WO2012016314A1 - Arachidonic acid-derived coxib analogue-substituted compounds for use in treating pain - Google Patents

Arachidonic acid-derived coxib analogue-substituted compounds for use in treating pain Download PDF

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WO2012016314A1
WO2012016314A1 PCT/BR2011/000275 BR2011000275W WO2012016314A1 WO 2012016314 A1 WO2012016314 A1 WO 2012016314A1 BR 2011000275 W BR2011000275 W BR 2011000275W WO 2012016314 A1 WO2012016314 A1 WO 2012016314A1
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celecoxib
coxible
acid derivative
derivative compounds
arachidonic acid
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PCT/BR2011/000275
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French (fr)
Portuguese (pt)
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WO2012016314A9 (en
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André AUGUSTO GOMES FARACO
Janetti Nogueira De Francischi
Rafael Machado Rezende
Patrícia PAIVA LIMA
Webster Glayser Pimenta Dos Reis
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Universidade Federal De Minas Gerais - Ufmg
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D231/00Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
    • C07D231/02Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
    • C07D231/10Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
    • C07D231/12Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D261/00Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings
    • C07D261/02Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings not condensed with other rings
    • C07D261/06Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings not condensed with other rings having two or more double bonds between ring members or between ring members and non-ring members
    • C07D261/08Heterocyclic compounds containing 1,2-oxazole or hydrogenated 1,2-oxazole rings not condensed with other rings having two or more double bonds between ring members or between ring members and non-ring members with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to ring carbon atoms
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/04Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond

Definitions

  • the present invention describes the production of arachidonic acid derivative compounds substituted with coxib analogs and their salts for treating pain.
  • the invention further comprises pharmaceutical compositions containing arachidonic acid derivative compounds substituted with coxib analogs, their pharmaceutically acceptable salts and excipients for the treatment of pain.
  • the analgesics comprised by the invention may be used alone or in combination with other analgesics to relieve mild, moderate or severe pain.
  • NSAIDs generally have three pharmacological properties common to each of them: anti-inflammatory, analgesic and antipyretic properties.
  • the antiinflammatory property includes, for example, reduction of swelling; analgesia is related to the relief of mild to moderate pain, usually associated with inflammation, and the anti-thermal property is related to fever reduction.
  • aspirin has been shown to inhibit prostaglandin synthesis, a group of compounds endogenously formed during inflammation that is now known to be primarily responsible for the onset of inflammation and inflammatory pain.
  • the target of the action of aspirin and its pharmacological correlates in the body comprises a family of enzymes called cyclooxygenases (COXs), present in virtually all cells of the body, that transform a normally inactive cell membrane component into substances with broad biological activity. , called “prostaglandins”.
  • COXs cyclooxygenases
  • Aspirin and analogues therefore, when interacting with COXs, inhibit prostaglandin synthesis, whose functional consequence varies according to the cell type involved.
  • prostaglandins are continuously synthesized in the body at low concentrations, contributing to the maintenance of homeostasis, especially in the gastrointestinal tract, and kidneys. They are also produced by platelets, being called in this case thromboxanes. When cell damage or alteration occurs, prostaglandins are synthesized in increasing amounts, depending on the degree of injury, leading to the appearance of inflammatory signs and symptoms. Therefore, it is the increase of prostaglandins at the inflammation site that will cause the deleterious effects associated with it.
  • aspirin and its analogs when used to inhibit prostaglandin synthesis in inflammation, have beneficial effects, alleviating inflammation.
  • these beneficial effects are also accompanied by unpleasant effects related to the stomach and kidneys, for example, in which case they are called side or adverse effects.
  • COXs Cyclooxygenases
  • the first selective drugs for COX 2 were synthesized, the group of which was called "coxibes” (selective cyclooxygenase 2 inhibitors), which were rapidly introduced to the world market from 1999, including Brazil (Penning, TB; Talley, JJ; Bertenshaw, SR; Carter, JS; Collins, PW; Docter, S.; Granite, MJ; Lee, LF; Malecha, JW; Miyashiro, JM; Rogers, RS; Rogier, DJ; Yu, SS ; Anderson, GD; Burton, EG; Cogburn, JN; Gregory, SA; Koboldt, CM; Perkins, WE; Seibert, K.; Veenhuizen, AW; Zhang, YY; Isakson, PC 1997.
  • coxibes selective cyclooxygenase 2 inhibitors
  • the first selective COX 2 inhibitors marketed were celecoxib and rofecoxib, released by the Food and Drug Administration (FDA) for use in the chronic treatment of rheumatoid arthritis and osteoarthritis. These compounds were a bestseller, followed in Brazil by etoricoxib, valdecoxib, and more recently lumiracoxib, the latter being introduced in 2005. (Shi S, Klotz U. (2008). 2 inhibitors Eur. J. Clin. Pharmacol 64 (3): 233-252). Other coxibs for veterinary use were also developed.
  • FDA Food and Drug Administration
  • Literature data have shown that cannabinoid receptor activation leads to the synthesis and release of endogenous opioids (Corchero J, Avila MA, Fuentes JA, Manzaneres J, 1997. Delta 9-tetrahydrocannabinol increases prodynorphin and proenkephalin gene expression in the spinal cord of the rat Life Sciences 61: L39-L43).
  • CB2 cannabinoid agonist
  • the FAAH (Fatty Acid Hydrolase) inhibitor which is involved in endogenous cannabinoid metabolism (Cravatt BF, Gianq DK, Mayfield SP, Boger DL, Lerner RA, Gilula NB, was administered to the central nervous system of rats). 1996. Molecular characterization of an enzyme that degrades neuromodulatory fatty acids (Nature 384 (6604): 83-87).
  • Patent application PI 0802850-8 reports the use of compound OSU 03012 and its derivatives for the treatment of painful conditions in mammals (human and veterinary use), and supports the argument that the hypoalgesic mechanism of coxibs does not involve COX inhibition. -2.
  • US5760068, US5466823, US5563165 describe classes of pyrazolyl benzene sulfonamides compounds, or pharmaceutically acceptable salts thereof for use in treating inflammation and related disorders.
  • EP0418845 describes new pyrazole derivatives and their pharmaceutically acceptable salts with antiinflammatory, analgesic and antithrombotic activity.
  • an alternative treatment may mean improved quality of life and consequent reduction in the occurrence of comorbidities.
  • coxib derivatives discussed in this application may be used alone or in combination with other analgesics to treat mild, moderate or severe pain, in which other proven analgesics have not had the desired effect.
  • the present invention describes the production of arachidonic acid derivative compounds substituted with coxib analogs and their salts for treating pain, having the following structural formula:
  • R is selected from the group comprising:
  • the invention further comprises pharmaceutical compositions containing arachidonic acid derivative compounds substituted with coxib analogs, their pharmaceutically acceptable salts and excipients for the treatment of pain.
  • the analgesics comprised by the invention may be used alone or in combination with other analgesics to relieve mild, moderate or severe pain.
  • Standard compositions may be liquid, solid or semi-solid.
  • the liquid preparations may be in the form of solution, syrup, elixir, suspension, emulsion, tincture or enema.
  • the semisolids in the form gels, ointments, creams or pastes and solids in the form of capsules, tablets, dragees or lozenges.
  • excipients include methylcellulose, hydroxypropylcellulose, hydroxyethylcellulose, carboxymethylcellulose, polymers derived from acrylic and methacrylic acid, polyethylene glycols, solid vaseline, solid paraffin, lanolin, vegetable oils, mineral oil, cetyl alcohol, sterile alcohol, cetostearyl alcohol, glyceryl monostearate, of cetyl esters, nonionic and anionic self-emulsifying wax and sodium lauryl sulfate, for semi-solid dosage forms.
  • Binders disintegrants, diluents, lubricants, surfactants such as cellulose, lactose, starch, mannitol, magnesium stearate, talc, colloidal silicon dioxide, magnesium oxide and kaolin for solid preparations.
  • solubilizers and surfactants such as glycerine, propylene glycol and sucrose may be used.
  • Excipients may also contain minor amounts of additives as substances that increase the isotonicity and chemical stability of preservatives, chelators and stabilizers.
  • additives include phosphate buffer, bicarbonate buffer and Tris buffer, thimerosal, m- or o-cresol, formalin, benzyl alcohol, parabens, EDTA, BHA, BHT; in addition to sweeteners, colorings and flavorings.
  • compositions may be administered intramuscularly, intravenously, topically, orally, by inhalation or as devices that may be implanted or injected.
  • celecoxib administered via the icv (intracerebroventricular) route and the other reagent, arachidonic acid (AA) would have increased CNS concentrations due to the carrageenan-induced inflammatory process.
  • both celecoxib and AA could be combined by the action of FAAH, forming a new product capable of activating cannabinoid receptors, similar to what happens after endogenous synthesis of anandamide.
