IL303795A - Chemical compounds useful for inhibiting nav1.8 voltage-gated sodium channels and treating nav1.8 mediated diseases - Google Patents
Chemical compounds useful for inhibiting nav1.8 voltage-gated sodium channels and treating nav1.8 mediated diseasesInfo
- Publication number
- IL303795A IL303795A IL303795A IL30379523A IL303795A IL 303795 A IL303795 A IL 303795A IL 303795 A IL303795 A IL 303795A IL 30379523 A IL30379523 A IL 30379523A IL 303795 A IL303795 A IL 303795A
- Authority
- IL
- Israel
- Prior art keywords
- pain
- compound
- pharmaceutically acceptable
- acceptable salt
- alkyl
- Prior art date
Links
- 150000001875 compounds Chemical class 0.000 title claims description 316
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 title claims description 112
- 201000010099 disease Diseases 0.000 title claims description 59
- 230000001404 mediated effect Effects 0.000 title claims description 11
- 230000002401 inhibitory effect Effects 0.000 title description 9
- 108010056565 NAV1.8 Voltage-Gated Sodium Channel Proteins 0.000 title description 2
- 102000004194 NAV1.8 Voltage-Gated Sodium Channel Human genes 0.000 title description 2
- 208000002193 Pain Diseases 0.000 claims description 226
- 230000036407 pain Effects 0.000 claims description 198
- 150000003839 salts Chemical class 0.000 claims description 146
- 239000008194 pharmaceutical composition Substances 0.000 claims description 83
- 238000000034 method Methods 0.000 claims description 75
- -1 –(C1-6)alkyl Chemical group 0.000 claims description 61
- 238000011282 treatment Methods 0.000 claims description 57
- 125000004435 hydrogen atom Chemical group [H]* 0.000 claims description 54
- 208000035475 disorder Diseases 0.000 claims description 53
- 229910052739 hydrogen Inorganic materials 0.000 claims description 50
- 239000001257 hydrogen Substances 0.000 claims description 50
- 206010003658 Atrial Fibrillation Diseases 0.000 claims description 44
- 208000004296 neuralgia Diseases 0.000 claims description 41
- 208000021722 neuropathic pain Diseases 0.000 claims description 32
- 230000001684 chronic effect Effects 0.000 claims description 25
- 208000032131 Diabetic Neuropathies Diseases 0.000 claims description 21
- 206010065390 Inflammatory pain Diseases 0.000 claims description 20
- 201000008482 osteoarthritis Diseases 0.000 claims description 19
- 238000001990 intravenous administration Methods 0.000 claims description 17
- 208000014674 injury Diseases 0.000 claims description 16
- 208000005298 acute pain Diseases 0.000 claims description 15
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 15
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 14
- 125000000876 trifluoromethoxy group Chemical group FC(F)(F)O* 0.000 claims description 14
- 208000017692 primary erythermalgia Diseases 0.000 claims description 13
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 13
- 125000000171 (C1-C6) haloalkyl group Chemical group 0.000 claims description 12
- 208000010261 Small Fiber Neuropathy Diseases 0.000 claims description 12
- 206010028391 Musculoskeletal Pain Diseases 0.000 claims description 11
- 206010073928 Small fibre neuropathy Diseases 0.000 claims description 11
- 125000001475 halogen functional group Chemical group 0.000 claims description 11
- 230000002980 postoperative effect Effects 0.000 claims description 11
- 230000008733 trauma Effects 0.000 claims description 10
- 208000009935 visceral pain Diseases 0.000 claims description 10
- 208000030939 Chronic inflammatory demyelinating polyneuropathy Diseases 0.000 claims description 9
- 150000001768 cations Chemical class 0.000 claims description 9
- 201000005795 chronic inflammatory demyelinating polyneuritis Diseases 0.000 claims description 9
- 229910003827 NRaRb Inorganic materials 0.000 claims description 8
- 208000001294 Nociceptive Pain Diseases 0.000 claims description 8
- 208000000094 Chronic Pain Diseases 0.000 claims description 7
- 230000000642 iatrogenic effect Effects 0.000 claims description 7
- 230000007824 polyneuropathy Effects 0.000 claims description 7
- 238000002560 therapeutic procedure Methods 0.000 claims description 7
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 6
- 239000000835 fiber Substances 0.000 claims description 6
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 5
- 201000002342 diabetic polyneuropathy Diseases 0.000 claims description 5
- 125000004169 (C1-C6) alkyl group Chemical group 0.000 claims description 4
- VWTOFRNSHHUBPP-UHFFFAOYSA-N [3-[1-(4-fluoro-2-methylphenyl)-4-oxo-6-(trifluoromethyl)-2H-quinazolin-3-yl]-2-methyl-6-oxopyridin-1-yl]methyl dihydrogen phosphate Chemical compound CC(C=C(C=C1)F)=C1N(CN1C(C=C2)=C(C)N(COP(O)(O)=O)C2=O)C2=CC=C(C(F)(F)F)C=C2C1=O VWTOFRNSHHUBPP-UHFFFAOYSA-N 0.000 claims description 3
- SQOAVOGMZCUHHE-UHFFFAOYSA-N [3-[6-chloro-1-(4-fluoro-2-methylphenyl)-4-oxo-2H-quinazolin-3-yl]-2-methyl-6-oxopyridin-1-yl]methyl dihydrogen phosphate Chemical compound CC(C=C(C=C1)F)=C1N(CN(C(C=C1)=C(C)N(COP(O)(O)=O)C1=O)C(C1=C2)=O)C1=CC=C2Cl SQOAVOGMZCUHHE-UHFFFAOYSA-N 0.000 claims description 3
- 125000001449 isopropyl group Chemical group [H]C([H])([H])C([H])(*)C([H])([H])[H] 0.000 claims description 3
- 229910052705 radium Inorganic materials 0.000 claims description 3
- 229910052701 rubidium Inorganic materials 0.000 claims description 3
- JVADFCVBYOYMRX-UHFFFAOYSA-N [2-methyl-3-[1-[2-methyl-4-(trifluoromethoxy)phenyl]-4-oxo-6-(trifluoromethyl)-2H-pyrido[2,3-d]pyrimidin-3-yl]-6-oxopyridin-1-yl]methyl dihydrogen phosphate Chemical compound CC(C=C(C=C1)OC(F)(F)F)=C1N(CN1C(C=C2)=C(C)N(COP(O)(O)=O)C2=O)C(N=CC(C(F)(F)F)=C2)=C2C1=O JVADFCVBYOYMRX-UHFFFAOYSA-N 0.000 claims description 2
- YOEPKAJXVHOHLL-UHFFFAOYSA-N [3-[1-(4-fluoro-2-methylphenyl)-4-oxo-7-(trifluoromethyl)-2H-quinazolin-3-yl]-2-methyl-6-oxopyridin-1-yl]methyl dihydrogen phosphate Chemical compound CC(C=C(C=C1)F)=C1N(CN1C(C=C2)=C(C)N(COP(O)(O)=O)C2=O)C2=CC(C(F)(F)F)=CC=C2C1=O YOEPKAJXVHOHLL-UHFFFAOYSA-N 0.000 claims description 2
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 51
- 239000000543 intermediate Substances 0.000 description 44
- 239000002904 solvent Substances 0.000 description 42
- 201000006417 multiple sclerosis Diseases 0.000 description 34
- 239000003814 drug Substances 0.000 description 32
- 101000654356 Homo sapiens Sodium channel protein type 10 subunit alpha Proteins 0.000 description 29
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 29
- 102100031374 Sodium channel protein type 10 subunit alpha Human genes 0.000 description 27
- 238000006243 chemical reaction Methods 0.000 description 27
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 26
- 125000005843 halogen group Chemical group 0.000 description 26
- 239000002253 acid Substances 0.000 description 23
- 125000000217 alkyl group Chemical group 0.000 description 22
- 229940002612 prodrug Drugs 0.000 description 21
- 239000000651 prodrug Substances 0.000 description 21
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 20
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 20
- BDAGIHXWWSANSR-UHFFFAOYSA-N methanoic acid Natural products OC=O BDAGIHXWWSANSR-UHFFFAOYSA-N 0.000 description 20
- 239000011541 reaction mixture Substances 0.000 description 20
- 239000000243 solution Substances 0.000 description 20
- 125000001424 substituent group Chemical group 0.000 description 20
- YMWUJEATGCHHMB-UHFFFAOYSA-N Dichloromethane Chemical compound ClCCl YMWUJEATGCHHMB-UHFFFAOYSA-N 0.000 description 19
- 239000000203 mixture Substances 0.000 description 18
- 239000011734 sodium Substances 0.000 description 17
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 16
- 239000002585 base Substances 0.000 description 16
- 229910052708 sodium Inorganic materials 0.000 description 16
- 239000003112 inhibitor Substances 0.000 description 15
- 239000007787 solid Substances 0.000 description 15
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical group N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 14
- ZMANZCXQSJIPKH-UHFFFAOYSA-N Triethylamine Chemical compound CCN(CC)CC ZMANZCXQSJIPKH-UHFFFAOYSA-N 0.000 description 14
- 102000018674 Sodium Channels Human genes 0.000 description 13
- 108010052164 Sodium Channels Proteins 0.000 description 13
- 125000004432 carbon atom Chemical group C* 0.000 description 13
- 238000004519 manufacturing process Methods 0.000 description 13
- 208000024172 Cardiovascular disease Diseases 0.000 description 12
- 230000001154 acute effect Effects 0.000 description 12
- 235000019439 ethyl acetate Nutrition 0.000 description 12
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 11
- 125000001309 chloro group Chemical group Cl* 0.000 description 11
- 238000002360 preparation method Methods 0.000 description 11
- OSWFIVFLDKOXQC-UHFFFAOYSA-N 4-(3-methoxyphenyl)aniline Chemical compound COC1=CC=CC(C=2C=CC(N)=CC=2)=C1 OSWFIVFLDKOXQC-UHFFFAOYSA-N 0.000 description 10
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 10
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 10
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 10
- 150000001408 amides Chemical class 0.000 description 10
- 230000015572 biosynthetic process Effects 0.000 description 10
- 235000019253 formic acid Nutrition 0.000 description 10
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 9
- IAZDPXIOMUYVGZ-WFGJKAKNSA-N Dimethyl sulfoxide Chemical compound [2H]C([2H])([2H])S(=O)C([2H])([2H])[2H] IAZDPXIOMUYVGZ-WFGJKAKNSA-N 0.000 description 9
- WSFSSNUMVMOOMR-UHFFFAOYSA-N Formaldehyde Chemical compound O=C WSFSSNUMVMOOMR-UHFFFAOYSA-N 0.000 description 9
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 9
- 208000028389 Nerve injury Diseases 0.000 description 9
- 230000002378 acidificating effect Effects 0.000 description 9
- 125000004429 atom Chemical group 0.000 description 9
- 230000000694 effects Effects 0.000 description 9
- 230000008764 nerve damage Effects 0.000 description 9
- 229910052757 nitrogen Inorganic materials 0.000 description 9
- 239000012453 solvate Substances 0.000 description 9
- 230000001225 therapeutic effect Effects 0.000 description 9
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 8
- 208000004454 Hyperalgesia Diseases 0.000 description 8
- 210000004369 blood Anatomy 0.000 description 8
- 239000008280 blood Substances 0.000 description 8
- 238000012512 characterization method Methods 0.000 description 8
- 125000001188 haloalkyl group Chemical group 0.000 description 8
- 238000004895 liquid chromatography mass spectrometry Methods 0.000 description 8
- 238000012856 packing Methods 0.000 description 8
- JOXIMZWYDAKGHI-UHFFFAOYSA-N toluene-4-sulfonic acid Chemical compound CC1=CC=C(S(O)(=O)=O)C=C1 JOXIMZWYDAKGHI-UHFFFAOYSA-N 0.000 description 8
- PAYRUJLWNCNPSJ-UHFFFAOYSA-N Aniline Chemical compound NC1=CC=CC=C1 PAYRUJLWNCNPSJ-UHFFFAOYSA-N 0.000 description 7
- 208000023890 Complex Regional Pain Syndromes Diseases 0.000 description 7
- JGFZNNIVVJXRND-UHFFFAOYSA-N N,N-Diisopropylethylamine (DIPEA) Chemical compound CCN(C(C)C)C(C)C JGFZNNIVVJXRND-UHFFFAOYSA-N 0.000 description 7
- 241000700159 Rattus Species 0.000 description 7
- PMZURENOXWZQFD-UHFFFAOYSA-L Sodium Sulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=O PMZURENOXWZQFD-UHFFFAOYSA-L 0.000 description 7
- 108010053752 Voltage-Gated Sodium Channels Proteins 0.000 description 7
- 102000016913 Voltage-Gated Sodium Channels Human genes 0.000 description 7
- 150000001412 amines Chemical class 0.000 description 7
- 230000008878 coupling Effects 0.000 description 7
- 238000010168 coupling process Methods 0.000 description 7
- 238000005859 coupling reaction Methods 0.000 description 7
- 229940079593 drug Drugs 0.000 description 7
- 238000010828 elution Methods 0.000 description 7
- 229910052736 halogen Inorganic materials 0.000 description 7
- 150000004677 hydrates Chemical class 0.000 description 7
- 229910052744 lithium Inorganic materials 0.000 description 7
- 239000011777 magnesium Substances 0.000 description 7
- 229920006395 saturated elastomer Polymers 0.000 description 7
- 239000000377 silicon dioxide Substances 0.000 description 7
- WHXSMMKQMYFTQS-UHFFFAOYSA-N Lithium Chemical compound [Li] WHXSMMKQMYFTQS-UHFFFAOYSA-N 0.000 description 6
- 208000008930 Low Back Pain Diseases 0.000 description 6
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 6
- KDLHZDBZIXYQEI-UHFFFAOYSA-N Palladium Chemical compound [Pd] KDLHZDBZIXYQEI-UHFFFAOYSA-N 0.000 description 6
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 6
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 6
- YXFVVABEGXRONW-UHFFFAOYSA-N Toluene Chemical compound CC1=CC=CC=C1 YXFVVABEGXRONW-UHFFFAOYSA-N 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 6
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical group [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 6
- 230000006378 damage Effects 0.000 description 6
- 201000011384 erythromelalgia Diseases 0.000 description 6
- 229910052749 magnesium Inorganic materials 0.000 description 6
- 201000001119 neuropathy Diseases 0.000 description 6
- 230000007823 neuropathy Effects 0.000 description 6
- 238000007911 parenteral administration Methods 0.000 description 6
- 208000019865 paroxysmal extreme pain disease Diseases 0.000 description 6
- 208000033808 peripheral neuropathy Diseases 0.000 description 6
- 230000008569 process Effects 0.000 description 6
- 239000000126 substance Substances 0.000 description 6
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 6
- 229940124597 therapeutic agent Drugs 0.000 description 6
- 238000005160 1H NMR spectroscopy Methods 0.000 description 5
- QGZKDVFQNNGYKY-UHFFFAOYSA-O Ammonium Chemical compound [NH4+] QGZKDVFQNNGYKY-UHFFFAOYSA-O 0.000 description 5
- 208000008035 Back Pain Diseases 0.000 description 5
- 206010064012 Central pain syndrome Diseases 0.000 description 5
- 201000005569 Gout Diseases 0.000 description 5
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 5
- 208000005890 Neuroma Diseases 0.000 description 5
- 229910019142 PO4 Inorganic materials 0.000 description 5
- 206010036376 Postherpetic Neuralgia Diseases 0.000 description 5
- 208000004550 Postoperative Pain Diseases 0.000 description 5
- ZLMJMSJWJFRBEC-UHFFFAOYSA-N Potassium Chemical compound [K] ZLMJMSJWJFRBEC-UHFFFAOYSA-N 0.000 description 5
- 125000003545 alkoxy group Chemical group 0.000 description 5
- 125000001246 bromo group Chemical group Br* 0.000 description 5
- 239000011575 calcium Substances 0.000 description 5
- 229910052681 coesite Inorganic materials 0.000 description 5
- 238000002648 combination therapy Methods 0.000 description 5
- 229910052906 cristobalite Inorganic materials 0.000 description 5
- 150000002148 esters Chemical class 0.000 description 5
- 229940031098 ethanolamine Drugs 0.000 description 5
- 125000001153 fluoro group Chemical group F* 0.000 description 5
- 150000002367 halogens Chemical group 0.000 description 5
- 208000037584 hereditary sensory and autonomic neuropathy Diseases 0.000 description 5
- 238000001802 infusion Methods 0.000 description 5
- 150000007529 inorganic bases Chemical class 0.000 description 5
- 150000007530 organic bases Chemical class 0.000 description 5
- 239000001301 oxygen Substances 0.000 description 5
- 229910052760 oxygen Inorganic materials 0.000 description 5
- 239000003208 petroleum Substances 0.000 description 5
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 5
- 239000010452 phosphate Substances 0.000 description 5
- 229910052700 potassium Inorganic materials 0.000 description 5
- 239000011591 potassium Substances 0.000 description 5
- 125000006239 protecting group Chemical group 0.000 description 5
- 238000000746 purification Methods 0.000 description 5
- 230000002829 reductive effect Effects 0.000 description 5
- 230000004044 response Effects 0.000 description 5
- 206010039073 rheumatoid arthritis Diseases 0.000 description 5
- 235000012239 silicon dioxide Nutrition 0.000 description 5
- 229910052938 sodium sulfate Inorganic materials 0.000 description 5
- 235000011152 sodium sulphate Nutrition 0.000 description 5
- 210000003594 spinal ganglia Anatomy 0.000 description 5
- 229910052682 stishovite Inorganic materials 0.000 description 5
- 238000001356 surgical procedure Methods 0.000 description 5
- 230000002459 sustained effect Effects 0.000 description 5
- 238000003786 synthesis reaction Methods 0.000 description 5
- 230000000472 traumatic effect Effects 0.000 description 5
- 229910052905 tridymite Inorganic materials 0.000 description 5
- 206010002383 Angina Pectoris Diseases 0.000 description 4
- 208000006820 Arthralgia Diseases 0.000 description 4
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 4
- 208000015121 Cardiac valve disease Diseases 0.000 description 4
- 208000006509 Congenital Pain Insensitivity Diseases 0.000 description 4
- ROSDSFDQCJNGOL-UHFFFAOYSA-N Dimethylamine Chemical compound CNC ROSDSFDQCJNGOL-UHFFFAOYSA-N 0.000 description 4
- 206010019280 Heart failures Diseases 0.000 description 4
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 4
- WMFOQBRAJBCJND-UHFFFAOYSA-M Lithium hydroxide Chemical compound [Li+].[OH-] WMFOQBRAJBCJND-UHFFFAOYSA-M 0.000 description 4
- 241000124008 Mammalia Species 0.000 description 4
- AFVFQIVMOAPDHO-UHFFFAOYSA-N Methanesulfonic acid Chemical compound CS(O)(=O)=O AFVFQIVMOAPDHO-UHFFFAOYSA-N 0.000 description 4
- 241001024304 Mino Species 0.000 description 4
- 238000005481 NMR spectroscopy Methods 0.000 description 4
- 206010028836 Neck pain Diseases 0.000 description 4
- 206010034620 Peripheral sensory neuropathy Diseases 0.000 description 4
- 208000004983 Phantom Limb Diseases 0.000 description 4
- 206010056238 Phantom pain Diseases 0.000 description 4
- GLUUGHFHXGJENI-UHFFFAOYSA-N Piperazine Chemical compound C1CNCCN1 GLUUGHFHXGJENI-UHFFFAOYSA-N 0.000 description 4
- NQRYJNQNLNOLGT-UHFFFAOYSA-N Piperidine Chemical compound C1CCNCC1 NQRYJNQNLNOLGT-UHFFFAOYSA-N 0.000 description 4
- 108010029485 Protein Isoforms Proteins 0.000 description 4
- 102000001708 Protein Isoforms Human genes 0.000 description 4
- JUJWROOIHBZHMG-UHFFFAOYSA-N Pyridine Chemical compound C1=CC=NC=C1 JUJWROOIHBZHMG-UHFFFAOYSA-N 0.000 description 4
- 208000000491 Tendinopathy Diseases 0.000 description 4
- 206010043255 Tendonitis Diseases 0.000 description 4
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 4
- 125000003282 alkyl amino group Chemical group 0.000 description 4
- 206010053552 allodynia Diseases 0.000 description 4
- 208000037738 autosomal recessive channelopathy-associated congenital insensitivity to pain Diseases 0.000 description 4
- 238000004166 bioassay Methods 0.000 description 4
- 229910052791 calcium Inorganic materials 0.000 description 4
- 210000004027 cell Anatomy 0.000 description 4
- 210000003169 central nervous system Anatomy 0.000 description 4
- 239000003153 chemical reaction reagent Substances 0.000 description 4
- 239000003795 chemical substances by application Substances 0.000 description 4
- 208000020832 chronic kidney disease Diseases 0.000 description 4
- 239000000706 filtrate Substances 0.000 description 4
- 238000003818 flash chromatography Methods 0.000 description 4
- 238000009472 formulation Methods 0.000 description 4
- 239000012458 free base Substances 0.000 description 4
- 201000000887 hereditary sensory and autonomic neuropathy type 5 Diseases 0.000 description 4
- 125000005842 heteroatom Chemical group 0.000 description 4
- 239000007788 liquid Substances 0.000 description 4
- 238000002156 mixing Methods 0.000 description 4
- 210000002569 neuron Anatomy 0.000 description 4
- CTSLXHKWHWQRSH-UHFFFAOYSA-N oxalyl chloride Chemical compound ClC(=O)C(Cl)=O CTSLXHKWHWQRSH-UHFFFAOYSA-N 0.000 description 4
- 230000000144 pharmacologic effect Effects 0.000 description 4
- BWHMMNNQKKPAPP-UHFFFAOYSA-L potassium carbonate Chemical compound [K+].[K+].[O-]C([O-])=O BWHMMNNQKKPAPP-UHFFFAOYSA-L 0.000 description 4
- 201000005572 sensory peripheral neuropathy Diseases 0.000 description 4
- 239000000725 suspension Substances 0.000 description 4
- 201000004415 tendinitis Diseases 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 description 4
- 206010044652 trigeminal neuralgia Diseases 0.000 description 4
- CSRZQMIRAZTJOY-UHFFFAOYSA-N trimethylsilyl iodide Chemical compound C[Si](C)(C)I CSRZQMIRAZTJOY-UHFFFAOYSA-N 0.000 description 4
- CXNIUSPIQKWYAI-UHFFFAOYSA-N xantphos Chemical compound C=12OC3=C(P(C=4C=CC=CC=4)C=4C=CC=CC=4)C=CC=C3C(C)(C)C2=CC=CC=1P(C=1C=CC=CC=1)C1=CC=CC=C1 CXNIUSPIQKWYAI-UHFFFAOYSA-N 0.000 description 4
- KZPYGQFFRCFCPP-UHFFFAOYSA-N 1,1'-bis(diphenylphosphino)ferrocene Chemical compound [Fe+2].C1=CC=C[C-]1P(C=1C=CC=CC=1)C1=CC=CC=C1.C1=CC=C[C-]1P(C=1C=CC=CC=1)C1=CC=CC=C1 KZPYGQFFRCFCPP-UHFFFAOYSA-N 0.000 description 3
- OISVCGZHLKNMSJ-UHFFFAOYSA-N 2,6-dimethylpyridine Chemical compound CC1=CC=CC(C)=N1 OISVCGZHLKNMSJ-UHFFFAOYSA-N 0.000 description 3
- QGZKDVFQNNGYKY-UHFFFAOYSA-N Ammonia Chemical compound N QGZKDVFQNNGYKY-UHFFFAOYSA-N 0.000 description 3
- 239000004475 Arginine Substances 0.000 description 3
- KXDAEFPNCMNJSK-UHFFFAOYSA-N Benzamide Chemical compound NC(=O)C1=CC=CC=C1 KXDAEFPNCMNJSK-UHFFFAOYSA-N 0.000 description 3
- 239000005711 Benzoic acid Substances 0.000 description 3
- 206010006002 Bone pain Diseases 0.000 description 3
- 206010068065 Burning mouth syndrome Diseases 0.000 description 3
- 206010006811 Bursitis Diseases 0.000 description 3
- 206010058019 Cancer Pain Diseases 0.000 description 3
- 208000033962 Fontaine progeroid syndrome Diseases 0.000 description 3
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 description 3
- 206010018634 Gouty Arthritis Diseases 0.000 description 3
- 239000007821 HATU Substances 0.000 description 3
- 101000640020 Homo sapiens Sodium channel protein type 11 subunit alpha Proteins 0.000 description 3
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 3
- 239000007832 Na2SO4 Substances 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 3
- MUBZPKHOEPUJKR-UHFFFAOYSA-N Oxalic acid Chemical compound OC(=O)C(O)=O MUBZPKHOEPUJKR-UHFFFAOYSA-N 0.000 description 3
- KWYUFKZDYYNOTN-UHFFFAOYSA-M Potassium hydroxide Chemical compound [OH-].[K+] KWYUFKZDYYNOTN-UHFFFAOYSA-M 0.000 description 3
- OFOBLEOULBTSOW-UHFFFAOYSA-N Propanedioic acid Natural products OC(=O)CC(O)=O OFOBLEOULBTSOW-UHFFFAOYSA-N 0.000 description 3
- 208000008765 Sciatica Diseases 0.000 description 3
- 102100033974 Sodium channel protein type 11 subunit alpha Human genes 0.000 description 3
- HEDRZPFGACZZDS-MICDWDOJSA-N Trichloro(2H)methane Chemical compound [2H]C(Cl)(Cl)Cl HEDRZPFGACZZDS-MICDWDOJSA-N 0.000 description 3
- 229910052782 aluminium Inorganic materials 0.000 description 3
- 229940024606 amino acid Drugs 0.000 description 3
- 235000001014 amino acid Nutrition 0.000 description 3
- 238000002266 amputation Methods 0.000 description 3
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 3
- 206010003119 arrhythmia Diseases 0.000 description 3
- 238000003556 assay Methods 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 3
- 229940050390 benzoate Drugs 0.000 description 3
- 235000010233 benzoic acid Nutrition 0.000 description 3
- 229910000024 caesium carbonate Inorganic materials 0.000 description 3
- 201000011510 cancer Diseases 0.000 description 3
- 208000003295 carpal tunnel syndrome Diseases 0.000 description 3
- 238000002512 chemotherapy Methods 0.000 description 3
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 3
- 238000002425 crystallisation Methods 0.000 description 3
- 125000004177 diethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 description 3
- NZZFYRREKKOMAT-UHFFFAOYSA-N diiodomethane Chemical compound ICI NZZFYRREKKOMAT-UHFFFAOYSA-N 0.000 description 3
- CCIVGXIOQKPBKL-UHFFFAOYSA-M ethanesulfonate Chemical compound CCS([O-])(=O)=O CCIVGXIOQKPBKL-UHFFFAOYSA-M 0.000 description 3
- 230000006870 function Effects 0.000 description 3
- 125000000524 functional group Chemical group 0.000 description 3
- 238000002290 gas chromatography-mass spectrometry Methods 0.000 description 3
- 125000004438 haloalkoxy group Chemical group 0.000 description 3
- 150000002430 hydrocarbons Chemical group 0.000 description 3
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 3
- 208000013403 hyperactivity Diseases 0.000 description 3
- 238000001727 in vivo Methods 0.000 description 3
- 230000002757 inflammatory effect Effects 0.000 description 3
- 230000005764 inhibitory process Effects 0.000 description 3
- 125000002346 iodo group Chemical group I* 0.000 description 3
- 210000002414 leg Anatomy 0.000 description 3
- 238000001294 liquid chromatography-tandem mass spectrometry Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 208000019382 nerve compression syndrome Diseases 0.000 description 3
- 230000002981 neuropathic effect Effects 0.000 description 3
- 239000000843 powder Substances 0.000 description 3
- 239000002243 precursor Substances 0.000 description 3
- 230000002265 prevention Effects 0.000 description 3
- 125000001436 propyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])[H] 0.000 description 3
- 239000003826 tablet Substances 0.000 description 3
- 238000003419 tautomerization reaction Methods 0.000 description 3
- DPKBAXPHAYBPRL-UHFFFAOYSA-M tetrabutylazanium;iodide Chemical compound [I-].CCCC[N+](CCCC)(CCCC)CCCC DPKBAXPHAYBPRL-UHFFFAOYSA-M 0.000 description 3
- 238000004704 ultra performance liquid chromatography Methods 0.000 description 3
- 239000003643 water by type Substances 0.000 description 3
- CYPYTURSJDMMMP-WVCUSYJESA-N (1e,4e)-1,5-diphenylpenta-1,4-dien-3-one;palladium Chemical compound [Pd].[Pd].C=1C=CC=CC=1\C=C\C(=O)\C=C\C1=CC=CC=C1.C=1C=CC=CC=1\C=C\C(=O)\C=C\C1=CC=CC=C1.C=1C=CC=CC=1\C=C\C(=O)\C=C\C1=CC=CC=C1 CYPYTURSJDMMMP-WVCUSYJESA-N 0.000 description 2
- 125000000229 (C1-C4)alkoxy group Chemical group 0.000 description 2
- 125000004191 (C1-C6) alkoxy group Chemical group 0.000 description 2
- PEZNEXFPRSOYPL-UHFFFAOYSA-N (bis(trifluoroacetoxy)iodo)benzene Chemical compound FC(F)(F)C(=O)OI(OC(=O)C(F)(F)F)C1=CC=CC=C1 PEZNEXFPRSOYPL-UHFFFAOYSA-N 0.000 description 2
- 125000003088 (fluoren-9-ylmethoxy)carbonyl group Chemical group 0.000 description 2
- WBYWAXJHAXSJNI-VOTSOKGWSA-M .beta-Phenylacrylic acid Natural products [O-]C(=O)\C=C\C1=CC=CC=C1 WBYWAXJHAXSJNI-VOTSOKGWSA-M 0.000 description 2
- RYHBNJHYFVUHQT-UHFFFAOYSA-N 1,4-Dioxane Chemical compound C1COCCO1 RYHBNJHYFVUHQT-UHFFFAOYSA-N 0.000 description 2
