Discovery of Novel Quaternary Ammonium Derivatives of (3<i>R</i>)-Quinuclidinol Esters as Potent and Long-Acting Muscarinic Antagonists with Potential for Minimal Systemic Exposure after Inhaled Administration: Identification of (3<i>R</i>)-3-{[Hydroxy(di-2-thienyl)acetyl]oxy}-1-(3-phenoxypropyl)-1-azoniabicyclo[2.2.2]octane Bromide (Aclidinium Bromide)
作者:María Prat、Dolors Fernández、M. Antonia Buil、María I. Crespo、Gaspar Casals、Manuel Ferrer、Laia Tort、Jordi Castro、Juan M. Monleón、Amadeu Gavaldà、Montserrat Miralpeix、Israel Ramos、Teresa Doménech、Dolors Vilella、Francisca Antón、Josep M. Huerta、Sonia Espinosa、Manuel López、Sonia Sentellas、Marisa González、Joan Albertí、Victor Segarra、Alvaro Cárdenas、Jorge Beleta、Hamish Ryder
DOI:10.1021/jm900132z
日期:2009.8.27
risk−benefit profile compared with current antimuscarinic agents. A series of novel quaternary ammonium derivatives of (3R)-quinuclidinol esters were synthesized and evaluated. On the basis of its overall profile, (3R)-3-[hydroxy(di-2-thienyl)acetyl]oxy}-1-(3-phenoxypropyl)-1-azoniabicyclo[2.2.2]octane bromide (aclidinium bromide) emerged as a candidate for once-daily maintenance treatment of COPD
这项工作的目的是发现一种新型的长效毒蕈碱型M 3拮抗剂,用于吸入治疗慢性阻塞性肺疾病(COPD),与目前的抗毒蕈碱剂相比,具有潜在的改善的风险效益。合成并评价了一系列新的(3 R)-喹啉醇酯的季铵衍生物。根据其总体情况,(3 R)-3-[羟基(二-2-噻吩基)乙酰基]氧基} -1-(3-苯氧基丙基)-1-氮杂双环[2.2.2]辛烷溴化物(溴化ac啶)成为每日维护一次的候选物治疗COPD。该化合物是有效的毒蕈碱拮抗剂,在体内具有长效作用,并且在人血浆中具有快速水解作用,从而最大程度地减少了诱发类相关的全身性副作用的可能性。溴化阿地铵目前处于III期开发中,用于维持治疗COPD患者。