US20010051735A1 - Derivatives of isosorbide mononitrate and its use as vasodilating agents with reduced tolerance - Google Patents
Derivatives of isosorbide mononitrate and its use as vasodilating agents with reduced tolerance Download PDFInfo
- Publication number
- US20010051735A1 US20010051735A1 US09/827,868 US82786801A US2001051735A1 US 20010051735 A1 US20010051735 A1 US 20010051735A1 US 82786801 A US82786801 A US 82786801A US 2001051735 A1 US2001051735 A1 US 2001051735A1
- Authority
- US
- United States
- Prior art keywords
- group
- mononitrate
- isosorbide
- compounds
- alkyl
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- YWXYYJSYQOXTPL-SLPGGIOYSA-N isosorbide mononitrate Chemical class [O-][N+](=O)O[C@@H]1CO[C@@H]2[C@@H](O)CO[C@@H]21 YWXYYJSYQOXTPL-SLPGGIOYSA-N 0.000 title claims abstract description 21
- 239000003071 vasodilator agent Substances 0.000 title description 2
- 229910052739 hydrogen Inorganic materials 0.000 claims abstract description 43
- 229910004679 ONO2 Inorganic materials 0.000 claims abstract description 17
- 230000000304 vasodilatating effect Effects 0.000 claims abstract description 12
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical group [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 claims abstract description 10
- 125000000217 alkyl group Chemical group 0.000 claims abstract description 9
- 125000003710 aryl alkyl group Chemical group 0.000 claims abstract description 9
- 125000003118 aryl group Chemical group 0.000 claims abstract description 9
- 125000004430 oxygen atom Chemical group O* 0.000 claims abstract description 9
- 150000003839 salts Chemical class 0.000 claims abstract description 9
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims abstract description 7
- 239000001257 hydrogen Substances 0.000 claims abstract description 5
- 150000001875 compounds Chemical class 0.000 claims description 44
- KLDXJTOLSGUMSJ-JGWLITMVSA-N Isosorbide Chemical compound O[C@@H]1CO[C@@H]2[C@@H](O)CO[C@@H]21 KLDXJTOLSGUMSJ-JGWLITMVSA-N 0.000 claims description 24
- 229960002479 isosorbide Drugs 0.000 claims description 24
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 claims description 16
- 235000001968 nicotinic acid Nutrition 0.000 claims description 16
- 239000011664 nicotinic acid Substances 0.000 claims description 16
- 239000003814 drug Substances 0.000 claims description 5
- 238000004519 manufacturing process Methods 0.000 claims description 5
- 125000004178 (C1-C4) alkyl group Chemical group 0.000 claims description 4
- 230000004064 dysfunction Effects 0.000 claims description 4
- 229910002651 NO3 Inorganic materials 0.000 claims description 2
- 230000002526 effect on cardiovascular system Effects 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 4
- 239000000047 product Substances 0.000 description 33
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 25
- HEDRZPFGACZZDS-UHFFFAOYSA-N Chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 22
- 239000002904 solvent Substances 0.000 description 22
- IAZDPXIOMUYVGZ-WFGJKAKNSA-N Dimethyl sulfoxide Chemical compound [2H]C([2H])([2H])S(=O)C([2H])([2H])[2H] IAZDPXIOMUYVGZ-WFGJKAKNSA-N 0.000 description 19
- 239000000203 mixture Substances 0.000 description 19
- 239000007787 solid Substances 0.000 description 15
- 238000010992 reflux Methods 0.000 description 14
- 238000013019 agitation Methods 0.000 description 13
- 239000000243 solution Substances 0.000 description 13
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 12
- 239000012298 atmosphere Substances 0.000 description 12
- 239000011521 glass Substances 0.000 description 12
- 229960003827 isosorbide mononitrate Drugs 0.000 description 12
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 10
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 9
- 0 *[C@H]1CO[C@]2([H])[C@H](C)CO[C@]12[H] Chemical compound *[C@H]1CO[C@]2([H])[C@H](C)CO[C@]12[H] 0.000 description 8
- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 8
- 238000000034 method Methods 0.000 description 8
- 150000002894 organic compounds Chemical class 0.000 description 8
- 239000011541 reaction mixture Substances 0.000 description 8
- FYSNRJHAOHDILO-UHFFFAOYSA-N thionyl chloride Chemical compound ClS(Cl)=O FYSNRJHAOHDILO-UHFFFAOYSA-N 0.000 description 8
- 241001465754 Metazoa Species 0.000 description 7
- 238000001035 drying Methods 0.000 description 7
- 239000012074 organic phase Substances 0.000 description 7
- 238000012360 testing method Methods 0.000 description 7
- NGNBDVOYPDDBFK-UHFFFAOYSA-N 2-[2,4-di(pentan-2-yl)phenoxy]acetyl chloride Chemical compound CCCC(C)C1=CC=C(OCC(Cl)=O)C(C(C)CCC)=C1 NGNBDVOYPDDBFK-UHFFFAOYSA-N 0.000 description 6
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 6
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 6
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 6
- 238000006243 chemical reaction Methods 0.000 description 6
- VZGDMQKNWNREIO-UHFFFAOYSA-N tetrachloromethane Chemical compound ClC(Cl)(Cl)Cl VZGDMQKNWNREIO-UHFFFAOYSA-N 0.000 description 6
- RIOQSEWOXXDEQQ-UHFFFAOYSA-N triphenylphosphine Chemical compound C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 RIOQSEWOXXDEQQ-UHFFFAOYSA-N 0.000 description 6
- 238000005160 1H NMR spectroscopy Methods 0.000 description 5
- 238000004566 IR spectroscopy Methods 0.000 description 5
- 239000007864 aqueous solution Substances 0.000 description 5
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 5
- 238000001228 spectrum Methods 0.000 description 5
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 4
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 4
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 4
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 4
- LRHPLDYGYMQRHN-UHFFFAOYSA-N N-Butanol Chemical compound CCCCO LRHPLDYGYMQRHN-UHFFFAOYSA-N 0.000 description 4
- HEDRZPFGACZZDS-MICDWDOJSA-N Trichloro(2H)methane Chemical compound [2H]C(Cl)(Cl)Cl HEDRZPFGACZZDS-MICDWDOJSA-N 0.000 description 4
- 239000001110 calcium chloride Substances 0.000 description 4
- 229910001628 calcium chloride Inorganic materials 0.000 description 4
- 229910052943 magnesium sulfate Inorganic materials 0.000 description 4
- 238000001644 13C nuclear magnetic resonance spectroscopy Methods 0.000 description 3
- WFDIJRYMOXRFFG-UHFFFAOYSA-N Acetic anhydride Chemical compound CC(=O)OC(C)=O WFDIJRYMOXRFFG-UHFFFAOYSA-N 0.000 description 3
- HVTYLBLLCBXPKV-UHFFFAOYSA-N C=[SH]C1=NC=CC=C1.CC Chemical compound C=[SH]C1=NC=CC=C1.CC HVTYLBLLCBXPKV-UHFFFAOYSA-N 0.000 description 3
- NDSNEQSNLANWGY-UHFFFAOYSA-N CC.CC1=NC=CC=C1 Chemical compound CC.CC1=NC=CC=C1 NDSNEQSNLANWGY-UHFFFAOYSA-N 0.000 description 3
- 206010047141 Vasodilatation Diseases 0.000 description 3
- 239000002253 acid Substances 0.000 description 3
- 238000003556 assay Methods 0.000 description 3
- 230000015572 biosynthetic process Effects 0.000 description 3
- 229910052805 deuterium Inorganic materials 0.000 description 3
- 238000011161 development Methods 0.000 description 3
- 230000018109 developmental process Effects 0.000 description 3
- 230000003389 potentiating effect Effects 0.000 description 3
- 238000004237 preparative chromatography Methods 0.000 description 3
- 239000000126 substance Substances 0.000 description 3
- 239000000725 suspension Substances 0.000 description 3
- 230000024883 vasodilation Effects 0.000 description 3
- KHLBHKYZTXYEHP-UHFFFAOYSA-N 2-methylpyridine-3-carbothioyl chloride Chemical compound CC1=NC=CC=C1C(Cl)=S KHLBHKYZTXYEHP-UHFFFAOYSA-N 0.000 description 2
- YZCKVEUIGOORGS-OUBTZVSYSA-N Deuterium Chemical compound [2H] YZCKVEUIGOORGS-OUBTZVSYSA-N 0.000 description 2
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 2
