WO2007010222A2 - Therapeutic agents - Google Patents

Therapeutic agents Download PDF

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Publication number
WO2007010222A2
WO2007010222A2 PCT/GB2006/002638 GB2006002638W WO2007010222A2 WO 2007010222 A2 WO2007010222 A2 WO 2007010222A2 GB 2006002638 W GB2006002638 W GB 2006002638W WO 2007010222 A2 WO2007010222 A2 WO 2007010222A2
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WIPO (PCT)
Prior art keywords
phenyl
dichloro
methyl
propane
disorders
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PCT/GB2006/002638
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French (fr)
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WO2007010222A3 (en
Inventor
Jonas Bostrom
Leifeng Cheng
Roine Olsson
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Astrazeneca Ab
Astrazeneca Uk Limited
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Publication date
Application filed by Astrazeneca Ab, Astrazeneca Uk Limited filed Critical Astrazeneca Ab
Priority to EP06764980A priority Critical patent/EP1910304A2/en
Priority to JP2008522046A priority patent/JP2009501772A/en
Priority to US11/996,117 priority patent/US20090156616A1/en
Publication of WO2007010222A2 publication Critical patent/WO2007010222A2/en
Publication of WO2007010222A3 publication Critical patent/WO2007010222A3/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D213/00Heterocyclic 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
    • C07D213/02Heterocyclic 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
    • C07D213/04Heterocyclic 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
    • C07D213/60Heterocyclic 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
    • C07D213/78Carbon atoms having three bonds to hetero atoms, with at the most one bond to halogen, e.g. ester or nitrile radicals
    • C07D213/83Thioacids; Thioesters; Thioamides; Thioimides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/30Drugs for disorders of the nervous system for treating abuse or dependence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/04Anorexiants; Antiobesity agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04Antibacterial agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D207/00Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom
    • C07D207/02Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D207/30Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having two double bonds between ring members or between ring members and non-ring members
    • C07D207/34Heterocyclic compounds containing five-membered rings not condensed with other rings, with one nitrogen atom as the only ring hetero atom with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having two 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
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D231/00Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings
    • C07D231/02Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings
    • C07D231/10Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
    • C07D231/14Heterocyclic compounds containing 1,2-diazole or hydrogenated 1,2-diazole rings not condensed with other rings having two or 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
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D233/00Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings
    • C07D233/54Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two double bonds between ring members or between ring members and non-ring members
    • C07D233/66Heterocyclic compounds containing 1,3-diazole or hydrogenated 1,3-diazole rings, not condensed with other rings having two 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
    • C07D233/90Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D239/00Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings
    • C07D239/02Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings
    • C07D239/24Heterocyclic 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
    • C07D239/28Heterocyclic 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
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D277/00Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings
    • C07D277/02Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings
    • C07D277/20Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings having two or three double bonds between ring members or between ring members and non-ring members
    • C07D277/32Heterocyclic compounds containing 1,3-thiazole or hydrogenated 1,3-thiazole rings not condensed with other rings having two or 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
    • C07D277/56Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen

Definitions

  • the present invention relates to certain thioamide compounds of formula I, to processes for preparing such compounds, to their use in the treatment of obesity, psychiatric and neurological disorders, to methods for their therapeutic use and to pharmaceutical compositions containing them.
  • CB 1 modulators are useful in the treatment of obesity, psychiatric and neurological disorders (WOO 1/70700 and EP 656354).
  • CBi modulators with improved physicochemical properties and/or DMPK properties and/or pharmacodynamic properties.
  • the invention relates to a compound of formula (I)
  • HET represents a) a group of formula A
  • R 1 represents a) a Ci-ioalkoxy group optionally substituted by one or more fluoro b) a group of formula phenyl(CH 2 ) p O- in which p is 1, 2 or 3 and the phenyl ring is optionally substituted by 1, 2 or 3 groups represented by Z, c) a group R 5 S(O) 2 O in which R 5 represents a C 1-1O aIlCyI group optionally substituted by one or more fluoro or d) halo or e) a C 1-4 alkyl group ; m is 0, 1, 2 or 3;
  • R 2 represents a C ⁇ alkyl group, a C 1-3 alkoxy group, hydroxy, nitro, cyano or halo n is 0, 1, 2 or 3;
  • R 3 represents a) cyclohexyl optionally substituted by one or more of the following: hydroxy, fluoro, amino, mono or di Ci -3 alkylamino b) piperidino optionally substituted by one or more hydroxy c) phenyl optionally substituted by one or more of the following: hydroxy, halo or a C 1-4 alkyl group d) pyridyl optionally substituted by a C ⁇ alkyl group or e) a C 4-9 alkyl group; and
  • R 4 represents H, a C ⁇ alkyl group, a group or a Ci- ⁇ alkoxyCi-ealkylene group which contains a maximum of 6 carbon atoms, each of which groups is optionally substituted by one or more hydroxy, fluoro, amino, monoCi. 4 alkylamino,diC 1-4 alkylamino or cyano.
  • HET represents a group of formula A and R 1 ,
  • HET represents a group of formula B and
  • R 1 , R 2 , R 3 , R 4 , n and m are as previously defined.
  • HET represents a group of formula C and R 1 ,
  • R 2 , R 3 , R 4 , n and m are as previously defined.
  • HET represents a group of formula D and R 1 , R 2 , R 3 , R 4 , n and m are as previously defined.
  • HET represents a group of formula E and R 1 ,
  • R 2 , R 3 , R 4 , n and m are as previously defined.
  • HET represents a group of formula F and R 1 ,
  • HET represents a group of formula G and
  • R 1 , R 2 , R 3 , R 4 , n and m are as previously defined.
  • Suitable groups in which R 1 represents a group R 5 S(O) 2 O in which R 5 represents a C 1- ⁇ alkyl group optionally substituted by one or more fluoro include methanesulfonyloxy, ethanesulfonyloxy, n-propylsulfonyloxy, n-butylsulfonyloxy, 3-methylbutane-l- sulfonyloxy, 3,3-dimethylbutane-l-sulfonyloxy, fluoromethylsulfonyloxy, difluoromethylsulfonyloxy, trifluoromethylsulfonyloxy, mono, di or tri (fluoroethyl)sulfonloxy, 3, 3, 3 -
  • R 1 represents a Ci- ⁇ alkoxy group optionally substituted by one or more fluoro
  • R 1 represents a Ci- ⁇ alkoxy group optionally substituted by one or more fluoro
  • R 2 represents a methyl, ethyl, propyl, methoxy, ethoxy, propoxy, hydroxy, nitro,
  • R 3 represents piperidino optionally substituted by one or more hydroxy or R 3 represents cyclohexyl substituted by one or more of the following: hydroxy, fluoro, amino, mono or di Ci -3 alkylamino, carboxy or a C 1-4 alkoxycarbonyl group; for example 2- hydroxy cyclohexyl, 3 -hydroxy cyclohexyl, 4-hydroxy cyclohexyl, 2-aminocyclohexyl, 3- is aminocyclohexyl, 2-dimethylaminocyclohexyl, 3-dimethylaminocyclohexyl or 4,4- difluorocyclohexyl. In one group of compounds the substituent is in the 2 or 3 position.
  • the substituent on the cyclohexyl ring is in the cis conformation with respect to the nitrogen of the amide. In another group of compounds the substituent on the cyclohexyl ring is in the trans conformation with respect to the nitrogen
  • R 4 represents H, cyano or methyl.
  • “Pharmaceutically acceptable salt”, where such salts are possible, includes both pharmaceutically acceptable acid and base addition salts.
  • a suitable pharmaceutically acceptable salt of a compound of Formula I is, for example, an acid-addition salt of a compound of formula I which is sufficiently basic, for example an acid-addition salt with an inorganic or organic acid or a base-addition salt of a compound of Formula I for example a base-addition salt of a compound of Formula I which is sufficiently acidic with an inorganic (e.g. a metal hydroxide)or an organic base (e.g. an amine).
  • an inorganic e.g. a metal hydroxide
  • an organic base e.g. an amine
  • a given chemical formula or name shall encompass all stereo and optical isomers and racemates thereof as well as mixtures in different proportions of the separate enantiomers, where such isomers and enantiomers exist, as well as pharmaceutically acceptable salts thereof and solvates thereof such as for instance hydrates.
  • Isomers may be separated using conventional techniques, e.g. chromatography or fractional crystallisation.
  • the enantiomers may be isolated by separation of racemate for example by fractional crystallisation, resolution or HPLC.
  • the diastereomers may be isolated by separation of isomer mixtures for instance by fractional crystallisation, HPLC or flash chromatography.
  • stereoisomers may be made by chiral synthesis from chiral starting materials under conditions which will not cause racemisation or epimerisation, or by derivatisation, with a chiral reagent. All stereoisomers are included within the scope of the invention. AU tautomers, where possible, are included within the scope of the invention.
  • the present invention also encompasses compounds containing one or more isotopes for example 14 C, 11 C or 19 F and their use as isotopically labelled compounds for pharmacological and metabolic studies.
  • the present invention also encompasses prodrugs of a compound of formula I that is compounds which are converted into a compound of formula I in vivo.
  • alkyl denotes either a straight or branched alkyl group.
  • alkyl include methyl, ethyl, n-propyl, isopropyl, n-butyl, iso-butyl, sec-butyl and t-butyl .
  • Preferred alkyl groups are methyl, ethyl, propyl, isopropyl and tertiary butyl.
  • alkoxy denotes a group O-alkyl, wherein alkyl is as defined above.
  • halo shall mean fluorine, chlorine, bromine or iodine.
  • the compounds of the invention will normally be administered via the oral, parenteral, intravenous, intramuscular, subcutaneous or in other injectable ways, buccal, rectal, vaginal, transdermal and/or nasal route and/or via inhalation, in the form of pharmaceutical preparations comprising the active ingredient or a pharmaceutically acceptable addition salt, in a pharmaceutically acceptable dosage form.
  • the compositions may be administered at varying doses. Suitable daily doses of the compounds of the invention in the therapeutic treatment of humans are about 0.001-10 mg/kg body weight, preferably 0.01-1 mg/kg body weight.
  • Oral formulations are preferred particularly tablets or capsules which may be formulated by methods known to those skilled in the art to provide doses of the active compound in the range of 0.5mg to 500mg for example 1 mg, 3 mg, 5 mg, 10 mg, 25mg, 50mg, lOOmg and 250mg.
  • a pharmaceutical formulation including any of the compounds of the invention, or pharmaceutically acceptable derivatives thereof, in admixture with pharmaceutically acceptable adjuvants, diluents and/or carriers.
  • the compounds of formula (I) are useful for the treatment of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention of weight gain (e.g., medication-induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g.
  • psychiatric disorders such as psychotic and/or mood disorders, schizophrenia and schizo-affective disorder, bipolar disorders, anxiety, anxio-depressive disorders, depression, mania, obsessive-compulsive disorders, impulse control disorders (e.g., Gilles de Ia Tourette's syndrome), attention disorders like ADD/ADHD, stress, and neurological disorders such as dementia and cognitive and/or memory dysfunction (e.g., amnesia, Alzheimer's disease, Pick's dementia, dementia of ageing, vascular dementia, mild cognitive impairment, age-related cognitive decline, and mild dementia of ageing), neurological and/or neurodegenerative disorders (e.g.
  • the compounds are also potentially useful for the prevention or treatment of dependence and addictive disorders and behaviours (e.g., alcohol and/or drug abuse, pathological gambling, kleptomania), drug withdrawal disorders (e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal with or without perceptual disturbances; sedative, hypnotic or anxiolytic withdrawal delirium; and withdrawal symptoms due to other substances), alcohol and/or drug-induced mood, anxiety and/or sleep disorder with onset during withdrawal, and alcohol and/or drug relapse.
  • dependence and addictive disorders and behaviours e.g., alcohol and/or drug abuse, pathological gambling, kleptomania
  • drug withdrawal disorders e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal
  • the compounds are also potentially useful for the prevention or treatment of neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity, treatment of spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
  • neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity
  • treatment of spinal cord injury such as spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
  • the compounds are also potentially useful for the treatment of immune, cardiovascular disorders (e.g. atherosclerosis, arteriosclerosis, angina pectoris, abnormal heart rythms, and arrythmias, congestive heart failure, coronary artery disease, heart disease, hypertension, prevention and treatment of left ventricular hypertrophy, myocardial infarction, transient ischaemic attack, peripheral vascular disease, systemic inflammation of the vasculature, septic chock, stroke, cerebral apoplexy, cerebral infarction, cerebral ischaemia, cerebral thrombosis, cerebral embolism, cerebral hemorrhagia, metabolic disorders (e.g.
  • diabetes mellitus conditions showing reduced metabolic activity or a decrease in resting energy expenditure as a percentage of total fat-free mass
  • diabetes mellitus dyslipidemia, fatty liver, gout
  • hypercholesterolemia hyperlipidemia, hypertriglyceridemia, hyperuricacidemia, impaired glucose tolerance, impaired fasting glucose, insulin resistance, insulin resistance syndrome, metabolic syndrome, syndrome X, obesity-hypoventilation syndrome (Pickwickian syndrome), type I diabetes, type II diabetes, low HDL- and/or high LDL-cholesterol levels, low adiponectin levels), reproductive and endocrine disorders (e.g.
  • o hypogonadism in males
  • treatment of infertility or as contraceptive menstrual abnormalities/emmeniopathy, polycystic ovarian disease, sexual and reproductive dysfunction in women and men (erectile dysfunction), GH-deficient subjects, hirsutism in females, normal variant short stature) and diseases related to the respiratory (e.g. asthma and chronic obstructive pulmonary disease) and gastrointestinal systems (e.g. dysfunction 5 of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers).
