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CN105193821A - Diabetes mellitus resistant oral medicine composition - Google Patents

Diabetes mellitus resistant oral medicine composition
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Publication number
CN105193821A
CN105193821ACN201510767380.6ACN201510767380ACN105193821ACN 105193821 ACN105193821 ACN 105193821ACN 201510767380 ACN201510767380 ACN 201510767380ACN 105193821 ACN105193821 ACN 105193821A
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base
biphenyl
fluoro
medicine composition
chromane
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CN201510767380.6A
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朱忠良
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Abstract

The invention discloses a diabetes mellitus resistant medicine composition. The medicine composition comprises the following components: (1) 10-20mg of 5-(3-hydroxy-7-propoxy naphthalene-2-yl)-1,1-dioxo-[1,2,5]thiadiazolidine-3-one potassium salt, (2) 20-30mg of (S or R)-3-((R or S)-2-(2'-fluoro-5'-methoxy-[1,1'-biphenyl]-4-yl)chroman-7-yl)butyric acid, (3) 200-300mg of microcrystalline cellulose, (4) 10-25mg of croscarmellose sodium and (5) 1-8mg of magnesium stearate. The usage amount of active matters of the medicine is reduced by at least 1/2 under the premise of achieving the same treatment effects by compounding two different types of active matters.

