Patent Application
20100016399
The present invention relates to compounds, pharmaceutical compositions and medicaments containing them, and their use in disorders mediated by glyT1, including neurological and neuropsychiatric disorders, in particular psychoses, dementia or attention deficit disorder.
Molecular cloning has revealed the existence in mammalian brains of two classes of glycine transporters, termed GlyT1 and GlyT2. GlyT1 is found predominantly in the forebrain and its distribution corresponds to that of glutaminergic pathways and NMDA receptors (Smith, et al., Neuron, 8, 1992: 927-935). Molecular cloning has further revealed the existence of three variants of GlyT1, termed GlyT-1a, GlyT-1b and GlyT-1c (Kim et al., Molecular Pharmacology, 45, 1994: 608-617), each of which displays a unique distribution in the brain and peripheral tissues. The variants arise by differential splicing and exon usage, and differ in their N-terminal regions. GlyT2, in contrast, is found predominantly in the brain stem and spinal cord, and its distribution corresponds closely to that of strychnine-sensitive glycine receptors (Liu et al., J. Biological Chemistry, 268, 1993: 22802-22808; Jursky and Nelson, J. Neurochemistry, 64, 1995: 1026-1033). Another distinguishing feature of glycine transport mediated by GlyT2 is that it is not inhibited by sarcosine as is the case for glycine transport mediated by GlyT1. These data are consistent with the view that, by regulating the synaptic levels of glycine, GlyT1 and GlyT2 selectively influence the activity of NMDA receptors and strychnine-sensitive glycine receptors, respectively.
NMDA receptors are critically involved in memory and learning (Rison and Staunton, Neurosci. Biobehav. Rev. 19 533-552 (1995); Danysz et al, Behavioral Pharmacol., 6 455-474 (1995)); and, furthermore, decreased function of NMDA-mediated neurotransmission appears to underlie, or contribute to, the symptoms of schizophrenia (Olney and Farber, Archives General Psychiatry, 52, 998-1007 (1996). Thus, agents that inhibit GlyT1 and thereby increase glycine activation of NMDA receptors can be used as novel antipsychotics and anti-dementia agents, and to treat other diseases in which cognitive processes are impaired, such as attention deficit disorders and organic brain syndromes. Conversely, over-activation of NMDA receptors has been implicated in a number of disease states, in particular the neuronal death associated with stroke and possibly neurodegenerative diseases, such as Alzheimer's disease, multi-infarct dementia, AIDS dementia, Huntington's disease, Parkinson's disease, amyotrophic lateral sclerosis or other conditions in which neuronal cell death occurs, such as stroke or head trauma. Coyle & Putffarcken, Science, 262, 689-695 (1993); Lipton and Rosenberg, New Engl. J. of Medicine, 330, 613-622 (1993); Choi, Neuron, 1, 623-634 (1988). Thus, pharmacological agents that increase the activity of GlyT1 will result in decreased glycine-activation of NMDA receptors, which activity can be used to treat these and related disease states. Similarly, drugs that directly block the glycine site of the NMDA receptors can be used to treat these and related disease states.
Glycine transport inhibitors are already known in the art, for example as disclosed in published international patent application WO03/055478 (SmithKline Beecham).
However, there still remains the need to identify further compounds that can inhibit GlyT1 transporters, including those that inhibit GlyT1 transporters selectively over GlyT2 transporters.
It has now been found that a novel class of compounds inhibit GlyT1 transporters and are thus of potential utility in the treatment of certain neurological and neuropsychiatric disorders, including schizophrenia.
Thus, in the first aspect, there is provided a compound of formula (I) or a salt thereof:
wherein:
═ (in the 5-membered nitrogen containing ring) is a single bond or a double bond;
R1 is selected from H, C1-C4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C3-C6cycloalkylC1-C4alkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONRaRb (wherein Ra and Rb are independently selected from H and C1-C4alkyl, or Ra and Rb, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
R2 is selected from H, C1-C4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C3-C6cycloalkylC1-C4alkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONRcRd (wherein Rc and Rd are independently selected from H and C1-C4alkyl, or Rc and Rd, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
R3 is selected from H, C1-4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C3-C6cycloalkylC1-C4alkyl, C1-C4alkylsulfonyl, C1-C4alkoxy, C1-C4alkyl, CONReRf (wherein Re and Rf are independently selected from H and C1-C4alkyl, or Re and Rf, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
or R2 and R3 together form a group selected from —O—CH2—O— and —O—CH2—CH2—O—;
R4 is selected from H, C1-C4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C3-C6cycloalkylC1-C4alkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONRgRh (wherein Rg and Rh are independently selected from H and C1-C4alkyl, or Rg and Rh, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
R5 is selected from hydrogen, chloro, fluoro, C1-C4alkyl and CF3;
R6 is selected from H, C1-C4alkyl, C1-C4alkoxy, haloC1-C4alkyl, haloC1-C4alkoxy, halo, cyano, C1-C4alkoxyC1-C4alkoxy, C1-C4alkoxyC1-C4alkyl, C1-4alkylsulfonyl, C1-C4alkylthio, COR9 wherein R9 is hydrogen or C1-4alkyl, CONRiRj wherein Ri and Rj are independently selected from hydrogen, C1-4alkyl or, together with the nitrogen atom to which they are attached, form a 4, 5 or 6-membered ring, and CHRkNRlRm wherein Rk is hydrogen or C1-C4alkyl and Rl and Rm are independently selected from hydrogen and C1-C4alkyl or Rl and Rm, together with the nitrogen atom to which they are attached, form a 4, 5 or 6-membered ring;
R7 is selected from H, C1-C4alkyl, C1-C4alkoxy, haloC1-C4alkyl, haloC1-C4alkoxy, halo, cyano, C1-4alkoxyC1-4alkyl and C1-C4alkoxyC1-C4alkoxy;
m is selected from 0, 1 and 2;
R8 is selected from hydrogen and C1-C4alkyl; and
R21 is selected from H and fluoro.
The notations “Cx-y” and “Cx-Cy” are interchangeable.
As used herein, the term “C1-C4alkyl” refers to a straight or branched alkyl group of 1-4 carbon atoms in all isomeric forms. Examples include methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl and tert-butyl.
As used herein, the term “C1-C4alkoxy” refers to the group —O—C1-C4alkyl wherein C1-C4alkyl is as defined above.
As used herein, the term “C1-C4alkoxyC1-C4alkyl” refers to the group (C1-C4alkyl)-O—(C1-C4alkyl), wherein C1-C4alkyl is as defined above.
As used herein, the term “C1-C4alkoxyC1-C4alkoxy” refers to the group —OC1-C4alkyl-O—C1-C4alkyl, wherein C1-C4alkyl is as defined above.
As used herein, the term “C3-C6cycloalkyl” refers to a cycloalkyl group consisting of from 3 to 6 carbon atoms, ie cyclopropane, cyclobutane, cyclopentane or cyclohexane.
As used herein, the terms “halogen” and its abbreviation “halo” refer to fluorine, chlorine, bromine, or iodine.
As used herein, the term “haloC1-C4alkyl” refers to a C1-C4alkyl group as defined above which is substituted with any number of fluorine, chlorine, bromine, or iodine atoms, including with mixtures of those atoms. A haloC1-C4alkyl group may, for example contain 1, 2 or 3 halogen atoms. For example, a haloC1-C4alkyl group may have all hydrogen atoms replaced with halogen atoms. Examples of haloC1-C4alkyl groups include, but are not limited to, fluoromethyl, difluoromethyl and trifluoromethyl.
As used herein, the term “haloC1-C4alkoxy” refers to a C1-C4alkoxy group as defined above which is substituted with any number of fluorine, chlorine, bromine, or iodine atoms, including with mixtures of those atoms. A haloC1-C4alkoxy group may, for example contain 1, 2 or 3 halogen atoms. For example, a haloC1-C4alkoxy group may have all hydrogen atoms replaced with halogen atoms. Examples of haloC1-C4alkoxy groups include, but are not limited to, fluoromethyloxy, difluoromethyloxy and trifluoromethyloxy.
As used herein the term “cyano” refers to a group —CN.
As used herein, the term “C1-C4alkylsulfonyl” refers to a group —SO2(C1-C4alkyl). An example is —SO2CH3.
As used herein, the term “C1-C4alkylthio” refers to a group —S—(C1-C4alkyl). An example is —SCH3.
Ra and Rb, together with the nitrogen atom to which they are attached, may form a saturated 4- to 7-membered ring, ie an azetidinyl, pyrrolidinyl, piperidyl, or azepanyl group. Similarly, Rc and Rd, Re and Rf, Rg and Rh, Ri and Rj, and Rl and Rm may form such a group within the definition of formula (I) above.
In one embodiment R1 is selected from H, C1-C2alkyl, C1-C2alkoxy, halo, haloC1-C2alkyl, haloC1-C2alkoxy, C1-C2alkylthio, C1-C2alkylsulfonyl, C1-C2alkoxyC1-C2alkyl and cyano. In a further embodiment R1 is H.
