WO2003053330A2 - Use of oxindole derivatives in the treatment of dementia related diseases, alzheimer’s disease and conditions associated with glycogen synthase kinase-3 - Google Patents
Use of oxindole derivatives in the treatment of dementia related diseases, alzheimer’s disease and conditions associated with glycogen synthase kinase-3 Download PDFInfo
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Definitions
- the present invention relates to new compounds of formula I, as a free base or salts thereof, to pharmaceutical composition containing said compounds and to the use of said compounds in therapy.
- the present invention further relates to processes for the preparation of compounds of formula I and to new intermediates used in the preparation thereof.
- Glycogen synthase kinase 3 is a serine / threonine protein kinase composed of two isoforms ( ⁇ and ⁇ ), which are encoded by distinct genes but are highly homologous within the catalytic domain. GSK3 is highly expressed in the central and peripheral nervous system. GSK3 phosphorylates several substrates including tau, ⁇ -catenin, glycogen synthase, pyruvate dehydrogenase and elongation initiation factor 2b (eIF2b). Insulin and growth factors activate protein kinase B, which phosphorylates GSK3 on the serine 9 residue and inactivates it.
- eIF2b elongation initiation factor 2b
- AD dementias Alzheimer's Disease (AD) dementias, and taupathies.
- AD Alzheimer's disease
- Glycogen synthase kinase 3 ⁇ (GSK3 ⁇ ) or Tau ( ⁇ ) phosphorylating kinase selectively phosphorylates the microtubule associated protein ⁇ in neurons at sites that are hyperphosphorylated in AD brains.
- Hyperphosphorylated protein ⁇ has lower affinity for microtubules and accumulates as paired helical filaments, which are the main components that constitute neurofibrillary tangles and neuropil threads in AD brains.
- Neurofibrillary tangles are consistently found in diseases such as AD, amyotrophic lateral sclerosis, parkinsonism-dementia complex of Gaum, corticobasal degeneration, dementia pugilistica and head trauma, Down's syndrome, postencephalatic parkinsonism, progressive supranuclear palsy, Niemann-Pick's Disease and Pick's Disease.
- GSK3 ⁇ preferentially labels neurofibrillary tangles and has been shown to be active in pre- tangle neurons in AD brains. GSK3 protein levels are also increased by 50% in brain tissue from AD patients.
- GSK3 ⁇ phosphorylates pyruvate dehydrogenase, a key enzyme in the glycolytic pathway and prevents the conversion of pyruvate to acetyl-Co-A (Hoshi et al., PNAS 93:2719-2723, 1996).
- Acetyl-Co-A is critical for the synthesis of acetylcholine, a neurotransmitter with cognitive functions.
- GSK3 ⁇ inhibition may have beneficial effects in progression as well as the cognitive deficits associated with Alzheimer's disease and other above-referred to diseases.
- GSK3 ⁇ activity is increased in cellular and animal models of neurodegeneration such as cerebral ischemia or after growth factor deprivation.
- the active site phosphorylation was increased in neurons vulnerable to apoptosis, a type of cell death commonly thought to occur in chronic and acute degenerative diseases such as Alzheimer's Disease, Parkinson's Disease, amyotrophic lateral sclerosis, Huntington's Disease and HIV dementia, ischemic stroke and head trauma.
- Lithium was neuroprotective in inhibiting apoptosis in cells and in the brain at doses that resulted in the inhibition of GSK3 ⁇ .
- GSK3 ⁇ inhibitors could be useful in attenuating the course of neurodegenerative diseases.
- Bipolar Disorders (BD) BD
- Bipolar Disorders are characterised by manic episodes and depressive episodes. Lithium has been used to treat BD based on its mood stabilising effects. The disadvantage of lithium is the narrow therapeutic window and the danger of overdosing, that can lead to lithium intoxication. The recent discovery that lithium inhibits GSK3 at therapeutic concentrations has raised the possibility that this enzyme represents a key target of lithium's action in the brain (Stambolic et al., Curr. Biol. 6: 1664-1668, 1996; Klein and Melton; PNAS 93:8455-8459, 1996). Inhibition of GSK3 ⁇ may therefore be of therapeutic relevance in the treatment of BD as well as in AD patients that have affective disorders.
