US3245877A - Method of treating inflammation - Google Patents
Method of treating inflammation Download PDFInfo
- Publication number
- US3245877A US3245877A US3245877DA US3245877A US 3245877 A US3245877 A US 3245877A US 3245877D A US3245877D A US 3245877DA US 3245877 A US3245877 A US 3245877A
- Authority
- US
- United States
- Prior art keywords
- compound
- quinuclidine
- edema
- compounds
- treating inflammation
- 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.)
- Expired - Lifetime
Links
- 206010061218 Inflammation Diseases 0.000 title claims description 20
- 230000004054 inflammatory process Effects 0.000 title claims description 20
- 150000001875 compounds Chemical class 0.000 claims description 76
- 206010030113 Oedema Diseases 0.000 description 38
- 230000002401 inhibitory effect Effects 0.000 description 22
- 150000008584 quinuclidines Chemical class 0.000 description 22
- WHTVZRBIWZFKQO-UHFFFAOYSA-N Chloroquine Chemical compound ClC1=CC=C2C(NC(C)CCCN(CC)CC)=CC=NC2=C1 WHTVZRBIWZFKQO-UHFFFAOYSA-N 0.000 description 20
- 230000000694 effects Effects 0.000 description 20
- 229960003677 Chloroquine Drugs 0.000 description 18
- LOUPRKONTZGTKE-WZBLMQSHSA-N Quinine Chemical compound C([C@H]([C@H](C1)C=C)C2)C[N@@]1[C@@H]2[C@H](O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-WZBLMQSHSA-N 0.000 description 16
- 150000003839 salts Chemical class 0.000 description 16
- 239000011780 sodium chloride Substances 0.000 description 16
- 241000700159 Rattus Species 0.000 description 14
- 230000003110 anti-inflammatory Effects 0.000 description 14
- 239000002260 anti-inflammatory agent Substances 0.000 description 14
- -1 quinuclidine compound Chemical class 0.000 description 14
- 229940116904 ANTIINFLAMMATORY THERAPEUTIC RADIOPHARMACEUTICALS Drugs 0.000 description 12
- 229940074726 OPHTHALMOLOGIC ANTIINFLAMMATORY AGENTS Drugs 0.000 description 12
- XEKOWRVHYACXOJ-UHFFFAOYSA-N acetic acid ethyl ester Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 12
- 239000003795 chemical substances by application Substances 0.000 description 12
- HEDRZPFGACZZDS-UHFFFAOYSA-N chloroform Chemical compound ClC(Cl)Cl HEDRZPFGACZZDS-UHFFFAOYSA-N 0.000 description 12
- MHAJPDPJQMAIIY-UHFFFAOYSA-N hydrogen peroxide Chemical compound OO MHAJPDPJQMAIIY-UHFFFAOYSA-N 0.000 description 12
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 12
- FDJKLIVKKYFLSA-UHFFFAOYSA-N 1-oxido-1-azoniabicyclo[2.2.2]octane Chemical class C1CC2CC[N+]1([O-])CC2 FDJKLIVKKYFLSA-UHFFFAOYSA-N 0.000 description 10
- 239000002253 acid Substances 0.000 description 10
- 230000000875 corresponding Effects 0.000 description 10
- 239000000203 mixture Substances 0.000 description 10
- 230000003000 nontoxic Effects 0.000 description 10
- 231100000252 nontoxic Toxicity 0.000 description 10
- 229940024642 Aminopyrine Drugs 0.000 description 8
- 235000001258 Cinchona calisaya Nutrition 0.000 description 8
- 241000434299 Cinchona officinalis Species 0.000 description 8
- RMMXTBMQSGEXHJ-UHFFFAOYSA-N Dimethyl N aminoantipyrine Chemical compound O=C1C(N(C)C)=C(C)N(C)N1C1=CC=CC=C1 RMMXTBMQSGEXHJ-UHFFFAOYSA-N 0.000 description 8
- 229960000948 Quinine Drugs 0.000 description 8
- YGSDEFSMJLZEOE-UHFFFAOYSA-N Salicylic acid Chemical compound OC(=O)C1=CC=CC=C1O YGSDEFSMJLZEOE-UHFFFAOYSA-N 0.000 description 8
- QTBSBXVTEAMEQO-UHFFFAOYSA-N acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 8
- CSCPPACGZOOCGX-UHFFFAOYSA-N acetone Chemical compound CC(C)=O CSCPPACGZOOCGX-UHFFFAOYSA-N 0.000 description 8
- 150000007513 acids Chemical class 0.000 description 8
- 230000001780 adrenocortical Effects 0.000 description 8
- 229960000212 aminophenazone Drugs 0.000 description 8
- 230000037396 body weight Effects 0.000 description 8
- RTZKZFJDLAIYFH-UHFFFAOYSA-N diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 8
- 239000003814 drug Substances 0.000 description 8
- WSFSSNUMVMOOMR-UHFFFAOYSA-N formaldehyde Chemical compound O=C WSFSSNUMVMOOMR-UHFFFAOYSA-N 0.000 description 8
- 238000002360 preparation method Methods 0.000 description 8
- 230000002588 toxic Effects 0.000 description 8
- 231100000331 toxic Toxicity 0.000 description 8
