Note: Descriptions are shown in the official language in which they were submitted.
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TITLE OF THE INVENTION
6-AZAINDOLE COMPOUNDS AS ANTAGONISTS OF
GONADOTROPIN RELEASING HORMONE
BACKGROUND OF THE INVENTION
The gonadotropin-releasing hormone (GnRH), also referred
to as luteinizing hormone-releasing hormone (LHRH), is a decapeptide
that plays a key role in human reproduction. The hormone is released
from the hypothalamus and acts on the pituitary gland to stimulate
the biosynthesis and secretion of luteinizing hormone (LH) and follicle-
stimulating hormone (FSH). LH released from the pituitary gland is
primarily responsible for the regulation of gonadal steroid production
in both sexes, whereas FSH regulates spermatogenesis in males and
follicular development in females. GnRH agonists and antagonists
have proven effective in the treatment of certain conditions which require
inhibition of LH/FSH release. In particular, GnRH-based therapies have
proven effective in the treatment of endometriosis, uterine fibroids, poly-
cystic ovarian disease, precocious puberty and several gonadal steroid-
dependent neoplasia, most notably cancers of the prostate, breast and
ovary. GnRH agonists and antagonists have also been utilized in various
assisted fertilization techniques and have been investigated as a potential
contraceptive in both men and women. They have also shown possible
utility in the treatment of pituitary gonadotrophe adenomas, sleep
disorders such as sleep apnea, irritable bowel syndrome, premenstrual
syndrome, benign prostatic hyperplasia, hirsutism, as an adjunct to
growth hormone therapy in growth hormone deficient children, and in
murine models of lupus. The compounds of the invention may also be
used in combination with bisphosphonates (bisphosphonic acids) and other
agents, such as growth hormone secretagogues, for the treatment and the
prevention of disturbances of calcium, phosphate and bone metabolism,
in particular, for the prevention of bone loss during therapy with the
GnRH antagonist, and in combination with estrogens, progesterones,
antiestrogens, antiprogestins and/or androgens for the prevention or
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treatment of bone loss or hypogonadal symptoms such as hot flashes
during therapy with the GnRH antagonist.
Additionally, a compound of the present invention may be
co-administered with a 5a-reductase 2 inhibitor, such as finasteride or
epristeride; a 5a-reductase 1 inhibitor such as 4,7b-dimethyl-4-aza-5a
cholestan-3-one, 3-oxo-4-aza-4,7b-dimethyl-16b-(4-chlorophenoxy)-5a-
androstane, and 3-oxo-4-aza-4,7b-dimethyl-16b-(phenoxy)-5a-androstane
as disclosed in WO 93/23420 and WO 95/11254; dual inhibitors of 5a-
reductase 1 and 5a-reductase 2 such as 3-oxo-4-aza-17b-(2,5-trifluoro-
methylphenyl-carbamoyl)-5a-androstane as disclosed in WO 95/07927;
antiandrogens such as flutamide, casodex and cyproterone acetate, and
alpha-1 blockers such as prazosin, terazosin, doxazosin, tamsulosin, and
alfuzosin.
Further, a compound of the present invention may be
used in combination with growth hormone, growth hormone releasing
hormone or growth hormone secretagogues, to delay puberty in growth
hormone deficient children, which will allow them to continue to gain
height before fusion of the epiphyses and cessation of growth at puberty.
Further, a compound of the present invention may be used
in combination or co-administered with a compound having luteinizing
hormone releasing activity such as a peptide or natural hormone or analog
thereof. Such peptide compounds include leuprorelin, gonadorelin,
buserelin, triptorelin, goserelin, nafarelin, histrelin, deslorelin, meterlin
and recirelin.
Additionally, a compound of the present invention may
be used as described in U.S. Patent No. 5,824,286 which discloses the
administration of peptide GnRH antagonists such as Antide and azaline
B to premenopausal women to enhance the readability of mammographic
film relative to a mammogram effected in the absence of the
administration.
Current GnRH antagonists are GnRH-like decapeptides
which are generally administered intravenously or subcutaneously
presumably because of negligible oral activity. These have amino acid
substitutions usually at positions one, two, three, six and ten.
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Non-peptide GnRH antagonists offer the possible
advantage of oral adminstration. Non-peptide GnRH antagonists have
been described in European Application 0 219 292 and in De, B. et al.,
J. Med. Chem., 32, 2036-2038 (1989), in WO 95/28405, WO 95/29900
and EP 0679642 all to Takeda Chemical Industries, Ltd.
Substituted indoles known in the art include those described
in the following patents and patent applications. US Patent No. 5,030,640
discloses alpha-heterocyclic ethanol aminoalkyl indoles which are potent
I3-agonists. US Patent No. 4,544,663 discloses indolamine derivatives
which are allegedly useful as male anti-fertility agents. WO 90/05721
discloses alpha-amino-indole-3-acetic acids useful as. anti-diabetic, anti-
obesity and anti-atherosclerotic agents. French patent 2,181,559 discloses
indole derivatives with sedative, neuroleptic, analgesic, hypotensive,
antiserotonin and adrenolytic activity. Belgian patent 879381 discloses
3-aminoalkyl-1H-indole-5-thioamide and carboxamide derivatives as
cardiovascular agents used to treat hypertension, Raynaud's disease and
migraine. U.S. Patent Nos. 5,756,507, 5,780,437 and 5,849,764 also
disclose substituted arylindoles as non-peptide antagonists of GnRH.
SUMMARY OF THE INVENTION
The present invention relates to compounds which are
non-peptide antagonists of GnRH which can be used to treat a variety of
sex-hormone related conditions in men and women, to methods for their
preparation, and to methods and pharmaceutical compositions containing
said compounds for use in mammals.
Because of their activity as antagonists of the hormone
GnRH, the compounds of the present invention are useful to treat a
variety of sex-hormone related conditions in both men and women.
These conditions include endometriosis, uterine fibroids, polycystic
ovarian disease, hirsutism, precocious puberty, gonadal steroid-dependent
neoplasias such as cancers of the prostate, breast and ovary, gonadotrophe
pituitary adenomas, sleep apnea, irritable bowel syndrome, premenstrual
syndrome and benign prostatic hypertophy. They are also useful as an
adjunct to treatment of growth hormone deficiency and short stature,
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and for the treatment of systemic lupus erythematosis. Further, the
compounds of the invention may be useful in in vitro fertilization and as
contraceptives. The compounds may also be useful in combination with
androgens, estrogens, progesterones, antiestrogens and antiprogestogens
for the treatment of endometriosis, fibroids and in contraception. They
may also be useful in combination with testosterone or other androgens
or antiprogestogens in men as a contraceptive. The compounds may also
be used in combination with an angiotensin-converting enzyme inhibitor
such as Enalapril or Captopril, an angiotensin II-receptor antagonist such
as Losartan or a renin inhibitor for the treatment of uterine fibroids.
Additionally, the compounds of the invention may also be used in
combination with bisphosphonates (bisphosphonic acids) and other
agents, for the treatment and the prevention of disturbances of calcium,
phosphate and bone metabolism, in particular, for the prevention of bone
loss during therapy with the GnRH antagonist, and in combination with
estrogens, progesterones and/or androgens for the prevention or treatment
of bone loss or hypogonadal symptoms such as hot flashes during therapy
with the GnRH antagonist.
Additionally, a compound of the present invention may be
co-administered with a 5a-reductase 2 inhibitor, such as finasteride or
epristeride; a 5a-reductase 1 inhibitor such as 4,7b-dimethyl-4-aza-5a-
cholestan-3-one, 3-oxo-4-aza-4,7b-dimethyl-16b-(4-chlorophenoxy)-5a-
androstane, and 3-oxo-4-aza-4,7b-dimethyl-16b-(phenoxy)-5a-androstane
as disclosed in WO 93/23420 and WO 95/11254; dual inhibitors of 5a-
reductase 1 and 5a-reductase 2 such as 3-oxo-4-aza-17b-(2,5-trifluoro-
methylphenyl-carbamoyl)-5a-androstane as disclosed in WO 95/07927;
antiandrogens such as flutamide, casodex and cyproterone acetate, and
alpha-1 blockers such as prazosin, terazosin, doxazosin, tamsulosin, and
alfuzosin.
Further, a compound of the present invention may be
used in combination with growth hormone, growth hormone releasing
hormone or growth hormone secretagogues, to delay puberty in growth
hormone deficient children, which will allow them to continue to gain
height before fusion of the epiphyses and cessation of growth at puberty.
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Further, a compound of the present invention may be used
in combination or co-administered with a compound having luteinizing
hormone releasing activity such as a peptide or natural hormone or
analog thereof. Such peptide compounds include leuprorelin, gonadorelin,
buserelin, triptorelin, goserelin, nafarelin, histrelin, deslorelin, meterlin
and recirelin.
Additionally, a compound of the present invention may
be used as described in U.S. Patent No. 5,824,286 which discloses the
administration of peptide GnRH antagonists such as Antide and azaline
B to premenopausal women to enhance the readability of mammographic
film relative to a mammogram effected in the absence of the
administration.
DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to compounds of the general
formula
R2
R8 ' R1o N-(A~_R1
R (CRgRga)m~RlOa
Rs I I ~ Rs
~J
RO 5 R4
wherein
A is C1-Cg alkyl, substituted C1-C6 alkyl, Cg-C7 cycloalkyl,
substituted C3-C7 cycloalkyl, Cg-C6 alkenyl, substituted
C3-C6 alkenyl, Cg-C6 alkynyl, substituted C3-C6 alkynyl,
C1-C6 alkoxy, or Cp-C5 alkyl-S(O)n-Cp-C5 alkyl, CO-C5 alkyl-
O-CO-C5 alkyl, CO-C5 alkyl-NRIg-CO-C5 alkyl where Rlg and
the Cp-C5 alkyl can be joined to form a ring, or a single bond;
RO is hydrogen, C1-C6 alkyl, substituted C1-Cg alkyl, wherein the
substituents are as defined below; aryl, substituted aryl,
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aralkyl or substituted aralkyl, wherein the substituents are as
defined for R3, R4 and R5;
R1 is
~N Z~ ~N Z~ ~ Z~
I i R13 ~"~'l ~~ ( ~ ~ R13 '~~~ ~ ~~' I N R
\ \ \ 13
R 4~/~ 15 R 4~~(~15 R 4~~ 15
~N ZEN N ~ Z~ N ~~ Z_~
~~~~~n~ ~ ~ ~~~"~'~,. I j R13 '~v~yi R13
l ~\N ~ ~\ ~ ~ ~~----N
R4~/~13 R~~~15 R14~~15
R1
N ~ ZEN N ~ ZEN ~~ Z
,~,~.~,~", I ~ ~ R13 ~"'~~~'~"' ~ ~ I I R13
l N
/~~ /~~ N
R14 R15 R14 R13 R15
R1Z R14~~ Z\ R14~~ Zw
N r~ I N
~n R13 I ~ ~ R13
N ~\ N N~\ N ~\ N
R15 R15 R13
Z Z Z~
I ~ R13 ( ~ R13 ~'~w~ ( N R13
/cN ~ N /~N'~
14 R15 R14 R15 R14 R15
~w.~nn.. I Z-R13 ~W nn.. Z~ R13
I
r. N t~ l
.' . ~ ~\ N
R13 R 4 N ~ 15 R 4 N R15
Z\~ ~ ~ Z~ R1 ~\N Z
' i
R13 I j R13
' : . N N
N~ / N
R14 R15 R14 R13 R15
R14~.N Z R14~N Z R14~.N Z
1 r~ ~~ r~ ~N
NR13 ~ ~I R13
\\R15 R15 \R13
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N Z N Z N Z~
R13 ~~ R13 I N R13
/~ ~ /~ ~ N /
R14 N R15 R14 N R15 R14 N R15
~N ZEN ~N N\ ~N N\
=JJ R13 ~ ' ~ ~J R13
/ ~ ~ \ ~
R14 N/ R13 R15 R14 R15 N R14
~N NON N/ ~ N _I N/ ~ N
R13 ~ ~\~J R13 ~ ~ ~J R13
R15 \R14 R15 R14 R15 N\R14
/ N~ R15~ N N
R13 .iwr ~ ~ R ~ ~ ~ R13
~~J 13 ~~~ ~,N
R 15 R14
R14 R15 R14
R 5
N'N Rlr~ N~ N ~ N~ R13
N ~\~J R13 I \~J R13 '""~~/ ~ \~.N
R14 N R14 R15 R14
R15 R15 N\
s N Rl3 ~/ \ N R ~~ ~ R13
ww
~N ~~~J ~/ I \~J 13 N \ ~ ~,N
R14 R15 R14 R14
R15 R15 N
~ N ~~ jRl3
N~~~~JR13 ~~~~.N
R14 N R14
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~~ ~N. ~~ ~N~ ~ N'~/R13
Z N.,% ~ Z l%~N~
N N R14
R1 ~ R14
R13 R13
N/ ~N~ ~N~ ~[~J' ~~N~/R13
Z N \ Z ~%~ N,
N N N R14
~N~,~/R13 ~N~K/R13 N~/R13
~'/. ~ N l~ ~ ~%~ N~
R14 R14N . R14
R13
N~.~N13 ~N~ ~R13 ~~ ~N~Z
w w N: y.ww,~
'~ / ~%
R/_ R14 R14N
14
~~ ~N\ ~N~/R13 ~N~~R13
Z rvww.~ ~N
N N~~ w
R 14 R 14 R 14
~ R13 N N' R13 N / N ~ R13
N/~ i ~ ~ ~~ ~
~~.~ y Z vw.. l . w Z R~ N
14
R 14 R 14
~N~~R13 N~N~N~R13
r/ , ,......n"",.
J~,N '~, ,
R14 R14
the nitrogen atoms contained in the R1 heteroaromatic rings may exist
either as drawn or, when chemically allowed, in their oxidized
(N-~O) state;
R2 is hydrogen, C1-C6 alkyl, substituted C1-C6 alkyl, aralkyl,
substituted aralkyl, aryl, substituted aryl, alkyl -OR11,
Cl-C6(NR11R12)~ C1-C6(CONR11R12) or C(NR11R12)NH~
_g_
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R2 and A taken together form a ring of 5-7 atoms;
R3, R4 and R5 are independently hydrogen, C1-C6 alkyl, substituted
C1-C6 alkyl, C2-Cg alkenyl, substituted C2-Cg alkenyl, CN,
nitro, C1-C3 perfluoroalkyl, C1-C3 perfluoroalkoxy, aryl,
substituted aryl, aralkyl, substituted aralkyl, R110(CH2)p-,
R11C(O)O(CH2)p-, R110C(O)(CH2)p-, -(CH2)pS(O)nRl7~
-(CH2)pC(O)NR11R12 or halogen; wherein R17 is hydrogen,
C1-C6 alkyl, C1-Cg perfluoroalkyl, aryl or substituted aryl;
R3 and R4 taken together form a carbocyclic ring of 3-7 carbon atoms or a
heterocyclic ring containing 1-3 heteroatoms selected from N,
O and S;
R6 is hydrogen, C1-C6 alkyl, substituted C1-C6 alkyl, aryl,
substituted aryl, C1-C3 perfluoroalkyl, CN, N02, halogen,
R110(CH2)p-, NR21C(O)R20, NR21C(O)NR20R21 or
SOnR20;
R7 is hydrogen, C1-C6 alkyl, or substituted C1-C6 alkyl, unless X is
hydrogen or halogen, then R7 is absent;
Rg is C(O)OR20, C(O)NR20R21~ NR20R21~ C(O)R20, NR21C(O)
R20~ NR21C(O)NR.20R21~ NR20S(O)2R21~ NR21S(O)2
NR2pR21, OC(O)R20, OC(O)NR2pR21, OR20, SOnR20>
S(O)nNR2pR21, a heterocyclic ring or bicyclic heterocyclic
ring with from 1 to 4 heteroatoms selected from N, O or S
which can be optionally substituted by R3, R4 and R5, C1-C6
alkyl or substituted C1-C6 alkyl; or
R7 and Rg taken together form a heterocyclic ring containing one or more
heteroatoms selected from N, O or S which can be optionally
substituted by R3, R4 and R5;
Rg and Rga are independently hydrogen, C1-C6 alkyl, substituted C1-C6
alkyl; aryl or substituted aryl, aralkyl or substituted aralkyl
when m~0; or
O
Rg and Rga taken together form a carbocyclic ring of 3-7 atoms or II
when m~0;
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Rg and A taken together form a heterocyclic ring containing 3-7 carbon
atoms and one or more heteroatoms when m~0; or
R10 and RlOa are independently hydrogen, C1-C6 alkyl, substituted
C1-C6 alkyl, aryl, substituted aryl, aralkyl or substituted
aralkyl; or
O
R10 and RlOa taken together form a carbocyclic ring of 3-7 atoms or I) ;
Rg and R1p taken together form a carbocyclic ring of 3-7 carbon atoms or
a heterocyclic ring containing one or more heteroatoms when
m~0; or
Rg and R2 taken together form a heterocyclic ring containing 3-7 carbon
atoms and one or more heteroatoms when m~0; or
R1p and R2 taken together form a heterocyclic ring containing 3-7 carbon
atoms and one or more heteroatoms;
R1p and A taken together form a heterocyclic ring containing 3-7 carbon
atoms and one or more heteroatoms; or
R11 and R12 are independently hydrogen , C1-Cg alkyl, substituted
C1-C6 alkyl, aryl, substituted aryl, aralkyl, substituted
aralkyl, a carbocyclic ring of 3-7 atoms or a substituted
carbocyclic ring containing 3-7 atoms;
R11 and R12 taken together can form an optionally substituted ring of 3-7
atoms;
R13 is hydrogen, OH, NR7Rg, NR11S02(C1-C6 alkyl),
NR11S02(substituted C1-C6 alkyl), NR11S02(aryl),
NR11S02(substituted aryl), NR11S02(C1-C3 perfluoroalkyl);
S02NR11(C1-Cg alkyl), S02NR11(substituted C1-Cg alkyl),
S02NR11(aryl), S02NR11(substituted aryl), S02NR11(C1-C3
perfluoroalkyl); S02NR11(C(O)C1-C6 alkyl); S02NR11(C(O)-
substituted C1-Cg alkyl); S02NR11(C(O)-aryl); S02NR11
(C(O)-substituted aryl); S(O)n(C1-Cg alkyl); S(O)n
(substituted C1-C6 alkyl), S(O)n(aryl), S(O)n(substituted
aryl), C1-C3 perfluoroalkyl, C1-Cg perfluoroalkoxy, C1-C6
alkoxy, substituted C1-C6 alkoxy, COOH, halogen, N02 or
CN;
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R14 and R15 are independently hydrogen, C1-C6 alkyl, substituted C1-C6
alkyl, C2-Cg alkenyl, substituted C2-C6 alkenyl, CN, nitro,
C1-C3 perfluoroalkyl, C1-C3 perfluoroalkoxy, aryl, substituted
aryl, aralkyl, substituted aralkyl, R110(CH2)p-,
R11C(O)O(CH2)p-, R110C(O)(CH2)p-, -(CH2)pS(O)nRl7~
-(CH2)pC(O)NR11R12 or halogen; wherein R17 is hydrogen,
C1-Cg alkyl, C1-C3 perfluoroalkyl, aryl or substituted aryl;
Rlg is hydrogen, C1-Cg alkyl, substituted C1-Cg alkyl, C(O)OR11,
C(O)NR11R12~ C(O)R11> S(O)nRll~
Rlg is either the definition of R13 or R14;
R20 and R21 are independently hydrogen , C1-Cg alkyl, substituted
C1-Cg alkyl, aryl, substituted aryl, aralkyl, substituted
aralkyl, a carbocyclic ring of 3-7 atoms, a substituted
carbocyclic ring containing 3-7 atoms, a heterocyclic ring
or bicyclic heterocyclic ring with from 1 to 4 heteroatoms
selected from N, O or S which can be optionally substituted by
R3, R4 and R5, C1-C6-alkyl substituted by a heterocyclic ring
or bicyclic heterocyclic ring with from 1 to 4 heteroatoms
selected from N, O or S which can be optionally substituted by
R3, R4 and R5;
R2p and R21 taken together can form an optionally substituted ring of 3-7
atoms;
X is N, O, S(O)n, C(O), (CR11R12)p, a single bond to Rg, C2-Cg
alkenyl, substituted C2-Cg alkenyl,C2-Cg alkynyl, or
substituted C2-C6 alkynyl; when X is O, S(O)n, C(O), or
CR11R12 only Rg is possible;
Z is O, S or NR11;
m is 0-3;
n is 0-2;
p is 0-4; and
the alkyl, cycloalkyl, alkenyl and alkynyl substituents are
selected from C1-Cg alkyl, C3-C7 cycloalkyl, aryl, substituted
aryl, aralkyl, substituted aralkyl, hydroxy, oxo, cyano, C1-Cg
alkoxy, fluoro, C(O)OR11 aryl C1-Cg alkoxy, substituted aryl
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C1-C3 alkoxy, and the aryl substituents are as defined for R3,
R4 and R~;
or a pharmaceutically acceptable addition salt and/or hydrate thereof, or
where applicable, a geometric or optical isomer or racemic mixture
thereof.
