituted aromatic heterocyclic group
• R 55 represents a substituted or unsubstituted lower alkyl
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (XV-A)
• R M is as defined above
• n3 represents an integer of 1 to 4,
• R 8 ° represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group) (for example, 5-amino-2- (2-furyl) -7- (2- ⁇ 4- [ 4- (2-methoxyethoxy) phenyl] piperazyl ⁇ ethyl) pyrazo [4,3-e] -l, 2,4-triazolo [1,5-c] pyrimidine etc. )
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (XVI):
• R 56 represents a hydrogen atom, a halogen, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkynyl, or a substituted or unsubstituted cycloalkyl;
• R 57 represents a hydrogen atom, a halogen, a substituted nitro, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkyl, a substituted or unsubstituted lower alkynyl or a substituted or unsubstituted aryl.
• R represents a substituted or unsubstituted lower alkyl, a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group;
• R 59 and R 6 ° are the same or different and represent a hydrogen atom, a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group,
• X 9 and X 1Q are the same or different and each represents a nitrogen atom or CH].
• R represents a substituted or unsubstituted lower alkoxy, a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group
• R 63 and R 65 are the same or different and represent a hydrogen atom, cyano or phenylsulfol
• R 64 represents a hydrogen atom, a halogen, a substituted or unsubstituted aryl, a substituted or unsubstituted aromatic heterocyclic group or a substituted or unsubstituted amino,
• R 66 represents substituted or unsubstituted amino (for example, 2- (4,5-dihydrofuran-2-yl) -7-m-tolyl- [1,2,4] triazolo [ 1,5-a] pyrimidine-5-ylamine and the like, wherein the agent is a prophylactic and / or therapeutic agent for the disease exhibiting chronic musculoskeletal pain according to the above (1).
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (XVIII) [Formula 22]
• R 67 represents a substituted or unsubstituted aryl or a substituted or unsubstituted aromatic heterocyclic group
• R 68 represents a substituted or unsubstituted aromatic heterocyclic group
• R 69 and R 7Q are the same or different and each represents a hydrogen atom or a substituted or unsubstituted amino), and is a compound represented by the above (1) for preventing disease having chronic musculoskeletal pain and Z or Therapeutic agent.
• R 71 represents cyano, carboxy or substituted or unsubstituted rubamoyl
• R 72 is hydrogen atom, hydroxy, substituted or unsubstituted lower alkoxy, substituted or unsubstituted aryl or substituted or unsubstituted Represents an aromatic heterocyclic group
• R 73 and R 74 are the same or different and each represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group), and is a compound represented by the above (1).
• Z or therapeutic agent is the same or different and each represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group), and is a compound represented by the above (1).
• Z or therapeutic agent are the same or different and each represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group
• a compound having an adenosine A receptor antagonistic activity is represented by the formula (XX)
• R represents a hydrogen atom, hydroxy, halogen, benzyloxy, trifluoromethyloxy, substituted or unsubstituted lower alkyl or substituted or unsubstituted lower alkoxy,
• R 7. And R 77 are the same or different and represent hydroxy, halogen, substituted or unsubstituted lower alkyl or substituted or unsubstituted lower alkoxy,
• R 78 is a hydrogen atom, halogen, carboxy, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkyl, substituted or unsubstituted lower alkanol, substituted or unsubstituted lower alkoxycarbol Represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group,
• a preventive and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain according to the above).
• the preventive and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain according to the above (1), which is beryzyl-2,8-bis (trifluoromethyl) -4-quinolinemethanol.
• R 81 represents a substituted or unsubstituted aryl, a substituted or unsubstituted cycloalkenyl or a substituted or unsubstituted heterocyclic group
• R 82 represents a substituted or unsubstituted lower alkyl
• the prophylactic and / or therapeutic agent for the disease exhibiting chronic musculoskeletal pain according to (1) above.
• R 81 is as defined above
• n4 represents an integer of 1 to 4,
• R 83 represents a substituted or unsubstituted aryl or a substituted or unsubstituted heterocyclic group) (for example, 5-amino-2- (2-furyl) -7- (2- ⁇ 4- [4 -(2-methoxyethoxy) phenyl] piperazyl ⁇ ethyl) imidazo [4,3-e] -l, 2,4-triazolo [1,5-c] pyrimidine, etc.
• the preventive and / or therapeutic agent for the disease exhibiting chronic musculoskeletal pain according to the above (1).
