Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D473/00—Heterocyclic compounds containing purine ring systems
  • C07D473/02—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6
  • C07D473/04—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6 two oxygen atoms
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/33—Heterocyclic compounds
  • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
  • A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
  • A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
  • A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
  • A61K31/52—Purines, e.g. adenine
  • A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P13/00—Drugs for disorders of the urinary system
  • A61P13/12—Drugs for disorders of the urinary system of the kidneys
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
  • A61P3/04—Anorexiants; Antiobesity agents
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
  • A61P3/06—Antihyperlipidemics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
  • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
  • A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
  • A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/04—Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D473/00—Heterocyclic compounds containing purine ring systems
  • C07D473/02—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6
  • C07D473/04—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6 two oxygen atoms
  • C07D473/06—Heterocyclic compounds containing purine ring systems with oxygen, sulphur, or nitrogen atoms directly attached in positions 2 and 6 two oxygen atoms with radicals containing only hydrogen and carbon atoms, attached in position 1 or 3

Definitions

• the present invention relates to therapeutically active compounds which are xanthine derivatives, processes for the manufacture of said derivatives, pharmaceutical formulations containing the active compounds and the use of the compounds in therapy, particularly in the treatment of diseases where under-activation of the HM74A receptor contributes to the disease or where activation of the receptor will be beneficial.
• Dyslipidaemia is a general term used to describe individuals with aberrant lipoprotein profiles.
• the main classes of compounds used for the treatment of patients with dyslipidaemia, and therefore at risk of cardiovascular disease are the statins, fibrates, bile- acid binding resins and nicotinic acid. Nicotinic acid (Niacin, a B vitamin) has been used clinically for over -40 years in patients with various forms of dyslipidaemia.
• nicotinic acid produces a very desirable alteration in lipoprotein profiles; reducing levels of VLDL and LDL whilst increasing HDL. Nicotinic acid has also been demonstrated to have disease mod ifying benefits, reducing the progression and increasing the regression of atherosclerotic lesions and reducing the number of cardiovascular events in several trials.
• HSL hormone-sensitive triglyceride lipase
• NEFA plasma non-esterified fatty acids
• CETP cholesterol ester transfer protein
• nicotinic acid produces a very desirable alteration in lipoprotein profiles; reducing levels of VLDL and LDL whilst increasing HDL. Nicotinic acid has also been demonstrated to have disease mod ifying benefits, reducing the progression and increasing the regression of atherosclerotic lesions and reducing the number of cardiovascular events in several trials.
• HM74A in fact HM74A and in the Soga paper HM74b is identical to HM74A.
• Cells transfected to express HM74A and/or HM74 gain the ability to elicit Gi G-protein mediated responses following exposure to nicotinic acid.
• mice lacking the homologue of HM74A (m-PUMA-G) nicotinic acid fails to reduce plasma NEFA levels.
• the present invention provides therapeutically active xanthine derivatives and the use of these derivatives in therapy, particularly in the treatment of diseases where under-activation of the HM74A receptor contributes to the disease or where activation of the receptor will be beneficial, in particular diseases of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia.
• diseases of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia.
• the compounds may also find favour as therapeutics for coronary artery disease, thrombosis, angina, chronic renal failure, peripheral vascular disease and stroke, as well as the cardiovascular indications associated with type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa and obesity.
• the compounds may also be of use in the treatment of inflammatory diseases or conditions, as set out further below.
• R 1 represents a group selected from: hydrogen, C 1-10 alkyl, C 2- - I0 alkenyl, C 2 -io alkynyl, and -(alk) m -X-(alk) n -Y,
• X represents A, A1 , A2 or a direct link
• A represents a group selected from: cycloalkylene, cycloalkenylene, aryl, heteroaryl, heterocyclyl, -CH 2 -OC(O)-;
• A1 represents a group selected from:
• Y represents a group selected from: heteroaryl, heterocyclyl, aryl, cycloalkyl, cycloalkenyl, -O(CH 2 ) n -aryl, -C(O)O-aryl, -CH(aryl) 2l -CH(heteroaryl) 2 , -C 1-6 haloalkyl, -C(O)R 4 ' , -NR 5 R 7 , -C(O)NR 5 R 7 , -NR 5 C(O)R 7 , -NR 5 C(O)OR 7 , -C(O)(CH 2 ) q OR 4 , halogen, cyano, -N(R 5 )C(O)OR 7 , -OC(O)NR 5 R 6 , -NR 5 C(O)R 8 , -OR 5 , -OC(O)R 4 ;
• n is an integer selected from 2, 3, 4 and 5;
• n is an integer selected from 1 , 2, 3, 4 and 5;
• Y represents a group selected from:
• Y incorporates a ring
• that ring may be optionally substituted by one or more of: Ci. 6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, halogen, -NH 2 , (CH 2 ) q -NR 5 R 7 , -(CH 2 ) q -(O) p -(CH 2 ) q -N(R 5 )C(O)OR 8 , -(CH 2 ) q -N(R 5 )C(0)R 8 , -(CH 2 ) q -(0) p -(CH 2 ) q -C(O)NR 5 R 6 , -(CH 2 ) q -N(R 5 )C(O)N(R 5 )R 6 , -(CH 2 ) q -C(O)N((CH 2 ) m OH)R 5 , -(CH 2 ) q -N(R 5 )-S
• R 2 is selected from: hydrogen; or C 1- - I0 alkyl, C 2-10 alkenyl, C 2 .io alkynyl, cycloalkyl, cycloalkenyl, heterocyclyl, aryl, and heteroaryl, each of which may be optionally substituted by one or more of: Ci -10 alkyl, C 2-10 alkenyl, C 2- io alkynyl, cycloalkyl, heterocyclyl, aryl, heteroaryl, C 1-6 haloalkyl, halogen, -CN, -OR 4 , -(CH 2 ) n COR 4 , -C(O)OR 4 , -OCOR 4 , -(CHz) n NR 5 R 6 , -(NH) p CON R 5 R 6 , -OCONR 5 R 7 , and -NHC(O)OR 7 ;
