WO2007071055A1 - Compositions and methods for modulating gated ion channels - Google Patents

Compositions and methods for modulating gated ion channels Download PDF

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WO2007071055A1
WO2007071055A1 PCT/CA2006/002105 CA2006002105W WO2007071055A1 WO 2007071055 A1 WO2007071055 A1 WO 2007071055A1 CA 2006002105 W CA2006002105 W CA 2006002105W WO 2007071055 A1 WO2007071055 A1 WO 2007071055A1
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compound
substituted
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alkyl
unsubstituted
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PCT/CA2006/002105
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WO2007071055A8 (en
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Rahul Vohra
Kazimierz Babinski
Jean-Louis Brochu
Deogratias Ntirampebura
Chang-Qing Wei
Robert Joseph Zamboni
Ayub A. Reayi
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Painceptor Pharma Corporation
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Priority to BRPI0620113A priority Critical patent/BRPI0620113A2/en
Priority to CA002634491A priority patent/CA2634491A1/en
Priority to AU2006329202A priority patent/AU2006329202A1/en
Priority to EP06840532A priority patent/EP1968968A1/en
Priority to JP2008546060A priority patent/JP2009520700A/en
Publication of WO2007071055A1 publication Critical patent/WO2007071055A1/en
Publication of WO2007071055A8 publication Critical patent/WO2007071055A8/en
Priority to IL192214A priority patent/IL192214A0/en

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    • C07D239/86—Quinazolines; Hydrogenated quinazolines with hetero atoms directly attached in position 4
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    • A61K31/5375—1,4-Oxazines, e.g. morpholine
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Definitions

  • the present invention relates to compositions which modulate the activity of gated ion channels and methods and uses thereof.
  • Mammalian cell membranes are important to the structural integrity and activity of many cells and tissues.
  • trans-membrane gated ion channels which act to directly and indirectly control a variety of pharmacological, physiological, and cellular processes.
  • Numerous gated ion channels have been identified and investigated to determine their roles in cell function. Gated ion channels are involved in receiving, integrating, transducing, conducting, and transmitting signals in a cell, e.g., a neuronal or muscle cell. Gated ion channels can determine membrane excitability. Gated ion channels can also influence the resting potential of membranes, shape and frequencies of action potentials, and thresholds of excitation.
  • Gated ion channels are typically expressed in electrically exciTable cells, e.g., neuronal cells, and are multimeric. Gated ion channels can also be found in nonexciTable cells (e.g. , adipose cells or liver cells), where they can play a role in, for example, signal transduction.
  • electrically exciTable cells e.g., neuronal cells
  • nonexciTable cells e.g. , adipose cells or liver cells
  • gated ion channels that are responsive to, for example, modulation of voltage, temperature, chemical environment, pH, ligand concentration and/or mechanical stimulation.
  • specific modulators include: ATP, capsaicin, neurotransmitters (e.g., acetylcholine), ions, e.g., Na + , Ca + , K + , Cl " , H + , Zn + , Cd + , and/or peptides, e.g., FMRF.
  • Examples of gated ion channels responsive to these stimuli are members of the DEG/ENaC, TRPV and P2X gene superfamilies.
  • DEG/ENaC proteins are membrane proteins which are characterized by two transmembrane spanning domains, intracellular N- and C-termini and a cysteine-rich extracellular loop.
  • DEG/ENaC channels are either constitutively active like epithelial sodium channels (ENaC) which are involved in sodium homeostasis, or activated by mechanical stimuli as postulated for C.
  • elegans degnerins or by ligands such as peptides as is the case for FaNaC from Helix aspersa which is a FMRF amide peptide-activated channel and is involved in neurotransmission, or by protons as in the case for the acid sensing ion channels (ASICs).
  • ligands such as peptides as is the case for FaNaC from Helix aspersa which is a FMRF amide peptide-activated channel and is involved in neurotransmission, or by protons as in the case for the acid sensing ion channels (ASICs).
  • ASICs acid sensing ion channels
  • ⁇ ENaC also known as SCNNlA or scnnlA
  • ⁇ ENaC also known as SCNNlB or scnnlB
  • ⁇ ENaC also known as SCNNlG or scnnlG
  • ENaCd SCNNlD, scnnlD and dNaCh
  • ASICIa also known as ASIC, ASICl, BNaC2, hBNaC2, ASICalpha, ACCN2, Accn2 and accn2
  • ASICIb also known as ASICbeta
  • ASIC2a also known as BNCl, MDEG, mDEG, MDEGl, BNaCl, ASIC2, ACCNl, Accnl and accnl
  • ASIC2b also known as MDEG2, ACCNl variant 2
  • ASIC3 also known as hASIC3, DRASIC, TNaCl
  • P2Xi also known as P2RX 1
  • P2X 2 also known as P2RX2
  • P2X 3 also known as P2RX3
  • P2X 4 also known as P2RX4
  • P2X 5 also known as P2RX5
  • P2X 6 also known as P2RX6
  • P2X 7 also known as P2RX7
  • P2X protein structure is similar to ASIC protein structure in that they contain two transmembrane spanning domains, intracellular N- and C-termini and a cysteine-rich extracellular loop.
  • P2X receptors All P2X receptors open in response to the release of extracellular ATP and are permeable to small ions and some have significant calcium permeability. P2X receptors are abundantly distributed on neurons, glia, epithelial, endothelia, bone, muscle and hematopoietic tissues. For a recent review on this gene superfamily, see North, R.A. (2002) Physiol. Rev. 82:1013, incorporated herein by reference.
  • TRPVl The receptor expressed in sensory neurons that reacts to the pungent ingredient in chili peppers to produce a burning pain is the capsaicin (TRPV or vanilloid) receptor, denoted TRPVl (also known as VRl, TRPVlalpha, TRPVlbeta).
  • TRPVl receptor forms a nonselective cation channel that is activated by capsaicin and resiniferatoxin (RTX) as well as noxious heat (>43°C), with the evoked responses potentiated by protons, e.g., H + ions.
  • Acid pH is also capable of inducing a slowly inactivating current that resembles native proton-sensitive current in some dorsal root ganglia neurons. Expression of TRPVl, although predominantly in primary sensory neurons, is also found in various brain nuclei and the spinal cord (Physiol. Genomics 4:165-174, 2001).
  • TRP V2 also known as VRLl and VRL
  • TRPV4 also known as VRL-2, Trpl2, VROAC, OTRPC4
  • this family of receptors e.g., the TRPV or vanilloid family
  • TRPV (vanilloid) receptors see Szallasi, A. and Blumberg, P.M. (1999) Pharmacol. Rev. 51 : 159, incorporated herein by reference.
  • the ability of the members of the gated ion channels to respond to various stimuli for example, chemical ⁇ e.g., protons), thermal and mechanical stimuli, and their location throughout the body, e.g., small diameter primary sensory neurons in the dorsal root ganglia and trigeminal ganglia, as well data derived from in vitro and in vivo models has implicated these channels in numerous neurological diseases, disorders and conditions.
  • various stimuli for example, chemical ⁇ e.g., protons
  • thermal and mechanical stimuli e.g., chemical ⁇ e.g., protons
  • these channels in numerous neurological diseases, disorders and conditions.
  • the rat ASIC2a channel is activated by the same mutations as those causing neuronal degeneration in C. elegans.
  • these receptors are activated by increases in extracellular proton, e.g., H + concentration.
  • transgenic mice e.g., ASIC2a, ASIC3, P2X 3 transgenic mice, all have modified responses to noxious and non-noxious stimuli.
  • the biophysical, anatomical and pharmacological properties of the gated ion channels are consistent with their involvement in nociception.
  • ASICs play a role in pain, neurological diseases and disorders, gastrointestinal diseases and disorders, genitourinary diseases and disorders, and inflammation.
  • ASICs play a role in pain sensation (Price, M.P. et al, Neuron. 2001 ; 32(6): 1071-83; Chen, C-C. et al, Neurobiology 2002; 99(13) 8992-8997), including visceral and somatic pain (Aziz, Q., Eur. J. Gastroenterol. Hepatol. 2001 ; 13(8):891-6); chest pain that accompanies cardiac ischemia (Sutherland, S.P.
  • ASICs in central neurons have been shown to possibly contribute to the neuronal cell death associated with brain ischemia, stroke and epilepsy (Chesler, M., Physiol. Rev. 2003; 83: 1183-1221; Lipton, P., Physiol. Rev. 1999; 79:1431-1568, Xiong Z.G. et al, Cell. 2004;l 18:687-98; Benveniste M. et al., N Engl J Med. 2005; 352: 85-6; Gao J. et al, Neuron. 2005;48:635-46).
  • ASICs have also been shown to contribute to the neural mechanisms of fear conditioning, synaptic plasticity, learning, and memory (Wemmie J.A.
  • ASICs have been shown to be involved in inflammation-related persistent pain and inflamed intestine (Wu, LJ. et al, J. Biol. Chem. 2004; 279(42):43716-24; Yiangou, Y., et al, Eur. J. Gastroenterol. Hepatol. 2001 ; 13(8): 891-6; Voiley N. Curr Drug Targets Inflamm Allergy.
  • ASICs are the primary sensors of acid-induced pain (Ugawa et al, J. Clin. Invest. 2002; 110: 1185-90; Jones et al, J. Neurosci. 2004; 24: 10974-9). Furthermore, ASICs are also thought to play a role in gametogenesis and early embryonic development in Drosophila (Darboux, I. et al, J. Biol. Chem. 1998; 273(16):9424-9), underlie acid-sensing and mechanosensory function in the gut (Page, AJ. et al Gastroenterology. 2004; 127(6): 1739-47; Page, AJ. et al, Gut.
  • the invention provides a Compound of the Formula 1. In another aspect, the invention provides a Compound of the Formula 2. In another aspect, the invention provides a Compound of the Formula 3. In one embodiment, Formula 3 is represented by Compound F; Compound 31; Compound 36; Compound 37; Compound 38; Compound 39; Compound 40; Compound 50; Compound 51; Compound 52; Compound 53 or Compound 54..
  • the invention provides a Compound of the Formula 4.
  • Formula 4 is represented by Compound 35 or Compound 110.
  • the invention provides a Compound of the Formula 5. In one aspect, the invention provides a Compound of the Formula 5a. In one embodiment, Formula 5a is represented by Compound K; Compound T; Compound 32; Compound 33; Compound 101; Compound 102; Compound 103; Compound 104; Compound 105; Compound 106; Compound 107; Compound 108 or Compound 111.
  • the invention provides a Compound of the Formula 6. In one aspect, the invention provides a Compound of the Formula 6a. In one embodiment, Formula 6a is represented by Compound C; Compound G; Compound 34; Compound 41 ; Compound 42; Compound 43; Compound 44; Compound 45; Compound 46; Compound 47; Compound 48 or Compound 49.
  • the invention provides a Compound of the Formula 7.
  • Formula 7 is represented by Compound A; Compound D; Compound H; Compound L; Compound M; Compound N; Compound O; Compound P; Compound Q; Compound 59; Compound 60; Compound 61 or Compound 116.
  • the invention provides a Compound of the Formula 8.
  • Formula 8 is represented by Compound B; Compound R; Compound S; Compound 1, Compound 2; Compound 3; Compound 4; Compound 5; Compound 6;
  • the invention provides a method of modulating the activity of a gated ion channel, comprising contacting a cell expressing a gated ion channel with an effective amount of a Compound of the invention
  • the gated ion channel is comprised of at least one subunit selected from the group consisting of a member of the DEG/ENaC, P2X, and TRPV gene superfamilies.
  • the gated ion channel is comprised of at least one subunit selected from the group consisting of ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, MNaC, P2X h P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X 6 , P2X 7 , TRPVl, TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6.
  • the gated ion channel is homomultimeric.
  • the gated ion channel is heteromultimeric.
  • the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, BLINaC, MNaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
  • the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
  • the gated ion channel comprises ASICIa and/or ASIC3.
  • the P2X gated ion channel comprises at least one subunit selected from the group consisting of P2X l5 P2X 2 , P2X 3 , P2X ⁇ , P2X 5 , P2X 6 , and P2X 7 .
  • the TRPV gated ion channel comprises at least one subunit selected from the group TRPVl, TRP V2, TRP V3, TRP V4, TRPV5, and TRPV6.
  • the heteromultimeric gated ion channels include the following combinations of gated ion channels: ⁇ ENaC, ⁇ ENaC and ⁇ ENaC; ⁇ ENaC, ⁇ ENaC and ⁇ ENaC; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; P2Xi and P2X 2 ; P2X, and P2X 5 ; P2X 2 and P2X 3 ; P2X 2 and P2X 6 ; P2X, and P2X 6 ; TRPVl and TRPV2; TRPV5 and TRPV6; and TRPVl and TRP V4.
  • the heteromultimeric gated ion channels include the following combinations of gated ion channels: ASICIa and ASIC2a; ASIC2a and ASIC2b; ASICIb and ASIC3; and ASIC3 and ASIC2b.
  • the activity of the gated ion channel is associated with pain.
  • the activity of the gated ion channel is associated with an inflammatory disorder.
  • the activity of the gated ion channel is associated with a neurological disorder.
  • the pain is selected from the group consisting of cutaneous pain, somatic pain, visceral pain and neuropathic pain.
  • the pain is acute pain or chronic pain.
  • the cutaneous pain is associated with injury, trauma, a cut, a laceration, a puncture, a burn, a surgical incision, an infection or acute inflammation.
  • the somatic pain is associated with an injury, disease or disorder of the musculoskeletal and connective system.
  • the injury, disease or disorder is selected from the group consisting of sprains, broken bones, arthritis, psoriasis, eczema, and ischemic heart disease.
  • the visceral pain is associated with an injury, disease or disorder of the circulatory system, the respiratory system, the gastrointestinal system, or the genitourinary system.
  • the disease or disorder of the circulatory system is selected from the group consisting of ischaemic heart disease, angina, acute myocardial infarction, cardiac arrhythmia, phlebitis, intermittent claudication, varicose veins and hemorrhoids.
  • the disease or disorder of the respiratory system is selected from the group consisting of asthma, respiratory infection, chronic bronchitis and emphysema.
  • the disease or disorder of the gastrointestinal system is selected from the group consisting of gastritis, duodenitis, irriTable bowel syndrome, colitis, Crohn's disease, gastrointestinal reflux disease, ulcers and diverticulitis.
  • the disease or disorder of the genitourinary system is selected from the group consisting of cystitis, urinary tract infections, glomerulonephritis, polycystic kidney disease, kidney stones and cancers of the genitourinary system.
  • the somatic pain is selected from the group consisting of arthralgia, myalgia, chronic lower back pain, phantom limb pain, cancer-associated pain, dental pain, fibromyalgia, idiopathic pain disorder, chronic non-specific pain, chronic pelvic pain, post-operative pain, and referred pain.
  • the neuropathic pain is associated with an injury, disease or disorder of the nervous system.
  • the injury, disease or disorder of the nervous system is selected from the group consisting of neuralgia, neuropathy, headache, migraine, psychogenic pain, chronic cephalic pain and spinal cord injury.
  • the activity of the gated ion channel is selected from an inflammatory disorder of the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system, the gastrointestinal system or the nervous system.
  • the inflammatory disorder of the musculoskeletal and connective tissue system is selected from the group consisting of arthritis, psoriasis, myocitis, dermatitis, bone cancer and eczema.
  • the inflammatory disorder of the respiratory system is selected from the group consisting of asthma, bronchitis, sinusitis, pharyngitis, laryngitis, tracheitis, rhinitis, cystic fibrosis, respiratory infection and acute respiratory distress syndrome.
  • the inflammatory disorder of the circulatory system is selected from the group consisting of vasculitis, haematuria syndrome, artherosclerosis, arteritis, phlebitis, carditis and coronary heart disease.
  • the inflammatory disorder of the gastrointestinal system is selected from the group consisting of inflammatory bowel disorder, ulcerative colitis, Crohn's disease, diverticulitis, viral infection, bacterial infection, peptic ulcer, chronic hepatitis, gingivitis, periodentitis, stomatitis, gastritis and gastrointestinal reflux disease.
  • the inflammatory disorder of the genitourinary system is selected from the group consisting of cystitis, polycystic kidney disease, nephritic syndrome, urinary tract infection, cystinosis, prostatitis, salpingitis, endometriosis and genitourinary cancer.
  • the neurological disorder is selected from the group consisting of schizophrenia, learning disorders, bipolar disorder, depression, Alzheimer's disease, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, addiction, cerebral ischemia, neuropathy, retinal pigment degeneration, glaucoma, cardiac arrhythmia, shingles, Huntington's chorea, Parkinson's disease, anxiety disorders, panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis.
  • the invention provides a method of treating pain in a subject in need thereof, comprising administering to the subject an effective amount of a
  • the subject is a mammal. In still another embodiment, the mammal is a human.
  • the pain is selected from the group consisting of cutaneous pain, somatic pain, visceral pain and neuropathic pain. In another embodiment, the pain is acute pain or chronic pain.
  • the invention provides a method of treating an inflammatory disorder in a subject in need thereof, comprising administering to the subject an effective amount of a Compound of the invention.
  • the subject is a mammal.
  • the mammal is a human.
  • the inflammatory disorder is an inflammatory disorder of the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system, the gastrointestinal system or the nervous system.
  • the invention provides a method of treating a neurological disorder in a subject in need thereof, comprising administering an effective amount of a Compound of the invention.
  • the subject is a mammal.
  • the mammal is a human.
  • the neurological disorder is selected from the group consisting of schizophrenia, bipolar disorder, depression, Alzheimer's disease, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, addiction, cerebral ischemia, neuropathy, retinal pigment degeneration, glaucoma, cardiac arrhythmia, shingles, Huntington's chorea, Parkinson's disease, anxiety disorders, panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis.
  • the invention provides a method of treating a disease or disorder associated with the genitourinary and/or gastrointestinal systems of a subject in need thereof, comprising administering to the subject an effective amount of a Compound of the invention.
  • the subject is a mammal.
  • the mammal is a human.
  • the disease or disorder of the gastrointestinal system is selected from the group consisting of gastritis, duodenitis, irriTable bowel syndrome, colitis, Crohn's disease, ulcers and diverticulitis.
  • the disease or disorder of the genitourinary system is selected from the group consisting of cystitis, urinary tract infections, glomerulonephritis, polycystic kidney disease, kidney stones and cancers of the genitourinary system.
  • the methods further comprise administering an adjuvant composition.
  • the adjuvant composition is selected from the group consisting of opioid analgesics, non-opioid analgesics, local anesthetics, corticosteroids, non-steroidal anti-inflammatory drugs, nonselective COX inhibitors, non-selective COX2 inhibitors, selective COX2 inhibitors, antiepileptics, barbiturates, antidepressants, marijuana, and topical analgesics.
  • Figure 1 displays a dose-response curve of the inhibitory effect of Compound R on hASICla activity, as described in Example 1.
  • HEK-293 cells, transiently expressing hASICla, were exposed to a mild acidic buffer in the absence and presence of increasing concentrations of Compound R.
  • Gated-channel activity was determined by measuring intracellular calcium variation using a calcium-selective fluorescent dye.
  • Compound R dose-dependently inhibited acid-induced hASIC 1 a activity in these cells.
  • Figures 2A and B illustrate the dose-dependent inhibitory effects of Compounds B and R on acid-induced activation of recombinant homomeric hASICla channels, as described in Example 2.
  • HEK293 cells were transfected with hASICla. Acid-induced inward currents were recorded in the presence and absence of compounds using the whole- cell configuration of the patch-clamp method (voltage clamp mode). For each compound, a clear dose-dependent reduction in the current evoked by a mild pH stimulation was observed, indicating that Compounds B and R are inhibitors the activity of acid gated ion channels.
  • Figures 3A, 3B and 3C present a more detailed analysis of the effects of Compound R on hASIC 1 and hASIC3 currents as described in Example 2.
  • CHO cells were transfected with either hASICla or hASIC3 alone and acid- induced inward currents were recorded in the presence and absence of compounds using the whole-cell configuration of the patch-clamp method (voltage clamp mode).
  • l ⁇ M of Compound R was able to reduce the hASICla current by about half, while in figure 3B, 30 ⁇ M of Compound R failed to inhibit hASIC3-mediated current.
  • figure 3C shows the dose-dependent inhibition by Compound R of acid-induced activation of recombinant homomeric hASICla channels, but not on hASIC 3. Together, these data indicate that Compound R is selective for hASICla over hASIC3.
  • Figures 4A, 4B, 4C and 4D illustrate the dose-dependent inhibitory effects of Compounds B, R, 7, and 32, respectively, on acid-induced activation of recombinant homomeric hASICla channels, as described in Example 3.
  • Acid-induced currents were recorded from Xenopus laevis oocytes, microinjected with a hASICla encoding cDNA, using the two-electrode voltage clamp method in the absence and presence of Compounds. With each compound, there was a dose-dependent reduction in the current evoked by a mild pH stimulation indicating that Compounds B, R, 7, and 32 are inhibitors the activity of acid gated ion channels.
  • Figure 5 illustrates the effects of Compound A on chemically-induced spontaneous pain evoked by intraplantar injection of formalin in the rat (Formalin model described in Example 5). These results indicate that this Compound causes a dose- dependent reduction of the pain intensity as evaluated by the flinching behavior.
  • Figure 6 illustrates the effect of different concentrations of Compound R on formalin-induced pain in rats
  • figure 6A depicts the total pain behavior ⁇ e.g., flinching, licking, and biting) over time following intraplantar injection of formalin
  • figure 6B displays the number of licking and biting episodes.
  • Figure 7 depicts the dose-dependent effect of Compound R on Formalin-induced pain.
  • the dose-response relationship of Compound A on the number of licking and biting episodes in phase Ha of the formalin test is presented.
  • the effective dose where the pain score is reduced by half (ED 50 ) is ⁇ 50mg/kg.
  • Figure 8 shows a synthesis schematic for the preparation of compounds 36, 37 and 38.
  • Figures 9A, 9B, 9C and 9D show synthesis schematics for the preparation of compounds 39 and 47, as well prophetic synthesis schematics for generic compounds of the invention.
  • Figure 10 shows a synthesis schematic for the preparation of Compound 108.
  • Figures HA and HB show synthesis schematics for the preparation of compounds
  • Figure 12 show synthesis schematics for the preparation of an intermediate that can be used for the preparation of the compounds of the invention.
  • Figures 13A, 13B and 13C show synthesis schematics for the preparation of compounds 107, 105 and 106.
  • Figures 14A and 14B show synthesis schematics for the preparation of compounds 11 1 and 109.
  • Figures 15A, 15B and 15C show synthesis schematics for the preparation of compounds 12, 112 and 110.
  • the present invention is based, at least in part, on the identification of compounds useful in modulation of the activity of gated ion channels.
  • Gated ion channels are involved in receiving, conducting, and transmitting signals in a cell (e.g., an electrically exciTable cell, for example, a neuronal or muscle cell).
  • a cell e.g., an electrically exciTable cell, for example, a neuronal or muscle cell.
  • Gated ion channels can determine membrane excitability (the ability of, for example, a cell to respond to a stimulus and to convert it into a sensory impulse).
  • Gated ion channels can also influence the resting potential of membranes, wave forms and frequencies of action potentials, and thresholds of excitation.
  • Gated ion channels are typically expressed in electrically exciTable cells, e.g., neuronal cells, and are multimeric; they may form homomultimeric (e.g., composed of one type of subunit), or heteromultimeric structures (e.g., composed of more than one type of subunit). Gated ion channels may also be found in nonexciTable cells (e.g., adipose cells or liver cells), where they may play a role in, for example, signal transduction.
  • Gated ion channels are generally homomeric or heteromeric complexes composed of subunits, comprising at least one subunit belonging to the DEG/ENaC, TRPV and/or P2X gene superfamilies.
  • DEG/ENaC receptor gene superfamily include epithelial Na + channels, e.g., ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, and/or ⁇ ENaC, the mammalian degenerins (also referred to as MDEG, brain Na + channels (BNaC, BNC) and the acid sensing ion channels (ASICs), e.g., ASICl, ASICIa, ASICIb, ASIC2, ASIC2a, ASIC2b, ASIC3, and/or ASIC4.
  • ASICl acid sensing ion channels
  • Non-limiting examples of the P2X receptor gene superfamily include P2X l5 P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X ⁇ ,, and P2X 7 .
  • Non-limiting examples of the TRPV receptor gene superfamily include TRPV 1 (also referred to as VR 1 ), TRP V2 (also referred to as VRL- 1 ), TRPV3 (also referred to as VRL-3), TRPV4 (also referred to as VRL-2), TRPV5 (also referred to as ECAC-I), and/or TRPV6 (also referred to as ECAC-2).
  • Non limiting examples of heteromultimeric gated ion channels include ⁇ ENaC, ⁇ ENaC and ⁇ ENaC; ⁇ ENaC, ⁇ ENaC and ⁇ ENaC; ASICIa and ASIC2a; ASICIa and ASIC2b; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC2b; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; ASIC3 and P2X, e.g.
  • P2X b P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X 6 and P2X 7 preferably ASIC3 and P2X2; ASIC3 and P2X 3 ; and ASIC3, P2X 2 and P2X 3 ASIC4 and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, and ASIC3; BLINaC (or hINaC) and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4; ⁇ ENaC and ASIC, e.g.
  • compositions which modulate the activity of ion channels and methods of use thereof for the treatment of conditions, diseases and disorders related to pain, inflammation, the neurological system, the gastrointestinal system and genitourinary system.
  • the term "acid” refers to carboxylic acid, sulfonic acid, sulfinic acid, sulfamic acid, phosphonic acid and boronic acid functional groups.
  • alkyl includes saturated aliphatic groups, including straight-chain alkyl groups ⁇ e.g., methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl, octyl, nonyl, decyl, etc.), branched-chain alkyl groups (isopropyl, tert-butyl, isobutyl, etc.), cycloalkyl (alicyclic) groups (cyclopropyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl), alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups.
  • straight-chain alkyl groups ⁇ e.g., methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl, octyl, nonyl, decy
  • C ⁇ -C y -alkyl indicates a particular alkyl group (straight- or branched-chain) of a particular range of carbons.
  • Ci-C 4 -alkyl includes, but is not limited to, methyl, ethyl, propyl, butyl, isopropyl, tert-butyl and isobutyl.
  • alkyl further includes alkyl groups which can further include oxygen, nitrogen, sulfur or phosphorous atoms replacing one or more carbons of the hydrocarbon backbone.
  • a straight chain or branched chain alkyl has 10 or fewer carbon atoms in its backbone ⁇ e.g., Ci-C 1O for straight chain, C 3 -C 10 for branched chain), and more preferably 6 or fewer carbons.
  • preferred cycloalkyls have from 4-7 carbon atoms in their ring structure, and more preferably have 5 or 6 carbons in the ring structure.
  • alkyl ⁇ e.g., methyl, ethyl, propyl, butyl, pentyl, hexyl, etc.) include both
  • unsubstituted alkyl and “substituted alkyl”, the latter of which refers to alkyl moieties having substituents replacing a hydrogen on one or more carbons of the hydrocarbon backbone, which allow the molecule to perform its intended function.
  • substituted is intended to describe moieties having substituents replacing a hydrogen on one or more atoms, e.g. C, O or N, of a molecule.
  • substituents can include, for example, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and
  • substituents of the invention include moieties selected from straight or branched alkyl (preferably Ci-C 5 ), cycloalkyl (preferably C 3 -C 8 ), alkoxy (preferably Ci-C 6 ), thioalkyl (preferably Ci-C 6 ), alkenyl (preferably C 2 -C 6 ), alkynyl (preferably C 2 -C 6 ), heterocyclic, carbocyclic, aryl (e.g., phenyl), aryloxy (e.g., phenoxy), aralkyl (e.g., benzyl), aryloxyalkyl (e.g., phenyloxyalkyl), arylacetamidoyl, alkylaryl, heteroaralkyl, alkylcarbonyl and arylcarbonyl or other such acyl group, heteroarylcarbonyl, or heteroaryl group, (CR'R")o- 3 NR'R" (CR'R")o- 3 NR'R"
  • substituents can include, for example, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, oxime, thiol, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonato, sulfamoyl, sulfonamido, nitro, trifi
  • Cycloalkyls can be further substituted, e.g., with the substituents described above.
  • An "aralkyl” moiety is an alkyl substituted with an aryl (e.g., phenylmethyl (i.e., benzyl)).
  • amine or “amino” should be understood as being broadly applied to both a molecule, or a moiety or functional group, as generally understood in the art, and can be primary, secondary, or tertiary.
  • amine or “amino” includes compounds where a nitrogen atom is covalently bonded to at least one carbon, hydrogen or heteroatom.
  • alkyl amino comprises groups and compounds wherein the nitrogen is bound to at least one additional alkyl group.
  • dialkyl amino includes groups wherein the nitrogen atom is bound to at least two additional alkyl groups.
  • arylamino and diarylamino include groups wherein the nitrogen is bound to at least one or two aryl groups, respectively.
  • alkylarylamino refers to an amino group which is bound to at least one alkyl group and at least one aryl group.
  • alkaminoalkyl refers to an alkyl, alkenyl, or alkynyl group bound to a nitrogen atom which is also bound to an alkyl group.
  • amide includes compounds or moieties which contain a nitrogen atom which is bound to the carbon of a carbonyl or a thiocarbonyl group.
  • the term includes "alkaminocarbonyl” or “alkylaminocarbonyl” groups which include alkyl, alkenyl, aryl or alkynyl groups bound to an amino group bound to a carbonyl group. It includes arylaminocarbonyl and arylcarbonylamino groups which include aryl or heteroaryl moieties bound to an amino group which is bound to the carbon of a carbonyl or thiocarbonyl group.
  • alkylaminocarbonyl alkenylaminocarbonyl
  • alkynylaminocarbonyl alkynylaminocarbonyl
  • arylaminocarbonyl alkylcarbonylamino
  • alkenylcarbonylamino alkynylcarbonylamino
  • arylcarbonylamino alkylcarbonylamino
  • alkenylcarbonylamino alkynylcarbonylamino
  • arylcarbonylamino alkylcarbonylamino
  • amine refers to substituents of the formulas N(R 8 )R 9 or Ci -6 -N(R 8 )R 9 , wherein R 8 and R 9 are each, independently, selected from the group consisting of -H and -(Ci.
  • N(R 8 )R 9 is pyrrolyl, tetrazolyl, pyrrolidinyl, pyrrolidinyl-2-one, dimethylpyrrolyl, imidazolyl and morpholino.
  • aryl includes groups, including 5- and 6-membered single-ring aromatic groups that can include from zero to four heteroatoms, for example, phenyl, pyrrole, furan, thiophene, thiazole, isothiaozole, imidazole, triazole, tetrazole, pyrazole, oxazole, isoxazole, pyridine, pyrazine, pyridazine, and pyrimidine, and the like.
  • aryl includes multicyclic aryl groups, e.g., tricyclic, bicyclic, e.g., naphthalene, benzoxazole, benzodioxazole, benzothiazole, benzoimidazole, benzothiophene, methylenedioxyphenyl, quinoline, isoquinoline, anthryl, phenanthryl, napthridine, indole, benzofuran, purine, benzofuran, deazapurine, or indolizine.
  • multicyclic aryl groups e.g., tricyclic, bicyclic, e.g., naphthalene, benzoxazole, benzodioxazole, benzothiazole, benzoimidazole, benzothiophene, methylenedioxyphenyl, quinoline, isoquinoline, anthryl, phenanthryl, napthridine, indole, benzofuran, purine,
  • aryl groups having heteroatoms in the ring structure can also be referred to as "aryl heterocycles", “heterocycles,” “heteroaryls” or “heteroaromatics.”
  • the aromatic ring can be substituted at one or more ring positions with such substituents as described above, as for example, alkyl, halogen, hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkylaminoacarbonyl, aralkylaminocarbonyl, alkenylaminocarbonyl, alkylcarbonyl, arylcarbonyl, aralkylcarbonyl, alkenylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino,
  • Aryl groups can also be fused or bridged with alicyclic or heterocyclic rings which are not aromatic so as to form a polycycle (e.g., tetralin).
  • the term "electron-withdrawing group” "or electron-withdrawing atom” (also refereed to as “EWG”) is recognized in the art, and denotes the tendency of a substituent to attract valence electrons from neighboring atoms, i.e., the substituent is electronegative with respect to neighboring atoms.
  • EWG electron-withdrawing atom
  • a quantification of the level of electron- withdrawing capability is given by the Hammett sigma ( ⁇ ) constant. This well known constant is described in many references, for instance, J.
  • Non-liminting examples of electron- withdrawing groups include nitro, acyl, formyl, sulfonyl, trifluoromethyl, cyano, chloride, carbonyl, thiocarbonyl, ester, imino, amido, carboxylic acid, sulfonic acid, sulfinic acid, sulfamic acid, phosphonic acid, boronic acid, sulfate ester, hydroxyl, mercapto, cyano, cyanate, thiocyanate, isocyanate, isothiocyanate, carbonate, nitrate and nitro groups and the like.
  • Exemplary electron-withdrawing atoms include, but are not limited to, an oxygen atom, a nitrogen atom, a sulfur atom or a halogen atom, such as a fluorine, chlorine, bromine or iodine atom. It is to be understood that, unless otherwise indicated, reference herein to an acidic functional group also encompasses salts of that functional group in combination with a suiTable cation.
  • the structures of some of the compounds of this invention include asymmetric carbon atoms. It is to be understood accordingly that the isomers arising from such asymmetry (e.g., all enantiomers and diastereomers) are included within the scope of this invention. Such isomers can be obtained in substantially pure form by classical separation techniques and by stereochemically controlled synthesis. Furthermore, the structures and other compounds and moieties discussed in this application also include all tautomers thereof. Compounds described herein can be obtained through art recognized synthesis strategies.
  • the end products of the reactions described herein may be isolated by conventional techniques, e.g., by extraction, crystallization, distillation, chromatography, etc.
  • any combination thereof implies that any number of the listed functional groups and molecules can be combined to create a larger molecular architecture.
  • aryl which represents phenyl
  • Ci -5 -alkyl i.e., -CH 3 and -CH 2 CH 2 CH 2 -
  • hydrogens can be removed or added as required to satisfy the valence of each atom.
  • gated ion channel or “gated channel” are used interchangeably and are intended to refer to a mammalian (e.g., rat, mouse, human) multimeric complex responsive to, for example, variations of voltage (e.g., membrane depolarization or hyperpolarization), temperature (e.g., higher or lower than 37°C), pH (e.g., pH values higher or lower than 7.4), ligand concentration and/or mechanical stimulation.
  • voltage e.g., membrane depolarization or hyperpolarization
  • temperature e.g., higher or lower than 37°C
  • pH e.g., pH values higher or lower than 7.4
  • ligand concentration ligand concentration and/or mechanical stimulation.
  • modulators include, but are not limited to, endogenous extracellular ligands such as anandamide, ATP, glutamate, cysteine, glycine, gamma-aminobutyric acid (GABA), histamine, serotonin (5HT), acetylcholine, epinephrine, norepinephrine, protons, ions, e.g., Na + , Ca + ⁇ K + , Cl " , H + , Zn + , and/or peptides, e.g.
  • endogenous extracellular ligands such as anandamide, ATP, glutamate, cysteine, glycine, gamma-aminobutyric acid (GABA), histamine, serotonin (5HT), acetylcholine, epinephrine, norepinephrine, protons, ions, e.g., Na + , Ca + ⁇ K + , Cl " ,
  • RFamide related peptides e.g., FMRFamide and/or FLRFamide
  • endogenous intracellular ligands such as cyclic nucleotides
  • cyclicAMP cyclicGMP
  • ATP ATP
  • modulators such as ⁇ -amino-3-hydroxy-5-methyl-4-isolaxone propionate (AMPA), amiloride, capsaicin, capsazepine, epibatidine, cadmium, barium, gadolinium, guanidium, kainate, N-methyl-D-aspartate (NMDA).
  • Gated ion channels also include complexes responsive to toxins, examples of which include, but are not limited to, Agatoxin (e.g.
  • ⁇ -agatoxin IVA, IVB, ⁇ -agatoxin IVA, TK Agitoxins (Agitoxin 2), Apamin, Argiotoxins, Batrachotoxins, Brevetoxins (e.g. Brevetoxin PbTx-2, PbTx-3, PbTx-9),
  • Charybdotoxins, Chlorotoxins, Ciguatoxins, Conotoxins e.g. ⁇ -conotoxin GI, GIA, GII, IMI, MI, Mil, SI, SIA, SII, and/or EI; ⁇ -conotoxins, ⁇ -conotoxin GIIIA, GIIIB, GIIIC and/or GS, ⁇ -conotoxin GVIA, MVIIA MVIIC, MVIID, SVIA and/or SVIB), Dendrotoxins, Grammotoxins (GsMTx-4, ⁇ -grammotoxin SIA), Grayanotoxins, Hanatoxins, Iberiotoxins, Imperatoxins, Jorotoxins, Kaliotoxins, Kurtoxins, Leiurotoxin 1, Pricotoxins, Psalmotoxins, (e.g., Psalmotoxin 1 (PcTxI)), Margatoxins, Noxiustoxins, Phrixotoxins, PLTX II, Saxitoxins, Stichodact
  • the compounds of the invention modulate the activity of ASICIa and/or ASIC3.
  • Gated ion channel-mediated activity is a biological activity that is normally modulated (e.g., inhibited or promoted), either directly or indirectly, in the presence of a gated ion channel.
  • Gated ion channel-mediated activities include, for example, receiving, integrating, transducing, conducting, and transmitting signals in a cell, e.g., a neuronal or muscle cell.
  • a biological activity that is mediated by a particular gated ion channel e.g.
  • ASIC Ia or ASIC3 is referred to herein by reference to that gated ion channel, e.g. ASICIa- or ASIC3- mediated activity.
  • gated ion channel e.g. ASICIa- or ASIC3- mediated activity.
  • conventional in vitro and in vivo assays can be used which are described herein.
  • Neurotransmission is a process by which small signaling molecules, termed neurotransmitters, are rapidly passed in a regulated fashion from a neuron to another cell. Typically, following depolarization associated with an incoming action potential, a neurotransmitter is secreted from the presynaptic neuronal terminal.
  • the neurotransmitter then diffuses across the synaptic cleft to act on specific receptors on the postsynaptic cell, which is most often a neuron but can also be another cell type (such as muscle fibers at the neuromuscular junction).
  • the action of neurotransmitters can either be excitatory, depolarizing the postsynaptic cell, or inhibitory, resulting in hyperpolarization.
  • Neurotransmission can be rapidly increased or decreased by neuromodulators, which typically act either pre-synaptically or post-synaptically.
  • the gated ion channel ASICIa has been shown to possibly contribute to neurotransmission [Babini et al., J Biol Chem. 277(44):41597-603 (2002)].
  • Examples of gated ion channel-mediated activities include, but are not limited to, pain ⁇ e.g. , inflammatory pain, acute pain, chronic malignant pain, chronic nonmalignant pain and neuropathic pain), inflammatory disorders, diseases and disorders of the genitourinary and gastrointestinal systems, and neurological disorders (e.g., neurodegenerative or neuropsychiatry disorders).
  • Pain is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (International Association for the Study of Pain - IASP). Pain is classified most often based on duration (i.e., acute vs. chronic pain) and the underlying pathophysiology (i.e., nociceptive vs. neuropathic pain).
  • Acute pain can be described as an unpleasant experience with emotional and cognitive, as well as sensory, features that occur in response to tissue trauma and disease and serves as a defensive mechanism.
  • Acute pain is usually accompanied by a pathology (e.g., trauma, surgery, labor, medical procedures, acute disease states) and the pain resolves with healing of the underlying injury.
  • Acute pain is mainly nociceptive, but can also be neuropathic.
  • Chronic pain is pain that extends beyond the period of healing, with levels of identified pathology that often are low and insufficient to explain the presence, intensity and/or extent of the pain (American Pain Society - APS). Unlike acute pain, chronic pain serves no adaptive purpose.
  • Chronic pain can be nociceptive, neuropathic, or both and caused by injury (e.g., trauma or surgery), malignant conditions, or a variety of chronic conditions (e.g., arthritis, fibromyalgia and neuropathy). In some cases, chronic pain exists de novo with no apparent cause.
  • injury e.g., trauma or surgery
  • malignant conditions e.g., malignant conditions
  • a variety of chronic conditions e.g., arthritis, fibromyalgia and neuropathy.
  • chronic pain exists de novo with no apparent cause.
  • Nociceptive pain is pain that results from damage to tissues and organs. Nociceptive pain is caused by the ongoing activation of pain receptors in either the superficial or deep tissues of the body. Nociceptive pain is further characterized as “somatic pain”, including “cutaneous pain” and “deep somatic pain”, and “visceral pain”. "Somatic pain” includes “cutaneous pain” and "deep somatic pain.” Cutaneous pain is caused by injury, diseases and disorders of the skin and related organs. Examples of conditions associated with cutaneous pain include, but are not limited to, cuts, burns, infections, lacerations, as well as traumatic injury and post-operative or surgical pain (e.g., at the site of incision).
  • Deep somatic pain results from injuries, diseases or disorders of the musculoskeletal tissues, including ligaments, tendons, bones, blood vessels and connective tissues.
  • Examples of deep somatic pain or conditions associated with deep somatic pain include, but are not limited to, sprains, broken bones, arthralgia, vasculitis, myalgia and myofascial pain.
  • Arthralgia refers to pain caused by a joint that has been injured (such as a contusion, break or dislocation) and/or inflamed (e.g., arthritis).
