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  • C07C59/40—Unsaturated compounds
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Definitions

• the present invention relates to compounds capable of modulating the G-protein-coupled receptor GPR40, compositions comprising the compounds, and methods for their use for controlling insulin levels in vivo and for the treatment of conditions such as type II diabetes, hypertension, ketoacidosis, obesity, glucose intolerance, and hypercholesterolemia and related disorders associated with abnormally high or low plasma lipoprotein, triglyceride or glucose levels.
• the production of insulin is central to the regulation of carbohydrate and lipid metabolism. Insulin imbalances lead to conditions such as type II diabetes mellitus, a serious metabolic disease that afflicts around 5% of the population in Western Societies and over 150 million people worldwide. Insulin is secreted from pancreatic ⁇ cells in response to elevated plasma glucose which is augmented by the presence of fatty acids.
• G-protein coupled receptor GPR40 The recent recognition of the function of the G-protein coupled receptor GPR40 in modulating insulin secretion has provided insight into regulation of carbohydrate and lipid metabolism in vertebrates, and further provided targets for the development of therapeutic agents for disorders such as obesity, diabetes, cardiovascular disease and dyslipidemia.
• GPR40 is a member of the gene superfamily of G-protein coupled receptors ("GPCRs"). GPCRs are membrane proteins characterized as having seven putative transmembrane domains that respond to a variety of molecules by activating intra-cellular signaling pathways critical to a diversity of physiological functions. GPR40 was first identified as an orphan receptor ⁇ i.e., a receptor without a known ligand) from a human genomic DNA fragment. Sawzdargo et al. (1997) Biochem. Biophys. Res. Commun. 239: 543-547. GPR40 is highly expressed in pancreatic ⁇ cells and insulin-secreting cell lines.
• GPCRs G-protein coupled receptors
• GPR40 activation is linked to modulation of the G q family of intra-cellular signaling proteins and concomitant induction of elevated calcium levels. It has been recognized that fatty acids serve as ligands for GPR40, and that fatty acids regulate insulin secretion through GPR40. Itoh et al. (2003) Nature 422:173-176; Briscoe et al. (2003) J. Biol. Chem. 278: 11303-11311; Kotarsky et al (2003) Biochem. Biophys. Res. Commun. 301: 406-410.
• WO 2004/041266 and EP 1559422 disclose compounds that purportedly act as GPR40 receptor function regulators.
• WO 2004/106276 and EP 1630152 are directed to condensed ring compounds that purportedly possess GPR40 receptor function modulating action.
• WO 2005/086661 U.S. Patent Application Publication No. 2006/0004012, U.S. Patent Application Publication No. 2006/0270724, and U.S. Patent Application Publication No. 2007/0066647 disclose compounds useful for modulating insulin levels in subjects and useful for treating type II diabetes.
• WO 2005/086661 U.S. Patent Application Publication No. 2006/0004012, U.S. Patent Application Publication No. 2006/0270724, and U.S. Patent Application Publication No. 2007/0066647 disclose compounds useful for modulating insulin levels in subjects and useful for treating type II diabetes.
• a number of compounds have been disclosed that reportedly modulate GPR40 activity, the prevalence of type II diabetes, obesity, hypertension, cardiovascular disease and dyslipidemia underscores
• a condition or disorder such as type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglyceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer or edema.
