Patent Application
20080167324
The present invention relates generally to thiazolylmethyl and oxazolylmethyl heteroaryl derivatives that have useful pharmacological properties. The invention further relates to pharmaceutical compositions comprising such compounds and to the use of such compounds in the treatment of central nervous system (CNS) diseases.
The GABAA receptor superfamily represents one of the classes of receptors through which the major inhibitory neurotransmitter γ-aminobutyric acid (GABA) acts. Widely, although unequally, distributed throughout the mammalian brain, GABA mediates many of its actions through interaction with a complex of proteins called the GABAA receptor, which causes alteration in chloride conductance and membrane polarization. A number of drugs, including the anxiolytic and sedating benzodiazepines, also bind to this receptor. The GABAA receptor comprises a chloride channel that opens in response to GABA, allowing chloride to enter the cell. This, in turn, effects a slowing of neuronal activity through hyperpolarization of the cell membrane potential.
GABAA receptors are composed of five protein subunits. A number of cDNAs for these GABAA receptor subunits have been cloned and their primary structures determined. While these subunits share a basic motif of 4 membrane-spanning helices, there is sufficient sequence diversity to classify them into several groups. To date, at least six α, three β, three γ, one ε, one δ and two ρ subunits have been identified. Native GABAA receptors are typically composed of two α subunits, two β subunits and one γ subunit. Various lines of evidence (such as message distribution, genome localization and biochemical study results) suggest that the major naturally occurring receptor combinations are α1β2γ2, α2β3γ2, α3β3γ2 and α5β3γ2.
The GABAA receptor binding sites for GABA (two per receptor complex) are formed by amino acids from the α and β subunits. Amino acids from the α and γ subunits together form one benzodiazepine site per receptor, at which benzodiazepines exert their pharmacological activity. In addition, the GABAA receptor contains sites of interaction for several other classes of drugs. These include a steroid binding site, a picrotoxin site and a barbiturate site. The benzodiazepine site of the GABAA receptor is a distinct site on the receptor complex that does not overlap with the sites of interaction for other classes of drugs or GABA.
In a classic allosteric mechanism, the binding of a drug to the benzodiazepine site alters the affinity of the GABA receptor for GABA. Benzodiazepines and related drugs that enhance the ability of GABA to open GABAA receptor channels are known as agonists or partial agonists, depending on the level of GABA enhancement. Other classes of drugs, such as β-carboline derivatives, that occupy the same site and negatively modulate the action of GABA are called inverse agonists. Those compounds that occupy the same site, and yet have little or no effect on GABA activity, can block the action of agonists or inverse agonists and are thus referred to as GABAA receptor antagonists.
The important allosteric modulatory effects of drugs acting at the benzodiazepine site were recognized early, and the distribution of activities at different receptor subtypes has been an area of intense pharmacological discovery. Agonists that act at the benzodiazepine site are known to exhibit anxiolytic, sedative, anticonvulsant and hypnotic effects, while compounds that act as inverse agonists at this site elicit anxiogenic, cognition enhancing and proconvulsant effects.
While benzodiazepines have enjoyed long pharmaceutical use, these compounds can exhibit a number of unwanted side effects. Accordingly, there is a need in the art for additional therapeutic agents that modulate GABAA receptor activation and/or activity. The present invention fulfills this need, and provides further related advantages.
The present invention provides compounds of Formula I:
as well as pharmaceutically acceptable salts thereof, wherein:
represents
wherein V and W are O or S;
wherein m is 0, 1 or 2;
Within certain aspects, compounds and salts of Formula I are GABAA receptor modulators that enhance or inhibit GABAA receptor activation and/or GABAA receptor-mediated signal transduction. Such GABAA receptor modulators are preferably high affinity and/or high selectivity GABAA receptor ligands and act as agonists, inverse agonists or antagonists of GABAA receptors, such as human GABAA receptors. Certain such compounds exhibit a Ki of 1 micromolar or less, 500 nanomolar or less, 100 nanomolar or less, or 10 nanomolar or less in an assay of GABAA receptor binding.
Within further aspects, the present invention provides pharmaceutical compositions comprising one or more compounds or salts as described above in combination with a pharmaceutically acceptable carrier, diluent or excipient. Packaged pharmaceutical preparations are also provided, comprising such a pharmaceutical composition in a container and instructions for using the composition to treat a patient suffering from a CNS disorder (e.g., anxiety, depression, a sleep disorder, attention deficit disorder, schizophrenia, or a cognitive disorder such as short-term memory loss or Alzheimer's dementia).
The present invention further provides, within other aspects, methods for treating patients suffering from certain CNS disorders (such as, but not limited to, anxiety, depression, a sleep disorder, attention deficit disorder, schizophrenia or a cognitive disorder), comprising administering to a patient in need of such treatment a therapeutically effective amount of a compound or salt as described above. Methods for improving short term memory in a patient are also provided, comprising administering to a patient in need of such treatment a therapeutically effective amount of a compound or salt as described above. Treatment of humans, domesticated companion animals (pets) or livestock animals suffering from certain CNS disorders with a compound as provided herein is encompassed by the present invention.
In a separate aspect, the present invention provides methods for potentiating the action of other CNS active compounds. These methods comprise administering to a patient a therapeutically effective amount of a compound or salt of Formula I in conjunction with a therapeutically effective amount of another CNS agent.
The present invention further relates to the use of compounds and salts provided herein as probes for the localization of GABAA receptors in sample (e.g., a tissue section). In certain embodiments, GABAA receptors are detected using autoradiography. Additionally, the present invention provides methods for determining the presence or absence of GABAA receptor in a sample, comprising the steps of: (a) contacting a sample with a compound or salt as described above under conditions that permit binding of the compound to GABAA receptor; (b) removing compound or salt that is not bound to the GABAA receptor and (c) detecting compound or salt bound to GABAA receptor.
Within further aspects, the present invention provides methods for determining the presence or absence of GABAA receptor in a sample, comprising: determining background binding by:
In yet another aspect, the present invention provides methods for preparing the compounds disclosed herein, including the intermediates.
These and other aspects of the present invention will become apparent upon reference to the following detailed description.
As noted above, the present invention provides compounds and salts of Formula I. Certain preferred compounds bind to GABAA receptor, preferably with high selectivity; more preferably such compounds further provide beneficial modulation of brain function. Without wishing to be bound to any particular theory of operation, it is believed that that interaction of such compounds with the benzodiazepine site of GABAA receptor results in the pharmacological effects of these compounds. Such compounds may be used in vitro or in vivo to determine the location of GABAA receptors or to modulate GABAA receptor activity in a variety of contexts.
Compounds provided herein are generally described using standard nomenclature. For compounds having asymmetric centers, it should be understood that (unless otherwise specified) all of the optical isomers and mixtures thereof are encompassed. All chiral (enantiomeric and diastereomeric) and racemic forms, as well as all geometric isomeric forms of a structure are intended, unless the specific stereochemistry or isomeric form is specifically indicated. Geometric isomers of olefins, C═N double bonds and the like may also be present in the compounds described herein, and all such stable isomers are contemplated in the present invention, Cis and trays geometric isomers are also contemplated and may be isolated as a mixture of isomers or as separated isomeric forms.
Compounds in which one or more atoms are replaced with an isotope (i.e., an atom having the same atomic number but a different mass number) are also contemplated. By way of general example, and without limitation, isotopes of hydrogen include tritium and deuterium, and isotopes of carbon include 11C, 13C and 14C.
Certain general formulas recited herein include variables. Unless otherwise specified, each variable within such a formula is defined independently of other variables, and any variable that occurs more than one time within a formula is defined independently at each occurrence. Thus, for example, if a group is described as being substituted with 0-2 R*, then the group may be unsubstituted or substituted with up to two R* groups and R* at each occurrence is selected independently from the definition of R*. In addition, it will be apparent that combinations of substituents and/or variables are permissible only if such combinations result in a stable compound (i.e., a compound that can be isolated, characterized and tested for biological activity).
A “pharmaceutically acceptable salt” is an acid or base salt form of a compound, which salt form is suitable for use in contact with the tissues of human beings or animals without excessive toxicity or carcinogenicity, and preferably without irritation, allergic response, or other problem or complication. Such salts include mineral and organic acid salts of basic residues such as amines, as well as alkali or organic salts of acidic residues such as carboxylic acids. Specific pharmaceutical salts include, but are not limited to, salts of acids such as hydrochloric, phosphoric, hydrobromic, malic, glycolic, fumaric, sulfuric, sulfamic, sulfanilic, formic, toluenesulfonic, methanesulfonic, benzene sulfonic, ethane disulfonic, 2-hydroxyethylsulfonic, nitric, benzoic, 2-acetoxybenzoic, citric, tartaric, lactic, stearic, salicylic, glutamic, ascorbic, pamoic, succinic, fumaric, maleic, propionic, hydroxymaleic, hydroiodic, phenylacetic, alkanoic such as acetic, HOOC—(CH2)n—COOH where n is 0-4, and the like. Similarly, pharmaceutically acceptable cations include, but are not limited to sodium, potassium, calcium, aluminum, lithium and ammonium. Those of ordinary skill in the art will recognize further pharmaceutically acceptable salts for the compounds provided herein, including those listed by Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, Pa., p. 1418 (1985). In general, a pharmaceutically acceptable acid or base salt can be synthesized from a parent compound that contains a basic or acidic moiety by any conventional chemical method. Briefly, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two; generally, the use of nonaqueous media, such as ether, ethyl acetate, ethanol, isopropanol or acetonitrile, is preferred.
It will be apparent that each compound of Formula I may, but need not, be formulated as a hydrate, solvate or non-covalent complex. In addition, the various crystal forms and polymorphs are within the scope of the present invention. Also provided herein are prodrugs of the compounds of Formula I. A “prodrug” is a compound that may not fully satisfy the structural requirements of the compounds provided herein, but is modified in vivo, following administration to a patient, to produce a compound of Formula I, or other formula provided herein. For example, a prodrug may be an acylated derivative of a compound as provided herein. Prodrugs include compounds wherein hydroxy, amine or sulfhydryl groups are bonded to any group that, when administered to a mammalian subject, cleaves to form a free hydroxy, amino or sulfhydryl group, respectively. Examples of prodrugs include, but are not limited to, acetate, formate and benzoate derivatives of alcohol and amine functional groups within the compounds provided herein. Prodrugs of the compounds provided herein may be prepared by modifying functional groups present in the compounds in such a way that the modifications are cleaved in vivo to yield the parent compounds.
A “substituent,” as used herein, refers to a molecular moiety that is covalently bonded to an atom within a molecule of interest. For example, a “ring substituent” may be a moiety such as a halogen, alkyl group, haloalkyl group or other substituent discussed herein that is covalently bonded to an atom (preferably a carbon or nitrogen atom) that is a ring member. The term “substitution” refers to replacing a hydrogen atom in a molecular structure with a substituent as described above, such that the valence on the designated atom is not exceeded, and such that a chemically stable compound (i.e., a compound that can be isolated, characterized, and tested for biological activity) results from the substitution. When a substituent is oxo (i.e., ═O), then 2 hydrogens on the atom are replaced. When aromatic moieties are substituted with an oxo group, the aromatic ring is replaced by the corresponding partially unsaturated ring. For example a pyridyl group substituted with oxo is a pyridone.
The phrase “optionally substituted” indicates that a group may either be unsubstituted or substituted at one or more of any of the available positions, typically 1, 2, 3, 4 or 5 positions, by one or more suitable substituents such as those disclosed herein. Optional substitution is also indicated by the phrase “substituted with from 0 to X substituents,” in which X is the maximum number of substituents.
