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TWI230064B - Anticonvulsant derivatives useful in treating chronic neurodegenerative disorders - Google Patents

Anticonvulsant derivatives useful in treating chronic neurodegenerative disorders Download PDF

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TWI230064B
TWI230064B TW89106372A TW89106372A TWI230064B TW I230064 B TWI230064 B TW I230064B TW 89106372 A TW89106372 A TW 89106372A TW 89106372 A TW89106372 A TW 89106372A TW I230064 B TWI230064 B TW I230064B
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pharmaceutical composition
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TW89106372A
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Chinese (zh)
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Richard P Shank
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Ortho Mcneil Pharm Inc
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Abstract

Anticonvulsant derivatives useful in treating chronic neurodegenerative conditions are disclosed. A pharmaceutical composition for treating chronic neurodegenerative disorders, which comprises a therapeutically effective amount of a compound of the formula I, wherein X is CH2 or oxygen; R1 is hydrogen or C1-6alkyl; and R2, 3, R4 and R5 are independently hydrogen or C1-6alkyl and, when X is CH2, R4 and R5 be C4 alkene groups joined to form a benzene ring and, when X is oxygen, R2, and R3 and/or R4 and R5 together may be a methylenedioxy group of the following formula (II), wherein R6 and R7 are the same or different and are hydrogen, C1-6alkyl or are alkyl and are joined to form a cyclopentyl or cyclohexyl ring, as an active ingredient and a pharmaceutically acceptable carrier.

Description

1230064 A7 B7 五、發明說明(1 ) 發明背景 式I化合物: 1斧奪丨1230064 A7 B7 V. Description of the invention (1) Background of the invention The compound of formula I: 1 win

