TWI226830B - Novel ester derivatives of buprenorphine and their preparation processes, and long acting analgesic pharmaceutical compositions - Google Patents
Novel ester derivatives of buprenorphine and their preparation processes, and long acting analgesic pharmaceutical compositions Download PDFInfo
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- TWI226830B TWI226830B TW91133175A TW91133175A TWI226830B TW I226830 B TWI226830 B TW I226830B TW 91133175 A TW91133175 A TW 91133175A TW 91133175 A TW91133175 A TW 91133175A TW I226830 B TWI226830 B TW I226830B
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Abstract
Description
1226830 玖、發明說明 (發明說明應敘明· 【明 發明領域 月所屬之技術領域、先前技術、内容、實施方式及圖式簡單說明) 所屬之技術領域】 &月係有關新穎的布皮諾芬(buprenorphine)酯衍生 物特別疋有關布皮諾芬單羧酸酯衍生物與二布皮諾芬二 ㈣酯何生物’相較於布皮諾芬氫氯化物,該等衍生物展 現出更長的鎮痛效果。本發明亦有關用以製備該等新穎 布皮諾芬酯衍生物的方法,以及含有一選自於布皮諾芬驗 與謂新穎布皮諾芬g旨衍生物的化合物之長效作用鎮痛藥 學組成物。 y L· mT ^ 相關技藝的描述 、、工延長的止痛效力(pr〇l〇nged analgesia)是為蒙受中度 至嚴重疼痛(諸如手術後疼痛以及癌症疼痛)之病患所特別 而要的。目前’局部麻醉劑(l〇cal anesthetic)、弱效鎮痛劑 (weak analgesic)與強效鎮痛劑(potent analgesic)被應用於本 技術領域中,但它們全部都是短效作用的藥物。 局部麻醉劑,例如苦息樂卡因(Xyl〇caine)或布比卡因 (bupivacaine),可以解除某些形式之疼痛,但它們僅能被 20施用於受限制的區域内。此外,局部麻醉劑是為短效作用 的’且即令以椎管内注射(intrathecally)予以導入時,它們 展現出一通常不會超過6小時的作用期。因此,對於由心 臟、肺臟、腹部、骨科與產科手術以及嚴重燒傷損害與癌 症末期所造成的急性與嚴重疼痛而言,局部麻醉劑是不令 1226830 玖、發明說明 人滿意的。· 〜 弱效鎮痛劑’諸如乙酸氣紛(acetaminophen)與非類固 醇抗發炎劑(NSAID),僅能減緩低度疼痛(諸如由於頭痛或 牙痛所致的疼痛),但它們對於嚴重疼痛的情況而言是沒有 5 用的。 10 15 對於在起源上是高強度與廣範圍的疼痛而言,諸如嗎 啡驗(morphine)、美皮瑞、汀(meperidine)與吩坦尼(㈣⑽州 的強效鎮痛劑被使用。它們與位於中樞神經系統(cns)内 的特定鴉片受體(亦即#受體)相互作用,並展現出有力的 鎮痛活性。但是,所有的鴉片鎮痛劑展現击共同的缺點 {Hayes} A. G. et al.} Br. J. Pharmacol, Vol 79, 731, 1983) 〇 與這些強效鎮痛劑的長時期使用有關聯的最不想要有的問 題是藥瘸的發生。此外,這些強效鎮痛劑在啤吸功能不佳 的病人身上會引發嚴重的呼吸抑制。再者,這些強效鎮痛 劑展現-相當短的作用期間(亦即3 i 5小時)。即令以椎 官内注射予以投藥時,它們無法提供—個持續—超過^小 ^的期間之長效作用期。此外,若該一藥劑的一個較高劑 =例如:母一劑量為〇·5]·0 mg的嗎啡)以椎管内注射被 么芡、提仏經延長的鎮痛效用時,致命的呼吸抑制有可 能會發生(細“ — j·如喊⑹%奶 1989) 〇 , , 布皮諾分(buprenorphine)[化學名稱為“Μ⑻· ^ 7_環丙 土甲基]a-(l,i-:f基乙基M,5•環氧基…,⑼二氯^經基-6-甲氧基甲其 土 -,乙烯橋嗎啡烷-7_罗醇(5a,7a(6>l7- 20 1226830 玖、發明說明 W. K., et al., Chem. Pharmacol. Ther. (1988), 43' (0-72-78; and Fudala, P.J^ et al^ CHn pharmac〇l Ther 人47 «)· 525-5W)。布皮諾芬一般是採用肌肉内注射 5或是靜脈内注射來投藥,但作用的期間僅有6至8小時。 5 —長效作用鎮痛效果是特別為蒙受急性或慢性疼痛的 病^所需要的。這些疼痛可能持續數天至數個月之久。舉 “、心f生疼痛’諸如手術後疼痛、外傷疼痛與燒傷疼 痛’可能會持續4至6天;慢性疼痛,例如非惡性疼痛與 癌症疼痛,可能持續數星期至數個月。 1〇 丨了控制或延長-標的藥物於臨床使用期間當中的作 用期間’已有發展出特定的藥學製品。關於布皮諾芬,由 於^其自由驗的溶點(218。〇所反映出的高程度結晶性,布 皮諾芬本身不太可能作為經皮藥物輸送之—優良候選物。 氫氯化物鹽類加上-穿透促進劑之使用曾被提供以作為一 15解決方式,俾以得到布皮諸芬之足夠的皮膚穿透以達鐘痛 U“,004,969揭示布皮諾芬之—種經皮輸送製 品’其係由下列所構成:布皮諾芬或其氫氯化物,源自中 國草藥之純質組份以作為穿皮滲透促進劑,以及其它為 皮製品所需要的賦形劑 ’、^ WJ1I1 〇 等人力 尸—「碌跡助中報告布皮考々 六種㈣酯前驅藥’其等的合成是從布皮諾芬氫氯化㈣ 始,亚且涉及布皮諾芬自由驗、-種酸軒與4-二甲基胺基 20 1226830 玖、發明說明1226830 发明 Description of the invention (The description of the invention should be stated. [Technical field, prior art, content, implementation, and drawings of the invention field month] Brief description of the technical field] & The month is related to the novel Bupino Buprenorphine ester derivatives are particularly concerned about bupinophene monocarboxylic acid ester derivatives and dibubinofen dioxobinate. Compared to bupinofen hydrochloride, these derivatives show more Long analgesic effect. The present invention also relates to a method for preparing the novel bupinofen ester derivatives, and a long-acting analgesic medicament containing a compound selected from the group of bupinofen test and a novel bupinofen g derivative.组合 物。 Composition. y L · mT ^ Description of related techniques, prolonged analgesia (pr0nged analgesia) is especially necessary for patients suffering from moderate to severe pain (such as postoperative pain and cancer pain). Currently, a 'local anesthetic, weak analgesic, and potent analgesic are used in this technical field, but they are all short-acting drugs. Local anesthetics, such as Xylocaine or bupivacaine, can relieve some forms of pain, but they can only be applied to restricted areas. In addition, local anesthetics are short-acting, and even when introduced by intrathecally, they exhibit a period of action that typically does not exceed 6 hours. Therefore, for acute and severe pain caused by heart, lung, abdomen, orthopedic and obstetric surgery, as well as severe burn injury and end-stage cancer, local anesthetics are not satisfactory for 1,268,30, and the description of the invention is satisfactory. · ~ Weak analgesics' such as acetaminophen and non-steroidal anti-inflammatory agents (NSAID) can only relieve low-level pain (such as pain due to headache or toothache), but they are effective for severe pain Words are useless. 10 15 For pain that is of high intensity and wide range in origin, such as morphine, mepiprene, meperidine, and fentanyl (Luzhou's powerful analgesics) are used. Specific opioid receptors (also known as #receptors) in the central nervous system (cns) interact and exhibit potent analgesic activity. However, all opioid analgesics exhibit common shortcomings {Hayes} AG et al.} Br. J. Pharmacol, Vol 79, 731, 1983) 〇The most undesired problem associated with the long-term use of these powerful analgesics is the occurrence of medicinal tincture. In addition, these powerful analgesics can cause severe respiratory depression in patients with poor beer suction. Furthermore, these potent analgesics exhibit a rather short period of action (i.e. 3 i 5 hours). Even when administered by intravertebral injection, they cannot provide a long-acting period that lasts for more than ^ small ^. In addition, if a higher dose of this agent = for example: morphine in a mother dose of 0.5 [0] 0 mg) is injected into the spinal canal with prolonged analgesic effect of morphine and levitation, fatal breathing It may happen (fine "— j · such as yell% milk 1989) 〇,, buprenorphine [chemical name is" Μ⑻ · ^ 7-cyclopropyl earth methyl] a- (l, i- : f-ethylethylM, 5 • epoxy ..., ⑼dichloro ^ meryl-6-methoxymethoxide-, vinyl bridge morphinane-7-rolol (5a, 7a (6 > l7-20 1226830 发明, Description of invention WK, et al., Chem. Pharmacol. Ther. (1988), 43 '(0-72-78; and Fudala, PJ ^ et al ^ CHn pharmac〇l Ther People 47 «) · 525- 5W). Buprenorphine is usually administered by intramuscular injection 5 or intravenous injection, but the period of action is only 6 to 8 hours. 5-long-acting analgesic effect is especially for patients suffering from acute or chronic pain ^ Necessary. These pains can last from several days to several months. For example, "heart pain, such as post-operative pain, trauma pain and burn pain," may last 4 to 6 days; chronic pain, such as non- Sexual pain and cancer pain may last from several weeks to several months. 10 Controlled or prolonged-target drugs have been used in clinical use during the period of 'specific pharmaceutical products have been developed. Regarding bupinofen, ^ The high degree of crystallinity reflected by its freely-dissolved melting point (218.00), bupinofin itself is unlikely to be a good candidate for transdermal drug delivery. Hydrochloride salts plus-penetration promotion The use of the agent has been provided as a 15 solution to obtain sufficient skin penetration of bupinophene to achieve pain in the bell "U.S.A., 004,969 discloses bupinophene-a transdermal delivery product ' Consisting of: Bupinofen or its hydrochloride, a pure component derived from Chinese herbal medicines as a percutaneous penetration enhancer, and other excipients required for leather products', ^ WJ1I1 〇 and other human corpses — "Lujusuke reports that six picoester prodrugs of bupicoxine 'have been synthesized starting from bupinofen hydrochloride, which involves the free test of bupinofen,-Zuanxuan and 4 -Dimethylamino 20 1226830 玖, description of the invention
