AU2006330599B2 - (indazol-5-yl)-pyrazines and (1,3-dihydro-indol-2-one)- pyrazines for treating rho kinase-mediated diseases and conditions - Google Patents

Abstract

Methods for using (indazol-5-yl)-pyrazines and (1,3-dihydro-indol-2-one)-pyrazines are disclosed herein to treat rho kinase-mediated diseases or rho kinase-mediated conditions, including controlling intraocular pressure and treating glaucoma, are disclosed. Ophthalmic pharmaceutical compositions useful in the treatment of eye diseases such as glaucoma, and additionally useful for controlling intraocular pressure, the compositions comprising an effective amount of (indazol-5-yl)-pyrazines and (1,3-dihydro-indol-2-one)-pyrazines, are disclosed herein.

Description

WO 2007/076360 PCT/US2006/062307 IN THE UNITED STATES PATENT AND TRADEMARK OFFICE s (INDAZOL-5-YL)-PYRAZINES AND (1,3-DIHYDRO-INDOL-2-ONE) PYRAZINES FOR TREATING RHO KINASE-MEDIATED DISEASES AND CONDITIONS This application claims priority under 35 U.S.C. §119 to U.S. Provisional to Patent Application No. 60/753,136 filed December 22, 2005, the entire contents of which are incorporated herein by reference. TECHNICAL FIELD OF THE INVENTION 15 The present invention is directed to (indazol-5-yl)-pyrazines and (1,3-dihydro indol-2-one)-pyrazines, and the use of such compounds to treat rho kinase-mediated diseases and conditions. The invention is particularly directed to uses of such compounds for lowering and/or controlling normal or elevated intraocular pressure (IOP) and treating glaucoma. 20 BACKGROUND OF THE INVENTION The disease state referred to as glaucoma is characterized by a permanent loss of visual function due to irreversible damage to the optic nerve. The several 25 morphologically or functionally distinct types of glaucoma are typically characterized by elevated IOP, which is considered to be causally related to the pathological course of the disease. Ocular hypertension is a condition wherein intraocular pressure is elevated, but no apparent loss of visual function has occurred; such patients are considered to be at high risk for the eventual development of the visual loss associated 30 with glaucoma. Some patients with glaucomatous field loss have relatively low intraocular pressure. These normotension or low tension glaucoma patients can also benefit from agents that lower and control IOP. If glaucoma or ocular hypertension is detected early and treated promptly with medications that effectively reduce elevated intraocular pressure, loss of visual function or its progressive deterioration can 35 generally be ameliorated. Drug therapies that have proven to be effective for the reduction of intraocular pressure include both agents that decrease aqueous humor production and agents that increase the outflow facility. Such therapies are in general administered by one of 40 two possible routes, topically (direct application to the eye) or orally. However, -1- WO 2007/076360 PCT/US2006/062307 pharmaceutical ocular anti-hypertension approaches have exhibited various undesirable side effects. For example, miotics such as pilocarpine can cause blurring of vision, headaches, and other negative visual side effects. Systemically administered carbonic anhydrase inhibitors can also cause nausea, dyspepsia, fatigue, 5 and metabolic acidosis. Certain prostaglandins cause hyperemia, ocular itching, and darkening of eyelashes and periorbital tissues. Further, certain beta-blockers have increasingly become associated with serious pulmonary side-effects attributable to their effects on beta-2 receptors in pulmonary tissue. Sympathomimetics cause tachycardia, arrhythmia and hypertension. Such negative side-effects may lead to 10 decreased patient compliance or to termination of therapy such that normal vision continues to deteriorate. Additionally, there are individuals who simply do not respond well when treated with certain existing glaucoma therapies. There is, therefore, a need for other therapeutic agents that control IOP. 15 The small rho GTPases are involved in many cellular functions including cell adhesion, cell motility, cell migration, and cell contraction. One of the main effectors of the cellular functions associated with this class of proteins is rho-associated coiled coil-forming protein kinase (rho kinase) which appears to have an important role in the regulation of force and velocity of smooth muscle contraction, tumor cell 20 metastasis and inhibition of neurite outgrowth. Rho kinase is a serine/threonine protein kinase that exists in two isoforms: ROCK1 (ROKp) and ROCK2 (ROKa) [N. Wettschureck, S. Offersmanns, Journal ofMolecular Medicine 80:629-638, 2002; M. Uehata et al., Nature 389:990-994, 1997; T. Ishizaki et al., Molecular Pharmacology 57:976-983, 2000, C. Loge et al., Journal of Enzyme Inhibition and Medicinal 25 Chemistry 17:381-390, 2002]. It has been found that certain inhibitors of rho kinase effectively lower and control normal and elevated IOP [M. Honjo, et al., Investigative Ophthalmology and Visual Science 42:137-144, 2001; M. Honjo et al., Archives of Ophthalmology 30 119:1171-1178, 2001; P.V. Rao et. al., Investigative Ophthalmology and Visual Science 42:10291690, 2001; M. Waki, Current Eye Research 22:47-474, 2001; B. Tian et al., Archives of Ophthalmology 122:1171-1177, 2004]. Rho kinase inhibitors such as H-7 and Y-27632 inhibit ciliary muscle contraction and trabecular cell contraction, effects that may be related to the ocular hypotensive effect of this class 35 of compounds [H. Thieme et al., Investigative Ophthalmology and Visual Science 41:4240-4246, 2001; C. Fukiage et al., Biochemical and Biophysical Research Communications 288:296-300, 2001]. -2- WO 2007/076360 PCT/US2006/062307 Compounds that act as rho kinase inhibitors are well known and have shown a variety of utilities. Pyridine, indazole, and isoquinoline compounds that have rho kinase activity are described by Takami et al., Biorganic and Medicinal Chemistry 12:2115-2137, 2004. U.S. Patent Nos. 6,218,410 and 6,451,825 disclose the use of 5 rho kinase inhibitors for the treatment of hypertension, retinopathy, cerebrovascular contraction, asthma, inflammation, angina pectoris, peripheral circulation disorder, immature birth, osteoporosis, cancer, inflammation, immune disease, autoimmune