Nicotinamide benzofused-heterocyclyl derivatives useful as selective inhibitors of pde4 isozymes

专利摘要:
The present invention relates to a compound of formula (1) or a pharmaceutically acceptable salt thereof useful as an inhibitor of PDE4 in the treatment of diseases regulated by activation and degranulation of eosinophils, in particular asthma, chronic bronchitis and chronic obstructive pulmonary disease. In Formula 1, R 5 and R 6 are bonded together to form a residue of Formulas (1.1.1) to (1.1.5). Formula 1
公开号:KR20020072299A
申请号:KR1020027009829
申请日:2001-01-30
公开日:2002-09-14
发明作者:마패트앤토니；챔버로버트제임스
申请人:화이자 프로덕츠 인코포레이티드；
IPC主号:

专利说明:

NICOTINAMIDE BENZOFUSED-HETEROCYCLYL DERIVATIVES USEFUL AS SELECTIVE INHIBITORS OF PDE4 ISOZYMES} Useful as Selective Inhibitors of PD4 Isozyme
[4] Background of the Invention
[5] 3 ', 5'-cyclic nucleotide phosphodiesterases (PDEs) comprise a large class of enzymes classified into at least 11 different groups that are structurally, biochemically and pharmacologically distinct from one another. Enzymes in each group are commonly referred to as isoenzymes or isozymes. In total 15 or more gene products are included in this class, and further changes are produced by differential splicing and post-translational processing of these gene products. The present invention relates to their inhibition, including the selective inhibition of the four gene products of the fourth PDE family, namely PDE4A, PDE4B, PDE4C and PDE4D, and PDE4D. These enzymes are collectively referred to as isomers or subtypes of the PDE4 isozyme group. In the following, genomic organization, molecular structure and enzyme activity, differential splicing, transcriptional regulation and phosphorylation, distribution and expression, and selective inhibition of the PDE4 isozyme subtype will be described in more detail.
[6] PDE4 is characterized by selective high affinity hydrolysis of the second messenger cyclic nucleotide adenosine 3 ', 5'-cyclic monophosphate (cAMP), and selectivity for inhibition by rolipram. Numerous selective inhibitors of PDE4 have recently been discovered and beneficial pharmacological effects resulting from inhibitory action have been shown in various disease models. For example, Torphy et al ., Environ. Health Perspect . 102 Suppl. 10, 79-84, 1994; Duplantier et al ., J. Med. Chem. 39 120-125, 1996; Schneider et al ., Pharmacol. Biochem. Behav. 50 211-217, 1995; Banner and Page, Br. J. Pharmacol. 114 93-98, 1995; Barnette et al ., J. Pharmacol. Exp. Ther. 273 674-679, 1995; Wright et al., "Differential in vivo and in vitro bronchorelaxant activities of CP-80633, a selective phosphodiesterase 4 inhibitor", Can. J. Physiol. Pharmacol. 75 1001-1008, 1997; Manabe et al., "Anti-inflammatory and bronchodilator properties of KF19514, a phosphodiesterase 4 and 1 inhibitor", Eur. J. Pharmacol. 332 97-107, 1997; And Ukita et al., "Novel, potent, and selective phosphodiesterase-4 inhibitors as antiasthmatic agents: synthesis and biological activities of a series of 1-pyridylnaphthalene derivatives", J. Med. Chem. 42 1088-1099, 1999. Thus, there is a continuing interest in the art for the discovery of further selective inhibitors of PDE4.
[7] The present invention also provides improved treatment of numerous inflammatory, respiratory and allergic diseases and conditions, in particular asthma; Chronic obstructive pulmonary disease (COPD), including chronic bronchitis, emphysema and bronchiectasis; Chronic rhinitis; And the use of selective PDE4 inhibitors for the treatment of chronic sinusitis. However, the most important therapeutic agents for the treatment of asthma and other obstructive airway diseases so far in the art are ratios represented by the following formulas (0.0.1), (0.0.2) and (0.0.3), respectively. Selective PDE inhibitors, theophylline, pentoxifylline and IBMX.
[8]
[9]
[10] Theophylline with PDE as one of its biochemical targets, in addition to its well characterized bronchodilator activity, affects the pulmonary system of the patient with increasing pulmonary artery pressure, inhibits inflammatory cell responses and induces eosinophil necrosis. The adverse effects of theophylline (most commonly cardiac rhythm and nausea) are also mediated by PDE inhibition, but with more PDEs that can inhibit both in vitro immune cell function and in vivo allergic lung inflammation while improving side effects profiles. Have them look for selective inhibitors. In the airways of patients suffering from asthma and other obstructive airway diseases, PDE4 is the most important PDE isozyme as a target of drug discovery because it is distributed in smooth muscle and inflammatory cells of the airways. Several PDE4 inhibitors introduced so far in the art are designed to have improved therapeutic indices with regard to the cardiovascular, gastrointestinal and central nervous system side effects of the non-selective xanthines described above.
[11] Airway obstruction and airway inflammation are characteristic of COPD as well as asthma. Bronchial asthma is mainly characterized by eosinophilic inflammation, but neutrophils appear to play an important role in the development of COPD. Thus, PDE, which is involved in smooth muscle relaxation and is found in neutrophils as well as eosinophils, may be a fundamental component of the progression of both diseases. Related PDEs include PDE3 and PDE4, and bronchodilatation inhibitors have been found that are selective PDE3 inhibitors and dual PDE3 / 4 selective inhibitors. Examples of these are millinone (selective PDE3 inhibitor), zardaverin and benafenthrin (both double PDE3 / 4), which can be represented by the following formulas (0.0.4), (0.0.5) and (0.0.6), respectively: Selective inhibitors).
[12]
[13]
[14] However, benafenthrin only causes bronchodilation when administered by inhalation, and cutaberin only causes weak and transient bronchodilation. The cardiovascular milinon induces some protection against transient bronchodilation and induced bronchial contraction, but has shown significant adverse effects such as cardiac arrest and hypotension. In addition, unsatisfactory results were obtained with the use of the weakly selective PDE4 inhibitor Tibenellast and the selective PDE5 inhibitor Japrininast, which can be represented by the following formulas (0.0.7) and (0.0.8):
[15]
[16] The discovery and development of selective PDE4 inhibitors have been relatively successful in the art.
[17] In vivo, PDE4 inhibitors reduce the increased bronchial reactivity that occurs after bronchoconstriction and allergen administration while also reducing the influx of eosinophils into the lungs of allergen-administered animals. PDE4 inhibitors also inhibit the activity of immune cells, including CD4 ^* T-lymphocytes, monocytes, mast cells, and basophils; Reduce pulmonary edema; Inhibit excitatory bidrenergic noncholinergic neurotransmission (eNANC); Increase inhibitory non-drenergic noncholinergic neurotransmission (iNANC); Reduce airway smooth muscle mitosis; Induce bronchial expansion. PDE4 inhibitors also inhibit the activity of numerous inflammatory cells associated with the pathophysiology of COPD, CD8 ^* T-lymphocytes and neutrophils, including monocytes / macrophages. PDE4 inhibitors also reduce ductal smooth muscle mitosis and reduce airway epithelial cells. Potentially disrupting the ability to produce pro-inflammatory mediators. Despite the release of neutral proteases and acid hydrolases from their granules and the generation of reactive oxygen species, neutrophils are involved in tissue destruction associated with chronic inflammation and further involve lesions of diseases such as emphysema.
[18] Selective PDE4 inhibitors that have been discovered so far that provide therapeutic benefit include SB-207-499, ARIFLO ^R , which can be represented by the following formula (0.1.9):
[19]
[20] When orally administered SB-207,499 twice a day at doses of 5, 10, and 15 mg, in a study population containing a large number of patients, significantly lower FEV ₁ (forced breath volume for 1 second) compared to placebo after 2 weeks Increased. Another potent, selective PDE4 inhibitor, CDP840, has been shown to inhibit late response to inhaled allergens 9.5 days after oral administration at doses of 15 and 30 mg in a group of bronchial asthma patients. CDP840 can be represented by the following formula (0.0.9):
[21]
[22] PDE has also been studied as a possible treatment for obstructive pulmonary disease, including COPD. In numerous studies of SB-207,499 in patients with COPD, a group of patients receiving 15 mg twice daily experienced a gradual improvement at the lowest FEV ₁ and reached a maximum mean difference compared to 160 ml of placebo at 6 weeks. This represents an 11% improvement. Comption et al., "The efficacy of Ariflo (SB207499), a second generation, oral PDE4 inhibitor, in patients with COPD", Am. J. Respir. Crit. Care Med. 159 1999. Patients with severe COPD were observed to be pulmonary hypertension, and a reduction in mean pulmonary artery pressure in clinical conditions was achieved by oral administration of the selective PDE 3 inhibitors milinon and enoximon. Enoxymone has also been shown to reduce airway resistance in patients hospitalized with dysfunction COPD. See Leman et al., Chest 91 662-6, 1987. With selective PDE3 inhibition by motapizone and selective PDE5 inhibition by japrinast, the inhibition of combined PDE 3 and 5 performs relaxation of the pulmonary artery ring, which generally corresponds to the pattern of PDE isozymes found in pulmonary smooth muscle. Appeared. Rabe et al ., Am. J. Physiol. 266 (LCMP 10); L536-L543, 1994. The structures of milnonone and japrinast are shown above as formulas (0.0.4) and (0.0.8), respectively.
[23] The structures of Enoxymon and Motapizone can be represented by the following formulas (0.0.10) and (0.0.11), respectively:
[24]
[25] The effect of PDE4 inhibitors on various inflammatory cell responses can be used as a basis for inhibitor profiling and selection for further studies. This effect is elevated in cAMP; And inhibition of superoxide production, degranulation, chemotaxis and tumor necrosis factor alpha (TNF-α) release in eosinophils, neutrophils and monocytes. PDE4 inhibitors can induce vomiting, namely nausea and vomiting, which are adverse effects as expected. When rolipram and denbuphylline were used in clinical trials, vomiting adverse effects were evident when the PDE4 inhibitors were first examined for CNS signs such as depression. Rolipram and denbuphylline can be represented by the following formulas (0.0.12) and (0.0.13):
[26]
[27] While the mechanism (s) by which PDE4 inhibitors can potentially induce vomiting is uncertain, studies of Ro-20-1724, a PDE4 inhibitor, suggest that nausea and vomiting are at least partially mediated by the center of vomiting in the brain. Gastrointestinal adverse effects can be caused by local effects, for example, lolliram is a very potent stimulant of acid secretion from gastric wall cells, and the resulting excess acid can exacerbate gastrointestinal disorders by causing local irritation. have. Ro-20-1724 can be represented by the following formula (0.0.14):
[28]
[29] Efforts to minimize or eliminate the aforementioned adverse effects often associated with PDE4 inhibitors have included creating inhibitors that do not cross the central nervous system and administering PDE4 inhibitors by inhalation rather than orally.
[30] For PDE4 subtypes A, B, C, and D, PDE4C has been found to be generally less sensitive for all inhibitors, while for subtypes A, B, and D, it is yet to be inhibited specificity defined as 10 times the IC ₅₀ value. There is no solid evidence. Most inhibitors, especially RS-25,344, are more potent against PDE4D, but are not selective. RS-25,344 can be represented by the following formula (0.0.15):
[31]
[32] On the other hand, there is a stereoselective effect on the elevation of cAMP in a range of cell types, which is CDP840 and its less active enantiomer CT-1731 represented by Equation (0.0.9) above (Equation (0.0.16)). Proved by:
[33]
[34] Rolipram has been known for a considerable time to have the ability to interact with a high affinity binding site on the brain membrane, and this high affinity rolipram binding site (S _r ) distinguished from the catalytic site (S _c ) is truncated recombinant PDE4A. And in the full length recombinant PDE4B was later established in the art. More recently, S _r has been identified in all four PDE4 subtypes. See Hughes et al. Drug Discovery Today 2 (3) 89-101, 1997. The presence of S _r appears to have a significant effect on the ability of certain inhibitors such as rolipram and RS-25,344 to inhibit the catalytic activity of PDE4 isozyme.
[35] The effect of residues on inhibitor binding is also important. One amino acid substitution in the catalytic region of PDE4B (alanine instead of aspartate) has been shown to be important for inhibition by rolipram, which has associated inhibitors RP-73,401 and Ro-20-1724 also lose efficacy on mutant enzymes. It appears to be a class effect. However, the role of the binding of inhibitors to S _c or S _r in terms of elevation of cAMP and inhibition of cellular responses is currently not fully known.
[36] In guinea-pig studies, RP-73,401 (1) inhibits antigen-induced pulmonary eosinophilia and eosinophil peroxidase (EPO) (Banner, KH, "The effect of selective phosphodiesterase." inhibitors in comparison with other anti-asthma drugs on allergen-induced eosinophilia in guinea-pig airways ", Pulm. Pharmacol. 8 37-42, 1995]); (2) Antigen-induced bronchoalveolar lavage (BAL) eosinophilia (Raeburn et al., "Anti-inflammatory and bronchodilator properties of RP73401, a novel and selective phosphodiesterase Type IV inhibitor", Br. J. Pharmacol. 113 1423-1431, 1994); (3) antigen-induced airway eosinophilia and platelet activating factor- (PAF)-and ozone-induced airway overreaction (AHR) (Karlsson et al., "Anti-inflammatory effects of the novel phosphodiesterase IV inhibitor RP73401 ", Int. Arch. Allergy Immunol . 107 425-426, 1995]; And (4) active in IL-5 induced pleural eosinophilia. Development of piclarmilast, RP-73,401, has been discontinued. Picclamilast can be represented by the following formula (0.0.17):
[37]
[38] A series of related compounds that have been shown to be active in the inhibition of antigen-induced bronchial spasms in rat studies are represented by RPR-132294 and RPR-132703 (Escott et al., "Pharmacological profiling of phosphodiesterase 4 ( PDE4) inhibitors and analysis of the therapeutic ratio in rats and dogs ", Br. J. Pharmacol. 123 (Proc. Suppl.) 40P, 1998] and Turairatnam et al.," Biological activity and side effect profile of RPR-132294 and RPR-132703-novel PDE4 inhibitors ", XV ^th EFMC Int. Symp. Med. Chem. , 1998]. The structure of RPR-132294 can be represented by the following formula (0.0.18):
[39]
[40] Another compound that has ceased development, which has been shown to be active in the inhibition of seratonin-induced bronchial contraction in dog studies, is WAY-PDA-641 (pilamaminest). Philaminast can be represented by the following formula (0.0.19):
[41]
[42] It has been suggested in the art that PDE4 inhibitors with high affinity at S _r may be associated with vomiting and increased gastric acid secretion. RS-23,544, RP-73,401 and CP-80,633 cause vomiting and have high affinity at S _r . CDP840 and SB-207,499 have relatively low affinity at S _r , while CDP840 has significantly higher potency than SB-207,499 at S _c . CDP840 has been shown to significantly inhibit late-phase responses in the treatment of asthma without any adverse effects such as nausea or headache. Another PDE4 inhibitor that has been shown to have adverse effects of nausea and vomiting is BRL-61,063, also referred to as cifamphylline, further described below. Development of the CDP840 has been discontinued, but Artizora, a CP-80,633, continues to be developed. CP-80,633 and BRL-61,063 can be represented by the following formulas (0.1.20) and (0.1.12), respectively.
[43]
[44] Another compound under development that has been shown to be active in the inhibition of antigen-induced bronchial contraction in guinea-pig studies is LAS-31025 (arophylline) (Beleta, BJ), "Characterization of LAS31025: a new selective PDE IV inhibitor for bronchial asthma ", Third Int. Conf. On Cyclic Nucleotide Phosphodiesterase: From Genes to Therapies, Glasgow, UK, 1996, Abstract 73]). LAS-31025 (arophylline) can be represented by the following formula (0.0.21):
[45]
[46] Numerous PDE4 inhibitors have advanced in development. For example, the effect of V-11294A on LPS-stimulated ex vivo TNF release and PHA induced lymphocyte proliferation was a randomized, double-blind placebo-modulated study showing that 300 mg oral dose was effective in reducing TNF levels and lymphocyte proliferation. (Landells et al., "Oral adminstration of the phosphodiesterase (PDE) 4 inhibitor, V11294A inhibits ex-vivo agonist-induced cell activation", Eur. Resp. J. 12 (Suppl. 28) 362s , 1998 and Gale et al., "Pharmacodynamic-pharmacokinetic (PD / PK) profile of the phosphodiesterase (PDE) 4 inhibitor, V11294A, in human volunteers", Am . J. Respir. Crit. Care Med. 159 A611, 1999].
[47] Compound D4418 was administered to healthy volunteers in a single escalating dose, randomized, placebo-controlled Phase I study (Montana et al., "Activity of D4418"). , a novel phosphodiesterase 4 (PDE4) inhibitor, effects in cellular and animal models of asthma and early clinical studies ", Am. J. Respir. Crit. Care Med. 159 A108, 1999]. D4418 is a moderately potent PDE4 inhibitor with an IC ₅₀ of 200 nM. It has good oral absorption (200 mg dosage gives a plasma C _max of 1.4 μg / ml). D4418 was discontinued due to its moderate efficacy and was replaced by D4396, a preclinical development candidate.
[48] V-11294A and D4418 can be represented by the following formulas (0.0.22) and (0.0.23), respectively:
[49]
[50] Another compound CI-1018 was evaluated in 54 subjects and reported no adverse effects at doses below 400 mg (Pruniaux et al., “The novel phosphodiesterase inhibitor CI-1018 inhibits antigen-induced lung eosinophilia in sensitized brown-norway rats-comparison with rolipram ", Inflammation S-04-6, 1999]). CI-1018 has good oral bioavailability (57% in rats) and good oral efficacy of 5 mg / kg ED ₅₀ in the same species. Cl-1018 is a relatively weak PDE4 inhibitor with an IC ₅₀ of 1.1 μM in U937 cells. Cl-1018, which has been shown to have activity in the inhibition of antigen-induced eosinophilia in rat studies, has also been identified as PD-168787 or closely related in structure (Pascal et al., "Synthesis and structure-activity relationships of 4-oxo-1-phenyl-3,4,6,7-tetrahydro- [1,4] -diazepino [6,7,1-hi] indolines: novel PDE4 inhibitors ", 215 ^th ACS , Dallas, USA, MEDI 50, 1998]. The structures inferred for Cl-1018 and PD-168787 belong to the class of diazepinones which can be represented by the following formula (0.0.24):
[51]
[52] The aforementioned compounds were also evaluated in animal models demonstrating PDE4 inhibitory activity. For example, guinea-pig studies have shown that V-11294A is active in the inhibition of antigen-induced bronchial contraction (Cavalla et al., "Activity of V11294A, a novel phosphodiesterase 4 (PDE4) inhibitor, in cellular and animal models of asthma ", Amer. J. Respir. Crit. Care Med , 155 A660, 1997]. In guinea-pig studies, D4418 was found to be active in antigen-induced early and late bronchial contraction and inhibition of BAL eosinophilia (Montana et al., Supra). Cl-1018 has been shown to be active in the inhibition of antigen-induced eosinophilia in rat studies (Burnouf et al., "Pharmacology of the novel phosphodiesterase Type 4 inhibitor, Cl-1028", 215 ^th ACS Nat. Meeting , MEDI 008, 1998].
[53] Other compounds with advanced development include CDC-3052, D-22888, YM-58997, which can be represented by the following formulas (0.0.27), (0.0.28), (0.0.29) and (0.0.30), respectively; Contains roflumilast:
[54]
[55] Although CDC-3052 has ceased development, very potent inhibitors of PDE4, such as the compound represented by the following formula (0.0.31), and the anti-inflammatory compound represented by the following formula (0.0.32) (CDC-801) This was followed by:
[56]
[57] Compounds of the formula (0.0.32) are 42pM and 130nM IC as inhibitors of PDE4 and TNF production, respectively₅₀Values have been reported (Muller et al., "N-Phthaloyl beta-aryl-beta-amino derivatives: Potent TNF-alpha and PDE4 inhibitors",217 ^th American Chemical Society, Annheim, Germany, MEDI 200, 1999 and Muller et al., "Thalidomide analogs and PDE4 inhibition",Bioorg. Med. Chem. Letts. 82669-2674, 1998].
[58] CDC-801 is derived from a series of thalidomide-based compounds and was developed to primarily improve the TNF-α inhibitory activity of thalidomide for the treatment of autoimmune diseases. Thalidomide can be represented by the following formula (0.0.33):
[59]
[60] In addition, CD-801 has been studied for the treatment of Crohn's disease, chronic granulomatous inflammatory disease, in which the etiology associated with terminal ileum is usually unknown, which damages and thickens the barrier and often leads to bowel obstruction, fistula and boil formation. Crohn's disease has a high recurrence rate after treatment.
[61] YM-58997 has an IC ₅₀ value of 1.2 nM for PDE4 (Takayama et al., “Synthetic studies on selective Type IV phosphodiesterase (PDE IV) inhibitors”, 214 ^th American Chemical Society , Las Vegas, USA, MEDI 245, 1997]. YM-58997 has a 1,8-naphthyridin-2-one structure like YM-976.
[62] Roflumilast has been studied to treat COPD and asthma and has an IC ₅₀ value of 3.5 nM in a standard in vitro guinea-pig model of asthma. The use of roflumilast and surfactants for the treatment of adult respiratory distress syndrome (ARDS) has also been described.
[63] AWD-12,281, now referred to as loteprednol, has been shown to be active in a rat model of allergic rhinitis, as described further below in the section dealing with allergic rhinitis and the use of PDE4 inhibitors to treat it. AWD-12,281 can be represented by the following formula (0.0.34):
[64]
[65] In addition, compounds that are structurally related to CDP840 represented by the formula (0.0.9) include L-826,141, which has been reported to have activity in a rat model of bronchitis (Gordon et al. "Anti-inflammatory effects of a PDE4 inhibitor in a rat model of chronic bronchitis", Am. J. Respir. Crit. Care Med. 159 A33, 1999]. Another compound is described in Perier et al., "Substituted furans as inhibitors of the PDE4 enzyme", Bioorg. Med. Chem. Letts . 9 323-326, 1999, which is related in structure to those reported, and is represented by the following formula (0.0.35).
[66]
[67] Other compounds found to be very potent PDE4 inhibitors are those represented by the following formulas (0.0.36), (0.0.37) and (0.0.38):
[68]
[69] In combination with PDE4, a compound having matrix metalloproteinase (MMP) inhibitory activity in a single molecule was produced (Groneberg et al., "Dualinhibition of phosphodiesterase 4 and matrix metalloproteinases by an (arylsulfonyl) hydroxamic acid template ", J. Med. Chem. 42 (4) 541-544, 1999]. Two examples of these compounds are represented by the following formulas (0.0.39) and (0.0.40):
[70]
[71] The respective IC ₅₀ values for the compounds of formulas (0.1.36) and (0.1.37) using the guinea-pig macrophage PDE4 assay were 1 nM and 30 nM.
[72] Compounds identified as KF19514 and KF17625 include histamine-induced and antigen-induced bronchial contraction in guinea-pig studies; PAF-induced pulmonary eosinophilia and antigen-induced BAL eosinophilia; Acetylcholine (ACh) -induced AHR; PAF-induced BAL eosinophilia and neutropenia, and AHR; Antigen-induced bronchial spasms; And inhibitory activity of irritable bronchial contraction (Fujimura et al., "Bronchoprotective effects of KF-19514 and cilostazol in guinea-pigs in vivo ", Eur. J. Pharmacol. 327 57-63, 1997). Manabe et al., Supra, Manabe et al., "KF19514, a phosphodiesterase 4 and 1 inhibitor, inhibits PAF-induced lung inflammatory responses by inhaled administration in guinea-pigs", Int. Arch. Allergy Immunol. 114 389-399 , 1997]). Suzuki et al., "Newbronchodilators. 3. Imidazo [4,5-c] [1,8] naphthyridin-4 (5H) -ones", J. Med. Chem. 35 4866-4874, 1992; Matsuura et al., "Substituted 1,8-naphthyridin-2 (1H) -ones as selective phosphodiesterase IV inhibitors", Biol. Pharm. Bull. 17 (4) 498-503, 1994; And Manabe et al., "Pharmacological properties of a new bronchodilator, KF17625", Jpn. J. Pharmacol. 58 (Suppl. 1) 238P, 1992]. KF19514 and KF17625 can be represented by the following formulas (0.0.41) and (0.0.42):
[73]
[74] The lack of efficacy and vomiting reported in a series of indandiones is incorrect in that the hypothesis that it has side effects such as vomiting in relation to the ratio of affinity to PDE4 enzyme to affinity for the high affinity rolipram binding site (HARBS) is misleading. present. The indandione can be represented by the following formulas (0.0.43) and (0.0.44):
[75]
[76] The PDE4 inhibitors produced so far belong to many different classes in chemical structure. This class was as varied as phenanthridine and naphthyridine. One class of PDE4 inhibitors is lignans such as T-440, which include early phase bronchial contraction caused by antigen, histamine, LTD4, U-46619, Ach, neurokinin A and endothelin-1; Allergen-induced early and late phase bronchial contraction and BAL eosinophilia; And inhibition of ozone-induced AHR and airway epithelial damage. By optimizing the PDE4 inhibitory potency of these compounds, we have developed T-2585, one of the most potent PDE4 inhibitors described so far with an IC ₅₀ value of 0.13 nM for guinea-pig lung PDE4. T-440 and T-2585 can be represented by the following formulas (0.0.45) and (0.0.46):
[77]
[78] Another class of PDE4 inhibitors consists of benzofuran and benzothiophene. In particular, furan and croman rings were used as surrogate for cyclopentylether of rolipram Pharmacopor. Examples of such compounds are clearly related in structure to BAY 19-8004 and can be represented by the following formula (0.0.47):
[79]
[80] Another benzofuran-type compound was reported to have an IC ₅₀ value of 2.5 nM and can be represented by the following formula (0.0.48):
[81]
[82] Compounds with related structures, but not benzofuran, have been characterized by conjugated deoxycin rings and have been reported to almost completely inhibit PDE4 of canine organs at 100 nM. This compound can be represented by the following formula (0.0.49):
[83]
[84] Quinolines and quinolones are another class of PDE4 inhibitor structures, which act as surrogate for the catechol residues of rolipram. This compound and two compounds of similar structure can be represented by the following formulas (0.0.50), (0.0.51) and (0.0.52):
[85]
[86] Purine, xanthine and pteridine represent another class of chemical compounds to which the PDE4 inhibitors described so far are known in the art. Compound (V-11294A) further described above and represented by formula (0.0.22) is purine. PDE4 inhibitors, xanthine compounds, a class of compounds belonging to theophylline have been described in the art (Montana et al. , "PDE4 inhibitors, new xanthine analogues", Bioorg. Med. Chem. Letts. 8 2925-2930, 1998 ]). The xanthine compound can be represented by the following formula (0.0.54):
[87]
[88] Potent PDE4 inhibitors belonging to the class of pteridines have been shown to have an IC ₅₀ value of 16 nM for PDE4 derived from tumor cells and to inhibit tumor cell growth at micromolar concentrations (Merz et al., Literature). ["Synthesis of 7-Benzylamino-6-chloro-2-piperazino-4-pyrrolidinopteridine and novel derivatives free of positional isomers. Potent inhibitors of cAMP-specific phosphodiesterase and of malignant tumor cell growth", J. Med. Chem. 41 ( 24) 4733-4743, 1998]. The putridine PDE4 inhibitor can be represented by the following formula (0.0.55).
[89]
[90] Triazines described so far in the art represent another class of compounds to which PDE4 inhibitors belong. Two triazines have been described that exhibit bronchodilator activity and are potent laxatives in the guinea-pig organ model. These compounds, which can be represented by the following formulas (0.0.56) and (0.0.57), are also moderately potent PDE4 inhibitors with IC ₅₀ values of 150 and 140 nM, respectively:
[91]
[92] Triazine with a structure presumed to be closely related to the structures of the compounds of formulas (0.0.56) and (0.0.57) was UCB-29936, which proved to be active in the murine model of septic shock ( Danhaive et al., "UCB29936, a selective phosphodiesterase Type IV inhibitor: therapeutic potential in endotoxic shock", Am. J. Respir. Crit. Care. Med. 159 A611, 1999).
[93] The art has sought to improve the selectivity of PDE4 inhibitors for the subtypes A through D described further above. Four variants (subtypes) of PDE4 isozymes, including the seven splice variants described further above, are now known. It has been suggested in the art that PDE4D isomeric mRNA is expressed in inflammatory cells such as neutrophils and eosinophils, and that D-selective inhibitors of PDE4 provide good clinical efficacy while reducing side effects. Not only are nicotinamide derivatives exhibiting selectivity for inhibition of PDE4D isoforms described in WO 98/45268, but naphthyridine derivatives have been reported in WO 98/18796 as PDE4D selective inhibitors. These compounds can be represented by the following formulas (0.0.58) and (0.0.59), respectively:
[94]
[95] Another nicotinamide compound that may be useful in the treatment of CNS diseases such as multiple sclerosis has been described in the art (GB-2327675); Rolipram derivatives that are PDE4 inhibitors that bind with the same affinity to the catalytic site and HARB site on human PDE4B2B have been described in the art (Tian et al., "Dual inhibition of human Type 4 phosphodiesterase isostates by (R, R)-(±) -methyl-3-acetyl-4- [3- (cyclopentyloxy) -4-methoxyphenyl] -3-methyl-1-pyrrolidine carboxylate ", Biochemistry 37 (19) 6894-6904, 1998 ]). Nicotinamide derivatives and rolipram derivatives can be represented by the following formulas (0.0.60) and (0.0.61), respectively:
[96]
[97] Further background information regarding selective PDE4 isozymes is available in the art (eg, in Norman, "PDE4 inhibitors 1999", Exp. Opin. Ther. Patents 9 (8) 1101-). 1118, 1999 (Ashley Publications Ltd.); and Dyke and Montana, "The therapeutic potential of PDE4 inhibitors", Exp. Opin. Invest.Drugs 8 (9) 1301-1325, 1999 (Ashley Publications Ltd.). .)]).
[98] Description of the latest technology
[99] WO 98/45268 (Marfat et al.), Published October 15, 1998, discloses nicotinamide derivatives having activity as selective inhibitors of PDE4D isozyme. These selective inhibitors are represented by the following formula (0.1.1):
[100]
[101] US 4,861,891 (Saccomano et al.), Issued August 29, 1989, discloses nicotinamide compounds of formula (0.1.2) which act as calcium-dependent c-AMP phosphodiesterase inhibitors useful as antidepressants. Are doing:
[102]
[103] Nicotinamide rings of the typical compounds disclosed in this patent are optionally monosubstituted 1-piperidyl, 1- (3-indolyl) ethyl, C ₁ -C ₄ alkyl, methyl, methoxy, chloro or fluoro, Directly attached to the R ¹ group defined as phenyl, 1- (1-phenylethyl) or benzyl. R ² substituents are bicyclo [2.2.1] hept-2-yl or Wherein Y is H, F or Cl; X is H, F, Cl, OCH ₃ , CF ₃ , CN, COOH, -C (= 0) (C ₁ -C ₄ ) alkoxy, NH (CH ₃ ) C (= 0)-(methylcarbamoyl) or N (CH ₃ ) ₂ C (= 0)-(dimethylcarbamoyl).
[104] US 4,692,185 (Michaely et al.) Discloses herbicides such as the following formula (0.1.3):
[105]
[106] (Wherein R is (C ₁ -C ₄ ) alkyl, (C ₁ -C ₄ ) haloalkyl or halo.)
[107] EP 550 900 (Jeschke et al.) Discloses herbicides and plant nematicides of the formula (0.1.4):
[108]
[109] Wherein n is 0 to 3; R ¹ is selected from a number of groups, but is generally H, 6-CH ₃ or 5-Cl; R ² is alkyl, alkenyl, alkynyl, cycloalkyl, aryl or ar R ¹ and R ² are halo, CN, NO ₂ , alkyl, haloalkyl, alkoxy, haloalkoxy, alkylthio, haloalkylthio, alkylsulfonyl, haloalkylsulfonyl, aryl, aryloxy or arylthio R ⁴ is alkyl.
[110] EP 500 989 (Mollner et al.) Discloses an ACE inhibitor of formula (0.1.5):
[111]
[112] Wherein n is 0 to 3; R is OH, SH, COOH, NH ₂ , halo, OR ₄ , SR ₄ , COOR ₄ , NHR ₄ or N (R ₄ ) ₂ , where R ₄ is lower alkyl Is optionally substituted aryl or acyl; R ₁ is OH, lower alkoxy, optionally substituted aryl lower alkoxy, aryloxy or disubstituted amino; R ₂ is lower alkyl or amino lower alkyl; R 1 and R 2 are halo , NO ₂ , lower alkyl, halo lower alkyl, aryl lower alkyl or aryl. Specific embodiments disclosed include compounds such as the following formula (0.1.6):
[113]
[114] FR 2.140.772 (Aries) discloses compounds of formula (0.1.7) which assist in their use as analgesics, neurostabilizers, antipyretics, anti-inflammatory and antirheumatic agents:
[115]
[116] Wherein R is 1 to 2 substituents selected from lower alkyl, trihalomethyl, alkoxy and halo; R ^I is H or alkyl; R ^II is hydrogen or alkyl.
[117] JP 07 304775 (Otsuka et al.) Discloses naphthyridine and pyridopyrazine derivatives having anti-inflammatory, immunomodulatory, analgesic, antipyretic, antiallergic and antidepressant actions. Intermediates of the following formula (0.1.8) are also disclosed:
[118]
[119] (Wherein X may be CH and R and R ^I are each lower alkyl)
[120] In the disclosures of this patent and published patent applications, it will be appreciated that only the disclosure of WO 98/45268 (Marpat et al.) Relates to the inhibition of PDE4 isozyme. The state of the art includes information on compounds having a biological activity similar to that of the compound of Formula 1, although the chemical structure is completely different from that of Formula 1 of the present invention. Representative patents and published patent applications that disclose this information are further described below.
[121] US 5,552,438, US 5,602,157 and US 5,614,540 (all Christensen), all of which have the same priority date (April 2, 1992), are compounds of the formula (0.1.9) and cis- [4-sia A therapeutic agent ARIFLO ^R called no-4- (3-cyclopentyl-oxy-4-methoxyphenyl) cyclo-hexane-1-carboxylic acid.
[122]
[123] The compound of formula (0.1.9) falls within the range of US Pat. No. 5,552,438 which discloses the kind of compound of formula (0.1.10).
[124]
[125] [Wherein R ₁ is-(CR ₄ R ₅ ) _r R ₆ (where r is 0 and R ₆ is C _3-6 cycloalkyl; X is YR ₂ (where Y is O and R ₂ Is -CH ₃ ; X ₂ is O; X ₃ is H; X ₄ is a residue of the formula (1.1.10.1):
[126]
[127] Wherein X ₅ is H; s is 0; R2 and R3 are CN; Z is C (O) OR ₁₄ wherein R ₁₄ is H. The disclosures of US 5,602,157 and US 5,614,540 differ from the disclosures of US 5,552,438 and in the definition of the R ₃ group being CN for AFIFLO ^R compounds. It's also different. The salt form of the preferred ARIFLO ^R compounds is disclosed to be the tris (hydroxymethyl) ammonium methane salt.
[128] US 5,863,926 (Christstensen et al.) Discloses analogs of ARIFLO ^R compounds, for example compounds of the formula (0.1.11):
[129]
[130] WO 99/18793 (Webb et al.) Discloses the preparation of ARIFLO ^R and related compounds. WO 95/00139 (Barnette et al.) Describes IC ₅₀ for PDE IV catalysis forms that bind to rolipram with high affinity divided by IC ₅₀ for those forms that bind to rolipram with low affinity. With respect to compounds having an IC ₅₀ ratio of at least about 0.1, claims in the dependent claims limit the scope to compounds not known as PDE4 inhibitors before June 21, 1993.
[131] WO 99/20625 (Eggleston) discloses a crystalline polymorphic form of sifamphyline of formula (0.1.12) for treating PDE ₄ and TNF mediated diseases:
[132]
[133] WO 99/20280 (Griswold et al.) Discloses a method of treating pruritus by administering an effective amount of a PDE4 inhibitor, for example a compound of formula (0.1.13):
[134]
[135] US 5,922,557 (Pon) discloses a CHO-K1 cell line that stably expresses high levels of full-length, low-Km cAMP specific PDE4A enzymes, which investigate potent PDE4 enzyme inhibitors and break down -cell) was used to compare the rating order of its ability to inhibit phosphodiesterase activity with its potency to increase cAMP in whole-cell preparations. In addition, soluble enzyme inhibition assays described in the prior art have not been found to reflect the behavior of inhibitors acting in vivo. Thereafter, improved soluble enzyme full-cell assays have been disclosed that reflect the behavior of inhibitors acting in vivo. In addition, it is disclosed that there are at least four different PDE4 variants or subtypes, and each subtype can produce a number of splice variants, which in itself can exhibit different cell localization and affinity for the inhibitor.
[136] In the disclosure of the above patents and published patent applications, it will be appreciated that the compounds included have the same biological activity as the compounds of formula (I). At the same time, however, those skilled in the art will recognize that not only are the chemical structures of the compounds disclosed previously different, but also the structures of the novel compounds of the present invention are not similar. The state of the art has additional information on compounds that are not similar to the chemical structure of Formula 1 and that also do not have similar PDE4 inhibitory activity as that of Formula 1. However, such compounds disclosed in the prior art often have therapeutic uses similar to the therapeutic use possessed by the compounds of formula 1, ie in the treatment of inflammatory, respiratory and allergic diseases and diseases. In particular, they are suitable for antagonists of certain enzyme inhibitors and receptors in the so-called leukotriene pathway. This is especially the case for leukotriene LTB ₄ and LTD ₄ . Thus, representative patents and published patent applications that disclose additional information of this type are described below.
[137] Arachidonic acid is metabolized by cyclooxygenase-1 and 5-lipoxygenase. 5-lipoxygenase pathways include neutrophil aggregation, degranulation and chemotaxis; Vascular permeability; Smooth muscle contractility; And its effect on lymphocytes to produce leukotriene (LT), which is responsible for the inflammatory response. Cysteinyl leukotrienes LTC ₄ , LTD ₄ and LTE ₄ play an important role in the development of asthma. The components of the leukotriene pathway that provide a target for therapeutic intervention are illustrated in the scheme below.
[138]
[139] Thus, agents that can intervene at any stage of the 5-lipoxygenase pathway provide an opportunity for treatment. One example of such an agent is the ZYFLO ^R therapeutic (zileuton), which can be represented by the following formula (0.1.14), a 5-lipoxygenase inhibitor:
[140]
[141] Another agent is the ACCOLATE ^R therapeutic (zafirlukast) which can be represented by the following formula (0.1.15), LTD ₄ receptor antagonist:
[142]
[143] Additional such LTD ₄ receptor antagonists include montelukast, a SINGULAIR ^R therapeutic agent represented by the following formula (0.1.16):
[144]
[145] Another type of therapeutic agent described above is the LTB ₄ receptor, and an example of an antagonist of the receptor is BIIL-260, a therapeutic agent which can be represented by the following formula (0.1.17):
[146]
[147] Another example of a therapeutic agent that is an LTB ₄ receptor antagonist is CGS-25019c, which can be represented by the following formula (0.1.18):
[148]
[149] The state of the art in the art is directed to those skilled in the art for the novel compounds of the present invention or their PDE4 inhibitory activity and for significant improvements obtained in therapeutic uses and therapeutic indices in the treatment of inflammatory, respiratory and allergic diseases and diseases. No disclosure or presentation at all.
[150] Summary of the Invention
[151] The present invention relates to novel compounds having biological activity as inhibitors of phosphodiesterases, the so-called "type IV" isoenzyme ("PDE4 isozyme"). An embodiment of the novel compounds of the present invention is active as a non-selective inhibitor of PDE4 isozyme. Another embodiment of this novel compound has PDE4 isozyme substrate specificity, particularly for subtype D. The novel compounds with non-selective or D-selective PDE4 inhibitor activity are generally useful for the treatment of various inflammatory, allergic and respiratory diseases and diseases, in particular obstructive respiratory diseases, especially asthma and chronic obstructive pulmonary disease (COPD). Provides a significant improvement in the treatment of
[152] The present invention relates to a compound of formula (1) or a pharmaceutically acceptable salt thereof:
[153]
[154] Where
[155] m is 0, 1 or 2;
[156] n is 1 or 2;
[157] W is -O-, -S (= O) _t- (where t is 0, 1 or 2) or -N (R ³ )-(where R ³ has the same meaning as defined below) and ;
[158] Y is = C (R ^E )-or-[N⇒ (O)], wherein R ^E is -H, -F, -Cl, -CN, -NO ₂ ,-(C ₁ -C ₄ ) alkyl , (C ₂ -C ₄ ) alkynyl, fluorinated- (C ₁ -C ₃ ) alkyl, (C ₁ -C ₃ ) alkoxy, fluorinated- (C ₁ -C ₃ ) alkoxy, -OH and -C ( = O) 1 species selected from the group consisting of NH ₂ ;
[159] R ^A and R ^B are each -H; -F; -CF ₃ ; - (C ₁ -C ₆₎ alkyl; -(C ₃ -C ₇ ) cycloalkyl; Phenyl; Bezel; And heterocyclic moieties (pyrrolyl, pyrazolyl, imidazolyl, pyridinyl, pyrazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, i -oxazolyl, thiazolyl, thiazolidinyl, i -One selected independently from the group consisting of thiazolyl, triazolyl, tetrazolyl, oxadiazolyl and thiadiazolyl); Wherein said alkyl, cycloalkyl, phenyl, benzyl or heterocyclic moieties are each independently substituted with 0 to 3 substituents R ¹⁰ , with respect to the above meanings of R ^A and R ^B and all other meanings, R ^A or R ^B the R ¹⁰ as the substituent -OR ^12, -OC (= O) R ¹³ or -OC (= O) has the meaning of NR ¹² R ^13, -OR ¹² as above for Z -OR ^12, -OC (= Or the positional relationship of O) R ¹³ or -OC (= O) NR ¹² R ¹³ is not a neighboring relationship, where R ¹⁰ is -F, -Cl, -CF ₃ , -CN, (C ₁ -C ₂ ) Alkyl, -OR ¹² , -C (= 0) OR ¹² , -OC (= 0) R ¹³ , -C (= 0) NR ¹² R ¹³ , -OC (= 0) NR ¹² R ¹³ , -NR ¹² R ¹³ , -NR ¹² C (= 0) R ¹³ , -NR ¹² C (= 0) OR ¹³ , -NR ¹² S (= 0) ₂ R ¹³ and -S (= 0) ₂ NR ¹² R ¹³ One species selected from the crowd; Wherein R ¹² and R ¹³ are each -H; - (C ₁ -C ₄₎ alkyl; (C ₂ -C ₄ ) alkenyl; (C ₃ -C ₆ ) cycloalkyl; Phenyl; benzyl; And monocyclic heterocyclic moieties, including (C ₃ -C ₆ ) cycloalkyl, wherein the nitrogen heteroatom replaces one carbon atom and optionally the second nitrogen heteroatom is selected from the 5- or 6-membered hetero Alternatively an oxygen heteroatom of the click moiety, and optionally an oxygen heteroatom, is one independently selected from the group consisting of: a third carbon atom of the 5- or 6-membered heterocyclic moiety), wherein Alkyl, alkenyl, cycloalkyl, phenyl, benzyl or monocyclic heterocyclic moieties are substituted with 0 to 3 substituents selected from the group consisting of F and Cl; or
[160] R ^A and R ^B are joined together when m is 1 to form a spiro residue of Formula 2:
[161]
[162] [Wherein r and s are independently 0 to 4, and the sum of r + s is 1 or more and 5 or less; Q ^A is selected from —CH ₂ —, —CHF, —CF ₂ , —NR ¹² —, —O—, and —S (═O) _t −, where t is 0, 1 or 2;
[163] The spiro moiety is substituted with 0 to 3 substituents R ¹⁰ for any one or more carbon atoms thereof, including carbon atoms of the group —CH ₂ — defining Q ^A , wherein R ¹⁰ has the same meaning as defined above With respect to the above meanings of R ^A and R ^B and all other meanings, R ¹⁰ as a substituent of R ^A or R ^B is -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ^Has a meaning of ^{13 and} the positional relationship of -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ¹³ to -OR ¹² as Z is not a neighboring relationship;
[164] R ^C and R ^D may be at least one of R ^C and R ^D are -H, and R ^A and R ^B, respectively, except that independently selected have the same meanings as defined above for R ^A and R ^B;
[165] Q is phenyl; Pyrrolyl; Furanyl; Thienyl; Pyridyl; Pyrimidinyl; Imidazolyl; Thiazolyl; Oxazolyl; Monocyclic- (C ₅ -C ₇ ) cycloalkyl moieties; Monocyclic- (C ₅ -C ₇ ) cycloalkenyl residues which are one selected from the group consisting of cyclopentenyl, cyclohexenyl and cycloheptenyl; Or a bicyclic- (C ₇ -C ₁₀ ) cycloalkyl or-(C ₇ -C ₁₀ ) cycloalkenyl moiety (preferably norbornanyl, norbornenyl, bicyclo [2.2.2] octanyl, non Cyclo [3.2.1] octanyl, bicyclo [3.3.0] octanyl, bicyclo [2.2.2] oct-5-enyl, bicyclo [2.2.2] oct-7-enyl, bicyclo [3.3. 1] one selected from the group consisting of nonanil and adamantanyl);
[166] R ¹ and R ² are -H, -F, -Cl, -R ¹² , -OR ¹² , -S (= 0) _p R ¹² , -C (= 0) OR ¹² , -OC (= 0) R ¹² , -CN, -NO ₂ , -C (= 0) NR ¹² R ¹³ , -OC (= 0) NR ¹² R ¹³ , -NR ¹⁴ C (= 0) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NR ¹⁴ ) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NCN) NR ¹⁵ R ¹² , -NR ¹⁴ C (= N-NO ₂ ) NR ¹⁵ R ¹² , -C (= NR ¹⁴ ) NR ¹⁵ R ¹² ,- OC (= NR ¹⁴ ) NR ¹⁵ R ¹² , -OC (= N-NO ₂ ) NR ¹⁵ R ¹² , -NR ¹⁵ R ¹² , -CH ₂ NR ¹⁵ R ¹² , -NR ¹⁴ C (= O) R ¹² , -NR ¹⁴ C (= 0) OR ¹² , -NR ¹⁴ S (= 0) _p R ¹³ and -S (= 0) _p NR ¹² R ¹³ is one selected independently from the crowd, wherein p is 0, 1 or 2, R ¹² and R ¹³ have the same meaning as defined above, and R ¹⁴ and R ¹⁵ have the same meaning as defined below;
[167] R ³ is —H, — (C ₁ -C ₃ ) alkyl, — (C ₁ -C ₃ ) alkoxy, —OH, phenyl or benzyl;
[168] R ⁴ is
[169] (a) -H, -F, -Cl,-(C ₂ -C ₄ ) alkynyl, -R ¹² , -OR ¹² , -S (= 0) _p R ¹² , -C (= 0) OR ¹² , -OC (= O) R ¹² , -CN, -NO ₂ , -C (= O) NR ¹⁵ R ¹² , -OC (= O) NR ¹⁵ R ¹² , -NR ¹⁴ C (= O) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NR ¹⁴ ) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NCN) NR ¹⁵ R ¹² , -NR ¹⁴ C (= N-NO ₂ ) NR ¹⁵ R ¹² , -C (= NR ¹⁴ ) NR ¹⁵ R ¹² , -OC (= NR ¹⁴ ) NR ¹⁵ R ¹² , -OC (= N-NO ₂ ) NR ¹⁵ R ¹² , -NR ¹⁵ R ¹² , -CH ₂ NR ¹⁵ R ¹² , -NR ¹⁴ C (= O) R ¹² , -NR ¹⁴ C (= 0) OR ¹² , -NR ¹⁴ S (= 0) _p R ¹⁵ , -S (= 0) _p NR ¹⁵ R ¹² and -CH ₂ C (= NR ¹⁴ NR ¹⁵ R ¹² where p is 0, 1 or 2, R ¹² has the same meaning as defined above and R ¹⁴ is selected from the crowd consisting of —H, —CH ₃ and —CH ₂ CH ₃ , R ¹⁵ is —H, —C (═O) OR ¹² , —C (═O) NR ¹² R ¹³ ,-(C ₁ -C ₄ ) alkyl,-(C ₂ -C ₄ ) alkenyl,-( C ₁ -C ₂ ) alkoxy,-(C ₃ -C ₇ ) cycloalkyl and phenyl; and one selected from the group independently, wherein R ¹² and R ¹³ have the same meanings as defined above, wherein said alkyl, Alkenyl, alkoxy, Cycloalkyl and phenyl represent 0 to 2 substituents R ²¹ , wherein R ²¹ is -F; -Cl; -C (= 0) OR ²³ , wherein R ²³ has the same meaning as defined below; ; -CN; -C (= 0) NR ²³ R ²⁴ ; -NR ²³ R ²⁴ ; -NR ²³ C (= 0) R ²⁴ ; -NR ²³ C (= 0) OR ²⁴ ; -NR ²³ S (= 0 ) _p R ^24, -S (= 0) _p NR ²³ R ²⁴ , wherein p has the same meaning as defined above; -(C ₁ -C ₄ ) alkyl including dimethyl; And-(C ₁ -C ₄ ) alkoxy, one kind independently selected from the group consisting of: alkyl and alkoxy are each independently -F and -Cl; - (C ₁ -C ₂₎ alkoxycarbonyl; - (C ₁ -C ₂₎ alkylcarbonyl; And - (C ₁ -C ₂₎ is substituted with 0 to 3 substituents independently selected from alkyl-carbonyl-oxy; R ²³ and R ²⁴ are each independently substituted with -H or-(C ₁ -C ₂ ) alkyl];
[170] R ⁴ is
[171] (b)-(C ₁ -C ₄ ) alkyl and-(C ₁ -C ₄ ) alkoxy, wherein said alkyl and alkoxy are each independently 0 to 3 substituents -F or -Cl or 0 or 1 substituent ( Independently selected from C ₁ -C ₂ ) alkoxycarbonyl-, (C ₁ -C ₂ ) alkylcarbonyl- or (C ₁ -C ₂ ) alkylcarbonyloxy-;
[172] R ⁴ is
[173] (c) phenyl, benzyl, furyl, tetrahydrofuranyl, oxetanyl, thienyl, tetrahydrothienyl, pyrrolyl, pyrrolidinyl, oxazolyl, oxazolidinyl, isoxazolyl, isoxazolidinyl, thia Zolyl, thiazolidinyl, isothiazolyl, isothiazolidinyl, pyrazolyl, pyrazolidinyl, oxdiazolyl, thiadiazolyl, imidazolyl, imidazolidinyl, pyridinyl, pyrazinyl, pyrimidinyl, pyri Dazinyl, piperidinyl, piperazinyl, triazolyl, triazinyl, tetrazolyl, pyranyl, azetidinyl, morpholinyl, parathiazinyl, indolyl, indolinyl, benzo [b] furanyl, 2, 3-dihydrobenzofuranyl, 2-H-chromenyl, chromanyl, benzothienyl, 1-H-indazolyl, benzimidazolyl, benzoxazolyl, benzisoxazolyl, benzthiazolyl, quinolinyl, A child selected from the crowd consisting of isoquinolinyl, phthalazinyl, quinazolinyl, quinoxalinyl and furinyl Or a heterocyclic moiety
[174] Independently selected from;
[175] Wherein the alkyl, alkoxy, aryl and heterocyclic moieties are each independently substituted with 0 to 3 substituents R ¹⁰ , wherein R ¹⁰ has the same meaning as defined above;
[176] R ⁵ and R ⁶ are joined together to form a moiety selected from the group consisting of the following formulas (1.1.1) to (1.1.5):
[177]
[178] [Wherein R ⁷ and R ⁸ are each independently —H, —CH ₃ , —OR ¹⁴ (where R ¹⁴ has the same meaning as defined above) or absent, and the dashed line (---) is a double Indicates binding;
[179] Z is independently selected from the crowd consisting of -OR ¹² , -C (= 0) R ¹² (where R ¹² has the same meaning as defined above) and -CN.
[180] The present invention also provides a method of controlling PDE4 activation and degranulation of human eosinophils, comprising administering a therapeutically effective amount of a compound of Formula 1 as described above to a subject in need of treatment for a disease or condition mediated by PDE4 isozyme. A method for treating a subject suffering from a disease or condition mediated by isozyme. Similarly, the present invention also relates to a pharmaceutical composition for use in the treatment comprising a compound of formula 1 as described above together with a pharmaceutically acceptable carrier.
[181] The present invention relates to a PDE4 isozyme inhibitor comprising a compound of Formula 1 as described above, useful for treating or preventing one or more selected from the group consisting of the following diseases, disorders and diseases:
[182] All types of asthma, whether pathological or pathological; Or atopic asthma; Non-atopic asthma; Allergic asthma; Atopic bronchial IgE-mediated asthma; Bronchial asthma; Essential asthma; True asthma; Endogenous asthma caused by pathophysiological disorders; Exogenous asthma caused by environmental factors; Essential asthma of unknown or causal cause; Non-atopic asthma; Bronchitis asthma; Emphysemaous asthma; Exercise-induced asthma; Occupational asthma; Infectious asthma caused by bacterial, fungal, protozoan or viral infections; Non-allergic asthma; early asthma; Asthma, which is one of the selected groups of infants with wheezy syndrome;
[183] Chronic or acute bronchial contraction; Chronic bronchitis; Small airway obstruction; And type;
[184] Obstructive or inflammatory airway disease of any type, whether pathological or pathological; Or asthma; Pneumoconiosis; Chronic eosinophilic pneumonia; Chronic obstructive pulmonary disease (COPD); COPD, including chronic bronchitis, emphysema or dyspnea associated with it; COPD characterized by irreversible progressive airway obstruction; Obstructive or inflammatory airway disease, one selected from the group consisting of adult respiratory distress syndrome (ARDS), and exacerbation of airway hypersensitivity following other medications;
[185] Pneumoconiosis of any type, etiological or pathological; Or aluminosis or disease of bauxite workers; Abolition or asthma of miners; Asbestosis or asthma in steam-fitters; Pulmonary pulmonary disease or flint disease; Ptilosis caused by dust inhalation of ostrich feathers; Iron sedimentation caused by iron particle inhalation; Silicosis or disease of abrasives; Asthma or cotton-dust asthma; And pneumoconiosis, one selected from the group consisting of talc pneumoconiosis;
[186] -Bronchitis of any type, etiological or pathological; Or acute bronchitis; Acute laryngeal bronchitis; Arachdic bronchitis; Catarrhal bronchitis; Croupous bronchitis; Dry bronchitis; Infectious asthmatic bronchitis; Proliferative bronchitis; Staphylococcal or streptococcal bronchitis; And bronchitis, which is one species selected from the group consisting of bullous bronchitis;
[187] -All types of bronchiectasis, whether etiological or pathological; Or columnar bronchiectasis; Bullous bronchiectasis; Spindle bronchiectasis; Capillary bronchiectasis; Cystic bronchiectasis; Dry bronchiectasis; And bronchiectasis which is one species selected from the group consisting of follicular bronchiectasis;
[188] Seasonal allergic rhinitis; Persistent allergic rhinitis; All types of sinusitis, whether etiological or pathological; Or purulent or non-purulent sinusitis; Acute or chronic sinusitis; And sinusitis, one selected from the group consisting of ethmoid, frontal, maxilla, or sphenoid sinusitis;
[189] All types of rheumatoid arthritis, whether etiological or pathological; Or acute arthritis; Acute gouty arthritis; Chronic inflammatory arthritis; Degenerative arthritis; Infectious arthritis; Lyme arthritis; Proliferative arthritis; Psoriatic arthritis; And rheumatoid arthritis, which is one member selected from the group consisting of spinal arthritis;
[190] Fever and pain associated with gout, and inflammation;
[191] Eosinophil-related diseases of all types, whether etiological or pathological; Or eosinophilia; Pulmonary invasive eosinophilia; Loffler syndrome; Chronic eosinophilic pneumonia; Tropical pulmonary eosinophilia; Bronchial pneumonia aspergillosis; Aspergillus species; Granulomas containing eosinophils; Allergic granulomatous vasculitis or Churg-Strauss syndrome; Nodular polyarteritis (PAN); And eosinophil-associated disease, which is one species selected from the group consisting of systemic necrotic vasculitis;
[192] Atopic dermatitis; Allergic dermatitis; Or allergic or atopic eczema;
[193] Urticaria of any type, etiological or pathological; Or immune-mediated urticaria; Complement-mediated urticaria; Urticaria-inducing substance-induced urticaria; Physical drug-induced urticaria; Stress-induced urticaria; Idiopathic urticaria; Acute urticaria; Chronic urticaria; Angioedema; Cholinergic urticaria; Cold urticaria in autosomal dominant or acquired form; Contact urticaria; Giant urticaria; And urticaria being one species selected from the group consisting of papular urticaria;
[194] Conjunctivitis of any type, etiological or pathological; Or chemical conjunctivitis; Acute catarrhal conjunctivitis; Acute infectious conjunctivitis; Allergic conjunctivitis; Atopic conjunctivitis; Chronic catarrhal conjunctivitis; Purulent conjunctivitis; Conjunctivitis selected from the group consisting of spring conjunctivitis;
[195] Uveitis of any type, etiological or pathological; Or inflammation of all or part of the uvea; Anterior uveitis; Iris salt; Hepatitis; Iris-shaped inflammation; Granulomatous uveitis; Granulomatous uveitis; Lens antigen uveitis; Posterior uveitis; Choroiditis; And uveitis, which is one species selected from the group consisting of chorioretinitis;
[196] -Psoriasis;
[197] All types of multiple sclerosis, whether etiological or pathological; Or primary progressive multiple sclerosis; And multiple sclerosis selected from the group consisting of relapsing-remitting multiple sclerosis;
[198] All types of autoimmune / inflammatory diseases, whether etiological or pathological; Or autoimmune hematological diseases; Hemolytic anemia; Aplastic anemia; Erythroid anemia; Idiopathic thrombocytopenic purpura; Systemic lupus erythematosus; Polychondritis; Scleroderma; Wegner's granulomatosis; Dermatitis; Chronic active hepatitis; Myasthenia gravis; Stevens-Johnson syndrome; Idiopathic sprues; Autoimmune inflammatory bowel disease; Ulcerative colitis; Crohn's disease; Endocrine eye disease (opthamopathy); Grave's disease; Sarcoidosis; Alveolitis; Chronic irritable pulmonary parenitis; Primary biliary cirrhosis; Juvenile diabetes or type I diabetes; Anterior uveitis; Granulomatous or posterior uveitis; Dry keratoconjunctivitis; Epidemic keratoconjunctivitis; Diffuse interstitial pulmonary fibrosis or interstitial pulmonary fibrosis; Idiopathic pulmonary fibrosis; Cystic fibrosis; Psoriatic arthritis; Glomerulonephritis with nephrotic syndrome and glomerulonephritis without nephrotic syndrome; Acute glomerulonephritis; Idiopathic nephrotic syndrome; Fine change kidney disease; Inflammatory / hyperproliferative skin disease; psoriasis; Atopic dermatitis; Contact dermatitis; Allergic contact dermatitis; Benign familial pemphigus; Lupus erythematosus; Frond awning; And autoimmune / inflammatory diseases selected from the group consisting of vulgaris ulcers;
[199] Prevention of allograft rejection after organ transplantation;
[200] All types of inflammatory bowel disease (IBD), whether etiological or pathological; Or ulcerative colitis (UC); Collagen colitis; Polyp colitis; Cervical colitis; And inflammatory bowel disease, which is one species selected from the group consisting of Crohn's disease (CD);
[201] Septic shock of any type, etiological or pathological; Or kidney failure; Acute renal failure; cachexy; Malaria cachexia; Pituitary cachexia; Uric acid cachexia; Psychogenic cachexia; Adrenal cachexia or Addison disease; Cancer cachexia; And septic shock, which is one species selected from the group consisting of cachexia following infection with human immunodeficiency virus (HIV);
[202] -Liver damage;
[203] Pulmonary hypertension; And hypoxia-induced pulmonary hypertension;
[204] -Bone loss disease; Primary osteoporosis; And secondary osteoporosis;
[205] -Central nervous system diseases of any type, etiological or pathological; Or depression; Parkinson's disease; Impaired learning and memory; Delayed dyskinesia; Drug dependence; Atherosclerotic dementia; And central nervous system disease, which is one member selected from the group consisting of dementia with Huntington's chorea, Wilson's disease, azimatous palsy and thalamic atrophy;
[206] Infections, in particular HIV-1, HIV-2 and HIV-3; Cytomegalovirus (CMV); influenza; Adenovirus; And a virus that increases the production of TNF-α in the host, or a virus that increases the production of TNF-α in the host, including a virus selected from the group consisting of herpes viruses, including Herpes zoster and Herpes simplex virus. infection with a virus that is sensitive to upregulation of a and adversely affects its replication or other biological activity;
[207] In particular polymyxins, for example Polymycin B; Imidazoles such as clotrimazole, echonazole, mitonazole and ketoconazole; Triazoles such as fluconazole and itranazole; And amphotericin such as Amphotericin B and liposome amphotericin B, when administered with other drugs selected for the treatment of systemic yeast and fungal infections, including but not limited to TNF infection with yeasts and fungi that are sensitive to upregulation by -α or induce TNF-α production in the host, eg fungal meningitis;
[208] Ischemic-reperfusion injury; Autoimmune diabetes; Retinal autoimmunity; Chronic lymphocytic leukemia; HIV infection; Erythematous lupus; Kidney and ureter diseases; Genitourinary and gastrointestinal diseases; And prostate disease.
[209] In particular, the compounds of formula 1 are useful for the treatment of the following diseases: (1) inflammatory diseases including arthritis, rheumatoid arthritis, rheumatoid spondylitis, osteoarthritis, inflammatory bowel disease, ulcerative colitis, chronic glomerulonephritis, dermatitis and Crohn's disease And disease; (2) respiratory diseases and diseases including asthma, acute respiratory distress syndrome, chronic pneumonia disease, bronchitis, chronic obstructive airway disease and silicosis; (3) infectious diseases and diseases including sepsis, septic shock, endotoxin shock, Gram-negative bacteremia, toxin shock syndrome, fever and myalgia due to bacterial, viral or fungal infections, and influenza; (4) immune diseases and diseases including autoimmune diabetes, systemic lupus erythematosus, graft-to-host response, allograft rejection, multiple sclerosis, psoriasis and allergic rhinitis; And (5) bone resorption disease; Reperfusion injury; Cachexia associated with infection or malignancy; Cachexia associated with human acquired immunodeficiency syndrome (AIDS), human immunodeficiency virus (HIV) infection or AIDS related complex (ARC); Keloid formation; Scar tissue formation; Type 1 diabetes; And other diseases and disorders including leukemia.
[210] The invention also relates to a mixture of a compound of formula 1 with at least one selected from the group consisting of:
[211] (a) leukotriene biosynthesis inhibitors: zileuton; ABT-761; Fenleutone; Tepoxaline; Abbott-79175; Abbott-85761; N- (5-substituted) -thiophene-2-alkylsulfonamides of formula (5.2.8); 2,6-di- t -butylphenol hydrazone of formula (5.2.10); Methoxytetrahydropyrane class including Zenca ZD-2138 of formula (5.2.11); Compound SB-210661 of formula (5.2.12) and the class to which the compound belongs; Pyridinyl-substituted 2-cyanonaphthalene compound class to which L-739,010 belongs; 2-cyanoquinoline compound class to which L-746,530 belongs; 5-lipoxygenase (5-LO) inhibitors and 5-lipoxygenase activating protein (FLAP) antagonists selected from the group consisting of the class of indole and quinoline compounds belonging to MK-591, MK-886 and BAY x 1005 ;
[212] (b) the phenothiazine-3-one class of compounds to which L-651,392 belongs; Amidino compound class to which CGS-25019c belongs; Benzoxaolamine class to which ontazolast belongs; Benzenecarboximideamide class to which BIIL 284/260 belongs; And the classes of compounds belonging to zafirlukast, ablucast, montelukast, franlukast, belucast (MK-679), RG-12525, Ro-245913, iralukast (CGP 45715A) and bay x 7195 Receptor antagonists for leukotriene LTB ₄ , LTC ₄ , LTD ₄ and LTE ₄ selected from the group consisting of;
[213] (c) PDE4 inhibitors, including inhibitors of isoform PDE4D;
[214] (d) 5-lipoxygenase (5-LO) inhibitors; Or 5-lipoxygenase activating protein (FLAP) antagonist;
[215] (e) dual inhibitors of 5-lipoxygenase (5-LO) and platelet activating factor (PAF) antagonists;
[216] (f) leukotriene antagonists (LTRA), including antagonists of LTB ₄ , LTC ₄ , LTD ₄ and LTE ₄ ;
[217] (g) antihistamine H ₁ receptor antagonists including cetirizine, loratadine, desloratadine, fexofenadine, astemisol, azelastine and chlorpheniramine;
[218] (h) gastroprotective H ₂ receptor antagonists;
[219] (i) including propylhexerine, phenylephrine, phenylpropanolamine, pseudoephedrine, napazoline hydrochloride, oxymetholine hydrochloride, tetrahydrozoline hydrochloride, xylomethazolin hydrochloride and ethylnorepinephrine hydrochloride , Α ₁ -and α ₂ -adrenoceptor agonists vasoconstriction sympathetic neurostimulants administered orally or topically for decongestion use;
[220] (j) α ₁ -and α ₂ -adrenoreceptor agonists in combination with 5-lipoxygenase (5-LO) inhibitors;
[221] (k) anticholinergic agonists including ifpratropium bromide, tiotropium bromide, oxytropium bromide, ferrenzepine and tellenezepine;
[222] (l) including metaproterenol, isoproterenol, isoprenin, albuterol, salbutamol, formoterol, salmeterol, terbutalin, orsiprelinin, bitolterol mesylate and pirbuterol β ₁ -to β ₄ -adrenergic receptor agonists;
[223] (m) theophylline and aminophylline;
[224] (n) sodium chromoglycate;
[225] (o) muscarinic receptors (M1, M2 and M3) antagonists;
[226] (p) COX-1 inhibitors (NSAIDs); COX-2 selective inhibitors including rofecoxib; And nitric oxide NSAID;
[227] (q) type 1 insulin-like growth factor (IGF-1) analogs;
[228] (r) ciclesonide;
[229] (s) inhaled glucose with reduced systemic side effects, including prednisone, prednisolone, flunisolide, triamcinolone acetonide, beclomethasone dipropionate, budesonide, fluticasone propionate and mometasone furoate Corticoids;
[230] (t) tryptase inhibitors;
[231] (u) platelet activating factor (PAF) antagonists;
[232] (v) monoclonal antibodies active against endogenous inflammatory substances;
[233] (w) IPL 576;
[234] (x) anti-tumor necrosis factor (TNFα) including Etanercept, Infliximab and D2E7;
[235] (y) DMARDs including Leflunomide;
[236] (z) TCR peptides;
[237] (aa) interleukin converting enzyme (ICE) inhibitors;
[238] (bb) IMPDH inhibitors;
[239] (cc) adhesion molecule inhibitors including VLA-4 antagonists;
[240] (dd) cathepsin;
[241] (ee) MAP kinase inhibitors;
[242] (ff) glucose-6 phosphate dehydrogenase inhibitors;
[243] (gg) kinin-B ₁ -and B ₂ -receptor antagonists;
[244] (hh) gold in the form of aurothio groups with various hydrophilic groups;
[245] (ii) immunosuppressive agents such as cyclosporine, azathioprine and methotrexate;
[246] (jj) anti-gout drugs such as colchicine;
[247] (kk) xanthine oxidase inhibitors such as allopurinol;
[248] (ll) uric acid reducers such as probevenid, sulfinpyrazone and benzbromarone;
[249] (mm) antitumor agents including antitumor agents, especially vinca alkaloids such as vinblastine and vincristine;
[250] (nn) growth hormone secretagogues;
[251] (oo) matrix metalloprotease (MMP) inhibitors, ie, stromelysin, collagenase and gelatinase, and agrecanase; In particular collagenase-1 (MMP-1), collagenase-2 (MMP-8), collagenase-3 (MMP-13), stromelysin-1 (MMP-3), stromelysin- 2 (MMP-10) and stromelysin-3 (MMP-11);
[252] (pp) transforming growth factor (TGFβ);
[253] (qq) platelet-derived growth factor (PDGF);
[254] (rr) fibroblast growth factor such as basic fibroblast growth factor (bFGF);
[255] (ss) granulocyte macrophage colony stimulating factor (GM-CSF);
[256] (tt) capsaicin cream;
[257] (uu) takinin NK-1, NK-1 / NK-2, NK-2 and NK-3 receptor antagonists, including NKP-608C, SB-233412 (Talneant) and D-4418;
[258] (vv) elastase inhibitors, including UT-77 and ZD-0892; And
[259] (ww) adenosine A2a receptor agonists.
[1] U.S. Application No. 60/043403, filed April 4, 1997, which discloses nicotineamide derivatives having biological activity as inhibitors of PDE4 isozyme and is now abandoned, useful for treating inflammatory, respiratory and allergic diseases and disorders. Pending International Application No. PCT / IB98 / 00315, filed March 10, 1998 and published as WO 98/46268 on October 15, 1998, claiming priority (agent reference PC9762) and based thereon; See US application (agent no. PC9762A). The disclosure disclosed in the foregoing application teaches none of the unexpected high levels of inhibition selectivity to the novel compounds of the present invention or their PDE 4 isozymes to those skilled in the relevant art.
[2] No. 60 / 105,120, filed Oct. 21, 1998, which discloses N-substituted nicotinamide derivative compounds and methods for their preparation, claiming June 30, 1999 priority See pending US Application No. 09 / 345,185 (representative reference number PC10096). However, the disclosed compounds and preparation methods are not the same as those of the present invention.
[3] Reference is also made to pending applications filed on the same day as the present application (representative reference numbers PC10523, PC10546, PC10690, PC10691, PC10698 and PC11848), including other classes of nicotinamide derivatives useful as inhibitors of PDE4 isozyme. The disclosures of all such pending applications are incorporated herein by reference in their entirety.
[260] 1.0. compound
[261] The present invention relates to novel compounds of formula
[262] Formula 1
[263]
[264] The broadest scope of the compounds of the present invention is limited to the above summary. Further description of the compounds is provided by the following specific embodiments which characterize and illustrate the properties of the compounds of Formula 1 as well as embodiments of different types and group ranges. While preferred and more preferred embodiments of the compounds are also described, it will be understood that the description of the preferred embodiments is not intended to limit or limit the scope of the invention for the compounds.
[265] As used herein, the expressions "-(C ₁ -C ₃ ) alkyl", "-(C ₁ -C ₄ ) alkyl", and "-(C ₁ -C ₆ ) alkyl" as well as equivalent variations thereof are aliphatic It is intended to include branched chains as well as straight chain forms. Thus, the expressions cited above are, in addition to the straight chain methyl, ethyl, n -propyl, n -butyl, n -pentyl and n -hexyl, branched chains i -propyl, i -butyl, s -butyl, t -butyl, i -pentane (2-methylbutane), 2-methylpentane, 3-methylpentane, 1-ethylpropane and 2-ethylbutane. Moreover, the meanings of the expressions recited above are intended to apply to the expressions whether or not they are substituted. Thus, the expression “fluorinated- (C ₁ -C ₃ ) alkyl” is intended to include various fluorinated species of n -propyl and i -propyl aliphatic groups.
[266] When used herein for compounds of formula (1) in which one or more nitrogen atom components are represented as N [⇒ (O)], as well as other formulas and formulas related thereto, the nitrogen atom component (s) is a selective nitrogen of said nitrogen atom (s). Oxide forms. If more than one form of nitrogen oxide is present, they are each independently selected. It will also be appreciated that the nitrogen oxide form (s) can be represented as "[N⇒ (O) _u ]" where u is 0 or 1.
[267] Preferred embodiments of the invention are m is 1; n is 1; R ^A and R ^B are —H; -CF ₃ ; Or 0 or-(C ₁ -C ₆ ) alkyl substituted with one -F, -Cl, -CF ₃ , -CN, -NH ₂ or -C (= O) NH ₂ , or are bonded together to form 0 or Spiro- (C ₃ -C ₆ ) cycloalkyl- substituted with one —F, —Cl, —CF ₃ or —CN; One of R ^C and R ^D is —H and the other is —H, — (C ₁ -C ₄ ) alkyl or phenyl, each of which is substituted with 0 or 1 —F, —Cl or —CN; W is -O-; Y is = C (R ^E )-, wherein R ^E is -H, -F, -Cl, -CN, -CH ₃ or -OCH ₃ ; R ¹ and R ² are -H, -F, -Cl, -CN, -NO 2, -OH, -CH 3, -OCH 3, -OCHF 2 or -OCF _3, and; R ³ is -H or -CH ₃ ; R ⁴ is -H, -F, -CN, -NO ₂ , -OH, -CH ₃ or -OCH ₃ ; R ⁵ and R ⁶ are joined together so that the residues of formula (1.1.1), formula (1.1.4) or formula (1.1.5), wherein R ⁷ and R ⁸ are -H or -CH ₃ or in each formula Absent); Q is phenyl, norbornanyl, furanyl, thienyl, pyrimidinyl or cyclohexyl; Z includes -OR ¹² or -C (= 0) R ¹² , wherein R ¹² is -H, -CH ₃ , -CH ₂ CH ₃ or -C (CH ₃ ) ₃ or -CN.
[268] Among these preferred embodiments, in particular, R ^A and R ^B are both —CH ₃ , one is —CH ₃ and the other is —CH (CH ₃ ) ₂ or —C (CH ₃ ) _3, or one is —H The other is -CH ₃ or -CF _3, or the two are combined together to be spiro cyclopropyl or spiro cyclobutyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H, -F or -Cl; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.1) or formula (1.1.4), wherein both R ⁷ and R ⁸ are absent; Q is phenyl, thienyl or cyclohexyl; And further include those in which Z is -OR ¹² where R ¹² is -H or -C (= 0) R ¹² (where R ¹² is -H or -CH ₃ ) or -CN.
[269] Among these preferred embodiments, in particular, R ^A and R ^B are both —CH ₃ or they are bonded together to spiro cyclopropyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H, -F or -Cl; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.1), wherein both R ⁷ and R ⁸ are absent; Further included are those in which Z is -OR ¹² , where R ¹² is -H.
[270] Further preferred embodiments of the cited types are those in which both R ^A and R ^B are —CH ₃ ; R ^C and R ^D are both -H; Y is = C (R ^E )-, where R ^E is -H; One of R ¹ and R ² is —H and the other is —F.
[271] Another preferred embodiment of the types recited is that Y is = C (R ^E )-where R ^E is -F; And those in which both R ¹ and R ² are —H.
[272] In a preferred embodiment of the compound of formula 1, in particular, R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.4), wherein both R ⁷ and R ⁸ are absent; R ^A and R ^B are both -CH ₃ , one of them is -H and the other is -CH _3, or the two are bonded together and are spiro cyclopropyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H or -F; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; Q is phenyl, norbornanyl, furanyl, thienyl, pyrimidinyl or cyclohexyl; Z is -OR ¹² where R ¹² is -H.
[273] Particularly preferred embodiments of the cited types are those in which both R ^A and R ^B are —CH ₃ ; One of R ^C and R ^D is —H and the other is —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H; R ¹ and R ² are both -H; R ³ is -H; R ⁴ is -H; Q is phenyl, thienyl or cyclohexyl; Z is -OR ¹² where R ¹² is -H.
[274] Another class of preferred embodiments of compounds of Formula 1 is that m is 1 and n is 1; R ^A and R ^B are -H, -CF _3, or 0 or 1 of _{-F, -Cl, -CF 3, -CN} , -NH 2 , or -C (= O) substituted with NH ₂ - (C ₁ -C ₆ ) alkyl or spiro- (C ₃ -C ₆ ) cycloalkyl- both of which are bonded together and substituted with 0 or 1 -F, -Cl, -CF ₃ or -CN; One of R ^C and R ^D is —H and the other is —H, — (C ₁ -C ₄ ) alkyl or phenyl, each of which is substituted with 0 or 1 —F, —Cl or —CN; W is -O-; Y is = C (R ^E )-, wherein R ^E is -H, -F, -Cl, -CN, -CH ₃ or -OCH ₃ ; R ¹ and R ² are -H, -F, -Cl, -CN, -NO 2, -OH, -CH 3, -OCH 3, -OCHF 2 or -OCF _3, and; R ³ is -H; R ⁴ is -H, -F, -CN, -NO ₂ , -OH, -CH ₃ or -OCH ₃ ; R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.5), wherein R ⁷ is —H or —CH ₃ ; Q is phenyl, norbornanyl, furanyl, thienyl, pyrimidinyl or cyclohexyl; Z is -OR ¹² where R ¹² is -H, -CH ₃ , -CH ₂ CH ₃ or -C (CH ₃ ) ₃ or -CN.
[275] Among these preferred embodiments, in particular, R ^A and R ^B are both —CH ₃ , one of which is —CH ₃ and the other is —CH (CH ₃ ) ₂ or —C (CH ₃ ) _3, or one — H and the other is -CH ₃ or -CF _3, or the two are linked together to be spiro cyclopropyl or spiro cyclobutyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H, -F or -Cl; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; Q is phenyl, thienyl or cyclohexyl; Z is -OR ¹² where R ¹² is -H or -C (= 0) R ¹² (where R ¹² is -H or -CH ₃ ) or -CN.
[276] The central ring of the compound of formula 1 is a nicotinamide ring of formula (1.0.1) derived from nicotinic acid:
[277]
[278] This central ring is described by defining the Y residue as = C (R ^E )-or-[N⇒ (O)]-. When Y has the meaning-[N⇒ (O)]-, the compound of the present invention is pyrimidine. The pyrimidine groups of the compounds of formula 1 are an important part of the scope of the invention. However, a compound of Formula 1 is represented by = C (R ^E )-(where R ^E is in addition to -H, -F; -Cl; -CN; -NO ₂ ; (C ₁ -C ₃ ) alkyl; fluorinated- ( Defined as one member selected from the group consisting of C ₁ -C ₃ ) alkyl; (C ₁ -C ₃ ) alkoxy; fluorinated- (C ₁ -C ₃ ) alkoxy; -OH; and -C (= 0) NH ₂ It is preferred to have a Y residue defined as). The R ^E substituent is -F; -Cl; -CH ₃ ; Or -OCH ₃ , and more preferably R ^E is -F or -H, ie in embodiments where R ^E is -H, at the 5-position of the nicotinamide group occupied by residue Y No substituent is present.
[279] In certain embodiments of Formula 1, wherein Y is = C (R ^E )-and the residue Q is phenyl, the substituent at the 5-position of the nicotinamide central ring and the 2'-position of the phenyl group attached to the amide portion thereof is Are independently selected from the definition of the same group. Related substituents can be exemplified by the following formula (1.0.2):
[280]
[281] R ^E and R ¹ , which are 5- and 2'-positioned substituents, respectively, characterize the entire compound of Formula 1 for physico-chemical properties as well as pharmacological and pharmacokinetic properties such as potency and substrate specificity (selectivity). Do the same to regulate. In a preferred embodiment of this type of compound of the invention, the R ^E and R ¹ substituents are -H and -H; -H and -F; -F and -H; And -F and -F, respectively.
[282] 1.1. Connected (W) and R ⁴Substituted -R ⁵/ R ⁶Benzo-conjugated bicyclic heterocycle
[283] The nicotinamide central ring is further added by allowing the 2-position carbon atom of the pyridyl or pyrimidinyl ring of the ring of formula (1.0.1) to form an ether, thioether or amine linkage with a phenyl ring substituted with the residue R ⁴ . It is explained. The substituent R ⁴ may be attached to any valid carbon atom and has the same meaning as defined above. More importantly, these phenyl rings with R ⁵ and R ⁶ substituents form benzo-conjugated bicyclic heterocycles. This occurs directly as a result of what is defined as R ⁵ and R ⁶ being joined together to form a moiety selected from the group consisting of the following formulas (1.1.1) to (1.1.5):
[284]
[285] Consequently, the following formulas (1.0.3), (1.0.4), (1.0.5), (1.0.6) and (1.0.7) residues are also produced:
[286]
[287] Where
[288] W is -O-; -S (= 0) _t -where t is 0, 1 or 2; Or -N (R ³ )-. In preferred compounds of formula (1.0.1) and formula (1), W has the meaning -O-, whereby an ether linkage is generated to attach a benzo-conjugated bicyclic heterocycle to the nicotinamide central ring.
[289] In another preferred embodiment of the compound of formula 1, R ⁷ and R ⁸ are both absent. If both R ⁷ and R ⁸ are absent and the dashed line (---) represents a double bond, the product represented by the formulas (1.0.3), (1.0.5), (1.0.6) and (1.0.7) It is believed that the phenyl moiety of the benzo-conjugated bicyclic heterocycle may not have all the double bonds represented by the above formula since the result of being a pentavalent carbon atom in the phenyl moiety is prohibited.
[290] Thus, when both R ⁷ and R ⁸ are absent, the resulting compound is characterized by the structure as shown in the following formulas (1.0.8) and (1.0.9):
[291]
[292] In another preferred embodiment of the compound of formula 1, the benzo-conjugated bicyclic heterocycle has the meaning of the residue of formula (1.0.3). When this aspect and other preferred aspects of the compound of Formula 1 are selected at the same time, the result is the residue of formula (1.0.10):
[293]
[294] In another embodiment of the invention, W may have the meaning of -S- or -N (R ³ )-, wherein R ³ is preferably -H. This forms a thioether linkage or an amine linkage. If a sulfur linkage is selected and both R ⁷ and R ⁸ are absent, another embodiment of the compound of the present invention is created which can be represented by the following formula (1.0.11):
[295]
[296] Thus, the residues of formulas (1.1.1), (1.1.2), (1.1.3), (1.1.4) and (1.1.5) and the formulas (1.0.3), (1.0.4), (1.0 0.5), (1.0.6) and (1.0.7) benzo represented by the residue of a - with respect to the substituents R ⁷ and R ⁸ bonded on the non-cyclic heterocycle, each of said formula R ⁷ and R ⁸ are each Independently -H, -CH ₃ , -OCH _3, or when a dashed line (---) represents a double bond and is absent when there are no pentavalent carbon atoms in the phenyl portion of the benzo-conjugated bicyclic heterocycle .
[297] The pharmacist will think that the choice of substituents from those described above will be affected by the effect on the lipophilic and physicochemical properties of the entire compound from which the substituents are produced. The state of the art provides the ability to quickly and easily synthesize a large number of chemically very similar compounds based on the substituent selection described above, and then test the relative effectiveness of the resulting molecules in a rapid in vitro method. do. Combinatorial chemical synthesis and test methods currently available in the art have increased the number of substituent combinations that can be quickly evaluated. As such, the information generated through the use of these techniques allows one to properly predict the specific preferred embodiments that exist for the various embodiments of the present invention. Such preferred embodiments are described in detail herein.
[298] R ⁵ and R ⁶ are joined together to form the residues of formulas (1.1.1), (1.1.2), (1.1.3), (1.1.4) and (1.1.5), and R ⁷ and R ⁸ In this case, as defined above, benzofurazane and similar groups and substituted derivatives thereof are formed, in particular including residues of the formulas (2.1.1) to (2.1.23):
[299]
[300]
[301] (Where, in the formulas (2.1.3), (2.1.4), (2.1.5), (2.1.7), (2.1.21), and (2.1.22), the dashed line (---) corresponds to the oxygen atom. If a nitrogen atom is not attached to the nitrogen atom represents a double bond, when the oxygen atom is attached to the corresponding nitrogen atom represents a single bond.)
[302] Those skilled in the manufacture of organic molecules combine R ⁵ and R ⁶ together so that the formulas (2.1.2), (2.1.10), (2.1.11), (2.1.13), (2.1.15), ( It will be appreciated that the compounds of formula (1) forming the residues of 2.1.17) and (2.1.23) are present in tautomeric form and each residue of the formula has a tautomeric counterpart. These tautomers are involved in the migration of hydrogen and one or more π-bonds. As needed, the skilled person will be able to easily identify or determine which tautomeric forms exist or which tautomeric forms are most stable.
[303] As a result, the carbonyl tautomer of the compound of formula 1 will generally be considerably more stable than the imol tautomer. When the compound of formula 1 is described or represented as having a carbonyl moiety having α-hydrogen, both carbonyl and imol tautomers are included within the scope of the present invention.
[304] 1.2. R ^C/ R ^DResidue
[305] The residue-[R ^A -CR ^B ] _m -near the right end of Formula 1 is further described below after describing residue Q. This arrangement is consistent with the detailed description of the components of Formula 1 running from left to right. The residues-[R ^C -CR ^D ] _n -and-[R ^A -CR ^B ] _m -are described in a similar manner herein, but are not intended to limit the independent choice of meaning for these two residues. The description of the residue-[R ^C -CR ^D ] _n -is described in the immediately following paragraph.
[306] The ether, thioether, or amine linked nicotinamide moiety that exhibits the left side properties of the molecule of the compound of formula 1 above is substituted by R ¹ and R ² by a linking group which can be represented by the following formula (1.1.9): Is linked to residue Q:
[307]
[308] Wherein n is 1 or 2. In a more preferred embodiment of the compounds of the invention, n is defined as integer 1. when n is 1, the residues-[R ^C -CR ^D ] _n -are present and R ^C and R ^D are each -H; -F; -CF ₃ ; - (C ₁ -C ₆₎ alkyl; -(C ₃ -C ₇ ) cycloalkyl; Phenyl; benzyl; And pyrrolyl, pyrazolyl, imidazolyl, pyridinyl, pyrazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, i -oxazolyl, thiazolyl, thiazolidinyl, i -thiazolyl, tria One member independently selected from the group consisting of heterocyclic moieties selected from the group consisting of zolyl, tetrazolyl, oxadiazolyl and thiadiazolyl; The alkyl, cycloalkyl, phenyl, benzyl or heterocyclic moieties are each independently substituted with 0 to 23 substituents R ¹⁰ . There is a clue that at least one of R ^C and R ^D must be hydrogen. Preferred embodiments of compounds of Formula 1 often consist of those in which R ^C and R ^D are both hydrogen.
