Isoxicam and related 4-hydroxy-N-isoxazolyl-2H-1,2-benzothiazine-3-carboxamide 1,1-dioxides. Potent nonsteroidal antiinflammatory agents

J Med Chem. 1982 Jan;25(1):12-8. doi: 10.1021/jm00343a003.

Abstract

A novel series of antiinflammatory agents, N-isoxazolyl-3-carboxamides of 4-hydroxy-2H-1,2-benzothiazine 1,1-dioxide, was synthesized and evaluated as antiinflammatory agents in the carrageenin-induced rat paw edema (CIRPE) assay and adjuvant-induced polyarthritis (AIP) assay. Several analogues were found to be equipotent or more potent than aspirin and phenylbutazone. Structure-activity relationships are discussed. One of the compounds, 4-hydroxy-2-methyl-N-(5-methyl-3-isoxazolyl)-2H-1,2-benzothiazine 3-carboxamide 1,1-dioxide (3a; isoxicam), was found to be 3 times as potent as phenylbutazone in the CIRPE and in the therapeutic AIP assays. Isoxicam (3a) is presently undergoing phase III clinical trial as an antiarthritic drug.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / chemical synthesis
  • Anti-Inflammatory Agents / pharmacology*
  • Isoxazoles / chemical synthesis
  • Isoxazoles / pharmacology*
  • Male
  • Oxazoles / pharmacology*
  • Piroxicam* / analogs & derivatives*
  • Rats
  • Rats, Inbred Strains
  • Structure-Activity Relationship
  • Thiazines / chemical synthesis
  • Thiazines / pharmacology*

Substances

  • Anti-Inflammatory Agents
  • Isoxazoles
  • Oxazoles
  • Thiazines
  • Piroxicam
  • isoxicam