• Diseases associated with fibromyalgia include fibromyalgia, chronic fatigue, myofascial pain, diffuse myofascial pain, systemic fibromyalgia, soft tissue rheumatism, non-articular rheumatism , Rheumatoid arthritis, primary fibromyalgia, secondary fibromyalgia, idiopathic muscle pain, chronic widespread musculoskeletal pain, low back pain, Lyme disease with fibromyalgia, systemic tendon muscle disorders and jaw Arthritis
• a prophylactic and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain according to the above (34), which is a selected disease.
• a method for preventing and Z or treating a disease exhibiting chronic musculoskeletal pain which comprises administering an effective amount of a salt to be administered.
• a compound having an adenosine A receptor antagonistic activity or its pharmacological activity having an adenosine A receptor antagonistic activity or its pharmacological activity
• the present invention provides a preventive and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain, which contains a salt acceptable as an active ingredient.
• FIG. 1 shows the effect of Compound 2 on improving hyperalgesia in an acidic saline-induced hyperalgesia model.
• the vertical axis represents the pain threshold (g), and the horizontal axis represents the elapsed time (minutes) after administration of Compound 2 or the solvent.
• FIG. 2 shows the effect of Compound 2 on the onset of hyperalgesia in an acidic saline solution-induced hyperalgesia model.
• the vertical axis represents the pain threshold (g)
• the left bar graph shows the results of the solvent administration group
• the right bar graph shows the results of the compound 2 administration group.
• FIG. 1 A first figure.
• the disease which is prevented or treated by the present invention and exhibits chronic musculoskeletal pain includes, for example, fibromyalgia (FMS; Fibromyalgia).
• FMS fibromyalgia
• fibromyalgia diseases related to fibromyalgia
• diseases related to fibromyalgia include fibrositis, chronic fatigue (CFS; Chronic Fatigue Syndrome), and myofascial pain.
• CFS chronic fatigue
• MFPS Myofascial Pain Syndrome
• Diffuse Myofascial Pain Syndrome generalized fibromyalgia (Generalized)
• Fibrositis Soft Tissue Rheumatism, Non-Articular Rheumatism ( ⁇ articular Rheumatism), Rheumatoid Arthritis (Rheumatoid Arthritis), Primary Fibromyalgia (PFS; Primary Fibromyalgia Syndrome), Secondary Fibromyalgia ( Concomitant Fibromyalgia Syndrome) Idiopathic Muscle Pain Syndrome, Chronic Widespread Musculoskeletal Pain, Lower Back Pain, Lyme Disease with Fibromyalgia Generalized tendomyopathy), temporomandibular joint disorder (TMJD) and the like.
• PFS Primary Fibromyalgia Syndrome
• Secondary Fibromyalgia Syndrome Idiopathic Muscle Pain Syndrome, Chronic Widespread Musculoskeletal Pain, Lower Back Pain, Lyme Disease with Fibromyalgia Generalized tendomyopathy
• TMJD temporomandibular joint disorder
• Adenosine A receptor antagonism includes, for example, binding to adenosine A receptor,
• adenosine interferes or prophylactically inhibits binding to adenosine A receptor
• Compounds having adenosine A receptor antagonism include adenosine A receptor antagonism.
• xanthine derivatives such as compound (I) or (X)
• [1,2,4] triazolo [1,5-c] pyrimidine derivatives such as compound (V), (VI) or (IX)
• compound ( [1,2,4] Triazolo [1,5-a] pyrimidine derivatives such as VII) or (VIII)
• the following compounds are particularly preferred.
• Examples of the lower alkyl moiety of the lower alkyl, hydroxy lower alkyl, lower alkoxy, lower alkoxycarbol and lower alkanol include straight-chain or branched alkyl having 1 to 8 carbon atoms, and specific examples include methyl and ethyl.
• Examples of the lower alkenyl include straight-chain or branched alkenyl having 2 to 8 carbon atoms, and specific examples thereof include butyl, aryl, methacryl, crotyl, 3-butyr, and 2-pentenyl. , 4-pentyl, 2-hexyl, 5-hexyl, 2-heptur, 2-otatur, etc. can give.
• Examples of the lower alkynyl include straight-chain or branched alkynyl having 2 to 8 carbon atoms, and specific examples thereof include ethur, propargyl, 2-butul, 3-butul, 2-pentynyl, and 4-pentynyl. 2-hexynole, 5-hexynole, 4-methynole-2-pentynole, 2-heptinyl. 2-octyl and the like.
• cycloalkyl examples include cycloalkyl having 3 to 8 carbon atoms, and specific examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl and the like.
• cycloalkyl examples include cycloalkyls having 4 to 8 carbon atoms, and specific examples thereof include cyclobuteninole, cyclopenteninole, cyclohexeninole, cycloheptininole, cyclobutenitol, and the like.
