申请人:——
公开号:US20030013718A1
公开(公告)日:2003-01-16
The invention relates to the treatment of an inflammatory disease, especially an inflammatory rheumatoid or rheumatic disease, and/or pain with an inhibitor of the activity of VEGF receptor tyrosine kinase of the formula I,
1
wherein
r is 0 to 2,
n is 0 to 3
R
1
and R
2
a) are independently in each case a lower alkyl;
b) together form a bridge of subformula I*,
2
wherein
the bond is achieved via the two terminal C atoms and
m is 0 to 4, or
c) together form a bridge of subformula I**,
3
wherein one or two of the ring members T
1
, T
2
, T
3
and T
4
are nitrogen, and the others are in each case CH, and the bond is achieved via atoms T
1
and T
4
;
G is —C(═O)—, —CHF—, —CF
2
—, lower alkylene, C
2
-C
6
alkenylene, lower alkylene or C
3
-C
6
alkenylene substituted by acyloxy or hydroxy, —CH
2
—O—, —CH
2
—S—, —CH
2
—NH—, —CH
2
—O—CH
2
—, —CH
2
—S—CH
2
—, —CH
2
—NH—CH
2
—, oxa (—O—), thia (—S—), imino (—NH—), —CH
2
—O—CH
2
—, —CH
2
—S—CH
2
— or —CH
2
—NH—CH
2
—;
A, B, D, E and T are independently N or CH subject to the proviso that at least one and not more than three of these radicals are N;
Q is lower alkyl, lower alkoxy or halogen;
R
a
and R
a
′ are each independently H or lower alkyl;
X is imino, oxa, or thia;
Y is hydrogen, aryl, heteroaryl, or unsubstituted or substituted cycloalkyl; and
Z is mono- or disubstituted amino, halogen, alkyl, substituted alkyl, hydroxy, etherified or esterified hydroxy, nitro, cyano, carboxy, esterified carboxy, alkanoyl, carbamoyl, N-mono- or N,N-disubstituted carbamoyl, amidino, guanidino, mercapto, sulfo, phenylthio, phenyl lower alkylthio, alkylphenylthio, phenylsulfinyl, phenyl-lower alkylsulfinyl, alkylphenylsulfinyl, phenylsulfonyl, phenyl-lower alkylsulfonyl, alkylphenylsulfonyl, or (alternatively or, in a broader aspect of the invention, in addition) selected from the group consisting of ureido, halo-lower alkylthio, halo-lower alkansulfonyl, pyrazolyl, lower-alkyl pyrazolyl and C
2
-C
7
alkenyl;
wherein—if more than 1 radical Z (m≧2) is present—the substituents Z are selected independently from each other;
and wherein the bonds characterized in subformula I* by a wavy line are either single or double bonds;
or an N-oxide of said compound, wherein 1 or more N atoms carry an oxygen atom; or a pharmaceutically acceptable salt thereof;
as well as to new phthalazine derivatives; processes for the preparation thereof; the application thereof in a process for the treatment of the human or animal body; the use thereof for the treatment of a disease, especially a disease caused by ocular neovascularisation, such as age-related macula degeneration or diabetic retinopathy, or other diseases that respond to the inhibition of tyrosine kinases, such as a proliferative disease; a method for the treatment of such disease in mammals; and the use of such a compound for the manufacture of a pharmaceutical preparation for the treatment especially of a disease as mentioned above.
该发明涉及治疗炎症性疾病,特别是炎症性风湿性或风湿性疾病,以及/或疼痛的方法,该方法使用公式I,1中VEGF受体酪氨酸激酶活性抑制剂,其中r为0至2,n为0至3,R1和R2a)各自独立地为较低的烷基;b)共同形成亚式I*,2的桥,其中通过两个末端C原子实现键合,m为0至4;或c)共同形成亚式I**,3的桥,其中环成员T1、T2、T3和T4中的一个或两个是氮,其他各自为CH,通过原子T1和T4实现键合;G为—C(═O)—、—CHF—、—CF2—、较低烷基、C2-C6烯基、被乙酰氧基或羟基取代的较低烷基或C3-C6烯基、—CH2—O—、—CH2—S—、—CH2—NH—、—CH2—O—CH2—、—CH2—S—CH2—、—CH2—NH—CH2—、氧杂环(—O—)、硫杂环(—S—)、亚胺(—NH—)、—CH2—O—CH2—、—CH2—S—CH2—或—CH2—NH—CH2—;A、B、D、E和T各自独立地为N或CH,但至少一个且不超过三个为N;Q为较低烷基、较低烷氧基或卤素;Ra和Ra′各自独立地为H或较低烷基;X为亚胺、氧杂环或硫杂环;Y为氢、芳基、杂环芳基或未取代或取代的环烷基;Z为单取代或双取代的氨基、卤素、烷基、取代烷基、羟基、醚化或酯化的羟基、硝基、氰基、酯化的羧基、烷酰基、氨基甲酰基、N-单取代或N,N-双取代的氨基甲酰基、胍基、胍二氨基基、巯基、磺基、苯硫基、苯较低烷基硫基、烷基苯硫基、苯磺基、苯较低烷基磺基、烷基苯磺基,或(或者,根据该发明的更广泛方面,此外)从尿素基、卤代较低烷硫基、卤代较低烷磺基、吡唑基、较低烷基吡唑基和C2-C7烯基中选择;其中——如果存在多于1个基Z(m≥2),那么取代基Z彼此独立选择;在亚式I*中由波浪线表示的键要么是单键,要么是双键;或者是所述化合物的N-氧化物,其中1个或多个N原子携带氧原子;或其药学上可接受的盐;以及新的邻苯二氮䓬基衍生物;其制备方法;在用于治疗人体或动物体的方法中的应用;用于治疗疾病的用途,特别是由眼部新生血管形成引起的疾病,如老年性黄斑变性或糖尿病性视网膜病变,或对酪氨酸激酶抑制有反应的其他疾病,如增生性疾病;哺乳动物中治疗此类疾病的方法;以及用这种化合物制备药物制剂,特别是用于治疗上述疾病的制剂。