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RU2018103338A - Производные диарил- и арилгетероарилмочевины для профилактики и лечения галлюцинаций, ассоциированных с нейродегенеративным заболеванием - Google Patents

Производные диарил- и арилгетероарилмочевины для профилактики и лечения галлюцинаций, ассоциированных с нейродегенеративным заболеванием Download PDF

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RU2018103338A
RU2018103338A RU2018103338A RU2018103338A RU2018103338A RU 2018103338 A RU2018103338 A RU 2018103338A RU 2018103338 A RU2018103338 A RU 2018103338A RU 2018103338 A RU2018103338 A RU 2018103338A RU 2018103338 A RU2018103338 A RU 2018103338A
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dementia
disease
combination
parkinson
alzheimer
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RU2018103338A
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Лоуренс Тим ФРИДХОФФ
Шанкар РАМАСВАМИ
Яньдун ВЭНЬ
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Аксовант Сайенсиз Гмбх
Лоуренс Тим ФРИДХОФФ
Шанкар РАМАСВАМИ
Яньдун ВЭНЬ
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    • AHUMAN NECESSITIES
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    • 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
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic 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
    • A61K31/403Heterocyclic 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 condensed with carbocyclic rings, e.g. carbazole
    • A61K31/404Indoles, e.g. pindolol
    • A61K31/4045Indole-alkylamines; Amides thereof, e.g. serotonin, melatonin
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • 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
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
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    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • AHUMAN NECESSITIES
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    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/551Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep
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    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • A61K31/554Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having at least one nitrogen and one sulfur as ring hetero atoms, e.g. clothiapine, diltiazem
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Claims (15)

1. Способ профилактики и/или лечения зрительных галлюцинаций у субъекта, нуждающегося в этом, предусматривающий введение указанному субъекту терапевтически эффективного количества обратного агониста 5-HT2A.
2. Способ по п. 1, где обратный агонист 5-HT2A выбран из нелотансерина, пимавансерина, прувансерина, эпливансерина, волинансерина, глемансерина, кетансерина, ритансерина, клозапина и их фармацевтически приемлемой соли, гидрата, полиморфа или сольвата.
3. Способ по п. 2, где обратный агонист 5-HT2A представляет собой нелотансерин или его фармацевтически приемлемую соль, гидрат, полиморф или сольват.
4. Способ по п. 3, где терапевтически эффективное количество нелотансерина или его фармацевтически приемлемой соли, гидрата, полиморфа или сольвата составляет от приблизительно 10 мг до приблизительно 160 мг.
5. Способ по п. 1, где обратный агонист 5-HT2A находится в фармацевтической композиции, которая обладает возможностью немедленного высвобождения, пролонгированного высвобождения, отсроченного высвобождения или любой их комбинации.
6. Способ по п. 1, где обратный агонист 5-HT2A находится в фармацевтической композиции, и где фармацевтическая композиция составлена для перорального введения.
7. Способ по п. 1, где субъектом является человек.
8. Способ по п. 7, где человек является взрослым человеком, у которого диагностировано состояние, выбранное из деменции, связанной с тельцами Леви, возможной деменции с тельцами Леви, деменции с тельцами Леви, деменции при болезни Паркинсона, болезни Паркинсона, множественной системной атрофии, болезни Альцгеймера, сосудистой деменции, деменции, умеренного когнитивного нарушения, психоза при болезни Паркинсона, психоза при болезни Альцгеймера, нарушения сна, бессонницы, бредовых иллюзий, тревожного возбуждения, тревожного возбуждения при болезни Альцгеймера, агрессивности, нарушения поведения во время REM-фазы сна, шизофрении и любой их комбинации.
9. Способ по п. 7, где у человека одновременно диагностированы зрительные галлюцинации и состояние, выбранное из деменции, связанной с тельцами Леви, возможной деменции с тельцами Леви, деменции с тельцами Леви, деменции при болезни Паркинсона, болезни Паркинсона, множественной системной атрофии, болезни Альцгеймера, сосудистой деменции, деменции, умеренного когнитивного нарушения, психоза при болезни Паркинсона, психоза при болезни Альцгеймера, нарушения сна, бессонницы, бредовых иллюзий, тревожного возбуждения, тревожного возбуждения при болезни Альцгеймера, агрессивности, нарушения поведения во время REM-фазы сна, шизофрении и любой их комбинации.
10. Способ по п. 7, где у человека диагностирована возможная деменция с тельцами Леви, где диагноз возможной деменции с тельцами Леви определяется наличием деменции и по меньшей мере одного из следующего:
по меньшей мере два основных критерия, выбранных из зрительных галлюцинаций, когнитивной неустойчивости и паркинсонизма и любой их комбинации; и
один основной критерий, выбранный из зрительных галлюцинаций, когнитивной неустойчивости и паркинсонизма и любой их комбинации; и по меньшей мере один предположительный критерий, выбранный из нарушения поведения во время REM-фазы сна, тяжелой нейролептической чувствительности; низкого поглощения транспортера дофамина при визуализирующем сканировании DaT SPECT и любой их комбинации.
11. Способ по п. 7, где у человека диагностирована деменция с тельцами Леви.
12. Способ по п. 1, где субъект одновременно получает терапевтически эффективное количество по меньшей мере одного дополнительного терапевтического средства, выбранного из группы, состоящей из мелатонина, кветиапина, клоназепама, леводопы, карбидопы, противопаркинсонического лекарственного средства, ингибитора ацетилхолинэстеразы, антагониста NMDA-рецепторов и их комбинации.
13. Способ по п. 1, где лечение или профилактика приводят к уменьшению частоты, тяжести зрительных галлюцинаций или их комбинации.
RU2018103338A 2015-07-15 2016-07-15 Производные диарил- и арилгетероарилмочевины для профилактики и лечения галлюцинаций, ассоциированных с нейродегенеративным заболеванием RU2018103338A (ru)

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US201562192939P 2015-07-15 2015-07-15
US62/192,939 2015-07-15
US201562236618P 2015-10-02 2015-10-02
US62/236,618 2015-10-02
US201562261381P 2015-12-01 2015-12-01
US62/261,381 2015-12-01
PCT/US2016/042556 WO2017011767A2 (en) 2015-07-15 2016-07-15 Diaryl and arylheteroaryl urea derivatives as modulators of the 5-ht2a serotonin receptor useful for the prophylaxis and treatment of hallucinations associated with a neurodegenerative disease

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EP (1) EP3322415A4 (ru)
JP (2) JP2018520187A (ru)
KR (1) KR20180064373A (ru)
CN (1) CN108472285A (ru)
AU (1) AU2016291673A1 (ru)
BR (1) BR112018000728A2 (ru)
CA (1) CA2992518A1 (ru)
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