°比σ定(4-dimethylamino pyridine)在作為溶劑的二甲基甲醯胺 (dimethyl formamide,DMF)之存在下的反應。布皮諾芬的 這六種烧基酯前驅藥之物理化學性質,包含己烧溶解度在 内,被拿來與那些為布皮諾芬HC1以及布皮諾芬自由鹼所 5 具者相比較。Stinchcomb等人進一步透過無毛的小白鼠皮 膚與人類皮膚來研究布皮諾芬與其C2-C4烷基酯前驅藥的 穿透性,其中輕級礦物油被使用作為供用於穿透性實驗的 測試配方午之一载激(Hirofumi Imoto et al.,Biol. Pharm. Bull. (1996), 19 (2): 263-267; and Stinchcomb et al., Pharm. 10 Res. (1996),13 (10): 1519-1523、。 然而迄今為止,沒有一個適用於治療用途的布皮諾芬 之可注射的長效作用劑型曾被描述過。此外,仍然希望能 發展出布皮諾芬的新穎衍生物,其能有效地延長布皮諾芬 於活體内的作用期間。° The reaction of 4-dimethylamino pyridine in the presence of dimethyl formamide (DMF) as a solvent. The physico-chemical properties of the six burner ester precursors of bupinofen, including the solubility of hexane, are compared with those of bupinofen HC1 and bupinofen free base. Stinchcomb et al. Further studied the penetrability of bupinofen and its C2-C4 alkyl ester precursors through hairless mouse skin and human skin, in which light mineral oil was used as a test for penetration experiments Formulated at noon (Hirofumi Imoto et al., Biol. Pharm. Bull. (1996), 19 (2): 263-267; and Stinchcomb et al., Pharm. 10 Res. (1996), 13 (10 ): 1519-1523. However, to date, no injectable long-acting dosage form of bupinofin suitable for therapeutic use has been described. In addition, it is still hoped that new derivatives of bupinofen will be developed It can effectively extend the period of action of bupinofen in vivo.
15 t發明内容U 發明概要 因此,本發明之一目的是要提供布皮諾芬的新穎衍生 物,其具有相同於布皮諾芬HC1的活性以及一長於布皮諾 芬HC1所具者的作用期間,藉此,該等衍生物可被用來治 20 療蒙受嚴重疼痛的有生命個體,包括人類在内。 在第一個方面,本發明提供具有下列化學式(I)的新穎 布皮諾芬(buprenorphine)單緩酸酯衍生物: 10 1226830 玖、發明說明15 t Summary of the invention U Summary of the invention Therefore, it is an object of the present invention to provide a novel derivative of bupinofin having the same activity as that of bupinofen HC1 and a function longer than that of bupinofen HC1 In the meantime, the derivatives can be used to treat 20 living individuals, including humans, suffering from severe pain. In a first aspect, the present invention provides a novel bupprenorphine monobranched acid ester derivative having the following chemical formula (I): 10 1226830 玖, description of the invention
其中R係擇自於下列所構成的群組:一個選擇性地被 一芳基基團所取代的直鏈或分枝的飽和或未飽和脂族 基團,以及一個選擇性地被一直鏈或分枝的飽和或未 5 飽和脂族基團所取代的芳基基團; 但有條件是:R不是擇自於甲基、乙基、丙基、η-丁 基、η-戊基、η-己基與異丙基。 10Where R is selected from the group consisting of a linear or branched saturated or unsaturated aliphatic group optionally substituted with an aryl group, and a linear or branched Branched saturated or unsaturated aliphatic groups substituted with aryl groups; provided that: R is not selected from methyl, ethyl, propyl, η-butyl, η-pentyl, η -Hexyl and isopropyl. 10
在第二個方面,本發明提供具有下列化學式(Π)的新 穎二布皮諾芬二魏酸 g旨(dibuprenorphine dicarboxylic ester)衍生物:In a second aspect, the present invention provides a novel dibuprenorphine dicarboxylic acid derivative having the following chemical formula (Π):
11 1226830 玖、發明說明 其中Ri是一個由一選擇性地被一苯基基團所取代的飽 和或未飽和脂族基團所構成的二價部分。 在第三個方面,本發明提供用以製備上述新穎的布皮 諾芬酯衍生物的方法。 5 用以製備該具有化學式(I )的布皮諾芬單羧酸酯衍生 物的方法包含下列步驟: ⑴於二氣甲烷的存在下,以三甲胺(trimethylamine) 來處理布皮諾芬HC1或鹼;以及 · (11)於二氯甲烷的存在下,對得自於步驟⑴的混合物 10 加入一化學式為RCOOH的化合物或其一酸酐 (acid anhydride)或一醯基氯(acid chloride),其中 該化學式RC00H當中的R是選自於下列所構成 的群組:一個選擇性地被一芳基基團所取代的直 鏈或分枝的飽和或未飽和脂族基團,以及一個選 15 擇性地被一直鏈或分枝的飽和或未飽和脂族基團 所取代的芳基基團。 · 用以製備該具有化學式(Π )的二布皮諾芬二羧酸酯衍 生物的方法包含下列步驟: (Γ)於二氯甲烷的存在下,以三曱胺來處理布皮諾芬 20 HC1或鹼;以及 (ii’)於二氯曱烷的存在下,對得自步驟⑴的混合物加 入一化+式為Ri(C00H)2的化合物或其一酸野 (acid anhydride)或一醯基氣(acid chloride),其中該 化學式Ri(C00H)2當中的是一個由一選擇性地 12 1226830 玖、發明說明 被一苯基基團所取代的飴和, 4禾飽和脂族基團所 構成的二價部分。 在第四個方面,本發明提供—種鎮痛劑藥學組成物, 其包含如上所述之-具有化學式⑴的布皮諾芬單叛酸酉旨 5何生物或-具有化學式⑻的二布皮諾芬二缓酸醋衍生物 〇 在第五個方面,本發明提供—種可注射的油懸浮液, 其含有-選自於下列的化合物:布皮諾芬驗、一具有化學 φ 式(I)的布皮諾芬單叛酸醋衍生物以及一具有化學式⑻的 10二布皮諾芬二旨衍生物,且該組成物當被肌肉内地4 皮下地投藥時會展現一更長的作用期間。 圖式簡單說明 本月的其他特徵及優點,從下面較佳實施例的詳細 況明亚茶照隨文檢附的圖式後,將變得明顯,在圖式中: 15 弟1圖顯示布皮諾芬庚酸酯(buprenorphine enanthate) 的1H-NMR光譜圖; 鲁 第2圖顯7F布皮諾芬庚酸酯的質譜圖; 第3圖顯示布皮諾芬庚酸酯的UV光譜圖; 第4圖顯示布皮諾芬庚酸酯的IR光譜圖; 2〇 第5圖顯示布皮諾芬癸酸酯(buprenorphine decanoate) 的1H-NMR光譜圖; 第6圖顯示布皮諾芬癸酸酯的質譜圖; 第7圖顯示布皮諾芬癸酸酯的UV光譜圖; 第8圖顯示布皮諾芬癸酸酯的IR光譜圖; 13 1226830 玖、發明說明 短0 基^卜3^ 5 由上 曱Μ人致力於延長布皮諾芬的作用期間, 並口成新賴的布皮諾芬醋衍生物,該等衍生物已被證明具 神同於布皮諾芬氫氯化物所具有的鎮痛活性。包含有一 5遠自於布皮諾芬驗與依據本發明的新賴布皮諾芬醋衍生物 的化合物之持續釋放藥學組成物進一步被發展出。這些组 成物被證實會展現出有數天之久的長效作用鎮痛效用,並 有一相當快的作用起始(在2個小時之内)。 · 位在嗎啡驗環(嗎啡驗、布皮謹芬、納布芬以及類似之 物的基本結構)的碳原子3上的齡基團(_η〇ι gr〇up)之醋化 會使被醋化的衍生物具有下列特性:⑴增高的親醋性 (nP〇Philicity)’·⑺對嗎啡驗受體的低親合力;⑺副作用被 減少,但被釋出的母體藥物維持相同的藥理活性;以及⑷ 被醋化的衍生物與母體化合物的效用與安全㈣持相同 b iBroekkamp CL et al.,j. Pharm,Pharm⑽^ 1988,价川屮。 本發明提供具有下列化學式⑴的新穎布皮諾芬單幾酸 « S旨衍生物:11 1226830 发明, description of the invention where Ri is a divalent moiety composed of a saturated or unsaturated aliphatic group optionally substituted with a phenyl group. In a third aspect, the present invention provides a method for preparing the novel bupinofen ester derivative described above. 5 The method for preparing the bupinofen monocarboxylic acid ester derivative having the formula (I) includes the following steps: (1) treating the bupinofen HC1 with trimethylamine in the presence of digas methane or Base; and (11) in the presence of dichloromethane, to the mixture 10 obtained from step XI, a compound of the formula RCOOH or its acid anhydride or acid chloride is added, wherein R in the chemical formula RC00H is selected from the group consisting of a linear or branched saturated or unsaturated aliphatic group optionally substituted with an aryl group, and an optional 15 An aryl group that is sexually substituted with a straight or branched saturated or unsaturated aliphatic group. · The method for preparing the dibupinenol dicarboxylic acid derivative having the chemical formula (Π) comprises the following steps: (Γ) treating bupinofen 20 with triamidine in the presence of dichloromethane HC1 or a base; and (ii ') in the presence of dichloromethane, the mixture obtained from step XI is added with a compound of the formula + Ri (C00H) 2 or its acid anhydride or hydrazone Acid chloride, of which the chemical formula Ri (C00H) 2 is a hydrazone substituted by a 12-1226830 玖, invention description is substituted by a phenyl group, and a saturated aliphatic group. The bivalent part of the composition. In a fourth aspect, the present invention provides a pharmaceutical composition for analgesics, which comprises the above-mentioned bupinofen monophosphate acid compound of the formula ⑴ or-dibupino compound of the formula 如上所述Fennic acid vinegar derivative. In a fifth aspect, the present invention provides an injectable oil suspension containing-a compound selected from the group consisting of a bupinofen