• R 3 is selected from: halogenated C 1-6 alkyl
• R 4 is selected from: hydrogen, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) n cycloalkyl, -(CH 2 ) n cycloalkenyl, -(CH 2 ) n heterocyclyl, -(CH 2 ) n aryl, and -(CH 2 ) n heteroaryl;
• R 5 and R 6 are selected from: hydrogen and C 1-4 alkyl
• R 7 is selected from: hydrogen, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) t cycloalkyl, -(CH 2 ) n cycloalkenyl, -(CH 2 X heterocyclyl, -(CH 2 ) t aryl, and -(CH 2 ) t heteroaryl;
• R 8 is selected from C 1-4 alkyl;
• R 9 is selected from C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) n cycloalkyl, -(CH 2 ) n cycloalkenyl, -(CH 2 ) n heterocyclyl, -(CH 2 ) n aryl, and -(CH 2 ) n heteroaryl, CN;
• m represents an integer selected from: 0, 1 , 2, 3, 4 and 5;
• n represents an integer selected from: 0, 1, 2, 3, 4 and 5;
• p represents an integer selected from: 0 and 1 ;
• R 1 represents hydrogen or a group selected from: C 1-10 alkyl, C 2-1O alkenyl, C 2-I0 alkynyl,
• R 2 is selected from: C 1-10 alkyl, C 2-10 alkenyl, C 2 - I0 alkynyl, -(CH 2 ) n cycloalkyl, ⁇ (CH 2 ) n heterocyclyl, -(CH 2 ) n aryl and -(CH 2 ) n heteroaryl, each of which may be optionally substituted by one or more of: cycloalkyl, heterocyclyl, aryl, heteroaryl, C 1-6 haloalkyl, halo, cyano, -OR 4 , -(CH 2 ) n COR 4 , -CO 2 R 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 6 , -(NH) m CONR 5 R 6 , -OCONR 5 R 7 , and -NHCO 2 R 7 ;
• R 3 is selected from: halogenated Ci -6 alkyl
• R 4 is selected from: hydrogen, C 1-6 alkyl C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) ⁇ cycloalkyl, -(CH 2 ) n heterocyclyl, -(CH 2 ) n aryl, and -(CH 2 ) n heteroaryl;
• R 5 and R 6 are independently selected from: hydrogen and C 1-4 alkyl ;
• R 7 is selected from: hydrogen, C 1-6 alkyl C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) p cycloalkyl, -(CH 2 ) p heterocyclyl, -(CH 2 ) p aryl, and -(CH 2 ) p heteroaryl;
• n represents an intege r selected from: 0, 1 , 2, 3 and 4;
• n represents an integer selected from: 0 and 1 ;
• p represents an intege r selected from: 1 and 2.
• R 1 represents H or C 1-3 alkyl, R 2 is different to R 1 ;
• R 1 represents Methyl and R 3 represents CF 3 , R 2 is other than i-butyl.
• halogen or halo refer to fluorine, chlorine, bromine and iodine.
• alkyl refers to a straight or branched hydrocarbon chain unless specified otherwise, containing the specified number of carbon atoms.
• C 3 -Ci 0 alkyl means a straight or branched hydrocarbon chain containing at least 3 and at most 10 carbon atoms.
• alkyl as used herein include, but are not limited to methyl (Me), ethyl (Et), n-propyl and i-propyl.
• alkenyl refers to a straight or branched hydrocarbon chain containing the specified number of carbon atoms which contains one or more double bonds. Suitable examples include but are not limited to ethenyl, 2-propenyl, 3-butenyl, 2-butenyl, 2- pentenyl, 3-pentenyl, 3-methyl-2-butenyl, 3-hexenyl and the like.
• alkynyl refers to a straight or branched hydrocarbon chain containing the specified number of carbon atoms which contains one or more tri pie bonds. Suitable examples include but are not limited to acetylenyl, propynyl, 1-butynyl, "1 -pentynyl, 3-methyl-1-butynyl and the like.
• C 1-6 haloalkyl' refers to a C 1-6 alkyl group as defined herein wherein at least one hydrogen atom is replaced with halogen. Examples of such groups include fluoroethyl, trifluoromethyl or trif luoroethyl and the like.
• cycloalkyl refers to a hydrocarbon ring, containing between 3 and 6 carbon atoms, comprising no heteroatoms or conjugated double bonds.
• Examples of cycloalkyl as used herein include, but are not limited to cyclopropyl and cyclohexyl.
• 'cycloalkylene' refers to a saturated monocyclic hydrocarbon ring of 3 to 8 carbon linker goups. Examples of such groups include cyclopropylene, cyolobutylene, cyclopentylene, cyclohexylene, cycloheptylene or cyclooctylene and the like.
• 'cycloalkenyl' refers to an unsaturated non-aromatic monocyclic hydrocarbon ring of 3 to 8 carbon atoms containing one or more carbon-carbon double bonds. Examples of such groups include cyclopropenyl, cyclobutenyl, cyolopentenyl, cyclohexenyl, cycloheptenyl or cyclooctenyl and the like.
• 'cycloalkenylene' refers to an unsaturated non-aromatic monocyclic hydrocarbon ring of 3 to 8 carbon linker groups containing one or more carbon-carbon double bonds. Examples of such groups include cyclopropenylene, cyclobutenylene, cyclopentenylene, cyclohexenylene, cycloheptenylene or cyclooctenylene and the like.
• aryl refers to a 5 or 6 membered, monocyclic aromatic group, or a fused 8-10 membered bicyclic aromatic group with at least one ring having a conjugated pi- electron system, containing up to two conjugated or fused ring systems.
• Aryl includes carbocyclic aryl and biaryl groups. Suitable examples include but are not limited to phenyl, naphthyl and the like.
• heteroaryl refers to a 5 or 6 membered, monocyclic aromatic group or a fused 8-10 membered bicyclic, aromatic group containing 1 to 3 heteroatoms independently selected from oxygen, nitrogen and sulphur with at least one ring having a conjugated pi-electron system, containing up to two conjugated or fused ring systems.
• Suitable examples of such monocyclic aromatic rings include but are not limited to thienyl, furyl, pyrrolyl, triazolyl, imidazolyl, oxazolyl, thiazolyl, oxadiazolyl, isothiazolyl, isoxazolyl, thiadiazolyl, pyrazolyl, pyrimidyl, pyridazinyl, pyrazinyl and pyridyl.
• fused aromatic rings include but are not limited to benzofused aromatic rings such as quinolinyl, isoquinolinyl, quinazolinyl, quinoxalinyl, cinnolinyl, naphthyridinyl, indolyl, indazolyl, pyrrolopyridinyl, benzofuranyl, benzothienyl, benzimidazolyl, benzoxazolyl, benzisoxazolyl, benzothiazolyl, benzisothiazolyl, benzoxadiazolyl, benzothiadiazolyl and the like.
• benzofused aromatic rings such as quinolinyl, isoquinolinyl, quinazolinyl, quinoxalinyl, cinnolinyl, naphthyridinyl, indolyl, indazolyl, pyrrolopyridinyl, benzofuranyl, benzothienyl, benzimidazo
• heterocyclyl refers to a 5 or 6 membered, saturated cyclic hydrocarbon group, containing 1 to 3 heteroatoms independently selected from oxygen, nitrogen and sulphur. Suitable examples include but are not limited to pyrrolidinyl, morpholinyl, imidazolidinyl and piperazinyl.