- GSK3 is involved in signal transduction cascades of multiple cellular processes, particularly during neural development.
- Kozlovsky et al Am J Psychiatry 2000 May;157(5):831-3
- GSK3 ⁇ levels were 41% lower in the schizophrenic patients than in comparison subjects.
- This study indicates that schizophrenia involves neurodevelopmental pathology and that abnormal GSK3 regulation could play a role in schizophrenia.
- reduced ⁇ -catenin levels have been reported in patients exhibiting schizophrenia (Cotter et al., Neuroreport 9: 1379-1383 (1998)).
- Insulin stimulates glycogen synthesis in skeletal muscles via the dephosphorylation and thus activation of glycogen synthase.
- GSK3 phosphorylates and inactivates glycogen synthase via dephosphorylation.
- GSK3 is also over-expressed in muscles from Type II diabetic patients (Nikoulina et al., Diabetes 2000 Feb;49(2):263-71). Inhibition of GSK3 increases the activity of glycogen synthase thereby decreasing glucose levels by its conversion to glycogen. GSK3 inhibition may therefore be of therapeutic relevance in the treatment of Type I and Type II diabetes and diabetic neuropathy.
- ⁇ -catenin is an effector of the pathway for keratonin synthesis
- ⁇ -catenin stabilisation may be lead to increase hair development.
- Mice expressing a stabilised ⁇ -catenin by mutation of sites phosphorylated by GSK3 undergo a process resembling de novo hair morphogenesis (Gat et al., Cell 1998 Nov 25;95 (5):605- 14)).
- the new follicles formed sebaceous glands and dermal papilla, normally established only in embryogenesis.
- GSK3 inhibition may offer treatment for baldness.
- the object of the present invention is to provide compounds having a selective inhibiting effect at GSK3 as well as having a good bioavailability.
- Y is CH when P is a 5 or 6 membered aromatic, saturated or unsaturated ring containing atoms independently selected from C, N, O or S;
- Y is N when P is a 5 membered aromatic or 5 or 6 membered saturated or unsaturated ring containing atoms independently selected from C, N, O or S; R 1 is hydrogen;
- R 2 is hydroxy, halogeno, fluoromethyl, difluoromethyl, trifluoromethyl, fluoromethoxy, difluoromethoxy, trifluoromethoxy, cyano, amino, nitro, Cj. 3 alkyl, Cj. 3 alkoxy, C ⁇ . 3 alkanoyloxy, C 2 . 4 alkanoyl, C ⁇ . 4 alkanoylamino, C ⁇ _ 4 alkoxycarbonyl, C ⁇ . 4 alkylthio, C ⁇ _ alkylsulphinyl, C ⁇ . 4 alkylsulphonyl, carbamoyl, N-C ⁇ .
- R 4 is phenyl or a 5 or 6 membered heterocyclic group with one or two heteroatoms, selected independently from O, S and N, which heterocyclic group may be saturated or unsaturated and which phenyl or heterocyclic group may be substituted with one or two substituents selected independently from hydroxy, halogeno, C ⁇ _ 3 alkyl, C ⁇ . 3 alkoxy, C ⁇ _ 3 alkanoyloxy, trifluoromethyl, cyano, amino, nitro and
- alkoxycarbonyl is hydroxy, halogeno, nitro, fluoromethyl, difluoromethyl, trifluoromethyl, fluoromethoxy, difluoromethoxy, trifluoromethoxy, C ⁇ . 3 alkyl, cyano, amino or R 10 X 2 , wherein X 2 is O, CH 2 , S, SO, SO 2 , NR ⁇ CO, CONR 12 , SO 2 NR 13 , NR 14 SO 2 or NR 15 (wherein R 1 ', R 12 , R 13 , R 14 and R 15 each independently are hydrogen, C ⁇ . alkyl or
- R 10 is selected from one of the following groups:
- R 16 is C ⁇ . 3 alkoxyC 2 . 3 alkyl
- R 16 is C ⁇ . 3 alkyl, NR 18 R 19 or OR 20 (wherein R 18 , R 19 and R 20 each independently are hydrogen, C]. alkyl or C]. 3 alkoxyC2-3alkyl)); 3) C,. 5 alkylX 4 R 21 (wherein X 4 is O, S, SO, SO 2 , OCO, NR 22 CO, CONR 23 , SO 2 NR 24 , NR 25 SO 2 or NR 26 (wherein R 22 , R 23 , R 24 , R 25 and R 26 each independently are hydrogen, C ⁇ . 3 alkyl or C ⁇ . 3 alkoxyC 2 . 3 alkyl) and R 21 is hydrogen, C ⁇ .
