WO1999016431A1 - Melanges d'enantiomeres d'aminocyclohexylamides permettant de produire une analgesie simultanee avec anesthesie locale ou antiarythmie - Google Patents
Melanges d'enantiomeres d'aminocyclohexylamides permettant de produire une analgesie simultanee avec anesthesie locale ou antiarythmie Download PDFInfo
- Publication number
- WO1999016431A1 WO1999016431A1 PCT/CA1998/000905 CA9800905W WO9916431A1 WO 1999016431 A1 WO1999016431 A1 WO 1999016431A1 CA 9800905 W CA9800905 W CA 9800905W WO 9916431 A1 WO9916431 A1 WO 9916431A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- methyl
- pynolidinyl
- acetamide
- cyclohexyl
- benzo
- Prior art date
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 81
- 206010002091 Anaesthesia Diseases 0.000 title claims abstract description 23
- 230000037005 anaesthesia Effects 0.000 title claims abstract description 23
- 238000001949 anaesthesia Methods 0.000 title claims abstract description 23
- 230000036592 analgesia Effects 0.000 title claims abstract description 18
- LHQRDAIAWDPZGH-UHFFFAOYSA-N cyclohexylhydrazine Chemical class NNC1CCCCC1 LHQRDAIAWDPZGH-UHFFFAOYSA-N 0.000 title claims abstract description 13
- HBAQYPYDRFILMT-UHFFFAOYSA-N 8-[3-(1-cyclopropylpyrazol-4-yl)-1H-pyrazolo[4,3-d]pyrimidin-5-yl]-3-methyl-3,8-diazabicyclo[3.2.1]octan-2-one Chemical class C1(CC1)N1N=CC(=C1)C1=NNC2=C1N=C(N=C2)N1C2C(N(CC1CC2)C)=O HBAQYPYDRFILMT-UHFFFAOYSA-N 0.000 title claims description 27
- 230000003288 anthiarrhythmic effect Effects 0.000 title description 7
- 238000000034 method Methods 0.000 claims abstract description 16
- 230000006698 induction Effects 0.000 claims abstract description 6
- 206010003119 arrhythmia Diseases 0.000 claims abstract description 5
- 230000000747 cardiac effect Effects 0.000 claims abstract description 5
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 claims description 59
- 150000001875 compounds Chemical class 0.000 claims description 50
- DLFVBJFMPXGRIB-UHFFFAOYSA-N Acetamide Chemical compound CC(N)=O DLFVBJFMPXGRIB-UHFFFAOYSA-N 0.000 claims description 30
- 125000004432 carbon atom Chemical group C* 0.000 claims description 24
- 125000005605 benzo group Chemical group 0.000 claims description 17
- 239000001257 hydrogen Substances 0.000 claims description 15
- 229910052739 hydrogen Inorganic materials 0.000 claims description 15
- KTAIMVIYPUJRRA-UHFFFAOYSA-N 2-(1-benzothiophen-4-yl)acetamide Chemical compound NC(=O)CC1=CC=CC2=C1C=CS2 KTAIMVIYPUJRRA-UHFFFAOYSA-N 0.000 claims description 14
- 125000000217 alkyl group Chemical group 0.000 claims description 13
- 229910052757 nitrogen Inorganic materials 0.000 claims description 13
- 229910052717 sulfur Inorganic materials 0.000 claims description 11
- 150000002431 hydrogen Chemical class 0.000 claims description 10
- -1 3,4,5-trimethylphenoxy Chemical group 0.000 claims description 9
- 125000001424 substituent group Chemical group 0.000 claims description 9
- 125000003545 alkoxy group Chemical group 0.000 claims description 8
- ZGYCYELHORMCHT-UHFFFAOYSA-N 2-(3,4-dichlorophenoxy)acetamide Chemical compound NC(=O)COC1=CC=C(Cl)C(Cl)=C1 ZGYCYELHORMCHT-UHFFFAOYSA-N 0.000 claims description 7
- 239000003814 drug Substances 0.000 claims description 7
- 125000004433 nitrogen atom Chemical group N* 0.000 claims description 7
- LBMREIJGNSZCCS-UHFFFAOYSA-N 2-(1-benzothiophen-3-yl)acetamide Chemical compound C1=CC=C2C(CC(=O)N)=CSC2=C1 LBMREIJGNSZCCS-UHFFFAOYSA-N 0.000 claims description 6
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical group FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 claims description 6
- 239000011737 fluorine Chemical group 0.000 claims description 6
- 229910052731 fluorine Inorganic materials 0.000 claims description 6
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 claims description 5
- 125000003118 aryl group Chemical group 0.000 claims description 5
- WKBOTKDWSSQWDR-UHFFFAOYSA-N Bromine atom Chemical compound [Br] WKBOTKDWSSQWDR-UHFFFAOYSA-N 0.000 claims description 4
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical group [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 claims description 4
- GDTBXPJZTBHREO-UHFFFAOYSA-N bromine Substances BrBr GDTBXPJZTBHREO-UHFFFAOYSA-N 0.000 claims description 4
- 229910052794 bromium Inorganic materials 0.000 claims description 4
- 239000000460 chlorine Chemical group 0.000 claims description 4
- 229910052801 chlorine Inorganic materials 0.000 claims description 4
- 239000003085 diluting agent Substances 0.000 claims description 4
- 229910052760 oxygen Inorganic materials 0.000 claims description 4
- 125000004634 hexahydroazepinyl group Chemical group N1(CCCCCC1)* 0.000 claims description 3
- 125000002757 morpholinyl group Chemical group 0.000 claims description 3
