Autoimmune disease treating drug

Abstract: An immunosuppressive agent, an autoimmune disease curative, an immunosuppression potentiator, and a cell adhesion inhibitor each containing a thienotriazolodiazepine compound with a 2-alkylated diazepine ring as an active ingredient; immunosuppression, cure of autoimmune diseases, potentiation of immunosuppression, and inhibition of cell adhesion each comprising the administration of the above compound; and the use of this compound for producing the above drugs. 4-(2-chlorophenyl)-6, 9-dimethyl-6H-thieno [3,2-f] [1,2,4] triazolo-[4,3-a] [1,4] diazepine, morpholide of 3- [4-(2-chlorophenyl)-6, 9-dimethyl-6H-thieno [3,2-f] [1,2,4] triazolo [4,3-a] [1,4]-diazepin-2-yl) propionic acid, optical isomers of them, and (+)-6-(2-chlorophenyl)-3-cyclopropanecarbonyl-1,1-dimethyl-2,3,4,5-tetrahydro-8H-pyrido[4',3':4,5]-thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4]diazepine enhance the activity of an immunosuppressive agent, such as cyclosporin, and per se have the activities of autoimmune suppression and cell adhesion inhibition, thus being useful as the above-mentioned drugs.

Description: [TECHNICAL FIELD] This invention relates to a use of a specific thienotriazolodiazepine compound for the production of an autoimmune disease treating drug. [BACKGROUND ART] Organ transplantation has been carried out extensively in recent years, with the use of immuno-suppressive drugs such as ciclosporin, azathioprine, steroidal drugs and the like in order to inhibit rejection reactions caused by the transplantation. However, frequent use of these immunosuppressive drugs causes renal toxicity or other serious side effects, thus bringing about problems in the field of medical treatment. It has been disclosed, for example, in Transplantation Proceedings , vol.20, no.2, supplement 1, pp.313 - 315 (February, 1988) that a platelet activating factor antagonist (PAF antagonist), which is expected to be used as a drug for the treatment of inflammatory diseases, allergic diseases and the like, is effective in increasing immunosuppression action of ciclosporin, and in Japanese Patent Application Toppyo No. Hei-3-500898 that side effects of ciclosporin are reduced by the combined use of a thienotriazolodiazepine. Also, it has been revealed that intercellular adhesion molecules are taking an important role in rejection reactions at the time of organ transplantation. It has been reported that rejection reactions accompanying organ transplantation were suppressed with prolonged survival of the grafts when antibodies specific for LFA-1 (leukocyte function-associated antigen-1, a molecule composed of CDlla (α chain) and CDl8 (β chain)) and ICAM-1 (intercellular adhesion molecule-1), both known as intracellular adhesion molecules, were administered to mice which have been subjected to allogenic heart transplantation ( Science , vol.225, pp.1125 - 1127, February 28, 1992). In consequence, it is possible to suppress the organ transplantation-accompanying rejection reactions by the use of specific antibodies to inhibit the cell adhesion caused via the intercellular adhesion molecules LFA-1 and ICAM-1. In addition, great concern has been directed in recent years toward the development of a method for the treatment of rheumatoid arthritis which is regarded as an considerable autoimmune disease because the disease is chronic by itself and progressive and entails joint function disorder. Though nonsteroidal anti-inflammatory drugs, steroidal drugs, immunomodulators and the like are used in the pharmacotherapy of articular rheumatism, it is necessary to develop more effective therapeutic drugs because nonsteroidal anti-inflammatory drugs are not so effective and steroidal drugs and immunomodulators generate side effects with a high frequency and sometimes result in serious cases. On the other hand, it has been reported that onset of arthritis was inhibited when an antibody specific for the intercellular adhesion molecule ICAM-1 was administered to a rat adjuvant arthritis model ( Journal of Immunology , vol.147, pp.4167 - 4171, December 15, 1991). However, use of the antibody is limited because of a possibility to induce allergy, anaphylactic shock and the like when it is administered. In consequence, it has been suggested that a drug which inhibits cell adhesion caused via the intercellular adhesion molecules LFA-1, ICAM-1 and the like, or a drug which inhibits expression of these intercellular adhesion molecules on the cell surface, could be used as an immunosuppressive drug having less side effects, because such a drug would inhibit organ transplantation-induced rejection reactions and would be useful for the treatment of autoimmune diseases. In EP-A-0 368 175 hetrazepine derivatives are disclosed, including 2-(4-isobutylphenylethyl)-4-(2-chlorophenyl)-6-hydroxymethyl-9-methyl-6H-thieno[3,2-f][1,2,4]triazolo-[4,3-a]-[1,4]diazepine (WEB 2086) which are reported to be PAF antagonists useful in the treatment of autoimmune diseases. In Br.J. Pharmacol. 1991,102 (1) 239-245 the compound Y-24,180 (4-(2-chlorophenyl)-2-(2-(4-isobutylphenyl)ethyl)-6,9-dimethyl-6H-thieno [3,2-f] [1,2,4] triazolo [4,3-a] [1,4] diazepine is shown to inhibit the histamine- and thrombin-induced neutrophil adherance which is ascribed to the PAF-antagonist properties of this compound. [DISCLOSURE OF THE INVENTION] With the aim of overcoming the aforementioned problems, the inventors of the present invention have conducted intensive studies and found that a thienotriazolodiazepine compound wherein the 2-position of its diazepine ring is alkylated can increase actions of ciclosporin and the like immunosuppressive drugs, shows an immunosuppression function by itself, has a function to inhibit adhesion of leukocytes to blood vessel endothelial cells and is possessed of an arthritis-depressing action, thus resulting in the accomplishment of the present invention. Accordingly, the present invention provides a use of 4-(2-chlorophenyl)-2-(2-(4-isobutylphenyl)ethyl)-6,9-dimethyl-6H-thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4]diazepine (to be referred to as "compound A" hereinafter), optical isomers thereof (6S-(-) for instance), their pharmaceutically acceptable salts (hydrochloride, hydrobromate, maleate and the like) and hydrates (1 hydrate, 1/2 hydrate, 3/2 hydrate, 2 hydrate, 3 hydrate and the like) for the production of an autoimmune disease treating drug. These compounds are produced in accordance with the procedures disclosed in Japanese Patent Application Kokai No. Hei-1-156982 (EP-A-0268242). When the pharmaceutical preparation of the present invention is produced, it may contain the inventive compound preferably in a therapeutically effective amount, generally ranging from about 0.1 to 50 mg. The pharmaceutical preparation can be safely administered to patients orally or parenterally, by mixing the active ingredient with pharmaceutically acceptable carriers, fillers, diluents, solubilizing aids, disintegrating agents, binders and the like and making the resulting mixture into tablets, powders, capsules, injections, suppositories, intravenous drip infusions and the like. Its dose per day per adult may be in the range of generally from 5 to 100 mg for oral administration or from 1 to 50 mg for intravenous injection. When used as an articular rheumatism treating drug (antirheumatic drug), it may be used jointly with a nonsteroidal anti-inflammatory drug, a steroidal anti-inflammatory drug, an immunomodulator and the like. The pharmaceutical preparation of the present invention is used with the aim of preventing or treating autoimmune diseases such as articular rheumatism, systemic lupus erythematosus, Sjoegren syndrome, multiple sclerosis, myasthenia gravis, type I diabetes mellitus, endocrine ophthalmic disease, primary biliary cirrhosis, Crohn disease, glomerular nephritis, sarcoidosis, psoriasis, variola, hypoplastic anemia, and idiopathic thrombocytopenic purpura. [BRIEF DESCRIPTION OF THE DRAWINGS] Fig. 1 is a graph showing effects of the action of compounds on collagen-induced arthritis in mice. In the