- R 33 is a 5 or 6 membered saturated heterocyclic group with one or two heteroatoms selected independently from O, S and N, which heterocyclic group may be substituted with one or two substituents selected independently from oxo, hydroxy, halogeno, C ⁇ . alkyl, C]. 4 hydroxyalkyl and C ⁇ . 4 alkoxy);
- R 34 is a pyridone group, a phenyl group or a 5 or 6 membered aromatic heterocyclic group with 1 to 3 heteroatoms selected independently from O, N and S, which pyridone, phenyl or heterocyclic group may carry up to 5 substituents selected independently from hydroxy, halogeno, amino, Cj. alkyl, C ⁇ . 4 alkoxy, C ⁇ . 4 hydroxyalkyl, C ⁇ .
- NR 42 SO 2 or NR 43 (wherein R 39 , R 40 , R 41 , R 42 and R 43 each independently are hydrogen, C ⁇ . 3 alkyl or C ⁇ . 3 alkoxyC 2 . 3 alkyl) and R 34 is as defined hereinbefore); 13) C 2 . 5 alkenylX 8 R 34 (wherein X 8 is O, S, SO, SO 2 , NR ⁇ CO, CONR 45 , SO 2 NR 46 , NR 47 SO 2 or NR 48 (wherein R 44 , R 45 , R 46 , R 47 and R 48 each independently are hydrogen, C ⁇ _ 3 alkyl or C ⁇ . 3 alkoxyC2-3alkyl) and R 34 is as defined hereinbefore); 14) C 2 .
- R 34 (wherein X 9 is O, S, SO, SO 2 , NR 49 CO, CONR 50 , SO 2 NR 51 , NR 52 SO 2 or NR 53 (wherein R 49 , R 50 , R 51 , R 52 and R 53 each independently are hydrogen, C ⁇ . 3 alkyl or C ⁇ . 3 alkoxyC 2 . 3 alkyl) and R 34 is as defined hereinbefore); and
- R 2 is C ⁇ . 3 alkyl, halogeno, cyano, nitro, carbamoyl, N-C]. alkylcarbamoyl, aminosulfonyl, C]. alkoxycarbonyl or a group R 4 X ! , wherein X 1 is CO ⁇ R 5 R 6 , (wherein R 5 is hydrogen or C ⁇ _ 2 alkyl and R 6 is C alkyl and wwhheerreeiiin R 4 is linked to R 6 ); and n is 0, 1 or 2.
- R 10 is selected from one of the following groups:
- heteroatoms selected independently from O, N and S, which heterocyclic group may carry up to 5 substituents selected independently from halogeno, amino, C].
- alkyl includes both straight and branched chain alkyl groups.
- C ⁇ . 5 alkyl may be methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, s-butyl, t-butyl, n-pentyl, i-pentyl, t-pentyl, neo-pentyl.
- alkoxy as used herein, unless stated otherwise includes “alkyl'O groups in which "alkyl" is as hereinbefore defined. C ⁇ .
- 5 alkoxy may be methoxy, ethoxy, n-propoxy, i-propoxy, n-butoxy, i-butoxy, s-butoxy, t-butoxy, n-pentyloxy, i-pentyloxy, t-pentyloxy, neo-pentyloxy.
- alkenyl includes both straight and branched chain alkenyl groups but references to individual alkenyl groups such as
- alkenyl advantageously refers to chains with 2 to 5 carbon atoms, preferably 3 to 4 carbon atoms.
- alkynyl includes both straight and branched chain alkynyl groups but references to individual alkynyl groups such as
- 2-butynyl are specific for the straight chain version only.
- alkynyl advantageously refers to chains with 2 to 5 carbon atoms, preferably 3 to 4 carbon atoms.