- WXTMDXOMEHJXQO-UHFFFAOYSA-N 2,5-dihydroxybenzoic acid Chemical compound OC(=O)C1=CC(O)=CC=C1O WXTMDXOMEHJXQO-UHFFFAOYSA-N 0.000 description 2
- NGNBDVOYPDDBFK-UHFFFAOYSA-N 2-[2,4-di(pentan-2-yl)phenoxy]acetyl chloride Chemical compound CCCC(C)C1=CC=C(OCC(Cl)=O)C(C(C)CCC)=C1 NGNBDVOYPDDBFK-UHFFFAOYSA-N 0.000 description 2
- JKMHFZQWWAIEOD-UHFFFAOYSA-N 2-[4-(2-hydroxyethyl)piperazin-1-yl]ethanesulfonic acid Chemical compound OCC[NH+]1CCN(CCS([O-])(=O)=O)CC1 JKMHFZQWWAIEOD-UHFFFAOYSA-N 0.000 description 2
- SINIIFNWZPCJGU-UHFFFAOYSA-N 2-bromo-4-(trifluoromethyl)benzoic acid Chemical compound OC(=O)C1=CC=C(C(F)(F)F)C=C1Br SINIIFNWZPCJGU-UHFFFAOYSA-N 0.000 description 2
- YEDUAINPPJYDJZ-UHFFFAOYSA-N 2-hydroxybenzothiazole Chemical compound C1=CC=C2SC(O)=NC2=C1 YEDUAINPPJYDJZ-UHFFFAOYSA-N 0.000 description 2
- CTOUNZIAEBIWAW-UHFFFAOYSA-N 3,4-dihydro-1h-quinazolin-2-one Chemical group C1=CC=C2NC(=O)NCC2=C1 CTOUNZIAEBIWAW-UHFFFAOYSA-N 0.000 description 2
- BMYNFMYTOJXKLE-UHFFFAOYSA-N 3-azaniumyl-2-hydroxypropanoate Chemical compound NCC(O)C(O)=O BMYNFMYTOJXKLE-UHFFFAOYSA-N 0.000 description 2
- KMHLGVTVACLEJE-UHFFFAOYSA-N 4-fluoro-2-methylaniline Chemical compound CC1=CC(F)=CC=C1N KMHLGVTVACLEJE-UHFFFAOYSA-N 0.000 description 2
- MUDSDYNRBDKLGK-UHFFFAOYSA-N 4-methylquinoline Chemical compound C1=CC=C2C(C)=CC=NC2=C1 MUDSDYNRBDKLGK-UHFFFAOYSA-N 0.000 description 2
- DMVBGEPFAZKPAP-UHFFFAOYSA-N 6-methoxy-2-methylpyridin-3-amine Chemical compound COC1=CC=C(N)C(C)=N1 DMVBGEPFAZKPAP-UHFFFAOYSA-N 0.000 description 2
- HBAQYPYDRFILMT-UHFFFAOYSA-N 8-[3-(1-cyclopropylpyrazol-4-yl)-1H-pyrazolo[4,3-d]pyrimidin-5-yl]-3-methyl-3,8-diazabicyclo[3.2.1]octan-2-one Chemical class C1(CC1)N1N=CC(=C1)C1=NNC2=C1N=C(N=C2)N1C2C(N(CC1CC2)C)=O HBAQYPYDRFILMT-UHFFFAOYSA-N 0.000 description 2
- RZVAJINKPMORJF-UHFFFAOYSA-N Acetaminophen Chemical compound CC(=O)NC1=CC=C(O)C=C1 RZVAJINKPMORJF-UHFFFAOYSA-N 0.000 description 2
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 2
- ATRRKUHOCOJYRX-UHFFFAOYSA-N Ammonium bicarbonate Chemical compound [NH4+].OC([O-])=O ATRRKUHOCOJYRX-UHFFFAOYSA-N 0.000 description 2
- 229910000013 Ammonium bicarbonate Inorganic materials 0.000 description 2
- 206010002556 Ankylosing Spondylitis Diseases 0.000 description 2
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 2
- 208000000003 Breakthrough pain Diseases 0.000 description 2
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 description 2
- 208000006561 Cluster Headache Diseases 0.000 description 2
- AEMOLEFTQBMNLQ-AQKNRBDQSA-N D-glucopyranuronic acid Chemical compound OC1O[C@H](C(O)=O)[C@@H](O)[C@H](O)[C@H]1O AEMOLEFTQBMNLQ-AQKNRBDQSA-N 0.000 description 2
- OKKJLVBELUTLKV-MZCSYVLQSA-N Deuterated methanol Chemical compound [2H]OC([2H])([2H])[2H] OKKJLVBELUTLKV-MZCSYVLQSA-N 0.000 description 2
- FEWJPZIEWOKRBE-JCYAYHJZSA-N Dextrotartaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O FEWJPZIEWOKRBE-JCYAYHJZSA-N 0.000 description 2
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 2
- PIICEJLVQHRZGT-UHFFFAOYSA-N Ethylenediamine Chemical compound NCCN PIICEJLVQHRZGT-UHFFFAOYSA-N 0.000 description 2
- JUAASLNQOIANNX-UHFFFAOYSA-N FC1=CC(=C(C=C1)NC1=C(C(=O)O)C=C(C=C1)C(F)(F)F)C Chemical compound FC1=CC(=C(C=C1)NC1=C(C(=O)O)C=C(C=C1)C(F)(F)F)C JUAASLNQOIANNX-UHFFFAOYSA-N 0.000 description 2
- 206010016059 Facial pain Diseases 0.000 description 2
- 208000001640 Fibromyalgia Diseases 0.000 description 2
- UGJMXCAKCUNAIE-UHFFFAOYSA-N Gabapentin Chemical compound OC(=O)CC1(CN)CCCCC1 UGJMXCAKCUNAIE-UHFFFAOYSA-N 0.000 description 2
- IAJILQKETJEXLJ-UHFFFAOYSA-N Galacturonsaeure Natural products O=CC(O)C(O)C(O)C(O)C(O)=O IAJILQKETJEXLJ-UHFFFAOYSA-N 0.000 description 2
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 2
- AEMRFAOFKBGASW-UHFFFAOYSA-N Glycolic acid Chemical compound OCC(O)=O AEMRFAOFKBGASW-UHFFFAOYSA-N 0.000 description 2
- 239000007995 HEPES buffer Substances 0.000 description 2
- 206010019233 Headaches Diseases 0.000 description 2
- 206010019909 Hernia Diseases 0.000 description 2
- 101000631760 Homo sapiens Sodium channel protein type 1 subunit alpha Proteins 0.000 description 2
- 101000694017 Homo sapiens Sodium channel protein type 5 subunit alpha Proteins 0.000 description 2
- 206010021639 Incontinence Diseases 0.000 description 2
- 208000005615 Interstitial Cystitis Diseases 0.000 description 2
- 208000004404 Intractable Pain Diseases 0.000 description 2
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 description 2
- 208000003456 Juvenile Arthritis Diseases 0.000 description 2
- 206010059176 Juvenile idiopathic arthritis Diseases 0.000 description 2
- CKLJMWTZIZZHCS-REOHCLBHSA-N L-aspartic acid Chemical compound OC(=O)[C@@H](N)CC(O)=O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 description 2
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 2
- HNDVDQJCIGZPNO-YFKPBYRVSA-N L-histidine Chemical compound OC(=O)[C@@H](N)CC1=CN=CN1 HNDVDQJCIGZPNO-YFKPBYRVSA-N 0.000 description 2
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 description 2
- 208000007914 Labor Pain Diseases 0.000 description 2
- 239000004472 Lysine Substances 0.000 description 2
- KDXKERNSBIXSRK-UHFFFAOYSA-N Lysine Natural products NCCCCC(N)C(O)=O KDXKERNSBIXSRK-UHFFFAOYSA-N 0.000 description 2
- 208000019695 Migraine disease Diseases 0.000 description 2
- YNAVUWVOSKDBBP-UHFFFAOYSA-N Morpholine Chemical compound C1COCCN1 YNAVUWVOSKDBBP-UHFFFAOYSA-N 0.000 description 2
- 241000699670 Mus sp. Species 0.000 description 2
- 201000002481 Myositis Diseases 0.000 description 2
- IMNFDUFMRHMDMM-UHFFFAOYSA-N N-Heptane Chemical compound CCCCCCC IMNFDUFMRHMDMM-UHFFFAOYSA-N 0.000 description 2
- SJRJJKPEHAURKC-UHFFFAOYSA-N N-Methylmorpholine Chemical compound CN1CCOCC1 SJRJJKPEHAURKC-UHFFFAOYSA-N 0.000 description 2
- SECXISVLQFMRJM-UHFFFAOYSA-N N-Methylpyrrolidone Chemical compound CN1CCCC1=O SECXISVLQFMRJM-UHFFFAOYSA-N 0.000 description 2
- 229940124777 Nav1.7 inhibitor Drugs 0.000 description 2
- 206010029174 Nerve compression Diseases 0.000 description 2
- 244000046052 Phaseolus vulgaris Species 0.000 description 2
- 235000010627 Phaseolus vulgaris Nutrition 0.000 description 2
- YNPNZTXNASCQKK-UHFFFAOYSA-N Phenanthrene Natural products C1=CC=C2C3=CC=CC=C3C=CC2=C1 YNPNZTXNASCQKK-UHFFFAOYSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 2
- 208000007048 Polymyalgia Rheumatica Diseases 0.000 description 2
- 206010036105 Polyneuropathy Diseases 0.000 description 2
- 208000037674 Primary erythromelalgia Diseases 0.000 description 2
- 208000006294 Pudendal Neuralgia Diseases 0.000 description 2
- LCTONWCANYUPML-UHFFFAOYSA-N Pyruvic acid Chemical compound CC(=O)C(O)=O LCTONWCANYUPML-UHFFFAOYSA-N 0.000 description 2
- LOUPRKONTZGTKE-WZBLMQSHSA-N Quinine Chemical compound C([C@H]([C@H](C1)C=C)C2)C[N@@]1[C@@H]2[C@H](O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-WZBLMQSHSA-N 0.000 description 2
- SMWDFEZZVXVKRB-UHFFFAOYSA-N Quinoline Chemical compound N1=CC=CC2=CC=CC=C21 SMWDFEZZVXVKRB-UHFFFAOYSA-N 0.000 description 2
- 206010059604 Radicular pain Diseases 0.000 description 2
- 208000025747 Rheumatic disease Diseases 0.000 description 2
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 2
- FKNQFGJONOIPTF-UHFFFAOYSA-N Sodium cation Chemical compound [Na+] FKNQFGJONOIPTF-UHFFFAOYSA-N 0.000 description 2
- 102100028910 Sodium channel protein type 1 subunit alpha Human genes 0.000 description 2
- 101710134422 Sodium channel protein type 10 subunit alpha Proteins 0.000 description 2
- 102100027198 Sodium channel protein type 5 subunit alpha Human genes 0.000 description 2
- 208000027520 Somatoform disease Diseases 0.000 description 2
- 229920002472 Starch Polymers 0.000 description 2
- 208000006011 Stroke Diseases 0.000 description 2
- 229930006000 Sucrose Natural products 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 208000004760 Tenosynovitis Diseases 0.000 description 2
- 208000003728 Vulvodynia Diseases 0.000 description 2
- 206010069055 Vulvovaginal pain Diseases 0.000 description 2
- HCHKCACWOHOZIP-UHFFFAOYSA-N Zinc Chemical compound [Zn] HCHKCACWOHOZIP-UHFFFAOYSA-N 0.000 description 2
- DGEZNRSVGBDHLK-UHFFFAOYSA-N [1,10]phenanthroline Chemical compound C1=CN=C2C3=NC=CC=C3C=CC2=C1 DGEZNRSVGBDHLK-UHFFFAOYSA-N 0.000 description 2
- 230000009102 absorption Effects 0.000 description 2
- 238000010521 absorption reaction Methods 0.000 description 2
- 230000036982 action potential Effects 0.000 description 2
- 230000004913 activation Effects 0.000 description 2
- 229910001413 alkali metal ion Inorganic materials 0.000 description 2
- 150000001340 alkali metals Chemical class 0.000 description 2
- 229910001420 alkaline earth metal ion Inorganic materials 0.000 description 2
- 150000001350 alkyl halides Chemical class 0.000 description 2
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 2
- 150000001413 amino acids Chemical class 0.000 description 2
- 125000003277 amino group Chemical group 0.000 description 2
- KRMDCWKBEZIMAB-UHFFFAOYSA-N amitriptyline Chemical compound C1CC2=CC=CC=C2C(=CCCN(C)C)C2=CC=CC=C21 KRMDCWKBEZIMAB-UHFFFAOYSA-N 0.000 description 2
- 229960000836 amitriptyline Drugs 0.000 description 2
- 235000012538 ammonium bicarbonate Nutrition 0.000 description 2
- 239000001099 ammonium carbonate Substances 0.000 description 2
- 238000004458 analytical method Methods 0.000 description 2
- 230000002917 arthritic effect Effects 0.000 description 2
- 150000007514 bases Chemical class 0.000 description 2
- JUHORIMYRDESRB-UHFFFAOYSA-N benzathine Chemical compound C=1C=CC=CC=1CNCCNCC1=CC=CC=C1 JUHORIMYRDESRB-UHFFFAOYSA-N 0.000 description 2
- SRSXLGNVWSONIS-UHFFFAOYSA-M benzenesulfonate Chemical compound [O-]S(=O)(=O)C1=CC=CC=C1 SRSXLGNVWSONIS-UHFFFAOYSA-M 0.000 description 2
- MUALRAIOVNYAIW-UHFFFAOYSA-N binap Chemical compound C1=CC=CC=C1P(C=1C(=C2C=CC=CC2=CC=1)C=1C2=CC=CC=C2C=CC=1P(C=1C=CC=CC=1)C=1C=CC=CC=1)C1=CC=CC=C1 MUALRAIOVNYAIW-UHFFFAOYSA-N 0.000 description 2
- 239000011230 binding agent Substances 0.000 description 2
- 230000004071 biological effect Effects 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- ILAHWRKJUDSMFH-UHFFFAOYSA-N boron tribromide Chemical compound BrB(Br)Br ILAHWRKJUDSMFH-UHFFFAOYSA-N 0.000 description 2
- 239000012267 brine Substances 0.000 description 2
- FJDQFPXHSGXQBY-UHFFFAOYSA-L caesium carbonate Chemical compound [Cs+].[Cs+].[O-]C([O-])=O FJDQFPXHSGXQBY-UHFFFAOYSA-L 0.000 description 2
- HUCVOHYBFXVBRW-UHFFFAOYSA-M caesium hydroxide Chemical compound [OH-].[Cs+] HUCVOHYBFXVBRW-UHFFFAOYSA-M 0.000 description 2
- MIOPJNTWMNEORI-UHFFFAOYSA-N camphorsulfonic acid Chemical compound C1CC2(CS(O)(=O)=O)C(=O)CC1C2(C)C MIOPJNTWMNEORI-UHFFFAOYSA-N 0.000 description 2
- 239000002775 capsule Substances 0.000 description 2
- 150000001721 carbon Chemical group 0.000 description 2
- 229910052799 carbon Inorganic materials 0.000 description 2
- 210000001715 carotid artery Anatomy 0.000 description 2
- 239000003054 catalyst Substances 0.000 description 2
- 239000000460 chlorine Chemical group 0.000 description 2
- 229910052801 chlorine Chemical group 0.000 description 2
- 238000011260 co-administration Methods 0.000 description 2
- OROGSEYTTFOCAN-DNJOTXNNSA-N codeine Chemical compound C([C@H]1[C@H](N(CC[C@@]112)C)C3)=C[C@H](O)[C@@H]1OC1=C2C3=CC=C1OC OROGSEYTTFOCAN-DNJOTXNNSA-N 0.000 description 2
- 239000010949 copper Substances 0.000 description 2
- 239000012043 crude product Substances 0.000 description 2
- PAFZNILMFXTMIY-UHFFFAOYSA-N cyclohexylamine Chemical compound NC1CCCCC1 PAFZNILMFXTMIY-UHFFFAOYSA-N 0.000 description 2
- NXQGGXCHGDYOHB-UHFFFAOYSA-L cyclopenta-1,4-dien-1-yl(diphenyl)phosphane;dichloropalladium;iron(2+) Chemical compound [Fe+2].Cl[Pd]Cl.[CH-]1C=CC(P(C=2C=CC=CC=2)C=2C=CC=CC=2)=C1.[CH-]1C=CC(P(C=2C=CC=CC=2)C=2C=CC=CC=2)=C1 NXQGGXCHGDYOHB-UHFFFAOYSA-L 0.000 description 2
- 238000010511 deprotection reaction Methods 0.000 description 2
- 239000012973 diazabicyclooctane Substances 0.000 description 2
- HPNMFZURTQLUMO-UHFFFAOYSA-N diethylamine Chemical compound CCNCC HPNMFZURTQLUMO-UHFFFAOYSA-N 0.000 description 2
- 239000003085 diluting agent Substances 0.000 description 2
- LOKCTEFSRHRXRJ-UHFFFAOYSA-I dipotassium trisodium dihydrogen phosphate hydrogen phosphate dichloride Chemical compound P(=O)(O)(O)[O-].[K+].P(=O)(O)([O-])[O-].[Na+].[Na+].[Cl-].[K+].[Cl-].[Na+] LOKCTEFSRHRXRJ-UHFFFAOYSA-I 0.000 description 2
- 238000009826 distribution Methods 0.000 description 2
- MOTZDAYCYVMXPC-UHFFFAOYSA-N dodecyl hydrogen sulfate Chemical compound CCCCCCCCCCCCOS(O)(=O)=O MOTZDAYCYVMXPC-UHFFFAOYSA-N 0.000 description 2
- 229940043264 dodecyl sulfate Drugs 0.000 description 2
- VYFYYTLLBUKUHU-UHFFFAOYSA-N dopamine Chemical compound NCCC1=CC=C(O)C(O)=C1 VYFYYTLLBUKUHU-UHFFFAOYSA-N 0.000 description 2
- 230000002255 enzymatic effect Effects 0.000 description 2
- 206010015037 epilepsy Diseases 0.000 description 2
- 238000005886 esterification reaction Methods 0.000 description 2
- 229950000206 estolate Drugs 0.000 description 2
- 239000000284 extract Substances 0.000 description 2
- 210000003191 femoral vein Anatomy 0.000 description 2
- 239000000945 filler Substances 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 239000000796 flavoring agent Substances 0.000 description 2
- 239000006260 foam Substances 0.000 description 2
- 230000002496 gastric effect Effects 0.000 description 2
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 2
- 229910052737 gold Inorganic materials 0.000 description 2
- 239000010931 gold Substances 0.000 description 2
- OROGSEYTTFOCAN-UHFFFAOYSA-N hydrocodone Natural products C1C(N(CCC234)C)C2C=CC(O)C3OC2=C4C1=CC=C2OC OROGSEYTTFOCAN-UHFFFAOYSA-N 0.000 description 2
- 125000002768 hydroxyalkyl group Chemical group 0.000 description 2
- NPZTUJOABDZTLV-UHFFFAOYSA-N hydroxybenzotriazole Substances O=C1C=CC=C2NNN=C12 NPZTUJOABDZTLV-UHFFFAOYSA-N 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 229910052740 iodine Inorganic materials 0.000 description 2
- 150000002500 ions Chemical class 0.000 description 2
- 229910052742 iron Inorganic materials 0.000 description 2
- 229960003284 iron Drugs 0.000 description 2
- 208000002551 irritable bowel syndrome Diseases 0.000 description 2
- AWJUIBRHMBBTKR-UHFFFAOYSA-N isoquinoline Chemical compound C1=NC=CC2=CC=CC=C21 AWJUIBRHMBBTKR-UHFFFAOYSA-N 0.000 description 2
- 210000003127 knee Anatomy 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 239000003446 ligand Substances 0.000 description 2
- 239000000314 lubricant Substances 0.000 description 2
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 description 2
- VZCYOOQTPOCHFL-UPHRSURJSA-N maleic acid Chemical compound OC(=O)\C=C/C(O)=O VZCYOOQTPOCHFL-UPHRSURJSA-N 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 230000004060 metabolic process Effects 0.000 description 2
- WSFSSNUMVMOOMR-NJFSPNSNSA-N methanone Chemical compound O=[14CH2] WSFSSNUMVMOOMR-NJFSPNSNSA-N 0.000 description 2
- 125000000325 methylidene group Chemical group [H]C([H])=* 0.000 description 2
- 206010027599 migraine Diseases 0.000 description 2
- 150000007522 mineralic acids Chemical class 0.000 description 2
- 201000005518 mononeuropathy Diseases 0.000 description 2
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 description 2
- 210000000653 nervous system Anatomy 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- WWZKQHOCKIZLMA-UHFFFAOYSA-M octanoate Chemical compound CCCCCCCC([O-])=O WWZKQHOCKIZLMA-UHFFFAOYSA-M 0.000 description 2
- 150000007524 organic acids Chemical class 0.000 description 2
- 239000012044 organic layer Substances 0.000 description 2
- 239000003960 organic solvent Substances 0.000 description 2
- 238000010979 pH adjustment Methods 0.000 description 2
- 208000027753 pain disease Diseases 0.000 description 2
- 230000001314 paroxysmal effect Effects 0.000 description 2
- 210000000578 peripheral nerve Anatomy 0.000 description 2
- 239000002953 phosphate buffered saline Substances 0.000 description 2
- 125000002467 phosphate group Chemical group [H]OP(=O)(O[H])O[*] 0.000 description 2
- 230000000704 physical effect Effects 0.000 description 2
- 238000002600 positron emission tomography Methods 0.000 description 2
- 229910000027 potassium carbonate Inorganic materials 0.000 description 2
- 235000015320 potassium carbonate Nutrition 0.000 description 2
- ZSWXMOQFFWMZQH-UHFFFAOYSA-M potassium;ditert-butyl phosphate Chemical compound [K+].CC(C)(C)OP([O-])(=O)OC(C)(C)C ZSWXMOQFFWMZQH-UHFFFAOYSA-M 0.000 description 2
- UMJSCPRVCHMLSP-UHFFFAOYSA-N pyridine Natural products COC1=CC=CN=C1 UMJSCPRVCHMLSP-UHFFFAOYSA-N 0.000 description 2
- 238000011808 rodent model Methods 0.000 description 2
- YGSDEFSMJLZEOE-UHFFFAOYSA-N salicylic acid Chemical compound OC(=O)C1=CC=CC=C1O YGSDEFSMJLZEOE-UHFFFAOYSA-N 0.000 description 2
- 229910001415 sodium ion Inorganic materials 0.000 description 2
- HPALAKNZSZLMCH-UHFFFAOYSA-M sodium;chloride;hydrate Chemical compound O.[Na+].[Cl-] HPALAKNZSZLMCH-UHFFFAOYSA-M 0.000 description 2
- 241000894007 species Species 0.000 description 2
- 208000020431 spinal cord injury Diseases 0.000 description 2
- 210000001032 spinal nerve Anatomy 0.000 description 2
- 208000005198 spinal stenosis Diseases 0.000 description 2
- 239000008107 starch Substances 0.000 description 2
- 235000019698 starch Nutrition 0.000 description 2
- 238000003756 stirring Methods 0.000 description 2
- 239000011550 stock solution Substances 0.000 description 2
- 229910052712 strontium Inorganic materials 0.000 description 2
- CIOAGBVUUVVLOB-UHFFFAOYSA-N strontium atom Chemical compound [Sr] CIOAGBVUUVVLOB-UHFFFAOYSA-N 0.000 description 2
- 239000000758 substrate Substances 0.000 description 2
- 239000005720 sucrose Substances 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 208000011580 syndromic disease Diseases 0.000 description 2
- DZLFLBLQUQXARW-UHFFFAOYSA-N tetrabutylammonium Chemical compound CCCC[N+](CCCC)(CCCC)CCCC DZLFLBLQUQXARW-UHFFFAOYSA-N 0.000 description 2
- FPGGTKZVZWFYPV-UHFFFAOYSA-M tetrabutylammonium fluoride Chemical compound [F-].CCCC[N+](CCCC)(CCCC)CCCC FPGGTKZVZWFYPV-UHFFFAOYSA-M 0.000 description 2
- FYSNRJHAOHDILO-UHFFFAOYSA-N thionyl chloride Chemical compound ClS(Cl)=O FYSNRJHAOHDILO-UHFFFAOYSA-N 0.000 description 2
- 239000003053 toxin Substances 0.000 description 2
- 231100000765 toxin Toxicity 0.000 description 2
- 108700012359 toxins Proteins 0.000 description 2
- 230000009466 transformation Effects 0.000 description 2
- IMNIMPAHZVJRPE-UHFFFAOYSA-N triethylenediamine Chemical compound C1CN2CCN1CC2 IMNIMPAHZVJRPE-UHFFFAOYSA-N 0.000 description 2
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 2
- 230000003156 vasculitic effect Effects 0.000 description 2
- 238000005406 washing Methods 0.000 description 2
- 229910052725 zinc Inorganic materials 0.000 description 2
- 239000011701 zinc Substances 0.000 description 2
- LSPHULWDVZXLIL-UHFFFAOYSA-N (+/-)-Camphoric acid Chemical compound CC1(C)C(C(O)=O)CCC1(C)C(O)=O LSPHULWDVZXLIL-UHFFFAOYSA-N 0.000 description 1
- OZFAFGSSMRRTDW-UHFFFAOYSA-N (2,4-dichlorophenyl) benzenesulfonate Chemical compound ClC1=CC(Cl)=CC=C1OS(=O)(=O)C1=CC=CC=C1 OZFAFGSSMRRTDW-UHFFFAOYSA-N 0.000 description 1
- QBYIENPQHBMVBV-HFEGYEGKSA-N (2R)-2-hydroxy-2-phenylacetic acid Chemical compound O[C@@H](C(O)=O)c1ccccc1.O[C@@H](C(O)=O)c1ccccc1 QBYIENPQHBMVBV-HFEGYEGKSA-N 0.000 description 1
- XMAYWYJOQHXEEK-OZXSUGGESA-N (2R,4S)-ketoconazole Chemical compound C1CN(C(=O)C)CCN1C(C=C1)=CC=C1OC[C@@H]1O[C@@](CN2C=NC=C2)(C=2C(=CC(Cl)=CC=2)Cl)OC1 XMAYWYJOQHXEEK-OZXSUGGESA-N 0.000 description 1
- VLPIATFUUWWMKC-SNVBAGLBSA-N (2r)-1-(2,6-dimethylphenoxy)propan-2-amine Chemical compound C[C@@H](N)COC1=C(C)C=CC=C1C VLPIATFUUWWMKC-SNVBAGLBSA-N 0.000 description 1
- 125000004765 (C1-C4) haloalkyl group Chemical group 0.000 description 1
- 125000004737 (C1-C6) haloalkoxy group Chemical group 0.000 description 1
- GHOKWGTUZJEAQD-ZETCQYMHSA-N (D)-(+)-Pantothenic acid Chemical compound OCC(C)(C)[C@@H](O)C(=O)NCCC(O)=O GHOKWGTUZJEAQD-ZETCQYMHSA-N 0.000 description 1
- ZEUITGRIYCTCEM-KRWDZBQOSA-N (S)-duloxetine Chemical compound C1([C@@H](OC=2C3=CC=CC=C3C=CC=2)CCNC)=CC=CS1 ZEUITGRIYCTCEM-KRWDZBQOSA-N 0.000 description 1
- FTTATHOUSOIFOQ-UHFFFAOYSA-N 1,2,3,4,6,7,8,8a-octahydropyrrolo[1,2-a]pyrazine Chemical compound C1NCCN2CCCC21 FTTATHOUSOIFOQ-UHFFFAOYSA-N 0.000 description 1
- BGJSXRVXTHVRSN-UHFFFAOYSA-N 1,3,5-trioxane Chemical compound C1OCOCO1 BGJSXRVXTHVRSN-UHFFFAOYSA-N 0.000 description 1
- VFWCMGCRMGJXDK-UHFFFAOYSA-N 1-chlorobutane Chemical class CCCCCl VFWCMGCRMGJXDK-UHFFFAOYSA-N 0.000 description 1
- FRPZMMHWLSIFAZ-UHFFFAOYSA-N 10-undecenoic acid Chemical compound OC(=O)CCCCCCCCC=C FRPZMMHWLSIFAZ-UHFFFAOYSA-N 0.000 description 1
- ZFFMLCVRJBZUDZ-UHFFFAOYSA-N 2,3-dimethylbutane Chemical group CC(C)C(C)C ZFFMLCVRJBZUDZ-UHFFFAOYSA-N 0.000 description 1
- YREROAPXUOXCGI-UHFFFAOYSA-N 2,5-dihydroxybenzoic acid Chemical compound OC(=O)C1=CC(O)=CC=C1O.OC(=O)C1=CC(O)=CC=C1O YREROAPXUOXCGI-UHFFFAOYSA-N 0.000 description 1
- GRWKNBPOGBTZMN-UHFFFAOYSA-N 2-benzyl-3-phenylpropane-1,2-diamine Chemical compound C=1C=CC=CC=1CC(N)(CN)CC1=CC=CC=C1 GRWKNBPOGBTZMN-UHFFFAOYSA-N 0.000 description 1
- CEQQAPUZEUIPCH-UHFFFAOYSA-N 2-chloro-5-(trifluoromethyl)pyridine-3-carbonyl chloride Chemical compound FC(F)(F)C1=CN=C(Cl)C(C(Cl)=O)=C1 CEQQAPUZEUIPCH-UHFFFAOYSA-N 0.000 description 1
- RMSKYTKOFDQVEL-UHFFFAOYSA-N 2-chloro-5-(trifluoromethyl)pyridine-3-carboxylic acid Chemical compound OC(=O)C1=CC(C(F)(F)F)=CN=C1Cl RMSKYTKOFDQVEL-UHFFFAOYSA-N 0.000 description 1
- ULKIVYZUZQBMFN-UHFFFAOYSA-N 2-chloro-N-(6-methoxy-2-methylpyridin-3-yl)-5-(trifluoromethyl)pyridine-3-carboxamide Chemical compound CC1=NC(OC)=CC=C1NC(C(C=C(C(F)(F)F)C=N1)=C1Cl)=O ULKIVYZUZQBMFN-UHFFFAOYSA-N 0.000 description 1
- ZNQVEEAIQZEUHB-UHFFFAOYSA-N 2-ethoxyethanol Chemical compound CCOCCO ZNQVEEAIQZEUHB-UHFFFAOYSA-N 0.000 description 1
- 229940093475 2-ethoxyethanol Drugs 0.000 description 1
- IIDBMILLZRYZCH-UHFFFAOYSA-N 2-methyl-4-(trifluoromethoxy)aniline Chemical compound CC1=CC(OC(F)(F)F)=CC=C1N IIDBMILLZRYZCH-UHFFFAOYSA-N 0.000 description 1
- XWKFPIODWVPXLX-UHFFFAOYSA-N 2-methyl-5-methylpyridine Natural products CC1=CC=C(C)N=C1 XWKFPIODWVPXLX-UHFFFAOYSA-N 0.000 description 1
- ASKDIJJRYKMEMV-UHFFFAOYSA-N 3-(chloromethyl)-1h-pyridin-2-one Chemical compound ClCC1=CC=CNC1=O ASKDIJJRYKMEMV-UHFFFAOYSA-N 0.000 description 1
- GSDWSGZYFRMWHK-UHFFFAOYSA-N 3-[1-(chloromethyl)-2-methyl-6-oxopyridin-3-yl]-1-(4-fluoro-2-methylphenyl)-6-(trifluoromethyl)-2H-quinazolin-4-one Chemical compound CC(C=C(C=C1)F)=C1N(CN1C(C=C2)=C(C)N(CCl)C2=O)C2=CC=C(C(F)(F)F)C=C2C1=O GSDWSGZYFRMWHK-UHFFFAOYSA-N 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-M 3-carboxy-2,3-dihydroxypropanoate Chemical compound OC(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-M 0.000 description 1
- ALKYHXVLJMQRLQ-UHFFFAOYSA-M 3-carboxynaphthalen-2-olate Chemical compound C1=CC=C2C=C(C([O-])=O)C(O)=CC2=C1 ALKYHXVLJMQRLQ-UHFFFAOYSA-M 0.000 description 1
- QCQCHGYLTSGIGX-GHXANHINSA-N 4-[[(3ar,5ar,5br,7ar,9s,11ar,11br,13as)-5a,5b,8,8,11a-pentamethyl-3a-[(5-methylpyridine-3-carbonyl)amino]-2-oxo-1-propan-2-yl-4,5,6,7,7a,9,10,11,11b,12,13,13a-dodecahydro-3h-cyclopenta[a]chrysen-9-yl]oxy]-2,2-dimethyl-4-oxobutanoic acid Chemical compound N([C@@]12CC[C@@]3(C)[C@]4(C)CC[C@H]5C(C)(C)[C@@H](OC(=O)CC(C)(C)C(O)=O)CC[C@]5(C)[C@H]4CC[C@@H]3C1=C(C(C2)=O)C(C)C)C(=O)C1=CN=CC(C)=C1 QCQCHGYLTSGIGX-GHXANHINSA-N 0.000 description 1
- QCXJEYYXVJIFCE-UHFFFAOYSA-M 4-acetamidobenzoate Chemical compound CC(=O)NC1=CC=C(C([O-])=O)C=C1 QCXJEYYXVJIFCE-UHFFFAOYSA-M 0.000 description 1
- HVBSAKJJOYLTQU-UHFFFAOYSA-M 4-aminobenzenesulfonate Chemical compound NC1=CC=C(S([O-])(=O)=O)C=C1 HVBSAKJJOYLTQU-UHFFFAOYSA-M 0.000 description 1
- NUKYPUAOHBNCPY-UHFFFAOYSA-N 4-aminopyridine Chemical compound NC1=CC=NC=C1 NUKYPUAOHBNCPY-UHFFFAOYSA-N 0.000 description 1
- ODHCTXKNWHHXJC-VKHMYHEASA-N 5-oxo-L-proline Chemical compound OC(=O)[C@@H]1CCC(=O)N1 ODHCTXKNWHHXJC-VKHMYHEASA-N 0.000 description 1
- BSYNRYMUTXBXSQ-FOQJRBATSA-N 59096-14-9 Chemical compound CC(=O)OC1=CC=CC=C1[14C](O)=O BSYNRYMUTXBXSQ-FOQJRBATSA-N 0.000 description 1
- FHVDTGUDJYJELY-UHFFFAOYSA-N 6-{[2-carboxy-4,5-dihydroxy-6-(phosphanyloxy)oxan-3-yl]oxy}-4,5-dihydroxy-3-phosphanyloxane-2-carboxylic acid Chemical compound O1C(C(O)=O)C(P)C(O)C(O)C1OC1C(C(O)=O)OC(OP)C(O)C1O FHVDTGUDJYJELY-UHFFFAOYSA-N 0.000 description 1
- ZCYVEMRRCGMTRW-UHFFFAOYSA-N 7553-56-2 Chemical group [I] ZCYVEMRRCGMTRW-UHFFFAOYSA-N 0.000 description 1
- 208000004998 Abdominal Pain Diseases 0.000 description 1
- 206010000087 Abdominal pain upper Diseases 0.000 description 1
- 208000002485 Adiposis dolorosa Diseases 0.000 description 1
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 description 1
- USFZMSVCRYTOJT-UHFFFAOYSA-N Ammonium acetate Chemical compound N.CC(O)=O USFZMSVCRYTOJT-UHFFFAOYSA-N 0.000 description 1
- 239000005695 Ammonium acetate Substances 0.000 description 1
- VHUUQVKOLVNVRT-UHFFFAOYSA-N Ammonium hydroxide Chemical compound [NH4+].[OH-] VHUUQVKOLVNVRT-UHFFFAOYSA-N 0.000 description 1
- 208000019901 Anxiety disease Diseases 0.000 description 1
- 206010003011 Appendicitis Diseases 0.000 description 1
- 229930091051 Arenine Natural products 0.000 description 1
- 206010003591 Ataxia Diseases 0.000 description 1
- LQVXSNNAFNGRAH-QHCPKHFHSA-N BMS-754807 Chemical compound C([C@@]1(C)C(=O)NC=2C=NC(F)=CC=2)CCN1C(=NN1C=CC=C11)N=C1NC(=NN1)C=C1C1CC1 LQVXSNNAFNGRAH-QHCPKHFHSA-N 0.000 description 1
- 208000009137 Behcet syndrome Diseases 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-M Bisulfite Chemical compound OS([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-M 0.000 description 1
- ZOXJGFHDIHLPTG-UHFFFAOYSA-N Boron Chemical compound [B] ZOXJGFHDIHLPTG-UHFFFAOYSA-N 0.000 description 1
- 241000283690 Bos taurus Species 0.000 description 1
- 201000006474 Brain Ischemia Diseases 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-M Bromide Chemical compound [Br-] CPELXLSAUQHCOX-UHFFFAOYSA-M 0.000 description 1
- 238000006418 Brown reaction Methods 0.000 description 1
- FERIUCNNQQJTOY-UHFFFAOYSA-M Butyrate Chemical compound CCCC([O-])=O FERIUCNNQQJTOY-UHFFFAOYSA-M 0.000 description 1
- FERIUCNNQQJTOY-UHFFFAOYSA-N Butyric acid Natural products CCCC(O)=O FERIUCNNQQJTOY-UHFFFAOYSA-N 0.000 description 1
- JGLMVXWAHNTPRF-CMDGGOBGSA-N CCN1N=C(C)C=C1C(=O)NC1=NC2=CC(=CC(OC)=C2N1C\C=C\CN1C(NC(=O)C2=CC(C)=NN2CC)=NC2=CC(=CC(OCCCN3CCOCC3)=C12)C(N)=O)C(N)=O Chemical compound CCN1N=C(C)C=C1C(=O)NC1=NC2=CC(=CC(OC)=C2N1C\C=C\CN1C(NC(=O)C2=CC(C)=NN2CC)=NC2=CC(=CC(OCCCN3CCOCC3)=C12)C(N)=O)C(N)=O JGLMVXWAHNTPRF-CMDGGOBGSA-N 0.000 description 1
