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EP1682182A1 - Nouvelle combinaison contenant un stimulateur de la guanylate cyclase soluble et un agent hypolipidemiant - Google Patents

Nouvelle combinaison contenant un stimulateur de la guanylate cyclase soluble et un agent hypolipidemiant

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Publication number
EP1682182A1
EP1682182A1 EP04790834A EP04790834A EP1682182A1 EP 1682182 A1 EP1682182 A1 EP 1682182A1 EP 04790834 A EP04790834 A EP 04790834A EP 04790834 A EP04790834 A EP 04790834A EP 1682182 A1 EP1682182 A1 EP 1682182A1
Authority
EP
European Patent Office
Prior art keywords
lipid
combination preparation
medicaments
compositions according
guanylate cyclase
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP04790834A
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German (de)
English (en)
Inventor
Hilmar Bischoff
Johannes-Peter Stasch
Stefan Weigand
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bayer Pharma AG
Original Assignee
Bayer Healthcare AG
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Filing date
Publication date
Application filed by Bayer Healthcare AG filed Critical Bayer Healthcare AG
Publication of EP1682182A1 publication Critical patent/EP1682182A1/fr
Withdrawn legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic 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
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/506—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim not condensed and containing further heterocyclic rings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
    • A61P15/10—Drugs for genital or sexual disorders; Contraceptives for impotence
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00—Drugs for skeletal disorders
    • A61P19/08—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
    • A61P19/10—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease for osteoporosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00—Drugs for disorders of the nervous system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00—Drugs for disorders of the cardiovascular system
    • A61P9/12—Antihypertensives

