WO2006066361A1 - Method of treatment or prophylaxis - Google Patents
Method of treatment or prophylaxis Download PDFInfo
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- WO2006066361A1 WO2006066361A1 PCT/AU2005/001975 AU2005001975W WO2006066361A1 WO 2006066361 A1 WO2006066361 A1 WO 2006066361A1 AU 2005001975 W AU2005001975 W AU 2005001975W WO 2006066361 A1 WO2006066361 A1 WO 2006066361A1
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- substituted
- alkyl
- phenyl
- benzyl
- aryl
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- 0 Cc1c(C)nc(*)[n]1* Chemical compound Cc1c(C)nc(*)[n]1* 0.000 description 13
- SKSFHXVDHVKIBN-UHFFFAOYSA-N CSCc1ccc[o]1 Chemical compound CSCc1ccc[o]1 SKSFHXVDHVKIBN-UHFFFAOYSA-N 0.000 description 1
- FKNQCJSGGFJEIZ-UHFFFAOYSA-N Cc1ccncc1 Chemical compound Cc1ccncc1 FKNQCJSGGFJEIZ-UHFFFAOYSA-N 0.000 description 1
- SPGPGBWICPNRSN-UHFFFAOYSA-N I[n]1cncc1 Chemical compound I[n]1cncc1 SPGPGBWICPNRSN-UHFFFAOYSA-N 0.000 description 1
Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D471/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00
- C07D471/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, at least one ring being a six-membered ring with one nitrogen atom, not provided for by groups C07D451/00 - C07D463/00 in which the condensed system contains two hetero rings
- C07D471/04—Ortho-condensed systems
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/517—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with carbocyclic ring systems, e.g. quinazoline, perimidine
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
- A61K38/08—Peptides having 5 to 11 amino acids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/02—Drugs for disorders of the nervous system for peripheral neuropathies
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/04—Centrally acting analgesics, e.g. opioids
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/06—Antimigraine agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/20—Hypnotics; Sedatives
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
- A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D239/00—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings
- C07D239/70—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings condensed with carbocyclic rings or ring systems
- C07D239/72—Quinazolines; Hydrogenated quinazolines
- C07D239/86—Quinazolines; Hydrogenated quinazolines with hetero atoms directly attached in position 4
- C07D239/88—Oxygen atoms
- C07D239/90—Oxygen atoms with acyclic radicals attached in position 2 or 3
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/06—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
- C07D403/10—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a carbon chain containing aromatic rings
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing three or more hetero rings
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
- C07D409/06—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D409/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
- C07D409/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing three or more hetero rings
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
- C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/74—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving hormones or other non-cytokine intercellular protein regulatory factors such as growth factors, including receptors to hormones and growth factors
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2500/00—Screening for compounds of potential therapeutic value
Definitions
- This invention relates generally to compounds that are useful in the prevention and amelioration of signs and symptoms associated with a neuropathic condition. More particularly, the present invention relates to the use of angiotensin II receptor 2 (AT 2 receptor) antagonists for the treatment, prophylaxis,'reversal and/or symptomatic relief of neuropathic pain, including mechanical hyperalgesia, thermal or mechanical allodynia, diabetic pain and entrapment pain, in vertebrate animals and particularly in human subjects.
- the AT 2 receptor antagonists may be provided alone or in combination with other compounds such as those that are useful in the control of neuropathic conditions.
- Neuropathic pain may occur when the peripheral and/or central nervous systems are sensitized following an injury to the peripheral nervous system or to the central nervous system.
- neuropathic pain can develop days or months after a traumatic injury and is frequently long- lasting or chronic.
- neuropathic pain can occur spontaneously or as a result of stimulation that normally is not painful.
- Neuropathic pain conditions are characterized by hyperesthesia (enhanced sensitivity to natural stimuli), hyperalgesia (abnormal sensitivity to pain), allodynia (widespread tenderness, characterized by hypersensitivity to tactile stimuli) and/or spontaneous burning pain.
- neuropathic pain The etiology of neuropathic pain is diverse and includes both trauma and disease. For example, traumatic nerve compression or crush and traumatic injury to the brain or spinal cord are common causes of neuropathic pain. Furthermore, traumatic nerve injuries may also cause the formation of neuromas, in which pain occurs as a result of aberrant nerve regeneration. In addition, cancer-related neuropathic pain is caused when tumor growth painfully compresses adjacent nerves, brain or spinal cord. Neuropathic pain also is associated with systemic diseases such as diabetes, alcoholism, herpes zoster, AIDS/HTV, syphilis and various other autoimmune diseases. [0004] Although there are effective remedies for treating nociceptive pain, neuropathic pain is often resistant to available drug therapies.
- the invention provides methods for the treatment or prophylaxis of a neuropathic condition in a subject.
- the neuropathic condition is treated or prevented by administering to the subject an effective amount of an AT 2 receptor antagonist.
- AT 2 receptor antagonists include small molecules, nucleic acids, peptides, polypeptides, peptidomimetics, carbohydrates, lipids or other organic (carbon containing) or inorganic molecules, as further described herein.
- the AT 2 receptor antagonist is suitably administered in the form of a composition comprising a pharmaceutically acceptable carrier or diluent.
- the composition may be administered by injection, by topical application or by the oral route including sustained- release modes of administration, over a period of time and in amounts, which are effective to treat or prevent the neuropathic condition.
- the neuropathic condition results from a disease of the nerves (i.e., a primary neuropathy).
- the neuropathic condition results from a systemic disease (i.e., secondary neuropathy).
- the neuropathic condition is a peripheral neuropathic condition, especially that following mechanical nerve injury or biochemical nerve injury such as painful diabetic neuropathy (PDN) or a related condition.
- PDN painful diabetic neuropathy
- the invention provides methods for preventing or attenuating neuropathic pain, especially peripheral neuropathic pain, in a subject.
- neuropathic pain is prevented or attenuated by administering to the subject an effective amount of an AT 2 receptor antagonist, which is suitably in the form of a composition comprising a pharmaceutically acceptable carrier and/or diluent.
- the invention provides methods for producing analgesia in a subject, especially in a subject who has, or is at risk of developing, a neuropathic condition. These methods generally comprise administering to the subject an effective amount of an AT 2 receptor antagonist, which is suitably in the form of a composition comprising a pharmaceutically acceptable carrier and/or diluent.
- the present invention contemplates the use of an AT 2 receptor antagonist in the manufacture of a medicament for producing analgesia in a subject, especially in a subject who has, or is at risk of developing, a neuropathic condition.
- AT 2 receptor antagonist can be used in the compositions and methods of the invention.
- the AT 2 receptor antagonist is selected from compounds, and their pharmaceutically compatible salts, represented by the formula (I):
- R 1 and R 2 are independently selected from H, benzyl, substituted benzyl, phenyl, substituted phenyl, Q ⁇ alkyl, substituted Ci. 6 alkyl, C 3- 6 cycloalkyl, substituted C 3 . 6 cycloalkyl, and heteroaryl, providing that both R 1 and R 2 are not hydrogen,
- R 4 is selected from a carboxylate, carboxylic acid, sulfate, phosphate, sulfonamide, phosphonamide or amide
- X is selected from CH, nitrogen, sulfur or oxygen with the proviso that when R 4 is sulfur or oxygen one of R 1 or R 2 is absent,
- Y is selected from sulfur, oxygen or N-R N , where R N is selected from H,
- G is a five or six membered, homoaromatic or unsaturated, substituted or unsubstituted, heterocyclic ring including but not limited to the following rings systems:
- R 5 is selected from H, Ci. 6 alkyl, phenyl, substituted phenyl, substituted Ci -6 alkyl, C ⁇ alkoxy, or substituted Ci -6 alkoxy
- R 6 and R 8 are independently selected from H, Ci ⁇ alkyl, substituted C]. ⁇ alkyl, phenyl, phenyloxy, benzyl, benzyloxy, benzylamino, biphenyl, substituted biphenyl, biphenyloxy, substituted biphenyloxy, napthyl, substituted napthyl, provided that one of R 6 or R 8 is not hydrogen, and
- R 7 is selected from phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, napthyl, substituted napthyl, napthylmethylene, and substituted napthylmethylene.
- the AT 2 receptor antagonist is selected from compounds, and their pharmaceutically compatible salts, represented by the formula (II):
- R 1 and R 2 are independently selected from H, phenyl, substituted phenyl, benzyl, substituted benzyl, Ci -6 alkyl, substituted C 3- 6 cyloalkyl, substituted Cs ⁇ cycloalkyl, heteroaryl, and substituted heteroaryl, substituted biphenylmethylene and saturated and unsaturated substituted biphenylmethylene, provided that one of R 1 or R 2 is not hydrogen,
- R 4 is selected from a carboxylate, carboxylic acid, sulfate, phosphate, sulfonamide, phosphonamide or amide
- X is selected from CH, nitrogen, sulfur or oxygen with the proviso that when R 4 is sulfur or oxygen one of R 1 or R 2 is absent, and
- Y is selected from sulfur, oxygen or N-R N , where R N is selected from H,
- the AT 2 receptor antagonist is selected from compounds, and their pharmaceutically compatible salts, represented by the formula (III):
- R 1 , R 2 and R 3 are independently selected from H, phenyl, substituted phenyl, benzyl substituted benzyl, Q ⁇ alkyl, substituted C ⁇ alkyl, with the proviso that at least one of R 1 or R 2 are not hydrogen,
- X is selected from CH, nitrogen, sulfur or oxygen with the proviso that when R 4 is sulfur or oxygen, one of R 1 or R 2 is absent, or is aryl or heteroaryl with the proviso that both R 1 and R 2 are absent,
- V is selected from CH or nitrogen atom,
- Y is selected from sulfur, oxygen or N-R N , where R N is selected from H,
- R 4 is selected from a carboxylate, carboxylic acid, sulfate, phosphate, sulfonamide, phosphonamide, or amide,
- G is a five or six membered, homoaromatic or unsaturated, substituted or unsubstituted, heterocyclic ring including but not limited to the following rings systems:
- R 5 is selected from H, phenyl, substituted phenyl, substituted Ci. 6 alkyl, or [0038] R 6 and R 8 are independently selected from H, substituted Ci- ⁇ alkyl substituted, phenyl, phenyloxy, benzyl, benzyloxy, benzylamino, biphenyl, substituted biphenyl, biphenyloxy, substituted biphenyloxy, napthyl, substituted napthyl, provided that one of R 6 or R 8 is not hydrogen, and
- R 7 is selected from phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, napthyl, substituted napthyl, napthylmethylene, and substituted napthylmethylene.
