NZ623746B2 - Substituted 4-phenyl-pyridines for the treatment of nk-1 receptor related diseases - Google Patents
Substituted 4-phenyl-pyridines for the treatment of nk-1 receptor related diseases Download PDFInfo
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- NZ623746B2 NZ623746B2 NZ623746A NZ62374612A NZ623746B2 NZ 623746 B2 NZ623746 B2 NZ 623746B2 NZ 623746 A NZ623746 A NZ 623746A NZ 62374612 A NZ62374612 A NZ 62374612A NZ 623746 B2 NZ623746 B2 NZ 623746B2
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- 150000005362 4-phenylpyridines Chemical class 0.000 title abstract description 10
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- 239000001257 hydrogen Substances 0.000 claims description 32
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- C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
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- C07D—HETEROCYCLIC COMPOUNDS
- C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
- C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
- C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D213/72—Nitrogen atoms
- C07D213/76—Nitrogen atoms to which a second hetero atom is attached
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
- C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
- C07D213/89—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members with hetero atoms directly attached to the ring nitrogen atom
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
-
- 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
- C07F9/645—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom having two nitrogen atoms as the only ring hetero atoms
- C07F9/6509—Six-membered rings
- C07F9/650952—Six-membered rings having the nitrogen atoms in the positions 1 and 4
-
- 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
- C07F9/6558—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom containing at least two different or differently substituted hetero rings neither condensed among themselves nor condensed with a common carbocyclic ring or ring system
- C07F9/65583—Heterocyclic compounds, e.g. containing phosphorus as a ring hetero atom containing at least two different or differently substituted hetero rings neither condensed among themselves nor condensed with a common carbocyclic ring or ring system each of the hetero rings containing nitrogen as ring hetero atom
Abstract
Provided are 4-phenyl-pyridine compounds of the general formula (I), wherein the variables are as defined in the specification. Particularly preferred compounds are the compounds GA1-GA4 and GA6. GA1 is 4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)-4-(o-tolyl)pyridin-2-yl)-1-methyl-1-((phosphonooxy)methyl)piperazin-1-ium. The compounds are NK-1 receptor antagonists. The compounds may be useful in the treatment of emesis, bladder dysfunction, anxiety and depression. hyl-1-((phosphonooxy)methyl)piperazin-1-ium. The compounds are NK-1 receptor antagonists. The compounds may be useful in the treatment of emesis, bladder dysfunction, anxiety and depression.
Description
SUBSTITUTED 4-PHENYL-PYRIDINES FOR THE TREATMENT OF
NK-1 RECEPTOR RELATED DISEASES
CROSS-REFERENCE TO RELATED APPLICATIONS
This application claims priority to U.S. Provisional Application 61/564,537, filed
November 29, 2011, and is a continuation in part of U.S. Non-provisional Application
13/478,361, filed May 23, 2012.
BACKGROUND OF THE INVENTION
Field of the Invention
The present invention generally relates to novel 4-phenyl-pyridine compounds. Also
described are medical uses thereof, particularly in the prevention and/or treatment of medical
conditions modulated by the neurokinin (NK ) receptor.
Description of Related Art
Substance P is an 11-amino acid neuropeptide present reportedly involved in various
pathological conditions including asthma, inflammation, pain, psoriasis, migraine, dyskinesia,
cystitis, schizophrenia, emesis and anxiety, due to its localizations and functions. Substance
P is an agonist for the NK1 receptor, and causes intracellular signal transduction through its
interaction with the NK1 receptor.
The NK1 receptor has been reported to be implicated in various disorders and
diseases, and various NK antagonists have been developed for the purpose of treating or
preventing such disorders and diseases. For example, Kramer et al. (Science 281 (5383),
1640-1645, 1988) reports clinical trials for NK receptor antagonists in the treatment of
anxiety, depression, psychosis, schizophrenia and emesis. Gesztesi et al. (Anesthesiology
93(4), 931-937, 2000) also reports the use of NK receptor antagonists in the treatment of
emesis
U.S. Patent No. 6,297,375 to Hoffmann-La Roche describes a class of 4-phenyl-
pyridine compounds that are NK antagonists which are useful for treating CNS disorders,
such as depression, anxiety or emesis. Netupitant is a selective NK receptor antagonist
among these 4-phenyl-pyridine compounds, and is currently under clinical development in
combination with palonosetron (a 5-HT receptor antagonist) for the prevention of
chemotherapy-induced-nausea and vomiting (CINV) by Helsinn Healthcare.
Mono-N-oxide derivatives of 4-phenyl-pyridine compounds are described in U.S.
Patent No. 6,747,026 to Hoffmann-La Roche. These N-oxide derivatives are reportedly
intended to overcome limitations on the parent compounds that would otherwise limit their
clinical usefulness, such as solubility or pharmacokinetic limitations. However, no
physicochemical or biological data of the mono-N-oxide derivatives are reported in the ‘026
patent.
U.S. Patent No. 5,985,856 to the University of Kansas describes water soluble N-
phosphoryloxymethyl derivatives of secondary and tertiary amines, and the use of such
derivatives to improve the solubility profiles of loxapine and cinnarizine. The ‘856 patent
does not disclose how the N-phosphoryloxymethyl moiety would affect other critical
attributes of the drug product, such as prodrug structure(s), prodrug stability, synthetic cost,
and selectivity of the phosphoryloxymethylation protocol.
In view of the above, there is a need to find new derivatives of and methods for
making 4-phenyl-pyridine compounds that are effective NK receptor antagonists, and that
have enhanced physicochemical and/or biological properties.
SUMMARY
In view of the foregoing, the inventors have developed a novel class of 4-phenyl-
pyridine derivatives that are particularly well-suited for antagonizing the NK receptor and
that have the following general formula (I):
Formula (I)
and pharmaceutically acceptable salts or adducts thereof.
Compounds of formula (I), also known as 4-phenyl-pyridine derivatives, are
particularly useful for preventing and/or treating diseases that are pathophysiologically
related to the NK receptor in a subject.
Accordingly, in one aspect the invention provides a compound selected from the group
consisting of:
or a pharmaceutically acceptable salt thereof.
In another aspect, the invention provides a compound according to the invention for
use in a method of treating emesis, bladder dysfunction, depression or anxiety, in a patient in
need thereof.
In another aspect, the invention provides a pharmaceutical composition comprising a
therapeutically effective amount of a compound according to the invention, and one or more
pharmaceutically acceptable excipients.
In another aspect, the invention relates to the use of a compound according to the
invention in the manufacture of a medicament for treating emesis, bladder dysfunction,
depression or anxiety, in a patient in need thereof.
In another aspect, the invention provides a process of making a compound of formula (I):
wherein:
R is selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino,
101 101 102 101 102
alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -NR R , -NR C(O)R ,
101 101 101 102 101 102 102 101
-C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O) R , -SR , -
101 102
S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl
and heteroarylalkyl, each optionally independently substituted with one or more
independent R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -
101 102 101 102 101 101 101 102 101 102
NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R ,
102 101 101 102
-S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently
substituted with one or more independent R substituents; or R together with the
atoms and/or other substituent(s) on the same phenyl ring, form a fused or non-fused
mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally
independently substituted with one or more R substituents; or R together with the
atoms and/or other substituent(s) on the same phenyl ring, form a fused or non-fused
mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally
independently substituted with one or more R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -
101 102 101 102 101 101 101 102 101 102
NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R ,
102 101 101 102
-S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently
substituted with one or more independent R substituents; or R and R , together
with the atoms connecting the same, form a fused or non-fused mono, bicyclic or
tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted
with one or more R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -
101 102 101 102 101 101 101 102 101 102
NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R ,
102 101 101 102
-S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl,
heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently
substituted with one or more independent R substituents;
101 102 101 102
X is selected from the group consisting of -C(O)NR R , -alkylO, -alkylNR R ,
101 101
-NR C(O) and -NR alkyl, each optionally independently substituted with one or
more independent R substituents;
101 102 101
Y is selected from the group consisting of -NR R , -NR alkylOH, -
101 101 101 102
NR S(O)alkyl, -NR S(O)phenyl, -N=CH-NR R , heterocycloalkyl and
heterocycloalkylalkyl, each optionally independently substituted with one or more
independent R substituents;
Z is a structural formula selected from the group consisting of
(Ia), (Ib),
(Ic), (Id),
(Ie), (If),
(Ig), (Ih) and
(Ii),
where formula (Ia) refers to an oxide;
100 100” 101 102 103
R , R , R , R and R are each independently selected from the group
consisting of hydrogen, cyano, -NO , -OR , oxide, hydroxy, amino, alkyl, alkenyl,
cycloalkyl, halogen, alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl,
104 104
heterocycloalkylalkyl, heteroaryl, heteroarylalkyl, -C(O)R , -C(O)OR , -
104 105 104 105 104 105 104 105 104 104
C(O)NR R , -NR R , -NR S(O) R , -NR C(O)R , -S(O) R , -SR
104 105
and -S(O) NR R , each optionally independently substituted with one or more
103 101 102
independent R substituents; or R , R , together with the atoms connecting the
same, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or
carbocyclic ring which is optionally independently substituted with one or more R
100 100”
substituents; or R , R , together with the atoms connecting the same, form a fused
or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is
optionally independently substituted with one or more R substituents;
104 105
R and R are each independently selected from the group consisting of hydrogen,
cyano, -NO , hydroxy, oxide, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen,
alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl,
heteroaryl and heteroarylalkyl;
m is 0, 1, 2, 3, or 4;
n is 0, 1, 2, 3, 4 or 5;
p is 0 or 1; and
with a proviso that if a non-pyridine N-Oxide (N →O ) is present on the compound of
Formula (I), then the total number of N-Oxide on the compound of Formula (I) is
more than one,
said process comprising:
a) providing a compound of formula (I) wherein Y is a 4-N-methyl-piperazine group
and Z is not present;
b) providing a dialkyl(halomethyl)phosphate;
c) reacting an N atom of the piperazine group with the dialkyl(halomeihyl)phosphate
to obtain a quaternary ammonium methylene phosphate compound,
where said process is performed to obtain the compound GA-1 according to the
invention.
Also described is a process of making a compound of formula (V):
where:
R is selected from the group selected from hydrogen, alkoxy, alkoxyalkyl, -OR ,
hydroxy, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl and halogen, each optionally
independently substituted with one or more independent R substituents; s is 0, 1, 2,
3 or 4;
and all other radicals are defined according to formula (I) in claim 22,
comprising:
contacting a compound of formula V wherein p is 0 for the methylated 4-N atom of the
piperazinyl ring, with a compound of formula VII in the presence of an iodide salt, for
a period of time sufficient to functionalize the methylated 4-N atom on the compound
of formula V with the compound of formula VII and to dealkylate the compound of
formula VII:
where said process is performed to obtain the compound GA-1 according to the
invention.
Certain statements that appear below are broader than what appears in the statements
of the invention above. These statements are provided in the interests of providing the reader
with a better understanding of the invention and its practice. The reader is directed to the
accompanying claim set which defines the scope of the invention.
Also described is a method of treating a disease that is mediated by the NK receptor,
comprising administering to said subject a therapeutically effective amount of a compound of
formula (I), or a pharmaceutically acceptable salt or adduct thereof.
Also disclosed are pharmaceutical compositions for preventing and/or treating
diseases which are pathophysiologically related to NK receptor in a subject, comprising a
therapeutically effective amount of a compound of formula (I), or a pharmaceutically
acceptable salt or adduct thereof, and one or more pharmaceutically acceptable excipients.
In one embodiment, described is a compound of formula (I), or a pharmaceutically
acceptable salt or adduct thereof,
Formula (I)
wherein:
R is selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino,
101 101 102 101 102
alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -NR R , -NR C(O)R , -
101 101 101 102 101 102 102 101
C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O) R , -SR , -
101 102
S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and
heteroarylalkyl, each optionally independently substituted with one or more independent R
substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
101 101 102
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -NR R , -
101 102 101 101 101 102 101 102 102
NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O) R , -
101 101 102
SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl
and heteroarylalkyl, each optionally independently substituted with one or more independent
R substituents; or R together with the atoms and/or other substituent(s) on the same
phenyl ring, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic
ring which is optionally independently substituted with one or more R substituents; or R
together with the atoms and/or other substituent(s) on the same phenyl ring, form a fused or
non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally
independently substituted with one or more R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
101 101 102
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -NR R , -
101 102 101 101 101 102 101 102 102
NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O) R , -
101 101 102
SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl
and heteroarylalkyl, each optionally independently substituted with one or more independent
R substituents; or R and R , together with the atoms connecting the same, form a fused or
non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally
independently substituted with one or more R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
101 101 102
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -NR R , -
101 102 101 101 101 102 101 102 102
NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O) R , -
101 101 102
SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl
and heteroarylalkyl, each optionally independently substituted with one or more independent
R substituents;
101 102 101 102
X is selected from the group consisting of -C(O)NR R , -alkylO, -alkylNR R ,
101 101
-NR C(O) and -NR alkyl, each optionally independently substituted with one or more
independent R substituents;
101 102 101
Y is selected from the group consisting of -NR R , -NR alkylOH, -
101 101 101 102
NR S(O)alkyl, -NR S(O)phenyl, -N=CH-NR R , heterocycloalkyl and
heterocycloalkylalkyl, each optionally independently substituted with one or more
independent R substituents;
Z is a structural formula selected from the group consisting of:
(Ia), (Ib),
(Ic), (Id),
(Ie), (If),
(Ig), (Ih) and
(Ii),
where formula (Ia) refers to an oxide;
100 100” 101 102 103
R , R , R , R and R are each independently selected from the group
consisting of hydrogen, cyano, -NO , -OR , oxide, hydroxy, amino, alkyl, alkenyl,
cycloalkyl, halogen, alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl,
104 104 104 105
heterocycloalkylalkyl, heteroaryl, heteroarylalkyl, -C(O)R , -C(O)OR , -C(O)NR R , -
104 105 104 105 104 105 104 104 104 105
NR R , -NR S(O) R , -NR C(O)R , -S(O) R , -SR and -S(O) NR R , each
2 2 2
103 101
optionally independently substituted with one or more independent R substituents; or R ,
R , together with the atoms connecting the same, form a fused or non-fused mono, bicyclic
or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted
103 100 100”
with one or more R substituents; or R , R , together with the atoms connecting the
same, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring
which is optionally independently substituted with one or more R substituents;
104 105
R and R are each independently selected from the group consisting of hydrogen,
cyano, -NO , hydroxy, oxide, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen,
alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and
heteroarylalkyl;
m is 0, 1, 2, 3, or 4;
n is 0, 1, 2, 3, 4 or 5;
p is 0 or 1; and
with a proviso that if a non-pyridine N-Oxide (N →O ) is present on the compound of
Formula (I), then the total number of N-Oxide on the compound of Formula (I) is more than
one.
