Login| Sign Up| Help| Contact|

Patent Searching and Data


Title:
GLYCOCONJUGATES OF OPIATED SUBSTANCES
Document Type and Number:
WIPO Patent Application WO/1998/054196
Kind Code:
A1
Abstract:
$g(a)-glycosides of opiates have been found to possess interesting and valuable pharmacological properties, particularly analgesic properties. The invention provides a compound being a sugar derivative of a biologically active opiate comprising at least one sugar residue coupled with at least one opiate residue through an $g(a)-glycosidic bond and salts, analogues and complexes thereof.

Inventors:
VALENCIA GREGORIO (ES)
RODRIGUEZ RAQUEL EMILIA (ES)
Application Number:
PCT/GB1998/001578
Publication Date:
December 03, 1998
Filing Date:
May 29, 1998
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
ROLABO SL (ES)
COCKBAIN JULIAN (GB)
VALENCIA GREGORIO (ES)
RODRIGUEZ RAQUEL EMILIA (ES)
International Classes:
C07H17/02; (IPC1-7): C07H17/02; A61K31/70
Domestic Patent References:
WO1993005057A11993-03-18
WO1993003051A11993-02-18
Foreign References:
EP0816375A11998-01-07
US3647806A1972-03-07
Other References:
KOVAC P ET AL: "SYNTHESIS AND CHARACTERIZATION OF 6-0-ALPHA- AND 6-0-BETA-D-GLUCOPYRANOSYLMORPHINE AND 6-0-BETA-D-GLUCOPYRANOSYL-CODEINE", HETEROCYCLES, vol. 41, no. 4, 1 April 1995 (1995-04-01), pages 697 - 707, XP000645042
OSBORNE R: "ANALGESIC ACTIVITY OF MORPHINE-6-FLUCURONIDE", LANCET THE, vol. 9, 9 April 1988 (1988-04-09), pages 828/829, XP002025770
BRZEZINKA H ET AL: "HOCHDRUCKFLUESSIGKEITS-CHROMATOGRAPHISCHE TRENNUNG VON GLUCURONIDENUND DEREN MASSENSPEKTROMETRISCHE IDENTIFIZIERUNG. HIGH -PRESSURE LIQUID CHROMATOGRAPHIC SEPARATION OF GLUCURONIDES AND THEIR MASS-SPECTROMETRIC IDENTIFICATION", FRESENIUS ZEITSCHRIFT FUER ANALYTISCHE CHEMIE, vol. 323, no. 3, 1986, pages 220 - 224, XP000675080
YOSHIMURA H ET AL: "METABOLISM OF DRUGS. LX. THE SYNTHESIS OF CODEINE AND MORPHINE GLUCURONIDES", CHEMICAL AND PHARMACEUTICAL BULLETIN, vol. 16, no. 11, 1968, pages 2114 - 2119, XP002025772
Attorney, Agent or Firm:
Cockbain, Julian (179 Queen Victoria Street, London EC4V 4EL, GB)
Download PDF:
Claims:
Claims
1. A compound being a sugar derivative of a biologically active opiate comprising at least one sugar residue coupled with at least one opiate residue through an aglycosidic bond and salts, analogues and complexes thereof.
2. A compound as claimed in claim 1 wherein said sugar residue comprises a mono, di or trisaccharide sugar.
3. A compound as claimed in claim 1 of formula I: (wherein: n is 0 or 1; R2 is H when n is 1 and H or CH2ORs when n is 0; R denotes the residue of a biologically active opiate of formula ROH, wherein the OH group is either an alcoholic or phenolic OH group; X denotes an Oglycosidic bond or a linker group; R1 denotes hydrogen, a CH2OR5, CH2OCOR5 or COZ group; Z denotes an OR5, NR3R4, O(CO)R5, C1l8alkylC,,8alky1 C1l8alkylC,,8alky1 or Q,8 alkenyl group; R3 and R4 independently denote hydrogen, a C1l8alkyl, C1l8alkenylC,,8alkenyl C1l8alkenylC,,8alkenyl or aryl group; R5 denotes hydrogen, a C1l8alkyl, C,,8alkenyl,aryl,C1l8alkenyl, aryl, C,,8alkenyl,aryl,C1l8alkenyl, aryl, sulphate, phosphate or silyl group; and R6 independently denotes hydrogen, a C1l8alkyl, C,,8 alkenyl, aryl, COR5, phosphate, sulphate or silyl group), while one or more OR6OR, OR6OR, groups may optionally be replaced by hydrogen atoms; and salts, analogues and complexes thereof.
4. A compound as claimed in claim 3 wherein each R6 is hydrogen.
5. A compound as claimed in claim 3 or 4 wherein R, is CH2OR5.
6. A compound as claimed in anyone of claims 3 to 5 wherein X represents an Oglycosidic bond.
7. A compound as claimed in anyone of claims 3 to 6 wherein n=1.
8. A compound as claimed in anyone of claims 1 to 7 wherein the sugar residue is an aDpyranose.
9. A compound as claimed in claim 8 wherein the sugar residue is a glucose, galactose or mannose residue.
