Claims
- 1. A compound of the formula I
- 2. A compound as recited in claim 1 wherein X is oxy; Y is N; Z is H; R1 is (C1-C6)alkylcarbamoyl; R2 is H; R3 is halo, trifluoromethyl, cyano, (C1-C3)alkyl, (C1-C3)alkyloxy, ethenyl or ethynyl; D is oxy, thio, (C1-C6)alkyloxy or (C1-C6)alkylthio; G is phenyl, pyridyl, pyrimidinyl, pyrazinyl, thiazolyl, oxazolyl, isoxazolyl, pyridazinyl, tetrazolyl, isothiazolyl, thiophenyl, furanyl, 1,2,4-oxadiazolyl, 1,2,4-thiadiazolyl, pyrazolyl, pyrrolyl, indolyl, naphthalenyl, quinolinyl, isoquinolinyl, benzo[b]furanyl, benzo[b]thiophenyl, benzothiazolyl, tetrahydrofuranyl, pyrrolidinyl, piperidinyl, tetrahydropyranyl, morpholinyl wherein said G is optionally mono-, di- or tri-substituted independently with halo, (d-C3)alkyl or (d-C3)alkoxy, or a pharmaceutically acceptable salt thereof.
- 3. A compound as recited in claim 2 wherein R1 is methylcarbamoyl; R3 is halo; D is (C1-C6)alkoxy; G is phenyl, pyridyl, thiazolyl, oxazolyl, isoxazolyl, isothiazolyl, furanyl, 1,2,4-oxadiazolyl, 1,2,4-thiadiazolyl, pyrazolyl, pyrrolyl wherein said G is optionally mono-, di- or tri-substituted independently with halo, (C1-C3)alkyl, trifluoromethoxy or (C1-C3)alkoxy, or a pharmaceutically acceptable salt thereof.
- 4. A compound as recited in claim 3 wherein D is (C1-C2)alkoxy; G is phenyl, thiazolyl, oxazolyl, isoxazolyl, tetrahydrofuranyl, pyrrolidinyl, piperidinyl or morpholinyl wherein said G is optionally mono-, di- or tri-substituted independently with halo, (C1-C3)alkyl or (C1-C3)alkoxy, or a pharmaceutically acceptable salt thereof.
- 5. A compound as recited in claim 3 wherein R3 is chloro; D is methyleneoxy; and G is phenyl, or a pharmaceutically acceptable salt thereof.
- 6. A compound as recited in claim 3 wherein R3 is chloro; D is methyleneoxy; and G is 3-furanyl, or a pharmaceutically acceptable salt thereof.
- 7. A compound as recited in claim 3 wherein R3 is chloro; D is methyleneoxy; and G is 2-furanyl, or a pharmaceutically acceptable salt thereof.
- 8. A compound as recited in claim 3 wherein R3 is chloro; D is methyleneoxy; and G is 2-thiazolyl, or a pharmaceutically acceptable salt thereof.
- 9. A compound as recited in claim 3 wherein R3 is chloro; D is methyleneoxy; and G is 5-(3-methylisoxazolyl), or a pharmaceutically acceptable salt thereof.
- 10. A compound as recited in claim 1 wherein X is oxy; Y is N; Z is H; R1 is (C1-C6)alkylcarbamoyl; R2 is H; R3 is halo, trifluoromethyl, cyano, (C1-C3)alkyl, (C1-C3)alkyloxy, ethenyl or ethynyl; D is (C1-C6)alkyloxy or (C1-C6)alkylthio; G is C(O)NR4R5or C(S)NR4 R5 wherein R4 and R5 taken together with the nitrogen to which they are attached form a fully saturated four to nine membered ring, optionally having one to three additional heteroatoms selected independently from oxygen, sulfur and nitrogen, said ring optionally mono- or di-substituted independently with oxo, (C1-C6)alkoxy, (C1-C8)alkyl, amino, mono-N- or di-N,N-(C1-C4)alkylaminocarbonyl, mono-N- or di-N,N-(C3-C5)cycloalkylaminocarbonyl, N-(C1-C4)alkyl-N-(C3-C5)cycloalkylaminocarbonyl, mono-N- or di-N,N-(d-C4)alkylamino, mono-N- or di-N,N-(C3-C5)cycloalkylamino or N-(C1-C4)alkyl-N-(C3-C5)cycloalkylamino, formylamino, (C1-C4)alkylformylamino, (C3-C5)cycloalkylformylamino, sulfamoyl, (Crd)alkylsulfonylamino, (C3-C5)cycloalkylsulfonylamino or a partially saturated, fully saturated or fully unsaturated five to eight membered ring, optionally linked through (C1-C3)alky'l, optionally having one to three heteroatoms selected independently from oxygen, sulfur and nitrogen, or, a bicyclic ring consisting of two fused partially saturated, fully saturated or fully unsaturated three to six membered rings, taken independently, optionally linked through (C1-C3)alkyl, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a pharmaceutically acceptable salt thereof.
