WO2005097783A1 - Thiocarbamoylprolines - Google Patents

Thiocarbamoylprolines Download PDF

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Publication number
WO2005097783A1
WO2005097783A1 PCT/EP2005/002745 EP2005002745W WO2005097783A1 WO 2005097783 A1 WO2005097783 A1 WO 2005097783A1 EP 2005002745 W EP2005002745 W EP 2005002745W WO 2005097783 A1 WO2005097783 A1 WO 2005097783A1
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Prior art keywords
oxo
salts
formula
solvates
imino
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PCT/EP2005/002745
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German (de)
English (en)
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WO2005097783A8 (fr
Inventor
Werner Mederksi
Christos Tsaklakidis
Dieter Dorsch
Bertram Cezanne
Johannes Gleitz
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Merck Patent Gmbh
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Publication of WO2005097783A1 publication Critical patent/WO2005097783A1/fr
Publication of WO2005097783A8 publication Critical patent/WO2005097783A8/fr

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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
    • C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
    • 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
    • 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

Definitions

  • the invention relates to compounds of the formula I.
  • R is shark, -CsC-H, -C ⁇ CA or OA
  • R 3 H, shark or A R 4 2-oxopiperidin-1-yl, 2-oxopyrrolidin-1-yl, 2-oxo-1H-pyridin-1-yl, 3-oxomorpholin-4- yl, 4-oxo-1 H-pyridin-1-yl, 2-oxo-1 H-pyrazin-1-yl, 2-oxo-imidazoiidin-1-yl, 2-imino-piperidin-1-yl, 2- Imino-pyrrolidin-1-yl, 3-imino-morpholin-4-yl, 2-imino-imidazolidin-1-yl, 2-imino-1 H-pyrazin-1-yl, 2,6-dioxopiperidin-1-yl , 2-oxopiperazin-1-yl, 2,6-dioxopiperazin-1-yl, 2,5-dioxopyrrolidin-1-yl, 2-oxo-1, 3-oxazolidin-3-yl, 3
  • the object of the invention was to find new compounds with valuable properties, in particular those which can be used for the production of medicaments.
  • the compounds of the formula I and their salts have very valuable pharmacological properties with good tolerability.
  • they show factor Xa inhibitory properties and can therefore be used to combat and prevent thromboembolic disorders such as thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty and claudication intermittently.
  • the compounds of the formula I according to the invention can furthermore be inhibitors of the coagulation factors factor VIIa, factor IXa and thrombin of the blood coagulation cascade.
  • Aromatic amidine derivatives with antithrombotic activity are known, for example, from EP 0 540 051 B1, WO 98/28269, WO 00/71508, WO 00/71511, WO 00/71493, WO 00/71507, WO 00/71509, WO 00/71512, WO 00/71515 or WO 00/71516 known.
  • Cyclic guanidines for the treatment of thromboembolic disorders are described, for example, in WO 97/08165.
  • carboxamide derivatives are from WO 02/48099 and WO
  • Pyrrolidine derivatives as inhibitors of the endotheiin converting enzyme are known from WO 02/06222.
  • the antithrombotic and anticoagulant effect of the compounds according to the invention is attributed to the inhibitory activity against the activated coagulation protease, known under the name factor Xa, or to the inhibition of other activated serine proteases such as factor VI la, factor IXa or thrombin.
  • Factor Xa is one of the proteases involved in the complex process of blood clotting. Factor Xa catalyzes the conversion of prothrombin to thrombin. Thrombin cleaves fibrinogen into fibrin monomers which, after cross-linking, make an elementary contribution to thrombus formation. Activation of thrombin can lead to the occurrence of thromboembolic disorders. However, inhibiting thrombin can inhibit fibrin formation involved in thrombus formation.
  • the measurement of the inhibition of thrombin can e.g. using the method of G.F. Cousins et al. in Circulation 1996, 94, 1705-1712.
  • Inhibition of factor Xa can thus prevent thrombin from being formed.
  • the compounds of formula I according to the invention and their salts interfere with the blood coagulation process by inhibiting factor Xa and thus inhibit the formation of thrombi.
  • a suitable method is e.g. by J. Hauptmann et al. in Thrombosis and Haemostasis 1990, 63, 220-223.
  • the measurement of the inhibition of factor Xa can e.g. using the method of T. Hara et al. in thromb. Haemostas. 1994, 71, 314-319.
  • the coagulation factor VIa initiates the extrinsic part of the coagulation cascade after binding to the tissue factor and contributes to the activation of the factor X to factor Xa. Inhibition of factor VIIa thus prevents the formation of factor Xa and thus the subsequent formation of thrombin.
  • the inhibition of the factor VIIa by the compounds according to the invention and the measurement of the anticoagulant and antithrombotic activity can be determined by customary in vitro or in vivo methods.
