EP4370519A1 - 5,6,7,8-tetrahydro-2,6- and 2,7-naphthyridine derivatives for use in the treatment of diseases responsive to citrate transporter modulation - Google Patents
5,6,7,8-tetrahydro-2,6- and 2,7-naphthyridine derivatives for use in the treatment of diseases responsive to citrate transporter modulationInfo
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- EP4370519A1 EP4370519A1 EP22751057.5A EP22751057A EP4370519A1 EP 4370519 A1 EP4370519 A1 EP 4370519A1 EP 22751057 A EP22751057 A EP 22751057A EP 4370519 A1 EP4370519 A1 EP 4370519A1
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
- C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
- C07D487/04—Ortho-condensed systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
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- 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
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- 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
Definitions
- the present invention relates to compounds having utility in the treatment of diseases responsive to citrate transporter modulation. More specifically, the present invention relates to a compound according to general formula (I), which acts as an inhibitor of a citrate transporter, e.g. a sodium- coupled citrate transporter such as SLC13A5 (also referred to as Indy or NaCT); to a pharmaceutical composition containing one or more of the compound(s) of the invention; to a combination preparation containing at least one compound of the invention and at least one further active pharmaceutical ingredient; and to uses of said compound(s), including the above mentioned use as a medicament as well as the use in the treatment and/or prevention of a condition associated with the activity of a citrate transporter such as metabolic diseases and age related diseases.
- a citrate transporter e.g. a sodium- coupled citrate transporter such as SLC13A5 (also referred to as Indy or NaCT)
- SLC13A5 also referred to as Indy or NaCT
- a pharmaceutical composition containing
- Caloric excess leads to obesity and insulin resistance to an increased mortality.
- Caloric restriction reduces adiposity and increases lipid oxidation, insulin sensitivity, and mitochondrial biogenesis.
- caloric restriction reverses obesity, type 2 diabetes, delays aging, and prolongs life in many species, including primates (Hursting et al, 2003, Amur Rev. Med. 54, p. 131-152; Lopez-Lluch et al, 2006, Proc. Natl. Acad. Sci. U. S. A 103, p. 1768-1773; Hunt et al, 2006, Ageing Res. Rev. 5, p. 125-143; Fontana and Klein 2007, JAMA 297, p 986-994; Colman et al, 2009, Science 325, p. 201-204).
- Beneficial effects of caloric restriction are mediated by decreased plasma concentrations of anabolic hormones and growth factors, i.e. insulin and insulin like growth factors (Fontana and Klein 2007, JAMA 297, p 986-994; Colman et al, 2009, Science 325, p. 201-204).
- Reduced expression of the Indy (for / am Not Dead, Tet) gene in D. melanogaster and C. elegans has been shown to promote longevity in a manner akin to caloric restriction, however the cellular mechanism by which reduced expression of Indy leads to increased survival is unknown (Rogina et al, 2000, Science 290, p. 2137-2140; Fei et al, 2004, Biochem. J. 379, p.
- liver cells Inoue et al, 2002, J. Biol. Chem. 277, p. 39469-39476; Knauf et al, 2006, Biochem. J. 397, p. 25-29; Knauf et al, 2002, Proc. Natl. Acad. Sci. U. S. A 99, p. 14315-14319; Gopal et al, 2007, Am. J. Physiol Gastrointest. Liver Physiol 292, G402-G408, WO 2004/048925).
- Indy and its mammalian homolog mINDY (Slcl3a5, NaCT) are transporters of tricarboxylic acid (TCA) cycle intermediates.
- TCA tricarboxylic acid
- INDY handles the uptake of citrate via the plasma membrane into the cytosol where citrate is used for the synthesis of fatty acids and cholesterol (Inoue et al, 2002, J. Biol. Chem. 277, p. 39469-39476, Birkenfeld et al, 2011, Cell Metab 14, p. 184-195).
- cytosolic citrate is known as the prime carbon source for the synthesis of fatty acids, triacylglycerols, cholesterols and low-density lipoproteins (Willmes and Birkenfeld 2013 Comput Struct Biotechnol J. 2013 6:7).
- citrate leads to the activation of fatty acid synthesis and affects glycolysis and B-oxidation (Spencer and Lowenstein 1962 J Biol Chem 237: 3640-48, Bloch and Vance 1977 Ann Rev Biochem 46:263-298, Ruderman et al. 1999 Am J Physiol 276: El-18).
- Main organs for fatty acid synthesis are the liver and white adipose tissue and fatty acid synthesis has been shown to directly correlate with cytosolic citrate concentrations, partially depending on the direct import across the plasma membrane by mINDY (Inoue 2002 Biochem Biophys Res Comm 299:465 — 471, Gopal et al, 2007, loc. cit).
- mINDY is a drug target for the treatment of metabolic disease, such as obesity, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatis (NASH) and type 2 diabetes, but also hyperlipidemia and hypercholesterolemia (Birkenfeld et al, 2011, Cell Metab 14, p. 184-195, Pesta et al. 2015 Aging 7(12), p. 1086-93, Mancusso et al, 2012, Nature 491, p. 622-626; Frankel and Rogina, 2012, Front Genet 3, p.
- metabolic disease such as obesity, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatis (NASH) and type 2 diabetes, but also hyperlipidemia and hypercholesterolemia (Birkenfeld et al, 2011, Cell Metab 14, p. 184-195, Pesta et al. 2015 Aging 7(12), p. 1086-93, Mancusso et al, 2012, Nature
- loss of mlndy also mimics many aspects of calorically restriction.
- both, reduced expression of Indy, as well as caloric restriction prolong life span (Rogina et al, 2000, Science 290, p. 2137-2140; Fei et al, 2004, Biochem. J. 379, p. 191-198) and AMPK has been shown to be the mediator of longevity in response to most dietary restriction regimens in C.elegans (Schulz et al, 2007, Cell Metab 6, p. 280-293; Greer et al, 2009, Aging Cell 8, p. 113-127; Mair et al, 2011, Nature 470, p. 404-408).
- caloric restriction does not increase life span further in flies with reduced Indy expression (Toivonen et al, 2007, PFoS.
- Pajor and colleagues disclosed an inhibitor of Indy in a high micromolar range (Pajor et al. Mol Pharmacol. 2007 November; 72(5), p. 1330-1336). But it seems that this compound activity is related to cytotoxic side effects. Furthermore, Ganapathy and colleagues disclosed a substrate analogue, hydroxy citrate, as an inhibitor of Indy in a high micromolar range (30-40% inhibition at O.lmM) (WO 2004/048925). However, in a cellular citrate uptake assay it was not possible to reproduce this data. A recent work by Colas and Co-workers (Colas 2015 Biochemistry 54(31), p. 4900-8) used a combined modelling and virtual screening approach to find mINDY inhibitors.
- Huard et al. Huard et al. 2015 Sci Rep. 5, p. 17391
- Huard et al. described a tool compound which was selective for mINDY with submicromolar activities in vitro.
- very high doses 250 mg/kg bi-daily
- this substrate analogue compound class seems to be not a suitable drug like molecule.
- Citrate in particular free circulating citrate in the blood plasma, also plays a role in bone metabolism as well as in mineral metabolism of other tissues, and it is well known that numerous pathological conditions, including, for example, osteoporosis and kidney stones, are associated with low citrate concentrations in blood plasma (often indicated by low citrate excretion). This was, for instance, clinically proven in studies where it was shown that patients with osteoporosis or kidney stones benefitted from a high citrate diet which enhanced the plasma citrate level and consequently urinary citrate excretion (reviewed by Phillips et al. 2015, Cochrane Database Syst Rev. 6;(10), CD010057; and Granchi et al. 2019, Nutrients ; 11 (11 , p.
- Citrate diet can therefore be a therapeutic option for diseases related to low plasma citrate, however, several gastrointestinal side effects, the risk of nocturnal decrease of urinary citrate and a 20% non responder rate (Mattie et al. 2005, Urol Res 33(2), p. 73; Philips et al. 2015, loc. cit. ; Leslie et al. 2022, StatPearls [Internet] Treasure Island (FL): StatPearls Publishing) indicate the need of an alternative method to increase plasma citrate levels and urinary citrate excretion.
- hypocitricemia examples include: surgical stress (Costello et al. 1973 J Surg Res.15(3), p. 182; Costello and Franklin 2016, H SOA J Hum Endocrinol. 1(1), p. 005), osteoporosis (Tashjian and Whedon 1963 J Clin Endocrinol Metab 23, p. 1029), adrenocortical hyperactivity (Tashjian and Whedon 1963, loc. cit.), vitamin D deficiency (Tashjian and Whedon 1963, loc.
- the present invention was made in view of the prior art and the needs described above, and, therefore, the object of the present invention is to provide new compounds according to general formula (I), including pharmaceutically acceptable salts, solvates, metabolites and prodrugs thereof, which act as inhibitors for the activity of citrate transporters, such as Indy, and therefore, are useful as agents for the treatment or prevention of diseases or conditions in which citrate transporters play a role, such as diseases or conditions in which citrate transporters participate, are involved in the etiology or pathology of the disease or condition, or contribute to at least one symptom of the disease or condition.
- general formula (I) including pharmaceutically acceptable salts, solvates, metabolites and prodrugs thereof, which act as inhibitors for the activity of citrate transporters, such as Indy, and therefore, are useful as agents for the treatment or prevention of diseases or conditions in which citrate transporters play a role, such as diseases or conditions in which citrate transporters participate, are involved in the etiology or pathology of the disease or
- the compounds of general formula (I), or pharmaceutically acceptable salts, solvates, metabolites and prodrugs thereof, described herein have one or more improved properties, e.g. an improved pharmacokinetic and/or physiochemical property, including bioavailability, solubility, metabolic stability, and a LADME (liberation, absorption, distribution, metabolism, and excretion) property.
- improved properties e.g. an improved pharmacokinetic and/or physiochemical property, including bioavailability, solubility, metabolic stability, and a LADME (liberation, absorption, distribution, metabolism, and excretion) property.
- R 1A is a hydrogen atom or deuterium atom
- R 1B is a hydrogen atom, deuterium atom, (Ci-C3)alkyl, or (C1-C3) haloalkyl group; or R 1A and R 1B are taken together with the carbon atom to which they are attached to form a cyclopropyl group;
- R 1C is CN, CH 2 CN, CH 2 OCH 3 , CH 2 OCHF 2 , CH 2 OCF 3 or a cyclopropyl group;
- R 2 is F, Cl, CH 3 , OCH 3 or CHF 2 ;
- R 3 is CN or CHF 2 ;
- X 1 is (CR n R 12 );
- R 11 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- R 12 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- n is 1 ;
- X 2 is (CR 21 R 22 );
- R 21 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- R 22 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- n is 1 or 2, provided that n is 2 when m is 1 ;
- R 4A is, at each occasion independently, a hydrogen, deuterium, fluorine atom, chlorine atom, CH 3 , (CH 2 )OH, CN or (Ci) haloalkyl;
- R 4B is, at each occasion independently, a hydrogen, deuterium, fluorine or chlorine atom, CH 3 , (CH 2 )OH, or (Ci) haloalkyl; o is 1, 2 or 3; A is an aryl group; or a mono- or bicyclic, partially unsaturated or aromatic heterocycle having 3 to 10 C atoms and 1 to 4 heteroatom(s) each, independently of one another, selected from N, O or S;
- R 5 is, at each occasion independently, a fluorine or chlorine atom, CH 3 , CD 3 , OCH 3 ,
- R A and R AA each, independently of one another, represents a hydrogen atom or CH3; p is 0, 1 or 2;
- R 6 represents a hydrogen atom, CN, OH, G, OG, Cyc, OCyc, Hce or OHce;
- R G1 represents a (Ci-C3)alkyl, (C1-C3) haloalkyl, (C1-C3) hydroxyalkyl, or (Ci- C4) heteroalkyl group, and methods of uses thereof as described hereinafter and/or defined in the attached claims.
- groups and substituents of the compound of general formula (I) can be chosen by one skilled in the art to provide stable moieties and compounds.
- presented herein are compounds selected from active metabolites, tautomers, pharmaceutically acceptable solvates, pharmaceutically acceptable salts or prodrugs of a compound of general formula (I).
- the present invention provides a pharmaceutical composition comprising at least one inhibitor for the activity of a citrate transporter, such as Indy, as described herein.
- a pharmaceutical composition comprising a therapeutically effective amount of a compound of general formula (I).
- the pharmaceutical composition also contains at least one pharmaceutically acceptable inactive ingredient, such as a carrier substance, excipient and/or adjuvant.
- the pharmaceutical composition is formulated for intravenous injection, subcutaneous injection, oral administration, or topical administration, such as formulated as an aerosol, a cream, a gel, a pill, a capsule, a syrup, a solution, a transdermal patch or a pharmaceutical delivery device.
- the pharmaceutical composition is a tablet, a pill, a capsule, a liquid, a suspension, a gel, a colloid, a dispersion, a suspension, a solution, an emulsion, an ointment, or a lotion.
- Pharmaceutical compositions described herein are administerable to a subject in a variety of ways by multiple administration routes, including but not limited to, oral, parenteral (e.g., intravenous, subcutaneous, intramuscular), buccal, topical or transdermal administration routes.
- the present invention provides a combination preparation containing at least one compound of the invention and at least one further active pharmaceutical ingredient.
- the at least one further active pharmaceutical ingredient is selected from the group comprising: a. anti-obesity agents selected from the group consisting of orlistat, lorcaserin, Phentermine, Topiramate, sibutramine, bromocriptine, ephedrine, leptin, and pseudoephedrine, 5-HT2c receptor agonists, Bupropion, Naltrexone, methionine aminopeptidase 2 inhibitors, GLP1 agonists; b.
- anti-obesity agents selected from the group consisting of orlistat, lorcaserin, Phentermine, Topiramate, sibutramine, bromocriptine, ephedrine, leptin, and pseudoephedrine, 5-HT2c receptor agonists, Bupropion, Naltrexone, methionine aminopeptidase 2 inhibitors, GLP1
- anti-diabetes agents comprising insulin, incretin mimetics, SGLT-2 inhibitors, DPPIV inhibitors, PPAR agonist, Glucokinase activator, MTP inhibitors, Glycogen phosphorylase inhibitors, DGAT-1 inhibitor, GLP1 agonists, dual GLPl/glucagon receptor agonists, triagonist for GLPl /glucose-dependent insulinotropic polypeptide/glucagon receptor; c.