經濟部智慧財產局員工消費合作社印製 是構造新穎的抗癲癇化合物,在動物試驗中顯示其為高度 有效的抗驚厥劑(Maryanoff,B.E, Nortey,S.O·,Gardocki, J.F., Shank, R.p. and Dodgson, S.P. J Med. Chem. 30, 880- 887,1987 ; Maryanoff,B.E·,Costanzo,M.J·,Shank,R.P·, Schupsky, J.J.5 Ortegon, M.E., and Vaught J.L. Bioorganic & Medicinal Chemistry Letters 3, 2653-2656, 1993)。關於此 類化合物有三種專利,分別是美國專利··第4,513,006、 Νο·5,242,942、及Ν〇·5,3 84,327號。此類化合物之一為 2,3:4,5-雙曱基亞乙基哌喃果糖氨磺酸酯(即 多比拉米(topiramate)),人類癲癇臨床試驗上已顯示在治 療簡單及複合性部份癲癇發作及次發性一般的癲癇發作上 可有效的作為附加治療或單一治療劑(E. FAUGHT,B.J. WILDER,R.E· RAMSEY,R.A. REIFE,L D· KRAMER,G.W. PLEDGER,R.M· KAR丨M et. al·,Epilepsia 36(S4)33,1995 ; S.K· SACHDEO, R.C. SACHDEO, R.A. REIFE,P· LIM and G· PLEDGER,Epilepsia 36(S4)33,1995),目前大約有二 十多個國豕(包括美國)在治療fgj早及含或不含次發性一般 的瘤痛發作之複合性部份瘤痛發作上有市場須求,並有數 個國家正在申請核准中。 (請先閱讀背面之注意事項再填寫本頁) 裝--------訂--- 本紙張尺度適用中國國家標準(CNS)A4規格(210 X 297公釐) 1230064 A7 __B7____ 五、發明說明(2 ) (請先閱讀背面之注意事項再填寫本頁) 式I化合物最初發現在老鼠傳統的最適電擊癲癇發作 (MES)測試中,其具有抗驚厥的活性(SHANK,R.P·, GARDOCKI,J.F·,VAUGHT, J.L·,DAVIS,C.B·,SCHUPSKY, J.J·,RAFFA,R.B·,DODGSON,S.J·,NORTEY,S.O·,and MARYANOFF,Β·Ε·,Epilepsia 3-5 450-460, 1994)。後續的 研究中亦揭露在老鼠的MES測試中,式I化合物具有高 度效能。近來發現多比拉米(topiramate)能在數個齧齒動 物癲癇模式中(J. NAKAMURA,S. TAMURA,T· KANDA,A. ISHII,K.ISHIHARA,T.SER】KAWA,J.YAMADA,andM· SASA,Ειπ\ J. Pharmacol. 254 83-89, 1994),及動物激動 的癲癇模式中(A· WAUQUIER and S· ZHOU,Epilepsy Res. 24 73-77,1996)有效地阻止癲癇發作。 最近的前臨床研究揭露多比拉米(topiramate)未為人知 的藥理性質,顯示多比拉米(topiramate)應能有效的治療 某些其他神經病症。此類病症為慢性的神經變性的病症, 例如:老年癡呆症、柏金森疾病、杭丁頓氏舞蹈病、多發 性硬化、糖尿病的神經變性病、視網膜病、頭部創傷或脊 髓的損傷引起的末梢神經損傷及腦及脊髓的神經變性。 經濟部智慧財產局員工消費合作社印製 發明揭示 因此,本案發現'下列式I化合物: ;7 ·' 'Printed by the Consumer Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs is a novel structured antiepileptic compound that has been shown in animals to be a highly effective anticonvulsant (Maryanoff, BE, Nortey, SO ·, Gardocki, JF, Shank, Rp and Dodgson , SP J Med. Chem. 30, 880- 887, 1987; Maryanoff, BE ·, Costanzo, MJ ·, Shank, RP ·, Schupsky, JJ5 Ortegon, ME, and Vaught JL Bioorganic & Medicinal Chemistry Letters 3, 2653 -2656, 1993). There are three types of patents for these compounds, namely U.S. Patent No. 4,513,006, No. 5,242,942, and No. 5,3,84,327. One of these compounds is 2,3: 4,5-bisfluorenylethylene piperan fructosyl sulfamate (topiramate), which has been shown to be simple and complex in human epilepsy clinical trials Partial seizures and secondary generalized seizures can be effective as additional treatments or monotherapy (E. FAUGHT, BJ WILDER, RE · RAMSEY, RA REIFE, LD · KRAMER, GW PLEDGER, RM · KAR 丨M et. Al ·, Epilepsia 36 (S4) 33, 1995; SK · SACHDEO, RC SACHDEO, RA REIFE, P · LIM and G · PLEDGER, Epilepsia 36 (S4) 33, 1995), there are currently about twenty National governments (including the United States) have market requirements for the treatment of complex partial tumor onset of fgj early and with or without secondary general tumor onset, and several countries are applying for approval. (Please read the precautions on the back before filling this page) Loading -------- Order --- This paper size is applicable to China National Standard (CNS) A4 (210 X 297 mm) 1230064 A7 __B7____ V. Description of the Invention (2) (Please read the notes on the back before filling out this page) The compound of formula I was originally found in mice's traditional Optimum Electric Shock Seizure (MES) test, which has anticonvulsant activity (SHANK, RP ·, GARDOCKI , JF ·, VAUGHT, JL ·, DAVIS, CB ·, SCHUPSKY, JJ ·, RAFFA, RB ·, DODGSON, SJ ·, NORTHY, SO ·, and MARYANOFF, Β · Ε ·, Epilepsia 3-5 450-460, 1994). Subsequent research also revealed that compounds of formula I have high potency in MES tests in mice. Recently, topiramate can be found in several rodent epilepsy models (J. NAKAMURA, S. TAMURA, T. KANDA, A. ISHII, K. ISHIHARA, T. SER) KAWA, J. YAMADA, andM · SASA, Eíπ \ J. Pharmacol. 254 83-89, 1994), and animal epilepsy epilepsy (A. WAUQUIER and S. ZHOU, Epilepsy Res. 24 73-77, 1996) effectively prevent seizures. Recent preclinical studies have revealed the unknown pharmacological properties of topiramate, suggesting that topiramate should be effective in treating some other neurological disorders. These disorders are chronic neurodegenerative disorders such as: Alzheimer's disease, Parkinson's disease, Huntington's disease, multiple sclerosis, diabetic neurodegenerative disease, retinopathy, head trauma or spinal cord injury Peripheral nerve injury and neurodegeneration of the brain and spinal cord. Printed by the Consumers 'Cooperative of the Intellectual Property Bureau of the Ministry of Economics, the disclosure of the invention Therefore, this case found' the following compound of formula I:;

本紙張尺度適用中國國家標準(CNS)A4規格(210 X 297公釐) !23〇〇64 較佳的具體實施例之詳細描述 本發明之氨確酸酯為下式(I).This paper size applies the Chinese National Standard (CNS) A4 specification (210 X 297 mm)! 230064 Detailed description of the preferred specific embodiment The amino acid ester of the present invention is the following formula (I).

