Claims
- 1. A method of treating cough comprising administering to a mammal in need of such treatment an effective amount of an ORL-1 agonist, alone or in combination with an effective amount of one or more agents for treating cough, allergy or asthma symptoms.
- 2. The method of claim 1 wherein the ORL-1 agonist is selected from the group consisting of:
a) a compound represented by the structural formula IA: 780or a pharmaceutically acceptable salt or solvate thereof, wherein: the dotted line represents an optional double bond; X1 is R5—(C1-C12)alkyl, R6—(C3-C12)cycloalkyl, R7-aryl, R8-heteroaryl or R10—(C3-C7)heterocycloalkyl; X2 is —CHO, —CN, —NHC(═NR26)NHR26, —CH(═NOR26), —NHOR26, R7-aryl, R7-aryl(C1-C6)alkyl, R7-aryl(C1-C6)alkenyl, R7-aryl(C1-C6)-alkynyl, —(CH2)vOR13, —(CH2)vCOOR27, —(CH2)vCONR14R15, —(CH2)vNR21R22 or —(CH2)vNHC(O)R21, wherein v is zero, 1, 2 or 3 and wherein q is 1 to 3 and a is 1 or 2; or X1 is 781and X2 is hydrogen; or X1 and X2 together form a spiro group of the formula 782is 1 or 2; n is 1, 2 or 3, provided that when n is 1, one of R16 and R17 is —C(O)R28; p is 0 or 1; Q is —CH2—, —O—, —S—, —SO—, —SO2— or —NR17—; R1, R2, R3 and R4 are independently selected from the group consisting of hydrogen and (C1-C6)alkyl, or (R1 and R4) or (R2 and R3) or (R1 and R3) or (R2 and R4) together can form an alkylene bridge of 1 to 3 carbon atoms; R5 is 1 to 3 substituents independently selected from the group consisting of H, R7-aryl, R6—(C3-C12)cycloalkyl, R8-heteroaryl, R10—(C3-C7)heterocycloalkyl, —NR19R20, —OR13 and —S(O)0-2R13; R6 is 1 to 3 substituents independently selected from the group consisting of H, (C1-C6)alkyl, R7-aryl, —NR19R20, —OR13 and —SR13; R7 is 1 to 3 substituents independently selected from the group consisting of hydrogen, halo, (C1-C6)alkyl, R25-aryl, (C3-C12)cycloalkyl, —CN, —CF3, —OR19, —(C1-C6)alkyl-OR19, —OCF3, —NR19R20, —(C1-C6)alkyl-NR19R20, —NHSO2R19, —SO2N(R26)2, —SO2R19, —SOR19, —SR19, —NO2, —CONR19R20, —NR20COR19, —COR19, —COCF3, —OCOR19, —OCO2R19, —COOR19, —(C1-C6)alkyl-NHCOOC(CH3)3, —(C1-C6)alkyl-NHCOCF3, —(C1-C6)alkyl-NHSO2—(C1-C6)alkyl, —(C1-C6)alkyl-NHCONH—(C1-C6)-alkyl or 783wherein f is 0 to 6; or R7 substituents on adjacent ring carbon atoms may together form a methylenedioxy or ethylenedioxy ring; R8 is 1 to 3 substituents independently selected from the group consisting of hydrogen, halo, (C1-C6)alkyl, R25-aryl, (C3-C12)cycloalkyl, —CN, —CF3, —OR19, —(C1-C6)alkyl-OR19, —OCF3, —NR19R20, —(C1-C6)alkyl-NR19R20, —NHSO2R19, —SO2N(R26)2, —NO2, —CONR19R20, —NR20COR19, —COR19, —OCOR19, —OCO2R19 and —COOR19; R9 is hydrogen, (C1-C6)alkyl, halo, —OR19, —NR19R20, —NHCN, —SR19 or —(C1-C6)alkyl-NR19R20; R10 is H, (C1-C6)alkyl, —OR19, —(C1-C6)alkyl-OR19, —NR19R20 or —(C1-C6)alkyl-NR19R20; R11 is independently selected from the group consisting of H, R5—(C1-C6)alkyl, R6—(C3-C12)cycloalkyl, —(C1-C6)alkyl(C3-C12)cycloalkyl, —(C1-C6)alkyl-OR19, —(C1-C6)alkyl-NR19R20 and 784wherein q and a are as defined above; R12 is H, (C1-C6)alkyl, halo, —NO2, —CF3, —OCF3, —OR19, —(C1-C6)alkyl-OR19, —NR19R20 