drawing, -○-○- represent a control group, ---represent a group orally administered with 3 mg/kg of compound A, -▵-▵- represent a group orally administered with 10 mg/kg of compound A and -□-□- represent a group orally administered with 10 mg/kg of hydrocortisone. [BEST MODE OF CARRYING OUT THE INVENTION] The following formulation and experimental examples are provided to further illustrate the present invention, but not by way of limitation. FORMULATION EXAMPLE 1 A 0.5 part of compound A was thoroughly mixed with 25 parts of lactose, 35 parts of crystalline cellulose and 3 parts of corn starch, and the mixture was kneaded thoroughly with a binder made of 2 parts of corn starch. The thus kneaded product was filtered through a 16 mesh screen, dried at 50°C in an oven and then filtered through a 24 mesh screen. The thus obtained powder was thoroughly mixed with 8 parts of corn starch, 11 parts of crystalline cellulose and 9 parts of talc, and the mixture was compression-tabletted to obtain tablets each containing 0.5 mg of the active ingredient. FORMULATION EXAMPLE 2 An injection preparation containing 1.0 mg of active ingredient is obtained by dissolving 1.0 mg of compound A and 9.0 mg of sodium chloride in distilled water for injection use, removing pyrogen by filtration, putting the resulting filtrate into an ampul under aseptic condition, sterilizing the filtrate included in the ampul and then sealing the ampul by melting. EXPERIMENTAL EXAMPLE 1: Effect on oxazolone-induced ear edema in mice Mice were sensitized by applying 50 µl of oxazolone solution (50 mg/ml in acetone) to shaved abdomen. On the 6th day after the sensitization, 5 µl of oxazolone solution was applied to each of inside and outside of the right ear. After 24 hour, the right and left ears were cut off with a puncher (6 mm in diameter) and weighed with an electric reading balance. The difference in weight between the treated (right) and untreated (left) ears was taken to reflect the extent of ear edema. Compound A as a test compound was suspended in a 0.5 % methylcellulose solution and administered orally (0.1 ml/10 g of body weight) on the 3rd, 4th, 5th and 6th days after the sensitization. Result was shown in Table 1. Treatment Compound A (mg/kg/day) Ear edema (right ear - left ear) (mg, mean ± S.D.) Unsensitized 0 1.5±1.3 Sensitized 0 12.9±2.4 Sensitized 3 10.3±4.3 Sensitized 10 10.0±1.6* Sensitized 30 8.2±1.0** Sensitized 100 7.7±2.3** (The symbol * and ** means statistically significant at p<0.05 and p<0.01, respectively compared with control group using Mann-Whitney's U-test.) As shown in Table 1, Compound A inhibited ear edema in mice dose-dependently. This data suggests that this compound suppresses leukocyte infiltration into inflammatory sites by inhibiting leukocyte adhesion in vivo and is effective on rheumatoid arthritis. EXPERIMENTAL EXAMPLE 2: Effect on collagen-induced arthritis in rats Male Sprague Dawley rats (body weight: about 200 g, Charles River Japan, Inc.) were utilized. Preparation of Type II collagen was performed according to the method of Trenthamn et al. ( J. Exp. Med. , 146, 857-868, 1977). One ml of a collagen emulsion containing 1 mg of collagen (collagen was dissolved at 2 ml/kg in a 0.1 N acetic acid and mixed with equal volume of Freund incomplete adjuvant, thereby the emulsion was prepared) was injected intradermally at the 5 points on the shaved back of ether-anesthetized rats (7 heads/group). Seven days later, 0.2 ml of the emulsion described above was injected intradermally at the root of tail. Compound A as a test compound was administered orally from the day of collagen sensitization to day 21 (once daily, 5 ml/l kg body weight). Foot volume was measured with a digital volume meter (Muromachi Kikai Co., Ltd.). In addition, blood was gathered from vein of fundus oculi. Level of anti-type II collagen antibody in the blood was determined by enzyme-linked immunosorbent assay (absorbance at 405 nm was measured) and percent inhibition of antibody production was calculated. The results were shown in Table 2. Test