- the AT 2 receptor antagonist is selected from compounds, and their pharmaceutically compatible salts, represented by the formula (IV):
- R is selected from H, halogen, C]. 6 alkyl, phenyl, substituted phenyl, substituted Ci. 6 alkyl, or Ci -6 alkoxy,
- R 9 is selected from -NR 13 R 14 , wherein R 13 and R 14 are independently selected from Ci -6 alkyl, substituted C h alky!, aryl, substituted aryl, benzyl, substituted benzyl, substituted OH, or NH 2 ; a five or six membered, saturated or unsaturated, substituted or unsubstituted, carbocyclic or heterocyclic ring including but not limited to:
- V is selected from CH or a nitrogen atom
- Y is selected from sulfur, oxygen or N-R N , where R N is selected from H,
- Ci -6 alkyl substituted Ci. 6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, substituted Ci. 4 alkylaryl, OH, or NH 2 ,
- G is a five or six membered homoaromatic or heterocyclic, unsaturated, substituted ring including but not limited to the following rings systems:
- R 5 is selected from C ⁇ alkyl, phenyl, substituted phenyl, substituted Ci. ⁇ alkyl, or
- W is selected from sulfur, oxygen or N-R N , where R N is selected from H,
- Ci -6 alkyl substituted Ci. 6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, OH, or NH 2 ,
- R 6 and R 8 are independently selected from H, C h alky., substituted Cj. ⁇ alkyl Ci- ⁇ alkoxy, substituted, Ci. 6 alkoxy, phenyl, phenyloxy, benzyl, benzyloxy, benzylamino, biphenyl, substituted biphenyl, biphenyloxy, substituted biphenyloxy, napthyl, substituted napthyl, provided that one of R 6 or R 8 is not hydrogen, and
- R 7 is selected from phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, napthyl, substituted napthyl, napthylmethylene, and substituted napthylmethylene.
- the AT 2 receptor antagonist is selected from compounds, and their pharmaceutically compatible salts, represented by the formula (V):
- M is H or a halogen (fluoro, bromo, iodo, chloro),
- R 5 is selected from Ci. 6 alkyl, phenyl, substituted phenyl, substituted Ci.
- R 16 is selected from Ci. 6 alkylamino, substituted Ci.
- alkylamino substituted dialkylamino, arylamino, diarylamino, substituted arylamino, substituted diarylamino, alkylarylamino, dialkylarylamino, substituted alkylarylamino, substituted dialkylarylamino, heteroarylamino, substituted heteroarylamino, cycloalkylamino, dicycloalkylamino, diheteroarylamino, alkylcarbonylamino, arylcarbonylamino, alkylarylcarbonylamino, cycloalkylcarbonylamino, and
- R 17 is selected from Ci -6 alkyl, substituted Ci. 6 alkyl, phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, naphthyl, substituted naphthyl, heteroaryl, or substituted heteroaryl.
- the AT 2 receptor antagonist is selected from AT 2 receptor antagonist peptides, illustrative examples of which include hexa-, hepta- and octapeptides, and their pharmaceutically compatible salts, represented by the formula: R 1 -R 2 - R 3 - R 4 -R 5 -R 6 -PrO-R 7 (VIII)
- Ri is absent or is selected from hydrogen, succinyl, L-aspartyl, sarcosyl,
- L-seryl succinamyl, L-propyl, glycyl, L- tyrosyl, N ⁇ -nicotinoyl- tyrosyl, or D- or L-asparagyl;
- R 2 is selected from arginyl or N-benzoylcarbonyl arginyl; [0062] R 3 is absent or valyl;
- R 4 is absent or is selected from L-phenylalanyl or L-tyrosyl;
- R 5 is selected from valyl, L-isoleucyl, L-alanyl or L-lysyl;
- Re is selected from L-histidyl, L-isoleucyl, L-tyrosyl or p- aminophenylalanyl; and [0066] R 7 is selected from L-alanine, L- tyrosine, L- or D-leucine, glycine, L- isoleucine or ⁇ -alanine residue.
- the AT 2 receptor antagonist is selected from antigen- binding molecules that are immuno-interactive with an AT 2 receptor polypeptide.
- the AT 2 receptor antagonist is selected from nucleic acid molecules that inhibit or otherwise reduce the level or functional activity of an expression product of an AT 2 receptor gene, illustrative examples of which include antisense molecules, ribozymes and RNAi molecules.
- the invention provides methods for identifying agents that antagonize an AT 2 receptor. These methods typically comprise contacting a preparation with a test agent, wherein the preparation comprises (i) a polypeptide comprising an amino acid sequence corresponding to at least a biologically active fragment of an AT 2 receptor polypeptide, or to a variant or derivative thereof; or (ii) a polynucleotide that comprises at least a portion of a genetic sequence that regulates the expression of a gene that encodes an AT 2 receptor polypeptide, wherein the polynucleotide is operably linked to a reporter gene.
- a detected decrease in the level or functional activity of the AT 2 receptor polypeptide, or an expression product of the reporter gene, relative to a normal or reference level or functional activity in the absence of the test agent indicates that the agent is an AT 2 receptor antagonist.
- the methods comprise contacting a first sample of cells expressing an AT 2 receptor with an AT 2 receptor ligand and measuring a marker; contacting a second sample of cells expressing the AT 2 receptor with an agent and the ligand, and measuring the marker; and comparing the marker of the first sample of cells with the marker of the second sample of cells.
- these methods measure the levels of various markers (e.g., Zfhep expression; nitric oxide levels or nitric oxide synthase levels) or combinations of markers associated with the activation of the AT2 receptor or with the proliferation or differentiation of the cells.
- an agent tests positive if it inhibits Zfhep expression or reduces the level of nitric oxide or the level or functional activity of nitric oxide synthase or the differentiation of the cells.
- Still another aspect of the present invention provides methods of producing an agent for producing analgesia in a subject, especially in a subject who has, or is at risk of developing, a neuropathic condition. These methods generally comprise: testing an agent suspected of antagonizing an AT 2 receptor, as broadly described above; and synthesizing the agent on the basis that it tests positive for the antagonism.
- the method further comprises derivatising the agent, and optionally formulating the derivatized agent with a pharmaceutically acceptable carrier or diluent, to improve the efficacy of the agent for treating or preventing the neuropathic condition.
- i.p. administration of single bolus doses of vehicle did not produce significant anti-allodynia or antinociception in the ipsilateral and contralateral hindpaws respectively.
- single bolus doses of i.p. vehicle did not produce significant relief of tactile allodynia in the hindpaws of STZ-diabetic rats.
- Figure 5 is a graphical representation showing that single bolus i.p. doses of PD-121,981 (0.001-3 ⁇ g/kg) produce dose-dependent relief of tactile allodynia in STZ-diabetic rats.
- Figure 6 is a graphical representation showing that the extent and duration of the anti-allodynic effects produced by single bolus i.p. and oral doses of PD-121,981 (0.1 ⁇ g/kg) are similar for the two routes of administration in STZ-diabetic rats.
- Figure 7 is a graphical representation showing that single bolus i.p. doses of PD-126,055 (1.0 - 100 ng/kg) produced significant relief of tactile allodynia in STZ-diabetic rats.
- Figure 8 is a graphical representation showing that single bolus i.p. doses of L-161,638 (sodium salt) (0.0003-3 mg/kg) produce dose-dependent relief of tactile allodynia in STZ-diabetic rats.
- Figure 9 is a graphical representation showing that single bolus i.p. doses of
- L-163,579 (0.1-10 ⁇ g/kg) produce dose-dependent relief of tactile allodynia in STZ-diabetic rats. Further increasing the dose of L-163,579 (30-100 ⁇ g/kg) produce similar responses to those evoked by the 10 ⁇ g/kg dose.
- Figure 10 is a graphical representation showing that single bolus i.p. doses of L-159,686 (0.03-10 ⁇ g/kg) produce dose-dependent relief of tactile allodynia in STZ-diabetic rats. Further increasing the dose to 30 and 100 ⁇ g/kg did not appear to significantly alter the magnitude or the duration of the anti-allodynic response.
- Figure 11 is a graphical representation showing that: (A) single i.p. bolus doses of PD-121,981 (0.03-3 mg/kg) produce dose-dependent relief of tactile allodynia in the ipsilateral hindpaw of CCI-rats; and that (B) the same doses of PD-121,981 produces insignificant antinociception in the contralateral hindpaws of the same animals.
- Figure 12 is a graphical representation showing that the extent and duration of the anti-allodynic effects produced by single bolus i.p. and oral doses of PD-121,981 (1 mg/kg) are similar for the two routes of administration in CCI-rats.
- Figure 13 is a graphical representation showing that (A) single i.p. bolus doses of PD-126,055 (3-30 ⁇ g/kg) produce dose-dependent relief of tactile allodynia in the ipsilateral hindpaw of CCI-rats. (B) By contrast, the same doses of PD-126,055 produced insignificant antinociception in the contralateral hindpaws of the same animals.
- Figure 14 is a graphical representation showing that the extent and duration of the anti-allodynic effects produced by single bolus i.p. and oral doses of PD-126,055 (30 ⁇ g/kg) are similar for the two routes of administration in CCI-rats.
- Figure 15 is a graphical representation showing that administration of bolus i.p. doses of L-161,638 (sodium salt) (0.003-10 mg/kg) produced (A) dose-dependent relief of tactile allodynia in the ipsilateral hindpaw and (B) insignificant antinociception the contralateral hindpaw of the same animals.
- L-161,638 sodium salt
- Figure 16 is a graphical representation showing that administration of bolus i.p. doses of L-163,579 (0.01-0.3 mg/kg) to CCI-rats produced dose-dependent relief of tactile allodynia in the ipsilateral hindpaw.
- Figure 17 is a graphical representation showing that administration of bolus i.p. doses of L-159,686 (0.003-0.03 mg/kg) to CCI-rats produced dose-dependent relief of tactile allodynia in the ipsilateral hindpaw.