Description

A kind of diabetes combination of oral medication
Technical field
The present invention relates to medical art, be specifically related to a kind of diabetes combination of oral medication.
Background technology
The metabolic disease of diabetes to be one group with hyperglycemia be feature.Hyperglycemia be then due to defect of insulin secretion or its biological agent impaired, or both have concurrently and cause.Long-standing hyperglycemia during diabetes, causes various tissue, particularly eye, kidney, heart, blood vessel, neural chronic lesion, dysfunction.
The generally acknowledged form of usual existence two kinds of diabetes.In type 1 diabetes or insulin-dependent diabetes (IDDM), patient produces seldom or does not have insulin, regulates the hormone of glucose application.In type 2 diabetes mellitus or noninsulindependent diabetes (NIDDM), still produce insulin in the body.There is in the stimulation glucose of the patient suffering from type 2 diabetes mellitus in main insulin-sensitive tissue (it is muscle, liver and fatty tissue) and lipid metabolism the toleration to insulin action.These patients have the insulin of common level usually, and may have hyperinsulinemia (plasma insulin level of rising), because they compensate by the insulin of secretion rise the insulin effects reduced.Insulin resistance can not be caused by the Insulin receptor INSR reducing quantity but be caused by the rear Insulin receptor INSR binding deficient understood not yet completely substantially.This lacks and to cause in the oxidation of glucose in the activation of the insulin-mediated of inadequate picked-up, muscle and storage and fatty tissue glucose in lipidolysis and liver to produce to the responding ability of insulin and the suppression of insufficient insulin-mediated of secretion.
Current Remedies for diabetes is maintaining treatment effect, many employing 100mg active matter oral doses, and needs daily repeatedly to take.Due to the side effect of active matter, other health hazards are caused to patient, meanwhile, due to the increase of dosage, also make medicine cost increase, cause the raising for the treatment of cost.
Summary of the invention
The object of the invention is to propose a kind of diabetes combination of oral medication, its composite by two kinds of dissimilar active matters, under the prerequisite reaching identical therapeutic effect, the use amount of the active matter of medicine is reduced at least 1/2.
For reaching this object, the present invention by the following technical solutions:
A kind of diabetes combination of oral medication, it comprises following component:
(1) 5-(3-hydroxyl-7-propoxyl group naphthalene-2-base)-1,1-dioxo-[1,2,5] thiadiazolidine-3-ketone potassium salt of 10-20mg
(2) (S or R)-3-((R or S)-2-(2 '-fluoro-5 '-methoxyl group-[1,1 '-biphenyl]-4-base) chromane-7-base) butanoic acid of 20-30mg
(3) 200-300mg microcrystalline Cellulose,
(4) 10-25mg cross-linking sodium carboxymethyl cellulose, and
(5) 1-8mg magnesium stearate.
Described 5-(3-hydroxyl-7-propoxyl group naphthalene-2-base)-1,1-dioxo-[1,2,5] thiadiazolidine-3-ketone potassium salt is less than 1 with the ratio of (S or R)-3-((R or S)-2-(2 '-fluoro-5 '-methoxyl group-[1,1 '-biphenyl]-4-base) chromane-7-base) butanoic acid.
Detailed description of the invention
The present invention is described pharmaceutical composition of the present invention by following embodiment.
Embodiment 1
I.5-(3-hydroxyl-7-propoxyl group naphthalene-2-base)-1,1-dioxo-[1,2,5] thiadiazolidine-3-ketone potassium salt
Step 1
3-hydroxyl-7-propoxyl group naphthalene-2-propyl formate
3.0g (14.7mmol) 3,7-dihydroxy naphthlene-2-formic acid is added in the suspension of 1.6g (29.6mmol) Feldalat NM in DMA (30mL).By mixture in stirring at room temperature 1 hour, then add 5.05g (29.7mmol) propyl iodide, continue stirring 48 hours.By in mixture impouring water, use 2NHCl acidify.Be extracted with ethyl acetate mixture, by (3 ×) water and saline (1 ×) washing organic facies.Use dried over sodium sulfate solution, under reduced pressure except desolventizing.Residual oil thing carries out purification by flash chromatography dichloromethane, elutes title compound, isolates as yellow oil.MS(M-1):287。
Step 2
3-benzyloxy-7-propoxyl group naphthalene-2-propyl formate
0.98g (5.73mmol) benzyl bromide a-bromotoluene is added in 1.5g (5.21mmol) 3-hydroxyl-7-propoxyl group naphthalene-2-propyl formate and the mixture of 1.08g (7.81mmol) potassium carbonate in DMF (15mL).By mixture in stirring at room temperature 48 hours, then in impouring water.Be extracted with ethyl acetate mixture, wash organic facies with water (3x) and saline (1x).Use dried over sodium sulfate solution, under reduced pressure except desolventizing.Residual oil thing uses dichloromethane to carry out purification by flash chromatography, elutes title compound, is separated into yellow oil.