  • Vaculitis refers to inflammation of blood vessels with pain.
  • Myalgia refers to pain originating from the muscles.
  • Myofascial pain refers to pain stemming from injury or inflammation of the fascia and/or muscles.
  • Visceral pain is associated with injury, inflammation or disease of the body organs and internal cavities, including but not limited to, the circulatory system, respiratory system, gastrointestinal system, genitourinary system, immune system, as well as ear, nose and throat. Visceral pain can also be associated with infectious and parasitic diseases that affect the body organs and tissues. Visceral pain is extremely difficult to localize, and several injuries to visceral tissue exhibit "referred” pain, where the sensation is localized to an area completely unrelated to the site of injury.
  • myocardial ischaemia (the loss of blood flow to a part of the heart muscle tissue) is possibly the best known example of referred pain; the sensation can occur in the upper chest as a restricted feeling, or as an ache in the left shoulder, arm or even hand.
  • Phantom limb pain is the sensation of pain from a limb that one no longer has or no longer gets physical signals from - an experience almost universally reported by amputees and quadriplegics.
  • Neuroneuropathic pain or “neurogenic pain” is pain initiated or caused by a primary lesion, dysfunction or perturbation in the nervous system.
  • Neuroopathic pain can occur as a result of trauma, inflammation or disease of the peripheral nervous system (“peripheral neuropathic pain”) and the central nervous system (“central pain”).
  • peripheral neuropathic pain can occur as a result of trauma, inflammation or disease of the peripheral nervous system (“peripheral neuropathic pain”) and the central nervous system (“central pain”).
  • peripheral neuropathic pain can be caused by a nerve or nerves that are irritated, trapped, pinched, severed or inflamed (neuritis).
  • neuropathic pain syndromes such as diabetic neuropathy, trigeminal neuralgia, postherpetic neuralgia (“shingles”), post-stroke pain, and complex regional pain syndromes (also called reflex sympathetic dystrophy or "RSD” and causalgia).
  • inflammatory disease or disorder includes diseases or disorders which are caused, at least in part, or exacerbated by, inflammation, which is generally characterized by increased blood flow, edema, activation of immune cells (e.g., proliferation, cytokine production, or enhanced phagocytosis), heat, redness, swelling, pain and loss of function in the affected tissue and organ.
  • the cause of inflammation can be due to physical damage, chemical substances, micro-organisms, tissue necrosis, cancer or other agents.
  • Inflammatory disorders include acute inflammatory disorders, chronic inflammatory disorders, and recurrent inflammatory disorders. Acute inflammatory disorders are generally of relatively short duration, and last for from about a few minutes to about one to two days, although they can last several weeks.
  • the main characteristics of acute inflammatory disorders include increased blood flow, exudation of fluid and plasma proteins (edema) and emigration of leukocytes, such as neutrophils.
  • Chronic inflammatory disorders generally, are of longer duration, e.g., weeks to months to years or longer, and are associated histologically with the presence of lymphocytes and macrophages and with proliferation of blood vessels and connective tissue.
  • Recurrent inflammatory disorders include disorders which recur after a period of time or which have periodic episodes. Some disorders can fall within one or more categories.
  • Neurological disorder refers to injuries, diseases and dysfunctions of the nervous system, including the peripheral nervous system and central nervous system.
  • Neurological disorders and neurodegenerative disorders include, but are not limited to, diseases and disorders that are associated with gated ion channel-mediated biological activity. Examples of neurological disorders include, but are not limited to, Alzheimer's disease, epilepsy, cancer, neuromuscular diseases, multiple sclerosis, amyotrophic lateral sclerosis, stroke, cerebral ischemia, neuropathy (e.g.
  • neuropathy is defined as a failure of the nerves that carry information to and from the brain and spinal cord resulting in one or more of pain, loss of sensation, and inability to control muscles. In some cases, the failure of nerves that control blood vessels, intestines, and other organs results in abnormal blood pressure, digestion problems, and loss of other basic body processes. Peripheral neuropathy can involve damage to a single nerve or nerve group (mononeuropathy) or can affect multiple nerves (polyneuropathy).
  • the term “treated,” “treating” or “treatment” includes the diminishment or alleviation of at least one symptom associated with the pain, inflammatory disorder, neurological disorder, genitourinary disorder or gastrointestinal disorder (e.g., a symptom associated with or caused by gated ion channel mediated activity) being treated.
  • the treatment comprises the modulation of the interaction of a gated ion channel (e.g., ASICIa and/or ASIC3) by a gated ion channel modulating compound, which would in turn diminish or alleviate at least one symptom associated with or caused by the gated ion channel-mediated activity being treated.
  • a gated ion channel e.g., ASICIa and/or ASIC3
  • a gated ion channel modulating compound e.g., ASICIa and/or ASIC3
  • treatment can be diminishment of one or several symptoms of a disorder or complete eradication of a disorder.
  • the phrase "therapeutically effective amount" of the Compound is the amount necessary or sufficient to treat or prevent pain, an inflammatory disorder, a neurological disorder, a gastrointestinal disorder or a genitourinary disorder, (e.g., to prevent the various morphological and somatic symptoms of a gated ion channel-mediated activity).
  • an effective amount of the Compound is the amount sufficient to alleviate at least one symptom of the disorder, e.g., pain, inflammation, a neurological disorder, a gastrointestinal disorder or a genitourinary disorder, in a subject.
  • subject is intended to include animals, which are capable of suffering from or afflicted with a gated ion channel-associated state or gated ion channel-associated disorder, or any disorder involving, directly or indirectly, gated ion channel activity.
  • subjects include mammals, e.g., humans, dogs, cows, horses, pigs, sheep, goats, cats, mice, rabbits, rats, and transgenic non-human animals.
  • the subject is a human, e.g., a human suffering from, at risk of suffering from, or potentially capable of suffering from pain, inflammation, a neurological disorder, a gastrointestinal disorder or a genitourinary disorder (e.g. associated with gated channel- associated activity).
  • gated ion channel modulator refers to compounds that modulate, i.e., inhibit, promote or otherwise alter the activity of a gated ion channel.
  • the gated ion channel modulator can inhibit, promote or otherwise alter the response of a gated ion channel to, for example, variations of voltage (e.g., membrane depolarization or hyperpolarization), temperature (e.g., higher or lower than 37°C), pH (e.g., pH values higher or lower than 7.4), ligand concentration and/or mechanical stimulation.
  • gated ion channel modulators include compounds of the invention (i.e., Formulas 1, 2, 3, 4, 5, 5a, 6, 6a, 7 and 8 including salts thereof, e.g., a pharmaceutically accepTable salt). Additional examples of gated ion channel modulators include the compounds of Table A, Table B, Table C, Table D, Table E and Table F, or derivatives and fragments thereof, including salts thereof, e.g., a pharmaceutically accepTable salt.
  • the gated ion channel modulators of the invention including the compounds of Formulas 1, 2, 3, 4, 5, 5a, 6, 6a, 7 and 8, and the compounds of Table A, Table B, Table C, Table D, Table E and Table F, can be used to treat a disease or disorder associated with pain, inflammation, neurological disorders, gastrointestinal disorders or genitourinary disorders in a subject in need thereof.
  • the compounds of the invention can be used to treat an inflammatory disorder in a subject in need thereof.
  • the present invention provides compounds which modulate the activity of a gated ion channel.
  • the compounds of the invention modulate the activity of a gated ion channel comprised of at least one subunit belonging to the DEG/ENaC, TRPV and/or P2X gene superfamilies.
  • the compounds of the invention modulate the activity of the gated ion channel comprised of at least one subunit selected from the group consisting of ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, 6ENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, hINaC, P2X h P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X 6 , P2X 7 , TRPVl, TRP V2, TRPV3, TRP V4, TRPV5, and TRPV6.
  • the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least one subunit selected from the group consisting of ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, BLINaC, hINaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
  • the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
  • the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least two subunits selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In yet other embodiments, the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least three subunits selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of ASIC, /. e. , ASIC 1 a or ASICIb.
  • the compounds of the invention modulate the activity of a gated ion channel comprised of ASIC3. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of ASICIa and ASIC2a,; ASICIa and ASIC2a; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC2b; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa and ASIC3; and ASICIa, ASIC2a and A S IC 3.
  • the compounds of the invention modulate the activity of the P2X gated ion channel comprised of at least one subunit selected from the group consisting of P2X h P2X 2 , P2X 3 , P2X 4 , P2X 5 , PlX 6 , and P2X 7 . In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of P2X 2 , P2X 3 or P2X 4 .
  • the compounds of the invention modulate the activity of a gated ion channel comprised of P2X) and P2X 2 , P2Xi and P2X 5 , P2X 2 and P2X 3 , P2X 2 and P2X 6 , and P2X 4 and P2X 6 .
  • the compounds of the invention modulate the activity of the TRPV gated ion channel comprised of at least one subunit selected from the group TRPVl , TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6.
  • the compounds of the invention modulate the activity of a gated ion channel comprised of TRPVl or TRPV2.
  • the compounds of the invention modulate the activity of a gated ion channel comprised of TRPVl and TRPV2, TRPVl and TRP V4, and TRP V5 and TRP V6.
  • the compounds of the invention including the compounds of Formulas 1, 2 and 3, and Compounds A, B, C, D, E, F, G, H, I, J and K modulate the activity of ASICIa and/or ASIC3.
  • the Compound that modulates the activity of a gated ion channel is of the Formula 1 : or a pharmaceutically accepTable salt thereof, wherein the dashed lines indicate a single or double bond, wherein when the dashed lines indicate a single bond the nitrogen of the ring may be bonded to H or Ri ;
  • R 1 , R 3 and R 4 are each, independently, selected from the group consisting of hydrogen, substituted or unsubstituted amine, cyano, nitro, COOH, amide, halogen, halo- Ci -5 -alkyl, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstitute
  • R 8 is selected from the group consisting of O, S and CH 2 ;
  • R 6 , R 7 , R 9 and R 10 are each, independently, selected from the group consisting of hydrogen, Ci -5 -alkyl, wherein the C 1-5 -alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ;
  • X 2 is CH 2 , O or N(H);
  • X 3 and X 4 are each, independently, N, C or C(H); the dashed lines indicate a single or double bond;
  • X 5 is selected from the group consisting of hydrogen, Ci -5 -alkyl, Ci- 5 -alkoxy, (CH 2 )o- 4 -substituted or unsubstituted phenyl, (CH 2 ) 0-4 -substituted or unsubstituted cyclohexyl, (CH 2 )o- 4 -benzo[l,3]dioxole, wherein the Ci -5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group; and R 5 is N, C or C(H); wherein R 3 and R 4 , R 2 and R 3 , R 1 and R 4 or R 2 and R 4 can also for a fused 4, 5 or 6-membered substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, or substituted or unsubstituted heterocycle.
  • the dashed lines indicate a single or double bond, wherein when the dashed lines indicate a single bond the nitrogen of the ring may be bonded to H or Ri ;
  • R 1 , R 3 and R 4 are each, independently, selected from the group consisting of hydrogen, substituted or unsubstituted amine, cyano, nitro, COOH, amide, halogen, halo- Ci -5 -alkyl, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci- 5 -alkyl, wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), hydroxy-Ci -5 -alkyl, Ci -5 -alkenyl, Ci.
  • R 2 is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci -5 -alkyl, wherein the Ci -5 - alkyl group may be interrupted by O, S or N(H), hydroxy-Ci -5 -alkyl, Ci -5 -alkenyl, C 1-S - alkynyl, sulfonyl, sulphonamide, sulfonic acid and -CO 2 X 1 , wherein X 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, amino, and substituted or unsubstituted aryl; or R 2 is selected from the group consiting of the Formulas I, II, III and IV: wherein
  • R 8 is selected from the group consisting of O, S and CH 2 ;
  • R 6 , R 7 , R 9 and R 10 are each, independently, selected from the group consisting of hydrogen, Ci-s-alkyl, wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ; X 2 is CH 2 , O, N(C, -5 -alkyl) or N(H); X 3 and X 4 are each, independently, N, C, or C(H); the dashed lines indicate a single or double bond;
  • X 5 is selected from the group consisting of hydrogen, Ci -5 -alkyl, Ci -5 -alkoxy, (CH 2 )o- 4 -substituted or unsubstituted phenyl, (CH 2 )o-4-substituted or unsubstituted pyridyl, C(O)Ph, (CH 2 )o -4 -substituted or unsubstituted cyclohexyl, (CH 2 ) 0-4 -benzo[l,3]dioxole, wherein the C
  • 5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group, and wherein the CH 2 groups may be substituted with a Ci -5 -alkyl, halogen or CF 3 group; a, b and c are each, independently, 0 or 1 ; X 7 is C(H), N or O; X 8 is H, Ci- 5 -alkyl, aryl, OH, O-C I-5 -alkyl or O-aryl; and R 5 is N, C or C(H); wherein R 3 and R 4 , R 2 and R 3 , R 1 and R 4 or R 2 and R 4 can also form a fused 4, 5 or 6-membered substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, or substituted or unsubstituted heterocycle.
  • the dashed lines of Formula III indicate a single bond.
  • Formula 1 is represented by Formula 2:
  • Formula 2 is represented by Formula 3: wherein R 1 , R 2 , R 3 , R 4 and R 5 have the meaning set forth for Formula 1.
  • R 1 , R 3 and R 4 are each, independently, selected from the group consisting of hydrogen, halogen, Ci -5 -alkyl, O-Ci -5 -alkyl, halo-Ci.s-alkyl, substituted or unsubstituted aryl, substituted or unsubstituted heterocycle;
  • R is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci.s-alkyl, wherein the Ci -5 - alkyl group may be interrupted by O, S or N(H), hydroxy-Ci -5 -alkyl, Ci.
  • R 8 is selected from the group consisting of O, S and CH 2 ;
  • R 6 , R 7 , R 9 and R 10 are each, independently, selected from the group consisting of hydrogen, Ci- 5 -alkyl, wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1; m is 0 or 1; X is CH 2 , O, N(Ci.
  • X 5 is selected from the group consisting of hydrogen, Ci -5 -alkyl, Ci-s-alkoxy, (CH 2 )o-4-substituted or unsubstituted phenyl, (CH 2 ) O-4 - substituted or unsubstituted cyclohexyl, (CH 2 )o -4 -benzo[l,3]dioxole, wherein the Ci -5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group; and R 5 is N or C(H).
  • R 3 and R 4 are each, independently, selected from the group consisting of H, halogen, hydroxyl, Ci -5 -alkyl and Ci.s-alkoxy; R is selected from the group consisting of Cj.s-alkyl, Ci -5 -alkoxy, CO 2 H, and heterocycle; and
  • R 1 is selected from the group consisting of heterocycle, heterocycle substituted with Ci- 5 -alkyl, and phenyl substituted one or more times with hydroxyl, Ci -5 -alkyl or Ci -5 - alkoxy.
  • R 3 and R 4 are each, independently, selected from the group consisting of H, Cl, Br, OH, and OCH 3 ;
  • R 2 is selected from the group consisting of CH 3 , CO 2 H, and piperidine; and
  • R 1 is selected from the group consisting of piperazine, piperazine substituted with CH 3 , and phenyl substituted one or more times with OH, OCH 3 or CH 3 .
  • Formula 3 is represented by Formula 4:
  • R 1 , R 2 , R 4 and R 5 have the meaning set forth for Formula 2.
  • R 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, O-Cj.s-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted pyridine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 4 is selected from the group consisting of hydrogen, halogen, Ci- 5 -alkyl, CO 2 H and (CH 2 ) O-3 OH;
  • R 2 is selected from the group consisting of of hydrogen, substituted or unsubstituted amine, amide, halogen, Ci -5 -alkyl, wherein the C 1-5 -alkyl group may be interrupted by O, S or N(H), and -CO 2 X 1 , wherein X 1 selected from the group consisting of hydrogen, Ci- 5 -alkyl, amino, and substituted or unsubstituted aryl; or R 2 is selected from the group consiting of the Formulas I, II and III:
  • R 8 is selected from the group consisting of O, S and CH 2 ;
  • R 6 , R 7 , R 9 and R 10 are each, independently, selected from the group consisting of hydrogen, C ⁇ s-alkyl, wherein the Ci-s-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ;
  • X 2 is CH 2 , O or N(H);
  • X 3 and X 4 are each, independently, N, C or C(H); the dashed line indicates a single or double bond;
  • X 5 is selected from the group consisting of hydrogen, Ci -5 -alkyl, C) -5 -alkoxy, (CH 2 )o-4-substituted or unsubstituted phenyl, (CH 2 )o -4 -substituted or
  • R 1 is pyridine, which may be optionally substituted one or more times with OCH 3 , Cl, CH 3 , or NO 2 ;
  • R 5 is C(H);
  • R 2 is Formula I or II; and
  • R 4 is halogen, (CH 2 ) 0-3 OH, or CO 2 H.
  • R 2 is Formula III, wherein n is O, X 2 is N(H) or N(Ci -5 -alkyl), X 3 is C(H), X 4 is N and X 5 is (CH 2 ) 0-4 -substituted or unsubstituted phenyl; R 4 is H; and R 1 is Ci -5 -alkyl.
  • R 1 is selected from hydrogen, methyl, ethyl, methoxy, fluorine, bromine, trifluoromethyl, methyl-substituted piperizine, methyl- substituted diazepane, pyridine, phenyl, methyl-substituted phenyl and phenyl independently substituted one or more times by methoxy, fluorine or bromine;
  • R 4 is selected from the group consisting of H, Cl, Br and F;
  • R 2 is selected from the group consisting of Cj.
  • Ci- 5 -alkyl wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), and -CO 2 X 1 , wherein X 1 selected from the group consisting of hydrogen, Ci -5 -alkyl, amino and substituted or unsubstituted aryl; or R 2 is selected from Formula III:
  • X 5 is selected from the group consisting of hydrogen, Ci-s-alkyl, Ci-s-alkoxy, (CH 2 )o -4 -substituted or unsubstituted phenyl, (CH 2 )o- 4 -substituted or unsubstituted cyclohexyl, (CH 2 )o- 4 -benzo[l,3]dioxole, wherein the C], 5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group; and
  • R 5 is N or C(H).
  • Formula 3 is represented by Formula 5:
  • R 5 is N or C(H);
  • R 1 is selected from the group consisting of hydrogen, C 1-5 -alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 4 is selected from the group consisting of hydrogen, halogen, C,.
  • R 11 and R 12 are each, independently, selected from the group consisting of hydrogen, Ci -5 -alkyl, wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or R 11 and R 1 can form the following 6-membered ring:
  • X 5 is selected from the group consisting of hydrogen, Ci- 5 -alkyl, Ci -5 -alkoxy, (CH 2 ) 0-4 -substituted or unsubstituted phenyl, (CH 2 )o -4 -substituted or unsubstituted cyclohexyl, (CH 2 )o -4 -benzo[l,3]dioxole, wherein the Ci- 5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group.
  • Formula 3 is represented by Formula 5a:
  • R 5 is N or C(H);
  • R 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, O-Ci- 5 -alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 4 is selected from the group consisting of hydrogen, halogen, Ci -5 -alkyl, CO 2 H and (CH 2 ) O-3 OH; w is 0 or 1 ; and
  • R 11 and R 12 are each, independently, selected from the group consisting of hydrogen, Ci -5 -alkyl, wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or R H and R 12 can form the following 6- membered ring:
  • X 5 is selected from the group consisting of hydrogen, Cj.s-alkyl, Ci -5 - alkoxy, (CH 2 ) 0-4 -substituted or unsubstituted phenyl, (CH 2 )o -4 -substituted or unsubstituted cyclohexyl, (CH 2 ) O-4 -benzo[l, 3] dioxole, wherein the Ci -5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group.
  • Formula 5 is represented by Formula 6:
  • R 4 is selected from the group consisting of hydrogen, halogen, Ci- 5 -alkyl, CO 2 H and (CH 2 )o -3 OH
  • R 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 5 is N or C(H); w is 0 or 1 ;
  • X 5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci -5 -alkoxy, (CH 2 )o- 4 - substituted or unsubstituted phenyl, (CH 2 ) 0
  • Formula 5 is represented by Formula 6a:
  • R 4 is selected from the group consisting of hydrogen, halogen, Ci -5 -alkyl,
  • R 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 5 is N or C(H); w is 0 or 1 ; and X 5 is selected from the group consisting of hydrogen, Ci -5 -alkyl, Ci -5 -alkoxy, (CH 2 )o- 4 -substituted or unsubstituted phenyl, (CH 2 )o- 4 - substituted or unsubstituted cyclohexyl, (CH 2 )o -4 -benzo[l ,3]dioxole, wherein the Cj.s-alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group.
  • w is 1 ;
  • X 5 is (CH 2 ) 0-4 -substituted or unsubstituted phenyl, (CH 2 ) 0-4 -C(O)-substituted or unsubstituted phenyl, (CH 2 ) 0-4 - benzo[l,3]dioxole, CH 3 , or amide;
  • R 1 is pyridyl, phenyl independently substituted one or more times with OCH 3 , Cl, or OH; and
  • R 4 is hydrogen, halogen, or OH.
  • Formula 6a is represented by Formula 7: wherein
  • R 4 is selected from the group consisting of hydrogen, halogen, Ci -5 -alkyl, 0-Ci -5 - alkyl, CO 2 H and (CH 2 ) 0-3 OH;
  • R 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 5 is N or C(H); and X 5 is selected from the group consisting of hydrogen, Ci -5 - alkyl, Ci -5 -alkoxy, (CH 2 )o -4 -substituted or unsubstituted phenyl, (CH 2 ) 0-4 -substituted or unsubstituted cyclohexyl, (CH 2 )o -4 -benzo[l,3]dioxole, wherein the Ci -5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group.
  • X 5 is H, C(O)O-t-butyl, or phenyl substituted with CN orNO 2 ; R 4 is halogen, and R 1 is C I-5 -alkyl.
  • Formula 3 is represented by Formula 8:
  • R 5 is N or C(H);
  • R 1 is selected from the group consisting of hydrogen, Ci -5 -alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
  • R 4 is selected from the group consisting of hydrogen, halogen, Ci -5 -alkyl, CO 2 H and (CH 2 ) O-3 OH; and
  • R 1 1 and R 12 are each, independently, selected from the group consisting of hydrogen, Ci -5 -alkyl, Ci-s-alkyl-amino, wherein the Ci- 5 -alkyl group may be interrupted by O, S or N(H), and subs
  • x and y are each, independently, 0 or 1 ; wherein X 5 is selected from the group consisting of hydrogen, Cj.s-alkyl, Ci -5 - alkoxy, (CH 2 )o- 4 -substituted or unsubstituted aryl, (CH 2 )o -4 -substituted or unsubstituted cycloalkyl, (CH 2 )o- 4 -substituted or unsubstituted heterocycle, (CH 2 ) 0-4 -benzo[l,3]dioxole, wherein the Ci- 5 -alkyl or CH 2 groups may be interrupted by a carbonyl or -C(O)O- group; wherein the ring formed by R n and R 12 may be further substituted by Ci. 5 -alkyl, halogen, or CO 2 H
  • R 1 is selected from the group consisting of H, F, CH 3 , CF 3 , CN, and phenyl substituted with CH 3 ;
  • R 4 is selected from the group consisting of hydrogen, F, OH, CH 3 , Br, Cl, OCH 3 , NO 2 and CF 3 ;
  • R u and R 12 are each, independently, selected from the group consisting of hydrogen, (CH 2 ) M -halogen, and (CH 2 ), -4 N(CH 3 )CH 2 Ph, or R 1 ' and R 12 can form the following ring:
  • x and y are each, independently, O or 1 ; wherein X 5 is selected from the group consisting of H, CH 3 , isopropyl, t-butyl, cyclopropyl, CH 2 -isopropyl, CH 2 -t-butyl, CH 2 -cyclopropyl, CH 2 -cyclohexyl, CH 2 -CO 2 H, C(O)O-Ci -5 -alkyl, C(O)Ph, (CH 2 ) i -4 -pyridinyl, CH(CH 3 )Ph, CH(CF 3 )Ph, CH(F)Ph, and (CH 2 ) I -4 Ph, wherein the phenyl group may be independently substituted one or more times with chloro, CN, CO 2 H, NO 2 , Cl or OCH 3 ; wherein the ring formed by R 11 and R 12 may be further substituted by Ci- 5 -alkyl, halogen, or CO 2 H,
  • each R is, independently, CN, CO 2 H, NO 2 , Cl, OMe, F, CF 3 or CO 2 CH 3
  • R H, alkyl
  • R H, alkyl, aryl
  • R H, alkyl, aryl
  • R 2 NHCO-alkyl, NHCO-Ar, Ar
  • Acid addition salts of the compounds of the invention are most suitably formed from pharmaceutically accepTable acids, and include for example those formed with inorganic acids e.g. hydrochloric, sulphuric or phosphoric acids and organic acids e.g. succinic, maleic, acetic or fumaric acid.
  • Other non-pharmaceutically accepTable salts e.g. oxalates may be used for example in the isolation of the compounds of the invention, for laboratory use, or for subsequent conversion to a pharmaceutically accepTable acid addition salt.
  • solvates and hydrates of the invention are also included within the scope of the invention.
  • aqueous solution of the given salt is treated with a solution of base e.g. sodium carbonate or potassium hydroxide, to liberate the free base which is then extracted into an appropriate solvent, such as ether.
  • the free base is then separated from the aqueous portion, dried, and treated with the requisite acid to give the desired salt.
  • base e.g. sodium carbonate or potassium hydroxide
  • In vivo hydrolyzable esters or amides of certain compounds of the invention can be formed by treating those compounds having a free hydroxy or amino functionality with the acid chloride of the desired ester in the presence of a base in an inert solvent such as methylene chloride or chloroform.
  • SuiTable bases include triethylamine or pyridine.
  • compounds of the invention having a free carboxy group may be esterified using standard conditions which may include activation followed by treatment with the desired alcohol in the presence of a suiTable base.
  • Examples of pharmaceutically accepTable addition salts include, without limitation, the non-toxic inorganic and organic acid addition salts such as the hydrochloride derived from hydrochloric acid, the hydrobromide derived from hydrobromic acid, the nitrate derived from nitric acid, the perchlorate derived from perchloric acid, the phosphate derived from phosphoric acid, the sulphate derived from sulphuric acid, the formate derived from formic acid, the acetate derived from acetic acid, the aconate derived from aconitic acid, the ascorbate derived from ascorbic acid, the benzenesulphonate derived from benzensulphonic acid, the benzoate derived from benzoic acid, the cinnamate derived from cinnamic acid, the citrate derived from citric acid, the embonate derived from embonic acid, the enantate derived from enanthic acid, the fumarate
  • Particularly preferred salts are sodium, lysine and arginine salts of the compounds of the invention. Such salts can be formed by procedures well known and described in the art. Other acids such as oxalic acid, which can not be considered pharmaceutically acceptable, can be useful in the preparation of salts useful as intermediates in obtaining a chemical Compound of the invention and its pharmaceutically accepTable acid addition salt.
  • Metal salts of a chemical compounds of the invention includes alkali metal salts, such as the sodium salt of a chemical Compound of the invention containing a carboxy group.
  • the "onium salts" of N-containing compounds are also contemplated as pharmaceutically accepTable salts.
  • Preferred “onium salts” include the alkyl-onium salts, the cycloalkyl-onium salts, and the cycloalkyl-onium salts.
  • the chemical Compound of the invention can be provided in dissoluble or indissoluble forms together with a pharmaceutically accepTable solvents such as water, ethanol, and the like.
  • Dissoluble forms can also include hydrated forms such as the monohydrate, the dihydrate, the hemihydrate, the trihydrate, the tetrahydrate, and the like. In general, the dissoluble forms are considered equivalent to indissoluble forms for the purposes of this invention.
  • the chemical compounds of the present invention can exist in (+) and (-) forms as well as in racemic forms.
  • the racemates of these isomers and the individual isomers themselves are within the scope of the present invention.
  • Racemic forms can be resolved into the optical antipodes by known methods and techniques.
  • One way of separating the diastereomeric salts is by use of an optically active acid, and liberating the optically active amine Compound by treatment with a base.
  • Another method for resolving racemates into the optical antipodes is based upon chromatography on an optical active matrix.
  • Racemic compounds of the present invention can thus be resolved into their optical antipodes, e.g., by fractional crystallization of d- or l-(tartrates, mandelates, or camphorsulphonate) salts for example.
  • the chemical compounds of the present invention may also be resolved by the formation of diastereomeric amides by reaction of the chemical compounds of the present invention with an optically active activated carboxylic acid such as that derived from (+) or (-) phenylalanine, (+) or (-) phenylglycine, (+) or (-) camphanic acid or by the formation of diastereomeric carbamates by reaction of the chemical Compound of the present invention with an optically active chloro formate or the like.
  • an optically active activated carboxylic acid such as that derived from (+) or (-) phenylalanine, (+) or (-) phenylglycine, (+) or (-) camphanic acid
  • Optical active compounds can also be prepared from optical active starting materials.
  • a chemical Compound of the present invention may thus be the syn- or the anti-form (Z- and E-form), or it may be a mixture hereof. It is to be understood that both the syn- and anti-form (Z- and E-form) of a particular Compound is within the scope of the present invention, even when the Compound is represented herein (i.e., through nomenclature or the actual drawing of the molecule) in one form or the other.
  • the invention pertains to the gated ion channel modulators of the invention, including salts thereof, e.g., pharmaceutically accepTable salts.
  • Particular embodiments of the invention pertain to the modulating compounds the invention, or derivatives thereof, including salts thereof, e.g., pharmaceutically accepTable salts.
  • the invention pertains to pharmaceutical compositions comprising gated ion channel modulating compounds described herein and a pharmaceutical accepTable carrier.
  • the invention includes any novel Compound or pharmaceutical compositions containing compounds of the invention described herein.
  • compounds and pharmaceutical compositions containing compounds set forth herein are part of this invention, including salts thereof, e.g., pharmaceutically accepTable salts.
  • the present invention relates to a method of modulating gated ion channel activity.
  • the various forms of the term “modulate” include stimulation (e.g., increasing or upregulating a particular response or activity) and inhibition (e.g., decreasing or downregulating a particular response or activity).
  • the methods of the present invention comprise contacting a cell with an effective amount of a gated ion channel modulator compound, e.g. a Compound of the invention, thereby modulating the activity of a gated ion channel.
  • the effective amount of the Compound of the invention inhibits the activity of the gated ion channel
  • the gated ion channels of the present invention are comprised of at least one subunit belonging to the DEG/ENaC, TRPV (also referred to as vanilloid) and/or P2X gene superfamilies.
  • the gated ion channel is comprised of at least one subunit selected from the group consisting of ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, hINaC, , P2X,, P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X 6 , P2X 7 , TRPVl, TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6.
  • the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, BLINaC, hINaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
  • the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
  • the gated ion channel is comprised of ASICIa, ASICIb, or ASIC3.
  • P2X gated ion channel is comprised of at least one subunit selected from the group consisting of P2X t , P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X 6 , and P2X 7 .
  • the TRPV gated ion channel is comprised of at least one subunit selected from the group TRPVl , TRP V2, TRPV3, TRPV4, TRPV5, and TRPV6.
  • the gated ion channel is a heteromultimeric gated ion channel, including, but not limited to, ⁇ ENaC, ⁇ ENaC and ⁇ ENaC; ⁇ ENaC, ⁇ ENaC and ⁇ ENaC; ASICIa and ASIC2a; ASICIa and ASIC2b; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC2b; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; ASIC3 and P2X, e.g.
  • P2X h P2X 2 , P2X 3 , P2X 4 , P2X 5 , P2X 6 and P2X 7 preferably ASIC3 and P2X2; ASIC3 and P2X 3 ; and ASIC3, P2X 2 and P2X 3 ; ASIC4 and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, and ASIC3; BLINaC (or hINaC) and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4; ⁇ ENaC and ASIC, e.g.
  • the gated ion channel modulating compounds of the invention can be identified using the following screening method, which method comprises the subsequent steps of (i) subjecting a gated ion channel containing cell to the action of a selective activator, e.g., protons by adjustment of the pH to an acidic level, ATP by diluting sufficient amounts of ATP in the perfusion buffer or temperature by heating the perfusion buffer to temperatures above 37 0 C;
  • a selective activator e.g., protons by adjustment of the pH to an acidic level, ATP by diluting sufficient amounts of ATP in the perfusion buffer or temperature by heating the perfusion buffer to temperatures above 37 0 C;
  • a gated ion channel containing cell subjecting a gated ion channel containing cell to the action of the chemical Compound (the Compound can be co-applied, pre-applied or post-applied); and (iii) monitoring the change in membrane potential or ionic current induced by the activator, e.g., protons, on the gated ion channel containing cell.
  • the activator e.g., protons
  • fluorescent imaging can be utilized to monitor the effect induced by the activator, e.g., protons, on the gated ion channel containing cell.
  • the gated ion channel containing cells can be subjected to the action of protons by adjustment of the pH to an acidic level using any convenient acid or buffer, including organic acids such as formic acid, acetic acid, citric acid, ascorbic acid, 2- morpholinoethanesulfonic acid (MES) and lactic acid, and inorganic acids such as hydrochloric acid, hydrobromic acid and nitric acid, perchloric acid and phosphoric acid.
  • organic acids such as formic acid, acetic acid, citric acid, ascorbic acid, 2- morpholinoethanesulfonic acid (MES) and lactic acid
  • inorganic acids such as hydrochloric acid, hydrobromic acid and nitric acid, perchloric acid and phosphoric acid.
  • the current flux induced by the activator e.g., protons
  • the membrane of the gated ion channel containing cell can be monitored by electrophysiological methods, for example patch clamp or two-electrode voltage clamp techniques
  • the change in membrane potential induced by gated ion channel activators, e.g., protons of the gated ion channel containing cells can be monitored using fluorescence methods.
  • the gated ion channel containing cells are incubated with a membrane potential indicating agent that allows for a determination of changes in the membrane potential of the cells, caused by the added activators, e.g. , protons.
  • membrane potential indicating agents include fluorescent indicators, preferably DiBAC 4 (3), DiOC5(3), DiOC2(3), DiSBAC2(3) and the FMP (FLIPR membrane potential).
  • the change in gated ion channel activity induced by activators, e.g., protons, on the gated ion channel can be measured by assessing changes in the intracellular concentration of certain ions, e.g., calcium, sodium, potassium, magnesium, protons, and chloride in cells by fluorescence.
  • Fluorescence assays can be performed in multi-well plates using plate readers, e.g., FLIPR assay (Fluorescence Image Plate Reader; available from Molecular Devices, e.g., FlexStation assay (available from Molecular Devices), e.g. using fluorescent calcium indicators, e.g. as described in, for example, Sullivan E., et al. (1999) Methods MoI Biol. 114:125-33, Jerman, J.C., et al.
  • the gated ion channel containing cells are incubated with a selective ion indicating agent that allows for a determination of changes in the intracellular concentration of the ion, caused by the added activators, e.g., protons.
  • a selective ion indicating agent that allows for a determination of changes in the intracellular concentration of the ion, caused by the added activators, e.g., protons.
  • Such ion indicating agents include fluorescent calcium indicators, preferably Fura-2, Fluo-3, Fluo-4, Fluo4FF, Fluo-5F, Fluo-5N, Calcium Green, Fura-Red, Indo-1, Indo-5F, and rhod-2, fluorescent sodium indicators, preferably SBFI, Sodium Green, CoroNa Green, fluorescent potassium indicators, preferably PBFI, CD222, fluorescent magnesium indicators, preferably Mag-Fluo-4, Mag- Fura-2, Mag-Fura-5, Mag-Fura-Red, Mag-indo-1, Mag-rho-2, Magnesium Green, fluorescent chloride indicators, preferably SPQ, Bis-DMXPQ, LZQ, MEQ, and MQAE, fluorescent pH indicators, preferably BCECF and BCPCF.
  • fluorescent calcium indicators preferably Fura-2, Fluo-3, Fluo-4, Fluo4FF, Fluo-5F, Fluo-5N, Calcium Green, Fura-Red, Indo-1, Indo-5F, and rhod-2
  • the gated ion channel containing cells are incubated with FMP dye (from Molecular Devices) or other membrane potential change indicators.
  • the change in the membrane potential is measured following the addition of activators, e.g., protons.
  • the gated ion channel antagonising compounds of the invention show activity in concentrations below 2M, 1.5M, IM, 50OmM, 25OmM, 10OmM, 750 ⁇ M, 500 ⁇ M, 250 ⁇ M, 100 ⁇ M, 75 ⁇ M, 50 ⁇ M, 25 ⁇ M, 10 ⁇ M, 5 ⁇ M, 2.5 ⁇ M, or below 1 ⁇ M.
  • the ASIC antagonizing compounds show activity in low micromolar and the nanomolar range.
  • the term "contacting" i.e., contacting a cell e.g. a neuronal cell, with a compound
  • contacting is intended to include incubating the Compound and the cell together in vitro (e.g., adding the Compound to cells in culture) or administering the Compound to a subject such that the Compound and cells of the subject are contacted in vivo.
  • the term "contacting” is not intended to include exposure of cells to a modulator or Compound that can occur naturally in a subject (i.e., exposure that can occur as a result of a natural physiological process).
  • Gated ion channel polypeptides for use in the assays described herein can be readily produced by standard biological techniques or by chemical synthesis.
  • a host cell transfected with an expression vector containing a nucleotide sequence encoding the desired gated ion channel can be cultured under appropriate conditions to allow expression of the peptide to occur.
  • the gated ion channel can be obtained by culturing a primary cell line or an established cell line that can produce the gated ion channel.
  • the methods of the invention can be practiced in vitro, for example, in a cell-based culture screening assay to screen compounds which potentially bind, activate or modulate gated ion channel function.
  • the modulating Compound can function by interacting with and eliminating any specific function of gated ion channel in the sample or culture.
  • the modulating compounds can also be used to control gated ion channel activity in neuronal cell culture.
  • Cells for use in in vitro assays, in which gated ion channels are naturally present include various cells, such as cortical neuronal cells, in particular mouse or rat cortical neuronal cells, and human embryonic kidney (HEK) cells, in particular the HEK293 cell line.
  • HEK human embryonic kidney
  • cells can be cultured from embryonic human cells, neonatal human cells, and adult human cells.
  • Primary cell cultures can also be used in the methods of the invention.
  • sensory neuronal cells can also be isolated and cultured in vitro from different animal species. The most widely used protocols use sensory neurons isolated from neonatal (Eckert, et al. (1997) J Neurosci Methods 77: 183-190) and embryonic (Vasko, et al. (1994) J Neurosci 14:4987-4997) rat. Trigeminal and dorsal root ganglion sensory neurons in culture exhibit certain characteristics of sensory neurons in vivo.
  • the gated ion channel e.g., a gated channel, e.g., a proton gated ion channel
  • a gated channel e.g., a proton gated ion channel
  • Such cells include Chinese hamster ovary (CHO) cells, HEK cells, African green monkey kidney cell line (CV-I or CV-1-derived COS cells, e.g. COS-I and COS-7) Xenopus laevis oocytes, or any other cell lines capable of expressing gated ion channels.
  • the nucleotide and amino acid sequences of the gated ion channels of the invention are known in the art.
  • the sequences of the human gated channels can be found in Genbank GI Accession Nos: GI:40556387 (ENaCalpha Homo sapiens); GI:4506815 (ENaCalpha Homo sapiens); GI:4506816 (ENaCbeta Homo sapiens); GI:4506817 (ENaCbeta Homo sapiens); GI:34101281 (ENaCdelta Homo sapiens); GI:34101282 (ENaCdelta Homo sapiens); GI:42476332 (ENaCgamma Homo sapiens); GI:42476333 (ENaCgamma Homo sapiens); GI:31442760 (HINAC Homo sapiens); GI:31442761 (HINAC Homo sapiens); GI: 21536350 (ASICIa Homo sapiens);
  • GI.-4757709 ASIC3; transcript variant 1 Homo sapiens); GI:4757710(ASIC3; isoform 1 Homo sapiens); GI:9998945(ASIC3; transcript variant 2 Homo sapiens); GI:9998946 (ASIC3; isoform 2 Homo sapiens); GI:9998947 (ASIC3; transcript variant 3 Homo sapiens); GI: 9998948 (ASIC3; isoform 3 Homo sapiens); GL33519441 (ASIC4; transcript variant 1 Homo sapiens); GI:33519442 (ASIC4; isoform 1 Homo sapiens);
  • GI:33519443 (ASIC4; transcript variant 2 Homo sapiens); GI:33519444 (ASIC4; isoform 2 Homo sapiens); GI:27894283 (P2Xi Homo sapiens); GI:4505545 (P2Xi Homo sapiens); GL28416917 (P2X 2 ; transcript variant 1 Homo sapiens); GL25092719 (P2X 2 ; isoform A Homo sapiens); GI:28416922 (P2X 2 ; transcript variant 2 Homo sapiens); GI:28416923 (P2X 2 ; isoform B Homo sapiens); GI:28416916(P2X 2 ; transcript variant 3 Homo sapiens); GI:7706629 (P2X 2 ; isoform C Homo sapiens); GI:28416918(P2X 2 ; transcript variant 4 Homo sapiens); GI:25092733 (P2X 2 ; is
  • a nucleic acid molecule encoding a gated ion channel for use in the methods of the present invention can be amplified using cDNA, mRNA, or genomic DNA as a template and appropriate oligonucleotide primers according to standard PCR amplification techniques.
  • the nucleic acid so amplified can be cloned into an appropriate vector and characterized by DNA sequence analysis.