  • the compounds are also potentially useful as agents in treatment of dermatological disorders, cancers (e.g.
  • the present invention provides a compound of formula I as previously defined for use as a medicament.
  • the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention of weight gain (e.g., medication-induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g.
  • psychiatric disorders such as psychotic and/or mood disorders, schizophrenia and schizo-affective disorder, bipolar disorders, anxiety, anxio-depressive disorders, depression, mania, obsessive-compulsive disorders, impulse control disorders (e.g., Gilles de Ia Tourette's syndrome), attention disorders like ADD/ADHD, stress, and neurological disorders such as dementia and cognitive and/or memory dysfunction (e.g., amnesia, Alzheimer's disease, Pick's dementia, dementia of ageing, vascular dementia, mild cognitive impairment, age-related cognitive decline, and mild dementia of ageing), neurological and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease), demyelinisation-related disorders, neuroinflammatory disorders, and neuroinflammatory disorders, and neuroinflammatory disorders, and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer'
  • the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of dependence and addictive disorders and behaviours (e.g., alcohol and/or drug abuse, pathological gambling, kleptomania), drug withdrawal disorders (e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal with or without perceptual disturbances; sedative, hypnotic or anxiolytic withdrawal delirium; and withdrawal symptoms due to other substances), alcohol and/or drug-induced mood, anxiety and/or sleep disorder with onset during withdrawal, and alcohol and/or drug relapse.
  • addictive disorders and behaviours e.g., alcohol and/or drug abuse, pathological gambling, kleptomania
  • drug withdrawal disorders e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal
  • the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity, treatment of spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
  • neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity
  • treatment of spinal cord injury such as dystonias, dyskinesias, akathisia, tremor and spasticity
  • spinal cord injury such as spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apn
  • the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of immune, cardiovascular disorders (e.g. atherosclerosis, arteriosclerosis, angina pectoris, abnormal heart rythms, and arrythmias, congestive heart failure, coronary artery disease, heart disease, hypertension, prevention and treatment of left ventricular hypertrophy, myocardial infarction, transient ischaemic attack, peripheral vascular disease, systemic inflammation of the vasculature, septic chock, stroke, cerebral apoplexy, cerebral infarction, cerebral ischaemia, cerebral thrombosis, cerebral embolism, cerebral hemorrhagia, metabolic disorders (e.g.
  • diabetes mellitus diabetes mellitus
  • dyslipidemia fatty liver
  • gout hypercholesterolemia
  • hyperlipidemia hypertriglyceridemia
  • hyperuricacidemia impaired glucose tolerance, impaired fasting glucose, insulin resistance, insulin resistance syndrome, metabolic syndrome, syndrome X, obesity- hypoventilation syndrome (Pickwickian syndrome), type I diabetes, type II diabetes, low HDL- and/or high LDL-cholesterol levels, low adiponectin levels), reproductive and endocrine disorders (e.g.
  • hypogonadism in males treatment of hypogonadism in males, treatment of infertility or as contraceptive, menstrual abnormalities/emmeniopathy, polycystic ovarian disease, sexual and reproductive dysfunction in women and men (erectile dysfunction), GH-def ⁇ cient subjects, hirsutism in females, normal variant short stature) and diseases related to the respiratory (e.g. asthma and chronic obstructive pulmonary disease) and gastrointestinal systems (e.g. dysfunction of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers).
  • respiratory e.g. asthma and chronic obstructive pulmonary disease
  • gastrointestinal systems e.g. dysfunction of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcer
  • the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of dermatological disorders, cancers (e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct), craniopharyngioma, Prader-Willi syndrome, Turner syndrome, Frohlich's syndrome, glaucoma, infectious diseases, urinary tract disorders and inflammatory disoerders (e.g. arthritis deformans, inflammation, inflammatory sequelae of viral encephalitis, osteoarthritis) and orthopedic disorders.
  • cancers e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct
  • craniopharyngioma e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct
  • the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention of weight gain (e.g., medication- induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g.
  • psychiatric disorders such as psychotic and/or mood disorders, schizophrenia and schizo-affective disorder, bipolar disorders, anxiety, anxio-depressive disorders, depression, mania, obsessive-compulsive disorders, impulse control disorders (e.g., Gilles de Ia Tourette's syndrome), attention disorders like ADD/ADHD, stress, and neurological disorders such as dementia and cognitive and/or memory dysfunction (e.g., amnesia, Alzheimer's disease, Pick's dementia, dementia of ageing, vascular dementia, mild cognitive impairment, age-related cognitive decline, and mild dementia of ageing), neurological and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease), demyelinisation-related disorders, neuroinflammatory disorders, and neuroinflammatory disorders, and neuroinflammatory disorders, and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer'
  • the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of dependence and addictive disorders and behaviours (e.g., alcohol and/or drug abuse, pathological gambling, kleptomania), drug withdrawal disorders (e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal with or without perceptual disturbances; sedative, hypnotic or anxiolytic withdrawal delirium; and withdrawal symptoms due to other substances), alcohol and/or drug-induced mood, anxiety and/or sleep disorder with onset during withdrawal, and alcohol and/or drug relapse.
  • dependence and addictive disorders and behaviours e.g., alcohol and/or drug abuse, pathological gambling, kleptomania
  • drug withdrawal disorders e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal deli
  • the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity, treatment of spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
  • neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity
  • treatment of spinal cord injury neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
  • the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of immune, cardiovascular disorders (e.g. atherosclerosis, arteriosclerosis, angina pectoris, abnormal heart rythms, and arrythmias, congestive heart failure, coronary artery disease, heart disease, hypertension, prevention and treatment of left ventricular hypertrophy, myocardial infarction, transient ischaeniic attack, peripheral vascular disease, systemic inflammation of the vasculature, septic chock, stroke, cerebral apoplexy, cerebral infarction, cerebral ischaemia, cerebral thrombosis, cerebral embolism, cerebral hemorrhagia, metabolic disorders (e.g.
  • diabetes mellitus diabetes mellitus
  • dyslipidemia fatty liver
  • gout hypercholesterolemia
  • hyperlipidemia hypertriglyceridemia
  • hyperuricacidemia impaired glucose tolerance, impaired fasting glucose, insulin resistance, insulin resistance syndrome, metabolic syndrome, syndrome X, obesity-hypoventilation syndrome (Pickwickian syndrome), type I diabetes, type II diabetes, low HDL- and/or high LDL-cholesterol levels, low adiponectin levels), reproductive and endocrine disorders (e.g.
  • hypogonadism in males treatment of hypogonadism in males, treatment of infertility or as contraceptive, menstrual abnormalities/emmeniopathy, polycystic ovarian disease, sexual and reproductive dysfunction in women and men (erectile dysfunction), GH-deficient subjects, hirsutism in females, normal variant short stature) and diseases related to the respiratory (e.g. asthma and chronic obstructive pulmonary disease) and gastrointestinal systems (e.g. dysfunction of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers).
  • respiratory e.g. asthma and chronic obstructive pulmonary disease
  • gastrointestinal systems e.g. dysfunction of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers).
  • the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of dermatological disorders, cancers (e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct), craniopharyngioma, Prader-Willi syndrome, Turner syndrome, Frohlich's syndrome, glaucoma, infectious diseases, urinary tract disorders and inflammatory disorders (e.g. arthritis deformans, inflammation, inflammatory sequelae of viral encephalitis, osteoarthritis) and orthopedic disorders.
  • dermatological disorders e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct
  • craniopharyngioma e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallblad
  • the compounds of the present invention are particulary suitable for the treatment of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention or reversal of weight gain (e.g., rebound, medication-induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g. binge eating, anorexia, bulimia and compulsive), cravings (for drugs, tobacco, alcohol, any appetizing macronutrients or non-essential food items).
  • obesity disorders e.g. binge eating, anorexia, bulimia and compulsive
  • cravings for drugs, tobacco, alcohol, any appetizing macronutrients or non-essential food items.
  • the compounds of formula (I) are useful for the treatment of obesity, psychiatric disorders such as psychotic disorders, schizophrenia, bipolar disorders, anxiety, anxio-depressive disorders, depression, cognitive disorders, memory disorders, obsessive-compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions, and neurological disorders such as dementia, neurological disorders(e.g. Multiple Sclerosis), Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease.
  • the compounds are also potentially useful for the treatment of immune, cardiovascular, reproductive and endocrine disorders, septic shock and diseases related to the respiratory and gastrointestinal systems (e.g. diarrhea).
  • the compounds are also potentially useful as agents in treatment of extended abuse, addiction and/or relapse indications, e.g. treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms.
  • the compounds may also eliminate the increase in weight that normally accompanies the cessation of smoking.
  • the present invention provides a compound of formula I as previously defined for use as a medicament.
  • the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of obesity, psychiatric disorders such as psychotic disorders, schizophrenia, bipolar disorders, anxiety, anxio- depressive disorders, depression, cognitive disorders, memory disorders, obsessive- compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions, neurological disorders such as dementia, neurological disorders (e.g. Multiple Sclerosis), Parkinson's Disease, Huntington's Chorea and Alzheimer's Disease, immune, cardiovascular, reproductive and endocrine disorders, septic shock, diseases related to the respiratory and gastrointestinal systems (e.g.
  • diarrhea and extended abuse, addiction and/or relapse indications, e.g. treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms.
  • treating drug e.g. treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms.
  • the present invention provides a method of treating obesity, psychiatric disorders such as psychotic disorders such as schizophrenia and bipolar disorders, anxiety, anxio-depressive disorders, depression, cognitive disorders, memory disorders, obsessive-compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions, neurological disorders such as dementia, neurological disorders (e.g. Multiple Sclerosis), Parkinson's Disease, Huntington's Chorea and Alzheimer's Disease, immune, cardiovascular, reproductive and endocrine disorders, septic shock, diseases related to the respiratory and gastrointestinal systems (e.g. diarrhea), and extended abuse, addiction and/or relapse indications, e.g.
  • psychotic disorders such as schizophrenia and bipolar disorders, anxiety, anxio-depressive disorders, depression, cognitive disorders, memory disorders, obsessive-compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions
  • neurological disorders such as dementia, neurological disorders (e.g. Multiple Sclerosis
  • treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof.
  • the compounds of the present invention are particulary suitable for the treatment of obesity, e.g. by reduction of appetite and body weight, maintenance of weight reduction and prevention of rebound.
  • the compounds of the present invention may also be used to prevent or reverse medication-induced weight gain, e.g. weight gain caused by antipsychotic (neuroleptic) treatment(s).
  • the compounds of the present invention may also be used to prevent or reverse weight gain associated with smoking cessation.
  • the compounds of the present invention may also be suitable for use in the regulation of bone mass and bone loss and therefore useful in the treatment of osteoporosis and other bone diseases.
  • the compounds of the invention may be combined with another therapeutic agent that is useful in the treatment of obesity such as other anti-obesity drugs, that affect energy expenditure, glycolysis, gluconeogenesis, glucogenolysis, lipolysis, lipogenesis, fat absorption, fat storage, fat excretion, hunger and/or satiety and/or craving mechanisms, appetite/motivation, food intake, or G-I motility.
  • the compounds of the invention may further be combined with another therapeutic agent that is useful in the treatment of disorders associated with obesity such as hypertension, hyperlipidaemias, dyslipidaemias, diabetes, sleep apnea, asthma, heart disorders, atherosclerosis, macro and micro vascular diseases, liver steatosis, cancer, joint disorders, and gallbladder disorders.
  • a compound of the present invention may be used in combination with a another therapeutic agent that lowers blood pressure or that decreases the ratio of LDL:HDL or an agent that causes a decrease in circulating levels of LDL-cholesterol.
  • the compounds of the invention may also be combined with therapeutic agents used to treat complications related to microangiopathies.
  • the compounds of the invention may be used alongside other therapies for the treatment of obesity and its associated complications the metabolic syndrome and type 2 diabetes, these include biguanide drugs, insulin (synthetic insulin analogues) and oral antihyperglycemics (these are divided into prandial glucose regulators and alpha-glucosidase inhibitors).
  • the compound of formula I, or a pharmaceutically acceptable salt thereof may be administered in association with a PPAR modulating agent.
  • PPAR modulating agents include but are not limited to a PPAR alpha and/or gamma agonist, or pharmaceutically acceptable salts, solvates, solvates of such salts or prodrugs thereof. Suitable PPAR alpha and/or gamma agonists, pharmaceutically acceptable salts, solvates, solvates of such salts or prodrugs thereof are well known in the art.
  • the combination of the invention may be used in conjunction with a sulfonylurea.
  • the present invention also includes a compound of the present invention in combination with a cholesterol-lowering agent.
  • the cholesterol-lowering agents referred to in this application include but are not limited to inhibitors of HMG-CoA reductase (3- hydroxy-3-methylglutaryl coenzyme A reductase).
  • HMG-CoA reductase inhibitor is a statin.
  • the term "cholesterol-lowering agent” also includes chemical modifications of the HMG-CoA reductase inhibitors, such as esters, prodrugs and metabolites, whether active or inactive.
  • the present invention also includes a compound of the present invention in combination with an inhibitor of the ileal bile acid transport system (IBAT inhibitor).
  • the present invention also includes a compound of the present invention in combination with a bile acid binding resin.
  • the present invention also includes a compound of the present invention in combination with a bile acid sequestering agent, for example colestipol or cholestyramine or cholestagel.
