WO1998035944A1 - Amides as npy5 receptor antagonists - Google Patents

Amides as npy5 receptor antagonists Download PDF

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Publication number
WO1998035944A1
WO1998035944A1 PCT/US1998/002122 US9802122W WO9835944A1 WO 1998035944 A1 WO1998035944 A1 WO 1998035944A1 US 9802122 W US9802122 W US 9802122W WO 9835944 A1 WO9835944 A1 WO 9835944A1
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WIPO (PCT)
Prior art keywords
substituted
lower alkyl
phenyl
unsubstituted
group
Prior art date
Application number
PCT/US1998/002122
Other languages
French (fr)
Inventor
Richard D. Connell
Timothy G. Lease
Gaetan H. Ladouceur
Martin H. Osterhout
Original Assignee
Bayer Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bayer Corporation filed Critical Bayer Corporation
Priority to AU62671/98A priority Critical patent/AU6267198A/en
Priority to EP98904909A priority patent/EP0927166A1/en
Priority to JP10535803A priority patent/JP2000510870A/en
Publication of WO1998035944A1 publication Critical patent/WO1998035944A1/en

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    • 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
    • A61K31/53Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with three nitrogens as the only ring hetero atoms, e.g. chlorazanil, melamine
    • AHUMAN NECESSITIES
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    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/165Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • A61K31/167Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the nitrogen of a carboxamide group directly attached to the aromatic ring, e.g. lidocaine, paracetamol
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    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19Carboxylic acids, e.g. valproic acid
    • A61K31/195Carboxylic acids, e.g. valproic acid having an amino group
    • A61K31/196Carboxylic acids, e.g. valproic acid having an amino group the amino group being directly attached to a ring, e.g. anthranilic acid, mefenamic acid, diclofenac, chlorambucil
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    • 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
    • A61K31/341Heterocyclic 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 not condensed with another ring, e.g. ranitidine, furosemide, bufetolol, muscarine
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    • 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
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    • 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
    • A61K31/41641,3-Diazoles
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    • A61K31/41641,3-Diazoles
    • A61K31/41841,3-Diazoles condensed with carbocyclic rings, e.g. benzimidazoles
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    • A61K31/41961,2,4-Triazoles
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    • A61K31/42Oxazoles
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    • A61K31/42Oxazoles
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    • A61K31/4245Oxadiazoles
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    • A61K31/425Thiazoles
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    • 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
    • A61K31/425Thiazoles
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    • A61K31/433Thidiazoles
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    • 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
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    • 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
    • A61K31/4412Non condensed pyridines; Hydrogenated derivatives thereof having oxo groups directly attached to the heterocyclic ring
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    • 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
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    • A61K31/47Quinolines; Isoquinolines
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    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
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    • A61K31/505Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
    • A61K31/517Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
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Definitions

  • This invention is a method for inhibiting the neuropeptide Y ("NPY”) Y5 receptor
  • compositions are useful in treating obese mammals, mammals with
  • bulimia for treating mammals with obesity related disorders including, but not limited to type II diabetes, insulin resistance, hyperlipidemia, hypertension, polycystic ovarian disease,
  • pulmonary disease pulmonary disease, sleep apnea, and for treating mammals suffering from NPY Y5 receptor
  • inhibition related disorders such as memory disorders, epilepsy, dyslipidemia, and
  • NPY is a 36 amino acid peptide that is a member of a larger peptide family which
  • NPY peptide YY
  • PP pancreatic peptide
  • NPY is the most prevalent peptide in the mammalian
  • NPY neuropeptide
  • NPY is believed to stimulate food intake by activating a hypothalamic eating
  • hypothalamus which the authors designated Y5.
  • Hu et al. the localization of Y5 mRNA in critical areas of the brain hypothalamus and other brain regions known to regulate food intake together with an in vitro pharmacological profile consistent with the in
  • a human homologue of the Y5 receptor has also been
  • Antagonists of NPY receptors other than the Y5 receptors have been identified.
  • U.S. Patent No. 5,554,621 discloses NPY antagonists that act on the Yl, Y2, Y3 and other Yl-like or Y4-type receptors.
  • the reported antagonists are dihydropyridine based
  • U.S. Patent No. 5,506,248 also discloses NPY receptor antagonists. The
  • compositions disclosed each include sulphamadyl and amidino radicals.
  • compositions do not include sulfur or oxygen in the backbone structure.
  • WO 96/16542 discloses genetically modified NPY receptors.
  • NPY receptors namely, Yl, Y2, Y3 and Y4/PP1
  • Another object of this invention are novel ⁇ -alkoxy and ⁇ -thioalkoxyamide
  • compositions that are useful as NPY Y5 receptor antagonists and therapeutic compositions that are useful as NPY Y5 receptor antagonists and therapeutic compositions
  • this invention is a method for treating mammalian disorders
  • NPY Y5 receptor mediated by the NPY Y5 receptor comprising the administration to a mammal of a therapeutically effective amount of at least one compound having the formula:
  • RrR 5 are each individually selected
  • acyl aryloxy, amino, amido, carboxyl, aryl, substituted aryl, heterocycle, heteroaryl, substituted heterocycle, heteroalkyl, cycloalkyl, substituted cycloalkyl, alkylcycloalkyl,
  • alkylcycloheteroalkyl nitro, phenyl, substituted phenyl, benzothiophene, furan, fluoride, cyano, naphthyl, substituted naphthyl, fluorene, substituted fluorene and dibenzofuran and
  • X is oxygen or sulfur.
  • this invention is a class of novel ⁇ -alkoxy and ⁇ -
  • compositions having the same general formula disclosed above except for compounds 137-188 identified in Table 4 as prior art
  • this invention is a pharmaceutical dosage form
  • the present invention relates to methods for using ⁇ -alkoxy and ⁇ -thioalkoxyamide
  • the present invention also includes
  • compositions that fall within the scope of this invention have the general formula:
  • R'-R 5 are each individually selected from the group of substituents including
  • aryl substituted aryl, heterocycle, heteroaryl, substituted heterocycle, heteroalkyl
  • cycloalkyl substituted cycloalkyl, alkylcycloalkyl, alkylcycloheteroalkyl, phenyl,
  • R' may be any substituent other than
  • R 1 is a substituted phenyl, then the substituted phenyl may be substituted
  • substituents including phenyl, cyanophenyl, halogens including fluoride,
  • chloride iodide and bromide, a branched or straight chain alkyl group having from 1 to 6
  • R 2 is hydrogen, or an unsubstitued or substituted alkyl group
  • R 1 and R 2 can together with an adjacent nitrogen atom form a 3 atom to 7 atom
  • R 3 and R 4 are individually selected from the group hydrogen
  • R 1 and R 4 are
  • R 3 and R 4 are most preferably
  • R 5 is a lower alkyl; a substituted lower alkyl wherein the
  • substituted lower alkyl may be substituted with one or more substituents selected from the
  • alkyl group alkoxy, thioalkoxy, amino, aminoacyl, hydroxyl or fluoro group; pyridine;
  • pyridine N-oxide unsubstituted pyrimidine; pyrimidine substituted with from one to three substituents selected from the group including lower alkyl, hydroxyl, nitroso, amino, trifluoromethyl, and thiol; 1,3,5-triazine substituted up to two times with amino, thiol, or a
  • amino an aminoalkyl group having from 1 to 6 carbon atoms, and with lower alkyl;
  • imidazole that is substituted with one or more substituents
  • thiazole unsubstituted thiazole, thiazole that is mono-substituted or bi-substituted with lower alkyl or
  • substituents including alkoxy, chloride, trifluoromethyl or mixtures thereof, amino,
  • substituents including lower alkyl, alkoxy, nitro, trifluoromethyl, and mixtures
  • substituted is mono- or bi-substituted with amine, hydroxy, 3, 4-dihydroxy-5-
  • halogen refers to fluorine, bromine, chlorine, and iodine atoms.
  • hydroxyl refers to the group -OH.
  • furan refers to a five membered oxygen containing saturated or
  • thiol and mercapto refers to the groups -SH, and -S(O) 0 . 2 ,
  • lower alkyl refers to a cyclic, branched, or straight chain alkyl group of one to ten carbon atoms. This term is further exemplified by such groups as methyl, ethyl,
  • n-propyl i-propyl, n-butyl, t-butyl, i-butyl (or 2-methylpropyl), cyclopropylmethyl, i-amyl, n-amyl, hexyl and the like.
  • substituted lower alkyl refers to lower alkyl as just described including
  • substituents such as hydroxyl, thiol, alkylthiol, halogen, alkoxy, amino, amido,
  • cycloheteroalkyl acyl, carboxyl, aryl, substituted aryl, aryloxy, heteroaryl, substituted
  • aryl substituted aryl, heteroaryl, substituted heteroaryl or the like.
  • alkynyl refers to a group -C ⁇ C-R'; where R' is selected from hydrogen, halogen, lower alkyl, substituted lower alkyl, acyl, aryl, substituted aryl,
  • heteroaryl substituted heteroaryl or the like.
  • heteroaryl or substituted heteroaryl.
  • alkyl alkynyl refers to a group -RC ⁇ CR' where R is lower alkyl or
  • R' is hydrogen, lower alkyl, substituted lower alkyl, acyl, aryl,
  • alkoxy refers to the group -OR, where R is lower alkyl, substituted lower
  • alkyl acyl, aryl, substituted aryl, arylalkyl. substituted arylalkyl, heteroarylalkyl, cycloalkyl. substituted cycloalkyl, cycloheteroalkyl, or substituted cycloheteroalkyl.
  • substituted lower alkyl aryl, substituted aryl, arylalkyl or substituted arylalkyl.
  • acyl refers to groups -C(O)R, where R is hydrogen, lower alkyl, substituted lower alkyl, aryl, substituted aryl and the like.
  • aryloxy refers to groups -OAr, where Ar is an aryl, substituted aryl, heteroaryl, or substituted heteroaryl group.
  • amino refers to the group NRR', where R and R' may independently be hydrogen, lower alkyl, substituted lower alkyl, aryl, substituted aryl, heteroaryl, cycloalkyl, substituted heteroaryl, or acyl.
  • heteroaryl substituted heteroaryl.
  • carboxyl refers to the group -C(O)OR, where R may independently
  • aryl and “Ar” refer to an aromatic carbocyclic group having at least one
  • aromatic ring e.g., phenyl or biphenyl
  • multiple condensed rings in which at least one
  • ring is aromatic, (e.g., 1,2,3,4-tetrahydronaphthyl, naphthyl, anthryl, or phenanthryl).
  • substituted aryl refers to aryl optionally substituted with one or more
  • heterocycle refers to a saturated, unsaturated, or aromatic carbocyclic
  • hetero atom such as N, O, or S
  • ring at least one hetero atom, such as N, O, or S, within the ring, which can optionally be
  • heteroaryl refers to a heterocycle in which at least one heterocyclic ring is aromatic.
  • substituted heteroaryl refers to a heterocycle optionally substituted with one or more substituents including halogen, lower alkyl, lower alkoxy, lower alkylthio,
  • arylalkyl refers to the group -R-Ar where Ar is an aryl group and R is lower alkyl or substituted lower alkyl group.
  • Aryl groups can optionally be unsubstituted or
  • heteroalkyl refers to the group -R-Het where Het is a heterocycle group and R is a lower alkyl group. Heteroalkyl groups can optionally be unsubstituted or
  • heteroaryl refers to the group -R-HetAr where HetAr is a heteroaryl
  • R is a lower alkyl or substituted lower alkyl.
  • Heteroarylalkyl groups can be
  • cycloalkyl refers to a divalent cyclic or polycyclic alkyl group containing
  • one of the distal rings may be aromatic (e.g., indanyl, tetrahydronaphthalene, etc. . . .).
  • substituted cycloalkyl refers to a cycloalkyl group comprising one or
  • substituents with, e.g., halogen, lower alkyl, substituted lower alkyl, alkoxy, alkylthio, aryl, aryloxy, heterocycle, heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol,
  • cycloheteroalkyl refers to a cycloalkyl group wherein one or more of the
  • ring carbon atoms is replaced with a heteroatom (e.g., N, O, S or P).