  • nucleic acid molecules of the invention can be isolated using standard hybridization and cloning techniques (e.g., as described in Sambrook et al, ed., Molecular Cloning: A Laboratory Manual, 2nd ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, 1989).
  • Expression vectors containing a nucleic acid encoding a gated ion channel, e.g., a gated ion channel subunit protein, e.g., ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, MNaC,, P2Xi, P2X 2 , P2X 3 , P2X,, P2X 5 , P2X 6 , P2X 7 , TRPVl, TRPV2, TRP V3, TRPV4, TRPV5, and TRPV6 protein (or a portion thereof) are introduced into cells using standard techniques and operably linked to regulatory sequence.
  • a gated ion channel subunit protein e.g., ⁇ ENaC, ⁇ ENaC, ⁇ ENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, A
  • Regulatory sequences include those which direct constitutive expression of a nucleotide sequence in many types of host cell and those which direct expression of the nucleotide sequence only in certain host cells (e.g., tissue-specific regulatory sequences). It will be appreciated by those skilled in the art that the design of the expression vector can depend on such factors as the choice of the host cell to be transformed, the level of expression of protein desired, and the like.
  • the expression vectors of the invention can be introduced into host cells to thereby produce proteins or peptides, including fusion proteins or peptides, encoded by nucleic acids as described herein.
  • yeast S. cerevisiae examples include pYepSecl (Baldari et al, 1987, EMBO J. 6:229-234), pMFa (Kurjan and Herskowitz, 1982, Cell 30:933-943), pJRY88 (Schultz et al, 1987, Gene 54:113-123), pYES2 (Invitrogen Corporation, San Diego, CA), and pPicZ (Invitrogen Corp, San Diego, CA).
  • Baculovirus vectors available for expression of proteins in cultured insect cells include the pAc series (Smith et al, 1983, MoI. Cell Biol. 3:2156-2165) and the pVL series (Lucklow and Summers, 1989, Virology 170:31-39).
  • Examples of mammalian expression vectors include pCDM8 (Seed, 1987, Nature 329:840), pMT2PC (Kaufman et al, 1987, EMBO J. 6:187-195), pCDNA3.
  • the expression vector's control functions are often provided by viral regulatory elements.
  • commonly used promoters are derived from polyoma, Adenovirus 2, cytomegalovirus and Simian Virus 40.
  • suiTable expression systems for eukaryotic cells see chapters 16 and 17 of Sambrook et al.
  • a gated ion channel modulator e.g., a ion channel modulator
  • Compound of the invention can be assayed in an animal model to determine the efficacy, toxicity, or side effects of treatment with such an agent.
  • an agent identified as described herein can be used in an animal model to determine the mechanism of action of such an agent.
  • Animal models for determining the ability of a Compound of the invention to modulate a gated ion channel biological activity are well known and readily available to the skilled artisan. Examples of animal models for pain and inflammation include, but are not limited to the models listed in Table 1.
  • Animal models for investigating neurological disorders include, but are not limited to, those described in Morris et al., (Learn. Motiv. 1981 ; 12: 239-60) and Abeliovitch et al, Cell 1993; 75: 1263-71).
  • An example of an animal model for investigating mental and behavioral disorders is the Geller-Seifter paradigm, as described in Psychopharmacology (Berl). 1979 Apr 11;62(2):117-21.
  • Genitourinary models include methods for reducing the bladder capacity of test animals by infusing either protamine sulfate and potassium chloride (See, Chuang, Y. C. et al, Urology 61(3): 664-670 (2003)) or dilute acetic acid (See, Sasaki, K. et al, J. Urol. 168(3): 1259-1264 (2002)) into the bladder.
  • protamine sulfate and potassium chloride See, Chuang, Y. C. et al, Urology 61(3): 664-670 (2003)
  • dilute acetic acid See, Sasaki, K. et al, J. Urol. 168(3): 1259-1264 (2002)
  • diabetic neuropathy STZ induced diabetic neuropathy - Courteix et al, 1994, Pain 57:153-160
  • drug induced neuropathies vincristine induced neuropathy - Aley et al., 1996, Neuroscience 73: 259-265; oncology- related immunotherapy, anti-GD2 antibodies - Slart et al, 1997, Pain 60:119-125
  • Acute pain in humans can be reproduced using in murine animals chemical stimulation: Martinez et al., Pain 81: 179-186; 1999 (the writhing test - intraperitoneal acetic acid in mice), Dubuisson et al. Pain 1977; 4: 161-74 (intraplantar injection of formalin).
  • Intracapsular injection of irritant agents is used to develop arthritis models in animals (Fernihough et al., 2004, Pain 112:83-93; Coderre and Wall, 1987, Pain 28:379-393; Otsuki et al., 1986, Brain Res. 365:235-240).
  • a stress-induced hyperalgesia model is described in Quintero et al, 2000, Pharmacology, Biochemistry and Behavior 67:449-458.
  • Gastrointestinal models can be found in: Gawad, K. A., et al, Ambulatory long- term pH monitoring in pigs, Surg Endosc, (2003); Johnson, S. E. et al, Esophageal Acid Clearance Test in Healthy Dogs, Can. J. Vet. Res. 53(2): 244-7 (1989); and Cicente, Y. et al, Esophageal Acid Clearance: More Volume-dependent Than Motility Dependent in Healthy Piglets, J. Pediatr. Gastroenterol. Nutr. 35(2): 173-9 (2002). Models for a variety of assays can be used to assess visceromotor and pain responses to rectal distension.
  • Gastrointestinal motility can be assessed based on either the in vivo recording of mechanical or electrical events associated intestinal muscle contractions in whole animals or the activity of isolated gastrointestinal intestinal muscle preparations recorded in vitro in organ baths (see, for example, Yaun et al, Br. J. Pharmacol., 112(4): 1095-1100 (1994), Jin et al, J. Pharm. Exp. Ther., 288(1): 93-97 (1999) and Venkova et al, J. Pharm. Exp. Then, 300(3): 1046-1052 (2002)). Tatersall et al.
  • the compounds can also be assayed in non-human transgenic animals containing exogenous sequences encoding one or more gated ion channels.
  • a "transgenic animal” is a non-human animal, preferably a mammal, more preferably a rodent such as a rat or mouse, in which one or more of the cells of the animal includes a transgene.
  • Other examples of transgenic animals include non-human primates, sheep, dogs, cows, goats, chickens, amphibians, etc.
  • Methods for generating transgenic animals via embryo manipulation and microinjection, particularly animals such as mice, have become conventional in the art and are described, for example, in U.S. Patent Nos. 4,736,866 and 4,870,009, U.S. Patent No. 4,873,191 and in Hogan, Manipulating the
  • a homologous recombinant animal can also be used to assay the compounds of the invention.
  • Such animals can be generated according to well known techniques (see, e.g., Thomas and Capecchi, 1987, Cell 51 :503; Li et al, 1992, Cell 69:915; Bradley, Teratocarcinomas and Embryonic Stem Cells: A Practical Approach, Robertson, Ed., IRL, Oxford, 1987, pp. 113-152; Bradley (1991) Current Opinion in Bio/Technology 2:823-829 and in PCT Publication NOS. WO 90/11354, WO 91/01140, WO 92/0968, and WO 93/04169).
  • transgenic non-human animals can be produced which contain selected systems which allow for regulated expression of the transgene (see, e.g., Lakso et al. (1992) Proc. Natl. Acad. Sci. USA 89:6232-6236).
  • Another example of a recombinase system is the FLP recombinase system of Saccharomyces cerevisiae (O'Gorman et al, 1991, Science 251 :1351-1355).
  • compositions comprise a therapeutically (or prophylactically) effective amount of a gated ion channel modulator, and preferably one or more compounds of the invention described above, and a pharmaceutically accepTable carrier or excipient.
  • SuiTable pharmaceutically accepTable carriers include, but are not limited to, saline, buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof.
  • the carrier and composition can be sterile.
  • the formulation should suit the mode of administration.
  • phrases "pharmaceutically accepTable carrier” is art recognized and includes a pharmaceutically accepTable material, composition or vehicle, suiTable for administering compounds of the present invention to mammals.
  • the carriers include liquid or solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying or transporting the subject agent from one organ, or portion of the body, to another organ, or portion of the body.
  • Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not injurious to the subject.
  • materials which can serve as pharmaceutically accepTable carriers include: sugars, such as lactose, glucose, dextrose and sucrose; starches, such as corn starch and potato starch; cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose, methylcellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil, castor oil, tetraglycol, and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate, esters of polyethylene glycol and ethyl laurate; agar; buffering agents, such as magnesium hydro
  • wetting agents such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the compositions.
  • Examples of pharmaceutically accepTable antioxidants include: water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), lecithin, propyl gallate, ⁇ -tocopherol and derivatives such as vitamin E tocopherol, and the like; and metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid, sodium citrate and the like.
  • water soluble antioxidants such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like
  • oil-soluble antioxidants such as ascorbyl palmitate, butylated hydroxyanisole (
  • SuiTable pharmaceutically accepTable carriers include but are not limited to water, salt solutions (e.g., NaCl), alcohols, gum arabic, vegeTable oils, benzyl alcohols, polyethylene glycols, gelatin, carbohydrates such as lactose, amylose or starch, cyclodextrin, magnesium stearate, talc, silicic acid, viscous paraffin, perfume oil, fatty acid esters, hydroxymethylcellulose, polyvinyl pyrolidone, etc.
  • salt solutions e.g., NaCl
  • alcohols e.g., gum arabic
  • vegeTable oils e.g., benzyl alcohols
  • polyethylene glycols e.g., gelatin
  • carbohydrates such as lactose, amylose or starch, cyclodextrin, magnesium stearate, talc, silicic acid, viscous paraffin, perfume oil, fatty acid esters, hydroxymethylcellulose, polyvinyl
  • the pharmaceutical preparations can be sterilized and if desired, mixed with auxiliary agents, e.g., lubricants, preservatives, stabilizers, wetting agents, emulsifiers, salts for influencing osmotic pressure, buffers, coloring, flavoring and/or aromatic substances and the like which do not deleteriously react with the active compounds.
  • auxiliary agents e.g., lubricants, preservatives, stabilizers, wetting agents, emulsifiers, salts for influencing osmotic pressure, buffers, coloring, flavoring and/or aromatic substances and the like which do not deleteriously react with the active compounds.
  • the pharmaceutically accepTable carriers can also include a tonicity-adjusting agent such as dextrose, glycerine, mannitol and sodium chloride.
  • the composition if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents.
  • the composition can be a liquid solution, suspension
  • composition can be formulated as a suppository, with traditional binders and carriers such as triglycerides.
  • Oral formulation can include standard carriers such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, polyvinyl pyrollidone, sodium saccharine, cellulose, magnesium carbonate, etc.
  • compositions for intravenous administration are solutions in sterile isotonic aqueous buffer.
  • the composition can also include a solubilizing agent and a local anesthetic to ease pain at the site of the injection.
  • the ingredients are supplied either separately or mixed together in unit dosage form, for example, as a dry lyophilized powder or water free concentrate in a hermetically sealed container such as an ampule or sachet indicating the quantity of active agent.
  • composition is to be administered by infusion, it can be dispensed with an infusion bottle containing sterile pharmaceutical grade water, saline or dextrose/water.
  • an ampule of sterile water for injection or saline can be provided so that the ingredients can be mixed prior to administration.
  • compositions of the invention can also include an agent which controls release of the gated ion channel modulator compound, thereby providing a timed or sustained release composition.
  • the present invention also relates to prodrugs of the gated ion channel modulators disclosed herein, as well as pharmaceutical compositions comprising such prodrugs.
  • compounds of the invention which include acid functional groups or hydroxyl groups can also be prepared and administered as a corresponding ester with a suiTable alcohol or acid. The ester can then be cleaved by endogenous enzymes within the subject to produce the active agent.
  • Formulations of the present invention include those suiTable for oral, nasal, topical, mucous membrane, transdermal, buccal, sublingual, rectal, vaginal and/or parenteral administration.
  • the formulations can conveniently be presented in unit dosage form and can be prepared by any methods well known in the art of pharmacy.
  • the amount of active ingredient that can be combined with a carrier material to produce a single dosage form will generally be that amount of the Compound that produces a therapeutic effect. Generally, out of one hundred per cent, this amount will range from about 1 per cent to about ninety-nine percent of active ingredient, preferably from about 5 per cent to about 70 per cent, most preferably from about 10 per cent to about 30 per cent.
  • Methods of preparing these formulations or compositions include the step of bringing into association a Compound of the present invention with the carrier and, optionally, one or more accessory ingredients. In general, the formulations are prepared by uniformly and intimately bringing into association a Compound of the present invention with liquid carriers, or finely divided solid carriers, or both, and then, if necessary, shaping the product.
  • Formulations of the invention suiTable for oral administration can be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non-aqueous liquid, or as an oil-in- water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of a Compound of the present invention as an active ingredient.
  • lozenges using a flavored basis, usually sucrose and acacia or tragacanth
  • a Compound of the present invention can also be administered as a bolus, electuary or paste.
  • the active ingredient is mixed with one or more pharmaceutically accepTable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; humectants, such as glycerol; disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; solution retarding agents, such as paraffin; absorption accelerators, such as quaternary
  • the pharmaceutical compositions can also comprise buffering agents.
  • Solid compositions of a similar type can also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.
  • a tablet can be made by compression or molding, optionally with one or more accessory ingredients.
  • Compressed tablets can be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent.
  • Molded tablets can be made by molding in a suiTable machine a mixture of the powdered Compound moistened with an inert liquid diluent.
  • the tablets, and other solid dosage forms of the pharmaceutical compositions of the present invention can optionally be scored or prepared with coatings and shells, such as enteric coatings and other coatings well known in the pharmaceutical-formulating art. They can also be formulated so as to provide slow or controlled release of the active ingredient therein using, for example, hydroxypropylmethyl cellulose in varying proportions to provide the desired release profile, other polymer matrices, liposomes and/or microspheres.
  • compositions can be sterilized by, for example, filtration through a bacteria-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions that can be dissolved in sterile water, or some other sterile injecTable medium immediately before use.
  • These compositions can also optionally contain opacifying agents and can be of a composition that they release the active ingredient(s) only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner.
  • embedding compositions that can be used include polymeric substances and waxes.
  • the active ingredient can also be in microencapsulated form, if appropriate, with one or more of the above-described excipients.
  • Liquid dosage forms for oral administration of the compounds of the invention include pharmaceutically accepTable emulsions, microemulsions, solutions, suspensions, syrups and elixirs.
  • the liquid dosage forms can contain inert diluent commonly used in the art, such as, for example, water or other solvents, solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1 ,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
  • inert diluent commonly used in the art, such as, for example, water or other solvents, solub
  • the oral compositions can also include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
  • adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
  • Suspensions in addition to the active compounds, can contain suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
  • Formulations of the pharmaceutical compositions of the invention for rectal or vaginal administration can be presented as a suppository, which can be prepared by mixing one or more compounds of the invention with one or more suiTable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active compound.
  • Formulations of the present invention which are suiTable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such carriers as are known in the art to be appropriate.
  • Dosage forms for the topical or transdermal administration of a Compound of this invention include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants.
  • the active Compound can be mixed under sterile conditions with a pharmaceutically accepTable carrier, and with any preservatives, buffers, or propellants that can be required.
  • the ointments, pastes, creams and gels can contain, in addition to an active
  • excipients such as animal and vegeTable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
  • Powders and sprays can contain, in addition to a Compound of this invention, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances.
  • Sprays can additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.
  • Transdermal patches have the added advantage of providing controlled delivery of a Compound of the present invention to the body.
  • dosage forms can be made by dissolving or dispersing the Compound in the proper medium.
  • Absorption enhancers can also be used to increase the flux of the Compound across the skin. The rate of such flux can be controlled by either providing a rate controlling membrane or dispersing the active
  • Ophthalmic formulations are also contemplated as being within the scope of this invention.
  • compositions of this invention suiTable for parenteral administration comprise one or more compounds of the invention in combination with one or more pharmaceutically accepTable sterile isotonic aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, or sterile powders which can be reconstituted into sterile injecTable solutions or dispersions just prior to use, which can contain antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with the blood of the intended recipient or suspending or thickening agents.
  • suiTable aqueous and nonaqueous carriers examples include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suiTable mixtures thereof, vege Table oils, such as olive oil, and injecTable organic esters, such as ethyl oleate.
  • polyols such as glycerol, propylene glycol, polyethylene glycol, and the like
  • suiTable mixtures thereof such as vege Table oils, such as olive oil
  • injecTable organic esters such as ethyl oleate.
  • Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
  • compositions can also contain adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents. Prevention of the action of microorganisms can be ensured by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and the like. It can also be desirable to include isotonic agents, such as sugars, sodium chloride, and the like into the compositions. In addition, prolonged absorption of the injecTable pharmaceutical form can be brought about by the inclusion of agents that delay absorption such as aluminum monostearate and gelatin.
  • the absorption of the drug in order to prolong the effect of a drug, it is desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This can be accomplished by the use of a liquid suspension of crystalline or amorphous material having poor water solubility. The rate of absorption of the drug then depends upon its rate of dissolution which, in turn, can depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally-administered drug form is accomplished by dissolving or suspending the drug in an oil vehicle.
  • InjecTable depot forms are made by forming microencapsule matrices of the subject compounds in biodegradable polymers such as polylactide-polyglycolide. Depending on the ratio of drug to polymer, and the nature of the particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injecTable formulations are also prepared by entrapping the drug in liposomes or microemulsions that are compatible with body tissue.
  • biodegradable polymers such as polylactide-polyglycolide.
  • Depot injecTable formulations are also prepared by entrapping the drug in liposomes or microemulsions that are compatible with body tissue.
  • the invention provides a method of treating a condition mediated by gated ion channel activity in a subject, including, but not limited to, pain, inflammatory disorders, neurological disorders, gastrointestinal disorders and genitourinary disorders.
  • the method comprises the step of administering to the subject a therapeutically effective amount of a gated ion channel modulator.
  • the condition to be treated can be any condition which is mediated, at least in part, by the activity of a gated ion channel ⁇ e.g., ASICIa and/or ASIC3).
  • the quantity of a given Compound to be administered will be determined on an individual basis and will be determined, at least in part, by consideration of the individual's size, the severity of symptoms to be treated and the result sought.
  • the gated ion channel activity modulators described herein can be administered alone or in a pharmaceutical composition comprising the modulator, an accepTable carrier or diluent and, optionally, one or more additional drugs. These compounds can be administered to humans and other animals for therapy by any suiTable route of administration.
  • the gated ion channel modulator can be administered subcutaneously, intravenously, parenterally, intraperitoneally, intradermally, intramuscularly, topically, enterally ⁇ e.g., orally), rectally, nasally, buccally, sublingually, systemically, vaginally, by inhalation spray, by drug pump or via an implanted reservoir in dosage formulations containing conventional non-toxic, physiologically accepTable carriers or vehicles.
  • the preferred method of administration is by oral delivery.
  • the form in which it is administered ⁇ e.g. , syrup, elixir, capsule, tablet, solution, foams, emulsion, gel, sol) will depend in part on the route by which it is administered.
  • mucosal e.g., oral mucosa, rectal mucosa, intestinal mucosa, bronchial mucosa
  • nose drops aerosols, inhalants, nebulizers, eye drops or suppositories
  • nebulizers e.g., nebulizers
  • eye drops e.g., suppositories
  • agents such as analgesics, e.g., opiates, anti-inflammatory agents, e.g., NSAIDs, anesthetics and other agents which can control one or more symptoms or causes of a gated ion channel mediated condition.
  • analgesics e.g., opiates
  • anti-inflammatory agents e.g., NSAIDs
  • anesthetics e.g., anesthetics and other agents which can control one or more symptoms or causes of a gated ion channel mediated condition.
  • the agents of the invention can be desirable to administer the agents of the invention locally to a localized area in need of treatment; this can be achieved by, for example, and not by way of limitation, local infusion during surgery, topical application, transdermal patches, by injection, by means of a catheter, by means of a suppository, or by means of an implant, said implant being of a porous, non-porous, or gelatinous material, including membranes, such as sialastic membranes or fibers.
  • the agent can be injected into the joints or the urinary bladder.
  • the compounds of the invention can, optionally, be administered in combination with one or more additional drugs which, for example, are known for treating and/or alleviating symptoms of the condition mediated by a gated ion channel (e.g., ASICIa and/or ASIC3).
  • the additional drug can be administered simultaneously with the Compound of the invention, or sequentially.
  • the compounds of the invention can be administered in combination with at least one of an analgesic, an anti-inflammatory agent, an anesthetic, a corticosteroid (e.g., dexamethasone, beclomethasone diproprionate (BDP) treatment), an anti-convulsant, an antidepressant, an anti-nausea agent, an antipsychotic agent, a cardiovascular agent (e.g., a beta-blocker) or a cancer therapeutic.
  • the compounds of the invention are administered in combination with a pain drug.
  • pain drugs is intended to refer to analgesics, anti-inflammatory agents, anesthetics, corticosteroids, antiepileptics, barbiturates, antidepressants, and marijuana.
  • the methods of the invention can further include the step of administering a second treatment, such as a second treatment for the disease or disorder or to ameliorate side effects of other treatments.
  • a second treatment can include, e.g., anti-inflammatory medication and any treatment directed toward treating pain.
  • further treatment can include administration of drugs to further treat the disease or to treat a side effect of the disease or other treatments (e.g., anti-nausea drugs, anti-inflammatory drugs, anti-depressants, anti-psychiatric drugs, anti-convulsants, steroids, cardiovascular drugs, and cancer chemotherapeutics).
  • an "analgesic” is an agent that relieves or reduces pain or any signs or symptoms thereof (e.g., hyperalgesia, allodynia, dysesthesia, hyperesthesia, hyperpathia, paresthesia) and can also result in the reduction of inflammation, e.g., an antiinflammatory agent.
  • Analgesics can be subdivided into NSAIDs (non-steroidal-antiinflammatory drugs), narcotic analgesics, including opioid analgesics, and non-narcotic analgesics.
  • NSAIDs can be further subdivided into non-selective COX (cyclooxygenase) inhibitors, and selective COX2 inhibitors.
  • Opioid analgesics can be natural, synthetic or semi-synthetic opioid analgesics, and include for example, morphine, codeine, meperidine, propxyphen, oxycodone, hydromorphone, heroine, tramadol, and fentanyl.
  • Non-narcotic analgesics (also called non-opioid) analgesics include, for example, acetaminophen, clonidine, NMDA antagonists, vanilloid receptor antagonists (e.g., TRPVl antagonists), pregabalin, endocannabinoids and cannabinoids.
  • Non-selective COX inhibitors include, but are not limited to acetylsalicylic acid (ASA), ibuprofen, naproxen, ketoprofen, piroxicam, etodolac, and bromfenac.
  • Selective COX2 inhibitors include, but are not limited to celecoxib, valdecoxib, parecoxib, and etoricoxib.
  • an "anesthetic” is an agent that interferes with sense perception near the site of administration, a local anesthetic, or result in alteration or loss of consciousness, e.g., systemic anesthetic agents.
  • Local anesthetics include but are not limited to lidocaine and buvicaine.
  • Non-limiting examples of antiepileptic agents are carbamazepine, phenytoin and gabapentin.
  • Non-limiting examples of antidepressants are amitriptyline and desmethylimiprimine.
  • Non-limiting examples of anti-inflammatory drugs include corticosteroids (e.g., hydrocortisone, cortisone, prednisone, prednisolone, methyl prednisone, triamcinolone, fluprednisolone, betamethasone and dexamethasone), salicylates, NSAIDs, antihistamines and H 2 receptor antagonists.
  • corticosteroids e.g., hydrocortisone, cortisone, prednisone, prednisolone, methyl prednisone, triamcinolone, fluprednisolone, betamethasone and dexamethasone
  • salicylates e.g., NSAIDs, antihistamines and H 2 receptor antagonists.
  • parenteral administration and “administered parenterally” as used herein mean modes of administration other than enteral and topical administration, usually by injection, and include, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.
  • systemic administration means the administration of a compound, drug or other material other than directly into the central nervous system, such that it enters the subject's system and, thus, is subject to metabolism and other like processes, for example, subcutaneous administration.
  • the compounds of the present invention which can be used in a suiTable hydrated form, and/or the pharmaceutical compositions of the present invention, are formulated into pharmaceutically accepTable dosage forms by conventional methods known to those of skill in the art.
  • Actual dosage levels of the active ingredients in the pharmaceutical compositions of this invention can be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular subject, composition, and mode of administration, without being toxic to the subject.
  • the selected dosage level will depend upon a variety of factors including the activity of the particular Compound of the present invention employed, or the ester, salt or amide thereof, the route of administration, the time of administration, the rate of excretion of the particular Compound being employed, the duration of the treatment, other drugs, compounds and/or materials used in combination with the particular Compound employed, the age, sex, weight, condition, general health and prior medical history of the subject being treated, and like factors well known in the medical arts.
  • a physician or veterinarian having ordinary skill in the art can readily determine and prescribe the effective amount of the pharmaceutical composition required.
  • dosages of a Compound of the invention can be determined by deriving dose- response curves using an animal model for the condition to be treated.
  • the physician or veterinarian could start doses of the compounds of the invention employed in the pharmaceutical composition at levels lower than that required in order to achieve the desired therapeutic effect and gradually increase the dosage until the desired effect is achieved.
  • a suiTable daily dose of a Compound of the invention will be that amount of the Compound that is the lowest dose effective to produce a therapeutic effect. Such an effective dose will generally depend upon the factors described above. Generally, intravenous and subcutaneous doses of the compounds of this invention for a subject, when used for the indicated analgesic effects, will range from about 0.0001 to about 100 mg per kilogram of body weight per day, more preferably from about 0.01 to about 100 mg per kg per day, and still more preferably from about 1.0 to about 50 mg per kg per day. An effective amount is that amount that treats a gated ion channel-associated state or gated ion channel disorder.
  • the effective daily dose of the active Compound can be administered as two, three, four, five, six or more sub-doses administered separately at appropriate intervals throughout the day, optionally, in unit dosage forms.
  • a Compound of the present invention While it is possible for a Compound of the present invention to be administered alone, it is preferable to administer the Compound as a pharmaceutical composition.
  • the above compounds can be used for administration to a subject for the modulation of a gated ion channel-mediated activity, involved in, but not limited to, pain, inflammatory disorders, neurological disorders, and any abnormal function of cells, organs, or physiological systems that are modulated, at least in part, by a gated ion channel-mediated activity. Additionally, it is understood that the compounds can also alleviate or treat one or more additional symptoms of a disease or disorder discussed herein.
  • the compounds of the invention can be used to treat pain, including acute, chronic, malignant and non-malignant somatic pain (including cutaneous pain and deep somatic pain), visceral pain, and neuropathic pain. It is further understood that the compounds can also alleviate or treat one or more additional signs or symptoms of pain and sensory deficits ⁇ e.g., hyperalgesia, allodynia, dysesthesia, hyperesthesia, hyperpathia, paresthesia).
  • the compounds of the invention can be used to treat somatic or cutaneous pain associated with injuries, inflammation, diseases and disorders of the skin and related organs including, but not limited to, cuts, burns, lacerations, punctures, incisions, surgical pain, post-operative pain, orodental surgery, psoriasis, eczema, dermatitis, and allergies.
  • the compounds of the invention can also be used to treat somatic pain associated with malignant and non- malignant neoplasm of the skin and related organs ⁇ e.g., melanoma, basal cell carcinoma).
  • the compounds of the invention can be used to treat deep somatic pain associated with injuries, inflammation, diseases and disorders of the musculoskeletal and connective tissues including, but not limited to, arthralgias, myalgias, fibromyalgias, myofascial pain syndrome, dental pain, lower back pain, pain during labor and delivery, surgical pain, post-operative pain, headaches, migraines, idiopathic pain disorder, sprains, bone fractures, bone injury, osteoporosis, severe burns, gout, arthiritis, osteoarthithis, myositis, and dorsopathies (e.g., spondylolysis, subluxation, sciatica, and torticollis).
  • arthralgias e.g., myalgias, fibromyalgias, myofascial pain syndrome
  • dental pain lower back pain
  • pain during labor and delivery e.g., arthralgias, my
  • the compounds of the invention can also be used to treat deep somatic pain associated with malignant and non-malignant neoplasm of the musculoskeletal and connective tissues (e.g., sarcomas, rhabdomyosarcomas, and bone cancer).
  • malignant and non-malignant neoplasm of the musculoskeletal and connective tissues e.g., sarcomas, rhabdomyosarcomas, and bone cancer.
  • compounds of the invention can be used to treat visceral pain associated with injuries, inflammation, diseases or disorders of the circulatory system, the respiratory system, the genitourinary system, the gastrointestinal system and the eye, ear, nose and throat.
  • the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation and disorders of the circulatory system associated including, but are not limited to, ischaemic diseases, ischaemic heart diseases (e.g., angina pectoris, acute myocardial infarction, coronary thrombosis, coronary insufficiency), diseases of the blood and lymphatic vessels (e.g., peripheral vascular disease, intermittent claudication, varicose veins, haemorrhoids, embolism or thrombosis of the veins, phlebitis, thrombophlebitis lymphadenitis, lymphangitis), and visceral pain associated with malignant and non-malignant neoplasm of the circulatory system (e.g. , lymphomas, myelomas, Hodgkin's disease).
  • ischaemic diseases e.g., angina pectoris, acute myocardial infarction, coronary thrombosis, coronary insuffici
  • the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation, diseases and disorders of the respiratory system including, but are not limited to, upper respiratory infections (e.g., nasopharyngitis, sinusitis, and rhinitis), influenza, pneumoniae (e.g., bacterial, viral, parasitic and fungal), lower respiratory infections (e.g., bronchitis, bronchiolitis, tracheobronchitis), interstitial lung disease, emphysema, bronchiectasis, status asthmaticus, asthma, pulmonary fibrosis, chronic obstructive pulmonary diseases (COPD), diseases of the pleura, and visceral pain associated with malignant and non-malignant neoplasm of the respiratory system (e.g., small cell carcinoma, lung cancer, neoplasm of the trachea, of the larynx).
  • upper respiratory infections e.g., nasopharyngitis, sinusitis,
  • the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation and disorders of the gastrointestinal system including, but are not limited to, injuries, inflammation and disorders of the tooth and oral mucosa (e.g., impacted teeth, dental caries, periodontal disease, oral aphthae, pulpitis, gingivitis, periodontitis, and stomatitis), of the oesophagus, stomach and duodenum (e.g., ulcers, dyspepsia, oesophagitis, gastritis, duodenitis, diverticulitis and appendicitis), of the intestines (e.g., Crohn's disease, paralytic ileus, intestinal obstruction, irriTable bowel syndrome, neurogenic bowel, megacolon, inflammatory bowel disease, ulcerative colitis, and gastroenteritis), of the peritoneum (e.g.
  • the tooth and oral mucosa e.g., impacted teeth, dental caries
  • liver peritonitis of the liver (e.g., hepatitis, liver necrosis, infarction of liver, hepatic veno-occlusive diseases), of the gallbladder, biliary tract and pancreas (e.g., cholelithiasis, cholecystolithiasis, choledocholithiasis, cholecystitis, and pancreatitis), functional abdominal pain syndrome (FAPS), gastrointestinal motility disorders, as well as visceral pain associated with malignant and non-malignant neoplasm of the gastrointestinal system (e.g., neoplasm of the oesophagus, stomach, small intestine, colon, liver and pancreas).
  • FAPS functional abdominal pain syndrome
  • gastrointestinal motility disorders as well as visceral pain associated with malignant and non-malignant neoplasm of the gastrointestinal system (e.g., neoplasm of the oesophagus
  • the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation, diseases, and disorders of the genitourinary system including, but are not limited to, injuries, inflammation and disorders of the kidneys (e.g., nephrolithiasis, glomerulonephritis, nephritis, interstitial nephritis, pyelitis, pyelonephritis), of the urinay tract (e.g. include urolithiasis, urethritis, urinary tract infections), of the bladder (e.g.
  • the kidneys e.g., nephrolithiasis, glomerulonephritis, nephritis, interstitial nephritis, pyelitis, pyelonephritis
  • the urinay tract e.g. include urolithiasis, urethritis, urinary tract infections
  • the bladder
  • cystitis neuropathic bladder, neurogenic bladder dysfunction, overactive bladder, bladder-neck obstruction
  • male genital organs e.g., prostatitis, orchitis and epididymitis
  • female genital organs e.g., inflammatory pelvic disease, endometriosis, dysmenorrhea, ovarian cysts
  • pain associated with malignant and non-malignant neoplasm of the genitourinary system e.g., neoplasm of the bladder, the prostate, the breast, the ovaries.
  • compounds of the invention can be used to treat neuropathic pain associated with injuries, inflammation, diseases and disorders of the nervous system, including the central nervous system and the peripheral nervous systems.
  • injuries, inflammation, diseases or disorders associated with neuropathic pain include, but are not limited to, neuropathy (e.g., diabetic neuropathy, drug-induced neuropathy, radiotherapy-induced neuropathy), neuritis, radiculopathy, radiculitis, neurodegenerative diseases (e.g., muscular dystrophy), spinal cord injury, peripheral nerve injury, nerve injury associated with cancer, Morton's neuroma, headache (e.g., nonorganic chronic headache, tension-type headache, cluster headache and migraine), migraine, multiple somatization syndrome, postherpetic neuralgia (shingles), trigeminal neuralgia complex regional pain syndrome (also known as causalgia or Reflex Sympathetic Dystrophy), radiculalgia, phantom limb pain, chronic cephalic pain, nerve trunk pain, somatoform
  • neuropathy e.g., diabet
  • the compounds of the invention can be used to treat inflammation associated with injuries, diseases or disorders of the skin and related organs, the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system and the gastrointestinal system.
  • examples of inflammatory conditions, diseases or disorders of the skin and related organs that can be treated with the compounds of the invention include, but are not limited to allergies, atopic dermatitis, psoriasis and dermatitis.
  • inflammatory conditions, diseases or disorders of the musculoskeletal and connective tissue system that can be
  • treated with the compounds of the invention include, but are not limited to arthritis, osteoarthritis, and myositis.
  • inflammatory conditions, diseases or disorders of the respiratory system that can be treated with the compounds of the invention include, but are not limited to allergies, asthma, rhinitis, neurogenic inflammation, pulmonary fibrosis, chronic obstructive pulmonary disease (COPD), adult respiratory distress syndrome, nasopharyngitis, sinusitis, and bronchitis.
  • COPD chronic obstructive pulmonary disease
  • inflammatory conditions, disease or disorders of the circulatory system that can be treated with the compounds of the invention include, but are not limited to, endocarditis, pericarditis, myocarditis, phlebitis, lymphadenitis and artherosclerosis.
  • inflammatory conditions, diseases or disorders of the genitourinary system that can be treated with the compounds of the invention include, but are not limited to, inflammation of the kidney ⁇ e.g., nephritis, interstitial nephritis), of the bladder ⁇ e.g., cystitis), of the urethra (e.g. urethritis), of the male genital organs ⁇ e.g., prostatitis), and of the female genital organs ⁇ e.g., inflammatory pelvic disease).
  • inflammatory conditions, diseases or disorders of the gastrointestinal system that can be treated with the compounds of the invention include, but are not limited to, gastritis, gastroenteritis, colitis (e.g., ulcerative colitis), inflammatory bowel syndrome, Crohn's disease, cholecystitis, pancreatitis and appendicitis.
  • colitis e.g., ulcerative colitis
  • inflammatory bowel syndrome Crohn's disease
  • cholecystitis cholecystitis
  • pancreatitis pancreatitis and appendicitis.
  • inflammatory conditions, diseases or disorders that can be treated with the compounds of the invention, but are not limited to inflammation associated with microbial infections (e.g., bacterial, viral and fungal infections), physical agents (e.g., burns, radiation, and trauma), chemical agents (e.g., toxins and caustic substances), tissue necrosis and various types of immunologic reactions and autoimmune diseases (e.g., lupus erythematosus).
  • microbial infections e.g., bacterial, viral and fungal infections
  • physical agents e.g., burns, radiation, and trauma
  • chemical agents e.g., toxins and caustic substances
  • tissue necrosis e.g., lupus erythematosus
  • the compounds of the invention can be used to treat injuries, diseases or disorders of the nervous system including, but not limited to neurodegenerative diseases (e.g., Alzheimer's disease, Duchenne's disease), epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, cerebral ischemia, neuropathies (e.g., chemotherapy- induced neuropathy, diabetic neuropathy), retinal pigment degeneration, trauma of the central nervous system (e.g., spinal cord injury), and cancer of the nervous system (e.g., neuroblastoma, retinoblastoma, brain cancer, and glioma), and other certain cancers (e.g., melanoma, pancreatic cancer).
  • neurodegenerative diseases e.g., Alzheimer's disease, Duchenne's disease
  • epilepsy multiple sclerosis, amyotrophic lateral sclerosis, stroke, cerebral ischemia, neuropathies (e.g., chemotherapy- induced neuropathy, diabetic neuropathy), retinal pigment degeneration,
  • the compounds of the invention can also be used to treat other disorders of the skin and related organs (e.g., hair loss), of the circulatory system, (e.g., cardiac arrhythmias and fibrillation and sympathetic hyper- innervation), and of the genitourinary system (e.g., neurogenic bladder dysfunction and overactive bladder).
  • disorders of the skin and related organs e.g., hair loss
  • the circulatory system e.g., cardiac arrhythmias and fibrillation and sympathetic hyper- innervation
  • the genitourinary system e.g., neurogenic bladder dysfunction and overactive bladder.
  • the present invention provides a method for treating a subject that would benefit from administration of a composition of the present invention. Any therapeutic indication that would benefit from a gated ion channel modulator can be treated by the methods of the invention.
  • the method includes the step of administering to the subject a composition of the invention, such that the disease or disorder is treated.
  • the invention further provides a method for preventing in a subject, a disease or disorder which can be treated with administration of the compositions of the invention.
  • Subjects "at risk” may or may not have detecTable disease, and may or may not have displayed detecTable disease prior to the treatment methods described herein.
  • At risk denotes that an individual who is determined to be more likely to develop a symptom based on conventional risk assessment methods or has one or more risk factors that correlate with development of a disease or disorder that can be treated according the methods of the invention.
  • risk factors include family history, medication history, and history of exposure to an environmental substance which is known or suspected to increase the risk of disease.
  • Subjects at risk for a disease or condition which can be treated with the agents mentioned herein can also be identified by, for example, any or a combination of diagnostic or prognostic assays known to those skilled in the art.
  • Administration of a prophylactic agent can occur prior to the manifestation of symptoms characteristic of the disease or disorder, such that the disease or disorder is prevented or, alternatively, delayed in its progression.
  • the invention is further illustrated by the following examples, which could be used to examine the gated ion channel modulating activity of the compounds of the invention, as well as prepare the compouds of the invention.
  • the examples should not be construed as further limiting.
  • the animal models used throughout the examples are accepted animal models and the demonstration of efficacy in these animal models is predictive of efficacy in humans.
  • ASICIa expressing HEK293 or CHO cells are grown in culture medium (DMEM with 10 % FBS), in polystyrene culture flasks (175 mm 2 ) at 37°C in a humidified atmosphere of 5% CO 2 . Confluency of cells should be 80-90% on day of plating. Cells are rinsed with 10 ml of PBS and re-suspended by addition of culture medium and trituration with a 25 ml pipette.
  • the cells are seeded at a density of approximately 1x10 5 cells/ml for HEK293 and 8x10 4 for CHO cells (lOO ⁇ l/well) in black- walled, clear bottom, poly-D-lysin pre-treated 96-well plates. Plated cells were allowed to proliferate for 48 h before loading with dye.
  • Fluo-4/AM (1 mg, Molecular Probes) is dissolved in 912 ⁇ l DMSO.
  • the Fluo- 4/AM stock solution (1 mM) is diluted with culture medium to a final concentration of 2 ⁇ M (loading solution).
  • the culture medium is aspirated from the wells, and 80 ⁇ l of the Fluo-4/AM loading solution is added to each well.
  • the cells are incubated at 37°C for 30 min. When CHO cells are used, probenicid at 2.5mM (final concentration) is added in the loading solution.
  • the loading solution is aspirated and the cells are washed twice with lOO ⁇ l modified Assay Buffer (145 mM NaCl, 5 mM KCl, 5 mM CaCl 2 , 1 mM MgCl 2 , 10 mM HEPES, pH 7.4) to remove extracellular dye.
  • lOO ⁇ l modified Assay Buffer is added to each well and the fluorescence is measured in FLIPRTM or FlexStationTM (Molecular Devices, USA), or any other suiTable equipment known to the skilled in the art.
  • probenicid at 2.5mM (final concentration) is added in the wash buffer.
  • a vial of FMP dye (Molecular Devices) is resuspended in 10.5 ml of assay buffer (48.3 mM NaCl, 93mM NMDG, 5 niM KCl, 5 mM CaCl 2 , 1 mM MgCl 2 , 10 mM HEPES, pH 7.4).
  • the culture medium is aspirated from the wells, and lOO ⁇ l of the FMP loading solution is added to each well.
  • the cells are incubated at 37°C for 30 min.
  • the loading solution is left on the cells and the membrane potential-induced fluorescence is measured in FLIPRTM or FlexStationTM (Molecular Devices, USA), or any other suiTable equipment known to the skilled in the art.