[309] Residue R ¹⁰ is an optional substituent for the alkyl and heterocyclic moieties defining R ^C and R ^D , and 0 of —F, —CH ₃ , —OCH ₃ , —CF ₃ , OH, —CN or —NH ₂ ; One selected from the group consisting of phenyl or benzyl substituted by one or two, wherein the R ¹⁰ group is further -F; -Cl; -CF ₃ ; -CN; (C ₁ -C ₂ ) alkyl; -C (= 0) OR ¹² ; -OC (= 0) R ¹³ ; -C (= 0) NR ¹² R ¹³ ; -OC (= 0) NR ¹² R ¹³ ; -NR ¹² R ¹³ ; -NR ¹² C (= 0) R ¹³ ; -NR ¹² C (= 0) OR ¹³ ; And -NR ¹² S (= 0) _t R ¹³ and -S (= 0) _t NR ¹² R ¹³ , wherein t is 0, 1 or 2. Sub-substituents R ¹² and R ¹³ are -H; - (C ₁ -C ₄₎ alkyl; And-(C ₃ -C ₆ ) cycloalkyl, one kind independently selected from the group consisting of; The alkyl and cycloalkyl are substituted with 0 to 3 substituents selected from the group consisting of -F and -Cl.
[310] In some preferred embodiments of the invention, R ^C and R ^D both mean -H, resulting in a methylene crosslinking element that separates residues Q substituted by R ¹ and R ² from the rest of the left side of the compound of Formula 1 . In another preferred embodiment, one of R ^C and R ^D is —H, if desired, the other is methyl, ethyl, i -propyl, t -butyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, phenyl, Benzyl, pyrrolyl, imidazolyl, pyridinyl, oxazolyl, thiazolyl or oxdiazolyl, each of which is optionally substituted with one substituent R ¹⁰ .
[311] Thus, representative embodiments of linking groups of formula (1.1.9) according to the foregoing include, but are not limited to, residues of formulas (2.2.1) to (2.2.41):
[312]
[313]
[314]
[315] In the compounds of the present invention, the linking group which binds residue Q and residue Z substituted with R ¹ and R ² together can be represented by the following formula (1.1.10):
[316]
[317] Wherein R ^A , R ^B and m have the same meaning as defined above. However, it will be understood that the choice of the specific meaning of R ^C or R ^D will not necessarily be a factor in the choice of the meaning of R ^A or R ^B , or at least not a predetermined factor. Also, the choice of subscript m will be independent of the choice of subscript n.
[318] 1.3. R ^A/ R ^BResidue
[319] In the compounds of the present invention, the linking group which binds residue Q and residue Z substituted with R ¹ and R ² together can be represented by the following formula (1.1.10):
[320]
[321] Wherein R ^A , R ^B and m have the meanings described further below. As already indicated, the choice of some specific meaning of R ^C or R ^D described above will not necessarily be a factor in the choice of the meaning of R ^A or R ^B , ie it will not be a predetermined factor. Also, the selection of the numerical value of the subscript m is made independently of the selection of the numerical value of the subscript n.
[322] For residue-[R ^A -CR ^B ] _m -the subscript m is 0, 1 or 2. In most preferred embodiments of the invention m means 1.
[323] R ^A and R ^B both mean -H, resulting in a methylene crosslinking moiety with m equal to 1. In most preferred compounds of formula 1, m is 1 and R ^A and R ^B are both methyl. When m is 1, it is preferable that one of R ^A and R ^B is -H and the other is -CH ₃ . In other embodiments, one of R ^A and R ^B is -H while the other of R ^A and R ^B is among other meanings including-(C ₁ -C ₆ ) alkyl and-(C ₃ -C ₇ ) cycloalkyl Is selected. In other substituent definitions herein, including alkyl moieties, they may be straight or branched chain aliphatic groups. Where (C ₁ -C ₄ ) alkyl residues are branched, therefore, R ^A and R ^B mean i -propyl, s -butyl and t -butyl. When m is 1, it is preferred that both R ^A and R ^B are —H or methyl, and both R ^A and R ^B may be —H or methyl at the same time. It is particularly preferred that both R ^A and R ^B have the meaning of —CH ₃ .
[324] When R ^A and R ^B have the meanings-(C ₁ -C ₆ ) alkyl and-(C ₃ -C ₇ ) cycloalkyl, the alkyl or cycloalkyl moiety may be substituted with 0 to 3 substituents R ¹⁰ . Wherein R ¹⁰ is -F; -Cl; -CF ₃ ; -CN; (C ₁ -C ₂ ) alkyl; -OR ¹² ; -C (= 0) OR ¹² ; -OC (= 0) R ¹³ ; -C (= 0) NR ¹² R ¹³ ; -OC (= 0) NR ¹² R ¹³ ; -NR ¹² R ¹³ ; -NR ¹² C (= 0) R ¹³ ; -NR ¹² C (= 0) OR ¹³ ; -NR ¹² S (= 0) ₂ R ¹³ ; Or -S (= 0) ₂ NR ¹² R ¹³ .
[325] When R ^A and / or R ^B is substituted with R ^10, R ¹⁰ has the meaning ^{-OR 12, -OC (= O)} R 13 or -OC (= O) defined as NR ¹² R ^13, the resultant taking place the substituents -OR ^12, -OC (= O) R ¹³ or -OC (= O) -OR ¹² radicals of the meaning Z relative to the other and all acceptable means of R ^a and R ^B NR ¹² It is conditioned that the positional relationship of R ¹³ is not a neighboring relationship. On the other hand, Z has the meaning of -OR ¹² , m is 1 at residue-[R ^A -CR ^B ] _m -and R ^A and / or R ^B is -OR ¹² , -OC (= 0) R ¹³ or When substituted with —OC (═O) NR ¹² R ¹³ , the resulting Z and R ¹⁰ substituents are: (1) -OR ¹² and (2) -OR ¹² , -OC (= 0) R ¹³ or -OC ( ═O) NR ¹² R ¹³ may not be attached to each adjacent carbon atom, ie adjacently.
[326] This condition, whether defined as-(C ₁ -C ₆ ) alkyl or-(C ₃ -C ₇ ) cycloalkyl in the examples described herein, or combined together with one another in the examples to be described below, is defined as Whether defined as forming the spiro residue of, applies to all acceptable meanings of R ^A and R ^B. It will be understood that the meanings of R ^A and R ^B , which are phenyl, benzyl or heterocyclic moieties, are not acceptable meanings falling under the conditions described above.
[327] R ¹² and R ¹³ are each -H; - (C ₁ -C ₄₎ alkyl; (C ₂ -C ₄ ) alkenyl; (C ₃ -C ₆ ) cycloalkyl; Phenyl; benzyl; And a nitrogen heteroatom replaces one carbon atom, optionally a second nitrogen heteroatom replaces a second carbon atom of said 5- or 6-membered heterocyclic moiety, and optionally an oxygen heteroatom is said 5- or 6-membered Selected from monocyclic heterocyclic residues including (C ₃ -C ₆ ) cycloalkyl replacing the third carbon atom of the heterocyclic moiety and wherein said alkyl, alkenyl, cycloalkyl, phenyl, benzyl or monocyclic hetero The cyclic moiety is substituted with 0 to 3 substituents selected from the group consisting of F and Cl.
[328] In a preferred embodiment having R ¹⁰ substituents on — (C ₁ -C ₄ ) alkyl, — (C ₃ -C ₇ ) cycloalkyl moieties that define R ^A and R ^B , the substituent is one, and this single substituent -F; Preference is given to -Cl or -CF ₃ .
[329] Most preferred embodiments of compounds of Formula 1 are those in which both R ^A and R ^B have the meaning of —CH ₃ , and R ^C and R ^D both have the meaning of —H.
[330] R ^A and R ^B are also pyrrolyl, pyrazolyl, imidazolyl, pyridinyl, pyrazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, i -oxazolyl, thiazolyl, thiazolidinyl, has the meaning of a heterocyclic moiety selected from the group consisting of i -thiazolyl, triazolyl, tetrazolyl, oxadiazolyl and thiadiazolyl; The heterocyclic moiety is substituted with 0 to 3 substituents R ¹⁰ . Thus, R ^A and R ^B may have the meaning of 3- [OC (= 0) NH ₂ ] -pyridin-4-yl, for example.
[331] R ^A and R ^B further have the meaning of being joined together to form a spiro residue of formula (1.1.0):
[332]
[333] The above meanings of R ^A and R ^B , of course, require that m be 1 in formula (1). At the residue of formula (1.1.0), r and s can be 0 to 4, with the sum of r + s being 1 or more and 5 or less. In a preferred embodiment of the invention, one of r and s is 0 and the other is 1, or r and s are both 1, or one of r and s is 1 and the other is 2. Residue Q ^A is selected from —CH ₂ —, —CHF, —CF ₂ , —NR ¹² —, —O—, and —S (═O) _t −, where t is 0, 1 or 2, but Q It is preferable that ^A is -CH _2- .
[334] When combined together with the preferred meanings of r and s, it will be understood that spiro cycloalkyl is produced which is cyclopropyl, cyclobutyl, cyclopentyl or cyclohexyl. Said spiro group is preferably substituted with zero or one substituent R ¹⁰ , wherein R ¹⁰ is —F or —CH ₃ . As already indicated, when Z has a meaning of -OR ¹² and R ^A and / or R ^B are substituted with -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ¹³ And the resulting Z and R ¹⁰ substituents: (1) -OR ¹² and (2) -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ¹³ are each adjacent carbon atom, That is, they cannot be attached adjacently. This condition applies to all the acceptable meanings of R ^A and R ^B , including the examples described herein, ie the spiro residues of formula (1.1.0).
[335] In addition, many preferred specific meanings of the above R ^C and R ^D have been described and indicated, and these meanings are intended to include preferred embodiments of the invention for R ^A and R ^B. Accordingly, these meanings are not repeated herein, but are incorporated herein by reference as if completely repeated here. Preferred meanings of residues R ^A and R ^B are represented by the following formulas (2.6.1) to (2.6.22):
[336]
[337]
[338] 1.4. Residue Q
[339] Residue Q is phenyl; Pyrrolyl; Furanyl; Thienyl; Pyridyl; Pyrimidinyl; Imidazolyl; Thiazolyl; Oxazolyl; Monocyclic- (C ₅ -C ₇ ) cycloalkyl moieties; Monocyclic- (C ₅ -C ₇ ) cycloalkenyl residues which are one selected from the group consisting of cyclopentenyl, cyclohexenyl and cycloheptenyl; Or a bicyclic- (C ₇ -C ₁₀ ) cycloalkyl or-(C ₇ -C ₁₀ ) cycloalkenyl moiety (preferably norbornanyl, norbornenyl, bicyclo [2.2.2] octanyl, non Cyclo [3.2.1] octanyl, bicyclo [3.3.0] octanyl, bicyclo [2.2.2] oct-5-enyl, bicyclo [2.2.2] oct-7-enyl, bicyclo [3.3. 1] one species selected from the group consisting of nonanyl, cyclodecanyl, and adamantanyl). All these meanings of Q are substituted with R ¹ and R ² as described in further detail below. Preferred meanings of Q are phenyl, norbornanyl, thienyl and cyclohexyl, but another preferred embodiment of a compound of Formula 1 is that Q is pyrrolyl, furanyl, pyridyl, pyrimidinyl, imidazolyl and cyclohexenyl It includes those that have a meaning.
[340] It will be understood that the Q residues are divalent groups and that the point of attachment of the linking R ^A / R ^B and R ^C / R ^D residues may vary from each other. Thus, for example when Q is phenyl, the point of attachment may be in ortho-, meta- or para-relation for each, but para-relationships are preferred.
[341] In addition to cyclohexyl, the Q moiety may be cyclopentyl or cycloheptyl. When the Q residue is monocyclic- (C ₅ -C ₇ ) cycloalkenyl, it has one meaning selected from the group consisting of cyclopentene, cyclohexene and cycloheptene. When the Q moiety is bicyclic- (C ₇ -C ₁₀ ) cycloalkyl or-(C ₇ -C ₁₀ ) cycloalkenyl, preferred embodiments are those wherein Q is norbornanyl, norbornenyl, bicyclo [2.2. 2] octanyl, bicyclo [3.2.1] octanyl, bicyclo [3.3.0] octanyl, bicyclo [2.2.2] oct-5-enyl, bicyclo [2.2.2] oct-7-enyl , Bicyclo [3.3.1] nonanyl and adamantanyl. The preferred meaning of Q described above can be represented by the following formulas (1.1.11) to (1.1.21):
[342]
[343] Of the aforementioned monocyclic- (C ₅ -C ₇ ) cycloalkenyls, the group of formula (1.1.12), ie cyclohexene, is preferred in the preferred embodiment of the compound of formula (1).
[344] 1.5. R ^OneAnd R ²Substituent
[345] The Q residue is between the linking groups of-[R ^C -CR ^D ] _n -and-[R ^A -CR ^B ] _m -as described above, and the Q residue is substituted with substituents R ¹ and R ² . R ¹ and R ² substituents are each -H; -F; -Cl; -R ¹² ; -OR ¹² ; -S (= 0) _p R ¹² ; -C (= 0) OR ¹² ; -OC (= 0) R ¹² ; -CN; -NO ₂ ; -C (= 0) NR ¹² R ¹³ ; -OC (= 0) NR ¹⁵ R ¹² ; -NR ¹⁴ C (= 0) NR ¹⁵ R ¹² ; -NR ¹⁴ C (= NR ¹⁴ ) NR ¹⁵ R ¹² ; -NR ¹⁴ C (= NCN) NR ¹⁵ R ¹² ; -NR ¹⁴ C (= N-NO ₂ ) NR ¹⁵ R ¹² ; -C (= NR ¹⁴ ) NR ¹⁵ R ¹² ; -OC (= NR ¹⁴ ) NR ¹⁵ R ¹² ; -OC (= N-NO ₂ ) NR ¹⁵ R ¹² ; -NR ¹⁵ R ¹² ; -CH ₂ NR ¹⁵ R ¹² ; -NR ¹⁴ C (= 0) R ¹² ; -NR ¹⁴ C (= 0) OR ¹² ; -NR ¹⁴ S (= 0) _p R ¹³ ; And —S (═O) _p NR ¹² R ¹³ , wherein p is 0, 1 or 2 and R ¹² , R ¹³ , R ¹⁴ and R ¹⁵ have the same meaning as described above. It is one selected.
[346] In particular, embodiments of the invention will have a single substituent. That is, one of R ¹ and R ² will be -H and the other meaning will be as described above. Single substituents are preferably -H; -F; -Cl; (C ₁ -C ₃ ) alkyl; Fluorinated - (C ₁ -C ₃₎ alkyl; (C ₁ -C ₃ ) alkoxy; Fluorinated - (C ₁ -C ₃₎ alkoxy; -CN; -NO ₂ ; -OH; And -C (= 0) NH ₂ . For the point of attachment of the Q moiety to the ortho-compounds of the present invention having a single substituent, R ¹ and R ² is preferably the 2-position, i.e. linking group - [R ^C -CR ^D] _n of the substituent located in the Will have This is especially true when the Q residue is phenyl. In a preferred embodiment of the compound of formula 1, R ¹ or R ² means -F; Fluorinated - (C ₁ -C ₃₎ alkyl; Or fluoride-is defined as an alkoxy (C ₁ -C _3). In a preferred embodiment of the compound of formula 1, it is particularly preferred that R ¹ or R ² have the meaning of -F.
[347] When R ¹ or R ² is not -H, in the embodiment of the compound of formula (1.0.2), it is preferable to have a halogen group at the 2'-position of the phenyl group as the meaning of the substituted Q residue. R ¹ or R ² are small lipophilic groups such as -F; Fluorinated - (C ₁ -C ₃₎ alkyl; Or fluoride - is considered (C ₁ -C ₃₎ alkoxy to be preferred. Thus, as well as the R ¹ or R ² substituents of the compounds of Formula 1, -F; Fluorinated - (C ₁ -C ₃₎ alkyl; Or any other substituent including the definition of fluorinated- (C ₁ -C ₃ ) alkoxy is —F, —CH ₂ F, —CHF ₂ , —CF ₃ , —CH ₂ CH ₂ F, —CH ₂ CHF ₂ , -CH ₂ CF ₃ , -CHFCH ₂ F, -CHFCHF ₂ , -CHFCF ₃ , -CF ₂ CF ₂ CF ₃ , -O-CH ₂ F, -O-CHF ₂ , -O-CF ₃ ,- O-CH ₂ CH ₂ F, -O-CH ₂ CHF ₂ , -O-CH ₂ CF ₃ , -O-CHFCH ₂ F, -O-CHFCHF ₂ , -O-CHFCF ₃ , -O-CF ₂ CH ₂ F, -O-CF ₂ CHF ₂ , -O-CF ₂ CF _{3 It} is selected from the crowd consisting of.
[348] The selectivity of the entire molecule achieved by using this type of moiety that becomes an R ¹ or R ² substituent may be due to the conformation of the lipophilic moiety with the corresponding lipophilic region in the PDE4 enzyme substrate, or the resulting total It may be due to the lipophilic change of the molecule. Whatever the actual mechanism by which this selectivity is achieved, all such embodiments are contemplated as being within the scope of the present invention.
[349] 1.6. Z group and this roof tile-[R ^A-C-R ^B] _m-The relationship of the residue
[350] As mentioned above, the residue-[R ^A -CR ^B ] _m -is a linking group which binds residues Q and Z together in a compound of the invention. Thus, Z is adjacent to the residue-[R ^A -CR ^B ] _m- (as already mentioned, the preferred meaning of m is 1). This relationship can be represented by the following equation (1.1.7):
[351]
[352] Wherein "*" is an indication of the point of attachment of the group of formula (1.1.7) to residue Q in the remainder of the compound of formula (1).
[353] 1.7. Terminal residue Z
[354] Z is -OR ¹² ; -C (= 0) R ¹² , wherein R ¹² has the same meaning as defined herein; And -CN are selected independently from the crowd.
[355] To illustrate the additional meaning of Z characterizing another embodiment of the compound of Formula 1, residues of formulas (3.0.1) to (3.0.24) with different meanings falling within the range of formula (1.1.7) It is shown below:
[356]
[357] R ^A and R ^B have the meaning of-(C ₁ -C ₆ ) alkyl substituted with one or two substituents R ¹⁰ ; Z is -OR ¹² ; -C (= 0) R ¹² , wherein R ¹² is -H,-(C ₁ -C ₄ ) alkyl or phenyl; Or -CN, the resulting group falls within the range of formula (1.1.7) and the addition of compounds of formula 1 as exemplified by formulas (3.0.20) to (3.0.24) described below An embodiment of the present invention is included. As indicated above, when Z has a meaning of -OR ¹² and R ^A and / or R ^B are substituted with -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ¹³ And the resulting Z and R ¹⁰ substituents: (1) -OR ¹² and (2) -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ¹³ are each adjacent carbon atom, That is, they cannot be attached next to each other. This condition applies to all acceptable meanings of R ^A and R ^B.
[358]
[359] R ^A and R ^B are also bonded together to have the meaning of the spiro structure represented by the following formula (1.1.0):
[360]
[361] Wherein r and s are independently 0 to 4, and the sum of r + s is 1 or more and 5 or less; Q ^A is selected from the group consisting of -CH _2- , -CHF, -CF ₂ , -NR ^12- , -O- and -S (= O) _p- , where p is 0, 1 or 2. High; The spiro moiety is substituted with 0 to 3 substituents R ¹⁰ for any one or more carbon atoms, including carbon atoms of the group —CH ₂ — defining Q ^A , wherein R ¹⁰ and R ¹² are both as defined above Has the same meaning.
[362] The substituent R ¹⁰ is ^{-OR 12, -OC (= O)} R 13 or ^{-OC (= O) NR 12 R} 13 in case, for the -OR ¹² radical in Z means -OR ^12, -OC (= It is understood that the positional relationship of O) R ¹³ or -OC (= O) NR ¹² R ¹³ should not be a neighboring relationship. It is also contemplated that the carbon atom of the group -CH ₂ -defining Q ^A may be substituted with 0 to 3 substituents R ¹⁰ , which R ¹⁰ may have the meaning of -F. Thus, it will be understood that -CH ₂ -substituted with one or two R ¹⁰ , wherein R ¹⁰ is -F, since the meaning of Q ^A has already been given as -CHF or -CF ₂ , does not apply.
[363] The resulting groups fall within the range of Formula (1.1.7) above and include further embodiments of compounds of Formula 1 as illustrated by the following Formulas (4.0.1) to (4.0.37):
[364]
[365] In the above description, various preferred embodiments of the compound of formula 1 have been described. As further showing the scope and content of the present invention, specific compounds including embodiments of the compound of formula 1 are provided. Such species of formula 1 include but are not limited to the following compounds of formulas (5.5.1) to (5.5.66):
[366]
[367]
[368]
[369]
[370]
[371]
[372]
[373]
[374]
[375]
[376]
[377]
[378]
[379] 2.0. Process for preparing compound of formula 1
[380] Suitable process for preparing compounds of formula 1 wherein the residue Q is in particular phenyl and R ⁵ and R ⁶ are joined together to form the residue of formula (1.1.1), formula (1.1.4) or formula (1.1.5) Is illustrated in Scheme 1:
[381]
[382]
[383] In which R is a carboxyl protecting group, in particular lower alkyl esters; Q ¹ is -O-, -S- or -N (R ⁷ )-; R ^A , R ^B , R ^C , R ^D , R ¹ , R ² , R ⁴ , Z, m and n have the same meaning as defined herein; THF is tetrahydrofuran; DMF is dimethylformamide; EDCl is 1- [3- (dimethylamino) propyl] -3-ethylcarbodiimide hydrochloride; HOBT is 1-hydroxybenzotriazole hydrate.
[384] In step 1 of Scheme 1, to prepare a compound in which Q ¹ is -O-, protected 2-chloro nicotinic acid is referred to as 5-hydroxybenzofurazane, namely 5-hydroxy-benzo [2,1,3] oxa Treatment with diazoles. Therefore, 5-hydroxybenzo [1,3,2] thiadiazole is used to prepare a compound wherein Q ¹ is -S-, and Q ¹ is -N (R ⁷ )-and R ⁷ is -H. 5-hydroxybenzo [1,2,3] triazole is used to prepare the compound. The carboxyl group of the 2-chloro nicotinic acid starting material is protected by using it, for example in the form of one of alkyl esters, preferably ethyl esters. Other commonly used carboxyl protecting groups are also suitable.
[385] In step 1, the protected 2-chloro nicotinic acid and 5-hydroxybenzofurazane are reacted in the presence of cesium carbonate (Cs ₂ CO ₃ ) using anhydrous N, N-dimethylformamide (DMF) as a solvent. This reaction is a well known method for preparing asymmetric ethers by aryloxy halogen substitution mechanisms. Other strong bases such as NaOH, KOH, NaH, tBuOK (potassium t-butoxide) or K ₂ CO ₃ may be used in place of Cs ₂ CO ₃ . Other aprotic polar solvents such as acetone, nitromethane, acetonitrile, sulfolane, dimethylsulfoxide (DMSO), N-methylpyrrolidinone (NMP), methyl ethyl ketone (2-butanone) or tetrahydro Furan (THF) may be used in place of dimethylformamide. Most preferred solvent is N, N-dimethylformamide (DMF).
[386] After the aforementioned reaction mixture is formed, it is heated to 70 to 110 ° C., typically 80 to 100 ° C., most typically 90 ° C. It is necessary to heat the reaction mixture for a significant time of 1 to 6 days, preferably 2 to 5 days, most preferably 3 or 4 days at a temperature lower than the temperature described above. At temperatures higher than those described above, the reaction proceeds more rapidly and shorter times of 1/2 to 5 days, usually 3/4 to 3 days, most typically 1 to 2 days are required.
[387] In step 2 of Scheme 1, the protected 2- (benzo [2,1,3] oxadiazol-5-yloxy) nicotinic acid, for example the ethyl ester prepared in step 1, may contain an aprotic solvent, for example For example, it is deprotected by treatment with a mild base such as lithium hydroxide (LiOH) in 1,4-dioxane, dimethoxyethane (DME) or tetrahydrofuran (THF) (preferably tetrahydrofuran (THF)). The reaction can be carried out at room temperature for 8 to 24 hours, typically 10 to 20 hours, most typically 12 hours.
[388] In Step 3 of Scheme 1, 2- (benzo [2,1,3] oxadiazole-5-yloxy) nicotinic acid prepared in Step 2, which forms the left side of the compound of Formula 1, is the right side of the compound of Formula 1 React with a compound to form. This compound is in the form of an amine, resulting in an amide linkage joining the two halves of the compound of formula (1). The reaction is carried out using a mixture of coupling agent 1- [3- (dimethylamino) propyl] -3-ethylcarbodiimide hydrochloride (EDCl) and 1-hydroxybenzotriazole hydrate (HOBT). Other coupling agents such as dicyclohexylcarbodiimide (DCCl), N, N'-carbonyldiimidazole, and benzotriazol-1-yl diethyl phosphate can also be used.
[389] Coupling reactions include aprotic polar solvents such as acetone, nitromethane, N, N-dimethylformamide (DMF), acetonitrile, sulfolane, dimethylsulfoxide (DMSO), N-methylpyrrolidinone (NMP ) Or methyl ethyl ketone (2-butanone). N, N-dimethylformamide (MDF) is preferred. The reaction is carried out at a temperature slightly higher than room temperature to room temperature for 8 to 24 hours, typically 10 to 20 hours, most typically 12 hours.
[390] 3.0. Pharmaceutical salts and other forms
[391] The aforementioned compounds of the present invention may be used in the form of acids, esters, or other chemical classes of compounds to which the described compounds belong. It is also within the scope of the present invention to use these compounds in the form of pharmaceutically acceptable salts derived from various organic and inorganic acids and bases according to methods well known in the art.
[392] Pharmaceutically acceptable salt forms of the compounds of formula (1) are prepared by most conventional methods. If the compound of formula 1 contains carboxylic acid groups, suitable salts thereof may be formed by reacting the compound with a suitable base to provide the corresponding base addition salt. Examples of such bases include alkali metal hydroxides, including potassium hydroxide, sodium hydroxide and lithium hydroxide; Alkaline earth metal hydroxides such as barium hydroxide and calcium hydroxide; Alkali metal alkoxides such as potassium ethanolate and sodium propanolate; And various organic bases such as piperidine, diethanolamine and N-methylglutamine.
[393] For certain compounds of formula (I), the compounds may be prepared using pharmaceutically acceptable organic and inorganic acids such as hydrohalides such as hydrochloride, hydrobromide, hydroiodide; Other inorganic acids and their corresponding salts such as sulfates, nitrates, phosphates and the like; And alkyl- and mono-arylsulfonates such as ethanesulfonate, toluenesulfonate and benzenesulfonate; And other organic acids and their corresponding salts such as acetates, tartrates, maleates, succinates, citrates, benzoates, salicylates, ascorbates and the like.
[394] Thus, pharmaceutically acceptable acid addition salts of compounds of formula (I) include acetates, adipates, alginates, arginates, aspartates, benzoates, benzenesulfonates (vesylates), bisulfates, bisulfites, bromide, Butyrate, camphorate, camphorsulfonate, caprylate, chloride, chlorobenzoate, citrate, cyclopentanepropionate, digluconate, dihydrogenphosphate, dodecyl sulfate, ethanesulfonate, fumarate, galacter Latex (from muxic acid), galacturonate, glucoheptanoate, gluconate, glutamate, glycerophosphate, hemisuccinate, hemisulfate, heptanoate, hexanoate, hypofurate, hydrochloride, hydrobromide , Hydroiodide, 2-hydroxyethanesulfonate, iodide, tooth Thiocyanate, i - butyrate, lactate, lactobionate, malate, maleate, malonate, mandelate acrylate, meta-phosphate, methanesulfonate, methylbenzoate, mono-hydrogen phosphate, 2-naphthalene sulfonate, nicotinate Nates, nitrates, oxalates, oleates, pamoates, pectinates, persulfates, phenylacetates, 3-phenylpropionates, phosphates, phosphonates, phthalates.
[395] In addition, the basic salts of the compounds of the present invention are aluminum salts, ammonium salts, calcium salts, copper salts, ferric salts, ferrous salts, lithium salts, magnesium salts, manganese salts, manganese salts, potassium salts, sodium Salts and zinc salts, including but not limited to. Ammonium in the salts described above; Alkali metal salts of sodium and potassium; And alkaline earth metal salts of calcium and magnesium are preferred. Salts of compounds of Formula 1 derived from pharmaceutically acceptable organic non-toxic bases include substituted amines including primary, secondary and tertiary amines, naturally occurring substituted amines, cyclic amines and basic ion exchange resins. Arginine, betaine, caffeine, chloroprocaine, choline, N, N'-dibenzylethylenediamine (benzatin), dicyclohexylamine, diethanolamine, diethylamine, 2-diethylaminoethanol , 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, i -propylamine, lidocaine, resin, meglumine, N -Methyl-D-glucamine, morpholine, piperazine, piperidine, polyamine resin, procaine, purine, theobromine, triethanolamine, triethylamine, trimethylamine, tripropylamine and tris- (hydroxymethyl)- Methylamine (Trometa Min) salts, including but not limited to.
[396] Compounds of the present invention comprising basic nitrogen-containing groups include (C ₁ -C ₄ ) alkyl halides such as methyl, ethyl, i -propyl and t -butyl chloride, bromide and iodide; Di (C ₁ -C ₄ ) alkyl sulfates such as dimethyl, diethyl and diamyl sulfates; (C ₁₀ -C ₁₈ ) alkyl halides such as decyl, dodecyl, lauryl, myristyl and stearyl chloride, bromide and iodide; And aryl- (C ₁ -C ₄ ) alkyl halides such as benzylchloride and phenethyl bromide. Such salts allow for the preparation of both water soluble and fat soluble compounds of the present invention.
[397] Among the pharmaceutical salts described above, preferred salts are acetate, besylate, citrate, fumarate, gluconate, hemisuccinate, hypofurate, hydrochloride, hydrobromide, isethionate, mandelate, meglumine, Nitrates, oleates, phosphonates, pivalates, sodium phosphates, stearates, sulfates, sulfosalicylates, tartrates, thiomalates, tosylate and tromethamine.
[398] Acid addition salts of the basic compounds of formula (1) are prepared by contacting the free base form with a sufficient amount of the desired acid to produce a salt in a conventional manner. The free base can be produced by contacting the salt form with the base and isolating the free base in a conventional manner. The free base forms differ somewhat from their respective salt forms in certain physical properties, such as solubility in polar solvents, but for the purposes of the present invention the salts are equivalent to their respective free base forms.
[399] As shown, pharmaceutically acceptable base addition salts of compounds of formula 1 are formed using metals or amines such as alkali metals and alkaline earth metals or organic amines. Preferred metals are sodium, potassium, magnesium and calcium. Preferred organic amines are N, N'-dibenzylethylenediamine, chloroprocaine, choline, diethanolamine, ethylenediamine, N-methyl-D-glucamine and procaine.
[400] Base addition salts of the acidic compounds of the present invention are prepared by contacting the free acid form with a sufficient amount of the desired base to produce a salt in a conventional manner. The free acid form can be produced by contacting the salt form with an acid and isolating the free acid form in a conventional manner. The free acid forms differ somewhat from their respective salt forms in physical properties such as solubility in polar solvents, but for the purposes of the present invention the salts are equivalent to their respective free acid forms.
[401] Where the compounds of the present invention contain one or more groups capable of forming pharmaceutically acceptable polyvalent salts, the polyvalent salt forms are also included within the scope of the present invention. Examples of typical polyvalent salt forms include, but are not limited to, bitartrate, diacetate, difumarate, dimeglumine, diphosphate, disodium, and trihydrochloride.
[402] In view of the above, the expression "pharmaceutically acceptable salt" as used herein refers to an active ingredient comprising a compound of formula 1 used in the form of a salt, in particular the form of which is used before or in the free form of the active ingredient In comparison with several other salt forms of the active ingredient, which impart improved pharmacokinetic properties to the active ingredient). Pharmaceutically acceptable salt forms of the active ingredient may also initially impart desirable pharmacokinetic properties to the active ingredient which did not previously have, and have a positive effect on the pharmacodynamics of the active ingredient on the therapeutic activity of the body. Can have
[403] The pharmacokinetic properties of the active ingredient, which can be advantageously affected, include, for example, the way in which the active ingredient is transported through the cell membrane, which directly affects the absorption, distribution, in vivo change or excretion of the active ingredient. Can have a positive and positive impact. Although the route of administration of the pharmaceutical composition is important and various anatomical, physiological and pathological factors can critically affect bioavailability, the solubility of the active ingredient largely depends on the nature of the particular salt form of the active ingredient used. do. In addition, while aqueous solutions of the active ingredients can most quickly absorb the active ingredients into the body of the patient to be treated, solid fats and other forms, in addition to fat-soluble solutions, will absorb the active ingredients less quickly. Will think.
[404] Oral intake of the active ingredient of formula 1 is the most preferred route of administration for reasons of safety, convenience and economy, but absorption of the oral dosage form is due to physical properties such as polarity, vomiting due to irritation of the gastrointestinal mucosa, digestive enzymes and low pH. May be adversely affected by breakdown, irregular absorption or propulsion in the presence of food or other drugs, and metabolism by enzymes, intestinal layer or liver of the mucosa. Formulation of such active ingredients into other pharmaceutically acceptable salt forms can be effective in overcoming or alleviating one or more of the aforementioned problems arising from the absorption of oral formulations.
[405] Compounds of formula (I) prepared according to the methods described herein may be separated from the reaction mixture finally produced by any conventional method known to the skilled chemist in the preparation of organic compounds. The compound once isolated can be purified by known methods. Various methods and techniques can be used that can be used as means for separation and purification, including, for example, distillation, recrystallization, column chromatography, ion exchange chromatography, gel chromatography, affinity chromatography, thin layer chromatography for manufacturing, and Solvent extraction methods.
[406] 3.1. Stereoisomer
[407] Compounds within the scope of Formula 1 have the same binding relationship, but their constituent atoms may be arranged in space in two or more different ways. As a result, the compound is present in the form of stereoisomers. Cis-trans isomerism is just one type of stereoisomerism. When stereoisomers are mirror images that do not overlap one another, they are enantiomers having chirality or handedness because one or more asymmetric carbon atoms are present in their constituent structures. Enantiomers are distinguishable because they are optically active and rotate the polarization plane in opposite directions by the same amount.
[408] When two or more asymmetric carbon atoms are present in the compound of Formula 1, there are two possible configurations for each of these carbon atoms. If two asymmetric carbon atoms are present, for example four possible stereoisomers are present. In addition, these four possible stereoisomers may be arranged in six pairs of possible stereoisomers different from each other. In order for a pair of molecules with one or more asymmetric carbons to be enantiomers, they must have different arrangements on all asymmetric carbons. Pairs not related to enantiomers have different stereochemical relationships, referred to as diastereomeric relationships. Stereoisomers that are not enantiomers are called diastereomers.
[409] All such aspects that are well known for the stereochemistry of the compound of Formula 1 are contemplated as part of the present invention. Accordingly, compounds of formula (I) which are stereoisomers are also included within the scope of the present invention, and when the compound of formula (I) is an enantiomer, each enantiomer, racemic mixture of the enantiomers, and the enantiomer found in the racemic mixture Artificial, ie prepared mixtures having the properties of the enantiomers different from those of the isomers are also included within the scope of the invention. Where the compound of formula 1 comprises stereoisomers which are diastereomers, not only the individual diastereomers, but also mixtures of any two or more such diastereomers present in any proportion are included within the scope of the compound.
[410] For example, when one asymmetric carbon atom is present in a compound of Formula 1, (-) (R) and (+) (S) enantiomers are generated, are therapeutically active and treat the diseases and disorders described herein, or All pharmaceutically acceptable salt forms, precursors and metabolites useful for the prophylaxis are included within the scope of such compounds. When the compound of formula 1 is present in the form of (-) (R) and (+) (S) enantiomers, all, substantially all or the main therapeutically active moiety is present in only one of the enantiomers and / or is desired If no adverse side effects are present in only one of the enantiomers, only (+) (S) enantiomers or only (-) (R) enantiomers are included within the scope of the compound. If there is no substantial difference between the biological activities of the two enantiomers, the (+) (S) enantiomers or (-) (R) enantiomers present together in any ratio as racemic or non-racemic mixtures Also included in the compound of Formula 1 above.
[411] For example, the specific biological activity and / or physical and chemical properties of a pair or set of enantiomers of a compound of Formula 1, when present, may suggest the use of such enantiomers in certain proportions to make up the final therapeutic product. have. For example, when there is a pair of enantiomers, they are 90% (R) -10% (S); 80% (R) -20% (S); 70% (R) -30% (S); 60% (R) -40% (S); 50% (R) -50% (S); 40% (R) -60% (S); 30% (R) -70% (S); 20% (R) -80% (S); And 10% (R) -90% (S). Once present, after evaluating the properties of the various enantiomers of the compound of Formula 1, the proportion of one or more such enantiomers having certain desired properties that will constitute the final therapeutic product can be determined in a simple manner.
[412] 3.2. Isotope
[413] It is also contemplated that the isotopically labeled forms of compounds of formula 1 are included within the scope of compounds of formula 1. An isotopically labeled form of a compound of Formula 1 is except for the fact that one or more atoms of the compound are substituted with atoms or atoms having an atomic mass or mass number that is different from the atomic mass or mass number of the atom commonly found in nature. Same as the above compound. Examples of isotopes that are readily commercially available and that can be incorporated into the compounds of formula 1 according to well established methods are isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorus, fluorine and chlorine, for example ² H , ³ H, ¹³ C, ¹⁴ C, ¹⁵ N, ¹⁸ O, ¹⁷ O, ³¹ P, ³² P, ³⁵ S, ¹⁸ F and ³⁶ Cl, respectively. Compounds of Formula 1, their precursors or pharmaceutically acceptable salts containing one or more of the aforementioned isotopes and / or other isotopes of other atoms are contemplated as being within the scope of the present invention.
[414] Isotopically labeled compounds of Formula 1 can be used in a number of advantageous ways. For example, isotopically labeled compounds of the present invention, such as compounds incorporating radioisotopes such as ³ H or ¹⁴ C, are useful for drug and / or matrix tissue distribution analysis. Tritium, ie ³ H and carbon-14, ie ¹⁴ C radioisotopes, are particularly preferred because of their easy preparation and excellent detectability. In addition, the incorporation of heavier isotopes, such as deuterium, ie ² H, into the compound of Formula 1 will provide a therapeutic benefit due to the greater metabolic stability of the isolabelled compound. Greater metabolic stability will directly increase in vivo half-life or reduce dosing requirements, making the preferred embodiment of the present invention in most situations. Isotopically labeled compounds of Formula 1 generally perform the methods disclosed in Scheme 1 and related descriptions, examples, and preparations herein, in which their corresponding unlabeled reagents are replaced with readily available isotopically labeled reagents. It can be manufactured by.
[415] In addition, deuterium ² H may be incorporated into the compound of formula 1 to modulate the oxidative metabolism of the compound of formula 1 by first order kinetic isotope effect. The primary kinetic isotope effect is the change in rate for a chemical reaction due to isotope nucleation substitution, caused by the change of ground state energy required for covalent bond formation following the isotope substitution. Substitution with heavier isotopes will generally lower the ground state energy for chemical bonds, thereby reducing the rate of the rate-limiting bond breaking step. If the bond-break phenomenon occurs at or near the low point, equivalent to a multistage product reaction, the product distribution ratio may vary substantially. For example, when deuterium is bonded to a carbon atom at an irreplaceable site, a k _M / k _D rate difference of 2 to 7 is typical. The rate difference, which is well applied to the compound of Formula 1, which is easy to oxidize, has a great influence on the profile of the compound in vivo and can improve pharmacokinetic properties.
[416] In the discovery and development of therapeutic agents, the skilled person seeks to maximize pharmacokinetic parameters while maintaining the desired in vitro properties. It is reasonable conjecture that many compounds with poor pharmacokinetic profiles are unstable in oxidative metabolism. Currently available in vitro liver microsome analysis provides informative information on the oxidative metabolic process, allowing for the rational design of deuterated compounds of Formula 1 with improved stability due to resistance to this oxidative metabolism. This significantly improves the pharmacokinetic profile of the compound of Formula 1, which includes an increase in vivo half-life (t / 2), concentration at maximum therapeutic effect (C _max ), area under the dose response curve (AUC) and F; And as a reduction in elimination rate, dosage and product cost.
[417] By way of example, the compounds of formula (I) having a number of possible sites for oxidative metabolism, for example hydrogen benzyl atom and hydrogen atom a for nitrogen atom, are partially, mostly replaced by deuterium atoms with various combinations of hydrogen atoms Or as a series of analogues in which all the hydrogen atoms are replaced with deuterium atoms. Half-life measurements provide a convenient and accurate way to measure resistance to oxidative metabolism. It is determined in this method that the half-life of the parent compound can be extended by 100% as a result of the substitution of hydrogen with deuterium.
[418] Substitution of hydrogen to deuterium in the compound of Formula 1 is used to advantageously change the metabolism profile of the parent compound as a means of reducing or eliminating unwanted toxic metabolites. For example, when toxic metabolites occur through oxidative carbon-hydrogen (CH) bond separation, deuterated analogs greatly reduce the production of unwanted metabolites even when certain oxidation reactions are not rate-determining. Or reasonably foreseeable.
[419] Further information on the state of the art in the art regarding the substitution of hydrogen with deuterium is described, for example, in Hanzlik et al ., J. Org. Chem. 55 3992-3997, 1990; Reider et al ., J. Org. Chem. 52 3326-3334, 1987; Foster, Adv. Drug Res. 14 1-40, 1985; Gilette et al., Biochemistry 33 (10) 2927-2937, 1994; And Jarman et al., Carcinogenesis 16 (4) 683-688, 1993.
[420] 4.0. Therapeutic Uses and Clinical Endpoints
[421] The following description relates to the therapeutic use to which the compound of formula 1 can be applied and, where applicable, the description of the clinical endpoint associated with the therapeutic use. Also shown is the content of various in vitro assays and animal model experiments that can provide sufficient data to define and demonstrate the therapeutic utility of Formula 1 compounds.
[422] The therapeutic utility of the compound of formula 1 suffers from a disease or condition as disclosed herein and is therefore applicable to a patient or subject in need thereof. The beneficial consequences, whether administered to animals or humans, are therapeutic. As used herein, the terms "animal" and "animals" are used only for the purpose of representing humans relative to other members of the animal kingdom. The compound of formula 1 has therapeutic use in the treatment of mammals, and in particular humans. The major subclasses of the mammalian class ( Mammalia ) are all within the scope of the present invention with respect to being the receptors of therapeutic treatment as described herein. Mammals are valuable to humans because they have value as pets. This applies in particular to the canine and feline groups of mammals. Other mammals are evaluated as breeding animals, and their treatment according to the present invention is likely not to be treated for the diseases and disorders described herein in light of adverse economic impacts. This applies in particular to groups of horses, cattle, pigs and sheep among mammals.
[423] Compounds of formula (1) inhibit PDE4 isozymes, and because of the essential role of the PDE4 family of isozymes in the physiology of all mammals, the compounds have a wide range of therapeutic uses, as further described below. The enzymatic role played by PDE4 isozyme is intracellular hydrolysis of adenosine 3 ', 5'-monophosphate (cAMP) in pro-inflammatory leukocytes. Next, cAMP mediates the effects of many hormones in the body, and as a result, PDE4 inhibition plays an important role in various physiological processes. The art describes the effects of PDE inhibitors on a variety of inflammatory cell responses, in addition to cAMP increase, including superoxide production, degranulation, chemotaxis and inhibition of tumor necrosis factor (TNF) release in eosinophils, neutrophils and monocytes. There is a wide range of literature.
[424] PDE4 was first identified in 1985 [Nemoz et al., Biochem. Pharmacol ., 34 , 2997-3000, 1985], the PDE4 inhibitors rolipram and denbuphylline were initially studied in clinical trials for CNS indicators such as depression. Subsequently, PDE4 proved to be the major phosphodiesterase in inflammatory leukocytes. The four subtypes of PDE4, ie PDE4A, PDE4B, PDE4C and PDE4D, are widely distributed in human tissues, as measured by the presence of their mRNAs. PDE4D is expressed in kidney, thymus, small intestine and colon tissues and is strongly expressed in brain, lung, skeletal muscle, prostate and peripheral blood leukocyte (PBL) tissues. The PDE4D is only weakly expressed in the heart, placenta, liver, pancreas, spleen, testis and ovarian tissue. PDE4A and PDE4B are also strongly expressed in brain and skeletal muscle tissue, and only weakly in placental, liver and ovarian tissues. PDE4C is also strongly expressed in skeletal muscle tissue and also weakly expressed in ovarian tissue. PDE4C is typically not detected in most of the aforementioned tissues.
[425] The PDE4 family of isozymes is the major form of phosphodiesterase found in cell types involved in chronic inflammatory diseases, and only platelets in bone marrow derived cell types do not express PDE. PDE4 is the major cAMP-metabolic effect in immune and inflammatory cells and is one of the two major cAMP-metabolic enzymes in airway smooth muscle. PDE4 is present only in neutrophils, eosinophils, basophils and monocytes, whereas PDE3 and PDE1 activity in macrophages and PDE7 activity in T lymphocytes were also demonstrated. The beneficial anti-inflammatory effects of PDE inhibitors have thus far been demonstrated using in vitro experiments, in which the compounds produce superoxide in human monocytes, eosinophils and neutrophils; Mediator release from basophils, macrophages and neutrophils; And inhibit TNFα release in monocytes and macrophages. PDE inhibitors also inhibit mediator release of inflammatory cells such as monocytes and monocyte-derived macrophages, lung mast cells, T lymphocytes, B lymphocytes, alveolar macrophages and eosinophils.
[426] Beneficial anti-inflammatory effects have also been observed in vivo to date, including inhibition of microvascular leakage into the lungs of sensitized guinea pigs and alleviation of bronchial hypersensitivity and eosinophilia after repeated antigen challenge in cynomolgus monkeys. To date, it has also been demonstrated that PDE4 inhibitors effectively inhibit the release of TNFα from mononuclear phagocytes.
[427] 4.1. asthma
[428] One of the most important respiratory diseases treatable with PDE4 inhibitors of the type within the scope of the compound of formula (1) is asthma, which is a chronic and increasingly common disease worldwide and is characterized by intermittent reversible airway obstruction, airway hypersensitivity and inflammation. The cause of asthma has not yet been determined, but the most common pathological manifestation of asthma is inflammation of the airways, which can be severe even in the airways of mild asthmatic patients. Based on bronchial biopsy and lavage studies, it has been clearly shown that asthma involves infiltration by mast cells, eosinophils and T-lymphocytes in the patient's airways. Bronchoalveolar lavage (BAL) in atopic asthma patients showed activation of interleukin (IL) -3, IL-4, IL-5 and granulocyte / macrophage-colony stimulating factor (GM-CSF), resulting in T-helper 2 ( Suggests the presence of a Th-2) -like T-cell population.
[429] Compounds of formula 1 inhibit PDE4 in human eosinophils and are therefore useful for the treatment of atopic and non-atopic asthma. The term "atopy" refers to the genetic tendency to develop a type I (immediate) hypersensitivity response to antigens in a general environment. The most common clinical signs are allergic rhinitis, and bronchial asthma, atopic dermatitis and food allergies occur less frequently. Thus, the expression "atopic asthma" as used herein is used to mean "allergic asthma", ie bronchial asthma, which is an allergic indication in sensitized patients. As used herein, the term "non-atopic asthma" refers to all other asthma, especially essential or "true" asthma caused by a variety of factors, including strenuous exercise, stimulating particles, psychological stress, and the like.
[430] The use of the compounds of formula 1 for the treatment of atopic or non-atopic asthma has been established and demonstrated by models of inhibition of PDE, ie, eosinophil activation, and bronchodilator models described below.
[431] PDE Isozyme Inhibition —The ability of a compound of Formula 1 to selectively inhibit PDE4 is demonstrated by human PDE inhibition assays. In this assay, all isoenzyme formulations are obtained from human sources. PDE3 and PDE4 preparations are obtained using the advantages of PDE3 isozyme in platelets and PDE4 isozyme in neutrophils. The following technique is used. Citrated human blood is collected and neutrophils are separated by dextran sedimentation, density gradient centrifugation and hypotonic lysis of erythrocytes. Human platelets obtained from the same source are washed with PBS (NaCl 140 mM, KCl 2.7 mM, KH ₂ PO ₄ 1.5 mM, Na ₂ HPO ₄ 8.1 mM, pH 7.4). Neutrophils and platelets were treated with protease inhibitor solution [5 μl / ml of phenylmethylsulfonylfluoride (7 mg / ml in 2-propanol), 1 μl / ml of leupetin and pepstatin A (1 mg / ml in ethanol respectively) ] In 10 ml buffer (0.24 M sucrose, 1 mM EDTA, 1 mM dithiothreitol, 10 mM Tris HCl, pH 7.4). After sonication at 4 ° C. for 15 seconds, the crushed liquid is centrifuged (2200 g). The pellet is resuspended in 10 ml of buffer and the sonication is repeated. Collect the supernatant and store at -20 ° C.
[432] Other isoenzymes are partially purified using chromatographic methods as described in the art, where PDE1 and PDE5 are obtained from human lungs and PDE2 are obtained from human platelets. PDE activity is either 1 μM [ ³ H] -cyclic AMP (PDE3 and PDE4), or 0.5 μM calcium, 0.125 μM calmodulin and 1.0 μM [ ³ H] -cyclic AMP (PDE1), or 100 μM as substrate. Using [ ³ H] -cyclic AMP (PDE2), or 1.0 μM [ ³ H] -cyclic GMP (PED5), Thompson et al., Nucleotide Res ., 10 , 69-92, 1979 The ion-exchange column method described is used to analyze in the presence and absence of test substances of Formula 1 at various concentrations.
[433] In this test method, the compound of formula 1 mainly inhibits the PDE4 isozyme and has a relatively small inhibitory effect on PDE1, PDE2, PDE3 and PDE5.
[434] Selective PDE4 inhibitory activity of a compound of Formula 1 can also be measured using a series of five separate PDE isozymes according to procedures known in the art. Tissues used as sources of different isozymes may include: PDE1B-porcine aorta; PDE1C-guinea pig heart; PDE3-guinea pig heart; PDE4-human monocytes; And PDE5-bronchus. PDE 1B, 1C, 3 and 5 are conventional chromatographic techniques [Torphy and Cieslinski, Mol. Pharmacol ., 37 , 206-214, 1990]. PDE4 was subjected to anion-exchange followed by heparin-sepharose chromatography [Torphy et al., J. Biol. Chem ., 267 , 1798-1804, 1992] in order to purify to dynamic uniformity. PDE activity is analyzed using the protocols of Torphy and Cieslinski described in the paper cited above.
[435] The ability of the PDE4 inhibitory compounds of Formula 1 to increase cAMP accumulation in intact tissues can also be assessed using U-937 cells, a human monocyte cell line found to contain large amounts of PDE4. To assess PDE4 inhibitory activity levels in intact cells, undifferentiated U-937 cells (about 10 ⁵ cells / reaction tube) were incubated for 1 minute with PDE inhibitors at various concentrations (0.01 to 1000 μM) and 1 μM prostaglandin Incubate for 4 more minutes with E ₂ . Five minutes after the initiation of the reaction, the cells are lysed by the addition of 17.5% perchloric acid, the pH is adjusted to neutral levels by the addition of 1M KCO ₃ and the cAMP concentration is measured by RIA. General protocols for this assay are described in Brooker et al., “Radioimmunoassay of cyclic AMP and cyclic GMP”, Adv. Cyclic Nucleotide Res ., 10 , 1-33, 1979.
[436] Bronchodilator Activity —A variety of isozyme-selective PDE inhibitors have been identified that cause effective relaxation of airway smooth muscle in human airways, while the presence of enzymatic activity by PDEs 1, 2, 3, 4 and 5 is identified in the tissues and cells. It became. Selective inhibitors of PDE3 and PDE4 have been found to cause bronchial ring relaxation under various conditions. In addition, cAMP is not only involved in smooth muscle relaxation, but also has an overall inhibitory effect on airway smooth muscle proliferation. Airway smooth muscle hypertrophy and hyperplasia can be controlled by cAMP, a condition that is a common morphological feature of chronic asthma. The combination of PDE3 and PDE4 inhibitors has been found to have a significant inhibitory effect on proliferation. Several classes of PDE isozymes, including PDE4, have been found in human pulmonary arteries, and selective PDE inhibitors have been found to relax pulmonary artery rings.
[437] Relaxation of the Human Bronchus- Human lung samples incised during cancer surgery are obtained within 3 days of removal. A small bronchus (inner diameter: about 2-5 mm) is excised and cut into fragments and filled with fetal bovine serum (FCS) containing 1.8 M dimethylsulfoxide (DMSO) and 0.1 M sucrose as cryoprotectant. Into the prepared 2 ml liquid nitrogen storage ampoule. The ampoules are placed in a polystyrol box (11 × 11 × 22 cm) and slowly frozen at an average cooling rate of about 0.6 ° C./min in a freezer kept at −70 ° C. After 3 to 15 hours, the ampoule is transferred into liquid nitrogen (-196 ° C.) and stored until use here. Prior to use, tissues are exposed to −70 ° C. for 30 to 60 minutes and the ampoules are thawed within 2.5 minutes in a 37 ° C. water bath. The bronchial fragments were then subjected to Krebs-Henseleit solution (μM: NaCl 118, KCl 4.7, MgSO ₄ 1.2, CaCl ₂ 1.2, KH ₂ PO ₄ 1.2, NaHCO ₃ 25, glucose 11, EDTA at 37 ° C. 0.03), placed in a dish, washed, cut into rings and suspended in a 10 ml long bath for isotropic tension recording under about 1 g preload. A concentration-response curve is created by cumulative addition, with each concentration added when the maximum effect is calculated by the previous concentration. Papaverine (300 μM) is added at the end of the concentration response curve to induce complete relaxation of the bronchial rings. The effect is taken at 100% relaxation.
[438] In this test model, the compound of formula 1 causes concentration-related relaxation of the human bronchial ring preparation at concentrations ranging from 0.001 to 1.0 μM, and in a preferred embodiment is active at concentrations ranging from 5.0 to 50 nM.
[439] Inhibition of Bombesin-Induced Bronchial Contraction- Male Dunkin-Hartley Guinea Pigs (400-800 g) with free access to food and water prior to the experiment were treated with sodium phenobarbital (100 mg / kg, intraperitoneal) and sodium Anesthesia with pentobarbital (30 mg / kg, intraperitoneal), followed by paralysis with galamine (10 mg / kg, intramuscular). Animals kept at 37 ° C. using a heating pad controlled by a rectal thermometer are vented through an tracheal cannula with an air and oxygen mixture (45:55 v / v) (about 8 ml / kg, 1 Hz). Aeration is monitored at the trachea with a pneumotachograph connected to a differential pressure transducer in line with the respiratory pump. Pressure changes in the rib cage are monitored directly through the intrathoracic cannula using a differential pressure transducer to measure and represent the pressure difference between the trachea and the rib cage. From the measurement of the air flow and transpulmonary pressure, airway resistance (R ₁ cmH ₂ O / l / s) and compliance (Cd _dyn ) are calculated for each breathing cycle using a digital electronic breathing analyzer. Blood pressure and heart rate are recorded from the carotid artery using a pressure transducer.
[440] If the values for basal resistance and compliance are stable, continuous bronchial contraction is induced by continuous intravenous infusion of bombesin (100 ng / kg / min). Bombesin is dissolved in 100% ethanol and diluted with phosphate buffered saline. Once the response to bombesin is maximal and stable (calculated 2 minutes after initiation of bombesin injection), the test compound of Formula 1 is administered. Reversal of bronchial contraction is measured over 1 hour after intratracheal or duodenal infusion or intravenous bolus injection. Bronchospasm activity is expressed as percent inhibition of initial maximal resistance (R _D ) after bombesin injection. ED ₅₀ values represent doses that result in a 50% decrease in the resistance increase caused by bombesin. Duration of action is defined as the time (in minutes) that bronchial contraction is reduced by more than 50%. The effect on blood pressure (BP) and heart rate (HR) is characterized by an ED ₂₀ value, i.e., a dose that reduces BP or HR by 20% as measured 5 minutes after administration.
[441] The test compound of formula 1 is administered in solution or as an aqueous suspension containing 0.5% tragacanth in the case of intratracheal or duodenal infusion, in which the test compound is not sufficiently dissolved. The suspension is sonicated for 5 minutes to achieve small particle size prior to administration. Each drug is tested at 2-4 doses (n = 3-4 per dose). Appropriate number of controls (5-6) are used.
[442] In this test model, the compound of formula 1 exhibits bronchodilator activity at doses ranging from 0.001 to 0.1 mg / kg (intravenous) or 0.1 to 5.0 mg / kg (duodenum).
[443] Asthmatic Rat Analysis —Tests for evaluating the therapeutic effect of a compound of Formula 1 on symptoms of dyspnea, ie, difficulty breathing or painful, use rats obtained from inbreeding asthmatic rats. Both female (190-250 g) and male (260-400 g) rats are used.
[444] Crystallized and lyophilized grade egg albumin (EA), aluminum hydroxide and methiserzide bimaliate used in this test are commercially available. The test and subsequent breath readings are performed in a clear plastic box with an internal dimension of 10x6x4 inches. The lid of the box is removable. In use, the lid is held firmly in place with four clamps and the airtight seal is maintained with a soft rubber gasket. The atomizer is inserted through a hermetic seal through the center of each end of the chamber, each end of the box also having an outlet. Insert a respirator at one end of the box, couple it to a volumetric pressure transducer, and connect it to a dynograph via an appropriate coupler. During spray injection of antigen, the outlet is open and the respiratory system separates from the chamber. The respirator and chamber are then connected while closing the outlet and recording the breathing pattern. For testing, 2 ml of a 3% solution of antigen in saline is placed in each nebulizer to generate aerosol using air from a small diaphragm pump operating at a flow rate of 10 psi and 8 l / min.
[445] Rats are sensitized by subcutaneous injection of 1 ml of a suspension containing 1 mg of EA and 200 mg of aluminum hydroxide in saline. These are used between 12 and 24 days after sensitization. To remove the serotonin component of the reaction, rats are pretreated intravenously for 5 minutes followed by an aerosol test with 3.0 mg / kg of methiserzid. The rats are then exposed to the aerosol of 3% EA in saline for exactly 1 minute, and then the breathing profile is recorded for another 30 minutes. The duration of continuous dyspnea is measured from the breathing record.
[446] Test compounds of formula (1) are generally administered orally 1 to 4 hours before testing or intravenously 2 minutes before testing. The compound is dissolved in saline or 1% methanol or suspended in 1% methocel. The injection volume of the test compound is 1 ml / kg (intravenously) or 10 ml / kg (oral). Rats are starved overnight before oral treatment. Rat activity is measured based on its ability to reduce the duration of dyspnea symptoms compared to vehicle-treated controls. The test compound of formula 1 is evaluated for a series of doses and yields an ED ₅₀ defined as a dose (mg / kg) that will inhibit the duration of symptoms by 50%.
[447] Trained, lung mechanics in conscious squirrel monkeys with - for the respiratory parameters, for the test subject to squirrel monkeys, were evaluated by the ability of a compound of formula A method of inhibiting the Asker-less (Ascaris) Antigen-induced changes in airway resistance . This test procedure involves placing a trained squirrel monkey in a chair in an aerosol exposure chamber. For control purposes, pulmonary dynamics measurements of respiratory parameters are recorded for a time period of about 30 minutes to establish normal control values for each monkey on the day. For oral administration, the compound of formula 1 is dissolved or suspended in 1% methocel solution (methylcellulose, 65HG, 400 cps) and brought to a volume of 1 ml / kg body weight. An ultrasonic nebulizer is used for the aerosol administration of the compound of formula 1. Prior to testing the monkey aerosol dose to the Asker-less antigen pretreatment period will vary in 5 minutes to 4 hours.
[448] After the test, each minute of the data is calculated as the percent change from the control value for each breathing parameter, including airway resistance (R _L ) and dynamic compliance (C _dyn ). The results for each test compound are then obtained for a minimum period of 60 minutes after the test, and then compared with the previously obtained baseline control values for the particular monkey involved. In addition, after the test for each monkey 60 minutes while the total value of, that is, the average value of the previous reference value and the test value of separately and used to calculate the overall percent inhibition of% Asker less antigen response by the test compound. To statistically analyze the results, a paired t-test is used.
[449] Prevention of allergic sheep induced bronchial contraction— Procedures for testing the therapeutic activity of compounds of formula 1 in preventing bronchial contraction are described below. The procedure is based on the discovery of allergic amounts of certain varieties with known sensitivity to the specific antigen, Ascaris suum , which responds to inhalation tests with acute and late bronchial reactions. The progression of both other acute and late bronchial reactions over time is close to the progression observed in humans with asthma; Moreover, pharmacological modifications of both acute and late maturation responses are similar to those modifications found in humans. This positive response to the antigen test is observed for most of its large airways, making it possible to monitor the effect as a change in lung resistance, ie, intrinsic lung resistance.
[450] An overgrown amount having an average weight of 35 kg (range: 18-50 kg) is used. All animals used meet the following two criteria; (1) they have an innate skin response to 1: 1000 or 1: 10000 dilutions of Ascaris island extracts, and (2) they have already undergone inhalation testing by Ascaris Island with both acute bronchial contraction and late bronchial obstruction. Have been reacted (see Abraham et al., Am. Rev. Resp. Dis ., 128 , 839-844, 1983).
[451] The unsettled sheep are locked in their carts with their heads fixed in a prone position. After local anesthesia through the nose with a 2% lidocaine solution, the balloon catheter is advanced through one nostril to the lower esophagus. Then, using a flexible fiber optic bronchoscope as a guide, a bag of endotracheal tube is inserted through the other nostril. Pleural pressure is measured using an esophageal balloon catheter (filled with 1 ml of air) positioned so that a negative pressure deflection occurs with clearly identifiable psychogenic vibrations by inspiration. Lateral pressure of the trachea is measured with a catheter (internal dimension: 2.5 mm) with side holes that run through the tracheal tube and are located far from the end of the tracheal tube. Transpulmonary pressure, ie the difference between tracheal pressure and pleural pressure, is measured using a differential pressure transducer. Tests of the pressure transducer catheter system show no phase shift between pressure and airflow for the 9 Hz frequency. To measure lung resistance (R _L ), connect the maximum end of the non-tracheal tube to the respiratory air flow meter. Signals of air flow and transpulmonary pressure are recorded on a computer-connected oscilloscope for on-line calculation of R _L from transpulmonary pressure, respiratory volume obtained from integration and air flow. 10-15 breaths are analyzed and used to determine R _L. Pulmonary resistance (SR _L = R _L · V _tg ) is obtained by measuring chest gas volume (V _tg ) by body volume variability recording method.
[452] Aerosols of Ascaris Island Extract (1:20) are generated using disposable medical nebulizers that produce aerosols with a median mass aerodynamic diameter of 6.2 μm (geometric standard deviation, 2.1) as measured by an electrical size analyzer. Effluent from the nebulizer is directed into a plastic T-part, one end of which is attached to the non-tracheal tube and the other end of which is connected to the intake of a conventional respirator. The aerosol is delivered at a total volume of 500 ml at a rate of 20 ml / min. Thus, each amount is administered with equal doses of antigen in both placebo and drug tests.
[453] Prior to the antigen test, reference measurements of SR _L are obtained, the infusion of test compounds is initiated 1 hour before the test, the SR _L measurements are repeated, and the amount is subjected to the inhalation test of the Ascaris island antigen. Measurements of SR _L are obtained immediately after the antigen test and after 1, 2, 3, 4, 5, 6, 6.5, 7, 7.5 and 8 hours. Placebo and drug trials should be at least 14 days apart. In another study, after the sheep provides a bolus dose of the test compound, the test compound is injected during the Asker-less 0.5 to 1 hour before the test and during the Asker-less 8 hours after the test as described above. The Kruskal-Wallis one-way ANOVA test is used to compare acute immediate and peak expiration responses to antigens in control and drug treated animals.
[454] Anti-inflammatory Activity —Anti-inflammatory activity of the compound of Formula 1 is evidenced by the inhibition of eosinophil activation. In this assay, blood samples (50 ml) are collected from non-atopic volunteers with eosinophil counts ranging from 0.06 to 0.47 × 10 ⁹ L ⁻¹ . Venous blood is collected in a centrifuge tube containing 5 ml of trisodium citrate (3.8%, pH 7.4).
[455] Anticoagulated blood was diluted (1: 1, v: v) with phosphate-buffered saline (no PBS, neither calcium nor magnesium), and 15 ml Isotonic Percoll (1.082) in a 50 ml centrifuge tube. To a density of 1.085 g / ml, pH 7.4). After centrifugation (30 min, 1000 × g, 20 ° C.), mononuclear cells at the plasma / percol interface are carefully aspirated and discarded.
[456] Neutrophils / eosinocytes / erythrocyte pellets (about 5 mL on a volume basis) are gently resuspended in 35 mL of isotonic ammonium chloride solution (NH ₄ Cl 155 mM; KHCO ₃ 10 mM; EDTA 0.1 mM; 0-4 ° C.). After 15 minutes, cells are washed twice with PBS containing fetal bovine serum (2%, FCS) (10 minutes, 400 × g, 4 ° C.).
[457] Eosinophils and neutrophils are separated using a magnetic cell separation system. The system can separate cells in suspension according to surface markers and includes a permanent magnet with a column disposed therein comprising a magnetizable steel matrix. Prior to use, the column is equilibrated with PBS / FCS for 1 hour and then flushed with PBS / FCS ice-cold on a retrograde basis via a 20 ml syringe. A 21 G subcutaneous needle is attached to the column base and 1-2 ml of ice cold buffer flows through the needle.
[458] After centrifugation of the granulocytes, the supernatant is aspirated and the cells are gently resuspended with 100 μl of magnetic particles (anti-CD16 monoclonal antibody conjugated to superparamagnetic particles). The eosinophil / neutrophil / anti-CD16 magnetic particle mixture is oriented on ice for 40 minutes and then diluted with 5 ml of ice cold PBS / FCS. The cell suspension is introduced slowly over the column and the stem is opened to slowly move the cells into the steel matrix. The column is then washed with PBS / FCS (35 mL), which is carefully added to the top of the column so as not to destroy the magnetic labeled neutrophils already trapped in the steel matrix. Unlabeled eosinophils are collected in 50 ml centrifuge tubes and washed (10 min, 400 x g, 4 ° C). The resulting pellets are resuspended in 5 ml Hank's Balanced Salt Solution (HBSS) so that cell number and purity can be assessed prior to use. The separation column is taken out of the magnet and the neutrophil fraction is eluted. The column is then washed with PBS (50 mL) and ethanol (anhydrous) and stored at 4 ° C.
[459] Count total cells with a micro cell counter. One drop of the solution is added to the sample and counted again after 30 seconds to assess contamination by erythrocytes. Separation samples are prepared on a Shandon Cytospin 2 cytospinner (100 μl sample, 3 minutes, 500 rpm). The preparation is stained and at least 500 cells are examined to determine the differential cell number by optical microscopy. Cell viability is assessed by trypan blue exclusion.
[460] Eosinophils are diluted in HBSS and pipetted at 1-10 × 10 ³ cells / well into 96 well microtiter plates (MTP). Each well contains 100 μl eosinophil suspension; 50 μl HBSS; 10 μl lucigenin; 20 μl activation stimulant; And 200 μl of a sample comprising 20 μl test compound.
[461] The sample was incubated with the test compound or vehicle for 10 minutes prior to the addition of the activating stimulant fMLP (10 μM) dissolved in dimethylsulfoxide, and then buffered so that the highest solvent concentration used was 1% (at 100 μM test compound). Dilute to. The MTP is shaken to promote mixing of the cells with the medium, and the MTP is placed on a luminometer. The total chemiluminescence and time profile of each well is measured simultaneously over 20 minutes and the results are shown in any unit or as a percentage of fMLP-induced chemiluminescence in the absence of test compound. Apply the result to the Hill equation and calculate the IC ₅₀ value automatically.
[462] The compound of formula 1 is active in the test method at a concentration ranging from 0.0001 to 20.0 μM, and in a preferred embodiment at a concentration ranging from 0.5 to 1000 nM.
[463] From the above results, it can be seen that the compound of formula 1 is useful for the treatment of inflammatory or obstructive airway disease or other diseases including airway obstruction. In particular, these compounds are useful for the treatment of bronchial asthma.
[464] In view of the anti-inflammatory activity of the compound, the effect of the compound on airway hypersensitivity, and in particular its profile associated with the inhibition of PDE isoenzyme as a selective PDE4 inhibitor, the compound of formula 1 is particularly effective in the treatment of obstructive or inflammatory airway disease. It is useful for treatment. Thus, by prolonged and regular administration for an extended period of time, the compounds of formula 1 are useful for providing proactive protection against relapse of bronchial contraction or other symptom onset accompanying incidental or inflammatory airway disease. Compounds of formula 1 are also useful for the inhibition, amelioration or reversal of the underlying conditions of these diseases.
[465] With regard to bronchodilator activity, the compounds of formula 1 are useful as bronchodilators, for example, in the treatment of chronic or acute bronchial contraction, and in the treatment of symptoms of obstructive or inflammatory airway disease.
[466] Accordingly, the terms "treatment" or "treating" as used throughout this specification and claims in connection with obstructive or inflammatory airway disease should be understood to include both prophylactic and symptomatic aspects of treatment.
[467] In view of the above, the present invention also provides a method of treating airway hypersensitivity in a mammal; A method of performing bronchiectasis in a mammal; And, in particular, administering an effective amount of a compound of Formula 1 to a mammalian subject in need of treatment of obstructive or inflammatory airway disease, particularly asthma. Can be.
[468] Obstructive or inflammatory airway diseases to which the present invention is applied include asthma; Pneumoconiosis; Chronic eosinophilic pneumonia; Chronic obstructive airway or lung disease (COAD or COPD); And exacerbation of airway hypersensitivity following treatment with other drugs, such as aspirin or β-agonists, as well as adult respiratory distress syndrome (ARDS).
[469] Compounds of formula (I) are all types of etiological or pathological, including intrinsic asthma due to pathophysiological disorders, exogenous asthma caused by certain factors in the environment, and essential asthma of unknown or causative causes It is useful for the treatment of asthma. Compounds of Formula 1 are useful for the treatment of allergic (atopic / bronchial / IgE-mediated) asthma; These also include, for example, bronchitis, emphysema, exercise-induced and occupational asthma; Infectious asthma due to microbial, in particular bacterial, fungal, protozoal or viral infections; And other non-allergic asthma such as early asthma (infant wheezing syndrome), and are useful in the treatment of non-atopic asthma.
[470] Compounds of Formula 1 also include, for example, aluminosis (disease of bauxite workers); Autism (miners' asthma); Asbestosis (asthma of steam-assemblers); Sarcopenia (stone disease); Phytosis caused by ostrich feather dust inhalation; Iron sedimentation caused by inhalation of iron particles; Silicosis (a disease of the polishers); Ophthalmosis (cotton dust asthma); And talc pneumoconiosis, useful for the treatment of all types of pneumoconiosis, whether etiological or pathological.
[471] 4.2. Chronic obstructive pulmonary disease (COPD)
[472] The compounds of formula 1 are also useful for the treatment of COPD or COAD, including chronic bronchitis, emphysema or dyspnea associated with it. COPD is characterized by irreversible progressive airway obstruction. Chronic bronchitis is associated with hyperplasia and enlargement of the submucosal mucus gland in the cartilaginous airways. Goblet cell hyperplasia, mucosal and submucosal inflammatory cell infiltration, edema, fibrosis, mucous plugs and increased smooth muscle are all found in the terminal and respiratory bronchioles. Small airways are known to be a major part of airway obstruction. The model is characterized by destruction of the alveolar walls and loss of lung elasticity. Many risk factors have also been found to be involved in the development of COPD. The link between tobacco smoking and COPD is clearly demonstrated. Other risk factors include exposure to coal dust and various genetic factors (Sandford et al., "Genetic risk factors for chronic obstructive pulmonary disease", Eur. Respir. J. , 10 , 1380-1391, 1997. ] Reference). The incidence of COPD is increasing and represents a significant economic burden on the population of industrialized countries. COPD also exhibits a wide range of changes from simple chronic bronchitis to severely incapacitated patients with chronic respiratory failure without clinically helplessness.
[473] COPD is characterized by inflammation of the airways as in the case of asthma, but inflammatory cells found in the bronchial alveolar lavage fluid and phlegm of the patient are neutrophils rather than eosinophilic. Increased levels of inflammatory mediators, including IL-8, LTB ₄ and TNF-α, are also found in COPD patients and have been found to be infiltrated by the superficial and epithelial T-lymphocytes and macrophages of the bronchus of these patients. . Alleviation of symptoms in COPD patients can be provided by using β-agonists and anticholinergic bronchodilators, but disease progression remains unchanged. COPD was treated with theophylline, which was not very successful, although theophylline reduced the neutrophil count in patients with COPD. Steroids also failed to provide much promise as satisfactory therapeutics in COPD.
[474] Thus, the use of compounds of formula 1 to treat COPD and associated obstructive airway disease represents a significant advance in the art. The present invention is not limited to any particular mode of action or any hypothesis as to the manner in which the compound of formula 1 is used to achieve the desired therapeutic purpose. However, it is recognized in the art that PDE4 is the dominant PDE in neutrophils and macrophages [Cheng et al., "Synthesis and in vitro profile of a novel series of catechol benzimidazoles. The discovery of potent, selective phosphodiesterase Type IV inhibitors with greatly attenuated affinity for the [3H] rolipram binding site ", Bioorg. Med. Chem. Lett ., 5 , 1969-1972, 1995; Wright et al., "Differential inhibition of human neutrophil functions: role of cyclic AMP-specific, cyclic GMP-insensitive phosphodiesterase", Biochem. Pharmacol ., 40 , 699-707, 1990; Schudt et al., "Influence of selective phosphodiesterase inhibitors on human neutrophil functions and levels of cAMP and Cai", Naunyn Schmiedebergs Arch. Pharmacol ., 344 , 682-690, 1991; and Tenor et al., "Cyclic nucleotide phosphodiesterase isoenzyme activities in human alveolar macrophages", Clin. Exp. Allergy , 25 , 625-633, 1995].
[475] In order to better understand the present invention, it is concluded that the compounds of formula 1 inhibit PDE4 in neutrophils, thereby reducing chemotaxis, activation, adhesion and degranulation [Schudt et al., Ibid .; Nelson et al., "Effect of selective phosphodiesterase inhibitors on the polymorphonuclear leukocyte respiratory burst", J. Allergy Clin. Immunol ., 86 , 801-808, 1990; and Bloeman et al., "Increased cAMP levels in stimulated neutrophils inhibit their adhesion to human bronchial epithelial cells", Am. J. Physiol ., 272 , L580-587, 1997].
[476] In addition, compounds of Formula 1 are believed to reduce superoxide anion production mediated by PDE4 in peripheral blood neutrophils [Wright et al., Ibid .; Bloeman et al., Ibid .; Al Essa, et al., "Heterogeneity of circulating and exudated polymorphonuclear leukocytes in superoxide-generating response to cyclic AMP and cyclic AMP-elevating agents: investigation of the underlying mechanism", Biochem. Pharmacol ., 49 , 315-322, 1995; Ottonello et al., "Cyclic AMP-elevating agents down-regulate the oxidative burst induced by granulocyte-macrophage colony stimulating factor (GM-CSF) in adherent neutrophils", Clin. Exp. Immunol ., 101 , 502-506, 1995; and Ottonello et al., "Tumor necrosis factor alpha-induced oxidative burst in neutrophils adherent to fibronectin: effects of cyclic AMP-elevating agents", Br. J. Haematol ., 91 , 566-570, 1995].
[477] In addition, compounds of Formula 1 are thought to inhibit CD11b / CD18 expression [Berends et al., “Inhibition of PAE-induced expression of CD11b and shedding of L-selection on human neutrophils and eosinophils by the type-IVselective PDE inhibitor , rolipram ", Eur. Respir. J., 10, 1000-1007, 1997; and Derian et al., "Inhibition of chemotactic peptide-induced neutrophil adhesion to vascular endothelium by cAMP modulators", J. Immunol., 154, 308-317, 1995].
[478] In addition, the compound of formula 1 inhibits alveolar macrophage PDE4, thereby reducing the release of chemotaxis factor and TNF-α; The compound of formula 1 increases the synthesis of anti-inflammatory cytokine IL-10 and promotes its release from monocytes, which in turn causes the cytokine IL-10 of TNF-α, IL-1β and GM-CSF by lubricating mononuclear cells. It is believed that by reducing production, it is possible to increase the overall anti-inflammatory profile of the PDE4 inhibitor of Formula 1 [Schudt et al., "PDE isoenzymes as targets for anti-asthma drugs", Eur. Respir. J. , 8 , 1179-1183, 1995; and Kambayashi et al., "Cyclic nucleotide phosphodiesterase Type IV participates in the regulation of IL-10 and the subsequent of TNF-alpha and IL-6 release by endotoxin-stimulated macrophages", J. Immunol ., 155 , 4909-4916, 1995].
[479] The application of PDE4 inhibitors to the treatment of COPD in human patients has been demonstrated in clinical trials. ARIFLO ^{R was} also known and treated with SB-207,499, represented above and below (0.1.9), for 6 weeks at a dose of 15 mg twice a day for 6 weeks, indicating an increase in FEV ₁ and forced lung capacity (FVC) [Brown , WM, "SB-207449", Anti-inflamm. Immunomodulatory Invest. Drugs , 1 , 39-47, 1999]. The clinical efficacy of SB-207,449 was also in the four week experiments which provided evidence of improved PEV ₁ ; And also in a six-week study in COPD patients receiving 15 mg twice daily, providing evidence of improved FEV ₁ [Brown, Ibid .]. SB 207,499 or ARIFLO ^R has also already been described above and can be represented by the following formula (0.1.9):
[480]
[481] 4.3. Bronchitis and bronchiectasis
[482] Depending on the particular and varying inhibitory activities described above, which compounds of formula 1 have, they are useful for the treatment of all types of bronchitis, whether pathological or pathological, including, for example, the following bronchitis: short term but severe course Acute bronchitis caused by exposure to cold, breathing of irritant or acute infection; Acute laryngeal bronchitis in the form of non-diphtheria croup; Arachidous bronchitis caused by the presence of peanut kernels in the bronchus; Catarrhal bronchitis in the form of acute bronchitis with high mucus discharge; Chronic in the form of long-lasting bronchitis with a tendency to somewhat recurring after a resting phase due to repeated onset of acute bronchitis or chronic general disease, characterized by the onset of a cough, lack or high number of effusions, and secondary changes in lung tissue. bronchitis; Croupous bronchitis, characterized by a severe cough and seizure of breathing difficulties; Dry bronchitis, characterized by low secretion of thick bile; Infectious asthmatic bronchitis, a syndrome in which the development of bronchial spasms is significant after respiratory tract infection in people with asthma; Proliferative bronchitis, which is bronchitis associated with wet cough; Staphylococcus or streptococcal bronchitis caused by staphylococcus or streptococci; And bullous bronchitis with inflammation prolonged into the alveoli, sometimes visualized as white-yellow granulation, such as millet seeds under the pleura.
