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  • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D213/72—Nitrogen atoms
  • C07D213/74—Amino or imino radicals substituted by hydrocarbon or substituted hydrocarbon radicals
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  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
  • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D213/78—Carbon atoms having three bonds to hetero atoms, with at the most one bond to halogen, e.g. ester or nitrile radicals
  • C07D213/84—Nitriles
  • C07D213/85—Nitriles in position 3
• • C—CHEMISTRY; METALLURGY
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  • C07D237/00—Heterocyclic compounds containing 1,2-diazine or hydrogenated 1,2-diazine rings
  • C07D237/02—Heterocyclic compounds containing 1,2-diazine or hydrogenated 1,2-diazine rings not condensed with other rings
  • C07D237/06—Heterocyclic compounds containing 1,2-diazine or hydrogenated 1,2-diazine rings not condensed with other rings having three double bonds between ring members or between ring members and non-ring members
  • C07D237/10—Heterocyclic compounds containing 1,2-diazine or hydrogenated 1,2-diazine rings not condensed with other rings having three double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
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  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D239/00—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings
  • C07D239/02—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings
  • C07D239/24—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having three or more double bonds between ring members or between ring members and non-ring members
  • C07D239/28—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having three or more double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, directly attached to ring carbon atoms
  • C07D239/32—One oxygen, sulfur or nitrogen atom
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  • C07D241/00—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings
  • C07D241/02—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings
  • C07D241/10—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings having three double bonds between ring members or between ring members and non-ring members
  • C07D241/14—Heterocyclic compounds containing 1,4-diazine or hydrogenated 1,4-diazine rings not condensed with other rings having three double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
  • C07D241/20—Nitrogen atoms
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  • C07D285/00—Heterocyclic compounds containing rings having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by groups C07D275/00 - C07D283/00
  • C07D285/01—Five-membered rings
  • C07D285/02—Thiadiazoles; Hydrogenated thiadiazoles
  • C07D285/04—Thiadiazoles; Hydrogenated thiadiazoles not condensed with other rings
  • C07D285/06—1,2,3-Thiadiazoles; Hydrogenated 1,2,3-thiadiazoles
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D333/00—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom
  • C07D333/02—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings
  • C07D333/04—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings not substituted on the ring sulphur atom
  • C07D333/06—Heterocyclic compounds containing five-membered rings having one sulfur atom as the only ring hetero atom not condensed with other rings not substituted on the ring sulphur atom with only hydrogen atoms, hydrocarbon or substituted hydrocarbon radicals, directly attached to the ring carbon atoms
  • C07D333/14—Radicals substituted by singly bound hetero atoms other than halogen
  • C07D333/16—Radicals substituted by singly bound hetero atoms other than halogen by oxygen atoms

Definitions

• the present invention relates to Cyanoiminopiperazine Compounds, compositions comprising an effective amount of a Cyanoiminopiperazine Compound and methods for treating or preventing pain, urinary incontinence (UI), an ulcer, inflammatory- bowel disease (IBD), irritable-bowel syndrome (IBS), an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, amyotrophic lateral sclerosis (ALS), dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia or depression, comprising administering to an animal in need thereof an effective amount of a Cyanoiminopiperazine Compound.
• UI urinary incontinence
• IBD inflammatory- bowel disease
• IBS irritable-bowel syndrome
• an addictive disorder e.g., anxiety, epilepsy,
• Pain is the most common symptom for which patients seek medical advice and treatment. Pain can be acute or chronic. While acute pain is usually self-limited, chronic pain persists for 3 months or longer and can lead to significant changes in a patient's personality, lifestyle, functional ability and overall quality of life (K.M. Foley, Pain, in Cecil Textbook of Medicine 100-107 (J.C. Bennett andF. Plum eds., 20th ed. 1996)).
• Nociceptive pain includes tissue injury-induced pain and inflammatory pain such as that associated with arthritis.
• Neuropathic pain is caused by damage to the peripheral or cental nervous system and is maintained by aberrant somatosensory processing.
• mGluRl metabotropic glutamate receptor 1
• n ⁇ GluR5 metabotropic glutamate receptor 5
• VR1 vanilloid receptors
• Nociceptive pain has been traditionally managed by administering non-opioid analgesics, such as acetylsalicylic acid, choline magnesium trisalicylate, acetaminophen, ibuprofen, fenoprofen, difiusinal, and naproxen; or opioid analgesics, including morphine, hydromorphone, methadone, levorphanol, fentanyl, oxycodone, and oxymorphone.
• opioid analgesics including morphine, hydromorphone, methadone, levorphanol, fentanyl, oxycodone, and oxymorphone.
• NMDA antagonists e.g. ketamine, dextromethorphan
• topical lidocaine for post-herpetic neuralgia
• tricyclic antidepressants e.g. fluoxetine, sertraline and amitriptyline.
• UI uncontrollable urination, generally caused by bladder-detrusor-muscle instability.
• UI affects people of all ages and levels of physical health, both in health care settings and in the community at large. At present, UI afflicts 15-30% of elderly people living at home, one-third of those living in acute-care settings, and at least one-half of those living in long-term care institutions (R.M. Resnick, Lancet 346:94 (1995)). Persons having UI are predisposed to also having urinary-tract infections, pressure ulcers, perineal rashes and urosepsis.
• UI is associated with embarrassment, social stigmatization, depression and a risk of institutionalization (Herzo et al, Annu. Rev. Gerontol. Geriatr. 9:1 A (1989)). Economically, the costs of UI are great; in the United States alone, health-care costs associated with UI are over $15 billion per annum.
• Physiologic bladder contraction results in large part from acetylcholine- induced stimulation of post-ganglionic muscarinic-receptor sites on bladder smooth muscle. Treatments for UI include the administration of drugs having bladder-relaxant properties, which help to control bladder-detrusor-muscle overactivity.
• anticholinergics such as propantheline bromide and glycopyrrolate
• smooth-muscle relaxants such as a combination of racemic oxybutynin and dicyclomine or an anticholinergic
• sores are typically well-defined round or oval lesions primarily occurring in the stomach and duodenum. About 1 in 10 people develop an ulcer. Ulcers develop as a result of an imbalance between acid-secretory factors, also known as "aggressive factors,” such as stomach acid, pepsin, and Helicobacter pylori infection, and local mucosal-protective factors, such as secretion of bicarbonate, mucus, and prostaglandins.
• acid-secretory factors also known as "aggressive factors”
• mucosal-protective factors such as secretion of bicarbonate, mucus, and prostaglandins.
• Antacids such as aluminum hydroxide, magnesium hydroxide, sodium bicarbonate, and calcium bicarbonate can be used to neutralize stomach acids. Antacids, however, can cause alkalosis, leading to nausea, headache, and weakness. Antacids can also interfere with the absorption of other drags into the blood stream and cause diarrhea.
• H 2 antagonists such as cimetidine, ranitidine, famotidine, and nizatidine, are also used to treat ulcers. H 2 antagonists promote ulcer healing by reducing gastric acid and digestive-enzyme secretion elicited by histamine and other Ff 2 agonists in the stomach and duodenum. H 2 antagonists, however, can cause breast enlargement and impotence in men, mental changes (especially in the elderly), headache, dizziness, nausea, myalgia, diarrhea, rash, and fever.
• H + , K + - ATPase inhibitors such as omeprazole and lansoprazole are also used to treat ulcers.
• FT* " , K + - ATPase inhibitors inhibit the production of enzymes used by the stomach to secrete acid.
• Side effects associated with H + , K + - ATPase inhibitors include nausea, diarrhea, abdominal colic, headache, dizziness, somnolence, skin rashes, and transient elevations of plasma activities of aminotransferases.
• Sucraflate is also used to treat ulcers.
• Sucraflate adheres to epithelial cells and is believed to form a protective coating at the base of an ulcer to promote healing. Sucraflate, however, can cause constipation, dry mouth, and interfere with the absorption of other drugs.
• Antibiotics are used when Helicobacter pylori is the underlying cause of the ulcer.
• antibiotic therapy is coupled with the administration of bismuth compounds such as bismuth subsalicylate and colloidal bismuth citrate. The bismuth compounds are believed to enhance secretion of mucous and HCO 3 " , inhibit pepsin activity, and act as an antibacterial against H.
• Prostaglandin analogues such as misoprostal, inhibit secretion of acid and stimulate the secretion of mucous and bicarbonate and are also used to treat ulcers, especially ulcers in patients who require nonsteroidal anti-inflammatory drugs. Effective oral doses of prostaglandin analogues, however, can cause diarrhea and abdominal cramping. In addition, some prostaglandin analogues are abortifacients.
• Carbenoxolone a mineral corticoid
• Carbenoxolone appears to alter the composition and quantity of mucous, thereby enhancing the mucosal barrier.
• Carbenoxolone can lead to Na + and fluid retention, hypertension, hypokalemia, and impaired glucose tolerance.
• Muscarinic cholinergic antagonists such as pirenzapine and telenzapine can also be used to reduce acid secretion and treat ulcers. Side effects of muscarinic cholinergic
• IBD ulcerative colitis
• Crohn's disease which can include regional enteritis, granulomatous ileitis, and ileocolitis, is a chronic inflammation ofthe intestinal wall. Crohn's disease occurs equally in both sexes and is more common in Jews of eastern-European ancestry. Most cases of Crohn's disease begin before age 30 and the majority start between the ages of 14 and 24. The disease typically affects the full thickness ofthe intestinal wall. Generally the disease affects the lowest portion ofthe small intestine (ileum) and the large intestine, but can occur in any part ofthe digestive tract. Early symptoms of Crohn's disease are chronic diarrhea, crampy abdominal pain, fever, loss of appetite, and weight loss.
• Crohn's disease Complications associated with Crohn's disease include the development of intestinal obstructions, abnormal connecting channels (fistulas), and abscesses.
• the risk of cancer ofthe large intestine is increased in people who have Crohn's disease.
• Crohn's disease is associated with other disorders such as gallstones, inadequate absorption of nutrients, amyloidosis, arthritis, episcleritis, aphthous stomatitis, erythema nodosum, pyoderma gangrenosum, ankylosing spondylitis, sacroilitis, uveitis, and primary sclerosing cholangitis.
• Crohn's disease There is no known cure for Crohn's disease.
• antibiotics are often administered to treat the symptoms of Crohn's disease.
• the antibiotic metronidazole is often administered when the disease affects the large intestine or causes abscesses and fistulas around the anus.
• Long-term use of metronidazole can damage nerves, resulting in pins-and-needles sensations in the arms and legs.
• Sulfasalazine and chemically related drugs can suppress mild inflammation, especially in the large intestine. These drugs, however, are less effective in sudden, severe flare-ups.
• Corticosteroids such as prednisone, reduce fever and diarrhea and relieve abdominal pain and tenderness.
• Ulcerative colitis is a chronic disease in which the large intestine becomes inflamed and ulcerated, leading to episodes of bloody diarrhea, abdominal cramps, and fever. Ulcerative colitis usually begins between ages 15 and 30; however, a small group of people have their first attack between ages 50 and 70. Unlike Crohn's disease, ulcerative colitis never affects the small intestine and does not affect the full thickness ofthe intestine. The disease usually begins in the rectum and the sigmoid colon and eventually spreads partially or completely through out the large intestine. The cause of ulcerative colitis is unknown. Treatment of ulcerative colitis is directed to controlling inflammation, reducing symptoms, and replacing lost fluids and nutrients.
• Anticholinergic drugs and low doses of diphenoxylate or loperamide are administered for treating mild diarrhea. For more intense diarrhea higher doses of diphenoxylate or loperamide, or deodorized opium tincture or codeine are administered.
• Sulfasalazine, olsalazie, prednisone, or mesalamine can be used to reduce inflammation.
• Azathioprine and mercaptopurine have been used to maintain remissions in ulcerative-colitis patients who would otherwise need long-term corticosteroid treatment, hi severe cases of ulcerative colitis the patient is hospitalized and given corticosteroids intravenously. People with severe rectal bleeding can require transfusions and intravenous fluids.
• IBS is a disorder of motility ofthe entire gastrointestinal tract, causing abdominal pain, constipation, and/or diarrhea.
• IBS affects three-times more women than men.
• IBS stimuli such as stress, diet, drugs, hormones, or irritants can cause the gastrointestinal tract to contract abnormally.
• IBS contractions ofthe gastrointestinal tract become stronger and more frequent, resulting in the rapid transit of food and feces through the small intestine, often leading to diarrhea.
• Cramps result from the strong contractions ofthe large intestine and increased sensitivity of pain receptors in the large intestine.
• IBS intracranial pressure
• spastic-colon type is commonly triggered by eating, and usually produces periodic constipation and diarrhea with pain. Mucous often appears in the stool. The pain can come in bouts of continuous dull aching pain or cramps, usually in the lower abdomen. The person suffering from spastic- colon type IBS can also experience bloating, gas, nausea, headache, fatigue, depression, anxiety, and difficulty concentrating.
• the second type of IBS usually produces painless diarrhea or constipation. The diarrhea can begin suddenly and with extreme urgency. Often the diarrhea occurs soon after a meal and can sometimes occur immediately upon awakening.
• IBS IBS-patient's diet
• an IBS patient avoid beans, cabbage, sorbitol, and fructose.
• a low-fat, high-fiber diet can also help some IBS patients.
• Regular physical activity can also help keep the gastrointestinal tract functioning properly.
• Drugs such as propantheline that slow the function ofthe gastrointestinal tract are generally not effective for treating IBS.
• Antidiarrheal drugs such as diphenoxylate and loperamide, help with diarrhea. The Merck Manual of Medical Information 525-526 (R. Berkow ed., 1997).
• drugs can cause physical and/or psychological addiction.
• Those most well known types of these drugs include opiates, such as heroin, opium, and morphine; sympathomimetics, including cocaine and amphetamines; sedative-hypnotics, including alcohol, benzodiazepines and barbiturates; and nicotine, which has effects similar to opioids and sympathomimetics.
• Drug addiction is characterized by a craving or compulsion for taking the drug and an inability to limit its intake. Additionally, drug dependence is associated with drug tolerance, the loss of effect ofthe drug following repeated admimstration, and withdrawal, the appearance of physical and behavioral symptoms when the drug is not consumed. Sensitization occurs if repeated administration of a drug leads to an increased response to each dose.
• U.S. Patent No. 5,556,838 to Mayer et al. discloses the use of nontoxic NMDA-blocking agents co-administered with an addictive substance to prevent the development of tolerance or withdrawal symptoms.
• U.S. Patent No. 5,574,052 to Rose et al. discloses co- administration of an addictive substance with an antagonist to partially block the pharmacological effects ofthe substance.
• U.S. Patent No. 5,075,341 to Mendelson et al. discloses the use of a mixed opiate agonist/antagonist to treat cocaine and opiate addiction.
• U.S. Patent No. 5,232,934 to Downs discloses administration of 3-phenoxypyridine to treat addiction.
• U.S. Patent No. 5,556,837 to Nestler et. al. discloses infusing BDNF or NT-4 growth factors to inhibit or reverse neurological adaptive changes that correlate with behavioral changes in an addicted individual.
• U.S. Patent. No. 5,762,925 to Sagan discloses implanting encapsulated adrenal medullary cells into an animal's central nervous system to inhibit the development of opioid intolerance.
