This disclosure relates to fluorine-substituted amphetamines and amphetamine derivatives, use thereof as active substance and pharmaceutical compositions that comprise at least one fluorine-substituted amphetamine or amphetamine derivative.
Neurological diseases, such as Parkinson's disease, can, starting from the brain, have effects on many parts of the human body. The four main symptoms of Parkinson's disease are rigor (muscle stiffness), tremor (muscle trembling) and hypokinesia (diminished movement), which can lead to akinesia (absence of movement), and postural instability. In addition there are cognitive deficits, principally deficits in implicit learning.
Treatment of neurological diseases and of their consequences often proves extremely complicated from the medical standpoint, despite modern methods of diagnosis and therapy. Often the causes of neurological disturbances are inadequately known and there is a lack of effective potential treatments.
For the patients affected, treatment of a neurological disease as a rule involves considerable upheavals in their life. In the case of treatment with L-DOPA, by far the best known antiparkinsonism medication, a protein-reduced diet is required, to ensure absorption of L-DOPA in the intestine, and discipline in taking the medication. Long-term observations of the course of the disturbances caused by the disease are necessary. Regularly recurring checks must be carried out, to ensure a sufficient supply of medication for the patient, in particular, adequate adjustment of the medication. For those affected this means increased need for advance planning of one's life, connected with considerable impairment of quality of life.
As a rule, with the drugs known at present, there can only be symptomatic treatment of neurological diseases. The underlying degeneration of dopaminergic neurons can as yet not be slowed down. Furthermore, long-term treatments often lead, as a side effect, to damage and/or impairment of other bodily functions. Thus, longer-term treatment with the aforementioned L-DOPA often causes dyskinesias, which until now can only be treated inadequately, if at all. In some cases, in long-term treatment with drugs habituation can occur, which, viewed over a longer period, necessitates a higher dosage of the drug. For the above reasons a change of medication may be required over the course of the treatment.
Accordingly, there is still a considerable need for improved active substances and drugs for the treatment of neurological diseases and their sequelae.
The work by Schmidt et al. (W. J. Schmidt, A. Mayerhofer, A. Meyer, K. Kovar, “Ecstasy counteracts catalepsy in rats, an antiparkinsonian effect?”, Neuroscience Letters 330 (2002) 251-254) describes antiparkinsonian activity of amphetamine derivatives, in particular, of 3,4-methylene dioxymethamphetamine (abbreviated to MDMA, also known as “Ecstasy”). The efficacy of MDMA was tested on rats. However, as is well known, MDMA has a strongly hallucinogenic potential, which basically opposes therapeutic use. Furthermore, toxic intermediates can form during degradation of MDMA in the human body.
It could therefore be helpful to provide active substances and medicinal products that permit improved treatment of neurological diseases and their sequelae, but preferably are less toxic than known active substances.
We provide a fluorine-substituted amphetamine or amphetamine derivative with the Formula (I):
where a) at least one of the residues R1 or R2 is different from H and Ph is a phenyl ring, which is substituted with fluorine in at least one position or b) the residues R1 and R2 independently of one another are H or are different from H and Ph is a phenyl ring, which is substituted with fluorine in at least three positions or c) the residues R1 and R2 independently of one another are H or are different from H and Ph is a phenyl ring, which is substituted with fluorine in at least one position and has a substituent different from H in at least one other position.
We also provide a method for treating neurological diseases, their sequelae and/or treating side effects of a therapy of neurological diseases including administering a therapeutically effective amount of a fluorine-substituted amphetamine or amphetamine derivative to a patient.
We further provide a pharmaceutical composition including at least one fluorine-substituted amphetamine or amphetamine derivative as active substance.
An amphetamine is to be understood as a chemical compound with the structure
in which Ph stands for a phenyl ring. An amphetamine derivative is to be understood as a compound with the above structure, which has at least one residue different from H on the nitrogen and/or at least one substituent different from hydrogen (apart from fluorine) on the phenyl ring.
A fluorine-substituted amphetamine or amphetamine derivative has Formula (I):
where
or
or
We showed in animal experiments that fluorine-substituted amphetamines or amphetamine derivatives are eminently suitable in particular for the treatment of neurological diseases and/or their sequelae and for the treatment of side effects of a therapy of neurological diseases.
Surprisingly, in addition, it was found that the amphetamine or amphetamine derivative in the body of an animal, in contrast to MDMA, is at most subject to very slight degradation or metabolization. This might be attributable to the fact that the fluorine-substituted phenyl ring of the amphetamine or amphetamine derivative, relative to the oxysubstituted phenyl ring of MDMA, gives rise to increased stability against metabolization of the amphetamine or amphetamine derivative.
