JP2010513558A - 4−イミダゾリル−1,2,3,4−テトラヒドロキノリン誘導体、およびアルドステロン/11−ベータ−ヒドロキシラーゼ阻害剤としてのその使用 - Google Patents
4−イミダゾリル−1,2,3,4−テトラヒドロキノリン誘導体、およびアルドステロン/11−ベータ−ヒドロキシラーゼ阻害剤としてのその使用 Download PDFInfo
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- JP2010513558A JP2010513558A JP2009543095A JP2009543095A JP2010513558A JP 2010513558 A JP2010513558 A JP 2010513558A JP 2009543095 A JP2009543095 A JP 2009543095A JP 2009543095 A JP2009543095 A JP 2009543095A JP 2010513558 A JP2010513558 A JP 2010513558A
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- LXMSZDCAJNLERA-ZHYRCANASA-N spironolactone Chemical compound C([C@@H]1[C@]2(C)CC[C@@H]3[C@@]4(C)CCC(=O)C=C4C[C@H]([C@@H]13)SC(=O)C)C[C@@]21CCC(=O)O1 LXMSZDCAJNLERA-ZHYRCANASA-N 0.000 description 1
- 238000012289 standard assay Methods 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 229940110862 starlix Drugs 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 125000005420 sulfonamido group Chemical group S(=O)(=O)(N*)* 0.000 description 1
- 150000003460 sulfonic acids Chemical class 0.000 description 1
- 125000004434 sulfur atom Chemical group 0.000 description 1
- 239000013589 supplement Substances 0.000 description 1
- 230000001629 suppression Effects 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 230000002459 sustained effect Effects 0.000 description 1
- 210000002820 sympathetic nervous system Anatomy 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 229960002613 tamsulosin Drugs 0.000 description 1
- 230000008685 targeting Effects 0.000 description 1
- 229960000651 tasosartan Drugs 0.000 description 1
- ADXGNEYLLLSOAR-UHFFFAOYSA-N tasosartan Chemical compound C12=NC(C)=NC(C)=C2CCC(=O)N1CC(C=C1)=CC=C1C1=CC=CC=C1C=1N=NNN=1 ADXGNEYLLLSOAR-UHFFFAOYSA-N 0.000 description 1
- 229960005187 telmisartan Drugs 0.000 description 1
- 239000003277 telomerase inhibitor Substances 0.000 description 1
- QKSQWQOAUQFORH-UHFFFAOYSA-N tert-butyl n-[(2-methylpropan-2-yl)oxycarbonylimino]carbamate Chemical compound CC(C)(C)OC(=O)N=NC(=O)OC(C)(C)C QKSQWQOAUQFORH-UHFFFAOYSA-N 0.000 description 1
- 125000000037 tert-butyldiphenylsilyl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1[Si]([H])([*]C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- 125000006092 tetrahydro-1,1-dioxothienyl group Chemical group 0.000 description 1
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 1
- 125000003718 tetrahydrofuranyl group Chemical group 0.000 description 1
- 125000003039 tetrahydroisoquinolinyl group Chemical group C1(NCCC2=CC=CC=C12)* 0.000 description 1
- 125000001412 tetrahydropyranyl group Chemical group 0.000 description 1
- 125000000147 tetrahydroquinolinyl group Chemical group N1(CCCC2=CC=CC=C12)* 0.000 description 1
- 125000003831 tetrazolyl group Chemical group 0.000 description 1
- 229950000584 tezosentan Drugs 0.000 description 1
- 125000001113 thiadiazolyl group Chemical group 0.000 description 1
- 125000006089 thiamorpholinyl sulfoxide group Chemical group 0.000 description 1
- 239000003451 thiazide diuretic agent Substances 0.000 description 1
- 150000001467 thiazolidinediones Chemical class 0.000 description 1
- 125000003396 thiol group Chemical class [H]S* 0.000 description 1
- 125000004568 thiomorpholinyl group Chemical group 0.000 description 1
- 230000036962 time dependent Effects 0.000 description 1
- 229960004605 timolol Drugs 0.000 description 1
- 229960005371 tolbutamide Drugs 0.000 description 1
- 239000012443 tonicity enhancing agent Substances 0.000 description 1
- 239000012049 topical pharmaceutical composition Substances 0.000 description 1
