WO1992003131A1 - Use of heterocyclic amino-alcohol compounds for treatment of cns diseases - Google Patents

Use of heterocyclic amino-alcohol compounds for treatment of cns diseases Download PDF

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WO1992003131A1
WO1992003131A1 PCT/US1991/005028 US9105028W WO9203131A1 WO 1992003131 A1 WO1992003131 A1 WO 1992003131A1 US 9105028 W US9105028 W US 9105028W WO 9203131 A1 WO9203131 A1 WO 9203131A1
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radical
alkyl
hydrido
phenyl
substituted
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PCT/US1991/005028
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French (fr)
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Joseph L. Roba
Claude L. Gillet
Michel F. Rafferty
Bevyn Jarrot
Philip Mark Beart
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G.D. Searle & Co.
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Priority to US07/949,815 priority Critical patent/US5462965A/en
Priority to DE69118700T priority patent/DE69118700D1/en
Priority to CA002087449A priority patent/CA2087449A1/en
Priority to EP91915773A priority patent/EP0543919B1/en
Priority to IE260291A priority patent/IE67814B1/en
Publication of WO1992003131A1 publication Critical patent/WO1992003131A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445Non condensed piperidines, e.g. piperocaine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/335Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
    • A61K31/34Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin having five-membered rings with one oxygen as the only ring hetero atom, e.g. isosorbide
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/38Heterocyclic compounds having sulfur as a ring hetero atom
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
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    • A61K31/38Heterocyclic compounds having sulfur as a ring hetero atom
    • A61K31/385Heterocyclic compounds having sulfur as a ring hetero atom having two or more sulfur atoms in the same ring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/38Heterocyclic compounds having sulfur as a ring hetero atom
    • A61K31/39Heterocyclic compounds having sulfur as a ring hetero atom having oxygen in the same ring
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/40Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/535Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with at least one nitrogen and one oxygen as the ring hetero atoms, e.g. 1,2-oxazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/55Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • neurology and relates specifically to a class of compounds, compositions and methods for CNS-disease treatment, such as for controlling or treating chronic or acute neurotoxic injury or brain damage resulting from ischemic conditions, and for treating certain neurodegenerative diseases and psychotic conditions.
  • CNS-disease treatment such as for controlling or treating chronic or acute neurotoxic injury or brain damage resulting from ischemic conditions, and for treating certain neurodegenerative diseases and psychotic conditions.
  • These compounds would be particularly useful for treating neurotoxic injury which follows periods of hypoxia, anoxia, or ischemia associated with stroke, cardiac arrest, perinatal asphyxia or hypoglycemic events.
  • brain tissue is particularly sensitive to deprivation of oxygen or energy. Permanent damage to neurons can occur during brief periods of hypoxia, anoxia or ischemia. Neurotoxic injury is known to be caused or accelerated by certain excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate
  • Glutamate is also known as a powerful neurotoxin capable of killing CNS neurons under certain pathological conditions which accompany stroke and cardiac arrest. Normal glutamate concentrations are maintained within brain tissue by energy-consuming
  • Glutamate is characterized as a broad spectrum agonist having activity at three neuronal excitatory amino acid receptor sites. These receptor sites are named after the amino acids which selectively excite them, namely: Kainate (KA), N-methyl-D-aspartate (NMDA or NMA) and quisqualate (QUIS).
  • KA Kainate
  • NMDA or NMA N-methyl-D-aspartate
  • QUIS quisqualate
  • Glutamate is believed to be a mixed agonist capable of binding to and exciting all three receptor types.
  • agents which selectively block or antagonize the action of glutamate at the EAA synaptic receptors of central neurons can prevent neurotoxic injury associated with anoxia, hypoxia or ischemia caused by stroke, cardiac arrest or perinatal asphyxia.
  • the NMDA receptor complex is involved in multiple physiological and pathological events, inasmuch as the NMDA receptor complex is a ligand- gated ion channel that can be modulated by diverse substances acting at distinct recognition sites.
  • polyamines including spermine and spermidine profoundly enhance the binding of channel ligands, such as [ 3 H] TCP (N-1-[2-thienyl]cyclohexyl)piperidine) and
  • [ 3 H] dizocilipine (MK-801) by acting as agonist modulators, like glycine.
  • Polyamines may act by increasing the frequency of channel opening or by increasing the duration of the open state.
  • Certain piperidineethanol derivatives such as ifenprodil and 1-(4-chlorophenyl)-2-[1-(4-fluorophenyl)piperidinyl]ethanol, which are known anti-ischemic agents, have been found to be non-competitive NMDA receptor antagonists [C. Carter et al, J. Pharm Exp. Ther., 2£L (3), 1222-1232 (1988)].
  • tritiated and iodinated ifenprodil molecules have been employed to examine the characteristics of the polyamine domain of the NMDA receptor-complex [P. M. Beart et al, Neurosci. Lett. , 124, 187-189 (1991)].
  • phenylbutylpiperidines and also as certain alkaloids.
  • An example of a phenylbutylpiperidine compound of current use in psychotic treatment therapy is haloperidol [A.F. Gilman et al, The Pharmacological Basis of Therapeutics, 7th Edn., p. 404, MacMillan (1985)].
  • Control of neuropathological processes and the neurodegenerative consequences thereof in a subject is provided by treating a subject susceptible to, or afflicted with, neurotoxic injury or a neurodegenerative disease or a psychotic condition, with a therapeutically-effective amount of a compound characterized in having activity as a mediator or as an inhibitor at a major neuronal excitatory amino acid receptor site, such as the NMDA receptor site.
  • a compound characterized in having activity as a mediator or as an inhibitor at a major neuronal excitatory amino acid receptor site such as the NMDA receptor site.
  • receptor mediator or inhibitor compounds may be selected from a class of heterocyclic amino-alcohol compounds defined by Formula I:
  • X is selected from oxygen atom, sulfur atom, -CH 2 - and -NH-; wherein Y is selected from -CH 2 - and -NH-; wherein n is a number selected from one through three, inclusive; wherein R 1 is selected from hydrido, alkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl, cycloalkylalkyl, phenyl and carboxyl; wherein R 2 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl and cycloalkylalkyl; wherein each of R 3 and R 4 is independently selected from alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl,
  • alkylcycloalkyl alkylcycloalkyl, alkylcycloalkylalkyl, phenyl, phenylalkyl, diphenylalkyl, alkylphenyl, alkylphenylalkyl, halophenyl, halophenylalkyl, phenoxyalkyl, halophenoxyalkyl,
  • alkoxyphenoxyalkyl cyanophenoxyalkyl, benzyloxyalkyl, alkoxyalkyl, alkoxyalkoxyalkyl, alkoxycarbonylalkyl,
  • alkylcarbonylphenoxyalkyl alkoxycarbonylphenoxyalkyl, alkylphenoxyalkyl, alkenylalkyl, alkynylalkyl,
  • R 5 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl, cycloalkylalkyl, phenylalkyl and phenyl; wherein R 6 is selected from hydrido, alkanoyl and
  • R 1 - R 6 radicals may be further substituted at a substitutable position with a radical selected from alkyl, cycloalkyl, cycloalkylalkyl, alkoxy, alkenylalkyl, alkoxyalkyl, hydroxyalkyl, oxo, cyano, halo, phenyl and phenylalkyl; or a pharmaceutically-acceptable salt thereof.
  • a preferred class of compounds consists of
  • X is selected from oxygen atom, sulfur atom, -CH 2 - and -NH-; wherein Y is selected from -CH 2 - and -NH-; wherein n is a number selected from one through three, inclusive; wherein R 1 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl, phenyl and carboxyl; wherein R 2 is selected from hydrido, alkyl and cycloalkyl; wherein each of R 3 and R 4 is independently selected from hydrido, methyl, ethyl, n-propyl, isopropyl, n-butyl,
  • neopentyl iso-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-duodecyl, n-tredecyl, n-tetradecyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclohexyl, cyclooctyl, cyclononyl, cyclohexylmethyl,
  • dichlorophenoxyethyl methylphenoxyethyl, methoxyphenoxyethyl, dimethoxyphenoxyethyl, cyanophenoxyethyl, benzyloxyethyl, butoxypropyl, butoxyethoxypropyl, methoxycarbonyldecyl, methoxyethoxypropyl, butoxypropoxypropyl, phenylthioethyl, phenylthiopropyl, phenylthiobutyl,
  • alkenylalkyl propargylpropyl, propargylbutyl
  • R 3 and R 4 may be taken together to form a saturated or partially unsaturated heterocyclic group or a heteroaryl group, either of which groups may be further substituted, said groups selected from methylphenylpiperidinyl, morpholino, phenylmorpholino, methylmorpholino, 1-methyl-2-phenylmorpholino, phenyImethylpiperidinyl, phenylpiperidinyl, phenylmethylpyrrolidinyl and phenylmethylpiperazinyl; wherein R 5 is selected from hydrido, alkyl and cycloal
  • R 1 - R 6 radicals may be further substituted at a substitutable position with a radical selected from alkyl, cycloalkyl, alkenylalkyl, alkoxyalkyl, hydroxyalkyl, oxo, cyano, halo, phenyl and phenylalkyl; or a pharmaceutically-acceptable salt thereof.
  • a more preferred class of compounds consists of compounds of Formula I wherein R 1 is selected from hydrido, linear or branched C 1 to C 3 alkyl radicals, a phenyl radical and a carboxyl radical; wherein R 2 is selected from a linear or branched C 1 to C 3 alkyl radical; wherein R 3 is selected from a mono or polyunsaturated C 3 to C 18 alkenyl radical; a mono or polyunsaturated C 3 to C12 alkenyl radical substituted by phenyl and optionally
  • alkylsulfonamido radical or by an alkoxycarbonylalkyl in which both the alkoxy and alkyl moieties contain from 1 to 4 carbon atoms, or alkoxycarbonylalkoxy in which each alkoxy moiety contains from 1 to 4 carbon atoms;
  • R 4 is hydrido or when taken with R 3 and adjacent nitrogen atom, forms a morpholine, pyrrolidine, piperidine radical or a piperidine radical substituted by one or two C 1 to C 4 alkyl, phenyl or phenylalkyl (C 1 to C 4 ) radicals, or a piperazine radical substituted in position 4 by a phenyl radical or by a phenyl radical itself substituted by one or (C 1 to C 4 ) two alkyl or (C 1 to C 4 ) alkoxy radicals, one or two halogen atoms, or a trifluoromethyl radical; wherein R 5 is selected from hydrido,
  • An even more preferred family of compounds consists of compounds of Formula I wherein R 1 is hydrido or alkyl (C 1 to C 3 ) radical; wherein R 2 is selected from alkyl (C 1 to C 3 ) radical; wherein R 3 is selected from a mono or polyunsaturated alkenyl (C 3 to C 18 ) radical; a mono or polyunsaturated alkynyl (C 3 to C 18 ) radical; a cycloalkyl (C 3 to C 8 ) radical; an alkyl (C 2 to C 18 ) radical; an alkyl (C 2 to C 18 ) radical substituted by a group selected from phenylthio radical, an alkoxy (C 1 to C 6 ) radical, an alkythio (C 1 to C 6 ) radical, a phenoxy radical, a benzoyl radical and one or two phenyl radicals; a group selected from a phenyl, benzoyl, phenylthio or phenoxy
  • a highly preferred family of compounds consists of compounds of Formula I wherein R 1 is selected from hydrido and one or two linear or branched C 1 to C 3 alkyl radicals;
  • R 2 is selected from alkyl (C 1 to C 3 ) radical; wherein R 3 is selected from C 3 to C 18 alkenyl radical;
  • linear or branched C 2 to C 18 alkyl radical linear or branched C 2 to C 18 alkyl radical containing one or more oxygen or sulfur linkages, and optionally substituted by at least one or more groups selected from alkoxycarbonyl, pyrrolidine, pyrrolidinone or imidazolidone radical, by one or two phenyl, phenoxy, phenylthio, indanyloxy radicals; one or more groups selected from phenyl, phenoxy, phenylthio radical substituted by one or two C 1 to C 4 alkyl or C 1 to C 4 alkoxy radicals; or one or two halogen atoms; one or more groups selected from nitrile, hydroxy, amino, C 2 to C 9 alkyl carbonyl, C 2 to C 4 acylamino, alkoxycarbonyl, or C 1 to C 4 alkylsulfonamido radical, or one or more groups selected from
  • alkoxycarbonylalkyl in which the alkyl and alkoxy moieties contain from 1 to 4 carbon atoms, or alkoxy carbonyl alkoxy in which each alkoxy moiety contains from 1 to 4 carbon atoms; wherein X is selected from sulfur, oxygen and a -CH 2 - radical; and Y is a -CH 2 - radical.