- 241000282472 Canis lupus familiaris Species 0.000 description 1
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical group [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 1
- 239000004215 Carbon black (E152) Substances 0.000 description 1
- OKTJSMMVPCPJKN-NJFSPNSNSA-N Carbon-14 Chemical compound [14C] OKTJSMMVPCPJKN-NJFSPNSNSA-N 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 241000700198 Cavia Species 0.000 description 1
- 241000282693 Cercopithecidae Species 0.000 description 1
- 206010008120 Cerebral ischaemia Diseases 0.000 description 1
- 108091006146 Channels Proteins 0.000 description 1
- 208000010693 Charcot-Marie-Tooth Disease Diseases 0.000 description 1
- 241001432959 Chernes Species 0.000 description 1
- 206010008479 Chest Pain Diseases 0.000 description 1
- VEXZGXHMUGYJMC-UHFFFAOYSA-M Chloride anion Chemical compound [Cl-] VEXZGXHMUGYJMC-UHFFFAOYSA-M 0.000 description 1
- ZAMOUSCENKQFHK-UHFFFAOYSA-N Chlorine atom Chemical group [Cl] ZAMOUSCENKQFHK-UHFFFAOYSA-N 0.000 description 1
- 235000001258 Cinchona calisaya Nutrition 0.000 description 1
- WBYWAXJHAXSJNI-SREVYHEPSA-N Cinnamic acid Chemical compound OC(=O)\C=C/C1=CC=CC=C1 WBYWAXJHAXSJNI-SREVYHEPSA-N 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- WKQHHFNSJWMJNJ-UHFFFAOYSA-N ClC=1C=C2C(N(CN(C2=CC=1)C1=C(C=C(C=C1)F)C)C1=C(NC(C=C1)=O)C)=O Chemical compound ClC=1C=C2C(N(CN(C2=CC=1)C1=C(C=C(C=C1)F)C)C1=C(NC(C=C1)=O)C)=O WKQHHFNSJWMJNJ-UHFFFAOYSA-N 0.000 description 1
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 208000011231 Crohn disease Diseases 0.000 description 1
- UDIPTWFVPPPURJ-UHFFFAOYSA-M Cyclamate Chemical compound [Na+].[O-]S(=O)(=O)NC1CCCCC1 UDIPTWFVPPPURJ-UHFFFAOYSA-M 0.000 description 1
- RGHNJXZEOKUKBD-SQOUGZDYSA-M D-gluconate Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O RGHNJXZEOKUKBD-SQOUGZDYSA-M 0.000 description 1
- XBPCUCUWBYBCDP-UHFFFAOYSA-N Dicyclohexylamine Chemical compound C1CCCCC1NC1CCCCC1 XBPCUCUWBYBCDP-UHFFFAOYSA-N 0.000 description 1
- 239000012591 Dulbecco’s Phosphate Buffered Saline Substances 0.000 description 1
- 239000001692 EU approved anti-caking agent Substances 0.000 description 1
- 201000009273 Endometriosis Diseases 0.000 description 1
- 241000283086 Equidae Species 0.000 description 1
- 241000400611 Eucalyptus deanei Species 0.000 description 1
- PBVYFXYRDGNKLV-UHFFFAOYSA-N FC1=CC(=C(C=C1)N1CN(C(C2=CC(=CC=C12)C(F)(F)F)=O)C1=C(NC(C=C1)=O)C)C Chemical compound FC1=CC(=C(C=C1)N1CN(C(C2=CC(=CC=C12)C(F)(F)F)=O)C1=C(NC(C=C1)=O)C)C PBVYFXYRDGNKLV-UHFFFAOYSA-N 0.000 description 1
- KXXMMZMHSZACJR-UHFFFAOYSA-N FC1=CC(=C(C=C1)N1CN(C(C2=CC(=CC=C12)C(F)(F)F)=O)C=1C(=NC(=CC=1)OC)C)C Chemical compound FC1=CC(=C(C=C1)N1CN(C(C2=CC(=CC=C12)C(F)(F)F)=O)C=1C(=NC(=CC=1)OC)C)C KXXMMZMHSZACJR-UHFFFAOYSA-N 0.000 description 1
- VIIQBTFFBUQHEK-UHFFFAOYSA-N FC1=CC(=C(C=C1)N1CN(C(C2=CC=C(C=C12)C(F)(F)F)=O)C1=C(NC(C=C1)=O)C)C Chemical compound FC1=CC(=C(C=C1)N1CN(C(C2=CC=C(C=C12)C(F)(F)F)=O)C1=C(NC(C=C1)=O)C)C VIIQBTFFBUQHEK-UHFFFAOYSA-N 0.000 description 1
- LINCTYDOYGFMCO-UHFFFAOYSA-N FC1=CC(=C(C=C1)NC1=C(C(=O)NC=2C(=NC(=CC=2)OC)C)C=C(C=C1)C(F)(F)F)C Chemical compound FC1=CC(=C(C=C1)NC1=C(C(=O)NC=2C(=NC(=CC=2)OC)C)C=C(C=C1)C(F)(F)F)C LINCTYDOYGFMCO-UHFFFAOYSA-N 0.000 description 1
- AKYHAPGWMGPFPS-UHFFFAOYSA-N FC1=CC(=C(C=C1)NC1=C(C(=O)NC=2C(=NC(=CC=2)OC)C)C=CC(=C1)C(F)(F)F)C Chemical compound FC1=CC(=C(C=C1)NC1=C(C(=O)NC=2C(=NC(=CC=2)OC)C)C=CC(=C1)C(F)(F)F)C AKYHAPGWMGPFPS-UHFFFAOYSA-N 0.000 description 1
- XEQPZMUIUBSDHB-UHFFFAOYSA-N FC1=CC(=C(C=C1)NC1=C(C(=O)OC)C=C(C=C1)C(F)(F)F)C Chemical compound FC1=CC(=C(C=C1)NC1=C(C(=O)OC)C=C(C=C1)C(F)(F)F)C XEQPZMUIUBSDHB-UHFFFAOYSA-N 0.000 description 1
- 208000024720 Fabry Disease Diseases 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical group FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 description 1
- BDAGIHXWWSANSR-UHFFFAOYSA-M Formate Chemical compound [O-]C=O BDAGIHXWWSANSR-UHFFFAOYSA-M 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- WHUUTDBJXJRKMK-UHFFFAOYSA-N Glutamic acid Natural products OC(=O)C(N)CCC(O)=O WHUUTDBJXJRKMK-UHFFFAOYSA-N 0.000 description 1
- 239000004471 Glycine Substances 0.000 description 1
- AEMRFAOFKBGASW-UHFFFAOYSA-M Glycolate Chemical compound OCC([O-])=O AEMRFAOFKBGASW-UHFFFAOYSA-M 0.000 description 1
- 229920000084 Gum arabic Polymers 0.000 description 1
- 208000007514 Herpes zoster Diseases 0.000 description 1
- 241001272567 Hominoidea Species 0.000 description 1
- 241000282412 Homo Species 0.000 description 1
- 101000684826 Homo sapiens Sodium channel protein type 2 subunit alpha Proteins 0.000 description 1
- 101000684820 Homo sapiens Sodium channel protein type 3 subunit alpha Proteins 0.000 description 1
- 101000693993 Homo sapiens Sodium channel protein type 4 subunit alpha Proteins 0.000 description 1
- 101000654381 Homo sapiens Sodium channel protein type 8 subunit alpha Proteins 0.000 description 1
- 101000654386 Homo sapiens Sodium channel protein type 9 subunit alpha Proteins 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- CPELXLSAUQHCOX-UHFFFAOYSA-N Hydrogen bromide Chemical compound Br CPELXLSAUQHCOX-UHFFFAOYSA-N 0.000 description 1
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 208000022559 Inflammatory bowel disease Diseases 0.000 description 1
- AHLPHDHHMVZTML-BYPYZUCNSA-N L-Ornithine Chemical compound NCCC[C@H](N)C(O)=O AHLPHDHHMVZTML-BYPYZUCNSA-N 0.000 description 1
- 208000035945 Labour pain Diseases 0.000 description 1
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- YDQJXVYGARVLRT-UHFFFAOYSA-N Lepidine Natural products C=1C=CC(CC=2NC=CN=2)=CC=1OC=1C(OC)=CC=CC=1CC1=NC=CN1 YDQJXVYGARVLRT-UHFFFAOYSA-N 0.000 description 1
- 206010024229 Leprosy Diseases 0.000 description 1
- NNJVILVZKWQKPM-UHFFFAOYSA-N Lidocaine Chemical compound CCN(CC)CC(=O)NC1=C(C)C=CC=C1C NNJVILVZKWQKPM-UHFFFAOYSA-N 0.000 description 1
- 241000693467 Macroporus Species 0.000 description 1
- OFOBLEOULBTSOW-UHFFFAOYSA-L Malonate Chemical compound [O-]C(=O)CC([O-])=O OFOBLEOULBTSOW-UHFFFAOYSA-L 0.000 description 1
- PWHULOQIROXLJO-UHFFFAOYSA-N Manganese Chemical compound [Mn] PWHULOQIROXLJO-UHFFFAOYSA-N 0.000 description 1
- 241001465754 Metazoa Species 0.000 description 1
- BZLVMXJERCGZMT-UHFFFAOYSA-N Methyl tert-butyl ether Chemical compound COC(C)(C)C BZLVMXJERCGZMT-UHFFFAOYSA-N 0.000 description 1
- 208000002472 Morton Neuroma Diseases 0.000 description 1
- 208000016285 Movement disease Diseases 0.000 description 1
- 208000030858 Myofascial Pain Syndromes Diseases 0.000 description 1
- 206010061533 Myotonia Diseases 0.000 description 1
- MZRVEZGGRBJDDB-UHFFFAOYSA-N N-Butyllithium Chemical compound [Li]CCCC MZRVEZGGRBJDDB-UHFFFAOYSA-N 0.000 description 1
- QIAFMBKCNZACKA-UHFFFAOYSA-N N-benzoylglycine Chemical compound OC(=O)CNC(=O)C1=CC=CC=C1 QIAFMBKCNZACKA-UHFFFAOYSA-N 0.000 description 1
- UEEJHVSXFDXPFK-UHFFFAOYSA-N N-dimethylaminoethanol Chemical compound CN(C)CCO UEEJHVSXFDXPFK-UHFFFAOYSA-N 0.000 description 1
- MBBZMMPHUWSWHV-BDVNFPICSA-N N-methylglucamine Chemical compound CNC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO MBBZMMPHUWSWHV-BDVNFPICSA-N 0.000 description 1
- 150000001204 N-oxides Chemical class 0.000 description 1
- 229910002651 NO3 Inorganic materials 0.000 description 1
- PVNIIMVLHYAWGP-UHFFFAOYSA-N Niacin Chemical compound OC(=O)C1=CC=CN=C1 PVNIIMVLHYAWGP-UHFFFAOYSA-N 0.000 description 1
- NHNBFGGVMKEFGY-UHFFFAOYSA-N Nitrate Chemical compound [O-][N+]([O-])=O NHNBFGGVMKEFGY-UHFFFAOYSA-N 0.000 description 1
- GRYLNZFGIOXLOG-UHFFFAOYSA-N Nitric acid Chemical compound O[N+]([O-])=O GRYLNZFGIOXLOG-UHFFFAOYSA-N 0.000 description 1
- AHLPHDHHMVZTML-UHFFFAOYSA-N Orn-delta-NH2 Natural products NCCCC(N)C(O)=O AHLPHDHHMVZTML-UHFFFAOYSA-N 0.000 description 1
- UTJLXEIPEHZYQJ-UHFFFAOYSA-N Ornithine Natural products OC(=O)C(C)CCCN UTJLXEIPEHZYQJ-UHFFFAOYSA-N 0.000 description 1
- 241000283973 Oryctolagus cuniculus Species 0.000 description 1
- BRUQQQPBMZOVGD-XFKAJCMBSA-N Oxycodone Chemical compound O=C([C@@H]1O2)CC[C@@]3(O)[C@H]4CC5=CC=C(OC)C2=C5[C@@]13CCN4C BRUQQQPBMZOVGD-XFKAJCMBSA-N 0.000 description 1
- UQCNKQCJZOAFTQ-ISWURRPUSA-N Oxymorphone Chemical compound O([C@H]1C(CC[C@]23O)=O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O UQCNKQCJZOAFTQ-ISWURRPUSA-N 0.000 description 1
- 206010033557 Palpitations Diseases 0.000 description 1
- 206010033645 Pancreatitis Diseases 0.000 description 1
- 206010033647 Pancreatitis acute Diseases 0.000 description 1
- 229930040373 Paraformaldehyde Natural products 0.000 description 1
- 241001494479 Pecora Species 0.000 description 1
- 208000000450 Pelvic Pain Diseases 0.000 description 1
- 208000010886 Peripheral nerve injury Diseases 0.000 description 1
- 229940122907 Phosphatase inhibitor Drugs 0.000 description 1
- 239000004793 Polystyrene Substances 0.000 description 1
- 102100023204 Potassium channel subfamily K member 2 Human genes 0.000 description 1
- NPYPAHLBTDXSSS-UHFFFAOYSA-N Potassium ion Chemical compound [K+] NPYPAHLBTDXSSS-UHFFFAOYSA-N 0.000 description 1
- XBDQKXXYIPTUBI-UHFFFAOYSA-M Propionate Chemical compound CCC([O-])=O XBDQKXXYIPTUBI-UHFFFAOYSA-M 0.000 description 1
- 208000003251 Pruritus Diseases 0.000 description 1
- 206010037596 Pyelonephritis Diseases 0.000 description 1
- LCTONWCANYUPML-UHFFFAOYSA-M Pyruvate Chemical compound CC(=O)C([O-])=O LCTONWCANYUPML-UHFFFAOYSA-M 0.000 description 1
- IWYDHOAUDWTVEP-UHFFFAOYSA-N R-2-phenyl-2-hydroxyacetic acid Natural products OC(=O)C(O)C1=CC=CC=C1 IWYDHOAUDWTVEP-UHFFFAOYSA-N 0.000 description 1
- 206010037779 Radiculopathy Diseases 0.000 description 1
- 241000700157 Rattus norvegicus Species 0.000 description 1
- 206010038419 Renal colic Diseases 0.000 description 1
- 102100023150 Sodium channel protein type 2 subunit alpha Human genes 0.000 description 1
- 102100023720 Sodium channel protein type 3 subunit alpha Human genes 0.000 description 1
- 102100027195 Sodium channel protein type 4 subunit alpha Human genes 0.000 description 1
- 102100031371 Sodium channel protein type 8 subunit alpha Human genes 0.000 description 1
- 102100031367 Sodium channel protein type 9 subunit alpha Human genes 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 239000004133 Sodium thiosulphate Substances 0.000 description 1
- 208000010040 Sprains and Strains Diseases 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-N Succinic acid Natural products OC(=O)CCC(O)=O KDYFGRWQOYBRFD-UHFFFAOYSA-N 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 1
- 229920002253 Tannate Polymers 0.000 description 1
- FEWJPZIEWOKRBE-UHFFFAOYSA-N Tartaric acid Natural products [H+].[H+].[O-]C(=O)C(O)C(O)C([O-])=O FEWJPZIEWOKRBE-UHFFFAOYSA-N 0.000 description 1
- 206010043269 Tension headache Diseases 0.000 description 1
- 208000008548 Tension-Type Headache Diseases 0.000 description 1
- ZMZDMBWJUHKJPS-UHFFFAOYSA-M Thiocyanate anion Chemical compound [S-]C#N ZMZDMBWJUHKJPS-UHFFFAOYSA-M 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 208000030886 Traumatic Brain injury Diseases 0.000 description 1
- 239000007983 Tris buffer Substances 0.000 description 1
- 206010046543 Urinary incontinence Diseases 0.000 description 1
- 208000025609 Urogenital disease Diseases 0.000 description 1
- FZNCGRZWXLXZSZ-CIQUZCHMSA-N Voglibose Chemical compound OCC(CO)N[C@H]1C[C@](O)(CO)[C@@H](O)[C@H](O)[C@H]1O FZNCGRZWXLXZSZ-CIQUZCHMSA-N 0.000 description 1
- JFBZPFYRPYOZCQ-UHFFFAOYSA-N [Li].[Al] Chemical compound [Li].[Al] JFBZPFYRPYOZCQ-UHFFFAOYSA-N 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 239000000205 acacia gum Substances 0.000 description 1
- 235000010489 acacia gum Nutrition 0.000 description 1
- 108010076089 accutase Proteins 0.000 description 1
- IPBVNPXQWQGGJP-UHFFFAOYSA-N acetic acid phenyl ester Natural products CC(=O)OC1=CC=CC=C1 IPBVNPXQWQGGJP-UHFFFAOYSA-N 0.000 description 1
- 239000012445 acidic reagent Substances 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 239000012042 active reagent Substances 0.000 description 1
- 201000003229 acute pancreatitis Diseases 0.000 description 1
- WNLRTRBMVRJNCN-UHFFFAOYSA-L adipate(2-) Chemical compound [O-]C(=O)CCCCC([O-])=O WNLRTRBMVRJNCN-UHFFFAOYSA-L 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 239000000443 aerosol Substances 0.000 description 1
- IAJILQKETJEXLJ-RSJOWCBRSA-N aldehydo-D-galacturonic acid Chemical compound O=C[C@H](O)[C@@H](O)[C@@H](O)[C@H](O)C(O)=O IAJILQKETJEXLJ-RSJOWCBRSA-N 0.000 description 1
- 229940072056 alginate Drugs 0.000 description 1
- 235000010443 alginic acid Nutrition 0.000 description 1
- 229920000615 alginic acid Polymers 0.000 description 1
- 229910052783 alkali metal Inorganic materials 0.000 description 1
- 229910000272 alkali metal oxide Inorganic materials 0.000 description 1
- 229910052784 alkaline earth metal Inorganic materials 0.000 description 1
- 229910001860 alkaline earth metal hydroxide Inorganic materials 0.000 description 1
- 229940061720 alpha hydroxy acid Drugs 0.000 description 1
- 150000001280 alpha hydroxy acids Chemical class 0.000 description 1
- 239000004411 aluminium Substances 0.000 description 1
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 1
- 229910021529 ammonia Inorganic materials 0.000 description 1
- 229940043376 ammonium acetate Drugs 0.000 description 1
- 235000019257 ammonium acetate Nutrition 0.000 description 1
- 239000000908 ammonium hydroxide Substances 0.000 description 1
- 206010002026 amyotrophic lateral sclerosis Diseases 0.000 description 1
- 230000036592 analgesia Effects 0.000 description 1
- 238000010171 animal model Methods 0.000 description 1
- 230000003288 anthiarrhythmic effect Effects 0.000 description 1
- 230000001773 anti-convulsant effect Effects 0.000 description 1
- 230000001430 anti-depressive effect Effects 0.000 description 1
- 230000000573 anti-seizure effect Effects 0.000 description 1
- 239000003416 antiarrhythmic agent Substances 0.000 description 1
- 229940125681 anticonvulsant agent Drugs 0.000 description 1
- 239000001961 anticonvulsive agent Substances 0.000 description 1
- 239000000935 antidepressant agent Substances 0.000 description 1
- 229940005513 antidepressants Drugs 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 238000011225 antiretroviral therapy Methods 0.000 description 1
- 230000036506 anxiety Effects 0.000 description 1
- 230000006793 arrhythmia Effects 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 229940072107 ascorbate Drugs 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 229940009098 aspartate Drugs 0.000 description 1
- 235000003704 aspartic acid Nutrition 0.000 description 1
- 238000011914 asymmetric synthesis Methods 0.000 description 1
- 208000034757 axonal type 2FF Charcot-Marie-Tooth disease Diseases 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- UPABQMWFWCMOFV-UHFFFAOYSA-N benethamine Chemical compound C=1C=CC=CC=1CNCCC1=CC=CC=C1 UPABQMWFWCMOFV-UHFFFAOYSA-N 0.000 description 1
- 229940077388 benzenesulfonate Drugs 0.000 description 1
- OQFSQFPPLPISGP-UHFFFAOYSA-N beta-carboxyaspartic acid Natural products OC(=O)C(N)C(C(O)=O)C(O)=O OQFSQFPPLPISGP-UHFFFAOYSA-N 0.000 description 1
- 239000012472 biological sample Substances 0.000 description 1
- 229910052797 bismuth Inorganic materials 0.000 description 1
- JCXGWMGPZLAOME-UHFFFAOYSA-N bismuth atom Chemical compound [Bi] JCXGWMGPZLAOME-UHFFFAOYSA-N 0.000 description 1
- 208000029162 bladder disease Diseases 0.000 description 1
- 230000036765 blood level Effects 0.000 description 1
- 229910052796 boron Inorganic materials 0.000 description 1
- 210000003461 brachial plexus Anatomy 0.000 description 1
- 210000000481 breast Anatomy 0.000 description 1
- 229910052794 bromium Inorganic materials 0.000 description 1
- 150000001649 bromium compounds Chemical class 0.000 description 1
- 239000006172 buffering agent Substances 0.000 description 1
- KDYFGRWQOYBRFD-NUQCWPJISA-N butanedioic acid Chemical compound O[14C](=O)CC[14C](O)=O KDYFGRWQOYBRFD-NUQCWPJISA-N 0.000 description 1
- 125000000484 butyl group Chemical group [H]C([*])([H])C([H])([H])C([H])([H])C([H])([H])[H] 0.000 description 1
- 229910052792 caesium Inorganic materials 0.000 description 1
- TVFDJXOCXUVLDH-UHFFFAOYSA-N caesium atom Chemical compound [Cs] TVFDJXOCXUVLDH-UHFFFAOYSA-N 0.000 description 1
- 229960005069 calcium Drugs 0.000 description 1
- 229910000019 calcium carbonate Inorganic materials 0.000 description 1
- FATUQANACHZLRT-KMRXSBRUSA-L calcium glucoheptonate Chemical compound [Ca+2].OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C(O)C([O-])=O.OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C(O)C([O-])=O FATUQANACHZLRT-KMRXSBRUSA-L 0.000 description 1
- 239000001506 calcium phosphate Substances 0.000 description 1
- 229910000389 calcium phosphate Inorganic materials 0.000 description 1
- 235000011010 calcium phosphates Nutrition 0.000 description 1
- 238000011088 calibration curve Methods 0.000 description 1
- 239000007894 caplet Substances 0.000 description 1
- FFGPTBGBLSHEPO-UHFFFAOYSA-N carbamazepine Chemical compound C1=CC2=CC=CC=C2N(C(=O)N)C2=CC=CC=C21 FFGPTBGBLSHEPO-UHFFFAOYSA-N 0.000 description 1
- 229960000623 carbamazepine Drugs 0.000 description 1
- AOGYCOYQMAVAFD-UHFFFAOYSA-M carbonochloridate Chemical compound [O-]C(Cl)=O AOGYCOYQMAVAFD-UHFFFAOYSA-M 0.000 description 1
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 150000001732 carboxylic acid derivatives Chemical class 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 210000004413 cardiac myocyte Anatomy 0.000 description 1
- 210000000748 cardiovascular system Anatomy 0.000 description 1
- 239000000969 carrier Substances 0.000 description 1
- 230000015556 catabolic process Effects 0.000 description 1
- 125000002091 cationic group Chemical group 0.000 description 1
- 238000004113 cell culture Methods 0.000 description 1
- 230000004700 cellular uptake Effects 0.000 description 1
- 239000001913 cellulose Substances 0.000 description 1
- 229920002678 cellulose Polymers 0.000 description 1
- 206010008118 cerebral infarction Diseases 0.000 description 1
- 238000012062 charged aerosol detection Methods 0.000 description 1
- 239000002738 chelating agent Substances 0.000 description 1
- 150000005829 chemical entities Chemical class 0.000 description 1
- 238000001311 chemical methods and process Methods 0.000 description 1
- 239000013626 chemical specie Substances 0.000 description 1
- PJGJQVRXEUVAFT-UHFFFAOYSA-N chloroiodomethane Chemical compound ClCI PJGJQVRXEUVAFT-UHFFFAOYSA-N 0.000 description 1
- JYWJULGYGOLCGW-UHFFFAOYSA-N chloromethyl chloroformate Chemical compound ClCOC(Cl)=O JYWJULGYGOLCGW-UHFFFAOYSA-N 0.000 description 1
- VDANGULDQQJODZ-UHFFFAOYSA-N chloroprocaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1Cl VDANGULDQQJODZ-UHFFFAOYSA-N 0.000 description 1
- 229960002023 chloroprocaine Drugs 0.000 description 1
- CRQQGFGUEAVUIL-UHFFFAOYSA-N chlorothalonil Chemical compound ClC1=C(Cl)C(C#N)=C(Cl)C(C#N)=C1Cl CRQQGFGUEAVUIL-UHFFFAOYSA-N 0.000 description 1
- IJOOHPMOJXWVHK-UHFFFAOYSA-N chlorotrimethylsilane Chemical compound C[Si](C)(C)Cl IJOOHPMOJXWVHK-UHFFFAOYSA-N 0.000 description 1
- 201000001352 cholecystitis Diseases 0.000 description 1
- OEYIOHPDSNJKLS-UHFFFAOYSA-N choline Chemical compound C[N+](C)(C)CCO OEYIOHPDSNJKLS-UHFFFAOYSA-N 0.000 description 1
- 229960001231 choline Drugs 0.000 description 1
- LOUPRKONTZGTKE-UHFFFAOYSA-N cinchonine Natural products C1C(C(C2)C=C)CCN2C1C(O)C1=CC=NC2=CC=C(OC)C=C21 LOUPRKONTZGTKE-UHFFFAOYSA-N 0.000 description 1
- 229940114081 cinnamate Drugs 0.000 description 1
- 229930016911 cinnamic acid Natural products 0.000 description 1
- 235000013985 cinnamic acid Nutrition 0.000 description 1
- 229940001468 citrate Drugs 0.000 description 1
- 238000003776 cleavage reaction Methods 0.000 description 1
- CJXAEXPPLWQRFR-UHFFFAOYSA-N clemizole Chemical compound C1=CC(Cl)=CC=C1CN1C2=CC=CC=C2N=C1CN1CCCC1 CJXAEXPPLWQRFR-UHFFFAOYSA-N 0.000 description 1
- 229950002020 clemizole Drugs 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 229960004126 codeine Drugs 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 239000012230 colorless oil Substances 0.000 description 1
- 238000004440 column chromatography Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 239000013058 crude material Substances 0.000 description 1
- 230000008025 crystallization Effects 0.000 description 1
- 229940109275 cyclamate Drugs 0.000 description 1
- 125000000113 cyclohexyl group Chemical group [H]C1([H])C([H])([H])C([H])([H])C([H])(*)C([H])([H])C1([H])[H] 0.000 description 1
- 229960002887 deanol Drugs 0.000 description 1
- GHVNFZFCNZKVNT-UHFFFAOYSA-M decanoate Chemical compound CCCCCCCCCC([O-])=O GHVNFZFCNZKVNT-UHFFFAOYSA-M 0.000 description 1
- GHVNFZFCNZKVNT-UHFFFAOYSA-N decanoic acid Chemical compound CCCCCCCCCC(O)=O GHVNFZFCNZKVNT-UHFFFAOYSA-N 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 229910052805 deuterium Inorganic materials 0.000 description 1
- 125000004431 deuterium atom Chemical group 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 150000008050 dialkyl sulfates Chemical class 0.000 description 1
- ACYGYJFTZSAZKR-UHFFFAOYSA-J dicalcium;2-[2-[bis(carboxylatomethyl)amino]ethyl-(carboxylatomethyl)amino]acetate Chemical compound [Ca+2].[Ca+2].[O-]C(=O)CN(CC([O-])=O)CCN(CC([O-])=O)CC([O-])=O ACYGYJFTZSAZKR-UHFFFAOYSA-J 0.000 description 1
- 125000004786 difluoromethoxy group Chemical group [H]C(F)(F)O* 0.000 description 1
- XYYVYLMBEZUESM-UHFFFAOYSA-N dihydrocodeine Natural products C1C(N(CCC234)C)C2C=CC(=O)C3OC2=C4C1=CC=C2OC XYYVYLMBEZUESM-UHFFFAOYSA-N 0.000 description 1
- HBGGXOJOCNVPFY-UHFFFAOYSA-N diisononyl phthalate Chemical compound CC(C)CCCCCCOC(=O)C1=CC=CC=C1C(=O)OCCCCCCC(C)C HBGGXOJOCNVPFY-UHFFFAOYSA-N 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 125000000118 dimethyl group Chemical group [H]C([H])([H])* 0.000 description 1
- 125000002147 dimethylamino group Chemical group [H]C([H])([H])N(*)C([H])([H])[H] 0.000 description 1
- 239000012972 dimethylethanolamine Substances 0.000 description 1
- GAFRWLVTHPVQGK-UHFFFAOYSA-N dipentyl sulfate Chemical class CCCCCOS(=O)(=O)OCCCCC GAFRWLVTHPVQGK-UHFFFAOYSA-N 0.000 description 1
- 239000007884 disintegrant Substances 0.000 description 1
- 238000004090 dissolution Methods 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- WDUDHEOUGWAKFD-UHFFFAOYSA-N ditert-butyl(cyclopenta-2,4-dien-1-yl)phosphane;iron(2+) Chemical compound [Fe+2].CC(C)(C)P(C(C)(C)C)C1=CC=C[CH-]1.CC(C)(C)P(C(C)(C)C)C1=CC=C[CH-]1 WDUDHEOUGWAKFD-UHFFFAOYSA-N 0.000 description 1
- POULHZVOKOAJMA-UHFFFAOYSA-M dodecanoate Chemical compound CCCCCCCCCCCC([O-])=O POULHZVOKOAJMA-UHFFFAOYSA-M 0.000 description 1
- 229960003638 dopamine Drugs 0.000 description 1
- 239000002552 dosage form Substances 0.000 description 1
- 231100000673 dose–response relationship Toxicity 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 229960002866 duloxetine Drugs 0.000 description 1
- 229940009662 edetate Drugs 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 229950005627 embonate Drugs 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 239000000839 emulsion Substances 0.000 description 1
- 238000001976 enzyme digestion Methods 0.000 description 1
- 230000001667 episodic effect Effects 0.000 description 1
- 238000011067 equilibration Methods 0.000 description 1
- 230000032050 esterification Effects 0.000 description 1
- AFAXGSQYZLGZPG-UHFFFAOYSA-L ethane-1,2-disulfonate Chemical compound [O-]S(=O)(=O)CCS([O-])(=O)=O AFAXGSQYZLGZPG-UHFFFAOYSA-L 0.000 description 1
- LJQKCYFTNDAAPC-UHFFFAOYSA-N ethanol;ethyl acetate Chemical compound CCO.CCOC(C)=O LJQKCYFTNDAAPC-UHFFFAOYSA-N 0.000 description 1
- SRCZQMGIVIYBBJ-UHFFFAOYSA-N ethoxyethane;ethyl acetate Chemical compound CCOCC.CCOC(C)=O SRCZQMGIVIYBBJ-UHFFFAOYSA-N 0.000 description 1
- DEFVIWRASFVYLL-UHFFFAOYSA-N ethylene glycol bis(2-aminoethyl)tetraacetic acid Chemical compound OC(=O)CN(CC(O)=O)CCOCCOCCN(CC(O)=O)CC(O)=O DEFVIWRASFVYLL-UHFFFAOYSA-N 0.000 description 1
- 229940012017 ethylenediamine Drugs 0.000 description 1
- 229940071106 ethylenediaminetetraacetate Drugs 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 201000000182 femoral cancer Diseases 0.000 description 1
- 229960002428 fentanyl Drugs 0.000 description 1
- IVLVTNPOHDFFCJ-UHFFFAOYSA-N fentanyl citrate Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O.C=1C=CC=CC=1N(C(=O)CC)C(CC1)CCN1CCC1=CC=CC=C1 IVLVTNPOHDFFCJ-UHFFFAOYSA-N 0.000 description 1
- 235000019634 flavors Nutrition 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 229910052731 fluorine Inorganic materials 0.000 description 1
- 239000011737 fluorine Chemical group 0.000 description 1
- 125000003709 fluoroalkyl group Chemical group 0.000 description 1
- 235000013355 food flavoring agent Nutrition 0.000 description 1
- 235000003599 food sweetener Nutrition 0.000 description 1
- 239000001530 fumaric acid Substances 0.000 description 1
- 229960002870 gabapentin Drugs 0.000 description 1
- DSLZVSRJTYRBFB-DUHBMQHGSA-N galactaric acid Chemical compound OC(=O)[C@H](O)[C@@H](O)[C@@H](O)[C@H](O)C(O)=O DSLZVSRJTYRBFB-DUHBMQHGSA-N 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 238000001030 gas--liquid chromatography Methods 0.000 description 1
- 230000005176 gastrointestinal motility Effects 0.000 description 1
- 238000007429 general method Methods 0.000 description 1
- 230000002068 genetic effect Effects 0.000 description 1
- 229960001731 gluceptate Drugs 0.000 description 1
- KWMLJOLKUYYJFJ-VFUOTHLCSA-N glucoheptonic acid Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)[C@@H](O)C(O)=O KWMLJOLKUYYJFJ-VFUOTHLCSA-N 0.000 description 1
- 229940050410 gluconate Drugs 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 229940097042 glucuronate Drugs 0.000 description 1
- 229940097043 glucuronic acid Drugs 0.000 description 1
- 229930195712 glutamate Natural products 0.000 description 1
- 229940049906 glutamate Drugs 0.000 description 1
- 239000004220 glutamic acid Substances 0.000 description 1
- 235000013922 glutamic acid Nutrition 0.000 description 1
- JFCQEDHGNNZCLN-UHFFFAOYSA-N glutaric acid Chemical compound OC(=O)CCCC(O)=O JFCQEDHGNNZCLN-UHFFFAOYSA-N 0.000 description 1
- 229960004275 glycolic acid Drugs 0.000 description 1
- 239000008187 granular material Substances 0.000 description 1
- 239000003979 granulating agent Substances 0.000 description 1