  • a common method for measuring factor VIIIa inhibition is e.g. by H. F. Ronning et al. in Thrombosis Research 1996, 84, 73-81.
  • Coagulation factor IXa is generated in the intrinsic coagulation cascade and is also involved in the activation of factor X to factor Xa. Inhibition of factor IXa can therefore otherwise prevent factor Xa from being formed.
  • the compounds according to the invention can furthermore be used for the treatment of tumors, tumor diseases and / or tumor metastases.
  • the compounds of formula I can be used as active pharmaceutical ingredients in the
  • thromboembolic disorders such as thrombosis, myocardial infarction, arteriosclerosis, inflammation,
  • Thrombosis myocardial ischemia, unstable angina and thrombosis-based stroke.
  • the compounds according to the invention are also used for the treatment or prophylaxis of atherosclerotic diseases such as coronary arterial disease, cerebral arterial disease or peripheral arterial disease. 5
  • the compounds are also used in combination with other thrombolytics for myocardial infarction, as well as prophylaxis for reocclusion after thrombolysis, percutaneous transluminal angioplasty (PTCA) and coronary bypass surgery.
  • PTCA percutaneous transluminal angioplasty
  • the compounds according to the invention are also used for the prevention of rethrombosis in microsurgery, also as anticoagulants in connection with artificial organs or in hemodialysis.
  • the compounds are also used in the cleaning of catheters and medical aids in patients in vivo, or as anticoagulants for the preservation of blood, plasma and other blood products in vitro.
  • the compounds according to the invention are also used in diseases in which blood coagulation makes a decisive contribution to the course of the disease or is a source of secondary pathology, such as, for example, cancer including metastasis, inflammatory diseases including arthritis, and diabetes.
  • the compounds according to the invention are also used for the treatment of migraines (F. Morales-Asin et al., Headache, 40, 2000, 45-47). Q They can also be used to treat tinnitus.
  • the use of anticoagulants in tinnitus therapy has been described by R. Mora et al. in International Tinnitus Journal (2003), 9 (2), 109-111.
  • the compounds according to the invention are also used in combination with others thrombolytically active compounds are used, such as, for example, the "tissue plasminogen activator" t-PA, modified t-PA, streptokinase or urokinase.
  • thrombolytically active compounds such as, for example, the "tissue plasminogen activator" t-PA, modified t-PA, streptokinase or urokinase.
  • the compounds according to the invention are administered with the other substances mentioned either simultaneously or before or after.
  • the simultaneous administration with aspirin is particularly preferred
  • the compounds according to the invention are also used in combination with platelet glycoprotein receptor (llb / llla) -
  • Antagonists that inhibit platelet aggregation.
  • the invention relates to the compounds of the formula I and their salts and to a process for the preparation of compounds of the formula I according to claims 1-9 and their pharmaceutically usable
  • R 3 wherein R 1 , R 2 , R 3 and R 4 have the meaning given in claim 1,
  • R, R 1 and R 2 have the meanings given in Claim 1,
  • the invention also relates to the optically active forms (stereoisomers), the enantiomers, the racemates, the diastereomers and the hydrates and solvates of these compounds.
  • Solvates of the compounds are understood to mean the addition of inert solvent molecules to the compounds, which are formed on account of their mutual attraction. Solvates are, for example, mono- or dihydrates or alcoholates.
  • compositions are e.g. the salts of the compounds according to the invention and also so-called prodrug compounds.
  • Prodrug derivatives are understood with z. B. alkyl or acyl groups, sugars or oligopeptides modified compounds of formula I, which are quickly cleaved in the organism to the active compounds of the invention.
  • the invention also relates to mixtures of the compounds of the formula I according to the invention, e.g. Mixtures of two diastereomers e.g. in a ratio of 1: 1, 1: 2, 1: 3, 1: 4, 1: 5, 1: 10, 1: 100 or 1: 1000. These are particularly preferably mixtures of stereoisomeric compounds.
  • R, R 1 , R 2 , R 3 , R 4 have the meanings given in the formula I, unless expressly stated otherwise.
  • A means alkyl, is unbranched (linear) or branched, and has 1, 2, 3, 4,
  • A is preferably methyl, furthermore ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl or tert.-
  • Butyl also pentyl, 1-, 2- or 3-methylbutyl, 1, 1-, 1, 2- or 2,2-
  • Cycloalkyl preferably means cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl or cycloheptyl.
  • A therefore also preferably denotes cyclopentylmethyl, cyclohexyimethyl,
  • A very particularly preferably denotes alkyl having 1, 2, 3, 4, 5 or 6 carbon atoms, preferably methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl, tert .-Butyl, pentyl, hexyl, trifluoromethyl, pentafluoroethyl or 1, 1, 1-trifluoroethyl.