Α7 五、發明說明(3 )Α7 5. Description of the invention (3)

其中 X 為 Ο 或 CH2,Rf、r2、R 可用於治療慢性的神經變性的;4及R5之定義如下’ 柏金森疾病、杭丁頓氏舞老年癌呆症、 經變性病、視網膜病、頭部創:4硬^匕、糖尿病的神 神經損傷及腦及脊趙的神經變:y趟的#傷引起的末梢 .中彡.:Where X is 〇 or CH2, Rf, r2, R can be used to treat chronic neurodegeneration; 4 and R5 are defined as follows: 'Parkinson's disease, Huntington's disease senile cancer dementia, degenerative disease, retinopathy, head Department of trauma: 4 hard dagger, diabetic nerve damage and neurological changes in the brain and spine: y #####

Crb - -1. υ -: 其中Crb--1. Υ-: where

1〜-J x為CH2或氧;1 ~ -J x is CH2 or oxygen;

Ri為氫或烧基;以及 二2rR3、RAR5係獨立為氫或院基,當X為ch2時, 及\及::,屬烴基團相聯形成苯環,當X為氧時,R 及汉3及/或R及R可並 5 /、门形成為以下式(II)之亞甲二氧 基· 裝--------訂--------- (請先閱讀背面之注意事項再填寫本頁) 經濟部智慧財產局員工消費合作社印製Ri is hydrogen or alkynyl; and 2rR3 and RAR5 are independently hydrogen or academy. When X is ch2, and \ and ::, are hydrocarbon groups linked to form a benzene ring. When X is oxygen, R and Han 3 and / or R and R may be combined with 5 /, and the gate is formed as a methylene dioxy group of the following formula (II). Equipment -------- Order --------- (Please read first (Notes on the back, please fill out this page) Printed by the Consumer Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs

Re c !' Π /吠: 其中 x 297公釐) 本紙張尺度賴巾ii^^_(CNS)A4規格⑵f 1230064 A7 -------___ 五、發明說明(4 ) 尤其是氫或約丨至4個碳原子烷基,例如:甲基、 土及’、丙基。本說明書全文中烧基包括直鏈的及支鏈 的烧基汉3、R4、R5、R6及R7之烧基基團約i至3 個石厌原子,包括:曱基、乙基、異"·丙基及正-丙基。當X 為CH2時’ A及&可結合形成含X融合的卜員笨環,即 心及心之定義為烷三烯基團=C-CH=CH-CH=。 特定的式⑴化合物族群中X為氧,1及R3以及尺4及 h可共同形成為式(11)之亞曱二氧基基團,其中心及1 可均為氫,均為烷基或結合形成螺環戊基或環己基環,尤 其疋當I及R7均為烷基(例如曱基)時。第二群化合物中 X為CH2,汉4及Rs相聯形成苯環。第三群式⑴化合物中 R2及R3為氫。 式(I)化合物可用以下方法加以合成: (a)將刀子式為rch2OH之醇類與分子式為cls〇2NH2 或ClSC^NHRi之氣氨續酸酯在驗(例如钾α _丁氧化物或 氫化鈉)存在下、溫度約_2〇至25t:間及溶劑,例如:甲 苯、TFIF或二甲基甲醯胺,中反應,其中尺為具下式(^) 之基團: 二…Re c! 'Π / bark: of which x 297 mm) This paper size is ii ^^ _ (CNS) A4 size ⑵f 1230064 A7 -------___ 5. Description of the invention (4) Especially hydrogen or Alkyl groups of about 4 to 4 carbon atoms, such as: methyl, earth, and ', propyl. In the entire text of this specification, alkyl groups include linear and branched alkyl groups of 3, R4, R5, R6, and R7. The alkyl groups include about 1 to 3 stone anaerobic atoms, including: fluorenyl, ethyl, and ; Propyl and n-propyl. When X is CH2, 'A and & can be combined to form a fused stupid ring containing X fusion, that is, the definition of the heart and the heart is an alkyltriene group = C-CH = CH-CH =. In the specific group of compounds of the formula VII, X is oxygen, and 1 and R3, and 4 and h may together form a fluorenyldioxy group of formula (11). The center and 1 may be both hydrogen, and both are alkyl or Combine to form a spirocyclopentyl or cyclohexyl ring, especially when I and R7 are both alkyl (eg, fluorenyl). In the second group of compounds, X is CH2, and Han 4 and Rs are linked to form a benzene ring. In the third group of compounds of formula VII, R2 and R3 are hydrogen. Compounds of formula (I) can be synthesized by the following methods: (a) Examination of alcohols with a knife formula of rch2OH and gaseous amino acid esters of molecular formulas cls〇2NH2 or ClSC ^ NHRi (such as potassium α-butoxide or hydrogenation) Sodium) in the presence of a temperature of about -20 to 25t: in the presence of a solvent, such as toluene, TFIF or dimethylformamide, in which the rule is a group of the following formula (^): two ...

