Claims
- 1. A method for the treatment, prevention or inhibition of a respiratory disease or condition in a subject in need of such treatment, prevention or inhibition, comprising administering to said subject an iNOS blocker or pharmaceutically acceptable salt or prodrug thereof and a phosphodiesterase (PDE) inhibitor or pharmaceutically acceptable salt or prodrug thereof.
- 2. The method according to claim 1 wherein the iNOS blocker is an iNOS selective inhibitor.
- 3. The method according to claim 1 wherein the administration of the iNOS blocker or pharmaceutically acceptable salt or prodrug thereof and the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof together comprise a respiratory disease or condition effective method for the treatment, prevention or inhibition of the respiratory disease or condition.
- 4. The method according to claim 1 wherein the iNOS inhibitor is represented by the formula:
- 5. The method of claim 4 wherein said iNOS inhibitor is selected from the group consisting of:
S—((R)-2-(1-iminoethylamino)propyl)-L-cysteine; S—((S)-2-(1-iminoethylamino)propyl)-L-cysteine; S—((R/S)-2-(1-iminoethylamino)propyl)-L-cysteine; S—((R)-2-(1-iminoethylamino)propyl)-D-cysteine; S—((S)-2-(1-iminoethylamino)propyl)-D-cysteine; S—((R/S)-2-(1-iminoethylamino)propyl)-D-cysteine; S—((R/S)-2-(1-iminoethylamino)butyl)-L-cysteine; S—((R/S)-2-(1-iminoethylamino,2-cyclopropyl)ethyl)-L-cysteine; and S—((R/S)-2-(1-iminoethylamino,3-hydroxy)propyl)-L-cysteine, or a pharmaceutically acceptable salt, solvate, or physiologically functional derivative thereof.
- 6. The method according to claim 2 wherein the iNOS inhibitor is selected from the group consisting of:
a compound having Formula I 315wherein: R1 is selected from the group consisting of H, halo and alkyl which may be optionally substituted by one or more halo; R2 is selected from the group consisting of H, halo and alkyl which may be optionally substituted by one or more halo; with the proviso that at least one of R1 or R2 contains a halo; R7 is selected from the group consisting of H and hydroxy; J is selected from the group consisting of hydroxy, alkoxy, and NR3R4 wherein; R3 is selected from the group consisting of H, lower alkyl, lower alkylenyl and lower alkynyl; R4 is selected from the group consisting of H, and a heterocyclic ring in which at least one member of the ring is carbon and in which 1 to about 4 heteroatoms are independently selected from oxygen, nitrogen and sulfur and said heterocyclic ring may be optionally substituted with heteroarylamino, N-aryl-N-alkylamino, N-heteroarylamino-N-alkylamino, haloalkylthio, alkanoyloxy, alkoxy, heteroaralkoxy, cycloalkoxy, cycloalkenyloxy, hydroxy, amino, thio, nitro, lower alkylamino, alkylthio, alkylthioalkyl, arylamino, aralkylamino, arylthio, alkylsulfinyl, alkylsulfonyl, alkylsulfonamido, alkylaminosulfonyl, amidosulfonyl, monoalkyl amidosulfonyl, dialkyl amidosulfonyl, monoarylamidosulfonyl, arylsulfonamido, diarylamidosulfonyl, monoalkyl monoaryl amidosulfonyl, arylsulfinyl, arylsulfonyl, heteroarylthio, heteroarylsulfinyl, heteroarylsulfonyl, alkanoyl, alkenoyl, aroyl, heteroaroyl, aralkanoyl, heteroaralkanoyl, haloalkanoyl, alkyl, alkenyl, alkynyl, alkylenedioxy, haloalkylenedioxy, cycloalkyl, cycloalkenyl, lower cycloalkylalkyl, lower cycloalkenylalkyl, halo, haloalkyl, haloalkoxy, hydroxyhaloalkyl, hydroxyaralkyl, hydroxyalkyl, hydoxyheteroaralkyl, haloalkoxyalkyl, aryl, aralkyl, aryloxy, aralkoxy, aryloxyalkyl, saturated heterocyclyl, partially saturated heterocyclyl, heteroaryl, heteroaryloxy, heteroaryloxyalkyl, arylalkyl, heteroarylalkyl, arylalkenyl, heteroarylalkenyl, cyanoalkyl, dicyanoalkyl, carboxamidoalkyl, dicarboxamidoalkyl, cyanocarboalkoxyalkyl, carboalkoxyalkyl, dicarboalkoxyalkyl, cyanocycloalkyl, dicyanocycloalkyl, carboxamidocycloalkyl, dicarboxamidocycloalkyl, carboalkoxycyanocycloalkyl, carboalkoxycycloalkyl, dicarboalkoxycycloalkyl, formylalkyl, acylalkyl, dialkoxyphosphonoalkyl, diaralkoxyphosphonoalkyl, phosphonoalkyl, dialkoxyphosphonoalkoxy, diaralkoxyphosphonoalkoxy, phosphonoalkoxy, dialkoxyphosphonoalkylamino, diaralkoxyphosphonoalkylamino, phosphonoalkylamino, dialkoxyphosphonoalkyl, diaralkoxyphosphonoalkyl, guanidino, amidino, and acylamino; a compound having a structure