MEDICINE FOR TREATING INFLUENZA CHARACTERIZED BY COMPRISING COMBINATION OF CAP-DEPENDENT ENDONUCLEASE INHIBITOR WITH ANTI-INFLUENZA DRUG
申请人:Shionogi & Co., Ltd.
公开号:EP3391888A1
公开(公告)日:2018-10-24
A medicament characterized in that (A) a compound represented by the formula (I):
, its pharmaceutically acceptable salt, or a solvate thereof,
wherein
P is hydrogen or a group to form a prodrug;
A1 is CR1AR1B, S or O;
A2 is CR2AR2B, S or O;
A3 is CR3AR3B, S or O;
A4 is each independently CR4AR4B, S or O;
the number of hetero atoms among atoms constituting the ring which consists of A1, A2, A3, A4, nitrogen atom adjacent to A1 and carbon atom adjacent to A4 is 1 or 2;
R1A and R1B are each independently hydrogen, halogen, alkyl or the like;
R2A and R2B are each independently hydrogen, halogen, alkyl, or the like;
R3A and R3B are each independently hydrogen, halogen, alkyl, or the like;
R4A are each independently hydrogen, halogen, alkyl, or the like;
R4B are each independently hydrogen, halogen, alkyl, or the like;
R3A and R3B may be taken together with an adjacent carbon atom to form non-aromatic carbocycle or non-aromatic heterocycle;
n is any integer of 1 to 2; and
R1 is
or the like,
is combined with (B) compound(s) having an anti-influenza activity, its pharmaceutically acceptable salt or a solvate thereof and/or an antibody having anti-influenza activity, is useful for treating or preventing influenza.
一种药物,其特征在于 (A) 由式 (I) 所代表的化合物:
、其药学上可接受的盐或其溶液、
其中
P 是氢或可形成原药的基团;
A1 是 CR1AR1B、S 或 O;
A2 是 CR2AR2B,S 或 O;
A3 是 CR3AR3B,S 或 O;
A4各自独立地为CR4AR4B、S或O;
由 A1、A2、A3、A4、与 A1 相邻的氮原子和与 A4 相邻的碳原子构成的环的原子中杂原子的数目为 1 或 2;
R1A 和 R1B 各自独立地为氢、卤素、烷基或类似物;
R2A 和 R2B 各自独立地为氢、卤素、烷基或类似物;
R3A 和 R3B 各自独立地为氢、卤素、烷基或类似物;
R4A 各自独立地为氢、卤素、烷基或类似物;
R4B 各自独立地为氢、卤素、烷基或类似物;
R3A 和 R3B 可与相邻碳原子一起形成非芳香族碳环或非芳香族杂环;
n 是 1 到 2 的任意整数;以及
R1 是
或类似物、
与具有抗流感活性的(B)化合物、其药学上可接受的盐或其溶液和/或具有抗流感活性的抗体结合,可用于治疗或预防流感。