- 239000001963 growth medium Substances 0.000 description 1
- 231100000869 headache Toxicity 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 239000001307 helium Substances 0.000 description 1
- 229910052734 helium Inorganic materials 0.000 description 1
- SWQJXJOGLNCZEY-UHFFFAOYSA-N helium atom Chemical compound [He] SWQJXJOGLNCZEY-UHFFFAOYSA-N 0.000 description 1
- IPCSVZSSVZVIGE-UHFFFAOYSA-M hexadecanoate Chemical compound CCCCCCCCCCCCCCCC([O-])=O IPCSVZSSVZVIGE-UHFFFAOYSA-M 0.000 description 1
- FUZZWVXGSFPDMH-UHFFFAOYSA-M hexanoate Chemical compound CCCCCC([O-])=O FUZZWVXGSFPDMH-UHFFFAOYSA-M 0.000 description 1
- FUZZWVXGSFPDMH-UHFFFAOYSA-N hexanoic acid Chemical compound CCCCCC(O)=O FUZZWVXGSFPDMH-UHFFFAOYSA-N 0.000 description 1
- 229960002885 histidine Drugs 0.000 description 1
- 102000049218 human SCN10A Human genes 0.000 description 1
- 239000003906 humectant Substances 0.000 description 1
- XGIHQYAWBCFNPY-AZOCGYLKSA-N hydrabamine Chemical compound C([C@@H]12)CC3=CC(C(C)C)=CC=C3[C@@]2(C)CCC[C@@]1(C)CNCCNC[C@@]1(C)[C@@H]2CCC3=CC(C(C)C)=CC=C3[C@@]2(C)CCC1 XGIHQYAWBCFNPY-AZOCGYLKSA-N 0.000 description 1
- 229930195733 hydrocarbon Natural products 0.000 description 1
- LLPOLZWFYMWNKH-CMKMFDCUSA-N hydrocodone Chemical compound C([C@H]1[C@H](N(CC[C@@]112)C)C3)CC(=O)[C@@H]1OC1=C2C3=CC=C1OC LLPOLZWFYMWNKH-CMKMFDCUSA-N 0.000 description 1
- 229960000240 hydrocodone Drugs 0.000 description 1
- XMBWDFGMSWQBCA-UHFFFAOYSA-N hydrogen iodide Chemical compound I XMBWDFGMSWQBCA-UHFFFAOYSA-N 0.000 description 1
- ZMZDMBWJUHKJPS-UHFFFAOYSA-N hydrogen thiocyanate Natural products SC#N ZMZDMBWJUHKJPS-UHFFFAOYSA-N 0.000 description 1
- QAOWNCQODCNURD-UHFFFAOYSA-M hydrogensulfate Chemical compound OS([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-M 0.000 description 1
- 239000001863 hydroxypropyl cellulose Substances 0.000 description 1
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 description 1
- 239000005457 ice water Substances 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 230000000415 inactivating effect Effects 0.000 description 1
- 230000002779 inactivation Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 230000004968 inflammatory condition Effects 0.000 description 1
- 230000028709 inflammatory response Effects 0.000 description 1
- 230000004941 influx Effects 0.000 description 1
- 238000002329 infrared spectrum Methods 0.000 description 1
- 239000004615 ingredient Substances 0.000 description 1
- 230000000977 initiatory effect Effects 0.000 description 1
- 208000003243 intestinal obstruction Diseases 0.000 description 1
- 230000003834 intracellular effect Effects 0.000 description 1
- 238000010255 intramuscular injection Methods 0.000 description 1
- 239000007927 intramuscular injection Substances 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 150000004694 iodide salts Chemical class 0.000 description 1
- 239000011630 iodine Chemical group 0.000 description 1
- HVTICUPFWKNHNG-UHFFFAOYSA-N iodoethane Chemical compound CCI HVTICUPFWKNHNG-UHFFFAOYSA-N 0.000 description 1
- 125000000959 isobutyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])* 0.000 description 1
- KQNPFQTWMSNSAP-UHFFFAOYSA-N isobutyric acid Chemical compound CC(C)C(O)=O KQNPFQTWMSNSAP-UHFFFAOYSA-N 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 125000001972 isopentyl group Chemical group [H]C([H])([H])C([H])(C([H])([H])[H])C([H])([H])C([H])([H])* 0.000 description 1
- 229960004125 ketoconazole Drugs 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 229940001447 lactate Drugs 0.000 description 1
- 229940099584 lactobionate Drugs 0.000 description 1
- JYTUSYBCFIZPBE-AMTLMPIISA-N lactobionic acid Chemical compound OC(=O)[C@H](O)[C@@H](O)[C@@H]([C@H](O)CO)O[C@@H]1O[C@H](CO)[C@H](O)[C@H](O)[C@H]1O JYTUSYBCFIZPBE-AMTLMPIISA-N 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 229940070765 laurate Drugs 0.000 description 1
- 239000010410 layer Substances 0.000 description 1
- 229960004194 lidocaine Drugs 0.000 description 1
- 238000011542 limb amputation Methods 0.000 description 1
- 238000004811 liquid chromatography Methods 0.000 description 1
- 239000008297 liquid dosage form Substances 0.000 description 1
- 230000033001 locomotion Effects 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 235000019359 magnesium stearate Nutrition 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
- 229940049920 malate Drugs 0.000 description 1
- 239000011976 maleic acid Substances 0.000 description 1
- BJEPYKJPYRNKOW-UHFFFAOYSA-N malic acid Chemical compound OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 description 1
- 230000003211 malignant effect Effects 0.000 description 1
- IWYDHOAUDWTVEP-UHFFFAOYSA-M mandelate Chemical compound [O-]C(=O)C(O)C1=CC=CC=C1 IWYDHOAUDWTVEP-UHFFFAOYSA-M 0.000 description 1
- 229960002510 mandelic acid Drugs 0.000 description 1
- 229910052748 manganese Inorganic materials 0.000 description 1
- 239000011572 manganese Substances 0.000 description 1
- WPBNNNQJVZRUHP-UHFFFAOYSA-L manganese(2+);methyl n-[[2-(methoxycarbonylcarbamothioylamino)phenyl]carbamothioyl]carbamate;n-[2-(sulfidocarbothioylamino)ethyl]carbamodithioate Chemical compound [Mn+2].[S-]C(=S)NCCNC([S-])=S.COC(=O)NC(=S)NC1=CC=CC=C1NC(=S)NC(=O)OC WPBNNNQJVZRUHP-UHFFFAOYSA-L 0.000 description 1
- 230000000873 masking effect Effects 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 229960003194 meglumine Drugs 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- QSHDDOUJBYECFT-UHFFFAOYSA-N mercury Chemical compound [Hg] QSHDDOUJBYECFT-UHFFFAOYSA-N 0.000 description 1
- 229910052753 mercury Inorganic materials 0.000 description 1
- 108020004999 messenger RNA Proteins 0.000 description 1
- 230000010120 metabolic dysregulation Effects 0.000 description 1
- 230000002503 metabolic effect Effects 0.000 description 1
- LVWZTYCIRDMTEY-UHFFFAOYSA-N metamizole Chemical compound O=C1C(N(CS(O)(=O)=O)C)=C(C)N(C)N1C1=CC=CC=C1 LVWZTYCIRDMTEY-UHFFFAOYSA-N 0.000 description 1
- 229940098779 methanesulfonic acid Drugs 0.000 description 1
- ISBKZHUQXJKCKP-UHFFFAOYSA-N methyl 2-bromo-5-(trifluoromethyl)benzoate Chemical compound COC(=O)C1=CC(C(F)(F)F)=CC=C1Br ISBKZHUQXJKCKP-UHFFFAOYSA-N 0.000 description 1
- BIECSXCXIXHDBC-UHFFFAOYSA-N methyl 2-bromo-5-chlorobenzoate Chemical compound COC(=O)C1=CC(Cl)=CC=C1Br BIECSXCXIXHDBC-UHFFFAOYSA-N 0.000 description 1
- CAAULPUQFIIOTL-UHFFFAOYSA-N methyl dihydrogen phosphate Chemical compound COP(O)(O)=O CAAULPUQFIIOTL-UHFFFAOYSA-N 0.000 description 1
- WBYWAXJHAXSJNI-UHFFFAOYSA-N methyl p-hydroxycinnamate Natural products OC(=O)C=CC1=CC=CC=C1 WBYWAXJHAXSJNI-UHFFFAOYSA-N 0.000 description 1
- JZMJDSHXVKJFKW-UHFFFAOYSA-M methyl sulfate(1-) Chemical compound COS([O-])(=O)=O JZMJDSHXVKJFKW-UHFFFAOYSA-M 0.000 description 1
- 125000000250 methylamino group Chemical group [H]N(*)C([H])([H])[H] 0.000 description 1
- 229960003404 mexiletine Drugs 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 239000003607 modifier Substances 0.000 description 1
- BDRTVPCFKSUHCJ-UHFFFAOYSA-N molecular hydrogen;potassium Chemical compound [K].[H][H] BDRTVPCFKSUHCJ-UHFFFAOYSA-N 0.000 description 1
- 229960005181 morphine Drugs 0.000 description 1
- 230000035772 mutation Effects 0.000 description 1
- 125000000740 n-pentyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- 125000004123 n-propyl group Chemical group [H]C([H])([H])C([H])([H])C([H])([H])* 0.000 description 1
- XTEGVFVZDVNBPF-UHFFFAOYSA-L naphthalene-1,5-disulfonate(2-) Chemical compound C1=CC=C2C(S(=O)(=O)[O-])=CC=CC2=C1S([O-])(=O)=O XTEGVFVZDVNBPF-UHFFFAOYSA-L 0.000 description 1
- KVBGVZZKJNLNJU-UHFFFAOYSA-N naphthalene-2-sulfonic acid Chemical compound C1=CC=CC2=CC(S(=O)(=O)O)=CC=C21 KVBGVZZKJNLNJU-UHFFFAOYSA-N 0.000 description 1
- 125000001971 neopentyl group Chemical group [H]C([*])([H])C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 210000004126 nerve fiber Anatomy 0.000 description 1
- 208000015122 neurodegenerative disease Diseases 0.000 description 1
- 208000015706 neuroendocrine disease Diseases 0.000 description 1
- 230000008587 neuronal excitability Effects 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 235000001968 nicotinic acid Nutrition 0.000 description 1
- 239000011664 nicotinic acid Substances 0.000 description 1
- 229910017604 nitric acid Inorganic materials 0.000 description 1
- 125000004433 nitrogen atom Chemical group N* 0.000 description 1
- QJGQUHMNIGDVPM-UHFFFAOYSA-N nitrogen group Chemical group [N] QJGQUHMNIGDVPM-UHFFFAOYSA-N 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- QIQXTHQIDYTFRH-UHFFFAOYSA-N octadecanoic acid Chemical compound CCCCCCCCCCCCCCCCCC(O)=O QIQXTHQIDYTFRH-UHFFFAOYSA-N 0.000 description 1
- 229940049964 oleate Drugs 0.000 description 1
- ZQPPMHVWECSIRJ-KTKRTIGZSA-N oleic acid Chemical compound CCCCCCCC\C=C/CCCCCCCC(O)=O ZQPPMHVWECSIRJ-KTKRTIGZSA-N 0.000 description 1
- 229940127240 opiate Drugs 0.000 description 1
- 239000006186 oral dosage form Substances 0.000 description 1
- 239000012074 organic phase Substances 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 229960003104 ornithine Drugs 0.000 description 1
- 229940116315 oxalic acid Drugs 0.000 description 1
- 235000006408 oxalic acid Nutrition 0.000 description 1
- 125000003431 oxalo group Chemical group 0.000 description 1
- 230000003647 oxidation Effects 0.000 description 1
- 238000007254 oxidation reaction Methods 0.000 description 1
- 229960002085 oxycodone Drugs 0.000 description 1
- 229960005118 oxymorphone Drugs 0.000 description 1
- 208000005877 painful neuropathy Diseases 0.000 description 1
- 229910052763 palladium Inorganic materials 0.000 description 1
- NXJCBFBQEVOTOW-UHFFFAOYSA-L palladium(2+);dihydroxide Chemical compound O[Pd]O NXJCBFBQEVOTOW-UHFFFAOYSA-L 0.000 description 1
- UQPUONNXJVWHRM-UHFFFAOYSA-N palladium;triphenylphosphane Chemical compound [Pd].C1=CC=CC=C1P(C=1C=CC=CC=1)C1=CC=CC=C1 UQPUONNXJVWHRM-UHFFFAOYSA-N 0.000 description 1
- 229940014662 pantothenate Drugs 0.000 description 1
- 235000019161 pantothenic acid Nutrition 0.000 description 1
- 239000011713 pantothenic acid Substances 0.000 description 1
- FJKROLUGYXJWQN-UHFFFAOYSA-N papa-hydroxy-benzoic acid Natural products OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 1
- 229960005489 paracetamol Drugs 0.000 description 1
- 229920002866 paraformaldehyde Polymers 0.000 description 1
- 235000019371 penicillin G benzathine Nutrition 0.000 description 1
- 125000006340 pentafluoro ethyl group Chemical group FC(F)(F)C(F)(F)* 0.000 description 1
- 125000001147 pentyl group Chemical group C(CCCC)* 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 210000001428 peripheral nervous system Anatomy 0.000 description 1
- JRKICGRDRMAZLK-UHFFFAOYSA-L peroxydisulfate Chemical compound [O-]S(=O)(=O)OOS([O-])(=O)=O JRKICGRDRMAZLK-UHFFFAOYSA-L 0.000 description 1
- 229940124531 pharmaceutical excipient Drugs 0.000 description 1
- 239000012071 phase Substances 0.000 description 1
- 239000003444 phase transfer catalyst Substances 0.000 description 1
- DDBREPKUVSBGFI-UHFFFAOYSA-N phenobarbital Chemical compound C=1C=CC=CC=1C1(CC)C(=O)NC(=O)NC1=O DDBREPKUVSBGFI-UHFFFAOYSA-N 0.000 description 1
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 description 1
- 229940049953 phenylacetate Drugs 0.000 description 1
- WLJVXDMOQOGPHL-UHFFFAOYSA-N phenylacetic acid Chemical compound OC(=O)CC1=CC=CC=C1 WLJVXDMOQOGPHL-UHFFFAOYSA-N 0.000 description 1
- LFGREXWGYUGZLY-UHFFFAOYSA-N phosphoryl Chemical group [P]=O LFGREXWGYUGZLY-UHFFFAOYSA-N 0.000 description 1
- 239000006187 pill Substances 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 229920002223 polystyrene Polymers 0.000 description 1
- 229960003975 potassium Drugs 0.000 description 1
- 108010083945 potassium channel protein TREK-1 Proteins 0.000 description 1
- 238000000634 powder X-ray diffraction Methods 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- AYXYPKUFHZROOJ-ZETCQYMHSA-N pregabalin Chemical compound CC(C)C[C@H](CN)CC(O)=O AYXYPKUFHZROOJ-ZETCQYMHSA-N 0.000 description 1
- 229960001233 pregabalin Drugs 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 150000003141 primary amines Chemical class 0.000 description 1
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 1
- DQMZLTXERSFNPB-UHFFFAOYSA-N primidone Chemical compound C=1C=CC=CC=1C1(CC)C(=O)NCNC1=O DQMZLTXERSFNPB-UHFFFAOYSA-N 0.000 description 1
- 229960002393 primidone Drugs 0.000 description 1
- MFDFERRIHVXMIY-UHFFFAOYSA-N procaine Chemical compound CCN(CC)CCOC(=O)C1=CC=C(N)C=C1 MFDFERRIHVXMIY-UHFFFAOYSA-N 0.000 description 1
- 229960004919 procaine Drugs 0.000 description 1
- 239000000047 product Substances 0.000 description 1
- 230000000069 prophylactic effect Effects 0.000 description 1
- 201000007094 prostatitis Diseases 0.000 description 1
- 230000009979 protective mechanism Effects 0.000 description 1
- 230000006920 protein precipitation Effects 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- 229940043131 pyroglutamate Drugs 0.000 description 1
- 229940076788 pyruvate Drugs 0.000 description 1
- 229940107700 pyruvic acid Drugs 0.000 description 1
- 238000005956 quaternization reaction Methods 0.000 description 1
- 229960000948 quinine Drugs 0.000 description 1
- 239000002516 radical scavenger Substances 0.000 description 1
- 230000002285 radioactive effect Effects 0.000 description 1
- 238000001959 radiotherapy Methods 0.000 description 1
- 230000009257 reactivity Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 238000004366 reverse phase liquid chromatography Methods 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 238000007363 ring formation reaction Methods 0.000 description 1
- 229960001860 salicylate Drugs 0.000 description 1
- YGSDEFSMJLZEOE-UHFFFAOYSA-M salicylate Chemical compound OC1=CC=CC=C1C([O-])=O YGSDEFSMJLZEOE-UHFFFAOYSA-M 0.000 description 1
- 229960004889 salicylic acid Drugs 0.000 description 1
- 238000007127 saponification reaction Methods 0.000 description 1
- 230000007017 scission Effects 0.000 description 1
- 229940116351 sebacate Drugs 0.000 description 1
- CXMXRPHRNRROMY-UHFFFAOYSA-L sebacate(2-) Chemical compound [O-]C(=O)CCCCCCCCC([O-])=O CXMXRPHRNRROMY-UHFFFAOYSA-L 0.000 description 1
- 150000003335 secondary amines Chemical class 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000013207 serial dilution Methods 0.000 description 1
- 208000007056 sickle cell anemia Diseases 0.000 description 1
- 238000007086 side reaction Methods 0.000 description 1
- 230000011664 signaling Effects 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 201000009890 sinusitis Diseases 0.000 description 1
- 210000002027 skeletal muscle Anatomy 0.000 description 1
- 150000003384 small molecules Chemical class 0.000 description 1
- AWUCVROLDVIAJX-GSVOUGTGSA-N sn-glycerol 3-phosphate Chemical compound OC[C@@H](O)COP(O)(O)=O AWUCVROLDVIAJX-GSVOUGTGSA-N 0.000 description 1
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 1
- 235000017557 sodium bicarbonate Nutrition 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 159000000000 sodium salts Chemical class 0.000 description 1
- AKHNMLFCWUSKQB-UHFFFAOYSA-L sodium thiosulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=S AKHNMLFCWUSKQB-UHFFFAOYSA-L 0.000 description 1
- 235000019345 sodium thiosulphate Nutrition 0.000 description 1
- 239000007909 solid dosage form Substances 0.000 description 1
- 239000007790 solid phase Substances 0.000 description 1
- 238000004611 spectroscopical analysis Methods 0.000 description 1
- 238000001228 spectrum Methods 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 229940114926 stearate Drugs 0.000 description 1
- 238000010254 subcutaneous injection Methods 0.000 description 1
- 239000007929 subcutaneous injection Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- KDYFGRWQOYBRFD-UHFFFAOYSA-L succinate(2-) Chemical compound [O-]C(=O)CCC([O-])=O KDYFGRWQOYBRFD-UHFFFAOYSA-L 0.000 description 1
- IIACRCGMVDHOTQ-UHFFFAOYSA-M sulfamate Chemical compound NS([O-])(=O)=O IIACRCGMVDHOTQ-UHFFFAOYSA-M 0.000 description 1
- 150000003457 sulfones Chemical class 0.000 description 1
- 150000003462 sulfoxides Chemical class 0.000 description 1
- 229910052717 sulfur Inorganic materials 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 239000003765 sweetening agent Substances 0.000 description 1
- 238000010189 synthetic method Methods 0.000 description 1
- 239000006188 syrup Substances 0.000 description 1
- 235000020357 syrup Nutrition 0.000 description 1
- 238000007910 systemic administration Methods 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 239000000454 talc Substances 0.000 description 1
- 229910052623 talc Inorganic materials 0.000 description 1
- 239000011975 tartaric acid Substances 0.000 description 1
- 235000002906 tartaric acid Nutrition 0.000 description 1
- 229940095064 tartrate Drugs 0.000 description 1
- 210000001738 temporomandibular joint Anatomy 0.000 description 1
- 229950002757 teoclate Drugs 0.000 description 1
- YBRBMKDOPFTVDT-UHFFFAOYSA-N tert-butylamine Chemical compound CC(C)(C)N YBRBMKDOPFTVDT-UHFFFAOYSA-N 0.000 description 1
- 125000001981 tert-butyldimethylsilyl group Chemical group [H]C([H])([H])[Si]([H])(C([H])([H])[H])[*]C(C([H])([H])[H])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 150000003512 tertiary amines Chemical class 0.000 description 1
- 125000006337 tetrafluoro ethyl group Chemical group 0.000 description 1
- CZDYPVPMEAXLPK-UHFFFAOYSA-N tetramethylsilane Chemical compound C[Si](C)(C)C CZDYPVPMEAXLPK-UHFFFAOYSA-N 0.000 description 1
- CFMYXEVWODSLAX-QOZOJKKESA-N tetrodotoxin Chemical compound O([C@@]([C@H]1O)(O)O[C@H]2[C@@]3(O)CO)[C@H]3[C@@H](O)[C@]11[C@H]2[C@@H](O)N=C(N)N1 CFMYXEVWODSLAX-QOZOJKKESA-N 0.000 description 1
- 229950010357 tetrodotoxin Drugs 0.000 description 1
- CFMYXEVWODSLAX-UHFFFAOYSA-N tetrodotoxin Natural products C12C(O)NC(=N)NC2(C2O)C(O)C3C(CO)(O)C1OC2(O)O3 CFMYXEVWODSLAX-UHFFFAOYSA-N 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 238000003354 tissue distribution assay Methods 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 210000003371 toe Anatomy 0.000 description 1
- 238000011200 topical administration Methods 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- LLPOLZWFYMWNKH-UHFFFAOYSA-N trans-dihydrocodeinone Natural products C1C(N(CCC234)C)C2CCC(=O)C3OC2=C4C1=CC=C2OC LLPOLZWFYMWNKH-UHFFFAOYSA-N 0.000 description 1
- 230000009529 traumatic brain injury Effects 0.000 description 1
- QORWJWZARLRLPR-UHFFFAOYSA-H tricalcium bis(phosphate) Chemical compound [Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O QORWJWZARLRLPR-UHFFFAOYSA-H 0.000 description 1
- BAVYZALUXZFZLV-FIBGUPNXSA-N trideuteriomethanamine Chemical compound [2H]C([2H])([2H])N BAVYZALUXZFZLV-FIBGUPNXSA-N 0.000 description 1
- ITMCEJHCFYSIIV-UHFFFAOYSA-M triflate Chemical compound [O-]S(=O)(=O)C(F)(F)F ITMCEJHCFYSIIV-UHFFFAOYSA-M 0.000 description 1
- 208000014637 trigeminal autonomic cephalalgia Diseases 0.000 description 1
- 125000000026 trimethylsilyl group Chemical group [H]C([H])([H])[Si]([*])(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
- 229960000281 trometamol Drugs 0.000 description 1
- ZDPHROOEEOARMN-UHFFFAOYSA-N undecanoic acid Chemical compound CCCCCCCCCCC(O)=O ZDPHROOEEOARMN-UHFFFAOYSA-N 0.000 description 1
- 229940075466 undecylenate Drugs 0.000 description 1
- 208000026533 urinary bladder disease Diseases 0.000 description 1
- 229940070710 valerate Drugs 0.000 description 1
- NQPDZGIKBAWPEJ-UHFFFAOYSA-N valeric acid Chemical compound CCCCC(O)=O NQPDZGIKBAWPEJ-UHFFFAOYSA-N 0.000 description 1
- 239000000080 wetting agent Substances 0.000 description 1
- 238000010626 work up procedure Methods 0.000 description 1
- UGOMMVLRQDMAQQ-UHFFFAOYSA-N xphos Chemical group CC(C)C1=CC(C(C)C)=CC(C(C)C)=C1C1=CC=CC=C1P(C1CCCCC1)C1CCCCC1 UGOMMVLRQDMAQQ-UHFFFAOYSA-N 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07F—ACYCLIC, CARBOCYCLIC OR HETEROCYCLIC COMPOUNDS CONTAINING ELEMENTS OTHER THAN CARBON, HYDROGEN, HALOGEN, OXYGEN, NITROGEN, SULFUR, SELENIUM OR TELLURIUM
- C07F9/00—Compounds containing elements of Groups 5 or 15 of the Periodic Table
- C07F9/02—Phosphorus compounds
- C07F9/547—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom
- C07F9/6561—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom containing systems of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring or ring system, with or without other non-condensed hetero rings
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/66—Phosphorus compounds
- A61K31/675—Phosphorus compounds having nitrogen as a ring hetero atom, e.g. pyridoxal phosphate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/12—Drugs for disorders of the metabolism for electrolyte homeostasis
-
- 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
Landscapes
- Health & Medical Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Medicinal Chemistry (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Pharmacology & Pharmacy (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Engineering & Computer Science (AREA)
- Diabetes (AREA)
- Cardiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biochemistry (AREA)
- Molecular Biology (AREA)
- Hematology (AREA)
- Obesity (AREA)
- Pain & Pain Management (AREA)
- Rheumatology (AREA)
- Epidemiology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Plural Heterocyclic Compounds (AREA)
Description
WO 2022/129283 PCT/EP2021/086101 CHEMICAL COMPOUNDS USEFUL FOR INHIBITING NAV1.8 VOLTAGE-GATED SODIUM CHANNELS AND TREATING NAV1.8 MEDIATED DISEASES FIELD OF THE INVENTION The invention relates to Nav1.8 inhibitor compounds or pharmaceutically acceptable salts or tautomer forms thereof, corresponding pharmaceutical compositions or formulations, methods or processes of compound preparation, methods, compounds for use in, uses for and/or combination therapies for treating pain and pain-associated diseases, disorders and conditions, and cardiovascular diseases, disorders, and conditions.
BACKGROUND OF THE INVENTION Pain is a protective mechanism by which animals avoid potential tissue damage, however there are numerous disease indications in which pain outlives its usefulness and becomes a disabling burden. Indications in which pain outlives its usefulness can be broadly categorized as those in which nerve damage or injury is the trigger (neuropathic pain), those in which an inflammatory response or metabolic dysregulation sensitizes the pain response (inflammatory pain) and those in which an injury or surgical procedure results in a short term elevation of pain response (post-operative/ambulatory pain).Voltage-gated sodium channels underlie electrical signaling in all excitable tissues by setting the threshold and underlying the upstroke of action potentials. There are nine distinct isoforms of voltage-gated sodium channels. Those designated Nav1.1, Nav1.7, Nav1.8 and Nav1.9 are principally expressed on peripheral nerves where they control neuronal excitability. Nav1.5 is the principle sodium channel isoform expressed in cardiac myocytes, Nav1.4 is expressed and functions in skeletal muscle, whilst Nav1.1, Nav1.2, Nav1.3 and Nav1.6 are widely expressed in the central nervous system (CNS) and to an extent in the peripheral nervous system. The principal role of these nine voltage-gated sodium channels is comparable in that they control sodium influx into cells but their biophysical properties varies which greatly influences the physiological profile of their respective cell type (Catterall , 2012).Currently, non-selective sodium channel inhibitors are utilized clinically as anti- arrhythmic and anti-seizure therapies, these include lidocaine, carbamazepine, amitriptyline and mexiletine. However, as these agents exhibit a lack of selectivity between the different sodium channel isoforms, their therapeutic utility is greatly reduced due to adverse side effects, largely mediated by activity in the CNS and heart. This has stimulated efforts to develop novel medicines which are selective for specific sodium channel isoforms in order to avoid side effects in the CNS and cardiovascular system.
WO 2022/129283 PCT/EP2021/086101 The Nav1.8 channel is expressed in neurons of the dorsal root ganglia (DRG) and highly expressed in the small diameter neurons of this tissue which form pain sensing C- and Ab- nerve fibers (Abrahamsen, 2008; Amaya, 2000; Novakovic, 1998). The channel was proposed as a therapeutic target for analgesia as soon as it was originally cloned from rat DRG (Akopian, 1996) due to its prominent physiological role in this tissue type and restricted expression profile. Nav1.8 was subsequently identified, cloned and characterized from human DRG tissue (Rabart 1998). The closest molecular relative of Nav1.8 is Nav1.5 which shares a sequence homology of ~ 60 %. Nav1.8 was previously known as SNS (sensory neuron sodium channel), PN3 (peripheral nerve sodium channel type 3), and as it exhibits characteristic pharmacological properties in its resistant to block by tetrodotoxin, it is also described as a TTX-resistant sodium channel.Support for Nav1.8 as a therapeutic target for pain indications comes from several sources. Nav1.8 has been shown to conduct the majority of current during upstroke of the action potential in DRG neurons (Blair & Bean, 2002) and due to its rate of re-priming is also critical for the ability of these neurons to fire repetitively (Blair and Bean, 2003). Increased expression and function of Nav1.8 has been reported in response to painful stimuli such as inflammatory mediators (England 1996 & Gold 1996), nerve damage (Roza 2003 & Ruangsri 2011), and within painful neuromas (Black 2008 & Coward 2000). Knockout of the gene encoding Nav1.8 in mice resulted in a reduced pain phenotype in particular to inflammatory challenges (Akopian 1999). Knockdown of the mRNA encoding Nav1.8 also resulted in reduced painful phenotypes in rodent models, particularly in neuropathic models (Lai 2002). Pharmacological intervention via selective small molecule inhibitors has demonstrated efficacy in rodent models of inflammatory pain as well as neuropathic pain (Jarvis 2007 & Payne 2015). Supporting genetic evidence for Nav1.8 is also present in patients with chronic neuropathic pain where multiple gain of function mutations has been reported to be causative in episodic painful neuropathies and small fiber neuropathies (Faber 2012, Han 2014 & Eijkenboom 2018).