Unless otherwise stated or indicated, the following
definitions shall apply throughout the specification and claims.
Preferred substituents when R20 and R21 are taken together
include 7-aza-bicyclo[2.2.1]heptane and 2-aza-bicyclo[2.2.2]
octane.
When any variable (e.g., aryl, heterocycle, R1, etc.) occurs
more than one time in any constituent or in formula I, its definition on
each occurrence is independent of its definition at every other occurrence.
Also, combinations of substituents and/or variables are permissible only if
such combinations result in stable compounds.
The term "alkyl" is intended to include both branched-
and straight-chain saturated aliphatic hydrocarbon groups having the
specified number of carbon atoms, e.g., methyl (Me), ethyl (Et), propyl,
butyl, pentyl, hexyl, heptyl, octyl, nonanyl, decyl, undecyl, dodecyl, and
the isomers thereof such as isopropyl (i-Pr), isobutyl (i-Bu), sec-butyl
(s-Bu), tert-butyl (t-Bu), isopentane, isohexane, etc.
The term "aryl" includes phenyl and naphthyl. In a preferred
embodiment, aryl is phenyl.
The term "halogen" or "halo" is intended to include fluorine,
chlorine, bromine and iodine.
The term "heterocycle" or "heterocyclic ring" is defined by all
non-aromatic, heterocyclic rings of 3-7 atoms containing 1-3 heteroatoms
selected from N, O, and S, such as oxirane, oxetane, tetrahydrofuran,
tetrahydropyran, pyrrolidine, piperidine, tetrahydropyridine, tetrahydro-
pyrimidine, tetrahydrothiophene, tetrahydrothiopyran, morpholine,
hydantoin, valerolactam, pyrrolidinone, and the like.
As used herein, the term "composition" is intended to
encompass a product comprising the specified ingredients in the specified
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amounts, as well as any product which results, directly or indirectly, from
combination of the specified ingredients in the specified amounts.
In addition, it is well known to those skilled in the art that
many of the foregoing heterocyclic groups can exist in more than one
tautomeric form. It is intended that all such tautomers be included within
the ambit of this invention.
The optical isomeric forms, that is mixtures of enantiomers,
e.g., racemates, or diastereomers as well as individual enantiomers or
diastereomers of the instant compound are included. These individual
enantiomers are commonly designated according to the optical rotation
they effect by the symbols (+) and (-), (L) and (D), (1) .and (d) or
combinations thereof. These isomers may also be designated according
to their absolute spatial configuration by (S) and (R), which stands for
sinister and rectus, respectively.
The individual optical isomers may be prepared using
conventional resolution procedures, e.g., treatment with an appropriate
optically active acid, separating the diastereomers and then recovering
the desired isomer. In addition, the individual optical isomers may be
prepared by asymmetric synthesis.
Additionally, a given chemical formula or name shall
encompass pharmaceutically acceptable addition salts thereof and
solvates thereof, such as hydrates.
The compounds of the present invention, while effective
themselves, may be formulated and administered in the form of their
pharmaceutically acceptable addition salts for purposes of stability,
convenience of crystallization, increased solubility and other desirable
properties.
The compounds of the present invention may be
administered in the form of pharmaceutically acceptable salts. The term
"pharmaceutically acceptable salt" is intended to include all acceptable
salts. Examples of acid salts are hydrochloric, nitric, sulfuric, phosphoric,
formic, acetic, trifluoroacetic, propionic, malefic, succinic, malonic,
methanesulfonic, benzenesulfonic and the like which can be used as a
dosage form for modifying the solubility or hydrolysis characteristics or
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can be used in sustained release or prodrug formulations. Depending on
the particular functionality of the compound of the present invention,
pharmaceutically acceptable salts of the compounds of this invention
include those formed from cations such as sodium, potassium, aluminum,
calcium, lithium, magnesium, zinc, and from bases such as ammonia,
ethylenediamine, N-methyl-glutamine, lysine, arginine, ornithine, choline,
N,N'-dibenzylethylenediamine, chloroprocaine, diethanolamine, procaine,
N-benzylphenethylamine, diethylamine, piperazine, tris(hydroxymethyl)
aminomethane, and tetramethyl-ammonium hydroxide. These salts may
be prepared by standard procedures, e.g. by reacting a free acid with a
suitable organic or inorganic base, or alternatively by reacting a free base
with a suitable organic or inorganic acid.
Also, in the case of an acid (-COOH) or alcohol group being
present, pharmaceutically acceptable esters can be employed, e.g. methyl,
ethyl, butyl, acetate, maleate, pivaloyloxymethyl, and the like, and those
esters known in the art for modifying solubility or hydrolysis character-
istics for use as sustained release or prodrug formulations.
The compounds of the present invention may have chiral
centers other than those centers whose stereochemistry is depicted in
formula I, and therefore may occur as racemates, racemic mixtures and
as individual enantiomers or diastereomers, with all such isomeric
forms being included in the present invention as well as mixtures
thereof. Furthermore, some of the crystalline forms for compounds
of the present invention may exist as polymorphs and as such are
intended to be included in the present invention. In addition, some of
the compounds of the instant invention may form solvates with water
or common organic solvents. Such solvates are encompassed within
the scope of this invention.
The compounds of the invention are prepared according to
the following reaction schemes. All of the substituents are as defined
above unless indicated otherwise.
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Reaction Scheme A
Rs
i Pd(dpp~Clz ~CHZCIz
R~ ~ ~ ~ / (CR9R9ayG~PG~ LiCI, Na2C03,
Z R~oR~oa DMF, heat
R \ NHZ 2aZ=H
2b Z = Et3Si
2cZ=
J R3
Rs RS ~ Ra
Ri ~- (CR9R9ayG~PG R~ ~. Z
1
RloR~oa I R~oR~oa
N Z and N ~ ~ ~PG~
Rs H Rs H (CR9R9a m
3b Z = Et3Si 4a Z = H
3cZ= ~ 4cZ=
R3 ~ ~ Rs
RS R4 5v R4
A preferred method for the synthesis of the substituted
tryptamines described in this invention utilizes a palladium-catalyzed
cross coupling reaction as a key step as shown in Scheme A. This 6-
azaindole synthesis involves the reaction of a suitably functionalized
3-amino-4-iodopyridine (1) with substituted acetylenes such as 2 in
the presence of a base like sodium carbonate, lithium chloride, and a
palladium catalyst such as (dppf)PdClz ~ CHzCl2. The reaction is conducted
in an inert organic solvent such as dimethylformamide at elevated
temperatures, for instance at 100°C, and the reaction is conducted for
a
period of about 30 minutes to about 24 hours. A standard workup and
isolation affords the substituted isomeric indole derivatives 3 and 4, and
the isomer of general formula 3 is the preferred isomer. The acetylene
utilized in this reaction may be a terminal acetylene (2a) or be optionally
substituted on the terminal carbon atom with a substituent Z (2b, 2c).
The substituent abbreviated PGi indicates an alcohol protecting group
such as a benzyl ether, tent-butyl ether or the like. The nature of the Z
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substituent determines the distribution of the 6-azaindole isomers (3 and
4) produced in the reaction. For example, if the substituent Z on the
acetylene is a hydrogen atom then the isomer 4a is the major product of
the reaction. When the substituent Z is chosen to be a substituted silyl
group such as trimethylsilyl, triethylsilyl (as shown), or the like, then
isomer 3b is formed almost exclusively. When Z is a substituted aryl
group, then both isomers 3c and 4c may be formed and the product
mixture is separated using chromatographic or crystallization techniques
to afford the individual isomers.
