WO2016019848A1 - Dabigatran thioester derivative, preparation method therefor, and pharmaceutical use thereof - Google Patents

Dabigatran thioester derivative, preparation method therefor, and pharmaceutical use thereof Download PDF

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WO2016019848A1
WO2016019848A1 PCT/CN2015/086021 CN2015086021W WO2016019848A1 WO 2016019848 A1 WO2016019848 A1 WO 2016019848A1 CN 2015086021 W CN2015086021 W CN 2015086021W WO 2016019848 A1 WO2016019848 A1 WO 2016019848A1
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group
pharmaceutically acceptable
methyl
stereoisomer
acceptable salt
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魏用刚
邱关鹏
雷柏林
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四川海思科制药有限公司
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Priority to CN201580036779.5A priority Critical patent/CN107027308A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/4427Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
    • A61K31/4439Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
    • 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
    • C07D401/12Heterocyclic 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 linked by a chain containing hetero atoms as chain links

Definitions

  • cardiovascular disease is one of the main causes of death in humans.
  • One of its main aspects is thrombosis, which is caused by a series of complex reactions.
  • Blood coagulation is a protective mechanism of the organism whereby the defect of the vessel wall can be "sealed” quickly and reliably, thus avoiding blood loss or minimizing it. Maintaining normal hemostasis, ie hemorrhage and clotting balance, is regulated by a complex mechanism. Unregulated activation of the coagulation system or lack of inhibition of the activation process can lead to a variety of diseases and complications, such as venous thrombosis, deep vein thrombosis, pulmonary embolism, atherosclerosis, acute coronary syndrome, cerebrovascular disease and the like.
  • X 2 is O; R 2 is n-hexyl;
  • R 1 , R 2 , X 1 and X 2 are identical to those defined in the above formula (I).
  • the suspension of the group prototype drug was collected from the eyelids, anticoagulated by heparin, and centrifuged at 3000C for 10 min at 4 ° C for 5 min before administration (0 h) and 5 min, 15 min, 30 min, 1.0, 2.0, 4.0, 8.0, 24.0 h after administration.
  • the plasma was separated and stored at -80 ° C for testing. Take 30ul of rat plasma at each time point, add 200ul of internal standard solution (7.5ng/ml verapamil), vortex for 1min, centrifuge at 13000rpm for 10min at 4°C, and take 190ul of supernatant for LC-MS/MS (Shimadzu Company lc-20A Technology Co., Ltd., API4000+) analysis.
  • the main pharmacokinetic parameters were analyzed by WinNonlin 6.3 software non-compartmental model. The results are shown in Table 1.

Abstract

A dabigatran thioester derivative as indicated in formula (I), a stereoisomer thereof, a pharmaceutically acceptable salt thereof, and a use thereof in preparing medications for preventing and treating thromboembolic diseases, X1, X2, R1, and R2 being defined as in the description.

Description

一种达比加群硫酯衍生物及其制备方法和在药学上的用途Dabigatran thioester derivative, preparation method thereof and pharmacy use thereof 技术领域Technical field
本发明涉及一种达比加群硫酯衍生物及其立体异构体和药学上可接受的盐,以及在制备用于预防和治疗血栓栓塞疾病的药物中的用途。The present invention relates to a dabigatran thioester derivative, and stereoisomers thereof and pharmaceutically acceptable salts thereof, and to the use of a medicament for the prevention and treatment of a thromboembolic disease.
背景技术Background technique
目前,心血管疾病是导致人类死亡的主要原因之一,它的一个主要方面是血栓形成,血栓形成是由一系列复杂反应引起凝血而致。血液凝固是生物体的一种保护机制,借此可很快并且可靠地“密封”血管壁的缺损,因此可以避免失血或将其降到最低限度。维持正常止血作用,即出血和凝血平衡,受一个复杂机制的调控。不受调控的活化凝血系统或缺乏活化过程的抑制作用都可能导致多种疾病和并发症,例如静脉血栓、深静脉血栓、肺栓塞、动脉粥样硬化、急性冠状综合征、脑血管疾病等。At present, cardiovascular disease is one of the main causes of death in humans. One of its main aspects is thrombosis, which is caused by a series of complex reactions. Blood coagulation is a protective mechanism of the organism whereby the defect of the vessel wall can be "sealed" quickly and reliably, thus avoiding blood loss or minimizing it. Maintaining normal hemostasis, ie hemorrhage and clotting balance, is regulated by a complex mechanism. Unregulated activation of the coagulation system or lack of inhibition of the activation process can lead to a variety of diseases and complications, such as venous thrombosis, deep vein thrombosis, pulmonary embolism, atherosclerosis, acute coronary syndrome, cerebrovascular disease and the like.
现已上市的口服抗血凝药物主要有直接凝血酶抑制剂、Xa因子抑制剂、IX因子抑制剂、组织因子抑制剂和新型维生素K拮抗剂等。其中达比加群酯是一种口服的、选择性的高效凝血酶抑制剂,临床已证明能够替代华法林成为预防非瓣膜性心房纤维性颤动患者中风和全身栓塞及替代依诺肝素钠成为预防主要整形术后患者静脉血栓栓塞事件的首选用药。Oral anti-hemagglutination drugs that have been marketed mainly include direct thrombin inhibitors, factor Xa inhibitors, factor IX inhibitors, tissue factor inhibitors, and novel vitamin K antagonists. Among them, dabigatran etexilate is an oral, selective and highly potent thrombin inhibitor. It has been clinically proven to replace warfarin to prevent stroke and systemic embolism in patients with non-valvular atrial fibrillation and to replace enoxaparin sodium. The first choice for the prevention of venous thromboembolic events in patients undergoing major plastic surgery.
达比加群酯于2008年上市,被用于预防非瓣膜病性房颤患者的卒中或全身性栓塞、深部静脉血栓(DVT)或肺血管阻塞及其复发。它是达比加群分子中的游离羧基和脒基分别成酯后得到的双前体药物,解决了因达比加群强碱性脒基存在而不能口服的问题,提高了口服生物利用度。达比加群酯口服后,从胃肠道吸收,然后快速在体内转化为达比加群,从而发挥抗凝血作用。但是达比加群双酯的口服生物利用度较低,仅有3~7%,所以药用剂量较高,增加了胃肠道副作用。Dabigatran etexilate was marketed in 2008 and is used to prevent stroke or systemic embolism, deep vein thrombosis (DVT) or pulmonary vascular occlusion and its recurrence in patients with non-valvular atrial fibrillation. It is a double prodrug obtained by esterification of the free carboxyl group and the thiol group in the dabigatran group, which solves the problem that the insoluble thiol group can not be taken orally, and improves the oral bioavailability. . After oral administration of dabigatran etexilate, it is absorbed from the gastrointestinal tract and then rapidly converted into dabigatran in the body to exert an anticoagulant effect. However, the oral bioavailability of dabigatran diester is low, only 3 to 7%, so the higher dosage is medicinal and the side effects are increased.
目前已有不少文献报道了达比加群的前体药物。如WO09837075和WO2004014894专利公开了达比加群及其类似物,以及其烷基羧酸酯、被磺酰基取代的羧酸酯或磺酰基氨基等前体药物;CN102875533和CN102838588专利报道了达比加群的阿魏酸或川弓嗪前体药物,并具有一定的抗凝血作用;CN200910211164、CN200910211165和CN201210158600等专利公开了达比加群的碳酸酯、羧酸酯等前 体药物。There are many reports on the prodrugs of dabigatran. As disclosed in WO09837075 and WO2004014894, dabigatran and its analogs, as well as prodrugs thereof such as alkyl carboxylates, sulfonyl substituted carboxylic acid esters or sulfonylamino groups; CN102875533 and CN102838588 patents report Dabiga a group of ferulic acid or sulphate prodrugs, and has a certain anticoagulant effect; CN200910211164, CN200910211165 and CN201210158600 and other patents disclose dabigatran group of carbonates, carboxylates, etc. Body medicine.
本发明的目的在于解决达比加群因其强碱性而不能口服的问题,提供一种新颖有效的具有良好稳定性、溶解度、生物利用度以及低剂量、低毒副作用或长效的可口服的达比加群前药。The object of the present invention is to solve the problem that dabigatran can not be taken orally because of its strong alkalinity, and provide a novel and effective oral administration with good stability, solubility, bioavailability and low dose, low toxic side effect or long-acting effect. Dabigatran group of prodrugs.
发明内容Summary of the invention
本发明涉及一种达比加群硫酯衍生物及其立体异构体或药学上可接受的盐,以及在制备用于预防和治疗血栓栓塞疾病的药物中的用途。The present invention relates to a dabigatran thioester derivative and a stereoisomer or pharmaceutically acceptable salt thereof, and to the use of a medicament for the prevention and treatment of a thromboembolic disease.