(b)將刀子式為rcH^OH之醇類與分子式為s〇2ci2之 硫醯基氯化物在鹼(例如:三乙胺或喳啶)存在下、溫度約 -40至25°C間及溶劑(例如:乙醚或亞甲基氯化物)中反應 ____ _6_ 紙張尺度適用中國國家標準(CNS)A4規格(210 X 297公爱) ------ (請先閱讀背面之注意事項再填寫本頁} 裝 訂·--------# 經濟部智慧財彥局員工消費合作社印製 1230064 A7 B7 五 、發明說明(5) 產生分子式為Rch2oso2ci之氯硫酸鹽。 (請先閱讀背面之注意事項再填寫本頁) 然後將分子式為rch2oso2ci之氯硫酸鹽與分子式 R〗NH2之胺在溫度約_4〇至25它間及溶劑(例如:氣甲稀 或乙猜)中反應產生式⑴化合物。(b)之反應條件亦描述於 τ· Tsuchiya et al. in Tet· Letters,No· 36, ρ· 3365 至 3368(1978) 〇 (O將氣硫酸鹽RCH2〇s〇2C1與金屬疊氮化物(例如疊氮 化納)在溶劑(例如氯甲烯或乙腈)中反應產生其分子式為 RCH2〇S〇2N3之疊氮基硫酸鹽,描述於M· Hedayatullah in Tet· Lett· ρ· 2455-2458(1975)。然後將疊氮基硫酸鹽用催 化的氫化作用(例如貴重金屬及Η2或與銅金屬加熱),在 溶劑(例如甲醇)中還原成Ri為氫之式⑴化合物。 經 濟 部 智 慧 財 產 局 員 工 消 費 合 作 社 印 製 分子式為RCH2〇H之起始材料其可商業購得或為此技 藝上已知者。例如,分子式為RCH2〇H其中R2及R3以及 4及均為相同,以及其分子式為(Η)之起始材料其可用 R. F. Brady in Carbohydrate Reaearch, Vol. 1 4, p. 3 5 to 4〇(1970)之方法得到或將三甲基矽烷基烯醇醚之r6c〇R7 酮或醛與果糖在溫度約25t:下,鹵素碳溶劑(例如氣甲烯) 中,在質子的酸(例如鹽酸或路易士酸,例如氯化鋅)存在 下反應得之。三曱基石夕烧基烯醇醚反應描述於G. L. “η⑽ et al in J. 〇rg. Cherrf. Volaa 38, No· 22, ρ· 3935(1973)。 進一步的,其分子式為RC〇〇H及RCH〇之羧酸及醛 可用標準還原技藝還原成其分子式為rch2oh之化合物, 例如與氫化鋁鋰、硼氫化鈉或硼烷-THF複合體在惰性溶 •7- 本紙張尺度適时關家鮮(CNS)A4規格(2i〇x 297公爱 1230064 經濟部智慧財J局員工消費合作社印製 A7 五、發明說明(6 ) Μ (丫 乙一醇一甲醚、丁HF或甲笨)中溫度約〇,至1〇〇 C 間反應例如描述於 Η·0· House in "Modern Synthetic(b) Alcohols with a knife formula of rcH ^ OH and thioguanyl chloride with a molecular formula of 〇2ci2 in the presence of a base (such as triethylamine or pyridine) at a temperature of about -40 to 25 ° C and Reaction in a solvent (such as diethyl ether or methylene chloride) ____ _6_ Paper size applies to China National Standard (CNS) A4 (210 X 297 public love) ------ (Please read the precautions on the back before Fill in this page} Binding · -------- # Printed by the Employees ’Cooperative of the Ministry of Economic Affairs, the Smart Finance and Economics Bureau 1230064 A7 B7 V. Description of the invention (5) Produces chlorosulfate with molecular formula Rch2oso2ci. (Please read the back first (Please note that this page is to be completed on this page.) Then the chlorosulfate with molecular formula rch2oso2ci and the amine with molecular formula R〗 NH2 are reacted at a temperature of about -40 to 25 and in a solvent (for example: aerosol or ethyl guess) Thallium compounds. (B) The reaction conditions are also described in τ · Tsuchiya et al. In Tet · Letters, No. 36, ρ · 3365 to 3368 (1978) 〇 (O will gas sulfate RCH2〇s〇2C1 and metal The reaction of a nitride (such as sodium azide) in a solvent (such as chloromethylene or acetonitrile) results in a molecular formula of RCH2 Sodium azide sulfate of S2N3, described in M. Hedayatullah in Tet. Lett. Ρ 2455-2458 (1975). Azide sulfate is then catalyzed by hydrogenation (such as precious metals and rhenium 2 or with copper Metal heating), reduced in a solvent (such as methanol) to a compound of the formula i where Ri is hydrogen. The consumer cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs printed a starting material of molecular formula RCH2〇H which is commercially available or for this technology Known. For example, the molecular formula is RCH20, where R2, R3, and 4 are all the same, and the starting material whose molecular formula is (Η) can be used. RF Brady in Carbohydrate Reaearch, Vol. 1 4, p. 3 5 to 4〇 (1970) method to obtain or convert r6c〇R7 ketone or aldehyde and fructose of trimethylsilyl enol ether at a temperature of about 25t: in a halogen carbon solvent (such as air methylene), in the protonic acid (Such as hydrochloric acid or Lewis acid, such as zinc chloride). The reaction is described in GL "η⑽ et al in J. 〇rg. Cherrf. Volaa 38, No. 22 , ρ · 3935 (1973). Further, its molecules The carboxylic acids and aldehydes that are RC〇〇H and RCH〇 can be reduced to compounds with the molecular formula rch2oh by standard reduction techniques, such as inert solvents with lithium aluminum hydride, sodium borohydride or borane-THF complex. 7- Standards in time for Guan Jiaxian (CNS) A4 specifications (2i0x 297, public love 1230064, printed by A7, Consumer Finance Co., Ltd., Employees ’Cooperatives of the Ministry of Economic Affairs, V. 5. Description of the invention (6) M (Yaethylene glycol monomethyl ether, butyl HF or Jiaben) The reaction at a temperature of about 0 to 100 ° C is described, for example, in Η ··· House in " Modern Synthetic

