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105816-04-4

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105816-04-4 Usage

Physical and Chemical Properties

White or almost white crystalline powder, odorless, bitter taste. It is soluble in methanol, ethanol, chloroform, dissolved in acetone, ethyl ether, almost insoluble in water. Valid form used in clinic is H-type, mp 137~141 ℃. [Α] D-37.5 °, the maximum UV absorption wavelength in methanol is 252,257,263nm. The above information is edited by the lookchem of Tian Ye.

Hypoglycemic agents

Nateglinide and mitiglinide, repaglinide are three commonly used non-sulfonylurea oral hypoglycemic agents for insulin secretion,it is successfully developed for the first time by the Japanese company Ajomoto , its chemical structure belongs to carbamoylmethyl-benzoic acid (CMBA), it belongs to D-phenylalanine derivatives, it is a new generation of antidiabetic drugs having amino acid structure ,it is an amino acid derivative prompting insulin secretion, it is also currently the only non-sulfonylureas insulinotropic agent having amino acid structure. The mechanism is mainly through binding the pancreatic β cell sulfonylurea receptor, blocking islet cell ATP-sensitive potassium channels, leading to membrane depolarization, causing the calcium channe lopen to promote insulin secretion. This product is a new type of meal blood glucose regulator, which can effectively control the postprandial blood glucose levels, with rapid onset, short duration of action, low incidence of cardiovascular side effects and hypoglycemia and other characteristics. Oral bioavailability is 72%, after 15min it can produce insulin secretion effect, Tmax is 0.5~0.9 h, 0.2 h insulin levels achieve peak ,after 1.5 h it is similar to placebo. The plasma protein binding rate is 99%. After reaching plasmapeak , plasma concentrations decline rapidly.T1/2 of oral administration of 120 mg and intravenous injection 60 mg of is 1.5 to 1.7 hours, and the plasma clearance is 7.4 hours. It is metabolized in the liver by isoenzyme CYP2C9 and CYP3A4 way. The main metabolites are products after isomeric oxidation,it can be hydroxyl, diastereomers, isopropyl isomer or unsaturated aliphatic isomers.The main metabolites in plasma and urine are metabolites after the hydroxylation of isopropyl methine family (me-thine carbon) . About 2/3 nateglinide is excreted from the fecal , and the rest is excreted in the urine. Such excretion way is beneficial to elderly Ⅱ diabetes mellitus with renal dysfunction. nateglinide eliminate T1/2 is 1.4 h, because nateglinide T1/2 is short, there is no report yet about the drug accumulation in the body . Long-term use of nateglinide does not produce drug-induced hypoglycemia caused by drug accumulation .It is used for the treatment of diet therapy, exercise therapy and mild to moderate non-insulin dependent (Ⅱ type) diabetes which taking α-glucosidase inhibitor can not control. The results show that: nateglinide can be used more physiologically for meal glucose control, there is less opportunity for contact with insulin and hypoglycemia which allows patients to flexibly plan scheduling mealtimes, which means there is medication while eating, not eating no medication.

Uses

Different sources of media describe the Uses of 105816-04-4 differently. You can refer to the following data:
1. It is used for the treatment of diabetes
2. An Amino-acid derivative that stimulates insulin secretion. Used as an antidiabetic
3. antidiabetic KATP channel blocker
4. An amino-acid derivative that stimulates insulin secretion. Used as an antidiabetic.

Description

Nateglinide is a N-acylated D-phenylalanine marketed in Japan as novel orally active insulinotropic agent for the treatment of type-2 diabetes mellitus. It belongs to the class of nonsulfonylureas and shows some structural similarity to repaglinide, the only other representative in this family. In single pancreatic beta-cells isolated from rats, Nateglinide was found to specifically block the ATP-sensitive K+ channel resulting in an increase in intracellular calcium concentration. This primary action would underlie the mechanism by which Nateglinide markedly stimulates or potentiates, depending on glucose concentrations, insulin secretion from pancreatic beta-cells. Clinical studies demonstrated a good safety profile with a low potential for hypoglycemia. The pharmacokinetic profile was consistent with the changes of the blood glucose and plasma insulin level. Interestingly, Nateglinide exerts a rapid onset and short duration of action due to a rapid absorption and clearance. Unlike other similar agents, Nateglinide suppresses postprandial glucose elevations.