corresponding to Formula II 316wherein X is selected from the group consisting of —S—, —S(O)—, and —S(O)2—, R12 is selected from the group consisting of C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C5 alkoxy-C1 alkyl, and C1-C5 alkylthio-C1 alkyl wherein each of these groups is optionally substituted by one or more substituent selected from the group consisting of —OH, alkoxy, and halogen, R18 is selected from the group consisting of —OR24 and —N(R25)(R26), and R13 is selected from the group consisting of —H, —OH, —C(O)—R27, —C(O)—O—R28, and —C(O)—S—R29; or R18 is —N(R30)—, and R13 is —C(O)—, wherein R18 and R13 together with the atoms to which they are attached form a ring; or R18 is —O—, and R13 is —C(R31)(R32)—, wherein R18 and R13 together with the atoms to which they are attached form a ring, wherein if R13 is —C(R321)(R32)—, then R14 is —C(O)—O—R33; otherwise R14 is —H, R11, R15, R16, and R17 independently are selected from the group consisting of —H, halogen, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C1-C5 alkoxy-C1 alkyl, R19 and R20 independently are selected from the group consisting of —H, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C1-C5 alkoxy-C1 alkyl, R21 is selected from the group consisting of —H, —OH, —C(O)—O—R34, and —C(O)—S—R35, and R22 is selected from the group consisting of —H, —OH, —C(O)—O—R36, and —C(O)—S—R37; or R21 is —O—, and R22 is —C(O)—, wherein R21 and R22 together with the atoms to which they are attached form a ring; or R21 is —C(O)—, and R22 is —O—, wherein R21 and R22 together with the atoms to which they are attached form a ring, R23 is C1 alkyl, R24 is selected from the group consisting of —H and C1-C6 alkyl, wherein when R24 is C1-C6 alkyl, R24 is optionally substituted by one or more moieties selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl, R25 is selected from the group consisting of —H, alkyl, and alkoxy, and R26 is selected from the group consisting of —H, —OH, alkyl, alkoxy, —C(O)—R38, —C(O)—O—R39, and —C(O)—S—R40; wherein when R25 and R26 independently are alkyl or alkoxy, R25 and R26 independently are optionally substituted with one or more moieties selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl; or R25 is —H; and R26 is selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39, and R40 independently are selected from the group consisting of —H and alkyl, wherein alkyl is optionally substituted by one or more moieties selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl, wherein when any of R11, R12, R13, R14, R15, R16, R17, R18, R199, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35 R36, R37, R38, R39, and R40 independently is a moiety selected from the group consisting of alkyl, alkenyl, alkynyl, alkoxy, alkylthio, cycloalkyl, heterocyclyl, aryl, and heteroaryl, then the moiety is optionally substituted by one or more substituent selected from the group consisting of —OH, alkoxy, and halogen; a compound represented by Formula III 317wherein: R41 is H or methyl; and R42 is H or methyl; a compound of formula IV 318a compound of Formula V: 319wherein: R43 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R44 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R45 is C1-C5 alkyl or C1-C5 alkyl be substituted by alkoxy or one or more halo; a compound of Formula VI: 320wherein: R46 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; a compound of Formula VII 321wherein: R47 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R48 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R49 is C1-C5 alkyl or C1-C5 alkyl be substituted by alkoxy or one or more halo; a compound of Formula VIII 322wherein: R50 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; a compound of formula IX 323wherein: R50 is selected from the group consisting of hydrogen, halo, and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; R51 is selected from the group consisting of hydrogen, halo, and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; R52 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; R53 is selected from the group consisting of hydrogen, halo, and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; and R54 is selected from the group consisting of halo and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; a compound of