[483] Bronchiectasis is a chronic dilatation of the bronchus, characterized by malodorous breathing and paroxysmal cough with the release of mucolytic substances. The disease can invade the organ uniformly, in this case called columnar bronchiectasis, or the disease may occur in irregular pockets, in which case it is called blistering bronchiectasis. If the expanded bronchial tube has terminal globular enlargement, the term spindle bronchiectasis is used. In such cases, when the enlarged condition extends to the bronchioles, the condition is referred to as capillary bronchiectasis. If the bronchiectasis are spherical, the condition is called cystic bronchiectasis. Dry bronchiectasis occurs when the accompanying infection is temporary, and the disease may involve the effusion of hemoptysis, blood, or a bloody sputum. The cough that occurs during the rest period of dry bronchiectasis is non-wet. Follicular bronchiectasis is a type of bronchiectasis in which the lymphoid tissue of the affected area is so enlarged that it can severely deform and partially close the bronchus by protrusion into the bronchial lumen. Thus, the compounds of formula 1 are useful in the advantageous treatment of various aforementioned types of bronchiectasis as a direct result of PDE4 isozyme inhibition.
[484] The utility of the compound of formula 1 as a bronchodilator or bronchospasmeptic agent for treating bronchial asthma, chronic bronchitis and related diseases and disorders described herein includes many various in vivo animals known in the art, including those described in the following paragraphs. Proven by using the model.
[485] In vitro bronchospasmosis activity -the ability of the compound of formula 1 to cause relaxation of guinea-pig organ smooth muscle is demonstrated in the following test procedure. Guinea-pig (350-500 g) is killed with sodium pentotal (100 mg / kg, intraperitoneally). The trachea is dissected and a 2-3 cm long section is excised. The trachea is incised in cross section from the alternating cartilage plate to provide a tissue ring 3 to 5 mm deep. Base and end rings are discarded. The individual rings are mounted vertically on a stainless steel support, one of which is fixed in an organ bath while the other is attached to an isometric converter. Rings were immersed in Krebs solution (composition μM: NaHCO ₃ 25; NaCl 113; KCl 4.7; MgSO ₄ .7H ₂ O 1.2; KH ₂ PO ₄ 1.2; CaCl ₂ 2.5; Glucose 11.7) at 37 ° C. and O ₂ / CO ₂ ( 95: 5, v / v) to generate gas. Rings made in this manner, preloaded with 1 g, exhibit a natural hue, and after an equilibration period (45-60 minutes), are constantly relaxed upon addition of the hardening drug. To assess mycelial activity, the test compound of formula 1 is dissolved in physiological saline and added to the long-term bath in increments of 5 minutes to create a cumulative concentration-effect curve.
[486] In this test model, the compound of formula 1 causes concentration-related relaxation of the guinea-pig organ ring formulation at concentrations ranging from 0.001 to 1.0 μM.
[487] Inhibition of airway hypersensitivity in PAF-treated animals— Anesthesia and treatment of guinea pigs to record lung function as described above in “ Inhibition of Bombesin -Induced Bronchial Contraction”. Intravenous injections of small amounts of histamine (1.0-1.8 μg / kg) result in airway sensitivity to convulsive antigens. After injection of PAF (platelet activating factor) for 1 hour (total dose = 600 ng / kg), a small amount of bombesin injection 20 minutes after discontinuation of the injection indicates the development of airway hypersensitivity, which is PAF exposure. Expressed as the paired difference between before and after maximum response magnitudes. Administration of a compound of formula 1 by injecting a dose ranging from 0.01 to 0.1 mg / kg during PAF exposure results in inhibition of PAF- and bombesin-induced airway hypersensitivity.
[488] 4.4. Allergic and other types of rhinitis; Sinusitis
[489] Allergic rhinitis is characterized by nasal congestion, itching, runny nose like water, sneezing and occasional loss of smell. Allergic rhinitis is classified into two disease categories: seasonal and persistent rhinitis, where seasonal rhinitis is caused by pollen or outdoor fungal spores, while persistent rhinitis is caused by common allergens such as house dust mites, animal dander and fungal spores. do. Allergic rhinitis usually has an early phase and a late phase. Early phase response is associated with degranulation of mast cells, while late phase response is characterized by infiltration of eosinophils, basophils, monocytes and T-lymphocytes. Various inflammatory mediators are also released by these cells, all of which may contribute to inflammation seen in late phase reactions.
[490] A particularly predominant form of seasonal allergic rhinitis is fever, which is characterized by acute conjunctivitis with tears and itching, swelling of the nasal mucosa, nose initiation, sudden onset of sneezing and often asthma symptoms. Compounds of formula 1 are particularly useful for the advantageous treatment of hyperthermia.
[491] Other types of rhinitis, in which the compound of formula 1 can be used as a therapeutic agent, include acute hyperemia of the nasal mucosa, which is characterized by dryness, followed by increased secretion of mucus from the mucosa, disorders of breathing through the nose, and slight pain Acute catarrhal rhinitis that is cold; Chronic form of atrophic rhinitis characterized by the depletion of mucous membranes and mucous glands; Purulent rhinitis, a chronic rhinitis from which pus is produced; And vasomotor rhinitis, non-allergic rhinitis, in which temporal changes in vascular tone and permeability are caused by stimulation such as mild cold, fatigue, anger and anxiety, with the same symptoms as allergic rhinitis.
[492] There is a recognized link between allergic rhinitis and asthma. Allergic rhinitis is commonly associated with asthma, and treatment of allergic rhinitis has been demonstrated to improve asthma. Epidemiological data were also used to elucidate the link between severe rhinitis and more severe asthma. For example, compound D-22888, which is under preclinical development for the treatment of allergic rhinitis, has been shown to exhibit a strong anti-allergic attack and inhibit runny nose in antigen-tested pigs (Marx et al., "D -22888-a new PDE4 inhibitor for the treatment of allergic rhinitis and other allergic disorders ", J. Allergy Clin. Immunol ., 99 , S444, 1997]. Another experimental compound, AWD-12,281, has been shown to be active in rat models of allergic rhinitis (Poppe et al., "Effect of AWD 12-281, a new selective PDE4 inhibitor, loteprednol and beclomethason in models of allergic rhinitis and airway inflammation in brown norway-rats ", Am. J. Respir. Crit. Care Med ., A95, 1999). Compounds D-22888 and AWD-12,281 have already been described above and are represented by the following formulas (0.0.28) and (0.0.34), respectively:
[493]
[494] Sinusitis is associated with rhinitis in terms of anatomical proximity and shared etiology and pathology in some cases. Sinusitis is inflammation of the sinus, and the disease can be purulent or non-purulent and can also be acute or chronic. Depending on the cavity where the inflammation is located, the disease is known as ethmoid, frontal, maxilla or sphenoidal sinusitis. The ethmoid cavity is a type of lateral sinus located in the bony bone. The frontal sinus is one of the paired nasal cavities located in the frontal bone. The maxillary cavity is one of the paired lateral nasal cavities located in the maxillary body. Thus, the compounds of formula 1 are useful for the advantageous treatment of acute or chronic sinusitis, especially chronic sinusitis.
[495] 4.5. Rheumatoid arthritis, osteoarthritis, pain, fever and gout
[496] Arthritis is defined as inflammation of the joints, and rheumatoid arthritis is a chronic systemic disease of mainly joints, usually polyarticular, mainly characterized by inflammatory changes in the synovial membrane and joint structure, and thinning of muscle atrophy and bone. Late stages of rheumatoid arthritis are characterized by stiffness and malformations. Rheumatoid arthritis is an unknown disabling autoimmune disease that affects 1% of the population.
[497] As used herein, the term “rheumatic arthritis” includes related forms of arthritis known in the art, where applicable, as such arthritis may also be treated with a compound of Formula 1. Thus, the term "rheumatic arthritis" includes acute arthritis, which is arthritis characterized by pain, fever, erythema and swelling due to inflammation, infection or trauma; Acute gouty arthritis, which is acute arthritis associated with gout; Chronic inflammatory arthritis, which is inflammation of the joints in chronic diseases such as rheumatoid arthritis; Degenerative arthritis, such as osteoarthritis; Infectious arthritis, which is arthritis caused by bacteria, rickettsia, mycoplasma, viruses, fungi or parasites; Lyme arthritis, a major arthritis of the large joints associated with Lyme 20 disease; Proliferative arthritis, which is an inflammation of the joints with synovial proliferation seen in rheumatoid arthritis; Psoriatic arthritis, a syndrome in which psoriasis develops with inflammatory arthritis; And vertebral arthritis, an inflammation involving the intravertebral discs.
[498] Three major pathological features of rheumatoid arthritis that cause progressive joint destruction are inflammation, abnormal cell and humoral responses, and synovial hyperplasia. Certain cellular pathologies of rheumatoid arthritis include the presence of T-cells and monocytes. T-cells (preferably memory T-cells) constitute up to 50% of cells recovered from the synovial tissue of patients with rheumatoid arthritis; 30-50% of monocytes found in the same tissue are antigen presenting cells that are indicative of autoimmune characteristics of the disease. Pro-inflammatory cytokines such as IL-1, IL-4, IL-5, IL-6, IL-9, IL-13, and TNF-α may cause joint tissue damage, inflammation, hyperplasia, pannus ) And the main cause of bone resorption (Firestein, GS, and Zvaifier, WJ, "How important are T-cells in chronic rheumatoid synovitis ", Arth. Rheum ., 33 , 768-773, 1990). . This has been demonstrated, for example, by the fact that monoclonal antibodies (Mab) against TNF-α have shown promise in RA clinical trials [Maini et al., "Beneficial effects of tumor necrosis factor-alpha". (TNF-α blockade in rheumatoid arthritis (RA) ”, Clin. Exp. Immunol ., 101 , 207-212, 1995).
[499] PDE4 inhibitors of Formula 1 are useful for the treatment of rheumatoid arthritis as a result of their ability to inhibit the activity of various inflammatory cells, including basophils, eosinophils and mast cells. The inhibitory activity of the compound of formula 1 is already in the above as having a broad in vitro anti-inflammatory action through the release of reactive oxygen species, prostaglandins and inflammatory cytokines such as IL-5, IFN-γ and TNF-α. (See also Cohan et al., "In vitro pharmacology of the novel phosphodiestrase Type IV inhibitor, CP-80,633", J. Pharm. Exp. Ther ., 278 , 1356-1361, 1996; and Barnette et al. , "SB207499 (ARIFLO), a potent and selective second generation phosphodiestrase 4 inhibitor: in vitro anti-inflammatory actions", J. Pharm.Exp . Ther ., 284 , 420-426, 1998). PDE4 inhibitors of Formula 1 are also known in the art as a result of their effectiveness in inhibiting T-cell proliferation mediated by many different substances, including antigens such as house dust mites. Useful for treatment [Barnette et al., Ibid .]. Promote release of cytokine IL-10 from monocytes, followed by TNF-α, IL-1, IL-4, IL-5, IL-6, IL-9, IL-13 and GM-CSF by lubricating mononuclear cells The ability of the compound of formula 1 to reduce the production of also increases the overall anti-inflammatory profile of the PDE4 inhibitor of formula 1 [Kambayashi et al., Ibid .]. In addition, the ability of compounds of Formula 1 to inhibit TNF-α release from stimulated monocytes may be correlated with an inflammatory model in animals in which anti-inflammatory effects may appear to correspond to inhibition of TNF-α accumulation. One such animal model involves the inhibition of LPS-induced TNF-α release in mice by oral administration of PDE4 inhibitors [Cheng et al., “The phosphodiesterase Type 4 (PDE4) inhibitor CP-80,633 elevates cyclic AMP levels and decreases TNF-α production in mice: effect of adernalectomy ", J. Pharm. Exp. Ther ., 280 , 621-626, 1997]. Another such animal model involves the suppression of paw edema of rats induced by carrageenan by oral administration of rolipram [Singh et al., "Synovial fluid levels of tumor necrosis factor a in the inflamed rat knee: Modulation by dexamethasone and inhibitors of matrix metalloproteinases and phosphodiesterase ", Inflamm. Res ., 46 (Suppl. 2), S153-S154, 1997].
[500] Animal models of rheumatoid arthritis have also been used in the art for the purpose of demonstrating a correlation between in vivo regulation of TNF-α by PDE4 inhibitors and their utility in the treatment of rheumatoid arthritis. The activity of rolipram in animal models of acute inflammation, such as the mouse-assisted arthritis model, has been demonstrated in the art [Sekut et al., "Anti-inflammatory activity of phosphodiesterase (PDE) IV inhibitors in acute and chronic models of inflammation ", Olin. Exp. Immunol ., 100 (1), 126-132, 1995]. Rolipram's ability to reduce disease severity in collagen II-induced arthritis (CIA) models following subcutaneous or intraperitoneal injection has been demonstrated in the art [Nyman et al., "Amelioration of collagen II induced arthritis in rats". by Type IV phosphodiesterase inhibitor rolipram ", Olin. Exp. Immunol ., 108 , 415-419, 1997]. In this study, the method of administration for rolipram was 2 mg / kg twice daily for 5 days prior to the onset of arthritis, which significantly delayed the onset of symptoms of arthritis. After discontinuation of treatment, the test animals showed arthritis and reached the same arthritis highest score as the control. In the same study, rolipram was also administered at 3 mg / kg twice daily at the time of onset of arthritis. The treatment stopped the progression of severity by radically changing the progress of the disease, and even after discontinuation of the treatment, the arthritis score did not reach the level observed in the untreated animals. Researchers could also demonstrate strong down-regulation of TNF-α and IFN7 mRNA expression in regional lymph nodes, suggesting that the main effect of rolipram is exerted on the effector of the inflammatory process [Nyman et al., Ibid . ].
[501] Inhibition of TNF-α Production by Human Monocytes in Vitro—Inhibitory effects of compounds of Formula 1 on in vitro TNF-α production by human monocytes are described in EP 411 754 (Badger et al.) And WO 90/15534. Can be measured according to the protocol described in (Hanna). The referenced publications also describe two endotoxin shock models that can be used to determine the inhibitory activity in vivo of the compound of formula (I). The protocol used in these models is detailed and test compounds demonstrate advantageous results by reducing the serum levels of TNF-α caused by endotoxin injection.
[502] Selective PDE4 inhibitors, such as RP73401, have been shown to show significant improvement in disease, particularly joint destruction, synovitis and fibrosis, in animal models, including animal models including streptococcal cell wall (SCW) -induced arthritis [ Souness et al., "Potential of phosphodiesterase Type IV inhibitors in the treatment of rheumatoid arthritis", Drugs , 1 , 541-553, 1998].
[503] Of particular interest in the treatment of rheumatoid arthritis is the observation that PDE4 inhibitors have a beneficial effect at the site of disease action. For example, RP73401 has been shown to reduce TNF-α mRNA expression at the Pannus / Cartilage interface of the foot joints of collagen II treated mice [Souness et al., Ibid .]. RP73401 has also been clinically studied in a placebo-controlled, double-blind phase II study of rheumatoid arthritis patients, i.e., 35 patients with 400 pg of compound administered by intradermal injection. The compound could induce favorable trends for clinical improvement associated with a decrease in serum levels of C-reactive protein and IL-6 [Chikanza et al., "The clinical effects of RP73401 phosphodiesterase Type 4 inhibitor in patients with rheumatoid arthritis ", Br. J. Rheumatol ., 36 : Abstr. Suppl. 1, 186, 1997].
[504] Analysis of Increased cAMP Accumulation in Intact Tissue Using U-937 Cells-Another assay suitable for demonstrating PDE4 inhibitory activity of a compound of Formula 1 is U-937 obtained from a human monocyte cell line found to contain large amounts of PDE4. Using cells. To assess the inhibition of PDE4 activity in intact cells, undifferentiated U-937 cells were incubated for 1 minute with test compounds in concentrations ranging from 0.01 to 1000 pM at a density of about 10 ⁵ cells per reaction tube and 1 μM Incubate for another 4 minutes with prostaglandin E2. Five minutes after the start of the reaction, 17.5% perchloric acid is added to lyse the cells, and then 1M potassium carbonate is added to make the pH neutral. The cAMP content of the reaction tube is measured using the RIA technique. Detailed protocols for performing this assay are described in Brooker et al., "Radioimmunoassay of cyclic AMP and cyclic GMP", Adv. Cyclic Nucleotide Res ., 10 , 1-33, 1979.
[505] Gout refers to a series of purine metabolic disorders, in which fully developed gout is characteristic acute inflammatory arthritis caused by hyperuricemia, recurrence, crystallization of uric acid monosodium monohydrate, gout nodular in and around the limb joints It is manifested in various combinations of deposition (this can lead to joint destruction and severe lethargy), and uric acid urolithiasis. Rheumatoid gout is another name for rheumatoid arthritis. Nodular gout is gout in which nodule or calcite deposits of sodium urate are present. Some therapeutic agents, such as phenylbutazone and colchicine, are useful in treating gout and its collateral inflammation; Other therapeutic agents, such as sulfinpyrazone and benzbromarone, only have uric acid reducing properties.
[506] Fever, or fever, may be the result of any of a number of different factors, but in the context of the present invention, the fever is manifested as pharyngeal conjunctival fever or rheumatic fever, or during inflammatory processes. Accompanying inflammation is pain, especially pain in the joints and connective tissue of patients suffering from rheumatoid arthritis and gout.
[507] Thus, the PDE4 inhibitory compounds of Formula 1 provide advantageous results for the treatment of fever and pain associated with gout and inflammation.
[508] 4.6. Eosinophil-related disease
[509] The ability of PDE4 inhibitory compounds of formula (1) to inhibit eosinophil activation as part of total anti-inflammatory activity has been described above. Thus, the compounds of formula 1 are useful for the treatment of eosinophil-related diseases. Such diseases include eosinophilia, in which an abnormally high number of eosinophils is produced and accumulated in the blood. The disease name is derived from "eosin", a rose dye or dye containing a bromine derivative of fluorescein that readily stains "eosinophilic leukocytes" in the blood of a patient, thus making the patient easy to identify. . Certain eosinophil diseases that can be treated in accordance with the present invention are pulmonary infiltrating eosinophilia, which is characterized by infiltration of pulmonary parenchyma by eosinophils. The disease includes in particular Loffler syndrome, a disease characterized by transient infiltration of the lung, accompanied by coughing, fever, dyspnea and eosinophilia.
[510] Other eosinophilic disorders include chronic interstitial lungs characterized by coughing, dyspnea, boredom, fever, night sweats, weight loss, eosinophilia, and chest pictures showing non-segmented, non-mobile infiltration at the periphery of the lungs Disease chronic eosinophilic pneumonia; It is a semi-acute or chronic form of latent filamentous fungus , usually including Brugia malayi , Wuchereria bancrofti , or a filamentous insect that infects animals. Tropical pulmonary eosinophilia characterized by tingling and coughing, markedly elevated eosinophilia, and diffuse retinal nodule infiltration of the lungs; The most common type formed by colonization of Aspergillus in the cavities and lungs of the nose as well as inflammatory granulomatous lesions in the skin, ears, orbits and sometimes bones and meninges, and in the bronchus or lung cavities the ingots of fungi Aspergillus species Aspergillus infection of the bronchi and lungs by (Aspergillus) in fungi that cause bronchopneumonia aspergillus certificate is included.
[511] The term "granulomatous" means containing granulomas, and the term "granulomatous" usually refers to any nodular border of said accumulation of mononuclear inflammatory cells or modified macrophages similar to epithelial cells surrounded by the edges of lymphocytes. Refers to agglomerates having, generally fibrosis around the lesion. Some granulomas contain eosinophils. Granulomatous formation represents a chronic inflammatory response initiated by a variety of infectious and noninfectious agents. Many such granulomatous diseases, such as Chug-Strauss, are a form of systemic necrotic vasculitis, in which there is a clear pulmonary association, usually manifested as eosinophilia, granulomatous reactions and usually severe asthma. Allergic granulomatous vasculitis, also called syndrome, is treatable using the compound of formula (1). A related disease is nodular polyarteritis (PAN), which is characterized by multiple inflammatory and destructive arterial lesions, and includes small and medium arteries, accompanied by signs and symptoms resulting from affected organ systems, especially lung infarction and scarring. Is a form of systemic necrotic vasculitis. Other eosinophil-related diseases that can be treated in accordance with the present invention are those that involve the airways, either induced or caused by a response to a therapeutic agent that is independent of any compound of formula (1).
[512] 4.7. Atopic dermatitis, urticaria, conjunctivitis and uveitis
[513] Atopic dermatitis is a chronic inflammatory dermatitis often present in individuals with genetic predisposition to lowered skin thresholds for pruritus, which are accompanied by allergic rhinitis, high fever, and asthma and are often characterized by excessive itching. Atopic dermatitis is also called allergic dermatitis, and allergic or atopic eczema.
[514] Atopic dermatitis (AD) is the most common chronic inflammatory skin disease in young children and develops in 10-15% of the childhood population. Atopic dermatitis is often associated with asthma and allergies and has become known as a component of the so-called "atopic triad," since the disease often occurs in individuals with asthma and / or allergic rhinitis. Leung Dym, Atopic Dermatitis: From Pathogenesis To Treatment , RG Landes Co., Austin, Texas, 1-226, 1996). Thus, immune dysfunction associated with atopic dermatitis can be treated using a therapeutic agent that is an inhibitor of PDE4. For example, Rolipram, Ro-201724 and Denbuphylline have been reported to provide concentration-related inhibition on the proliferation of human peripheral blood mononuclear cells (HPBM) obtained from normal patients and patients with atopic dermatitis. (See Torphy et al., Drugs and the Lung , Eds. Page and Metzger, Raven Press, New York, 1994; and O'Brien, Mol. Medicine Today , 369, 1997). The studies also confirmed that the proliferative response of HPBM from atopic dermatitis patients was more sensitive to PDE4 inhibition than the proliferation observed in HPBM from normal subjects.
[515] Th2-type cytokine-secreting T-cells expressing cutaneous lymphocyte binding antigen play a central role in the induction of local IgE responses and supplementation of eosinophils in the disease. Chronic inflammation seen in atopic dermatitis is considered to be the result of several interdependent factors, such as repeated or prolonged allergen exposure that can induce Th2 cell expansion. An increased frequency of allergen specific T-cells producing elevated IL-4, IL-5 and IL-3 levels in the blood of patients with atopic dermatitis has been demonstrated (Leung Dym et al., “Allergic and immunological skin disorders ", JAMA , 278 (22), 1914-1923, 1997). This is important because IL-4 and IL-3 induce the expression of vascular adhesion molecule-1 (VCAM-1), an adhesion molecule involved in the migration of monocytes and eosinophils to tissue inflammation sites. IL-5 is also a key mediator of eosinophil activation, a common feature of atopic diseases.
[516] Increased concentrations of cAMP in lymphocytes and basophils have long been known to be associated with decreased mediator release from these cells, more recently histamine acting on the H2 receptor increases cAMP levels and IL-4 production in mouse Th2 cells Has been reported to inhibit. Thus, it is presumed that atopic diseases such as atopic dermatitis have a reduced β-adrenergic response, or increased PDE4 activity of the leukocyte inflammatory response. Reduced cAMP response can result from increased PDE4 activity, either genetically based or acquired conditions.
[517] A study comparing different cell types from atopic patients with those from healthy volunteers was conducted, and as a result, increased cAMP-PDE activity in atopic cells was correlated with abnormal inflammation and immune cell function in atopic dermatitis. It turned out. In addition, PDE4 enzymes from atopic leukocytes are more sensitive to PDE4 inhibitors than PDE4 enzymes from normal leukocytes and have demonstrated up to 14-fold differences (Chan and Hanifin, "Differential inhibitory effects of cAMP phosphodiesterase isoforms in atopic and normal leukocytes ", J. Lab. Clin. Med ., 121 (1), 44-51, 1993). Increased sensitivity has also been shown in the inhibition of proliferation of peripheral blood mononuclear cells taken from atopic donors when treated with PDE4 inhibitors. For example, rolipram has been found to be more effective as an IC ₅₀ of 280 nM compared to an IC ₅₀ of 2600 nM when inhibiting PHA stimulated atopic dermatitis PBMC proliferation than when inhibiting PHA stimulated normal PBMC proliferation. lost.
[518] In addition, a structurally diverse range of selective PDE4 inhibitors have been shown to be effective in relieving cutaneous eosinophilia in guinea pigs mediated by a series of substances such as PAF, arachamic acid, zymosan activated plasma and skin hypersensitivity proteins. (See Beesley et al., "Synthesis and evaluation of a novel series of phosphodiesterase 4 inhibiotrs. A potential treatment for asthma", Bioorg. Med. Chem. Letts ., 8 , 2629-2634, 1998). The data show the utility of PDE4 inhibitors in treating eosinophil-induced skin diseases. The treatment is by topical administration, for example, in clinical trials, it was found that topical application of Artizoram to both patients for 8 days effectively suppressed all of the inflammatory parameters tested, resulting in qualitative and quantitative improvement without side effects. (See Hanifin et al., "Type 4 phosphodiesterase inhibitors have clinical and in vitro anti-inflammatory effects in atopic dermatitis", J. Invest. Dermatol ., 107 , 51-56, 1996).
[519] Thus, PDE4 inhibitors of Formula 1 are useful for the advantageous treatment of atopic dermatitis as described above. A related therapeutic application where compounds of formula 1 also provide advantageous results is the treatment of urticaria. Urticaria is a vascular response involving the upper dermis, typically a transient vascular response, characterized by the development of swelling or rash, indicating localized edema caused by dilated capillaries and increased permeability. Many different stimuli can induce a hives response, which may be complement-mediated, hives-induced, physical, which may include an immune-mediated, immunological or non-immune mechanism, depending on the cause of the palpation. It can be classified as drug-induced, stress-induced or idiopathic. The disease may also be marked as acute or chronic, depending on the duration of onset. Angioedema is the same response in deep dermis or subcutaneous or submucosal tissue.
[520] The most common type of urticaria that can be treated with the compound of formula (1) is that acetylcholine released from parasympathetic or motor nerve endings is believed to be a non-immune hypersensitivity reaction that induces release of mediators from mast cells, Or cholinergic urticaria, characterized by the presence of pronounced spot blots surrounded by erythema sites, caused by conditions of heat in the increased environment; Cold, water, or existing lesions occur in two forms: autosomal dominant forms associated with fever, arthralgia, and leukocytosis, which are erythematous plastic papules and macular, and usually more idiopathic and self-limiting acquired forms Cold urticaria, which is urticaria that is promoted by factors that do; Contact urticaria, which is a localized or generalized transient swell-and-flare response elicited by exposure to urticaria-causing substances that can be rapidly absorbed; Large granular urticaria, angioedema; And papular urticaria, a persistent skin rash that exhibits hypersensitivity reactions to insect infestations.
[521] Thus, PDE4 inhibitors of Formula 1 are useful for the advantageous treatment of various types of urticaria as described above. A related therapeutic application where compounds of formula 1 also provide advantageous results is the treatment of various ophthalmic applications, in particular conjunctivitis and uveitis.
[522] The conjunctiva is a delicate membrane that contacts the eyelids and covers the exposed surface of the sclera. Conjunctivitis is inflammation of the conjunctiva, usually consisting of conjunctival hyperemia associated with the discharge. The most common types of conjunctivitis treatable with compounds of Formula 1 include, but are not limited to, chemical conjunctivitis caused by ultraviolet light; Acute catarrhal conjunctivitis, acute infectious conjunctivitis associated with cold or catarrh, characterized by complete hyperemia, edema, loss of transparency, and mucus or mucus discharge; Acute infectious conjunctivitis, a mucinous epidemic conjunctivitis caused by Haemophilus aegyptius , also called "pinkeye", with the same symptoms as acute catarrhal conjunctivitis; Allergic conjunctivitis, which is a component of fever; Airborne allergens such as atopic conjunctivitis, an immediate allergic conjunctivitis caused by pollen, dust, spores and animal dandruff; Chronic catarrhal conjunctivitis, a mild chronic conjunctivitis with only slight congestion and mucus discharge; Purulent conjunctivitis, acute conjunctivitis caused by bacteria or viruses, in particular gonococcus, meningococcal, pneumococci and streptococci, characterized by severe inflammation of the conjunctiva and large discharges of pus; And spring conjunctivitis, an unexplained seasonal biconjunctivitis, which occurs in children, especially boys, and is characterized by smooth papules and thick gelatinous secretions. Thus, PDE4 inhibitors of Formula 1 are useful for the advantageous treatment of various types of conjunctivitis as described above. A related therapeutic application in which compounds of formula 1 also provide advantageous results is the treatment of uveitis.
[523] The uvea is the vascular interlayer or envelope of the eye, including the iris, ciliary body and choroid. Uveitis is inflammation of all or part of the uvea and usually involves other envelopes of the eye, namely the sclera and cornea, and also the retina. The most common types of uveitis treatable with a compound of Formula 1 include anterior uveitis, which is uveitis related to the structure of the iris and / or ciliary body, including iris, cystitis and iris-shaped salts; Granulomatous uveitis, which is uveitis in any part of the uveal tract, in particular the posterior part, characterized by nodule aggregates of macrophages and macroepithelial cells surrounded by lymphocytes; Granulomatous uveitis, which is an inflammation of the anterior part of the uveal tract, ie the iris and ciliary body; Crystalline antigenic uveitis, one of the lens-induced uveitis, which is a severe anterior uveitis similar to sympathetic ophthalmitis, observed weeks or even months after extracapsular lens surgery or other trauma to the capsule; And posterior uveitis, which is uveitis associated with the posterior part of the eye, including choroiditis and chorioretinitis. Thus, PDE4 inhibitors of Formula 1 are useful for the advantageous treatment of various types of uveitis as described above.
[524] 4.8. psoriasis
[525] Psoriasis is a common chronic squamous skin disease with polygenetic inheritance and varying course, characterized by micro abscesses and spongy pustules, and erythematous dry, peeling spots of various sizes. Psoriasis is a common skin disease that affects about 2% of the population, and in the United States more than 1.5 million patients consult with doctors each year for treatment. Psoriasis is usually recurrent and in some cases can be very debilitating. The pathogenesis of psoriasis is unknown, but it is thought to be an autoimmune disease with genetic predisposition.
[526] Psoriasis involves giant T-cell infiltration in the affected area of the skin by CD4 + lymphocytes in the dermis and CD8 + lymphocytes in the epidermis. The lymphocytes secrete IL-2, IFN-γ and TNF-α, which alter the proliferation and differentiation of keratinocytes. In addition, 5 to 10% of patients with psoriasis develop psoriatic arthritis, the symptoms of which are very similar to those of rheumatoid arthritis. As already discussed above, due to the wide range of anti-inflammatory activity exhibited by PDE4 inhibitors, these inhibitors can be advantageously used for the treatment of psoriasis.
[527] Treatment of epidermal basal cells in primary cultures with Ro 20-1724, a PDE4 inhibitor, demonstrated a threefold increase in cAMP concentration. It was also found that treatment of psoriatic epidermal slices and keratomed psoriatic epidermal slices with Ro 20-1724 results in a very significant increase in the concentration of cAMP compared to the control. In particular, a 1395% increase in the concentration of cAMP was observed in the keratinous psoriatic epidermis. PDE4 inhibitors have also been found to inhibit the inflammatory response of many mediators by topical or systemic administration. For example, rolipram has been shown to inhibit soy milk-induced ear inflammation in mice at topical doses as low as 0.03 mg in the ear. Ro 20-1724, a selective PDE4 inhibitor, was also investigated in two double-blind studies comparing its effect on vehicle, where it was found that psoriasis lesions were improved without systemic or skin side effects.
[528] 4.9. Multiple Sclerosis and Other Inflammatory Autoimmune Diseases
[529] Sclerosis is sclerosis, in particular referring to the cure of one site from inflammation and from the increased production of connective tissue and in a disease of interstitial material. The term "sclerosis" is used primarily for the hardening of the nervous system due to the deposition of connective tissue, or to indicate hardening of blood vessels. Multiple sclerosis (MS) is a condition in which demyelination lesions of various sizes exist throughout the white matter of the central nervous system (sometimes spreading to the gray matter), causing weakness, cooperative ataxia, paresthesia, speech disorders and visual disturbances. Multiple sclerosis is an unknown disease with prolonged processes involving many palliatives and relapses.
[530] Multiple sclerosis is an autoimmune disease that in addition to chronic inflammation and demyelination also causes gliocytosis in the central nervous system. There are several subtypes of the disease, including primary progressive multiple sclerosis, and relapsing-remitting multiple sclerosis. Subtypes of these diseases can be distinguished from each other based on the course of the disease, the type of inflammation involved and using magnetic resonance imaging (MRI). The underlying mechanism of the disease can also be changed during the course of multiple sclerosis, in which the process based on inflammation later changes to a process involving demyelination and axon damage (Weilbach and Gold, "Disease modifying treatments for multiple sclerosis. What is on the horizon ", CNS Drugs , 11 , 133-157, 1999].
[531] In multiple sclerosis, skin plaques characterized by demyelination are evidence of the disease, but inflammatory lesions are localized to white matter of the central nervous system and spread throughout the white matter. The progression of demyelination is then caused by necrosis of dendritic glial cells, which together with local cells such as astrocytes, microglia and microvascular brain endothelial cells, form a type II major histocompatibility complex (MHC). It is associated with infiltrates consisting mainly of the expressing T-cells and macrophages. Thus, these cells are involved in antigenic status and inflammatory responses, and many pro-inflammatory cytokines, including TNF-α, TNF-β, IL-1, IL-6, and IFN-γ, are found in brain tissues of multiple sclerosis patients. And their presence is generally associated with active lesions. In particular, TNF-α has been of interest because it mediates myelin and oligodendrocyte damage in vitro, induces astrocytes to express surface adhesion molecules and is associated with the destruction of the blood brain barrier.
[532] Animal models were used to demonstrate the role of TNF-α in multiple sclerosis, for example, in experimental allergic cerebrospinal fluid (EAE), administration of anti-TNF antibodies or soluble TNF receptors has been shown to provide a protective effect. (Selmaj et al., "Prevention of chronic relapsing experimental autoimmune encephalomyelitis by soluble tumor necrosis factor", J. Neuroimmunol ., 56 , 135-141, 1995). Direct correlation between TNF-α mRNA levels and the progression of EAE has also been reported (Reeno et al., "TNF-alpha expression by resident microglia and infiltrating leukocytes in the central nervous system of mice with experimental allergic encephalomyelitis: regulation) by the Th1 cytokines ", J. Immunol ., 154 , 944-953, 1995). Another evidence demonstrating that TNF-α is a mediator of multiple sclerosis is the increased concentration of TNF-α in the cerebrospinal fluid of multiple sclerosis patients over the course of the disease. In addition, transgenic mice overexpressing TNF-α in the central nervous system showed signs of spontaneous demyelination, whereas transgenic TNF-α treated mice showed a protective effect (Probert et al., “Spontaneous inflammatory demyelinating disease). in transgenic mice showing central nervous system-specific expression of tumor necrosis factor alpha ", Proc. Natl. Acad. Sci. USA , 92 , 11294-11298, 1995; and Liu et al.," TNF is a potent anti-inflammatory cytokine in autoimmune-mediated demyelination ", Nature Med ., 4 , 78-83, 1998).
[533] PDE4 inhibitors also reduce TNF-α, and as discussed above, these inhibitors are advantageous for the treatment of multiple sclerosis because TNF-α plays a key role in mediating multiple sclerosis. For example, in a silken monkey model of experimental allergic cerebrospinal fluid, rolipram has been shown to suppress the manifestation of clinical signs and to remove abnormalities in MRI images. In another study of the effect of rolipram on chronic recurrent experimental allergic cerebrospinal fever in SJL mice, rolipram has been shown to improve clinical signs and pathological changes in the model (Genain et al. , "Prevention of autoimmune demyelination in non-human primates by a cAMP-specific phosphodiesterase", Proc. Natl. Acad. Sci. USA , 92 , 3601-3605, 1995; and Sommer et al., "Therapeutic potential of phosphodiesterase Type 4 inhibition in chronic autoimmune demyelinating disease ", J. Neuroimmunol ., 79 , 54-61, 1997).
[534] In addition to inhibiting PDE4 activity and production of TNF-α, the compounds of formula 1 also have activity as immunosuppressive agents, and where inflammation is part of an autoimmune disease or inflammation is part of the pathogenesis of autoimmune disease Inflammation is particularly useful for treating autoimmune diseases that involve autoimmune diseases. Alternatively, the compound of formula 1 is an anti-inflammatory agent useful in the treatment of inflammatory diseases in which the autoimmune response is part of an inflammatory disease or the autoimmune response is part of the pathogenesis of an inflammatory disease or otherwise the autoimmune response is accompanied by an inflammatory disease . Thus, the compounds of formula 1 are useful for the treatment of multiple sclerosis as discussed above and in detail.
[535] Other autoimmune / inflammatory diseases that can be treated by a therapeutic agent comprising a compound of Formula 1 include, but are not limited to, autoimmune hematological diseases such as hemolytic anemia, aplastic anemia, erythrocytic anemia and idiopathic thrombocytopenic purpura; Systemic lupus erythematosus; Polychondritis; Scleroderma; Wegner's granulomatosis; Dermatitis; Chronic active hepatitis; Myasthenia gravis; Stevens-Johnson syndrome; Idiopathic sprues; Autoimmune inflammatory bowel disease such as ulcerative colitis and Crohn's disease; Endocrine eye diseases; Grave's disease; Sarcoidosis; Alveolitis; Chronic irritable pulmonary parenitis; Primary biliary cirrhosis; Juvenile diabetes (type I diabetes); Anterior uveitis and granulomatous (rear) uveitis; Dry keratoconjunctivitis and epidemic keratoconjunctivitis; Diffuse interstitial pulmonary fibrosis (interstitial pulmonary fibrosis); Idiopathic pulmonary fibrosis; Cystic fibrosis; Psoriatic arthritis; Glomerulonephritis with nephrotic syndrome and glomerulonephritis without nephrotic syndrome, including acute glomerulonephritis, idiopathic nephrotic syndrome and microvariable nephropathy; Inflammatory / hyperproliferative skin diseases, including psoriasis and atopic dermatitis, contact dermatitis, allergic contact dermatitis, benign familial pemphigus, erythematous pemphigus, foliar pemphigus, and vulgaris asperm as discussed in more detail above However, it is not limited thereto.
[536] In addition, the compound of formula 1 may be used as an immunosuppressive agent for the prevention of allograft rejection after organ transplantation, wherein the organs are typically bone marrow, intestine, heart, kidney, liver, lung, pancreas, skin and cornea. Organization is included.
[537] 4.10. Inflammatory bowel disease
[538] Ulcerative colitis (UC) is an unexplained and chronic recurrence in the colon, mainly mucosa and submucosa, which is manifested in abdominal pain, rectal bleeding, and open discharge of mucus that lacks blood, pus, and powder, which causes clinical cramps. It is a sexual ulcer. Intestinal related diseases are a type of unexplained colitis that is characterized by the deposition of collagen material under the epithelium of the colon and is characterized by convulsive abdominal pain, with marked decreases in fluid and electrolyte absorption leading to watery diarrhea. Collagen colitis; Polyponic colitis, which is ulcerative colitis associated with the formation of a gapollip, ie, the formation of islet with edema inflammation of the mucous membrane between ulcer sites; And cervical colitis which is clinically similar to ulcerative colitis but is a full-thickness inflammation of the intestine rather than mucosal and submucosal diseases, often accompanied by the formation of long or deep ulcerations, usually undecayed granulomas (the disease is often partially Stenosis is common and fistulas, especially in the perineum, are a common complication).
[539] Crohn's disease (CD) is associated with any part of the gastrointestinal tract, but usually involves distal ileum with scarring and thickening of the barrier, often leading to intestinal obstruction and fistula and abscess formation and a high rate of recurrence after treatment It is a chronic granulomatous inflammatory disease of unknown etiology. Ulcerative colitis, Crohn's disease and related diseases discussed above are collectively referred to as inflammatory bowel disease (IBD). These diseases are immunologically mediated and chronic, spontaneously recurrent diseases of unknown cause whose pathology has been confirmed using animal models and advanced immunological techniques (Bickston and Caminelli, "Recent developments in the medical therapy of IBD ", Curr. Opin. Gastroenterol ., 14 , 6-10, 1998; and Murthy et al.," Inflammatory bowel disease: A new wave of therapy ", Exp. Opin. Ther. Patents , 8 (7) , 785-818, 1998). The incidence of ulcerative colitis remained relatively stable, but the incidence of Crohn's disease increased significantly.
[540] Current treatments for inflammatory bowel disease include 5-aminosalicylic acid, corticosteroids, and immunomodulators such as azathioprine, 6-mercaptopurine and methotrexate. Since these agents have a wide range of adverse side effects and do not alter the disease itself, there is a continuing need for more effective therapeutics. The compound of formula 1 can advantageously treat inflammatory bowel disease as a result of its ability to inhibit the production of TNF-a because TNF-α causes immune cell activation, proliferation and mediator release in inflammatory bowel disease ( See Radford-Smith and Jewell, "Cytokines and inflammatory bowel disease", Baillieres Clin. Gasteroenterol ., 10 , 151-164, 1996. TNF-α was also detected in the feces and intestinal mucosa of patients with inflammatory bowel disease. In addition, early clinical studies of Crohn's disease using TNF monoclonal antibodies have shown considerable promise.
[541] As already detailed above, selective PDE4 inhibitors have a significant effect on the inhibition of TNF-α release from peripheral blood mononuclear cells after peripheral blood mononuclear cells are stimulated with a wide range of mediators both in vitro and in vivo. Arophylline, a selective PDE4 inhibitor, has been shown to provide a beneficial effect when tested in a colitis model in rats. In addition, in the dextran sulfate-induced colitis model in rats, rolipram and the selective PDE4 inhibitor LAS31025 demonstrated a beneficial effect comparable to prednisolone. Both test compounds have been found to improve bleeding and inflammation indices (Puig et al., "Curative effects of phosphodiesterase 4 inhibitors in dextran sulfate sodium induced colitis in the rat", Gastroenterology , 114 (4), A1064, 1998]. Other researchers have used another model to demonstrate the ability of selective PDE4 inhibitors to provide gastrointestinal protection. For example, it has been found that lipopolysaccharide-induced erythrocyte hemostasis in rats and intestinal hypoperfusion in dogs can be alleviated by the selective PDE4 inhibitors, rolipram and denbuphylline (Cardelus et al., "Inhibiting LPS induced bowel erythrocyte extravsation in rats, and of mesenteric hypoperfusion in dogs, by phosphodiesterase inhibitors ", Eur. J. Pharmacol ., 299 , 153-159, 1996; and Cardelus et al.," Protective effects of denbufylline against endotoxin induced bowel hyperplasia ", Met. Find. Exp. Clin. Pharmacol ., 17 (Suppl. A), 142, 1995).
[542] 4.11. Septic shock, kidney failure, cachexia and infection
[543] Septic shock is a shock associated with an irresistible infection, most commonly infection by Gram negative bacteria, but can also be caused by other bacteria, viruses, fungi and protozoa. Septic shock is considered to result from the action of endotoxins or other products of infectious agents on the vascular system, causing large amounts of blood to escape from capillaries and veins. Activation of the complement and kinin systems and release of histamine, cytokines, prostaglandins and other mediators are also included.
[544] In a model of endotoxin-induced acute renal failure in rats, Ro-201724, a selective PDE4 inhibitor given at 10 μg / kg / min post-treatment, significantly increased urinary cAMP secretion and endotoxin-induced increase in renal vascular resistance It has been found to significantly reduce the decrease in blood flow and glomerular filtration rate of, and kidneys. Ro-201724 has also been shown to improve survival for endotoxin-treated rats (see Carcillo et al., Pharmacol. Exp. Ther ., 279 , 1197, 1996). Pentoxifylline has also been studied in patients suffering from septic shock. In this study, 24 individuals who met the criteria for septic shock were selected, of which 12 were given pentoxifylline at 1 mg / kg / hour for 24 hours and the other 12 as controls. After 24 hours, TNF-α levels in the treatment group were significantly lowered while IL-6 levels were significantly increased.
[545] In another study, 5-50 mg / kg of pentoxifylline was pretreated intraperitoneally three times, or 10-30 mg / kg of the selective PDE4 inhibitor rolifram three times intraperitoneally and 0.1-3 mg / kg. Pretreatment of denbuphylline in the abdominal cavity three times resulted in a decrease in lipopolysaccharide-induced intestinal erythrocyte hemolysis in rats and a decrease in lipopolysaccharide-induced mesenteric blood flow without denbuphylline affecting renal blood flow or heart rate index. Has been found to be 100 times more effective than pentoxifylline in inhibiting (see Cardelus et al., Ibid., Eur. J. Pharmacol .).
[546] Renal failure is a condition in which the kidney is unable to secrete metabolites at normal plasma levels under normal loading conditions, or maintain electrolytes under normal absorption conditions. In acute form, renal failure is characterized by uremia, and usually with urinary hyperemia and pulmonary edema. Based on the above-described activity of selective PDE4 inhibitors, selective PDE4 inhibitors have proven useful for the treatment of renal failure, especially acute renal failure (Begany et al., "Inhibition of Type IV phosphodiesterase by Ro-20-1724 attenuates endotoxin- induced acute renal failure ", J. Pharmacol. Exp. Thera ., 278 , 37-41, 1996; see also WO 98/00135, assigned to the University of Pittsburgh). Thus, the compounds of formula 1 are useful for the treatment of renal failure, especially acute renal failure.
[547] Cachexia is a severe and prominent condition that is characterized by general poor health and malnutrition. Cachexia may be the end result of many causative factors, for example cachexia may result from infection by any of a variety of microorganisms including many different single cell organisms or bacteria, viruses, fungi and protozoa. Malaria cachexia is representative and includes a group of chronic traits resulting from previous severe malaria, the main signs being anemia, earthy skin, yellow skin, hyperplasia and hepatomegaly. Another cause of cachexia is a deficiency or degeneration of fluid or other organ function, for example, pituitary cachexia is tuberculosis, resulting from total loss of pituitary function, including loss of sexual function, atrophy of the pituitary gland, bradycardia, hypothermia, indifference and coma Includes a series of symptoms. Urotoxic cachexia is cachexia associated with other systemic symptoms of advanced renal failure. Cardiac cachexia includes weakness caused by heart disease. Adrenal cachexia or Addison's disease is a disease characterized by hypotension, weight loss, anorexia and weakness caused by corticosteroid deficiency. The disease is due to tuberculosis- or autoimmune-induced destruction of the adrenal cortex causing deficiency of aldosterone and cortisol.
[548] Cachexia may also be the result of various types of disease states. Cancer cachexia includes a fragile and debilitating condition that occurs in the case of malignant tumors. Cachexia may also be the result of infection with human immunodeficiency virus (HIV) and includes symptoms commonly referred to as AIDS. Compounds of Formula 1 are useful for treating various types of cachexia described above as a result of their ability to downregulate or inhibit TNF-α release. Selective PDE4 inhibitors of the present invention have a significant effect on the inhibition of TNF-α release from peripheral blood mononuclear cells after peripheral blood mononuclear cells are stimulated by a wide range of mediators. The release of TNF-α is involved in, or plays a mediating role in, a disease or condition in which the etiology involves or comprises pathological, ie, attenuated, excessive or uncontrolled release of TNF-α.
[549] PDE4 inhibitory compounds of formula (1) are also infected by infections, particularly viruses that increase the production of TNF-α in the host, or viruses that are sensitive to upregulation of TNF-α in the host and whose replication or other bioactivity is adversely affected Useful in the treatment of Such viruses include, for example, HIV-1, HIV-2 and HIV-3; Cytomegalovirus, CMV; influenza; Adenovirus; And Herpes viruses, especially Herpes zoster contains a (Herpes zoster), and herpes simplex (Herpes simplex) virus.
[550] PDE4 inhibitory compounds of Formula 1 are also useful for the treatment of yeast and fungal infections, wherein the yeast and fungi are sensitive to upregulation by TNF-α or induce TNF-α production in the host. Particular disease treatable in this way is fungal meningitis. The compounds of formula 1 also provide a beneficial effect when mixed, ie when administered with systemic yeast and other drugs selected for the treatment of fungal infections. Such selected drugs include polymyxins such as polymycin B; Imidazoles such as clotrimazole, echonazole, myconazole and ketoconazole; Triazoles such as fluconazole and itranazole; And amphotericin, such as amphotericin B and liposome amphotericin B, including but not limited to. As used herein in connection with a compound of Formula 1 and a drug selected for the treatment of systemic yeast and fungal infections, the term “co-administration” (a) when combined together in a single dosage form provides the subject (s) with the compound (s) ) And concurrent drug (s); (b) substantially simultaneous administration of said compound (s) and drug (s) to a subject when combined separately in separate dosage forms; And (c) sequentially administering the compound (s) and drug (s) to a subject when formulated separately and administered sequentially at some time interval.
[551] 4.12. Liver damage
[552] In addition to the aforementioned adverse effects of TNF-α, TNF-α also causes liver failure in humans, a phenomenon seen in many animal models. For example, in an acute model of T-cell mediated liver failure, rolipram, administered intraperitoneally with 0.1 to 10 mg / kg 30 minutes prior to testing with Concanavalin A or Staphylococcal enterotoxin B, results in plasma TNF- While it has been shown to significantly reduce α and INF-γ, it also significantly increases IL-10 levels (see Gantner et al., J. Pharmacol. Exp. Ther ., 280 , 53, 1997). In the same study, rolipram has also been shown to inhibit concanavalin A-induced IL-4 release. Plasma activity of the liver specific enzymes ALT, AST and SDH was also assessed in this study because any increase in this level indicates extensive liver cell destruction. In the mice as administered with concanavalin A, or galactosamine-sensitized mice administered galactosamine / streptococcus enterotoxin B, with rolipram (intraperitoneal) at 0.1 to 10 mg / kg, Lam has been found to dose-dependently inhibit the above-mentioned enzyme activity in plasma. Thus, the compounds of formula 1 are useful for the treatment of T-cell diseases such as liver failure.
[553] 4.13. Pulmonary hypertension
[554] It is known that the activity of phosphodiesterases that hydrolyze vasodilatory secondary messengers cAMP and cGMP can be increased by hypoxia-induced pulmonary hypertension (HPH). Hypoxia is the reduction of oxygen supply to tissues below physiological levels despite the proper perfusion of tissues by blood. The resulting pulmonary hypertension is characterized by increased pressure in the pulmonary artery circulation, ie systolic blood pressure above 30 mmHg and diastolic blood pressure above 12 mmHg. Using a model using pulmonary artery rings isolated from normal rats and rats with hypoxia-induced pulmonary hypertension, the selective PDE4 inhibitor rolipram was found to enhance the relaxant activity of isoproterenol and forskolin. The same effect was observed with mnionone, a selective PDE3 inhibitor, supporting the inhibition of PDE3 and PDE4 to significantly improve pulmonary artery relaxation in hypoxia-induced pulmonary hypertension (Wagner et al., J. Pharmacol. Exp. Ther ., 282 , 1650, 1997). Thus, the compounds of formula 1 are useful for the treatment of pulmonary hypertension, in particular hypoxia-induced pulmonary hypertension.
[555] 4.14. Bone loss disease
[556] Bone loss disease, more commonly referred to as osteoporosis, is a disease with low bone mass and microstructure destruction that causes fractures with minimal trauma. Secondary osteoporosis is due to systemic diseases or drugs such as glucocorticoids. Primary osteoporosis, discussed, should be observed as a comparison of two types: osteoporosis type I, the loss of spongy bone due to estrogen deficiency during menopause; And Type II osteoporosis, which is a loss of cortex and cavernous bone due to prolonged remodeling inefficiency, improper diet and activating the parathyroid axis due to aging. Primary regulators of adult bone mass include physical activity, reproductive endocrine status and calcium absorption, and optimal maintenance of bone must be met in all three areas.
[557] Selective PDE4 inhibitors have proven useful for the advantageous treatment of bone loss diseases, especially osteoporosis. The effect of denbuphylline on bone loss and mineralized nodule formation and osteoclast-like cell formation in Walker 256 / S-containing rats was studied in a bone marrow culture system. Consecutive oral administration of denbuphylline inhibits the reduction of bone mineral density in the femur of Walker 256 / S-containing rats and restores the number of osteoclasts and osteoblasts per spongy surface at bone mass and femoral stem Turned out. Administration of denbuphylline has also been shown to increase the number of mineralized nodules and reduce the number of osteoclast-like cells in an in vitro bone marrow culture system. These beneficial effects are specific for PDE4 inhibition and are mimicked by dibutyryl cAMP, demonstrating that PDE4 isozyme plays an important role in bone metabolism through cAMP (Miyamoto et al., Biochem. Pharmacol . , 54 , 613, 1997; Waki et al., "Effects of XT-44, a phosphodiesterase 4 inhibitor, in osteoblastgenesis and osteoclastgenesis in culture and its therapeutic effects in rat osteopenia models", Jpn. J. Pharmacol ., 79 , 477 -483, 1999; and JP 9169665 (1997), assigned to Miyamoto). As a result, selective PDE4 inhibitors of Formula 1 are useful for the treatment of diseases involving bone loss, in particular osteoporosis.
[558] 4.15. CNS disease
[559] Rolipram, a PDE4 selective inhibitor, was initially developed as an antidepressant and continues to be studied in clinical trials for these indications. In addition, selective PDE4 inhibitors are described in Parkinson's disease [Hulley et al., "Inhibitors of Type IV phosphodiesterase reduce the toxicity of MPTP in substantia nigra neurons in vivo", Eur. J. Neurosci ., 7 , 2431-2440, 1995; And, impaired learning and memory [Egawa et al., "Rolipram and its optical isomers, phosphodiesterase 4 inhibitors, attenuate the scopolamine-induced impairments of learning and memory in rats", Jpn. J. Pharmacol ., 75 , 275-281, 1997; Imanishi et al., "Ameliorating effects of rolipram on experimentally induced impairments of learning and memory in rodents", Eur. J. Pharmacol ., 321 , 273-278, 1997; and Barad et al., "Rolipram, a Type IV-specific phosphodiesterase inhibitor, facilitates the establishment of long-lasting long-term potentiation and improves memory", Proc. Natl. Acad. Sci . USA , 95 , 15020-15025, 1998, which has been shown to provide beneficial effects in other central nervous system diseases.
[560] The use of PDE4 inhibitors to treat spontaneous dyskinesia and drug dependence has also been disclosed in the art, in WO 95/28177 and JP 92221423 (1997), both of which have been incorporated by Meiji Seika Kaisa Limited ( Meiji Seika Kaino Ltd.). PDE4 isozyme has been shown to play a major role in controlling dopamine biosynthesis in midbrain neurons; Thus, PDE4 inhibitors are useful for the treatment of diseases and disorders associated with or mediated by dopamine in and around midbrain neurons. [Yamashita et al., "Rolipram, a selective inhibitor of phophodiesterase Type 4, pronouncedly enhances the forskolin." -induced promotion of dopamine biosynthesis in primary cultured rat mesencephalic neurons ", Jpn. J. Pharmacol ., 75 , 91-95, 1997].
[561] PDE4 inhibitory compounds of formula 1 are also useful for the treatment of atherosclerotic dementia and subcortical dementia. Atherosclerotic dementia, also referred to as vascular dementia and multiple infarction dementia, is a dementia with a series of small seizure forms of staged degeneration and an irregular distribution of neurological defects caused by cerebrovascular disease. Subcortical dementia is caused by lesions that occur in subcortical brain structures and are characterized by memory loss with delay in information processing or intellectual response. Dementia with Huntington's chorea, Wilson's disease, azithrophilic palsy and thalamic atrophy.
[562] 4.16. Other therapeutic uses
[563] PDE4 inhibitors are described in Block et al., "Delayed treatment with rolipram protects against neuronal damage following global ischemia in rats", NeuroReport , 8 , 3829-3832, 1997; and Belayev et al., "Protection against blood-brain barrier disruption in focal cerebral ischemia by the Type IV phosphodiesterase inhibitor BBB022: a quantitative study", Brain Res ., 787 , 277-285, 1998; Treatment of autoimmune diabetes [Liang et al., “The phosphodiesterase inhibitors pentoxifylline and rolipram prevent diabetes in NOD mice”, Diabetes , 47 , 570-575, 1998]; Treatment of retinal autoimmune [Xu et al., "Protective effect of the Type IV phosphodiesterase inhibitor rolipram in EAU: protection is independent of the IL-10-inducing activity", Invest. Opthalmol. Visual Sci ., 40 , 942-950, 1999; Treatment of chronic lymphocytic leukemia [Kim and Lerner, "Type 4 cyclic adenosine monophosphate phosphodiesterase as a therapeutic agent in chronic lymphocytic leukemia", Blood , 92 , 2484-2494, 1998; Treatment of HIV infection [Angel et al., "Rolipram, a specific Type IV phosphodiesterase inhibitor, is a potent inhibitor of HIV-1 replication", AIDS , 9 , 1137-1144, 1995; and Navarro et al., "Inhibition of phosphodiesterase Type IV suppresses human immunodeficienc virus Type 1 replication and cytokine production in primary T cells: involvement of NF-kappaB and NFAT", J. Viol ., 72 , 4712-4720, 1998; Treatment of lupus erythematosus (JP 10067682 (1998), assigned to Fujisawa Pharm. Co. Ltd.); For treating kidney and ureteral diseases (DE 4230755 (1994), assigned to Schering AG); For treating genitourinary and gastrointestinal diseases (WO 94/06423 assigned to Schering AG); And in the treatment of prostate disease (WO 99/02161 assigned to Porssman and WO 99/02161 assigned to Stief).
[564] In accordance with the above description, it will be noted that the compounds of formula 1 are useful for the advantageous treatment of one or more members selected from the group consisting of the following diseases, disorders and diseases:
[565] All types of asthma, whether pathological or pathological; Or atopic asthma; Non-atopic asthma; Allergic asthma; Atopic bronchial IgE-mediated asthma; Bronchial asthma; Essential asthma; True asthma; Endogenous asthma caused by pathophysiological disorders; Exogenous asthma caused by environmental factors; Essential asthma of unknown or causal cause; Non-atopic asthma; Bronchitis asthma; Emphysemaous asthma; Exercise-induced asthma; Occupational asthma; Infectious asthma caused by bacterial, fungal, protozoan or viral infections; Non-allergic asthma; Early asthma; Asthma, which is one of the selected groups of infants' wheezing syndrome;
[566] Chronic or acute bronchial contraction; Chronic bronchitis; Small airways closed; And type;
[567] Obstructive or inflammatory airway disease of any type, whether pathological or pathological; Or asthma; Pneumoconiosis; Chronic eosinophilic pneumonia; Chronic obstructive pulmonary disease (COPD); COPD, including chronic bronchitis, emphysema or dyspnea associated with it; COPD characterized by irreversible progressive airway obstruction; Obstructive or inflammatory airway disease, one selected from the group consisting of adult respiratory distress syndrome (ARDS), and exacerbation of airway hypersensitivity following other medications;
[568] Pneumoconiosis of any type, etiological or pathological; Or diseases of aluminosis or bauxite workers; Abolition or asthma of miners; Asbestosis or asthma of steam-assemblers; Septicemia or stone powder disease; Phytylosis caused by dust inhalation of ostrich feathers; Iron sedimentation caused by iron particle inhalation; Silicosis or disease of abrasives; Asthma or cotton-dust asthma; And pneumoconiosis, one selected from the group consisting of talc pneumoconiosis;
[569] -Bronchitis of any type, etiological or pathological; Or acute bronchitis; Acute laryngeal bronchitis; Arachidous bronchitis; Catarrhal bronchitis; Croupous bronchitis; Dry bronchitis; Infectious asthmatic bronchitis; Proliferative bronchitis; Staphylococcal or streptococcal bronchitis; And bronchitis, which is one species selected from the group consisting of bullous bronchitis;
[570] -All types of bronchiectasis, whether etiological or pathological; Or columnar bronchiectasis; Bullous bronchiectasis; Spindle bronchiectasis; Capillary bronchiectasis; Cystic bronchiectasis; Dry bronchiectasis; And bronchiectasis which is one species selected from the group consisting of follicular bronchiectasis;
[571] Seasonal allergic rhinitis; Persistent allergic rhinitis; All types of sinusitis, whether etiological or pathological; Or purulent or non-purulent sinusitis; Acute or chronic sinusitis; And sinusitis, one selected from the group consisting of ethmoid, frontal, maxilla, or sphenoid sinusitis;
[572] All types of rheumatoid arthritis, whether etiological or pathological; Or acute arthritis; Acute gouty arthritis; Chronic inflammatory arthritis; Degenerative arthritis; Infectious arthritis; Lyme Arthritis; Proliferative arthritis; Psoriatic arthritis; And rheumatoid arthritis, which is one member selected from the group consisting of spinal arthritis;
[573] Fever and pain associated with gout, and inflammation;
[574] Eosinophil-related diseases of all types, whether etiological or pathological; Or eosinophilia; Pulmonary invasive eosinophilia; Roppler syndrome; Chronic eosinophilic pneumonia; Tropical pulmonary eosinophilia; Bronchial pneumonia aspergillosis; Aspergillus species; Granulomas containing eosinophils; Allergic granulomatous vasculitis or Chug-Strauss syndrome; Nodular polyarteritis (PAN); And eosinophil-associated disease, which is one species selected from the group consisting of systemic necrotic vasculitis;
[575] Atopic dermatitis; Allergic dermatitis; Or allergic or atopic eczema;
[576] Urticaria of any type, etiological or pathological; Or immune-mediated urticaria; Complement-mediated urticaria; Urticaria-inducing substance-induced urticaria; Physical drug-induced urticaria; Stress-induced urticaria; Idiopathic urticaria; Acute urticaria; Chronic urticaria; Angioedema; Cholinergic urticaria; Cold urticaria in autosomal dominant or acquired form; Contact urticaria; Large granular urticaria; And urticaria being one species selected from the group consisting of papular urticaria;
[577] Conjunctivitis of any type, etiological or pathological; Or chemical conjunctivitis; Acute catarrhal conjunctivitis; Acute infectious conjunctivitis; Allergic conjunctivitis; Atopic conjunctivitis; chronic catarrhal conjunctivitis; Purulent conjunctivitis; Conjunctivitis selected from the group consisting of spring conjunctivitis;
[578] Uveitis of any type, etiological or pathological; Or inflammation of all or part of the uvea; Anterior uveitis; Iris salt; Hepatitis; Iris-shaped inflammation; Granulomatous uveitis; Granulomatous uveitis; Lens antigen uveitis; Posterior uveitis; Choroiditis; And uveitis, which is one species selected from the group consisting of chorioretinitis;
[579] -Psoriasis;
[580] All types of multiple sclerosis, whether etiological or pathological; Or primary progressive multiple sclerosis; And multiple sclerosis selected from the group consisting of relapsing-remitting multiple sclerosis;
[581] All types of autoimmune / inflammatory diseases, whether etiological or pathological; Or autoimmune hematological diseases; Hemolytic anemia; Aplastic anemia; Erythroid anemia; Idiopathic thrombocytopenic purpura; Systemic lupus erythematosus; Polychondritis; Scleroderma; Wegner's granulomatosis; Dermatitis; Chronic active hepatitis; Myasthenia gravis; Stevens-Johnson syndrome; Idiopathic sprues; Autoimmune inflammatory bowel disease; Ulcerative colitis; Crohn's disease; Endocrine eye diseases; Grave's disease; Sarcoidosis; Alveolitis; Chronic irritable pulmonary parenitis; Primary biliary cirrhosis; Juvenile diabetes or type I diabetes; Anterior uveitis; Granulomatous or posterior uveitis; Dry keratoconjunctivitis; Epidemic keratoconjunctivitis; Diffuse interstitial pulmonary fibrosis or interstitial pulmonary fibrosis; Idiopathic pulmonary fibrosis; Cystic fibrosis; Psoriatic arthritis; Glomerulonephritis with nephrotic syndrome and glomerulonephritis without nephrotic syndrome; Acute glomerulonephritis; Idiopathic nephrotic syndrome; Fine change kidney disease; Inflammatory / hyperproliferative skin disease; psoriasis; Atopic dermatitis; Contact dermatitis; Allergic contact dermatitis; Benign familial pemphigus; Lupus erythematosus; Frond awning; And autoimmune / inflammatory diseases selected from the group consisting of vulgaris ulcers;
[582] Prevention of allograft rejection after organ transplantation;
[583] All types of inflammatory bowel disease (IBD), whether etiological or pathological; Or ulcerative colitis (UC); Collagen colitis; Polyp colitis; Cervical colitis; And inflammatory bowel disease, which is one species selected from the group consisting of Crohn's disease (CD);
[584] Septic shock of any type, etiological or pathological; Or kidney failure; Acute renal failure; cachexy; Malaria cachexia; Pituitary cachexia; Uric acid cachexia; Psychogenic cachexia; Adrenal cachexia or Addison's disease; Cancer cachexia; And septic shock, which is one species selected from the group consisting of cachexia following infection with human immunodeficiency virus (HIV);
[585] -Liver damage;
[586] Pulmonary hypertension; And hypoxia-induced pulmonary hypertension;
[587] -Bone loss disease; Primary osteoporosis; And secondary osteoporosis;
[588] -Central nervous system diseases of any type, etiological or pathological; Or depression; Parkinson's disease; Impaired learning and memory; Delayed dyskinesia; Drug dependence; Atherosclerotic dementia; And central nervous system disease, which is one member selected from the group consisting of dementia with Huntington's chorea, Wilson's disease, azimatous palsy and thalamic atrophy;
[589] Infections, in particular HIV-1, HIV-2 and HIV-3; Cytomegalovirus (CMV); Influenza; adenovirus; And a virus that increases the production of TNF-α in the host, or a virus that increases the production of TNF-α in the host, including a virus selected from the group consisting of herpes viruses, including herpes zoster and herpes simplex virus. Infection with viruses that adversely affect replication or other biological activity;
[590] Polymyxins, for example polymycin B; Imidazoles such as clotrimazole, echonazole, mitonazole and ketoconazole; Triazoles such as fluconazole and itranazole; And amphotericin such as amphotericin B and liposome amphotericin B, when administered with other drugs selected for the treatment of systemic yeast and fungal infections, including but not limited to TNF-α. Infection with yeasts and fungi that are sensitive to upregulation by or cause TNF-α production in the host (eg fungal meningitis);
[591] Ischemic-reperfusion injury; Autoimmune diabetes; Retinal autoimmunity; Chronic lymphocytic leukemia; HIV infection; Erythematous lupus; Kidney and ureter diseases; Genitourinary and gastrointestinal diseases; And prostate disease.
[592] 5.0. Combination with other drugs and therapeutics
[593] The present invention is the only method used in the therapeutic methods described herein in combination with a pharmaceutically acceptable carrier to obtain a suitable dosage form for administration to a patient, whether the compound of Formula 1 is typically used alone or more than Consider an embodiment that is a therapeutic agent. Other embodiments of the present invention contemplate combinations of compounds of Formula 1 that are co-administered to a patient with one or more additional therapeutic agents to obtain the final result of some particularly desired treatment. Adjuvant therapeutic agents may also be one or more compounds of Formula 1 or one or more PDE4 inhibitors known in the art and described in detail herein. More typically, adjuvant therapeutics will be selected from different classes of therapeutics. These options are described in detail below.
[594] The terms "coadministered", "coadministered" and "in combination with" as used herein referring to a compound of formula (1) and one or more other therapeutic agents mean that (a) the components are substantially simultaneously Concurrently administering the combination of compound (s) and therapeutic agent (s) to the patient when the components are formulated together in a single release form; (b) the compound (s) and therapeutic agent when the ingredients are substantially simultaneously formulated to the patient in need thereof such that the ingredients taken substantially simultaneously by the patient are formulated separately in a divided dosage form. Administering the combination of (s) to said patient substantially simultaneously; c) As the components are released at substantially different times to the patient in need of treatment, the components taken at successive times by the patient separately from each other in divided dosage forms so that there is a significant time interval between each dose. If formulated, continuous administration of the combination of compound (s) and therapeutic agent (s) to the patient; And (d) the components are formulated together in a single dose that releases the components in a controlled manner in which the components are taken simultaneously, consecutively and / or in duplicate at the same time and / or at different times by the patient in need of treatment. When administered, it is intended to mean, include, and mean a continuous administration of a combination of said compound (s) and therapeutic agent (s) to said patient.
[595] 5.1. Leukotriene Biosynthesis Inhibitors: Combination with 5-lipoxygenase (5-LO) inhibitors and 5-lipoxygenase activating protein (FLAP) antagonists
[596] One or more compounds of Formula 1 are used in combination with leukotriene biosynthesis inhibitors, namely 5-lipoxygenase inhibitors and / or 5-lipoxygenase activating protein antagonists, to constitute embodiments of the invention. As already mentioned above, 5-lipoxygenase (5-LO) is one of two groups of enzymes that metabolize arachidonic acid, and the other group is cyclooxygenase, COX-1 and COX-2. The 5-lipoxygenase activating protein is an 18 kDa membrane-bound arachidonate-binding protein that stimulates the conversion of cellular arachidonic acid by 5-lipoxygenase. Arachidonic acid is converted to 5-hydroperoxyeicosatetraenoic acid (5-HPETE), which finally leads to the production of inflammatory leukotrienes; As a result, the 5-lipoxygenase activating protein or 5-lipoxygenase enzyme itself is blocked to provide the desired target for advantageously interfering with this pathway. One example of such a 5-lipoxygenase inhibitor is zileuton represented by the formula (0.1.14) seen above and below. Among the classes of leukotriene synthesis inhibitors useful for forming therapeutic combinations with compounds of Formula 1
[597] (a) Redox-active agents (N-Hydroxyurea, N-alkylhydroxysamic acid, selenite, hydroxybenzofuran, hydroxylamine, and catechol) (Ford-Hutchinson et al. ["5-Lipoxygenase", Ann. Rev. Biochem. 63 383-417, 1994], Weitzel and Wendel et al. , "Selenoenzymes regulate the activity of leukocyte 5-lipoxygenase via the peroxide tone" , J. Biol. Chem. 268 6288-92, 1993, Bjornstedt et al. , "Selenite incubated with NADPH and mammalian thioredoxin reductase yields selenide, which inhibits lipoxygenase and changes the electron spin resonance spectrum of the active site iron ", Biochemistry 35 8511-6, 1996, and Stewart et al. ," Structure-activity relationships of N-hydroxyurea 5-lipoxygenase inhibitors ", J. Med. Chem. 40 1955-68, 1997);
[598] (b) alkylating agents and alkylating compounds that react with SH groups (Larsson et al., "Effects of 1-chloro-2,4,6-trinitrobenzene on 5-lipoxygenase activity," which have been shown to inhibit leukotriene synthesis in vitro; and cellular leukotriene synthesis ", Biochem. Pharmacol. 55 863-71, 1998); And
[599] (c) contention inhibitors of 5-lipoxygenase, thiopyranoindole and methoxyalkyl thiazole-based structures that can act as non-redox inhibitors of 5-lipoxygenase (see above, Ford-Kokkinson; and Hammel (Hamel) et al., "Substituted (pyridylmethoxy) naphthalenes as potent and orally active 5-lipoxygenase inhibitors-synthesis, biological profile, and pharmacokinetics of L-739,010", J. Med. Chem. 40 2866-75, 1997 There is).
[600] As a result of observation that arachidonoyl hydroxyamate inhibits 5-lipoxygenase, the N-hydroxyurea derivative zileuton and ABT-761 shown by the following formulas (0.1.14) and (5.2.1) We found the following clinically useful selective 5-lipoxygenase inhibitors:
[601]
[602] Another N-hydroxyurea compound is fenleutone (Abbott-76745) represented by the following formula (5.2.2):
[603]
[604] Zirtonone is US assigned to Abbott Laboratories, which discloses a lipoxygenase inhibitor compound containing indole, benzofuran and benzothiophene, which can be represented by the following formula (5.2.3): 4,873,259 (Summers et al.):
[605]
[606] Where
[607] R ₁ is H, (C ₁ -C ₄ ) alkyl, (C ₂ -C ₄ ) alkenyl or NR ₂ R ₃ , wherein R ₂ and R ₃ are H, (C ₁ -C ₄ ) alkyl or OH )ego; X is O, S, SO ₂ or NR ₄ , wherein R ₄ is H, (C ₁ -C ₆ ) alkyl, (C ₁ -C ₆ ) alkanoyl, aroyl or alkylsulfonyl); A is (C ₁ -C ₆ ) alkylene or (C ₂ -C ₆ ) alkenylene; n is 1 to 5; Y is H; Halo; OH; CN; Alkyl substituted with halo; (C ₁ -C ₁₂ ) alkyl; (C ₁ -C ₁₂ ) alkenyl; (C ₁ -C ₁₂ ) alkoxy; (C ₃ -C ₈ ) cycloalkyl; (C ₁ -C ₈ ) thioalkyl; Aryl; Aryloxy; Aroyl; (C ₁ -C ₁₂ ) arylalkyl; (C ₂ -C ₁₂ ) arylalkenyl; (C ₁ -C ₁₂ ) arylalkoxy; (C ₁ -C ₁₂ ) arylthioalkoxy; Or aryl, aryloxy, arioyl, (C ₁ -C ₁₂ ) arylalkyl, (C ₂ -C ₁₂ ) arylalkenyl, (C ₁ -C ₁₂ ) arylalkoxy or (C ₁ -C ₁₂ ) arylthioalkoxy Substituted derivatives of; Wherein said substituent is halo; NO ₂ ; CN; Or (C ₁ -C ₁₂ ) -alkyl, -alkoxy and -halosubstituted alkyl; Z is O or S; M is H; Pharmaceutically acceptable cations; Aroyl; Or (C ₁ -C ₁₂ ) alkanoyl.
[608] Related compounds include US 4,769,387 (Summers et al.), US 4,822,811 (Summers), US 4,822,809 (Summers and Stewart), US 4,897,422 (Summers), US 4,992,464 (Summers et al.) And US 5,250,565 (Brooks and Summers), respectively. Is incorporated herein by reference in its entirety as if fully set forth herein.
[609] Zirtonone or any derivative thereof described above is combined with a compound of Formula 1 to constitute an embodiment of the present invention.
[610] Penleuton is US 5,432,194, US 5,446,062, US 5,484,786, US 5,559,144, US5,616,596, US 5,668,146, US 5,668,150, US 5,843,968, US 5,407,959, US 5,426,111, US 5,446,055, US 5,475,009, US 5,512,476,795, US 5,512,476,795 5,714,488, US 5,783,586, US 5,399,699, US 5,420,282, US 5,459,150 and US 5,506,261, each of which is incorporated herein by reference in its entirety as if fully set forth herein. Further explanation regarding the synthesis of such N-hydroxyurea and related 5-lipoxygenase inhibitors, and inflammatory leukotrienes, can be found in WO 95/30671, WO 96/02507, WO 97/12865, WO 97/12866, WO 97/12867. , WO 98/04555 and WO 98/14429.
[611] Tepoxalin is a dual COX / 5-LO inhibitor with transient in vivo activity, and the development of two hybrid compounds, N-hydroxyurea and hydroxamic acid, of formulas (5.2.4) and (5.2.5), respectively: Brought:
[612]
[613] Where
[614] R ¹ to R ⁴ are H, Cl, CH ₃ , ethyl, i -propyl or n -propyl; R ³ and R ⁴ together are (CH ₂ ) ₅ or (CH ₂ ) ₂ O (CH ₂ ) ₂ ; R ⁵ is methyl, ethyl, i -propyl, methoxy, trifluoromethyl, chloromethyl, ethyl propionate, phenyl, 2-furyl, 3-pyridyl or 4-pyridyl. See Connolly et al., "N-Hydroxyurea and hydroxamic acid inhibitors of cyclooxygenase and 5-lipoxygenase", Bioorganic & Medicinal Chemistry Letters 9 979-984, 1999.
[615] Another N-hydroxyurea compound is Abbott-79175 represented by the following formula (5.2.6):
[616]
[617] Abbott-79175 acts longer than zileuton (Brooks et al ., J. Pharm. Exp. Therapeut. 272 724, 1995).
[618] Another N-hydroxyurea compound is Abbott-85761 represented by the following formula (5.2.7):
[619]
[620] Abbott-85761 is delivered to the lungs by aerosol administration of a uniform, physically stable, almost monodispersed formulation (Gupta et al., "Pulmonary delivery of the 5-lipoxygenase inhibitor, Abbott-85761, in beagle dogs ", International Journal of Pharmaceutics 147 207-218, 1997].
[621] Penleuton, Abbott-79175, Abbott-85761, or any derivative thereof or any of the above, as described above, is combined with a compound of Formula 1 to constitute an embodiment of the present invention.
[622] Since the 5-LO biosynthetic pathway has been identified, there is an ongoing debate about whether it is more advantageous to inhibit 5-lipoxygenase enzymes or antagonize peptido or non-peptido leukotriene receptors. 5-lipoxygenase inhibitors block the action of the full range of 5-LO products, but LT-antagonists have a narrower effect, so it is believed that 5-lipoxygenase inhibitors are superior to LT-receptor antagonists. However, embodiments of the present invention include a combination of a compound of Formula 1 with an LT-antagonist and a 5-LO inhibitor, as described below. 5-lipoxygenase inhibitors having a chemical structure different from the classes of N-hydroxyurea and hydroxamic acid described above are also used in combination with the compounds of Formula 1 to form a further embodiment of the invention. Examples of this different class are N- (5-substituted) -thiophene-2-alkylsulfonamides of the formula (5.2.8):
[623]
[624] Where
[625] X is O or S; R 'is methyl, i -propyl, n -butyl, n -octyl or phenyl; R is n-pentyl, cyclohexyl, phenyl, tetrahydro-1-naphthyl, 1- or 2-naphthyl, or Cl, F, Br, CH ₃ , OCH ₃ , SCH ₃ , SO ₂ CH ₃ , CF ₃ Or phenyl mono- or di-substituted with i -propyl. Preferred compounds are those of the formula (5.2.9):