- CMSGWTNRGKRWGS-NQIIRXRSSA-N torcetrapib Chemical compound COC(=O)N([C@H]1C[C@@H](CC)N(C2=CC=C(C=C21)C(F)(F)F)C(=O)OCC)CC1=CC(C(F)(F)F)=CC(C(F)(F)F)=C1 CMSGWTNRGKRWGS-NQIIRXRSSA-N 0.000 description 1
- 229950004514 torcetrapib Drugs 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 239000000196 tragacanth Substances 0.000 description 1
- 235000010487 tragacanth Nutrition 0.000 description 1
- 229940116362 tragacanth Drugs 0.000 description 1
- 230000002103 transcriptional effect Effects 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
- 125000001425 triazolyl group Chemical group 0.000 description 1
- DTQVDTLACAAQTR-UHFFFAOYSA-N trifluoroacetic acid Substances OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 1
- YFTHZRPMJXBUME-UHFFFAOYSA-N tripropylamine Chemical compound CCCN(CCC)CCC YFTHZRPMJXBUME-UHFFFAOYSA-N 0.000 description 1
- RYFMWSXOAZQYPI-UHFFFAOYSA-K trisodium phosphate Chemical compound [Na+].[Na+].[Na+].[O-]P([O-])([O-])=O RYFMWSXOAZQYPI-UHFFFAOYSA-K 0.000 description 1
- GPRLSGONYQIRFK-MNYXATJNSA-N triton Chemical compound [3H+] GPRLSGONYQIRFK-MNYXATJNSA-N 0.000 description 1
- 125000002221 trityl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1C([*])(C1=C(C(=C(C(=C1[H])[H])[H])[H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
- 208000001072 type 2 diabetes mellitus Diseases 0.000 description 1
- 210000003954 umbilical cord Anatomy 0.000 description 1
- 229910052720 vanadium Inorganic materials 0.000 description 1
- LEONUFNNVUYDNQ-UHFFFAOYSA-N vanadium atom Chemical compound [V] LEONUFNNVUYDNQ-UHFFFAOYSA-N 0.000 description 1
- 210000005167 vascular cell Anatomy 0.000 description 1
- 230000024883 vasodilation Effects 0.000 description 1
- 239000003981 vehicle Substances 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
- 125000001834 xanthenyl group Chemical group C1=CC=CC=2OC3=CC=CC=C3C(C12)* 0.000 description 1
- RKUQLAPSGZJLGP-UHFFFAOYSA-N xibenolol Chemical compound CC1=CC=CC(OCC(O)CNC(C)(C)C)=C1C RKUQLAPSGZJLGP-UHFFFAOYSA-N 0.000 description 1
- 229950001124 xibenolol Drugs 0.000 description 1
- BLGXFZZNTVWLAY-SCYLSFHTSA-N yohimbine Chemical compound C1=CC=C2C(CCN3C[C@@H]4CC[C@H](O)[C@@H]([C@H]4C[C@H]33)C(=O)OC)=C3NC2=C1 BLGXFZZNTVWLAY-SCYLSFHTSA-N 0.000 description 1
- 229960000317 yohimbine Drugs 0.000 description 1
- AADVZSXPNRLYLV-UHFFFAOYSA-N yohimbine carboxylic acid Natural products C1=CC=C2C(CCN3CC4CCC(C(C4CC33)C(O)=O)O)=C3NC2=C1 AADVZSXPNRLYLV-UHFFFAOYSA-N 0.000 description 1
- 229910052727 yttrium Inorganic materials 0.000 description 1
- 229910052725 zinc Inorganic materials 0.000 description 1
- 239000011701 zinc Substances 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic 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
- C07D401/02—Heterocyclic 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
- C07D401/04—Heterocyclic 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
-
- 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
- A61K31/47—Quinolines; Isoquinolines
- A61K31/4709—Non-condensed quinolines and containing further heterocyclic rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/12—Drugs for disorders of the urinary system of the kidneys
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- A—HUMAN NECESSITIES
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- A61P17/00—Drugs for dermatological disorders
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- A61P3/00—Drugs for disorders of the metabolism