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 3
- MYMOFIZGZYHOMD-UHFFFAOYSA-N Dioxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 claims description 2
- 125000001589 carboacyl group Chemical group 0.000 claims description 2
- 125000002887 hydroxy group Chemical group [H]O* 0.000 claims description 2
- 238000004519 manufacturing process Methods 0.000 claims description 2
- 239000001301 oxygen Substances 0.000 claims description 2
- 125000003386 piperidinyl group Chemical group 0.000 claims description 2
- 125000004434 sulfur atom Chemical group 0.000 claims description 2
- 125000003039 tetrahydroisoquinolinyl group Chemical group C1(NCCC2=CC=CC=C12)* 0.000 claims description 2
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 2
- ZGCXONRAZIBVCC-UHFFFAOYSA-N 2-(furan-3-yl)acetamide Chemical compound NC(=O)CC=1C=COC=1 ZGCXONRAZIBVCC-UHFFFAOYSA-N 0.000 claims 1
- 125000000623 heterocyclic group Chemical group 0.000 claims 1
- MVPVNXNWKXAIIP-UHFFFAOYSA-N n-(3,4-dichlorophenoxy)acetamide Chemical compound CC(=O)NOC1=CC=C(Cl)C(Cl)=C1 MVPVNXNWKXAIIP-UHFFFAOYSA-N 0.000 claims 1
- 230000000707 stereoselective effect Effects 0.000 abstract 1
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 54
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 21
- 239000000243 solution Substances 0.000 description 15
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 12
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 12
- 238000003786 synthesis reaction Methods 0.000 description 11
- 230000015572 biosynthetic process Effects 0.000 description 10
- 230000000694 effects Effects 0.000 description 10
- 150000003839 salts Chemical class 0.000 description 10
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 10
- IJGRMHOSHXDMSA-UHFFFAOYSA-N nitrogen Substances N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 9
- 241001465754 Metazoa Species 0.000 description 8
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 8
- 229940125782 compound 2 Drugs 0.000 description 8
- 150000004985 diamines Chemical class 0.000 description 8
- 238000002347 injection Methods 0.000 description 8
- 239000007924 injection Substances 0.000 description 8
- 230000003444 anaesthetic effect Effects 0.000 description 7
- 239000007787 solid Substances 0.000 description 6
- FYSNRJHAOHDILO-UHFFFAOYSA-N thionyl chloride Chemical compound ClS(Cl)=O FYSNRJHAOHDILO-UHFFFAOYSA-N 0.000 description 6
- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 description 5
- 230000000202 analgesic effect Effects 0.000 description 5
- 229960004194 lidocaine Drugs 0.000 description 5
- 241000699666 Mus <mouse, genus> Species 0.000 description 4
- 241000700159 Rattus Species 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 229940125773 compound 10 Drugs 0.000 description 4
- ZLVXBBHTMQJRSX-VMGNSXQWSA-N jdtic Chemical compound C1([C@]2(C)CCN(C[C@@H]2C)C[C@H](C(C)C)NC(=O)[C@@H]2NCC3=CC(O)=CC=C3C2)=CC=CC(O)=C1 ZLVXBBHTMQJRSX-VMGNSXQWSA-N 0.000 description 4
- 239000008194 pharmaceutical composition Substances 0.000 description 4
- 239000000047 product Substances 0.000 description 4
- 230000004044 response Effects 0.000 description 4
- 229910052938 sodium sulfate Inorganic materials 0.000 description 4
- 235000011152 sodium sulphate Nutrition 0.000 description 4
- 238000003756 stirring Methods 0.000 description 4
- 239000003981 vehicle Substances 0.000 description 4
- 208000003663 ventricular fibrillation Diseases 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 150000001412 amines Chemical class 0.000 description 3
- 238000009835 boiling Methods 0.000 description 3
- 238000004821 distillation Methods 0.000 description 3
- 229940079593 drug Drugs 0.000 description 3
- 238000002360 preparation method Methods 0.000 description 3
- 239000011780 sodium chloride Substances 0.000 description 3
- 206010047302 ventricular tachycardia Diseases 0.000 description 3
- 0 *=CC1CCCCC1 Chemical compound *=CC1CCCCC1 0.000 description 2
- IFOMXIGWQFOYLA-UHFFFAOYSA-N 2-(1-benzothiophen-4-yl)acetic acid Chemical compound OC(=O)CC1=CC=CC2=C1C=CS2 IFOMXIGWQFOYLA-UHFFFAOYSA-N 0.000 description 2
- 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 2
- 125000000175 2-thienyl group Chemical group S1C([*])=C([H])C([H])=C1[H] 0.000 description 2
- 125000001541 3-thienyl group Chemical group S1C([H])=C([*])C([H])=C1[H] 0.000 description 2
- AUKSCMCYMDCFAB-UHFFFAOYSA-N 7-methyl-7-azabicyclo[4.1.0]heptane Chemical compound C1CCCC2N(C)C21 AUKSCMCYMDCFAB-UHFFFAOYSA-N 0.000 description 2
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonia chloride Chemical compound [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 2
- 206010011086 Coronary artery occlusion Diseases 0.000 description 2