- the term “5 or 6 membered aromatic, saturated or unsaturated ring containing atoms independently selected from C, N, O or S” may be, but are not limited to, furyl, isoxazolyl, isothiazolyl, oxazolyl, pyrazinyl, pyrazolyl, pyridazinyl, pyridyl, pyrimidyl, pyrrolyl, thiazolyl, thienyl, imidazolyl, imidazolidinyl, imidazolinyl, morpholinyl, piperazinyl, piperidyl, piperidonyl, pyrazolidinyl, pyrazolinyl, pyrrolidinyl, pyr
- the term “5 membered aromatic or 5 or 6 membered saturated or unsaturated ring containing atoms independently selected from C, N, O or S” may be, but are not limited to, furyl, isoxazolyl, isothiazolyl, oxazolyl, imidazolidinyl, imidazolinyl, imidazolyl, morpholinyl, piperazinyl, piperidyl, piperidonyl, pyrazolidinyl, pyrazolinyl, pyrrolidinyl, pyrrolinyl, pyrrolyl, thiazolyl, thiophenyl, tetrahydropyranyl or thiomorpholinyl.
- heterocyclic group with one or two heteroatoms selected independently from O, S and N, which heterocyclic group may be saturated or unsaturated includes both heteroaromatic rings and heterocyclic rings that are saturated.
- heterocyclic groups includes, but are not limited to, furyl, isoxazolyl, isothiazolyl, oxazolyl, pyrazinyl, pyrazolyl, pyridazinyl, pyridyl, pyrimidyl, pyrrolyl, thiazolyl, thienyl, imidazolyl, imidazolidinyl, imidazolinyl, morpholinyl, piperazinyl, piperidyl, piperidonyl, pyrazolidinyl, pyrazolinyl, pyrrolidinyl, pyrrolinyl, tetrahydropyranyl or thiomorpholinyl.
- the term "5 or 6 membered saturated heterocyclic group with one or two heteroatoms selected independently from O, S and N" may be, but are not limited to, imidazolidinyl, morpholinyl, piperazinyl, piperidyl, piperidonyl, pyrazolidinyl, pyrrolidinyl, tetrahydropyranyl or thiomorpholinyl.
- the term "5 or 6 membered aromatic heterocyclic group with 1 to 3 heteroatoms selected independently from O, N and S” may be, but are not limited to, furyl, imidazolyl, isoxazolyl, isothiazolyl, oxazolyl, pyrazinyl, triazinyl, pyrazolyl, pyridazinyl, pyridyl, pyrimidyl, pyrrolyl, thiazolyl or thienyl.
- the term "5 or 6 membered heterocyclic ring containing 1 to 3 heteroatoms selected independently from O, N and S" may be, but are not limited to, furyl, imidazolyl, isoxazolyl, isothiazolyl, oxazolyl, pyrazinyl, pyrazolyl, pyridazinyl, pyridyl, pyrimidyl, pyrrolyl, thiazolyl or thienyl.
- halogeno may be fluor, chlorine, bromine or iodine.
- R 10 is, for example, a group of formula C ⁇ . 5 alkylX 10 C ⁇ . 5 alkylR 34 , it is the terminal C ⁇ . 5 alkyl moiety which is linked to X 1
- R 10 is, for example, a group of formula C 2 . 5 alkenylR 34 it is the C 2 - 5 alkenyl moiety which is linked to X 2 and an analogous convention applies to other groups.
- R 34 when R 34 carries a C ⁇ _ 4 aminoalkyl substituent it is the moiety, which is attached to R 34 whereas when R 34 carries a C ⁇ . 4 alkylamino substituent it is the amino moiety, which is attached to R 39 and an analogous convention applies to other groups.
- X 1 is C 2 . 4 alkanoyl it is the carbonyl moiety, which is linked to the heteroaromatic oxindole group and it is the alkyl moiety, which is linked to R 4 and an analogous convention applies to other groups.
- the present invention relates to the use of compounds of formula I as hereinbefore defined as well as to the salts thereof.
- Salts for use in pharmaceutical compositions will be pharmaceutically acceptable salts, but other salts may be useful in the production of the compounds of formula I.
- Both organic and inorganic acids can be employed to form non-toxic pharmaceutically acceptable acid addition salts of the compounds of this invention.
- a suitable pharmaceutically acceptable salt of the compounds of the invention is an alkali metal salt, an alkaline earth metal salt or a salt with an organic base.