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/04—Anorexiants; Antiobesity agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/12—Drugs for disorders of the metabolism for electrolyte homeostasis
-
- 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
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- 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
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- 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
- A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
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- A—HUMAN NECESSITIES
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- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
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- C07D413/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing three or more hetero rings
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- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
- C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
- C07D417/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings directly linked by a ring-member-to-ring-member bond
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- Plural Heterocyclic Compounds (AREA)
Abstract
Description
Yは−CH2−、−C(O)−または−SO2−であり;
Lは水素、シアノ、ハロゲン、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(C1−C7)アルキル−O−C(O)−、(5−9)員ヘテロアリール、または所望により1もしくは2個のヒドロキシル基で置換されていてもよい(C1−C7)アルキルであり;
R1およびR2は独立して水素または(C1−C7)アルキルであるか;または
R1とR2はそれらが結合している炭素原子と一体となって、所望により(3−7)員環を形成し;
R3およびR4は独立して、水素、ハロゲン、(C1−C7)アルコキシまたはシアノであり;
Rは水素、(C1−C7)アルキル、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(4−9)員ヘテロシクリル、(C5−C10)アリール、(C5−C10)アリール−(C1−C7)アルキル−、R’−C(O)−またはR’−SO2−であり、ここでR’は(C5−C10)アリール−(C1−C7)アルキル−、(4−9)員ヘテロシクリルまたは所望により1もしくは2個のハロゲン原子で置換されていてもよい(C5−C10)アリールである〕
の化合物、またはその薬学的に許容される塩;またはその光学異性体;または光学異性体の混合物を提供する。
(a)アルキル;
(b)ヒドロキシ(または保護ヒドロキシ);
(c)ハロ;
(d)オキソ、すなわち=O;
(e)アミノ、アルキルアミノまたはジアルキルアミノ;
(f)アルコキシ;
(g)シクロアルキル;
(h)カルボキシル;
(i)ヘテロシクロオキシ、ここでヘテロシクロオキシは、酸素架橋を介して結合しているヘテロ環式基を意味する;
(j)アルキル−O−C(O)−;
(k)メルカプト;
(l)ニトロ;
(m)シアノ;
(n)スルファモイルまたはスルホンアミド;
(o)アリール;
(p)アルキル−C(O)−O−;
(q)アリール−C(O)−O−;
(r)アリール−S−;
(s)アリールオキシ;
(t)アルキル−S−;
(u)ホルミル、すなわちHC(O)−;
(v)カルバモイル;
(w)アリール−アルキル−;および
(x)アルキル、シクロアルキル、アルコキシ、ヒドロキシ、アミノ、アルキル−C(O)−NH−、アルキルアミノ、ジアルキルアミノまたはハロゲンで置換されたアリール
から成る群から選択される1、2または3個の置換基で置換されている、本明細書に定義のヘテロ環式基を意味する。
本明細書において使用するとき、「ハロゲン」または「ハロ」なる用語は、フルオロ、クロロ、ブロモおよびヨードを意味する。
2. 還元反応、例えばカルボニル基の還元、アルコール性基および炭素−炭素二重結合の還元、窒素含有官能基の還元および他の還元反応。
3. 酸化の状態に変化のない反応、例えばエステルおよびエーテルの加水分解、炭素−窒素単結合の加水分解的切断、非芳香族性ヘテロ環の加水分解的切断、複数結合の水和および脱水、脱水反応による新たな原子結合、加水分解的脱ハロゲン化、ハロゲン化水素分子の除去、および他のかかる反応。
− 医薬として使用するための本発明の化合物;
− アルドステロンシンターゼによって介在されるか、またはアルドステロンシンターゼの異常な活性によって特徴付けられるか、またはアルドステロンシンターゼの異常な発現によって特徴付けられる障害または疾患の進行遅延および/または処置用医薬組成物の製造のための、本発明の化合物の使用;
− 低カリウム血症、高血圧、鬱血性心不全、腎不全、特に慢性腎不全、再狭窄、アテローム性動脈硬化症、シンドロームX、肥満、ネフロパシー、心筋梗塞後、冠動脈性心疾患、コラーゲン形成の増加、線維症および高血圧後のリモデリングおよび内皮機能不全から選択される障害または疾患の進行遅延および/または処置用医薬組成物の製造のための、本発明の化合物の使用;
を提供する。
− 医薬として使用するための本発明の化合物;
− CYP11B1によって介在されるか、またはCYP11B1の異常な活性によって特徴付けられるか、またはCYP11B1の異常な発現/レベルによって特徴付けられる障害または疾患の進行遅延および/または処置用医薬組成物の製造のための、本発明の化合物の使用;
− クッシング症候群、過剰なCYP11B1レベル、異所性ACTH症候群、副腎皮質重量の変化、原発性色素性結節性副腎皮質疾患(PPNAD)、カーニー症候群(CNC)、神経性食欲不振症、慢性アルコール中毒、ニコチンもしくはコカイン離脱症候群、外傷後ストレス症候群、卒中後の認知機能障害およびコルチゾル誘導性鉱質コルチコイド過剰等から選択される障害もしくは疾患または状態の進行遅延および/または処置用医薬組成物の製造のための、本発明の化合物の使用;
を提供する。
a) 希釈剤、例えばラクトース、デキストロース、ショ糖、マンニトール、ソルビトール、セルロースおよび/またはグリシン;
b) 滑沢剤、例えばシリカ、タルカム、ステアリン酸、そのマグネシウム塩またはカルシウム塩、および/またはポリエチレングリコール;錠剤についてはまた、
c) 結合剤、例えばケイ酸アルミニウムマグネシウム、デンプンペースト、ゼラチン、トラガカント、メチルセルロース、カルボキシメチルセルロースナトリウムおよび/またはポリビニルピロリドン;所望により
d) 崩壊剤、例えばデンプン、寒天、アルギン酸またはそのナトリウム塩、または発泡性混合物;および/または