  • anandamide and 2-arachidonyl glycerol which are formed by the combination of arachidonic acid (AA) with ethanolamine or glycerol, respectively, arachidonoyl celecoxib was synthesized (Figure 1). Therefore, it was assumed that this metabolite would be responsible for the antinociceptive effects of celecoxib through agonist action on the cannabinoid system, culminating in the development of hypoalgesia.
  • Test 1 Model of carrageenan-induced hyperalgesia in rats
  • AACX-induced hypoalgesia was measured following intracerebroventricular (icv) and intraplantar (ipl) administration in carrageenan-injected rats.
  • icv intracerebroventricular
  • ipl intraplantar
  • Vinegar R Truax JF, Selph JL, Johnston PR, Venable AL, McKenzie KK (1987).
  • Pathway to carrageenan-induced inflammation in the hind limb of the rat (Fed. Proc. 46: 118-126).
  • Araquidonoyl celecoxib (AACX; 5.5, 11, 22 and 44 pg icv or 50, 80, 100 and 300 pg ipl) was administered 30 min (icv) or 5 min (ipl) before carrageenan injection (CG, 250 pg / paw) in the rat paw.
  • the contralateral paw received only sterile physiological saline (SAL).
  • the arachidonoyl celecoxib compound (AACX, figure 1) induced hypoalgesia both when administered via icv ( Figures 5a and 5b) and intraplantar ( Figures 5c and 5d).
  • Naltrexone (4 pg) was administered icv 30 min before arachidonoyl celecoxib (AACX; 22 pg).
  • Carrageenan (GC, 250 pg / paw) was injected intraplantar 1 ⁇ 2 h after compound.
  • the contralateral paw received only sterile physiological saline (SAL) ( Figures 8a and 8b).
  • FIG 9 shows that the CB2 receptor (SR 144528) and opioid receptor (naltrexone) antagonists totally reversed the peripherally induced hypoalgesia induced by arachidonoyl celecoxib.
  • Figure 10 shows, through the immunohistochemically labeled beta-endorphin area, the effect of arachidonoyl celecoxib on the presence of this opioid in the skin epithelium taken from the inflammation site. This method showed that local administration of carrageenan caused increased synthesis of betaendorfin in the adjacent epithelium and that intra-plantarly injected AACX caused acute release (reduction of immunostaining in the epithelium of the paw skin) of local beta-endorphin.
  • FIG. 1 Structure of arachidonoyl celecoxib.
  • Figure 5 A AACX-induced hypoalgesia (arachidonoyl celecoxib) administered via icv in rats. Measurement performed on the right paw of the animals.
  • Figure 5 B AACX (arachidonoyl celecoxib) induced hypoalgesia administered via icv in rats. Measurement performed on the left paw of the animals.
  • Figure 5 C AACX (arachidonoyl celecoxib) -induced hypoalgesia after intraplantar administration, difference between the values obtained in the right and left paws of rats.
  • Figure 5 D AACX (arachidonoyl celecoxib) induced hypoalgesia following intraplantar administration to the left paw of rats.
  • Figure 6 A Effect of AM 251 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the right paw.
  • AACX arachidonoyl celecoxib
  • Figure 6 B Effect of AM 251 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the left paw.
  • Figure 7 A Effect of SR 144528 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the right paw.
  • Figure 7 B Effect of SR 144528 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the left paw.
  • AACX arachidonoyl celecoxib
  • Figure 8 Effect of naltrexone on AACX (arachidonoyl celecoxib) induced hypoalgesia following icv administration in rats.
  • AACX arachidonoyl celecoxib
  • Figure 9 Effect of SR 144528 and naltrexone on AACX (arachidonoyl celecoxib; 100 pg) -induced hypoalgesia following i.pl administration in rats (paw variation).
  • AACX arachidonoyl celecoxib
  • Figure 10 Evidence of ⁇ -endorphin release from the skin epithelium of the paws of rats treated with arachidonoyl celecoxib (AACX; 100 pg / 50 ⁇ ). Reversal of this effect by CB2 cannabinoid receptor antagonist (SR; 50 pg / 50 ⁇ ) is also presented.
  • AACX arachidonoyl celecoxib
  • SR cannabinoid receptor antagonist

Abstract

The present invention describes the production of arachidonic acid-derived coxib analogue-substituted compounds and salts thereof for use in treating pain. Furthermore, the invention relates to pharmaceutical compositions containing arachidonic acid-derived coxib analogue-substituted compounds, salts thereof and pharmaceutically acceptable excipients for use in treating pain. The painkillers comprised by the invention can be used alone or in combination with other painkillers, for relieving slight, moderate or severe pain.

Description

COMPOSTOS DERIVADOS DO ÁCIDO ARAQUIDÔNICO SUBSTITUÍDOS COM ANÁLOGOS DE COXIBES PARA TRATAMENTO DE DOR  AQUAQUIDONIC ACID DERIVATIVE COMPOUNDS REPLACED WITH PAIN TREATMENT ANALOGS
CAMPO DA INVENÇÃO FIELD OF INVENTION
A presente invenção descreve a obtenção de compostos derivados do ácido araquidônico substituídos com análogos de coxibes e seus sais para tratamento de dor. A invenção compreende ainda, composições farmacêuticas que contenham compostos derivados do ácido araquidônico substituídos com análogos de coxibes, seus sais e excipientes farmaceuticamente aceitáveis para o tratamento de dor.  The present invention describes the production of arachidonic acid derivative compounds substituted with coxib analogs and their salts for treating pain. The invention further comprises pharmaceutical compositions containing arachidonic acid derivative compounds substituted with coxib analogs, their pharmaceutically acceptable salts and excipients for the treatment of pain.
Os analgésicos compreendidos pela invenção podem ser utilizados isoladamente ou em associação com outros analgésicos, para alívio de dores de caráter leve, moderado ou severo.  The analgesics comprised by the invention may be used alone or in combination with other analgesics to relieve mild, moderate or severe pain.
ESTADO DA TÉCNICA TECHNICAL STATE
Drogas antiinflamatórias não esteroidais tradicionais, cujo principal exemplo é a aspirina, constituem um dos grupos de medicamentos mais utilizados no mundo (Vane JR, Botting RM (1998). Mechanism of action of antiinflammatory drugs. Int J Tissue React. 20(1):3-15).  Traditional non-steroidal anti-inflammatory drugs, the prime example of which is aspirin, are one of the most widely used drug groups in the world (Vane JR, Botting RM (1998). Int J Tissue React. 20 (1): 3-15).
Entre elas, destacam-se no Brasil além da aspirina, o diclofenaco, o meloxicam, a indometacina, entre muitos outros. Tais medicamentos, que passaram a ser identificados pela sigla "AINES", apresentam em geral, três propriedades farmacológicas comuns a cada uma delas: as propriedades antiinflamatória, analgésica e antipirética. A propriedade antiinflamatória inclui, por exemplo, a redução do inchaço; a analgesia está relacionada com o alívio da dor leve a moderada, em geral associada com inflamação, e a propriedade anti-térmica está relacionada com a redução da febre.  Among them, they stand out in Brazil besides aspirin, diclofenac, meloxicam, indomethacin, among many others. Such drugs, which are now identified by the acronym "NSAIDs", generally have three pharmacological properties common to each of them: anti-inflammatory, analgesic and antipyretic properties. The antiinflammatory property includes, for example, reduction of swelling; analgesia is related to the relief of mild to moderate pain, usually associated with inflammation, and the anti-thermal property is related to fever reduction.
Embora sintetizada e lançada no mercado consumidor da Alemanha em 1897, o modo pelo qual a aspirina atua como medicamento antiinflamatório, analgésico e antipirético só começou a ser desvendado a partir da década de 70, cujo registro mais emblemático se encontra no trabalho publicado na revista Nature pelo Professor John Vane da Inglaterra, em 1971. (Vane JR (2000). The fight against rheumatism: from willow bark to COX-1 sparing drugs. Journal of Physiology and Pharmacology 51(4): 573-586. Vane JR (1971). Inhibition of prostaglandin synthesis as a mechanism of action for aspirin like drugs. Nature New Biology 231 : 232-235). Although synthesized and launched on the German consumer market in 1897, the way aspirin acts as an anti-inflammatory, analgesic and antipyretic drug only began to be unraveled since the 1970s, the most emblematic record of which is found in the journal Nature. by Professor John Vane of England in 1971. (Vane JR (2000). The fight against rheumatism: from willow bark to COX-1 sparing drugs. Journal of Physiology and Pharmacology 51 (4): 573-586. Vane JR (1971). Inhibition of prostaglandin synthesis as a mechanism of action for aspirin like drugs. Nature New Biology 231: 232-235).