- Some compounds of formula I may have chiral centres and/or geometric isomeric centres (E- and Z- isomers), and it is to be understood that the invention encompasses all such optical, diastereoisomers and geometric isomers that possess GSK3 inhibitory activity.
- the present invention also relates to processes for preparing compounds of formula I.
- suitable protecting groups will be added to, and subsequently removed from, the various reactants and intermediates in a manner that will be readily understood by one skilled in the art of organic synthesis.
- Conventional procedures for using such protecting groups as well as examples of suitable protecting groups are described, for example, in "Protective Groups in Organic Synthesis" T.W. Greene, P.G.M. Wuts, Wiley-Interscience, New York, 1999.
- a p-toluenesulfonyloxy group, to form a compound of formula III may be carried out in a suitable solvent such as NN-dimethylformamide, methylene chloride or acetonitrile in the presence of a suitable base such as potassium carbonate or triethyl amine and the reaction may occur at a temperature between +20 °C and +130 °C.
- a suitable solvent such as NN-dimethylformamide, methylene chloride or acetonitrile
- a suitable base such as potassium carbonate or triethyl amine
- Reaction of a compound of formula III with malonic acid to form a compound of formula IN may be carried out in a suitable solvent such as pyridine or collidine, in the presence of a suitable base such as piperidine or morpholine, and the reaction may occur at a temperature between +20 °C and +130 °C, followed by the treatment with an suitable acid such as hydrochloric acid or sulfuric acid.
- a suitable solvent such as pyridine or collidine
- a suitable base such as piperidine or morpholine
- Cyclization of a compound of formula IV to a compound of formula V may be carried out by a) converting the acid function in a compound of formula IN to the corresponding acid chloride using an appropriate chlorinating reagent such as thionyl chloride or oxalyl chloride, followed by treatment with a suitable azide e.g. sodium azide in a suitable solvent such as dioxane, tetrahydrofuran, water or mixtures thereof, to form the corresponding acyl azide, followed by, b) cyclization of the acyl azide compound to the compound of formula N in a suitable solvent such as diphenyl ether, at a reaction temperature between +150 °C and +260 °C.
- a suitable azide e.g. sodium azide
- a suitable solvent such as dioxane, tetrahydrofuran, water or mixtures thereof
- Another object of the invention is a process for the preparation of compounds of general formula I and salts thereof by reacting a compound of formula VI, wherein L 2 is a leaving group and wherein P, Y, R 3 and n are as defined in general formula I, with a compound of formula VII, wherein R 1 , R 2 and m are as defined in general formula I,
- the reaction of the process may be carried out in an appropriate solvent such as an ether e.g. tetrahydrofuran or 1,4-dioxan, an aromatic hydrocarbon solvent such as toluene, or a dipolar aprotic solvent such as NN-dimethylformamide, N,N-dimethylacetamide, N-methylpyrrolidin-2-one or dimethyl sulphoxide and the reaction is conveniently effected at a temperature in the range of +10 to +150 °C, preferably in the range of +20 to +90 °C.
- the reaction is advantageously effected in the presence of a base.
- Such a base may be choosen from the group of organic amine bases such as pyridine, 2,6-lutidine, collidine, 4-dimethylaminopyridine, triethylamine, morpholine, N-methylmorpholine or diazabicyclo[5.4.0]undec-7-ene, tetramethylguanidine or an alkali metal or alkaline earth metal carbonate or hydroxide such as sodium carbonate, potassium carbonate, calcium carbonate, sodium hydroxide or potassium hydroxide.
- organic amine bases such as pyridine, 2,6-lutidine, collidine, 4-dimethylaminopyridine, triethylamine, morpholine, N-methylmorpholine or diazabicyclo[5.4.0]undec-7-ene, tetramethylguanidine or an alkali metal or alkaline earth metal carbonate or hydroxide such as sodium carbonate, potassium carbonate, calcium carbonate, sodium hydroxide or potassium hydroxide.
- such a base may be an alkali metal hydride such as sodium hydride, or an alkali metal or alkaline earth metal amide such as sodium amide, sodium bis(trimethylsilyl)amide, potassium amide or potassium bis(trimethylsilyl)amide.
- the free base may be treated with an acid using a conventional procedure.