  • a combination treatment comprising the administration of an effective amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration one or more of the following agents selected from: a CETP (cholesteryl ester transfer protein) inhibitor; a cholesterol absorption antagonist; a MTP (microsomal transfer protein) inhibitor ; a nicotinic acid derivative, including slow release and combination products; a phytosterol compound ; probucol; an anti-coagulant; an omega-3 fatty acid ; another anti-obesity compound for example sibutramine, phentermine, orlistat, bupropion, ephedrine, thyroxine; an antihypertensive compound for example an angiotensin converting enzyme (ACE) inhibitor, an angiotensin II receptor antagonist, an adrenergic blocker, an alpha adrenergic blocker,
  • ACE angiotensin converting enzyme
  • a combination treatment comprising the administration of an effective amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of very low calorie diets (VLCD) or low-calorie diets (LCD).
  • VLCD very low calorie diets
  • LCD low-calorie diets
  • a method for the treatment of obesity and its associated complications in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of a compound of formula I, or a pharmaceutically acceptable salt thereof in simultaneous, sequential or separate administration with an effective amount of a compound from one of the other classes of compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
  • a method of treating hyperlipidemic conditions in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of a compound of formula I, or a pharmaceutically acceptable salt thereof in simultaneous, sequential or separate administration with an effective amount of a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
  • a pharmaceutical composition which comprises a compound of formula I, or a pharmaceutically acceptable salt thereof, and a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in association with a pharmaceutically acceptable diluent or carrier.
  • kits comprising a compound of formula I, or a pharmaceutically acceptable salt thereof, and a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
  • a kit comprising: is a) a compound of formula I, or a pharmaceutically acceptable salt thereof, in a first unit dosage form; b) a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof; in a second unit dosage form; and
  • container means for containing said first and second dosage forms.
  • kits comprising: a) a compound of formula I, or a pharmaceutically acceptable salt thereof, together with a pharmaceutically acceptable diluent or carrier, in a first unit dosage form; b) a compound from one of the other classes of compounds described in this combination 2s section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in a second unit dosage form; and c) container means for containing said first and second dosage forms.
  • a compound of the formula I or a pharmaceutically acceptable salt thereof, and one of the other 30 compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in the manufacture of a medicament for use in the the treatment of obesity and its associated complications in a warm-blooded animal, such as man.
  • a compound of the formula I or a pharmaceutically acceptable salt thereof, and one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in the manufacture of a medicament for use in the treatment of hyperlipidaemic conditions in a warm-blooded animal, such as man.
  • a combination treatment comprising the administration of an effective amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of an effective amount of one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or s carrier to a warm-blooded animal, such as man in need of such therapeutic treatment.
  • a compound of the invention may also be combined with therapeutic agents that are useful in the treatment of disorders or conditions associated with obesity (such as type II diabetes, metabolic syndrome, dyslipidemia, impaired glucose tolerance, hypertension, coronary heart disease, non-alcoholic steatohepatitis, osteoarthritis and some o cancers) and psychiatric and neurological conditions.
  • obesity such as type II diabetes, metabolic syndrome, dyslipidemia, impaired glucose tolerance, hypertension, coronary heart disease, non-alcoholic steatohepatitis, osteoarthritis and some o cancers
  • psychiatric and neurological conditions such as type II diabetes, metabolic syndrome, dyslipidemia, impaired glucose tolerance, hypertension, coronary heart disease, non-alcoholic steatohepatitis, osteoarthritis and some o cancers.
  • a patient may be identified by, for example, measuring body mass index (BMI), which is calculated by dividing weight in kilograms by height in metres squared, and comparing the result with the definitions.
  • BMI body mass index
  • Compounds of the present invention are active against the receptor product of the CBl gene.
  • the affinity of the compounds of the invention for central cannabinoid receptors is demonstrable in methods described in Devane et al , Molecular Pharmacology, 1988, 34,605 or those described in WO01/70700 or EP 656354.
  • the assay may be o performed as follows. lO ⁇ g of membranes prepared from cells stably transfected with the CBl gene were suspended in 200 ⁇ l of 10OmM NaCl, 5mM MgCl 2 , ImM EDTA, 5OmM HEPES (pH 7.4), ImM DTT, 0.1% BSA and lOO ⁇ M GDP.
  • the compounds of the present invention are active at the CBl receptor (IC50 ⁇ 1 micromolar). Most preferred compounds have IC50 ⁇ 200 nanomolar. For example the IC50 of Example 10 is 2.7 nM.
  • the compounds of the invention are believed to be selective CBl antagonists or inverse agonists.
  • the potency, selectivity profile and side effect propensity may limit the clinical usefulness of hitherto known compounds with alleged CBl antagonistic/inverse agonistic properties.
  • preclinical evaluation of compounds of the present invention in models of gastrointestinal and/or cardiovascular function indicates that they offer significant advantages compared to representative reference CBl antagonist/inverse agonist agents.
  • the compounds of the present invention may provide additional benefits in terms of potency, selectivity profile, bioavailability, half-life in plasma, blood brain permeability, plasma protein binding (for example higher free fraction of drug) or solubility compared to representative reference CBl antagonists/inverse agonist agents.
  • the utility of the compounds of the present invention in the treatment of obesity and related conditions is demonstrated by a decrease in body weight in cafeteria diet-induced obese mice.
  • Female C57B1/6J mice were given ad libitum access to calorie-dense
  • Compounds of the present invention are active against the receptor product of the CBl gene.
  • the affinity of the compounds of the invention for central caimabinoid receptors is demonstrable in methods described in Devane et al , Molecular Pharmacology, 1988, 34,605 or those described in WO01/70700 or EP 656354.
  • the assay may be performed as follows. lO ⁇ g of membranes prepared from cells stably transfected with the CBl gene were suspended in 200 ⁇ l of 10OmM NaCl, 5mM MgCl 2 , ImM EDTA, 5OmM HEPES (pH 7.4), ImM DTT, 0.1% BSA and lOO ⁇ M GDP.
  • the compounds of the invention are believed to be selective CBl antagonists.
  • the present invention provides a process for the preparation of a compound of formula I comprising reacting a compound of formula II
  • Het and R 3 are as previously defined with Lawesson's reagent in the presence of a diluent for example toluene at a temperature in the range of 50°C to 250 0 C preferably 100°C to 200°C.
  • HPLC-system Agilent 1100 Column: Zorbax Eclipse XDB-C8 150x4.6 mm
  • Step A 1 -(4-B enzyloxyphenvD-propan- 1 -one
  • Step B Lithium l-(4-benzyloxyphenylV3-ethoxycarbonyl-2-methyl-3-oxo-propen-l-olate
  • LiHMDS IM solution in THF, 208.3 ml
  • Diethyl oxalate was added (33.49 g, 0.2296 mol) dropwise.
  • the reaction mixture was allowed to warm to RT and stirred at RT for 16 hrs under a nitrogen atmosphere.
  • reaction mixture was concentrated in the rotavap at RT. Dry diethyl ether (1 L) was added to the residue and the solid was collected by filtration, washed with dry ether, and dried under vacuum to yield lithium salt of the diketoester (50 g) as yellow solid.
  • Step C 4-(4-Benzyloxyphenyl)-4-[(2,4-dichlorophenyl)-hvdrazonol-3-methyl-2-oxo- butyric acid ethyl ester
  • a mixture of lithium salt from step C (50 g, 0.1461 mol) and 2,4-dichlorophenylhydrazine hydrochloride (34.33 g, 0.1608 mol) in ethanol (500 ml) was stirred at RT under a nitrogen atmosphere for 18 hrs. The precipitate was filtered, washed with dry ether and dried under vacuum to yield hydrazone intermediate (35 g).
  • Step F N-cvclohexyl-l-(2,4-dichlorophenyl)-5-(4-hydroxyphenyl ' )-4-methyl-lH-Pyrazole- 3 -carboxamide
  • the 5-[4-(ben2yloxy)phenyl]-N-cyclohexyl-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazole- 3-carboxamide 2.030 g, 3.80 mmol
  • Step G 4-[3-r(cyclohexylamino)carbonyl]-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazol-5- 0 yllphenyl propane- 1 -sulfonate
  • Step H 4- [3 - [(cyclohexylamino)carbonothioyli - 1 -(2.4-dichlorophenylV4-methyl- 1 H- pyrazol-5-yl]phenyl propane- 1 -sulfonate
  • the 4-[3-[(cyclohexylamino)carbonyl]-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazol-5- yljphenyl propane- 1 -sulfonate (0.300 g, 0.545 mmol) and Lawesson's reagent (0.441 g, 1.09 mmol) were suspended in toluene (22 mL) and heated in a microwave oven (single node heating) at 150 °C for 10 min.
  • the starting carboxamides may be obtained as described in EP 656354 (pyrazoles), WO03/27076 (imidazoles), pyrroles ( WO2004/058249), thiazoles (WO2004/058249), pyrazines (WO03/051851) and pyridines by methods analogous to those in WO03/051851.
  • Imidazoles 1 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-plienyl)-4-(4,4- difluorocyclohexylthiocarbamoy ⁇ -S-methyl-imidazol-l-ylJ-phenyl ester

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Abstract

The present invention relates to compounds of formula (I) and processes for preparing such compounds, their use in the treatment of obesity, psychiatric and neurological disorders, to methods for their therapeutic use and to pharmaceutical compositions containing them.

Description

THERAPEUTIC AGENTS
Field of invention
The present invention relates to certain thioamide compounds of formula I, to processes for preparing such compounds, to their use in the treatment of obesity, psychiatric and neurological disorders, to methods for their therapeutic use and to pharmaceutical compositions containing them.
Background of the invention
It is known that certain CB1 modulators (known as antagonists or inverse agonists) are useful in the treatment of obesity, psychiatric and neurological disorders (WOO 1/70700 and EP 656354). However, there is a need for CBi modulators with improved physicochemical properties and/or DMPK properties and/or pharmacodynamic properties.
Description of the invention
The invention relates to a compound of formula (I)
Figure imgf000002_0001
I including pharmaceutically acceptable salts thereof wherein HET represents a) a group of formula A
Figure imgf000002_0002
b) a group of formula B
Figure imgf000003_0001
c) a group of formula C
Figure imgf000003_0002
d) a group of formula D
Figure imgf000003_0003
e) a group of formula E
Figure imgf000004_0001
f) a group of formula F
Figure imgf000004_0002
or g) a group of formula G
Figure imgf000004_0003
wherein
R1 represents a) a Ci-ioalkoxy group optionally substituted by one or more fluoro b) a group of formula phenyl(CH2)pO- in which p is 1, 2 or 3 and the phenyl ring is optionally substituted by 1, 2 or 3 groups represented by Z, c) a group R5S(O)2O in which R5 represents a C1-1OaIlCyI group optionally substituted by one or more fluoro or d) halo or e) a C1-4alkyl group ; m is 0, 1, 2 or 3;
R2 represents a C^alkyl group, a C1-3alkoxy group, hydroxy, nitro, cyano or halo n is 0, 1, 2 or 3;
R3 represents a) cyclohexyl optionally substituted by one or more of the following: hydroxy, fluoro, amino, mono or di Ci-3alkylamino b) piperidino optionally substituted by one or more hydroxy c) phenyl optionally substituted by one or more of the following: hydroxy, halo or a C1-4alkyl group d) pyridyl optionally substituted by a C^alkyl group or e) a C4-9alkyl group; and
R4 represents H, a Cμβalkyl group, a
Figure imgf000005_0001
group or a Ci-βalkoxyCi-ealkylene group which contains a maximum of 6 carbon atoms, each of which groups is optionally substituted by one or more hydroxy, fluoro, amino, monoCi.4alkylamino,diC1-4alkylamino or cyano.
In a first group of compounds of formula I, HET represents a group of formula A and R1,
R2, R3, R4, n and m are as previously defined. In a second group of compounds of formula I, HET represents a group of formula B and
R1, R2, R3, R4, n and m are as previously defined.
In a third group of compounds of formula I, HET represents a group of formula C and R1,
R2, R3, R4, n and m are as previously defined.
In a fourth group of compounds of formula I, HET represents a group of formula D and R1, R2, R3, R4, n and m are as previously defined.
In a fifth group of compounds of formula I, HET represents a group of formula E and R1,
R2, R3, R4, n and m are as previously defined.
In a sixth group of compounds of formula I, HET represents a group of formula F and R1,
R2, R3, R4, n and m are as previously defined. In a seventh group of compounds of formula I, HET represents a group of formula G and
R1, R2, R3, R4, n and m are as previously defined.
It will be understood that when m is 2 or 3 then the groups Ra are independently selected so that they may be the same or different and similarly when n is 2 or 3 then the groups R2 are independently selected so that they may be the same or different. Suitable groups in which R1 represents a group R5S(O)2O in which R5 represents a C1- δalkyl group optionally substituted by one or more fluoro include methanesulfonyloxy, ethanesulfonyloxy, n-propylsulfonyloxy, n-butylsulfonyloxy, 3-methylbutane-l- sulfonyloxy, 3,3-dimethylbutane-l-sulfonyloxy, fluoromethylsulfonyloxy, difluoromethylsulfonyloxy, trifluoromethylsulfonyloxy, mono, di or tri (fluoroethyl)sulfonloxy, 3, 3, 3 -trifluoropropyl-1 -sulfonyloxy, or 4,4,4-trifluorobutyl-l- sulfonyloxy,
5 Suitable groups in which R1 represents a Ci-βalkoxy group optionally substituted by one or more fluoro include butoxy, pentyloxy, hexyloxy, fluoromethoxy, 3- fluoropropoxy, difluoromethoxy, trifiuoroethoxy, 3,3,3-trifluoropropoxy, 4,4,4 -trifiuorobutoxy, 5,5,5,- trifluoropentyloxy and 6,6,6-trifluorohexyloxy. Suitably R2 represents a methyl, ethyl, propyl, methoxy, ethoxy, propoxy, hydroxy, nitro,
I0 cyano, chloro or fluoro.