Reactions^, 2nd Ed. pages 45 to 144(1972) 〇 式1化口物·亦可用揭示於美國專利:No.4,5 13,006、 15,242,942,及Νο·5,384,32中之方法製作,全文在此并 入參考文獻。 式I化&物包括各種個別的異構物與其外消旋酸鹽, ,如各種α及/5接聯,即低於及高於R2,R3,R4&心在卜 員%上之繪圖平面。較佳者,亞甲二氧基上附著的氧與6_ 貝壞位於同一邊。 式I化合物治療慢性的神經變性的病症能力係基於發 現多比拉米(topiramate)在培養中能促進神經細胞之軸突 向外生長及在活體内内增進神經受損害後之再生及恢復功 能。 在體外研究中,從1 8天大胎兒的的小老鼠中建立老鼠 海馬的及大腦皮質的培養細胞。在各種濃度之多比拉米 (topiramateXO」毫微莫耳濃度_1〇〇微莫耳濃度)、或神經 營養因子BDNF(源自腦的神經營養因子,1〇毫微克)及 MSH(a -黑色素細胞刺激激素,5〇毫微莫耳濃度)、或載 劑(等張之鹽水)存在下,將細胞生長於培養孔(盤)中七天。 在種入細胞時,將各化合物添加至標示之一組培養孔之培 養液中,然後於四天後移除培養液並換上新鮮之培養液。 在培養的第七日,細胞用福馬林(組織固定劑)處理。然後 將細胞用螢光素標示的專一性的抗微小管相關的蛋白質_ ^----------------- (請先閱讀背面之注意事項再填寫本頁)Reactions ^, 2nd Ed. Pages 45 to 144 (1972) 〇 Formula 1 of the mouth can also be produced by the methods disclosed in U.S. Patent Nos. 4,5 13,006, 15,242,942, and No. 5,384,32, the full text here Incorporate references. Formula I & compounds include various individual isomers and their racemic acid salts, such as various α and / 5 are linked, that is, lower and higher than R2, R3, R4 & heart plot on the% flat. Preferably, the oxygen attached to the methylenedioxy group is located on the same side as the 6-pyrene. The ability of compounds of formula I to treat chronic neurodegenerative disorders is based on the discovery that topiramate can promote the axonal growth of nerve cells in culture and enhance the regeneration and recovery of nerve damage in vivo and in vivo. In in vitro studies, mouse hippocampal and cerebral cortical cultured cells were established from 18-day-old fetal mice. At various concentrations of birami (topiramateXO nanomolar concentration 100 micromolar concentration), or neurotrophic factor BDNF (brain-derived neurotrophic factor, 10 nanograms) and MSH (a- Cells were grown in culture wells (discs) for seven days in the presence of melanocyte-stimulating hormone, 50 nanomolar concentration), or a vehicle (isotonic saline). When the cells were implanted, each compound was added to the culture medium of one of the labeled culture wells, and then the culture medium was removed and replaced with fresh culture medium after four days. On the seventh day of culture, cells were treated with formalin (tissue fixative). Then the cells are labeled with luciferin specific anti-microtubule-related proteins _ ^ ----------------- (Please read the precautions on the back before filling this page)