• Halogen means each atom of fluorine, chlorine, bromine and iodine.
• aryl examples include aryl having 6 to 14 carbon atoms, and specific examples thereof include fuel, naphthyl, and anthryl.
• aromatic heterocyclic group for example, a nitrogen atom, an oxygen atom and a sulfur atom, a 5- or 6-membered monocyclic aromatic heterocyclic group containing at least one selected atom, or a 3- to 8-membered ring is condensed.
• pyridazyl -oxo oxopyridazyl
• heterocyclic group examples include, in addition to the groups described in the definition of the aromatic heterocyclic group, an alicyclic heterocyclic group.
• alicyclic heterocyclic group examples include a nitrogen atom, an oxygen atom and A 5- or 6-membered monocyclic alicyclic heterocyclic group containing at least one atom selected from the group consisting of a nitrogen atom, an oxygen atom and a bicyclic or tricyclic fused 3- to 8-membered ring
• a condensed alicyclic heterocyclic group containing at least one atom selected from the group consisting of a sulfur atom and a sulfur nuclear atom.
• bilar thioviral
• pyrrolidyl and piperidyl-containing pyridur.
• Piberidyl imidazolidyl, thiazolidyl, morpholinyl with morpholinyl, thiomorpholinyl with thiomorpholinyl, homopyriduryl with homopiberidyl, tetrahydropyridinyl, dihydroisoquinolyl, tetrahydroquinolyl, tetrahydroisoquinolyl, oxazolinyl , Oxosazolidinyl, oxoxoxazolidinyl, oxaziazolinyl, oxorael, tetrahydrofuranyl, tetrahydroviranyl, Dihydrobenzofuranyl, oxopyrazuryl, 2-oxopyrrolidinyl, dioxolanyl, 1,3-benzodi
• heterocyclic ring formed by joining two carbon atoms adjacent to A examples include a 5-membered or 6-membered atom containing at least one atom selected from a nitrogen atom, an oxygen atom and a sulfur atom
• Examples of the carbon ring formed by bonding two adjacent carbon atoms adjacent to A include a cycloalkene having 4 to 8 carbon atoms, and specific examples thereof include cyclobutene, cyclopentene, Cyclohexene, cycloheptene, cyclootaten and the like can be mentioned.
• Examples of the carbon ring formed together with adjacent carbon atoms include cycloalkanes and cycloalkenes having 4 to 8 carbon atoms, and specific examples thereof include cyclobutane, cyclopentane, cyclohexane, cycloheptane, and cycloheptane. Cyclooctane, cyclobutene, cyclopentene, cyclohexene, cycloheptene, cyclootaten and the like.
• the substituents (A) in the substituted lower alkyl, the substituted lower alkoxy, the substituted lower alkanol, the substituted lower alkoxycarbyl, the substituted lower alkaryl and the substituted lower alkyl are the same or different, for example, 1
• substituents such as hydroxy, nitro, canoleboxy, canerubamoyl, benzyloxy, phenoxy, halogen, substituted or unsubstituted lower alkoxy, cycloalkyl, lower alkanol, lower alkoxy. Examples thereof include carboyl, lower alkylamido-substituted dialkylamino and substituted or unsubstituted aryl, substituted or unsubstituted heterocyclic group.
• the nodogen, cycloalkyl, aryl and heterocyclic groups exemplified as the substituent (A) have the same meanings as described above, respectively, and include lower alkoxy, lower alkanol, lower alkoxycarbonyl, lower alkylamino and dialkyl.
• the lower alkyl portion of the lower alkylamino has the same meaning as the lower alkyl, and the two lower alkyl portions of the di-lower alkylamino may be the same or different.
• the substituents in the substituted aryl and the substituted heterocyclic groups exemplified in the substituent (A) are the same or different and include, for example, substituents having 1 to 3 substituents. Examples of the substituent include the substituents exemplified for the group (C).
• Examples of the substituent (a) in the substituted lower alkoxy exemplified as the substituent (A) include the same or different substituents having 1 to 3 substituents, specifically, halogen, hydroxy, Examples include carboxy, azide, lower alkoxy, lower alkoxycarbyl, and the like.
• the halogen mentioned in the examples of the substituent (a) has the same meaning as described above, and the lower alkyl portion of lower alkoxy and lower alkoxycarbonyl has the same meaning as the above lower alkyl.
• the substituent (B) in the substituted amino and the substituent rubamoyl includes the same or different substituents having 1 or 2 substituents, and specifically, substituted or unsubstituted lower alkyl, substituted or Unsubstituted lower alkoxy and the like.