• '3 or 4 ring fused system' refers to a fused 12-18 membered tricyclic or tetracyclic ring which contains 1 to 4 heteroatoms of N and wherein at least one ring is aromatic. There may be one or more optional oxo substituents on the ring carbon atoms. Examples of such fused aromatic rings include carbazolyl , acenaphthyl, naphthotriazolyl and the like.
• the term "pharmaceutically acceptable derivative” refers to any pharmaceutically acceptable derivative of a compound of the present invention, for example salts, solvates or esters which, upon administration to a mammal, such as a human, are capable of providing (directly or indirectly) a compound of formula (I) or an active metabolite or residue thereof.
• pharmaceutically acceptable derivative refers to any pharmaceutically acceptable derivative of a compound of the present invention, for example salts, solvates or esters which, upon administration to a mammal, such as a human, are capable of providing (directly or indirectly) a compound of formula (I) or an active metabolite or residue thereof.
• Such derivatives are clear to those skilled in the art, without undue experimentation, and with reference to the teaching of Burger's Medicinal Chemistry And Drug Discovery, 5th Edition, VoI 1 : Principles And Practice, which is incorporated herein by reference.
• the compounds of the invention may be modified to provide pharmaceutically acceptable derivatives thereof at any of the functional groups in the compounds, and that the compounds of the invention may be so modified at more than one position.
• pharmaceutically acceptable derivative refers to salts or solvates.
• the term "pharmaceutically acceptable” used in relation to an ingredient (active ingredient or excipient) which may be included in a pharmaceutical formulation for administration to a patient refers to that ingredient being acceptable in the sense of being compatible with any other ingredients present in the pharmaceutical formulation and not being deleterious to the recipient thereof.
• the term “solvate” refers to a complex of variable stoichiometry formed by a solute (in this invention, a compound of formula (I), a salt thereof or a pharmaceutically acceptable derivative thereof) and a solvent. Such solvents for the purposes of the present invention may not interfere with the biological activity of the solute.
• the solvent used may be a pharmaceutically acceptable solvent.
• suitable pharmaceutically acceptable solvents include water, ethanol and acetic acid.
• An example of a solvent that may be used is water, in which case the solvate may be referred to as a hydrate of the solute in question.
• salt or solvate referred to above will be a pharmaceutically acceptable salt or solvate.
• other salts or solvates may find use, for example, in the preparation of a compound of formula (I) or in the preparation of a pharmaceutically acceptable salt or solvate thereof.
• Suitable pharmaceutically acceptable salts include those described by Berge, Bighley and Monkhouse, J. Pharm. Sci., 1977, 66, 1-19.
• Suitable pharmaceutically acceptable salts include alkali metal salts formed from the addition of alkali metal bases such as alkali metal hydroxides. Examples of suitable alkali metal salts are sodium salt or potassium salt.
• Other suitable pharmaceutically acceptable salts include alkaline earth metal salts such as calcium salt or magnesium salt, ammonium salts; or salts with organic bases such as ethanolamine, triethanolamine, ethylene diamine, triethylmine, choline and meglumine; or salts with amino acids such as arginine, lysine and histidine.
• the compounds are of use in the treatment of diseases where under-activation of the HM74A receptor contributes to the disease or where activation of the receptor will be beneficial, in particular diseases of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia.
• diseases of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia.
• the compounds may also find favour as therapeutics for coronary artery disease, thrombosis, angina, chronic renal failure, peripheral vascular disease and stroke, as well as the cardiovascular indications associated with type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa, obesity.
• Compounds of the invention are of potential therapeutic benefit in the treatment and amelioration of the symptoms of many diseases of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia, type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa, obesity.
• the compounds may also find favour as therapeutics for coronary artery disease, thrombosis, angina, chronic renal failure, peripheral vascular disease and stroke.
• HM74 and HM74A receptors are involved in inflammation.
• Inflammation represents a group of vascular, . cellular and neurological responses to trauma. Inflammation can be characterised as the movement of inflammatory cells such as monocytes, neutrophils and granulocytes into the tissues. This is usually associated with reduced endothelial barrier function and oedema into the tissues. Inflammation with regards to disease typically is referred to as chronic inflammation and can last up to a lifetime. Such chronic inflammation may manifest itself through disease symptoms. The aim of anti-inflammatory therapy is therefore to red uce this chronic inflammation and allow for the physiological process of healing and tissue repair to progress.
• inflammatory diseases or conditions for which the compounds of the present invention may demonstrate utility include those of the joint, particularly arthritis (e.g. rheumatoid arthritis, osteoarthritis, prosthetic joint failure), or the gastrointestinal tract (e.g. ulcerative colitis, Crohn's disease, and other inflammatory bowel and gastrointestinal diseases, gastritis and mucosal inflammation resulting from infection, the enteropathy provoked by non-steroidal anti-inflammatory drugs), of the lung (e.g. adult respiratory distress syndrome, asthma, cystic fibrosis, or chronic obstructive pulmonary disease), of the heart (e.g. myocarditis), of nervous tissue (e.g. multiple sclerosis), of the pancreas, (e.g.
• arthritis e.g. rheumatoid arthritis, osteoarthritis, prosthetic joint failure
• the gastrointestinal tract e.g. ulcerative colitis, Crohn's disease, and other inflammatory bowel and gastrointestinal diseases, gastritis and mucosal inflammation
• kidney e.g. glomerulonephritis
• the skin e.g. dermatitis, psoriasis, eczema, urticaria, burn injury
• the eye e.g. glaucoma
• transplanted organs e.
• references herein to treatment extend to prophylaxis, prevention of recurrence and suppression of symptoms as well as the treatment of established conditions.
• Nicotinic acid has a significant side effect profile, possibly because it is dosed at high level (gram quantities daily). The most common side effect is an intense cutaneous flushing.
• the compounds may exhibit reduced side effects compared to nicotinic acid.
• HM74A has been identified as a high affinity receptor for nicotinic acid whilst HM74 is a lower affinity receptor.
• the compounds of the present invention may find use as selective HM74A agonists or partial agonists; in which case they will show greater affinity for HM74A than for HM74.
• HM74A The potential for compounds of formula (I) to activate HM74A may be demonstrated, for example, using the following in vitro whole cell assays:
• HEK293T cells HEK293 cells stably expressing the SV40 large T-antigen
• DMEM fetal calf serum
• 2mM glutamine 10% foetal calf serum
• Cells were seeded in 90mm culture dishes and grown to 60-80% confluence (18-24h) prior to transfection.