No trabalho supracitado, foi demonstrado que a aspirina inibia a síntese de prostaglandinas, um grupo de compostos formados endogenamente durante a inflamação, que hoje se sabe, constitui o principal responsável pelo aparecimento de inflamação e dor inflamatória. O alvo da ação da aspirina e de seus correlatos farmacológicos no organismo compreende uma família de enzimas denominadas ciclooxigenases (COXs), presentes em praticamente todas as células do organismo, que transformam um componente da membrana celular, normalmente inativo, em substâncias com ampla atividade biológica, denominadas "prostaglandinas". A aspirina e análogos, portanto, ao interagirem com as COXs, inibem a síntese de prostaglandinas, cuja consequência funcional varia de acordo com o tipo celular envolvido.  In the aforementioned work, aspirin has been shown to inhibit prostaglandin synthesis, a group of compounds endogenously formed during inflammation that is now known to be primarily responsible for the onset of inflammation and inflammatory pain. The target of the action of aspirin and its pharmacological correlates in the body comprises a family of enzymes called cyclooxygenases (COXs), present in virtually all cells of the body, that transform a normally inactive cell membrane component into substances with broad biological activity. , called "prostaglandins". Aspirin and analogues, therefore, when interacting with COXs, inhibit prostaglandin synthesis, whose functional consequence varies according to the cell type involved.
Diferentemente do que ocorre durante a inflamação, as prostaglandinas são sintetizadas continuamente no organismo em baixas concentrações, contribuindo para a manutenção da homeostase, especialmente no trato gastrointestinal, e nos rins. Também são produzidas pelas plaquetas, sendo chamadas nesse caso, tromboxanas. Quando ocorre lesão ou alteração celular, prostaglandinas passam a ser sintetizadas em quantidades cada vez maiores, dependendo do grau da lesão, levando ao aparecimento dos sinais e sintomas inflamatórios. Portanto, é o aumento de prostaglandinas no local da inflamação que vai ocasionar os efeitos deletérios associados a ela.  Unlike during inflammation, prostaglandins are continuously synthesized in the body at low concentrations, contributing to the maintenance of homeostasis, especially in the gastrointestinal tract, and kidneys. They are also produced by platelets, being called in this case thromboxanes. When cell damage or alteration occurs, prostaglandins are synthesized in increasing amounts, depending on the degree of injury, leading to the appearance of inflammatory signs and symptoms. Therefore, it is the increase of prostaglandins at the inflammation site that will cause the deleterious effects associated with it.
Em decorrência do modo de ação, a aspirina e seus análogos, ao serem utilizados para inibir a síntese de prostaglandinas na inflamação, provocam efeitos benéficos, aliviando a inflamação. Porém, esses efeitos benéficos são também acompanhados de efeitos desagradáveis relacionados com o estômago e os rins, por exemplo, sendo nesse caso, denominados efeitos colaterais ou adversos.  Because of the mode of action, aspirin and its analogs, when used to inhibit prostaglandin synthesis in inflammation, have beneficial effects, alleviating inflammation. However, these beneficial effects are also accompanied by unpleasant effects related to the stomach and kidneys, for example, in which case they are called side or adverse effects.
A partir da década de 90 no século passado, o conhecimento sobre o mecanismo de ação dos AINES começou a mudar, tendo sido demonstrado pela primeira vez que existia a possibilidade de se encontrarem diferentes tipos de ciclooxigenases nas diferentes células do organismo que, no entanto, produziam as mesmas prostaglandinas já conhecidas (Fu Ji-Yi, Masferrer JL, Seibert K, Raz A, Needleman P (1990). The induction and suppression of Prostaglandin H2 synthase (cyclooxygenase) in human monocytes. The Journal of Biological Chemistry 265(28): 16737- 6740). From the 1990s onwards, knowledge about the mechanism of action of NSAIDs began to change, and it was demonstrated for the first time that there was a possibility of finding different types. of cyclooxygenases in the different cells of the body which, however, produced the same known prostaglandins (Fu Ji-Yi, Masferrer JL, Seibert K, Raz A, Needleman P (1990). The induction and suppression of Prostaglandin H2 synthase (cyclooxygenase) in human monocytes The Journal of Biological Chemistry 265 (28): 16737-6740).
As ciclooxigenases (COXs) passaram a ser identificadas como 1 e 2, ou constitutiva e induzida, respectivamente, e se observou que o tipo 2 era a principal forma de COX presente nas células inflamadas, enquanto a COX 1 era encontrada em todas as células "normais". Os farmacologistas logo deduziram que poderiam ser desenvolvidos medicamentos que só inibissem a COX 2, dessa forma não afetando a necessária síntese de prostaglandinas envolvidas na função normal do organismo, devida à COX 1.  Cyclooxygenases (COXs) were now identified as 1 and 2, or constitutive and induced, respectively, and type 2 was found to be the major form of COX present in inflamed cells, while COX 1 was found in all cells. " normal ". Pharmacologists soon deduced that drugs that only inhibit COX 2 could be developed, thus not affecting the necessary synthesis of prostaglandins involved in normal body function due to COX 1.
Em seguida, foram sintetizados os primeiros medicamentos seletivos para a COX 2, cujo grupo foi denominado "coxibes" (da sigla inglesa: selective cyclooxygenase 2 inhibitors) que foram introduzidos rapidamente no mercado mundial, a partir de 1999, incluindo o Brasil (Penning, T.B.; Talley, J.J.; Bertenshaw, S.R.; Cárter, J.S.; Collins, P.W.; Docter, S.; Graneto, M.J.; Lee, L.F.; Malecha, J.W.; Miyashiro, J.M.; Rogers, R.S.; Rogier, D.J.; Yu, S.S.; Anderson, G.D.; Burton, E.G.; Cogburn, J.N.; Gregory, S.A.; Koboldt, C.M.; Perkins, W.E.; Seibert, K.; Veenhuizen, A.W.; Zhang, Y.Y.; Isakson, P.C. 1997. Synthesis and biological evaluation of the 1 ,5-Diarylpyrazole class of cyclooxygenase-2 inhibitors: Identification of 4-[5- (4-Methylphenyl)-3- (trifluoromethyl)- 1H-pyrazol-1-y1] benzenesulfonamide (SC-58635, Celecoxib). J. Med. Chem., 40: 1347-1365,; Chan C-C, Boyce S, Brideau C, Charleson S, Cromlish W, Ethier D, Evans J, Ford-Hutchinson AW, Forrest MJ, Gauthier JY, Gordon R, Gresser M, Guay D, Kargman S, Kennedy B, Leblanc Y, Leger S, Mancini J, O^Neill GP, Ouellet M, Patrick D, Percival MD, Perrier H, Prasit P, Rodger I, Tagari P, Therien M, Vickers P, Visco D, Wang Z, Webb J, Wong E, Xu L-J, Young RN, Zamboni R, Riendeau D, 1999. Rofecoxib [Vioxx, MK-0966; 4-(4'-Methylsulfonylphenyl)-3-phenyl-2-(5H)-furanone]: a potent and orally active cyclooxygenase-2 inhibitor. Pharmacological and Biochemical profiles. Journal of Pharmacology and Experimental Therapeutics 290: 551-560). Os primeiros inibidores seletivos de COX 2 comercializados foram o celecoxibe e o rofecoxibe, liberados pelo FDA (Food and Drug Administration) para uso no tratamento crónico da artrite reumatóide e osteoartrite. Esses compostos constituíram sucesso de vendas, sendo seguidos no Brasil pelo etoricoxibe, valdecoxibe, e mais recentemente, o lumiracoxibe, este último tendo sido introduzido em 2005. (Shi S, Klotz U. (2008). Clinicai use and pharmacological properties of selective COX-2 inhibitors. Eur. J. Clin. Pharmacol 64(3): 233-252). Outros coxibes para uso veterinário também foram desenvolvidos. Next, the first selective drugs for COX 2 were synthesized, the group of which was called "coxibes" (selective cyclooxygenase 2 inhibitors), which were rapidly introduced to the world market from 1999, including Brazil (Penning, TB; Talley, JJ; Bertenshaw, SR; Carter, JS; Collins, PW; Docter, S.; Granite, MJ; Lee, LF; Malecha, JW; Miyashiro, JM; Rogers, RS; Rogier, DJ; Yu, SS ; Anderson, GD; Burton, EG; Cogburn, JN; Gregory, SA; Koboldt, CM; Perkins, WE; Seibert, K.; Veenhuizen, AW; Zhang, YY; Isakson, PC 1997. Synthesis and biological evaluation of the 1 , 5-Diarylpyrazole class of cyclooxygenase-2 inhibitors: Identification of 4- [5- (4-Methylphenyl) -3- (trifluoromethyl) -1H-pyrazol-1-y1] benzenesulfonamide (SC-58635, Celecoxib) J. Med Chem., 40: 1347-1365, Chan CC, Boyce S, Brideau C, Charleson S, Cromlish W, Ethier D, Evans J, Ford-Hutchinson AW, Forrest MJ, Gauthier JY, Gordon R, Gresser M, Guay. Kargman S Kennedy B Leblanc Y L Eger S, Mancini J, O ^ Neill GP, Ouellet M, Patrick D, Percival MD, Perrier H, Prasit P, Rodger I, Tagari P, Therien M, Vickers P, Wang Z, Webb J, Wong E, Xu LJ, Young RN, Zamboni R, Riendeau D, 1999. Rofecoxib [Vioxx, MK-0966; 4- (4'-Methylsulfonylphenyl) -3-phenyl-2- (5H) -furanone]: a potent and orally active cyclooxygenase-2 inhibitor. Pharmacological and Biochemical profiles. Journal of Pharmacology and Experimental Therapeutics 290: 551-560). The first selective COX 2 inhibitors marketed were celecoxib and rofecoxib, released by the Food and Drug Administration (FDA) for use in the chronic treatment of rheumatoid arthritis and osteoarthritis. These compounds were a bestseller, followed in Brazil by etoricoxib, valdecoxib, and more recently lumiracoxib, the latter being introduced in 2005. (Shi S, Klotz U. (2008). 2 inhibitors Eur. J. Clin. Pharmacol 64 (3): 233-252). Other coxibs for veterinary use were also developed.
