Title of Invention

4-ARYL-2,6 DIMETHYL-3-CARBOETHOXY-5-CARBOMETHOXY-1,4-DIHYDROPYRIDINES USEFUL AS THERAPEUTIC AGENTS"

Abstract Novel 4-aryl-2,6 dimethyl-3-carboethoxy-5-carbomethyl-l,4-dihydropyridines useful as therapeutic agents Novel 4-aryl-2,6 dimethyl-3-carboethoxy-5-carbomethyl-l,4-dihydropyridines useful as therapeutic agents. These dihydropyridines are potential cardiovascular agents. The main objective of the present invention is to provide the safe, clean, devoid of solvent, time-saving, high yield, inexpensive, environment friendly, one pot synthetic process for the preparation of 4 - aryl - 2,6 - dimethyl - 3 - carboethoxy - 5 - carbomethoxy - 1,4-dihydropyridines.
Full Text *The present invention relates to, 4-afyi-2,6^imethyl-3-carboethoxy-5-carbomethoxy-1.4-
dihyctfopyndtnes useful as therapeutic agents. These dihydropyridines are potential
cardiovascular agents. The pretent investigation relates to the preparation of 4-aryl-2,6-
dimemyl-3-cart>oetrwxy-5-cai1X)rn«thoxy-1,4-dihydropyndines as racemates in general and
to the preparation of 4-(2,3-dichlorophenyl)-2,6-d!methyl-3-carboethoxy-5-carbometrioxy-
1,4-dihydfO-pyridine i.e. FekxRptne (1) in particular which is being marketed as racemic
mixture.
1 }
In the recent times there has been a tremendous interest in the microwave mediated
organic synthesis. He main advantages are, a shorter reaction time, cleaner reaction,
better yields, eat* of workup after reaction, reduction in thermal degradation, better
selectivity and environment friendly conditions (Abramovrtch, R.A., Tetrahedron Lett., 32.
1991,5271. Bose, A.K.; Manhas, M.S.; Ghosh, M.: Shah, M.; Raju, V.S.; Ban, S.S.: Newaz,
S.N.; Barak, B.K., Chaudhary, A.G.: Barkat. K.J., J. Org. Chem., 56, 1991. 6968. Caddick,
S., TsJnnadren, 51,1906 10408. Slames, C.R.; Trainer, R.W.. Atut. J. Cham., 49,1996,
1fl96. Bow. AJC; Jayarraman, M.; Okawa, A.; tori, S.S.; Robb, E.W.; Manhas, M.S., Tetrhedron
Lett., 37, 19i6, 6989. Verma. R.S.; Dahiya, R.; Saini R.K., Tetrahedron Lett., 38,
1997, 7029.). The reactions can be carried out from a few milligrams to 500 grams
quantities in a simple household micowaye oven (Banik, B.K.; Manhas, M.S.: Kaulza Z.;
Barakat K.J.; Bose A.K., Tetrahedron Lett,, 33, 1992, 3603.). Microwave ovens can range
from simple house hold muttimode ovens to large scale batch as well as continuous
rTHitemode ovens, in batch closed reactor, veaaeh or turntables having a capacity to contain
a number of reaction vessels have been applied. Specifically in
fopd industry large-scale (continuous rtiode) ovens are used frequently Galema.
S.A , Chem. Sac. Rev., 26, 1997. Staruss, C.R.; Tramor, R.W., Aust. J. Cram., 48.
1995, 1665). Thus it is possible to scale up the reactions to industrial scale.
The first generation dthydropyridmes are one possessing identical ester functions at
position 3 and 5 in the dihydropyridine ring. The second gener=tion of
dihydropyrtdine (DHP) development candidates have greater potency and are all
chiral owing to non-identical ester functions (Meyer, H; Bossert, F.; Wehiger, E.;
Stoepel, K; Vater, W., Arzneim.-ForschJDrug Res., 30, 1981, 407.) and can exist in
enantiomeric forms differing in absolute configration at C-4 (Towart, R.; Wehinger,
E.; Meyer, H.; Schmiedbergs, N., Arch. Pharmacol., 317,1981, 183.). Felocipine (1)
is one of these DHP candidates, which have non-identical ester function and is
characterized by pronounced peripheral vasodilation, so it appears to be particularly
intsresting for therapy of hypertension (Ek, B.; Ahnoft, M.; Norlander, H.H.; Jung,
BiL., Arch. Pharmacol., 313, 1980, Supl. R37.).
(Figure Removed)
Another DHP which has non-identical ester functionalities is nivaldipine (2; .vnich is
also substituted at the position-2 by cyano group in place of customary metryl group
(Jully, S.R.; Hardmann, H.F.; Gross, G.H., J. Pharmacol. Exp. Ther., 217 1981,
20.). Nitrendipine (3) another 1.4-dihydropyridine derivative with mixe: ester
functionalities is being marketed as antihypertensive drug which has longer curation
of action than nifedipine (4). A marked therapeutic response is obta ned on
administration of nitrendipine (3) in hypertensive patients with corona-/ artey