  • a heteroatom e.g., N, O, S or P.
  • substituted cycloheteroalkyl refers to a cycloheteroalkyl group as herein
  • heterocycle heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and
  • alkyl cycloalkyl refers to the group -R-cycloalkyl where cycloalkyl is a
  • cycloalkyl group and R is a lower alkyl or substituted lower alkyl.
  • Cycloalkyl groups can be
  • heterocycle heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and
  • Acid addition salts of the compounds are prepared in a
  • hydrochloric hydrobromic, sulfuric, phosphoric, acetic, maleic, succinic, or
  • the parent compound is treated with an excess of an alkaline reagent,
  • Na + , K ⁇ Ca 2+ and NH 4+ are examples of cations present in pharmaceutically acceptable salts.
  • compositions identified herein all fall within the scope of compositions that
  • the process for manufacturing compounds according to the invention can be any process for manufacturing compounds according to the invention.
  • Solvents useful in the processes are customary organic solvents that do not change
  • ethers such as diethyl ether, dioxane,
  • tetrahydrofuran glycol dimethyl ether
  • alcohols for example methanol, ethanol,
  • propanol isopropanol, butanol, iso butanol or tert butanol, or hydrocarbons such as
  • hydrocarbons such as dichloromethane, trichloromethane, tetrachloromethane,
  • Bases which can be employed for the process are in general inorganic or organic
  • bases preferably include alkali metal hydroxides, for example sodium hydroxide or
  • potassium hydroxide alkaline earth metal hydroxides, for example barium hydroxide, alkali
  • metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as calcium carbonate, or alkali metal or alkaline earth metal alkoxides such as sodium or potassium methoxide, sodium or potassium ethoxide or potassium tert-
  • DABCO l ,4-diazabicyclo[2.2.2]octane
  • DABCO l,8-diazabicyclo[5.4.0]undec-7-ene
  • alkali metals such as sodium or their hydrides such as sodium
  • auxiliaries are also dehydrating reagents. These include, for example,
  • carbodiimides such as diisopropylcarbodiimide. dicyclohexylcarbodiimide or N-(3-
  • dehydrating reagents are in general employed in an amount from 0.5 to 3 mol, preferably
  • the base is employed in an amount from 0.05 to 10 mol, preferably from 1 to 2 mol, relative to 1 mol of the compound (2).
  • Suitable solvents for the reaction with thiols or alcohols in this case are inert organic solvents which do not change under the reaction conditions.
  • These preferably include ethers, such as diethyl ether or tetrahydrofuran, halogenated hydrocarbons such as
  • Bases useful in the synthesis process are, in general, inorganic or organic bases
  • alkali metal hydroxides for example sodium hydroxide or potassium hydroxide
  • alkaline earth metal hydroxides for example barium hydroxide, alkali metal carbonates such
  • alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as sodium carbonate or potassium carbonate
  • amines such as triethylamine, or heterocycles such as 1,4-
  • DABCO diazabicyclo[2.2.2]octane
  • DBU l,8-diazabicyclo[5.4.0]undec-7-ene
  • pyridine diazabicyclo[2.2.2]octane
  • DBU diazabicyclo[2.2.2]octane
  • DBU l,8-diazabicyclo[5.4.0]undec-7-ene
  • potassium carbonate and triethylamine are preferred bases.
  • the base is employed in an amount from 1 mol to 5 mol, preferably from 1 mol to 3
  • the compounds of the present invention are useful for treating mammalian disorders
  • eating disorders such as eating disorders, obesity, hypertension, depression, brain or bodily disorders, and
  • method of this invention is used to treat obesity and eating disorders such as and bulimia.
  • the method of this invention can be used to inhibit the onset of obesity and to
  • the method of this invention is used to treat obesity in humans.
  • the compounds of the present invention are useful for treating disorders mediated
  • mammals are characterized by NPY via the Y5 receptor in mammals.
  • mammals are characterized by NPY via the Y5 receptor in mammals.
  • mammals are characterized by NPY via the Y5 receptor in mammals.
  • Livestock and related animals include, mammals such as cattle, horses, sheep, pigs, goats,
  • mink mink
  • chinchilla raccoon
  • birds such as chickens, geese, turkeys and ducks.
  • mice mice, rats, guinea pigs, golden hamsters, and pets
  • the compounds of this invention may be administered to mammals both
  • Non-limiting examples of useful administration protocols include orally, parenterally, dermally, transdermally,
  • the pharmaceutical dosage form may be administered in suitable pharmaceutical dosage forms.
  • the pharmaceutical dosage form may be administered in suitable pharmaceutical dosage forms.
  • pharmaceutical dosage form refers to items such as tablets, capsules, liquids and powders, comprising Y5 receptor
  • inhibitors of this invention alone or in the presence of one or more pharmaceutical additives.
  • compositions of this invention may also be controlled by combining the useful compositions of this invention with suitable
  • compounds of this invention may be combined with additives to give an immediate or fast
  • compositions can be used as a dietary supplement to reduce or inhibit appetite.
  • Those skilled in the pharmaceutical arts will recognize a wide variety of formulations and vehicles for administering compositions of this invention.
  • emulsions which can be administered orally, or boli, in medicated food, or in drinking
  • Internal administration may also be accomplished using a timed release formulation including additives such as surfactant or starch coated capsules, or using a quick release formulation such as a freeze-dried fast dissolving tablet. Dermal administration is effected,
  • transdermal patches for example, in the form of transdermal patches, spraying or pouring-on and spotting-on.
  • Parenteral administration is effected, for example, in the form of injection (intramuscularly,
  • this invention include but are not limited to solutions such as solutions for injection, oral solutions, concentrates for oral administration after dilution, solutions for use on the skin or
  • the active compound is incorporated in cream base or in an oil-in- water or water-in-oil
  • emulsion base emulsion base
  • solid preparations such as powders, premixes or concentrates, granules,
  • pellets, tablets, boli, capsules; aerosols and inhalants, and shaped articles containing active compound are included in the production of pharmaceuticals.
  • compositions may be administered by injection
  • solubilizers such as solubilizers, acids, bases, buffer salts, antioxidants and preservatives.
  • the solutions are sterile-filtered and drawn off.
  • solutions including compositions of this invention may be
  • compositions of this invention are preferably
  • Solutions for use on the skin are applied dropwise, brushed on, rubbed in, splashed on or sprayed on. These solutions are prepared as described above in the case of solutions for injection.
  • Gels are applied to the skin, or introduced into body cavities. Gels are prepared by
  • spot-on formulations are prepared by dissolving, suspending or emulsifying the active
  • Emulsions can be administered orally, dermally or in the form of injections.
  • Emulsions are either of the water-in-oil type or of the oil-in- water type. They are prepared by dissolving Y5 receptor antagonists either in the hydrophobic or in the hydrophilic phase
  • adjuvants such as emulsifiers, colorants, reso ⁇ tion accelerators, preservatives, antioxidants,
  • Suspensions can be administered orally, dermally or in the form of injection. They
  • adjuvants such as wetting agents, colorants, reso ⁇ tion accelerators, preservatives, antioxidants and light stabilizers.
  • compositions of this invention may include one or more
  • additives in the form of pharmaceutically acceptable additives.
  • useful additives include solvents, solubilizers, preservatives, thickeners, wetting agents, colorants, reso ⁇ tion accelerators, antioxidants, light stabilizers, tackifiers, viscosity increasing substances, fillers,
  • the additive may be a solvent such as water, alcohols such as ethanol, butanol,
  • benzyl alcohol glycerol, propylene glycol, polyethylene glycols, N-methyl-pyrrolidone,
  • alkanols glycerol
  • aromatic alcohols such as benzyl alcohol, phenylethanol,
  • esters such as ethyl acetate, butyl acetate, benzyl benzoate, ethers such as
  • alkylene glycol alkyl ethers such as dipropylene glycol mono-methyl ether, diethylene
  • glycol mono-butyl ether ketones such as acetone, methyl ethyl ketone, aromatic and/or
  • additives may be useful as solubilizers of the compositions of this
  • polyvinylpyrrolidone polyoxyethylated castor oil
  • polyoxyethylated sorbitan esters examples are polyvinylpyrrolidone, polyoxyethylated castor oil, polyoxyethylated sorbitan esters.
  • Useful preservatives are, for example, benzyl alcohol, trichlorobutanol, p- hydroxybenzoic esters, and n-butanol.
  • Useful thickeners include inorganic thickeners such as bentonite, colloidal silica,
  • organic thickeners such as cellulose derivatives, polyvinyl alcohols and their copolymers, acrylates and methacrylates.
  • colorants are, for example, homogeneous solvents, solvent mixtures, and wetting agents (dispersants) which are typically surfactants.
  • Useful colorants are all colorants which are non-toxic and which can be dissolved or
  • Useful reso ⁇ tion accelerators are DMSO, spreading oils such as isopropyl
  • dipropylene glycol pelargonate silicone oils, fatty acid esters, triglycerides, fatty
  • antioxidants are sulphites or metabisulphites such as potassium
  • metabisulphite ascorbic acid, butylhydroxytoluene, butylhydroxyanisole, tocopherol.
  • a useful light stabilizer is novantisolic acid.
  • Useful tackifiers include cellulose derivatives, starch derivatives, polyacrylates,
  • Useful emulsifiers include non-ionic surfactants such as polyoxyethylated castor oil,
  • ampholytic surfactants such as Di-Na
  • anionic surfactants such as Na-lauryl- beta -iminodipropionate or lecithin
  • emulsion examples include carboxymethylcellulose, methylcellulose and other cellulose and starch
  • the active compound is mixed with suitable additives, if appropriate with the addition of adjuvants, and the mixture is formulated as desired.
  • suitable additives include sodium chloride, carbonates such as calcium carbonate, hydrogen carbonates, aluminum
  • solid organic additives include sugars, cellulose, foods such as dried milk, animal meals,
  • lubricants and gliding agents such as magnesium stearate, stearic acid, talc, bentonites;
  • disintegrants such as starch or crosslinked polyvinylpyrrolidone
  • binders such as, starch
  • gelatin or linear polyvinylpyrrolidone; and dry binders such as microcrystalline cellulose.
  • the active compounds can be any active compounds.
  • the active compounds can be any active compounds.
  • Y5 receptor antagonist compound present in the form of a mixture with at least one other Y5 receptor antagonist compound.
  • the pharmaceutical dosage forms of the invention can, in
  • Y5 receptor antagonist examples include any pharmaceutical compound that is
  • Methods for treating NPY mediated diseases and disorders comprises the administration of an effective quantity of the chosen compound or combinations thereof,
  • forms of this invention contain the active compound in concentrations of from 10 ppm to 20
  • dosage forms of this invention that are diluted prior to administration, preferably contain
  • the active compound in concentrations of from 0.5 to 90 per cent by weight, and preferably
  • dosage units may be administered one to ten times daily for
  • preparation will be in the form of a syrup, elixir, emulsion or an aqueous or non-aqueous
  • Such a liquid formulation may be administered directly p.o. or filled into a
  • compositions described herein may be administered as described above, (i.e., intramuscular, intravenous and subcutaneous etc .), it is preferred that the method of
  • this invention is achieved by administering the compound described herein orally.
  • compositions of this invention have non-therapeutic utility as well.
  • compositions of this invention are useful as analytical standards for Y5 receptor agonist or antagonist assays.
  • Compounds 1-136 identified in the Examples and in Tables 1 and 2 below are identified in the Examples and in Tables 1 and 2 below.
  • the compounds useful in the therapeutic method of this invention are prepared by:
  • FAB Fast atom bombardment
  • Compound 1 was prepared according to the following general method:
  • Compound 8 was prepared according to both of the following methods:
  • MC cells (ATCC, Rockville, MD) were plated in 24-well plates. Once confluent, cells are rinsed with Dulbecco's phosphate buffered saline (DPBS). Cells were then preincubated in DPBS.