formula X 324wherein: R55 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo. a compound having the formula XI 3252S-amino-6-[(1-iminoethyl)amino]-N-(1H-tetrazol-5-yl) hexanamide, hydrate, dihydrochloride XI A compound of formula XII: 326wherein R79 is selected from C1-4 alkyl, C3-4 cycloalkyl, C1-4 hydroxyalkyl, and C1-4 haloalkyl; a compound of Formula XIII, Formula XIV or Formula XV: 327wherein: A is —R56, —OR56, C(O)N(R56)R57, P(O)[N(R56)R57]2, —N(R56)C(O)R57, —N(R76)C(O)OR56, —N(R56)R76, —N(R71)C(O)N(R56)R71, —S(O)tR56, —SO2NHC(O)R56, —NHSO2R77, —SO2NH(R56)H, —C(O)NHSO2R77, and —CH═NOR56; each X, Y and Z are independently N or C(R19); each U is N or C(R60), provided that U is N only when X is N and Z and Y are CR74; V is N(R59), S, O or C(R59)H; Each W is N or CH; Q is chosen from the group consisting of a direct bond, —C(O)—, —O—, —C(═N—R56)—, S(O)t, and —N(R61)—; m is zero or an integer from 1 to 4; n is zero or an integer from 1 to 3; q is zero or one; r is zero or one, provided that when Q and V are heteroatoms, m, q, and r cannot all be zero; when A is —OR56, N(R56)C(O)R57, —N(R71)C(O)OR57, —N(R56)R76, —N(R71)C(O)N(R56)R71, —S(O)tR56 (where t is zero), or —NHSO2R77, n, q, and r cannot all be zero; and when Q is a heteroatom and A is —OR56, N(R56)C(O)R57, —N(R71)C(O)OR57, —N(R56)R76, N(R71)C(O)N(R56)R71, —S(O)tR56 (when t is zero), or —NHSO2R77, m and n cannot both be zero; t is zero, one or two; 328is an optionally substituted N-heterocyclyl; 329is an optionally substituted carbocyclyl or optionally substituted N-heterocyclyl; each R56 and R57 are independently chosen from the group consisting of hydrogen, optionally substituted C1-C20 alkyl, optionally substituted cycloalkyl, —[C0-C8 alkyl]-R64, —[C2-C8 alkenyl]-R64, —[C2-C8 alkynyl]-R64, —[C2-C8 alkyl]-R65 (optionally substituted by hydroxy), —[C1-C8]—R66 (optionally substituted by hydroxy), optionally substituted heterocyclyl; or R56 and R57 together with the nitrogen atom to which they are attached is an optionally substituted N-heterocyclyl; R58 is chosen from the group consisting of hydrogen, alkyl, cycloalkyl, optionally substituted aryl, haloalkyl, —[C1-C8 alkyl]—C(O)N(R56)R57, —[C1-C8 alkyl]- N(R56)R57, —[C1-C8 alkyl]-R63, —[C2-C8 alk2yl]-R65, —[C1-C8 alkyl]-R66, and heterocyclyl (optionally substituted by one or more substitutents selected from the group consisting of halo, alkyl, alkoxy and imidazolyl); or when Q is —N(R58)— or a direct bond to R58, R58 may additionally be aminocarbonyl, alkoxycarbonyl, alkylsulfonyl, monoalkylaminocarbonyl, dialkylaminocarbonyl and —C(═NR73)—NH2; or -Q-R58 taken together represents —C(O)OH, —C(O)N(R56)R57 or 330R59 is chosen from the group consisting of hydrogen, alkyl, aryl, aralkyl and cycloalkyl; Provided that when A is —R56 or —OR56, R59 cannot be hydrogen, and when V is CH, R59 may additionally be hydroxy; R60 is chosen from the group consisting of hydrogen, alkyl, aryl, aralkyl, haloalkyl, optionally substituted aralkyl, optionally substituted aryl, —OR71, —S(O)t—R71, N(R71)R76, N(R71)C(O)N(R56)R71, N(R71)C(O)OR71, N(R71)C(O) R71, —[C0-C8 alkyl]—C(H)[C(O)R71]2 and —[C0-C8 alkyl]- C(O)N(R56)R71; R61 is chosen from the group consisting of hydrogen, alkyl, cycloalkyl, —[C1-C8 alkyl]-R63, —[C2-C8]alkyl]-R65, —[C1-C8 alkyl]-R66, acyl, —C(O)R63, —C(O)— —[C1-C8 alkyl]-R63, alkoxycarbonyl, optionally substituted aryloxycarbonyl, optionally substituted aralkoxycarbonyl, alkylsulfonyl, optionally substituted aryl, optionally substituted heterocyclyl, alkoxycarbonylalkyl, carboxyalkyl, optionally substituted arylsulfonyl, aminocarbonyl, monoalkylaminocarbonyl, dialkylaminocarbonyl, optionally substituted arylaminocarbonyl, aminosulfonyl, monoalkylaminosulfonyl dialkylaminosulfonyl, arylaminosulfonyl, arylsulfonylaminocarbonyl, optionally substituted N-heterocyclyl, —C(═NH)—N(CN)R56, —C(O)R78—N(R56)R57, —C(O)—N(R56)R78—C(OOR56; each R63 and R64 are independently chosen from the group consisting of haloalkyl, cycloalkyl, (optionally substituted with halo, cyano, alkyl or alkoxy), carbocyclyl (optionally substituted with one or more substituents selected from the group consisting of halo, alkyl and alkoxy) and heterocyclyl (optionally substituted with alkyl, aralkyl or alkoxy); each R65 is independently chosen from the group