- JYWNYMJKURVPFH-UHFFFAOYSA-N N-gamma-Acetyl-N-2-Formyl-5-Methoxykynurenamine Chemical compound COC1=CC=C(NC=O)C(C(=O)CCNC(C)=O)=C1 JYWNYMJKURVPFH-UHFFFAOYSA-N 0.000 description 2
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical class O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 2
- MWUXSHHQAYIFBG-UHFFFAOYSA-N Nitric oxide Chemical compound O=[N] MWUXSHHQAYIFBG-UHFFFAOYSA-N 0.000 description 2
- 241000700159 Rattus Species 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 208000006906 Vascular Ring Diseases 0.000 description 2
- 230000005587 bubbling Effects 0.000 description 2
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 2
- 229940125898 compound 5 Drugs 0.000 description 2
- 239000003480 eluent Substances 0.000 description 2
- 230000032050 esterification Effects 0.000 description 2
- 238000005886 esterification reaction Methods 0.000 description 2
- 239000000706 filtrate Substances 0.000 description 2
- 238000003818 flash chromatography Methods 0.000 description 2
- 239000007789 gas Substances 0.000 description 2
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 2
- 230000000802 nitrating effect Effects 0.000 description 2
- 239000002244 precipitate Substances 0.000 description 2
- 238000002360 preparation method Methods 0.000 description 2
- 229920006395 saturated elastomer Polymers 0.000 description 2
- 238000003786 synthesis reaction Methods 0.000 description 2
- 125000003396 thiol group Chemical group [H]S* 0.000 description 2
- 238000005406 washing Methods 0.000 description 2
- SFLSHLFXELFNJZ-QMMMGPOBSA-N (-)-norepinephrine Chemical compound NC[C@H](O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-QMMMGPOBSA-N 0.000 description 1
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 description 1
- OGYGFUAIIOPWQD-UHFFFAOYSA-N 1,3-thiazolidine Chemical compound C1CSCN1 OGYGFUAIIOPWQD-UHFFFAOYSA-N 0.000 description 1
- JYWKEVKEKOTYEX-UHFFFAOYSA-N 2,6-dibromo-4-chloroiminocyclohexa-2,5-dien-1-one Chemical compound ClN=C1C=C(Br)C(=O)C(Br)=C1 JYWKEVKEKOTYEX-UHFFFAOYSA-N 0.000 description 1
- GOTPCIOLZMWNHT-UHFFFAOYSA-N 2-ethylpyridine-3-carbothioic s-acid Chemical compound CCC1=NC=CC=C1C(O)=S GOTPCIOLZMWNHT-UHFFFAOYSA-N 0.000 description 1
- WYKHFQKONWMWQM-UHFFFAOYSA-N 2-sulfanylidene-1h-pyridine-3-carboxylic acid Chemical compound OC(=O)C1=CC=CN=C1S WYKHFQKONWMWQM-UHFFFAOYSA-N 0.000 description 1
- GNYWBJRDQHPSJL-UHFFFAOYSA-N 6-acetyl-6-hydroxycyclohexa-2,4-diene-1-carboxylic acid Chemical compound CC(=O)C1(O)C=CC=CC1C(O)=O GNYWBJRDQHPSJL-UHFFFAOYSA-N 0.000 description 1
- 235000007173 Abies balsamea Nutrition 0.000 description 1
- 206010002383 Angina Pectoris Diseases 0.000 description 1
- PNAAUITXLWTVMJ-UHFFFAOYSA-N C=C1C=CC=CN1.CC.CC.SC1=NC=CC=C1 Chemical compound C=C1C=CC=CN1.CC.CC.SC1=NC=CC=C1 PNAAUITXLWTVMJ-UHFFFAOYSA-N 0.000 description 1
- JTNVAQYSUXQSST-UHFFFAOYSA-N CCSC1=C(C(=O)Cl)C=CC=N1.CCSC1=C(C(=O)O)C=CC=N1.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2O.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(SCC)N=CC=C1.[H]N1=CC=CC(C(=O)OC2COC3([H])C(O[N+](=O)[O-])COC23[H])=C1SCC Chemical compound CCSC1=C(C(=O)Cl)C=CC=N1.CCSC1=C(C(=O)O)C=CC=N1.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2O.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(SCC)N=CC=C1.[H]N1=CC=CC(C(=O)OC2COC3([H])C(O[N+](=O)[O-])COC23[H])=C1SCC JTNVAQYSUXQSST-UHFFFAOYSA-N 0.000 description 1
- FLZSNPQVLGELOM-NUKYPMDVSA-N CCSC1=C(C(=O)Cl)C=CC=N1.[H]N1=CC=CC(C(=O)O[C@@H]2CO[C@]3([H])[C@@H](C)CO[C@]23[H])=C1SCC.[H][C@]12OC[C@@H](O)[C@@]1([H])OC[C@@H]2C.[H][C@]12OC[C@@H](OC(=O)C3=C(SCC)N=CC=C3)[C@@]1([H])OC[C@@H]2C Chemical compound CCSC1=C(C(=O)Cl)C=CC=N1.[H]N1=CC=CC(C(=O)O[C@@H]2CO[C@]3([H])[C@@H](C)CO[C@]23[H])=C1SCC.[H][C@]12OC[C@@H](O)[C@@]1([H])OC[C@@H]2C.[H][C@]12OC[C@@H](OC(=O)C3=C(SCC)N=CC=C3)[C@@]1([H])OC[C@@H]2C FLZSNPQVLGELOM-NUKYPMDVSA-N 0.000 description 1
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- MZEAQMAGHQOPPR-UHFFFAOYSA-N CSC1=C(C(=O)Cl)C=CC=N1.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2O.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(SC)N=CC=C1 Chemical compound CSC1=C(C(=O)Cl)C=CC=N1.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2O.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(SC)N=CC=C1 MZEAQMAGHQOPPR-UHFFFAOYSA-N 0.000 description 1
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- OKTJSMMVPCPJKN-OUBTZVSYSA-N Carbon-13 Chemical compound [13C] OKTJSMMVPCPJKN-OUBTZVSYSA-N 0.000 description 1
- 241000819038 Chichester Species 0.000 description 1
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical compound [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 1
- 238000005033 Fourier transform infrared spectroscopy Methods 0.000 description 1
- 244000018716 Impatiens biflora Species 0.000 description 1
- FFEARJCKVFRZRR-BYPYZUCNSA-N L-methionine Chemical compound CSCC[C@H](N)C(O)=O FFEARJCKVFRZRR-BYPYZUCNSA-N 0.000 description 1
- 238000005481 NMR spectroscopy Methods 0.000 description 1
- 239000007832 Na2SO4 Substances 0.000 description 1
- YCIRSCPYUMQOAB-UHFFFAOYSA-N O=C(Cl)C1=C(S)N=CC=C1.O=C(O)C1=C(S)N=CC=C1.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2O.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(S)N=CC=C1 Chemical compound O=C(Cl)C1=C(S)N=CC=C1.O=C(O)C1=C(S)N=CC=C1.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2O.[H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(S)N=CC=C1 YCIRSCPYUMQOAB-UHFFFAOYSA-N 0.000 description 1
- DSSDNGBBPAJNCN-DJKGEHKOSA-N O=C(Cl)C1=C(S)N=CC=C1.[H][C@]12OC[C@@H](O)[C@@]1([H])OC[C@@H]2C.[H][C@]12OC[C@@H](OC(=O)C3=C(S)N=CC=C3)[C@@]1([H])OC[C@@H]2C Chemical compound O=C(Cl)C1=C(S)N=CC=C1.[H][C@]12OC[C@@H](O)[C@@]1([H])OC[C@@H]2C.[H][C@]12OC[C@@H](OC(=O)C3=C(S)N=CC=C3)[C@@]1([H])OC[C@@H]2C DSSDNGBBPAJNCN-DJKGEHKOSA-N 0.000 description 1
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 1
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical class [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 1
- 239000005864 Sulphur Substances 0.000 description 1
- NVAMVWJODPJNOK-UHFFFAOYSA-N [H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(S)N=CC=C1 Chemical compound [H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(S)N=CC=C1 NVAMVWJODPJNOK-UHFFFAOYSA-N 0.000 description 1
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- IKUSZQDQCCMNGD-UHFFFAOYSA-N [H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(SCC)N=CC=C1 Chemical compound [H]C12OCC(O[N+](=O)[O-])C1([H])OCC2OC(=O)C1=C(SCC)N=CC=C1 IKUSZQDQCCMNGD-UHFFFAOYSA-N 0.000 description 1
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- LUGARIPFEOYBBY-AYHFEMFVSA-N [H][C@]12OC[C@@H](OC(=O)C3=C(S)N=CC=C3)[C@@]1([H])OC[C@@H]2C Chemical compound [H][C@]12OC[C@@H](OC(=O)C3=C(S)N=CC=C3)[C@@]1([H])OC[C@@H]2C LUGARIPFEOYBBY-AYHFEMFVSA-N 0.000 description 1
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- 239000012190 activator Substances 0.000 description 1
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- 150000001413 amino acids Chemical class 0.000 description 1
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- 230000002744 anti-aggregatory effect Effects 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 239000002738 chelating agent Substances 0.000 description 1
- 239000000460 chlorine Substances 0.000 description 1
- 229910052801 chlorine Inorganic materials 0.000 description 1
- 238000013375 chromatographic separation Methods 0.000 description 1
- 238000004587 chromatography analysis Methods 0.000 description 1
- 229910052681 coesite Inorganic materials 0.000 description 1
- 229940125904 compound 1 Drugs 0.000 description 1
- 239000006071 cream Substances 0.000 description 1
- 229910052906 cristobalite Inorganic materials 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 235000018417 cysteine Nutrition 0.000 description 1