  • a class of compounds of very high interest consists of compounds of Formula II
  • n is one or two; wherein R 3 is hydrido; wherein R 4 is selected from phenylpropyl, phenylbutyl, phenylpentyl, phenoxypropyl, phenoxybutyl and phenylpentyl, wherein the propyl and butyl radicals may be linear or branched; and wherein R 3 and R 4 may be taken together to form
  • phenyImethylpiperidmyl or a pharmaceutically-acceptable salt thereof.
  • Specific compounds of interest within Formula I are compounds, and their pharmaceutically-acceptable salts, of the following group:
  • Compounds of most particular interest are Compound #7 (which is the erythro form of 1-(2,3-dihydro-5-benzo[b]thienyl)-2-(4-phenylbutylamino-1-propanol; also known as tibalosine), Compound #2, Compound #24, Compound #26, Compound #42, Compound #75, Compound #183 (which is the threo form of tibalosine).
  • Compound #184 (which is the (-)-isomer of tibalosine).
  • Compound #185 (which is the (+)-isomer of tibalosine) and Compound #186.
  • Compounds of Formula I may be prepared by methods shown in U.S. Patent No. 4,638,070.
  • hydrodo denotes a single hydrogen atom (H). This hydrido group may be attached, for example, to an oxygen atom to form a hydroxyl group; or, as another example, one hydrido group may be attached to a carbon atom to form a group; or, as another example, two hydrido
  • alkyl groups may be attached to a carbon atom to form a -CH 2 - group.
  • alkyl is used, either alone or within other terms such as “haloalkyl” and “hydroxyalkyl”
  • alkyl embraces linear or branched radicals having one to about twenty carbon atoms or, preferably, one to about fifteen carbon atoms. More preferred alkyl radicals are "lower alkyl” radicals having one to about twelve carboxi atoms.
  • cycloalkyl embraces cyclic radicals having three to about ten ring carbon atoms, preferably three to about six carbon atoms, such as cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl.
  • polycycloalkyl denotes a radical having two or more cycloalkyl rings; for example, an alkylene group of one or more methylene radicals may bridge a cycloalkyl ring in one or more places to form an adamantyl group.
  • Preferred polycycloalkyl groups contain 10 to about 20 carbon atoms.
  • haloalkyl embraces radicals wherein any one or more of the alkyl carbon atoms is substituted with one or more halo groups, preferably selected from bromo, chloro and fluoro.
  • haloalkyl preferably selected from bromo, chloro and fluoro.
  • haloalkyl preferably selected from bromo, chloro and fluoro.
  • a monohaloalkyl group for example, may have either a bromo, a chloro, or a fluoro atom within the group.
  • Dihaloalkyl and polyhaloalkyl groups may be substituted with two or more of the same halo groups, or may have a combination of different halo groups.
  • a dihaloalkyl group may have two fluoro atoms, such as difluoromethyl and difluorobutyl groups, or two chloro atoms, such as a dichloromethyl group, or one fluoro atom and one chloro atom, such as a fluoro-chloromethyl group.
  • Examples of a polyhaloalkyl are trifluoromethyl, 1,1-difluoroethyl, 2,2,2-trifluoroethyl, perfluoroethyl and 2,2,3,3-tetrafluoropropyl groups.
  • difluoroalkyl embraces alkyl groups having two fluoro atoms substituted on any one or two of the alkyl group carbon atoms.
  • alkylol and hydroxyalkyl embrace linear or branched alkyl groups having one to about ten carbon atoms any one of which may be substituted with one or more hydroxyl groups.
  • alkenylalkyl embraces linear or branched radicals having two to about twenty carbon atoms, preferably three to about ten carbon atoms, and containing at least one carbon-carbon double bond, which carbon-carbon double bond may have either cis or trans geometry within the alkenyl moiety.
  • alkynylalkyl embraces linear or branched radicals having two to about twenty carbon atoms, preferably two to about ten carbon atoms, and containing at least one carbon-carbon triple bond.
  • alkoxy and alkoxyalkyl embrace linear or branched oxy-containing radicals each having alkyl portions of one to about ten carbon atoms, such as methoxy group.
  • alkoxyalkyl also embraces alkyl radicals having two or more alkoxy groups attached to the alkyl radical, that is, to form monoalkoxyalkyl and dialkoxyalkyl groups.
  • alkoxy or “alkoxyalkyl” radicals may be further substituted with one or more halo atoms, such as fluoro, chloro or bromo, to provide haloalkoxy or haloalkoxyalkyl groups.
  • halo atoms such as fluoro, chloro or bromo
  • alkylthio embraces radicals containing a linear or branched alkyl group, of one to about ten carbon atoms attached to a divalent sulfur atom, such as a methylthio group.
  • aryl embraces aromatic radicals such as phenyl, naphthyl and biphenyl.
  • aralkyl embraces aryl-substituted alkyl radicals such as benzyl, diphenylmethyl, triphenylmethyl, phenyl-ethyl, phenylbutyl and diphenylethyl.
  • benzyl and "phenylmethyl” are interchangeable.
  • phenoxy and "phenthio” denote radical respectively, aryl groups having an oxygen or sulfur atom through which the radical is attached to a nucleus, examples of which are phenoxy and phenylthio.
  • sulfinyl and
  • sulfonyl whether used alone or linked to other terms, denotes respectively divalent radicals SO and SO 2 .
  • aralkoxy alone or within another term, embraces an aryl group attached to an alkoxy group to form, for example, benzyloxy.
  • acyl whether used alone, or within a term such as acyloxy, denotes a radical provided by the residue after removal of hydroxyl from an organic acid, examples of such radical being acetyl and benzoyl.
  • “Lower alkanoyl” is an example of a more preferred subclass of acyl.
  • heterocyclic denotes a saturated or partially unsaturated five- or six-membered ring system containing one or more atoms selected from oxygen, sulfur and nitrogen, such as morpholino, piperidinyl, piperizinyl and pyrrolidinyl.
  • heteroaryl embraces aromatic ring systems containing one or two hetero atoms selected from oxygen, nitrogen and sulfur in a ring system having five or six ring members, examples of which are imidazole, imidazolidione, naphthyl, naphthyloxy, indanoyl,
  • heteroaryl may be attached as a substituent through a carbon atom of the heteroaryl ring system, or may be attached through a carbon atom of an oxygen atom or a sulfur atom substituted on a heteroaryl ring-member carbon atom through which the heteroaryl group is attached to the R 3 /R 4 -substituted nitrogen atom of
  • heteroaryl may be attached through a ring nitrogen atom as long as aromaticity of the heteroaryl moiety is preserved after attachment.
  • heterocyclic and heteroaryl groups may be formed so as to include the nitrogen atom of Formula I to which the R 3 and R 4
  • isomeric forms including, optical isomers, enantiomers and diastereoisomers.
  • pharmaceutically-acceptable salts of the Formula I compounds are also included in this invention.
  • pharmaceutically-acceptable salts embraces salts commonly used to form alkali metal salts and to form addition salts of free acids or free bases. The nature of the salt is not critical, provided that it is pharmaceutically-acceptable. Suitable
  • compounds of Formula I may be prepared from an inorganic acid or from an organic acid.
  • inorganic acids are hydrochloric, hydrobromic, hydroiodic, nitric, carbonic, sulfuric and phosphoric acid.
  • Appropriate organic acids may be selected from aliphatic,
  • cycloaliphatic, aromatic, araliphatic, heterocyclic, carboxylic and sulfonic classes of organic acids examples of which are formic, acetic, propionic, succinic, glycolic, gluconic, lactic, malic, tartaric, citric, ascorbic, glucuronic, maleic, fumaric, pyruvic, aspartic, glutamic, benzoic, anthranilic, p-hydroxybenzoic, salicyclic, phenylacetic, mandelic, embonic (pamoic), methansulfonic, ethanesulfonic, 2-hydroxyethanesulfonic, pantothenic, benzenesulfonic, toluenesulfonic, sulfanilic, mesylic, cyclohexylaminosulfonic, stearic, algenic,
  • Suitable pharmaceutically-acceptable base addition salts of compounds of Formula I include metallic salts made from aluminium, calcium, lithium, magnesium, potassium. sodium and zinc or organic salts made from N,N'-dibenzylethylenediamine, chloroprocaine, choline,
  • Compounds of general Formula I can possess one or more asymmetic carbon atoms and are thus capable to existing in the form of optical isomers as well as in the form of racemic or nonracemic mixtures thereof.
  • the optical isomers can be obtained by resolution of the racemic mixtures according to conventional processes, for example by formation of diastereoisomeric salts by
  • optically active acid or base examples include tartaric, diacetyltartaric, dibenzoyltartaric, ditoluoyltartaric and camphorsulfonic acid and then separation of the mixture of diastereoisomers by crystallization followed by liberation of the optically active bases from these salts.
  • a different process for separation of optical isomers involves the use of a chiral chromatography column optimally chosen to maximize the separation of the enantiomers.
  • Still another available method involves synthesis of covalent diastereoisomeric molecules by reacting compounds of Formula I with an optically pure acid in an activated form or an optically pure isocycanate.
  • the synthesized diastereoisomers can be separated by conventional means such as chromatography, distillation, crystallization or sublimation, and then hydrolyzed to deliver the enantiomericaly pure compound.
  • the optically active compounds of Formula I can likewise be obtained by utilizing optically active starting materials. These isomers may be in the form of a free acid, a free base, an ester or a salt.
  • the NMDA receptor-ionophore complex consists of a number of interacting domains, including one for
  • ifenprodil binds to exert its non- competitive antagonism. Ifenprodil was iodinated with Na 125 I/chloramine-T, purified and its binding
  • binding of [ 125 I] ifenprodil was saturable (Kd 145 nM, Bmax 2.5 pmol/mg protein) and to a single site. Specific binding was reversible, being dissociable with ImM spermine and poorly dissociable with 1mM spermine and poorly dissociable with 16.7 ⁇ M SL 82.0715, and represented 70-75% of total binding by filtration.