Step 3
3-benzyloxy-7-propoxyl group naphthalene-2-formic acid
In the solution of 680mg (1.8mmol) 3-benzyloxy-7-propoxyl group naphthalene-2-propyl formate in EtOH (15mL), add 2.0mL1.0NNaOH, then mixture is stirred 3 hours in 60 DEG C.Under reduced pressure except desolventizing, residual solid is soluble in water.Use MTBE wash solution, with 1NHCl acidify aqueous phase.Filtration gained precipitates, and washing with water, drying under reduced pressure, obtain title compound, is white solid, mp125-128 ° of .MS (M-1): 335.
5-(3-hydroxyl-7-propoxyl group naphthalene-2-base)-1,1-dioxo-[1,2,5] thiadiazolidine-3-ketone potassium salt
In accordance with known methods, title compound is obtained, mp250-255 ° by 3-benzyloxy-7-propoxyl group naphthalene-2-formic acid.
1h-NMR (DMSO-d6: δ 7.88 (s, 1H), 7.54 (d, J=9.04Hz, 1H), 7.13 (s, 1H), 7.12 (d, J=2.64Hz, 1H), 6.98 (dd, J=9.04 and 2.64Hz, 1H), 4.19 (s, 2H), 3.98 (t, 2H), 1.75 (m, 2H), 1.00 (t, 3H) .MS (M-1): 335.
II. (S or R)-3-((R or S)-2-(2 '-fluoro-5 '-methoxyl group-[1,1 '-biphenyl]-4-base) chromane-7-base) butanoic acid
Steps A: (E)-3-(2-(the fluoro-5'-methoxyl group of 2'--[1,1'-biphenyl]-4-base) chromane-7-base) but-2-ene acid methyl ester
At the bromo-2-of N stirred under argon 7-(the fluoro-5'-methoxyl group-[1 of 2'-at 120 DEG C, 1'-biphenyl]-4-base) chromane (1.00g, 2.42mmol, 1.0eq), PdOAc (54.3mg, 0.242mmol), TEA (1.01ml, 7.26mmol, 0.726g/mL, 3.0eq), (Z)-but-2-ene acid methyl ester (727mg, 7.26mmol) and the mixture of tri-o-tolyl phosphine (73.6mg, 0.242mmol) in DMF (15ml) 16 hours.This reactant mixture is cooled to room temperature, then under vacuo except desolventizing.With this reaction of water (15mL) cancellation, and extract twice, this mixture with DCM (15mL).Through the organic layer that anhydrous Na SO drying merges, and concentrated to provide crude product under vacuo.Adopt the eluting crude product of PE:EtOAc=50:1 to provide title compound by silica gel chromatography.
1HNMR(400MHz,CDCl3)δ:7.59(d,J=7.6,2H),7.51(d,J=7.6,2H),7.11-6.95(m,5H),6.84-6.82(m,1H),5.14(d,J=8.4,1H),3.82(s,3H),3.74(s,3H),3.02-2.82(m,2H),2.55(s,3H),2.29-2.04(m,2H).
Step B:3-(2-(the fluoro-5'-methoxyl group of 2'--[1,1'-biphenyl]-4-base) chromane-7-base) methyl butyrate
At room temperature (E)-3-(2-(fluoro-5'-methoxyl group-[1 of 2'-under H atmosphere, 1'-biphenyl]-4-base) chromane-7-base) but-2-ene acid methyl ester (2.40g, 5.55mmol) stir 16 hours with the mixture of Rh/AlO (57.0mg, 0.277mmol) in MeOH (20ml).Then, filter this mixture and concentrated filtrate to provide crude product.This crude product is dissolved in DCM (25mL), and washs with water (20mL).Be separated organic layer, dry through anhydrous Na SO, and concentrated to provide the title compound of the form of mixtures of four kinds of diastereomers under vacuo.
Step C:(S or R)-3-((R or S)-2-(the fluoro-5'-methoxyl group of 2'--[1,1'-biphenyl]-4-base) chromane-7-base) methyl butyrate
Use Chiralcel post OJH250x4.6mmI.D. by SFC, 5um mobile phase: isopropyl alcohol (0.05%DEA) in CO from 5% to 40%
Flow velocity: 2.5mL/min wavelength: 220nm) non-enantiomer mixture of separating step B to be to provide following eluting order: 3-(2-(the fluoro-5'-methoxyl group of 2'-[1,1'-biphenyl]-4-base) chromane-7-base) methyl butyrate (isomer A); 3-(2-(the fluoro-5'-methoxyl group of 2'-[1,1'-biphenyl]-4-base) chromane-7-base) methyl butyrate (isomer B); 3-(2-(the fluoro-5'-methoxyl group of 2'-[1,1'-biphenyl]-4-base) chromane-7-base) methyl butyrate (isomer C); With 3 (2-(the fluoro-5'-methoxyl group of 2'--[1,1'-biphenyl]-4-base) chromane-7-base) methyl butyrate (isomer D).
Step D:
At room temperature stir Lithium hydrate (21.3mg, 0.892mmo) with 3-(2-(the fluoro-5'-methoxyl group-[1 of 2'-, 1'-biphenyl]-4-base) chromane-7-base) mixture of methyl butyrate (isomer A) (40.0mg, 0.0890mmol) in water (1.0ml), THF (1.0ml) and MeOH (1.0ml) 2 hours.Then use DCM (10mL) to dilute this reactant mixture, and wash with water (20ml).Through the organic layer that anhydrous Na SO drying merges, and concentrated to provide crude product under vacuo.(on the GILSON281 instrument being equipped with PhenomenexSynergiC18100*21.2mm*4um, use water and acetonitrile as eluent by preparation HPLC.Mobile phase A: water (containing 0.1%TFA, v/v), Mobile phase B: acetonitrile.Gradient: 60-80%B, 0-10min; 100%B, 10.5-12.5min; 5%B, 13-15min) this crude product of purification to be to provide product.