• Parkinson's disease is a clinical syndrome comprising bradykinesia (slowness and poverty of movement), muscular rigidity, resting tremor (which usually abates during voluntary movement), and an impairment of postural balance leading to disturbance of gait and falling.
• the features of Parkinson's disease are a loss of pigmented, dopaminergic neurons ofthe substantia nigra pars compacta and the appearance of intracellular inclusions known as Lewy bodies (Goodman and Gillman 's The Pharmaceutical Basis of Therapeutics 506 (9 th ed. 1996)). Without treatment, Parkinson's disease progresses to a rigid akinetic state in which patients are incapable of caring for themselves. Death frequently results from complications of immobility, including aspiration pneumonia or pulmonary embolism.
• Drugs commonly used for the treatment of Parkinson's disease include carbidopa levodopa, pergolide, bromocriptine, selegiline, amantadine, and trihexyphenidyl hydrochloride.
• Anxiety is a fear, apprehension, or dread of impending danger often accompanied by restlessness, tension, tachycardia, and dyspnea.
• Other symptoms commonly associated with anxiety include depression, especially accompanied with dysthymic disorder (chronic "neurotic" depression); panic disorder; agoraphobia and other specific phobias; eating disorders; and many personality disorders.
• anxiety is unattached to a clearly identified treatable primary illness. If a primary illness is found, however, it can be desirable to deal with the anxiety at the same time as the primary illness.
• benzodiazepines are the most commonly used anti-anxiety agents for generalized anxiety disorder. Benzodiazepines, however, carry the risk of producing impairment of cognition and skilled motor functions, particularly in the elderly, which can result in confusion, delerium, and falls with fractures. Sedatives are also commonly prescribed for treating anxiety.
• the azapirones such as buspirone, are also used to treat moderate anxiety. The azapirones, however, are less useful for treating severe anxiety accompanied with panic attacks.
• Epilepsy is a disorder characterized by the tendency to have recurring seizures.
• the etiology commonly consists of lesions in some part ofthe cortex, such as a tumor; developmental malformation; or damage due to trauma or stroke. In some cases the etiology is genetic.
• An epileptic seizure can be triggered by repetitive sounds, flashing lights, video games, or touching certain parts ofthe body.
• Epilepsy is typically treated with anti-seizure drugs. In epilepsy cases, where anti-seizure drugs are ineffective, and the defect in the brain is isolated to a small area ofthe brain, surgical removal of that part ofthe brain can be helpful in alleviating the seizures. In patients who have several sources for the seizures or who have seizures that spread quickly to all parts ofthe brain, surgical removal ofthe nerve fibers that connect the two sides ofthe brain can be helpful.
• Examples of drugs for treating a seizure and epilepsy include carbamazepine, ethosuximide, gabapentin, lamotrignine, phenobarbital, phenytoin, primidone, valproic acid, trimethadione, bemzodiaepines, ⁇ -vinyl GABA, acetazolamide, and felbamate.
• Anti-seizure drugs can have side effects such as drowsiness; hyperactivity; hallucinations; inability to concentrate; central and peripheral nervous system toxicity, such as nystagmus, ataxia, diplopia, and vertigo; gingival hype ⁇ lasia; gastrointestinal disturbances such as nausea, vomiting, epigastric pain, and anorexia; endocrine effects such as inhibition of antidiuretic hormone, hyperglycemia, glycosuria, osteomalacia; and hypersensitivity such as scarlatiniform rash, morbilliform rash, Stevens- Johnson syndrome, systemic lupus erythematosus, and hepatic necrosis; and hematological reactions such as red-cell aplasia, agranulocytosis, thrombocytopenia, aplastic anemia, and megaloblastic anemia.
• the Merck Manual of Medical Information 345-350 R. Berkow ed., 1997).
• a seizure is the result of abnormal electrical discharge in the brain.
• the discharge can involve a small area ofthe brain and lead to the person only noticing an odd taste or smell or it can involve a large area ofthe brain and lead to convulsions, i.e., a seizure that causes jerking and spasms ofthe muscles throughout the body. Convulsions can also result in brief attacks of altered consciousness and loss of consciousness, muscle control, or bladder control.
• a seizures is often preceded by auras, i.e., unusual sensations of smell, taste, or vision or an intense feeling that a seizure is about to begin.
• a seizure typically lasts for about 2 to 5 minutes. When the seizure ends the person can have headache, sore muscles, unusual sensations, confusion, and profound fatigue (postictal state). Usually the person cannot remember what happened during the seizure.
• a stroke or cerebrovascular accident is the death of brain tissue (cerebral infarction) resulting from the lack of blood flow and insufficient oxygen to the brain.
• a stroke can be either ischemic or hemorrhagic.
• ischemic stroke blood supply to the brain is cut off because of athersclerosis or a blood clot that has blocked a blood vessel.
• hemorrhagic stroke a blood vessel bursts preventing normal blood flow and allowing blood to leak into an area ofthe brain and destroying it. Most strokes develop rapidly and cause brain damage within minutes. In some cases, however, strokes can continue to worsen for several hours or days. Symptoms of strokes vary depending on what part ofthe brain is effected.
• Symptoms include loss or abnormal sensations in an arm or leg or one side ofthe body, weakness or paralysis of an arm or leg or one side ofthe body, partial loss of vison or hearing, double vision, dizziness, slurred speech, difficulty in thinking ofthe appropriate word or saying it, inability to recognize parts ofthe body, unusual movements, loss of bladder control, imbalance, and falling, and fainting.
• the symptoms can be permanent and can be associated with coma or stupor. Strokes can cause edema or swelling ofthe brain which can further damage brain tissue. For persons suffering from a stroke, intensive rehabilitation can help overcome the disability caused by impairment of brain tissue. Rehabilitation trains other parts ofthe brain to assume the tasks previously performed by the damaged part.
• drugs for treating strokes include anticoagulants such as heparin, drags that break up clots such as streptokinase or tissue plasminogen activator, and drugs that reduce swelling such as mannitol or corticosteroids.
• anticoagulants such as heparin
• drags that break up clots such as streptokinase or tissue plasminogen activator
• drugs that reduce swelling such as mannitol or corticosteroids.
• Pruritus is an unpleasant sensation that prompts scratching. Pruritus can be attributed to dry skin, scabies, dermatitis, he ⁇ etiformis, atopic dermatitis, pruritus vulvae et ani, miliaria, insect bites, pediculosis, contact dermatitis, drug reactions, urticaria, urticarial eruptions of pregnancy, psoriasis, lichen planus, lichen simplex chronicus, exfoliative dermatitis, folliculitis, bullous pemphigoid, and fiberglass dermatitis. Conventionally, pruritus is treated by phototherapy with ultraviolet B or PUVA or with therapeutic agents such as naltrexone, nalmefene, danazol, tricyclics, and antidepressants.
• therapeutic agents such as naltrexone, nalmefene, danazol, tricyclics, and antidepressants.
• mGluR5 metabotropic glutamate receptor 5
• Selective antagonists ofthe mGluR5 receptor have also been shown to exert anxiolytic and anti-depressant activity in in vivo animal models (E. Tatarczynska et al, Br. J. Pharmacol. 132(7): 1423-1430 (2001) and P.J.M. Will et al, Trends in Pharmacological Sciences 22(7):331-37 (2001)).
• Selective antagonists ofthe mGluR5 receptor have also been shown to exert anti-Parkinson activity in vivo (K. J. Ossowska et al, Neuropharmacology 41(4):413-20 (2001) and P.J.M. Will et al, Trends in Pharmacological Sciences 22(7):331-37 (2001)).
• the present invention encompasses compounds having the formula (I):
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently:
• each R 3 is independently:
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C j -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH 2 (halo), -CH(halo) 2 , -CN, -OH, -halo, -N 3 , -NO 2 , -N(R 8 )
• each halo is independently -F, -CI, -Br or -I; n is an integer ranging from 0 to 3; and m is an integer ranging from 0 to 2.
• the present invention encompasses compounds having the formula (la):
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently:
• each R 5 is independently -CN, -OH, -(C 1 -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -
• each R 7 is independently -(C 1 -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH 2 (halo), -CH(halo) 2 , -CN, -OH, -
• each halo is independently -F, -CI, -Br or -I; n is an integer ranging from 0 to 3; and m is an integer ranging from 0 to 2.
• the present invention encompasses compounds having the formula (lb):
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently:
• each R 3 is independently:
• each halo is independently -F, -CI, -Br or -I; n is an integer ranging from 0 to 3; m is an integer ranging from 0 to 2; and p is an integer ranging from 0 to 4.
• the present invention encompasses compounds having the formula (Ic):
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C 1 -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, - (C 3 -C 8 )cycloalkyl, -(Cs-C ⁇ cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH(halo) 2 , -CH 2 (halo), -CN, -OH, -halo, -N 3 , -NO 2 , -N(R 8 ) 2
• R 11 is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , - CH(halo) 2 , or -CH 2 (halo); each R 12 is independently:
• the present invention also encompasses compounds having the formula (fl):
• A is -NR 4 -, -O-, or -S-;
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -
• each R 2 is independently:
• each R 3 is independently:
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C ⁇ 0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C j -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH 2 (halo), -CH(halo) 2 , -CN, -OH, -halo, -N 3 , -NO 2 , -N(R 8
• each halo is independently -F, -CI, -Br or -I; n is an integer ranging from 0 to 2; and m is an integer ranging from 0 to 2.
• the present invention also encompasses compounds having the formula (lla):
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C ⁇ -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 3 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH 2 (halo), -CH(halo) 2 , -CN, -OH, -halo, -N 3 , -NO 2 , -N(R 8 )
• each R 12 is independently:
• A is -NR 4 -, -O-, or -S-;
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -
• each R 2 is independently:
• each R 3 is independently: (a) -halo, -CN, -OH, -NO 2 , or -NH 2 ;
• R 4 is -(C r C 6 )alkyl, or -O-(C,-C 6 )alkyl; each R 5 is independently -CN, -OH, -(C ⁇ -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C ⁇ -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl,
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently:
• R 6 is: (a), -nap
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently:
• each R 3 is independently:
• each halo is independently -F, -CI, -Br or -I; n is an integer ranging from 0 to 2; m is an integer ranging from 0 to 2; and p is an integer ranging from 0 to 4.
• the present invention also encompasses compounds having the formula (HIc):
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C ⁇ 4 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C 1 -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 ,
• each R 8 is independently -H, -(C j -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -
• R u is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 12 is independently:
• the present invention also encompasses compounds having the formula (IV):
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or - CH 2 (halo); each R 2 is independently: (a) -halo, -CN, -OH, -NO 2 , or -NH 2 ;
• each R 3 is independently:
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C ⁇ 4 )aryl, or -(C 5 -C )0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -( -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH(halo) 2 , -CH 2 (halo), -CN, -OH, -halo, -N 3 , -NO 2 , -N(R 8 )
• each R !2 is independently:
• R 1 is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , -C(halo) 3 , - CH(halo) 2 , or -CH 2 (halo); each R 3 is independently:
• R 6 is -phenyl, -naphthyl, -(C 3 -Cg)cycloalkyl,-(C 14 )aryl, or -(C 3 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups; each R 7 is independently -(C j -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(C 3 -C 5 )heterocycle, -C(halo) 3 , -CH 2 (halo), -CH(halo) 2 , -CN, -OH, -halo, -N 3 , -NO 2 , -N(R 8 ) 2
• each halo is independently -F, -CI, -Br or -I; and m is an integer ranging from 0 to 2.
• the present invention encompasses compounds having the formula (VI):
• R 1 is -H, -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently: (a) -halo, -CN, -OH, -NO 2 , or -NH 2 ; (b) -(C 1 -C ]0 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl,
• each R 4 is independently -(C,-C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl, -(C 3 -C 8 )cycloalkyl, -(C 5 -C 8 )cycloalkenyl, -phenyl, -(3- to 5-membered)heterocycle, - C(halo) 3 , -CH(halo) 2 , or CH 2 (halo); each R 5 is independently -CN, -OH, -(C j -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, - (C 2 -C 6 )
• R 1 is -H, -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo); each R 2 is independently:
• each R 4 is independently -(C,-C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl,
• each R 5 is independently -CN, -OH, -(C 1 -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -
• each R 6 is independently -(C ⁇ -C 6 )alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl,
• each R 7 is independently -H, -( -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl,
• each R 8 is independently -(C j -C ⁇ alkyl, -(C 2 -C 6 )alkenyl, -(C 2 -C 6 )alkynyl,
• a compound of formula (I), (la), (lb), (Ic), (H), (Ha), (HI), (Hla), (HTb), (IHc), (IV), (IVa), (V), (VI), or (VH), or a pharmaceutically acceptable salt thereof is useful for treating or preventing pain, UI, an ulcer, IBD, IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia, or depression (each being a "Condition") in an animal.
• the invention also relates to compositions comprising an effective amount of a Cyanoiminopiperazine Compound and a pharmaceutically acceptable carrier or excipient.
• the compositions are useful for treating or
• the invention further relates to methods for treating a Condition, comprising administering to an animal in need thereof an effective amount of a Cyanoiminopiperazine Compound.
• the invention further relates to methods for preventing a Condition, comprising administering to an animal in need thereof an effective amount of a Cyanoiminopiperazine Compound.
• the invention still further relates to methods for inhibiting Vanilloid Receptor 1 ("VRl") function in a cell, comprising contacting a cell capable of expressing VRl with an effective amount of a Cyanoiminopiperazine Compound.
• the invention still further relates to methods for inhibiting mGluR5 function in a cell, comprising contacting a cell capable of expressing mGluR5 with an effective amount of a Cyanoiminopiperazine Compound.
• the invention still further relates to methods for inhibiting metabotropic glutamate receptor 1 ("mGluRl") function in a cell, comprising contacting a cell capable of expressing mGluRl with an effective amount of a Cyanoiminopiperazine Compound.
• mGluRl metabotropic glutamate receptor 1
• the invention still further relates to a method for preparing a composition, comprising the step of admixing a Cyanoiminopiperazine Compound and a pharmaceutically acceptable carrier or excipient.
• the invention still further relates to a kit comprising a container containing an effective amount of a Cyanoiminopiperazine Compound.
• n 3.
• n 0.
• n is 1. In another embodiment, m is 2.
• A is -N((C r C 6 )alkyl)-.
• A is -N(O(C,-C 6 )alkyl)-. h another embodiment, A is -O-.
• A is -S-.
• R 1 is halo.
• R 1 is -CI.
• R 1 is -Br.
• R 1 is -I.
• R 1 is -F. In another embodiment, R 1 is -CH 3 .
• n is 1 and R 2 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• n is 1 and R 2 is -(C j -C 10 )alkyl, -(C 2 -C ]0 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C, 4 )bicycloalkyl, -(Cg-C 14 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(Cg-C I4 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C ⁇ 0 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• n is 1 and R 2 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups;
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C,-C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• R 6 is -phenyl, -naphthyl, -(C 3 -Cg)cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• m is 1 and R 3 is -CH 3 .
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• n and m are 0 and R 6 is -phenyl.
• n is 0, m is 1, R 3 is methyl, and R 6 is phenyl.
• the -phenyl is substituted with a -(C C 6 ) alkyl group, i another embodiment, the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C r C 6 ) alkyl group is a t-butyl group substituted at 4-position ofthe -phenyl.
• the -(C r C 6 ) alkyl group is an w ⁇ -propyl group substituted at the 4-position ofthe -phenyl.