test, a chemical formula (I) Bupinofen monoacetic acid derivative and a 10-Bupinophene disulfide derivative having the chemical formula ⑻, and the composition exhibits a longer period of action when administered intramuscularly 4 subcutaneously. The drawings briefly explain the other features and advantages of this month. From the details of the following preferred embodiments, the drawings attached to the Asian tea photos will become obvious after inspection. In the drawings: 15 1H-NMR spectrum of buprenorphine enanthate; Ludi 2 shows the mass spectrum of 7F bupinofen enanthate; Figure 3 shows the UV spectrum of bupinofen enanthate; Figure 4 shows the IR spectrum of bupinofen enanthate; 2 Figure 5 shows the 1H-NMR spectrum of bupnorphine decanoate; Figure 6 shows bupinofen decanoate The mass spectrum of the ester; Figure 7 shows the UV spectrum of the bupinofen caprate; Figure 8 shows the IR spectrum of the bupinofen caprate; 13 1226830 5 The people of Shangmu worked to extend the period of bupinofen, and made a new bupinofen vinegar derivative, which has been proven to be similar to the bupinofen hydrochloride. Has analgesic activity. Sustained-release pharmaceutical compositions comprising a compound far from the bupinofen assay and the new raisin bupinofen vinegar derivative according to the present invention have been further developed. These compositions have been shown to exhibit long-lasting analgesic effects over a period of several days and have a fairly rapid onset of effect (within 2 hours). · The vinegarization of the age group (_η〇ι gr〇up) on the carbon atom 3 of the morphine test ring (the basic structure of morphine test, bupkin, nalbufin and the like) will cause vinegar The derivatized derivatives have the following characteristics: (1) increased vinegar affinity (nP0Philicity) '· (7) low affinity for morphine receptors; (2) side effects are reduced, but the released parent drug maintains the same pharmacological activity; And ⑷ The effect and safety of the vinegarized derivative and the parent compound are the same as those of the parent compound b iBroekkamp CL et al., J. Pharm, Pharm ^ 1988, Valence 屮. The present invention provides novel bupinofen monochimic acid «S purpose derivatives having the following chemical formula:
(I) 17 1226830 玖、發明說明 其中R係擇自於下列所構成Θ群組:一個選擇性地被 一芳基基團所取代的直鏈或分枝的飽和或未飽和脂族 基團,以及一個選擇性地被一直鏈或分枝的飽和或未 飽和脂族基團所取代的芳基基團; 5 但有條件是:R不是擇自於甲基、乙基、丙基、η·丁 基、η-戊基、η-己基與異丙基。(I) 17 1226830 发明, description of the invention wherein R is selected from the group Θ consisting of: a linear or branched saturated or unsaturated aliphatic group optionally substituted with an aryl group, And an aryl group optionally substituted with a straight or branched saturated or unsaturated aliphatic group; 5 provided that: R is not selected from methyl, ethyl, propyl, η · Butyl, η-pentyl, η-hexyl and isopropyl.
較佳地,R是一個選擇性地被一苯基基團所取代的烷 基基團。 較佳地,R是一個具有2至40個碳原子的烷基基團, 10 且更佳地,R為一個具有5至20個碳原子的烷基基團。 較佳地,R是擇自於下列所構成的群組:一個選擇性 地被一苯基基團所取代之直鏈烷基基團,一個選擇性地被 一苯基基團所取代之分支的烷基基團,一個選擇性地被一 直鏈脂族基團所取代的苯基基團,以及一個選擇性地被一 15 分支的脂族基團所取代的苯基基團。Preferably, R is an alkyl group optionally substituted with a phenyl group. Preferably, R is an alkyl group having 2 to 40 carbon atoms, and more preferably, R is an alkyl group having 5 to 20 carbon atoms. Preferably, R is selected from the group consisting of a linear alkyl group optionally substituted with a phenyl group, and a branch optionally substituted with a phenyl group Alkyl group, a phenyl group optionally substituted with a linear aliphatic group, and a phenyl group optionally substituted with a 15 branched aliphatic group.
在本發明的一個較佳具體例中,R是一個衍生自一化 學式為RCOOH的脂肪酸之烷基部分。更佳地,R表示一 個選擇性地被一苯基基團所取代並且具有2至40個(較佳 為5至20個)碳原子的烷基基團。 20 根據本發明之較佳的布皮諾芬單羧酸酯衍生物是由布 皮諾芬以及一個選自於下列所構成的群組中之羧酸製備而 得:丙酸(propionic acid)、苯甲酸(benzoic acid)、庚酸 (enanthic acid)、η-戊酸(n-valeric acid)、特戊酸(pivalic acid)、癸酸(decanoic acid);飽和脂肪酸,諸如月桂酸 18 1226830 玖、發明說明 (lauric acid)、掠櫚醯酸(palmitoyl acid)、硬月旨酸(stearic acid)、花生酸(arachidic acid)與蟲犧酸(cerotic acid);以及 未飽和脂肪酸,諸如油酸(oleic acid)、次亞麻油酸 (linolenic acid)、Η--石炭稀酸(undecylenic acid)與桂皮酸 5 (cinnamic acid) 〇 較佳地,根據本發明之布皮諾芬單羧酸酯衍生物係選 自於下列:布皮諾芬特戊酸酯、布皮諾芬苯甲酸酯、布皮 諾芬癸酸酯以及布皮諾芬棕櫚酸酯。 本發明也提供具有下列化學式(Π )的二布皮諾芬二羧 10 酸酯衍生物:In a preferred embodiment of the present invention, R is an alkyl moiety derived from a fatty acid having a chemical formula RCOOH. More preferably, R represents an alkyl group optionally substituted with a phenyl group and having 2 to 40 (preferably 5 to 20) carbon atoms. 20 The preferred bupinofen monocarboxylate derivative according to the present invention is prepared from bupinofen and a carboxylic acid selected from the group consisting of: propionic acid, benzene Formic acid (benzoic acid), enanthic acid, n-valeric acid, pivalic acid, decanoic acid; saturated fatty acids such as lauric acid 18 1226830 发明, invention Lauric acid, palmitoyl acid, stericic acid, arachidic acid, and cerotic acid; and unsaturated fatty acids such as oleic acid ), Linolenic acid, linolenic acid—undecylenic acid and cinnamic acid 5. Preferably, the bupinofen monocarboxylic acid derivative according to the present invention is selected From the following: Bupinofen pivalate, Bupinofen benzoate, Bupinofen decanoate, and Bupinofen palmitate. The present invention also provides a dibupinenol dicarboxylic acid 10 ester derivative having the following chemical formula (Π):
其中I是一個由一選擇性地被一苯基基團所取代的飽 和或未飽和脂族基團所構成的二價部分。 較佳地,該脂族基團係選自於下列:一直鏈烷基基團 15 、一分支的烧基基團、一被一苯基基團所取代的直鏈烧基 19 1226830 玖、發明說明 (ii)於二氯甲烷的存在下,對得自於步驟⑴的混合杨 加入一化學式為RCOOH的化合物或其一酸酐 (acid anhydride)或一 St 基氯(acid chloride),其中 該化學式RCOOH當中的R是選自於下列所構成 5 的群組:一個選擇性地被一芳基基團所取代的直Where I is a divalent moiety composed of a saturated or unsaturated aliphatic group optionally substituted with a phenyl group. Preferably, the aliphatic group is selected from the group consisting of a linear alkyl group 15, a branched alkyl group, a linear alkyl group substituted with a phenyl group 19 1226830 发明, invention Explanation (ii) In the presence of dichloromethane, a compound of the formula RCOOH or an acid anhydride or an acid chloride thereof is added to the mixed poplar obtained from step ⑴ in the presence of dichloromethane, wherein the chemical formula RCOOH Where R is selected from the group consisting of 5: a directly substituted by an aryl group
鏈或分枝的飽和或未飽和脂族基團,以及一個選 擇性地被一直鏈或分枝的飽和或未飽和脂族基團 所取代的芳基基團。 較佳地,一具有1至40個(較佳為5至20個)碳原子 10 的脂族羧酸或其一酸酐或一醯基氯被使用於上述步驟(ii)中 。更佳地,一飽和的C5-C2G脂族羧酸被使用於上述步驟(ii) 中 〇 在本發明的一個較佳具體例中,庚醯氯(heptanoyl chloride)被使用於上述步驟(ii)中。Chained or branched saturated or unsaturated aliphatic groups, and an aryl group optionally substituted with a straight or branched saturated or unsaturated aliphatic group. Preferably, an aliphatic carboxylic acid having 1 to 40 (preferably 5 to 20) carbon atoms 10 or its anhydride or monomethyl chloride is used in the above step (ii). More preferably, a saturated C5-C2G aliphatic carboxylic acid is used in the above step (ii). In a preferred embodiment of the present invention, heptanoyl chloride is used in the above step (ii). in.