1HNMR(400MHz,CDCl3)δ:7.56(d,J=7.6,2H),7.49(d,J=7.6,2H),7.06-6.92(m,3H),6.78-6.74(m,3H),5.08(d,J=9.2,1H),3.81(s,3H),3.23-3.20(m,1H),2.97-2.96(m,1H),2.80-2.79(m,1H),2.69-2.56(m,2H),2.21-2.11(m,2H),1.30(d,J=7.2,3H).
By the component I for preparing and II, obtain described diabetes combination of oral medication according to following dosage is composite:
(1) 5-(3-hydroxyl-7-propoxyl group naphthalene-2-base)-1,1-dioxo-[1,2,5] thiadiazolidine-3-ketone potassium salt of 15mg
(2) (S or R)-3-((R or S)-2-(2 '-fluoro-5 '-methoxyl group-[1,1 '-biphenyl]-4-base) chromane-7-base) butanoic acid of 30mg
(3) 268mg microcrystalline Cellulose,
(4) 20mg cross-linking sodium carboxymethyl cellulose, and
(5) 5mg magnesium stearate.
The bull C57BLob/ob mice in 11 week age is housed in reverse smooth circular chamber (from 6:00p.m. to 6:00a.m. illumination) with 6/cage, arbitrarily edible Purina Rodent Meal and drinking-water.At the 1st day, get tail blood sample at 8:00am, measure plasma glucose levels.Animal is randomized into matched group and compound group.The meansigma methods of the plasma glucose levels of each group is mated.Then the Orally administered solvent of animal (there is 0.5% carboxymethyl cellulose of 0.2% tween 80) or the compound (30mg/kg) in solvent is given.Every day, to mice administration, amounts to 3 days.At the 4th day, get basal blood specimens.Adopt the concentration of glucose of YSI2700 dual pathways biochemistry analyzer (YellowSpringsInstrumentCo., YellowSprings, OH) analysed for plasma sample, adopt ELISA algoscopy to measure insulin concentration.Test result shows, its concentration of glucose is 80-120mg/dL, its insulin concentration: 4.4 ~ 8.0mmol/L.
Comparative example 1
Containing the component I of 100mg, not containing component I I, all the other conditions are constant, and its concentration of glucose and insulin concentration are all in the scope of embodiment 1.
Comparative example 2
Containing the component I of 50mg, not containing component I I, all the other conditions are constant, and its concentration of glucose is greater than 150mg/dL.
Comparative example 3
Containing the component I I of 100mg, not containing component I, all the other conditions are constant, and its concentration of glucose and insulin concentration are all in the scope of embodiment 1.
Comparative example 4
Containing the component I I of 50mg, not containing component I, all the other conditions are constant, and its concentration of glucose is greater than 150mg/dL.
Above-described embodiment and comparative example explanation, diabetes combination of oral medication of the present invention, it is composite by two kinds of dissimilar active matters, under the prerequisite reaching identical therapeutic effect, the use amount of the active matter of medicine is reduced at least 1/2, when two kinds of active matters that the present invention adopts are used alone, within the scope of equal volume, glucose in blood cannot be reduced in normal range of the present invention, prove to create cooperative effect between two kinds of active matters that the present invention adopts.
Applicant states, the present invention illustrates diabetes combination of oral medication of the present invention by above-described embodiment, but the present invention is not limited to above-mentioned specific components and formula, does not namely mean that the present invention must rely on above-mentioned detailed component and formula could be implemented.Person of ordinary skill in the field should understand, any improvement in the present invention, to equivalence replacement and the interpolation of auxiliary element, the concrete way choice etc. of each raw material of product of the present invention, all drops within protection scope of the present invention and open scope.

Claims (2)

CN201510767380.6A2015-11-112015-11-11Diabetes mellitus resistant oral medicine compositionPendingCN105193821A (en)

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Citations (2)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN101687828A (en)*2007-06-042010-03-31诺瓦提斯公司Thiadiazole derivatives as antidiabetic agents
CN104994848A (en)*2013-02-222015-10-21默沙东公司Antidiabetic bicyclic compounds

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN101687828A (en)*2007-06-042010-03-31诺瓦提斯公司Thiadiazole derivatives as antidiabetic agents
CN104994848A (en)*2013-02-222015-10-21默沙东公司Antidiabetic bicyclic compounds

Non-Patent Citations (2)

* Cited by examiner, † Cited by third party
Title
杨玺: "《糖尿病合理用药》", 30 November 2007*
陈培丰等: "《中西医结合临床内科学》", 31 August 2006*

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