A dash (“—”) that is not between two letters or symbols is used to indicate a point of attachment for a substituent. For example, —CONH2 is attached through the carbon atom.
As used herein, “alkyl” is intended to include both branched and straight-chain saturated aliphatic hydrocarbon groups; where specified, such a group has the indicated number of carbon atoms. Thus, the term C1-C8alkyl, as used herein, indicates an alkyl group having from 1 to 8 carbon atoms. “C0-C8alkyl” refers to a single covalent bond or a C1-C8alkyl group; similarly “C0-C4alkyl” refers to a single covalent bond or a C1-C4alkyl group and “C0-C2alkyl” refers to a single covalent bond or a C1-C2alkyl group. Alkyl groups include, for example, methyl, ethyl, n-propyl, isopropyl, n-butyl, sec-butyl, tert-butyl, pentyl, 2-pentyl, isopentyl, neopentyl, hexyl, 2-hexyl, 3-hexyl and 3-methylpentyl. In certain embodiments, preferred alkyl groups are methyl, ethyl, propyl, butyl and 3-pentyl.
“Alkylene” refers to a divalent alkyl group, as defined above. C1-C8alkylene is a single covalent bond or an alkylene group having from 1 to 8 carbon atoms; and C1-C4alkylene is a single covalent bond or an alkylene group having from 1 to 4 carbon atoms.
“Alkenyl” refers to a straight or branched hydrocarbon chain comprising one or more carbon-carbon double bonds, such as ethenyl and propenyl. Alkenyl groups include C2-C8alkenyl, C2-C6alkenyl and C2-C4alkenyl groups (which have from 2 to 8, 2 to 6 or 2 to 4 carbon atoms, respectively), such as ethenyl, allyl or isopropenyl.
“Alkynyl” refers to straight or branched hydrocarbon chains comprising one or more carbon-carbon triple bonds. Alkynyl groups include C2-C8alkynyl, C2-C6alkynyl and C2-C4alkynyl groups, which have from 2 to 8, 2 to 6 or 2 to 4 carbon atoms, respectively. Alkynyl groups include, for example, groups such as ethynyl and propynyl.
By “alkoxy,” as used herein, is meant an alkyl group as described above attached via an oxygen bridge. Alkoxy groups include C1-C6alkoxy and C1-C4alkoxy groups, which have from 1 to 6 or 1 to 4 carbon atoms, respectively. Methoxy, ethoxy, propoxy, isopropoxy, n-butoxy, sec-butoxy, tert-butoxy, n-pentoxy, 2-pentoxy, 3-pentoxy, isopentoxy, neopentoxy, hexoxy, 2-hexoxy, 3-hexoxy and 3-methylpentoxy are specific alkoxy groups. Similarly “alkylthio” refers to an alkyl group as described above attached via a sulfur bridge.
A “cycloalkyl” is a saturated or partially saturated cyclic group in which all ring members are carbon, such as cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, norbornyl, adamantyl, decahydro-naphthalenyl, octahydro-indenyl, and partially saturated variants of any of the foregoing, such as cyclohexenyl. Such groups typically contain from 3 to about 10 ring carbon atoms; in certain embodiments, such groups have from 3 to 7 ring carbon atoms (i.e., C3-C7cycloalkyl). If substituted, any ring carbon atom may be bonded to any indicated substituent.
In the term “(cycloalkyl)alkyl,” “cycloalkyl” and “alkyl” are as defined above, and the point of attachment is on the alkyl group. Certain such groups are (C3-C8cycloalkyl)C0-C4alkyl and (C3-C7cycloalkyl)C0-C4alkyl, in which the cycloalkyl group of the indicated ring size is linked via a single covalent bond or a C1-C4alkylene group. This term encompasses, for example, cyclopropylmethyl, cyclohexylmethyl and cyclohexylethyl. Similarly, “(C3-C7cycloalkyl)C1-C4alkoxy” refers to a C3-C7cycloalkyl group linked via a C1-C4alkoxy.
The term “alkanoyl” refers to an alkyl group as defined above attached through a carbonyl bridge. Alkanoyl groups include C2-C8alkanoyl, C2-C6alkanoyl and C2-C4alkanoyl groups, which have from 2 to 8, 2 to 6 or 2 to 4 carbon atoms, respectively. “C1alkanoyl” refers to —(C═O)—H, which (along with C2-C8alkanoyl) is encompassed by the term “C1-C8alkanoyl.” Ethanoyl is C2alkanoyl.
The term “oxo,” as used herein, refers to a keto (C═O) group. An oxo group that is a substituent of a nonaromatic ring results in a conversion of —CH2— to —C(═O)—. It will be apparent that the introduction of an oxo substituent on an aromatic ring destroys the aromaticity.
An “alkanone” is a ketone group in which carbon atoms are in a linear or branched alkyl arrangement. “C3-C8alkanone,” “C3-C6alkanone” and “C3-C4alkanone” refer to an alkanone having from 3 to 8, 6 or 4 carbon atoms, respectively. By way of example, a C3 alkanone group has the structure —CH2—(C═O)—CH3.
Similarly, “alkyl ether” refers to a linear or branched ether substituent linked via a carbon-carbon bond. Alkyl ether groups include C2-C8alkyl ether, C2-C6alkyl ether and C2-C4alkyl ether groups, which have 2 to 8, 6 or 4 carbon atoms, respectively. By way of example, a C2alkyl ether group has the structure —CH2—O—CH3.
The term “alkoxycarbonyl” refers to an alkoxy group linked via a carbonyl (i.e., a group having the general structure —C(═O)—O-alkyl). Alkoxycarbonyl groups include C1-C8, C1-C6 and C1-C4alkoxycarbonyl groups, which have from 1 to 8, 6 or 4 carbon atoms, respectively, in the alkyl portion of the group. For example, “C1alkoxycarbonyl” refers to —C(═O)—O—CH3.
The term “aminocarbonyl” refers to an amide group (i.e., —(C═O)NH2).
“Alkylamino” refers to a secondary or tertiary amine substituent having the general structure —NH-alkyl or —N(alkyl)(alkyl), wherein each alkyl may be the same or different. Such groups include, for example, mono- and di-(C1-C6alkyl)amino groups, in which each alkyl may be the same or different and may contain from 1 to 6 carbon atoms, as well as mono- and di-(C1-C4alkyl)amino groups. Alkylaminoalkyl refers to an alkylamino group linked via an alkyl group (i.e., a group having the general structure -alkyl-NH-alkyl or -alkyl-N(alkyl)(alkyl)). Such groups include, for example, mono- and di-(C1-C8alkyl)aminoC1-C8alkyl, in which each alkyl may be the same or different. “Mono- or di-(C1-C8alkyl)aminoC0-C8alkyl” refers to a mono- or di-(C1-C8alkyl)amino group linked via a single covalent bond or a C1-C8alkylene group. The following are representative alkylaminoalkyl groups:
The term “halogen” refers to fluorine, chlorine, bromine and iodine.
A “haloalkyl” is a branched or straight-chain alkyl group, substituted with 1 or more halogen atoms (e.g., “C1-C8haloalkyl” groups have from 1 to 8 carbon atoms; “C1-C2haloalkyl” groups have from 1 to 2 carbon atoms). Examples of haloalkyl groups include, but are not limited to, mono-, di- or tri-fluoromethyl; mono-, di- or tri-chloromethyl; mono-, di-, tri-, tetra- or penta-fluoroethyl; and mono-, di-, tri-, tetra- or penta-chloroethyl. Typical haloalkyl groups are trifluoromethyl and difluoromethyl. The term “haloalkoxy” refers to a haloalkyl group as defined above attached via an oxygen bridge. “C1-C8haloalkoxy” groups have from 1 to 8 carbon atoms.
As used herein, the term “aryl” indicates aromatic groups containing only carbon in the aromatic ring(s). Such aromatic groups may be further substituted with carbon or non-carbon atoms or groups. Typical aryl groups contain 1 to 3 separate, fused, spiro or pendant rings and from 6 to about 18 ring atoms, without heteroatoms as ring members. Preferred aryl groups are 6- to 12-membered groups and 6- to 10-membered groups, such as phenyl, naphthyl (including 1-naphthyl and 2-naphlthyl) and biphenyl. Arylalkyl groups are aryl groups linked via an alkylene group. Such groups include, for example, (C6-C10aryl)C0-C2alkyl groups, which are 6- to 10-membered groups liked via a single covalent bond or a methylene or ethylene moiety. Arylalkoxy groups are aryl groups linked via an alkoxy moiety. For example, phenylC1-C2alkoxy refers to benzyloxy or phenylethoxy (also known as phenethyloxy).
The term “heterocycle” or “heterocyclic group” is used to indicate saturated, partially unsaturated or aromatic groups having 1 or 2 rings, with 3 to 8 atoms in each ring, and in at least one ring from 1 to 4 independently chosen heteroatoms (i.e., oxygen, sulfur or nitrogen). The heterocyclic ring may be attached via any ring heteroatom or carbon atom that results in a stable structure, and may be substituted on carbon and/or nitrogen atom(s) if the resulting compound is stable. Any nitrogen and/or sulfur heteroatoms may optionally be oxidized, and any nitrogen may optionally be quaternized.
Certain heterocycles are “heteroaryl” (i.e., comprise at least one aromatic ring having from 1 to 4 heteroatoms, with the remaining ring atoms being carbon). When the total number of S and O atoms in the heteroaryl group exceeds 1, then these heteroatoms are not adjacent to one another; preferably the total number of S and O atoms in the heteroaryl group is not more than 1, 2 or 3, more preferably not more than 1 or 2 and most preferably not more than 1. Examples of heteroaryl groups include pyridyl, indolyl, pyrimidinyl, pyridazinyl, pyrazinyl, imidazolyl, oxazolyl, thienyl, thiazolyl, triazolyl, isoxazolyl, quinolinyl, pyrrolyl, pyrazolyl and 5,6,7,8-tetrahydroisoquinoline. Bicyclic heteroaryl groups may, but need not, contain a saturated ring in addition to the aromatic ring (e.g., tetrahydroquinolinyl or tetrahydroisoquinolinyl). A “5- to 10-membered heteroaryl” is a monocyclic or bicyclic heteroaryl having 5, 6, 7, 8, 9 or 10 ring members.
Other heterocycles are referred to herein as “heterocycloalkyl” (i.e., saturated or partially saturated heterocycles). Heterocycloalkyl groups generally have from 3 to about 8 ring atoms, and more typically from 3 to 7 (or from 5 to 7) ring atoms. Examples of heterocycloalkyl groups include morpholinyl, thiomorpholinyl, piperazinyl, piperadinyl and pyrrolidinyl.
A (3- to 7-membered heterocycle)C0-C4alkyl is a heterocycle having from 3 to 7 ring members that is linked via a single covalent bond or a C1-C4alkylene group. A (3- to 7-membered heterocycloalkyl)C0-C4alkyl group is a heterocycloalkyl group having from 3 to 7 ring members that is linked via a single covalent bond or a C1-C4alkylene group. A (5- to 10-membered heterocycloalkyl)C0-C2alkyl group is a heteroaryl group having from 5 to 10 ring members that is linked via a single covalent bond or a methylene or ethylene group.