In one embodiment R2 is selected from H, C1-C2alkyl, C1-C2alkoxy, halo, haloC1-C2alkyl, haloC1-C2alkoxy, C1-C2alkylthio, C1-C2alkylsulfonyl, C1-C2alkoxyC1-C2alkyl, and cyano. In a further embodiment R2 is halo. In a further embodiment R2 is F.
In one embodiment R3 is selected from H, C1-C2alkyl, C1-C2alkoxy, halo, haloC1-C2alkyl, haloC1-C2alkoxy, C1-C2alkylthio, C1-C2alkylsulfonyl, C1-C2alkoxyC1-C2alkyl, and cyano. In a further embodiment R3 is H.
In one embodiment R4 is selected from H, C1-C2alkyl, C1-C2alkoxy, halo, haloC1-C2alkyl, haloC1-C2alkoxy, C1-C2alkylthio, C1-C2alkylsulfonyl, C1-C2alkoxyC1-C2alkyl, and cyano. In a further embodiment R4 is halo. In a further embodiment R4 is F.
In one embodiment R5 is selected from hydrogen, chloro, fluoro, C1-C4alkyl and CF3. In a further embodiment R5 is H.
In one embodiment R6 is selected from H, C1-C2alkyl, C1-C2alkoxy, halo, haloC1-C2alkyl, haloC1-C2alkoxy, C1-C2alkylthio, C1-C2alkylsulfonyl, C1-C2alkoxyC1-C2alkyl, and cyano. In a further embodiment R6 is selected from H, methyl, methoxy, and halo. In a further embodiment R6 is methoxy or Cl.
In one embodiment R7 is selected from H, C1-C2alkyl, C1-C2alkoxy, haloC1-C2alkyl, haloC1-C2alkoxy, halo, cyano, C1-C2alkoxyC1-C2alkyl and C1-C2alkoxyC1-C2alkoxy. In a further embodiment R7 is H.
In one embodiment m is 1.
In one embodiment R8 is H.
In one embodiment R21 is H.
In one embodiment, there is provided a compound of formula (Ia) or a salt or solvate thereof:
wherein:
═ (in the 5-membered nitrogen containing ring) is a single bond or a double bond;
R1 is selected from H, C1-C4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONRaRb (wherein Ra and Rb are independently selected from H and C1-C4alkyl, or Ra and Rb, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
R2 is selected from H, C1-C4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONRcRd (wherein Rc and Rd are independently selected from H and C1-C4alkyl, or Rc and Rd, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
R3 is selected from H, C1-4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONReRf (wherein Re and Rf are independently selected from H and C1-C4alkyl, or Re and Rf, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
or R2 and R3 together form a group selected from —O—CH2—O— and —O—CH2—CH2—O—;
R4 is selected from H, C1-C4alkyl, C1-C4alkoxy, halo, haloC1-C4alkyl, haloC1-C4alkoxy, C1-C4alkylthio, C3-C6cycloalkyl, C1-C4alkylsulfonyl, C1-C4alkoxyC1-C4alkyl, CONRGRh (wherein Rg and Rh are independently selected from H and C1-C4alkyl, or Rg and Rh, together with the nitrogen atom to which they are attached, form a 4- to 7-membered ring) and cyano;
R5 is selected from hydrogen, chloro, fluoro, C1-C4alkyl and CF3;
R6 is selected from H, C1-C4alkyl, C1-C4alkoxy, haloC1-C4alkyl, haloC1-C4alkoxy, halo, cyano, C1-C4alkoxyC1-C4alkoxy; C1-4alkoxyC1-4alkyl, C1-4alkylsulfonyl, C1-4alkylthio, COR9 wherein R9 is hydrogen or C1-4alkyl, CONRiRj wherein Ri and Rj are independently selected from hydrogen, C1-4alkyl or, together with the nitrogen atom to which they are attached, form a 4, 5 or 6-membered ring, or CHRkNRlRm wherein Rk is hydrogen or C1-4alkyl and Rl and Rm are independently selected from hydrogen and C1-4alkyl or Rl and Rm, together with the nitrogen atom to which they are attached, form a 4, 5 or 6-membered ring;
R7 is selected from H, C1-C4alkyl, C1-C4alkoxy, haloC1-C4alkyl, haloC1-C4alkoxy, halo, cyano, C1-4alkoxyC1-4alkyl and C1-C4alkoxyC1-C4alkoxy;
m is selected from 0, 1 and 2;
R8 is selected from hydrogen and C1-C4alkyl;
R21 is selected from H and fluoro.
For the avoidance of doubt, the embodiments of any one feature of the compounds of the invention may be combined with any embodiment of another feature of compounds of the invention to create a further embodiment.
Examples of compounds of the invention include:
and salts and solvates thereof.
In an embodiment there is provided a compound of formula (I) as defined above or a pharmaceutically acceptable salt thereof.
As used herein, the term “salt” refers to any salt of a compound according to the present invention prepared from an inorganic or organic acid or base, quaternary ammonium salts and internally formed salts. Pharmaceutically acceptable salts are particularly suitable for medical applications because of their greater aqueous solubility relative to the parent compounds. Such salts must clearly have a pharmaceutically acceptable anion or cation. Suitably pharmaceutically acceptable salts of the compounds of the present invention include acid addition salts formed with inorganic acids such as hydrochloric, hydrobromic, hydroiodic, phosphoric, metaphosphoric, nitric and sulfuric acids, and with organic acids, such as tartaric, acetic, trifluoroacetic, citric, malic, lactic, fumaric, benzoic, formic, propionic, glycolic, gluconic, maleic, succinic, (1R)-(−)-10-camphorsulphonic, (1S)-(+)-10-camphorsulphonic, isothionic, mucic, gentisic, isonicotinic, saccharic, glucuronic, furoic, glutamic, ascorbic, anthranilic, salicylic, phenylacetic, mandelic, embonic (pamoic), methanesulfonic, ethanesulfonic, pantothenic, stearic, sulfinilic, alginic, galacturonic and arylsulfonic, for example naphthalene-1,5-disulphonic, naphthalene-1,3-disulphonic, benzenesulfonic, and p-toluenesulfonic, acids. Salts having a non-pharmaceutically acceptable anion or cation are within the scope of the invention as useful intermediates for the preparation of pharmaceutically acceptable salts and/or for use in non-therapeutic, for example, in vitro, situations. The salts may have any suitable stoichiometry. For example, a salt may have 1:1 or 2:1 stoichiometry. Non-integral stoichiometry ratios are also possible.
Solvates of the compounds of formula (I) and solvates of the salts of the compounds of formula (I) are included within the scope of the present invention. As used herein, the term “solvate” refers to a complex of variable stoichiometry formed by a solute (in this invention, a compound of formula (I) or a salt thereof) and a solvent. Those skilled in the art of organic chemsitry will appreciate that many organic compounds can form such complexes with solvents in which they are reacted or from which they are precipitated or crystallised. Such solvents for the purpose of the invention may not interfere with the biological activity of the solute. Examples of suitable solvents include, but are not limited to, water, methanol, ethanol and acetic acid. Preferably the solvent used is a pharmaceutically acceptable solvent. Examples of suitable pharmaceutically acceptable solvents include, without limitation, water, ethanol and acetic acid. Most preferably the solvent used is water. Where the solvent used is water such a solvate may then also be referred to as a hydrate.
It will be appreciated by those skilled in the art that certain protected derivatives of compounds of formula (I), which may be made prior to a final deprotection stage, may not possess pharmacological activity as such, but may, in certain instances, be administered orally or parenterally and thereafter metabolised in the body to form compounds of the invention which are pharmacologically active. Such derivatives may therefore be described as “prodrugs”. Further, certain compounds of the invention may be administered as prodrugs. Examples of pro-drug forms for certain compounds of the present invention are described in Drugs of Today, Volume 19, Number 9, 1983, pp 499-538 and in Topics in Chemistry, Chapter 31, pp 306-316 and in “Design of Prodrugs” by H. Bundgaard, Elsevier, 1985, Chapter 1 (the disclosures in which documents are incorporated herein by reference). It will further be appreciated by those skilled in the art, that certain moieties, known to those skilled in the art as “pro-moieties”, for example as described by H. Bundgaard in “Design of Prodrugs” (the disclosure in which document is incorporated herein by reference) may be placed on appropriate functionalities when such functionalities are present within compounds of the invention. Examples of prodrugs for certain compounds of the invention include: esters, carbonate esters, hemi-esters, phosphate esters, nitro esters, sulfate esters, sulfoxides, amides, carbamates, azo-compounds, phosphamides, glycosides, ethers, acetals and ketals.
Hereinafter, compounds of formula (I) (whether in solvated or unsolvated form) or their pharmaceutically acceptable salts (whether in solvated or unsolvated form) or prodrugs thereof defined in any aspect of the invention (except intermediate compounds in chemical processes) are referred to as “compounds of the invention”.
The compounds of formula (I) may have the ability to crystallise in more than one form. This is a characteristic known as polymorphism, and it is understood that such polymorphic forms (“polymorphs”) are within the scope of formula (I). Polymorphism generally can occur as a response to changes in temperature or pressure or both and can also result from variations in the crystallisation process. Polymorphs can be distinguished by various physical characteristics known in the art such as x-ray diffraction patterns, solubility, and melting point.