- GUBGYTABKSRVRQ-UUNJERMWSA-N Lactose Natural products O([C@@H]1[C@H](O)[C@H](O)[C@H](O)O[C@@H]1CO)[C@H]1[C@@H](O)[C@@H](O)[C@H](O)[C@H](CO)O1 GUBGYTABKSRVRQ-UUNJERMWSA-N 0.000 description 6
- 125000000217 alkyl group Chemical group 0.000 description 6
- 125000005037 alkyl phenyl group Chemical group 0.000 description 6
- 239000000969 carrier Substances 0.000 description 6
- 239000008101 lactose Substances 0.000 description 6
- GUBGYTABKSRVRQ-XLOQQCSPSA-N lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 6
- 235000019359 magnesium stearate Nutrition 0.000 description 6
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 6
- HEMHJVSKTPXQMS-UHFFFAOYSA-M sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 6
- 229960000583 Acetic Acid Drugs 0.000 description 4
- 241000157855 Cinchona Species 0.000 description 4
- 229920002261 Corn starch Polymers 0.000 description 4
- JYGXADMDTFJGBT-VWUMJDOOSA-N Cortisol Chemical compound O=C1CC[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 JYGXADMDTFJGBT-VWUMJDOOSA-N 0.000 description 4
- WXTMDXOMEHJXQO-UHFFFAOYSA-N Gentisic acid Chemical compound OC(=O)C1=CC(O)=CC=C1O WXTMDXOMEHJXQO-UHFFFAOYSA-N 0.000 description 4
- OIGNJSKKLXVSLS-VWUMJDOOSA-N Prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 4
- 239000004480 active ingredient Substances 0.000 description 4
- 150000003797 alkaloid derivatives Chemical class 0.000 description 4
- 229930013930 alkaloids Natural products 0.000 description 4
- 238000006243 chemical reaction Methods 0.000 description 4
- 239000008120 corn starch Substances 0.000 description 4
- 229940099112 cornstarch Drugs 0.000 description 4
- 230000003247 decreasing Effects 0.000 description 4
- 239000003937 drug carrier Substances 0.000 description 4
- 229960000890 hydrocortisone Drugs 0.000 description 4
- 238000002844 melting Methods 0.000 description 4
- LRHPLDYGYMQRHN-UHFFFAOYSA-N n-butanol Chemical compound CCCCO LRHPLDYGYMQRHN-UHFFFAOYSA-N 0.000 description 4
- 230000003389 potentiating Effects 0.000 description 4
- 229960005205 prednisolone Drugs 0.000 description 4
- 239000002904 solvent Substances 0.000 description 4
- GVNVAWHJIKLAGL-UHFFFAOYSA-N 2-(cyclohexen-1-yl)cyclohexan-1-one Chemical compound O=C1CCCCC1C1=CCCCC1 GVNVAWHJIKLAGL-UHFFFAOYSA-N 0.000 description 2
- 125000000954 2-hydroxyethyl group Chemical group [H]C([*])([H])C([H])([H])O[H] 0.000 description 2
- WUBBRNOQWQTFEX-UHFFFAOYSA-N 4-Aminosalicylic acid Chemical compound NC1=CC=C(C(O)=O)C(O)=C1 WUBBRNOQWQTFEX-UHFFFAOYSA-N 0.000 description 2
- MBGGBVCUIVRRBF-UHFFFAOYSA-N 4-[2-(benzenesulfinyl)ethyl]-1,2-diphenylpyrazolidine-3,5-dione Chemical compound O=C1N(C=2C=CC=CC=2)N(C=2C=CC=CC=2)C(=O)C1CCS(=O)C1=CC=CC=C1 MBGGBVCUIVRRBF-UHFFFAOYSA-N 0.000 description 2
- YJISHJVIRFPGGN-UHFFFAOYSA-N 5-[5-[3,4-dihydroxy-6-(hydroxymethyl)-5-methoxyoxan-2-yl]oxy-6-[[3,4-dihydroxy-6-(hydroxymethyl)-5-methoxyoxan-2-yl]oxymethyl]-3,4-dihydroxyoxan-2-yl]oxy-6-(hydroxymethyl)-2-methyloxane-3,4-diol Chemical compound O1C(CO)C(OC)C(O)C(O)C1OCC1C(OC2C(C(O)C(OC)C(CO)O2)O)C(O)C(O)C(OC2C(OC(C)C(O)C2O)CO)O1 YJISHJVIRFPGGN-UHFFFAOYSA-N 0.000 description 2
- SLXKOJJOQWFEFD-UHFFFAOYSA-N Aminocaproic acid Chemical compound NCCCCCC(O)=O SLXKOJJOQWFEFD-UHFFFAOYSA-N 0.000 description 2
- 229960001444 Amodiaquine Drugs 0.000 description 2
- 235000019890 Amylum Nutrition 0.000 description 2
- CJZLZRKNPWGMSF-UHFFFAOYSA-N C(C)C1CN2CCC1C(C2)C2(C(C=C(C=C2OC)C(CCC)O)NS(=O)(=O)C=2C(=CC=CC2)C)O Chemical compound C(C)C1CN2CCC1C(C2)C2(C(C=C(C=C2OC)C(CCC)O)NS(=O)(=O)C=2C(=CC=CC2)C)O CJZLZRKNPWGMSF-UHFFFAOYSA-N 0.000 description 2
- SYSFUKSPYFXQLX-UHFFFAOYSA-N C(C=1C(O)=CC=CC=1)(=O)OCCC(C(O)C1CN2CC(C1CC2)CC)C1=C(C=CC(=C1)OC)NS(=O)(=O)CC1=CC=CC=C1 Chemical compound C(C=1C(O)=CC=CC=1)(=O)OCCC(C(O)C1CN2CC(C1CC2)CC)C1=C(C=CC(=C1)OC)NS(=O)(=O)CC1=CC=CC=C1 SYSFUKSPYFXQLX-UHFFFAOYSA-N 0.000 description 2
- 102100000129 CHURC1 Human genes 0.000 description 2
- 101710014631 CHURC1 Proteins 0.000 description 2
- OVCDSSHSILBFBN-UHFFFAOYSA-N Camoquin Chemical compound C1=C(O)C(CN(CC)CC)=CC(NC=2C3=CC=C(Cl)C=C3N=CC=2)=C1 OVCDSSHSILBFBN-UHFFFAOYSA-N 0.000 description 2
- WBYWAXJHAXSJNI-UHFFFAOYSA-N Cinnamic acid Chemical compound OC(=O)C=CC1=CC=CC=C1 WBYWAXJHAXSJNI-UHFFFAOYSA-N 0.000 description 2