10. A compound as claimed in anyone of claims 1 to 9 wherein said compound is a sugar derivative of a compound of formula III: Formula III (wherein: M1 is a hydroxyl, methoxy, ethoxy, acetoxy or group; M2 is hydrogen, a hydroxyl, oxy, acetoxy, methoxy or methene group; M3 is a methyl, methylene cyclopropyl, methylene cyclobutyl or allyl group; M4 is hydrogen or a hydroxyl group; the bond between carbon atoms in positions 67 and 78 can be either single or double; and the ether function between position 4 and 5 can be either present or not present on the molecule) or analogues, salts or complexes thereof; or said compound is a sugar derivative of metopon or buprenorphine.
11. A compound as claimed in claim 10 wherein said compound of formula (III) is morphine, codeine, heroin, hydromorphone, hydrocodqne, oxymorphone, oxycodone, levorphanol, dextromethrphan, nalorphine, naltrexone, levallorphan, thebacone, ethyl morphine, dihydrocodeine, nalmefene, nalbuphine, butorphanol, pholcodine or naloxone.
12. A compound as claimed in claim 11 wherein said said compound of formula (IIX) is morphine, codeine or naloxone.
13. A compound as claimed in anyone of claims 10 to 12 wherein the sugar residue is bound to the opiate residue via the 3 or 6 position on the morphinian backbone.
14. A compound as claimed in anyone of claims 1 to 9 wherein said compound is a sugar derivative of a compound of formula IV: Formula IV (wherein: E1 is a methyl, phenylethyl, pphenylethylamine, (CH2) 3NHC6H5, (CH2) 2C (C6H5) 2CN, (CH2)2C(C6H5)2CON(CH3)21 2, group; E2 is hydrogen, a phenyl, mhydroxyphenyl, pchlorophenyl, methylenemetoxide or piperidinyl group; and E3 is a hydroxyl, ethylcarbonyl, carboxamide, ethyloxycarbonyl, ethyloarboxyl or N(C6Hs)COCH2CH3 group) or analogues, salts or complexes thereof; or said compound is a sugar derivative of alphaprodine, fenpipramide, ethoheptazine, tilidin or nefopam.
15. A compound as claimed in claim 14 wherein said compound of formula (IV) is meperidine, diphenoxylate, loperamide, fentanyl, sufentanil, alfentanil, cetobemidon, piritramide, anileridine or piminodine.
16. A compound as claimed in claim 15 wherein said compound of formula (IV) is meperidine or diphenoxylate.
17. A compound as claimed in anyone of claims 1 to 9 wherein said compound is a sugar derivative of a compound of formula V: Formula V (wherein: D1 is a phenyl or benzyl group; D2 is a CH2CH(CH3), CH(CH3)CH2 or (CH2)2 group; and D3 is an ethylcarbonyl, ethylcarboxyl or CH(OCOCH3)CH2CH3 group) or analogues, salts or complexes thereof; or said compound is a sugar derivative of dextromoramide.
18. A compound as claimed in claim 17 wherein said compound of formula (V) is methadone, propoxyphene, normethadone or methadyl acetate.
19. A compound as claimed in anyone of claims 1 to 9 wherein said compound is a sugar derivative of methazocine, phenazocine, ciclazocine, pentazocine, dezocine and meptazinol.
20. The use of a compound as claimed in anyone of claims 1 to 19 as an analgesic.
21. A composition for use as an analgesic comprising a compound as claimed in anyone of claims 1 to 19 together with one or more pharmaceutically acceptable carriers or diluents.
22. The use of a compound as claimed in anyone of claims 1 to 19 or a salt or complex thereof for the manufacture of an analgesic medicament.
23. A method of treatment of the human or nonhuman, preferably mammalian, body to combat pain, said method comprising administering to said body a compound as claimed in anyone of claims 1 to 19 or a physiologically acceptable salt or complex thereof.
24. A process for preparing the compounds according to the invention, said process comprising the following steps: a)reacting an optionally protected opiate (acyl acceptor) having a free hydroxyl group with an optionally protected, activated reducing asugar derivative (acyl donor) in the presence of a promoter; and b)subsequently removing any protecting groups.
Description:
GLYCOCONJUGATES OF OPIATED SUBSTANCES The present invention relates to sugar derivatives of biologically active opiates and their use as analgesics, particularly to sugar derivatives.