SUMMARY OF THE INVENTION Accordingly, there is a need for the development of novel compounds, particularly Nav1.8 inhibitor compounds that have improved solubility and are thus more advantageous for alternative routes of administration, such as intravenous administration. The invention satisfies this need by providing prodrugs of compounds with Nav1.8 inhibitory activity and uses of such prodrugs in the treatment of pain and pain associated diseases, disorders, and conditions, and in the treatment of cardiovascular, diseases, disorders, and conditions. The prodrugs of the invention have improved solubility as compared to their respective parent compounds, and thus can be useful for intravenous (IV) administration and treatment of pain WO 2022/129283 PCT/EP2021/086101 and pain associated diseases, disorders, and conditions in which IV administration may be beneficial or preferred, such as in the treatment of acute pain.In one aspect, the invention relates to a compound of formula (I): /OR or a pharmaceutically acceptable salt thereof, wherein:X1 is N or CH;R1 is -PO(OH)2;R2 is hydrogen, -(C1-6)alkyl, -NRaRb, halo, or -(C1-6)haloalkyl;each of R3 and R4 is independently hydrogen, halo, cyano, -NRaRb, -(C1.6)alkyl, -(C1-6)haloalkyl, -O-(C1-6)alkyl, or -O-(C1-6)haloalkyl;each R5 is independently halo, -(C1-6)alkyl, -O(C1-6)alkyl, or -O(C1-6)haloalkyl;R6 is hydrogen or-(C1-6)alkyl;R7 is hydrogen, -(C1-6)alkyl, halo, or -(C1-6)haloalkyl;each of Ra and Rb is independently hydrogen or-(C1-6)alkyl; and n is 0, 1, or 2.In one aspect, the invention relates to a pharmaceutical composition comprising a compound or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein, and a pharmaceutically acceptable excipient.In one aspect, the invention relates to a method of inhibiting a Nav1.8 voltage-gated sodium channel in a subject in need thereof, the method comprising administering to the subject a compound or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein.In one aspect, the invention relates to a method of treatment of pain or a pain- associated disease, disorder, or condition in a subject in need thereof, the method comprising administering to the subject a therapeutically effective amount of a compound, or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein.In one aspect, the invention relates to a method of treatment of atrial fibrillation in a subject in need thereof, the method comprising administering to the subject a therapeutically WO 2022/129283 PCT/EP2021/086101 effective amount of a compound, or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein.In one aspect, the invention relates to a compound, or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein for use in treatment of pain or a pain-associated disease, disorder, or condition.In one aspect, the invention relates to a compound, or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein for use in treatment of atrial fibrillation.In one aspect, the invention relates to use of a compound, or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein in the manufacture of a medicament for treatment of pain or a pain- associated disease, disorder, or condition.In one aspect, the invention relates to use of a compound, or a tautomer thereof, or a pharmaceutically acceptable salt thereof as defined herein or a pharmaceutical composition as defined herein in the manufacture of a medicament for treatment of atrial fibrillation.In one aspect, the invention relates to a compound, or a tautomer thereof, or pharmaceutically acceptable salt thereof as defined herein, or a pharmaceutical composition as defined herein for use in therapy.
DETAILED DESCRIPTION OF THE INVENTION Various publications, articles and patents are cited or described in the background and throughout the specification. Discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is for the purpose of providing context for the disclosure. Such discussion is not an admission that any or all of these matters form part of the prior art with respect to the disclosure.Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood to one of ordinary skill in the art to which this invention pertains. Otherwise, certain terms used herein have the meanings as set forth in the specification.It must be noted that as used herein and in the appended claims, the singular forms "a," "an, " and "the " include plural reference unless the context clearly dictates otherwise.As used herein, the conjunctive term "and/or" between multiple recited elements is understood as encompassing both individual and combined options. For instance, where two elements are conjoined by "and/or, " a first option refers to the applicability of the first element without the second. A second option refers to the applicability of the second element without the first. A third option refers to the applicability of the first and second elements together.
WO 2022/129283 PCT/EP2021/086101 Any one of these options is understood to fall within the meaning, and therefore satisfy the requirement of the term "and/or " as used herein. Concurrent applicability of more than one of the options is also understood to fall within the meaning, and therefore satisfy the requirement of the term "and/or. "Unless otherwise stated, any numerical value, such as a concentration or a concentration range described herein, are to be understood as being modified in all instances by the term "about." Thus, a numerical value typically includes ± 10% of the recited value. For example, the recitation of "10-fold " includes 9-fold and 11-fold. As used herein, the use of a numerical range expressly includes all possible subranges, all individual numerical values within that range, including integers within such ranges and fractions of the values unless the context clearly indicates otherwise.The present invention relates to compounds of Formula (I) or pharmaceutically acceptable salts thereof, corresponding pharmaceutical compositions, methods or processes of compound preparation, methods, compounds for use in, uses for and/or combination therapies for treating Nav1.8 mediated diseases, disorders, and conditions, such as pain and/or pain-associated disease(s), disorder(s) or condition(s), respectively, and atrial fibrillation.The definitions for the various groups and substituent groups of any of the Formulas disclosed herein, or a pharmaceutically acceptable salt and/or a corresponding tautomer form thereof provided throughout the specification are intended to particularly describe each compound species disclosed herein, individually, as well as groups of one or more compound species.As used herein, the term alkali metal is intended to mean the Group I elements, which include, but are not limited to lithium (Li), sodium (Na), or potassium (K) and the like. The term alkali earth metal may include, but are not limited to calcium (Ca) or magnesium (Mg) and the like.As used herein, the terms "alkyl" or "straight or branched alkyl ", and the like, represent a saturated, straight or branched hydrocarbon moiety. Exemplary alkyls include, but are not limited to methyl (Me), ethyl (Et), propyl (e.g., n-propyl, isopropyl), butyl (e.g., n- butyl, isobutyl, tert-butyl), and pentyl (e.g., n-pentyl, isopentyl, neopentyl), etc. An alkyl group can have a specified number of carbon atoms. When a number appears in a subscript after the symbol "C," the subscript defines with more specificity the number of carbon atoms which that particular alkyl can contain. For example, the terms "C,-C6" and "C1-6" refer to an alkyl containing 1 to 6 carbon atoms and the terms "C1-C4" and "C1-4" refer to an alkyl containing 1 to 4 carbon atoms.
WO 2022/129283 PCT/EP2021/086101 When the term "alkyl" is used in combination with other substituent groups, such as "haloalkyl" or "hydroxyalkyl", the term "alkyl" is intended to encompass a divalent saturated, straight or branched-chain hydrocarbon radical.For example, the terms "haloalkyl " or "straight or branched haloalkyl" are intended to mean a saturated, straight or branched hydrocarbon moiety substituted with one or more halogens, where halogen is independently selected from: fluoro, chloro, bromo and iodo. A haloalkyl group can have a specified number of carbon atoms. For example, the terms "(C1-C6)haloalkyl " and "(C1-6)haloalkyl " refer to a saturated, straight- or branched-chain haloalkyl radical, having at least 1 and up to 6 carbon atoms. Likewise, the terms "(C1. C4)haloalkyl " and "(C1-4)haloalkyl " refer to a saturated, straight- or branched-chain haloalkyl radical having 1 to 4 carbon atoms. "Fluorinated alkyl" or "fluoroalkyl " in particular refers to any alkyl group as defined above substituted with at least one fluoro atom, e.g., one to three fluoro atoms, such as one, two, or three fluoroatoms. Representative haloalkyls include, but are not limited to trifluoromethyl (-CF3), tetrafluoroethyl (-CF2CHF2), pentafluoroethyl (- CF2CF3) and the like.The term "hydroxyalkyl " refers to a saturated, straight or branched hydrocarbon moiety substituted with one or more hydroxy groups.As used herein, the terms "halogen " and "halo " mean fluoro (-F), chloro (-CI), bromo (-Br), and iodo (-I)."Hydroxy" or "hydroxyl " is intended to mean the radical -OH."Oxo" represents a double-bonded oxygen moiety; for example, if attached directly to a carbon atom forms a carbonyl moiety (C=O), or attached to an N or S forms oxides, e.g., N-oxides, sulfones or sulfoxides.The term "cyano " refers to -ON.The term "amino " refers to -NH2. One or more hydrogen atoms of an amino group can be replaced by a substituent such as an alkyl group, which is referred to as an "alkylamino." Alkylamino groups have one or both hydrogen atoms of an amino group replaced with an alkyl group and is attached to the parent molecule through a bond to the nitrogen atom of the alkylamino group. For example, alkylamino includes methylamino (- NHCH3), dimethylamino (-N(CH3)2), -NHCH2CH3 and the like."Alkoxy" refers to a group containing an alkyl radical attached through an oxygen linking atom, wherein alkyl is as defined above. An alkoxy group can have a specified number of carbon atoms. For example, the terms "(C1-C6)alkoxy " and "(C1-6)alkoxy " refer to an alkyl radical, having at least 1 and up to 6 carbon atoms attached through an oxygen linking atom. Likewise, the terms "(C1-C4)alkoxy " and "(C1-4)alkoxy " refer to an alkyl radical having at least 1 and up to 4 carbon atoms attached through an oxygen linking atom.
WO 2022/129283 PCT/EP2021/086101 Exemplary alkoxy groups include, but are not limited to, methoxy, ethoxy, n-propoxy, isopropoxy, n-butoxy, s-butoxy, and t-butoxy."Haloalkoxy " refers to an alkoxy group in which the alkyl moiety is substituted with one or more halogens, wherein halogen is independently selected from fluoro, chloro, bromo, and iodo. A haloalkoxy group can have a specified number of carbon atoms. For example, the term "(C1-C6)haloalkoxy refers to a haloalkyl radical, having at 1 to 6 carbon atoms attached through an oxygen linking atom. Representative haloalkoxy groups include, but are not limited to difluoromethoxy (-OCHCF2), trifluoromethoxy (-OCF3), tetrafluoroethoxy (-OCF2CHF2) and the like.In accordance with convention used in the art: I is used in structural formulas herein to depict the bond that is the point of attachment of a group, moiety or substituent to the core, backbone, or parent molecule structure.When a bond to a substituent is shown to cross a bond connecting two atoms in a ring, then such substituent can be bonded to any atom on the ring.As used herein, the term "compound(s) of the invention" means a compound of any of the Formulas disclosed herein, in any form, i.e., any salt or non-salt form (e.g., as a free acid or base form, or as a pharmaceutically acceptable salt thereof), any tautomer form thereof, and any physical form thereof (e.g., including non-solid forms (e.g., liquid or semi- solid forms), and solid forms (e.g., amorphous or crystalline forms, specific polymorphic forms, solvates, including hydrates (e.g., mono-, di- and hemi- hydrates)), and mixtures of various forms.As used herein, the term "optionally substituted" means that a group (e.g., alkyl, etc.), may be unsubstituted, or the group may be substituted with one or more specified substituent(s) as defined herein throughout the instant specification. The term "substituted" as used herein with respect to a group (e.g., alkyl, etc.) means that at least one hydrogen atom is replaced with a non-hydrogen group, provided that all normal valencies are maintained and that the substitution results in a stable compound. In the case where groups may be selected from a number of alternative groups the selected groups may be the same or different. For example, various substituent groups of compound formulas as defined in the present invention may be optionally substituted, but are not limited to substituents, such as halo, cyano, amino, alkyl, haloalkyl, alkoxy, and the like.The term "independently " when used with reference to a substituent or heteroatom means that where more than one substituent or heteroatom is selected from a number of possible substituents or heteroatoms, respectively, those substituents or heteroatoms may be the same or different.
WO 2022/129283 PCT/EP2021/086101 Compounds Compounds of formula (I) of the present invention are prodrugs of their respective parent compounds, which are Nav1.8 inhibitor compounds. Upon administration of the prodrug, the prodrug moiety is cleaved thereby resulting in the parent compound. Accordingly, Nav1.8 inhibitory activity upon administration of the prodrug is primarily due to formation of the parent compound from cleavage of the prodrug.The prodrugs of the present invention typically have higher aqueous solubility than the corresponding parent compounds. This higher solubility facilitates administration of higher doses of the prodrug, resulting in a greater drug load per unit dosage. Thus, the compounds of formula (I) of the invention (i.e., prodrugs) may be advantageous for intravenous (IV) formulation and administration, and thus beneficial for use in the treatment of pain and pain associated diseases, disorders, and conditions in which administration of higher doses or administration via the IV route may be beneficial, such as treatment of acute pain.The term "prodrug " refers to compounds that are drug precursors which, following administration and/or absorption, release the parent compound in vivo via a metabolic process. Typically, a prodrug has less biological activity than the parent compound. A prodrug may also improve the physical properties and/or efficacy of the parent compound, such as reduced toxicity and fewer unwanted effects through greater control of the absorption, blood levels, metabolic distribution and/or cellular uptake of the parent compound. Prodrugs may also have higher solubility than the corresponding parent compound.The terms "parent compound" and "parent drug " refer to the biologically active entity that is released via enzymatic action of a metabolic or catabolic process, or via a chemical process following administration of the prodrug. The parent compound may also be the starting material for the preparation of the corresponding prodrug.In one aspect, the present invention relates to a compound of Formula (I): /OR or a pharmaceutically acceptable salt thereof, wherein: WO 2022/129283 PCT/EP2021/086101 X1 is Nor CH;R1 is -PO(OH)2;R2 is hydrogen, -(C1-6)alkyl, -NRaRb, halo, or -(C1-6)haloalkyl;each of R3 and R4 is independently hydrogen, halo, cyano, -NRaRb, -(C1.6)alkyl, -(C1-6)haloalkyl, -O-(C1-6)alkyl, or -O-(C1-6)haloalkyl;each of R5 is independently halo, -(C1-6)alkyl, -O(C1-6)alkyl, or -O(C1. 6)haloalkyl;R6 is hydrogen or -(C1-6)alkyl;R7 is hydrogen, -(C1-6)alkyl, halo, or -(C1-6)haloalkyl;each of Ra and Rb is independently hydrogen or-(C1-6)alkyl; andn is 0, 1, or 2.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, X1 is N.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, X1 is CH.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R2 is hydrogen.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R2 is -(C1-6)alkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R2 is CHa.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R2 is -NRaRb.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R2 is -NH2.
In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R3 is hydrogen, halo, or -(C1-6)haloalkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R3 is hydrogen, -Cl, or -CF3.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R3 is hydrogen.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R3 is -Cl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R3 is -CF3.
WO 2022/129283 PCT/EP2021/086101 In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R4 is hydrogen, halo, or-(C1-6)haloalkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R4 is hydrogen, -Cl, or -CF3.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R4 is hydrogen.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R4 is -Cl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R4 is -CFa.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, one of R3 and R4 is hydrogen and the other of R3 and R4 is halo, cyano, -NRaRb, -(C1-6)alkyl, -(C1-6)haloalkyl, -O-(C1-6)alkyl, or -O-(C1-6)haloalkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, one of R3 and R4 is hydrogen and the other of R3 and R4 is halo or -(C1- 6)haloalkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, one of R3 and R4 is hydrogen and the other of R3 and R4 is -Cl or -CF3.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, each R5 is independently halo or -O(C1-6)haloalkyl.In an embodiment of a compound of formula (I), salt thereof, each R5 is independently -F or -OCF3.In an embodiment of a compound of formula (I), salt thereof, n is 1 and R5 is -F.In an embodiment of a compound of formula (I), salt thereof, n is 1 and R5 is -OCF3.In an embodiment of a compound of formula (I), Re5y M salt thereof, (R has the structure: R5aO(C1-6)alkyl, or -O(C1-6)haloalkylIn an embodiment of a compound of formula (I), salt thereof, R5a is halo or -O(C1-6)haloalkyl.In an embodiment of a compound of formula (I), salt thereof, R5a is -F or -OCF3. or a pharmaceutically acceptable or a pharmaceutically acceptable or a pharmaceutically acceptable or a pharmaceutically acceptable wherein R5a is halo, -(C1-6)alkyl, - or a pharmaceutically acceptable or a pharmaceutically acceptable WO 2022/129283 PCT/EP2021/086101 In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R5a is -F.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R5a is -OCF3.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R6 is hydrogen.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R6 is -(C1-6)alkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R6 is -CH3, -CH2CH3, or -CH(CH3)2.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R6 is -CH3.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R7 is hydrogen.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R7 is -(C1-6)alkyl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R7 is halo.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof, R7 is -F or -Cl.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,X1 is N;R1 is -PO(OH)2;R2 is hydrogen or -(C1-6)alkyl;one of R3 and R4 is hydrogen and the other of R3 and R4 is halo or-(C1-6)haloalkyl;R5 is halo or-O(C1-6)haloalkyl;R6 is -(C1-6)alkyl;R7 is hydrogen; andn is 1.
WO 2022/129283 PCT/EP2021/086101 In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,X1 is N;R1 is -PO(OH)2;R2 is -CH3;one of R3 and R4 is hydrogen and the other of R3 and R4 is halo or-(C1-6)haloalkyl;R5 is halo or-O(C1-6)haloalkyl;R6 is -(C1-6)alkyl;R7 is hydrogen; andn is 1.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,X1 is N;R1 is -PO(OH)2;R2 is -CH3;one of R3 and R4 is hydrogen and the other of R3 and R4 is -Cl or -CF3;R5 is -F or -OCF3;R6 is -CH3;R7 is hydrogen; andn is 1.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,X1 is C;R1 is -PO(OH)2;R2 is hydrogen or -(C1-6)alkyl;one of R3 and R4 is hydrogen and the other of R3 and R4 is halo or-(C1-6)haloalkyl;R5 is halo or-O(C1-6)haloalkyl;R6 is -(C1-6)alkyl;R7 is hydrogen; andn is 1.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,X1 is C;R1 is -PO(OH)2;R2 is -CH3;one of R3 and R4 is hydrogen and the other of R3 and R4 is halo or-(C1-6)haloalkyl;R5 is halo or-O(C1-6)haloalkyl; WO 2022/129283 PCT/EP2021/086101 R6 is -(C1-6)alkyl;R7 is hydrogen; and n is 1.In an embodiment of a compound of formula (I), or a pharmaceutically acceptable salt thereof,X1 is C;R1 is -PO(OH)2;R2 is -CH3;one of R3 and R4 is hydrogen and the other of R3 and R4 is -Cl or -CF3;R5 is-F or-OCF3;R6 is -CH3;R7 is hydrogen; and n is 1.
In another aspect, the invention relates to a compound which is selected from: Name Structure (5-(1-(4-Fluoro-2-methylphenyl)-4-oxo-6- (trifluoromethyl )-1,4-dihydroquinazolin- 3(2H)-yl)-6-methyl-2-oxopyridin-1(2H)- yl)methyl dihydrogen phosphate ° rr°FsC^A^N^O.p.OH ! J j I HOON F(5-( 1 -(4-f I uoro-2-methyl phenyl )-4-0X0-7- (trifluoromethyl)-1,4-dihydroquinazolin- 3(2H)-yl)-6-methyl-2-oxopyridin-1(2H)- yl)methyl dihydrogen phosphateII 1 ע ho OH F3C (5-(6-chloro-1-(4-fluoro-2-methylphenyl)-4- oxo- 1,4-d ihydroqu inazol in-3(2H )-yl )-6- methyl-2-oxopyridin-1(2H)-yl)methyl dihydrogen phosphate °O J 1 HO OHN F(6-methyl-5-( 1 -(2-methyl-4-(trifl uoromethoxy)pheny I )-4-0X0-6-(trifluoromethyl)-1,4-dihydropyrido[2,3- d]pyrimidin-3(2H)-yl)-2-oxopyridin-1(2H)- yl)methyl dihydrogen phosphate ° ^Y° A J ' HO 0HN N ocf3 WO 2022/129283 PCT/EP2021/086101 or a pharmaceutically acceptable salt thereof.
Salts Because of their potential use in medicine, the salts of the compounds of any of the Formulas disclosed herein, including Formula (I) are preferably pharmaceutically acceptable salts. Pharmaceutically acceptable salts include, among others, those described by Berge, Bighley and Monkhouse J.Pharm.Sci (1977) 66, pp 1-19, or those listed in PH Stahl and CG Wermuth, editors, Handbook of Pharmaceutical Salts; Properties, Selection and Use, Second Edition Stahl/Wermuth: Wiley-VCH/VHCA, 2011. Mon-pharmaceutical ly acceptable salts may be used, for example as intermediates in the preparation of a compound of any of the Formulas disclosed herein or a pharmaceutically acceptable salt thereof.Suitable pharmaceutically acceptable salts can include acid or base addition salts. Such base additional salts can be formed by reaction of a compound of any of the Formulas disclosed herein, including Formula (I) of the invention with the appropriate base, optionally in a suitable solvent such as an organic solvent, to give the salt which can be isolated by a variety of methods, including crystallisation and filtration.Such acid addition salts can be formed by reaction of a compound of any of the Formulas disclosed herein, including Formula (I) of the invention, with the appropriate acid, optionally in a suitable solvent such as an organic solvent, to give the salt which can be isolated by a variety of methods, including crystallisation and filtration.Salts may be prepared in situ during the final isolation and purification of a compound of any of the Formulas disclosed herein, including Formula (I) of the invention. If a basic compound of any of the Formulas disclosed herein, including Formula (I) of the invention, is isolated as a salt, the corresponding free base form of that compound may be prepared by any suitable method known to the art, including treatment of the salt with an inorganic or organic base. Similarly, if a compound of any of the Formulas disclosed herein, including Formula (I) of the invention, containing an acidic functional group such as a phosphate group is isolated as a salt, the corresponding free acid form of that compound may be prepared by any suitable method known to the art, including treatment of the salt with an inorganic or organic acid.For example, when a compound of the invention is a base (contain a basic moiety), a desired salt form may be prepared by any suitable method known in the art, including treatment of the free base with an inorganic acid, such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like, or with an organic acid, such as acetic acid, trifluoroacetic acid, maleic acid, succinic acid, mandelic acid, fumaric acid, malonic acid, pyruvic acid, oxalic acid, glycolic acid, salicylic acid, pyranosidyl acid, such as glucuronic acid or galacturonic acid, alpha-hydroxy acid, such as citric acid or tartaric acid, WO 2022/129283 PCT/EP2021/086101 amino acid, such as aspartic acid or glutamic acid, aromatic acid, such as benzoic acid or cinnamic acid, sulfonic acid, such as p-toluenesulfonic acid, methanesulfonic acid, ethanesulfonic acid or the like.If an inventive basic compound is isolated as a salt, the corresponding free base form of that compound may be prepared by any suitable method known to the art, including treatment of the salt with an inorganic or organic base, suitably an inorganic or organic base having a higher pKa than the free base form of the compound.When a compound of the invention is an acid (contains an acidic moiety), a desired salt may be prepared by any suitable method known to the art, including treatment of the free acid with an inorganic or organic base, such as an amine (primary, secondary, or tertiary), an alkali metal or alkaline earth metal hydroxide, or the like. Illustrative examples of suitable salts include organic salts derived from amino acids such as glycine and arginine, ammonia, primary, secondary, and tertiary amines, and cyclic amines, such as ethylene diamine, dicyclohexylamine, ethanolamine, piperidine, morpholine, and piperazine, as well as inorganic salts derived from sodium, calcium, potassium, magnesium, manganese, iron, copper, zinc, aluminum, and lithium.Certain of the compounds of this invention may form salts with one or more equivalents of an acid (if the compound contains a basic moiety) or a base (if the compound contains an acidic moiety). The present invention includes within its scope all possible stoichiometric and non-stoichiometric salt forms. It will be understood that if a compound of any of the Formulas disclosed herein, including Formula (I) as defined herein contains two or more basic moieties, the stoichiometry of salt formation may include 1,2 or more equivalents of acid. Such salts would contain 1, 2 or more acid counterions, for example, a dihydrochloride salt. Stoichiometric and non-stoichiometric forms of a pharmaceutically acceptable salt of a compound of any of the Formulas disclosed herein, including Formula (I) of the invention are included within the scope of the invention, including sub-stoichiometric salts, for example where a counterion contains more than one acidic proton.Because the compounds of this invention may contain both acid and base moieties, pharmaceutically acceptable salts may be prepared by treating these compounds with an alkaline reagent or an acid reagent, respectively. Accordingly, this invention also provides for the conversion of one pharmaceutically acceptable salt of a compound of this invention, e.g., a hydrochloride salt, into another pharmaceutically acceptable salt of a compound of this invention, e.g., a sodium salt.Representative pharmaceutically acceptable acid addition salts include, but are not limited to, 4-acetamidobenzoate, acetate, adipate, alginate, ascorbate, aspartate, benzenesulfonate (besylate), benzoate, bisulfate, bitartrate, butyrate, calcium edetate, camphorate, camphorsulfonate (camsylate), caprate (decanoate), caproate (hexanoate), WO 2022/129283 PCT/EP2021/086101 caprylate (octanoate), cinnamate, citrate, cyclamate, digluconate, 2,5-dihydroxybenzoate, disuccinate, dodecylsulfate (estolate), edetate (ethylenediaminetetraacetate), estolate (lauryl sulfate), ethane- 1,2-disulfonate (edisylate), ethanesulfonate (esylate), formate, fumarate, galactarate (mucate), gentisate (2,5-dihydroxybenzoate), glucoheptonate (gluceptate), gluconate, glucuronate, glutamate, glutarate, glycerophosphorate, glycolate, hexylresorcinate, hippurate, hydrabamine (/V,/V'-di(dehydroabietyl)-ethylenediamine), hydrobromide, hydrochloride, hydroiodide, hydroxynaphthoate, isobutyrate, lactate, lactobionate, laurate, malate, maleate, malonate, mandelate, methanesulfonate (mesylate), methylsulfate, mucate, naphthalene- 1,5-disulfonate (napadisylate), naphthalene-2-sulfonate (napsylate), nicotinate, nitrate, oleate, palmitate, p-aminobenzenesulfonate, p- aminosalicyclate, pamoate (embonate), pantothenate, pectinate, persulfate, phenylacetate, phenylethylbarbiturate, phosphate, polygalacturonate, propionate, p-toluenesulfonate (tosylate), pyroglutamate, pyruvate, salicylate, sebacate, stearate, subacetate, succinate, sulfamate, sulfate, tannate, tartrate, teoclate (8-chlorotheophyllinate), thiocyanate, triethiodide, undecanoate, undecylenate, and valerate.Representative pharmaceutically acceptable base addition salts include, but are not limited to, aluminium, 2-amino-2-(hydroxymethyl)-1,3-propanediol (TRIS, tromethamine), arginine, benethamine (A/-benzylphenethylamine), benzathine (N,N’- dibenzylethylenediamine), b/s-(2-hydroxyethyl)amine, bismuth, calcium, chloroprocaine, choline, clemizole (1-p chlorobenzyl-2-pyrrolildine-T-ylmethylbenzimidazole), cyclohexylamine, dibenzylethylenediamine, diethylamine, diethyltriamine, dimethylamine, dimethylethanolamine, dopamine, ethanolamine, ethylenediamine, L-histidine, iron, isoquinoline, lepidine, lithium, lysine, magnesium, meglumine (A/-methylglucamine), piperazine, piperidine, potassium, procaine, quinine, quinoline, sodium, strontium, t- butylamine, and zinc.In particular embodiments, the invention provides a pharmaceutically acceptable salt of of a compound of formula (I). For example, the phosphate group of R1 (-PO(OH)2) is an acidic moiety that is particularly likely to participate in salt formation with cationic species (i.e., base addition salts). Any of the base addition salts listed above can be used to form a pharmaceutically acceptable salt of a compound of formula (I) of the invention. Other functional groups of a compound of formula (I) may additionally or alternatively participate in salt formation with acid and/or base addition salts, such as those described above.In an embodiment of a pharmaceutically acceptable salt of a compound of formula (I), R1 is -P(O)(OH)O־M+, -PO(O2-2(־M+, or-PO(O 2(־-D2+;each M+ is independently a pharmaceutically acceptable monovalent cation; and D2+ is a pharmaceutically acceptable divalent cation.
WO 2022/129283 PCT/EP2021/086101 In some embodiments, monovalent cations (M+) suitable for use in the invention include, but are not limited to, alkali metal ions, e.g., lithium (Li+), sodium (Na+), potassium (K+), etc.; ammonium ions (e.g., -N(Ra)4, wherein each Ra is independently hydrogen, cyclohexyl, or-(C1-6)alkyl), the -(C1-6)alkyl being optionally substituted with one or more, h n^OH suitably 1-6, -OH groups), such as NH4+, ethanolamine ion (n3 'N ), N-methyl-D-glucamine ion, dicyclohexylamine ion, etc. When two M+ are present, each M+ is independently a monovalent cation, wherein each M+ is the same or different, preferably each M+ is the same.In an embodiment, each M+ is independently an alkali metal ion.In an embodiment, each M+ is independently Li+, Na+, or K+.In an embodiment, each M+ is independently NH4+.h N—OHIn an embodiment, each M is independently n3 'N (ethanolamine ion).In some embodiments, divalent cations (D2+) suitable for use in the invention include, but are not limited to, alkaline earth metal ions, e.g., magnesium (Mg2+), calcium (Ca2+), strontium (Sr 2+), etc.; divalent aluminum ions; etc.In an embodiment, D2+ is alkaline earth metal ion.In an embodiment, D2+ is Mg2+ or Ca2+.Other monovalent and divalent cations suitable for use in the invention include monovalent or divalent ions of amino acid ions, such as monovalent or divalent ions arginine, lysine, ornithine, etc. Monovalent and divalent cations including basic nitrogen- containing groups can be prepared by quaternization with agents such as lower alkyl halides (e.g., methyl, ethyl, propyl, and butyl chlorides, bromides, and iodides), dialkyl sulfates (e.g., dimethyl, diethyl, dibutyl, and diamyl sulfates), etc.
Enantiomers, Diastereomers, and Polymorphs The compounds according to any of the Formulas disclosed herein, including Formula (I), or a pharmaceutically acceptable salt thereof of the invention, may contain one or more asymmetric center(s) (i.e., also referred to as a chiral center) and may, therefore, exist in optically forms (e.g., as individual enantiomers, diastereomers, or other stereoisomeric forms, or as mixtures thereof) and racemic forms. All of these individual compounds, stereoisomers, and mixtures thereof are included within the scope of the invention.Chiral centers, such as chiral carbon atoms, may also be present in a substituent such as an alkyl group. Where the stereochemistry of a chiral center present in any of the Formulas disclosed herein, including Formula (I), or a pharmaceutically acceptable salt WO 2022/129283 PCT/EP2021/086101 thereof of the invention, or in any chemical structure illustrated herein, is not specified the structure is intended to encompass all individual stereoisomers and all mixtures thereof. Thus, compounds ora pharmaceutically acceptable salt thereof of the invention containing one or more chiral centers may be used as racemic mixtures, enantiomerically enriched mixtures, or as enantiomerically pure individual stereoisomers.Individual stereoisomers of a compound according to any of the Formulas disclosed herein, including Formula (I), or a pharmaceutically acceptable salt thereof of the invention, which contain one or more asymmetric centers may be resolved by methods known to those skilled in the art. For example, such resolution may be carried out:(1) by formation of diastereoisomeric salts, complexes or other derivatives;(2) by selective reaction with a stereoisomer-specific reagent, for example by enzymatic oxidation or reduction; or(3) by gas-liquid or liquid chromatography in a chiral environment, for example, on a chiral support such as silica with a bound chiral ligand or in the presence of a chiral solvent. The skilled artisan will appreciate that where the desired stereoisomer is converted into another chemical entity by one of the separation procedures described above, a further step is required to liberate the desired form.Alternatively, specific stereoisomers may be synthesized by asymmetric synthesis using optically active reagents, substrates, catalysts or solvents, or by converting one enantiomer to the other by asymmetric transformation.When a disclosed compound or its salt is named or depicted by structure, it is to be understood that the compound or salt, including solvates (particularly, hydrates) thereof, may exist in crystalline forms, non-crystalline forms or a mixture thereof. The compound or salt, or solvates (particularly, hydrates) thereof, may also exhibit polymorphism (i.e. the capacity to occur in different crystalline forms). These different crystalline forms are typically known as "polymorphs. "It is to be understood that when named or depicted by structure, the disclosed compound, or solvates (particularly, hydrates) thereof, also include all polymorphs thereof.Polymorphs have the same chemical composition but differ in packing, geometrical arrangement, and other descriptive properties of the crystalline solid state. Polymorphs, therefore, may have different physical properties such as shape, density, hardness, deformability, stability, and dissolution properties. Polymorphs typically exhibit different melting points, IR spectra, and X-ray powder diffraction patterns, which may be used for identification. One of ordinary skill in the art will appreciate that different polymorphs may be produced, for example, by changing or adjusting the conditions used in crystallizing/ recrystallizing the compound.