If the synthesis is conducted with a silyl-substituted
acetylene 2b to produce a silyl-substituted 6-azaindole 3b, then the
silyl group is next converted to an aryl or substituted aryl group of
general formula 3c using the reactions described later in Scheme E.
The 2-arylsubstituted 6-azaindole derivatives 3c formed either directly
from arylacetylenes (2c) as shown in Scheme A or from 2-trialkylsilyl-6-
azaindoles using the method of Scheme E are then further elaborated as
described below to produce the novel 6-azaindole derivatives described in
this invention.
Reaction Scheme B
Rs 10% Pd/C, Rs t-BuCOCI, XR~8
R~i~ ~ Hz X50 Psi), R~ ~ ~ EtzO/THF R~~~ ~
ii
N/ / NO MeOH N~ ~ NH Et3N, OhC N~~N "f-Bu
Rs 2 Rs 2 Rs H
5 6 7
1 ) t-BuLi, Ra Rs
TMEDA, THF, XI~ 24% HZS04, xI
-78FC R~~~ ~ ~ ~ 100FC R~~~ ~
2) lz' T~' IRIS ~ H~t-Bu IRI ~ NH
-78FC to RT
s s
8 1
Scheme B illustrates the preparation of substituted 3-
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amino-4-iodopyridines (1) which are utilized in the 6-azaindole synthesis
described in Scheme A. Substituted 3-nitropyridine derivatives such
as 5 are useful starting materials for the preparation of 3-amino-4-
iodopyridines (1). The 3-nitropyridines (5) bearing the desired
substituents can in turn be prepared by the nitration of a pyridine
derivative, by a nucleophilic aromatic substitution reaction from a
suitable halogenated nitropyridine or by other methods known in the
chemical literature. The nitro substituent of a 3-nitropyridine is readily
reduced to the required 3-amino group using a variety of methods such
as catalytic hydrogenation and the resulting 3-amino group can then serve
as a directing group for the subsequent introduction of an iodine at the 4
position of the pyridine. To facilitate the introduction of the iodine atom
the 3-amino group is first converted to a good ortho-directing substituent
such as a pivalamide (7). This is achieved by reacting the 3-amino-
pyridine 6 with pivaloyl chloride in the presence of an amine base like
triethylamine in a suitable inert solvent followed by a standard workup
and isolation. The resulting pivalamide 7 is then subjected to ortho-
lithiation by treatment with a strong organolithium base such as tert-
butyl lithium in the presence of a N,N,N',N'-tetramethylethylene-
diamine. The ortho-lithiation is conducted in an inert solvent such as
tetrahydrofuran at low temperature, typically -78°C, and the 4-
lithiated
derivative is the predominant regioisomer formed. Once the lithiation
reaction is complete the reaction mixture is then treated with an
iodinating reagent like iodine or iodine monochloride in a compatable
solvent such as tetrahydrofuran and then allowed to warm to room
temperature. Workup and product purification affords the 4-iodopyridine
derivative 8 which in the final step is converted to the substituted 3-
amino-4-iodopyridines of general formula 1 by removal of the ortho-
directing group. In the case illustrated in reaction Scheme B where a
pivaloyl group was chosen as the ortho-directing group it may be removed
by hydrolysis under acidic conditions such as treatment with sulfuric acid
at anelevated temperature.
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Reaction Scheme C
NH
Ph~O~CCl3 / 1 ) n-BuLi,
~(CR9R~a)~OH CF3S03H ~ ~(CRgR9a)~O ~ ~ THF, -78EC
R/10\Rloa CC14-C6H12 // R/10\Rloa 2) Et3S1C1
2a
/
(CR9R9a)m O
Et3Si' R1o Rloa
2b
~(CR~R~a)~OH i \ x Pd OAc PPh / (CR9R9a)m~OH
+ R ( ~2> 3~
R1o Rloa s ~/~ CuI, Et3N, ~ \ R1o Rloa
i
R s
9 10 ~ 3 85EC R ~~~~ 3 11
X = Br, I, OS02CF3
NH
(CR9R9a)m~0 \
Ph~O~ CCI3 / \/
CF3S03H R i \ RloRloa
' ~~~ 2c
CC14-C6H ~ 2 Ra Rs
Acetylenic compounds of general structure 2 are prepared
using one of several methods depending upon the choice of the desired
substituents. When the substituents R9, Roa, Rio and Rioa are selected
to be hydrogen or lower alkyl groups, compounds of formula 2 may be
prepared from known acetylenic alcohols such as 3-butyn-1-ol, 4-pentyn-
2-0l or similar acetylenic alcohols reported in the chemical literature.
The conversion of acetylenic alcohols of general formula 10 to acetylene
derivatives of general formula 2 is shown in Scheme C. For clarity the
hydroxyl protecting group (PG1) illustrated in Scheme C is exemplified
as an O-benzyl ether. Thus, reaction of 10 with O-benzyl-2,2,2-trichloro-
acetimidate in the presence of a catalytic amount of a strong acid such
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as trifluoromethanesulfonic acid and in a suitable inert organic solvent
like carbon tetrachloride at room temperature affords after 2 to 24 hours
the protected acetylenic alcohol 2a. Compounds of formula 2a may in
turn be converted to acetylenes (2b) of general formula 2 wherein Z is a
trialkylsilyl group by deprotonation of the acetylene with a base such as
n-butyllithium in an inert organic solvent like tetrahydrofuran followed
by reaction with a trialkylsilyl chloride such as triethylchlorosilane. The
deprotonation and silylation reactions are generally conducted at low
temperatures, for instance between about -78°C and room temperature,
and after standard workup and purification a silylacetylene of formula 2b
is obtained.
As previously stated, acetylenes of general formula 2c
wherein Z is an aryl or substituted aryl group, are also useful in the 6-
azaindole synthesis illustrated in Scheme A. Arylacetylenes 2c may be
prepared using a coupling reaction of cuprous acetylides derived from
acetylenic alcohols of formula 2a with various aryl halides or aryl triflates
(11). Such coupling reactions produce aryl acetylenes of general formula
12 as shown at the bottom of Scheme C. These reactions are generally
carried out in a basic organic solvent like triethylamine at elevated
temperatures, typically between about 60°C and about 120°C, and
the
coupling reaction is catalyzed by copper(I) salts such as cuprous iodide
and a palladium catalyst such as palladium acetate in combination with
triphenylphosphine. The hydroxyl group of the arylacetylenes of general
formula 12 can be protected with a suitable protecting group such as the
O-benzyl ether group shown in Scheme C, to afford an arylacetylene (2c) of
general formula 2 wherein Z is an aryl or substituted aryl group. It is also
recognized that in some cases it may be preferable to reverse the order of
the steps illustrated in Scheme C. For instance, acetylenic alcohols (7)
may be subjected to silylation or arylation prior to the hydroxyl group
protection step.
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Reaction Scheme D
H
Ph~O~CCl3
RO (CR9R9a)m~OH
CF3S03H _ RO (CR9R9a)m O
O R~oR~oa CC14-C6H~z ~ LiAlH4, THF
p R~oRaoa
12 13
1 ) DMSO, (COC1)z,
HO (CR9R9a)m O \ CHZCIz, -SOhC
H (CR9Rga)m O
2 Et N
H H R~oR~oa ) 3
14 O RaoR~oa
CHIC ZPh~, H (CR~R9a)m O \ ~ ~ (C~9a)m O
R~~oa
R~oR~oa n-BuLi, THF, 2a
Br Br 16
-78hC to O~C
5 Another useful approach for the preparation of acetylenic
compounds of general formula 2a employs an ethynylation reaction
sequence of aldehydes of general formula 16 as shown in Scheme D. The
aldehydes (16) used in the ethynylation sequence may be prepared using
various methods known in organic synthesis starting with hydroxyesters
10 of general formula 13, from protected hydroxyesters of formula 14, or from
alcohols related to the mono-hydroxyl protected diols of formula 15. The
choice of preferred starting material depends upon the nature of the
substituents Rs, Rsa, Rio, and Rioa selected. Scheme D illustrates this
strategy begining with the generalized hydroxy ester 13. Protection of
15 the hydroxyl group of 13, for instance as the O-benzylether shown, affords
a protected hydroxy ester of formula 14. The ester group of compounds
of formula 14 can then be converted to an aldehyde of formula 16 either
directly using a reagent like diisobutylaluminum hydride in a solvent like
toluene, or through a two step process. In the two step process, reduction
of the ester group with a reagent such as lithium aluminum hydride in
tetrahydrofuran affords alcohols of formula 15 which are then subjected to
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reoxidation, for instance using a Swern-Moffatt oxidation, to afford the
desired aldehydes of formula 16.
The ethynylation of aldehydes of formula 16 is accomplished
in two steps. First, aldehydes (16) are reacted with carbon tetrabromide
and triphenylphosphine in an inert organic solvent like dichloromethane
to produce the dibromo olefins of formula 17. Next, the dibromo olefins
(17) are treated with two equivalents of a strong base such as
n-butyllithium in tetrahydrofuran at low temperature, for instance at
about -78°C. The strong base induces dehydrohalogenation and metal-
halogen exchange to afford lithium acetylides which upon quenching
and workup afford acetylenes of general formula 2a. Alternatively, the
intermediate lithium acetylides formed in the reaction may be treated
with a trialkylsilyl chloride, such as triethylchlorosilane, to afford
silylacetylenes of general formula 2b.
