Claims
- 1. A pharmaceutical composition for treating hypertension comprising a peptide of the formula: ##STR42## wherein: A is hydrogen; or ##STR43## where X is --O--; ##STR44## and R.sub.a.sup.1 and R.sub.b.sup.1 may be the same or different and are hydrogen; Y--(CH.sub.2).sub.p -- or Y--(CH.sub.2).sub.p' --CH.dbd.CH--(CH.sub.2).sub.p", where Y is C.sub.1-4 alkyl; hydrogen; aryl; C.sub.3-7 cycloalkyl; or C.sub.3-7 cycloalkyl or aryl substituted with up to five members independently selected from the group consisting of C.sub.1-8 alkyl, trifluoromethyl, hydroxy, C.sub.1-4 alkoxy, and halo; p is 0 to 5; and p' and p" are independently 0 to 2; except that where X is --O--, only one of R.sub.a.sup.1 or R.sub.b.sup.1 is present;
- B is absent; glycyl; sarcosyl; or ##STR45## where R.sup.2 is hydrogen; C.sub.1-4 alkyl; hydroxy C.sub.1-4 alkyl; aryl; aryl substituted with up to three members selected from the group consisting of C.sub.1-4 alkyl, trifluoromethyl, hydroxy, C.sub.1-4 alkoxy, and; halo; indolyl; 4-imidazolyl; amino C.sub.2-4 alkyl; guanidyl C.sub.2-3 alkyl; or methylthiomethyl;
- D is absent; or ##STR46## where Z is --(CH.sub.2).sub.1 -- and l is 1 or 2; or --S--; E is absent; or ##STR47## where R.sup.6 is hydrogen; C.sub.1-4 alkyl; aryl; aryl; C.sub.1-4 alkyl; or aryl C.sub.1-4 alkyl or aryl where the aryl portion is substituted with up to three members selected from the group consisting of C.sub.1-4 alkyl, trifluoromethyl, hydroxy, C.sub.1-4 alkoxy, and halo; or indolyl;
- F is absent; or glycyl;
- R.sup.3 is C.sub.3-6 alkyl; C.sub.3-7 cycloalkyl; aryl; or C.sub.3-7 cycloalkyl or aryl substituted with up to three members selected from the group consisting of C.sub.1-4 alkyl, trifluoromethyl, hydroxy, C.sub.1-4 alkoxy, and halo;
- R.sup.4 is hydrogen; or ##STR48## where R.sup.7 is hydrogen; C.sub.1-4 alkyl; hydroxy; or C.sub.3-7 cycloalkyl; and R.sup.6 is as defined above;
- R.sup.5 is hydrogen; ##STR49## where R.sup.6 and R.sup.7 are as defined above; or --(CH.sub.2).sub.q --R.sup.8, where q is 0 or 1-4; and R.sup.8 is heterocyclic; heterocyclic substituted with up to five members independently selected from the group consisting of C.sub.1-6 alkyl, hydroxy, trifluoromethyl, C.sub.1-4 alkoxy, halo, aryl, aryl C.sub.1-4 alkyl, amino, and mono- or di-C.sub.1-4 alkylamino; guanidyl C.sub.2-3 alkyl; or amino C.sub.1-4 alkyl;
- m is 1 to 4;
- n is 0 to 4; and
- wherein all of the asymmetric carbon atoms have and S configuration, except for those in the A, B and D substituents, which may have an S or R configuration; and a pharmaceutically acceptable salt thereof; and one or more antihypertensive agents selected from the group consisting essentially of:
