WO1997018184A1 - Fluorinated propranolol and related methods - Google Patents
Fluorinated propranolol and related methods Download PDFInfo
- Publication number
- WO1997018184A1 WO1997018184A1 PCT/US1996/017679 US9617679W WO9718184A1 WO 1997018184 A1 WO1997018184 A1 WO 1997018184A1 US 9617679 W US9617679 W US 9617679W WO 9718184 A1 WO9718184 A1 WO 9718184A1
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- WO
- WIPO (PCT)
- Prior art keywords
- propranolol
- compound
- fluorinated
- beta
- antioxidant
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07C—ACYCLIC OR CARBOCYCLIC COMPOUNDS
- C07C217/00—Compounds containing amino and etherified hydroxy groups bound to the same carbon skeleton
- C07C217/02—Compounds containing amino and etherified hydroxy groups bound to the same carbon skeleton having etherified hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton
- C07C217/04—Compounds containing amino and etherified hydroxy groups bound to the same carbon skeleton having etherified hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated
- C07C217/28—Compounds containing amino and etherified hydroxy groups bound to the same carbon skeleton having etherified hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated having one amino group and at least two singly-bound oxygen atoms, with at least one being part of an etherified hydroxy group, bound to the carbon skeleton, e.g. ethers of polyhydroxy amines
- C07C217/30—Compounds containing amino and etherified hydroxy groups bound to the same carbon skeleton having etherified hydroxy groups and amino groups bound to acyclic carbon atoms of the same carbon skeleton the carbon skeleton being acyclic and saturated having one amino group and at least two singly-bound oxygen atoms, with at least one being part of an etherified hydroxy group, bound to the carbon skeleton, e.g. ethers of polyhydroxy amines having the oxygen atom of at least one of the etherified hydroxy groups further bound to a carbon atom of a six-membered aromatic ring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/24—Drugs for disorders of the endocrine system of the sex hormones
- A61P5/36—Antigestagens
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/38—Drugs for disorders of the endocrine system of the suprarenal hormones
- A61P5/42—Drugs for disorders of the endocrine system of the suprarenal hormones for decreasing, blocking or antagonising the activity of mineralocorticosteroids
Definitions
- the field of this invention is pharmaceuticals which act as beta blockers and pharmaceuticals that act as antioxidants. Specifically, this invention relates to beta blockers with amplified and controlled antioxidant properties.
- Beta blockers such as various forms of propranolol are known. It is known that a variety of heart and hypertension problems can be treated with beta blockers. However, an excessive treatment of beta blockers can cause undesirable side effects in patients.
- Antioxidant agents are also known. It is also known that treatment by antioxidants may be used to treat similar and related heart and hypertension problems.
- the inventors discovered significant membrane antioxidant activity for some fluorinated propranolol analogs.
- the antioxidant potency of these preparations increases with the degree of fluorination.
- Experimental results indicate that different isomers of propranolol (some of which may be pharmacologically active as beta blockers and some of which may be pharmacologically inactive as beta blockers) display equipotent antioxidant activity. That is, their antioxidant activity is independent of their pharmacological beta blocker activity.
- Free radicals in the cell membranes cause lipid peroxidativc damage and protein oxidative damage. Antioxidants neutralize the free radicals before they can cause this damage or may block the early "chain reaction" of peroxidation in the cell membranes. Fluorination of propranolol increases the lipophilicity of the propranolol analogs and thereby causes the higher partitioning of the antioxidant agents into the biomembranes of cells; therefore, these fluo ⁇ nated propranolol beta blockers have greater antioxidant effect than the unfluo ⁇ nated propranolols, because the fluo ⁇ nated agents enter the membrane in greater quantity than the unfluo ⁇ nated propranolols.
- the present invention includes fluorinated propranolol analogs and methods of use as simultaneous beta blockers and amplified antioxidants for the treatment of heart failure, hypertension, and related diseases.
- the present invention further includes mixtures of (1) fluorinated antioxidant non-beta blocking isomers of propranolol, with (2) fluorinated antioxidant beta blocking isomers of propranolol, in a range of ratios.
- This range of mixtures offers a range of choice of beta blocking intensity to correspond to a selected level of antioxidant activity, thereby avoiding excessive beta blocking for an individual case for a desired antioxidant unpact. That is, for a given antioxidant impact, the simultaneous beta blocker impact can be controlled.