This has the advantage that formation of toxic, in particular, neurotoxic metabolites or toxic, in particular, neurotoxic reaction products as a result of treatment with the fluorine-substituted amphetamine or amphetamine derivative essentially does not occur or only occurs to a slight extent. Preferably, the fluorine-substituted amphetamine or amphetamine derivative is excreted unchanged during or after the treatment.
Furthermore, the fluorine-substituted amphetamine or amphetamine derivative preferably has a so-called “sustained” action, i.e., it remains in the body of an animal or a human longer. In contrast to conventional drugs with so-called “pulsatile” profile of active substance, by using the fluorine-substituted amphetamine or amphetamine derivative it is possible to avoid a sudden high concentration of active substances (active substance spikes). Therefore, uniform supply of the active substance to a patient can be ensured. In comparison with active substances that are metabolized, the fluorine-substituted amphetamine or amphetamine derivative can be used in a relatively small dose in a therapy or a treatment.
The fluorine-substituted amphetamine or amphetamine derivative can in particular also be in the form of a salt, especially preferably in physiologically compatible form. The salt can in particular be a water-soluble salt, for example, a hydrochloride, sulfate or nitrate.
As a rule the fluorine-substituted amphetamine or amphetamine derivative is in the form of a mixture of enantiomers, i.e., as a racemate. The enantiomers can basically be present in the racemate in any relative proportions. It may be preferable for one of the enantiomers to be present in excess. Furthermore, it may be preferable for the fluorine-substituted amphetamine or amphetamine derivative to be in enantiomerically pure form.
The residues different from H, which the amphetamine or amphetamine derivative can have, are preferably alkyl groups. Alkyl groups with one to ten carbon atoms, in particular, methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl or octyl groups, are especially preferred.
The alkyl groups can basically be cyclized, linear or branched. However, short-chain (up to 5 carbon atoms) and unbranched alkyl groups, in particular methyl and/or ethyl groups, are especially preferred.
The at least one substituent different from H on the phenyl ring is also preferably an alkyl group. With respect to preferred compositions, reference can be made without restriction to the above account relating to the residues different from H, which the amphetamine or amphetamine derivative can have.
Furthermore, however, preferred compositions are also conceivable in which the at least one substituent different from H is an OH, alkoxy, aryl or aryloxy group. In particular, an amphetamine or amphetamine derivative can, in addition to one or more such substituents, also have one or more alkyl groups.
Purely for the sake of completeness, it should be mentioned that all positions on the phenyl ring that are not occupied by a fluorine or by a substituent different from H, in particular, have an H as substituent, i.e., are unsubstituted.
In an especially preferred compositions, the fluorine-substituted amphetamine or amphetamine derivative has a phenyl ring of Formula (II):
where at least two of the substituents R3 to R7, in particular at least R4 and R5, are fluorine and at least one of the residues R1 or R2 is different from H.
The residue R1 and/or the residue R2 is preferably an ethyl group. Especially preferably, in particular one of the two residues is an ethyl group and the other H.
Moreover, the preferred amphetamine or amphetamine derivative has Formula (III):
In another especially preferred composition, the amphetamine or amphetamine derivative has a phenyl ring of Formula (II):
in which at least three of R3 to R7 are fluorine, one of the residues R1 or R2 is H and the other is H or is different from H, in particular, an alkyl group.
In this case, the residues R1 and R2 are preferably equal to H.
Moreover, the amphetamine or amphetamine derivative has, in this further especially preferred composition, Formula (IV):
In a third especially preferred composition, the amphetamine or amphetamine derivative has a phenyl ring of Formula (II):
where at least one of the substituents R3 to R7 is fluorine and at least one other is an alkyl group.
In particular, in this compositions, at least R4 is fluorine and at least R5 is an alkyl group or at least R5 is fluorine and at least R4 is an alkyl group.
The at least one alkyl group is preferably a methyl group.
Preferably, in this compositions, one of the residues R1 or R2 is equal to H whereas the other is equal to H or is different from H, in particular, an alkyl group.
Especially preferably, the residues R1 and R2 are equal to H.
Moreover, the amphetamine or amphetamine derivative has, in this third especially preferred composition, the Formulas (V) or (VI):
The production of amphetamines or amphetamine derivatives can basically be carried out in various ways. The especially preferred methods of production of the amphetamines or amphetamine derivatives described below are also a subject of this disclosure.