Suitably R3 represents piperidino optionally substituted by one or more hydroxy or R3 represents cyclohexyl substituted by one or more of the following: hydroxy, fluoro, amino, mono or di Ci-3alkylamino, carboxy or a C1-4alkoxycarbonyl group; for example 2- hydroxy cyclohexyl, 3 -hydroxy cyclohexyl, 4-hydroxy cyclohexyl, 2-aminocyclohexyl, 3- is aminocyclohexyl, 2-dimethylaminocyclohexyl, 3-dimethylaminocyclohexyl or 4,4- difluorocyclohexyl. In one group of compounds the substituent is in the 2 or 3 position. In another group of compounds the substituent on the cyclohexyl ring is in the cis conformation with respect to the nitrogen of the amide. In another group of compounds the substituent on the cyclohexyl ring is in the trans conformation with respect to the nitrogen
20 of the amide.
Suitably R4 represents H, cyano or methyl.
Specific compounds of the invention include one or more of the following:
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(4,4- difiuorocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenylester
25 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(2- hydroxycyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(2- dimethylaminocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-ρhenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(4,4-
3o difluorocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester l-(2,4-Dichloro-phenyl)-4-methyl-5-[4-(3,3,3-trifluoro-ρropoxy)-phenyl]-lH-pyrazole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide l-(2,4-Dichloro-phenyl)-5-[4-(3-fluoro-propoxy)-phenyl]-4-methyl-lH-pyrazole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(3-hydroxy- cyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3 -yl] -phenyl ester 3 -Fluoro-propane-1 -sulfonic acid 4-[5-(3-amino-cyclohexylthiocarbamoyi)-2-(2,4- dichloro-phenyl)-4-methyl-2H-pyrazol-3 -yl] -phenyl ester
3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-methyl-5-(5- trifluoromethy l-pyridin-2-ylthiocarbamoyl)-2H-pyrazol-3 -yl] -phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(4,4- difluorocyclohexylthiocarbamoyty-S-methyl-imidazol-l-yrj-phenyl ester
3 ,3 ,3 -Trifluoro-propane- 1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(2-hydroxy- cyclohexylthiocarbamoyl)-5-methyl-imidazol-l-yl]-phenyl ester
3 ,3 ,3 -Trifluoro-propane- 1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(2-dimethylamino- cyclohexylthiocarbamoyl)-5 -methyl-imidazol- 1 -yl] -phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(4,4-difiuoro- cyclohexylthiocarbamoyty-S-methyl-imidazol-l-ylJ-phenyl ester
2-(2,4-Dichloro-phenyl)-5-methyl-l-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-imidazole-4- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
2-(2,4-Dichloro-phenyl)-l-[4-(3-fluoro-propoxy)-phenyl]-5-methyl-lH-imidazole-4- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(3-hydroxy- cyclohexylthiocarbamoyty-S-methyl-imidazol-l-yrj-phenyl ester
3 -Fluoro-propane-1 -sulfonic acid 4-[4-(3-amino-cyclohexylthiocarbamoyl)-2-(2,4- dichloro-phenyl)-5-methyl-imidazol-l-yl]-phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-methyl-4-(5- trifluoromethyl-pyridin-2-ylthiocarbamoyl)-imidazol-l-yl]-phenyl ester
3-Fluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(3-hydroxy- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3-Fluoro-propane-l-sulfonic acid 4-[3-(3-amino-cyclohexylthiocarbamoyl)-5-(2,4- dichloro-phenyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3-Fluoro-propane- 1 -sulfonic acid 4-[5-(2,4-dichloro-phenyl)-2-methyl-3-(5- trifluoromethyl-pyridin-2-ylthiocarbamoyl)-pyrrol- 1 -yl] -phenyl ester 3 -Fluoro-propane-1 -sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(4,4-difluoro- cyclohexylthiocarbamoyl)-2-methyl-pyrrol- 1 -yl]-phenyl ester
5-(2,4-Dichloro-phenyl)-2-niethyl-l-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-pyrrole-3- carbothioic acid (4,4-difiuoro-cyclohexyl)-amide 5-(2,4-Dichloro-phenyl)-l-[4-(3-fluoro-propoxy)-phenyl]-2-methyl-lH-pyrrole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(2-dimethylamino- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(2-hydroxy- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(4,4-difluoro- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(4,4-difluoro- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(2-hydroxy- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(2-dimethylamino- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
3-Fluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(4,4-difluoro- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
4-(2,4-Dichloro-phenyl)-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-thiazole-2-carbothioic acid
(4,4-difluoro-cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (4,4-difluoro- cyclohexyl)-amide 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (2-hydroxy- cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (2- dimethylamino-cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (3-hydroxy- cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (3-amino- cyclohexyl)-amide 6-(4-Chloro-phenyl)-3-methoxymethyl-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-pyrazine-2- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (l- hydroxymethyl-3-methyl-butyl)-amide 5,6-Bis-(4-chloro-phenyl)-N-(4,4-difluoro-cyclohexyl)-2-methoxymethyl-thionicotinamide 5,6-Bis-(4-chloro-phenyl)-N-(2-hydroxy-cyclohexyl)-2-methoxymetliyl-tliionicotinamide 5,6-Bis-(4-chloro-phenyl)-N-(2-dimethylamino-cyclohexyl)-2-methoxymethyl- thionicotinamide 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyridine-2-carbothioic acid (3-hydroxy- cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyridine-2-carbothioic acid (3-amino- cyclohexyl)-amide
5-(4-Chloro-phenyl)-N-(4,4-difluoro-cyclohexyl)-2-methoxymetliyl-6- [4-(3 ,3 ,3 -trifluoro- propoxy)-phenyl]-thionicotinamide 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyridine-2-carbotliioic acid (1- hydroxymethyl-3-methyl-butyl)-amide and pharmaceutically acceptable salts thereof.
"Pharmaceutically acceptable salt", where such salts are possible, includes both pharmaceutically acceptable acid and base addition salts. A suitable pharmaceutically acceptable salt of a compound of Formula I is, for example, an acid-addition salt of a compound of formula I which is sufficiently basic, for example an acid-addition salt with an inorganic or organic acid or a base-addition salt of a compound of Formula I for example a base-addition salt of a compound of Formula I which is sufficiently acidic with an inorganic (e.g. a metal hydroxide)or an organic base (e.g. an amine). Throughout the specification and the appended claims, a given chemical formula or name shall encompass all stereo and optical isomers and racemates thereof as well as mixtures in different proportions of the separate enantiomers, where such isomers and enantiomers exist, as well as pharmaceutically acceptable salts thereof and solvates thereof such as for instance hydrates. Isomers may be separated using conventional techniques, e.g. chromatography or fractional crystallisation. The enantiomers may be isolated by separation of racemate for example by fractional crystallisation, resolution or HPLC. The diastereomers may be isolated by separation of isomer mixtures for instance by fractional crystallisation, HPLC or flash chromatography. Alternatively the stereoisomers may be made by chiral synthesis from chiral starting materials under conditions which will not cause racemisation or epimerisation, or by derivatisation, with a chiral reagent. All stereoisomers are included within the scope of the invention. AU tautomers, where possible, are included within the scope of the invention. The present invention also encompasses compounds containing one or more isotopes for example 14C, 11C or 19F and their use as isotopically labelled compounds for pharmacological and metabolic studies. The present invention also encompasses prodrugs of a compound of formula I that is compounds which are converted into a compound of formula I in vivo.
The following definitions shall apply throughout the specification and the appended claims.
Unless otherwise stated or indicated, the term "alkyl" denotes either a straight or branched alkyl group. Examples of said alkyl include methyl, ethyl, n-propyl, isopropyl, n-butyl, iso-butyl, sec-butyl and t-butyl . Preferred alkyl groups are methyl, ethyl, propyl, isopropyl and tertiary butyl.
Unless otherwise stated or indicated, the term "alkoxy" denotes a group O-alkyl, wherein alkyl is as defined above. Unless otherwise stated or indicated, the term "halo" shall mean fluorine, chlorine, bromine or iodine.
Pharmaceutical preparations
The compounds of the invention will normally be administered via the oral, parenteral, intravenous, intramuscular, subcutaneous or in other injectable ways, buccal, rectal, vaginal, transdermal and/or nasal route and/or via inhalation, in the form of pharmaceutical preparations comprising the active ingredient or a pharmaceutically acceptable addition salt, in a pharmaceutically acceptable dosage form. Depending upon the disorder and patient to be treated and the route of administration, the compositions may be administered at varying doses. Suitable daily doses of the compounds of the invention in the therapeutic treatment of humans are about 0.001-10 mg/kg body weight, preferably 0.01-1 mg/kg body weight. Oral formulations are preferred particularly tablets or capsules which may be formulated by methods known to those skilled in the art to provide doses of the active compound in the range of 0.5mg to 500mg for example 1 mg, 3 mg, 5 mg, 10 mg, 25mg, 50mg, lOOmg and 250mg.
According to a further aspect of the invention there is also provided a pharmaceutical formulation including any of the compounds of the invention, or pharmaceutically acceptable derivatives thereof, in admixture with pharmaceutically acceptable adjuvants, diluents and/or carriers. Pharmacological properties
The compounds of formula (I) are useful for the treatment of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention of weight gain (e.g., medication-induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g. binge eating, anorexia, bulimia and compulsive), cravings (for drugs, tobacco, alcohol, any appetizing macronutrients or nonessential food items), for the treatment of psychiatric disorders such as psychotic and/or mood disorders, schizophrenia and schizo-affective disorder, bipolar disorders, anxiety, anxio-depressive disorders, depression, mania, obsessive-compulsive disorders, impulse control disorders (e.g., Gilles de Ia Tourette's syndrome), attention disorders like ADD/ADHD, stress, and neurological disorders such as dementia and cognitive and/or memory dysfunction (e.g., amnesia, Alzheimer's disease, Pick's dementia, dementia of ageing, vascular dementia, mild cognitive impairment, age-related cognitive decline, and mild dementia of ageing), neurological and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease), demyelinisation-related disorders, neuroinflammatory disorders (e.g., Guillain- Barre syndrome). The compounds are also potentially useful for the prevention or treatment of dependence and addictive disorders and behaviours (e.g., alcohol and/or drug abuse, pathological gambling, kleptomania), drug withdrawal disorders (e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal with or without perceptual disturbances; sedative, hypnotic or anxiolytic withdrawal delirium; and withdrawal symptoms due to other substances), alcohol and/or drug-induced mood, anxiety and/or sleep disorder with onset during withdrawal, and alcohol and/or drug relapse. The compounds are also potentially useful for the prevention or treatment of neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity, treatment of spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
The compounds are also potentially useful for the treatment of immune, cardiovascular disorders (e.g. atherosclerosis, arteriosclerosis, angina pectoris, abnormal heart rythms, and arrythmias, congestive heart failure, coronary artery disease, heart disease, hypertension, prevention and treatment of left ventricular hypertrophy, myocardial infarction, transient ischaemic attack, peripheral vascular disease, systemic inflammation of the vasculature, septic chock, stroke, cerebral apoplexy, cerebral infarction, cerebral ischaemia, cerebral thrombosis, cerebral embolism, cerebral hemorrhagia, metabolic disorders (e.g. conditions showing reduced metabolic activity or a decrease in resting energy expenditure as a percentage of total fat-free mass, diabetes mellitus, dyslipidemia, fatty liver, gout, s hypercholesterolemia, hyperlipidemia, hypertriglyceridemia, hyperuricacidemia, impaired glucose tolerance, impaired fasting glucose, insulin resistance, insulin resistance syndrome, metabolic syndrome, syndrome X, obesity-hypoventilation syndrome (Pickwickian syndrome), type I diabetes, type II diabetes, low HDL- and/or high LDL-cholesterol levels, low adiponectin levels), reproductive and endocrine disorders (e.g. treatment of o hypogonadism in males, treatment of infertility or as contraceptive, menstrual abnormalities/emmeniopathy, polycystic ovarian disease, sexual and reproductive dysfunction in women and men (erectile dysfunction), GH-deficient subjects, hirsutism in females, normal variant short stature) and diseases related to the respiratory (e.g. asthma and chronic obstructive pulmonary disease) and gastrointestinal systems (e.g. dysfunction 5 of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers). The compounds are also potentially useful as agents in treatment of dermatological disorders, cancers (e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct), craniopharyngioma, Prader-Willi syndrome, Turner syndrome, o Frohlich's syndrome, glaucoma, infectious diseases, urinary tract disorders and inflammatory disorders (e.g. arthritis deformans, inflammation, inflammatory sequelae of viral encephalitis, osteoarthritis) and orthopedic disorders. The compounds are also potentially useful as agents in treatment of (esophageal) achalasia. In another aspect the present invention provides a compound of formula I as previously defined for use as a medicament. In a further aspect the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention of weight gain (e.g., medication-induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g. binge eating, anorexia, bulimia and compulsive), cravings (for drugs, tobacco, alcohol, any appetizing macronutrients or non-essential food items), for the treatment of psychiatric disorders such as psychotic and/or mood disorders, schizophrenia and schizo-affective disorder, bipolar disorders, anxiety, anxio-depressive disorders, depression, mania, obsessive-compulsive disorders, impulse control disorders (e.g., Gilles de Ia Tourette's syndrome), attention disorders like ADD/ADHD, stress, and neurological disorders such as dementia and cognitive and/or memory dysfunction (e.g., amnesia, Alzheimer's disease, Pick's dementia, dementia of ageing, vascular dementia, mild cognitive impairment, age-related cognitive decline, and mild dementia of ageing), neurological and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease), demyelinisation-related disorders, neuroinflammatory disorders (e.g., Guillain- Barre syndrome).