- anti-NASH agents comprising insulin, incretin mimetics, statins, PPAR agonists, AMPK activators, FXR agonists, DGAT-2 inhibitors, DGAT-1 inhibitors, Bile- Acid Conjugates, methionine aminopeptidase 2 inhibitors, PDE4 inhibitors, inhibitors of acetyl-CoA carboxylase, inhibitors of ketohexokinase, inhibitors of ATP citrate lyase, GLP-1 agonist, dual GLPl/glucagon receptor agonists, triagonist for GLPl/glucose-dependent insulinotropic polypeptide/glucagon receptor, inhibitors of ASK-1, CCR2/CCR5 antagonist, inhibitors of SLC10A2, inhibitors of LOXL2, inhibitors of Galectin-3, inhibitors of caspase, FGF21, FGF19, inhibitors of CGRP, AOC3: Amine Oxidase, Copper Containing 3, inhibitors of DPP-4, THR-
- anti-dyslipidaemia agents comprising, statins, ApoB antisense oligonucleotides, PCSK9 inhibitors, Cholesterol-absorption inhibitors, Niacin, Bile-acid-sequestering resins, MTP inhibitors, Fibrates, CETP inhibitors, ATP citrate lyase inhibitors; e. anti-cancer agents comprising chemotherapeutic drugs; and f. anti aging drugs comprising vitamins.
- At least one compound of the invention may be combined with at least one: anti-osteoporosis agent;
- the anti-osteoporosis agent may be selected from the group comprising vitamin D, calcium, calcitonine, bisphosphonates, estrogen, selective estrogen receptor modulators, parathyroid hormone and its analoga, RANKL inhibitors, anti-sclerostin antibody.
- the present invention relates to uses of the compound(s) of the invention, including the use as, or for the preparation of, a medicament.
- a compound, composition or preparation described herein for use in the treatment and/or prevention of a condition associated with the activity of a citrate transporter, including metabolic diseases, such as obesity and diabetes, in particular type 2 diabetes, and age related diseases.
- the compound of general formula (I) binds to citrate transporters, such as as Indy, and influences their activity. The compound may inhibit the activity of such a citrate transporter directly or allosterically.
- Allosteric inhibition or regulation means the regulation of the activity of a protein or enzyme by binding to one or more allosteric site(s) of said protein or enzyme, which allosteric site(s) is/are different from the active site(s) of the respective protein or enzyme.
- a method comprising administering a compound of general formula (I), a pharmaceutical composition or combination preparation described herein, to a human with a diseases or condition that is citrate transporter meditated or citrate transporter dependent.
- the compound may be a compound of general formula (I), a mixture of compounds of general formula (i), or a pharmaceutically acceptable salt, solvate, metabolite or prodrug thereof.
- the human is already being administered one or more additional therapeutically active agents other than a compound of general formula (I).
- the method further comprises administering one or more additional therapeutically active agents other than a compound of general formula (I).
- the citrate transporter is the gene product of Indy or a homologue thereof.
- the term “homologues” used in this disclosure refers to genes or proteins having similar or identical biological functions. The similarity or identity of the biological functions can be reflected by sequence similarity or identity (at either the amino acid or nucleotide level) of about 45%, about 70% or about 90%. Sequence similarity or identity (at either the amino acid or nucleotide level) within defined regions of the molecule or across the full-length sequence can be determined through sequence alignments using computer software programs such as BLAST, ALIGN, DNAstar and INHERIT which employ various algorithms to measure homology. A person skilled in the art is familiar with these alignment programs.
- the citrate transporter meditated or citrate transporter dependent disease or condition, or the condition associated with the activity of a citrate transporter is: a. a metabolic disease selected from the group comprising insulin resistance, alcoholic and non-alcoholic fatty liver disease, non-alcoholic steatohepatitis (NASH), obesity, type 1 diabetes, type 2 diabetes, dyslipidemia, hereditary diseases and metabolic syndrome; b. an eating disorder; c. a chronic liver disease; d. liver cancer and/or cancer related to obesity; e. an age related disease comprising atherosclerosis and cardiovascular disease, cancer, arthritis, cataracts, osteoporosis, type 2 diabetes, hypertension and neurodegenerative diseases like Alzheimer's disease; or f. drug induced hepatic steatosis.
- a metabolic disease selected from the group comprising insulin resistance, alcoholic and non-alcoholic fatty liver disease, non-alcoholic steatohepatitis (NASH), obesity, type 1 diabetes, type 2 diabetes, dyslipidemia, hereditary diseases and metabolic syndrome
- the citrate transporter meditated or citrate transporter dependent disease or condition, or the condition associated with the activity of a citrate transporter is a disease or condition that is caused by low plasma citrate concentrations (hypocitricemia) and/or indicated by low urinary citrate excretion (hypocitraturia), and examples include one or more of surgical stress, osteoporosis, adrenocortical hyperactivity, vitamin D deficiency, ricket, parathyroidectomy, metaboloc acidosis, glaucoma, bariatric surgery, kidney stones, chronic kidney disease, primary hyperaldesteronism and postmenopause.
- described herein is a compound of general formula (I), a pharmaceutical composition or combination preparation described herein for use in a method of diagnosis of a citrate transporter meditated or citrate transporter dependent disease or condition, or a condition associated with the activity of a citrate transporter, including the diseases or conditions identified above.
- the method of diagnosis is in vivo. In some embodiments, the method of diagnosis is in vitro or ex vivo.
- the mammal is preferably a human.
- compounds, compositions or preparations described herein are administered to a human.
- compounds provided herein are used to diminish, reduce, or eliminate the activity of citrate transporters.
- described herein is a method for altering the activity of citrate transporters in vitro or in vivo, said method comprising contacting a citrate transporter with at least one compound described herein, or a salt thereof, under conditions and in an amount sufficient to detectably diminish, reduce, or eliminate the activity of the citrate transporter.
- the citrate transporter is contained in a cell, tissue or sample (e.g., a cell sample or tissue sample).
- compounds or compositions described herein may be used in detection assays for localizing or detecting a citrate transporter in a cell, tissue or sample, and in some embodiments, such detection assays may use a detectably labelled compound, such as a compound of general formula (I), or a salt thereof, that is linked to a detectable label or functional moiety, such as a radio nucleotide, fluorophore or enzyme.
- a detectably labelled compound such as a compound of general formula (I), or a salt thereof, that is linked to a detectable label or functional moiety, such as a radio nucleotide, fluorophore or enzyme.
- Articles of manufacture which include packaging material, a compound of general formula (I) within the packaging material, and a label that indicates that the compound or composition, or pharmaceutically acceptable salt, tautomers, pharmaceutically active metabolite, pharmaceutically acceptable prodrug, or pharmaceutically acceptable solvate thereof, is used for reducing, diminishing or eliminating the effects of citrate transporters, or for the treatment, prevention or amelioration of one or more symptoms of a disease or condition that would benefit from a reduction or elimination of citrate transporter activity, are provided.
- Figure 1 shows data for the measurement of triglyceride content in the liver after a 28 days treatment period in high fat diet animals. Animals were treated orally twice a day with compound 199 at three different doses (5, 15 and 50 mg/kg) or with the corresponding vehicle. Data shows the dose dependent reduction of liver fat deposition with a SLC13A5 inhibitor, with a statistically significant reduction for highest dose vs. vehicle. This data indicates amelioration of high fat diet induced steatosis and an improved hepatic lipid metabolism.
- Figure 2 shows data for the measurement of triglyceride level in blood plasma after a 28 days treatment period in high fat diet animals. Animals were treated orally twice a day with compound 199 at three different doses (5, 15 and 50 mg/kg) or with the corresponding vehicle. Data shows the dose dependent reduction of plasma triglycerides with a SLC13A5 inhibitor, with a statistically significant reduction for highest dose vs. vehicle. This data indicates amelioration of high fat diet induced hypertriglyceridemia and an improved overall lipid metabolism.
- Figure 3 shows data for the measurement of cholesterol level in blood plasma after a 28 days treatment period in high fat diet animals. Animals were treated orally twice a day with compound 199 at three different doses (5, 15 and 50 mg/kg) or with the corresponding vehicle. Data shows the dose dependent reduction of plasma cholesterol with a SLC13A5 inhibitor, with a statistically significant reduction for highest dose vs. low dose and a trend for reduction for highest dose vs. vehicle. This data indicates amelioration of high fat diet induced hypercholesterolaemia and an improved overall lipid metabolism.
- Figures 4A and 4B show data for the measurement of mRNA expression levels of key genes involved in hepatic lipogenesis in liver tissue after a 28 days treatment period in high fat diet animals. Animals were treated orally twice a day with compound 199 at three different doses (5, 15 and 50 mg/kg) or with the corresponding vehicle.
- SREBF1 * p ⁇ 0.05 vs low dose The figure shows the dose dependent down regulation of gene expression of Sterol regulatory element-binding transcription factor 1 (SREBF1) also known as sterol regulatory element-binding protein 1 (SREBP-1), the master regulator for most genes for lipogenesis and typically upregulated with high fat diet feeding, with a statistically significant reduction for highest dose vs. low dose and a trend for reduction for highest dose vs. vehicle.
- SREBF1 Sterol regulatory element-binding transcription factor 1
- SREBP-1 sterol regulatory element-binding protein 1
- SCD1* p ⁇ 0.05 vs vehicle The figure shows the dose dependent down regulation of gene expression of stearoyl-CoA desaturase (SCD1) gene, typically upregulated with high fat diet feeding and always associated with liver fat deposition, with a statistically significant reduction for highest dose vs. vehicle. This data indicates a reduction of expression of a key lipogenesis gene and fits well with lower liver fat content and an improved overall lipid metabolism.
- SCD1 stearoyl-CoA desaturase
- the present invention discloses novel compounds according to general formula (I), which act as an inhibitor of a citrate transporter, e.g. a sodium-coupled citrate transporter such as INDY (also known as SLC13A5 or NaCT).
- a citrate transporter e.g. a sodium-coupled citrate transporter such as INDY (also known as SLC13A5 or NaCT).
- INDY also known as SLC13A5 or NaCT.
- selectivity of the inhibitory activity within the SLC family of membrane transport proteins could be demonstrated by tests with two different cellular systems of succinate uptake, namely HEK293 cells over-expressing recombinant human SLC 13 A3 and HEK293 cells overexpressing recombinant human SLC13A2, where no inhibitory activity of the compounds of the invention was observed.
- the relevance of the inhibitory activity for utility in the treatment of diseases and/or conditions associated with or modulated by uptake of extracellular citrate was further demonstrated in a cell assay with HepG2 cells where it could be shown that the compounds of the invention had a considerable inhibitory effect on lipogenesis.
- the compounds according to the invention are therefore useful in the treatment or prophylaxis of diseases and/or conditions that are associated with or modulated by uptake of extracellular citrate into the liver, including, but not limited to, the treatment of metabolic and/or age related diseases.
- the compounds according to the invention are further useful in the treatment or prophylaxis of diseases and/or conditions that are associated with or modulated by low citrate concentrations in the blood plasma (hypocitricemia), and/or indicated by low urinary citrate excretion (hypocitraturia), including, but not limited to, the treatment of osteoporosis and kidney stones.
- R 1A is a hydrogen atom or deuterium atom
- R 1B is a hydrogen atom, deuterium atom, (Ci-C3)alkyl, or (C1-C3) haloalkyl group; or R 1A and R 1B are taken together with the carbon atom to which they are attached to form a cyclopropyl group;
- R 1C is CN, CH 2 CN, CH 2 OCH 3 , CH 2 OCHF 2 , CH 2 OCF 3 or a cyclopropyl group;
- R 2 is F, Cl, CH 3 , OCH 3 or CHF 2 ;
- R 3 is CN or CHF 2 ;
- X 1 is (CR n R 12 );
- R 11 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- R 12 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- n is 1 ;
- X 2 is (CR 21 R 22 );
- R 21 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- R 22 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- n is 1 or 2, provided that n is 2 when m is 1 ;
- R 4A is, at each occasion independently, a hydrogen, deuterium, fluorine atom, chlorine atom, CH 3 , (CH 2 )OH, CN or (Ci) haloalkyl;
- R 4B is, at each occasion independently, a hydrogen, deuterium, fluorine or chlorine atom, CH 3 , (CH 2 )OH, or (Ci) haloalkyl; o is 1, 2 or 3;
- A is an aryl group; or a mono- or bicyclic, partially unsaturated or aromatic heterocycle having 3 to 10 C atoms and 1 to 4 heteroatom(s) each, independently of one another, selected from N, O or S;
- R 5 is, at each occasion independently, a fluorine or chlorine atom, CFF, CD 3 , OCH 3 ,
- R A and R AA each, independently of one another, represents a hydrogen atom or CFb; p is 0, 1 or 2;
- R 6 represents a hydrogen atom, CN, OH, G, OG, Cyc, OCyc, Hce or OHce;
- R G1 represents a (Ci-C 3 )alkyl, (C 1 -C 3 ) haloalkyl, (C 1 -C 3 ) hydroxyalkyl, or (Ci- C4) heteroalkyl group.
- substituents are selected from among from a subset of the listed alternatives.
- a recited compound is not limited to any one specific tautomer, but rather is intended to encompass all tautomeric forms. It will be apparent that the compound of the invention may, but need not, be present as a hydrate, solvate or non- covalent complex. In addition, the various crystal forms and polymorphs are within the scope of the present invention, as are prodrugs of the compound of the invention. Recited compounds are further intended to encompass compounds in which one or more atoms are replaced with an isotope, i.e., an atom having the same atomic number but a different mass number.
- isotopes of hydrogen include tritium and deuterium and isotopes of carbon include n C, 13 C, and 14 C.
- the compound according to the invention is described herein using a general formula that includes variables such as, e.g. A, G, R 1A C , R 2 , R 3 , R 4A B , R 5 , R 6 , R n -R 12 , R 21 -R 22 , R A , R AA , R G1 , and X'-X 2 .