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 2
- BAVYZALUXZFZLV-UHFFFAOYSA-N Methylamine Chemical compound NC BAVYZALUXZFZLV-UHFFFAOYSA-N 0.000 description 2
- 241000699670 Mus sp. Species 0.000 description 2
- 208000024780 Urticaria Diseases 0.000 description 2
- 239000002253 acid Substances 0.000 description 2
- 230000004075 alteration Effects 0.000 description 2
- 230000008901 benefit Effects 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 229940125904 compound 1 Drugs 0.000 description 2
- 239000012043 crude product Substances 0.000 description 2
- ZWAJLVLEBYIOTI-UHFFFAOYSA-N cyclohexene oxide Chemical compound C1CCCC2OC21 ZWAJLVLEBYIOTI-UHFFFAOYSA-N 0.000 description 2
- FWFSEYBSWVRWGL-UHFFFAOYSA-N cyclohexene oxide Natural products O=C1CCCC=C1 FWFSEYBSWVRWGL-UHFFFAOYSA-N 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 210000000245 forearm Anatomy 0.000 description 2
- 239000000543 intermediate Substances 0.000 description 2
- 239000010410 layer Substances 0.000 description 2
- 229960005015 local anesthetics Drugs 0.000 description 2
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- 238000004806 packaging method and process Methods 0.000 description 2
- WEXRUCMBJFQVBZ-UHFFFAOYSA-N pentobarbital Chemical compound CCCC(C)C1(CC)C(=O)NC(=O)NC1=O WEXRUCMBJFQVBZ-UHFFFAOYSA-N 0.000 description 2
- 230000000144 pharmacologic effect Effects 0.000 description 2
- 239000012071 phase Substances 0.000 description 2
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 2
- 230000003389 potentiating effect Effects 0.000 description 2
- 239000002244 precipitate Substances 0.000 description 2
- 238000001953 recrystallisation Methods 0.000 description 2
- 229920006395 saturated elastomer Polymers 0.000 description 2
- 239000003826 tablet Substances 0.000 description 2
- 238000005303 weighing Methods 0.000 description 2
- KEQGZUUPPQEDPF-UHFFFAOYSA-N 1,3-dichloro-5,5-dimethylimidazolidine-2,4-dione Chemical compound CC1(C)N(Cl)C(=O)N(Cl)C1=O KEQGZUUPPQEDPF-UHFFFAOYSA-N 0.000 description 1
- 125000004214 1-pyrrolidinyl group Chemical group [H]C1([H])N(*)C([H])([H])C([H])([H])C1([H])[H] 0.000 description 1
- UKGCKKMMNGGFTC-UHFFFAOYSA-N 2-methoxycyclohexane-1,1-diamine Chemical compound COC1CCCCC1(N)N UKGCKKMMNGGFTC-UHFFFAOYSA-N 0.000 description 1
- ZZMOZLUSTUEYAN-UHFFFAOYSA-N 2-thiophen-3-ylacetamide Chemical compound NC(=O)CC=1C=CSC=1 ZZMOZLUSTUEYAN-UHFFFAOYSA-N 0.000 description 1
- AVFZOVWCLRSYKC-UHFFFAOYSA-N CN1CCCC1 Chemical compound CN1CCCC1 AVFZOVWCLRSYKC-UHFFFAOYSA-N 0.000 description 1
- OKTJSMMVPCPJKN-OUBTZVSYSA-N Carbon-13 Chemical compound [13C] OKTJSMMVPCPJKN-OUBTZVSYSA-N 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- 102000004310 Ion Channels Human genes 0.000 description 1
- BDYPPWZVYZVDKV-UHFFFAOYSA-N O=C(Cc1cccc2c1cc[s]2)Cl Chemical compound O=C(Cc1cccc2c1cc[s]2)Cl BDYPPWZVYZVDKV-UHFFFAOYSA-N 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 239000000443 aerosol Substances 0.000 description 1
- 239000003570 air Substances 0.000 description 1
- 239000012080 ambient air Substances 0.000 description 1
- 238000010640 amide synthesis reaction Methods 0.000 description 1
- 150000001408 amides Chemical class 0.000 description 1
- 235000019270 ammonium chloride Nutrition 0.000 description 1
- 239000003416 antiarrhythmic agent Substances 0.000 description 1
- 239000012223 aqueous fraction Substances 0.000 description 1
- 239000008346 aqueous phase Substances 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 238000003556 assay Methods 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 150000001735 carboxylic acids Chemical class 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- XTHPWXDJESJLNJ-UHFFFAOYSA-N chlorosulfonic acid Substances OS(Cl)(=O)=O XTHPWXDJESJLNJ-UHFFFAOYSA-N 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000001816 cooling Methods 0.000 description 1
- 210000004351 coronary vessel Anatomy 0.000 description 1
- YMHQVDAATAEZLO-UHFFFAOYSA-N cyclohexane-1,1-diamine Chemical compound NC1(N)CCCCC1 YMHQVDAATAEZLO-UHFFFAOYSA-N 0.000 description 1
- PAFZNILMFXTMIY-UHFFFAOYSA-N cyclohexylamine Chemical compound NC1CCCCC1 PAFZNILMFXTMIY-UHFFFAOYSA-N 0.000 description 1
- 229960001270 d- tartaric acid Drugs 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 239000003937 drug carrier Substances 0.000 description 1
- 238000000921 elemental analysis Methods 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 238000009472 formulation Methods 0.000 description 1
- 230000009931 harmful effect Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- MGJXBDMLVWIYOQ-UHFFFAOYSA-N methylazanide Chemical group [NH-]C MGJXBDMLVWIYOQ-UHFFFAOYSA-N 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- HXVFLSGVHLPPJS-SFTDATJTSA-N n-methyl-2-naphthalen-1-yloxy-n-[(1s,2s)-2-pyrrolidin-1-ylcyclohexyl]acetamide Chemical compound N1([C@H]2CCCC[C@@H]2N(C)C(=O)COC=2C3=CC=CC=C3C=CC=2)CCCC1 HXVFLSGVHLPPJS-SFTDATJTSA-N 0.000 description 1