- fluorinated antioxidant beta blocking propranolols may include excessive beta blockade at higher dosage.
- the mixtures of the present invention offer choices that avoid the problems associated with excessive beta blocking, while achieving the targeted antioxidant benefit.
- This fluorination method may be applied to other beta blocking agents such as aterolol, metoprolol, and similar drugs, to enhance their lipophilicity and positioning into biological membranes.
- Figure 1 shows the chemical structure of: propranolol (la), trifluoroethyl-propranolol
- Figure 2 shows propranolol viewed perpendicular to its a) longitudinal (primary or 1 °) axis, b) secondary (2°) axis, and c) tertiary (3°) axis.
- Figure 3 shows the atomic charges and the structure of a) propranolol, b) trifluoroethyl- propranolol, c) pentafluoropropyl-propranolol, and d) heptafluorobutyl-propranolol.
- Figure 4 shows the distribution of charge densities in a) propranolol, b) trifluoroethyl- propranolol, c) pentafluoropropyl-propranolol, and d) heptafluorobutyl-propranolol. For each molecule two views are presented, one perpendicular to the 2° axis and the other perpendicular to the 3° axis.
- Figure 5 shows the distribution of electrostatic potential in a) propranolol, b) trifluoroethyl-propranolol, c) pentafluoropropyl-propranolol, and d) heptafluorobutyl-propranolol. This view is perpendicular to the 3° axis of each molecule. The changes in the dotted contours represent the negative values.
- Figure 6 shows the antioxidant activities of fluorinated propranolol analogs.
- Figure 7 shows the antioxidant activities of nonfluorinated propranolol analogs.
- Figure 8 shows the protective effects of F2 and F2-R on R.(DHF+Fe)- ⁇ nduced loss of endothelial cell glutathione (GSH)
- Figure 9 shows the molecular structure of D-propranolol, and L-propranolol, which are both p ⁇ or art Table 1 shows optimized energies of the molecules.
- Table 2 shows coordinates of propranolol (la).
- Table 3 shows coordinates of trifluoroethyl-propranolol (lb)
- Table 4 shows coordinates of pentafluoropropyl-propranolol (lc).
- Table 5 shows coordinates of heptafluorobutyl-propranolol (Id)
- Table 6 shows fluo ⁇ nated propranolol analogs which are part of the present mvention
- Table SI shows important bond angles (°) for the fluorinated analogs.
- Table S2 shows important torsion angles (°) for the fluorinated analogs.
- Table S3 shows dipole moments of the molecules.
- Figure 9 shows the molecular structure of D-propranolol (i.e. , right or R-propranolol) and L-propranolol (i.e. , left or S-propranolol), which are both prior art L-propranolol is a beta- blocker, that is, it is pharmacologically active.
- D- (or right-) propranolol is not a beta-blocker
- Table 6 shows the molecular structure of the fluo ⁇ nated propranolol analogs, which are part of the present mvention
- D- and L-propranolol have about the same anti-oxidant potency
- the fluorination of propranolol (including both the D and L forms), or any other beta blockers enhance their antioxidant potency and protect cardiovascular, neurological and other tissues from free radical-mediated injury.
- Clinical problems such as heart failure, myocardial infarction, ischemia/reperfusion injury, stroke, and related diseases), where excess free radicals contribute to mechanisms of injury, benefit from treatment by fluorinated beta blockers, including treatment by a combination of fluorinated D-propranolol and fluorinated L-propranolol.
- Chemical modifications include variable degrees of fluorination of these molecules to provide variable clinical efficacy.
- the new combination of a fluorinated active beta blocker e.g. , L-propranolol, at 5-10% of a full dose
- a fluorinated inactive beta blocker e.g., D-propranolol at 95-90% of a full dose
- Both oral and other methods of administration can be used.
- the therapeutic strategies include delivery of fluorinated antioxidant doses combined with effective beta blocking doses to maintain the patient on adequate beta blockade, while enhancing greatly the antioxidant therapy.
- the non-beta blocking form e.g. , fluorinated D-propranolol
- the fluorinated drug may be administered alone or as an adjunct to other therapies, to treat diseases including thrombolysis, organ preservation, heart failure, restenosis of angioplasty arteries, inflammatory processes (e.g. in skin, lungs, and eyes) and other conditions.