- variables such as, e.g. A, G, R 1A C , R 2 , R 3 , R 4A B , R 5 , R 6 , R n -R 12 , R 21 -R 22 , R A , R AA , R G1 , and X'-X 2 .
- each variable within such a formula is defined independently of any other variable, and any variable that occurs more than one time in a formula is defined independently at each occurrence.
- R * may be unsubstituted, or substituted with 1 or 2 group(s) R * , wherein R * at each occurrence is selected independently from the corresponding definition of R * .
- R * at each occurrence is selected independently from the corresponding definition of R * .
- combinations of substituents and/or variables are permissible only if such combinations result in stable compounds, i.e., compounds that can be isolated, characterized and tested for biological activity.
- a wording defining the limits of a range of length such as, e. g., “from 1 to 5” means any integer from 1 to 5, i. e. 1, 2, 3, 4 and 5.
- any range defined by two integers explicitly mentioned is meant to comprise and disclose any integer defining said limits and any integer comprised in said range.
- the term "C1-C3" refers to 1 to 3, i.e. 1, 2 or 3, carbon atoms; and the term “Ci-Ce” refers to 1 to 6, i.e. 1, 2, 3, 4, 5 or 6, carbon atoms.
- the prefix "(C x-y )" as used herein means that the chain, ring or combination of chain and ring structure as a whole, indicated in direct association of the prefix, may consist of a minimum of x and a maximum of y carbon atoms (i.e. x ⁇ y), wherein x and y represent integers defining the limits of the length of the chain (number of carbon atoms) and/or the size of the ring (number of carbon ring atoms).
- “Pharmaceutically acceptable” refers to a material, such as a carrier or diluent, which does not abrogate the biological activity or properties of the compound, and is relatively nontoxic, i.e., the material may be administered to an individual without causing undesirable biological effects or interacting in a deleterious manner with any of the components of the composition in which it is contained.
- salt refers to compounds obtained by reacting a compound of general formula (I) with an acid or a base to form a salt.
- pharmaceutically acceptable salts include mineral and organic acid salts of basic residues such as amines, as well as alkali or organic salts of acidic residues such as carboxylic acids.
- Suitable pharmaceutical salts include, but are not limited to, salts of acids such as hydrochloric, phosphoric, hydrobromic, malic, glycolic, fumaric, sulfuric, sulfamic, sulfanilic, formic, toluenesulfonic, methanesulfonic, benzene sulfonic, ethane disulfonic, 2- hydroxyethylsulfonic, nitric, benzoic, 2-acetoxybenzoic, citric, tartaric, lactic, stearic, salicylic, glutamic, ascorbic, pamoic, succinic, fumaric, maleic, propionic, hydroxymaleic, hydroiodic, phenylacetic, alkanoic such as acetic, HOOC-(CH2) n -COOH where n is any integer from 0 to 4 ( i.e ., 0, 1, 2, 3, or 4) and the like.
- acids such as hydrochloric,
- pharmacologically acceptable cations include, but are not limited to sodium, potassium, calcium, aluminum, lithium and ammonium.
- a pharmacologically acceptable acid or base salt can be synthesized from a parent compound that contains a basic or acidic moiety by any conventional chemical method. Briefly, such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two.
- nonaqueous media such as ether, ethyl acetate, ethanol, isopropanol or acetonitrile, is preferred.
- a "substituent,” as used herein, refers to a molecular moiety that is covalently bonded to an atom within a molecule of interest.
- a substituent on a ring may be a moiety such as a halogen atom, an alkyl, haloalkyl, hydroxy, cyano, or amino group, or any other substituent described herein that is covalently bonded to an atom, preferably a carbon or nitrogen atom, that is a ring member.
- substituted means that any one or more hydrogen atom(s) on the designated atom or group (e.g. alkyl, alkoxy, alkoxyalkyl, cycloalkyl, heterocycloalkyl, heteroaryl) is replaced with a selection from the indicated substituents, provided that the designated atom's normal valence or the group's number of possible sites for substitution is not exceeded, and that the substitution results in a stable compound, i.e. a compound that can be isolated, characterized and tested for biological activity.
- a pyridyl group substituted by oxo is a pyridone.
- the indication mono-, di-, tri or tetrasubstituted denotes groups having one (mono), two (di), three (tri) or four (tetra) substituents, provided that the substitution does not exceeded the number of possible sites for substitution and results in a stable compound.
- a monosubstituted imidazolyl group may be an (imidazolidin-2-on)yl group and a disubstituted isoxazolyl group may be a ((3,5- dimethyl)isoxazolyl) group.
- trade names are used herein, it is intended to independently include the trade name product formulation, the generic drug, and the active pharmaceutical ingredient(s) of the trade name product.
- alkyl or alkyl group denotes a saturated, straight-chain or branched hydrocarbon group that contains from 1 to 20 carbon atoms, preferably from 1 to 12 carbon atoms, more preferably from 1 to 6 carbon atoms, or the number of carbon atoms indicated in the prefix. If an alkyl is substituted, the substitution may take place, independently of one another, by mono-, di-, or tri-substitution of individual carbon atoms of the molecule, e.g. 1, 2, 3, 4, 5, 6, or 7 hydrogen atom(s) may, at each occasion independently, be replaced by a selection from the indicated substituents. The foregoing also applies if the alkyl group forms a part of a group, e.g.
- haloalkyl hydroxyalkyl, alkylamino, alkoxy, or alkoxyalkyl.
- alkyl group examples include methyl, ethyl, propyl, Ao-propyl, n-butyl, Ao-butyl, sec-butyl, /e/V-butyl, «-pentyl, .s -pentyl, «-hexyl, 2,2-dimethylbutyl, or «-octyl, and examples of a substituted alkyl group or a group where the alkyl forms a part of a group, include haloalkyl, e.g.
- (Ci- 6 ) alkyl includes, for example, EEC-, H 3 C-CH 2 -, H 3 C-CH 2 -CH 2 -, FEC-CFhUFb)-, H 3 C- CH2-CH2-CH2-, H 3 C-CH2-CH(CH 3 )-, H 3 C-CH(CH 3 )-CH 2 , H 3 C-C(CH 3 ) 2 -, H 3 C-CH2-CH2-CH 2 - CH2-, H 3 C-CH2-CH 2 -CH(CH 3 )-, H 3 C-CH 2 -CH(CH 3 )-CH 2 -, H 3 C-CH(CH 3 )-CH2-CH 2 -, H 3 C-CH 2 - C(CH 3 )-CH2-CH 2 -, H 3 C-CH 2 - C(CH 3 ) 2 -, H 3 C-CH 2 - C(CH 3 ) 2 -, H 3 C-CH 2 - C(CH 3 ) 2 -, H 3
- alkenyl and alkynyl refer to at least partially unsaturated, straight-chain or branched hydrocarbon groups that contain from 2 to 20 carbon atoms, preferably from 2 to 12 carbon atoms, especially from 2 to 6 (e.g. 2, 3 or 4) carbon atoms, for example an ethenyl (vinyl), propenyl (allyl), iso-propenyl, butenyl, ethinyl, propinyl, butinyl, acetylenyl, propargyl, isoprenyl or hex-2-enyl group.
- alkenyl groups have one or two (especially preferably one) double bond(s)
- alkynyl groups have one or two (especially preferably one) triple bond(s).
- alkoxy or alkoxy group refers to an alkyl group singular bonded to oxygen, i.e. - O-alkyl, where alkyl is as defined herein.
- (Oi-Ob) alkoxy includes, for example, methoxy, ethoxy, n-propoxy, .v -propoxy, n-butoxy, .vec-butoxy, .v -butoxy, /677-butoxy, n- pentyloxy , /677-amyl oxy- or n-hexyloxy, and accordingly (Ci-C 3 )alkoxy includes methoxy, ethoxy, n-propoxy, or .vo-propoxy.
- alkoxyalkyl or alkoxyalkyl group refers to an alkyl group singular bonded to one or more alkoxy group(s), e.g. -alkyl-O-alkyl or -alkyl-O-alkyl-O-alkyl.
- (C 2 -C 5 ) alkoxyalkyl includes, for example, methoxymethyl, methoxyethyl, methoxy -n-propy 1 , methoxy-.vo-propyl, methoxy-n-butyl, methoxy- sec-butyl, methoxy-/.vo-butyl, methoxy-/677-butyl, methoxy ethoxymethyl, methoxy ethoxyethyl, ethoxymethoxy methyl, ethoxymethoxyethyl, and 1- ethoxy ethyl.
- haloalkyl or haloalkyl group refers to an alkyl group in which one, two, three or more hydrogen atoms have been replaced independently of each other by a halogen atom.
- (Ci-C 3 ) haloalkyl includes, for example, fluoromethyl, difluoromethyl, trifluoromethyl, chloromethyl, dichloromethyl, bromomethyl, dibromomethyl, iodomethyl, (1- or 2-)haloethyl (e.g. (1- or 2-)fluoroethyl or (1- or 2-)chloroethyl), (2- or 3-) halopropyl (e.g. (2- or 3-) fluoropropyl or (2- or 3-) chloropropyl).
- hydroxyalkyl or hydroxyalkyl group refers to an alkyl group in which one, two, three or more hydrogen atoms have been replaced independently of each other by a hydroxy (OH) group.
- hydroxy (OH) group refers to an alkyl group in which one, two, three or more hydrogen atoms have been replaced independently of each other by a hydroxy (OH) group.
- (C 1 -C 4 ) hydroxyalkyl includes, for example, hydroxymethyl, hydroxyethyl, hydroxypropyl and hydroxybutyl.
- heteroalkyl groups include, for example, groups of formulae: R a -0-Y ⁇ R a -S-Y ⁇ R a -SO-Y a -, R a -S0 2 -Y a -, R a -N(R b )-Y a -, R a -CO-Y a -,
- R a -0-C0-Y a -, R a -C0-0-Y ⁇ R a -CO-N(R b )-Y a -, R a -N(R b )-CO-Y a -, R a -0-C0-N(R b )-Y a -, R a -N(R b )-C0-0-Y a -, R a -N(R b )-CO-N(R c )-Y a -, R a -0-C0-0-Y a -, R a -N(R b )-C( NR d )-N(R c )-Y a -, R a -CS-Y a -, R a -0-CS-Y a -, R a -CS-0-Y a -, R a -CS-N(R b )-Y a -, R a
- (Ci-C4)heteroalkyl group refers, for example, to a group containing from 1 to 4, e.g. 1, 2, 3 or 4, carbon atoms and 1, 2, 3 or 4, preferably 1, 2 or 3, heteroatoms selected from oxygen, nitrogen and sulphur (especially oxygen and nitrogen).
- heteroalkyl group examples include alkylamino, dialkylamino, alkylaminoalkyl, dialkylaminoalkyl, acyl, acylalkyl, alkoxycarbonyl, acyloxy, acyloxyalkyl, carboxyalkylamide, alkoxycarbonyloxy, alkylcarbamoyl, alkylamido, alkylcarbamoylalkyl, alkylamidoalkyl, alkylcarbamoyloxyalkyl, alkylureidoalkyl, alkoxy, alkoxyalkyl, or alkylthio group.
- alkylthio or alkylthio group refers to an alkyl group, in which one or more non-adjacent CEE group(s) are replaced by sulphur, wherein the alkyl moiety of the alkylthio group may be substituted.
- heteroalkyl group examples include acyl, methoxy, trifluoromethoxy, ethoxy, «-propyloxy, /.sopropyloxy, tert- butyloxy, methoxymethyl, ethoxymethyl, methoxyethyl, methylamino, ethylamino, dimethylamino, diethylamino, /.sopropyl ethyl ami no, methyl aminomethyl, ethylaminomethyl, diisopropylaminoethyl, dimethylaminomethyl, dimethylaminoethyl, acetyl, propionyl, butyryloxy, acetyloxy, methoxy carbonyl, ethoxy carbonyl, isobutyrylamino-methyl, Y-ethyl-Y- methylcarbamoyl, /V-methyl carbamoyl, cyano, nitrile, isonit
- cycloalkyl or cycloalkyl group refers to a saturated carbocyclic ring group comprising one or more rings (preferably 1 or 2) and containing from 3 to 14 ring carbon atoms, preferably from 3 to 10 (more preferably 3, 4, 5, 6 or 7) ring carbon atoms; the cycloalkyl group may be substituted and can be bonded as a substituent via every suitable position of the ring system. Cycloalkyls may be fused with an aromatic ring, and the point of attachment is at a carbon that is not an aromatic ring carbon atom. Examples of cycloalkyl include monocyclic hydrocarbon rings, bicyclic hydrocarbon rings and spiro-hydrocarbon rings.
- a bicyclic cycloalkyl group two rings are joined together so that they have at least two carbon atoms in common.
- a spiro-hydrocarbon ring 2 or 3 rings are linked together by one common carbon atom (spiro-atom).
- the substitution may take place, independently of one another, by mono- or di-substitution of individual ring carbon atoms of the molecule, and the cycloalkyl group as a whole may carry 1, 2, 3, or 4 substituents from the indicated selection of substituents, i.e.
- cycloalkyl examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, bicyclo[2.2.0]hexyl, bicyclo[3.2.0]heptyl, bicyclo[3.2.1]octyl, bicyclo[2.2.2]octyl, bicyclo[4.3.0]nonyl (octahydroindenyl), bicyclo[4.4.0]decyl (decahydronaphthyl), bicyclo[2.2.1]heptyl (norbomyl), bicyclo[4.1.0]heptyl (norcaranyl), bicyclo[3.1.1]heptyl (pinanyl), spiro[2.5]octyl, and spiro[3.3]heptyl.
- a cycloalkyl is partially unsaturated, the group contains one, two or more double bonds, such as, for example, a cycloalkenyl group, including cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclobutadienyl, cyclopentadienyl, cyclohexadienyl, bicyclo[2.2.1 jheptadienyl, and spiro[4,5]decenyl.