  • Second addition 50 ⁇ l test solution at a rate of 30 ⁇ l/sec and a starting height of lOO ⁇ l
  • 50 ⁇ l MES solution (20 mM, 5 mM final concentration) at a rate of 35 ⁇ l/sec and a starting height of 150 ⁇ l.
  • Addition plates (Compound test plate and MES plate) are placed on the right and left positions in the FLIPR tray, respectively. Cell plates are placed in the middle position and the ASICIa program is effectuated. FLIPR will then take the appropriate measurements in accordance with the interval settings above. Fluorescence obtained after stimulation is corrected for the mean basal fluorescence (in modified Assay Buffer).
  • Reading intervals pre-incubation - 120 sec. antagonist phase, addition of MES at 145 sec. and reading time with agonist 100 sec (total run time of 240 sec).
  • Fluorescence obtained after stimulation is corrected for the mean basal fluorescence (in modified Assay Buffer).
  • FMP dye membrane potential dye
  • the MES -induced peak calcium response (or change in membrane potential), in the presence of test substance, is expressed relative to the MES response alone.
  • Test substances that block the MES-induced calcium response (or change in membrane potential) are re-tested in triplicates. Confirmed hits are picked for further characterization by performing full dose-response curves to determine potency of each hit Compound as represented by the IC 50 values (i.e., the concentration of the test substance which inhibits 50% of the MES-induced calcium and/or membrane potentiation response; see, for example, figure 1).
  • Table H The data shown in Table H was acquired using the FlexStation assay described in Example 1 on HEK293 cells expressing hASIC3 (h3) and/or hASICla (hi a).
  • This example describes another in vitro assessment of the activity of the compounds of the present invention.
  • mammalian heterologous expression systems which are known to those skilled in the art, and include a variety of mammalian cell lines such as COS, HEK, e.g., HEK293 and/or CHO, cells.
  • Cell lines are transfected with gated ion channel(s) and used to perform electrophysiology as follows:
  • the amplifier used is the EPC-9 (HEKA-electronics, Lambrect, Germany) run by a Macintosh G3 computer via an ITC- 16 interface. Experimental conditions are set with the Pulse-software accompanying the amplifier. Data is low pass filtered and sampled directly to hard-disk at a rate of 3 times the cut-off frequency.
  • EPC-9 HEKA-electronics, Lambrect, Germany
  • Pipettes are pulled from borosilicate glass using a horizontal electrode puller (Zeitz-Instrumente, Augsburg, Germany).
  • the pipette resistances are 2-3 MOhms in the salt solutions used in these experiments.
  • the pipette electrode is a chloridized silver wire, and the reference is a silver chloride pellet electrode (In Vivo Metric, Healdsburg, USA) fixed to the experimental chamber. The electrodes are zeroed with the open pipette in the bath just prior to sealing.
  • Coverslips with the cells are transferred to a 15 ⁇ l experimental chamber mounted on the stage of an inverted microscope (IMT-2, Olympus) supplied with Nomarski optics.
  • Cells are continuously superfused with extracellular saline at a rate of 2.5 ml/min. After giga-seal formation, the whole cell configuration is attained by suction. The cells are held at a holding voltage of -60 mV and at the start of each experiment the current is continuously measured for 45 s to ensure a sTable baseline.
  • Solutions of low pH ( ⁇ 7) are delivered to the chamber through a custom-made gravity-driven flowpipe, the tip of which is placed approximately 50 ⁇ m from the cell.
  • compounds for testing are dissolved in 50% DMSO at 500 fold the highest concentration used.
  • Patch Clamp experiments with Compound B and Compound R demonstrated the efficacy to inhibit recombinant human ASIC-gated channels as illustrated in Figures 2A and 2B.
  • CHO cells were transfected with hASICla and used to perform full dose- inhibition curves with Compound B, and Compound R. Results are expressed as a fraction of the control peak current obtained in the absence of the test substance.
  • Figure 3 compares the selectivity of Compound R for human ASICIa versus human ASIC3, both stably transfected in CHO cells
  • figure 3A shows the effect of Compound R on the hASICla current amplitude and kinetic.
  • a concentration of 1 ⁇ M caused average 50% reduction in the current amplitude. This effect was fully reversed upon washout of the compound.
  • figure 3B depicts the effects of Compound R on the amplitude and kinetics of acid evoked hASIC3 currents.
  • figure 3C compares the dose- response relationship of Compound R on hASICla and hASIC3 [determined by measuring the area under the curve of the response (total charge transfer) and normalized to the control response].
  • Compound R clearly reduced the hASICla pH-evoked response in a dose-dependent manner, but not the hASIC3, indicating that this Compound is selective against specific ASIC subunits.
  • Example 3 Screening and Bioanalysis of ASIC Antagonists in Xenopus laevis oocytes
  • Oocytes are surgically removed from adult Xenopus laevis and treated for 2 h at room temperature with 1 mg/ml type I collagenase (Sigma) in Barth's solution under mild agitation. Selected oocytes at stage IV-V are defolliculated manually before nuclear microinjection of 2.5-5 ng of a suiTable expression vector, such as pCDNA3, comprising the nucleotide sequence encoding a gated ion channel subunit protein. In such an experiment, the oocytes express homomultimeric proton-gated ion channels on their surface.
  • a suiTable expression vector such as pCDNA3
  • one, two, three or more vectors comprising the coding sequences for distinct gated ion channel subunits are co-injected in the oocyte nuclei.
  • oocytes express heteromultimeric proton-gated ion channels.
  • ASIC2a and/or ASIC3 subunits in pcDNA3 vector are co-injected at a 1 : 1 cDNA ratio.
  • gated ion channels are activated by applying an acidic solution (pH ⁇ 7) and currents are recorded in a two electrode voltage-clamp configuration, using an OC- 725B amplifier (Warner Instruments). Currents are acquired and digitized at 500 Hz on an Apple Imac G3 computer with an AfD NB-MIO- 16XL interface (National Instruments) and recorded traces are post-filtered at 100 Hz in Axograph (Axon Instruments) (Neher, E. and Sakmann, B. (1976) Nature 260:799-802).
  • oocytes are continuously superfused at 10-12 ml/min with a modified Ringer's solution containing 97 mM NaCl, 2 mM KCl, 1.8 mM CaCl 2 , and 10 mM HEPES brought to pH 7.4 with NaOH (Control Ringer).
  • Test Ringer solution is prepared by replacing HEPES with MES and adjusting the pH to the desired acidic value.
  • Compounds of the present invention are prepared in both the Control and Test Ringer solutions and applied to oocytes at room temperature through a computer-controlled switching valve system. Osmolarity of all solutions is adjusted to 235 mOsm with choline chloride.
  • recordings can also be acquired in an automated multichannel oocytes system as the OpusExpressTM (Molecular Devices, Sunnyvale, CA, USA).
  • Figures 4A, 4B, 4C and 4D show the dose-response relationship of Compounds A,
  • This example describes another prophetic in vitro assessment of the inhibitory activity of the compounds of the present invention utilizing patch-clamp electrophysiology of sensory neurons in primary culture.
  • Sensory neurons can be isolated and cultured in vitro from different animal species. The most widely used protocols use sensory neurons isolated from neonatal (Eckert, et al. (1997) J Neurosci Methods 77:183-190) and embryonic (Vasko, et al. (1994) J Neurosci 14:4987-4997) rat. Trigeminal and dorsal root ganglion sensory neurons in culture exhibit certain characteristics of sensory neurons in vivo. Electrophysiology is performed similarly as described above in Example 2. In the voltage- clamp mode, trans-membrane currents are recorded. In the current-clamp mode, change in the trans-musineane potential are recorded.
  • Example 5 Formalin model - model of acute tonic pain
  • This example describes the in vivo assessment of the inhibitory activity of the compounds of the present invention.
  • mice Male Sprague-Dawley rats are housed together in groups of three animals under standard conditions with unrestricted access to food and water. All experiments are conducted according to the ethical guidelines for investigations of experimental pain in conscious animals (Zimmerman, 1983) Assessment of formalin-induced flinching behavior in normal, uninjured rats (body weight 150-180 g) was made with the use of an Automated Nociception Analyser (University of California, San Diego, USA). Briefly, this involved placing a small C- shaped metal band (10 mm wide x 27 mm long) on the hindpaw of the rat to be tested.
  • the rats (four rats were included in each testing session) were then placed in a cylindrical plexiglass observation chamber (diameter 30.5 cm and height 15 cm) for 20 min for adaptation purposes prior to being administered drug or vehicle according to the experimental paradigm being followed. After adaptation, individual rats were then gently restrained and formalin (5% in saline, 50 ⁇ l, s.c.) was injected into the plantar surface of the hindpaw using a 27G needle. Rats were then returned to their separate observation chambers, each of which were in turn situated upon an enclosed detection device consisting of two electromagnetic coils designed to produce an electromagnetic field in which movement of the metal band could be detected.
  • an enclosed detection device consisting of two electromagnetic coils designed to produce an electromagnetic field in which movement of the metal band could be detected.
  • the analogue signal was then digitised and a software algorithm (Lab View) applied to enable discrimination of flinching behaviour from other paw movements.
  • a sampling interval of 1 min was used and on the basis of the resulting response patterns 5 phases of nociceptive behaviour were identified and scored: first phase (Pl ; 0-5 min), interphase (Int; 6-15 min), second phase (P2; 60 min), phase 2A (P2A; 16-40 min) and phase 2B (P2B; 41-60 min).
  • Nociceptive behavior was also determined manually every 5 min by measuring the amount of time spent in each of four behavioral categories: 0, treatment of the injected hindpaw is indistinguishable from that of the contralateral paw; 1, the injected paw has little or no weight placed on it; 2, the injected paw is elevated and is not in contact with any surface; 3, the injected paw is licked, bitten, or shaken.
  • a weighted nociceptive score, ranging from 0 to 3 was calculated by multiplying the time spent in each category by the category weight, summing these products, and dividing by the total time for each 5 min block of time. (Coderre et ah, Pain 1993; 54: 43).
  • phase 2A Phase 2A; 16-40 min
  • phase 2B Phase 2B
  • Figures 5-7 are representative examples of the dose-dependent effect of Compounds A and R on pain induced by intraplantar formalin injection.
  • Compound A was administered i.p. 30 min. before the formalin.
  • the pain behaviour was assessed using the manual method described above.
  • Compound R had a dose-dependent effect on the overall pain behaviour induced by intraplantar formalin ( Figure 6A) and specifically the biting and licking behaviour
  • Example 6 CFA model - model of chronic inflammatory pain
  • the instrument incorporates a dual channel scale that separately measures the weight of the animal distributed to each hindpaw. While normal rats distribute their body weight equally between the two hindpaws (50-50), the discrepancy of weight distribution between an injured and non-injured paw is a natural reflection of the discomfort level in the injured paw (nocifensive behavior).
  • the rats are placed in the plastic chamber designed so that each hindpaw rested on a separate transducer pad. The averager is set to record the load on the transducer over 5 s time period and two numbers displayed represented the distribution of the rat's body weight on each paw in grams (g). For each rat, three readings from each paw are taken and then averaged. Side -to-side weight bearing difference is calculated as the average of the absolute value of the difference between two hindpaws from three trials (right paw reading-left paw reading).
  • the stimulus intensity is set at 30% of maximum output and the cut-off time was set at 30 seconds.
  • Rats are placed on a glass plate warmed to 28°C and allowed to habituate to the testing chambers for a minimum of 15 minutes prior to each testing session.
  • the thermal stimulus is applied to the plantar surface of the paw, and the mean latency of three readings on each paw was used as the latency value for each time point.
  • Thermal thresholds are defined as the latency in seconds to the first pain behavior, which includes nocifensive paw withdrawal, flinching, biting and/or licking of the stimulated paw.
  • the mean and standard error of the mean (SEM) are determined for the injured and normal paws for each treatment group.
  • the cDNA for ASICIa and ASIC3 can be cloned from rat/human poly(A) + mRNA and put into expression vectors according to Hesselager et al. (J Biol Chem. 279(12): 11006-15 2004). All constructs are expressed in CHO-Kl cells (ATCC No. CCL61) or HEK293 cells. CHO-Kl cells are cultured at 37 °C in a humidified atmosphere of 5% CO 2 and 95% air and passaged twice every week. The cells are maintained in DMEM (10 mM HEPES, 2 mM glutamax) supplemented with 10% fetal bovine serum and 2 mM L-proline (Life Technologies).
  • CHO-Kl cells are co-transfected with plasmids containing ASICs and a plasmid encoding enhanced green fluorescent protein (EGFP) using the lipofectamine PLUS transfection kit (Life Technologies) or Lipofectamine 2000 (Invitrogen) according to the manufacturer's protocol. For each transfection it is attempted to use an amount of DNA that yield whole-cell currents within a reasonable range (0.5 nA - 10 nA), in order to avoid saturation of the patch-clamp amplifier (approximately 50 ng for ASICIa and ASIC3). Electrophysiological measurements are performed 16-48 hours after transfection.
  • EGFP enhanced green fluorescent protein
  • the cells are trypsinized and seeded on glass coverslips precoated with poly-D-lysine, on the day the electrophysiological recordings were performed.
  • STable clones expressing ASIC channels are obtained by specific antibiotic selection (i.e. G418, Zeocin).
  • Step 1 Anthranilamide (1.36g, lOmmol) and potassium carbonate (2.07g, 15mmol) were suspended in 68ml of ether and heated to reflux. P-toluoyl chloride (1.72ml, 13mmol) was added slowly to the refluxing mixture. After 3hr at reflux the reaction mixture was allowed to cool to room temperature. The ether was evaporated, the resulting residue was filtered and washed with water and treated with ether to give fairly pure product.
  • Step 2 The crude product (2.2g) was suspended in 5% NaOH (40ml) and boiled for 12hr. After cooling, HOAc was added to bring the pH to 5. The solid was filtered and washed with water, then dried. The crude product was purified by column (Biotage) to give 1.85g of pure product in 76% of yield over two steps.
  • Step 3 To a suspension of hydroxyquinazoline (472mg, 2.0mmol) in benzene (20ml) was added SOCl 2 (1.5ml, 20mmol). The mixture was refluxed for 3-6 hours until it became a clear solution. The solvents were evaporated. The solid residue was dissolved into dichloromethane and washed with aqueous sodium bicarbonate solution, then dried. The crude product was purified by column (Biotage) to give 460mg of pure product in 90% of yield.
  • Step 4 Chloroquinazoline (254mg, l .Ommol) and aminobenzoic acid (137mg, l .Ommol) were dissolved in DMF (5ml), and the reaction mixture was heated at 150 0 C for 15min using microwave. DMF was evaporated and water was added to quench the reaction. The solid was filtered and washed with water then dried. The crude product was purified by column (Biotage) to give 286mg of pure product in 80% of yield.
  • 6-Bromo-4-hydroxyquinaldine was synthesized as previously published (J. Org. Chem . 1964, 29, 3548; Biochem. Pharm. 1996, 52, 551). 4-Bromoaniline (2 g; 0.012 mole), ethyl acetoacetate (2.96mL; 0.024mole) and 5g of polyphosphoric acid were heated with stirring at 17O 0 C for Ih. The reaction was neutralized with 2% NaOH aqueous solution and the 4-hydroxyquinaldine precipitate was washed with water, triturated with ether and dried to give 6-bromo-4-hydroxyquinaldine.
  • 6-bromo-4-chloroquinaldine (0.120 g; 0.468 mmole), l-benzyl-4- hydroxypiperidine (0.045 g; 0.234mmole) and NaH 95% (0.012 g; 0. 468 mmole) were dissolved in DMF (5 mL) and heated at 75 C in microwave for Ih. The reaction mixture was brought to room temperature and 0.5mL of water was added. The solvent was removed under reduced pressure and the residue diluted with water, extracted with ethyl acetate (3x20mL), washed with water, brine and dried over MgSO 4 . The solvent was removed under reduced pressure and the crude product purified by column chromatography (EtOAc/Hexanes: 20/80-100% EtOAc) to give Compound 7 (0.045g; 47%).
  • Figure 8 shows a synthesis schematic for the preparation of compounds 36, 37 and 38.
  • Figures 9A, 9B, 9C and 9D show synthesis schematics for the preparation of compounds 39 and 47, as well prophetic synthesis schematics for generic compounds of the invention.
  • Figure 10 shows a synthesis schematic for the preparation of Compound 108.
  • Figures HA and HB show synthesis schematics for the preparation of compounds 103 and 104.
  • Figure 12 show synthesis schematics for the preparation of an intermediate that can be used for the preparation of the compounds of the invention.
  • Figures 13A, 13B and 13C show synthesis schematics for the preparation of compounds 107, 105 and 106.

Abstract

Disclosed are quinoline and quinazoline compounds which modulate the activity of the gated ion channels. Compounds that modulate these gated ion channels are useful in the treatment of diseases and disorders related to pain, inflammation, the neurological system, the gastrointestinal system and genitourinary system. Preferred compounds include quinoline or quinazoline derivatives substituted at the 4- position via N(H), C(O) or O moieties.

Description

COMPOSITIONS AND METHODS FOR MODULATING GATED ION CHANNELS
Related Application
This application claims priority to U.S. Provisional Application No. 60/753,201, Attorney Docket No. PCI-032-1 , filed December 21, 2005, entitled "COMPOSITIONS AND METHODS FOR MODULATING GATED ION CHANNELS." The contents of any patents, patent applications, and references cited throughout this specification are hereby incorporated by reference in their entireties.
Technical Field
The present invention relates to compositions which modulate the activity of gated ion channels and methods and uses thereof.
Background Mammalian cell membranes are important to the structural integrity and activity of many cells and tissues. Of particular interest is the study of trans-membrane gated ion channels which act to directly and indirectly control a variety of pharmacological, physiological, and cellular processes. Numerous gated ion channels have been identified and investigated to determine their roles in cell function. Gated ion channels are involved in receiving, integrating, transducing, conducting, and transmitting signals in a cell, e.g., a neuronal or muscle cell. Gated ion channels can determine membrane excitability. Gated ion channels can also influence the resting potential of membranes, shape and frequencies of action potentials, and thresholds of excitation. Gated ion channels are typically expressed in electrically exciTable cells, e.g., neuronal cells, and are multimeric. Gated ion channels can also be found in nonexciTable cells (e.g. , adipose cells or liver cells), where they can play a role in, for example, signal transduction.
Among the numerous gated ion channels identified to date are channels that are responsive to, for example, modulation of voltage, temperature, chemical environment, pH, ligand concentration and/or mechanical stimulation. Examples of specific modulators include: ATP, capsaicin, neurotransmitters (e.g., acetylcholine), ions, e.g., Na+, Ca+, K+, Cl", H+, Zn+, Cd+, and/or peptides, e.g., FMRF. Examples of gated ion channels responsive to these stimuli are members of the DEG/ENaC, TRPV and P2X gene superfamilies.
Members of the DEG/ENaC gene superfamily show a high degree of functional heterogeneity with a wide tissue distribution that includes transporting epithelia as well as neuronal exciTable tissues. DEG/ENaC proteins are membrane proteins which are characterized by two transmembrane spanning domains, intracellular N- and C-termini and a cysteine-rich extracellular loop. Depending on their function in the cell, DEG/ENaC channels are either constitutively active like epithelial sodium channels (ENaC) which are involved in sodium homeostasis, or activated by mechanical stimuli as postulated for C. elegans degnerins, or by ligands such as peptides as is the case for FaNaC from Helix aspersa which is a FMRF amide peptide-activated channel and is involved in neurotransmission, or by protons as in the case for the acid sensing ion channels (ASICs). The mammalian members of this gene family known to date are αENaC (also known as SCNNlA or scnnlA), βENaC (also known as SCNNlB or scnnlB), γENaC (also known as SCNNlG or scnnlG), δENaC (also known as ENaCd, SCNNlD, scnnlD and dNaCh), ASICIa (also known as ASIC, ASICl, BNaC2, hBNaC2, ASICalpha, ACCN2, Accn2 and accn2), ASICIb (also known as ASICbeta), ASIC2a (also known as BNCl, MDEG, mDEG, MDEGl, BNaCl, ASIC2, ACCNl, Accnl and accnl), ASIC2b (also known as MDEG2, ACCNl variant 2), ASIC3 (also known as hASIC3, DRASIC, TNaCl, SLNAC 1 , ACCN3 Accn3, and accn3), ASIC4 (also known as BNaC4, SPASIC, ACCN4, Accn4 and accn4), BLINaC (also known as hlNaC, ACCN5, Accn5 and accn5), and hINaC For a recent review on this gene superfamily see Kellenberger, S. and Schild, L. (2002) Physiol. Rev. 82:735, incorporated herein by reference.
There are seven presently known members of the P2X gene superfamily; P2Xi (also known as P2RX 1 ), P2X2 (also known as P2RX2), P2X3 (also known as P2RX3), P2X4 (also known as P2RX4), P2X5 (also known as P2RX5), P2X6 (also known as P2RX6), and P2X7 (also known as P2RX7). P2X protein structure is similar to ASIC protein structure in that they contain two transmembrane spanning domains, intracellular N- and C-termini and a cysteine-rich extracellular loop. All P2X receptors open in response to the release of extracellular ATP and are permeable to small ions and some have significant calcium permeability. P2X receptors are abundantly distributed on neurons, glia, epithelial, endothelia, bone, muscle and hematopoietic tissues. For a recent review on this gene superfamily, see North, R.A. (2002) Physiol. Rev. 82:1013, incorporated herein by reference.
The receptor expressed in sensory neurons that reacts to the pungent ingredient in chili peppers to produce a burning pain is the capsaicin (TRPV or vanilloid) receptor, denoted TRPVl (also known as VRl, TRPVlalpha, TRPVlbeta). The TRPVl receptor forms a nonselective cation channel that is activated by capsaicin and resiniferatoxin (RTX) as well as noxious heat (>43°C), with the evoked responses potentiated by protons, e.g., H+ ions. Acid pH is also capable of inducing a slowly inactivating current that resembles native proton-sensitive current in some dorsal root ganglia neurons. Expression of TRPVl, although predominantly in primary sensory neurons, is also found in various brain nuclei and the spinal cord (Physiol. Genomics 4:165-174, 2001).
Two structurally related receptors, TRP V2 (also known as VRLl and VRL) and TRPV4 (also known as VRL-2, Trpl2, VROAC, OTRPC4), do not respond to capsaicin, acid or moderate heat but rather are activated by high temperatures (Caterina, M.J., et al. (1999) Nature. 398(6726):436-41). In addition, this family of receptors, e.g., the TRPV or vanilloid family, contains the ECAC-I (also known as TRPV5 and CAT2, CaT2) and ECAC-2 (also known as TRPV6, CaT, ECaC, CATl, CATL, and OTRPC3) receptors which are calcium selective channels (Peng, J.B., et al. (2001) Genomics 76(l-3):99-109). For a recent review of TRPV (vanilloid) receptors, see Szallasi, A. and Blumberg, P.M. (1999) Pharmacol. Rev. 51 : 159, incorporated herein by reference.
The ability of the members of the gated ion channels to respond to various stimuli, for example, chemical {e.g., protons), thermal and mechanical stimuli, and their location throughout the body, e.g., small diameter primary sensory neurons in the dorsal root ganglia and trigeminal ganglia, as well data derived from in vitro and in vivo models has implicated these channels in numerous neurological diseases, disorders and conditions. For example, it has been shown that the rat ASIC2a channel is activated by the same mutations as those causing neuronal degeneration in C. elegans. In addition, these receptors are activated by increases in extracellular proton, e.g., H+ concentration. By infusing low pH solutions into skin or muscle as well as prolonged intradermal infusion of low pH solutions creates a change in extracellular pH that mimics the hyperalgesia of chronic pain. Furthermore, transgenic mice, e.g., ASIC2a, ASIC3, P2X3 transgenic mice, all have modified responses to noxious and non-noxious stimuli. Thus, the biophysical, anatomical and pharmacological properties of the gated ion channels are consistent with their involvement in nociception.
Research has shown that ASICs play a role in pain, neurological diseases and disorders, gastrointestinal diseases and disorders, genitourinary diseases and disorders, and inflammation. For example, it has been shown that ASICs play a role in pain sensation (Price, M.P. et al, Neuron. 2001 ; 32(6): 1071-83; Chen, C-C. et al, Neurobiology 2002; 99(13) 8992-8997), including visceral and somatic pain (Aziz, Q., Eur. J. Gastroenterol. Hepatol. 2001 ; 13(8):891-6); chest pain that accompanies cardiac ischemia (Sutherland, S.P. et al (2001) Proc Natl Acad Sci USA 98:711-716; Mamet, J. et al, J. Neurosci. 2002; 22(24): 10662-70), and chronic hyperalgesia (Sluka, K.A. et al, Pain. 2003; 106(3):229- 39). Recently, ASIC antagonists were shown to be effective in inflammatory pain as well as in post-incisional pain (Dube, G.R. et al, Pain 2005; 117:88-96; Voiley N. Curr Drug Targets Inflamm Allergy. 2004;3:71-9). ASICs in central neurons have been shown to possibly contribute to the neuronal cell death associated with brain ischemia, stroke and epilepsy (Chesler, M., Physiol. Rev. 2003; 83: 1183-1221; Lipton, P., Physiol. Rev. 1999; 79:1431-1568, Xiong Z.G. et al, Cell. 2004;l 18:687-98; Benveniste M. et al., N Engl J Med. 2005; 352: 85-6; Gao J. et al, Neuron. 2005;48:635-46). ASICs have also been shown to contribute to the neural mechanisms of fear conditioning, synaptic plasticity, learning, and memory (Wemmie J.A. et al, PNAS 2004 ;101:3621-6;Wemmie, J. et al., 3. Neurosci. 2003; 23(13):5496-5502; Wemmie, J. et al, Neuron. 2002; 34(3):463-77). ASICs have been shown to be involved in inflammation-related persistent pain and inflamed intestine (Wu, LJ. et al, J. Biol. Chem. 2004; 279(42):43716-24; Yiangou, Y., et al, Eur. J. Gastroenterol. Hepatol. 2001 ; 13(8): 891-6; Voiley N. Curr Drug Targets Inflamm Allergy. 2004;3:71-9), and gastrointestinal stasis (Holzer, Curr. Opin. Pharm. 2003; 3: 618-325). Recent studies done in humans indicate that ASICs are the primary sensors of acid-induced pain (Ugawa et al, J. Clin. Invest. 2002; 110: 1185-90; Jones et al, J. Neurosci. 2004; 24: 10974-9). Furthermore, ASICs are also thought to play a role in gametogenesis and early embryonic development in Drosophila (Darboux, I. et al, J. Biol. Chem. 1998; 273(16):9424-9), underlie acid-sensing and mechanosensory function in the gut (Page, AJ. et al Gastroenterology. 2004; 127(6): 1739-47; Page, AJ. et al, Gut.
2005;54:1408-15; Suguira T. et al, J Neurosci. 2005;25:2617-27), and have been shown to be involved in endocrine glands (Grunder, S. et al, Neuroreport. 2000; 11(8): 1607-11). Recent data also indicate that ASICs might play a role in acid sensing by human bone tissue (Jahr H. et al., Biochem Biophys Res Commun. 2005 ;337:349-54). Therefore, compounds that modulate these gated ion channels would be useful in the treatment of such diseases and disorders.
Summary of the Invention
In one aspect, the invention provides a Compound of the Formula 1. In another aspect, the invention provides a Compound of the Formula 2. In another aspect, the invention provides a Compound of the Formula 3. In one embodiment, Formula 3 is represented by Compound F; Compound 31; Compound 36; Compound 37; Compound 38; Compound 39; Compound 40; Compound 50; Compound 51; Compound 52; Compound 53 or Compound 54..
In one aspect, the invention provides a Compound of the Formula 4. In one embodiment, Formula 4 is represented by Compound 35 or Compound 110.
In one aspect, the invention provides a Compound of the Formula 5. In one aspect, the invention provides a Compound of the Formula 5a. In one embodiment, Formula 5a is represented by Compound K; Compound T; Compound 32; Compound 33; Compound 101; Compound 102; Compound 103; Compound 104; Compound 105; Compound 106; Compound 107; Compound 108 or Compound 111.
In one aspect, the invention provides a Compound of the Formula 6. In one aspect, the invention provides a Compound of the Formula 6a. In one embodiment, Formula 6a is represented by Compound C; Compound G; Compound 34; Compound 41 ; Compound 42; Compound 43; Compound 44; Compound 45; Compound 46; Compound 47; Compound 48 or Compound 49.
In one aspect, the invention provides a Compound of the Formula 7. In one embodiment, Formula 7 is represented by Compound A; Compound D; Compound H; Compound L; Compound M; Compound N; Compound O; Compound P; Compound Q; Compound 59; Compound 60; Compound 61 or Compound 116.
In one aspect, the invention provides a Compound of the Formula 8. In one embodiment, Formula 8 is represented by Compound B; Compound R; Compound S; Compound 1, Compound 2; Compound 3; Compound 4; Compound 5; Compound 6;
Compound 7; Compound 8; Compound 9; Compound 10; Compound 11 ; Compound 12; Compound 13; Compound 14; Compound 15; Compound 16; Compound 17; Compound 18; Compound 19; Compound 20; Compound 21 ; Compound 22; Compound 23; Compound 24; Compound 25; Compound 26; Compound 27; Compound 28; Compound 29; Compound 30; Compound 55; Compound 56; Compound 57; Compound 58; Compound 62; Compound 63; Compound 64; Compound 65; Compound 66; Compound 67; Compound 68; Compound 69; Compound 70; Compound 71 ; Compound 72; Compound 73; Compound 74; Compound 75; Compound 76; Compound 77; Compound 78; Compound 79; Compound 80; Compound 81 ; Compound 82; Compound 83; Compound 84; Compound 85; Compound 86; Compound 87; Compound 88; Compound 89; Compound 90; Compound 91 ; Compound 92; Compound 93; Compound 94; Compound 95; Compound 96; Compound 97; Compound 98; Compound 99;
Compound 100; Compound 109; Compound 112; Compound 113; Compound 114; Compound 115; Compound 117; Compound 118; Compound 119; Compound 120; Compound 121 or Compound 122.
In one aspect, the invention provides a method of modulating the activity of a gated ion channel, comprising contacting a cell expressing a gated ion channel with an effective amount of a Compound of the invention
In another embodiment of the invention, contacting the cells with an effective amount of a Compound of the invention inhibits the activity of the gated ion channel. In yet another embodiment, the gated ion channel is comprised of at least one subunit selected from the group consisting of a member of the DEG/ENaC, P2X, and TRPV gene superfamilies. In still another embodiment, the gated ion channel is comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, MNaC, P2Xh P2X2, P2X3, P2X4, P2X5, P2X6, P2X7, TRPVl, TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6. In another embodiment, the gated ion channel is homomultimeric. In still another embodiment, the gated ion channel is heteromultimeric. In yet another embodiment, the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, BLINaC, MNaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In another embodiment, the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In still another embodiment, the gated ion channel comprises ASICIa and/or ASIC3. In yet another embodiment, the P2X gated ion channel comprises at least one subunit selected from the group consisting of P2Xl5 P2X2, P2X3, P2X}, P2X5, P2X6, and P2X7. In another embodiment, the TRPV gated ion channel comprises at least one subunit selected from the group TRPVl, TRP V2, TRP V3, TRP V4, TRPV5, and TRPV6. In still another embodiment, the heteromultimeric gated ion channels include the following combinations of gated ion channels: αENaC, βENaC and γENaC; αENaC, βENaC and δENaC; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; P2Xi and P2X2; P2X, and P2X5; P2X2 and P2X3; P2X2 and P2X6; P2X, and P2X6; TRPVl and TRPV2; TRPV5 and TRPV6; and TRPVl and TRP V4. In yet another embodiment, the heteromultimeric gated ion channels include the following combinations of gated ion channels: ASICIa and ASIC2a; ASIC2a and ASIC2b; ASICIb and ASIC3; and ASIC3 and ASIC2b.
In another embodiment of the invention, the activity of the gated ion channel is associated with pain. In yet another embodiment, the activity of the gated ion channel is associated with an inflammatory disorder. In still another embodiment, the activity of the gated ion channel is associated with a neurological disorder. In another embodiment, the pain is selected from the group consisting of cutaneous pain, somatic pain, visceral pain and neuropathic pain. In still another embodiment, the pain is acute pain or chronic pain. In yet another embodiment, the cutaneous pain is associated with injury, trauma, a cut, a laceration, a puncture, a burn, a surgical incision, an infection or acute inflammation. In another embodiment, the somatic pain is associated with an injury, disease or disorder of the musculoskeletal and connective system. In still another embodiment, the injury, disease or disorder is selected from the group consisting of sprains, broken bones, arthritis, psoriasis, eczema, and ischemic heart disease. In yet another embodiment, the visceral pain is associated with an injury, disease or disorder of the circulatory system, the respiratory system, the gastrointestinal system, or the genitourinary system. In another embodiment, the disease or disorder of the circulatory system is selected from the group consisting of ischaemic heart disease, angina, acute myocardial infarction, cardiac arrhythmia, phlebitis, intermittent claudication, varicose veins and hemorrhoids. In still another embodiment, the disease or disorder of the respiratory system is selected from the group consisting of asthma, respiratory infection, chronic bronchitis and emphysema. In yet another embodiment, the disease or disorder of the gastrointestinal system is selected from the group consisting of gastritis, duodenitis, irriTable bowel syndrome, colitis, Crohn's disease, gastrointestinal reflux disease, ulcers and diverticulitis. In another embodiment, the disease or disorder of the genitourinary system is selected from the group consisting of cystitis, urinary tract infections, glomerulonephritis, polycystic kidney disease, kidney stones and cancers of the genitourinary system. In still another embodiment, the somatic pain is selected from the group consisting of arthralgia, myalgia, chronic lower back pain, phantom limb pain, cancer-associated pain, dental pain, fibromyalgia, idiopathic pain disorder, chronic non-specific pain, chronic pelvic pain, post-operative pain, and referred pain. In yet another embodiment, the neuropathic pain is associated with an injury, disease or disorder of the nervous system. In another embodiment, the injury, disease or disorder of the nervous system is selected from the group consisting of neuralgia, neuropathy, headache, migraine, psychogenic pain, chronic cephalic pain and spinal cord injury.
In another embodiment of the invention, the activity of the gated ion channel is selected from an inflammatory disorder of the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system, the gastrointestinal system or the nervous system. In another embodiment, the inflammatory disorder of the musculoskeletal and connective tissue system is selected from the group consisting of arthritis, psoriasis, myocitis, dermatitis, bone cancer and eczema. In still another embodiment, the inflammatory disorder of the respiratory system is selected from the group consisting of asthma, bronchitis, sinusitis, pharyngitis, laryngitis, tracheitis, rhinitis, cystic fibrosis, respiratory infection and acute respiratory distress syndrome. In yet another embodiment, the inflammatory disorder of the circulatory system is selected from the group consisting of vasculitis, haematuria syndrome, artherosclerosis, arteritis, phlebitis, carditis and coronary heart disease. In another embodiment, the inflammatory disorder of the gastrointestinal system is selected from the group consisting of inflammatory bowel disorder, ulcerative colitis, Crohn's disease, diverticulitis, viral infection, bacterial infection, peptic ulcer, chronic hepatitis, gingivitis, periodentitis, stomatitis, gastritis and gastrointestinal reflux disease. In still another embodiment, the inflammatory disorder of the genitourinary system is selected from the group consisting of cystitis, polycystic kidney disease, nephritic syndrome, urinary tract infection, cystinosis, prostatitis, salpingitis, endometriosis and genitourinary cancer.
In another embodiment, the neurological disorder is selected from the group consisting of schizophrenia, learning disorders, bipolar disorder, depression, Alzheimer's disease, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, addiction, cerebral ischemia, neuropathy, retinal pigment degeneration, glaucoma, cardiac arrhythmia, shingles, Huntington's chorea, Parkinson's disease, anxiety disorders, panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis.
In another aspect, the invention provides a method of treating pain in a subject in need thereof, comprising administering to the subject an effective amount of a
Compound of the invention. In one embodiment, the subject is a mammal. In still another embodiment, the mammal is a human.
In yet another embodiment, the pain is selected from the group consisting of cutaneous pain, somatic pain, visceral pain and neuropathic pain. In another embodiment, the pain is acute pain or chronic pain.
In another aspect, the invention provides a method of treating an inflammatory disorder in a subject in need thereof, comprising administering to the subject an effective amount of a Compound of the invention. In one embodiment, the subject is a mammal. In still another embodiment, the mammal is a human. In yet another embodiment, the inflammatory disorder is an inflammatory disorder of the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system, the gastrointestinal system or the nervous system.
In another aspect, the invention provides a method of treating a neurological disorder in a subject in need thereof, comprising administering an effective amount of a Compound of the invention. In one embodiment, the subject is a mammal. In still another embodiment, the mammal is a human.
In yet another embodiment, the neurological disorder is selected from the group consisting of schizophrenia, bipolar disorder, depression, Alzheimer's disease, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, addiction, cerebral ischemia, neuropathy, retinal pigment degeneration, glaucoma, cardiac arrhythmia, shingles, Huntington's chorea, Parkinson's disease, anxiety disorders, panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis.
In another aspect, the invention provides a method of treating a disease or disorder associated with the genitourinary and/or gastrointestinal systems of a subject in need thereof, comprising administering to the subject an effective amount of a Compound of the invention. In another embodiment, the subject is a mammal. In still another embodiment, the mammal is a human. In yet another embodiment the disease or disorder of the gastrointestinal system is selected from the group consisting of gastritis, duodenitis, irriTable bowel syndrome, colitis, Crohn's disease, ulcers and diverticulitis. In another embodiment, the disease or disorder of the genitourinary system is selected from the group consisting of cystitis, urinary tract infections, glomerulonephritis, polycystic kidney disease, kidney stones and cancers of the genitourinary system.
In another embodiment of the invention, the methods further comprise administering an adjuvant composition. In yet another embodiment, the adjuvant composition is selected from the group consisting of opioid analgesics, non-opioid analgesics, local anesthetics, corticosteroids, non-steroidal anti-inflammatory drugs, nonselective COX inhibitors, non-selective COX2 inhibitors, selective COX2 inhibitors, antiepileptics, barbiturates, antidepressants, marijuana, and topical analgesics.
Brief Description of the Drawings Figure 1 displays a dose-response curve of the inhibitory effect of Compound R on hASICla activity, as described in Example 1. HEK-293 cells, transiently expressing hASICla, were exposed to a mild acidic buffer in the absence and presence of increasing concentrations of Compound R. Gated-channel activity was determined by measuring intracellular calcium variation using a calcium-selective fluorescent dye. Compound R dose-dependently inhibited acid-induced hASIC 1 a activity in these cells.
Figures 2A and B illustrate the dose-dependent inhibitory effects of Compounds B and R on acid-induced activation of recombinant homomeric hASICla channels, as described in Example 2. HEK293 cells were transfected with hASICla. Acid-induced inward currents were recorded in the presence and absence of compounds using the whole- cell configuration of the patch-clamp method (voltage clamp mode). For each compound, a clear dose-dependent reduction in the current evoked by a mild pH stimulation was observed, indicating that Compounds B and R are inhibitors the activity of acid gated ion channels.
Figures 3A, 3B and 3C present a more detailed analysis of the effects of Compound R on hASIC 1 and hASIC3 currents as described in Example 2. In this example, CHO cells were transfected with either hASICla or hASIC3 alone and acid- induced inward currents were recorded in the presence and absence of compounds using the whole-cell configuration of the patch-clamp method (voltage clamp mode). In figure 3A, lμM of Compound R was able to reduce the hASICla current by about half, while in figure 3B, 30μM of Compound R failed to inhibit hASIC3-mediated current. figure 3C shows the dose-dependent inhibition by Compound R of acid-induced activation of recombinant homomeric hASICla channels, but not on hASIC 3. Together, these data indicate that Compound R is selective for hASICla over hASIC3.
Figures 4A, 4B, 4C and 4D illustrate the dose-dependent inhibitory effects of Compounds B, R, 7, and 32, respectively, on acid-induced activation of recombinant homomeric hASICla channels, as described in Example 3. Acid-induced currents were recorded from Xenopus laevis oocytes, microinjected with a hASICla encoding cDNA, using the two-electrode voltage clamp method in the absence and presence of Compounds. With each compound, there was a dose-dependent reduction in the current evoked by a mild pH stimulation indicating that Compounds B, R, 7, and 32 are inhibitors the activity of acid gated ion channels.
Figure 5 illustrates the effects of Compound A on chemically-induced spontaneous pain evoked by intraplantar injection of formalin in the rat (Formalin model described in Example 5). These results indicate that this Compound causes a dose- dependent reduction of the pain intensity as evaluated by the flinching behavior.
Figure 6 illustrates the effect of different concentrations of Compound R on formalin-induced pain in rats, figure 6A depicts the total pain behavior {e.g., flinching, licking, and biting) over time following intraplantar injection of formalin and figure 6B displays the number of licking and biting episodes. These results indicate that Compound R causes a dose-dependent reduction of the pain behavior in the rat.
Figure 7 depicts the dose-dependent effect of Compound R on Formalin-induced pain. The dose-response relationship of Compound A on the number of licking and biting episodes in phase Ha of the formalin test is presented. The effective dose where the pain score is reduced by half (ED50) is ~50mg/kg. Figure 8 shows a synthesis schematic for the preparation of compounds 36, 37 and 38.
Figures 9A, 9B, 9C and 9D show synthesis schematics for the preparation of compounds 39 and 47, as well prophetic synthesis schematics for generic compounds of the invention.
Figure 10 shows a synthesis schematic for the preparation of Compound 108.
