Abstract:
This invention concerns novel formulations for opioid-based treatments of pain and/or nociception comprising opioid analgesics and 1,4-di-piperidin-4-yl-piperazine derivatives having neurokinin antagonistic activity, in particular NK1 antagonistic activity, the use of said formulation for the manufacture of a medicament for the prevention and/or treatment of emesis, pain and/or nociception, in particular in opioidbased acute and chronic pain treatments, more in particular in inflammatory, postoperative, emergency room (ER), breakthrough, neuropathic and cancer pain treatments and the use of an NK1-receptor antagonist for the manufacture of a medicament for the prevention and/or treatment of respiratory depression in opioid-based treatments of pain. The pharmaceutical formulations according to the invention comprise a pharmaceutically acceptable carrier and, as active ingredients, a therapeutically effective amount of an opioid analgesic and NKI -antagonists according to the general Formula (I) the pharmaceutically acceptable acid or base addition salts thereof, the stereochernically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein all substituents are defined as in Claim 1. The pharmaceutical composition according to the invention reduces to a large extent a number of unwanted sideeffects associated with opioid analgesics, in particular emesis, respiratory depression and tolerance, thereby increasing the total tolerability of said opioids in pain treatment.
Abstract:
The present invention is concerned with the finding that the macrocyclic quinazoline derivative 4,6-ethanediylidenepyrimido[4,5-b][6,1,12]benzoxadiazacyclo-pentadecine, 17-bromo-8,9,10,11,12,13, 14,19-octahydro-20-methoxy-13-methyl-, described as compound 22 in PCT publication WO2004/105765, is useful in the manufacture of a medicament for the treatment or prevention of bone cancers and methods for killing bone cancer cells, including osteosarcomas, chondrosarcomas, myeloma bone disease and osteolytic bone metastases from other primary sites. It accordingly provides methods for treating, preventing, delaying or mitigating bone cancer, or for preventing and treating of bone loss associated with cancer metastases.
Abstract:
There is disclosed an isolated nucleic acid molecule encoding a human neurotrophic growth factor designated enovin and having the amino acid sequence illustrated in Figure 1, 21, 23 or 24 or encoding a functional equivalent, derivative or bioprecursor of said growth factor. The growth factor preferably comprises the amino acid sequence from position 27 to 139 of the sequence illustrated in Figure 1, or a functional equivalent, derivative or bioprecursor thereof. The nucleic acid molecule encoding enovin can be used to transform a host cell, tissue or organism by including it in an appropriate vector. The host cell, tissue or organism and the vector also form part of the invention.
Abstract:
The present invention is concerned with the finding that the macrocyclic quinazoline derivative 4,6-ethanediylidenepyrimido[4,5-b][6,1,12]benzoxadiazacyclo-pentadecine, 17-bromo-8,9,10,11,12,13, 14,19-octahydro-20-methoxy-13-methyl-, described as compound 22 in PCT publication WO2004/105765, is useful in the manufacture of a medicament for the treatment or prevention of bone cancers and methods for killing bone cancer cells, including osteosarcomas, chondrosarcomas, myeloma bone disease and osteolytic bone metastases from other primary sites. It accordingly provides methods for treating, preventing, delaying or mitigating bone cancer, or for preventing and treating of bone loss associated with cancer metastases.
Abstract:
La presente invención está relacionada con el descubrimiento de que el derivado quinazolina macrocíclico 4,6-etanodiilidenpirimido [4,5-b][6,1,12]benzoxadiazaciclo-pentadecina, 17-bromo-8,9,10,11,12,13,14,19-octahidro-20-metoxi-13-metilo, descrito como compuesto 22 en la publicación PCT WO2004/105765, es útil en la elaboración de un medicamento para el tratamiento o prevención de cánceres de hueso y métodos para eliminar células de cáncer de hueso, incluyendo osteosarcomas, condrosarcomas, enfermedad de mieloma de hueso y metástasis de hueso osteolítico derivadas de otros sitios primarios; en consecuencia, la invención provee métodos para tratar, prevenir, demorar o mitigar el cáncer de hueso, o para prevenir o tratar pérdida de hueso asociada con metástasis de cáncer.