- a cycloalkenyl group including cyclopropenyl, cyclobutenyl, cyclopentenyl, cyclohexenyl, cycloheptenyl, cyclobutadienyl, cyclopentadienyl, cyclohexadienyl, bicyclo[2.2.1 jheptadienyl, and spiro[4,5]
- heterocycloalkyl or heterocycloalkyl group refers to a cycloalkyl group, saturated or partially unsaturated, as defined above, in which one or more, preferably 1, 2 or 3, ring carbon atom(s) has/have been replaced each independently of one another by an oxygen, nitrogen or sulphur atom, preferably oxygen or nitrogen, or by NO, SO or SO2, with the proviso that any ring does not contain two adjacent O or S atoms, or NO, SO or SO2 moieties; the heterocycloalkyl may be substituted and can be bonded as a substituent via every suitable position of the ring system; at least one carbon atom must be present between two oxygen atoms and between two sulphur atoms or between an oxygen and a sulphur atom; and the ring as a whole must have chemical stability.
- a heterocycloalkyl group has preferably 1 or 2 ring(s) containing from 3 to 10 (more preferably 3, 4, 5, 6 or 7, and most preferably 5, 6 or 7) ring atoms.
- heterocycloalkyl include aziridinyl, oxiranyl, thiiranyl, oxaziridinyl, dioxiranyl, azetidinyl, oxetanyl, thietanyl, diazetidinyl, dioxetanyl, dithietanyl, pyrrolidinyl, tetrahydrofuranyl, thiolanyl, azolyl, thiazolyl, isothiazolyl, imidazolidinyl, pyrazolidinyl, oxazolidinyl, isoxazolidinyl, thiazolidinyl, isothiazolidinyl, dioxolanyl, dithiolanyl, piperazin
- aryl, Ar or aryl group refer to an aromatic group that contains one or more aromatic rings containing from 6 to 14 ring carbon atoms (C6-C14), preferably from 6 to 10 (C 6 - C10), more preferably 6 ring carbon atoms; the aryl may be substituted and can be bonded as a substituent via every suitable position of the ring system.
- aryl include phenyl, naphthyl, bi-phenyl, indanyl, indenyl, anthracenyl, phenanthrenyl, tetrahydronaphthyl and fluorenyl.
- heteroaryl or heteroaryl group refers to an aromatic group that contains one or more aromatic rings containing from 5 to 14 ring atoms, preferably from 5 to 10 (more preferably 5 or 6) ring atoms, and contains one or more (preferably 1, 2, 3 or 4) oxygen, nitrogen, phosphorus or sulfur ring atoms (preferably O, S or N), with the proviso that any ring does not contain two adjacent O, P or S atoms; the heteroaryl may be substituted and can be bonded as a substituent via every suitable position of the ring system.
- Examples of an unsubstituted heteroaryl group include 2-pyridyl, 2-imidazolyl, 3-phenylpyrrolyl, thiazolyl, oxazolyl, triazolyl, tetrazolyl, isoxazolyl, indazolyl, indolyl, benzimidazolyl, pyridazinyl, quinolinyl, purinyl, carbazolyl, acridinyl, pyrimidyl, 2,3'-bifuryl, 3-pyrazolyl and isoquinolinyl.
- heterocycle denotes ring systems, which include the above defined heterocycloalkyl and heteroaryl ring systems, e.g. a partially unsaturated heterocycle is synonymous with a partially unsaturated heterocycloalkyl and an aromatic heterocycle, e.g. a 6- membered heteroaromatic group, is synonymous with a heteroaryl.
- the heterocycle may be substituted and can be bonded as a substituent via every suitable position of the ring system.
- Examples of a partially unsaturated or aromatic heterocycle include oxetenyl, thietenyl, azetinyl, 2,3-dihydrofuranyl, 2,5-dihydrofuranyl, 2,5-dihydrothiophenyl, 2,5-dihydro-lH-pyrrolyl, furanyl, thiophenyl, pyrrolyl, benzo[b]furanyl, benzo[b]thiophenyl, indolyl, benzo[c]pyrrolyl, benzo[a]pyrrolyl, imidazolyl, pyrazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, 1,2,3- triazolyl, 1 ,2,4-triazolyl, tetrazolyl, dihydropyridinyl, oxazinyl, pyridinyl, dihydropyranyl, azepinyl
- aromatic refers to a planar ring having a delocalized p-electron system containing 4h+2p electrons, where n is an integer. Aromatic rings can be formed from five, six, seven, eight, nine, ten, or more than ten atoms. Aromatics are optionally substituted.
- aromatic includes both carbocyclic aryl ("aryl”, e.g., phenyl) and heterocyclic aryl (or “heteroaryl” or “heteroaromatic”) groups (e.g., pyridine).
- aryl e.g., phenyl
- heterocyclic aryl or “heteroaryl” or “heteroaromatic” groups
- pyridine monocyclic or fused-ring polycyclic (i.e., rings which share adjacent pairs of carbon atoms) groups.
- Carbocyclic or “carbocycle” refers to a ring or ring system where the atoms forming the backbone of the ring are all carbon atoms. The term thus distinguishes carbocyclic from heterocyclic rings in which the ring backbone contains at least one atom which is different from carbon.
- ring as used herein, unless defined otherwise, includes the cyclic groups defined herein above, e.g., a cycloalkyl group, heterocycloalkyl group, aryl group, heteroaryl group, and heterocycle.
- alkylene refers to an unsubstituted, saturated, straight chain hydrocarbon group that contains the indicated number of carbon atoms (in the form of methylene (CH 2 ) groups) and has the free valencies at the terminal methylene groups, for example a butylene -(01 ⁇ 2)4-, n-pentylene -(012)5-, n-hexylene -(CtTf,-, or n-octylene -(CThjs- group.
- bond refers to a chemical bond between two atoms, or two moieties when the atoms joined by the bond are considered to be part of larger substructure.
- bond when a group described herein is a bond, the referenced group is absent thereby allowing a bond to be formed between the remaining identified groups.
- moiety refers to a specific segment or functional group of a molecule. Chemical moieties are often recognized chemical entities embedded in or appended to a molecule.
- halo, halogen or halogen atom as used herein means fluorine, chlorine, bromine, or iodine.
- heteroatom as used herein, preferably denotes an oxygen, nitrogen or sulphur atom, more preferably a nitrogen or oxygen atom unless specified otherwise.
- R 1A is a hydrogen atom or deuterium atom
- R 1B is a hydrogen atom, deuterium atom, (Ci-C 3 )alkyl, or (C 1 -C 3 ) haloalkyl group; or R 1A and R 1B are taken together with the carbon atom to which they are attached to form a cyclopropyl group; R 1C is CN, CH2CN, CH2OCH3, CH2OCHF2, or CH2OCF3;
- R 2 is F, Cl, CH 3 , or CHF 2 ;
- R 3 is CN or CHF 2 ;
- X 1 is (CR n R 12 );
- R 11 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- R 12 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- n is 1 ;
- X 2 is (CR 21 R 22 );
- R 21 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- R 22 is, at each occasion independently, a hydrogen atom, deuterium atom, fluorine atom or
- n is 1 or 2, provided that n is 2 when m is 1 ;
- R 4A is, at each occasion independently, a hydrogen, deuterium, fluorine atom, chlorine atom, CH 3 , (CH 2 )OH, CN or (Ci) haloalkyl;
- R 4B is, at each occasion independently, a hydrogen, deuterium, fluorine or chlorine atom, CH 3 , (CH 2 )OH, or (Ci) haloalkyl; o is 1, 2 or 3;
- A is an aryl group; or a mono- or bicyclic, partially unsaturated or aromatic heterocycle having 3 to 10 C atoms and 1 to 4 heteroatom(s) each, independently of one another, selected from N, O or S;
- R 5 is, at each occasion independently, a fluorine atom, CFb, OCH3, (Ci) haloalkyl,
- R A and R AA each, independently of one another, represents a hydrogen atom or CFb; p is 0, 1 or 2;
- R 6 represents a hydrogen atom, CN, OH, G, OG, Cyc, OCyc, Hce or OHce;
- R G1 represents a (Ci-C3)alkyl, (C1-C3) haloalkyl, (C1-C3) hydroxyalkyl, or (Ci- C4) heteroalkyl group, and methods of uses thereof as described hereinafter and/or defined in the attached claims.
- groups and substituents of the compound of general formula (I) can be chosen by one skilled in the art to provide stable moieties and compounds.
- presented herein are compounds selected from active metabolites, tautomers, pharmaceutically acceptable solvates, pharmaceutically acceptable salts or prodrugs of a compound of general formula (I).
- the compound of general formula (I) as defined above, or a salt thereof can include one or more of the following:
- R 2 is Cl or CH 3 ;
- R 2 is Cl
- R 3 is CN; in one embodiment, R 3 is CN, and R 2 may be defined as in [2] or [3];
- R 1A is a hydrogen atom; in one embodiment, R 1A is a hydrogen atom, and the compound or salt may further include any one of [2] to [4];
- R 1B is a hydrogen atom; in one embodiment, R 1B is a hydrogen atom, and the compound or salt may further include any one of [2] to [5];
- R 1A and R 1B are taken together with the carbon atom to which they are attached to form a cyclopropyl group; in one embodiment, R 1A and R 1B are taken together with the carbon atom to which they are attached to form a cyclopropyl group, and the compound or salt may further include any one of [2] to [4];
- R 1C is CN, CH 2 OCH 3 , CH 2 OCHF 2 , or CH 2 OCF 3 ; in one embodiment, R 1C is CN, CH 2 OCH 3 , CH 2 OCHF 2 , or CH 2 OCF 3 , and the compound or salt may further include any one of [2] to [7];
- R 1C is CN; in one embodiment, R 1C is CN, and the compound or salt may further include any one of [2] to [7];
- m is 2 and n is 1; in one embodiment, m is 2 and n is 1, and the compound or salt may further include any one of [2] to [9];
- XI is selected from -CH2-, -C(CH3)H-, -C(CH3)2-, -CDH-, -CD2-, -CFH-, -CF2-, - (CH2)2-, -C(CH3)H-CH2-, -CH2-C(CH3)H-, -C(CH3)H-C(CH3)H-, -C(CH3)2-CH2-
- -CH2-C(CH3)2- -CDH-CH2-, -CD2-CH2-, -CH2-CDH-, -CH2-CD2-, -CFH-CH2-, -CF2-CH2-, -CFH-CFH-, -CH2-CFH-, -CH2-CF2-, -C(CH3)2-CFH-, and -CFH-C(CH3)2- ; in one embodiment, m is 2, n is 1, XI is selected from -(CH2)2-, -C(CH3)H-CH2-, - CH2-C(CH3)H-, -C(CH3)H-C(CH3)H-, -C(CH3)2-CH2-, -CH2-C(CH3)2-, -CDH-CH2-, -CD2-CH2-, -CH2-CDH-, -CH2-CD2-, -CFH-CH2-, -CF2-CH2-, -CFH-CFH-, -CH2- CFH-, -CH2- CFH
- X 2 is selected from -CH 2 -, -C(CH )H-, -C(CH 3 ) 2 -, -CDH-, -CD 2 -, -CFH-, -CF 2 -, -(CH 2 ) 2 -, -C(CH 3 )H-CH 2 -, -CH 2 -C(CH 3 )H-, -C(CH 3 )H-C(CH 3 )H-, -C(CH 3 ) 2 -CH 2 -, -CH 2 -C(CH 3 ) 2 -, -CH 2 -C(CH 3 ) 2 -,
- m one embodiment, m is 2, n is 1, X 2 is selected from -CH 2 -, -C(CH 3 )H-, -C(CH 3 ) 2 -, -CDH-, -CD 2 -, -CFH- and - CF 2 , and the compound or salt may further include any one of [2] to [9]; in one embodiment, m is 2, n is 1, X 2 is selected from -CH 2 -, -CDH-, and -CD 2 -, and the compound or salt may further include any one of [2] to [9];
- m is 1 and n is 2; in one embodiment, m is 1 and n is 2, and the compound or salt may further include any one of [2] to [9]; in one embodiment, m is 1, n is 2, X 1 is selected from -CH 2 -, -C(CH 3 )H-, -C(CH 3 )2-, -CDH-, -CD 2 -, -CFH- and -CF 2 -, and the compound or salt may further include any one of [2] to [9]; in one embodiment, m is 1, n is 2, X 1 is selected from -CH 2 -, -CDH-, and -CD2-, and the compound or salt may further include any one of [2] to [9]; in one embodiment, m is 1, n is 2, XI is selected from -CH 2 -
- X 2 is selected from -(CH 2 ) 2 -, -C(CH 3 )H-CH 2 -, -CH 2 -C(CH 3 )H-, - C(CH 3 )H-C(CH 3 )H-, -C(CH 3 ) 2 -CH 2 -, -CH 2 -C(CH 3 ) 2 -, -CDH-CH 2 -, -CD 2 -CH 2 -, -CH 2 - CDH-, -CH 2 -CD 2 -, -CFH-CH 2 -, -CF 2 -CH 2 -, -CFH-CFH-, -OH-CFH-, -CH 2 -
- o is 1; in one embodiment, o is 1, and the compound or salt may further include any one of [2] to [13];
- the group -(CR 4A R 4B )- is selected from -CH 2 -, -C(CH 3 )H-, -C(CN)H-, -C(CH 3 ) 2 -, -CDH- , -CD 2 -, -CFH- and -CF 2 - (preferably from -CH 2 -, -C(CH 3 )H-, -C(CH 3 ) 2 -, -CDH-, and -CD 2 -); in one embodiment, the group -(CR 4A R 4B )- is selected from -CH 2 -, -C(CH 3 )H- , -C(CN)H-, -C(CH 3 ) 2 -, -CDH-, -CD 2 -, -CFH- and -CF 2 - (preferably from -CH 2 - , -C(CH 3 )H-, -C(CH 3 ) 2 -, -CDCD 2
- ring A represents a phenyl group; or a 5-, 6- or 9-membered heteroaryl group comprising 1 to 4 heteroatom(s) each, independently of one another, selected from N, O or S; and p,
- R 5 and R 6 are defined as in general formula (I) above; in one embodiment, ring A represents a phenyl group; or a 5-, 6- or 9-membered heteroaryl group comprising 1 to 4 heteroatom(s) each, independently of one another, selected from N, O or S; p, R 5 and R 6 are defined as in general formula (I) above, and the compound or salt may further include any one of [2] to [15];
- ring A represents a phenyl group; a 5-membered heteroaryl group containing one sulphur ring atom, or one nitrogen and one oxygen or sulphur ring atom; or a 6-membered heteroaryl group containing 1, 2, 3 or 4 nitrogen ring atom(s); and p, R 5 and R 6 are defined as in general formula (I) above; in one embodiment, ring A represents a phenyl group; a 5- membered heteroaryl group containing one sulphur ring atom, or one nitrogen and one oxygen or sulphur ring atom; or a 6-membered heteroaryl group containing 1, 2, 3 or 4 nitrogen ring atom(s); p, R 5 and R 6 are defined as in general formula (I) above, and the compound or salt may further include any one of [2] to [15];
- R 5 is, at each occasion independently, a hydrogen atom, fluorine atom, CH 3 , NH 2 or OCH 3 (preferably a hydrogen atom, fluorine atom or CH 3 ); in one embodiment, R 5 is, at each occasion independently, a hydrogen atom, fluorine atom, CH 3 , NH 2 or OCH 3 (preferably a hydrogen atom, fluorine atom or CH 3 ), and the compound or salt may further include any one of [2] to [17];
- p is 0; in one embodiment, p is 0, and the compound or salt may further include any one of [2] to [18];
- p is 1; in one embodiment, p is 1, and the compound or salt may further include any one of [2] to [18];
- p is 2; in one embodiment, p is 2, and the compound or salt may further include any one of [2] to [18];
- R 6 represents CN, G 1 , OG 1 , Cyc 1 , OCyc 1 , Hce 1 or OHce 1 ;
- G 1 represents a (Ci-C 6 )alkyl group, in which (i) one CH2 group may be replaced by O or NH; and/or in which (ii) 1 to 5 H atoms may, at each occasion independently, be replaced by a fluorine or chlorine (preferably fluorine) atom, OH, CN, R Gn , OR Gn , Cyc 1 , OCyc 1 , Hce 1 , or OHce 1 ;
- the compound has structural formula (II A) or (IIB): and R 1A , R 1b , R 1C , R 2 , R 3 , R 4A , R 4B , R 5 , R 6 , A, o and p are defined as described herein;
- the moiety comprising ring A represents a group: in one embodiment, the moiety comprising ring A represents one of the above groups, and the compound or salt may further include any one of [2] to [23];
- the moiety comprising ring A represents a group: ; in one embodiment, the moiety comprising ring A represents one of the above grou and the compound or salt may further include any one of [2] to [24]; [26] R 6 represents a group: in some embodiments, R 6 represents one of the above groups, and the compound or salt may further include any one of [2] to [25]
- all suitable combinations of preferred embodiments, i.e. [2] to [26], of the compound according to general formula (I), or a salt thereof, which result in a stable and active compound, are encompassed in the present invention; e.g.