Morphine and its synthetic analogues eg. hydromorphone, diamorphine and oxymorphone are the most widely used pharmaceutical materials for the control of chronic pain. Codeine, dihydrocodeine and nalbuphine are also commonly employed for their milder analgesic properties. Morphine and its analogues will be referred to collectively herein as opiates, which term is intended to include all non-peptide substances which bind specifically to opioid receptors and which may be referred to elsewhere as opioids or opioid analgesics.

Traditionally it was thought that conjugation of a pharmacologically active compound had an adverse effect on the pharmacological activity which that compound exhibited. However, it is now known that a certain glyconjugate metabolite of morphine, namely morphine-6- glucoronide, is several times more active as an analgesic than the parent or than the 3-glucoronide compound (G.J. Mulder, Trends in Pharmacol. Sci., Vol.

13, 8/92, pps 302-304 and Osborne et al., The Lancet, April 9, 1988, 828). The potential for this enhanced analgesic activity to be exploited has been recognised in inter alia WO-A-93/15737 (Danbiosyst UK Limited).

In spite of this advance, to date there has been little or no reported work on chemical glycosidation of opiates with simple sugars other than glucoronides.

It has now been found that a-glycosidation of opiates leads to compounds having interesting and valuable pharmacological properties, particularly analgesic properties.

Thus viewed from one aspect the present invention provides a compound being a sugar derivative of a biologically active opiate comprising at least one sugar residue coupled with at least one opiate residue through an a-glycosidic bond and salts, analogues and complexes thereof.

Whilst the sugar residue and opiate residue may be coupled indirectly through a linker group (eg. an NHCO or NHCS group), preferably the residues are coupled directly and the a-glycosidic bond is an O-glycosidic bond.

The sugar residue is preferably a five or six membered ring, eg. a furanose or pyranose.

While pyranoses are preferred, furanoses are also suitable. The preferred furanoses are the aldopentoses such as ribose, arabinose, xylose, lyxose and 2-deoxy- ribose. Also preferred are varous ketohexoses such as fructose, psicose, sorbose and tagatose, and ketopentoses such as ribulose and xylulose.

In one embodiment, the compound according to the invention is of formula I: (wherein: n is 0 or 1; R2 is H when n is 1 and H or CH2ORs when n is 0; R denotes the residue of a biologically active opiate of formula R-OH, wherein the OH group is either an alcoholic or phenolic OH group; X denotes an O-glycosidic bond or a linker group; R1 denotes hydrogen, a CH2OR5, CH2OCORs or COZ group; Z denotes an OR5, NR3R4, O(CO)R5, C1l8-alkyl or Cl18- alkenyl group; R3 and R4 independently denote hydrogen, a C118- alkyl, C1l8-alkenyl or aryl group; R5 denotes hydrogen, a C1l8-alkyl, C1l8-alkenyl, aryl, sulphate, phosphate or silyl group; and R6 independently denotes hydrogen, a C118-alkyl, C1 18-alkenyl, aryl, COR5, phosphate, sulphate or silyl group), while one or more OR6 groups may optionally be replaced by hydrogen atoms (eg. as in 2-deoxy-D-ribose); and the salts, analogues and complexes thereof.

Where a group is specified as C1l8-alkyl or C118- alkenyl it is optionally hydroxylated, aminated, carboxylated, amidated, esterified, sulphated or phosphated and it is more preferably C16-alkyl or C16- alkenyl. Where aryl is specified it is more preferably phenyl.

Preferred compounds of the invention are those in which R6 denotes hydrogen, especially preferably those in which R6 denotes hydrogen and R1 denotes CH2OR5.

The a-8ugar residue may be an a-D-furanose (eg. fructofuranose, ribofuranose or 2-deoxy-ribofuranose) or more preferably an a-D-pyranose eg. a glucose, galactose or mannose residue, preferably a galactose residue.

