Novel formulations of opioid-based treatments of pain comprising substituted 1,4-di-piperidin-4-yl-piperazine derivatives
    1.
    发明申请
    Novel formulations of opioid-based treatments of pain comprising substituted 1,4-di-piperidin-4-yl-piperazine derivatives 审中-公开
    基于阿片样物质治疗疼痛的新型制剂包括取代的1,4-二哌啶-4-基 - 哌嗪衍生物

    公开(公告)号:US20060128721A1

    公开(公告)日:2006-06-15

    申请号:US10560476

    申请日:2004-06-07

    IPC分类号: A61K31/496

    摘要: This invention concerns novel formulations for opioid-based treatments of pain and/or nociception comprising opioid analgesics and 1,4-di-piperidin-4-yl-piperazine derivatives having neurokinin antagonistic activity, in particular NK1 antagonistic activity, the use of said formulation for the manufacture of a medicament for the prevention and/or treatment of emesis, pain and/or nociception, in particular in opioid-based acute and chronic pain treatments, more in particular in inflammatory, post-operative, emergency room (ER), breakthrough, neuropathic and cancer pain treatments and the use of an NK1-receptor antagonist for the manufacture of a medicament for the prevention and/or treatment of respiratory depression in opioid-based treatments of pain. The pharmaceutical formulations according to the invention comprise a pharmaceutically acceptable carrier and, as active ingredients, a therapeutically effective amount of an opioid analgesic and NK1-antagonists according to the general Formula (I) the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein all substituents are defined as in claim 1. The pharmaceutical composition according to the invention reduces to a large extent a number of unwanted side-effects associated with opioid analgesics, in particular emesis, respiratory depression and tolerance, thereby increasing the total tolerability of said opioids in pain treatment.

    摘要翻译: 本发明涉及用于基于阿片样物质治疗疼痛和/或伤害感受的新制剂,其包含具有神经激肽拮抗活性的阿片类镇痛药和1,4-二哌啶-4-基 - 哌嗪衍生物,特别是NK1 拮抗活性,所述制剂用于制备用于预防和/或治疗呕吐,疼痛和/或伤害感受,特别是基于阿片样物质的急性和慢性疼痛治疗的药物的用途,特别是在炎性, 手术,急诊室(ER),突破性,神经病理性和癌症疼痛治疗,以及使用NK 1受体拮抗剂制备用于预防和/或治疗阿片样物质中呼吸抑制的药物 的治疗疼痛。 根据本发明的药物制剂包含药学上可接受的载体,并且作为活性成分,具有治疗有效量的根据通式(I)的药学上可接受的酸的阿片样物质止痛剂和NK 1拮抗剂 或其碱加成盐,其立体化学异构形式,其N-氧化物形式和其前药,其中所有取代基如权利要求1中所定义。根据本发明的药物组合物在很大程度上降低了多个不需要的副产物, 与阿片类止痛药相关的作用,特别是呕吐,呼吸抑制和耐受性,从而增加所述阿片类药物在疼痛治疗中的总耐受性。