Figures HA and HB show synthesis schematics for the preparation of compounds
103 and 104.
Figure 12 show synthesis schematics for the preparation of an intermediate that can be used for the preparation of the compounds of the invention.
Figures 13A, 13B and 13C show synthesis schematics for the preparation of compounds 107, 105 and 106.
Figures 14A and 14B show synthesis schematics for the preparation of compounds 11 1 and 109.
Figures 15A, 15B and 15C show synthesis schematics for the preparation of compounds 12, 112 and 110.
Detailed Description of the Invention
The present invention is based, at least in part, on the identification of compounds useful in modulation of the activity of gated ion channels. Gated ion channels are involved in receiving, conducting, and transmitting signals in a cell (e.g., an electrically exciTable cell, for example, a neuronal or muscle cell). Gated ion channels can determine membrane excitability (the ability of, for example, a cell to respond to a stimulus and to convert it into a sensory impulse). Gated ion channels can also influence the resting potential of membranes, wave forms and frequencies of action potentials, and thresholds of excitation. Gated ion channels are typically expressed in electrically exciTable cells, e.g., neuronal cells, and are multimeric; they may form homomultimeric (e.g., composed of one type of subunit), or heteromultimeric structures (e.g., composed of more than one type of subunit). Gated ion channels may also be found in nonexciTable cells (e.g., adipose cells or liver cells), where they may play a role in, for example, signal transduction.
Gated ion channels are generally homomeric or heteromeric complexes composed of subunits, comprising at least one subunit belonging to the DEG/ENaC, TRPV and/or P2X gene superfamilies. Non-limiting examples of the DEG/ENaC receptor gene superfamily include epithelial Na+ channels, e.g., αENaC, βENaC, γENaC, and/or δENaC, the mammalian degenerins (also referred to as MDEG, brain Na+ channels (BNaC, BNC) and the acid sensing ion channels (ASICs), e.g., ASICl, ASICIa, ASICIb, ASIC2, ASIC2a, ASIC2b, ASIC3, and/or ASIC4. Non-limiting examples of the P2X receptor gene superfamily include P2Xl5 P2X2, P2X3, P2X4, P2X5, P2X<,, and P2X7. Non-limiting examples of the TRPV receptor gene superfamily include TRPV 1 (also referred to as VR 1 ), TRP V2 (also referred to as VRL- 1 ), TRPV3 (also referred to as VRL-3), TRPV4 (also referred to as VRL-2), TRPV5 (also referred to as ECAC-I), and/or TRPV6 (also referred to as ECAC-2).
Non limiting examples of heteromultimeric gated ion channels include αENaC, βENaC and γENaC; αENaC, βENaC and δENaC; ASICIa and ASIC2a; ASICIa and ASIC2b; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC2b; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; ASIC3 and P2X, e.g. P2Xb P2X2, P2X3, P2X4, P2X5, P2X6 and P2X7, preferably ASIC3 and P2X2; ASIC3 and P2X3; and ASIC3, P2X2 and P2X3 ASIC4 and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, and ASIC3; BLINaC (or hINaC) and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4; δENaC and ASIC, e.g. ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3 and ASIC4; P2X[ and P2X2, P2X! and P2X5, P2X2 and P2X3, P2X2 and P2X6, P2X4 and P2X6, TRPVl and TRP V2, TRPV5 and TRPV6, TRPVl and TRP V4.
Based on the above, there is a need for compositions which modulate the activity of ion channels and methods of use thereof for the treatment of conditions, diseases and disorders related to pain, inflammation, the neurological system, the gastrointestinal system and genitourinary system. Definitions
As used herein, the term "acid" refers to carboxylic acid, sulfonic acid, sulfinic acid, sulfamic acid, phosphonic acid and boronic acid functional groups.
The term "alkyl" includes saturated aliphatic groups, including straight-chain alkyl groups {e.g., methyl, ethyl, propyl, butyl, pentyl, hexyl, heptyl, octyl, nonyl, decyl, etc.), branched-chain alkyl groups (isopropyl, tert-butyl, isobutyl, etc.), cycloalkyl (alicyclic) groups (cyclopropyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl), alkyl substituted cycloalkyl groups, and cycloalkyl substituted alkyl groups. Furthermore, the expression "Cλ-Cy-alkyl", wherein x is 1-5 and y is 2-10 indicates a particular alkyl group (straight- or branched-chain) of a particular range of carbons. For example, the expression Ci-C4-alkyl includes, but is not limited to, methyl, ethyl, propyl, butyl, isopropyl, tert-butyl and isobutyl.
The term alkyl further includes alkyl groups which can further include oxygen, nitrogen, sulfur or phosphorous atoms replacing one or more carbons of the hydrocarbon backbone. In an embodiment, a straight chain or branched chain alkyl has 10 or fewer carbon atoms in its backbone {e.g., Ci-C1O for straight chain, C3-C10 for branched chain), and more preferably 6 or fewer carbons. Likewise, preferred cycloalkyls have from 4-7 carbon atoms in their ring structure, and more preferably have 5 or 6 carbons in the ring structure. Moreover, alkyl {e.g., methyl, ethyl, propyl, butyl, pentyl, hexyl, etc.) include both
"unsubstituted alkyl" and "substituted alkyl", the latter of which refers to alkyl moieties having substituents replacing a hydrogen on one or more carbons of the hydrocarbon backbone, which allow the molecule to perform its intended function.
The term "substituted" is intended to describe moieties having substituents replacing a hydrogen on one or more atoms, e.g. C, O or N, of a molecule. Such substituents can include, for example, alkenyl, alkynyl, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, arylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylaminocarbonyl, dialkylaminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonate sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclic, alkylaryl, morpholino, phenol, benzyl, phenyl, piperizine, cyclopentane, cyclohexane, pyridine, 5H-tetrazole, triazole, piperidine, or an aromatic or heteroaromatic moiety.
Further examples of substituents of the invention, which are not intended to be limiting, include moieties selected from straight or branched alkyl (preferably Ci-C5), cycloalkyl (preferably C3-C8), alkoxy (preferably Ci-C6), thioalkyl (preferably Ci-C6), alkenyl (preferably C2-C6), alkynyl (preferably C2-C6), heterocyclic, carbocyclic, aryl (e.g., phenyl), aryloxy (e.g., phenoxy), aralkyl (e.g., benzyl), aryloxyalkyl (e.g., phenyloxyalkyl), arylacetamidoyl, alkylaryl, heteroaralkyl, alkylcarbonyl and arylcarbonyl or other such acyl group, heteroarylcarbonyl, or heteroaryl group, (CR'R")o-3NR'R" (e.g. , -NH2), (CR'R")0-3CN (e.g. , -CN), -NO2, halogen (e.g. , -F, -Cl, -Br, or -I), (CR'R")o-3C(halogen)3 (e.g., -CF3), (CR'R")o-3CH(halogen)2, (CR'R")o-3CH2(halogen), (CR'R'Oo-sCONR'R", (CR'R")0-3(CNH)NR'R", (CR'R")0_ 3S(O)i.2NR'R", (CR'R")0-3CHO, (CR'R")o-30(CR'R")o-3H, (CR5ROQ-3S(O)0-3R' (e.g., -SO3H, -OSO3H), (CR'R")0-30(CR'R")o-3H (e.g., -CH2OCH3 and -OCH3), (CR'R")o-3S(CR'R")o-3H (e.g., -SH and -SCH3), (CR'R")o-3OH (e.g., -OH), (CR'R")o-3COR\ (CR'R")o-3(substituted or unsubstituted phenyl), (CR'R")o-3(C3-C8 cycloalkyl), (CR'R")o-3C02R' (e.g., -CO2H), or (CR'R")0-3OR' group, or the side chain of any naturally occurring amino acid; wherein R' and R" are each independently hydrogen, a Cj-C5 alkyl, C2-C5 alkenyl, C2-C5 alkynyl, or aryl group. Such substituents can include, for example, halogen, hydroxyl, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, alkoxyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, oxime, thiol, alkylthio, arylthio, thiocarboxylate, sulfates, sulfonato, sulfamoyl, sulfonamido, nitro, trifiuoromethyl, cyano, azido, heterocyclyl, or an aromatic or heteroaromatic moiety. In certain embodiments, a carbonyl moiety (C=O) can be further derivatized with an oxime moiety, e.g., an aldehyde moiety can be derivatized as its oxime (-C=N-OH) analog. It will be understood by those skilled in the art that the moieties substituted on the hydrocarbon chain can themselves be substituted, if appropriate. Cycloalkyls can be further substituted, e.g., with the substituents described above. An "aralkyl" moiety is an alkyl substituted with an aryl (e.g., phenylmethyl (i.e., benzyl)). The term "amine" or "amino" should be understood as being broadly applied to both a molecule, or a moiety or functional group, as generally understood in the art, and can be primary, secondary, or tertiary. The term "amine" or "amino" includes compounds where a nitrogen atom is covalently bonded to at least one carbon, hydrogen or heteroatom. The terms include, for example, but are not limited to, "alkyl amino," "arylamino," "diarylamino," "alkylarylamino," "alkylaminoaryl," "arylaminoalkyl," "alkaminoalkyl," "amide," "amido," and "aminocarbonyl." The term "alkyl amino" comprises groups and compounds wherein the nitrogen is bound to at least one additional alkyl group. The term "dialkyl amino" includes groups wherein the nitrogen atom is bound to at least two additional alkyl groups. The term "arylamino" and "diarylamino" include groups wherein the nitrogen is bound to at least one or two aryl groups, respectively. The term "alkylarylamino," "alkylaminoaryl" or "arylaminoalkyl" refers to an amino group which is bound to at least one alkyl group and at least one aryl group. The term "alkaminoalkyl" refers to an alkyl, alkenyl, or alkynyl group bound to a nitrogen atom which is also bound to an alkyl group.
The term "amide," "amido" or "aminocarbonyl" includes compounds or moieties which contain a nitrogen atom which is bound to the carbon of a carbonyl or a thiocarbonyl group. The term includes "alkaminocarbonyl" or "alkylaminocarbonyl" groups which include alkyl, alkenyl, aryl or alkynyl groups bound to an amino group bound to a carbonyl group. It includes arylaminocarbonyl and arylcarbonylamino groups which include aryl or heteroaryl moieties bound to an amino group which is bound to the carbon of a carbonyl or thiocarbonyl group. The terms "alkylaminocarbonyl," "alkenylaminocarbonyl," "alkynylaminocarbonyl," "arylaminocarbonyl," "alkylcarbonylamino," "alkenylcarbonylamino," "alkynylcarbonylamino," and "arylcarbonylamino" are included in term "amide." Amides also include urea groups (aminocarbonylamino) and carbamates (oxycarbonylamino).
In a particular embodiment of the invention, the term "amine" or "amino" refers to substituents of the formulas N(R8)R9 or Ci-6-N(R8)R9, wherein R8 and R9 are each, independently, selected from the group consisting of -H and -(Ci.4alkyl)0-iG, wherein G is selected from the group consisting of -COOH, -H, -PO3H, -SO3H, -Br, -Cl, -F, -0-Ci- 4alkyl, -S-Ci-4alkyl, aryl, -C(O)OC i-C6-alkyl, -C(O)C Malkyl-COOH, -C(O)d-C4-alkyl and -C(O)-aryl; or N(R8)R9 is pyrrolyl, tetrazolyl, pyrrolidinyl, pyrrolidinyl-2-one, dimethylpyrrolyl, imidazolyl and morpholino. The term "aryl" includes groups, including 5- and 6-membered single-ring aromatic groups that can include from zero to four heteroatoms, for example, phenyl, pyrrole, furan, thiophene, thiazole, isothiaozole, imidazole, triazole, tetrazole, pyrazole, oxazole, isoxazole, pyridine, pyrazine, pyridazine, and pyrimidine, and the like. Furthermore, the term "aryl" includes multicyclic aryl groups, e.g., tricyclic, bicyclic, e.g., naphthalene, benzoxazole, benzodioxazole, benzothiazole, benzoimidazole, benzothiophene, methylenedioxyphenyl, quinoline, isoquinoline, anthryl, phenanthryl, napthridine, indole, benzofuran, purine, benzofuran, deazapurine, or indolizine. Those aryl groups having heteroatoms in the ring structure can also be referred to as "aryl heterocycles", "heterocycles," "heteroaryls" or "heteroaromatics." The aromatic ring can be substituted at one or more ring positions with such substituents as described above, as for example, alkyl, halogen, hydroxyl, alkoxy, alkylcarbonyloxy, arylcarbonyloxy, alkoxycarbonyloxy, aryloxycarbonyloxy, carboxylate, alkylcarbonyl, alkylaminoacarbonyl, aralkylaminocarbonyl, alkenylaminocarbonyl, alkylcarbonyl, arylcarbonyl, aralkylcarbonyl, alkenylcarbonyl, alkoxycarbonyl, aminocarbonyl, alkylthiocarbonyl, phosphate, phosphonato, phosphinato, cyano, amino (including alkyl amino, dialkylamino, arylamino, diarylamino, and alkylarylamino), acylamino (including alkylcarbonylamino, arylcarbonylamino, carbamoyl and ureido), amidino, imino, sulfhydryl, alkylthio, arylthio, thiocarboxylate, sulfates, alkylsulfinyl, sulfonato, sulfamoyl, sulfonamido, nitro, trifluoromethyl, cyano, azido, heterocyclyl, alkylaryl, or an aromatic or heteroaromatic moiety. Aryl groups can also be fused or bridged with alicyclic or heterocyclic rings which are not aromatic so as to form a polycycle (e.g., tetralin). The term "electron-withdrawing group" "or electron-withdrawing atom" (also refereed to as "EWG") is recognized in the art, and denotes the tendency of a substituent to attract valence electrons from neighboring atoms, i.e., the substituent is electronegative with respect to neighboring atoms. A quantification of the level of electron- withdrawing capability is given by the Hammett sigma (Σ) constant. This well known constant is described in many references, for instance, J. March, Advanced Organic Chemistry, McGraw Hill Book Company, New York, (1977 edition) pp. 251-259. The Hammett constant values are generally negative for electron donating groups (Σ[P]=-0.66 for NH2) and positive for electron withdrawing groups (Σ [P]=O.78 for a nitro group), wherein Σ[P] indicates para substitution. Non-liminting examples of electron- withdrawing groups include nitro, acyl, formyl, sulfonyl, trifluoromethyl, cyano, chloride, carbonyl, thiocarbonyl, ester, imino, amido, carboxylic acid, sulfonic acid, sulfinic acid, sulfamic acid, phosphonic acid, boronic acid, sulfate ester, hydroxyl, mercapto, cyano, cyanate, thiocyanate, isocyanate, isothiocyanate, carbonate, nitrate and nitro groups and the like. Exemplary electron-withdrawing atoms include, but are not limited to, an oxygen atom, a nitrogen atom, a sulfur atom or a halogen atom, such as a fluorine, chlorine, bromine or iodine atom. It is to be understood that, unless otherwise indicated, reference herein to an acidic functional group also encompasses salts of that functional group in combination with a suiTable cation.
It will be noted that the structures of some of the compounds of this invention include asymmetric carbon atoms. It is to be understood accordingly that the isomers arising from such asymmetry (e.g., all enantiomers and diastereomers) are included within the scope of this invention. Such isomers can be obtained in substantially pure form by classical separation techniques and by stereochemically controlled synthesis. Furthermore, the structures and other compounds and moieties discussed in this application also include all tautomers thereof. Compounds described herein can be obtained through art recognized synthesis strategies.
The end products of the reactions described herein may be isolated by conventional techniques, e.g., by extraction, crystallization, distillation, chromatography, etc.
Additionally, the phrase "any combination thereof implies that any number of the listed functional groups and molecules can be combined to create a larger molecular architecture. For example, the terms "aryl" (which represents phenyl), "CO2X1" (wherein X1 = H), and Ci-5-alkyl (i.e., -CH3 and -CH2CH2CH2-) can be combined to form a 3- methoxy-4-propoxybenzoic acid substituent. It is to be understood that when combining functional groups and molecules to create a larger molecular architecture, hydrogens can be removed or added as required to satisfy the valence of each atom.
As used herein, the terms "gated ion channel" or "gated channel" are used interchangeably and are intended to refer to a mammalian (e.g., rat, mouse, human) multimeric complex responsive to, for example, variations of voltage (e.g., membrane depolarization or hyperpolarization), temperature (e.g., higher or lower than 37°C), pH (e.g., pH values higher or lower than 7.4), ligand concentration and/or mechanical stimulation. Examples of specific modulators include, but are not limited to, endogenous extracellular ligands such as anandamide, ATP, glutamate, cysteine, glycine, gamma-aminobutyric acid (GABA), histamine, serotonin (5HT), acetylcholine, epinephrine, norepinephrine, protons, ions, e.g., Na+, Ca+^ K+, Cl", H+, Zn+, and/or peptides, e.g. , Met-enkephaline, Leu- enkephaline, dynorphin, neurotrophins, and /or the RFamide related peptides, e.g., FMRFamide and/or FLRFamide; to endogenous intracellular ligands such as cyclic nucleotides (e.g. cyclicAMP, cyclicGMP), ATP, Ca4^ and/or G-proteins; to exogenous extracellular ligands or modulators such as α-amino-3-hydroxy-5-methyl-4-isolaxone propionate (AMPA), amiloride, capsaicin, capsazepine, epibatidine, cadmium, barium, gadolinium, guanidium, kainate, N-methyl-D-aspartate (NMDA). Gated ion channels also include complexes responsive to toxins, examples of which include, but are not limited to, Agatoxin (e.g. α-agatoxin IVA, IVB, ω-agatoxin IVA, TK), Agitoxins (Agitoxin 2), Apamin, Argiotoxins, Batrachotoxins, Brevetoxins (e.g. Brevetoxin PbTx-2, PbTx-3, PbTx-9),
Charybdotoxins, Chlorotoxins, Ciguatoxins, Conotoxins (e.g. α-conotoxin GI, GIA, GII, IMI, MI, Mil, SI, SIA, SII, and/or EI; δ-conotoxins, μ-conotoxin GIIIA, GIIIB, GIIIC and/or GS, ω-conotoxin GVIA, MVIIA MVIIC, MVIID, SVIA and/or SVIB), Dendrotoxins, Grammotoxins (GsMTx-4, ω-grammotoxin SIA), Grayanotoxins, Hanatoxins, Iberiotoxins, Imperatoxins, Jorotoxins, Kaliotoxins, Kurtoxins, Leiurotoxin 1, Pricotoxins, Psalmotoxins, (e.g., Psalmotoxin 1 (PcTxI)), Margatoxins, Noxiustoxins, Phrixotoxins, PLTX II, Saxitoxins, Stichodactyla Toxins, sea anemone toxins (e.g. APETx2 from Anthopleura elegantissima), Tetrodotoxins, Tityus toxin K-α, Scyllatoxins and/or tubocurarine.
In a preferred embodiment, the compounds of the invention modulate the activity of ASICIa and/or ASIC3.
"Gated ion channel-mediated activity" is a biological activity that is normally modulated (e.g., inhibited or promoted), either directly or indirectly, in the presence of a gated ion channel. Gated ion channel-mediated activities include, for example, receiving, integrating, transducing, conducting, and transmitting signals in a cell, e.g., a neuronal or muscle cell. A biological activity that is mediated by a particular gated ion channel, e.g.
ASIC Ia or ASIC3, is referred to herein by reference to that gated ion channel, e.g. ASICIa- or ASIC3- mediated activity. To determine the ability of a Compound to inhibit a gated ion channel-mediated activity, conventional in vitro and in vivo assays can be used which are described herein. "Neurotransmission," as used herein, is a process by which small signaling molecules, termed neurotransmitters, are rapidly passed in a regulated fashion from a neuron to another cell. Typically, following depolarization associated with an incoming action potential, a neurotransmitter is secreted from the presynaptic neuronal terminal. The neurotransmitter then diffuses across the synaptic cleft to act on specific receptors on the postsynaptic cell, which is most often a neuron but can also be another cell type (such as muscle fibers at the neuromuscular junction). The action of neurotransmitters can either be excitatory, depolarizing the postsynaptic cell, or inhibitory, resulting in hyperpolarization. Neurotransmission can be rapidly increased or decreased by neuromodulators, which typically act either pre-synaptically or post-synaptically. The gated ion channel ASICIa has been shown to possibly contribute to neurotransmission [Babini et al., J Biol Chem. 277(44):41597-603 (2002)].
Examples of gated ion channel-mediated activities include, but are not limited to, pain {e.g. , inflammatory pain, acute pain, chronic malignant pain, chronic nonmalignant pain and neuropathic pain), inflammatory disorders, diseases and disorders of the genitourinary and gastrointestinal systems, and neurological disorders (e.g., neurodegenerative or neuropsychiatry disorders).
"Pain" is defined as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage (International Association for the Study of Pain - IASP). Pain is classified most often based on duration (i.e., acute vs. chronic pain) and the underlying pathophysiology (i.e., nociceptive vs. neuropathic pain).
Acute pain can be described as an unpleasant experience with emotional and cognitive, as well as sensory, features that occur in response to tissue trauma and disease and serves as a defensive mechanism. Acute pain is usually accompanied by a pathology (e.g., trauma, surgery, labor, medical procedures, acute disease states) and the pain resolves with healing of the underlying injury. Acute pain is mainly nociceptive, but can also be neuropathic. Chronic pain is pain that extends beyond the period of healing, with levels of identified pathology that often are low and insufficient to explain the presence, intensity and/or extent of the pain (American Pain Society - APS). Unlike acute pain, chronic pain serves no adaptive purpose. Chronic pain can be nociceptive, neuropathic, or both and caused by injury (e.g., trauma or surgery), malignant conditions, or a variety of chronic conditions (e.g., arthritis, fibromyalgia and neuropathy). In some cases, chronic pain exists de novo with no apparent cause.
"Nociceptive pain" is pain that results from damage to tissues and organs. Nociceptive pain is caused by the ongoing activation of pain receptors in either the superficial or deep tissues of the body. Nociceptive pain is further characterized as "somatic pain", including "cutaneous pain" and "deep somatic pain", and "visceral pain". "Somatic pain" includes "cutaneous pain" and "deep somatic pain." Cutaneous pain is caused by injury, diseases and disorders of the skin and related organs. Examples of conditions associated with cutaneous pain include, but are not limited to, cuts, burns, infections, lacerations, as well as traumatic injury and post-operative or surgical pain (e.g., at the site of incision).
"Deep somatic pain" results from injuries, diseases or disorders of the musculoskeletal tissues, including ligaments, tendons, bones, blood vessels and connective tissues. Examples of deep somatic pain or conditions associated with deep somatic pain include, but are not limited to, sprains, broken bones, arthralgia, vasculitis, myalgia and myofascial pain. Arthralgia refers to pain caused by a joint that has been injured (such as a contusion, break or dislocation) and/or inflamed (e.g., arthritis). Vaculitis refers to inflammation of blood vessels with pain. Myalgia refers to pain originating from the muscles. Myofascial pain refers to pain stemming from injury or inflammation of the fascia and/or muscles.
"Visceral" pain is associated with injury, inflammation or disease of the body organs and internal cavities, including but not limited to, the circulatory system, respiratory system, gastrointestinal system, genitourinary system, immune system, as well as ear, nose and throat. Visceral pain can also be associated with infectious and parasitic diseases that affect the body organs and tissues. Visceral pain is extremely difficult to localize, and several injuries to visceral tissue exhibit "referred" pain, where the sensation is localized to an area completely unrelated to the site of injury. For example, myocardial ischaemia (the loss of blood flow to a part of the heart muscle tissue) is possibly the best known example of referred pain; the sensation can occur in the upper chest as a restricted feeling, or as an ache in the left shoulder, arm or even hand. Phantom limb pain is the sensation of pain from a limb that one no longer has or no longer gets physical signals from - an experience almost universally reported by amputees and quadriplegics.
"Neuropathic pain" or "neurogenic pain" is pain initiated or caused by a primary lesion, dysfunction or perturbation in the nervous system. "Neuropathic pain" can occur as a result of trauma, inflammation or disease of the peripheral nervous system ("peripheral neuropathic pain") and the central nervous system ("central pain"). For example, neuropathic pain can be caused by a nerve or nerves that are irritated, trapped, pinched, severed or inflamed (neuritis). There are many neuropathic pain syndromes, such as diabetic neuropathy, trigeminal neuralgia, postherpetic neuralgia ("shingles"), post-stroke pain, and complex regional pain syndromes (also called reflex sympathetic dystrophy or "RSD" and causalgia). As used herein, the term "inflammatory disease or disorder" includes diseases or disorders which are caused, at least in part, or exacerbated by, inflammation, which is generally characterized by increased blood flow, edema, activation of immune cells (e.g., proliferation, cytokine production, or enhanced phagocytosis), heat, redness, swelling, pain and loss of function in the affected tissue and organ. The cause of inflammation can be due to physical damage, chemical substances, micro-organisms, tissue necrosis, cancer or other agents. Inflammatory disorders include acute inflammatory disorders, chronic inflammatory disorders, and recurrent inflammatory disorders. Acute inflammatory disorders are generally of relatively short duration, and last for from about a few minutes to about one to two days, although they can last several weeks. The main characteristics of acute inflammatory disorders include increased blood flow, exudation of fluid and plasma proteins (edema) and emigration of leukocytes, such as neutrophils. Chronic inflammatory disorders, generally, are of longer duration, e.g., weeks to months to years or longer, and are associated histologically with the presence of lymphocytes and macrophages and with proliferation of blood vessels and connective tissue. Recurrent inflammatory disorders include disorders which recur after a period of time or which have periodic episodes. Some disorders can fall within one or more categories.
The terms "neurological disorder" and "neurodegenerative disorder" refer to injuries, diseases and dysfunctions of the nervous system, including the peripheral nervous system and central nervous system. Neurological disorders and neurodegenerative disorders include, but are not limited to, diseases and disorders that are associated with gated ion channel-mediated biological activity. Examples of neurological disorders include, but are not limited to, Alzheimer's disease, epilepsy, cancer, neuromuscular diseases, multiple sclerosis, amyotrophic lateral sclerosis, stroke, cerebral ischemia, neuropathy (e.g. , chemotherapy-induced neuropathy, diabetic neuropathy), retinal pigment degeneration, Huntington's chorea, and Parkinson's disease, learning disorders, anxiety disorders (e.g., phobic disorders (e.g., agoraphobia, claustrophobia), panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis), and ataxia- telangiectasia. As used herein, "neuropathy" is defined as a failure of the nerves that carry information to and from the brain and spinal cord resulting in one or more of pain, loss of sensation, and inability to control muscles. In some cases, the failure of nerves that control blood vessels, intestines, and other organs results in abnormal blood pressure, digestion problems, and loss of other basic body processes. Peripheral neuropathy can involve damage to a single nerve or nerve group (mononeuropathy) or can affect multiple nerves (polyneuropathy).
The term "treated," "treating" or "treatment" includes the diminishment or alleviation of at least one symptom associated with the pain, inflammatory disorder, neurological disorder, genitourinary disorder or gastrointestinal disorder (e.g., a symptom associated with or caused by gated ion channel mediated activity) being treated. In certain embodiments, the treatment comprises the modulation of the interaction of a gated ion channel (e.g., ASICIa and/or ASIC3) by a gated ion channel modulating compound, which would in turn diminish or alleviate at least one symptom associated with or caused by the gated ion channel-mediated activity being treated. For example, treatment can be diminishment of one or several symptoms of a disorder or complete eradication of a disorder.
As used herein, the phrase "therapeutically effective amount" of the Compound is the amount necessary or sufficient to treat or prevent pain, an inflammatory disorder, a neurological disorder, a gastrointestinal disorder or a genitourinary disorder, (e.g., to prevent the various morphological and somatic symptoms of a gated ion channel-mediated activity). In an example, an effective amount of the Compound is the amount sufficient to alleviate at least one symptom of the disorder, e.g., pain, inflammation, a neurological disorder, a gastrointestinal disorder or a genitourinary disorder, in a subject. The term "subject" is intended to include animals, which are capable of suffering from or afflicted with a gated ion channel-associated state or gated ion channel-associated disorder, or any disorder involving, directly or indirectly, gated ion channel activity. Examples of subjects include mammals, e.g., humans, dogs, cows, horses, pigs, sheep, goats, cats, mice, rabbits, rats, and transgenic non-human animals. In certain embodiments, the subject is a human, e.g., a human suffering from, at risk of suffering from, or potentially capable of suffering from pain, inflammation, a neurological disorder, a gastrointestinal disorder or a genitourinary disorder (e.g. associated with gated channel- associated activity). The language "gated ion channel modulator" refers to compounds that modulate, i.e., inhibit, promote or otherwise alter the activity of a gated ion channel. For example, the gated ion channel modulator can inhibit, promote or otherwise alter the response of a gated ion channel to, for example, variations of voltage (e.g., membrane depolarization or hyperpolarization), temperature (e.g., higher or lower than 37°C), pH (e.g., pH values higher or lower than 7.4), ligand concentration and/or mechanical stimulation. Examples of gated ion channel modulators include compounds of the invention (i.e., Formulas 1, 2, 3, 4, 5, 5a, 6, 6a, 7 and 8 including salts thereof, e.g., a pharmaceutically accepTable salt). Additional examples of gated ion channel modulators include the compounds of Table A, Table B, Table C, Table D, Table E and Table F, or derivatives and fragments thereof, including salts thereof, e.g., a pharmaceutically accepTable salt. In a particular embodiment, the gated ion channel modulators of the invention, including the compounds of Formulas 1, 2, 3, 4, 5, 5a, 6, 6a, 7 and 8, and the compounds of Table A, Table B, Table C, Table D, Table E and Table F, can be used to treat a disease or disorder associated with pain, inflammation, neurological disorders, gastrointestinal disorders or genitourinary disorders in a subject in need thereof. In another embodiment, the compounds of the invention can be used to treat an inflammatory disorder in a subject in need thereof.
Modulators of Ion Channel Activity
The present invention provides compounds which modulate the activity of a gated ion channel. In some embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of at least one subunit belonging to the DEG/ENaC, TRPV and/or P2X gene superfamilies. In some embodiments, the compounds of the invention modulate the activity of the gated ion channel comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, 6ENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, hINaC, P2Xh P2X2, P2X3, P2X4, P2X5, P2X6, P2X7, TRPVl, TRP V2, TRPV3, TRP V4, TRPV5, and TRPV6. In still other embodiments, the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, BLINaC, hINaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In certain embodiments, the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In certain embodiments, the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least two subunits selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In yet other embodiments, the compounds of the invention modulate the activity of the DEG/ENaC gated ion channel comprised of at least three subunits selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of ASIC, /. e. , ASIC 1 a or ASICIb. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of ASIC3. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of ASICIa and ASIC2a,; ASICIa and ASIC2a; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC2b; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa and ASIC3; and ASICIa, ASIC2a and A S IC 3. In other embodiments, the compounds of the invention modulate the activity of the P2X gated ion channel comprised of at least one subunit selected from the group consisting of P2Xh P2X2, P2X3, P2X4, P2X5, PlX6, and P2X7. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of P2X2, P2X3 or P2X4. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of P2X) and P2X2, P2Xi and P2X5, P2X2 and P2X3, P2X2 and P2X6, and P2X4 and P2X6. In yet another aspect of the invention, the compounds of the invention modulate the activity of the TRPV gated ion channel comprised of at least one subunit selected from the group TRPVl , TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of TRPVl or TRPV2. In certain embodiments, the compounds of the invention modulate the activity of a gated ion channel comprised of TRPVl and TRPV2, TRPVl and TRP V4, and TRP V5 and TRP V6.
In a particular embodiment, the compounds of the invention, including the compounds of Formulas 1, 2 and 3, and Compounds A, B, C, D, E, F, G, H, I, J and K modulate the activity of ASICIa and/or ASIC3. In one apect, the Compound that modulates the activity of a gated ion channel is of the Formula 1 :
Figure imgf000028_0001
or a pharmaceutically accepTable salt thereof, wherein the dashed lines indicate a single or double bond, wherein when the dashed lines indicate a single bond the nitrogen of the ring may be bonded to H or Ri ; R1, R3 and R4 are each, independently, selected from the group consisting of hydrogen, substituted or unsubstituted amine, cyano, nitro, COOH, amide, halogen, halo- Ci-5-alkyl, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci-5-alkyl, wherein the
Figure imgf000028_0002
group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, Ci-5-alkynyl, sulfonyl, sulphonamide, sulfonic acid, (CH2)0.5OX6, (CH2)0-5CO2X6 N(H)(CH2)0-5OX6, and (CH2)o-5C(0)N(X6)2, wherein X6 is independently selected from the group consisting of hydrogen, Ci-5-alkyl, amine, and -CO2X1, wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl; and any combination thereof; R2 is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Cj.s-alkyl, wherein the C]-5- alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, Ci-5- alkynyl, sulfonyl, sulphonamide, sulfonic acid and -CO2X1, wherein X1 is selected from the group consisting of hydrogen, Ci_5-alkyl, amino, and substituted or unsubstituted aryl; and any combination thereof, or R is selected from the group consiting of the Formulas I, II and III:
Figure imgf000028_0003
wherein R8 is selected from the group consisting of O, S and CH2; R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the C1-5-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ; X2 is CH2, O or N(H); X3 and X4 are each, independently, N, C or C(H); the dashed lines indicate a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and R5 is N, C or C(H); wherein R3 and R4, R2 and R3, R1 and R4 or R2 and R4 can also for a fused 4, 5 or 6-membered substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, or substituted or unsubstituted heterocycle.
In another embodiment of Formula 1, the dashed lines indicate a single or double bond, wherein when the dashed lines indicate a single bond the nitrogen of the ring may be bonded to H or Ri ;
R1, R3 and R4 are each, independently, selected from the group consisting of hydrogen, substituted or unsubstituted amine, cyano, nitro, COOH, amide, halogen, halo- Ci-5-alkyl, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, Ci.5-alkynyl, sulfonyl, sulphonamide, sulfonic acid, (CH2)0-5OX6, (CH2)O-5CO2X6 N(H)(CH2)0-5OX6, and (CH2)o-5C(0)N(X6)2, wherein X6 is independently selected from the group consisting of hydrogen, Cj-5-alkyl, amine, and -CO2X1, wherein X selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl;
R2 is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci-5-alkyl, wherein the Ci-5- alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, C1-S- alkynyl, sulfonyl, sulphonamide, sulfonic acid and -CO2X1, wherein X1 is selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl; or R2 is selected from the group consiting of the Formulas I, II, III and IV:
Figure imgf000030_0001
wherein
R8 is selected from the group consisting of O, S and CH2;
R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Ci-s-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ; X2 is CH2, O, N(C,-5-alkyl) or N(H); X3 and X4 are each, independently, N, C, or C(H); the dashed lines indicate a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)o-4-substituted or unsubstituted pyridyl, C(O)Ph, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)0-4-benzo[l,3]dioxole, wherein the C|.5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group, and wherein the CH2 groups may be substituted with a Ci-5-alkyl, halogen or CF3 group; a, b and c are each, independently, 0 or 1 ; X7 is C(H), N or O; X8 is H, Ci-5-alkyl, aryl, OH, O-CI-5-alkyl or O-aryl; and R5 is N, C or C(H); wherein R3 and R4, R2 and R3, R1 and R4 or R2 and R4 can also form a fused 4, 5 or 6-membered substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, or substituted or unsubstituted heterocycle.
In another embodiment of Formula 1, the dashed lines of Formula III indicate a single bond. In still another embodiment of Formula 1, R2 is Formula III, m=0, X3 and X4 are N, and the dashed lines indicate a single bond.
In another embodiment of Formula 1, Formula 1 is represented by Formula 2:
Figure imgf000030_0002
wherein R ι l , r R> 2 , r R>3 , r R>4 and j n R5 have the meaning set forth for Formula 1. In one embodiment of Formula 2, Formula 2 is represented by Formula 3:
Figure imgf000031_0001
wherein R1, R2, R3, R4 and R5 have the meaning set forth for Formula 1.
In one embodiment of Formula 3, R1, R3 and R4 are each, independently, selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, O-Ci-5-alkyl, halo-Ci.s-alkyl, substituted or unsubstituted aryl, substituted or unsubstituted heterocycle;
R is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci.s-alkyl, wherein the Ci-5- alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci.5-alkenyl, Ci-5- alkynyl, sulfonyl, sulphonamide, sulfonic acid and -CO2X1, wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl; or R2 is selected from the group consiting of the Formulas I, II and III:
Figure imgf000031_0002
wherein R8 is selected from the group consisting of O, S and CH2; R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1; m is 0 or 1; X is CH2, O, N(Ci.5-alkyl) or N(H); X3 and X4 are each, independently, N, C or C(H); the dashed lines indicate a single or double bond; X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-s-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)O-4- substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and R5 is N or C(H). In one embodiment of Formula 3, the dashed lines of Formula III indicate a single bond. In another embodiment of Formula 3, R3 and R4 are each, independently, selected from the group consisting of H, halogen, hydroxyl, Ci-5-alkyl and Ci.s-alkoxy; R is selected from the group consisting of Cj.s-alkyl, Ci-5-alkoxy, CO2H, and heterocycle; and
R1 is selected from the group consisting of heterocycle, heterocycle substituted with Ci-5-alkyl, and phenyl substituted one or more times with hydroxyl, Ci-5-alkyl or Ci-5- alkoxy.
In another embodiment of Formula 3, R3 and R4 are each, independently, selected from the group consisting of H, Cl, Br, OH, and OCH3; R2 is selected from the group consisting of CH3, CO2H, and piperidine; and R1 is selected from the group consisting of piperazine, piperazine substituted with CH3, and phenyl substituted one or more times with OH, OCH3 or CH3.
In one embodiment of Formula 3, Formula 3 is represented by Formula 4:
Figure imgf000032_0001
wherein R1, R2, R4 and R5 have the meaning set forth for Formula 2.
In one embodiment of Formula 4, R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, O-Cj.s-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted pyridine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H and (CH2)O-3OH;
R2 is selected from the group consisting of of hydrogen, substituted or unsubstituted amine, amide, halogen, Ci-5-alkyl, wherein the C1-5-alkyl group may be interrupted by O, S or N(H), and -CO2X1, wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl; or R2 is selected from the group consiting of the Formulas I, II and III:
Figure imgf000032_0002
wherein
R8 is selected from the group consisting of O, S and CH2; R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Cμs-alkyl, wherein the Ci-s-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ; X2 is CH2, O or N(H); X3 and X4 are each, independently, N, C or C(H); the dashed line indicates a single or double bond; X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, C)-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and R5 is N or C(H).
In another embodiment of Formula 4, R1 is pyridine, which may be optionally substituted one or more times with OCH3, Cl, CH3, or NO2; R5 is C(H); R2 is Formula I or II; and R4 is halogen, (CH2)0-3OH, or CO2H.
In still another embodiment of Formula 4, R2 is Formula III, wherein n is O, X2 is N(H) or N(Ci-5-alkyl), X3 is C(H), X4 is N and X5 is (CH2)0-4-substituted or unsubstituted phenyl; R4 is H; and R1 is Ci-5-alkyl.
In yet another embodiment of Formula 4, R1 is selected from hydrogen, methyl, ethyl, methoxy, fluorine, bromine, trifluoromethyl, methyl-substituted piperizine, methyl- substituted diazepane, pyridine, phenyl, methyl-substituted phenyl and phenyl independently substituted one or more times by methoxy, fluorine or bromine; R4 is selected from the group consisting of H, Cl, Br and F; R2 is selected from the group consisting of Cj.f-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and -CO2X1, wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino and substituted or unsubstituted aryl; or R2 is selected from Formula III:
Figure imgf000033_0001
wherein n is O or 1 ; m is O or 1 ; X2 is CH2, O or N(H); X3 and X4 are each, independently, N, C or C(H); the dashed lines indicate a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci-s-alkyl, Ci-s-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the C],5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and
R5 is N or C(H).
In another embodiment, Formula 3 is represented by Formula 5:
Figure imgf000034_0001
wherein R5 is N or C(H); R1 is selected from the group consisting of hydrogen, C1-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R4 is selected from the group consisting of hydrogen, halogen, C,.5-alkyl, CO2H and (CH2)0-3OH; w is 0 or 1; and R11 and R12 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or R11 and R1 can form the following 6-membered ring:
Figure imgf000034_0002
wherein X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)0-4-substituted or unsubstituted phenyl, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
In another embodiment, Formula 3 is represented by Formula 5a:
Figure imgf000034_0003
wherein
R5 is N or C(H); R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, O-Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H and (CH2)O-3OH; w is 0 or 1 ; and
R11 and R12 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or RH and R12 can form the following 6- membered ring:
Figure imgf000035_0001
wherein X5 is selected from the group consisting of hydrogen, Cj.s-alkyl, Ci-5- alkoxy, (CH2)0-4-substituted or unsubstituted phenyl, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)O-4 -benzo[l, 3] dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
In one embodiment of Formula 5a, w is 0; R11 is H or CH3; R12 is (CH2)i-4CO2H, (CH2)I-4CH3, piperidine substituted with benzyl or phenyl substituted with CO2H; R1 is hydrogen, CH3, CH2CH3, or phenyl substituted one or more times with chloro or CH3; and R4 is hydrogen, chloro, or NO2.