- MFYSYFVPBJMHGN-ZPOLXVRWSA-N Cortisone Chemical compound O=C1CC[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 MFYSYFVPBJMHGN-ZPOLXVRWSA-N 0.000 description 2
- FBPFZTCFMRRESA-KAZBKCHUSA-N D-Mannitol Natural products OC[C@@H](O)[C@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KAZBKCHUSA-N 0.000 description 2
- 239000001828 Gelatine Substances 0.000 description 2
- 229940083577 Gold Sodium Thiosulfate Drugs 0.000 description 2
- XXSMGPRMXLTPCZ-UHFFFAOYSA-N Hydroxychloroquine Chemical compound ClC1=CC=C2C(NC(C)CCCN(CCO)CC)=CC=NC2=C1 XXSMGPRMXLTPCZ-UHFFFAOYSA-N 0.000 description 2
- 229960004171 Hydroxychloroquine Drugs 0.000 description 2
- 101700011272 LRAT Proteins 0.000 description 2
- 229920000126 Latex Polymers 0.000 description 2
- 240000007472 Leucaena leucocephala Species 0.000 description 2
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 2
- FBPFZTCFMRRESA-KVTDHHQDSA-N Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 2
- GPKJTRJOBQGKQK-UHFFFAOYSA-N Mepacrine Chemical compound C1=C(OC)C=C2C(NC(C)CCCN(CC)CC)=C(C=CC(Cl)=C3)C3=NC2=C1 GPKJTRJOBQGKQK-UHFFFAOYSA-N 0.000 description 2
- FEWJPZIEWOKRBE-XIXRPRMCSA-N Mesotartaric acid Chemical compound OC(=O)[C@@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-XIXRPRMCSA-N 0.000 description 2
- 150000001204 N-oxides Chemical class 0.000 description 2
- 229960002895 Phenylbutazone Drugs 0.000 description 2
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N Prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 2
- 229940079923 Quinacrine Drugs 0.000 description 2
- 206010072736 Rheumatic disease Diseases 0.000 description 2
- SKZKKFZAGNVIMN-UHFFFAOYSA-N Salicilamide Chemical compound NC(=O)C1=CC=CC=C1O SKZKKFZAGNVIMN-UHFFFAOYSA-N 0.000 description 2
- DBMJMQXJHONAFJ-UHFFFAOYSA-M Sodium laurylsulphate Chemical compound [Na+].CCCCCCCCCCCCOS([O-])(=O)=O DBMJMQXJHONAFJ-UHFFFAOYSA-M 0.000 description 2
- 229920002472 Starch Polymers 0.000 description 2
- KDYFGRWQOYBRFD-UHFFFAOYSA-N Succinic acid Chemical compound OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 description 2
- 229960003329 Sulfinpyrazone Drugs 0.000 description 2
- GLNADSQYFUSGOU-GPTZEZBUSA-J Trypan blue Chemical compound [Na+].[Na+].[Na+].[Na+].C1=C(S([O-])(=O)=O)C=C2C=C(S([O-])(=O)=O)C(/N=N/C3=CC=C(C=C3C)C=3C=C(C(=CC=3)\N=N\C=3C(=CC4=CC(=CC(N)=C4C=3O)S([O-])(=O)=O)S([O-])(=O)=O)C)=C(O)C2=C1N GLNADSQYFUSGOU-GPTZEZBUSA-J 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Vitamin C Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-K [O-]P([O-])([O-])=O Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 2
- 229960001138 acetylsalicylic acid Drugs 0.000 description 2
- 229940121363 anti-inflammatory agents Drugs 0.000 description 2
- BSYNRYMUTXBXSQ-UHFFFAOYSA-N aspirin Chemical compound CC(=O)OC1=CC=CC=C1C(O)=O BSYNRYMUTXBXSQ-UHFFFAOYSA-N 0.000 description 2
- 229910000099 calcium monohydride Inorganic materials 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 125000002603 chloroethyl group Chemical group [H]C([*])([H])C([H])([H])Cl 0.000 description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 2
- 229960004544 cortisone Drugs 0.000 description 2
- 239000003085 diluting agent Substances 0.000 description 2
- 229940079593 drugs Drugs 0.000 description 2
- 239000000945 filler Substances 0.000 description 2
- 239000012458 free base Substances 0.000 description 2
- 229920000159 gelatin Polymers 0.000 description 2
- 235000019322 gelatine Nutrition 0.000 description 2
- 229960005219 gentisic acid Drugs 0.000 description 2
- 239000012362 glacial acetic acid Substances 0.000 description 2
- 239000008187 granular material Substances 0.000 description 2
- 238000005469 granulation Methods 0.000 description 2
- 230000003179 granulation Effects 0.000 description 2
- 231100000086 high toxicity Toxicity 0.000 description 2
- 229960001067 hydrocortisone acetate Drugs 0.000 description 2
- 125000001867 hydroperoxy group Chemical group [*]OO[H] 0.000 description 2
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 238000009114 investigational therapy Methods 0.000 description 2
- 239000000594 mannitol Substances 0.000 description 2
