A method of providing a patient with controlled release of ketone-containing opioid using a prodrug capable, upon enzymatic activation and intramolecular cyclization, of releasing the ketone-containing opioid is disclosed. The disclosure also provides such prodrug compounds and pharmaceutical compositions comprising such compounds. Such pharmaceutical compositions can optionally include an enzyme inhibitor that interacts with the enzyme(s) to mediate the enzymatically-controlled release of the ketone-containing opioid from the prodrug so as to modify enzymatic cleavage of the prodrug. Also included are methods to use such compounds and pharmaceutical compositions.
本文揭示了一种使用可释放含有
酮类阿片类药物的前药,通过酶促活化和分子内环化来提供受控释放
酮类阿片类药物的患者的方法。该公开还提供了这种前药化合物和包含这种化合物的制药组合物。这样的制药组合物可以选择性地包括与酶相互作用的酶
抑制剂,以介导从前药中酶控释放
酮类阿片类药物,从而修改前药的酶解。还包括使用这些化合物和制药组合物的方法。