12300641230064

2(MAP-2)抗體處理(選擇的標識樹突)。分析的測定各孔 中螢光素-標記之抗體結合至MAP-2之量(FITC信號)。然後 用此資料計算各孔中細胞軸突向外生長的相對程度。當與 培養液僅含載劑之細胞生長相較之下,多比拉米 (topiramate)處理的細胞FITC信號顯著的較高,從而顯示多 比拉米(topiramate)可引發軸突向外生長之增加。海馬的細 胞中,濃度介於100毫微莫耳濃度至100微莫耳濃度(圖D 時,增加顯著的較高(Ρ<0·05),但是,無清楚的觀察到濃 度-反應效應。 10 在100毫微莫耳濃度下,觀察到皮質的細胞顯著的增 加(對照組的119%)及在10微莫耳濃度下觀察到皮質的細 胞顯著的增加(對照組的119%Χρ<0·05)。無劑量_反應關係 的姐據,但在大多數多比拉米(t〇piramate)之研究濃度治療 下可造成軸突向外生長中度增加(範圍=對照組的106%至 15 119%) 〇 經 濟 部 智 慧 財 產 局 員 工 消 費 合 作 社 印 製 在體内研究中,以老鼠周邊神經損傷之顏面神經壓擠 拉式評估多比拉米(t〇piramate)。將老鼠麻醉,切除其皮膚 及肌肉找到顏面神經。用鑷子在將神經在尖端壓擠使其受 知。縫合創傷以及在投藥化合物前使老鼠康復。老鼠分成 2〇二組:载劑處理組、多比拉米(topiramate)處理組 完克/公斤)及a-MSHt處理組(s.c.,1毫克/公斤)。外科手術 後14天,每日投用兩次該化合物。顏面神經壓擠會引起 同一側的損傷位點髯肌肉麻痺。每日監測髯運動(損傷與 未損傷問之比較)是否康復為期14天。手術後早在第1〇 -9 - 89172A·接 本紙張尺度翻中關家標準(CNS)A4規格(210 X 297公髮) 1230064 五、發明說明(8) 5 10 15 經濟部智慧財產局員工消費合作社印製 20 天即可偵深到自發的康復髯運動,13天後可完全康復。第 11及12天,多比拉米(topiramate)處理組之老鼠髯運動康 復之程度顯著的高於載劑處理組(第U曰之康復❹/〇;多比 拉米(topiramate) = 60%,載劑=19% ; ?<0.001)(第 12 曰之 康復% ;多比拉米(t0piramate) = 92%,載劑=68%, ρ<〇·οι)。比較之下,在第n及12天〇: ]^811處理組之康 復率亦有較小的,無統計上顯著地增加(圖3)。 治療慢性的神經變性的症狀時,多比拉米(t〇piramate) 或其他之式⑴化合物可重覆口服的投用,劑量介於約i6 至256毫克’每月一次或每曰兩次。 為了製備本發明之醫藥組合物,一種或多種式(1)之氨 續酸醋化合物可與醫藥上的載體依據常見的醫藥學的複; 技藝緊密的混合,載體視職求之投_式而定可製備^ 各種形式,例如,可用適當的溶解劑製備iv.滅菌之、、主 射調製劑。單位劑量含約1()至咖毫克活性成分。目片 多比拉米(topiramate)之口服投藥的圓藥片中内含乃1 克、_毫克或200毫克之活性藥劑。該藥片含以下之: 1性成分:含水的乳糖' 前明膠化的㈣、微晶 素、羥乙酸鈉澱粉、硬脂酸鎂、純欢 β e I K、棕橺蠟、羥基丙其 甲基纖維素、二氧化鈦、聚乙烯二醆人1 ^ ^ ,一知、合成的氧化鐵、# 聚花楸酸酯80。 ^ 10 - 本紙張尺度適用中國國家標準(CNS)A4規格(210x297公复) A7 1230064 B7 五、發明說明(9 ) 圖式簡單說明 圖1.為多比拉米(topiramate)劑量反應,老鼠海馬(7 die)軸 突向外生長-MAP2-FITC測定法 圖2.為多比拉米(topiramate)劑量反應,老鼠大腦皮質(7 5 die)軸突向外生長-MAP2-FITC測定法 圖3.為顏面神經壓擠模式中,於口服的投藥多比拉米 (topiramate)及Οί-MSH後之康復率 經濟部智慧財產局員工消費合作社印製 本紙張尺度適用中國國家標準(CNS)A4規格(210 X 297公釐)2 (MAP-2) antibody treatment (selected to identify dendrites). The amount of luciferin-labeled antibody bound to MAP-2 (FITC signal) was determined in each well for analysis. This data was then used to calculate the relative extent of cell axon growth in each well. When compared with the growth of cells in the culture medium containing only the carrier, the FITC signal of the cells treated with topiramate was significantly higher, showing that topiramate can cause axons to grow outward. increase. In the hippocampal cells, the concentration ranged from 100 nanomolar to 100 micromolar (Figure D, the increase was significantly higher (P < 0.05), but no concentration-response effect was clearly observed. 10 A significant increase in cortical cells was observed at a concentration of 100 nanomolar (119% in the control group) and a significant increase in cells in the cortex was observed at a concentration of 10 micromolar (119% in the control group χρ < 0 · 05). There is no evidence of a dose-response relationship, but it can cause a moderate increase in axonal outward growth under the treatment of most research concentrations of topiramate (range = 106% of the control group to 15 119%) 〇 Printed in an in-vivo study by the Consumer Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs, the facial nerve compression of the peripheral nerve injury in rats was evaluated by topiramate. The mice were anesthetized and their resections were removed. The facial nerve was found on