or —(C1-C6)alkyl-NR19R20; R13 is H, (C1-C6)alkyl, R7-aryl, —(C1-C6)alkyl-OR19, —(C1-C6)alkyl-NR19R20; —(C1-C6)alkyl-SR19; or aryl (C1-C6) alkyl; R14 and R15 are independently selected from the group consisting of H, R5—(C1-C6)alkyl, R7-aryl and 785wherein q and a are as defined above; R16 and R17 are independently selected from the group consisting of hydrogen, R5—(C1-C6)alkyl, R7-aryl, (C3-C12)cycloalkyl, R8-heteroaryl, R8-heteroaryl(C1-C6)alkyl, —C(O)R28, —(C1-C6)alkyl(C3-C7)-heterocycloalkyl, —(C1-C6)alkyl-OR19 and —(C1-C6)alkyl-SR19; R19 and R20 are independently selected from the group consisting of hydrogen, (C1-C6)alkyl, (C3-C12)cycloalkyl, aryl and aryl(C1-C6)alkyl; R21 and R22 are independently selected from the group consisting of hydrogen, (C1-C6)alkyl, (C3-C12)cycloalkyl, (C3-C12)cycloalkyl(C1-C6)alkyl, (C3-C7)heterocycloalkyl, —(C1-C6)alkyl(C3-C7)-heterocycloalkyl, R7-aryl, R7-aryl(C1-C6)alkyl, R8-heteroaryl(C1-C12)alkyl, —(C1-C6)alkyl-OR19, —(C1-C6)alkyl-NR19R20, —(C1-C6)alkyl-SR19, —(C1-C6)alkyl-NR18—(C1-C6)alkyl-O—(C1-C6)alkyl-NR18—(C1-C6)alkyl-NR18—(C1-C6)alkyl; R18 is hydrogen or (C1-C6)alkyl; Z1 is R5—(C1-C12)alkyl, R7-aryl, R8-heteroaryl, R6—(C3-C12)cyclo-alkyl, R10—(C3-C7)heterocycloalkyl, —CO2(C1-C6)alkyl, CN or —C(O)NR19R20; Z2 is hydrogen or Z1; Z3 is hydrogen or (C1-C6)alkyl; or Z1, Z2 and Z3, together with the carbon to which they are attached, form the group 786wherein r is 0 to 3; w and u are each 0-3, provided that the sum of w and u is 1-3; c and d are independently 1 or 2; s is 1 to 5; and ring A is a fused R7-phenyl or R8-heteroaryl ring; R23 is 1 to 3 substituents independently selected from the group consisting of H, (C1-C6)alkyl, —OR19, —(C1-C6)alkyl-OR19, —NR19R20 and —(C1-C6)alkyl-NR19R20; R24 is 1 to 3 substituents independently selected from the group consisting of R23, —CF3, —OCF3, NO2 or halo, or R24 substituents on adjacent ring carbon atoms may together form a methylenedioxy or ethylenedioxy ring; R25 is 1-3 substituents independently selected from the group consisting of H, (C1-C6)alkyl, (C1-C6)alkoxy and halo; R26 is independently selected from the group consisting of H, (C1-C6)alkyl and R25—C6H4—CH2—; R27 is H, (C1-C6)alkyl, R7-aryl(C1-C6)alkyl, or (C3-C12)cycloalkyl; and R28 is (C1-C6)alkyl, —(C1-C6)alkyl(C3-C12)cycloalkyl, R7-aryl, R7-aryl-(C1-C6)alkyl, R8-heteroaryl, —(C1-C6)alkyl-NR19R20, —(C1-C6)alkyl-OR19 or —(C1-C6)alkyl-SR19; b) a compound represented by the structural formula II: 787wherein R1a and R2a are, independently from each other, hydrogen, lower alkyl, lower alkoxy or halogen; R3a is phenyl, optionally substituted by lower alkyl, CF3, lower alkoxy or halogen; and R4a is hydrogen, lower alkyl, lower alkenyl, —C(O)-lower alkyl, —C(O)-phenyl, lower alkyl-C(O)-phenyl, lower alkylen-C(O)-lower alkyl, lower alkantriyl-di-C(O)O-lower alkyl, hydroxy-lower alkyl, lower alkyl-O-lower alkyl, lower alkyl-CH(OH)CF3, phenyl or benzyl; R5a and R6a are, independently from each other, hydrogen, phenyl, lower