Preferred compounds are those of formula II (wherein: R1, R3, R4, R5, R6, X and Z are as hereinbefore defined) and the salts and analogues thereof, especially those of formula II in which R6 denotes hydrogen, particularly those in which R6 denotes hydrogen and R denotes CH2OR5.

Especially preferred compounds according to the invention are 6-morphinyl a-D-mannopyranoside acetate and 6-morphinyl a-D-galactopyranoside acetate and salts, analogues and complexes thereof.

By biologically active opiate is meant compounds having pharmacological and therapeutic activities in relation to analgesia, cough, dysponea, constipation, anesthesia, sedation or diarrhea or which stimulate or inhibit such activity. This includes full agonists, partial agonists, mixed agonist-antagonists and antagonists. These biologically active opiates include opiate substances isolated from nature or synthesized and their salts and analogues. The following may be mentioned as examples of opiates: morphine, codeine, hydromorphone, diamorphone, oxymorphone, naloxone, nalbuphine, buprenorphine, pholcodine, meperidine, loperamide, sufentanil, methadone, pethidine, oxycodone, levorphanol, fentanyl, alfentanil, butorphanol, propoxyphene, metazocine, dezocine phenazocine and pentazocine.

Preferred sugars or carbohydrates may be, for example, any known mono- or oligosaccharide, especially a mono-, di- or trisaccharide or analogues thereof (eg. an amino and/or carboxylic acid and/or reduced and/or esterified and/or sulfated and/or phosphated analogue thereof).

In formulae I and II, only one sugar moiety per opiate is denoted. However, the invention also covers sugar derivatives of opiates having more than one free hydroxyl group on the opiate residue and therefore these structures may contain 2 or more sugar residues per opiate residue. Preferably opiates contain 1 to 3 monosaccharide units which may also be joined to the active molecule as a disaccharide or trisaccharide.

Similarly a single sugar residue linked to more than one opiate residue is within the scope of the invention.

In formula I and II, the sinuous line ( indicates that the stereochemistry at a particular carbon of the sugar residue is undefined and that the formulae is intended to cover both epimers.

The following residues may be mentioned as specific a-sugar residues: glucosyl, galactosyl, mannosyl, allosyl, altrosyl, talosyl, gulosyl, idosyl, xylosyl, glucosaminyl, N-acetyl -glucosaminyl, octylglucopyranosyl, cyclohexylglucopyranosyl, benzylglucopyranosyl, glucosyl sulfate, glucosyl phosphate, glucosaminyl sulfate, N-acetyl-glucosaminyl sulfate, lactosyl, gentiobiosyl, chitobiosyl, N-acetyl-lactosaminyl, cellobiosyl, maltosyl, melibiosyl and L-sorbosyl; a-sugar derivatives of the uronic acid series such as glucuronic acid, galacturonic acid, glucuronamide, glucosaminuronic acid, octylgalacturonamide, cyclohexylgalacturonate, decylglucuronate and benzylglucuronamide; and complex a- sugar acids such as muramic acid, neuraminic acid, acetyl muramic, acetyl neuraminic and sialic acid.

Preferred compounds of the invention are a-sugar derivatives of opiates structurally related to morphine eg. opiates of morphinan structure and their analogues.

Particularly preferred are the a-sugar derivatives of compounds of formula III: Formula III (wherein: M1 is a hydroxyl, methoxy, ethoxy, acetoxy or group; M2 is hydrogen, a hydroxyl, oxy, acetoxy, methoxy or methene group; M3 is a methyl, methylene cyclopropyl, methylene cyclobutyl or allyl group; M4 is hydrogen or a hydroxyl group; the bond between carbon atoms in positions 6-7 and 7-8 can be either single or double; and the ether function between position 4 and 5 can be either present or not present on the molecule).

Compounds of formula III can exist either in the form of levo or dextrorotatory isomers as well as salts, analogues and complexes thereof.

Preferred compounds of formula III are those in which M1 and M2 are hydroxyl, M3 is methyl, M4 is hydrogen and a double bond exists between positions 7-8 and an ether function between positions 4-5 (ie. morphine) and in which M1 is hydroxyl, M2 is oxy, M3 is allyl, M4 is hydroxyl and a single bond exists between positions 7-8 and an ether function between positions 4-5 (ie. naloxone).

Accordingly, definitions for codeine, heroin, hydromorphone, hydrocodone, oxymorphone, oxycodone, levorphanol, dextromethorphan, nalorphine, naltrexone, levallorphan, thebacone, ethyl morphine, dihydrocodeine, nalmefene, nalbuphine, butorphanol and pholcodine may be deduced from formula III. Other analogues such as metopon and buprenorphine that may not be deduced from formula III directly are also preferred morphinan compounds.