- Preferred acyl includes C(O)-R, wherein R is hydrogen or an alkyl, alkenyl, alkynyl, aryl, heteroaryl or heterocyclyl residue, preferably a Ci -2O residue.
- acyl examples include formyl; straight chain or branched alkanoyl such as, acetyl, propanoyl, butanoyl, 2-methylpropanoyl, pentanoyl, 2,2-dimethylpropanoyl, hexanoyl, heptanoyl, octanoyl, nonanoyl, decanoyl, undecanoyl, dodecanoyl, tridecanoyl, tetradecanoyl, pentadecanoyl, hexadecanoyl, heptadecanoyl, octadecanoyl, nonadecanoyl and icosanoyl; cycloalkylcarbonyl such as cyclopropylcarbonyl cyclobutylcarbonyl, cyclopentylcarbonyl and cyclohexylcarbonyl; aroyl such as benzoyl, tolu
- phenylacetyl phenylpropanoyl, phenylbutanoyl, phenylisobutanoyl, phenylpentanoyl and phenylhexanoyl
- naphthylalkanoyl e.g. naphthylacetyl, naphthylpropanoyl and naphthylbutanoyl]
- aralkenoyl such as phenylalkenoyl (e.g.
- phenylpropenoyl e.g., phenylbutenoyl, phenylmethacryloyl, phenylpentenoyl and phenylhexenoyl and naphthylalkenoyl (e.g.
- aryloxyalkanoyl such as phenoxyacetyl and phenoxypropionyl
- arylthiocarbamoyl such as phenylthiocarbamoyl
- arylglyoxyloyl such as phenylglyoxyloyl and naphthylglyoxyloyl
- arylsulfonyl such as phenylsulfonyl and napthylsulfonyl
- heterocycliccarbonyl heterocyclicalkanoyl such as thienylacetyl, thienylpropanoyl, thienylbutanoyl, thienylpentanoyl, thienylhexanoyl, thiazolylacetyl, thiadiazolylacetyl and tetrazolylacetyl
- alkenyl refers to a non-aromatic hydrocarbon radical, straight, branched or cyclic, containing from 2 to 10 carbon atoms and at least one carbon to carbon double bond. Preferably one carbon to carbon double bond is present, and up to four non-aromatic carbon-carbon double bonds may be present.
- C 2 -C 6 alkenyl means an alkenyl radical having from 2 to 6 carbon atoms.
- Alkenyl groups include, but are not limited to, ethenyl, propenyl, butenyl, 2- methylbutenyl and cyclohexenyl.
- the straight, branched or cyclic portion of the alkenyl group may contain double bonds and may be substituted if a substituted alkenyl group is indicated.
- alkenylene refers to a straight, branched or cyclic, preferably straight or branched, bivalent aliphatic hydrocarbon group, preferably having from 2 to about 20 carbon atoms and at least one double bond, more preferably 2 to 12 carbons, even more preferably lower alkenylene.
- the alkenylene group is optionally substituted with one or more "alkyl group substituents.” There may be optionally inserted along the alkenylene group one or more oxygen, sulfur or substituted or unsubstituted nitrogen atoms, where the nitrogen substituent is alkyl as previously described.
- lower alkenylene refers to alkenylene groups having 2 to 6 carbons. Preferred alkenylene groups are lower alkenylene, with alkenylene of 3 to 4 carbon atoms being particularly preferred.
- alkoxy alkenoxy
- alkynoxy alkynoxy
- aryloxy heteroaryloxy
- heterocyclyloxy acyloxy
- alkoxy represents either a cyclic or non-cyclic alkyl group attached through an oxygen bridge. "Alkoxy” therefore encompasses the definitions of alkyl and cycloalkyl below.
- alkoxy groups include but are not limited to methoxy, oxy ethoxy, n-propyloxy, i-propyloxy, cyclopentyloxy and cyclohexyloxy.
- alkyl is intended to include both branched and straight- chain saturated aliphatic hydrocarbon group and may have a specified number of carbon atoms.
- Ci-C 1O is defined to include groups having 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 carbons in linear or branched arrangement.
- Ci-Ci O alkyl specifically includes, but is not limited to, methyl, ethyl, n-propyl, i-propyl, n-butyl, t-butyl, i-butyl, pentyl, hexyl, heptyl, octyl, nonyl, decyl.
- alkylene refers to a straight, branched or cyclic, preferably straight or branched, bivalent aliphatic hydrocarbon group, preferably having from 1 to about 20 carbon atoms, more preferably 1 to 12 carbons, even more preferably lower alkylene.
- the alkylene group is optionally substituted with one or more "alkyl group substituents.” There may be optionally inserted along the alkylene group one or more oxygen, sulfur or substituted or unsubstituted nitrogen atoms, where the nitrogen substituent is alkyl as previously described.
- alkylene groups include methylene (-CH 2 -), ethylene (-CH 2 CH 2 -), propylene (-(CH 2 ) 3 -), cyclohexylene (-CeHi 0 -), methylenedioxy (-0-CH 2 -O-) and ethylenedioxy (-0- (QHa) 2 -O-).
- the term "lower alkylene” refers to alkylene groups having 1 to 6 carbons.
- Preferred alkylene groups are lower alkylene, with alkylene of 1 to 3 carbon atoms being particularly preferred.
- arylalkylidene refers to an alkylidene group in which either R' or R" is and aryl group.
- diarylalkylidene refers to an alkylidene group in which R' and R" are both aryl groups.
- alkynyl refers to a hydrocarbon radical straight, branched or cyclic, containing from 2 to 10 carbon atoms and at least one carbon to carbon triple bond. Up to three carbon-carbon triple bonds may be present.
- C 2 -C ⁇ alkynyl means an alkynyl radical having from 2 to 6 carbon atoms.
- Alkynyl groups include, but are not limited to, ethynyl, propynyl, butynyl, 3-methylbutynyl and so on. The straight, branched or cyclic portion of the alkynyl group may contain triple bonds and may be substituted if a substituted alkynyl group is indicated.
- substituents may be defined with a range of carbons that includes zero, such as (C 0 -C 6 )alkylene-aryl. If aryl is taken to be phenyl, this definition would include phenyl itself as well as, for example, -CH 2 Ph, -CH 2 CH 2 Ph, CH(CH 3 )CH 2 CH(CH 3 )Ph.
- alkynylene refers to a straight, branched or cyclic, preferably straight or branched, bivalent aliphatic hydrocarbon group, preferably having from 2 to about 20 carbon atoms and at least one triple bond, more preferably 2 to 12 carbons, even more preferably lower alkynylene.
- the alkynylene group is optionally substituted with one or more "alkyl group substituents.” There may be optionally inserted along the alkynylene group one or more oxygen, sulfur or substituted or unsubstituted nitrogen atoms, where the nitrogen substituent is alkyl as previously described.
- the term "lower alkynylene” refers to alkynylene groups having 2 to 6 carbons. Preferred alkynylene groups are lower alkynylene, with alkynylene of 3 to 4 carbon atoms being particularly preferred.
- allodynia refers to the pain that results from a non-noxious stimulus i.e. pain due to a stimulus that does not normally provoke pain.
- examples of allodynia include, but are not limited to, cold allodynia, tactile allodynia (pain due to light pressure or touch), and the like.
- analgesia is used herein to describe states of reduced pain perception, including absence from pain sensations as well as states of reduced or absent sensitivity to noxious stimuli. Such states of reduced or absent pain perception are induced by the administration of a pain-controlling agent or agents and occur without loss of consciousness, as is commonly understood in the art.
- analgesia encompasses the term "antinociception", which is used in the art as a quantitative measure of analgesia or reduced pain sensitivity in animal models.
- the term "antagonist” means an agent that decreases or inhibits the biological activity of an AT 2 gene (Agtr2 gene)or an expression product thereof including an AT 2 receptor polypeptide.
- AT 2 receptor means an angiotensin II type 2 receptor (AT 2 ) receptor polypeptide that can bind angiotensin II and/or one or more other ligands.
- AT 2 receptor encompasses vertebrate homologs OfAT 2 receptor family members, including, but not limited to, mammalian, reptilian and avian homologs. Representative mammalian homologs OfAT 2 receptor family members include, but are not limited to, murine and human homologs.
- anti-allodynia is used herein to describe states of reduced pain perception, including absence from pain sensations as well as states of reduced or absent sensitivity to non-noxious stimuli. Such states of reduced or absent pain perception are induced by the administration of a pain-controlling agent or agents and occur without loss of consciousness, as is commonly understood in the art.
- antigen-binding molecule is meant a molecule that has binding affinity for a target antigen. It will be understood that this term extends to immunoglobulins, immunoglobulin fragments and non-immunoglobulin derived protein frameworks that exhibit antigen-binding activity.
- Antigenic or immunogenic activity refers to the ability of a polypeptide, fragment, variant or derivative according to the invention to produce an antigenic or immunogenic response in an animal, suitably a mammal, to which it is administered, wherein the response includes the production of elements which specifically bind the polypeptide or fragment thereof.
- aromatic or “aryl” is intended to mean, unless otherwise indicated, any stable monocyclic or bicyclic carbon ring of up to 7 atoms in each ring, wherein at least one ring is aromatic.
- aryl elements include, but are not limited to, phenyl, naphthyl, tetrahydronaphthyl, indanyl, biphenyl, phenanthryl, anthryl or acenaphthyl.
- Alkyl means alkyl as defined above which is substituted with an aryl group as defined above, e.g., -CH 2 ⁇ henyl, -(CH 2 ) 2 phenyl, -(CH 2 ) 3 phenyl, - H 2 CH(CH 3 )CH 2 phenyl, and the like and derivatives thereof.
- arylene refers to a monocyclic or polycyclic, preferably monocyclic, bivalent aromatic group, preferably having from 3 to about 20 carbon atoms and at least one aromatic ring, more preferably 3 to 12 carbons, even more preferably lower arylene.
- the arylene group is optionally substituted with one or more "alkyl group substituents.” There may be optionally inserted around the arylene group one or more oxygen, sulfur or substituted or unsubstituted nitrogen atoms, where the nitrogen substituent is alkyl as previously described.
- Exemplary arylene groups include 1,2-, 1,3- and 1,4- phenylene.