alkyl or di-lower alkyl or may form together a phenyl ring, and R5a and one of R1a or R2a may form together a saturated or unsaturated 6 membered ring, Aa is a 4-7 membered saturated ring which may contain a heteroatom such as O or S, or a pharmaceutically acceptable acid addition salt thereof; c) a compound represented by the structural formula III 788wherein R1b is hydrogen, lower alkyl, halogen, lower alkoxy, CF3, lower alkyl-phenyl or (C5-7)-cycloalkyl; R2b is hydrogen, lower alkyl, phenyl or lower alkyl-phenyl; R3b is hydrogen, lower alkyl, benzyl, lower alkyl-phenyl, lower alkyl-diphenyl, triazinyl, cyanomethyl, lower alkyl-piperidinyl, lower alkyl-naphthyl, (C5-7)-cycloalkyl, lower alkyl-(C5-7)-cycloalkyl, lower alkyl-pyridyl, lower alkyl-morpholinyl, lower alkyl dioxolanyl, lower alkyl, oxazolyl, or lower alkyl-2-oxo-oxazolidinyl and wherein the ring systems may be substituted by additional lower alkyl, lower alkoxy, CF3 or phenyl, or —(CH2)nC(O)O-lower alkyl, —(CH2)nC(O)NH2, —(CH2)nC(O)N(lower alkyl)2, —(CH2)nOH or —(CH2)nC(O)NHCH2C6H6; R4b is hydrogen, lower alkyl or nitrilo; Ab is a ring system, consisting of
(a) (C5-15)-cycloalkyl, which may be in addition to R4b optionally substituted by lower alkyl, CF3, phenyl, (C5-7)-cycloalkyl, spiro-undecan-alkyl or by 2-norbornyl, or is one of the following groups 789dodecahydro-acenaphthylen-1yl (e), bicyclo[6.2.0]dec-9-yl (f) and bicyclononan-9-yl (g); and wherein R5b and R6b are hydrogen, lower alkyl, or taken together and with the carbon atoms to which they are attached form a phenyl ring; R7b is hydrogen or lower alkyl; the dotted line represents an optional double bond and n is 1 to 4; or a pharmaceutically acceptable acid addition salt thereof; d) a compound represented by the structural formula IV: 790or a pharmaceutically acceptable salt thereof, wherein R1c and R2c are independently C1-C4 alkyl; or R1c and R2c, taken together with the carbon to which they are attached, form a mono-, bi-, tri- or spiro-cyclic group having 6 to 13 carbon atoms, wherein the cyclic group is optionally substituted by 1 to 5 substituents independently selected from C1-C4 alkyl, C2-C4 alkylene, C1-C4 alkoxy, hydroxy, oxo, ═CH2 and ═CH—C1-C4 alkyl; R3c is C1-C7 alkyl, C2-C5 alkenyl, C2-C5 alkynyl, phenyl-C1-C5 alkyl, phenyl optionally substituted by 1 to 3 substituents independently selected from fluorine, C1-C3 alkyl and C1-C3 alkoxy, or a heteroaryl group selected from furyl, theinyl, pyrrolyl and pyridyl, wherein said heteroaryl group is optionally substituted by 1 to 3 substituents independently selected from halo, C1-C3 alkyl and C1-C3 alkoxy, with the proviso that when both R1c and R2c are C1-C4 alkyl, then R3c is other than C1-C7 alkyl, C2-C5 alkenyl and C2-C5 alkynyl; R4c is selected from