[626]
[627] Further descriptions of these compounds can be found in Beers et al., "N- (5-substituted) thiophene-2-alkylsulfonamides as potent inhibitors of 5-lipoxygenase", Bioorganic & Medicinal Chemistry 5 (4) 779-786, 1997].
[628] Another class of 5-lipoxygenase inhibitors is described by Cudroro et al., "Synthesis and biological evaluation of 2,6-di-tert-butylphenol hydrazones as 5-lipoxygenase inhibitors", Bioorganic & Medicinal Chemistry 6 173. -180, 1998] 2,6-di-t-butylphenol hydrazone. Compounds of this type are represented by the following formula (5.2.10):
[629]
[630] Where
[631] "Het" refers to benzoxazol-2-yl, benzothiazol-2-yl, pyridin-2-yl, pyrazin-2-yl, pyrimidin-2-yl, 4-phenylpyrimidin-2-yl, 4, 6-diphenylpyrimidin-2-yl, 4-methylpyrimidin-2-yl, 4,6-dimethylpyrimidin-2-yl, 4-butylpyrimidin-2-yl, 4,6-dibutylpyri Midin-2-yl and 4-methyl-6-phenylpyrimidin-2-yl.
[632] N- (5-substituted) -thiophene-2-alkylsulfonamide of formula (5.2.8) or 2,6-di-t-butylphenol hydrazone of formula (5.2.10), or those described above Any derivative of is combined with a compound of Formula 1 to constitute an embodiment of the present invention.
[633] Another class of 5-lipoxygenase inhibitors is the class of methoxytetrahydropyrans to which Zeneca ZD-2138 belongs. ZD-2138 is represented by the following formula (5.2.11):
[634]
[635] ZD-2138 has high selectivity and activity in many species via oral and has been evaluated in treating asthma and rheumatoid arthritis by oral administration. Further details regarding ZD-2138 and derivatives thereof can be found in Crawley et al ., J. Med. Chem. 35 2600, 1992 and J. Med. Chem. 36 295, 1993.
[636] Another class of 5-lipoxygenase inhibitors is the class to which SmithKline Beecham compound SB-210661 belongs. SB-210661 is represented by the following formula (5.2.12):
[637]
[638] Another two related classes of 5-lipoxygenase inhibitors include a series of pyridinyl-substituted 2-cyanonaphthalene compounds and a series of 2-cyanoquinoline compounds developed by Merck Frosst. It includes. These two classes of 5-lipoxygenase inhibitors are exemplified by L-739,010 and L-746,530, represented by the following formulas (5.2.13) and (5.2.14), respectively:
[639]
[640] For details on L-739,010 and L-746,530, see Dube et al., "Quinolines as potent 5-lipoxygenase inhibitors: synthesis and biological profile of L-746,530", Bioorganic & Medicinal Chemistry 8 1255-1260, 1988. And WO 95/03309 (Friesen et al.).
[641] Methoxytetrahydropyranes, including Geneca ZD-2138 of formula (5.2.11); Main compound SB-210661 of Formula (5.2.12) and the class to which it belongs; A series of pyridinyl-substituted 2-cyanonaphthalene compounds to which L-739,010 belongs or a series of 2-cyanoquinoline compounds to which L-746,530 belongs; Or any of the foregoing derivatives of any of the foregoing classes, in combination with a compound of Formula 1, forms an embodiment of the present invention.
[642] Another endogenous agent that plays an important role in the biosynthesis of leukotrienes other than the 5-lipoxygenase enzyme is 5-lipoxygenase activating protein (FLAP). This role is indirect, in contrast to the direct role of the 5-lipoxygenase enzyme. However, antagonists of 5-lipoxygenase activating proteins are used to inhibit cell synthesis of leukotriene and also in combination with the compounds of formula 1 to form embodiments of the invention.
[643] Compounds that block the use of endogenous populations of archidonic acid present by binding to 5-lipoxygenase activating proteins have been synthesized from indole and quinoline constructs (see, eg, Ford-Schokinson; Rouzer et al. ["MK-886, a potent and specific leukotriene biosynthesis inhibitor blocks and reverses the membrane association of 5-lipoxygenase in ionophore-challenged leukocytes", J. Biol. Chem. 265 1436-42, 1990]; and Gorenne et al. [{(R) -2-quinolin-2-yl-methoxy) phenyl) -2-cyclopentyl acetic acid} (BAY x 1005), a potent leukotriene synthesis inhibitor: effects on anti-IgE challenge in human airways " , J. Pharmacol. Exp. Ther. 268 868-72, 1994).
[644] MK-591, referred to as cupripon sodium, is represented by the following formula (5.2.15):
[645]
[646] The aforementioned indole and quinoline classes of compounds and the specific compounds to which they belong (MK-591, MK-886 and BAY-1005), or any of the aforementioned derivatives of any of the above classes, may be combined with the compounds of formula 1 to Embodiments are constructed.
[647] 5.2. Leukkotrien LTB ₄, LTC ₄, LTD ₄And LTE ₄In combination with its receptor antagonist
[648] One or more compounds of formula 1 are used in combination with receptor antagonists of leukotriene LTB ₄ , LTC ₄ , LTD ₄ and LTE ₄ . Among the most important leukotrienes in terms of mediating the inflammatory response are LTB ₄ and LTD ₄ . The class of antagonists for these leukotriene receptors is described in the following paragraphs.
[649] 4-bromo-2,7-dimethoxy-3H-phenothiazine-3-one, including L-651,392 described in US 4,939,145 (Guindon et al.) And US 4,845,083 (Lau et al.) Is a potent receptor antagonist of LTB ₄ . L-651,392 is represented by the following formula (5.2.16):
[650]
[651] Amidino compound classes comprising CGS-25019c are described in US 5,451,700 (Morrissey and Suh; US 5,488,160 (Morishi); and US 5,639,768 (Morishi and Shoo). These LTB ₄ receptor antagonists are described. Represented by CGS-25019c and represented by the following formula (5.2.17):
[652]
[653] Ontazolast, a species of the benzoxaolamin family of receptor antagonists of LTB ₄ , is described in EP 535 521 (Anderskewitz et al.) And is represented by the following formula (5.2.18):
[654]
[655] Researchers in the same group are described in WO 97/21670 (Anderswitz et al.) And WO 98/11119 (Anderswitz et al.) And represented by BIIL 284/260 represented by the following formula (5.2.19): A class of benzenecarboxymidamides, receptor antagonists of LTB ₄ , has been developed:
[656]
[657] Zafirlukast is a receptor antagonist of LTC ₄ , LTD ₄ and LTE ₄ , marketed under the name Accolate ^R. This includes US 4,859,692 (Bernstein et al.), US 5,319,097 (Holohan and Edwards), US 5,294,636 (Edwards and Sherwood), US 5,482,963, US 5,583,152 (Bernstein 5612,3) and US Pat. Belonging to the class of heterocyclic amide derivatives described in (Timko et al.). Zafirlukast is represented by the following formula (5.2.20):
[658]
[659] Ablucast is an LTD ₄ receptor antagonist called Ro 23-3544 / 001 and is represented by the following formula (5.2.21):
[660]
[661] Montelukast is an LTD ₄ receptor antagonist sold under the name Singulair ^R and described in US 5,565,473. Montelukast is represented by the following formula (5.2.22):
[662]
[663] Other receptor antagonists of LTD ₄ include Franlukast, Berlukast (MK-679), RG-12525, Ro-245913, Irallukast (CGP 45715A) and Bayx7195.
[664] Compounds of the aforementioned phenothiazine-3-one class, including L-651-392; Compounds of the amidino class, including CGS-25019c; Benzoxaolamine classes, including ontazolasts; Benzenecarboxymidamide class represented by BIIL 284/260; Heterocyclic amide derivatives including zafirlukast; Ablucast and montelukast and the classes of classes to which they belong; Or any of the foregoing derivatives of any of the foregoing classes, in combination with a compound of Formula 1, constitutes an embodiment of the present invention.
[665] 5.3. Combination with other therapeutic agents to form additional combinations
[666] The use of one or more compounds of Formula 1 in combination with other therapeutic and non-therapeutic agents is a further embodiment of the invention and forms a combination useful for treating many of the different diseases, disorders and disorders described herein. This embodiment includes one or more compounds of Formula 1 with one or more of the following compounds:
[667] PDE4 inhibitors, including inhibitors of isoform PDE4D;
[668] 5-lipoxygenase (5-LO) inhibitors; Or 5-lipoxygenase activating protein (FLAP) antagonist;
[669] Dual inhibitors of 5-lipoxygenase (5-LO) and platelet activating factor (PAF) antagonists;
[670] Leukotriene antagonists (LTRA), including antagonists of LTB ₄ , LTC ₄ , LTD ₄ and LTE ₄ ;
[671] Antihistamine H ₁ receptor antagonists including cetirizine, loratadine, desloratadine, fexofenadine, astemizol, azelastine and chlorpheniramine;
[672] Gastroprotective H ₂ receptor antagonist;
[673] Decongestion, including propylhexerine, phenylephrine, phenylpropanolamine, pseudoephedrine, napazoline hydrochloride, oxymethazolin hydrochloride, tetrahydrozoline hydrochloride, xylomethazolin hydrochloride and ethylnorepinephrine hydrochloride Α ₁ -and α ₂ -adrenoceptor agonists vasoconstriction sympathomimetic agents administered orally or topically for use;
[674] Α ₁ -and α ₂ -adrenergic receptor agonists with 5-lipoxygenase (5-LO) inhibitors;
[675] Anticholinergic agonists including ifpratropium bromide, tiotropium bromide, oxytropium bromide, ferrenzepine and tellenezepine;
[676] Β ₁ -including metaproterenol, isoproterenol, isoprenin, albuterol, salbutamol, formoterol, salmeterol, terbutalin, orciprelinin, bitolterol mesylate and pirbuterol To β ₄ -adrenergic receptor agonists;
[677] Theophylline and aminophylline;
[678] Sodium chromoglycate;
[679] Muscarinic receptor (M1, M2 and M3) antagonists;
[680] COX-1 inhibitors (NSAIDs); COX-2 selective inhibitors including rofecoxib; And nitric oxide NSAID;
[681] Type 1 insulin-like growth factor (IGF-1) analogs;
[682] Ciclesonide;
[683] Inhaled glucocorticoids with reduced systemic side effects, including prednisone, prednisolone, flunisolide, triamcinolone acetonide, beclomethasone dipropionate, budesonide, fluticasone propionate and mometasone furoate;
[684] Tryptase inhibitors;
[685] Platelet activating factor (PAF) antagonists;
[686] Monoclonal antibodies active against endogenous inflammatory substances;
[687] IPL 576;
[688] Anti-tumor necrosis factor (TNFα) including Etanercept, Infliximab and D2E7;
[689] DMARD including Leflunomide;
[690] TCR peptide;
[691] Interleukin converting enzyme (ICE) inhibitors;
[692] IMPDH inhibitors;
[693] Adhesion molecule inhibitors including VLA-4 antagonists;
[694] Cathepsin;
[695] MAP kinase inhibitors;
[696] Glucose-6 phosphate dehydrogenase inhibitors;
[697] Kinin-B ₁ -and B ₂ -receptor antagonists;
[698] Gold in the form of aurothio groups with various hydrophilic groups;
[699] Immunosuppressive agents such as cyclosporin, azathioprine and methotrexate;
[700] Anti-gout medications such as colchicine;
[701] Xanthine oxidase inhibitors such as allopurinol;
[702] Uric acid reducing agents such as probenside, sulfinpyrazone and benzbromarone;
[703] Antitumor agents, in particular antimitotic drugs including vinca alkaloids such as vinblastine and vincristine;
[704] Growth hormone secretagogues;
[705] Matrix metalloprotease (MMP) inhibitors such as stromelysin, collagenase and gelatinase, and aggrecanase; In particular collagenase-1 (MMP-1), collagenase-2 (MMP-8), collagenase-3 (MMP-13), stromelysin-1 (MMP-3), stromelysin- 2 (MMP-10) and stromelysin-3 (MMP-11);
[706] Transforming growth factor (TGFβ);
[707] Platelet-derived growth factor (PDGF);
[708] Fibroblast growth factor such as basic fibroblast growth factor (bFGF);
[709] Granulocyte macrophage colony stimulating factor (GM-CSF);
[710] Capsaicin cream;
[711] Tachykinin NK-1, NK-1 / NK-2, NK-2 and NK-3 receptor antagonists, including NKP-608C, SB-233412 (Talneant) and D-4418;
[712] Elastase inhibitors including UT-77 and ZD-0892; And
[713] Adenosine A2a receptor agonists.
[714] 6.0. Pharmaceutical Compositions and Formulations
[715] The following description is suitable for the administration of the different routes used for any given patient, by mixing the preferred other therapeutic or non-therapeutic compounds with the compound of Formula 1 primarily with conventional pharmaceutically acceptable carriers, as well as for any given patient. A method of preparing a dosage form suitable for the disease, disorder or disorder to be treated.
[716] The pharmaceutical composition of the present invention, together with a pharmaceutically acceptable carrier, depending on the properties and expected performance of the pharmaceutically acceptable carriers well known in the art, any one or more of the above-mentioned inhibitory compounds of the present invention or Pharmaceutically acceptable salts.
[717] The amount of active ingredient that can be mixed with the carrier material to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. However, specific dosages and treatment regimens for any particular patient may include activity, age, weight, general health, sex, diet, time of administration, rate of excretion, combination of drugs, and judgment and treatment of the treating physician for the particular compound used. It is to be understood that this will depend on a variety of factors, including the severity of the particular disease to be addressed. In addition, the amount of active ingredient may depend on the therapeutic or prophylactic agent if the ingredient is coadministered.
[718] The compounds of the invention described above can be used in the form of acids, esters and other chemical classes of compounds to which the compounds described belong. It is also within the scope of the present invention to use such compounds in the form of pharmaceutically acceptable salts derived from various organic and inorganic acids and bases according to methods described in detail above and well known in the art. Active ingredients comprising a compound of formula (1) are often used in their salt form, in particular the salt form having improved pharmacokinetic properties over the active ingredient or several other salt forms of the active ingredient previously used in the active ingredient. To give. Pharmaceutically acceptable salt forms of the active ingredient may also impart desirable pharmacokinetic properties initially not previously present in the active ingredient and have a positive effect on the pharmacology of the active ingredient on therapeutic activity in the body. Can have
[719] The pharmacokinetic properties of the active ingredient, which may have a beneficial effect, are, for example, a direct and positive effect on the transport of the active ingredient through the cell membrane to the absorption, distribution, biotransformation and excretion of the active ingredient. Include how you can have. Although the route of administration of the pharmaceutical composition is important, and various anatomical, physiological and pathological factors can have a decisive impact on bioavailability, the solubility of the active ingredient generally depends on the nature of the particular salt form used. In addition, as will be appreciated by those skilled in the art, aqueous solutions of the active ingredient may most rapidly absorb the active ingredient into the body of the patient to be treated, but solid fats as well as fat-soluble solutions and suspensions may provide the active ingredient with Will absorb less quickly. Although oral administration of the active ingredient is the most preferred route of administration for safety, convenience and economic reasons, absorption of this oral dosage form is due to physical properties such as polarity, vomiting by gastric mucosal irritation, digestive enzymes and destruction by low pH. , Irregular absorption or promotion in the presence of food or other drugs, and metabolism by mucosal, intestinal bacterial or liver enzymes. Formulation of such active ingredients into other pharmaceutically acceptable salt forms can be effective in overcoming or alleviating one or more of the problems described above associated with the absorption of oral dosage forms.
[720] Among the pharmaceutical salts described further above, particularly preferred are acetate, besylate, citrate, fumarate, gluconate, hemisuccinate, hypofulate, hydrochloride, hydrobromide, isethionate, mandelate, meth Glutamine, nitrate, oleate, phosphonate, pivalate, sodium phosphate, stearate, sulfate, sulfosalicylate, tartrate, thiomalate, tosylate and tromethamine.
[721] Also included within the scope of the invention are polyvalent salt forms, in which the compounds of the present invention contain one or more groups capable of forming pharmaceutically acceptable polyvalent salts. Examples of typical polyvalent salt forms include, but are not limited to, bitartrate, diacetate, difumarate, dimeglumine, diphosphate, disodium, and trihydrochloride.
[722] The pharmaceutical composition of the present invention may be any one or more inhibitory compounds of the present invention described above, or a pharmaceutical thereof, together with a pharmaceutically acceptable carrier, depending on the properties and expected performance of the pharmaceutically acceptable carrier well known in the art. Optionally acceptable salts.
[723] As used herein, the term "carrier" refers to acceptable diluents, excipients, adjuvants, vehicles, solvated acids, viscosity modifiers, preservatives and other agents well known to those skilled in the art for providing advantageous properties to the final pharmaceutical composition. Include. To illustrate such carriers, a brief review of pharmaceutically acceptable carriers that can be used in the pharmaceutical compositions of the present invention is followed by further detail of the various types of components. Typical carriers include ion exchange compositions; Alumina; Aluminum stearate; Lecithin; Serum proteins (eg, human serum albumin); Phosphate; Glycine; Sorbic acid; Potassium sorbate; Partial glyceride mixtures of saturated vegetable fatty acids; Hydrogenated palm oil; water; Salts or electrolytes (e.g., prolamin sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride and zinc salts; colloidal silica; magnesium trisilicate; polyvinyl pyrrolidone; cellulose-based materials (e.g. sodium carboxy) Methylcellulose); polyethylene glycol; polyacrylates; waxes; polyethylene-polyoxypropylene-block polymers; and wool paper.
[724] More particularly, the carriers used in the pharmaceutical compositions of the present invention comprise various classes and types of additives which are species independently selected from the group consisting essentially of those described in the following paragraphs.
[725] Acidifying agents and alkalizing agents are added to obtain the desired or desired pH, and acidifying agents include, for example, acetic acid, glacial acetic acid, malic acid and propionic acid. Strong acids such as hydrochloric acid, nitric acid and sulfuric acid may also be used but are less preferred. Alkalizing agents include, for example, edetol, potassium carbonate, potassium hydroxide, sodium borate, sodium carbonate and sodium hydroxide. Alkaliating agents comprising active amine groups can be used, for example diethanolamine and trolamine.
[726] Aerosol propellants are required when the pharmaceutical composition is delivered as an aerosol under significant pressure. Such propellants include, for example, available fluorochlorohydrocarbons such as dichlorodifluoromethane, dichlorotetrafluoroethane and trichloromonofluoromethane; nitrogen; Or volatile hydrocarbons such as butane, propane, isobutane or mixtures thereof.
[727] Antimicrobial agents, including antibacterial, antifungal and antiprotozoal agents, are added when the pharmaceutical composition is topically applied to areas of the skin where the skin will suffer adverse conditions or will be cut or abraded when exposed to infection by bacteria, fungi or protozoa. Antibacterial agents include compounds such as benzyl alcohol, chlorobutanol, phenylethyl alcohol, phenylmercuric acetate, potassium sorbate and sorbic acid. Antifungal agents include compounds such as benzoic acid, butylparaben, ethylparaben, methylparaben, propylparaben and sodium benzoate.
[728] Antimicrobial preservatives are added to the pharmaceutical compositions of the present invention to protect the pharmaceutical composition against the growth of potentially harmful microorganisms which generally invade the aqueous phase but may in some cases also grow on the oil of the composition. Thus, preservatives having both aqueous and oily solubility are preferred. Suitable antimicrobial preservatives include, for example, p-hydroxybenzoic acid, propionate salts, phenoxyethanol, methylparaben sodium, propylparaben sodium, sodium dehydroacetate, benzalkonium chloride, benzethonium chloride, benzyl alcohol, Hydantoin derivatives, quaternary ammonium compounds and cationic polymers, imidazolidinyl urea, diazolidinyl urea and trisodium ethylenediamine tetraacetate (EDTA). Preservatives are preferably used in amounts ranging from about 0.01% to about 2.0% by weight of the total composition.
[729] Antioxidants (e.g., anoxomers, ascorbyl palmitates, butylated hydroxyanisoles, butylated hydrides) to protect all components of the pharmaceutical composition from damage or degradation by oxidants present in the composition itself or by the environment of use. Oxytoluene, hypophosphorous acid, potassium metabisulfite, propyl octyl and dodecyl gallate, sodium metabisulfite, sulfur dioxide and tocopherol).
[730] Buffers are used to maintain the desired pH of the composition once established from the influence of the external agent and the equilibrium shift of the composition components. Buffers may be selected from those conventional to those skilled in the manufacture of pharmaceutical compositions, such as calcium acetate, potassium metaphosphate, potassium phosphate monobasic and tartaric acid.
[731] Chelating agents are used to maintain the ionic strength of the pharmaceutical composition and to bind and effectively remove the destructive compounds and metals, examples of which include edetate dipotassium, edetate disodium and edetic acid.
[732] For topical application, a dermatologically active agent is added to the pharmaceutical composition of the invention, examples of which are wound healing agents such as peptide derivatives, yeast, panthenol, hexylesorcinol, phenol, tetracycline hydrochloride, lamin and kinetin; Retinoids (eg, retinol, tretinoin, isotretinoin, etretinate, acitretin and arotinoids) for treating skin cancer; Mild antibacterial agents for treating skin infections (eg, resorcinol, salicylic acid, benzoyl peroxide, erythromycin-benzoyl peroxide, erythromycin and clindamycin); Antifungal agents for the treatment of ringworm, tinea ringworm, candidiasis and stroke (e.g., griseofulvin, azoles (e.g., miconazole, econazole, itraconazole, fluconazole and ketoconazole) And allylamine (eg, naphtipine and terpinafine); Antiviral agents (eg, acyclovir, famcyclovir and valacyclovir) for treating herpes simplex, shingles and chickenpox; Antihistamines for the treatment of pruritus, atopic and contact dermatitis (eg, diphenylhydramine, terpenadine, astemizol, loratadine, cetirizine, acrivastin and temelastin); Local anesthetics (eg, benzocaine, lidocaine, dibucaine and pramoxin hydrochloride) to relieve pain, irritation and itching; Topical analgesics for reducing pain and inflammation (eg, methyl salicylate, camphor, menthol and resorcinol); Topical preservatives (eg, benzalkonium chloride and povidone-iodine) to prevent infection; And vitamins such as tocopherol, tocopherol acetate, retinoic acid and retinol and derivatives thereof.
[733] Dispersants and suspending agents are used as adjuvants to prepare suitable formulations, examples of which include polyginan, povidone and silicon dioxide.
[734] Emollients are preferably non-fat-soluble water-soluble preparations that soften and soothe the skin (particularly skin dried due to excessive loss of moisture). Such formulations are used with the pharmaceutical compositions of the present invention for topical use, examples of which include hydrocarbon oils and waxes, triglyceride esters, acetylated monoglycerides, C ₁₀ -C ₂₀ fatty acids, C ₁₀ -C ₂₀ fats. Methyl and other alkyl esters of alcohols, lanolin and derivatives, polyhydric alcohol esters (eg, polyethylene glycol (200-600), polyoxyethylene sorbitan fatty acid esters, wax esters, phospholipids and sterols); Emulsifiers used to prepare oil-in-water emulsions; Excipients (eg laurocapram and polyethylene glycol monomethyl ether); Humectants (eg, sorbitol, glycerin and hyaluronic acid); Ointment bases (eg, waseline, polyethylene glycol, lanolin and poloxamer); Penetration enhancers (eg, dimethyl isosorbide, diethyl-glycol-monoethylether, 1-dodecylazacycloheptan-2-one and dimethylsulfoxide (DMSO)); Preservatives (e.g. benzalkonium chloride, benzethonium chloride, alkyl esters of p-hydroxybenzoic acid, hydantoin derivatives, cetylpyridinium chloride, propylparaben, quaternary ammonium compounds (e.g. potassium benzoate) And thimerosal); Sequestrants including cyclodextrins; Solvents (e.g. acetone, alcohol, amylene hydrate, butyl alcohol, corn oil, cottonseed oil, ethyl acetate, glycerin, hexylene glycol, isopropyl alcohol, isostearyl alcohol, methyl alcohol, methylene chloride, mineral oil, peanut oil , Phosphoric acid, polyethylene glycol, polyoxypropylene 15 stearyl ether, propylene glycol, propylene glycol diacetate, sesame oil and purified water); Stabilizers (eg, calcium saccharides and thymol); Surfactants (eg rapylium chloride); Laureth 4 (ie, α-dodecyl-ω-hydroxy-poly (oxy-1,2-ethanediyl) or polyethylene glycol monododecyl ether).
[735] In preparing the basic pharmaceutical compositions of the present invention, emulsifiers, including emulsifiers and curing agents and emulsifiers, are used to prepare oil-in-water emulsions. Such emulsifiers include, for example, nonionic emulsifiers, for example C ₁₀ -C ₂₀ fatty alcohols and 2 to 20 moles of ethylene oxide or propylene oxide, concentrated with 2 to 20 moles of ethylene oxide. (C ₆ -C ₁₂ ) alkyl phenols, mono- and di- (C ₁₀ -C ₂₀ ) fatty acid esters of ethylene glycol, C ₁₀ -C ₂₀ fatty acid monoglycerides, diethylene glycol, polyethylene glycols of MW 200 to 6000, Polypropylene glycol of MW 200 to 3000, and in particular sorbitol, sorbitan, polyoxyethylene sorbitol, polyoxyethylene sorbitan, hydrophilic wax esters, cetostearyl alcohol, oleyl alcohol, lanolin alcohol, cholesterol, mono- and di- Mixed mono- and distearic acids of glycerides, glyceryl monostearate, polyethylene glycol monostearate, ethylene glycol and polyoxyethylene glycol Termini, propylene glycol monostearate, and hydroxypropyl cellulose. Emulsifiers comprising active amine groups can also be used, typically anionic emulsifiers such as fatty acid soaps, for example sodium, potassium and triethanolamine soaps of C ₁₀ -C ₂₀ fatty acids; Alkali metal, ammonium or substituted ammonium (C ₁₀ -C ₃₀ ) alkyl sulfates, (C ₁₀ -C ₃₀ ) alkyl sulfonates and (C ₁₀ -C ₅₀ ) alkyl ethoxy ether sulfonates. Other suitable emulsifiers include castor oil and hydrogenated castor oil; Lecithin; And polymers of acrylic acid and polymers of 2-propenoic acid (both crosslinked with allyl ethers of sucrose and / or pentaerythritol, varying viscosity, product names Carbomer 910, 934, 934P, 940, 941 and 1342). ). Cationic emulsifiers with active amine groups can also be used, including those based on quaternary ammonium, morpholinium and pyridinium compounds. Similarly, amphoteric emulsifiers with active amine groups can also be used, such as cocobetaine, lauryl dimethylamine oxide and cocoylimidazoline. Useful emulsifiers and hardeners also include cetyl alcohol and sodium stearate, and emulsifying aids include oleic acid, stearic acid and stearyl alcohol.
[736] Excipients include, for example, laurocapram and polyethylene glycol monomethyl ether.
[737] For topical application of the pharmaceutical compositions of the invention, for example, it includes dimethyl isosorbide, diethyl-glycol-monoethylether, 1-dodecylazacycloheptan-2-one and dimethylsulfoxide (DMSO). Penetration enhancers can be used. The compounds will also typically include ointment bases such as waselin, polyethylene glycol, lanolin, and poloxamers, which are block copolymers of polyoxyethylene and polyoxypropylene, which may also act as surfactants or emulsifiers. .
[738] Preservatives are used to protect the pharmaceutical compositions of the present invention from degradable attack by surrounding microorganisms, for example benzalkonium chloride, benzethonium chloride, alkyl esters of p-hydroxybenzoic acid, hydantoin derivatives, cetyl Pyridinium chloride, monothioglycerol, phenol, phenoxyethanol, methylparagen, imidazolidinyl urea, sodium dehydroacetate, propylparaben, quaternary ammonium compounds, especially polymers such as polyxetium chloride, potassium benzoate , Sodium formaldehyde sulfoxylate, sodium propionate and thimerosal.
[739] Cyclodextrins, which are a class of natural cyclic oligosaccharides that can form incorporation complexes with a variety of materials and which have a variety of ring sizes, are commonly used to improve the stability of the pharmaceutical compositions of the invention, typically Included are those having 6, 7, and 8 glucose residues in the ring, referred to as α-cyclodextrin, β-cyclodextrin and γ-cyclodextrin, respectively. Suitable cyclodextrins include, for example, α-cyclodextrin, β-cyclodextrin, γ-cyclodextrin, δ-cyclodextrin and cationized cyclodextrins.
[740] Solvents that may be used in the preparation of the pharmaceutical compositions of the present invention include, for example, acetone, alcohols, amylene hydrate, butyl alcohol, corn oil, cottonseed oil, ethyl acetate, glycerin, hexylene glycol, isopropyl alcohol, isostear Aryl alcohol, methyl alcohol, methylene chloride, mineral oil, peanut oil, phosphoric acid, polyethylene glycol, polyoxypropylene 15 stearyl ether, propylene glycol, propylene glycol diacetate, sesame oil and purified water.
[741] Suitable stabilizers for use include, for example, calcium saccharides and thymol.
[742] Curing agents are typically used in formulations for topical application to provide the desired viscosity and handling properties, for example cetyl ester wax, myristyl alcohol, paraffin, synthetic paraffin, emulsifying wax, microcrystalline wax, white wax and Yellow waxes are included.
[743] Sugars are often used to impart various desired properties to the pharmaceutical compositions of the present invention and to improve the results obtained, which include, for example, monosaccharides, disaccharides and polysaccharides, for example , Glucose, xylose, fructose, leoth, ribose, pentose, arabinose, allose, talos, altrose, mannose, galactose, lactose, sucrose, erythrose, glyceraldehyde or any combination thereof .
[744] Surfactants are used to provide stability to the multicomponent pharmaceutical compositions of the present invention, to enhance the existing properties of the compositions, and to provide desirable new properties for the compositions. Surfactants are used as wetting agents, antifoams, and as emulsifiers, dispersants, and penetrants to reduce the surface tension of water, for example, rapylium chloride; Laureth 4, ie, α-dodecyl-ω-hydroxy-poly (oxy-1,2-ethanediyl) or polyethylene glycol monododecyl ether; Laureth 9, ie, a mixture of polyethylene glycol monododecyl ethers having an average of about 9 ethylene oxide groups per molecule; Monoethanolamine; Nonoxynol 4, 9 and 10, ie polyethylene glycol mono (p-nonylphenyl) ether; Nonoxynol 15, ie α- (p-nonylphenyl) -ω-hydroxypenta-deca (oxyethylene); Nonoxynol 30, ie α- (p-nonylphenyl) -ω-hydroxytriconta (oxyethylene); Poloxylene, ie, nonionic polymers of the polyethylene-polypropylene glycol type (molecular weight: about 3000); Poloxamers mentioned in the discussion of ointment bases above; Polyoxyl 8, 40 and 50 stearate, ie poly (oxy-1,2-ethanediyl), α-hydro-ω-hydroxy-; Octadecanoate; Polyoxyl 10 oleyl ethers, ie poly (oxy-1,2-ethanediyl), α- (Z) -9-octadecenyl-ω-hydroxy-; Polysorbate 20, ie, sorbitan, monododecanoate, poly (oxy-1,2-ethanediyl); Polysorbate 40, ie, sorbitan, monohexadecanoate, poly (oxy-1,2-ethanediyl); Polysorbate 60, ie sorbitan, monooctadecanoate, poly (oxy-1,2-ethanediyl); Polysorbate 65, ie, sorbitan, trioctadecanoate, poly (oxy-1,2-ethanediyl); Polysorbate 80, ie, sorbitan, mono-9-monodecenoate, poly (oxy-1,2-ethanediyl); Polysorbate 85, ie, sorbitan, tri-9-octadecenoate, poly (oxy-1,2-ethanediyl); Sodium lauryl sulfate; Sorbitan monolaurate; Sorbitan monooleate; Sorbitan monopalmitate; Sorbitan monostearate; Sorbitan sesquioleate; Sorbitan trioleate; And sorbitan tristearate.
[745] The pharmaceutical compositions of the present invention can be prepared using very simple methodologies that will be apparent to those skilled in the art. When the pharmaceutical composition of the present invention is a simple aqueous solution and / or other solvent solution, the various components of the total composition are mixed in any substantial order to be determined primarily for convenience. In the same co-solvent with water, but with sufficient solubility, all of the components having sufficient solubility can be dissolved in the co-solvent, after which the co-solvent solution is added to the water portion of the carrier, Solute in water will dissolve in water. To aid in the dispersion / solution process, surfactants may be used.
[746] When the pharmaceutical composition of the present invention is in the form of an emulsion, the components of the pharmaceutical composition will be mixed according to the following general procedure. First, the continuous aqueous phase is heated to a temperature in the range of about 60 to about 95 ° C., preferably about 70 to about 85 ° C., wherein the selection of the temperature of use depends on the physical and chemical properties of the components making up the oil-in-water emulsion. Follow. Once the continuous aqueous phase reaches its selected temperature, the components of the final composition to be added in this step are mixed with water and dispersed therein while stirring at high speed. Next, after the temperature of the water has returned to its original level, the components of the composition forming the next step are added to the composition mixture with appropriate stirring and from about 5 to about 60 minutes, preferably about Mixing is continued for 10 to about 30 minutes. The composition mixture is then passively or actively cooled to about 20 to about 55 ° C. for the addition of any of the remaining ingredients, followed by addition of sufficient water to reach its original predetermined concentration in the total composition.
[747] According to the invention, the pharmaceutical composition may be in the form of sterile injectable preparations, for example, sterile injectable aqueous or oily suspensions. The suspension can be formulated according to the techniques known in the art using suitable dispersing or wetting agents and suspending agents. Sterile injectable preparations may also be sterile injectable solutions or suspensions, eg, solutions of 1,3-butanediol, in nontoxic parenterally acceptable diluents or solvents. Acceptable vehicles and solvents that may be used include water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile fatty oils are conventionally employed as a solvent or suspending medium. For this purpose, any emollient fatty oil can be used, including synthetic mono- or di-glycerides. Fatty acids, such as oleic acid and its glyceride derivatives, are useful in the preparation of injectable solutions, as are pharmaceutically acceptable natural oils such as olive oil or taste oil, in particular polyoxyethylated variants thereof. These oil solutions or suspensions may also contain long chain alcohol diluents or dispersants such as Rh, HClX or similar alcohols.
[748] The pharmaceutical compositions of the present invention can be administered orally in any acceptable oral dosage form, including but not limited to capsules, tablets, aqueous suspensions or aqueous solutions. In the case of tablets for oral use, carriers commonly used include lactose and corn starch. Lubricants such as magnesium stearate are also typically added. For oral administration in a capsule form, useful diluents include lactose and dried corn starch. If an aqueous suspension is required for oral use, the active ingredient is mixed with emulsifiers and suspending agents. If desired, certain sweetening, flavoring or coloring agents may also be added. Alternatively, the pharmaceutical compositions of the present invention may be administered in the form of suppositories for rectal administration. They can be prepared by mixing the agents with a suitable non-irritating excipient which is solid at room temperature but liquid at rectal temperature and will therefore melt in the rectum to release the drug. Such materials include cocoa butter, beeswax and polyethylene glycols.
[749] The pharmaceutical compositions of the present invention may also be administered topically, especially when the therapeutic target comprises a site or organ that can be easily approached by topical application, including diseases of the eye, skin or lower intestinal tract. Suitable topical formulations are readily prepared for each of these areas or organs.
[750] Topical application to the lower intestine can be carried out in rectal suppository formulations as described above or in suitable enema formulations. Topically active transdermal patches may also be used.
[751] For topical application, the pharmaceutical composition may be formulated in a suitable ointment containing the active ingredient suspended or dissolved in one or more carriers. Carriers for topical administration of the compounds of the present invention include, but are not limited to, mineral oil, liquid wascelin, white waselin, propylene glycol, polyoxyethylene, polyoxypropylene compounds, emulsifying waxes and water. Alternatively, the pharmaceutical composition may be formulated in a suitable lotion or cream containing the active ingredients suspended or dissolved in one or more pharmaceutically acceptable carriers. Suitable carriers include, but are not limited to, mineral oil, sorbitan monostearate, polysorbate, cetyl ester wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.
[752] A pharmaceutical composition within the scope of the present invention is a therapeutically effective amount comprising a compound of the present invention necessary for treating or preventing diseases, disorders and conditions mediated by or associated with the modulation of PDE4 reactivity as described herein. It includes compositions wherein the active ingredient in is provided in a dosage form suitable for systemic administration. The pharmaceutical composition will contain the active ingredient in liquid form suitable for delivery by the following methods: (1) intraarterial, intradermal or transdermal, subcutaneous, intramuscular, intramedullary, intrathecal or intravenous injection or infusion [ Wherein the active ingredients are (a) contained in solution as a solute; (b) in a discontinuous emulsion containing a suitable emulsifier, or in a discontinuous emulsion that is reversed upon injection or injection; Or (c) a suspension solid in colloidal or particulate form, contained in a suspension containing a suitable suspending agent]; (2) injection or infusion as a depot in a suitable body tissue or cavity, wherein the composition stores the active ingredient and thereafter delayed, sustained and / or controlled control of the active ingredient for systemic distribution Provide release); (3) instillation, inhalation or infusion of the pharmaceutical composition in a suitable solid form in a suitable body tissue or cavity, wherein the active ingredient is (a) delayed-, sustained- and / or controlled release of the active ingredient. Contained in the providing solid implant composition; (b) contained in a granular composition to be inhaled in the lungs; Or (c) optionally contained in a granular composition to be blown into suitable body tissues or cavities, providing delayed-, sustained- and / or controlled release of the active ingredient; Or (4) ingestion of the pharmaceutical composition in solid or liquid form suitable for oral delivery of the active ingredient, wherein the active ingredient is contained in (a) a solid dosage form; or (b) in a liquid dosage form. do).
[753] Specific dosage forms of the aforementioned pharmaceutical compositions include: (1) a base that is solid at room temperature but melts at body temperature and infiltrate into the surrounding tissue of the body where the active ingredient is absorbed and delivered to perform systemic administration. Suppositories as specific types of implants that slowly release active ingredients; (2) (a) a solid oral dosage form selected from the group consisting of oral tablets, capsules, caplets, courtyards, troches, and multiparticulates with delayed release; (b) enteric-coated tablets and capsules that prevent release and absorption in the stomach to promote delivery to the stomach in the stomach of the patient to be treated; (c) sustained release oral tablets, capsules and particulates that provide systemic delivery of the active ingredient in a controlled manner up to 24 hours; (d) fast dissolving tablets; (e) encapsulation solution; (f) oral pastes; (g) granules incorporated into or to be incorporated into the food of the patient to be treated; And (h) a liquid oral dosage form selected from the group consisting of solutions, suspensions, emulsions, inverse emulsions, elixirs, extracts, tinctures and concentrates.
[754] A pharmaceutical composition within the scope of the present invention is a therapeutically effective amount comprising a compound of the present invention necessary for treating or preventing diseases, disorders and conditions mediated by or associated with the modulation of PDE4 activity as described herein. Wherein the active ingredient of is provided in a dosage form suitable for topical administration to a patient to be treated, wherein the pharmaceutical composition contains the active ingredient in a liquid form suitable for delivering the active ingredient in the following manner (1) intraarterial, intraarticular, cartilage, intracostal, bladder, intradermal or transdermal, blood vessels, comprising components that provide delayed, controlled and / or sustained release of the active ingredient at a topical site Intra, ligament, intramedullary, intramuscular, intranasal, intranerveal, intraocular, i.e. intraocular administration, intraosseous, pelvic, intracardiac, spinal cord, intrasternal, synovial fluid, ankle bone or chuck By intravitreal injection or infusion into a local site [In this case, the active ingredients are, or contain a solution as (a) a solute; (b) in a discontinuous emulsion containing a suitable emulsifier, or in a discontinuous emulsion that is reversed upon injection or injection; Or (c) a suspension solid in colloidal or particulate form, contained in a suspension containing a suitable suspending agent]; (2) injection or infusion as a depot for delivering said active ingredient to said topical site, wherein said composition stores said active ingredient and thereafter delays, sustains and / or delivers said active ingredient to said topical site. Provide controlled release, wherein the composition also comprises ingredients such that the active ingredient has predominantly local activity with weak systemic delivery activity); Or wherein the pharmaceutical composition contains the active ingredient in a solid form suitable for delivering the inhibitor by: (3) instillation, inhalation or inhalation into the topical site, wherein the active ingredient is (a ) Contained in a solid implant composition instilled into the topical site, which optionally provides delayed, sustained and / or controlled release of the active ingredient; (b) is contained in a granular composition that is inhaled into a topical site comprising the lungs; Or (c) in a granular composition blown into the topical site, wherein the composition comprises a component such that the active ingredient has predominantly local activity with minor systemic delivery activity, optionally delaying the active ingredient at the topical site. Provide sustained and / or controlled release. For ophthalmic use, the pharmaceutical composition is formulated in an undifferentiated suspension in isotonic pH adjusted sterile saline, with or without a preservative such as benzylalconium chloride, or preferably in solution in isotonic pH adjusted sterile saline. Can be converted. Alternatively, for ophthalmic use, the pharmaceutical composition may be formulated in an ointment such as waselin.
[755] The pharmaceutical compositions of the invention may also be administered by nasal aerosol or inhalation through the use of a nebulizer, a dry powder inhaler or a metered dose inhaler. The composition is prepared according to techniques known in the art of pharmaceutical formulations, and using saline solution with benzyl alcohol or other suitable preservatives, absorption accelerators to enhance bioavailability, hydrofluorocarbons and / or other conventional solubilizers or dispersants. In solution.
[756] As already mentioned, the active ingredient of formula 1 of the present invention can be administered systemically to a patient to be treated as a pharmaceutical composition in a suitable liquid form by injection or infusion. There are many sites and organ systems in the patient's body that will allow a properly formulated pharmaceutical composition, once injected or injected, to penetrate both the systemic and organ systems of the patient being treated. Injection is a single dose of a pharmaceutical composition that is forced into the tissue of interest, usually by injection. The most common types of injections are intramuscular, intravenous and subcutaneous injections. In contrast, infusion is the gradual introduction of the pharmaceutical composition into the accompanying tissue. The most common type of infusion is intravenous. Other types of injections or infusions include intraarterial, intradermal or transdermal (including subcutaneous), or spinal cord, especially intrathecal, injection or infusion. In such liquid pharmaceutical compositions, the active ingredient may be contained as a solute in solution. Although this is the most common and most preferred type of such composition, it requires an active ingredient in salt form with a fairly good water solubility. Water (or saline) is by far the most preferred solvent for the composition. Occasionally, supersaturated solutions can be used, but these solutions present stability issues that are impractical to use on a daily basis.
[757] As can sometimes occur, if a form of some compound of formula (I) with the required degree of water solubility cannot be obtained, droplets of one liquid in the discontinuous or internal phase throughout the second liquid, which is incompatible, in the continuous or external phase The preparation of emulsions, which are dispersions of, belongs to the expert's skill. Both liquids remain emulsified using a pharmaceutically acceptable emulsifier. Thus, when the active ingredient is a water-insoluble oil, the active ingredient may be administered in an emulsion in which the ingredient is in a discontinuous phase. In addition, emulsions can be used when the active ingredient is water-insoluble but can be dissolved in a solvent that is incompatible with water. The active ingredient may most commonly be used as the discontinuous or internal phase of an emulsion called oil-in-water emulsion, but may also be used as the discontinuous or internal phase of an inverse emulsion, commonly referred to as a water-in-oil emulsion. The active ingredient is then soluble in water and can be administered as a simple aqueous solution. Inverse emulsions, however, are reversed into aqueous media such as blood upon injection or infusion and offer the advantage of dispersing the active ingredient more quickly and effectively in aqueous media than can be obtained with aqueous solutions. Inverse emulsions are prepared using suitable pharmaceutically acceptable emulsifiers known in the art. If the active ingredient has limited water solubility, the ingredient may also be administered as a solid suspended in colloidal or particulate form in a suspension prepared using a suitable pharmaceutically acceptable suspending agent. Suspended solids containing the active ingredient can also be formulated as compositions in which release is delayed, sustained and / or controlled.
[758] Systemic administration is most commonly performed by injection or infusion of liquid, but there are many cases where it is advantageous or necessary to deliver the active ingredient as a solid. Systemic administration of a solid is carried out by infusion, inhalation or insufflation of the pharmaceutical composition in a suitable solid form containing the active ingredient. Instillation of the active ingredient may include injecting the solid implant composition into a suitable body tissue or cavity. The implant comprises a matrix of bio-compatible and bio-erodible materials in which particles of the solid active ingredient are dispersed, or possibly in which droplets or isolated cells of the liquid active ingredient are collected. Preferably, the matrix will be destroyed and completely absorbed by the body. The composition of the matrix is also preferably selected to provide controlled-, sustained- and / or delayed release of the active ingredient for extended periods of time, even months.
[759] The term "implant" most often refers to a solid pharmaceutical composition containing the active ingredient, while the term "depot" is typically deposited on any suitable body tissue or cavity to form a reservoir or pool, which slowly By a liquid pharmaceutical composition containing the active ingredient, which migrates to surrounding tissues and organs and eventually becomes systemically distributed. However, this distinction is not necessarily adhered to in the art, and consequently, it is contemplated to include liquid implants and solid depots, and even mixed solid and liquid forms for each within the scope of the present invention. Suppositories can be considered as a type of implant because they include a base that is solid at room temperature but melts at the body temperature of the patient, impregnating in the surrounding tissues of the patient's body where the active ingredient is absorbed and delivered to perform systemic administration. This is because the active ingredient is released slowly.
[760] Systemic administration can also be carried out by inhalation or insufflation of a powder, ie, a granular composition containing the active ingredient. For example, the active ingredient in powder form can be inhaled into the lungs using conventional devices for aerosolizing the granular formulation. The active ingredient as a granular formulation may also be administered by blowing, ie, it may be blown or otherwise dispersed in suitable body tissues or cavities by simple spraying or using conventional devices for aerosolizing the particulate formulation. . These granular compositions may also be formulated to provide delayed-, sustained- and / or controlled release of the active ingredient according to clearly recognized principles and known materials.
[761] Still other methods of systemic administration that can utilize the active ingredients of the invention in liquid or solid form include the transdermal, intranasal and ophthalmic routes. In particular, transdermal patches prepared according to known drug delivery techniques can be prepared and applied to the skin of a patient to be treated, and the active ingredient then moves across the epidermis due to its standardized solubility properties to allow dermal layers of the patient's skin. Where it is absorbed as part of the patient's general circulation, eventually providing a systemic distribution of the active ingredient for the desired extended period of time. Also included are implants placed below the epidermal layer of the skin, ie, between the epidermis and the dermis of the patient's skin to be treated. The implant may be formulated according to known principles and materials conventionally used in the delivery technique, and prepared in such a way as to provide controlled, sustained and / or delayed release of the active ingredient during the systemic circulation of the patient. Can be. The subcutaneous implant provides the same ease of infusion and delivery efficiency as a transdermal patch, but without limitation can be degraded, damaged or accidentally removed as a result of exposure on the top layer of the patient's skin.
[762] In the above description of the pharmaceutical composition containing the active ingredient of formula (1), the equivalent expressions: "administration", "administration of", "administering" and "administering" were used for the pharmaceutical composition. When used as such, the expressions refer to providing a pharmaceutical composition of the invention by any route of administration described herein to a patient in need thereof, wherein the active ingredient is a compound of Formula 1, or PDE4 activity in the patient Prodrugs, derivatives or metabolites thereof useful for treating a disease, disorder or condition mediated by or associated with the regulation of a. Accordingly, the scope of the present invention also includes any other compound capable of directly or indirectly providing a compound of formula 1 when administered to a patient. The compound is recognized as a prodrug and many validated procedures can be used to prepare the prodrug form of the compound of formula (I).
[763] The dosage and dosage of the compound of formula 1 effective to treat or prevent a disease, disorder or condition mediated by or associated with the modulation of PDE4 activity can be determined by various factors, such as the nature of the inhibitor, the size of the patient, the treatment It will depend on the purpose, the nature of the pathology to be treated, the particular pharmaceutical composition used, and the observations and conclusions of the treating physician.
[764] For example, when the dosage form is oral, eg, tablets or capsules, a suitable dosage level of the compound of formula 1 is about 0.1 μg / kg to about 50.0 mg / kg of body weight per day, preferably body weight per day About 5.0 μg / kg to about 5.0 mg / kg, more preferably about 10.0 μg / kg to about 1.0 mg / kg of body weight per day, and most preferably about 20.0 μg / kg to about 0.5 mg of body weight per day / Kg will be the active ingredient.
[765] When the dosage form is administered topically to the bronchus and lungs, for example by powder inhaler or nebulizer, a suitable dosage level of the compound of formula 1 is from about 0.001 μg / kg to about 10.0 mg / kg of body weight per day, preferably From about 0.5 μg / kg of body weight per day, more preferably from about 1.0 μg / kg to about 0.1 mg / kg of body weight per day, most preferably from about 2.0 μg / kg of body weight per day About 0.05 mg / kg of active ingredient.
[766] Using representative weights of 10 kg and 100 kg to illustrate the range of daily oral dosages that can be used as described above, suitable dosage levels of the compound of Formula 1 are about 1.0-10.0 μg and 500.0-5000.0 mg per day. Preferably about 50.0 to 500.0 μg and 50.0 to 500.0 mg per day, more preferably about 100.0 to 1000.0 μg and 10.0 to 100.0 mg per day, most preferably about 200.0 to 2000.0 μg and 5.0 to 50.0 mg per day An active ingredient comprising a compound of formula (1). Doses in this range represent the total dosage of active ingredient per day for that patient. The number of times the dose is administered per day is not only the half-life of the active ingredient which indicates the pharmacological and pharmacodynamic factors, ie the rate of degradation and elimination of the active ingredient, but also the minimum and optimum of the active ingredient achieved in patients in need of therapeutic effect Administration according to the half-life of the active ingredient reflecting plasma or other body fluid levels.
[767] Many other factors should also be considered when determining the number of doses per day and the amount of active ingredient per dose to be administered. The individual response of the patient being treated among these other factors is of no significance. Thus, for example, when the active ingredient is used to treat or prevent asthma and is topically administered by aerosol inhalation in the lungs, one to four doses consisting of the operation of the dispersing device, ie the "puff" of the inhaler, are used daily. Each dose will contain from about 50.0 μg to about 10.0 mg of active ingredient.
[768] Preparation Example 1
[769] 2- [Benzo [2,1,3] oxadiazole-5-yloxy] -nicotinic acid ethyl ester of the formula (5.0.1)
[770]
[771] A mixture of 5.5 g (29.4 mmol) 2-chloro nicotinic acid ethyl ester, 4.0 g (29.4 mmol) 5-hydroxybenzofurazane and 20.1 g (61.7 mmol) cesium carbonate in 125 mL of anhydrous dimethylformamide was prepared. Heated at 5 ° C. for 5 days. The mixture was poured into water and extracted with ethyl acetate. The ethyl acetate extract was collected, washed successively with aqueous sodium bicarbonate solution, water and brine, then dried (Na ₂ SO ₄ ) and concentrated in vacuo to afford a solid. Recrystallization from diethyl ether / pentane gave 2.2 g (26%) of solids.
[772]
[773] Preparation Example 2
[774] 2- [Benzo [2,1,3] oxadiazol-5-yloxy] -nicotinic acid of the formula (5.0.2)
[775]
[776] A mixture of 2.2 g (7.7 mmol) of 2- [benzo [2,1,3] oxadiazol-5-yloxy] -nicotinic acid ethyl ester in 75 ml of tetrahydrofuran and 23.1 ml (23.1 mmol) of 1 M LiOH Was stirred at rt overnight. Tetrahydrofuran was evaporated in vacuo and then the aqueous mixture was acidified with 1N HCl. The resulting precipitate was filtered and dried to give 1.9 g (96%) of solids.
[777]
[778] Preparation Example 3
[779] 2- [benzo [2,1,3] oxadiazol-5-yloxy] -N- [4- [2-methyl- [1,3] dioxolan-2-yl of the formula (5.0.3) ] -Benzyl] -nicotinamide
[780]
[781] Prepared in a similar manner to Example 1 using 4- [2-methyl- [1,3] dioxolan-2-yl] -benzylamine instead (Korytnyk et al . J. Med. Chem. 21 507, 1978).
[782]
[783] Preparation Example 4
[784] (±) -1- [5-aminomethyl-thiophen-2-yl] -ethanol of the formula (5.0.4)
[785]
[786] 8 ml (8.01 mmol) in a solution stirred at 0 ° C. of 400 mg (2.61 mmol) of (±) -1- [5-cyano-thiophen-2-yl] -ethanol in 20 ml tetrahydrofuran. 1.0 M lithium aluminum hydride in tetrahydrofuran was added dropwise. The mixture was refluxed for 1 hour, cooled to 0 ° C., and then quenched by the dropwise addition of methanol. The mixture was diluted with chloroform and washed with water. The resulting emulsion was filtered through celite and the filtrate layer was separated. The organic extract was dried (MgSO ₄ ) and concentrated in vacuo to afford 310 mg (76%) of oil.
[787]
[788] Preparation Example 5
[789] (±) -1- [5-cyano-thiophen-2-yl] -ethanol of the formula (5.0.5)
[790]
[791] To the stirred solution of 1.0 g (6.61 mmol) 2-acetyl-5-cyanothiophene at 0 ° C. in 20 mL methanol was added 312 mg sodium borohydride. The mixture was stirred at 0 ° C. for 1 hour and then the reaction was stopped with saturated NH ₄ Cl solution. The mixture was poured into water and extracted with ethyl acetate. The organic extract was collected, washed successively with water and brine, dried (MgSO ₄ ) and concentrated in vacuo to afford an oil. Chromatography eluting with ethyl acetate / hexanes (1: 4) on silica gel gave 900 mg (89%) of oil.
[792]
[793] Preparation Example 6
[794] (±) -2- [4- [1-amino-ethyl] -3-fluoro-phenyl] -propan-2-ol of the formula (5.0.6)
[795]
[796] 158 mg (0.48 mmol) of (±) -2- [1- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl] -phenyl] -ethyl] -isoindole in 10 ml methanol A mixture of -1,3-dione and 0.08 mL (2.4 mmol) hydrazine hydrate was stirred overnight at room temperature. The resulting precipitate was filtered off and the filtrate was concentrated to give a solid. The solid was triturated with chloroform, filtered and the filtrate was concentrated to give 110 mg (100%) of oil.
[797]
[798] Preparation Example 7
[799] (±) -2- [1- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl] -phenyl] -ethyl] -isoindole-1,3 of the following formula (5.0.7) Dion
[800]
[801] 311 mg (1.0 mmol) of (±) -2- [1- [4-acetyl-2-fluoro-phenyl] -ethyl] -isoindole-1,3-dione and 296 in 20 ml anhydrous tetrahydrofuran To a stirred stirred suspension of mg (1.2 mmol) cesium (III) chloride was added dropwise 3.0 M methylmagnesium chloride in 0.4 ml (1.2 mmol) of tetrahydrofuran. The mixture was left slowly at room temperature for 4 hours, poured into water, acidified with 2N acetic acid and extracted with ethyl acetate. The organic extract was collected, washed successively with water and brine, dried and concentrated in vacuo to afford an oil. Chromatography eluting with ethyl acetate / hexanes (1: 2) on silica gel gave 165 mg (50%) of oil.
[802] MS (m / z): 327 (M ⁺ , 100).
[803] Preparation Example 8
[804] (±) -2- [1- [4-acetyl-2-fluoro-phenyl] -ethyl] -isoindole-1,3-dione of the following formula (5.0.8)
[805]
[806] 1.09 g (3.54 mmol) of (±) -2- [1- [4-bromo-2-fluoro-phenyl] -ethyl] -isoindole-1,3-dione in 40 ml of anhydrous dimethylformamide, 2.3 ml (17.7 mmol) butyl vinyl ether, 1.0 g (3.9 mmol) tanlium (I) acetate, 1 ml (7.1 mmol) triethylamine, 80 mg (0.195 mmol) 1,3-bis (diphenyl) Phosphinopropane) and 39 mg (0.18 mmol) of palladium (II) acetate were deaerated under nitrogen and then heated at 90 ° C. for 5 hours. The mixture was poured into water and extracted with ethyl acetate. The organic extract was collected, washed successively with water and brine, dried (MgSO ₄ ) and concentrated to yield an oil. The oil was dissolved in 50 ml of tetrahydrofuran, 50 ml of 1.0N HCl was added and the mixture was stirred at room temperature for 1 hour. The mixture was poured into water and extracted with ethyl acetate. The organic extract was collected, washed successively with water and brine, then dried (MgSO ₄ ) and concentrated in vacuo to afford an oil. Chromatography eluting with ethyl acetate / hexanes (1: 2) on silica gel gave 330 mg (30%) of a solid.
[807]
[808] Preparation Example 9
[809] (±) -2- [1- [4-bromo-2-fluoro-phenyl] -ethyl] -isoindole-1,3-dione of the following formula (5.0.9)
[810]
[811] 1.2 g (5.5 mmol) of (±) -1- [4-bromo-2-fluoro-phenyl] -ethanol, 886 mg (6.0 mmol) phthalimide and 1.6 g (6.0 mmol) in 20 mL of dry THF 1.0 mL (6.6 mmol) of diethyl azodicarboxylate was added dropwise to a stirred solution of triphenylphosphine to room temperature. The mixture was stirred at rt overnight, diluted with ethyl acetate, washed successively with water and brine, dried (MgSO ₄ ) and concentrated to give an oil. Chromatography eluting with ethyl acetate / hexanes (1: 4) on silica gel gave 1.1 g (58%) of a solid.
[812] MS (m / z): 347/349 (M ⁺ , 100).
[813] Preparation Example 10
[814] (±) -1- [4-bromo-2-fluoro-phenyl] -ethanol of the formula (5.0.10)
[815]
[816] To a stirred solution of 5.0 g (0.025 mol) of 4-bromo-2-fluorobenzaldehyde at 0 ° C. in 50 mL of anhydrous tetrahydrofuran was added dropwise 10 mL of 3.0 M methyl magnesium chloride in tetrahydrofuran. The mixture was stirred at 0 ° C. for 30 minutes and at room temperature for 2 hours. After cooling the mixture to 0 ° C., the reaction was stopped with dropwise addition of methanol. The mixture was poured into water, acidified with 1N HCl and extracted with ethyl acetate. The organic extract was collected, washed successively with water, brine, dried (MgSO ₄ ) and concentrated in vacuo to afford an oil. Chromatography eluting with ethyl acetate / hexanes (1: 4) on silica gel gave 3.2 g (58%) of oil.
[817]
[818] Preparation Example 11
[819] (R) -diallyl- [1- (4-bromo-phenyl) -ethyl] -amine of the formula (5.0.11)
[820]
[821] A mixture of 2.0 g (10.0 mmol) of (R) -1- (4-bromo-phenyl) -ethylamine and 30 mL of toluene (anhydrous) was cooled to 0 ° C. Then 5.2 mL (30.0 mmol) of di-iso-propylethylamine were added dropwise and 7.4 mL (85 mmol) of allyl bromide was added. The resulting mixture was allowed to warm to rt and then heated at 95 ° C. for 2.5 h. The mixture was filtered. The precipitate was then washed with toluene and the filtrate and washes were collected and concentrated in vacuo to give a reddish brown oil. Chromatography on silica gel with 15% ethyl acetate / hexanes yielded 2.76 g (99%) of oil.
[822]
[823] Preparation Example 12
[824] (R) -2- [4- (1-diallylamino-ethyl) -phenyl] -propan-2-ol of the following formula (5.0.12)
[825]
[826] 2.76 g (9.9 mmol) of (R) -diallyl- [1- (4-bromo-phenyl) -ethyl] -amine was dissolved in 30 mL of THF (anhydrous) under N ₂ atmosphere. The mixture was then cooled to -78 ° C and 5.0 mL (12 mmol) of 2.5M n-BuLi in hexanes were added dropwise. The mixture was cooled to -90 ° C and acetone was added with stirring at -90 ° C for 10 minutes. The mixture was allowed to warm to room temperature and then the reaction was stopped using MeOH. Water was then added and the resulting mixture was extracted with ether. The ether extract was collected, washed with water and brine, dried over MgSO ₄ , filtered and concentrated in vacuo. Chromatography on silica gel using 15% ethyl acetate / hexanes yielded 1.6 g (64%) of the desired final product.
[827]
[828] Preparation Example 13
[829] (R) -2- [4- (1-amino-ethyl) -phenyl] -propan-2-ol of the following formula (5.0.13)
[830]
[831] A mixture of 0.63 g (0.54 mmol) of Pd (PPh ₃ ) ₄ and 25.3 g (162 mmol) of NDMBA was collected and placed under N ₂ . Then a solution of 7.0 g (27 mmol) of (R) -2- [4- (1-diallylamino-ethyl) -phenyl] -propan-2-ol in 140 mL CH ₂ Cl ₂ was added. The resulting mixture was then refluxed for 2 hours under N ₂ . The crude reaction mixture was loaded onto rough silica gel. Chromatography on silica gel with 7.5% MeOH / CH ₂ Cl ₂ followed by 2% NH ₄ OH / 10% MeOH / CH ₂ Cl ₂ gave 4.5 g (93%) of the desired product.
[832]
[833] Preparation Example 14
[834] (S) -diallyl- [1- (4-bromo-phenyl) -ethyl] -amine of the following formula (5.0.14)
[835]
[836] Prepared in a similar manner to Preparation 11 using (S) -1- (4-bromo-phenyl) -ethylamine instead.
[837]
[838] Preparation Example 15
[839] (S) -2- [4- (1-diallylamino-ethyl) -phenyl] -propan-2-ol of the following formula (5.0.15)
[840]
[841] Prepared in a similar manner to Preparation 12 using (S) -diallyl- [1- (4-bromo-phenyl) -ethyl] -amine instead.
[842]
[843] Preparation Example 16
[844] (S) -2- [4- (1-amino-ethyl) -phenyl] -propan-2-ol of the following formula (5.0.16)
[845]
[846] Prepared in a similar manner to Preparation 13 using (S) -2- [4- (1-diallylamino-ethyl) -phenyl] -propan-2-ol instead.
[847]
[848] Preparation Example 17
[849] (S) -2- [4- (1-hydroxy-1-methyl-ethyl) -cyclohex-1-enylmethyl] -isoindole-1,3-dione of the following formula (5.0.17)
[850]
[851] A mixture of 2.2 g (16 mmol) K ₂ CO ₃ , 1.2 g (8.4 mmol) phthalimide and 40 mL DMF was stirred at room temperature for 0.5 h. Thereafter, 1.7 g (7.4 mmol) of (S) -2- (4-bromomethyl-cyclohex-3-ethyl) -propan-2-ol (Bull et al., Aust. J. Chem) ., 46 1869, 1993) was added and stirred the resulting mixture at room temperature for 72 hours. After addition of water, the mixture was extracted with ethyl acetate. The ethyl acetate extracts were collected, washed with water and brine, dried (MgSO ₄ ), filtered and concentrated in vacuo. Chromatography on silica gel using 20% ethyl acetate / hexanes yielded 0.62 g (28%) of the desired product.
[852] MS (m / z) 300 (M ⁺⁺ 1, 5), 282 (100).
[853] Preparation Example 18
[854] (S) -2- (4-Aminomethyl-cyclohex-3-enyl) -propan-2-ol of the following formula (5.0.18)
[855]
[856] 0.62 g (2.1 mmol) of (S) -2- [4- (1-hydroxy-1-methyl-ethyl) -cyclohex-1-enyl-methyl] -isoindole-1,3-dione and 20 ml The mixture of MeOH was cooled to 0 ° C. Then 0.2 ml (6 mmol) hydrazine hydrate were added and the resulting mixture was allowed to warm to room temperature and stirred overnight. The reaction mixture was concentrated in vacuo, triturated with CHCl ₃ , filtered and the filtrate was concentrated to give 0.31 g (63%) of solid product.
[857] MS (m / z) 211 (100), 170 (M ⁺ +1, 55).
[858] Preparation Example 19
[859] (R) -2- [4- (1-hydroxy-1-methyl-ethyl) -cyclohex-1-enylmethyl] -isoindole-1,3-dione of the following formula (5.0.19)
[860]
[861] (R) -2- (4-bromomethyl-cyclohex-3-enyl) -propan-2-ol was prepared in a similar manner to Preparation Example 17 (see supra).
[862] MS (m / z) 300 (M ⁺⁺ 1, 5), 282 (100).
[863] Preparation Example 20
[864] (R) -2- (4-Aminomethyl-cyclohex-3-enyl) -propan-2-ol of the formula (5.0.20)
[865]
[866] In a similar manner as in Production Example 18, using (R) -2- [4- (1-hydroxy-1-methyl-ethyl) -cyclohex-1-enylmethyl] -isoindole-1,3-dione instead Prepared.
[867] MS (m / z) 211 (100), 170 (M ⁺ +1, 55).
[868] Preparation Example 21
[869] 4- (1-Hydroxy-cyclopropyl) -benzonitrile of the following formula (5.0.21)
[870]
[871] A solution of 2.9 mL (2.67 mmol) of di- i -propylamine was dissolved in 5.0 mL of dry THF, cooled to -78 ° C and treated with 8.26 mL of n-BuLi (2.5M, 20.67 mmol). After 0.5 h stirring at −78 ° C., a solution of 2.0 g (13.78 mmol) of 4-acetyl-benzonitrile in 10 ml of dry THF was added via syringe at −78 ° C., followed by 8.37 g (0.1 M, 20.7 mmol) of samanium diiodide in THF was added. The reaction mixture was stirred at −78 ° C. for 10 minutes, then 10.95 g (41.34 mmol) of diiodomethane were added, the reaction mixture was stirred for 16 hours, and the reaction mixture was allowed to reach room temperature. The reaction mixture was quenched with 1N HCl, THF was removed in vacuo and extracted with EtOAc. The collected extracts were washed with brine, dried (Na ₂ SO ₄ ) and concentrated in vacuo to afford a black oil. Chromatography on silica gel using ethyl acetate / hexanes (1: 4) gave 0.57 g (26%) of a pale yellow solid.
[872]
[873] Preparation Example 22
[874] 1- (4-Aminomethyl-phenyl) -cyclopropanol of the formula (5.0.22)
[875]
[876] Prepared in a similar manner to Preparation 4 using 4- (1-hydroxy-cyclopropyl) -benzonitrile instead.
[877]
[878] Preparation Example 23
[879] 4-acetyl-2-fluoro-benzonitrile of the formula (5.0.23)
[880]
[881] Prepared in a similar manner to Preparation 10 using 4-cyano-3-fluoro-benzoic acid methyl ester instead.
[882]
[883] Preparation Example 24
[884] 2-Fluoro-4- (1-hydroxy-cyclopropyl) -benzonitrile of the formula (5.0.24)
[885]
[886] Prepared in a similar manner to Preparation 21 using 4-acetyl-2-fluoro-benzonitrile instead.
[887]
[888] Preparation Example 25
[889] 1- (4-Aminomethyl-3-fluoro-phenyl) -cyclopropanol of the formula (5.0.25)
[890]
[891] Prepared in a similar manner to Preparation 4 using 2-fluoro-4- (1-hydroxy-cyclopropyl) -benzonitrile instead.
[892]
[893] Preparation Example 26
[894] (±) -diallyl- [1- (4-bromo-phenyl) -ethyl] -amine of the formula (5.0.26)
[895]
[896] Prepared in a similar manner to Preparation 11 using (±) -1- (4-bromo-phenyl) -ethylamine instead.
[897]
[898] Preparation Example 27
[899] (±) -2- [4- (1-diallylamino-ethyl) -phenyl] -propan-2-ol of the following formula (5.0.27)
[900]
[901] Prepared in a similar manner to Preparation 12 using (±) -diallyl- [1- (4-bromo-phenyl) -ethyl] -amine instead.
[902]
[903] Preparation Example 28
[904] (±) -2- [4- (1-amino-ethyl) -phenyl] -propan-2-ol of the formula (5.0.28)
[905]
[906] Prepared in a similar manner to Preparation Example 13 using (±) -2- [4- (1-diallylamino-ethyl) -phenyl] -propan-2-ol instead.
[907]
[908] Preparation Example 29
[909] Benzo- [2,1,3] -thiadiazole-5-ol of the formula (5.0.29)
[910]
[911] 5-methoxy-benzo- [2,1,3] -thiadiazole (4.09 g, 24.6 mmol) was stirred with hydrobromic acid (60 mL, 165 mmol, 30% in acetic acid) at 80 ° C. for 5 days. The mixture was cooled to 10 ° C and filtered. The solid was purified by short column chromatography (50% ethyl acetate / hexanes). The solvent was removed in vacuo to yield 1.0 g (27% yield) of a yellow solid.
[912]
[913] Preparation Example 30
[914] 2- (Benzo- [2,1,3] -thiadiazol-5-yloxy) -nicotinic acid ethyl ester of the formula (5.0.30)
[915]
[916] A mixture of 2-chloro-nicotinic acid ethyl ester (0.516 g, 3 mmol), benzo- [2,1,3] -thiadiazole-5-ol (0.46 g, 3 mmol) and cesium carbonate (2.07 g, 6.3 mmol) was prepared. Stir in 40 mL of N, N-dimethylformamide at 80 ° C. for 48 h. The dark orange mixture was cooled down, poured into water (600 mL) and extracted with ethyl acetate. The collected orange layer was washed with water and brine and dried (Na ₂ SO ₄ ). The mixture was concentrated in vacuo to yield 0.74 g (82% yield) of a yellow solid.
[917] MS (m / z) 302 (M ⁺ , 20), 227 (100).
[918] Preparation Example 31
[919] 2- (Benzo- [2,1,3] -thiadiazol-5-yloxy) -nicotinic acid of the formula (5.0.31)
[920]
[921] A solution of 2- (benzo [2,1,3] thiadiazol-5-yloxy) -nicotinic acid ethyl ester (0.74 g, 2.5 mmol) in tetrahydrofuran (2.78 mL) and 1 M LiOH (2.7 mL) overnight Was stirred. The mixture was diluted with water, acidified with 2N hydrochloric acid to pH 1, and then filtered to give a pale yellow solid (160 mg).
[922]
[923] Example 1
[924] 2- [benzo [2,1,3] oxadiazol-5-yloxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -benzyl]-of the formula (5.5.1): Nicotinamide
[925]
[926] 2.0 g (7.8 mmol) 2- [benzo [2,1,3] oxadiazol-5-yloxy] -nicotinic acid, 1.3 g (7.8 mmol) 2- (4-aminomethyl-) in 200 mL DMF 1.8 g (9.3 mmol) of 1- [3- (dimethylamino) propyl] in a stirred solution of phenyl) -propan-2-ol and 1.2 g (8.6 mmol) of 1-hydroxybenzotriazole hydrate (HOBT) 3-Ethylcarbodiimide hydrochloride (EDCl) was added and the reaction mixture was stirred overnight at room temperature. The mixture was poured into water and extracted with ethyl acetate. The ethyl acetate extract was collected, washed successively with 1N NaOH, water and brine, dried (Na ₂ SO ₄ ) and concentrated in vacuo to afford a solid. Chromatography eluting with ethyl acetate / hexanes (1: 1) on silica gel gave a solid. Recrystallization from ethyl acetate / hexanes yielded 2.1 g (68%) of solids. mp 149-151 ° C.
[927]
[928] Example 2
[929] 2- [benzo [2,1,3] oxadiazol-5-yloxy] -N- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl of formula (5.5.2) ] -Benzyl] -nicotinamide
[930]
[931] Prepared in a similar manner to Example 1 using 2- (4-aminomethyl-3-fluoro-phenyl) -propan-2-ol instead.
[932] Mp 160-161 ° C.
[933] MS (m / z): 423 (M ⁺ +1, 25), 405 (100).
[934] Example 3
[935] Trans-2- [benzo [2,1,3] oxadiazol-5-yloxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -cyclo of the formula (5.5.3) Hexylmethyl] -nicotinamide
[936]
[937] Prepared in a similar manner to Example 1 using 2- (4-aminomethyl-cyclohex-3-enyl) -propan-2-ol instead.
[938]
[939] Example 4
[940] 2- (Benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxycyclobutyl) -benzyl] -nicotinamide of the formula (5.5.4)
[941]
[942] Prepared in a similar manner to Example 1 using 2- (4-aminomethyl-phenyl) -cyclobutanol instead.
[943]
[944] Example 5
[945] (±) -2- [benzo [2,1,3] oxadiazol-5-yloxy] -N- [4- [2,2,2-trifluoro-1 of formula (5.5.5) -Hydroxy-ethyl] -benzyl] -nicotinamide
[946]
[947] Prepared in a similar manner to Example 1 using (±) -4- (2,2,2-trifluoro-ethoxy) -benzylamine instead.
[948]
[949] Example 6
[950] (±) -2- [benzo [2,1,3] oxadiazol-5-yloxy] -N- [5- [1-hydroxy-ethyl] -thiophene of the following formula (5.5.6): 2-ylmethyl] -nicotinamide
[951]
[952] Prepared in a similar manner to Example 1, using (±) -1- [5-aminomethyl-thiophen-2-yl] -ethanol instead.
[953]
[954] Example 7
[955] N- [4-acetyl-benzyl] -2- [benzo [2,1,3] oxadiazol-5-yloxy] -nicotinamide of formula (5.5.7)
[956]
[957] 466 mg (1.08 mmol) of 2- [benzo [2,1,3] oxadiazoyl-5-yloxy] -N- [4- [2-methyl- [1,3] in 20 ml of tetrahydrofuran A mixture of dioxolan-2-yl] -benzyl] -nicotinamide and 10 ml of 1.0N HCl was stirred at room temperature for 2 hours. The mixture was poured into water, neutralized and extracted with ethyl acetate. The organic extract was collected, washed successively with water and brine, dried (MgSO ₄ ) and concentrated in vacuo to afford a solid. Chromatography eluting with ethyl acetate / hexanes (2: 1) on silica gel gave a solid. Recrystallization from ethyl acetate / hexanes gave 340 mg (75%) of a solid.
[958]
[959] Example 8
[960] (±) -2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [1- [2-fluoro-4- (1-hydro) of the following formula (5.5.8): Roxy-1-methyl-ethyl) -phenyl] -ethyl] -nicotinamide
[961]
[962] Prepared in a similar manner to Example 1 using (±) -2- [4- [1-amino-ethyl] -3-fluoro-phenyl] -propan-2-ol instead.
[963]
[964] Example 9
[965] 2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [2-chloro-4- (1-hydroxy-1-methyl-ethyl) of the formula (5.5.9) -Benzyl] -nicotinamide
[966]
[967] Prepared in a similar manner to Example 1 using 2- (4-aminomethyl-3-chloro-phenyl) -propan-2-ol instead.
[968] Mp 171-173 ° C.
[969] MS (m / z) 439 (M ⁺ +1, 5), 421 (100).
[970] Example 10
[971] (±) -2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-ethyl) -benzyl]-of the formula (5.5.10) Nicotinamide
[972]
[973] Prepared in a similar manner to Example 1 using 1- (4-aminomethyl-phenyl) -ethanol instead.
[974]
[975] Example 11
[976] (-)-2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [1- [4- (1-hydroxy-1-methyl) of formula (5.5.11) -Ethyl) -phenyl] -ethyl] -nicotinamide
[977]
[978] Prepared in a similar manner to Example 1 using (R) -2- [4- (1-amino-ethyl) -phenyl] -propan-2-ol instead.
[979]
[980] Example 12
[981] (+)-2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [1- [4- (1-hydroxy-1-methyl) of formula (5.5.12) -Ethyl) -phenyl] -ethyl] -nicotinamide
[982]
[983] Prepared in a similar manner to Example 1 using (S) -2- [4- (1-amino-ethyl) -phenyl] -propan-2-ol instead.
[984]
[985] Example 13
[986] (+)-2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-1-methyl-ethyl) of the following formula (5.5.13) -Cyclohex-1-enylmethyl] -nicotinamide
[987]
[988] Prepared in a similar manner to Example 1 using (R) -2- (4-aminomethyl-cyclohex-3-enyl) -propan-2-ol instead.
[989]
[990] Example 14
[991] (-)-2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-1-methyl-ethyl) of the formula (5.5.14) -Cyclohex-1-enylmethyl] -nicotinamide
[992]
[993] Prepared in a similar manner to Example 1 using (S) -2- (4-aminomethyl-cyclohex-3-enyl) -propan-2-ol instead.
[994]
[995] Example 15
[996] 2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-cyclopropyl) -benzyl] -nicotinamide of the formula (5.5.15)
[997]
[998] Prepared in a similar manner to Example 1 using 1- (4-aminomethyl-phenyl) -cyclopropanol instead.
[999]
[1000] Example 16
[1001] 2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [2-fluoro-4- (1-hydroxy-cyclopropyl) -benzyl of the formula (5.5.16) ] -Nicotinamide
[1002]
[1003] Prepared in a similar manner to Example 1 using 1- (4-aminomethyl-3-fluoro-phenyl) -cyclopropanol instead.
[1004]
[1005] Example 17
[1006] (±) -2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [1- [4- (1-hydroxy-1-methyl) of formula (5.5.17) -Ethyl) -phenyl] -ethyl] -nicotinamide
[1007]
[1008] Prepared in a similar manner to Example 1, using (±) -2- [4- (1-amino-ethyl) -phenyl] -propan-2-ol instead.
[1009]
[1010] Example 18
[1011] (±) -2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-1,2,2- of formula (5.5.18) Trimethyl-propyl) -benzyl] -nicotinamide
[1012]
[1013] 5.0 g (34.4 mmol) of 4-acetyl-benzonitrile was dissolved in anhydrous THF and then added to a solution of 60 mL of anhydrous THF and 21.0 mL of 2M t-butyl magnesium chloride (41.2 mmol) at 0 ° C. The reaction mixture was stirred at 0 ° C. for 0.5 h and then quenched with 10 ml of methanol. The mixture was diluted with water and acidified with oxalic acid. The mixture was then extracted with ether, the organic layer was collected, washed with water and brine, dried over MgSO ₄ , filtered and concentrated. Chromatography with 20% ethyl acetate / hexanes on silica gel yielded 2.60 g (37%) of crude product. After chromatography, the isolated crude product (12.8 mmol) was dissolved in anhydrous THF and cooled to 0 ° C. Thereafter, 38.4 mL (38.4 mmol) of 1.0 M LiAlH ₄ was added dropwise, and the reaction mixture was allowed to warm to room temperature and refluxed for 1 hour. The mixture was then cooled to 0 ° C. and 15 mL of methanol was added. The mixture was diluted with CHCl ₃ and water, filtered through celite and layered. The organic layer was dried over MgSO ₄ , filtered and concentrated. 0.76 g (3.67 mmol) was isolated of the crude product. The crude product was carried out in the next step, producing a final product similar to Example 1.
[1014]
[1015] Example 19
[1016] (±) -2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-1,2-dimethyl- of the following formula (5.5.19): Propyl) -benzyl] -nicotinamide
[1017]
[1018] Prepared in a similar manner to Example 18 using i -propyl magnesium chloride instead.
[1019]
[1020] Example 20
[1021] 2- (Benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-cyano-1-methyl-ethyl) -benzyl]-of formula (5.5.20) Nicotinamide
[1022]
[1023] 2- (benzo [2,1,3] oxadiazol-5-yloxy) -N- [4- (1-hydroxy-1-methyl-ethyl) in dichloromethane (1.5 mL) cooled to 0 ° C. To a solution of -benzyl] -nicotinamide (300 mg, 0.74 mmol) trimethylsilyl cyanide (1 mL, 7.4 mmol) was added followed by the addition of tin tetrachloride (7 drops of a 1.0 M solution in dichloromethane) slowly. The reaction mixture was allowed to warm to room temperature overnight. Potassium carbonate (300 mg, 2.10 mmol) and potassium fluoride dihydrate (120 mg, 2.10 mmol) were added and water was added dropwise. The reaction mixture was stirred vigorously for 90 minutes and then silica gel (600 mg) was added. The mixture was filtered and washed thoroughly with dichloromethane. The filtrate was washed with saturated aqueous sodium bicarbonate solution, dried over magnesium sulfate, filtered and concentrated to give 124 mg of a pale yellow solid. The product was recrystallized from ethyl acetate / hexanes to give 96 mg (31% yield) of a pale yellow solid.
[1024]
[1025] Example 21
[1026] 2- (benzo [2,1,3] thiadiazol-5-yloxy) -N- [4- (1-hydroxy-1-methyl-ethyl) -benzyl]-of the formula (5.5.21) Nicotinamide
[1027]
[1028] 2- (benzo [2,1,3] thiadiazol-5-yloxy) -nicotinic acid (30.8 mg, 0.11 mmol), 2- (4-aminomethyl-phenyl) -propan-2-ol (18.6 mg, 0.11 mmol), 1-hydroxybenzotriazole hydrate (16.8 mg, 0.12 mmol) and 1- [3- (dimethylamino) propyl] -3-ethylcarbodiimide hydrochloride (25.9 mg, 0.14 mmol) in N, It was dissolved in N-dimethylformamide (10 mL) and stirred overnight at room temperature. The solution was poured into water (30 mL) and extracted with ethyl acetate. The collected organic layers were washed successively with 1N NaOH, water and brine, then dried over sodium sulfate and concentrated in vacuo. The resulting amber oil was purified by flash column chromatography (1: 1 ethyl acetate / hexanes) to give a white foam (29 mg, 0.07 mmol).
[1029]
[1030] Example 22
[1031] 2- (benzo [2,1,3] thiadiazol-5-yl-oxy) -N- [2-fluoro-4- (1-hydroxy-1-methyl-) of formula (5.5.22) Ethyl) -benzyl] -nicotinamide
[1032]
[1033] Prepared in a similar manner to Example 21 using 2- (4-aminomethyl-3-fluoro-phenyl) -propan-2-ol instead. (66% yield). mp = 124-125 ° C.
[1034]