WO 2022/129283 PCT/EP2021/086101 Solvates Compounds of the invention, or pharmaceutically acceptable salts thereof may exist in solvated and unsolvated forms. For solvates of the compounds of the invention, or pharmaceutically acceptable salts thereof, that are in crystalline form, the skilled artisan will appreciate that pharmaceutically acceptable solvates may be formed wherein solvent molecules are incorporated into the crystalline lattice during crystallization. Solvates may involve nonaqueous solvents such as ethanol, isopropanol, DMSO, acetic acid, ethanolamine, and ethyl acetate, or they may involve water as the solvent that is incorporated into the crystalline lattice. Solvates wherein water is the solvent that is incorporated into the crystalline lattice are typically referred to as "hydrates." Hydrates include stoichiometric hydrates as well as compositions containing variable amounts of water.
Deuterated Compounds The invention also includes various deuterated forms of the compounds of any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention. Each available hydrogen atom attached to a carbon atom may be independently replaced with a deuterium atom.A person of ordinary skill in the art will know how to synthesize deuterated forms of the compounds of any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention. For example, deuterated materials, such as alkyl groups may be prepared by conventional techniques (see for example: methyl-d3-amine available from Aldrich Chemical Co., Milwaukee, Wl, Cat. N0.489,689-2).
Isotopes The invention also includes isotopically-labeled compounds which are identical to those recited in any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention but for the fact that one or more atoms are replaced by an atom having an atomic mass or mass number different from the atomic mass or mass number most commonly found in nature.Examples of isotopes that can be incorporated into compounds of the invention include isotopes of hydrogen, carbon, nitrogen, oxygen, fluorine, iodine and chlorine such as 3H, 1c, 14c, 1SF, 123I or 125I.Compounds of the invention and pharmaceutically acceptable salts of said compounds that contain the aforementioned isotopes and/or other isotopes of other atoms are within the scope of the invention. Isotopically labeled compounds of the invention, for WO 2022/129283 PCT/EP2021/086101 example those into which radioactive isotopes such as 3H or 14C have been incorporated, are useful in drug and/or substrate tissue distribution assays. Tritiated, i.e. 3H, and carbon- 14, i.e. 14C, isotopes are particularly preferred for their ease of preparation and detectability. 11C and 18F isotopes are particularly useful in PET (positron emission tomography).
Purity Because the compounds of the invention are intended for use in pharmaceutical compositions it will readily be understood that they are each preferably provided in substantially pure form, for example at least 60% pure, more suitably at least 75% pure and preferably at least 85%, especially at least 98% pure (% are on a weight for weight basis). Impure preparations of the compounds may be used for preparing more pure forms used in the pharmaceutical compositions.It is recognized that the compounds of any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention may exist in forms as stereoisomers, regioisomers, or diastereoisomers.
Tautomers Moreover, compounds of the invention may exist as tautomers or in tautomeric forms. It is conventionally understood in the chemical arts that tautomers are structural or constitutional isomers of chemical compounds that readily interconvert. This reaction commonly results in the relocation of a proton. A structural isomer, or constitutional isomer (per IUPAC), is a type of isomer in which molecules with the same molecular formula have different bonding patterns and atomic organization, as opposed to stereoisomers, in which molecular bonds are always in the same order and only spatial arrangement differs. The concept of tautomerizations is called tautomerism. The chemical reaction interconverting the two is called tautomerization. Care should be taken not to confuse tautomers with depictions of 'contributing structures' in chemical resonance. Tautomers are distinct chemical species and can be identified as such by their differing spectroscopic data, whereas resonance structures are merely convenient depictions and do not physically exist.
Synthetic Schemes and General Methods of Preparation The present invention also relates to processes for making compounds of any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention.The compounds of any of the Formulas disclosed herein, or a pharmaceutically acceptable salt thereof of the invention may be made by any number of processes using conventional organic syntheses as described in the Schemes below and more specifically WO 2022/129283 PCT/EP2021/086101 illustrated by the exemplary compounds which follow in the Examples section herein, or by drawing on the knowledge of a skilled organic chemist. Suitable synthetic routes are depicted below in the following general reaction schemes.The synthesis provided in these Schemes are applicable for producing compounds of the invention as defined by any of the Formulas disclosed herein, having a variety of different functional groups as defined employing appropriate precursors, which are suitably protected if needed, to achieve compatibility with the reactions outlined herein. Subsequent deprotection, where needed, affords compounds of the nature generally disclosed. While the Schemes are shown with compounds only as defined therein, they are illustrative of processes that may be used to make the compounds of the invention.Intermediates (compounds used in the preparation of the compounds of the invention) also may be present as salts. Thus, in reference to intermediates, the phrase "compound(s) of formula (number) " means a compound having that structural formula or a pharmaceutically acceptable salt thereof.The compounds of the invention may be obtained by using the procedures illustrated in the Schemes below, or by applying appropriate synthetic organic chemistry procedures and methodology known to those of skill in the art.The methods provided in these Schemes can be used to prepare compounds of the invention containing a variety of different X1, R1, R2, R3, R4, R5, and R6 groups (descriptions shown above for compounds of Formula (I)) employing appropriate precursors.Those skilled in the art will appreciate that in the preparation of compounds of the invention (e.g., compounds of Formula (I) or a pharmaceutically acceptable salt thereof), it may be necessary and/or desirable to protect one or more sensitive groups in the molecule or the appropriate intermediate to prevent undesirable side reactions. The skilled artisan will appreciate that if a substituent described herein is not compatible with the synthetic methods described herein, the substituent may be protected with a suitable protecting group that is stable to the reaction conditions. The protecting group may be removed at a suitable point in the reaction sequence to provide a desired intermediate or target compound. Suitable protecting groups for use according to the present invention are well-known to those skilled in the art and may be used in a conventional manner. See for example, "Protective Groups in Organic Synthesis" by T.W. Green and P.G.M Wets (Wiley & Sons, 1991) or "Protecting Groups " by P. J. Kocienski (Georg Thieme Verlag, 1994). Subsequent deprotection, where needed, affords compounds of the nature generally disclosed.In some instances, a substituent may be specifically selected to be reactive under the reaction conditions used. Under these circumstances, the reaction conditions convert the selected substituent into another substituent that is either useful as an intermediate compound or is a desired substituent in a target compound.
WO 2022/129283 PCT/EP2021/086101 While the Schemes shown below are representative of methods for preparing compounds of Formula (I), they are only intended to be illustrative of processes that may be used to make the compounds of the invention.Compound names were generated using the software naming program ChemDraw Ultra v12.0, available from Perkin Elmer, 940 Winter Street, Waltham, Massachusetts, 02451, USA. (http://www.perkinelmer.com/ ).
Scheme I EsterificationCO2R X2 I-2 r5'-nh2Hydrolysis The preparation of the compounds of the present invention typically begins with the synthesis of A/-substituted-2-aminoaromatic acid derivatives I-4 (Scheme I). Esterification of a suitably substituted 2-halo aromatic acid under standard conditions provides the corresponding ester I-2. Typically, esterification reactions are performed under either acidic conditions, in the presence of an alcohol, or under basic conditions, in the presence of a suitable alkyl halide. Reaction of the 2-halo aromatic ester I-2 (X2 = Cl, Br or I) with an appropriate aniline or amine (R5’-NH2; R5 is a substituted phenyl group) provides the corresponding /V-substituted-2-aminoaromatic esters I-3. Typically, this reaction is performed at elevated temperature, using either standard heating or microwave irradiation, in the presence of a catalyst, for example Pd2(dba)3 or Cu/CuO, a suitable ligand, for instance BINAP or Xantphos, and an inorganic base, typically C52CO3 or K2CO3, in an appropriate solvent, such as 1,4-dioxane, toluene or 2-ethoxyethanol.Saponification of the ester I-3 to the corresponding A/-substituted-2-aminoaromatic acid derivatives I-4 is typically achieved under standard basic conditions, using bases such as LiOH, KOH, or NaOH, in a suitable solvent or solvent system, for instance methanol/H2O, ethanol/H2O, or THF/H2O. Such conditions are well-known to those of skill in the art.
WO 2022/129283 PCT/EP2021/086101 Scheme II The intermediate A/-substituted-2-aminoaromatic acid derivatives 1-4, prepared as illustrated in Scheme I, can be converted to compound 11-2 as outlined in Scheme II. Coupling of 1-4 with a substituted methoxy pyridyl amine 11-3 under various amide coupling conditions known to those of skill in the art, provides the corresponding amide 11-1. For example, one might employ standard coupling reagents, like EDC/HOBT, HATU, HBTU or T3P, in the presence of an amine base, like triethylamine, or Hunig ’s base (diisopropylethylamine), in a suitable solvent, typically DMF, DMA or acetonitrile. Alternatively, one might convert the acid to the corresponding acid chloride, using a reagent such as thionyl chloride or oxalyl chloride, and the like, then react the acid chloride with a substituted methoxy pyridyl amine II-3, in the presence of an acid scavenger or base, such as pyridine, 2,6-lutidine, triethylamine or Hunig ’s base, in an appropriate solvent, such as dichloromethane or pyridine, to afford the desired coupling product 11-1.Formation of the dihydroquinazolinone ring system, as in intermediate II-2, involves reaction of intermediate 11-1 with formaldehyde or a suitable equivalent. For instance, the reaction may be achieved using formaldehyde, either as gaseous formaldehyde, paraformaldehyde, or s-trioxane, in the presence of an acid, preferably PTSA or sulfuric acid. Alternatively, the dihydroquinazolinone ring system can be formed via reaction of 11-using diiodomethane or chloroiodomethane as a formaldehyde equivalent. In this variant of the cyclization reaction, a base, typically Cs2C03 0r NaH, is used, in a suitable solvent, oftentimes acetonitrile or DMF. The choice of using formaldehyde or diiodomethane depends on the particular reactivity characteristics of the intermediate 11-1.
WO 2022/129283 PCT/EP2021/086101 Scheme III R5' 11-1 In a variation of the methods described in Schemes I and II, the compounds of the present invention can be prepared as illustrated in Scheme III. Coupling of intermediate 111-1 (typically obtained from commercially available! sources) with a substituted methoxy pyridyl amine II-3 under various amide coupling conditions known to those of skill in the art, provides the corresponding amide III-2. General conditions for forming amides are described in Scheme II. Subsequently, amide III-2can be reacted with an appropriate aniline or amine (R5’-NH2) under similar conditions as described for conversion of I-2 to I-3 in Scheme I to afford intermediate 11-1. Intermediate 11-1 can then be converted to compound II-2according to the methods illustrated in Scheme II.
WO 2022/129283 PCT/EP2021/086101 IV-3 As shown in Scheme IV, transformation of compound 11-2 to the pyridone IV-1 can be achieved by reacting compound II-2 with a mixture of TMS-chloride and Nai, or a solution of TMS-iodide, in a neutral solvent like acetonitrile, at elevated temperature. Compound IV-can be reacted with chloromethyl chloroformate in the presence of an organic base such as DABCO in suitable solvents such as EtOAc and DMF to provide the chloromethylpyridone IV-2. Reaction of compound IV-2 with potassium di-tert-butyl phosphate in the presence of a phase transfer catalyst such as TBAI in solvent DMF at elevated temperature provides compound IV-3. Removal of the tert-butyl protecting groups under acidic conditions such as acetic acid in acetonitrile and water provides the prodrug compounds of the invention.
Pharmaceutical Compositions, Administration Routes, and Dosages The compounds of the invention may be formulated into pharmaceutical compositions prior to administration to a subject. According to one aspect, the invention provides a pharmaceutical composition comprising a compound of the invention (i.e. a compound as defined by any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention) and one or more pharmaceutically acceptable excipients. According to one aspect, the invention provides a pharmaceutical composition comprising a compound of the invention (i.e. a compound as defined by any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof) and a pharmaceutically acceptable excipient.In another aspect, the invention relates to a pharmaceutical composition or formulation, which comprises: a compound of formula (I), or a pharmaceutically acceptable WO 2022/129283 PCT/EP2021/086101 salt thereof of the invention; a pharmaceutically acceptable excipient(s); and optionally one or more other therapeutic ingredients.The pharmaceutical compositions or formulations as defined herein typically contain one compound of the invention. However, in certain embodiments, the pharmaceutical compositions may contain more than one compound of the invention. In addition, the pharmaceutical compositions of the invention may optionally further comprise one or more additional pharmaceutically active compounds.A pharmaceutically acceptable excipient is non-toxic and should not interfere with the efficacy of the active ingredient. Suitable pharmaceutically acceptable excipients will vary depending upon the particular dosage form chosen, route of administration, etc. Suitable pharmaceutically acceptable excipients include the following types of excipients: diluents, carriers, fillers, binders, disintegrants, lubricants, glidants, granulating agents, coating agents, wetting agents, solvents, co-solvents, suspending agents, emulsifiers, sweeteners, flavoring agents, flavor masking agents, coloring agents, anti-caking agents, humectants, chelating agents, plasticizers, viscosity increasing agents, antioxidants, preservatives, stabilizers, surfactants, and buffering agents. Examples of pharmaceutically acceptable excipients are described, e.g., in Remington's Pharmaceutical Sciences (Mack Publishing Company), The Handbook of Pharmaceutical Additives (Gower Publishing Limited), and The Handbook of Pharmaceutical Excipients (the American Pharmaceutical Association and the Pharmaceutical Press).Pharmaceutical compositions may be adapted for administration by any appropriate or suitable route, for example by systemic administration (e.g., oral administration, parenteral administration, transdermal administration, rectal administration, inhalation), topical administration, etc. Parenteral administration is typically by injection or infusion and includes intravenous, intramuscular, and subcutaneous injection or infusion. Inhalation refers to administration into the patient's lungs whether inhaled through the mouth or through the nasal passages. Typically, administration is via the oral route or parenteral route.Pharmaceutical compositions adapted for oral administration may be presented as solid dosage forms such as tablets, capsules, caplets, troches, pills; powders; or liquid dosage forms such as solutions, suspensions, syrups, elixirs, or emulsion, etc. Pharmaceutical compositions adapted for parenteral administration (e.g., intravenous administration) may be presented as solutions, suspensions, and powders for reconstitution.In general, pharmaceutical compositions of the invention are prepared using conventional materials and techniques, such as mixing, blending and the like. Some of the methods commonly used in the art are described in Remington ’s Pharmaceutical Sciences (Mack Publishing Company).
WO 2022/129283 PCT/EP2021/086101 Solid oral dosage forms, such as tablets and capsules can be prepared by mixing a compound of the invention with excipients such as diluents and fillers (e.g., starch, lactose, sucrose, calcium carbonate, calcium phosphate and the like), binders (e.g., starch, acacia gum, carboxymethyl cellulose, hydroxypropyl cellulose, crystalline cellulose, and the like), lubricants (e.g., magnesium stearate, talc and the like), and the like.Pharmaceutical compositions adapted for parenteral administration can be an injection solution prepared from powders, granules or tablets by mixing with a carrier, such as distilled water, saline and the like, and base! and the like may be used for pH adjustment.In one embodiment, a pharmaceutical composition of the invention is formulated for oral administration.In another embodiment, a pharmaceutical composition of the invention is formulated for parenteral administration, particularly intravenous administration.The invention also provides a pharmaceutical composition comprising from 0.5 to 1,000 mg of a compound of the invention (i.e., a compound of any of the Formulas disclosed herein, including Formula (I) or a pharmaceutically acceptable salt thereof of the invention) and from 0.5 to 1,000 mg of a pharmaceutically acceptable excipient.Compounds and pharmaceutical compositions of the invention as defined herein may be administered once or according to a dosing regimen, where a number of doses are administered at varying intervals of time for a given period of time. For example, doses may be administered one, two, three, or four times per day. Doses may be administered until the desired therapeutic effect is achieved or indefinitely to maintain the desired therapeutic effect. Doses of compounds of the invention may be in the range of 0.001 mg/kg to 1mg/kg, such as 0.001 mg/kg to 50 mg/kg. Preferably, the selected dose is administered orally or intravenously.
Methods, Uses, Compounds For Use in Manufacture and/or Treatment of Diseases In general, the invention also relates to uses of the compounds and/or pharmaceutical compositions of the invention as defined herein for use as a medicament or for use in therapy.Compounds of the invention as defined herein are inhibitors of voltage-gated sodium ion channels, and particularly the voltage-gated sodium ion channel Navi .8. The activity of a compound utilized in this invention as an inhibitor of Navi .8 may be assayed according to methods described generally in the Examples herein, or according to methods available to one of ordinary skill in the art.
WO 2022/129283 PCT/EP2021/086101 Accordingly, in one aspect, the invention relates to uses of compounds and pharmaceutical compositions of the invention as inhibitors of voltage-gated sodium ion channels, particularly Nav1.8.In one embodiment, the invention relates to a method of inhibiting a voltage-gated sodium ion channel in a subject in need thereof, comprising administering to the subject an effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein. In one embodiment, the voltage-gated sodium channel is Nav1.8.In embodiment, the invention relates to a compound of the invention or a pharmaceutical composition of the invention for use in inhibiting a voltage-gated sodium ion channel. In one embodiment, the voltage-gated sodium channel is Navi .8.In one embodiment, the invention relates to use of a compound of the invention or a pharmaceutical composition of the invention in the manufacture of a medicament for inhibiting a voltage-gated sodium ion channel. In one embodiment, the voltage-gated sodium channel is Nav1.8.Without wishing to be bound by any particular theory, the compounds and compositions of the invention are particularly useful for treating a disease, condition, or disorder where activation or hyperactivity of Nav1.8 is implicated in the disease, condition, or disorder. When activation or hyperactivity of Nav1.8 is implicated in a particular disease, condition, or disorder, the disease, condition, or disorder may also be referred to as a "Navi .8 -mediated disease, condition or disorder." Exemplary Navi .8-mediated diseases, disorders, and conditions include pain and pain-associated diseases, disorders, and conditions, and cardiovascular diseases, disorders, and conditions such as atrial fibrillation.Thus, in another aspect, the invention relates to uses of compounds and pharmaceutical compositions of the invention in methods and medicaments for treating pain or a pain-associated disease, disorder, or condition and/or for treating cardiovascular diseases, disorders, and conditions.As used herein, "patient" or "subject " in need thereof refers to a human or mammal. The term "mammal" as used herein, encompasses any mammal. Examples of mammals include, but are not limited to, cows, horses, sheep, pigs, cats, dogs, mice, rats, rabbits, guinea pigs, and non-human primates (NHPs), such as monkeys or apes, humans, etc. Suitably the subject being treated is a human.As used herein, the terms "treat", "treating ", and/or "treatment " used in reference to a disease, disorder, or condition mean to ameliorate or prevent the condition or one or more biological manifestations of the condition; to interfere with one or more points in the biological cascade that leads to or is responsible for the condition; to alleviate one or more of the symptoms or effects associated with the condition; to slow the progression of the WO 2022/129283 PCT/EP2021/086101 condition or one or more of the biological manifestations of the condition; or to lessen the severity of the condition or one or more symptoms or effects associated with the condition. As mentioned above, "treatment" of a disease, disorder, or condition includes prevention of the condition. The skilled artisan will appreciate that "prevention" is not an absolute term. In medicine, "prevention" is understood to refer to the prophylactic administration of a drug to substantially diminish the likelihood or severity of a condition or biological manifestation thereof, or to delay the onset of such condition or biological manifestation thereof.As used herein, "effective amount" and "therapeutically effective amount " are used interchangeably. An effective amount in reference to a compound of the invention means an amount of the compound sufficient to treat the patient's condition, but low enough to avoid serious side effects (at a reasonable benefit/risk ratio) within the scope of sound medical judgment. An effective amount of a compound or pharmaceutically acceptable salt thereof and/or corresponding tautomer form thereof of the invention or corresponding pharmaceutical composition thereof will vary according to factors, such as the particular compound chosen (e.g., consider the potency, efficacy, and half-life of the compound); the route of administration chosen; the condition being treated; the severity of the condition being treated; the age, size, weight, and physical condition of the patient or subject being treated; the medical history of the patient or subject being treated; the duration of the treatment; the nature of concurrent therapy; the desired therapeutic effect, etc.According to embodiments of the invention, a pain-associated disease, disorder or condition is pain caused by any one of a variety of diseases of varying etiologies as described throughout the present disclosure. In some embodiments, pain or a pain- associated disease, disorder, or condition is neuropathic pain, chronic pain, acute pain, nociceptive pain, inflammatory pain, musculoskeletal pain, visceral pain, cancer pain, idiopathic pain, multiple sclerosis, Charcot-Marie-Tooth syndrome, or incontinence.In some embodiments, pain or a pain-associated disease, disorder, or condition is acute pain.
In some embodiments, pain or a pain-associated disease, disorder, or condition is neuropathic pain or chronic neuropathic pain.In some embodiments, pain or a pain-associated disease, disorder, or condition is neuropathic pain or chronic neuropathic pain selected from small fiber neuropathy, small fiber-mediated diabetic neuropathy, idiopathic small fiber neuropathy, painful diabetic neuropathy or polyneuropathy.In some embodiments pain or a pain-associated disease, disorder, or condition is neuropathic pain selected from post-herpetic neuralgia, diabetic neuralgia, painful HIV- associated sensory neuropathy, trigeminal neuralgia, burning mouth syndrome, post WO 2022/129283 PCT/EP2021/086101 amputation pain, phantom pain, painful neuroma, traumatic neuroma, Morton's neuroma, nerve entrapment injury, spinal stenosis, carpal tunnel syndrome, radicular pain, sciatica pain, nerve avulsion injury, brachial plexus avulsion, complex regional pain syndrome, drug therapy induced neuralgia, cancer chemotherapy induced neuralgia, anti-retroviral therapy induced neuralgia, post spinal cord injury pain, idiopathic small-fiber neuropathy, idiopathic sensory neuropathy or trigeminal autonomic cephalalgia.In some embodiments, pain or a pain-associated disease, disorder, or condition is neuropathic pain or chronic neuropathic pain selected from diabetic peripheral neuropathy, pain caused by neuropathy, neurologic or neuronal injury, pain associated nerve injury, neuralgias and associated acute or chronic pain, post-herpetic neuralgia, pain associated root avulsions, painful traumatic mononeuropathy, painful polyneuropathy, erythromelalgia, paroxysmal extreme pain disorder (PEPD), burning mouth syndrome, central pain syndromes caused by a lesion at a level of nervous system, traumatic nerve injury, nerve compression or entrapment, congenital insensitivity to pain (CIP), dysmenorrheal, primary erythromelalgia, HIV peripheral sensory neuropathy, pudendal neuralgia, spinal nerve injury, chronic inflammatory demyelinating polyneuropathy (CIDP), carpal tunnel syndrome and vasculitic neuropathy.In some embodiments, pain or a pain-associated disease, disorder, or condition is visceral pain, wherein visceral pain is inflammatory bowel disease pain, Crohn's disease pain or interstitial cystitis pain.In some embodiments, pain or a pain-associated disease, disorder, or condition is musculoskeletal pain, wherein musculoskeletal pain is osteoarthritis pain, back pain, cold pain, burn pain or dental pain.In some embodiments, pain or a pain-associated disease, disorder, or condition is idiopathic pain, wherein idiopathic pain is fibromyalgia pain.In some embodiments, pain or a pain-associated disease, disorder, or condition is chronic or acute pre-operative associated pain or chronic or acute post-operative associated pain. Post-operative associated pain includes ambulatory post-operative pain. Ambulatory surgery, also known as outpatient surgery, refers to same day surgery that does not require an overnight stay in a hospital or other medical facility. In some embodiments, pre-operative associated pain is selected from neuropathic pain or chronic neuropathic pain, chronic osteoarthritis pain, dental pain or inflammatory pain. In some embodiments, post-operative associated pain is selected from bunionectomy pain, hernia repair pair, breast surgery pain or cosmetic surgical pain.In some embodiments, pain or a pain-associated disease, disorder, or condition is pain caused by trauma or iatrogenic medical or dental procedures. As used herein, the term "iatrogenic" refers to pain induced inadvertently by a medical or dental personnel, such as WO 2022/129283 PCT/EP2021/086101 surgeon or dentist, during medical or dental treatment(s) or diagnostic procedure(s), which include, but are not limited to pain caused by pre-operative (i.e., "before"), peri-operative (i.e., "during " or medically induced pain during non-surgical or operative treatment(s)) and post-operative (i.e., after, post-operative or surgical induced caused pain) medical or dental procedures.In some embodiments, pain or a pain-associated disease, disorder, or condition is nociceptive pain, wherein nociceptive pain is post-surgical pain, cancer pain, back and craniofacial pain, osteoarthritis pain, dental pain or diabetic peripheral neuropathy.In some embodiments, pain or a pain-associated disease, disorder, or condition is inflammatory pain. Inflammatory pain can be pain of varied physiological origins. In some embodiments, inflammatory pain is selected from pain associated with osteoarthritis, rheumatoid arthritis, rheumatic disorder, teno-synovitis and gout, shoulder tendonitis or bursitis, gouty arthritis, and polymyalgia rheumatica, primary hyperalgesia, secondary hyperalgesia, primary allodynia, secondary allodynia, or other pain caused by central sensitization; complex regional pain syndrome, chronic arthritic pain and related neuralgias or acute pain. In some embodiments inflammatory pain is selected from pain associated with rheumatoid arthritis, osteoarthritis, rheumatoid spondylitis, gouty arthritis or juvenile arthritis. In some embodiments, inflammatory pain is selected from rheumatoid arthritis; rheumatoid spondylitis; gouty arthritis; juvenile arthritis; rheumatic disorder; gout; shoulder tendonitis or bursitis; polymyalgia rheumatica; primary hyperalgesia; secondary hyperalgesia; primary allodynia; secondary allodynia; or other pain caused by central sensitization, complex regional pain syndrome, chronic or acute arthritic pain and related neuralgias.In some embodiments, inflammatory pain is selected from rheumatoid arthritis pain or vulvodynia.In some embodiments, the inflammatory pain is selected from osteoarthritis, chronic osteoarthritis pain (e.g., hip or knee) or chronic inflammatory demyelinating polyneuropathy.In some embodiments pain or a pain-associated disease, disorder, or condition is musculoskeletal pain. In some embodiments, musculoskeletal pain is selected from bone and joint pain, osteoarthritis; lower back and neck pain; pain resulting from physical trauma or amputation. In some embodiments, musculoskeletal pain is selected from bone and joint pain, osteoarthritis (e.g., knee, hip), tendonitis (e.g., shoulder), bursitis (e.g., shoulder) tenosynovitis, lower back and neck pain, sprains, strains, or pain resulting from physical trauma or amputation.In some embodiments, pain or a pain-associated disease, disorder, or condition is neurologic or neuronal injury associated or related pain disorders caused by diseases selected from neuropathy, pain associated nerve injury, pain associated root avulsions, WO 2022/129283 PCT/EP2021/086101 painful traumatic mononeuropathy, painful polyneuropathy, erythromelalgia, paroxysmal extreme pain disorder (PEPD), burning mouth syndrome; central pain syndromes caused by a lesion at a level of nervous system); traumatic nerve injury, nerve compression or entrapment, congenital insensitivity to pain (CIP), dysmenorrheal, primary erythromelalgia; HIV peripheral sensory neuropathy; pudendal neuralgia, spinal nerve injury, chronic inflammatory demyelinating polyneuropathy (CIDP), carpal tunnel syndrome or vasculitic neuropathy.In some embodiments, pain or a pain-associated disease, disorder, or condition is pain caused by trauma, or pain caused by iatrogenic, medical, or dental procedures.In some embodiments, pain or a pain-associated disease, disorder, or condition is myofascial pain; myositis or muscle inflammation; repetitive motion pain; complex regional pain syndrome; sympathetically maintained pain; cancer, toxins and chemotherapy related pain; postsurgical pain syndromes and/or associated phantom limb pain; post-operative medical or dental procedures or treatments pain; pain associated with HIV or pain induced by HIV treatment.In some embodiments, pain or a pain-associated disease, disorder, or condition is neuropathic pain or other pain-associated disease, disorder, or condition selected from peripheral neuropathic pain, central neuropathic pain, inherited erythromelalgia (IEM), small fiber neuralgia (SEN), paroxysmal extreme pain disorder (PEPD), painful diabetic neuropathy, chronic lower back pain, neuropathic back pain, sciatica, non-specific lower back pain, multiple sclerosis pain, HIV-related neuropathy, post-herpetic neuralgia, trigeminal neuralgia, vulvodynia, pain resulting from physical trauma, post-limb amputation pain, neuroma pain, phantom limb pain, cancer, toxins, or chronic inflammatory conditions.In some embodiments, pain or a pain-associated disease, disorder, or condition is acute pain, chronic pain, neuropathic pain, inflammatory pain, arthritis, migraine, cluster headaches, trigeminal neuralgia, herpetic neuralgia, general neuralgias, epilepsy, epilepsy conditions, neurodegenerative disorders, psychiatric disorders, anxiety, depression, dipolar disorder, myotonia, arrhythmia, movement disorders, neuroendocrine disorders, ataxia, multiple sclerosis, irritable bowel syndrome, incontinence, visceral pain, osteoarthritis pain, postherpetic neuralgia, diabetic neuropathy, radicular pain, sciatica, back pain, head pain, neck pain, severe pain, intractable pain, nociceptive pain, breakthrough pain, postsurgical pain, cancer pain, stroke, cerebral ischemia, traumatic brain injury, amyotrophic lateral sclerosis, stress induced angina, exercise induced angina, palpitations, hypertension, or abnormal gastro-intestinal motility.In some embodiments, pain or a pain-associated disease, disorder, or condition is femur cancer pain; non-malignant chronic bone pain; rheumatoid arthritis; osteoarthritis; spinal stenosis; neuropathic low back pain; myofascial pain syndrome; fibromyalgia; WO 2022/129283 PCT/EP2021/086101 temporomandibular joint pain; chronic visceral pain, abdominal pain; pancreatic pain; IBS pain; chronic and acute headache pain; migraine; tension headache, including, cluster headaches; chronic and acute neuropathic pain, post-herpetic neuralgia; diabetic neuropathy; HIV-associated neuropathy; trigeminal neuralgia; Charcot-Marie Tooth neuropathy; hereditary sensory neuropathies; peripheral nerve injury; painful neuromas; ectopic proximal and distal discharges; radiculopathy; chemotherapy induced neuropathic pain; radiotherapy-induced neuropathic pain; post-mastectomy pain; central pain; spinal cord injury pain; post-stroke pain; thalamic pain; complex regional pain syndrome; phantom pain; intractable pain; acute pain, acute post-operative pain; acute musculoskeletal pain; joint pain; mechanical low back pain; neck pain; tendonitis; injury/exercise pain; acute visceral pain; pyelonephritis; appendicitis; cholecystitis; intestinal obstruction; hernias; chest pain, cardiac pain; pelvic pain, renal colic pain, acute obstetric pain, labor pain; cesarean section pain; acute inflammatory, burn and trauma pain; acute intermittent pain, endometriosis; acute herpes zoster pain; sickle cell anemia; acute pancreatitis; breakthrough pain; orofacial pain including sinusitis pain, dental pain; multiple sclerosis (MS) pain; pain in depression; leprosy pain; Behcet's disease pain; adiposis dolorosa; phlebitic pain; Guillain-Barre pain; painful legs and moving toes; Haglund syndrome; erythromelalgia pain; Fabry's disease pain; bladder and urogenital disease, including, urinary incontinence; hyperactivity bladder; painful bladder syndrome; interstitial cyctitis (IC); prostatitis; complex regional pain syndrome (CRPS), type I and type II; widespread pain, paroxysmal extreme pain, pruritis, tinnitis, or angina-induced pain.In another aspect, the invention relates to uses of compounds and pharmaceutical compositions of the invention in methods and medicaments for treating cardiovascular diseases, disorders and conditions, including atrial fibrillation and cardiac arrhythmias.In some embodiments, the cardiovascular disease is atrial fibrillation that is either idiopathic in nature or caused by a disease as defined herein. Atrial fibrillation can be paroxysmal atrial fibrillation, sustained atrial fibrillation, long-standing atrial fibrillation, atrial fibrillation with heart failure, atrial fibrillation with cardiac valve disease, or atrial fibrillation with chronic kidney disease. In particular embodiments, atrial fibrillation is selected from paroxysmal, sustained, or long-standing atrial fibrillation.In some embodiments, the cardiovascular disease includes cardiac arrhythmias.In one aspect, the invention relates to a method of treatment of pain or a pain- associated disease, disorder, or condition as defined herein in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In an embodiment, provided is a method of treatment of acute pain or chronic pain in a subject in need thereof, comprising administering to the subject a therapeutically effective WO 2022/129283 PCT/EP2021/086101 amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In an embodiment, provided is a method of treatment of acute pain in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In an embodiment, provided is a method of treatment of pain caused by trauma; pain caused by iatrogenic medical or dental procedures; or pre-operative or post-operative associated pain in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In an embodiment, provided is a method of treatment of neuropathic pain, nociceptive pain, inflammatory pain, musculoskeletal pain, visceral pain, or idiopathic pain in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In an embodiment, provided is a method of treatment of neuropathic pain or chronic neuropathic pain selected from small fiber neuropathy, small fiber-mediated diabetic neuropathy, idiopathic small fiber neuropathy, painful diabetic neuropathy or polyneuropathy in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In an embodiment, provided is a method of treatment of inflammatory pain selected from osteoarthritis, chronic osteoarthritis pain, or chronic inflammatory demyelinating polyneuropathy in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In one aspect, the invention relates to a method of treatment of atrial fibrillation as defined herein in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of the invention or a pharmaceutical composition of the invention as described herein.In one embodiment, provided is a method of treatment of atrial fibrillation, wherein the atrial fibrillation is paroxysmal atrial fibrillation, sustained atrial fibrillation, long-standing atrial fibrillation, atrial fibrillation with heart failure, atrial fibrillation with cardiac valve disease, or atrial fibrillation with chronic kidney disease.