本发明提供一种通式(I)所示的化合物及其立体异构体和药学上可以接受的盐,其中:The present invention provides a compound represented by the formula (I), and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein:
Figure PCTCN2015086021-appb-000001
Figure PCTCN2015086021-appb-000001
R1和R2各自独立的选自C1-10烷基或C6-10碳环,所述烷基或碳环任选进一步被0至4个选自H、F、Cl、Br、I、CN、NH2、C1-4烷基、C1-4烷氧基或C6-10碳环的取代基所取代;X1和X2各自独立的选自O或S,条件是X1、X2中至少有一个为S。R 1 and R 2 are each independently selected from a C 1-10 alkyl group or a C 6-10 carbocyclic ring, and the alkyl group or carbocyclic ring is optionally further selected from 0 to 4 selected from the group consisting of H, F, Cl, Br, I. Substituted by a substituent of CN, NH 2 , C 1-4 alkyl, C 1-4 alkoxy or C 6-10 carbocycle; X 1 and X 2 are each independently selected from O or S, provided that X 1 and at least one of X 2 is S.
本发明优选方案,一种通式(I)所示的化合物及其立体异构体和药学上可以接受的盐,其中:R1和R2各自独立的选自C1-10烷基,所述烷基任选进一步被0至4个选自H、F、Cl、Br、I、CN、NH2、C1-4烷基、C1-4烷氧基或C3-6碳环的取代基所取代,X1和X2各自独立的选自O或S,条件是X1、X2中至少有一个为S。A preferred embodiment of the invention, a compound of the formula (I), and a stereoisomer thereof, and a pharmaceutically acceptable salt thereof, wherein: R 1 and R 2 are each independently selected from C 1-10 alkyl, The alkyl group is optionally further from 0 to 4 selected from the group consisting of H, F, Cl, Br, I, CN, NH 2 , C 1-4 alkyl, C 1-4 alkoxy or C 3-6 carbocyclic Substituted by a substituent, X 1 and X 2 are each independently selected from O or S, provided that at least one of X 1 and X 2 is S.
本发明优选方案,一种通式(I)所示的化合物及其立体异构体和药学上可以接受的盐,其中:R1和R2各自独立的选自C1-10烷基,优选C1-8烷基,所述烷基任选进一步被0至4个选自H、F、Cl、Br、I、CN、NH2、甲基、乙基、甲氧基、乙氧基、环丙基或环戊基的取代基所取代,X1和X2各自独立的选自O或S,条件是X1、X2中至少有一个为S。A preferred embodiment of the invention, a compound of the formula (I), and a stereoisomer thereof, and a pharmaceutically acceptable salt thereof, wherein: R 1 and R 2 are each independently selected from C 1-10 alkyl, preferably C 1-8 alkyl, the alkyl optionally further selected from 0 to 4 selected from the group consisting of H, F, Cl, Br, I, CN, NH 2 , methyl, ethyl, methoxy, ethoxy, Substituted by a substituent of a cyclopropyl or cyclopentyl group, X 1 and X 2 are each independently selected from O or S, provided that at least one of X 1 and X 2 is S.
本发明优选方案,一种通式(I)所示的化合物及其立体异构体和药学上可以接受的盐,其中该化合物选自如下结构之一: A preferred embodiment of the invention, a compound of the formula (I), and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein the compound is selected from one of the following structures:
Figure PCTCN2015086021-appb-000002
Figure PCTCN2015086021-appb-000002
本发明优选方案,根据本发明所述化合物及其立体异构体和药学上可接受的盐,其中所述的盐选自盐酸盐、氢溴酸盐、硫酸盐、硝酸盐、磷酸盐、乙酸盐、马来酸盐、琥珀酸盐、扁桃酸盐、富马酸盐、丙二酸盐、苹果酸盐、2-羟基丙酸盐、草酸盐、羟乙酸盐、水杨酸盐、葡萄糖醛酸盐、半乳糖醛酸盐、枸橼酸盐、酒石酸盐、门冬氨酸盐、谷氨酸盐、苯甲酸盐、肉桂酸盐、对甲苯磺酸盐、苯磺酸盐、甲磺酸盐、乙磺酸盐、三氟甲磺酸盐、阿魏酸盐或它们的组合。Preferred according to the invention, the compound according to the invention, and the stereoisomers and pharmaceutically acceptable salts thereof, wherein the salt is selected from the group consisting of hydrochlorides, hydrobromides, sulfates, nitrates, phosphates, Acetate, maleate, succinate, mandelate, fumarate, malonate, malate, 2-hydroxypropionate, oxalate, glycolate, salicylic acid Salt, glucuronide, galacturonate, citrate, tartrate, aspartate, glutamate, benzoate, cinnamate, p-toluenesulfonate, benzenesulfonic acid Salt, mesylate, ethanesulfonate, triflate, ferulic acid or a combination thereof.
本发明进一步提供一种药物组合物,所述药物组合物含有治疗有效剂量的本发明化合物或其立体异构体或药学上可接受的盐,以及药学上可接受的载体或者赋形剂。The invention further provides a pharmaceutical composition comprising a therapeutically effective amount of a compound of the invention, or a stereoisomer or pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier or excipient.
本发明进一步提供一种前面任意所述的化合物及其立体异构体和药学上可接受的盐,在制备治疗与凝血酶抑制剂相关疾病药物中的用途。The invention further provides the use of a compound of any of the foregoing, and a stereoisomer thereof, and a pharmaceutically acceptable salt thereof, for the manufacture of a medicament for the treatment of a disease associated with a thrombin inhibitor.
本发明还提供一种前面所述的药物组合物在制备治疗与凝血酶抑制剂相关疾病药物中的用途。The present invention also provides the use of a pharmaceutical composition as described above for the preparation of a medicament for treating a disease associated with thrombin inhibitors.
本发明优选方案,其中所述的与凝血酶抑制剂相关疾病选自血栓栓塞疾病。In a preferred embodiment of the invention, the thrombin-related disease is selected from a thromboembolic disorder.
本发明优选方案,其中所述的血栓栓塞疾病选自静脉血栓和动脉栓塞。In a preferred embodiment of the invention, the thromboembolic disease is selected from the group consisting of venous thrombosis and arterial embolization.
本发明进一步提供一种治疗与凝血酶抑制剂相关疾病的方法,其中所述方法包括给药本发明所述的化合物或其立体异构体、或药学上可接受的盐,或本发明所述的组合物。The present invention further provides a method of treating a disease associated with a thrombin inhibitor, wherein the method comprises administering a compound of the present invention, or a stereoisomer thereof, or a pharmaceutically acceptable salt, or the present invention Compositions.
本发明优选方案,其中所述的与凝血酶抑制剂相关疾病选自血栓栓塞疾病。In a preferred embodiment of the invention, the thrombin-related disease is selected from a thromboembolic disorder.
本发明优选方案,其中所述的血栓栓塞疾病选自静脉血栓和动脉栓塞。In a preferred embodiment of the invention, the thromboembolic disease is selected from the group consisting of venous thrombosis and arterial embolization.
除非有相反的陈述,在说明书和权利要求书中使用的术语具有下述含义。Terms used in the specification and claims have the following meanings unless stated to the contrary.
本发明所述基团和化合物中所涉及的碳、氢、氧、硫、氮或卤素均包括它们的同 位素,及本发明所述基团和化合物中所涉及的碳、氢、氧、硫、氮或卤素任选进一步被一个或多个它们对应的同位素所替代,其中碳的同位素包括12C、13C和14C,氢的同位素包括氕(H)、氘(D,又称为重氢)、氚(T,又称为超重氢),氧的同位素包括16O、17O和18O,硫的同位素包括32S、33S、34S和36S,氮的同位素包括14N和15N,氟的同位素19F,氯的同位素包括35Cl和37Cl,溴的同位素包括79Br和81Br。The carbon, hydrogen, oxygen, sulfur, nitrogen or halogen involved in the groups and compounds of the present invention include their isotopes, and the carbon, hydrogen, oxygen, sulfur, and the groups and compounds involved in the present invention. The nitrogen or halogen is optionally further replaced by one or more of their corresponding isotopes, wherein the carbon isotopes include 12 C, 13 C, and 14 C, and the hydrogen isotopes include helium (H), helium (D, also known as heavy hydrogen ), 氚 (T, also known as super heavy hydrogen), oxygen isotopes include 16 O, 17 O and 18 O, sulfur isotopes include 32 S, 33 S, 34 S and 36 S, nitrogen isotopes including 14 N and 15 N, the fluorine isotope 19 F, the chlorine isotope includes 35 Cl and 37 Cl, and the bromine isotopes include 79 Br and 81 Br.