The terms “GABAA receptor” and “benzodiazepine receptor” refer to a protein complex that detectably binds GABA and mediates a dose dependent alteration in chloride conductance and membrane polarization. Receptors comprising naturally-occurring mammalian (especially human or rat) GABAA receptor subunits are generally preferred, although subunits may be modified provided that any modifications do not substantially inhibit the receptor's ability to bind GABA (i.e., at least 50% of the binding affinity of the receptor for GABA is retained). The binding affinity of a candidate GABAA receptor for GABA may be evaluated using a standard ligand binding assay as provided herein. It will be apparent that there are a variety of GABAA receptor subtypes that fall within the scope of the term “GABAA receptor.” These subtypes include, but are not limited to, α2β3γ2, α3β3γ2, α5β3γ2 and α1β2γ2 receptor subtypes. GABAA receptors may be obtained from a variety of sources, such as from preparations of rat cortex or from cells expressing cloned human GABAA receptors. Particular subtypes may be readily prepared using standard techniques (e.g., by introducing mRNA encoding the desired subunits into a host cell, as described herein).
An “agonist” of a GABAA receptor is a compound that enhances the activity of GABA at the GABAA receptor. Agonists may, but need not, also enhance the binding of GABA to GABAA receptor. The ability of a compound to act as a GABAA agonist may be determined using an electrophysiological assay, such as the assay provided in Example 4.
An “inverse agonist” of a GABAA receptor is a compound that reduces the activity of GABA at the GABAA receptor. Inverse agonists, but need not, may also inhibit binding of GABA to the GABAA receptor. The reduction of GABA-induced GABAA receptor activity may be determined from an electrophysiological assay such as the assay of Example 4.
An “antagonist” of a GABAA receptor, as used herein, is a compound that occupies the benzodiazepine site of the GABAA receptor, but has no detectable effect on GABA activity at the GABAA receptor. Such compounds can inhibit the action of agonists or inverse agonists. GABAA receptor antagonist activity may be determined using a combination of a suitable GABAA receptor binding assay, such as the assay provided in Example 3, and a suitable functional assay, such as the electrophysiological assay provided in Example 4, herein.
A “GABAA receptor modulator” is any compound that acts as a GABAA receptor agonist, inverse agonist or antagonist. In certain embodiments, such a modulator may exhibit an affinity constant (Ki) of less than 1 micromolar in a standard GABAA receptor radioligand binding assay, or an EC50 of less than 1 micromolar in an electrophysiological assay. In other embodiments a GABAA receptor modulator may exhibit an affinity constant or EC50 of less than 500 nM, 200 nM, 100 nM, 50 nM, 25 nM, 10 nM or 5 nM.
A GABAA receptor modulator is said to have “high affinity” if the Ki at a GABAA receptor is less than 1 micromolar, preferably less than 100 nanomolar or less than 10 nanomolar. A representative assay for determining Ki at GABAA receptor is provided in Example 3, herein. It will be apparent that the Ki may depend upon the receptor subtype used in the assay. In other words, a high affinity compound may be “subtype-specific” (i.e., the Ki is at least 10-fold greater for one subtype than for another subtype). Such compounds are said to have high affinity for GABAA receptor if the Ki for at least one GABAA receptor subtype meets any of the above criteria.
A GABAA receptor modulator is said to have “high selectivity” if it binds to at least one subtype of GABAA receptor with a Ki that is at least 10-fold lower, preferably at least 100-fold lower, than the Ki for binding to other (i.e., not GABAA) membrane-bound receptors. In particular, a compound that displays high selectivity should have a Ki that is at least 10-fold greater at the following receptors than at a GABAA receptor: serotonin, dopamine, galanin, VR1, C5a, MCH, NPY, CRF, bradykinin and tackykinin. Assays to determine Ki at other receptors may be performed using standard binding assay protocols, such as using a commercially available membrane receptor binding assay (e.g., the binding assays available from MDS PHARMA SERVICES, Toronto, Canada and CEREP, Redmond, Wash.).
A “CNS disorder” is a disease or condition of the central nervous system that is responsive to GABAA receptor modulation in the patient. Such disorders include anxiety disorders (e.g., panic disorder, obsessive compulsive disorder, agoraphobia, social phobia, specific phobia, dysthymia, adjustment disorders, separation anxiety, cyclothymia and generalized anxiety disorder), stress disorders (e.g., post-traumatic stress disorder, anticipatory anxiety acute stress disorder and acute stress disorder), depressive disorders (e.g., depression, atypical depression, bipolar disorder and depressed phase of bipolar disorder), sleep disorders (e.g., primary insomnia, circadian rhythm sleep disorder, dyssomnia NOS, parasomnias including nightmare disorder, sleep terror disorder, sleepwalking, sleep disorders secondary to depression, anxiety and/or other mental disorders and substance-induced sleep disorder), cognitive disorders (e.g., cognition impairment, mild cognitive impairment (MCI), age-related cognitive decline (ARCD), schizophrenia, traumatic brain injury, Down's Syndrome, neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease and stroke), AIDS-associated dementia, dementia associated with depression, anxiety or psychosis, attention deficit disorders (e.g., attention deficit disorder and attention deficit and hyperactivity disorder), convulsive disorders (e.g., epilepsy), benzodiazepine overdose and drug and alcohol addiction.
A “CNS agent” is any drug used to treat or prevent a CNS disorder or to induce or prolong sleep in a healthy patient. CNS agents include, for example: GABAA receptor modulators, serotonin receptor (e.g., 5-HT1A) agonists and antagonists and selective serotonin reuptake inhibitors (SSRIs); neurokinin receptor antagonists; corticotropin releasing factor receptor (CRF1) antagonists; melatonin receptor agonists; nicotinic agonists; muscarinic agents; acetylcholinesterase inhibitors and dopamine receptor agonists.
A “therapeutically effective amount” (or dose) is an amount that, upon administration to a patient, results in a discemible patient benefit (e.g., diminution of one or more symptoms of a CNS disorder or a desired effect on sleep). Such an amount or dose generally results in a concentration of compound in cerebrospinal fluid that is sufficient to inhibit the binding of GABAA receptor ligand to GABAA receptor in vitro, as determined using the assay described in Example 3. It will be apparent that the therapeutically effective amount for a compound will depend upon the indication for which the compound is administered, as well as any co-administration of other CNS agent(s).
A “patient” is any individual treated with a compound provided herein. Patients include humans, as well as other vertebrate animals such as companion animals and livestock. Patients may be afflicted with a CNS disorder, or may be free of such a condition (i.e., treatment may be prophylactic or soporific).
As noted above, the present invention provides compounds that satisfy Formula I, with the variables as described above, as well as pharmaceutically acceptable salts of such compounds.
In certain compounds provided herein, R8 is hydrogen, halogen, C1-C2alkyl or C1-C2alkoxy.
Ar, within certain compounds of Formula I, is substituted with 0, 1, 2 or 3 substituents independently selected from halogen, hydroxy, amino, cyano, C1-C4alkyl, C1-C4alkoxy, mono- or di-(C1-C4alkyl)amino, C2-C4alkanoyl, (C3-C7cycloalkyl)C0-C2alkyl, C1-C2haloalkyl and C1-C2haloalkoxy. Certain Ar groups include phenyl, pyridyl, thiazolyl, thienyl, pyridazinyl and pyrimidinyl, each of which is substituted with from 0 to 3 substituents. Within certain embodiments, Ar represents phenyl, pyridyl, thiazolyl, thienyl, pyridazinyl or pyrimidinyl, each of which is substituted with from 0 to 4 substituents; within certain such compounds, Ar is substituted with from 0 to 3 substituents independently selected from bromo, chloro, fluoro, hydroxy, cyano, amino, C1-C4alkyl, C1-C4alkoxy, mono- or di-(C1-C2alkyl)amino, C1-C2haloalkyl and C1-C2haloalkoxy. Within further embodiments, Ar represents phenyl, pyridin-2-yl, 1,3-thiazol-2-yl, thien-2-yl or pyridazin-3-yl, each of which is substituted with from 0 to 3 substituents independently selected from bromo, fluoro, chloro, hydroxy, methyl, ethyl, cyano, methoxy and ethoxy. Representative such Ar groups include, for example, pyridin-2-yl, 3-fluoro-pyridin-2-yl, 3-bromo-pyridin-2-yl, 3-chloro-pyridin-2-yl, 3-cyano-pyridin-2-yl, 3-trifluoromethyl-pyridin-2-yl, 6-fluoro-pyridin-2-yl, 6-cyano-pyridin-2-yl, 6-trifluoromethyl-pyridin-2-yl 6-hydroxy-pyridin-2-yl or 6-methoxy-pyridin-2-yl.
In certain compounds of Formula I, R5 is C1-C6alkyl, C2-C6alkenyl, C1-C4alkoxy or mono- or di-C1-C4alkylamino, each of which is substituted with from 0 to 3 substituents independently selected from halogen, hydroxy, C1-C2alkoxy, C3-C8cycloalkyl, phenyl and phenylC1-C2alkoxy. Representative R5 groups include ethyl, propyl, butyl, ethoxy and methoxymethyl.
R6 and R7, within certain embodiments, are both hydrogen.
Certain compounds of Formula I satisfy one of Formulas II-V (or are a pharmaceutically acceptable salt of such a compound), in which the variables are as described above:
Within the above Formulas, each RC is independently selected as described above; in certain embodiments, each RC is independently selected from hydrogen, hydroxy, halogen, cyano, carboxamido, C1-C6alkyl, C1-C6alkoxy, C2-C6alkyl ether, C3-C7cycloalkyl, C1-C4hydroxyalkyl, C1-C2haloalkyl, C1-C2haloalkoxy, C1-C6alkoxycarbonyl, mono- and di-(C1-C4alkyl)amino, phenyl and pyridyl.
In certain compounds of Formulas I-IV, the variables X, Y and Z are each CRC. In other such compounds, X is N and Y and Z are each CRC.
Other compounds of Formula I satisfy Formula VI or Formula VII (or are a pharmaceutically acceptable salt of such a compound):
represent a fused 5- or 6-membered heterocycle that is substituted with from 0 to 2 substituents independently chosen from halogen, amino, cyano, C1-C6alkyl, C1-C6alkoxy, C2-C6alkyl ether, mono- or di-(C1-C4alkyl)amino, C2-C4alkanoyl, (C3-C7cycloalkyl)C0-C2alkyl, C1-C2haloalkyl or C1-C2haloalkoxy, and the remaining variables are as described above. Certain compounds of Formula VI further satisfy Formula VIII; and certain compounds of Formula VII further satisfy Formula IX:
Within Formulas VIII and IX, the variables Z1, Z2 and Z3 are independently N, CH or carbon substituted with halogen, amino, cyano, C1-C6alkyl, C1-C6alkoxy, C2-C6alkyl ether, mono- or di-(C1-C4alkyl)amino, C2-C4alkanoyl, (C3-C7cycloalkyl)C0-C2alkyl, C1-C2haloalkyl or C1-C2haloalkoxy. One class of compounds of Formula VIII further satisfies Formula X, wherein R2 is hydrogen, C1-C6alkyl, C2-C6alkyl ether or (C3-C7cycloalkyl)C0-C2alkyl; and Z3 is N or CH
Certain compounds of Formula X further satisfy Subformula Xa, Xb, Xc or Xd:
One class of compounds of Formula IX further satisfies Formula XI, wherein R2 is hydrogen, C1-C6alkyl, C2-C6alkyl ether or (C3-C7cycloalkyl)C0-C2alkyl.
Certain compounds of Formula XI further satisfy Subformula XIa or XIb:
Another class of compounds of Formula IX further satisfies Formula XII, wherein R1 is hydrogen, C1-C6alkyl, C2-C6alkyl ether or (C3-C7cycloalkyl)C0-C2alkyl.