Chemical Properties

Cyrstalline Solid

Originator

Ajinomoto (Japan)

Definition

ChEBI: An N-acyl-D-phenylalanine resulting from the formal condensation of the amino group of D-phenylalanine with the carboxy group of trans-4-isopropylcyclohexanecarboxylic acid. An orally-ad inistered, rapidly-absorbed, short-acting insulinotropic agent, it is used for the treatment of type 2 diabetes mellitus.

Brand name

Starlix (Novartis);Fastic;Starsis.

General Description

Different sources of media describe the General Description of 105816-04-4 differently. You can refer to the following data:
1. Although nateglinide, N-(4-isopropylcyclohexanecarbonyl)-D-phenylalanine (Starlix), belongs tothe metaglinides, it is a phenylalanine derivative and representsa novel drug in the management of type 2 diabetes.
2. Nateglinide (Starlix) is D-Phenylalanine, N-[[trans-4-(1-methylethyl)cyclohexyl]carbonyl]-; or (-)-N-[(trans-4-isopropylcyclohexyl)carbonyl]-D-phenylalanine. Itis noteworthy that, although nateglinide is much less potenton a dosage basis than is repaglinide and most of the sulfonylureas,this drug seems to exhibit unique molecularpharmacodynamics. Nateglinide closes ATP-sensitive K channels some threefold more rapidly than repaglinide, andexhibits an off-rate twice as fast as that of glyburide orglimepiride and five times faster than repaglinide. Thesecharacteristics are reflected by the systemic pharmacodynamicsof this drug, translating clinically to improvedsafety, among other apparent benefits.

Biochem/physiol Actions

Nateglinide is a Kir6.2/SUR1 channel inhibitor and antidiabetic. It is selective for the SUR1 subtype, which is found on pancreatic islet cells. Nateglinide evokes KATP channel-dependent insulin secretion (50-200 μM) in the absence and presence of insulin.

Mechanism of action

Approved in the United States in late 2000, nateglinide is a rapidly absorbed insulin secretagogue that has a mechanism of action similar to that of repaglinide, with effects appearing within 20 minutes following oral dosing. Bioavailability is 73%, and it is 98% protein bound, primarily to albumin. Nateglinide is tissue selective, with low affinity for cardiac and skeletal muscle.

Clinical Use

Treatment of type 2 diabetes in combination with metformin

Drug interactions

Potentially hazardous interactions with other drugs Antibacterials: concentration reduced by rifampicin. Antifungals: hypoglycaemic effect possibly enhanced by fluconazole. Lipid-lowering agents: hypoglycaemic effect possibly enhanced by gemfibrozil.

Metabolism

It is metabolized in the liver, with 16% excreted in the urine unchanged. The major metabolites are hydroxyl derivatives (CYP2C9, 70%; CYP3A4, 30%) that are further conjugated to the glucuronide derivatives.

Check Digit Verification of cas no

The CAS Registry Mumber 105816-04-4 includes 9 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 6 digits, 1,0,5,8,1 and 6 respectively; the second part has 2 digits, 0 and 4 respectively.
Calculate Digit Verification of CAS Registry Number 105816-04:
(8*1)+(7*0)+(6*5)+(5*8)+(4*1)+(3*6)+(2*0)+(1*4)=104
104 % 10 = 4
So 105816-04-4 is a valid CAS Registry Number.
InChI:InChI=1/C19H27NO3/c1-13(2)15-8-10-16(11-9-15)18(21)20-17(19(22)23)12-14-6-4-3-5-7-14/h3-7,13,15-17H,8-12H2,1-2H3,(H,20,21)(H,22,23)/t15-,16-,17-/m1/s1

105816-04-4 Well-known Company Product Price

  • Brand
  • (Code)Product description
  • CAS number
  • Packaging
  • Price
  • Detail
  • TCI America

  • (N0912)  Nateglinide  >98.0%(HPLC)(T)

  • 105816-04-4

  • 500mg

  • 490.00CNY

  • Detail
  • TCI America

  • (N0912)  Nateglinide  >98.0%(HPLC)(T)

  • 105816-04-4

  • 1g

  • 890.00CNY

  • Detail
  • TCI America

  • (N0912)  Nateglinide  >98.0%(HPLC)(T)