- compounds of general formula (I) have a 7,8-dihydro-5H-2,6- naphthyridine substructure, and therefore share a common intermediate: 6-benzyl-l,3-dichloro- 7,8-dihydro-5H-2,6-naphthyridine-4-carbonitrile (Intermediate 2).
- This intermediate can be functionalised with an amine using a nucleophilic aromatic substitution reaction, as shown in Scheme 1, step 1. From here, the benzyl group may be switched to an Alloc protecting group (Step 2a), or removed to afford the free amine salt (Step 2b).
- the Alloc intermediate may then be functionalised with aldehydes or ketones using standard reductive alkylation conditions, with additional in situ deprotection of the Alloc group by palladium tetrakis triphenyphosphine (Step 3a).
- the free amine salt intermediate may be functionalised using a range of approaches (Step 3b), including but not limited to (i) reductive alkylation using an aldehyde or ketone, (ii) alkylation using an alkyl halide or similar, (iii) amide coupling, with subsequent reduction with borane dimethyl sulfide.
- the starting material used for the synthesis of the compounds of general formula (I) are either synthesized or obtained from commercial sources, such as, but not limited to, Sigma- Aldrich, Fluka, and the like.
- the compounds described herein, and other related compounds having different substituents are synthesized using techniques and materials described herein or otherwise known, including those found in March, ADVANCED ORGANIC CHEMISTRY 4th Ed., (Wiley 1992 ); Carey and Sundberg, ADVANCED ORGANIC CHEMISTRY 4th Ed., Vols. A and B (Plenum 2000, 2001 ), and Green and Wuts, PROTECTIVE GROUPS IN ORGANIC SYNTHESIS 3rd Ed., (Wiley 1999 ).
- the compounds provided herein exhibit high inhibitory activity against uptake of extracellular citrate, e. g. an inhibition constant IC50 (half-maximal inhibitory concentration) for inhibition of a citrate transporter, such as INDY, of 20 micromolar (mM) or less, e.g. of from 20 mM to 10 pM; preferably an IC50 of 10 pM or less, e.g. of from 500 nanomolar (nM) to 10 pM; still more preferably an IC50 of 2 pM or less; even more preferably an IC50 of about 500 nM or less, 250 nM or less, or even 100 nM or less in an assay mentioned below.
- IC50 half-maximal inhibitory concentration
- the compounds described herein can exhibit a high inhibitory activity on human citrate transporter, such as INDY, but also on homolgues and citrate transporters of species other than human, e.g. rat, mouse, gerbil, guinea pig, rabbit, dog, cat, pig, or cynomolgus monkey.
- human citrate transporter such as INDY
- homolgues and citrate transporters of species other than human e.g. rat, mouse, gerbil, guinea pig, rabbit, dog, cat, pig, or cynomolgus monkey.
- the activity and more specifically the bioactivity of the compounds according to the present invention can be assessed using appropriate assays known to those skilled in the art, e.g. in vitro or in vivo assays.
- the inhibitory effect (expressed as IC50 value) of a compound of the invention on the citrate transporter activity may be determined via a citrate uptake assay described in more detail in the Examples section below.
- the therapeutic use of a compound of general formula (I), or of a pharmaceutically acceptable prodrug, hydrate, solvate or salt thereof; and also of a formulation or a pharmaceutical composition containing the same are within the scope of the present invention.
- the present invention also relates to the use of a compound of general formula (I) as active ingredient in the preparation or manufacture of a medicament.
- a pharmaceutical composition provided herein comprises at least one compound of general formula (I), or a pharmaceutically acceptable prodrug, hydrate, solvate or salt thereof, and, optionally, at least one, i.e. one or more, carrier substance, excipient and/or adjuvant.
- pharmaceutical compositions that include at least one compound of general formula (I), or a pharmaceutically acceptable salt thereof, as described herein (e.g. a compound including one or more of [2] to [24]), and at least one pharmaceutically acceptable inactive ingredient.
- the pharmaceutical compositions include other medicinal or pharmaceutical agents, carriers, adjuvants, preserving, stabilizing, wetting or emulsifying agents, solution promoters, salts for regulating the osmotic pressure, and/or buffers.
- the pharmaceutical compositions include other therapeutically valuable substances., optionally, at least one carrier substance, excipient and/or adjuvant.
- the pharmaceutical composition may additionally comprise, for example, one or more of water, buffers (e.g., neutral buffered saline or phosphate buffered saline), ethanol, mineral oil, vegetable oil, dimethylsulfoxide, carbohydrates (e.g., glucose, mannose, sucrose or dextrans), mannitol, proteins, adjuvants, polypeptides or amino acids such as glycine, antioxidants, chelating agents such as EDTA or glutathione and/or preservatives.
- buffers e.g., neutral buffered saline or phosphate buffered saline
- ethanol e.g., mineral oil, vegetable oil, dimethylsulfoxide
- carbohydrates e.g., glucose, mannose, sucrose or dextrans
- mannitol e.g., proteins, adjuvants, polypeptides or amino acids such as glycine, antioxidants, chelating agents such as EDTA or glutathione and
- the compounds described herein are provided as pharmaceutical compositions in which a compound of general formula (I) is mixed with at least one other active ingredient (i.e. one or more active ingredient(s)), as in a combination preparation.
- a compound of general formula (I) is mixed with at least one other active ingredient (i.e. one or more active ingredient(s)), as in a combination preparation.
- one or more compound(s) of the invention may advantageously be contained in a combination preparation that contains at least one further active pharmaceutical ingredient.
- the further or supplemental active agent or active pharmaceutical ingredient is preferably an active agent or active pharmaceutical ingredient which has utility in the prevention or treatment of one or more condition(s) associated with or modulated by uptake of extracellular citrate, including those mentioned hereinbefore, hereinafter or in the claims.
- Examples of further active pharmaceutical ingredients include one or more of the following from (a) to (f): (a) anti-obesity agent(s) selected from the group consisting of orlistat, lorcaserin, Phentermine, Topiramate, sibutramine, bromocriptine, ephedrine, leptin, and pseudoephedrine, 5-HT2c receptor agonists, Bupropion, Naltrexone, methionine aminopeptidase 2 inhibitors, GLP1 agonists; (b) anti-diabetes agent(s) comprising insulin, incretin mimetics, SGLT-2 inhibitors, DPPIV inhibitors, PPAR agonist, Glucokinase activator, MTP inhibitors, Glycogen phosphorylase inhibitors, DGAT-1 inhibitor, GLPl agonists, dual GLPl/glucagon receptor agonists, triagonist for GLPl/glucose-dependent insulinotropic polypeptide/glucagon receptor; (c
- the pharmaceutical composition, or the combination preparation, provided herein can be used as a medicament, e.g., in the prophylaxis and/or treatment of a disease or condition that is citrate transporter meditated or citrate transporter dependent, or that is associated with the activity of a citrate transporter.
- the pharmaceutical composition, or the combination preparation, provided herein may be formulated for any appropriate manner of administration, including, for example, topical (e.g., transdermal or ocular), oral, buccal, nasal, vaginal, rectal or parenteral administration.
- parenteral as used herein includes subcutaneous, intradermal, intravascular (e.g., intravenous), intramuscular, spinal, intracranial, intrathecal, intraocular, periocular, intraorbital, intrasynovial and intraperitoneal injection, as well as any similar injection or infusion technique.
- compositions in a form suitable for oral use are preferred. Such forms include, for example, tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsion, hard or soft capsules, or syrups or elixirs.
- compositions provided herein may be formulated as a lyophilizate.
- Formulation for topical administration may be preferred for certain conditions (e.g., in the treatment of skin conditions such as bums or itch).
- the pharmaceutical composition as well as the combination preparation can, for example, be formulated as an aerosol, a cream, a gel, a pill, a capsule, a syrup, a solution, a transdermal patch or a pharmaceutical delivery device.
- the compounds of general formula (I) are used in the preparation of medicaments for the treatment of diseases or conditions in a mammal that would benefit from a reduction of citrate transporter activity.
- Methods for treating any of the diseases or conditions described herein in a mammal in need of such treatment involves administration of pharmaceutical compositions that include at least one compound of general formula (I) or a pharmaceutically acceptable salt, active metabolite, prodrug, or pharmaceutically acceptable solvate thereof, in therapeutically effective amounts to said subject.
- treatment encompasses both disease-modifying treatment and symptomatic treatment, either of which may be prophylactic (i.e., before the onset of symptoms, in order to prevent, delay or reduce the severity of symptoms) or therapeutic (i.e., after the onset of symptoms, in order to reduce the severity and/or duration of symptoms).
- a condition is "associated with or modulated by uptake of extracellular citrate” if modulation of citrate transporter (e.g. INDY) activity results in alleviation of the condition or a symptom thereof.
- Patients may include but are not limited to mammals, primates (especially humans), domesticated companion animals (such as dogs, cats, horses) and livestock (such as cattle, pigs, sheep), with dosages as described herein.
- compositions containing the compound(s) described herein are administered for prophylactic and/or therapeutic treatments.
- the compositions are administered to a patient already suffering from a disease or condition, in an amount sufficient to cure or at least partially arrest at least one of the symptoms of the disease or condition. Amounts effective for this use depend on the severity and course of the disease or condition, previous therapy, the patient's health status, weight, and response to the drugs, and the judgment of the treating physician. Therapeutically effective amounts are optionally determined by methods including, but not limited to, a dose escalation clinical trial.
- compositions containing the compounds described herein are administered to a patient susceptible to or otherwise at risk of a particular disease, disorder or condition.
- a patient susceptible to or otherwise at risk of a particular disease, disorder or condition is defined to be a "prophylactically effective amount or dose.”
- dose a pharmaceutically effective amount or dose.
- the precise amounts also depend on the patient's state of health, weight, and the like.
- effective amounts for this use will depend on the severity and course of the disease, disorder or condition, previous therapy, the patient's health status and response to the drugs, and the judgment of the treating physician.
- prophylactic treatments include administering to a mammal, who previously experienced at least one symptom of the disease being treated and is currently in remission, a pharmaceutical composition comprising a compound of general formula (I) in order to prevent a return of the symptoms of the disease or condition.
- the dose of drug being administered may vary within wide limits and may be adjusted to individual requirements.
- Active compounds described herein are generally administered in a therapeutically effective amount. Preferred doses range from about 0.1 mg to about 140 mg per kilogram of body weight per day (about 0.5 mg to about 7 g per patient per day).
- the daily dose may be administered as a single dose or in a plurality of doses.
- the amount of active ingredient that may be combined with the carrier materials to produce a single dosage form will vary depending upon the host treated and the particular mode of administration.
- Dosage unit forms will generally contain between from about 1 mg to about 500 mg of an active ingredient. It will be understood, however, that the specific dose level for any particular patient will depend upon a variety of factors including the activity of the specific compound employed, the age, body weight, general health, sex, diet, time of administration, route of administration, and rate of excretion, drug combination ( i.e . other drugs being used to treat the patient) and the severity of the particular disease undergoing therapy.
- a therapeutically effective amount means an amount of a compound of the present invention that (i) treats the particular disease, condition, or disorder, (ii) attenuates, ameliorates, or eliminates one or more symptoms of the particular disease, condition, or disorder, or (iii) delays the onset of one or more symptoms of the particular disease, condition, or disorder described herein.