disease and the like. U.S. Patent No. 6,794,398 describes the use of a compound with rho kinase activity for the prevention or treatment of liver diseases. U.S. Patent No. 10 6,720,341 describes the use of compounds with rho kinase activity for the treatment of kidney disease. WO 99/23113 describes the use of rho kinase inhibitors to block the inhibition of neurite outgrowth. WO 03/062227 describes 2, 4-diaminopyrimidine derivatives as rho kinase inhibitors. WO 03/059913 describes bicyclic 4 aminopyrimidine analogs as rho kinase inhibitors. WO 02/100833 describes 15 heterocyclic compounds as rho kinase inhibitors. WO 01/68607 describes aide derivatives as rho kinase inhibitors. WO 04/024717 describes amino isoquinoline derivatives as rho kinase inhibitors. WO 04/009555 describes 5-substituted isoquinoline derivatives as rho kinase inhibitors useful for treating glaucoma, bronchial asthma and chronic obstructive pulmonary disease. EP1034793 describes 20 the use of rho kinase inhibitors for the treatment of glaucoma. U.S. Patent Nos. 6,503,924, 6,649,625, and 6,673,812 disclose the use of amide derivatives that are rho kinase inhibitors for the treatment of glaucoma. U.S. Patent Nos. 5,798,380 and 6,110,912 disclose a method for treating glaucoma using 25 serine/threonine kinase inhibitors. U.S. Patent No. 6,586,425 describes a method for treating glaucoma using serine/threonine kinase inhibitors. U.S. Patent Application Publication No. 2002/0045585 describes a method for treating glaucoma using serine/threonine kinase inhibitors. 30 The following references disclose the activity of isoquinoline sulfonamide analogs as rho kinase inhibitors: Y. Sasaki, Cellular Biology Molecular Letters 6:506, 2001; S. Satoh et al., Life Sciences 69:1441-1453, 2001; Y. Sasaki, Pharmacology and Therapeutics 93:225-232, 2002; C. Loge et al., Journal ofEnzyme Inhibition and Medicinal Chemistry 18:127-138. The use of certain isoquinolinesulfonyl compounds 35 for the treatment of glaucoma has been disclosed in U.S. Patents 6,271,224 and 6,403,590. Also, WO 04/000318 describes the use of amino-substituted monocycles as AKT-1 kinase modulators. -3- Several publications have described the synthesis of pyrazines. WO 04/084824 describes the preparation of biaryl substituted 6-membered heterocycles for use as sodium channel blockers. WO 04/085409 describes the preparation of libraries of compounds, including pyrazines, that are capable of binding to the active site of protein kinase. Other 5 publications involving methods of pyrazine synthesis include: Sato et al., Journal of Chemical Research 7:250-1, 1997; Sato et al., Synthesis 9:931-4, 1994; Sato, Journal of the Chemical Society 7:885-8, 1994; Sato, Journal of Organic Chemistry 43(2):341-3, 1978; Adachi, J et al., Journal of Organic Chemistry 37(2):221-5, 1972. 10 A reference herein to a patent document or other matter which is given as prior art is not to be taken as an admission that that document or matter was, in Australia, known or that the information it contains was part of the common general knowledge as at the priority date of any of the claims. 15 Throughout the description and claims of the specification, the word "comprise" and variations of the word, such as "comprising" and "comprises", is not intended to exclude other additives, components, integers or steps. SUMMARY OF THE INVENTION 20 The present invention is directed to (indazol-5-yl)-pyrazines and (1,3-dihydro- indol-2 one)-pyrazines and derivatives described herein, and their use to treat rho kinase-mediated diseases and conditions. The subject compounds of Formula (I) described below can be used to lower and/or 25 control IOP associated with normal-tension glaucoma, ocular hypertension, and glaucoma in warm blooded animals, including man. In certain embodiments, when used to treat normal tension glaucoma or ocular hypertension, the compounds may be formulated in pharmaceutically acceptable compositions suitable for topical delivery to the eye. 30 Another embodiment of the present invention contemplates an ophthalmic pharmaceutical composition useful in the treatment of glaucoma and control of intraocular pressure, comprising an effective amount of a compound according to Formula (I). -4- Another embodiment of the present invention comprises a method of controlling intraocular pressure comprising administering a therapeutically effective amount of an ophthalmic pharmaceutical composition useful in the treatment of glaucoma and control of 5 intraocular pressure to a human or other mammal, where the composition comprises an effective amount of a compound according to Formula (I). Yet other embodiments of the present invention comprise methods of treating rho kinase-mediated diseases or rho kinase-mediated conditions, which comprise administering to 10 a human or other mammal a therapeutically effective amount of a compound or compounds according to Formula (I). -4a- WO 2007/076360 PCT/US2006/062307 As used herein, the term "rho kinase-mediated disease" or "rho kinase mediated condition," means any disease or other deleterious condition in which rho kinase is known to play a role. Such conditions include, without limitation, 5 hypertension, glaucoma, retinopathy, cerebrovascular contraction, ocular hypertension, normal-tension glaucoma, chronic obstructive pulmonary disease, asthma, inflammation, angina pectoris, peripheral circulation disorder, immature birth, osteoporosis, cancer, inflammation, immune disease, autoimmune disease. 10 The foregoing brief summary broadly describes the features and technical advantages of certain embodiments of the present invention. Additional features and technical advantages will be described in the detailed description of the invention that follows. Novel features which are believed to be characteristic of the invention will be better understood from the detailed description of the invention when considered in 15 connection with any accompanying examples. However, examples provided herein are intended to help illustrate the invention or assist with developing an understanding of the invention, and are not intended to be definitions of the invention's scope. -5- WO 2007/076360 PCT/US2006/062307 DETAILED DESCRIPTION OF THE INVENTION In one embodiment, the present invention provides a compound of Formula (1): 5 R7 NN R6 R8 N R5 (I) R4 R4 SR3 R3 N O wherein Y is R1 R2 or RI 10 and wherein R1, R9 independently = H, alkyl, amino, alkenyl, aryl; R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, 15 cyano, alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with hydroxyl, (C=O)R1, (C=O)OR1, (C=O)NR1, aryl; R1 and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; and 20 R5 and R8 can form a 5-7 membered ring. It is recognized that compounds of Formula (I) can contain one or more chiral centers. This invention contemplates all enantiomers, diastereomers, and mixtures of Formulas (I) thereof. 