“烷基”是指直链和支链的饱和脂肪族烃基团,主链包括1至20个碳原子,优选为1至12个碳原子,进一步优选为1至8个碳原子,更优选为1至6个碳原子,再进一步优选1至4个碳原子的直链与支链基团,最优选1至2个碳原子;烷基的实例包括但不限于甲基、乙基、正丙基、异丙基、正丁基、异丁基、仲丁基、叔丁基、正戊基、2-戊基、3-戊基、2-甲基-2-丁基、3-甲基-2-丁基、3-甲基-1-丁基、2-甲基-1-丁基、正己基、2-己基、3-己基、2-甲基-2-戊基、3-甲基-2-戊基、4-甲基-2-戊基、3-甲基-3-戊基、2-甲基-3-戊基、2,3-二甲基-2-丁基、3,3-二甲基-2-丁基、正庚基、2-甲基己基、3-甲基己基、4-甲基己基、5-甲基己基、2,2-二甲基戊基、2,3-二甲基戊基、2,4-二甲基戊基、3,3-二甲基戊基、2-乙基戊基、3-乙基戊基、正辛基、2,2-二甲基己基、2,3-二甲基己基、2,4-二甲基己基、2,5-二甲基己基、3,3-二甲基己基、4,4-二甲基己基、2-乙基己基、3-乙基己基、4-乙基己基、2-甲基-2-乙基戊基、2-甲基-3-乙基戊基、正壬基、2-甲基-2-乙基己基和正癸基;烷基可以是取代的或未取代的,当被取代时,取代基可以在任何可使用的连接点上被取代,取代基优选为1至5个选自F、Cl、Br、I、烷基、环烷基、烷氧基、卤代烷基、硫醇、羟基、硝基、巯基、氨基、氰基、异氰基、芳基、杂芳基、杂环基、桥环基、螺环基、并环基、羟基烷基=O、羰基、醛、羧酸、羧酸酯芳基硫基、硫代羰基或硅烷基等。"Alkyl" means a straight-chain or branched saturated aliphatic hydrocarbon group, and the main chain includes 1 to 20 carbon atoms, preferably 1 to 12 carbon atoms, further preferably 1 to 8 carbon atoms, more preferably a linear and branched group of 1 to 6 carbon atoms, still more preferably 1 to 4 carbon atoms, most preferably 1 to 2 carbon atoms; examples of the alkyl group include, but are not limited to, methyl, ethyl, n-propyl Base, isopropyl, n-butyl, isobutyl, sec-butyl, tert-butyl, n-pentyl, 2-pentyl, 3-pentyl, 2-methyl-2-butyl, 3-methyl -2-butyl, 3-methyl-1-butyl, 2-methyl-1-butyl, n-hexyl, 2-hexyl, 3-hexyl, 2-methyl-2-pentyl, 3-methyl Benzyl-2-pentyl, 4-methyl-2-pentyl, 3-methyl-3-pentyl, 2-methyl-3-pentyl, 2,3-dimethyl-2-butyl, 3,3-Dimethyl-2-butyl, n-heptyl, 2-methylhexyl, 3-methylhexyl, 4-methylhexyl, 5-methylhexyl, 2,2-dimethylpentyl , 2,3-dimethylpentyl, 2,4-dimethylpentyl, 3,3-dimethylpentyl, 2-ethylpentyl, 3-ethylpentyl, n-octyl, 2 ,2-dimethylhexyl, 2,3-dimethylhexyl, 2,4-dimethylhexyl, 2,5-dimethyl Hexyl, 3,3-dimethylhexyl, 4,4-dimethylhexyl, 2-ethylhexyl, 3-ethylhexyl, 4-ethylhexyl, 2-methyl-2-ethylpentyl, 2-methyl-3-ethylpentyl, n-decyl, 2-methyl-2-ethylhexyl and n-decyl; alkyl may be substituted or unsubstituted, when substituted, the substituent may be Any substituent which may be used is substituted, and the substituent is preferably from 1 to 5 selected from the group consisting of F, Cl, Br, I, alkyl, cycloalkyl, alkoxy, haloalkyl, thiol, hydroxy, nitro, Mercapto, amino, cyano, isocyano, aryl, heteroaryl, heterocyclyl, bridged, spiro, cyclo, hydroxyalkyl = O, carbonyl, aldehyde, carboxylic acid, carboxylate An arylthio group, a thiocarbonyl group, a silyl group or the like.
“烷氧基”是指-O-烷基,其中烷基如本文上述定义。烷氧基可以是取代的或未取代的,烷氧基实施例包括但不限于甲氧基、乙氧基、正丙氧基、异丙氧基、正丁氧基、异丁氧基、叔丁氧基、仲丁氧基、正戊氧基和正己氧基;当被取代时,取代基优选为1至5个选自F、Cl、Br、I、烷基、环烷基、烷氧基、卤代烷基、硫醇、羟基、硝基、巯基、氨基、氰基、异氰基、芳基、杂芳基、杂环基、桥环基、螺环基、并环基、羟基烷基、=O、羰基、醛、羧酸、羧酸酯芳基硫基、硫代羰基或硅烷基等。"Alkoxy" means an -O-alkyl group wherein alkyl is as defined above. Alkoxy groups may be substituted or unsubstituted, and alkoxy embodiments include, but are not limited to, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, isobutoxy, untertiary Butoxy, sec-butoxy, n-pentyloxy and n-hexyloxy; when substituted, the substituent is preferably from 1 to 5 selected from the group consisting of F, Cl, Br, I, alkyl, cycloalkyl, alkoxy , haloalkyl, thiol, hydroxy, nitro, decyl, amino, cyano, isocyano, aryl, heteroaryl, heterocyclyl, bridged, spiro, cyclo, hydroxyalkyl , =0, a carbonyl group, an aldehyde, a carboxylic acid, a carboxylate arylthio group, a thiocarbonyl group or a silyl group.
“任选”或“任选地”是指随后所描述的事件或环境可以但不必须发生,该说明包括该事件或环境发生或不发生的场合,如:“任选被F取代的烷基”指烷基可以但不必须 被F取代,说明包括烷基被F取代的情形和烷基不被F取代的情形。"Optional" or "optionally" means that the subsequently described event or environment may, but need not, occur, including where the event or environment occurs or does not occur, such as: "Alkyl optionally substituted by F" "Alkyl may but not necessarily Substitution by F illustrates the case where the alkyl group is substituted by F and the case where the alkyl group is not substituted by F.
“取代”是指基团中一个或多个氢原子被其它基团取代的情形,如果所述的基团被氢原子取代,形成的基团与被氢原子取代的基团相同。基团被取代的情形,例如氨基、C1-4烷基、C1-4烷氧基、C3-6碳环、3至6元杂环任选进一步被0至4个选自H、F、Cl、Br、I、羟基、氰基、氨基、C1-4烷基或C1-4烷氧基的取代基所取代,形成的基团包括但不限于甲基、氯甲基、三氯甲基、羟基甲基、-CH2OCH3、-CH2SH、-CH2CH2CN、-CH2NH2、-NHOH、-NHCH3、-OCH2Cl、-OCH2OCH2CH3、-OCH2CH2NH2、-OCH2CH2SH、-OCH2CH2OH、1-羟基环丙基、2-羟基环丙基、2-氨基环丙基、4-甲基呋喃基、2-羟基苯基、4-氨基苯基、苯基。"Substitution" refers to the case where one or more hydrogen atoms in a group are substituted by another group, and if the group is substituted by a hydrogen atom, the group formed is the same as the group substituted by a hydrogen atom. Where the group is substituted, for example, amino, C 1-4 alkyl, C 1-4 alkoxy, C 3-6 carbocyclic, 3 to 6 membered heterocyclic ring, optionally further from 0 to 4 selected from H, Substituted by a substituent of F, Cl, Br, I, hydroxy, cyano, amino, C 1-4 alkyl or C 1-4 alkoxy, the groups formed include, but are not limited to, methyl, chloromethyl, Trichloromethyl, hydroxymethyl, -CH 2 OCH 3 , -CH 2 SH, -CH 2 CH 2 CN, -CH 2 NH 2 , -NHOH, -NHCH 3 , -OCH 2 Cl, -OCH 2 OCH 2 CH 3 , -OCH 2 CH 2 NH 2 , -OCH 2 CH 2 SH, -OCH 2 CH 2 OH, 1-hydroxycyclopropyl, 2-hydroxycyclopropyl, 2-aminocyclopropyl, 4-methyl Furanyl, 2-hydroxyphenyl, 4-aminophenyl, phenyl.