- a therapeutically effective amount may achieve one or more of lowering blood glucose level, decreasing insulin resistance and increasing insulin sensitivity, lowering hepatic lipids, lowering hepatic triglycerides, lowering hepatic diacylglycerol, lowering blood cholesterol, lowering blood triglycerides, lowering blood LDL, lowering muscle diacylglycerols.
- Examples of a disease or condition that is citrate transporter meditated or citrate transporter dependent, or that is associated with the activity of a citrate transporter include: (a) metabolic diseases selected from the group comprising insulin resistance, alcoholic and non-alcoholic fatty liver disease, non-alcoholic steatohepatitis (NASH), obesity, type 1 diabetes, type 2 diabetes, dyslipidemia, hereditary diseases and metabolic syndrome; (b) eating disorders; (c) chronic liver diseases; (d) liver cancer and cancer related to obesity; (e) age related diseases comprising atherosclerosis and cardiovascular disease, cancer, arthritis, cataracts, osteoporosis, type 2 diabetes, hypertension and neurodegenerative diseases like Alzheimer's disease; (f) drug induced hepatic steatosis; and (g) a disease or condition that is caused by hypocitricemia and/or indicated by hypocitraturia such as osteoporosis and , adrenocortical hyperactive, vitamin D deficiency, ricket, parathyroidectomy,
- Diabetes mellitus is a metabolic disease that causes high blood sugar, and it generally refers to fasting plasma glucose values of >126 mg/dL (> 7.0 mmol/1) and insulin resistance is defined here as a fasting blood insulin level greater than 20 mcU/mL.
- Untreated high blood sugar from diabetes can damage your nerves, eyes, kidneys, and other organs, and types of diabetes include type 1 diabetes, type 2 diabetes, prediabetes and gestational diabetes.
- Adiposity and obesity both refer to a medical condition in which excess body fat has accumulated to an extent where it may increases the likelihood of various diseases, particularly heart disease, type 2 diabetes, obstructive sleep apnoea, certain types of cancer, and osteoarthritis.
- NAFLD refers to a wide spectrum of liver clinicopathologic conditions, ranging from pure fatty steatosis (fatty infiltration in >5% of hepatocytes) to non alcoholic steatohepatitis (NASH), which may progress to cirrhosis, liver failure, and hepatocellular carcinoma and is characterized by excessive fat accumulation in the liver parenchyma of patients who have no history of alcohol abuse.
- NASH refers to a medical condition with presence of specific histological abnormalities on liver biopsy such as a characteristic pattern of steatosis, inflammation and hepatocellular ballooning in the absence of significant alcohol consumption.
- Age-related diseases occur with increasing frequency with increasing senescence such as atherosclerosis and cardiovascular disease, cancer, arthritis, cataracts, osteoporosis, type 2 diabetes, hypertension and neurodegenerative diseases like Alzheimer's disease. The incidence of all of these diseases increases rapidly with aging.
- One aspect of age related diseases concerns pre diabetes, a condition that raises a person's risk for developing type 2 diabetes, heart disease, and stroke. Within the context of the present invention such diseases shall be understood as age related diseases.
- Potential cancers to be treated with a compound of general formula (I) comprise liver, pancreas cancer, breast cancer, oesophagus cancer, pancreas cancer, colon cancer, gallbladder cancer, colorectal cancer, endometrium cancer, kidney cancer, gallbladder cancer, thyroid cancer, rectal cancer, melanoma, leukaemia, multiple myeloma, non-Hodgkin lymphoma, prostate cancer, uterine cancer, ovarian cancer, endometrial cancer and cervical cancer.
- a disease or condition that is caused by low plasma citrate concentrations includes surgical stress, osteoporosis, adrenocortical hyperactive, vitamin D deficiency, ricket, parathyroidectomy, metaboloc acidosis, glaucoma, bariatric surgery, kidney stones, chronic kidney disease, primary hyperaldesteronism and postmenopause.
- the methods and compositions described herein include the use of compounds of general formula (I) in form of pharmaceutically acceptable salts, prodrugs, enantiomers, diastereomers, racemic mixtures, crystalline forms, non-crystalline forms, amorphous forms, unsolvated forms and solvates.
- pharmaceutically acceptable salts of the compound of the general formula (I) are prepared with relatively nontoxic (i.e. pharmaceutically acceptable) acids or bases, depending on the particular substituents found on the compounds of the present invention. If, for example, compounds of the present invention contain acidic functionalities, base addition salts may be obtained by contacting the neutral form of such compounds with a sufficient amount of the desired base, either neat or in a suitable inert solvent.
- Non-limiting examples of pharmaceutically acceptable base addition salts include sodium, potassium, calcium, ammonium, organic amino, or magnesium salt, or a similar salt. If compounds of the present invention contain basic functionalities, acid addition salts may be obtained by contacting the neutral form of such compounds with a sufficient amount of the desired acid, either neat or in a suitable inert solvent.
- Non-limiting examples of pharmaceutically acceptable acid addition salts include those derived from inorganic acids like hydrochloric, hydrobromic, nitric, carbonic, phosphoric, partially neutralized phosphoric acids, sulfuric, partially neutralized sulfuric, hydroiodic, or phosphorous acids and the like, as well as the salts derived from relatively nontoxic organic acids like acetic, propionic, isobutyric, maleic malonic, benzoic, succinic, suberic, fumaric, mandelic, phthalic, benzenesulfonic, p- tolylsulfonic, citric, tartaric, methanesulfonic, and the like.
- salts of amino acids such as arginate and the like, and salts of organic acids like glucuronic or galactunoric acids and the like.
- Certain specific compounds of the present invention may contain both basic and acidic functionalities that allow the compounds to be converted into either base or acid addition salts. Contacting the salt with a base may regenerate the neutral forms of the compounds of the present invention or acid and isolating the parent compound in the conventional manner.
- the parent form of the compound differs from the various salt forms in certain physical properties, such as solubility in polar solvents, but otherwise the salts are equivalent to the parent form of the compound for the purposes of the present invention.
- prodrugs refers to an agent that is converted into the parent drug under physiological conditions. Additionally, prodrugs can also be converted to the parent drug by chemical or biochemical methods in an ex- vivo environment. For example, prodrugs can be slowly converted to the parent drug when, for example, placed in a transdermal patch reservoir with a suitable enzyme or chemical reagent. Prodrugs are often useful because, in some situations, they may be easier to administer than the parent drug. They may, for instance, be bioavailable by oral administration whereas the parent is not. The prodrug may also have improved solubility in pharmaceutical compositions over the parent drug.
- the compound of the invention described herein can be administered to the subject at a suitable dose.
- the compound of the invention is preferably administered to mammals such as domestic and pet animals.
- domestic and pet animals are pigs, cows, buffalos, sheep, goats, rabbits, horses, donkeys, chickens, ducks, cats, dogs, genuine pigs, or hamsters.
- the compound having the general formula (I) or (II) can be in the form of pharmaceutically acceptable salts, prodrugs, enantiomers, diastereomers, racemic mixtures, crystalline forms, non-crystalline forms, amorphous forms, unsolvated forms or solvates.
- the compound of the invention may be administered orally, parenterally, such as subcutaneously, intravenously, intramuscularly, intraperitoneally, intrathecally, intraocular, transdermally, transmucosally, subdurally, locally or topically via iontopheresis, sublingually, by inhalation spray, aerosol or rectally and the like in dosage unit formulations optionally further comprising conventional pharmaceutically acceptable excipients.
- the compound of the invention for use in accordance with the present invention can be formulated as a pharmaceutical composition using one or more physiological carriers or excipient, see, for example Ansel et al., "Pharmaceutical Dosage Forms and Drug Delivery Systems", 7th edition, Lippincott Williams & Wilkins Publishers, 1999.
- the pharmaceutical composition of the invention can take the form of, for example, tablets or capsules prepared by conventional means with pharmaceutical acceptable excipients such as binding agents (e.g., pregelatinised maize starch, polyvinylpyrrolidone, hydroxypropyl methylcellulose), fillers (e.g., lactose, microcrystalline cellulose, calcium hydrogen phosphate), lubricants (e.g., magnesium stearate, talc, silica), disintegrants (e.g., potato starch, sodium starch glycolate), or wetting agents (e.g., sodium lauryl sulphate).
- binding agents e.g., pregelatinised maize starch, polyvinylpyrrolidone, hydroxypropyl methylcellulose
- fillers e.g., lactose, microcrystalline cellulose, calcium hydrogen phosphate
- lubricants e.g., magnesium stearate, talc, silica
- disintegrants e.g., potato star
- the term "pharmaceutically acceptable” means approved by a regulatory agency or other generally recognized pharmacopoeia for use in animals, and more particularly in humans.
- carrier refers to a diluent, adjuvant, excipient, or vehicle with which the therapeutic is administered.
- Such pharmaceutical carriers can be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like. Water is a preferred carrier when the pharmaceutical composition is administered intravenously. Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid carriers, particularly for injectable solutions.
- Suitable pharmaceutical excipients include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium ion, dried skim milk, glycerol, propylene, glycol, water, ethanol and the like.
- the composition if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
- These compositions can be in the form of ointments, solutions, suspensions, emulsion, tablets, pills, capsules, powders, sustained-release formulations and the like. A preferred form is an ointment.
- composition can be formulated as a suppository, with traditional binders and carriers such as triglycerides.
- Oral formulation can include standard carriers such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharine, cellulose, magnesium carbonate, etc.
- E.W. Martin describes examples of suitable pharmaceutical carriers in “Remington’s Pharmaceutical Sciences”.
- Such compositions will contain a therapeutically effective amount of the aforementioned compounds, preferably in purified form, together with a suitable amount of carrier so as to provide the form for proper administration to the patient.
- the formulation should suit the mode of administration.
- Liquid preparations for oral administration can be in the form of, for example, solutions, syrups, or suspensions, or can be presented as a dry product for constitution with water or other suitable vehicle before use.
- Such liquid preparation can be prepared by conventional means with pharmaceutically acceptable additives such as suspending agents (e.g., sorbitol, syrup, cellulose derivatives, hydrogenated edible fats), emulsifying agents (e.g., lecithin, acacia), non-aqueous vehicles (e.g., almond oil, oily esters, ethyl alcohol, fractionated vegetable oils), preservatives (e.g., methyl or propyl-p- hydroxycarbonates, soric acids).
- the preparations can also contain buffer salts, flavouring, coloring and sweetening agents as deemed appropriate.
- Preparations for oral administration can be suitably formulated to give controlled release of the pharmaceutical composition of the invention.
- the pharmaceutical composition of the invention is conveniently delivered in the form of an aerosol spray presentation from a pressurised pack or a nebulizer, with the use of a suitable propellant (e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas).
- a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas.
- the dosage unit can be determined by providing a valve to deliver a metered amount.
- Capsules and cartridges of, for example, gelatine, for use in an inhaler or insufflator can be formulated containing a powder mix of the pharmaceutical composition of the invention and a suitable powder base such as lactose or starch.
- the pharmaceutical composition of the invention can be formulated for parenteral administration by injection, for example, by bolus injection or continuous infusion.
- Site of injections include intra- venous, intra-peritoneal or sub-cutaneous.
- Formulations for injection can be presented in units dosage form (e.g., in phial, in multi-dose container), and with an added preservative.
- the pharmaceutical composition of the invention can take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and can contain formulatory agents such as suspending, stabilizing, or dispersing agents.
- the agent can be in powder form for constitution with a suitable vehicle (e.g., sterile pyrogen-free water) before use.
- compositions for intravenous administration are solutions in sterile isotonic aqueous buffer.
- the composition can also include a solubilizing agent and a local anaesthetic such as lignocaine to ease pain at the site of the injection.
- the ingredients are supplied either separately or mixed together in unit dosage form, for example, as a dry lyophilised powder or water free concentrate in a hermetically sealed container such as an ampoule or sachet indicating the quantity of active agent.
- the composition is to be administered by infusion, it can be dispensed with an infusion bottle containing sterile pharmaceutical grade water or saline.
- an ampoule of sterile water for injection or saline can be provided so that the ingredients can be mixed prior to administration.
- sustained release dosage forms which are designed to release a drug at a predetermined rate in order to maintain a constant drug concentration for a specific time period of time with minimum side effects.
- This can be achieved through a variety of formulations or devices, including microspheres, nanoparticles, liposomes, and other polymer matrices such as drug-polymer conjugates like hydrogels or biodegradables like poly(lactic-co-gly colic acid) (PLGA) encapsulating the drug.
- PLGA poly(lactic-co-gly colic acid)
- the pharmaceutical composition of the invention can also, if desired, be presented in a pack, or dispenser, which can contain one or more unit dosage forms containing the said agent.
- the pack can for example comprise metal or plastic foil, such as blister pack.
- the pack or dispenser device can be accompanied with instruction for administration.
- the pharmaceutical composition of the invention can be administered as sole active agent or can be administered in combination with other active agents.
- additional active agents should be primarily chosen from active agents being related to the treatment of the same disease.
- an additional active agent should be chosen from the group of anti-obesity drugs.
- anti-diabetes and also anti-NAFLD/NASH as well as anti-dyslipidaemia drugs may be used as further active agents.
- additional active agent should be chosen from active agents being related to side effects such as body weight gain like anti-psychotic treatments.
- combinations may comprise combination therapies that are administered in conjunction with exercise, combination therapies that are administered in conjunction with sensible diet, combination therapies with anti-obesity agents are selected from the group consisting of orlistat, lorcaserin, Phentermine, Topiramate, sibutramine, bromocriptine, ephedrine, leptin, and pseudoephedrine.
- lipase inhibitors e.g. Orlistat Xenical®, Roche, Alii®, GSK, Cetilistat
- 5- HT2c receptor agonists e.g. Lorcaserin, Belviq® Arena Inc., Eisai
- phentermine and topiramate e.g.
- noradrenergic anorectic agents e.g. phentermine, mazindol
- appetite suppressants for example, bupropion
- bupropion and Naltrexone e.g. Contrave®, Orexigen Inc.
- drugs affecting endogenous signaling of appetite-regulating hormones e.g.
- apolipoprotein-B secretion/microsomal triglyceride transfer protein (apo-B/MTP) inhibitors e.g. JNJ16269110, J&J
- GR-II antagonist e.g.CORT108297, Corcept Therapeutics Inc
- GLPl agonists e.g.