• Human HM74A GenBankTM accession number AY148884
• pcDNA3 mammalian expression vector
• F-12 HAM media containing 10% foetal calf serum and 2mM glutamine. 48h post- transfection the media was supplemented with 400 ⁇ g/ml Geneticin (G418, Gibco) for selection of antibiotic resistant cells. Clonal CHO-K1 cell lines stably expressing HM74A were confirmed by [ 35 S]-GTPyS binding measurements, following the addition of nicotinic acid.
• P2 membrane preparation - Plasma membrane-containing P2 particulate fractions were prepared from cell pastes frozen at -80 0 C after harvest. All procedures were carried out at 4°C. Cell pellets were resuspended in 1 ml of 1OmM Tris-HCl and 0.1 rnM EDTA, pH 7.5 (buffer A) and by hornogenisation for 20s with a Ultra Turrax followed by passage (5 times) through a 25-gauge needle. Cell lysates were centrifuged at 1 ,000g for 10 min in a microcentrifuge to pellet the nuclei and unbroken cells and P2 particulate fractions were recovered by microcentrifugation at 16,00Og for 30min. P2 particulate fractions were resuspended in buffer A and stored at -80 0 C until required.
• [ 35 S]-GTPyS binding - assays were performed at room temperature in 384-well format based on methods described previously, (Wieland, T. and Jakobs, K.H. (1994) Methods Enzymol. 237, 3-13). Briefly, the dilution of standard or test compounds were prepared and added to a 384-well plate in a volume of 10 ⁇ l.
• Membranes (HM74A or HM74) were diluted in assay buffer (2OmM HEPES, 10OmM NaCI, 1OmM MgCI 2 , pH7.4) supplemented with saponin (60 ⁇ g/ml), Leadseeker WGA beads (Amersham; 250 ⁇ g/well) and 10 ⁇ M GDP, so that the 20 ⁇ l volume added to each well contains 5 ⁇ g of membranes.
• [ 35 S]-GTPyS 1170 Ci/mmol, Amersham was diluted (1 :1500) in assay buffer and 20 ⁇ l added to each well. Following the addition of the radioligand, the plates were sealed, pulse spun and incubated for 4hours at room temperature.
• HM74A agonists can be tested in male Spague-Dawley rats (200-250g) which have been fasted for at least 12 hours prior to the study.
• the compounds are dosed intravenously at either 1 or 3mg/kg (5ml/kg) or by oral gavage at doses ranging from 1-30rng/kg (10ml/kg).
• Blood samples O .3ml tail vein bleed
• Each blood sample is transferred to a heparin tube (Becton Dickinson Microtainer, PST LH) and centrifuged (10,000g for 5 minutes) to produce a plasma sample.
• NEFA non- esterified fatty acids
• HM74A compounds exhibit the flushing response associated with nicotinic acid they can be dosed to conscious guinea-pigs.
• Pre-study blood samples 0.5ml are taken from each animal by cardiac puncture under recovery anaesthesia (Isoflurane 3.5% with additional O2 (1 L/min)).
• Ear temperature measurements are taken by placing the left ear of each animal over an infra-red temperature probe. Measurements are taken at one minute intervals from 5 minutes pre-dose to 30 minutes post-dose.
• Compounds of Formula (I) may find use in human or veterinary med icine, in particular as activators of HM74A, in the management of dyslipidaemia and hyperlipoproteinaemia.
• R 1 represents a group selected from: hydrogen, C 1-10 alkyl, C 2-10 alkenyl , C 2-10 alkynyl, and -(alk) m -X-(alk) n -Y,
• X represents A, A1 , A2 or a direct link
• A represents a group selected from: cycloalkylene, cycloalkenylene, aryl, heteroaryl, heterocyclyl, -CH 2 -OC(O)-;
• A1 represents a group selected from: -CH 2 -0-(CH 2 ) q aryl-O-, -CH 2 -O-(CH 2 ) W N(R 5 )C(O)O-, -CH 2 -N(R 5 )C(O)O-, -CH 2 -N(R 5 )C(O)-, -CH 2 -(O)p-(CH 2 ) q C(O)NR 5 -, -CH 2 -N(R 5 )C(O)N(R 5 )-, -CH 2 -C(0)N((CH 2 ) W OH)-, -CH 2 -NR 5 -S(O) 2 -, CH 2 -S(O) 2 NR 5 -, -CH 2 -C(O)O-, -O-, -NR 5 -, -S-;
• A2 represents: -CH(OH)-
• Y represents a group selected from: heteroaryl, heterocyclyl, aryl, cycloalkyl, cycloalkenyl, -O(CH 2 ) n -aryl, -C(0)O-aryl, -CH(aryl) 2 , -CH(heteroaryl) 2 , -C 1-6 haloalkyl, -C(O)R 4 ' , -NR 5 R 7 , -C(O)NR 5 R 7 , -NR 5 C(O)R 7 , -NR 5 C(O)OR 7 , -C(O)(CH 2 ) q OR 4 , halogen, cyano, -N(R 5 )C(O)OR 7 , -OC(O)NR 5 R 6 , -NR 5 C(O)R 8 , -OR 5 , -OC(O)R 4 ;
• n is an integer selected from 2, 3, 4 and 5;
• n is an integer selected from 1 , 2, 3, 4 and 5;
• Y represents a group selected from:
• That ring may be optionally substituted by one or more of: C 1-6 alkyl, C 2 . 6 alkenyl, C 2-6 alkynyl, halogen, -NH 2 , (CH 2 ) q -NR 5 R 7 , -(CH 2 ) q -(O)p-(CH 2 ) q -N(R 5 )C(O)OR 8 , -(CH 2 ) q -N(R 5 )C(O)R 8 , -(CH 2 ) q -(O) p -(CH 2 ) q -C(O)NR 5 R 6 , -(CH 2 ) q -N(R 5 )C(O)N(R 5 )R 6 , -(CH 2 ) q -C(0)N((CH 2 ) m 0H)R 5 , -(CH 2 ) q -N(R 5 )
• R 2 is selected from: hydrogen; or C 1-10 alkyl, C 2-10 alkenyl, C 2-10 alkynyl, cycloalkyl, cycloalkenyl, heterocyclyl, aryl, and heteroaryl, each of which may be optionally substituted by one or more of: C 1-10 alkyl, C 2-10 alkenyl, C 2-10 alkynyl, cycloaikyl, heterocyclyl, aryl, heteroaryl, C 1-6 haloalkyl, halogen, -CN, -OR 4 , -(CH 2 ) n COR 4 , -C(O)OR 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 6 , -(NH) P CONR 5 R 6 , -OCONR 5 R 7 , and -NHC(O)OR 7 ;
• R 3 is selected from: halogenated Ci -6 alkyl
• R 4 is selected from: hydrogen, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) n cycloalkyl, -(CH 2 ) n cycloalkenyl, -(CH 2 ) n heterocyclyl, -(CH 2 ) n aryl, and -(CH 2 ) n heteroaryl;
• R 5 and R 6 are selected from: hydrogen and Ci -4 alkyl
• R 7 is selected from: hydrogen, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) t cycloalkyl, -(CH 2 ) n cycloalkenyl, -(CH 2 ) t heterocyclyl, -(CH 2 ) t aryl, and -(CH 2 ) t heteroaryl;
• R 8 is selected from C 1-4 alkyl
• R 9 is selected from Ci -6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) ⁇ cycloalkyl, -(CH 2 ) n cycloalkenyl, -(CH 2 ) n heterocyclyl, -(CH 2 ) n aryl, and -(CH 2 ) n heteroaryl, CN;
• m represents an integer selected from: 0, 1 , 2, 3, 4 and 5;
• n represents an integer selected from: 0, 1 , 2, 3, 4 and 5;
• p represents an integer selected from: 0 and 1 ;
• a compound of Formula (II) in the manufacture of a medicament for the treatment of disorders of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia.