“取代或未取代的”是指基团可以被取代或不被取代的情形,若在本发明中没有指出基团可以被取代,则表示该基团为未取代的情形。"Substituted or unsubstituted" refers to a situation in which a group may be substituted or unsubstituted, and if it is not indicated in the present invention that a group may be substituted, it means that the group is unsubstituted.
“作为选择”是指“作为选择”之后的方案与“作为选择”之前的方案为并列关系,而不是在前方案中的进一步选择情形。“As a choice” means that the scheme after “as a choice” is a side-by-side relationship with the scheme before “as a choice” rather than a further selection in the previous scheme.
“药学上可接受的盐”或“其药学上可接受的盐”指的是保持游离酸或游离碱的生物有效性和特性,且所述的游离酸通过与无毒的无机碱或有机碱,或所述的游离酸通过与无毒的无机酸或有机酸反应获得的那些盐,包括碱金属盐,如钠盐、钾盐、锂盐等;碱土金属盐,如钙盐、镁盐等;其他金属盐,如铁盐、铜盐、钴盐;有机碱盐,如铵盐、三乙胺盐、吡啶盐、甲基吡啶盐、2,6-二甲基吡啶盐、乙醇胺盐、二乙醇胺盐、三乙醇胺盐、环己胺盐、乙二胺盐、胍盐、异丙基胺盐、三甲基胺盐、三丙基胺盐、三乙醇胺盐、二乙醇胺盐、乙醇胺盐、二甲基乙醇胺盐、二环己基胺盐、咖啡碱盐、普鲁卡因盐、胆碱盐、甜菜碱盐、苯明青霉素盐、葡萄糖胺盐、N-甲基葡糖胺盐、可可碱盐、氨丁三醇盐、嘌呤盐、哌嗪盐、吗啉盐、哌啶盐、N-乙基哌啶盐、四甲基胺盐、二苄基胺盐和苯基甘氨酸烷基酯盐;氢卤酸盐,如氢氟酸盐、盐酸盐、氢碘酸盐、氢溴酸盐;无机酸盐,如硝酸盐、硫酸盐、高氯酸盐、磷酸盐;低级烷磺酸盐,如甲磺酸盐、三氟甲磺酸盐、乙磺酸盐;芳基磺酸盐,如苯磺酸盐、对甲苯磺酸盐;有机酸盐,如蚁酸盐、富马酸盐、甲酸盐、三氟乙酸盐、糠酸盐、葡萄糖酸盐、谷氨酸盐、乙醇酸盐、羟乙磺酸盐、乳酸盐、马来酸盐、苹果酸盐、扁桃酸盐、粘液酸盐、双羟萘酸盐、泛酸盐、硬脂酸盐、琥珀酸盐、磺胺酸盐、酒石酸盐、丙二酸盐、2-羟基丙酸盐、柠檬酸盐、水杨酸盐、草酸盐、羟乙酸盐、葡萄糖醛酸盐、半乳糖醛酸 盐、枸橼酸盐、赖氨酸盐、精氨酸盐、门冬氨酸盐、肉桂酸盐。"Pharmaceutically acceptable salt" or "pharmaceutically acceptable salt thereof" refers to maintaining the biological effectiveness and properties of the free acid or free base, and the free acid is passed through a non-toxic inorganic or organic base. Or the free acid obtained by reacting with a non-toxic inorganic or organic acid, including alkali metal salts such as sodium salts, potassium salts, lithium salts, etc.; alkaline earth metal salts such as calcium salts, magnesium salts, etc. Other metal salts such as iron salts, copper salts, cobalt salts; organic alkali salts such as ammonium salts, triethylamine salts, pyridinium salts, methylpyridine salts, 2,6-dimethylpyridine salts, ethanolamine salts, two Ethanolamine salt, triethanolamine salt, cyclohexylamine salt, ethylenediamine salt, sulfonium salt, isopropylamine salt, trimethylamine salt, tripropylamine salt, triethanolamine salt, diethanolamine salt, ethanolamine salt, two Methylethanolamine salt, dicyclohexylamine salt, caffeine salt, procaine salt, choline salt, betaine salt, phenicillin salt, glucosamine salt, N-methylglucamine salt, theobromine salt, Tromethamine salt, sulfonium salt, piperazine salt, morpholine salt, piperidine salt, N-ethyl piperidine salt, tetramethylamine , dibenzylamine salt and phenylglycine alkyl ester salt; hydrohalide salt, such as hydrofluoric acid salt, hydrochloride salt, hydroiodide salt, hydrobromide salt; inorganic acid salt, such as nitrate, sulfate Perchlorate, phosphate; lower alkane sulfonate, such as methanesulfonate, triflate, ethanesulfonate; aryl sulfonate, such as besylate, p-toluenesulfonate Organic acid salts such as formic acid salts, fumarates, formates, trifluoroacetates, citrates, gluconates, glutamates, glycolates, isethionates, lactic acid Salt, maleate, malate, mandelate, mucate, pamoate, pantothenate, stearate, succinate, sulfamate, tartrate, malonate, 2-hydroxypropionate, citrate, salicylate, oxalate, glycolate, glucuronide, galacturonic acid Salt, citrate, lysine, arginine, aspartate, cinnamate.
合成方法resolve resolution
方法一:method one:
Figure PCTCN2015086021-appb-000003
Figure PCTCN2015086021-appb-000003
X2为O;R2为正己基;X 2 is O; R 2 is n-hexyl;
R1、X1与前面通式(I)所述定义一致。R 1 and X 1 are identical to the definitions of the above formula (I).
方法二:Method Two:
Figure PCTCN2015086021-appb-000004
Figure PCTCN2015086021-appb-000004
R1、R2、X1、X2定义与前面通式(I)所述定义一致。The definitions of R 1 , R 2 , X 1 and X 2 are identical to those defined in the above formula (I).
具体实施方式detailed description
以下结合附图及实施例详细说明本发明的技术方案,但本发明的保护范围包括但是不限于此。The technical solutions of the present invention are described in detail below with reference to the accompanying drawings and embodiments, but the scope of protection of the present invention includes but is not limited thereto.
化合物的结构是通过核磁共振(NMR)或(和)质谱(MS)来确定的。NMR位移(δ)以10-6(ppm)的单位给出。NMR的测定是用(Bruker Avance III 400和Bruker Avance 300)核磁仪,测定溶剂为氘代二甲基亚砜(DMSO-d6),氘代氯仿(CDCl3),氘代甲醇(CD3OD),内标为四甲基硅烷(TMS)。 The structure of the compound is determined by nuclear magnetic resonance (NMR) or (and) mass spectrometry (MS). The NMR shift (δ) is given in units of 10 -6 (ppm). NMR was measured using a (Bruker Avance III 400 and Bruker Avance 300) NMR instrument and the solvent was deuterated dimethyl sulfoxide (DMSO-d6), deuterated chloroform (CDCl 3 ), deuterated methanol (CD 3 OD). The internal standard is tetramethylsilane (TMS).
MS的测定用(Agilent 6120B(ESI)和Agilent 6120B(APCI))。The measurement of MS was carried out (Agilent 6120B (ESI) and Agilent 6120B (APCI)).
HPLC的测定使用安捷伦1260DAD高压液相色谱仪(Zorbax SB-C18100×4.6mm)。The HPLC was measured using an Agilent 1260 DAD high pressure liquid chromatograph (Zorbax SB-C18100 x 4.6 mm).
薄层层析硅胶板使用烟台黄海HSGF254或青岛GF254硅胶板,薄层色谱法(TLC)使用的硅胶板采用的规格是0.15mm~0.20mm,薄层层析分离纯化产品采用的规格是0.4mm~0.5mm。Thin layer chromatography silica gel plate uses Yantai Yellow Sea HSGF254 or Qingdao GF254 silica gel plate. The specification of silica gel plate used for thin layer chromatography (TLC) is 0.15mm~0.20mm. The specification for thin layer chromatography separation and purification is 0.4mm. ~0.5mm.
柱层析一般使用烟台黄海硅胶200~300目硅胶为载体。Column chromatography generally uses Yantai Huanghai silica gel 200-300 mesh silica gel as a carrier.
本发明的己知的起始原料可以采用或按照本领域已知的方法来合成,或可购买于泰坦科技、安耐吉化学、上海德默、成都科龙化工、韶远化学科技、百灵威科技等公司。The known starting materials of the present invention may be synthesized by or according to methods known in the art, or may be purchased from Titan Technology, Anheji Chemical, Shanghai Demer, Chengdu Kelon Chemical, Suiyuan Chemical Technology, and Belling Technology. And other companies.