  • binding sites for [ 125 I] ifenprodil were localized in several regions including anterior cingulate cortex, hippocampus and amygdala.
  • Membranes were prepared from freshly dissected brains of adult male Sprague-Dawley rats (175-250g).
  • Polyamine-stimulated [ 3 H]TCP Crude synaptic ("buffy coat") membranes were prepared from freshly dissected cerebral cortices. Membrane preparations were extensively washed employing 3 freeze-thaw cycles. The final pellet was stored at -70°C for 1-7 days prior to assay. On the day of assay, the membrane pellet was washed twice by resuspension and centrifugation (45,000 g, 10 min.).
  • the final membrane pellet was resuspended in 80 volumes of 5 mM Tris HCl pH 7.7 and binding assays were performed in 5 mM Tris HCl pH 7.7, containing [ 3 H]TCP (6nM) and cortical washed/frozen-thawed synaptic membranes (1.25 mg wet wt., 100 ⁇ g protein) in a final volume of 250 ⁇ l. Incubations were for 60 min. at 25°C. employing 6 concentrations of spermidine (6.67 - 100 ⁇ M) in triplicate determinations in the absence and presence of various drugs in the same individual experiment. Assay tubes with no additions (basal) and containing 5 ⁇ M MK-801 in the absence and presence of drugs were routinely included in each
  • R(+)-[ 3 H]3-PPP Crude membranes were prepared from whole brain (minus cerebellum) as described previously [P. M. Beart et al, J. Neurochem., 53, 779-788 (1989)].
  • a filtration binding assay was employed under similar conditions to those of Largent et al (1986) with 3 nM R (+)-[ 3 H]-3-PPP and a 90 min. incubation at 25°C (Beart et al, 1989).
  • Non-specific binding was defined with 10 ⁇ M 1,3-di(2-tolyl) guanidine (DTG) .
  • AMPA DL-1-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid
  • Binding data were analyzed by the iterative curve fitting programs EBDA and LIGAND as fully described elsewhere [Beart et al, Id., (1989)]. Results obtained from experiments examining spermidine-stimulated binding of [ 3 H]TCP were analyzed by the program FLEXIFIT [V.
  • Radioisotopes were obtained from New England Nuclear (Boston, MA): L [ 3 H]-Glutamate (specific activity 55 Ci/mmole), [ 3 H] Glycine (specific activity 35 Ci/mmole), R(+)-[ 3 H]3-PPP (specific activity 108 Ci/mmole), [ 3 H]TCP (specific activity 60 ci/mmole). Na 125 I (specific activity 2200 Ci/mmole) was purchased from Amersham (Little
  • glycine, NMDA and kainate Sigma Chemical Co. (St. Louis, MO); AMPA, Dr. P. Krogsgaard-Larsen (Copenhagen, Denmark); caramiphen, dextromethorphan and dextrorphan. Dr. J. Church (Vancouver, Canada); DTG, Dr. E. Weber (Portland, OR); dizocilipine
  • (+) SKF 10,047 N-allylnormetazocine
  • National Institute on Drug Abuse Rockville, MA
  • Compounds of Table I, G. D. Searle & Co. Mont-St-Guibert, Belgium
  • R(+)-3-PPP Astra
  • labelling patterns revealed heterogeneous labelling of many telencephalic, diencephalic and mesencephalic brain areas [see Beart et al. Id. , (1991)]. In hippocampus, the topographic labelling pattern was consistent with that generally considered to be NMDA-like ([W. F. Maragos et al, J. Neurosci., 8, 493-501 (1988)]. Labelling observed with [ 125 I] ifenprodil in cerebellum was over the molecular layer, however, relative to that found for the binding of NMDA-selective [ 3 H]glutamate and [ 3 H]glycine in the granular layer.
  • Compounds of Formula I would be useful to treat various CNS-related diseases. Biological evaluation of representative compounds of Formula I shows that such compounds are potent inhibitors mediators interacting at the NMDA receptor site complex. From data shown in Table II, it is evident that compounds of Formula I would be useful as neuroprotective agents. For example, such compounds would be useful to reduce or control neurotoxic injury associated with conditions of hypoxia, anoxia, or ischemia. These conditions may result from stroke, cardiac arrest such as resulting from myocardial infarct, perinatal asphyxia, head trauma, hypoglycemia, epilepsy, septicemia and similar events. Also, as is evident from the data in Table II, compounds of Formula I would be useful to treat various neurodegenerative disease states linked to
  • Parkinson's disease excitotoxic actions at the NMDA receptor complex.
  • Examples of such disease states are Parkinson's disease,
  • terapéuticaally-effective amount is that amount of compound of Formula I administered to a subject which would be useful to alleviate or moderate a CNS-related disease in a subject afflicted with, or susceptible to, such disease.
  • Administration of compounds within Formula I to humans can be by any technique capable of introducing the compounds into the bloodstream of a human patient,
  • Compounds indicated for prophylactic therapy will preferably be administered in a daily dose generally in a range from about 0.1 mg to about 100 mg per kilogram of body weight per day.
  • a more preferred dosage will be a range from about 1 mg to about 100 mg per kilogram of body weight.
  • Most preferred is a dosage in a range from about 1 to 50 mg per kilogram of body weight per day.
  • a suitable dose can be administered, in multiple sub-doses per day. These sub-doses may be administered in unit dosage forms.
  • a dose or sub-dose may contain from about 1 mg to about 100 mg of active compound per unit dosage form.
  • a more preferred dosage will contain from about 2 mg to about 50 mg of active compound per unit dosage form.
  • the active compound is usually administered in a pharmaceutically-acceptable formulation, although in some acute-care situations a compound of Formula I may be administered alone.
  • Such formulations may comprise the active compound together with one or more pharmaceutically-acceptable carriers or diluents.
  • Other therapeutic agents may also be present in the formulation.
  • pharmaceutically-acceptable carrier or diluent provides an appropriate vehicle for delivery of the active compound without introducing undesirable side effects. Delivery of the active compound in such formulations may be by various routes including oral, nasal, topical, buccal and
  • sublingual or by parenteral administration such as subcutaneous, intramuscular, intravenous and intradermal routes.
  • Formulations for oral administration may be in the form of capsules containing the active compound
  • a binder such as gelatin or
  • hydroxypropylmethyl cellulose together with one or more of a lubricant, preservative, surface-active or dispersing agent.
  • a lubricant preservative, surface-active or dispersing agent.
  • Such capsules or tablets may contain controlled-release formulation as may be provided in a dispersion of active compound in hydroxypropylmethyl cellulose.
  • Formulations for parenteral administration may be in the form of aqueous or non-aqueous isotonic sterile injection solutions or suspensions. These solutions and suspensions may be prepared from sterile powders or granules having one or more of the carriers or diluents mentioned for use in the formulations for oral

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Abstract

A class of heterocyclic amino-alcohol compounds is described for treatment of CNS-related diseases, namely, for use as a neuroprotective agent, to reduce neurotoxic injury associated with conditions of hypoxia, anoxia or ischemia which typically follows stroke, myocardial infarct, perinatal asphyxia, or hypoglycemic events. Other examples of treatable CNS-related diseases include neurodegenerative diseases such as Parkinson's disease, Huntington's chorea and Alzheimer's disease, and also psychotic disorders such as schizophrenia. The treatment includes administration of a compound of this class alone or in a composition in an amount effective as a mediator to alter excitatory actions at the NMDA excitatory amino acid receptor complex. A compound of this class of specific interest is formula (I).

Description

USE OF HETEROCYCLIC AMINO-ALCOHOL
COMPOUNDS FOR TREATMENT OF CNS DISEASES
Related Application
This is a continuation-in-part of U.S. Application Ser. No. 07/566,744 filed on August 13, 1990.
Field of Invention
This invention is in the field of clinical
neurology and relates specifically to a class of compounds, compositions and methods for CNS-disease treatment, such as for controlling or treating chronic or acute neurotoxic injury or brain damage resulting from ischemic conditions, and for treating certain neurodegenerative diseases and psychotic conditions. These compounds would be particularly useful for treating neurotoxic injury which follows periods of hypoxia, anoxia, or ischemia associated with stroke, cardiac arrest, perinatal asphyxia or hypoglycemic events.
Background of the Invention Unlike other tissues which can survive extended periods of hypoxia, brain tissue is particularly sensitive to deprivation of oxygen or energy. Permanent damage to neurons can occur during brief periods of hypoxia, anoxia or ischemia. Neurotoxic injury is known to be caused or accelerated by certain excitatory amino acids (EAA) found naturally in the central nervous system (CNS) . Glutamate (Glu) is an
endogenous amino acid which has been characterized as a fast excitatory transmitter in the mammalian brain. Glutamate is also known as a powerful neurotoxin capable of killing CNS neurons under certain pathological conditions which accompany stroke and cardiac arrest. Normal glutamate concentrations are maintained within brain tissue by energy-consuming
transport systems. Under low energy conditions which occur during conditions of hypoglycemia, hypoxia or ischemia, cells can release glutamate. Under such low energy conditions the cell is not able to take glutamate back into the cell.
Initial glutamate release stimulates further release of glutamate which results in an extracellular glutamate
accumulation and a cascade of neurotoxic injury. It has been shown that the sensitivity of central neurons to hypoxia and ischemia can be reduced by either blockage of synaptic transmission or by the specific
antagonism of postsynaptic glutamate receptors [see S. M.
Rothman et al. Annals of Neurology, 19., No. 2 (1986)].
Glutamate is characterized as a broad spectrum agonist having activity at three neuronal excitatory amino acid receptor sites. These receptor sites are named after the amino acids which selectively excite them, namely: Kainate (KA), N-methyl-D-aspartate (NMDA or NMA) and quisqualate (QUIS).
Glutamate is believed to be a mixed agonist capable of binding to and exciting all three receptor types.
Neurons which have EAA receptors on their dendritic or somal surfaces undergo acute excitotoxic degeneration when these receptors are excessively activated by glutamate. Thus, agents which selectively block or antagonize the action of glutamate at the EAA synaptic receptors of central neurons can prevent neurotoxic injury associated with anoxia, hypoxia or ischemia caused by stroke, cardiac arrest or perinatal asphyxia.
It is known that compounds of various structures, such aminophosphonovalerate derivatives and piperidine dicarboxylate derivatives, may act as competitive antagonists at the NMDA receptor. In particular, compounds such as 2- amino-4-(2-phosphonomethylphenyl)butyric acid and 2-(2-aminoo- 2-carboxy)ethylphenylphosphonic acid have been synthesized for evaluation as antagonists in blocking the action of the neurotransmitter compounds L-glutamic acid and L-aspartic acid [K. Matoba et al, Chem, Pharm. Bull., 32 (10), 3918-3925 (1984)].