Porém, o FDA nos Estados Unidos e a ANVISA (Agência Nacional de However, the FDA in the United States and ANVISA (National Agency for
Vigilância Sanitária), no Brasil, proibiram a venda do rofecoxibe e do valdecoxibe (FUNK, C.D.; FITZGERALD, G.A. COX-2 inhibitors and cardiovascular risk. J. Cardiovasc. Pharmacol. 50:470-479, 2007). Health Surveillance) in Brazil prohibited the sale of rofecoxib and valdecoxib (FUNK, C.D .; FITZGERALD, G.A. COX-2 inhibitors and cardiovascular risk. J. Cardiovasc. Pharmacol. 50: 470-479, 2007).
A retirada destes fármacos do mercado deveu-se principalmente ao risco de doenças cardiovasculares, como infarto cardíaco e morte repentina (DIEPPE, P.A. et al. Lessons from the withdrawal of rofecoxib. Br. Med. J. 329:867-8, 2004. SARAIVA, J.F.K. COX-2 Risco Cardiovascular: efeito molécula ou classe dependente? Phaoenix Comunicação Integrada, São Paulo: 1-5, 2007).  Withdrawal of these drugs from the market was mainly due to the risk of cardiovascular disease, such as heart attack and sudden death (DIEPPE, PA et al. Lessons from the withdrawal of rofecoxib. Br. Med. J. 329: 867-8, 2004. SARAIVA, JFK COX-2 Cardiovascular Risk: Molecular Effect or Class Dependent? Phaoenix Integrated Communication, São Paulo: 1-5, 2007).
Francischi et al (2002) demonstraram que os compostos celecoxibe e rofecoxibe se mostraram excelentes analgésicos em um modelo padrão de inflamação e dor inflamatória, o modelo da carragenina injetada na pata de ratos. Nesse trabalho observou-se que os referidos compostos apresentaram atividade analgésica na mesma faixa de doses utilizadas em humanos, um comportamento peculiar para drogas que pertencem tradicionalmente ao grupo da aspirina, que em geral, requerem maiores doses nesse tipo de animal, considerando-se o mesmo modelo experimental. Também se observou que em comparação com os AINES tradicionais utilizados para estudo do efeito analgésico, no caso a indometacina e o piroxicam, o alívio da dor foi maior com os coxibes testados, o que se denominou "hipoalgesia" no citado trabalho. Além disso, somente nas maiores doses utilizadas é que o efeito antiinflamatório aparecia. (Francischi JN, Chaves CT, Moura ACL, Lima AS, Rocha OA, Ferreira-Alves DL, Bakhle YS (2002). Selective inhibitors of cyclo- oxygenase-2 (COX-2) induce hypoalgesia in a rat paw model of inflammation. Br J Pharmacol 137: 837-844). Francischi et al (2002) demonstrated that celecoxib and rofecoxib were excellent analgesics in a standard model of inflammation and inflammatory pain, the carrageenan model injected into rat paws. In this work, it was observed that these compounds presented analgesic activity in the same range of doses used in humans, a behavior peculiar to drugs that traditionally belong to the group of aspirin, which generally require higher doses in this type of animal, considering the same experimental model. It was also observed that in comparison with the traditional NSAIDs used to study the analgesic effect, indomethacin and piroxicam, the pain relief was greater with the tested coxibes, which was called "hypoalgesia" in the mentioned work. Moreover, only at the highest doses used did the anti-inflammatory effect appear. (Francischi JN, CT Keys, Moura ACL, Lima AS, Rocha OA, Ferreira-Alves DL, Bakhle YS (2002). Selective inhibitors of cyclooxygenase-2 (COX-2) induce hypoalgesia in a rat paw model of inflammation. Br J Pharmacol 137: 837-844).
Posteriormente França et al. (2006) demonstraram que um inibidor seletivo de COX 1 (o composto (SC560) não causava hipoalgesia, e que um antagonista opióide, impedia o desenvolvimento de hipoalgesia induzida por três coxibes utilizados (o celecoxibe, o rofecoxibe, e o composto experimental SC236). Além disso, animais tolerantes à morfina também não apresentavam hipoalgesia, se tratados também com o celecoxibe (França DS, Ferreira-Alves DL, Duarte ID, Ribeiro MC, Rezende RM, Bakhle YS, Francischi JN (2006). Endogenous opioids mediate the hypoalgesia induced by inhibitors of cyclooxygenase-2 in rat paws treated with carrageenan. Neuropharmacology 51 : 37-43).  Subsequently, France et al. (2006) demonstrated that a selective COX 1 inhibitor (compound (SC560) did not cause hypoalgesia, and that an opioid antagonist prevented the development of hypoalgesia induced by three coxibs used (celecoxib, rofecoxib, and experimental compound SC236)). In addition, morphine tolerant animals also had no hypoalgesia if also treated with celecoxib (France DS, Ferreira-Alves DL, Duarte ID, Ribeiro MC, Rezende RM, Bakhle YS, Francischi JN (2006). hypoalgesia induced by inhibitors of cyclooxygenase-2 in rat paws treated with carrageenan (Neuropharmacology 51: 37-43).
Em conjunto, esses resultados sugeriram que a analgesia eficiente associada com o uso de coxibes se devia a liberação de opióides endógenos.  Taken together, these results suggested that efficient analgesia associated with coxib use was due to the release of endogenous opioids.
Mais recentemente, mostrou-se que antagonistas opióides utilizados periférica ou centralmente em ratos, bloquearam a hipoalgesia ao celecoxibe, conforme descrito nos trabalhos indicados a seguir (Correa, JD; Paiva-Lima, P.; Rezende, RM; Dos Reis, WP; Ferreira-Alves, DL; Bakhle, YS; Francischi, JN. Peripheral mu-, kappa- and delta-opioid receptors mediate the hypoalgesic effect of celecoxib in a rat model of thermal hyperalgesia Life Sei. 2010, 86:951- 956); (Rezende, RM. Um novo mecanismo de ação para explicar as ações analgésicas centrais do celecoxibe: envolvimento dos sistemas opióide e canabinóide endógenos. 2010. Tese defendida junto ao curso de pós- graduação em ciências biológicas: fisiologia e farmacologia. ICB/UFMG, Belo Horizonte, MG).  More recently, peripheral or centrally used opioid antagonists in rats have been shown to block celecoxib hypoalgesia, as described in the following work (Correa, JD; Paiva-Lima, P .; Rezende, RM; Dos Reis, WP; Ferreira-Alves, DL; Bakhle, YS; Francischi, J. Peripheral mu-, kappa and delta-opioid receptors mediate the hypoalgesic effect of celecoxib in a rat model of thermal hyperalgesia Life Sci. 2010, 86: 951-956); (Rezende, RM. A new mechanism of action to explain the central analgesic actions of celecoxib: involvement of endogenous opioid and cannabinoid systems. 2010. Thesis defended at the postgraduate course in biological sciences: physiology and pharmacology. ICB / UFMG, Belo Horizonte, MG).
