Discovery of Novel Quaternary Ammonium Derivatives of (3<i>R</i>)-Quinuclidinol Esters as Potent and Long-Acting Muscarinic Antagonists with Potential for Minimal Systemic Exposure after Inhaled Administration: Identification of (3<i>R</i>)-3-{[Hydroxy(di-2-thienyl)acetyl]oxy}-1-(3-phenoxypropyl)-1-azoniabicyclo[2.2.2]octane Bromide (Aclidinium Bromide)
作者:María Prat、Dolors Fernández、M. Antonia Buil、María I. Crespo、Gaspar Casals、Manuel Ferrer、Laia Tort、Jordi Castro、Juan M. Monleón、Amadeu Gavaldà、Montserrat Miralpeix、Israel Ramos、Teresa Doménech、Dolors Vilella、Francisca Antón、Josep M. Huerta、Sonia Espinosa、Manuel López、Sonia Sentellas、Marisa González、Joan Albertí、Victor Segarra、Alvaro Cárdenas、Jorge Beleta、Hamish Ryder
DOI:10.1021/jm900132z
日期:2009.8.27
risk−benefit profile compared with current antimuscarinic agents. A series of novel quaternary ammonium derivatives of (3R)-quinuclidinol esters were synthesized and evaluated. On the basis of its overall profile, (3R)-3-[hydroxy(di-2-thienyl)acetyl]oxy}-1-(3-phenoxypropyl)-1-azoniabicyclo[2.2.2]octane bromide (aclidinium bromide) emerged as a candidate for once-daily maintenance treatment of COPD