Abstract:
Disclosed are formulations comprising opioid analgesics and 1,4-di-piperidin-4-yl-piperazine derivatives of formula (I), wherein the substituents are as defined in the specification, having neurokinin (NK1) antagonistic activity. The formulations are useful for opioid-based treatments of emesis, pain and/or nociception, in particular in opioid-based acute and chronic pain treatments including inflammatory, postoperative, emergency room (ER), breakthrough, neuropathic and cancer pain. The combination reduces a number of unwanted sideeffects associated with opioid analgesics, in particular emesis, respiratory depression and tolerance, thereby increasing the total tolerability of said opioids in pain treatment.
Abstract:
This invention concerns novel formulations for opioid-based treatments of pain and/or nociception comprising opioid analgesics and 1-(1,2-disubstituted piperidinyl)-4-substituted piperazine derivatives having neurokinin antagonistic activity, in particular NK 1 antagonistic activity the use of said formulation for the manufacture of a medicament for the prevention and/or treatment of emesis, pain and/or nociception, in particular in acute and chronic pain treatments, more in particular in inflammatory, post-operative, emergency room (ER), breakthrough, neuropathic and cancer pain treatments and the use of an NK 1 -receptor antagonist for the manufacture of a medicament for the prevention and/or treatment of respiratory depression and tolerance in opioid-based treatments of pain. The pharmaceutical formulations according to the invention comprise NK 1 -antagonists according to the general Formula (I) the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein all substituents are defined as in claim 1. The pharmaceutical composition according to the invention reduces to a large extent a number of unwanted side-effects associated with opioid analgesics, in particular respiratory depression and tolerance, thereby increasing the total tolerability of said opioids in pain treatment.
Abstract:
Un compuesto según la fórmula (I) (Ver fórmula) sus sales por adición de ácidos o bases farmacéuticamente aceptables, sus formas de isómeros estereoquímicos, sus formas tautómeras y sus formas N-óxidos, en la cual: A=B es un radical divalente de enlaces pi; X es un enlace covalente, -CH2- o CH2CH2-; R1 es hidrógeno, alquiloxi, alquilcarboniloxi, Ar-oxi, Het-oxi, Ar-carboniloxi, Het-carboniloxi, Ar-alquiloxi, Het-alquiloxi, alquilo, polihaloalquilo, alquiloxialquilo, Ar-alquilo, Het-alquilo, Ar, Het, tio, alquiltio, Ar-tio, Het-tio o NR9R10 en que R9 y R10 son cada uno independientemente hidrógeno, alquilo, Ar, Ar-alquilo, Het, Het-alquilo, alquil-carbonilo, Ar-carbonilo, Het-carbonilo o alquiloxicarbonilalquilo; o A=B y R1 forman conjuntamente un radical carbocíclico o heterocíclico, semi-aromático o aromático opcionalmente sustituido Het2 o Het3; R2 es hidroxi, alquiloxi, alquilcarboniloxi, feniloxi, fenilcarboniloxi, halo, ciano, alquilo, polihaloalquilo, alquiloxialquilo, formilo, carboxi, alquilcarbonilo, alquiloxicarbonilo, aminocarbonilo, mono- o di-alquilaminocarbonilo, fenilo, nitro, amino, mono- o di-alquilamino, tio o alquiltio; R3 es alquilo, Ar, Ar-alquilo, Ar-alquenilo, Het, Het-alquilo o Het-alquenilo; R4 y R5 son cada uno independientemente hidrógeno, alquilo, carboxi, aminocarbonilo, alquiloxicarbonilo, halo o hidroxialquilo; p es un número entero igual a cero 1, 2 ó 3.
Abstract:
The present invention relates to novel 4-phenyl 4-[1H-imidazol-2-yl]-piperidine derivatives according to Formula (I), the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the tautomeric forms thereof and the N-oxide forms thereof. In particular are claimed compounds according to Formula (1) in which A=B is C=O or SO2, X is a covalent bond, R1 is alkyloxy, alkyloxyalkyl, Ar or NR9R10, wherein R9 and R10 each independently are hydrogen or Ar; or A=B and R1 together form a benzoxayzolyl radical; p is zero, R3 is benzyl optionally substituted with hydroxy, alkyl or alkyloxycarbonyl and R4 and R5 each are hydrogen. The invention also relates to processes for the preparation of the compounds according to the invention and their use in medicine, in particular as selective non-peptide delta-opioid agonists for use in the treatment of various pain conditions. ,(I)