- 11. A compound as recited in claim 10 wherein R1 is methylcarbamoyl; R3 is halo; D is (C1-C2)alkoxy; G is C(O)NR4R5 or C(S)NR4 R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperidinyl, piperazinyl, morpholinyl, azetidinyl or pyrrolidinyl said ring optionally mono- or di-substituted independently with oxo, hydroxy, (C1-C6)alkoxy, (C1-C8)alkyl, amino, carbamoyl, mono-N- or di-N,N-(C1-C4)alkylaminocarbonyl, mono-N- or di-N,N-(C3-C5)cycloalkylaminocarbonyl, N-(C1-C4)alkyl-N-(C3-C5)cycloalkylaminocarbonyl, mono-N- or di-N,N-(C1-C4)alkylamino, mono-N- or di-N,N-(C3-C5)cycloalkylamino or N-(C1-C4)alkyl-N-(C3-C5)cycloalkylamino, formylamino, (C1-C4)alkylformylamino, (C3-C5)cycloalkylformylamino, sulfamoyl, (C1-C4)alkylsulfonylamino, (C3-C5)cycloalkylsulfonylamino or a partially saturated, fully saturated or fully unsaturated four to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to two heteroatoms selected independently from oxygen, sulfur and nitrogen, or a pharmaceutically acceptable salt thereof.
- 12. A compound as recited in claim 11 wherein G is C(O)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperidinyl, piperazinyl, morpholinyl, azetidinyl, pyrrolidinyl said ring optionally mono- or di-substituted independently with hydroxy, oxo,(C1-C6)alkoxy, (C1C8)alkyl, amino, carbamoyl, mono-N- or di-N,N-(C1-C4)alkylaminocarbonyl, mono-N- or di-N,N-(C1-C4)alkylamino, or a partially saturated, fully saturated or fully unsaturated four to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to two heteroatoms selected independently from oxygen, sulfur and nitrogen, or a pharmaceutically acceptable salt thereof.
- 13. A compound as recited in claim 12 wherein R3 is chloro; D is methyleneoxy; G is C(O)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperazinyl substituted in the four position with methyl, or a pharmaceutically acceptable salt thereof.
- 14. A compound as recited in claim 12 wherein R3 is chloro; D is methyleneoxy; G is C(O)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperazinyl, or a pharmaceutically acceptable salt thereof.
- 15. A compound as recited in claim 12 wherein R3 is chloro; D is methyleneoxy; G is C(O)NR4R5; wherein R4 and Retaken together with the nitrogen to which they are attached form piperidinyl substituted in the four position with N,N-dimethylamino, or a pharmaceutically acceptable salt thereof.
- 16. A compound as recited in claim 12 wherein R3 is chloro; D is methyleneoxy; G is C(O)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperidinyl substituted in the four position with piperidin-1-yl, or a pharmaceutically acceptable salt thereof.
- 17. A compound as recited in claim 12 wherein R3 is chloro; D is methyleneoxy; G is C(O)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperidinyl substituted in the four position with methylamino, or a pharmaceutically acceptable salt thereof.
- 18. A compound as recited in claim 1 wherein X is oxy; Y is N; ZisH; R1 is (C1-C6)alkylcarbamoyl; R2 is H; R3 is halo, trifluoromethyl, cyano, (C1-C3)alkyl, (C1-C3)alkyloxy, ethenyl or ethynyl; D is (C1-C6)alkyloxy or (C1-C6)alkylthio; G is C(O)NR4R5 or C(S)NR4R5 R4 is H, (C1-C10)alkyl, hydroxy, (C1-C10)alkoxy, (C3-C10)cycloalkoxy or a partially saturated, fully saturated or fully unsaturated five to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to three heteroatoms selected independently from oxygen, sulfur and nitrogen, or, a bicyclic ring consisting of two fused partially saturated, fully saturated or fully unsaturated three to six membered rings, taken independently, optionally linked through (C1-C3)alkyl, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen; R5 is H, (C1C10)alkyl or (C1-C10)cycloalkyl, or a pharmaceutically acceptable salt thereof.
- 19. A compound as recited in claim 18 wherein R1 is methylcarbamoyl; R3 is halo; D is (C1-C2)alkoxy; G is C(O)NR4R5 or C(S)NR4R5; R4 is H, (C1-C10)alkyl hydroxy, (C1-C10)alkoxy, (C3-C10)cycloalkoxy or a partially saturated, fully saturated or fully unsaturated five to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to three heteroatoms selected independently from oxygen, sulfur and nitrogen; and R5 is H, (C1-C10)alkyl or (C1-C10)cycloalkyl, or a pharmaceutically acceptable salt thereof.