Reaction Scheme E
Ra
R ~ ~CR9R9a m ~ Ri ' (CR~R9a)m~
' )~ \PG~ ~ ( ~~oa
R~oR~oa > N~' N 1
R~~ H SiEt3 ICl AgBF4, Rs H
MeOH-THF, OhC 17
3b
(Hp~2g \ R~~~ ~CR9R9a)~G~PG
i 1
17 + I R3 ~ R~oR~oa
> N~ \
R ~\Ra ~dPP~PdCl2~CHZC12, ~ \H/ ~ J Ra
18 toluene-EtOH-2M aq. NaZC03, 3c
80EC Rs Ra
The conversion of 2-silyl-substituted 6-azaindoles of general
formula 3b to 2-aryl-substituted 6-azaindoles of general formula 3c may
be accomplished in two steps as shown in Scheme E. The first step is a
halodesilylation reaction which converts silyl-substituted 6-azaindoles
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WO 00/53602 PCT/US00/05799
of formula 3b into 2-halo-6-azaindoles of general formula 18. Scheme E
illustrates this process using iodine monochloride so that the product
obtained is a 2-iodoindole of general formula 18. Silver tetrafluoroborate
is also employed in this example to increase the reactivity of the halogen-
s ating reagent. It is possible to effect the halodesilylation reaction with
other electrophilic halogenating reagents such as N-bromosuccinimide in
dichloromethane which affords a 2-bromo-6-azaindole derivative. Both
2-bromo and 2-iodo-6-azaindoles of formula 18 are useful in the
subsequent step.
The second step is a palladium-catalyzed cross coupling
reaction of the 2-halo-6-azaindole 18 with a suitable aryl or substituted
aryl organometallic reagent 19. Scheme E illustrates this process with
an aryl or substituted arylboronic acid as the organometallic reagent,
however, other organometallic reagents known to participate in
palladium-catalyzed cross-coupling reactions such as arylboronic esters
or arylstannanes may also be employed. In the example, a 2-iodo-6-
azaindole of general formula 18 is coupled with a generalized boronic
acid (19) using a catalyst such as [1,1'-bis(diphenylphosphino)ferrocene]
dichloropalladium(II) complex with dichloromethane (shown), tetrakis
(triphenylphosphine)-palladium(0) or the like. The reaction is usually
conducted at temperatures between room temperature and about 100°C,
for instance at about 80°C. This palladium catalyzed cross-coupling
reaction may be effected using various combinations of palladium
catalysts and solvent compositions known in organic chemistry, and
the selection of the conditions is made depending upon the type of
organometallic reagent (19) used and the identity of the substituent
groups in the two starting materials. When the organometallic reagent is
a boronic acid or boronate ester then a preferred solvent mixture consists
of toluene, ethanol and an aqueous solution of a base like cesium or
sodium carbonate. If instead the organometallic reagent 19 is an
arylstannane, then no additional base is required, and a polar aprotic
solvent such as tetrahydrofuran or dimethylformamide is employed.
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Reaction Scheme F
R ~ (CR9R9a~m W R~ '~G~PG
PG~ Protect
N' ~ R~oR~oa 6-azaindole > R~oR~oa
N
Rs H I ~ R3 or introduce
/v\' Ro substituent
3c
Deprotect ~~ ~ PPh3, DEAD
alcohol R~ (CR9R9a)n, ~H Zn(N3),~2pyr,
R~oa imidazole, CHZCIZ
rt, 1-24 h
R ~ (CR9Rea)m N3 R~ ~ (CR9R9a)n~NHz
i ~ 10% Pd/C, HZ,
R~oR~oa EtOH, rt 1-12 h ~ ~ ~ R~oR~oa
N~/. /~ > N % ~ \
21 R5 Rq 22 R5 R4
The next stage of the synthesis of the novel 6-azaindole
derivatives is illustrated in Scheme F. This sequence of reactions begins
with protection of the 6-azaindole with an amine protecting group (PGz)
to afford compounds of general formula 20. The protection step is required
to avoid competing side rections of the 2-aryltryptophol of formula 21
(where PGz is H) in the later conversion of compounds of formula 21 to
compounds of formula 22. The indole protection is followed by removal
of the hydroxyl protecting group (PGi) from the side chain at the C-3
position of the 6-azaindole ring to afford compounds of general formula
21. Finally, the hydroxyl group of 21 is converted to a primary amine of
general formula 23 which is then further functionalized as shown below
in the following schemes. The choice of an appropriate amine protecting
group (PG2) for the 6-azaindole is determined primarily by which
protecting group (PGi) is present on the hydroxyl group in the C-3
sidechain, and by consideration of the chemical stability of the amine
protecting group (PGi) required in the remaining steps of the synthesis.
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When the hydroxyl protecting group (PG1) is an0-benzyl ether as
illustrated previously in Schemes C and D, the 6-azaindole may be
protected as a carbamate derivative such as a tent-butylcarbamate
(BOC). In this case, the BOC-protected 6-azaindole is stable under the
hydrogenolysis conditions which are used to remove the O-benzyl ether
and it may be conveniently removed at the end of the synthesis using
acidic conditions. If it is desired to synthesize compounds of formula (I)
wherein Ro is alkyl, substituted alkyl or the like, then it is possible to
introduce that substituent at this point and the use of a protecting group
and its subsequent removal is not required.
An alcohol of general formula 21 may be. converted to a
primary amine of general formula 23 using a variety of methods known
in the literature of organic chemistry. The bottom of Scheme F illustrates
a process where the alcohol 21 is first converted to an azide of general
formula 22, followed by reduction to afford the amine derivative 23. The
synthesis of an azide of general formula 22 from alcohols like 21 is best
accomplished by performing a Mitsunobu reaction in the presence of an
appropriate azide source such as diphenylphosphoryl azide or zinc azide
pyridine complex. Scheme F illustrates the reaction of alcohol 21 with
triphenylphosphine, diethylazodicarboxylate, zinc azide pyridine complex
and a proton source such as imidazole in an inert solvent like methylene
chloride or tetrahydrofuran. The reaction is usually conducted at room
temperature for periods between 1-24 hours, typically overnight or about
15 hours, and affords the azide of general formula 22 in good yield.
Finally, an azide of formula 22 may then be reduced to an amine of
formula 23 using one of several methods common in organic synthesis.
One preferred method is catalytic hydrogenation in a solvent like
methanol or ethanol in the presence of a catalyst such as 10% palladium
on carbon. Alternatively, azides like 22 may be reacted with triphenyl-
phosphine to form an iminophosphorane which upon hydrolysis with
water affords the amine of formula 23 and triphenylphophine oxide.
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Reaction Scheme G
HO~(A~
R~
O 23
EDC HOBt R$ RZ
NMM, CH.,Ch R~~ ~CR9R9a)~~(A~R
R~oR~oa O
(AI Rs N ~ Rs
Rt Ro
O 25 24 Rs Ra
Et3N, CHZCIZ
The final stage of the synthesis of the novel 6-azaindole
derivatives (I) involves elaboration of the sidechain at the C-3 position of
the 6-azaindole core. One method for the completion of the synthesis is
illustrated in Scheme G. As shown, the 2-aryltryptamine (23) may be
condensed with a carboxylic acid of type 24 using the coupling reagent
1-(3-dimethylamino-propyl)-3-ethylcarbodiimide hydrochloride (EDC),
1,3-dicyclohexyl-carbodiimide (DCC) or the like with or without 1-
hydroxybenzotriazole (HOBt) and a tertiary amine base such as N
methylmorpholine (NMM), triethylamine or the like in an inert organic
solvent such as methylene chloride, chloroform, dimethylformamide, or
mixtures thereof at or near room temperature for a period of 3-24 hours
to provide the corresponding amide derivative (25). Alternatively, 2-
aryltryptamine 23 can be treated with an active ester or acid chloride
of formula 26 in an inert organic solvent such as methylene chloride,
chloroform, tetrahydrofuran, diethyl ether, or the like and a tertiary
amine base such as triethylamine, diisopropylethylamine, pyridine or
the like at a temperature of 0°-25°C for 30 minutes to 4 hours
to give
compound 25.
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Reaction Scheme H
Rz Rs R2
~CR9R9ayN~(A)Rt Rj ~. (CR9R9a)n~N~(A) t
R
RtoRtoa O BH3,THF N, ~ RtoRtoa
N I \ or ~~ N \
Rs LiAlH4, THF R6 Ro I/v\~J Rs
24 R v~~ 26 R5 Ra
As shown in reaction Scheme H, the amide carbonyl of 25
can be reduced by treatment with borane, lithium aluminum hydride,
or equivalent hydride sources in an inert organic solvent such as
tetrahydrofuran, diethyl ether, 1,4-dioxane or the like at about 25°C
to
about 100°C, preferably about 65°C, for a period of 1-8 hours to
give the
corresponding amine 27.
Reaction Scheme I
Rz
OR9R9a)~N~ p 27 ~Nw A Rt
Rz (A)-Rt R/\R a( )
RtoRtoa ~ to to
N ~, \
Rs N I R3 TFA, 3 f~ sieves
22 R° ~'~~~) NaCNBH3, MeOH
As shown in reaction Scheme I, the 2-aryltryptamine 23
can be modified by treatment with an aldehyde or ketone of type 28 in
the presence of a weak acid such as trifluoroacetic acid (TFA), acetic acid
0
or the like, with or without a dessicant such as 3A molecular sieves or
magnesium sulfate, and a hydride source such as sodium borohydride or
sodium cyanoborohydride, in an inert organic solvent such as methanol,
ethanol, isopropanol, tetrahydrofuran, dichloromethane, chloroform, or
mixtures thereof at a temperature of about 0° to about 25°C for
a period
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WO 00/53602 PCT/US00/05799
of 1-12 hours to give the corresponding secondary or tertiary amine
derivative 29.