There is other evidence that the NMDA receptor complex is involved in multiple physiological and pathological events, inasmuch as the NMDA receptor complex is a ligand- gated ion channel that can be modulated by diverse substances acting at distinct recognition sites. For example, there is evidence that polyamines including spermine and spermidine profoundly enhance the binding of channel ligands, such as [3H] TCP (N-1-[2-thienyl]cyclohexyl)piperidine) and
[3H] dizocilipine (MK-801) by acting as agonist modulators, like glycine. Polyamines may act by increasing the frequency of channel opening or by increasing the duration of the open state. Certain piperidineethanol derivatives, such as ifenprodil and 1-(4-chlorophenyl)-2-[1-(4-fluorophenyl)piperidinyl]ethanol, which are known anti-ischemic agents, have been found to be non-competitive NMDA receptor antagonists [C. Carter et al, J. Pharm Exp. Ther., 2£L (3), 1222-1232 (1988)]. Also, tritiated and iodinated ifenprodil molecules have been employed to examine the characteristics of the polyamine domain of the NMDA receptor-complex [P. M. Beart et al, Neurosci. Lett. , 124, 187-189 (1991)].
It has been found that ifenprodil has considerable affinity for the sigma site in vitro [P. C. Contreras et al, Neurosci. Lett. , 116, 190-193 (1990)]. Sigma binding affinity has also been found in vivo and it has been further suggested that sigma ligands may have neuroprotective properties [J. Benavides et al, Neurosci. Abstracts, 16, 541 (1990)]. There are many classes of compounds known for treatment of psychotic disorders. For example, current therapeutic treatments for psychoses use compounds
classifiable as phenothiazine-thioxanthenes, as
phenylbutylpiperidines and also as certain alkaloids. An example of a phenylbutylpiperidine compound of current use in psychotic treatment therapy is haloperidol [A.F. Gilman et al, The Pharmacological Basis of Therapeutics, 7th Edn., p. 404, MacMillan (1985)].
Descriptionn of the Invention
Control of neuropathological processes and the neurodegenerative consequences thereof in a subject is provided by treating a subject susceptible to, or afflicted with, neurotoxic injury or a neurodegenerative disease or a psychotic condition, with a therapeutically-effective amount of a compound characterized in having activity as a mediator or as an inhibitor at a major neuronal excitatory amino acid receptor site, such as the NMDA receptor site. Such
receptor mediator or inhibitor compounds may be selected from a class of heterocyclic amino-alcohol compounds defined by Formula I:
Figure imgf000007_0001
wherein X is selected from oxygen atom, sulfur atom, -CH2- and -NH-; wherein Y is selected from -CH2- and -NH-; wherein n is a number selected from one through three, inclusive; wherein R1 is selected from hydrido, alkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl, cycloalkylalkyl, phenyl and carboxyl; wherein R2 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl and cycloalkylalkyl; wherein each of R3 and R4 is independently selected from alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl,
alkylcycloalkyl, alkylcycloalkylalkyl, phenyl, phenylalkyl, diphenylalkyl, alkylphenyl, alkylphenylalkyl, halophenyl, halophenylalkyl, phenoxyalkyl, halophenoxyalkyl,
alkoxyphenoxyalkyl, cyanophenoxyalkyl, benzyloxyalkyl, alkoxyalkyl, alkoxyalkoxyalkyl, alkoxycarbonylalkyl,
phenylthioalkyl, alkylcarbonylaminophenylalkyl,
halophenylcarbonylalkyl, halobenzylcarbonylalkyl,
alkylcarbonylphenoxyalkyl, alkoxycarbonylphenoxyalkyl, alkylphenoxyalkyl, alkenylalkyl, alkynylalkyl,
alkynylalkyloxyalkyl, polycycloalkyl, saturated or partially unsaturated heterocyclic, saturated or partially unsaturated heterocyclicalkyl, heteroarylalkyl and heteroaryloxyalkyl; wherein R3 and R4 may be taken together to form a saturated or partially unsaturated heterocyclic group or a heteroaryl group, either of which groups may be further substituted, said groups selected from alkylphenylpiperidinyl, morpholino, phenylmorpholino, alkylmorpholino, l-alkyl-2-phenylmorpholino, phenylalkylpiperidinyl, phenyIpiperidinyl,
phenylalkylpyrrolidinyl and phenylalkylpiperazinyl; wherein R5 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl, cycloalkylalkyl, phenylalkyl and phenyl; wherein R6 is selected from hydrido, alkanoyl and
cycloalkanoyl; and wherein any of the foregoing R1 - R6 radicals may be further substituted at a substitutable position with a radical selected from alkyl, cycloalkyl, cycloalkylalkyl, alkoxy, alkenylalkyl, alkoxyalkyl, hydroxyalkyl, oxo, cyano, halo, phenyl and phenylalkyl; or a pharmaceutically-acceptable salt thereof. A preferred class of compounds consists of
compounds of Formula I wherein X is selected from oxygen atom, sulfur atom, -CH2- and -NH-; wherein Y is selected from -CH2- and -NH-; wherein n is a number selected from one through three, inclusive; wherein R1 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl, phenyl and carboxyl; wherein R2 is selected from hydrido, alkyl and cycloalkyl; wherein each of R3 and R4 is independently selected from hydrido, methyl, ethyl, n-propyl, isopropyl, n-butyl,
isobutyl, sec-butyl, iso-butyl, tert-butyl, n-pentyl,
neopentyl, iso-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-duodecyl, n-tredecyl, n-tetradecyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclohexyl, cyclooctyl, cyclononyl, cyclohexylmethyl,
cyclohexylethyl, cyclohexylpropyl, cyclohexylbutyl,
methylcyclohexylbutyl, phenyl, benzyl, phenylethyl,
phenylpropyl, phenylbutyl, phenylpentyl, phenylhexyl,
diphenylmethylethyl, diphenylmethylpropyl, methylphenyl, methylphenylmethyl, methylphenylethyl, methylphenylpropyl, methylphenylbutyl, chlorophenylbutyl, fluorophenylbutyl, phenoxyethyl, phenoxypropyl, phenoxybutyl,
dimethoxyphenylethyl, chlorophenoxyethyl,
dichlorophenoxyethyl, methylphenoxyethyl, methoxyphenoxyethyl, dimethoxyphenoxyethyl, cyanophenoxyethyl, benzyloxyethyl, butoxypropyl, butoxyethoxypropyl, methoxycarbonyldecyl, methoxyethoxypropyl, butoxypropoxypropyl, phenylthioethyl, phenylthiopropyl, phenylthiobutyl,
methylcarbonylaminophenoxyethyl, fluorophenylcarbonylpropyl, fluorobenzylcarbonylpropyl, ethylcarbonylphenoxyethyl, methoxycarbonylphenoxyethyl, tert-butylphenoxyethyl,
alkenylalkyl, propargylpropyl, propargylbutyl,
propargylpentyl, propargylhexyl, propargyIpropyloxypropyl, methylsulfonylaminophenoxybutyl, adamantyl,
imidazolidonepropyl, pyrrolidinylmethyl, pyrrolidinenylethyl, pyrrolidinylpropyl, naphthyloxyethyl, naphthyloxypropyl, indanoyloxyethyl, indanoyloxypropyl, pyrrolidinylmethyl and pyrrolidinylethyl; wherein R3 and R4 may be taken together to form a saturated or partially unsaturated heterocyclic group or a heteroaryl group, either of which groups may be further substituted, said groups selected from methylphenylpiperidinyl, morpholino, phenylmorpholino, methylmorpholino, 1-methyl-2-phenylmorpholino, phenyImethylpiperidinyl, phenylpiperidinyl, phenylmethylpyrrolidinyl and phenylmethylpiperazinyl; wherein R5 is selected from hydrido, alkyl and cycloalkyl; wherein R6 is selected from hydrido, alkanoyl and
cycloalkanoyl; and wherein any of the foregoing R1 - R6 radicals may be further substituted at a substitutable position with a radical selected from alkyl, cycloalkyl, alkenylalkyl, alkoxyalkyl, hydroxyalkyl, oxo, cyano, halo, phenyl and phenylalkyl; or a pharmaceutically-acceptable salt thereof. A more preferred class of compounds consists of compounds of Formula I wherein R1 is selected from hydrido, linear or branched C1 to C3 alkyl radicals, a phenyl radical and a carboxyl radical; wherein R2 is selected from a linear or branched C1 to C3 alkyl radical; wherein R3 is selected from a mono or polyunsaturated C3 to C18 alkenyl radical; a mono or polyunsaturated C3 to C12 alkenyl radical substituted by phenyl and optionally
containing an oxygen or sulfur linkage; a mono or
polyunsaturated C3 to C18 alkynyl radical; a mono or
polyunsaturated C3 to C12 alkynyl radical substituted by phenyl and optionally containing an oxygen or sulfur linkage; a cycloalkyl C3 to C10 radical; a C2 to C20 linear or branched alkyl radical; a linear or branched C2 to C18 alkyl radical, containing at least one oxygen or sulfur linkage and
optionally substituted with one or more groups selected from C1 to C3 alkoxycarbonyl, pyrrolidine, pyrrolidinone,
imidazolidone, phenyl, phenoxy, phenylthio, benzoyl,
indanyloxy, naphthyloxy, and phenyl, phenoxy, phenylthio and benzoyl radicals substituted by one or more C1 to C4 alkyl or C1 to C4 alkoxy radicals, by one or two halogen atoms, or by a nitrile, hydroxy, amino, C2 to C6 alkylcarbonyl, C2 to C4 acylamino, C2 to C5 alkoxycarbonyl, or C1 to C4
alkylsulfonamido radical, or by an alkoxycarbonylalkyl in which both the alkoxy and alkyl moieties contain from 1 to 4 carbon atoms, or alkoxycarbonylalkoxy in which each alkoxy moiety contains from 1 to 4 carbon atoms; wherein R4 is hydrido or when taken with R3 and adjacent nitrogen atom, forms a morpholine, pyrrolidine, piperidine radical or a piperidine radical substituted by one or two C1 to C4 alkyl, phenyl or phenylalkyl (C1 to C4) radicals, or a piperazine radical substituted in position 4 by a phenyl radical or by a phenyl radical itself substituted by one or (C1 to C4) two alkyl or (C1 to C4) alkoxy radicals, one or two halogen atoms, or a trifluoromethyl radical; wherein R5 is selected from hydrido, halogen, and a C1 to C3 alkyl radical; wherein R6 is selected from a hydrido, a linear or branched C2 to C11 alkylcarbonyl radical and a C3 to C8 cycloalkyl carbonyl radical; wherein n is selected from one, two and three; wherein X is selected from sulfur, oxygen, a -CH2- radical or a -NH- radical; wherein Y is selected from a -CH2- radical or sulfur provided that when simultaneously X is oxygen, Y is -CH2- group, n is 2, each of R1 and R5 is hydrido, R2 is methyl and R8 is hydrido or an alkyl carbonyl radical, R4 does not form a substituted piperazine radical with R3 and the adjacent nitrogen atom; or a pharmaceutically-acceptable salt thereof.