- XUJNEKJLAYXESH-UHFFFAOYSA-N cysteine Natural products SCC(N)C(O)=O XUJNEKJLAYXESH-UHFFFAOYSA-N 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 239000000539 dimer Substances 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- MAHNFPMIPQKPPI-UHFFFAOYSA-N disulfur Chemical class S=S MAHNFPMIPQKPPI-UHFFFAOYSA-N 0.000 description 1
- 239000000839 emulsion Substances 0.000 description 1
- 238000006345 epimerization reaction Methods 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 210000002196 fr. b Anatomy 0.000 description 1
- 210000003918 fraction a Anatomy 0.000 description 1
- 150000002431 hydrogen Chemical group 0.000 description 1
- 239000012535 impurity Substances 0.000 description 1
- 238000002329 infrared spectrum Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 229930182817 methionine Natural products 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000000178 monomer Substances 0.000 description 1
- -1 nitrate ester Chemical class 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 229960002748 norepinephrine Drugs 0.000 description 1
- SFLSHLFXELFNJZ-UHFFFAOYSA-N norepinephrine Natural products NCC(O)C1=CC=C(O)C(O)=C1 SFLSHLFXELFNJZ-UHFFFAOYSA-N 0.000 description 1
- 238000000655 nuclear magnetic resonance spectrum Methods 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 239000012071 phase Substances 0.000 description 1
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 208000002815 pulmonary hypertension Diseases 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- KOUKXHPPRFNWPP-UHFFFAOYSA-N pyrazine-2,5-dicarboxylic acid;hydrate Chemical compound O.OC(=O)C1=CN=C(C(O)=O)C=N1 KOUKXHPPRFNWPP-UHFFFAOYSA-N 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 239000000377 silicon dioxide Substances 0.000 description 1
- 229910052938 sodium sulfate Inorganic materials 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 229910052682 stishovite Inorganic materials 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000000829 suppository Substances 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 208000037905 systemic hypertension Diseases 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 150000003566 thiocarboxylic acids Chemical class 0.000 description 1
- 229910052905 tridymite Inorganic materials 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D493/00—Heterocyclic compounds containing oxygen atoms as the only ring hetero atoms in the condensed system
- C07D493/02—Heterocyclic compounds containing oxygen atoms as the only ring hetero atoms in the condensed system in which the condensed system contains two hetero rings
- C07D493/04—Ortho-condensed systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/08—Vasodilators for multiple indications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
Definitions
- the present invention relates to novel derivatives of isosorbide mononitrate which have a potent vasodilating activity and which, at the same time, have a significantly reduced tolerance.
- nitric acid esters of organic compounds common known as nitrated organic compounds, are known and have been used as vasodilating agents.
- nitrated organic compounds are known and have been used as vasodilating agents.
- the usefulness of mono and di-nitrated isosorbide is well known, and further there have been described compounds with vascular and coronary activities based on substitution reactions of the free hydroxyl group of isosorbide mononitrate.
- the U.S. Pat. No. 4,891,373 patent describes derivatives of aminepropanol corresponding to the formulas
- R 5 represents a hydrogen atom, a C 1 -C 6 alkyl group, a phenyl, etc.
- nitrated organic compounds described in the documents mentioned above do not in itself solve the problems originating from the tolerance of the nitrated organic compounds, since these still have problems in relation to low vasodilating activity, high tolerance, etc.. Accordingly, it is still necessary to develop novel nitrated organic compounds which have a high vasodilating activity combined with a more decreased level of tolerance being maintained persistently.
- An object of the invention is a novel type of compounds, derivatives of isosorbide mononitrate, which are capable of providing a potent vasodilating effect and which at the same time show a small or null tolerance effect.
- a further object of the present invention relates to the use of the novel derivatives of isosorbide mononitrate for the manufacture of a medicament for the treatment of disorders related to dysfunctions of the circulatory system, in particular at the level of the coronary system.
- Z is an oxygen atom or sulphur atom
- R is an alkyl C 1 -C 4 group, an aryl group or an aralkyl group, eventually substituted, or the group
- R 1 is hydrogen or an alkyl C 1 -C 4 group, an aryl group or an aralkyl group, eventually substituted.
- R is an alkyl C 1 -C 4 group, an aryl group or an aralkyl group, eventually substituted
- R 1 represents the groups indicated above.
- R when Z is a sulphur atom, R is a short chain C 1 -C 4 alkyl group, and when Z is an oxygen atom, R 1 is a hydrogen atom or a short chain C 1 -C 4 alkyl group. More preferably, within above mentioned criteria, B is the —ONO 2 group, i.e. the compounds wherein the nitrate ester is at position 5 in the ring-shaped system of the isosorbide.
- the compounds of the present invention can be obtained by techniques of esterification using known or accessible starting products described in the basic organic chemical literature known to the skilled person, for example the publications of Chemical Abstracts Service, the Beilstein Encyclopedia of organic products, or in any other appropriate publication available at university libraries.
- the compounds when Z is an oxygen atom the compounds may be obtained from isosorbide or the corresponding isosorbide mononitrate through a reaction of esterification of these with the corresponding carboxylic acid or an activated derivative of this, for example an acid chloride, an anhydride, an active ester, etc. If the starting product is isosorbide, it will be necessary finishing with a further step consisting of nitrating the free hydroxyl group of the isosorbide, a thing which is not necessary if there is started from any of the isosorbide mononitrates in position 5 or in position 2 of the ring-shaped structure of said compound.
- R 1 is hydrogen
- these compounds have a thiol group which can be unintentionally oxidized producing disulphur dimers.
- the dimers can be reverted to the corresponding monomers by reaction with triphenylphosphine in water, as described in R. Humphrey (1964), Analytical Chem,36,1812 y L. E. Overman (1974), Synthesis, 59.
- the compounds of the invention may very efficiently be used for the manufacture of a medicament with vasodilating effect for the treatment of dysfunctions of the circulatory system, in particular at the cardiovascular and coronary level.
- the compounds of the general formula (I), as well as their pharmaceutically acceptable salts may be used, via the use of conventional pharmaceutical techniques, in the manufacture of medicaments which may be administrated by different routes.
- compositions such as tablets, capsules, syrups and suspensions.
- parenterally in form of solutions or emulsions, etc. may also be administrated topically in form of creams, pomades, balsams, etc., and transdermically for example through the use of patches or bandages. They may also be applied directly in the rectum as suppositories.
- the preparations may comprise physiologically acceptable carriers, excipients, activators, chelating agents, stabilisators, etc. In case of injections there may be incorporated physiologically acceptable buffers, solubilizing agents or isotonics.