Certain compounds of Formula XI further satisfy Subformula XIIa or XIIb:
Other compounds of Formula I satisfy Formula XIII (or are a pharmaceutically acceptable salt of such a compound):
represents a fused phenyl or 5- or 6-membered heterocycle that is substituted with from 0 to 2 substituents independently chosen from halogen, amino, cyano, C1-C6alkyl, C1-C6alkoxy, C2-C6alkyl ether, mono- or di-(C1-C4alkyl)amino, C2-C4alkanoyl, (C3-C7cycloalkyl)C0-C2alkyl, C1-C2haloalkyl or C1-C2haloalkoxy.
Certain compounds of Formula XIII further satisfy Formula XIV (or are a pharmaceutically acceptable salt of such a compound), wherein Z1, Z2 and Z3 are as described above:
One subclass of such compounds further satisfies Formula XV:
In certain aspects, compounds provided herein detectably alter (modulate) ligand binding to GABAA receptor, as determined using a standard in vitro receptor binding assay. References herein to a “GABAA receptor ligand binding assay” are intended to refer to the standard in vitro receptor binding assay provided in Example 3. Briefly, a competition assay may be performed in which a GABAA receptor preparation is incubated with labeled (e.g., 3H) ligand, such as Flumazenil, and unlabeled test compound. Incubation with a compound that detectably modulates ligand binding to GABAA receptor will result in a decrease or increase in the amount of label bound to the GABAA receptor preparation, relative to the amount of label bound in the absence of the compound. Preferably, such a compound will exhibit a Ki at GABAA receptor of less than 1 micromolar, more preferably less than 500 nM, 100 nM, 20 nM or 10 nM. The GABAA receptor used to determine in vitro binding may be obtained from a variety of sources, for example from preparations of rat cortex or from cells expressing cloned human GABAA receptors.
In certain embodiments, preferred compounds provided herein have favorable pharmacological properties, including oral bioavailability (such that a sub-lethal or preferably a pharmaceutically acceptable oral dose, preferably less than 2 grams, more preferably less than or equal to one gram or 200 mg, can provide a detectable in vivo effect), low toxicity (a preferred compound is nontoxic when a therapeutically effective amount is administered to a subject), minimal side effects (a preferred compound produces side effects comparable to placebo when a therapeutically effective amount of the compound is administered to a subject), low serum protein binding, and a suitable in vitro and in vivo half-life (a preferred compound exhibits an in vivo half-life allowing for Q.I.D. dosing, preferably T.I.D. dosing, more preferably B.I.D. dosing and most preferably once-a-day dosing). Distribution in the body to sites of target receptor activity is also desirable (e.g., compounds used to treat CNS disorders will preferably penetrate the blood brain barrier, while low brain levels of compounds used to treat periphereal disorders are typically preferred).
Routine assays that are well known in the art may be used to assess these properties and identify superior compounds for a particular use. For example, assays used to predict bioavailability include transport across human intestinal cell monolayers, such as Caco-2 cell monolayers. Penetration of the blood brain barrier of a compound in humans may be predicted from the brain levels of the compound in laboratory animals given the compound (e.g., intravenously). Serum protein binding may be predicted from albumin binding assays, such as those described by Oravcová, et al. (1996) Journal of Chromatography B 677:1-27. Compound half-life is inversely proportional to the required frequency of dosage. In vitro half-lives of compounds may be predicted from assays of microsomal half-life as described by Kuhnz and Gieschen (1998) Drug Metabolism and Disposition 26:1120-27.
As noted above, preferred compounds provided herein are nontoxic. In general, the term “nontoxic” as used herein shall be understood in a relative sense and is intended to refer to any substance that has been approved by the United States Food and Drug Administration (“FDA”) for administration to mammals (preferably humans) or, in keeping with established criteria, is susceptible to approval by the FDA for administration to mammals (preferably humans). In addition, a highly preferred nontoxic compound generally satisfies one or more of the following criteria when administered at a minimum therapeutically effective amount or when contacted with cells at a concentration that is sufficient to inhibit the binding of GABAA receptor ligand to GABAA receptor in vitro: (1) does not substantially inhibit cellular ATP production; (2) does not significantly prolong heart QT intervals; (3) does not cause substantial liver enlargement or (4) does not cause substantial release of liver enzymes.
As used herein, a compound that does not substantially inhibit cellular ATP production is a compound that, when tested as described in Example 5, does not decrease cellular ATP levels by more than 50%. Preferably, cells treated as described in Example 5 exhibit ATP levels that are at least 80% of the ATP levels detected in untreated cells. Highly preferred compounds are those that do not substantially inhibit cellular ATP production when the concentration of compound is at least 10-fold, 100-fold or 1000-fold greater than the EC50 or IC50 for the compound.
A compound that does not significantly prolong heart QT intervals is a compound that does not result in a statistically significant prolongation of heart QT intervals (as determined by electrocardiography) in guinea pigs, minipigs or dogs upon administration of a dose that yields a serum concentration equal to the EC50 or IC50 for the compound. In certain preferred embodiments, a dose of 0.01, 0.05, 0.1, 0.5, 1, 5, 10, 40 or 50 mg/kg administered parenterally or orally does not result in a statistically significant prolongation of heart QT intervals. By “statistically significant” is meant results varying from control at the p<0.1 level or more preferably at the p<0.05 level of significance as measured using a standard parametric assay of statistical significance such as a student's T test.
A compound does not cause substantial liver enlargement if daily treatment of laboratory rodents (e.g., mice or rats) for 5-10 days with a dose that yields a serum concentration equal to the EC50 or IC50 for the compound results in an increase in liver to body weight ratio that is no more than 100% over matched controls. In more highly preferred embodiments, such doses do not cause liver enlargement of more than 75% or 50% over matched controls. If non-rodent mammals (e.g., dogs) are used, such doses should not result in an increase of liver to body weight ratio of more than 50%, preferably not more than 25%, and more preferably not more than 10% over matched untreated controls. Preferred doses within such assays include 0.01, 0.05. 0.1, 0.5, 1, 5, 10, 40 or 50 mg/kg administered parenterally or orally.
Similarly, a compound does not promote substantial release of liver enzymes if administration of a dose that yields a serum concentration equal to the EC50 or IC50 for the compound does not elevate serum levels of ALT, LDH or AST in laboratory rodents by more than 3-fold (preferably no more than 2-fold) over matched mock-treated controls. In more highly preferred embodiments, such doses do not elevate such serum levels by more than 75% or 50% over matched controls. Alternately, a compound does not promote substantial release of liver enzymes if, in an in vitro hepatocyte assay, concentrations (in culture media or other such solutions that are contacted and incubated with hepatocytes in vitro) concentrations that are equal to the EC50 or IC50 for the compound do not cause detectable release of any of such liver enzymes into culture medium above baseline levels seen in media from matched mock-treated control cells. In more highly preferred embodiments, there is no detectable release of any of such liver enzymes into culture medium above baseline levels when such compound concentrations are two-fold, five-fold, and preferably ten-fold the EC50 or IC50 for the compound.
In other embodiments, certain preferred compounds do not inhibit or induce microsomal cytochrome P450 enzyme activities, such as CYP1A2 activity, CYP2A6 activity, CYP2C9 activity, CYP2C19 activity, CYP2D6 activity, CYP2E1 activity or CYP3A4 activity at a concentration equal to the EC50 or IC50 for the compound.
Certain preferred compounds are not clastogenic or mutagenic (e.g., as determined using standard assays such as the Chinese hamster ovary cell vitro micronucleus assay, the mouse lymphoma assay, the human lymphocyte chromosomal aberration assay, the rodent bone marrow micronucleus assay, the Ames test or the like) at a concentration equal to the EC50 or IC50 for the compound. In other embodiments, certain preferred compounds do not induce sister chromatid exchange (e.g., in Chinese hamster ovary cells) at such concentrations.
For detection purposes, as discussed in more detail below, compounds provided herein may be isotopically-labeled or radiolabeled. Such compounds are identical to those described above, but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number usually found in nature. Examples of isotopes that can be incorporated into compounds provided herein include isotopes of hydrogen, carbon, nitrogen, oxygen, phosphorous, fluorine and chlorine, such as 2H, 3H, 11C, 13C, 14C, 15N, 18O, 17O, 31P, 32P, 35S, 18F and 36Cl. In addition, substitution with heavy isotopes such as deuterium (i.e., 2H) can afford certain therapeutic advantages resulting from greater metabolic stability, such as increased in vivo half-life or reduced dosage requirements and, hence, may be preferred in some circumstances.
As noted above, different stereoisomeric forms, such as racemates and optically active forms, are encompassed by the present invention. In certain embodiments, it may be desirable to obtain single enantiomers (i.e., optically active forms). Standard methods for preparing single enantiomers include asymmetric synthesis and resolution of the racemates. Resolution of the racemates can be accomplished by conventional methods such as crystallization in the presence of a resolving agent, or chromatography using, for example, a chiral HPLC column.
The present invention also provides pharmaceutical compositions comprising at least one compound provided herein, together with at least one physiologically acceptable carrier or excipient. Such compounds may be used for treating patients in which GABAA receptor modulation is desirable (e.g., patients undergoing painful procedures who would benefit from the induction of amnesia, or those suffering from anxiety, depression, sleep disorders or cognitive impairment). Pharmaceutical compositions may comprise, for example, water, buffers (e.g., neutral buffered saline or phosphate buffered saline), ethanol, mineral oil, vegetable oil, dimethylsulfoxide, carbohydrates (e.g., glucose, mannose, sucrose or dextrans), mannitol, proteins, adjuvants, polypeptides or amino acids such as glycine, antioxidants, chelating agents such as EDTA or glutathione and/or preservatives. Preferred pharmaceutical compositions are formulated for oral delivery to humans or other animals (e.g., companion animals such as dogs or cats). If desired, other active ingredients may also be included, such as additional CNS-active agents.
Pharmaceutical compositions may be formulated for any appropriate manner of administration, including, for example, topical, oral, nasal, rectal or parenteral administration. The term parenteral as used herein includes subcutaneous, intradermal, intravascular (e.g., intravenous), intramuscular, spinal, intracranial, intrathecal and intraperitoneal injection, as well as any similar injection or infusion technique. In certain embodiments, compositions in a form suitable for oral use are preferred. Such forms include, for example, tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsion, hard or soft capsules, or syrups or elixirs. Within yet other embodiments, compositions of the present invention may be formulated as a lyophilizate.
Compositions intended for oral use may further comprise one or more components such as sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide appealing and palatable preparations. Tablets contain the active ingredient in admixture with physiologically acceptable excipients that are suitable for the manufacture of tablets. Such excipients include, for example, inert diluents (e.g., calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate), granulating and disintegrating agents (e.g., corn starch or alginic acid), binding agents (e.g., starch, gelatin or acacia) and lubricating agents (e.g., magnesium stearate, stearic acid or talc). The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period. For example, a time delay material such as glyceryl monosterate or glyceryl distearate may be employed.
Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent (e.g., calcium carbonate, calcium phosphate or kaolin), or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium (e.g., peanut oil, liquid paraffin or olive oil).
Aqueous suspensions comprise the active materials in admixture with one or more excipients suitable for the manufacture of aqueous suspensions. Such excipients include suspending agents (e.g., sodium carboxymethylcellulose, methylcellulose, hydropropylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia); and dispersing or wetting agents (e.g., naturally-occurring phosphatides such as lecithin, condensation products of an alkylene oxide with fatty acids such as polyoxyethylene stearate, condensation products of ethylene oxide with long chain aliphatic alcohols such as heptadecaethyleneoxycetanol, condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides such as polyethylene sorbitan monooleate). Aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl p-hydroxybenzoate, one or more coloring agents, one or more flavoring agents and/or one or more sweetening agents, such as sucrose or saccharin.