More preferred sugar derivatives of morphinan structure are those which have an a-sugar residue on either positions C-3 and C-6 of the morphinan backbone.

Particularly preferred compounds are the 3- and 6- derivatives of morphine, codeine and naloxone.

Further preferred compounds of the invention are a- sugar derivatives of opiates of the meperidine (pethidine) series ie. of the phenylpiperidine type and their complexes and analogues, including piperidine type structures in which radicals have been modified to introduce suitable functions such as hydroxyl groups that may allow further coupling reactions with sugar residues.

Particularly preferred are the a-sugar derivatives of compounds of formula IV: Formula IV (wherein: E1 is a methyl, phenylethyl, p-phenylethylamine, E2 is hydrogen, a phenyl, m-hydroxyphenyl, p-chlorophenyl, methylenemetoxide or piperidinyl group; and E3 is a hydroxyl, ethylcarbonyl, carboxamide, ethyloxycarbonyl, ethylcarboxyl or -N(C6H5)-CO-CH2-CH3 group).

More preferred compounds of formula IV are those in which E1 is methyl, E2 is phenyl, and E3 is ethoxycarbonyl (ie. meperidine) and in which E1 is -(CH2)2-C(C6H5)2-CN, E2 is phenyl and E3 is ethoxycarbonyl (ie. diphenoxylate).

Accordingly, definitions for loperamide, fentanyl, sufentanil, alfentanil, cetobemidon, piritramide, anileridine, piminodine may be deduced directly from formula IV. Other analogues such as alphaprodine, fenpipramide, ethoheptazine, tilidin and nefopam which may not be deduced from formula IV are also preferred.

Especially preferred a-glycosilated opiates of the meperidine type are those which are glycosilated on one hydroxyl group already present or introduced for binding purposes on radicals E2 and E3 of formula IV, most especially those of meperidine, loperamide and cetobemidon.

Further preferred compounds of the invention are the a-sugar derivatives of opiates of the methadone type and their complexes and analogues ie. opiates which are structurally closely related to methadone. Analogues of methadone include structures in which radicals have been modified with functions such as hydroxyl groups to allow coupling with a-sugar residues.

Particularly preferred are the a-sugar derivatives of compounds of formula V: Formula V (wherein: D1 is a phenyl or benzyl group; D2 is a -CH2-CH(CH3) -, -CH(CH3)-CH2- or - (CH2)2- group; and D3 is an ethylcarbonyl, ethylcarboxyl or -CH(OCOCH3)-CH2-CH3 group).

More preferred compounds of formula V are those in which D1 is phenyl, D2 is -CH2-CH(CH3)- and D3 is ethylcarbonyl (ie. methadone) or in which D1 is benzyl, D2 is -CH(CH3)-CH2- and D3 is ethylcarboxyl (ie. propoxyphene).

Definitions for normethadone and methadyl acetate may be deduced directly from formula V. Other analogues such as dextromoramide which may not be deduced from formula V are also preferred.

Particularly preferred a-sugar derivatives of opiates of the methadone type are those which are glycosilated on a hydroxyl group which has been introduced for coupling purposes on radicals D1 and D3 of formula V, especially those of methadone.

Further preferred compounds of the invention are the a-sugar derivatives of opiates of the benzomorphane group and their complexes and analogues ie. compounds with structures which correspond to the benzomorphane motif.

Preferred are the a-sugar derivatives of compounds of formula VI: Formula VI (wherein: T is a methyl, phenylethyl, methylcyclopropyl or -CH2-CH=C(CH3) 2 group).

More preferred are those compounds of formula VI in which T is a methyl, phenylethyl, methylcyclopropyl or -CH2-CH=C(CH3)2 group (ie. methazocine, phenazocine, ciclazocine or pentazocine respectively).

Other analogues such as dezocine and meptazinol which may-not be deduced directly from formula VI are also preferred opiates of the benzomorphane group of compounds.

The a-sugar derivatives of opiates of the benzomorphane group are preferably those which are glycosilated on the phenol function of formula VI, especially those of methazocine, pentazocine and cyclazocine.

In order to prepare the compounds according to the invention, a-sugar residues may be coupled to appropiate residues of a biologically active opiate. In preferred compounds of the invention, the sugar residue is attached to an hydroxyl group of the opiate residue by an a-O-glycosidic bond. This group of compounds of the invention may be prepared by any of the known methods of a-O-glycosidic bond formation, eg., the Koenigs-Knorr reaction, Helferich, Hannessian or Schmidt procedures.