Also described is the use of a therapeutically effective amount of a compound of
formula (I) as defined above or a pharmaceutically acceptable salt or adduct thereof, in the
manufacture of a medicament which is able to treat emesis, bladder dysfunction, depression
or anxiety, in a patient in need thereof.
An alternative embodiment is a method of treating emesis, bladder dysfunction,
depression or anxiety, in a patient in need thereof, comprising administering to said patient a
therapeutically effective amount of a compound of formula (I) as defined above.
In still another embodiment, described is a compound selected from the group
consisting of:
GA1 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methyl
((phosphonooxy)methyl)piperazin
ium,
GA2 1-(acetoxymethyl)(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methylpiperazin-
1-ium,
GA3 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)
((butyryloxy)methyl)
methylpiperazinium,
GA4 1-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methylpiperazine
1,4-dioxide,
GA5 1-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)oxido(o-
tolyl)pyridinyl)methylpiperazine
1-oxide,
GA6 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)oxido(o-
tolyl)pyridinyl)methylpiperazine
1-oxide,
GA7 5-(2-(3,5-bis(trifluoromethyl)phenyl)-
N,2-dimethylpropanamido)(4-
methylpiperazinyl)(o-
tolyl)pyridine 1-oxide, and
GA8 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methylpiperazine
1-oxide.
or a pharmaceutically acceptable salt or adduct thereof.
In a further embodiment the invention is a compound of formula GA1,
formula 4-(5-(2-(3,5-
GA1 bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methyl
((phosphonooxy)methyl)piperazin
or a pharmaceutically acceptable salt. Also described is an adduct thereof.
BRIEF DESCRIPTION OF THE DRAWINGS
FIGURE 1 reproduces stability data for various salts of 4-(5-(2-(3,5-bis(trifluoro-
methyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)methyl((phosphor-
nooxy)methyl)piperazinium.
DETAILED DESCRIPTION
Before the present compounds, compositions, articles, devices, and/or methods are
disclosed and described, it is to be understood that they are not limited to specific synthetic
methods or specific treatment methods unless otherwise specified, or to particular reagents
unless otherwise specified, as such may, of course, vary. It is also to be understood that the
terminology used herein is for the purpose of describing particular embodiments only and is
not intended to be limiting.
Materials
A. Compounds
Disclosed are compounds and pharmaceutically acceptable salts or adducts thereof
represented by formula (I):
Formula (I)
wherein:
R is selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino,
101 101 102 101 102
alkyl, alkenyl, cycloalkyl, halogen, alkoxy, alkoxyalkyl, -OR , -NR R , -NR C(O)R ,
101 101 101 102 101 102 102 101
-C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O)2R , -SR , -
101 102
S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and
heteroarylalkyl, each optionally independently substituted with one or more independent R
substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxy, alkoxyalkyl, -OR , -
101 102 101 102 101 101 101 102 101 102
NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -
102 101 101 102
S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl,
heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more
independent R substituents; or R together with the atoms and/or other substituent(s) on the
same phenyl ring form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or
carbocyclic ring which is optionally independently substituted with one or more R
substituents; or R together with the atoms and/or other substituent(s) on the same phenyl ring
form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which
is optionally independently substituted with one or more R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxy, alkoxyalkyl, -OR , -
101 102 101 102 101 101 101 102 101 102
NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -
102 101 101 102
S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl,
heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more
independent R substituents; or R and R , together with the atoms connecting the same
form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which
is optionally independently substituted with one or more R substituents;
R and R are independently selected from the group consisting of hydrogen, hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxy, alkoxyalkyl, -OR , -
101 102 101 102 101 101 101 102 101 102
NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -
102 101 101 102
S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl,
heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more
independent R substituents;
101 102 101 102
X is selected from the group consisting of -C(O)NR R , -alkylO, -alkylNR R ,
101 101
-NR C(O) and -NR alkyl, each optionally independently substituted with one or more
independent R substituents;
101 102 101
Y is selected from the group consisting of -NR R , -NR alkylOH, -
101 101 101 102
NR S(O)alkyl, -NR S(O)phenyl, -N=CH-NR R , heterocycloalkyl and
heterocycloalkylalkyl, each optionally independently substituted with one or more
independent R substituents;
Z is a structural formula selected from the group consisting of:
(Ia), (Ib),
(Ic), (Id),
(Ie), (If),
(Ig), (Ih) and
(Ii),
where formula (Ia) refers to an oxide;
100 100” 101 102 103
R , R , R , R and R are each independently selected from the group
consisting of hydrogen, cyano, -NO2, -OR , oxide, hydroxy, amino, alkyl, alkenyl,
cycloalkyl, halogen, alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl,
104 104 104 105
heterocycloalkylalkyl, heteroaryl, heteroarylalkyl, -C(O)R , -C(O)OR , -C(O)NR R , -
104 105 104 105 104 105 104 104 104 105
NR R , -NR S(O) R , -NR C(O)R , -S(O) R , -SR and -S(O) NR R , each
2 2 2
103 101
optionally independently substituted with one or more independent R substituents; or R ,
R , together with the atoms connecting the same, form a fused or non-fused mono, bicyclic
or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted
103 100 100”
with one or more R substituents; or R , R , together with the atoms connecting the
same, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring
which is optionally independently substituted with one or more R substituents;
104 105
R and R are each independently selected from the group consisting of hydrogen,
cyano, -NO , hydroxy, oxide, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen,
alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and
heteroarylalkyl;
m is from 0 to 4; n is from 0 to 5; p is from 0 to 1; and with a proviso that if a non-
pyridine N-Oxide (N →O ) is present on the compound of Formula (I), then the total number
of N-Oxide on the compound of Formula (I) is more than one. Another embodiment
excludes all N-oxide forms.
In some forms, the compounds as presently disclosed are compounds of formula (I),
or pharmaceutically acceptable salts or adducts thereof, wherein R, R , R , R , R , R and R
1 2 3 4 5 6
are each independently selected from the group consisting of hydrogen, hydroxy, amino,
alkyl, alkenyl, cycloalkyl, halogen, cyano, -OR and CF .
In some other forms, the compounds as presently disclosed are compounds of formula
(I), or pharmaceutically acceptable salts or adducts thereof, wherein X is -NR C(O). In
some other forms, the compounds as presently disclosed are compounds of formula (I), or
pharmaceutically acceptable salts or adducts thereof, wherein Y is a heterocycloalkyl or
heterocycloalkylalkyl. In some still other forms, the compounds as presently disclosed are
compounds of formula (I), or pharmaceutically acceptable salts or adducts thereof, wherein
the compound of formula (I) has a structure of formula (II):
Formula (II)
where Q and R’ are each independently selected from the group consisting of C, O, S, and N,
each optionally independently substituted with one or more independent R substituents; R
is selected from the group selected from hydrogen, alkoxy, alkoxyalkyl, -OR , hydroxy,
hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl and halogen, each optionally independently
substituted with one or more independent R substituents; s is from 0 to 4; and all other
variables are defined as for formula (I).
In some forms, the compounds as presently disclosed are compounds of formula (I),
or pharmaceutically acceptable salts or adducts thereof, wherein the compound of formula (I)
has a structure of formula (III):
Formula (III)
where R is selected from the group consisting of hydrogen, alkyl, alkenyl and cycloalkyl,
each optionally independently substituted with one or more independent R substituents; R
is alkyl or cycloalkyl, each optionally substituted with one or more independent R
substituents; and all other radicals are defined as for formula (I) and formula (II).
In some other forms, the compounds as presently disclosed are compounds of
formula (I), or pharmaceutically acceptable salts or adducts thereof, wherein the compound of
formula (I) has a structure of formula (IV):
Formula (IV)
where p is independently 0 or 1; and all other radicals are defined as for formula (I), formula
(II) and formula (III).
In some forms, the compounds as presently disclosed are compounds of formula (I),
or pharmaceutically acceptable salts or adducts thereof, wherein the compound of formula (I)
has a structure of formula (V):
Formula (V)
where p is independently 0 or 1; and all other radicals are defined as for formula (I), formula
(II), formula (III) and formula (IV).
In some other forms, the compounds as presently disclosed are compounds of
formula (I), or pharmaceutically acceptable salts or adducts thereof, wherein the compound of
formula (I) has a structure of formula (VI):
Formula (VI)
where R and R are each independently selected from the group consisting of hydrogen,
200 300
alkyl and cycloalkyl, each optionally independently substituted with one or more independent
R substituents; or R and R are each independently an organic or inorganic cation; p is
200 300
independently 0 or 1; and all other radicals are defined according to formula (I), formula (II),
formula (III), formula (IV) and formula (V).
In some forms, the compounds as presently disclosed are compounds of formula (I),
or pharmaceutically acceptable salts or adducts thereof, wherein the compound of formula (I)
is a compound selected from the group consisting of:
GA1 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methyl
((phosphonooxy)methyl)piperazin
ium,
GA2 1-(acetoxymethyl)(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methylpiperazin-
1-ium,
GA3 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)
((butyryloxy)methyl)
methylpiperazinium,
GA4 1-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methylpiperazine
1,4-dioxide,
GA5 1-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)oxido(o-
tolyl)pyridinyl)methylpiperazine
1-oxide,
GA6 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)oxido(o-
tolyl)pyridinyl)methylpiperazine
1-oxide,
GA7 5-(2-(3,5-bis(trifluoromethyl)phenyl)-
N,2-dimethylpropanamido)(4-
methylpiperazinyl)(o-
tolyl)pyridine 1-oxide, and
GA8 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)(o-
tolyl)pyridinyl)methylpiperazine
1-oxide.
A particular preferred compound is the chloride hydrochloride HCl salt of GA1
having the following chemical structure which, it has been found, is tremendously resistant to
decoupling of the oxo-phosphonomethyl, and reversion of the active moiety to its parent state.
Salts and Adducts
The disclosed compositions and compounds can be used in the form of salts derived
from inorganic or organic acids. Depending on the particular compound, a salt of the
compound can be advantageous due to one or more of the salt’s physical properties, such as
enhanced storage stability in differing temperatures and humidities, or a desirable solubility
in water or oil. In some instances, a salt of a compound also can be used as an aid in the
isolation, purification, and/or resolution of the compound.
Where a salt is intended to be administered to a patient (as opposed to, for example,
being used in an in vitro context), the salt preferably is pharmaceutically acceptable. The
term “pharmaceutically acceptable salt” refers to a salt prepared by combining a compound,
such as the disclosed compounds, with an acid whose anion, or a base whose cation is
generally considered suitable for human consumption. Pharmaceutically acceptable salts are
particularly useful as products of the disclosed methods because of their greater aqueous
solubility relative to the parent compound. For use in medicine, the salts of the disclosed
compounds are non-toxic “pharmaceutically acceptable salts.” Salts encompassed within the
term “pharmaceutically acceptable salts” refer to non-toxic salts of the disclosed compounds
which are generally prepared by reacting the free base with a suitable organic or inorganic
acid.
Suitable pharmaceutically acceptable acid addition salts of the disclosed compounds,
when possible include those derived from inorganic acids, such as hydrochloric, hydrobromic,
hydrofluoric, boric, fluoroboric, phosphoric, metaphosphoric, nitric, carbonic, sulfonic, and
sulfuric acids, and organic acids such as acetic, benzenesulfonic, benzoic, citric,
ethanesulfonic, fumaric, gluconic, glycolic, isothionic, lactic, lactobionic, maleic, malic,
methanesulfonic, trifluoromethanesulfonic, succinic, toluenesulfonic, tartaric, and
trifluoroacetic acids. Suitable organic acids generally include, for example, aliphatic,
cycloaliphatic, aromatic, araliphatic, heterocyclylic, carboxylic, and sulfonic classes of
organic acids.
Specific examples of suitable organic acids include acetate, trifluoroacetate, formate,
propionate, succinate, glycolate, gluconate, digluconate, lactate, malate, tartaric acid, citrate,
ascorbate, glucuronate, maleate, fumarate, pyruvate, aspartate, glutamate, benzoate,
anthranilic acid, mesylate, stearate, salicylate, p-hydroxybenzoate, phenylacetate, mandelate,
embonate (pamoate), methanesulfonate, ethanesulfonate, benzenesulfonate, pantothenate,
toluenesulfonate, 2-hydroxyethanesulfonate, sufanilate, cyclohexylaminosulfonate, algenic
acid, β-hydroxybutyric acid, galactarate, galacturonate, adipate, alginate, butyrate,
camphorate, camphorsulfonate, cyclopentanepropionate, dodecylsulfate, glycoheptanoate,
glycerophosphate, heptanoate, hexanoate, nicotinate, 2-naphthalesulfonate, oxalate, palmoate,
pectinate, 3-phenylpropionate, picrate, pivalate, thiocyanate, tosylate, and undecanoate.
Furthermore, where the disclosed compounds carry an acidic moiety, suitable
pharmaceutically acceptable salts thereof can include alkali metal salts, e.g., sodium or
potassium salts; alkaline earth metal salts, e.g., copper, calcium or magnesium salts; and salts
formed with suitable organic ligands, e.g., quaternary ammonium salts. In some forms, base
salts are formed from bases which form non-toxic salts, including aluminum, arginine,
benzathine, choline, diethylamine, diolamine, glycine, lysine, meglumine, olamine,
tromethamine and zinc salts.
Organic salts can be made from secondary, tertiary or quaternary amine salts, such as
tromethamine, diethylamine, N,N’-dibenzylethylenediamine, chloroprocaine, choline,
diethanolamine, ethylenediamine, meglumine (N-methylglucamine), and procaine. Basic
nitrogen-containing groups can be quaternized with agents such as lower alkyl (C1-C6)
halides (e.g., methyl, ethyl, propyl, and butyl chlorides, bromides, and iodides), dialkyl
sulfates (e.g., dimethyl, diethyl, dibuytl, and diamyl sulfates), long chain halides (e.g., decyl,
lauryl, myristyl, and stearyl chlorides, bromides, and iodides), arylalkyl halides (e.g., benzyl
and phenethyl bromides), and others. In some forms, hemisalts of acids and bases can also be
formed, for example, hemisulphate and hemicalcium salts. The disclosed compounds can
exist in both unsolvated and solvated forms. A “solvate” as used herein is a nonaqueous
solution or dispersion in which there is a noncovalent or easily dispersible combination
between solvent and solute, or dispersion means and disperse phase.
The disclosed compositions and compounds can be used in the form of adducts
derived by formation of Lewis pairs, covalently linked adducts e.g. between N atoms and
carbonyl-containing reactants, hydrates and alcoholates, host-guest adducts containing
molecular species not bonded or associated with the medicinal compound, and other
clathrates.