• R 1 is -CF 3 or -CHF 2 .
• n and m are 0 and R 6 is -phenyl substituted at its 4- position with a -CF 3 group.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl.
• -halo is -CI.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group.
• the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C r C 6 ) alkyl group is a t-butyl group or an tso-propyl group substituted at the 4-position ofthe -phenyl.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl substituted with -CF 3 .
• -halo is -CI.
• the -CF 3 is substituted at the 4-position ofthe -phenyl.
• -halo is -CI and the -CF 3 is substituted at the 4-position ofthe -phenyl.
• R 1 , R 2 , R 3 , R 6 , n, and m are defined above for the Cyanoiminopiperazine Compounds of formula (Ia).
• R 1 is -halo.
• R 1 is -CI.
• R 1 is -Br.
• R 1 is -I. In another embodiment, R 1 is -F. hi another embodiment, R 1 is -CH 3 .
• n is 1 and R 2 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• n is 1 and R 2 is -(C j -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• n is 1 and R 2 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 -
• n is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C 2 -C 10 )alkenyl, -(C 2 - C !0 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C l4 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• R 6 is -naphthyl, -(C 14 )aryl, or -(C 3 -C 8 )cycloalkyl each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is pyridyl, furyl, benzofuranyl, thiophenyl, benzothiophenyl, quinolinyl, indolyl, oxazolyl, benzoxazolyl, imidazolyl, benzimidazolyl, thiazolyl, benzothiazolyl, isoxazolyl, pyrazolyl, isothiazolyl, pyridazinyl, pyrimidinyl, pyrazinyl, thiadiazolyl, triazinyl, cinnolinyl, phthalazinyl, or quinazolinyl, each of which is substituted with one or more R 7 groups.
• R 6 is pyridyl, pyrazinyl, py ⁇ midinyl, pyridazinyl, or thiadiazolyl.
• the present invention encompasses compounds having the formula (lb):
• n is 1. In another embodiment, n is 2. In another embodiment, m is 0. In another embodiment m is 1. In another embodiment, m is 2.
• R 1 is -halo, hi another embodiment, R 1 is -CI. In another embodiment, R 1 is -Br. In another embodiment, R 1 is -I. In another embodiment, R 1 is -F.
• R is -CH 3 hi one embodiment, n is 1 and R 2 is - ⁇ h,a n lo, - rC>N ⁇ , - ⁇ Nv ⁇ rO 2 , or . -N H H iJ2
• n is 1 and R is -(C r C ⁇ 0 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 C 10 )alkynyl. -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C, 4 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl, -(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or -(C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• n 1 and R 2 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is land R 3 is -halo, -CN, -OH, -NO 2 , or
• m is 1 and R 3 is-(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 -C 10 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or -(C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is-phenyl, -naphthyl, -(C 14 )aryl or -(C 5 -C, 0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• n 1 and R 3 is -CH 3 . In another embodiment, m is 1, R 3 is -CH 3 , and the carbon atom to which the -
• R 3 is attached is in the (Reconfiguration. hi another embodiment, m is 1.
• R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• the present invention encompasses compounds having the formula (Ic):
• m is 0.
• n is 1. In another embodiment, m is 2.
• q is 0.
• q is 1. hi another embodiment, q is 2. hi another embodiment, q is 3. h another embodiment, A is -N((C r C 6 )alkyl)-. hi another embodiment, A is -N(O(C,-C 6 )alkyl)-.
• A is -O-.
• A is -S-.
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 ; or hi another embodiment, m is 1 and R 3 is -(C j -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• m is 1 and R 3 is -CH 3 .
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (Reconfiguration. In another embodiment, m is 1, R 3 is -CH 3 , and the carbon atom to which the -
• R 3 is attached is in the (S)-configuration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• R ⁇ is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, - OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo).
• R 11 is -halo
• R 11 is -CI. In another embodiment, R ⁇ is -Br.
• R ⁇ is -F.
• R 11 is -I.
• R 11 is -CH 3 .
• q is 1 and R 12 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• q is 1 and R 12 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• the present invention also encompasses compounds of formula (II)
• n 0.
• n 1.
• n is 2.
• n 0.
• n is 1. In another embodiment, m is 2.
• R 1 is -halo
• R 1 is -CI.
• R 1 is -Br.
• R 1 is -I. In another embodiment, R 1 is -F.
• R 1 is -CH 3 .
• A is -NH-.
• A is -N((C,-C 6 )alkyl)-.
• A is -N(O(C 1 -C 6 )alkyl)-. In another embodiment, A is -O-.
• A is -S-.
• n is 1 and R 2 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• n is 1 and R 2 is -(C 1 -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C, 4 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl,-(C 8 -C ⁇ 4 )bicycloalkenyl, -(C 8 -C ]4 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• n is 1 and R 2 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 - C t0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C 1 -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C ⁇ 4 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C 10 )cycloalkeny],-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• n and m are 0 and R 6 is -phenyl.
• n is 0, m is 1, R 3 is methyl, and R 6 is phenyl.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group, hi another embodiment, the -(C,-C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl. In another embodiment, the -(C r C 6 ) alkyl group is a t-butyl group substituted at 4-position ofthe -phenyl. In another embodiment, the -(C j - C 6 ) alkyl group is an is ⁇ -propyl group substituted at the 4-position ofthe -phenyl.
• R 1 is -CF 3 or -CHF 2 .
• n and m are 0 and R 6 is -phenyl substituted at its 4- position with a -CF 3 group.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl.
• -halo is -CI.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group.
• the -(C,-C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C ] -C 6 ) alkyl group is a t-butyl group or an wo-propyl group substituted at the 4-position ofthe -phenyl.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl substituted with -CF 3 .
• -halo is -CI.
• the -CF 3 is substituted at the 4-position ofthe -phenyl.
• -halo is -CI and the -CF 3 is substituted at the 4-position ofthe -phenyl.
• the present invention also encompasses compounds having the formula (IIa):
• q is 0. In another embodiment q is 1.
• q is 2.
• m is 0.
• n 1
• m is 2. In another embodiment, A is -N((C ! -C 6 )alkyl)-.
• A is -N(O(C r C 6 )alkyl)-.
• A is -O-.
• A is -S-.
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C ⁇ -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• (C 7 -C 10 )bicycloheterocycle each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 -
• C 10 C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C ]4 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• R 11 is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, -
• R 11 is -halo
• R 11 is -CI.
• R 11 is -Br. In another embodiment, R n is -F.
• R 11 is -I.
• R n is -CH 3 .
• q is 1 and R 12 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• R 12 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 -
• q is 1 and R 12 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• the present invention also encompasses compounds of formula (HT)
• n 0.
• n 1
• n is 2. In one embodiment, m is 0.
• m is 1.
• n is 2.
• A is -N((C j -C 6 )alkyl)-.
• A is -N(O(C r C 6 )alkyl)-. Li one embodiment, A is -O-.
• A is -S-. .
• R 1 is -halo
• R 1 is -CI.
• R 1 is -Br. In one embodiment, R 1 is -I.
• R 1 is -F.
• R 1 is -CH ⁇ 3 3.'
• n is 1 and R 2 . is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• n is 1 and R 2 is -(C 1 -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C ]0 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C l4 )tricycloalkyl, -(C 5 -
• n is 1 and R 2 is -phenyl, -naphthyl, -(C ]4 )aryl, or -(C 5 - Ci 0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C,-C 10 )alkyl, -(C 2 -C ⁇ 0 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C ⁇ 4 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - Ci 0 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C I0 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or - (C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups. In one embodiment, R 6 is -phenyl.
• n and m are 0 and R 6 is -phenyl. In another embodiment, n is 0, m is 1, R 3 is methyl, and R 6 is phenyl. In another embodiment, the -phenyl is substituted with a -(C r C 6 ) alkyl group, hi another embodiment, the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl. In another embodiment, the -( - ) alkyl group is a t-butyl group substituted at 4-position ofthe -phenyl. In another embodiment, the -(C r C 6 ) alkyl group is an zso-propyl group substituted at the 4-position ofthe -phenyl.
• R 1 is -CF 3 or -CHF 2 .
• n and m are 0 and R 6 is -phenyl substituted at its 4- position with a -CF 3 group.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl.
• -halo is -CI.
• the -phenyl is substituted with a -(C,-C 6 ) alkyl group.
• the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C,-C 6 ) alkyl group is a t-butyl group or an ⁇ o-propyl group substituted at the 4-position ofthe -phenyl.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl substituted with -CF 3 .
• -halo is -CI.
• the -CF 3 is substituted at the 4-position ofthe -phenyl.
• -halo is -CI and the -CF 3 is substituted at the 4-position ofthe -phenyl.
• the present invention also encompasses compounds of formula (Dla)
• n 0.
• n is 1. ⁇ In another embodiment, n is 2. h another embodiment, m is 0.
• n 1
• m is 2. hi another embodiment, R 1 is -halo. In another embodiment, R 1 is -CI.
• R 1 is -Br. hi another embodiment, R 1 is -I. hi another embodiment, R 1 is -F. hi another embodiment, R 1 is -CH 3 .
• n is 1 and R 2 is -halo, -CN, -OH, -NO 2 , or -NH 2 ;
• n is 1 and R 2 is -(C r C 10 )alkyl, -(C 2 -C ⁇ 0 )alkenyl, -(C 2 -
• n is 1 and R 2 is -phenyl, -naphthyl, -(C ⁇ aryl, or -(C 5 -
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 ; or
• m is 1 and R 3 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C ⁇ 0 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C ⁇ 4 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups; or
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C )0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R J is attached is in the (S)-configuration.
• R 6 is -naphthyl, -(C I4 )aryl, or -(C 3 -C 8 )cycloalkyl each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is pyridyl, furyl, benzofuranyl, thiophenyl, benzothiophenyl, quinolinyl, indolyl, oxazolyl, benzoxazolyl, imidazolyl, benzimidazolyl, thiazolyl, benzothiazolyl, isoxazolyl, pyrazolyl, isothiazolyl, pyridazinyl, pyrimidinyl. pyrazinyl, thiadiazolyl, triazinyl, cinnolinyl, phthalazinyl, or quinazolinyl, each of which is substituted with one or more R 7 groups.
• the present invention encompasses compounds having the formula (nib):
• n 0.
• n is 1. In another embodiment, n is 2.
• m is 0.
• n 1
• n 2
• p is 0. In another embodiment, p is 1.
• p is 2.
• p is 3.
• p is 4.
• R 1 is -halo. In another embodiment, R 1 is -CI.
• R 1 is -Br. In another embodiment, R 1 is -I. In another embodiment, R 1 is -F. In another embodiment, R 1 is -CH 3 .
• n is 1 and R 2 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• n is 1 and R 2 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• n is 1 and R 2 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 -
• Ci 0 heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C,-C 10 )alkyl, -(C 2 -C ]0 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 5 - C 10 )cycloalkenyl,-(Cg-C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C, 0 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C, G )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• m is 1. In another embodiment, m is 2. In another embodiment, A is -N ⁇ C j -C ⁇ alkyi)-. hi another embodiment, A is -N(O(C r C 6 )alkyl)-. In another embodiment, A is -O-. lh another embodiment, A is -S-.
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - Ci 0 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C ]0 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(Cg-C j4 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C 10 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C ⁇ 4 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• R ⁇ is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, - OCFI 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo).
• R n is -halo
• R n is -CI.
• R 11 is -Br.
• R n is -F. In another embodiment, R 11 is -I.
• R 11 is -CH 3 .
• q is 1 and R 12 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• q is 1 and R 12 is -(C r C ⁇ 0 )alkyl, -(C 2 -C, 0 )alkenyl, -(C 2 - C ]0 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C ]0 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C I0 )bicycloheterocycle, each of which is
• q is 1 and R 12 is -phenyl, -naphthyl, -(C I4 )aryl, or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• the present invention also encompasses compounds of formula (IV):
• n 0.
• n 1
• n is 2. In another embodiment, n is 0.
• n 1
• n 2
• A is -NH-.
• A is -N((Ci-C 6 )alkyl)-. In another embodiment, A is -N(O(C r C 6 )alkyl)-.
• A is -O-.
• A is -S-.
• R 1 is -halo
• R 1 is -CI. In another embodiment, R 1 is -Br.
• R 1 is -I.
• R 1 is -F.
• R 1 is -CH 3 .
• n is one and R ? is -halo, -CN, -OH, -NO 2 , or -NH 2 ; In another embodiment, n is 1 and R 9 ' is -(C r C, 0 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• n is 1 and R 2 is -phenyl, -naphthyl, -(C ⁇ 4 )aryl, or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups;
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C ⁇ 4 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C ⁇ 0 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C ]0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• n 1 and R 3 is -CH 3 . In another embodiment, m is 1, R 3 is -CH 3 , and the carbon atom to which the -
• R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -'C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• n and m are 0 and R 6 is -phenyl. In another embodiment, n is 0, m is 1, R 3 is methyl, and R 6 is phenyl.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group, hi another embodiment, the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C r C 6 ) alkyl group is a t-butyl group substituted at 4-position ofthe -phenyl.
• the -(C r C 6 ) alkyl group is an iso-p ⁇ opyl group substituted at the 4-position ofthe -phenyl.
• R 1 is -CF 3 or -CHF 2 .
• n and m are 0 and R 6 is -phenyl substituted at its 4- position with a -CF 3 group.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl.
• -halo is -CI.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group, hi another embodiment, the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C C 6 ) alkyl group is a t-butyl group or an wo-propyl group substituted at the 4-position ofthe -phenyl.
• n and m are 0, R 1 is -halo or methyl; and R 6 is -phenyl substituted with -CF 3 .
• -halo is -CI.
• the -CF 3 is substituted at the 4-position ofthe -phenyl.
• -halo is -CI and the -CF 3 is substituted at the 4-position ofthe -phenyl.
• A is -N(O(C r C 6 )alkyl)-.
• A is -O-. h another embodiment, A is -S-. In another embodiment, m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C r C 10 )alkyl, -(C 2 -C ⁇ 0 )alkenyl, -(C 2 - C ⁇ o)alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C 1 o)cycloalkenyl,-(C 8 -C ]4 )bicycloalkenyl, -(C 8 -C ]4 )tricycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C ⁇ 0 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• m is 1 and R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(C 5 - C, 0 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C 14 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• R 11 is -hydrogen, -halo, -CH 3 , -NO 2 , -CN, -OH, - OCH 3 , -NH 2 , -C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo).
• R 11 is -halo. In another embodiment, R u is -CI.
• R 11 is -Br.
• R n is -F.
• R ⁇ is -I. h another embodiment, R ⁇ is -CH 3 .
• R 12 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• R 12 is -(C 1 -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -Ci 4 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl,-(C 8 -C 14 )bicycloalkenyl, -(C 3 -C 7 )heterocycle, or - (C 7 -C ]0 )bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups.
• R 12 is -phenyl, -naphthyl, -(C 14 )aryl, or -(C 5 - C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• A is -O-.
• A is -S-.
• R ! is -hydrogen.
• R 1 is -halo, -CH 3 , -NO 2 , -CN, -OH, -OCH 3 , -NH 2 , - C(halo) 3 , -CH(halo) 2 , or -CH 2 (halo).
• R 1 is -halo
• R 1 is -CI. In another embodiment, R 1 is -Br.
• R 1 is -I.
• R 1 is -F.
