Overcoming Clopidogrel Resistance: Discovery of Vicagrel as a Highly Potent and Orally Bioavailable Antiplatelet Agent
摘要:
A series of optically active 2-hydroxytetrahydrothienopyridine derivatives were designed and synthesized as prodrugs of clopidogrel thiolactone in order to overcome clopidogrel resistance. The final compounds were evaluated for their inhibitory effect on ADP-induced platelet aggregation in rats. Compound 9a was selected for further in vitro and in vivo metabolism studies, since its potency was comparable to that of prasugrel and was much higher than that of clopidogrel. Preliminary pharmacokinetic study results showed that the bioavailability of clopidogrel thiolactone generated from 9a was 6-fold higher than that generated from clopidogrel, implying a much lower clinically effective dose for 9a in comparison with clopidogrel. In summary, 9a (vicagrel) holds great promise as a more potent and a safer antiplatelet agent that might have the following advantages over clopidogrel: (1) no drug resistance for CYP2C19 poor metabolizers; (2) lower dose-related toxicity due to a much lower effective dose; (3) faster onset of action.
Optically active 2-hydroxy tetrahydrothienopyridine derivatives, preparation method and use in manufacture of medicament thereof
申请人:Jiangsu Vcare PharmaTech Co., Ltd.
公开号:US10000506B2
公开(公告)日:2018-06-19
Optically active 2-hydroxytetrahydrothienopyridine derivatives represented by Formula I and pharmaceutically acceptable salts, preparation method and use in the manufacture of a medicament thereof are disclosed. The pharmacodynamic experiment results show that the present compounds of Formula I are useful for inhibiting platelet aggregation. The pharmacokinetic experiment results show that the present compound of Formula I can be converted in vivo into pharmacologically active metabolites and are therefore useful for inhibiting platelet aggregation. Therefore, the present compounds are useful for the manufacture of a medicament for preventing or treating thrombosis and embolism related diseases.
本发明公开了由式 I 代表的具有光学活性的 2-羟基四氢噻吩吡啶衍生物及其药学上可接受的盐、制备方法和在制造药物中的用途。药效学实验结果表明,本发明的式 I 化合物可用于抑制血小板聚集。药代动力学实验结果表明,本发明的式 I 化合物可在体内转化为具有药理活性的代谢物,因此可用于抑制血小板聚集。因此,本化合物可用于制造预防或治疗血栓和栓塞相关疾病的药物。
OPTICALLY ACTIVE 2-HYDROXY TETRAHYDROTHIENOPYRIDINE DERIVATIVES, PREPARATION METHOD AND USE IN MANUFACTURE OF MEDICAMENT THEREOF
申请人:Jiangsu Vcare Pharmatech Co., Ltd
公开号:EP2532668B1
公开(公告)日:2017-05-24
US8772489B2
申请人:——
公开号:US8772489B2
公开(公告)日:2014-07-08
[EN] OPTICALLY ACTIVE 2-HYDROXY TETRAHYDROTHIENOPYRIDINE DERIVATIVES, PREPARATION METHOD AND USE IN MANUFACTURE OF MEDICAMENT THEREOF<br/>[FR] DÉRIVÉS DE 2-HYDROXYTÉTRAHYDROTHIÉNOPYRIDINE OPTIQUEMENT ACTIFS, LEUR PROCÉDÉ DE PRÉPARATION ET UTILISATION DANS FABRICATION DE MÉDICAMENT
申请人:JIANGSU VCARE PHARMATECH CO LTD
公开号:WO2011095049A1
公开(公告)日:2011-08-11
Optically active 2-hydroxy tetrahydrothienopyridine derivatives represented by formula I and pharmaceutically acceptable salts, preparation method and use in the manufacture of a medicament thereof are disclosed. The pharmacodynamic experiment result shows that the present compounds of formula I are useful for inhibiting platelet aggregation; the pharmacokinetic experiment result shows that the present compounds of formula I can convert in vivo into pharmacological metabolites and are therefore useful for inhibiting platelet aggregation. Therefore, the present compounds can be useful for the manufacture of a medicament of preventing or treating thrombosis and embolism relevant diseases.