开发更有效且安全性更高的药物来管理和治疗多种形式的疼痛是医疗保健的关键要素。为此,我们设计并合成了一类具有镇痛特性的新型四环吡咯并喹喔啉酮衍生物。研究了这些四环化合物的受体结合特征和镇痛特性。对这种新型支架的系统优化最终发现了临床候选物 (6 bR ,10 aS )-8-[3-(4-氟苯氧基)丙基]-6 b ,7,8,9,10,10 a - hexaHydro-1 H -pyrido[3',4':4,5]pyrrolo[1,2,3- de ]quinoxalin-2(3 H )-one(化合物5 ,ITI-333),表现出有效的结合亲和力与血清素 5-HT 2A ( K i = 8.3 nM) 和 μ-阿片受体 (MOR, K i = 11 nM) 具有中等亲和力,对肾上腺素 α 1A ( K i = 28 nM) 和多巴胺 D 1 ( K i = 50) nM)受体。 ITI-333 充当
The invention relates to particular substituted heterocycle fused gamma-carbolines, in free, solid, pharmaceutically acceptable salt and/or substantially pure form as described herein, pharmaceutical compositions thereof, for use in methods for the treatment of neuropathic pain.
The invention relates to particular substituted heterocycle fused gamma-carbolines, in free, solid, pharmaceutically acceptable salt and/or substantially pure form as described herein, pharmaceutical compositions thereof, and methods of use in the treatment of diseases involving the 5-HT2A receptor, the serotonin transporter (SERT), pathways involving the dopamine D1 and D2 receptor signaling system, and/or the μ-opioid receptor.