Dados da literatura vêm mostrando que a ativação de receptores canabinóides leva à síntese e liberação de opióides endógenos (Corchero J, Avila MA, Fuentes JA, Manzaneres J, 1997. Delta 9-tetrahydrocannabinol increases prodynorphin and proenkephalin gene expression in the spinal cord of the rat. Life Sciences 61 : L39-L43). Ibrahim et al. (2005) demonstraram a liberação de beta-endorfina por queratinócitos da pele de ratos após a ativação de receptores CB2 (agonista canabinóide) na pata de ratos (Ibrahim MM, Porreca F, Lai J, Albrecht PJ, Rice FL, Khodorova A, Davar G, Makriyannis A, Vanderah TW, Mata HP, Malan TP Jr, 2005. CB2 cannabinoid receptor activation produces antinociception by stimulating peripheral release of endogenous opioids. Proc Natl Acad Sei 102(8): 3093-3098). Literature data have shown that cannabinoid receptor activation leads to the synthesis and release of endogenous opioids (Corchero J, Avila MA, Fuentes JA, Manzaneres J, 1997. Delta 9-tetrahydrocannabinol increases prodynorphin and proenkephalin gene expression in the spinal cord of the rat Life Sciences 61: L39-L43). Ibrahim et al. (2005) demonstrated beta-endorphin release by keratinocytes from rat skin after activation CB2 (cannabinoid agonist) receptor activity in rat paw (Ibrahim MM, Forreca F, Lai J, Albrecht PJ, Rice FL, Khodorova A, Davar G, Vanderah TW, HP Mata, Malan TP Jr, 2005. CB2 cannabinoid receptor activation produces antinociception by stimulating peripheral release of endogenous opioids (Proc Natl Acad Sci 102 (8): 3093-3098).
Adicionalmente, foi administrado no sistema nervoso central de ratos, um inibidor da enzima FAAH (Fatty Acid Hydrolase), que está envolvida com o metabolismo dos canabinóides endógenos (Cravatt BF, Gianq DK, Mayfield SP, Boger DL, Lerner RA, Gilula NB, 1996. Molecular characterization of an enzyme that degrades neuromodulatory fatty-acid amides. Nature 384(6604): 83-87). Esse mesmo inibidor, o URB597, administrado subcutaneamente ½ h antes do celecoxibe, preveniu de maneira dose-dependente o aparecimento de hipoalgesia (Rezende, RM. Um novo mecanismo de ação para explicar as ações analgésicas centrais do celecoxibe: envolvimento dos sistemas opióide e canabinóide endógenos. 2010. Tese defendida junto ao curso de pós- graduação em ciências biológicas: fisiologia e farmacologia. ICB/UFMG, Belo Horizonte, MG).  In addition, the FAAH (Fatty Acid Hydrolase) inhibitor, which is involved in endogenous cannabinoid metabolism (Cravatt BF, Gianq DK, Mayfield SP, Boger DL, Lerner RA, Gilula NB, was administered to the central nervous system of rats). 1996. Molecular characterization of an enzyme that degrades neuromodulatory fatty acids (Nature 384 (6604): 83-87). This same inhibitor, URB597, administered subcutaneously ½ h before celecoxib, dose-dependently prevented the onset of hypoalgesia (Rezende, RM. A new mechanism of action to explain celecoxib's central analgesic actions: involvement of opioid and cannabinoid systems 2010. Thesis defended at the postgraduate course in biological sciences: physiology and pharmacology (ICB / UFMG, Belo Horizonte, MG).
Uma forma de verificar se haveria um componente inibidor de COX 2 importante para a ação hipoalgésica do celecoxibe, foi utilizado o OSU03012, um análogo químico, desprovido de atividade inibitória sobre COX 2 (JOHNSON, A.J.; SMITH, L.L.; ZHU, J. et al. A novel celecoxib derivative, OSU03012, induces cytotoxicity in primary CLL cells and transformed B-cell lymophoma cell line via a caspase- and Bcl-2-independent mechanism. Blood v. 105 n.6. p. 2504-2509., 2005; ZHU, J. et al. From the Cyclooxygenase - 2 Inhibitor Celecoxib to a Novel Class of 3-Phosphoinositide-Dependent Protein Kinase-1 Inhibitors. Câncer Research, v. 64. p. 4309 - 4318. Jun, 2004; KUCAB, J.E. et al. Celecoxib analogues disrupt Akt signaling, which is commonly actived in primary breast tumours. Breast Câncer Research, v. 7. n. 5. p. 796 - 807. 2005).  One way to check if there was an important COX 2 inhibitor component for the hypoalgesic action of celecoxib was to use OSU03012, a chemical analogue devoid of COX 2 inhibitory activity (JOHNSON, AJ; SMITH, LL; ZHU, J. et al. The novel celecoxib derivative, OSU03012, induces cytotoxicity in primary CLL cells and transformed B-cell lymophoma cell line via the caspase-and Bcl-2-independent mechanism Blood v. 105 n.6, p 2504-2509. 2005; ZHU, J. From the Cyclooxygenase - 2 Inhibitor Celecoxib to a Novel Class of 3-Phosphoinositide-Dependent Protein Kinase-1 Inhibitors Cancer Research, v. 64. pp. 4309-4318. Jun, 2004; , JE et al Celecoxib analogues disrupt Akt signaling, which is commonly activated in primary breast tumors (Breast Cancer Research, v. 7, 5. p. 796 - 807, 2005).
De fato, o OSU03012 injetado tanto central quanto perifericamente causou hipoalgesia semelhante à observada após a administração do celecoxibe, o que funcionou como importante evidência de que a inibição de COX 2 não contribui, especificamente, para o efeito hipoalgésico observado após sua administração. In fact, both centrally and peripherally injected OSU03012 caused hypoalgesia similar to that observed after celecoxib administration, which served as important evidence that inhibition of COX 2 does not specifically contribute to the hypoalgesic effect observed after administration.
O pedido de patente PI 0802850-8 relata o uso do composto OSU 03012 e seus derivados para o tratamento de condições dolorosas em mamíferos (uso humano e veterinário), e suporta o argumento de que o mecanismo hipoalgésico dos coxibes não envolve a inibição de COX-2.  Patent application PI 0802850-8 reports the use of compound OSU 03012 and its derivatives for the treatment of painful conditions in mammals (human and veterinary use), and supports the argument that the hypoalgesic mechanism of coxibs does not involve COX inhibition. -2.
As patentes US5760068, US5466823, US5563165 descrevem classes de compostos pirazolil benzeno sulfonamidas, ou sais farmaceuticamente aceitáveis dos mesmos para uso no tratamento de inflamação e desordens relacionadas. A patente EP0418845 descreve novos derivados pirazóis e seus sais farmaceuticamente aceitáveis com atividade antiinflamatória, analgésica e antitrombótica.  US5760068, US5466823, US5563165 describe classes of pyrazolyl benzene sulfonamides compounds, or pharmaceutically acceptable salts thereof for use in treating inflammation and related disorders. EP0418845 describes new pyrazole derivatives and their pharmaceutically acceptable salts with antiinflammatory, analgesic and antithrombotic activity.
Entretanto, nenhuma das patentes supracitadas descrevem os derivados de coxibes abordados neste pedido, bem como o seu uso como analgésico.  However, none of the above patents describe the coxib derivatives derived from this application, as well as their use as an analgesic.
Mesmo que efeitos indesejáveis a determinados medicamentos sejam raros, ainda assim é importante a manutenção da pesquisa científica de novas classes de medicamentos que visem tratar pacientes que sentem dor, como exemplificado pelo caso dos pacientes que se tornam tolerantes ao analgésico morfina. Sendo assim, para os portadores de patologias crónicas dolorosas uma alternativa de tratamento pode significar melhoria da qualidade de vida e consequente redução da ocorrência de co-morbidades.  Even though undesirable effects on certain medications are rare, it is still important to maintain scientific research on new classes of drugs aimed at treating pain patients, as exemplified by patients who become tolerant to morphine analgesic. Thus, for patients with chronic painful pathologies, an alternative treatment may mean improved quality of life and consequent reduction in the occurrence of comorbidities.
Os derivados de coxibes abordados nesse pedido podem ser utilizados isoladamente ou em associação com outros analgésicos no tratamento da dor de caráter leve, moderado ou severo, em que outros analgésicos, de eficácia comprovada, não surtiram o efeito desejado. DESCRIÇÃO DETALHADA DA TECNOLOGIA The coxib derivatives discussed in this application may be used alone or in combination with other analgesics to treat mild, moderate or severe pain, in which other proven analgesics have not had the desired effect. DETAILED DESCRIPTION OF TECHNOLOGY
A presente invenção descreve a obtenção de compostos derivados do ácido araquidônico substituídos com análogos de coxibes e seus sais para tratamento de dor, apresentando a seguinte fórmula estrutural:
Figure imgf000010_0001
The present invention describes the production of arachidonic acid derivative compounds substituted with coxib analogs and their salts for treating pain, having the following structural formula:
Figure imgf000010_0001
onde R é selecionado do grupo compreendendo: where R is selected from the group comprising:
Figure imgf000010_0002
Figure imgf000010_0002
A invenção compreende ainda, composições farmacêuticas que contenham compostos derivados do ácido araquidônico substituídos com análogos de coxibes, seus sais e excipientes farmaceuticamente aceitáveis para o tratamento de dor. The invention further comprises pharmaceutical compositions containing arachidonic acid derivative compounds substituted with coxib analogs, their pharmaceutically acceptable salts and excipients for the treatment of pain.