- 235000010355 mannitol Nutrition 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 229960000901 mepacrine Drugs 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- PMZURENOXWZQFD-UHFFFAOYSA-L na2so4 Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 2
- 230000003647 oxidation Effects 0.000 description 2
- 238000007254 oxidation reaction Methods 0.000 description 2
- 125000004043 oxo group Chemical group O=* 0.000 description 2
- 239000003208 petroleum Substances 0.000 description 2
- 230000000144 pharmacologic effect Effects 0.000 description 2
- VYMDGNCVAMGZFE-UHFFFAOYSA-N phenylbutazonum Chemical compound O=C1C(CCCC)C(=O)N(C=2C=CC=CC=2)N1C1=CC=CC=C1 VYMDGNCVAMGZFE-UHFFFAOYSA-N 0.000 description 2
- 239000010452 phosphate Substances 0.000 description 2
- 229960004618 prednisone Drugs 0.000 description 2
- 239000011541 reaction mixture Substances 0.000 description 2
- 239000011369 resultant mixture Substances 0.000 description 2
- 229960000581 salicylamide Drugs 0.000 description 2
- YGSDEFSMJLZEOE-UHFFFAOYSA-M salicylate Chemical compound OC1=CC=CC=C1C([O-])=O YGSDEFSMJLZEOE-UHFFFAOYSA-M 0.000 description 2
- 229960001860 salicylate Drugs 0.000 description 2
- 229960004889 salicylic acid Drugs 0.000 description 2
- FJCMCHNDCIYVST-UHFFFAOYSA-J sodium aurothiosulfate Chemical compound [Na+].[Na+].[Na+].S1S(=O)(=O)O[Au-3]11SS(=O)(=O)O1 FJCMCHNDCIYVST-UHFFFAOYSA-J 0.000 description 2
- 235000019333 sodium laurylsulphate Nutrition 0.000 description 2
- 229910052938 sodium sulfate Inorganic materials 0.000 description 2
- 235000011152 sodium sulphate Nutrition 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000007920 subcutaneous administration Methods 0.000 description 2
- 239000000454 talc Substances 0.000 description 2
- 229910052623 talc Inorganic materials 0.000 description 2
- 230000001988 toxicity Effects 0.000 description 2
- 231100000419 toxicity Toxicity 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 238000005303 weighing Methods 0.000 description 2
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
- C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
- C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D213/24—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with substituted hydrocarbon radicals attached to ring carbon atoms
- C07D213/28—Radicals substituted by singly-bound oxygen or sulphur atoms
- C07D213/30—Oxygen atoms
Definitions
- a d'renocorticoids such as cortisone, hydrocortisone, prednisone and prednisolone.
- these adrenocorticoids generally exhibit undesirable side actions, when continuously administered for a long time.
- some non-adrenocortical anti-infiamatory agents such as acetylsalicylic acid, gentisic acid, 2 (,6 chloroethyl) 2,3 dihydro- '4 oxo 1,3 ben'zoxazine, salicylamide, aminopyrine,
- a primary object of the present invention is to provide a preparation for anti-infiamatory administration which includes the said quinuclidine compound I or II or their salt with a non-toxic acid as an active ingredient.
- Another object of the present invention is to provide a process for anti inflamatory activity in living body.
- a further object of the present invention is to provide a utilization method of the naturally-existing cinchona alkaloid, quinine.
- the quinuclidine compounds I possess a high anti-inflammatory activity.
- the animal test data of the quinuclidine compound corresponding to the following formula:
- the average edema inhibition shows that from one to three hours after the administration of the edema producing agent.
- the edema inhibition activity of the compound Ia is at least 10 times that of chloroquine diphosphate, when orally administered to rats.
- Compound Ia N0Tn The rats were subcutaneously pretreated with the test compound and then subcutaneously administered the edema producing agnt. The produced edema was measured and compared with that produced without pretreatment.
- ⁇ it can be said that the compound In is at least 100 times as effective as aminopyrine in the edema inhibiting action, when subcutaneously administered to rats. Adding to this, it can be also said that they exhibit a total activity, when administered together.
- Chloroquine diphosphate Norm- The test compound was subcutaneously administered to mice. For the comparison of the eflect, there was employed Trypan Blue test.