- 20. A compound as recited in claim 19 wherein G is C(O)NR4R5R4 is H, (C1-C10)alkyl, (C3-C6)cycloalkyl, hydroxy, (C1-C10)alkoxy or (C3-C10)cycloalkoxy; and R5 is H, (C1-C10)alkyl or (C3-C10)cycloalkyl, or a pharmaceutically acceptable salt thereof.
- 21. A compound as recited in claim 20 wherein R3 is chloro; D is methyleneoxy; G is C(O)NR4R5; R4 is H; and R5 is H, or a pharmaceutically acceptable salt thereof.
- 22. A compound as recited in claim 1 wherein D is oxy, thio, (C1-C6)alkyloxy or (C1-C6)alkylthio; G is phenyl, pyridyl, pyrimidinyl, pyrazinyl, thiazolyl, oxazolyl, isoxazolyl, pyridazinyl, tetrazolyl, isothiazolyl, thiophenyl, furanyl, 1,2,4-oxadiazolyl, 1,2,4-thiadiazolyl, pyrazolyl, pyrrolyl, indolyl, naphthalenyl, quinolinyl, isoquinolinyl, benzo[b]furanyl, benzo[b]thiophenyl, benzothiazolyl, tetrahydrofuranyl, pyrrolidinyl, piperidinyl, tetrahydropyranyl, morpholinyl wherein said G is optionally mono-, di- or tri-substituted independently with halo, (C1-C3)alkyl or (C1-C3)alkoxy, or a pharmaceutically acceptable salt thereof.
- 23. A compound as recited in claim 22 wherein D is (C1-C6)alkoxy; G is phenyl, pyridyl, thiazolyl, oxazolyl, isoxazolyl, isothiazolyl, furanyl, 1,2,4-oxadiazolyl, 1,2,4-thiadiazolyl, pyrazolyl, pyrrolyl wherein said G is optionally mono-, di- or tri-substituted independently with halo, (C1-C3)alkyl or (C1-C3)alkoxy, or a pharmaceutically acceptable salt thereof.
- 24. A compound as recited in claim 1 wherein D is (C1-C6)alkyloxy or (C1-C6)alkylthio; G is C(O)NR4R5 or C(S)NR4R5 wherein R4 and R5 taken together with the nitrogen to which they are attached form a fully saturated four to nine membered ring, optionally having one to three additional heteroatoms selected independently from oxygen, sulfur and nitrogen, said ring optionally mono- or di-substituted independently with oxo, hydroxy, (C1-C6)alkoxy, (C1-C8)alkyl, amino, mono-N- or di-N,N-(C1-C4)alkylaminocarbonyl, mono-N- or di-N,N-(C3-C5)cycloalkylaminocarbonyl, N-(C1-C4)alkyl-N-(C3-C5)cycloalkylaminocarbonyl, mono-N- or di-N,N-(C1-C4)alkylamino, mono-N- or di-N,N-(C3-C5)cycloalkylamino or N-(C1-C4)alkyl-N-(C3-C5)cycloalkylamino, formylamino, (C1-C4) alkylformylamino, (C3-C5)cycloalkylfornylamino, sulfamoyl, (C1-C4)alkylsulfonylamino, (C3-C5)cycloalkylsulfonylamino or a partially saturated, fully saturated or fully unsaturated five to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to three heteroatoms selected independently from oxygen, sulfur and nitrogen, or, a bicyclic ring consisting of two fused partially saturated, fully saturated or fully unsaturated three to six membered rings, taken independently, optionally linked through (C1-C3)alkyl, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a pharmaceutically acceptable salt thereof.
- 25. A compound as recited in claim 24 wherein D is (C1-C2)alkoxy; G is C(O)NR4R5 or C(S)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperidinyl, piperazinyl, morpholinyl, azetidinyl or pyrrolidinyl said ring optionally mono- or di-substituted independently with oxo, (C1-C6)alkoxy, (C1-C8)alkyl, amino, carbamoyl, mono-N- or di-N,N-(C1-C4)alkylaminocarbonyl, mono-N- or di-N,N-(C3-C5)cycloalkylaminocarbonyl, N-(C1-C4)alkyl-N-(C3-C5)cycloalkylaminocarbonyl, mono-N- or di-N,N-(C1-C4)alkylamino, mono-N- or di-N,N-(C3-C5)cycloalkylamino or N-(C1-C4)alkyl-N-(C3-C5)cycloalkylamino, formylamino, (C1-C4)alkylformylamino, (C3-C5)cycloalkylformylamino, sulfamoyl, (C1-C4)alkylsulfonylamino, (C3-C5)cycloalkylsulfonylamino or a partially saturated, fully saturated or fully unsaturated four to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to two heteroatoms selected independently from oxygen, sulfur and nitrogen, or a pharmaceutically acceptable salt thereof.