e) 吸収剤、着色料、風味剤および甘味剤;
を含む錠剤およびゼラチンカプセル剤である。
(i) アンギオテンシンII受容体アンタゴニスト、またはその薬学的に許容される塩、
(ii) HMG−Co−Aレダクターゼ阻害剤、またはその薬学的に許容される塩、
(iii) アンギオテンシン変換酵素(ACE)阻害剤またはその薬学的に許容される塩、
(iv) カルシウムチャンネルブロッカー(CCB)、またはその薬学的に許容される塩、
(v) デュアルアンギオテンシン変換酵素/中性エンドペプチダーゼ(ACE/NEP)阻害剤またはその薬学的に許容される塩、
(vi) エンドセリンアンタゴニストまたはその薬学的に許容される塩、
(vii) レニン阻害剤またはその薬学的に許容される塩、
(viii) 利尿剤またはその薬学的に許容される塩、
(ix) ApoA−I模倣薬;
(x) 抗糖尿病剤;
(xi) 肥満減少剤;
(xii) アルドステロン受容体ブロッカー;
(xiii) エンドセリン受容体ブロッカー;
(xiv) CETP阻害剤;
(xv) Na−K−ATPアーゼ膜ポンプの阻害剤;
(xvi) ベータ−アドレナリン受容体ブロッカーまたはアルファ−アドレナリン受容体ブロッカー;
(xvii) 中性エンドペプチダーゼ(NEP)阻害剤;および
(xviii) 強心剤
群から選択される少なくとも1または2種、またはそれ以上を含む。
δ−アミノ−γ−ヒドロキシ−ω−アリール−アルカン酸アミド誘導体;またはその薬学的に許容される塩であるレニン阻害剤に関する。
の、化学的に2(S),4(S),5(S),7(S)−N−(3−アミノ−2,2−ジメチル−3−オキソプロピル)−2,7−ジ(1−メチルエチル)−4−ヒドロキシ−5−アミノ−8−[4−メトキシ−3−(3−メトキシ−プロポキシ)フェニル]−オクタンアミドと定義される、アリスキレンとしても知られるδ−アミノ−γ−ヒドロキシ−ω−アリール−アルカン酸アミド誘導体;またはその薬学的に許容される塩である。
抗エストロゲン剤;抗アンドロゲン剤;ゴナドレリンアゴニスト;トポイソメラーゼI阻害剤;トポイソメラーゼII阻害剤;微小管活性化剤;アルキル化剤;抗新生物性代謝拮抗剤;プラチナ化合物;タンパク質もしくは脂質キナーゼ活性またはタンパク質もしくは脂質ホスファターゼ活性を標的とし/低下させる化合物、抗血管形成化合物;細胞分化プロセスを誘導する化合物;モノクローナル抗体;シクロオキシゲナーゼ阻害剤;ビスホスホネート;ヘパラナーゼ阻害剤;生物学的応答調節剤;Ras発がん遺伝子アイソフォームの阻害剤;テロメラーゼ阻害剤;プロテアーゼ阻害剤、マトリックスメタロプロテイナーゼ阻害剤、メチオニンアミノペプチダーゼ阻害剤;プロテアソーム阻害剤;Flt−3の活性を標的とし、低下させ、または阻害する薬剤;HSP90阻害剤;抗増殖性抗体;HDAC阻害剤;セリン/スレオニンmTORキナーゼの活性/機能を標的とし、低下させ、または阻害する化合物;ソマトスタチン受容体アンタゴニスト;抗白血病化合物;腫瘍細胞損傷アプローチ;EDGバインダー;リボヌクレオチドレダクターゼ阻害剤;S−アデノシルメチオニンデカルボキシラーゼ阻害剤;VEGFまたはVEGFRのモノクローナル抗体;光治療;血管新生抑制ステロイド;コルチコステロイドを含むインプラント;AT1受容体アンタゴニスト;およびACE阻害剤
との組合せで含む。
− 医薬として使用するための本発明の医薬組成物または組合せ剤;
− アルドステロンシンターゼによって介在されるかもしくはそれと関連するか、またはアルドステロンシンターゼの阻害に応答するか、またはアルドステロンシンターゼの異常な活性または発現によって特徴付けられる障害または疾患の進行の遅延および/または処置のための、本発明の医薬組成物または組合せ剤の使用。
− CYP11B1によって介在されるかもしくはそれと関連するか、またはCYP11B1の阻害に応答するか、またはCYP11B1の異常な活性または発現によって特徴付けられる障害または疾患の進行の遅延および/または処置のための、本発明の医薬組成物または組合せ剤の使用。
− 低カリウム血症、高血圧、鬱血性心不全、心房細動、腎不全、特に慢性腎不全、再狭窄、アテローム性動脈硬化症、シンドロームX、肥満、ネフロパシー、心筋梗塞後、冠動脈性心疾患、コラーゲン形成の増加、線維症、例えば心臓もしくは心筋線維症および高血圧後のリモデリング、および内皮機能不全等から選択される障害または疾患の進行の遅延および/または処置のための本発明の医薬組成物または組合せ剤の使用。
− クッシング症候群、過剰なCYP11B1レベルによる疾患または障害、異所性ACTH症候群、副腎皮質重量の変化、原発性色素性結節性副腎皮質疾患(PPNAD)、カーニー症候群(CNC)、神経性食欲不振症、慢性アルコール中毒、ニコチンもしくはコカイン離脱症候群、外傷後ストレス症候群、卒中後の認知機能障害およびコルチゾル誘導性鉱質コルチコイド過剰等から選択される障害または疾患の進行の遅延および/または処置のための本発明の医薬組成物または組合せ剤の使用。
を提供する。
CDI:カルボニルジイミダゾール
DBAD:ジ−tert−ブチルアゾジカルボキシレート
DCM:ジクロロメタン
DIBAL:ジイソブチル水素化アルミニウム
DMAP:N,N−ジメチルアミノピリジン
DME:ジメトキシエタン
DMF:N,N−ジメチルホルムアミド
DMSO:ジメチルスルホキシド
ESI:エレクトロスプレーイオン化
h:時間
HPLC:高速液体クロマトグラフィー
HRMS:高分解能質量分析
IPA/i−PrOH:イソプロピルアルコール
IR:赤外スペクトル
LAH:水素化リチウムアルミニウム
LCMS:液体クロマトグラフィー/質量分析
LDA:リチウムジイソプロピルアミド
LHMDS/LiHMDS:ヘキサメチルジシラジドリチウム
min:分
MS:質量分析
NBS:N−ブロモスクシンイミド
NMR:核磁気共鳴
TBSCl:tert−ブチルジメチルシリルクロライド
TFA:トリフルオロ酢酸
THF:テトラヒドロフラン
TMEDA:テトラメチルエチレンジアミン
TBS:tert−ブチルジメチルシリル
TBDPSCl:tert−ブチルジフェニルシリルクロライド
TBDPS:tert−ブチルジフェニルシリル
TMSCl:トリメチルシリルクロライド
TLC:薄層クロマトグラフィー
Tr:トリチル
tr:保持時間
下記実施例は、本発明を説明することを意図しており、その限定を構成するものではない。温度は摂氏度で記載する。異なることが記載されていない限り、全ての蒸発は減圧下、好ましくは約15mmHg〜100mmHg(=20−133mbar)で行う。最終生成物、中間体および出発物質の構造を標準的な分析方法、例えば微量分析および分光学的特性、例えば、MS、IR、NMRによって確認する。使用する略語は当該技術分野において常套のものである。下記実施例の化合物は、アルドステロンシンターゼについて約0.1nM〜約100,0.00nMの範囲のIC50値を有することを見出した。
3−(3,3−ジメチル−2−オキソ−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−カルボン酸メチルエステル.および1−(3,3−ジメチル−2−オキソ−1,2,3,4−テトラヒドロ−キノリン−4−イル)−1H−イミダゾール−4−カルボン酸メチルエステル.
1−(3,3−ジメチル−2−オキソ−1,2,3,4−テトラヒドロ−キノリン−4−イル)−1H−イミダゾール−4−カルボン酸メチルエステル.1H NMR (400.3 MHz, CDCl3): δ 8.25 (brs, 1H), 7.48 (s, 1H), 7.43 (s, 1H), 7.31-7.27 (m, 1H), 7.11 (d, J = 8.0 Hz, 1H), 7.00 (t, J = 8.0 Hz, 1H), 6.87 (d, J = 8.0 Hz, 1H), 4.90 (s, 1H), 3.78 (s, 3H), 1.24 (s, 3H), 1.07 (s, 3H). HRMS (ESI): C16H18N3O3の計算値: 300.1348. 実測値: 300.1351.