1) hydrogen; 2) optionally substituted mono- or di-substituted C1-C8 alkyl, C3-C7 cycloalkyl, C2-C8 alkenyl, C2-C8 alkynyl, C1C6 alkyl-Zc-, C1C6 alkyl-Zc-(C1C6)alkyl, C3-C7 cycloalkyl-Zc-(C1C6)alkyl, C2-C6 alkenyl-Zc-(C1C6)alkyl or C2-C6 alkynyl-Zc-C1C6)alkyl, wherein Zc is selected from O, S, SO, SO2, CO, CO2, OCO, NRc, CONRc and NRcCO, wherein Rc is hydrogen or C1-C6 alkyl, and the substituents to be attached to the alkyl, alkenyl, alkynyl or cycloalkyl moiety are independently selected from halo, hydroxy, carboxy, amino, mono- or di-(C1-C4 alkyl)amino, hydrazino, azido, ureido, amidino and guanidino; or 3) optionally mono- or di-substituted aryl, heterocyclic, aryl(C1-C5)alkyl, heterocyclic(C1-C5)alkyl, heterocyclic-heterocyclic(C1-C5)alkyl, aryl-heterocyclic(C1-C5)alkyl, heterocyclic-Zc(C1-C5)alkyl, aryl-Zc-(C1-C5)alkyl, aryl(C1-C5)alkyl-Zc-(C1-C5)alkyl, or heterocyclic(C1-C5)alkyl-Zc-(C1-C5)alkyl, wherein Zc is selected from O, S, SO, SO2, CO, CO2, OCO, NRc, CONRc and NRcCO, wherein Rc is hydrogen or C1-C6 alkyl, and the substituents to be attached to the aryl or heterocyclic moiety are independently selected from halo, hydroxy, carboxy, C1-C4 alkyl, C1-C4 alkoxy, C1-C4 alkyl-CO—, amino(C1-C4)alkyl-CO—, phenyl, benzyl, amino, mono- or di-(C1-C4 alkyl)amino, hydrazino, azido, ureido, amidino and guanidino; R5c is independently selected from halo, C1-C3 alkyl, C1-C3 alkoxy, C1-C3 alkylsulfonyl, CF3, carboxy, hydroxy, amino, alkylamino, acylamino, arylcarbonyl, alkylcarbonyl and hydroxyalkyl; and n is 0, 1, 2, 3 or4; e) a compound represented by the structural formula V 791or a salt or ester thereof, wherein Ar1d is an optionally substituted aromatic carbon ring or heterocycle, wherein the optional substituents are independently selected from halo, alkyl, amino, alkylamino, dialkylamino, hydroxy, alkoxy and carboxyl; 792is an optionally substituted mono- or di-cyclic C3-14 aliphatic nitrogenous heterocycle; Cyd is an optionally substituted mono-, di- or tri-cyclic C3-20 aliphatic carbon ring; R1d is hydrogen, lower alkenyl, lower alkynyl, lower cycloalkyl, amino, lower alkylamino, di(lower alkyl)amino, hydroxy, lower alkoxy, carboxy, lower alkoxycarbonyl, carbamoyl, lower alkylcarbamoyl, di(lower alkyl)carbamoyl or optionally substituted lower alkyl; and R2d is hydrogen or lower alkyl; and f) a compound represented by the structural formula VI 793or a pharmaceutically acceptable salt thereof, wherein Ae is an aryl or heterocyclyl ring; Be is phenyl, thienyl, furyl, pyrrolyl, pyrrolidinyl, oxazolyl or cyclohexenyl; R1e and R2e are independently hydrogen, alkyl, hydroxyalkyl, amino, alkylamino or di-alkylamino; R3e and R4e are independently hydrogen, halo or alkyl; Xe is hydrogen, halo, alkyl, alkoxyalkyl, alkenyl, amino, CN, or —(CH2)me-Ee-(CH2)ne-Ge; Ee is a bond, —CH═CR6e, O, S, NR7e, CO, SO2 or NHCO; Ge is aryl, heterocyclyl, cycloalkyl or fused aryl, all optionally substituted by 1-5 R5e groups; R5e is independently selected from halo, OH, alkyl, alkyl optionally substituted by alkoxy, alkoxyalkoxy, halo, OH or alkanoyloxy, alkoxy, alkoxyalkoxy, amino, alkylamino, di-alkylamino, NO2, CN, alkanoyl, alkanoyloxy, carboxy, alkoxycarbonyl, alkylsulfonyl and phenyl; R6e is hydrogen or aryl; R7e is hydrogen, alkyl or alkoxycarbonyl; me is 0-8; and ne is 1-4.