15 在本發明的另一個較佳具體例,癸醯氯(decanoyl chloride)被使用於上述步驟(ii)中。 在本發明的又一個較佳具體例,特戊Si氯(pivaloyl chloride)被使用於上述步驟(ii)中。 在本發明的又另一個較佳具體例,十六烷醯氯 20 (hexadecanoyl chloride)被使用於上述步驟(ii)中。 在本發明的又再一個較佳具體例,苯甲醯氯(benzoyl chloride)被使用於上述步驟(ii)中。 根據本發明之具有化學式(Π )的二布皮諾芬 (buprenorphine)二羧酸酯衍生物可藉由一包含下列步驟之 21 1226830 玖、發明說明 間隔從一天2至4次延長至一個月1至2次而被拉長。 ΝοΐπίΜϊ T.R.於 Int. Clin. Psychopharmacol. (1987), Fo/wm 299-305 中報告,從芙芬納辛(fluphenazin)來 製備芙芬納辛癸酸酯(fluphenazin decanoate)。 5 Hinko,C.N·於 27,15 In another preferred embodiment of the present invention, decanoyl chloride is used in the step (ii). In another preferred embodiment of the present invention, pivaloyl chloride is used in step (ii). In yet another preferred embodiment of the present invention, hexadecanoyl chloride 20 is used in the step (ii). In yet another preferred embodiment of the present invention, benzoyl chloride is used in the step (ii). The buprenorphine dicarboxylic acid ester derivative having the chemical formula (Π) according to the present invention can be extended from 2 to 4 times a day to 1 month by 21 2126830 玖, the description of the invention Stretched to 2 times. ΝοΐπίΜϊ T.R. reported in Int. Clin. Psychopharmacol. (1987), Fo / wm 299-305, that fluphenazin decanoate was prepared from fluphenazin. 5 Hinko, C.N. 27,
475-4S3中報告3-σ|σ定曱酸(nipectic acid)的一種酯之製 備。Broekkamp C.L·於 J.尸/zarm. P/zarmaco/ (1988), Vol. 40,β各437中報告,從嗎啡鹼來製備菸醯嗎啡鹼酯 (nicotinoyl morphine ester) 〇 Joshi, J.V. et α/·於 Steroids 10 咖53, pp· 75/-7(57中報告炔諾嗣庚酸酯 (northisterone enanthate)的一種前驅物製品,其可被設定具 有一高達2個月的較長劑量間隔。 然而,由於存在於自然界中之未知因素之故,一標的 藥物由一油載劑中快速釋出有時可能會發生。譬如,源自 15 一睪固酮(tesosterone)懸浮液的肌肉内投藥之睪固酮被發現475-4S3 reports the preparation of an ester of 3-σ | σ niperctic acid. Broekkamp CL. Reported in J. Corpse / zarm. P / zarmaco / (1988), Vol. 40, β each 437, Preparation of nicotinoyl morphine ester from morphine base. Joshi, JV et α / • A precursor product of northisterone enanthate reported in Steroids 10, 53, 75 / -7 (57), which can be set to have a longer dose interval of up to 2 months. However Due to unknown factors existing in nature, rapid release of a target drug from an oil carrier may sometimes occur. For example, testosterone derived from intramuscular administration of 15 teosterone suspension was found
遂的(Tanaka,T.,Chem. Pharm· Bull. (1974),Vol. 22, Titulaer,H.A.C.報導將苦艾素(artemisinin) 加入於非經腸道油内以形成各種不同劑型來供肌肉内、靜 脈内'口服或直腸投藥。但是,該藥物從該等劑型内被快 20 速地釋出(J.Pharm.Pharmacol.(1990),Vol.42,pp.810- 。Zuidema,Z· ·^ 乂 ρΥκχγjyicicctitics "994入F<9/· /05,户/λ 中報導,用於非經腸道投藥之 劑型的釋出速率與程度是非常不規律且易變的。 根據前述研究’一含有被懸浮於或溶解於一油載劑中 24 1226830 坎、發明說明 的藥學組成物的劑型不必然展現 _ 兄出—較長的治療效用期間 、二般而言’任何一種將-標的藥物加入至-油載劑内以 又件長效作用劑型的目的之嘗試需要考慮來自該載劑的 遠標的藥物之物理溶解度、安定性與釋出速率。 10 15 基於以上所述,為達到延長布皮諾芬的作用期間之目 申請人於本案提供-種包含-可注射油之鎮痛劑藥學 製品’其含有—選自於布皮諾芬驗、_具有化學式⑴之布 皮错芬單賴®旨衍生物以及—具有化學式(取二布皮諾芬 二緩酸㈣生物之化合物混合以_可注射油,以及選擇性 地一藥學上可接受的賦形劑。此製品允許被包含於内的化 合物在解除疼痛上具有一更長的作用期間。 當作注射製品之-载劑來用之適合供本發明使用的可 注射油包含,例如,芝麻油、大豆油、莫麻油、棉花軒油 、花生油或花生油的乙基酯,或此等之一組合。該可注射 油製品可經由肌肉内以及皮下途徑而被投藥。 本發明也提供-種用於製備一用於布皮諾芬驗以及依 據本發明的新穎布皮諾芬酯衍生物之長效作用劑型的方法 ,其中布皮諾芬鹼或一具有如上所述之化學式⑴或(π)的布 皮諾芬酯衍生物被混合以一油載劑,選擇性地加入經常在 醫藥品的製造上被使用之藥學上可接受的賦形劑 (excipients),而藉此形成一受控釋放劑型(⑶此汕‘ release dosage form) 〇 根據本發明,該藥學上可接受的賦形劑,若有存在, 可選自於苯曱醇(benzyl alcohol)或氣代丁醇(chl〇r〇butan〇1) 25 20 1226830 玖、發明說明 或此等之一組合。 本發明之長效作用非經腸道劑型可以長達數天才予以 投藥一次。即令本發明之長效作用非經腸道劑型以一較大 數量被投藥時,非所欲效用的發生被減至最低程度。 如上所述,本案藥學組成物之優點包括一經延長的作 用期間、-快速的作用起始(在2個小時内)以及應會改善 治療品質之安全性。對於蒙受疼痛的病患而言,本案藥學 組成物可被設定以一為數天而非6·8小時之劑量間隔。 · 實施例: 下面實施例是僅為例示之目的而被提供,而非欲以之 來限定本發明之範圍。 下面表1顯示依據本發明之較佳布皮諾芬酯衍生物的 化學結構。 26 1226830 玖、發明說明 表 .布皮語芬HC1、布皮諾芬鹼以及依據本發明的g旨衍生物 分子結構 / 之 布皮^ 布皮諾芬丙酸酯(Tanaka, T., Chem. Pharm. Bull. (1974), Vol. 22, Titulaer, HAC reported that artemisinin was added to parenteral oil to form various dosage forms for intramuscular "Intravenous' oral or rectal administration. However, the drug is released from the dosage form at a rapid rate of 20 (J. Pharm. Pharmacol. (1990), Vol. 42, pp. 810-. Zuidema, Z ··· ^ 乂 ρΥκχγjyicicctitics " 994 into F < 9 / · / 05, household / λ reported that the release rate and extent of dosage forms for parenteral administration are very irregular and variable. According to the aforementioned study 'a Dosage forms containing a pharmaceutical composition that is suspended or dissolved in an oil vehicle 24 1226830 kan, as described in the invention, do not necessarily exhibit _ brother out-a longer period of therapeutic utility, in general, 'any kind of add-target drug Attempts to achieve a long-acting dosage form in an oil carrier require consideration of the physical solubility, stability, and release rate of the drug from the carrier's far standard. 10 15 Based on the above, in order to achieve an extended cloth skin The applicant during the period of Noven's role provided in this case- An analgesic pharmaceutical product containing-an injectable oil, which contains-selected from the group consisting of bupinofen test, _ bupicofen single-derived derivative with the chemical formula 以及, and-having a chemical formula (taken dibuprofen The compound of tartaric acid is mixed with injectable oil, and optionally a pharmaceutically acceptable excipient. This preparation allows the contained compound to have a longer period of action in relieving pain. Injectable oils suitable as a carrier for injection products for use in the present invention include, for example, sesame oil, soybean oil, sesame oil, cottonseed oil, peanut oil or ethyl ester of peanut oil, or a combination thereof. The injectable oil product can be administered via intramuscular and subcutaneous routes. The present invention also provides a long-acting effect for preparing a novel bupinofen ester derivative for use in the bupinofen test and according to the present invention. Method of dosage form in which bupinofen base or a bupinofen ester derivative having the chemical formula ⑴ or (π) as described above is mixed with an oil carrier, optionally added often in the manufacture of pharmaceuticals Be made The pharmaceutically acceptable excipients are used to form a controlled release dosage form (3). According to the present invention, if a pharmaceutically acceptable excipient is present, , Can be selected from benzyl alcohol or chlorobutanol (chlororbutan) 25 20 1226830 玖, description of the invention or a combination of these. The long-acting effect of the present invention is parenteral The dosage form can be administered once for several days. That is, when the long-acting parenteral dosage form of the present invention is administered in a large amount, the occurrence of unwanted effects is minimized. As mentioned above, the advantages of the pharmaceutical composition of this case include an extended period of action, rapid onset of action (within 2 hours), and safety that should improve the quality of treatment. For patients suffering from pain, the pharmaceutical composition of the present case can be set at a dose interval of one day instead of 6.8 hours. Examples: The following examples are provided for illustrative purposes only and are not intended to limit the scope of the invention. Table 1 below shows the chemical structure of a preferred bupinofen ester derivative according to the present invention. 