  • R is preferably shark or -C ⁇ C-H.
  • R 2 preferably denotes H.
  • R 3 preferably denotes H, methyl, F or Cl.
  • R 4 is preferably 2-oxopiperidin-1-yl, 2-oxopyrrolidin-1-yl, 2-oxo-1 H-pyridin-1-yl, 3-oxomorpholin-4-yl, 4-oxo -1H-pyridin-1-yl, 2-oxo-1 H-pyrazin-1-yl, 2-oxo-imidazolidin-1-yl, 2-imino-piperidin-1-yl, 2-imino-pyrralidin-1- yl, 3-imino-morpholin-4-yl, 2-imino-imidazolidin-1-yl, 2-imino
  • Oxo-morpholin-4-yl The compounds of formula I can have one or more chiral centers and therefore exist in various stereoisomeric forms.
  • the invention relates in particular to those compounds of the formula I in which at least one of the radicals mentioned has one of the preferred meanings indicated above.
  • R 1 is OH, OA or -O- (CH 2 ) m -OA;
  • R 4 is 2-oxopiperidin-1-yl, 2-oxopyrrolidin-1-yl, 2-oxo-1 H-pyridin-1-yl or 3-oxomorpholin-4-yl; in lf R 3 Hai or -C ⁇ CH, R 1 OH, OA or -0- (CH 2 ) m -OA, R 2 H or A,
  • R 3 H shark or A
  • R 4 2-oxo-piperidin-1-yl, 2-oxo-pyrrolidin-1-yl, 2-oxo-1H-pyridin-1-yl, 3-oxo-morpholin-4- yl, 4-oxo-1H-pyridin-1-yl, 2-oxo-l b -pyrazine-1-yl, 2-oxo-imidazolidin-1-yl,
  • ⁇ c A unbranched, branched or cyclic alkyl having 1-12 C atoms, in which 1-7 H atoms can also be replaced by F and / or chlorine, shark F, Cl, Br or I, m 1, 2, 3 or 4, means;
  • R 4 2-oxo-piperidin-1-yl, 2-oxo-pyrrolidin-1-yl, 2-oxo-1H-pyridin-1-yl or 3-oxo-morpholin-4 -yl, A unbranched or branched alkyl with 1-6 C-
  • the starting materials can also be formed in situ, so that they are not isolated from the reaction mixture, but instead are immediately reacted further to give the compounds of the formula I.
  • the reaction is usually carried out in an inert solvent.
  • the reaction time is between a few minutes and 14 days
  • the reaction temperature is between about 0 ° C. and 150 °, normally between 20 ° and 130 °.
  • suitable inert solvents are water; Hydrocarbons such as hexane, petroleum ether, benzene, toluene or xylene; chlorinated hydrocarbons such as trichlorethylene, 1, 2-dichloroethane, carbon tetrachloride, chloroform or dichloromethane; Alcohols such as methanol, ethanol, isopropanol, n-propanol, n-butanol or tert-butanol; Ethers such as diethyl ether, diisopropyl ether, tetrahydrofuran (THF) or dioxane; Glycol ethers such as ethylene glycol monomethyl or monoethyl ether (methyl glycol or ethyl glycol), ethylene glycol dimethyl ether (diglyme); Ketones such as acetone or butanone; Amides such as acetamide, dimethylacetamide or dimethylformamide (DMF); Nitriles,
  • the starting compounds of the formulas III and IV are generally known. If they are new, they can be manufactured according to methods known per se.
  • L is preferably Cl, Br, I or a reactively modified OH group such as e.g. an activated
  • Esters an imidazolide or alkylsulfonyloxy with 1-6 C atoms (preferably methylsulfonyloxy or thfluoromethylsulfonyloxy) or arylsulfonyloxy with 6-10 C atoms (preferably phenyl- or p-tolylsulfonyloxy).
  • residues for activating the carboxy group in typical acylation reactions are described in the literature (e.g. in the standard works such as Houben-Weyl, Methods of Organic Chemistry, Georg-Thieme-Verlag, Stuttgart;).
  • Activated esters are conveniently formed in situ, e.g. B. by adding HOBt or N-hydroxysuccinimide.
  • the reaction is usually carried out in an inert solvent, in the presence of an acid-binding agent, preferably an alkali metal or alkaline earth metal hydroxide, carbonate or bicarbonate or another salt of a weak acid of the alkali metal or alkaline earth metal, preferably potassium, sodium, calcium or cesium.
  • an acid-binding agent preferably an alkali metal or alkaline earth metal hydroxide, carbonate or bicarbonate or another salt of a weak acid of the alkali metal or alkaline earth metal, preferably potassium, sodium, calcium or cesium.