Reaction Scheme J
R$
02N NOZ
R~
~.
~CR9R9a)n~NH2
/
\
R ~ S CI
, N ~o 02
R~oa
~
s ~ 2,4,6-collidine,
~ Rs CH
/"~J 1
22 ~C
Rs 2
Ra
OZN / NOZ
R8 O ~' ~ Rs
I I
R~ ~. ~CR~R9a)n~NH 1. PPh3, DEAD, R~~~. ~CR9R9a)n~NyA~R1
\ benzene ( R/ \R a
N ~ \ Rto R~oa HOyA; R~ 3~ N /, N \ 10 10
R3 > Rs I [I 1 Rs
29 ° R ~%~~ 2. n-propylamine
As shown in reaction Scheme J, the tryptamine 23 can be
modified using the Fukuyama modification of the Mitsunobu reaction
(Fukuyama, T.; Jow, C.-K.; Cheung, M. Tetrahedro~z Lett. 1995, 36, 6373-
74). The tryptamine 23 may be reacted with an arylsufonyl chloride such
as 2-nitrobenzene-sulfonyl chloride, 4-nitrobenzenesulfonyl chloride or
2,4-dinitrobenzene-sulfonyl chloride and a hindered amine base such as
2,4,6-collidine, 2,6-lutidine or the like in an inert organic solvent such as
methylene chloride to provide the corresponding sulfonamide 30. The
sulfonamides can be further modified by reaction with an alcohol of type
31 in the presence of triphenylphosphine and an activating agent such
as diethylazodicarboxylate (DEAD), diisopropylazodicaboxylate or the
like in an inert organic solvent such as benzene, toluene, tetrahydrofuran
or mixtures thereof to give the dialkylsulfonamide adduct. Removal of
a dinitrobenzenesulfonyl group is accomplished by treatment with a
nucleophilic amine such as n-propylamine or the like in an inert organic
solvent such as methylene chloride to give secondary amines of type 32.
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When a mono-nitrobenzenesulfonyl derivative is employed, the removal of
the sulfonamide is accomplished with a more nucleophilic reagent such as
thiophenol or mercaptoacetic acid in combination with lithium hydroxide
in DMF.
Reaction Scheme K
R~ '~ (CRgR9a)~OH OZN / NOZ 1. PPb3, DEAD,
' O benzene
Rio R~oa O
2. n-propylamine
2086 P~ R "~J R3 HN,~A~ R~ 32 3. Remove PGZ
5 R4
R6
I H
R7 ~. (CR9R9ayN~~A~R1
R/~a\R~oa
N ~~
I ~ Rs
31 R°
Reaction Scheme K illustrates a method that is
complimentary to reaction Scheme J for completing the synthesis
of the novel compounds of formula (I). Scheme K also employs the
Fukuyama modification of the Mitsunobu reaction similar to that
illustrated in reaction Scheme J. However in this instance, the alcohol
partner employed is a 2-aryltryptophol of general formula 21 which
has been decribed previously in reaction Scheme F. The 2-aryltryptophol
(21) is reacted with a substituted sulfonamide of general formula 33,
triphenylphosphine and diethylazodicarboxylate in a suitable inert
organic solvent such as benzene, tetrahydrofuran, 1,4-dioxane or the
like. The reaction is generally conducted at room temperature for a
period of 2 to 24 hours, typically overnight or for about 12-16 hours. The
product is an N,N-disubstituted sulfonamide which is then separately
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subjected to reaction with a base such as ~z-propylamine which removes
the sulfonamide substituent and furnishes a secondary amine related
to formula 32. The sulfonamides of formula 33 employed are readily
obtained from a primary amine and either 2-nitrobenzenesulfonyl
chloride, 4-nitrobenzenesulfonyl chloride or 2,4-dinitrobenzenesulfonyl
chloride (as shown) in the presence of a hindered amine base such as
2,4,6-collidine, 2,6-lutidine or the like in an inert organic solvent such as
methylene chloride. The final stage of the synthesis requires removal of
the protecting group on the 6-azaindole nitrogen atom (PGz) which
produces a compound of general formula 32 wherein Ro is a hydrogen
atom. It will be recognized by individuals skilled in the art of organic
synthesis that a preference for utilizing either the synthetic sequences
outlined in reaction Schemes J or K will be determined by the
substituents selected to be present in the compounds of formula (I).
The compounds of the present invention are useful in
the treatment of various sex-hormone related conditions in men and
women. This utility is manifested in their ability to act as antagonists
of the neuropeptide hormone GnRH as demonstrated by activity in the
following in vitro assays.
Rat pituitary GnRH receptor binding assay
Crude plasma membranes prepared from rat pituitary
tissues were incubated in a Tris.HCl buffer (50 mM, PH. 7.5) containing
bovine serum albumin (.1%), [I-125]D-t-Bu-Serb-Pro9-ethyl amide-GnRH,
and the desired concentration of a test compound. The assay mixtures
were incubated at 4°C for 90-120 minutes followed by rapid filtration
and repeated washings through a glass fiber filter. The radioactivity
of membrane bound radioligands was determined in a gamma-counter.
From this data, the IC50 of the radioligand binding to GnRH receptors in
the presence of test compound was estimated.
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Inhibition of LH release assay:
Active compounds from the GnRH receptor binding assay
were further evaluated with an in vitro LH release assay to confirm their
antagonist activity (blocking GnRH-induced LH release).
1. Sample Preparation
The compounds to be assayed were dissolved and diluted in
DMSO. The final concentration of DMSO in the incubation medium was
0.5%.
2. Assay
The Wistar male rats (150-200 grams) were obtained from
Charles River Laboratories (Wilmington, MA). Rats were maintained
at a constant temperature (25°C) on a 12-hr light, 12-hr dark cycle.
Rat
chow and water were available ad labitum. The animals were sacrificed
by decapitation and pituitary glands were aseptically removed and placed
in Hank's Balanced Salt Solution (HBSS) in a 50-mL polypropylene
centrifuge tube. The collection tube was centrifuged for 5 min at 250 x g,
and HBSS was removed by aspiration. Pituitary glands were transferred
to a disposable petri plate and minced with a scalpel. The minced tissue
was then transferred to a 50-mL disposable centrifuge tube by suspending
the tissue fragments in three successive 10-mL aliquots of HBSS
containing 0.2% collagenase and 0.2% hyaluronidase. The cell dispersion
was carried out in a water bath at 37°C with gentle stirring for 30
min.
At the end of the incubation, the cells were aspirated 20 to 30 times with
a pipet and the undigested pituitary fragments were allowed to settle for
3 to 5 min. The suspended cells were removed by aspiration, and then
subjected to a 1200 x g centrifugation for 5 min. The cells were then
resuspended in Culture medium. The undigested pituitary fragments
were treated with 30 mL aliquots of the digestion enzymes as above for
a total of 3 digestions with the collagenase/hyaluronidase mixture.
The resulting cell suspensions were pooled, counted and diluted to a
concentration of 3 x 105 cells/ml, and 1.0 ml of this suspension was
placed in each well of a 24-well tray (Costar, Cambridge, MA). Cells
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were maintained in a humidified 5% C02-95% air atmosphere at 37°C
for 3 to 4 days. The culture medium consisted of DMEM containing 0.37%
NaHC03, 10% horse serum, 2.5% fetal bovine serum, 1% non-essential
amino acids, 1% glutamine, and 0.1% gentamycin. On the day of an
experiment, cells were washed three times 1 1/2 hrs prior to and two
more times immediately before the start of the experiment with DMEM
containing 0.37% NaHC03, 10% horse serum, 2.5% fetal bovine serum,
1% non-essential amino acids(100X), 1% glutamine(100X), 1% Penicillin/
Streptomycin(10,000 Units of Penicillin and 10,000 micrograms of
Streptomycin per ml), and 25 mM HEPES, pH 7.4. LH release was
initiated by adding 1 ml of fresh medium containing test compounds in
the presence of 2 nM GnRH to each well in duplicate. Incubation was
carried out at 37°C for 3 hr. After incubation, medium was removed and
centrifuged at 2,000 x g for 15 min to remove any cellular material. The
supernatant fluid was removed and assayed for LH content with a double
antibody RIA procedure using materials obtained from Dr. A. F. Parlow
(Harbor-UCLA Medical Center, Torrance, CA).
The compounds of formula I are useful in a number of areas
affected by GnRH. They may be useful in sex-hormone related conditions,
sex-hormone dependent cancers, benign prostatic hypertrophy or myoma
of the uterus. Sex-hormone dependent cancers which may benefit from
the administration of the compounds of this invention include prostatic
cancer, uterine cancer, breast cancer and pituitary gonadotrophe
adenomas. Other sex-hormone dependent conditions which may benefit
from the administration of the compounds of this invention include
endometriosis, polycystic ovarian disease, uterine fibroids and precocious
puberty. The compounds may also be used in combination with an
angiotensin-converting enzyme inhibitor such as Enalapril or Captopril,
an angiotensin II-receptor antagonist such as Losartan or a renin
inhibitor for the treatment of uterine fibroids.
The compounds of the invention may also be useful for
controlling pregnancy, as a contraceptive in both men and women, for
in vitro fertilization, in the treatment of premenstrual syndrome, in the
treatment of lupus erythematosis, in the treatment of hirsutism, in the
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treatment of irritable bowel syndrome and for the treatment of sleep
disorders such as sleep apnea.