- 3. The method of claim 2 wherein the compound is represented by structural formula IA.
- 4. The method of claim 3 wherein, in the compound of formula IA, Z1 and Z2 are each R7-aryl.
- 5. The method of claim 4, wherein R7 is selected from the group consisting of (C1-C6)alkyl and halo.
- 6. The method of claim 3 wherein, in the compound of formula IA, X1 is R7-aryl and and X2 is OH; or X2 is hydrogen and X1 is
- 7. The method of claim 6 wherein X1 is
- 8. The method of claim 6 wherein X1 and X2 together form
- 9. The method of claim 1 wherein the ORL-1 agonist is selected from
- 10. The method of claim 1 wherein the agents for treating cough, allergy or asthma symptoms are selected from the group consisting of: antihistamines, 5-lipoxygenase inhibitors, leukotriene inhibitors, H3 inhibitors, β-adrenergic receptor agonists, xanthine derivatives, α-adrenergic receptor agonists, mast cell stabilizers, anti-tussives, expectorants, decongestants, NK1, NK2 and NK3 tachykinin receptor antagonists, and GABAB agonists.
- 11. A pharmaceutical composition comprising: a therapeutically effective amount of a nociceptin receptor ORL-1 agonist; a therapeutically effective amount of one or more agents selected from the group consisting of: antihistamines, 5-lipoxygenase inhibitors, leukotriene inhibitors, H3 inhibitors, β-adrenergic receptor agonists, xanthine derivatives, α-adrenergic receptor agonists, mast cell stabilizers, anti-tussives, expectorants, decongestants, NK1, NK2 and NK3 tachykinin receptor antagonists, and GABAB agonists; and a pharmaceutically acceptable carrier.
- 12. A compound represented by the formula
- 13. A compound of claim 12 wherein Z1 is R7-aryl, Z2 is C4-12-alkyl and X1 and X2 form a spirocyclic group.
- 14. A compound of claim 13 wherein Z1 is R7-phenyl, and X1 and X2 together form the spirocyclic group
- 15. A compound of claim 14 wherein m is 1, R17 is phenyl and R11 is —(C1-C6)alkyl-OR19 or —(C1-C6)alkyl-NR19R20.
- 16. A pharmaceutical composition comprising a therapeutically effective amount of compound of claim 13 in combination with a pharmaceutically acceptable carrier.
- 17. A method of treating pain, anxiety, asthma, depression or alcohol abuse comprising administering an effective amount of a compound of claim 13 to a mammal in need of such treatment.
- 18. A compound of claim 13 selected from the group consisting of compounds represented by the formula
- 19. A compound selected from the group consisting of compounds represented by the formula
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This is a continuation of U.S. Ser. No. 09/491,780, filed Jan. 26, 2000, which is a continuation-in-part of U.S. Ser. No. 09/359,771, filed Jul. 26, 1999, which claims the benefit of U.S. Provisional Application 60/094,240, filed Jul. 27, 1998.
Provisional Applications (1)
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60094240 |
Jul 1998 |
US |
Continuations (1)
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Number |
Date |
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Parent |
09491780 |
Jan 2000 |
US |
Child |
10464580 |
Jun 2003 |
US |
Continuation in Parts (1)
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Date |
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09359771 |
Jul 1999 |
US |
Child |
09491780 |
Jan 2000 |
US |