- 26. A compound as recited in claim 25 wherein G is C(O)NR4R5; wherein R4 and R5 taken together with the nitrogen to which they are attached form piperidinyl, piperazinyl, morpholinyl, azetidinyl, pyrrolidinyl said ring optionally mono- or di-substituted independently with oxo, hydroxy, (C1-C6)alkoxy, (C1-C8)alkyl, amino, carbamoyl, mono-N- or di-N,N-(C1-C4)alkylaminocarbonyl, mono-N- or di-N,N-(C1-C4)alkylamino, or a partially saturated, fully saturated or fully unsaturated four to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to two heteroatoms selected independently from oxygen, sulfur and nitrogen, or a pharmaceutically acceptable salt thereof.
- 27. A compound as recited in claim 1 wherein D is (C1-C6)alkyloxy or (C1-C6)alkylthio; G is C(O)NR4R5 or C(S)NR4R5; R4 is H, (C1-C10)alkyl, hydroxy, (C1-C10)alkoxy, (C3-C10)cycloalkoxy or a partially saturated, fully saturated or fully unsaturated five to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to three heteroatoms selected independently from oxygen, sulfur and nitrogen, or, a bicyclic ring consisting of two fused partially saturated, fully saturated or fully unsaturated three to six membered rings, taken independently, optionally linked through (C1-C3)alkyl, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen; R5 is H, (C1-C10)alkyl or (C1-C10)cycloalkyl, or a pharmaceutically acceptable salt thereof.
- 28. A compound as recited in claim 27 wherein D is (C1-C2)alkoxy; R4 is H, (C1-C10)alkyl, hydroxy, (C1C10)alkoxy, (C3-C10)cycloalkoxy or a partially saturated, fully saturated or fully unsaturated five to eight membered ring, optionally linked through (C1-C3)alkyl, optionally having one to three heteroatoms selected independently from oxygen, sulfur and nitrogen; and R5 is H, (C1-C10)alkyl or (C1-C10)cycloalkyl, or a pharmaceutically acceptable salt thereof.
- 29. A compound as recited in claim 28 wherein G is C(O)NR4R5; R4 is H, (C1-C10)alkyl, (C3-C6)cycloalkyl, hydroxy, (C1-C10)alkoxy or (C3-C10)cycloalkoxy; and R5 is H, (C1-C10)alkyl or (C3-C10)cycloalkyl, or a pharmaceutically acceptable salt thereof.
- 30. A compound having the Formula C
- 31. A compound having the Formula CI
- 32. A compound having the Formula CII
- 33. A compound having the Formula CIII
- 34. A compound as recited in claim 33 wherein R3 is trifluoromethyl.
- 35. A compound as recited in claim 33 wherein R3 is fluoro.
- 36. A compound as recited in claim 33 wherein R3 is chloro.
- 37. A compound having Formula CIV
- 38. A compound as recited in claim 37 wherein R3 is trifluoromethyl.
- 39. A compound as recited in claim 37 wherein R3 is fluoro.
- 40-48. (cancelled)
- 49. A method of making a compound of Formula CVII
- 50. A method as recited in claim 49 wherein R2 is H or cyclopropyl; R3 is fluoro, chloro or trifluoromethyl; and the Formula CVI acid is esterified to a (C1-C6)alkyl ester prior to acylation with the (C1-C4)alkylamine.
- 51. A method as recited in claim 50 wherein the Formula CVI acid is esterified with an alcohol in the presence of acid at a temperature of ambient to reflux for a period of about 1 hours to about 12 hours.
- 52. A method as recited in claim 51 wherein the ester is reacted with the amine at a temperature of about ambient to reflux for about one to about 12 hours in an alcohol solvent.
- 53. A method as recited in claim 52 wherein the esterification occurs at a temperature of about 50° c. and the acylation occurs at a temperature of about 50° c.
- 54. A method as recited in claim 53 wherein the alcohol is methanol; the acid is HCl; the amine is methylamine; R2 is H; and R3 is chloro.
- 55. A method as recited in claim 53 wherein the alcohol is methanol; the acid is HCl; the amine is methylamine; R2 is cyclopropyl; and R3 is fluoro.
- 56. A method as recited in claim 53 wherein the alcohol is methanol; the acid is HCl; the amine is methylamine; R2 is H; and R3 is trifluoromethyl.
- 57. A method of reducing tissue damage resulting from ischemia or hypoxia comprising administering to a mammal in need of such treatment a therapeutically effective amount of a compound of claim 1 or a prodrug thereof or a pharmaceutically acceptable salt of said compound or of said prodrug.