权利要求:
Claims (15)
[1" claim-type="Currently amended] A compound of Formula 1 or a pharmaceutically acceptable salt thereof:
Formula 1

Where
m is 0, 1 or 2;
n is 1 or 2;
W is -O-, -S (= O) _t- (where t is 0, 1 or 2) or -N (R ³ )-(where R ³ has the same meaning as defined below) and ;
Y is = C (R ^E )-or-[N⇒ (O)], wherein R ^E is -H, -F, -Cl, -CN, -NO ₂ ,-(C ₁ -C ₄ ) alkyl , (C ₂ -C ₄ ) alkynyl, fluorinated- (C ₁ -C ₃ ) alkyl, (C ₁ -C ₃ ) alkoxy, fluorinated- (C ₁ -C ₃ ) alkoxy, -OH and -C ( ═O) NR ¹² R ¹³ , wherein R ¹² and R ¹³ are one selected from the group consisting of:
R ^A and R ^B are each -H; -F; -CF ₃ ; - (C ₁ -C ₆₎ alkyl; -(C ₃ -C ₇ ) cycloalkyl; Phenyl; benzyl; And heterocyclic moieties (pyrrolyl, pyrazolyl, imidazolyl, pyridinyl, pyrazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, i -oxazolyl, thiazolyl, thiazolidinyl, i -One selected independently from the group consisting of thiazolyl, triazolyl, tetrazolyl, oxadiazolyl and thiadiazolyl); Wherein said alkyl, cycloalkyl, phenyl, benzyl or heterocyclic moieties are each independently substituted with 0 to 3 substituents R ¹⁰ , with respect to the above meanings of R ^A and R ^B and all other meanings, R ^A or R ^B the R ¹⁰ as the substituent -OR ^12, -OC (= O) R ¹³ or -OC (= O) has the meaning of NR ¹² R ^13, -OR ¹² as above for Z -OR ^12, -OC (= Or the positional relationship of O) R ¹³ or -OC (= O) NR ¹² R ¹³ is not a neighboring relationship, where R ¹⁰ is -F, -Cl, -CF ₃ , -CN, (C ₁ -C ₂ ) Alkyl, -OR ¹² , -C (= 0) OR ¹² , -OC (= 0) R ¹³ , -C (= 0) NR ¹² R ¹³ , -OC (= 0) NR ¹² R ¹³ , -NR ¹² R ¹³ , -NR ¹² C (= 0) R ¹³ , -NR ¹² C (= 0) OR ¹³ , -NR ¹² S (= 0) ₂ R ¹³ and -S (= 0) ₂ NR ¹² R ¹³ One species selected from the crowd; Wherein R ¹² and R ¹³ are each -H; - (C ₁ -C ₄₎ alkyl; (C ₂ -C ₄ ) alkenyl; (C ₃ -C ₆ ) cycloalkyl; Phenyl; benzyl; And monocyclic heterocyclic moieties, including (C ₃ -C ₆ ) cycloalkyl, wherein the nitrogen heteroatom replaces one carbon atom and optionally the second nitrogen heteroatom is selected from the 5- or 6-membered hetero Alternatively an oxygen heteroatom of the click moiety, and optionally an oxygen heteroatom, is one independently selected from the group consisting of: a third carbon atom of the 5- or 6-membered heterocyclic moiety), wherein Alkyl, alkenyl, cycloalkyl, phenyl, benzyl or monocyclic heterocyclic moieties are substituted with 0 to 3 substituents selected from the group consisting of F and Cl; or
R ^A and R ^B are joined together when m is 1 to form a spiro residue of Formula 2:
Formula 2