3−(3,3−ジメチル−2−オキソ−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−カルボン酸メチルエステルの分離をChiralPak AS-Hカラムを用いて、移動相として10%EtOH/ヘキサンを用いるキラルHPLCで行って、保持時間tr=15.3分およびtr=18.3分を有するエナンチオマーを得る。
3−(3,3−ジメチル−2−オキソ−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−カルボン酸エチルエステル.
MS (ESI): C17H18FN3O3の計算値: 331.4. 実測値(M+1): 332.
MS (ESI): C15H16FN3Oの計算値: 273.1277. 実測値: 273.1277.
表題化合物を、1,3,3−トリメチル−2,2−ジオキソ−1,2,3,4−テトラヒドロ−ベンゾ[c][1,2]チアジン−4−オールと3H−イミダゾール−4−カルボン酸メチルエステルを一般的な光延反応プロトコルによって反応させて得る。
1H NMR (400.3 MHz, CDCl3): δ 7.89 (s, 1H), 7.75 (s, 1H), 7.42 (t, J = 8.0 Hz, 1H), 7.10-7.05 (m, 3H), 6.81 (d, J = 8.0 Hz, 1H), 3.96 (s, 3H), 3.49 (s, 3H), 1.58 (s, 3H), 1.37 (s, 3H). MS (ESI): C16H19N3O4Sの計算値: 349.4. 実測値(M+1): 350.3.
3,3−ジメチル−4−[5−(3−メチル−[1,2,4]オキサジアゾール−5−イル)−イミダゾル−1−イル]−3,4−ジヒドロ−1H−キノリン−2−オン.
1H NMR (400.3 MHz, CDCl3): δ ppm 1.00 (s, 3 H) 1.29 (s, 3 H) 2.45 (s, 3 H) 6.53 (s, 1 H) 6.85 (d, J=8.84 Hz, 1 H) 6.98 (t, J=8.08 Hz, 1 H) 7.22 (d, J=7.58 Hz, 1 H) 7.25 - 7.35 (m, 1 H) 7.57 (s, 1 H) 7.83 (s, 1 H) 7.97 (br. s., 1 H). MS (ESI): C17H17N5O2の計算値: 323.1382. 実測値: 323.1382.
表題化合物を実施例1に記載の一般的な光延反応プロトコルを用いて製造する。
1H NMR (400.3 MHz, CDCl3): δ 7.72 (s, 1H), 7.41 (t, J = 8Hz 1H), 7.32 (s, 1H), 7.31 (d, J = 8.0 Hz, 1H), 7.12-7.05 (m, 2H), 6.43 (s, 1H), 3.91 (s, 3H), 3.49 (s, 3H), 1.24 (s, 3H), 1.10 (s, 3H). 13C NMR (100.6 MHz, CDCl3): δ 172.67, 161.55, 139.96, 139.37, 137.62, 130.23, 129.92, 123.76, 122.94, 122.22, 115.17, 59.63, 51.66, 43.52, 30.09, 25.25, 20.18. HRMS (ESI): C17H19N3O3の計算値: 314.1505. 実測値: 314.1510.
4−(5−ヒドロキシメチル−イミダゾル−1−イル)−3,3−ジメチル−3,4−ジヒドロ−1H−キノリン−2−オン
エナンチオマーの分離をChiralPak IAカラムを用いて、移動相として25%EtOH/ヘプタンを用いるキラルHPLCで行って、保持時間tr=8.9分およびtr=18分を有するエナンチオマーを得る。
5−クロロ−4−(5−ヒドロキシメチル−イミダゾル−1−イル)−3,3−ジメチル−3,4−ジヒドロ−1H−キノリン−2−オン
4−イミダゾル−1−イル−3,3−ジメチル−3,4−ジヒドロ−1H−キノリン−2−オン
1H NMR (400.3 MHz, MeOD): δ 7.70 (s, 1H), 7.37 (t, J = 8Hz 1H), 7.31 (d, J = 8.0 Hz, 1H), 7.10-7.03 (m, 2H), 6.95 (s, 2H), 5.30 (s, 1H), 1.26(s, 3H), 1.02(s, 3H), 13C NMR (100.6 MHz, MeOD): δ 175.95, 138.30, 138.00, 131.27, 130.53, 129.90, 124.83, 122.57, 118.66, 116.95, 64.62, 44.05, 25.23, 20.17. HRMS (ESI): C14H15N3Oの計算値: 242.1293. 実測値: 242.1288.