- Propranolol chemically known as l-isopropylamino-3-)l-naphthyloxy)-2-propanol (see Figure la) is the model parent drug for non-selective ⁇ -blockers, a "pure" antagonist of catecholamines at the receptor sites.
- propranolol (besides j3-blockade), ix) to reduce the frequency and intensity of migraine headaches, x) to reduce somatic manifestations of anxiety and xi) to treat alcohol withdrawal.
- the principal toxicities of propranolol result from the blockade of cardiac, vascular, or bronchial ⁇ - adrenoceptors. Most important predictable untoward reactions are in patients with reduced myocardial reserve, asthma, peripheral vascular insufficiency, and diabetes. Some patients experience a beta blocker withdrawal syndrome when discontinued after a long use. The manifestations of this are anxiety, tachycardia, increased intensity of angina, heart attack, or increase in blood pressure. These side effects of propranolol are not desired.
- the naphthyl moiety in all the compounds is flat.
- the bond angles of the naphthyl group are all approximately 120° each with minimal torsion within the rings. All the other bond angles range between 105° and 125°.
- the side cham zigzags around an axis in the plane of the naphthyl group (view a in Figure 2). If the molecule is turned to view it from a side so that the naphthyl moiety becomes a straight line (view b in Figure 2), the side chain is also more or less a straight line with its axis making an angle of approximately 173.5° with the plane of the naphthyl group. Keeping the rings flat and viewing the molecule such that the side chain goes into the plane of the paper pe ⁇ endicularly (view c in Figure 2), the bond with
- 017 atom (oxygen of the hydroxy 1 group) makes an angle of about -63 ° and the bond of the C34 atom an angle of about 121 ° with the plane of the rings.
- the side chain zigzags in a similar way as in view a ( Figure 2) of the parent and its axis makes an angle of approximately 178.5° with the plane of the rings (in a view similar to view b of Figure 2). While, when the side chain projects perpendicularly mto the paper plane
- the -CF 3 group projects almost pe ⁇ endicularly to the rest of the side chain (i e , the non-fluo ⁇ nated portion) in the direction opposite to that of the 017 atom
- the bond with the 017 atom makes an angle of almost -118°, the bond of the C35 atom of almost -132°, and the bond of C37 atom of almost 115° with the plane of the rings.
- the zigzagging of the non-fluorinated portion is similar to the parent (like in view a of Figure 2) and the axis of the non-fluorinated portion of the side chain makes an angle of about 178.5° with the plane of the rings (like in view b of Figure 2), the first portion of the fluorinated region of the side chain (i.e., C33-C37 link) is at about 93° to the non-fluorinated region of the side chain and the second region (i.e., C37-C39 link) is at about 254.5° to the first link (both of these in view b).
- the bond of the 017 atom makes an angle of about 67° with the plane of the rings, the bond of C35 atom an angle of about 52°, and the bond of C37 atom of about -60°.
- the dimensions of the molecule boxes together with the molecular volumes for the four molecules are as follows: propranolol 335.162 A 3 , trifluoroethyl propranolol 280.183 A 3 , pentafluoropropyl-propranolol 382.636 A 3 , and heptafluorobutyl propranolol 395.135 A 3 .
- the heat of formation of the "CF 2 " increment group may be estimated and turns out to be in the range of -97.3 kcal/mol to -109.7 kcal/mol, with a mean of -103.5 kcal/mol.
- Heat of formation attributable to CF 3 may be estimated to be approximately -160 kcal/mol.
- the estimated heats of formation for the three derivatives from these figures come out to be -218 kcal/mol, -321 kcal/mol and -424 kcal/mol which are not significantly different from the respective values obtained from the AMI calculations (given in Table 1 below).
- Dipole Moment The molecules do exhibit a sudden increase in the dipole moment from 1.303 Debyes to 4.142 Debyes when the two terminal methyl groups are replaced one by a hydrogen and the other by a -CF 3 group in lb. With further addition of fluorines there is a further increase in the dipole moment (to 4.162 and then to 4.497 Debyes), but not as dramatic. This simple measure indicates a significant redistribution of charge density. To quantify this change further, charge distributions and electrostatic potentials were studied and are discussed below. Charge Distributions: The changes in the charges distribution in the four compounds involve the ether oxygen (Oi l) and all the terminal fluorines. In propranolol most of the charge is concentrated on the ether oxygen.