A further use of the compounds of this invention is as an
adjunct to growth hormone therapy in growth hormone deficient children.
The compounds may be administered with growth hormone or a compound
which increases the endogenous production or release of growth hormone.
Certain compounds have been developed which stimulate the release of
endogenous growth hormone. Peptides which are known to stimulate
the release of endogenous growth hormone include growth hormone
releasing hormone, the growth hormone releasing peptides GHRP-6 and
GHRP-1 (described in U.S. Patent No. 4,411,890, PCT Patent Pub. No.
WO 89/07110, and PCT Patent Pub. No. WO 89/07111) and GHRP-2
(described in PCT Patent Pub. No. WO 93/04081), as well as hexarelin
(J. Endocrinol Invest., 15(Suppl 4), 45 (1992)). Other compounds which
stimulate the release of endogenous growth hormone are disclosed, for
example, in the following: U.S. Patent No. 3,239,345; U.S. Patent No.
4,036,979; U.S. Patent No. 4,411,890; U.S. Patent No. 5,206,235; U.S.
Patent No. 5,283,241; U.S. Patent No. 5,284,841; U.S. Patent No.
5,310,737; U.S. Patent No. 5,317,017; U.S. Patent No. 5,374,721; U.S.
Patent No. 5,430,144; U.S. Patent No. 5,434,261; U.S. Patent No.
5,438,136; EPO Patent Pub. No. 0,144,230; EPO Patent Pub. No.
0,513,974; PCT Patent Pub. No. WO 94/07486; PCT Patent Pub. No.
WO 94/08583; PCT Patent Pub. No. WO 94/11012; PCT Patent Pub. No.
WO 94/13696; PCT Patent Pub. No. WO 94/19367; PCT Patent Pub. No.
WO 95/03289; PCT Patent Pub. No. WO 95/03290; PCT Patent Pub. No.
WO 95/09633; PCT Patent Pub. No. WO 95/11029; PCT Patent Pub. No.
WO 95/12598; PCT Patent Pub. No. WO 95/13069; PCT Patent Pub. No.
WO 95/14666; PCT Patent Pub. No. WO 95/16675; PCT Patent Pub. No.
WO 95/16692; PCT Patent Pub. No. WO 95/17422; PCT Patent Pub. No.
WO 95/17423; Science. 260. 1640-1643 (June 11, 1993); Ann. Rep. Med.
Chem., 28, 177-186 (1993); Bioor~. Med. Chem. Ltrs., 4(22), 2709-2714
(1994); and Proc. Natl. Acad. Sci. USA 92, 7001-7005 (July 1995).
Representative preferred growth hormone secretagoues
employed in the present combination include the following:
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1) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin]-1'-yl)carbonyl]-2-(1H-indol-3-yl)ethyl]-2-amino-2-methyl-
propanamide;
2) N-[1(R)-[(1,2-Dihydro-1-methanecarbonylspiro[3H-indole-3,4'-
piperidin)-1'-yl)carbonyl)-2-(1H-indol-3-yl)ethyl]-2-amino-2-methyl-
propanamide;
3) N-[1(R)-[(1,2-Dihydro-1-benzenesulfonylspiro[3H-indole-3,4'-piperidin]-
1'-yl)carbonyl]-2-(1H-indol-3-yl)ethyl]-2-amino-2-methyl-propanamide;
4) N-[1(R)-[(3,4-Dihydro-spiro[2H-1-benzopyran-2,4'-piperidin]-1'-yl)
carbonyl]-2-(1H-indol-3-yl)ethyl]-2-amino-2-methylpropanamide;
5) N-[1(R)-[(2-Acetyl-1,2,3,4-tetrahydrospiro[isoquinolin-4,4'-piperidin]-1'-
yl)carbonyl]-2-(indol-3-yl)ethyl]-2-amino-2-methyl-propanamide;
6) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin]-1'-yl)carbonyl]-2-(phenylmethyloxy)ethyl]-2-amino-2-
methylpropanamide;
7) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin]-1'-yl)carbonyl]-2-(phenylmethyloxy)ethyl]-2-amino-2-
methylpropanamide methanesulfonate;
8) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin)-1'-yl)carbonyl]-2-(2',6'-difluorophenylmethyloxy)ethyl]-2-amino-
2-methylpropanamide;
9) N-[1(R)-[(1,2-Dihydro-1-methanesulfonyl-5-fluorospiro[3H-indole-3,4'-
piperidin]-1'-yl)carbonyl]-2-(phenylmethyloxy)ethyl]-2-amino-2-
methylpropanamide;
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10) N-[1(S)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin)-1'-yl) carbonyl)-2-(phenylmethylthio)ethyl)-2-amino-2-
methylpropanamide;
11) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin)-1'-yl)carbonyl)-3-phenylpropyl)-2-amino-2-methyl-propanamide;
12) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'
piperidin)-1'-yl)carbonyl)-3-cyclohexylpropyl)-2-amino-2-methyl
propanamide;
13) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin)-1'-yl)carbonyl)-4-phenylbutyl)-2-amino-2-methyl-propanamide;
14) N-[1(R)-[(1,2-Dihydro-1-methanesulfonylspiro[3H-indole-3,4'-
piperidin)-1'-yl)carbonyl)-2-(5-fluoro-1H-indol-3-yl)ethyl)-2-amino-2-
methylpropanamide;
15) N-[1(R)-[(1,2-Dihydro-1-methanesulfonyl-5-fluorospiro[3H-indole-3,4'-
piperidin)-1'-yl)carbonyl]-2-(5-fluoro-1H-indol-3-yl)ethyl)-2-amino-2-
methylpropanamide;
16) N-[1(R)-[(1,2-Dihydro-1-(2-ethoxycarbonyl)methylsulfonylspiro-[3H-
indole-3,4'-piperidin)-1'-yl)carbonyl)-2-(1H-indol-3-yl)ethyl)-2-amino-2-
methylpropanamide;
17) N-[1(R)-[(1,2-Dihydro-1,1-dioxospiro[3H-benzothiophene-3,4'-
piperidin)-1'-yl)carbonyl)-2-(phenylmethyloxy)ethyl)-2-amino-2-
methylpropanamide;
and pharmaceutically acceptable salts thereof.
The compounds of the invention may also be used in
combination with bisphosphonates (bisphosphonic acids) and other
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agents, such as growth hormone secretagogues, for the treatment and the
prevention of disturbances of calcium, phosphate and bone metabolism, in
particular, for the prevention of bone loss during therapy with the GnRH
antagonist, and in combination with estrogens, progesterones and or
androgens for the prevention or treatment of bone loss or hypogonadal
symptoms such as hot flashes during therapy with the GnRH antagonist.
Bisphosphonates (bisphosphonic acids) are known to inhibit
bone resorption and are useful for the treatment of bone lithiasis as
disclosed in U.S. Patent 4,621,077 to Rosini, et al.
The literature discloses a variety of bisphosphonic acids
which are useful in the treatment and prevention of diseases involving
bone resorption. Representative examples may be found in the following:
U.S. Patent No. 3,251,907; U.S. Patent No. 3,422,137; U.S. Patent No.
3,584,125; U.S. Patent No. 3,940,436; U.S. Patent No. 3,944,599;
U.S. Patent No. 3,962,432; U.S. Patent No. 4,054,598; U.S. Patent No.
4,267,108; U.S. Patent No. 4,327,039; U.S. Patent No. 4,407,761; U.S.
Patent No. 4,578,376; U.S. Patent No. 4,621,077; U.S. Patent No.
4,624,947; U.S. Patent No. 4,746,654; U.S. Patent No. 4,761,406; U.S.
Patent No. 4,922,007; U.S. Patent No. 4,942,157; U.S. Patent No.
5,227,506; U.S. Patent No. 5,270,365; EPO Patent Pub. No. 0,252,504; and
J. Ors. Chem., 36, 3843 (1971).
The preparation of bisphosphonic acids and halo-
bisphosphonic acids is well known in the art. Representative examples
may be found in the above mentioned references which disclose the
compounds as being useful for the treatment of disturbances of calcium
or phosphate metabolism, in particular, as inhibitors of bone resorption.
Preferred bisphosphonates are selected from the group of
the following compounds: alendronic acid, etidrononic acid, clodronic
acid, pamidronic acid, tiludronic acid, risedronic acid, 6-amino-1-
hydroxy-hexylidene-bisphosphonic acid, and 1-hydroxy-3(methylpentyl-
amino)-propylidene-bisphosphonic acid; or any pharmaceutically
acceptable salt thereof. A particularly preferred bisphosphonate is
alendronic acid (alendronate), or a pharmaceutically acceptable salt
thereof. An especially preferred bisphosphonate is alendronate sodium,
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including alendronate sodium trihydrate. Alendronate sodium has
received regulatory approval for marketing in the United States under
the trademark FOSAMAX~.
Additionally, a compound of the present invention may be
co-administered with a 5a-reductase 2 inhibitor, such as finasteride or
epristeride; a 5a-reductase 1 inhibitor such as 4,7(3-dimethyl-4-aza-5a-
cholestan-3-one, 3-oxo-4-aza-4,7(3-dimethyl-16(3-(4-chlorophenoxy)-
5a-androstane, and 3-oxo-4-aza-4,7(3-dimethyl-16(3-(phenoxy)-5a-
androstane as disclosed in WO 93/23420 and WO 95/11254; dual
inhibitors of 5a-reductase 1 and 5a-reductase 2 such as 3-oxo-4-aza-
17(3-(2,5-trifluoromethylphenyl-carbamoyl)-5a-androstane as disclosed in
WO 95/07927; antiandrogens such as flutamide, casodex and cyproterone
acetate, and alpha-1 blockers such as prazosin, terazosin, doxazosin,
tamsulosin, and alfuzosin.