consisting of halo, alkoxy, optionally substituted aryloxy, optionally substituted aralkoxy, optionally substituted —S(O)t—R77, acylamino, amino, monoalkylamino, dialkylamino, (triphenylmethyl)amino, hydroxy, mercapto, alkylsulfonamido; each R66 is independently chosen from the group consisting of cyano, di(alkoxy)alkyl, carboxy, alkoxycarbonyl, aminocarbonyl, monoalkylaminocarbonyl and dialkylaminocarbonyl; each R67, R68, R69, R70, R72, and R75 are independently hydrogen or alkyl; each R71 is independently hydrogen, alkyl, optionally substituted aryl, optionally substituted aralkyl or cycloalkyl; R73 is hydrogen, NO2, or toluenesulfonyl; each R74 is independently hydrogen, alkyl (optionally substituted with hydroxy), cyclopropyl, halo or haloalkyl; each R76 is independently hydrogen, alkyl, cycloalkyl, optionally substituted aryl, optionally substituted aralkyl, —C(O)R77 or —SO2R77; or R76 taken together with R56 and the nitrogen to which they are attached is an optionally substituted N-heterocyclyl; or R76 taken together with R71 and the nitrogen to which they are attached is an optionally substituted N-heterocyclyl; each R77 is independently alkyl, cycloalkyl, optionally substituted aryl or optionally substituted aralkyl; and R78 is an amino acid residue; and 331or a pharmaceutically acceptable salt or prodrug of any of said inducible nitric oxide synthase inhibitors.
- 7. The method according to claim 1 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof is selected from the group consisting of PDE-III inhibitors and PDE-IV inhibitors.
- 8. The method according to claim 1 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof is selected from the group consisting of PDE-III inhibitors.
- 9. The method according to claim 1 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof is selected from the group consisting of PDE-IV inhibitors.
- 10. The method according to claim 1 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof comprises Roflumilast having the following structure:
- 11. The method according to claim 1 wherein the respiratory disease or condition is selected from the group consisting of allergen-induced asthma, exercise-induced asthma, pollution-induced asthma, cold-induced asthma, viral-induced-asthma, chronic bronchitis with normal airflow, chronic obstructive bronchitis, emphysema, asthmatic bronchitis, bullous disease, cystic fibrosis, pigeon fancier's disease, farmer's lung, acute respiratory distress syndrome, pneumonia, aspiration or inhalation injury, fat embolism in the lung, acidosis inflammation of the lung, acute pulmonary edema, acute mountain sickness, post-cardiac surgery, acute pulmonary hypertension, persistent pulmonary hypertension of the newborn, perinatal aspiration syndrome, hyaline membrane disease, acute pulmonary thromboembolism, heparin-protamine reactions, sepsis, status asthmaticus and hypoxia.
- 12. The method according to claim 1 wherein the respiratory disease or condition is selected from the group consisting of an asthmatic condition and COPD.
- 13. The method of claim 1 wherein the respiratory condition is an asthmatic condition.
- 14. The method of claim 13 wherein the asthmatic condition is allergen-induced asthma.
- 15. The method of claim 13 wherein the asthmatic condition is pollution-induced asthma.
- 16. The method of claim 13 wherein the asthmatic condition is exercise-induced asthma.
- 17. The method of claim 13 wherein the asthmatic condition is viral-induced asthma.
- 18. The method of claim 13 wherein the asthmatic condition is cold-induced asthma.
- 19. The method of claim 1 wherein the respiratory condition is chronic obstructive pulmonary disease (COPD).
- 20. The method of claim 1 wherein the respiratory condition is emphysema.
- 21. The method of claim 1 wherein the respiratory condition is chronic bronchitis.
- 22. The method of claim 21 wherein the respiratory condition is chronic bronchitis with normal airflow.
- 23. The method of claim 21 wherein the respiratory condition is chronic obstructive bronchitis.
- 24. The method of claim 1 wherein the respiratory condition is asthmatic bronchitis.
- 25. The method of claim 1 wherein the respiratory condition is bullous disease.
- 26. The method of claim 1 wherein the respiratory condition is cystic fibrosis.