25 Furthermore, certain embodiments of the present invention comprise pharmaceutically acceptable salts of compounds according to Formula (I). Pharmaceutically acceptable salts comprise, but are not limited to, soluble or dispersible forms of compounds according to Formula (I) that are suitable for 30 treatment of disease without undue undesirable effects such as allergic reactions or toxicity. Representative pharmaceutically acceptable salts include, but are not limited -6to, acid addition salts such as acetate, citrate, benzoate, lactate, or phosphate and basic addition salts such as lithium, sodium, potassium, or aluminum. In another embodiment the invention relates to an ophthalmic pharmaceutical 5 composition useful in the treatment of glaucoma and control of intraocular pressure, comprising an effective amount of a compound according to Formula (I), or a pharmaceutically acceptable salt thereof: R7 N R6 R8 N RS R4 R4 R3 R3 N 0 RI RI R or R2 wherein Y is 10 and wherein Rl, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with 15 hydroxyl, (C=O)RI, (C=O)ORI, (C=O)NRl, aryl; RI and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; R5 and R8 can form a 5-7 membered ring; and a pharmaceutically acceptable vehicle therefore. 20 In another embodiment the invention relates to a method of controlling intraocular pressure comprising: applying a therapeutically effective amount of an ophthalmic pharmaceutical composition useful in the treatment of glaucoma and control of intraocular pressure to the -7affected eye of a human or other mammal, the composition comprising an effective amount of a compound according to Formula (I), or a pharmaceutically acceptable salt thereof: R7 N N R6 R6 RS R5 R4 R4 N R3 R3 N O R\I 0 9 Ri R2 or RI R2 wherein Y is 5 and wherein R1, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with 10 hydroxyl, (C=O)R1, (C=O)ORI, (C=0)NRI, aryl; RI and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; R5 and R8 can form a 5-7 membered ring; and a pharmaceutically acceptable vehicle therefore. 15 In another embodiment the invention relates to a method of treating rho kinase mediated diseases or rho kinase-mediated conditions, which comprises administering to a human or other mammal a therapeutically effective amount of a compound according to Formula (I), or a pharmaceutically acceptable salt thereof: -7a- R7 N R6 R8 NR5 R4 R4 R3 H N O RI or RI1 R2 wherein Y is and wherein RI, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; 5 R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with hydroxyl, (C=O)R1, (C=O)OR1, (C=O)NR1, aryl; RI and R2 can form a 5-7 membered ring; 10 R5 and R6 can form a 5-7 membered ring; R5 and R8 can form a 5-7 membered ring; and a pharmaceutically acceptable vehicle therefore. The term "aryl" as used herein refers to a monocyclic, bicyclic or tricyclic ring system 15 having a total of five to fourteen ring members, wherein at least one ring in the system is aromatic and wherein each ring in the system contains 3 to 7 ring members. The term "aryl" may be used interchangeably with the term "aryl ring". The term "heterocycle", "heterocyclyl", or "heterocyclic" as used herein means non 20 aromatic, monocyclic, bicyclic or tricyclic ring systems having three to fourteen ring members in which one or more ring members is a heteroatom, wherein each ring in the system contains 3 to 7 ring members. The term "heteroaryl" refers to monocyclic, bicyclic or tricyclic ring systems having 25 three to fourteen ring members wherein at least one ring in the system is aromatic, at least one -7bring in the system contains one or more heteroatoms, and wherein each ring in the system contains 3 to 7 ring members. In the above definitions, the total number of carbon atoms in a substituent group is 5 indicated by the Cj.3 prefix, where the numbers i and j define the number of carbon atoms; this definition includes straight chain, branched chain, and cyclic alkyl or (cyclic alkyl)alkyl groups. It is important to recognize that a substituent may be present either singly or multiply 10 when incorporated into the indicated structural unit. For example, the substituent halogen, which means fluorine, chlorine, bromine, or iodine, would indicate that the unit to which it is attached may be substituted with one or more halogen atoms, which may be the same or different. 15 The following compounds are particularly preferred: (S)-NI-[6-(3-methyl-I H indazole-5-yl)-pyrazin-2-yl]-3-phenyl-propane- 1,2-diamine; Ni-[6-(3-methyl-1 H-indazole-5 yl)-pyrazin-2-yl]-3-phenyl-propane-1,2-diamine; (S)-NI-[6-(3-methyl-IH-indazole-5-yl) pyrazin-2-yl]-3-(4-trifluoromethyl-phenyl)-propane-1,2-diamine; NI-[6-(3-methyl-IH indazole-5-yl)-pyrazin-2-yl]-3-(4-trifluoromethyl-phenyl)-propane-1,2-diamine; (S)-NI-[6-(3 20 methyl-lH-indazole-5-yl)-pyrazin-2-yl]-3-(4-bromo- phenyl)-propane-1,2-diamine; NI-[6-(3 methyl-lH-indazole-5-yl)-pyrazin-2-yl]-3-(4-bromo-phenyl)-propane-1,2-diamine; (S)-N1 -[6 (3-methyl-IH-indazole-5-yI)-pyrazin-2-yl]-3-(2-trifluoromethyl-phenyl)-propane-l,2-diamine; NI-[6-(3-methyl -7c- WO 2007/076360 PCT/US2006/062307 1H-indazole-5-y1)-pyrazin-2-y1]-3-(2-trifluoromethyl-phenyl)-propane-1,2-diamine; (S)-N1-[6-(1H-indazole-5-yl)-pyrazin-2-yl]-3-phenyl-propane-1,2-diamine; N1-[6 (1H-indazole-5-yl)-pyrazin-2-yl]-3-phenyl-propane-1,2-diamine; 5-[6-((S)-2-amino 3 -phenyl-propylamino)-pyrazin-2-y1]-1,3-dihydro-indol-2-one; 5-[6-(2-amino-3 5 phenyl-propylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5-[6-((S)-2-amino-3 phenyl-propylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5 -[6-(2-amino-3-phenyl propylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5