- Glucokinase activator e.g. AZD1656, AstraZeneca
- SGLT-2 inhibitor e.g. gliflozines such as InvokanaTM (canagliflozin), J&J; remogliflozin, Kissei, GSK, Dapagliflozin (Forxiga®, BMS, AstraZeneca)
- PPAR alpha and -gamma agonist e.g.
- glitazars such as LBM642 (cevoglitazar), Novartis, Aleglitazar, Roche), MetAP inhibitor (e.g.CKD732 (beloranib), Zafgen), cholescystokinin-A (CCK-A) agonists, serotonin and norepinephrine reuptake inhibitors (e.g. sibutramine), sympathomimetic agents, b3 adrenergic receptor agonists, dopamine agonists (e.g. bromocriptine), cannabinoid 1 receptor antagonists e.g.
- SR141716 N-(piperidin-l-yl)-5-(4- chlorophenyl)-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazole-3-carboxamide], leptons (the OB protein), leptin analogues, leptin receptor agonists, galanin antagonists, lipase inhibitors (such as tetrahydrolipstatin, i.e., Orlistat), anorectic agents (such as a bombesin agonist), thyromimetic agents, dehydroepiandrosterone or an analogue thereof, glucocorticoid receptor agonists or antagonists, orexin receptor antagonists, urocortin binding protein antagonists, glucagon-like peptide- 1 receptor agonists, ciliary neutrotrophic factors (such as AxokineTM Regeneron Pharmaceuticals) and neuromedin U receptor agonists.
- leptons the OB protein
- T2DM combinations may be selected from Incretin mimetics, GLP1 agonists (e.g. Exenatide (Byetta®, Ely Lilly), Liraglutide (Victoza®), Novo Nordisk), dual GLPl/glucagon receptor agonists, triagonist for GLPl/glucose-dependent insulinotropic polypeptide/glucagon receptor, GPR119 agonist (e.g. PSN-821, AstraZeneca), GPR40 agonist (e.g. Fasiglifam, Takeda, ASP5034, Astellas), SGLT-2 inhibitor (e.g.
- GLP1 agonists e.g. Exenatide (Byetta®, Ely Lilly), Liraglutide (Victoza®), Novo Nordisk
- dual GLPl/glucagon receptor agonists triagonist for GLPl/glucose-dependent insulinotropic polypeptide/glucagon receptor
- GPR119 agonist e.g. PSN-821
- gliflozines such as Dapagliflozin (Forxiga®, BMS, Astra Zeneca), Canagliflozin (Ivokana® J&J)), DPPIV inhibitors (e.g. gliptine such as Sitagliptin (Januvia®, Merck)), PPAR agonist (e.g. glitazones such as Rosiglitazone (Avandia®), GSK),
- Dual PPAR alpha and -gamma agonists e.g. glitazars such as Cevoglitazar, Novartis, Aleglitazar, Roche
- Glucokinase activator e.g. AZD1656, AstraZeneca
- MTP inhibitors e.g. JNJ16269110, J&J
- Glycogen phosphorylase inhibitor e.g.
- NAFLD/NASH combinations may comprise incretin mimetics, GLPl agonists (e.g. Exenatide (Byetta®, Ely Lilly), Liraglutide (Victoza®), semaglutide, Novo Nordisk), dual GLPl/glucagon receptor agonists, triagonist for GLPl/glucose-dependent insulinotropic polypeptide/glucagon receptor, GPR119 agonist (e.g. PSN-821, AstraZeneca), GPR40 agonist (e.g. Fasiglifam, Takeda, ASP5034, Astellas), statins (HMG-CoA Reductase, e.g.
- GLPl agonists e.g. Exenatide (Byetta®, Ely Lilly
- Liraglutide Victoza®
- semaglutide Novo Nordisk
- dual GLPl/glucagon receptor agonists triagonist for GLPl/glucose-dependent insulinotropic polypeptide
- atorvastatin Lipitor
- fluvastatin Lescol
- lovastatin Mevacor, Altocor
- pitavastatin Livalo
- pravastatin Pravachol
- rosuvastatin Crestor
- simvastatin Zocor
- PPARgamma agonists e.g. Pioglitazone
- PPAR agonist e.g. glitazones such as Rosiglitazone (Avandia®), GSK
- dual PPAR alpha and -gamma agonists e.g. glitazars such as Cevoglitazar, panPPAR alpha/gamma/delta agonists (e.g.
- AMPK e.g. Metformin, PXL770
- Drugs which increase cholesterol secretion into bile by synthetic Fatty-Acid / Bile-Acid Conjugates e.g. Aramchol (Galmed)
- FXR agonist e.g. INT747, obetecholic acid (Intercept Pharm.), MET409)
- Px-102/104 Phenex
- Cysteamine bitartrate adiponectin multimerization
- DGAT-1 inhibitor e.g. LCQ908 (Novartis)
- SAMe methionine metabolism
- oral (anti-CD3 antibody) e.g.
- OKT3 NasVax
- LOXL2 Mab e.g. Simtuzumab (Gilead)
- Omega-3 fatty acid e.g. EPA-E (Moichida Pharm)
- Dual PPARa/d agonist GFT505 GENFIT
- PDE4 inhibitor e.g. Roflumilast (Takeda)
- immunomodulation by glucospingolipid e.g. EGS21 (Enzo)
- inhibitors of acetyl-CoA carboxylase e.g. EGS21 (Enzo)
- inhibitors of ketohexokinase e.g. PF-06835919
- inhibitors of ATP citrate lyase GLP-1 agonist
- ASK-1 e.g.
- CCR2/CCR5 antagonist e.g. cenicriviroc
- inhibitors of SLC10A2 inhibitors of LOXL2, inhibitors of Galectin-3, inhibitors of caspase, FGF21 (e.g. BI089-100, BMS-986036), FGF19 (e.g. NGM282), inhibitors of CGRP, AOC3: Amine Oxidase, Copper Containing 3, inhibitors of DPP-4 (e.g. linagliptin, sitagliptin), THR-B agonists (e.g. MGL3196, VK2809), anti-CD3 monoclonal antibody (mAbs), A3AR agonists, inhibitors of SGLT2 (e.g.
- ATP citrate lyase inhibitors e.g. bempedoic acid
- stearoyl-CoA desaturase inhibitors e.g. AramcholTM, CVT- 12805
- fatty acid synthesis inhibitors e.g. TVB-2640.
- statins e.g. HMG-CoA reductase inhibitor such as atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor, Altocor), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor) and simvastatin (Zocor), ApoB antisense oligonucleotides (e.g. mipomersen, Kynamro), PCSK9 inhibitors (e.g.
- HMG-CoA reductase inhibitor such as atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor, Altocor), pitavastatin (Livalo), pravastatin (Pravachol), rosuvastatin (Crestor) and simvastatin (Zocor)
- ApoB antisense oligonucleotides e.g. mipomersen
- antibodies such as AMG145 (Amgen), lD05-IgG2 (Merck & Co.), and SAR236553/REGN727 (Aventis/Regeneron) or antisense RNA such as ALN-PCS, Amgen), cholesterol-absorption inhibitors (e.g. NPC1L1 inhibitors such as ezetimibe), niacin, bile-acid-sequestering resins (e.g. Cholestyramine (Questran), Colesevelam (Cholestagel, Welchol), Colestipol (Colestid) Colestipid, MTP inhibitors (e.g. lomitapide), fibrates (e.g. Bezafibrate (e.g.
- Ciprofibrate e.g. Modalim
- Clofibrate e.g. Modalim
- Gemfibrozil e.g. Lopid
- Fenofibrate e.g. TriCor
- CETP inhibitors e.g. dalcetrapib, torcetrapib anacetrapib and evacetrapib
- ATP citrate lyase inhibitors e.g. bempedoic acid
- Anti-psychotic treatment combinations may comprise Butyrophenones (e.g. Haloperidol), Diphenylbutylpiperidine (e.g. Fluspirilene, Penfluridol, Pimozide), Phenothiazines (e.g. Fluphenazine Perazine Perphenazine Promethazine Trifluoperazine), Thioxanthenes (e.g. Clopenthixol Tiotixene) or Clozapine, Olanzapine, quetiapine, zotepine).
- Butyrophenones e.g. Haloperidol
- Diphenylbutylpiperidine e.g. Fluspirilene, Penfluridol, Pimozide
- Phenothiazines e.g. Fluphenazine Perazine Perphenazine Promethazine Trifluoperazine
- Thioxanthenes e.g. Clopenthixol Tiot
- kits can comprise a carrier, package, or container that is compartmentalized to receive one or more containers such as vials, tubes, and the like, each of the container(s) comprising one of the separate elements to be used in a method described herein.
- Suitable containers include, for example, bottles, vials, syringes, and test tubes.
- the containers are formed from any acceptable material including, e.g., glass or plastic.
- the container(s) can comprise one or more compounds described herein, optionally in a composition or in combination with another agent as disclosed herein.
- the container(s) optionally have a sterile access port (for example the container can be an intravenous solution bag or a vial having a stopper pierceable by a hypodermic injection needle).
- Such kits optionally comprising a compound with an identifying description or label or instructions relating to its use in the methods described herein.
- a kit will typically comprise one or more additional containers, each with one or more of various materials (such as reagents, optionally in concentrated form, and/or devices) desirable from a commercial and user standpoint for use of a compound described herein.
- materials include, but not limited to, buffers, diluents, fdters, needles, syringes; carrier, package, container, vial and/or tube labels listing contents and/or instructions for use, and package inserts with instructions for use.
- a set of instructions will also typically be included.
- a label can be on or associated with the container.
- a label can be on a container when letters, numbers or other characters forming the label are attached, molded or etched into the container itself; a label can be associated with a container when it is present within a receptacle or carrier that also holds the container, e.g., as a package insert.
- a label can be used to indicate that the contents are to be used for a specific therapeutic application. The label can also indicate directions for use of the contents, such as in the methods described herein.
- Inhibitors of citrate transporters according to the present invention may be used to inhibit the uptake of extracellular citrate by binding to the transporter (e.g., INDY) in vitro or in vivo.
- This use includes, for example, a method of inhibiting binding of extracellular citrate to INDY in vitro or in vivo, wherein said method comprises contacting INDY with at least one compound or salt described herein under conditions and in an amount sufficient to detectably inhibit binding or transport of extracellular citrate or any other substance to INDY.
- the citrate transporter is contained in a cell, tissue or sample (e.g., a cell sample or tissue sample).
- compounds or compositions described herein may be used in detection assays for localizing or detecting a citrate transporter in a cell, tissue or sample, and in some embodiments, such detection assays may use a detectably labelled compound, such as a compound of general formula (I), or a salt thereof, that is linked to a detectable label or functional moiety, such as a radio nucleotide, fluorophore or enzyme.
- Chemical names are generally IUPAC names, and abbreviations have their meanings customary per se to the skilled person. In some cases generally accepted names of commercially available reagents are used in place of IUPAC names. Abbreviations used herein as far as they are not explained within the text body include: aq. Aqueous
- THF Tetrahydrofuran Specific examples for the preparation of compounds of general formula (I) are provided below. Unless otherwise specified all starting materials and reagents are of standard commercial grade, and are used without further purification, or are readily prepared from such materials by routine methods. Those skilled in the art of organic synthesis will recognize that starting materials and reaction conditions may be varied including additional steps employed to produce compounds encompassed by the present invention. Analytical methods and conditions used for the chemical characterization of compounds are summarized below.
- 3 ⁇ 4 NMR spectra were recorded at 500 MHz, 400 MHz or 250 MHz on either a Bruker Avance III HD 500 MHz, Bruker Avance III HD 400 MHz spectrometer or Bruker Avance PI HD 250 MHz spectrometer respectively.
- Chemical shifts, d are quoted in parts per million (ppm) and are referenced to the residual solvent peak.
- UV spectra were recorded at 215 nm on a Waters ACQUITY PDA with a spectrum range of 200-400 nm. Mass spectra were obtained using a Waters Quattro Premier XE mass detector or a Waters SQD2. Data were integrated and reported using Waters MassLynx and OpenLynx software.
- UV spectra were recorded at 215 nm using a Waters Acquity PDA detector spectrum range: 200-400 nm, ELS data was collected using a Water Acquity ELS detector (where fitted) were reported. Mass spectra were obtained using a Waters SQD or Waters Acquity QDA. Data were integrated and reported using Waters MassLynx and OpenLynx software.
- UV spectra were recorded using a Waters Acquity uPLC Tunable UV Detector Spectrum range 210-350 nm. Mass spectra were obtained using a Waters ZQ mass detector. Data were integrated and reported using Waters MassLynx and OpenLynx software.
- Analytical chiral LC (Method Cl) were performed on Waters LC system using a Cellulose-4 column (4.6mm x 250mm, 5pm) at RT and an isocratic eluent of 8.5/1.5 heptane/ethanol over 25mins, with an injection volume of 20pL and a flow rate of 0.5mL/min.
- UV spectra were recorded at 254nm using a Waters 2996 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Analytical chiral LC (Method C2) were performed on Waters LC system using a Chiralcel OD-H column (4.6mm x 250mm, 5pm) at RT and an isocratic eluent of 8.5/1.5 heptane/ethanol over 25mins, with an injection volume of 20pL and a flow rate of lmL/min.
- UV spectra were recorded at 254nm using a Waters 2996 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Method C4 Analytical chiral LC (Method C4) were performed as for Method C2, except that a Chiralcel OJ- H column was used.
- Analytical chiral LC (Method C5) were performed on Waters LC system using a Chiralcel OD-H column (4.6mm x 250mm, 5pm) at RT and an isocratic eluent of 8/2 heptane/isopropanol over 25mins, with an injection volume of 20pL and a flow rate of lmL/min.
- UV spectra were recorded at 254nm using a Waters 2996 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Analytical chiral SFC (Method C6) were performed on Waters Thar SFC using a Cellulose-4 column (4.6mm x 250mm, 5pm) at 40°C and an isocratic eluent of 8/2 CC /methanol over 5mins, with an injection volume of lOpL and a flow rate of 4mL/min, backpressure of 120bar.