• a condition or disorder such as type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglyceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction,
• the present invention provides a compound having the formula I or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a tautomer or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a mixture thereof:
• X is O or S
• W, Y, and Z are selected from N or C-H; wherein no more than one of W, Y, and Z is N; and further wherein Z is not N if R 2 is F;
• R 1 is selected from H, (Ci-C 6 )alkyl, (C 2 -C 6 )alkenyl, (C 2 -C 6 )alkynyl, heterocyclyl, or heteroaryl;
• R la is selected from H and (Ci-C 4 )alkyl
• R 2 is selected from F or (C 3 -Ce)alkoxy
• R 3 is (Ci-C 2 )alkoxy
• R 4 , R 5 , and R 6 are independently selected from H, (Ci-C 4 )alkyl, or substituted (Ci-C 4 )alkyl, and two of R 4 , R 5 , and R 6 may join together to form a 3-7 membered ring; wherein at least two of R 4 , R 5 , and R 6 are other than H;
• R 7 and R 8 are independently selected from H and (Ci-C 4 )alkyl
• R 9 and R 10 are independently selected from H and (Ci-C 4 )alkyl; Each R 1 1 is independently selected from F, Cl, (Ci-C 4 )alkyl, or (Ci- C 4 )alkoxy and m is 0, 1, or 2; and
• Each R 12 is independently selected from F, Cl, (Ci-C 4 )alkyl, or (Ci- C 4 )alkoxy and n is 0, 1, or 2.
• the invention provides a compound having the formula I or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a tautomer or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a mixture thereof, wherein
• X is O, S, or NR 3 , wherein R a is selected from H and (Ci-C 4 ) alkyl;
• W, Y, and Z are selected from N or C-H; wherein no more than one of W, Y, and Z is N; and further wherein Z is not N if R 2 is F;
• R 1 is selected from H, (Ci-C 6 )alkyl, (C 2 -C 6 )alkenyl, (C 2 -C 6 )alkynyl, heterocyclyl, heteroaryl, or aryl;
• R la is selected from H and (C]-C 4 )alkyl
• R 2 is selected from F or (C 3 -C 6 )alkoxy
• R 3 is (C r C 2 )alkoxy
• R 4 , R 5 , and R 6 are independently selected from H, (Ci-C 4 )alkyl, or substituted (Ci-C 4 )alkyl, and two of R 4 , R 5 , and R 6 may join together to form a 3-7 membered ring; wherein at least two of R 4 , R 5 , and R 6 are other than H; and wherein at least one of R 4 , R 5 , and R 6 may be OH;
• R 7 and R 8 are independently selected from H and (Ci-C 4 )alkyl
• R 9 and R 10 are independently selected from H, (Ci-C 4 )alkyl, and (C 2 - Co)alkenyl;
• Each R 1 1 is independently selected from F, Cl, (C]-C 4 )alkyl, or (Cr C 4 JaIkOXy and m is 0, 1, or 2; and
• Each R 12 is independently selected from F, Cl, (Ci-C 4 )alkyl, or (Ci- C 4 )alkoxy and n is 0, 1, or 2.
• R 1 is an aryl. In some such embodiments, R 1 is a phenyl.
• X is NR 3 . In some such embodiments, R a is H.
• R 9 is selected from
• R 10 is selected from
• R 10 is a (C]-C 4 )alkyl such as a methyl group.
• R la is H or methyl. In some such embodiments, R la is H.
• W, Y, and Z are all C-H.
• R 6 are independently selected from H and (Q-GOalkyl groups and at least two of
• R 4 , R 5 , and R 6 are (Ci-C 4 )alkyl groups. In some such embodiments, each of R 4 ,
• R 5 , and R 6 are methyl groups.
• R 4 , R 5 , and R 6 are independently selected from H, (Ci-C 4 )alkyl groups, (Ci-C 4 )haloalkyl groups,
• R 4 , R 5 , and R 6 is a CF 3 group or is a methoxymethyl group.
• R 2 is F or butoxy. In some such embodiments, R 2 is F whereas in other such embodiments,
• R 2 is butoxy
• R 3 is methoxy
• X is O.
• R 7 and R 8 are both H.
• R 9 and R 10 are both H.
• R 1 is (Ci-C 4 ) alkyl). In some such embodiments, R 1 is a methyl, ethyl, propyl, or butyl group. In some such embodiments, R 1 is a propyl group.
• R has the formula
• R 1 is a (C 2 -
• R 1 is -CsC-CH 3 .