26 1226830 发明, Description of the invention Table. Bupifen HC1, Bupinowine base and g-derivatives according to the present invention Molecular structure / of Bupi ^ Buprofen propionate
Bup · HC1Bup · HC1
Bup 分子結構Bup molecular structure
BuP^ 布皮 布皮δ右分笨曱酸酯 0 --- BuP、cA|^| W欠β右分庚酸酯 0 -- 布皮δ右分癸酸酉旨 BUP、〇人 布皮祐分棕櫚酸酯 —/- ----一 一讣皮諾务庚二酸酯 一右由 ------ BuP^〇Av^N^^A〇/Bup 一邛皮5右分癸二醯酯BuP ^ Bupi Bupi δ right-separated stearic acid ester 0 --- BuP, cA | ^ | W owe β- Right split enanthate 0-Bupi δ-separated decanoate purpose BUP, 〇bubuyou Separate palmitate-/----- Pinolol pimemelate--right from ------ BuP ^ 〇Av ^ N ^^ A〇 / Bup 1min 5 Ester
盖圃直刹笛口 、W如那些被揭示於 吳a專利戟75〇,534號與第6,225,321號中者。 合成例1 :布皮諾芬庚酸酯之製備 75 毫升之二氣甲烷(Mallinckrodt,Baker,U.S.A.)與 〇·〇ΐ莫耳之布皮諾芬Hci或驗被加入至一個被置於一用於 冷部的冰浴中之250亳升的圓底燒瓶内。混合物被攪拌, 亚對之徐緩地加入20毫升之含有0.03莫耳三乙胺(Sigma: MO, ILS.A·)之二氯曱烷。在快速攪拌下,另外2〇毫升之 各有 〇·〇11 莫耳的庚醯氯(heptanoyl chloride, Aldrich Milwaukee,u.S.A)之二氯曱烧被逐滴地加入。之後,混合 27 10 1226830 玖、發明說明 物於室溫下被攪拌歷時1小時。20亳升之一個1〇0/❹碳酸鈉 接而被加入以中和殘餘的酸以及去除水溶性雜質。硫酸鈉 被使用以將溶液脫水。於真空下乾燥之後,標題化合物(亦 即布皮諾芬庚酸酯)被獲得。產物藉由管柱層析法來純化。 5 標題化合物之生成是藉由第1、2、3與4圖來確認, 該等圖各別地顯示該標題化合物的W-NMR光譜圖、質譜 圖、UV光譜圖與iR光譜圖。Gaipu direct brake flutes, such as those disclosed in Wu a patent No. 75,534 and No. 6,225,321. Synthesis Example 1: Preparation of Bupinofen Enanthate Ester 75 ml of digas methane (Mallinckrodt, Baker, USA) and Bupinofen Hci of mol. Place in a 250 liter round bottom flask in an ice bath in the cold section. The mixture was stirred, and 20 ml of dichloromethane containing 0.03 mole of triethylamine (Sigma: MO, ILS.A ·) was slowly added to the mixture. With rapid stirring, another 20 ml of dichloropyrene, each containing 0.00111 mole of heptanoyl chloride (Aldrich Milwaukee, u.S.A.) was added dropwise. After that, 27 10 1226830 玖 was mixed, and the description of the invention was stirred at room temperature for 1 hour. 20 liters of 100 / ❹ sodium carbonate was then added to neutralize residual acid and remove water-soluble impurities. Sodium sulfate was used to dehydrate the solution. After drying under vacuum, the title compound (ie, bupinofen enanthate) was obtained. The product was purified by column chromatography. 5 The generation of the title compound was confirmed by the graphs 1, 2, 3, and 4, which respectively show the W-NMR spectrum, mass spectrum, UV spectrum, and iR spectrum of the title compound.
標通化合物被測得的性質: 代表性的1H-NMR (400MHz,CDC13) : 6.71 (d,lH, 10 J=8.1Hz),6.52 (d,lH,J=8.0Hz),5.83 (s,lH),4.35 (s,lH), 3.40 (s,3H),2.99-2.80 (m,3H),2.59-2.43 (m,3H),2.28-1.59 (m,llH),1.35-0.41(m.33H). 代表性的質譜片段(amu) : 580, 564, 523, 490, 478, 464, 378, 113, 84, 55 [測定係使用 GC-MS 光譜學(Spectrum RXI, 15 Perkin Elmer,UK)來進行]。Measured properties of standard compounds: Representative 1H-NMR (400MHz, CDC13): 6.71 (d, 1H, 10 J = 8.1Hz), 6.52 (d, 1H, J = 8.0Hz), 5.83 (s, lH), 4.35 (s, 1H), 3.40 (s, 3H), 2.99-2.80 (m, 3H), 2.59-2.43 (m, 3H), 2.28-1.59 (m, 11H), 1.35-0.41 (m. 33H). Representative mass spectra (amu): 580, 564, 523, 490, 478, 464, 378, 113, 84, 55 [GC-MS spectroscopy (Spectrum RXI, 15 Perkin Elmer, UK) Come on].
代表性的紅外線吸收(cm·1): 3441.2,3076.6,2929.9, 1763.2,1610.8 [測定係使用 FT-IR 光譜學(Spectrum RXI, Perkin Elmer,UK)來進行]。 再者,該標題化合物的物理性質被顯示於下面的表2 20 中。 合成例2:布皮諾芬癸酸酯之製備 標題化合物是依據上述合成例1中所述之方法而被製 備,惟獨使用0.011莫耳的癸醯氯(decanoyl chloride, Fluka,Buchs,Switzerland)來替代庚醯氯。純質的布皮謹芬 28 1226830 玖、發明說明Representative infrared absorption (cm · 1): 3441.2, 3076.6, 2929.9, 1763.2, 1610.8 [The measurement was performed using FT-IR spectroscopy (Spectrum RXI, Perkin Elmer, UK)]. Furthermore, the physical properties of the title compound are shown in Tables 2 to 20 below. Synthesis Example 2: Preparation of Buprenorphin Decanoate The title compound was prepared according to the method described in Synthesis Example 1 above, except that 0.011 mole of decanoyl chloride (Fluka, Buchs, Switzerland) was used. Replaces heptyl chloride. Pure Bupijinfen 28 1226830 发明, description of the invention
〜癸酸酯被得到(參見第5、6、7與8圖,此等圖各別地顯示 標題化合物的W-NMR光譜圖、質譜圖、UV光譜圖與IR 光圖譜)。 標題化合物被測得之性質: 5 代表性的 W-NMR (400MHz,CDC13) ·· 6.76(d,lH, J=8.0Hz), 6.58 (d,lH,J=8.1Hz),5.91(s,lH),4.41 (s,lH),3.45 (s,3H),3.00(m.2H),2.87(m,lH),2.50(t,2H,J=7.4Hz),2.33-2.10 (m.5H),2.00-1.78 (m,4H),1.72-1.66 (m.4H),1.37-1.25 (m,18H),1.04 (m,llH),0·87 (t,3H,J=6.6Hz),0.80 (m,lH), 10 0.69 (m,lH),0.48 (m,2H),0.11 (m,2H)· 代表性的質譜片段(amu) : 622, 607, 565, 533, 521,507, 380,55 [測定係使用 GC-MS 光譜學(Spectrum RXI,Perkin Elmer,UK)來進行]。 代表性的紅外線吸收(cm·1): 3448.0,3076.4,2927.1, 15 1763.8,1610.7 [測定係使用 FT-IR 光譜學(Spectrum RXI,~ Decanoate was obtained (see Figures 5, 6, 7, and 8 which show the W-NMR spectrum, mass spectrum, UV spectrum, and IR spectrum of the title compound, respectively). Measured properties of the title compound: 5 Representative W-NMR (400 MHz, CDC13) · 6.76 (d, lH, J = 8.0 Hz), 6.58 (d, lH, J = 8.1 Hz), 5.91 (s, lH), 4.41 (s, lH), 3.45 (s, 3H), 3.00 (m.2H), 2.87 (m, lH), 2.50 (t, 2H, J = 7.4Hz), 2.33-2.10 (m.5H ), 2.00-1.78 (m, 4H), 1.72-1.66 (m.4H), 1.37-1.25 (m, 18H), 1.04 (m, 11H), 0.87 (t, 3H, J = 6.6Hz), 0.80 (m, lH), 10 0.69 (m, lH), 0.48 (m, 2H), 0.11 (m, 2H) · Representative mass spectrum fragment (amu): 622, 607, 565, 533, 521, 507, 380, 55 [The measurement was performed using GC-MS spectroscopy (Spectrum RXI, Perkin Elmer, UK)]. Representative infrared absorption (cm · 1): 3448.0, 3076.4, 2927.1, 15 1763.8, 1610.7 [The measurement system uses FT-IR spectroscopy (Spectrum RXI,