Depending on the particular compound, an adduct of the compound can be
advantageous due to one or more of the adduct’s physical properties, such as enhanced
pharmaceutical stability in differing temperatures and humidities, or a desirable solubility in
water or oil. In some instances, an adduct of a compound also can be used as an aid in the
isolation, purification, and/or resolution of the compound.
Where an adduct is intended to be administered to a patient (as opposed to, for
example, being used in an in vitro context), the adduct preferably is pharmaceutically
acceptable. The term “pharmaceutically acceptable adduct” refers to an adduct prepared by
combining a compound, such as the disclosed compounds, with a gas, water, solvent, Lewis
base, carbonyl-containing molecule, or guest molecule that is generally considered suitable
for human consumption. Pharmaceutically acceptable addition species are particularly useful
as products of the disclosed methods because of their greater aqueous solubility relative to the
parent compound. For use in medicine, the adducts of the disclosed compounds are non-toxic
“pharmaceutically acceptable adducts.” Adducts encompassed within the term
“pharmaceutically acceptable salts” refer to non-toxic adducts of the disclosed compounds
which are generally prepared by reacting a compound of the invention with a suitable organic
or inorganic addition species.
Suitable pharmaceutically acceptable adducts of the disclosed compounds, when
possible, include those derived from Lewis bases such as boric acid, aluminum hydroxide,
organic sulfoxides, organic sulfones, organic sulfonium salts, H PO , siloxanes, and other
Lewis bases.
Suitable pharmaceutically acceptable adducts of the disclosed compounds, when
possible, also include those derived from covalent bonding between an oxygen, nitrogen or
sulfur atom of the compound and carbon dioxide, low alkyl aldehyde or ketone, vanillin,
amino acid, or a nucleic acid.
Suitable pharmaceutically acceptable adducts of the disclosed compounds, when
possible, also include those derived from inclusion of an unbonded gas such as dioxygen,
dinitrogen, carbon dioxide, nitrous oxide, ethyl ether, or other gas, contained within but not
bonded to a crystalline or amorphous phase of the compound.
Suitable pharmaceutically acceptable adducts of the disclosed compounds, when
possible, also include those derived from association of a molecule of the compound with
water, a pharmaceutically acceptable lower alkyl alcohol, or another pharmaceutically
acceptable solvent that is associated in a molecular ratio with the compound.
In one embodiment the adduct is optionally a clathrate.
General Synthetic Schemes
The compounds of the formula (I) (and other disclosed compounds), or their
pharmaceutically acceptable salts or adducts, can be prepared by the methods as illustrated by
examples described in the “Examples” section, together with synthetic methods known in the
art of organic chemistry, or modifications and derivatisations that are familiar to those of
ordinary skill in the art. The starting materials used herein are commercially available or can
be prepared by routine methods known in the art (such as those methods disclosed in standard
reference books such as the Compendium of Organic Synthesis Methods, Vol. I-VI
(published by Wiley-Interscience)). Preferred methods include, but are not limited to, those
described below. During any of the following synthetic sequences it may be necessary and/or
desirable to protect sensitive or reactive groups on any of the molecules concerned. This can
be achieved by means of conventional protecting groups, such as those described in T. W.
Greene, Protective Groups in Organic Chemistry, John Wiley & Sons, 1981; T. W. Greene
and P. G. M. Wuts, Protective Groups in Organic Chemistry, John Wiley & Sons, 1991, T. W.
Greene and P. G. M. Wuts, Protective Groups in Organic Chemistry, John Wiley & Sons,
1999, and P. G. M. Wuts and T.W.Greene, Protective Groups in Organic Chemistry, John
Wiley & Sons, 2006. Isolation and purification of the products is accomplished by standard
procedures, which are known to a chemist of ordinary skill.
Also described are methods for making suitable prodrugs of the 4-phenyl-pyridine
derivatives. In one embodiment described is a one-step, acid-free synthesis for
functionalizing tertiary amines by reaction with chloromethyl dialkyl phosphate esters to
create (phosphooxy)methyl prodrugs that are substrates for phosphatase enzymes. By
contrast the prior art had required multiple synthetic steps for comparable reactions, including
requiring the use of proton scavengers during initial reaction and requiring strong acid to
deprotect the phosphate group in another step. In another embodiment described are methods
for making chloromethyl dialkyl phosphate esters having suitable purity and economy,
because the quality of phosphate ester compositions from commercial sources is too low to
provide acceptable yields for reactions as described herein. In an additional embodiment
described is a method to stabilize the (phosphooxy)methyl prodrugs described herein by
combination with two equivalents of hydrochloric acid, because whereas the prior art
preferred the use of dibasic salts of (phosphooxy)methyl substituents for quaternary
ammonium salts in prodrugs, the present invention had found that such salts are unstable and
reform the underlying drug during storage.
Definition of Terms
The term ‘comprising’ as used in this specification and claims means ‘consisting at
least in part of’. When interpreting statements in this specification and claims which includes
the ‘comprising’, other features besides the features prefaced by this term in each statement
can also be present. Related terms such as ‘comprise’ and ‘comprised’ are to be interpreted
in similar manner.
The term “alkyl” refers to a linear or branched-chain saturated hydrocarbyl substituent
(i.e., a substituent obtained from a hydrocarbon by removal of a hydrogen) containing from
one to twenty carbon atoms; in one embodiment from one to twelve carbon atoms; in another
embodiment, from one to ten carbon atoms; in another embodiment, from one to six carbon
atoms; and in another embodiment, from one to four carbon atoms. Examples of such
substituents include methyl, ethyl, propyl (including n-propyl and isopropyl), butyl (including
n-butyl, isobutyl, sec-butyl and tert-butyl), pentyl, iso-amyl, hexyl and the like.
The term “alkenyl” refers to a linear or branched-chain hydrocarbyl substituent
containing one or more double bonds and from two to twenty carbon atoms; in another
embodiment, from two to twelve carbon atoms; in another embodiment, from two to six
carbon atoms; and in another embodiment, from two to four carbon atoms. Examples of
alkenyl include ethenyl (also known as vinyl), allyl, propenyl (including 1-propenyl and 2-
propenyl) and butenyl (including 1-butenyl, 2-butenyl and 3-butenyl). The term “alkenyl”
embraces substituents having “cis” and “trans” orientations, or alternatively, “E” and “Z”
orientations.
The term “benzyl” refers to methyl radical substituted with phenyl.
The term “carbocyclic ring” refers to a saturated cyclic, partially saturated cyclic, or
aromatic ring containing from 3 to 14 carbon ring atoms (“ring atoms” are the atoms bound
together to form the ring). A carbocyclic ring typically contains from 3 to 10 carbon ring
atoms. Examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl,
cyclopentadienyl, cyclohexyl, cyclohexenyl, cyclohexadienyl, and phenyl. A “carbocyclic
ring system” alternatively may be 2 or 3 rings fused together, such as naphthalenyl,
tetrahydronaphthalenyl (also known as “tetralinyl”), indenyl, isoindenyl, indanyl,
bicyclodecanyl, anthracenyl, phenanthrene, benzonaphthenyl (also known as “phenalenyl”),
fluorenyl, and decalinyl.
The term “heterocyclic ring” refers to a saturated cyclic, partially saturated cyclic, or
aromatic ring containing from 3 to 14 ring atoms (“ring atoms” are the atoms bound together
to form the ring), in which at least one of the ring atoms is a heteroatom that is oxygen,
nitrogen, or sulfur, with the remaining ring atoms being independently selected from the
group consisting of carbon, oxygen, nitrogen, and sulfur.
The term “cycloalkyl” refers to a saturated carbocyclic substituent having three to
fourteen carbon atoms. In one embodiment, a cycloalkyl substituent has three to ten carbon
atoms. Examples of cycloalkyl include cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl.
The term “cycloalkyl” also includes substituents that are fused to a C -C aromatic
6 10
ring or to a 5membered heteroaromatic ring, wherein a group having such a fused
cycloalkyl group as a substituent is bound to a carbon atom of the cycloalkyl group. When
such a fused cycloalkyl group is substituted with one or more substituents, the one or more
substituents, unless otherwise specified, are each bound to a carbon atom of the cycloalkyl
group. The fused C -C aromatic ring or to a 5membered heteroaromatic ring may be
6 10
optionally substituted with halogen, C -C alkyl, C -C cycloalkyl, or =O.
1 6 3 10
The term “cycloalkenyl” refers to a partially unsaturated carbocyclic substituent
having three to fourteen carbon atoms, typically three to ten carbon atoms. Examples of
cycloalkenyl include cyclobutenyl, cyclopentenyl, and cyclohexenyl.
A cycloalkyl or cycloalkenyl may be a single ring, which typically contains from 3 to
6 ring atoms. Examples include cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl,
cyclopentadienyl, cyclohexyl, cyclohexenyl, cyclohexadienyl, and phenyl. Alternatively, 2
or 3 rings may be fused together, such as bicyclodecanyl and decalinyl.
The term “aryl” refers to an aromatic substituent containing one ring or two or three
fused rings. The aryl substituent may have six to eighteen carbon atoms. As an example, the
aryl substituent may have six to fourteen carbon atoms. The term “aryl” may refer to
substituents such as phenyl, naphthyl and anthracenyl. The term “aryl” also includes
substituents such as phenyl, naphthyl and anthracenyl that are fused to a C -C carbocyclic
4 10
ring, such as a C or a C carbocyclic ring, or to a 4membered heterocyclic ring, wherein
a group having such a fused aryl group as a substituent is bound to an aromatic carbon of the
aryl group. When such a fused aryl group is substituted with one more substituents, the one
or more substituents, unless otherwise specified, are each bound to an aromatic carbon of the
fused aryl group. The fused C -C carbocyclic or 4membered heterocyclic ring may be
4 10
optionally substituted with halogen, C -C alkyl, C -C cycloalkyl, or =O. Examples of aryl
1 6 3 10
groups include accordingly phenyl, naphthalenyl, tetrahydronaphthalenyl (also known as
“tetralinyl”), indenyl, isoindenyl, indanyl, anthracenyl, phenanthrenyl, benzonaphthenyl (also
known as “phenalenyl”), and fluorenyl.
In some instances, the number of carbon atoms in a hydrocarbyl substituent (e.g.,
alkyl, alkenyl, cycloalkyl, cycloalkenyl, aryl, etc.) is indicated by the prefix “C -C -,”
wherein x is the minimum and y is the maximum number of carbon atoms in the substituent.
Thus, for example, “C -C -alkyl” refers to an alkyl substituent containing from 1 to 6 carbon
atoms. Illustrating further, C -C -cycloalkyl refers to saturated cycloalkyl containing from 3
to 6 carbon ring atoms.
In some instances, the number of atoms in a cyclic substituent containing one or more
heteroatoms (e.g., heteroaryl or heterocycloalkyl) is indicated by the prefix “X-Y-membered”,
wherein x is the minimum and y is the maximum number of atoms forming the cyclic moiety
of the substituent. Thus, for example, 5membered heterocycloalkyl refers to a
heterocycloalkyl containing from 5 to 8 atoms, including one or more heteroatoms, in the
cyclic moiety of the heterocycloalkyl.
The term “hydrogen” refers to hydrogen substituent, and may be depicted as -H.
The term “hydroxy” refers to –OH. When used in combination with another term(s),
the prefix “hydroxy” indicates that the substituent to which the prefix is attached is
substituted with one or more hydroxy substituents. Compounds bearing a carbon to which
one or more hydroxy substituents include, for example, alcohols, enols and phenol.
The term “hydroxyalkyl” refers to an alkyl that is substituted with at least one
hydroxy substituent. Examples of hydroxyalkyl include hydroxymethyl, hydroxyethyl,
hydroxypropyl and hydroxybutyl.
The term “nitro” means -NO .
The term “cyano” (also referred to as “nitrile”) -CN.
The term “carbonyl” means -C(O)-.
The term “amino” refers to -NH .
The term “alkylamino” refers to an amino group, wherein at least one alkyl chain is
bonded to the amino nitrogen in place of a hydrogen atom. Examples of alkylamino
substituents include monoalkylamino such as methylamino (exemplified by the
formula -NH(CH )), and dialkylamino such as dimethylamino.
The term “aminocarbonyl” means -C(O)-NH .
The term “halogen” refers to fluorine (which may be depicted as -F), chlorine (which
may be depicted as -Cl), bromine (which may be depicted as -Br), or iodine (which may be
depicted as -I). In one embodiment, the halogen is chlorine. In another embodiment, the
halogen is a fluorine.
The prefix “halo” indicates that the substituent to which the prefix is attached is
substituted with one or more independently selected halogen substituents. For example,
haloalkyl refers to an alkyl that is substituted with at least one halogen substituent. The term
“oxo” refers to =O.
The term “oxy” refers to an ether substituent, and may be depicted as -O-.
The term “alkoxy” refers to an alkyl linked to an oxygen, which may also be
represented as –O-R, wherein the R represents the alkyl group. Examples of alkoxy include
methoxy, ethoxy, propoxy and butoxy.
The term “alkylthio” means -S-alkyl. For example, “methylthio” is -S-CH . Other
examples of alkylthio include ethylthio, propylthio, butylthio, and hexylthio.
The term “alkylcarbonyl” means -C(O)-alkyl. Examples of alkylcarbonyl include
methylcarbonyl, propylcarbonyl, butylcarbonyl, pentylcabonyl, and hexylcarbonyl.
The term “aminoalkylcarbonyl” means -C(O)-alkyl-NH .
The term “alkoxycarbonyl” means -C(O)-O-alkyl. Examples of alkoxycarbonyl
include methoxycarbonyl, ethoxycarbonyl, propoxycarbonyl, butoxycarbonyl,
pentoxycarbonyl, and hexyloxycarbonyl. In another embodiment, where the carbon atom of
the carbonyl is attached to a carbon atom of a second alkyl, the resulting functional group is
an ester.
The terms “thio” and “thia” mean a divalent sulfur atom and such a substituent may
be depicted as -S-. For example, a thioether is represented as “alkyl-thio-alkyl” or,
alternatively, alkyl-S-alkyl.
The term “thiol” refers to a sulfhydryl substituent, and may be depicted as -SH.
The term “thione” refers to =S.
The term “sulfonyl” refers to -S(O) -. Thus, for example, “alkyl-sulfonyl-alkyl”
refers to alkyl-S(O) -alkyl. Examples of alkylsulfonyl include methylsulfonyl, ethylsulfonyl,
and propylsulfonyl.
The term “aminosulfonyl” means -S(O) -NH .
The term “sulfinyl” or “sulfoxido” means -S(O)-. Thus, for example,
“alkylsulfinylalkyl” or “alkylsulfoxidoalkyl” refers to alkyl-S(O)-alkyl. Exemplary
alkylsulfinyl groups include methylsulfinyl, ethylsulfinyl, butylsulfinyl, and hexylsulfinyl.