- Electrostatic Potentia The sites of most negative electrostatic potential move towards the terminal of the molecules from the parent to the derivatives as the number of fluorines increase.
- the site In propranolol the site is near the ether oxygen, in lb it is more or less equally distributed between the ether oxygen and the fluorinated terminal, in lc the region of influence of the electrostatic potential progressively increases as it does again in Id.
- the volume of this influence covers the region occupied by the nitrogen and the terminal fluorines in the three derivatives, but the increase in the number of fluorines make this region bigger.
- liver microsomal membranes 0.2 mg/ml were resuspended in PBS.
- the membrane samples were pretreated for 20 minutes with or without the drugs, before adding the free radical components (R.), which consisted of DHF (.83 mM) and Fe (25 ⁇ M FeCl 3 ) chelated by ADP (250 ⁇ M).
- R. free radical components
- membrane peroxidation was measured by the TBA (thio-barbituric acid) method as described in Mak & Weglicki, Methods in Enzvmologv 234: 620-630, 1994.
- Drug effects are represented by the percentage of inhibition of the oxidation product formation.
- Liver microsomal membranes were isolated from homogenized liver tissue by differential centrifugation according to the procedure of Mak & Weglicki, Pharmacological Research 25: 25-30, 1992.
- the oxygen free radical system generates oxygen radicals to oxidize rat liver membranes in the experiment whose results are shown in Figures 6 and 7, and to oxidize endothelial cell glutathione in the experiment whose results are shown in Figure 8.
- oxygen radicals are generated by the addition of DHF, Fe, and ADP.
- oxygen radicals are generated by the addition of DHF and Fe. The detailed procedure and methods were described in Mak & Weglicki Methods in Enzymology. 234: 620-630, 1994).
- F2-S active and inactive forms are far more effective as antioxidants, providing more than 50% protection from the R.(DHF + Fe)-induced loss of endothelial cell glutathione at a concentration of 5 ⁇ M.
- Table 6 shows the molecular structure of types of fluorinated propranolols, that are part of the present invention.
- the parent compound, a variation of propranolol is shown at the top of the Table.
- the -R structures of F-4, F-3, and F-2 (lb, lc, and Id, respectively), are shown, with other data.
- Equivalent data for H-4, H-3, and H-2 (which are the unfluorinated forms of F-4, F-3, and F-2) are also shown.
- the S (or left) enantiomer of F-2 is shown, as is the R- (right or D-) enantiomer of F-2.
- the anti-oxidant potency for each analog of propranolol is about the same for both the left and right form of that analog.
- racemic propranolol 50 percent D-propranolol and 50 percent C- propranolol was used for the control (un-fluorinated) propranolol.
- the left-most column shows the GSH level of the endothelial cells ("Veh. ”) without radicals or propranolol treatment.
- the second column shows a 50 percent loss of the GSH caused by treatment with the radical system only.
- the third column (“ + Prop. ") shows treatment of the cells (with radicals R.) with racemic propranolol (50 percent D- propronolol and 50 percent L-propranolol) only.
- the fourth column (“ + F2”) shows the effect of treating the cells (with radicals R.) with a racemic mixture of 50 percent Left-F-2, and 50 percent Right F-2.
- the fifth column (“ + F2R”) shows the effect of treating the cells (with radicals R.) with Right F-2.
- the drugs Propranolol, the 50/50 mixture, and F2R, respectively
- the fluorinated forms of propranolol of the present invention can be used to treat any disease that is responsive to anti-oxidant treatment.
- the right (or D-) forms of the fluorinated propranolols would be especially indicated for treatment where beta-blocker effects or toxicity are anticipated as a problem.
- Active beta blockers bind to the beta adrenergic receptors with high affinity whereas inactive compositions (non-beta blockers) will not.
- reaction mixture was cooled to room temperature, and the resin was removed by Alteration Excess epichlorohyd ⁇ n was removed under vacuum, toulene (100ml) was added and then distilled in vacuum The residue was added dropwise to sodium hydride (18 g of 50% mineral oil dispersion) suspended in cold dry tetrahydrofuran (100ml). After the addition was completed, the reaction mixture was filtered and concentrated. The residue was dissolved in ether and the resulting precipitate was removed by Alteration. The filterate washed twice with 50ml of 10% sodium hydroxide solution, followed by 50ml of water and twice with 50ml of brine and dried over anhydrous potassium carbonate then filtered. The ethereal filterate was removed under vacuum where a yellow orange liquid (86g) was left. The product was then purified by fractional distillation at 64C at 0.015mmHg to give 68 g of the product as a colorless liquid.