- 58. A method as recited in claim 57 wherein the tissue is cardiac, brain, liver, kidney, lung, gut, skeletal muscle, spleen, pancreas, nerve, spinal cord, retina tissue, the vasculature, or intestinal tissue.
- 59. A method as recited in claim 57 wherein the amount of the Formula I compound is about 0.01 mg/kg/day to about 50 mg/kg/day.
- 60. A method as recited in claim 59 wherein the mammal is a female or male human.
- 61. A method as recited in claim 60 wherein said tissue is heart tissue.
- 62. A method as recited in claim 60 wherein said tissue is brain tissue.
- 63. A method as recited in claim 60 wherein said tissue is liver tissue.
- 64. A method as recited in claim 60 wherein said tissue is kidney tissue.
- 65. A method as recited in claim 60 wherein said tissue is lung tissue.
- 66. A method as recited in claim 60 wherein said tissue is gut tissue.
- 67. A method as recited in claim 60 wherein said tissue is skeletal muscle tissue.
- 68. A method as recited in claim 60 wherein said tissue is spleen tissue.
- 69. A method as recited in claim 60 wherein said tissue is pancreas tissue.
- 70. A method as recited in claim 60 wherein said tissue is retina tissue.
- 71. A method as recited in claim 60 wherein the compound is administered prophylactically.
- 72. A method as recited in claim 60 wherein the compound is administered prior to surgery.
- 73. A method as recited in claim 60 wherein the compound is administered prior to cardiac surgery.
- 74. A method as recited in claim 60 wherein the compound is administered prior to, during and after surgery.
- 75. A method as recited in claim 60 wherein the compound is administered prior to, during and after cardiac surgery.
- 76. A method as recited in claim 60 wherein the compound is administered within twenty-four hours after surgery.
- 77. A method as recited in claim 60 wherein the compound is administered within twenty four hours after cardiac surgery.
- 78. A method as recited in claim 60 wherein the tissue damage resulting from ischemia or hypoxia is ischemic or hypoxic damage and is incurred during organ transplantation.
- 79. A method as recited in claim 60 wherein the compound is administered to prevent perioperative myocardial ischemic injury.
- 80. A pharmaceutical composition which comprises a therapeutically effective amount of a compound of claim 1 or a prodrug thereof or a pharmaceutically acceptable salt of said compound or of said prodrug and a pharmaceutically acceptable carrier, vehicle or diluent.
- 81. A pharmaceutical composition for the reduction of tissue damage resulting from ischemia or hypoxia which comprises a therapeutically effective amount of a compound of claim 1 or a prodrug thereof or a pharmaceutically acceptable salt of said compound or of said prodrug and a pharmaceutically acceptable carrier, vehicle or diluent.
- 82. A pharmaceutical combination composition comprising: a therapeutically effective amount of a composition comprising a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug; a second compound, said second compound being an aldose reductase inhibitor; and a pharmaceutical carrier, vehicle or diluent.
- 83. A pharmaceutical composition as recited in claim 82 wherein the aldose reductase inhibitor is 1-phthalazineacetic acid, 3,4-dihydro-4-oxo-3-[[5-trifluoromethyl)-2-benzothiazolyl]methyl]- or a pharmaceutically acceptable salt thereof.
- 84. A method of reducing tissue damage resulting from ischemia or hypoxia comprising administering to a mammal in need of such treatment an amount of a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug; an amount of a second compound, said second compound being an aldose reductase inhibitor; wherein the amounts of the first and second compounds result in a therapeutic effect.
- 85. A method of reducing tissue damage resulting from ischemia or hypoxia as recited in claim 84 wherein the aldose reductase inhibitor is 1-phthalazineacetic acid, 3,4-dihydro-4-oxo-3-[[5-trifluoromethyl)-2-benzothiazolyl]methyl]- or a pharmaceutically acceptable salt thereof.
- 86. A kit comprising: a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug and a pharmaceutically acceptable carrier, vehicle or diluent in a first unit dosage form; b. a second compound, said second compound being an aldose reductase inhibitor and a pharmaceutically acceptable carrier, vehicle or diluent in a second unit dosage form; and c. means for containing said first and second dosage forms wherein the amounts of first and second compounds result in a therapeutic effect.
- 87. A kit as recited in claim 86 wherein the aldose reductase inhibitor is 1-phthalazineacetic acid, 3,4-dihydro-4-oxo-3-[[5-trifluoromethyl)-2-benzothiazolyl]methyl]- or a pharmaceutically acceptable salt thereof.