Perkin Elmer,UK)來進行]。 再者,該標題化合物的物理性質被顯示於下面的表2 中〇 合成例3:布皮諾芬特戊酸酯的製備 20 75毫升之二氯甲烷與0.01莫耳之布皮諾芬HC1或鹼 被置入至一個被冰浴之250毫升的圓底燒瓶内。被溶於20 毫升的二氯甲烷中之0.011莫耳特戊醯氯(pivaloyl chloride ,Acros,New Jersey,U.S.A.)被徐緩地加入至燒瓶内同時攪 拌之。在參照上述合成例1中所述的方法下,純質的布皮 29 1226830 玖、發明說明 諾芬特戊酸酯被得到(參見第9、Ί〇與11圖,此等圖各別 地顯示標題化合物的質譜圖、UV光譜圖與IR光圖譜)。 標題化合物被測得之性質: 代表性的質譜片段(amu) : 552, 537, 519, 495, 463, 451, 5 436,84,57 [測定係使用 FT-IR 光譜學(Spectrum RXI,Perkin Elmer, UK). In addition, the physical properties of the title compound are shown in Table 2 below. Synthesis Example 3: Preparation of Buprofen valproate 20 75 ml of dichloromethane and 0.01 mole of Buprofen HC1 or The base was placed in a 250 ml round bottom flask that was ice-bathed. 0.011 pivaloyl chloride (Acros, New Jersey, U.S.A.) dissolved in 20 ml of dichloromethane was slowly added to the flask while stirring. With reference to the method described in Synthesis Example 1 above, pure Bupi 29 1226830 玖, invention description Nofenvalerate was obtained (see Figures 9, Ί〇, and 11, which are shown separately) Mass spectrum, UV spectrum, and IR spectrum of the title compound). Measured properties of the title compound: Representative mass spectrum fragments (amu): 552, 537, 519, 495, 463, 451, 5 436, 84, 57 [The measurement system uses FT-IR spectroscopy (Spectrum RXI,
Perkin Elmer, UK)來進行]。 代表性的紅外線吸收(cm·1) : 3439.2,3077.1, 2976.6, 1753.0,1610.2 [測定係使用 FT-IR 光譜學(Spectrum RXI, Perkin Elmer,UK)來進行]。 10 再者,該標題化合物的物理性質被顯示於下面的表2 中。 合成例4 :布皮諾芬棕櫚酸酯的製備 標題化合物是依據上述合成例1中所述之方法而被製 備,惟獨使用0.011莫耳的十六(烧)St氯(hexadecanoyl 15 chloride,Aldrich, Milwaukee, U.S.A.)來替代庚醯氯。純質 的布皮諾芬棕櫚酸酯被得到(參見第12與13圖,此等圖各 別地顯示該標題化合物的UV光譜圖與IR光圖譜)。 標題化合物被測得之性質: 代表性的紅外線吸收(cm·1) : 3447.0,3076.9,2924.0, 20 1763.3,1610.9 [測定係使用 FT-IR 光譜學(Spectrum RXI,Perkin Elmer, UK). Typical infrared absorption (cm · 1): 3439.2, 3077.1, 2976.6, 1753.0, 1610.2 [The measurement was performed using FT-IR spectroscopy (Spectrum RXI, Perkin Elmer, UK)]. 10 Furthermore, the physical properties of the title compound are shown in Table 2 below. Synthesis Example 4: Preparation of Buprenorphin Palmitate The title compound was prepared according to the method described in Synthesis Example 1 above, except that 0.011 mole of hexadecanoyl 15 chloride (Aldrich, Milwaukee, USA). Pure bupinofen palmitate was obtained (see Figures 12 and 13 which show the UV and IR spectra of the title compound, respectively). Measured properties of the title compound: Representative infrared absorption (cm · 1): 3447.0, 3076.9, 2924.0, 20 1763.3, 1610.9 [The measurement system uses FT-IR spectroscopy (Spectrum RXI,
Perkin Elmer,UK)來進行]。 再者,該標題化合物的物理性質被顯示於下面的表2 中〇 合成例5 :二布皮諾芬庚二酸酯之製備 30 1226830 玖、發明說明 標題化合物是依據上述合成例1中所述之方法而被製 備’惟獨使用0.006莫耳的庚二酿氯(heptanedioatyl chloride,Aldrich,Milwaukee,U.S.A·)來替代庚醯氯。純質 的布皮諾芬庚二酸酯被得到(參見第14與15圖,此等圖各 5 別地顯示該標題化合物的IR光圖譜與UV光譜圖)。 標題化合物被測得之性質:Perkin Elmer, UK). Furthermore, the physical properties of the title compound are shown in Table 2 below. Synthesis Example 5: Preparation of Dibupinenofen pimelate 30 1226830 玖, Description of the Invention The title compound is based on that described in Synthesis Example 1 above. This method was prepared 'only using 0.006 mole of heptanedioatyl chloride (Aldrich, Milwaukee, USA ·) instead of heptyl chloride. Pure bupinofen pimelate was obtained (see Figures 14 and 15 which respectively show the IR and UV spectra of the title compound). Measured properties of the title compound:
代表性的紅外線吸收(cm_1) : 3435.0,3077.0,2953.0, 1760.8,16Π.0 [測定係使用 FT-IR 光譜學(Spectrum RXI, Perkin Elmer,UK)來進行]。 10 再者,該標題化合物的物理性質被顯示於下面的表2 中。 合成例6:二布皮諾芬癸二醯酯之製備Typical infrared absorption (cm_1): 3435.0, 3077.0, 2953.0, 1760.8, 16Π.0 [The measurement was performed using FT-IR spectroscopy (Spectrum RXI, Perkin Elmer, UK)]. 10 Furthermore, the physical properties of the title compound are shown in Table 2 below. Synthesis Example 6: Preparation of dibupinenfen sebacate
標題化合物是依據上述合成例1中所述之方法而被製 備’惟獨使用〇·〇〇6莫耳的癸二醯氯(sebacoyl chloride, 15 Eluka,Buchs,Switzerland)來替代庚醯氯。純質的布皮諾芬 癸二醯酯被得到(參見第16、17與18圖,此等圖各別地顯 示該標題化合物的的W-NMR光譜圖、UV光譜圖與IR光 譜圖)。 標題化合物被測得之性質: 20 代表性的 h-NlvlR (400MHz,CDC13) : 6.75 (d,2H, J=8.0Hz),6.57 (d,2H,J=8.0Hz),5.90 (s,2H),4.40 (s,2H), 3.44 (S,6H),2·99 (m,4H)5 2.87 (m,2H),2.59 (m,2H),2.50 (t,4H,J=7.6Hz),2.32-2.23 (m,8H),2.10 (m,2H),2.00-1.66 (m?16H)5 1.36-1.26 (m,18H),1.05-1.01 (m,22H),0.80 31 1226830 玖、發明說明 (m,2H),0.69 (m,2H),0.47 (m,4H),0.10 (m,4H)· 代表性的紅外線吸收(cm·1) : 3435.3,3077.2,2931.9, 1760.0,1611.3 [測定係使用 FT-IR 光譜學(Spectrum RXI, Perkin Elmer,UK)來進行]。 5 再者,該標題化合物的物理性質被顯示於下面的表2 中〇 表2.布皮諾芬HC1、布皮諾芬驗與其_衍生物之物理特性 化合物 分子量 通式 熔點(°c) 酯鍵結 IRCcm4) 布皮諾芬氫氯化物 504.11 C29H41N04 · HC1 279〜281 — 布皮諸芬鹼 467.65 C29H41NO5 208-210 — 布皮語芬丙酸酉旨 523.72 c32h45no5 133-135 1765.6 布皮諾芬特戊酸酯 551.77 C34H49N05 141-143 1753.0 布皮諾芬苯曱酸酯 571.76 c36h45no5 168〜170 1742.1 布皮诺芬庚酸酉旨 579.83 c36h53no5 84 〜86 1763.2 布皮諾芬癸酸酯 621.91 C39H59N05 87 〜89 1763.8 布皮諾芬棕櫚酸酯 706.07 c45h71no5 <0 1763.3 二布皮諾芬庚二酸酯 1059.45 C65H90NO10 103〜105 1760.8 二布皮諾芬癸二醯酸酯 1101.53 〇68Η96Ν〇1〇 89 〜90 1760 各個化合物之紅外線光譜圖是使用FT-IR光譜學(Spectrum RXI,Perkin Elmer, UK) 來偵測 製備例1:含有布皮諾芬鹼與本發明的布皮諾芬酯衍生物 之可注射油配方之製備 10 (1) 10//莫耳的布皮諾芬鹼被加入至1毫升的芝麻油内 。混合物被輕微地搖晃直到完成完全的溶解。 (2) 20#莫耳的布皮諾芬丙酸酯被加入至1亳升的芝麻 油内。混合物被輕微地搖晃直到完成完全的溶解。 (3) 20//莫耳的布皮諾芬癸酸酯被加入至1毫升的芝麻 15 油内。混合物被輕微地搖晃直到完成完全的溶解。 (4) 20//莫耳的布皮諾芬庚二酸酯被加入至1毫升的芝 32 1226830 玖、發明說明 麻油内。混合物被輕微地搖晃直到完成完全〜的溶解 〇 (5) 20//莫耳的布皮諾芬酯或聚酯被加入至1毫升的花 生油之乙基酯内。混合物被輕微地搖晃直到完成完 5 全的溶解。 藥理實施例1 布皮諾芬氫氯化物經由肌肉内注射之活體内鎮痛效用( 劑量-決定試驗) (1) 试驗動物·雄性Sprague-Dawley大鼠(175-225公克 10 重,6週大),每一組n=6。 (2) 藥物:配於〇·9%生理鹽水内之布皮諾芬氫氯化物溶 液’各為 0.02 /ζ 莫耳/kg (=〇·〇ΐ mg/kg)、0 06 # 莫 耳/kg (=〇·〇3 mg/kg)、0.18 /z 莫耳/kg (=〇·09 mg/kg) 、〇·6 V莫耳/kg (=〇·3 mg/kg)),肌肉注射至被測試 15 的大鼠的右後腳。 (3) 試驗:疏測試(piantar test),使用裝置⑺7〇,ug〇, BASILE,Italy) 踱測試能使得研究人員去辨別,藥物於未受限制的大 鼠體内所造成的熱刺激之一周邊調節的反應。其基本上係 20由一個被置放在一玻璃方框下方之可移動的紅外線(IR)產 生器所構成,而操作者將大鼠放置於該玻璃方框的上面。 透明塑膠(perspex)外殼界定動物於内不會受到拘束的空間 。它被區分為3個隔室,該等隔室幫助操作者來進行一個 快速的“篩選(sc—),,工作:至? 3隻大鼠口丁被測試而於 33 1226830 玖、發明說明 牠竹之間沒有可感知的延遲。 操作者將紅外線產生器直接置於大鼠的後腳掌的下方 ’並經由一個“開始(8丁八11丁),,按鍵而激發紅外線光源與一反 應計時器。當大鼠感到疼痛並縮回其腳掌時,紅外線產生 5 器被自動地關掉且計時器停止,而決定出縮回延遲期。 關於疏測試之詳細說明,可以參見,例如,K.M. Hargreaves et al·,“A New and Sensitive Method for Measuring Thermal Nociception in Cutaneous Hyperalgesia,,, P^jn 32:77-88,1988,以及 K. M. Hargreaves et al., 10 “Peripheral Action of Opiates in the Blockade of Carrageenan-Induced Inflammation,, Pain Research and Clinical Management, Vol. 3. Elsevier Science Publishers, Amsterdam: 55-60,1988。 