- the term "lower arylene” refers to arylene groups having 5 or 6 carbons.
- arylidene refers to an unsaturated cyclic bivalent group where both points of attachment are on the same atom of the ring.
- exemplary arylidene groups include, but are not limited to, quinone methide moieties that have the formula:
- Heteroarylidene groups are arylidene groups where one or two, preferably two, of the atoms in the ring are heteroatoms, such as, but not limited to, O, S and N.
- biological activity means any observable effect flowing from the interaction between an AT 2 receptor polypeptide and a ligand.
- Representative, but non-limiting, examples of biological activity in the context of the present invention include association of an AT 2 receptor with a ligand, including an endogenous ligand such as angiotensin II or an AT 2 receptor antagonist.
- biological activity also encompasses both the inhibition and the induction of the expression of an AT 2 receptor polypeptide.
- biological activity encompasses any and all effects flowing from the binding of a ligand by an AT 2 receptor polypeptide.
- causalgia refers to the burning pain, allodynia, and hyperpathia after a traumatic nerve lesion, often combined with vasomotor and sudomotor dysfunction and later trophic changes.
- complex regional pain syndromes is meant the pain that includes, but is not limited to, reflex sympathetic dystrophy, causalgia, sympathetically maintained pain, and the like.
- cycloalkenyl means a monocyclic unsaturated hydrocarbon group and may have a specified number of carbon atoms.
- cycloalkenyl includes but is not limited to, cyclobutenyl, cyclopentenyl, 1-methylcyclopentenyl, cyclohexenyl and cyclohexadienyl.
- cycloalkyl or "aliphatic ring” means a monocyclic saturated aliphatic hydrocarbon group and may have a specified number of carbon atoms.
- cycloalkyl includes, but is not limited to, cyclopropyl, methyl- cyclopropyl, 2,2-dimethyl-cyclobutyl, 2-ethyl-cyclopentyl, cyclohexyl.
- derivative refers to a peptide or polypeptide that has been derived from the basic sequence by modification, for example by conjugation or complexing with other chemical moieties or by post-translational modification techniques as would be understood in the art.
- derivative also includes within its scope alterations that have been made to a parent sequence including additions or deletions that provide for functional equivalent molecules.
- an effective amount in the context of treating or preventing a condition is meant the administration of that amount of active to an individual in need of such treatment or prophylaxis, either in a single dose or as part of a series, that is effective for the prevention of incurring a symptom, holding in check such symptoms, and/or treating existing symptoms, of that condition.
- the effective amount will vary depending upon the health and physical condition of the individual to be treated, the taxonomic group of individual to be treated, the formulation of the composition, the assessment of the medical situation, and other relevant factors. It is expected that the amount will fall in a relatively broad range that can be determined through routine trials.
- the term "gene” as used herein refers to any and all discrete coding regions of the cell's genome, as well as associated non-coding and regulatory regions.
- the gene is also intended to mean the open reading frame encoding specific polypeptides, introns, and adjacent 5' and 3' non-coding nucleotide sequences involved in the regulation of expression.
- the gene may further comprise control signals such as promoters, enhancers, termination and/or polyadenylation signals that are naturally associated with a given gene, or heterologous control signals.
- the DNA sequences may be cDNA or genomic DNA or a fragment thereof.
- the gene may be introduced into an appropriate vector for extrachromosomal maintenance or for integration into the host.
- halo or halogen as used herein is intended to include chloro, fluoro, bromo and iodo.
- Heteroaralkyl means alkyl as defined above which is substituted with a heteroaryl group, e.g., -CH 2 ⁇ yridinyl, -(CH 2 ) 2 pyrimidinyl, -(CH 2 ) 3 imidazolyl, and the like, and derivatives thereof.
- heteroaryl or “heteroaromatic,” as used herein, represents a stable monocyclic or bicyclic ring of up to 7 atoms in each ring, wherein at least one ring is aromatic and contains from 1 to 4 heteroatoms selected from the group consisting of O, N and S.
- Heteroaryl groups within the scope of this definition include but are not limited to: acridinyl, carbazolyl, cinnolinyl, quinoxalinyl, pyrrazolyl, indolyl, benzotriazolyl, furanyl, thienyl, benzothienyl, bezofuranyl, quinolinyl, isoquinolinyl, oxazolyl, isoxazolyl, indolyl, pyrazinyl, pyridazinyl, pyridinyl, pyrimidinyl, pyrrolyl, tetrahydroquinoline.
- heteroaryl is also understood to include the N-oxide derivative of any nitrogen-containing heteroaryl.
- heteroaryl and “heterocyclyl” include, but are not limited to, the following: benzoimidazolyl, benzofuranyl, benzofurazanyl, benzopyrazolyl, benzotriazolyl, benzothiophenyl, benzoxazolyl, carbazolyl, carbolinyl, cinnolinyl, furanyl, imidazoyl, indolinyl, indolyl, indolazinyl, indazolyl, isobenzofuranyl, isoindolyl, isoquinolyl, isothiazolyl, isoxazolyl, naphthpyridinyl, oxadiazolyl, oxazolyl, oxazoline, isoxazoline, oxetanyl, pyranyl, pyrazinyl, pyrazolyl, pyridazinyl, pyridopyridiny
- heteroarylene refers to a bivalent monocyclic or multicyclic ring system, preferably of about 3 to about 15 members where one or more, more preferably 1 to 3 of the atoms in the ring system is a heteroatom, that is, an element other than carbon, for example, nitrogen, oxygen and sulfur atoms.
- the heteroarylene group may be optionally substituted with one or more, preferably 1 to 3, aryl group substituents.
- Exemplary heteroarylene groups include, for example, 1,4-imidazolylene.
- heterocycle is intended to mean a 5- to 10-membered nonaromatic heterocycle containing from 1 to 4 heteroatoms selected from the group consisting of O, N and S, and includes bicyclic groups.
- Heterocyclylalkyl means alkyl as defined above which is substituted with a heterocycle group, e.g., -CH 2 ⁇ yrrolidin-l-yl, -(CH 2 ) 2 piperidin-l-yl, and the like, and derivatives thereof.
- Hybridization is used herein to denote the pairing of complementary nucleotide sequences to produce a DNA-DNA hybrid or a DNA-RNA hybrid.
- Complementary base sequences are those sequences that are related by the base-pairing rules.
- match and mismatch refer to the hybridization potential of paired nucleotides in complementary nucleic acid strands. Matched nucleotides hybridize efficiently, such as the classical A-T and G-C base pair mentioned above. Mismatches are other combinations of nucleotides that do not hybridize efficiently.
- hydrocarbyl as used herein includes any radical containing carbon and hydrogen including saturated, unsaturated, aromatic, straight or branched chain or cyclic including polycyclic groups. Hydrocarbyl includes but is not limited to C r C 8 alkyl, Cj- C 8 alkenyl, C 2 -C 8 alkynyl, C 3 -Ci 0 cycloalkyl, aryl such as phenyl and naphthyl, Ar (d-C 3 )alkyl such as benzyl, any of which may be optionally substituted.
- hypoalgesia an increased response to a stimulus that is normally painful.
- immuno-interactive includes reference to any interaction, reaction, or other form of association between molecules and in particular where one of the molecules is, or mimics, a component of the immune system.
- neuropathic pain is meant any pain syndrome initiated or caused by a primary lesion or dysfunction in the peripheral or central nervous system.
- Examples of neuropathic pain include, but are not limited to, thermal or mechanical hyperalgesia, thermal or mechanical allodynia, diabetic pain, entrapment pain, and the like.
- Nociceptive pain refers to the normal, acute pain sensation evoked by activation of nociceptors located in non-damaged skin, viscera and other organs in the absence of sensitization.
- oligonucleotide refers to a polymer composed of a multiplicity of nucleotide residues (deoxyribonucleotides or ribonucleotides, or related structural variants or synthetic analogues thereof) linked via phosphodiester bonds (or related structural variants or synthetic analogues thereof).
- oligonucleotide typically refers to a nucleotide polymer in which the nucleotide residues and linkages between them are naturally occurring, it will be understood that the term also includes within its scope various analogues including, but not restricted to, peptide nucleic acids (PNAs), phosphoramidates, phosphorothioates, methyl phosphonates, 2-O-methyl ribonucleic acids, and the like. The exact size of the molecule can vary depending on the particular application.
- PNAs peptide nucleic acids
- phosphoramidates phosphoramidates
- phosphorothioates phosphorothioates
- methyl phosphonates 2-O-methyl ribonucleic acids
- oligonucleotide is typically rather short in length, generally from about 10 to 30 nucleotide residues, but the term can refer to molecules of any length, although the term “polynucleotide” or “nucleic acid” is typically used for large oligonucleotides.
- operably linked is meant that transcriptional and translational regulatory polynucleotides are positioned relative to a polypeptide-encoding polynucleotide in such a manner that the polynucleotide is transcribed and the polypeptide is translated.
- pain as used herein is given its broadest sense and includes an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage and includes the more or less localized sensation of discomfort, distress, or agony, resulting from the stimulation of specialized nerve endings.
- pain There are many types of pain, including, but not limited to, lightning pains, phantom pains, shooting pains, acute pain, inflammatory pain, neuropathic pain, complex regional pain, neuralgia, neuropathy, and the like (Dorland's Illustrated Medical Dictionary, 28 th Edition, W. B. Saunders Company, Philadelphia, Pa.).
- the present invention is particularly concerned with the alleviation of pain associated with neuropathic conditions.
- the goal of treatment of pain is to reduce the degree of severity of pain perceived by a treatment subject.
- pharmaceutically acceptable carrier is meant a solid or liquid filler, diluent or encapsulating substance that may be safely used in topical, local or systemic administration.
- salts which is toxicologically safe for human and animal administration.
- This salt may be selected from a group including hydrochlorides, hydrobromides, hydroiodides, sulfates, bisulfates, nitrates, citrates, tartrates, bitartrates, phosphates, malates, maleates, napsylates, fumarates, succinates, acetates, terephthalates, pamoates and pectinates.
- Pharmaceutically acceptable salts include both the metallic (inorganic) salts and organic salts; a non-exhaustive list of which is given in Remington's Pharmaceutical Sciences 17th Edition, pg. 1418 (1985). It is well known to one skilled in the art that an appropriate salt form is chosen based on physical and chemical stability, flowability, hydroscopicity and solubility.