compound Dose (mg/kg, p.o) Level of anti-type II collagen antibody Mean ± S.D. Inhibition (%) Control 0 0.824±0.044 - Compound A 3 0.856±0.055 -3.9 Compound A 10 0.658±0.129 20.4 Indomethacin 0.3 0.889±0.051 -8.0 Indomethacin 1 0.674±0.112 18.5 Compound A + 3 0.564±0.085* 32.0 Indomethacin 0.3 Compound A + 3 0.443±0.120** 46.5 Indomethacin 1 (The symbol * and ** mean statistically significant at p<0.05 and p<0.01, respectively compared with control group using the Mann-Whitney's U-test.) Arthritis occurred on the 10th day after collagen sensitization. Consecutive administration of Compound A for 21 days (3 and 10 mg/kg) significantly inhibited arthritis in a dose-dependent manner and the effect lasted after completion of administration. Although oral administration of indomethacin at 0.3 and 1 mg/kg significantly inhibited in a dose-dependent manner, the inhibited arthritis revived after completion of administration. In combined administration of Compound A and indomethacin, the effect was stronger than that in administration of each drug. Oral administration of Compound A (10 mg/kg) or indomethacin (1 mg/kg) induced a tendency to inhibit production of anti-type II collagen antibody. Significant inhibition of antibody production was observed in combination of both drugs. EXPERIMENTAL EXAMPLE 3: Effect on collagen-induced arthritis in mice Male DBA/1J mice (8 weeks of age, Seiwa Experimental Animals, Ltd.) were utilized. Collagen emulsion (0.1 ml) prepared as described in Experimental Example 5 was injected intradermally at the root of tail of ether-anesthetized mice (10 heads/group). Twenty one days later, mice were additionally immunized by the same procedure. Test compound was administered orally on consecutive days for 10 weeks beginning on the day of collagen sensitization (once daily, 10 ml/l kg body weight). Arthritis of the limbs 4 was scored according to the following categories: 0 point: no arthritis; 1 point: 2 or less finger with swelling; 2 point: 3 or more finger with swelling; 3 point: mild edema; 4 point: moderate edema; 5 point: severe edema. The result was shown in Figure 1. Arthritis occurred at the 4 weeks after collagen sensitization. Oral administration of compound A at 3 and 10 mg/kg significantly inhibited arthritis in a dose-dependent manner. Arthritis was not observed in the mice to which hydrocortisone at 10 mg/kg was orally administered. [INDUSTRIAL APPLICABILITY] As is evident from the description including the above Experimental Examples, the compound is useful as an autoimmune disease treating drug.

Claims: Use of 4-(2-chlorophenyl)-2-(2-(4-isobutylphenyl)ethyl)-6,9-dimethyl-6H-thieno[3,2-f][1,2,4]triazolo[4,3-a][1,4]diazepine, an optical isomer thereof, or a pharmaceutically acceptable acid addition salt or hydrate thereof for the production of an autoimmune disease treating drug. The use according to claim 1, wherein said autoimmune disease is articular rheumatism, systemic lupus erythematosus, Sjoegren syndrome, multiple sclerosis, myasthenia gravis, type I diabetes mellitus, endocrine ophthalmic disease, primary biliary cirrhosis, Crohn disease, glomerular nephritis, sarcoidosis, psoriasis, variola, hypoplastic anemia or idiopathic thrombocytopenic purpura.

Inventors: ARATANI HIDEKAZU, CHIBA KENJI, HOSHINO YUKIO, KOMATU HIROTSUGU, MORIWAKI MINORU, NAGASAWA MARIKO, OKUMOTO TAKEKI, TERASAWA MICHIO, ARATANI, HIDEKAZU, CHIBA, KENJI, HOSHINO, YUKIO, KOMATU, HIROTSUGU, MORIWAKI, MINORU, NAGASAWA, MARIKO, OKUMOTO, TAKEKI, TERASAWA, MICHIO, ARATANI, HIDEKAZU YOSHITOMI PHARMAC. IND. LTD., CHIBA, KENJI YOSHITOMI PHARMACEUTICAL IND.LTD., HOSHINO, YUKIO YOSHITOMI PHARMACEUTICAL IND.LTD., KOMATU, HIROTSUGU YOSHITOMI PHARMAC. IND. LTD., MORIWAKI, MINORU YOSHITOMI PHARMACEUTICAL IND.LTD, NAGASAWA, MARIKO YOSHITOMI PHARMACEUTICAL IND.LTD, OKUMOTO, TAKEKI, YOSHITOMI PHARMACEUTICAL IND.LTD, TERASAWA, MICHIO YOSHITOMI PHARMAC.IND. LTD.
Applicants: YOSHITOMI PHARMACEUTICAL, YOSHITOMI PHARMACEUTICAL INDUSTRIES, LTD.
Application year: 1992
Main classification: A61K31
IPC codes: C07D495, A61K31