diseases who respond inadequately to p-blockers (Scriabine, A.; Vanov, S. Deek,
K. Eds., Nitrendipine, Urban & Schwartzenberg, Tokyo, 1983.).
HjCOHCOO COOCH'
W (5)
Nimodipine (5) due to its dilative action on spasm of cerebral vessels, has also
become a drug of choice in patients with subarchanoid hemorrhage (Betz. E. Deek,
K.; Hoffmeister, F. Eds., Nimodipine, Pharmacological and Clinical Properjes, F.K.
Sctwttener Verlag, Stutgart, New York, 1985.). Moreover, nimodipine cresses the
blood brain barrier and elicits some direct psyhotropic activity. It also dnates the
cerbral vessels to a greater extent (Baldwin, J.J.; Hirschmann, R.; Engekhsrdt, E.L.;
Pintieello, G.S.; Sweet, C.S.; Scribine, A, J. Med. Chem., 24, 1981, 628.).
HjCOO COOCHjCH
CH,
TO,
Nisoldipine i.e. Bay k 5552 (6) is one of the most potent blockers r voltage
dependent Ca2* channels and is characterized by its predominating effec:s on the
coronary and peripheral blood vessels (Kazda, S.; Garthoff, B.; Rams:n, K.D.;
Schluter, G.. New Drugs of annual, Cardiovascular Drugs 1, A. Scribane E: Raven
Press; New York, 243, 1983. Itoh, T.; Kannu'-a, Y.; Kanyama, H.. Suzuk^. - . Br. J.
Pharmacol., 83, 1984, 243.).
-MO,
(Figure Removed)
Amtodipine (7) another DHP with non-identical ester functionalites and a basic side
chain at position 2 is a long acting dihydropyridine with a half life of 30 hrs ;n dogs.
The bulk of the activity resides in (-) isomer of (7) which has shown extensive
potential as antihypertensive and antianginal drug (Arrowsmith, J.E., Campbell
S.F.; Croat, PE Stubbs, J.K.; Surges, R.A.; Gardiner, D.G.; Blackburn. K.J., J.
1. Chem., 29, 1986, 1696, Alker, D.; Campbell, S.F.; Cross, P.E.. J. Med.
7,, 34,1991,19.).
Structural modifications among dihydropyridines continue to be concentrated on the
ester and aryl substituents with the aim of discovering examples having sicw onset
and long duration of action. Results with FRC-8653 (8) are encouraging. In
spontaneous hypertensive rats, this compound exhibits an antihypertensr-e effect
with slow onset and a longer duration of action (lida, H.; Fujiyoshi, T.; Iksda, K.;
Hosoro, M.; Yanura, M.; Kase, N.; Sekive, A.; Uematsu, T., Japan. J. Phs'macol.,
43, 1987,296.).
CfiH6 "5,
Similar long lasting effects were also observed in dogs with B844-39 (9) (Fisner, G.
Krumple, G.; Mayer, N.: Schneider, W.; Raberger, G.J.. Cardiovasc. Fha'macol.
10, 1987,268.).
More extensive structural modifications of ester moiety are found in R018-3017 (10)
(HoHk, M.; Osterrieder, W., Br. J. Pharmac., 91, 1987, 61.).
H3C
(12)
Another compound PN 200-110 (12) is more potent than (11) due to mixed ester
functionalities (Hof, R.P.; Schweinitzer, M.E.; Neumann, P., Br. J. Pharmacol., 73,
1981,196.)
(Figure Removed)
FRC-8411 (13) shows good hypotensive and antianginal activites (Yamaura, T.:
Kase, N.; Kita. H.; Uematsu, T., Arzeneim.-Forsch./Drug Res., 36, 1SS5. 29.).
Compound YM - 09730 (14) shows greatest coronary vasodilating activity
(Tamnzawa, K.; Arima, H.; Kojima, T.; Tsotnura, Y.; Okeda, M.; Fujita, S.; Furuya, T.;
Takeneda. T.; Inagaski, 0.; Terai, M., J. Med. Chem., 29, 1986, 2504.).
(Figure Removed)
Compounds (15) and (16) have been reported to have activity similar to felodipine
(1) which has been shown to be 1000 folds more potent than nifedipine (4) (Ohno,
Si; tdmatsu, 0.; Miznokoshi, K.; Jahihara, K.; Nakamura, Y.; Marighima, I.; Sumuta,
fc, J. Pharm. Dyn., 7,1984, 5).
(17)
Nigulidipine (17) developed orginally as a long acting calcium channel blocker. also
increases the opening probability of Ca2+ activated K* channels and may be example
of a compound acting in opposite fashion on two distinct ion channels (Robertson.
D.W.; Steinberg, M.I., J. Med. Chem., 33, 1990, 1).
H3COOC
(Figure Removed)
Some new dihydropyridines. benidipine (18), manidipine (19), CV-159 (2(T and P-
0285 (21), have been found to be more potent and have specific vascular effects
than prototypes in the class of compounds related to nifedipine (4). They have been
reported to have slow onset and long duration of action in animals without
cardiodepressant effect which is characteristic of other dihydropyridines.
(Figure Removed)
CHjCOOCONH,
