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Compound for use in the treatment of neurogenic orthostatic hypotension

A compound, a riser technology, applied in the field of the treatment of neurogenic orthostatic hypotension

Inactive Publication Date: 2019-04-16
THERAVANCE BIOPHARMA R&D IP LLC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Atomoxetine is not yet approved for the treatment of nOH

Method used

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  • Compound for use in the treatment of neurogenic orthostatic hypotension
  • Compound for use in the treatment of neurogenic orthostatic hypotension
  • Compound for use in the treatment of neurogenic orthostatic hypotension

Examples

Experimental program
Comparison scheme
Effect test

example 1

[0166] Preparation of tert-butyl 4-(2-hydroxymethylphenyl)piperidine-1-carboxylate

[0167] tert-butyl 4-(2-carboxyphenyl)piperidine-1-carboxylate (5.0 g, 16 mmol, 1.0 equiv) and THF (130 mL, 1.7 mol) were combined under nitrogen at room temperature. Borane dimethyl sulfoxide complex (2.9 mL, 33 mmol, 2.0 equiv) was added dropwise and the mixture was stirred for 5 minutes, then heated at reflux for 1 hour. The mixture was cooled to room temperature and the reaction was quenched by dropwise addition of MeOH (40 mL). The mixture was then concentrated by rotary evaporation and the resulting material was azeotroped with MeOH (2 x 40 mL). The mixture was then diluted with EtOAc (100 mL) and washed with aqueous hydrochloric acid (1M; 2 x 50 mL) followed by saturated aqueous sodium bicarbonate (2 x 50 mL) followed by saturated aqueous sodium chloride (1 x 50 mL) . The organic layer was dried over anhydrous sodium sulfate, filtered, and concentrated in vacuo to give 4-(2-hydroxymet...

example 2

[0170] Preparation of tert-butyl 4-[2-(toluene-4-sulfonyloxymethyl)phenyl]piperidine-1-carboxylate

[0171] tert-butyl 4-(2-hydroxymethylphenyl)piperidine-1-carboxylate (0.4 g, 1.0 mmol, 1.0 eq) and triethylenediamine (220 mg, 2.0 mmol, 1.4 eq) were dissolved in DCM ( 11 mL, 170 mmol). The mixture was cooled at 0 °C under nitrogen, and p-toluenesulfonyl chloride (290 mg, 1.5 mmol, 1.1 equiv) was added. The resulting mixture was stirred at 0°C for 60 minutes. The mixture was diluted with EtOAc (50 mL) and washed with water (2 x 25 mL). The organic layer was dried over anhydrous sodium sulfate, filtered and concentrated by rotary evaporation to give the title compound (500 mg) which was used without further purification.

[0172] 1 H NMR (CDCl 3 )δ (ppm) 7.81 (t, J = 2.0Hz, 1H); 7.79 (t, J = 2.0Hz, 1H); 7.37-7.32 (m, 4H); 7.25-7.21 (m, 1H); 7.21-7.13 (m,1H),5.12(s,2H);4.34-4.12(m,2H);2.81-2.61(m,3H);2.45(s,3H);1.70-1.52(m,4H);1.48(s ,9H).

example 3

[0174] Preparation of 4-[2-(2,4,6-trifluorophenoxymethyl)phenyl]piperidine trifluoroacetate

[0175] tert-butyl 4-[2-(toluene-4-sulfonyloxymethyl)phenyl]piperidine-1-carboxylate (2.1 g, 4.7 mmol, 1.0 equiv) was dissolved in MeCN (46 mL, 890 mmol) , and added to potassium carbonate (1.9 g, 14 mmol, 3.0 equiv) and 2,4,6-trifluorophenol (1.0 g, 7.0 mmol, 1.5 equiv). The mixture was shaken overnight at 50°C, then cooled to room temperature. The supernatant was separated from potassium carbonate and other solids. TFA (7 mL, 90 mmol, 20.0 equiv) was added to the supernatant and the mixture was shaken at room temperature overnight. Then, the solution was concentrated and the residue was dissolved in 1:1 acetic acid / water (5.0 mL). Another portion of acetic acid (2.0 mL) was added and the mixture was filtered and purified by preparative HPLC to give the title compound (1.3 g, 97.5% purity). MS m / z:C 18 h 18 f 3 [M+H] of NO + Calculated, 322.13; found, 322.2.

[0176] 1 H NMR...

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Abstract

The invention relates to use of 4-[2-(2,4,6-trifluorophenoxymethyl)-phenyl]piperidine or a pharmaceutically-acceptable salt thereof for the treatment of neurogenic orthostatic hypotension and the symptoms thereof.

Description

technical field [0001] The present invention relates to a kind of 4-[2-(2,4,6-trifluorophenoxymethyl)-phenyl]piperidine or its pharmaceutically acceptable salt for treating nervous orthostatic hypotension Symptom use. Background technique [0002] Orthostatic hypotension (OH), also known as postural hypotension, is a form of low blood pressure that occurs when a person stands up. In medical terms, OH is defined as a drop in systolic blood pressure of at least 20 mm Hg or diastolic blood pressure of at least 10 mm Hg within three minutes of a postural change from supine to upright position (Neurology 1996; 46:1470 ). OH can produce a variety of symptoms, including dizziness, lightheadedness, and syncope (fainting). Because of these symptoms, OH often reduces or even interferes with daily activities that require standing or walking. Additionally, OH is associated with increased morbidity and mortality. See, eg, Jones et al., Expert Review of Cardiovascular Therapy, 2015; ...

Claims

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Application Information

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IPC IPC(8): A61K31/4465A61K45/06A61P9/02A61K31/165A61K31/192A61K31/44A61K31/573
CPCA61K45/06A61K31/165A61K31/573A61K31/198A61K31/4425A61K31/4465C07D211/22A61P1/08A61P25/00A61P25/16A61P43/00A61P9/02A61K2300/00A61K31/192
Inventor S·S·希吉迪
Owner THERAVANCE BIOPHARMA R&D IP LLC
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