The term “heterocycloalkyl” refers to a saturated or partially saturated ring structure
containing a total of 3 to 14 ring atoms. At least one of the ring atoms is a heteroatom (i.e.,
oxygen, nitrogen, or sulfur), with the remaining ring atoms being independently selected
from the group consisting of carbon, oxygen, nitrogen, and sulfur. A heterocycloalkyl
alternatively may comprise 2 or 3 rings fused together, wherein at least one such ring
contains a heteroatom as a ring atom (e.g., nitrogen, oxygen, or sulfur). In a group that has a
heterocycloalkyl substituent, the ring atom of the heterocycloalkyl substituent that is bound to
the group may be the at least one heteroatom, or it may be a ring carbon atom, where the ring
carbon atom may be in the same ring as the at least one heteroatom or where the ring carbon
atom may be in a different ring from the at least one heteroatom. Similarly, if the
heterocycloalkyl substituent is in turn substituted with a group or substituent, the group or
substituent may be bound to the at least one heteroatom, or it may be bound to a ring carbon
atom, where the ring carbon atom may be in the same ring as the at least one heteroatom or
where the ring carbon atom may be in a different ring from the at least one heteroatom.
Examples of heterocycloalkyl include, but not limited to, azacyclobutane, 1,3-
diazatidine, pyrrolidine, 2-pyrroline, 3-pyrroline, 2-imidazoline, imidazolidine, 2-pyrazoline,
pyrazolidine, piperidine, 1,2-diazacyclohexane, 1,3-diazacyclohexane, 1,4-diazacyclohexane,
octahydroazocine, oxacyclobutane, tetrahydrofuran, tetrahydropyran, 1,2-dioxacyclohexane,
1,3-dioxacyclohexane, 1,4-dioxacyclohexane, 1,3-dioxolane, thiacyclobutane,
thiocyclopentane, 1,3-dithiolane, thiacyclohexane, 1,4-dithiane, 1,3-oxathialane, morpholine,
1,4-thiaxane, 1,3,5-trithiane and thiomorpholine.
The term “heterocycloalkyl” also includes substituents that are fused to a C -C
6 10
aromatic ring or to a 5membered heteroaromatic ring, wherein a group having such a
fused heterocycloalkyl group as a substituent is bound to a heteroatom of the
heterocyclocalkyl group or to a carbon atom of the heterocycloalkyl group. When such a
fused heterocycloalkyl group is substituted with one more substituents, the one or more
substituents, unless otherwise specified, are each bound to a heteroatom of the
heterocyclocalkyl group or to a carbon atom of the heterocycloalkyl group. The fused C -C
6 10
aromatic ring or to a 5membered heteroaromatic ring may be optionally substituted with
halogen, C -C alkyl, C -C cycloalkyl, or =O.
1 6 3 10
The term “heteroaryl” refers to an aromatic ring structure containing from 5 to 14 ring
atoms in which at least one of the ring atoms is a heteroatom (i.e., oxygen, nitrogen, or
sulfur), with the remaining ring atoms being independently selected from the group
consisting of carbon, oxygen, nitrogen, and sulfur. A heteroaryl may be a single ring or 2 or
3 fused rings. Examples of heteroaryl substituents include 6-membered ring substituents
such as pyridyl, pyrazyl, pyrimidinyl, and pyridazinyl; 5-membered ring substituents such as
triazolyl, imidazolyl, furanyl, thiophenyl, pyrazolyl, oxazolyl, isoxazolyl, thiazolyl, 1,2,3-,
1,2,4-, 1,2,5-, or 1,3,4-oxadiazolyl and isothiazolyl; 6/5-membered fused ring substituents
such as benzothiofuranyl, isobenzothiofuranyl, benzisoxazolyl, benzoxazolyl, purinyl, and
anthranilyl; and 6/6-membered fused rings such as quinolinyl, isoquinolinyl, cinnolinyl,
quinazolinyl, and 1,4-benzoxazinyl. The term “heteroaryl” also includes pyridyl N-oxides
and groups containing a pyridine N-oxide ring.
Examples of single-ring heteroaryls include furanyl, dihydrofuranyl,
tetradydrofuranyl, thiophenyl (also known as “thiofuranyl”), dihydrothiophenyl,
tetrahydrothiophenyl, pyrrolyl, isopyrrolyl, pyrrolinyl, pyrrolidinyl, imidazolyl, isoimidazolyl,
imidazolinyl, imidazolidinyl, pyrazolyl, pyrazolinyl, pyrazolidinyl, triazolyl, tetrazolyl,
dithiolyl, oxathiolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, thiazolinyl, isothiazolinyl,
thiazolidinyl, isothiazolidinyl, thiaodiazolyl, oxathiazolyl, oxadiazolyl (including oxadiazolyl,
1,2,4-oxadiazolyl (also known as “azoximyl”), 1,2,5-oxadiazolyl (also known as “furazanyl”),
or 1,3,4-oxadiazolyl), oxatriazolyl (including 1,2,3,4-oxatriazolyl or 1,2,3,5-oxatriazolyl),
dioxazolyl (including 1,2,3-dioxazolyl, 1,2,4-dioxazolyl, 1,3,2-dioxazolyl, or
1,3,4-dioxazolyl), oxathiazolyl, oxathiolyl, oxathiolanyl, pyranyl (including 1,2-pyranyl or
1,4-pyranyl), dihydropyranyl, pyridinyl (also known as “azinyl”), piperidinyl, diazinyl
(including pyridazinyl (also known as “1,2-diazinyl”), pyrimidinyl (also known as
“1,3-diazinyl” or “pyrimidyl”), or pyrazinyl (also known as “1,4-diazinyl”)), piperazinyl,
triazinyl (including s-triazinyl (also known as “1,3,5-triazinyl”), as-triazinyl (also known
1,2,4-triazinyl), and v-triazinyl (also known as “1,2,3-triazinyl”)), oxazinyl (including
1,2,3-oxazinyl, 1,3,2-oxazinyl, 1,3,6-oxazinyl (also known as “pentoxazolyl”), 1,2,6-oxazinyl,
or 1,4-oxazinyl), isoxazinyl (including o-isoxazinyl or p-isoxazinyl), oxazolidinyl,
isoxazolidinyl, oxathiazinyl (including 1,2,5-oxathiazinyl or 1,2,6-oxathiazinyl), oxadiazinyl
(including 1,4,2-oxadiazinyl or 1,3,5,2-oxadiazinyl), morpholinyl, azepinyl, oxepinyl,
thiepinyl, and diazepinyl.
Examples of 2-fused-ring heteroaryls include, indolizinyl, pyrindinyl, pyranopyrrolyl,
4H-quinolizinyl, purinyl, naphthyridinyl, pyridopyridinyl (including pyrido[3,4-b]-pyridinyl,
pyrido[3,2-b]-pyridinyl, or pyrido[4,3-b]-pyridinyl), and pteridinyl, indolyl, isoindolyl,
indoleninyl, isoindazolyl, benzazinyl, phthalazinyl, quinoxalinyl, quinazolinyl, benzodiazinyl,
benzopyranyl, benzothiopyranyl, benzoxazolyl, indoxazinyl, anthranilyl, benzodioxolyl,
benzodioxanyl, benzoxadiazolyl, benzofuranyl, isobenzofuranyl, benzothienyl,
isobenzothienyl, benzothiazolyl, benzothiadiazolyl, benzimidazolyl, benzotriazolyl,
benzoxazinyl, benzisoxazinyl, and tetrahydroisoquinolinyl.
Examples of 3-fused-ring heteroaryls or heterocycloalkyls include
,6-dihydro-4H-imidazo[4,5,1-ij]quinoline, 4,5-dihydroimidazo[4,5,1-hi]indole,
4,5,6,7-tetrahydroimidazo[4,5,1-jk][1]benzazepine, and dibenzofuranyl.
The term “heteroaryl” also includes substituents such as pyridyl and quinolinyl that
are fused to a C -C carbocyclic ring, such as a C or a C carbocyclic ring, or to a 4
4 10 5 6
membered heterocyclic ring, wherein a group having such a fused aryl group as a substituent
is bound to an aromatic carbon of the heteroaryl group or to a heteroatom of the heteroaryl
group. When such a fused heteroaryl group is substituted with one more substituents, the one
or more substituents, unless otherwise specified, are each bound to an aromatic carbon of the
heteroaryl group or to a heteroatom of the heteroaryl group. The fused C -C carbocyclic or
4 10
4membered heterocyclic ring may be optionally substituted with halogen, C -C alkyl,
C -C cycloalkyl, or =O.
3 10
The term “ethylene” refers to the group –CH -CH - The term “ethynelene” refers to
2 2 .
the group –CH=CH- The term “propylene” refers to the group –CH -CH -CH - The term
. 2 2 2 .
“butylene” refers to the group –CH -CH -CH -CH - The term “methylenoxy” refers to the
2 2 2 2 .
group –CH -O- The term “methylenethioxy” refers to the group –CH -S- The term
2 . 2 .
“methylenamino” refers to the group –CH -N(H)- The term “ethylenoxy” refers to the group
–CH -CH -O- The term “ethylenethioxy” refers to the group – CH -CH -S- The term
2 2 . 2 2 .
“ethylenamino” refers to the group –CH –CH -N(H)-
2 2 .
A substituent is “substitutable” if it comprises at least one carbon, sulfur, oxygen or
nitrogen atom that is bonded to one or more hydrogen atoms. Thus, for example, hydrogen,
halogen, and cyano do not fall within this definition. If a substituent is described as being
“substituted,” a non-hydrogen substituent is in the place of a hydrogen substituent on a
carbon, oxygen, sulfur or nitrogen of the substituent. Thus, for example, a substituted alkyl
substituent is an alkyl substituent wherein at least one non-hydrogen substituent is in the
place of a hydrogen substituent on the alkyl substituent.
If a substituent is described as being “optionally substituted,” the substituent may be
either (1) not substituted, or (2) substituted. When a substituent is comprised of multiple
moieties, unless otherwise indicated, it is the intention for the final moiety to serve as the
point of attachment to the remainder of the molecule. For example, in a substituent A-B-C,
moiety C is attached to the remainder of the molecule. If substituents are described as being
“independently selected” from a group, each substituent is selected independent of the other.
Each substituent therefore may be identical to or different from the other substituent(s).
Pharmaceutical Compositions
Pharmaceutical compositions for preventing and/or treating a subject are further
provided comprising a therapeutically effective amount of a compound of formula (I), or a
pharmaceutically acceptable salt or adduct thereof, and one or more pharmaceutically
acceptable excipients.
A “pharmaceutically acceptable” excipient is one that is not biologically or otherwise
undesirable, i.e., the material can be administered to a subject without causing any
undesirable biological effects or interacting in a deleterious manner with any of the other
components of the pharmaceutical composition in which it is contained. The carrier can be
selected to minimize any degradation of the active ingredient and to minimize any adverse
side effects in the subject, as would be well known to one of skill in the art. The carrier can
be a solid, a liquid, or both.
The disclosed compounds can be administered by any suitable route, preferably in the
form of a pharmaceutical composition adapted to such a route, and in a dose effective for the
treatment or prevention intended. The active compounds and compositions, for example, can
be administered orally, rectally, parenterally, ocularly, inhalationaly, or topically. In
particular, administration can be epicutaneous, inhalational, enema, conjunctival, eye drops,
ear drops, alveolar, nasal, intranasal, vaginal, intravaginal, transvaginal, ocular, intraocular,
transocular, enteral, oral, intraoral, transoral, intestinal, rectal, intrarectal, transrectal,
injection, infusion, intravenous, intraarterial, intramuscular, intracerebral, intraventricular,
intracerebroventricular, intracardiac, subcutaneous, intraosseous, intradermal, intrathecal,
intraperitoneal, intravesical, intracavernosal, intramedullar, intraocular, intracranial,
transdermal, transmucosal, transnasal, inhalational, intracisternal, epidural, peridural,
intravitreal, etc.
Suitable carriers and their formulations are described in Remington: The Science and
Practice of Pharmacy (19th ed.) ed. A.R. Gennaro, Mack Publishing Company, Easton, PA,
1995. Oral administration of a solid dose form can be, for example, presented in discrete
units, such as hard or soft capsules, pills, cachets, lozenges, or tablets, each containing a
predetermined amount of at least one of the disclosed compound or compositions. In some
forms, the oral administration can be in a powder or granule form. In some forms, the oral
dose form is sub-lingual, such as, for example, a lozenge. In such solid dosage forms, the
compounds of formula I are ordinarily combined with one or more adjuvants. Such capsules
or tablets can contain a controlled-release formulation. In the case of capsules, tablets, and
pills, the dosage forms also can comprise buffering agents or can be prepared with enteric
coatings.
In some forms, oral administration can be in a liquid dose form. Liquid dosage forms
for oral administration include, for example, pharmaceutically acceptable emulsions,
solutions, suspensions, syrups, and elixirs containing inert diluents commonly used in the art
(e.g., water). Such compositions also can comprise adjuvants, such as wetting, emulsifying,
suspending, flavoring (e.g., sweetening), and/or perfuming agents.
In some forms, the disclosed compositions can comprise a parenteral dose form.
“Parenteral administration” includes, for example, subcutaneous injections, intravenous
injections, intraperitoneally, intramuscular injections, intrasternal injections, and infusion.
Injectable preparations (e.g., sterile injectable aqueous or oleaginous suspensions) can be
formulated according to the known art using suitable dispersing, wetting agents, and/or
suspending agents. Typically, an appropriate amount of a pharmaceutically acceptable carrier
is used in the formulation to render the formulation isotonic. Examples of the
pharmaceutically acceptable carrier include, but are not limited to, saline, Ringer’s solution
and dextrose solution. Other acceptable excipients include, but are not limited to, thickeners,
diluents, buffers, preservatives, surface active agents and the like.
Other carrier materials and modes of administration known in the pharmaceutical art
can also be used. The disclosed pharmaceutical compositions can be prepared by any of the
well-known techniques of pharmacy, such as effective formulation and administration
procedures. The above considerations in regard to effective formulations and administration
procedures are well known in the art and are described in standard textbooks. Formulation of
drugs is discussed in, for example, Hoover, John E., Remington’s Pharmaceutical Sciences,
Mack Publishing Co., Easton, Pennsylvania, 1975; Liberman, et al., Eds., Pharmaceutical
Dosage Forms, Marcel Decker, New York, N.Y., 1980; and Kibbe, et al., Eds., Handbook of
Pharmaceutical Excipients (3 Ed.), American Pharmaceutical Association, Washington,
1999.
The disclosed compounds can be used, alone or in combination with other therapeutic
agents, in the treatment or prevention of various conditions or disease states. The
administration of two or more compounds “in combination” means that the two compounds
are administered closely enough in time that the presence of one alters the biological effects
of the other. The two or more compounds can be administered simultaneously, concurrently
or sequentially.