  • DPBS Dulbecco's phosphate buffered saline
  • binding buffer containing serum-free DMEM, 25 mM HEPES (pH 7.3), 0.5%> bovine serum
  • BSA albumin
  • bacitracin 0.15% bacitracin and 0.1 mM phenylmethylsulfonylfluoride for 30 minutes
  • Nonspecific binding is defined with 1 ⁇ M NPY.
  • Binding assays were performed on GF/C Millipore 96-well plates pretreated with
  • the binding buffer for rat Y2 binding is Krebs-Ringer bicarbonate (pH 7.4) containing 0.01% BSA and 0.005%> bacitracin.
  • Samples consist of membrane protein, 25 pM [125IJPYY and drug dilution. Nonspecific binding is defined by
  • the binding buffer for human Y4/PP1 binding consists of 137 mM NaCl, 5.4 mM KC1, 0.44 mM KH 2 PO 4 , 1.26 mM CaCl 2 , 0.81 mM MgSO 4 , 20 mM HEPES, 1 mM
  • bacitracin 100 mg/1 streptomycin sulfate, 1 mg/1 aprotinin, 10 mg/ml
  • hPP is used to define nonspecific binding.
  • radioactivity in each well is quantitated with either gamma counting or liquid scintillation.
  • Binding assays are performed on GF/C Millipore 96-well plates pretreated with
  • the binding buffer is 25 mM Tris, 120 mM NaCl, 5 mM KC1, 1.2
  • Samples consist of membrane protein, 75-100 pM [125I]PYY (porcine, NEN-DuPont) and
  • Nonspecific binding is defined by 1 ⁇ M PYY. After a 2 hour incubation at
  • IC50 values which correspond to 50%> inhibition of specific binding, are determined with non-linear regression
  • the assay is stopped by placing the samples in boiling water for 3 minutes.
  • the cAMP produced in each sample is quantitated with a radioimmunoassay kit (NEN).
  • Example are known compounds. The name of each known compound and its source is set forth in Table 4 immediately below. TABLE 4
  • This example describes the preparation of a tablet that includes composition 1 as prepared in Example 2.
  • Each tablet contains:
  • the tablet coating contains:
  • Macrogol 4000 rec. INN 2.0 mg (polyethylene glycol DAB) 2.0 mg
  • Titanium(IV) oxide 10.0 mg

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Abstract

α-alkoxy and α-thioalkoxyamide compounds of formula (I) and methods of administering the compositions to mammals to treat disorders such as obesity that are mediated by NPY and especially those mediated by NPY via the Y5 receptor, or pharmaceutically acceptable salts thereof wherein R1-R5 are each individually selected from the group of substituents including hydrogen, halogen, hydroxyl, thiol, lower alkyl, substituted lower alkyl, alkenyl, alkynyl, alkylalkenyl, alkyl alkynyl, alkoxy, alkylthio, acyl, aryloxy, amino, amido, carboxyl, aryl, substituted aryl, heterocycle, heteroaryl, substituted heterocycle, heteroalkyl, cycloalkyl, substituted cycloalkyl, alkylcycloalkyl, alkylcycloheteroalkyl, phenyl, substituted phenyl, benzothiophene, furan, fluoride, nitro, cyano, naphthyl, substituted naphthyl, fluorene, substituted fluorene and dibenzofuran, and wherein X is oxygen or sulfur.

Description

AMIDES AS NPY5 RECEPTOR ANTAGONISTS
BACKGROUND OF THE INVENTION
1) Field of the Invention
This invention is a method for inhibiting the neuropeptide Y ("NPY") Y5 receptor
using a class of substituted α-alkoxy and α-thioalkoxyamide compositions. As antagonists
of the Y5 receptor, the compositions are useful in treating obese mammals, mammals with
bulimia, for treating mammals with obesity related disorders including, but not limited to type II diabetes, insulin resistance, hyperlipidemia, hypertension, polycystic ovarian disease,
pulmonary disease, sleep apnea, and for treating mammals suffering from NPY Y5 receptor
inhibition related disorders such as memory disorders, epilepsy, dyslipidemia, and
depression. (2) Description of the Art
NPY is a 36 amino acid peptide that is a member of a larger peptide family which
includes peptide YY (PYY), and pancreatic peptide (PP). NPY is highly conserved in a
variety of animal, reptile and fish species and is found mainly in the central and peripheral
sympathetic neurons. Furthermore, NPY is the most prevalent peptide in the mammalian
brain where it is found primarily in the limbic regions. NPY has been found to elicit a
number of physiological responses including appetite stimulation, anxiolysis, hypertension, and regulation of coronary tone.
NPY is believed to stimulate food intake by activating a hypothalamic eating
receptor. Hu et al, J. Bio. Chem., Vol. 271, No. 42 pp.26315-319 (1996) discloses the
isolation and identification and the expression cloning of a novel Y-type receptor from rat
hypothalamus which the authors designated Y5. According to Hu et al., the localization of Y5 mRNA in critical areas of the brain hypothalamus and other brain regions known to regulate food intake together with an in vitro pharmacological profile consistent with the in
vivo feeding data leads those skilled in the art to believe that the Y5 receptor is a primary
mediator of NPY-induced feeding. A human homologue of the Y5 receptor has also been
identified by Gerald et al., Nature, 382:168-171 (1996) which discloses the isolation,
expression and analysis of an NPY Y5 receptor from the rat hypothalamus.
Antagonists of NPY receptors other than the Y5 receptors have been identified. For
example, U.S. Patent No. 5,554,621 discloses NPY antagonists that act on the Yl, Y2, Y3 and other Yl-like or Y4-type receptors. The reported antagonists are dihydropyridine based
substituents.
U.S. Patent No. 5,506,248 also discloses NPY receptor antagonists. The
compositions disclosed each include sulphamadyl and amidino radicals. The disclosed
compositions do not include sulfur or oxygen in the backbone structure.
WO 96/16542 discloses genetically modified NPY receptors.
There is evidence that the Y5 receptor of NPY has a pharmacological feeding profile
that is unique in comparison to other NPY receptors, namely, Yl, Y2, Y3 and Y4/PP1
because the Y5 receptor response correlates well with in vivo potencies of the standard
peptides in the stimulation of feeding. Furthermore, antagonists of other NPY receptors
such as Yl do not necessarily exhibit an inhibitory response when assayed against Y5. In
view of the knowledge that NPY plays an important role in eating and other disorders and in view of the knowledge that the Y5 receptor plays an important and unique role in the
mechanism of such disorders, there is, therefore, a great need for antagonists of the NPY Y5
receptor. Furthermore, there is a need for antagonists of NPY that specifically target the Y5 receptor. SUMMARY OF THE INVENTION
It is an object of this invention to provide a method for treating obesity, obesity
related disorders and eating disorders in mammals using a therapeutically effective amount
of a composition heretofore unknown for its NPY Y5 inhibitory properties. It is another object of this invention to provide a method for the effective treatment
of diseases in mammals that include the NPY Y5 receptor in their mechanism.
It is still another object of this invention to provide a method for the treatment of
obesity and bulimia in humans using a class of substituted α-alkoxy and α-thioalkoxyamide
compositions.
Another object of this invention are novel α-alkoxy and α-thioalkoxyamide
compositions that are useful as NPY Y5 receptor antagonists and therapeutic compositions
containing the same.
In one embodiment, this invention is a method for treating mammalian disorders
mediated by the NPY Y5 receptor comprising the administration to a mammal of a therapeutically effective amount of at least one compound having the formula:
R2 R3 R4
o
or pharmaceutically acceptable salts thereof wherein RrR5 are each individually selected
from the group of substituents including hydrogen, halogen, hydroxyl, thiol, lower alkyl,
substituted lower alkyl, alkenyl, alkynyl, alkylalkenyl, alkyl alkynyl, alkoxy, alkylthio,
acyl, aryloxy, amino, amido, carboxyl, aryl, substituted aryl, heterocycle, heteroaryl, substituted heterocycle, heteroalkyl, cycloalkyl, substituted cycloalkyl, alkylcycloalkyl,
alkylcycloheteroalkyl, nitro, phenyl, substituted phenyl, benzothiophene, furan, fluoride, cyano, naphthyl, substituted naphthyl, fluorene, substituted fluorene and dibenzofuran and
X is oxygen or sulfur.
In another embodiment, this invention is a class of novel α-alkoxy and α-
thioalkoxyamide compositions. The novel compositions have the same general formula disclosed above except for compounds 137-188 identified in Table 4 as prior art
compositions.
In yet another embodiment, this invention is a pharmaceutical dosage form
comprising the novel α-alkoxy and α-thioalkoxyamide compositions described above and at
least one pharmaceutical additive.
DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to methods for using α-alkoxy and α-thioalkoxyamide
compositions that are NPY Y5 receptor antagonists to treat NPY mediated disorders including eating disorders such as bulimia and obesity. The present invention also includes
novel α-alkoxy and α-thioalkoxyamide compositions. The α-alkoxy and α-
thioalkoxyamide compositions described immediately below, except for compounds 137-
188 disclosed in Table 4 are novel, while the compounds described below, including
compounds 137-188 disclosed in Table 4 are useful in the methods disclosed herein.
Compositions that fall within the scope of this invention have the general formula:
Figure imgf000007_0001
wherein R'-R5 are each individually selected from the group of substituents including
hydrogen, halogen, hydroxyl, thiol, lower alkyl, substituted lower alkyl, alkenyl, alkynyl,
alkylalkenyl, alkyl alkynyl, alkoxy, alkylthio, acyl, aryloxy, amino, amido, carboxyl,
aryl, substituted aryl, heterocycle, heteroaryl, substituted heterocycle, heteroalkyl,
cycloalkyl, substituted cycloalkyl, alkylcycloalkyl, alkylcycloheteroalkyl, phenyl,
substituted phenyl, benzothiophene, furan, fluoride, nitro, cyano, naphthyl, substituted naphthyl, fluorene, substituted fluorene and dibenzofuran and wherein and X is sulfur, or
oxygen.
In the novel compositions of this invention, R' may be any substituent other than
those R1 substituents used in compounds 137-188 as disclosed in Table 4. More preferably, in the novel compounds of this invention, R' will be selected from the group of substituents
including lower alkyl, substituted lower alkyl, substituted phenyl, phenyl, benzothiophene, furan, naphthyl, substituted naphthyl, fluorene, substituted fluorene, dibenzofuran and fluorine. When R1 is a substituted phenyl, then the substituted phenyl may be substituted
with one or more substituents including phenyl, cyanophenyl, halogens including fluoride,
chloride, iodide and bromide, a branched or straight chain alkyl group having from 1 to 6
carbon atoms.
It is preferred that R2 is hydrogen, or an unsubstitued or substituted alkyl group
having from 1 to 6 carbon atoms. R1 and R2 can together with an adjacent nitrogen atom form a 3 atom to 7 atom
heterocycle.
It is preferred that R3 and R4 are individually selected from the group hydrogen,
lower alkyl, substituted lower alkyl, or substituted or unsubstituted phenyl. R1 and R4 are
more preferably each individually selected from the group hydrogen, substituted or
unsubstituted phenyl, alkyl, or substituted alkyl wherein the substituted alkyl is substituted
with one or more groups having from 1 to 6 carbon atoms. R3 and R4 are most preferably
hydrogen, -CH3 or phenyl that is optionally substituted with halogen, an alkoxy having from 1 to 6 carbon atoms, or an alkyl group having from 1 to 6 carbon atoms.
