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    • 52. 发明公开
    • SUBSTITUTED ARYL COMPOUNDS AS NOVEL CYCLOOXYGENASE-2 SELECTIVE INHIBITORS, COMPOSITIONS AND METHODS OF USE
    • 取代的芳基化合物作为新的环氧合酶-2选择性抑制剂,组合物和使用方法
    • EP1406609A2
    • 2004-04-14
    • EP01998052.3
    • 2001-12-21
    • Nitromed, Inc.
    • KHANAPURE, Subhash, P.GARVEY, David, S.EARL, Richard, A.EZAWA, MaikoFANG, XinqinGASTON, Ricky, D.
    • A61K31/36C07D317/56C07D263/56C07D319/18C07D319/20C07C317/14C07C317/24C07D405/04
    • C07D319/08A61K45/06C07D317/56C07D319/18C07D319/20C07D405/06
    • The invention describes substituted aryl compounds that are cyclooxygenase 2 (COX-2) selective inhibitors and compositions comprising at elast 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 B4 (LTB4) receptor antagonists, leukotriene A4 (LTA4) hydrolase inhibitors, 5-HT agonists, 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) inhibitors, H2 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 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.
    • 本发明描述了作为环加氧酶2(COX-2)选择性抑制剂的取代芳基化合物和包含弹性体一种环氧合酶2(COX-2)选择性抑制剂和任选地至少一种提供,转移或释放一氧化氮的化合物的组合物, 刺激内源性一氧化氮合成,提高内源性内皮细胞衍生的松弛因子水平,或者是一氧化氮合酶的底物,和/或任选的至少一种治疗剂,例如类固醇,非水石类抗炎化合物(NSAID),5 (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 血栓抑制剂,血栓烷抑制剂,减充血剂,利尿剂,镇静或非镇静抗组胺剂,诱导型一氧化氮合酶抑制剂,阿片样物质,止痛剂,Helic 幽门螺杆菌抑制剂,质子泵抑制剂,异前列烷抑制剂及其混合物。 本发明还提供了包含至少一种COX-2选择性抑制剂和任选地至少一种一氧化氮供体和/或任选地至少一种治疗剂的新型试剂盒。 本发明的环氧合酶2选择性抑制剂可以任选被亚硝化和/或亚硝基化。 本发明还提供治疗炎症,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特性; 用于促进伤口愈合; 用于治疗和/或预防肾毒性或其他毒性; 用于治疗和/或预防由环氧合酶-2水平升高引起的其他疾病; 并用于改善COX-2选择性抑制剂的心血管特征。