[EN] ADMINISTRATION OF CATECHOLAMINE PRODRUGS IN COMBINATION WITH A 5-HT2B ANTAGONIST<br/>[FR] ADMINISTRATION DE PROMÉDICAMENTS DE CATÉCHOLAMINE EN COMBINAISON AVEC UN ANTAGONISTE DE 5-HT2B
申请人:H LUNDBECK AS
公开号:WO2020070099A1
公开(公告)日:2020-04-09
The present invention provides combinations comprising treatment with compounds that are prodrugs of the dopamine agonist (4aR,10aR)-1-n-Propyl-1,2,3,4,4a,5,10,10a- octahydro-benzo[g]quinoline-6,7-diol, in particular compounds of formula (Ia) below or a pharmaceutically acceptable salt thereof, together with a 5-HT2B antagonist. R1 and R2 are selected independently from the group consisting of H, C1-6 alkyl and saturated monocyclic C3-6 cycloalkyl, or one of R1 and R2 is H and the other is phenyl, or R1 and R2 are connected to form a saturated monocyclic 3-6 cycloalkyl.Especially, the invention is directed to the combined use of said compounds in the treatment of Parkinson's disease and/or other conditions for which treatment with a dopamine agonist is therapeutically beneficial. The present invention also provides pharmaceutical compositions comprising said compounds and a 5-HT2B antagonist. In a separate aspect, the invention relates to new compounds that are prodrugs of (4aR,10aR)-1-n-Propyl-1,2,3,4,4a,5,10,10a-octahydro-benzo[g]quinoline-6,7-diol wherein R1 and R2 are individually selected from the group consisting of H, C1-6 alkyl and saturated monocyclic C3-6 cycloalkyl; or a pharmaceutically acceptable salt thereof; with the proviso that both R1 and R2 cannot be H at the same time.
本发明提供了包括与多巴胺激动剂(4aR,10aR)-1-丙基-1,2,3,4,4a,5,10,10a-辛氢-苯并[g]喹啉-6,7-二酚的前药一起治疗的组合物,特别是下面的式(Ia)化合物或其药学上可接受的盐,以及5-HT2B拮抗剂。R1和R2分别从H、C1-6烷基和饱和单环C3-6环烷基组成的群体中选择,或者R1和R2中的一个是H,另一个是苯基,或者R1和R2连接形成饱和的单环3-6环烷基。特别地,本发明针对上述化合物在帕金森病的治疗中的联合使用以及治疗多巴胺激动剂具有治疗益处的其他疾病。本发明还提供了包括上述化合物和5-HT2B拮抗剂的药物组合物。在另一个方面,本发明涉及新的化合物,这些化合物是(4aR,10aR)-1-丙基-1,2,3,4,4a,5,10,10a-辛氢-苯并[g]喹啉-6,7-二酚的前药,其中R1和R2分别从H、C1-6烷基和饱和单环C3-6环烷基组成的群体中选择;或者其药学上可接受的盐;但R1和R2不能同时为H。