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 description 1
- 239000002674 ointment Substances 0.000 description 1
- 239000006186 oral dosage form Substances 0.000 description 1
- 239000012044 organic layer Substances 0.000 description 1
- 239000006201 parenteral dosage form Substances 0.000 description 1
- 239000003182 parenteral nutrition solution Substances 0.000 description 1
- 239000008188 pellet Substances 0.000 description 1
- 229960001412 pentobarbital Drugs 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 239000000902 placebo Substances 0.000 description 1
- 229940068196 placebo Drugs 0.000 description 1
- 239000013641 positive control Substances 0.000 description 1
- 238000004262 preparative liquid chromatography Methods 0.000 description 1
- 238000000746 purification Methods 0.000 description 1
- 125000000719 pyrrolidinyl group Chemical group 0.000 description 1
- 230000006340 racemization Effects 0.000 description 1
- 239000011541 reaction mixture Substances 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 238000013268 sustained release Methods 0.000 description 1
- 239000012730 sustained-release form Substances 0.000 description 1
- 238000010189 synthetic method Methods 0.000 description 1
- 150000003892 tartrate salts Chemical class 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 230000037317 transdermal delivery Effects 0.000 description 1
- 238000005292 vacuum distillation Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/4025—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil not condensed and containing further heterocyclic rings, e.g. cromakalim
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/55—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
Definitions
- the present invention relates generally to the use of mixtures of enantiomers of vicinal ammocyclohexylamides to produce local anaesthesia and/or antiarrhythmia, while at the same time producing an approp ⁇ ate level of analgesia
- This invention is more particularly related to the treatment of cardiac arrhythmias and the inducement of local anaesthesia, with an approp ⁇ ate amount of analgesia
- the present invention provides compositions and methods for providing analgesia du ⁇ ng the treatment of cardiac arrhythmias or the induction of local anaesthesia in a patient in need thereof
- the present invention provides a composition comprising a plurality of vicinal aminocyclohexylamide enantiomers, wherein said composition of enantiomers is between about 85% to 99 99% R,R configuration and between about 15% to 0 01% S,S configuration
- the compositions may optionally include a pharmaceutically acceptable earner or diluent.
- the plurality of enantiomers are compounds of the formula
- n is either 0 or 1
- Rj , R2, R3, R4 are hydrogen, hydroxy, alkoxy of from one to four carbon atoms, or points of attachment of a spiro- or fused five- or six-membered heterocychc nng containing one oxygen or sulfur atom
- R5 and R5 are either alkyl of from one to five carbon atoms or, when taken together with the nitrogen atom to which they are attached, form a pyrrolidinyl, piperidinyl, morpholinyl, tetrahydroisoquinolinyl, or hexahydro- azepinyl ring
- Q is selected from the group of substituents comprising: 3,4,5-trimethylphenoxy;
- R7 is hydrogen, fluorine, chlorine, alkyl of from one to six carbon atoms, or aryl
- Z is -CH2-, -O-, -S-, or N-Rg where Rg is hydrogen, alkanoyl of from one to six carbon atoms, or alkyl of from one to six carbon atoms;
- X is CH2, O or S, and R9 and RJ Q are independently hydrogen, fluorine, bromine, alkyl of from one to six carbon atoms, or alkoxy of from one to four carbon atoms;
- R ⁇ ⁇ and R ⁇ 2 are independently hydrogen, fluorine, chlorine, bromine, nitro, trifluoromethyl, alkyl of from one to six carbon atoms, alkoxy of from one to six carbon atoms, or aryl.
- compositions of the present invention are provided for use as a medicament, and for use for the manufacture of a medicament to provide analgesia during the treatment of cardiac anhythmias or the induction of local anaesthesia.
- the present invention further provides for a method comprising the administration, to a patient in need of treatment for cardiac anhythmias or the induction of local anaesthesia, of a composition according to the present invention.
- the present invention is directed toward mixtures of enantiomers of vicinal aminocyclohexylamides which have a variety of uses.
- uses include the inducement of local anaesthesia, treatment of anhythmias and the blockade of ion channels in vitro and in vivo.