Definitions

  • the present invention relates to a new combination preparation comprising at least one lipid lowering agent and at least one stimulator of soluble guanylate cyclase of the formula (I).
  • Cyclic guanosine monophosphate is one of the most important cellular transmission systems in mammalian cells. Together with nitrogen monoxide (NO), which is released from the endothelium and transmits hormonal and mechanical signals, cGMP forms the NO / cGMP system.
  • the guanylate cyclases catalyze the biosynthesis of cGMP from guanosine triposphate (GTP).
  • GTP guanosine triposphate
  • the previously known representatives of this family can be divided into two groups according to structural features and the type of ligand: the particulate guanylate cyclases that can be stimulated by natriuretic peptides and the soluble guanylate cyclases that can be stimulated by NO.
  • the soluble guanylate cyclases consist of two subunits and most likely contain one heme per heterodimer, which is part of the regulatory center. This is of central importance for the activation mechanism. NO can bind to the iron atom of the heme and thus significantly increase the activity of the enzyme. CO is also able to attack the iron central atom of the heme, whereby the stimulation by CO is significantly less than that by NO.
  • guanylate cyclase plays a decisive role in different physiological processes, in particular in the relaxation and proliferation of smooth muscle cells, platelet aggregation and adhesion and neuronal signal transmission as well as in diseases, which based on a disturbance of the above-mentioned processes.
  • WO 98/16223 J. Pharmacol. 114 (1995), 1587) and various substituted pyrazole derivatives (WO 98/16223). Furthermore, WO 98/16507, WO 98/23619, WO 00/06567, WO 00/06568, WO 00/06569, WO 00/21954 WO 02/42299, WO 02/42300, WO 02/42301, WO 02 / 42302, WO 02/092596 and WO 03/004503 pyrazolopyridine derivatives are described as direct stimulators of soluble guanylate cyclase. A combination of pyrazolopyridine derivatives with lipid-lowering agents is described in WO 03/015770.
  • R 2 represents hydrogen or the NH2
  • R 3 represents hydrogen or (-CC 4 ) alkyl
  • R 4 represents (C r C 6 ) alkyl
  • lipid-lowering agent can be enhanced if a lipid-lowering agent is administered in combination with these stimulators of soluble guanylate cyclase.
  • the amount of the direct stimulator of the soluble guanylate cyclase of the formula (I) required for the treatment of the above-mentioned diseases in particular or the amount of lipid-lowering agent required can be reduced, and thus the potential for side effects can be reduced.
  • the present invention relates to a combination preparation containing
  • active ingredient component B at least one lipid-lowering agent.
  • the term “combination preparation” means that the two active ingredient components A and B can be used either simultaneously or in a chronological manner (i.e. separately from one another).
  • the term “combination preparation” encompasses constituents A and B either in a functional unit, ie as a real combination (for example as a mixture, mixture or batch), or else (spatially) separately from one another, ie as a “kit of parts” ".
  • the present invention further provides a combination therapy for diseases which can be influenced by stimulation of the soluble guanylate cyclase, in particular the diseases mentioned above, with a combination preparation which comprises at least one direct stimulator of the soluble guanylate cyclase of the formula (I) and at least one lipid-lowering agent.
  • the combination according to the invention can be administered in this way - i.e. the combination therapy according to the invention takes place in that the active ingredient components A and B are administered simultaneously or in succession.
  • the active ingredient components A and B can either be in a functional unit (ie as a true combination, for example as a mixture, mixture or batch) or else (spatially) separately from one another (ie as a so-called “kit” or “kit” -of-parts ”) are available.
  • the active ingredient components A and B are administered in a trimmed manner, in particular in a graduated manner.
  • the direct stimulator of the soluble guanylate cyclase of the formula (I) into an already existing lipid-lowering therapy, for example in patients with severe hypercholesterolemia, in whom the elevated cholesterol levels are already permanently treated with lipid-lowering agents.
  • the administration of the lipid-lowering agent can also be continued before and parallel to the administration of the direct stimulator of soluble guanylate cyclase.
  • the active ingredient components A and B of the combination preparation according to the invention are administered in a chronologically graduated manner, preferably the lipid-lowering agent in advance, i.e. before the direct stimulator of the soluble guanylate cyclase of the formula (I) was administered.
  • the effect of the direct stimulator can be improved.
  • the soluble guanylate cyclase of formula (I) by the simultaneous or staggered or parallel administration of lipid depressants presumably explain that the lipid depressants improve the disturbed endothelial function by generating nitrogen monoxide (NO) (Current Opinion in Lipidology, 1997, Vol. 8 , Pages 362-368 and Circulation 1998, 97, pages 1129-1135). It could be shown that direct stimulators of soluble guanylate cyclase in combination with NO show a synergistic effect (see e.g. WO 00/06569, Fig. 1).
  • the lipid-lowering agent can be selected from the group of:
  • Bile acid absorption inhibitors also called “bile acid anion exchanger” or “bile acid sequestrants”.
  • HMG-CoA reductase inhibitors are preferred according to the invention.
  • the abbreviation "HMG-CoA” stands for "3-hydroxymethylglutaryl-coenzyme A”.