• R 1 is -CH 3 .
• m is 1 and R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• m is 1 and R 3 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 -
• C 10 C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• m is 1 and R 3 is -CH 3 .
• m is 1, R 3 is -CH 3 , and the carbon atom to which the - R 3 is attached is in the (Reconfiguration. In another embodiment, m is 1 , R 3 is -CH 3 , and the carbon atom to which the -
• R 3 is attached is in the (S)-configuration.
• R 6 is -phenyl, -naphthyl, -(C 3 -C 8 )cycloalkyl,-(C, 4 )aryl, or -(C 5 -C 10 )heteroaryl, each of which is unsubstituted or substituted with one or more R 7 groups.
• R 6 is -phenyl.
• m is 0 and R 6 is -phenyl.
• m is 1, R 3 is methyl, and R 6 is phenyl.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group.
• the -(C r C 6 ) alkyl group is substituted at the 4- position ofthe -phenyl.
• the -(C,-C 6 ) alkyl group is a t-butyl group substituted at 4-position ofthe -phenyl.
• the -(C r C 6 ) alkyl group is an iso-propyl group substituted at the 4-position ofthe -phenyl.
• R 1 is -CF 3 or -CHF 2 .
• m is 0 and R 6 is -phenyl substituted at its 4-position with a -CF 3 group.
• m is 0, R 1 is -halo or methyl; and R 6 is -phenyl.
• -halo is -CI.
• the -phenyl is substituted with a -(C r C 6 ) alkyl group.
• the -(C r C 6 ) alkyl group is substituted at the 4-position ofthe -phenyl.
• the -(C,-C 6 ) alkyl group is a t-butyl group or an ⁇ o-propyl group substituted at the 4-position ofthe -phenyl.
• m is 0, R 1 is -halo or methyl; and R 6 is -phenyl sxxbstituted with -CF 3 .
• -halo is -CI.
• the -CF 3 is substituted at the 4-position ofthe -phenyl.
• -halo is -CI and the -CF 3 is substituted at the 4-position ofthe -phenyl.
• the present invention also encompasses compounds of formula (VI):
• AT J is a pyrazinyl group. !!, procedure., II...1I , tedious labor, ll. preparationll "3"
• AT J is a thiadiazolyl group.
• Ar 2 is a benzothiazolyl group, hi another embodiment, Ar 2 is a benzoimidazolyl group. In another embodiment, Ar 2 is a benzooxazolyl group. In another embodiment, Ar 2 is
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is ⁇ nautically > ⁇ .
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• a - r "r, 2 is
• R j is • H.
• R is -halo.
• R ! is -CI.
• R ! is -Br.
• R is -I.
• R is -F.
• R j is • CH 3 .
• R is ⁇ NO 2 .
• Ri is ⁇ •CN.
• R ( is ⁇ ⁇ OH.
• R] is • OCH 3 .
• R j is • NH 2 .
• R j is ⁇ C(halo) 3 .
• R j is -CH(halo) 2 .
• R ⁇ is -CH 2 (halo).
• R 2 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• R 2 is -(C,-C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C j0 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl, -(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(3- to 7- membered)heterocycle, or -(7- to 10-membered)bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5
• R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• R 3 is -(C r C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C ⁇ 0 )cycloalkyl, -(C 8 -C, 4 )bicycloalkyl, -(C 8 -C, 4 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl, -(C 8 -C, 4 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(3- to 7- membered)heterocycle, or -(7- to 10-membered)bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groxxps.
• R 3 is -phenyl, -naphthyl, -(C 14 )aryl or -(5- to 10- membered) heteroaryl, each of which is unsubstituted or substituted with one or more R 5 groups.
• R 3 is -CH 3 .
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• the present invention also encompasses compounds of formula (VH): .
• vomer 't,., ⁇ ,!' ,. • ⁇ ;;;;, II leverage.II ;;;;ii ⁇ t taste.
• AT J is a pyridyl group.
• Ar j is a pyrimidinyl group.
• A is a pyridazinyl group.
• Ar is a pyrazinyl group.
• Ar is a thiadiazolyl group.
• Ar 2 is a benzothiazolyl group.
• Ar 2 is a benzoimidazolyl group. In another embodiment, Ar 2 is a benzooxazolyl group.
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• Ar 2 is N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl-N-(2-aminoethyl)-2-aminoethyl
• R, s -CH(halo) 2 In another embodiment, R, s -CH 2 (halo). In another embodiment, R 2 s -halo, -CN, -OH, -NO 2 , or -NH 2 ;.
• R 2 s -(C 1 -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C ]0 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bi cycloalkyl, -(Cg-C j4 )tricycloalkyl, -(C 5 - C ]0 )cycloalkenyl, -(C 8 -C 14 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(3- to 7- membered)heterocycle, or -(7- to 10-membered)bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5 groups; or
• R 2 is -phenyl, -naphthyl, -(C 14 )aryl or -(5- to 10- membered)heteroaryl, each of which is unsubstitute or substituted with one or more R 6 groups;
• R 3 is -halo, -CN, -OH, -NO 2 , or -NH 2 .
• R 3 is -(C I -C 10 )alkyl, -(C 2 -C 10 )alkenyl, -(C 2 - C 10 )alkynyl, -(C 3 -C 10 )cycloalkyl, -(C 8 -C 14 )bicycloalkyl, -(C 8 -C 14 )tricycloalkyl, -(C 5 - C 10 )cycloalkenyl, -(C 8 -C ]4 )bicycloalkenyl, -(C 8 -C 14 )tricycloalkenyl, -(3- to 7- membered)heterocycle, or -(7- to 10-membered)bicycloheterocycle, each of which is unsubstituted or substituted with one or more R 5
• R 3 is -phenyl, -naphthyl, -(C, 4 )aryl or -(5- to 10- membered) heteroaryl, each of which is unsubstituted or substituted with one or more R 6 groups.
• R 3 is -CH 3 .
• m is 1 , R 3 is -CH 3 , and the carbon atom to which the -
• R 3 is attached is in the (Reconfiguration.
• m is 1
• R 3 is -CH 3
• the carbon atom to which the - R 3 is attached is in the (S)-configuration.
• Cyanoiminopiperazine Compounds may have asymmetric centers and therefore exist in different enantiomeric and diastereomic forms.
• This invention relates to the use of all optical isomers and stereoisomers ofthe Cyanoiminopiperazine Compounds, and mixtures thereof, and to all pharmaceutical compositions and methods of treatment that may employ or contain them.
• each R 3 can be on any carbon ofthe piperazine ring.
• the Cyanoiminopiperazine Compounds have only one R 3 group, and that R 3 group is attached to a carbon atom adjacent to the nitrogen atom attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group.
• two R 3 groups are on a single atom ofthe piperazine ring.
• the Cyanoiminopiperazine Compound has two R 3 groups, each being attached to a different carbon atom adjacent to a nitrogen atom attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group.
• the Cyanoiminopiperazine Compound has one or two R 3 groups
• the carbon atom to which an R 3 group is attached has the (R) configuration.
• the Cyanoiminopiperazine Compound has one or two R 3 groups
• the carbon atom to which the R 3 group is attached has the (S) configuration
• the Cyanoiminopiperazine Compound has one or two R 3 groups, and at least one ofthe carbon atoms to which an R 3 group is attached has the (R) configuration
• the Cyanoiminopiperazine Compound has one or two R 3 groups, and at least one ofthe carbon atoms to which an R 3 group is attached has the (S) configuration.
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen atom attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, and the carbon to which the R ? group is attached is in the (R) configuration.
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -(C C 4 )alkyl unsubstituted or substituted with one or more halo groups, hi another embodiment, the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -CH 3 .
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -CF 3 .
• the Cyanoiminopiperazine Compoimd has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -CH 2 CH 3 .
• R 3 groups an R 3 group is attached to a carbon atom adjacent to a nitrogen atom attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, and the carbon to which the R 3 group is attached is in the (S) configuration.
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -(C r C 4 )alkyl unsubstituted or substituted with one or more halo groups.
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -CH 3 .
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -CF 3 .
• the Cyanoiminopiperazine Compound has one or two R 3 groups, an R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -CH 2 CH 3 .
• the carbon to which the R 3 group is attached is in the (S) configuration
• R 3 is -CF 3 .
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen atom attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, and the carbon to which the R 3 group is attached is in the (R) configuration.
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -(C 1 -C 4 )alkyl unsubstituted or substituted with one or more halo groups.
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -CH 3 .
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -CF 3 .
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (R) configuration, and R 3 is -CH 2 CH 3 .
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen atom attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, and the carbon to which the R 3 group is attached is in the (S) configuration.
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -(C,-C 4 )alkyl unsubstituted or substituted with one or more halo groups,
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -CH 3 .
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -CF 3 .
• the Cyanoiminopiperazine Compound has only one R 3 group, the R 3 group is attached to a carbon atom adjacent to a nitrogen attached to the pyridyl, pyrimidinyl, pyrazinyl, pyridazinyl, or thiadiazolyl group, the carbon to which the R 3 group is attached is in the (S) configuration, and R 3 is -CH 2 CH 3 .
• the present invention includes the Cyanoiminopiperazine Compounds, and the phannaceutically acceptable salts thereof, wherein one or more hydrogen, carbon or other atoms are replaced by isotopes thereof.
• Such compounds may be useful as research and diagnostic tools in metabolism pharmacokinetic studies and in binding assays.
• Illustrative Cyanoiminopiperazine Compounds are listed below in Tables 1-8: Table 1
• -(C,-C] 0 )alkyl means a straight chain or branched non-cyclic hydrocarbon having from 1 to 10 carbon atoms.
• Representative straight chain -(C r C 10 )alkyls include -methyl, -ethyl, -n-propyl, -n-butyl, -n-pentyl, -n-hexyl, -n-heptyl, -n-octyl, -n-nonly and -n- decyl.
• Representative branched -(C 1 -C 10 )alkyls include -isopropyl, -sec-butyl, -isobutyl, -tert-butyl, -isopentyl, -neopentyl, 1-methylbutyl, 2-methylbutyl, 3-methylbutyl, J ,l "dimethylpropyl, 1 ,2-dimethylpropyl, 1-methylpentyl, 2-methylpentyl, 3-methylpentyl,.
• -(C,-C 6 )alkyl means a straight chain or branched non-cyclic hydrocarbon having from 1 to 6 carbon atoms.
• Representative straight chain -(C r C ⁇ )aIkyls include -methyl, -ethyl, -n-propyl, -n-butyl, -n-pentyl and -n-hexyl.
• Representative branched -(C,- C 6 )alkyls include -isopropyl, -sec-butyl, -isobutyl, -tert-butyl, -isopentyl, -neopentyl, l-ructhylburyl, 2-rnethylbutyl, 3-methyib ⁇ tyl, ,1-dimethylpropyl, 1 ,2-dimethylpropyl, i-methylpentyl, 2-methylpentyl, 3- ⁇ nethylpentyl, 4-methylpentyl, 1 -ethylbutyl, 2-ethylbutyl, 3-ethylbutyl, 1,1-dimethtylbutyl, 1,2-dm ⁇ ethylbutyl, 1,3-dimethylbutyl, 2,2-dimethylbutyl. 2.3-dirnethylbutyl and 3,3-dimethylbutyl.
• -(C 2 -C ]0 )alkenyl means a straight chain or branched non-cyclic hydrocarbon having from 2 to 10 carbon atoms and including at least one carbon -carbon double bond.
• Representative straight chain and branched (C 2 -C 10 )alkenyls include -vinyl, -allyl, -1-butenyl, -2-buienyi, -isobutylenyl, -1 -pentenyl, -2-pentenyl, -3 -methyl- 1-butenyl, -2-methyl-2-butenyl, -2,3-c ⁇ imethyl-2-butenyl, -1-hexenyl, -2-hexenyl, -3-hexenyl, -1-heptenyl, -2-heptenyl, -3- heptenyl.
• -(C 2 -C 6 )alkenyT means a straight chain or branched non-cyclic hydrocarbon having from 2 to 6 carbon atoms and including at least one carbon-carbon double bond.
• Representative straight chain and branched (C 2 -C 6 )alkenyls include -vinyl, -allyl, -1-butenyl, -2-butenyl, -isobutylenyl, -1-pentenyl, -2-pentenyl, -3 -methyl- 1-butenyl, -2-methyl-2-butenyl, -2,3-dimethyl-2-butenyl, -1-hexenyl, 2-hexenyl, 3-hexenyl and the like.
• -(C 2 -C 10 )alkynyl means a straight chain or branched non-cyclic hydrocarbon having from 2 to 10 carbon atoms and including at lease one carbon-carbon triple bond.
• Representative straight chain and branched -(C 2 -C 10 )alkynyls include -acetylenyl, -propynyl, -1-butynyl, -2-butynyl, -1-pentynyl, -2-pentynyl, -3-methyl-l -butynyl, -4-pentynyl, -1- hexy ⁇ yl, -2-hexynyl, -5-hexynyl, -1-heptynyl, -2-heptynyl, -6-heptynyl, -1-octynyl, -2-octynyl, -7-octynyl, -1-nonynyl, -2-nonynyl, -8-nonynyl, -l decynyl, -2-decynyl, -9-dec
• -(C 2 -C 6 )alkynyl means a straight chain or branched non-cyclic hydrocarbon having from 2 to 6 carbon atoms and including at lease one carbon-carbon triple bond.
• Representative straight chain and branched (C 2 -C 6 )alkynyls include -acetylenyl, -propynyl, -1-butynyl, -2-butynyl, -1-pentynyl, -2-pentynyl, ⁇ 3-methy!- 1-butynyl, -4-pentynyl, -1- H bexynyl, -2-hexynyl, -5-hexynyl and the like.
• -(C 3 -C 10 )cycloalky ⁇ means a saturated cyclic hydrocarbon having from 3 to 0 carbon atoms.
• Representative (C 3 -C 10 )cycloalkyls are -cyclopropyl, -cyclobutyl, -cyclopentyl, -cyclohexyl, -cycloheptyl, -cyclooctyl, -cyclononyl and -cyclodecyl.
• -(C 3 -C 8 )cycloalkyl means a saturated cyclic hydrocarbon having from 3 to 8 carbon atoms.
• Representative (C 3 -C 8 )cycloalkyls include -cyclopropyl, -cyclobutyl, ' -cyclopentyl, -cyclohexyl, -cycloheptyl and -cyclooctyl.
• -(C 8 -C j4 )bicycloalkyl means a bi-cyclic hydrocarbon ring system having from 8 to 14 carbon atoms and at least one saturated cyclic alkyl ring.
• Representative -(C 8 - C 14 )bicycloalkyls include -indanyl, -l.,2,3,4-tet ⁇ -ahydronaphthyl, -5,6,7,8-tetrahydronaphthyl, - perhydronaphthyl and the like.
• Representative -(C 8 - Ci 4 )iricycloalkyls include -pyrenyl, -1,2,3,4-tetrahydroanthracenyl, -perhydroanthracenyl -aceantbren ⁇ yl, -1 ,2,3,4-tetrahydropenanthrenyl, -5,6,7,8-tetrahydrophenanthrenyl, -perhydrophenanthrenyl and the like.
• -(C 5 -C 10 )cycloalkenyl means a cyclic non-aromatic hydrocarbon having at least one carbon-carbon double bond in the cyclic system and. from 5 to 10 carbon atoms.