• the lower alkyl and lower alkoxy exemplified in the substituent (B) are the same as defined above, and the substituents in the substituted lower alkyl and the substituted lower alkoxy exemplified in the substituent (B) are the same or different.
• substituents having 1 to 3 substituents can be mentioned, and specific examples include the substituents exemplified in the above-mentioned substituent (a).
• substituted cycloalkyl, substituted cycloalkenyl, a substituted carbocyclic ring formed with adjacent carbon atoms, a substituted carbon ring formed with A and two adjacent carbon atoms together
• Substituent (C) in a substituted aryl, a substituted phenyl, a substituted naphthyl, a substituted heterocyclic group, a substituted aromatic heterocyclic group, and a substituted heterocyclic ring formed by joining two carbon atoms adjacent to A together are the same or different, for example, having 1 to 3 substituents, specifically, hydroxy, nitro, carboxy, sulfo, trifluoromethyl, halogen, lower alkyl, lower alkenyl, lower alkynyl, substituted or unsubstituted Substituted or unsubstituted aryl, aryloxy, aralkyl, aralkyloxy, lower alkanol, Lower alkanoyloxy
• the lower alkyl moiety has the same meaning as the lower alkyl, and the halogen, lower alkenyl and lower alkyl have the same meanings as above.
• the di-lower alkylamido-containing di-lower components may be the same or different.
• the aryl moiety of aryl and aryloxy is the same as the above-mentioned aryl, and the aralkyl moiety of aralkyl and aralkyloxy includes, for example, benzyl, phenethyl and the like.
• the aroyl portion of aroyl and aroyloxy include benzoyl and naphthoyl.
• the arylalkyl moiety of the arylalkanoyloxy include benzyl, phenyl and the like.
• substituents (c) in the substituted lower alkoxy and the substituted aryl shown in the examples of the substituent (C) are the same or different and have, for example, 1 to 3 substituents, specifically the substituent (a) And the like.
• Pharmaceutically acceptable salts of compounds having adenosine A receptor antagonism are the same or different and have, for example, 1 to 3 substituents, specifically the substituent (a) And the like.
• Examples thereof include pharmacologically acceptable acid addition salts, metal salts, ammonium salts, caro salts with organic amines, and amino acid addition salts.
• Examples thereof include inorganic acid salts such as hydrochloride, sulfate and phosphate, and organic acid salts such as acetate, maleate, fumarate, tartrate, citrate and methanesulfonate.
• the pharmaceutically acceptable metal salts include, for example, alkali metal salts such as sodium salt and potassium salt, alkaline earth metal salts such as magnesium salt and calcium salt, aluminum salt, zinc salt and the like.
• the physiologically acceptable ammonium salts include salts of ammonium, tetramethylammonium, and the like.
• Examples of the pharmacologically acceptable salts of organic amines include morpholine, ⁇ ⁇ Addition salts such as lysine and the like, and pharmacologically acceptable amino acid addition salts include addition salts such as lysine, glycine, phenylalanine and the like.
• the compound (1), the compounds (V) to (XXI), the compound (XV-A) and the lig compound (XXI-A) are described in, for example, JP-B-47-26516, Journal of Ob J. Med. Chem., Volume 34, p.1431 (1991), Journal of Medicine, J. Med.
• the target compound in each production method can be isolated and purified by subjecting it to a purification method commonly used in organic synthetic chemistry, for example, filtration, extraction, washing, drying, concentration, recrystallization, various types of chromatography and the like.
• Adenosine A such as compound (1), compounds (V) to (XXI), compound (XV-A), compound (XXI-A)
• compound (1) compounds (V) to (XXI), compound (XV-A), compound (XXI-A)
• adenosine A receptor antagonistic action When it is desired to obtain each salt of a compound having a receptor antagonistic action, compound (1), compound (V) to (XXI), compound (XV-A), compound (XXI-A), etc.
• each of the compounds When each of the compounds is obtained in the form of a salt, it can be purified as it is, and when obtained in the free form, compound (1), compounds (V) to (XXI), compound (XV- A) and compounds having adenosine A receptor antagonism such as compound (XXI-A)
• compounds having an adenosine A receptor antagonistic activity such as compound (1), compounds (V) to (XXI), compound (XV-A), compound (XXI-A), and pharmacologically thereof.
• Acceptable salt is water
• adducts with various solvents, and these adducts can also be used in the preventive and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain of the present invention.
• Adenosine A such as compound (1), compounds (V) to (XXI), compound (XV-A), compound (XXI-A)
• Some compounds having 2A receptor antagonism may have stereoisomers such as optical isomers.All possible stereoisomers and their mixtures also exhibit the chronic musculoskeletal pain of the present invention. It can be used as a prophylactic and / or therapeutic agent for diseases.