- 88. A pharmaceutical combination composition comprising: a therapeutically effective amount of a composition comprising a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug; a second compound, said second compound being a glycogen phosphorylase inhibitor; and a pharmaceutical carrier, vehicle or diluent.
- 89. A pharmaceutical composition as recited in claim 88 wherein the glycogen phosphorylase inhibitor is 5-chloro-1H-indole-2-carboxylic acid [(IS)-benzyl-(2R)-hydroxy-3-((3S)-hydroxypyrrolidin-1-yl)-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(IS)-benzyl-3-((3S,4S)-dihydroxypyrrolidin-1-yl)-(2R)-hydroxy-3-oxopropyl]-amide; 5-chloro-1-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-dimethylcarbamoyl-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-methoxy-methyl-carbamoyl)-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-[(2-hydroxy-ethyl)-methyl-carbamoyl]-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-2-(3-hydroxylamino-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-(cis-3,4-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl!]-amide; 5-chloro-1H-indole-2-carboxylic acid [(IS)-benzyl -3-((cis)-dihydroxypyrrolidin-1-yl) -(2R)-hydroxy-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-((3S,4S) -dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1 H-indole-2-carboxylic acid [(1S)-benzyl-2-(cis-3,4-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-(1,1-dioxo-thiazolidin-3-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1 S)-(4-fluoro-benzyl)-2-(4-hydroxy-piperidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1 S)-benzyl-2-((3RS)-hydroxy-piperidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-oxo-2-((1 RS)-oxo-thiazolidin-3-yl)-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(S1)-benzyl-2-(3-hydroxy-azetidin-1-yl)-2-oxo-ethyl]-amide; or a pharmaceutically acceptable salt thereof.
- 90. A method of reducing tissue damage resulting from ischemia or hypoxia comprising administering to a mammal in need of such treatment an amount of a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug; and an amount of a second compound, said second compound being a glycogen phosphorylase inhibitor; wherein the amounts of first and second compounds result in a therapeutic effect.
- 91. A method of reducing tissue damage resulting from ischemia as recited in claim 90 wherein the glycogen phosphorylase inhibitor is 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-(2R)-hydroxy-3-((3S)-hydroxypyrrolidin-1-yl)-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(IS)-benzyl-3-((3S,4S)-dihydroxypyrrolidin-1-yl)-(2R)-hydroxy-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-dimethylcarbamoyl-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(IS)-((R)-hydroxy-methoxy-methyl-carbamoyl)-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-[(2-hydroxy-ethyl)-methyl-carbamoyl]-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-2-(3-hydroxylamino-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-(cis-3,4-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(IS)-benzyl -3-((cis)-dihydroxypyrrolidin-1yl)-(2R)-hydroxy-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-((3S,4S)-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1 S)-benzyl-2-(cis-3,4-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-(1,1-dioxo-thiazolidin-3-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1 S)-(4-fluoro-benzyl)-2-(4-hydroxy-piperidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1 S)-benzyl-2-((3RS)-hydroxy-piperidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-oxo-2-(( 1 RS)-oxo-thiazolidin-3-yl)-ethyl]-amide; 5-chloro-1 H-indole-2-carboxylic acid [(1S)-benzyl-2-(3-hydroxy azetidin-1-yl)-2-oxo-ethyl]-amide; or a pharmaceutically acceptable salt thereof.
- 92. A kit comprising: a. a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug and a pharmaceutically acceptable carrier, vehicle or diluent in a first unit dosage form; b. a second compound, said second compound being an glycogen phosphorylase inhibitor and a pharmaceutically acceptable carrier, vehicle or diluent in a second unit dosage form; and c. means for containing said first and second dosage forms wherein the amounts of first and second compounds result in a therapeutic effect.
- 93. A kit as recited in claim 92 wherein the glycogen phosphorylase inhibitor is 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-(2R)-hydroxy-3-((3S)-hydroxypyrrolidin-1-yl)-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(IS)-benzyl-3-((3S,4S)-dihydroxypyrrolidin-1-yl)-(2R)-hydroxy-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-dimethylcarbamoyl-methyl)-2-phenyl-ethyl]-amide; -chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-methoxy-methyl-carbamoyl)-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-((R)-hydroxy-[(2-hydroxy-ethyl)-methyl-carbamoyl]-methyl)-2-phenyl-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-2-(3-hydroxylamino-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-(cis-3,4-dihydroxy-pyrrolidin-1-yl)-2oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl -3-((cis)-dihydroxypyrrolidin-1-yl)-(2R)-hydroxy-3-oxopropyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-((3S,4S)-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-2-(cis-3,4-dihydroxy-pyrrolidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-(1,1-dioxo-thiazolidin-3-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-(4-fluoro-benzyl)-2-(4-hydroxy-piperidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1 H-indole-2-carboxylic acid [(1S)-benzyl-2-((3RS)-hydroxy-piperidin-1-yl)-2-oxo-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-oxo-2-((1RS)-oxo-thiazolidin-3-yl)-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [2-oxo-2-((1RS)-oxo-thiazolidin-3-yl)-ethyl]-amide; 5-chloro-1H-indole-2-carboxylic acid [(1S)-benzyl-2-(3-hydroxy-azetidin-1-yl)-2-oxo-ethyl]-amide; or a pharmaceutically acceptable salt thereof.