- Aminocyclohexylamides are known in the literature and include those disclosed in U.S. Patent No. 5,506,257 and the patent and technical literature cited therein. As disclosed within the present invention, compositions that include mixtures of at least two enantiomers of vicinal aminocyclohexylamides produce, surprisingly, a combination of desirable effects.
- Examples of vicinal aminocyclohexylamides include the class of substituted aminocyclohexylamide compounds depicted in formula I above.
- One nitrogen atom is an amine nitrogen substituted with R5 and Rg as defined above.
- R5 is methyl and Rg is a lower alkyl, more preferably methyl, or, when taken together with the nitrogen atom to which they are attached.
- R5 and Rg preferably form a py ⁇ olidinyl ring, a morpholinyl ring or a hexahydroazepinyl ring.
- the other nitrogen atom is an N-methylamide substituted as described above, wherein n is preferably 1.
- Ri , R2, R3 and R4 are hydrogen or, R3 and R4 are hydrogen and R ⁇ and R2 are an oxaspiran ring.
- aryl means phenyl; phenyl substituted with alkyl of from one to four carbon atoms, alkoxy of from one to four carbon atoms, nitro, or trifluromethyl; 2- or 3-thienyl; and, 2- or 3-thienyl substituted with alkyl of from one to four carbon atoms or alkoxy of from one to four carbon atoms.
- Aminocyclohexylamides are depicted above in formula I by a structural formula.
- Such structural formula contains one or more asymmetric carbon atoms and therefore the compounds exist in various stereoisomeric forms
- the compound is capable of existing in different geomet ⁇ c lsome ⁇ c forms
- the substituent R ⁇ of the cyclohexane ring may be positioned on the same side of the average plane of the ring as the amide nitrogen, or on the side opposite
- the two nitrogens (ammo and N-methylamide substituents) attached to the cyclohexyl ring are in a trans onentation
- the present invention contemplates the use of geometnc and stereoisome ⁇ c forms of the compounds of formula I
- the compounds of formula I may be prepared by known methods, including those described in the aforementioned United States patents to Horwell (all references cited in the present application, including those of Horwell, are incorporated herein in their entirety by reference). Suitable methods for the synthesis of diaminocyclohexane intermediates useful for preparation of a variety of compounds identified above are described in Szmuszkovicz, J., and Von Voightlander, P.F. (1982) J. Med. Chem. 25: 1 125-1 126. The oxaspiro and methoxy-cyclohexanediamine intermediates useful for syntheses of compounds 7, 10, 18, and 19 are described in Halfpenny, P.R., et al. (1990) J. Med. Chem.
- the synthetic method for the compounds can be modified in order to obtain the desired mixture of enantiomers.
- a prescribed ratio of enantiomers can be used in order to produce the desired mixture of enantiomers in the product.
- the conditions of synthesis can also affect the degree of enantiomeric purity for some compounds.
- a chiral compound can be synthesized as a pure enantiomer under certain conditions, but alteration of these conditions can result in some racemization.
- a mixture of the present invention is made possible through such alteration of the conditions of chiral synthesis in order to produce the desired mixture of enantiomers in the product.
- Another procedure for obtaining the desired mixture of enantiomers entails the chiral synthesis of the two enantiomers, followed by admixture of the two enantiomers in the desired ratio.
- Another procedure for obtaining the desired mixture of enantiomers requires (a) chiral synthesis of the enantiomer that is required in the smaller quantity in the final mixture, (b) synthesis of the racemate, and (c) admixture of the racemate to the single enantiomer to give the desired final enantiomer ratio.
- Another procedure for obtaining the desired mixture of enantiomers is to separate a racemate solution using chiral separation techniques, such as preparative liquid chromatography with a chiral column, then mixing the enantiomers in the desired ratio.
- the compounds of formula I may be in the form of a pharmaceutically acceptable acid addition salt.
- Such salts include the hydrochloride, sulfate, phosphate, citrate, and other salts known in the art.
- Pharmaceutical compositions of enantiomers of compound I or salts of compound I may contain pharmaceutically acceptable carriers or diluents, which are well known in the art.
- Compositions of the present invention are prepared by mixing together two or more vicinal aminocyclohexylamide enantiomers. The aminocyclohexylamides may be vicinal at positions 1,2; 2,3; 3,4; 4,5; 5,6; 6,7; 7,8; etc.; depending on the rest of the structure of the compound as a whole.
- the aminocyclohexylamide enantiomers are present such that about 85%-99.99% are R,R configuration and about 15%-0.01% are S,S configuration.
- an R,R enantiomer is present in a mixture at about 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% (and numbers in between the integers) or up to 99.99%, with the remaining % as an S,S enantiomer.
- about 99.5% are R,R and about 0.5% are S,S.
- the antianhythmic activity of a compound may be estimated against the anhythmias induced by coronary artery occlusion in anaesthetized rats. It is expected that a good antiarrhythmic compound will have antianhythmic activity at doses which have minimal effects on either the ECG, blood pressure or heart rate.
- a mixture may be assessed as an anaesthetic using a standard test for local anaesthetic effects.
- a standard test for local anaesthetic effects The following is a general description of such a test.
- a 20 microliter injection of the drug or the canier vehicle as a control
- the needle is advanced until the tip contacts the caudal vertebra, then the solution is injected.