• Table 1 shows specific examples of the compound (I).
• the acidic saline-induced hyperalgesic rat prepared above is placed in a stainless steel cage (750 x 210 x 170 mm), and is acclimated to the environment for at least 20 minutes before administration of the test compound (0 hour
• the pain threshold (g) was measured at 0.5, 1, 1.5, 2 and 3 hours after administration.
• test compound was used as a suspension of an aqueous solution of 0.5% methylcellulose (0.5% MC), and orally administered to the above-mentioned rats with hyperalgesia induced by physiological saline at a volume of 5 mL / kg (test compound administration group).
• 0.5% MC aqueous solution was orally administered to the above-mentioned acidic saline-induced hyperalgesia rats at a volume of 5 mL / kg, respectively, to obtain a solvent administration group.
• the test was carried out using 10 male SD rats (Sprague-Dawley rat, 6 weeks old at the start of the test). Under ether anesthesia, 100 L of physiological saline adjusted to pH 4 with acetic acid, Rats were injected twice into the right gastrocnemius muscle at 5 day intervals. The test compound or vehicle was repeatedly administered to the above rats at a volume of 5 mL / kg for 30 days 30 minutes after the second injection and once a day thereafter for a total of 10 days.
• test compound was administered orally using a suspension of a 0.5% MC aqueous solution (the test compound administration group), and the solvent was administered orally using the 0.5% MC aqueous solution alone (the solvent administration group). ).
• the pain threshold was similarly measured in normal rats, the pain threshold was around llg, and in the vehicle-administered group where only the vehicle was repeatedly administered, the pain threshold was greatly reduced to a value at which hyperalgesia was observed.
• the test compound administration group to which compound 2 (3 mg / kg) was repeatedly administered such a decrease in the pain threshold was not observed, and the onset of hyperalgesia was suppressed.
• a pharmacologically acceptable salt of has the effect of improving the onset of hyperalgesia and the effect of suppressing the onset of hyperalgesia. That is, adenosine A
• the compound having a 2A receptor antagonistic action or a pharmacologically acceptable salt thereof would be useful as a preventive and / or therapeutic agent for diseases presenting with chronic musculoskeletal pain.
• the salts can be used as such or in various pharmaceutical forms.
• the pharmaceutical composition of the present invention comprises, as an active ingredient, an effective amount of a compound having adenosine A receptor antagonism or
• compositions are in unit dosage form suitable for rectal, oral or parenteral (including subcutaneous, intravenous and intramuscular) administration.
• any useful pharmacologically acceptable carrier can be used.
• Oral liquid preparations such as, for example, suspensions and syrups, Water, sugars such as sucrose, sorbitol, fructose, daricols such as polyethylene glycol and propylene glycol, oils such as sesame oil, olive oil, soybean oil, preservatives such as p-hydroxybenzoic acid esters, strawberry flavor It can be produced using flavors such as peppermint and peppermint.
• Powders, pills, capsules and tablets include excipients such as lactose, glucose, sucrose and mannitol; disintegrants such as starch and sodium alginate; lubricants such as magnesium stearate and talc; It can be produced using a binder such as polyvinyl alcohol, hydroxypropylcellulose and gelatin, a surfactant such as a fatty acid ester, and a plasticizer such as glycerin. Tablets and capsules are the most useful unit oral dosage forms because of their ease of administration. When manufacturing tablets and capsules, solid pharmaceutical carriers are used.
• An injection can be prepared using a carrier composed of distilled water, a salt solution, a dalkose solution, or a mixture of a salt water and a darcose solution. At this time, it is prepared as a solution, suspension or dispersion using a suitable auxiliary according to a conventional method.
• the salt can be administered orally in the above-mentioned pharmaceutical form or parenterally as an injection or the like.
• the effective dose and the number of administrations vary depending on the administration form, age, weight, and symptoms of the patient. It is appropriate to administer ⁇ 100 mgZ60 kgZ days, preferably 1-20 mgZ60 kgZ days once or several times a day.
• a tablet having the following composition is prepared by a conventional method.
• a capsule having the following compositional power is prepared by a conventional method.
• An injection having the following composition is prepared by a conventional method.
• a compound having adenosine A receptor antagonism or a drug thereof for example, a compound having adenosine A receptor antagonism or a drug thereof
• a prophylactic and / or therapeutic agent for a disease exhibiting chronic musculoskeletal pain which contains a physiologically acceptable salt as an active ingredient, and the like are provided.

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• 2005
  • 2005-03-30 JP JP2006511707A patent/JPWO2005094885A1/ja not_active Withdrawn
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