An even more preferred family of compounds consists of compounds of Formula I wherein R1 is hydrido or alkyl (C1 to C3) radical; wherein R2 is selected from alkyl (C1 to C3) radical; wherein R3 is selected from a mono or polyunsaturated alkenyl (C3 to C18) radical; a mono or polyunsaturated alkynyl (C3 to C18) radical; a cycloalkyl (C3 to C8) radical; an alkyl (C2 to C18) radical; an alkyl (C2 to C18) radical substituted by a group selected from phenylthio radical, an alkoxy (C1 to C6) radical, an alkythio (C1 to C6) radical, a phenoxy radical, a benzoyl radical and one or two phenyl radicals; a group selected from a phenyl, benzoyl, phenylthio or phenoxy radical each substituted by an alkyl (C1 to C3) or a halogen; a group selected from a phenoxy radical substituted by a nitrile or an alkylcarbonyl (C2 to C3) radical; wherein R4 is hydrido or when taken with R3 and the adjacent nitrogen atom forms a group selected from a piperazine radical substituted by a phenyl radical which is in turn substituted by an alkyl (C1 to C3) radical and a group selected from a piperidine radical substituted by an alkyl (C1 to C3) radical which is itself substituted by a phenyl radical; wherein R6 is selected from hydrido and alkyl (C1 to C3) radical; wherein R6 is selected from hydrido, a linear or branched alkylcarbonyl (C2 to C9) radical and a cycloalkylcarbonyl (C3 to C6) radical; wherein n is selected from a number selected from one, two and three; wherein X is selected from sulfur atom, oxygen atom and -NH- radical; wherein Y is selected from a -CH2- radical and sulfur atom; or a pharmaceutically-acceptable salt thereof.
A highly preferred family of compounds consists of compounds of Formula I wherein R1 is selected from hydrido and one or two linear or branched C1 to C3 alkyl radicals;
wherein R2 is selected from alkyl (C1 to C3) radical; wherein R3 is selected from C3 to C18 alkenyl radical;
C3 to C18 alkynyl radical; C3 to C18 cycloalkyl radical;
linear or branched C2 to C18 alkyl radical; linear or branched C2 to C18 alkyl radical containing one or more oxygen or sulfur linkages, and optionally substituted by at least one or more groups selected from alkoxycarbonyl, pyrrolidine, pyrrolidinone or imidazolidone radical, by one or two phenyl, phenoxy, phenylthio, indanyloxy radicals; one or more groups selected from phenyl, phenoxy, phenylthio radical substituted by one or two C1 to C4 alkyl or C1 to C4 alkoxy radicals; or one or two halogen atoms; one or more groups selected from nitrile, hydroxy, amino, C2 to C9 alkyl carbonyl, C2 to C4 acylamino, alkoxycarbonyl, or C1 to C4 alkylsulfonamido radical, or one or more groups selected from
alkoxycarbonylalkyl in which the alkyl and alkoxy moieties contain from 1 to 4 carbon atoms, or alkoxy carbonyl alkoxy in which each alkoxy moiety contains from 1 to 4 carbon atoms; wherein X is selected from sulfur, oxygen and a -CH2- radical; and Y is a -CH2- radical.
A class of compounds of very high interest consists of compounds of Formula II
Figure imgf000014_0001
wherein n is one or two; wherein R3 is hydrido; wherein R4 is selected from phenylpropyl, phenylbutyl, phenylpentyl, phenoxypropyl, phenoxybutyl and phenylpentyl, wherein the propyl and butyl radicals may be linear or branched; and wherein R3 and R4 may be taken together to form
phenyImethylpiperidmyl; or a pharmaceutically-acceptable salt thereof. Specific compounds of interest within Formula I are compounds, and their pharmaceutically-acceptable salts, of the following group:
1-(6-thiochromanyl)-2-n-octylamino-1-propanol;
1-(6-thiochromanyl)-2-(4-phenylbutylamino)-1-propanol;
1-(6-thiochromanyl)-2-[2-(phenoxy)ethylamino]-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-n-octylamino-1-propanol; 1-(2,3-dihydro-5-benzo(b)thienyl-2-(4-phenylbutylamino)-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-[4-(p-chlorophenyl)butylamino]-1-propanol;
1-(2-methyl-2,3-dihydro-5-benzo(b)thienyl)-2-(4-phenylbutylamino)-1-propanol;
1-(2-methyl-2,3-dihydro-5-benzo(b)furanyl)-2-n-octylamino-l-propanol;
1-(2,3,4,5-tetrahydrobenzo(b)thiepin-7-yl)-2-(4-phenylbutylamino)-1-propanol;
1-(2,3-dihydro-5-indolyl)-2-n-octylamino-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-(4-phenylbutylamino)-1-propionyl-oxypropane;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-(4-phenylbutylamino)-1-cyclohexyl-carbonyloxypropane;
1-(5-indanyl)-2-(4-phenylbutylamino)-1-propanol;
1-(5-indanyl)-2-[2-(4-chlorophenoxy)ethylamino]-1-propanol; and 1-(5-indanyl)-2-[2-(4-fluorobenzoyl)propylamino]-1- propanol. Compounds of particular interest are shown in Table
I. Compounds of most particular interest are Compound #7 (which is the erythro form of 1-(2,3-dihydro-5-benzo[b]thienyl)-2-(4-phenylbutylamino-1-propanol; also known as tibalosine), Compound #2, Compound #24, Compound #26, Compound #42, Compound #75, Compound #183 (which is the threo form of tibalosine). Compound #184 (which is the (-)-isomer of tibalosine). Compound #185 (which is the (+)-isomer of tibalosine) and Compound #186.
Compounds of Formula I may be prepared by methods shown in U.S. Patent No. 4,638,070.
Representative compounds of Formula I are shown in Table I, wherein Compounds #1-#186 are defined with reference to Formula I
Figure imgf000016_0001
with substituents X, Y, n and R1 - R6 defined in Table I, as follows:
Figure imgf000017_0001
Figure imgf000018_0001
Figure imgf000019_0001
Figure imgf000020_0001
K
Figure imgf000021_0001
Figure imgf000022_0001
Figure imgf000023_0001
Figure imgf000024_0001
Figure imgf000025_0001
Figure imgf000026_0001
Figure imgf000027_0001
Figure imgf000028_0001
Figure imgf000029_0001
Figure imgf000030_0001
Figure imgf000031_0001
Figure imgf000032_0001
Figure imgf000033_0001
Figure imgf000034_0001
Figure imgf000035_0001
Figure imgf000036_0001
Figure imgf000037_0001
Figure imgf000038_0001
Figure imgf000039_0001
Figure imgf000040_0001
Figure imgf000041_0001
Figure imgf000042_0001
Figure imgf000043_0001
Figure imgf000044_0001
CJ
Figure imgf000045_0001
Figure imgf000046_0001
(1) The recrystallization solvent is given between brackets; the melting point mentioned is that of the free base,
unless otherwise stated.
(2) Melting point of the hydrochloride.
(3) Melting point of the dihydrochloride.
(4) The elemental analyses were made for elements C, H, N and were found to conform to the theoretical values.
(5) Threo form.
(6) Erythro form.
(7) Optical isomer: (-) -tibalosine.
(8) Optical isomer: (+) -tibalosine.
The term "hydrido" denotes a single hydrogen atom (H). This hydrido group may be attached, for example, to an oxygen atom to form a hydroxyl group; or, as another example, one hydrido group may be attached to a carbon atom to form a group; or, as another example, two hydrido
Figure imgf000047_0001
groups may be attached to a carbon atom to form a -CH2- group. Where the term "alkyl" is used, either alone or within other terms such as "haloalkyl" and "hydroxyalkyl", the term "alkyl" embraces linear or branched radicals having one to about twenty carbon atoms or, preferably, one to about fifteen carbon atoms. More preferred alkyl radicals are "lower alkyl" radicals having one to about twelve carboxi atoms. The term "cycloalkyl" embraces cyclic radicals having three to about ten ring carbon atoms, preferably three to about six carbon atoms, such as cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl. The term "polycycloalkyl" denotes a radical having two or more cycloalkyl rings; for example, an alkylene group of one or more methylene radicals may bridge a cycloalkyl ring in one or more places to form an adamantyl group. Preferred polycycloalkyl groups contain 10 to about 20 carbon atoms. The term "haloalkyl" embraces radicals wherein any one or more of the alkyl carbon atoms is substituted with one or more halo groups, preferably selected from bromo, chloro and fluoro. Specifically embraced by the term "haloalkyl" are monohaloalkyl, dihaloalkyl and polyhaloalkyl groups. A monohaloalkyl group, for example, may have either a bromo, a chloro, or a fluoro atom within the group. Dihaloalkyl and polyhaloalkyl groups may be substituted with two or more of the same halo groups, or may have a combination of different halo groups. A dihaloalkyl group, for example, may have two fluoro atoms, such as difluoromethyl and difluorobutyl groups, or two chloro atoms, such as a dichloromethyl group, or one fluoro atom and one chloro atom, such as a fluoro-chloromethyl group. Examples of a polyhaloalkyl are trifluoromethyl, 1,1-difluoroethyl, 2,2,2-trifluoroethyl, perfluoroethyl and 2,2,3,3-tetrafluoropropyl groups. The term "difluoroalkyl" embraces alkyl groups having two fluoro atoms substituted on any one or two of the alkyl group carbon atoms. The terms "alkylol" and "hydroxyalkyl" embrace linear or branched alkyl groups having one to about ten carbon atoms any one of which may be substituted with one or more hydroxyl groups. The term "alkenylalkyl" embraces linear or branched radicals having two to about twenty carbon atoms, preferably three to about ten carbon atoms, and containing at least one carbon-carbon double bond, which carbon-carbon double bond may have either cis or trans geometry within the alkenyl moiety. The term
"alkynylalkyl" embraces linear or branched radicals having two to about twenty carbon atoms, preferably two to about ten carbon atoms, and containing at least one carbon-carbon triple bond. The terms "alkoxy" and "alkoxyalkyl" embrace linear or branched oxy-containing radicals each having alkyl portions of one to about ten carbon atoms, such as methoxy group. The term "alkoxyalkyl" also embraces alkyl radicals having two or more alkoxy groups attached to the alkyl radical, that is, to form monoalkoxyalkyl and dialkoxyalkyl groups. The "alkoxy" or "alkoxyalkyl" radicals may be further substituted with one or more halo atoms, such as fluoro, chloro or bromo, to provide haloalkoxy or haloalkoxyalkyl groups. The term "alkylthio" embraces radicals containing a linear or branched alkyl group, of one to about ten carbon atoms attached to a divalent sulfur atom, such as a methylthio group. The term "aryl" embraces aromatic radicals such as phenyl, naphthyl and biphenyl. The term "aralkyl" embraces aryl-substituted alkyl radicals such as benzyl, diphenylmethyl, triphenylmethyl, phenyl-ethyl, phenylbutyl and diphenylethyl. The terms "benzyl" and "phenylmethyl" are interchangeable. The terms "phenoxy" and "phenthio" denote radical respectively, aryl groups having an oxygen or sulfur atom through which the radical is attached to a nucleus, examples of which are phenoxy and phenylthio. The terms "sulfinyl" and
"sulfonyl", whether used alone or linked to other terms, denotes respectively divalent radicals SO and SO2. The term "aralkoxy", alone or within another term, embraces an aryl group attached to an alkoxy group to form, for example, benzyloxy. The term "acyl" whether used alone, or within a term such as acyloxy, denotes a radical provided by the residue after removal of hydroxyl from an organic acid, examples of such radical being acetyl and benzoyl. "Lower alkanoyl" is an example of a more preferred subclass of acyl. The term "heterocyclic" denotes a saturated or partially unsaturated five- or six-membered ring system containing one or more atoms selected from oxygen, sulfur and nitrogen, such as morpholino, piperidinyl, piperizinyl and pyrrolidinyl. The term "heteroaryl" embraces aromatic ring systems containing one or two hetero atoms selected from oxygen, nitrogen and sulfur in a ring system having five or six ring members, examples of which are imidazole, imidazolidione, naphthyl, naphthyloxy, indanoyl,
indanoyloxy, thienyl, furanyl, pyridinyl, thiazolyl, pyrimidyl and isoxazolyl. Such heteroaryl may be attached as a substituent through a carbon atom of the heteroaryl ring system, or may be attached through a carbon atom of an oxygen atom or a sulfur atom substituted on a heteroaryl ring-member carbon atom through which the heteroaryl group is attached to the R3/R4-substituted nitrogen atom of
Formula I. Also, such heteroaryl may be attached through a ring nitrogen atom as long as aromaticity of the heteroaryl moiety is preserved after attachment. Such "heterocyclic" and "heteroaryl" groups may be formed so as to include the nitrogen atom of Formula I to which the R3 and R4
substituents are attached.