, Compounds like NB-818 (22), are more potent and have longer duration of action in
vivo than agents like nifedipine (4). Compound (23) has been reported to increase
cerebral QQrtH*Wood flow and improves memory in certain models (Naurse, T.,
Kiozymi, Y., Japan. J. Pharmacol., 4S(Suppl.), 1988, 75. Nichikibe, A.; Nakajuma,
A,, Life Sciences, 43,1988,1715.).
From the study of the literature we reach at the conclusion that a number of methods
have been reported for the preparation of 1,4-dihydropyridines which involve the
condensation of various substituted aldehydes with methylacetoacetate or
ethylacetoacetate in the presence of ammonia by using methanol or ethanol as the
solvent. So Up no attempt has been made to provide dean, safe, time-saving,
enwrafMnnt tritMty and an inexpensive method for the preparation of 1,4-
dihvdropyrioines. This method can only be provided if the reaction is carried out
under the influence of microwave irradiations. There is only one method in the
literature for the preparation of 1,4-dihydropyridines with the help of microwave
irradiations where the ammonia, alkylacetoacetate and aldehyde with ethanol as
solvent have been used for the preparation of 1,4-dihydropyridines (Alajarin, R.;
Viquero, J.J.; Garcia, Navio, J.L; Alavarez-Builla, J., Synlett., 1992, 297.). In the
literature no method is available where the preparation of 1,4-dihydropyridines have
been carried out under dry conditions on a solid support. The methods v»tiere the
solvents such as ethanol or methanol are used for the preparation of various
compounds under the influence of microwave irradiations suffer from one or the
other drawbacks such as inflammability due to switching on and off of the magnetron
of microwave oven to control the power out put. There is no method in literature
where 4-aryl-2,6-dimethyl-3-carboethoxy-5-carbomethoxy-1,4-dihydropyridine have
been prepared in a single step.
The main objective of the present invention is to provide the safe, clean, devoid of
solvent, time-saving, high yield, inexpensive, environment friendly, one pot synthetic
process for the preparation of 4-aryl-2,6-dimethyl-3-carboethoxy-5-carbomethoxy-
1,4-dihydropyridines. Another objective of the invention is to develop new analogues
felodipine, which could act as potent cardiovascular agents and can become the
drugs of future.
Accordingly, the present invention provides 4-aryl-2,6 dimethyl-3-carboethoxy-5-
carbomethoxy-1,4-dihydropyridines useful as therapeutic agents.
H3coo
wherein R, is H, NO2, Cl, OAc, OH, R2 is H, NO2, CL,-O-CH2-O-Ome, OAc, OEt,
OH, R3 is H, NO2, Cl, N(Me)2,-O-CH2-O-, OMe, OAc, OH, R4 is H, OMe, OAc, OH,
R5 is H, Cl, I.
benzaldehyde. 2-nitro-5-acetoxybenzaldehyde. 3-methoxy-4-acetoxyberz2 cehyde,
3-acetoxy-4-methoxybenzaldehyde, 2-acetoxy-3-methoxybenzaldehyae. ---acetoxy-
5-iodo-3-methoxybenzaldehyde, 2-aicetoxy-5-ethoxybenzaldehyde, 4-acatoxy-3-
eftoxytoenzaldehyde, 3-acetoxybenzaldehyde, 4-acetoxybenzaldehyde and 2,4-
diacetoxybenzaldehyde.
The aromatic aldehydes used for preparation of dihydropyridines are as follows :
(Table Removed)
In an another embodiment of the present invention the source of ammonia used may
be such as ammonium acetate, ammonium acetate solution, ammonia anrydrous.
ammonium hydroxide solution or any other source of ammonia.
(Figure Removed)
In yet another embodiment of the invention the adsorbent used may be such as
*
oasic alumina, neutral alumina, alkali metal carbonate, or any other casic acorbent.
§tj|| another embodiment of the present invention the hydrolysing agent Lsed may
be such as ammonia, alkali hydroxide.
Known method of preparation of the mixture of the reactants may be such as
trituration, dissolving in the solvent and the removing the solvent in vacua, stirring
with the help of a stirrer.
Compounds of formula I may be recovered from the reactiion mixture by extracting
with water immiscible organic solvent such as chloroform, dichloromethar.e. ether.
ethyl acetate.
The compounds prepared by the process of present invention are as follows:
(Table Removed)
y. Accordingly in a preferrea embodiment of the present invention, the process
comprises of the following :