- the present invention further relates to new intermediates and the use of these intermediates in the preparation of compounds of formula I as defined hereinbefore.
- the intermediate is a compound of formula VI
- R 10 is selected from one of the following groups:
- Cj.salkylR (wherein R is a 5 or 6 membered saturated heterocyclic group with one or two heteroatoms selected independently from O, S and N, which heterocyclic group may be substituted with one or two substituents selected independently from oxo, hydroxy, halogeno, C ⁇ . 4 alkyl, C ⁇ . hydroxyalkyl and C ⁇ .
- R 34 is a pyridone group, a phenyl group or a 5 or 6 membered aromatic heterocyclic group with 1 to 3 heteroatoms selected independently from O, N and S, which pyridone, phenyl or heterocyclic group may carry up to 5 substituents selected independently from hydroxy, halogeno, amino, C ⁇ _ alkyl, C[. 4 alkoxy, C ⁇ . 4 hydroxy alkyl, C ⁇ . 4 aminoalkyl, C ⁇ _ 4 alkylamino, C ⁇ .
- R 35 , R 36 , R 37 and R 38 each independently are hydrogen, C ⁇ . 4 alkyl or C ⁇ - 3 alkoxyC 2 - 3 alkyl));
- R 34 (wherein X 7 is O, S, SO, SO 2 , NR 9 CO, CONR 40 , SO 2 NR 41 , NR 42 SO 2 or NR 43 (wherein R 39 , R 40 , R 41 , R 42 and R 43 each independently are hydrogen, C ⁇ _ 3 alkyl or C ⁇ _ 3 alkoxyC2-3alkyl) and R 34 is as defined hereinbefore);
- the intermediate is a compound of formula VI
- L 2 is halogeno
- R 10 is selected from one of the following groups:
- Ci-salkylR 33 (wherein R 33 is a 5 or 6 membered saturated heterocyclic group with one or two heteroatoms selected independently from O, S and N); 9) C ⁇ . 5 alkylR 34 (wherein R 34 is a 5 or 6 membered aromatic heterocyclic group with 1 to 3 heteroatoms selected independently from O, N and S, which heterocyclic group may carry up to 5 substituents selected independently from halogeno, amino, C ⁇ _ alkyl, C ⁇ _ 4 alkoxy, C ⁇ . hydroxyalkyl, C ⁇ . aminoalkyl, C ⁇ .
- alkylamino C hydroxyalkoxy, carboxy, hydoxy, cyano, CONR 35 R 36 and NR 37 COR 38 (wherein R 35 , R 36 , R 37 and R 38 each independently are hydrogen, C). alkyl or C ⁇ . 3 alkoxyC 2 - 3 alkyl));
- the solution was acidified to p ⁇ ⁇ 4 with hydrochloric acid (1 M) and extracted with ethyl acetate (3x150 mL).
- the combined organic layer was washed with aqueous copper sulphate (75 mL), water (100 mL) and brine (100 mL), dried over sodium sulphate, filtered and concentrated in vacuo to a viscous oil.
- the oil was dried in vacuo to give 9.3 g (99 % yield) of the title compound as a tan oil.
- the suspension was stirred 30 min at 0 °C, after which the precipitate was filtered off and washed with ethyl acetate.
- the filtrate was extracted with ethyl acetate (3x150 mL) and the combined organic layer was washed with water (75 mL) and brine (75 mL), dried over sodium sulphate and filtered.
- the azide containing solution volume was reduced in vacuo, diphenyl ether (20 mL) was added and the remaining ethyl acetate was removed in vacuo.
- the diphenyl ether solution of the azide was added dropwise during 20 min to hot diphenyl ether (65 mL, 230 °C) and the obtained solution was heated 2 h at reflux (-260 °C) and then left stirring at room temperature over night. Hexane was added to the reaction solution and the product precipitated out as a black oil. The oil was pre- absorbed on silica gel and purified by flash chromatography (solvent gradient: methanol/methylene chloride, 2:98 ⁇ 4:96) giving, after concentration and drying of the appropriate fractions, 3.4 g (32 % yield) of the title compound as a yellow solid. MS (AP+) m/z 264 (M + +l).