由刺激(輻射熱)的時間至腳掌縮回(左後腳)的延遲期被 15 指定為“反應延遲時間”。輻射熱被設定以提供一為7-9秒 之用藥前延遲時間。為避免組織損害,一個25秒的切斷時 間被設定。 (4)統計:數據以“平均值”來顯示。當相較於使用 ANOVA 與 Dunnett 試驗的前測值(pretest value)時, 20 表示Ρ<0·05。ANOVA是指方差的分析(analysis of variance),經常被簡稱為ANOVA,而且是一種可 被用來區別與估算“差異(variation)”的不同導因之極 為有用之統計技術。Dunnett試驗是為在一個 ANOVA後,平均值之間的一個事後比較(posterior 34 1226830The title compound was prepared according to the method described in Synthetic Example 1 above, except that instead of heptyl chloride, 0.06 mol of sebacoyl chloride (15 Eluka, Buchs, Switzerland) was used. Pure bupinofen sebacate was obtained (see Figures 16, 17, and 18, which show the W-NMR spectrum, UV spectrum, and IR spectrum of the title compound, respectively). Measured properties of the title compound: 20 Representative h-NlvlR (400MHz, CDC13): 6.75 (d, 2H, J = 8.0Hz), 6.57 (d, 2H, J = 8.0Hz), 5.90 (s, 2H ), 4.40 (s, 2H), 3.44 (S, 6H), 2.99 (m, 4H) 5 2.87 (m, 2H), 2.59 (m, 2H), 2.50 (t, 4H, J = 7.6Hz) , 2.32-2.23 (m, 8H), 2.10 (m, 2H), 2.0-1.66 (m? 16H) 5 1.36-1.26 (m, 18H), 1.05-1.01 (m, 22H), 0.80 31 1226830 玖, invention Explanation (m, 2H), 0.69 (m, 2H), 0.47 (m, 4H), 0.10 (m, 4H) · Representative infrared absorption (cm · 1): 3435.3, 3077.2, 2931.9, 1760.0, 1611.3 [Measurement It was performed using FT-IR spectroscopy (Spectrum RXI, Perkin Elmer, UK)]. 5 In addition, the physical properties of the title compound are shown in Table 2 below. Table 2. Bupinofin HC1, Bupinofen test and its derivative physical properties Compound molecular weight General melting point (° c) Ester Bonding IRCcm4) Buprenorphine hydrochloride 504.11 C29H41N04 · HC1 279 ~ 281 — Buprenorphine base 467.65 C29H41NO5 208-210 — Bupifenfen propionate purpose 523.72 c32h45no5 133-135 1765.6 Buprenorfen Acid ester 551.77 C34H49N05 141-143 1753.0 Buprenorphin benzoate 571.76 c36h45no5 168 ~ 170 1742.1 Buprenorphin enanthate 579.83 c36h53no5 84 ~ 86 1763.2 Buprenorphin decanoate 621.91 C39H59N05 87 ~ 89 1763.8 cloth Pinofen palmitate 706.07 c45h71no5 < 0 1763.3 Dibupinofenil pimelate 1059.45 C65H90NO10 103 ~ 105 1760.8 Dibupinofenine sebacate 1101.53 〇68Η96N〇10989 ~ 90 1760 The infrared spectrum was detected using FT-IR spectroscopy (Spectrum RXI, Perkin Elmer, UK) Preparation Example 1: Injectable oil formulation containing bupinofen base and bupinofen ester derivative of the present invention Preparation 10 (1) 10 // Bupinuofen mole of base is added to 1 ml of sesame oil. The mixture was shaken slightly until complete dissolution was completed. (2) 20 # mole bupinofen propionate was added to 1 liter of sesame oil. The mixture was shaken slightly until complete dissolution was completed. (3) 20 / mole of bupinofen decanoate is added to 1 ml of sesame 15 oil. The mixture was shaken slightly until complete dissolution was completed. (4) 20 / mole of bupinofen pimelate is added to 1 ml of Zhiba 32 1226830 玖, description of invention sesame oil. The mixture was shaken slightly until complete dissolution was completed. (5) 20 / mole of bupinofen ester or polyester was added to 1 ml of ethyl ester of flower oil. The mixture is shaken slightly until complete dissolution is complete. Pharmacological Example 1 In vivo analgesic effect of bupinofen hydrochloride via intramuscular injection (dose-determining test) (1) Test animal · Male Sprague-Dawley rats (175-225 g 10 weight, 6 weeks old) ), N = 6 for each group. (2) Drugs: Buprenorphin hydrochloride solutions' in 0.9% physiological saline are each 0.02 / ζ mole / kg (= 〇 · 〇ΐ mg / kg), 0 06 # mole / kg (= 0.3 mg / kg), 0.18 / z mole / kg (= 0.09 mg / kg), 0.6 V mole / kg (= 0.3 mg / kg)), intramuscular injection To the right hind foot of 15 rats tested. (3) Test: piantar test, using the device (70, ug, BASILE, Italy). The test can enable researchers to identify one of the thermal stimuli caused by the drug in an unrestricted rat. Peripheral regulatory response. It basically consists of a movable infrared (IR) generator placed under a glass frame, and the operator places the rat on the glass frame. The transparent plastic (perspex) shell defines the space within which the animal will not be restrained. It is divided into 3 compartments. These compartments help the operator to perform a quick "screening" (sc-), work: to? 3 rats were tested and described in 33 1226830. The invention explains it There is no appreciable delay between bamboos. The operator places the infrared generator directly under the hind paw of the rat 'and passes a "start (8, 8, 11, 11)) button to activate the infrared light source and a reaction timer . When the rat felt pain and retracted its feet, the infrared generator was automatically turned off and the timer stopped to determine the retraction delay period. For a detailed description of the sparse test, see, for example, KM Hargreaves et al., "A New and Sensitive Method for Measuring Thermal Nociception in Cutaneous Hyperalgesia,", P ^ jn 32: 77-88, 1988, and KM Hargreaves et al. ., 10 "Peripheral Action of Opiates in the Blockade of Carrageenan-Induced Inflammation ,, Pain Research and Clinical Management, Vol. 3. Elsevier Science Publishers, Amsterdam: 55-60, 1988. The delay period from the time of stimulus (radiant heat) to the retraction of the sole of the foot (left rear foot) is designated as "Reaction Delay Time" by 15. Radiant heat is set to provide a pre-dose delay of 7-9 seconds. To avoid tissue damage, a 25-second cutoff time was set. (4) Statistics: Data are displayed as "average". When compared to the pretest value using ANOVA and Dunnett's test, 20 represents P < 0.05. ANOVA refers to analysis of variance, often referred to as ANOVA, and it is a very useful statistical technique that can be used to distinguish and estimate different causes of “variation”. Dunnett's test is an after-the-fact comparison between the averages after an ANOVA (posterior 34 1226830