Oily suspensions may be formulated by suspending the active ingredients in a vegetable oil (e.g., arachis oil, olive oil, sesame oil or coconut oil) or in a mineral oil such as liquid paraffin. The oily suspensions may contain a thickening agent such as beeswax, hard paraffin or cetyl alcohol. One or more sweetening agents and/or flavoring agents may be added to provide palatable oral preparations. Such suspension may be preserved by the addition of an anti-oxidant such as ascorbic acid.
Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, such as sweetening, flavoring and coloring agents, may also be present.
Pharmaceutical compositions may also be in the form of oil-in-water emulsions. The oily phase may be a vegetable oil (e.g., olive oil or arachis oil) or a mineral oil (e.g., liquid paraffin) or mixtures thereof. Suitable emulsifying agents may be naturally-occurring gums (e.g., gum acacia or gum tragacanth), naturally-occurring phosphatides (e.g., soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol), anhydrides (e.g., sorbitan monoleate) and condensation products of partial esters derived from fatty acids and hexitol with ethylene oxide (e.g., polyoxyethylene sorbitan monoleate). The emulsions may also contain sweetening and/or flavoring agents.
Syrups and elixirs may be formulated with sweetening agents, such as glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also comprise one or more demulcents, preservatives, flavoring agents and/or coloring agents.
A pharmaceutical composition may be prepared as a sterile injectable aqueous or oleaginous suspension. The compound, depending on the vehicle and concentration used, can either be suspended or dissolved in the vehicle. Such a composition may be formulated according to the known art using suitable dispersing, wetting agents and/or suspending agents such as those mentioned above. Among the acceptable vehicles and solvents that may be employed are water, 1,3-butanediol, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils may be employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed, including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectable compositions, and adjuvants such as local anesthetics, preservatives and/or buffering agents can be dissolved in the vehicle.
Pharmaceutical compositions may also be prepared in the form of suppositories (e.g., for rectal administration). Such compositions can be prepared by mixing the drug with a suitable non-irritating excipient that is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug. Suitable excipients include, for example, cocoa butter and polyethylene glycols.
For administration to non-human animals, the composition may also be added to animal feed or drinking water. It may be convenient to formulate animal feed and drinking water compositions so that the animal takes in an appropriate quantity of the composition along with its diet. It may also be convenient to present the composition as a premix for addition to feed or drinking water.
Pharmaceutical compositions may be formulated as sustained release formulations (i.e., a formulation such as a capsule that effects a slow release of compound following administration). Such formulations may generally be prepared using well known technology and administered by, for example, oral, rectal or subcutaneous implantation, or by implantation at the desired target site. Carriers for use within such formulations are biocompatible, and may also be biodegradable; preferably the formulation provides a relatively constant level of active compound release. The amount of compound contained within a sustained release formulation depends upon the site of implantation, the rate and expected duration of release and the nature of the condition to be treated or prevented.
Compounds provided herein are generally present within a pharmaceutical composition in a therapeutically effective amount, as described above. Compositions providing dosage levels ranging from about 0.1 mg to about 140 mg per kilogram of body weight per day are preferred (about 0.5 mg to about 7 g per human patient per day). The amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration. Dosage unit forms will generally contain between from about 1 mg to about 500 mg of an active ingredient. It will be understood, however, that the optimal dose for any particular patient will depend upon a variety of factors, including the activity of the specific compound employed; the age, body weight, general health, sex and diet of the patient; the time and route of administration; the rate of excretion; any simultaneous treatment, such as a drug combination; and the type and severity of the particular disease undergoing treatment. Optimal dosages may be established using routine testing and procedures that are well known in the art.
Pharmaceutical compositions may be packaged for treating a CNS disorder such as anxiety, depression, a sleep disorder, attention deficit disorder or a cognitive disorder such as short-term memory loss or Alzheimer's dementia. Packaged pharmaceutical preparations include a container holding a therapeutically effective amount of at least one compound as described herein and instructions (e.g., labeling) indicating that the contained composition is to be used for treating the CNS disorder.
Within certain aspects, the present invention provides methods for inhibiting the development of a CNS disorder. In other words, therapeutic methods provided herein may be used to treat an existing disorder, or may be used to prevent, decrease the severity of, or delay the onset of such a disorder in a patient who is free of detectable CNS disorder. CNS disorders are discussed in more detail below, and may be diagnosed and monitored using criteria that have been established in the art. Alternatively, or in addition, compounds provided herein may be administered to a patient to improve short-term memory or induce sleep in a healthy patient. Patients include humans, domesticated companion animals (pets, such as dogs) and livestock animals, with dosages and treatment regimes as described above.
Frequency of dosage may vary, depending on the compound used and the particular disease to be treated or prevented. In general, for treatment of most disorders, a dosage regimen of 4 times daily or less is preferred. For soporific treatment, a single dose that rapidly reaches a concentration in cerebrospinal fluid that is sufficient to inhibit the binding of GABAA receptor ligand to GABAA receptor in vitro is desirable. Patients may generally be monitored for therapeutic effectiveness using assays suitable for the condition being treated or prevented, which will be familiar to those of ordinary skill in the art.
Within preferred embodiments, compounds provided herein are used to treat patients with an existing CNS disorder. In general, such patients are treated with a therapeutically effective amount of a compound of Formula I (or a pharmaceutically acceptable salt thereof); preferably the amount is sufficient to alter one or more symptoms of a CNS disorder. Compounds that act as agonists at α2β3γ2 and α3β3γ2 receptor subtypes are particularly useful in treating anxiety disorders such as panic disorder, obsessive compulsive disorder and generalized anxiety disorder; stress disorders including post-traumatic stress and acute stress disorders. Compounds that act as agonists at α2β3γ2 and α3β3γ2 receptor subtypes are also useful in treating depressive or bipolar disorders, schizophrenia and sleep disorders, and may be used in the treatment of age-related cognitive decline and Alzheimer's disease. Compounds that act as inverse agonists at the α5β3γ2 receptor subtype or α1β2γ2 and α5β3γ2 receptor subtypes are particularly useful in treating cognitive disorders including those resulting from Down's Syndrome, neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease and stroke related dementia. Compounds that act as inverse agonists at the α5β3γ2 receptor subtype are particularly useful in treating cognitive disorders through the enhancement of memory, particularly short-term memory, in memory-impaired patients; while those that act as agonists at the α5β3γ2 receptor subtype are particularly useful for the induction of amnesia. Compounds that act as agonists at the α1β2γ2 receptor subtype are useful in treating sleep disorders and convulsive disorders such as epilepsy. Compounds that act as antagonists at the benzodiazepine site are useful in reversing the effect of benzodiazepine overdose and in treating drug and alcohol addiction.
CNS disorders that can be treated using compounds and compositions provided herein include:
Compounds and compositions provided herein can also be used to improve short-term memory (working memory) in a patient. A preferred therapeutically effective amount of a compound for improving short-term memory loss is an amount sufficient to result in a statistically significant improvement in any standard test of short-term memory function, including forward digit span and serial rote learning. For example, such a test may be designed to evaluate the ability of a patient to recall words or letters. Alternatively, a more complete neurophysical evaluation may be used to assess short-term memory function. Patients treated in order to improve short-term memory may, but need not, have been diagnosed with memory impairment or be considered predisposed to development of such impairment.
In a separate aspect, the present invention provides methods for potentiating the action (or therapeutic effect) of other CNS agent(s). Such methods comprise administering a therapeutically effective amount of a compound provided herein in combination with a therapeutically effective amount of another CNS agent. Such other CNS agents include, but are not limited to the following: for anxiety, serotonin receptor (e.g., 5-HT1A) agonists and antagonists; for anxiety and depression, neurokinin receptor antagonists or corticotropin releasing factor receptor (CRF1) antagonists; for sleep disorders, melatonin receptor agonists; and for neurodegenerative disorders, such as Alzheimer's dementia, nicotinic agonists, muscarinic agents, acetylcholinesterase inhibitors and dopamine receptor agonists. Within certain embodiments, the present invention provides a method of potentiating the antidepressant activity of selective serotonin reuptake inhibitors (SSRIs) by co-administering a therapeutically effective amount of a GABAA agonist compound provided herein in combination with an SSRI. A therapeutically effective amount of compound, when co-administered with another CNS agent, is an amount sufficient to result in a detectable change in patient symptoms, when compared to a patient treated with the other CNS agent alone.
The present invention also pertains to methods of inhibiting the binding of benzodiazepine compounds (i.e., compounds that comprise the benzodiazepine ring structure), such as RO15-1788 or GABA, to GABAA receptor. Such methods involve contacting cells expressing GABAA receptor with a concentration of compound provided herein that is sufficient to inhibit the binding of GABAA receptor ligand to GABAA receptor in vitro, as determined using the assay described in Example 3. This method includes, but is not limited to, inhibiting the binding of benzodiazepine compounds to GABAA receptors in vivo (e.g., in a patient given an amount of a GABAA receptor modulator provided herein that results in a concentration of compound in cerebrospinal fluid that is sufficient to inhibit the binding of benzodiazepine compounds or GABA to GABAA receptor in vitro). In one embodiment, such methods are useful in treating benzodiazepine drug overdose. The amount of GABAA receptor modulator that is sufficient to inhibit the binding of a benzodiazepine compound to GABAA receptor may be readily determined via a GABAA receptor binding assay as described in Example 3.
Within separate aspects, the present invention provides a variety of in vitro uses for the GABAA receptor modulators provided herein. For example, such compounds may be used as probes for the detection and localization of GABAA receptors, in samples such as tissue sections, as positive controls in assays for receptor activity, as standards and reagents for determining the ability of a candidate agent to bind to GABAA receptor, or as radiotracers for positron emission tomography (PET) imaging or for single photon emission computerized tomography (SPECT). Such assays can be used to characterize GABAA receptors in living subjects. Such compounds are also useful as standards and reagents in determining the ability of a potential pharmaceutical to bind to GABAA receptor.
Within methods for determining the presence or absence of GABAA receptor in a sample, a sample may be incubated with a compound as provided herein under conditions that permit binding of the compound to GABAA receptor. The amount of compound bound to GABAA receptor in the sample is then detected. For example, the compound may be labeled using any of a variety of well known techniques (e.g., radiolabeled with a radionuclide such as tritium, as described herein), and incubated with the sample (which may be, for example, a preparation of cultured cells, a tissue preparation or a fraction thereof). A suitable incubation time may generally be determined by assaying the level of binding that occurs over a period of time. Following incubation, unbound compound is removed, and bound compound detected using any method suitable for the label employed (e.g., autoradiography or scintillation counting for radiolabeled compounds; spectroscopic methods may be used to detect luminescent groups and fluorescent groups). As a control, a matched sample may be simultaneously contacted with radiolabeled compound and a greater amount of unlabeled compound. Unbound labeled and unlabeled compound is then removed in the same fashion, and bound label is detected. A greater amount of detectable label in the test sample than in the control indicates the presence of GABAA receptor in the sample. Detection assays, including receptor autoradiography (receptor mapping) of GABAA receptors in cultured cells or tissue samples may be performed as described by Kuhar in sections 8.1.1 to 8.1.9 of Current Protocols in Pharmacology (1998) John Wiley & Sons, New York.