Os analgésicos compreendidos pela invenção podem ser utilizados isoladamente ou em associação com outros analgésicos, para alívio de dores de caráter leve, moderado ou severo.  The analgesics comprised by the invention may be used alone or in combination with other analgesics to relieve mild, moderate or severe pain.
As composições padrões podem ser líquidas, sólidas ou semi-sólidas. Standard compositions may be liquid, solid or semi-solid.
Sendo que as preparações líquidas podem se apresentar na forma de solução, xarope, elixir, suspensão, emulsão, tintura ou enema. As semi-sólidas na forma de géis, pomadas, cremes ou pastas e as sólidas na forma de cápsulas, comprimidos, drágeas ou pastilhas. The liquid preparations may be in the form of solution, syrup, elixir, suspension, emulsion, tincture or enema. The semisolids in the form gels, ointments, creams or pastes and solids in the form of capsules, tablets, dragees or lozenges.
Exemplos de excipientes incluem metilcelulose, hidroxipropilcelulose, hidroxoetilcelulose, carboximetilcelulose, polímeros derivados do ácido acrílico e metacrílico, polietilenoglicóis, vaselina sólida, parafina sólida, lanolina, óleos vegetais, óleo mineral, álcool cetílico, álcool esterílico, álcool cetoestearilico, monoestearato de glicerila, cera de ésteres cetílicos, cera autoemulsificante não iônica e aniônica e laurilsulfato de sódio, para formas farmacêuticas semi- sólidas.  Examples of excipients include methylcellulose, hydroxypropylcellulose, hydroxyethylcellulose, carboxymethylcellulose, polymers derived from acrylic and methacrylic acid, polyethylene glycols, solid vaseline, solid paraffin, lanolin, vegetable oils, mineral oil, cetyl alcohol, sterile alcohol, cetostearyl alcohol, glyceryl monostearate, of cetyl esters, nonionic and anionic self-emulsifying wax and sodium lauryl sulfate, for semi-solid dosage forms.
Aglutinantes, desintegrantes, diluentes, lubrificantes, tensoativos, como celulose, lactose, amido, manitol, estearato de magnésio, talco, dióxido de silício coloidal, óxido de magnésio e caulim, para preparações sólidas.  Binders, disintegrants, diluents, lubricants, surfactants such as cellulose, lactose, starch, mannitol, magnesium stearate, talc, colloidal silicon dioxide, magnesium oxide and kaolin for solid preparations.
Para formas farmacêuticas líquidas podem ser utilizados solubilizantes e tensoativos, tais como glicerina, propilenoglicol e sacarose.  For liquid dosage forms solubilizers and surfactants such as glycerine, propylene glycol and sucrose may be used.
Os excipientes também podem conter quantidades menores de aditivos como substâncias que aumentam a isotonicidade e estabilidade química de conservantes, quelantes e estabilizantes. Exemplos dessas substancias incluem tampão fosfato, tampão bicarbonato e tampão Tris, timerosal, m- ou o- cresol, formalina, álcool benzílico, parabenos, EDTA, BHA, BHT; além de edulcorantes, corantes e aromatizantes.  Excipients may also contain minor amounts of additives as substances that increase the isotonicity and chemical stability of preservatives, chelators and stabilizers. Examples of such substances include phosphate buffer, bicarbonate buffer and Tris buffer, thimerosal, m- or o-cresol, formalin, benzyl alcohol, parabens, EDTA, BHA, BHT; in addition to sweeteners, colorings and flavorings.
Essas composições podem ser administradas via intramuscular, intravenosa, tópica, oral, inalatória ou como dispositivos que possam ser implantados ou injetados.  Such compositions may be administered intramuscularly, intravenously, topically, orally, by inhalation or as devices that may be implanted or injected.
A presente invenção pode ser mais bem entendida através dos seguintes exemplos, não limitantes de tecnologia:  The present invention may be better understood by the following non-limiting examples of technology:
EXEMPLO 1 : SÍNTESE DO ARAQUIDONOIL-CELECOXIBE (AACX) EXAMPLE 1: SYNTHESIS OF ARAQUIDONOIL-CLECOXIBE (AACX)
Diante dos dados disponíveis na literatura, postulou-se que o celecoxibe precisaria gerar um metabólito endógeno com a participação da FAAH, que seria o responsável final pela ativação dos receptores canabinóides, culminando com a liberação de beta-endorfina no local da inflamação. Embora a FAAH metabolize a anandamida, quando os reagentes (no caso, o celecoxibe e o ácido araquidônico) se encontram em maiores concentrações que o produto, a FAAH pode agir de forma inversa, isto é, sintetizar o produto (Deutsch DG; Ueda N; Yamamoto S. The fatty acid amide hydrolase (FAAH). 2002 Prostaglandins Leukot Essent Fatty Acids; 66(2-3): 201-10.). Dessa forma, o celecoxibe administrado pela via icv (intracerebroventricular) e o outro reagente, o ácido araquidônico (AA) teria suas concentrações aumentadas no SNC devido ao processo inflamatório induzido pela carragenina. Assim, ambos compostos, o celecoxibe e o AA, poderiam se conjugar pela ação da FAAH, formando um novo produto capaz de ativar os receptores canabinóides, à similaridade ao que acontece após a síntese endógena da anandamida. Baseando-se na molécula dos canabinóides endógenos anandamida e 2- araquidonoil-glicerol, que são formados pela combinação do ácido araquidônico (AA) com a etanolamina ou glicerol, respectivamente, foi sintetizado o araquidonoil-celecoxibe (Figura 1). Admitiu-se, portanto, que esse metabólito seria o responsável pelos efeitos antinociceptivos do celecoxibe através de ação agonista sobre o sistema canabinoidérgico, culminando no desenvolvimento de hipoalgesia. Based on data available in the literature, it was postulated that celecoxib would need to generate an endogenous metabolite with the participation of FAAH, which would be ultimately responsible for the activation of cannabinoid receptors, culminating in the release of beta-endorphin at the inflammation site. Although FAAH metabolizes anandamide, when reagents (in this case, celecoxib and arachidonic acid) are in higher concentrations than FAAH can act in reverse, ie synthesize the product (Deutsch DG; Ueda N; Yamamoto S. The fatty acid amide hydrolase (FAAH). 2002 Prostaglandins Leukot Essent Fatty Acids; 66 (2-3): 201 -10.). Thus, celecoxib administered via the icv (intracerebroventricular) route and the other reagent, arachidonic acid (AA) would have increased CNS concentrations due to the carrageenan-induced inflammatory process. Thus, both celecoxib and AA could be combined by the action of FAAH, forming a new product capable of activating cannabinoid receptors, similar to what happens after endogenous synthesis of anandamide. Based on the endogenous cannabinoid molecule anandamide and 2-arachidonyl glycerol, which are formed by the combination of arachidonic acid (AA) with ethanolamine or glycerol, respectively, arachidonoyl celecoxib was synthesized (Figure 1). Therefore, it was assumed that this metabolite would be responsible for the antinociceptive effects of celecoxib through agonist action on the cannabinoid system, culminating in the development of hypoalgesia.
Para a síntese do composto araquidonoil celecoxibe foram adicionados em um sistema isento de umidade (balão acoplado a um tubo de cloreto de cálcio e sob agitação magnética, 100 mg ( 0,25 mmol) de celecoxibe, e 20 ml_ de acetona anidra. Em seguida, foi adicionada a solução obtida pela mistura de 100 mg (0,33 mmol) de ácido araquidônico e 68 mg de dicicloexilcarbodiimida (0,33 mmol) em 20 ml_ de acetona anidra. A agitação magnética foi mantida por 10 horas. O acompanhamento da reação foi feito por intermédio CCD (eluente: hexano/acetato de etila 7:3 v/v; reveladores: iodo e solução etanólica de ácido sulfúrico a 15 % p/v, seguido de aquecimento em estufa). O solvente foi eliminado em evaporador rotatório. Ao resíduo obtido, adicionou-se acetona, o que levou à formação de um precipitado. Filtrou-se e o filtrado foi concentrado em evaporador rotatório, levando novamente à obtenção de um resíduo, que foi purificado por intermédio de CCS. O produto foi eluído com hexano/acetato de etila 7:3, obtendo-se 100 mg (0,15 mmol) de um óleo viscoso.  For the synthesis of the compound arachidonoyl celecoxib were added in a moisture-free system (balloon coupled to a calcium chloride tube and under magnetic stirring, 100 mg (0.25 mmol) celecoxib, and 20 ml anhydrous acetone.) , the solution obtained by mixing 100 mg (0.33 mmol) of arachidonic acid and 68 mg of dicycloexylcarbodiimide (0.33 mmol) in anhydrous acetone (20 mL) was continued. The reaction was carried out by means of CCD (eluent: hexane / ethyl acetate 7: 3 v / v; developers: iodine and 15% w / v ethanolic sulfuric acid solution, followed by heating in an oven). Acetone was added to the obtained residue, which led to the formation of a precipitate, filtered and the filtrate concentrated in a rotary evaporator, again yielding a residue which was purified by CCS. was eluted 7: 3 with hexane / ethyl acetate to give 100 mg (0.15 mmol) of a viscous oil.