• n 0;
• R la is H; W is C-H; Y, is C-H; Z is C-H; R 1 is a (C 2 -C 4 )alkenyl; R 2 is F; R 3 is methoxy; R 4 is methyl; R 5 is methyl; R 6 is methyl; R 7 is H; R 8 is H; R 9 is H; R 10 is
• the compound has the formula IA as shown below where the variables shown in the formula IA have the same definitions as described above with respect to the compound and embodiments of having the formula I:
• the compound has the formula IB as shown below where the variables shown in formula IB have the same definitions as described above with respect to the compound and embodiments of having the formula I:
• the compound of formula I is a compound of formula II or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a tautomer or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a mixture thereof.
• the compound of formula II has the following structure:
• the compound of formula I is selected from
• the compound of any of the embodiments is a salt.
• the compound of any of the embodiments is a prodrug.
• the prodrug is a Ci-C 6 alkyl ester such as a methyl, ethyl, propyl, butyl, isopropyl, pentyl, or hexyl ester.
• the ester is a methyl or ethyl ester.
• the compound comprises a stereomerically pure S-enantiomer. In other embodiments, the compound comprises a stereomerically pure R-enantiomer. In yet other embodiments, the compound comprises a mixture of S- and R-enantiomers.
• the invention provides pharmaceutical compositions comprising a pharmaceutically acceptable carrier, diluent, or excipient, and a compound of any of the embodiments of the invention.
• a disease or condition selected from the group consisting of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer, and edema.
• Such methods include administering to a subject in need thereof, a therapeutically effective amount of a compound of any of the embodiments.
• the disease or condition is type II diabetes.
• a compound of any of the embodiments is administered in combination with a second therapeutic agent.
• the second therapeutic agent is metformin or is a thiazolidinedione. The second therapeutic agent may be administered before, during, or after administration of the compound of any of the embodiments.
• the invention provides methods for treating or preventing a disease or condition responsive to the modulation of GPR40. Such methods include administering to a subject in need thereof, a therapeutically effective amount of a compound of any of the embodiments. [035] In another aspect, the invention provides methods for treating or preventing a disease or condition mediated, regulated, or influenced by pancreatic ⁇ cells. Such methods include administering to a subject in need thereof, a therapeutically effective amount of a compound of any of the embodiments. [036] In another aspect, the invention provides methods for modulating
• GPR40 function in a cell Such methods include contacting a cell with a compound of any of the embodiments.
• the invention provides methods for modulating
• the invention provides methods for modulating circulating insulin concentration in a subject. Such methods include administering a compound of any of the embodiments to the subject. In some such embodiments, the circulating insulin concentration is increased in the subject after administration whereas in other such embodiments, the circulating insulin concentration is decreased in the subject after administration.
• the invention provides the use of a compound of any of the embodiments for treating a disease or condition or for preparing a medicament for treating a disease or condition where the disease or condition is selected from the group consisting of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglyceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer, and edema.
• the disease or condition is type II diabetes.
• the compounds of the invention may also be used to prepare medicaments that include a second therapeutic agent such as metformin or a thiazolidinedione.
• the invention provides the use of a compound of any of the embodiments for modulating GPR40 or for use in the preparation of a medicament for modulating GPR40.
• the invention provides a therapeutic composition that includes a compound of any of the embodiments and a second therapeutic agent such as those described herein, for example, metformin or a thiazolidinedione, as a combined preparation for simultaneous, separate, or sequential use in the treatment of a disease or condition mediated by GPR40.
• the disease or condition is type II diabetes.
• the compound of any of the embodiments and the second therapeutic agent are provided as a single composition, whereas in other embodiments they are provided separately as parts of a kit.
• treat are meant to include alleviating or abrogating a condition or disease and/or its attendant symptoms.
• prevent refer to a method of delaying or precluding the onset of a condition or disease and/or its attendant symptoms, barring a subject from acquiring a condition or disease, or reducing a subject's risk of acquiring a condition or disease.