エナンチオマーの分離をChiralPak AS-Hカラムを用いて、移動相として10%EtOH/ヘプタンを用いるキラルHPLCで行って、保持時間tr=18.45分およびtr=22.50分を有するエナンチオマーを得る。
7−メトキシ−4−イミダゾル−1−イル−3,3−ジメチル−3,4−ジヒドロ−1H−キノリン−2−オン
エナンチオマーの分離をChiralPak IAカラムを用いて、移動相として60%EtOH/ヘプタンを用いるキラルHPLCで行って、保持時間tr=11.5分およびtr=25.5分を有するエナンチオマーを得る。
メチル4−イミダゾールカルボキシレート(200mg、1.59mmol)とPS−トリフェニルホスフィン(2.15mmol/g、0.90g、1.94mmol)を、(4−ヒドロキシ−3,4−ジヒドロ−2H−キノリン−1−イル)−フェニル−メタノン(380mg、1.50mmol)のTHF(20mL)溶液に室温で加える。得られた混合物を室温で5時間撹拌し、0℃に冷却する。DIAD(0.38mL、1.96mmol)を加え、混合物を室温までゆっくりと温める。3時間後、反応混合物を濾過して樹脂を除去し、酢酸エチルで洗浄する。合併した酢酸エチル溶液を塩水で洗浄し、無水硫酸ナトリウムで乾燥させる。濃縮後、残渣を逆相HPLC(CH3CN:H2O=10〜80%で20分)で精製して、表題化合物を得る:1H NMR (400 MHz, CDCl3) δ ppm 2.21 - 2.30 (m, 1 H), 2.52 - 2.62 (m, 1 H), 3.75 - 3.82 (m, 1 H), 3.89 (s, 3 H), 4.11 - 4.18 (m, 1 H), 6.40 (t, J=6.1 Hz, 1 H), 6.94 (d, J=7.6 Hz, 1 H), 7.01 - 7.09 (m, 3 H), 7.33 - 7.40 (m, 3 H), 7.40 - 7.45 (m, 1 H), 7.46 - 7.50 (m, 2 H), 7.85 (d, J=0.8 Hz, 1 H).
3−(1−アセチル−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−カルボン酸メチルエステル
エナンチオマーの分離をChiralPak IAカラムを用いて、移動相として40%IPA/ヘプタンを用いるキラルHPLCで行って、保持時間tr=14.6分およびtr=19.9分を有するエナンチオマーを得る。
エナンチオマーの分離をChiralPak IAカラムを用いて、移動相として70%IPA/ヘプタンを用いるキラルHPLCで行って、保持時間tr=21.7分およびtr=25.4分を有するエナンチオマーを得る。
メチル4−イミダゾールカルボキシレート(55mg、0.44mmol)、PS−トリフェニルホスフィン(2.15mmol/g、0.20g、0.43mmol)を(4−ヒドロキシ−3,3−ジメチル−3,4−ジヒドロ−2H−キノリン−1−イル)−フェニル−メタノン(80mg、0.28mmol)のTHF(10mL)溶液に室温で加える。混合物を室温で5分間撹拌し、0℃に冷却させる。DIAD(0.083mL、0.43mmol)を加え、混合物を室温で撹拌する。3時間後、反応混合物を濾過して樹脂を除去し、酢酸エチルで洗浄する。酢酸エチル溶液を塩水で洗浄し、無水硫酸ナトリウムで乾燥させる。濃縮後、樹脂を逆相HPLC(CH3CN:H2O=20〜90%で20分)で精製して、表題化合物を得る:1H NMR (400 MHz, クロロホルム-d) δ ppm 0.74 (s, 3 H), 1.15 (s, 3 H), 3.52 (d, J=13.4 Hz, 1 H), 3.87 (d, J=13.1 Hz, 1 H), 3.92 (s, 3 H), 5.30 (s, 1 H), 6.40 (s, 1 H), 6.95 - 6.99 (m, 1 H), 7.01 - 7.06 (m, 1 H), 7.11 - 7.16 (m, 1 H), 7.28 - 7.33 (m, 2 H), 7.38 - 7.44 (m, 2 H), 7.45 - 7.50 (m, 1 H), 7.52 - 7.56 (m, 2 H). HRMS: C23H24N3O3の計算値: 390.1818. 実測値: 390.1800
3−[1−(2,2−ジメチル−プロピオニル)−3,3−ジメチル−1,2,3,4−テトラヒドロ−キノリン−4−イル]−3H−イミダゾール−4−カルボン酸メチルエステル
エナンチオマーの分離をChiralPak IAカラムを用いて、移動相として20%EtOH/ヘプタンを用いるキラルHPLCで行って、保持時間tr=12.28分およびtr=19.48分を有するエナンチオマーを得る。
[3−(3,3−ジメチル−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−イル]−メタノール
エナンチオマーの分離をChiralPak ODカラムを用いて、移動相として10%EtOH/ヘキサンを用いるキラルHPLCで行って、保持時間tr=21.50分およびtr=26.53分を有するエナンチオマーを得る。
[3−(1−ベンジル−3,3−ジメチル−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−イル]−メタノール
エナンチオマーの分離をChiralPak OD-Hカラムを用いて、移動相として10%ヘプタン/イソプロパノールを用いるキラルHPLCで行って、保持時間tr=21.4分およびtr=25.5分を有するエナンチオマーを得る。
[3−(1−ブチル−3,3−ジメチル−1,2,3,4−テトラヒドロ−キノリン−4−イル)−3H−イミダゾール−4−イル]−メタノール
粗混合物を得る。
HOAc(0.05mL、0.88mmol)とTBAF(0.3mL、0.37mmol)を1−{4−[5−(tert−ブチル−ジフェニル−シラニルオキシメチル)−イミダゾル−1−イル]−3,3−ジメチル−3,4−ジヒドロ−2H−キノリン−1−イル}−2−フェニル−エタノン(115mg)のTHF(6mL)溶液に、室温で加える。混合物を室温で撹拌する。4時間後、TBAF(0.3mL×2)を加え、混合物を室温で一晩撹拌する。反応を飽和NaHCO3で塩基性に調節して、酢酸エチルで抽出し、塩水で洗浄する;無水硫酸ナトリウムで乾燥させ、濃縮して粗化合物を得て、これを逆相HPLC(CH3CN:H2O=10〜80%で20分)で精製して、表題化合物を得る: 1H NMR (400 MHz, クロロホルム-d) δ ppm 0.73 (s, 3 H), 0.97 (s, 3 H), 3.53 (br. s., 1 H), 3.65 (d, J=13.1 Hz, 1 H), 3.83 (d, J=13.1 Hz, 1 H), 4.00 (s, 2 H), 4.70 (dd, 2 H), 5.30 (s, 1 H), 6.89 - 6.95 (m, 2 H), 7.03 (t, J=7.5 Hz, 1 H), 7.10 (s, 1 H), 7.24 - 7.37 (m, 6 H), 7.61 (br. s., 1 H).