Also included in the family of compounds of Formula I are isomeric forms including, optical isomers, enantiomers and diastereoisomers. Also included in this invention are the pharmaceutically-acceptable salts of the Formula I compounds. The term "pharmaceutically-acceptable salts" embraces salts commonly used to form alkali metal salts and to form addition salts of free acids or free bases. The nature of the salt is not critical, provided that it is pharmaceutically-acceptable. Suitable
pharmaceutically-acceptable acid addition salts of
compounds of Formula I may be prepared from an inorganic acid or from an organic acid. Examples of such inorganic acids are hydrochloric, hydrobromic, hydroiodic, nitric, carbonic, sulfuric and phosphoric acid. Appropriate organic acids may be selected from aliphatic,
cycloaliphatic, aromatic, araliphatic, heterocyclic, carboxylic and sulfonic classes of organic acids, example of which are formic, acetic, propionic, succinic, glycolic, gluconic, lactic, malic, tartaric, citric, ascorbic, glucuronic, maleic, fumaric, pyruvic, aspartic, glutamic, benzoic, anthranilic, p-hydroxybenzoic, salicyclic, phenylacetic, mandelic, embonic (pamoic), methansulfonic, ethanesulfonic, 2-hydroxyethanesulfonic, pantothenic, benzenesulfonic, toluenesulfonic, sulfanilic, mesylic, cyclohexylaminosulfonic, stearic, algenic,
β-hydroxybutyric, malonic, galactaric and galacturonic acid. Suitable pharmaceutically-acceptable base addition salts of compounds of Formula I include metallic salts made from aluminium, calcium, lithium, magnesium, potassium. sodium and zinc or organic salts made from N,N'-dibenzylethylenediamine, chloroprocaine, choline,
diethanolamine, ethylenediamine, meglumine (N-methylglucamine) and procaine. All of these salts may be prepared by conventional means from the corresponding compound of
Formula I by reacting, for example, the appropriate acid or base with the compound of Formula I.
Compounds of general Formula I can possess one or more asymmetic carbon atoms and are thus capable to existing in the form of optical isomers as well as in the form of racemic or nonracemic mixtures thereof. The optical isomers can be obtained by resolution of the racemic mixtures according to conventional processes, for example by formation of diastereoisomeric salts by
treatment with an optically active acid or base. Examples of appropriate acids are tartaric, diacetyltartaric, dibenzoyltartaric, ditoluoyltartaric and camphorsulfonic acid and then separation of the mixture of diastereoisomers by crystallization followed by liberation of the optically active bases from these salts. A different process for separation of optical isomers involves the use of a chiral chromatography column optimally chosen to maximize the separation of the enantiomers. Still another available method involves synthesis of covalent diastereoisomeric molecules by reacting compounds of Formula I with an optically pure acid in an activated form or an optically pure isocycanate. The synthesized diastereoisomers can be separated by conventional means such as chromatography, distillation, crystallization or sublimation, and then hydrolyzed to deliver the enantiomericaly pure compound. The optically active compounds of Formula I can likewise be obtained by utilizing optically active starting materials. These isomers may be in the form of a free acid, a free base, an ester or a salt. Biological Evaluation
The NMDA receptor-ionophore complex consists of a number of interacting domains, including one for
polyamines where ifenprodil binds to exert its non- competitive antagonism. Ifenprodil was iodinated with Na125I/chloramine-T, purified and its binding
characterized. In cortical membranes, binding of [125I] ifenprodil was saturable (Kd 145 nM, Bmax 2.5 pmol/mg protein) and to a single site. Specific binding was reversible, being dissociable with ImM spermine and poorly dissociable with 1mM spermine and poorly dissociable with 16.7 μM SL 82.0715, and represented 70-75% of total binding by filtration. In autoradiographic studies using slide-mounted sections, binding sites for [125I] ifenprodil were localized in several regions including anterior cingulate cortex, hippocampus and amygdala.
Membrane Preparation
Membranes were prepared from freshly dissected brains of adult male Sprague-Dawley rats (175-250g).
[125I]Ifenprodil: Crude membranes were prepared from freshly dissected cerebral cortices as described elsewhere [P. M. Beart et al, Neurosci. Lett. , 124, 187-189 (1991)]. Briefly, assays were performed in 5mM Tris HC1 pH 7.7 containing [125I]ifenprodil (20,000 dpms, ~20pM) and cortical membranes (0.5 mg wet wt.) in a final volume of 0.5 mL. Incubations were for 30 min. at 20°C, in
triplicate, employing 12 concentrations of competing drugs, Non-specific binding was defined with 10 mM spermine.
Assays were terminated by rapid filtration through GF/B filter paper and washing [Beart et al, Id., (1991)].
Polyamine-stimulated [3H]TCP: Crude synaptic ("buffy coat") membranes were prepared from freshly dissected cerebral cortices. Membrane preparations were extensively washed employing 3 freeze-thaw cycles. The final pellet was stored at -70°C for 1-7 days prior to assay. On the day of assay, the membrane pellet was washed twice by resuspension and centrifugation (45,000 g, 10 min.). The final membrane pellet was resuspended in 80 volumes of 5 mM Tris HCl pH 7.7 and binding assays were performed in 5 mM Tris HCl pH 7.7, containing [3H]TCP (6nM) and cortical washed/frozen-thawed synaptic membranes (1.25 mg wet wt., 100 μg protein) in a final volume of 250 μl. Incubations were for 60 min. at 25°C. employing 6 concentrations of spermidine (6.67 - 100 μM) in triplicate determinations in the absence and presence of various drugs in the same individual experiment. Assay tubes with no additions (basal) and containing 5 μM MK-801 in the absence and presence of drugs were routinely included in each
experiment. Assays were terminated by rapid vacuum filtration through GF/B filter paper (pre-soaked in 0.5% aqueous polyethyleneimine) in a Brandel M-48R Cell
Harvester and thorough washing with ice-cold 5 mM Tris HCl pH 7.7.
R(+)-[3H]3-PPP: Crude membranes were prepared from whole brain (minus cerebellum) as described previously [P. M. Beart et al, J. Neurochem., 53, 779-788 (1989)]. A filtration binding assay was employed under similar conditions to those of Largent et al (1986) with 3 nM R (+)-[3H]-3-PPP and a 90 min. incubation at 25°C (Beart et al, 1989). Non-specific binding was defined with 10 μM 1,3-di(2-tolyl) guanidine (DTG) .
Receptor Autoradiography
Coronal sections of rat brain (10 μm) were thawmounted on to gelatin coated, glass microscope slides and stored at -20°C (overnight - 3 days). Procedures for labelling and autoradiography with L[3H]-glutamate (NMDA-sensitive and [125I] ifenprodil have been given elsewhere [M. C1ncotta et al. Anal. Biochem., 177, 150-155 (1989)]; Beart et al, 1991). Non-specific binding was defined with DL-1-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA) hydrobromide (33 μM) plus kainate (10 μM) and 10 mM spermine, respectively. For [3H] glycine the method was similar to that of Bristow et al (1986) and performed in 50 mM Tris citrate pH 7.4 with 250 nM [3H] ligand and a 20 min. incubation at 20°C. Non-specific binding was defined with 200 μM glycine. For labelling with L[3H]-glutamate and [3H] glycine, sections were preincubated in appropriate buffer, dried in cool air and incubated under 250 μl of incubation buffer.
Data Analysis
Binding data were analyzed by the iterative curve fitting programs EBDA and LIGAND as fully described elsewhere [Beart et al, Id., (1989)]. Results obtained from experiments examining spermidine-stimulated binding of [3H]TCP were analyzed by the program FLEXIFIT [V.
Guardabasso et al, FASEB J. , 2, 209-215 (1988)] which iteratively fits data to a sigmoidal model providing estimates of IC50 and slope for the drug under study.
Reagents
Radioisotopes were obtained from New England Nuclear (Boston, MA): L [3H]-Glutamate (specific activity 55 Ci/mmole), [3H] Glycine (specific activity 35 Ci/mmole), R(+)-[3H]3-PPP (specific activity 108 Ci/mmole), [3H]TCP (specific activity 60 ci/mmole). Na125I (specific activity 2200 Ci/mmole) was purchased from Amersham (Little
Chalfront, U.K.). Chemicals were obtained from the following sources: Chloramine-T, Merck (Darmstadt,
Germany); glycine, NMDA and kainate, Sigma Chemical Co. (St. Louis, MO); AMPA, Dr. P. Krogsgaard-Larsen (Copenhagen, Denmark); caramiphen, dextromethorphan and dextrorphan. Dr. J. Church (Vancouver, Canada); DTG, Dr. E. Weber (Portland, OR); dizocilipine
(MK-801), Merck, Sharpe and Dohme (Harlow, U.K.);
ifenprodil and SL 82.0715, Synthelabo (Bagneux, France);
(+) SKF 10,047 (N-allylnormetazocine), National Institute on Drug Abuse (Rockville, MA); Compounds of Table I, G. D. Searle & Co. (Mont-St-Guibert, Belgium); R(+)-3-PPP, Astra
(Sodertalje, Sweden). All other reagents were purchased from commercial suppliers.
Binding of [I25I] Ifenprndi;
The binding assay using [125I]ifenprodil and filtration methodology gave an excellent signal-to-noise ratio beyond one half-life; under the conditions employed specific binding represented 70-80% of specific binding.
[125I]Ifenprodil bound rapidly and saturably to a single population of sites: dissociation constant 121 (45-236) nM and density of binding sites 228 (84-619) pmol/mg protein (estimates and 95% confidence intervals, n=3 (Beart et al, 1991). Polyamines completely inhibited specific binding: dissociation constants for spermine and spermidine were 24 ± 13 (n=4) and 44 ± 10 μM (n=3), respectively. The
ifenprodil analogue, SL82.0715, exhibited a dissociation constant of 2.3 ± 0.13 μM (n=3).