氮气氛是指反应瓶连接一个约1L容积的氮气气球。The nitrogen atmosphere means that the reaction flask is connected to a nitrogen balloon having a volume of about 1 L.
氢气氛是指反应瓶连接一个约1L容积的氢气气球。The hydrogen atmosphere means that the reaction flask is connected to a hydrogen balloon of about 1 L volume.
氢化反应通常抽真空,充入氢气,反复操作3次。The hydrogenation reaction is usually evacuated, charged with hydrogen, and operated three times.
实施例中无特殊说明,反应在氮气氛下进行。Unless otherwise stated in the examples, the reaction was carried out under a nitrogen atmosphere.
实施例中无特殊说明,溶液是指水溶液。Unless otherwise stated in the examples, the solution means an aqueous solution.
实施例中无特殊说明,反应的温度为室温。There is no particular description in the examples, and the reaction temperature is room temperature.
室温为最适宜的反应温度,为20℃~30℃。The room temperature is an optimum reaction temperature of 20 ° C to 30 ° C.
中间体1Intermediate 1
3-[[2-[[4-[N`-己氧基羰基甲脒]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸(中间体1)3-[[2-[[4-[N`-hexyloxycarbonylformamidine]aniline]methyl]-1-methyl-benzimidazol-5-carbonyl]-(2-pyridyl)amino]propyl Acid (intermediate 1)
3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoic acid3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoic acid
Figure PCTCN2015086021-appb-000005
Figure PCTCN2015086021-appb-000005
Figure PCTCN2015086021-appb-000006
Figure PCTCN2015086021-appb-000006
第一步:3-[[2-[[4-[N`-己氧基羰基甲脒]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸(中间体1)First step: 3-[[2-[[4-[N`-hexyloxycarbonylformamidine]aniline]methyl]-1-methyl-benzimidazol-5-carbonyl]-(2-pyridyl Amino]propionic acid (intermediate 1)
3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoic acid3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoic acid
Figure PCTCN2015086021-appb-000007
Figure PCTCN2015086021-appb-000007
将3-[[2-[[4-[N`-己氧基羰基甲脒]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸乙酯(1a)(63g,100mmol)加入到乙醇(600mL)和水(300mL)的混合溶剂中,加入氢氧化钠(8g,200mmol),室温下搅拌半个小时,至反应液澄清。浓缩反应液,旋蒸掉大部分乙醇,加入水(200mL),用10%的柠檬酸水溶液调节pH至4~5,大量粘稠状固体析出,过滤,将固体转移入反应瓶中,加入甲醇(300mL),加热至固体溶解,继续搅拌至固体呈颗粒状,冷却至0℃,更多产品析出,过滤并干燥,得到白色固体状的标题化合物3-[[2-[[4-[N`-己氧基羰基甲脒]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸(中间体1)(50g,产率83%)。3-[[2-[[4-[N`-Hexoxycarbonylformamidine]aniline]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino] Ethyl propionate (1a) (63 g, 100 mmol) was added to a mixed solvent of ethanol (600 mL) and water (300 mL), and sodium hydroxide (8 g, 200 mmol) was added thereto, and the mixture was stirred at room temperature for half an hour until the reaction liquid was clarified. Concentrate the reaction solution, steam off most of the ethanol, add water (200 mL), adjust the pH to 4-5 with 10% aqueous citric acid solution, precipitate a large amount of viscous solids, filter, transfer the solid into the reaction flask, add methanol (300 mL), heating until the solid is dissolved, stirring is continued until the solid is in the form of a granule, which is cooled to 0 ° C, and more product is precipitated, filtered and dried to give the title compound 3-[[2-[[4-[N] `-Hexyloxycarbonylformamidine]aniline]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoic acid (Intermediate 1) (50 g, yield 83 %).
LCMS m/z=600.2[M+1]。LCMS m/z = 600.2 [M + 1].
1H NMR(400MHz,DMSO):δ8.38(d,1H),7.79(d,2H),7.56(m 1H),7.48(s,1H),7.39(d,1H),7.14(m2H),6.95(d,2H),6.77(d,2H),4.60(d,2H),4.18(t,2H),3.99(t,2H),3.77(s,3H),2.68-2.58(m,3H),1.58(dd,2H),1.29(d,6H),0.87(t,3H)。 1 H NMR (400MHz, DMSO) : δ8.38 (d, 1H), 7.79 (d, 2H), 7.56 (m 1H), 7.48 (s, 1H), 7.39 (d, 1H), 7.14 (m2H), 6.95(d,2H), 6.77(d,2H), 4.60(d,2H), 4.18(t,2H),3.99(t,2H),3.77(s,3H),2.68-2.58(m,3H) , 1.58 (dd, 2H), 1.29 (d, 6H), 0.87 (t, 3H).
实施例1Example 1
3-[[1-甲基-2-[[4-[N`-戊基硫基羰基甲眯基]苯胺基]甲基]苯并咪唑-5-羰基]-(2-吡啶)氨基]丙酸乙酯(化合物1)3-[[1-Methyl-2-[[4-[N`-pentylthiocarbonylcarbamoyl]anilinyl]methyl]benzimidazole-5-carbonyl]-(2-pyridyl)amino] Ethyl propionate (Compound 1)
Ethyl 3-[[1-methyl-2-[[4-[N`-pentylsulfanylcarbonylcarbamimidoyl]anilino]methyl]b enzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoateEthyl 3-[[1-methyl-2-[[4-[N`-pentylsulfanylcarbonylcarbamimidoyl]anilino]methyl]b Enzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoate
Figure PCTCN2015086021-appb-000008
Figure PCTCN2015086021-appb-000008
室温下在正戊硫醇(0.371g,3.57mmol)的四氢呋喃(10mL)中加入N,N'-羰基二咪唑(0.628g,3.87mmol),室温搅拌30分钟,减压除去溶剂,制备成反应液1。在乙基3-[[2-[(4-甲眯苯胺)甲基]-1甲基-苯并咪唑-5-羰基]-(2-吡啶)氨基]丙酸酯对甲基苯磺酸盐(1A)(2g,2.98mmol)中加入丙酮(80mL)、水(40mL)、碳酸钾(1.23g,8.93mmol),搅拌均匀后加入反应液1,加完后室温反应5小时。之后加入水(100mL),并用(150mL×2)乙酸乙酯萃取,合并有机层,有机层用(150mL×2)的水洗,之后有机层无水硫酸钠干燥,浓缩除去溶剂得标题化合物3-[[1-甲基-2-[[4-[N`-戊基硫基羰基甲眯基]苯胺基]甲基]苯并咪唑-5-羰基]-(2-吡啶)氨基]丙酸乙酯(化合物1),白色固体(0.3g,产率16%)。N,N'-carbonyldiimidazole (0.628 g, 3.87 mmol) was added to n-pentyl mercaptan (0.371 g, 3.57 mmol) in tetrahydrofuran (10 mL) at room temperature, stirred at room temperature for 30 min. Liquid 1. Ethyl 3-[[2-[(4-carboxanilide)methyl]-1 methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propionate p-toluenesulfonic acid To the salt (1A) (2 g, 2.98 mmol), acetone (80 mL), water (40 mL), and potassium carbonate (1.23 g, 8.93 mmol) were added, and the mixture was stirred and then added to the reaction mixture 1 and allowed to react at room temperature for 5 hours. After that, water (100 mL) was added, and the mixture was extracted with ethyl acetate (150 mL), and the organic layer was combined. The organic layer was washed with water (150 mL × 2). [[1-methyl-2-[[4-[N`-pentylthiocarbonylmethylindenyl]anilino]methyl]benzimidazole-5-carbonyl]-(2-pyridyl)amino]propionic acid Ethyl ester (Compound 1), white solid (0.3 g, yield 16%).
LCMS m/z=630.28[M+1]。LCMS m/z = 630.28 [M + 1].
1H NMR((400MHz,CDCl3)δ8.41(d,1H),7.72(d,2H),7.66(s,1H),7.33(m,1H),7.27(d,1H),7.08(d,1H),6.98(dd,1H),6.71(d,1H),6.63(d,2H),5.53(s,1H),4.43(dd,4H),4.14–4.01(m,2H),3.71(s,3H),2.86(t,2H),2.80(t,2H),1.66(m,2H),1.47–1.30(m,4H),1.21(t,3H),0.90(t,3H)。 1 H NMR ((400MHz, CDCl 3) δ8.41 (d, 1H), 7.72 (d, 2H), 7.66 (s, 1H), 7.33 (m, 1H), 7.27 (d, 1H), 7.08 (d , 1H), 6.98 (dd, 1H), 6.71 (d, 1H), 6.63 (d, 2H), 5.53 (s, 1H), 4.43 (dd, 4H), 4.14 - 4.01 (m, 2H), 3.71 ( s, 3H), 2.86 (t, 2H), 2.80 (t, 2H), 1.66 (m, 2H), 1.47 - 1.30 (m, 4H), 1.21 (t, 3H), 0.90 (t, 3H).