- the anti-inflammatory efiect of the compound la is approximately 100 times that of chloroquine diphosphate, when subcutaneously administered to mice.
- the compound Ia is more toxic than the commercially available anti-inflammatory agent, e.g. chloroquine diphosphate, but the former is remarkably more effective than the latter.
- the quinuclidine compounds I are the non-adrenocortical anti-inflammatory agents which can be used safely, compared with the heretofore known non-adrenocortical anti-inflammatory agents.
- the quinuclidine compounds I have a relatively high toxicity, but, the toxicity can be decreased by their conversion into the corresponding N- oxides.
- the quinuclidine N- oxide compounds II are less toxic than the quinuclidine compounds I, the former being parallelly less potent than the latter in anti-inflammatory activity.
- the animal test data of the quinuclidine-N-oxide compound corresponding to the following formula:
- the quinuclidine-N-oxide compounds II are less toxic and less potent than the quinuclidine compounds I. But, they are still remarkably active, comparedwith the heretofore known anti-inflammatory agents. Therefore, they are useful as non-adrenocortical anti-inflammatory agents can be employed safely, too.
- the quinuclidine compounds I or the quinuclidine-N-oxide compounds II or their salts with non-toxic acids those with hydrochloric, hydrobromic, sulfuric, acetic, latic, succinic, tartaric, citric, ascorbic, cinnamic, salicyclic or 4-aminosalicyclic acid. (3f these salts, the salicyclic acid addition salt is particularly preferred in easy crystallizability.
- the active medicaments e.g. the quinuclidine compounds I or their salts with non-toxic acids
- the preparation is orally administered, although they are just as effective when As the salts, there may be exampled otherwise administered.
- They may be administered in various dosages such as 3, 5, 10, 15, 20, 25 or 30 milligrams, athough the unit dosage range may vary more broadly from about 1 to about milligrams and preferably from about 5 to about 30 milligrams. They may be added to or otherwise used with various pharmaceutical carriers.
- various solid carriers may be employed such as lactose, mannitol, cornstarch, talc and magnesium stearate as well as other tableting aids and fillers.
- some other ingredients such as hydrocortisone, prednisolone, aminopyrine, chloroquine and the like may be mixed with the said active medicaments.
- the medicinal mixture may then be tableted or encapsulated in a hard gelatine capsule, depending on the commercial unit form desired. Ordinarily tableting is preferred.
- the amount of carrier or diluent may vary, according to tablet size desired or whether the dosage is made up in encapsulated form, from .Zero amount to the maximum amount consistent with the practical limits of bulk for a dosageunit. Normally the carrier with which the medicament is mixed does not exceed about 300 to about 500 milligrams.
- the quinuclidine-N-oxide compounds II or their salts with non-toxic acids can be administered in dosage unit form to living bodies.
- This mixture is tableted in the usual way to give 100,- 000 tablets. Each tablet weighing 37.5 milligrams contains 12.73 milligrams of the active ingredient (equal to 10 milligrams of the free base).
- Example 3 To a solution of 4-(3-ethylquinuclidin-8-yl)-4-hydroxy- 3- 2-toluenesulfonamido-5-methoxyphenyl -butanol (300 mg.) in glacial acetic acid (2.5 rnl.), there is added 30% hydrogen peroxide (0.3 ml.), and the resultant solution is allowed to stand for 24 hours atroom temperature. Then, 30% hydrogen peroxide (0.3 ml.) is further added to the solution and allowed to stand for 48 hours at room temperature. The reaction mixture is adjusted with 10% aqueous sodium hydroxide to alkalinity and shaken with chloroform. The chloroform layer is Washed with water and dried over anhydrous sodium sulfate.
- Example 4 I To a solution of 4-(3-ethylquinuclidin-8-yl)-4-hydroxy- 3-(2-toluenesulfonamido-S-methoxyphenyl) butanol (0.2 g.) in ethyl acetate, there is added a solution of salicylic acid (0.026 g.) in ethyl acetate, and the resultant mixture is allowed to stand for 5 hours.
- Method of treating inflammation in the living animal body which comprises administering to said 'body an effective dose of the member selected from the group consisting of the compound of the formula:
- R is a member selected from the group consisting of lower alkyl, phenyl and lower alkylphenyl, the compound of the formula:
- R is a member selected from the group consisting of lower alkyl, phenyl and lower alkylphenyl, the compound of the formula:
- CHzOHzOH 7 Method of treating inflammation in the living animal body which comprises subcutaneously administering to said body an effective dose of the member selected from the group consisting of the compound of the formula:
- R is a member selected from the group consisting of lower 'alkyl, phenyl and lower alkylphenyl, the compound of the formula:
Description
United States Patent 3,245,877 METHOD OF TREATING INFLAMMATION Eiji Ochiai, 72 Myogadani-cho, Bunkyo-lnr, Tokyo, Japan, and Ryonosuke Kido, 1679 Kamiikeda-cho, Ikeda-shi, Osaka Prefecture, Japan No Drawing. Filed Sept. 21, 1962, Ser. No. 225,386 9 Claims. (Cl. 167-65) This invention relates to producing anti-inflammatory activity in living bodies.
