Substituted aryl compounds as novel cyclooxygenase-2 selective inhibitors, compositions and methods of use
申请人:NitroMed, Inc.
公开号:US20040116431A1
公开(公告)日:2004-06-17
The invention describes novel substituted aryl compounds that are cyclooxygenase 2 (COX-2) selective inhibitors and novel compositions comprising at least one cyclooxygenase 2 (COX-2) selective inhibitor, and, optionally, at least one compound that donates, transfers or releases nitric oxide, stimulates endogenous synthesis of nitric oxide, elevates endogenous levels of endothelium-derived relaxing factor or is a substrate for nitric oxide synthase, and/or, optionally, at least one therapeutic agent, such as, steroids, nonsterodal antiinflammatory compounds (NSAID), 5-lipoxygenase (5-LO) inhibitors, leukotriene B
4
(LTB
4
) receptor antagonists, leukotriene A
4
(LTA
4
) hydrolase inhibitors, 5-HT agonists, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) inhibitors, H
2
antagonists, antineoplastic agents, antiplatelet agents, thrombin inhibitors, thromboxane inhibitors, decongestants, diuretics, sedating or non-sedating anti-histamines, inducible nitric oxide synthase inhibitors, opioids, analgesics,
Helicobacter pylori
inhibitors, proton pump inhibitors, isoprostane inhibitors, and mixtures thereof.. The invention also provides novel kits comprising at least one COX-2 selective inhibitor, and, optionally, at least one nitric oxide donor, and/or, optionally, at least one therapeutic agent. The novel cyclooxygenase 2 selective inhibitors of the invention can be optionally nitrosated and/or nitrosylated. The invention also provides methods for treating inflammation, pain and fever; for treating and/or improving the gastrointestinal properties of COX-2 selective inhibitors; for facilitating wound healing; for treating and/or preventing renal toxicity or other toxicities; for treating and/or preventing other disorders resulting from elevated levels of cyclooxygenase-2; and for improving the cardiovascular profile of COX-2 selective inhibitors.
该发明描述了一种新型的取代芳基化合物,它们是环氧合酶2(COX-2)选择性抑制剂,并且包括至少一种环氧合酶2(COX-2)选择性抑制剂的新型组合物,以及可选择地包括至少一种捐赠、转移或释放一氧化氮、刺激内源性一氧化氮合成、提高内源性内皮源性松弛因子水平或是一氧化氮合酶底物的化合物,和/或可选择地包括至少一种治疗剂,如类固醇、非甾体抗炎化合物(NSAID)、5-脂氧合酶(5-LO)抑制剂、白三烯B4(LTB4)受体拮抗剂、白三烯A4(LTA4)水解酶抑制剂、5-HT激动剂、3-羟基-3-甲基戊二酰辅酶A(HMG-CoA)抑制剂、H2拮抗剂、抗肿瘤剂、抗血小板剂、凝血酶抑制剂、血栓素抑制剂、解充血剂、利尿剂、镇静或非镇静抗组胺药、诱导型一氧化氮合酶抑制剂、阿片类药物、镇痛剂、幽门螺杆菌抑制剂、质子泵抑制剂、异前列腺素抑制剂以及它们的混合物。该发明还提供了至少一种COX-2选择性抑制剂,并可选择地包括至少一种一氧化氮供体和/或至少一种治疗剂的新型试剂盒。该发明的新型环氧合酶2选择性抑制剂可选择性地硝化和/或亚硝化。该发明还提供了治疗炎症、疼痛和发热的方法;用于治疗和/或改善COX-2选择性抑制剂的胃肠道性质;促进伤口愈合的方法;用于治疗和/或预防肾毒性或其他毒性的方法;用于治疗和/或预防由于COX-2水平升高而引起的其他疾病的方法;以及用于改善COX-2选择性抑制剂的心血管特性的方法。