- 27. The method of claim 1 wherein the respiratory condition is bronchiectasis.
- 28. The method according to claim 1 wherein administering an iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and a PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof comprises administering to the subject orally, by inhalation, enterally or parenterally in at least one dose per day.
- 29. The method according to claim 1 wherein the iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof are administered to the subject substantially simultaneously.
- 30. The method according to claim 1 wherein the iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof are administered to the subject sequentially.
- 31. A method for the treatment, prevention or inhibition of a respiratory disease or condition having an inflammatory component in a subject in need of such treatment, prevention or inhibition, said method comprising administering to the subject a dose of an iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and a dose of a PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof, wherein together the dose of the iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the dose of the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof constitute a therapeutically effective dose for the treatment, prevention or inhibition of the respiratory disease or condition.
- 32. A composition for the treatment, prevention or inhibition of a respiratory disease or condition in a subject in need of such treatment, prevention or inhibition comprising an amount of an iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and an amount of a PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof.
- 33. A composition according to claim 32 wherein the amount of the iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the amount of the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof together constitute a respiratory diease or condition suppression, prevention or inhibition effective amount.
- 34. A composition according to claim 32 further comprising a pharmaceutically acceptable aerosolizing agent for aerosolizing the composition for delivery to the subject by inhalation.
- 35. A composition according to claim 32 wherein the iNOS selective inhibitor is represented by the formula:
- 36. The method of claim 4 wherein said iNOS inhibitor is selected from the group consisting of:
S—((R)-2-(1-iminoethylarmino)propyl)-L-cysteine; S—((S)-2-(1-iminoethylamino)propyl)-L-cysteine; S—((R/S)-2-(1-iminoethylamino)propyl)-L-cysteine; S—((R)-2-(1-iminoethylamino)propyl)-D-cysteine; S—((S)-2-(1-iminoethylamino)propyl)-D-cysteine; S—((R/S)-2-(1-iminoethylamino)propyl)-D-cysteine; S—((R/S)-2-(1-iminoethylamino)butyl)-L-cysteine; S—((R/S)-2-(1-iminoethylamino,2-cyclopropyl)ethyl)-L-cysteine; and S—((R/S)-2-(1-iminoethylamino,3-hydroxy)propyl)-L-cysteine, or a pharmaceutically acceptable salt, solvate, or physiologically functional derivative thereof.
- 37. A composition according to claim 32 wherein the iNOS selective inhibitor is selected from the group consisting of:
a compound having Formula I 334wherein: R1 is selected from the group consisting of H, halo and alkyl which may be optionally substituted by one or more halo; R2 is selected from the group consisting of H, halo and alkyl which may be optionally substituted by one or more halo; with the proviso that at least one of R1 or R2 contains a halo; R7 is selected from the group consisting of H and hydroxy; J is selected from the group consisting of hydroxy, alkoxy, and NR3R4 wherein; R3 is selected from the group consisting of H, lower alkyl, lower alkylenyl and lower alkynyl; R4 is selected from the group consisting of H, and a heterocyclic ring in which at least one member of the ring is carbon and in which 1 to about 4 heteroatoms are independently selected from oxygen, nitrogen and sulfur and said heterocyclic ring may be optionally substituted with heteroarylamino, N-aryl-N-alkylamino, N-heteroarylamino-N-alkylamino, haloalkylthio, alkanoyloxy, alkoxy, heteroaralkoxy, cycloalkoxy, cycloalkenyloxy, hydroxy, amino, thio, nitro, lower alkylamino, alkylthio, alkylthioalkyl, arylamino, aralkylamino, arylthio, alkylsulfinyl, alkylsulfonyl, alkylsulfonamido, alkylaminosulfonyl, amidosulfonyl, monoalkyl amidosulfonyl, dialkyl amidosulfonyl, monoarylamidosulfonyl, arylsulfonamido, diarylamidosulfonyl, monoalkyl monoaryl