- the pin prick test is conducted both proximally and distally on either side of the injection site. If there is a tail flick response, a "Yes" is recorded. If there is no response, a "No" is recorded, indicating local anaesthesia.
- a mixture may be assessed as an analgesic using a standard test for analgesic effects.
- a standard test for analgesic effects The following is a general description of such a test.
- Compounds over a range of doses are typically administered intravenously to mice weighing 20-30 g.
- a clip is placed at the base of the animal's tail and each animal is observed for a maximum period of 40 seconds; if the animal turns and bites the clip this indicates a lack of analgesia; whereas failure to turn and bite the clip indicates analgesia.
- the number of responders in each group is then determined and a dose which produces analgesia in 50% of animals (ED50) is then calculated.
- ED50 50% of animals
- the mixtures of the present invention may be employed to treat the rhythm of a heart or prevent anhythmias occurring in a heart that is susceptible to anhythmia.
- Methods of administering effective amounts of antianhythmic agents are well known in the art and include the administration of an oral or parenteral dosage form.
- Such dosage forms include, but are not limited to, parenteral solutions, tablets, capsules, sustained release implants, and transdermal delivery systems.
- oral or intravenous administration is prefened.
- the dosage amount and frequency is selected to create an effective level of the agent without harmful effects.
- a 0.1% to 1% solution injected into a local site is typical.
- the means of administration may be the same as described above in the case of treatment of anhythmia, except that use of oral administration in the form of tablets or capsules will generally not be appropriate.
- Topical application of the local anaesthetic agent for example in the form of an ointment or an aerosol spray, may be employed.
- Means of administering local anaesthetics are well known in the art.
- Administration of the mixtures of this invention may be carried out in combination with the administration of other agents.
- it may be desired to administer another antianhythmic agent or local anaesthetic.
- the present invention also includes a commercial kit containing a pharmaceutical composition which includes two or more isomeric compounds of formula I or, pharmaceutically acceptable salts thereof, in addition to any desired, pharmaceutically acceptable, carriers or diluents.
- the commercial kit also includes instructions for the use of the pharmaceutical composition for the treatment of anhythmia or for the inducement of local anaesthesia.
- the commercial package will contain one or more unit doses of the pharmaceutical composition.
- such a unit dose may be an amount sufficient for the preparation of an intravenous injection.
- compounds which are light and/or air sensitive may require special packaging and/or formulation.
- packaging may be used which is opaque to light, and/or sealed from contact with ambient air, and/or formulated with suitable coatings or excipients.
- This compound was prepared based on the method in U.S. Patent No. 4,579,863.
- the racemic diamine (Example 1) (16.0 g, 87.9 mmol) was dissolved in boiling methanol (400 mL). A solution of 2,3-di- -toluoyl-D- tartaric acid (35.6 g, 92.1 mmol) in boiling methanol (400 mL) was added. A white precipitate formed immediately. The mixture was cooled to room temperature then the solid (40.4 g) was filtered off. This procedure was repeated twice more to obtain a total of 120 g of crude tartaric acid salt. The salt was washed with hot methanol (1 L) but the specific rotation of the free diamine was only -74 (lit. value: -96).
- the acid chloride solution was added via cannula to a cooled solution of the (-) diamine (2.90 g, 16 mmol) in dichloromethane (15 mL). The reaction was stined at 0°C for 15 minutes and then stined at room temperature for a further 45 minutes. Ether (40 mL) was added to the solution. An off-white solid precipitated from solution. The solid was filtered off and washed it with fresh ether (3 x 10 mL). The solid was recrystallized from hot methanol/ether (4.79 g, 77%). Specific rotation of the free acetamide (not the HC1 salt):+29.3 (lit. value: +30).
- Antianhythmic efficacy was assessed by investigating the activity of the compounds on the incidence of cardiac anhythmias in pentobarbital anaesthetized rats subject to coronary artery occlusion. Anhythmias were recorded as ventricular tachycardia (VT) and ventricular fibrillation (VF) and according to Curtis, M.J. and Walker, M.J.A. (1988) Cardiovasc. Res. 22:656.
- VT ventricular tachycardia
- VF ventricular fibrillation
- Table 1 describes the result of tests of Compound 7 described therein as an ED50 value (which is the doses required to produce 50% reductions in the anhythmic activity refened to therein).
- ED50 value which is the doses required to produce 50% reductions in the anhythmic activity refened to therein.
- ANALGESIA A compound or compounds over a range of dose (or vehicle control) were administered intravenously to mice weighing 20-30 g At 5 and/or 15 minutes after injection a clip was placed at the base of the animal's tail and each animal observed for a maximum period of 40 seconds, if the animal turned and bit the clip this indicated a lack of analgesia whereas failure to turn and bite the clip indicated analgesia The number of responders in each group was then determined and a dose which produces analgesia in 50% of animals (ED50) was then calculated
- analgesic activity of certain of the compounds used in the compositions of the present invention is desc ⁇ bed in Halfpenny, P R , et al (1990) J Med Chem 33 286-291 It was determined that Compound 10 (the S,S-enant ⁇ omer) with a MPE50 (the dose required to produce 50% of the maximum possible analgesic effect using a rat paw pressure assay) value of 0 024 mg/kg is about 100 times more effective than Compound 7 (the R,R- enantiomer) with a MPE50 value of 2 5 mg/kg EXAMPLE 6
- a 20 microliter injection of the drug was made close to the base of the tail of a mouse.