1. Take one mole of aldehycs (1A to 22A) in a mortar and to it add a premixed
, ; j-jrjmiKj - .
mixture of 1.1 moles of metnylacetoacetate and 1.1 moles of ethyl acetoacetate.
Mix the two thoroughly witr the help of a pestle in a mortar.
2. Add ammonium acetate (1.2 moles) to the above reaction mixture and then
triturate the mixture with the help of a pestle.
3. To the above mixture add basic adsorbents like potassium carbonate, calcium
carbonate, aluminium oxide or magnesium oxide in small increments with
thorough mixing so as tc adsorb whole of the above mixture on it till the
adrafeMnt becomM free flowing.
4. Tranatar the adsorbent intc a conical flask much larger in capacity as compared
to the volume of the adsorcent. Place a funnel on the flask as condenser.
5. Place the flask in the microwave oven cavity. Also place another flask
containing ice (as heat sir.x) with a funnel as condenser in the microwave cavity
along with the reaction flas reactants is less, if sufficsnt quantity of reactants is there to adsoro all the
microwaves then heat sink s not required).
6. Subject the reaction vesse. :o microwave irradiations (MWI) at 250W to 400W for
30sec to 10 minutes. Allow tie reaction vessel to cool to room temperature.
7. Extract the compound w?r adequate quantity of haioalkane after srakmg it
thoroughly with adsorbent :r stirring it on a magnetic stirrer.
8. Filter the organic extract trough the Buchner funnel on a filter paper.
9. Wash the organic layer wir adequate quantity of water.
10. Dry organic layer over anrv, ~rous sodium sulphate.
11. Filter the extract and remc(. e the solvent by distillation in vacuo to give residue.
12. The residue obtained abc\a is then taken in aprotic polar solvent to c;ve light
yellow crystals of product (IB to 22B).
13. The acetate group in compcunds 13B to 22B are subject to hydrolysis by stirring
one mole of compounds *3B to 228 with 1.1 mole of ammonium hydoxide
solution in methanol for ere hour at 30-35°C on a magnetic stirrer snd then
14
• removing the solvent under vacuum. The compounds were recrystailised in
petroleum ether to give compounds 23B to 32B respectively.
14. All the steps for processing of the product should be done in a dark chamber or
in iwf lyftl to avoid decompositon of the compound by daylight / U.V. rays to
achieve high yields.
1 5. The reaction should be carried out in glassware, earthenware, ceramic or plastic
containers marked as microwave safe with such a shape so as to prevent escape
of tbMKta0fe or produda.ii. the. vapour form during the reaction by effectively
controlling the power out put.
The procae* of preparation of 4-aryl-2,6-dimethyl-3-carboethoxy-5-carbomethoxyis
detcribed in detail as given below which are provided by
Example I
One mmole of 2-nitrobenzaidehyde was taken in a mortar and to it added a
premixed mixture of methyl acetoacetate(1.i mmoies) and ethyl
acetoacetate( i.1 mmoies). The two were mixed thoroughly with the help of pestle in
a mortar. Ammonium acetate(1.2 mmoies) was added to above reaction mixture and
then triturated the mixture with the help of pestle. To the above mixture potassium
carbonate was added in small increments with thorough mixing till the mixture
became free flowing. Transferred the mixture to a conical flask much larger in
capacity as compared to the volume of the adsorbent. Placed a glass funnel on the
fiask as condenser. The reaction mixture was subjected to microwave irradiation at
400VV for six minutes in a microwave oven placing a heat sink aiongwitn it. Aiioweo
the reaction mixture to cool to the room temperature. Extracted the compound with
3x50mi portions of chloroform after stirring it thoroughly with adsorbent. Filtered the
organic extract througn the buchner funnel on a filter paper. Washed the organic
layer with 2x100mi portions of water. Dried the organic layer over anhydrous sodium
sulphate. Filtered the extract and removed the solvent by distillation under vacuum
to give the residue which was recrystajiised in methanoi to give yellow coloured
crystals of 4-(2-nitrophenyi)-2.6-dimetnyi-3-carDoethoxy-5-carDomer-xy-i.4.-
dihydropyridines (m.p. 178°C) in 90% yield.
One mmoie of 2-acetoxy-3-methoxyp^naldehyde was taken in a mortar and to it