  • HMG-CoA reductase inhibitors in turn, according to the invention, in particular the substance class of the Vastatine - for the sake of simplicity mostly referred to in the literature as "statins" - is preferred.
  • statins are particularly preferred.
  • Atorvastatm (commercially available under the name Lipitor® from Parke-Davis);
  • Cerivastatin (commercially available under the name Lipobay® or Baycol® from Bayer);
  • Fluvastatin (commercially available under the name Lescol® from Novartis);
  • Lovastatin (commercially available under the name Mevacor® from Merck);
  • Pravastatin commercially available under the name Lipostat® from Bristol-Myers Squibb
  • Simvastatin (commercially available under the name Zocor® from Merck);
  • Rosuvastatin (commercially available under the Crestor® name from AstraZeneca; systematic name: (+) - (3R, 5S) -Bis- (7- (4- (4-fluorophenyl) -6-isopropyl-2- (N-methyl -N-methanesulfonylamino) pyrimidin-5-yl) -3,5-dihydroxy-6 (E) -heptenic acid);
  • atorvastatin, cerivastatin, fluvastatin, lovastatm, pravastatin, pitavastatin, simvastatin and rosuvastatin and their respective salts, hydrates, alcoholates, esters and tautomers are very particularly preferred.
  • Cerivastatin and atorvastatin and their respective salts, hydrates, alcoholates, esters and tautomers are very particularly preferred.
  • salts in the sense of the present invention means physiologically acceptable salts of the respective compounds: These can be, for example, salts with mineral acids, carboxylic acids or sulfonic acids, in particular with hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, methanesulfonic acid, ethanesulfonic acid, toluene.
  • sulfonic acid benzenesulfonic acid, naphthalenedisulfonic acid, acetic acid, propionic acid, lactic acid, tartaric acid, citric acid, fumaric acid, maleic acid or benzoic acid or mixed salts thereof, but they can also be salts with customary bases, such as, for example, alkali metal salts (for example sodium or potassium salts), alkaline earth metal salts (eg calcium or magnesium salts) or ammonium salts derived from ammonia or organic amines such as, for example, ethylamine, di- or triethylamine, di- or triethanolamine, dicyclohexylamine, dimethylaminoethanol, arginine, lysine or emylenediamine and mixed salts thereof on.
  • customary bases such as, for example, alkali metal salts (for example sodium or potassium salts), alkaline earth metal salts (eg calcium or magnesium salts) or ammonium salts
  • statin salts which can be used according to the invention are fluindostatin (the monosodium salt of fluvastatin); the monopotassium salt and the calcium salt of pitavastatin; and the calcium salt of (+) - (3R, 5S) -Bis- (7- (4- (4-fluorohenyl) -6-isopropyl-2- (N-methyl-N-methanesulfonylamino) pyrimidine-5 -yl) -3,5-dihydroxy-6 (E) -heptenoic acid ("Rosuvastatin", "ZD 4522” or “S 4522” from Shionogi or AstraZeneca).
  • statin salts which can be used according to the invention are the monosodium and the monopotassium salts and the calcium salts of cerivastatin, atorvastatin and pravastatin.
  • EP-A-0 325 130 relates to substituted pyridines
  • EP-A-0-491 226 describes substituted pyridyldihydroxyheptenoic acid derivatives and their salts, including in particular the cerivastatin particularly preferred according to the invention (claim 6 of EP-A-0-491 226).
  • astonishment mentioned in WO-A-99/11263 the disclosure of which is incorporated by reference.
  • I -MG-CoA reductase inhibitors which are described in the publication Bioorganic & Medicinal Chemistry, Vol. 2, pages 437-444 (1997), the disclosure of which is hereby fully incorporated by reference.
  • Preferred bile acid sequestrants according to the invention are cholestyramine (commercially available under the name Qestran® from Bristol-Myers Squibb) and colestipol (commercially available under the name Colestid® from Pharmacia & Upjohn) (see m Exp. Opin. Luvest. Drugs (1998), 7 (5), pages 715-727).
  • fibric acid derivatives according to the invention are ciprofbrate (commercially available under the name Modalim® from Sanofi Winthrop), fenofbrate (commercially available under the name Lipantil® from Fournier), gemfibrozil (commercially available under the name Lopid® from Parke-Davis), Bezaf ⁇ brat and Clofibrat (see also Exp. Opin. Luvest. Drugs (1998), 7 (5), pages 715 - 727).
  • Acipimox (commercially available under the name Olbetam® from Pharmacia & Upjohn) is preferred according to the invention from the above-mentioned nicotinic acid analogs (see also Exp. Opin. Luvest. Drugs (1998), 7 (5), pages 715-727).
  • R 2 represents hydrogen or NH 2 ,
  • R 3 represents (-O-alkyl
  • R 4 stands for (-G -alkyl
  • alkyl is a linear or branched alkyl radical having generally 1 to 6, preferably 1 to 4, particularly preferably 1 to 3 carbon atoms, by way of example and preferably methyl, ethyl, n-propyl, isopropyl, tert-butyl , n-pentyl and n-hexyl.
  • R 2 represents NH 2
  • R 3 represents methyl or ethyl.
  • R 4 represents methyl, ethyl or isopropyl
  • the direct stimulator of the soluble guanylate cyclase of the formula (I) with the following structure is particularly preferred:
  • the compounds of formula (I) can also be in the form of their salts.
  • salts with organic or inorganic bases or acids may be mentioned here.
  • the compounds of formula (I) can exist in tautomeric forms. This is known to those skilled in the art, and such forms are also within the scope of the invention. Furthermore, the compounds of formula (I) can exist in the form of their possible hydrates.
  • the compounds of formula (I) can be prepared, for example
  • R 4 is as defined above, with compounds of the formula (H)
  • X 1 represents a leaving group such as halogen, preferably iodine, or mesylate, optionally in an organic solvent with cooling to give compounds of the formula (I),
  • R 4 is as defined above, optionally in an organic solvent to give compounds of the formula (Ia),