However, production starting from fluorine-substituted benzaldehydes is especially preferred. These can be reacted with nitroethane in the manner of an aldol reaction, followed by reduction of the resultant double bond and of the nitro group. Reduction is preferably carried out by means of a complex hydride, in particular with lithium aluminum hydride. The resultant amino group can then be alkylated by routine methods, for example, by means of methyl formate or acetic anhydride (the intermediates obtained after reaction of the amino compound with these reagents must of course be reduced, for example, with lithium aluminum hydride).
Another especially preferred method of production of amphetamines or amphetamine derivatives starts from fluorine-substituted benzene derivatives, which are reacted with an alanine derivative. Especially suitable alanine derivatives are alanine hydrochloride and phthaloyl alanine. By using suitable Lewis-acid catalysts, the alanine derivative can replace an H on the benzene ring. As a rule, as is already known, there is immediately formation of a carbonyl compound, which can then be reduced. In this way we obtain a fluorine-substituted amphetamine which can then be modified at the nitrogen, if desired.
This procedure can be used especially advantageously for the production of enantiomerically pure amphetamines or amphetamine derivatives. When L-alanine is used, we obtain enantiomerically pure (S)-1-(fluorophenyl)-2-aminopropanes. D-alanine results in the corresponding (R) isomers.
We further provide the use of a fluorine-substituted amphetamine or amphetamine derivative as a medicinal product, in particular, for the treatment of neurological diseases, their sequelae and/or for the treatment of side effects of a therapy of neurological diseases and also, in particular, the use of a fluorine-substituted amphetamine or amphetamine derivative for the production of a medicinal product, in particular, a medicinal product for the treatment of neurological diseases, their sequelae and/or for the treatment of side effects of a therapy of neurological diseases.
Basically any amphetamine or amphetamine derivative that has a phenyl ring, which is substituted with fluorine in at least one position, is suitable for such use.
Especially preferably, an amphetamine or amphetamine derivative is used whose phenyl ring is fluorine-substituted in the at least one position and in at least one other position has a substituent different from H, in particular, an alkyl group.
Preferably the amphetamine or amphetamine derivative that can be used has, on the nitrogen, at least one residue that is different from H, in particular, an alkyl group.
Especially preferably, the amphetamine or amphetamine derivative that can be used is the fluorine-substituted amphetamines or amphetamine derivatives as already described above, in particular, compounds (III), (IV), (V) and (VI), among which once again compound (III) is especially preferred.
In another especially preferred use, the fluorine-substituted amphetamine or amphetamine derivative is a compound according to one of the Formulas (VII) or (VIII):
It has already been mentioned that the fluorine-substituted amphetamine or amphetamine derivative is eminently suitable, in particular, for the treatment of neurological diseases and their sequelae.
Moreover, it has been found that the fluorine-substituted amphetamine or amphetamine derivative is, in particular, also suitable for the treatment of side effects of a therapy of neurological diseases.
Preferably the fluorine-substituted amphetamine or amphetamine derivative can, in the therapy of neurological diseases, also be administered for the prevention of side effects.
Therefore, the fluorine-substituted amphetamine or amphetamine derivative surprisingly can also be used in the case of several indications arising simultaneously.
Among the treatable neurological diseases, we should mention, in particular, degenerative diseases of the extrapyramidal motor system, in particular, Parkinson's diseases, especially preferably idiopathic Parkinson's diseases.
The treatable sequelae of the neurological diseases and/or the side effects are, in particular, motor disturbances, multiple system atrophies, dystonic syndromes, dyskinetic syndromes and parkinsonian symptoms, such as tremor.
The therapy is preferably a drug therapy, in particular, with at least one antiparkinsonian active substance which is selected, in particular, from the group comprising dopamine precursors, decarboxylase inhibitors, dopamine agonists, all active substances that act by stimulation of the dopamine receptors, inhibitors of catechol-O-methyltransferase (COMT), inhibitors of monoamine oxidase (MAO) and antagonists of N-methyl-D-aspartate (NMDA) receptors.
In particular, levodopa (L-DOPA) should be mentioned as dopamine precursor. As decarboxylase inhibitors, consideration should be given, in particular, to benserazide or carbidopa. In the case of dopamine agonists, in particular, we may mention bromocriptine, apomorphine, cabergoline, pramipexole, ropinirole, pergolide, dihydro-alpha-ergocryptine or lisuride. As inhibitors of catechol-O-methyltransferase (COMT), consideration may be given, in particular, to entacapone or tolcapone. In particular, selegiline may be mentioned as an example of inhibitors of monoamine oxidase (MAO). As antagonists of N-methyl-D-aspartate (NMDA) receptors, consideration may be given, in particular, to amantadine or budipine.