Autoradiographic Studies With [125I]Ifenprodil From a wide range of preliminary experiments, the inclusion of BSA (0.2%) was found to be essential for the demonstration of discretely distributed binding sites for [123I] ifenprodil relative to non-specific images.
Attempts to employ polyethyleneimine (0.05%) to reduce non-specific binding actually resulted in enhanced binding of [125I]ifenprodil to white matter. Autoradiographic
labelling patterns revealed heterogeneous labelling of many telencephalic, diencephalic and mesencephalic brain areas [see Beart et al. Id. , (1991)]. In hippocampus, the topographic labelling pattern was consistent with that generally considered to be NMDA-like ([W. F. Maragos et al, J. Neurosci., 8, 493-501 (1988)]. Labelling observed with [125I] ifenprodil in cerebellum was over the molecular layer, however, relative to that found for the binding of NMDA-selective [3H]glutamate and [3H]glycine in the granular layer.
Compounds of Table I were evaluated against the binding of [125I]ifenprodil and found to also fully inhibit specific binding of [125I]ifenprodil (Table II). Compounds of Table I were also evaluated against spermidine-stimulated bind of [3H]TCP, since this system represents a convenient functional model of the coupling of the polyamine domain to the NMDA ionophore [R. W. Ransom et al, J. Nenrochem., 51, 830-836 (1988)]. All tested compounds of Table I were found to inhibit polyamine- stimulated binding of [3H]TCP in an apparently non- competitive manner, i.e., the inhibition was concentration dependent, but maximal stimulation of binding by spermidine was reduced (Table II). Computerized-analyses of
inhibition data suggested that the mechanism of inhibition by Compounds of Table I was competitive with respect to spermidine.
Figure imgf000057_0001
Compounds of Table I inhibited the binding of R(+)-[3H]3-PPP. This type of binding has been previously demonstrated to label a binding site with the
characteristics of a sigma site [Beart et al. Id., (1989)]. Compound #185 and Compound #186 were found to be very potent inhibitors of the binding of R(+)-[3H]3-PPP (Table III). For all of the tested Compounds of Table I the pattern of inhibition of binding yielded Hill coefficients < 1. Further analyses suggested that the interaction of Compounds of Table I, ifenprodil and nylidrin with the site labelled by R(+)-[3H]3-PPP, was better described by a two-site model (Table III). The proportion of sites in the high affinity state was generally in the range of 60-80% of the total sites. These computer-assisted analyses revealed that Compound #7 possessed appreciable affinity for the high affinity sigma site, as did its two enantiomers.
Compound #184 and Compound #185.
Figure imgf000059_0001
Compounds of Formula I would be useful to treat various CNS-related diseases. Biological evaluation of representative compounds of Formula I shows that such compounds are potent inhibitors mediators interacting at the NMDA receptor site complex. From data shown in Table II, it is evident that compounds of Formula I would be useful as neuroprotective agents. For example, such compounds would be useful to reduce or control neurotoxic injury associated with conditions of hypoxia, anoxia, or ischemia. These conditions may result from stroke, cardiac arrest such as resulting from myocardial infarct, perinatal asphyxia, head trauma, hypoglycemia, epilepsy, septicemia and similar events. Also, as is evident from the data in Table II, compounds of Formula I would be useful to treat various neurodegenerative disease states linked to
excitotoxic actions at the NMDA receptor complex. Examples of such disease states are Parkinson's disease,
Huntington's chorea and Alzheimer's disease. As shown by sigma binding data of Table III, compounds of Formula I would be useful to treat various psychotic disorders such as schizophrenia. As used herein, the phrase
"therapeutically-effective amount" is that amount of compound of Formula I administered to a subject which would be useful to alleviate or moderate a CNS-related disease in a subject afflicted with, or susceptible to, such disease.
Administration of compounds within Formula I to humans can be by any technique capable of introducing the compounds into the bloodstream of a human patient,
including oral administration, and by intravenous,
intramuscular and subcutaneous injections.
Compounds indicated for prophylactic therapy will preferably be administered in a daily dose generally in a range from about 0.1 mg to about 100 mg per kilogram of body weight per day. A more preferred dosage will be a range from about 1 mg to about 100 mg per kilogram of body weight. Most preferred is a dosage in a range from about 1 to 50 mg per kilogram of body weight per day. A suitable dose can be administered, in multiple sub-doses per day. These sub-doses may be administered in unit dosage forms. Typically, a dose or sub-dose may contain from about 1 mg to about 100 mg of active compound per unit dosage form. A more preferred dosage will contain from about 2 mg to about 50 mg of active compound per unit dosage form. Most preferred is a dosage form containing from about 3 mg to about 25 mg of active compound per unit dose.
The active compound is usually administered in a pharmaceutically-acceptable formulation, although in some acute-care situations a compound of Formula I may be administered alone. Such formulations may comprise the active compound together with one or more pharmaceutically-acceptable carriers or diluents. Other therapeutic agents may also be present in the formulation. A
pharmaceutically-acceptable carrier or diluent provides an appropriate vehicle for delivery of the active compound without introducing undesirable side effects. Delivery of the active compound in such formulations may be by various routes including oral, nasal, topical, buccal and
sublingual, or by parenteral administration such as subcutaneous, intramuscular, intravenous and intradermal routes.
Formulations for oral administration may be in the form of capsules containing the active compound
dispersed in a binder such as gelatin or
hydroxypropylmethyl cellulose, together with one or more of a lubricant, preservative, surface-active or dispersing agent. Such capsules or tablets may contain controlled-release formulation as may be provided in a dispersion of active compound in hydroxypropylmethyl cellulose. Formulations for parenteral administration may be in the form of aqueous or non-aqueous isotonic sterile injection solutions or suspensions. These solutions and suspensions may be prepared from sterile powders or granules having one or more of the carriers or diluents mentioned for use in the formulations for oral
administration.
Although this invention has been described with respect to specific embodiments, the details of these embodiments are not to be construed as limitations.
Various equivalents, changes and modifications may be made without departing from the spirit and scope of this invention, and it is understood that such equivalent embodiments are part of this invention.

Claims

What Is Claimed Is:
1. A method to control neuropathological processes and the neurodegenerative consequences thereof in a subject which method comprises administering to a subject susceptible to, or afflicted with, neurotoxic injury or a neurodegenerative disease or a psychotic condition, a therapeutically-effective amount of a compound of Formula I:
Figure imgf000063_0001
wherein X is selected from oxygen atom, sulfur atom, -CH2- and -NH-; wherein Y is selected from -CH2- and -NH-; wherein n is a number selected from one through three, inclusive; wherein R1 is selected from hydrido, alkyl, hydroxyalkyl, alkoxyalkyl, cycloalkyl, cycloalkylalkyl, phenyl and carboxyl; wherein R2 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl and cycloalkylalkyl; wherein each of R3 and R4 is independently selected from alkyl, haloalkyl, cycloalkyl, cycloalkylalkyl,
alkylcycloalkyl, alkyleycloalkylalkyl, phenyl, phenylalkyl, diphenylalkyl, alkylphenyl, alkylphenylalkyl, halophenyl, halophenylalkyl, phenoxyalkyl, halophenoxyalkyl,
alkoxyphenoxyalkyl, cyanophenoxyalkyl, benzyloxyalkyl, alkoxyalkyl, alkoxyalkoxyalkyl, alkoxycarbonylalkyl, phenylthioalkyl, alkylcarbonylaminophenylalkyl,
halophenylcarbonylalkyl, halobenzylcarbonylalkyl,
alkylcarbonylphenoxyalkyl, alkoxycarbonylphenoxyalkyl, alkylphenoxyalkyl, alkenylalkyl, alkynylalkyl,
alkynylalkyloxyalkyl, polycycloalkyl, saturated or
partially unsaturated heterocyclic, saturated or partially unsaturated heterocyclicalkyl, heteroarylalkyl and
heteroaryloxyalkyl; wherein R3 and R4 may be taken together to form a saturated or partially unsaturated heterocyclic group or a heteroaryl group, either of which groups may be further substituted, said groups selected from alkylphenylpiperidinyl,
morpholino, phenylmorpholino, alkylmorpholino, 1-alkyl-2-phenylmorpholino, phenylalkylpiperidinyl,
phenylpiperidinyl, phenylalkylpyrrolidinyl and
phenylalkylpiperazinyl; wherein R5 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl, cycloalkylalkyl, phenylalkyl and phenyl; wherein R6 is selected from hydrido, alkanoyl and
cycloalkanoyl; and wherein any of the foregoing R1 - R6 radicals may be further substituted at a substitutable position with a radical selected from alkyl, cycloalkyl, cycloalkylalkyl, alkoxy, alkenylalkyl, alkoxyalkyl, hydroxyalkyl, oxo, cyano, halo, phenyl and phenylalkyl; or a pharmaceutically-acceptable salt thereof.
2. The method of Claim 1 wherein said compound is selected from compounds of Formula I wherein R1 is selected from hydrido, alkyl, hydroxyalkyl, cycloalkyl, phenyl and carboxyl; wherein R2 is selected from hydrido, alkyl and cycloalkyl; wherein each of R3 and R4 is independently selected from hydrido, methyl, ethyl, n-propyl, isopropyl, n-butyl, isobutyl, sec-butyl, iso-butyl, tert-butyl, n-pentyl, neopentyl, iso-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-duodecyl, n-tredecyl, n-tetradecyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl,
cycloheptyl, cyclohexyl, cyclooctyl, cyclononyl,
cyclohexylmethyl, cyclohexylethyl, cyclohexylpropyl, cyclohexylbutyl, methylcyclohexylbutyl, phenyl, benzyl, phenylethyl, phenylpropyl, phenylbutyl, phenylpentyl, phenylhexyl, diphenylmethylethyl, diphenylmethylpropyl, methylphenyl, methylphenylmethyl, methylphenylethyl, methylphenylpropyl, methylphenylbutyl, chlorophenylbutyl, fluorophenylbutyl, phenoxyethyl, phenoxypropyl,
phenoxybutyl, dimethoxyphenylethyl, chlorophenoxyethyl, dichlorophenoxyethyl, methylphenoxyethyl,
methoxyphenoxyethyl, dimethoxyphenoxyethyl,
cyanophenoxyethyl, benzyloxyethyl, butoxypropyl,
butoxyethoxypropyl, methoxycarbonyldecyl,
methoxyethoxypropyl, butoxypropoxypropyl, phenyIthioethyl, phenylthiopropyl, phenylthiobutyl,
methylcarbonylaminophenoxyethyl,
fluorophenylcarbonylpropyl, fluorobenzylcarbonylpropyl, ethylcarbonylphenoxyethyl, methoxycarbonylphenoxyethyl, tert-butylphenoxyethyl, alkenylalkyl, propargylpropyl, propargylbutyl, propargylpentyl, propargylhexyl,
propargylpropyloxypropyl, methylsulfonylaminophenoxybutyl, adamantyl, imidazolidonepropyl, pyrrolidinylmethyl, pyrrolidinenylethyl, pyrrolidinylpropyl, naphthyloxyethyl, naphthyloxypropyl, indanoyloxyethyl, indanoyloxypropyl, pyrrolidinylmethyl and pyrrolidinylethyl; wherein R3 and R4 may be taken together to form a saturated or partially unsaturated heterocyclic group or a heteroaryl group, either of which groups may be further substituted, said groups selected from methylphenylpiperidinyl,
morpholino, phenylmorpholino, methylmorpholino, 1-methyl-2-phenylmorpholino, phenylmethylpiperidinyl,
phenylpiperidinyl, phenylmethylpyrrolidinyl and
phenylmethylpiperazinyl; wherein R5 is selected from hydrido, alkyl and cycloalkyl; wherein R6 is selected from hydrido, alkanoyl and
cycloalkanoyl; and wherein any of the foregoing R1 - R6 radicals may be further substituted at a substitutable position with a radical selected from alkyl, cycloalkyl, alkenylalkyl, alkoxyalkyl, hydroxyalkyl, oxo, cyano, halo, phenyl and phenylalkyl; or a pharmaceutically-acceptable salt thereof.