the skin and muscle. The forceps were used to pinch the nerve at the tip to make it known. The wound was sutured and the rats were healed before the compound was administered. The mice were divided into 202 groups: the vehicle-treated group and topiramate End of treatment group Kg) and a-MSHt treatment group (s.c., 1 mg / kg). The compound was administered twice daily for 14 days after surgery. Facial nerve compression can cause paralysis of the musculature at the injury site on the same side. Daily monitoring of tadpole exercise (comparison between injury and non-injury) for 14 days. As soon as possible after the operation, 10-9-89172A · The size of the paper is translated to the Family Standard (CNS) A4 specification (210 X 297 issued) 1230064 V. Description of the invention (8) 5 10 15 Employees of the Intellectual Property Bureau of the Ministry of Economic Affairs The consumer cooperative printed 20 days to detect the spontaneous rehabilitation exercise and fully recover after 13 days. On days 11 and 12, rats in the topiramate treatment group had a significantly higher degree of motor rehabilitation than the vehicle-treated group (Rehabilitation U / 0; topiramate) = 60%. , Vehicle = 19%;? ≪ 0.001) (% recovery from the 12th; dopiramate (t0piramate) = 92%, vehicle = 68%, ρ < 〇 · οι). In comparison, at the nth and 12th days: the recovery rate of the treatment group 811 was smaller, and there was no statistically significant increase (Figure 3). In the treatment of chronic neurodegenerative symptoms, dopiramate or other compounds of formula (I) can be administered orally repeatedly at doses ranging from about i6 to 256 mg 'once a month or twice a day. In order to prepare the pharmaceutical composition of the present invention, one or more of the amino acid vinegar compounds of the formula (1) may be mixed with a pharmaceutical carrier according to common medical techniques; the technique is intimately mixed, and the carrier depends on the investment It can be prepared in various forms, for example, it can be prepared with a suitable dissolving agent. Iv. A unit dose contains from about 1 mg to about mg of active ingredient. Topiramate Oral tablets for topiramate contain 1 g, _mg, or 200 mg of active agent. The tablet contains the following: 1 Sexual ingredients: water-containing lactose 'pre-gelatinized tincture, microcrystalline, sodium glycolate starch, magnesium stearate, pure Huan β e IK, palm wax, hypromellose fiber Element, titanium dioxide, polyethylene dioxin 1 ^ ^, a known, synthetic iron oxide, # polyflower acid ester 80. ^ 10-This paper size is in accordance with Chinese National Standard (CNS) A4 (210x297 public copy) A7 1230064 B7 V. Description of the invention (9) Simple illustration of the figure Figure 1. Topiramate dose response, rat hippocampus (7 die) Axon outgrowth-MAP2-FITC assay Figure 2. For topiramate dose response, mouse brain cortex (7 5 die) axon outgrowth-MAP2-FITC assay Fig. 3 Printed for facial nerve squeezing mode after oral administration of topiramate and 0-MSH after consumption by the Intellectual Property Bureau Staff Consumer Cooperatives of the Ministry of Economic Affairs (210 X 297 mm)