In a further aspect the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of dependence and addictive disorders and behaviours (e.g., alcohol and/or drug abuse, pathological gambling, kleptomania), drug withdrawal disorders (e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal with or without perceptual disturbances; sedative, hypnotic or anxiolytic withdrawal delirium; and withdrawal symptoms due to other substances), alcohol and/or drug-induced mood, anxiety and/or sleep disorder with onset during withdrawal, and alcohol and/or drug relapse. In a further aspect the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity, treatment of spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma.
In a further aspect the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of immune, cardiovascular disorders (e.g. atherosclerosis, arteriosclerosis, angina pectoris, abnormal heart rythms, and arrythmias, congestive heart failure, coronary artery disease, heart disease, hypertension, prevention and treatment of left ventricular hypertrophy, myocardial infarction, transient ischaemic attack, peripheral vascular disease, systemic inflammation of the vasculature, septic chock, stroke, cerebral apoplexy, cerebral infarction, cerebral ischaemia, cerebral thrombosis, cerebral embolism, cerebral hemorrhagia, metabolic disorders (e.g. conditions showing reduced metabolic activity or a decrease in resting energy expenditure as a percentage of total fat-free mass, diabetes mellitus, dyslipidemia, fatty liver, gout, hypercholesterolemia, hyperlipidemia, hypertriglyceridemia, hyperuricacidemia, impaired glucose tolerance, impaired fasting glucose, insulin resistance, insulin resistance syndrome, metabolic syndrome, syndrome X, obesity- hypoventilation syndrome (Pickwickian syndrome), type I diabetes, type II diabetes, low HDL- and/or high LDL-cholesterol levels, low adiponectin levels), reproductive and endocrine disorders (e.g. treatment of hypogonadism in males, treatment of infertility or as contraceptive, menstrual abnormalities/emmeniopathy, polycystic ovarian disease, sexual and reproductive dysfunction in women and men (erectile dysfunction), GH-defϊcient subjects, hirsutism in females, normal variant short stature) and diseases related to the respiratory (e.g. asthma and chronic obstructive pulmonary disease) and gastrointestinal systems (e.g. dysfunction of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers). In a further aspect the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of dermatological disorders, cancers (e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct), craniopharyngioma, Prader-Willi syndrome, Turner syndrome, Frohlich's syndrome, glaucoma, infectious diseases, urinary tract disorders and inflammatory disoerders (e.g. arthritis deformans, inflammation, inflammatory sequelae of viral encephalitis, osteoarthritis) and orthopedic disorders. In a still further aspect the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention of weight gain (e.g., medication- induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g. binge eating, anorexia, bulimia and compulsive), cravings (for drugs, tobacco, alcohol, any appetizing macronutrients or non-essential food items), for the treatment of psychiatric disorders such as psychotic and/or mood disorders, schizophrenia and schizo-affective disorder, bipolar disorders, anxiety, anxio-depressive disorders, depression, mania, obsessive-compulsive disorders, impulse control disorders (e.g., Gilles de Ia Tourette's syndrome), attention disorders like ADD/ADHD, stress, and neurological disorders such as dementia and cognitive and/or memory dysfunction (e.g., amnesia, Alzheimer's disease, Pick's dementia, dementia of ageing, vascular dementia, mild cognitive impairment, age-related cognitive decline, and mild dementia of ageing), neurological and/or neurodegenerative disorders (e.g. Multiple Sclerosis, Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease), demyelinisation-related disorders, neuroinflammatory disorders (e.g., Guillain-Barre syndrome).
In a still further aspect the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of dependence and addictive disorders and behaviours (e.g., alcohol and/or drug abuse, pathological gambling, kleptomania), drug withdrawal disorders (e.g., alcohol withdrawal with or without perceptual disturbances; alcohol withdrawal delirium; amphetamine withdrawal; cocaine withdrawal; nicotine withdrawal; opioid withdrawal; sedative, hypnotic or anxiolytic withdrawal with or without perceptual disturbances; sedative, hypnotic or anxiolytic withdrawal delirium; and withdrawal symptoms due to other substances), alcohol and/or drug-induced mood, anxiety and/or sleep disorder with onset during withdrawal, and alcohol and/or drug relapse. In a still further aspect the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of neurological dysfunctions such as dystonias, dyskinesias, akathisia, tremor and spasticity, treatment of spinal cord injury, neuropathy, migraine, vigilance disorders, sleep disorders (e.g., disturbed sleep architecture, sleep apnea, obstructive sleep apnea, sleep apnea syndrome), pain disorders, cranial trauma. In a still further aspect the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of immune, cardiovascular disorders (e.g. atherosclerosis, arteriosclerosis, angina pectoris, abnormal heart rythms, and arrythmias, congestive heart failure, coronary artery disease, heart disease, hypertension, prevention and treatment of left ventricular hypertrophy, myocardial infarction, transient ischaeniic attack, peripheral vascular disease, systemic inflammation of the vasculature, septic chock, stroke, cerebral apoplexy, cerebral infarction, cerebral ischaemia, cerebral thrombosis, cerebral embolism, cerebral hemorrhagia, metabolic disorders (e.g. conditions showing reduced metabolic activity or a decrease in resting energy expenditure as a percentage of total fat-free mass, diabetes mellitus, dyslipidemia, fatty liver, gout, hypercholesterolemia, hyperlipidemia, hypertriglyceridemia, hyperuricacidemia, impaired glucose tolerance, impaired fasting glucose, insulin resistance, insulin resistance syndrome, metabolic syndrome, syndrome X, obesity-hypoventilation syndrome (Pickwickian syndrome), type I diabetes, type II diabetes, low HDL- and/or high LDL-cholesterol levels, low adiponectin levels), reproductive and endocrine disorders (e.g. treatment of hypogonadism in males, treatment of infertility or as contraceptive, menstrual abnormalities/emmeniopathy, polycystic ovarian disease, sexual and reproductive dysfunction in women and men (erectile dysfunction), GH-deficient subjects, hirsutism in females, normal variant short stature) and diseases related to the respiratory (e.g. asthma and chronic obstructive pulmonary disease) and gastrointestinal systems (e.g. dysfunction of gastrointestinal motility or intestinal propulsion, diarrhea, emesis, nausea, gallbladder disease, cholelithiasis, obesity-related gastro-esophageal reflux, ulcers). In a still further aspect the present invention provides a method comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof for the prophylaxis or treatment of dermatological disorders, cancers (e.g. colon, rectum, prostate, breast, ovary, endometrium, cervix, gallbladder, bile duct), craniopharyngioma, Prader-Willi syndrome, Turner syndrome, Frohlich's syndrome, glaucoma, infectious diseases, urinary tract disorders and inflammatory disorders (e.g. arthritis deformans, inflammation, inflammatory sequelae of viral encephalitis, osteoarthritis) and orthopedic disorders.
The compounds of the present invention are particulary suitable for the treatment of obesity or being overweight, (e.g., promotion of weight loss and maintenance of weight loss), prevention or reversal of weight gain (e.g., rebound, medication-induced or subsequent to cessation of smoking), for modulation of appetite and/or satiety, eating disorders (e.g. binge eating, anorexia, bulimia and compulsive), cravings (for drugs, tobacco, alcohol, any appetizing macronutrients or non-essential food items). The compounds of formula (I) are useful for the treatment of obesity, psychiatric disorders such as psychotic disorders, schizophrenia, bipolar disorders, anxiety, anxio-depressive disorders, depression, cognitive disorders, memory disorders, obsessive-compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions, and neurological disorders such as dementia, neurological disorders(e.g. Multiple Sclerosis), Raynaud's syndrome, Parkinson's disease, Huntington's chorea and Alzheimer's disease. The compounds are also potentially useful for the treatment of immune, cardiovascular, reproductive and endocrine disorders, septic shock and diseases related to the respiratory and gastrointestinal systems (e.g. diarrhea). The compounds are also potentially useful as agents in treatment of extended abuse, addiction and/or relapse indications, e.g. treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms. The compounds may also eliminate the increase in weight that normally accompanies the cessation of smoking.
In another aspect the present invention provides a compound of formula I as previously defined for use as a medicament.
In a further aspect the present invention provides the use of a compound of formula I in the preparation of a medicament for the treatment or prophylaxis of obesity, psychiatric disorders such as psychotic disorders, schizophrenia, bipolar disorders, anxiety, anxio- depressive disorders, depression, cognitive disorders, memory disorders, obsessive- compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions, neurological disorders such as dementia, neurological disorders (e.g. Multiple Sclerosis), Parkinson's Disease, Huntington's Chorea and Alzheimer's Disease, immune, cardiovascular, reproductive and endocrine disorders, septic shock, diseases related to the respiratory and gastrointestinal systems (e.g. diarrhea), and extended abuse, addiction and/or relapse indications, e.g. treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms.
In a still further aspect the present invention provides a method of treating obesity, psychiatric disorders such as psychotic disorders such as schizophrenia and bipolar disorders, anxiety, anxio-depressive disorders, depression, cognitive disorders, memory disorders, obsessive-compulsive disorders, anorexia, bulimia, attention disorders like ADHD, epilepsy, and related conditions, neurological disorders such as dementia, neurological disorders (e.g. Multiple Sclerosis), Parkinson's Disease, Huntington's Chorea and Alzheimer's Disease, immune, cardiovascular, reproductive and endocrine disorders, septic shock, diseases related to the respiratory and gastrointestinal systems (e.g. diarrhea), and extended abuse, addiction and/or relapse indications, e.g. treating drug (nicotine, ethanol, cocaine, opiates, etc) dependence and/or treating drug (nicotine, ethanol, cocaine, opiates, etc) withdrawal symptoms comprising administering a pharmacologically effective amount of a compound of formula I to a patient in need thereof. The compounds of the present invention are particulary suitable for the treatment of obesity, e.g. by reduction of appetite and body weight, maintenance of weight reduction and prevention of rebound.
The compounds of the present invention may also be used to prevent or reverse medication-induced weight gain, e.g. weight gain caused by antipsychotic (neuroleptic) treatment(s). The compounds of the present invention may also be used to prevent or reverse weight gain associated with smoking cessation.
The compounds of the present invention may also be suitable for use in the regulation of bone mass and bone loss and therefore useful in the treatment of osteoporosis and other bone diseases. Combination Therapy
The compounds of the invention may be combined with another therapeutic agent that is useful in the treatment of obesity such as other anti-obesity drugs, that affect energy expenditure, glycolysis, gluconeogenesis, glucogenolysis, lipolysis, lipogenesis, fat absorption, fat storage, fat excretion, hunger and/or satiety and/or craving mechanisms, appetite/motivation, food intake, or G-I motility. The compounds of the invention may further be combined with another therapeutic agent that is useful in the treatment of disorders associated with obesity such as hypertension, hyperlipidaemias, dyslipidaemias, diabetes, sleep apnea, asthma, heart disorders, atherosclerosis, macro and micro vascular diseases, liver steatosis, cancer, joint disorders, and gallbladder disorders. For example, a compound of the present invention may be used in combination with a another therapeutic agent that lowers blood pressure or that decreases the ratio of LDL:HDL or an agent that causes a decrease in circulating levels of LDL-cholesterol. In patients with diabetes mellitus the compounds of the invention may also be combined with therapeutic agents used to treat complications related to microangiopathies. The compounds of the invention may be used alongside other therapies for the treatment of obesity and its associated complications the metabolic syndrome and type 2 diabetes, these include biguanide drugs, insulin (synthetic insulin analogues) and oral antihyperglycemics (these are divided into prandial glucose regulators and alpha-glucosidase inhibitors). In another aspect of the invention, the compound of formula I, or a pharmaceutically acceptable salt thereof may be administered in association with a PPAR modulating agent. PPAR modulating agents include but are not limited to a PPAR alpha and/or gamma agonist, or pharmaceutically acceptable salts, solvates, solvates of such salts or prodrugs thereof. Suitable PPAR alpha and/or gamma agonists, pharmaceutically acceptable salts, solvates, solvates of such salts or prodrugs thereof are well known in the art. In addition the combination of the invention may be used in conjunction with a sulfonylurea. The present invention also includes a compound of the present invention in combination with a cholesterol-lowering agent. The cholesterol-lowering agents referred to in this application include but are not limited to inhibitors of HMG-CoA reductase (3- hydroxy-3-methylglutaryl coenzyme A reductase). Suitably the HMG-CoA reductase inhibitor is a statin. In the present application, the term "cholesterol-lowering agent" also includes chemical modifications of the HMG-CoA reductase inhibitors, such as esters, prodrugs and metabolites, whether active or inactive. The present invention also includes a compound of the present invention in combination with an inhibitor of the ileal bile acid transport system (IBAT inhibitor). The present invention also includes a compound of the present invention in combination with a bile acid binding resin. The present invention also includes a compound of the present invention in combination with a bile acid sequestering agent, for example colestipol or cholestyramine or cholestagel.