  • R and R are as defined above, optionally in an organic solvent with heating to give compounds of the formula (Ib)
  • R 3 and R 4 are as defined above.
  • Halogen in the context of the present invention is fluorine, chlorine, bromine and iodine.
  • the compound of formula (III) can be prepared according to the following reaction scheme:
  • Compound (IJJ) can be obtained in a two-stage synthesis by reacting compound (V) with compound (VTI) to compound (VITJ) in accordance with process step [C] and subsequent hydrogenation of compound (VIII) with aqueous Raney nickel.
  • the hydrogenation can be carried out in an organic solvent, for example dimethylformamide, preferably at elevated pressure, for example at 50 to 70 bar, preferably at 65 bar, and stirring the reaction solution for several hours, for example for 22 hours, at elevated temperature, for example at 40 to 80 ° C, preferably at 60 ° C to 65 ° C, are carried out.
  • Compound (VII) can be analogous to L.F. Cavalieri, J.F. Tanker, A. Bendich, J. Am. Chem. Soc, 1949, 71, 533.
  • the compound (V) can be prepared according to the following reaction scheme:
  • Compound (V) is obtainable in a multi-stage synthesis from the sodium salt of ethyl cyanobrenzenate dyes known from the literature (Borsche and Manteuffel, Liebigs. Ann. Chem. 1934, 512, 97).
  • 2-fluorobenzylhydrazine By reacting it with 2-fluorobenzylhydrazine while heating in a protective gas atmosphere in an inert solvent such as dioxane, 5-amino-l- (2-fluorobenzyl) pyrazole-3-carboxylic acid ethyl ester is obtained, which is obtained by reaction with dimethylaminoacrolein in an acidic medium under a protective gas atmosphere and heating can be cyclized to the corresponding pyridine derivative.
  • This pyridine derivative, l- (2-fluorobenzyl) -lH-pyrazolo [3,4-b] pyridine-3-carboxylic acid ethyl ester is subjected to a multi-stage sequence consisting of converting the ester with ammonia into the corresponding amide, dehydration with a dehydrating agent Agents such as trifluoroacetic anhydride overflowing to the corresponding nitrile derivative, reaction of the nitrile derivative with sodium ethylate and final reaction with ammonium chloride in compound (V).
  • the compounds of the formula (VI) can be synthesized from the corresponding carbamates by reaction with ethyl formate by methods known to those skilled in the art.
  • the carbamates can be prepared analogously to Q. Li. Chu, T. W. Daniel, A. Claiborne, C. S. Cooper, C. M. Lee, J. Med. Chem. 39 (1996) 3070-3088.
  • the conversion of the compounds of the formulas (Ia) and (H) to compounds of the formula (I) can be carried out by using the reactants in equimolar amounts in an organic solvent, for example dimethylformamide or tetrahydrofuran, preferably in the presence of 1 to 2 equivalents, preferably 1.1 to 1.5 equivalents of a base, such as sodium hydride or sodium ⁇ - bistrimethylsilylamide, preferably at normal pressure and stirring the reaction solution for a few hours, for example for 1 hour, with cooling, for example at -10 ° C. to room temperature, preferably at 0 ° C. be performed.
  • an organic solvent for example dimethylformamide or tetrahydrofuran
  • a base such as sodium hydride or sodium ⁇ - bistrimethylsilylamide
  • the reaction of the compounds of the formulas (TU) and (IV) to the compounds of the formula (Ia) can be carried out by using the reactants in equimolar amounts in an organic solvent, for example an organic base, preferably pyridine, preferably at normal pressure and stirring the reaction solution for several hours, for example for 12 hours, at 0 ° C to room temperature, preferably at room temperature.
  • an organic solvent for example an organic base, preferably pyridine
  • the conversion of compounds of the formulas (V) and (VI) to compounds of the formula (Ib) or of compounds of the formulas (V) and (VH) to compounds of the formula (VW) can be carried out by using the reactants in equimolar amounts or below Use of the compound of the formula (VI) in a slight excess in an organic solvent such as, for example, in a hydrocarbon such as toluene or xylene or in N, N-dimethylformamide, preferably in the presence of 2-3 equivalents, preferably 2 equivalents of a base, such as triethylamine or sodium methoxide, preferably at normal pressure and stirring the reaction solution for several hours, for example for 9 hours, at elevated temperature, for example at 80-160 ° C., preferably at 100-150 ° C, especially at 110 ° C.
  • an organic solvent such as, for example, in a hydrocarbon such as toluene or xylene or in N, N-dimethylformamide, preferably in the presence of 2-3
  • the present invention furthermore relates to the use of lipid-lowering agents for enhancing the action of direct stimulators of soluble guanylate cyclase of the formula (T) in the treatment of diseases which can be influenced by stimulating soluble guanylate cyclase.
  • cardiovascular diseases such as hypertension or heart failure, stable and unstable angina, peripheral and cardiac Gefä ⁇ -1en, arrhythmias, thromboembolic disorders and ischaemias such yokardinfarkt, stroke, transitory and ischemic attacks, peripheral circulatory disorders, prevention of restenosis such as after thrombolysis therapies, percutaneous translurninal angioplasty (PTA), percutaneous translurninal coronary angioplasty (PTCA), bypass, as well as arteriosclerosis, asthmatic diseases and diseases of the genitourinary system such as prostate hypertrophy, erectile dysfunction, female sexual dysfunction, osteoporosis, glaucoma, gastrointestinal paralysis.
  • PTA percutaneous translurninal angioplasty
  • PTCA percutaneous translurninal coronary angioplasty
  • asthmatic diseases and diseases of the genitourinary system such as prostate hypertrophy, erectile dysfunction, female sexual dysfunction, osteoporosis, glaucoma, gastrointestinal