- the needle was advanced until the tip contacts the caudal vertebra, then the solution was injected.
- the pin prick test was conducted both proximally and distally on either side of the injection site. If there was a tail flick response, a "Yes” was recorded. If there was no response, a "No” was recorded, indicating local anaesthesia.
- Compound 2, tested at 0.05%, 0.1%, 0.2%, 0.4%, 1% resulted in local anaesthesia in 0%, 33%, 60%, 100%, and 100%, of the mouse population, respectively. Saline injection failed to produce local anaesthesia.
- Lidocaine as a positive control, at 0.1%, 0.5%, and 1%, produced local anaesthesia in 17%, 17% and 100% of the mouse population.
- the local anaesthetic activity of certain of the compounds used in the compositions of the present invention is described in U.S. Patent No. 5,506,257.
- Compound 2 was evaluated for local anaesthetic effects in a Phase II human clinical trial. It was compared with lidocaine in a randomized, double-blind, placebo-controlled trial. Drugs at various concentrations (Compound 2: 0.05%, 0.15% and 0.25%; lidocaine: 0.2%, 0.6% and 1.0%) were injected intradermally in one of either forearms of 40 healthy male subjects. Local anaesthesia in the eight intradermal wheals (four wheals/ forearm) was determined by a pin-prick score system and recorded at 1 , 10, 30, 60 and 120 minutes post-injection.
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Abstract
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
BR9814048-5A BR9814048A (pt) | 1997-09-26 | 1998-09-25 | "misturas de enantiÈmetros de aminociclohexil amidas para produzir de modo simultâneo analgesia com anestesia local ou antiarritmia " |
AU92486/98A AU9248698A (en) | 1997-09-26 | 1998-09-25 | Mixtures of enantiomers of aminocyclohexylamides to produce simultaneous analgesia with local anaesthesia or antiarrhythmia |
MXPA00002969A MXPA00002969A (es) | 1997-09-26 | 1998-09-25 | Mezclas de enantiomeros de aminociclohexilamidas para producir analgesia simultanea con anestesia local o antiarritmia. |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US6015497P | 1997-09-26 | 1997-09-26 | |
US60/060,154 | 1997-09-26 |
Publications (1)
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WO1999016431A1 true WO1999016431A1 (fr) | 1999-04-08 |
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ID=22027715
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PCT/CA1998/000905 WO1999016431A1 (fr) | 1997-09-26 | 1998-09-25 | Melanges d'enantiomeres d'aminocyclohexylamides permettant de produire une analgesie simultanee avec anesthesie locale ou antiarythmie |
Country Status (5)
Country | Link |
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CN (1) | CN1278166A (fr) |
AU (1) | AU9248698A (fr) |
BR (1) | BR9814048A (fr) |
MX (1) | MXPA00002969A (fr) |
WO (1) | WO1999016431A1 (fr) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US7057053B2 (en) | 2000-10-06 | 2006-06-06 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7101877B2 (en) | 1998-04-01 | 2006-09-05 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7345087B2 (en) | 2003-10-31 | 2008-03-18 | Cardiome Pharma Corp. | Aminocyclohexyl ether compounds and uses thereof |
US7345086B2 (en) | 2003-05-02 | 2008-03-18 | Cardiome Pharma Corp. | Uses of ion channel modulating compounds |
US7507545B2 (en) | 1999-03-31 | 2009-03-24 | Cardiome Pharma Corp. | Ion channel modulating activity method |
US7524879B2 (en) | 2000-10-06 | 2009-04-28 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7674820B2 (en) | 2003-08-07 | 2010-03-09 | Cardiome Pharma Corp. | Ion channel modulating activity I |
US7767830B2 (en) | 2003-05-02 | 2010-08-03 | Cardiome Pharma Corp. | Aminocyclohexyl ether compounds and uses thereof |
US7977373B2 (en) | 2004-04-01 | 2011-07-12 | Cardiome Pharma Corp. | Prodrugs of ion channel modulating compounds and uses thereof |
US8058304B2 (en) | 2004-04-01 | 2011-11-15 | Cardiome Pharma Corp. | Merged ion channel modulating compounds and uses thereof |
US8263638B2 (en) | 2004-11-08 | 2012-09-11 | Cardiome Pharma Corp. | Dosing regimens for ion channel modulating compounds |
US10160727B2 (en) | 2014-08-06 | 2018-12-25 | Shionogi & Co., Ltd. | Heterocycle and carbocycle derivatives having TrkA inhibitory activity |
US10533006B2 (en) | 2016-02-04 | 2020-01-14 | Shionogi & Co., Ltd. | Nitrogen-containing heterocycle and carbocycle derivatives having TrkA inhibitory activity |
US10640495B2 (en) | 2015-07-07 | 2020-05-05 | Shionogi & Co., Ltd. | Heterocycle derivatives having TrkA inhibitory activity |
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US4212878A (en) * | 1978-01-26 | 1980-07-15 | The Upjohn Company | Phenylacetamide derivative analgesics |