  • an organic base such as triethylamine, dimethylaniline, pyridine or quinoline or an excess of the amine component of the formula
  • Suitable inert solvents are, for example, hydrocarbons such as hexane, petroleum ether, benzene, toluene or xylene; chlorinated hydrocarbons such as 5 trichlorethylene, 1, 2-dichloroethane, carbon tetrachloride, chloroform or dichloromethane; Alcohols such as methanol, ethanol, isopropanol, n-propanol, n-butanol or tert-butanol; Ethers such as diethyl ether, diisopropyl ether, tetrahydrofuran (THF) or dioxane; Glycol ethers such as ethylene glycol mono-
  • methyl or monoethyl ether methyl glycol or ethyl glycol
  • ethylene glycol dimethyl ether diglyme
  • Ketones such as acetone or butanone
  • Amides such as acetamide, dimethylacetamide or dimethylformamide (DMF); Nitriles such as acetonitrile
  • Sulfoxides such as dimethyl sulfoxide (DMSO); Sulfur-
  • Carboxylic acids such as formic acid or acetic acid
  • Nitro compounds such as nitromethane or nitrobenzene
  • Esters such as ethyl acetate or mixtures of the solvents mentioned.
  • Esters can e.g. are saponified with acetic acid or with NaOH or KOH in water, 0 water-THF or water-dioxane at temperatures between 0 and 100 °.
  • compositions according to the invention mentioned can be used in their final non-salt form.
  • present invention also includes the use of these compounds in the form of their pharmaceutically acceptable salts, which are derived from various organic radicals.
  • bases are, for example, alkali metal hydroxides, including potassium hydroxide, sodium hydroxide and lithium hydroxide; Alkaline earth metal hydroxides such as barium hydroxide and calcium hydroxide; Alkali metal alcoholates, for example potassium ethanolate and sodium propanolate; as well as various organic bases such as piperidine, diethanolamine and 5 N-methylglutamine.
  • alkali metal hydroxides including potassium hydroxide, sodium hydroxide and lithium hydroxide
  • Alkaline earth metal hydroxides such as barium hydroxide and calcium hydroxide
  • Alkali metal alcoholates for example potassium ethanolate and sodium propanolate
  • various organic bases such as piperidine, diethanolamine and 5 N-methylglutamine.
  • the aluminum salts of the compounds of formula I also count.
  • acid addition salts can be formed by treating these compounds with pharmaceutically acceptable organic and inorganic
  • Hydrogen halides such as hydrogen chloride, hydrogen bromide or hydrogen iodide, other mineral acids and their corresponding salts such as sulfate, nitrate or phosphate and the like, and alkyl and monoarylsulfonates such as ethanesulfonate, toluenesulfonate and benzenesulfonate,
  • pharmaceutically acceptable acid addition salts of the compounds of the formula I include the following: acetate, adipate, alginate, arginate, aspartate,
  • Alkali metal salts sodium and potassium, as well as the alkaline earth metal salts sodium and potassium, as well as the alkaline earth metal salts
  • Deriving bases include salts of primary, secondary and tertiary amines, substituted amines, including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, e.g.
  • Arginine betaine, caffeine, chlorprocaine, choline, N.N'-dibenzylethylenediamine (benzathine), dicyclohexylamine, diethanolamine, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, Glucosamine, histidine,
  • Tromethamine Hydrabamine, iso-propylamine, lidocaine, lysine, meglumine, N-methyl-D-glucamine, morpholine, piperazine, piperidine, polyamine resins, procain, purines, theobromine, triethanolamine, triethylamine, trimethylamine, tripropylamine and tris (hydroxymethyl) methylamine ( Tromethamine), but this should not be a limitation.
  • Compounds of the present invention which contain basic nitrogen-containing groups can with agents such as (-C-C) alkyl halides, for example methyl, ethyl, isopropyl and tert-butyl chloride, bromide and iodide; Di (-C 4 ) alkyl sulfates, such as dimethyl, diethyl and diamyl sulfate; (C10-C ⁇ s) alkyl halides, for example decyl, dodecyl, lauryl, myristyl and stearyl chloride, bromide and iodide; and quaternize aryl (CrC) alkyl halides, for example benzyl chloride and phenethyl bromide.
  • Such salts can be used to prepare both water-soluble and oil-soluble compounds according to the invention.
  • the above-mentioned pharmaceutical salts which are preferred include acetate, trifluoroacetate, besylate, citrate, fumarate, gluconate, hemisuccinate, hippurate, hydrochloride, hydrobromide, isethionate, mandelate, Meglumine, nitrate, oleate, phosphonate, pivalate, sodium phosphate, stearate, sulfate, sulfosalicylate, tartrate, thiomalate, tosylate and tromethamine, but this is not intended to be a limitation.