Claims (1)

1230064 A8 B8 C8 D8 六、申請專利範圍 專利申請案第89106372號 ROC Patent Appln. No.89106372 修正之申請專利範圍中文本-附件(二) Amended Claims in Chinese - EncL (ID (民國93年5月y日送呈) (Submitted on May ζ , 2004) 1. 一種治療慢性神經變性疾病之醫藥組成物,其係包括 一有效治療量之式I化合物:1230064 A8 B8 C8 D8 VI. Application for Patent Scope Patent Application No. 89106372 ROC Patent Appln. No. 89106372 Amended Claims in Chinese-EncL (ID (May 1993 (Submitted on May ζ, 2004) 1. A pharmaceutical composition for treating chronic neurodegenerative diseases, which comprises an effective therapeutic amount of a compound of formula I: 其中 X 為CH2或氧; Ri為氮或Ci_6烧基,以及 R2、R3、R4及R5係獨立為氫或C卜6烷基以及,當X 為CH2時,R4及R5可為相聯形成苯環之c4烯屬 烴基團,以及,當X為氧時,R2及R3及/或R4及 R5可共同形成為下式(II)之亞甲二氧基: R6 1 訂 經濟部智慧財產局員工消費合作社印製 C 〇 其中 116及117可為相同或不同,為氫、Cu烷基或為烷基以 及相聯形成環戊基或環己基環,為活性成分及一醫 藥上可接受之載劑。 -12 - 本紙張尺度適用中國國家標準(CNS)A4規格(210x297公釐) 89172B 接 1230064 3 C8 _D8_ 六、申請專利範圍 2. 如申請專利範圍第1項之醫藥組成物,其中式I化合 物是多比拉米(topiramate)。 3. 如申請專利範圍第1項之醫藥組成物,其中預期的有 效治療量介於約32至512毫克。 4. 如申請專利範圍第1項之醫藥組成物,其中口服投藥的劑 量介於約16至256毫克。 經濟部智慧財產局員工消費合作社印製 3 本紙張尺度適用中國國家標準(CNS)A4規格(210 X 297公釐)Where X is CH2 or oxygen; Ri is nitrogen or Ci_6 alkyl, and R2, R3, R4, and R5 are independently hydrogen or C6 alkyl, and when X is CH2, R4 and R5 can be linked to form benzene The c4 olefinic hydrocarbon group of the ring, and when X is oxygen, R2 and R3 and / or R4 and R5 may together form a methylene dioxy group of the following formula (II): R6 1 Employee of the Intellectual Property Bureau of the Ministry of Economic Affairs C printed by consumer cooperatives, where 116 and 117 can be the same or different, are hydrogen, Cu alkyl or alkyl, and are linked to form a cyclopentyl or cyclohexyl ring, which is the active ingredient and a pharmaceutically acceptable carrier . -12-This paper size is in accordance with Chinese National Standard (CNS) A4 (210x297 mm) 89172B then 1230064 3 C8 _D8_ VI. Scope of patent application 2. For example, if you apply for a pharmaceutical composition under the scope of patent application 1, the compound of formula I is Topiramate. 3. The pharmaceutical composition of item 1 in the patent application scope, wherein the expected effective therapeutic amount is between about 32 to 512 mg. 4. The pharmaceutical composition according to item 1 of the patent application range, wherein the dosage for oral administration is between about 16 and 256 mg. Printed by the Employees' Cooperative of the Intellectual Property Bureau of the Ministry of Economic Affairs 3 This paper size applies to China National Standard (CNS) A4 (210 X 297 mm)
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