Disclosed are pharmaceutical compositions comprising an effective amount of a
compound of the invention or a pharmaceutically accepted salt, solvate, clathrate, or prodrug
thereof; and a pharmaceutically acceptable carrier or vehicle. These compositions may further
comprise additional agents. These compositions are useful for modulating the activity of the
neurokinin (NK ) receptor, thus to improve the prevention and treatment of NK receptor
associated diseases such as nausea and vomiting, bladder dysfunction, depression or anxiety.
In some forms, disclosed are pharmaceutical compositions for preventing and/or
treating a subject comprising a therapeutically effective amount of a compound according to
formula (I), and one or more pharmaceutically acceptable excipients. In some other forms,
disclosed are pharmaceutical compositions, further comprising one or more therapeutic
agents or a pharmaceutically acceptable salt thereof. In some forms, said therapeutic agent is
a 5-HT antagonist, a NK antagonist or dexamethasone. In some other forms, said 5-HT
3 1 3
antagonist is ondansetron, palonosetron, granisetron or tropisetron, or a pharmaceutically
acceptable salt thereof.
Methods
All of the methods described herein may be practiced with a compound of the
invention alone, or in combination with other agents.
Treating
The above-described compounds and compositions are useful for the inhibition,
reduction, prevention, and/or treatment of diseases which are pathophysiologically modulated
by the neurokinin (NK ) receptor. Accordingly, in some forms, disclosed are methods of
preventing and/or treating diseases which are pathophysiologically modulated by the NK
receptor, comprising administering to a subject a therapeutically effective amount of a
compound of formula (I) as disclosed above, or a pharmaceutically acceptable salt or adduct
thereof.
Suitable subjects can include mammalian subjects. Mammals include, but are not
limited to, canine, feline, bovine, caprine, equine, ovine, porcine, rodents, lagomorphs,
primates, and the like, and encompass mammals in utero. In some forms, humans are the
subjects. Human subjects can be of either gender and at any stage of development.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said disease is
nausea and vomiting, bladder dysfunction, depression or anxiety.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said nausea and
vomiting is chemotherapy induced nausea and vomiting (CINV), radiation therapy induced
nausea and vomiting (RINV), or post-operative nausea and vomiting (PONV).
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said nausea and
vomiting is induced by moderately or highly emetogenic chemotherapy. In some other forms,
disclosed are methods of preventing and/or treating diseases which are pathophysiologically
modulated by the NK receptor, wherein said nausea and vomiting is an acute and/or delayed
phases of CINV.
Acute emesis refers to the first twenty-four hour period following an emesis-inducing
event. Delayed emesis refers to the second, third, fourth and fifth twenty-four hour periods
following an emesis-inducing event. When a treatment is said to be effective during the
delayed phase, it will be understood to mean that the effectiveness of the treatment is
statistically significant during the entire delayed phase, regardless of whether the treatment is
effective during any particular twenty-four hour period of the delayed phase. It will also be
understood that the method can be defined based upon its effectiveness during any one of the
twenty-four hour periods of the delayed phase. Thus, unless otherwise specified, any of the
methods of treating nausea and/or vomiting during the delayed phases, as described herein,
could also be practiced to treat nausea and/or vomiting during the second, third, fourth or
fifth twenty-four hour periods following an emesis inducing event, or an combination thereof.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said acute and/or
delayed phases of CINV is induced by moderately or highly emetogenic chemotherapy.
“Highly emetogenic chemotherapy” refers to chemotherapy having a high degree of
emetogenic potential, and includes chemotherapy based on carmustine, cisplatin,
cyclophosphamide ≥ 1500 mg/m , dacarbazine, dactinomycin, mechlorethamine, and
streptozotocin. “Moderately emetogenic chemotherapy” refers to chemotherapy having a
moderate degree of emetogenic potential, and includes chemotherapy based on carboplatin,
cyclophosphamide < 1500 mg/m , cytarabine > 1 mg/m , daunorubicin, doxorubicin,
epirubicin, idarubicin, ifosfamide, irinotecan, and oxaliplatin.
In a preferred embodiment, the methods described herein are effective to treat acute
and delayed emesis resulting from moderately and highly emetogenic chemotherapy, from a
single dose of the netupitant derivative administered prior to chemotherapy, optionally in
combination with other active ingredients.
A particularly preferred regimen for treating emesis, especially emesis induced by
chemotherapy, involves a netupitant derivative of the present invention, a 5-HT3 antagonist
such as palonosetron or a pharmaceutically acceptable salt thereof, and a corticosteroid such
as dexamethasone. A suitable fixed regimen for treating acute and delayed CINV includes a
single administration of the netupitant derivative on day one (preferably before
chemotherapy), a single administration of the 5-HT3 antagonist on day 1 (preferably before
chemotherapy). A corticosteroid is optionally added to the combination on day one and,
when highly emetogenic chemotherapy is administered, on days 2, 3 and 4 as well. A
preferred intravenous dose of palonosetron HCl is 0.25 mg based on the weight of the free
base. Preferred dexamethasone doses are 12 mg. orally on day 1, followed by 8 mg. orally on
days 2, 3 and 4 for highly emetogenic chemotherapy.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said bladder
dysfunction is selected from urgency, frequency, pollakiuria, nocturia, low deferment time,
suboptimal volume threshold, and neurogenic bladder, or a combination thereof.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said compound or a
pharmaceutically acceptable salt or adduct thereof, is administered by one or more routes
selected from the group consisting of rectal, buccal, sublingual, intravenous, subcutaneous,
intradermal, transdermal, intraperitoneal, oral, eye drops, parenteral and topical
administration.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said administration
is accomplished by intravenously administering a liquid form of said compound or a
pharmaceutically acceptable salt or adduct thereof.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, particularly by derivatives of
netupitant, wherein said administration is accomplished by orally administering said
compound or a pharmaceutically acceptable salt or adduct thereof. In some other forms,
disclosed are methods of preventing and/or treating diseases which are pathophysiologically
modulated by the NK receptor, wherein said netupitant derivative is orally administered at a
dosage of from about 50 mg to about 500 mg, from about 100 mg to about 400 mg, from
about 150 mg to about 350 mg, or about 300 mg, based on the weight of the netupitant
component of the molecule.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, particularly by derivatives of
netupitant, wherein said compound or a pharmaceutically acceptable salt or adduct thereof is
intravenously administered at a dosage of from about 10 mg to about 200 mg, from about 50
mg to about 150 mg, from about 75 mg to about 125 mg, or about 100 mg, based on the
weight of the netupitant component of the molecule.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, particularly by derivatives of
netupitant, wherein said compound or a pharmaceutically acceptable salt or adduct thereof, is
formulated to have a concentration of from about 1 to about 20 mg/ml, from about 5 to about
mg/ml, from about 7 to about 2 mg/ml, or about 10 mg/ml, based on the weight of the
netupitant component of the molecule.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein said compound or a
pharmaceutically acceptable salt or adduct thereof, is administered in a single dosage per day,
a single dosage during a multi-day course of therapy (e.g., a five-day therapeutic regimen for
delayed emesis), or in multiple dosages per day. In some other forms, disclosed are methods
of preventing and/or treating diseases which are pathophysiologically modulated by the NK
receptor, wherein said multiple dosages are from 2 to 4 dosages per day.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, further comprising
administering one or more therapeutic agents or a pharmaceutically acceptable salt thereof.
In some other forms, said therapeutic agent is a 5-HT antagonist, a NK antagonist or
dexamethasone. In some other forms, said 5-HT antagonist is ondansetron, palonosetron,
granisetron or tropisetron, or a pharmaceutically acceptable salt thereof. In some still other
forms, said 5-HT antagonist is palonosetron or a pharmaceutically acceptable salt thereof. In
some other forms, the oral dosage of palonosetron or a pharmaceutically acceptable salt
thereof is from about 0.1 mg to about 2.0 mg, from about 0.25 mg to about 1.0 mg, from
about 0.5 mg to about 0.75 mg, or about 0.5 mg. In some other forms, the intravenous dosage
of palonosetron or a pharmaceutically acceptable salt thereof is from about 0.05 mg to about
2.0 mg, from about 0.075 mg to about 1.5 mg, from about 0.1 mg to about 1.0 mg, from
about 0.25 mg to about 0.75 mg, or about 0.25 mg. In some other forms, said palonosetron or
a pharmaceutically acceptable salt thereof is formulated to have a concentration of about 0.25
mg/5 mL.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, further comprising
administering one or more therapeutic agents or a pharmaceutically acceptable salt thereof,
wherein said therapeutic agent is a NK antagonist which is 2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-dimethyl-N-(6-(4-methylpiperazinyl)(o-tolyl)pyridin-
3-yl)propanamide (netupitant). In one embodiment, the netupitant is administered in
combination with GA8, and the ratio of GA8 to netupitant is greater than 1:200 or 1:100.
In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein the subject is a
human. In some other forms, disclosed are methods of preventing and/or treating diseases
which are pathophysiologically modulated by the NK receptor, wherein the subject has been
identified as needing treatment for the disease or the administration.
One of ordinary skill in the art of treating such diseases will be able, without undue
experimentation and in reliance upon personal knowledge and the disclosure of this
application, to ascertain a therapeutically effective amount of a compound of Formula I for a
given disease. In some other forms, disclosed are methods of preventing and/or treating a
subject, further comprising one or more therapeutic agents.
More Definitions of Terms
1. A, an, the
As used in the specification and the appended claims, the singular forms “a,” “an” and
“the” include plural referents unless the context clearly dictates otherwise. Thus, for example,
reference to “a pharmaceutical carrier” includes not only single carriers but also mixtures of
two or more such carriers, and the like.
2. Abbreviations
Abbreviations, which are well known to one of ordinary skill in the art, may be used
(e.g., “h” or “hr” for hour or hours, “g” or “gm” for gram(s), “mL” for milliliters, and “rt” for
room temperature, “nm” for nanometers, “M” for molar, and like abbreviations).
3. About
The term “about,” when used to modify the quantity of an ingredient in a composition,
concentrations, volumes, process temperature, process time, yields, flow rates, pressures, and
like values, and ranges thereof, employed in describing the embodiments of the disclosure,
refers to variation in the numerical quantity that can occur, for example, through typical
measuring and handling procedures used for making compounds, compositions, concentrates
or use formulations; through inadvertent error in these procedures; through differences in the
manufacture, source, or purity of starting materials or ingredients used to carry out the
methods; and like considerations. The term “about” also encompasses amounts that differ
due to aging of a composition or formulation with a particular initial concentration or mixture,
and amounts that differ due to mixing or processing a composition or formulation with a
particular initial concentration or mixture. Whether modified by the term “about” the claims
appended hereto include equivalents to these quantities.
4. Comprise
Throughout the description and claims of this specification, the word “comprise” and
variations of the word, such as “comprising” and “comprises,” means “including but not
limited to,” and is not intended to exclude, for example, other additives, components, integers
or steps.
. Publications
Throughout this application, various publications are referenced. In order to more
fully document the state of the art to which this invention pertains, the disclosures of these
publications are to be considered as being referenced individually, specifically and in their
entireties for the material contained in them that is discussed in the sentence in which the
reference is relied upon.
In this specification where reference has been made to patent specifications, other
external documents, or other sources of information, this is generally for the purpose of
providing a context for discussing the features of the invention. Unless specifically stated
otherwise, reference to such external documents is not to be construed as an admission that
such documents, or such sources of information, in any jurisdiction, are prior art, or form part
of the common general knowledge in the art.
6. Subject
As used throughout, by a “subject” is meant an individual. Thus, the “subject” can
include, for example, domesticated animals, such as cats, dogs, etc., livestock (e.g., cattle,
horses, pigs, sheep, goats, etc.), laboratory animals (e.g., mouse, rabbit, rat, guinea pig, etc.)
mammals, non-human mammals, primates, non-human primates, rodents, birds, reptiles,
amphibians, fish, and any other animal. The subject can be a mammal such as a primate or a
human. The subject can also be a non-human.
EXAMPLES
The following examples are put forth so as to provide those of ordinary skill in the art
with a complete disclosure and description of how the compounds, compositions, articles,
devices and/or methods claimed herein are made and evaluated, and are intended to be purely
exemplary and are not intended to limit the disclosure. Efforts have been made to ensure
accuracy with respect to numbers (e.g., amounts, temperature, etc.), but some errors and
deviations should be accounted for. Unless indicated otherwise, parts are parts by weight,
temperature is in C or is at ambient temperature, and pressure is at or near atmospheric.
Example 1
Preparation of compounds of formula (I)
The following are examples of preparation of compounds of formula (I). This
example is intended to be purely exemplary and is not intended to limit the disclosure.
General Scheme of Preparing Compounds of Formula (I)
Scheme 1
Other general procedures of preparing similar compounds to intermediate 1 of
Scheme 1 are also disclosed in U.S. Patent Nos. 6,303,790, 6,531,597, 6,297,375 and
6,479,483, which are referenced individually, specifically and in their entireties for the
material contained in them that is relevant to the preparation of intermediate I.
Synthesis of
methyl-[6-(4-methyl-piperazinyl)o-tolyl-pyridinyl]-amine
Step 1:
13.0 g (82.5 mMol) 6-Chloro-nicotinic acid in 65 ml THF were cooled to 0°C and
206.3 ml (206.3 mMol) o-tolylmagnesium chloride solution (1M in THF) were added over 45
minutes. The solution obtained was further stirred 3 hours at 0°C and overnight at room
temperature. It was cooled to -60°C and 103.8 ml (1.8 Mol) acetic acid were added, followed
by 35 ml THF and 44.24 g (165 mMol) manganese(III) acetate dihydrate. After 30 minutes at
-60°C and one hour at room temperature, the reaction mixture was filtered and THF removed
under reduced pressure. The residue was partitioned between water and dichloromethane and
extracted. The crude product was filtered on silica gel (eluent: ethyl acetate/toluene/formic
acid 20:75:5) then partitioned between 200 ml aqueous half-saturated sodium carbonate
solution and 100 ml dichloromethane. The organic phase was washed with 50 ml aqueous
half-saturated sodium carbonate solution. The combined aqueous phases were acidified with
ml aqueous HCI 25% and extracted with dichloromethane. The organic extracts were
dried (Na SO ) and concentrated under reduced pressure to yield 10.4 g (51%) of 6-chloro
o-tolyl-nicotinic acid as a yellow foam. MS (ISN): 246 (M-H, 100), 202 (M-CO H, 85), 166
(36).