4−イミダゾル−1−イル−3,3−ジメチル−1,2,3,4−テトラヒドロ−キノリン
Claims (18)
- 式(I):
〔式中、
Yは−CH2−、−C(O)−または−SO2−であり;
Lは水素、シアノ、ハロゲン、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(C1−C7)アルキル−O−C(O)−、(5−9)員ヘテロアリール、または所望により1もしくは2個のヒドロキシル基で置換されていてもよい(C1−C7)アルキルであり;
R1およびR2は独立して水素または(C1−C7)アルキルであるか;または
R1とR2はそれらが結合している炭素原子と一体となって、所望により(3−7)員環を形成し;
R3およびR4は独立して、水素、ハロゲン、(C1−C7)アルコキシまたはシアノであり;
Rは水素、(C1−C7)アルキル、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(4−9)員ヘテロシクリル、(C5−C10)アリール、(C5−C10)アリール−(C1−C7)アルキル−、R’−C(O)−またはR’−SO2−であり、ここでR’は(C5−C10)アリール−(C1−C7)アルキル−、(4−9)員ヘテロシクリルまたは所望により1もしくは2個のハロゲン原子で置換されていてもよい(C5−C10)アリールである〕
の化合物、またはその薬学的に許容される塩;またはその光学異性体;または光学異性体の混合物。 - Yが−CH2−であり;Lが水素または所望により1もしくは2個のヒドロキシル基で置換されていてもよい(C1−C7)アルキルであり;R1、R2、R3およびR4が水素であり;Rが水素、(C5−C10)アリール、(C5−C10)アリール−(C1−C7)アルキル−、R’−C(O)−またはR’−SO2−であり、ここでR’がアリール−アルキル−、(4−9)員ヘテロシクリルまたは所望により1もしくは2個のハロゲン原子で置換されていてもよい(C5−C10)アリールである;請求項1の化合物、またはその薬学的に許容される塩;またはその光学異性体;または光学異性体の混合物。
- Yが−C(O)−または−SO2−であり;Lが水素、シアノ、ハロゲン、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(C1−C7)アルキル−O−C(O)−、(5−9)員ヘテロアリールまたは所望により1もしくは2個のヒドロキシル基で置換されていてもよい(C1−C7)アルキルであり;R1およびR2が独立して、水素または(C1−C7)アルキルであり;R3およびR4が独立して、水素、ハロゲン、(C1−C7)アルコキシまたはシアノであり;Rが水素、(C1−C7)アルキル、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(4−9)員ヘテロシクリル、(C5−C10)アリール、R’−C(O)−またはR’−SO2−であり、ここでR’が(C5−C10)アリール−(C1−C7)アルキル−、(4−9)員ヘテロシクリルまたは所望により1もしくは2個のハロゲン原子で置換されていてもよい(C5−C10)アリールである;請求項1の化合物、またはその薬学的に許容される塩;またはその光学異性体;または光学異性体の混合物。
- Yが−C(O)−または−SO2−であり;Lが水素、シアノ、ハロゲン、(C1−C7)ハロアルキル、(C3−C7)シクロアルキル、(C1−C7)アルキル−O−C(O)−または所望により1もしくは2個のヒドロキシル基で置換されていてもよい(C1−C7)アルキルであり;R1およびR2が独立して水素または(C1−C7)アルキルであり;R3およびR4が独立して水素、ハロゲン、(C1−C7)アルコキシであり;Rが水素、(C1−C7)アルキル、(C1−C7)ハロアルキルまたは(C3−C7)シクロアルキル、(4−9)員ヘテロシクリルである;請求項1の化合物、またはその薬学的に許容される塩;またはその光学異性体;または光学異性体の混合物。
- 対象におけるアルドステロンシンターゼ活性を阻害する方法であって、当該対象に治療上有効量の請求項1の化合物を投与することを含む方法。
- 対象におけるアルドステロンシンターゼによって介在される障害または疾患を処置する方法であって、当該対象に治療上有効量の請求項1の化合物を投与することを含む方法。
- 対象における障害または疾患が、アルドステロンシンターゼの異常な活性によって特徴付けられる、請求項6の方法。
- 対象における障害または疾患が、アルドステロンシンターゼの異常な発現によって特徴付けられる、請求項6の方法。
- 障害または疾患が、低カリウム血症、高血圧、鬱血性心不全、腎不全、特に慢性腎不全、再狭窄、アテローム性動脈硬化症、シンドロームX、肥満、ネフロパシー、心筋梗塞後、冠動脈性心疾患、コラーゲン形成の増加、線維症および高血圧後のリモデリングおよび内皮機能不全から選択される、請求項6の方法。
- 治療上有効量の請求項1の化合物と、1種以上の薬学的に許容される担体を含む医薬組成物。
- 治療上有効量の請求項1の化合物と、(i)HMG−Co−Aレダクターゼインヒビターまたはその薬学的に許容される塩;(ii)アンギオテンシンII受容体アンタゴニストまたはその薬学的に許容される塩;(iii)アンギオテンシン変換酵素(ACE)阻害剤またはその薬学的に許容される塩;(iv)カルシウムチャネルブロッカー(CCB)またはその薬学的に許容される塩;(v)デュアルアンギオテンシン変換酵素/中性エンドペプチダーゼ(ACE/NEP)阻害剤またはその薬学的に許容される塩;(vi)エンドセリンアンタゴニストまたはその薬学的に許容される塩;(vii)レニン阻害剤またはその薬学的に許容される塩;(viii)利尿剤またはその薬学的に許容される塩;(ix)ApoA−I模倣薬;(x)抗糖尿病剤;(xi)肥満減少剤;(xii)アルドステロン受容体ブロッカー;(xiii)エンドセリン受容体ブロッカー;および(xiv)CETP阻害剤から選択される1種以上の治療活性剤を含む医薬組成物。
- 医薬として使用するための、請求項1の式(I)の化合物。
- 対象におけるアルドステロンシンターゼによって介在される障害または疾患の処置用医薬組成物の製造のための、請求項1に記載の式(I)の化合物の使用。
- 対象におけるアルドステロンシンターゼの異常な活性によって特徴付けられる障害または疾患の処置用医薬組成物の製造のための、請求項1に記載の式(I)の化合物の使用。
- 対象におけるアルドステロンシンターゼ活性によって介在される障害または疾患の処置用医薬の製造のための、請求項10または11に記載の医薬組成物の使用。
- 対象におけるアルドステロンシンターゼの異常な活性によって特徴付けられる障害または疾患の処置用医薬の製造のための、請求項10または11に記載の医薬組成物の使用。
- 対象におけるアルドステロンシンターゼの異常な発現によって特徴付けられる障害または疾患の処置用医薬の製造のための、請求項10または11に記載の医薬組成物の使用。