实施例2Example 2
叔丁硫基3-[[2-[[4-[N`-己氧羰基甲眯基]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸酯(化合物2)tert-Butylthio 3-[[2-[[4-[N`-hexyloxycarbonylmethylindenyl]aniline]methyl]-1-methyl-benzimidazol-5-carbonyl]-(2-pyridyl Amino]propionate (Compound 2)
S-tert-butyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate S-tert-butyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate
Figure PCTCN2015086021-appb-000009
Figure PCTCN2015086021-appb-000009
室温下在3-[[2-[[4-[N`-己氧基羰基甲脒]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸(中间体1)(1.00g,1.67mmol)的二甲基甲酰胺(15mL)溶液中加入叔丁硫醇(2A)(0.225m g,2.505mmol)、1-乙基-(3-二甲基氨基丙基)碳二亚胺盐酸盐(0.832g,4.34mmol)和4-二甲氨基吡啶(122mg,1.00mmol),室温反应15小时。向反应液中加入水(30mL),用乙酸乙酯萃取(50mL×3),合并有机相,有机相用水溶液洗涤(30mL×2),并用无水硫酸钠干燥,浓缩,残留物用硅胶柱色谱分离提纯((二氯甲烷:甲醇(v/v)=50:1~30:1)得到标题化合物叔丁硫基3-[[2-[[4-[N`-己氧羰基甲眯基]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸酯(化合物2),白色固体(0.61g,产率54.46%)3-[[2-[[4-[N`-Hexoxycarbonylformamidine]aniline]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl) at room temperature To a solution of amino]propionic acid (Intermediate 1) (1.00 g, 1.67 mmol) in dimethylformamide (15 mL), tert-butyl mercaptan (2A) (0.225 g, 2.505 mmol), 1-ethyl- ( 3-Dimethylaminopropyl)carbodiimide hydrochloride (0.832 g, 4.34 mmol) and 4-dimethylaminopyridine (122 mg, 1.00 mmol) were reacted for 15 hours at room temperature. Water (30 mL) was added to the reaction mixture, and the mixture was combined with ethyl acetate (50 mL × 3), and the organic phase was combined, and the organic phase was washed with water (30 mL × 2), dried over anhydrous sodium sulfate Chromatographic separation and purification ((dichloromethane:methanol (v/v) = 50:1 to 30:1) to give the title compound tert-butylthio 3-[[2-[[[[[[[[[[[[[[[[[ Benzyl]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoate (Compound 2), white solid (0.61 g, yield 54.46%)
LCMS m/z=672.33.[M+1]。LCMS m/z =672.33.[M+1].
1H NMR((400MHz,CDCl3)δ8.40(d,1H),7.77–7.70(m,2H),7.68(d,1H),7.32(t,1H),-7.24(s,1H),7.06(t,1H),7.00–6.91(m,1H),6.71(d,1H),6.64(t,2H),5.33(s,1H),4.50–4.42(m,2H),4.40(d,2H),4.13(dd,2H),3.72–3.63(s,3H),2.95(t,2H),1.71(dd,2H),1.40(s,9H),1.31(dd,6H),0.88(t,3H)。 1 H NMR ((400MHz, CDCl 3 ) δ 8.40 (d, 1H), 7.77 - 7.70 (m, 2H), 7.68 (d, 1H), 7.32 (t, 1H), -7.24 (s, 1H), 7.06(t,1H), 7.00–6.91 (m,1H), 6.71(d,1H), 6.64(t,2H),5.33(s,1H),4.50–4.42(m,2H), 4.40(d, 2H), 4.13 (dd, 2H), 3.72 - 3.63 (s, 3H), 2.95 (t, 2H), 1.71 (dd, 2H), 1.40 (s, 9H), 1.31 (dd, 6H), 0.88 (t , 3H).
实施例3Example 3
正丁硫基3-[[2-[[4-[N`-己氧羰基甲脒基]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸酯(化合物3)n-Butylthio 3-[[2-[[4-[N`-hexyloxycarbonylmethyl) anilide]methyl]-1-methyl-benzimidazol-5-carbonyl]-(2-pyridyl Amino]propionate (compound 3)
S-butyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate S-butyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate
Figure PCTCN2015086021-appb-000010
Figure PCTCN2015086021-appb-000010
制备方法参见实施例2。See Example 2 for the preparation method.
LCMS m/z=672.33.[M+1]。LCMS m/z =672.33.[M+1].
1H NMR((400MHz,CDCl3)δ8.40(dd,1H),7.77–7.70(m,2H),7.69(s,1H),7.32(m,1H),–7.22(m,1H),7.08(d,1H),6.97(dd,1H),6.71(d,1H),6.65(d,2H),5.37(s,1H),4.54–4.32(m,4H),4.13(t,2H),3.69(s,3H),3.06(t,2H),2.83(t,2H),1.71(dd,2H),1.51(m,2H),1.46–1.35(m,2H),1.30(m,6H),0.95–0.78(m,6H)。 1 H NMR ((400MHz, CDCl 3 ) δ 8.40 (dd, 1H), 7.77 - 7.70 (m, 2H), 7.69 (s, 1H), 7.32 (m, 1H), -7.22 (m, 1H), 7.08(d,1H), 6.97(dd,1H),6.71(d,1H),6.65(d,2H),5.37(s,1H),4.54–4.32(m,4H),4.13(t,2H) , 3.69 (s, 3H), 3.06 (t, 2H), 2.83 (t, 2H), 1.71 (dd, 2H), 1.51 (m, 2H), 1.46 - 1.35 (m, 2H), 1.30 (m, 6H) ), 0.95–0.78 (m, 6H).
实施例4Example 4
丙硫基3-[[2-[[4-[N`-己氧羰基甲脒基]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸酯(化合物4)Propylthio 3-[[2-[[4-[N`-hexyloxycarbonylmethylindenyl]aniline]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl) Amino]propionate (Compound 4)
S-propyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioateS-propyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate
制备方法参见实施例2。See Example 2 for the preparation method.
LCMS m/z=658.31.[M+1]。LCMS m/z = 658.31. [M+1].
1H NMR((400MHz,CDCl3)δ8.40(d,1H),7.76–7.62(m,3H),7.33(t,1H),7.18((m,1H),7.09(d,1H),6.97(dd,1H),6.71(d,1H),6.66(d,2H),5.43(s,1H),4.57–4.35(m,4H),4.13(dd,2H),3.70(s,3H),3.06(t,2H),2.81(t,2H),1.71(dd,2H),1.55(m,2H),1.46–1.35(m,2H),1.30(dd,4H),0.94(t,3H),0.88(t,3H)。 1 H NMR ((400MHz, CDCl 3) δ8.40 (d, 1H), 7.76-7.62 (m, 3H), 7.33 (t, 1H), 7.18 ((m, 1H), 7.09 (d, 1H), 6.97 (dd, 1H), 6.71 (d, 1H), 6.66 (d, 2H), 5.43 (s, 1H), 4.57 - 4.35 (m, 4H), 4.13 (dd, 2H), 3.70 (s, 3H) , 3.06 (t, 2H), 2.81 (t, 2H), 1.71 (dd, 2H), 1.55 (m, 2H), 1.46 - 1.35 (m, 2H), 1.30 (dd, 4H), 0.94 (t, 3H) ), 0.88 (t, 3H).
实施例5Example 5
3-[[2-[[4-[N`-己氧羰基甲脒基]苯氨基]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸乙酯(化合物5) 3-[[2-[[4-[N'-hexyloxycarbonylmethyl)phenylamino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino] Ethyl propionate (compound 5)
Ethyl 3-[[2-[[4-[N`-ethylsulfanylcarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoateEthyl 3-[[2-[[4-[N`-ethylsulfanylcarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoate
Figure PCTCN2015086021-appb-000012
Figure PCTCN2015086021-appb-000012
制备方法参见实施例1。See Method 1 for the preparation method.
LCMS m/z=588.23[M+1]。LCMS m/z = 588.23 [M + 1].