• Representative (C 5 -C 10 )cycloalkenyls include -cyclopentenyl, -cyclopentadienyl, -cyclohexenyl, -cyclohexadienyl,-cycloheptenyl, -cycloheptadienyl, -cycloheptatrienyl,
• -(C 5 -C 8 )cycloalkenyl means a cyclic non-aromatic hydrocarbon having at least one carbon-carbon double bond in the cyclic system and from 5 to 8 carbon atoms.
• Representative-(C 5 -C 8 )cycloalkenyls include -cyclopentenyl, -cyclopentadienyl,
• -(C 8 -C 14 )bicycloalkenyl means a bi-cyclic hydrocarbon ring system having at least one carbon-carbon double bond in each ring and from 8 to 14 carbon atoms. Representative include -indenyl, -pentalenyl, -naphthalenyl,
• -azulenyl -heptalenyl, -1,2,7,8-tetrahydronaphthalenyl and the like.
• Representative -(Cg-C j tricycloalkeriyls include -anthracenyl, -phenanthrenyl, -phenalenyl, -acenaphthalenyl, s-indacenyl, s-indacenyl and the like.
• a 3-membered -(C 3 -C 7 )heterocycle can contain up to 3 heteroatoms, and a 4- to 7-membered
• -(C 3 -C 7 )hete3Ocycle can contain up to 4 heteroatoms. Each heteroatom is independently selected from nitrogen, which can be quatemized; oxygen; and sulfur, including sulfoxide and sulfone.
• the -(C 3 -C 7 )heterocycle can be attached via a nitrogen, sulfur, or carbon atom.
• Representative -(C 3 -C 7 )heterocycles include pyridyl, furyl, thiophenyl, pyrrolyl, oxazolyl, . imidazolyl, thiazolyl, thiadiazolyl, isoxazolyl, pyrazolyl, isothiazolyl, pyridazinyl, pyrimidinyl, pyrazinyl, triazinyl, mo holinyl, pyn'olidinonyl, pyrrolidinyl, piperidinyl, piperazinyl, hydantoinyl, valerolactamyl, oxiranyl, oxetanyl, tetrahydrofuranyl, tetrahydropyranyl, tetrahydropyrindinyl, tetrahydropyrimidinyl, tetrahydrothiophenyl, tetrahydrothiopyranyl
• -(C 3 -C 5 )heterocycle or "-(C 3 -C 5 )heterocyclo” means a 3- to 5-membered monocyclic heterocyclic ring which is either saturated, unsaturated non-aromatic, or aromatic.
• a 3-membered -(C 3 -C 7 )heterocycle can contain up to 3 heteroatoms, and a 4- to 5-membered -(C 3 -C 5 )heterocycle can contain up to 4 heteroatoms.
• Each heteroatom is independently selected from nitrogen, which can be quatemized; oxygen; and sulfur, including sulfoxide and sulfone.
• the -(C 3 -C 5 )heterocycle can be attached via a nitrogen, sulfur, or carbon atom.
• Representative -(C 3 -C 5 )heterocycles include furyl, thiophenyl, pyrrolyl, oxazolyl, imidazolyl, thiazolyl, isoxazolyl, pyrazolyl, isothiazolyl, triazinyl, pyrrolidinonyl, pyrrolidinyl, hydantoinyl, oxiranyl, oxetanyl, tetrahydrofuranyl, tetrahydrothiophenyl and the like,
• -(C 7 -C 10 )bicycloheterocycle or "-(C 7 -C 10 )bicycloheterocyclo” means a 7- to 10-membered bicyclic, heterocyclic ring which is either saturated, unsaturated non-aromatic, or aromatic.
• a -(C 7 -C 10 )bicycloheterocycle contains from 1 to 4 heteroatoms independently : selected from nitrogen, which can be quatemized; oxygeu; and sulfur, including sulfoxide and ; sulfone.
• the (C 7 -C 10 )bicycloheterocycle can be attached via a nitrogen, sulfur, or carbon atom.
• Representative -(C 7 -C 10 )bicycloheterocycles include -quinolinyl, -isoquinolinyl, - chromonyl, -coumarinyl, -indolyl, -indoJizinyl, -benzo[b]furanyl, -benzo[b]thiopbenyl, - iudazolyl, -purinyl, -4H-quinolizinyl, -isoquinolyl, -quinolyl, -phthalazinyl, -naphthyridinyl, - carbazolyl, - ?-carbolinyl and the like.
• -(C 14 )aryl means a 14-membered aromatic carbocyclic moiety such as -anthryl or -phenanthryl.
• ''-(C j -C j c ⁇ eteroaryl" means an aromatic heterocycle ring of 5 to 10 members, including both mono- and bicyclic ring systems, wherein at least one carbon atom of one or both of the rings is replaced with a heteroatom independently selected from nitrogen, oxygen and sulfur.
• One or both ofthe -(C 5 -C ]0 )heteroaryrs rings contain at least one carbon atom.
• C 5 -C 10 )heteroaryls include pyridyl, furyl, benzofuianyl, thiophenyl, benzothiophenyl, quinolinyl, pyrrolyl, indolyl, oxazolyl, benzoxazolyl, imidazolyl, benzimidazolyl, thiazolyl, benzothiazolyl, isoxazolyl, pyrazolyl, isothiazolyl, pyridazinyl, pyrimidinyl, pyrazinyl. thiadiazolyl, triazinyl, cinnolinyl, phthalazinyl, and qumazolinyl.
• - Halogen or "-Halo" means -F, -CI, -Br or -I.
• the phrase "2-(3 -chloropyridyl)" means
• R b R 2 , and n are defined above for the Cyanoiminopiperazine Compounds of fonnula (IV).
• R 8 and s are defined above for the Cyanoiminopiperazine Compounds of fonnulas (VI) and (VTO.
• phenethyl group means an ethylene group attached to a terminal Ar 2 group, wherein one or each of two hydrogens ofthe ethylene group can optionally be substituted with an R 4 group.
• a phenethyl group is depicted below t ⁇
• phenpropyl group an n-propylene group attached to a terminal Ar 2 group, wherein one or each of two hydrogens ofthe n-propylene group can optionally be substituted with an R 4 group.
• a phenpropyl group is depicted below
• R 4 , Ar 2 , and t are defined above for the Cyanoiminopiperazine Compounds of formula (VH).
• salt is a salt formed from an acid and a basic nitrogen group of one ofthe Cyanoiminopiperazine Compounds.
• Illustrative salts include, but are not limited, to sulfate, citrate, acetate, oxalate, chloride, bromide, iodide, nitrate, bisulfate, phosphate, acid phosphate, isonicotinate, lactate, salicylate, acid citrate, tartrate, oleate, tannate, pantothenate, bitartrate, ascorbate, succinate, maleate, gentisinate, fumarate, gluconate, glucaronate, saccharate, fonnate, benzoate, glutamate, methanesulfonate, ethanesulfonate, benzenesulfonate, yp-toluenesulfonate, and pamoate (i.e.,
• pharmaceutically acceptable salt also refers to a salt prepared frorri a Cyanoiminopiperazine Compound having an acidic functional group, such as a carboxylic acid functional group, and a phannaceutically acceptable inorganic or organic base.
• Suitable bases include, but are not limited to, hydroxides of alkali metals such as sodium, potassium, and lithium; hydroxides of alkaline ⁇ earth metal such as calcium and magnesium; hydroxides of other metals, such as aluminum ' and zinc; ammonia, and organic amines, such as unsubstituted or hydroxy- substituted mono-, di-, or trialkylamines: dicyclohexylamine; tributyl amine; pyridine; N-methyl,N-ethylamine; diethylamine; triethylamine; mono-, bis-, or tris-(2-hydroxy-lower alkyl amines), such as mono-, bis-, or tris-(2-hydroxyethyl)amine, 2-hydroxy-tert-butylamine, or tris-(hydiOxymethyl)methylamine, N, N,-di-lower alkyl-N-(hydroxy lower alkyl) ' -amines, t such as N,
• each of one or more of the first group's hydrogen atoms is replaced with a second group.
• each carbon atom of a first group is independently substituted with one or two second groups, hi another embodiment, each carbon atom of a first group is independently substituted with only one second group.
• the tenn “UI” means urinary incontinence.
• the term “IBD” means inflammatory-bowel disease.
• the tenn “IBS” means irritable-bowel syndrome.
• DIEA means diisopropylethylamine.
• DMSO means dimethyl sulfoxide.
• DMF means dimethyl formamide.
• DCM means dichloromethane.
• treatment of and “treating” includes the amelioration or cessation of a Condition or a symptom thereof.
• prevention of and "preventing” includes the avoidance ofthe onset of a Condition or a symptom thereof.
• the Cyanoiminopiperazine Compounds can be made using conventional organic synthesis or by the following illustrative methods shown in the schemes below.
• the Cyanoiminopiperazine Compounds wherein A is NR 4 can be obtained by the following illustrative methods shown below in Scheme A:
• R 1 , R 2 and n are defined above.
• a compound of formula A is reacted with a compound of formula B in an aprotic organic solvent such as diethyl ether, di-n-propyl ether, tefrahydiofuran, methylene chloride, or toluene at a temperature ranging from about room temperature to about the reflux temperature ofthe solvent for a period of about 0.5 h to about 24 h to provide a Cyanoiminopiperazine Compound wherein A is NR 4 .
• the aprotic organic solvent is di-n-propyl ether.
• a reaction mixture of di-n-propyl ether, compound of formula A and a compound of formula B is heated at a temperature of about 70° to about 80° C.
• the reaction mixture of di-n-propyl ether, a compound of fo ⁇ nula A and a compound of formula B is heated at a temperature of about at 75 °C for about 12 h.
• the aprotic solvent is DCM and the reaction mixture of NHR b R 4 and ,- . diphenylcyanocabonimidate is allowed to react at about room temperature.
• the aprotic solvent is toluene and the reaction mixture of NHR 6 R 4 and diphenylcyanocabonimidate is allowed to react at about 110°C.
• the NHR 6 R 4 and diphenylcyanocaboniinidate is typically allowed to react for a period of about 0.5 h to about
• a compound of formula C1-C5 is reacted with a compound of formula D in an aprotic solvent in the presence of DIEA or triethylamine, optionally with heating, to provide compound B.
• Compound B is isolated from the reaction mixture and purified. In one embodiment, the reaction is purified using column chromatography or recrystalhzation.
• Compounds of formula C1-C5 and D are commercially available or can be prepared by methods well known to those skilled in the art.
• the compound of formula D.. wherein m is 0 is commercially available from Sigma-Aldrich, St. Louis, MO (www.sigma- aldrich.com).
• the compound of formula E can be obtained by reacting a compound of formula F with cyanamide. Representative procedures for obtaining a compound of formula E from a compound of formula F are provided in R.L. Webb et al., J. Heterocycl. Chem. . 19(5): 1205-1206 (1982) and U.S. Patent No. 4,285,878 to Labaw et al. 15 The compound of formula F can be obtained as shown below in Scheme F.
• the compound of formula F can be obtained by reacting a compound of formula G with PC1 5 .
• a representative procedure for obtaining a compound of formula F from a compound of fonnula G is provided in. R.L. Webb et al., J. Heterocyc Chem.
• the compound of formula G can be obtained by reacting a compound of formula R 6 -OH with COCl 2 , triphosgene, or CO and a Pd catalyst as described in U.S. Patent No. 6,175,017 to H. Buyschi et al.; A. Gode et al., Chemistry-A European Journal 6(19):3522-30 (2000); or H. Yasuda et a Orga ometallics, 21(6):1216-20 (2002),
• a compound of formula B is reacted with a compound of formula H to provide the Cyanoiminopiperazine Compoxmds wherein A is -S-.
• Representative procedures for reacting a compound of formula B with a compound of formula H are provided in T.D. Aicher et al., J. Med. Chem. 43(2);236-49 (2000) and Ger. Patent No. 3336409. The compound of formula H can be obtained as shown below in Scheme H.
• a thiol of formula R 6 SH is reacted with a compound of formula J to provide the compound of formula H.
• Representative procedures for obtaining compounds of formula J and for obtaining the compound of formula H by reacting a thiol with a compound of formula J are provided in R.L. Webb et al., J. Heterocycl. Chem., 24(l):275-78 (1.987); I.
• the amine of formula I or the amine of formula J and diphenylcyanocabonimidate is typically allowed to react for a period of about 0.5 h to about 24 h.
• the compound of formula K or the compound of formula L is used without further purification.
• the Cyanoiminopiperazine Compounds are administered to an animal in need of treatment or prevention of pain, UI, an ulcer, IBD, IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine,., vomiting, dyskinesia, or depression.
• an effective amount of a Cyanoiminopiperazine is administered to an animal in need of treatment or prevention of pain, UI, an ulcer, IBD, IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine
• Compound can be used to heat or prevent any condition treatable or preventable by inhibiting VRl.
• conditions that are treatable or preventable by inhibiting VRl include, but are not limited to, pain, UI, an ulcer, IBD, and IBS.
• an effective amoixnt of a Cyanoiminopiperazine Compound can be used to treat or prevent any condition treatable or preventable by inhibitiug mGluR5.
• conditions that are treatable or preventable by inhibiting mGluR5 include, but are not limited to, pain, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, a pruritic condition, and psychosis.
• an effective amount of a Cyanoiminopiperazine Compound can be used to treat or prevent any condition treatable or preventable by inhibiting mGluRl .
• conditions that are treatable or preventable by inhibiting mGluRl include, but are not limited to, pain, UI, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia, and depression.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent acute or chronic pain.
• Examples of pain treatable or preventable using the Cyanoiminopiperazine Compounds include, but are not limited to, cancer pain, central pain, labor pain, myocardial infarction pain, pancreatic pain, colic pain, post-operative pain, headache pain, muscle pain, pain associated with intensive care, arthritic pain, neuropathic pain, and pain associated with a periodontal disease, including gingivitis and periodontitis.
• the Cyanoiminopiperazine Compounds can also be used for inhibiting, preventing, or treating pain associated with inflammation or with an inflammatory disease in an animal.
• the pain to be inhibited, treated or prevented may be associated with inflammation associated with an inflammatory disease, which can arise where there is an inflammation ofthe body tissue, and which can be a local inflammatory response and/or a systemic inflammation.
• the Cyanoiminopiperazine Compounds car. be used to inhibit, treat, or prevent pain associated with inflammatory diseases including, but not limited to: organ transplant rejection; reoxygenation injury resulting from organ transplantation (see Grupp et al., J. Mol Cell Cardiol.
• autoimmune diseases including comeal dystrophy trachoma, oncnocerciasis, uveitis, sympathetic ophthalmitis and endophthalmitis; chronic inflammatory diseases ofthe gum, including gingivitis and periodontitis; tuberculosis; leprosy; inflammatory diseases ofthe kidney, including uremic complications, glomenilonephritis and nephrosis; inflammatory diseases ofthe skin, including sclerodemiatitis, psoriasis and eczema; inflammatory diseases ofthe central nervous system, including chronic demyelinating diseases of the nervous system, multiple sclerosis, AIDS- related neurodegeneration and Alzheimer s disease, infectious meningitis, encephalomyelitis, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis and viral or autoimmune encephalitis; autoimmune diseases, including Type I and Type H diabetes mellitus; diabetic complications, including, but not limited to, diabetic cataract, glaucoma
• the Cyanoiminopiperazine Compounds can also be used for inhibiting, treating, or preventing pain associated with inflammatory disease that can, for example, be a systemic inflammation ofthe body, exemplified by gram-positive or gram negative shock, hemorrhagic or anaphylactic shock, or shock induced by cancer chemotherapy in response to pro-inflammatory cytokines, e.g., shock associated with pro- inflammatory cytokines. Such shock can be induced, e.g., by a chemotherapeutic agent that is adminstered as a treatment for cancer.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent UI.