- Example 7 l-Chloro-6-r2-(2-methoxyethoxy)ethoxylisoquinoline Phosphorus trichloride (60 mL) and 6-[2-(2-methoxyethoxy)ethoxy]-2H-isoquinolin-l-one (3.38 g, 14.3 mmol) were stirred at reflux under nitrogen atmosphere for 2 h. The reaction solution was cooled to room temperature and concentrated in vacuo until 10 mL remained. The obtained oil was poured onto ice water (80 mL) and stirred for 1 h. The mixture was neutralized with addition of solid potassium carbonate and extracted with methylene chloride (3x80 mL).
- a pharmaceutical composition comprising a compound of formula I, as a free base or salts thereof, for use in prevention and/or treatment of dementia related diseases, Alzheimer's Disease and conditions associated with glycogen synthase kinase-3 and other conditions listed below.
- composition may be in a form suitable for oral administration, for example as a tablet, pill, syrup, powder, granule or capsule, for parenteral injection (including intravenous, subcutaneous, intramuscular, intravascular or infusion) as a sterile solution, suspension or emulsion, for topical administration as an ointment, patch or cream or for rectal administration as a suppository.
- parenteral injection including intravenous, subcutaneous, intramuscular, intravascular or infusion
- a sterile solution, suspension or emulsion for topical administration as an ointment, patch or cream or for rectal administration as a suppository.
- compositions may be prepared in a conventional manner using pharmaceutically carriers or diluents.
- Suitable daily doses of the compounds of formula I in the treatment of a mammal, including man are approximately 0.01 to 250 mg/kg bodyweight at peroral administration and about 0.001 to 250 mg/kg bodyweight at parenteral administration.
- the typical daily dose of the active ingredients varies within a wide range and will depend on various factors such as the relevant indication, the route of administration, the age, weight and sex of the patient and may be determined by a physician.
- the compounds defined in the present invention are useful in therapy.
- the compounds of the present invention are well suited for inhibiting glycogen synthase kinase-3 (GSK3). Accordingly, the compounds of the present invention are expected to be useful in the prevention and/or treatment of conditions associated with glycogen synthase kinase-3 activity, i.e. the compounds may be used to produce an inhibitory effect of GSK3 in mammals, including man, in need of such prevention and/or treatment.
- GSK3 is highly expressed in the central and peripheral nervous system and in other tissues.
- compounds of the invention are well suited for the prevention and/or treatment of conditions associated with glycogen synthase kinase-3 in the central and peripheral nervous system.
- the compounds of the invention are expected to be suitable in the manufacture of a medicament for the prevention and/or treatment of dementia related diseases and Alzheimer's Disease.
- the dementia related diseases are selected from the group consisting of Frontotemporal dementia Parkinson's Type, Parkinson dementia complex of Guam, HIN dementia, diseases with associated neurofibrillar tangle pathologies, predemented states, vascular dementia, dementia with Lewy bodies, Frontotemporal dementia and dementia pugilistica.
- the compounds of the invention are also expected to be suitable in the manufacture of a medicament for the prevention and/or treatment of amyotrophic lateral sclerosis, corticobasal degeneration, Down syndrome, Huntington's Disease, Parkinson's Disease, postencephelatic parkinsonism, progressive supranuclear palsy, Pick's Disease, ⁇ iemann- Pick's Disease, stroke, head trauma and other chronic neurodegenerative diseases, Bipolar Disease, affective disorders, depression, schizophrenia, cognitive disorders, hair loss and contraceptive medication.
- the compounds of the invention are further expected to be suitable in the manufacture of a medicament for the prevention and/or treatment of Mild Cognitive Impairment, Age- Associated Memory Impairment, Age-Related Cognitive Decline, Cognitive Impairement No Dementia, mild cognitive decline, mild neurocognitive decline, Late-Life Forgetfulness, memory impairment and cognitive impairment and androgenetic alopecia.
- the present invention relates also to the use of a compound of formula I as defined hereinbefore, in the manufacture of a medicament for the prevention and/or treatment of conditions associated with glycogen synthase kinase-3.
- the term “therapy” also includes “prevention” unless there are specific indications to the contrary.
- the terms “therapeutic” and “therapeutically” should be construed accordingly.