For example, compounds provided herein may be used for detecting GABAA receptors in cell or tissue samples. This may be done using matched cell or tissue samples that have not previously been contacted with a GABAA receptor modulator, at least one of which is prepared as an experimental sample and at least one of which is prepared as a control sample. An experimental sample is prepared by contacting (under conditions that permit binding of RO15-1788 to GABAA receptors within cell and tissue samples) a sample with a detectably-labeled compound of Formula I. A control sample is prepared in the same manner as the experimental sample, except that it is also is contacted with unlabelled compound at a molar concentration that is greater than the concentration of labeled modulator.
The experimental and control samples are then washed to remove unbound detectably-labeled compound. The amount of remaining bound detectably-labeled compound is then measured and the amount of detectably-labeled compound in the experimental and control samples is compared. The detection of a greater amount of detectable label in the washed experimental sample(s) than in the washed control sample(s) demonstrates the presence of GABAA receptor in the experimental sample.
The detectably-labeled GABAA receptor modulator used in this procedure may be labeled with a radioactive label or a directly or indirectly luminescent label. When tissue sections are used in this procedure and the label is a radiolabel, the bound, labeled compound may be detected autoradiographically.
Compounds provided herein may also be used within a variety of well known cell culture and cell separation methods. For example, compounds may be linked to the interior surface of a tissue culture plate or other cell culture support, for use in immobilizing GABAA receptor-expressing cells for screens, assays and growth in culture. Such linkage may be performed by any suitable technique, such as the methods described above, as well as other standard techniques. Compounds may also be used to facilitate cell identification and sorting in vitro, permitting the selection of cells expressing a GABAA receptor. Preferably, the compound(s) for use in such methods are labeled as described herein. Within one preferred embodiment, a compound linked to a fluorescent marker, such as fluorescein, is contacted with the cells, which are then analyzed by fluorescence activated cell sorting (FACS).
Within other aspects, methods are provided for modulating binding of ligand to a GABAA receptor in vitro or in vivo, comprising contacting a GABAA receptor with a sufficient amount of a GABAA receptor modulator provided herein, under conditions suitable for binding of ligand to the receptor. The GABAA receptor may be present in solution, in a cultured or isolated cell preparation or within a patient. Preferably, the GABAA receptor is a present in the brain of a mammal. In general, the amount of compound contacted with the receptor should be sufficient to modulate ligand binding to GABAA receptor in vitro within, for example, a binding assay as described in Example 3.
Also provided herein are methods for altering the signal-transducing activity of cellular GABAA receptor (particularly the chloride ion conductance), by contacting GABAA receptor, either in vitro or in vivo, with a sufficient amount of a compound as described above, under conditions suitable for binding of Flumazenil to the receptor. The GABAA receptor may be present in solution, in a cultured or isolated cell or cell membrane preparation or within a patient, and the amount of compound may be an amount that would be sufficient to alter the signal-transducing activity of GABAA receptor in vitro. In certain embodiments, the amount or concentration of compound contacted with the receptor should be sufficient to modulate Flumazenil binding to GABAA receptor in vitro within, for example, a binding assay as described in Example 3. An effect on signal-transducing activity may be detected as an alteration in the electrophysiology of the cells, using standard techniques. The amount or concentration of a compound that is sufficient to alter the signal-transducing activity of GABAA receptors may be determined via a GABAA receptor signal transduction assay, such as the assay described in Example 4. The cells expressing the GABA receptors in vivo may be, but are not limited to, neuronal cells or brain cells. Such cells may be contacted with one or more compounds provided herein through contact with a body fluid containing the compound, for example through contact with cerebrospinal fluid. Alteration of the signal-transducing activity of GABAA receptors in cells in vitro may be determined from a detectable change in the electrophysiology of cells expressing GABAA receptors, when such cells are contacted with a compound of the invention in the presence of GABA.
Intracellular recording or patch-clamp recording may be used to quantitate changes in electrophysiology of cells. A reproducible change in behavior of an animal given a compound of the invention may also be taken to indicate that a change in the electrophysiology of the animal's cells expressing GABAA receptors has occurred.
Compounds provided herein may generally be prepared using standard synthetic methods. Starting materials are generally readily available from commercial sources, such as Sigma-Aldrich Corp. (St. Louis, Mo.), or may be prepared as described herein. Representative procedures suitable for the preparation of compounds of Formula I and other Formulas provided herein are outlined in the following Schemes, which are not to be construed as limiting the invention in scope or spirit to the specific reagents and conditions shown in them. Those having skill in the art will recognize that the reagents and conditions may be varied and additional steps employed to produce compounds encompassed by the present invention. In some cases, protection of reactive functionalities may be necessary to achieve the desired transformations. In general, such need for protecting groups, as well as the conditions necessary to attach and remove such groups, will be apparent to those skilled in the art of organic synthesis. Each variable in the following schemes refers to any group consistent with the description of the compounds provided herein.
Abbreviations used the following Schemes and elsewhere herein include:
AcOH acetic acid
BINAP 2,2′-bis(diphenylphosphino)-1,1′-binaphthyl
Bu butyl
CDCl3 deuterated chloroform
δ chemical shift
DCM dichloromethane
DIBAL diisobutylaluminium hydride
DMF N,N-dimethylformamide
DMSO dimethylsulfoxide
DPPF 1,1′-bis(diphenylphosphino)ferrocene
EtOAc ethyl acetate
EtOH ethanol
HMPA hexamethylphosphoramide
HPLC high pressure liquid chromatography
1H NMR proton nuclear magnetic resonance
Hz hertz
LC/MS liquid chromatography/mass spectrometry
LDA lithium diisopropylamide
mCPBA 3-chloroperoxybenzoic acid
MeOH methanol
MS mass spectrometry
M+1 mass+1
NaOEt sodium ethoxide
Pd/C palladium carbon catalyst
Pd(PPh3)4 tetrakis(triphenylphosphine) palladium (0)
Pd(Ph3P)2Cl2 dichlorobis(triphenylphosphine) palladium (II)
Pd2(dba)3 tris(dibenzylidineacetone) dipalladium (0)
PTLC preparative thin layer chromatography
SnBu3 tributyl tin
THF tetrahydrofuran
TLC thin layer chromatography
Scheme 1 illustrates the synthesis of compound 4. Compound 1 (prepared essentially as described in J. Heterocycl. Chem. (1978) 15:881-92) is brominated with bromine in AcOH to give the bromoketone 2, which is reacted with a thioamide 3 to form thiazole 4.
Scheme 2 illustrates the synthesis of compound 10. Compound 5 (prepared essentially as described in J. Heterocycl. Chem. (1998) 35:859-64 or J. Org. Chem. (2000) 65:1516-24) is reduced with a reducing agent to afford compound 6. Treatment of 6 with thionyl chloride provides compound 7, which is treated with NaCN to give compound 8. Hydrolysis of compound 8, followed by esterification, affords compound 10.
Schemes 3 and 4 illustrate the synthesis of compounds 16 and 22, respectively. Compound 11 is prepared essentially as described in J. Heterocycl. Chem. (1978) 15:1001-03. Compound 17 is prepared essentially as described in Synthesis (1970) 344-50. The preparation of compounds 16 and 22 from compounds 11 and 17, respectively, is performed via a procedure that is similar to that of Scheme 2.
Scheme 5 illustrates the synthesis of compounds 28 and 29. Compound 23 is prepared essentially as described in J. Heterocycl. Chem. (1974) 11:295-97. Iodination of 23 with NaI/HI affords 24. Treatment of 25 with NaH in DMSO, followed by reaction with 24, provides compounds 26. Hydrolysis and decarboxylation of 26 with 6 N HCl gives 27. Reduction of 27 with H2 under Pd—C catalytic conditions provides compounds 29. Compounds 27 are converted to compounds 28 by Suzuki or Stille coupling, or by other nucleophilic substitutions.
Scheme 6 illustrates the synthesis of pyrazines 35 and 36. Chloropyrazine 30 is prepared essentially as described in J. Am. Chem. Soc. (1952) 74:1580-82. mCPBA treatment of 30 selectively oxidizes the nitrogen meta to the chlorine to provide 31. 31 reacts with 25 in the presence of NaH to produce 32, which is hydrolyzed and decarboxylated with 6 N HCl to give 33. 33 reacts with POCl3 to afford chloride 34. Reduction of 34 with H2 under Pd—C catalytic conditions provides compound 36. Compound 34 is converted to 35 by Suzuki or Stille coupling, or by other nucleophilic substitution.
Scheme 7 illustrates the synthesis of pyridines 42-47. Nitration of 37 gives compound 38. 38 is converted to 39 by diazotization to give the diazonium bromide and thermal decomposition thereof. Reaction of 39 with 25 in the presence of NaH gives 40. Hydrolysis and decarboxylation of 40 provides 41, which is reduced with SnCl2 to give compound 42. Diazotization of 42 in 5% H2SO4 affords 43, which is reacted with alkyl halide to give 44. Compound 45 is prepared by diazotization of 42 to give the diazonium tetrafluoroborate and thermal decomposition. Diazotization of 42 in concentrated H2SO4 followed by treatment with CuBr provides 46, which is converted to 47 by Suzuki or Stille coupling, or by other nucleophilic substitutions.
Schemes 8 and 9 illustrate the synthesis of intermediate 56, and pyridazines 57 and 58. Alkylation of 48 with an appropriate alkyl iodide gives 49, which reacts with hydrazine to afford 50. Aromatization of 50 by treatment with bromine in AcOH provides pyridazinone 51, which is converted to chloropyridazine 52 upon treatment with POCl3. N-oxidation of 52 with mCPBA affords N-oxide 53, which is reacted with 25 in the presence of NaH to give 54. Hydrolysis and then decarboxylation of 54 with 6 N HCl gives 55, which is reacted with POCl3 to provide 56. Reduction of 56 with H2 under Pd—C catalytic conditions provides 57. Compound 56 is converted to 58 by Suzuki or Stille coupling, or by other nucleophilic substitution.
Schemes 10 and 11 illustrate the synthesis of triazole fused pyrimidines 61-64. Treatment of compound 26 with hydrazine gives intermediate 59, which upon refluxing with a carboxylic acid provides 60. Hydrolysis and decarboxylation of 60 with 6 N HCl affords compound 61. Compound 62 is synthesized based on scheme 10 using hydroxylacetic acid. Treatment of 62 with thionyl chloride at room temperature gives intermediate chloride 63, which is converted to 64 by nucleophilic substitution.
Scheme 12 illustrates the synthesis of compound 69 from 26. Treatment of 26 with NaN3 in DMF at 70° C. overnight provides the corresponding 4-azido-pyrimidine compound 65, which can be converted to the amino-pyrimidine 66 by hydrogenation. Reaction of 66 with various α-bromo (chloro) aldehydes or ketones 67 in DMF gives the imidazole fused pyrimidine 68, which is hydrolyzed and decarboxylated with 6 N HCl to provide 69.
Scheme 13 illustrates the synthesis of imidazole fused pyrimidines 72. Intermediate 26 is coupled with tributyltinvinylethylether under Pd(Ph3P)2Cl2 coupling conditions, followed by hydrolysis and decarboxylation to give ketone 70. Treatment of 70 with formamide and formic acid, followed by POCl3 affected cyclization affords compound 72.
Scheme 14 illustrates the synthesis of triazole fused pyrazines 74. Treatment of compound 34 with hydrazine gives 73, which upon refluxing with a carboxylic acid provides 74.
Scheme 15 illustrates the synthesis of imidazole fused pyrazines 76. 34 reacts with tributyltinvinylethylether in the presence of Pd(PPh3)4, followed by acid hydrolysis to afford ketone 75. 75 reacts with formamide and formic acid, followed by POCl3 treatment to give 76.