• Examples of UI treatable or preventable using the Cyanoiminopiperazine Compounds include, ut are not limited to, urge incontinence, stress incontinence, overflow incontinence, neurogenic incontinence, and total incontinence.
• the Q'anoiminopiperazine Compounds can be used to treat or prevent an ulcer. Examples of ulcers treatable or preventable using the Cyanoiminopiperazine
• Compounds include, but are not limited to, a duodenal ulcer, a gastric ulcer, a marginal ulcer, an esophageal ulcer, or a stress ulcer.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent IBD, including Crohn's disease and ulcerative colitis.
• the Cyauoiminopiperazine Compounds can be used to treat or prevent IBS.
• Examples of IBS treatable or preventable using the Cyanoiminopiperazine Compounds include, but are not limited to, spastic-colon-type IBS and constipation-predominant IBS.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent an addictive disorder, including but not limited to, an eating disorder, an impulse-control disorder, an alcohol-related disorder, a nicotine-related disorder, an amphetamine-related .. disorder, a cannabis-related disorder, a cocaine-related disorder, an hallucinogen-related disorder, an inhalant-related disorders, and an opioid-related disorder, all of which are further sub-classified as listed below.
• Eating disorders include, but are not limited to, Bulimia Nervosa, Nonpurging
• Impulse control disorders include, but are not limited to, Intermittent
• Alcohol-related disorders include, but are not limited to, Alcohol-Induced Psychotic Disorder with delusions, Alcohol Abuse, Alcohol Intoxication, Alcohol
• Alcohol-Induced Psychotic Disorder with hallucinations Alcohol-Induced Mood Disorder
• Alcohol-Induced Anxiety Disorder Alcohol -Induced sexual Dysfunction, Alcohol-Induced Sleep Disorder, Alcohol-Related Disorder not otherwise specified (NOS), Alcohol ⁇ ' ⁇ ⁇
• Nicotine-related disorders include, but are not limi ted to, Nicotine
• Amphetamine-related disorders include, but are not limited to, Amphetamine
• Amphetamine Intoxication Delirium, Amphetamine-Induced Psychotic Disorder with delusions, Amphetamine-Induced Psychotic Disorders with hallucinations,
• Amphetamine-Induced Mood Disorder Amphetamine-Induced Anxiety Disorder, Aniphetamine- ⁇ nduced Sexual Dysfunction, Amphetamine-Induced Sleep Disorder,
• Cannabis-related disorders include, but are not limited to., Cannabis
• Cannabis Abuse Cannabis Intoxication, Cannabis Intoxication Delirium, Cannabis-Induced Psychotic Disorder with delusions, Cannabis-Induced Psychotic Disorder with hallucinations, Cannabis-Induced Anxiety Disorder, Cannabis Related Disorder not otherwise specified (NOS), and Cannabis Intoxication.
• Cocaine-related disorders include, but are not limited to, Cocaine Dependence, Cocaine Abuse, Cocaine Intoxication, Cocaine Withdrawal, Cocaine Intoxication Delirium, Cocaine-Induced Psychotic Disorder with delusions, Cocaine-Induced Psychotic Disorders with hallucinations, Cocaine-hiduced Mood Disorder, Cocaine-Induced Anxiety Disorder, Cocaine-Induced Sexual Dysfunction, Cocaine-Induced Sleep Disorder, Cocaine Related Disorder not otherwise specified (NOS), Cocaine Intoxication, and Cocaine Withdrawal.
• Hallucinogen-related disorders include, but are not limited to, Hallucinogen Dependence, Hallucinogen Abuse, Hallucinogen Intoxication, Hallucinogen Withdrawal, Hallucinogen Intoxication Delirium, Hallucinogen-Induced Psychotic Disorder with delusions, Hallucinogen-Induced Psychotic Disorders with hallucinations, Hallucinogen-Induced Mood Disorder, Hallucinogen-Induced Anxiety Disorder, Hallucinogen-Induced Sexual Dysfunction. Hallucinogen-hiduced Sleep Disorder, Halhxcinogen Related Disorder not otherwise specified (NOS), Hallucinogen Intoxication, and Halluciuogen Persisting Perception Disorder (Flashbacks).
• Lnhaiant-rulated disorders include, but aie not limited to, Inhalant Dependence, Inhalant Abuse, Inhalant Intoxication, Inhalant Intoxication Delirium, Inhalant-Induced Psychotic Disorder with delusions, ialant- ⁇ nduced Psychotic Disorder with hallucinations, Inhalant- Induced Anxiety Disorder, Inhalant Related Disorder not otherwise specified (NOS), and Inhalant Intoxication.
• Opioid-related disorders include, but are not limited to, Opioid Dependence, Opioid Abuse, Opioid Intoxication, Opioid Intoxication Delirium, Opioid-Induced Psychotic Disorder wi ! h delusions, Opioid-Induced Psychotic Disorder with hallucinations, Opioid-Induced Anxiety Disorder, Opioid Related Disorder not otherwise specified (NOS), Opioid Intoxication, and Opioid Withdrawal.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent Parkinson's disease and parkinsonism and the symptoms associated with Parkinson's disease and parkinsonism. including but not limited to, bradykin ⁇ sia, muscular rigidity, resting tremor, and impairment of postural balance.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent generalized anxiety or severe anxiety and the symptoms associated with anxiety, including but not limited to, restlessness; tension: tachycardia; dyspnea; depression, including chronic "neurotic" depression; panic disorder; agoraphobia and other specific phobias; eating disorders; and personality disorders.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent epilepsy, including but not limited to, partial epilepsy, generalized epilepsy, and the symptoms associated with epilepsy, including but not limited to, simple partial seizures, , jacksonian seizures, complex partial (psychomotor) seizures, convulsive seizures (grand mal or tonic-clonic seizures), petit mal (absence) seizures, and status epilepticus.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent strokes, including but. not limited to, ischemic strokes and hemorrhagic strokes.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent a seizure, including but not limited to, infantile spasms, febrile seizures, and epileptic seizures.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent a pruritic condition, including but not limited to, prurihxs caused by dry skin, scabies, dermatitis, herpetifonnis, atopic dermatitis, pruritus vulvae et ani, miliaria, insect bites.
• pediculosis contact dermatitis, drug reactions, urticaria, urticarial enxptions of pregnancy, psoriasis, lichen planus, lichen simplex chronicus, exfoliative dermatitis, folliculitis, bullous pe phigoid, or fiberglass dermatitis.
• the Cyanoiminopiperazine Compounds' can be used to treat or prevent psychosis, including but not limited to, schizophrenia, including paranoid schizophrenia, hebephrenic or disorganized schizophrenia, catatonic schizophrenia, undifferentiated schizophrenia, negative or deficit subtype schizophrenia, and non-deficit schizophrenia; a delusional disorder, including erotomanic subtype delusional disorder, grandiose subtype delusional disorder, ashamed subtype delusional disorder, persecutory subtype delusional disorder, and somatic subtype delusional disorder; and brief psychosis.
• schizophrenia including paranoid schizophrenia, hebephrenic or disorganized schizophrenia, catatonic schizophrenia, undifferentiated schizophrenia, negative or deficit subtype schizophrenia, and non-deficit schizophrenia
• a delusional disorder including erotomanic subtype delusional disorder, grandiose subtype delusional disorder, ashamed subtype delusional disorder, persecutory subtype delusional disorder, and somatic subtype delusional disorder
• the Cyanoiminopiperazine Compoxmds can be used to treat or prevent a cognitive disorder, including but not limited to, delirium and dementia such as multi-infarct dementia, dementia pugilistica, dimentia caused by AIDS, and dementia caused by Alzheimer's disease.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent a memory deficiency, including but not limited to, dissociative amnesia and dissociative fugue.
• the Cyanoiminopiperazine Compounds can be used to heat or prevent restricted brain function, including but not limited to, that caused by surgery or an organ tiunsplant, restricted blood supply to the brain, a spinal cord injury, a head injury, hypoxia, cardiac arrest, or hypoglycemia.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent HuBtington's chorea.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent ALS.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent retinopathy, including but not limited to, arteriosclerotic retinopathy, diabetic arteriosclerotic retinopathy, hypertensive retinopathy, non-proliferative retinopathy, and proliferative retinopathy.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent a muscle spasm.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent a migraine.
• the Cyanoiminopiperazine Compounds can be used to inhibit, treat or prevent vomiting, including but not limited to, nausea vomiting, dry vomiting (retching), and regurgitation.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent dyskinesia, including but not limited to, tardive dyskinesia and biliary dyskinesia.
• the Cyanoiminopiperazine Compounds can be used to treat or prevent depression, including but not limited to, major depression and bipolar disorder. Applicants believe that the Cyanoiminopiperazine Compounds are antagonists for VRl ,
• the invention also relates to methods for inhibiting VRl function in a cell, comprising contacting a cell capable of expressing VRl with an effective amount of a Cyanoim nopiperazine Compound.
• This method can be used in vitro, for example, as an assay to select cells that express VRl and, accordingly, are useful as part of an assay to select compounds useful for treating or preventing pain, UI, an ulcer, IBD, or IBS.
• the method is also useful for inhibiting VRl function in a cell in vivo, in an animal, a human in one embodiment, by contacting a cell, in an animal, with an effective amount of a Cyanoiminopiperazine Compound.
• the method is useful for treating or preventing pain in an animal.
• the method is useful for treating or preventing UI in an animal. In another embodiment, the method is useful for treating or preventing an ulcer in an animal. In another embodiment, the method is useful for treating or preventing IBD in an animal. In another embodiment, the method is useful for treating or preventing IBS in an animal.
• tissue comprising cells capable of expressing VRl include, but are not limited to, neuronal, brain, kidney, urotheliuni, and bladder tissue. Methods for assaying cells that express VRl are well known in the art.
• the invention also relates to methods for inhibiting mGluR5 function in a cell, ,?. comprising contacting a cell capable of expressing mGluRS with an amount of a
• Cyanoiminopiperazine Compound effective to inhibit mGluR5 function in the cell can be used in vitro, for example, as an assay to select cells that express mGhxR5 and, ; . accordingly, are useful as part of an assay to select compounds useful for treating or preventing pain, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, a pruritic condition, or psychosis.
• the method is also useful for inhibiting mGluR5 function in a cell in vivo, in an animal, a human in one embodiment, by contacting a cell, in an animal, with an amount of a Cyanoiminopiperazine Compound effective to inhibit mGluR5 function in the cell.
• the method is useful for treating or preventing pain in an animal in need thereof.
• the method is useful for treating or preventing an addictive disorder in an animal in need thereof.
• the method is useful for treating or preventing Parkinson's disease in an animal in need thereof.
• the method is useful for treating or preventing parkinsonism in an animal in need thereof.
• the method is useful for treating or preventing anxiety in an animal in need thereof.
• the method is useful for treating or preventing a pruritic condition in an animal in need thereof, hi another embodiment, the method is useful for heating or preventing psychosis in an animal in need thereof.
• Examples of cells capable of expressing mGluRS are neuronal and glial cells ofthe central nervous system, particularly the brain, especially in the nucleus accumbens. Methods for assaying cells that express mGluR5 are well known in the art.
• the invention also relates to methods for inhibiting mGluRl function in a cell, comprising contacting a cell capable of expressing mGluRl with an amount of a Cyanoiminopiperazine Compound effective to inhibit mGluRl function in the cell.
• This method can be used in vitro, for example, as an assay to select cells that express mGluRl and, accordingly, are useful as part of an assay to select compounds useful for treating or preventing pain, UI, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia, or depression.
• the method is also useful for inhibiting mGluRl function in a cell in vivo, in an animal, a human in one embodiment, by contacting a cell, in an animal, with an amount of a Cyanoiminopiperazine Compound effective to inhibit mGluRl function in the cell, hi one embodiment, the method is useful for treating or preventing pain in an animal in need thereof. In another embodiment, 1he method is useful for treating or preventing UI in an animal in need thereof. In another embodiment. the method is useful for treating or preventing an addictive disorder in an animal in need thereof, hi another embodiment, the method is useful for treating or preventing Parkinson's disease in an animal in need thereof.
• the method is useful for treating or preventing parkinsonism in an animal in need thereof, hi another embodiment, the method is useful for treating or preventing anxiety in an animal in need thereof. In another embodiment, the method is useful for treating or preventing epilepsy in an animal in need thereof. In another embodiment, the method is useful for heating or preventing stroke in an animal in need thereof. In another embodiment, the method is useful for treating or preventing a seizure in an animal in need thereof, hi another embodiment, the method is useful for treating or preventing a pruritic condition in an animal in need thereof. In another embodiment, the method is useful for treating or preventing psychosis in an animal in need thereof, hi another embodiment, the method is useful for treating or preventing a cognitive disorder in an animal in need thereof.
• the method is useful for treating or preventing a memory deficit in an animal in need thereof. In another embodiment, the method is useful for heating or preventing restricted brain function in an animal in need thereof. In another embodiment, the method is useful for treating or preventing Huntington's 5 chorea in an animal in need thereof. In another embodiment, the method is useful for treating or preventing ALS in an animal in need thereof. In another embodiment, the method is useful for treating or preventing dementia in an animal in need thereof. In another embodiment, the method is useful for treating or preventing retinopathy in an animal in need thereof, hi another embodiment, the method is useful for treating or preventing a muscle
• the method is useful for treating or preventing a migraine in an animal in need thereof.
• the method is useful for treating or preventing vomiting in an animal in need thereof.
• the method is useful for treating or preventing dyskinesia in an animal in need thereof.
• the method is useful for treating or preventing depression in
• Examples of cells capable of expressing mGluRl include, but are not limited to, cerebe ⁇ ar Puirkinje neuron cells.
• Purkinje cell bodies punctate
• cells of spine(s) ofthe. cerebellut neurons and neurophil cells of olfactory-bulb glomeruli; cells ofthe superficial ; layer of the cerebral cortex; hippocampus cells; thalamus cells; superior colliculus cells; and
• the Cyanoiminopiperazine Compounds are advantageously useful in veterinary and human medicine. As described above, the Cyanoiminopiperazine Compounds are useful for heating or preventing pain, UI, an ulcer, IBD,. IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted
• the Cyanoiminopiperazine Compounds are administered as a component of a composition that comprises a pharmaceutically acceptable can ⁇ er or ⁇ xcipient.
• the present compositions, which comprise a Cyanoiminopiperazine Compound can be administered orally.
• the Cyanoimmopiperazine Compounds ofthe invention can also be administered by any other convenient route, for example, by infusion or bolus injection, by absorption through epithelial or mucocutaneous linings (e.g., oral, rectal, and intestinal mucosa, etc) and can be administered together with another biologically active agent. dminisnation can be systemic or local.
• Various delivery systems are known, e.g., encapsulation in liposomes, microparticles, microcapsules, capsules, etc., and can be used to administer the Cyanoiminopiperazine Compound.