amidosulfonyl, arylsulfinyl, arylsulfonyl, heteroarylthio, heteroarylsulfinyl, heteroarylsulfonyl, alkanoyl, alkenoyl, aroyl, heteroaroyl, aralkanoyl, heteroaralkanoyl, haloalkanoyl, alkyl, alkenyl, alkynyl, alkylenedioxy, haloalkylenedioxy, cycloalkyl, cycloalkenyl, lower cycloalkylalkyl, lower cycloalkenylalkyl, halo, haloalkyl, haloalkoxy, hydroxyhaloalkyl, hydroxyaralkyl, hydroxyalkyl, hydoxyheteroaralkyl, haloalkoxyalkyl, aryl, aralkyl, aryloxy, aralkoxy, aryloxyalkyl, saturated heterocyclyl, partially saturated heterocyclyl, heteroaryl, heteroaryloxy, heteroaryloxyalkyl, arylalkyl, heteroarylalkyl, arylalkenyl, heteroarylalkenyl, cyanoalkyl, dicyanoalkyl, carboxamidoalkyl, dicarboxamidoalkyl, cyanocarboalkoxyalkyl, carboalkoxyalkyl, dicarboalkoxyalkyl, cyanocycloalkyl, dicyanocycloalkyl, carboxamidocycloalkyl, dicarboxamidocycloalkyl, carboalkoxycya nocycloalkyl, carboalkoxycycloalkyl, dicarboalkoxycycloalkyl, formylalkyl, acylalkyl, dialkoxyphosphonoalkyl, diaralkoxyphosphonoalkyl, phosphonoalkyl, dialkoxyphosphonoalkoxy, diaralkoxyphosphonoalkoxy, phosphonoalkoxy, dialkoxyphosphonoalkylamino, diaralkoxyphosphonoalkylamino, phosphonoalkylamino, dialkoxyphosphonoalkyl, diaralkoxyphosphonoalkyl, guanidino, amidino, and acylamino; a compound having a structure corresponding to Formula II 335wherein X is selected from the group consisting of —S—, —S(O)—, and —S(O)2—, R12 is selected from the group consisting of C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, C1-C5 alkoxy-C1 alkyl, and C1-C5 alkylthio-C1 alkyl wherein each of these groups is optionally substituted by one or more substituent selected from the group consisting of —OH, alkoxy, and halogen, R18 is selected from the group consisting of —OR24 and —N(R25)(R26), and R13 is selected from the group consisting of —H, —OH, —C(O)—R27, —C(O)—O—R28, and —C(O)—S—R29; or R18 is —N(R30)—, and R13 is —C(O)—, wherein R18 and R13 together with the atoms to which they are attached form a ring; or R18 is —O—, and R13 is —C(R31)(R32)—, wherein R18 and R13 together with the atoms to which they are attached form a ring, wherein if R13 is —C(R321)(R32)—, then R14 is —C(O)—O—R33; otherwise R14 is —H, R11, R15, R16, and R17 independently are selected from the group consisting of —H, halogen, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C1-C5 alkoxy-C1 alkyl, R19 and R20 independently are selected from the group consisting of —H, C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C1-C5 alkoxy-C1 alkyl, R21 is selected from the group consisting of —H, —OH, —C(O)—O—R34, and —C(O)—S—R35, and R22 is selected from the group consisting of —H, —OH, —C(O)—O—R36, and —C(O)—S—R37; or R21 is —O—, and R22 is —C(O)—, wherein R21 and R22 together with the atoms to which they are attached form a ring; or R21 is —C(O)—, and R22 is —O—, wherein R21 and R22 together with the atoms to which they are attached form a ring, R23 is C1 alkyl, R24 is selected from the group consisting of —H and C1-C6 alkyl, wherein when R24 is C1-C6 alkyl, R24 is optionally substituted by one or more moieties selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl, R25 is selected from the group consisting of —H, alkyl, and alkoxy, and R26 is selected from the group consisting of —H, —OH, alkyl, alkoxy, —C(O)—R38, —C(O)—O—R39, and —C(O)—S—R40; wherein when R25 and R26 independently are alkyl or alkoxy, R25 and R26 independently are optionally substituted with one or more moieties selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl; or R25 is —H; and R26 is selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39, and R40 independently are selected from the group consisting of —H and alkyl, wherein alkyl is optionally substituted by one or more moieties selected from the group consisting of cycloalkyl, heterocyclyl, aryl, and heteroaryl, wherein when any of R11, R12, R13, R14, R15, R16, R17, R18, R199, R20, R21, R22, R23, R24, R25, R26, R27, R28, R29, R30, R31, R32, R33, R34, R35, R36, R37, R38, R39, and R40 independently is a moiety selected from the group consisting of alkyl, alkenyl, alkynyl, alkoxy, alkylthio, cycloalkyl, heterocyclyl, aryl, and heteroaryl, then the moiety is optionally substituted by one or more substituent selected from the group consisting of —OH, alkoxy, and halogen; a compound represented by Formula III 336wherein: R41 is H or methyl; and R42 is H or methyl; a compound of formula IV 337a compound of Formula V: 338wherein: R43 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R44 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R45 is