It is preferred that R5 is a lower alkyl; a substituted lower alkyl wherein the
substituted lower alkyl may be substituted with one or more substituents selected from the
group including hydroxyl, mercaptomethylphenyl, furan, and phenyl substituted up to three
times with a methyl group; N-methylpiperdine; phenyl optionally substituted with a lower
alkyl group, alkoxy, thioalkoxy, amino, aminoacyl, hydroxyl or fluoro group; pyridine;
pyridine N-oxide; unsubstituted pyrimidine; pyrimidine substituted with from one to three substituents selected from the group including lower alkyl, hydroxyl, nitroso, amino, trifluoromethyl, and thiol; 1,3,5-triazine substituted up to two times with amino, thiol, or a
mixture thereof; 4,5-dihydrothiazole; phenyl substituted 1 ,2,4-oxadiazole; 1,3,4-oxadiazole substituted with phenyl or with 2,4-dichlorophenoxyethyl; 1,3,4-thiadiazole substituted with
amino, an aminoalkyl group having from 1 to 6 carbon atoms, and with lower alkyl;
unsubstituted imidazole; imidazole that is substituted with one or more substituents
including lower alkyl, phenyl, chloride substituted phenyl, hydroxymethyl, carboalkoxy,
and mixtures thereof; 4,5-dihydroimidazole; lower alkyl substituted 4, 5-dihydroimidazole; 1,2,4-triazole; 1, 2, 4-triazole that is mono-substituted or bi-substituted with lower alkyl,
unsubstituted thiazole, thiazole that is mono-substituted or bi-substituted with lower alkyl or
5-methylisoxazole thereof, lower alkyl substituted isoxazole, furan, unsubstituted imidazole,
imidazole that is substituted with one or more substituents including lower alkyl,
thioalkoxy, thiophenylsufanylmethyl, thiophenylmethyl, 4-methyl-5-(3-methylsulfanyl-6; 7-
dihydrobenzo[c]thiophene), unsubstituted pyridine, pyridine that is substituted with one or
more substituents including alkoxy, chloride, trifluoromethyl or mixtures thereof, amino,
trifluoromethyl, unsubstituted phenyl, phenyl that is substituted with alkoxy, chloride,
trifluoromethyl and mixtures thereof, 2, 2-dimethoxyethyl, 2-oxo-5-trifluormethyl-2H-
pyridin-1 -methyl or hydroxy; 3 -fluorophenyl substituted 5-oxo-l, 2, 4 triazole; unsubstituted tetrazole; tetrazole substituted with lower alkyl, phenyl, or hydroxy
substituted phenyl; unsubstituted benzoimidazole; benzoimidazole that is substituted with
one or more substituents including lower alkyl, alkoxy, nitro, trifluoromethyl, and mixtures
thereof; unsubstituted benzothiazole; benzothiazole that is substituted with alkoxy or
chloride; benzooxazole; unsubstituted pyrazolo[3,4-d]pyrimidin; amine substituted pyrazolo[3,4-d]pyrimidin; l,2,4-triazolo[l,5a]pyrimidine; amine substituted 1,2,4- triazolo[l,5a]pyrimidine; l,2,4-triazolo[l,5a]pyrimidine bi-substituted with unsubstituted or substituted lower alkyl or bi-substituted with unsubstituted or substituted pyridine that when
substituted is mono- or bi-substituted with amine, hydroxy, 3, 4-dihydroxy-5-
hydroxymethyltetrahydro furan, or mixtures thereof; 4-oxo-3, 4-dihydroquinazoline;
quinazoline; quinoline; and trifluoromethyl substituted quinoline.
The following definitions apply to certain terms used herein.
The term "halogen" refers to fluorine, bromine, chlorine, and iodine atoms.
The term "hydroxyl" refers to the group -OH.
The term "furan" refers to a five membered oxygen containing saturated or
unsaturated heterocycle.
The term "oxo" refers to the group =0.
The terms "thiol" and "mercapto" refers to the groups -SH, and -S(O)0.2,
respectively.
The term "lower alkyl" refers to a cyclic, branched, or straight chain alkyl group of one to ten carbon atoms. This term is further exemplified by such groups as methyl, ethyl,
n-propyl, i-propyl, n-butyl, t-butyl, i-butyl (or 2-methylpropyl), cyclopropylmethyl, i-amyl, n-amyl, hexyl and the like.
The term "substituted lower alkyl" refers to lower alkyl as just described including
one or more substituents such as hydroxyl, thiol, alkylthiol, halogen, alkoxy, amino, amido,
carboxyl, cycloalkyl, substituted cycloalkyl, heterocycle, cycloheteroalkyl, substituted
cycloheteroalkyl, acyl, carboxyl, aryl, substituted aryl, aryloxy, heteroaryl, substituted
heteroaryl, arylalkyl, heteroarylalkyl, alkyl alkenyl, alkyl alkynyl, alkyl cycloalkyl, alkyl cycloheteroalkyl, and cyano. These groups may be attached to any carbon atom of the lower alkyl moiety. The term "alkenyl" refers to a group -R'C=CR"R'" where R', R", R'" are each individually selected from hydrogen, halogen, lower alkyl, substituted lower alkyl, acyl,
aryl, substituted aryl, heteroaryl, substituted heteroaryl or the like.
The term "alkynyl" refers to a group -C≡C-R'; where R' is selected from hydrogen, halogen, lower alkyl, substituted lower alkyl, acyl, aryl, substituted aryl,
heteroaryl, substituted heteroaryl or the like.
The term "alkyl alkenyl" refers to a group -R-CR'=CR'"R"", where R is lower alkyl, or substituted lower alkyl, R', R'", R"" are each independently selected from
hydrogen, halogen, lower alkyl, substituted lower alkyl, acyl, aryl, substituted aryl,
heteroaryl, or substituted heteroaryl.
The term "alkyl alkynyl" refers to a group -RC≡CR' where R is lower alkyl or
substituted lower alkyl, R' is hydrogen, lower alkyl, substituted lower alkyl, acyl, aryl,
substituted aryl, heteroaryl, or substituted heteroaryl.
The term "alkoxy" refers to the group -OR, where R is lower alkyl, substituted lower
alkyl, acyl, aryl, substituted aryl, arylalkyl. substituted arylalkyl, heteroarylalkyl, cycloalkyl. substituted cycloalkyl, cycloheteroalkyl, or substituted cycloheteroalkyl.
The term "alkylthio" denotes the group -SR, -S(0)n=1_2-R, where R is lower alkyl,
substituted lower alkyl, aryl, substituted aryl, arylalkyl or substituted arylalkyl.
The term "acyl" refers to groups -C(O)R, where R is hydrogen, lower alkyl, substituted lower alkyl, aryl, substituted aryl and the like.
The term "aryloxy" refers to groups -OAr, where Ar is an aryl, substituted aryl, heteroaryl, or substituted heteroaryl group.
The term "amino" refers to the group NRR', where R and R' may independently be hydrogen, lower alkyl, substituted lower alkyl, aryl, substituted aryl, heteroaryl, cycloalkyl, substituted heteroaryl, or acyl.
The term "amido" refers to the group -C(O)NRR', where R and R' may
independently be hydrogen, lower alkyl, substituted lower alkyl, aryl, substituted aryl,
heteroaryl, substituted heteroaryl. The term "carboxyl" refers to the group -C(O)OR, where R may independently
be hydrogen, lower alkyl, substituted lower alkyl, aryl, substituted aryl, heteroaryl,
substituted heteroaryl and the like.
The terms "aryl" and "Ar" refer to an aromatic carbocyclic group having at least one
aromatic ring (e.g., phenyl or biphenyl) or multiple condensed rings in which at least one
ring is aromatic, (e.g., 1,2,3,4-tetrahydronaphthyl, naphthyl, anthryl, or phenanthryl).
The term "substituted aryl" refers to aryl optionally substituted with one or more
functional groups, e.g., halogen, lower alkyl, lower alkoxy, lower alkylthio,
trifluoromethyl, amino, amido, carboxyl, hydroxyl, aryl, aryloxy, heterocycle, heteroaryl,
substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and the like.
The term "heterocycle" refers to a saturated, unsaturated, or aromatic carbocyclic
group having a single ring (e.g., morpholino, pyridyl or furyl) or multiple condensed
rings (e.g., naphthpyridyl, quinoxalyl, quinolinyl, indolizinyl or benzo[b]thienyl) and having
at least one hetero atom, such as N, O, or S, within the ring, which can optionally be
unsubstituted or substituted with, e.g., halogen, lower alkyl, alkoxy, lower alkylthio,
trifluoromethyl, amino, amido, carboxyl, hydroxyl, aryl, aryloxy, heterocycle, heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and the like.
The term "heteroaryl" refers to a heterocycle in which at least one heterocyclic ring is aromatic. The term "substituted heteroaryl" refers to a heterocycle optionally substituted with one or more substituents including halogen, lower alkyl, lower alkoxy, lower alkylthio,
trifluoromethyl, amino. amido, carboxyl, hydroxyl, aryl, aryloxy, heterocycle, heteroaryl,
substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and the like. The term "arylalkyl" refers to the group -R-Ar where Ar is an aryl group and R is lower alkyl or substituted lower alkyl group. Aryl groups can optionally be unsubstituted or
substituted with, e.g., halogen, lower alkyl, alkoxy, alkylthio, trifluoromethyl, amino,
amido, carboxyl, hydroxyl, aryl, aryloxy, heterocycle, heteroaryl, substituted heteroaryl,
nitro, cyano. thiol, sulfamido and the like.
The term "heteroalkyl" refers to the group -R-Het where Het is a heterocycle group and R is a lower alkyl group. Heteroalkyl groups can optionally be unsubstituted or
substituted with e.g., halogen, lower alkyl, lower alkoxy, lower alkylthio, trifluoromethyl,
amino, amido, carboxyl, hydroxyl, aryl, aryloxy, heterocycle, heteroaryl, substituted
heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and the like. The term "heteroarylalkyl" refers to the group -R-HetAr where HetAr is a heteroaryl
group and R is a lower alkyl or substituted lower alkyl. Heteroarylalkyl groups can
optionally be unsubstituted or substituted with, e.g., halogen, lower alkyl, substituted lower alkyl, alkoxy, alkylthio, aryl, aryloxy, heterocycle, heteroaryl, substituted heteroaryl, nitro,
cyano, alkylthio, thiol, sulfamido and the like.
The term "cycloalkyl" refers to a divalent cyclic or polycyclic alkyl group containing
3 to 15 carbons. For polycyclic groups, these may be multiple condensed rings in which
one of the distal rings may be aromatic (e.g., indanyl, tetrahydronaphthalene, etc. . . .).
The term "substituted cycloalkyl " refers to a cycloalkyl group comprising one or
more substituents with, e.g., halogen, lower alkyl, substituted lower alkyl, alkoxy, alkylthio, aryl, aryloxy, heterocycle, heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol,
sulfamido and the like.
The term "cycloheteroalkyl" refers to a cycloalkyl group wherein one or more of the
ring carbon atoms is replaced with a heteroatom (e.g., N, O, S or P).
The term "substituted cycloheteroalkyl" refers to a cycloheteroalkyl group as herein
defined which contains one or more substituents, such as halogen, lower alkyl, lower
alkoxy, lower alkylthio, trifluoromethyl, amino, amido, carboxyl, hydroxyl, aryl, aryloxy,
heterocycle, heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and
the like.
The term "alkyl cycloalkyl" refers to the group -R-cycloalkyl where cycloalkyl is a
cycloalkyl group and R is a lower alkyl or substituted lower alkyl. Cycloalkyl groups can
optionally be unsubstituted or substituted with e.g. halogen, lower alkyl, lower alkoxy,
lower alkylthio, trifluoromethyl, amino, amido, carboxyl, hydroxyl, aryl, aryloxy,
heterocycle, heteroaryl, substituted heteroaryl, nitro, cyano, alkylthio, thiol, sulfamido and
the like.
If the compound useful in the method of this invention contains a basic group, an
acid addition salt may be prepared. Acid addition salts of the compounds are prepared in a
standard manner in a suitable solvent from the parent compound and an excess of acid, such
as hydrochloric, hydrobromic, sulfuric, phosphoric, acetic, maleic, succinic, or
methanesulfonic. If the final compound contains an acidic group, cationic salts may be
prepared. Typically the parent compound is treated with an excess of an alkaline reagent,
such as hydroxide, carbonate or alkoxide, containing the appropriate cation. Cations such as
Na+, K\ Ca2+ and NH4+ are examples of cations present in pharmaceutically acceptable salts.