Certain of the compounds described herein may exist in stereoisomeric forms (i.e. they may contain one or more asymmetric carbon atoms or may exhibit cis-trans isomerism), for example when R8 in formula (I) is C1-C4alkyl. The individual stereoisomers (enantiomers and diastereoisomers) and mixtures of these are included within the scope of the present invention. Stereoisomers may be separated by high-performance liquid chromatography or other appropriate means. When a compound is desired as a single enantiomer, it may be obtained by stereospecific synthesis or by resolution of the final product or any convenient intermediate. Resolution of the final product, an intermediate, or a starting material may be effected by any suitable method known in the art. See, for example, Stereochemistry of Organic Compounds by E. L. Eliel, S. H. Wilen, and L. N. Mander (Wiley-Interscience, 1994). Likewise, it is understood that compounds of formula (I) may exist in tautomeric forms other than that shown in the formula and these are also included within the scope of the present invention.
In one embodiment, an optically pure enantiomer of a compound of the present invention is provided. The term “optically pure enantiomer” means that the compound contains greater than about 90% of the desired isomer by weight, such as greater than about 95% of the desired isomer by weight, or greater than about 99% of the desired isomer by weight, said weight percent based upon the total weight of the isomer(s) of the compound.
Compounds of general formula (I) may be prepared by methods known in the art of organic synthesis as set forth in part by the following synthesis schemes. It is also recognised that in all of the schemes described below, it is well understood that protecting groups for sensitive or reactive groups are employed where necessary in accordance with general principles of chemistry. Protecting groups are manipulated according to standard methods of organic synthesis (T. W. Greene and P. G. M. Wuts (1991) Protecting Groups in Organic Synthesis, John Wiley & Sons). These groups are removed at a convenient stage of the compound synthesis using methods that are readily apparent to those skilled in the art. The selection of processes as well as the reaction conditions and order of their execution shall be consistent with the preparation of compounds of formula (I).
Typical reaction routes for the preparation of a compound of formula (I) as hereinbefore defined, are shown below:
Compounds of formula (I) wherein ═ is a single bond or a double bond, can be prepared by reacting a compound of formula (II) wherein ═ is a single bond or a double bond, with a base, for example sodium hydride, in a suitable inert solvent, for example dimethylformamide, followed by treatment with a compound of formula (III) as shown in Scheme 1 where X is for example bromo or chloro.
Compounds of formula (III) can be prepared by standard methods, for example as shown in Scheme 2.
For example, an aniline of formula (XIV) may be combined with an haloacetyl halide of formula (XIII) where X and X′ are halogen, for example chloroacetyl chloride or bromoacetyl chloride in an inert solvent, for example, dioxan and heated to give a compound of formula (III).
Compounds of formula (II) wherein ═ is a double bond can be prepared according to the reactions of Scheme 3.
The amido alcohol (V) is treated with an oxidising agent, for example, IBX, DMSO/acetic anhydride or DMSO/oxalyl chloride step (i) in the presence of a base such as triethylamine to give the intermediate aldehyde (VI). The intermediate aldehyde is subsequently submitted to intramolecular condensation step (ii) in the presence of for example, sodium hydroxide in ethanol or ammonium acetate in an inert solvent such as toluene.
Amido alcohols (V) are readily prepared by acylating the amino alcohol (VII) with an activated arylacetic acid (VIII) as shown in scheme 4 where L is a leaving group such as halogen, OC(═O)alkyl, OC(═O)O-alkyl and OSO2Me. L may be halogen and acylation may be carried out in an inert solvent such as dichloromethane, in the presence of a base, such as triethylamine.
Alternatively compounds (V) may be prepared from arylacetic acids (IX) as shown in scheme 5 by treating the amino alcohol (VII) with acid (IX) in an inert solvent, such as dichloromethane in the presence of a coupling reagent, for example a diimide reagent such as N,N dicyclohexylcarbodiimide (DCC), N-(3-(dimethylamino)propyl)-N-ethylcarbodiimide hydrochloride (EDC), or O-(7-azabenzotriazol-1-yl)-1,1,3,3-tetramethyluronium hexafluoro phosphate (HATU).
Amino alcohols (VII), and arylacetic acids (IX) and activated aryl acetic acids such as acid chlorides (VIII) (L=Cl) are either known compounds or readily prepared by standard methods.
Compounds of formula (II) wherein ═ is a single bond can be prepared from compounds of formula (II) wherein ═ is a double bond (scheme 6) wherein R6, R7, R8 and R21 are as defined in formula (I)
Treatment of a compound of formula (II) wherein ═ is a double bond with hydrogen at atmospheric or elevated pressure, preferably elevated for example at 50 psi in the presence of a catalyst such as palladium on charcoal, in a solvent such as ethanol or acetic acid results in a compound of formula (II) wherein ═ is a single bond.
Compounds of formula (II) wherein ═ is a single bond or a double bond, can also be converted to compounds of formula (I) as shown in Scheme 7.
wherein R1, R2, R3, R4, R5R6, R7, R8 and R21 are as defined for compounds of formula (I).
Compounds of formula (X) can be prepared using standard methods from compounds of formula (II), step (iii), for example, by reaction with an appropriate haloester in the presence of a base, such as sodium hydride or potassium carbonate, in a suitable inert solvent, such as dimethylformamide, at room temperature or elevated temperature as appropriate.
Removal of the ester group R′ from compounds of formula (X) to afford the acids of formula (XI), step (iv), can be achieved by known methods, for example by use of a base, such as sodium hydroxide, in an inert solvent, such as aqueous methanol or aqueous ethanol, with or without heating as appropriate.
Compounds of formula (XI) can be converted to compounds of formula (I), step (v), by reaction with an aniline of formula (XIV) using a variety of methods known in the art. For example, the acylation step (v) can be achieved by reaction of the acid (XI) with an aniline of formula (XIV), in an inert solvent, such as dichloromethane in the presence of a coupling reagent, for example a diimide reagent such as N,N dicyclohexylcarbodiimide (DCC), N-(3-(dimethylamino)propyl)-N-ethylcarbodiimide hydrochloride (EDC), or O-(7-azabenzotriazol-1-yl)-1,1,3,3-tetramethyluronium hexafluoro phosphate (HATU).
Alternatively, compounds of formula (XI) are converted to compounds of formula (XII)
wherein R6, R7, R8, m and R21 are as defined in formula (I) and L represents a suitable leaving group. Examples of leaving groups include halogen, OC(═O)alkyl, OC(═O)O-alkyl and OSO2Me. L may be halogen and acylation in step (v) may be carried out in an inert solvent such as dichloromethane, in the presence of a base, such as triethylamine.
Within the scheme there is scope to convert a group R1 into another group R1 and similarly for groups R2, R3, R4, R5, R6, R7, R21.
Compounds of formula (I), (X) or (XI) wherein ═ is a double bond can be converted into the corresponding compound of formula (I), (X) or (XI) wherein ═ is a single bond according to the reaction conditions of scheme 6.
Compounds of formula (I) can be converted into further compounds of formula (I) using standard techniques. Salts may be prepared conventionally by reaction with the appropriate acid or acid derivative.
The compounds of the present invention inhibit the GlyT1 transporter as measured by the assay below. Such compounds are therefore of potential utility for the treatment of certain neurological and neuropsychiatric disorders. The compounds may selectively inhibit the GlyT1 transporter over the GlyT2 transporter. Some compounds of the invention may have mixed GlyT1/GlyT2 activity.
The affinities of the compounds of this invention for the GlyT1 transporter can be determined by the following assay. In the assays used herein the compounds of the present invention were not neccesarily from the same batch described above. The test compound made in one batch may have been combined with other batch(es) for the assay(s).
HEK293 cells expressing the Glycine (Type 1) transporter were grown in cell culture medium [DMEM/NUT mix F12 containing 2 mM L-Glutamine, 0.8 mg/mL G418 and 10% heat inactivated fetal calf serum] at 37° C. and 5% CO2. Cells grown to 70-80% confluency in T175 flasks were harvested and resuspended at 4×105 cells/mL in assay buffer [140 mM NaCl, 5.4 mM KCl, 1.8 mM CaCl2, 0.8 mM MgSO4, 20 mM HEPES, 5 mM glucose and 5 mM alanine, pH 7.4]. Compounds were serially diluted 2.5-fold in DMSO from a top concentration of 2.5 mM with each compound giving a 11 data point dose-response. 100 nL of compound at each concentration was added to the assay plate. An equal volume of Leadseeker™ WGA SPA beads (12.5 mg/ml suspended in assay buffer) was added to the cell suspension and 5 μL of the cell/bead suspension transferred to each well of a 384-well white solid bottom plate (1,000 cells/well) containing 100 nL of test compounds. Substrate (5 μL) was added to each well [1:100 dilution of [3H]-glycine stock in assay buffer containing 2.5 μM glycine). Final DMSO concentration was 1% v/v. Data was collected using a Perkin Elmer Viewlux. pIC50 values were determined using ActivityBase.
