申请人:YOSHITOMI PHARMACEUTICAL INDUSTRIES, LTD.
公开号:EP0873990A1
公开(公告)日:1998-10-28
A benzoic acid compound of the formula
wherein each symbol is as defined in the specification, an optical isomer thereof and a pharmaceutically acceptable salt thereof. A pharmaceutical composition comprising this compound and a pharmaceutically acceptable additive, a serotonin 4 receptor agonist comprising this compound as an active ingredient, a gastrointestinal prokinetic agent and a therapeutic agent for gastrointestinal diseases.
The compound of the present invention shows selective and high affinity for serotonin 4 receptors, activates same, is useful as a pharmaceutical agent for the prophylaxis and treatment of gastrointestinal diseases (e.g., reflux esophagitis; gastroesophageal reflux such as that accompanying cystic fibrosis; Barrett syndrome; intestinal pseudoileus; acute or chronic gastritis; gastric or duodenal ulcer; Crohn's disease; non-ulcer dyspepsia; ulcerative colitis; postgastrectomy syndrome; postoperative digestive function failure; delayed gastric emptying caused by gastric neurosis, gastroptosis, diabetes, and the like; gastrointestinal disorders such as indigestion, meteorism, abdominal indefinite complaint, and the like; constipation such as atonic constipation, chronic constipation, and that caused by spinal cord injury, pelvic diaphragm failure and the like; and irritable bowel syndrome), central nervous disorders (e.g., schizophrenia, depression, anxiety, disturbance of memory and dementia), cardiac function disorders (e.g., cardiac failure and myocardial ischemia), urinary diseases (e.g., dysuria caused by urinary obstruction, ureterolith, prostatomegaly, spinal cord injury, pelvic diaphragm failure, etc.), and shows superior absorption.
式中的苯甲酸化合物
其中各符号如说明书中所定义,其光学异构体及其药学上可接受的盐。由该化合物和药学上可接受的添加剂组成的药物组合物、以该化合物为活性成分的血清素 4 受体激动剂、胃肠促动力药和胃肠疾病治疗剂。
本发明的化合物对 5-羟色胺 4 受体具有选择性和高亲和力,能激活 5-羟色胺 4 受体,可用作预防和治疗胃肠道疾病(如反流性食管炎;反流性食管炎;反流性食管炎;反流性食管炎;反流性食管炎;反流性食管炎;反流性食管炎)的药物、反流性食管炎;胃食管反流,如伴随囊性纤维化的胃食管反流;巴雷特综合征;肠道假膜;急性或慢性胃炎;胃或十二指肠溃疡;克罗恩病;非溃疡性消化不良;溃疡性结肠炎;胃切除术后综合征;术后消化功能衰竭;胃神经官能症、胃下垂、糖尿病等引起的胃排空延迟;消化不良、陨石症、腹部不适等胃肠道疾病;失张性便秘、慢性便秘、脊髓损伤引起的便秘、骨盆膈肌功能衰竭等便秘;肠易激综合征)、中枢神经紊乱(如溃疡性结肠炎g.,精神分裂症、抑郁症、焦虑症、记忆障碍和痴呆症)、心脏功能紊乱(如心力衰竭和心肌缺血)、泌尿系统疾病(如尿路梗阻、输尿管结石、前列腺肥大、脊髓损伤、盆腔膈肌衰竭等引起的排尿困难),并显示出良好的吸收性。