It is within the knowledge of one skilled in the art that stereoisomers of the compositions described herein as well as isomers and stereoisomers of components that
comprise the compositions identified herein all fall within the scope of compositions that
are both novel and useful in the therapeutic method of this invention.
The process for manufacturing compounds according to the invention can be
illustrated by way of example by the following reaction scheme:
Figure imgf000015_0001
Generally, processes for the synthesis of useful compounds of this invention are
characterized by the reaction of compounds of the general formula (1):
H
R N R2
(1)
wherein R1 and R2 are substituents as described above. Compound (1) is reacted with a compound (2) of the general formula:
Figure imgf000015_0002
(2) in which R3 and R4 have the meaning given above, wherein 'Y is a halide, hydroxyl, or O-
acyl and wherein Y represents a halide, and preferably bromine. The reaction of Compound
(1) and Compound (2) occurs in inert solvents and in the presence of base and/or auxiliaries, to give compound (3) having the general formula:
Figure imgf000016_0001
o
(3) in which R', R2, R3, R4 and Y have the meaning given above. Compound (3) is then reacted
with thiols or alcohols of the general formula HXR5 in which R5 and X each have the
meanings given above. Compound (3) is reacted with HXR5 in one or more inert solvents,
if appropriate, in the presence of base and/or auxiliaries.
Solvents useful in the processes are customary organic solvents that do not change
under the reaction conditions. These preferably include ethers such as diethyl ether, dioxane,
tetrahydrofuran, glycol dimethyl ether, or alcohols, for example methanol, ethanol,
propanol, isopropanol, butanol, iso butanol or tert butanol, or hydrocarbons such as
benzene, toluene, xylene, hexane, cyclohexane or petroleum fractions, or halogenated
hydrocarbons such as dichloromethane, trichloromethane, tetrachloromethane,
dichloroethylene, trichloroethylene or chlorobenzene, or ethyl acetate, triethylamine,
pyridine, dimethylsulphoxide, dimethylformamide, hexamethylphosphoramide, acetonitrile,
acetone or nitromethane. It is also possible to use mixtures of the solvents mentioned.
Dimethylformamide and dimethylsulphoxide are preferred.
Bases which can be employed for the process are in general inorganic or organic
bases. These preferably include alkali metal hydroxides, for example sodium hydroxide or
potassium hydroxide, alkaline earth metal hydroxides, for example barium hydroxide, alkali
metal carbonates such as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as calcium carbonate, or alkali metal or alkaline earth metal alkoxides such as sodium or potassium methoxide, sodium or potassium ethoxide or potassium tert-
butoxide, or organic amines (trialkyl(Cl-C6)-amines) such as triethylamine, or heterocycles
such as l ,4-diazabicyclo[2.2.2]octane (DABCO), l,8-diazabicyclo[5.4.0]undec-7-ene
(DBU), pyridine, 4-dimethylaminopyridine, methylpiperidine or morpholine. It is also
possible to employ as bases alkali metals such as sodium or their hydrides such as sodium
hydride. Potassium carbonate is preferred.
The above mentioned bases can, if appropriate, also be employed as acid-binding
auxiliaries. Suitable auxiliaries are also dehydrating reagents. These include, for example,
carbodiimides such as diisopropylcarbodiimide. dicyclohexylcarbodiimide or N-(3-
dimethylaminopropyl)-N'-ethylcarbodiimide hydrochloride or carbonyl compounds such as
carbonyldiimidazole or 1 ,2-oxazolium substituents such as 2-ethyl-5-phenyl-19-oxazolium-
3-sulphonate or propanephosphonic anhydride or iso-butyl chloroformate or benzotriazolyloxy-tris-(dimethylamino)phosphonium hexafluorophosphate or diphenyl
phosphoramidate or methane-sulphonyl chloride, if appropriate in the presence of bases
such as triethylamine or N-ethylmorpholine or N-methylpiperidine or
dicyclohexylcarbodiimide and N-hydroxysuccinimide. The acid-binding agents and
dehydrating reagents are in general employed in an amount from 0.5 to 3 mol, preferably
from 1 to 1.5 mol, relative to 1 mol of the corresponding carboxylic acids.
In general, the base is employed in an amount from 0.05 to 10 mol, preferably from 1 to 2 mol, relative to 1 mol of the compound (2).
The processes for manufacturing compounds according to the invention are in
general carried out in a temperature of from about -30°C to about 110°C, preferably from about -10°C to about 50°C. The manufacturing processes are in general carried out at
normal pressure. However, it is also possible to carry out the processes at elevated pressure or at reduced pressure (e.g. in a range from 0.5 to 5 bar).
Suitable solvents for the reaction with thiols or alcohols in this case are inert organic solvents which do not change under the reaction conditions. These preferably include ethers, such as diethyl ether or tetrahydrofuran, halogenated hydrocarbons such as
dichloromethane, trichloromethane, tetrachloromethane, 1 ,2-dichloroethane,
trichloroethane, tetrachloroethane, 1 ,2-dichloroethylene or trichloroethylene, hydrocarbons
such as benzene, xylene, toluene, hexane, cyclohexane or petroleum fractions, nitromethane, dimethylformamide, acetone, acetonitrile or hexamethylphosphoramide. It is also possible
to employ mixtures of the solvents. Dichloromethane, tetrahydrofuran, dimethylformamide,
or dimethylsulfoxide is particularly preferred.
Bases useful in the synthesis process are, in general, inorganic or organic bases
including alkali metal hydroxides, for example sodium hydroxide or potassium hydroxide,
alkaline earth metal hydroxides, for example barium hydroxide, alkali metal carbonates such
as sodium carbonate or potassium carbonate, alkaline earth metal carbonates such as
calcium carbonate, or alkali metal or alkaline earth metal alkoxides such as sodium or
potassium methoxide, sodium or potassium ethoxide or potassium tert-butoxide, or organic
amines (trialkyl(Cl-C6)amines) such as triethylamine, or heterocycles such as 1,4-
diazabicyclo[2.2.2]octane (DABCO), l,8-diazabicyclo[5.4.0]undec-7-ene (DBU), pyridine,
dimethylaminopyridine, methylpiperidine or morpholine. It is also possible to employ alkali metals such as sodium and their hydrides such as sodium hydride as bases. Sodium and
potassium carbonate and triethylamine are preferred bases.
The base is employed in an amount from 1 mol to 5 mol, preferably from 1 mol to 3
mol, relative to 1 mol of the appropriate thiol or alcohol. Processes for preparing useful compositions of this invention are illustrated in
Examples 1-3.
The compounds of the present invention are useful for treating mammalian disorders
such as eating disorders, obesity, hypertension, depression, brain or bodily disorders, and
any other disorders mediated by NPY and the related Y5 receptor. It is preferred that the
method of this invention is used to treat obesity and eating disorders such as and bulimia.
Specifically, the method of this invention can be used to inhibit the onset of obesity and to
mediate the appetite in order to control and to reduce obesity mammals such as humans. It
is most preferred that the method of this invention is used to treat obesity in humans. The compounds of the present invention are useful for treating disorders mediated
by NPY via the Y5 receptor in mammals. For purposes of this disclosure, mammals
includes humans, livestock, zoo animals, laboratory animals, experimental animals and pets.
Livestock and related animals include, mammals such as cattle, horses, sheep, pigs, goats,
camels, water buffaloes, donkeys, rabbits, fallow deer, reindeer; fur-bearing animals such as
mink, chinchilla and raccoon; birds such as chickens, geese, turkeys and ducks. Laboratory
animals and experimental animals include mice, rats, guinea pigs, golden hamsters, and pets
include dogs, cats, rats, mice, guinea pigs, pigs, and the like.
The compounds of this invention may be administered to mammals both
prophylactically and therapeutically by any administration protocol that is capable of
supplying at least one compound of this invention to a Y5 receptor. Non-limiting examples of useful administration protocols include orally, parenterally, dermally, transdermally,
rectally, nasally or by any other suitable pharmaceutical composition administration
protocol that is within the knowledge of one skilled in the art. The substituted α-alkoxy and α-thioalkoxyamide compositions of this invention will
be administered in suitable pharmaceutical dosage forms. The pharmaceutical dosage form
will depend largely upon the administration protocol used. The term pharmaceutical dosage form refers to items such as tablets, capsules, liquids and powders, comprising Y5 receptor
inhibitors of this invention alone or in the presence of one or more pharmaceutical additives.
The choice of additives e.g., excipients and adjuvants again will depend largely upon the
chosen administration protocol.
The speed at which the useful compounds of this invention are take up by the body
may also be controlled by combining the useful compositions of this invention with suitable
pharmaceutical additives. For example, useful compounds may be combined with suitable
additives to give a sustained or delayed release formulation. Alternatively, the useful
compounds of this invention may be combined with additives to give an immediate or fast
release dosage form. The substituted α-alkoxy and α-thioalkoxyamide compositions of this
invention can also be incorporated into food products such as biscuits and cookies. In essence,
the compositions can be used as a dietary supplement to reduce or inhibit appetite. Those skilled in the pharmaceutical arts will recognize a wide variety of formulations and vehicles for administering compositions of this invention.
The administration protocol will largely dictate the final form and composition of
pharmaceutical dosage forms comprising the Y5 receptor antagonists of this invention. For
example, internal administration of compounds of this invention is effected, orally, in the
form of powders, tablets, capsules, pastes, drinks, granules, or solutions, suspensions and
emulsions which can be administered orally, or boli, in medicated food, or in drinking
water. Internal administration may also be accomplished using a timed release formulation including additives such as surfactant or starch coated capsules, or using a quick release formulation such as a freeze-dried fast dissolving tablet. Dermal administration is effected,
for example, in the form of transdermal patches, spraying or pouring-on and spotting-on.
Parenteral administration is effected, for example, in the form of injection (intramuscularly,
subcutaneously, intravenously, intraperitoneally) or by implants.
Suitable pharmaceutical dosage forms incorporating the Y5 receptor antagonists of
this invention include but are not limited to solutions such as solutions for injection, oral solutions, concentrates for oral administration after dilution, solutions for use on the skin or
in body cavities, pour-on and spot-on formulations, gels; emulsions and suspension for oral
or dermal administration and for injection; semi-solid preparations; formulations in which
the active compound is incorporated in cream base or in an oil-in- water or water-in-oil
emulsion base; solid preparations such as powders, premixes or concentrates, granules,
pellets, tablets, boli, capsules; aerosols and inhalants, and shaped articles containing active compound.
Pharmaceutical dosage forms that are solutions may be administered by injection
intravenously, intramuscularly and subcutaneously. Solutions for injection are prepared by
dissolving the active compound in a suitable solvent and, if appropriate, adding adjuvants
such as solubilizers, acids, bases, buffer salts, antioxidants and preservatives. The solutions are sterile-filtered and drawn off.
Alternatively, solutions including compositions of this invention may be
administered orally. Concentrates of compositions of this invention are preferably
administered orally only after diluting the concentrate to the administration concentration.
Oral solutions and concentrates are prepared as described above in the case of the solutions
for injection. Solutions for use on the skin are applied dropwise, brushed on, rubbed in, splashed on or sprayed on. These solutions are prepared as described above in the case of solutions for injection.
Gels are applied to the skin, or introduced into body cavities. Gels are prepared by
treating solutions which have been prepared as described in the case of the solutions for
injection with such an amount of thickener that a clear substance of cream-like consistency
is formed, or by any other means known to one skilled in the art.
Pour-on and spot-on formulations are poured onto, or splashed onto, limited areas of
the skin, the active compound penetrating the skin and acting systemically. Pour-on and
spot-on formulations are prepared by dissolving, suspending or emulsifying the active
compound in suitable solvents or solvent mixtures which are tolerated by the skin. If
appropriate, other adjuvants such as colorants, resoφtion accelerators, antioxidants, light
stabilizers, and tackifiers are added.
Emulsions can be administered orally, dermally or in the form of injections.
Emulsions are either of the water-in-oil type or of the oil-in- water type. They are prepared by dissolving Y5 receptor antagonists either in the hydrophobic or in the hydrophilic phase
and homogenizing the phase with a solvent of the opposite phase with the aid of suitable
adjuvants such as emulsifiers, colorants, resoφtion accelerators, preservatives, antioxidants,
light stabilizers, and viscosity-increasing substances.