O produto foi caracterizado pelos espectros no IV (Figura 2) e de ressonância magnética nuclear de hidrogénio (1H) (Figura 3) e de carbono treze (13C) (Figura 4). The product was characterized by IR (Figure 2) and hydrogen ( 1 H) (Figure 3) and carbon nuclear magnetic resonance spectra. thirteen ( 13 C) (Figure 4).
No espectro no Infravermelho do derivado araquidonoilcoxibe observam-se as bandas características tanto da molécula do celecoxibe quanto do ácido araquidônico. Além destas, é possível observar uma banda característica do estiramento NH do grupo sulfonamida ligado ao grupo carbonila do ácido araquidônico. No espectro de RMN 13C e 1H é possível observar a existência dos sinais de carbono e hidrogênios característicos dos grupos araquidonoila e celecoxibe. Além destes, observa-se um deslocamento paramagnético do carbono carbonílico e do hidrogénio sulfonamidico dos grupos araquidonoila e benzenossulfonamida, respectivamente. In the infrared spectrum of the arachidonoylcoxib derivative, the characteristic bands of both celecoxib molecule and arachidonic acid are observed. In addition to these, it is possible to observe a characteristic band of the NH stretch of the sulfonamide group attached to the arachidonic acid carbonyl group. In the 13 C and 1 H NMR spectrum it is possible to observe the existence of the characteristic carbon and hydrogen signals of the arachidonoyl and celecoxib groups. In addition, a paramagnetic displacement of carbonyl carbon and sulfonamide hydrogen from the arachidonoyl and benzenesulfonamide groups, respectively, is observed.
EXEMPLO 2: ATIVIDADE ANALGÉSICA EXAMPLE 2: ANALGESIC ACTIVITY
Teste 1 : Modelo de hiperalgesia induzida pela carragenina em ratos  Test 1: Model of carrageenan-induced hyperalgesia in rats
A hipoalgesia induzida pelo AACX foi mensurada após administração intracerebroventricular (icv) e intraplantar (ipl) em ratos injetados com carragenina. (Di Rosa, M. (1972). Biological properties of the carrageenan. J. Pharm. Pharmac. 24: 89-102.Vinegar R, Truax JF, Selph JL, Johnston PR, Venable AL, McKenzie KK (1987). Pathway to carrageenan-induced inflammation in the hind limb of the rat. Fed. Proc. 46:118-126).  AACX-induced hypoalgesia was measured following intracerebroventricular (icv) and intraplantar (ipl) administration in carrageenan-injected rats. (Di Rosa, M. (1972). Biological properties of the carrageenan. J. Pharm. Pharmac. 24: 89-102. Vinegar R, Truax JF, Selph JL, Johnston PR, Venable AL, McKenzie KK (1987). Pathway to carrageenan-induced inflammation in the hind limb of the rat (Fed. Proc. 46: 118-126).
Araquidonoil-celecoxibe (AACX; 5,5, 11 , 22 e 44 pg icv ou 50, 80, 100 e 300 pg ipl) foi administrado 30 min (icv) ou 5 min (ipl) antes da injeção de carragenina (CG, 250 pg/pata) na pata de ratos. A pata contralateral recebeu apenas salina fisiológica estéril (SAL). O composto araquidonoil-celecoxibe (AACX, figura 1), induziu hipoalgesia tanto quando administrado por via icv (Figuras 5a e 5b) quanto por via intraplantar (Figuras 5c e 5d ).  Araquidonoyl celecoxib (AACX; 5.5, 11, 22 and 44 pg icv or 50, 80, 100 and 300 pg ipl) was administered 30 min (icv) or 5 min (ipl) before carrageenan injection (CG, 250 pg / paw) in the rat paw. The contralateral paw received only sterile physiological saline (SAL). The arachidonoyl celecoxib compound (AACX, figure 1) induced hypoalgesia both when administered via icv (Figures 5a and 5b) and intraplantar (Figures 5c and 5d).
Foi avaliado o efeito de antagonistas seletivos dos receptores canabinóides CB1 (AM 251) e CB2 (SR 144528) e da naltrexona (antagonista não seletivo dos receptores opióides) sobre a hipoalgesia induzida pelo AACX (Araquidonoil-celecoxibe) administrado centralmente. Os antagonistas seletivos dos receptores canabinóides (10 pg) foram administrados icv 30 min antes do araquidonoil-celecoxibe (AACX; 22 pg). Carragenina (CG, 250 pg/pata) foi injetada por via intraplantar 30 min após o composto. A pata contralateral recebeu apenas salina fisiológica estéril (SAL) (Figuras 6a, 6b, 7a e 7b). Naltrexona (4 pg) foi administrada icv 30 min antes do araquidonoil- celecoxibe (AACX; 22 pg). Carragenina (CG, 250 pg/pata) foi injetada por via intraplantar ½ h após o composto. A pata contralateral recebeu apenas salina fisiológica estéril (SAL) (Figuras 8a e 8b). The effect of selective cannabinoid receptor antagonists CB1 (AM 251) and CB2 (SR 144528) and naltrexone (non-selective opioid receptor antagonist) on centrally administered AACX (Araquidonoyl celecoxib) induced hypoalgesia was evaluated. Selective cannabinoid receptor antagonists (10 pg) were administered icv 30 min before arachidonoyl celecoxib (AACX; 22 pg). Carrageenan (GC, 250 pg / paw) was injected intraplantar 30 min after compound. The contralateral paw received only sterile physiological saline (SAL) (Figures 6a, 6b, 7a and 7b). Naltrexone (4 pg) was administered icv 30 min before arachidonoyl celecoxib (AACX; 22 pg). Carrageenan (GC, 250 pg / paw) was injected intraplantar ½ h after compound. The contralateral paw received only sterile physiological saline (SAL) (Figures 8a and 8b).
Através da análise das figuras 6 (a e b), 7(a e b) e 8 (a e b) observou-se que o efeito hipoalgésico produzido pelo AACX administrado centralmente foi prevenido pelo antagonista CB1 (AM 251).  Through the analysis of Figures 6 (a and b), 7 (a and b) and 8 (a and b) it was observed that the hypoalgesic effect produced by centrally administered AACX was prevented by antagonist CB1 (AM 251).
A figura 9 revela que os antagonistas de receptores CB2 (SR 144528) e de receptores opióides (naltrexona) reverteram totalmente a hipoalgesia induzida perifericamente pelo araquidonoil-celecoxibe. A figura 10 mostra, através da área imuno-histoquimicamente marcada para beta-endorfina, o efeito do araquidonoil-celecoxibe sobre a presença deste opióide no epitélio da pele retirada do sítio de inflamação. Este método evidenciou que a administração local de carragenina causou aumento da síntese de betaendorfina no epitélio adjacente e que, o AACX, injetado intraplantarmente, causou liberação aguda (redução da imunomarcação no epitélio da pele da pata) de beta-endorfina no local.  Figure 9 shows that the CB2 receptor (SR 144528) and opioid receptor (naltrexone) antagonists totally reversed the peripherally induced hypoalgesia induced by arachidonoyl celecoxib. Figure 10 shows, through the immunohistochemically labeled beta-endorphin area, the effect of arachidonoyl celecoxib on the presence of this opioid in the skin epithelium taken from the inflammation site. This method showed that local administration of carrageenan caused increased synthesis of betaendorfin in the adjacent epithelium and that intra-plantarly injected AACX caused acute release (reduction of immunostaining in the epithelium of the paw skin) of local beta-endorphin.
BREVE DESCRIÇÃO DAS FIGURAS BRIEF DESCRIPTION OF THE FIGURES
Figura 1: Estrutura do araquidonoil-celecoxibe. Figure 1: Structure of arachidonoyl celecoxib.