- Phenylalkyl means alkyl as defined above which is substituted with phenyl, e.g., -CH 2 phenyl, -(CH 2 ) 2 phenyl, -(CH 2 ) 3 ⁇ henyl, CH 3 CH(CH 3 )CH 2 phenyl, and the like and derivatives thereof. Phenylalkyl is a subset of the aralkyl group.
- polynucleotide variant and “variant” refer to polynucleotides displaying substantial sequence identity with a reference polynucleotide sequence or polynucleotides that hybridize with a reference sequence under stringent conditions as known in the art (see for example Sambrook et al., Molecular Cloning. A Laboratory Manual", Cold Spring Harbor Press, 1989). These terms also encompass polynucleotides in which one or more nucleotides have been added or deleted, or replaced with different nucleotides.
- polynucleotide variant and “variant” also include naturally-occurring allelic variants.
- Polypeptide and “protein” are used interchangeably herein to refer to a polymer of amino acid residues and to variants and synthetic analogues of the same.
- polypeptide variant refers to polypeptides in which one or more amino acids have been replaced by different amino acids. It is well understood in the art that some amino acids may be changed to others with broadly similar properties without changing the nature of the activity of the polypeptide (conservative substitutions) as described hereinafter. These terms also encompass polypeptides in which one or more amino acids have been added or deleted, or replaced with different amino acids.
- prodrug is used in its broadest sense and encompasses those compounds that are converted in vivo to an AT 2 receptor antagonist according to the invention. Such compounds would readily occur to those of skill in the art, and include, for example, compounds where a free hydroxy group is converted into an ester derivative.
- pseudohalides are groups that behave substantially similar to halides. Such groups can be used in the same manner and treated in the same manner as halides (X, in which X is a halogen, such as Cl or Br). Pseudohalides include, but are not limited to cyanide, cyanate, thiocyanate, selenocyanate, trifluoromethyl and azide.
- Suitable vertebrate animals that fall within the scope of the invention include, but are not restricted to, primates, avians, livestock animals (e.g., sheep, cows, horses, donkeys, pigs), laboratory test animals (e.g., rabbits, mice, rats, guinea pigs, hamsters), companion animals (e.g., cats, dogs) and captive wild animals (e.g., foxes, deer, dingoes).
- a preferred subject is a human in need of treatment or prophylaxis for a neuropathic condition. However, it will be understood that the aforementioned terms do not imply that symptoms are present.
- Stereoisomers refer to any two or more isomers that have the same molecular constitution and differ only in the three dimensional arrangement of their atomic groupings in space. Stereoisomers may be diastereoisomers or enantiomers. It will be recognized that the compounds described herein may possess asymmetric centers and are therefore capable of existing in more than one stereoisomeric form. The invention thus also relates to compounds in substantially pure isomeric form at one or more asymmetric centers e.g., greater than about 90% ee, such as about 95% or 97% ee or greater than 99% ee, as well as mixtures, including racemic mixtures, thereof. Such isomers may be naturally occurring or may be prepared by asymmetric synthesis, for example using chiral intermediates, or by chiral resolution.
- substituted and variants such as “optionally substituted” as used herein, unless otherwise indicated, mean that a substituent may be further substituted by one or more additional substituents, which may be optional or otherwise.
- additional substituents include Ci-Cioalkyl, C 3 -Cioalkenyl, C 3 -Cioalkynyl, aryl, -(Q- ⁇ alkyFjaryl, heterocyclyl, heteroaryl, C 3 -C 7 -cycloalkyl, Ci-C ⁇ perfluoroalkyl, -OH, -SH, -HN 2 , nitrile, C 1 - C 10 -alkoxy, haloC 1-4 alkyl, hydroxyC M alkyl, C r C 10 -alkylthio, -CF 3 , halo (F, Cl, Br, I), -NO 2 , - CO 2 R 23 , -NH 2 , Ci
- vector is meant a polynucleotide molecule, preferably a DNA molecule derived, for example, from a plasmid, bacteriophage, yeast or virus, into which a polynucleotide can be inserted or cloned.
- a vector preferably contains one or more unique restriction sites and can be capable of autonomous replication in a defined host cell including a target cell or tissue or a progenitor cell or tissue thereof, or be integrable with the genome of the defined host such that the cloned sequence is reproducible.
- the vector can be an autonomously replicating vector, i.e., a vector that exists as an extrachromosomal entity, the replication of which is independent of chromosomal replication, e.g., a linear or closed circular plasmid, an extrachromosomal element, a minichromosome, or an artificial chromosome.
- the vector can contain any means for assuring self-replication.
- the vector can be one which, when introduced into the host cell, is integrated into the genome and replicated together with the chromosome(s) into which it has been integrated.
- a vector system can comprise a single vector or plasmid, two or more vectors or plasmids, which together contain the total DNA to be introduced into the genome of the host cell, or a transposon.
- the choice of the vector will typically depend on the compatibility of the vector with the host cell into which the vector is to be introduced.
- the vector is preferably a viral or viral-derived vector, which is operably functional in animal and preferably mammalian cells.
- Such vector may be derived from a poxvirus, an adenovirus or yeast.
- the vector can also include a selection marker such as an antibiotic resistance gene that can be used for selection of suitable transformants.
- resistance genes are known to those of skill in the art and include the nptll gene that confers resistance to the antibiotics kanamycin and G418 (Geneticin®) and the hph gene which confers resistance to the antibiotic hygromycin B.
- compositions and methods for the treatment or prophylaxis of neuropathic conditions arises from the unexpected discovery that AT 2 receptor antagonists are effective in the prevention or attenuation of the painful symptoms of neuropathic conditions including primary and secondary neuropathic conditions. These discoveries are based on pre-clinical data which show that administration of various AT 2 receptor antagonists to rats with a mechanical nerve injury involving a chronic constriction injury to the sciatic nerve (CCI-rats) or to STZ-diabetic rats causes a dose-dependent attenuation in the development of tactile (mechanical) allodynia, the defining symptom of neuropathic pain.
- CCI-rats sciatic nerve
- STZ-diabetic rats causes a dose-dependent attenuation in the development of tactile (mechanical) allodynia, the defining symptom of neuropathic pain.
- the present invention provides methods for treating or preventing neuropathic conditions, wherein the methods generally comprise administering to an individual having, or at risk of developing, a neuropathic condition, an effective amount of an AT 2 receptor antagonist, which is suitably in the form of a pharmaceutical composition.
- the AT 2 receptor antagonist can act to prevent or attenuate one or more symptoms associated with neuropathic conditions including, but not limited to, hyperesthesia, hyperalgesia, allodynia and/or spontaneous burning pain.
- the AT 2 receptor antagonist is used to prevent or attenuate one or more symptoms associated with peripheral neuropathic conditions, illustrative examples of which include numbness, weakness, burning pain, shooting pain, and loss of reflexes.
- the pain may be severe and disabling.
- the symptom which is the subject of the prevention and/or attenuation, is pain.
- the invention provides methods for preventing and/or attenuating neuropathic pain in an individual, comprising administering to the individual a pain- preventing or -attenuating effective amount of an AT 2 receptor antagonist, which is suitably in the form of a pharmaceutical composition.
- an AT 2 receptor antagonist which is suitably in the form of a pharmaceutical composition.
- the neuropathic conditions are a result of diseases of the nerves (primary neuropathy) and neuropathy that is caused by systemic disease (secondary neuropathy) such as but not limited to: diabetic neuropathy; Herpes Zoster (shingles)-related neuropathy; uremia-associated neuropathy; amyloidosis neuropathy; HTV sensory neuropathies; hereditary motor and sensory neuropathies (HMSN); hereditary sensory neuropathies (HSNs); hereditary sensory and autonomic neuropathies; hereditary neuropathies with ulcero-mutilation; nitrofurantoin neuropathy; tumaculous neuropathy; neuropathy caused by nutritional deficiency and neuropathy caused by kidney failure.
- secondary neuropathy such as but not limited to: diabetic neuropathy; Herpes Zoster (shingles)-related neuropathy; uremia-associated neuropathy; amyloidosis neuropathy; HTV sensory neuropathies; hereditary motor and sensory neuropathies (HMSN); hereditary sensory neuropathies (HSNs); hereditary
- peripheral neuropathy such as several antiretroviral drugs (ddC (zalcitabine) and ddl (didanosine), antibiotics (metronidazole, an antibiotic used for Crohn's disease, isoniazid used for tuberculosis), gold compounds (used for rheumatoid arthritis), some chemotherapy drugs (such as vincristine and others) and many others.
- ddC antiretroviral drugs
- ddl didanosine
- antibiotics metalronidazole, an antibiotic used for Crohn's disease, isoniazid used for tuberculosis
- gold compounds used for rheumatoid arthritis
- chemotherapy drugs such as vincristine and others
- Chemical compounds are also known to cause peripheral neuropathy including alcohol, lead, arsenic, mercury and organophosphate pesticides.
- Some peripheral neuropathies are associated with infectious processes (such as Guillian-Barre syndrome).
- the neuropathic condition is a peripheral neuropathic condition, which is suitably pain secondary to mechanical nerve injury or painful diabetic neuropathy (PDN) or related condition.
- PDN diabetic neuropathy
- the neuropathic condition may be acute or chronic and, in this connection, it will be understood by persons of skill in the art that the time course of a neuropathy will vary, based on its underlying cause. With trauma, the onset of symptoms may be acute, or sudden; however, the most severe symptoms may develop over time and persist for years. Inflammatory and some metabolic neuropathies have a subacute course extending over days to weeks. A chronic course over weeks to months usually indicates a toxic or metabolic neuropathy.
- a chronic, slowly progressive neuropathy over many years such as occurs with painful diabetic neuropathy or with most hereditary neuropathies or with a condition termed chronic inflammatory demyelinating polyradiculoneuropathy (CIDP).
- CIDP chronic inflammatory demyelinating polyradiculoneuropathy
- Neuropathic conditions with symptoms that relapse and remit include the Guillian-Barre syndrome.
