Pharmaceutical compositions comprising proton pump inhibitors and gastrin/cholecystokinin receptor ligands
申请人:——
公开号:US20030195240A1
公开(公告)日:2003-10-16
Pharmaceutical compositions comprising a proton pump inhibitor and a compound of the formula (I) or its pharmaceutically acceptable salts, are useful in treating gastrointestinal disorders. X and Y are independently ═N—, —N(R
5
)— (R
5
being selected from H, Me, Et, Pr, Bn, —OH and —CH
2
COOR
6
, wherein R
6
represents H, Me, Et, Pr or Bn), ═CH—, S— or —O—; n is from
1
to 4; R
1
is H or C
1
to C
15
hydrocarbyl wherein up to three C atoms may optionally be replaced by N, O and/or S atoms and up to three H atoms may optionally be replaced by halogen atoms; R
2
is selected from H, Me, Et, Pr and OH, each R
2
being independently selected from H, Me, Et, Pr and OH when n is greater than 1; R
3
(when n is 1) is selected from H, Me, Et and Pr; or (when n is greater than 1) each R
3
is independently selected from H, Me, Et, and Pr, or two R
3
groups on neighbouring carbon atoms which are linked by a double bond; or R
2
and R
3
on the same carbon atom are linked to form a C
3
to C
6
carbocylic ring, or two R
3
groups are absent from neighbouring carbon atoms which are linked by a double bond; or R
2
and R
3
on the same carbon atom together represent an ═O group; R
4
is C
1
to C
15
hydrocarbyl wherein up to two C atoms may optionally be replaced by N, O and/or S atoms and up to two H atoms may optionally be replaced by halogen atoms; Z is —(NR
7
)
a
—CO—(NR
8
)
b
— (wherein a is 0 or 1, b is 0 or 1, and R
7
and R
8
are independently selected from the groups recited above for R
6
), —CO—NR
7
—CH
2
—CO—NR
8
—, —CO—O—, —CH
2
—CH
2
—, —CH═CH—, —CH
2
—NR— or a bond; Q is —R
9
V, or (II) (wherein R
9
is —CH
2
—; —CH
2
—CH
2
—; or (III) R
9
and R
8
, together with the nitrogen atom to which R
8
is attached, form a piperidine or pyrrolidine ring which is substitued by V; V is —CO—NH—SO
2
-Ph, SO
2
—NH—CO-Ph, —CH
2
OH, or a group of the formula —R
10
U, (wherein U is —COOH, tetrazolyl, —CONHOH— or —SO
3
H; and R
10
is a bond; C
1
to C
6
hydrocarbylene, optionally substituted by hydroxy, amino or acetamido; —O—(C
1
to C
3
alkylene)-; —SO
2
NR
11
—CHR
12
—; —CO—NR
11
—CHR
12
—, R
11
and R
12
being independently selected from H and methyl; or —NH—(CO), —CH
2
—, c being 0 or 1); T is C
1
to C
6
hydrocarbyl, —NR
6
R
7
(wherein R
6
and R
7
are as defined above), —OMe, —OH, —CH
2
OH, halogen or trihalomethyl; m is 1 or 2; p is from 0 to 3; and q is from 0 to 2, with the proviso that q is 1 or 2 when Z is a bond).
1
含有质子泵抑制剂和公式(I)或其药学上可接受的盐的化合物的制剂,对治疗胃肠道疾病有用。其中,X和Y分别是═N—,—N(R5)—(其中R5选择自H,Me,Et,Pr,Bn,—OH和—CH2COOR6,其中R6代表H,Me,Et,Pr或Bn),═CH—,S—或—O—;n为1至4;R1为H或C1至C15的烃基,其中最多可有三个C原子被N,O和/或S原子取代,最多可有三个H原子被卤素原子取代;当n大于1时,R2选择自H,Me,Et,Pr和OH,每个R2独立选择自H,Me,Et,Pr和OH;当n为1时,R3选择自H,Me,Et和Pr;当n大于1时,每个R3独立选择自H,Me,Et和Pr,或被双键连接的相邻碳原子上的两个R3基团;或R2和R3在同一碳原子上连接形成C3到C6的环状碳基;或相邻碳原子上缺少两个R3基团,它们被双键连接;或R2和R3在同一碳原子上共同表示═O基团;R4为C1至C15的烃基,其中最多可有两个C原子被N,O和/或S原子取代,最多可有两个H原子被卤素原子取代;Z为—(NR7)a—CO—(NR8)b—(其中a为0或1,b为0或1,且R7和R8与上述R6中的基团独立选择),—CO—NR7—CH2—CO—NR8—,—CO—O—,—CH2—CH2—,—CH═CH—,—CH2—NR—或键;Q为—R9V,或(II)(其中R9为—CH2—;—CH2—CH2—;或(III)R9和R8与R8连接的氮原子一起形成被V取代的哌啶或吡咯烷环;V为—CO—NH—SO2-Ph,SO2—NH—CO-Ph,—CH2OH或公式—R10U的基团(其中U为—COOH,四唑基,—CONHOH—或—SO3H;R10为键;C1至C6的烃基,可选地被羟基,氨基或乙酰胺基取代;—O—(C1至C3的烷基)-;—SO2NR11—CHR12—;—CO—NR11—CHR12—,其中R11和R12独立选择自H和甲基;或—NH—(CO),—CH2—,其中c为0或1);T为C1至C6的烃基,—NR6R7(其中R6和R7如上所定义),—OMe,—OH,—CH2OH,卤素或三卤甲基;m为1或2;p为0至3;q为0至2,但当Z为键时,q为1或2。