C1-C5 alkyl or C1-C5 alkyl be substituted by alkoxy or one or more halo; a compound of Formula VI: 339wherein: R46 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; a compound of Formula VII 340wherein: R47 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R48 is selected from the group consisting of hydrogen, halo, C1-C5 alkyl and C1-C5 alkyl substituted by alkoxy or one or more halo; R49 is C1-C5 alkyl or C1-C5 alkyl be substituted by alkoxy or one or more halo; a compound of Formula VIII 341wherein: R50 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; a compound of formula IX 342wherein: R50 is selected from the group consisting of hydrogen, halo, and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; R51 is selected from the group consisting of hydrogen, halo, and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; R52 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; R53 is selected from the group consisting of hydrogen, halo, and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; and R54 is selected from the group consisting of halo and C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo; a compound of formula X 343wherein: R55 is C1-C5 alkyl, said C1-C5 alkyl optionally substituted by halo or alkoxy, said alkoxy optionally substituted by one or more halo. a compound having the formula XI 3442S-amino-6-[(1-iminoethyl)amino]-N-(1H-tetrazol-5-yl) hexanamide, hydrate, dihydrochloride XI A compound of formula XII: 345wherein R79 is selected from C1-4 alkyl, C3-4 cycloalkyl, C1-4 hydroxyalkyl, and C1-4 haloalkyl; a compound of Formula XIII, Formula XIV or Formula XV: 346wherein: A is —R56, —OR56, C(O)N(R56)R57, P(O)[N(R56)R57]2, —N(R56)C(O)R57, —N(R76)C(O)OR56, —N(R56)R76, —N(R71)C(O)N(R56)R71, —S(O)tR56, —SO2NHC(O)R56, —NHSO2R77, —SO2NH(R56)H, —C(O)NHSO2R77, and —CH═NOR56; each X, Y and Z are independently N or C(R19); each U is N or C(R60), provided that U is N only when X is N and Z and Y are CR74; V is N(R59), S, O or C(R59)H; Each W is N or CH; Q is chosen from the group consisting of a direct bond, —C(O)—, —O—, —C(═N—R56)—, S(O)t, and —N(R61)—; m is zero or an integer from 1 to 4; n is zero or an integer from 1 to 3; q is zero or one; r is zero or one, provided that when Q and V are heteroatoms, m, q, and r cannot all be zero; when A is —OR56, N(R56)C(O)R57, —N(R71)C(O)OR57, —N(R56)R76, —N(R71)C(O)N(R56)R71, —S(O)tR56 (where t is zero), or —NHSO2R77, n, q, and r cannot all be zero; and when Q is a heteroatom and A is —OR56, N(R56)C(O)R57, —N(R71)C(O)OR57, —N(R56)R76, N(R71)C(O)N(R56)R71, —S(O)tR56 (when t is zero), or —NHSO2R77, m and n cannot both be zero; t is zero, one or two; 347is an optionally substituted N-heterocyclyl; 348is an optionally substituted carbocyclyl or optionally substituted N-heterocyclyl; each R56 and R57 are independently chosen from the group consisting of hydrogen, optionally substituted C1-C20 alkyl, optionally substituted cycloalkyl, —[C0-C8 alkyl]-R64, —[C2-C8 alkenyl]-R64, —[C2-C8 alkynyl]-R64, —[C2-C8 alkyl]-R65 (optionally substituted by hydroxy), —[C1-C8]-R66 (optionally substituted by hydroxy), optionally substituted heterocyclyl; or R56 and R57 together with the nitrogen atom to which they are attached is an optionally substituted N-heterocyclyl; R58 is chosen from the group consisting of hydrogen, alkyl, cycloalkyl, optionally substituted aryl, haloalkyl, —[C1-C8 alkyl]—C(O)N(R56)R57, —[C1-C8 alkyl]- N(R56)R57, —[C1-C8 alkyl]-R63, —[C2-C8 alk2yl]-R65, —[C1-C8 alkyl]-R66, and heterocyclyl (optionally substituted by one or more substitutents selected from the group consisting of halo, alkyl, alkoxy and imidazolyl); or when Q is —N(R58)— or a direct bond to R58, R58 may additionally be aminocarbonyl, alkoxycarbonyl, alkylsulfonyl, monoalkylaminocarbonyl, dialkylaminocarbonyl and —C(═NR73)—NH2; or -Q-R58 taken together represents —C(O)OH, —C(O)N(R56)R57 or 349R59 is chosen from the group consisting of hydrogen, alkyl, aryl, aralkyl and cycloalkyl; Provided that when A is —R56 or —OR56, R59 cannot be hydrogen, and when V is CH, R59 may additionally be hydroxy; R60 is chosen from the group consisting of hydrogen, alkyl, aryl, aralkyl, haloalkyl, optionally substituted aralkyl, optionally substituted aryl, —OR71, —S(O)t—R71, N(R71)R76, N(R71)C(O)N(R56)R71, N(R71)C(O)OR71, N(R71)C(O) R71, —[C0-C8 alkyl]-C(H)[C(O)R71]2 and —[C0-C8 alkyl]- C(O)N(R56)R71; R61 is chosen from the group consisting of hydrogen, alkyl, cycloalkyl, —[C1-C8 alkyl]-R , —[C2-C8]alkyl]-R65, —[C1-C8 alkyl]-R66, acyl, —C(O)R63, —C(O)— —[C1-C8 alkyl]-R63, alkoxycarbonyl, optionally substituted aryloxycarbonyl, optionally substituted aralkoxycarbonyl, alkylsulfonyl, optionally substituted aryl, optionally substituted heterocyclyl, alkoxycarbonylalkyl, carboxyalkyl, optionally substituted arylsulfonyl, aminocarbonyl, monoalkylaminocarbonyl, dialkylaminocarbonyl, optionally substituted arylaminocarbonyl, aminosulfonyl, monoalkylaminosulfonyl dialkylaminosulfonyl, arylaminosulfonyl, arylsulfonylaminocarbonyl, optionally substituted N-heterocyclyl, —C(═NH)—N(CN)R56, —C(O)R78—N(R56)R57, —C(O)—N(R56)R78—C(O)OR56; each R63 and R64 are independently chosen from the group consisting of haloalkyl, cycloalkyl, (optionally substituted with halo, cyano, alkyl or alkoxy), carbocyclyl (optionally substituted with one or more substituents selected from the group consisting of halo, alkyl and alkoxy) and heterocyclyl (optionally substituted with alkyl, aralkyl or alkoxy); each R65 is independently chosen from the group consisting of halo, alkoxy, optionally substituted aryloxy, optionally substituted aralkoxy, optionally substituted —S(O)t—R77, acylamino, amino, monoalkylamino, dialkylamino, (triphenylmethyl)amino, hydroxy, mercapto, alkylsulfonamido; each R66 is independently chosen from the group consisting of cyano, di(alkoxy)alkyl, carboxy, alkoxycarbonyl, aminocarbonyl, monoalkylaminocarbonyl and dialkylaminocarbonyl; each R67, R68, R69, R70, R72, and R75 are independently hydrogen or alkyl; each R71 is independently hydrogen, alkyl, optionally substituted aryl, optionally substituted aralkyl or cycloalkyl; R73 is hydrogen, NO2, or toluenesulfonyl; each R74 is independently hydrogen, alkyl (optionally substituted with hydroxy), cyclopropyl, halo or haloalkyl; each R76 is independently hydrogen, alkyl, cycloalkyl, optionally substituted aryl, optionally substituted aralkyl, —C(O)R77 or —SO2R77; or R76 taken together with R56 and the nitrogen to which they are attached is an optionally substituted N-heterocyclyl; or R76 taken together with R71 and the nitrogen to which they are attached is an optionally substituted N-heterocyclyl; each R77 is independently alkyl, cycloalkyl, optionally substituted aryl or optionally substituted aralkyl; and R78 is an amino acid residue; and 350or a pharmaceutically acceptable salt or prodrug of any of said inducible nitric oxide synthase inhibitors.
- 38. The composition according to claim 32 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof is selected from the group consisting of PDE-III inhibitors.
- 39. The composition according to claim 32 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof is selected from the group consisting of PDE-IV inhibitors.
- 40. The composition according to claim 32 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof is selected from the group consisting of PDE-III/IV dual inhibitors.
- 41. The composition according to claim 32 wherein the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof comprises Roflumilast having the following structure:
- 42. A kit for treating, preventing or inhibiting a respiratory disease or condition in a subject in need of such treatment, prevention or inhibition comprising a first dosage form comprising an iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and a second dosage form comprising a PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof, wherein together the dosages comprise a therapeutically effective amount of the iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof for the treatment, prevention or inhibition of the respiratory disease or condition.
- 43. The kit of claim 42, wherein the iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof are in separate dosage forms.
- 44. The kit of claim 42, wherein iNOS selective inhibitor or pharmaceutically acceptable salt or prodrug thereof and the PDE inhibitor or pharmaceutically acceptable salt or prodrug thereof are in a single dosage form.
- 45. The kit of claim 42, further comprising an inhaler device.
- 46. The kit of claim 42, further comprising a nebulizer.
Parent Case Info
[0001] The present application claims priority under Title 35, United States Code, §119 of the U.S. Provisional application Serial No. 60/381,056, filed May 16, 2003.
Provisional Applications (1)
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Number |
Date |
Country |
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60381056 |
May 2002 |
US |