• Methods of administration include, but are not limited to, intradermal, intramuscular, inhaperitoneal, intravenous, subcutaneous, intranasal. epidural, oral, sublfngual, intracerebral, intravaginal, transdermal, rectal, by inhalation, or topical, particularly to the ears, nose, eyes, or skin.
• the mode of administration is left to the discretion o the practitioner. In most instauces, administration will result in the elease of the Cyanoiminopiperazine Compounds into the bloodstream.
• This can be achieved, for example, and not by of limitation, by local infusion during surgery, topical application, e.g., in conjunction with a wound dressing after surgery, by injection, by means of a catheter, by means of a supposi tory or enema, or by means of an implant, said implant being of a porous, non-porous, or gelatinous material, including membranes, such as sialastic membranes, or fibers.
• Cyonoiminopiperazine Compounds info the central nervous system or gastrointestinal tract by an ⁇ ' suitable route, including intraventricular, intrathecal. and epidural injection, and enema. Jnfruyerjtric ⁇ lar injection can be facilitated by an intraventricular catheter, for example, attached to a reservoir, such as an Ommaya reservoir.
• Pulmonary administration can also be employed, e.g., by use of an inhaler or nebulizer, and formulation with an aerosolizing agent, or via perfusion in a fluoiocarbon or synthetic pulmonary surfactant.
• the Cyanoiminopiperazine Compounds can be formulated as a suppository, with traditional binders and excipients such as triglycerides.
• the Cyanoiminopiperazine Compounds can be delivered in a vesicle, in particular a liposome (see Langer, Science 249:1527-1533 (1990) and Treat et al, Liposomes in the Therapy of Infectious Disease and Cancer 317-327 and
• Cyanoiminopiperazine Compounds can be delivered in a controlled-release system or sustained-release system (see, e.g., Goodson, in
• a pump can be used (Langer,
• polymeric materials can be used (see Medical Applications of Controlled Release (Langer and Wise eds., 1974); Controlled Drug Bioavailability ' , Drug
• a controlled- or sustained-release system can be placed in proximity of a target ofthe Cyanoiminopiperazme Compounds, e.g., the spinal column, brain, or gastrointestinal tract, thus requiring only a fraction ofthe systemic dose.
• compositions can optionally comprise a suitable amount of a pharmaceutically acceptable excipient so as to provide the form for proper administration to die acimai.
• a pharmaceutically acceptable excipient can be liquids, such as water and oils, including those of petroleum, animal, vegetable, oi synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like.
• the pharmaceutical excipients can be saline, girn acacia, gelatin, starch paste, talc, keratin, colloidal silica, urea and the like, hi addition, aixxiliary, stabilizing, thickening, lubricating, and coloring agents can be used, h one embodiment, the pharmaceutically acceptable excipients are sterile when administered to an animal.
• Water is a particularly useful excipient when the Cyanoiminopiperazine Compound is administered intravenously.
• Saline solutions and aqueous dextrose and glycerol solutions can also be employed as liquid excipients, particularly for injectable solutions.
• Suitable pharmaceutical excipients also include starch, glucose, lactose, sucrose, gelatin, malt, rice, flour- chalk, silica gel, sodium stearate, glycerol monostearate, talc, sodium 5 chloride, dried skim milk, glycerol, propylene. glycol, water, ethanol and the like.
• the present compositions if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
• compositions can take the fonn of solutions, suspensions, emulsion, tablets, pills, pellets, capsules, capsules containing liquids, powders.
• compositions 0 sustained-release formulations, .suppositories, emulsions, aerosols, sprays, suspensions, or any other form suitable for use.
• the composition is in the form of a capsule (see e.g.. U.S. Patent No. 5,698,155).
• suitable pharmaceutical excipients are described in Remington 's Pharmaceutical Sciences 1AA1-1616 (Alfonso R. Gennaro ed., 19th ed. 1995), incorporated herein by reference.
• the Cyanoiminopiperazine Compounds are formulated in accordance with routine procedures as a composition adapted for oral administration to human beings.
• Compositions for oral delivery can be in e fonn of tablets, lozenges, aqueous or oily suspensions, granules, powders, emulsions, capsules, syrups, or elixirs, foi example.
• Orally administered compositions can contain one or more agents, for example,
• compositions can be coated to delay disintegration and absorption in the gastrointestinal tract thereby providing a sustained action over an extended period of time.
• 25 menibianes suiTounding an osmotically active driving compound are also suitable for orally administered compositions, hi these latter platforms, fluid from the environment surrounding the capsule is imbibed by the driving compound, which swells to displace the agent or agent composition tlirough an aperture.
• These delivery platforms can provide an essentially zero order deliveiy profile as opposed to the spiked profiles of immediate release formulations.
• time-delay material such as glycerol monostearate or glycerol stearate can also be used.
• Oral compositions can include standard excipients such as mannitol, lactose, starch, magnesium stearate, sodium saccharin, cellulose, and magnesium carbonate. In one embodiment, the excipients are of pharmaceutical grade.
• compositions for intravenous administration comprise sterile isotonic aqueous buffer. Where necessary, the compositions can also include a solubilizing agent. Compositions for intravenous administration can optionally include a local anesthetic such as lignocaine to lessen pain at the site ofthe injection.
• a local anesthetic such as lignocaine to lessen pain at the site ofthe injection.
• the ingredients are supplied either separately or mixed together in unit dosage form, for example, as a dry lyophilized powder or water free concentrate in a hermetically sealed container such as. an ampule or sachette indicating the quantity of active agent.
• Cyanoiminopiperazine Compounds are to be administered by infusion, they can be dispensed, for example, with an infusion bottle containing sterile pharmaceutical grade " water or saline. Where the Cyanoiminopiperazine Compounds are administered by injection, an ampule of sterile water for injection cr saline can be provided so that the ingredients can be mixed prior to administration.
• Cyanoiminopiperazine Compounds can be administered by controlied- release or sustained-release means or by delivery devices that are well known to those of ordinary skill in the art. Examples include, but are not limited to, those described in U.S. Patent Nos.: 3,845,770: 3,916,899; 3,536,809; 3,508,123; 4.008,719; 5,674,533: 5,059,595; 5,591,767; 5,120,548; 5,073,543; 5,639,476; 5,354,556: and 5,733,566, each of which is incorporated herein by reference.
• Such dosage forms can be used to provide controlled- or sustained-release of one or more active ingredients using, for example, hydropropylmethyl cellulose, other polymer matrices, gels, permeable membranes, osmotic systems, multilayer coatings, microparticles, liposomes, microspheres. or a combination thereof to provide the desired release profile in varying proportions.
• Suitable controlled- or sustained-release formulations known to those of ordinaiy skill in the an. including those described herein, can be readily selected for use with the active ingredients ofthe invention.
• the invention thus encompasses single unit dosage fonns suitable for oral administration such as, but not limited to, tablets, capsules, gelcaps, and caplets that are adapted for controlled- or sustained-release.
• Controlled- or sustained-release pharmaceutical compositions can have a common goal of improving drug therapy over that achieved by their non -controlled or non- sustained counterparts.
• a controlled- or sustained-release composition comprises a minimal amount of a Cyanoiminopiperazine Compound to cure or control the condition in a minimum amount of time.
• Advantages of controlled- or sustained-release compositions include extended activity ofthe drug, reduced dosage frequency, and increased 5 patient compliance.
• controlled- or sustained-release compositions can favorably affect the time of onset of action or other characteristics, such as blood levels ofthe Cyanoiminopiperazine Compound, and can thus reduce the occurrence of adverse side
• Controlled- or sustained-release compositions can initially release an amount
• Cyanoiminopiperazine Compound that promptly produces the desired therapeutic or , prophylactic effect, and gradually and continually release other amounts ofthe Cyanoiminopiperazine Compound to maintain this level of therapeutic or prophylactic effect over an extended period of time.
• the Cyanoiminopiperazine Compound can be released from the * '•;;
• ⁇ ⁇ ingredient can be stim ⁇ lated by various conditions, including but not limited to, changes in % pH, changes in temperature, concentration or availability ofenzym.es, concentration or - availability of water, or other physiological conditions or compounds.
• Cyanoiminopiperazine C mpou ⁇ :d that is effective in the •. treatment or prevention of pain, UI, an ulcer, IBD, IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia, or depression and
• 25 can be determined by standard clinical techniques.
• in vitro or in vivo assays can optionally be employed to help identify optimal dosage ranges.
• dosage amounts range from about 10 micrograms to about 2500 milligrams about every 4 h, although they are typically about 100 mg or less.
• the effective dosage amount ranges from about 0.01 milligrams to about 100 milligrams of a Cyanoiminopiperazine Compound about every 4 h, in another embodiment, about 0.020 milligrams to about 50 milligrams about every 4 h, and in another embodiment, about 0.025 milligrams to about 20 milligrams about every 4 h.
• the effective dosage amounts described 5 herein refer to total amounts administered; that is, if more than one Cyanoiminopiperazine ⁇ Compound is administered, the effective dosage amounts correspond to the total amount administered.
• 1.0 receptor function in a cell will typically range from about 0.01 ⁇ g/L to about 5 mg/L, in one embodiment, from about 0.01 ⁇ g/L to about 2.5 mg/L, in another embodiment, from about 0.01 ⁇ g/L to about 0.5 mg/L, and in another embodiment, from about 0.01 ⁇ g/L to about 0.25 mg/L of a solution or suspension of a pharmaceutically acceptable carrier or excipient.
• the volume of solution or suspension is from about 1 ⁇ L to about I mL. hi .
• the volume of solution or suspension is about 200 ⁇ L.
• the amount effective foi inhibiting the receptor fimction in a cell will typically range from about 0.01 mg to about 100 mg/kg of body weight, per day, in one embodiment, from about 0.1 mg to about 50 mg/kg body weight 0 per day, and in another embodiment, from about 1 mg to about 20 mg kg of body weight per day. • '
• the Cyanoiminopiperazine Compounds can be assayed in vitro or in vivo for the desired therapeutic or prophylactic activity prior to use in humans. Animal model systems can be used to demonstrate safety and efficacy. 5 The present methods for treating or preventing pain, UI, an. ulcer, IBD, IBS, an addictive disorder.
• Parkinson's disease parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia, or depression in an animal in need thereof can further comprise administering to 0 the animal being administered a Cyanoiminopiperazine Compound another therapeutic agent.
• the other therapeutic agent is administered in an effective amount.
• the present methods for inhibiting VRl function in a cell capable of expressing VRl can further comprise contacting the cell with an effective amount of another therapeutic agent.
• the present methods for inhibiting mGluR5 function in a cell capable of expressing mGluR5 can further comprise contacting the cell with an effective amount of another therapeutic agent.
• the present methods for inhibiting mGluRl function in a cell capable of expressing mGluRl can further comprise contacting the cell with an effective amount of another therapeutic agent.
• the other therapeutic agent includes, but is not limited to, an opioid agonist, a non-opioid analgesic, a non-steroid anti-inflammatory agent, an antimigraine agent, a Cox-H inhibitor, an antiemetic, a ⁇ -adrenergic blocker, an anticonvulsant, an antidepressant, a Ca2+-channel blocker, an anticancer agent, an agent for treating or preventing UI, an agent for heating or preventing an ulcer, an agent for treating or preventing IBD, an agent for treating or preventing IBS, an agent for treating addictive disorder, an agent for treating Parkinson's disease and parkinsonism, an agent for treating anxiety, an agent for treating opi' ⁇ psy, an agent for treating a stroke, an agent for treating a seizure, an agent for heating a pruritic condition, an
• Effective amounts ofthe other therapeutic agents are well known to those skilled in the art. However, it is well within the skilled artisan's purview to determine the other therapeutic agent's optimal effective-amount range, hi one embodiment ofthe invention, where another therapeutic agent is administered to an animal, the effective amount of the Cyanoiminopiperazine Compound is less than its effective amount would be where the other therapeutic agent is not administered.
• the Cyanoiminopiperazine Compounds and the other therapeutic agent act syrergistically to treat or prevent pain, UI, an ulcer, IBD, IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis., a cognitive disorder, a memory deficit, re ⁇ tricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscle spasm, a migraine, vomiting, dyskinesia, or depression.
• Examples of useful opioid agonists include, but are not limited to, alfentanil, allylprodine, alphaprodine, anileridine, benzyhnorphine, bezitramide, buprenorphine, butorphanol, clonitazene, codeine, desomorphine, dexhomoramide, dezocine, diamprornide, diamorphone, dihydrocodeine, dihydromorphine, dimenoxadol, dimepheptanol, dimethylthiambutene, dioxaphetyl butyrate, dipipanone, eptazocine, ethoheptazine, ethylmethylthiambutene, ethylmo ⁇ hine, etonitazene fentanyl, heroin, hydrocodone.
• the opioid agonist is selected from codeine, hydromo ⁇ houe, hydrocodone, oxycodone, dihydrocodeine, dihydromorphine, mo ⁇ hine, tramadol, oxymo ⁇ hone, pharmaceutically acceptable salts thereof, and mixtures thereof.
• useful nou-opioid analgesics include non-steroidal anti-inflammatory agents, such as aspirin, ibuprofen, diclofenac, naproxen, benoxaprofen, flurbiptofen, fenoprofen, flubufen, ketoprofen, indoprofen, piroprofen, ca ⁇ rofen, oxaprozin.
• analgesic, antipyretic, nonsteroidal anti-inflammatory drugs include salicylic acid derivatives, including aspirin, sodium salicylate, choline magnesium trisalicylate, salsalate, diflunisal, sali ⁇ ylsalicyiic acid, sulfasalazine, and olsalazin; para-aminophennol derivatives including acetaminophen and phenacetin; indole and indene acetic acids, including indomethacin, sulindac, and etodolac; heteroaryl acetic acids, including tolmetin, diclofenac, and ketorolac; anthranilic acids (fenamates), including mefenamic acid and meclofenamic acid; enolic acids, including oxicams (piroxicam, tenoxicam), and pyrazolidinedione
• useful antimigraine agents include, but are not limited to, alpiropride, dihydroergotamine, dolasetron, ergocornine. ergoco iinine, ergocryptiiie, ergot, ergotamine, flumedroxone acetate, fonazine, lisuride, lomerizine, methysergide oxetoron ⁇ , pizotyline, and mixtures thereof.
• the other therapeutic agent can also be an agent useful for reducing any potential side effects of a Cyanoiminopiperazine Compounds.
• the other therapeutic agent can be an antiemetic agent.
• useful antiemetic agents include, but are not limited to, metoclopromide, domperidone, prochlo ⁇ erazine, promethazine, chlo ⁇ Oinazine, tiimethobenzamide, ondansetron, granisetron, hydioxyzine, acetylleucine monoethanolamine, alizapride, azasetron, benzquinamide, bietanautine, bromopride, buclizine, clebopride, cyclizine, dimenhydrinate, diphenidol, dolasetron, meclizine, methallatal, metopimazine, nabilone, oxyperndyl, pipamazine, scopolamine, sulphide, tetrahydrocannabmol, thiethylperazine, thioproperazine, tropisetron, and mixtures thereof.