3. The method of Claim 2 wherein said compound is selected from compounds of Formula I wherein R1 is selected from hydrido, linear or branched C1 to C3 alkyl radicals, a phenyl radical or a carboxy radical; wherein R2 is selected from a linear or branched C1 to C3 alkyl radical; wherein R3 is selected from a mono or polyunsaturated C3 to C1s alkenyl radical; a mono or polyunsaturated C3 to C12 alkenyl radical substituted by phenyl and optionally containing an oxygen or sulfur linkage; a mono or
polyunsaturated C3 to C18 alkynyl radical; a mono or polyunsaturated C3 to C12 alkynyl radical substituted by phenyl and optionally containing an oxygen or sulfur linkage; a cycloalkyl C3 to C10 radical; a C2 to C20 linear or branched alkyl radical; a linear or branched C2 to C18 alkyl radical, containing at least one oxygen or sulfur linkage and optionally substituted with one or more groups selected from C1 to C3 alkoxycarbonyl, pyrrolidine, pyrrolidinone, imidazolidone, phenyl, phenoxy, phenylthio, benzoyl, indanyloxy, naphthyloxy, and phenyl, phenoxy, phenylthio and benzoyl radicals substituted by one or more C1 to C4 alkyl or C1 to C4 alkoxy radicals, by one or two halogen atoms, or by a nitrile, hydroxy, amino, C2 to C6 alkylcarbonyl, C2 to C4 acylamino, C2 to C5 alkoxycarbonyl, or C1 to C4 alkylsulfonamido radical, or by an
alkoxycarbonylalkyl in which both the alkoxy and alkyl moieties contain from 1 to 4 carbon atoms, or
alkoxycarbonylalkoxy in which each alkoxy moiety contains from 1 to 4 carbon atoms; wherein R4 is hydrido or when taken with R3 and adjacent nitrogen atom, forms a morpholine, pyrrolidine, piperidine radical or a piperidine radical substituted by one or two C1 to C4 alkyl, phenyl or phenylalkyl (C1 to C4) radicals, or a piperazine radical substituted in position 4 by a phenyl radical or by a phenyl radical itself substituted by one or (C1 to C4) two alkyl or (C1 to C4) alkoxy radicals, one or two halogen atoms, or a trifluoromethyl radical; wherein R5 is selected from hydrido, halogen, and a C1 to C3 alkyl radical; wherein R6 is selected from a hydrido, a linear or branched C2 to C11 alkylcarbonyl radical and a C3 to C8 cycloalkyl carbonyl radical; wherein n is selected from one, two and three; wherein X is selected from sulfur, oxygen, a CH2 radical or a NH radical; wherein Y is selected from a -CH2- radical or sulfur provided that when simultaneously X is oxygen, Y is -CH2- group, n is 2, each of R1 and R5 is hydrido, R2 is methyl and R8 is hydrido or an alkyl carbonyl radical, R4 does not form a substituted piperazine radical with R3 and the adjacent nitrogen atom; or a pharmaceutically-acceptable salt thereof.
4. The method of Claim 3 wherein said compound is selected from compounds of Formula I wherein R1 is hydrido or alkyl (C1 to C3) radical; wherein R2 is selected from alkyl (C1 to C3) radical; wherein R3 is selected from a mono or polyunsaturated alkenyl (C3 to C18) radical; a mono or polyunsaturated alkynyl (C3 to C18) radical; a cycloalkyl (C3 to C8) radical; an alkyl (C2 to C18) radical; an alkyl (C2 to C18) radical substituted by a group selected from phenylthio radical, an alkoxy (C1 to C6) radical, an alkythio (C1 to C6) radical, a phenoxy radical, a benzoyl radical and one or two phenyl radicals; a group selected from a phenyl, benzoyl, phenylthio or phenoxy radical each substituted by an alkyl (C1 to C3) or a halogen; a group selected from a phenoxy radical substituted by a nitrile or an
alkylcarbonyl (C2 to C3) radical; wherein R4 is selected from hydrido or when taken with R3 and the adjacent nitrogen atom forms a group selected from a piperazine radical substituted by a phenyl radical which is in turn substituted by an alkyl (C1 to C3) radical and a group selected from a piperidine radical substituted by an alkyl (C1 to C3) radical which is itself substituted by a phenyl radical; wherein R6 is selected from hydrido and alkyl (C1 to C3) radical; wherein R6 is selected from hydrido, a linear or branched alkylcarbonyl (C2 to C9) radical and a cycloalkylcarbonyl (C3 to C6) radical; wherein n is selected from a number selected from one, two and three; wherein X is selected from sulfur atom, oxygen atom and NH radical; wherein Y is selected from a -CH2- radical and sulfur atom; or a pharmaceutically-acceptable salt thereof.
5. The method of Claim 4 wherein said compound is selected from compounds of Formula I wherein R1 is selected from hydrido and one or two linear or branched C1 to C3 alkyl radicals; wherein R2 is selected from alkyl (C1 to C3) radical; wherein R3 is selected from C3 to C18 alkenyl radical;
C3 to C18 alkynyl radical; C3 to C18 cycloalkyl radical;
linear or branched C2 to C18 alkyl radical; linear or branched C2 to C18 alkyl radical containing one or more oxygen or sulfur linkages, and optionally substituted by at least one or more groups selected from alkoxycarbonyl, pyrrolidine, pyrrolidinone or imidazolidone radical, by one or two phenyl, phenoxy, phenylthio, indanyloxy radicals; one or more groups selected from phenyl, phenoxy,
phenylthio radical substituted by one or two C1 to C4 alkyl or C1 to C4 alkoxy radicals; or one or two halogen atoms; one or more groups selected from nitrile, hydroxy, amino, C2 to C9 alkyl carbonyl, C2 to C4 acylamino, alkoxycarbonyl, or C1 to C4 alkylsulfonamido radical, or one or more groups selected from alkoxycarbonylalkyl in which the alkyl and alkoxy moieties contain from 1 to 4 carbon atoms, or alkoxy carbonyl alkoxy. in which each alkoxy moiety contains from 1 to 4 carbon atoms; wherein X is selected from sulfur, oxygen and a CH2 radical; and Y is a CH2 radical.
6. The method of Claim 5 wherein said compound is selected from compounds of Formula II
Figure imgf000070_0001
wherein n is one or two; wherein R3 is hydrido; wherein R4 is selected from phenylpropyl, phenylbutyl, phenylpentyl, phenoxypropyl, phenoxybutyl and phenylpentyl; wherein the propyl and butyl radicals may be linear or branched; and wherein R3 and R4 may be taken together to form
phenylmethylpiperidinyl; or a pharmaceutically-acceptable salt thereof.
7. The method of Claim 6 wherein said compound is selected from compounds and the pharmaceutically-acceptable salts thereof, of the group consisting of
1-(6-thiochromanyl)-2-n-octylamino-1-propanol;
1-(6-thiochromanyl)-2-(4-phenylbutylamino)-1-propanol;
1-(6-thiochromanyl)-2-[2-(phenoxy)ethylamino]-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-n-octylamino-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl-2-(4-phenylbutylamino)-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-[4-(p-chlorophenyl)butylamino]-1-propanol;
1-(2-methyl-2,3-dihydro-5-benzo(b)thienyl)-2-(4-phenylbutylamino)-1-propanol;
1-(2-methyl-2,3-dihydro-5-benzo(b)furanyl)-2-n-octylamino- 1-propanol;
1-(2,3,4,5-tetrahydrobenzo(b)thiepin-7-yl)-2-(4-phenylbutylamino)-1-propanol;
1-(2,3-dihydro-5-indolyl)-2-n-octylamino-1-propanol;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-(4-phenylbutylamino)-1-propionyl-oxypropane;
1-(2,3-dihydro-5-benzo(b)thienyl)-2-(4-phenylbutylamino)-1-cyclohexyl-carbonyloxypropane;
1-(5-indanyl)-2-(4-phenylbutylamino)-1-propanol;
1-(5-indanyl)-2-[2-(4-chlorophenoxy)ethylamino]-1-propanol; and 1-(5-indanyl)-2-[2-(4-fluorobenzoyl)propylamino]-1-propanol.
8. The method of Claim 7 wherein said compound is the erythro form of 1-(2,3-dihydro-5-benzo[b]thienyl)-2-(4-phenylbutylamino-1-propanol or a pharmaceutically- acceptable salt thereof.
9. The method of Claim 7 wherein said compound is the threo form of 1-(2,3-dihydro-5-benzo[b]thienyl)-2- (4-phenylbutylamino-1-propanol or a pharmaceutically-acceptable salt thereof.
10. The method of Claim 7 wherein said compound is (-)-1-(2,3-dihydro-5-benzo[b]thienyl)-2-(4-phenylbutylamino-1-propanol or a pharmaceutically-acceptable salt thereof.
11. The method of Claim 7 wherein said compound is (+)-1-(2,3-dihydro-5-benzo[b]thienyl)-2-(4-phenylbutylamino-1-propanol or a pharmaceutically-acceptable salt thereof.
12. The method of Claim 1 further characterized by treating a subject afflicted with, or susceptible to, neurotoxic injury.
13. The method of Claim 12 wherein said neurotoxic injury is associated with stroke.
14. The method of Claim 12 wherein said neurotoxic injury is associated with myocardial infarction.
15. The method of Claim 12 wherein said neurotoxic injury is associated with perinatal asphyxia.
16. The method of Claim 12 wherein said neurotoxic injury is associated with head trauma.
17. The method of Claim 12 wherein said neurotoxic injury is associated with hypoglycemia.
18. The method of Claim 12 wherein said neurotoxic injury is associated with epilepsy.
19. The method of Claim 12 wherein said neurotoxic injury is associated with septicemia.
20. The method of Claim 1 further characterized by treating a subject afflicted with or susceptible to neurodegenerative disease.
21. The method of Claim 20 wherein said neurodegenerative disease is Parkinson's disease.
22. The method of Claim 20 wherein said neurodegenerative disease is Huntington's chorea.
23. The method of Claim 20 wherein said neurodegenerative disease is Alzheimer's disease.
24. The method of Claim 1 further characterized by treating a subject afflicted with, or susceptible to, a psychotic condition.
25. The method of Claim 24 wherein said psychotic condition is schizophrenia.
PCT/US1991/005028 1990-08-13 1991-07-22 Use of heterocyclic amino-alcohol compounds for treatment of cns diseases WO1992003131A1 (en)

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