• the use is provided of a compound of Formula (II) in the manufacture of a medicament for the treatment of diabetic dyslipidaemia or mixed dyslipidaemia, heart failure, hypercholesteraemia, type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa, obesity, coronary artery disease, thrombosis, angina, chronic renal failure, stroke and cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia.
• a compound of formula (I) or (II) or a pharmaceutically derivative thereof for use in the treatment of disorders of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia.
• the use is provided of a compound of Formula (I) or (II) in the manufacture of a medicament for the treatment of diabetic dyslipidaemia or mixed dyslipidaemia, heart failure, hypercholesteraemia, type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa, obesity, coronary artery disease, thrombosis, angina, chronic renal failure, stroke and cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia.
• dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia
• heart failure hypercholesteraemia
• cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia
• type Il diabetes mellitus type I diabetes
• insulin resistance hyperlipidaemia
• anorexia nervosa obesity
• the compounds are also provided for use in the treatment of coronary artery disease, thrombosis, angina, chronic renal failure, peripheral vascular disease and stroke.
• dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia
• heart failure hypercholesteraemia
• cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia
• type Il diabetes mellitus type I diabetes
• insulin resistance hyperlipidaemia
• anorexia nervosa obesity
• the compounds are also provided for use in the treatment of coronary artery disease, thrombosis, angina , chronic renal failure, peripheral vascular disease and stroke.
• the present invention provides the use of a compound of formula (I) or (II) or a pharmaceutically acceptable derivative thereof, in the manufacture of a medicament for the treatment of inflammatory diseases or conditions of the joint, particularly arthritis (e.g. rheumatoid arthritis, osteoarthritis, prosthetic joint failure), or of the gastrointestinal tract (e.g. ulcerative colitis, Crohn's disease, and other inflammatory bowel and gastrointestinal diseases, gastritis and mucosal inflammation resulting from infection, the enteropathy provoked by non-steroidal anti-inflammatory drugs), of the lung (e.g. adult respiratory distress syndrome, asthma, cystic fibrosis, or chronic obstructive pulmonary disease), of the heart (e.g.
• arthritis e.g. rheumatoid arthritis, osteoarthritis, prosthetic joint failure
• the gastrointestinal tract e.g. ulcerative colitis, Crohn's disease, and other inflammatory bowel and gastrointestinal diseases, gastritis and mucosal inflammation resulting from infection
• myocarditis of nervous tissue (e.g. multiple sclerosis), of the pancreas, (e.g. inflammation associated with diabetes melitus and complications thereof, of the kidney (e.g. glomerulonephritis), of the skin (e.g. dermatitis, psoriasis, eczema, urticaria, burn injury), of the eye (e.g. glaucoma) as well as of transplanted organs (e.g. rejection) and multi-organ diseases (e.g.
• systemic lupus erythematosis, sepsis systemic lupus erythematosis, sepsis
• the compounds of formula (I) or (II) or pharmaceutically acceptable derivatives thereof are useful in the treatment and prevention of inflammation, diabetes and cardiovascular diseases or conditions including atherosclerosis, arteriosclerosis, hypertriglyceridemia, and mixed dyslipidaemia.
• a method for the treatment of a human or animal subject with a condition where under-activation of the HM74A receptor contributes to the condition or where activation of the receptor will be beneficial comprises administering to said human or animal subject an effective amount of a compound of formula (I) or (II) or a pharmaceutically acceptable derivative thereof.
• the present invention provides a method for the treatment of disorders of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertrig lyceridaemia, type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa, obesity, which method comprises administering to said human or animal subject an effective amount of a compound of formula (I) or (II) or a pharmaceutically acceptable derivative thereof.
• dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia
• cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertrig lyceridaemia
• type Il diabetes mellitus type I diabetes
• insulin resistance hyperlipidaemia
• anorexia nervosa obesity
• these compounds may also find favour in methods for the treatment of coronary artery disease, thrombosis, angina, chronic renal failure, peripheral vascular disease and stroke, which methods comprise administering to said human or animal subject an effective amount of a compound of formula (I) or (II) or a pharmaceutically acceptable derivative thereof.
• R 1 is selected from hydrogen C 1-10 alkyl, and -(alk) m -X-(alk) n -r.
• X represents A or A1.
• A is selected from heteroaryl, heterocyclyl, and A1 is selected from CH 2 -O- (CH 2 ) w N(R 5 )C(0)O-, for example CH 2 O(CHs) 2 NHC(O)O-, CH 2 -N(R 5 )C(O)O- for example CH 2 -NHC(O)O, CH 2 -N(R 5 )C(O)- for example, CH 2 -NHC(O)-, CH 2 -(O) p -(CH 2 ) q C(O)NR 5 - for example CH 2 C(O)NCH 3 - , CH 2 -N(R 5 )C(O)N(R 5 )- for example CH 2 -NHC(O)NCH 3 -, CH 2 - C(0)N((CH 2 ) W OH)- for example CH 2
• X represents A and A represents a heteroaryl.
• A represents a heteroaryl comprising a nitrogen heteroatom, for example, triazolyl, furazanyl, oxadiazolyl, tetrazolyl, imidazolyl or pyrazolyl.
• X represents A, for example heteroaryl or heterocyclyl, or a direct link.
• Y represents an optionally substituted group selected from: aryl, for example phenyl or napthyl, heteroaryl, for example pyridinyl, thiazolyl, thienyl, benzofuranyl or indolyl, and O-aryl, for example O-phenyl.