  • 105816-04-4

  • 5g

  • 2,250.00CNY

  • Detail
  • Sigma-Aldrich

  • (Y0001437)  Nateglinide  European Pharmacopoeia (EP) Reference Standard

  • 105816-04-4

  • Y0001437

  • 1,880.19CNY

  • Detail
  • USP

  • (1457607)  Nateglinide  United States Pharmacopeia (USP) Reference Standard

  • 105816-04-4

  • 1457607-200MG

  • 4,662.45CNY

  • Detail
  • Sigma

  • (N3538)  Nateglinide  ≥98% (HPLC), solid

  • 105816-04-4

  • N3538-10MG

  • 2,178.54CNY

  • Detail
  • Sigma

  • (N3538)  Nateglinide  ≥98% (HPLC), solid

  • 105816-04-4

  • N3538-50MG

  • 8,763.30CNY

  • Detail

105816-04-4SDS

SAFETY DATA SHEETS

According to Globally Harmonized System of Classification and Labelling of Chemicals (GHS) - Sixth revised edition

Version: 1.0

Creation Date: Aug 10, 2017

Revision Date: Aug 10, 2017

1.Identification

1.1 GHS Product identifier

Product name nateglinide

1.2 Other means of identification

Product number -
Other names DJN 608

1.3 Recommended use of the chemical and restrictions on use

Identified uses For industry use only.
Uses advised against no data available

1.4 Supplier's details

1.5 Emergency phone number

Emergency phone number -
Service hours Monday to Friday, 9am-5pm (Standard time zone: UTC/GMT +8 hours).

More Details:105816-04-4 SDS

105816-04-4Synthetic route

N-<(trans-4-Isopropylcyclohexyl)carbonyl>-D-phenylalanine methyl ester
105746-47-2

N-<(trans-4-Isopropylcyclohexyl)carbonyl>-D-phenylalanine methyl ester

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Stage #1: N-<(trans-4-Isopropylcyclohexyl)carbonyl>-D-phenylalanine methyl ester With water; sodium hydroxide In methanol at 25 - 30℃; for 5h;
Stage #2: With hydrogenchloride In water pH=2.0 - 2.5;
80.8%
With sodium hydroxide In methanol Yield given;
Stage #1: N-<(trans-4-Isopropylcyclohexyl)carbonyl>-D-phenylalanine methyl ester With sodium hydroxide In acetone at 20 - 25℃; for 2h;
Stage #2: With hydrogenchloride In water at 10℃; for 1h; pH=2 - 3; Product distribution / selectivity;
trans-4-isopropylcyclohexane-1-carboxylic acid
7077-05-6

trans-4-isopropylcyclohexane-1-carboxylic acid

D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

chloroformic acid ethyl ester
541-41-3

chloroformic acid ethyl ester

A

N-(ethoxycarbonyl)-(D)-phenylalanine
21488-23-3

N-(ethoxycarbonyl)-(D)-phenylalanine

B

nateglinide
105816-04-4

nateglinide

C

2-[2-[(trans-4-isopropylcyclohexanecarbonyl)amino]-3-phenylpropionylamino]-3-phenylpropionic acid

2-[2-[(trans-4-isopropylcyclohexanecarbonyl)amino]-3-phenylpropionylamino]-3-phenylpropionic acid

Conditions
ConditionsYield
Stage #1: trans-4-isopropylcyclohexane-1-carboxylic acid; chloroformic acid ethyl ester With triethylamine In acetone at -10 - -5℃; for 1.25h;
Stage #2: D-(R)-phenylalanine With 4-methyl-morpholine; triethylamine In water; acetone at -10 - -5℃;
A n/a
B 80%
C n/a
C17H24O4S
1245809-48-6

C17H24O4S

D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
In dichloromethane at 25 - 30℃; for 18.5h;75%
D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

4-iso-propylcyclohexanecarbonyl chloride
100597-38-4

4-iso-propylcyclohexanecarbonyl chloride

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
With sodium hydroxide; sulfuric acid65%
With sodium hydroxide; sulfuric acid In n-heptane; ethyl acetate65%
With potassium hydroxide In water; acetone
trans-4-iso-propylcyclohexylcarbonyl chloride
84855-54-9

trans-4-iso-propylcyclohexylcarbonyl chloride

N,O-bis trimethylsilyl D-phenylalanine

N,O-bis trimethylsilyl D-phenylalanine

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
In acetonitrile at -5 - 0℃; for 3.58333 - 3.66667h; Heating / reflux;
trans-4-isopropylcyclohexane-1-carboxylic acid
7077-05-6

trans-4-isopropylcyclohexane-1-carboxylic acid

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Multi-step reaction with 2 steps
1: 1) N-hydroxysuccinimide, dicyclohexylcarbodiimide / 1) CHCl3, 3 h, 2) CHCl3, 25 deg C, 1 d
2: 2N NaOH / methanol
View Scheme
D-phenylalanine methyl ester
21685-51-8

