17-01-2019 дата публикации
Номер: US20190015396A1
Принадлежит:
Methods are provided herein for treating agitation in a subject who has Alzheimer's disease comprising administering a VMAT2 inhibitor to a subject in need thereof. VMAT2 inhibitors useful in the methods provided herein include tetrabenazine and (S)-2-Amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-yl ester. 1. A method for treating mania in a mood disorder in a subject comprising administering to the subject a selective VMAT2 inhibitor.2. A method for treating mania in a mood disorder in a subject comprising administering to the subject a VMAT2 inhibitor selected from:tetrabenazine (3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-one);(2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-ol (R,R,R DHTBZ), or a precursor thereof;(S)-2-Amino-3-methyl-butyric acid (2R,3R,11bR)-3-isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-yl ester;[(2R,3S,11bR)-9,10-Dimethoxy-3-(2-methylpropyl)-1H,2H,3H,4H,6H,7H,11bH-pyrido[2,1-a]isoquinolin-2-yl]methanol, or a precursor thereof; and{'sub': 6', '6, '3-isobutyl-9,10-d-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-one (d-TBZ); or'}an isotopic variant, a pharmaceutically acceptable salt, or a polymorph thereof.3. The method of claim 1 , wherein the VMAT2 inhibitor is (S)-2-Amino-3-methyl-butyric acid (2R claim 1 ,3R claim 1 ,11bR)-3-isobutyl-9 claim 1 ,10-dimethoxy-1 claim 1 ,3 claim 1 ,4 claim 1 ,6 claim 1 ,7 claim 1 ,11b-hexahydro-2H-pyrido[2 claim 1 ,1-a]isoquinolin-2-yl ester or an isotopic variant claim 1 , a pharmaceutically acceptable salt claim 1 , or a polymorph thereof.4. The method of claim 3 , wherein the VMAT2 inhibitor is (S)-(2R claim 3 ,3R claim 3 ,11bR)-3-isobutyl-9 claim 3 ,10-dimethoxy-2 claim 3 ,3 claim 3 ,4 claim 3 ,6 claim 3 ,7 claim 3 ,11b-hexahydro-1H-pyrido[2 claim 3 ,1-a]isoquinolin-2-yl 2-amino-3-methylbutanoate di(4- ...
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