Compounds are considered to have activity at the GlyT1 transporter if they have a pIC50 of 5.0 or above, conveniently an average pIC50 at the glycine transporter of greater than 6.0 and above.
As used herein, the term “disorders mediated by GlyT1” refers to disorders that may be treated by the administration of a medicament that alters the activity of the GlyT1 transporter. The disorders mediated by GlyT1 referred to herein include neurological and neuropsychiatric disorders, including psychoses such as schizophrenia, dementia and other forms of impaired cognition such as attention deficit disorders and organic brain syndromes. Other neuropsychiatric disorders include drug-induced (phencyclidine, ketamine and other dissociative anesthetics, amphetamine and other psychostimulants and cocaine) psychosis, psychosis associated with affective disorders, brief reactive psychosis, schizoaffective psychosis, and psychosis NOS, “schizophrenia-spectrum” disorders such as schizoid or schizotypal personality disorders, or illness associated with psychosis (such as major depression, manic depressive (bipolar) disorder, Alzheimer's disease and post-traumatic stress syndrome), and NMDA receptor-related disorders such as autism, depression, benign forgetfulness, childhood learning disorders and closed head injury. Other disorders include Parkinson's disease, dyskinetic disorders, cognitive impairment, emesis, movement disorders, amnesia, circadian rhythm disorders, aggression and vertigo.
In one embodiment, the disorder mediated by GlyT1 to be treated by the use or method as hereinbefore described is a psychosis, including schizophrenia, dementia and attention deficit disorders. In one embodiment, the disorder is schizophrenia.
As used herein, the term “effective amount” means that amount of a drug or pharmaceutical agent that will elicit the biological or medical response of a tissue, system, animal or human that is being sought, for instance, by a researcher or clinician.
Within the context of the present invention, the terms used herein are classified in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, published by the American Psychiatric Association (DSM-IV) and/or the International Classification of Diseases, 10th Edition (ICD-10). The various subtypes of the disorders mentioned herein are contemplated as part of the present invention. Numbers in brackets after the listed diseases below refer to the classification code in DSM-IV.
In particular, the compounds of the invention may be of use in the treatment of schizophrenia including the subtypes Paranoid Type (295.30), Disorganised Type (295.10), Catatonic Type (295.20), Undifferentiated Type (295.90) and Residual Type (295.60); Schizophreniform Disorder (295.40); Schizoaffective Disorder (295.70) including the subtypes Bipolar Type and Depressive Type; Delusional Disorder (297.1) including the subtypes Erotomanic Type, Grandiose Type, Jealous Type, Persecutory Type, Somatic Type, Mixed Type and Unspecified Type; Brief Psychotic Disorder (298.8); Shared Psychotic Disorder (297.3); Psychotic Disorder Due to a General Medical Condition including the subtypes With Delusions and With Hallucinations; Substance-Induced Psychotic Disorder including the subtypes With Delusions (293.81) and With Hallucinations (293.82); and Psychotic Disorder Not Otherwise Specified (298.9).
The compounds of the invention may also be of use in the treatment of mood disorders including Major Depressive Episode, Manic Episode, Mixed Episode and Hypomanic Episode; Depressive Disorders including Major Depressive Disorder, Dysthymic Disorder (300.4), Depressive Disorder Not Otherwise Specified (311); Bipolar Disorders including Bipolar I Disorder, Bipolar II Disorder (Recurrent Major Depressive Episodes with Hypomanic Episodes) (296.89), Cyclothymic Disorder (301.13) and Bipolar Disorder Not Otherwise Specified (296.80); Other Mood Disorders including Mood Disorder Due to a General Medical Condition (293.83) which includes the subtypes With Depressive Features, With Major Depressive-like Episode, With Manic Features and With Mixed Features), Substance-Induced Mood Disorder (including the subtypes With Depressive Features, With Manic Features and With Mixed Features) and Mood Disorder Not Otherwise Specified (296.90).
The compounds of the invention may also be of use in the treatment of anxiety disorders including Panic Attack, Agoraphobia, Panic Disorder, Agoraphobia Without History of Panic Disorder (300.22), Specific Phobia (300.29) including the subtypes Animal Type, Natural Environment Type, Blood-Injection-Injury Type, Situational Type and Other Type), Social Phobia (300.23), Obsessive-Compulsive Disorder (300.3), Posttraumatic Stress Disorder (309.81), Acute Stress Disorder (308.3), Generalized Anxiety Disorder (300.02), Anxiety Disorder Due to a General Medical Condition (293.84), Substance-Induced Anxiety Disorder and Anxiety Disorder Not Otherwise Specified (300.00).
The compounds of the invention may also be of use in the treatment of substance-related disorders including Substance Use Disorders such as Substance Dependence and Substance Abuse; Substance-Induced Disorders such as Substance Intoxication, Substance Withdrawal, Substance-Induced Delirium, Substance-Induced Persisting Dementia, Substance-Induced Persisting Amnestic Disorder, Substance-Induced Psychotic Disorder, Substance-Induced Mood Disorder, Substance-Induced Anxiety Disorder, Substance-Induced Sexual Dysfunction, Substance-Induced Sleep Disorder and Hallucinogen Persisting Perception Disorder (Flashbacks); Alcohol-Related Disorders such as Alcohol Dependence (303.90), Alcohol Abuse (305.00), Alcohol Intoxication (303.00), Alcohol Withdrawal (291.81), Alcohol Intoxication Delirium, Alcohol Withdrawal Delirium, Alcohol-Induced Persisting Dementia, Alcohol-Induced Persisting Amnestic Disorder, Alcohol-Induced Psychotic Disorder, Alcohol-Induced Mood Disorder, Alcohol-Induced Anxiety Disorder, Alcohol-Induced Sexual Dysfunction, Alcohol-Induced Sleep Disorder and Alcohol-Related Disorder Not Otherwise Specified (291.9); Amphetamine (or Amphetamine-Like)-Related Disorders such as Amphetamine Dependence (304.40), Amphetamine Abuse (305.70), Amphetamine Intoxication (292.89), Amphetamine Withdrawal (292.0), Amphetamine Intoxication Delirium, Amphetamine Induced Psychotic Disorder, Amphetamine-Induced Mood Disorder, Amphetamine-Induced Anxiety Disorder, Amphetamine-Induced Sexual Dysfunction, Amphetamine-Induced Sleep Disorder and Amphetamine-Related Disorder Not Otherwise Specified (292.9); Caffeine Related Disorders such as Caffeine Intoxication (305.90), Caffeine-Induced Anxiety Disorder, Caffeine-Induced Sleep Disorder and Caffeine-Related Disorder Not Otherwise Specified (292.9); Cannabis-Related Disorders such as Cannabis Dependence (304.30), Cannabis Abuse (305.20), Cannabis Intoxication (292.89), Cannabis Intoxication Delirium, Cannabis-Induced Psychotic Disorder, Cannabis-Induced Anxiety Disorder and Cannabis-Related Disorder Not Otherwise Specified (292.9); Cocaine-Related Disorders such as Cocaine Dependence (304.20), Cocaine Abuse (305.60), Cocaine Intoxication (292.89), Cocaine Withdrawal (292.0), Cocaine Intoxication Delirium, Cocaine-Induced Psychotic Disorder, Cocaine-Induced Mood Disorder, Cocaine-Induced Anxiety Disorder, Cocaine-Induced Sexual Dysfunction, Cocaine-Induced Sleep Disorder and Cocaine-Related Disorder Not Otherwise Specified (292.9); Hallucinogen-Related Disorders such as Hallucinogen Dependence (304.50), Hallucinogen Abuse (305.30), Hallucinogen Intoxication (292.89), Hallucinogen Persisting Perception Disorder (Flashbacks) (292.89), Hallucinogen Intoxication Delirium, Hallucinogen-Induced Psychotic Disorder, Hallucinogen-Induced Mood Disorder, Hallucinogen-Induced Anxiety Disorder and Hallucinogen-Related Disorder Not Otherwise Specified (292.9); Inhalant-Related Disorders such as Inhalant Dependence (304.60), Inhalant Abuse (305.90), Inhalant Intoxication (292.89), Inhalant Intoxication Delirium, Inhalant-Induced Persisting Dementia, Inhalant-Induced Psychotic Disorder, Inhalant-Induced Mood Disorder, Inhalant-Induced Anxiety Disorder and Inhalant-Related Disorder Not Otherwise Specified (292.9); Nicotine-Related Disorders such as Nicotine Dependence (305.1), Nicotine Withdrawal (292.0) and Nicotine-Related Disorder Not Otherwise Specified (292.9); Opioid-Related Disorders such as Opioid Dependence (304.00), Opioid Abuse (305.50), Opioid Intoxication (292.89), Opioid Withdrawal (292.0), Opioid Intoxication Delirium, Opioid-Induced Psychotic Disorder, Opioid-Induced Mood Disorder, Opioid-Induced Sexual Dysfunction, Opioid-Induced Sleep Disorder and Opioid-Related Disorder Not Otherwise Specified (292.9); Phencyclidine (or Phencyclidine-Like)-Related Disorders such as Phencyclidine Dependence (304.60), Phencyclidine Abuse (305.90), Phencyclidine Intoxication (292.89), Phencyclidine Intoxication Delirium, Phencyclidine-Induced Psychotic Disorder, Phencyclidine-Induced Mood Disorder, Phencyclidine-Induced Anxiety Disorder and Phencyclidine-Related Disorder Not Otherwise Specified (292.9); Sedative-, Hypnotic-, or Anxiolytic-Related Disorders such as Sedative, Hypnotic, or Anxiolytic Dependence (304.10), Sedative, Hypnotic, or Anxiolytic Abuse (305.40), Sedative, Hypnotic, or Anxiolytic Intoxication (292.89), Sedative, Hypnotic, or Anxiolytic Withdrawal (292.0), Sedative, Hypnotic, or Anxiolytic Intoxication Delirium, Sedative, Hypnotic, or Anxiolytic Withdrawal Delirium, Sedative-, Hypnotic-, or Anxiolytic-Persisting Dementia, Sedative-, Hypnotic-, or Anxiolytic-Persisting Amnestic Disorder, Sedative-, Hypnotic-, or Anxiolytic-Induced Psychotic Disorder, Sedative-, Hypnotic-, or Anxiolytic-Induced Mood Disorder, Sedative-, Hypnotic-, or Anxiolytic-Induced Anxiety Disorder Sedative-, Hypnotic-, or Anxiolytic-Induced Sexual Dysfunction, Sedative-, Hypnotic-, or Anxiolytic-Induced Sleep Disorder and Sedative-, Hypnotic-, or Anxiolytic-Related Disorder Not Otherwise Specified (292.9); Polysubstance-Related Disorder such as Polysubstance Dependence (304.80); and Other (or Unknown) Substance-Related Disorders such as Anabolic Steroids, Nitrate Inhalants and Nitrous Oxide.