  • the free base can be obtained by contacting the salt form with a base and isolating the free base to conventional ones
  • the free base forms differ in a sense from their corresponding salt forms in terms of certain physical properties such as solubility in polar solvents; in the context of the invention, however, the salts otherwise correspond to their respective free base forms.
  • the pharmaceutically acceptable base addition salts of the compounds of the formula I are formed with metals or amines such as alkali metals and alkaline earth metals or organic amines.
  • metals are sodium, potassium, magnesium and calcium.
  • Preferred organic amines are N.N'-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, N-methyl-D-glucamine and procaine.
  • the base addition salts of acidic compounds according to the invention are prepared by contacting the free acid form with a sufficient amount of the desired base, whereby the salt is prepared in the usual way.
  • the free acid can be regenerated in a conventional manner by contacting the salt form with an acid and isolating the free acid.
  • the free acid forms differ in a sense from their corresponding salt forms in terms of certain physical properties such as solubility in polar solvents; in the context of the invention, however, the salts otherwise correspond to their respective free acid forms. If a compound according to the invention contains more than one group which can form such pharmaceutically acceptable salts, this includes
  • Invention also multiple salts.
  • Typical multiple salt forms include, for example, bitartrate, diacetate, difumarate, dimeglumine,
  • the term "pharmaceutically acceptable salt” in the present context is to be understood as meaning an active ingredient which contains a compound of the formula I in the form of one of its salts, in particular when this salt form contains the active ingredient Gives improved pharmacokinetic properties when compared to the free form of the active ingredient or any other salt form of the active ingredient used previously.
  • the pharmaceutically acceptable salt form of the active ingredient can also give this active ingredient a desired pharmacokinetic property which it did not previously have, and can even have a positive influence on the pharmacodynamics of this active ingredient with regard to its therapeutic effectiveness in the body.
  • the pharmaceutical activity of the racemates or the stereoisomers of the compounds according to the invention can differ, it may be desirable to use the enantiomers.
  • the end product or even the intermediates can be converted into enantiomeric compounds by chemical agents known to the person skilled in the art or physical measures, separated or already used as such in the synthesis.
  • diastereomers are formed from the mixture by reaction with an optically active release agent.
  • Suitable release agents are e.g. optically active acids, such as the R and S forms of tartaric acid, diacetyltartaric acid, dibenzoyltartaric acid, mandelic acid, malic acid, lactic acid, suitable N-protected amino acids (e.g. N-benzoylproline or N-benzenesulfonylproline) or the various optically active camphorsulfonic acids.
  • Aqueous or alcoholic solvent mixtures such as e.g. Hexane / isopropanol / acetonitrile e.g. in the ratio 82: 15: 3.
  • the invention further relates to the use of the compounds of the formula I and / or their physiologically acceptable salts for the production of a medicament (pharmaceutical preparation), in particular in a non-chemical way. They can be brought into a suitable dosage form together with at least one solid, liquid and / or semi-liquid carrier or auxiliary and, if appropriate, in combination with one or more further active ingredients.
  • the invention further relates to medicaments containing at least one compound of the formula I and / or its pharmaceutically usable derivatives, solvates and stereoisomers, including their mixtures in all ratios, and, if appropriate, carriers and / or auxiliaries.
  • compositions can be presented in the form of doses that contain a predetermined amount of active ingredient per dose unit. be enough.
  • a unit can contain, for example, 0.5 mg to 1 g, preferably 1 mg to 700 mg, particularly preferably 5 mg to 100 mg, of a compound according to the invention, depending on the compound treated
  • Condition of the patient, or pharmaceutical formulations can be in
  • dosage unit included.
  • Preferred dosage unit formulations are those containing a daily dose or partial dose as indicated above, or a corresponding fraction thereof
  • compositions can be administered for administration by any suitable route, for example by oral (including buccal or sublingual), rectal, nasal, topical (including buccal, sublingual or transdermal), vaginal or parenteral (including subcutaneous, intramuscular, intravenous or intradermal). Ways to customize.
  • Such formulations can be produced using all methods known in the pharmaceutical field, for example by bringing the active ingredient together with the carrier (s) or auxiliary (s).
  • compositions adapted for oral administration can be used as separate units, such as capsules or tablets; Powder or granules; Solutions or suspensions in aqueous or non-aqueous liquids; edible foams or foam dishes; or oil-in-water liquid emulsions or water-in-oil liquid emulsions.
  • the active ingredient component can be combined with an oral, non-toxic and pharmaceutically acceptable inert carrier, such as ethanol, glycerol, water and others. Powders are made by crushing the compound to a suitable fine size and using a similarly crushed pharmaceutical
  • Carrier e.g. an edible carbohydrate such as
  • Starch or mannitol is mixed.