- the daily dose may be varied depending on the specific symptoms, the age, the body weight of the patients, the specific mode of administration, etc., and a daily normal dose for an adult person could be between 1 to 500 mg, and could be administrated as one dose only or divided into several doses during the day.
- Step 1 In a 50 mL glass flask, provided with a reflux refrigerator, closed with a CaCl 2 tube, and magnetic agitation, 4.25 g (23.2 mmol) 2-ethylthionicotinate acid are dissolved in 20 mL of thionyl chloride (1.64 g/ml; 275.6 mmol). The reaction mixture is refluxed for 3.5 h. After this period, the mixture is cooled down and excess thionyl chloride is eliminated under reduced pressure while adding portions of toluene. After drying at reduced pressure, 4.67 g of a solid yellowish product corresponding to the acid chloride of interest are obtained. Yield: 100%.
- Step 2 In a 50 ml glass flask, provided with magnetic agitation and reflux refrigerator, 4.67 g (23.2 mmol) of the acid chloride obtained in the step above are dissolved, under Ar atmosphere, in 25 ml pyridine. The solution is cooled down in a ice bath and 4.44 g (23.2 mmol) of isosorbide 5-mononitrate are added. The reaction mixture is agitated at room temperature under Ar atmosphere for 19 h. After this period the solvent is eliminated at reduced pressure. The residue is dissolved in 50 mL of CHCl 3 and washed: first with 50 mL of water, secondly with 50 mL aqueous solution of 5% HCl and once more with 50 mL water. The organic phase is dried over anhydrous MgSO 4 , filtered, and the solvent is eliminated at reduced pressure. After drying at reduced pressure, 7.25 g of the product of interest are obtained. Yield: 88%.
- Step 3 In a 250 ml three neck glass flask, provided with a reflux refrigerator closed with a CaCl 2 tube, magnetic agitation, and an addition funnel with a compensated pressure, 6.0 g (16.85 mmol) of the product obtained in the previous step are dissolved in 150 mL of EtOEt. The solution is agitated at room temperature and added, drop by drop, 30 mL of EtOEt solution saturated with HCl (solution prior prepared bubbling HCl gas directly into the EtOEt until saturation), producing a white solid precipitate. The solid is filtered and washed with an excess of EtOEt and dried at reduced pressure. 6.55 g of the product of interest are obtained. Yield: 99%.
- Step 1 The same method as in step 2 of example 1 is used, applying as starting product the isosorbide 2-mononitrate.
- the product of interest is obtained at a chemical yield of 88%.
- Step 2 In a 500 ml three neck glass flask provided with a reflux refrigerator closed with a CaCl 2 tube, magnetic agitation, and a addition funnel with a compensated pressure, 7.0 g (19.66 mmol) of the product obtained in the former step are dissolved in a mixture of 200 mL of EtOEt+100 mL de CH 2 Cl 2 . The solution is agitated at room temperature and added, drop by drop, 30 mL of EtOEt solution saturated with HCl (solution prior prepared bubbling HCl gas directly into the EtOEt until saturatio), producing a white solid precipitate. The solid is filtered and washed with an excess of EtOEt and dried at reduced pressure. 7.05 g of the product of interest are obtained. Yield: 91%.
- Step 1 In a 100 mL glass flask, provided with a reflux refrigerator closed with a CaCl 2 tube and magnetic agitation, 3.0 g (19.35 mmol) of 2-mercaptonicotinic acid are suspended in 30 mL of thionyl chloride (1.64 g/ml; 431.4 mmol). The mixture is left to reflux for 2 h, observing the dissolution of the solid during this period. The mixture is cooled down and excess thionyl chloride is eliminated under reduced pressure while adding portions of toluene. After drying at reduced pressure, 3.35 g of a solid yellow-orange corresponding to the acid chloride of interest are obtained. Yield, 100%.
- Step 2 In a 250 mL glass flask, provided with a reflux refrigerator and magnetic agitation, 3.0 g (17.29 mmol) of the acid chloride obtained in the former step are suspended, under Ar atmosphere, in 75 mL of pyridine. The suspension is cooled down in an ice bath and 3.30 g (17.29 mmol) of isosorbide 5-mononitrate are added. The reaction mixture is left agitating at room temperature under Ar atmosphere for 19 h, a period of time wherein the mixture is getting dark. Once the reaction finished, the solvent is eliminated at reduced pressure.
- the residue is dissolved in 250 mL of CHCl 3 and washed: first with 250 mL of water, secondly with 250 mL aqueous solution of 5% HCl and once more with 250 mL water.
- the organic phase is dried over anhydrous MgSO 4 , filtered, and the solvent is eliminated at reduced pressure. After drying at reduced pressure, 5.45 g of a yellow solid are obtained, which are recrystallized in isopropanol to obtain 4.83 g of a white solid which is reacted in acid medium for 20 min. with triphenylphosphine (1:1.25 mol/mol) in methanol, with a 10% of water.
- the solvent is eliminated at reduced presureand the residue is disolved in AcOEt, washing the solution with some water.
- the organic phase is dried and the solvent is eliminated at reduced presure, recovering the product of interest by preparative chromatography. Yield: 35.7%.
- the residue is dissolved in 300 mL of CHCl 3 and washed: first with 300 mL of water, secondly with 300 mL aqueous solution of 5% HCl and once more with 300 mL water.
- the organic phase is dried over anhydrous MgSO 4 , filtered, and the solvent is eliminated at reduced pressure. After drying at reduced temperature, 5.10 g of a white-yellowish solid are obtained, which are re-crystallized in isopropanol to obtain 4.55 g of a white solid which is reacted in acid medium for 20 min. with triphenylphosphine (1:1.25 mol/mol) in methanol, with a 10% of water.
- the solvent is eliminated at reduced presure and the residue is disolved in AcOEt, washing the solution with some water.
- the organic phase is dried and the solvent is eliminated at reduced presure, recovering the product of interest by preparative chromatography. Yield: 37.6%.
- Step 1 In a 1 L glass flask provided with a reflux refrigerator, an addition funnel with a compensated pressure, and magnetic agitation, 60 g (411 mmol) of isomanide, 88 g (461 mmol) of paratoluenesulfonyl chlorine, 296 mL of CCl 4 , 33 mL of CH 2 Cl 2 and 247 mL of H 2 O are mixed. An Ar atmosphere is made and a solution of 29.9 g (453 mmol) of 85% KOH is added, drop by drop, while maintaining the reaction temperature at 5° C. The period of time of the addition is 1 h 20 min. The resulting mixture is agitated at 50 C for 7 h. The solid is filtered and with 2 ⁇ 125 mL portions of H 2 O and dried at reduced pressure.
- the obtained solid is re-crystallized in 1200 mL of CCl 4 , hot filtered and the filtrate is left to cool down.
- the obtained crystals are filtered and washed yielding 54.5 g of a fraction A of the product of interest, monotosilate of isomanide.
- Step 2 In a 500 mL glass flask provided with a reflux refrigerator and magnetic agitation, 22.7 g (76 mmol) of monotosilate of isomanide and 13.0 g (113 mmol) of potassium thioacetate are mixed in 113 mL of n-butanol. An Ar atmosphere is made and the reaction mixture is let to reflux for 1 h. The mixture is cooled down, filtered and washed with 200 mL ethanol and the solvents are eliminated at reduced pressure. 20 g of a solid are obtained.
- a thin layer chromatographic analysis with independent sample shows that the product of interest is not a major part of the crude.
- Step 3 A nitrating mixture is prepared by addiing, slowly and carefully, 2.4 ml of 60% HNO 3 into a mixture of 10 mL of acetic anhydride and 10 mL of acetic acid. The mixture is prepared at 0° C.
- the two compounds tested have a potent vasodilating activity, at least similar to that of the reference, and the compound 1 has a vasodilating activity superior to that of the reference product.
- the different compounds rested are subcutaneously administrated to rats at a dose of 10 mg/Kg for three days, each eight hours, and the assay is then done ex vivo to test the capacity to vasodilate the arterial segments of the rats after the subcutaneous administration of the compound.
- the different compounds are tested at 5 different concentrations, at a concentration range from 0.001 to 10 mM, using from 6 to 9 arterial rings for each compound.
- the obtained results are compared to those from the isosorbide 5-mononitrate, which is used as reference product, and with those obtained from the animals wherein there have not been administrated any compound.