The compounds of the invention may also be of use in the treatment of sleep disorders including primary sleep disorders such as Dyssomnias such as Primary Insomnia (307.42), Primary Hypersomnia (307.44), Narcolepsy (347), Breathing-Related Sleep Disorders (780.59), Circadian Rhythm Sleep Disorder (307.45) and Dyssomnia Not Otherwise Specified (307.47); primary sleep disorders such as Parasomnias such as Nightmare Disorder (307.47), Sleep Terror Disorder (307.46), Sleepwalking Disorder (307.46) and Parasomnia Not Otherwise Specified (307.47); Sleep Disorders Related to Another Mental Disorder such as Insomnia Related to Another Mental Disorder (307.42) and Hypersomnia Related to Another Mental Disorder (307.44); Sleep Disorder Due to a General Medical Condition; and Substance-Induced Sleep Disorder including the subtypes Insomnia Type, Hypersomnia Type, Parasomnia Type and Mixed Type.
The compounds of the invention may also be of use in the treatment of eating disorders such as Anorexia Nervosa (307.1) including the subtypes Restricting Type and Binge-Eating/Purging Type; Bulimia Nervosa (307.51) including the subtypes Purging Type and Nonpurging Type; Obesity; Compulsive Eating Disorder; and Eating Disorder Not Otherwise Specified (307.50).
The compounds of the invention may also be of use in the treatment of Autistic Disorder (299.00); Attention-Deficit/Hyperactivity Disorder including the subtypes Attention-Deficit/Hyperactivity Disorder Combined Type (314.01), Attention-Deficit/Hyperactivity Disorder Predominantly Inattentive Type (314.00), Attention-Deficit/Hyperactivity Disorder Hyperactive-Impulse Type (314.01) and Attention-Deficit/Hyperactivity Disorder Not Otherwise Specified (314.9); Hyperkinetic Disorder; Disruptive Behaviour Disorders such as Conduct Disorder including the subtypes childhood-onset type (321.81), Adolescent-Onset Type (312.82) and Unspecified Onset (312.89), Oppositional Defiant Disorder (313.81) and Disruptive Behaviour Disorder Not Otherwise Specified; and Tic Disorders such as Tourette's Disorder (307.23).
The compounds of the invention may also be of use in the treatment of Personality Disorders including the subtypes Paranoid Personality Disorder (301.0), Schizoid Personality Disorder (301.20), Schizotypal Personality Disorder (301,22), Antisocial Personality Disorder (301.7), Borderline Personality Disorder (301,83), Histrionic Personality Disorder (301.50), Narcissistic Personality Disorder (301,81), Avoidant Personality Disorder (301.82), Dependent Personality Disorder (301.6), Obsessive-Compulsive Personality Disorder (301.4) and Personality Disorder Not Otherwise Specified (301.9).
The compounds of the invention may also be of use in the treatment of cognitive impairment. Within the context of the present invention, the term cognitive impairment includes for example the treatment of impairment of cognitive functions including attention, orientation, learning disorders, memory (i.e. memory disorders, amnesia, amnesic disorders, transient global amnesia syndrome and age-associated memory impairment) and language function; cognitive impairment as a result of stroke, Alzheimer's disease, Huntington's disease, Pick disease, Aids-related dementia or other dementia states such as Multiinfarct dementia, alcoholic dementia, hypotiroidism-related dementia, and dementia associated to other degenerative disorders such as cerebellar atrophy and amyotropic lateral sclerosis; other acute or sub-acute conditions that may cause cognitive decline such as delirium or depression (pseudodementia states) trauma, head trauma, age related cognitive decline, stroke, neurodegeneration, drug-induced states, neurotoxic agents, mild cognitive impairment, age related cognitive impairment, autism related cognitive impairment, Down's syndrome, cognitive deficit related to psychosis, and post-electroconvulsive treatment related cognitive disorders; and dyskinetic disorders such as Parkinson's disease, neuroleptic-induced parkinsonism, and tardive dyskinesias.
The compounds of the present invention may also be of use for the treatment of cognition impairment which arises in association or as a result of other diseases such as schizophrenia, bipolar disorder, depression, other psychiatric disorders and psychotic conditions associated with cognitive impairment.
The compounds of the invention may also be of use in the treatment of sexual dysfunctions including Sexual Desire Disorders such as Hypoactive Sexual Desire Disorder (302.71), and Sexual Aversion Disorder (302.79); sexual arousal disorders such as Female Sexual Arousal Disorder (302.72) and Male Erectile Disorder (302.72); orgasmic disorders such as Female Orgasmic Disorder (302.73), Male Orgasmic Disorder (302.74) and Premature Ejaculation (302.75); sexual pain disorder such as Dyspareunia (302.76) and Vaginismus (306.51); Sexual Dysfunction Not Otherwise Specified (302.70); paraphilias such as Exhibitionism (302.4), Fetishism (302.81), Frotteurism (302.89), Pedophilia (302.2), Sexual Masochism (302.83), Sexual Sadism (302.84), Transvestic Fetishism (302.3), Voyeurism (302.82) and Paraphilia Not Otherwise Specified (302.9); gender identity disorders such as Gender Identity Disorder in Children (302.6) and Gender Identity Disorder in Adolescents or Adults (302.85); and Sexual Disorder Not Otherwise Specified (302.9).
The compounds of the invention may also be of use as anticonvulsants. The compounds of the invention are thus useful in the treatment of convulsions in mammals, and particularly epilepsy in humans. “Epilepsy” is intended to include the following seizures: simple partial seizures, complex partial seizures, secondary generalised seizures, generalised seizures including absence seizures, myoclonic seizures, clonic seizures, tonic seizures, tonic clonic seizures and atonic seizures. The invention also provides a method of treating convulsions, which comprises administering to a mammal in need thereof an effective amount of a compound of the invention as hereinbefore described or a salt thereof. Treatment of epilepsy may be carried out by the administration of a non-toxic anticonvulsant effective amount of a compound of the formula (I) or a salt thereof.
The compounds of the invention may also be of use in the treatment of neuropathic pain, for example in diabetic neuropathy, sciatica, non-specific lower back pain, multiple sclerosis pain, fibromyalgia, HIV-related neuropathy, neuralgia such as post-herpetic neuralgia and trigeminal neuralgia and pain resulting from physical trauma, amputation, cancer, toxins or chronic inflammatory conditions.
As used herein, the terms “treatment” and “treating” refer to the alleviation and/or cure of established symptoms as well as prophylaxis.
The invention thus provides compounds of formula (I) and salts thereof for use in therapy.
The invention also provides compounds of formula (I) and salts thereof for use in the treatment of a disorder mediated by GlyT1.
In a further aspect of the present invention, there is provided a method of treating a disorder mediated by GlyT1 comprising administering a compound of formula (I) or a salt thereof.
In a further aspect of the present invention there is provided the use of a compound of formula (I) or a salt thereof in the manufacture of a medicament for use in the treatment of disorders mediated by GlyT1.
In order to use a compound of the present invention in therapy, it will normally be formulated into a pharmaceutical composition in accordance with standard pharmaceutical practice. The present invention also provides a pharmaceutical composition, which comprises a compound of formula (I) or a salt thereof, and at least one pharmaceutically acceptable excipient.