1H NMR(400MHz,CDCl3)δ8.41(dd,1H),7.72(d,2H),7.67(s,1H),7.33(m,1H),7.28(d,1H),7.08(d,1H),7.01–6.90(m,1H),6.71(d,1H),6.63(d,2H),5.36(s,1H),4.53–4.31(m,4H),4.07(q,2H),3.70(s,3H),2.92–2.72(m,4H),1.32(t,3H),1.21(t,3H)。 1 H NMR (400MHz, CDCl 3 ) δ8.41 (dd, 1H), 7.72 (d, 2H), 7.67 (s, 1H), 7.33 (m, 1H), 7.28 (d, 1H), 7.08 (d, 1H), 7.01–6.90 (m, 1H), 6.71 (d, 1H), 6.63 (d, 2H), 5.36 (s, 1H), 4.53–4.31 (m, 4H), 4.07 (q, 2H), 3.70 (s, 3H), 2.92 - 2.72 (m, 4H), 1.32 (t, 3H), 1.21 (t, 3H).
实施例6Example 6
3-(2-(((4-(N'-((己硫基)羰基)甲脒基)苯基)氨基)甲基)-1-甲基-N-(吡啶-2-基)-1H-苯并[d]咪唑-5-甲酰氨基)丙酸乙酯(化合物6)3-(2-(((4-(N-((hexylthio)carbonyl)methyl) phenyl)amino)methyl)-1-methyl-N-(pyridin-2-yl)- 1H-benzo[d]imidazol-5-formylamino)propionic acid ethyl ester (Compound 6)
Ethyl 3-(2-(((4-(N'-((hexylthio)carbonyl)carbamimidoyl)phenyl)amino)methyl)-1-methyl-N-(pyridin-2-yl)-1H-benzo[d]imidazole-5-carboxamido)propanoateEthyl 3-(2-(((4-(N-((hexylthio)carbonyl)carbamimidoyl)phenyl)amino)methyl)-1-methyl-N-(pyridin-2-yl)-1H-benzo[d] Imidazole-5-carboxamido)propanoate
Figure PCTCN2015086021-appb-000013
Figure PCTCN2015086021-appb-000013
制备方法参见实施例1。See Method 1 for the preparation method.
LCMS m/z=644.2[M+1]。LCMS m/z = 644.2 [M + 1].
1H NMR((400MHz,DMSO)δ9.22(s,1H),8.75(s,1H),8.39(dd,1H),7.80(d,2H),7.54(m,1H),7.47(d,1H),7.40(d,1H),7.16(dd,1H),7.11(m,1H),7.02(t,1H),6.89(d,1H),6.77(d,2H),4.60(d,2H),4.22(t,2H),3.97(q,2H),3.76(s,3H),2.73(t,2H),2.68(t,2H),1.54(dd,2H),1.34(dd,2H),1.31–1.24(m,4H),1.12(t,3H),0.86(dd,3H)。 1 H NMR ((400MHz, DMSO ) δ9.22 (s, 1H), 8.75 (s, 1H), 8.39 (dd, 1H), 7.80 (d, 2H), 7.54 (m, 1H), 7.47 (d, 1H), 7.40 (d, 1H), 7.16 (dd, 1H), 7.11 (m, 1H), 7.02 (t, 1H), 6.89 (d, 1H), 6.77 (d, 2H), 4.60 (d, 2H) ), 4.22 (t, 2H), 3.97 (q, 2H), 3.76 (s, 3H), 2.73 (t, 2H), 2.68 (t, 2H), 1.54 (dd, 2H), 1.34 (dd, 2H) , 1.31 - 1.24 (m, 4H), 1.12 (t, 3H), 0.86 (dd, 3H).
实施例7 Example 7
乙硫基3-[[2-[[4-[N`-己氧羰基甲眯]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸酯(化合物7)Ethylthio 3-[[2-[[4-[N`-hexyloxycarbonylformamidine]aniline]methyl]-1-methyl-benzimidazol-5-carbonyl]-(2-pyridyl)amino Propionate (Compound 7)
S-ethyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioateS-ethyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate
Figure PCTCN2015086021-appb-000014
Figure PCTCN2015086021-appb-000014
制备方法参见实施例1。See Method 1 for the preparation method.
LCMS m/z=644.29[M+1]。LCMS m/z = 644.29 [M + 1].
1H NMR(400MHz,CDCl3)δ8.39(dd,1H),7.79–7.56(m,3H),7.32(m,1H),7.23(dd,1H),7.03(d,1H),6.97(dd,1H),6.70(d,1H),6.60(d,2H),5.42(s,1H),4.52–4.36(m,4H),4.12(t,2H),3.65(s,3H),3.04(t,2H),2.82(q,2H),1.81–1.57(m,2H),1.38(dd,2H),1.30(dd,4H),1.20(t,3H),0.88(t,3H)。 1 H NMR (400MHz, CDCl 3 ) δ8.39 (dd, 1H), 7.79-7.56 (m, 3H), 7.32 (m, 1H), 7.23 (dd, 1H), 7.03 (d, 1H), 6.97 ( Dd,1H), 6.70(d,1H), 6.60(d,2H),5.42(s,1H),4.52–4.36(m,4H), 4.12(t,2H),3.65(s,3H),3.04 (t, 2H), 2.82 (q, 2H), 1.81 - 1.57 (m, 2H), 1.38 (dd, 2H), 1.30 (dd, 4H), 1.20 (t, 3H), 0.88 (t, 3H).
实施例8Example 8
异丙硫基3-[[2-[[4-[N`-己氧羰基甲脒基]苯胺]甲基]-1-甲基-苯并咪唑-5-羰基]-(2-吡啶基)氨基]丙酸酯(化合物8)Isopropylthio 3-[[2-[[4-[N`-hexyloxycarbonylmethyl) anilide]methyl]-1-methyl-benzimidazol-5-carbonyl]-(2-pyridyl Amino]propionate (compound 8)
S-isopropyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioateS-isopropyl 3-[[2-[[4-[N`-hexoxycarbonylcarbamimidoyl]anilino]methyl]-1-methyl-benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanethioate
Figure PCTCN2015086021-appb-000015
Figure PCTCN2015086021-appb-000015
制备方法参见实施例2。See Example 2 for the preparation method.
LCMS m/z=658.31[M+1]。LCMS m/z = 658.31 [M + 1].
1H NMR((400MHz,CDCl3)δ8.41(d,1H),7.76(d,2H),7.71(s,1H),7.32(dd,2H),7.12(d,1H),6.98(dd,1H),6.71(t,3H),5.34(s,1H),4.50(d,2H),4.44(t,2H),4.14(t,2H),3.73(s,3H),3.59(m,1H),3.03(t,2H),1.78–1.68(m,2H),1.40(dd,2H),1.36–1.28(m,4H),1.27(s,3H),1.25(s,3H),0.89(t,3H)。 1 H NMR ((400MHz, CDCl 3) δ8.41 (d, 1H), 7.76 (d, 2H), 7.71 (s, 1H), 7.32 (dd, 2H), 7.12 (d, 1H), 6.98 (dd , 1H), 6.71 (t, 3H), 5.34 (s, 1H), 4.50 (d, 2H), 4.44 (t, 2H), 4.14 (t, 2H), 3.73 (s, 3H), 3.59 (m, 1H), 3.03 (t, 2H), 1.78–1.68 (m, 2H), 1.40 (dd, 2H), 1.36–1.28 (m, 4H), 1.27 (s, 3H), 1.25 (s, 3H), 0.89 (t, 3H).
实施例9Example 9
3-[[1-甲基-2-[[4-[N`-庚基硫基羰基甲眯基]苯胺基]甲基]苯并咪唑-5-羰基]-(2-吡啶)氨基]丙酸乙酯(化合物9)3-[[1-Methyl-2-[[4-[N`-heptylthiocarbonylcarbamoyl]anilinyl]methyl]benzimidazole-5-carbonyl]-(2-pyridyl)amino] Ethyl propionate (compound 9)
Ethyl 3-[[1-methyl-2-[[4-[N`-heptylsulfanylcarbonylcarbamimidoyl]anilino]methyl]benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoateEthyl 3-[[1-methyl-2-[[4-[N`-heptylsulfanylcarbonylcarbamimidoyl]anilino]methyl]benzimidazole-5-carbonyl]-(2-pyridyl)amino]propanoate
Figure PCTCN2015086021-appb-000016
Figure PCTCN2015086021-appb-000016
制备方法参见实施例1。See Method 1 for the preparation method.