• Y is substituted by one or more groups selected from OR 5 for example OH or OCH 3 , halogen, for example F or Cl, aryl, for example phenyl, C 1-6 haloalkyl for example CF 3 or CH 2 CF 3 , OCF 3 , (R 8 ) P CN for example CN, (CH 2 ) q -N(R 5 )-S(0) 2 R 8 for example NHS(O) 2 CH 3 and S(O) 2 R 9 for example S(O) 2 CH 3 .
• X represents A or A1
• A represents cycloalkyl, cycloalkenyl, aryl, heteroaryl or heterocyclyl
• A1 represents -CH 2 -O-(CH 2 ) W N(R 5 )C(O)O-, -CH 2 -N(R 5 )C(O)O-, -CH 2 -N(R 5 )C(O)- , -CH 2 -(O) p -(CH 2 ) q C(O)NR 5 -, -CH 2 -N(R 5 )C(O)N(R 5 )-, or -CH 2 -C(O)N((CH 2 ) W OH)-
• Y represents a ring, for example when X represents oxadizolyl, tetrazolyl or pyrazolyl and Y represents phenyl, pyridinyl, or
• R 1 is selected from: hydrogen; and C 1-10 alkyl which may be optionally substituted by one or more of: cycloalkyl, heterocyclyl, aryl, heteroaryl, C 1- 6 haloalkyl, halo, cyano, -OR 4 , -(CH 2 ) n COR 5 , -CO 2 R 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 7 , and - (NH) m CONR 5 R 7 .
• R 1 is selected from: hydrogen; and C 1-10 alkyl which may be optionally substituted by one or more of: halo, cyano, -OR 4 , - (CH 2 ) n COR 4 , -CO 2 R 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 6 , and -(NH) m CONR 5 R 6 .
• R 1 is selected from: hydrogen and C 1-6 alkyl optionally substituted with -OH, for example methyl, butyl or CH 2 CH 2 OH.
• R 1 is selected from: hydrogen and C 1-6 alkyl, for example methyl or butyl.
• R 2 is selected from: C 4-10 alkyl and C 2-10 alkenyl, each of which may be optionally substituted by one or more of cycloalkyl, heterocyclyl, aryl, heteroaryl, C 1-6 haloalkyl, halo, cyano, -OR 4 , -(CH 2 ) n COR 5 , -CO 2 R 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 6 , and -(NH) m C0NR 5 R 6 .
• R 2 may represent C 4-10 alkyl which may be optionally substituted by one or more of cycloalkyl , heterocyclyl, aryl, heteroaryl, C 1-6 haloalkyl, halo, cyano, -OR 4 , -(CH 2 ) n COR 4 , -CO 2 R 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 6 , and -(NH) m CONR 5 R 6 .
• R 2 is selected from C 4-6 alkyl, for example butyl or pentyl.
• R 2 represents C 1-I0 alkyl which may be optionally substituted by one or more of: cycloalkyl, heterocyclyl, aryl, heteroaryl, C 1-6 haloalkyl, halogen, -CN, -OR 4 , -(CH 2 ) n COR 5 , -C(O)OR 4 , -OCOR 4 , -(CH 2 ) n NR 5 R 6 , and -(NH) P CONR 5 R 6 .
• R 2 is selected from C 3-6 alkyl, for example butyl or pentyl.
• R 3 is selected from: fluorinated C 1-6 alkyl. In another embodiment of formula (I) or (II), R 3 is selected from: fluorinated C 1-4 alkyl, for example CF 3 , CHF 2 or CF 2 CF 3 .
• R 4 is selected from: hydrogen, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, -(CH 2 ) n cycloalkyl, -(CH 2 ) n heterocyclyl, -(CH 2 ) n aryl, and -(CH 2 ) n heteroaryl.
• R 4 is selected from: hydrogen and C 1-4 alkyl.
• R 1 is selected from: hydrogen and C 1-6 alkyl optionally substituted with -OH
• R 2 is selected from: C 4-6 alkyl
• R 3 is selected from: fluorinated C 1-4 alkyl, with the proviso that when R 1 represents Methyl and R 3 represents CF 3 , R 2 cannot be i-butyl.
• R 5 is hydrogen
• R 7 is selected from: hydrogen and Ci -4 alkyl.
• X is Av1
• A1 is -O-
• Y is a ring which is substituted by aryl or heteroaryl, then m is an integer selected from 3, 4 and 5.
• R 1 and R 2 are different.
• Particular compounds of the present invention include:
• the daily dose wil l be in the range of 0.1 mg - 1g/kg, typically 0.1 - 100mg/kg.
• An intravenous dose may, for example, be in the range of 0.01 mg to 0.1g/kg, typically 0.01 mg to 10mg/kg, which may conveniently be administered as an infusion of from 0.1 ⁇ g to 1mg, per minute.
• Infusion flu ids suitable for this purpose may contain, for example, from 0.01 ⁇ g to 0.1 mg, per millilitre.
• Unit doses may contain, for example, from 0.01 ⁇ g to 1g of a HM74A modulator.
• ampoules for injection may contain, for example, from 0.01 ⁇ g to 0.1g and orally adrninistrable unit dose formulations, such as tablets or capsules, may contain, for example, from 0.1 mg to 1g. No toxicological effects are indicated/expected when a compound of the invention is administered in the above mentioned dosage range.
• a compound of the present invention may be employed as the compound per se in the treatment of a disease where under-activation of the HM74A receptor contributes to the disease or where activation of the receptor will be beneficial, an example of this is where a compound of the present invention is presented with an acceptable carrier in the form of a pharmaceutical formulation.
• the carrier must, of course, be acceptable in the sense of being compatible with the other ingredients of the formulation and must not be deleterious to the recipient.
• the carrier may be a solid or a liquid, or both, and may be formulated with the HM74A modulator as a unit-dose formulation, for example, a tablet, which may contain from 0.05% to 95% by weight of the HM74A modulator.
• the formulations include those suitable for oral, rectal, topical, buccal (e.g. sub-lingual) and parenteral (e.g. subcutaneous, intramuscular, intradermal or intravenous) administration.
• buccal e.g. sub-lingual
• parenteral e.g. subcutaneous, intramuscular, intradermal or intravenous
• Formulations suitable for oral administration may be presented in discrete units, such as capsules, cachets, lozenges or tablets, each containing a predetermined amount of a HM74A modulator; as a powder or granules; as a solution or a suspension in an aqueous or non-aqueous liquid; or as an oil-in-water or water-in-oil emulsion.
• the formulations are prepared by uniformly and intimately admixing the active HM74A modulator with a liquid or finely divided solid carrier, or both, and then, if necessary, shaping the product.