Step 2:
To a solution of 8.0 g (32.3 mMol) 6-chloroo-tolyl-nicotinic acid in 48.0 ml THF
were added 3.1 ml (42.0 mMol) thionylchloride and 143 .mu.l (1.8 mMol) DMF. After 2
hours at 50°C, the reaction mixture was cooled to room temperature and added to a solution
of 72.5 ml aqueous ammonium hydroxide 25% and 96 ml water cooled to 0°C. After 30
minutes at 0°C, THF was removed under reduced pressure and the aqueous layer was
extracted with ethyl acetate. Removal of the solvent yielded 7.8 g (98%) 6-chloroo-tolyl-
nicotinamide as a beige crystalline foam. MS (ISP): 247 (M+H , 100).
Step 3:
1.0 g (4.05 mMol) 6-Chloroo-tolyl-nicotinamide in 9.0 ml 1-methyl-piperazine was
heated to 100°C for 2 hours. The excess N-methyl-piperazine was removed under high
vacuum and the residue was filtered on silica gel (eluent: dichloromethane) to yield 1.2 g
(95%) 6-(4-methyl-piperazinyl)o-tolyl-nicotinamide as a light yellow crystalline foam.
MS (ISP): 311 (M+H , 100), 254 (62).
Step 4:
A solution of 0.2 g (0.6 mMol) 6-(4-methyl-piperazinyl)o-tolyl-nicotinamide in
1.0 ml methanol was added to a solution of 103 mg (2.6 mMol) sodium hydroxide in 1.47 ml
(3.2 mMol) NaOCl (13%) and heated for 2 hours at 70°C. After removal of methanol, the
aqueous layer was extracted with ethyl acetate. The combined organic extracts were dried
(Na SO ), concentrated under reduced pressure and the residue filtered on silica gel (eluent:
dichloromethane/methanol 4:1) to yield 100 mg (70%) 6-(4-methyl-piperazinyl)o-tolyl-
pyridinylamine as a brown resin. MS (ISP): 283 (M+H , 100), 226 (42).
Step 5:
2.15 ml (11.6 mMol) Sodium methoxide in methanol were added over 30 minutes to a
suspension of 0.85 g (4.6 mMol) N-bromosuccinimide in 5.0 ml dichloromethane cooled to -
°C. The reaction mixture was stirred 16 hours at -5°C. Still at this temperature, a solution of
1.0 g (3.1 mMol) 6-(4-methyl-piperazinyl)o-tolyl-nicotinamide in 5.0 ml methanol was
added over 20 minutes and stirred for 5 hours. 7.1 ml (7.1 mMol) Aqueous HCl 1N and 20 ml
dichloromethane were added. The phases were separated and the organic phase was washed
with deionized water. The aqueous phases were extracted with dichloromethane, brought to
pH=8 with aqueous NaOH 1N and further extracted with dichloromethane. The latter organic
extracts were combined, dried (Na SO ) and concentrated to yield 1.08 g (quant.) [6-(4-
methyl-piperazinyl)o-tolyl-pyridinyl]-carbamic acid methyl ester as a grey foam.
MS (ISP): 341 (M+H , 100), 284 (35).
Step 6:
A solution of 0.5 g (1.4 mMol) [6-(4-methyl-piperazinyl)o-tolyl-pyridinyl]-
carbamic acid methyl ester in 3.0 ml dichloromethane was added over 10 minutes to a
solution of 1.98 ml (6.9 mMol ) Red-Al.RTM. (70% in toluene) and 2.5 ml toluene
(exothermic, cool with a water bath to avoid temperature to go >50°C). The reaction mixture
was stirred 2 hours at 50°C in CH Cl , extracted with ethyl acetate and cooled to 0°C. 4 ml
Aqueous NaOH 1N were carefully (exothermic) added over 15 minutes, followed by 20 ml
ethyl acetate. The phases were separated and the aqueous phase was extracted with ethyl
acetate. The combined organic extracts were washed with deionized water and brine, dried
(Na SO ) and concentrated under reduced pressure to yield 0.37 g (89%) methyl-[6-(4-
methyl-piperazinyl)o-tolyl-pyridinyl]-amine as an orange resin. MS (ISP): 297
(M+H , 100).
Synthesis of
2-(3,5-bis-Trifluoromethyl-phenyl)methyl-propionyl Chloride
.0 g (50 mmol) 2-(3,5-bis-trifluoromethyl-phenyl)methyl-propionic acid were
dissolved in 127.5 ml dichloromethane in the presence of 0.75 ml DMF. 8.76 ml (2 eq.)
Oxalyl chloride were added and after 4.5 hours, the solution was rotary evaporated to dryness.
9 ml Toluene were added and the resulting solution was again rotary evaporated, then dried
under high vacuum yielding 16.25 g (quant.) of 2-(3,5-bis-trifluoromethyl-phenyl)methyl-
propionyl chloride as a yellow oil of 86% purity according to HPLC analysis. NMR (250
MHz, CDCl ): 7.86 (br s, 1H); 7.77, (br s, 2H, 3 H ); 1.77 (s, 6H, 2 CH ).
3 arom 3
Synthesis of
2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethyl-N-(6-(4-methylpiperazinyl)(o-
tolyl)pyridinyl)propanamide (Netupitant)
A solution of 20 g (67.5 mmol) methyl-[6-(4-methyl-piperazinyl)o-tolyl-
pyridinyl]-amine and 17.5 ml (101 mmol) N-ethyldiisopropylamine in 200 ml
dichloromethane was cooled in an ice bath and a solution of 24 g (75 mmol)2-(3,5-bis-
trifluoromethyl-phenyl)methyl-propionyl chloride in 50 ml dichloromethane was added
dropwise. The reaction mixture was warmed to 35-40°C for 3 h, cooled to room temperature
again and was stirred with 250 ml saturated sodium bicarbonate solution. The organic layer
was separated and the aqueous phase was extracted with dichloromethane. The combined
organic layers were dried (magnesium sulfate) and evaporated. The residue was purified by
flash chromatography to give 31.6 g (81%) of 2-(3,5-bis(trifluoromethyl)phenyl)-N,2-
dimethyl-N-(6-(4-methylpiperazinyl)(o-tolyl)pyridinyl)propanamide as white crystals.
M.P. 155-157°C; MS m/e (%): 579 (M+H , 100).
Synthesis of
-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(4-methylpiperazin
yl)(o-tolyl)pyridine 1-oxide
Scheme 2
Step 1:
The solution of 6-chloropyridinamine (115 g, 0.898 mol) and (Boc) O (215.4 g,
0.988 mol) in 900 mL of dioxane was refluxed overnight. The resulting solution was poured
into 1500 mL of water. The resulting solid was collected, washed with water and re-
crystallized from EtOAc to afford 160 g tert-butyl (6-chloropyridinyl)carbamate as a
white solid (Yield: 78.2%).
Step 2:
To the solution of tert-butyl (6-chloropyridinyl)carbamate (160 g, 0.7 mol) in 1 L
of anhydrous THF was added n-BuLi (600 mL, 1.5 mol) at -78 C under N atmosphere. After
the addition was finished, the solution was stirred at -78 C for 30 min, and the solution of I
(177.68 g, 0.7 mol) in 800 mL of anhydrous THF was added. Then the solution was stirred at
-78 C for 4 hrs. TLC indicated the reaction was over. Water was added for quench, and
EtOAc was added to extract twice. The combined organic phases were washed with brine,
dried over Na SO , filtered and purified by flash chromatography to afford 80 g of tert-butyl
(6-chloroiodopyridinyl)carbamate as a yellow solid (32.3%).
Step 3:
To the solution of tert-butyl (6-chloroiodopyridinyl)carbamate (61 g, 0.172 mol)
in 300 mL of anhydrous THF was added 60% NaH (7.6 g, 0.189 mol) at 0 C under N
atmosphere. After the addition was finished, the solution was stirred for 30 min, and then the
solution of MeI (26.92 g, 0.189 mol) in 100 mL of dry THF was added. Then the solution
was stirred at 0 C for 3 hrs. TLC indicated the reaction was over. Water was added for
quench, and EtOAc was added to extract twice. The combined organic phases were washed
with brine, dried over Na SO , filtered and concentrated to afford 63 g of crude tert-butyl (6-
chloroiodopyridinyl)(methyl)carbamate used into the following de-protection without
the further purification.
Step 4:
To the solution of tert-butyl (6-chloroiodopyridinyl)(methyl)carbamate (62.5 g,
0.172 mol) in 500 mL of anhydrous DCM was added 180 mL of TFA. Then the solution was
stirred at room temperature for 4 hrs. Concentrated to remove the solvent, and purified by
flash chromatography to afford 45.1 g 6-chloroiodo-N-methylpyridinamine as a yellow
solid (Yield: 97.3%).
Step 5:
To the solution of 6-chloroiodo-N-methylpyridinamine (40.3 g, 0.15 mol) and
2-methylbenzene boric acid (24.5 g, 0.18 mol) in 600 mL of anhydrous toluene was added
400 mL of 2 N aq. Na CO solution, Pd(OAc) (3.36 g, 15 mmol) and PPh (7.87 g, 0.03
2 3 2 3
mmol). The solution was stirred at 100 C for 2 hrs. Cooled to room temperature, and diluted
with water. EtOAc was added to extract twice. The combined organic phases were washed
with water and brine consecutively, dried over Na SO , concentrated and purified by flash
chromatography to afford 19 g 6-chloro-N-methyl(o-tolyl)pyridinamine as a white solid
(Yield: 54.6%).
Step 6:
To the solution of 6-chloro-N-methyl(o-tolyl)pyridinamine (18.87 g, 81.3 mmol)
and DMAP (29.8 g, 243.9 mmol) in 200 mL of anhydrous toluene was added the solution of
2-(3,5-bis-trifluoromethyl-phenyl)methyl-propionyl chloride (28.5 g, 89.4 mmol) in
toluene under N atmosphere. The solution was heated at 120 C for 23 hrs. Cooled to room
temperature, poured into 1 L of 5% aq. NaHCO solution, and extracted with EtOAc twice.
The combined organic phases were washed by water and brine consecutively, dried over
Na SO, filtered and purified by flash chromatography to afford 35 g 2-(3,5-
bis(trifluoromethyl)phenyl)-N-(6-chloro(o-tolyl)pyridinyl)-N,2-dimethylpropanamide as
a white solid (Yield: 83.9%).
Step 7:
To the solution of 2-(3,5-bis(trifluoromethyl)phenyl)-N-(6-chloro(o-tolyl)pyridin-
3-yl)-N,2-dimethylpropanamide (5.14 g, 10 mmol) in 60 mL of DCM was added m-CPBA
(6.92 g, 40 mmol) at 0 °C under N atmosphere. Then the solution was stirred overnight at
room temperature. 1 N aq. NaOH solution was added to wash twice for removing the excess
m-CPBA and a side product. The organic phase was washed by brine, dried over Na SO ,
filtered and concentrated to afford 5.11 g of crude 5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)chloro(o-tolyl)pyridine 1-oxide as a white solid (Yield: 96.4%).
Step 8:
To the solution of crude 5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-
dimethylpropanamido)chloro(o-tolyl)pyridine 1-oxide (5.1 g, 9.62 mmol) in 80 mL of
n-BuOH was added N-methylpiperazine (7.41 g, 74.1 mmol) under N atmosphere. Then the
solution was stirred at 80 C overnight. Concentrated and purified by flash chromatography to
afford 4.98 g 5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(4-
methylpiperazinyl)(o-tolyl)pyridine 1-oxide as a white solid (Yield: 87.2%). HNMR
(CDCl3, 400MHz) δ 8.15 (s, 1H), 7.93 (s, 1H), 7.78 (s, 2H), 7.38 (m, 2H), 7.28 (m, 1H), 7.17
(m, 1H), 7.07 (s, 1H), 5.50 (s, 3H), 2.72 (d, J = 4.4Hz, 4H), 2.57 (m, 3H), 2.40 (s, 3H), 2.23
(s, 3H), 1.45~1.20 (m, 6H).
Synthesis of
4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)oxido(o-
tolyl)pyridinyl)methylpiperazine 1-oxide
Scheme 3
To a solution of 5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)
(4-methylpiperazinyl)(o-tolyl)pyridine 1-oxide (3 g, 5.05 mmol) and NaHCO (0.354 g,
12.66 mmol) in 60 mL of MeOH and 15 mL of H O were added potassium monopersulfate
triple salt (1.62 g, 26.25 mmol) at room temperature during 15 min. After stirring for 4 hrs at
room temperature under N atmosphere, the reaction mixture was concentrated in vacuo and
purified by flash chromatography (eluent: MeOH). The product was dissolved into DCM, the
formed solid was filtered off, and the solution was concentrated under reduced pressure to
afford 1.77 g 4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)oxido
(o-tolyl)pyridinyl)methylpiperazine 1-oxide as a white solid (Yield: 57.4%). HNMR
(CDCl3, 400MHz) δ 8.06 (s, 1H), 7.78 (s, 1H), 7.60 (s, 2H), 7.37~7.20 (m, 4H), 6.81 (s, 1H),
3.89 (s, 2H), 3.74 (m, 4H), 3.31 (m, 5H), 2.48 (s, 3H), 2.18 (s, 3H), 1.36 (s, 6H).
Synthesis of
1-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)-
4-methylpiperazine 1,4-dioxide
Scheme 4
To the solution of 2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethyl-N-(6-(4-
methylpiperazinyl)(o-tolyl)pyridinyl)propanamide (11.1 g, 19.2 mmol) in 75 ml of
Methanol was added sodium bicarbonate (3.38 g, 40.3 mmol) dissolved in 20 ml of water.
Then Oxone (14.75 g, 48.0 mmol) was added to the stirred solution at room temperature in 3-
4 portions. The suspension was heated for 4 h at 50 °C. After filtration of the salts (washed
with 3 x 8 ml of methanol), the solvent has been evaporated under reduced pressure and
substituted by DCM (30 ml). The organic phase was washed with water (5 x 30 ml), dried
over Na SO , filtered, concentrated and purified by precipitation in toluene to afford 9.3 g 1-
(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)
methylpiperazine 1,4-dioxide as a white solid (Yield: 80%). H-NMR (CDCl3, 400MHz, at
333K) δ 8.27 (s, 2H), 7.75 (s, 1H), 7.63 (s, 2H), 7.26~7.19 (m, 2H), 7.14 (t, 1H, J = 7.4 Hz),
7.09 (d, 1H, J = 7.4 Hz), 4.93 (t, 2H, J = 11.6 Hz), 4.70 (t, 2H, J = 11.6 Hz), 4.12 (d, 2H, J =
.7 Hz), 3.84 (s, 3H), 3.50 (d, 2H, J = 10.3 Hz), 2.47 (s, 3H), 2.12 (s, 3H), 1.40 (s, 6H).
Synthesis (A) of di-tert-butyl (chloromethyl) phosphate
Scheme 5
Di-tert-butyl phospohite (40.36 mmole) was combined with potassium bicarbonate
(24.22 mmole) in 35 ml of water. The solution was stirred in an ice bath and potassium
permanganate (28.25 mmole) was added in three equal portions over one hour's time. The
reaction as then allowed to continue at room temperature for an additional half hour.