[Wherein r and s are independently 0 to 4, and the sum of r + s is 1 or more and 5 or less; Q ^A is selected from —CH ₂ —, —CHF, —CF ₂ , —NR ¹² —, —O—, and —S (═O) _t −, where t is 0, 1 or 2;
The spiro moiety is substituted with 0 to 3 substituents R ¹⁰ for any one or more carbon atoms thereof, including carbon atoms of the group —CH ₂ — defining Q ^A , wherein R ¹⁰ has the same meaning as defined above With respect to the above meanings of R ^A and R ^B and all other meanings, R ¹⁰ as a substituent of R ^A or R ^B is -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ^Has a meaning of ^{13 and} the positional relationship of -OR ¹² , -OC (= 0) R ¹³ or -OC (= 0) NR ¹² R ¹³ to -OR ¹² as Z is not a neighboring relationship;
R ^C and R ^D may be at least one of R ^C and R ^D are -H, and R ^A and R ^B, respectively, except that independently selected have the same meanings as defined above for R ^A and R ^B;
Q is phenyl; Pyrrolyl; Furanyl; Thienyl; Pyridyl; Pyrimidinyl; Imidazolyl; Thiazolyl; Oxazolyl; Monocyclic- (C ₅ -C ₇ ) cycloalkyl moieties; Monocyclic- (C ₅ -C ₇ ) cycloalkenyl residues which are one selected from the group consisting of cyclopentenyl, cyclohexenyl and cycloheptenyl; Or a bicyclic- (C ₇ -C ₁₀ ) cycloalkyl or-(C ₇ -C ₁₀ ) cycloalkenyl moiety (preferably norbornanyl, norbornenyl, bicyclo [2.2.2] octanyl, non Cyclo [3.2.1] octanyl, bicyclo [3.3.0] octanyl, bicyclo [2.2.2] oct-5-enyl, bicyclo [2.2.2] oct-7-enyl, bicyclo [3.3. 1] one selected from the group consisting of nonanil and adamantanyl);
R ¹ and R ² are -H, -F, -Cl, -R ¹² , -OR ¹² , -S (= 0) _p R ¹² , -C (= 0) OR ¹² , -OC (= 0) R ¹² , -CN, -NO ₂ , -C (= 0) NR ¹² R ¹³ , -OC (= 0) NR ¹² R ¹³ , -NR ¹⁴ C (= 0) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NR ¹⁴ ) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NCN) NR ¹⁵ R ¹² , -NR ¹⁴ C (= N-NO ₂ ) NR ¹⁵ R ¹² , -C (= NR ¹⁴ ) NR ¹⁵ R ¹² ,- OC (= NR ¹⁴ ) NR ¹⁵ R ¹² , -OC (= N-NO ₂ ) NR ¹⁵ R ¹² , -NR ¹⁵ R ¹² , -CH ₂ NR ¹⁵ R ¹² , -NR ¹⁴ C (= O) R ¹² , -NR ¹⁴ C (= 0) OR ¹² , -NR ¹⁴ S (= 0) _p R ¹³ and -S (= 0) _p NR ¹² R ¹³ is one selected independently from the crowd, wherein p is 0, 1 or 2, R ¹² and R ¹³ have the same meaning as defined above, and R ¹⁴ and R ¹⁵ have the same meaning as defined below;
R ³ is —H, — (C ₁ -C ₃ ) alkyl, — (C ₁ -C ₃ ) alkoxy, —OH, phenyl or benzyl;
R ⁴ is
(a) -H, -F, -Cl,-(C ₂ -C ₄ ) alkynyl, -R ¹² , -OR ¹² , -S (= 0) _p R ¹² , -C (= 0) OR ¹² , -OC (= O) R ¹² , -CN, -NO ₂ , -C (= O) NR ¹⁵ R ¹² , -OC (= O) NR ¹⁵ R ¹² , -NR ¹⁴ C (= O) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NR ¹⁴ ) NR ¹⁵ R ¹² , -NR ¹⁴ C (= NCN) NR ¹⁵ R ¹² , -NR ¹⁴ C (= N-NO ₂ ) NR ¹⁵ R ¹² , -C (= NR ¹⁴ ) NR ¹⁵ R ¹² , -OC (= NR ¹⁴ ) NR ¹⁵ R ¹² , -OC (= N-NO ₂ ) NR ¹⁵ R ¹² , -NR ¹⁵ R ¹² , -CH ₂ NR ¹⁵ R ¹² , -NR ¹⁴ C (= O) R ¹² , -NR ¹⁴ C (= 0) OR ¹² , -NR ¹⁴ S (= 0) _p R ¹⁵ , -S (= 0) _p NR ¹⁵ R ¹² and -CH ₂ C (= NR ¹⁴ NR ¹⁵ R ¹² where p is 0, 1 or 2, R ¹² has the same meaning as defined above and R ¹⁴ is selected from the crowd consisting of —H, —CH ₃ and —CH ₂ CH ₃ , R ¹⁵ is —H, —C (═O) OR ¹² , —C (═O) NR ¹² R ¹³ ,-(C ₁ -C ₄ ) alkyl,-(C ₂ -C ₄ ) alkenyl,-( C ₁ -C ₂ ) alkoxy,-(C ₃ -C ₇ ) cycloalkyl and phenyl; and one selected from the group independently, wherein R ¹² and R ¹³ have the same meanings as defined above, wherein said alkyl, Alkenyl, alkoxy, Cycloalkyl and phenyl represent 0 to 2 substituents R ²¹ , wherein R ²¹ is -F; -Cl; -C (= 0) OR ²³ , wherein R ²³ has the same meaning as defined below; ; -CN; -C (= 0) NR ²³ R ²⁴ ; -NR ²³ R ²⁴ ; -NR ²³ C (= 0) R ²⁴ ; -NR ²³ C (= 0) OR ²⁴ ; -NR ²³ S (= 0 ) _p R ^24, -S (= 0) _p NR ²³ R ²⁴ , wherein p has the same meaning as defined above; -(C ₁ -C ₄ ) alkyl including dimethyl; And-(C ₁ -C ₄ ) alkoxy, one kind independently selected from the group consisting of: alkyl and alkoxy are each independently -F and -Cl; - (C ₁ -C ₂₎ alkoxycarbonyl; - (C ₁ -C ₂₎ alkylcarbonyl; And - (C ₁ -C ₂₎ is substituted with 0 to 3 substituents independently selected from alkyl-carbonyl-oxy; R ²³ and R ²⁴ are each independently substituted with -H or-(C ₁ -C ₂ ) alkyl];
R ⁴ is
(b)-(C ₁ -C ₄ ) alkyl and-(C ₁ -C ₄ ) alkoxy, wherein said alkyl and alkoxy are each independently 0 to 3 substituents -F or -Cl or 0 or 1 substituent ( Independently selected from C ₁ -C ₂ ) alkoxycarbonyl-, (C ₁ -C ₂ ) alkylcarbonyl- or (C ₁ -C ₂ ) alkylcarbonyloxy-;
R ⁴ is
(c) phenyl, benzyl, furyl, tetrahydrofuranyl, oxetanyl, thienyl, tetrahydrothienyl, pyrrolyl, pyrrolidinyl, oxazolyl, oxazolidinyl, isoxazolyl, isoxazolidinyl, thia Zolyl, thiazolidinyl, isothiazolyl, isothiazolidinyl, pyrazolyl, pyrazolidinyl, oxdiazolyl, thiadiazolyl, imidazolyl, imidazolidinyl, pyridinyl, pyrazinyl, pyrimidinyl, pyri Dazinyl, piperidinyl, piperazinyl, triazolyl, triazinyl, tetrazolyl, pyranyl, azetidinyl, morpholinyl, parathiazinyl, indolyl, indolinyl, benzo [b] furanyl, 2, 3-dihydrobenzofuranyl, 2-H-chromenyl, chromanyl, benzothienyl, 1-H-indazolyl, benzimidazolyl, benzoxazolyl, benzisoxazolyl, benzthiazolyl, quinolinyl, A child selected from the crowd consisting of isoquinolinyl, phthalazinyl, quinazolinyl, quinoxalinyl and furinyl Or a heterocyclic moiety
Independently selected from;
Wherein the alkyl, alkoxy, aryl and heterocyclic moieties are each independently substituted with 0 to 3 substituents R ¹⁰ , wherein R ¹⁰ has the same meaning as defined above;
R ⁵ and R ⁶ are joined together to form a moiety selected from the group consisting of the following formulas (1.1.1) to (1.1.5):