- the AT 2 receptor antagonist includes and encompasses any active compound that binds to the AT 2 receptor subtype and that suitably inhibits the effect of angiotensin II signaling through this receptor, including pharmaceutical compatible salts of the active compound.
- This category includes compounds having differing structural features.
- the AT 2 receptor antagonist is selected from the compounds listed in U.S. Patent No. 5,798,415 and especially in the compound claims of this patent.
- the AT 2 receptor antagonist is selected from compounds having the formula (Ia):
- Q is naphthyl, a 5 to 7 member heterocycle having from 1 to 3 atoms independently selected from nitrogen, oxygen and sulfur, or an 8 to 11 member heterobicycle having from 1 to 4 atoms selected from nitrogen, oxygen and sulfur, said heterocycle or heterobicycle being saturated, partially saturated or unsaturated and said naphthyl, heterocycle or heterobicycle optionally substituted with 1 to 4 W 1 substituents;
- each W 1 substituent is independently selected from halo, hydroxy, nitro, cyano, C 1 to C 8 alkyl, C 3 to C 7 cycloalkyl, Ci to C 7 alkoxy, amino, Ci to C 7 alkylamino, di(C ⁇ to C 7 alkyl)amino, Ci to C 7 alkylthio, Ci to C 7 alkylsulfinyl, C 1 to C 7 alkylsulfonyl, -CONRR, -COOR and phenyl, said alkyl, cycloalkyl, alkoxy, alkylamino, dialkylamino, alkylthio, alkylsulfinyl and alkylsulfonyl optionally substituted with 1 or more W 2 substituents, and said phenyl optionally substituted with 1 or more W 3 substituents;
- each R is independently hydrogen or Ci to C 8 alkyl, said alkyl optionally substituted with 1 or more W 2 substituents;
- each W 2 substituent is independently selected from halo, hydroxy, oxo,
- each W 3 substituent is independently selected from halo, hydroxy, nitro, C 3 to C 7 cycloalkyl, Ci to C 7 alkoxy, amino, C 1 to C 7 alkylamino, di(Q to C 7 alkyl)amino, Ci to C 7 alkylthio, Ci to C 7 alkylsulf ⁇ nyl and Ci to C 7 alkylsulfonyl;
- R 1 and R 2 when taken separately, are each independently selected from hydrogen, hydroxy, Ci to Ci 0 alkyl, Ci to C 7 alkylthio, Ci to C 7 alkylsulf ⁇ nyl, Ci to C 7 alkylsulfonyl, phenyl and 5 to 7 member heterocycle or 8 to 11 member heterobicycle, having 1 to 3 atoms selected from nitrogen, oxygen and sulfur, said alkyl, alkylthio, alkylsulf ⁇ nyl and alkylsulfonyl optionally substituted with 1 or more W 4 substituents, said phenyl and said heterocycle and heterobicycle optionally substituted with 1 to 5 W 3 substituents, wherein the W 3 substituents are as defined above, and said heterocycle being saturated, partially saturated or unsaturated, provided that R 1 and R 2 are not both hydroxy;
- R 1 and R 2 when taken together with the carbon atom to which they are attached, form a C 3 to C 7 carbocyclic, C 7 to Cu carbobicyclic, 3 to 7 member heterocyclic group having from 1 to 3 atoms independently selected from nitrogen, oxygen and sulfur, or a 7 to 11 member heterobicyclic group having from 1 to 4 atoms independently selected from nitrogen, oxygen and sulfur, said carbocyclic, carbobicyclic, heterocyclic or heterobicyclic group being saturated, partially saturated or unsaturated and optionally substituted with 1 or more W 5 substituents;
- each W 4 substituent is independently selected from halo, C 3 to C 8 cycloalkyl, phenyl and 5 to 7 member heterocycle having 1 to 3 atoms selected from nitrogen, oxygen and sulfur, said phenyl and heterocycle optionally substituted with 1 or more substituents independently selected from halo, hydroxy, nitro, C] to Ci 0 alkyl, C 3 to C 7 cycloalkyl, C 1 to C 7 alkoxy, amino, C] to C 7 alkylamino and di(C] to C 7 alkyl)amino; [0169] each W 5 substituent is independently selected from halo, hydroxy, nitro, cyano, oxo, Ci to C 8 alkyl, C 3 to C 7 cycloalkyl, Ci to C 7 alkoxy, amino, Ci to C 7 alkylamino, di(Q to C 7 alkyl)amino, Ci to C 7 alkylthio, Ci to C 7 alkylsulfmyl,
- R 3 is -(CH 2 ) n COR 4 , tetrazolyl, Ci to C 5 alkyltetrazolyl, triazolyl, Ci to C 5 alkyltriazolyl, -(CH 2 ) n CH 2 OH, -SO 2 R 4 , -SO 2 NR 5 R 6 or -NHSO 2 R 7 ;
- R 4 is hydrogen, hydroxy, -NHSO 2 R 7 , Ci to Ci 0 alkoxy, Ci to C 7 alkylthio,
- n is an integer from O to 5;
- Y is a pharmaceutically acceptable cation or a group hydro lyzable under physiological conditions;
- R 5 and R 6 when taken separately, are each independently hydrogen, hydroxy, cyano, Ci to Ci 0 alkyl, C 1 to C 8 alkoxy, -COR, -CONRR, - COOR, phenoxy, -CO(C 6 H 5 ) or 5 to 6 member heterocycle having 1 to 4 atoms selected from nitrogen, oxygen and sulfur, wherein R is as defined above, said alkyl optionally substituted with 1 or more W 3 substituents, wherein the W 3 substituents are as defined above, said - CO(C 6 H 5 ) optionally substituted with 1 to 3 W 6 substituents and said heterocycle optionally substituted with 1 or more W 5 substituents, wherein the W 5 substituents are as defined above;
- R 5 and R 6 when taken together with the nitrogen atom to which they are attached, form a 3 to 7 member ring having 1 to 3 nitrogen atoms and from O to 3 atoms selected from oxygen and sulfur, said ring being saturated, partially saturated or unsaturated and optionally substituted with 1 or more W 1 substituents, wherein the W 1 substituents are as defined above;
- R 7 is Ci to C 10 alkyl or phenyl, said alkyl optionally substituted with 1 or more W 6 substituents, and said phenyl optionally substituted with 1 or more W 3 substituents, wherein the W 3 substituents are as defined above;
- X is an azacyclic group of the formula:
- L 1 , L 2 , L 3 , L 4 and L 5 when taken separately, are independently hydrogen, halo, nitro, Ci to C 6 alkyl, C 3 to C7 cycloalkyl, polyfluoro-Cj to C 4 alkyl, aryl, heteroaryl, tetrazol-5-yl, -COR 8 , -CO 2 R 8 , -CONHSO 2 R 9 , - CONR 10 R 10 , -CONH(tetrazol-5-yl), -OR 9 , -OCONR 9 R 11 , -NR 8 R 9 , - NHCOR 9 , -NHCO 2 R 9 , -NHCONR 8 R 9 , -NHSO 2 R 9 , -NHSO 2 NR 9 R 11 , - NHS0 2 -polyfIuorophenyl, -SR 9 , -SOR 9 , -SO 2 R 9 , -SO 2 NH NHCO 2 R
- L 1 and L 2 , L 2 and L 3 , L 3 and L 4 or L 4 and L 5 when taken together with the azacyclic group to which they are attached, form a fused 8 to 11 member azabicyclic system having 1 to 5 nitrogen atoms and O to 3 atoms selected from oxygen and sulfur, said azabicyclic system optionally substituted with 1 to 3 W 6 substituents;
- each W 6 substituent is independently halo, nitro, cyano, Ci to C 6 alkyl, C 3 to C 7 cycloalkyl, polyfluoro-Ci to C 4 alkyl, aryl, heteroaryl, tetrazol-5- yl, -COR 8 , -CO 2 R 8 , -CONR 8 SO 2 R 9 , -CONR 9 R 10 , -CONR 8 (tetrazol-5yl),
- each R 8 is independently hydrogen, Ci to C 6 alkyl, C 3 to C 7 cycloalkyl, aryl, heteroaryl or aryl(Ci to C 6 )alkyl;
- each R 9 is independently hydrogen, Ci to Ci 0 alkyl, C 3 to C 7 cycloalkyl, aryl, heteroaryl or ⁇ olyfluoro(Ci to C 4 )alkyl, said alkyl and cycloalkyl optionally substituted with 1 or more substituents selected from halo, hydroxy, nitro, Ci to C 4 alkoxy, Ci to C 4 alkylthio, -CO 2 R 12 , amino, Ci to C 4 alkylamino, di(Q to C 4 )alkylamino, aryl, heteroaryl, -SH, -PO 3 H 2 , -P(O)(OH)(O-C 1 to C 4 alkyl), P(0)(0R 8 )(R n ) or P(O)(OR 14 )(R 15 ); [0183] each R 10 is independently hydrogen, Ci to C 5 alkyl, aryl or -CH 2 -aryl;
- each Rn is independently hydrogen, Ci to C 5 alkyl, C 3 to C 7 cycloalkyl, aryl or -CH 2 -aryl;
- each R 12 is hydrogen or C, to C 4 alkyl
- each R 13 is independently hydrogen, Ci to C 5 alkyl, C 2 to C 4 alkenyl, Ci to C 4 alkoxy(Ci to C 4 )alkyl or benzyl, said benzyl optionally substituted with 1 or more substituents independently selected from hydroxy, amino, nitro and methoxy;
- R 14 and R 15 are taken together and form a 5 to 7 member ring having 1 to
- M 1 and M 2 are taken together and are -(CH 2 ) m ;
- m is an integer from 3 to 7.
- Preferred compounds are those of formula (I) wherein:
- L 1 , L 2 and L 4 are as defined above;
- Q is thiophene, pyridine, pyrimidine, naphthyl, benzofuran or any of the foregoing substituted with 1 or 2 W 1 substituents; R 1 and R 2 are taken together as defined above;
- R 3 is -(CH 2 ) n COR 4 ; n is 0 or 1 ; R 4 is hydrogen, hydroxy or -OY; [0195] Y is a pharmaceutically acceptable cation or a group hydrolyzable under physiological conditions; and
- each W 1 is independently halo, hydroxy, Ci to C 8 alkyl, C 3 to C 7 cycloalkyl, Q to C 7 alkoxy, amino, Ci to C 7 alkylamino, di(Ci to C 7 alkyl)amino, -CONRR or -COOR, wherein R is as defined above.