  • the fight against diseases in the central nervous system should also be mentioned: Improvement of perception, concentration, learning performance or memory after cognitive disorders, such as occur especially in situations / disease syndromes such as "Mild cognitive impairment ", Age-related learning and memory disorders, age-associated memory loss, vascular dementia, traumatic brain injury, stroke, dementia that occurs after strokes (" post stroke dementia "), post-traumatic traumatic brain injury, general concentration disorders, impaired concentration Children with learning and memory problems, Alzheimer's disease, dementia with Lewy bodies, dementia with degeneration of the frontal lobes including Pick's syndrome, Parkinson's disease, progressive nuclear palsy, dementia with corticobasal degeneration, amyolateral sclerosis (ALS), Huntington's e disease, multiple sclerosis, thalamic degeneration, Creutzfeld-Jacob dementia, HIV dementia, schizophrenia with dementia or Korsakoff psychosis; Anxiety, tension and depression, central nervous system-related sexual dysfunctions and sleep disorders; Regulation of pathological
  • the combination preparation according to the invention can also contain any other active ingredients, provided these do not run counter to the indication area and do not impair the action of the direct stimulator of soluble guanylate cyclase of the formula (I) and of the lipid-lowering agent.
  • organic nitrates or NO donors - that is to say compounds which stimulate the synthesis of cGMP - or compounds which inhibit the breakdown of cyclic guanosine monophosphate (cGMP) can be added to the composition according to the invention.
  • Organic nitrates and NO donors in the context of the invention are generally substances which develop their therapeutic effect through the release of NO or NO species.
  • Sodium nitroprusside, nitroglycerin, isosorbide dinitrate, isosorbide mononitrate, molsidomine and SESf-1 are preferred.
  • the invention also includes combination with compounds that inhibit the degradation of cyclic guanosine monophosphate (cGMP).
  • cGMP cyclic guanosine monophosphate
  • inhibitors of phosphodiesterases 1, 2 and 5 nomenclature according to Beavo and Reifsnyder (1990) TiPS jj, pp. 150 to 155. These inhibitors potentiate the action of the compound according to the invention and increase the desired pharmacological effect.
  • active ingredients like the active ingredient components A and B, can either be present as a true mixture together with A and / or B or else be spatially separated from them. They can be administered in parallel or simultaneously or at different times to the active ingredient component (s) A and or B.
  • compositions according to the invention include, for example:
  • cGMP PDE inhibitors such as, for example, sildenafil (EP-B-0 463 756), IC 351 (WO 95/19978) or vardenafil (WO 99/24433), ⁇ -adrenergic antagonists such as Yohirnbm or Vasomax® from Zonagen; or also such substances as are mentioned in WO-A-98/52569, the content of which is hereby incorporated by reference; or Prostaglandine-El; or seretonin antagonists;
  • cGMP PDE inhibitors such as, for example, sildenafil (EP-B-0 463 756), IC 351 (WO 95/19978) or vardenafil (WO 99/24433), ⁇ -adrenergic antagonists such as Yohirnbm or Vasomax® from Zonagen; or also such substances as are mentioned in WO-A-98/52569, the content of which is hereby incorporated by reference; or Prostaglandine-El; or sere
  • the application is preferably oral, perlingual, sublingual, nasal, transdermal, buccal, intravenous, rectal, inhalative or parenteral.
  • the application is preferably oral, sublingual or nasal. Oral application is very particularly preferred.
  • the two active ingredient components A and B - together or spatially separated - can each be converted in a manner known per se into the customary formulations, such as tablets, dragées, pills, granules, aerosols, syrups, emulsions, suspensions and solutions, using inert ones toxic, pharmaceutically suitable carriers or solvents.
  • the therapeutically active components A and B should each be present in a concentration of about 0.5 to 90% by weight of the total mixture, i.e. in amounts sufficient to achieve the dosage range indicated.
  • the formulations are prepared, for example, by stretching the two active ingredient components A and B with solvents and / or carriers, optionally using emulsifiers and / or dispersants, e.g. if water is used as the diluent, organic solvents can optionally be used as auxiliary solvents.
  • the present invention furthermore relates to a process for the preparation of the composition according to the invention, characterized in that at least one lipid-lowering agent and at least one direct stimulator of the soluble guanylate cyclase of the formula (I), optionally with customary auxiliaries and additives, are converted into a suitable administration form transferred.
  • doses of 0.001 to 50 mg kg preferably 0.001 mg / kg to 20 mg / kg, in particular 0.001 to 10 mg / kg of body weight, are used in oral administration.
  • weight particularly preferably 0.001 mg / kg to 5 mg / kg, the respective active ingredient component A or B administered to achieve effective and meaningful results.
  • the organic phase is dried over magnesium sulfate, filtered off and concentrated in vacuo on a rotary evaporator.
  • the residue is mixed with 5 ml of diethyl ether and crystallizes in the process.
  • the crystals are filtered off, dried and purified by preparative RP-HPLC.
  • the red solid thus obtained is suspended in 100 ml of a mixture of dioxane and dichloromethane (1: 1) and 20 ml of methanol are added at the boiling point until a clear solution forms. Activated carbon is added, the mixture is boiled briefly and filtered hot over diatomaceous earth. The solution thus obtained is evaporated to dryness. It is taken up in methanol and the suspension is stirred for one hour at room temperature. The white crystals are filtered off with suction.