added a premixea mixture of methyl acetoacetate(1.1 mmoies) and ethyl
acetoacetate a 11lui'Uff 3%f#f«SfluM acetaleO .'2 mm6fes)twasaadcfea"toJaBove reaction mixture and
then triturated the mixture with the help of pestie. To the above mixture a;uminum
oxide waS added in small increments with thorough mixing till the mixture became
free ; Transferred JM> mixture to a contcaj flask much larger in capacity as
compared to the volume of the adsorbent. Placed a glass funnel on the flask as
condenser. The reaction mixture was subjected to microwave irradiation at 300W for
nine minutes in a microwave oven placing a heat sink aiongwitn it. Aiicwed the
reaction mixture to cool to the room temperature. Extracted the compound with
3x50mi portions of aicniorometnane after stirring it thoroughly with acsorbent.
Filtered the organic extract through the buchner funnel on a filter paper. Wasned the
organic layer with 2xiOOmi portions of water. Dried the organic layer over a~nydrous
sodium sulphate. Filtered the extract and removed the solvent by distillation under
vacuum to give tne residue which was recrystaiiised in methanoi to give yellow
coloured crystals of 4-{2-actoxy-3-methoxypnenyl)-2.6-dimetnyi-3-carDoe:noxy-5-
carbomethoxy-1,4,-dihydropyridines (m.p.162°C ) in 85% yield.
Example iii
One mmoie of 2-acetoxy-3-methoxyDenaidenyde was taken in a mortar and to it
added a premixed mixture of methyl acetoacetate(1.1 mmoies) ars ethyi
acetoacetate(i.1 mmoies).. The two were mixed tnoroughiy with the neip of :estie in
a mortar. Ammonium acetate(1.2 mmoies) was added to above reaction mixrjre and
then triturated the mixture with the help of pestie. To the above mixture a;uminum
oxide was added in small increments with thorough mixing tiii the mixture cecame
free flowing. Transferred the mixture to a conical flask much larger in capacity as
compared to the volume of the adsorbent. Placed a glass funnel on the -"asK as
condenser. I he reaction mixture was subjected to microwave irradiation at 300VV for
nine minutes in a microwave oven placing a heat sinK aiongwitn it. Aiiowed the
reaction mixture to cooi to tne room temperature. Extracted the compound with
3x§Qmf portions of dJetiloromethane after stirring it thoroughly with adsorbent.
Filtered the organic extract through the bunchner funnel on a filter paper. Washed
the organic layer with 2x100mi portidns of water. Dried the organic layer over
anhydrous sodium sulphate. Filtered the extract and removed the solvent by
distillation under vacuum to give the residue which was recrystaiised in methanoi to
give yellow coloured crystals of 4-(2-actoxy-3-methoxyphenyi)-2,6-dimethyi-3-
carboethoxy-5-carbomethoxy-1,4,-dihydropyridines (m.p.162°C ) in 85% yield.
The acetoxy compound was subjected to hydrolysis by stirring one mole of
compound with 1.1 mole of ammonium hydoxide soiution in methanoi for one hour at
3Q-35°C on a magnetic sftrrer and then removing the solvent under vacuum. The
resulting compound was recrystaiiised in petroleum ether to give 4-(2-hydroxy-3-
methoxyphenyi)-2,6-dimethyi-3-carboethoxy-5-carbomethoxy-1,4,-dihydropyridines
(m. p. 170*0) in 75% yield.
Advantages
The main advantages of the present invention are :
1. A process for the preparation of 4-aryi-2,6-dimethyi-3-carboetnoxy-5-
carbomethoxy-1.4-dihydropyridines as racemates (DHP compounds) where the
reaction times are reduced i.e. from 16 hours to 10 minutes.
2. A process for the preparation of DHP compounds where the reaction yields are
improved (50-60%).
3. A process for tne preparation of DHP compounds wnere tne minimum use of
solvents is required as solvents are required for extraction ana recrystaiiisation
only.
4. A process for tne preparation of DHP compounds where there are no fire
nazaro as no solvents are used in the reaction.
5. A process for the preparation of DHP compounds whjch may be useful in future
as antiangmal and nypotensive agents.
3.* A process for the preparation of the DHP compounds which may be useful as
new test models in the development of agents which could be used as drugs in
the future for the management of various cardiovascular ailments.
7. The entire process of synthesis is environment friendly.