Scheme 16 illustrates the synthesis of imidazole fused pyrazines 78 and triazole fused pyrazines 82. Amination of 34 under Pd coupling conditions followed by acid cleavage provides 77, which condenses with various α-bromo (chloro) aldehydes or ketones 67 in DMF to afford 78. Treatment of 77 with N,N-dimethylformamide dimethylacetal gives 79, which is reacted with hydroxylamine to give 80. Acetylation of 80 with acetic anhydride provides 81, which is heated with AcOH to afford triazole fused pyrazine 82.
Scheme 17 illustrates the synthesis of triazole fused pyridazines 84 and imidazole fused pyridazines 87. Treatment of compound 56 with hydrazine gives 83, which upon refluxing with a carboxylic acid provides 84. Treatment of 56 with NaN3 in DMF at 70° C. overnight provides the corresponding 4-azido-pyridazine 85, which is converted to amino-pyridazine 86 by hydrogenation. Reaction of compound 86 with various α-bromo (chloro) aldehydes or ketones 67 in DMF furnishes the imidazole fused pyrimidine 87.
Scheme 18 illustrates the synthesis of imidazole fused pyridazines 90. Intermediate 56 is coupled with tributyltinvinylethylether under Pd(Ph3P)2Cl2 coupling conditions, followed by hydrolysis to give ketone 88. Treatment of 88 with formamide and formic acid, followed by reaction with POCl3 affords 90.
Compounds may be radiolabeled by carrying out their synthesis using precursors comprising at least one atom that is a radioisotope. Each radioisotope is preferably carbon (e.g., 14C), hydrogen (e.g., 3H), sulfur (e.g., 35S) or iodine (e.g., 125I). Tritium labeled compounds may also be prepared catalytically via platinum-catalyzed exchange in tritiated acetic acid, acid-catalyzed exchange in tritiated trifluoroacetic acid, or heterogeneous-catalyzed exchange with tritium gas using the compound as substrate. In addition, certain precursors may be subjected to tritium-halogen exchange with tritium gas, tritium gas reduction of unsaturated bonds, or reduction using sodium borotritide, as appropriate. Preparation of radiolabeled compounds may be conveniently performed by a radioisotope supplier specializing in custom synthesis of radiolabeled probe compounds.
The following Examples are offered by way of illustration and not by way of limitation. Unless otherwise specified, all reagents and solvents are of standard commercial grade and are used without further purification. Starting materials and intermediates described herein may generally be obtained from commercial sources or prepared from commercially available organic compounds or prepared using well known synthetic methods.
In the following Examples, LC-MS conditions for the characterization of the compounds herein are:
All compounds of Formula I shown in the following Examples exhibit a Ki of less than 1 micromolar in the ligand binding assay provided in Example 3.
Compound 100 is prepared essentially as described in J. Heterocyclic Chem. (1978) 15:881-92. 1H NMR δ (CDCl3): 1.25 (t, 3H), 2.74 (t, 2H), 3.45 (t, 2H), 4.14 (q, 2H), 7.28 (dd, 1H), 7.99 (dd, 1H), 8.57 (dd, 1H).
A mixture of 4-(3-bromo-pyridin-2-yl)-4-oxo-butyric acid ethyl ester (100) (0.35 g, 1.22 mmol) and bromine (0.23 g, 1.27 mmol) in AcOH (10 mL) is heated at 70° C. for 6 hours. The solvent is removed and the residue is neutralized with saturated NaHCO3 solution. The mixture is extracted with EtOAc. The extraction is dried, and solvent evaporated to give the product (101). 1H NMR δ (CDCl3): 1.25 (t, 3H), 3.12 (dd, 1H), 3.44 (dd, 1H), 4.16 (q, 2H), 6.13 (dd, 1H), 7.32 (dd, 1H), 8.05 (dd, 1H), 8.51 (dd, 1H).
A solution of thioforamide in dioxane is prepared by refluxing formamide (1.4 g, 31.1 mmol) and P2S5 (2.34 g, 5.2 mmol) in 40 ml of dioxane for 2 hours. The solution is added to a solution of 3-bromo-4-(3-bromo-pyridin-2-yl)-4-oxo-butyric acid ethyl ester (101) (0.96 g, 2.6 mmol) in 10 mL of dioxane. The mixture is refluxed for 3 hours, cooled to room temperature and poured into Et2O and 1 N NaOH. The ether layer is washed with brine, dried over Na2SO4, and concentrated. PTLC with hexane/EtOAc (1:1) provides the title compound (102). 1H NMR δ (CDCl3): 1.21 (t, 3H), 3.90 (s, 2H), 4.13 (q, 2H), 7.21 (dd, 1H), 8.01 (dd, 1H), 8.60 (dd, 1H), 8.81 (s, 1H).
This compound is made essentially as described by J. Heterocycl. Chem. (1974) 11:295-97. Propyl diethylmalonate (50.6 g, 0.25 mol) is added to a solution of NaOEt (34.02 g, 0.5 mol) in EtOH (300 mL). This is followed by addition of formamidine acetate (26.03 g, 0.25 mol). The reaction is stirred overnight. The solvent is removed. The residue is dissolved in water and acidified with AcOH to form white solid. The white precipitate formed is filtered, washed with water and then EtOH, and dried to give the product 103, which is used in the next step without further purification.
This compound is made essentially as described by J. Heterocycl. Chem. (1974) 11:295-97. A mixture of 103 (37 g, 0.24 mol) and phosphoryl chloride (200 mL) is refluxed for 1.5 hours. Excess POCl3 is removed, and the residue is poured with stirring onto ice. The mixture is neutralized with saturated NaHCO3. This is followed by extraction with DCM. The solvent is evaporated to give compound 104. 1H NMR δ (CDCl3) 1.05 (t, 3H), 1.61-1.71 (m, 2H), 2.68 (s, 3H), 8.61 (s, 1H).
A solution of 104 (8.85 g, 46.6 mmol) in acetone (225 mL) is treated with NaI (34.8 g, 231 mmol) and HI (57% solution, 36 mL) at ambient temperature overnight. The resulting mixture is poured into a beaker with ice water, filtered, and air-dried to give the product 105. 1H NMR δ (CDCl3): 1.09 (t, 3H), 1.61-1.67 (m, 2H), 2.90 (s, 3H), 8.21 (s, 1H).
A solution of [4-(3-bromo-pyridin-2-yl)-thiazol-5-yl]-acetic acid ethyl ester (105) (0.327 g, 1 mmol) in anhydrous DMSO (5 ml) is added to a suspension of sodium hydride (60%, 52 mg, 1.3 mmol) in DMSO (5 ml) at 5° C. under N2. The resulting mixture is stirred at room temperature for 20 min. To the mixture is added a solution of 4,6-diiodo-5-propylpyrimidine (0.373 g, 1 mmol) in DMSO (5 ml). The mixture is then stirred for 3 hours at room temperature. The reaction mixture is quenched with aqueous ammonium chloride solution, extracted with EtOAc (10 ml×3). The organic layers are washed with water and brine, dried over sodium sulfate and concentrated. The residue is purified through silica gel chromatography (hexanes/EtOAc, 1:1) to give the product (106).
A mixture of [4-(3-bromo-pyridin-2-yl)-thiol-5-yl]-(6-iodo-5-propyl-pyrimidin-4-yl)-acetic acid ethyl ester (106) (1 g, 1.7 mmol) with anhydrous hydrazine (0.3 g, 9 mmol) in EtOH is heated at 70° C. overnight. The solvent is removed to get solid 107, which is used for the next step without purification.
A mixture of the crude [4-(3-bromo-pyridin-2-yl)-thiol-5-yl]-(6-hydrazino-5-propyl-pyrimidin-4-yl)-acetic acid ethyl ester (107) (40 mg) from the previous step in AcOH (20 mL) is heated at 110° C. for 6 hours. The solvent is removed, and the residue is neutralized with saturated NaHCO3. This is followed by extraction with DCM. After the solvent is removed, the residue is purified by column with 5% MeOH in DCM to give the product (108).
A solution of [4-(3-bromo-pyridin-2-yl)-thiazol-5-yl]-(2-methyl-8-propyl-[1,2,4]triazolo[1,5-c]pyrimidin-7-yl)-acetic acid ethyl ester (108) (300 mg, 0.59 mmol) in HCl (6N, 5 ml) is stirred at 60° C. for 3 hours. The solution is cooled, basified with solid NaHCO3 and extracted with EtOAc (2×10 ml). The combined extracts are washed with brine, dried (Na2SO4) and concentrated. The residue is purified with PTLC with 3% MeOH in CH2Cl2 to provide the product (109).
To a solution of 7-[4-(3-bromo-pyridin-2-yl)-thiazol-5-ylmethyl]-2-methyl-8-propyl-[1,2,4]triazolo[1,5-c]pyrimidine (109) (117 mg, 0.27 mmol) in 10 mL of anhydrous DMF is added Zn(CN)2 (19.5 mg, 0.17 mmol), Pd2(dba)3 (10.9 mg, 0.018 mmol) and DPPF (12.7 mg, 0.023 mmol). The reaction mixture is stirred at 110° C. overnight. After the solvent is removed under reduced pressure, a saturated solution of NaHCO3 (10 ml) is added. The resulting mixture is extracted with CH2Cl2 (3×10 mL). The combined organic layers are washed with brine (20 mL), dried over MgSO4 and concentrated under reduced pressure. The resulting residue is purified by PTLC 3:1 EtOAc and hexanes to give the title compound (110).
The compounds shown in Tables 1 and 2 are synthesized via the method provided in Scheme 10 and further illustrated by Example 1. All compounds in Table 1 exhibit a Ki of less than 1 micromolar in the ligand binding assay provided in Example 3.
1H NMR δ (CDCl3) 0.93 (t, 3 H),1.45 (t, 3 H), 1.59 (h, 2 H), 2.91(t, 2H), 3.01 (q, 2 H), 4.52 (s,2 H), 7.37 (dd, 1 H), 8.16 (dd,1 H), 8.70 (d, 1 H), 8.82 (s, 1 H),9.14 (s, 1 H).
1H NMR δ (CDCl3) 0.91 (t, 3 H),1.24-1.32 (m, 2 H), 1.51-1.82 (m,8 H), 2.41 (m, 1 H), 2.88-3.01 (m,2 H), 4.86 (s, 2 H), 7.41 (dd, 1 H),8.14 (dd, 1 H), 8.81 (s, 1 H), 8.85(dd, 1 H), 9.11 (s, 1 H).
1H NMR δ (CDCl3) 0.91 (t, 3 H),1.24-1.32 (m, 2 H), 1.51-1.82 (m,8 H), 2.46 (m, 1 H), 2.89 (t, 2 H),3.01 (d, 2 H), 4.51 (s, 2 H), 7.33(dd, 1 H), 8.13 (d, 1 H), 8.68 (d,1 h), 8.81 (s, 1 H), 9.15 (s, 1 H).
1H NMR δ (CDCl3) 0.93 (t, 3 H),1.45 (t, 3 H), 1.59 (m, 2 H), 2.91-3.01 (m, 4 H), 4.86 (s, 2 H), 7.41(dd, 1 H), 8.14 (dd, 1 H), 8.81 (s,1 H), 8.84 (dd, 1 H), 9.12 (s, 1 H).
1H NMR δ (CDCl3) 0.87 (t, 3 H),1.29 (t, 3 H), 1.57 (m, 2 H), 2.77(t, 2 H), 3.70 (q, 2 H), 4.45 (s,2 H), 4.78 (s, 2 H), 7.31 (dd, 1 H),8.11 (dd, 1 H), 8.69 (dd, 1 H),8.79 (s, 1 H), 9.14 (s, 1 H).