  • a flavor, preservative, dispersant and color may also be present.
  • Capsules are made by making a powder mixture as described above and filling shaped gelatin shells with it.
  • Lubricants such as e.g. finely divided silica, talc, magnesium stearate, calcium stearate or polyethylene glycol in solid form can be added to the powder mixture before the filling process.
  • a disintegrant or solubilizer e.g. Agar, calcium carbonate or sodium carbonate can also be added to improve the availability of the medication after taking the capsule.
  • suitable binding agents can also be incorporated into the mixture.
  • suitable binders include starch, gelatin, natural sugars such as glucose or beta-lactose, sweeteners from corn, natural and synthetic gums such as acacia, tragacanth or sodium alginate, carboxymethyl cellulose, polyethylene glycol, waxes, etc.
  • Lubricants include sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and others.
  • the disintegrants include, but are not limited to, starch, methyl cellulose, agar, bentonite, xanthan gum and others.
  • the tablets are formulated by, for example, producing, granulating or mixing a powder mixture is pressed dry, a lubricant and a disintegrant are added and the whole thing is compressed into tablets.
  • a powder mixture is produced by the compound, which has been comminuted in a suitable manner, with a diluent or a base, as described above, and optionally with a binder, such as, for example, carboxymethyl cellulose, an alginate, gelatin or polyvinylpyrrolidone, a solution-reducing agent, such as, for example, paraffin Absorption accelerators, such as a quaternary salt and / or an absorbent, such as bentonite,
  • Kaolin or dicalcium phosphate is mixed.
  • the powder mixture can be granulated by mixing it with a binder such as e.g. Syrup, starch paste, Acadia slime or solutions made of cellulose or polymer materials are wetted and pressed through a sieve.
  • a binder such as e.g. Syrup, starch paste, Acadia slime or solutions made of cellulose or polymer materials are wetted and pressed through a sieve.
  • the powder mixture can be run through a tabletting machine, resulting in irregularly shaped lumps which are broken up into granules.
  • the granules can be greased by adding stearic acid, a stearate salt, talc or mineral oil to prevent sticking to the tablet molds. The greased mixture is then compressed into tablets.
  • the compounds according to the invention can also be combined with a free-flowing inert carrier and then pressed directly into tablets without carrying out the granulation or dry compression steps.
  • a transparent or opaque protective layer consisting of a shellac seal, a layer of sugar or polymer material and a gloss layer of wax may be present. Dyes can be added to these coatings in order to be able to differentiate between different dosage units.
  • Oral liquids such as solution, syrups and elixirs can be prepared in the form of dosage units so that a given quantity contains a given amount of the compound.
  • Syrups can be made by dissolving the compound in an aqueous solution with a suitable taste, while elixirs are made using a non-toxic alcoholic vehicle.
  • Suspensions can be formulated by dispersing the compound in a non-toxic vehicle.
  • Solubilizers and emulsifiers such as ethoxylated isostearyl alcohols and polyoxyethylene sorbitol ethers,
  • flavor additives e.g. Peppermint oil or natural sweeteners or saccharin or other artificial sweeteners, including can also be added.
  • Dosage unit formulations for oral administration can optionally be enclosed in microcapsules.
  • the formulation can also be prepared by prolonging or retarding the release, such as by coating or embedding particulate material in polymers, wax, etc.
  • the compounds of the formula I and salts, solvates and physiologically functional derivatives thereof can also be in the form of liposome delivery systems, such as administer small unilamellar vesicles, large unilamelar vesicles and multilamellar vesicles.
  • Liposomes can be made from various phospholipids, e.g. Cholesterol, stearylamine or phosphatidylcholines.
  • the compounds of the formula I and the salts, solvates and physiologically functional derivatives thereof can also be supplied using monoclonal antibodies as individual carriers to which the compound molecules are coupled.
  • the compounds can also be coupled with soluble polymers as targeted drug carriers.
  • Such polymers can include polyvinylpyrrolidone, pyran copolymer, polyhydroxypropyl methacrylamide phenol, polyhydroxyethylaspartamide phenol or polyethylene oxide polylysine substituted with palmitoyl residues.
  • the compounds can be linked to a class of biodegradable polymers which are suitable for achieving a controlled release of a pharmaceutical, for example polylactic acid, polyepsilon-caprolactone, polyhydroxybutyric acid, polyorthoesters, polyacetals, polydihydroxy- pyrans, polycyanoacrylates and cross-linked or amphipatic block copolymers of hydrogels.
  • a pharmaceutical for example polylactic acid, polyepsilon-caprolactone, polyhydroxybutyric acid, polyorthoesters, polyacetals, polydihydroxy- pyrans, polycyanoacrylates and cross-linked or amphipatic block copolymers of hydrogels.
