申请人:Syntex Pharmaceuticals, Ltd.
公开号:US05043447A1
公开(公告)日:1991-08-27
Substituted imidazolyl-alkyl-piperazine and diazepine derivatives of Formula A: ##STR1## wherein: R.sup.1 is aryl, lower alkyl, cycloalkyl or hydrogen; R.sup.2 is aryl, lower alkyl or hydrogen; R.sup.3 is lower alkyl, hydroxy, or hydrogen; R.sup.4 is aryl or hydrogen; R.sup.5 is aryl or hydrogen; m is two or three; n is zero, one or two, provided that when R.sup.3 is hydroxy, n is one or two; and q is zero, one, two, or three; and the pharmaceutically acceptable salts thereof, are useful for treating mammals having any of a variety of disease states including: diseases treated by direct neuronal protection, such as ischemia including focal and global ischemia, spinal injuries, head trauma, and neurological diseases such as Alzheimer's and Huntington's chorea; diseases treated by inhibition of sodium ion, such as uremic and hyponatremic encephalopathy; and diseases treated with calcium channel antagonists, including: diseases treated by inhibiting cerebrovascular vasospasm and by cerebrovascular vasodilation, such as migraine, stroke, vasospasm due to subarachnoid hemorrhage, epilepsy or epileptic psychotic symptoms, and cerebrovascular ischemia induced by cocaine abuse; and cardiovascular diseases, such as hypertension, angina, stable and unstable angina, Prinzmetal angina, arrhythmia, thrombosis, embolism, and congestive heart failure such as chronic or acute cardiac failure; and ischemia of lower legs due to peripheral vascular disease, e.g., intermittent claudication; spasms of smooth muscle: such as the ureter, the bladder, uterine cramps, diuresis, and irritable bowel syndrome; and uses during surgery: such as bypass grafts, angiography, angioplasty, organ preservation during transplant, hypertensive crisis, or post operative hypertension.
Formula A的咪唑基-烷基-哌嗪和二氮杂环衍生物:##STR1##其中:R.sup.1为芳基,较低烷基,环烷基或氢;R.sup.2为芳基,较低烷基或氢;R.sup.3为较低烷基,羟基或氢;R.sup.4为芳基或氢;R.sup.5为芳基或氢;m为二或三;n为零,一或二,但当R.sup.3为羟基时,n为一或二;q为零,一,二或三;及其药学上可接受的盐,用于治疗患有各种疾病状态的哺乳动物,包括:通过直接神经保护治疗的疾病,如缺血,包括局部和全局缺血,脊髓损伤,头部创伤以及阿尔茨海默病和亨廷顿舞蹈症等神经系统疾病;通过抑制钠离子治疗的疾病,如尿毒症和低钠性脑病;以及通过钙通道拮抗剂治疗的疾病,包括:通过抑制脑血管痉挛和脑血管扩张治疗的疾病,如偏头痛,中风,由蛛网膜下腔出血引起的血管痉挛,癫痫或癫痫性精神症状,以及可卡因滥用引起的脑血管缺血;以及心血管疾病,如高血压,心绞痛,稳定和不稳定性心绞痛,普林兹梅塔心绞痛,心律失常,血栓形成,栓塞,以及慢性或急性心力衰竭,以及由于外周血管疾病引起的下肢缺血,例如间歇性跛行;平滑肌痉挛:如输尿管,膀胱,子宫痉挛,利尿和肠易激综合征;以及手术期间的用途:如旁路移植,血管造影,血管成形术,器官移植期间的器官保护,高血压危机或术后高血压。