Novel Formulations For Opioid-Based Treatments Of Pain Comprising 1-(1,2-Disubstituted Piperidinyl)-4-Substituted Piperazine Derivatives
申请人:Janssens Frans Eduard
公开号:US20080070924A1
公开(公告)日:2008-03-20
This invention concerns novel formulations for opioid-based treatments of pain and/or nociception comprising opioid analgesics and 1-(1,2-disubstituted piperidinyl)-4-substituted piperazine derivatives having neurokinin antagonistic activity, in particular NK
1
antagonistic activity the use of said formulation for the manufacture of a medicament for the prevention and/or treatment of emesis, pain and/or nociception, in particular in acute and chronic pain treatments, more in particular in inflammatory, post-operative, emergency room (ER), breakthrough, neuropathic and cancer pain treatments and the use of an NK
1
-receptor antagonist for the manufacture of a medicament for the prevention and/or treatment of respiratory depression and tolerance in opioid-based treatments of pain.
The pharmaceutical formulations according to the invention comprise NK
1
-antagonists according to the general Formula (I)
the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein all substituents are defined as in claim 1.
The pharmaceutical composition according to the invention reduces to a large extent a number of unwanted side-effects associated with opioid analgesics, in particular respiratory depression and tolerance, thereby increasing the total tolerability of said opioids in pain treatment.
本发明涉及一种新型的阿片类止痛和/或止痛药物治疗的配方,包括阿片类镇痛剂和1-(1,2-二取代哌啶基)-4-取代哌嗪衍生物,具有神经激肽拮抗活性,特别是NK1拮抗活性。所述配方的用途是制造用于预防和/或治疗呕吐、疼痛和/或痛觉的药物,特别是在急性和慢性疼痛治疗中,更特别是在炎症、术后、急诊室、突破性、神经病理性和癌症疼痛治疗中;以及使用NK1受体拮抗剂制造用于预防和/或治疗阿片类止痛药物治疗中的呼吸抑制和耐受性的药物。本发明的制药配方包括一般式(I)的NK1拮抗剂、其药学上可接受的酸或碱盐、其立体化学异构体形式、其N-氧化物形式和其前药,其中所有取代基均如权利要求1所定义。本发明的制药组合物大大减少了与阿片类镇痛剂相关的许多不良副作用,特别是呼吸抑制和耐受性,从而增加了在疼痛治疗中阿片类药物的总耐受性。