玖、發明說明 C〇rnpariosn)。此試驗容許—檢'測者去進行群組之間 的所有可能比較。“P,,代表可能性,其中# p<〇〇5 係表示在統計上有顯著的差異。 (5)結果4關量的布皮諾芬Ηα證實有—為3_5小 時的鎮痛作用期間(參見表3與第19圖)。 藥理實施例2 布皮諾芬鹼經由肌肉内或皮下注射之活體内劑量-決定(Ii) Description of the invention (Cornpariosn). This test allows the tester to perform all possible comparisons between groups. "P, represents the possibility, where # p < 〇 05 means that there is a statistically significant difference. (5) Results 4 levels of bupinofen Ηα confirmed that there is an analgesic effect period of 3-5 hours (see Table 3 and Figure 19). Pharmacological Example 2 In vivo dose of Buprenorphine via intramuscular or subcutaneous injection-decision
研究 10 ⑴試驗祕:雜 Sprague_Dawley 大鼠〇75_225重)(n=6)。 公克 (2) 藥物:配於芝麻油中之布皮諾芬鹼溶液,各為 私莫耳/kg、6/z莫耳/k§以及,莫耳/kg,肌肉内 注射至被測試的大鼠的右後腳。 (3) 測試:跛測試(參見上述藥理實施例丨)。 15 (4) 統計·· ANOVA繼而為Study 10: Test secret: Mixed Sprague_Dawley rats (75-225 weight) (n = 6). Medication (2) Drug: Bupinofine base solution in sesame oil, each of which is private mole / kg, 6 / z mole / k§, and mole / kg, injected intramuscularly to the test rat Right rear foot. (3) Test: 跛 test (see the pharmacological examples above). 15 (4) Statistics
Dunnett試驗。數據以‘‘平均 20 值’’來表示。 (5)結果:經由肌肉内注射之不同劑量的布皮諾芬驗證 實有一為48-50小時的鎮痛作用期間 同樣地,經由皮下注射之不同:量的布皮弟 諾芬驗證實有-為48.5G小時的鎮痛作用_(參見 表3與第20-B圖)。 藥理實施例3Dunnett test. Data are expressed as' 'average 20'. (5) Results: Different doses of bupinofen verified by intramuscular injection have an analgesic effect of 48-50 hours. Similarly, the difference by subcutaneous injection: the amount of bupinofen verified that there is- Analgesic effect at 48.5 G hours (see Table 3 and Figure 20-B). Pharmacological Example 3
5種布皮諾芬單幾酸 經由肌肉注射之具有化學式(I)的 酯衍生物之活體内鎮痛效用 35 1226830 玖、發明說明 ο)試驗動物··雄性Sprague_Dawiey大鼠(175_225公克 重),每一群組n=6。 (2) 藥物:布皮諾芬丙酸酯〇·6 “Μ/kg、布皮諾芬特戊 酸酯0.6 VM/kg、布皮諾芬庚酸酯0.6 //M/kg,布 5 皮諾芬癸酸酯〇.6 以及布皮諾芬棕櫚酸酯 〇·6 //M/kg。所有這些酯衍生物被溶於芝麻油中而 有如一油溶液,並被肌肉内地注射至被測試的大鼠 的右後腳。 (3) 測試:蹏測試(參見上述藥理實施例丨)。 ()統计· ANOVA繼而為Dunnett試驗(參見上述藥理實 施例1)。 、 (5)結果·破測試的5種本發明的布皮諾芬酯衍生物在 為0.6 //莫耳/kg之劑量下的肌肉内注射證實有一 15 快速的作用開始以及有-為48-96小時的期間,且 特別地,布皮諾芬癸酸酯與棕櫊酸酯這兩者可提供In vivo analgesic effect of five kinds of bupinofen monoquinic acid with an ester derivative of formula (I) via intramuscular injection 35 1226830 玖, description of the invention ο) Test animals · Male Sprague_Dawiey rats (175-225 g in weight), each A group of n = 6. (2) Drug: Bupinofen propionate 0.6 [M / kg, Bupinofen pivalate 0.6 VM / kg, Bupinofen enanthate 0.6 // M / kg, cloth 5 skin Norfin Decanoate 0.6 and Buprenorphin Palmitate 0.6 / M / kg. All these ester derivatives were dissolved in sesame oil as an oil solution and injected intramuscularly into the tested Right hind foot of rat. (3) Test: 蹏 test (see the above pharmacological example 丨). () Statistics · ANOVA followed by Dunnett test (see above pharmacological example 1). (5) Results · Intramuscular injection of 5 bupinofen ester derivatives of the present invention at a dose of 0.6 // Moore / kg confirmed a rapid onset of action and a period of 48-96 hours, and in particular, Both bupinofen caprate and palmitate are available
一為96小時的作用期間(參見表3與第21-Α至21_E 圖)。 樂理實施例4 由肌肉内〉主射之布皮諾芬丙酸酯之活體内劑量-決定 20研究 、 式粒動物·雄性SPrague-Dawley大鼠(175-225公克 重),每一群組n=6。 (2)藥物:布皮諸芬丙酸酉旨(油溶液),齊j量:0.6 #M/kg 6 “ M/kg、60 # M/kg,肌肉内注射至被測試的 36 1226830 玖、發明說明 大鼠的右後腳。 (3)測試:跛測試(參見上述藥理實施例1) (4) 統計· ANOVA繼而為Dunnett 施例1)。 試驗(參見上述藥理實 (5)結果:經由肌肉内注射的不同劑量 ’皮諾芬丙酸 酯證貫有一為48-60小時的鎮痛作用期間(泉見表3The first is a 96-hour effect period (see Table 3 and Figures 21-A to 21_E). Music Theory Example 4 Intramuscular> Intramuscular Dosage of Buprenorphin Propionate-Determined in 20 studies, styli, male SPrague-Dawley rats (175-225 g), each group n = 6. (2) Drug: Bupifenfen propionate (oil solution), quantity: 0.6 # M / kg 6 "M / kg, 60 # M / kg, injected intramuscularly to 36 1226830 tested, Description of the invention The right hind foot of the rat. (3) Test: 跛 test (see above pharmacological example 1) (4) Statistics · ANOVA followed by Dunnett example 1). Test (see above pharmacological fact (5) Results: via muscle Intravenous injections of different doses of Pinofen propionate have been shown to have an analgesic effect period of 48-60 hours (see Table 3 for springs)
與第22圖)。 藥理實施例5 經由肌肉内注射之兩種具有通式(n)的二布皮諾芬二 10 羧酸酯衍生物之活體内鎮痛效用 (1) 試驗動物:雄性Sprague-Dawley大鼠(175_225八克 重)’每一群組n=6。 (2) 藥物:二布皮諾芬庚二酸醋以及二布皮諾芬癸二酿 醋,劑量:0.3/zM/kg (配於芝麻油中之油溶液),經 15 肉内/主射至被測試的大鼠的右後腳。With Figure 22). Pharmacological Example 5 In vivo analgesic effect of two dibupinenven di-10 carboxylate derivatives having the general formula (n) by intramuscular injection (1) Test animal: Male Sprague-Dawley rats (175_225 eight Gram weight) 'n = 6 for each group. (2) Drug: Dibupinenofen pimelic acid vinegar and dibupinenofen sebacin vinegar, dosage: 0.3 / zM / kg (in oil solution in sesame oil), in 15 flesh / main shot to Right hind foot of rat being tested.
(3) 測試:跛測試(參見上述藥理實施例丨)。 (4) 統計:ANOVA繼而為Dunnett試驗(參見上述藥理實 施例1)。 (6)結果··在一為〇·3 的劑量下經由肌肉注射之 Z〇 . 二布皮諾芬庚二酸以及二布皮諾芬癸二醯酯這兩者 證實有一快速的作用開始(2個小時)以及各有一為 72小時與96小時的作用期間(參見表3與第23_a至 23-B 圖)。 下面表3概述布皮諾芬及其衍生物使用蹏測試於大鼠 37(3) Test: 跛 test (see the pharmacological examples above). (4) Statistics: ANOVA followed by Dunnett test (see Pharmacological Example 1 above). (6) Results. Z. dibupinenofen pimelic acid and dibupinenofen sebacate at a dose of 0.3 were confirmed to have a rapid onset of action ( 2 hours) and 72 hours and 96 hours each (see Table 3 and Figures 23_a to 23-B). Table 3 below summarizes the test of bupinofen and its derivatives in rats using rhenium 37
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| TW200407136A TW200407136A (en) | 2004-05-16 |
| TWI226830B true TWI226830B (en) | 2005-01-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| TW91133175A TWI226830B (en) | 2002-11-12 | 2002-11-12 | Novel ester derivatives of buprenorphine and their preparation processes, and long acting analgesic pharmaceutical compositions |
Country Status (1)
| Country | Link |
|---|---|
| TW (1) | TWI226830B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI743193B (en) * | 2016-09-13 | 2021-10-21 | 昱展新藥生技股份有限公司 | Sustained-release buprenorphine formulations |
-
2002
- 2002-11-12 TW TW91133175A patent/TWI226830B/en not_active IP Right Cessation
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI743193B (en) * | 2016-09-13 | 2021-10-21 | 昱展新藥生技股份有限公司 | Sustained-release buprenorphine formulations |
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| Publication number | Publication date |
|---|---|
| TW200407136A (en) | 2004-05-16 |
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