In a further aspect, the present invention provides a process for preparing a pharmaceutical composition, the process comprising mixing a compound of formula (I) or a salt thereof and at least one pharmaceutically acceptable excipient.
A pharmaceutical composition of the invention is usually adapted for oral, sub-lingual, buccal, parenteral (for example, subcutaneous, intramuscular, or intravenous), rectal, topical and intranasal administration and in forms suitable for administration by inhalation or insufflation (either through the mouth or nose). The most suitable means of administration for a particular patient will depend on the nature and severity of the conditions being treated and on the nature of the active compound. In one embodiment, oral administration is provided.
Compositions suitable for oral administration may be provided as discrete units, such as tablets, capsules, cachets, or lozenges, each containing a predetermined amount of the active compound; as powders or granules; as solutions or suspensions in aqueous or non-aqueous liquids; or as oil-in-water or water-in-oil emulsions.
Compositions suitable for sublingual or buccal administration include lozenges comprising the active compound and, typically, a flavoured base, such as sugar and acacia or tragacanth and pastilles comprising the active compound in an inert base, such as gelatin and glycerin or sucrose and acacia.
Compositions suitable for parenteral administration typically comprise sterile aqueous solutions containing a predetermined concentration of the active compound; the solution may be isotonic with the blood of the intended recipient. Such solutions may be administered intravenously or by subcutaneous or intramuscular injection.
Compositions suitable for rectal administration may be provided as unit-dose suppositories comprising the active ingredient and one or more solid carriers forming the suppository base, for example, cocoa butter.
Compositions suitable for topical or intranasal application include ointments, creams, lotions, pastes, gels, sprays, aerosols and oils. Suitable carriers for such compositions include petroleum jelly, lanolin, polyethylene glycols, alcohols, and combinations thereof.
The compositions of the invention may be prepared by any suitable method, typically by uniformly and intimately admixing the active compound(s) with liquids or finely divided solid carriers, or both, in the required proportions and then, if necessary, shaping the resulting mixture into the desired shape.
For example, a tablet may be prepared by compressing an intimate mixture comprising a powder or granules of the active ingredient and one or more optional ingredients, such as a binder, lubricant, inert diluent, or surface active dispersing agent, or by moulding an intimate mixture of powdered active ingredient and inert liquid diluent.
Aqueous solutions for parenteral administration are typically prepared by dissolving the active compound in sufficient water to give the desired concentration and then rendering the resulting solution sterile and isotonic.
It will be appreciated that the precise dose administered will depend on the age and condition of the patient and the frequency and route of administration and will be at the ultimate discretion of the attendant physician. The compound may be administered in single or divided doses and may be administered one or more times, for example 1 to 4 times per day.
A proposed dose of the active ingredient for use according to the invention for oral, sub-lingual, parenteral, buccal, rectal, intranasal or topical administration to a human (of approximately 70 kg bodyweight) for the treatment of neurological and neuropsychiatric disorders mediated by a GlyT1 inhibitor, including schizophrenia, may be about 0.1 to about 1000 mg, for example about 0.5 mg to about 1000 mg, or about 1 mg to about 1000 mg, or about 5 mg to about 500 mg, or about 10 mg to about 100 mg of the active ingredient per unit dose, which could be administered, for example, 1 to 4 times per day.
The compounds of formula (I) and their salts thereof may also be suitable for combination with other therapeutic agents, such as typical and atypical antipsychotics. Thus, the present invention also provides:
The combination therapies of the invention may be administered adjunctively. By adjunctive administration is meant the coterminous or overlapping administration of each of the components in the form of separate pharmaceutical compositions or devices. This regime of therapeutic administration of two or more therapeutic agents is referred to generally by those skilled in the art and herein as adjunctive therapeutic administration; it is also known as add-on therapeutic administration. Any and all treatment regimes in which a patient receives separate but coterminous or overlapping therapeutic administration of the compounds of formula (I) or a salt thereof and at least one antipsychotic agent are within the scope of the current invention. In one embodiment of adjunctive therapeutic administration as described herein, a patient is typically stabilised on a therapeutic administration of one or more of the of the components for a period of time and then receives administration of another component. Within the scope of this invention, the compounds of formula (I) or a salt thereof may be administered as adjunctive therapeutic treatment to patients who are receiving administration of at least one antipsychotic agent, but the scope of the invention also includes the adjunctive therapeutic administration of at least one antipsychotic agent to patients who are receiving administration of compounds of formula (I) or a salt thereof.
The combination therapies of the invention may also be administered simultaneously. By simultaneous administration is meant a treatment regime wherein the individual components are administered together, either in the form of a single pharmaceutical composition or device comprising or containing both components, or as separate compositions or devices, each comprising one of the components, administered simultaneously. Such combinations of the separate individual components for simultaneous combination may be provided in the form of a kit-of-parts.
In a further aspect therefore, the invention provides a method of treatment of a psychotic disorder by adjunctive therapeutic administration of compounds of formula (I) or a salt thereof to a patient receiving therapeutic administration of at least one antipsychotic agent. In a further aspect, the invention provides the use of compounds of formula (I) or a salt thereof in the manufacture of a medicament for adjunctive therapeutic administration for the treatment of a psychotic disorder in a patient receiving therapeutic administration of at least one antipsychotic agent. The invention further provides compounds of formula (I) or a salt thereof for use for adjunctive therapeutic administration for the treatment of a psychotic disorder in a patient receiving therapeutic administration of at least one antipsychotic agent.
In a further aspect, the invention provides a method of treatment of a psychotic disorder by adjunctive therapeutic administration of at least one antipsychotic agent to a patient receiving therapeutic administration of compounds of formula (I) or a salt thereof. In a further aspect, the invention provides the use of at least one antipsychotic agent in the manufacture of a medicament for adjunctive therapeutic administration for the treatment of a psychotic disorder in a patient receiving therapeutic administration of compounds of formula (I) or a salt thereof. The invention further provides at least one antipsychotic agent for adjunctive therapeutic administration for the treatment of a psychotic disorder in a patient receiving therapeutic administration of compounds of formula (I) or a salt thereof.
In a further aspect, the invention provides a method of treatment of a psychotic disorder by simultaneous therapeutic administration of compounds of formula (I) or a salt thereof in combination with at least one antipsychotic agent. The invention further provides the use of a combination of compounds of formula (I) or a salt thereof and at least one antipsychotic agent in the manufacture of a medicament for simultaneous therapeutic administration in the treatment of a psychotic disorder. The invention further provides the use of compounds of formula (I) or a salt thereof in the manufacture of a medicament for simultaneous therapeutic administration with at least one antipsychotic agent in the treatment of a psychotic disorder. The invention further provides compounds of formula (I) or a salt thereof for use for simultaneous therapeutic administration with at least one antipsychotic agent in the treatment of a psychotic disorder. The invention further provides the use of at least one antipsychotic agent in the manufacture of a medicament for simultaneous therapeutic administration with compounds of formula (I) or a salt thereof in the treatment of a psychotic disorder.
In further aspects, the invention provides a method of treatment of a psychotic disorder by simultaneous therapeutic administration of a pharmaceutical composition comprising compounds of formula (I) or a salt thereof and at least one mood stabilising or antimanic agent, a pharmaceutical composition comprising compounds of formula (I) or a salt thereof and at least one mood stabilising or antimanic agent, the use of a pharmaceutical composition comprising compounds of formula (I) or a salt thereof and at least one mood stabilising or antimanic agent in the manufacture of a medicament for the treatment of a psychotic disorder, and a pharmaceutical composition comprising compounds of formula (I) or a salt thereof and at least one mood stabilising or antimanic agent for use in the treatment of a psychotic disorder.
Examples of antipsychotic drugs that are useful in the present invention include, but are not limited to: butyrophenones, such as haloperidol, pimozide, and droperidol; phenothiazines, such as chlorpromazine, thioridazine, mesoridazine, trifluoperazine, perphenazine, fluphenazine, thiflupromazine, prochlorperazine, and acetophenazine; thioxanthenes, such as thiothixene and chlorprothixene; thienobenzodiazepines; dibenzodiazepines; benzisoxazoles; dibenzothiazepines; imidazolidinones; benziso-thiazolyl-piperazines; triazine such as lamotrigine; dibenzoxazepines, such as loxapine; dihydroindolones, such as molindone; aripiprazole; and derivatives thereof that have antipsychotic activity.