- Diuretics: acetazolamide; amiloride; bendroflumethiazide; benzthiazide; bumetanide; chlorothiazide; chlorthalidone; cyclothiazide; ethacrynic acid; furosemide; hydrochlorothiazide; hydroflumethiazide; indacrinone (racemic mixture, or as either the (+) or (-) enantiomer alone, or a manipulated ratio, e.g., 9:1 of said enantiomers, respectively); metolazone; methyclothiazide; muzolimine; polythiazide; quinethazone; sodium ethacrynate; sodium nitroprusside; spironolactone; ticrynafen; triamterene; trichlormethiazide;
- .alpha.-Adrenergic Block Agents: dibenamine; phentolamine; phenoxybenzamine; prazosin; tolazoline;
- .beta.-Adrenergic Blocking Agents: atenolol; metoprolol; nadolol; propranolol; timolol;
- ((.+-.)-2-[3-(tert-butylamino)-2-hydroxypropoxy]-2-furananilide) (ancarolol);
- (2-acetyl-7-(2-hydroxy-3-isopropylaminopropoxy)benzofuran HCl) (befunolol);
- ((.+-.)-1-(isopropylamino)-3-(p-(2-cyclopropylmethoxyethyl)-phenoxy)-2-propranol HCl) (betaxolol);
- (1-[(3,4-dimethoxyphenethyl)amino]-3-(m-tolyloxy)-2-propanol HCl) (bevantolol);
- (((.+-.)-1-(4-((2-isopropoxyethoxy)methyl)phenoxy)-3-isopropylamino-2-propanol)fumarate) (bisoprolol);
- (4-(2-hydroxy-3-[4-(phenoxymethyl)-piperidino]propoxy)-indole);
- (carbazolyl-4-oxy-5,2-(2-methoxyphenoxy)-ethylamino-2-propanol);
- (1-((1,1-dimethylethyl)amino)-3-((2-methyl-1H-indol-4-yl)oxy)-2-propanol benzoate) (bopindolol);
- (1-(2-exobicyclo[2.2.1]-hept-2-ylphenoxy)-3-[(1-methylethyl)-amino]-2-propanol HCl) (bornaprolol);
- (o-[2-hydroxy-3-[(2-indol-3-yl-1,1-dimethylethyl)amino]propoxy]benzonitrile HCl) (bucindolol);
- (.alpha.-[(tert.butylamino)methyl]-7-ethyl-2-benzofuranmethanol) (bufuralol);
- (3-[3-acetyl-4-[3-(tert.butylamino)-2-hydroxypropyl]phenyl]-1,1-diethylurea HCl) (celiprolol);
- ((.+-.)-2-[2-[3-[(1,1-dimethylethyl)amino]-2-hydroxypropoxy]phenoxy]-N-methylacetamide HCl) (cetamolol);
- (2-benzimidazolyl-phenyl(2-isopropylaminopropanol));
- ((.+-.)-3'-acetyl-4'-(2-hydroxy-3-isopropylaminopropoxy)acetanilide HCl) (diacetolol);
- (methyl-4-[2-hydroxy-3-[(1-methylethyl)aminopropoxy]]benzenepropanoate HCl) (esmolol);
- (erythro-DL-1-(7-methylindan-4-yloxy)-3-isopropylaminobutan-2-ol);
- (1-(tert.butylamino)-3-[0-(2-propynyloxy)phenoxy]-2-propanol (pargolol);
- (1-(tert.butylamino)-3-[o-(6-hydrazino-3-pyridazinyl)phenoxy]-2-propanol diHCl) (prizidilol);
- ((-)-2-hydroxy-5-[(R)-1-hydroxy-2-[(R)-(1-methyl-3-phenylpropyl)amino]ethyl]benzamide);
- (4-hydroxy-9-[2-hydroxy-3-(isopropylamino)-propoxy]-7-methyl-5H-furo[3,2-g][1]-benzopyran-5-one) (iprocrolol);