- the invention also provides for a method of prevention and/or treatment of dementia related diseases, Alzheimer's Disease and conditions associated with glycogen synthase kinase-3 and other conditions listed above comprising administrering to a mammal, including man, in need of such prevention and or treatment a therapeutically effective amount of a compound of formula I, as hereinbefore defined.
- the compounds of formula I are also useful as pharmacological tools in the development and standardisation of in vitro and in vivo test systems for the evaluation of the effects of inhibitors of GSK3 related activity in laboratory animals such as cats, dogs, rabbits, monkeys, rats and mice, as part of the search for new therapeutics agents.
- the reaction was initiated by the addition of 0.04 ⁇ Ci [ ⁇ - 33 P]ATP (Amersham, UK) and unlabelled ATP at a final concentration of 1 ⁇ M and assay volume of 25 ⁇ l. After incubation for 20 minutes at room temperature, each reaction was terminated by the addition of 25 ⁇ l stop solution containing 5 mM EDTA, 50 ⁇ M ATP, 0.1 % Triton X-100 and 0.25 mg streptavidin coated Scintillation Proximity Assay (SPA) beads (Amersham, UK). After 6 hours the radioactivity was determined in a liquid scintillation counter (1450 MicroBeta Trilux, Wallac). The inhibition curves were analysed by non-linear regression using GraphPad Prism, USA. The K m value of ATP for GSK3 ⁇ , used to calculate the inhibition constants (Kj) of the various compounds, was 20 ⁇ M.
- Typical Kj values for the compounds of the present invention are in the range of about 0.001 to about 10,000 nM.
- Other values for K are in the range of about 0.001 to about 1000 nM.
- Further values for K are in the range of about 0.001 nM to about 300 nM.
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Abstract
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Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
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AU2002359164A AU2002359164A1 (en) | 2001-12-20 | 2002-12-18 | Use of oxindole derivatives in the treatment of dementia related diseases, alzheimer's disease and conditions associated with glycogen synthase kinase-3 |
US10/499,217 US7205314B2 (en) | 2001-12-20 | 2002-12-18 | Compounds for the treatment of dementia related diseases |
DE60219954T DE60219954T2 (en) | 2001-12-20 | 2002-12-18 | New indole-2-one derivatives |
EP02793678A EP1458707B1 (en) | 2001-12-20 | 2002-12-18 | New Indol-2-one derivatives |
JP2003554090A JP4465188B2 (en) | 2001-12-20 | 2002-12-18 | New compounds |
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SE0104340-5 | 2001-12-20 | ||
SE0104340A SE0104340D0 (en) | 2001-12-20 | 2001-12-20 | New compounds |
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WO2003053330A2 true WO2003053330A2 (en) | 2003-07-03 |
WO2003053330A3 WO2003053330A3 (en) | 2003-10-30 |
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PCT/SE2002/002373 WO2003053330A2 (en) | 2001-12-20 | 2002-12-18 | Use of oxindole derivatives in the treatment of dementia related diseases, alzheimer’s disease and conditions associated with glycogen synthase kinase-3 |
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US (1) | US7205314B2 (en) |
EP (1) | EP1458707B1 (en) |
JP (2) | JP4465188B2 (en) |
AT (1) | ATE361287T1 (en) |
AU (1) | AU2002359164A1 (en) |
DE (1) | DE60219954T2 (en) |
ES (1) | ES2284964T3 (en) |
SE (1) | SE0104340D0 (en) |
WO (1) | WO2003053330A2 (en) |
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Publication number | Publication date |
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ATE361287T1 (en) | 2007-05-15 |
JP2005513082A (en) | 2005-05-12 |
US20050065170A1 (en) | 2005-03-24 |
US7205314B2 (en) | 2007-04-17 |
ES2284964T3 (en) | 2007-11-16 |
EP1458707B1 (en) | 2007-05-02 |
SE0104340D0 (en) | 2001-12-20 |
DE60219954T2 (en) | 2008-01-17 |
AU2002359164A8 (en) | 2003-07-09 |
AU2002359164A1 (en) | 2003-07-09 |
JP4465188B2 (en) | 2010-05-19 |
EP1458707A2 (en) | 2004-09-22 |
WO2003053330A3 (en) | 2003-10-30 |
DE60219954D1 (en) | 2007-06-14 |
JP2009280618A (en) | 2009-12-03 |
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