-[

6 -((S)-2-amino-4-methyl pentylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5 -[6-(2-amino-4-methyl pentylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5

-[

6 -((S)-2-amino-3-(4-bromo 10 phenyl)-propylamino)-pyrazin-2-y1]-1,3-dihydro-indol-2-one; 5-[6-(2-amino-3-(4 bromo-pheny)-propylamino)-pyrazin-2-y1]-1,3-dihydro-indol-2-one; 5-[6-((S)-2 amino- 3

-(

4 -trifluoromethyl-pheny1)-propylamino)-pyrazin-2-y1]-1,3-dihydro-indol-2 one; 5-[6-(2-anino-3-( 4 -trifluoromethyl-phenyl)-propylamino)-pyrazin-2-y]-1,3 dihydro-indol-2-one; 5

-[

6

-((S)-

2 -amino-3-(2-trifluoromethyl-phenyl)-propylamino) 15 pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5

-[

6

-(

2 -amino-3-(2-trifluoromethyl-pheny) propylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; 5-[5-amino-6-((S)-2-amino-3 phenyl-propylamino)-pyrazin-2-yl]-1,3-dihydro-indol-2-one; and 5-[5-amino-6-(2 amino-3-phenyl-propylamino)-pyrazin-2-y1]-1,3-dihydro-indol-2-one. 20 SYNTHESIS EXAMPLES Compounds according to Formula (1) can be prepared by using one of several synthetic procedures. For example, 6 -(1H-indazole-5-yl)-pyrazin-2-ylamine can be prepared from an appropriately protected 5-bromo-3-methyl-indazole and 6-chloro 25 pyrazin-2-ylamine as outlined in Scheme I below. As used herein, "Pg" denotes a suitable protective group to assure that a particular atom is not modified during the indicated chemical reaction. -8- WO 2007/076360 PCT/US2006/062307 Scheme I H R4 -Pg 1 R4 Pg 1 . R4 R3R3 I R3 N protection N R3 Br B Br RI Rl R2 Ri R22 1 2 3 R7 N R6 R R7 N R6 suzuki coupling I~ ... R5 Cl N Cl heat CIX N RB 4 5 H R4 Pg 1 R4 ON R3 R7*0 R3 R N deprotection N_ RI R2 Nj R6 R1 R2 N R6 R8'-N'R5 R8-N RS 6 7 -9- WO 2007/076360 PCT/US2006/062307 Other compounds of Formula (I) can be prepared from the same starting materials through Stille coupling well known in the art, as shown in Scheme 2 below. Scheme 2 H, -R5 R7 N R6 N R7 N R6 R7 N R R8 Xi -'R5 - uSn N NR CIN I I N NB' C N C1 heat Bu RS 4 5 8 H R4 NN R3 R protection R3 stillecoupling R R2Br \' Br R2 R1 R2 1 2 H R4 R4 ,N . R3 ,NR7R R deprotection N\ R '~ ' N R1 R2N R1 R2 N)-R 1A R6 -N. RSR8' 7 6 -10- WO 2007/076360 PCT/US2006/062307 Certain compounds according to Formula (I) can be prepared from starting materials 9 (shown below) and 4 (shown above). The use of Suzuki coupling or Stille coupling to prepare compound 12 through intermediate 11 is well known in the art as shown in Scheme 3 below. 5 Scheme 3 Hs -R5 R7 N R6 H R7 N R6 R7 N R6 (R 8 .. R5 30 B u , ci N CI heat C1 N R Bu nU R R8Bu R8 4 5 8 H R4 p 9 R4 protection N R3 still coupling 9010 BrBr RR1 R9 R2 N RR R9 R2 12 10 R4Pg1 R4 II ~N .- R3 r d rb R i deprote aon 0Eb 0 " RI R9 R 2 N RI RR6R 12 I Using the procedures described in Schemes 1-3 above, Example 1 below, and 10 well known procedures, one skilled in the art can prepared the compounds disclosed herein. MODES OF DELIVERY 15 The compounds according to Formula (I) can be incorporated into various types of ophthalmic formulations for delivery. Formula (I) compounds may be delivered directly to the eye (for example: topical ocular drops or ointments; slow release devices such as pharmaceutical drug delivery sponges implanted in the cul-de sac or implanted adjacent to the sclera or within the eye; periocular, conjunctival, sub 20 tenons, intracameral, intravitreal, or intracanalicular injections) or systemically (for example: orally, intravenous, subcutaneous or intramuscular injections; parenterally, dermal or nasal delivery) using techniques well known by those of ordinary skill in -11- WO 2007/076360 PCT/US2006/062307 the art. It is further contemplated that the agents of the invention may be formulated in intraocular insert or implant devices. The compounds of Formulas (I) are preferably incorporated into topical 5 ophthalmic formulations with a pH of about 4-8 for delivery to the eye. The compounds may be combined with ophthalmologically acceptable preservatives, surfactants, viscosity enhancers, penetration enhancers, buffers, sodium chloride, and water to form an aqueous, sterile ophthalmic suspension or