- CE 50 of isosorbide 5-mononitrate in the group of animals wherein said compound was administrated was seven times superior as compared to that of the not treated animals.
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Abstract
Novel derivatives of isosorbide mononitrate and its pharmaceutically acceptable salts, which have vasodilating activity with a reduced effect of tolerance, of the general formula (I)
in which A and B individually represent any of the groups
—ONO2 and —Z—CO—R, wherein Z is an oxygen atom or sulphur atom and R is an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted, or the group
in which R1 is hydrogen, or an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted, with the proviso that one of A or B is always —ONO2, but never both of them at the same time, when Z is an sulphur atom R is an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted, and when Z is an oxygen atom R is the group
Description
- The present invention relates to novel derivatives of isosorbide mononitrate which have a potent vasodilating activity and which, at the same time, have a significantly reduced tolerance.
- The nitric acid esters of organic compounds, common known as nitrated organic compounds, are known and have been used as vasodilating agents. Within these, the usefulness of mono and di-nitrated isosorbide is well known, and further there have been described compounds with vascular and coronary activities based on substitution reactions of the free hydroxyl group of isosorbide mononitrate. For example, the U.S. Pat. No. 4,891,373 patent describes derivatives of aminepropanol corresponding to the formulas
- for the treatment of the angina pectoris and systemic and pulmonary hypertension.
-
- as well as its platelets anti-aggregating activity.
- One of the principal problems of the nitrated organic compounds mentioned above resides on the fact that these are quite sensible in relation to the phenomena known as tachyphylaxy or tolerance, which relates to that its effect on the organism decreases during prolonged treatment, and it is then required to sensitively elevate the administrated doses in a graduated manner or otherwise to perform a pharmacologically wash out.
- It is also known that one way of reducing the tolerance of the nitrated organic compounds consists of introducing a thiol group in the molecule, for example by use of sulphur containing amino acids. The European patent EP-B-0362575 describes nitrated organic compounds with incorporated Cysteine and, mainly, Methionine molecules.
- The patent application WO-A-92/04337 describes organic nitrated derivatives of the ring of the thiazolidine with vasodilating activity and a reduced tolerance.
- The patent application WO-A-93/03037 describes an enormously amount of different nitrated organic vasodilating compounds, with reduced tolerance, of highly variable structures. Within these are included generically, i.e. without specifying nor describing one single specific product, derivatives of isosorbide mononitrate according to following structure
- in which R 5 represents a hydrogen atom, a C1-C6 alkyl group, a phenyl, etc.
- The nitrated organic compounds described in the documents mentioned above do not in itself solve the problems originating from the tolerance of the nitrated organic compounds, since these still have problems in relation to low vasodilating activity, high tolerance, etc.. Accordingly, it is still necessary to develop novel nitrated organic compounds which have a high vasodilating activity combined with a more decreased level of tolerance being maintained persistently.
- An object of the invention is a novel type of compounds, derivatives of isosorbide mononitrate, which are capable of providing a potent vasodilating effect and which at the same time show a small or null tolerance effect.
- A further object of the present invention relates to the use of the novel derivatives of isosorbide mononitrate for the manufacture of a medicament for the treatment of disorders related to dysfunctions of the circulatory system, in particular at the level of the coronary system.
-
-
-
- in which R 1 is hydrogen or an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted.
- All of this with the proviso that:
- (a) one of A or B is always —ONO 2 but never both of them at the same time;
- (b) when Z is an sulphur atom R is an alkyl C 1-C4 group, an aryl group or an aralkyl group, eventually substituted; and
-
- in which R 1 represents the groups indicated above.
- Within the novel derivatives of the invention it is preferred that when Z is a sulphur atom, R is a short chain C 1-C4 alkyl group, and when Z is an oxygen atom, R1 is a hydrogen atom or a short chain C1-C4 alkyl group. More preferably, within above mentioned criteria, B is the —ONO2 group, i.e. the compounds wherein the nitrate ester is at position 5 in the ring-shaped system of the isosorbide.
- The preferences mentioned above should not in any way be considered as limiting the scope of the object of the present invention.
-
- and both of the tautomer structures should be considered as within the object of the invention.
-
-
-
-
-
-
-
- , as well as the pharmaceutically acceptable salt of these, in particular their chlorhydrates.
- The compounds 1 and its chlorhydrate and the compound 5 are particularly preferred.
- The compounds of the present invention can be obtained by techniques of esterification using known or accessible starting products described in the basic organic chemical literature known to the skilled person, for example the publications of Chemical Abstracts Service, the Beilstein Encyclopedia of organic products, or in any other appropriate publication available at university libraries.
- For example, when Z is an oxygen atom the compounds may be obtained from isosorbide or the corresponding isosorbide mononitrate through a reaction of esterification of these with the corresponding carboxylic acid or an activated derivative of this, for example an acid chloride, an anhydride, an active ester, etc. If the starting product is isosorbide, it will be necessary finishing with a further step consisting of nitrating the free hydroxyl group of the isosorbide, a thing which is not necessary if there is started from any of the isosorbide mononitrates in position 5 or in position 2 of the ring-shaped structure of said compound.
- When R 1 is hydrogen, these compounds have a thiol group which can be unintentionally oxidized producing disulphur dimers. In this case, the dimers can be reverted to the corresponding monomers by reaction with triphenylphosphine in water, as described in R. Humphrey (1964), Analytical Chem,36,1812 y L. E. Overman (1974), Synthesis, 59.
- When Z is a sulphur atom the situation is very similar since it is enough to start from the corresponding thiocarboxylic acid, in stead of the carboxylic acid mentioned above, and to use techniques well known to the expert for the formation of the thioester bond. On the other hand, if any of the reactions imply the epimerization of a chiral center, there may be used as a starting compound the adequate enantiomer of the isosorbide, for example the isomanide.
- The tests performed demonstrate that the novel isosorbide mononitrate derivatives of the invention show a vasodilating activity comparable, as a minimum, with that of the isosorbide mononitrate by itself, and in some cases highly superior. Further, they manifest a significant inferior tolerance as compared to that observed with said compound and in some cases it approaches practically null.
- Consequently, the compounds of the invention may very efficiently be used for the manufacture of a medicament with vasodilating effect for the treatment of dysfunctions of the circulatory system, in particular at the cardiovascular and coronary level.
- Accordingly, the compounds of the general formula (I), as well as their pharmaceutically acceptable salts, may be used, via the use of conventional pharmaceutical techniques, in the manufacture of medicaments which may be administrated by different routes.
- For example they may be administrated orally in form of pharmaceutically preparations such as tablets, capsules, syrups and suspensions. Parenterally in form of solutions or emulsions, etc. They may also be administrated topically in form of creams, pomades, balsams, etc., and transdermically for example through the use of patches or bandages. They may also be applied directly in the rectum as suppositories. The preparations may comprise physiologically acceptable carriers, excipients, activators, chelating agents, stabilisators, etc. In case of injections there may be incorporated physiologically acceptable buffers, solubilizing agents or isotonics. The daily dose may be varied depending on the specific symptoms, the age, the body weight of the patients, the specific mode of administration, etc., and a daily normal dose for an adult person could be between 1 to 500 mg, and could be administrated as one dose only or divided into several doses during the day.
- In the working examples herein (vide infra) are described in details suitable processes to obtain various of the compounds according to the general formula (I). In view of these examples, it is within the skilled persons general knowledge to obtain the compounds not explicitly exemplified herein via suitable modifications the of working examples herein.
- Consequently, the working examples herein should not be interpreted as limiting the scope of the invention, but solely as an additional detailed explication, which guides the skilled person to a more deeply understanding of the invention.
- The compounds obtained in the examples below are identified via its data in Infrared spectroscopy (IR), and/or Nuclear Magnetic Resonance spectroscopy of proton ( 1H-NMR) and of carbon 13 (13C-MNR).
- The IR spectra have been realized in film evaporated with CHCl 3 or in KBr tablet, in a PERKIN-ELMER FTIR model 1700 apparatus. The position of the most significant peaks are indicated in cm−1.
- The Nuclear Magnetic Resonance spectra have been realized in a Varian Gemini-200 apparatus.