According to an additional further aspect of the present invention there is provided a combination treatment comprising the administration of an effective amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration one or more of the following agents selected from: a CETP (cholesteryl ester transfer protein) inhibitor; a cholesterol absorption antagonist; a MTP (microsomal transfer protein) inhibitor ; a nicotinic acid derivative, including slow release and combination products; a phytosterol compound ; probucol; an anti-coagulant; an omega-3 fatty acid ; another anti-obesity compound for example sibutramine, phentermine, orlistat, bupropion, ephedrine, thyroxine; an antihypertensive compound for example an angiotensin converting enzyme (ACE) inhibitor, an angiotensin II receptor antagonist, an adrenergic blocker, an alpha adrenergic blocker, a beta adrenergic blocker, a mixed alpha/beta adrenergic blocker, an adrenergic stimulant, calcium channel blocker, an AT-I blocker, a saluretic, a diuretic or a vasodilator; a melanin concentrating hormone (MCH) modulator; an NPY receptor modulator; an orexin receptor modulator; a phosphoinositide-dependent protein kinase (PDK) modulator; or modulators of nuclear receptors for example LXR, FXR, RXR, GR, ERRα, β, PPARα, β, γ and RORalpha; a monoamine transmission-modulating agent, for example a selective serotonin reuptake inhibitor (SSRI), a noradrenaline reuptake inhibitor (NARI), a noradrenaline-serotonin reuptake inhibitor (SNRI), a monoamine oxidase inhibitor (MAOI), a tricyclic antidepressive agent (TCA), a noradrenergic and specific serotonergic antidepressant (NaSSA); an antipsychotic agent for example olanzapine and clozapine; a serotonin receptor modulator; a leptin/leptin receptor modulator; a ghrelin/ghrelin receptor modulator; a DPP-IV inhibitor; or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or carrier to a warm- blooded animal, such as man in need of such therapeutic treatment.
According to an additional further aspect of the present invention there is provided a combination treatment comprising the administration of an effective amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of very low calorie diets (VLCD) or low-calorie diets (LCD).
Therefore in an additional feature of the invention, there is provided a method for the treatment of obesity and its associated complications in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of a compound of formula I, or a pharmaceutically acceptable salt thereof in simultaneous, sequential or separate administration with an effective amount of a compound from one of the other classes of compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof. Therefore in an additional feature of the invention, there is provided a method of treating hyperlipidemic conditions in a warm-blooded animal, such as man, in need of such treatment which comprises administering to said animal an effective amount of a compound of formula I, or a pharmaceutically acceptable salt thereof in simultaneous, sequential or separate administration with an effective amount of a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof.
5 According to a further aspect of the invention there is provided a pharmaceutical composition which comprises a compound of formula I, or a pharmaceutically acceptable salt thereof, and a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in association with a pharmaceutically acceptable diluent or carrier.
I0 According to a further aspect of the present invention there is provided a kit comprising a compound of formula I, or a pharmaceutically acceptable salt thereof, and a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof. According to a further aspect of the present invention there is provided a kit comprising: is a) a compound of formula I, or a pharmaceutically acceptable salt thereof, in a first unit dosage form; b) a compound from one of the other classes of compounds described in this combination section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof; in a second unit dosage form; and
20 c) container means for containing said first and second dosage forms.
According to a further aspect of the present invention there is provided a kit comprising: a) a compound of formula I, or a pharmaceutically acceptable salt thereof, together with a pharmaceutically acceptable diluent or carrier, in a first unit dosage form; b) a compound from one of the other classes of compounds described in this combination 2s section or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in a second unit dosage form; and c) container means for containing said first and second dosage forms.
According to another feature of the invention there is provided the use of a compound of the formula I, or a pharmaceutically acceptable salt thereof, and one of the other 30 compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in the manufacture of a medicament for use in the the treatment of obesity and its associated complications in a warm-blooded animal, such as man.
According to another feature of the invention there is provided the use of a compound of the formula I, or a pharmaceutically acceptable salt thereof, and one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, in the manufacture of a medicament for use in the treatment of hyperlipidaemic conditions in a warm-blooded animal, such as man. According to a further aspect of the present invention there is provided a combination treatment comprising the administration of an effective amount of a compound of the formula I, or a pharmaceutically acceptable salt thereof, optionally together with a pharmaceutically acceptable diluent or carrier, with the simultaneous, sequential or separate administration of an effective amount of one of the other compounds described in this combination section, or a pharmaceutically acceptable salt, solvate, solvate of such a salt or a prodrug thereof, optionally together with a pharmaceutically acceptable diluent or s carrier to a warm-blooded animal, such as man in need of such therapeutic treatment.
Furthermore, a compound of the invention may also be combined with therapeutic agents that are useful in the treatment of disorders or conditions associated with obesity (such as type II diabetes, metabolic syndrome, dyslipidemia, impaired glucose tolerance, hypertension, coronary heart disease, non-alcoholic steatohepatitis, osteoarthritis and some o cancers) and psychiatric and neurological conditions.
It will be understood that there are medically accepted definitions of obesity and being overweight. A patient may be identified by, for example, measuring body mass index (BMI), which is calculated by dividing weight in kilograms by height in metres squared, and comparing the result with the definitions. 5 Pharmacological Activity
Compounds of the present invention are active against the receptor product of the CBl gene. The affinity of the compounds of the invention for central cannabinoid receptors is demonstrable in methods described in Devane et al , Molecular Pharmacology, 1988, 34,605 or those described in WO01/70700 or EP 656354. Alternatively the assay may be o performed as follows. lOμg of membranes prepared from cells stably transfected with the CBl gene were suspended in 200μl of 10OmM NaCl, 5mM MgCl2, ImM EDTA, 5OmM HEPES (pH 7.4), ImM DTT, 0.1% BSA and lOOμM GDP. To this was added an EC80 concentration of agonist (CP55940), the required concentration of test compound and 0.1 μCi [35S]-GTPyS. The reaction was allowed to proceed at 300C for 45 min. Samples were then transferred on to GF/B filters using a cell harvester and washed with wash buffer (5OmM Tris (pH 7.4), 5mM MgCl2, 5OmM NaCl). Filters were then covered with scintilant and counted for the amount of [35S]-GTPyS retained by the filter.
Activity is measured in the absence of all ligands (minimum activity) or in the presence of an EC80 concentration of CP55940 (maximum activity). These activities are set as 0% and 100% activity respectively. At various concentrations of novel ligand, activity is calculated as a percentage of the maximum activity and plotted. The data are fitted using the equation y=A+((B-A)/l+((C/x) UD)) and the IC50 value determined as the concentration required to give half maximal inhibition of GTPyS binding under the conditions used. The compounds of the present invention are active at the CBl receptor (IC50 <1 micromolar). Most preferred compounds have IC50 <200 nanomolar. For example the IC50 of Example 10 is 2.7 nM.
The compounds of the invention are believed to be selective CBl antagonists or inverse agonists. The potency, selectivity profile and side effect propensity may limit the clinical usefulness of hitherto known compounds with alleged CBl antagonistic/inverse agonistic properties. In this regard, preclinical evaluation of compounds of the present invention in models of gastrointestinal and/or cardiovascular function indicates that they offer significant advantages compared to representative reference CBl antagonist/inverse agonist agents. The compounds of the present invention may provide additional benefits in terms of potency, selectivity profile, bioavailability, half-life in plasma, blood brain permeability, plasma protein binding (for example higher free fraction of drug) or solubility compared to representative reference CBl antagonists/inverse agonist agents. The utility of the compounds of the present invention in the treatment of obesity and related conditions is demonstrated by a decrease in body weight in cafeteria diet-induced obese mice. Female C57B1/6J mice were given ad libitum access to calorie-dense
'cafeteria' diet (soft chocolate/cocoa-type pastry, chocolate, fatty cheese and nougat) and standard lab chow for 8-10weeks. Compounds to be tested were then administered systemically (iv, ip, sc or po) once daily for a minimum of 5 days, and the body weights of the mice monitored on a daily basis. Simultaneous assessment of adiposity was carried by means of DEXA imaging at baseline and termination of the study. Blood sampling was also carried out to assay changes in obesity-related plasma markers. Pharmacological Activity
Compounds of the present invention are active against the receptor product of the CBl gene. The affinity of the compounds of the invention for central caimabinoid receptors is demonstrable in methods described in Devane et al , Molecular Pharmacology, 1988, 34,605 or those described in WO01/70700 or EP 656354. Alternatively the assay may be performed as follows. lOμg of membranes prepared from cells stably transfected with the CBl gene were suspended in 200μl of 10OmM NaCl, 5mM MgCl2, ImM EDTA, 5OmM HEPES (pH 7.4), ImM DTT, 0.1% BSA and lOOμM GDP. To this was added an EC80 concentration of agonist (CP55940), the required concentration of test compound and 0.1 μCi [35S]-GTPyS. The reaction was allowed to proceed at 30°C for 45 min. Samples s were then transferred on to GF/B filters using a cell harvester and washed with wash buffer (5OmM Tris (pH 7.4), 5mM MgCl2, 5OmM NaCl). Filters were then covered with scintilant and counted for the amount of [35S]-GTPyS retained by the filter. Activity is measured in the absence of all ligands (minimum activity) or in the presence of an EC80 concentration of CP 55940 (maximum activity). These activities are set as 0% and 100% activity o respectively. At various concentrations of novel ligand, activity is calculated as a percentage of the maximum activity and plotted. The data are fitted using the equation y=A+((B-A)/l+((C/x) TJD)) and the IC50 value determined as the concentration required to give half maximal inhibition of GTPyS binding under the conditions used.The compounds of the present invention are active at the CBl receptor (IC50 <1 micromolar). 5 Most preferred compounds have IC50 <200 nanomolar.
The compounds of the invention are believed to be selective CBl antagonists. Methods of Preparation
Figure imgf000026_0001
Step C
Figure imgf000026_0002
The present invention provides a process for the preparation of a compound of formula I comprising reacting a compound of formula II
Figure imgf000027_0001
in which Het and R3 are as previously defined with Lawesson's reagent in the presence of a diluent for example toluene at a temperature in the range of 50°C to 2500C preferably 100°C to 200°C.
Examples
Abbreviations
AcOH acetic acid aq aqueous
DCM dichloromethane
DMF dimethylformamide
DEA diethylamine
DEAD diethyl azodicarboxylate
DIEA N.N-diisopropylethylamme
DMAP 4-dimethylaminopyridine
EtOAc ethyl acetate
Et3N triethylamine
Ex or EX Example
LiHMDS lithium hexamethyldisilazide
NH4Ac ammonium acetate
MeOH methanol
MeCN acetonitrile rt or RT room temperature
TEA triethylamine
THF tetrahydrofuran t triplet
S singlet d doublet q quartet qvint quintet m multiplet br broad bs broad singlet dm doublet of multiplet bt broad triplet dd doublet of doublet
General Experimental Procedures Mass spectra were recorded on either a Micromass ZQ single quadrupole or a Micromass LCZ single quadrupole mass spectrometer both equipped with a pneumatically assisted electrospray interface (LC-MS). 1H NMR measurements were performed on either a Varian Mercury 300 or a Varian Inova 500, operating at 1H frequencies of 300 and 500 MHz respectively. Chemical shifts are given in ppm with CDCl3 as internal standard. CDCl3 is used as the solvent for NMR unless otherwise stated. Purification was performed on a semipreparative HPLC ( High Performance Liquid Chromatography ) with a mass triggered fraction collector, Shimadzu QP 8000 single quadrupole mass spectrometer equipped with 19 x 100 mm C8 column. The mobile phase used was, if nothing else is stated, acetonitrile and buffer (0.1 M ammonium acetate:acetonitrile 95:5). For isolation of isomers, a Kromasil CN E9344 (250 x 20 mm i.d.) column was used. Heptane:ethyl acetate:DEA 95:5:0.1 was used as mobile phase (1 ml/min). Fraction collection was guided using a UV-detector (330 nm).
Typical HPLC-parameters for purity analysis:
HPLC-system: Agilent 1100 Column: Zorbax Eclipse XDB-C8 150x4.6 mm
Time of analysis: 15 min
Flow: 1.5 ml/min
Mobilphase: A: water, 5% MeOH
B: MeOH Temperature: 40 0C
Detector: Uv 240nm Example 1
Step A 1 -(4-B enzyloxyphenvD-propan- 1 -one
To a solution of 4-hydroxypropiophenone (50 g, 0.3329 mol) in dry acetone (500 ml) was added benzyl bromide (56.94 g, 0.333 mol) followed by anhydrous K2CO3 (91.8 g, 0.665 mol). Reaction mixture was boiled under reflux for 18h, cooled to RT, filtered and filtrate was concentrated to yield 4-benzyloxy propiophenone (75 g, 93%) as a white solid.
Step B Lithium l-(4-benzyloxyphenylV3-ethoxycarbonyl-2-methyl-3-oxo-propen-l-olate To a solution of 4-benzyloxypropiophenone (50 g, 0.2083 mol) in dry THF (500 ml) at O0C was added LiHMDS (IM solution in THF, 208.3 ml) dropwise over a period of Ih under a nitrogen atmosphere. The reaction mixture was stirred at O0C for lhr. Diethyl oxalate was added (33.49 g, 0.2296 mol) dropwise. The reaction mixture was allowed to warm to RT and stirred at RT for 16 hrs under a nitrogen atmosphere. The reaction mixture was concentrated in the rotavap at RT. Dry diethyl ether (1 L) was added to the residue and the solid was collected by filtration, washed with dry ether, and dried under vacuum to yield lithium salt of the diketoester (50 g) as yellow solid.