- ((-)-5-(tert.butylamino)-2-hydroxypropoxy]-3,4-dihydro-1-(2H)-naphthalenone HCl) (levobunolol);
- (4-(2-hydroxy-3-isopropylamino-propoxy)-1,2-benzisothiazole HCl);
- (4-[3-(tert.butylamino)-2-hydroxypropoxy]-N-methylisocarbostyril HCl);
- ((.+-.)-N-2-[4-(2-hydroxy-3-isopropyl aminopropoxy)phenyl]ethyl-N'-isopropylurea) (pafenolol);
- (3-[[(2-trifluoroacetamido)ethyl]amino]-1-phenoxypropan-2-ol);
- (N-(3-(o-chlorophenoxy)-2-hydroxypropyl)-N'-(4'-chloro-2,3-dihydro-3-oxo-5-pyridazinyl)ethylenediamine);
- ((.+-.)-N-[3-acetyl-4-[2-hydroxy-3-[(1-methylethyl)amino]propoxy]phenyl]butanamide) (acebutolol);
- ((.+-.) -4'-[3-(tert-butylamino)-2-hydroxypropoxy]spiro[cyclohexane-1,2'-indan]-1'-one) (spirendolol);
- (7-[3-[[2-hydroxy-3-[(2-methylindol-4-yl)oxy]propyl]amino]butyl]thiophylline) (teoprolol);
- ((.+-.)-1-tert.butylamino-3-(thiochroman-8-yloxy)-2-propanol) (tertatolol);
- ((.+-.)-1-tert.butylamino-3-(2,3-xylyloxy)-2-propanol HCl) (xibenolol);
- (8-[3-(tert.butylamino)-2-hydroxypropoxy]-5-methylcoumarin) (bucumolol);
- (2-(3-(tert.butylamino)-2-hydroxy-propoxy)benzonitrile HCl) (bunitrolol);
- ((.+-.)-2'-[3-(tert-butylamino)-2-hydroxypropoxy-5'-fluorobutyrophenone) (butofilolol);
- (1-(carbazol-4-yloxy)-3-(isopropylamino)-2-propanol) (carazolol);
- (5-(3-tert.butylamino-2-hydroxy)propoxy-3,4-dihydrocarbostyril HCl) (carteolol);
- (1-(tert.butylamino)-3-(2,5-dichlorophenoxy)-2-propanol) (cloranolol);
- (1-(inden-4(or 7)-yloxy)-3-(isopropylamino)-2-propanol HCl) (indenolol);
- (1-isopropylamino-3-[(2-methylindol-4-yl)oxy]-2-propanol) (mepindolol);
- (1-(4-acetoxy-2,3,5-trimethylphenoxy)-3-isopropylaminopropan-2-ol) (metipranolol);
- (1-(isopropylamino)-3-(o-methoxyphenoxy)-3-[(1-methylethyl)amino]-2-propanol) (moprolol);
- ((1-tert.butylamino)-3-[(5,6,7,8-tetrahydro-cis-6,7-dihydroxy-1-naphthyl)oxy]-2-propanol) (nadolol);
- ((S)-1-(2-cyclopentylphenoxy)-3-[(1,1-dimethylethyl)amino]-2-propanol sulfate (2:1)) (penbutolol);
- (4'-[1-hydroxy-2-(amino)ethyl]methanesulfonanilide) (sotalol);
- (2-methyl-3-[4-(2-hydroxy-3-tert.butylaminopropoxy)phenyl]-7-methoxy-isoquinolin-1-(2H)-one);
- (1-(4-(2-(4-fluorophenyloxy)ethoxy)phenoxy)-3-isopropylamino-2-propanol HCl);
- ((-)-p-[3-[(3,4-dimethoxyphenethyl)amino]-2-hydroxypropoxy]-.beta.-methylcinnamonitrile) (pacrinolol);
- ((.+-.)-2-(3'-tert.butylamino-2'-hydroxypropylthio)-4-(5'-carbamoyl-2'-thienyl)thiazole HCl) (arotinolol);
- ((.+-.)-1-[p-[2-(cyclopropylmethoxy)ethoxy]phenoxy]-3-(isopropylamino)-2-propanol) (cicloprolol);
- ((.+-.)-1-[(3-chloro-2-methylindol-4-yl)oxy]-3-[(2-phenoxyethyl)amino]-2-propanol) (indopanolol);