As anti-inflammatory agents, there have been mostly used a d'renocorticoids such as cortisone, hydrocortisone, prednisone and prednisolone. However, these adrenocorticoids generally exhibit undesirable side actions, when continuously administered for a long time. Because of the drawback present in -adrenocorticoids, there have been proposed and made available some non-adrenocortical anti-infiamatory agents such as acetylsalicylic acid, gentisic acid, 2 (,6 chloroethyl) 2,3 dihydro- '4 oxo 1,3 ben'zoxazine, salicylamide, aminopyrine,
phenylbutazone, sulfinpyrazone, quinacrine, chloroquine, hydroxychloroquine, amodiaquin, gold sodium thiosulfate and e-aminocaproic acid. However, these nonadrenocortical compounds are generally inferior to the said adrenocorticoids in anti-inflamatory activity. Therefore, it has been desired to realize any other non-adrenacortical compounds possessing a high anti-infiamator activity as well as the adrenocorticoids.
As the results of the pharmacological investigation on a variety of heretofore known or novel quinuclidine compounds derived from a naturally existing cinchona alkaloid, quinine, it has been now discovered that the quinuclidine compounds, corresponding to the following for- I mula:
compounds I can be remarkably decreased without a large depression of the desirable activity by their conversion into the N-oxides, corresponding to the following formula:
CH O CHCH(OH) wherein R has the same significance as designated above.
Accordingly, a primary object of the present invention is to provide a preparation for anti-infiamatory administration which includes the said quinuclidine compound I or II or their salt with a non-toxic acid as an active ingredient. Another object of the present invention is to provide a process for anti inflamatory activity in living body. A further object of the present invention is to provide a utilization method of the naturally-existing cinchona alkaloid, quinine. These and other objects will It has been Patented Apr. 12, 1966 be apparent to those skilled in the art to which the present invention pertains from the subsequent description.
The production of the quinuclidine compounds I from quinine can be illustratively shown by the following scheme Quinine N (iJH(OH) S C2116 H202 CH3C OOH (IJH(OH) S CQHE H2808 )l J, v O
N (|3H(OH) HK GzHt P0013 v I N L wherein R has the same significance as designated above. All the compounds in the above scheme are known and can be prepared in a conventional manner [Heidelberger et al.: J. Am. Chem. Soc., 41, 819 (1919); Ochiai et al.: J. Pharm. Soc. Japan, 67, 101 (1947); Ochiai et al.: J. Pharm. Soc. Japan, 71, 260 (1951); Ochiai et al.: Pharm. Bull., 6, 212 (1958); Ochiai et al.: Pharm. Bull., 1, 156 (1953); Ochiai et al.: Pharm. Bull., 2, 128 (1954); Ishikawa: Pharm. Bull., 6, 71 (1958)].
The quinuclidine compounds I possess a high anti-inflammatory activity. For instance, the animal test data of the quinuclidine compound, corresponding to the following formula:
are shown in Tables I, II, III, IV, V and VI in contrast with some commercially available anti-inflammatory agents.
TABLE I.-EDEMA INHIBITION ACTIVITY TEST N orno- NOTE-The rats were subcutaneously pretreated with the test compound and then subcutaneously administered the edema producing agent. The produced edema was measured and compared with that produced without pretreatment.
The average edema inhibition shows that from one to three hours after the administration of the edema producing agent.
In the above table, it is shown that the edema inhibition activity of the compound Ia is more than 100 times that of chloroquine diphosphate, when subcutaneously administered to rats.
TABLE II.EDEMA INHIBITION ACTIVITY TEST Average edema inhibition (percent) Dose (mgJkg. Time after administration of Test compound of body formalin (hour) weight) 40 39 20 18 Compound Ia 20 32 29 18 10 17 8 Chloroquine di- 500 20 12 6 phosphate. 250 16 12 5 100 18 12 13 No'rE.The rats were orally pretreated with the test compound and then subcutaneously administered formalin. The produced edema was measured and compared with that produced without pretreatment.
4 Thus, the edema inhibition activity of the compound Ia is at least 10 times that of chloroquine diphosphate, when orally administered to rats.
TABLE III.EDEMA INHIBITION ACTIVITY TEST Average edema inhibition (percent) Edema producing agent Dose (mg./ kg. of body weight) Test compound Amiu'opyrine plus Compound Ia Aminbpyrine- Compound Ia Aminopyrine Formalin.
Compound Ia N0Tn.The rats were subcutaneously pretreated with the test compound and then subcutaneously administered the edema producing agnt. The produced edema was measured and compared with that produced without pretreatment.
From the above table, \it can be said that the compound In is at least 100 times as effective as aminopyrine in the edema inhibiting action, when subcutaneously administered to rats. Adding to this, it can be also said that they exhibit a total activity, when administered together.
TABLE IV.ANTI-INFLAMMATORY EFFECT Croton, ED (mg./kg. of body weight) Formalin, ED (mg/kg. of body weight) Edema producing agent Test compound:
Chloroquine diphosphate Norm-The test compound was subcutaneously administered to mice. For the comparison of the eflect, there was employed Trypan Blue test.
Thus, the anti-inflammatory efiect of the compound la is approximately 100 times that of chloroquine diphosphate, when subcutaneously administered to mice.