[Wherein R ⁷ and R ⁸ are each independently —H, —CH ₃ , —OR ¹⁴ (where R ¹⁴ has the same meaning as defined above) or absent, and the dashed line (---) is a double Indicates binding;
Z is independently selected from the crowd consisting of -OR ¹² , -C (= 0) R ¹² (where R ¹² has the same meaning as defined above) and -CN.
[2" claim-type="Currently amended] The method of claim 1,
m is 1; n is 1; R ^A and R ^B are -H, -CF _3, or 0 or 1 of _{-F, -Cl, -CF 3, -CN} , -NH 2 , or -C (= O) substituted with NH ₂ - (C ₁ -C ₆ ) alkyl or spiro- (C ₃ -C ₆ ) cycloalkyl- both of which are bonded together and substituted with 0 or 1 -F, -Cl, -CF ₃ or -CN; One of R ^C and R ^D is —H and the other is —H, — (C ₁ -C ₄ ) alkyl or phenyl, each of which is substituted with 0 or 1 —F, —Cl or —CN; W is -O-; Y is = C (R ^E )-, wherein R ^E is -H, -F, -Cl, -CN, -CH ₃ or -OCH ₃ ; R ¹ and R ² are -H, -F, -Cl, -CN, -NO 2, -OH, -CH 3, -OCH 3, -OCHF 2 or -OCF _3, and; R ³ is -H or -CH ₃ ; R ⁴ is -H, -F, -CN, -NO ₂ , -OH, -CH ₃ or -OCH ₃ ; R ⁵ and R ⁶ are joined together so that a residue of formula (1.1.1), formula (1.1.4) or formula (1.1.5), wherein R ⁷ and R ⁸ are absent from each of the above formulas, -CH ₃ ); Q is phenyl, norbornanyl, furanyl, thienyl, pyrimidinyl, cyclohexenyl or cyclohexyl; Z is -OR ¹² or -C (= 0) R ¹² , wherein R ¹² is -H, -CH ₃ , -CH ₂ CH ₃ or -C (CH ₃ ) ₃ or -CN.
[3" claim-type="Currently amended] The method of claim 2,
R ^A and R ^B are both -CH ₃ , one of them is -CH ₃ and the other is -CH (CH ₃ ) ₂ or -C (CH ₃ ) _3, or one is -H and the other is -CH ₃ or -CF ₃ or both are joined together to be spiro cyclopropyl or spiro cyclobutyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H, -F or -Cl; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.1) or formula (1.1.4), wherein both R ⁷ and R ⁸ are absent; Q is phenyl, thienyl, cyclohexenyl or cyclohexyl; Z is -OR ¹² , wherein R ¹² is -H, or -C (= 0) R ¹² , wherein R ¹² is -H or -CH ₃ , or -CN.
[4" claim-type="Currently amended] The method of claim 3, wherein
R ^A and R ^B are both —CH ₃ or they are bonded together and are spiro cyclopropyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H, -F or -Cl; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.1), wherein both R ⁷ and R ⁸ are absent; Z is -OR ¹² , wherein R ¹² is -H.
[5" claim-type="Currently amended] The method of claim 4, wherein
R ^A and R ^B are both —CH ₃ ; R ^C and R ^D are both -H; Y is = C (R ^E )-, where R ^E is -H; A compound wherein one of R ¹ and R ² is -H and the other is -F.
[6" claim-type="Currently amended] The method of claim 2,
Y is = C (R ^E )-, where R ^E is -F; R ¹ and R ² are both —H.
[7" claim-type="Currently amended] The method of claim 6,
R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.4), wherein both R ⁷ and R ⁸ are absent; R ^A and R ^B are both -CH ₃ , one of them is -H and the other is -CH _3, or the two are bonded together and are spiro cyclopropyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H or -F; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; Q is phenyl, norbornanyl, furanyl, thienyl, pyrimidinyl or cyclohexyl; Z is -OR ¹² , wherein R ¹² is -H.
[8" claim-type="Currently amended] The method of claim 1,
m is 1; n is 1; R ^A and R ^B are -H, -CF _3, or 0 or 1 of _{-F, -Cl, -CF 3, -CN} , -NH 2 , or -C (= O) substituted with NH ₂ - (C ₁ -C ₆ ) alkyl or spiro- (C ₃ -C ₆ ) cycloalkyl- both of which are bonded together and substituted with 0 or 1 -F, -Cl, -CF ₃ or -CN; One of R ^C and R ^D is —H and the other is —H, — (C ₁ -C ₄ ) alkyl or phenyl, each of which is substituted with 0 or 1 —F, —Cl or —CN; W is -O-; Y is = C (R ^E )-, wherein R ^E is -H, -F, -Cl, -CN, -CH ₃ or -OCH ₃ ; R ¹ and R ² are -H, -F, -Cl, -CN, -NO 2, -OH, -CH 3, -OCH 3, -OCHF 2 or -OCF _3, and; R ³ is -H; R ⁴ is -H, -F, -CN, -NO ₂ , -OH, -CH ₃ or -OCH ₃ ; R ⁵ and R ⁶ are joined together to form a residue of formula (1.1.5), wherein R ⁷ is —H or —CH ₃ ; Q is phenyl, norbornanyl, furanyl, thienyl, pyrimidinyl, cyclohexenyl or cyclohexyl; Z is -OR ¹² , wherein R ¹² is -H, -CH ₃ , -CH ₂ CH ₃ or -C (CH ₃ ) ₃ or -CN.
[9" claim-type="Currently amended] The method of claim 1,
R ^A and R ^B are both -CH ₃ , one of them is -CH ₃ and the other is -CH (CH ₃ ) ₂ or -C (CH ₃ ) _3, or one is -H and the other is -CH ₃ or -CF ₃ or both are joined together to be spiro cyclopropyl or spiro cyclobutyl; One of R ^C and R ^D is —H and the other is —H or —CH ₃ ; Y is = C (R ^E )-, where R ^E is -H, -F or -Cl; R ¹ and R ² are -H, -F or -Cl; R ³ is -H; R ⁴ is -H; Q is phenyl, thienyl, cyclohexenyl or cyclohexyl; Z is -OR ¹² , wherein R ¹² is -H, or -C (= 0) R ¹² , wherein R ¹² is -H or -CH ₃ , or -CN.
[10" claim-type="Currently amended] The method of claim 1,
The compound is
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -benzyl]-of formula (5.5.1)- Nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl of formula (5.5.2) ] -Benzyl] -nicotinamide;
Trans-2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -cyclo of formula (5.5.3) Hexyl-methyl] -nicotinamide;
2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-cyclobutyl) -benzyl] -nicotinamide of formula (5.5.4);
(±) -2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [4- [2,2,2-trifluoro-1 of formula (5.5.5) -Hydroxy-ethyl] -benzyl] -nicotinamide;
(±) -2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- [1-hydroxy-ethyl] -thiophene- of formula (5.5.6)- 2-yl-methyl] -nicotinamide;
N- [4-acetyl-benzyl] -2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -nicotinamide of formula (5.5.7);
(±) -2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [1- [2-fluoro-4- (1-hydr) of formula (5.5.8) Oxy-1-methyl-ethyl) -phenyl] -ethyl] -nicotinamide;
2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [2-chloro-4- (1-hydroxy-1-methyl-ethyl) of formula (5.5.9) -Benzyl] -nicotinamide;
(±) -2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-ethyl) -benzyl]-of formula (5.5.10)- Nicotinamide;
(-)-2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [1- [4- (1-hydroxy-1-methyl) of formula (5.5.11) -Ethyl) -phenyl] -ethyl] -nicotinamide;
(+)-2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [1- [4- (1-hydroxy-1-methyl) of formula (5.5.12) -Ethyl) -phenyl] -ethyl] -nicotinamide;
(+)-2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-1-methyl-ethyl) of formula (5.5.13) -Cyclohex-1-enylmethyl] -nicotinamide;
(-)-2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-1-methyl-ethyl) of formula (5.5.14) -Cyclohex-1-enylmethyl] -nicotinamide;
2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-cyclopropyl) -benzyl] -nicotinamide of formula (5.5.15);
2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [2-fluoro-4- (1-hydroxy-cyclopropyl) -benzyl of formula (5.5.16) ] -Nicotinamide;
(±) -2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [1- [4- (1-hydroxy-1-methyl) in formula (5.5.17) -Ethyl) -phenyl] -ethyl] -nicotinamide;
(±) -2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-1,2,2- of formula (5.5.18) Trimethyl-propyl) -benzyl] -nicotinamide;
(±) -2- (benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-hydroxy-1,2-dimethyl- of formula (5.5.19) Propyl) -benzyl] -nicotinamide;
2- (Benzo [2,1,3] oxadiazol-5-yl-oxy) -N- [4- (1-cyano-1-methyl-ethyl) -benzyl]-of formula (5.5.20)- Nicotinamide;
2- [benzo [2,1,3] thiadiazol-5-yl-oxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -benzyl]-of formula (5.5.21)- Nicotinamide;
2- [benzo [2,1,3] thiadiazol-5-yl-oxy] -N- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl of formula (5.5.22) ] -Benzyl] -nicotinamide;
2- (benzo [2,1,3] thiadiazol-5-yl-oxy) -N- [4- (1-hydroxy-cyclobutyl) -benzyl] -nicotinamide of formula (5.5.23);
(+)-2- (benzo [2,1,3] thiadiazol-5-yl-oxy) -N- [1- [4- (1-hydroxy-1-methyl) of formula (5.5.24) -Ethyl) -phenyl] -ethyl) -nicotinamide;
(+)-2- (benzo [2,1,3] thiadiazol-5-yl-oxy) -N- [4- (1-hydroxy-1-methyl-ethyl) of formula (5.5.25) -Cyclohex-1-enylmethyl] -nicotinamide;
2- (benzo [2,1,3] thiadiazol-5-yl-oxy) -N- [2-fluoro-4- (1-hydroxy-cyclopropyl) -benzyl of formula (5.5.26) ] -Nicotinamide;
(±) -2- (benzo [2,1,3] thiadiazol-5-yl-oxy) -N- [4- (1-hydroxy-1,2,2- of formula (5.5.27) Trimethyl-propyl) -benzyl] -nicotinamide;
2- [2-methyl-benzo [1,2,3] triazol-5-yl-oxy] -N- [2-fluoro-4- [1-hydroxy-1- in formula (5.5.28) Methyl-ethyl] -benzyl] -nicotinamide;
(±) -2- [2-methyl-benzo [1,2,3] triazol-5-yl-oxy] -N- [4- [2,2,2-trifluoro of formula (5.5.29) Rho-1-hydroxy-ethyl] -benzyl] -nicotinamide;
(-)-2- (2-methyl-benzo [1,2,3] triazol-5-yl-oxy) -N- [1- [4- (1-hydroxy-) in formula (5.5.30) 1-methyl-ethyl) -phenyl] -ethyl] -nicotinamide;
2- (2-Methyl-benzo [1,2,3] triazol-5-yl-oxy) -N- [4- (1-cyano-1-methyl-ethyl)-of formula (5.5.31)- Benzyl] -nicotinamide;
2- (2-Methyl-benzo [1,2,3] triazol-5-yl-oxy) -N- [2-fluoro-4- (1-hydroxy-cyclopropyl) of formula (5.5.32) ) -Benzyl] -nicotinamide;
Trans-2- [2-methyl-benzo [1,2,3] triazol-5-yl-oxy] -N- [4- [1-hydroxy-1-methyl-ethyl of formula (5.5.33) ] -Cyclohexyl-methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -cyclopent- of formula (5.5.34) 1-enyl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [3- [1-hydroxy-1-methyl-ethyl] -norbornane- of formula (5.5.35) 6-yl-methyl] -nicotinamide; 2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [3- [1-hydroxy-1-methyl-ethyl] -norbornan-6-yl-methyl]- Nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [3- [1-hydroxy-1-methyl-ethyl] -7-fluoro of formula (5.5.36) Rho-norborn-5-en-6-yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [2- [2,2,2-trifluoro-1-hydroxy- of formula (5.5.37) Ethyl] -bicyclo [2.2.2] octane-5-yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [3-acetyl-bicyclo [2.2.2] oct-7-ene-5 of formula (5.5.38) -Yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [8- (1-hydroxy-1-methyl-ethyl) -bicyclo [of formula (5.5.39) 3.2.1] octan-3-yl-methyl] -nicotinamide;
(±) -2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- [1-hydroxy-ethyl] -furan-2 of formula (5.5.40) -Yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- [1-hydroxy-1-methyl-ethyl] -pyridine-2 of formula (5.5.41) -Yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- [1-hydroxy-1-methyl-ethyl] -oxazole- of formula (5.5.42)- 2-yl-methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- [1-hydroxy-1-methyl-ethyl] -thiazole- of formula (5.5.43) 2-yl-methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [6- [1-hydroxy-1-methyl-ethyl] -pyridine-3 of formula (5.5.44) -Yl-methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- (1-hydroxy-cyclopropyl) -pyridin-2-yl- of formula (5.5.45) Methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- (1-hydroxy-1,2-dimethyl-propyl) -oxa of formula (5.5.46) Zol-2-yl-methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-oxy] -N- [5- (1-cyano-1-methyl-ethyl) -thiazole- of formula (5.5.47) 2-yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-thio] -N- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl of formula (5.5.48) ] -Benzyl-nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-thio] -N- [2-fluoro-4- [1-hydroxy-1-methyl-ethyl of formula (5.5.49) ] -Benzyl] -nicotinamide;
(±) -2- (benzo [2,1,3] oxadiazol-5-yl-thio) -N- [1- [2-fluoro-4- (1-hydro) of formula (5.5.50) Oxy-1-methyl-ethyl) -phenyl] -ethyl] -nicotinamide;
2- (benzo [2,1,3] oxadiazol-5-yl-thio) -N- [2-fluoro-4- (1-hydroxy-cyclopropyl) -benzyl of formula (5.5.51) ] -Nicotinamide;
2- [benzo [2,1,3] thiadiazol-5-yl-thio] -N- [4- [1-hydroxy-1-methyl-ethyl] -benzyl]-of formula (5.5.52)- Nicotinamide;
2- [2-methyl-benzo [1,2,3] triazol-5-yl-thio] -N- [2-fluoro-4- [1-hydroxy-1- in formula (5.5.53) Methyl-ethyl] -benzyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-thio] -N- [4- [1-hydroxy-1-methyl-ethyl] -cyclopent- of formula (5.5.54)- 1-enyl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-thio] -N- [3- [1-hydroxy-1-methyl-ethyl] -7-fluoro of formula (5.5.55) Rho-norborn-5-en-6-yl-methyl] -nicotinamide;
(±) -2- [benzo [2,1,3] oxadiazol-5-yl-thio] -N- [5- [1-hydroxy-ethyl] -furan-2 of formula (5.5.56) -Yl-methyl] -nicotinamide;
2- [Benzo [2,1,3] oxadiazol-5-yl-thio] -N- [5- [1-hydroxy-1-methyl-ethyl] -pyridine-2 of formula (5.5.57) -Yl-methyl] -nicotinamide;
2- [benzo [2,1,3] oxadiazol-5-yl-thio] -N- [5- [1-hydroxy-1-methyl-ethyl] -oxazole- of formula (5.5.58) 2-yl-methyl] -nicotinamide;
2- [benzo [2,1,3] thiadiazol-5-yl-oxy] -N- [4- [1-hydroxy-1-methyl-ethyl] -cyclopent- of formula (5.5.59)- 1-enyl-methyl] -nicotinamide;
2- [2-methyl-benzo [1,2,3] triazol-5-yl-oxy] -N- [3- [1-hydroxy-1-methyl-ethyl]-of formula (5.5.60) Norbornan-6-yl-methyl] -nicotinamide;
2- [benzo [2,1,3] thiadiazol-5-yl-thio] -N- [3- [1-hydroxy-1-methyl-ethyl] -7-fluoro of formula (5.5.61) Rho-norborn-5-en-6-yl-methyl] -nicotinamide;
2- [2-Methyl-benzo [1,2,3] triazol-5-yl-oxy] -N- [3-acetyl-bicyclo [2.2.2] oct-7- of formula (5.5.62) En-5-yl-methyl] -nicotinamide;
(±) -2- [benzo [2,1,3] thiadiazol-5-yl-oxy] -N- [5- [1-hydroxy-ethyl] -furan-2 of formula (5.5.63) -Yl-methyl] -nicotinamide; And
2- [2-Methyl-benzo [1,2,3] triazol-5-yl-oxy] -N- [5- [1-hydroxy-1-methyl-ethyl]-of formula (5.5.64) Pyridin-2-yl-methyl] -nicotinamide
Compound is one selected from the crowd consisting of.
[11" claim-type="Currently amended] A method of treating a subject suffering from a disease, disorder or disorder mediated by PDE4 isozyme by regulating the activation and degranulation of eosinophils, the method comprising treating a compound of formula 1 as defined in claim 1 in a therapeutically effective amount A method of treatment comprising administering to a subject.
[12" claim-type="Currently amended] A therapeutically effective amount as defined in claim 1 in combination with a pharmaceutically acceptable carrier for use in treating a subject suffering from a disease, disorder or disorder mediated by PDE4 isozyme by regulating activation and degranulation of eosinophils. A pharmaceutical composition comprising a compound of formula 1.
[13" claim-type="Currently amended] The method of claim 11,
The disease, illness or disorder
All types of asthma, whether pathological or pathological; Or atopic asthma; Non-atopic asthma; Allergic asthma; Atopic bronchial IgE-mediated asthma; Bronchial asthma; Essential asthma; True asthma; Endogenous asthma caused by pathophysiological disorders; Exogenous asthma caused by environmental factors; Essential asthma of unknown or causal cause; Non-atopic asthma; Bronchitis asthma; Emphysemaous asthma; Exercise-induced asthma; Occupational asthma; Infectious asthma caused by bacterial, fungal, protozoan or viral infections; Non-allergic asthma; Early asthma; Asthma, which is one of the selected groups of infants with wheezy syndrome;
Chronic or acute bronchial contraction; Chronic bronchitis; Small airway obstruction; And type;
Obstructive or inflammatory airway disease of any type, whether pathological or pathological; Or asthma; Pneumoconiosis; Chronic eosinophilic pneumonia; Chronic obstructive pulmonary disease (COPD); COPD, including chronic bronchitis, emphysema or dyspnea associated with it; COPD characterized by irreversible progressive airway obstruction; Obstructive or inflammatory airway disease, one selected from the group consisting of adult respiratory distress syndrome (ARDS), and exacerbation of airway hypersensitivity following other medications;
Pneumoconiosis of any type, etiological or pathological; Or aluminosis or disease of bauxite workers; Abolition or asthma of miners; Asbestosis or asthma in steam-fitters; Pulmonary pulmonary disease or flint disease; Ptilosis caused by dust inhalation of ostrich feathers; Iron sedimentation caused by iron particle inhalation; Silicosis or disease of abrasives; Asthma or cotton-dust asthma; And pneumoconiosis, one selected from the group consisting of talc pneumoconiosis;
-Bronchitis of any type, etiological or pathological; Or acute bronchitis; Acute laryngeal bronchitis; Arachidous bronchitis; Catarrhal bronchitis; Croupous bronchitis; Dry bronchitis; Infectious asthmatic bronchitis; Proliferative bronchitis; Staphylococcal or streptococcal bronchitis; And bronchitis, which is one species selected from the group consisting of bullous bronchitis;
-All types of bronchiectasis, whether etiological or pathological; Or columnar bronchiectasis; Bullous bronchiectasis; Spindle bronchiectasis; Capillary bronchiectasis; Cystic bronchiectasis; Dry bronchiectasis; And bronchiectasis which is one species selected from the group consisting of follicular bronchiectasis;
Seasonal allergic rhinitis; Persistent allergic rhinitis; All types of sinusitis, whether etiological or pathological; Or purulent or non-purulent sinusitis; Acute or chronic sinusitis; And sinusitis, one selected from the group consisting of ethmoid, frontal, maxilla, or sphenoid sinusitis;
All types of rheumatoid arthritis, whether etiological or pathological; Or acute arthritis; Acute gouty arthritis; Chronic inflammatory arthritis; Degenerative arthritis; Infectious arthritis; Lyme arthritis; Proliferative arthritis; Psoriatic arthritis; And rheumatoid arthritis, which is one member selected from the group consisting of spinal arthritis;
Fever and pain associated with gout, and inflammation;
Eosinophil-related diseases of all types, whether etiological or pathological; Or eosinophilia; Pulmonary invasive eosinophilia; Loffler syndrome; Chronic eosinophilic pneumonia; Tropical pulmonary eosinophilia; Bronchial pneumonia aspergillosis; Aspergillus species; Granulomas containing eosinophils; Allergic granulomatous vasculitis or Churg-Strauss syndrome; Nodular polyarteritis (PAN); And eosinophil-associated disease, which is one species selected from the group consisting of systemic necrotic vasculitis;
Atopic dermatitis; Allergic dermatitis; Or allergic or atopic eczema;
Urticaria of any type, etiological or pathological; Or immune-mediated urticaria; Complement-mediated urticaria; Urticaria-inducing substance-induced urticaria; Physical drug-induced urticaria; Stress-induced urticaria; Idiopathic urticaria; Acute urticaria; Chronic urticaria; Angioedema; Cholinergic urticaria; Cold urticaria in autosomal dominant or acquired form; Contact urticaria; Giant urticaria; And urticaria being one species selected from the group consisting of papular urticaria;
Conjunctivitis of any type, etiological or pathological; Or chemical conjunctivitis; Acute catarrhal conjunctivitis; Acute infectious conjunctivitis; Allergic conjunctivitis; Atopic conjunctivitis; Chronic catarrhal conjunctivitis; Purulent conjunctivitis; Conjunctivitis selected from the group consisting of spring conjunctivitis;
Uveitis of any type, etiological or pathological; Or inflammation of all or part of the uvea; Anterior uveitis; Iris salt; Hepatitis; Iris-shaped inflammation; Granulomatous uveitis; Granulomatous uveitis; Lens antigen uveitis; Posterior uveitis; Choroiditis; And uveitis, which is one species selected from the group consisting of chorioretinitis;
-Psoriasis;
All types of multiple sclerosis, whether etiological or pathological; Or primary progressive multiple sclerosis; And multiple sclerosis selected from the group consisting of relapsing-remitting multiple sclerosis;
All types of autoimmune / inflammatory diseases, whether etiological or pathological; Or autoimmune hematological diseases; Hemolytic anemia; Aplastic anemia; Erythroid anemia; Idiopathic thrombocytopenic purpura; Systemic lupus erythematosus; Polychondritis; Scleroderma; Wegner's granulomatosis; Dermatitis; Chronic active hepatitis; Myasthenia gravis; Stevens-Johnson syndrome; Idiopathic sprues; Autoimmune inflammatory bowel disease; Ulcerative colitis; Crohn's disease; Endocrine eye disease (opthamopathy); Grave's disease; Sarcoidosis; Alveolitis; Chronic irritable pulmonary parenitis; Primary biliary cirrhosis; Juvenile diabetes or type I diabetes; Anterior uveitis; Granulomatous or posterior uveitis; Dry keratoconjunctivitis; Epidemic keratoconjunctivitis; Diffuse interstitial pulmonary fibrosis or interstitial pulmonary fibrosis; Idiopathic pulmonary fibrosis; Cystic fibrosis; Psoriatic arthritis; Glomerulonephritis with nephrotic syndrome and glomerulonephritis without nephrotic syndrome; Acute glomerulonephritis; Idiopathic nephrotic syndrome; Fine change kidney disease; Inflammatory / hyperproliferative skin disease; psoriasis; Atopic dermatitis; Contact dermatitis; Allergic contact dermatitis; Benign familial pemphigus; Lupus erythematosus; Frond awning; And autoimmune / inflammatory diseases selected from the group consisting of vulgaris ulcers;
Prevention of allograft rejection after organ transplantation;
All types of inflammatory bowel disease (IBD), whether etiological or pathological; Or ulcerative colitis (UC); Collagen colitis; Polyp colitis; Cervical colitis; And inflammatory bowel disease, which is one species selected from the group consisting of Crohn's disease (CD);
Septic shock of any type, etiological or pathological; Or kidney failure; Acute renal failure; cachexy; Malaria cachexia; Pituitary cachexia; Uric acid cachexia; Psychogenic cachexia; Adrenal cachexia or Addison disease; Cancer cachexia; And septic shock, which is one species selected from the group consisting of cachexia following infection with human immunodeficiency virus (HIV);
-Liver damage;
Pulmonary hypertension; And hypoxia-induced pulmonary hypertension;
-Bone loss disease; Primary osteoporosis; And secondary osteoporosis;
-Central nervous system diseases of any type, etiological or pathological; Or depression; Parkinson's disease; Impaired learning and memory; Delayed dyskinesia; Drug dependence; Atherosclerotic dementia; And central nervous system disease, which is one member selected from the group consisting of dementia with Huntington's chorea, Wilson's disease, azimatous palsy and thalamic atrophy;
Infections, in particular HIV-1, HIV-2 and HIV-3; Cytomegalovirus (CMV); influenza; Adenovirus; And a virus that increases the production of TNF-α in the host, or a virus that increases the production of TNF-α in the host, including a virus selected from the group consisting of herpes viruses, including Herpes zoster and Herpes simplex virus. infection with a virus that is sensitive to upregulation of a and adversely affects its replication or other biological activity;
Polymyxins, ie Polymycin B; Imidazoles, namely clotrimazole, econazol, mitonazole and ketoconazole; Triazoles, ie fluconazole and itranazole; And TNF-α when administered with amphotericin, ie, amphotericin B and other drugs selected for the treatment of systemic yeast and fungal infections including but not limited to liposome amphotericin B. Infection with yeasts and fungi that are sensitive to upregulation by or cause TNF-α production in the host;
Ischemic-reperfusion injury; Autoimmune diabetes; Retinal autoimmunity; Chronic lymphocytic leukemia; HIV infection; Erythematous lupus; Kidney and ureter diseases; Genitourinary and gastrointestinal diseases; And prostate disease
Treatment method comprising at least one selected from the crowd consisting of.
[14" claim-type="Currently amended] The method of claim 13,
The disease, disorder or disorder may include (1) inflammatory diseases and conditions including arthritis, rheumatoid arthritis, rheumatoid spondylitis, osteoarthritis, inflammatory bowel disease, ulcerative colitis, chronic glomerulonephritis, dermatitis and Crohn's disease; (2) respiratory diseases and diseases including asthma, acute respiratory distress syndrome, chronic pneumonia disease, bronchitis, chronic obstructive airway disease and silicosis; (3) infectious diseases and diseases including sepsis, septic shock, endotoxin shock, Gram-negative bacteremia, toxin shock syndrome, fever and myalgia due to bacterial, viral or fungal infections, and influenza; (4) immune diseases and diseases including autoimmune diabetes, systemic lupus erythematosus, graft-to-host response, allograft rejection, multiple sclerosis, psoriasis and allergic rhinitis; And (5) bone resorption disease; Reperfusion injury; Cachexia associated with infection or malignancy; Cachexia associated with human acquired immunodeficiency syndrome (AIDS), human immunodeficiency virus (HIV) infection or AIDS related complex (ARC); Keloid formation; Scar tissue formation; Type 1 diabetes; And leukemia.
[15" claim-type="Currently amended] (a) leukotriene biosynthesis inhibitors: zileuton; ABT-761; Fenleutone; Tepoxaline; Abbott-79175; Abbott-85761; N- (5-substituted) -thiophene-2-alkylsulfonamides of formula (5.2.8); 2,6-di- t -butylphenol hydrazone of formula (5.2.10); Methoxytetrahydropyrane class including Zenca ZD-2138 of formula (5.2.11); Compound SB-210661 of formula (5.2.12) and the class to which the compound belongs; Pyridinyl-substituted 2-cyanonaphthalene compound class to which L-739,010 belongs; 2-cyanoquinoline compound class to which L-746,530 belongs; 5-lipoxygenase (5-LO) inhibitors and 5-lipoxygenase activating protein (FLAP) antagonists selected from the group consisting of the class of indole and quinoline compounds belonging to MK-591, MK-886 and BAY x 1005 ;
(b) the phenothiazine-3-one class of compounds to which L-651,392 belongs; Amidino compound class to which CGS-25019c belongs; Benzoxaolamine class to which ontazolast belongs; Benzenecarboximideamide class to which BIIL 284/260 belongs; And the classes of compounds belonging to zafirlukast, ablucast, montelukast, franlukast, belucast (MK-679), RG-12525, Ro-245913, iralukast (CGP 45715A) and bay x 7195 Receptor antagonists for leukotriene LTB ₄ , LTC ₄ , LTD ₄ and LTE ₄ selected from the group consisting of;
(c) PDE4 inhibitors, including inhibitors of isoform PDE4D;
(d) 5-lipoxygenase (5-LO) inhibitors; Or 5-lipoxygenase activating protein (FLAP) antagonist;
(e) dual inhibitors of 5-lipoxygenase (5-LO) and platelet activating factor (PAF) antagonists;
(f) leukotriene antagonists (LTRA), including antagonists of LTB ₄ , LTC ₄ , LTD ₄ and LTE ₄ ;
(g) antihistamine H ₁ receptor antagonists including cetirizine, loratadine, desloratadine, fexofenadine, astemisol, azelastine and chlorpheniramine;
(h) gastroprotective H ₂ receptor antagonists;
(i) including propylhexerine, phenylephrine, phenylpropanolamine, pseudoephedrine, napazoline hydrochloride, oxymetholine hydrochloride, tetrahydrozoline hydrochloride, xylomethazolin hydrochloride and ethylnorepinephrine hydrochloride , Α ₁ -and α ₂ -adrenoceptor agonists vasoconstriction sympathetic neurostimulants administered orally or topically for decongestion use;
(j) α ₁ -and α ₂ -adrenoreceptor agonists in combination with 5-lipoxygenase (5-LO) inhibitors;
(k) anticholinergic agonists including ifpratropium bromide, tiotropium bromide, oxytropium bromide, ferrenzepine and tellenezepine;
(l) including metaproterenol, isoproterenol, isoprenin, albuterol, salbutamol, formoterol, salmeterol, terbutalin, orsiprelinin, bitolterol mesylate and pirbuterol β ₁ -to β ₄ -adrenergic receptor agonists;
(m) theophylline and aminophylline;
(n) sodium chromoglycate;
(o) muscarinic receptors (M1, M2 and M3) antagonists;
(p) COX-1 inhibitors (NSAIDs); COX-2 selective inhibitors including rofecoxib; And nitric oxide NSAID;
(q) type 1 insulin-like growth factor (IGF-1) analogs;
(r) ciclesonide;
(s) inhaled glucose with reduced systemic side effects, including prednisone, prednisolone, flunisolide, triamcinolone acetonide, beclomethasone dipropionate, budesonide, fluticasone propionate and mometasone furoate Corticoids;
(t) tryptase inhibitors;
(u) platelet activating factor (PAF) antagonists;
(v) monoclonal antibodies active against endogenous inflammatory substances;
(w) IPL 576;
(x) anti-tumor necrosis factor (TNFα) including Etanercept, Infliximab and D2E7;
(y) DMARDs including Leflunomide;
(z) TCR peptides;
(aa) interleukin converting enzyme (ICE) inhibitors;
(bb) IMPDH inhibitors;
(cc) adhesion molecule inhibitors including VLA-4 antagonists;
(dd) cathepsin;
(ee) MAP kinase inhibitors;
(ff) glucose-6 phosphate dehydrogenase inhibitors;
(gg) kinin-B ₁ -and B ₂ -receptor antagonists;
(hh) gold in the form of aurothio groups with various hydrophilic groups;
(ii) immunosuppressive agents such as cyclosporine, azathioprine and methotrexate;
(jj) anti-gout drugs such as colchicine;
(kk) xanthine oxidase inhibitors such as allopurinol;
(ll) uric acid reducers such as probevenid, sulfinpyrazone and benzbromarone;
(mm) antitumor agents including antitumor agents, especially vinca alkaloids such as vinblastine and vincristine;
(nn) growth hormone secretagogues;
(oo) matrix metalloprotease (MMP) inhibitors, ie, stromelysin, collagenase and gelatinase, and agrecanase; In particular collagenase-1 (MMP-1), collagenase-2 (MMP-8), collagenase-3 (MMP-13), stromelysin-1 (MMP-3), stromelysin- 2 (MMP-10) and stromelysin-3 (MMP-11);
(pp) transforming growth factor (TGFβ);
(qq) platelet-derived growth factor (PDGF);
(rr) fibroblast growth factor such as basic fibroblast growth factor (bFGF);
(ss) granulocyte macrophage colony stimulating factor (GM-CSF);
(tt) capsaicin cream;
(uu) takinin NK-1, NK-1 / NK-2, NK-2 and NK-3 receptor antagonists, including NKP-608C, SB-233412 (Talneant) and D-4418;
(vv) elastase inhibitors, including UT-77 and ZD-0892; And
(ww) adenosine A2a receptor agonists
Combination of at least one compound selected from the group consisting of a compound of formula (1) as defined in claim 1.