Coupling through a linker group (X) may equally be achieved conventionally.

Thus viewed from a further aspect the present invention provides a process for preparing the compounds according to the invention, said process comprising the following steps: a) reacting an optionally protected opiate (acyl acceptor) having a free hydroxyl group with an optionally protected, activated reducing a-sugar derivative (acyl donor) in the presence of a promoter; and b) subsequently removing any protecting groups.

The process of the invention may require the use of one or more suitable protecting groups for reactive functions in both the a-sugar and the opiate reagent to prevent them hindering the reaction. These may be added and removed by known techniques.

When a modification on the sugar molecule is to be introduced, a separate reaction step is required ~either before or after step (a) and may involve other reaction procedures such as phosphate or sulphate bonding, or ester or amide bond formation which may be carried out by conventional procedures using reagents such as acid halides, carbodiimides, phosphonium or uronium salts, active esters and symmetrical anhydrides.

Step (a) may be carried out by conventional glycosidic bond formation. The promoter may be conveniently an Ag+ or Hg++ compound (eg. silver triflate or AgCO3) or a Lewis acid such as BF3OEt2 or LiOH. A tertiary organic amine may be added. The reaction is preferably carried out in a solvent such as dichloromethane, acetonitrile, methanol or methylene chloride, at temperatures in the range -100°C to reflux temperature, preferably in the range -40°C to room temperature.

Starting materials for these reactions are not described here but in some cases may be known or may be prepared by conventional means, eg., using known methods described in the literature for analogous compounds.

The compounds according to the invention may be converted into salts thereof, more particularly for pharmaceutical use into physiologically acceptable salts thereof with inorganic or organic acids (eg. sulphuric acid, hydrochloric acid, acetic acid, tartaric acid.

The invention seeks to provide compounds which facilitate blood-brain barrier passage. The compounds have improved analgesic potency and a longer lasting analgesic effect.

Thus viewed from a still further aspect the present invention provides the use of a compound according to the invention as an analgesic.

Viewed from a yet further aspect the present invention provides a composition for use as an analgesic comprising a compound according to the invention or a salt or complex thereof together with one or more pharmaceutically acceptable carriers or diluents.

Viewed from a still further aspect the present invention provides the use of a compound according to the invention or a salt or complex thereof for the manufacture of an analgesic medicament.

Viewed from an even further aspect the present invention provides a method of treatment of the human or non-human, preferably mammalian, body to combat pain, said method comprising administering to said body a compound according to the invention or a physiologically acceptable salt or complex thereof.

The compounds according to the invention or their pharmaceutical compositions may be used to combat cancer pain, central pain, labour pain, mycardial infarction pain, pancreatic pain, colic pain, postoperative pain and pain associated with intensive care. More generally, they may be used to combat conditions relating to cough, dysponea, constipation or diarrhea and in anesthesia or sedation.

In the compositions according to the invention, the active compound may be formulated with other analgesics including no-opioids (eg. paracetemol or aspirin) or with weak or strong opioid analgesics, with adjuvants to increase analgesia or reduce side effects (eg. antiemetics) and optionally with conventional carriers or excipients. Formulation aids such as flavouring agents, antioxidants, osmolality adjusting agents, solubilizing agents, emulsifiers, buffers, viscosity enhancing agents, preservatives and stabilisers may also be present.

Where the composition is in liquid form eg. formulated as syrup, solution, dispersion, suspension or linctus in an appropriate solvent such as water or aqueous vehicle such as sodium chloride solution, Ringers solution, dextrose solution, lactated Ringers solution, it may be combined with ethanol, glycerol, sorbitol, poiyethylene-glycol or propyleneglycol and optionally filled into capsules.

Conveniently the compositions according to the invention are formulated in solid form eg. as granules, tablets, coated tablets, capsules, powders or pellets, preferably for sustained release, optionally together with diluents or excipients such as lactose, starch and derivatives thereof, microcrystalline cellulose or derivatives thereof, cornstarch, glucose, magnesium polyvinylpyrrolidone, citric acid, tartaric acid, fatty substances and adjuvants such as binders and lubricants.