solution. Ophthalmic solution formulations may be prepared by dissolving a compound in a physiologically 10 acceptable isotonic aqueous buffer. Further, the ophthalmic solution may include an ophthalmologically acceptable surfactant to assist in dissolving the compound. Furthermore, the ophthalmic solution may contain an agent to increase viscosity such as hydroxymethylcellulose, hydroxyethylcellulose, hydroxypropylmethylcellulose, methylcellulose, polyvinylpyrrolidone, or the like, to improve the retention of the 15 formulation in the conjunctival sac. Gelling agents can also be used, including, but not limited to, gellan and xanthan gum. Tn order to prepare sterile ophthalmic ointment formulations, the active ingredient is combined with a preservative in an appropriate vehicle such as mineral oil, liquid lanolin, or white petrolatum. Sterile ophthalmic gel formulations may be prepared by suspending the compound in a 20 hydrophilic base prepared from the combination of, for example, carbopol-974, or the like, according to the published formulations for analogous ophthalmic preparations; preservatives and toriicity agents can be incorporated. Compounds in preferred embodiments are contained in a composition in 25 amounts sufficient to lower IOP in patients experiencing elevated IOP and/or maintaining normal IOP levels in glaucoma patients. Such amounts are referred to herein as "an amount effective to control IOP," or more simply "an effective amount." The compounds will normally be contained in these formulations in an amount 0.01 to 5 percent by weight/volume ("w/v %"), but preferably in an amount of 0.25 to 2 w/v 30 %. Thus, for topical presentation 1 to 2 drops of these formulations would be delivered to the surface of the eye 1 to 4 times per day, according to the discretion of a skilled clinician. The compounds of Formula (1) can also be used in combination with other 35 glaucoma treatment agents, such as, but not limited to, P-blockers, prostaglandin analogs, carbonic anhydrase inhibitors, a2 agonists, miotics, and neuroprotectants. -12- WO 2007/076360 PCT/US2006/062307 DETERMINATION OF BIOLOGICAL ACTIVITY The ability of certain compounds of Formula (I) to inhibit rho kinase is evaluated by means of in vitro assays. Human recombinant Rho kinase 5 (ROKa/ROCK-II, (aa 11-552), human active, catalog #14-451, Upstate Biotechnology Co., Lake Placid, NY), MgC1 2 /ATP cocktail, and enzyme substrate (Upstate) is used. Fluorescence polarization assays are performed using a Biomek 2000 Robotic 10 Workstation (Beckman Instruments, Palo Alto, CA) in a 96-well plate format. The assays are performed utilizing the IMAP ROCK II kit (Molecular Devices, Sunnyvale, CA) as follows. Substrate and ATP concentrations used are 200nM and 10/M, respectively, while the enzyme concentration is 3.96x0 units per well. The substrate, enzyme, and ATP dilutions are made with the reaction buffer provided by 15 the vendor. Test compounds are diluted in 10:10 DMSO-ethanol (vol/vol). For the actual assays, the various components are added into black, clear bottom, 96-well plates (Costar, Corning, NY) in a final volume of 201 per well. After the enzyme reaction (60 min at 23*C), 60il of the binding solution (IMAP kit, provided by vendor) is added per well and incubated for an additional 30 minutes in the dark at 20 23*C. Fluorescence polarization of the reaction mixtures is then measured on the AnalystTM HT instrument (Molecular Devices, Sunnyvale, CA). The data generated are then analyzed using a non-linear, iterative, sigmoidal fit computer program purchased from IDBS (Emeryville, CA) and as previously 25 described (Sharif et al., J. Pharmacol. Exp. Other. 286:1094-1102, 1998; Sharif et al., J. Pharmacol. Expt. Ther. 293:321-328, 2000; Sharif et al., J. Ocular Pharmacol. Ther. 18:141-162, 2002a; Sharif et al., J Pharmac. Pharmacol. 54:539-547, 2002b) to generate the inhibition constants for the test compounds. -13- WO 2007/076360 PCT/US2006/062307 The following compounds according to Formula (I) were analyzed using the protocol above to determine their IC 50 constants. H H N NN N N IN HN HN HN