Examples of tradenames and suppliers of selected antipsychotic drugs are as follows: clozapine (available under the tradename CLOZARIL®, from Mylan, Zenith Goldline, UDL, Novartis); olanzapine (available under the tradename ZYPREX®, from Lilly); ziprasidone (available under the tradename GEODON®, from Pfizer); risperidone (available under the tradename RISPERDAL®, from Janssen); quetiapine fumarate (available under the tradename SEROQUEL®, from AstraZeneca); haloperidol (available under the tradename HALDOL®, from Ortho-McNeil); chlorpromazine (available under the tradename THORAZINE®, from SmithKline Beecham (GSK)); fluphenazine (available under the tradename PROLIXIN®, from Apothecon, Copley, Schering, Teva, and American Pharmaceutical Partners, Pasadena); thiothixene (available under the tradename NAVANE®, from Pfizer); trifluoperazine (10-[3-(4-methyl-1-piperazinyl)propyl]-2-(trifluoromethyl)phenothiazine dihydrochloride, available under the tradename STELAZINE®, from Smith Klein Beckman); perphenazine (available under the tradename TRILAFON®; from Schering); thioridazine (available under the tradename MELLARIL®; from Novartis, Roxane, HiTech, Teva, and Alpharma); molindone (available under the tradename MOBAN®, from Endo); and loxapine (available under the tradename LOXITANE®, from Watson). Furthermore, benperidol (Glianimon®), perazine (Taxilan®) or melperone (Eunerpan®)) may be used. Other antipsychotic drugs include promazine (available under the tradename SPARINE®), triflurpromazine (available under the tradename VESPRIN®), chlorprothixene (available under the tradename TARACTAN®), droperidol (available under the tradename INAPSINE®), acetophenazine (available under the tradename TINDAL®), prochlorperazine (available under the tradename COMPAZINE®), methotrimeprazine (available under the tradename NOZINAN®), pipotiazine (available under the tradename PIPOTRIL®), ziprasidone, and hoperidone.
It will be appreciated by those skilled in the art that the compounds according to the invention may advantageously be used in conjunction with one or more other therapeutic agents, for instance, antidepressant agents such as 5HT3 antagonists, serotonin agonists, NK-1 antagonists, selective serotonin reuptake inhibitors (SSRI), noradrenaline re-uptake inhibitors (SNRI), tricyclic antidepressants, dopaminergic antidepressants, H3 antagonists, 5HT1A antagonists, 5HT1B antagonists, 5HT1D antagonists, D1 agonists, M1 agonists and/or anticonvulsant agents, as well as cognitive enhancers.
Suitable 5HT3 antagonists which may be used in combination of the compounds of the inventions include for example ondansetron, granisetron, metoclopramide.
Suitable serotonin agonists which may be used in combination with the compounds of the invention include sumatriptan, rauwolscine, yohimbine, metoclopramide.
Suitable SSRIs which may be used in combination with the compounds of the invention include fluoxetine, citalopram, femoxetine, fluvoxamine, paroxetine, indalpine, sertraline, zimeldine.
Suitable SNRIs which may be used in combination with the compounds of the invention include venlafaxine and reboxetine.
Suitable tricyclic antidepressants which may be used in combination with a compound of the invention include imipramine, amitriptiline, chlomipramine and nortriptiline.
Suitable dopaminergic antidepressants which may be used in combination with a compound of the invention include bupropion and amineptine.
Suitable anticonvulsant agents which may be used in combination of the compounds of the invention include for example divalproex, carbamazepine and diazepam.
The invention is further illustrated by the following non-limiting Examples.
The starting material may not necessarily have been prepared from the batch detailed in the relevant Description. All quoted retention times are as measured using LC/MS (Liquid Chromatography/Mass Spectrometry). Where appropriate, these retention times were used as a guide for purification using mass-directed auto-preparation (MDAP), which refers to purification by HPLC, wherein fraction collection is triggered by detection of the programmed mass ion for the compound of interest.
Starting materials were obtained from commercial suppliers and used without further purification unless otherwise stated. Flash chromatography was carried out using pre-packed Isolute Flash™ or Biotage™ silica-gel columns as the stationary phase and analytical grade solvents as the eluent unless otherwise stated.
Where reactions are described as having been carried out in a similar manner to earlier, more completely described reactions, the general reaction conditions used were essentially the same. Work up conditions used were of the types standard in the art, but may have been adapted from one reaction to another.
NMR spectra were obtained at 294K at 400 MHz frequency using either a Bruker™ DPX400 or AV400 machine and run as a dilute solution of CDCl3 unless otherwise stated. All NMR spectra were referenced to tetramethylsilane (TMS δH 0, δC 0). All coupling constants are reported in hertz (Hz), and multiplicities are labelled s (singlet), bs (broad singlet), d (doublet), t (triplet), q (quartet), dd (doublet of doublets), dt (doublet of triplets) and m (multiplet).
Total ion current traces were obtained for electrospray positive and negative ionisation (ES+/ES−) and/or atmospheric pressure chemical positive and negative ionisation (AP+/AP−).
Unless otherwise stated, all compounds with chiral centre(s) are racemic.
Preparative HPLC refers to methods where the material was purified by High Performance Liquid Chromatography on a Supelcosil ABZ+Plus 5 μm column (10 cm×21.2 mm); Eluting solvents are: water (containing 0.1% TFA) (A) and acetonitrile (containing 0.1% TFA) (B); 10 minute runtime with a gradient elution of 30-85% B at a flow rate of 8 mL/min and UV detection at 254 nm.
There are five methods used depending on the analytical retention time of the compound of interest. They have a 13.5-minute runtime, which comprises of a 10-minute gradient followed by a 3.5 minute column flush and re-equilibration step. (i) 1.0-1.5 mins=5-30% B; (ii) 1.5-2.2=15-55% B; (iii) 2.2-2.9=30-85% B; (iv) 2.9-3.6 mins=50-99% B; (v) 3.6-5.0 mins=80-99% B (in 6 minutes followed by 7.5 minutes flush and re-equilibration).
In the procedures that follow, reference to an Intermediate or Example by number is typically provided. This is provided merely for assistance to the skilled chemist to identify the starting material used.
LiAlH4 (5.0 g, 280.0 mmol) was suspended in THF, cooled to 0° C., and 1-aminocyclohexanecarboxylic acid (10 g, 140 mmol) was added in portions. The mixture was allowed to warm to ambient temperature and stirred for an additional 2 hours. The mixture was poured into ice water, extracted with ethyl acetate three times, dried and concentrated to give the crude product 1-aminocyclohexyl)methanol (6.5 g, 75% yield). LC/MS [m/z] calcd for C7H15ClNO 130.1 (MH+), found 130.0 (MH+).
2-(4-Chlorophenyl)acetic acid (9.0 g, 52.0 mmol) was cooled to −70° C. and thionyl chloride was then added dropwise. The mixture was heated to reflux for 2 hours and then evaporated to remove the thionyl chloride to give the crude product 2-(4-chlorophenyl)acetyl chloride which was used directly in the next step.
1-(Aminocyclohexyl)methanol (6 g, 52 mmol, description 1) and triethylamine (5.2 g, 52 mmol) were dissolved in DCM. 2-(4-Chlorophenyl)acetyl chloride (prepared in description 2) was dissolved in DCM and added slowly to the mixture of 1-aminocyclohexyl)methanol and triethylamine, maintaining the temperature at room temperature. After stirred for 2 hours, the mixture was washed with brine, evaporated to remove the solvent to give the crude product, which was recrystallized from a mixture of ethyl acetate and petroleum ether (1:1) to get the pure product 2-(4-chlorophenyl)-N-[1-(hydroxymethyl)cyclohexyl]acetamide (6.0 g, 45% yield). LC/MS [m/z] calcd for C15H20ClNO2 282.0 (MH+), found 282.0 (MH+).
IBX (6.0 g, 21.4 mmol) was dissolved in DMSO and 2-(4-chlorophenyl)-N-[1-(hydroxymethyl)cyclohexyl]acetamide (6.0 g, 21.4 mmol, description 2) was added. The mixture was stirred at room temperature for 7 hours and TLC showed no starting materials. 200 ml of water was added, and the mixture was filtered and extracted with ethyl acetate, dried over magnesium sulphate and concentrated to get the crude product 2-(4-chlorophenyl)-N-(1-formylcyclohexyl)acetamide (4.0 g, 67% yield). It could be used directly in the next step. LC/MS [m/z] calcd for C15H18ClNO2 280.0 (MH+), found 280.0 (MH+).
2-(4-Chlorophenyl)-N-(1-formylcyclohexyl)acetamide (4.0 g, 14.33 mmol, description 3) was dissolved in ethanol and catalytic sodium hydroxide was added. The mixture was heated to 50° C. for 30 mins and TLC showed no starting materials. Water was added and the product filtered. After recrystallization from ethanol and ethyl acetate, the desired product 3-(4-chlorophenyl)-1-azaspiro[4.5]dec-3-en-2-one was obtained (2.3 g, 58% yield). 1HNMR (d6-DMSO)δ: 1.41-1.60 (10H, m), 7.39-7.42 (2H, m), 7.69 (1H, d), 7.96-7.99 (2H, m), 8.82 (1H, s). LC/MS [m/z] calcd for C15H16ClNO 262.0 (MH+), found 261.9 (MH+).
SOCl2 (30 ml, freshly distilled) was added dropwise to a solution of compound [4-(methyloxy)phenyl]acetic acid (3.3 g, 19.9 mmol) in dry CH2Cl2 (30 ml) at 0° C. under stirring. The reaction was heated to reflux for 2 hours and then concentrated under reduced pressure to give the crude product of [4-(methyloxy)phenyl]acetyl chloride as a yellow oil.