- R is as defined above.
- Particularly preferred are those compounds wherein X, Q, R 3 , R 4 , n and Y are as defined immediately above and wherein:
- R 1 and R 2 are taken together and form a C 5 to C 6 carbocyclic, C ⁇ to C ]0 carbobicyclic or 5 to 7 member heterocyclic group having 1 or 2 atoms independently selected from nitrogen, oxygen and sulfur, said carbocyclic, carbobicyclic or heterocyclic group being saturated, partially saturated or unsaturated;
- L 1 and L 2 when taken separately, are each independently hydrogen, halo,
- L 1 and L 2 when taken together with the azacyclic group to which they are attached, form a fused 8 to 1 0 member azabicyclic system having 2 to 4 nitrogen atoms, said azabicyclic system optionally substituted with 1 to 3 W 6 substituents;
- L 4 is Ci to C 4 alkyl, C 3 to C 5 cycloalkyl or Ci to C 3 alkoxy;
- R 8 is hydrogen, C 1 to C 6 alkyl or C 3 to C 7 cycloalkyl; and [0203] each W 6 is independently halo, C 1 to C 6 alkyl, C 3 to C 7 cycloalkyl, polyfluoro-Ci to C 4 alkyl, -CO 2 R 8 , amino, Ci to C 6 alkylamino, di(Ci to C 6 )alkylamino, acylamino or diacylamino.
- L4 is Ci to C 4 alkyl or C 3 to C 5 cycloalkyl
- each W 6 is independently Ci to C 6 alkyl, amino, Ci to C 6 alkylamino, di(C] to C 6 )alkylamino, acylamino or diacylamino;
- R 1 and R 2 are taken together and form cyclopentane, cyclohexane, cyclopentene, tetrahydropyran or indan, for example:
- L 4 is C 1 to C 4 alkyl or C 3 to C 5 cycloalkyl
- R 1 and R 2 are taken together and are -CH 2 CH 2 CH 2 CH 2 - or -
- CH 2 CH CHCH 2 -, for example: [0222] l-[5-(2-ethyl-5,7-dimethylimidaz[4.5-b]pyridin-3-ylmethyl)pyridin-2- yl]cyclopentane carboxylic acid;
- L 1 and L 2 are taken separately and are each independently halo, Ci to Ce alkyl or -CO 2 H;
- L 4 is C 1 to C 4 alkyl
- R 1 and R 2 are taken together and are -CH 2 CH 2 CH 2 CH 2 - or -
- CH 2 CH CHCH 2 -, for example:
- L 1 and L 2 are taken separately and are each independently halo, Ci to C 6 alkyl, polyfluoro-Ci to C 6 alkyl or -CO 2 H;
- L 4 is Ci to C 4 alkyl; and [0248] R 1 and R 2 are taken together and are -CH 2 CH 2 CH 2 CH 2 - or -
- CH 2 CH CHCH 2 -, for example:
- the AT 2 receptor antagonist is selected from the disubstituted 6-aminoquinazolinone compounds listed in U.S. Patent No. 5,385,894 and especially in the compound claims of this patent. Representative examples of such compounds are represented by the formula (Ha):
- R 4 is [0282] (a) Cj-C 6 alkyl
- (b) substituted Ci-C 6 alkyl in which the substituent is C 3 -C 7 cycloalkyl, Ci-C 4 alkoxy, hydroxy, di-(Ci-C 4 alkyl)amino, CO 2 R 2 , morpholinyl, C 1 -C 4 alkylpiperazinyl, CF 3 , Ci-C 4 alkylthio, Ci-C 4 alkylsulf ⁇ nyl, C r C 4 alkylsulfonyl, -CHO, 0(C 2 -C 3 alkyl-O-) n Ci-C 3 alkyl where n 1-5, or NHCO 2 (C r C 6 -alkyl).
- phenyl Ci-C 6 alkyl [0286] (e) substituted phenyl Ci-C 6 alkyl, in which the substituent on the phenyl group is hydroxy, Ci-C 4 alkoxy, F, Cl, I, Br, NO 2 , cyano, CO 2 R 2 , di(Ci-C 4 alkyl)amino, -Obenzyl, CF 3 , phenyl-Ci-C 4 -alkoxy, CpC 4 alkylthio, Ci-C 4 -alkylsulfmyl, -OPO(O-benzyl) 2 , or C 1 -C 4 alkylsulfonyl, amino, P(O)(OH) 2 , C r C 4 alkyl, -OPO(O-Ci-C 6 alkyl) 2 , OPO(OH) 2 , OCO(CH 2 ) 2 COOH, OSO 3 H, or 0(C 2
- heteroaryl C 1 -C 6 alkyl or [0288] (g) substituted heteroaryl C1-C6 alkyl, in which the substituent on the heteroaryl group is F, Cl, NO 2 , CO 2 R 2 , or (Ii-(Ci-C 4 alkyl)amino;
- Ci-C 6 alkyl in which the substituent is C 1 -C 4 alkoxy, hydroxy, di(Ci-C 4 alkyl)amino, CO 2 R 2 , morpholinyl, Ci-C 4 alkylpiperazinyl, Ci-C 4 alkylsulfinyl, Ci-C 4 alkylsulfonyl, or 0(C 2 -C 3 alkyl-O-) n Ci-C 3 alkyl, [0302] (c) phenyl Ci-C 6 alkyl,
- R 8 is [0307] (a) hydrogen, or [0308] (b) C 1 -C 6 alkyl;
- heteroaryl means an unsubstituted, monosubstituted or disubstituted five or six membered aromatic ring which contains 1 to 3 heteroatoms selected from O, S, or N and the substituents are selected from the group consisting Of Ci-C 4 alkyl, F, Cl, CO 2 R 2 , or di-(Q-C 4 alkyl)amino.
- R 5 is CO 2 R 7 -
- One class of this embodiment is represented by the compounds of the formula (Ha) wherein: [0339] R 1 is tetrazol-5-yl or SO 2 NHCOR 3 or NHSO 2 CF 3 [0340] R 3 is [0341] a) phenyl,
- R 6 is [0353] a) C1-C6 alkyl
- R 7 is [0357] a) C r C 6 alkyl
- R 11 and R 12 are hydrogen
- Illustrating the first class of this embodiment are the following compounds (with their Compound Number designation) of the formula (Ha):
- R 5 is CONR 8 R 9 .
- One class of this embodiment is represented by the compounds of the formula (Ha) wherein:
- R 1 is tetrazol-5-yl or SO 2 NHCOR 3 or NHSO 2 CF 3 ,
- R 4 is [0371] a) C 2 -C 6 alkyl, [0372] b) substituted C 2 -C 6 alkyl in which the substituent is: CHO, CO 2 Ci-C 4 alkyl, CO 2 H, OC 1 -C 4 alkyl, cyclohexyl, phenyl, Or NHCO 2 Bu,
- R 6 is [0378] a) C 1 -C 6 alkyl
- R 8 is [0382] a) C 1 -C 6 alkyl or
- R 9 is [0385] a) C 1 -C 6 alkyl, or
- R 11 and R 12 are hydrogen.
- R is COR 10 .
- One class of this embodiment is represented by the compounds of the formula (Ila) wherein: [0390] R 1 is tetrazol-5-yl, SO 2 NHCOR 3 or NHSO 2 CF 3 ;
- R 3 is [0392] a) phenyl
- R 4 is [0397] a) C 2 -C 6 alkyl
- R 6 is [0404] a) C 1 -C 6 alkyl
- R 1 ' and R 12 are hydrogen.
- R 5 is SO 2 R 10 .
- Ta One class of this embodiment is represented by the compounds of the formula (TLa) wherein:
- R 1 is tetrazol-5-yl, SO 2 NHSO 2 CF 3 or NHSO 2 CF 3
- R 3 is
- R 4 is [0424] (a) C 2 -C 6 alkyl
- R 6 is [0431] (a) C 1 -C 6 alkyl, [0432] (b) substituted C 1 -C 6 alkyl in which the substituent is: -benzyl, -C 1 -C 3 alkyl, or -OC 1 -C 4 alkyl or,
- R 11 and R 12 are hydrogen.
- the AT 2 receptor antagonist is selected from the substituted quinazolinone compounds listed in U.S. Patent No. 5,441,959 and especially in the compound claims of this patent. Representative examples of such compounds are represented by the formula (Ilia):
- R 1 is -SO 2 NHCO 2 R 23 ;
- R 6 is straight chain C 1 -C 4 alkyl
- R 8 is [0453] (a) R 23'
- R 23 and R 23' are independently
- heteroaryl wherein heteroaryl is an unsubstituted or mono or disubstituted heteroaromatic 5- or 6-membered ring which can contain one or two heteroatoms selected from the group consisting of N, O and S and wherein the substituents are members selected from the group consisting of -OH, -SH, C 1 -C 4 alkyl, C 1 -C 4 alkoxy, CF 3 , halogen (Cl, Br, I, F) and NO 2 ,
- R 24 is [0462] (a) H,
- R 6 is straight ch ⁇
- R 8 is R 23 '
- heteroaryl wherein heteroaryl is an unsubstituted or mono- or disubstituted heteroaromatic 5- or 6-membered ring which can contain one or two heteroatoms selected from the group consisting of N, O and S and Wherein the substituents are members selected from the group consisting of -OH, -SH, C 1 -C 4 alkyl, Q-C 4 alkoxy, CF 3 , halogen (Cl, Br, I, F) and NO 2 ,
- Ci-C ⁇ alkyl unsubstituted or substituted with a substituent selected from the group consisting of aryl as defined above, heteroaryl as defined above, -OH, -SH, C 1 -C 4 alkyl, -O(C r C 4 alkyl), C 3 -C 7 cycloalkyl, -CF 3 , halogen (Cl, Br, F, I), -N(C 1 -C 4 alkyl) 2 , or C 3 -C 7 cycloalkyl; and
- R 2 Ms [0478] (a) C]-Cg -alkyl, unsubstituted or substituted with a substituent selected from the group consisting of: aryl as defined above, heteroaryl as defined above, C 1 -C 4 alkyl, CF 3 , -0(C 1 -C 4 alkyl), C 3 -C 7 cycloalkyl, or
- Et is ethyl
- Pr is n-propyl
- cPr is cyclopropyl
- Bu is n-butyl
- iPn is 3-methylbutyl
- Ph is phenyl
- a second embodiment of structures of formula (Ilia) are those wherein R 23 , R 3 , R 6 are as recited in the first embodiment and all other substituents are as recited below:
- R s is -NR 2 ⁇ R 23 ':
- R ,23' is Ci-C 6 alkyl which is unsubstituted or substituted with a substituent selected from the group aryl, heteroaryl, Q-C 4 alkyl, -0(Ci-C 4 alkyl), CF 3 , NH(C r C 4 alkyl), N(Ci-C 4 alkyl) 2 , C 3 -C 7 cycloalkyl;
- R 24 is [0492] (a) Ci-C 6 alkyl which is unsubstituted or substituted with aryl or heteroaryl, or
- R 23 and R 24 when taken together may form a morpholine or piperazine ring, wherein the piperazine ring may be substituted on the nitrogen with Ci-C 4 alkyl or Ci-C 4 acyl.