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EP1252158A1|2002-10-30|

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PT1252158E|2005-09-30|

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PE20011058A1|2001-10-23|

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CN1404481A|2003-03-19|

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AP200202589A0|2002-09-30|

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EE200200425A|2003-10-15|

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AR027337A1|2003-03-26|

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PL357995A1|2004-08-09|

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BR0107964A|2002-10-29|

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EP1252158B1|2005-04-20|

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DE60110205T2|2006-01-26|

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CA2398182C|2007-03-13|

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EA200200662A1|2002-12-26|

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JP3917863B2|2007-05-23|

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IL150641D0|2003-02-12|

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CO5261634A1|2003-03-31|

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MXPA02007419A|2002-12-09|

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JP2003522176A|2003-07-22|

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HU0204262A2|2003-04-28|

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AT293624T|2005-05-15|

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CA2398182A1|2001-08-09|

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TR200201880T2|2002-11-21|

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ZA200206033B|2003-07-29|

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OA12169A|2006-05-08|

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CZ20022410A3|2003-08-13|

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AU2700201A|2001-08-14|

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ES2238415T3|2005-09-01|

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BG106852A|2003-02-28|

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NO20023613D0|2002-07-30|

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HN2001000019A|2001-09-06|

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GT200100022A|2001-10-19|

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NZ519547A|2004-03-26|

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UY26569A1|2001-08-27|

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TNSN01020A1|2005-11-10|

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PA8511201A1|2002-12-11|

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EA004885B1|2004-08-26|

引用文献:

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公开号 | 申请日 | 公开日 | 申请人 | 专利标题

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法律状态:
2000-01-31|Priority to US17928400P

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2000-01-31|Priority to US60/179,284

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2001-01-30|Application filed by 화이자 프로덕츠 인코포레이티드

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2001-01-30|Priority to PCT/IB2001/000124

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2002-09-14|Publication of KR20020072299A

优先权:

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申请号 | 申请日 | 专利标题

---

US17928400P| true| 2000-01-31|2000-01-31|

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US60/179,284|2000-01-31|

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PCT/IB2001/000124|WO2001057036A1|2000-01-31|2001-01-30|Nicotinamide benzofused-heterocyclyl derivatives useful as selective inhibitors of pde4 isozymes|