D-phenylalanine methyl ester

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Multi-step reaction with 2 steps
1: 1) N-hydroxysuccinimide, dicyclohexylcarbodiimide / 1) CHCl3, 3 h, 2) CHCl3, 25 deg C, 1 d
2: 2N NaOH / methanol
View Scheme
Multi-step reaction with 2 steps
1.1: benzotriazol-1-ol / dichloromethane / 0.25 h / 25 °C / Inert atmosphere
1.2: 3.25 h / 0 - 15 °C
2.1: sodium hydroxide / acetone / 2 h / 20 - 25 °C
2.2: 1 h / 10 °C / pH 2 - 3
View Scheme
p-menthan-7-oic acid methyl ester
175284-00-1

p-menthan-7-oic acid methyl ester

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1: 1) NaH, 2) 2N aq. NaOH / 1) 150 deg C, 2 h, 2) MeOH, 20 deg C, 10 min
2: 1) N-hydroxysuccinimide, dicyclohexylcarbodiimide / 1) CHCl3, 3 h, 2) CHCl3, 25 deg C, 1 d
3: 2N NaOH / methanol
View Scheme
C19H26NO3(1-)*K(1+)
594837-86-2

C19H26NO3(1-)*K(1+)

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
With hydrogenchloride In water at 15 - 20℃; pH=2.0 - 3.0; Product distribution / selectivity;
C19H26NO3(1-)*Na(1+)
594837-85-1

C19H26NO3(1-)*Na(1+)

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
With hydrogenchloride; water at 25℃; for 0.5h; pH=2 - 3; Product distribution / selectivity;
heptane-EA

heptane-EA

D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

4-iso-propylcyclohexanecarbonyl chloride
100597-38-4

4-iso-propylcyclohexanecarbonyl chloride

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
With sodium hydroxide; sulfuric acid In n-heptane
trans-4-isopropylcyclohexane-1-carboxylic acid
7077-05-6

trans-4-isopropylcyclohexane-1-carboxylic acid

D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Multi-step reaction with 2 steps
1.1: thionyl chloride / 12.5 h / 5 - 25 °C / Inert atmosphere
1.2: 0.25 h / 25 °C / Inert atmosphere
1.3: 3.25 h / 0 - 15 °C
2.1: sodium hydroxide / acetone / 2 h / 20 - 25 °C
2.2: 1 h / 10 °C / pH 2 - 3
View Scheme
D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Multi-step reaction with 4 steps
1.1: thionyl chloride / 12.5 h / 5 - 25 °C / Inert atmosphere
2.1: ammonia / dichloromethane; water / 0.5 h / 10 °C
3.1: benzotriazol-1-ol / dichloromethane / 0.25 h / 25 °C / Inert atmosphere
3.2: 3.25 h / 0 - 15 °C
4.1: sodium hydroxide / acetone / 2 h / 20 - 25 °C
4.2: 1 h / 10 °C / pH 2 - 3
View Scheme
Multi-step reaction with 3 steps
1.1: thionyl chloride / 12.5 h / 5 - 25 °C / Inert atmosphere
2.1: O-(benzotriazol-1-yl)-N,N,N',N'-tetramethyluronium tetrafluoroborate / dichloromethane / 25 °C / Inert atmosphere
2.2: 3 h / 0 - 15 °C
3.1: sodium hydroxide / acetone / 2 h / 20 - 25 °C
3.2: 1 h / 10 °C / pH 2 - 3
View Scheme
D-phenylalanine methyl ester hydrochloride
13033-84-6