TABLE V.GRANULATION INHIBITION ACTIVITY TEST Total dose (mg. lrat) Weight of granu- Test compound lation (mg) Control Hydrocortisone acetate Compound Ia LD (mgJkg. of bodyweight) Test compound subcutaneously Orally Chlo'ro uine di hos hate q p p 34.8
Compound Ia From the above table, it can be said that the compound la is much more toxic than chloroquine diphosphate, i.e. 5.5 times at the subcutaneous administration and 8 times at the oral administration.
Summarizing the above animal test data, it is concluded that the compound Ia is more toxic than the commercially available anti-inflammatory agent, e.g. chloroquine diphosphate, but the former is remarkably more effective than the latter. Thus, the quinuclidine compounds I are the non-adrenocortical anti-inflammatory agents which can be used safely, compared with the heretofore known non-adrenocortical anti-inflammatory agents.
As disclosed above, the quinuclidine compounds I have a relatively high toxicity, but, the toxicity can be decreased by their conversion into the corresponding N- oxides. The quinuclidine-N-oxide compounds Hare novel and can be produced by subjecting the quinuclidine compounds I to oxidation according to a per se conventional manner. For instance, the quinuclidine compound I is treated with hydrogen peroxide in acetic acid at room temperature to C.) whereby the quinuclidine-N- oxide compound II is prepared. The quinuclidine N- oxide compounds II are less toxic than the quinuclidine compounds I, the former being parallelly less potent than the latter in anti-inflammatory activity. For instance, the animal test data of the quinuclidine-N-oxide compound, corresponding to the following formula:
are compared with that of the quinuclidine compound Ia in Tables VII and VIII.
TABLE VII.EDEMA INHIBITION ACTIVITY TEST N GTE-The rats were subcutaneously pretreated with the test compound and then subcutaneously administered the edema producing agent. The produced edema was measured and compared with that produced without pretreatment.
TABLE VIIL-TOXICITY IN MICE LDsl! (mg/kg. of Test compound bodywerght) intravenously Compound 1a.-.. 2. 0 Compound IIa 42. 3
Thus, the quinuclidine-N-oxide compounds II are less toxic and less potent than the quinuclidine compounds I. But, they are still remarkably active, comparedwith the heretofore known anti-inflammatory agents. Therefore, they are useful as non-adrenocortical anti-inflammatory agents can be employed safely, too.
For the preparations of the present invention, there are equally employed the quinuclidine compounds I or the quinuclidine-N-oxide compounds II or their salts with non-toxic acids. those with hydrochloric, hydrobromic, sulfuric, acetic, latic, succinic, tartaric, citric, ascorbic, cinnamic, salicyclic or 4-aminosalicyclic acid. (3f these salts, the salicyclic acid addition salt is particularly preferred in easy crystallizability.
The active medicaments, e.g. the quinuclidine compounds I or their salts with non-toxic acids, are admintered in dosage unit form, as carried by a suitable pharmaceutical carrier, to living bodies particularly for the relief of rheumatism. Normally, the preparation is orally administered, although they are just as effective when As the salts, there may be exampled otherwise administered. They may be administered in various dosages such as 3, 5, 10, 15, 20, 25 or 30 milligrams, athough the unit dosage range may vary more broadly from about 1 to about milligrams and preferably from about 5 to about 30 milligrams. They may be added to or otherwise used with various pharmaceutical carriers. By way of exemplification, various solid carriers may be employed such as lactose, mannitol, cornstarch, talc and magnesium stearate as well as other tableting aids and fillers. If desired, some other ingredients such as hydrocortisone, prednisolone, aminopyrine, chloroquine and the like may be mixed with the said active medicaments. The medicinal mixture may then be tableted or encapsulated in a hard gelatine capsule, depending on the commercial unit form desired. Ordinarily tableting is preferred. The amount of carrier or diluent may vary, according to tablet size desired or whether the dosage is made up in encapsulated form, from .Zero amount to the maximum amount consistent with the practical limits of bulk for a dosageunit. Normally the carrier with which the medicament is mixed does not exceed about 300 to about 500 milligrams.
In the similar manner, the quinuclidine-N-oxide compounds II or their salts with non-toxic acids can be administered in dosage unit form to living bodies.
The following are typical examples of preparations embodying the present invention.
Example I Kilograms 4-(Z-ethylquinuclidin-S-yl)-4-hydroxy-3-(2 toluenesulfonamido-S-methoxyphenyl)-butanol 1.00 Lactose 8.47
Cornstarch 3.48
Magnesium stearate -I 2.60
Example 2 Kilograms 4-(3-ethylqninuclidin 8-yl) 4 hydroxy-3-(2-toluenesulfonamido-S-methoxyphenyl)-butanol salicylate 12.73 Lactose 20.00
The foregoing are mixed and granulated with a 10% acacia solution and dried. The granule is forced through a 16 mesh screen, and thereafter is mixed with the following:
Kilograms Sodium lauryl sulfate 0.20 Magnesium stearate 1.00
Amylum solani q.v. to 3 7. 50
This mixture is tableted in the usual way to give 100,- 000 tablets. Each tablet weighing 37.5 milligrams contains 12.73 milligrams of the active ingredient (equal to 10 milligrams of the free base).