Side effects of medicinal products with the stated antiparkinsonian active substances are, in particular, all forms of dyskinesias, in particular, chorea-type, dystonic, ballismic and muscle-cramp dyskinesias, and motor (reactive) fluctuations or psychotic states.
Preferably, amphetamines or amphetamine derivatives can also be used for the treatment of so-called “tardive” dyskinesias, which can be induced by neuroleptics.
In particular, the use comprises the treatment of L-DOPA-induced side effects, in particular, of L-DOPA-induced dyskinesias.
Basically, the fluorine-substituted amphetamine and amphetamine derivative are suitable for the treatment of extrapyramidal motor disturbances of all kinds. In particular, we should mention Parkinson syndromes, dyskinetic, chorea-type or dystonic syndromes (in particular, Huntington's chorea), extrapyramidal motor side effects of neuroleptics, tremor, Gilles de la Tourette syndrome, ballismus, muscle cramps, restless leg syndrome or Wilson's disease.
We also provide pharmaceutical compositions. This comprises at least one fluorine-substituted amphetamine or amphetamine derivative as active substance.
The at least one fluorine-substituted amphetamine or amphetamine derivative has already been described within the scope of the description of the use. Reference is hereby expressly made to the relevant statements.
Treatment of a neurological disease with a pharmaceutical composition can completely replace a treatment with a medicinal product containing one of the aforementioned conventional active substances.
In preferred forms, the fluorine-substituted amphetamine or amphetamine derivative is present in a composition as the sole active substance. However, it is also possible to use a mixture of various fluorine-substituted amphetamines or amphetamine derivatives.
Moreover, it is preferable for a pharmaceutical composition to have at least one pharmaceutically compatible carrier. Correspondingly suitable carriers are known by a person skilled in the art.
In another preferred form, the pharmaceutical composition has a combination of the at least one fluorine-substituted amphetamine or amphetamine derivative and at least one conventional active substance, in particular, at least one conventional antiparkinsonian active substance.
For this, consideration may be given, in particular, to at least one active substance from the group comprising dopamine precursors, decarboxylase inhibitors, dopamine agonists, all active substances that act by stimulation of the dopamine receptors, inhibitors of catechol-O-methyltransferase (COMT), inhibitors of monoamine oxidase (MAO) and antagonists of N-methyl-D-aspartate (NMDA) receptors.
Preferred decarboxylase inhibitors, dopamine agonists, inhibitors of catechol-O-methyltransferase, inhibitors of monoamine oxidase (MAO) and antagonists of N-methyl-D-aspartate (NMDA) receptors have already been mentioned. Reference is hereby made to the corresponding details.
Especially preferably, the at least one antiparkinsonian active substance is L-DOPA, which has already been mentioned several times.
Further features and advantages will become clear from the following description of preferred forms based on examples. The individual features can in each case be realized on their own or several can be realized in combination with one another.
(1) Amphetamines or amphetamine derivatives can basically be produced in several ways. Syntheses starting from benzaldehydes, which lead via 1-(fluorophenyl)-2-nitropropenes to 1-(fluorophenyl)-2-aminopropanes, are especially preferred. The latter can optionally be reacted further and, in particular, functionalized on the amino group.
Starting from the benzaldehydes, in a first step 1-(fluorophenyl)-2-nitropropenes are produced. For this, 208 mmol of aldehyde (3,4-difluorobenzaldehyde, 3-fluoro-4-methylbenzaldehyde, 3-methyl-4-fluorobenzaldehyde, 2,5-difluorobenzaldehyde or 2,4,5-trifluorobenzaldehyde), 208 mmol (16.2 g, 15.5 ml) of nitroethane, 44 mmol (10 g, 10.6 ml) of γ-aminopropyltriethoxysilane and 44 mmol (2.6 g, 2.5 ml) of glacial acetic acid in 25 ml of methanol are stirred for several days. Crystals are precipitated, depending on the aldehyde. These are filtered off, washed with cold aqueous methanol (10% water), and dried. Otherwise it is diluted with water and extracted with diethyl ether three times.
The various 1-(fluorophenyl)-2-nitropropenes were isolated at yields between 60% and 90% and characterized by 1H-NMR.