Step C 4-(4-Benzyloxyphenyl)-4-[(2,4-dichlorophenyl)-hvdrazonol-3-methyl-2-oxo- butyric acid ethyl ester A mixture of lithium salt from step C (50 g, 0.1461 mol) and 2,4-dichlorophenylhydrazine hydrochloride (34.33 g, 0.1608 mol) in ethanol (500 ml) was stirred at RT under a nitrogen atmosphere for 18 hrs. The precipitate was filtered, washed with dry ether and dried under vacuum to yield hydrazone intermediate (35 g).
Step D Ethyl 5-r4-(benzyloxy)phenyll-l-(2,4-dichlorophenyl)-4-methyl-lH-pγrazole-3- carboxylate
Hydrazone intermediate (35 g) was dissolved in acetic acid (250 ml) and heated under reflux for 18 hrs. Reaction mixture was poured into cold water (2 L) and extracted with ethyl acetate (2 x 500 ml). Combined organic layer was washed with water, sat. NaHCO3 and brine, dried over Na2SO4, concentrated and purified by column chromatography over silica gel using 20% ethyl acetate in petroleum ether as eluent to yield the title compound as yellow solid. Step E 5-[4-(benzyloxy)phenyl1-N-cyclohexyl-l-('2,4-dichloroplienylV4-methyl-lH- pyrazole-3 -carboxamide
Cyclohexylamine hydrochloride (1.63 g, 12.0 mmol) was suspended in anhydrous toluene (12 mL) under an atmosphere of Argon. Upon cooling to 0 0C trimethylaluminium (6.0 mL, 2.0 M in toluene, 12 mmol) was added dropwise at such a rate as to keep the evolution of methane under control. The obtained mixture was stirred at 0 0C for 1 h and then at ambient temperature for additional two hours before use. It was assumed that the formation of the desired aluminium amide was quantitative and the concentration thereof was thus calculated to be ca 0.67 M [c=12.0/(12+6.0)]. At that point ethyl 5-[4-(benzyloxy)phenyl]- l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazole-3-carboxylate (1.93 g, 4.00 mmol) was added in one portion to the prepared aluminium amide and the resulting orange-coloured suspension was heated at 50 0C overnight. Upon cooling to 0 °C the reaction was quenched by the dropwise addition of HCl (aq., 2 M). The addition continued until no further evolution of gas could be observed and at that point the ice bath was removed and the mixture was allowed to stir at ambient temperature for an additional hour. The obtained mixture was transferred to a separation funnel with the aid OfCH2Cl2(IOO mL). H2O (100 mL) was added and the pH of the aqueous phase was adjusted to 4-6. The organic phase was separated and the aqueous phase was extracted further with CH2Cl2 (4 x 30 mL). The collected organic phases were combined and washed with brine before drying over MgSO4. Upon evaporation of the solvents the obtained residue was purified by column chromatography (silica gel, EtOAc-CH2Cl2, 0-5 %) to yield the 5-[4-(benzyloxy)phenyl]- N-cyclohexyl-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazole-3-carboxamide (2.04 g, 3.83 mmol, 96 %) as a yellow solid.
1Η ΝMR (500 MHz, CDC13) δ 7.50-7.24 (m, 8H), 7.06 (d, 2H, J=8.8 Hz), 6.92 (d, 2H, J=8.8 Hz), 6.85 (br d, IH, J=8.4 Hz), 5.05 (s, 2H), 4.05-3.90 (m, IH), 2.39 (s, 3H), 2.10- 1.98 (m, 2H), 1.82-1.72 (m, 2H), 1.70-1.60 (m, IH), 1.50-1.36 (m, 2H), 1.34-1.14 (m, 3H).
Step F N-cvclohexyl-l-(2,4-dichlorophenyl)-5-(4-hydroxyphenyl')-4-methyl-lH-Pyrazole- 3 -carboxamide The 5-[4-(ben2yloxy)phenyl]-N-cyclohexyl-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazole- 3-carboxamide (2.030 g, 3.80 mmol) was dissolved in anhydrous CH2Cl2 (38 mL) under an atmosphere of Argon (Ar). Dimethyl sulfide (5.6 mL, 76 mmol) was added in one portion and, finally, boron trifluoride-diethyl etherate (4.8 mL, 38 mmol) was added during 5 min. After stirring the reaction mixture at ambient temperature for 4 days it was transferred to a separation funnel with the aid Of CH2Cl2 (100 mL). ΝaHCCβ (aq., sat., 150 mL) was added. The organic phase was separated and the aqueous phase was extracted further with CH2Cl2 (3 x 50 mL). The collected organic phases were dried over MgSO4. Upon evaporation of the solvents the obtained residue was purified by column chromatography (silica gel, EtOAc-CH2Cl2, 0- 15 %) to yield the N-cyclohexyl- 1 -(2,4-dichloroρhenyl)-5-(4- hydroxyphenyl)-4-methyl-lH-pyrazole-3-carboxamide (1.637 g, 3.68 mmol, 97 %) as an off-white powder.
1Η ΝMR (500 MHz, CDC13) 67.43 (s, IH), 7.31-7.26 (m, 2H), 6.99 (d, 2H, J=8.7 Hz), s 6.90 (br d, IH, J=8.3 Hz), 6.82 (d, 2H, J=8.7 Hz), 6.19 (br s, IH), 4.02-3.89 (m, IH), 2.37 (s, 3H), 2.08-1.96 (m, 2H), 1.82-1.70 (m, 2H), 1.70-1.58 (m, IH), 1.48-1.34 (m, 2H), 1.34- 1.12 (m, 3H).
Step G 4-[3-r(cyclohexylamino)carbonyl]-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazol-5- 0 yllphenyl propane- 1 -sulfonate
The N-cyclohexyl-l-(2,4-dichlorophenyl)-5-(4-hydroxyphenyl)-4-methyl-lH-pyrazole-3- carboxamide (0.910 g, 2.05 mmol) was suspended in anhydrous CH2Cl2 (20 mL) under an atmosphere of Argon and triethylamine (430 μL, 0.31 g, 3.07 mmol) was added in one portion. Upon cooling to 0 °C propanesulfonyl chloride (270 μL, 0.35 g, 2.5 mmol) was 5 added dropwise during 5 min. When the addition had been completed the ice bath was removed and the reaction mixture was allowed to reach ambient temperature. After stirring overnight the mixture was transferred to a separation funnel with the aid of CH2Cl2 (130 mL). The organic phase was then washed with H2O (40 mL) and brine, and finally dried over MgSO4. Upon evaporation of the solvents the obtained residue was purified by o column chromatography (silica gel, EtOAc- CH2Cl2, 0-8 %) to yield the 4-[3-
[(cyclohexylamino)carbonyl]-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazol-5-yl]phenyl propane- 1 -sulfonate (1.117 g, 2.03 mmol, 99 %) as apinkish solid. 1H NMR (500 MHz, CDCl3) δ 7.44 (s, IH), 7.36-7.28 (m, 2H), 7.24 (d, 2H, J=8.8 Hz),
7.18 (d, 2H, J=8.8 Hz), 6.84 (br d, IH, J=8.4 Hz), 4.04-3.90 (m, IH), 3.30-3.20 (m, 2H), 2.40 (s, 3H), 2.10-1.96 (m, 4H), 1.84-1.72 (m, 2H), 1.72-1.60 (m, IH), 1.50-1.36 (m, 2H), 1.34-1.16 (m, 3H), 1.14 (t, 3H, J=7.4 Hz).
Step H 4- [3 - [(cyclohexylamino)carbonothioyli - 1 -(2.4-dichlorophenylV4-methyl- 1 H- pyrazol-5-yl]phenyl propane- 1 -sulfonate The 4-[3-[(cyclohexylamino)carbonyl]-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazol-5- yljphenyl propane- 1 -sulfonate (0.300 g, 0.545 mmol) and Lawesson's reagent (0.441 g, 1.09 mmol) were suspended in toluene (22 mL) and heated in a microwave oven (single node heating) at 150 °C for 10 min. Upon cooling the solvents were evaporated and the obtained residue was purified by column chromatography (silica gel, CH2Cl2) to yield the 4-[3-[(cyclohexylamino)carbonothioyl]-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazol-5- yl]phenyl propane- 1 -sulfonate (0.307 g, 0.542 mmol, 99 %) as a yellow viscous oil, which solidified upon standing. 1HNMR (500 MHz, CDCl3) 58.62 (br d, IH, J=8.2 Hz), 7.44 (s, IH), 7.34-7.22 (m, 4H),
7.19 (d, 2H, J=8.8 Hz), 4.66-4.52 (m, IH), 3.32-3.20 (m, 2H), 2.49 (s, 3H), 2.22-2.16 (m, 2H), 2.10-1.96 (m, 2H), 1.86-1.74 (m, 2H), 1.74-1.64 (m, IH), 1.56-1.42 (m, 2H), 1.42- 1.31 (m, 2H), 1.31-1.18 (m, IH), 1.14 (t, 3H, J=7.4 Hz).
HRMS Calcd for [C26H29C12N3O3S2+H]+: 566.1106. Found: 566.1130.
The compounds listed below were prepared by methods analogous to those described above with Lawesson's reagent heated in a microwave oven or with conventional heating.
The starting carboxamides may be obtained as described in EP 656354 (pyrazoles), WO03/27076 (imidazoles), pyrroles ( WO2004/058249), thiazoles (WO2004/058249), pyrazines (WO03/051851) and pyridines by methods analogous to those in WO03/051851.
It will be appreciated by those skilled in the art that certain groups that might interfere in this reaction may be protected before the reaction with Lawesson's reagent and then deprotected after the reaction by methods known to those skilled in the art. For example a hydroxymethyl substituent may be protected as methoxymethyl or benzyloxymethyl and then regenerated by methods known to those skilled in the art after reaction with
Lawesson's reagent. Example 2
5-(4-Chlorophenyl)-l-(2,4-dichlorophenyl)-4-methyl-lH-pyrazole-3-car bothioic acid (4,4-difluorocyclohexyl)amide.
Example 3 5 -(2,4-Dichlorophenyl)- 1 -(4-methoxyphenyl)-2-methyl- 1 H-pyrrole-3 -carbothioic acid
(4,4-difhiorocyclohexyl)amide.
Example 4
5,6-Bis-(4-chloroplienyl)-3-metlioxymetliyl-pyrazine-2-carbotliioic acid (4,4-difluoro- cyclohexyl)amide. Example 5
5,6-Bis-(4-chlorophenyl)pyrazine-2-carbothioic acid cyclohexylamide.
Example 6
5,6-Bis-(4-chlorophenyl)pyrazine-2-carbothioic acid (4,4-difluorocyclohexyl)amide.
The compounds listed below are prepared by methods analogous to those described above s with Lawesson's reagent heated in a microwave oven or with conventional heating.