- In the spectra of 1H-NMR are indicated the working frequency and the solvent used to make the spectrum. The position of the signals is indicated in δ (ppm), using as reference the signal of the protons of the solvent. The reference values are 7.24 ppm for the chloroform and 2.49 ppm for the deuterated dimethylsulfoxide. Within brackets are indicated the number of protons corresponding to each signal measured by electronically integration and the type of signal is indicated using following abbreviations: s (singlet), d (doublet), t (triplet), dd (doublet of doublets), sb (signal broad), sc (signal complex), d.e. D2O (disappears during realization of the spectrum after addition of some drops of deuterium water.)
- In the spectra of 13C-MNR are indicated the working frequency and the solvent on each spectrum. The position of the signals is indicated in δ (ppm), using as reference the signal of the protons of the solvent. The reference values are 77.00 ppm for the chloroform and 39.50 ppm for the deuterium dimethylsulfoxide.
- Further, there have been realized magnetic nuclear resonance experiments using the Attached Proton Test (APT).
- In the experimental part of the examples is used following abbreviations:
AcOEt ethyl acetate DMSO-d6 dimethylsulfoxide hexa-deuterium EtOEt diethyl ether - Example 1
-
- Step 1.—In a 50 mL glass flask, provided with a reflux refrigerator, closed with a CaCl 2 tube, and magnetic agitation, 4.25 g (23.2 mmol) 2-ethylthionicotinate acid are dissolved in 20 mL of thionyl chloride (1.64 g/ml; 275.6 mmol). The reaction mixture is refluxed for 3.5 h. After this period, the mixture is cooled down and excess thionyl chloride is eliminated under reduced pressure while adding portions of toluene. After drying at reduced pressure, 4.67 g of a solid yellowish product corresponding to the acid chloride of interest are obtained. Yield: 100%.
- Step 2.—In a 50 ml glass flask, provided with magnetic agitation and reflux refrigerator, 4.67 g (23.2 mmol) of the acid chloride obtained in the step above are dissolved, under Ar atmosphere, in 25 ml pyridine. The solution is cooled down in a ice bath and 4.44 g (23.2 mmol) of isosorbide 5-mononitrate are added. The reaction mixture is agitated at room temperature under Ar atmosphere for 19 h. After this period the solvent is eliminated at reduced pressure. The residue is dissolved in 50 mL of CHCl 3 and washed: first with 50 mL of water, secondly with 50 mL aqueous solution of 5% HCl and once more with 50 mL water. The organic phase is dried over anhydrous MgSO4, filtered, and the solvent is eliminated at reduced pressure. After drying at reduced pressure, 7.25 g of the product of interest are obtained. Yield: 88%.
- Step 3.—In a 250 ml three neck glass flask, provided with a reflux refrigerator closed with a CaCl 2 tube, magnetic agitation, and an addition funnel with a compensated pressure, 6.0 g (16.85 mmol) of the product obtained in the previous step are dissolved in 150 mL of EtOEt. The solution is agitated at room temperature and added, drop by drop, 30 mL of EtOEt solution saturated with HCl (solution prior prepared bubbling HCl gas directly into the EtOEt until saturation), producing a white solid precipitate. The solid is filtered and washed with an excess of EtOEt and dried at reduced pressure. 6.55 g of the product of interest are obtained. Yield: 99%.
- 1H-NMR (200 MHz, DMSO-d6): 10.26 (1 H, s, d.e. D2O, HCl), 8.60 (1 H, dd, J=5 Hz, J=1.8 Hz, CHar), 8.20 (1 H, dd, J=7.7 Hz, J=2 Hz, CHar), 7.22 (1 H, dd, J=3 Hz, J=8 Hz, CHar), 5.43 (1 H, sc, CH—ONO2), 5.30 (1 H,d, J=3 Hz, CH—O—CO), 5.05 (1 H, t, J=5.5 Hz, CH), 4.65 (1 H, d, J=5 Hz, CH), 4.20-3.80 (4 H, sc, CH2), 3.17 (2 H, q, J=7.6 Hz, CH2 —S), 1.23 (3 H, t, J=7.6 Hz, CH3).
- 13C-NMR (50 MHz, DMSO-d6): 164.06 (C═O), 161.34 (Car—COO), 152.88 (CHar), 139.63 (CHar), 122.48 (Car—S), 119.13 (CHar), 86.19 (CH—ONO2), 82.64 (CH), 81.78 (CH), 78.10 (CH—O—CO), 72.90 (CH2), 69.33 (CH2), 23.84 (CH2—S), 14.31 (CH3).
- Example 2
-
- Step 1.—The same method as in step 2 of example 1 is used, applying as starting product the isosorbide 2-mononitrate. The product of interest is obtained at a chemical yield of 88%.
- Step 2.—In a 500 ml three neck glass flask provided with a reflux refrigerator closed with a CaCl 2 tube, magnetic agitation, and a addition funnel with a compensated pressure, 7.0 g (19.66 mmol) of the product obtained in the former step are dissolved in a mixture of 200 mL of EtOEt+100 mL de CH2Cl2. The solution is agitated at room temperature and added, drop by drop, 30 mL of EtOEt solution saturated with HCl (solution prior prepared bubbling HCl gas directly into the EtOEt until saturatio), producing a white solid precipitate. The solid is filtered and washed with an excess of EtOEt and dried at reduced pressure. 7.05 g of the product of interest are obtained. Yield: 91%.
- 1H-NMR (200 MHz, DMSO-d6): 8.63 (1 H, dd, J=5 Hz, J=1.8 Hz, CHar), 8.33 (1 H, sb, d.e. D2O, HCl), 8.23 (1 H, dd, J=8 Hz, J=1.8 Hz, CHar), 7.24 (1 H, dd, J=3 Hz, J=7,8 Hz, CHar), 5.44 (1 H, d, J=3.2 Hz, CH—O—CO), 5.33 (1 H, sc, CHONO), 4.91 (1 H, t, J=5.6 Hz, CH), 4.67 (1 H, d, J=5.4 Hz, CH), 4.20-3.80 (4 H, sc, CH2), 3.08 (2 H, q, J=7.2 Hz, CH2—S), 1.20 (3 H, t, J=7.2 Hz CH3)
- 13C-NMR (50 MHz, DMSO-d6): 163.74 (C═O), 161.53 (Car—COO), 152.77 (CHar), 139.24 (CHar), 122.05 (Car—S), 119.01 (CHar), 86.65 (CH—ONO2), 84.13 (CH), 80.79 (CH), 74.48 (CH—O—CO), 70.78 (CH2-0), 70.70 (CH2—O), 23.67 (CH2), 14.14 (CH3).
- Example 3.
-
- Step 1.—In a 100 mL glass flask, provided with a reflux refrigerator closed with a CaCl 2 tube and magnetic agitation, 3.0 g (19.35 mmol) of 2-mercaptonicotinic acid are suspended in 30 mL of thionyl chloride (1.64 g/ml; 431.4 mmol). The mixture is left to reflux for 2 h, observing the dissolution of the solid during this period. The mixture is cooled down and excess thionyl chloride is eliminated under reduced pressure while adding portions of toluene. After drying at reduced pressure, 3.35 g of a solid yellow-orange corresponding to the acid chloride of interest are obtained. Yield, 100%.
- Step 2.—In a 250 mL glass flask, provided with a reflux refrigerator and magnetic agitation, 3.0 g (17.29 mmol) of the acid chloride obtained in the former step are suspended, under Ar atmosphere, in 75 mL of pyridine. The suspension is cooled down in an ice bath and 3.30 g (17.29 mmol) of isosorbide 5-mononitrate are added. The reaction mixture is left agitating at room temperature under Ar atmosphere for 19 h, a period of time wherein the mixture is getting dark. Once the reaction finished, the solvent is eliminated at reduced pressure. The residue is dissolved in 250 mL of CHCl 3 and washed: first with 250 mL of water, secondly with 250 mL aqueous solution of 5% HCl and once more with 250 mL water. The organic phase is dried over anhydrous MgSO4, filtered, and the solvent is eliminated at reduced pressure. After drying at reduced pressure, 5.45 g of a yellow solid are obtained, which are recrystallized in isopropanol to obtain 4.83 g of a white solid which is reacted in acid medium for 20 min. with triphenylphosphine (1:1.25 mol/mol) in methanol, with a 10% of water. The solvent is eliminated at reduced presureand the residue is disolved in AcOEt, washing the solution with some water. The organic phase is dried and the solvent is eliminated at reduced presure, recovering the product of interest by preparative chromatography. Yield: 35.7%.