Suspensions can be administered orally, dermally or in the form of injection. They
are prepared by suspending the active compound in a liquid if appropriate with the addition
of further adjuvants such as wetting agents, colorants, resoφtion accelerators, preservatives, antioxidants and light stabilizers.
The pharmaceutical compositions of this invention may include one or more
additives in the form of pharmaceutically acceptable additives. Useful additives include solvents, solubilizers, preservatives, thickeners, wetting agents, colorants, resoφtion accelerators, antioxidants, light stabilizers, tackifiers, viscosity increasing substances, fillers,
flavorings, lubricating agents, and any other pharmaceutical composition additive known to
those skilled in the art.
The additive may be a solvent such as water, alcohols such as ethanol, butanol,
benzyl alcohol, glycerol, propylene glycol, polyethylene glycols, N-methyl-pyrrolidone,
alkanols, glycerol, aromatic alcohols such as benzyl alcohol, phenylethanol,
phenoxyethanol, esters such as ethyl acetate, butyl acetate, benzyl benzoate, ethers such as
alkylene glycol alkyl ethers such as dipropylene glycol mono-methyl ether, diethylene
glycol mono-butyl ether, ketones such as acetone, methyl ethyl ketone, aromatic and/or
aliphatic hydrocarbons, vegetable or synthetic oils, DMF, dimethylacetamide, N-methyl-
pyrrolidone, 2,2-dimethyl-4-oxy-methylene-l ,3-dioxolane.
The following additives may be useful as solubilizers of the compositions of this
invention: solvents which enhance solution of the active compound in the main solvent or
which prevent its precipitation. Examples are polyvinylpyrrolidone, polyoxyethylated castor oil, polyoxyethylated sorbitan esters.
Useful preservatives are, for example, benzyl alcohol, trichlorobutanol, p- hydroxybenzoic esters, and n-butanol.
Useful thickeners include inorganic thickeners such as bentonite, colloidal silica,
aluminum monostearate, organic thickeners such as cellulose derivatives, polyvinyl alcohols and their copolymers, acrylates and methacrylates.
Other liquids which may be useful in pharmaceutical dosage forms of this invention
are, for example, homogeneous solvents, solvent mixtures, and wetting agents (dispersants) which are typically surfactants. Useful colorants are all colorants which are non-toxic and which can be dissolved or
suspended.
Useful resoφtion accelerators are DMSO, spreading oils such as isopropyl
myristate. dipropylene glycol pelargonate, silicone oils, fatty acid esters, triglycerides, fatty
alcohols.
Useful antioxidants are sulphites or metabisulphites such as potassium
metabisulphite. ascorbic acid, butylhydroxytoluene, butylhydroxyanisole, tocopherol.
A useful light stabilizer is novantisolic acid.
Useful tackifiers include cellulose derivatives, starch derivatives, polyacrylates,
natural polymers such as alginates, gelatin.
Useful emulsifiers include non-ionic surfactants such as polyoxyethylated castor oil,
polyoxyethylated sorbitan monooleate, sorbitan monostearate, glycerol monostearate,
polyoxyethyl stearate, alkylphenol polyglycol ethers; ampholytic surfactants such as Di-Na
N-lauryl- beta -iminodipropionate or lecithin; anionic surfactants, such as Na-lauryl
sulphate, fatty alcohol ether sulphates, the monoethanolamine salt of
mono/dialkylpolyglycol ether orthophosphoric esters; cationic surfactants such as cetyltrimethylammonium chloride.
Useful viscosity-increasing substances and substances which stabilize a therapeutic
emulsion include carboxymethylcellulose, methylcellulose and other cellulose and starch
derivatives, polyacrylates, alginates, gelatin, gum Arabic, polyvinylpyrrolidone, polyvinyl
alcohol, copolymers of methyl vinyl ether and maleic anhydride, polyethylene glycols,
waxes, colloidal silica or mixtures of the substances mentioned.
To prepare solid pharmaceutical dosage forms, the active compound is mixed with suitable additives, if appropriate with the addition of adjuvants, and the mixture is formulated as desired. Examples of physiologically acceptable solid inert additives include sodium chloride, carbonates such as calcium carbonate, hydrogen carbonates, aluminum
oxides, silicas, clays, precipitated or colloidal silicon dioxide, and phosphates. Examples of solid organic additives include sugars, cellulose, foods such as dried milk, animal meals,
cereal meals and coarse cereal meals and starches. Other suitable additives include
lubricants and gliding agents such as magnesium stearate, stearic acid, talc, bentonites;
disintegrants such as starch or crosslinked polyvinylpyrrolidone; binders such as, starch,
gelatin or linear polyvinylpyrrolidone; and dry binders such as microcrystalline cellulose.
In the pharmaceutical dosage forms described herein, the active compounds can be
present in the form of a mixture with at least one other Y5 receptor antagonist compound.
Alternatively, or in addition, the pharmaceutical dosage forms of the invention can, in
addition to at least one Y5 receptor antagonist, include any pharmaceutical compound that is
capable of treating any known malady or disorder where the administration of both together
create no unacceptable adverse effects.
Methods for treating NPY mediated diseases and disorders comprises the administration of an effective quantity of the chosen compound or combinations thereof,
preferably dispersed in a pharmaceutical dosage form. Ready-to-use pharmaceutical dosage
forms of this invention contain the active compound in concentrations of from 10 ppm to 20
per cent by weight, and preferably of from 0.1 to 10 per cent by weight. Pharmaceutical
dosage forms of this invention that are diluted prior to administration, preferably contain
the active compound in concentrations of from 0.5 to 90 per cent by weight, and preferably
of from 5 to 50 per cent by weight. In general, it has proved advantageous to administer
amounts of approximately 0.0 lmg to approximately 100 mg of active compound per kg of body weight per day to achieve effective results. The amount and frequency of administration of pharmaceutical dosage forms
comprising Y5 receptor antagonists of this invention will be readily determined by one
skilled in the art depending upon, among other factors, the route of administration, age and condition of the patient. These dosage units may be administered one to ten times daily for
acute or chronic disease. No unacceptable toxicological effects are expected when
compounds of the invention are administered in accordance with the present invention.
The pharmaceutical dosage forms comprising Y5 receptor antagonists of this
invention are made following the conventional techniques of pharmacy involving milling,
mixing, granulation, and compressing, when necessary, for tablet forms; or milling,
mixing and filling for hard gelatin capsule forms. When a liquid additive is used, the
preparation will be in the form of a syrup, elixir, emulsion or an aqueous or non-aqueous
suspension. Such a liquid formulation may be administered directly p.o. or filled into a
soft gelatin capsule.
While the compositions described herein may be administered as described above, (i.e., intramuscular, intravenous and subcutaneous etc .), it is preferred that the method of
this invention is achieved by administering the compound described herein orally. When
the oral administration route is chosen, a larger quantity of reactive agent will be required to
produce the same effect as a smaller quantity given for example parenterally. In accordance
with good clinical practice, it is preferred to administer the compound according to this
method at a concentration level that would produce effective therapeutic results without causing any harmful side effects.
The compositions of this invention have non-therapeutic utility as well. The
compositions of this invention are useful as analytical standards for Y5 receptor agonist or antagonist assays. Compounds 1-136 identified in the Examples and in Tables 1 and 2 below are
believed heretofore to be unknown. Known compounds that may be useful in the novel
therapeutic method of this invention are disclosed in Table 4 below and are available from
Maybridge SPB in Tintagel, Cornwall, Great Britain, from G&J Research Chemicals, Ltd.,
Great Britain, or are known in the literature.
EXAMPLES
The following specific examples are included as illustrations and are not to be construed
as limiting the scope of the inventions disclosed herein in any way.
The compounds useful in the therapeutic method of this invention are prepared by
conventional methods of organic chemistry. Unless otherwise noted, reagents and
solvents were obtained from commercial suppliers and were used without further
purification.
The following solvent systems were used for analytical thin-layer chromatography
(TLC): (A) 50:50 hexane-ethyl acetate, (B) 80:20 methanol-water, (C) 40:60 ethyl acetate-
dichloromethane, (D) ethyl acetate, (E) 90:10 chloroform-methanol. TLC was performed
on Merck Kieselgel 60 F254 silica gel plates (solvent systems A, C, D, and E); or, Baker
Reversed Phase Octadecyl (Ci8) plates (solvent system B). Detection was effected by
exposure to UV light (254 nm) or by immersion in basic aqueous potassium permanganate
solution. Chromatography was performed using Silica Gel 60 (#9385-5) from EM Science. Melting points were recorded in open capillary tubes and are uncorrected.
H NMR spectra were determined at 300 MHz using a General Electric GE-
OMEGA 300 spectrometer. Chemical shifts are reported in parts per million (δ) values
relative to tetrame hylsilane as internal standard. Spin multiplicities are reported using the following abbreviations: singlet (s), doublet (d), triplet (t), quartet (q), multiplet (m), and
broad (br). Coupling constants are in Hertz.
Fast atom bombardment (FAB) mass spectra were recorded using a Kratos Concept 1 spectrometer; electron impact (El) and chemical ionization (CI) mass spectra were
recorded using a Hewlett-Packard MS Engine (HP5989A) spectrometer; liquid
chromatography-mass spectra (LC-MS) were recorded using a Finningan MAT LCQ
spectrometer.
Rainin high performance liquid chromatography (HPLC) systems with UV detectors
at 254 nm were used under the following conditions: (N) Ci8 Reversed Phase Cartridge
Column (Perkin Elmer/PE Xpress #0258-0164); 20:80 (0.1 :99.9 trifluoroacetic acid-
acetonitrile)-(0.1 :2:97.9 trifluoroacetic acid-acetonitrile-water) to 95:5 (0.1:99.9
trifluoroacetic acid-acetonitrile)-(0.1 :2:97.9 trifluoroacetic acid-acetonitrile-water) over 8
minutes, 95:5 (0.1:99.9 trifluoroacetic acid-acetonitrile)-(0.1 :2:97.9 trifluoroacetic acid- acetonitrile-water) for 2 minutes; 3 mL/min. (O) Rainin Microsorb 80-225-C5 Ci8
Reversed Phase column with Microsorb 80-200-G5 C]8 Reversed Phase guard column;
50:50 (0.1 :99.9 trifluoroacetic acid-acetonitrile)-(0.1 :2:97.9 trifluoroacetic acid-acetonitrile-
water) to 100:0 (0.1 :99.9 trifluoroacetic acid-acetonitrile)-(0.1 :2:97.9 trifluoroacetic acid-
acetonitrile-water) over 5 minutes, 0.1 :99.9 trifluoroacetic acid-acetonitrile for 5 minutes; 1 mL/min. EXAMPLE 1
Preparation of Intermediate - N-Biphenyl-2-chloroacetamide
Intermediates to the compositions of this invention were prepared according to the
method of this Example. Specifically, an N-biphenyl-2-chloroacetamide intermediate was
prepared as follows:
Figure imgf000029_0001
4-Aminobiphenyl (1.13 g, 6.70 mmol) was added to a mixture of chloroacetyl chloride
(0.532 mL, 6.70 mmol) and diisopropylethylamine (1.16 mL, 6.70 mmol) in dichloromethane (40 mL). After 4 hours the mixture was diluted with ethyl acetate and
washed with 1 N hydrochloric acid, water, and saturated aqueous sodium chloride solution,
dried (MgS04), and concentrated in vacuo to give the desired material as a colorless solid
(1.56 g, 95%). H NMR (CDCI3, 300 MHz) δ 8.3 (br s, 1 H), 7.57 - 7.66 (m, 6 H), 7.44 -
7.47 (m, 2 H), 7.36 (m, 1 H), 4.23 (s, 2 H).