For treating or preventing pain, the dosage of active compound and its administration route will vary according to the level and type of pain. Typically it may be administered rectally, subcutaneously, intraspinally, intramuscularly, intranasally or intraveneously, but more desirably orally. Parenteral doses may be administered as bolus injections or continuous or intermittent infusions adjusted to analgesic requirements. Dosages may vary from 50 yg to more than 2500 mg every 4 hours, although more typically 100 mg or less, preferably 0.05 to 20 mg, every 4 hours if administered orally and generally less if administered parenterally. Preferably the active ingredient is administered in a sustained release form.

The Examples which follow are intended to illustrate the invention in a non-limiting manner.

Example 1 6-Morphlnyl-a-D-mannopyranoside acetate A solution of 0.13 g of 6-(3-O-acetyl)-morphinyl-a-D- mannopyranoside tetraacetate in 8 ml of 0.1 M sodium methoxide in methanol were stirred at room temperature.

After 60 minutes the reaction mixture was neutralized with acetic acid and the solvent removed under vacuum.

The crude residue was purified on a silica gel column eluted with a solvent mixture of ethyl acetate/waterl methanol (3:2:1). After this procedure, lyophilization of the pure fraction from an aqueous acetic acid solution afforded 106 mg of the title compound as a white solid.

ESI-MS: 448.5 [M+H]+ and 470.4 [M+Na]+ and 1H and 13C NMR spectral data in accordance with the structure of the title compound.

The intermediate product was prepared as follows. a) 6-(3-O-acetyl)-morphlnyl-a-D-mannopyranoslde tetraacetate Under an argon atmosphere, a solution of 0.93 g of 3-0- acetyl-morphine and 1 g of 1,2,3,4,6-penta-O-acetyl-a-D- mannopyranose in 10 ml of dry methylene chloride, 1.6 ml of borontrifluoride ethyl etherate complex were added dropwise. The mixture was stirred at OOC for 30 minutes and then kept overnight at room temperature. The reaction mixture was diluted with 100 ml of methylene chloride and washed with saturated solution of NaCl.

After drying, the organic layer was evaporated to dryness. The residue was finally purified on a silica gel column eluted with a chloroform/methanol mixture (8:2) yielding 0.13 g of the title compound.

ESI-MS: 658.7 [M+H]+ and 680.4 [M+Na]+ and 1H and 13C NMR spectral data in good agreement with the structural features of the title compound.

Example 2 6 -Morphinyl -a-D-galactopyranoside acetate A solution of 0.67 g of 6-(3-O-acetyl)-morphinyl-tetra- O-benzyl-a-D-galactopyranoside in 10 ml methanol is treated for 3 hours with hydrogen in the presence of 10% Pd on active carbon. The reaction mixture is filtered.

After evaporation, the filtrate is treated for 60 minutes with 0.1 M of NaOH, neutralized with acetic acid and the solvent removed under vacuum. The crude residue is finally purified on a silica gel column eluted with a solvent mixture of ethyl acetate/water/methanol (3:2:1).

After this procedure, lyophilization of the pure fraction from an aqueous/acetic acid solution affords 250 mg of the title compound as a white solid.

ESI-MS: 448.7 [M+H]+ and 470.3 [M+Na]+ and 'H and 13C NMR spectral data in accordance to the structure of title compound.

The intermediate products can be prepared as follows. a) 6-(3-O-acetyl)-morphinyl-tetra-O-benzyl-a-D- galactopvranoside First, 3-O-acetyl-morphine (0.43 g) is dried by azeotropic distillation with benzene. Under argon atmosphere, a solution is prepared with the morphine derivative and 10 ml of dry dichloromethane. Tetra-O- benzyl-a-D-galactopyranosyl trichloroacetimidate (0.9 g), borontrifluoride diethyl etherate complex (0.18 g) and 4 A molecular sieves are added. After stirring at room temperature overnight, the reaction mixture is diluted with methylene chloride, washed with aqueous bicarbonate, dried over sodium sulfate and the solvent evaporated. The residue is purified on a silica gel column eluted with a chloroform/methanol mixture (20:1 to 8:2) yielding 0.67 g of the title compound.

ESI-MS: 851.2 [M+H]+ and 873.4 [M+Na]+ and 1H and 13C NMR spectral data in good agreement to the proposed structure of the title compound. b) Tetra-O-benzyl-a-D-galactopyranosyl trichloroacetimidate To a solution of 2,3,4,6 tetra-O-benzyl-D- galactopyranose (1 g) in dichloromethane (8 ml), trichloroacetonitrile (0.83 ml) and NaH (5 mg) are added. After stirring the solution for 1 hour, the reaction is filtered and the filtrate is evaporated to dryness. The residue is applied to a silica gel column which is eluted with hexane-ethyl acetate (4:1). A mixture of anomers is obtained which is later separated by a second column of hexane-ethyl acetate (7:1) yielding 0.9 g of the a-anomer with spectral data in accordance with the expected structure.