In one embodiment of Formula 5, Formula 5 is represented by Formula 6:
Figure imgf000035_0002
wherein R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H and (CH2)o-3OH; R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R5 is N or C(H); w is 0 or 1 ; and X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)o-4- substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
In another embodiment, Formula 5 is represented by Formula 6a:
Figure imgf000036_0001
wherein R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl,
O-Ci-5-alkyl, CO2H and (CH2)O-3OH;
R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
R5 is N or C(H); w is 0 or 1 ; and X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)o-4- substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l ,3]dioxole, wherein the Cj.s-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
In one embodiment of Formula 6a, w is 1 ; X5 is (CH2)0-4-substituted or unsubstituted phenyl, (CH2)0-4-C(O)-substituted or unsubstituted phenyl, (CH2)0-4- benzo[l,3]dioxole, CH3, or amide; R1 is pyridyl, phenyl independently substituted one or more times with OCH3, Cl, or OH; and R4 is hydrogen, halogen, or OH. In another embodiement of Formula 2, Formula 6a is represented by Formula 7:
Figure imgf000037_0001
wherein
R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, 0-Ci-5- alkyl, CO2H and (CH2)0-3OH;
R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
R5 is N or C(H); and X5 is selected from the group consisting of hydrogen, Ci-5- alkyl, Ci-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
In another embodiment of Formula 7, X5 is H, C(O)O-t-butyl, or phenyl substituted with CN orNO2; R4 is halogen, and R1 is CI-5-alkyl.
In another embodiement of Formula 3, Formula 3 is represented by Formula 8:
Figure imgf000037_0002
wherein
R5 is N or C(H); R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H and (CH2)O-3OH; and R1 1 and R12 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-s-alkyl-amino, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or Rn and R12 can form the following 6-membered ring:
Figure imgf000038_0001
wherein x and y are each, independently, 0 or 1 ; wherein X5 is selected from the group consisting of hydrogen, Cj.s-alkyl, Ci-5- alkoxy, (CH2)o-4-substituted or unsubstituted aryl, (CH2)o-4-substituted or unsubstituted cycloalkyl, (CH2)o-4-substituted or unsubstituted heterocycle, (CH2)0-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; wherein the ring formed by Rn and R12 may be further substituted by Ci.5-alkyl, halogen, or CO2H
In one embodiment of Formula 8, R1 is selected from the group consisting of H, F, CH3, CF3, CN, and phenyl substituted with CH3;
R4 is selected from the group consisting of hydrogen, F, OH, CH3, Br, Cl, OCH3, NO2 and CF3; and
Ru and R12 are each, independently, selected from the group consisting of hydrogen, (CH2) M-halogen, and (CH2), -4N(CH3)CH2Ph, or R1 ' and R12 can form the following ring:
Figure imgf000038_0002
wherein x and y are each, independently, O or 1 ; wherein X5 is selected from the group consisting of H, CH3, isopropyl, t-butyl, cyclopropyl, CH2-isopropyl, CH2-t-butyl, CH2-cyclopropyl, CH2-cyclohexyl, CH2-CO2H, C(O)O-Ci-5-alkyl, C(O)Ph, (CH2) i-4-pyridinyl, CH(CH3)Ph, CH(CF3)Ph, CH(F)Ph, and (CH2) I-4Ph, wherein the phenyl group may be independently substituted one or more times with chloro, CN, CO2H, NO2, Cl or OCH3; wherein the ring formed by R11 and R12 may be further substituted by Ci-5-alkyl, halogen, or CO2H.
Preferred embodiments of Formulas 1, 2, 3, 4, 5, 5a, 6, 6a, 7 and 8 (including pharmaceutically accepTable salts thereof, as well as enantiomers, stereoisomers, rotamers, tautomers, diastereomers, atropisomers or racemates thereof) are shown below in Table A, Table B, Table C, Table D, Table E and Table F, and are also considered to be "compounds of the invention." The compounds of the invention are also referred to herein as "gated ion channel inhibitors," as well as "ASIC inhibitors." ("OX" = OpusExpress; see Example 3; "Flex" = FlexStation; see Example 1; "PC" = patch clamp; see Example 1)
TABLE A
Compound Name Structure Biological Data (IC50 uM) l-(4-methoxy- phenyl)-2-[4-(2- methyl-quinolin-4- y l)-piper azin- 1 -y 1] - ethanone (Compound A)
4-(l -benzyl - piperidin-4-yloxy)-
8-fluoro-2- trifluoromethyl- quinoline
(Compound B)
Figure imgf000039_0001
Figure imgf000040_0001
Figure imgf000041_0001
Figure imgf000042_0001
Figure imgf000043_0001
Figure imgf000044_0001
Figure imgf000045_0001
Figure imgf000046_0001
Figure imgf000047_0001
Figure imgf000048_0001
Figure imgf000049_0001
Figure imgf000050_0001
Figure imgf000051_0001
Figure imgf000052_0001
Figure imgf000053_0001
Figure imgf000054_0001
Figure imgf000055_0001
Figure imgf000056_0001
Figure imgf000057_0001
Figure imgf000058_0001
Figure imgf000059_0001
Figure imgf000059_0002
Figure imgf000060_0001
Figure imgf000061_0002
Figure imgf000061_0001
Figure imgf000062_0001
Figure imgf000063_0001
each R is, independently, CN, CO2H, NO2, Cl, OMe, F, CF3 or CO2CH3
Figure imgf000063_0002
R = H, alkyl
Figure imgf000063_0003
R = H, alkyl, aryl
Figure imgf000063_0004
R = H, alkyl, aryl
Figure imgf000063_0005
amide
R2 = NHCO-alkyl, NHCO-Ar, Ar
R = H, alkyl, aryl
Figure imgf000064_0001
Acid addition salts of the compounds of the invention are most suitably formed from pharmaceutically accepTable acids, and include for example those formed with inorganic acids e.g. hydrochloric, sulphuric or phosphoric acids and organic acids e.g. succinic, maleic, acetic or fumaric acid. Other non-pharmaceutically accepTable salts e.g. oxalates may be used for example in the isolation of the compounds of the invention, for laboratory use, or for subsequent conversion to a pharmaceutically accepTable acid addition salt. Also included within the scope of the invention are solvates and hydrates of the invention.
The conversion of a given Compound salt to a desired Compound salt is achieved by applying standard techniques, in which an aqueous solution of the given salt is treated with a solution of base e.g. sodium carbonate or potassium hydroxide, to liberate the free base which is then extracted into an appropriate solvent, such as ether. The free base is then separated from the aqueous portion, dried, and treated with the requisite acid to give the desired salt. In vivo hydrolyzable esters or amides of certain compounds of the invention can be formed by treating those compounds having a free hydroxy or amino functionality with the acid chloride of the desired ester in the presence of a base in an inert solvent such as methylene chloride or chloroform. SuiTable bases include triethylamine or pyridine. Conversely, compounds of the invention having a free carboxy group may be esterified using standard conditions which may include activation followed by treatment with the desired alcohol in the presence of a suiTable base.
Examples of pharmaceutically accepTable addition salts include, without limitation, the non-toxic inorganic and organic acid addition salts such as the hydrochloride derived from hydrochloric acid, the hydrobromide derived from hydrobromic acid, the nitrate derived from nitric acid, the perchlorate derived from perchloric acid, the phosphate derived from phosphoric acid, the sulphate derived from sulphuric acid, the formate derived from formic acid, the acetate derived from acetic acid, the aconate derived from aconitic acid, the ascorbate derived from ascorbic acid, the benzenesulphonate derived from benzensulphonic acid, the benzoate derived from benzoic acid, the cinnamate derived from cinnamic acid, the citrate derived from citric acid, the embonate derived from embonic acid, the enantate derived from enanthic acid, the fumarate derived from fumaric acid, the glutamate derived from glutamic acid, the glycolate derived from glycolic acid, the lactate derived from lactic acid, the maleate derived from maleic acid, the malonate derived from malonic acid, the mandelate derived from mandelic acid, the methanesulphonate derived from methane sulphonic acid, the naphthalene-2-sulphonate derived from naphtalene-2-sulphonic acid, the phthalate derived from phthalic acid, the salicylate derived from salicylic acid, the sorbate derived from sorbic acid, the stearate derived from stearic acid, the succinate derived from succinic acid, the tartrate derived from tartaric acid, the toluene-p-sulphonate derived from p- toluene sulphonic acid, and the like. Particularly preferred salts are sodium, lysine and arginine salts of the compounds of the invention. Such salts can be formed by procedures well known and described in the art. Other acids such as oxalic acid, which can not be considered pharmaceutically acceptable, can be useful in the preparation of salts useful as intermediates in obtaining a chemical Compound of the invention and its pharmaceutically accepTable acid addition salt.
Metal salts of a chemical compounds of the invention includes alkali metal salts, such as the sodium salt of a chemical Compound of the invention containing a carboxy group.
In the context of this invention the "onium salts" of N-containing compounds are also contemplated as pharmaceutically accepTable salts. Preferred "onium salts" include the alkyl-onium salts, the cycloalkyl-onium salts, and the cycloalkyl-onium salts. The chemical Compound of the invention can be provided in dissoluble or indissoluble forms together with a pharmaceutically accepTable solvents such as water, ethanol, and the like. Dissoluble forms can also include hydrated forms such as the monohydrate, the dihydrate, the hemihydrate, the trihydrate, the tetrahydrate, and the like. In general, the dissoluble forms are considered equivalent to indissoluble forms for the purposes of this invention.
A. Stereoisomers
The chemical compounds of the present invention can exist in (+) and (-) forms as well as in racemic forms. The racemates of these isomers and the individual isomers themselves are within the scope of the present invention.
Racemic forms can be resolved into the optical antipodes by known methods and techniques. One way of separating the diastereomeric salts is by use of an optically active acid, and liberating the optically active amine Compound by treatment with a base. Another method for resolving racemates into the optical antipodes is based upon chromatography on an optical active matrix. Racemic compounds of the present invention can thus be resolved into their optical antipodes, e.g., by fractional crystallization of d- or l-(tartrates, mandelates, or camphorsulphonate) salts for example. The chemical compounds of the present invention may also be resolved by the formation of diastereomeric amides by reaction of the chemical compounds of the present invention with an optically active activated carboxylic acid such as that derived from (+) or (-) phenylalanine, (+) or (-) phenylglycine, (+) or (-) camphanic acid or by the formation of diastereomeric carbamates by reaction of the chemical Compound of the present invention with an optically active chloro formate or the like.
Additional methods for the resolving the optical isomers are known in the art. Such methods include those described by Jaques J, Collet A, and Wilen S in "Enantiomers, Racemates, and Resolutions", John Wiley and Sons, New York (1981).
Optical active compounds can also be prepared from optical active starting materials.
Moreover, some of the chemical compounds of the invention being oximes, may thus exist in two forms, syn- and anti-form (Z- and E-form), depending on the arrangement of the substituents around the — C=N — double bond. A chemical Compound of the present invention may thus be the syn- or the anti-form (Z- and E-form), or it may be a mixture hereof. It is to be understood that both the syn- and anti-form (Z- and E-form) of a particular Compound is within the scope of the present invention, even when the Compound is represented herein (i.e., through nomenclature or the actual drawing of the molecule) in one form or the other.
It is to be understood that all of the compounds of Formulas 1, 2, 3 and 4 described above will further include double bonds between adjacent atoms as required to satisfy the valence of each atom. That is, double bonds are added to provide the following number of total bonds to each of the following types of atoms: carbon: four bonds; nitrogen: three bonds; oxygen: two bonds; and sulfur: two-six bonds.
In another embodiment, the invention pertains to the gated ion channel modulators of the invention, including salts thereof, e.g., pharmaceutically accepTable salts. Particular embodiments of the invention pertain to the modulating compounds the invention, or derivatives thereof, including salts thereof, e.g., pharmaceutically accepTable salts. In yet another embodiment, the invention pertains to pharmaceutical compositions comprising gated ion channel modulating compounds described herein and a pharmaceutical accepTable carrier.
In another embodiment, the invention includes any novel Compound or pharmaceutical compositions containing compounds of the invention described herein. For example, compounds and pharmaceutical compositions containing compounds set forth herein (e.g., compounds of the invention) are part of this invention, including salts thereof, e.g., pharmaceutically accepTable salts.
Assays
The present invention relates to a method of modulating gated ion channel activity. As used herein, the various forms of the term "modulate" include stimulation (e.g., increasing or upregulating a particular response or activity) and inhibition (e.g., decreasing or downregulating a particular response or activity). In one aspect, the methods of the present invention comprise contacting a cell with an effective amount of a gated ion channel modulator compound, e.g. a Compound of the invention, thereby modulating the activity of a gated ion channel. In certain embodiments, the effective amount of the Compound of the invention inhibits the activity of the gated ion channel
The gated ion channels of the present invention are comprised of at least one subunit belonging to the DEG/ENaC, TRPV (also referred to as vanilloid) and/or P2X gene superfamilies. In one aspect the gated ion channel is comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, hINaC, , P2X,, P2X2, P2X3, P2X4, P2X5, P2X6, P2X7, TRPVl, TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6. In one aspect, the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, BLINaC, hINaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In certain embodiments, the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4. In certain embodiments, the gated ion channel is comprised of ASICIa, ASICIb, or ASIC3. In another aspect of the invention, P2X gated ion channel is comprised of at least one subunit selected from the group consisting of P2Xt, P2X2, P2X3, P2X4, P2X5, P2X6, and P2X7. In yet another aspect of the invention, the TRPV gated ion channel is comprised of at least one subunit selected from the group TRPVl , TRP V2, TRPV3, TRPV4, TRPV5, and TRPV6. In another aspect, the gated ion channel is a heteromultimeric gated ion channel, including, but not limited to, αENaC, βENaC and γENaC; αENaC, βENaC and δENaC; ASICIa and ASIC2a; ASICIa and ASIC2b; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC2b; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; ASIC3 and P2X, e.g. P2Xh P2X2, P2X3, P2X4, P2X5, P2X6 and P2X7, preferably ASIC3 and P2X2; ASIC3 and P2X3; and ASIC3, P2X2 and P2X3; ASIC4 and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, and ASIC3; BLINaC (or hINaC) and at least one of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4; δENaC and ASIC, e.g. ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3 and ASIC4; P2X] and P2X2, P2Xi and P2X5, P2X2 and P2X3, P2X2 and P2X6, P2X4 and P2X6, TRPVl and TRPV2, TRPV5 and TRPV6, TRPVl and TRPV4.
Assays for determining the ability of a Compound within the scope of the invention to modulate the activity of gated ion channels are well known in the art and described herein in the Examples section. Other assays for determining the ability of a Compound to modulate the activity of a gated ion channel are also readily available to the skilled artisan.
The gated ion channel modulating compounds of the invention can be identified using the following screening method, which method comprises the subsequent steps of (i) subjecting a gated ion channel containing cell to the action of a selective activator, e.g., protons by adjustment of the pH to an acidic level, ATP by diluting sufficient amounts of ATP in the perfusion buffer or temperature by heating the perfusion buffer to temperatures above 37 0C;
(ii) subjecting a gated ion channel containing cell to the action of the chemical Compound (the Compound can be co-applied, pre-applied or post-applied); and (iii) monitoring the change in membrane potential or ionic current induced by the activator, e.g., protons, on the gated ion channel containing cell. Alternatively, fluorescent imaging can be utilized to monitor the effect induced by the activator, e.g., protons, on the gated ion channel containing cell.
The gated ion channel containing cells can be subjected to the action of protons by adjustment of the pH to an acidic level using any convenient acid or buffer, including organic acids such as formic acid, acetic acid, citric acid, ascorbic acid, 2- morpholinoethanesulfonic acid (MES) and lactic acid, and inorganic acids such as hydrochloric acid, hydrobromic acid and nitric acid, perchloric acid and phosphoric acid. In the methods of the invention, the current flux induced by the activator, e.g., protons, across the membrane of the gated ion channel containing cell can be monitored by electrophysiological methods, for example patch clamp or two-electrode voltage clamp techniques. Alternatively, the change in membrane potential induced by gated ion channel activators, e.g., protons of the gated ion channel containing cells can be monitored using fluorescence methods. When using fluorescence methods, the gated ion channel containing cells are incubated with a membrane potential indicating agent that allows for a determination of changes in the membrane potential of the cells, caused by the added activators, e.g. , protons. Such membrane potential indicating agents include fluorescent indicators, preferably DiBAC4(3), DiOC5(3), DiOC2(3), DiSBAC2(3) and the FMP (FLIPR membrane potential).
In another alternative embodiment, the change in gated ion channel activity induced by activators, e.g., protons, on the gated ion channel can be measured by assessing changes in the intracellular concentration of certain ions, e.g., calcium, sodium, potassium, magnesium, protons, and chloride in cells by fluorescence. Fluorescence assays can be performed in multi-well plates using plate readers, e.g., FLIPR assay (Fluorescence Image Plate Reader; available from Molecular Devices, e.g., FlexStation assay (available from Molecular Devices), e.g. using fluorescent calcium indicators, e.g. as described in, for example, Sullivan E., et al. (1999) Methods MoI Biol. 114:125-33, Jerman, J.C., et al.
(2000) Br J Pharmacol 130(4):916-22, and U.S. Patent No. 6608671, the contents of each of which are incorporated herein by reference. When using such fluorescence methods, the gated ion channel containing cells are incubated with a selective ion indicating agent that allows for a determination of changes in the intracellular concentration of the ion, caused by the added activators, e.g., protons. Such ion indicating agents include fluorescent calcium indicators, preferably Fura-2, Fluo-3, Fluo-4, Fluo4FF, Fluo-5F, Fluo-5N, Calcium Green, Fura-Red, Indo-1, Indo-5F, and rhod-2, fluorescent sodium indicators, preferably SBFI, Sodium Green, CoroNa Green, fluorescent potassium indicators, preferably PBFI, CD222, fluorescent magnesium indicators, preferably Mag-Fluo-4, Mag- Fura-2, Mag-Fura-5, Mag-Fura-Red, Mag-indo-1, Mag-rho-2, Magnesium Green, fluorescent chloride indicators, preferably SPQ, Bis-DMXPQ, LZQ, MEQ, and MQAE, fluorescent pH indicators, preferably BCECF and BCPCF. When using membrane potential indicating agent, the gated ion channel containing cells are incubated with FMP dye (from Molecular Devices) or other membrane potential change indicators. The change in the membrane potential is measured following the addition of activators, e.g., protons. The gated ion channel antagonising compounds of the invention show activity in concentrations below 2M, 1.5M, IM, 50OmM, 25OmM, 10OmM, 750 μM, 500 μM, 250 μM, 100 μM, 75 μM, 50μM, 25 μM, 10 μM, 5μM, 2.5μM, or below 1 μM. In its most preferred embodiment the ASIC antagonizing compounds show activity in low micromolar and the nanomolar range.
As used herein, the term "contacting" (i.e., contacting a cell e.g. a neuronal cell, with a compound) is intended to include incubating the Compound and the cell together in vitro (e.g., adding the Compound to cells in culture) or administering the Compound to a subject such that the Compound and cells of the subject are contacted in vivo. The term "contacting" is not intended to include exposure of cells to a modulator or Compound that can occur naturally in a subject (i.e., exposure that can occur as a result of a natural physiological process).
A. In Vitro Assays
Gated ion channel polypeptides for use in the assays described herein can be readily produced by standard biological techniques or by chemical synthesis. For example, a host cell transfected with an expression vector containing a nucleotide sequence encoding the desired gated ion channel can be cultured under appropriate conditions to allow expression of the peptide to occur. Alternatively, the gated ion channel can be obtained by culturing a primary cell line or an established cell line that can produce the gated ion channel.
The methods of the invention can be practiced in vitro, for example, in a cell-based culture screening assay to screen compounds which potentially bind, activate or modulate gated ion channel function. In such a method, the modulating Compound can function by interacting with and eliminating any specific function of gated ion channel in the sample or culture. The modulating compounds can also be used to control gated ion channel activity in neuronal cell culture. Cells for use in in vitro assays, in which gated ion channels are naturally present, include various cells, such as cortical neuronal cells, in particular mouse or rat cortical neuronal cells, and human embryonic kidney (HEK) cells, in particular the HEK293 cell line. For example, cells can be cultured from embryonic human cells, neonatal human cells, and adult human cells. Primary cell cultures can also be used in the methods of the invention. For example, sensory neuronal cells can also be isolated and cultured in vitro from different animal species. The most widely used protocols use sensory neurons isolated from neonatal (Eckert, et al. (1997) J Neurosci Methods 77: 183-190) and embryonic (Vasko, et al. (1994) J Neurosci 14:4987-4997) rat. Trigeminal and dorsal root ganglion sensory neurons in culture exhibit certain characteristics of sensory neurons in vivo.
Alternatively, the gated ion channel, e.g., a gated channel, e.g., a proton gated ion channel, can be exogenous to the cell in question, and can in particular be introduced by recombinant DNA technology, such as transfection, microinjection or infection. Such cells include Chinese hamster ovary (CHO) cells, HEK cells, African green monkey kidney cell line (CV-I or CV-1-derived COS cells, e.g. COS-I and COS-7) Xenopus laevis oocytes, or any other cell lines capable of expressing gated ion channels.
The nucleotide and amino acid sequences of the gated ion channels of the invention are known in the art. For example, the sequences of the human gated channels can be found in Genbank GI Accession Nos: GI:40556387 (ENaCalpha Homo sapiens); GI:4506815 (ENaCalpha Homo sapiens); GI:4506816 (ENaCbeta Homo sapiens); GI:4506817 (ENaCbeta Homo sapiens); GI:34101281 (ENaCdelta Homo sapiens); GI:34101282 (ENaCdelta Homo sapiens); GI:42476332 (ENaCgamma Homo sapiens); GI:42476333 (ENaCgamma Homo sapiens); GI:31442760 (HINAC Homo sapiens); GI:31442761 (HINAC Homo sapiens); GI: 21536350 (ASICIa Homo sapiens); GI:21536351 (ASICIa Homo sapiens); GI:21536348(ASIClb Homo sapiens); GL21536349 (ASICIb Homo sapiens); GI:34452694 (ASIC2; transcript variant 1 Homo sapiens); GI:34452695 (ASIC2; isoform 1 Homo sapiens); GI:34452696(ASIC2; transcript variant 2 Homo sapiens); GI:9998944 (ASIC2; isoform 2 Homo sapiens);
GI.-4757709 (ASIC3; transcript variant 1 Homo sapiens); GI:4757710(ASIC3; isoform 1 Homo sapiens); GI:9998945(ASIC3; transcript variant 2 Homo sapiens); GI:9998946 (ASIC3; isoform 2 Homo sapiens); GI:9998947 (ASIC3; transcript variant 3 Homo sapiens); GI: 9998948 (ASIC3; isoform 3 Homo sapiens); GL33519441 (ASIC4; transcript variant 1 Homo sapiens); GI:33519442 (ASIC4; isoform 1 Homo sapiens);
GI:33519443 (ASIC4; transcript variant 2 Homo sapiens); GI:33519444 (ASIC4; isoform 2 Homo sapiens); GI:27894283 (P2Xi Homo sapiens); GI:4505545 (P2Xi Homo sapiens); GL28416917 (P2X2; transcript variant 1 Homo sapiens); GL25092719 (P2X2; isoform A Homo sapiens); GI:28416922 (P2X2; transcript variant 2 Homo sapiens); GI:28416923 (P2X2; isoform B Homo sapiens); GI:28416916(P2X2; transcript variant 3 Homo sapiens); GI:7706629 (P2X2; isoform C Homo sapiens); GI:28416918(P2X2; transcript variant 4 Homo sapiens); GI:25092733 (P2X2; isoform D Homo sapiens); GI:28416920 (P2X2; transcript variant 5 Homo sapiens); GI:28416921 (P2X2; isoform H Homo sapiens); GI-.28416919 (P2X2; transcript variant 6 Homo sapiens); GI:27881423 (P2X2; isoform I Homo sapiens); GI-.28416924 (P2X3 Homo sapiens); GI:28416925 (P2X3 Homo sapiens); GI-.28416926 (P2X4; transcript variant 1 Homo sapiens); GI:28416927 (P2X4; isoform A Homo sapiens); GI: 28416928 (P2X4; transcript variant 2 Homo sapiens); GI:28416929 (P2X4; isoform B Homo sapiens); GL28416930 (P2X4; transcript variant 3 Homo sapiens); GL28416931 (P2X4; isoform C Homo sapiens); GI:28416932 (P2X5; transcript variant 1 Homo sapiens); GI:28416933 (P2X5; isoform A Homo sapiens); GI:28416934 (P2X5; transcript variant 2 Homo sapiens); GL28416935 (P2X5; isoform B Homo sapiens); GI:28416936 (P2X5; transcript variant 3 Homo sapiens); GI:28416937 (P2X5; isoform C Homo sapiens); GI:38327545 (P2X6 Homo sapiens); GI:4885535 (P2X6 Homo sapiens); GI:34335273 (P2X7; transcript variant 1 Homo sapiens); GI:29294631 (P2X7; isoform A Homo sapiens); GL34335274 (P2X7; transcript variant 2 Homo sapiens); GI:29294633 (P2X7; isoform B Homo sapiens); GI:18375666 (TRPVl; transcript variant 1 Homo sapiens); GI: 18375667(TRPVl ; vanilloid receptor subtype 1 Homo sapiens); GI:18375664 (TRPVl; transcript variant 2 Homo sapiens); GI-.18375665 (TRPVl; vanilloid receptor subtype 1 Homo sapiens); GI: 18375670 (TRPVl; transcript variant 3 Homo sapiens); GI: 18375671(TRPVl; vanilloid receptor subtype 1 Homo sapiens); GI:18375668 (TRPVl; transcript variant 4 Homo sapiens); GI:18375669 (TRPVl; vanilloid receptor subtype 1 Homo sapiens); GL7706764 (VRL-I; transcript variant 1 Homo sapiens); GL7706765 (VRL-I; vanilloid receptor-like protein 1 Homo sapiens); GL22547178 (TRPV2; transcript variant 2 Homo sapiens); GI:20127551 (TRPV2; vanilloid receptor-like protein 1 Homo sapiens); GL22547183 (TRPV4; transcript variant 1 Homo sapiens); GL22547184 (TRPV4; isoform A Homo sapiens); GI:22547179 (TRPV4; transcript variant 2 Homo sapiens); GL22547180 (TRPV4; isoform B Homo sapiens); GI:21361832 (TRPV5 Homo sapiens); GI: 17505200 (TRPV5 Homo sapiens); GL21314681 (TRPV6 Homo sapiens); GI:21314682 (TRPV6 Homo sapiens); GI: 34452696 (ACCNl; transcript variant 2; Homo sapiens). The contents of each of these records are incorporated herein by reference. Additionally, sequences for channels of other species are readily available and obtainable by those skilled in the art.
A nucleic acid molecule encoding a gated ion channel for use in the methods of the present invention can be amplified using cDNA, mRNA, or genomic DNA as a template and appropriate oligonucleotide primers according to standard PCR amplification techniques. The nucleic acid so amplified can be cloned into an appropriate vector and characterized by DNA sequence analysis. Using all or a portion of such nucleic acid sequences, nucleic acid molecules of the invention can be isolated using standard hybridization and cloning techniques (e.g., as described in Sambrook et al, ed., Molecular Cloning: A Laboratory Manual, 2nd ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY, 1989).
Expression vectors, containing a nucleic acid encoding a gated ion channel, e.g., a gated ion channel subunit protein, e.g., αENaC, βENaC, γENaC, δENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, MNaC,, P2Xi, P2X2, P2X3, P2X,, P2X5, P2X6, P2X7, TRPVl, TRPV2, TRP V3, TRPV4, TRPV5, and TRPV6 protein (or a portion thereof) are introduced into cells using standard techniques and operably linked to regulatory sequence. Such regulatory sequences are described, for example, in Goeddel, Methods in Enzymology: Gene Expression Technology vol.185, Academic Press, San Diego, CA (1991). Regulatory sequences include those which direct constitutive expression of a nucleotide sequence in many types of host cell and those which direct expression of the nucleotide sequence only in certain host cells (e.g., tissue-specific regulatory sequences). It will be appreciated by those skilled in the art that the design of the expression vector can depend on such factors as the choice of the host cell to be transformed, the level of expression of protein desired, and the like. The expression vectors of the invention can be introduced into host cells to thereby produce proteins or peptides, including fusion proteins or peptides, encoded by nucleic acids as described herein.
Examples of vectors for expression in yeast S. cerevisiae include pYepSecl (Baldari et al, 1987, EMBO J. 6:229-234), pMFa (Kurjan and Herskowitz, 1982, Cell 30:933-943), pJRY88 (Schultz et al, 1987, Gene 54:113-123), pYES2 (Invitrogen Corporation, San Diego, CA), and pPicZ (Invitrogen Corp, San Diego, CA).
Baculovirus vectors available for expression of proteins in cultured insect cells (e.g., Sf 9 cells) include the pAc series (Smith et al, 1983, MoI. Cell Biol. 3:2156-2165) and the pVL series (Lucklow and Summers, 1989, Virology 170:31-39). Examples of mammalian expression vectors include pCDM8 (Seed, 1987, Nature 329:840), pMT2PC (Kaufman et al, 1987, EMBO J. 6:187-195), pCDNA3. When used in mammalian cells, the expression vector's control functions are often provided by viral regulatory elements. For example, commonly used promoters are derived from polyoma, Adenovirus 2, cytomegalovirus and Simian Virus 40. For other suiTable expression systems for eukaryotic cells see chapters 16 and 17 of Sambrook et al
B. In Vivo Assays
The activity of the compounds of the invention as described herein to modulate one or more gated ion channel activities (e.g., a gated ion channel modulator, e.g., a
Compound of the invention) can be assayed in an animal model to determine the efficacy, toxicity, or side effects of treatment with such an agent. Alternatively, an agent identified as described herein can be used in an animal model to determine the mechanism of action of such an agent. Animal models for determining the ability of a Compound of the invention to modulate a gated ion channel biological activity are well known and readily available to the skilled artisan. Examples of animal models for pain and inflammation include, but are not limited to the models listed in Table 1. Animal models for investigating neurological disorders include, but are not limited to, those described in Morris et al., (Learn. Motiv. 1981 ; 12: 239-60) and Abeliovitch et al, Cell 1993; 75: 1263-71). An example of an animal model for investigating mental and behavioral disorders is the Geller-Seifter paradigm, as described in Psychopharmacology (Berl). 1979 Apr 11;62(2):117-21.
Genitourinary models include methods for reducing the bladder capacity of test animals by infusing either protamine sulfate and potassium chloride (See, Chuang, Y. C. et al, Urology 61(3): 664-670 (2003)) or dilute acetic acid (See, Sasaki, K. et al, J. Urol. 168(3): 1259-1264 (2002)) into the bladder. For urinary tract disorders involving the bladder using intravesically administered protamine sulfate as described in Chuang et al. (2003) Urology 61 : 664-70. These methods also include the use of a well accepted model of for urinary tract disorders involving the bladder using intravesically administered acetic acid as described in Sasaki et al (2002) J. Urol. 168: 1259-64. Efficacy for treating spinal cord injured patients can be tested using methods as described in Yoshiyama et al. (1999) Urology 54: 929-33. Animal models of neuropathic pain based on injury inflicted to a nerve (mostly the sciatic nerve) are described in Bennett et al, 1988, Pain 33:87-107; Seltzer et al, 1990, Pain 43:205-218; Kim et al, 1992, Pain 50:355-363; Decosterd etal, 2000, Pain 87:149-158 and DeLeo etal., 1994, Pain 56:9-16. There are also models of diabetic neuropathy (STZ induced diabetic neuropathy - Courteix et al, 1994, Pain 57:153-160) and drug induced neuropathies (vincristine induced neuropathy - Aley et al., 1996, Neuroscience 73: 259-265; oncology- related immunotherapy, anti-GD2 antibodies - Slart et al, 1997, Pain 60:119-125). Acute pain in humans can be reproduced using in murine animals chemical stimulation: Martinez et al., Pain 81: 179-186; 1999 (the writhing test - intraperitoneal acetic acid in mice), Dubuisson et al. Pain 1977; 4: 161-74 (intraplantar injection of formalin). Other types of acute pain models are described in Whiteside et al., 2004, Br J Pharmacol 141 :85-91 (the incisional model, a post-surgery model of pain) and Johanek and Simone, 2004, Pain 109:432-442 (a heat injury model). An animal model of inflammatory pain using complete Freund's adjuvant (intraplantar injection) is described in Jasmin et al, 1998, Pain 75: 367-382. Intracapsular injection of irritant agents (complete Freund's adjuvant, iodoacetate, capsaicine, urate crystals, etc.) is used to develop arthritis models in animals (Fernihough et al., 2004, Pain 112:83-93; Coderre and Wall, 1987, Pain 28:379-393; Otsuki et al., 1986, Brain Res. 365:235-240). A stress-induced hyperalgesia model is described in Quintero et al, 2000, Pharmacology, Biochemistry and Behavior 67:449-458. Further animal models for pain are considered in an article of Walker et al 1999 Molecular Medicine Today 5:319-321, comparing models for different types of pain, which are acute pain, chronic/inflammatory pain and chronic/neuropathic pain, on the basis of behavioral signs. Animal models for depression are described by E. Tatarczynska et al, Br. J. Pharmacol. 132(7): 1423-1430 (2001) and P. J. M. Will et al, Trends in Pharmacological Sciences 22(7):331-37 (2001)); models for anxiety are described by D. Treit, "Animal Models for the Study of Anti-anxiety Agents: A Review," Neuroscience & Biobehavioral Reviews 9(2):203-222 (1985). Additional animal models for pain are also described herein in the Exemplification section.
Gastrointestinal models can be found in: Gawad, K. A., et al, Ambulatory long- term pH monitoring in pigs, Surg Endosc, (2003); Johnson, S. E. et al, Esophageal Acid Clearance Test in Healthy Dogs, Can. J. Vet. Res. 53(2): 244-7 (1989); and Cicente, Y. et al, Esophageal Acid Clearance: More Volume-dependent Than Motility Dependent in Healthy Piglets, J. Pediatr. Gastroenterol. Nutr. 35(2): 173-9 (2002). Models for a variety of assays can be used to assess visceromotor and pain responses to rectal distension. See, for example, Gunter et al, Physiol. Behav., 69(3): 379-82 (2000), Depoortere et al, J. Pharmacol, and Exp. Then, 294(3): 983-990 (2000), Morteau et al, Fund. Clin. Pharmacol, 8(6): 553-62 (1994), Gibson et al, Gastroenterology (Suppl. 1), 120(5): A19- A20 (2001) and Gschossmann et al, Eur. J. Gastro. Hepat, 14(10): 1067-72 (2002) the entire contents of which are each incorporated herein by reference.
Gastrointestinal motility can be assessed based on either the in vivo recording of mechanical or electrical events associated intestinal muscle contractions in whole animals or the activity of isolated gastrointestinal intestinal muscle preparations recorded in vitro in organ baths (see, for example, Yaun et al, Br. J. Pharmacol., 112(4): 1095-1100 (1994), Jin et al, J. Pharm. Exp. Ther., 288(1): 93-97 (1999) and Venkova et al, J. Pharm. Exp. Then, 300(3): 1046-1052 (2002)). Tatersall et al. and Bountra et al, European Journal of Pharmacology, 250: (1993) R5 and 249 -.(1993) R3-R4 and Milano et al, J. Pharmacol. Exp. Ther., 274(2): 951-961 (1995).
TABLE 1
Figure imgf000078_0001
Figure imgf000079_0001
Alternatively, the compounds can also be assayed in non-human transgenic animals containing exogenous sequences encoding one or more gated ion channels. As used herein, a "transgenic animal" is a non-human animal, preferably a mammal, more preferably a rodent such as a rat or mouse, in which one or more of the cells of the animal includes a transgene. Other examples of transgenic animals include non-human primates, sheep, dogs, cows, goats, chickens, amphibians, etc. Methods for generating transgenic animals via embryo manipulation and microinjection, particularly animals such as mice, have become conventional in the art and are described, for example, in U.S. Patent Nos. 4,736,866 and 4,870,009, U.S. Patent No. 4,873,191 and in Hogan, Manipulating the
10 Mouse Embryo, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1986. Similar methods are used for production of other transgenic animals.
A homologous recombinant animal can also be used to assay the compounds of the invention. Such animals can be generated according to well known techniques (see, e.g., Thomas and Capecchi, 1987, Cell 51 :503; Li et al, 1992, Cell 69:915; Bradley, Teratocarcinomas and Embryonic Stem Cells: A Practical Approach, Robertson, Ed., IRL, Oxford, 1987, pp. 113-152; Bradley (1991) Current Opinion in Bio/Technology 2:823-829 and in PCT Publication NOS. WO 90/11354, WO 91/01140, WO 92/0968, and WO 93/04169).
Other useful transgenic non-human animals can be produced which contain selected systems which allow for regulated expression of the transgene (see, e.g., Lakso et al. (1992) Proc. Natl. Acad. Sci. USA 89:6232-6236). Another example of a recombinase system is the FLP recombinase system of Saccharomyces cerevisiae (O'Gorman et al, 1991, Science 251 :1351-1355).
Pharmaceutical Compositions
The present invention also provides pharmaceutical compositions. Such compositions comprise a therapeutically (or prophylactically) effective amount of a gated ion channel modulator, and preferably one or more compounds of the invention described above, and a pharmaceutically accepTable carrier or excipient. SuiTable pharmaceutically accepTable carriers include, but are not limited to, saline, buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof. The carrier and composition can be sterile. The formulation should suit the mode of administration.
The phrase "pharmaceutically accepTable carrier" is art recognized and includes a pharmaceutically accepTable material, composition or vehicle, suiTable for administering compounds of the present invention to mammals. The carriers include liquid or solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying or transporting the subject agent from one organ, or portion of the body, to another organ, or portion of the body. Each carrier must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not injurious to the subject. Some examples of materials which can serve as pharmaceutically accepTable carriers include: sugars, such as lactose, glucose, dextrose and sucrose; starches, such as corn starch and potato starch; cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose, methylcellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil, castor oil, tetraglycol, and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate, esters of polyethylene glycol and ethyl laurate; agar; buffering agents, such as magnesium hydroxide, sodium hydroxide, potassium hydroxide, carbonates, triethylanolamine, acetates, lactates, potassium citrate and aluminum hydroxide; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; phosphate buffer solutions; and other non-toxic compatible substances employed in pharmaceutical formulations.
Wetting agents, emulsifiers and lubricants, such as sodium lauryl sulfate and magnesium stearate, as well as coloring agents, release agents, coating agents, sweetening, flavoring and perfuming agents, preservatives and antioxidants can also be present in the compositions.
Examples of pharmaceutically accepTable antioxidants include: water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), lecithin, propyl gallate, α-tocopherol and derivatives such as vitamin E tocopherol, and the like; and metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid, sodium citrate and the like.
SuiTable pharmaceutically accepTable carriers include but are not limited to water, salt solutions (e.g., NaCl), alcohols, gum arabic, vegeTable oils, benzyl alcohols, polyethylene glycols, gelatin, carbohydrates such as lactose, amylose or starch, cyclodextrin, magnesium stearate, talc, silicic acid, viscous paraffin, perfume oil, fatty acid esters, hydroxymethylcellulose, polyvinyl pyrolidone, etc. The pharmaceutical preparations can be sterilized and if desired, mixed with auxiliary agents, e.g., lubricants, preservatives, stabilizers, wetting agents, emulsifiers, salts for influencing osmotic pressure, buffers, coloring, flavoring and/or aromatic substances and the like which do not deleteriously react with the active compounds. The pharmaceutically accepTable carriers can also include a tonicity-adjusting agent such as dextrose, glycerine, mannitol and sodium chloride. The composition, if desired, can also contain minor amounts of wetting or emulsifying agents, or pH buffering agents. The composition can be a liquid solution, suspension, emulsion, tablet, pill, capsule, sustained release formulation, or powder. The composition can be formulated as a suppository, with traditional binders and carriers such as triglycerides. Oral formulation can include standard carriers such as pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, polyvinyl pyrollidone, sodium saccharine, cellulose, magnesium carbonate, etc.
The composition can be formulated in accordance with the routine procedures as a pharmaceutical composition adapted for intravenous administration to human beings. Typically, compositions for intravenous administration are solutions in sterile isotonic aqueous buffer. Where necessary, the composition can also include a solubilizing agent and a local anesthetic to ease pain at the site of the injection. Generally, the ingredients are supplied either separately or mixed together in unit dosage form, for example, as a dry lyophilized powder or water free concentrate in a hermetically sealed container such as an ampule or sachet indicating the quantity of active agent. Where the composition is to be administered by infusion, it can be dispensed with an infusion bottle containing sterile pharmaceutical grade water, saline or dextrose/water. Where the composition is administered by injection, an ampule of sterile water for injection or saline can be provided so that the ingredients can be mixed prior to administration.
The pharmaceutical compositions of the invention can also include an agent which controls release of the gated ion channel modulator compound, thereby providing a timed or sustained release composition.
The present invention also relates to prodrugs of the gated ion channel modulators disclosed herein, as well as pharmaceutical compositions comprising such prodrugs. For example, compounds of the invention which include acid functional groups or hydroxyl groups can also be prepared and administered as a corresponding ester with a suiTable alcohol or acid. The ester can then be cleaved by endogenous enzymes within the subject to produce the active agent. Formulations of the present invention include those suiTable for oral, nasal, topical, mucous membrane, transdermal, buccal, sublingual, rectal, vaginal and/or parenteral administration. The formulations can conveniently be presented in unit dosage form and can be prepared by any methods well known in the art of pharmacy. The amount of active ingredient that can be combined with a carrier material to produce a single dosage form will generally be that amount of the Compound that produces a therapeutic effect. Generally, out of one hundred per cent, this amount will range from about 1 per cent to about ninety-nine percent of active ingredient, preferably from about 5 per cent to about 70 per cent, most preferably from about 10 per cent to about 30 per cent. Methods of preparing these formulations or compositions include the step of bringing into association a Compound of the present invention with the carrier and, optionally, one or more accessory ingredients. In general, the formulations are prepared by uniformly and intimately bringing into association a Compound of the present invention with liquid carriers, or finely divided solid carriers, or both, and then, if necessary, shaping the product.