- 1H-RMN (200 MHz, Cd3COCd3): 7.90 (1 H, dd, J=6.1 Hz, J=1.6 Hz, CHar), 7.70 (1 H, dd, J=7.2 Hz, J=1.6 Hz, CHar), 6.97 (1 H, dd, J=6.4 Hz, J=7.2 Hz, CHar), 5.63-5.55 (1 H, sc, CH—ONO2), 5.38 (1 H, d, J=3.4 Hz, CH—O—CO), 5.09 (1 H, t, J=5.1 Hz, CH), 4.75 (1 H, d, J=4.8 Hz, CH), 4.20-3.85 (4 H, sc, CH2).
- IR (p.KBr):3438,2925,1735,1639,1571,1281,1095.
- Example 4.
-
- In a 250 mL glass flask, provided with a reflux refrigerator and magnetic agitation, 3.0 g (17.29 mmol) of the acid chloride obtained in step 1 of example 3 are suspended, under Ar atmosphere, in a mixture of 50 ml pyridine and 25 mL of CHCl 3. The suspension is cooled down in an ice bath and 3.30 g (17.29 mmol) of isosorbide 2-mononitrate are added. The reaction mixture is left agitating at room temperature under Ar atmosphere for 19 h, a period of time wherein the mixture is getting dark. Once the reaction finished, the solvent is eliminated at reduced pressure. The residue is dissolved in 300 mL of CHCl3 and washed: first with 300 mL of water, secondly with 300 mL aqueous solution of 5% HCl and once more with 300 mL water. The organic phase is dried over anhydrous MgSO4, filtered, and the solvent is eliminated at reduced pressure. After drying at reduced temperature, 5.10 g of a white-yellowish solid are obtained, which are re-crystallized in isopropanol to obtain 4.55 g of a white solid which is reacted in acid medium for 20 min. with triphenylphosphine (1:1.25 mol/mol) in methanol, with a 10% of water. The solvent is eliminated at reduced presure and the residue is disolved in AcOEt, washing the solution with some water. The organic phase is dried and the solvent is eliminated at reduced presure, recovering the product of interest by preparative chromatography. Yield: 37.6%.
- 1H-RMN (200 MHz, Cd3COCd3): 7.98 (1 H, dd, J=4.2 Hz, J=1.0 Hz, CHar), 7.76 (1 H, dd, J=4.9 Hz, J=1.0 Hz, CHar), 7.34 (1 H, dd, J=4.5 Hz, J=4.8 Hz, CHar), 5.50-5.36 (2 H, sc, CH—ONO2+CH—O—CO), 5.02 (1 H, t, J=3.7 Hz, CH), 4.74 (1 H, d, J=3.4 Hz, CH), 4.20-3.90 (4 H, sc, CH2).
- IR
- (p.KBr):3395,2876,1727,1653,1631,1593,1291,1276.
- Example 5.
-
- Step 1.—In a 1 L glass flask provided with a reflux refrigerator, an addition funnel with a compensated pressure, and magnetic agitation, 60 g (411 mmol) of isomanide, 88 g (461 mmol) of paratoluenesulfonyl chlorine, 296 mL of CCl 4, 33 mL of CH2Cl2 and 247 mL of H2O are mixed. An Ar atmosphere is made and a solution of 29.9 g (453 mmol) of 85% KOH is added, drop by drop, while maintaining the reaction temperature at 5° C. The period of time of the addition is 1 h 20 min. The resulting mixture is agitated at 50 C for 7 h. The solid is filtered and with 2×125 mL portions of H2O and dried at reduced pressure.
- The obtained solid is re-crystallized in 1200 mL of CCl 4, hot filtered and the filtrate is left to cool down. The obtained crystals are filtered and washed yielding 54.5 g of a fraction A of the product of interest, monotosilate of isomanide.
- The, after the hot filtering, resulting solid is re-crystallized in 1000 mL of CCl 4 obtaining 29.5 g of a fraction B of the product of interest.
- Step 2.—In a 500 mL glass flask provided with a reflux refrigerator and magnetic agitation, 22.7 g (76 mmol) of monotosilate of isomanide and 13.0 g (113 mmol) of potassium thioacetate are mixed in 113 mL of n-butanol. An Ar atmosphere is made and the reaction mixture is let to reflux for 1 h. The mixture is cooled down, filtered and washed with 200 mL ethanol and the solvents are eliminated at reduced pressure. 20 g of a solid are obtained.
- A thin layer chromatographic analysis with independent sample shows that the product of interest is not a major part of the crude.
- The obtained crude is treated with 300 mL of n-butanol and 40 mL of thioacetic acid and refluxed for 1 h. The mixture is left to cool down and filtered over a SiO 2 layer. The solvents of the filtrate are evaporated at reduced pressure and a crude is obtained which is submitted to a Flash chromatography.
- For the chromatographic separation a mixture CHCl 3/AcOEt 4:1 is used as eluent. A fraction of 4.14 g of 2-acetylmercaptoisosorbide is obtained, sufficiently pure to be used in the subsequent step of synthesis. Various fractions of product of interest are obtained with quite a lot of impurity. These last fractions are submitted to reverse phase preparative chromatography for purification of the wanted product.
- Step 3.—A nitrating mixture is prepared by addiing, slowly and carefully, 2.4 ml of 60% HNO 3 into a mixture of 10 mL of acetic anhydride and 10 mL of acetic acid. The mixture is prepared at 0° C.
- In a 100 mL glass flask provided with a reflux refrigerator and magnetic agitation, 2.51 g (12.3 mmol) of the product obtained in the former step are dissolved at 0° C. in 14.5 mL of acetic acid and, after agitation for a while the nitrated mixture previously made is added drop by drop, for 20 minutes, while maintaining the temperature at 0° C. The reaction mixture is agitated for 2 h at 0° C., the crude is poured on 200 mL water, and the resulting mixture is extracted with 3×200 mL portions of AcOEt. Each of the three portions are washed separately with 2×220 mL portions of a saturated NaHCO 3 solution and 200 mL of water. The obtained solution is dried on Na2SO4, filtered, and the solvents are eliminated at reduced pressure. 2.4 g of a crude are obtained which are submitted to a Flash Chromatography using a mixture of CHCl3/AcOEt 25:1 as eluent. 2.08 g of product de interest are obtained. Yield: 68%.
- 1H-NMR (200 MHz, CDCl3): 5.36-5.24 (1 H, sc, CH—ONO2), 4.90-4.80 (1 H, sc, CH), 4.44-4.37 (1 H, sc, CH), 4.22-4.10 (1 H, sc, CH), 4.10-3.98 (2 H, sc, CH2), 3.92-3.78(2 H, sc, CH2), 2.33 (3 H, s, CH3).
- 13C-NMR (50 MHz, CDCl 3): 194.48 (C═O), 86.50 (CH—ONO2), 81.44 (CH), 81.22 (CH), 78.48 (CH2), 69.25 (CH2), 45.92 (CH—S), 30.48 (CH3).
- IR(cm −1): 300-2800, 1700, 1650, 1630, 1280, 1080, 960.
- Example 6
-
- In a 50 ml glass flask, provided with magnetic agitation and reflux refrigerator, 2.00 g (10.7 mmol) of 2-methylthionicotinic acid chloride are suspended, under Ar atmosphere, in 12 ml pyridine. The mixture is cooled down in a ice bath and 2.04 g (10.7 mmol) of isosorbide 5-mononitrate are added. The reaction mixture is agitated at room temperature under Ar atmosphere for 15 h. After this period the solvent is eliminated at reduced pressure. The residue is dissolved in 50 mL of CHCl 3 and washed: first with 50 mL of water, secondly with 50 mL aqueous solution of 5% HCl and once more with 50 mL water. The organic phase is dried over anhydrous MgSO41 filtered, and the solvent is eliminated at reduced pressure. After drying at reduced pressure, 2.80 g of the product of interest are obtained. Yield: 77%.