The 1-(fluorophenyl)-2-nitropropenes produced according to step 1 can be reacted as follows:
Data for some of the compounds prepared:
1H-NMR in d6-DMSO on 400 MHz instrument:
A methyl group can be introduced in a subsequent step into 1-(fluorophenyl)-2-aminopropanes prepared according to step 2. In particular, the procedure can be as follows:
Data for a compound prepared in this way:
As an alternative to step 3, an ethyl group can also be introduced in a subsequent step into 1-(fluorophenyl)-2-aminopropanes prepared according to step 2. The procedure can be as follows:
Data for a compound prepared in this way:
(2) Another especially preferred route for production of amphetamines or amphetamine derivatives starts from substituted benzenes. The synthesis of 1-(2,5-difluorophenyl)-2-aminopropane methanesulfonate from 1,4-difluorobenzene and alanine hydrochloride is described below:
Data for the 1-(2,5-difluorophenyl)-2-aminopropane methanesulfonate obtained:
The use of enantiomerically pure alanine yields an optically active product in this synthesis. Thus, L-alanine yields S-(+)-1-(2,5-difluorophenyl)-2-aminopropane methanesulfonate. Correspondingly, D-alanine yields the (R) isomer.
(3) Another especially preferred synthesis of an amphetamine, starting from a substituted benzene, is given below:
The data for this compound have already been given.
When L-alanine is used, we obtain enantiomerically pure (S)-1-(3,4-difluorophenyl)-2-aminopropane hydrochloride. Correspondingly, D-alanine yields the (R) isomer.
(4) Degeneration of dopaminergic neurons is a causative factor for Parkinson's disease in humans. It leads to dopamine depletion in the basal ganglia of the brain (dopamine hypofunction).
Potentially suitable active substances for treatment of Parkinson's disease can be investigated in an animal model. It is desirable, in such an animal model of Parkinson's disease, to achieve reduced functional dopamine activity by blocking dopamine receptors or by destroying dopaminergic neurons.
Next, rats (Sprague-Dawley rats; Charles-River, Sulzfeld, Germany) were established as the animal model. The rats were kept in constant, reproducible conditions. Sprague-Dawley rats weighing about 220 to 300 g were used in the experiment. The rats were kept in groups. A light cycle of 12:12 hours was maintained (light switched on from 07:00 to 19:00 hours). For two weeks before the experiments, all the rats were kept in the same room. Water was made available ad libitum, standard animal feed was supplied once daily in an amount of 12 g per animal. All experiments were carried out between 09:00 and 17:00 hours and complied with international ethical standards and the German animal protection law. It was approved by the Animal Protection Commission, Tübingen Administrative Board, ZP 5/01.
Haloperidol-induced catalepsy is used here as a model for parkinsonism. Haloperidol is a dopamine receptor-blocking drug. The catalepsy induced in this way comprises akinesia and rigor. The haloperidol model can be treated with all known clinically effective antiparkinsonism drugs, as described above.
Dopamine hypofunction and the consequent parkinsonian symptoms were generated as follows.
Control Group:
Test Group:
The results of the descent tests are illustrated in
Similar results were achieved with compounds according to Formulas IV, V, VI, VII or VIII.
24 rats were put in deep narcosis. One hemisphere of the rats was treated in each case with the neurotoxin 6-hydroxydopamine, which destroyed dopaminergic neurons in this hemisphere. On the side of the body contralateral to the damaged hemisphere, the animals so treated displayed parkinsonian symptoms (hemiparkinsonism). Then the animals were treated intraperitoneally with an antiparkinsonian drug twice daily for 25 days. This comprised L-DOPA-methyl ester in an amount of 10 mg per kg of body weight with benserazide in an amount of 7.5 mg per kg of body weight (Sigma, Deisenhofen, Germany). Under this treatment the rats developed dyskinesias of the contralateral forepaws.
Control Group:
Test Group:
A quantitative assessment showed significantly reduced expression of the dyskinesias in the test group.
The results for the treatment are illustrated in
In addition, the addiction potential of the amphetamines and amphetamine derivatives. In so-called “conditioned place preference” experiments, the addiction potential with a daily dose of 5 mg per kg of body weight was investigated on Sprague-Dawley rats. Such tests, which are known by a person skilled in the art, are for example required as standard by the U.S. Food and Drug Administration (FDA), for analgesics. In studies to date, the animals have shown no signs of addictive behavior.
Similar results were achieved with compounds according to Formulas IV, V, VI, VII or VIII.
Number | Date | Country | Kind |
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10 2007 014 286.4 | Mar 2007 | DE | national |
This is a §371 of International Application No. PCT/EP2008/002188, with an international filing date of Mar. 19, 2008 (WO 2008/113565 A1, published Sep. 25, 2008), which is based on German Patent Application No. 10 2007 014 286.4, filed Mar. 19, 2007.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/EP2008/002188 | 3/19/2008 | WO | 00 | 12/22/2009 |