Pyrazoles:
1) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(4,4- difluorocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenylester
2) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(2- o hydroxy cyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3 -yl] -phenyl ester
3) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(2- dimethylaminocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester
4) 3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(4,4- difluorocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3 -yl] -phenyl ester 5 5) l-(2,4-Dichloro-phenyl)-4-methyl-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-pyrazole- 3-carbothioic acid (4,4-difluoro-cyclohexyl)amide
6) l-(2,4-Dichloro-phenyl)-5-[4-(3-fluoropropoxy)-phenyl]-4-methyl-lH-pyrazole-3- carbothioic acid (4,4-difluoro-cyclohexyl)amide
7) 3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(3-hydroxy- 0 cyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]phenyl ester
8) 3 -Fluoro-propane-1 -sulfonic acid 4-[5-(3-amino-cyclohexylthiocarbamoyl)-2-(2,4- dichloro-phenyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester 9) 3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichlorophenyl)-4-methyl-5-(5- trifluoromethyl-pyridin-2-ylthiocarbamoyl)-2H-pyrazol-3-yl]phenyl ester
Imidazoles 1) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-plienyl)-4-(4,4- difluorocyclohexylthiocarbamoy^-S-methyl-imidazol-l-ylJ-phenyl ester
2) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(2-hydroxy- cyclohexylthiocarbamoyty-S-methyl-imidazol-l-ylJ-phenyl ester
3) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(2-dimethylamino- cyclohexylthiocarbamoyty-S-methyl-imidazol-l-yrj-phenyl ester
4) 3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(4,4-difluoro- cyclohexylthiocarbamoy^-S-methyl-imidazol-l-ylj-phenyl ester
5) 2-(2,4-Dichloro-phenyl)-5-methyl-l-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-imidazole- 4-carbothioic acid (4,4-difluoro-cyclohexyl)-amide 6) 2-(2,4-Dichloro-phenyl)-l-[4-(3-fluoro-propoxy)-phenyl]-5-methyl-lH-imidazole-4- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
7) 3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(3-hydroxy- cyclohexylthiocarbamoy^-S-methyl-imidazol-l-yrj-phenyl ester
8) 3 -Fluoro-propane-1 -sulfonic acid 4-[4-(3-amino-cyclohexylthiocarbamoyl)-2-(2,4- dichloro-phenyl)-5-methyl-imidazol-l-yl]-phenyl ester
9) 3 -Fluoro-propane-1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-metliyl-4-(5- trifluoromethyl-pyridin-2-ylthiocarbamoyl)-imidazol-l-yl]-phenyl ester
Pyrroles 1) 3-Fluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(3-hydroxy- cyclohexylthiocarbamoyl)-2-methyl-pyrrol- 1 -yl] -phenyl ester
2) 3-Fluoro-propane-l-sulfonic acid 4-[3-(3-amino-cyclohexylthiocarbamoyl)-5-(2,4- dichloro-phenyl)-2-methyl-pyrrol- 1 -yl] -phenyl ester
3) 3-Fluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-2-methyl-3-(5- trifluoromethyl-pyridin-2-ylthiocarbamoyl)-pyrrol- 1 -yl]-phenyl ester
4) 3-Fluoro-propaiie-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(4,4-difluoro- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester 5) 5-(2,4-Dichloro-phenyl)-2-methyl-l-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-pyrrole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
6) 5 -(2,4-Dichloro-phenyl)- 1 - [4-(3 -fluoro-propoxy)-phenyl] -2-methyl- 1 H-pyrrole-3 - carbothioic acid (4,4-difluoro-cyclohexyl)-amide 7) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(2-dimethylainino- cyclohexylthiocarba moyl)-2-methyl-pyrrol- 1 -yl] -phenyl ester
8) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(2-hydroxy- cyclohexylthiocarbamoyl)-2-methyl-pyrrol- 1 -yl] -phenyl ester 9) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)~3-(4,4-difluoro- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
Thiazoles
1) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(4,4-difluoro- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
2) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(2-hydroxy- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
3) 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(2-dimethylamino- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester 4) 3-Fluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(4,4-difluoro- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
5) 4-(2,4-Dichloro-phenyl)-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-thiazole-2-carbothioic acid (4,4-difluoro-cyclohexyl)-amide
Pyrazines
1) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (1- hydroxymethyl-3-methyl-butyl)amide
2) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (2-hydroxy- cyclohexyl)amide 3) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (2- dimethylamino-cyclohexyl)amide 4) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (3-hydroxy- cyclohexyl)amide
5) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (3-amino- cyclohexyl)amide 6) 6-(4-Chloro-phenyl)-3-methoxymethyl-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-pyrazine- 2-carbothioic acid (4,4-difluoro-cyclohexyl)amide
Pyridines
1) 5,6-Bis-(4-chloro-phenyl)-N-(4,4-difluoro-cyclohexyl)-2-methoxymethyl- thionicotinamide
2) 5,6-Bis-(4-chloro-phenyl)-N-(2-hydroxy-cyclohexyl)-2-methoxymethyl- thionicotinamide
3) 5,6-Bis-(4-chloro-phenyl)-N-(2-dimethylammo-cycloliexyl)-2-metlioxymethyl- thionicotinamide 4) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethylpyridine-2-carbothioic acid (3-hydroxy- cyclohexyl)amide
5) 5,6-Bis-(4-chloro-phenyl)-3-methoxymetliylpyridine-2-carbothioic acid (3-amino- cyclohexyl)amide
6) 5-(4-Chloro-pb.enyl)-N-(4,4-difluorocyclohexyl)-2-methoxymethyl-6-[4-(3,3,3-trifluoro- propoxy)-phenyl]-thionicotinamide
7) 5,6-Bis-(4-chloro-phenyl)-3-methoxymethylpyridine-2-carbothioic acid (1- hydroxymethyl-3 -methylbutyl)amide

Claims

Claims
1. A compound of formula (I)
HET J(
NHR
including pharmaceutically acceptable salts thereof wherein HET represents
a) a group of formula A
Figure imgf000037_0001
b) a group of formula B
Figure imgf000037_0002
B c) a group of formula C
Figure imgf000038_0001
d) a group of formula D
Figure imgf000038_0002
e) a group of formula E
Figure imgf000038_0003
f) ) a group of formula F
Figure imgf000039_0001
g) a group of formula G
Figure imgf000039_0002
wherein
R1 represents a) a C1-1OaIkOXy group optionally substituted by one or more fluoro b) a group of formula phenyl(CH2)pO- in which p is 1 , 2 or 3 and the phenyl ring is optionally substituted by 1, 2 or 3 groups represented by Z, c) a group R5S(O)2O in which R5 represents a C1-1OaIlCyI group optionally substituted by one or more fluoro or d) halo or e) a Ci-4alkyl group ;
m is 0, 1, 2 or 3;
R2 represents a C^aUcyl group, a C1-3alkoxy group, hydroxy, nitro, cyano or halo n is O, 1, 2 or 3;
R3 represents a) cyclohexyl optionally substituted by one or more of the following: hydroxy, fluoro, amino, mono or di C^alkylamino b) piperidino optionally substituted by one or more hydroxy c) phenyl optionally substituted by one or more of the following: hydroxy, halo or a Ci-4alkyl group d) pyridyl optionally substituted by a C1-4alkyl group or e) a C4-9alkyl group; and
R4 represents H, a C^aUcyl group, a C1-6alkoxy group or a Ci-ealkoxyCi-βalkylene group which contains a maximum of 6 carbon atoms, each of which groups is optionally substituted by one or more hydroxy, fluoro, amino, monoC1-4alkylamino,diC1-4alkylamino or cyano.
2. A compound according to claim 1 wherein HET represents a group of formula A and R1, R2, R3, R4, n and m are as previously defined.
3. A compound according to claim 1 wherein HET represents a group of formula B and R1, R2, R3, R4, n and m are as previously defined.
4. A compound according to claim 1 wherein HET represents a group of formula C and R1, R2, R3, R4, n and m are as previously defined.
5. A compound according to claim 1 wherein HET represents a group of formula D and R1, R2, R3, R4, n and m are as previously defined.
6. A compound according to claim 1 wherein HET represents a group of formula E and R1, R2, R3, R4, n and m are as previously defined.
7. A compound according to claim 1 wherein HET represents a group of formula F and R1, R2, R3, R4, n and m are as previously defined.
8. A compound according to claim 1 wherein HET represents a group of formula G and R1, R2, R3, R4, n and m are as previously defined.
9. A compound selected from one or more of the following: 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(4,4- difluorocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenylester 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(2- hydroxycyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-ρhenyl ester 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(2- dimethylaminocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl] -phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(4,4- difluorocyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester l-(2,4-Dichloro-phenyl)-4-methyl-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-pyrazole-3- carbothioic acid (4s4-difluoro-cyclohexyl)-amide l-(2,4-Dichloro-phenyl)-5-[4-(3-fluoro-propoxy)-phenyl]-4-methyl-lH-pyrazole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-(3-hydroxy- cyclohexylthiocarbamoyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester 3 -Fluoro-propane- 1 -sulfonic acid 4- [5 -(3 -amino-cyclohexylthiocarbamoy l)-2-(2,4- dichloro-phenyl)-4-methyl-2H-pyrazol-3-yl]-phenyl ester
3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-methyl-5-(5- trifluoromethyl-pyridm-2-ylthiocarbamoyl)-2H-pyrazol-3-yl]-phenyl ester 3,3,3-Trifiuoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(4,4- difluorocy clohexylthiocarbamoyl)-5 -methyl-imidazol- 1 -yl] -phenyl ester 3 ,3 ,3 -Trifluoro-propane- 1 -sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(2-hydroxy- cyclohexylthiocarbamoy^-S-methyl-imidazol-l-ylJ-plienyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(2-dimethylamino- cyclohexylthiocarbamoy^-S-methyl-imidazol-l-ylJ-phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(4,4-difiuoro- cyclohexylthiocarbamoy^-S-methyl-imidazol-l-ylJ-phenyl ester
2-(2,4-Dichloro-phenyl)-5-methyl-l-[4-(3,3,3-trifiuoro-propoxy)-phenyl]-lH-imidazole-4- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
2-(2,4-Dichloro-phenyl)-l-[4-(3-fluoro-propoxy)-phenyl]-5-methyl-lH-imidazole-4- carbothioic acid (4,4-difiuoro-cyclohexyl)-amide 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-4-(3-hydroxy- cyclohexylthiocarbamoy^-S-methyl-imidazol-l-ylJ-phenyl ester 3-Fluoro-propane- 1 -sulfonic acid 4-[4-(3-amino-cyclohexylthiocarbamoyl)-2-(2,4- dichloro-phenyl)-5-methyl-imidazol-l-yl]-phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[2-(2,4-dichloro-phenyl)-5-methyl-4-(5- trifiuoromethyl-pyridin-2-ylthiocarbamoyl)-imidazol-l-yl]-phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(3-hydroxy- cyclohexylthiocarbamoyl)-2-methyl-pyrrol- 1 -yl]-phenyl ester 3-Fluoro-propane-l-sulfonic acid 4-[3-(3-amino-cyclohexylthiocarbamoyl)-5-(2,4- dichloro-phenyl)-2-methyl-pyrrol- 1 -yl]-phenyl ester
3-Fluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-2-methyl-3-(5- trifluoromethyl-pyridin-2-ylthiocarbamoyl)-pyrrol- 1 -yl]-phenyl ester 3 -Fluoro-propane-1 -sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(4,4-difluoro- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
5-(2,4-Dichloro-phenyl)-2-methyl-l-[4-(3,3,3-trifluoro-propoxy)-phenyl]-lH-pyrrole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
5-(2,4-Dichloro-ph.enyl)-l-[4-(3-fluoro-propoxy)-phenyl]-2-metliyl-lH-pyrrole-3- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(2-dimethylamino- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid4-[5-(2,4-dichloro-phenyl)-3-(2-hydroxy- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester 3,3,3-Trifluoro-propane-l-sulfonic acid 4-[5-(2,4-dichloro-phenyl)-3-(4,4-difluoro- cyclohexylthiocarbamoyl)-2-methyl-pyrrol-l-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(4,4-difluoro- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(2-hydroxy- cyclohexylthiocarbamoyty-thiazol-S-ylJ-phenyl ester
3,3,3-Trifluoro-propane-l-sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(2-dimethylamino- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester
3-Fluoro-propane- 1 -sulfonic acid 4-[4-(2,4-dichloro-phenyl)-2-(4,4-difluoro- cyclohexylthiocarbamoyl)-thiazol-5-yl]-phenyl ester 4-(2,4-Dichloro-phenyl)-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-tliiazole-2-carbothioic acid
(4,4-difluoro-cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (4,4-difluoro- cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (2-hydroxy- cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (2- dimethylamino-cyclohexyl)-amide 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (3-hydroxy- cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (3-amino- cyclohexyl)-amide 6-(4-Chloro-phenyl)-3-methoxymethyl-5-[4-(3,3,3-trifluoro-propoxy)-phenyl]-pyrazine-2- carbothioic acid (4,4-difluoro-cyclohexyl)-amide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyrazine-2-carbothioic acid (l- hydroxymethyl-3-methyl-butyl)-amide
5,6-Bis-(4-chloro-phenyl)-N-(4,4-difluoro-cyclohexyl)-2-metlioxymethyl-thionicotinamide 5,6-Bis-(4-chloro-phenyl)-N-(2-hydroxy-cyclohexyl)-2-methoxymethyl-thionicotinamide
5,6-Bis-(4-chloro-phenyl)-N-(2-dimetliylamino-cyclohexyl)-2-met]ioxymethyl- thionicotinamide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyridine-2-carbothioic acid (3-hydroxy- cyclohexyl)-amide 5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyridine-2-carbotliioic acid (3-amino- cyclohexyl)-amide
5-(4-Chloro-phenyl)-N-(4,4-difluoro-cyclohexyl)-2-methoxymetliyl-6-[4-(3,333-trifluoro- propoxy)-phenyl]-thionicotinamide
5,6-Bis-(4-chloro-phenyl)-3-methoxymethyl-pyridine-2-carbothioic acid (l- hydroxymethyl-3-methyl-butyl)-amide and pharmaceutically acceptable salts thereof.
10. A compound of formula I as claimed in any one of claims 1 to 9 for use as a medicament.
11. A pharmaceutical formulation comprising a compound of formula I as claimed in any one of claims 1 to 9 and a pharmaceutically acceptable adjuvant, diluent or carrier.
12. Use of a compound of formula I as claimed in as claimed in any one of claims 1 to 9 in the preparation of a medicament for the treatment or prophylaxis of obesity, psychiatric disorders such as psychotic disorders, schizophrenia and bipolar disorders, anxiety, anxio- depressive disorders, depression, cognitive disorders, memory disorders, obsessive- compulsive disorders, anorexia, bulimia, attention disorders, epilepsy and related conditions, and neurological disorders, Parkinson's Disease, Huntington's Chorea and Alzheimer's Disease, immune, cardiovascular, reproductive and endocrine disorders, septic shock, diseases related to the respiratory and gastrointestinal systems, and extended abuse, addiction and/or relapse indications.
13. A method of treating obesity, psychiatric disorders, psychotic disorders, schizophrenia and bipolar disorders, anxiety, anxio-depressive disorders, depression, cognitive disorders, memory disorders, obsessive-compulsive disorders, anorexia, bulimia, attention disorders, epilepsy and related conditions, neurological disorders, Parkinson's Disease, Huntington's Chorea and Alzheimer's Disease, immune, cardiovascular, reproductive and endocrine disorders, septic shock, diseases related to the respiratory and gastrointestinal system, and extended abuse, addiction and/or relapse indications, comprising administering a pharmacologically effective amount of a compound of formula I as claimed in as claimed in any one of claims 1 to 9 to a patient in need thereof.
14. A compound as defined in as claimed in any one of claims 1 to 9 for use in the treatment of obesity.
15. A process for the preparation of compounds of formula I comprising reacting a compound of formula II
Figure imgf000044_0001
in which Het and R3 are as previously defined with Lawesson's reagent in the presence of a diluent at a temperature in the range of 50°C to 250°C.
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