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  • General Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Epidemiology (AREA)
  • Rheumatology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Urology & Nephrology (AREA)
  • Pain & Pain Management (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Endocrinology (AREA)
  • Reproductive Health (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)

Abstract

L'invention concerne une préparation de combinaison contenant en tant qu'ingrédients pharmaceutiquement actifs au moins un constituant actif (A) et au moins un constituant actif (B), le constituant actif (A) étant un stimulateur direct de la guanylate cyclase soluble représenté par la formule (I) et le constituant actif (B) étant un agent hypolipidémiant.
EP04790834A 2003-11-06 2004-10-26 Nouvelle combinaison contenant un stimulateur de la guanylate cyclase soluble et un agent hypolipidemiant Withdrawn EP1682182A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE10351903A DE10351903A1 (de) 2003-11-06 2003-11-06 Neue Kombination
PCT/EP2004/012049 WO2005046725A1 (fr) 2003-11-06 2004-10-26 Nouvelle combinaison contenant un stimulateur de la guanylate cyclase soluble et un agent hypolipidemiant

Publications (1)

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EP1682182A1 true EP1682182A1 (fr) 2006-07-26

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EP04790834A Withdrawn EP1682182A1 (fr) 2003-11-06 2004-10-26 Nouvelle combinaison contenant un stimulateur de la guanylate cyclase soluble et un agent hypolipidemiant

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US (1) US20070225299A1 (fr)
EP (1) EP1682182A1 (fr)
JP (1) JP2007509995A (fr)
CA (1) CA2544621A1 (fr)
DE (1) DE10351903A1 (fr)
WO (1) WO2005046725A1 (fr)