Example 3 6-Morphlnyl-a-D-glucopyranoslde acetate The corresponding glucopyranosyl analogue is prepared by a similar procedure as described for the galactosyl analogue following a procedure such as the one of Example 2 using a trichloroacetimidate intermediate of glucose.

Example 4 6-Morphinyl(a-D-glucopyranosyl)uronic acid acetate The glucuronic acid analogue is synthesized by the method described for the galactoside analogue of Example 2.

Example 5 6-Morphlnyl(a-D-qalactopyranosyl)uronlc acid acetate By a similar procedure given for Example 2 the galacturonic acid analogue is also prepared.

Example 6 6 -Morphinyl (a-D-glucopyranosyl) uronamide acetate Example 2 is also followed for the analogous preparation of the corresponding glucuronamide analogue of morphine.

Example 7 6-Morphinyl (a-D-galactopyranosyl) uronamide acetate The title compound is also prepared essentially as described for the compound of Example 2.

Example 8 6-Codelnyl-a-D-mannopyranoslde acetate Following an analogous procedure as described for 6- morphinyl-a-D-mannopyranoside acetate (Example 1) the corresponding codeine analogue is synthesized.

Example 9 6 -Codeinyl -a-D-galactopyranoside acetate The synthetic pathway leading to title compound of Example 2 is followed for the preparation of this codeine analogue.

Example 10 Methadyl -a-D-mannopyranoside acetate The title compound is prepared from methadol following an analogous procedure to the one described for 6- morphinyl-a-D-mannopyranoside acetate (Example 1).

Example 11 Methadyl-a-D-galactopyranoslde acetate Taking as a reference the synthetic route for the 6- morphinyl-a-D-galactopyranoside acetate (Example 2) this derivative is prepared analogously using the appropriate trichloroacetimidate sugar.

Example 12 Methadyl-a-D-glucopyranoslde acetate The corresponding glucopyranosyl analogue is prepared by a similar procedure as described in Example 2 using a glucose intermediate.

Example 13 Methadyl(a-D-qlucopyranosyl)uronic acid acetate The glucuronic acid analogue of methadol is synthesized by an analogous method to that used to prepare the compound of Example 2.

Example 14 Methadyl(a-D-galactopyranosyl)uronic acid acetate An analogous procedure to the previous example (Example 13) is followed for the preparation of the galacturonic acid analogue of methadol.

Example 15 Methadyl(a-D-glucopyranosyl)uronamide acetate Starting from the suitable trichloroacetimidate of glucuronamide, the title compound is prepared analogously to the compound of Example 2.

Example 16 Methadyl (a-D-galactopyranosyl) uronamide acetate An analogous route as for previous example (Example 15) leads to the corresponding galacturonamide analogue of methadol.

Example 17 6-Pentazocyl-a-D-mannopyranoside acetate This analogue is prepared from pentazocine by a similar reaction pathway as for the corresponding morphine analogue of Example 1.

Example 18 6-Pentazocyl-a-D-galactopyranoside acetate The pentazocine analogue of the morphine compound of Example 2 is also prepared analogously to Example 2 from the corresponding galactose trichloroacetimidate.

ANALGESIC ACTIVITY To male Sprague-Dawley rats weighing 200g were administered intraperitoneally 100-500 y1 volumes of selected opiate compounds in saline solution. Analgesia was assessed by the tail flick test and expressed as a percentage 15 and 30 minutes post-injection. The biological action of the compounds was reversed by a 5 mg/kg doses of intraperitoneal naloxone. The results are expressed in Table 1 for the compound of Example 1, a comparison compound (morphine sulphate), a control (saline) and untreated animals.

TABLE 1 Compound Dosis(i.p.) Animals Analgesia(*) Duration (mg/Kg) 15 min 30 min (hrs) Morphine 5 10 45 72 2.5 Sulfate 1 10 -- -- Morphine-6-O-a 5 10 83 100 5 -D-mannose 1 10 56 100 5 0.5 15 54 100 5 0.2 10 57 100 5 0.1 15 50 100 5 0.05 20 56 84 5 0.02 15 19 51 3.5 0.01 15 -- 22 2 Control ---- 40 5 5 (saline) Non-treated ---- 30 3 4