(1-Aminocyclohexyl)methanol (2.2 g, 17.05 mmol, description 1) and Et3N (3.0 ml) were dissolved in dry CH2Cl2 (20 ml) and stirred under nitrogen. After cooling to 0° C., a solution of [4-(methyloxy)phenyl]acetyl chloride in dry CH2Cl2 (20 ml) was added dropwise. The reaction was allowed to warm to ambient temperature and stirred for 2 hours, quenched by addition of H2O and extracted with ethyl acetate twice, dried (MgSO4), filtered and evaporated to give the crude product N-[1-(hydroxymethyl)cyclohexyl]-2-[4-(methyloxy)phenyl]acetamide (3.0 g, 54.5% yield for two steps) as a brown oil.
N-[1-(Hydroxymethyl)cyclohexyl]-2-[4-(methyloxy)phenyl]acetamide (2.8 g, 10 mmol) and IBX (2.8 g, 10 mmol) were dissolved in DMSO (30 ml) and stirred for 6 hours at ambient temperature. After complete disappearance of material as monitored by TLC, water was added and precipitates were formed, filtered and the filtrate was extracted with ethyl acetate three times, the combined organic layers were and washed with brine, dried (MgSO4), filtered and evaporated to get the crude product N-(1-formylcyclohexyl)-2-[4-(methyloxy)phenyl]acetamide (2.5 g, 89% yield) as a yellow oil.
To a solution of N-(1-formylcyclohexyl)-2-[4-(methyloxy)phenyl]acetamide (2.5 g, 9.1 mmol, description 6) in EtOH (25 ml) was added a catalytic quantity of NaOH, the mixture was heated to 50° C. and stirred for 2 hours. After the starting material was consumed completely as indicated by TLC, water was added at ambient temperature and the precipitates were formed, collected by filtration and washed with EtOH to get 3-[4-(methyloxy)phenyl]-1-azaspiro[4.5]dec-3-en-2-one (0.8 g, 34% yield) as a white solid. 1HNMR (d6-DMSO)δ: 1.44-1.65 (10H, m), 3.76 (3H, s), 6.91-6.94 (2H, m), 7.49-7.50 (1H, d), 7.88-7.91 (2H, m), 8.72 (1H, s). LC/MS [m/z] calcd for C16H19NO2 258.3 (MH+), found 258.1 (MH+).
3-[4-(Methyloxy)phenyl]-1-azaspiro[4.5]dec-3-en-2-one (50 mg; 0.195 mmol, description 7) in methanol (4 ml) was hydrogenated over 10% Pd/C catalyst at 30 bar and ambient temperature using a continuous flow hydrogenation apparatus.
Similarly 3-[4-(methyloxy)phenyl]-1-azaspiro[4.5]dec-3-en-2-one (200 mg; 0.780 mmol) in methanol (16 ml) was hydrogenated over 10% Pd/C catalyst at 30 bar and ambient temperature using a continuous flow hydrogenation apparatus. The product containing eluent was combined and evaporated to give the title product (227 mg) as a white solid. 1H NMR (CDCl3) δ: 1.42-1.69 (10H, m), 1.87-1.93 (1H, m), 2.49-2.55 (1H, m), 3.72-3.77 (1H, m), 3.79 (3H, s), 6.01 (1H, br s), 6.86-6.90 (2H, m), 7.18-7.21 (2H, m). Mass Spectrum (Electrospray LC/MS): Found 260 (MH+). C16H21NO2 requires 259. Ret. time 2.71 min.
To 3-[4-(methyloxy)phenyl]-1-azaspiro[4.5]decan-2-one (220 mg; 0.84 mmol, description 8) suspended in DMF (4 ml) at room temperature under argon was added sodium hydride (37 mg; 60% dispersion in oil; 0.92 mmol), followed after 30 min by ethyl bromoacetate (156 mg; 0.92 mmol) in DMF (0.5 ml). The reaction was stirred overnight, diluted with water (100 ml) and ethyl acetate (40 ml) and filtered. The filtrate was separated and the aqueous phase extracted twice with ethyl acetate (2×40 ml). The combined organic extracts were washed with brine, dried (Na2SO4), filtered and evaporated under reduced pressure to give a semi-solid (300 mg) which was used without further purification. Mass Spectrum (Electrospray LC/MS): Found 346 (MH+). C20H27NO4 requires 345. Ret. time 3.07 min.
To ethyl {3-[4-(methyloxy)phenyl]-2-oxo-1-azaspiro[4.5]dec-1-yl}acetate (300 mg, description 9) suspended in methanol (6 ml) and water (2 ml) at room temperature was added 2M sodium hydroxide (0.43 ml) followed by further 2M sodium hydroxide (0.21 ml) and the mixture stirred overnight. The resulting mixture was filtered and the filtrate evaporated. The residue was partitioned between DCM and water, the aqueous separated, acidified with 5M hydrochloric acid and extracted with DCM. The combined extracts were passed through a phase separation cartridge and evaporated to give the title compound as a gum (141 mg) which was used without further purification. Mass Spectrum (Electrospray LC/MS): Found 318 (MH+). C18H23NO4 requires 317. Ret. time 2.56 min.
To {3-[4-(methyloxy)phenyl]-2-oxo-1-azaspiro[4.5]dec-1-yl}acetic acid (51 mg; 0.16 mmol, description 10) in DCM (3 ml) under argon at room temperature was added oxalyl chloride (44 mg; 0.35 mmol), followed by DMF in DCM (1 drop of a 1:9 DMF:DCM mixture). After stirring overnight the pale red solution was evaporated under reduced pressure and then re-evaporated from DCM (×2) to afford the title product (50 mg) which was used without further purification.
A mixture of 3,5-difluoroaniline (10 g; 77.45 mmol) and bromoacetyl bromide (6.73 ml; 77.45 mmol) in anhydrous dioxan (100 ml) was refluxed for 1.5 hours, cooled to room temperature and diluted with water (400 ml) to afford a gum. The mother liquors were decanted and water added, followed by ethyl acetate. After stirring for 10 min the layers were separated and the organics dried and evaporated under reduced pressure. Recrystallisation from ethyl acetate-pentane afforded the title product as pale yellow crystals (6.5 g; 33%). 1H NMR (CDCl3) δ: 4.02 (2H, s), 6.60-6.65 (1H, m), 7.14-7.20 (2H, m), and 8.16 (1H, brs).
To a solution of 3,5-difluoroaniline (19 mg; 0.149 mmol) in DCM (2 ml) at room temperature was added PS-diisopropylethylamine (128 mg; 3.5 mmol/g; 0.450 mmol) followed by {3-[4-(methyloxy)phenyl]-2-oxo-1-azaspiro[4.5]dec-1-yl}acetyl chloride (50 mg; 0.149 mmol, description 11) in DCM (1 ml) and the mixture shaken overnight. The mixture was filtered through a phase-separation cartridge, the residue washed well with DCM and the combined DCM extracts evaporated. The resulting material was purified using mass directed auto-purification chromatography to afford the title product (15 mg). 1H NMR (CDCl3) δ: 1.16-1.99 (11H, m), 2.69-2.75 (1H, m), 3.75-3.78 (1H, m), 3.80 (3H, s), 3.84-3.87 (1H, m), 4.16-4.20 (1H, m), 6.49-6.55 (1H, m), 6.88-6.91 (2H, m), 7.05-7.15 (4H, m), 9.40 (1H, s). Mass Spectrum (Electrospray LC/MS): Found 429 (MH+). C24H26F2N2O3 requires 428. Ret. time 3.26 min.
To a stirred solution of 3-(4-chlorophenyl)-1-azaspiro[4.5]dec-3-en-2-one (100 mg; 0.38 mmol, description 4) in DMF (3 ml) under argon at room temperature was added sodium hydride (17 mg; 60% dispersion in oil; 0.42 mmol), followed after 10 min by 2-bromo-N-(3,5-difluorophenyl)acetamide (96 mg; 0.38 mmol, description 12). The reaction mixture was stirred at room temperature for 18 h and then further sodium hydride (17 mg; 60% dispersion in oil; 0.42 mmol) added, followed after 30 min by 2-bromo-N-(3,5-difluorophenyl)acetamide (96 mg; 0.38 mmol, description 12). After stirring for 3 h the reaction mixture was diluted with sodium bicarbonate solution and brine, and extracted with ethyl acetate (×2). The combined organics were dried and the solvent removed under reduced pressure. The residue was purified using mass directed auto-purification chromatography to afford the title product (45 mg). 1H NMR (CDCl3) δ: 1.25-1.36 (1H, m), 1.47-1.64 (4H, m), 1.85-2.01 (5H, m), 4.18 (2H, s), 6.49-6.55 (1H, m), 7.09-7.15 (2H, m), 7.39-7.42 (2H, m), 7.68 (1H, s), 7.85-7.87 (2H, m), 9.45 (1H, s). Mass Spectrum (Electrospray LC/MS): Found 431 (MH+). C23H2135ClF2N2O2 requires 430. Ret. time 3.59 min.
| Number | Date | Country | Kind |
|---|---|---|---|
| 0701985.4 | Feb 2007 | GB | national |
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/EP2008/051078 | 1/30/2008 | WO | 00 | 7/27/2009 |