- Et is ethyl
- Pr is n-propyl
- cPr is cyclopropyl
- Bu is n-butyl
- tBu is t-butyl
- iPn is 3-methylbutyl
- iHex is 4-methylpentyl.
- the heteroaryl substituent represents any 5 or 6-membered aromatic ring containing from one to three heteroatoms selected from the group consisting of nitrogen, oxygen, and sulfur, for example, pyridyl, thienyl, furyl, pyrazolyl, pyrrolyl, imidazolyl, pyridazinyl, pyrimidinyl, pyrazinyl, isoxazolyl, isothiazolyl, oxazolyl, triazolyl and thiazolyl.
- the AT 2 receptor antagonist is selected from the imidazole compounds listed in U.S. Patent No. 5,545,651 and especially in the compound claims of this patent. Representative examples of such compounds are represented by the formula (IVa):
- R 1 is in the meta or para position and is
- R 2 is independently
- R is independently
- R 8 is
- halogen F,C1, Br, I
- phenyl or phenyl optionally substituted with halogen (F, Cl, Br, I), d-C 4 -alkyl, -OH, d-C 4 -alkoxy, -NO 2 , -NR 26 R 27 , -NR 26 COR 11 , - NR 26 CO 2 R 7 , -S(O) r R 10 , -SO 2 NR 26 R 27 , -NR 26 SO 2 R 10 , -CF 3 ,
- R 10 is [0620] (a) aiyl
- Ci-C 4 -alkyl optionally substituted with a substituent selected from the group consisting of aryl, heteroaryl, -OH, -SH, Q-Q-alkyl, Ci-C 4 - alkoxy, Ci-C 4 -alkylthio, -CF 3 , halo, -NO 2 , -CO 2 R 12 , -NH 2 , C 1 -C 4 - alkylamino, Ci-C 4 -dialkylamino, -PO 3 H 2 , or [0624] (e) heteroaryl;
- R 11 , R Ua and R llb are independently
- R 13 is [0637] (a) -CO 2 H,
- R 14 is [0660] (a) H,
- R 15 is [0665] (a) H,
- R 16 is [0672] (a) H,
- R and R 20 are independently
- R 21 and R 22 are independently
- R 23 and R 24 are, independently
- R 26 and R 27 are independently
- R 30 is [0724] (a) -CHO,
- L 1 is [0774] (a) -CO 2 -,
- L 2 is [0779] (a) -CO-,
- L 3 is [0783] Ca) -O-,
- B is C 1 -C 6 alkyl
- D is C 2 -C 8 alkenyl or C 2 -C 8 alkynyl
- k is 1 or 2;
- n is 0 to 2;
- r is 0 to 2;
- s is 0 to 5;
- y is 0 or 1
- R 2 is independently
- R 11 3 is [0909] (a) aryl
- Ci-C 4 -alkyl optionally substituted with a substituent selected from the group consisting of aryl, heteroaryl, -OH, -SH, Ci-C 4 -alkyl, C 1 -C 4 - alkoxy, C r C 4 -alkylthio, -CF 3 , halo, -NO 2 , -CO 2 R 12 , -NH 2 , C r C 4 - alkylamino, C 1 -C 4 -dialkylamino, -PO 3 H 2 , or
- R ⁇ , R lla and R llb are independently
- B is CpC 6 alkyl
- R 2 is independently
- Ci-C 4 -alkyl optionally substituted with a substituent selected from the group consisting of aryl, heteroaryl, -OH, -SH, Ci-C 4 -alkyl, Ci- C 4 -alkoxy, Q-Q-alkylthio, -CF 3 , halo, -NO 2 , -CO 2 R 12 , -NH 2 , C 1 -C 4 - alkylamino, C 1 -C 4 -dialkylamino, -PO 3 H 2 , or
- R ⁇ , R Ua and R llb are independently
- L 2 is -CO-, -NR 113 CO- or -O 2 C-;
- B is C 1 -C 6 alkyl
- N N-dipentyl-4-(aminocarbonyl)propyl 4-ethyl-2-propyl-l-[[2'-(tetrazol-5- yl)biphenyl-4-yl]methyl]imidazole-5-carboxylate, [1101] 4-[(5-((2-benzoyl)phenylcarbonyloxymethyl)-4-chloro-2-n-propylimidazol- l-yl)methyl]-3-fluoro-2'-isoamyloxycarbonylaminosulfonylbiphenyl,
- aryl is meant to include phenyl, biphenyl, napthyl, or fluorenyl group optionally substituted with one to three substituents selected from the group consisting of -OH, - SH, C r C 4 -alkyl, C r C 4 -alkoxy, -CF 3 , halo, -NO 2 , -CO 2 H, -CO 2 CH 3 , -CO 2 -benzyl, -NH.sub.2, - NH(Ci-C 4 -alkyl), -N(Ci-C 4 -alkyl) 2 .
- heteroaryl is meant to include unsubstituted, monosubstituted or disubstituted 5- to 10-membered mono- or bicyclic aromatic rings which can optionally contain from 1 to 3 heteroatoms selected from the group consisting of O, N, and S.
- heteroaryl includes the following: pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, 1,3,5-triazinyl, furyl, thiophenyl, imidazolyl, oxazolyl, thiazolyl, benzofuranyl, benzothiophenyl, benzimidazolyl, benzoxazolyl, benzothiazolyl, indolin-2-onyl, indolinyl, indolyl, pyrrolyl, quinonlinyl and isoquinolinyl.
- arylene is meant to include a phenyl, biphenyl, napthyl, or fluorenyl group which is used as a link for two groups to form a chain. Included in the definition of arylene, but not limited to, are the following isomeric linkers: 1,2-phenyl, 1,3-phenyl, 1,4-phenyl; 4,4'-biphenyl, 4,3'-biphenyl, 4,2'-biphenyl, 2,4'-biphenyl, 2,3 '-biphenyl, 2,2'-biphenyl, 3,4'-biphenyl, 3,3'-biphenyl, 3,2'- biphenyl,; 1,2-napthyl, 1,3-napthyl, 1,4-napthyl, 1,5-napthyl, 1,6-napthyl, 1,7-napthyl, 1,8- napthyl, 2,6-napthyl, 2,3
- heteroarylene is meant to include unsubstituted 5- to 10-membered aromatic ring which can optionally contain from 1 to 3 heteroatoms selected from the group consisting of O, N, and S which is used as a link for two groups to form a chain.
- heteroaryl include the following: 2,3-pyridyl, 2,4-pyridyl, 2,5-pyridyl, 2,6-pyridyl, 3,4-pyridyl, 3,5-pyridyl, 3,6-pyridyl; 2,3-furyl, 2,4-furyl, 2,5-furyl; 2,3- thiophenyl, 2,4-thiophenyl, 2,5-thiophenyl; 4,5-imidazolyl, 4,5-oxazolyl; 4,5-thiazolyl; 2,3- benzofuranyl; 2,3-benzothiophenyl; 2,3-benzimidazolyl; 2,3-benzoxazolyl; 2,3-benzothiazolyl; 3,4-indolin-2-onyl; 2,4-indolinyl; 2,4-indolyl; 2,4-pyrrolyl; 2,4-quinolinyl,
- first radical when a radical can be a substituent in more than one previously defined radical, that first radical (R*, B or y) can be selected independently in each previously defined radical.
- R 1 and R 2 can each be - CONHOR 12 .
- R 12 need not be the same substituent in each of R 1 and R 2 , but can be selected independently for each of them. Or if, for example, the same R group (let us take R 2 , for instance) appears twice in a molecule, each of those R groups is independent of each other (one R 2 group may be -CONHOR 12 , while the other R 2 group may be -CN).
- the AT 2 receptor antagonist is selected from the compounds listed in U.S. Patent No. 5,338740 and especially in the compound claims of this patent, which a heterocyclic ring (hereafter referred to as "Het”) is connected to an aryl or thienyl group (hereafter referred to as "Ar”) via a carbobicyclic or heterobicyclic spacer group (hereafter referred to as "W”).
- Het aryl or thienyl group
- W carbobicyclic or heterobicyclic spacer group
- X 1 , X 2 , X 3 and X 4 are independently selected from CR 2 and nitrogen;
- R 1 is selected from the group consisting of CO 2 H, -NHSO 2 CF 3 , -
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Abstract
Description
Claims
Priority Applications (14)
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EP20050821524 EP1830869B1 (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis |
CN2005800441997A CN101087619B (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis |
RSP20130354 RS52927B (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis |
DK05821524T DK1830869T3 (en) | 2004-12-24 | 2005-12-23 | METHOD OF TREATMENT OR PROPHYLAX |
NZ555334A NZ555334A (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis of a neuropathic condition using AT2 receptor antagonist |
SI200531764T SI1830869T1 (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis |
MEP-2013-88A ME01597B (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis |
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ES05821524T ES2425567T3 (en) | 2004-12-24 | 2005-12-23 | Method of treatment or prophylaxis |
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ME (1) | ME01597B (en) |
NZ (1) | NZ555334A (en) |
PL (1) | PL1830869T3 (en) |
PT (1) | PT1830869E (en) |
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SI (1) | SI1830869T1 (en) |
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