D-phenylalanine methyl ester hydrochloride

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
Multi-step reaction with 3 steps
1.1: ammonia / dichloromethane; water / 0.5 h / 10 °C
2.1: benzotriazol-1-ol / dichloromethane / 0.25 h / 25 °C / Inert atmosphere
2.2: 3.25 h / 0 - 15 °C
3.1: sodium hydroxide / acetone / 2 h / 20 - 25 °C
3.2: 1 h / 10 °C / pH 2 - 3
View Scheme
trans-4-iso-propylcyclohexylcarbonyl chloride
84855-54-9

trans-4-iso-propylcyclohexylcarbonyl chloride

D-(R)-phenylalanine
673-06-3

D-(R)-phenylalanine

nateglinide
105816-04-4

nateglinide

Conditions
ConditionsYield
With sodium hydroxide In water; acetone at 20℃; for 20h; Temperature;70 g
4-(1-hydroxyethyl)benzyl alcohol
80463-22-5

4-(1-hydroxyethyl)benzyl alcohol

nateglinide
105816-04-4

nateglinide

nateglinide 4-[1-(hydroxyethyl)]benzoate

nateglinide 4-[1-(hydroxyethyl)]benzoate

Conditions
ConditionsYield
With dmap; dicyclohexyl-carbodiimide In dichloromethane at 20℃;97%
methanol
67-56-1

methanol

nateglinide
105816-04-4

nateglinide

N-<(trans-4-Isopropylcyclohexyl)carbonyl>-D-phenylalanine methyl ester
105746-47-2

N-<(trans-4-Isopropylcyclohexyl)carbonyl>-D-phenylalanine methyl ester

Conditions
ConditionsYield
With sulfuric acid Reflux;97%
nateglinide
105816-04-4

nateglinide

potassium benzyltrifluoroborate

potassium benzyltrifluoroborate

(1r,4r)-N-(1,3-diphenylpropan-2-yl)-4-isopropylcyclohexane-1-carboxamide

(1r,4r)-N-(1,3-diphenylpropan-2-yl)-4-isopropylcyclohexane-1-carboxamide

Conditions
ConditionsYield
With dipotassium peroxodisulfate; (4s,6s)-2,4,5,6-tetra(9H-carbazol-9-yl)isophthalonitrile; caesium carbonate In dimethyl sulfoxide Irradiation; Inert atmosphere; Sealed tube;53%
nateglinide
105816-04-4

nateglinide

ethyl acrylate
140-88-5

ethyl acrylate

ethyl 4-((1r,4r)-4-isopropylcyclohexanecarboxamido)-5-phenylpentanoate

ethyl 4-((1r,4r)-4-isopropylcyclohexanecarboxamido)-5-phenylpentanoate

Conditions
ConditionsYield
With Ir(dF(CF3)ppy)2(bpy)PF6; caesium carbonate In N,N-dimethyl-formamide at 20℃; for 24h; Sealed tube; Inert atmosphere; Irradiation;44%
3-(nitrooxymethyl)benzyl alcohol
857465-38-4

3-(nitrooxymethyl)benzyl alcohol

nateglinide
105816-04-4

nateglinide

nateglinide 3-nitrooxymethylbenzoate

nateglinide 3-nitrooxymethylbenzoate

Conditions
ConditionsYield
With dmap; dicyclohexyl-carbodiimide In dichloromethane at 20℃; for 3h;32%
4-(nitrooxymethyl)benzyl alcohol

4-(nitrooxymethyl)benzyl alcohol

nateglinide
105816-04-4

nateglinide

nateglinide 4-(nitrooxymethyl)benzoate

nateglinide 4-(nitrooxymethyl)benzoate

Conditions
ConditionsYield
With dmap; dicyclohexyl-carbodiimide In dichloromethane at 20℃; for 3h;23%
diisopropylamine
108-18-9

diisopropylamine

nateglinide
105816-04-4

nateglinide

4-Isopropyl-cyclohexanecarboxylic acid ((R)-1-diisopropylcarbamoyl-2-phenyl-ethyl)-amide

4-Isopropyl-cyclohexanecarboxylic acid ((R)-1-diisopropylcarbamoyl-2-phenyl-ethyl)-amide