• therapeutically effective amount refers to that amount of the compound that will elicit the biological or medical response of a tissue, system, or subject that is being sought.
• therapeutically effective amount includes that amount of a compound that, when administered, is sufficient to prevent development of, or alleviate to some extent, one or more of the symptoms of the condition or disorder being treated in a subject.
• the therapeutically effective amount in a subject will vary depending on the compound, the disease and its severity, and the age, weight, etc., of the subject to be treated.
• subject is defined herein to include animals such as mammals, including, but not limited to, primates ⁇ e.g., humans), cows, sheep, goats, horses, dogs, cats, rabbits, rats, mice and the like. In preferred embodiments, the subject is a human.
• modulate refers to the ability of a compound to increase or decrease the function or activity of GPR40 either directly or indirectly.
• Inhibitors are compounds that, for example, bind to, partially or totally block stimulation, decrease, prevent, delay activation, inactivate, desensitize, or down regulate signal transduction, such as, for instance, antagonists.
• Activators are compounds that, for example, bind to, stimulate, increase, activate, facilitate, enhance activation, sensitize or up regulate signal transduction, such as agonists for instance. Modulation may occur in vitro or in vivo.
• GPR40-mediated condition or disorder refers to a condition or disorder characterized by inappropriate, for example, less than or greater than normal, GPR40 activity.
• a GPR40-mediated condition or disorder may be completely or partially mediated by inappropriate GPR40 activity.
• a GPR40-mediated condition or disorder is one in which modulation of GPR40 results in some effect on the underlying condition or disease (e.g., a GPR40 modulator results in some improvement in patient well-being in at least some patients).
• Exemplary GPR40-mediated conditions and disorders include cancer and metabolic disorders, e.g., diabetes, type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, ketoacidosis, hypoglycemia, thrombotic disorders, metabolic syndrome, syndrome X and related disorders, e.g., cardiovascular disease, atherosclerosis, kidney disease, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, and edema.
• cancer and metabolic disorders e.g., diabetes, type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, ketoacidosis, hypoglycemia, thrombotic disorders, metabolic
• alkyl by itself or as part of another substituent, means, unless otherwise stated, a straight or branched chain, or cyclic hydrocarbon radical, or combination thereof, which is fully saturated, having the number of carbon atoms designated (e.g., Ci.Cio means one to ten carbons).
• alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, isopropyl, n- butyl, t-butyl, isobutyl, sec-butyl, cyclohexyl, (cyclohexyl)methyl, cyclopropyl, cyclopropylmethyl, and homologs and isomers of, for example, n-pentyl, n-hexyl, n-heptyl, n-octyl, and the like.
• alkenyl by itself or as part of another substituent, means a straight or branched chain, or cyclic hydrocarbon radical, or combination thereof, which may be mono- or polyunsaturated, having the number of carbon atoms designated (i.e., C 2- C 8 means two to eight carbons) and one or more double bonds.
• alkenyl groups include, but are not limited to, vinyl, 2- propenyl, crotyl, 2-isopentenyl, 2-(butadienyl), 2,4-pentadienyl, 3-(l,4- pentadienyl), and higher homologs and isomers thereof.
• alkynyl by itself or as part of another substituent, means a straight or branched chain hydrocarbon radical, or combination thereof, which may be mono- or polyunsaturated, having the number of carbon atoms designated (i.e., C 2 -C 8 means two to eight carbons) and one or more triple bonds.
• alkynyl groups include, but are not limited to, ethynyl, 1- and 3- propynyl, 3-butynyl, and higher homologs and isomers thereof.
• alkoxy refers to a group of formula -O-alkyl where alkyl has the definition provided above. An alkoxy group can have a specified number of carbon atoms.
• a methoxy group is a Ci alkoxy group.
• Alkoxy groups typically have from 1 to 10 carbon atoms. Examples of alkoxy group include, but are not limited to, methoxy, ethoxy, propoxy, butoxy, pentoxy, hexoxy, heptoxy, and the like.