Formulations of the invention suiTable for oral administration can be in the form of capsules, cachets, pills, tablets, lozenges (using a flavored basis, usually sucrose and acacia or tragacanth), powders, granules, or as a solution or a suspension in an aqueous or non-aqueous liquid, or as an oil-in- water or water-in-oil liquid emulsion, or as an elixir or syrup, or as pastilles (using an inert base, such as gelatin and glycerin, or sucrose and acacia) and/or as mouth washes and the like, each containing a predetermined amount of a Compound of the present invention as an active ingredient. A Compound of the present invention can also be administered as a bolus, electuary or paste. In solid dosage forms of the invention for oral administration (capsules, tablets, pills, dragees, powders, granules and the like), the active ingredient is mixed with one or more pharmaceutically accepTable carriers, such as sodium citrate or dicalcium phosphate, and/or any of the following: fillers or extenders, such as starches, lactose, sucrose, glucose, mannitol, and/or silicic acid; binders, such as, for example, carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone, sucrose and/or acacia; humectants, such as glycerol; disintegrating agents, such as agar-agar, calcium carbonate, potato or tapioca starch, alginic acid, certain silicates, and sodium carbonate; solution retarding agents, such as paraffin; absorption accelerators, such as quaternary ammonium compounds; wetting agents, such as, for example, cetyl alcohol and glycerol monostearate; absorbents, such as kaolin and bentonite clay; lubricants, such a talc, calcium stearate, magnesium stearate, solid polyethylene glycols, sodium lauryl sulfate, and mixtures thereof; and coloring agents. In the case of capsules, tablets and pills, the pharmaceutical compositions can also comprise buffering agents. Solid compositions of a similar type can also be employed as fillers in soft and hard-filled gelatin capsules using such excipients as lactose or milk sugars, as well as high molecular weight polyethylene glycols and the like.
A tablet can be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets can be prepared using binder (for example, gelatin or hydroxypropylmethyl cellulose), lubricant, inert diluent, preservative, disintegrant (for example, sodium starch glycolate or cross-linked sodium carboxymethyl cellulose), surface-active or dispersing agent. Molded tablets can be made by molding in a suiTable machine a mixture of the powdered Compound moistened with an inert liquid diluent. The tablets, and other solid dosage forms of the pharmaceutical compositions of the present invention, such as dragees, capsules, pills and granules, can optionally be scored or prepared with coatings and shells, such as enteric coatings and other coatings well known in the pharmaceutical-formulating art. They can also be formulated so as to provide slow or controlled release of the active ingredient therein using, for example, hydroxypropylmethyl cellulose in varying proportions to provide the desired release profile, other polymer matrices, liposomes and/or microspheres. They can be sterilized by, for example, filtration through a bacteria-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions that can be dissolved in sterile water, or some other sterile injecTable medium immediately before use. These compositions can also optionally contain opacifying agents and can be of a composition that they release the active ingredient(s) only, or preferentially, in a certain portion of the gastrointestinal tract, optionally, in a delayed manner. Examples of embedding compositions that can be used include polymeric substances and waxes. The active ingredient can also be in microencapsulated form, if appropriate, with one or more of the above-described excipients. Liquid dosage forms for oral administration of the compounds of the invention include pharmaceutically accepTable emulsions, microemulsions, solutions, suspensions, syrups and elixirs. In addition to the active ingredient, the liquid dosage forms can contain inert diluent commonly used in the art, such as, for example, water or other solvents, solubilizing agents and emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate, propylene glycol, 1 ,3-butylene glycol, oils (in particular, cottonseed, groundnut, corn, germ, olive, castor and sesame oils), glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty acid esters of sorbitan, and mixtures thereof.
Besides inert diluents, the oral compositions can also include adjuvants such as wetting agents, emulsifying and suspending agents, sweetening, flavoring, coloring, perfuming and preservative agents.
Suspensions, in addition to the active compounds, can contain suspending agents as, for example, ethoxylated isostearyl alcohols, polyoxyethylene sorbitol and sorbitan esters, microcrystalline cellulose, aluminum metahydroxide, bentonite, agar-agar and tragacanth, and mixtures thereof.
Formulations of the pharmaceutical compositions of the invention for rectal or vaginal administration can be presented as a suppository, which can be prepared by mixing one or more compounds of the invention with one or more suiTable nonirritating excipients or carriers comprising, for example, cocoa butter, polyethylene glycol, a suppository wax or a salicylate, and which is solid at room temperature, but liquid at body temperature and, therefore, will melt in the rectum or vaginal cavity and release the active compound. Formulations of the present invention which are suiTable for vaginal administration also include pessaries, tampons, creams, gels, pastes, foams or spray formulations containing such carriers as are known in the art to be appropriate. Dosage forms for the topical or transdermal administration of a Compound of this invention include powders, sprays, ointments, pastes, creams, lotions, gels, solutions, patches and inhalants. The active Compound can be mixed under sterile conditions with a pharmaceutically accepTable carrier, and with any preservatives, buffers, or propellants that can be required.
The ointments, pastes, creams and gels can contain, in addition to an active
Compound of this invention, excipients, such as animal and vegeTable fats, oils, waxes, paraffins, starch, tragacanth, cellulose derivatives, polyethylene glycols, silicones, bentonites, silicic acid, talc and zinc oxide, or mixtures thereof.
Powders and sprays can contain, in addition to a Compound of this invention, excipients such as lactose, talc, silicic acid, aluminum hydroxide, calcium silicates and polyamide powder, or mixtures of these substances. Sprays can additionally contain customary propellants, such as chlorofluorohydrocarbons and volatile unsubstituted hydrocarbons, such as butane and propane.
Transdermal patches have the added advantage of providing controlled delivery of a Compound of the present invention to the body. Such dosage forms can be made by dissolving or dispersing the Compound in the proper medium. Absorption enhancers can also be used to increase the flux of the Compound across the skin. The rate of such flux can be controlled by either providing a rate controlling membrane or dispersing the active
Compound in a polymer matrix or gel.
Ophthalmic formulations, eye ointments, powders, solutions and the like, are also contemplated as being within the scope of this invention.
Pharmaceutical compositions of this invention suiTable for parenteral administration comprise one or more compounds of the invention in combination with one or more pharmaceutically accepTable sterile isotonic aqueous or nonaqueous solutions, dispersions, suspensions or emulsions, or sterile powders which can be reconstituted into sterile injecTable solutions or dispersions just prior to use, which can contain antioxidants, buffers, bacteriostats, solutes which render the formulation isotonic with the blood of the intended recipient or suspending or thickening agents.
Examples of suiTable aqueous and nonaqueous carriers that can be employed in the pharmaceutical compositions of the invention include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suiTable mixtures thereof, vege Table oils, such as olive oil, and injecTable organic esters, such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
These compositions can also contain adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents. Prevention of the action of microorganisms can be ensured by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and the like. It can also be desirable to include isotonic agents, such as sugars, sodium chloride, and the like into the compositions. In addition, prolonged absorption of the injecTable pharmaceutical form can be brought about by the inclusion of agents that delay absorption such as aluminum monostearate and gelatin.
In some cases, in order to prolong the effect of a drug, it is desirable to slow the absorption of the drug from subcutaneous or intramuscular injection. This can be accomplished by the use of a liquid suspension of crystalline or amorphous material having poor water solubility. The rate of absorption of the drug then depends upon its rate of dissolution which, in turn, can depend upon crystal size and crystalline form. Alternatively, delayed absorption of a parenterally-administered drug form is accomplished by dissolving or suspending the drug in an oil vehicle.
InjecTable depot forms are made by forming microencapsule matrices of the subject compounds in biodegradable polymers such as polylactide-polyglycolide. Depending on the ratio of drug to polymer, and the nature of the particular polymer employed, the rate of drug release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injecTable formulations are also prepared by entrapping the drug in liposomes or microemulsions that are compatible with body tissue.
Methods of Administration
The invention provides a method of treating a condition mediated by gated ion channel activity in a subject, including, but not limited to, pain, inflammatory disorders, neurological disorders, gastrointestinal disorders and genitourinary disorders. The method comprises the step of administering to the subject a therapeutically effective amount of a gated ion channel modulator. The condition to be treated can be any condition which is mediated, at least in part, by the activity of a gated ion channel {e.g., ASICIa and/or ASIC3).
The quantity of a given Compound to be administered will be determined on an individual basis and will be determined, at least in part, by consideration of the individual's size, the severity of symptoms to be treated and the result sought. The gated ion channel activity modulators described herein can be administered alone or in a pharmaceutical composition comprising the modulator, an accepTable carrier or diluent and, optionally, one or more additional drugs. These compounds can be administered to humans and other animals for therapy by any suiTable route of administration. The gated ion channel modulator can be administered subcutaneously, intravenously, parenterally, intraperitoneally, intradermally, intramuscularly, topically, enterally {e.g., orally), rectally, nasally, buccally, sublingually, systemically, vaginally, by inhalation spray, by drug pump or via an implanted reservoir in dosage formulations containing conventional non-toxic, physiologically accepTable carriers or vehicles. The preferred method of administration is by oral delivery. The form in which it is administered {e.g. , syrup, elixir, capsule, tablet, solution, foams, emulsion, gel, sol) will depend in part on the route by which it is administered. For example, for mucosal {e.g., oral mucosa, rectal mucosa, intestinal mucosa, bronchial mucosa) administration, nose drops, aerosols, inhalants, nebulizers, eye drops or suppositories can be used. The compounds and agents of this invention can be administered together with other biologically active agents, such as analgesics, e.g., opiates, anti-inflammatory agents, e.g., NSAIDs, anesthetics and other agents which can control one or more symptoms or causes of a gated ion channel mediated condition. In a specific embodiment, it can be desirable to administer the agents of the invention locally to a localized area in need of treatment; this can be achieved by, for example, and not by way of limitation, local infusion during surgery, topical application, transdermal patches, by injection, by means of a catheter, by means of a suppository, or by means of an implant, said implant being of a porous, non-porous, or gelatinous material, including membranes, such as sialastic membranes or fibers. For example, the agent can be injected into the joints or the urinary bladder.
The compounds of the invention can, optionally, be administered in combination with one or more additional drugs which, for example, are known for treating and/or alleviating symptoms of the condition mediated by a gated ion channel (e.g., ASICIa and/or ASIC3). The additional drug can be administered simultaneously with the Compound of the invention, or sequentially. For example, the compounds of the invention can be administered in combination with at least one of an analgesic, an anti-inflammatory agent, an anesthetic, a corticosteroid (e.g., dexamethasone, beclomethasone diproprionate (BDP) treatment), an anti-convulsant, an antidepressant, an anti-nausea agent, an antipsychotic agent, a cardiovascular agent (e.g., a beta-blocker) or a cancer therapeutic. In certain embodiments, the compounds of the invention are administered in combination with a pain drug. As used herein the phrase, "pain drugs" is intended to refer to analgesics, anti-inflammatory agents, anesthetics, corticosteroids, antiepileptics, barbiturates, antidepressants, and marijuana.
The combination treatments mentioned above can be started prior to, concurrent with, or after the administration of the compositions of the present invention. Accordingly, the methods of the invention can further include the step of administering a second treatment, such as a second treatment for the disease or disorder or to ameliorate side effects of other treatments. Such second treatment can include, e.g., anti-inflammatory medication and any treatment directed toward treating pain. Additionally or alternatively, further treatment can include administration of drugs to further treat the disease or to treat a side effect of the disease or other treatments (e.g., anti-nausea drugs, anti-inflammatory drugs, anti-depressants, anti-psychiatric drugs, anti-convulsants, steroids, cardiovascular drugs, and cancer chemotherapeutics).
As used herein, an "analgesic" is an agent that relieves or reduces pain or any signs or symptoms thereof (e.g., hyperalgesia, allodynia, dysesthesia, hyperesthesia, hyperpathia, paresthesia) and can also result in the reduction of inflammation, e.g., an antiinflammatory agent. Analgesics can be subdivided into NSAIDs (non-steroidal-antiinflammatory drugs), narcotic analgesics, including opioid analgesics, and non-narcotic analgesics. NSAIDs can be further subdivided into non-selective COX (cyclooxygenase) inhibitors, and selective COX2 inhibitors. Opioid analgesics can be natural, synthetic or semi-synthetic opioid analgesics, and include for example, morphine, codeine, meperidine, propxyphen, oxycodone, hydromorphone, heroine, tramadol, and fentanyl. Non-narcotic analgesics (also called non-opioid) analgesics include, for example, acetaminophen, clonidine, NMDA antagonists, vanilloid receptor antagonists (e.g., TRPVl antagonists), pregabalin, endocannabinoids and cannabinoids. Non-selective COX inhibitors include, but are not limited to acetylsalicylic acid (ASA), ibuprofen, naproxen, ketoprofen, piroxicam, etodolac, and bromfenac. Selective COX2 inhibitors include, but are not limited to celecoxib, valdecoxib, parecoxib, and etoricoxib.
As used herein an "anesthetic" is an agent that interferes with sense perception near the site of administration, a local anesthetic, or result in alteration or loss of consciousness, e.g., systemic anesthetic agents. Local anesthetics include but are not limited to lidocaine and buvicaine.
Non-limiting examples of antiepileptic agents are carbamazepine, phenytoin and gabapentin. Non-limiting examples of antidepressants are amitriptyline and desmethylimiprimine.
Non-limiting examples of anti-inflammatory drugs include corticosteroids (e.g., hydrocortisone, cortisone, prednisone, prednisolone, methyl prednisone, triamcinolone, fluprednisolone, betamethasone and dexamethasone), salicylates, NSAIDs, antihistamines and H2 receptor antagonists. The phrases "parenteral administration" and "administered parenterally" as used herein mean modes of administration other than enteral and topical administration, usually by injection, and include, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal and intrasternal injection and infusion.
The phrases "systemic administration," "administered systemically," "peripheral administration" and "administered peripherally" as used herein mean the administration of a compound, drug or other material other than directly into the central nervous system, such that it enters the subject's system and, thus, is subject to metabolism and other like processes, for example, subcutaneous administration.
Regardless of the route of administration selected, the compounds of the present invention, which can be used in a suiTable hydrated form, and/or the pharmaceutical compositions of the present invention, are formulated into pharmaceutically accepTable dosage forms by conventional methods known to those of skill in the art.
Actual dosage levels of the active ingredients in the pharmaceutical compositions of this invention can be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular subject, composition, and mode of administration, without being toxic to the subject.
The selected dosage level will depend upon a variety of factors including the activity of the particular Compound of the present invention employed, or the ester, salt or amide thereof, the route of administration, the time of administration, the rate of excretion of the particular Compound being employed, the duration of the treatment, other drugs, compounds and/or materials used in combination with the particular Compound employed, the age, sex, weight, condition, general health and prior medical history of the subject being treated, and like factors well known in the medical arts.
A physician or veterinarian having ordinary skill in the art can readily determine and prescribe the effective amount of the pharmaceutical composition required. For example, dosages of a Compound of the invention can be determined by deriving dose- response curves using an animal model for the condition to be treated. For example, the physician or veterinarian could start doses of the compounds of the invention employed in the pharmaceutical composition at levels lower than that required in order to achieve the desired therapeutic effect and gradually increase the dosage until the desired effect is achieved.
In general, a suiTable daily dose of a Compound of the invention will be that amount of the Compound that is the lowest dose effective to produce a therapeutic effect. Such an effective dose will generally depend upon the factors described above. Generally, intravenous and subcutaneous doses of the compounds of this invention for a subject, when used for the indicated analgesic effects, will range from about 0.0001 to about 100 mg per kilogram of body weight per day, more preferably from about 0.01 to about 100 mg per kg per day, and still more preferably from about 1.0 to about 50 mg per kg per day. An effective amount is that amount that treats a gated ion channel-associated state or gated ion channel disorder.
If desired, the effective daily dose of the active Compound can be administered as two, three, four, five, six or more sub-doses administered separately at appropriate intervals throughout the day, optionally, in unit dosage forms.
While it is possible for a Compound of the present invention to be administered alone, it is preferable to administer the Compound as a pharmaceutical composition.
Methods of Treatment The above compounds can be used for administration to a subject for the modulation of a gated ion channel-mediated activity, involved in, but not limited to, pain, inflammatory disorders, neurological disorders, and any abnormal function of cells, organs, or physiological systems that are modulated, at least in part, by a gated ion channel-mediated activity. Additionally, it is understood that the compounds can also alleviate or treat one or more additional symptoms of a disease or disorder discussed herein.
Accordingly, in one aspect, the compounds of the invention can be used to treat pain, including acute, chronic, malignant and non-malignant somatic pain (including cutaneous pain and deep somatic pain), visceral pain, and neuropathic pain. It is further understood that the compounds can also alleviate or treat one or more additional signs or symptoms of pain and sensory deficits {e.g., hyperalgesia, allodynia, dysesthesia, hyperesthesia, hyperpathia, paresthesia).
In some embodiments of this aspect of the invention, the compounds of the invention can be used to treat somatic or cutaneous pain associated with injuries, inflammation, diseases and disorders of the skin and related organs including, but not limited to, cuts, burns, lacerations, punctures, incisions, surgical pain, post-operative pain, orodental surgery, psoriasis, eczema, dermatitis, and allergies. The compounds of the invention can also be used to treat somatic pain associated with malignant and non- malignant neoplasm of the skin and related organs {e.g., melanoma, basal cell carcinoma). In other embodiments of this aspect of the invention, the compounds of the invention can be used to treat deep somatic pain associated with injuries, inflammation, diseases and disorders of the musculoskeletal and connective tissues including, but not limited to, arthralgias, myalgias, fibromyalgias, myofascial pain syndrome, dental pain, lower back pain, pain during labor and delivery, surgical pain, post-operative pain, headaches, migraines, idiopathic pain disorder, sprains, bone fractures, bone injury, osteoporosis, severe burns, gout, arthiritis, osteoarthithis, myositis, and dorsopathies (e.g., spondylolysis, subluxation, sciatica, and torticollis). The compounds of the invention can also be used to treat deep somatic pain associated with malignant and non-malignant neoplasm of the musculoskeletal and connective tissues (e.g., sarcomas, rhabdomyosarcomas, and bone cancer).
In other embodiments of this aspect of the invention, compounds of the invention can be used to treat visceral pain associated with injuries, inflammation, diseases or disorders of the circulatory system, the respiratory system, the genitourinary system, the gastrointestinal system and the eye, ear, nose and throat.
For example, the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation and disorders of the circulatory system associated including, but are not limited to, ischaemic diseases, ischaemic heart diseases (e.g., angina pectoris, acute myocardial infarction, coronary thrombosis, coronary insufficiency), diseases of the blood and lymphatic vessels (e.g., peripheral vascular disease, intermittent claudication, varicose veins, haemorrhoids, embolism or thrombosis of the veins, phlebitis, thrombophlebitis lymphadenitis, lymphangitis), and visceral pain associated with malignant and non-malignant neoplasm of the circulatory system (e.g. , lymphomas, myelomas, Hodgkin's disease).
In another example, the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation, diseases and disorders of the respiratory system including, but are not limited to, upper respiratory infections (e.g., nasopharyngitis, sinusitis, and rhinitis), influenza, pneumoniae (e.g., bacterial, viral, parasitic and fungal), lower respiratory infections (e.g., bronchitis, bronchiolitis, tracheobronchitis), interstitial lung disease, emphysema, bronchiectasis, status asthmaticus, asthma, pulmonary fibrosis, chronic obstructive pulmonary diseases (COPD), diseases of the pleura, and visceral pain associated with malignant and non-malignant neoplasm of the respiratory system (e.g., small cell carcinoma, lung cancer, neoplasm of the trachea, of the larynx). In another example, the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation and disorders of the gastrointestinal system including, but are not limited to, injuries, inflammation and disorders of the tooth and oral mucosa (e.g., impacted teeth, dental caries, periodontal disease, oral aphthae, pulpitis, gingivitis, periodontitis, and stomatitis), of the oesophagus, stomach and duodenum (e.g., ulcers, dyspepsia, oesophagitis, gastritis, duodenitis, diverticulitis and appendicitis), of the intestines (e.g., Crohn's disease, paralytic ileus, intestinal obstruction, irriTable bowel syndrome, neurogenic bowel, megacolon, inflammatory bowel disease, ulcerative colitis, and gastroenteritis), of the peritoneum (e.g. peritonitis), of the liver (e.g., hepatitis, liver necrosis, infarction of liver, hepatic veno-occlusive diseases), of the gallbladder, biliary tract and pancreas (e.g., cholelithiasis, cholecystolithiasis, choledocholithiasis, cholecystitis, and pancreatitis), functional abdominal pain syndrome (FAPS), gastrointestinal motility disorders, as well as visceral pain associated with malignant and non-malignant neoplasm of the gastrointestinal system (e.g., neoplasm of the oesophagus, stomach, small intestine, colon, liver and pancreas).
In another example, the compounds of the invention can be used to treat visceral pain associated with injuries, inflammation, diseases, and disorders of the genitourinary system including, but are not limited to, injuries, inflammation and disorders of the kidneys (e.g., nephrolithiasis, glomerulonephritis, nephritis, interstitial nephritis, pyelitis, pyelonephritis), of the urinay tract (e.g. include urolithiasis, urethritis, urinary tract infections), of the bladder (e.g. cystitis, neuropathic bladder, neurogenic bladder dysfunction, overactive bladder, bladder-neck obstruction), of the male genital organs (e.g., prostatitis, orchitis and epididymitis), of the female genital organs (e.g., inflammatory pelvic disease, endometriosis, dysmenorrhea, ovarian cysts), as well as pain associated with malignant and non-malignant neoplasm of the genitourinary system (e.g., neoplasm of the bladder, the prostate, the breast, the ovaries).
In further embodiments of this aspect of the invention, compounds of the invention can be used to treat neuropathic pain associated with injuries, inflammation, diseases and disorders of the nervous system, including the central nervous system and the peripheral nervous systems. Examples of such injuries, inflammation, diseases or disorders associated with neuropathic pain include, but are not limited to, neuropathy (e.g., diabetic neuropathy, drug-induced neuropathy, radiotherapy-induced neuropathy), neuritis, radiculopathy, radiculitis, neurodegenerative diseases (e.g., muscular dystrophy), spinal cord injury, peripheral nerve injury, nerve injury associated with cancer, Morton's neuroma, headache (e.g., nonorganic chronic headache, tension-type headache, cluster headache and migraine), migraine, multiple somatization syndrome, postherpetic neuralgia (shingles), trigeminal neuralgia complex regional pain syndrome (also known as causalgia or Reflex Sympathetic Dystrophy), radiculalgia, phantom limb pain, chronic cephalic pain, nerve trunk pain, somatoform pain disorder, central pain, non-cardiac chest pain, central post-stroke pain.
In another aspect, the compounds of the invention can be used to treat inflammation associated with injuries, diseases or disorders of the skin and related organs, the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system and the gastrointestinal system.
In some embodiments of this aspect of the invention, examples of inflammatory conditions, diseases or disorders of the skin and related organs that can be treated with the compounds of the invention include, but are not limited to allergies, atopic dermatitis, psoriasis and dermatitis.
In other embodiments of this aspect of the invention, inflammatory conditions, diseases or disorders of the musculoskeletal and connective tissue system that can be
treated with the compounds of the invention include, but are not limited to arthritis, osteoarthritis, and myositis.
In other embodiments of this aspect of the invention, inflammatory conditions, diseases or disorders of the respiratory system that can be treated with the compounds of the invention include, but are not limited to allergies, asthma, rhinitis, neurogenic inflammation, pulmonary fibrosis, chronic obstructive pulmonary disease (COPD), adult respiratory distress syndrome, nasopharyngitis, sinusitis, and bronchitis.
In still other embodiments of this aspect of the invention, inflammatory conditions, disease or disorders of the circulatory system that can be treated with the compounds of the invention include, but are not limited to, endocarditis, pericarditis, myocarditis, phlebitis, lymphadenitis and artherosclerosis.
In further embodiments of this aspect of the invention, inflammatory conditions, diseases or disorders of the genitourinary system that can be treated with the compounds of the invention include, but are not limited to, inflammation of the kidney {e.g., nephritis, interstitial nephritis), of the bladder {e.g., cystitis), of the urethra (e.g. urethritis), of the male genital organs {e.g., prostatitis), and of the female genital organs {e.g., inflammatory pelvic disease).
In further embodiments of this aspect of the invention, inflammatory conditions, diseases or disorders of the gastrointestinal system that can be treated with the compounds of the invention include, but are not limited to, gastritis, gastroenteritis, colitis (e.g., ulcerative colitis), inflammatory bowel syndrome, Crohn's disease, cholecystitis, pancreatitis and appendicitis.
In still further embodiments of this aspect of the invention, inflammatory conditions, diseases or disorders that can be treated with the compounds of the invention, but are not limited to inflammation associated with microbial infections (e.g., bacterial, viral and fungal infections), physical agents (e.g., burns, radiation, and trauma), chemical agents (e.g., toxins and caustic substances), tissue necrosis and various types of immunologic reactions and autoimmune diseases (e.g., lupus erythematosus). In another aspect, the compounds of the invention can be used to treat injuries, diseases or disorders of the nervous system including, but not limited to neurodegenerative diseases (e.g., Alzheimer's disease, Duchenne's disease), epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, cerebral ischemia, neuropathies (e.g., chemotherapy- induced neuropathy, diabetic neuropathy), retinal pigment degeneration, trauma of the central nervous system (e.g., spinal cord injury), and cancer of the nervous system (e.g., neuroblastoma, retinoblastoma, brain cancer, and glioma), and other certain cancers (e.g., melanoma, pancreatic cancer).
In further aspects of the invention, the compounds of the invention can also be used to treat other disorders of the skin and related organs (e.g., hair loss), of the circulatory system, (e.g., cardiac arrhythmias and fibrillation and sympathetic hyper- innervation), and of the genitourinary system (e.g., neurogenic bladder dysfunction and overactive bladder).
The present invention provides a method for treating a subject that would benefit from administration of a composition of the present invention. Any therapeutic indication that would benefit from a gated ion channel modulator can be treated by the methods of the invention. The method includes the step of administering to the subject a composition of the invention, such that the disease or disorder is treated.
The invention further provides a method for preventing in a subject, a disease or disorder which can be treated with administration of the compositions of the invention. Subjects "at risk" may or may not have detecTable disease, and may or may not have displayed detecTable disease prior to the treatment methods described herein. "At risk" denotes that an individual who is determined to be more likely to develop a symptom based on conventional risk assessment methods or has one or more risk factors that correlate with development of a disease or disorder that can be treated according the methods of the invention. For example, risk factors include family history, medication history, and history of exposure to an environmental substance which is known or suspected to increase the risk of disease. Subjects at risk for a disease or condition which can be treated with the agents mentioned herein can also be identified by, for example, any or a combination of diagnostic or prognostic assays known to those skilled in the art. Administration of a prophylactic agent can occur prior to the manifestation of symptoms characteristic of the disease or disorder, such that the disease or disorder is prevented or, alternatively, delayed in its progression.
EXEMPLIFICATION OF THE INVENTION:
The invention is further illustrated by the following examples, which could be used to examine the gated ion channel modulating activity of the compounds of the invention, as well as prepare the compouds of the invention. The examples should not be construed as further limiting. The animal models used throughout the examples are accepted animal models and the demonstration of efficacy in these animal models is predictive of efficacy in humans.
Example 1: Identification of ASIC Antagonists using calcium-imaging
Cell culture
ASICIa expressing HEK293 or CHO cells are grown in culture medium (DMEM with 10 % FBS), in polystyrene culture flasks (175 mm2) at 37°C in a humidified atmosphere of 5% CO2. Confluency of cells should be 80-90% on day of plating. Cells are rinsed with 10 ml of PBS and re-suspended by addition of culture medium and trituration with a 25 ml pipette.
The cells are seeded at a density of approximately 1x105 cells/ml for HEK293 and 8x104 for CHO cells (lOOμl/well) in black- walled, clear bottom, poly-D-lysin pre-treated 96-well plates. Plated cells were allowed to proliferate for 48 h before loading with dye.
Loading with fluorescent calcium dye Fluo-4/AM
Fluo-4/AM (1 mg, Molecular Probes) is dissolved in 912μl DMSO. The Fluo- 4/AM stock solution (1 mM) is diluted with culture medium to a final concentration of 2μM (loading solution). The culture medium is aspirated from the wells, and 80μl of the Fluo-4/AM loading solution is added to each well. The cells are incubated at 37°C for 30 min. When CHO cells are used, probenicid at 2.5mM (final concentration) is added in the loading solution.
Calcium measurements
After the loading period (15-20 min., the loading solution is aspirated and the cells are washed twice with lOOμl modified Assay Buffer (145 mM NaCl, 5 mM KCl, 5 mM CaCl2, 1 mM MgCl2, 10 mM HEPES, pH 7.4) to remove extracellular dye. Following the second wash, lOOμl modified Assay Buffer is added to each well and the fluorescence is measured in FLIPR™ or FlexStation™ (Molecular Devices, USA), or any other suiTable equipment known to the skilled in the art. When CHO cells are used, probenicid at 2.5mM (final concentration) is added in the wash buffer.
Loading with Fluorescent Membrane Potential dye (FMP)
A vial of FMP dye (Molecular Devices) is resuspended in 10.5 ml of assay buffer (48.3 mM NaCl, 93mM NMDG, 5 niM KCl, 5 mM CaCl2, 1 mM MgCl2, 10 mM HEPES, pH 7.4). The culture medium is aspirated from the wells, and lOOμl of the FMP loading solution is added to each well. The cells are incubated at 37°C for 30 min.
Membrane potential measurement
After the loading period, the loading solution is left on the cells and the membrane potential-induced fluorescence is measured in FLIPR™ or FlexStation™ (Molecular Devices, USA), or any other suiTable equipment known to the skilled in the art.
FLIPR settings (ASICIa)
Temperature: Room temperature (20-22°C)
First addition: 50μl test solution at a rate of 30μl/sec and a starting height of lOOμl Second addition: 50μl MES solution (20 mM, 5 mM final concentration) at a rate of 35μl/sec and a starting height of 150μl.
Reading intervals: pre-incubation - 10 sec x 7 and 3 sec x 3 antagonist phase - 3 sec x 17 and 10 sec x 12
Addition plates (Compound test plate and MES plate) are placed on the right and left positions in the FLIPR tray, respectively. Cell plates are placed in the middle position and the ASICIa program is effectuated. FLIPR will then take the appropriate measurements in accordance with the interval settings above. Fluorescence obtained after stimulation is corrected for the mean basal fluorescence (in modified Assay Buffer).
FlexStation settings (ASIC IaV) Temperature: 25°C First addition: 50μl test solution at a rate of 26μl/sec and a starting height of 125μl Second addition: 50μl MES solution (20 niM, 5 mM final concentration) at a rate of 26μl/sec and a starting height of 115μl.
Reading intervals: pre-incubation - 120 sec. antagonist phase, addition of MES at 145 sec. and reading time with agonist 100 sec (total run time of 240 sec).
Fluorescence obtained after stimulation is corrected for the mean basal fluorescence (in modified Assay Buffer).
For cells co-expressing ASICIa and ASIC3 channels (e.g. HEK293 cells), membrane potential dye (FMP dye) is used and the FlexStation settings are as above.
Hit confirmation and Characterization of active substances
The MES -induced peak calcium response (or change in membrane potential), in the presence of test substance, is expressed relative to the MES response alone. Test substances that block the MES-induced calcium response (or change in membrane potential) are re-tested in triplicates. Confirmed hits are picked for further characterization by performing full dose-response curves to determine potency of each hit Compound as represented by the IC50 values (i.e., the concentration of the test substance which inhibits 50% of the MES-induced calcium and/or membrane potentiation response; see, for example, figure 1).
A summary of IC5O values of compounds of the invention as acquired in the calcium mobilization assay are shown below, n = 3 - 7
Figure imgf000099_0001
The data shown in Table H was acquired using the FlexStation assay described in Example 1 on HEK293 cells expressing hASIC3 (h3) and/or hASICla (hi a).
TABLE H
Compound EC50 (μM) IC50 (μM) IC50 (μM) Flex/FLIPR Opus Express (hi a) Patch Clamp (hi a)
Figure imgf000100_0001
* In one experiment, EC50 (μM) >20. ** In one experiment, ECs0 (μM) >10.
Example 2: Screening and Bioanalysis of ASIC Antagonists in heterologous expression systems
This example describes another in vitro assessment of the activity of the compounds of the present invention.
Another example of an in vitro assessment method consists of using mammalian heterologous expression systems, which are known to those skilled in the art, and include a variety of mammalian cell lines such as COS, HEK, e.g., HEK293 and/or CHO, cells. Cell lines are transfected with gated ion channel(s) and used to perform electrophysiology as follows:
All experiments are performed at room temperature (20-25°C) in voltage clamp using conventional whole cell patch clamp methods (Neher, E., et al. (1978) Pfluegers Arch 375:219-228).
The amplifier used is the EPC-9 (HEKA-electronics, Lambrect, Germany) run by a Macintosh G3 computer via an ITC- 16 interface. Experimental conditions are set with the Pulse-software accompanying the amplifier. Data is low pass filtered and sampled directly to hard-disk at a rate of 3 times the cut-off frequency.
Pipettes are pulled from borosilicate glass using a horizontal electrode puller (Zeitz-Instrumente, Augsburg, Germany). The pipette resistances are 2-3 MOhms in the salt solutions used in these experiments. The pipette electrode is a chloridized silver wire, and the reference is a silver chloride pellet electrode (In Vivo Metric, Healdsburg, USA) fixed to the experimental chamber. The electrodes are zeroed with the open pipette in the bath just prior to sealing.
Coverslips with the cells are transferred to a 15μl experimental chamber mounted on the stage of an inverted microscope (IMT-2, Olympus) supplied with Nomarski optics. Cells are continuously superfused with extracellular saline at a rate of 2.5 ml/min. After giga-seal formation, the whole cell configuration is attained by suction. The cells are held at a holding voltage of -60 mV and at the start of each experiment the current is continuously measured for 45 s to ensure a sTable baseline. Solutions of low pH (<7) are delivered to the chamber through a custom-made gravity-driven flowpipe, the tip of which is placed approximately 50μm from the cell. Application is triggered when the tubing connected to the flowpipe is compressed by a valve controlled by the Pulse-software. Initially, low pH (in general, pH 6.5) is applied for 5 s every 60 s. The sample interval during application is 550μs. After sTable responses are obtained, the extracellular saline as well as the low-pH solution are switched to solutions containing the Compound to be tested. The Compound is present until responses of repeaTable amplitude are achieved. Current amplitudes are measured at the peak of the responses, and effect of the compounds is calculated as the amplitude at Compound equilibrium divided by the amplitude of the current evoked by the pulse just before the Compound was included. The following salt solutions are used: extracellular solution (mM): NaCl (140),
KCl (4), CaCl2 (2), MgCl2 (4), HEPES (10, pH 7.4); intracellular solution (mM): KCl (120), KOH (31), MgCl2 (1.785), EGTA (10), HEPES (10, pH 7.2). In general, compounds for testing are dissolved in 50% DMSO at 500 fold the highest concentration used. Patch Clamp experiments with Compound B and Compound R demonstrated the efficacy to inhibit recombinant human ASIC-gated channels as illustrated in Figures 2A and 2B. CHO cells were transfected with hASICla and used to perform full dose- inhibition curves with Compound B, and Compound R. Results are expressed as a fraction of the control peak current obtained in the absence of the test substance. These data indicate that both Compounds B and R can dose-dependently reduce hASICla activity in this assay.
Figure 3 compares the selectivity of Compound R for human ASICIa versus human ASIC3, both stably transfected in CHO cells, figure 3A shows the effect of Compound R on the hASICla current amplitude and kinetic. A concentration of 1 μM caused average 50% reduction in the current amplitude. This effect was fully reversed upon washout of the compound. In contrast, figure 3B depicts the effects of Compound R on the amplitude and kinetics of acid evoked hASIC3 currents. Even at 30μM, Compound R failed to reduce the amplitude of the current, figure 3C compares the dose- response relationship of Compound R on hASICla and hASIC3 [determined by measuring the area under the curve of the response (total charge transfer) and normalized to the control response]. Compound R clearly reduced the hASICla pH-evoked response in a dose-dependent manner, but not the hASIC3, indicating that this Compound is selective against specific ASIC subunits.
Example 3: Screening and Bioanalysis of ASIC Antagonists in Xenopus laevis oocytes
This example describes the in vitro assessment of the activity of the compounds of the present invention. Two-electrode voltage clamp electrophysiological assays in Xenopus laevis oocytes expressing gated ion channels are performed as follows:
Oocytes are surgically removed from adult Xenopus laevis and treated for 2 h at room temperature with 1 mg/ml type I collagenase (Sigma) in Barth's solution under mild agitation. Selected oocytes at stage IV-V are defolliculated manually before nuclear microinjection of 2.5-5 ng of a suiTable expression vector, such as pCDNA3, comprising the nucleotide sequence encoding a gated ion channel subunit protein. In such an experiment, the oocytes express homomultimeric proton-gated ion channels on their surface. In an alternate experiment, one, two, three or more vectors comprising the coding sequences for distinct gated ion channel subunits are co-injected in the oocyte nuclei. In the latter case, oocytes express heteromultimeric proton-gated ion channels. For example, ASIC2a and/or ASIC3 subunits in pcDNA3 vector are co-injected at a 1 : 1 cDNA ratio. After 2-4 days of expression at 190C in Barth's solution containing 50 mg/ml gentamicin and 1.8 mM CaCl2, gated ion channels are activated by applying an acidic solution (pH < 7) and currents are recorded in a two electrode voltage-clamp configuration, using an OC- 725B amplifier (Warner Instruments). Currents are acquired and digitized at 500 Hz on an Apple Imac G3 computer with an AfD NB-MIO- 16XL interface (National Instruments) and recorded traces are post-filtered at 100 Hz in Axograph (Axon Instruments) (Neher, E. and Sakmann, B. (1976) Nature 260:799-802). Once impaled with the microelectrodes, oocytes are continuously superfused at 10-12 ml/min with a modified Ringer's solution containing 97 mM NaCl, 2 mM KCl, 1.8 mM CaCl2, and 10 mM HEPES brought to pH 7.4 with NaOH (Control Ringer). Test Ringer solution is prepared by replacing HEPES with MES and adjusting the pH to the desired acidic value. Compounds of the present invention are prepared in both the Control and Test Ringer solutions and applied to oocytes at room temperature through a computer-controlled switching valve system. Osmolarity of all solutions is adjusted to 235 mOsm with choline chloride. Similarly, recordings can also be acquired in an automated multichannel oocytes system as the OpusExpress™ (Molecular Devices, Sunnyvale, CA, USA). Figures 4A, 4B, 4C and 4D show the dose-response relationship of Compounds A,
R, 7, and 32, respectively, on hASICla current evoked by the application of a pH 6.5 test ringer solution in the OpusExpress™ system. Recordings were acquired from oocytes expressing homomeric hASICla using a two-electrode voltage-clamp configuration procedure as described herein. Data shown in these figures demonstrate that Compounds A, R, 7, and 32 are effective modulators of the activity of these gated ion channels.
Example 4: Screening and Bioanatysis of ASIC Antagonists in primary cell systems
This example describes another prophetic in vitro assessment of the inhibitory activity of the compounds of the present invention utilizing patch-clamp electrophysiology of sensory neurons in primary culture.
Sensory neurons can be isolated and cultured in vitro from different animal species. The most widely used protocols use sensory neurons isolated from neonatal (Eckert, et al. (1997) J Neurosci Methods 77:183-190) and embryonic (Vasko, et al. (1994) J Neurosci 14:4987-4997) rat. Trigeminal and dorsal root ganglion sensory neurons in culture exhibit certain characteristics of sensory neurons in vivo. Electrophysiology is performed similarly as described above in Example 2. In the voltage- clamp mode, trans-membrane currents are recorded. In the current-clamp mode, change in the trans-membreane potential are recorded.
Example 5: Formalin model - model of acute tonic pain
This example describes the in vivo assessment of the inhibitory activity of the compounds of the present invention.
A number of well-established models of pain are described in the literature and are known to the skilled in the art (see, for example, Table 1). This example describes the use of the Formalin test.