Figura 2: Espectro do composto araquidonoil-celecoxibe no IV Figure 2: Arachidonoyl celecoxib IV spectrum
Figura 3: Espectro de ressonância magnética nuclear de hidrogénio ( H) do composto araquidonoil-celecoxibe  Figure 3: Hydrogen (H) nuclear magnetic resonance spectrum of arachidonoyl celecoxib compound
Figura 4: Espectro de ressonância magnética de carbono treze (13C) do composto araquidonoil-celecoxibe Figure 4: Thirteen ( 13 C) carbon magnetic resonance spectrum of the arachidonoyl celecoxib compound
Figura 5 A: Hipoalgesia induzida pelo AACX (araquidonoil-celecoxibe) administrado por via icv em ratos. Medida realizada na pata direita dos animais.Figure 5 A: AACX-induced hypoalgesia (arachidonoyl celecoxib) administered via icv in rats. Measurement performed on the right paw of the animals.
Figura 5 B: Hipoalgesia induzida pelo AACX (araquidonoil-celecoxibe) administrado por via icv em ratos. Medida realizada na pata esquerda dos animais. Figura 5 C: Hipoalgesia induzida pelo AACX (araquidonoil-celecoxibe) após administração intraplantar, diferença entre os valores obtidos na pata direita e esquerda de ratos. Figure 5 B: AACX (arachidonoyl celecoxib) induced hypoalgesia administered via icv in rats. Measurement performed on the left paw of the animals. Figure 5 C: AACX (arachidonoyl celecoxib) -induced hypoalgesia after intraplantar administration, difference between the values obtained in the right and left paws of rats.
Figura 5 D: Hipoalgesia induzida pelo AACX (araquidonoil-celecoxibe) após administração intraplantar na pata esquerda de ratos.  Figure 5 D: AACX (arachidonoyl celecoxib) induced hypoalgesia following intraplantar administration to the left paw of rats.
Figura 6 A: Efeito do AM 251 sobre a hipoalgesia induzida após administração icv do AACX (araquidonoil-celecoxibe). Medida realizada na pata direita.  Figure 6 A: Effect of AM 251 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the right paw.
Figura 6 B: Efeito do AM 251 sobre a hipoalgesia induzida após administração icv do AACX (araquidonoil-celecoxibe). Medida realizada na pata esquerda. Figura 7 A: Efeito do SR 144528 sobre a hipoalgesia induzida após administração icv do AACX (araquidonoil-celecoxibe). Medida realizada na pata direita.  Figure 6 B: Effect of AM 251 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the left paw. Figure 7 A: Effect of SR 144528 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the right paw.
Figura 7 B: Efeito do SR 144528 sobre a hipoalgesia induzida após administração icv do AACX (araquidonoil-celecoxibe). Medida realizada na pata esquerda.  Figure 7 B: Effect of SR 144528 on induced hypoalgesia following icv administration of AACX (arachidonoyl celecoxib). Measurement performed on the left paw.
Figura 8: Efeito da naltrexona sobre a hipoalgesia induzida pelo AACX (araquidonoil-celecoxibe) após administração icv em ratos. (A e B)  Figure 8: Effect of naltrexone on AACX (arachidonoyl celecoxib) induced hypoalgesia following icv administration in rats. (A and B)
Figura 9: Efeito do SR 144528 e da naltrexona sobre a hipoalgesia induzida pelo AACX (araquidonoil-celecoxibe; 100 pg) após administração i.pl em ratos (variação entre as patas).  Figure 9: Effect of SR 144528 and naltrexone on AACX (arachidonoyl celecoxib; 100 pg) -induced hypoalgesia following i.pl administration in rats (paw variation).
Figura 10: Evidência de liberação de β-endorfina pelo epitélio da pele das patas de ratos tratados, intraplantarmente, com araquidonoil-celecoxibe (AACX; 100 pg/50 μΙ). A reversão deste efeito pelo antagonista de receptor canabinóide CB2 (SR; 50 pg/50 μΙ) também é apresentada.  Figure 10: Evidence of β-endorphin release from the skin epithelium of the paws of rats treated with arachidonoyl celecoxib (AACX; 100 pg / 50 μΙ). Reversal of this effect by CB2 cannabinoid receptor antagonist (SR; 50 pg / 50 μΙ) is also presented.

Claims

REIVINDICAÇÕES
1. PROCESSO DE OBTENÇÃO DE COMPOSTOS DERIVADOS DO ÁCIDO ARAQUIDÔNICO SUBSTITUÍDOS COM ANÁLOGOS DE COXIBES 1. PROCEDURE FOR OBTAINING AQUAQUIDONIC ACID DERIVATIVE COMPOUNDS REPLACED WITH COXIBLE ANALOGS
caracterizado por compreender as seguintes etapas: characterized by comprising the following steps:
a) Adição em sistema isento de umidade de 70 a 150 mg de coxibe dissolvidos em 20ml_ de acetona anidra e de 70 a 150 mg de ácido aracdonico e 40 a 80mg de dicicloexilcarbodiimida dissolvidos em 20ml_ de acetona anidra, b) Agitação magnética por 10 horas; (a) Addition to a moisture-free system of 70 to 150 mg of coxibe dissolved in 20 ml of anhydrous acetone and 70 to 150 mg of aracdonic acid and 40 to 80 mg of dicycloexylcarbodiimide dissolved in 20 ml of anhydrous acetone, b) Magnetic stirring for 10 hours ;
c) Eliminação do solvente e adição de acetona; c) Solvent removal and addition of acetone;
d) Filtração do precipitado formado; d) Filtration of the precipitate formed;
e) Concentração do filtrado resultante; e) Concentration of the resulting filtrate;
d) Purificação do concentrado através de métodos cromatográficos. d) Purification of the concentrate by chromatographic methods.
2. COMPOSTOS DERIVADOS DO ÁCIDO ARAQUIDÔNICO SUBSTITUÍDOS COM ANÁLOGOS DE COXIBES, caracterizados por apresentarem a seguinte formula estrutural:
Figure imgf000016_0001
2. AQUIDONIC ACID DERIVATIVE COMPOUNDS REPLACED WITH COXIBLE ANALOGS, characterized in that they have the following structural formula:
Figure imgf000016_0001
onde R é selecionado do grupo compreendendo: where R is selected from the group comprising:
Figure imgf000016_0002
Figure imgf000016_0002
3. COMPOSTOS DERIVADOS DO ÁCIDO ARAQUIDÔNICO SUBSTITUÍDOS COM ANÁLOGOS DE COXIBES, de acordo com a reivindicação 2, caracterizados por serem utilizados como analgésicos, para alívio de dores de caráter leve, moderado ou severo, derivadas de desordens músculo-esqueléticas de origem inflamatória ou de outras origens. Substituted AQUIDONIC ACID DERIVATIVE COMPOUNDS WITH COXIBLE ANALOGUE according to claim 2, characterized in that they are used as analgesics to relieve mild, moderate or severe pain derived from musculoskeletal disorders of inflammatory origin or other origins.
4. COMPOSTOS DERIVADOS DO ÁCIDO ARAQUIDÔNICO SUBSTITUÍDOS COM ANÁLOGOS DE COXIBES, de acordo com as reivindicações 2 e 3, caracterizados por serem utilizados isoladamente ou em associação com outros analgésicos.  AXYCHRONIC ACID DERIVATIVE COMPOUNDS REPLACED WITH COXIBLE ANALOGUE according to claims 2 and 3, characterized in that they are used alone or in combination with other analgesics.
5. COMPOSIÇÃO FARMACÊUTICA, caracterizada por compreender os derivados de coxibes com a seguinte fórmula estrutural:
Figure imgf000017_0001
5. PHARMACEUTICAL COMPOSITION, characterized in that it comprises coxib derivatives having the following structural formula:
Figure imgf000017_0001
onde R é selecionado do grupo compreendendo: where R is selected from the group comprising:
Figure imgf000017_0002
no mínimo um excipiente ou adjuvante farmacêutico e fisiologicamente aceitável.
Figure imgf000017_0002
at least one physiologically acceptable pharmaceutical excipient or adjuvant.
6. COMPOSIÇÃO FARMACÊUTICA, de acordo com as reivindicação 5, caracterizada por ser administrada pelas vias oral, subcutânea, intramuscular, intravenosa, intraperitoneal, subcutânea, transdérmica no canal medular ou como dispositivos que possam ser implantados ou injetados. PHARMACEUTICAL COMPOSITION according to Claim 5, characterized in that it is administered by oral, subcutaneous, intramuscular, intravenous, intraperitoneal, subcutaneous, transdermal canal or as devices which may be implanted or injected.
7. USO DE COMPOSTOS DERIVADOS DO ÁCIDO ARAQUIDÔNICO SUBSTITUÍDOS COM ANÁLOGOS DE COXIBES, caracterizado por ser na preparação de medicamentos analgésicos e antiinflamatórios.  7. USE OF ARAQUIDONIC ACID DERIVATIVE COMPOUNDS REPLACED WITH COXIBLE ANALOGS, characterized by being in the preparation of analgesic and anti-inflammatory drugs.
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