• a tablet may be prepared by compressing or moulding a powder or granules of the HM74A modulator optionally with one or more accessory ingredients.
• Compressed tablets may be prepared by compressing, in a suitable machine, the compound in a free-flowing form, such as a powder or granules optionally mixed with a binder, lubricant, inert diluent and/or surface active/dispersing agent(s).
• Moulded tablets may be made by moulding, in a suitable machine, the powdered compound moistened with an inert liquid diluent.
• Tablets and capsules for oral administration may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, mucilage of starch or polyvinyl pyrrolidone; fillers, for example, lactose, microcrystalline cel lulose, sugar, maize- starch, calcium phosphate or sorbitol; lubricants, for example, magnesium stearate, stearic acid, talc, polyethylene glycol or silica; disintegrants, for example, potato starch, croscarmellose sodium or sodium starch glycollate; or wetting agents such as sodium lauryl sulphate.
• the tablets may be coated according to methods well known in the art.
• Oral liquid preparations may be in the form of, for example, aqueous or oily suspensions, solutions, emulsions, syrups or elixirs, or may be presented as a dry product for constitution with water or other suitable vehicle before use.
• Such liquid preparations may contain conventional additives such as suspending agents, for example, sorbitol syrup, methyl cellulose, glucose/sugar syrup, gelatin, hydroxymethyl cellulose, carboxymethyl cellulose, aluminium stearate gel or hydrogenated edible fats; emulsifying agents, for example, lecithin, sorbitan mono-oleate or acacia; non-aqueous vehicles (which may include edible oils), for example almond oil, fractionated coconut oil, oily esters, propylene glycol or ethyl alcohol; or preservatives, for example, methyl or propyl ⁇ -hydroxybenzoates or sorbic acid.
• the preparations may also contain buffer salts, flavouring, colouring and/or sweetening agents
• Formulations suitable for buccal (sub-lingual) administration include lozenges comprising a HM74A modulator in a flavoured base, usually sucrose and acacia or tragacanth, and pastilles comprising the HM74A modulator in an inert base such as gelatin and glycerin or sucrose and acacia.
• Formulations for oral administration may be suitably formulated to give controlled/extended release of the active compound.
• Formulations of the present invention suitable for parenteral administration conveniently comprise sterile aqueous preparations of an HM74A modulator, the formulation may be isotonic with the blood of the intended recipient. These preparations could be administered intravenously, although administration may also be effected by means of subcutaneous, intramuscular, or intradermal injection. Such preparations may conveniently be prepared by admixing the HM74A modulator with water and rendering the resulting solution sterile and isotonic with the blood. Injectable compositions according to the invention will generally contain from 0.1 to 5% w/w of the HM74A modulator.
• formulations of the present invention suitable for parenteral administration comprising a compound accord ing to the invention may be formulated for parenteral administration by bolus injection or continuous infusion and may be presented in unit dose form, for instance as ampoules, vials, small volume infusions or pre-filled syringes, or in rnulti-dose containers with an added preservative.
• the compositions may take such forms as solutions, suspensions, or emulsions in aqueous or non-aqueous vehicles , and may contain formulatory agents such as anti-oxidants, buffers, antimicrobial agents and/or toxicity adjusting agents.
• the active ingredient may be in powder form for constitution with a suitable vehicle, e.g. sterile, pyrogen-free water, before use.
• the dry solid presentation may be prepared by filling a sterile powder aseptically into individual sterile containers or by filling a sterile solution aseptically into each container and freeze-drying.
• Formulations suitable for rectal administration may be presented as unit-dose suppositories. These may be prepared by admixing a HM74A modulator with one or more conventional solid carriers, for example, cocoa butter or glycerides and then shaping the resulting mixture. Formulations suitable for topical application to the skin may take the form of an ointment, cream, lotion, paste, gel, spray, aerosol, or oil. Carriers which may be used include vaseline, lanolin, polyethylene glycols, alcohols, and combinations of two or more thereof.
• the HM74A modulator is generally present at a concentration of from 0.1 to 15% w/w of the composition, for example, from 0.5 to 2%.
• topical administration as used herein, we include administration by insufflation and inhalation .
• preparation for topical administration include ointments, creams, lotions, powders, pessaries, sprays, aerosols, capsules or cartridges for use in an inhaler or insufflator or drops (e.g. eye or nose drops).
• Ointments and creams may, for example, be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents and/or solvents.
• bases may thus, for example, include water and/or an oil such as liquid paraffin or a vegetable oil such as arachis oil or castor oil or a solvent such as a polyethylene glycol.
• Thickening agents which may be used include soft paraffin, aluminium stearate, cetostearyl alcohol, polyethylene glycols, microcrystalline wax and beeswax.
• Lotions may be formulated with an aqueous or oily base and will in general also contain one or more emulsifying agents, stabilising agents, dispersing agents, suspending agents or thickening agents.
• Powders for external application may be formed with the aid of any suitable powder base, for example, talc, lactose or starch. Drops may be formulated with an aqueous or non-aqueous base also comprising one or more dispersing agents, solubilising agents or suspending agents.
• Spray compositions may be formulated, for example, as aqueous solutions or suspensions or as aerosols delivered from pressurised packs, with the use of a suitable propellant, e.g. dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, 1 ,1 ,1 ,2,3,3,3- heptafluoropropane, 1 ,1 ,1 ,2- tetrafluorethane, carbon dioxide or other suitable gas.
• a suitable propellant e.g. dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, 1 ,1 ,1 ,2,3,3,3- heptafluoropropane, 1 ,1 ,1 ,2- tetrafluorethane, carbon dioxide or other suitable gas.
• Capsules and cartridges for use in an inhaler or insufflator, of for example gelatin may be formulated containing a powder mix of a compound of the invention and a suitable powder base such as lactose or starch.
• compositions according to the invention may also be used in combination with other therapeutic agents, for example in combination with other classes of dyslipidaemic drugs (e.g. statins, fibrates, bile-acid binding resins or nicotinic acid).
• dyslipidaemic drugs e.g. statins, fibrates, bile-acid binding resins or nicotinic acid.
• the compounds of the instant invention may be used in combination with one or more other therapeutic agents for example in combination with other classes of dyslipidaemic drugs e.g. S-hydroxy-S-methylglutaryl-coenzyme A reductase inhibitors (statins) or fibrates or bile acid binding resins or nicotinic acid.
• dyslipidaemic drugs e.g. S-hydroxy-S-methylglutaryl-coenzyme A reductase inhibitors (statins) or fibrates or bile acid binding resins or nicotinic acid.