- 1H-RMN (200 MHz, DMSO-d6): 8.68 (1 H,dd,J=5 Hz, J=1.8 Hz, CHar), 8.22 (1 H,dd,J=7.7 Hz, J=2 Hz, CHar), 7.26 (1 H,dd,J=3 Hz, J=8 Hz, CHar), 5.54 (1 H, td, J=2 Hz, J=6 Hz, CH—ONO2), 5.34 (1 H,d, J=3 Hz, CH—O—CO), 5.06 (1 H, t, J=5.5 Hz, CH), 4.58 (1 H, d, J=5 Hz, CH), 4.18-3.82 (4 H, sc, CH2), 2.45 (3 H, s, CH3—S).
- 13C-RMN (50 MHz, DMSO-d6): 163.91 (C═O), 161.64 (Car—COO), 152.80 (CHar), 139.27 (CHar), 122.20 (Car—S), 118.83 (CHar), 85.97 (CH—ONO2), 82.41 (CH), 81.53 (CH), 77.87 (CH—O—CO), 72.67 (CH2), 69.07 (CH2), 13.34 (CH3).
- Example 7
-
- In a 50 ml glass flask, provided with magnetic agitation and reflux refrigerator, 2.00 g (10.7 mmol) of 2-methylthionicotinic acid chloride are suspended, under Ar atmosphere, in 12 ml pyridine. The mixture is cooled down in a ice bath and 2.04 g (10.7 mmol) of isosorbide 5-mononitrate are added. The reaction mixture is agitated at room temperature under Ar atmosphere for 15 h. After this period the solvent is eliminated at reduced pressure. The residue is dissolved in 50 mL of CHCl 3 and washed: first with 50 mL of water, secondly with 50 mL aqueous solution of 5% HCl and once more with 50 mL water. The organic phase is dried over anhydrous MgSO4, filtered, and the solvent is eliminated at reduced pressure. After drying at reduced pressure, 2.75 g of the product of interest are obtained. Yield: 75%.
- 1H-RMN (200 MHz, DMSO-d6): 8.90 (1 H,dd,J=5 Hz, J=1.8 Hz, CHar), 8.27 (1 H,dd,J=7.7 Hz, J=2 Hz, CHar), 7.27 (1 H,dd,J=3 Hz, J=7.8 Hz, CHar), 5.42-5.31 (1 H, sc, J=2 Hz, J=6 Hz, CH—ONO2), 5.60 (1 H,d, J=3.2 Hz, CH—O—CO), 5.06 (1 H, t, J=5.5 Hz, CH), 4.92 (1 H, d, J=5.6 Hz, CH), 4.10-3.88 (4 H, sc, CH2) , 1.24 (3 H, s, CH3—S).
- 13C-RMN (50 MHz, DMSO-d6): 163.71 (C═O), 161.89 (Car—COO), 152.77 (CHar), 139.04 (CHar), 121.92 (Car—S), 118.87 (CHar), 86.56 (CH—ONO2), 84.05 (CH), 80.69 (CH) 74.41 (CH—O—CO), 70.69 (CH2), 70.61 (CH2), 13.37 (CH3).
- Example 8.
- Tests for vasodilatation.
- The method used in the assays is substantially the same as described in following references:
- * Furchgot, R. F. “Methods in nitric oxide research”. Feelisch & Stamler eds. John Wiley &Sons, Chichester, England, pp 567-581.
- * Trongvanichnam, K, et al. Jpn J. Pharmacol. 1996; 71:167-173.
- * Salas, E., et al. Eur. J. Pharmacol. 1994; 258:47-55.
- The different compounds are tested at 5 different concentrations, at a concentration range from 0.001 y 10 mM, using from 6 to 9 arterial rings for each compound. The obtained results are compared to those from the isosorbide 5-mononitrate, which is used as reference product.
- The results are shown in table 1 below and are provided as CE 50 (concentration effective 50), which is the concentration of each of the tested compounds wherein there is produced a vasodilatation of 50% of the arterial ring previously contracted with 1 μM of Norepinephrine.
TABLE 1 Test of vasodilatation CE50 mM Compound (average ± SD) isosorbide 5-mononitrate 0.92 ± 0.2 Product obtained in example 5 (5) 0.95 ± 0.1 Product obtained in example 1 (1) 0.13 ± 0.01 - As can be observed, the two compounds tested have a potent vasodilating activity, at least similar to that of the reference, and the compound 1 has a vasodilating activity superior to that of the reference product.
- Example 9.
- Assay of tolerance.
- The different compounds rested are subcutaneously administrated to rats at a dose of 10 mg/Kg for three days, each eight hours, and the assay is then done ex vivo to test the capacity to vasodilate the arterial segments of the rats after the subcutaneous administration of the compound.
- The method followed is substantially the same as described in following references:
- * De Garavilla, L., et al. Eur. J. Pharmacol. 1996; 313:89-96.
- * Keith, R. A., et al. J. Pharmacol, Exp. Ther. 1982; 221:525-531.
- The different compounds are tested at 5 different concentrations, at a concentration range from 0.001 to 10 mM, using from 6 to 9 arterial rings for each compound. The obtained results are compared to those from the isosorbide 5-mononitrate, which is used as reference product, and with those obtained from the animals wherein there have not been administrated any compound.
- The results obtained, also shown as CE 50, are shown in table 2
TABLE 2 Test of tolerance Animals without any Animals with com- compound adminis- pound administrated trated during three during three days days (Group A). (Group B). Compound CE50 mM (average ± SD) CE50 mM (average ± SD) isosorbide 5- 0.92 ± 0.2 6.5 ± 1.5 mononitrate Product obtained 0.95 ± 0.1 0.99 ± 0.1 in example 5 (5) Product obtained 0.13 ± 0.01 0.59 ± 0.1 in example 1 (1) - It should be understood that a compound develops tolerance when the CE 50 of the product in the vascular rings of the animals which have been submitted to administration of the compound, as specified above, is superior to the CE50 of the compound in the vascular rings of the animals which have not been submitted to administration of the compound.
-
- which indicate a strong developments of tolerance for the reference product. On the contrary, for the two compounds tested, 1 y 5, which form part of the object of the invention, the CE 50 obtained for both of them are significantly less, which indicate a development of tolerance very inferior as compared to the reference product. Further, for the compound 5 the development of tolerance is practically null under these test conditions.
Claims (10)
1. Compounds which are derivatives of isosorbide mononitrate, and its pharmaceutically acceptable salts, which corresponds to following general formula (I)
in which A and B individually represent any of the groups
wherein Z is an oxygen atom or sulphur atom, and R is an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted, or the group
in which R1 is hydrogen or an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted; with the proviso that:
(a) one of A or B is always —ONO2, but never both of them at the same time;
(b) when Z is an sulphur atom R is an alkyl C1-C4 group, an aryl group or an aralkyl group, eventually substituted; and
(c) when Z is an oxygen atom R is the group
in which R1 represents the groups indicated above.
2. Compounds of , characterized by that that when Z is a sulphur atom, R is a short chain C1-C4 alkyl group, and when Z is an oxygen atom, R1 is a hydrogen atom or a short chain C1-C4 alkyl group.
claim 1
3. Compounds of claims 1 or 2, characterized by that B is the —ONO2 group.
4. The compound isosorbide 2-(2′-ethylthio)nicoti-nate 5-mononitrate and its pharmaceutically acceptable salts.
5. The compound isosorbide 5-(2′-ethylthio)nicoti-nate 2-mononitrate and its pharmaceutically acceptable salts.
6. The compound isosorbide 2-(2′-mercapto)nicoti-nate 5-mononitrate and its pharmaceutically acceptable salts.
7. The compound isosorbide 5-(2′-mercapto)nicoti-nate 2-mononitrate and its pharmaceutically acceptable salts.
8. The compound 2-acetylmercaptoisosorbide 5-mono-nitrate.
9. The use of the compounds of any of the to for the manufacture of a medicament with vasodilating effect for the treatment of dysfunctions of the circulatory system.
claims 1
8
10. The use, according to , of the compounds of any of the to , for the manufacture of a medicament for the treatment of cardiovascular and coronary dysfunctions.
claim 8
claims 1
8
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100160652A1 (en) * | 2008-12-19 | 2010-06-24 | Lacer, S.A. | Stereospecific method for the preparation of dioxa-bicyclooctane nitrate compounds |
| US8106224B2 (en) | 2008-12-19 | 2012-01-31 | Lacer, S.A. | Stereospecific method for the preparation of dioxa-bicyclooctane nitrate compounds |
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