- 障害または疾患が低カリウム血症、高血圧、鬱血性心不全、腎不全、特に慢性腎不全、再狭窄、アテローム性動脈硬化症、シンドロームX、肥満、ネフロパシー、心筋梗塞後、冠動脈性心疾患、コラーゲン形成の増加、線維症および高血圧後のリモデリングおよび内皮機能不全から選択される、請求項15の使用。
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US87049706P | 2006-12-18 | 2006-12-18 | |
| PCT/US2007/087522 WO2008076860A1 (en) | 2006-12-18 | 2007-12-14 | 4-imidazolyl-1,2,3,4-tetrahydroquinoline derivatives and their use as aldosterone/11-beta-hydroxylase inhibitors |
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| Publication Number | Publication Date |
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| JP2010513558A true JP2010513558A (ja) | 2010-04-30 |
| JP2010513558A5 JP2010513558A5 (ja) | 2011-02-03 |
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| JP2009543095A Pending JP2010513558A (ja) | 2006-12-18 | 2007-12-14 | 4−イミダゾリル−1,2,3,4−テトラヒドロキノリン誘導体、およびアルドステロン/11−ベータ−ヒドロキシラーゼ阻害剤としてのその使用 |
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| Country | Link |
|---|---|
| US (1) | US8143278B2 (ja) |
| EP (1) | EP2121652A1 (ja) |
| JP (1) | JP2010513558A (ja) |
| KR (1) | KR20090090395A (ja) |
| CN (1) | CN101605776A (ja) |
| AU (1) | AU2007333902A1 (ja) |
| BR (1) | BRPI0720383A2 (ja) |
| CA (1) | CA2673119A1 (ja) |
| EA (1) | EA200900812A1 (ja) |
| MX (1) | MX2009006630A (ja) |
| WO (1) | WO2008076860A1 (ja) |
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| JP2010513482A (ja) * | 2006-12-18 | 2010-04-30 | ノバルティス アーゲー | アルドステロンシンターゼ阻害剤としてのイミダゾール類 |
| JP2013517280A (ja) * | 2010-01-14 | 2013-05-16 | ノバルティス アーゲー | 副腎ホルモン修飾剤の使用 |
| JP2015110563A (ja) * | 2013-11-08 | 2015-06-18 | 日本メジフィジックス株式会社 | アルドステロン合成酵素阻害剤 |
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| JO2967B1 (en) | 2009-11-20 | 2016-03-15 | نوفارتس ايه جي | Acetic acid derivatives of carbamoyl methyl amino are substituted as new NEP inhibitors |
| US8673974B2 (en) | 2010-11-16 | 2014-03-18 | Novartis Ag | Substituted amino bisphenyl pentanoic acid derivatives as NEP inhibitors |
| CN103648495A (zh) | 2011-07-08 | 2014-03-19 | 诺华股份有限公司 | 在高甘油三酯对象中治疗动脉粥样硬化的方法 |
| UY35144A (es) | 2012-11-20 | 2014-06-30 | Novartis Ag | Miméticos lineales sintéticos de apelina para el tratamiento de insuficiencia cardiaca |
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| KR20160031551A (ko) | 2013-07-25 | 2016-03-22 | 노파르티스 아게 | 심부전의 치료를 위한 시클릭 폴리펩티드 |
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| JP2015110563A (ja) * | 2013-11-08 | 2015-06-18 | 日本メジフィジックス株式会社 | アルドステロン合成酵素阻害剤 |
Also Published As
| Publication number | Publication date |
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| EP2121652A1 (en) | 2009-11-25 |
| KR20090090395A (ko) | 2009-08-25 |
| BRPI0720383A2 (pt) | 2015-06-16 |
| WO2008076860A1 (en) | 2008-06-26 |
| CA2673119A1 (en) | 2008-06-26 |
| CN101605776A (zh) | 2009-12-16 |
| EA200900812A1 (ru) | 2009-12-30 |
| AU2007333902A1 (en) | 2008-06-26 |
| MX2009006630A (es) | 2009-06-30 |
| US20100093711A1 (en) | 2010-04-15 |
| US8143278B2 (en) | 2012-03-27 |
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