Decolorizing carbon (600 mg) was then incorporated as the reaction was heated to 60°C for
minutes. The reaction was then vacuum filtered to remove solid magnesium dioxide. The
solid was washed several times with water. The filtrate was then combined with one gram of
decolorizing carbon and heated at 60°C for an additional twenty minutes. The solution was
again filtered to yield a colorless solution, which was then evaporated under vacuum to afford
crude Di-tert-butyl phosphate potassium salt. Di-tert-butyl phosphate potassium salt (5 g,
.14 mmole) was dissolved in methanol (15 g): to this solution at 0 °C a slight excess of
concentrated HCl is slowly added with efficient stirring at 0 °C. The addition of acid causes
the precipitation of potassium chloride. The solid is then filtered and washed with methanol.
The compound in the mother liquor is then converted to the ammonium form by adding an
equal molar amount of tetramethylammonium hydroxide (3.65 g, 20.14 mmole) while
keeping the reaction cooled by a salt/ice bath with efficient stirring. The resulting clear
solution is placed under reduced pressure to give the crude product. To the
tetramethylammonium di-tert-butyl-phosphate dissolved in refluxing dimethoxyethane is then
added 4.3 grams of chloroiodomethane (24.16 mmole) and stirred for 1-2 hours. The reaction
is then filtered and the filtrate is placed under reduced pressure to concentrate the solution in
DME. The chloromethyl di-tert-butyl phosphate 12-16% in DME is used in the synthesis of
4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)-
1-methyl((phosphonooxy)methyl)piperazinium without further purifications (60%
1H 31
yield): NMR (CD OD, 300 MHz) δ 1.51 (s, 12H), 5.63 (d, 2H, J=14.8). P-NMR (CD OD,
300 MHz) δ -11.3 (s, 1 P).
Synthesis (B) of di-tert-butyl (chloromethyl) phosphate
Scheme 5A
Di-tert-butyl phosphate potassium salt (5 g, 20.14 mmole) is dissolved in methanol
(15 g): to this solution at 0 °C a slight excess of concentrated HCl is slowly added with
efficient stirring at 0 °C. The addition of acid causes the precipitation of potassium chloride.
The solid is then filtered and washed with methanol. The compound in the mother liquor is
then converted to the ammonium form by adding an equal molar amount of
tetrabuthylammonium hydroxide 1 M in methanol (20.14 mmole) while keeping the reaction
cooled at 0 °C with efficient stirring. The resulting clear solution is placed under reduced
pressure to give the intermediate product. The tetrabuthylammonium di-tert-butyl-phosphate
dissolved in acetone is then added dropwise to 53.3 grams of chloroiodomethane (302.1
mmole) and stirred at 40 °C for 1-2 hours. The solvent and excess of chloroiodomethane are
distilled off, the reaction mass suspended in TBME and then filtered. The filtrate is washed
by a saturated solution of sodium bicarbonate and water and then placed under reduced
pressure to substitute the solvent by acetone, i.e., to remove the solvent after which it is
replaced with acetone. The chloromethyl di-tert-butyl phosphate 7-20% in acetone is used in
the next step without further purifications (70-80% yield): H-NMR (CD OD, 300 MHz) δ
1.51 (s, 12H), 5.63 (d, 2H, J=14.8). P-NMR (CD OD, 300 MHz) δ -11.3 (s, 1P).
Stability studies of
4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)-
1-methyl((phosphonooxy)methyl)piperazinium salts
In order to further improve the stability and solubility of 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)methyl
((phosphonooxy)methyl)piperazinium, a variety of its derivative salts were synthesized
and tested. Their synthesis employed either a) neutralization of the dried diacid phosphate
species and its corresponding base salts or b) a direct acid deprotection starting from the dried
di(tert-butyl)-protected phosphate species. Neutralization was performed with L-histidine,
magnesium salt, N-methyl-D-glucamine (dimeglumine), and L-lysine. Both procedures were
tried in the synthesis of citric derivatives whereas with other acids the direct deprotection
reaction was used. The figures below show the most relevant structures.
Parent acid species
Diacid phosphate species Protected phosphate species
Dibasic phosphate species Chloride hydrochloride species
When the parent acid species was not stored in dry condition it was found to undergo
over 8% degradation in the first week and over 65% degradation in the first six months.
When the dried parent acid species was held at 30 C in air it underwent 0.05% degradation
in the first 7 days and at total of 7.03% degradation in six months. When the dried parent
acid species was held under argon at room temperature it underwent up to 0.13% degradation
in the first 7 days but then was essentially stable for six months. Results for various
derivative salts are shown in Table 1 below.
Table 1: Representative Degradation Results for Salts
Purity
Yield
Solvents Additives A% Comments
HPLC
Degradation:
MeOH L-Histidine, 2 eq. 26.6% 95.94% +0.70% in 6 days (in air)
+0.46% in 6 days (in argon)
Degradation:
Mg(OH) , 2 eq.
MeOH 48.6% 94.11% +0.81% in 6 days (in air)
+0.29% in 6 days (in argon)
MeOH +
Citric acid, 2 eq. N.A. 94.40% From protected species.
DCM, 1:1
1. HCl dioxane, 4 eq.
MeOH > 90% 94.50% From protected species.
2. Ca(OH)2
MeOH From protected species and
H PO , 85%, 2 eq. > 90% 98.81%
retains 0.39% of that species.
MeOH From protected species.
HBr, 48%, 4 eq. 84.6% 96.11%
Product degrades rapidly.
MeOH + From protected species.
DCM, CH SOH N.A. 61.54% Product NOT stable: contains
1:4 32.45% decomposition species.
Only 1.27 of parent species
MeOH NaH PO , 4 eq. N.A. n.d.
formed. Poor reaction.
N-methyl-D- Degradation:
MeOH N.A. 96.88%
glucamine +0.87% in 6 days (in air)
(Meglumine), 2 eq. +1.52% in 11 days (in argon)
N-methyl-D- Degradation:
MeOH glucamine > 99% 97.42% +0.77% in 6 days (in air)
(Meglumine), 1 eq. +0.83% in 7 days (in argon)
MeOH + Degradation:
1. NaOH, 3 eq
DCM, 96.5% 97.49% +0.09% in 2 days (in argon)
2. Citric acid, 1 eq.
:2 +0.59% in 89 days (in argon)
MeOH + Degradation:
1. NaOH, 3 eq.
DCM, 93.8% 97.46% +1.95% in 14 days (in air)
2. Fumaric acid, 1 eq.
:2 +1.80% in 12 days (in argon)
Degradation:
MeOH L-lysine, 1 eq. > 99% 97.62% +0.69% in 14 days (in air)
+0.48% in 12 days (in argon)
A more comprehensive showing of stability results is given in Fig. 1, where the
horizontal axis represents number of days of testing and the vertical axis represents the mass
percent of degradation. Alphabetical letters are used to denote data points on the graph that
correspond to degradation percentage values over time for respective salts of the same parent
compound as just described above and in Table 2 below. The drawn lines correspond to
general trends over periods of days for the benchmark salt (the disodium salt) and for the few
salts that manifested more desirable results than the disodium salt.
Table 2: Identity Codes for Salts and Gases in Figure 1.
Letter Ambient gas
Salt
Code for storage
a 2 Dimeglumine Air
b 2 Dimeglumine Argon
c Dimeglumine Air
d Dimeglumine Argon
e Lysine Air
f Lysine Argon
g Fumarate Air
h Fumarate Argon
i Citrate Air
j Citrate Argon
k Bromide Air
l Bromide Argon
m Mesylate Nitrogen
n Phosphate Air
o Phosphate Argon
p Citrate Nitrogen
q Calcium Air
r Calcium Argon
s Chloride hydrochloride, anhydrous Air
t Chloride hydrochloride, anhydrous Argon
u Disodium salt Air
v Histidine Air
w Histidine Argon
x Magnesium Air
y Magnesium Argon
Synthesis (A) of
4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)-
1-methyl((phosphonooxy)methyl)piperazinium chloride hydrochloride
Scheme 6
The solution of chloromethyl di-tert-butyl phosphate in DME (250 g from a 10%
solution, 96.64 mmole) was evaporated under reduced pressure until the formation of pale
yellow oil, dissolved then at 50 °C with 318 ml of Acetonitrile. 17.2 g (80.54 mmole) of 1,8-
bis(dimethylamino)naphtalene and 46.6 g (80.54 mmole) of 2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-dimethyl-N-(6-(4-methylpiperazinyl)(o-tolyl)pyridin-
3-yl)propanamide were added and the solution heated at 90 °C for at least 12h. After the
addition of 75 g of isopropylether, the precipitated crude product was cooled at room
temperature, filtered and washed with acetonitrile, isopropylether/acetone, 3:1 and
isopropylether, and dried under reduced pressure to afford 20-33 g of the 4-(5-{2-[3,5-
bis(trifluoromethyl)phenyl]-N,2-dimethylpropanamido}(o-tolyl)pyridinyl)methyl
{[(tert-butoxy)phosphoryl]oxymethyl}piperazinium as white solid (Yield: 30-50%). H-
NMR (CD OD, 400 MHz) δ 7.98 (s, 1H), 7.86 (s, 1H), 7.76 (s, 2H), 7.33-7.10 (m, 4H), 6.80
(s, 1H), 5.03 (d, 2H, J = 8.5 Hz), 4.52 (s, 2H), 4.13 (m, 2H), 3.83 (m, 2H), 3.69 (m, 2H),
3.52 (m. 2H), 3.23 (s, 3H), 2.53 (s, 3H), 2.18 (s, 3H), 1.46 (s, 18H), 1.39 (s, 6H). P-NMR
(CD OD, 161 MHz) δ -5.01 (s, 1P). To 20 g (23.89 mmole) of the 4-(5-{2-[3,5-
bis(trifluoromethyl)phenyl]-N,2-dimethylpropanamido}(o-tolyl)pyridinyl)methyl
{[(tert-butoxy)phosphoryl] oxymethyl}piperazinium dissolved in 180 g of methanol and
400 g of dichloromethane was added HCl 4M in dioxane (18.8 g, 71.66 mmole) and the
solution was heated for 3 h at reflux. After the addition of 200 g of dioxane, DCM and
methanol were distilled under reduced pressure until precipitation of the product, which was
filtered and washed with isopropylether (100 g), acetone (30 g) and pentane (2 x 60 g). The
product was finally dried under reduced pressure at 55 °C to afford 15-17 g of 4-(5-(2-(3,5-
bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)methyl
((phosphonooxy)methyl)piperazinium chloride hydrochloride as white solid (Yield: 88-
93%). H-NMR (CD OD, 400 MHz) δ 7.02 (s, 1H), 7.87 (s, 1H), 7.74 (s, 2H), 7.33-7.40 (m,
2H), 7.27 (m, 1H), 7.21 (s, 1H), 7.16 (d, 1H, J = 8.2 Hz), 5.27 (d, 2H, J = 7.9 Hz), 4.29 (m,
2H), 4.05 (m, 2H), 3.85 (m, 2H), 3.74 (m, 2H), 3.35 (s, 3H), 2.62 (s, 3H), 2.23 (s, 3H), 1.38 (s,
6H). P-NMR (CD OD, 161 MHz) δ -2.81 (t, 1P, J = 7.9 Hz).
3 PH
Synthesis (B) of
4-(5-(2-(3,5-bis(trifluoromethyl)phenyl)-N,2-dimethylpropanamido)(o-tolyl)pyridinyl)-
1-methyl((phosphonooxy)methyl)piperazinium chloride hydrochloride
Scheme 6A
To the solution of chloromethyl di-tert-butyl phosphate in Acetone (22.1 g from a
% solution, 85.58 mmole), 15.5 g (103.24 mmole) of sodium iodide and 33.0 g (57.00
mmole) of netupitant were added and the solution heated at 50 °C for at 6-16 h. The
precipitated salts were filtered off, the acetone distilled under reduced pressure and the crude
product dissolved in 43.0 g of methanol and 43.0 g 1,4-dioxane. 12.6 g of HCl 4M in dioxane
(113.85 mmole) were added, and then methanol is distilled off at 40 °C under reduced
pressure. The solution is cooled at 5 °C and stirred at 5 °C for at least 2 h at 5 °C. The
product was isolated by filtration, purified by additional slurry in acetone (238 g), and filtered
and washed with acetone (47 g) and pentane (2 x 72 g).
The product was finally dried under reduced pressure at 60 °C to afford 22-30 g of
white-yellowish solid (Yield: 50-70%)
H-NMR (CD OD, 400 MHz) δ 7.02 (s, 1H), 7.87 (s, 1H), 7.74 (s, 2H), 7.33-7.40 (m,
2H), 7.27 (m, 1H), 7.21 (s, 1H), 7.16 (d, 1H, J = 8.2 Hz), 5.27 (d, 2H, J = 7.9 Hz), 4.29 (m,
2H), 4.05 (m, 2H), 3.85 (m, 2H), 3.74 (m, 2H), 3.35 (s, 3H), 2.62 (s, 3H), 2.23 (s, 3H), 1.38 (s,
6H). P-NMR (CD OD, 161 MHz) δ -2.81 (t, 1P, J = 7.9 Hz).
3 PH
It is to be understood that the product shown in Scheme 6A is illustrative, being just
one of several permutations in which the acidic protons bond to various atoms in an
equilibrium. For instance depiction of other permutations would show a proton bound to one
or more of the N atoms while one or more of the O atoms bound to the P atom would bear an
anionic charge. Contemplated herein are all of the molecular species within that equilibrium
and the product shown in the figure is intended to represent all of them in a generic fashion.
7. Evaluation of Representative Compounds of Formula (I)
i. Chemical Stability and Solubility
The chemical stability and aqueous solubility of some representative compounds of
Formula (I), compared to some reference compounds, are reproduced in Table 3 below.
Stability was tested according to ICH guidelines under accelerated conditions (40° C).
Table 3: Chemical Stability and Solubility of Representative Compounds
Compound Chemical Solubility
Compound Structure
No. Stability (neutral pH)
1 medium 10 -15 mg/ml
2 high > 10 mg/ml
3 high > 10 mg/ml
4 medium ~ 0.6 mg/ml
medium ~ 1 mg/ml
6 low N/A
7 low insoluble
8 Low insoluble
9 0.25
* Reference Compound
ii. Local Tolerance
In contrast to netupitant (compound no. 9 in the above table), seven-day local
tolerability study of three compounds (e.g., compound nos. 1-3 of the above Table 1) on rat
was conducted. All three compounds exhibited good local tolerability which is demonstrated
by the below findings:
There were minimal signs of inflammation at injection site and there was little
edema;
No later stage thrombus was found in any animal studied;
Severity of inflammation was similar in compound and vehicle-treated
animals;
No tissue necrosis was observed in any of the tails; and
The inflammation and palethrombus were caused by the needle injection
through blood vessels.
iii. Pharmacokinetic Studies
The pharmacokinetics (PKs) study of three compounds (e.g., compound nos. 1-3 of
the above Table 3), as compared to a reference compound – netupitant (orally administered),
on rat and dog was conducted.