- 94. A pharmaceutical combination composition comprising: a therapeutically effective amount of a composition comprising a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug; a second compound, said second compound being a cardiovascular agent; and a pharmaceutical carrier, vehicle or diluent.
- 95. A pharmaceutical composition as recited in claim 94 wherein the cardiovascular agent is a p-blocker, a calcium channel blocker, a potassium channel opener, adenosine, adenosine agonists, an ACE inhibitor, a nitrate, a diuretic, a glycoside, a thrombolytic, a platelet inhibitor, aspirin, dipyridamol, potassium chloride, clonidine, prazosin, pyruvate dehydrogenase kinase inhibitors, pyruvate dehydrogenase complex activators, biguanides, NHE-1 inhibitor, Angiotensin II (All) receptor antagonists, C5a inhibitors, soluble complement receptor type 1 (sCR1) or analogues, partial fatty acid oxidation (PFOX) inhibitors (specifically, ranolazine), acetyl CoA carboxylase activators, malonyl CoA decarboxylase inhibitors, 5′AMP-activated protein kinase (AMPK) inhibitors, adenosine nucleoside inhibitors, anti-apoptotic agents (e.g., caspase inhibitors), monophosphoryl lipid A or analogues, nitric oxide synthase activators/inhibitors, protein kinase C activators (specifically, protein kinase ε), poly (ADP ribose) synthetase (PARS, PARP) inhibitors, metformin (gluconegenesis inhibitors, insulin sensitizers), endothelin coverting enzyme (ECE) inhibitors, endothelin ETA receptor antagonists, TAFI inhibitors, or a Na/Ca exchanger modulators.
- 96. A pharmaceutical composition as recited in claim 95 wherein the NHE-1 inhibitor is [1-(8-bromoquinolin-5-yl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(6-chloroquinolin-5-yl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(indazol-7-yl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(benzimidazol-5-yl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(1-isoquinolyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [5-cydopropyl-1-(4-quinolinyl)-1H-pyrazole-4-carbonyl]guanidine; [5-cyclopropyl-1-(quinolin-5-yl)-1H-pyrazole-4-carbonyl]guanidine; [5-cyclopropyl-1-(quinolin-8-yl)-1H-pyrazole-4-carbonyl]guanidine; [1-(indazol-6-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(indazol-5-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(benzimidazol-5-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(1-methylbenzimidazol-6-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; 1-(5-quinolinyl)-5-n-propyl-1H-pyrazole-4-carbonyl]guanidine; [1-(5-quinolinyl)-5-isopropyl-1H-pyrazole-4-carbonyl]guanidine; [5-ethyl-1-(6-quinolinyl)-1H-pyrazole-4-carbonyl]guanidine; [1-(2-methylbenzimidazol-5-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(1,4-benzodioxan-6-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(benzotriazol-5-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(3-chloroindazol-5-yl)-5-ethyl-1H-pyrazole-4-carbonyl]guanidine; [1-(5-quinolinyl)-5-butyl-1H-pyrazole-4-carbonyl]guanidine; [5-propyl-1-(6-quinolinyl)-1H-pyrazole-4-carbonyl]guanidine; [5-isopropyl-1-(6-quinolinyl)-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chloro-4-methylsulfonylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chlorophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-trifluoromethyl-4-fluorophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-bromophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-fluorophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chloro-5-methoxyphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chloro-4-methylaminosulfonylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2,5-dichlorophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2,3-dichlorophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chloro-5-aminocarbonylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyljguanidine; [1-(2-chloro-5-aminosulfonylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-fluoro-6-trifluoromethylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chloro-5-methylsulfonylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chloro-5-dimethylaminosulfonylphenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-trifluoromethyl-4-chlorophenyl)-5-cyclopropyl-1H-pyrazole-4-carbonyl]guanidine; [1-(2-chlorophenyl)-5-methyl-1H-pyrazole-4-carbonyl]guanidine; [5-methyl-1-(2-trifluoromethylphenyl)-1H-pyrazole-4-carbonyl]guanidine; [5-ethyl-1-phenyl-1H-pyrazole-4-carbonyl]guanidine; [5-cyclopropyl-1-(2-trifluoromethylphenyl)-1H-pyrazole-4-carbonyl]guanidine; [5-cyclopropyl-1-phenyl-1H-pyrazole-4-carbonyl]guanidine; [5-cyclopropyl-1-(2,6-dichlorophenyl)-1H-pyrazole-4-carbonyl]guanidine or the pharmaceutically acceptable salts of said compounds.