Further, a compound of the present invention may be used
in combination with growth hormone, growth hormone releasing hormone
or growth hormone secretagogues, to delay puberty in growth hormone
deficient children, which will allow them to continue to gain height before
fusion of the epiphyses and cessation of growth at puberty.
Further, a compound of the present invention may be used
in combination or co-administered with a compound having luteinizing
hormone releasing activity such as a peptide or natural hormone or analog
thereof. Such peptide compounds include leuprorelin, gonadorelin,
buserelin, triptorelin, goserelin, nafarelin, histrelin, deslorelin, meterlin
and recirelin.
For combination treatment with more than one active agent,
where the active agents are in separate dosage formulations, the active
agents may be administered separately or in conjunction. In addition,
the administration of one element may be prior to, concurrent to, or
subsequent to the administration of the other agent.
The pharmaceutical compositions containing the active
ingredient may be in a form suitable for oral use, for example, as
tablets, troches, lozenges, aqueous or oily suspensions, dispersible
powders or granules, emulsions, hard or soft capsules, or syrups or
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elixirs. Compositions intended for oral use may be prepared according
to any method known to the art for the manufacture of pharmaceutical
compositions and such compositions may contain one or more agents
selected from the group consisting of sweetening agents, flavoring
agents, coloring agents and preserving agents in order to provide
pharmaceutically elegant and palatable preparations. Tablets contain the
active ingredient in admixture with non-toxic pharmaceutically acceptable
excipients which are suitable for the manufacture of tablets. These
excipients may be for example, inert diluents, such as calcium carbonate,
sodium carbonate, lactose, calcium phosphate or sodium phosphate;
granulating and disintegrating agents, for example, corn starch, or alginic
acid; binding agents, for example starch, gelatin or acacia, and lubricating
agents, for example, magnesium stearate, stearic acid or talc. The tablets
may be uncoated or they may be coated by known techniques to delay
disintegration and absorption in the gastrointestinal tract and thereby
provide a sustained action over a longer period. For example, a time delay
material such as glyceryl monostearate or glyceryl distearate may be
employed. They may also be coated by the technique described in the U.S.
Patent 4,256,108; 4,166,452; and 4,265,874 to form osmotic therapeutic
tablets for control release.
Formulations for oral use may also be presented as hard
gelatin capsules wherein the active ingredient is mixed with an inert solid
diluent, for example, calcium carbonate, calcium phosphate or kaolin, or
as soft gelatin capsules wherein the active ingredient is mixed with water
or an oil medium, for example peanut oil, liquid paraffin, or olive oil.
Aqueous suspensions contain the active material in
admixture with excipients suitable for the manufacture of aqueous
suspensions. Such excipients are suspending agents, for example sodium
carboxymethylcellulose, methylcellulose, hydroxypropylmethyl-cellulose,
sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia;
dispersing or wetting agents may be a naturally-occurring phosphatide,
for example lecithin, or condensation products of an alkylene oxide with
fatty acids, for example polyoxyethylene stearate, or condensation
products of ethylene oxide with long chain aliphatic alcohols, for example
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heptadecaethylene-oxycetanol, or condensation products of ethylene oxide
with partial esters derived from fatty acids and a hexitol such as
polyoxyethylene sorbitol monooleate, or condensation products of ethylene
oxide with partial esters derived from fatty acids and hexitol anhydrides,
for example polyethylene sorbitan monooleate. The aqueous suspensions
may also contain one or more preservatives, for example ethyl, or n-
propyl, p-hydroxybenzoate, one or more coloring agents, one or more
flavoring agents, and one or more sweetening agents, such as sucrose,
saccharin or aspartame.
Oily suspensions may be formulated by suspending the
active ingredient in a vegetable oil, for example arachis oil, olive oil,
sesame oil or coconut oil, or in mineral oil such as liquid paraffin. The
oily suspensions may contain a thickening agent, for example beeswax,
hard paraffin or cetyl alcohol. Sweetening agents such as those set forth
above, and flavoring agents may be added to provide a palatable oral
preparation. These compositions may be preserved by the addition of
an anti-oxidant such as ascorbic acid.
Dispersible powders and granules suitable for preparation
of an aqueous suspension by the addition of water provide the active
ingredient in admixture with a dispersing or wetting agent, suspending
agent and one or more preservatives. Suitable dispersing or wetting
agents and suspending agents are exemplified by those already mentioned
above. Additional excipients, for example sweetening, flavoring and
coloring agents, may also be present.
The pharmaceutical compositions of the invention may also
be in the form of an oil-in-water emulsions. The oily phase may be a
vegetable oil, for example olive oil or arachis oil, or a mineral oil, for
example liquid paraffin or mixtures of these. Suitable emulsifying agents
may be naturally-occurring phosphatides, for example soy beans, lecithin,
and esters or partial esters derived from fatty acids and hexitol
anhydrides, for example sorbitan monooleate, and condensation products
of the said partial esters with ethylene oxide, for example polyoxyethylene
sorbitan monooleate. The emulsions may also contain sweetening and
flavouring agents.
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Syrups and elixirs may be formulated with sweetening
agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such
formulations may also contain a demulcent, a preservative and flavoring
and coloring agents.
The pharmaceutical compositions may be in the form of a
sterile injectable aqueous or oleagenous suspension. This suspension may
be formulated according to the known art using those suitable dispersing
or wetting agents and suspending agents which have been mentioned
above. The sterile injectable preparation may also be a sterile injectable
solution or suspension in a non-toxic parenterally-acceptable diluent or
solvent, for example as a solution in 1, 3-butane diol. Among the accept-
able vehicles and solvents that may be employed are water, Ringer's
solution and isotonic sodium chloride solution. In addition, sterile, fixed
oils are conventionally employed as a solvent or suspending medium. For
this purpose any bland fixed oil may be employed including synthetic
mono- or diglycerides. In addition, fatty acids such as oleic acid find use
in the preparation of injectables.
Compounds of Formula I may also be administered in the
form of a suppositories for rectal administration of the drug. These
compositions can be prepared by mixing the drug with a suitable non-
irritating excipient which is solid at ordinary temperatures but liquid
at the rectal temperature and will therefore melt in the rectum to release
the drug. Such materials are cocoa butter and polyethylene glycols.
For topical use, creams, ointments, jellies, solutions or
suspensions, etc., containing the compound of Formula I are employed.
(For purposes of this application, topical application shall include mouth
washes and gargles.)
The compounds for the present invention can be
administered in intranasal form via topical use of suitable intranasal
vehicles, or via transdermal routes, using those forms of transdermal
skin patches well known to those of ordinary skill in the art. To be
administered in the form of a transdermal delivery system, the dosage
administration will, of course, be continuous rather than intermittent
throughout the dosage regimen. Compounds of the present invention
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may also be delivered as a suppository employing bases such as cocoa
butter, glycerinated gelatin, hydrogenated vegetable oils, mixtures of
polyethylene glycols of various molecular weights and fatty acid esters
of polyethylene glycol.
The dosage regimen utilizing the compounds of the
present invention is selected in accordance with a variety of factors
including type, species, age, weight, sex and medical condition of
the patient; the severity of the condition to be treated; the route of
administration; the renal and hepatic function of the patient; and the
particular compound thereof employed. A physician or veterinarian of
ordinary skill can readily determine and prescribe the effective amount
of the drug required to prevent, counter, arrest or reverse the progress
of the condition. Optimal precision in achieving concentration of drug
within the range that yields efficacy without toxicity requires a
regimen based on the kinetics of the drug's availability to target sites.
This involves a consideration of the distribution, equilibrium, and
elimination of a drug. Preferably, doses of the compound of structural
formula I useful in the method of the present invention range from
0.01 to 1000 mg per adult human per day. Most preferably, dosages
range from 0.1 to 500 mg/day. For oral administration, the composi-
tions are preferably provided in the form of tablets containing 0.01 to
1000 milligrams of the active ingredient, particularly 0.01, 0.05, 0.1,
0.5, 1.0, 2.5, 5.0, 10.0, 15.0, 25.0, 50.0, 100 and 500 milligrams of the
active ingredient for the symptomatic adjustment of the dosage to the
patient to be treated. An effective amount of the drug is ordinarily
supplied at a dosage level of from about 0.0002 mg/kg to about 50
mg/kg of body weight per day. The range is more particularly from
about 0.001 mg/kg to 1 mg/kg of body weight per day.
Advantageously, the active agent of the present invention
may be administered in a single daily dose, or the total daily dosage
may be administered in dividend doses of two, three or four times
daily.
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The amount of active ingredient that may be combined with
the carrier materials to produce a single dosage form will vary depending
upon the host treated and the particular mode of administration.
It will be understood, however, that the specific dose level for
any particular patient will depend upon a variety of factors including the
age, body weight, general health, sex, diet, time of administration, route of
administration, rate of excretion, drug combination and the severity of the
particular disease undergoing therapy.
The following examples illustrate the preparation of some of
the compounds of the invention and are not to be construed as limiting the
invention disclosed herein.
EXAMPLE 1
Following procedures similar to those described in Schemes A
to K, the following compounds are prepared:
X_R7~R8 _~A)_R1
N
Me Me
N
N H
N\
O
N
Me Me
N ~ N
N
Me
O
N
Me Me I \ ~N
N
H
II N N
O
Me Me
N ~ ~N
O N H
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WO 00/53602 PCT/US00/05799
Me Me
y
Me
N Me Me
~N
H
- 42 -