测试例Test case
1、药代动力学评价1. Pharmacokinetic evaluation
健康成年SD大鼠(雌雄各半,购自北京维通利华实验动物中心,动物生产许可证号SCXK(京)2012-0001),给药前一天禁食不禁水。6只大鼠灌胃给药5mg/kg(以达比加群原形药物计),化合物以0.5%CMC-Na(含1%吐温80)配制成0.5mg×mL-1(以达比加群原形药物计)的混悬液,于给药前(0h)及给药后5min,15min,30min,1.0,2.0,4.0,8.0,24.0h由眼眶采血,肝素抗凝,4℃ 3000rpm离心10min后分离血浆,于-80℃保存待测。取30ul各时间点大鼠血浆,加入内标溶液(7.5ng/ml维拉帕米)200ul,涡流混合1min,于4℃ 13000rpm离心10min,取上清液190ul进行LC-MS/MS(岛津公司lc-20A科技有限公司,API4000+)分析。主要药代动力学参数用WinNonlin 6.3软件非房室模型分析,结果如表1所示。Healthy adult SD rats (both male and female, purchased from Beijing Weitong Lihua Experimental Animal Center, animal production license number SCXK (Beijing) 2012-0001), fasted one day before the administration of water. 6 rats were intragastrically administered with 5 mg/kg (based on dabigatran group), and the compound was formulated into 0.5 mg CmL-Na (containing 1% Tween 80) to make 0.5 mg × mL -1 (in Dabiga). The suspension of the group prototype drug was collected from the eyelids, anticoagulated by heparin, and centrifuged at 3000C for 10 min at 4 ° C for 5 min before administration (0 h) and 5 min, 15 min, 30 min, 1.0, 2.0, 4.0, 8.0, 24.0 h after administration. The plasma was separated and stored at -80 ° C for testing. Take 30ul of rat plasma at each time point, add 200ul of internal standard solution (7.5ng/ml verapamil), vortex for 1min, centrifuge at 13000rpm for 10min at 4°C, and take 190ul of supernatant for LC-MS/MS (Shimadzu Company lc-20A Technology Co., Ltd., API4000+) analysis. The main pharmacokinetic parameters were analyzed by WinNonlin 6.3 software non-compartmental model. The results are shown in Table 1.
表1:药代动力学参数结果Table 1: Results of pharmacokinetic parameters
Figure PCTCN2015086021-appb-000017
Figure PCTCN2015086021-appb-000017
结论:本发明化合物与达比加群酯相比,具有良好的药代动力学特征,特别是化合物6、8明显优于达比加群酯。 Conclusion: The compounds of the present invention have good pharmacokinetic characteristics compared with dabigatran etexilate, especially compounds 6 and 8 are superior to dabigatran etexilate.

Claims (12)

  1. 一种通式(I)所示的化合物及其立体异构体和药学上可以接受的盐,其中:A compound of the formula (I): a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein:
    Figure PCTCN2015086021-appb-100001
    Figure PCTCN2015086021-appb-100001
    R1和R2各自独立的选自C1-10烷基或C6-10碳环,所述烷基或碳环任选进一步被0至4个选自H、F、Cl、Br、I、CN、NH2、C1-4烷基、C1-4烷氧基或C3-10碳环的取代基所取代;R 1 and R 2 are each independently selected from a C 1-10 alkyl group or a C 6-10 carbocyclic ring, and the alkyl group or carbocyclic ring is optionally further selected from 0 to 4 selected from the group consisting of H, F, Cl, Br, I. Substituted with a CN, NH 2 , C 1-4 alkyl, C 1-4 alkoxy or C 3-10 carbocyclic substituent;
    X1和X2各自独立的选自O或S,条件是X1、X2中至少有一个为S。X 1 and X 2 are each independently selected from O or S, provided that at least one of X 1 and X 2 is S.
  2. 根据权利要求1所述的化合物及其立体异构体和药学上可以接受的盐,其中:The compound according to claim 1 and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein:
    R1和R2各自独立的选自C1-10烷基,所述烷基任选进一步被0至4个选自H、F、Cl、Br、I、CN、NH2、C1-4烷基、C1-4烷氧基或C3-6碳环的取代基所取代。R 1 and R 2 are each independently selected from a C 1-10 alkyl group, and the alkyl group is optionally further further selected from 0 to 4 selected from the group consisting of H, F, Cl, Br, I, CN, NH 2 , C 1-4 Substituted by a substituent of an alkyl group, a C 1-4 alkoxy group or a C 3-6 carbocyclic ring.
  3. 根据权利要求2所述的化合物及其立体异构体和药学上可以接受的盐,其中:The compound according to claim 2, and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein:
    R1和R2各自独立的选自C1-10烷基,所述烷基任选进一步被0至4个选自H、F、Cl、Br、I、CN、NH2、甲基、乙基、甲氧基、乙氧基、环丙基或环戊基的取代基所取代。R 1 and R 2 are each independently selected from a C 1-10 alkyl group, and the alkyl group is optionally further further selected from 0 to 4 selected from the group consisting of H, F, Cl, Br, I, CN, NH 2 , methyl, and B. Substituted by a substituent of a methoxy group, an ethoxy group, a cyclopropyl group or a cyclopentyl group.
  4. 根据权利要求3所述的化合物及其立体异构体和药学上可以接受的盐,其中该化合物选自如下结构之一:The compound according to claim 3, and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein the compound is selected from one of the following structures:
    Figure PCTCN2015086021-appb-100002
    Figure PCTCN2015086021-appb-100002
  5. 根据权利要求1~4中任一项所述的化合物及其立体异构体和药学上可接受的盐,其中所述的盐选自盐酸盐、氢溴酸盐、硫酸盐、硝酸盐、磷酸盐、乙酸盐、马来酸盐、琥珀酸盐、扁桃酸盐、富马酸盐、丙二酸盐、苹果酸盐、2-羟基丙酸盐、草酸盐、羟乙酸盐、水杨酸盐、葡萄糖醛酸盐、半乳糖醛酸盐、枸橼酸盐、酒石酸盐、门冬氨酸盐、谷氨酸盐、苯甲酸盐、肉桂酸盐、对甲苯磺酸盐、苯磺酸盐、甲磺酸盐、乙磺酸盐、三氟甲磺酸盐、阿魏酸盐或它们的组合。The compound according to any one of claims 1 to 4, and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, wherein the salt is selected from the group consisting of a hydrochloride, a hydrobromide, a sulfate, a nitrate, Phosphate, acetate, maleate, succinate, mandelate, fumarate, malonate, malate, 2-hydroxypropionate, oxalate, glycolate, Salicylate, glucuronide, galacturonate, citrate, tartrate, aspartate, glutamate, benzoate, cinnamate, p-toluenesulfonate, Benzene sulfonate, methanesulfonate, ethanesulfonate, triflate, ferulic acid or a combination thereof.
  6. 一种药物组合物,所述药物组合物含有治疗有效剂量的根据权利要求1~5中任意一项所述的化合物或其立体异构体或药学上可接受的盐,以及药学上可接受的载体或者赋形剂。A pharmaceutical composition comprising a therapeutically effective amount of a compound according to any one of claims 1 to 5, or a stereoisomer or pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable Carrier or excipient.
  7. 权利要求1~5中任意一项所述的化合物及其立体异构体和药学上可接受的盐,以及权利要求6所述的组合物在制备治疗与凝血酶抑制剂相关疾病药物中的用途。Use of a compound according to any one of claims 1 to 5, and a stereoisomer thereof and a pharmaceutically acceptable salt thereof, and a composition according to claim 6 for the preparation of a medicament for treating a thrombin inhibitor-related disease .
  8. 根据权利要求7所述的用途,其中所述的与凝血酶抑制剂相关疾病选自血栓栓塞疾病。The use according to claim 7, wherein the thrombin inhibitor-related disease is selected from the group consisting of thromboembolic diseases.
  9. 根据权利要求8所述的用途,其中所述的血栓栓塞疾病选自静脉血栓和动脉栓塞。The use according to claim 8, wherein said thromboembolic disease is selected from the group consisting of venous thrombosis and arterial embolism.
  10. 一种治疗与凝血酶抑制剂相关疾病的方法,其中所述方法包括给药权利要求1~5中任意一项所述的化合物或其立体异构体、或药学上可接受的盐,或权利要求6所述的组合物。A method of treating a disease associated with a thrombin inhibitor, wherein the method comprises administering a compound according to any one of claims 1 to 5, or a stereoisomer thereof, or a pharmaceutically acceptable salt, or a right The composition of claim 6.
  11. 根据权利要求10所述的方法,其中所述的与凝血酶抑制剂相关疾病选自血栓栓塞疾病。The method of claim 10 wherein said thrombin inhibitor associated disease is selected from the group consisting of a thromboembolic disorder.
  12. 根据权利要求11所述的方法,其中所述的血栓栓塞疾病选自静脉血栓和动脉栓塞。 The method of claim 11 wherein said thromboembolic disorder is selected from the group consisting of venous thrombosis and arterial embolism.
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