• cycloalkyl by itself or in combination with other terms, represents, unless otherwise stated, a cyclic version of “alkyl”. Thus, the term “cycloalkyl” is meant to be included in the term “alkyl”. Examples of cycloalkyl include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl, and the like.
• heterocyclyl by itself or in combination with other terms, represents, unless otherwise stated, a ring system in which one ore more ring members is a heteratom selected from N, O, or S.
• the heteroatom can occupy the position at which the heterocycle is attached to the remainder of the molecule.
• a heterocyclyl group can also be attached to the remainder of the molecule through a carbon atom of the ring.
• Heterocyclyl groups typically include from 3 to 10 ring members.
• Heterocyclyl groups can be saturated or may include some unsaturation.
• heterocyclyl groups include, but are not limited to, l -(l,2,5,6-tetrahydropyridyl), 1-piperidinyl, 2-piperidinyl, 3- piperidinyl, 4-morpholinyl, 3-morpholinyl, tetrahydrofuran-2-yl, tetrahydrofuran- 3-yl, tetrahydrothien-2-yl, tetrahydrothien-3-yl, 1-piperazinyl, 2-piperazinyl, 4,5- dihydroisoxazol-3-yl, and the like.
• halo or halogen
• substituents mean, unless otherwise stated, a fluorine, chlorine, bromine, or iodine atom.
• terms such as “haloalkyl” are meant to include alkyl substituted with halogen atoms which can be the same or different, in a number ranging from one to (2m' + 1), where m' is the total number of carbon atoms in the alkyl group.
• halo(Ci.C4)alkyl is meant to include trifluoromethyl, 2,2,2-trifluoroethyl, 4-chlorobutyl, 3-bromopropyl, and the like.
• haloalkyl includes monohaloalkyl (alkyl substituted with one halogen atom) and polyhaloalkyl (alkyl substituted with halogen atoms in a number ranging from two to (2m' + 1) halogen atoms).
• perhaloalkyl means, unless otherwise stated, alkyl substituted with (2m' + 1) halogen atoms, where m' is the total number of carbon atoms in the alkyl group.
• perhalo(Ci -Chalky 1) is meant to include trifluoromethyl, pentachloroethyl, l,l,l-trifluoro-2-bromo-2-chloroethyl, and the like.
• aryl means, unless otherwise stated, a polyunsaturated, typically aromatic, hydrocarbon substituent which can be a single ring or multiple rings (up to three rings) which are fused together or linked covalently.
• heteroaryl refers to aryl groups (or rings) that contain from one to four heteroatom ring members selected from the group consisting of N, O and S, wherein the nitrogen and sulfur atoms are optionally oxidized, and the nitrogen atom(s) are optionally quaternized.
• a heteroaryl group includes 1 or 2 heteroatoms.
• a heteroaryl group can be attached to the remainder of the molecule through a heteroatom or through a carbon atom of the ring.
• Non- limiting examples of aryl and heteroaryl groups include phenyl, 1-naphthyl, 2- naphthyl, 4-biphenyl, 1-pyrrolyl, 2-pyrrolyl, 3-pyrrolyl, 1-pyrazolyl, 3-pyrazolyl, 5-pyrazolyl, 2-imidazolyl, 4-imidazolyl, pyrazinyl, 2-oxazolyl, 4-oxazolyl, 2- phenyl-4-oxazolyl, 5-oxazolyl, 3-isoxazolyl, 4-isoxazolyl, 5-isoxazolyl, 2-thiazolyl, 4-thiazolyl, 5-thiazolyl, 2-furyl, 3-furyl, dibenzofuryl, 2-thienyl, 3-thienyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, 2-pyrimidyl, 4-pyrimidyl, 2- pyrimidinyl, 4-pyrimidinyl,
• aryl refers to a phenyl or naphthyl group which is unsubstituted or substituted.