- ((.+-.)-6-[[2-[[3-(p-butoxyphenoxy)-2-hydroxypropyl]amino]ethyl]amino]-1,3-dimethyluracil) (pirepolol);
- (4-(cyclohexylamino)-1-(1-naphtholenyloxy)-2-butanol);
- (1-phenyl-3-[2-[3-(2-cyanophenoxy)-2-hydroxypropyl]aminoethyl]hydantoin HCl);
- (3,4-dihydro-8-(2-hydroxy-3-isopropylaminopropoxy)-3-nitroxy-2H-1-benzopyran) (nipradolol);
- .alpha.- and .beta.-Adrenergic Blocking Agents:
- ((.+-.)-1-tert-butylamino)-3-[o-[2-(3-methyl-5-isoxazolyl)vinyl]phenoxy]-2-propanol) (isoxaprolol);
- (1-isopropylamino-3-(4-(2-nitroxyethoxy)phenoxy)-2-propanol HCl);
- (4-hydroxy-.alpha.-[[3-(4-methoxyphenyl)-1-methylpropyl]aminomethyl]-3-(methylsulfinyl)-benzmethanol HCl) (sulfinalol);
- (5-[1-hydroxy-2-[[2-(o-methoxyphenoxy)ethyl]amino]ethyl]-2-methylbenzenesulfonamide HCl);
- (5-[1-hydroxy-2-[(1-methyl-3-phenylpropyl)amino]ethyl]salicylamide HCl) (labetalol);
- (1-((3-chloro-2-methyl-1H-indol-4-yl)oxy)-3-((2-phenoxyethyl)amino)-2-propanol-hydrogenmalonate) (ifendolol);
- (4-(2-hydroxy-3-[(1-methyl-3-phenylpropyl)amino]propoxy)benzeneacetamide);
- (1-[3-[[3-(1-naphthoxy)-2-hydroxypropyl]-amino]-3,3-dimethyl-propyl]-2-benzimidazolinone);
- (3-(1-(2-hydroxy-2-(4-chlorophenylethyl)-4-piperidyl)-3,4-dihydroxy)quinoxolin-2(1H)-one);
- CNS-Acting Agents: clonidine; methyldopa;
- Adrenergic Neuron Blocking Agents: guanethidine; reserpine and other rauwolfia alkaloids such as rescinnamine;
- Vasodilators: diazoxide; hydralazine; minoxidil;
- Angiotensin I Converting Enzyme Inhibitors:
- 1-(3-mercapto-2-methyl-1-oxopropyl)-L-proline (captopril);
- (1-(4-ethoxycarbonyl-2,4(R,R,)-dimethylbutanoyl)indoline-2(S)-carboxylic acid);
- (2-[2-[[1-(ethoxycarbonyl)-3-phenyl-propyl]amino]-1-oxopropyl]-1,2,3,4-tetrahydro-3-isoquinoline carboxylic acid);
- ((S)-1-[2-[[1-(ethoxycarbonyl)-3-phenylpropyl]amino]-1-oxopropyl]octahydro-1H-indole-2-carboxylic acid HCl);
- (N-cyclopentyl-N-(3-(2,2-dimethyl-1-oxopropyl)thiol-2-methyl-1-oxopropyl)glycine) (pivalopril);
- ((2R,4R)-2-(2-hydroxyphenyl)-3-(3-mercaptopropionyl)-4-thiazolidinecarboxylic acid);
- (1-(N-[1(S)-ethoxycarbonyl-3-phenylpropyl]-(S)-alanyl)cis,syn-octahydroindol-2(S)-carboxylic acid HCl);
- ((-)-(S)-1-[(S)-3-mercapto-2-methyl-1-oxopropyl]indoline-2-carboxylic acid);
- ([1(S),4S]-1-[3-(benzoylthio)-2-methyl-1-oxopropyl]-4-phenylthio-L-proline;
- (3-([1-ethoxycarbonyl-3-phenyl-(1S)-propyl]amino)-2,3,4,5-tetrahydro-2-oxo-1-(3S)-benzazepine-1-acetic acid HCl);
- (N-(2-benzyl-3-mercaptopropanoyl)-S-ethyl-L-cysteine) and the S-methyl analogue;
- (N-(1(S)-ethoxycarbonyl-3-phenylpropyl)-L-alanyl-L-proline maleate) (enalapril);
- N-[1-(S)-carboxy-3-phenylpropyl]-L-alanyl-1-proline;
- N.sup.2 -[1-(S)-carboxy-3-phenylpropyl]-L-lysyl-L-proline (lysinopril);