- 97. A method of reducing tissue damage resulting from ischemia or hypoxia comprising administering to a mammal in need of such treatment an amount of a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug; an amount of a second compound, said second compound being a cardiovascular agent; wherein the amounts the of first and second compounds result in a therapeutic effect.
- 98. A method of reducing tissue damage resulting from ischemia or hypoxia as recited in claim 97 wherein the cardiovascular agent is a (3-blocker, a potassium channel opener, adenosine, adenosine agonists, a calcium channel blocker, an ACE inhibitor, a nitrate, a diuretic, a glycoside, a chrombolytic, a platelet inhibitor, aspirin, dipyridamol, potassium chloride, clonidine, prazosin, pyruvate dehydrogenase kinase inhibitors, pyruvate dehydrogenase complex activators, biguanides, NHE-1 inhibitor, Angiotensin II (All) receptor antagonists, C5a inhibitors, soluble complement receptor type 1 (sCR 1) or analogues, partial fatty acid oxidation (PFOX) inhibitors (specifically, ranolazine), acetyl CoA carboxylase activators, malonyl CoA decarboxylase inhibitors, 5′AMP-activated protein kinase (AMPK) inhibitors, adenosine nucleoside inhibitors, anti-apoptotic agents (e.g., caspase inhibitors), monophosphoryl lipid A or analogues, nitric oxide synthase activators/inhibitors, protein kinase C activators (specifically, protein kinase ε), poly (ADP ribose) synthetase (PARS, PARP) inhibitors, metformin (gluconegenesis inhibitors, insulin sensitizers), endothelin coverting enzyme (ECE) inhibitors, endothelin ET A receptor antagonists, TAFI inhibitors, or a Na/Ca exchanger modulators.
- 99. A kit comprising: a. a first compound, said first compound being a compound of claim 1, a prodrug thereof, or a pharmaceutically acceptable salt of said compound or of said prodrug and a pharmaceutically acceptable carrier, vehicle or diluent in a first unit dosage form; b. a second compound, said second compound being a cardiovascular agent and a pharmaceutically acceptable carrier, vehicle or diluent in a second unit dosage form; and c. means for containing said first and second dosage forms wherein the amounts of the first and second compounds result in a therapeutic effect.
- 100. A kit as recited in claim 99 wherein the cardiovascular agent is a P-blocker, a calcium channel blocker, an ACE inhibitor, a nitrate, a diuretic, a glycoside, a thrombolytic, a platelet inhibitor, aspirin, dipyridamol, potassium chloride, clonidine, prazosin, pyruvate dehydrogenase kinase inhibitors, pyruvate dehydrogenase complex activators, biguanides or an NHE-1 inhibitor.
- 101. A compound selected from the group consisting of (2S,3S,4R,5R)3-Amino-5-[6-(2-benzyloxy-5-chloro-benzylamino)-purin-9-yl]-4-hydroxytetrahydrofuran-2-carboxylic acid methylamide, (2S,3S,4R,5R)3-Amino-5-{6-[5-chloro-2-(furan-3-ylmethoxy)benzylamino]-purin-9-yl}-4-hydroxytetrahydrofuran-2-carboxylic acid methylamide, (2S,3S,4R,5R)3-Amino-5-{6-[5-chloro-2-(furan-2-ylmethoxy)benzylamino]purin-9-yl}-4-hydroxytetrahydrofuran-2-carboxylic acid methylamide, (2S,3S,4R,5R)3-Amino-5-{6-[5-chloro-2-(thiazol-2-ylmethoxy)-benzylamino]-purin-9-yl}-4-hydroxy-tetrahydro-furan-2-carboxylicacid methylamide, (2S,3S,4R,5R)3-Amino-5-{6-[5-chloro-2-(3-methylisoxazol-5-ylmethoxy) benzylamino]purin-9-yl}-4-hydroxytetrahydrofuran-2-carboxylic acid methylamide or the pharmaceutically acceptable salts of said compounds.
Parent Case Info
[0001] This application claims priority from provision application U.S. Ser. No. 60/156,828 filed Sep. 30, 1999, the benefit of which is hereby claimed under 37 C.F.R.§1.78(a)(3).
Provisional Applications (1)
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Number |
Date |
Country |
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60156828 |
Sep 1999 |
US |
Continuations (1)
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Number |
Date |
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Parent |
09640530 |
Aug 2000 |
US |
Child |
10822411 |
Apr 2004 |
US |