WO 2022/129283 PCT/EP2021/086101 In another aspect, the invention provides compounds of the invention and pharmaceutical compositions of the invention as described herein for use in treatment of pain or a pain-associated disease, disorder, or condition as defined herein.In an embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of acute pain or chronic pain.In an embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of acute pain.In an embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of pain caused by trauma; pain caused by iatrogenic medical or dental procedures; or pre-operative or post-operative associated pain.In an embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of neuropathic pain, nociceptive pain, inflammatory pain, musculoskeletal pain, visceral pain, or idiopathic pain.In an embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of neuropathic pain or chronic neuropathic pain selected from small fiber neuropathy, small fiber-mediated diabetic neuropathy, idiopathic small fiber neuropathy, painful diabetic neuropathy or polyneuropathy.In an embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of inflammatory pain selected from osteoarthritis, chronic osteoarthritis pain, or chronic inflammatory demyelinating polyneuropathy.In another aspect, the invention relates to a compound of the invention or a pharmaceutical composition of the invention for use in treatment of atrial fibrillation.In one embodiment, provided is a compound of the invention or pharmaceutical composition of the invention for use in treatment of atrial fibrillation, wherein the atrial fibrillation is paroxysmal atrial fibrillation, sustained atrial fibrillation, long-standing atrial fibrillation, atrial fibrillation with heart failure, atrial fibrillation with cardiac valve disease, or atrial fibrillation with chronic kidney disease.In another aspect, the invention also provides uses of compounds of the invention or pharmaceutical compositions of the invention as described herein in the manufacture of a medicament for treatment of pain and pain associated diseases, disorders, and conditions as described herein.In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of acute pain or chronic pain.In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of acute pain.
WO 2022/129283 PCT/EP2021/086101 In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of pain caused by trauma; pain caused by iatrogenic medical or dental procedures; or pre-operative or post-operative associated pain.In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of neuropathic pain, nociceptive pain, inflammatory pain, musculoskeletal pain, visceral pain, or idiopathic pain.In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of neuropathic pain or chronic neuropathic pain selected from small fiber neuropathy, small fiber-mediated diabetic neuropathy, idiopathic small fiber neuropathy, painful diabetic neuropathy or polyneuropathy.In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of inflammatory pain selected from osteoarthritis, chronic osteoarthritis pain, or chronic inflammatory demyelinating polyneuropathy.In another aspect, the invention also provides uses of compounds of the invention or pharmaceutical compositions of the invention as described herein in the manufacture of a medicament for treatment of atrial fibrillation.In an embodiment, provided is use of a compound of the invention or pharmaceutical composition of the invention in the manufacture of a medicament for treatment of atrial fibrillation, wherein the atrial fibrillation is paroxysmal atrial fibrillation, sustained atrial fibrillation, long-standing atrial fibrillation, atrial fibrillation with heart failure, atrial fibrillation with cardiac valve disease, or atrial fibrillation with chronic kidney disease.In another aspect, the invention relates to a compound of the invention or a pharmaceutical composition of the invention as described herein for use in therapy.
Combination Therapies and Uses for Therapy Compounds and pharmaceutical compositions of the invention as described herein can be used in combination with one or more additional therapeutic agents. Such additional therapeutic agents can be administered concurrently with, prior to, or subsequent to treatment with a compound or pharmaceutical composition of the invention as described herein.In the context of this specification, the term "concurrently " when referring to simultaneous administration of compounds or therapeutic agents means at the same time, as would be the case, for example in embodiments where a compound and additional WO 2022/129283 PCT/EP2021/086101 therapeutic agent(s) are combined in a single preparation, or when a compound and additional therapeutic agent(s) are administered separately but taken within a short duration or period of time.In light of the foregoing, the invention also relates to a combination therapy, which may be a comprised of a simultaneous or co-administration, or serial administration of a combination of compounds or pharmaceutical compositions of the invention with one or more additional therapeutic agents. Such combination therapy can be used for treatment of pain or any pain-associated disease, disorder, or condition, or a cardiovascular disease, disorder, or condition as defined throughout the present specification.Therapeutic agents suitable for use in combination with the compounds and pharmaceutical compositions of the invention include, but are not limited to: Acetaminophen, Acetylsalicylic acid, Nav1.7 Inhibitors, Nav1.9 Inhibitors, anti-depressants (i.e. such as, but not limited to duloxetine or amitriptyline), anti-convulsants (i.e. such as, but not limited to pregabalin and gabapentin), opiates (i.e., such as, but not limited to hydrocodone, codeine, morphine, oxycodone, oxymorphone, fentanyl, and the like), etc.; and where administration of the above, respectively, also is determined by one of ordinary skill in the art. In one aspect, suitable Navi .7 Inhibitors or Navi .9 Inhibitors for use in the invention, include, but are not limited to those Nav1.7 Inhibitors or Nav1.9 Inhibitors known in the chemical literature.Each component of a combination used for therapeutic purposes (e.g., compound or pharmaceutical composition of the invention and additional therapeutic agent) may be administered orally, intravenously or parenterally or in combinations thereof. Each component of a therapeutic combination may be, but is not limited to being administered by simultaneous administration, co-administration, or serial administration; and/or by identical or different routes of administration or combinations of administration routes. In certain embodiments, each identical or different route of administration or combinations of administration routes is selected from oral, intravenous or parenteral administration.
EXAMPLES The following examples illustrate the invention. These examples are not intended to limit the scope of the present invention, but rather to provide guidance to the skilled artisan to prepare and use the compounds, compositions, and methods of the present invention.While particular aspects or embodiments of the present invention are described, the skilled artisan will appreciate that various changes and modifications can be made without departing from the spirit and scope of the invention.
WO 2022/129283 PCT/EP2021/086101 Synthesis Examples It will be understood by the skilled artisan that purification methods (using acidic or basic modifiers) or compound workup procedures (using acidic or basic conditions) may result in formation of a salt of a title compound (for example, hydrobromic acid, formic acid, hydrochloric acid, trifluoroacetic acid, or ammonia salts of a title compound). The invention is intended to encompass such salts.Final compounds were characterized with GCMS and LCMS (conditions listed below) and NMR. 1H NMR or 19FNMR spectra were recorded using a Bruker Avance III 500 MHz spectrometer, Bruker Avance 400 MHz spectrometer and Varian Mercury Plus-300 MHz spectrometer. CDCl3 is deuteriochloroform, DMSO-d6 is hexadeuteriodimethylsulfoxide, and CD3OD is tetradeuteriomethanol. Chemical shifts are reported in parts per million (ppm) downfield from the internal standard tetramethylsilane (TMS) or the NMR solvent. Abbreviations for NMR data are as follows: s = singlet, d = doublet, t = triplet, q = quartet, m = multiplet, dd = doublet of doublets, dt = doublet of triplets, app = apparent, br = broad. J indicates the NMR coupling constant measured in Hertz.
Analytical methods: 1) LCMS Method: Acquity UPLC with Waters Acquity QDa mass detector using electrospray positive [ES+ve to give M+H+] equipped with a CSH C18 column (30mm x 2.1mm, i.d. 1.7pm packing diameter) at 45 °C eluting with 0.1 % TEA in water (solvent A) and 0.1 % TEA in acetonitrile (solvent B), using the following elution gradient: 1-100 % (solvent B) over 1.85 min at a flow rate of 1.3 ml/min. 2) LCMS Method: Acquity UPLC with Waters Acquity QDa mass detector using electrospray positive [ES+ve to give M+H+] equipped with a CSH C18 column (30mm x 2.1mm, i.d. 1.7pm packing diameter) at 45 °C eluting with formic acid in Water (solvent A) and formic acid in acetonitrile (solvent B), using the following elution gradient: 1-100 % (solvent B) over 1.85 min at a flow rate of 1.3 ml/min. 3) LCMS Method: Acquity UPLC with Waters Acquity QDa mass detector using electrospray positive [ES+ve to give M+H+] equipped with a CSH C18 column (30mm x 2.1mm, i.d. 1.7pm packing diameter) at 45 °C eluting with 10 mM ammonium bicarbonate in water adjusted to pH = 10 with 25% ammonium hydroxide solution (solvent A) and acetonitrile (solvent B), using the following elution gradient: 1-100 % (solvent B) over 1.min at a flow rate of 1.3 ml/min.
WO 2022/129283 PCT/EP2021/086101 4) LCMS method: Agilent 1290 Infinity II LC system with Agilent MSD 6125B/61using multi mode (ESI and APCI +ve and -ve) equipped with a Sunfire C18 column (30mm x 2.1mm, i.d. 3.5pm packing diameter) at 25 °C eluting with 0.1 % formic acid in water (solvent A) and 0.1 % formic acid in acetonitrile (solvent B), using the following elution gradient: 0- 100 % (solvent B) over 3.1 min and holding at 100 % for 0.8 min at a flow rate of 1.0 ml/min.
) LCMS method: Agilent 1290 Infinity II LC system with Agilent MSD 6125B/61using multi mode (ESI and APCI +ve and -ve) equipped with a Atlantis dC18 column (50mm x 4.6mm, i.d. 5.0pm packing diameter) at 25 °C eluting with 0.1% TEA in water (solvent A) and methanol (solvent B), using the following elution gradient: 5-95 % (solvent B) over 5.min and holding at 95 % for 1.5 min at a flow rate of 1.0 ml/min. 6) LCMS method: Agilent 1290 Infinity III LC system with Agilent MSD 6125B/61using multi mode (ESI and APCI+ve and -ve) equipped with a Zorbax XDB C18 column (50mm x 4.6mm, i.d. 3.5pm packing diameter) at 25 °C eluting with 10 mM ammonium acetate in water (solvent A) and acetonitrile (solvent B), using the following elution gradient: Solvent B: 10-95 % (solvent B) over 3.5 min and holding at 95 % for 1.0 min at a flow rate of 1.0 ml/min. 7) LCMS method: Agilent 1290 Infinity III LC system with Agilent MSD 6125B/61using multi mode (ESI and APCI+ve and -ve) equipped with a Xbridge C8 column (50mm x 4.6mm, i.d. 3.5pm packing diameter) at 25 °C eluting with 10 mM ammonium bicarbonate in water (solvent A) and acetonitrile (solvent B), using the following elution gradient: 10-95 % (solvent B) over 4.0 min and holding at 95 % for 1.0 min at a flow rate of 1.0 ml/min. 8) GCMS Method: Agilent 7890B GC system with Agilent MSD 5977B using El equipped with a HP-5 column (30 m x 0.32mm, 0.25pm film thickness) at 250 °C eluting with helium at a flow rate of 2 mL/min and 10 min run time under the following chromatographic run conditions: 120°C for 1 min, 40°C/min up to 300°C, hold for 4.5 min.
In the following experimental descriptions, the following abbreviations may be used:Abbreviation MeaningAcOH acetic acidaq. aqueousBBr 3 boron tribromide WO 2022/129283 PCT/EP2021/086101 BCI3 boron trichlorideBH3 boraneBINAP 2,2'-bis(diphenylphosphino)-1,1'-binaphthaleneBn benzylbrine saturated aqueous sodium chlorideBuLi or nBuLi butyllithiumGDI carbonyldiimidazoleCH2CI2 methylene chlorideCH3CN acetonitrile COCI2 oxalyl chlorideCS2CO3 cesium carbonateDABCO 1,4-diazabicyclo[2.2. 2]octaneDCC dicyclohexylcarbodiimideDCM or CH2CI2 methylene chlorideDEAD diethyl azodicarboxylateDEAP diethyl aminopyridineDI AD diisopropyl azodicarboxylateDIPEA, DEA, Hunig ’s baseN,N-diisopropylethylamine DMA DimethylacetamideDMAP 4-dimethylaminopyridineDMF N,N-dimethylformamideDME dimethoxyethaneDMSO dimethyl sulfoxide EDC1-[3-(dimethylamino)propyl]-3-ethylcarbodiimide hydrochlorideEt ethylEt3N triethylamineEt2O diethyl etherEtOAc ethyl acetateEtOH ethanol WO 2022/129283 PCT/EP2021/086101 Fmoc or fmoc fluorenylmethyloxycarbonylg, G, gm, GM gramGCMS gas chromatography-mass spectroscopyh or hr hour(s)H2 hydrogenH2O2 hydrogen peroxideH2O waterH2SO4 sulfuric acid HATU(O-(7-azabenzotriazol-1-yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate) HBTU2-( 1 H-benzo[d][1,2,3]triazol-1 -yl)-1 ,1,3,3-tetramethylisouronium hexafluorophosphate(V)MCI hydrochloric acidHCO2H formic acidHOBt or HOBT 1 -hydroxybenzotriazoleHPLC high performance liquid chromatographyI2 IodineJLR jacketed lab reactorK2CO3 potassium carbonateKHSO4 potassium hydrogen sulfateKOAc potassium acetateL or I literLAK lithium aluminum hydrideLCMS liquid chromatography-mass spectroscopyLDA lithium diisopropyl amideLED light-emitting diodeLiOH lithium hydroxideLHMDS lithium bis(trimethylsilyl)amidemCPBA meta-chloroperoxybenzoic acidMDAP mass directed autopurificationMe methyl WO 2022/129283 PCT/EP2021/086101 MeOH methanolmg, MG milligramMgBr2 magnesium bromideMgS04 magnesium sulfateMin or mins minute(s)ml or mb or ML millilitermmol millimoleMnO2 manganese dioxideMol, mol moleMSmass spectrumMTBE methyl tert-butyl etherpw microwaveN2 nitrogenNa(CN)BH3 sodium cyanoborohydrideNaCI sodium chlorideNa2CO3sodium carbonateNaHCO3 sodium bicarbonateNaHMDS sodium bis(trimethylsilyl)amideNaHSO3 sodium bisulfiteNah sodium hydrideNai sodium iodideNaOH sodium hydroxideNa2SO3 sodium sulfiteNa2SO4 sodium sulfateNH4CI ammonium chlorideHCO2-NH4 ammonium formateNH4OH ammonium hydroxidenm nanometerNMO 4-methylmorpholine N-oxideNMP N-methyl-2-pyrrolidone WO 2022/129283 PCT/EP2021/086101 Pd/C palladium on carbonPdCI2(dbpf) 1,1’-bis(di-tert-butylphosphino)ferrocene dichloropalladiumPd(dppf)CI 2/PdCI2(dppf)[1,1 '-bis(diphenylphosphino)ferrocene] dichloropalladium(ll)PdCI2(dppf)-CH2CI2 adduct[1,1 '-bis(diphenylphosphino)ferrocene]dichloropalladium(ll), complex with dichloromethanePd2(dba)3 tris(dibenzylideneacetone)dipalladium(0)Pd(Ph 3)4, tetra kistetrakis(triphenylphosphine)palladium(0) PdOAc2 orPd(OAc) 2palladium acetate Pd(OH)2 palladium hydroxide PIFA [Bis(trifluoroacetoxy)iodo]benzene Ph phenylPLHCO3MP macroporus polystyrene supported carbonatePOCI3 phosphoryl chloridepsi Pounds per square inchPTFE polytetrafluoroethylenePTSOH or PTSA or pTsOHp-Toluenesulfonic acid rt or RT room temperaturesat. saturatedSFC supercritical fluid chromatographySi silicaSiSPE silica gel cartridgesSiO2 silica gelSPE solid phase extractionT3P® propylphosphonic anhydridetBu or t-Bu tert-butyl groupTBAB tetrabutylammonium bromideTBAF tetrabutylammonium fluoride WO 2022/129283 PCT/EP2021/086101 TBAI tetrabutylammonium iodideTBDMSCI tert-butyldimethylsilyl chlorideTBME tert-butyl methyl ether TBTU2-( 1 H-benzotriazole-1 -yl)-1 ,1,3,3-tetramethyluronium tetrafluoroborateTEA triethylamineTEA trifluoroacetic acidTHE tetrahydrofuranTiCI4 titanium tetrachlorideTMS-Br orTMSBrtrimethylsilyl bromide TMS-CI orTMSCItrimethylsilyl chloride TMSI lodotrimethylsilane or trimethylsilyl iodideTMS-OTfor TMSOtftrimethylsilyl triflate tR retention timeUPbC ultra performance liquid chromatographyXantphos 4,5-Bis(diphenylphosphino)-9,9-dimethylxantheneXphos 2-Dicyclohexylphosphino-2',4',6'-triisopropylbiphenyl Intermediate 1Ethyl 2-bromo-4-(trifluoromethyl)benzoate To a stirring solution of 2-bromo-4-(trifluoromethyl)benzoic acid (10.0 g, 37.2 mmol) in DMF (100 mb) was added K2CO3 (5.65 g, 40.9 mmol) followed by ethyl iodide (3.60 mb, 44.6 mmol) dropwise under N2at 25 °C. The reaction mixture was stirred at the same temperature for 3 hours. Water (150 mb) was added and the reaction was extracted withEtOAc (2 x 250 mb). The combined organic extracts were washed with brine (150 mb), dried over Na2SO4, filtered, and concentrated. The residue was purified by flash column chromatography (Biotage, 100 g SNAP column, 10% EtOAc/petroleum ether over WO 2022/129283 PCT/EP2021/086101 minutes) to give the title compound as a colorless oil (9.3 g, 31.3 mmol, 84 % yield). GCMS (m/z) 296.0 (M)+.
Intermediate 22-Chloro-5-(trifluoromethyl)nicotinoyl chlorideO To a stirred solution of 2-chloro-5-(trifluoromethyl)nicotinic acid (50 g, 222 mmol) in DCM (500 mb) were added oxalyl chloride (23.28 mb, 266 mmol) and DMF (1.716 mb, 22.mmol) at 0 °C and the reaction mixture was stirred for 1 hour at RT. The reaction mixture was concentrated under reduced pressure to dryness under N2 to yield the title compound as a brown gum (52 g, 213 mmol, 96 % yield).
Intermediate 32-Chloro-N-(6-methoxy-2-methylpyridin-3-yl)-5-(trifluoromethyl)nicotinamide A mixture of 6-methoxy-2-methylpyridin-3-amine (32.4 g, 234 mmol) and TEA (mb, 639 mmol) in DCM (300 mb) was added to a stirred solution of 2-chloro-5- (trifluoromethyl)nicotinoyl chloride (52 g, 213 mmol) in DCM (300 mb) at 0 °C and the reaction mixture was stirred for 2 hours. The reaction mixture was quenched with ice-cold water (500 mb) and extracted with DCM (3 x 500 mb). The combined organic phases were washed with water (500 mb) and brine (500 mL), dried over Na2SO4 and concentrated in vacuo. The crude product was purified by column chromatography (Biotage, 340 g SiOcolumn, 0-30% EtOAc/petroleum ether over 40 minutes) to give the title compound as a brown solid (37 g, 106 mmol, 49.9 % yield). MS (m/z) 346.0 (M+H+).
Intermediate 4Methyl 2-((4-fluoro-2-methylphenyl)amino)-5-(trifluoromethyl)benzoate WO 2022/129283 PCT/EP2021/086101 To a solution of methyl 2-bromo-5-(trifluoromethyl)benzoate (2 g, 7.1 mmol) and 4- fluoro-2-methylaniline (1.06 g, 8.48 mmol) in 1,4-dioxane (20 mb) under nitrogen at room temperature was added cesium carbonate (4.60 g, 14.13 mmol) and BINAP (0.44 g, 0.mmol) in a one charge. The reaction mixture was purged with nitrogen for 10 min, then Pd2(dba)3 (0.324 g, 0.353 mmol) was added into the reaction mixture. The reaction mixture was stirred at 100 °C for 16 h. The reaction mixture was cooled to RT and filtered through a Celite ® pad and the filtrate was concentrated onto SiO2. Purification by flash chromatography on SiO2 (25g) with 0-30% EtOAc in petroleum ether as eluant afforded the title compound as a colorless solid (2.3 g, 7.0 mmol, 99 % yield). MS (m/z) 328.0 (M+H+).Intermediates 5-6 were prepared from the indicated aryl halogen and aniline by methods analogous to those described for Intermediate 4.
Int. Name Structure Characterization Aryl halogen Aniline ethyl 2-((4- fluoro-2- methylphenyl )a mino)-4- (trifluoromethyl) benzoate o MS (m/z) 342.(M+H+) ethyl 2- bromo-4- (trifluoromet hyl )benzoat e 4-fluoro-2- methylanili ne 6methyl 5-chloro- 2-((4-fluoro-2- methylphenyl )a mino)benzoate o MS (m/z) 294.(M+H+)methyl 2- bromo-5- chlorobenzo ate -fluoro-2- methylanili ne WO 2022/129283 PCT/EP2021/086101 Intermediate 72-((4-Fluoro-2-methylphenyl)amino)-5-(trifluoromethyl)benzoic acid To a solution of methyl 2-((4-fluoro-2-methylphenyl)amino)-5-(trifluoromethyl)benzoate (2.3 g, 7.03 mmol in THE (20 mb) under N2 was added LiOH (1.68g, 70.3 mmol). The reaction mixture was stirred at 80 °C for 4 h. The reaction mixture was cooled to rt and filtrate was concentrated under vacuum. Crude material was extracted with 100 mb DCM and washed with 50 mb water. Aqueous layer was acidified with 1.5 N MCI mb and extracted with DCM (100 mb) twice. Combined organic layer was dried over sodium sulphate, filtered and concentrated under vacuum to afford the title compound as a yellow solid (2.1 g, 6.7 mmol, 95 % yield). MS (m/z) 314.0 (M+H+).Intermediates 8-9 were prepared from the indicated ester by methods analogous to those described for Intermediate 7.
Int. Name Structure Characterization Ester 82-((4-fluoro-2- methylphenyl)amino)- 4- (trifluoromethyl)benzoi c acid ^oh F MS (m/z) 311.9 (M- H)־ ethyl 2-((4-fluoro-2- methylphenyl)amino)- 4-(trifl uoromethyl )benzo ate 95-chloro-2-((4-fluoro-2- methylphenyl)amino)b enzoic acid’ 5' MS (m/z) 280.(M+H)+methyl 5-chloro-2-((4- fluoro-2- methylphenyl)amino) benzoate Intermediate 102-((4-Fluoro-2-methylphenyl)amino)-N-(6-methoxy-2-methylpyridin-3-yl)-5- (trifl uoromethyl)benzamide WO 2022/129283 PCT/EP2021/086101 To a solution of 2-((4-fluoro-2-methylphenyl)amino)-5-(trifluoromethyl)benzoic acid (2.1 g, 6.7 mmol) , DIPEA (2.34 mb, 13.4 mmol) and HATU (3.82 g, 10.1 mmol) in DMF (mb) under nitrogen at RT was added 6-methoxy-2-methylpyridin-3-amine (1.02 g, 7.4 mmol) dropwise over 1 min. The reaction mixture was; stirred at RT for 12h. The reaction mixture was quenched with ice cold water (100 mb) and resulting solid was filtered and dried under vacuum to afford the title compound as a brown solid (2.4 g, 5.5 mmol, 82 % yield). MS (m/z) 434.0 (M+H+).Intermediates 11-12 were prepared from the indicated amine and carboxylic acid by methods analogous to those described for Intermediate 10.
Int. Name Structure Characterization Amine acid 2-((4-fluoro-2- methylphenyl)amino )-N-(6-methoxy-2- methylpyridin-3-yl)- 4- (trifluoromethyl)benz amide I ؛F3C^''^MS (m/z) 433.(M+H+) 6-methoxy- 2- methylpyrid in-3-amine 2-((4-fluoro-2- methylphenyl )a mino)-4- (trifluoromethyl) benzoic acid -chloro-2-((4-fluoro- 2- methylphenyl)amino )-N-(6-methoxy-2- methylpyridin-3- yl)benzamide Inu u F MS (m/z) 400.(M+H+) 6-methoxy- 2- methylpyrid in-3-amine -chloro-2-((4- fluoro-2- methylphenyl )a mino)benzoic acid Intermediate 13N-(6-methoxy-2-methylpyridin-3-yl)-2-((2-methyl-4-(trifluoromethoxy)phenyl)amino)-5-(trifluoromethyl)nicotinamide WO 2022/129283 PCT/EP2021/086101 A 1 L round bottom flask, fitted with a magnetic stir bar, was charged with 2-chloro-N- (6-methoxy-2-methylpyridin-3-yl)-5-(trifluoromethyl)nicotinamide (37 g, 107 mmol) and 2- methyl-4-(trifluoromethoxy)aniline (30.7 g, 161 mmol). Toluene (500 mb) was added followed by cesium carbonate (69.7 g, 214 mmol). The resulting reaction mixture was purged with nitrogen for 15 minutes before Xantphos (6.19 g, 10.70 mmol) and Pd2(dba)(4.90 g, 5.35 mmol) were added. The resulting dark brown reaction mixture was stirred at 100 °C for 16 hours. The reaction mixture was allowed to cool to room temperature and filtered through a Celite ® bed washing with EtOAc (1 L). The filtrate was concentrated under vacuum and the crude product was purified by flash column chromatography (Biotage, 330 g SiO2 column, 0-30% EtOAc/petroleum ether over 90 minutes) to give the title compound as a brown solid (35 g, 36.5 mmol, 34.1 % yield). MS (m/z) 500.8 (M+H+).
Intermediate 141-(4-Fluoro-2-methylphenyl)-3-(6-methoxy-2-methylpyridin-3-yl)-6-(trifluoromethyl)-2,3-dihydroquinazolin-4(1 H)-one To a solution of 2-((4-fluoro-2-methylphenyl)amino)-N-(6-methoxy-2-methylpyridin-3- yl)-5-(trifluoromethyl)benzamide (2.4 g, 5.5 mmol) and C52CO3 (7.22 g, 22.2 mmol) in acetonitrile (25 mb) under nitrogen at room temperature was added diiodomethane (1.3mb, 16.61 mmol) dropwise over 5 min. The reaction mixture was stirred at 80 °C for 16 h. The reaction mixture was cooled to rt and filtered through Celite ® pad. The filtrate was concentrated onto SiO2. Purification by flash chromatography on SiO2 (50g) with 0-100% EtOAc/petroleum ether as eluant afforded the title compound as a colorless solid (2.0 g, 4.mmol, 74 % yield). MS (m/z) 446.0 (M+H+).Intermediates 15-17 were prepared from the indicated amide by methods analogous to those described for Intermediate 14.
WO 2022/129283 PCT/EP2021/086101 Int. Name Structure Characterization Amide 1-(4-fluoro-2- methylphenyl)-3-(6- methoxy-2- methylpyridin-3-yl)-7- (trifl uoromethyl )-2,3- dihydroquinazolin- 4(1 H )-one I N ؛ jT! N F MS (m/z) 446.(M+H)+ 2-((4-fluoro-2- methylphenyl)amino)- N-(6-methoxy-2- methylpyridin-3-yl)-4- (trifl uoromethyl )benza mide 6-chloro-1 -(4-fluoro-2- methylphenyl)-3-(6- methoxy-2- methylpyridin-3-yl)- 2,3-dihydroquinazolin- 4(1 H )-one VzQ־ V c o " o MS (m/z) 412.(M+H)+ -chloro-2-((4-fluoro- 2- methylphenyl)amino)- N-(6-methoxy-2- methylpyridin-3- yl)benzamide 3-(6-methoxy-2- methylpyridin-3-yl)-1- (2-methyl-4- (trifl uoromethoxy )phen yl )-6-(trifl uoromethyl )- 2,3-dihydropyrido[2,3- d]pyrimidin-4(1 H)-oneocf3 MS (m/z) 512.(M+H)+ N-(6-methoxy-2- methylpyridin-3-yl)-2- ((2-methyl-4- (trifluoromethoxy )phe nyl)amino)-5- (trifl uoromethyl )ni coti namide Intermediate 181-(4-Fluoro-2-methylphenyl)-3-(2-methyl-6-oxo-1,6-dihydropyridin-3-yl)-6- (trifluoromethyl )-2,3-dihydroquinazolin-4(1H)-one To a solution of 1-(4-fluoro-2-methylphenyl)-3-(6-methoxy-2-methylpyridin-3-yl)-6- (trifluoromethyl)-2,3-dihydroquinazolin-4(1H)-one (0.6 g, 1.4 mmol) in acetonitrile (10 mb) under nitrogen at room temperature was added iodotrimethylsilane (0.54 g, 2.7 mmol) dropwise over 5 min. The reaction mixture was stirred at 80 °C for 12 h. The reactionmixture was cooled to rt and concentrated under vacuum. The crude residue was dissolved in DCM (100 mb) and washed with sat. sodium thiosulphate (20 mb). Organic layer was dried over sodium sulphate and concentrated onto Celite ®. Purification by reverse phase chromatography on C18 (40g) with 0-100% gradient with 0.1% formic acid in acetonitrile in 0.1% formic acid in water as eluant afforded clean fractions which were concentrated and WO 2022/129283 PCT/EP2021/086101 the resulting precipitate with filtered, washed with water and dried to afford the title compound as a colorless solid (0.21 g, 0.5 mmol, 36 % yield). MS (m/z) 432.1 (M+H+).Intermediates 19-21 were prepared from the indicated intermediate by methods analogous to those described for Intermediate 18.
Int. Name Structure Characterization Intermediate 1-(4-fluoro-2- methylphenyl)-3-(2- methyl-6-oxo-1 ,6- dihydropyridin-3-yl)-7- (trifl uoromethy I )-2,3- dihydroquinazolin- 4(1 H )-one ° rZ؛ XXjF3C '/^^ F MS (m/z) 432.(M+H+) 1-(4-fluoro-2- methylphenyl)-3-(6- methoxy-2- methylpyridin-3-yl)-7- (trifl uoromethyl )-2,3- dihydroquinazolin- 4(1 H )-one 6-chloro-1 -(4-fluoro-2- methylphenyl)-3-(2- methyl-6-oxo-1 ,6- dihydropyridin-3-yl)- 2,3-dihydroquinazolin- 4(1 H )-one °ckXjo ז F MS (m/z) 398.(M+H+) 6-chloro-1 -(4-fluoro- 2-methylphenyl)-3-(6- methoxy-2-methylpyridin-3-yl)-2,3- dihydroquinazolin- 4(1 H )-one 1-(2-methyl-4- (trifl uoromethoxy )phen yl )-3-(2-methyl-6-oxo- 1,6-dihydropyridin-3- yl )-6-(trifl uoromethyl )- 2,3-dihydropyrido[2,3- d]pyrimidin-4(1 H)-one °^1 11 N 1 ocf3 MS (m/z) 499.(M+H+) 3-(6-methoxy-2- methylpyridin-3-yl)-1 -(2-methyl-4-(trifl uoromethoxy )phenyl)-6-(trifl uoromethyl )-2,3- dihydropyrido[2,3- d]pyrimidin-4(1 H)-one Intermediate 223-(1-(Chloromethyl)-2-methyl-6-oxo-1,6-dihydropyridin-3-yl)-1-(4-fluoro-2- methylphenyl)-6-(trifluoromethyl)-2,3-dihydroquinazolin-4(1H)-one 10Chloromethyl carbonochloridate (0.452 ml, 5.09 mmol) was added dropwise to asuspension of 1-(4-fluoro-2-methylphenyl)-3-(2-methyl-6-oxo-1,6-dihydropyridin-3-yl)-6- (trifluoromethyl)-2,3-dihydroquinazolin-4(1H)-one (0.878 g, 2.035 mmol) and DABCO (0.1g, 1.628 mmol) in Ethyl acetate (16.23 ml) and DMF (1.623 ml) under N2. The reaction was WO 2022/129283 PCT/EP2021/086101 stirred at 60 °C for ~ 6 hr and then at RT for 2.5 days. The reaction was quenched slowly with sat. NaHCO3 (20 mb), extracted with EtOAc and DCM (2X). The combined organic extracts were dried over Na2SO4 and concentrated. The residue was triturated with a solution of 1:2/ EtOAc: heptane to give the title compound as an off-white solid (0.749 g, 1.561 mmol, 77 % yield). MS (m/z) 480.3 (M+H+).Intermediates 23-25 were prepared from the indicated amide by methods analogous to those described for Intermediate 22.