• the invention thus provides, in a further aspect, the use of such a combination in the treatment of diseases where under-activation of the HM74A receptor contributes to the disease or where activation of the receptor will be beneficial and the use of a compound of formula (I) or (II), or a pharmaceutically acceptable salt, solvate or pharmaceutically acceptable derivative thereof in the manufacture of a medicament for the combination therapy of disorders of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyceridaemia, type Il diabetes mellitus, type I diabetes, insulin resistance, hyperlipidaemia, anorexia nervosa or obesity.
• disorders of lipid metabolism including dyslipidaemia or hyperlipoproteinaemia such as diabetic dyslipidaemia and mixed dyslipidaemia, heart failure, hypercholesteraemia, cardiovascular disease including atherosclerosis, arteriosclerosis, and hypertriglyce
• the compounds of the present invention are used in combination with other therapeutic agents, the compounds may be administered either sequentially or simultaneously by any convenient route.
• compositions comprising a combination as defined above optimally together with a pharmaceutically acceptable carrier or excipient comprise a further aspect of the invention.
• the individual components of such combinations may be administered either sequentially or simultaneously in separate or combined pharmaceutical formulations.
• the two components When combined in the same formulation it will be appreciated that the two components must be stable and compatible with each other and the other components of the formulation and may be formulated for administration. When formulated separately they may be provided in any convenient formulation, conveniently in such a manner as are known for such compounds in the art.
• each component When in combination with a second therapeutic agent active against the same disease, the dose of each component may differ from that when the compound is used alone. Appropriate doses will be readily appreciated by those skilled in the art.
• the invention thus provides, in a further aspect, a combination comprising a compound of formula (I) or a pharmaceutically acceptable derivative thereof together with another therapeutically active agent.
• compositions comprising a combination as defined above together with a pharmaceutically acceptable diluent, excipient or carrier thereof represent a further aspect of the invention.
• a pharmaceutical formulation comprising a compound or pharmaceutically acceptable derivative thereof and one or more pharmaceutically acceptable diluents, excipients or carriers.
• MS mass spectra
• BiotageTM chromatography refers to purification carried out using equipment sold by Dyax Corporation (either the Flash 4Oi or Flash 15Oi) and cartridges pre-packed with KPSiI.
• Mass directed autoprep refers to methods where the material was purified by high performance liquid chromatography on a HPLCABZ+ 5 ⁇ m column (5cm x 10mm i.d.) with 0.1 % HCO 2 H in water and 95% MeCN, 5% water (0.5% HCO 2 H) utilising the following gradient elution conditions: 0-1.0 minutes 5%B, 1.0-8.0 minutes 5 ⁇ 30%B, 8.0-8.9 minutes 30%B, 8.9-9.0 minutes 30 ⁇ 95%B, 9.0-9.9 minutes 95%B, 9.9-10 minutes 95 ⁇ 0%B at a flow rate of 8ml minutes "1 (System 2).
• the Gilson 202-fraction collector was triggered by a VG Platform Mass Spectrometer on detecting the mass of interest.
• Preparative h.p.l.c. refers to methods where the material was purified by high performance liquid chromatography on a HPLCABZ+ 5 ⁇ m column (10cm x 21.2mm i.d.) with 0.1% HCO 2 H in water (A) and MeCN (0.5% HCO 2 H) (B) utilising the generic gradient elution conditions expressed as "x to y" gradient with a gradient system as follows: 0-1.45minut.es x%B, 1.45-20 minutes x ⁇ y%B, 20-24 minutes y ⁇ 95%B, 24-30 minutes 95%B, 32-34 minutes 95 ⁇ x%B at a flow rate of 8ml minutes "1 .
• the Gilson 233 fraction collector was triggered by UV (254nm).
• SPE solid phase extraction
• Strata Phenyl SPE refers to the use of cartridges sold by Phenomenex.
• the compound was loaded onto a cartridge previously conditioned with MeCN and equilibrated with 5% MeCN in water.
• the compound was eluted with 0.1 % HCO 2 H in water and MeCN (0.5% HCO 2 H) in a suitable gradient on a Combiflash Optix 10.
• the compounds of the present invention and pharmaceutically derivatives thereof may be prepared by the methodology described hereinafter, constituting a further aspect of this invention.
• a process according to the invention for preparing a compound of formula (1) or formula (II) in which R 1 is H or alkyl wherein R 1 and R 2 ma/ be the same or different, comprises:
• a process according to the invention for prepari ng a compound of formula (I) or formula (II) in which R 1 and R 2 may be the same or different, comprises:
• a resultant compound of formula (I) or (II) can be converted into a pharmaceutically acceptable salt form or vice versa or converting one salt form into another pharmaceutically acceptable salt form.
• LiHMDS Lithium hexamethyldisilylamide The following non-limiting examples illustrate the present invention:
• 2M NaOH(aq) 15ml was added to the crude residue and heated at 100°C for 3O minutes. After allowing to cool to rt. the mixture was acidified to ca. pH 5 with 2M HCI(aq). The resulting precipitate was collected by filtration and then taken up into MeOH with heating and then passed down an amino propyl column (5g), eluting with 2% AcOH/MeOH, 5% AcOH/MeOH, 10% AcOH/MeOH and 15% AcOH/MeOH. The product fraction was concentrated, giving the title compound as an off- white solid (52mg).
• 6-Amino-1-butyl-2,4(1/-/,3/-/)-pyrimidinedione (5.9g, 32.2mmol) and caesium carbonate O (11.54g, 35.4mmol) were added to anhydrous dimethylformamide under a nitrogen atmosphere.
• Ethyl 4-bromobutyrate (5.07ml, 35.4mmol) was added and the mixture stirred at room temperature for 22h.
• the reaction mixture was diluted with ethyl acetate (350ml) and washed with saturated sodium chloride solution (2 x 50ml). The combined aqueous phases were back extracted with ethyl acetate.
• Example 8 (a): 3-Butyl-1-r4-f3-phenyl-1,2,4-oxadiazol-5-yl)butvn-8-(trifluoromethyl)-3,7- dihvdro-1 H-purine-2,6-dione 5
• Example 12 3-Butyl-8-(trifluoromethyl)-1-(3-f3-r(2,4,6-trifluorophenyl)methvn -1.2.4- oxadiazol-5-yl)propyl)-3,7-dihvdro-1 H-purine-2.6-dione

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• 2005
  • 2005-10-20 EP EP05810272A patent/EP1805180A1/de not_active Withdrawn
  • 2005-10-20 KR KR1020077011627A patent/KR20070070231A/ko not_active Application Discontinuation
  • 2005-10-20 JP JP2007537228A patent/JP2008517029A/ja active Pending
  • 2005-10-20 WO PCT/EP2005/011376 patent/WO2006045565A1/en active Application Filing
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