Example 3 To a solution of 4-(3-ethylquinuclidin-8-yl)-4-hydroxy- 3- 2-toluenesulfonamido-5-methoxyphenyl -butanol (300 mg.) in glacial acetic acid (2.5 rnl.), there is added 30% hydrogen peroxide (0.3 ml.), and the resultant solution is allowed to stand for 24 hours atroom temperature. Then, 30% hydrogen peroxide (0.3 ml.) is further added to the solution and allowed to stand for 48 hours at room temperature. The reaction mixture is adjusted with 10% aqueous sodium hydroxide to alkalinity and shaken with chloroform. The chloroform layer is Washed with water and dried over anhydrous sodium sulfate. Removing the solvent from the chloroform layer, the residue is crystallized from a mixture of acetone and ether to give 4-(3- ethylquinuclidin-8-yl) 4 -'hydroxy 3 (2-toluenesulfonamido-S-methoxyphenyl)-butanol-N-oxide (140 mg.) as white pillars melting at 228 C.
Anzzlysis.-Calcd. for C H O N S: C, 62.55; H, 7.32; N, 5.4-1. Found: C, 63.05; H, 7.64; N, 5.44.
Example 4 I To a solution of 4-(3-ethylquinuclidin-8-yl)-4-hydroxy- 3-(2-toluenesulfonamido-S-methoxyphenyl) butanol (0.2 g.) in ethyl acetate, there is added a solution of salicylic acid (0.026 g.) in ethyl acetate, and the resultant mixture is allowed to stand for 5 hours. Removing the solvent from the mixture, the residue is crystallized from a mixture of acetone and petroleum ether to give 4-(3-ethylquinuclidin-8-yl) 4 hydroxy-3-(2toluenesulfonamido 5-methoxyphenyl)-butanol salicylate (0.16 g.) as crystals melting at -128 C.
Analysis.-Calcd, for C H O N SC H O C, 64.08; H, 7.18; N, 4.90. Found: C, 64.02; H, 7.71; N, 4.32.
What is claimed is:
1. Method of treating inflammation in the living animal body which comprises administering to said 'body an effective dose of the member selected from the group consisting of the compound of the formula:
CHzCHzOH wherein R is a member selected from the group consisting of lower alkyl, phenyl and lower alkylphenyl, the compound of the formula:
CH2CH2OH 3. Method of treating inflammation in the living animal body which comprises administering to said body an effective dose'of the compound of the formula:
CHaO- 4. Method of treating inflammation in the living animal body which comprises orally administering to said body an effective dose of the member selected from the group consisting of the compound of the formula:
CHzCHzOH wherein R is a member selected from the group consisting of lower alkyl, phenyl and lower alkylphenyl, the compound of the formula:
0 C HzC HzOH T wherein R has the same significance as designated above and their salts with non-toxic acids.
5. Method of treating inflammation in the living animal body which comprises orally administering to said body an effective dose of the compound of the formula:
6. Method of treating inflammation in the living animal body which comprises orally administering to said body an effective dose of the compound of the formula:
CHzOHzOH 7. Method of treating inflammation in the living animal body which comprises subcutaneously administering to said body an effective dose of the member selected from the group consisting of the compound of the formula:
-NI-ISO2-R CaH wherein R is a member selected from the group consisting of lower 'alkyl, phenyl and lower alkylphenyl, the compound of the formula:
9. Method of treating inflammation in the living animal body which comprises subcutaneously administering to said body an effective dose of the compound of the formula:
O T jN CH O References Cited by the Examiner UNITED STATES PATENTS Biel et a1 2'60293.4 XR
Grob 260293 Calder 16765 Zellner 167-65 10 OTHER REFERENCES Aralen, brochure published by Winthrop Laboratories, New York 18, New York, August 1957, 8 pp., p. 1 pertinent.
Drug Trade News, Feb, 16, 1953, p.73.
JULIAN s. LEVITT, Primary Examiner.
FRANK CACCIAPAGLIA, Examiner.
Claims (1)
1. METHOD OF TREATING INFLAMMATION IN THE LIVING ANIMAL BODY WHICH COMPRISES ADMINISTERING TO SAID BODY AN EFFECTIVE DOSE OF THE MEMBER SELECTED FROM THE GROUP CONSISTING OF THE COMPOUND OF THE FORMULA:
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Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2834779A (en) * | 1956-12-11 | 1958-05-13 | Lakeside Lab Inc | Disubstituted aminoalkyl quinuclidinium derivatives |
US2917515A (en) * | 1959-12-15 | Certificate of correction | ||
US2935448A (en) * | 1959-02-25 | 1960-05-03 | Royall M Calder | Phosphatide therapeutic composition and method of treatment therewith |
US2994640A (en) * | 1957-02-22 | 1961-08-01 | Byk Gulden Lomberg Chem Fab | Anti-inflammatory therapy with purine molecular compounds |
-
0
- US US3245877D patent/US3245877A/en not_active Expired - Lifetime
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2917515A (en) * | 1959-12-15 | Certificate of correction | ||
US2834779A (en) * | 1956-12-11 | 1958-05-13 | Lakeside Lab Inc | Disubstituted aminoalkyl quinuclidinium derivatives |
US2994640A (en) * | 1957-02-22 | 1961-08-01 | Byk Gulden Lomberg Chem Fab | Anti-inflammatory therapy with purine molecular compounds |
US2935448A (en) * | 1959-02-25 | 1960-05-03 | Royall M Calder | Phosphatide therapeutic composition and method of treatment therewith |
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