EP0110869A1 (fr) * | 1982-11-26 | 1984-06-13 | Laevosan-Gesellschaft m.b.H. | Dérivés d'amide thiénylacétique, sels d'addition pharmaceutiquement acceptables et procédé pour leur préparation |
US5506257A (en) * | 1992-03-26 | 1996-04-09 | University Of British Columbia | Aminocyclohexylamides for antiarrhythmic and anaesthetic uses |
-
1998
- 1998-09-25 MX MXPA00002969A patent/MXPA00002969A/es unknown
- 1998-09-25 BR BR9814048-5A patent/BR9814048A/pt not_active Application Discontinuation
- 1998-09-25 WO PCT/CA1998/000905 patent/WO1999016431A1/fr active Application Filing
- 1998-09-25 AU AU92486/98A patent/AU9248698A/en not_active Abandoned
- 1998-09-25 CN CN98810770A patent/CN1278166A/zh active Pending
Patent Citations (3)
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US4212878A (en) * | 1978-01-26 | 1980-07-15 | The Upjohn Company | Phenylacetamide derivative analgesics |
EP0110869A1 (fr) * | 1982-11-26 | 1984-06-13 | Laevosan-Gesellschaft m.b.H. | Dérivés d'amide thiénylacétique, sels d'addition pharmaceutiquement acceptables et procédé pour leur préparation |
US5506257A (en) * | 1992-03-26 | 1996-04-09 | University Of British Columbia | Aminocyclohexylamides for antiarrhythmic and anaesthetic uses |
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US7875611B2 (en) | 1998-04-01 | 2011-01-25 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7101877B2 (en) | 1998-04-01 | 2006-09-05 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7534790B2 (en) | 1998-04-01 | 2009-05-19 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7507545B2 (en) | 1999-03-31 | 2009-03-24 | Cardiome Pharma Corp. | Ion channel modulating activity method |
US7259184B2 (en) | 2000-10-06 | 2007-08-21 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US8008342B2 (en) | 2000-10-06 | 2011-08-30 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7057053B2 (en) | 2000-10-06 | 2006-06-06 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7524879B2 (en) | 2000-10-06 | 2009-04-28 | Cardiome Pharma Corp. | Ion channel modulating compounds and uses thereof |
US7345086B2 (en) | 2003-05-02 | 2008-03-18 | Cardiome Pharma Corp. | Uses of ion channel modulating compounds |
US7767830B2 (en) | 2003-05-02 | 2010-08-03 | Cardiome Pharma Corp. | Aminocyclohexyl ether compounds and uses thereof |
US7820712B2 (en) | 2003-05-02 | 2010-10-26 | Cardiome Pharma Corp. | Uses of ion channel modulating compounds |
US8188140B2 (en) | 2003-05-02 | 2012-05-29 | Cardiome Pharma Corp. | Uses of ion channel modulating compounds |
US8163938B2 (en) | 2003-05-02 | 2012-04-24 | Cardiome Pharma Corp. | Aminocyclohexyl ether compounds and uses thereof |
US7674820B2 (en) | 2003-08-07 | 2010-03-09 | Cardiome Pharma Corp. | Ion channel modulating activity I |
US8207219B2 (en) | 2003-08-07 | 2012-06-26 | Cardiome Pharma Corp. | Ion channel modulating activity I |
US7345087B2 (en) | 2003-10-31 | 2008-03-18 | Cardiome Pharma Corp. | Aminocyclohexyl ether compounds and uses thereof |
US7977373B2 (en) | 2004-04-01 | 2011-07-12 | Cardiome Pharma Corp. | Prodrugs of ion channel modulating compounds and uses thereof |
US8058304B2 (en) | 2004-04-01 | 2011-11-15 | Cardiome Pharma Corp. | Merged ion channel modulating compounds and uses thereof |
US8263638B2 (en) | 2004-11-08 | 2012-09-11 | Cardiome Pharma Corp. | Dosing regimens for ion channel modulating compounds |
US10160727B2 (en) | 2014-08-06 | 2018-12-25 | Shionogi & Co., Ltd. | Heterocycle and carbocycle derivatives having TrkA inhibitory activity |
US10532985B2 (en) | 2014-08-06 | 2020-01-14 | Shionogi & Co., Ltd. | Heterocycle and carbocycle derivatives having TRKA inhibitory activity |
US10640495B2 (en) | 2015-07-07 | 2020-05-05 | Shionogi & Co., Ltd. | Heterocycle derivatives having TrkA inhibitory activity |
US10533006B2 (en) | 2016-02-04 | 2020-01-14 | Shionogi & Co., Ltd. | Nitrogen-containing heterocycle and carbocycle derivatives having TrkA inhibitory activity |
US10781210B2 (en) | 2016-02-04 | 2020-09-22 | Shionogi & Co., Ltd. | Nitrogen-containing heterocycle and carbocycle derivatives having TrkA inhibitory activity |
US11008320B2 (en) | 2016-02-04 | 2021-05-18 | Shionogi & Co., Ltd. | Nitrogen-containing heterocycle and carbocycle derivatives having TrkA inhibitory activity |
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Publication number | Publication date |
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CN1278166A (zh) | 2000-12-27 |
BR9814048A (pt) | 2000-10-03 |
MXPA00002969A (es) | 2002-06-21 |
AU9248698A (en) | 1999-04-23 |
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