Using the same or analogous methods, intermediates were prepared that were subsequently used according to the methods set forth in the Examples below to synthesize compounds of this invention. EXAMPLE 2
Preparation of Compound 1
N-Biphenyl-4-yl-2-(l-methyl-lH-imidazoI-2-ylsulfanyl)-acetamide
Compound 1 was prepared according to the following general method:
Figure imgf000030_0001
Compound 1
A mixture of 2-mercapto-l-methylimidazole (294 mg, 2.6 mmol), potassium
carbonate (391 mg, 2.8 mmol), and N-biphenyl-2-chloroacetamide (630 mg, 2.6 mmol;
from Example 1) in N,N-dimethylformamide (12 mL) was stirred overnight. The mixture
was diluted with water and extracted with ethyl acetate. The organic layer was washed with
water and saturated aqueous sodium chloride solution, dried (MgS04), and concentrated in
vacuo. The residue was purified by flash column chromatography using a gradient
(chloroform, 5% methanol / chloroform, 10% methanol / chloroform) to give the desired
material as a colorless solid (560 mg, 67%): mp 151-154°C. !H NMR DMSO-dβ, 300
MHz) δ 10.44 (s, 1 H), 7.58-7.66 (m, 6 H), 7.41 (m, 2H), 7.23 (s, 1 H), 7.27 (m, 1 H), 6.95
(s, 1 H), 3.52 (s, 2 H), 3.35 (s, 3 H). FAB-MS 324 (M + H+).
The compounds in Table 1, below, were prepared by methods analogous to the method used above to prepare Compound 1. TABLE 1
MP
Composition Name % Yield TLC MS (°C) ι4H-[1,2,4]triazol-3-ylsulfanyl]-N-(4- ;trifluoromet yl-phenyl)-acetamide 'N-(4-CycIohexyi-phenyl)-2-(1-methyl- 176- lH-imidazol-2-ylsulfanyl)-acetamide 0.40 (D), 329 (M+, El), 177 IHydrochloride .. ^ .^g^ _ _p_^-g ^ |y_ :(i H -ifrϊid azo I-; .~*33β(M+H+,'
79 0.30 (A)
;ylsulfanyl)-acetamide FAB) ιN-(4-Cyclo exyl-plιenyl)-2-(4-m"eTlϊyT
342(M+H+,
;pyrimidin-2-ylsulfanyl)-acetamide 52 158 I 0.61 (A) FAB) iHydrochloride ~r2^:T^ή^xy-penfaϊe"diό"ic^crd"&is"^~
'tolylamide ~*"2-P7ϊe ny lsul&nyT-p h f a n eHToTc~ac icT bis-phenylamide
EXAMPLE 3
Preparation of Compound 8
N-(4-CyclohexyI-phenyl)-2-(l-methyl-lH-tetrazoI-5-ylsulfanyl)-acetamide
Compound 8 was prepared according to both of the following methods:
Figure imgf000031_0001
Compound 8 Method A
A mixture of N-(4-cyclohexyl-phenyl)-2-bromoacetamide (1.48 g, 5.0 mmol), 5-
mercapto-1-methyltetrazole (0.58 g, 5.0 mmol), and sodium carbonate (530 mg, 5.0 mmol)
in dimethylsulfoxide (50 mL) was stirred at room temperature for 16 hours. The mixture
was diluted with water and extracted with ethyl acetate (3x). The combined organic layer was washed with saturated aqueous sodium chloride solution, dried (MgSO4), and
concentrated to give a solid (3.75 g). The crude was recrystallized from ethyl acetate to give N-(4-cyclohexyl-phenyl)-2-(l -methyl- lH-tetrazol-5-ylsulfanyl)-acetamide as a colorless
solid (1.18 g, 71%): mp 204-205°C; !H NMR (300 MHz, CDCI3) δ 9.26 (br s, 1 H), 7.44
(d, 2 H), 7.15 (d, 2 H), 4.05 (s, 3 H), 3.96 (s, 2 H), 2.45 (m, 1 H), 1.75 (m, 5 H), 1.37 (m, 5
H). MS m/z 332 (M+H+ ); Anal Calcd for C16H21N5OS: C, 57.98; H, 6.39; N, 21.13.
Found: C, 58.01 ; H, 6.34; N, 21.32.
Method B
A mixture of N-(4-cyclohexyl-phenyl)-2-bromoacetamide (29.6 mg, 0.10 mmol), 5- mercapto-1-methyltetrazole (1 1.6 mg, 0.10 mmol), and potassium carbonate (13.8 mg, 0.1
mmol) in dimethylsulfoxide (1.0 mL) was stirred 1 hour. The mixture was filtered through
a short pad of Celite in a pasteur pipette. TLC Ry 0.28 (silica gel, 50:50 hexane / ethyl
acetate); HPLC 4.53 min (C18 Cartridge column (Perkin Elmer/PE Xpress #0258-0164)
20:80 Acetonitrile / water to 95:5 acetonitrile / water); LC-MS 332 (M + H+). The filtrate was tested directly in the in vitro biological assays.
If desired, the pure compound could be isolated: The filtrate was diluted with water
and extracted with ethyl acetate. The organic layer was washed with saturated aqueous sodium chloride solution (2x), dried (MgSθ4), and concentrated to give a solid (31 mg). The crude product was recrystallized from ethyl acetate to give the product as a colorless
solid (19 mg, 58%). mp 203-205°C; the NMR was identical to that of the material prepared by Method A; and, in TLC analysis using 50:50 hexane-ethyl acetate, the product
co-eluted with the material prepared using Method A.
The compounds listed in Table 2, below, were prepared by methods analogous to the methods used above to prepare compound 8. NR in Table 2 indicates no data was recorded.
TABLE 2
Figure imgf000033_0001
Figure imgf000034_0001
Figure imgf000035_0001
Figure imgf000036_0001
Figure imgf000037_0001
Figure imgf000038_0001
Figure imgf000039_0001
EXAMPLE 4
The compounds prepared in Examples 2-3 as well as the prior art compounds set
forth in Table 4, below, were tested for NPY Y5 receptor binding affinity according to one
or more of the protocols set forth below. The test results are reported in Table 3, below.
A. Human NPY1 Receptor Binding Assay
This is a modification of Gordon et al., (J. Neurochem. 55:506-513, 1990). SK-N-
MC cells (ATCC, Rockville, MD) were plated in 24-well plates. Once confluent, cells are rinsed with Dulbecco's phosphate buffered saline (DPBS). Cells were then preincubated in
binding buffer containing serum-free DMEM, 25 mM HEPES (pH 7.3), 0.5%> bovine serum
albumin (BSA), 0.1%) bacitracin and 0.1 mM phenylmethylsulfonylfluoride for 30 minutes
at room temperature. Drug dilution and [125FJPYY (-50 pM: NEN-DuPont) are added to
the wells, and the cells are incubated for an additional 3 hours at room temperature,
followed by rinsing with ice-cold DPBS. Nonspecific binding is defined with 1 μM NPY.
After lysing the cells with 1% Triton X-100, the amount of radioactivity in the lysates is
quantitated with a gamma counter. IC50 values, which correspond to 50%. inhibition of
specific binding, are determined with non-linear regression analysis. The results of compounds tested according to this protocol are reported in Table 3.
B. Human NPY2 and NPY4 PP1 Recentor Binding Assays
Binding assays were performed on GF/C Millipore 96-well plates pretreated with
0.02%) polyethylenimine. The binding buffer for rat Y2 binding is Krebs-Ringer bicarbonate (pH 7.4) containing 0.01% BSA and 0.005%> bacitracin. Samples consist of membrane protein, 25 pM [125IJPYY and drug dilution. Nonspecific binding is defined by
1 μM NPY. The binding buffer for human Y4/PP1 binding consists of 137 mM NaCl, 5.4 mM KC1, 0.44 mM KH2PO4, 1.26 mM CaCl2, 0.81 mM MgSO4, 20 mM HEPES, 1 mM
dithiothreitol, 0.1%) bacitracin, 100 mg/1 streptomycin sulfate, 1 mg/1 aprotinin, 10 mg/ml
soybean trypsin inhibitor and 0.3% BSA, pH 7.4. Samples consist of membrane protein, 50
pM human [125I]human PP (hPP: NEN DuPont, Boston, MA) and drug dilution. 1 μM
hPP is used to define nonspecific binding.
After a 2 hour incubation at room temperature with constant mixing, the samples are
aspirated on a vacuum manifold, and rinsed with ice-cold binding buffer. The amount of
radioactivity in each well is quantitated with either gamma counting or liquid scintillation.
IC50 values, which correspond to 50% inhibition of specific binding, are determined with
non-linear regression analysis. The results of compounds tested according to this protocol are reported in Table 3.
C. Human and Rat NPY5 Receptor Binding Assays
Binding assays are performed on GF/C Millipore 96-well plates pretreated with
0.02% polyethylenimine. The binding buffer is 25 mM Tris, 120 mM NaCl, 5 mM KC1, 1.2
mM KH2P04, 2.5 mM CaCl2, 1.2 mM MgSO4, 0.1% BSA and 0.5 mg/ml bacitracin, pH 7.4.
Samples consist of membrane protein, 75-100 pM [125I]PYY (porcine, NEN-DuPont) and
drug dilution. Nonspecific binding is defined by 1 μM PYY. After a 2 hour incubation at
room temperature with constant mixing, the samples are aspirated on a vacuum manifold, and rinsed with ice-cold binding buffer. The amount of radioactivity in each well is
quantitated with either gamma counting or liquid scintillation. IC50 values, which correspond to 50%> inhibition of specific binding, are determined with non-linear regression
analysis. The results of compounds tested according to this protocol are reported in Table 3.
D. Rat NYP5 Cyclase Assay (In Vitro Functional Assay)
Cells stably expressing the rat NPY5 receptor are resuspended in serum-free DMEM
containing 10 mM HEPES (pH 7.4) and 1 mM isobutylmethylxanthine (IBMX). 1 μM
forskolin and drug dilution are then added to the cells. After a 20 minute incubation of the
samples at 37°C, the assay is stopped by placing the samples in boiling water for 3 minutes.
The cAMP produced in each sample is quantitated with a radioimmunoassay kit (NEN
DuPont). Data are expressed as a percentage of forskolin-stimulated adenylate cyclase. The
results of compounds tested according to this protocol are reported in Table 3.
TABLE 3
Figure imgf000041_0001
Figure imgf000042_0001
Figure imgf000043_0001
Figure imgf000044_0001
Figure imgf000045_0001
* percent inhibition at lOμM.
Compounds 137 - 188, each tested according to one or more assays set forth in this
Example are known compounds. The name of each known compound and its source is set forth in Table 4 immediately below. TABLE 4
Figure imgf000046_0001
Figure imgf000047_0001
Figure imgf000048_0001
EXAMPLE 5
This example describes the preparation of a tablet that includes composition 1 as prepared in Example 2.
Formulation of a coated tablet according to the invention Each tablet contains:
Compound 1 of Example 2 583.0 mg Microcrystalline cellulose 55.0 mg Corn starch 72.0 mg
Poly ( 1 -vinyl-2-pyrrolidone) 30.0 mg Highly dispersed silica 5.0 mg Magnesium stearate 5.0 mg
Total 750.0 mg The tablet coating contains:
Poly(O-hydroxypropyl O-methyl)-cellulose 15 cp 6.0 mg
Macrogol 4000 rec. INN 2.0 mg (polyethylene glycol DAB) 2.0 mg
Titanium(IV) oxide 10.0 mg
While the present invention has been described by means of specific embodiments, it will be understood that modifications may be made without departing from the spirit of the
invention. The scope of the invention is not to be considered as limited by the description of the invention set forth in the specification and examples.

Claims

What we claim is:
1. A method for treating mammalian disorders mediated by the NPY Y5
receptor comprising administering to the mammal a therapeutically effective amount of at
least one compound having the formula:
or pharmaceutically acceptable salts thereof wherein R,-R5 are each individually selected
from the group of substituents including hydrogen, halogen, hydroxyl, thiol, lower alkyl,
substituted lower alkyl, alkenyl, alkynyl, alkylalkenyl, alkyl alkynyl, alkoxy, alkylthio,
acyl, aryloxy, amino, amido, carboxyl, aryl, substituted aryl, heterocycle, heteroaryl,
substituted heterocycle, heteroalkyl, cycloalkyl, substituted cycloalkyl, alkylcycloalkyl, alkylcycloheteroalkyl, phenyl, substituted phenyl, benzothiophene, furan, fluoride, nitro,
cyano, naphthyl, substituted naphthyl, fluorene, substituted fluorene and dibenzofuran, and
wherein X is oxygen or sulfur.