• ⁇ -adrenergic blockers include, but are not limited to, acebutolol, alprenolol, amosulabol, arotinolol, atenolol, befunolol, betaxolol, bevantolol, bisoprolol, bopind lol, bucumolol, bufetolol, bufuralol, buniholol, bupranolol, butidrine hydrochloride, butofilolol, carazolol, carteolol, carvedilol, celiprolol, cetamolol, cloranolol, dilevalol, epanolol, esmolol, indenolol, labetalol, levobimolol, mepindolol, metipranolol, metoprolol, moprolol, nado
• useful anticonvulsants include, but are not limited to, acetylpheneturide, albutoin, aloxidone, aminoglutethimide, 4-amino-3-hydroxybutyric acid, atrolactamide, beclamide, buramate, calcium bromide, carbamazepine, cinromide, clomethiazole, clonazepam, decimemide, diethadione, dimethadione.
• useful antidepressants include, but. are not limited to, binedaline, caroxazone, citalopram, dimethazan, fencamine, indalpine, indeloxazine hydrocholoride, nefopam, nomifensine, oxitriptan, oxypertine, paroxetine, sertraline, thiazesim, trazodone, benmoxine, iprocJozide, iproniazid, isocarboxazid, nialamide, octamoxin, phenelzine, cotinine, rolicyprine, rolipram, maprotiline, metralindole, mianserin, mirtazepine, adinazolam, amitriptyline, amitiiptylinoxide, amoxapine, butriptyline, clomipramine, demexiptiline, desipramine
• Ca2+-channel blockers examples include, but are not limited to, bepridil, clentiazem, diltiazem, fendiline. gallopamil, mibefradil, prenylamine, semotiadil, terodiline, verapamil, amlodipine, aranidipine, hassledipine, benidipine, cilnidipine, efonidipine, elgodipine, felodipine, isradipine, lacidipine, lercanidipine.
• manidipine nicardipine, nifedipine, nilvadipine, nimodipine, nisoldipine, nitrendipine, cinnarizine, fjunarizine, iidoflazine, lomerizine. bencyclane, etafenone, fantofarone, and perhexiline.
• useful anticancer agents include, but are not limited to, acivicin, aelambicin, acodazole hydrochloride, acronine, adozelesin, aldesleukin, altretamine, • ambomycin, ametantrone acetate, aminoglutethimide.
• cisplatin cladribine, crisnatol mesylate, cyclophosphamide.
• cytarabine dacarbazine, dactinomycin, daunorubicin hydrochloride, decitabine, dexormaplatin, dezaguanine, dezaguanine mesylate, diaziquone, docetaxel, doxorubicin, doxon ⁇ icin hydrochloride, droloxifene, droloxifene citrate, dromostanolone propionate, duazomycin, edahexate, eflomithine hydrochloride, elsamitracin, enloplatin, enpromate, epipropidine, epirubicin hydrochloride, erbulozole, esorubicin hydrochloride, estramustine, estramustine phosphate sodium, etanidazole, etoposide, etoposide
• meturedepa mitindomide, mitocarcin, mitocromin, mitogillin, mitomalcin, mitomycin, mitosper, mitotane, mitoxantrone hydrochloride, mycophenolic acid, nocodazole, nogalamycin, ormaplatin, oxisuran, paclitaxel, pegaspargase, pebomycin, pentamustine, peplomycin sulfate, perfosfamide, pipobroman, piposulfan, piroxantrone hydrochloride, plicamycin, plomestane, porfimer sodium, porfiromycin, prednimustine, procarbazine hydrochloride, puromycin, puromycin hydrochloride, pyrazofurin, riboprine, rogletimide, safingol, safingol hydrochloride, semustine, suppressrazene, sparfosate sodium, sparsomycin, spi
• talisomycin tecogalan sodium, tegafur, teloxantrone hydrochloride, temoporfm, teniposide, teroxirone, testolacione, thiamiprine, thioguanine, thiotepa, tiazo ⁇ xrin, tirapazanxine, toremifene citrate, trestolone acetate, triciribine phosphate, trimehexate, trimetrexate glucuronate, triptorelin, hxbulozole hydrochloride, uracil mustard, uredepa, vapreotide, verteporfm, vinblastine sulfate, vincristine sulfate, vindesine, vindesine sulfate, vinepidine sulfate, vinglycinate sulfate, vinleurosine sulfate, vinorelbine tartrate. vinrosidine sulfate, vin
• anti-cancer drugs include, but are not limited to, 20-epi-l,25 dibydroxyvitamin D3; 5-ethynyl ⁇ racil; abiraterone; aclarubicin; acylfuJvene; adecypenol; adozelesin; aldesleukin: ALL-TK antagonists; altretamine; ambamustine; amidox; amifostine; aminolevulinic acid; anirubicin; amsacrine; anagrelide; anastrozole: andrographolide; angiogenesis inhibitors; antagonist D; antagonist G; antarelix; anti-dorsalizing mo ⁇ hogenetic protein- 1; antiandrogen, prostatic carcinoma; antiestrogen; antmeoplaston; antisense oligonucleotides; apliidicolin glycinate; apoptosis gene modulators; apoptosis regulators; apurinic acid
• protein tyrosine phosphatase inhibitors purine nucleoside phosphorylase inhibitors; purpurfns; pyrazoloacridine; pyridoxylated hemoglobin polyoxyethylene conjugate; raf antagonists; raltihexed; ramosetron; ras famesyl protein hansferase inhibitors; ras inhibitors: ras-GAP inhibitor; retelliptine demethylated; rhenium Re 186 etidronate; rhizoxin; ribozymes; RH retinamide; rogletimide; rohitukine; romurtide; roquinimex; rubiginone Bl; ruboxyl; safingol; saintopin; SarCNU; sarcophytol A; sargramostim; Sdi 1 mimetics; semustine; senescence derived inhibitor 1: sense oligonucleo
• ⁇ but are not limited to, propantheiine, imipramine, hyoscyamine, oxybutynin, and dicyclomine.
• useful therapeutic agents for treating or preventing an ulcer ⁇ include, antacids such as aluminum hydroxide, magnesium hydroxide, sodium bicarbonate, and calcium bicarbonate; sucraflate; bismuth compounds such as bismuth subsalicylate and bismuth subcihate; H 2 antagonists such as cimetidine, ranitidine, famotidine, and nizatidine;
• K " - ATPase inhibitors such as omeprazole, iansoprazole, and lansoprazole; carberxoxolone; misprostol; and antibiotics such as tetracyclme, mehonidazole, timidazole, claritlirouiycin, and amoxicillin.
• Examples of useful therapeutic, agents for treating or preventing IBD include, but are not limited to, anticholinergic drugs; diphenoxylate; loperamide; deodorized opium tincture; codeine; broad-spectrum antibiotics such as metronidazole; sulfasalazine; olsalazie; mesalamine; prednisone; azathioprine; mercaptopurine and methofrexate.
• useful therapeutic agents for treating or preventing IBS include, but are not limited to, propantheiine; muscarine receptor antogonists such as pirenzapine, methoctramine, ipratropium, tiotropium, scopolamine, methscopolamine, homatropine, homatropiue methyibromide, and methantheline; and antidiarrheal drugs such as diphenoxylate and loperamide.
• useful therapeutic agents for treating or preventing an addictive disorder include, but are not limited to, methadone, desipramine, amantadine, fluoxetine, " b ⁇ prenorphine, an opiate agonist, 3-phenoxypyridine, levomethadyl acetate hydrochloride, and serotonin antagonists.
• useful therapeutic agents for treating or preventing Parkinson's disease and parkinsonism include, but are not limited to. carbidopa/levodopa, pergolide, bromocriptine, ropinirole, pramipexole, entacapone, tolcapone, selegiline, amantadine, and trihexyphenidy] hydrochloride.
• useful therapeutic agents for treating or preventing anxiety include, but are not limited to, benzodiazepines, such as alprazolam, brotizolam, chlordiazepoxide, clobazam, clonazepam, clorazepate, demoxepam, diazepam, estazolam, flumazenil, flurazepam, halazepam, lorazepam, midazolam, nitrazepam, nordazepam, oxazepam, prazepam, quazepam, temazepam, and iriazolam; non-benzodiazepine agents, such as buspirone, gepirone, ipsaprione, tiospirone, zolpicone, zolpidem, and zaleplon; tranq ⁇ ilizers, such as barbituates, e.g., amobarbital, aprobarbital, butabarbital,
• useful therapeutic agents for treating or preventing epilepsy include, but are not limited to, carbamazepine, ethosuximide, gabapentin, lamotrignine, phenobarbital, phenytoin, primidone, valproic acid, trimethadione, bemzodiaepines, gabapentin, lamotrigine, ⁇ - vinyl GAB A, acetazolamide. and felbamate. ' ⁇
• useful therapeutic agents for treating or preventing stroke include, but are not limited to, anticoagulants such as heparin, agents that break up clots such as streptokina ⁇ e or tissue plasminogen activator, agents that reduce swelling such as mannitol or corticosteroids, and acetylsalicylic acid.
• anticoagulants such as heparin
• agents that break up clots such as streptokina ⁇ e or tissue plasminogen activator
• agents that reduce swelling such as mannitol or corticosteroids
• acetylsalicylic acid acetylsalicylic acid
• useful therapeutic agents for treating or preventing a seizure include, but are not limited to, carbamazepine, ethosuximide, gabapentin, lamotrignine, phenobarbital, phenytoin, primidone, valproic acid, trimethadione, bemzodiaepines, gabapentin, lamotrigine, ⁇ -vinyl GABA, acetazolamide, and felbamate.
• useful therapeutic agents for treating or preventing a pruritic condition include, but are not limited to, naltrexone; nalmefene; danazol; tricyclics such as amitriptyline, imipramine, and doxepin; antidepressants such as those given below, menthol; camphor; phenol; pramoxine; capsaicin; tar; steroids; and antihistamines.
• useful therapeutic agents for treating or preventing psychosis include, but are not limited to, pbenothiazines such as chlo ⁇ romazine hydrochloride, mesoridazine besylate, and thoridazine hydrochloride; thioxanthenes such as chloToprothixene and thiothixene hydrochloride; clozapine risperidone; olanzapine; quetiapine; quetiapine fumarate; haloperidol; haloperidol decanoate; loxapine succinate; molindone hydrochloride; pimozide; and ziprasidone.
• pbenothiazines such as chlo ⁇ romazine hydrochloride, mesoridazine besylate, and thoridazine hydrochloride
• thioxanthenes such as chloToprothixene and
• Examples of useful therapeutic agents for heating or preventing Huntington's chorea include, but are not limited to, haloperidol and pimozide.
• Examples of useful therapeutic agents for treating or preventing ALS include, but are not limited to, baclofen, n ⁇ urotrophic factors, riluzole, tizanidine, benzodiazepines such as clonazepan and dantrolene.
• useful therapeutic agents for treating or preventing cognitive disorders include, but are not limited to, agents for treating or preventing dementia such as tacrine; donepezil; ibuprofen; antipsychotic drags such as thioridazine and haloperidol; and antidepressant drugs such as those given below.
• Examples of useful therapeutic agents for heating or preventing a migraine include, but are not limited to, sumatriptan; methysergide; ergotamine; caffeine; and beta- blockers such as propranolol, veraparnil, and divalproex.
• Examples of useful therapeutic agents for treating or preventing vomiting include, but are not limited to, 5-HT j receptor antagonists such as ondansetron, dolasetron, granisetron, and tropisetron; dopamine receptor antagonists such as prochlo ⁇ erazine, thiethylperazine, chlo ⁇ romazin, metoclopramide, and domperidone; glucocorticoid?.
• useful therapeutic agents for treating or preventing dyskinesia include, but are not limited to, rese ⁇ ine and tetrabenazine.
• useful therapeutic agents for treating or preventing depression include, but are not limited to, tricyclic antidepressants such as amitryptyline, amoxapine, bupropion.
• ciomipraniine desipramine, doxepin, imipramine, maprotilinr, nefazadone, norhiptyhne, protriptyline, trazodone, trimipramine, and venlaflaxine
• selective serotonin reuptake inhibitors such as fluoxetine, fluvoxamine, paroxetine, and setraline
• monoamine oxidase inhibitors such as isocarboxazid, pargyline, phenelzine, and tranylcypromine
• psychostimulants such as dexhOamphetamine and methylphenidate.
• a Cyanoiminopiperazine Compound and the other therapeutic agent can act additively r, in one embodiment, synergistically. hi one embodiment, a
• Cyanohninopiperazine Compound is administered concunently with another therapeutic agent, h one embodiment, a composition comprising an effective amount of a Cyanoiminopiperazine Compound and an effective amount of another therapeutic agent can be administered. Alternatively, a composition comprising an effective amount of a Cyanoiminopiperazine Compound and a different composition comprising an effective amount of another therapeutic agent can be concurrently administered.
• an effective amoxxnt of a Cyanoiminopiperazine Compound is administered prior or subsequent to administration of an effective amount of another therapeutic agent, hi ⁇ his embodiment, the Cyanoiminopiperazine Compound is administered while the other therapeutic agent exerts its therapeutic effect, or the other therapeutic agent is administered while the Cyanoiminopiperazine Compound exerts its preventative or therapeutic effect for treating or preventing a Condition.
• a composition ofthe invention is prepared by a method comprising admixing a Cyanoiminopiperazine Compound or a pharmaceutically acceptable salt and a pharmaceutically acceptable carrier or excipient.
• A.dmixing can be accomplished using methods well known for admixing a compound (or salt) and a phannaceutically acceptable cairier or excipient.
• the Cyanoimiuopiperazine Compound or the pharmaceutically acceptable salt o the Compound is present in the composition in an effective amoun
• the invention encompasses kits that can simplify the administration of a Cyanoiminopiperazine Compound to an animal.
• a typical kit ofthe invention comprises a unit dosage fonn of a Cyanoinhnopipe ⁇ tzine Compound.
• the unit dosage form is a container, which can be sterile, containing an effective amount of a Cyanoiminopiperazine Compound and s pharmaceutically acceptable carrier or excipient.
• the kit can further comprise a label or printed instiuctions instructing the use ofthe Cyanoiminopiperazine Compound to treat pain, UI, an ulcet, IBD, IBS, an addictive disorder, Parkinson's disease, parkinsonism, anxiety, epilepsy, stroke, a seizure, a pruritic condition, psychosis, a cognitive disorder, a memory deficit, restricted brain function, Huntington's chorea, ALS, dementia, retinopathy, a muscie spasm, a migraine- vomiting, dyskinesia, or depression.
• the kit can also further comprise a unit dosage form of another therapeutic agent, for example, a container containing an effective amount ofthe other therapeutic agent.
• the kit comprises a container containing an effective amount of a Cyanoiminopiperazine Compound and an effective amount of another therapeutic agent. Examples of other therapeutic agents include, but are not limited to, those listed above.
• Kits ofthe invention can further comprise a device that is useful for administering the unit dosage forms.
• a device includes, but are not limited to, a syringe, a drip bag, a patch, an inhaler, and an enema bag.
• 2,3-Dichloropyridine (15.0 g, 101.6 mmol), piperazine(9.78 g, 113.70 mmol), and triethylamine (14.36 g, 141.95 mmol) were dissolved in 300 mL of DMSO and the resulting mixture was heated at about 80 °C for about 24 h. The reaction mixture was then cooled to room temperature and extracted with a saturated aqueous sodium bicarbonate 5 solution.

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  • 2008-04-15 CY CY20081100417T patent/CY1107411T1/el unknown
• 2010
  • 2010-09-10 US US12/879,885 patent/US20110281885A1/en not_active Abandoned

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