We claim:
1. 4-aryl-2,6 dimethyl-3-carboethoxy-5-carbomethoxy-l,4-dihydropyridines useful
as therapeutic agents
wherein RI is H, N02, Cl, OAc, OH, R2 is H, NO2, CL,-O-CH2-O-Ome, OAc,
OEt, OH, R3 is H, NO2, Cl, N(Me)2,-O-CH2-O-, OMe, OAc, OH, R4 is H, OMe,
OAc, OH, R5 is H, Cl, I.
2. 4-aryl-2,6 dimethyl-3-carboethoxy-5-carbomethoxy-l,4-dihydropyridines useful
as therapeutic agents substantially as herein described with reference to the
examples.


Documents:

1045-del-2003-abstract.pdf

1045-del-2003-claims.pdf

1045-del-2003-correpondence-others.pdf

1045-del-2003-correpondence-po.pdf

1045-del-2003-description (complete).pdf

1045-del-2003-drawings.pdf

1045-del-2003-form-1.pdf

1045-del-2003-form-18.pdf

1045-del-2003-form-19.pdf

1045-del-2003-form-2.pdf

1045-del-2003-form-3.pdf

1045-del-2003-petition-138.pdf


Patent Number 213480
Indian Patent Application Number 1045/DEL/2003
PG Journal Number 06/2008
Publication Date 08-Feb-2008
Grant Date 02-Jan-2008
Date of Filing 27-Aug-2003
Name of Patentee COUNCIL OF SCIENTIFIC AND INDUSTRIAL RESEARCH
Applicant Address RAFI MARG, NEW DELHI-110 001,INDIA
Inventors:
# Inventor's Name Inventor's Address
1 NEERAJ MAHINDROO SCIENTISTS OF REGIONAL RESEARCH LABORATORY, JAMMU, INDIA.
2 RAVI KANT KHAJURIA SCIENTISTS OF REGIONAL RESEARCH LABORATORY, JAMMU, INDIA
3 VIJAY KUMAR KAPOOR SCIENTIST OF UNIVERSITY INSTITUTE OF PHARMACEUTICAL SCIENCE, PUNJAB UNIVERSITY, CHANDIGARH INDIA
4 KANAYA LAL DHAR SCIENTISTS OF REGIONAL RESEARCH LABORATORY, JAMMU, INDIA
PCT International Classification Number C07D 401/10
PCT International Application Number N/A
PCT International Filing date
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 NA