- UV spectra were recorded at 215nm using a Waters 2998 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Analytical chiral SFC (Method C7) were performed on Waters Thar SFC using a Chiralcel OJ-H column (4.6mm x 250mm, 5pm) at 40°C and an isocratic eluent of 7/3 CC /isopropanol over 5mins, with an injection volume of lOpL and a flow rate of 4mL/min, backpressure of 120bar.
- UV spectra were recorded at 215nm using a Waters 2998 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Analytical chiral SFC (Method C8) were performed on Waters Thar SFC using a Chiralcel OJ-H column (4.6mm x 250mm, 5pm) at 40°C and an isocratic eluent of 6.5/3.5 C0 2 /methanol over 5mins, with an injection volume of lOpL and a flow rate of 4mL/min, backpressure of 120bar.
- UV spectra were recorded at 215nm using a Waters 2998 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Analytical chiral SFC (Method C9) were performed on Waters Thar SFC using a Chiralpak AD- H column (4.6mm x 250mm, 5pm) at 40°C and an isocratic eluent of 8.5/1.5 C0 2 /methanol over 5mins, with an injection volume of lOpL and a flow rate of 4mL/min, backpressure of 120bar.
- UV spectra were recorded at 215nm using a Waters 2998 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Method C9 Analytical chiral SFC (Method Cll) were performed as for Method C9, except that an isocratic eluent of 7.5/2.5 C0 2 /ethanol was used.
- Analytical chiral SFC (Method C13) were performed on Waters Thar SFC using a Chiralpak IC column (4.6mm x 250mm, 5pm) at 40°C and an isocratic eluent of 8/2 CC /isopropanol over 5mins, with an injection volume of 10pL and a flow rate of 4mL/min, backpressure of 120bar.
- UV spectra were recorded at 215nm using a Waters 2998 photo diode array detector. Data were integrated using Waters MassLynx and OpenLynx software.
- Method C15 Analytical chiral SFC (Method C15) were performed as for Method C6, except that an isocratic eluent of 8.5/1.5 C02/acetonitrile was used.
- Example 3 Compounds 3 to 60 and 255
- the compounds 3 to 60 and 255 shown in the following Table 1 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using methods similar to that described in relation to the preparation of Compound 2 above, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. Aldehydes were prepared using similar methods to Intermediate 6 or were purchased from commercial suppliers. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds. Table 1: Compounds 3 to 60 and 255
- Example 8 Compounds 65 to 76 and 256 to 268
- the compounds 65 to 76 and 256 to 268 shown in the following Table 2 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using methods similar to that described in relation to the preparation of Compound 64 above, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds.
- Example 10 Compounds 78 to 86 and 269 to 272
- the compounds 78 to 86 and 269 to 272 shown in the following Table 3 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using methods similar to that described in relation to the preparation of Compound 77 above, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds.
- Table 3 Compounds 78 to 86 and 269 to 272
- Example 12 Synthesis of Compound 90 3 -Chloro- 1 - [(cy anomethyl)amino] -6- ⁇ [6-(2,2-difluoroethyl)-2-methylpyri din-3 -yl]methyl ⁇ -
- Example 15 Compounds 93 to 95 and 273 to 276
- the compounds 93 to 95 and 273 to 276 shown in the following Table 5 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using a similar method to that described above in relation to the preparation of Compound 92, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds.
- Example 17 Compounds 97 to 103 and 277 to 279
- the compounds 97 to 103 and 277 to 279 shown in the following Table 6 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using a similar method to that described above in relation to the preparation of Compound 96, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. Alkyl bromides were prepared using a similar method to that described above in relation to the preparation of Intermediate 23 or were purchased from commercial suppliers. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds. Cpd.
- Example 19 Compounds 105 to 107
- the compounds 105 to 107 shown in the following Table 7 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using a similar method to that described above in relation to the preparation of Compound 104, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. Alkyl bromides were prepared using a similar method to that described above in relation to the preparation of Intermediate 24 or were purchased from commercial suppliers. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds. Table 7: Compounds 105 to 107
- Methyl 2-(2,2-difluoroethoxy)-6-methylpyridine-4-carboxylate (prepared according to the method described for Intermediate 5, 75% purity, 507 mg, 1.65 mmol) was dissolved in THF (15 mL), placed under nitrogen and cooled to 0 °C. Then, 4 M LiAlH4 (in Et20) (0.82 mL, 3.29 mmol) was added and the mixture stirred for 1 h. The reaction was quenched with water (0.1 mL), 1 M NaOH (0.1 mL) and water (0.1 mL).
- Example 24 Compounds 112 to 114
- the compounds 112 to 114 shown in the following Table 8 are further representative examples of compounds according to general formula (I) of the present invention. These compounds have been synthesized using a similar method to that described above in relation to the preparation of Compound 111, together with synthetic methods disclosed herein or known in the art of synthetic organic chemistry, and variations thereon as appreciated by those skilled in the art. In any event, those skilled in the art of organic synthesis will recognize the starting materials and reaction conditions including variations to produce the compounds.
- Example 26 Compounds 116 and 117
- Example 27 Compounds 118 to 197 and 280 to 287
- Example 31 Compounds 209 to 211
- Example 33 Synthesis of Compound 213 1 -[(cyanomethyl)amino]-6- ⁇ [6-(2,2-difluoroethoxy)-2-methylpyridin-3-yl]methyl ⁇ -3-methyl-7,8- dihydro-5H-2,6-naphthyridine-4-carbonitrile
- Example 34 Compounds 214 to 216 and 288
- the reaction was re-treated with [l,3-bis[2,6-bis(propan-2-yl)phenyl]imidazolidin-2-ylidene] (difluoromethyl) silver (211 mg, 0.384 mmol) and stirred at 80 °C for 18 h.
- the mixture was re-treated with [1,3- bis[2,6-bis(propan-2-yl)phenyl]imidazolidin-2-ylidene](difluoromethyl)silver (317 mg, 0.576 mmol) and DPEphos (8 mg, 0.0148 mmol) and stirred at 85 °C for 42 h.
- the reaction solvent was removed in vacuo.
- Example 40 Compound 222 3-chloro-l-[(cyanomethyl)amino]-7- ⁇ [6-(2,2-difluoroethoxy)-2-methylpyridin-3-yl]methyl ⁇ -5- methyl-6, 8-dihydro-5H-2,7-naphthyridine-4-carbonitrile
- reaction mixture was then cooled to - 78 °C and to the reaction mixture was added 1 M KHMDS (in THF) (22 mL, 21.7 mmol) and the reaction mixture was stirred for 30 min at -78 °C.
- Mel 1.1 mL, 18.0 mmol
- reaction mixture was allowed to warm to RT and stirred for a further 30 min.
- sat. aq. NH4C1 solution was stirred for 10 min at RT.
- the organics were diluted with EtOAc and washed with water, then brine. The organics were dried over MgS04, fdtered and concentrated in vacuo.
- Example 43 Compounds 225, 293 and 294
- Compound 225 3-chloro-l- ⁇ [cyano( 2 H2)methyl]amino ⁇ -7- ⁇ [6-(difluoromethoxy)pyridin-3- yl]methyl ⁇ -5,6,7,8-tetrahydro(5,5- 2 H2)-2,7-naphthyridine-4-carbonitrile
- Compound 225 was synthesised from Intermediate 39, using a similar method to that described to prepare Compound 64.
- m/z: 409.2 / 411.2 [M+H]+, (ESI+), Rt 2.5 mm, Method 5
- the reaction mixture was heated at 50 °C for 22 h.
- the reaction mixture was diluted with waterbrine (1 : 1, 20 mL) and EtOAc (20 mL) and the layers separated.
- the aqueous phase was extracted with additional EtOAc (20 mL).
- the combined organic phases were washed with water and brine, then dried over Na2S04, filtered and concentrated.
- the residue was purified by preparative HPLC (Method A), then further purified by preparative HPLC (Method C).
- the product-containing fractions were combined and neutralised with sat aq. NaHC03 and then concentrated to remove the MeCN.
- Example 46 Compound 296 l-(cyanomethylamino)-6-[[6-(2,2-difluoroethoxy)-2-methyl-3-pyridyl]methyl]-3-methoxy-7,8- dihydro-5H-2,6-naphthyridine-4-carbonitrile
- the resulting mixture was stirred at 0 °C for 60 minutes under nitrogen and then allowed to warm up to room temperature and stirred for 2 hours. Further TBAF (1M in THF) (650 uL, 0.650 mmol) was added and stirring at RT continued for a further 2 hours. The reaction mixture was then stirred at 35 °C for 2 hours. The reaction mixture was cooled, retreated with TBAF (1M in THF) (650 uL, 0.650 mmol) and stirred at RT for 1 hour, then allowed to stand for 64h. The reaction mixture was quenched with brine (20 mL) and extracted into ethyl acetate (3 x 20 mL). The combined organic extracts were dried over sodium sulfate and concentrated in vacuo.
- Example 50 Determination of activity and selectivity of selected compounds
- INDY Activity on human INDY was determined by measuring citrate uptake into HepG2 cells, which endogenously expressed INDY (Gopal et al. 2007 Am J Physiol Gastrointest Liver Physiol 292). To determine activity on mouse INDY, HEK293 cells overexpressing mouse INDY were used. Cloning of mouse INDY was done in analogy as described in Birkenfeld et al. (Birkenfeld et al., 2011, Cell Metabolism 14, 184-195, 2011).
- HEK overexpressing INDY MEM (no glutamine) + 10% FCS, 1 x P/S, 2 mM Glutamax, and cells were cultured in the presence of G418 (800pg/ml); HepG2: MEM (NEAA, no glutamine) + 10% FCS, 1 x P/S, 2 mM Glutamax, 1 mM sodium pyruvate; HEK293 cells expressing SLC13A3 and SLC13A2: DMEM + 10% FBS, 100 U/mL penicillin and 0.1 mg/mL streptomycin and cells were cultured in the presence of 150 pg/pL hygromycine The selection antibiotic G418 (800pg/ml) was added during cultivation but not for seeding into assay plates. For splitting, cells were washed with PBS (w/o Ca2+, Mg2+, phenol red)
- SPA scintillation proximity assay
- a special plate type (Cytostar-T, Perkin Elmer#RPNQ0166) is used, where the scintillation substance is present in the clear bottom of the plate. Only radioactivity which is present inside the cell and which is therefore in close proximity to the plate bottom can generate a signal.
- 20,000 HepG2 cells per well were seeded on collagen coated 384-well Cytostar-T plates or 5000 HEK293 cells per well were seeded on ploy-D-lysine coated 384-well Cytostar-T plates.
- 14 C-succinate uptake by the SLC13A3 transporter was used.
- the principle of the assay is to measure the uptake of 14 C-succinate into HepG2 cells.
- HepG2 cells were maintained in cell medium using cell culture grade flasks (T175 sarstedt). The following media were used: MEM (NEAA, no glutamine) + 10% FCS, 1 x P/S, 2 mM Glutamax,
- SPA scintillation proximity assay
- Succinate uptake buffer was HBSS buffer, supplemented with 20 mM HEPES, pH 7.4.
- succinate uptake by the SLC13A3 and SLC13A2 transporter was used.
- the principle of the assay is to measure the uptake of 14 C labelled succinate into HEK cells, which overexpress human SLC13A3 or SLC13A2.
- 24-well plates are pre-treated with poly-D-lysine hydrobromide solution (0.1 mg/mL). Each well is coated with 0.5 mL poly-D-lysine solution and incubated for at least 15 minutes. After complete removal of the solution the plates are dried for 30 minutes.
- Cells (vector-transfected and transporter-transfected) treated with trypsin/EDTA are immediately seeded into 24-well plates (2 x 105 cells in 0.5 mL medium per well) and cultured for 3 days before used for transport experiments.
- growth medium is aspirated and each well is rinsed three times with 0.5 mL incubation buffer (HBSS buffer, supplemented with 20 mM HEPES, pH 7.4) and incubated for 20 min at 37°C.
- the incubation buffer is removed and 270 pL incubation buffer containing the non-labeled test item or reference inhibitor, respectively, is added to each well and incubated at 37°C.
- a further functional cell assay was performed. This assay measured the effect of selected compounds on the citrate mediated fatty acid synthesis in a hepatocellular cell line. More specifically, fatty acids that are generated within HepG2 cells from an applied labelled substrate, in this case 14 C-citrate, are determined, and the data are indicative for the inhibition of lipogenesis.
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Abstract
Description
Claims
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| EP21185642 | 2021-07-14 | ||
| PCT/EP2022/069709 WO2023285583A1 (en) | 2021-07-14 | 2022-07-14 | 5,6,7,8-tetrahydro-2,6- and 2,7-naphthyridine derivatives for use in the treatment of diseases responsive to citrate transporter modulation |
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| Publication Number | Publication Date |
|---|---|
| EP4370519A1 true EP4370519A1 (en) | 2024-05-22 |
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| EP22751057.5A Withdrawn EP4370519A1 (en) | 2021-07-14 | 2022-07-14 | 5,6,7,8-tetrahydro-2,6- and 2,7-naphthyridine derivatives for use in the treatment of diseases responsive to citrate transporter modulation |
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| BR112021013807A2 (en) | 2019-01-18 | 2021-11-30 | Astrazeneca Ab | pcsk9 inhibitors and their methods of use |
| MX2021008661A (en) | 2019-01-18 | 2021-08-19 | Astrazeneca Ab | PCSK9 INHIBITORS AND METHODS OF USE THEREOF. |
| WO2025134078A1 (en) | 2023-12-22 | 2025-06-26 | Suven Life Sciences Limited | Organic compounds as muscarinic m4 receptor positive allosteric modulators (m4 pams) |
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| AU2003298675A1 (en) | 2002-11-22 | 2004-06-18 | You-Jun Fei | NaCT AS A TARGET FOR LIFESPAN EXPANSION AND WEIGHT REDUCTION |
| GB2560713A (en) * | 2017-03-20 | 2018-09-26 | Eternygen Gmbh | Inhibitor of citrate transporter |
-
2022
- 2022-07-14 EP EP22751057.5A patent/EP4370519A1/en not_active Withdrawn
- 2022-07-14 WO PCT/EP2022/069709 patent/WO2023285583A1/en not_active Ceased
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