Male Sprague-Dawley rats are housed together in groups of three animals under standard conditions with unrestricted access to food and water. All experiments are conducted according to the ethical guidelines for investigations of experimental pain in conscious animals (Zimmerman, 1983) Assessment of formalin-induced flinching behavior in normal, uninjured rats (body weight 150-180 g) was made with the use of an Automated Nociception Analyser (University of California, San Diego, USA). Briefly, this involved placing a small C- shaped metal band (10 mm wide x 27 mm long) on the hindpaw of the rat to be tested. The rats (four rats were included in each testing session) were then placed in a cylindrical plexiglass observation chamber (diameter 30.5 cm and height 15 cm) for 20 min for adaptation purposes prior to being administered drug or vehicle according to the experimental paradigm being followed. After adaptation, individual rats were then gently restrained and formalin (5% in saline, 50 μl, s.c.) was injected into the plantar surface of the hindpaw using a 27G needle. Rats were then returned to their separate observation chambers, each of which were in turn situated upon an enclosed detection device consisting of two electromagnetic coils designed to produce an electromagnetic field in which movement of the metal band could be detected. The analogue signal was then digitised and a software algorithm (Lab View) applied to enable discrimination of flinching behaviour from other paw movements. A sampling interval of 1 min was used and on the basis of the resulting response patterns 5 phases of nociceptive behaviour were identified and scored: first phase (Pl ; 0-5 min), interphase (Int; 6-15 min), second phase (P2; 60 min), phase 2A (P2A; 16-40 min) and phase 2B (P2B; 41-60 min). Nociceptive behavior was also determined manually every 5 min by measuring the amount of time spent in each of four behavioral categories: 0, treatment of the injected hindpaw is indistinguishable from that of the contralateral paw; 1, the injected paw has little or no weight placed on it; 2, the injected paw is elevated and is not in contact with any surface; 3, the injected paw is licked, bitten, or shaken. A weighted nociceptive score, ranging from 0 to 3 was calculated by multiplying the time spent in each category by the category weight, summing these products, and dividing by the total time for each 5 min block of time. (Coderre et ah, Pain 1993; 54: 43). On the basis of the resulting response patterns, 2 phases of nociceptive behavior were identified and scored: first phase (Pl; 0-5 min), interphase (Int; 6-15 min), second phase (P2; 60 min), phase 2A (P2A; 16-40 min) and phase 2B (P2B; 41-60 min).
Statistical analysis was performed using Prism™ 4.01 software package (GraphPad, San Diego, CA, USA). The difference in response levels between treatment groups and control vehicle group was analyzed using an ANOVA followed by Bonferroni's method for post-hoc pair-wise comparisons. Ap value < 0.05 was considered to be significant.
Figures 5-7 are representative examples of the dose-dependent effect of Compounds A and R on pain induced by intraplantar formalin injection. In figure 5, Compound A was administered i.p. 30 min. before the formalin. Compound A was able to reduce the total pain score behavior (flinching, licking, biting) in phase 2 of the formalin test (n = 6) as assessed using the Automate Nociceptive Analyzer described above. Similar results are shown for Compound R (Figures 6 and 7) (n = 6). In this example, the pain behaviour was assessed using the manual method described above. Compound R had a dose-dependent effect on the overall pain behaviour induced by intraplantar formalin (Figure 6A) and specifically the biting and licking behaviour
(Figure 6B). The dose-dependency of this effect is captured and summarized in figure 7 ( the ED50 for Compound R in this assay is about 50 mg/kg). Together, these results demonstrate the efficacy of Compounds A and R to block acute tonic pain induced by formalin injection in the paw.
Example 6: CFA model - model of chronic inflammatory pain
Injection of complete Freunds adjuvant (CFA) in the hindpaw of the rat has been shown to produce a long-lasting inflammatory condition, which is associated with behavioural hyperalgesia and allodynia at the injection site (Hylden et al, Pain 37: 229- 243, 1989) (Blackburn-Munro et al, 2002). Rats (body weight 260 - 300 g) are given a s. c. injection of CFA (50% in saline, 100 μl, Sigma) into the plantar surface of the hindpaw under brief halothane anaesthesia. After 24 h, they are then tested for hindpaw weight bearing responses, as assessed using an Incapacitance Tester (Linton
Instrumentation, UK), (Zhu et al, 2005). The instrument incorporates a dual channel scale that separately measures the weight of the animal distributed to each hindpaw. While normal rats distribute their body weight equally between the two hindpaws (50-50), the discrepancy of weight distribution between an injured and non-injured paw is a natural reflection of the discomfort level in the injured paw (nocifensive behavior). The rats are placed in the plastic chamber designed so that each hindpaw rested on a separate transducer pad. The averager is set to record the load on the transducer over 5 s time period and two numbers displayed represented the distribution of the rat's body weight on each paw in grams (g). For each rat, three readings from each paw are taken and then averaged. Side -to-side weight bearing difference is calculated as the average of the absolute value of the difference between two hindpaws from three trials (right paw reading-left paw reading).
Assessment of thermal hyperalgesia: Baseline and post-treatment withdrawal latencies to a noxious thermal stimulus are measured according to Hargreaves (Hargreaves et al. , 1988) using a plantar test analgesia meter (IITC, Woodland Hills, CA, model #
336). The stimulus intensity is set at 30% of maximum output and the cut-off time was set at 30 seconds. Rats are placed on a glass plate warmed to 28°C and allowed to habituate to the testing chambers for a minimum of 15 minutes prior to each testing session. The thermal stimulus is applied to the plantar surface of the paw, and the mean latency of three readings on each paw was used as the latency value for each time point. Thermal thresholds are defined as the latency in seconds to the first pain behavior, which includes nocifensive paw withdrawal, flinching, biting and/or licking of the stimulated paw. The mean and standard error of the mean (SEM) are determined for the injured and normal paws for each treatment group.
Example 7: Cloning and Expression of ASICs
The cDNA for ASICIa and ASIC3 (or other ASIC subtypes) can be cloned from rat/human poly(A)+ mRNA and put into expression vectors according to Hesselager et al. (J Biol Chem. 279(12): 11006-15 2004). All constructs are expressed in CHO-Kl cells (ATCC No. CCL61) or HEK293 cells. CHO-Kl cells are cultured at 37 °C in a humidified atmosphere of 5% CO2 and 95% air and passaged twice every week. The cells are maintained in DMEM (10 mM HEPES, 2 mM glutamax) supplemented with 10% fetal bovine serum and 2 mM L-proline (Life Technologies). CHO-Kl cells are co-transfected with plasmids containing ASICs and a plasmid encoding enhanced green fluorescent protein (EGFP) using the lipofectamine PLUS transfection kit (Life Technologies) or Lipofectamine 2000 (Invitrogen) according to the manufacturer's protocol. For each transfection it is attempted to use an amount of DNA that yield whole-cell currents within a reasonable range (0.5 nA - 10 nA), in order to avoid saturation of the patch-clamp amplifier (approximately 50 ng for ASICIa and ASIC3). Electrophysiological measurements are performed 16-48 hours after transfection. The cells are trypsinized and seeded on glass coverslips precoated with poly-D-lysine, on the day the electrophysiological recordings were performed. STable clones expressing ASIC channels are obtained by specific antibiotic selection (i.e. G418, Zeocin).
Example 8: Synthetic procedure Synthetic Procedure for Representative Quinoline Compound (Compound R)
Figure imgf000107_0001
To a solution of 1 -benzyl -4-hydroxy-piperidine (198mg, l.Ommol) in DMF (5ml) was added NaH (95%, 38mg, 1.5mmol), the suspension was stirred for 15min at room temperature before chloroquinoline (178mg, l .Ommol) was added. The reaction mixture was then heated at 1500C for 15min using microwave. DMF was evaporated and water was added to quench the reaction. The aqueous solution was extracted with EtOAc three times. The crude product was purified by column (Biotage) to give 230mg of pure product in 70% of yield.
Synthetic Procedure for Representative Quinazoline Compound (Compound K)
Figure imgf000108_0001
SOCI2, benzene reflux
Figure imgf000108_0002
Step 1 : Anthranilamide (1.36g, lOmmol) and potassium carbonate (2.07g, 15mmol) were suspended in 68ml of ether and heated to reflux. P-toluoyl chloride (1.72ml, 13mmol) was added slowly to the refluxing mixture. After 3hr at reflux the reaction mixture was allowed to cool to room temperature. The ether was evaporated, the resulting residue was filtered and washed with water and treated with ether to give fairly pure product.
Step 2: The crude product (2.2g) was suspended in 5% NaOH (40ml) and boiled for 12hr. After cooling, HOAc was added to bring the pH to 5. The solid was filtered and washed with water, then dried. The crude product was purified by column (Biotage) to give 1.85g of pure product in 76% of yield over two steps.
Step 3: To a suspension of hydroxyquinazoline (472mg, 2.0mmol) in benzene (20ml) was added SOCl2 (1.5ml, 20mmol). The mixture was refluxed for 3-6 hours until it became a clear solution. The solvents were evaporated. The solid residue was dissolved into dichloromethane and washed with aqueous sodium bicarbonate solution, then dried. The crude product was purified by column (Biotage) to give 460mg of pure product in 90% of yield.
Step 4: Chloroquinazoline (254mg, l .Ommol) and aminobenzoic acid (137mg, l .Ommol) were dissolved in DMF (5ml), and the reaction mixture was heated at 1500C for 15min using microwave. DMF was evaporated and water was added to quench the reaction. The solid was filtered and washed with water then dried. The crude product was purified by column (Biotage) to give 286mg of pure product in 80% of yield. 1FINMR (CDC13, 400Hz): δ ppm 12.82 (IH, br.s), 10.09 (IH, s), 8.60 (IH, d, J = 8.0 Hz), 8.37 (2H, d, J = 8.0 Hz), 8.17 (2H, d, J = 8.0 Hz), 8.05 (2H, d, J = 8.0 Hz), 7.89 (2H, d, J = 3.2 Hz), 7.64 (IH, m), 7.36 (2H, d, J - 8.0 Hz), 2.39 (3H, s).
Synthetic Procedure for Representative Quinazoline Compound (Compounds 32 and
33)
(Step 1 and 2)
Figure imgf000109_0001
To a stirred solution of anthranilamide (4.0Og, 29.38mmol) in dry ether (3OmL) was added K2CO3 (5.7Og, 41.14mmol) followed by propionyl chloride (3.3OmL, 38.19mmol). The reaction mixture was stirred for 15 hours at room temperature then refluxed for 4 hours. The ether was removed and the white solid was filtered and washed with water. The product was directly suspended in a 5% NaOH solution (4OmL) and refluxed for 3 hours. The reaction mixture was neutralized with acetic acid and the precipitate was filtered then washed with water. The white solid was dried under reduced pressure to yield 4.42g (86%) of intermediate.
(Step 3)
Figure imgf000109_0002
Compound 33 To a stirred solution of quinazolinone (0.2Og, 1.14mmol) in dry THF (6mL) was added Phenyl ether (0.18mL, l .Hmmol) followed by BOP (0.66g, 1.48mmol) and DBU (0.26mL, 1.71mmol). The amine was then added dropwise to the reaction mixture. The reaction mixture was stirred overnight at room temperature. The product (Compound 33) was concentrated under reduced pressure and purified by flash chromatography.
(Step 4)
Figure imgf000110_0001
Compound 33 Compound 32
To a stirred solution of Compound 33 (60mg, 0.17mmol) in dry DMF (2mL) was added NaH (14.0mg, 0.58mmol) followed by MeI (5OuL, 0.80mmol). The reaction mixture was stirred for 1 hour then quenched with water. The organic layer was removed and concentrated under reduced pressure. The product (Compound 32) was isolated by PREP HPLC purification.
Synthetic Procedure for Representative Quinoline Compound (Compound 7)
Figure imgf000110_0002
6-Bromo-4-hydroxyquinaldine was synthesized as previously published (J. Org. Chem . 1964, 29, 3548; Biochem. Pharm. 1996, 52, 551). 4-Bromoaniline (2 g; 0.012 mole), ethyl acetoacetate (2.96mL; 0.024mole) and 5g of polyphosphoric acid were heated with stirring at 17O0C for Ih. The reaction was neutralized with 2% NaOH aqueous solution and the 4-hydroxyquinaldine precipitate was washed with water, triturated with ether and dried to give 6-bromo-4-hydroxyquinaldine.
POCl3 (5mL) was added to 6-bromo-4-hydroxyquinaldine (0.27Og; 1.134 mmole) and the solution heated to reflux for Ih. Solvent was removed under reduced pressure, and ice-water added to the residue, which was basified with 10 % NaOH aqueous solution. The solid was filtered off, redissolved in ether and the insoluble filtered off. The filtrate was concentrated under reduced pressure to give 6-bromo-4-chloroquinaldine.
Figure imgf000111_0001
6-bromo-4-chloroquinaldine (0.120 g; 0.468 mmole), l-benzyl-4- hydroxypiperidine (0.045 g; 0.234mmole) and NaH 95% (0.012 g; 0. 468 mmole) were dissolved in DMF (5 mL) and heated at 75 C in microwave for Ih. The reaction mixture was brought to room temperature and 0.5mL of water was added. The solvent was removed under reduced pressure and the residue diluted with water, extracted with ethyl acetate (3x20mL), washed with water, brine and dried over MgSO4. The solvent was removed under reduced pressure and the crude product purified by column chromatography (EtOAc/Hexanes: 20/80-100% EtOAc) to give Compound 7 (0.045g; 47%).
Figure 8 shows a synthesis schematic for the preparation of compounds 36, 37 and 38.
Figures 9A, 9B, 9C and 9D show synthesis schematics for the preparation of compounds 39 and 47, as well prophetic synthesis schematics for generic compounds of the invention.
Figure 10 shows a synthesis schematic for the preparation of Compound 108.
Figures HA and HB show synthesis schematics for the preparation of compounds 103 and 104.
Figure 12 show synthesis schematics for the preparation of an intermediate that can be used for the preparation of the compounds of the invention.
Figures 13A, 13B and 13C show synthesis schematics for the preparation of compounds 107, 105 and 106.
Equivalents
Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims .
Incorporation by Reference
The entire contents of all patents, published patent applications and other references cited herein are hereby expressly incorporated herein in their entireties by reference.

Claims

CLAIMS :
1. A method of modulating the activity of a gated ion channel, comprising contacting a cell expressing a gated ion channel with an effective amount of a Compound represented by the Formula 1 ,
Figure imgf000113_0001
and pharmaceutically accepTable salts, enantiomers, stereoisomers, rotamers, tautomers, diastereomers, or racemates thereof; wherein the dashed lines indicate a single or double bond, wherein when the dashed lines indicate a single bond the nitrogen of the ring may be bonded to H or Ri;
R1, R3 and R4 are each, independently, selected from the group consisting of hydrogen, substituted or unsubstituted amine, cyano, nitro, COOH, amide, halogen, halo- Ci-5-alkyl, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, Ci-5-alkynyl, sulfonyl, sulphonamide, sulfonic acid, (CH2)0-5OX6, (CH2)0-5CO2X6 N(H)(CH2)0-5OX6, and (CH2)o-5C(0)N(X6)2, wherein X is independently selected from the group consisting of hydrogen, Ci-5-alkyl, amine, and -CO2X1 , wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl;
R2 is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci-5-alkyl, wherein the Ci-5- alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, Ci-5- alkynyl, sulfonyl, sulphonamide, sulfonic acid and -CO2X1, wherein X1 is selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl; or R2 is selected from the group consiting of the Formulas I, II, III and IV:
- I l l -
Figure imgf000114_0001
wherein
R8 is selected from the group consisting of O, S and CH2;
R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ;
X2 is CH2, O, N(Ci-5-alkyl) or N(H); X3 and X4 are each, independently, N, C, or C(H); the dashed lines of Formula III indicate a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci.5-alkyl, Cj.s-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted pyridyl, C(O)Ph, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group, and wherein the CH2 groups may be substituted with a C1.5-aU.yl, halogen or CF3 group; a, b and c are each, independently, O or 1 ;
X7 is C(H), N or O;
X8 is H, Ci.5-alkyl, aryl, OH, O-C^-alkyl or O-aryl; and R5 is N, C or C(H); wherein R3 and R4, R2 and R3, R1 and R4 or R2 and R4 can also form a fused 4, 5 or 6-membered substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, or substituted or unsubstituted heterocycle.
2. The method of claim 1, wherein the dashed lines of Formula III indicate a single bond.
3. The method of claim 1, wherein R2 is Formula III, m=0, X3 and X4 are N, and the dashed lines indicate a single bond.
4. The method of claim 1, wherein Formula 1 is represented by Formula 2:
Figure imgf000115_0001
wherein R1, R^, K\ R4 and R3 have the meaning set forth in claim 1.
5. The method of claim 1 , wherein Formula 2 is represented by Formula 3 :
Figure imgf000115_0002
wherein R1, R2, R3, R4 and R5 have the meaning set forth in claim 1.
6. The method of claim 5, wherein R1, R3 and R4 are each, independently, selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, O-Ci_5-alkyl, halo-Ci-5-alkyl, substituted or unsubstituted aryl, substituted or unsubstituted heterocycle;
R2 is selected from the group consisting of hydrogen, substituted or unsubstituted amine, amide, halogen, nitro, substituted or unsubstituted aryl, substituted or unsubstituted cycloalkyl, substituted or unsubstituted heterocycle, hydroxyl, Ci-5-alkyl, wherein the Ci-5- alkyl group may be interrupted by O, S or N(H), hydroxy-Ci-5-alkyl, Ci-5-alkenyl, Ci-5- alkynyl, sulfonyl, sulphonamide, sulfonic acid and -CO2X1, wherein X1 selected from the group consisting of hydrogen, C],5-alkyl, amino, and substituted or unsubstituted aryl; or R2 is selected from the group consiting of the Formulas I, II and III:
Figure imgf000115_0003
wherein
R is selected from the group consisting of O, S and CH2; R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1 ; m is 0 or 1 ;
X2 is CH2, O, N(Ci-5-alkyl) or N(H);
X3 and X4 are each, independently, N, C or C(H); the dashed lines indicate a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)0-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and
R5 is N or C(H).
7. The method of claim 6, wherein the dashed lines of Formula III indicate a single bond.
8. The method of claim 6, wherein
R3 and R4 are each, independently, selected from the group consisting of H, halogen, hydroxyl, C^-alkyl and C^-alkoxy;
R2 is selected from the group consisting of Ci-5-alkyl, Ci-5-alkoxy, CO2H, and heterocycle; and
R1 is selected from the group consisting of heterocycle, heterocycle substituted with Ci-5-alkyl, and phenyl substituted one or more times with hydroxyl, Ci-5-alkyl or C1-5- alkoxy.
9. The method of claim 6, wherein
R3 and R4 are each, independently, selected from the group consisting of H, Cl, Br, OH, and OCH3; R2 is selected from the group consisting of CH3, CO2H, and piperidine; and
R is selected from the group consisting of piperazine, piperazine substituted with CH3, and phenyl substituted one or more times with OH, OCH3 or CH3.
10. The method of claim 5, wherein Formula 3 is represented by Compound F; Compound 31 ; Compound 36; Compound 37; Compound 38; Compound 39; Compound 40; Compound 50; Compound 51 ; Compound 52; Compound 53 or Compound 54.
11. The method of claim 4, wherein Formula 3 is represented by Formula 4:
Figure imgf000117_0001
wherein R1, R2, R4 and R5 have the meaning set forth in claim 4.
12. The method of claim 11, wherein R1 is selected from the group consisting of hydrogen, Ci^-alkyl, O-Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted pyridine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H
Figure imgf000117_0002
R is selected from the group consisting of of hydrogen, substituted or unsubstituted amine, amide, halogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and -CO2X1, wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino, and substituted or unsubstituted aryl; or R2 is selected from the group consiting of the Formulas I, II and III:
Figure imgf000117_0003
wherein R is selected from the group consisting of O, S and CH2; R6, R7, R9 and R10 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), amine, substituted or unsubstituted aryl and substituted or unsubstituted cycloalkyl; n is 0 or 1; m is 0 or 1 ;
X2 is CH2, O or N(H);
X3 and X4 are each, independently, N, C or C(H); the dashed line indicates a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, C1-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)o-4-substituted or unsubstituted cyclohexyl, (CH2)0-4-benzo[l,3]dioxole, wherein the Cj.s-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and
R5 is N or C(H).
13. The method of claim 12, wherein R1 is pyridine, which may be optionally substituted one or more times with OCH3, Cl, CH3, or NO2; R5 is C(H);
R2 is Formula I or II; and R4 is halogen, (CH2)0.3OH, or CO2H.
14. The method of claim 12, wherein R2 is Formula III, wherein n is 0, X2 is N(H) or N(Ci-5-alkyl), X3 is C(H), X4 is N and X5 is (CH2)0-4-substituted or unsubstituted phenyl; R4 is H; and R1 is Ci-5-alkyl.
15. The method of claim 12, wherein R1 is selected from hydrogen, methyl, ethyl, methoxy, fluorine, bromine, trifluoromethyl, methyl-substituted piperizine, methyl- substituted diazepane, pyridine, phenyl, methyl-substituted phenyl and phenyl independently substituted one or more times by methoxy, fluorine or bromine; R4 is selected from the group consisting of H, Cl, Br and F; R2 is selected from the group consisting of d-5-alkyl, wherein the d-5-alkyl group may be interrupted by O, S or N(H), and -CO2X1, wherein X1 selected from the group consisting of hydrogen, Ci-5-alkyl, amino and substituted or unsubstituted aryl; or R2 is selected from Formula III:
Figure imgf000119_0001
wherein n is 0 or 1 ; m is O or 1; X2 is CH2, O or N(H);
X3 and X4 are each, independently, N, C or C(H); the dashed lines indicate a single or double bond;
X5 is selected from the group consisting of hydrogen, Ci.5-alkyl, Ci-5-alkoxy, (CH2)0-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)0-4-benzo[l,3]dioxole, wherein the C1-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; and
R5 is N or C(H).
16. The method of claim 11, wherein Formula 4 is represented by Compound 35 or Compound 110.
17. The method of claim 5, wherein Formula 3 is represented by Formula 5a:
Figure imgf000119_0002
) wherein R5 is N or C(H);
R1 is selected from the group consisting of hydrogen, Cμs-alkyl, O-Cμs-alkyi, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H and (CH2)O-3OH; w is 0 or 1 ; and
R11 and R12 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or R11 and R12 can form the following 6- membered ring:
Figure imgf000120_0001
wherein X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Cj-5- alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)o-4- substituted or unsubstituted cyclohexyl, (CH2)0-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
18. The method of claim 17, wherein w is O;
R11 is H or CH3;
R12 is (CH2)i-4CO2H, (CH2)I-4CH3, piperidine substituted with benzyl or phenyl substituted with CO2H;
R1 is hydrogen, CH3, CH2CH3, or phenyl substituted one or more times with chloro or CH3; and
R4 is hydrogen, chloro, or NO2.
19. The method of claim 17, wherein Formula 5a is represented by Compound K; Compound T; Compound 32; Compound 33; Compound 101; Compound 102; Compound 103; Compound 104; Compound 105; Compound 106; Compound 107; Compound 108 or Compound 111.
20. The method of claim 17, wherein Formula 5 is represented by Formula 6a:
Figure imgf000121_0001
wherein
R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, 0-C1-5- alkyl, CO2H and (CH2)0-3OH; R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R5 is N or C(H); w is 0 or 1 ; and
X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, C]-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
21. The method of claim 20, wherein w is 1,
X5 is (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-C(O)-substituted or unsubstituted phenyl, (CH2)o-4-benzo[l,3]dioxole, CH3, or amide;
R1 is pyridyl, phenyl independently substituted one or more times with OCH3, Cl, or OH; and
R4 is hydrogen, halogen, or OH.
22. The method of claim 20, wherein Formula 6a is represented by Compound C; Compound G; Compound 34; Compound 41; Compound 42; Compound 43; Compound 44; Compound 45; Compound 46; Compound 47; Compound 48 or Compound 49.
23. The method of claim 20, wherein Formula 6a is represented by Formula 7:
Figure imgf000122_0001
wherein R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, 0-C1-5- alkyl, CO2H and (CH2)0-3OH;
R1 is selected from the group consisting of hydrogen, C1-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl; R5 is N or C(H); and
X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5-alkoxy, (CH2)o-4-substituted or unsubstituted phenyl, (CH2)0-4-substituted or unsubstituted cyclohexyl, (CH2)o-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group.
24 The method of claim 23, wherein X5 is H, C(O)O-t-butyl, or phenyl substituted with CN or NO2; R4 is halogen, and R1 is Ci-5-alkyl.
25. The method of claim 23, wherein Formula 7 is represented by Compound A; Compound D; Compound H; Compound L; Compound M; Compound N; Compound O; Compound P; Compound Q; Compound 59; Compound 60; Compound 61 or Compound 116.
26. The method of claim 5, wherein Formula 3 is represented by Formula 8:
Figure imgf000123_0001
wherein R5 is N or C(H);
R1 is selected from the group consisting of hydrogen, Ci-5-alkyl, fluorine, bromine, trifluoromethyl, substituted or unsubstituted piperidine, substituted or unsubstituted piperizine, substituted or unsubstituted morpholine, substituted or unsubstituted imidazole, substituted or unsubstituted pyrazole, substituted or unsubstituted diazepane and substituted or unsubstituted phenyl;
R4 is selected from the group consisting of hydrogen, halogen, Ci-5-alkyl, CO2H and (CH2)O-3OH; and
R11 and R12 are each, independently, selected from the group consisting of hydrogen, Ci-5-alkyl, Ci.s-alkyl-amino, wherein the Ci-5-alkyl group may be interrupted by O, S or N(H), and subsitituted or unsubstitued phenyl, or R1 ' and R12 can form the following 6-membered ring:
Figure imgf000123_0002
wherein x and y are each, independently, 0 or 1 ; wherein X5 is selected from the group consisting of hydrogen, Ci-5-alkyl, Ci-5- alkoxy, (CH2)0-4-substituted or unsubstituted aryl, (CH2)o-4-substituted or unsubstituted cycloalkyl, (CH2)0-4-substituted or unsubstituted heterocycle, (CH2)0-4-benzo[l,3]dioxole, wherein the Ci-5-alkyl or CH2 groups may be interrupted by a carbonyl or -C(O)O- group; wherein the ring formed by R11 and R12 may be further substituted by Ci-5-alkyl, halogen, or CO2H
27. The method of claim 26, wherein
RR11 iiss sseelleecctteedd 1 from the group consisting of H, F, CH3, CF3, CN, and phenyl substituted with CH3; R4 is selected from the group consisting of hydrogen, F, OH, CH3, Br, Cl, OCH3, NO2 and CF3; and
R1 1 and R12 are each, independently, selected from the group consisting of hydrogen, (CH2) i-4-halogen, and (CH2)MN(CH3)CH2Ph, or R1 ' and R12 can form the following ring:
Figure imgf000124_0001
wherein x and y are each, independently, 0 or 1 ; wherein X5 is selected from the group consisting of H, CH3, isopropyl, t-butyl, cyclopropyl, CH2-isopropyl, CH2-t-butyl, CH2-cyclopropyl, CH2-cyclohexyl, CH2-CO2H, C(O)O-C i-5-alkyl, C(O)Ph, (CH2) M-pyridinyl, CH(CH3)Ph, CH(CF3)Ph, CH(F)Ph, and
(CH2) 1.4Ph5 wherein the phenyl group may be independently substituted one or more times with chloro, CN, CO2H, NO2, Cl or OCH3; wherein the ring formed by R11 and R12 may be further substituted by Ci-5-alkyl, halogen, or CO2H.
28. The method of claim 26, wherein Formula 8 is represented by Compound B;
Compound R; Compound S; Compound 1, Compound 2; Compound 3; Compound 4;
Compound 5; Compound 6; Compound 7; Compound 8; Compound 9; Compound 10;
Compound 11; Compound 12; Compound 13; Compound 14; Compound 15; Compound 16; Compound 17; Compound 18; Compound 19; Compound 20;
Compound 21 ; Compound 22; Compound 23; Compound 24; Compound 25;
Compound 26; Compound 27; Compound 28; Compound 29; Compound 30;
Compound 55; Compound 56; Compound 57; Compound 58; Compound 62;
Compound 63; Compound 64; Compound 65; Compound 66; Compound 67; Compound 68; Compound 69; Compound 70; Compound 71; Compound 72;
Compound 73; Compound 74; Compound 75; Compound 76; Compound 77;
Compound 78; Compound 79; Compound 80; Compound 81; Compound 82;
Compound 83; Compound 84; Compound 85; Compound 86; Compound 87;
Compound 88; Compound 89; Compound 90; Compound 91; Compound 92; Compound 93; Compound 94; Compound 95; Compound 96; Compound 97; Compound 98; Compound 99; Compound 100; Compound 109; Compound 112; Compound 113; Compound 114; Compound 115; Compound 117; Compound 118; Compound 119; Compound 120; Compound 121 or Compound 122.
29. The method of any one of claims 1-28, wherein contacting the cells with an effective amount of the Compound inhibits the activity of the gated ion channel.
30. The method of any one of claims 1-28, wherein the gated ion channel is comprised of at least one subunit selected from the group consisting of a member of the DEG/ENaC, P2X, and TRPV gene superfamilies.
31. The method of any one of claims 1-28, wherein the gated ion channel is comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, ASIC4, BLINaC, hINaC, P2Xb P2X2, P2X3, P2X4, P2X5, P2X6, P2X7, TRPVl, TRP V2, TRPV3, TRPV4, TRPV5, and TRPV6.
32. The method of claims 30 or 31, wherein the gated ion channel is homomultimeric.
33. The method of claims 30 or 31, wherein the gated ion channel is heteromultimeric.
34. The method of any one of claims 30-33, wherein the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of αENaC, βENaC, γENaC, δENaC, BLINaC, hINaC, ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
35. The method of any one of claims 30-33, wherein the DEG/ENaC gated ion channel is comprised of at least one subunit selected from the group consisting of ASICIa, ASICIb, ASIC2a, ASIC2b, ASIC3, and ASIC4.
36. The method of any one of claims 30-33, wherein the gated ion channel comprises ASICIa and/or ASIC3.
37. The method of any one of claims 30-33, wherein the P2X gated ion channel comprises at least one subunit selected from the group consisting of P2Xl5 P2X2, P2X3, P2X4, P2X5, P2X6, and P2X7.
38. The method of any one of claims 30-33, wherein the TRPV gated ion channel comprises at least one subunit selected from the group TRPVl, TRPV2, TRPV3, TRPV4, TRPV5, and TRPV6.
39. The method of claim 33, wherein the heteromultimeric gated ion channels include the following combinations of gated ion channels: αENaC, βENaC and γENaC; αENaC, βENaC and δENaC; ASICIa and ASIC3; ASICIb and ASIC3; ASIC2a and ASIC3; ASIC2b and ASIC3; ASICIa, ASIC2a and ASIC3; P2Xi and P2X2; P2Xj and P2X5; P2X2 and P2X3; P2X2 and P2X6; P2Xt and P2X6; TRPVl and TRP V2; TRPV5 and TRP V6; and TRPV1 and TRPV4.
40. The method of claim 33, wherein the heteromultimeric gated ion channels include the following combinations of gated ion channels: ASICIa and ASIC2a; ASIC2a and ASIC2b; ASICIb and ASIC3; and ASIC3 and ASIC2b.
41. The method of any one of claims 1-28, wherein the activity of the gated ion channel is associated with pain.
42. The method of any one of claims 1-28, wherein the activity of the gated ion channel is associated with an inflammatory disorder.
43. The method of any one of claims 1 -28, wherein the activity of the gated ion channel is associated with a neurological disorder.
44. The method of claim 41, wherein the pain is selected from the group consisting of cutaneous pain, somatic pain, visceral pain and neuropathic pain.
45. The method of claim 41, wherein the pain is acute pain or chronic pain.
46. The method of claim 44, wherein the cutaneous pain is associated with injury, trauma, a cut, a laceration, a puncture, a burn, a surgical incision, an infection or acute inflammation.
47. The method of claim 44, wherein the somatic pain is associated with an injury, disease or disorder of the musculoskeletal and connective system.
48. The method of claim 47, wherein the injury, disease or disorder is selected from the group consisting of sprains, broken bones, arthritis, psoriasis, eczema, and ischemic heart disease.
49. The method of claim 44, wherein the visceral pain is associated with an injury, disease or disorder of the circulatory system, the respiratory system, the gastrointestinal system, or the genitourinary system.
50. The method of claim 49, wherein the disease or disorder of the circulatory system is selected from the group consisting of ischaemic heart disease, angina, acute myocardial infarction, cardiac arrhythmia, phlebitis, intermittent claudication, varicose veins and haemorrhoids.
51. The method of claim 49, wherein the disease or disorder of the respiratory system is selected from the group consisting of asthma, respiratory infection, chronic bronchitis and emphysema.
52. The method of claim 49, wherein the disease or disorder of the gastrointestinal system is selected from the group consisting of gastritis, duodenitis, irriTable bowel syndrome, colitis, Crohn's disease, gastrointestinal reflux disease, ulcers and diverticulitis.
53. The method of claim 49, wherein the disease or disorder of the genitourinary system is selected from the group consisting of cystitis, urinary tract infections, glomuerulonephritis, polycystic kidney disease, kidney stones and cancers of the genitourinary system.
54. The method of claim 49, wherein the somatic pain is selected from the group consisting of arthralgia, myalgia, chronic lower back pain, phantom limb pain, cancer- associated pain, dental pain, fibromyalgia, idiopathic pain disorder, chronic non-specific pain, chronic pelvic pain, post-operative pain, and referred pain.
55. The method of claim 49, wherein the neuropathic pain is associated with an injury, disease or disorder of the nervous system.
56. The method of claim 54, wherein the injury, disease or disorder of the nervous system is selected from the group consisting of neuralgia, neuropathy, headache, migraine, psychogenic pain, chronic cephalic pain and spinal cord injury.
57. The method of any one of claims 1-28, wherein the activity of the gated ion channel is selected from an inflammatory disorder of the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system, the gastrointestinal system or the nervous system.
58. The method of claim 57, wherein the inflammatory disorder of the musculoskeletal and connective tissue system is selected from the group consisting of arthritis, psoriasis, myocitis, dermatitis and eczema.
59. The method of claim 57, wherein the inflammatory disorder of the respiratory system is selected from the group consisting of asthma, bronchitis, sinusitis, pharyngitis, laryngitis, tracheitis, rhinitis, cystic fibrosis, respiratory infection and acute respiratory distress syndrome.
60. The method of claim 57, wherein the inflammatory disorder of the circulatory system is selected from the group consisting of vasculitis, haematuria syndrome, artherosclerosis, arteritis, phlebitis, carditis and coronary heart disease.
61. The method of claim 57, wherein the inflammatory disorder of the gastrointestinal system is selected from the group consisting of inflammatory bowel disorder, ulcerative colitis, Crohn's disease, diverticulitis, viral infection, bacterial infection, peptic ulcer, chronic hepatitis, gingivitis, periodentitis, stomatitis, gastritis and gastrointestinal reflux disease.
62. The method of claim 57, wherein the inflammatory disorder of the genitourinary system is selected from the group consisting of cystitis, polycystic kidney disease, nephritic syndrome, urinary tract infection, cystinosis,prostatitis, salpingitis, endometriosis and genitourinary cancer.
63. The method of claim 43, wherein the neurological disorder is selected from the group consisting of schizophrenia, bipolar disorder, depression, Alzheimer's disease, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, addiction, cerebral ischemia, neuropathy, retinal pigment degeneration, glaucoma, cardiac arrhythmia, shingles, Huntington's chorea, Parkinson's disease, anxiety disorders, panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis.
64. A method of treating pain in a subject in need thereof, comprising administering to the subject an effective amount of a Compound of Formula 1, Formula 2, Formula 3, Formula 4, Formula 5, Formula 5a, Formula 6, Formula 6a, Formula 7 or Formula 8.
65. The method of claim 57, wherein the Compound is selected from the group consisting of compounds listed in Table A, Table B, Table C, Table D, Table E and Table F.
66. The method of any one of claims 64-65, wherein the subject is a mammal.
67. The method of claim 66, wherein the mammal is a human.
68. The method of any one of claims 64-65, wherein the pain is selected from the group consisting of cutaneous pain, somatic pain, visceral pain and neuropathic pain.
69. The method of any one of claims 57-59, wherein the pain is acute pain or chronic pain.
70. A method of treating an inflammatory disorder in a subject in need thereof, comprising administering to the subject an effective amount of a Compound of Formula 1, Formula 2, Formula 3, Formula 4, Formula 5, Formula 5a, Formula 6, Formula 6a, Formula 7 or Formula 8.
71. The method of claim 70, wherein the Compound is selected from the group consisting of compounds listed in Table A, Table B, Table C, Table D, Table E and Table F.
72. The method of any one of claims 70-71, wherein the subject is a mammal.
73. The method of claim 72, wherein the mammal is a human.
74. The method of any one of claims 70-71 , wherein the inflammatory disorder is inflammatory disorder of the musculoskeletal and connective tissue system, the respiratory system, the circulatory system, the genitourinary system, the gastrointestinal system or the nervous system.
75. A method of treating a neurological disorder in a subject in need thereof, comprising administering an effective amount of a Compound of Formula 1, Formula 2, Formula 3, Formula 4, Formula 5, Formula 5a, Formula 6, Formula 6a, Formula 7 or Formula 8.
76. The method of claim 75, wherein the Compound is selected from the group consisting of compounds listed in Table A, Table B, Table C, Table D, Table E and
Table F.
77. The method of any one of claims 75-76, wherein the subject is a mammal.
78. The method of claim 77, wherein the mammal is a human.
79. The method of any one of claims 75-76, wherein the neurological disorder is selected from the group consisting of schizophrenia, bipolar disorder, depression, Alzheimer's disease, epilepsy, multiple sclerosis, amyotrophic lateral sclerosis, stroke, addiction, cerebral ischemia, neuropathy, retinal pigment degeneration, glaucoma, cardiac arrhythmia, shingles, Huntington's chorea, Parkinson's disease, anxiety disorders, panic disorders, phobias, anxiety hyteria, generalized anxiety disorder, and neurosis.
80. A method of treating a disease or disorder associated with the genitourinary and/or gastrointestinal systems of a subject in need thereof, comprising administering to the subject an effective amount of a Compound of Formula 1, Formula 2, Formula 3, Formula 4, Formula 5, Formula 5a, Formula 6, Formula 6a, Formula 7 or Formula 8.
81. The method of claim 80, wherein the Compound is selected from the group consisting of compounds listed in Table A, Table B, Table C, Table D, Table E and Table F.
82. The method of any one of claims 80-81, wherein the subject is a mammal.
83. The method of claim 79, wherein the mammal is a human.
84. The method of any one of claims 80-81, wherein the disease or disorder of the gastrointestinal system is selected from the group consisting of gastritis, duodenitis, irriTable bowel syndrome, colitis, Crohn's disease, ulcers and diverticulitis.
85. The method of any one of claims 80-81, wherein the disease or disorder of the genitourinary system is selected from the group consisting of cystitis, urinary tract infections, glomerulonephritis, polycystic kidney disease, kidney stones and cancers of the genitourinary system.
86. The method of any one of claims 1, 64, 70, 75 or 80 wherein the method further comprises administering an adjuvant composition.
87. The method of claim 86, wherein the adjuvant composition is selected from the group consisting of opioid analgesics, non-opioid analgesics, local anesthetics, corticosteroids, non-steroidal anti-inflammatory drugs, non-selective COX inhibitors, non- selective COX2 inhibitors, selective C0X2 inhibitors, antiepileptics, barbiturates, antidepressants, marijuana, and topical analgesics.
88. A Compound represented by the Formula 1, Formula 2, Formula 3, Formula 4, Formula 5, Formula 5a, Formula 6, Formula 6a, Formula 7 or Formula 8.
89. A Compound selected from the group consisting of Compound F; Compound 31; Compound 36; Compound 37; Compound 38; Compound 39; Compound 40; Compound 50; Compound 51 ; Compound 52; Compound 53 and Compound 54.
90. A Compound selected from the group consisting of Compound 35 and Compound 110.
91. A compund selected from the group consisting of Compound K; Compound T; Compound 32; Compound 33; Compound 101; Compound 102; Compound 103;
Compound 104; Compound 105; Compound 106; Compound 107; Compound 108 and Compound 11 1.
92. A Compound selected from the group consisting of Compound C; Compound G; Compound 34; Compound 41 ; Compound 42; Compound 43; Compound 44;
Compound 45; Compound 46; Compound 47; Compound 48 and Compound 49.
93. A Compound selected from the group consisitng of Compound A; Compound D; Compound H; Compound L; Compound M; Compound N; Compound O; Compound P; Compound Q; Compound 59; Compound 60; Compound 61 or Compound 116.
94. A Compound selected from the group consisting of Compound B; Compound R; Compound S; Compound 1, Compound 2; Compound 3; Compound 4; Compound 5; Compound 6; Compound 7; Compound 8; Compound 9; Compound 10; Compound 11 ; Compound 12; Compound 13; Compound 14; Compound 15; Compound 16;
Compound 17; Compound 18; Compound 19; Compound 20; Compound 21;
Compound 22; Compound 23; Compound 24; Compound 25; Compound 26;
Compound 27; Compound 28; Compound 29; Compound 30; Compound 55;
Compound 56; Compound 57; Compound 58; Compound 62; Compound 63; Compound 64; Compound 65; Compound 66; Compound 67; Compound 68; Compound 69; Compound 70; Compound 71 ; Compound 72; Compound 73; Compound 74; Compound 75; Compound 76; Compound 77; Compound 78; Compound 79; Compound 80; Compound 81; Compound 82; Compound 83; Compound 84; Compound 85; Compound 86; Compound 87; Compound 88; Compound 89; Compound 90; Compound 91 ; Compound 92; Compound 93; Compound 94; Compound 95; Compound 96; Compound 97; Compound 98; Compound 99; Compound 100; Compound 109; Compound 112; Compound 113; Compound 114; Compound 115; Compound 117; Compound 118; Compound 119; Compound 120; Compound 121 and Compound 122.
PCT/CA2006/002105 2005-12-21 2006-12-21 Compositions and methods for modulating gated ion channels WO2007071055A1 (en)

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