- ⁇ i ⁇ means not applicable ⁇ s
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Abstract
Description
Claims
Priority Applications (5)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP9518905A JP2000500451A (en) | 1995-11-16 | 1996-11-16 | Fluorinated propranolol and related methods |
| EP96940758A EP0883596B1 (en) | 1995-11-16 | 1996-11-16 | Fluorinated propranolol and related methods |
| DK96940758T DK0883596T3 (en) | 1995-11-16 | 1996-11-16 | Fluorinated propranolol and related processes |
| DE69615221T DE69615221T2 (en) | 1995-11-16 | 1996-11-16 | FLUORINATED PROPRANOLOL AND SIMILAR PROCEDURES |
| AT96940758T ATE205470T1 (en) | 1995-11-16 | 1996-11-16 | FLUORINATED PROPRANOLOL AND SIMILAR METHODS |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US683595P | 1995-11-16 | 1995-11-16 | |
| US879095P | 1995-12-18 | 1995-12-18 | |
| US60/006,835 | 1995-12-18 | ||
| US60/008,790 | 1995-12-18 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| WO1997018184A1 true WO1997018184A1 (en) | 1997-05-22 |
| WO1997018184A9 WO1997018184A9 (en) | 1997-09-18 |
Family
ID=26676127
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/US1996/017679 Ceased WO1997018184A1 (en) | 1995-11-16 | 1996-11-16 | Fluorinated propranolol and related methods |
Country Status (9)
| Country | Link |
|---|---|
| US (1) | US5776985A (en) |
| EP (1) | EP0883596B1 (en) |
| JP (1) | JP2000500451A (en) |
| AT (1) | ATE205470T1 (en) |
| DE (1) | DE69615221T2 (en) |
| DK (1) | DK0883596T3 (en) |
| ES (1) | ES2163661T3 (en) |
| PT (1) | PT883596E (en) |
| WO (1) | WO1997018184A1 (en) |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| NL300886A (en) * | 1962-11-23 |
-
1996
- 1996-11-14 US US08/748,894 patent/US5776985A/en not_active Expired - Fee Related
- 1996-11-16 ES ES96940758T patent/ES2163661T3/en not_active Expired - Lifetime
- 1996-11-16 EP EP96940758A patent/EP0883596B1/en not_active Expired - Lifetime
- 1996-11-16 DE DE69615221T patent/DE69615221T2/en not_active Expired - Fee Related
- 1996-11-16 PT PT96940758T patent/PT883596E/en unknown
- 1996-11-16 AT AT96940758T patent/ATE205470T1/en not_active IP Right Cessation
- 1996-11-16 DK DK96940758T patent/DK0883596T3/en active
- 1996-11-16 JP JP9518905A patent/JP2000500451A/en not_active Ceased
- 1996-11-16 WO PCT/US1996/017679 patent/WO1997018184A1/en not_active Ceased
Non-Patent Citations (2)
| Title |
|---|
| GEN. PHARMAC., 1993, Vol. 24, No. 3, ALMOTREFI et al., "Synthesis and Pharmacological Evaluation of the Antifibrillatory Effect of Fluorinated Derivatives of Carazolol and Celiprolol: Comparison With Propranolol", pages 721-725. * |
| JOURNAL OF PHARMACEUTICAL SCIENCES, 1980, Vol. 69, No. 2, FEYNS et al., "Synthesis of Propranolol Mustard as a Possible Lung-Specific Antitumor Agent", pages 190-192. * |
Also Published As
| Publication number | Publication date |
|---|---|
| PT883596E (en) | 2002-02-28 |
| DE69615221D1 (en) | 2001-10-18 |
| ATE205470T1 (en) | 2001-09-15 |
| DE69615221T2 (en) | 2002-06-13 |
| ES2163661T3 (en) | 2002-02-01 |
| EP0883596A1 (en) | 1998-12-16 |
| US5776985A (en) | 1998-07-07 |
| JP2000500451A (en) | 2000-01-18 |
| EP0883596B1 (en) | 2001-09-12 |
| DK0883596T3 (en) | 2002-01-21 |
| EP0883596A4 (en) | 1999-05-06 |
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