1H NMR δ (CDCl3) 0.85 (t, 3 H),1.52 (m, 2 H), 2.61 (s, 3 H), 2.73(t, 2 H), 4.42 (s, 2 H), 7.25 (dd,1 H), 8.04 (dd, 1 H), 8.65 (dd,1 H), 8.67 (s, 1 H), 9.02 (s, 1 H).
1H NMR δ (CDCl3) 0.93 (t, 3 H),1.64 (m, 2 H), 2.98 (t, 2 H), 3.54(s, 3 H), 4.76 (s, 2 H), 4.88 (s,2 H), 7.31 (dd, 1 H), 8.11 (dd,1 H), 8.69 (dd, 1 H), 8.79 (s, 1 H),9.14 (s, 1 H).
1H NMR δ (CDCl3) 0.94 (t, 3 H),1.56 (m, 2 H), 3.02 (t, 2 H), 4.86(s, 2 H), 7.32 (dd, 1 H), 8.18 (dd,1 H), 8.38 (s, 1 H), 8.81 (s, 1 H),8.83 (dd, 1 H), 9.24 (s, 1 H).
Purified rat cortical membranes are prepared according to Procedure 1 or Procedure 2:
Procedure 1: Frozen rat cortex is homogenized in ice cold 50 mM Tris 7.4 (1 g cortex/150 ml buffer) using a POLYTRON homogenizer (setting 5 for 30 seconds). The suspension is poured into centrifuge tubes, and then centrifuged for 15 minutes at 20,000 rpm in a SS34 rotor (48,000×g). The supernatants are discarded and the pellets are washed twice with same buffer and centrifuge speed. The final pellets are stored in covered centrifuge tubes at −80° C. Prior to use, the washed rat cortical membrane is thawed and re-suspended in ice cold 50 mM Tris 7.4 (6.7 mg frozen cortex weight/ml buffer).
Procedure 2: Rat cortical tissue is dissected and homogenized in 25 volumes (w/v) of Buffer A (0.05 M Tris HCl buffer, pH 7.4 at 4° C.). The tissue homogenate is centrifuged in the cold (4° C.) at 20,000×g for 20 minutes. The supernatant is decanted, the pellet rehomogenized in the same volume of buffer, and centrifuged again at 20,000×g. The supernatant of this centrifugation step is decanted and the pellet stored at −20° C. overnight. The pellet is then thawed and resuspended in 25 volumes of Buffer A (original wt/vol), centrifuged at 20,000×g and the supernatant decanted. This wash step is repeated once. The pellet is finally resuspended in 50 volumes of Buffer A.
The affinity of compounds provided herein for the benzodiazepine site of the GABAA receptor is confirmed using a binding assay essentially described by Thomas and Tallman (J. Bio. Chem. (1981) 156:9838-9842 and J. Neurosci. (1983) 3:433-440). Membranes prepared via Procedure 1 are assayed according to Method 1, and membranes prepared via Procedure 2 are assayed according to Method 2.
Method 1: Incubations are carried out at 1.2 mg membrane/well. Duplicate samples containing 180 μL of membrane suspension, 20 μL of 3H-Ro15-1788 (3H-Flumazenil (PerkinElmer Life Sciences, Boston, Mass.) and 2 μL of test compound or control in DMSO (total volume of 202 μL) are incubated at 4° C. for 60 minutes. The incubation is terminated by rapid filtration through untreated 102×258 mm filter mats on Tomtec filtration manifold (Hamden, Conn.) and the filters are rinsed three times with ice cold 50 mM Tris 7.4. The filters are air dried and counted on a Wallac 1205 Betaplate Liquid Scintillation Counter. Nonspecific binding (control) is determined by displacement of 3H-RO15-1788 by 10−6 M 4-oxo-4,5,6,7-tetrahydro-1H-indole-3-carboxylic acid [4-(2-propylamino-ethoxy)-phenyl]-amide. Percent inhibition of total specific binding (Total Specific Binding=Total−Nonspecific) is calculated for each compound.
Method 2: Incubations contain 100 μl of tissue homogenate, 100 μl of radioligand (0.5 nM 3H-RO15-1788, specific activity 80 Ci/mmol) and test compound or control (see below), and are brought to a total volume of 500 μl with Buffer A. Incubations are carried out for 30 minutes at 4° C. and then rapidly filtered through Whatman GFB filters to separate free and bound ligand. Filters are washed twice with fresh Buffer A and counted in a liquid scintillation counter. Nonspecific binding (control) is determined by displacement of 3H-RO15-1788 with 10 μM Diazepam (Research Biochemicals International, Natick, Mass.). Data are collected in triplicate, averaged, and percent inhibition of total specific binding (Total Specific Binding=Total−Nonspecific) is calculated for each compound.
Analysis: A competition binding curve is obtained with up to 11 points (e.g., 7 points) spanning the test compound concentration range from 10−12M or 10−11 M to 10−5M. IC50 and Hill coefficient (“nH”) are determined by fitting the displacement binding data with the aid of SIGMAPLOT software (SPSS Inc., Chicago, Ill.). The Ki is calculated using the Cheng-Prusoff equation (Biochemical Pharmacology 22:3099-3108 (1973)): Ki=IC50/(1+[L]/Kd), where IC50 is determined as by SIGMAPLOT as the concentration of compound which displaces ½ the maximal 3H-Ro15-1788 binding, [L] is the 3H-Ro15-1788 concentration used to label the target, and Kd is the binding dissociation constant of 3H-Ro15-1788, previously determined to be 1.0 nM. Preferred compounds of the invention exhibit Ki values of less than 100 nM and more preferred compounds of the invention exhibit Ki values of less than 10 nM.
The following assay is used to determine if a compound of the invention alters the electrical properties of a cell and if it acts as an agonist, an antagonist or an inverse agonist at the benzodiazepine site of the GABAA receptor.
Assays are carried out essentially as described in White and Gurley (1995) NeuroReport 6:1313-16 and White et al. (1995) Receptors and Channels 3:1-5, with modifications. Electrophysiological recordings are carried out using the two electrode voltage-clamp technique at a membrane holding potential of −70 mV. Xenopus laevis oocytes are enzymatically isolated and injected with non-polyadenylated cRNA mixed in a ratio of 4:1:4 for α, β and γ subunits, respectively. Of the nine combinations of α, β and γ subunits described in the White et al. publications, preferred combinations are α1β2γ2, α2β3γ2, α3β3γ2 and α5β3γ2 Preferably all of the subunit cRNAs in each combination are human clones or all are rat clones. Each of these cloned subunits is described in GENBANK, e.g., human α1, GENBANK accession no. X14766, human α2, GENBANK accession no. A28100; human α3, GENBANK accession no. A28102; human α5, GENBANK accession no. A28104; human β2, GENBANK accession no. M82919; human β3, GENBANK accession no. Z20136; human γ2, GENBANK accession no. X15376; rat α1, GENBANK accession no. L08490, rat α2, GENBANK accession no. L08491; rat α3, GENBANK accession no. L08492; rat α5, GENBANK accession no. L08494; rat β2, GENBANK accession no. X15467; rat β3 GENBANK accession no. X15468; and rat γ2, GENBANK accession no. L08497. For each subunit combination, sufficient message for each constituent subunit is injected to provide current amplitudes of >10 nA when 1 μM GABA is applied.
Compounds are evaluated against a GABA concentration that evokes <10% of the maximal evocable GABA current (e.g., 1 μM-9 μM). Each oocyte is exposed to increasing concentrations of a compound being evaluated (test compound) in order to evaluate a concentration/effect relationship. Test compound efficacy is calculated as a percent-change in current amplitude: 100*((Ic/I)−1), where Ic is the GABA evoked current amplitude observed in the presence of test compound and I is the GABA evoked current amplitude observed in the absence of the test compound.
Specificity of a test compound for the benzodiazepine site is determined following completion of a concentration/effect curve. After washing the oocyte sufficiently to remove previously applied test compound, the oocyte is exposed to GABA+1 μM RO15-1788, followed by exposure to GABA+1 μM RO15-1788+test compound. Percent change due to addition of compound is calculated as described above. Any percent change observed in the presence of RO15-1788 is subtracted from the percent changes in current amplitude observed in the absence of 1 μM RO15-1788. These net values are used for the calculation of average efficacy and EC50 values by standard methods. To evaluate average efficacy and EC50 values, the concentration/effect data are averaged across cells and fit to the logistic equation.
This Example illustrates the evaluation of compound toxicity using a Madin Darby canine kidney (MDCK) cell cytotoxicity assay.
1 μL of test compound is added to each well of a clear bottom 96-well plate (PACKARD, Meriden, Conn.) to give final concentration of compound in the assay of 10 micromolar, 100 micromolar or 200 micromolar. Solvent without test compound is added to control wells.
MDCK cells, ATCC no. CCL-34 (American Type Culture Collection, Manassas, Va.), are maintained in sterile conditions following the instructions in the ATCC production information sheet. Confluent MDCK cells are trypsinized, harvested and diluted to a concentration of 0.1×106 cells/ml with warm (37° C.) medium (VITACELL Minimum Essential Medium Eagle, ATCC catalog #30-2003). 100 μL of diluted cells is added to each well, except for five standard curve control wells that contain 100 μL of warm medium without cells. The plate is then incubated at 37° C. under 95% O2, 5% CO2 for 2 hours with constant shaking. After incubation, 50 μL of mammalian cell lysis solution is added per well, the wells are covered with PACKARD TOPSEAL stickers, and plates are shaken at approximately 700 rpm on a suitable shaker for 2 minutes.
Compounds causing toxicity will decrease ATP production, relative to untreated cells. The PACKARD, (Meriden, Conn.) ATP-LITE-M Luminescent ATP detection kit, product no. 6016941, is generally used according to the manufacturer's instructions to measure ATP production in treated and untreated MDCK cells. PACKARD ATP LITE-M reagents are allowed to equilibrate to room temperature. Once equilibrated, the lyophilized substrate solution is reconstituted in 5.5 ml of substrate buffer solution (from kit). Lyophilized ATP standard solution is reconstituted in deionized water to give a 10 mM stock. For the five control wells, 10 μL of serially diluted PACKARD standard is added to each of the standard curve control wells to yield a final concentration in each subsequent well of 200 nM, 100 nM, 50 nM, 25 nM and 12.5 nM, PACKARD substrate solution (50 μL) is added to all wells, which are then covered, and the plates are shaken at approximately 700 rpm on a suitable shaker for 2 minutes. A white PACKARD sticker is attached to the bottom of each plate and samples are dark adapted by wrapping plates in foil and placing in the dark for 10 minutes. Luminescence is then measured at 22° C. using a luminescence counter (e.g., PACKARD TOPCOUNT Microplate Scintillation and Luminescence Counter or TECAN SPECTRAFLUOR PLUS), and ATP levels calculated from the standard curve. ATP levels in cells treated with test compound(s) are compared to the levels determined for untreated cells. Cells treated with 10 μM of a preferred test compound exhibit ATP levels that are at least 80%, preferably at least 90%, of the untreated cells. When a 100 μM concentration of the test compound is used, cells treated with preferred test compounds exhibit ATP levels that are at least 50%, preferably at least 80%, of the ATP levels detected in untreated cells.
| Filing Document | Filing Date | Country | Kind | 371c Date |
|---|---|---|---|---|
| PCT/US06/06937 | 2/28/2006 | WO | 00 | 8/31/2007 |
| Number | Date | Country | |
|---|---|---|---|
| 60657981 | Mar 2005 | US |