- Calcium Channel Blockers:
- .alpha.-[3-[[2-(3,4-dimethoxyphenyl)ethyl]methylamino]propyl]-3,4-dimethoxy-.alpha.-(1-methylethyl)benzeneacetonitrile (verapamil);
- 1. 4-dihydro-2,6-dimethyl-4-(2-nitrophenyl)-3,5-pyridinedicarboxylic acid dimethyl ester (nifedipine);
- 2-(2,2-dicyclohexylethyl)piperidine (perhexiline);
- N-(1-methyl-2-phenylethyl)-.gamma.-phenylbenzenepropanamine (prenylamine);
- 3-(aminosulfonyl)-4-chloro-N-(2,3-dihydro-2-methyl-1H-indol-1-yl)benzamide (indapamide);
- (2'-(2-diethylaminoethoxy)-3-phenylpropiophenone (etafenone);
- (4-[4,4-bis-(4-fluorophenyl)butyl]-N-(2,6-dimethylphenyl)-1-piperazineacetamide) (lidoflazine);
- (2-(N-benzyl-N-methylamino)ethylmethyl-2,6-dimethyl-4-(m-nitrophenyl)-1,4-dihydro-3,5-pyridinedicarboxylate HCl) (nicardipine);
- (N-(3,4-dimethoxyphenethyl)-2-(3,4-dimethoxyphenyl)-N-methyl-m-dithiane-2-propylamine-1,1,3,3-tetraoxide) (tiapamil);
- (5,6-dimethoxy-2-(3-[(.alpha.-(3,4-dimethoxy)phenylethyl)methylamino]propyl)phthalimidine) (falipamil);
- (.beta.-[(2-methylpropoxy)methyl]-N-phenyl-N-phenylmethyl-1-pyrrolidineethanamine HCl monohydrate) (bepridil);
- ((+)-cis-3-(acetyloxy)-5-[2-(dimethylamino)ethyl]-2,3-dihydro-2-(4-methoxyphenyl)-1,5-benzothiazepin-4-(5H)-one) (diltiazem);
- ((E)-1-[bis-(p-fluorophenyl)methyl]-4-cinnamylpiperazine di HCl) (flunarizine);
- (5-[(3,4-dimethoxyphenethyl)methylamino]-2-isopropyl-2-(3,4,5-trimethoxyphenyl)valeronitrile (gallopamil);
- (ethylmethyl(2,3-dichlorophenyl)-1,4-dihydro-2,6-dimethyl-3,5-pyridinedicarboxylate (felodipine);
- (isopropyl-2-methoxyethyl-1,4-dihydro-2,6-dimethyl-4-(3-nitrophenyl)-3,5-pyridinecarboxylate) (nimodipine);
- (3-ethyl-5-methyl-1,4-dihydro-2,6-dimethyl-4-(3-nitrophenyl)-3,5-pyridine-dicarboxylate) (nitrendipine);
- Other Antihypertensive Agents: aminophylline; cryptenamine acetates and tannates; deserpidine; meremethoxylline procaine, pargyline; trimethaphan camsylate; including pharmaceutical salt and ester forms thereof.
Parent Case Info
This is a continuation of application Ser. No. 607,081, filed May 8, 1984, now abandoned, which in turn is a continuation-in-part of U.S. patent application Ser. No. 504,768, filed June 15, 1983, now U.S. Pat. No. 4,485,099, issued Nov. 27, 1984.
US Referenced Citations (4)
Number |
Name |
Date |
Kind |
4216209 |
Bellini et al. |
Aug 1980 |
|
4477440 |
Boger et al. |
Oct 1984 |
|
4477441 |
Boger et al. |
Oct 1984 |
|
4485099 |
Boger et al. |
Nov 1984 |
|
Continuations (1)
|
Number |
Date |
Country |
Parent |
607081 |
May 1984 |
|
Continuation in Parts (1)
|
Number |
Date |
Country |
Parent |
504768 |
Jun 1983 |
|