H

2 N HN

H

2 N HN\ 5 Table 1 presents the results of the analysis of the above compounds, indicating that these compounds are biologically active and inhibit rho kinase activity. Table 1: Rho kinase LI Binding Data 10 Example IC50, nM 1 190 2 57 3 590 EXAMPLES The following examples are provided to illustrate certain embodiments of the 15 invention, but should not be construed as implying any limitations to the claims. EXAMPLE 1: Preparation of (S)-N'-[6-(3-Methyl-lH-indazole-5-yl)-pyrazin-2-yl] 3-phenyl-propane-1,2-diamine dihydrochloride 20 Preparation 1: Preparation of 5-Bromo-3-methyl-1H-indazole Step A: 1-(5-Bromo-2-fluoro-phenyl)-ethanone To a 0 *C stirred solution of 5-bromo-2 fluoro-benzaldehyde (5.00 g, 24.6 mmol) in anhydrous ether (100 mL) under nitrogen gas was added via syringe 25 MeMgBr (3M solution in ether, 10 mL, 30 mmol) over 3 min.. The mixture was poured into a saturated solution of sodium bicarbonate (100 mL), the organic layer was separated and the aqueous layer was extracted with ethyl acetate (100 mL). The -14- WO 2007/076360 PCT/US2006/062307 combined organic layers were dried over magnesium sulfate, filtered, and concentrated to give a viscous oil. The oil was mixed with acetone (100 mL) and treated with Jones reagent (1.1 M, 40 mL, 1.79 mmol). The mixture was stirred overnight, acetone was evaporated and the residue was extracted with ethyl acetate 5 (60 mL x 2). The extracts were washed with water (50 mL) and then a saturated aqueous solution of sodium bicarbonate (50 mL). Evaporation gave the ketone as an oil (4.63 g, 87%) that was used in the next reaction without further purification. Step B: 5-Bromo-3-methyl-IH-indazole 10 A mixture of the ketone (0.64 g, 2.95 mmol) from step A in ethylene glycol (5 mL) was placed in a sealed vial and heated at 165 "C overnight (about 15 h). The mixture was mixed with water (50 mL) and extracted with ethyl acetate (50 mL x2). The combined extracts were dried, filtered, and evaporated to give an oil. The oil was purified -by chromatography (silica gel, hexane/ethyl acetate 3:1) to give the title 15 compound (0.25 g, 43%) as a yellow solid. LC/MS (+APCI) 211, 213 m/z. Preparation 2: Preparation of ((S)-2-Amino- 1 -benzyl- 1 -benzyl-ethyl)-carbamic acid tert-butyl ester 20 Step A: ((S)-2-Azido-1-benzyl-1-benzyl-ethyl)-carbamic acid tert-butyl ester To a 0 *C stirred solution of (S)-1-benzyl-2-hydroxy-ethyl)-carbamic acid tert butyl ester (5.00 g, 19.9 mmol), triethylamine (6.03 g, 59.7 mmol) in anhydrous THF under nitrogen was added methanesulfonic anhydride (4.50 g, 25.9 mmol). After 20 minutes the ice bath was removed and the reaction was allowed to proceed for about 25 10 minutes. The volatiles were evaporated and to the residue was added sodium azide (6.47 g, 99.5 imol) and anhydrous DMSO (50 mL). The mixture was heated at 50 *C overnight, cooled, mixed with water (100 mL) and extracted with ethyl acetate (100 mL x 2). Evaporation of the extracts gave a residue that was purified by chromatography (silica gel, 0% to 25% ethyl acetate/hexane) to give the title 30 compound (3.56 g, 65%) which was pure by LC/MS(+APCI) m/z 177 (M+H-BOC). Step B: ((S)- 2 -Amino-l-benzyl-1-benzyl-ethyl)-carbamic acid tert-butyl ester A mixture of the azide from step A (3.56 g, 12.9 mmol) in methanol (100 mL) was added to Pd/C (10%, 0.27 g), degassed, placed under hydrogen gas and stirred 35 overnight. The mixture was filtered and the filtrate was concentrated to give an oil (3.17 g, 98%). LCMS (+APCI) m/z 251 (M+H). -15- WO 2007/076360 PCT/US2006/062307 EXAMPLE PREPARATION Step A: 1 -Benzyloxymethyl-5-bromo-3-methyl-indazole (4) To a 0 0 C stirred solution of 5-bromo-3-methyl-indazole (from Preparation 1, 5 1.00 g, 4.33 mmol) in anhydrous DMF (30 mL) under nitrogen was added sodium hydride (60% in mineral oil, 0.21 g, 5.19 mmol). After 30 min, benzyl chloromethyl ether (60%, 1.47 g, 5.63 mmol) was added vial syringe in about 1 min. Stirring was continued for 1 h. The mixture was poured into ice water (100 mL) and extracted with ethyl acetate. The combined extracts were dried, filtered and concentrated to give an 10 oil that was purified by chromatography on silica gel (hexane/ethyl acetate 10:1) to give the title compound (0.72 g, 50 %) that was pure by NMR. Step B: 1-Benzyloxyrnethyl-3-methyl-5-indazole boronic acid (5) To a -78 *C stirred solution of the compound from step A (0.72 g, 2.18 mmol) 15 in anhydrous toluene/THF (5 mL/3mL) under nitrogen was added triisopropyl borate (0.53 g, 2.83 mmol) and then butyl lithium (2.5 M in hexanes, 1.22 mL, 3.05 mmol) slowly over about 10 min. After 10 min the dry ice bath was removed and stirring was continued for 20 min. The mixture was cooled at -78 'C and triisopropyl borate (0.32 g, 1.71 mmol) and butyl lithium (2.5 M in hexanes, 0.85 mL, 2.14 mmol) were added. 20 The dry ice bath was removed and the mixture was allowed to warm to ambient temperature and was stirred for additional 20 min before quenching with a saturated solution of sodium bicarbonate (30 mL). The mixture was extracted with ethyl acetate (50 mL x 2). The extracts were dried and contracted to give a solid. The solid was triturated with ethyl acetate/hexane (1:1) and dried to give the title compound (0.47 g, 25 81%). Step C: [(S)-1-Benzyl-2-(6-chloro-pyrazin-2-ylamino)-ethy]-carbamic acid tert-butyl ester 30 A solution of 2,6-dichloropyrazine (3.00 g, 20.1 mmol), from Preparation 2 (3.18 g, 12.7 mmol) and diisopropylethylamine (1.80 g, 14.0 mmol) in anhydrous THF (50 mL) was heated at reflux for 2 h. Diisopropyethylamine (1.11 g, 8.6 mmol) was added and refluxing was continued for additional 3 h. The volatiles were evaporated and the residue was extracted with ethyl acetate (60 mL x 2). 35 Chromatography on silica eluting with a 20% to 80% gradient of ethyl acetate/hexane gave the title compound (1.38 g, 30%). LCMS (+APCI) m/z 251 (M+H). -16- WO 2007/076360 PCT/US2006/062307 Step D: {1-benzyl-2-[6-(1-benzyloxymethyl-3-methyl-iH-indazol-5-yl) pyrazin-2-ylamino]-ethyl} -carbamic acid tert-butyl ester A mixture of the compound from step C (0.42 g, 1.17 mmol), the boronic acid 5 . 5 from step B (0.47 g, 0.58 mmol), and potassium carbonate (0.16 g, 1.17 mmol) in DMF/water (5 mL/ 2mL) was degassed, placed under nitrogen and was added to PdCl2(dppf) (29 mg, 0.035 mmol). The mixture was heated at 75 *C for 11 h under nitrogen, and then cooled and extracted with ethyl acetate (50 mL x 2). Chromatography on silica eluting with a 20% to 70% gradient of ethyl acetate/hexane 10 gave the title compound (0.54 g, 81%). LCMS (+APCI) m/z 579 (M+H). Step E: (S)-Nl-[ 6