Int. Name Structure Characterization Amide 3-( 1-(chloromethyl)- 2-methyl-6-oxo-1 ,6- dihydropyridin-3-yl)- 1-(4-fluoro-2- methylphenyl)-7- (trifl uoromethyl )-2,3- dihydroquinazolin- 4(1 H )-one oF3C^/^ F MS (m/z) 480.(M+H)+ 1-(4-fluoro-2- methylphenyl)-3-(2- methyl-6-oxo-1,6- dihydropyridin-3- yl)-7-(trifluoromethyl)- 2,3-dihydroquinazolin- 4(1 H )-one 6-chloro-3-(1- (chloromethyl)-2- methyl-6-oxo-1,6- dihydropyridin-3-yl)- 1-(4-fluoro-2- methylphenyl)-2,3- dihydroquinazolin- 4(1 H )-one OCK ^Clז ס 0 י F MS (m/z) 446.(M+H)+ 6-chloro-1-(4- fluoro-2-methylphenyl)-3-(2- methyl-6-oxo-1 ,6- dihydropyridin-3- yi)-2,3-dihydroquinazolin- 4(1 H )-one 3-( 1-(chloromethyl)- 2-methyl-6-oxo-1 ,6- dihydropyridin-3-yl)- 1-(2-methyl-4- (trifluoromethoxy )ph enyl)-6-(trifl uoromethyl )-2,3- dihydropyrido[2,3- d]pyrimidin-4(1H)- one ° f'f JLן N ןן 1 ocf3 MS (m/z) 546.(M+H)+ 1-(2-methyl-4- (trifluoromethoxy)p henyl)-3-(2-methyl- 6-oxo- 1,6- dihydropyridin-3- yl)-6- (trifluoromethyl)- 2,3-dihydropyrido[2,3- d]pyrimidin-4(1H)- one Intermediate 26Di-tert-butyl ((5-(1-(4-fluoro-2-methylphenyl)-4-oxo-6-(trifluoromethyl)-1,4- dihydroquinazolin-3(2H)-yl)-6-methyl-2-oxopyridin-1(2H)-yl)methyl) phosphate WO 2022/129283 PCT/EP2021/086101 DMF (7.29 ml) was added to a mixture of 3-(1-(chloromethyl)-2-methyl-6-oxo-1 ,6- dihydropyridin-3-yl)-1-(4-fluoro-2-methylphenyl)-6-(trifluoromethyl)-2,3-dihydroquinazolin- 4(1H)-one (0.749 g, 1.561 mmol), potassium di-tert-butyl phosphate (0.581 g, 2.341 mmol)and tetrabutylammonium iodide (0.029 g, 0.078 mmol) under N2 and the reaction was stirred at 70 °C for 3 hr. The reaction was cooled to F?T and quenched slowly with ice water (mb). The reaction was extracted with EtOAc, washed with water (2X), dried over Na2SOand concentrated to give the title compound as a foam (0.846 g, 1.294 mmol, 83 % yield. MS (m/z) 542.3 (M-112)+.Intermediates 27-29 were prepared from the indicated intermediate by methodsanalogous to those described for Intermediate 26.
WO 2022/129283 PCT/EP2021/086101 Int. Name Structure Characterization Intermediate di-tert-butyl ((5-(1- (4-fluoro-2- methylphenyl)-4- oxo-7- (trifl uoromethyl)-1 ,4- dihydroquinazolin- 3(2H)-yl)-6-methyl- 2-oxopyridin-1(2H)- yl )methyl) phosphate ؛ o^^J^M Js^N ■__ O. PK if N Y P^״LA j י o ° F MS (m/z) 542.0 (M- 112)+ 3-(1-(chloromethyl)-2- methyl-6-oxo-1 ,6- dihydropyridin-3- yl)-1-(4-fluoro-2- methylphenyl)-7- (trifluoromethyl)- 2,3-dihydroquinazolin- 4(1 H )-one di-tert-butyl ((5-(6- chloro- 1 -(4-fluoro-2- methylphenyl)-4- oxo- 1,4- dihydroquinazolin- 3(2H)-yl)-6-methyl- 2-oxopyridin-1(2H)- yl )methyl) phosphate ؛ סJ ' d ° F MS (m/z) 508.0 (M- 112)+ 6-chloro-3-(1- (chloromethyl)-2- methyl-6-oxo-1,6- dihydropyridin-3- yl)-1-(4-fluoro-2- methylphenyl)-2,3- dihydroquinazolin- 4(1 H )-one di-tert-butyl ((6- methyl-5-(1-(2- methyl-4- (trifluoromethoxy )ph enyl)-4-oxo-6- (trifl uoromethyl)-1 ,4- dihydropyrido[2,3- d]pyrimidin-3(2H)- yl)-2-oxopyridin-1(2H)-yl)methyl)phosphate oA j = oJ >fMS (m/z) 609.0 (M- 112)+ 3-(1-(chloromethyl)-2- methyl-6-oxo-1,6- dihydropyridin-3- yl)-1-(2-methyl-4- (trifluoromethoxy)p henyl)-6-(trifluoromethyl)- 2,3-dihydropyrido[2,3- d]pyrimidin-4(1H)- one Example (5-(1-(4-Fluoro-2-methylphenyl)-4-oxo-6-(trifluoromethyl)-1,4-dihydroquinazolin- 3(2H)-yl)-6-methyl-2-oxopyridin-1 (2H)-yl)methyl dihydrogen phosphate FAcetic acid (0.5 ml, 8.73 mmol) was added dropwise to a suspension of di-tert-butyl ((5-(1-(4-fluoro-2-methylphenyl)-4-oxo-6-(trifluoromethyl)-1,4-dihydroquinazolin-3(2H)-yl)-6- WO 2022/129283 PCT/EP2021/086101 methyl-2-oxopyridin-1(2H)-yl)methyl) phosphate (0.3 g, 0.459 mmol) in acetonitrile (1.5 ml) and water (1.5 ml) at RT under N2 and the reaction was stirred at 70 °C for 3 hr. The reaction was cooled and concentrated. The foam residue was rinsed with water. The residue was purified by reverse phase (EZ Prep Isco, C18 Aq 15.5g Gold column, 30-80%gradient, acetonitrile with 0.1% formic acid/water with 0.1% formic acid, 30 mL/min flow rate, 12.3 min overall run time) to give the title compound as a white solid (64.7 mg, 0.120 mmol, 26.0 % yield). 1H NMR (400 MHz, DMSO-de) 6:11.60 (brs, 2H), 8.09 (d, J=2.4 Hz, 1H), 7.(brd, J=8.3 Hz, 1H), 7.52-7.38 (m, 2H), 7.37-7.28 (m, 1H), 7.26-7.15 (m, 1H), 6.43-6.30 (m, 2H), 5.80-5.60 (m, 2H), 5.55 (d, J=9.3 Hz, 0.6H), 5.1-5.2 (m, 0.8H), 4.75 (brd, J=9.3 Hz,0.6H), 2.3-2.4 (m, 3H), 2.25 (br s, 3H). MS (m/z) 542.0 (M+H+).Examples 2-4 were prepared from the indicated Intermediate by methods analogous to those described for Example 1.
WO 2022/129283 PCT/EP2021/086101 Ex. Name Structure Characterization Intermediate (5-(1-(4-fluoro-2- methylphenyl)-4- oxo-7- (trifluoromethyl)- 1,4- dihydroquinazolin- 3(2H)-yl)-6- methyl-2- oxopyridin-1(2H)- yl )methyl dihydrogen phosphate o. /Xn O /?n ע । ho ohF3C 1H NMR (400 MHz, DMSO-d6)6: 8.07 (d, J = 8.0 Hz, 1H), 7.46-7.(m, 2H), 7.35-7.13 (m, 5H), 6.47-6.25 (m, 2H), 5.57 (brs, 2H), 5.51 (brs, 0.5H), 5.13 (br s, 1H), 4.(br s, 0.5H), 2.44-2.(m, 3H), 2.24 (s, 3H) MS (m/z) 542.0 (M+H)+ di-tert-butyl ((5-(1- (4-fluoro-2- methylphenyl)-4- oxo-7- (trifluoromethyl)- 1,4- dihydroquinazolin- 3(2H)-yl)-6-methyl- 2-oxopyridin-1(2H)- yl )methyl) phosphate (5-(6-chloro-1-(4- fluoro-2- methylphenyl)-4- oxo- 1,4- dihydroquinazolin- 3(2H)-yl)-6- methyl-2- oxopyridin-1(2H)- yl )methyl dihydrogen phosphate L l J ' HO OH N F 1H NMR (400 MHz, DMSO-d6) 6: 7.80 (d, J = 2.6 Hz, 1H), 7.46 (d, J = 9.8 Hz, 1H), 7.40 (dd, J = 8.8, 2.6 Hz, 1H), 7.36 - 7.27 (m, 2H), 7.22-7.(m, 1H), 6.39 (d, J =9.Hz, 1H), 6.35 -6.17 (m, 1H), 5.83-5.69 (m, 2H), 5.46 (brs, 0.6H), 5.21 - 4.97 (m, 0.8H), 4.69 (br s, 0.6H), 2.43-2.28 (m, 3H), 2.23 (s, 3H)MS (m/z) 508.0 (M+H)+ di-tert-butyl ((5-(6- chloro-1-(4-fluoro- 2-methylphenyl)-4- oxo- 1,4- dihydroquinazolin- 3(2H)-yl)-6-methyl- 2-oxopyridin-1(2H)- yl )methyl) phosphate (6-methyl-5-(1-(2- methyl-4-(trifluoromethoxy)p henyl)-4-oxo-6- (trifluoromethyl)- 1,4- dihydropyrido[2,3- d]pyrimidin-3(2H)- yl)-2-oxopyridin- 1(2H)-yl)methyl dihydrogen phosphate ° xy°A J ' HO OH N N ocf3 1H NMR (400 MHz, DMSO-d6)b: 8.60 (s, 1H), 8.32 (d, J = 2.40 Hz, 1H), 7.55-7.15 (m, 6H), 6.30 (t, J = 10.00 Hz, 1H), 5.70- 5.50 (m, 2.5H), 5.35 (d, J = 10 Hz, 0.5H), 5.22 (d, J = 10Hz, 0.5H) 4.92 (d, J = 9.6 Hz, 0.5H), 2.42 (s, 3H), 2.24 (d, J = 6.8 Hz, 3H)MS (m/z) 609.0 (M+H)+ di-tert-butyl ((6- methyl-5-(1-(2- methyl-4- (trifluoromethoxy)p henyl)-4-oxo-6- (trifluoromethyl)- 1,4- dihydropyrido[2,3- d]pyrimidin-3(2H)- yl)-2-oxopyridin-1(2H)-yl)methyl)phosphate Biological Assays The Nav1.8 Inhibitor compounds or pharmaceutically acceptable salts thereof of theinvention are useful for treatment of pain, pain disorders or conditions, pain-related disorders or conditions or pain caused by diseases, respectively, such as those defined throughout the instant application.The biological activity of the compounds of the invention can be determined using suitable assays, such as those measuring such inhibition and those evaluating the ability of the WO 2022/129283 PCT/EP2021/086101 compounds to inhibit voltage gated sodium channel Nav 1.8 in vitro or in animal models of infection.
Biological Assay Example 1: Human embryonic kidney 293 cells (HEK293) expressing human Nav1.8, human Navp1 and human TREK1 (HEK293-Nav1.8) were grown at 37 °C, 5% CO2 in 150cm 2 flasks. HEK293-Nav1.8 were passaged every 2-3 days into T175 cell culture flasks when confluency reached 80 - 90 %.Pharmacological assessment of the compounds of the invention was performed using HEK293-Nav1.8 in combination with an assay developed on the QPatch 48 HTX electrophysiological system. HEK293-Nav1.8 were prepared on the day of use by removing culture media, washing in DPBS, adding Accutase (2ml to cover the surface, aspirate 1ml then 1.5 min at 37°C) followed by addition of CHO-SFM II to stop the enzyme digestion and in order to obtain a suspension of 3 x 106 cell/mL.Compound was prepared in an extracellular solution of the following composition: NaCI (145 mM), KCI (4 mM), CaCI2 (2 mM), MgCI2 (2 mM), HEPES (1 mM), Glucose (mM), pH 7.4 with NaOH Osmolality 300 mOsM/L. The intracellular solution was used of the following composition: CsF (115 mM), CsCI (20 mM), NaCI (5 mM), EGTA (10 mM), HEPES (10 mM), Sucrose (20 mM), pH 7.2 with CsOH Osmolality 310 mOsm/L.Utilizing the voltage-clamp mode in the QPatch 48 HTX system a half inactivation state voltage protocol (V1/2) was used to determine pharmacological activity of compounds of the invention at Nav1.8 ion channels. A V1/2 protocol was utilized with the following voltage steps: a holding voltage of -100 mV was established followed by a 20 ms voltage step to mV (P1), followed by an inactivating voltage step at -46 mV for 8 seconds, followed by a step to -100 mV for 20 ms, before a 20 ms step to OmV (P2) before returning to the holding voltage of -100 mV. This voltage protocol was repeated at a frequency of 0.07Hz., current magnitude was quantified at the P2 step throughout the recording. Inhibition of the measured current amplitude with the compounds of the invention was analyzed by fitting a 6 - 8 point dose-response curve allowing determination of the fifty percent inhibition concentration (IC50). Within the QPatch HTX software, P2 current was normalized according to measurements made at baseline after compound and after positive reference compound and fit to the following equation:(Input — Baseline) n.ICPD = Normalized Current = (F11URp^nT1sp RnspliT1p A r LlLLK6SpOTlS6 — 005611116) To assess current run-down over the course of the experiment vehicle-only wells were utilized and the normalized current with vehicle-only (n.IVEH) was determined. To WO 2022/129283 PCT/EP2021/086101 correct the compound response for run-down, the currents were corrected according the following formula:_ (n. ICpd ~ n■ ^veh )H•■ *RD Correct f x Compounds of the invention and the corresponding parent compounds (see Table 1Afor structures) were tested for activity against Navi. 8 sodium channels in the above assay in one or more experimental runs and the results are shown in Table 1 below. Potency of the compounds of the invention is reported as a plC50 value. The plC50 value is the negative log of the IC50 value, wherein the IC50 value is the half maximal inhibitory concentration measured in molar (M). Potency of the compounds of the invention iscompared to the potency of the parent compound. For compounds tested in more than one experimental run, the plC50 value is reported as an average.
Table 1 Compounds of the Invention Parent Compounds Compound Example No. [Nav1.8] plC50 Parent Compound No.
[Nav1.8] plC50 1 6.8 1A 8 6.6 2A 7.7 6.9 3A 86.1 4A 7.5 Table 1A Compound Example No.
Structure Parent Compound No.
Structure 1 ° rv°F3Cv^ANAr N^O.p(OHIJ. j I ho'x°N F 1A° f3c^An^nh 0' WO 2022/129283 PCT/EP2021/086101 Biological Assay Example 2: Kinetic solubility measurement using Charged Aerosol Detector (CAD). The aqueous kinetic solubility at pH 7.4 was determined by measuring the concentration of solute insolution after precipitation from DMSO stock solution. The DMSO stock solution was diluted 20-fold with phosphate buffered saline (PBS) pH 7.4 and the solubility of the compound was measured after 1 hour equilibration at room temperature by HPLC-CAD. Calibration standards of Ketoconazole and Primidone were prepared by serial dilutions in DMSO at concentrations ranging from 0.016 to 4.5 mg/ml to produce the calibration curve used todetermine the solubility of the compounds as previously described in Max W. Robinson et al, Use of Calculated Physicochemical Properties to Enhance Quantitative Response When Using Charged Aerosol Detection, Anal. Chern., 2017, 89 (3), pp 1772-1777, which is herein incorporated by reference.CAD solubility of the compounds of the invention and the corresponding parentcompounds was measured as described above and the results are shown in Table 2 below.
WO 2022/129283 PCT/EP2021/086101 Table 2 Prodrug Compounds of the Invention Parent Compounds Compound Example No.
CAD solubility3 (pg/mL) Parent Compound No.
CAD solubilityb (pg/mL) >260 1A 48>193 2A 51102 3A 54181 4A 87 a CAD solubility was measured in multiple experimental runs and the data reported as an average for Compound Example Nos. 1 and 3. CAD solubility was measured in one experimental run for Compound Example Nos. 2 and 4.b CAD solubility is reported as the average of multiple experimental runs.
Biological Assay Example 3: Rat IV/PO Study An in vivo rat pharmacokinetic study was conducted to determine whether the prodrug compounds of the invention are converted to the respective parent compound upon administration. The rat pharmacokinetic study was conducted with a crossover design on two study days with a one-day recovery period between each study day. Three male, dual catheterized (femoral vein and carotid artery) Han Wistar rats were used for the study. Each rat was also implanted with a gastric catheter for oral dose administration. Rats were dosed at 1 mg/kg by a 60 minute intravenous (IV) infusion (femoral vein cannula), then subsequently oral dosed at 2 mg/kg via the gastric cannula, with 48 hours between dosing sessions. Dose solutions of the compound of Example 3 were prepared in 20% Cavitron/5% DMSO/75% water (IV) and in 6% Cavitron/5% DMSO/89%water (PO) without pH adjustment. The dose solutions were filtered using a 0.22 p filter. The pH of the final dosing solutions was 6.0.During the intravenous study leg, blood samples were collected from the carotid artery catheter at target times of 15, 30, 60 (end of infusion), 65, 75, 90, 120, 240, 360, 480, 720, and 1440 minutes following the initiation of the intravenous infusion of the compound of Example 3. During the oral study leg, blood samples were collected prior to dosing and at target times of 15, 30, 60, 90, 120, 180, 240, 360, 480, 720, and 1440 minutes following oral administration. Blood samples, 100 pL, were mixed with 100 pL phosphatase inhibitor, a pL aliquot of the blood and inhibitor mixture was transferred to a non-heparinized tube and WO 2022/129283 PCT/EP2021/086101 stored at approximately -80° C until analyzed. The concentrations in the filtered dose solutions were confirmed by preparing stepwise dilutions first into 50% aqueous acetonitrile with 0.1% formic acid then into heparinized male Wistar Han blood:inhibitor to achieve determined nominal concentrations. Triplicate 50 pL aliquots were removed and were frozen and stored at approximately 80°C until analyzed by LC-MS/MS as described below.
LC-MS/MS was used to quantify the compound of Example 3 and the corresponding parent compound of Example 3A in the biological samples generated in the above described in vivo study. Samples were prepared by protein precipitation followed by LC-MS/MS analysis employing positive-mode ionization against a set of calibration standards for the compounds prepared in the same matrix. Pharmacokinetic parameters for the study was derived from the concentration versus time profiles. Key pharmacokinetic parameters such as AUCo - (extrapolated area under the blood concentration-time curve), AUCo t (area under the blood concentration-time curve to the last time point with quantifiable drug), Cmax (maximum concentration), Tmax (time Cmax is achieved), CL (systemic blood clearance), Vdss (steady-state volume of distribution), MRT (mean residence time), and t1/2 (half-life) were determined for the compound of Example 3. The key pharmacokinetic parameters such as AUCo-a, AUCo-t, Cmax, Tmax, MRT, and t1/2 (half-life) were determined for the parent compound Example 3A. Descriptive statistical data of pharmacokinetic parameters were calculated, including the mean and standard deviation (SD) using Microsoft Excel.The data are shown below in Tables 3A and 3B. Data are reported as mean ± SD (N=3). Table 3A Compound of Example 3 (Prodrug) Dose (mg/kg) 0.87 ± 0.01 1.7 ± 0.0Cmax (ng/mL) 260 ± 24 There were no quantifiable concentrations following oral administration Tmax (h) b 1.0, 0.25, 1.0Half-life (h) b 0.42, 3.8, 4.8MRT (h) b 0.14, 0.87, 1.2CL (mL/min/kg)± 9Vdss (Ukg) b 0.44, 3.6 3.8AUCo-t (pg.h/mL)0.24 ± 0.04AUC0-™(pg.h/mL) Bioavailability (%) 0.25 ± 0.03 WO 2022/129283 PCT/EP2021/086101 b Values listed individually due to variability Table 3B Compound of Example 3A (Parent Compound)
Claims (25)
1.PU670 - 63 -
2.CLAIMS1. A compound of formula (I):
3.(I) or a pharmaceutically acceptable salt thereof, wherein: X is N or CH; R is -P(O)(OH)2; R is hydrogen, –(C1-6)alkyl, -NRaRb, halo, or -(C1-6)haloalkyl; each of R and R is independently hydrogen, halo, cyano, -NRaRb, -(C1-6)alkyl, -(C1-6)haloalkyl, -O-(C1-6)alkyl, or -O-(C1-6)haloalkyl; each R is independently halo, -(C1-6)alkyl, -O(C1-6)alkyl, or -O(C1-6)haloalkyl; R is hydrogen or –(C1-6)alkyl; R is hydrogen, –(C1-6)alkyl, halo, or -(C1-6)haloalkyl; each of Ra and Rb is independently hydrogen or –(C1-6)alkyl; and n is 0, 1, or 2. 2. The compound according to claim 1, wherein X is N. 3. The compound according to claim 1, wherein X is CH.
4. The compound according to any one of claims 1-3, wherein R is –(C1-6)alkyl.
5. The compound according to any one of claims 1-4, wherein each of R and R is independently hydrogen, halo, or –(C1-6)haloalkyl.
6. The compound according to claim 5, wherein each of R and R is hydrogen, -Cl, or -CF3.
7. The compound according to any one of claims 1-3, wherein one of R and R is hydrogen and the other of R and R is halo or –(C1-6)haloalkyl. PU670 - 64 -
8. The compound according to claim 7, wherein one of R and R is hydrogen and the other of R and R is -Cl or -CF3.
9. The compound according to any one of claims 1-8, wherein each R is independently halo or -O(C1-6)haloalkyl.
10. The compound according to claim 9, wherein each R is independently -F or -OCF3.
11. The compound according to any one of claims 1-10, wherein R is –(C1-6)alkyl.
12. The compound according to claim 11, wherein R is -CH3, -CH2CH3, or -CH(CH3)2.
13. The compound according to claim 1, wherein: X is N; R is -PO(OH)2; R is -CH3; one of R and R is hydrogen and the other of R and R is halo or –(C1-6)haloalkyl; R is halo or –O(C1-6)haloalkyl; R is –(C1-6)alkyl; R is hydrogen; and n is 1.
14. The compound according to any one of claims 1 to 13, being a pharmaceutically acceptable salt of the compound of formula (I), wherein: R is -P(O)(OH)O-M+, -PO(O-)2 •2M+, or -PO(O-)2 •D2+; each M+ is independently a pharmaceutically acceptable monovalent cation; and D2+ is a pharmaceutically acceptable divalent cation.
15. A compound selected from the group consisting of: (5-(1-(4-Fluoro-2-methylphenyl)-4-oxo-6-(trifluoromethyl)-1,4-dihydroquinazolin-3(2H)-yl)-6-methyl-2-oxopyridin-1(2H)-yl)methyl dihydrogen phosphate; (5-(1-(4-fluoro-2-methylphenyl)-4-oxo-7-(trifluoromethyl)-1,4-dihydroquinazolin-3(2H)-yl)-6-methyl-2-oxopyridin-1(2H)-yl)methyl dihydrogen phosphate; (5-(6-chloro-1-(4-fluoro-2-methylphenyl)-4-oxo-1,4-dihydroquinazolin-3(2H)-yl)-6-methyl-2-oxopyridin-1(2H)-yl)methyl dihydrogen phosphate; and (6-methyl-5-(1-(2-methyl-4-(trifluoromethoxy)phenyl)-4-oxo-6-(trifluoromethyl)-1,4-dihydropyrido[2,3-d]pyrimidin-3(2H)-yl)-2-oxopyridin-1(2H)-yl)methyl dihydrogen phosphate, PU670 - 65 - or a pharmaceutically acceptable salt thereof.
16. A pharmaceutical composition comprising a compound as defined in any one of claims 1-15, and a pharmaceutically acceptable excipient.
17. The pharmaceutical composition according to claim 16, formulated for intravenous administration.
18. A compound or pharmaceutically acceptable salt thereof or tautomer thereof according to any one of claims 1 to 15, or a pharmaceutical composition according to claim 16 or claim 17 for use in therapy.
19. A compound or pharmaceutically acceptable salt thereof or tautomer thereof according to any one of claims 1 to 15, or a pharmaceutical composition according to claim 16 or claim 17 for use in treatment of pain or a pain-associated disease, disorder, or condition.
20. The compound or pharmaceutically acceptable salt thereof or tautomer thereof, or pharmaceutical composition according to claim 19, wherein the pain is acute pain or chronic pain.
21. The compound or pharmaceutically acceptable salt thereof or tautomer thereof, or pharmaceutical composition according to claim 19, wherein the pain or pain-associated disease, disorder, or condition is pain caused by trauma; pain caused by iatrogenic medical or dental procedures; or pre-operative or post-operative associated pain.
22. The compound or pharmaceutically acceptable salt thereof or tautomer thereof, or pharmaceutical composition according to claim 19, wherein the pain or pain-associated disease, disorder, or condition is neuropathic pain, nociceptive pain, inflammatory pain, musculoskeletal pain, visceral pain, or idiopathic pain.
23. The compound or pharmaceutically acceptable salt thereof or tautomer thereof, or pharmaceutical composition according to claim 19, wherein the pain or pain-associated disease, disorder or condition is neuropathic pain or chronic neuropathic pain selected from small fiber neuropathy, small fiber-mediated diabetic neuropathy, idiopathic small fiber neuropathy, painful diabetic neuropathy or polyneuropathy.
24. The compound or pharmaceutically acceptable salt thereof or tautomer thereof, or pharmaceutical composition according to claim 19, wherein the pain or pain associated disease, disorder, or condition is inflammatory pain selected from osteoarthritis, chronic osteoarthritis pain, or chronic inflammatory demyelinating polyneuropathy.
25. A compound or pharmaceutically acceptable salt thereof or tautomer thereof according to any one of claims 1 to 15, or a pharmaceutical composition according to claim 16 or claim 17 for use in treatment of atrial fibrillation.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US202063127341P | 2020-12-18 | 2020-12-18 | |
PCT/EP2021/086101 WO2022129283A1 (en) | 2020-12-18 | 2021-12-16 | Chemical compounds useful for inhibiting nav1.8 voltage-gated sodium channels and treating nav1.8 mediated diseases |
Publications (1)
Publication Number | Publication Date |
---|---|
IL303795A true IL303795A (en) | 2023-08-01 |
Family
ID=79025144
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
IL303795A IL303795A (en) | 2020-12-18 | 2021-12-16 | Chemical compounds useful for inhibiting nav1.8 voltage-gated sodium channels and treating nav1.8 mediated diseases |
Country Status (11)
Country | Link |
---|---|
EP (1) | EP4262978A1 (en) |
JP (1) | JP2024502231A (en) |
KR (1) | KR20230121827A (en) |
CN (1) | CN116710463A (en) |
AU (1) | AU2021403606A1 (en) |
CA (1) | CA3202328A1 (en) |
CL (1) | CL2023001750A1 (en) |
CO (1) | CO2023008049A2 (en) |
IL (1) | IL303795A (en) |
MX (1) | MX2023007244A (en) |
WO (1) | WO2022129283A1 (en) |
Family Cites Families (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SI3080134T1 (en) * | 2013-12-13 | 2018-11-30 | Vertex Pharmaceuticals Incorporated | Prodrugs of pyridone amides useful as modulators of sodium channels |
-
2021
- 2021-12-16 EP EP21831047.2A patent/EP4262978A1/en active Pending
- 2021-12-16 WO PCT/EP2021/086101 patent/WO2022129283A1/en active Application Filing
- 2021-12-16 CN CN202180085151.XA patent/CN116710463A/en active Pending
- 2021-12-16 MX MX2023007244A patent/MX2023007244A/en unknown
- 2021-12-16 AU AU2021403606A patent/AU2021403606A1/en active Pending
- 2021-12-16 JP JP2023536951A patent/JP2024502231A/en active Pending
- 2021-12-16 CA CA3202328A patent/CA3202328A1/en active Pending
- 2021-12-16 IL IL303795A patent/IL303795A/en unknown
- 2021-12-16 KR KR1020237023878A patent/KR20230121827A/en unknown
-
2023
- 2023-06-15 CL CL2023001750A patent/CL2023001750A1/en unknown
- 2023-06-21 CO CONC2023/0008049A patent/CO2023008049A2/en unknown
Also Published As
Publication number | Publication date |
---|---|
CO2023008049A2 (en) | 2023-06-30 |
WO2022129283A1 (en) | 2022-06-23 |
CN116710463A (en) | 2023-09-05 |
CA3202328A1 (en) | 2022-06-23 |
CL2023001750A1 (en) | 2024-01-19 |
MX2023007244A (en) | 2023-06-29 |
AU2021403606A1 (en) | 2023-06-22 |
EP4262978A1 (en) | 2023-10-25 |
KR20230121827A (en) | 2023-08-21 |
JP2024502231A (en) | 2024-01-18 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
EP3990436A1 (en) | 2,3-dihydroquinazolin compounds as nav1.8 inhibitors | |
JP2021500330A (en) | Imidazo-pyridine compound as a PAD inhibitor | |
EP3509590A1 (en) | N-acyl amino acid compounds and methods of use | |
US8518936B2 (en) | Method for preparing acid addition salts of polyacidic basic compounds | |
ES2335134T3 (en) | ACETYLENE DERIVATIVES | |
KR20200024777A (en) | Use of Rheto-associated protein kinase inhibitors, pharmaceutical compositions containing Rheto-associated protein kinase inhibitors, methods of manufacture and uses of pharmaceutical compositions | |
WO2015163435A1 (en) | Novel 2-amino-pyridine and 2-amino-pyrimidine derivatives and medicinal use thereof | |
KR102711647B1 (en) | A novel tnf activity inhibitor compound and its pharmaceutically acceptable salt | |
CA2992622A1 (en) | Cgrp receptor antagonists | |
JP2011526911A (en) | Process for producing benzimidazol-2-ylpyrimidine derivatives | |
TW202216677A (en) | Pyridazinyl amino derivatives as alk5 inhibitors | |
JP2017078039A (en) | Pharmaceutical composition comprising novel 2-amino-pyridine or 2-amino-pyrimidine derivative as active ingredient | |
US20240083896A1 (en) | Nitrogen Containing 2,3-Dihydroquinazolinone Compounds as Nav1.8 Inhibitors | |
PT1937248E (en) | Alcanoic acid amides substituted by saturated o-heterocycles | |
IL303795A (en) | Chemical compounds useful for inhibiting nav1.8 voltage-gated sodium channels and treating nav1.8 mediated diseases | |
US20230416287A1 (en) | Chemical Compounds | |
US9422283B2 (en) | Salts and polymorphs of a substituted imidazopyridinyl-aminopyridine compound | |
CN114040911B (en) | As NAV1.8 2, 3-Dihydro-quinazoline Compounds as inhibitors | |
JP5536771B2 (en) | Compound having serotonergic activity, process for producing the same and pharmaceutical composition containing the same | |
JP2023531283A (en) | Substituted N-phenylacetamides with P2X4 receptor antagonism | |
WO2023238065A1 (en) | Nitrogen containing condensed 2,3-dihydroquinazolinone compounds as nav1.8 inhibitors |