申请人:H. Lundbeck A/S
公开号:US05428036A1
公开(公告)日:1995-06-27
Reaction products of sertindole with an acid or an activated acid, with formaldehyde alone, formaldehyde in the presence of an alcohol or an amine, or with an acyloxymethylene halide, and having general formula (1) wherein X is CO, CS, or CH.sub.2, and if X is CO or CS, R is (i) hydrogen, alkyl, alkenyl, cycloalkyl, cycloalkenyl or cycloalk(en)ylalk(en)yl optionally substituted with hydroxy, or optionally substituted phenyl; or (ii) YR.sup.1, wherein Y is O or S and R.sup.1 is one of the substituents defined for R under (i) above; or (iii) NR.sup.2 R.sup.3, wherein R.sup.2 and R.sup.3 independently are selected from the substituents defined for R under (i) above or R.sup.2 and R.sup.3 are combined to form a heterocyclic ring; or if X is CH.sub.2, R is: (iv) a group YR.sup.1 as defined in (ii); (v) a group NR.sup.2 R.sup.3 as defined in (iii); or (vi) a group OC(O)R.sup.4, wherein R.sup.4 is as defined for R.sup.1 ; are prodrugs of sertindole and show sustained release of sertindole when injected as formulated in a suitable oil. The compounds are useful in the treatment of mental disorders such as schizophrenia including both negative and positive symptoms, non-schizophrenic psychoses, depression and anxiety.
Sertindole与酸或活性酸、仅用甲醛、甲醛在醇或胺的存在下、或与酰氧亚甲基卤代物反应生成的反应产物,其具有通式(1),其中X为CO、CS或CH.sub.2,若X为CO或CS,则R为(i)氢、烷基、烯基、环烷基、环烯基或环烷基(烯基)烷(烯基),可选地取代羟基或可选地取代苯基;或(ii)YR.sup.1,其中Y为O或S,R.sup.1为上述(i)中定义的取代基之一;或(iii)NR.sup.2R.sup.3,其中R.sup.2和R.sup.3独立地选择上述(i)中定义的取代基或R.sup.2和R.sup.3结合形成杂环环;若X为CH.sub.2,则R为:(iv)如上述(ii)中定义的YR.sup.1基团;(v)如上述(iii)中定义的NR.sup.2R.sup.3基团;或(vi)OC(O)R.sup.4基团,其中R.sup.4如上述R.sup.1所定义;这些化合物是sertindole的前药,当以适当的油制剂注射时,可显示sertindole的持续释放。这些化合物在治疗精神障碍,如包括负性和阳性症状的精神分裂症、非精神分裂性精神病、抑郁症和焦虑症方面具有用途。