Rat PKs Study: The rats tested in the study were Wistar rats, male, body weight 220 -
240 g, and 5 rats per group. The dose was 10 mg/kg administered by intravenous (IV) slow
bolus injection into the tail vein at a rate of 1 ml/min. The dose was administered to each
animal at a dose volume of 5 ml/kg (the pre-formulation is 5% Glucose solution). Control
animals received the vehicle alone. The dose was administered to each animal on the basis of
the most recently recorded body weight and the volume administered was recorded for each
animal. Before administration, rats were fasted 12 hr, water ad libitum. After 240 min time
point blood was collected, rats were fed. 0.2-0.3 ml blood was collected in tubes contained
EDTA/NaF as anticoagulant and stabilizer at pre-dose and at 0.05, 0.25, 0.5, 1, 2, 4, 6, 8, 24
and 48 hrs after intravenous administration. After centrifugation, plasma was removed and
stored deep-frozen approximately -20 °C until analysis. Prepared quantification standard
curve at 2, 10, 40, 100, 200, 1000 and 2000 ng/ml (diluted from methanol stock with
methanol containing 1% formic acid). Aliquot 50 ul of standard solution and spiked into 50 ul
of blank rat plasma samples either for standard curve or for QC samples, followed by adding
100 ul of acetonitrile (with IS). 50 ul of methanol replaced the compound standard methanol
solution was used to spike 50 ul of rat plasma samples, and added 100 ul of acetonitrile (with
IS), for the determination of rat plasma samples. Plasma samples of time points 3, 15 and 30
min after intravenous administration were diluted 10 or 5 fold with blank rat plasma,
respectively. Plasma was pre-prepared with acetonitrile using protein precipitate (PPP). Rat
plasma samples were analyzed by using an API4000 MS coupled with HPLC. Repaglinide
was used as internal standard. Using an internal calibration method for compound 1 of the
above Table 1 or Netupitant quantitation, the LLOQ and the linear range of standard curve
were 2 ng/ml and 2 – 2000 ng/ml, respectively.
Dog PKs Study: the dogs tested in the study were Beagle dogs, body weight 8 - 10 kg,
and 3 male dogs per group. The four PK experiments were performed in 12 naïve dogs. The
dose was 3 mg/kg administered via intravenous (IV) slow injection into the left and right
cephalic or left and right saphenous veins used in rotation. The dose volume was 2 ml/kg in
glucose 5% v/v solution at a fixed injection rate of 4 ml/min using an infusion pump (KDS
220, KD Scientific). The dose was administered to each animal on the basis of the most
recently recorded body weight and the volume administered was recorded for each animal.
Netupitant 3 mg/kg dose was tested at 2 ml/kg in vehicle (DMSO: Ethanol: Tween80
solution=5:4:1:90, v/v), dependence on its solubility. Dose was freshly prepared before each
single PK experiment. Before administration, dogs were fasted 12 hr, water ad libitum. After
480 min time point blood was collected, dogs were fed. 0.5 ml blood was collected in
heparinised tubes at pre-dose and at 2, 5, 15, 30 min, 1, 2, 4, 6, 8, 12, 24, 36, 48 and 72 hr
after intravenous administration. Plasma samples would be kept at -20 degree till analysis.
After 2 weeks washout, the same group (IV for Netupitant ) was dosed Netupitant 3 mg/kg by
gavage administration, the dose volume was 4 ml/kg in vehicle (Hypromellose 0.5%, Tween-
80 0.1%, Sodium Chloride 0.9% in distilled water). Prepared quantification standard curve at
2, 10, 40, 100, 200, 1000 and 2000 ng/ml (diluted from methanol stock with methanol
containing 1% formic acid). Aliquot 50 ul of standard solution and spiked into 50 ul of blank
dog plasma samples either for standard curve or for QC samples, followed by adding 100 ul
of acetonitrile (with IS). 50 ul of methanol replaced the compound standard methanol
solution was used to spike 50 ul of dog plasma samples, and added 100 ul of acetonitrile
(with IS), for the determination of dog plasma samples. Plasma samples of time points 2, 5,
and 30 min after intravenous administration were diluted 5 or 2 folds with blank dog
plasma, respectively. Plasma was pre-prepared with acetonitrile using protein precipitate
(PPP). Dog plasma samples were analyzed by using an API4000 MS coupled with HPLC.
MRM(+) was used to scan for Netupitant and compound nos. 1-3 of the above Table 3,
respectively. Repaglinide was used as internal standard.
It was found that all three compounds, when intravenously administered at a dosage
of 3 mg/kg, were efficiently converted to netupitant in rats and dogs. It was also found that
compound no. 1 is bioequivalent to oral netupitant at the same dose in dog. The data of the
comparative bioequivalence study is reproduced in below Table 4:
Table 4: Comparative Bioequivalence Studies of Netupitant and Related Compounds
IV PO
Compound 1 Compound 2 Compound 3 Netupitant*
Dose (mg/kg) 3 3 3 3
Dose (mg/kg,
equivalent to 2.31 2.84 2.84 3
netupitant)
Mean AUC
315627 88732 192730 307285
(ng.min/ml)
Bioequivalence
103 29 63
*Reference Compound
Throughout this application, various publications are referenced. The disclosures of
these publications in their entireties are hereby referenced individually and specifically for
the material contained in them that is discussed in the sentence in which the reference is
relied upon. It will be apparent to those skilled in the art that various modifications and
variations can be made in the present invention without departing from the scope or spirit of
the invention. Other embodiments of the invention will be apparent to those skilled in the art
from consideration of the specification and practice of the invention disclosed herein. It is
intended that the specification and examples be considered as exemplary only, with a true
scope and spirit of the invention being indicated by the following claims.
Claims (29)
1. A compound selected from the group consisting of: or a pharmaceutically acceptable salt thereof.
2. A compound according to claim 1 for use in a method of treating emesis, bladder dysfunction, depression or anxiety, in a patient in need thereof.
3. The compound for the use according to claim 2, wherein said emesis comprises chemotherapy induced nausea and vomiting (CINV), radiation therapy induced nausea and vomiting (RINV), or post-operative nausea and vomiting (PONV).
4. The compound for the use according to claim 2 or claim 3, wherein said emesis is induced by moderately or highly emetogenic chemotherapy.
5. The compound for the use according to any one of claims 2-4, wherein emesis is acute and delayed emesis induced by moderately or highly emetogenic chemotherapy.
6. The compound for the use according to claim 2, wherein said bladder dysfunction is selected from urgency, frequency, pollakiuria, nocturia, low deferment time, suboptimal volume threshold, and neurogenic bladder, or a combination thereof.
7. The compound for the use according to any one of claims 2-6, wherein said compound or a pharmaceutically acceptable salt or adduct thereof, is to be administered by one or more routes selected from the group consisting of rectal, buccal, sublingual, intravenous, subcutaneous, intradermal, transdermal, intraperitoneal, oral, eye drops, parenteral and topical administration.
8. The compound for the use according to any one of claims 2-7, wherein said compound or a pharmaceutically acceptable salt or adduct thereof, is to be intravenously administered at a dosage of from about 10 mg to about 200 mg.
9. The compound for the use according to any one of claims 2-8, wherein the subject is a human.
10. A pharmaceutical composition comprising a therapeutically effective amount of a compound according to claim 1, and one or more pharmaceutically acceptable excipients.
11. Use of a compound according to claim 1 in the manufacture of a medicament for treating emesis, bladder dysfunction, depression or anxiety, in a patient in need thereof.
12. The use according to claim 11, wherein said emesis comprises chemotherapy induced nausea and vomiting (CINV), radiation therapy induced nausea and vomiting (RINV), or post-operative nausea and vomiting (PONV).
13. The use according to claim 11 or claim 12, wherein said emesis is induced by moderately or highly emetogenic chemotherapy.
14. The use according to any one of claims 11-13, wherein emesis is acute and delayed emesis induced by moderately or highly emetogenic chemotherapy.
15. The use according to any one of claims 11-14, wherein said emesis is acute and delayed emesis induced by moderately or highly emetogenic chemotherapy, wherein the medicament is to be separately, sequentially or simultaneously administered with a 5-HT antagonist and corticosteroid.
16. The use according to claim 15, wherein said 5-HT antagonist is ondansetron, palonosetron, granisetron or tropisetron, or a pharmaceutically acceptable salt thereof.
17. The use according to any one of claims 11-14, wherein the medicament is to be administered separately, sequentially or simultaneously with 2-(3,5- bis(trifluoromethyl)phenyl)-N,2-dimethyl-N-(6-(4-methylpiperazin-1 yl)(o- tolyl)pyridinyl) propanamide (netupitant).
18. The use according to claim 11, wherein said bladder dysfunction is selected from urgency, frequency, pollakiuria, nocturia, low deferment time, suboptimal volume threshold, and neurogenic bladder, or a combination thereof.
19. The use according to any one of claims 11-18, wherein said medicament is for administration by one or more routes selected from the group consisting of rectal, buccal, sublingual, intravenous, subcutaneous, intradermal, transdermal, intraperitoneal, oral, eye drops, parenteral and topical administration.
20. The use according to any one of claims 11-19 wherein said medicament is for intravenous administration at a dosage of from about 10 mg to about 200 mg.
21. The compound of claim 1, as a chloride hydrochloride salt having the following chemical formula:
22. A process of making a compound of formula (I): wherein: R is selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino, 101 101 102 101 102 alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , -NR R , -NR C(O)R , 101 101 101 102 101 102 102 101 -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , -S(O) R , -SR , - 101 102 S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more independent R substituents; R and R are independently selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , - 101 102 101 102 101 101 101 102 101 102 NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , 102 101 101 102 -S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more independent R substituents; or R together with the atoms and/or other substituent(s) on the same phenyl ring, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted with one or more R substituents; or R together with the atoms and/or other substituent(s) on the same phenyl ring, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted with one or more R substituents; R and R are independently selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , - 101 102 101 102 101 101 101 102 101 102 NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , 102 101 101 102 -S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more independent R substituents; or R and R , together with the atoms connecting the same, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted with one or more R substituents; R and R are independently selected from the group consisting of hydrogen, hydroxy, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxyalkyl, -OR , - 101 102 101 102 101 101 101 102 101 102 NR R , -NR C(O)R , -C(O)R , -C(O)OR , -C(O)NR R , -alkylNR R , 102 101 101 102 -S(O) R , -SR , -S(O) NR R , aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and heteroarylalkyl, each optionally independently substituted with one or more independent R substituents; 101 102 101 102 X is selected from the group consisting of -C(O)NR R , -alkylO, -alkylNR R , 101 101 -NR C(O) and -NR alkyl, each optionally independently substituted with one or more independent R substituents; 101 102 101 Y is selected from the group consisting of -NR R , -NR alkylOH, - 101 101 101 102 NR S(O)alkyl, -NR S(O)phenyl, -N=CH-NR R , heterocycloalkyl and heterocycloalkylalkyl, each optionally independently substituted with one or more independent R substituents; Z is a structural formula selected from the group consisting of (Ia), (Ib), (Ic), (Id), (Ie), (If), (Ig), (Ih) and (Ii), where formula (Ia) refers to an oxide; 100 100” 101 102 103 R , R , R , R and R are each independently selected from the group consisting of hydrogen, cyano, -NO , -OR , oxide, hydroxy, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl, 104 104 heterocycloalkylalkyl, heteroaryl, heteroarylalkyl, -C(O)R , -C(O)OR , - 104 105 104 105 104 105 104 105 104 104 C(O)NR R , -NR R , -NR S(O)2R , -NR C(O)R , -S(O)2R , -SR 104 105 and -S(O) NR R , each optionally independently substituted with one or more 103 101 102 independent R substituents; or R , R , together with the atoms connecting the same, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted with one or more R 100 100” substituents; or R , R , together with the atoms connecting the same, form a fused or non-fused mono, bicyclic or tricyclic heterocyclic or carbocyclic ring which is optionally independently substituted with one or more R substituents; 104 105 R and R are each independently selected from the group consisting of hydrogen, cyano, -NO , hydroxy, oxide, hydroxyalkyl, amino, alkyl, alkenyl, cycloalkyl, halogen, alkoxy, alkoxyalkyl, aryl, arylalkyl, heterocycloalkyl, heterocycloalkylalkyl, heteroaryl and heteroarylalkyl; m is 0, 1, 2, 3, or 4; n is 0, 1, 2, 3, 4 or 5; p is 0 or 1; and with a proviso that if a non-pyridine N-Oxide (N →O ) is present on the compound of Formula (I), then the total number of N-Oxide on the compound of Formula (I) is more than one, said process comprising: a) providing a compound of formula (I) wherein Y is a 4-N-methyl-piperazine group and Z is not present; b) providing a dialkyl(halomethyl)phosphate; c) reacting an N atom of the piperazine group with the dialkyl(halomeihyl)phosphate to obtain a quaternary ammonium methylene phosphate compound, where said process is performed to obtain the compound GA-1 according to claim 1.
23. The process of claim 22, wherein the reaction is carried out in the presence of an iodide salt and in the absence of a proton scavenger.
24. The process of claim 22 or claim 23, wherein the reaction is carried out in the substantial absence of air and dioxygen.
25. The process of any one of claims 22-24, wherein the quaternary ammonium methylene phosphate compound is obtained with a (phosphooxy)methyl group in dealkylated form without acidifying the reaction or the product.
26. A compound according to claim 1, substantially as herein described with reference to any example thereof.
27. A pharmaceutical composition according to claim 10, substantially as herein described with reference to any example thereof.
28. A use according to claim 11, substantially as herein described with reference to any example thereof.
29. A process according to claim 22, substantially as herein described with reference to any example thereof.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161564537P | 2011-11-29 | 2011-11-29 | |
US61/564,537 | 2011-11-29 | ||
US13/478,361 | 2012-05-23 | ||
US13/478,361 US8426450B1 (en) | 2011-11-29 | 2012-05-23 | Substituted 4-phenyl pyridines having anti-emetic effect |
PCT/US2012/066778 WO2013082102A1 (en) | 2011-11-29 | 2012-11-28 | Substituted 4 - phenyl - pyridines for the treatment of nk-1 receptor related diseases |
Publications (2)
Publication Number | Publication Date |
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NZ623746A NZ623746A (en) | 2016-07-29 |
NZ623746B2 true NZ623746B2 (en) | 2016-11-01 |
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