  • compositions adapted for transdermal administration can be administered as independent patches for prolonged, close contact with the epidermis of the recipient.
  • the active ingredient can be supplied from the patch by means of iontophoresis, as in Pharmaceutical Research, 3 (6), 318 (1986)
  • Pharmaceutical compounds adapted for topical administration can be formulated as ointments, creams, suspensions, lotions, powders, solutions, A 5 pastes, gels, sprays, aerosols or oils.
  • the formulations are preferably applied as a topical ointment or cream.
  • the active ingredient 0 can be used either with a paraffinic or with a water-miscible cream base.
  • the active ingredient can be formulated into a cream with an oil-in-water cream base or a water-in-oil base.
  • Pharmaceutical formulations adapted for topical application to the eye include eye drops, the active ingredient being dissolved or suspended in a suitable carrier, in particular an aqueous solvent.
  • compositions adapted for topical application in the mouth include lozenges, lozenges and mouthwashes.
  • Pharmaceutical formulations adapted for rectal administration can be administered in the form of suppositories or enemas.
  • Pharmaceutical formulations adapted for nasal administration, in which the carrier substance is a solid, contain a coarse powder with a particle size, for example in the range from 20-500
  • nasal drops with a liquid as the carrier substance comprise active ingredient solutions in water or oil.
  • compositions adapted for administration by inhalation comprise fine particulate dusts or mists which can be generated by means of various types of pressurized metering dispensers with aerosols, nebulizers or insufflators.
  • compositions adapted for vaginal administration can be administered as pessaries, tampons, creams, gels, pastes, foams or spray formulations.
  • compositions adapted for parenteral administration include 5 aqueous and non-aqueous sterile injection solutions containing antioxidants, buffers, bacteriostatics and solutes by which the formulation is rendered isotonic with the blood of the recipient to be treated; as well as aqueous and non-aqueous sterile suspensions, which may contain suspending agents and thickeners.
  • the formulations can be presented in single dose or multiple dose containers, e.g. sealed ampoules and vials, and stored in a freeze-dried (lyophilized) state so that only the addition of the sterile carrier liquid, e.g. water for 5 injections, is required immediately before use.
  • Injection solutions and suspensions prepared according to the recipe can be made from sterile powders, granules and tablets.
  • formulations may contain, in addition to the above-mentioned ingredients, other means common in the art with respect to the particular type of formulation; for example, formulations suitable for oral administration may contain flavorings.
  • a therapeutically effective amount of a compound of Formula I depends on a number of factors, including e.g. the age and weight of the animal, the exact condition of the disease that requires treatment, its severity, the nature of the formulation and the route of administration, and is ultimately determined by the treating doctor or veterinarian.
  • an effective amount of a compound of the invention is generally in the range of 0.1 to 100 mg / kg of body weight of the recipient (mammal) per day and particularly typically in the range of 1 to 10 mg / kg of body weight per day.
  • the actual amount per day would usually be between 70 and 700 mg, which amount as a single dose per day or more usually in a series of divided doses (such as two, three, four, five or six) per Day can be given so that the total daily dose is the same.
  • An effective amount of a salt or solvate or a physiologically functional derivative thereof can be determined as a proportion of the effective amount of the compound of the invention per se.
  • the compounds of the formula I and their physiologically acceptable salts can be used to combat and prevent thromboembolic disorders such as thrombosis, myocardial infarction,
  • Arteriosclerosis inflammation, apoplexy, angina pectoris, restenosis after angioplasty, intermittent claudication, migraines, tinnitus, tumors, tumor diseases and / or tumor metastases.
  • the invention furthermore relates to medicaments comprising at least one compound of the formula I and / or their pharmaceutically usable derivatives, solvates, salts and stereoisomers, including their mixtures in all ratios, and at least one further medicament drug.
  • the invention also relates to a set (kit) consisting of separate packs of
  • the set contains suitable containers, such as boxes or cartons, individual bottles, bags or ampoules.
  • the set can e.g. contain separate ampoules, in each of which an effective amount of a compound of formula I and / or its pharmaceutically usable derivatives, solvates, salts and stereoisomers, including their mixtures in all ratios, and an effective amount of a further active pharmaceutical ingredient are dissolved or in lyophilized form ,
  • the invention furthermore relates to the use of compounds of the formula I and / or their pharmaceutically usable derivatives, solvates, salts and stereoisomers, including their mixtures in all ratios, for the manufacture of a medicament for the treatment of thrombosis, myocardial infarction, arteriosclerosis, inflammation, apoplexy, angina pectoris, restenosis after angioplasty, intermittent claudication, migraine, tinnitus, tumors, tumor diseases and / or tumor metastases, in combination with at least one further active pharmaceutical ingredient.