-(

3 -Methyl-1H-indazole-5-yl)-pyrazin-2-y]-3-phenyl propane-1,2-diamine dihydrochloride 15 The compound from step D (0.53 g, 0.92 mmol) was mixed with ethyl alcohol (8 mL) and 2N HCl (8 mL) and heated at 90'C for 2 h, 50*C overnight. The mixture was evaporated to dryness and purified by reversed phase HPLC eluting with a gradient of 10% to 60% of acetonitrile/ water with 0.1% TFA. The desired fractions were evaporated to dryness and treated with 2N HCl/ethanol to give the HCl salt. 20 The salt was dried in high vacuum at 78'C overnight to give the title compound (0.18 g, 45%). LCMS (+APCI) 359 (M+H). EXAMPLE 2 Ingredients Concentration (w/v %) Compound of Formula (I) 0.01 -2% Hydroxypropyl methylcellulose 0.5% Dibasic sodium phosphate (anhydrous) 0.2% Sodium chloride 0.5% Disodium EDTA (Edetate disodium) 0.01% Polysorbate 80 0.05% Benzalkonium chloride 0.01% Sodium hydroxide / Hydrochloric acid For adjusting pH to 7.3 - 7.4 Purified water g.s. to 100% -17- WO 2007/076360 PCT/US2006/062307 EXAMPLE 3 Ingredients Concentration (w/V %) Compound of Formula (I) 0.01 -2% Methyl cellulose 4.0% Dibasic sodium phosphate (anhydrous) 0.2% Sodium chloride 0.5% Disodium EDTA (Edetate disodium) 0.01% Polysorbate 80 0.05% Benzalkonium chloride 0.01% Sodium hydroxide / Hydrochloric acid For adjusting pH to 7.3 - 7.4 Purified water g.s. to 100% EXAMPLE 4 5 Ingredients Concentration (wl/v %) Compound of Formula (II) 0.01 -2% Guar gum 0.4- 6.0% Dibasic sodium phosphate (anhydrous) 0.2% Sodium chloride 0.5% Disodium EDTA (Edetate disodium) 0.01% Polysorbate 80 0.05% Benzalkonium chloride 0.01% Sodium hydroxide / Hydrochloric acid For adjusting pH to 7.3 - 7.4 Purified water g.s. to 100% EXAMPLE 5 Ingredients Concentration (w/v %) Compound of Formula (I) 0.01 -2% White petrolatum and mineral oil and lanolin Ointment consistency Dibasic sodium phosphate (anhydrous) 0.2% Sodium chloride 0.5% Disodium EDTA (Edetate disodium) 0.01% Polysorbate 80 0.05% Benzalkonium chloride 0.01% Sodium hydroxide / Hydrochloric acid For adjusting pH to 7.3 - 7.4 -18- WO 2007/076360 PCT/US2006/062307 The present invention and its embodiments have been described in detail. However, the scope of the present invention is not intended to be limited to the particular embodiments of any process, manufacture, composition of matter, 5 compounds, means, methods, and/or steps described in the specification. Various modifications, substitutions, and variations can be made to the disclosed material without departing from the spirit and/or essential characteristics of the present invention. Accordingly, one of ordinary skill in the art will readily appreciate from the disclosure that later modifications, substitutions, and/or variations performing 10 substantially the same function or achieving substantially the same result as embodiments described herein may be utilized according to such related embodiments of the present invention. Thus, the following claims are intended to encompass within their scope modifications, substitutions, and variations to processes, manufactures, compositions of matter, compounds, means, methods, and/or steps disclosed herein. -19-