• heteroaryl refers to a pyrrolyl, pyrazolyl, imidazolyl, pyrazinyl, oxazolyl, oxadiazolyl, isoxazolyl, thiazolyl, furyl, thienyl (thiophenyl), pyridyl, pyrimidyl, benzothiazolyl, purinyl, benzimidazolyl, indolyl, isoquinolyl, triazolyl, tetrazolyl, quinoxalinyl. or quinolyl group which is unsubstituted or substituted.
• aryl when used in combination with other terms (e.g., aryloxy, arylalkoxy, arylthioxy, arylalkyl) includes both aryl and heteroaryl rings as defined above.
• arylalkyl is meant to include those radicals in which an aryl group is attached to an alkyl group (e.g., benzyl, phenethyl, pyridylmethyl and the like) including those alkyl groups in which a carbon atom (e.g., a methylene group) has been replaced by, for example, an oxygen atom (e.g., phenoxymethyl, 2-pyridyloxymethyl, 3-(l-naphthyloxy)propyl, and the like).
• alkyl group e.g., benzyl, phenethyl, pyridylmethyl and the like
• an oxygen atom e.g., phenoxymethyl, 2-pyridyloxymethyl, 3-(l-naphthyloxy)propyl, and the like.
• aryl(Ci- C4)alkoxy is mean to include radicals in which an aryl group is attached to an alkyl group having 1 to 4 carbon atoms that is bonded to an O which is attached to the rest of the molecule. Examples include substituted and unsubstituted phenylmethoxy, phenylethoxy, phenylpropoxy, pyridylmethoxy, and the like. [058] Each of the above terms (e.g., "alkyl,” “aryl” and “heteroaryl”) is meant to include both substituted and unsubstituted forms of the indicated radical, unless otherwise indicated. Preferred substituents for each type of radical are provided below.
• R', R" and R'" each independently refer to hydrogen, unsubstituted (Ci- C 8 )alkyl and heteroalkyl, unsubstituted aryl, aryl substituted with one to three halogens, unsubstituted alkyl, alkoxy or thioalkoxy groups, halo(Ci-C 4 )alkyl, or aryl-(Ci-C 4 )alkyl groups.
• R' and R" are attached to the same nitrogen atom, they can be combined with the nitrogen atom to form a 5-, 6- or 7-membered ring.
• -NR'R is meant to include 1-pyrrolidinyl and 4-morpholinyl.
• an alkyl group will have from zero to three substituents, with those groups having two or fewer substituents being preferred in the present invention. More preferably, an alkyl radical will be unsubstituted or monosubstituted. Most preferably, an alkyl radical will be unsubstituted. From the above discussion of substituents, one of skill in the art will understand that the term "alkyl” is meant to include groups such as trihaloalkyl (e.g., -CF 3 and - CH 2 CF 3 ).
• Preferred substituents for the alkyl radicals are selected from: -
• OR' 0, -NR'R", -SR', halogen, -OC(O)R', -C(O)R', -CO 2 R', -CONR'R", -OC(O)NR'R", -NR"C(O)R', -NR"C0 2 R', -NR'-S0 2 NR"R"', -S(O)R', -SO 2 R', - SO 2 NR'R", -NR"SO 2 R, -CN, -(C 2 -C 5 ) alkynyl, -(C 2 -C 5 ) alkenyl and -NO 2 , where R' and R" are as defined above.
• Two of the substituents on adjacent atoms of the aryl or heteroaryl ring may optionally be replaced with a substituent of the formula -T-C(O)-(CH 2 ) q -U-, wherein T and U are independently -NH-, -O-, -CH 2 -, or a single bond, and q is an integer of from O to 2.
• two of the substituents on adjacent atoms of the aryl or heteroaryl ring may optionally be replaced with a substituent of the formula -A-(CH 2 ) r -B-, wherein A and B are independently -CH 2 -, -O-, -NH-, -S-, -S(O)-, -S(O) 2 -, -S(O) 2 NR'-, or a single bond, and r is an integer of from 1 to 3.