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DE102005031576A1 (de) * 2005-07-06 2007-01-25 Bayer Healthcare Ag Verwendung von Aktivatoren der löslichen Guanylatzyklase zur Behandlung von Reperfusionsschäden
DE102005031575A1 (de) * 2005-07-06 2007-01-11 Bayer Healthcare Ag Verwendung von Aktivatoren der löslichen Guanylatzyklase zur Förderung der Wundheilung
US20100016305A1 (en) * 2005-07-18 2010-01-21 Bayer Healthcare Ag novel use of activators and stimulators of soluble guanylate cyclase for the prevention or treatment of renal disorders
DE102005047946A1 (de) * 2005-10-06 2007-05-03 Bayer Healthcare Ag Verwendung von Aktivatoren der löslichen Guanylatzyklase zur Behandlung von akuten und chronischen Lungenkrankheiten
DE102006043443A1 (de) * 2006-09-15 2008-03-27 Bayer Healthcare Ag Neue aza-bicyclische Verbindungen und ihre Verwendung
US20100144864A1 (en) * 2007-04-05 2010-06-10 Ironwood Pharmaceuticals, Inc. Soluble guanylate cyclase (sgc) modulators for treatment of lipid related disorders
MX2009011387A (es) * 2007-05-12 2009-11-09 Bayer Schering Pharma Ag Estimulantes de la gcs, activadores de la gcs y combinaciones para el tratamiento de trastornos urologicos.
JP5501369B2 (ja) 2008-11-25 2014-05-21 メルク・シャープ・アンド・ドーム・コーポレーション 可溶性グアニレートシクラーゼ活性化剤
DE102008063992A1 (de) 2008-12-19 2010-09-02 Lerner, Zinoviy, Dipl.-Ing. Neue aliphatisch substituierte Pyrazolopyridine und ihre Verwendung
US9260424B2 (en) * 2009-10-26 2016-02-16 Auspex Pharmaceuticals, Inc. 4,6-diaminopyrimidine stimulators of soluble guanylate cyclase
EA031632B1 (ru) 2009-11-27 2019-01-31 Адверио Фарма Гмбх СПОСОБ ПОЛУЧЕНИЯ МЕТИЛ{4,6-ДИАМИНО-2-[1-(2-ФТОРБЕНЗИЛ)-1H-ПИРАЗОЛО[3,4-b]ПИРИДИН-3-ИЛ]ПИРИМИДИН-5-ИЛ}МЕТИЛКАРБАМАТА
UY33041A (es) * 2009-11-27 2011-06-30 Bayer Schering Pharma Aktienegesellschaft Procedimiento para la preparaciòn de {4,6-diamino-2-[1-(2-fluorobencil)-1h-pirazolo[3,4-b]piridin-3-il]pirimidin-5-il}carbamato de metilo y su purificaciòn para el uso como principio activo farmacèutico
US9284301B2 (en) 2010-03-25 2016-03-15 Merck Sharp & Dohme Corp. Soluble guanylate cyclase activators
DE102010021637A1 (de) 2010-05-26 2011-12-01 Bayer Schering Pharma Aktiengesellschaft Substituierte 5-Fluor-1H-Pyrazolopyridine und ihre Verwendung
EP2575473B1 (fr) 2010-05-27 2016-01-20 Merck Sharp & Dohme Corp. Activateurs de guanylate cyclase soluble
DE102010031666A1 (de) * 2010-07-22 2012-01-26 Bayer Schering Pharma Aktiengesellschaft Carbamat-substituierte Diaminopyrimidine und ihre Verwendung
DE102010043380A1 (de) 2010-11-04 2012-05-10 Bayer Schering Pharma Aktiengesellschaft Benzyl-substituierte Carbamate und ihre Verwendung
DE102010043379A1 (de) 2010-11-04 2012-05-10 Bayer Schering Pharma Aktiengesellschaft Substituierte 6-Fluor-1H-Pyrazolo[4,3-b]pyridine und ihre Verwendung
CN105503867B (zh) 2011-11-25 2019-01-11 阿德弗里奥药品有限责任公司 用于制备取代的5-氟-1h-吡唑并吡啶类化合物的方法
EP2602249B1 (fr) * 2011-12-06 2015-08-12 F.I.S. Fabbrica Italiana Sintetici S.p.A. Synthèse de rosuvastatine au moyen de co-cristaux
KR20150119871A (ko) 2013-02-21 2015-10-26 아드베리오 파마 게엠베하 메틸 ｛4,6-디아미노-2-[1-(2-플루오로벤질)-1H-피라졸로[3,4-b]피리디노-3-일]피리미디노-5-일｝메틸 카르바메이트의 형태
CN105294686B (zh) * 2015-11-30 2017-03-22 郑州大明药物科技有限公司 一种利奥西呱的制备方法
CN106831760B (zh) * 2015-12-04 2020-05-05 正大天晴药业集团股份有限公司 一种利奥西呱的制备方法

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CA2544621A1 (fr) 2005-05-26
JP2007509995A (ja) 2007-04-19
DE10351903A1 (de) 2005-06-09
WO2005046725A1 (fr) 2005-05-26
US20070225299A1 (en) 2007-09-27

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