Claims (18)

1. An ophthalmic pharmaceutical composition useful in the treatment of glaucoma and control of intraocular pressure, comprising an effective amount of a compound according to 5 Formula (1), or a pharmaceutically acceptable salt thereof: R7 N N R6 R8 N R5 R4 R4 R3 N R3 N O R R2 OR wherein Y is and wherein 10 RI, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with hydroxyl, (C=O)RI, (C=O)OR1, (C=O)NRl, aryl; 15 RI and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; R5 and R8 can form a 5-7 membered ring; and a pharmaceutically acceptable vehicle therefore. 20

2. The composition of claim 1, further comprising a compound selected from the group consisting of: ophthalmological ly acceptable preservatives, surfactants, viscosity enhancers, penetration enhancers, gelling agents, hydrophobic bases, vehicles, buffers, sodium chloride, and water. 25 20

3. The composition of claim I or 2, wherein said composition further comprises a glaucoma treatment agent in addition to a compound of Formula (I).

4. The composition of claim 3, wherein the glaucoma treatment agent is selected from the 5 group consisting of: 3-blockers, prostaglandin analogs, carbonic anhydrase inhibitors, a 2 agonists, miotics, neuroprotectants, and combinations thereof.

5. The composition of any one of claims I to 4 wherein said composition comprises from 10 about 0.01 percent weight/volume to about 5 percent weight/volume of said compound.

6. The composition of any one of claims I to 4 wherein said composition comprises from about 0.25 percent weight/volume to about 2 percent weight/volume of said compound. 15

7. A method of controlling intraocular pressure comprising: applying a therapeutically effective amount of an ophthalmic pharmaceutical composition useful in the treatment of glaucoma and control of intraocular pressure to the affected eye of a human or other mammal, the composition comprising an effective amount of a compound according to Formula (I), or a pharmaceutically acceptable salt thereof: R7 NN Nf R6 R8 R5 R4 R4 H N R3 R3 N\ 0 20 R 2 or RI R2 wherein Y is and wherein RI, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; 21 R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with hydroxyl, (C=O)RI, (C=0)ORI, (C=O)NR1, aryl; 5 RI and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; R5 and R8 can form a 5-7 membered ring; and a pharmaceutically acceptable vehicle therefore. 10

8. The method of claim 7, wherein said applying comprises applying I to 2 drops of a composition comprising from about 0.01 percent weight/volume to about 5 percent weight/volume of a compound according to Formula (I) 1 to 4 times daily.

9. The method of claim 7 or 8, wherein said composition further comprises a glaucoma 15 treatment agent in addition to a compound of Formula (I).

10. The method of claim 9, wherein the glaucoma treatment agent is selected from the group consisting of: p-bloclcers, prostaglandin analog, carbonic anhydrase inhibitors, a 2 agonists, miotics, 20 neuroprotectants, and combinations thereof.

11. A method of treating rho kinase-mediated diseases or rho kinase-mediated conditions, which comprises administering to a human or other mammal a therapeutically effective amount of a compound according to Formula (I), or a pharmaceutically acceptable salt thereof: R7 N R6 R8 R5 R4 R4 R3 R3 N 0 25 R or R R 22 wherein Y is and wherein RI, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, 5 alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with hydroxyl, (C=O)R1, (C=O)OR1, (C=O)NR1, aryl; RI and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; 10 R5 and R8 can form a 5-7 membered ring; and a pharmaceutically acceptable vehicle therefore.

12. The method of claim 11 wherein said administering comprises applying 1 to 2 drops of a composition comprising from about 0.01 percent weight/volume to about 5 percent 15 weight/volume of compound according to Formula (I) 1 to 4 times daily.

13. The method of claim 11 or 12 wherein said composition further comprises a glaucoma treatment agent in addition to a compound of Formula (I). 20

14. The method of claim 13 wherein the glaucoma treatment agent is selected from the group consisting of: p-blockers, prostaglandin analogs, carbonic anhydrase inhibitors, C 2 agonists, miotics, neuroprotectants, and combinations thereof. 25

15. A compound represented by Formula (I), or a pharmaceutically acceptable salt thereof: R7 N . R6 R8 N5 R4 R4 NR3 R3 N0 RI R2 or RI R2 23 where Y is and where RI, R9 independently = H, alkyl, amino, alkenyl, alkoxy, aryl; R2, R3, R4, R6, R7 independently = H, alkyl, halogen, amino, hydroxyl, cyano, 5 alkoxy; R5, R8 independently = H, alkyl, alkyl substituted with amine, alkyl substituted with hydroxyl, (C=O)Rl, (C=O)OR1, (C=0)NRI, aryl; RI and R2 can form a 5-7 membered ring; R5 and R6 can form a 5-7 membered ring; 10 R5 and R8 can form a 5-7 membered ring.

16. The pharmaceutical composition according to any one of claims I to 6, substantially as hereinbefore described with reference to any of the Examples. 15

17. The method according to any one of claims 7 to 14, substantially as hereinbefore described with reference to any of the Examples.

18. The compound according to claims 15, substantially as hereinbefore described with reference to any of the Examples. 20 24