Conditions
ConditionsYield
With 1-hydroxy-pyrrolidine-2,5-dione; dicyclohexyl-carbodiimide 1) CHCl3, 1 d, 2) CHCl3, 25 deg C, 1 d; Yield given. Multistep reaction;
nateglinide
105816-04-4

nateglinide

4-Isopropyl-cyclohexanecarboxylic acid ((R)-1-carbamoyl-2-phenyl-ethyl)-amide

4-Isopropyl-cyclohexanecarboxylic acid ((R)-1-carbamoyl-2-phenyl-ethyl)-amide

Conditions
ConditionsYield
With ammonium hydroxide; 1-hydroxy-pyrrolidine-2,5-dione; dicyclohexyl-carbodiimide 1) CHCl3, 1 d, 2) CHCl3, 25 deg C, 1 d; Yield given. Multistep reaction;
nateglinide
105816-04-4

nateglinide

(-)-N-(trans-4-isopropylcyclohexanecarbonyl)-D-phenylalanine, ammonium salt

(-)-N-(trans-4-isopropylcyclohexanecarbonyl)-D-phenylalanine, ammonium salt

Conditions
ConditionsYield
Stage #1: nateglinide In methanol; water at 39℃; for 0.5h; pH=4;
Stage #2: With ammonia In methanol; water at 0℃; for 1h; pH=5;
Stage #1: nateglinide In water; acetone at 35℃;
Stage #2: In water; acetone at -10℃; for 3h;
ethanol
64-17-5

ethanol

nateglinide
105816-04-4

nateglinide

ethyl (trans-4-isopropylcyclohexane-1-carbonyl)-D-phenylalaninate
187728-85-4

ethyl (trans-4-isopropylcyclohexane-1-carbonyl)-D-phenylalaninate

Conditions
ConditionsYield
With thionyl chloride
D-maltohexaose
1184-46-9

D-maltohexaose

nateglinide
105816-04-4

nateglinide

C36H62O31*C19H27NO3

C36H62O31*C19H27NO3

Conditions
ConditionsYield
at 25℃;
nateglinide
105816-04-4

nateglinide

C19H27NO3*C42H72O36

C19H27NO3*C42H72O36

Conditions
ConditionsYield
at 25℃;
malto-octaose
4202-44-2

malto-octaose

nateglinide
105816-04-4

nateglinide

C48H82O41*C19H27NO3

C48H82O41*C19H27NO3

Conditions
ConditionsYield
at 25℃;
nateglinide
105816-04-4

nateglinide

β‐cyclodextrin
7585-39-9

β‐cyclodextrin

C42H70O35*C19H27NO3

C42H70O35*C19H27NO3

Conditions
ConditionsYield
at 25℃;

105816-04-4Relevant articles and documents

METHODS FOR TREATING CHRONIC FATIGUE SYNDROME AND MYALGIC ENCEPHALOMYELITIS

-

, (2021/03/13)

In one aspect the invention relates to a method of treatment selected from the group consisting of: (a) treating a symptom such as pain in a subject identified or diagnosed as having Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS); (b) treating a symptom such as pain in a subject having dysfunctional TRPM3 ion channel activity; (c) restoring NK cell function in a subject having dysfunctional TRPM3 ion channel activity; and (d) restoring calcium homeostasis in a subject having dysfunctional TRPM3 ion channel activity. The method comprises the step of administering to the subject a therapeutically effective amount of at least one therapeutic compound selected from the group consisting of: (i) an opioid receptor antagonist; (ii) an opioid antagonist; and (iii) a therapeutic compound that restores TRPM3 ion channel activity. In some embodiments the therapeutic compound is naltrexone hydrochloride.

A PROCESS FOR THE PREPARATION OF NATEGLINIDE

-

, (2012/01/06)

The present invention relates to a process for the preparation of substantially pure nateglinide of formula (I), substantially free from the cis-isomer and L-enantiomer and preparation of enantiomerically pure nateglinide form B, directly from the hydrolysis of a (-)-N-(trans-4-isopropylcyclohexyl-1-carbonyl)-D-phenylalanine alkyl ester in a ketonic solvent or water or mixture thereof.

A NOVEL AND IMPROVED PROCESS FRO THE PREPARATION OF NATEGLINIDE AND ITS POLYMORPH FORM-H

-

Page/Page column 10, (2008/06/13)

Nateglinide is prepared by an improved process comprising reaction of trans-4-isopropyl cyclohexane carbonyl chloride with N,O-bis- trimethylsilyl protected D-phenyl alanine to give after aqueous workup, crude nateglinide which is converted to Nateglinide form- H using a mixture of cyclohexane / ethyl acetate. trans-4-isopropyl cyclohexane carbonyl chloride is prepared from trans-4- isopropyl cyclohexane carboxylic acid using oxalyl chloride.

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