2. The method according to claim 1 wherein R' is selected from the group of
substituents including lower alkyl, substituted lower alkyl, substituted phenyl, phenyl,
benzothiophene, furan, naphthyl, substituted naphthyl, fluorene, substituted fluorene, dibenzofuran and fluorine.
3. The method according to claim 1 wherein R1 is: phenyl that is substituted with one or more substituents including phenyl, cyanophenyl, halogens including fluoride,
chloride , iodide, and bromide, thiophene, perfluoroalkyl, cyclohexyl, alkoxy, benzoyl, a
branched or straight chain alkyl group having from 1 to 6 or more carbon atoms; naphthyl; substituted naphthyl; fluorene; substituted fluorene; and dibenzofuran.
4. The method according to claim 1 wherein R2 is selected from the group hydrogen, an unsubstituted alkyl having from 1 to 6 carbon atoms, and a substituted alkyl
wherein the alkyl group has from 1 to 6 carbon atoms.
5. The method according to claim 1 wherein R3 and R4 are each individually
selected from the group hydrogen, lower alkyl, substituted lower alkyl, and phenyl.
6. The method according to claim 5 wherein R3 and R4 are each individually
selected from hydrogen, -CH3, unsubstituted phenyl, and from phenyl that is substituted
with halogen, with an alkoxy having from 1 to 6 carbon atom, and with an alkyl group
having from 1 to 6 carbon atoms.
7. The method of claim 1 wherein R1 and R2 taken together with an adjacent
nitrogen atom form a 3 to 7 atom heterocycle.
8. The method according to claim 1 wherein R5 is: a lower alkyl; a substituted
lower alkyl wherein the substituted lower alkyl may be substituted with one or more
substituents selected from the group including hydroxyl, mercaptomethylphenyl, furan, and
phenyl substituted up to three times with a methyl group; N-methylpiperdine; phenyl
optionally substituted with a lower alkyl group, alkoxy, thioalkoxy, amino, aminoacyl,
hydroxyl or fluoro group; pyridine; pyridine N-oxide; unsubstituted pyrimidine; pyrimidine
substituted with from one to three substituents selected from the group including lower
alkyl, hydroxyl, nitroso, amino, trifluoromethyl, and thiol; 1,3,5-triazine substituted up to
two times with amino, thiol, or a mixture thereof; 4,5-dihydrothiazole; phenyl substituted 1,2,4-oxadiazole; 1,3,4-oxadiazole substituted with phenyl or with 2,4-
dichlorophenoxyethyl; 1,3,4-thiadiazole substituted with amino, an aminoalkyl group
having from 1 to 6 carbon atoms, and with lower alkyl; unsubstituted imidazole; imidazole
that is substituted with one or more substituents including lower alkyl, phenyl, chloride substituted phenyl, hydroxymethyl, carboalkoxy, and mixtures thereof; 4,5- dihydroimidazole; lower alkyl substituted 4, 5-dihydroimidazole; 1,2,4-triazole; 1, 2, 4-
triazole that is mono-substituted or bi-substituted with lower alkyl. unsubstituted thiazole,
thiazole that is mono-substituted or bi-substituted with lower alkyl or 5-methylisoxazole thereof, lower alkyl substituted isoxazole, furan, unsubstituted imidazole, imidazole that is
substituted with one or more substituents including lower alkyl, thioalkoxy,
thiophenylsufanylmethyl, thiophenylmethyl, 4-methyl-5-(3-methylsulfanyl-6; 7-
dihydrobenzo[c]thiophene), unsubstituted pyridine, pyridine that is substituted with one or
more substituents including alkoxy, chloride, trifluoromethyl or mixtures thereof, amino, trifluoromethyl, unsubstituted phenyl, phenyl that is substituted with alkoxy, chloride,
trifluoromethyl and mixtures thereof, 2, 2-dimethoxyethyl, 2-oxo-5-trifluormethyl-2H- pyridin-1 -methyl or hydroxy; 3 -fluorophenyl substituted 5-oxo-l, 2, 4 triazole;
unsubstituted tetrazole; tetrazole substituted with lower alkyl, phenyl, or hydroxy
substituted phenyl; unsubstituted benzoimidazole; benzoimidazole that is substituted with
one or more substituents including lower alkyl, alkoxy, nitro, trifluoromethyl, and mixtures
thereof; unsubstituted benzothiazole; benzothiazole that is substituted with alkoxy or chloride; benzooxazole; unsubstituted pyrazolo[3,4-d]pyrimidin; amine substituted
pyrazolo[3,4-d]pyrimidin; l,2,4-triazolo[l,5a]pyrimidine; amine substituted 1,2,4-
triazolo[l,5a]pyrimidine; l,2,4-triazolo[l,5a]pyrimidine bi-substituted with unsubstitued or
substituted lower alkyl or bi-substituted with unsubstituted or substituted pyridine that when
substituted is mono- or bi-substituted with amine, hydroxy, 3, 4-dihydroxy-5-
hydroxymethyltetrahydrofuran, or mixtures thereof; 4-oxo-3, 4-dihydroquinazoline;
quinazoline; quinoline; and trifluoromethyl substituted quinoline.
9. The method according to claim 1 wherein the pharmaceutical result is
selected from obesity and eating disorders.
10. The method according to claim 9 wherein the mammal is a human and the
eating disorder is selected from the group consisting of bulimia and obesity.
11. The method according to claim 1 wherein the pharmaceutical result is the
treatment of obesity related disorders.
12. The method according to claim 1 wherein the mammal is a human.
13. The method according to claim 1 wherein the therapeutically effective
amount ranges from about 0.001 to about 100 mg/kg weight of the mammal.
14. The method according to claim 1 wherein the composition is administered orally in the form of a solution.
15. The method according to claim 1 wherein the composition is administered
orally in the form of a tablet.
16. A composition of matter having the formula:
Figure imgf000053_0001
or pharmaceutically acceptable salts thereof wherein R'-R5 are each individually selected
from the group of substituents including hydrogen, halogen, hydroxyl, thiol, lower alkyl,
substituted lower alkyl, alkenyl, alkynyl, alkylalkenyl, alkyl alkynyl, alkoxy, alkylthio,
acyl, aryloxy, amino, amido, carboxyl, aryl, substituted aryl, heterocycle, heteroaryl,
substituted heterocycle, heteroalkyl, cycloalkyl, substituted cycloalkyl, alkylcycloalkyl, alkylcycloheteroalkyl, nitro, or cyano, X is oxygen or sulfur, except that R1 is not any compound that is used in the R1 position of compounds 137-188 of Table 4.
17. The composition of claim wherein R' is selected from the group of
substituents including lower alkyl, substituted lower alkyl, substituted phenyl, phenyl,
benzothiophene, furan naphthyl, substituted naphthyl, fluorene, substituted fluorene,
dibenzofuran, and fluorine.
18. The composition of claim 16 wherein R1 is: phenyl that is mono-substituted or bi-substituted with one or more substituents including phenyl, cyanophenyl, halogens
including fluoride, chloride, and bromide, thiophene, perfluoroalkyl, cyclohexyl, alkoxy,
benzoyl, iodide, a branched or straight chain alkyl group having from 1 to 6 or more carbon
atoms; naphthyl; substituted naphthyl; fluorene; substituted fluorene; and dibenzofuran.
19. The composition according to claim 16 wherein R3 and R4 are each
individually selected from the group hydrogen, lower alkyl, substituted lower alkyl, and
phenyl.
20. The composition according to claim 16 wherein R3 and R4 are each individually selected from hydrogen, -CH3, unsubstituted phenyl, and from phenyl that is
substituted with halogen, with an alkoxy having from 1 to 6 carbon atoms, and with an alkyl
group having from 1 to 6 carbon atoms.
21. The composition of claim 16 wherein R1 and R2 taken together with an
adjacent nitrogen atom form a 3 to 7 atom heterocycle.
22. The composition of claim 16 wherein R5 is: a lower alkyl; a substituted
lower alkyl wherein the substituted lower alkyl may be substituted with one or more
substituents selected from the group including hydroxyl, mercaptomethylphenyl, furan, and
phenyl substituted up to three times with a methyl group; N-methylpiperdine; phenyl optionally substituted with a lower alkyl group, alkoxy, thioalkoxy, amino, aminoacyl, hydroxyl or fluoro group; pyridine; pyridine N-oxide; unsubstituted pyrimidine; pyrimidine
substituted with from one to three substituents selected from the group including lower
alkyl, hydroxyl, nitroso, amino, trifluoromethyl, and thiol; 1,3,5-triazine substituted up to two times with amino, thiol, or a mixture thereof; 4,5-dihydrothiazole; phenyl substituted
1,2,4-oxadiazole; 1,3,4-oxadiazole substituted with phenyl or with 2,4-
dichlorophenoxyethyl; 1,3,4-thiadiazole substituted with amino, an aminoalkyl group
having from 1 to 6 carbon atoms, and with lower alkyl; unsubstituted imidazole; imidazole
that is substituted with one or more substituents including lower alkyl, phenyl, chloride
substituted phenyl, hydroxymethyl, carboalkoxy, and mixtures thereof; 4,5-
dihydroimidazole; lower alkyl substituted 4, 5-dihydroimidazole; 1,2,4-triazole; 1, 2, 4-
triazole that is mono-substituted or bi-substituted with lower alkyl, unsubstituted thiazole,
thiazole that is mono-substituted or bi-substituted with lower alkyl or 5-methylisoxazole
thereof, lower alkyl substituted isoxazole, furan, unsubstituted imidazole, imidazole that is
substituted with one or more substituents including lower alkyl, thioalkoxy, thiophenylsufanylmethyl, hiophenylmethyl, 4-methyl-5-(3-methylsulfanyl-6; 7-
dihydrobenzo[c]thiophene), unsubstituted pyridine, pyridine that is substituted with one or
more substituents including alkoxy, chloride, trifluoromethyl or mixtures thereof, amino,
trifluoromethyl, unsubstituted phenyl, phenyl that is substituted with alkoxy, chloride,
trifluoromethyl and mixtures thereof, 2, 2-dimethoxyethyl, 2-oxo-5-trifluormethyl-2H-
pyridin-1 -methyl or hydroxy; 3-fluorophenyl substituted 5-oxo-l, 2, 4 triazole;
unsubstituted tetrazole; tetrazole substituted with lower alkyl, phenyl, or hydroxy substituted phenyl; unsubstituted benzoimidazole; benzoimidazole that is substituted with
one or more substituents including lower alkyl, alkoxy, nitro, trifluoromethyl, and mixtures
thereof; unsubstituted benzothiazole; benzothiazole that is substituted with alkoxy or chloride; benzooxazole; unsubstituted pyrazolo[3,4-d]pyrimidin; amine substituted
pyrazolo[3,4-d]pyrimidin; l,2,4-triazolo[l,5a]pyrimidine; amine substituted 1,2,4- triazolo[l,5a]pyrimidine; l,2,4-triazolo[l,5a]pyrimidine bi-substituted with unsubstitued or substituted lower alkyl or bi-substituted with unsubstituted or substituted pyridine that when
substituted is mono- or bi-substituted with amine, hydroxy, 3, 4-dihydroxy-5-
hydroxymethyltetrahydrofuran, or mixtures thereof; 4-oxo-3, 4-dihydroquinazoline;
quinazoline; quinoline; and trifluoromethyl substituted quinoline.
23. A pharmaceutical dosage form comprising the composition of claim 16 and
at least one additive.
24. The pharmaceutical dosage form of claim 23 wherein the pharmaceutical
dosage form is administered by a method selected from oral administration, dermal administration, injection, via an implant, by inhalation, intravenously, and by suppository.
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