  • Example A Injection glasses
  • a solution of 100 g of an active ingredient of the formula I and 5 g of disodium hydrogenphosphate is adjusted to pH 6.5 in 3 l of double-distilled water with 2N hydrochloric acid, sterile filtered, filled into injection glasses, lyophilized under sterile conditions and sealed sterile. Each injection jar contains 5 mg of active ingredient.
  • a mixture of 20 g of an active ingredient of the formula I is melted with 100 g of soy lecithin and 1400 g of cocoa butter, poured into molds and allowed to cool. Each suppository contains 20 mg of active ingredient.
  • a solution of 1 g of an active ingredient is prepared of the formula I, 9.38 g of NaH 2 P0 4 • 2 H 2 0, 28.48 g Na 2 HP0 4 • 12 H 2 0 and 0.1 g of benzalkonium chloride in 940 ml of double distilled water. Adjust to pH 6.8 makes up to 1 l and sterilized by radiation. This solution can be used in the form of eye drops.
  • Example D ointment
  • 500 mg of an active ingredient of the formula I are mixed with 99.5 g of petroleum jelly under aseptic conditions.
  • Example E Tablets A mixture of 1 kg of active ingredient of the formula I, 4 kg of lactose, 1, 2 kg of potato starch, 0.2 kg of talc and 0.1 kg of magnesium stearate is compressed into tablets in a conventional manner such that each tablet contains 10 mg Contains active ingredient.
  • Example F coated tablets
  • Example E tablets are pressed, which are then coated in a conventional manner with a coating of sucrose, potato starch, talc, tragacanth and dye.
  • Example G capsules
  • each capsule contains 20 mg of the active ingredient.
  • a solution of 1 kg of active ingredient of the formula I in 60 l of double-distilled water is sterile filtered, filled into ampoules, lyophilized under sterile conditions and sealed under sterile conditions. Each ampoule contains 10 mg of active ingredient.

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Abstract

L'invention concerne de nouveaux composés de la formule (I) où R, R1, R2, R3 et R4 ont la signification donnée dans la revendication l. Ces composés sont des inhibiteurs du facteur de coagulation Xa et peuvent être utilisés pour prévenir et/ou traiter des maladies thromboemboliques et pour traiter des tumeurs.
PCT/EP2005/002745 2004-04-03 2005-03-15 Thiocarbamoylprolines WO2005097783A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE102004016605.6 2004-04-03
DE102004016605A DE102004016605A1 (de) 2004-04-03 2004-04-03 Thiocarbamoylproline

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WO2005097783A1 true WO2005097783A1 (fr) 2005-10-20
WO2005097783A8 WO2005097783A8 (fr) 2007-04-19

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1070714A1 (fr) * 1998-04-10 2001-01-24 Japan Tobacco Inc. Composes d'amidine
WO2003045912A1 (fr) * 2001-11-29 2003-06-05 Warner-Lambert Company Llc Inhibiteurs du facteur xa et autres serine proteases intervenant dans la cascade de la coagulation
WO2004087696A1 (fr) * 2003-04-03 2004-10-14 Merck Patent Gmbh Derives de l'acide pyrazolidine-1,2-dicarboxylique-1-(phenylamide)-2-(phenylamide) comme inhibiteurs du facteur de coagulation xa dans le traitement de thromboses
WO2004110433A1 (fr) * 2003-06-18 2004-12-23 Merck Patent Gmbh Derives d'acide pyrrolidine-1,2-dicarboxylique-1-[(4-ethinyl-phenyl)-amide]-2-[(phenyl)-amide] utilises comme inhibiteurs des facteurs de coagulation xa et viia pour le traitement de thromboses

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1070714A1 (fr) * 1998-04-10 2001-01-24 Japan Tobacco Inc. Composes d'amidine
WO2003045912A1 (fr) * 2001-11-29 2003-06-05 Warner-Lambert Company Llc Inhibiteurs du facteur xa et autres serine proteases intervenant dans la cascade de la coagulation
WO2004087696A1 (fr) * 2003-04-03 2004-10-14 Merck Patent Gmbh Derives de l'acide pyrazolidine-1,2-dicarboxylique-1-(phenylamide)-2-(phenylamide) comme inhibiteurs du facteur de coagulation xa dans le traitement de thromboses
WO2004110433A1 (fr) * 2003-06-18 2004-12-23 Merck Patent Gmbh Derives d'acide pyrrolidine-1,2-dicarboxylique-1-[(4-ethinyl-phenyl)-amide]-2-[(phenyl)-amide] utilises comme inhibiteurs des facteurs de coagulation xa et viia pour le traitement de thromboses

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DE102004016605A1 (de) 2005-10-20

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