• One of the single bonds of the new ring so formed may optionally be replaced with a double bond.
• two of the substituents on adjacent atoms of the aryl or heteroaryl ring may optionally be replaced with a substituent of the formula -(CH 2 ) s -X-(CH 2 ) r , where s and t are independently integers of from O to 3, and X is -0-, -NR'-, -S-, -S(O)-, -S(O) 2 -, or -S(O) 2 NR'-.
• the substituent R' in -NR'- and -S(O) 2 NR'- is selected from hydrogen or unsubstituted (Ci-C6)alkyl. Otherwise, R' is as defined above.
• the term "heteroatom" is meant to include oxygen
• pharmaceutically acceptable salt is meant to include a salt of the active compound which is prepared with relatively nontoxic acids or bases, depending on the particular substituents found on the compound described herein.
• a base addition salt can be obtained by contacting the neutral form of such compound with a sufficient amount of the desired base, either neat or in a suitable inert solvent.
• pharmaceutically acceptable base addition salts include sodium, potassium, calcium, ammonium, organic amino, or magnesium salt, or a similar salt.
• an acid addition salt can be obtained by contacting the neutral form of such compound with a sufficient amount of the desired acid, either neat or in a suitable inert solvent.
• Examples of pharmaceutically acceptable acid addition salts include those derived from inorganic acids like hydrochloric, hydrobromic, nitric, carbonic, monohydrogencarbonic, phosphoric, monohydrogenphosphoric, dihydrogenphosphoric, sulfuric, monohydrogensulfuric, hydriodic, or phosphorous acids and the like, as well as the salts derived from relatively nontoxic organic acids like acetic, propionic, isobutyric, maleic, malonic, benzoic, succinic, suberic, fumaric, mandelic, phthalic, benzenesulfonic, p-tolylsulfonic, citric, tartaric, methanesulfonic, and the like.
• inorganic acids like hydrochloric, hydrobromic, nitric, carbonic, monohydrogencarbonic, phosphoric, monohydrogenphosphoric, dihydrogenphosphoric, sulfuric, monohydrogensulfuric, hydriodic, or phosphorous acids and the like,
• salts of amino acids such as arginine and the like, and salts of organic acids like glucuronic or galacturonic acids and the like (see, for example, Berge et al. (1977) J. Pharm. Sci. 66:1-19).
• Certain specific compounds of the invention contain both basic and acidic functionalities that allow the compounds to be converted into either base or acid addition salts.
• the neutral forms of the compounds may be regenerated by contacting the salt with a base or acid and isolating the parent compound in the conventional manner.
• the parent form of the compound differs from the various salt forms in certain physical properties, such as solubility in polar solvents, but otherwise the salts are equivalent to the parent form of the compound for the purposes of the invention.
• the invention provides compounds which are in a prodrug form.
• Prodrugs of the compounds described herein are those compounds that readily undergo chemical changes under physiological conditions to provide the compounds of the invention.
• prodrugs can be converted to the compounds of the invention by chemical or biochemical methods in an ex vivo environment. For example, prodrugs can be slowly converted to the compounds of the invention when placed in a transdermal patch reservoir with a suitable enzyme or chemical reagent.
• Prodrugs are often useful because, in some situations, they may be easier to administer than the parent drug. They may, for instance, be bioavailable by oral administration whereas the parent drug is not.
• the prodrug may also have improved solubility in pharmaceutical compositions over the parent drug.
• prodrug derivatives are known in the art, such as those that rely on hydrolytic cleavage or oxidative activation of the prodrug.
• An example, without limitation, of a prodrug would be a compound of the invention which is administered as an ester (the "prodrug"), but then is metabolically hydrolyzed to the carboxylic acid, the active entity. Additional examples include peptidyl derivatives of a compound.
• solvate refers to a compound of the present invention or a salt thereof, that further includes a stoichiometric or non- stoichiometric amount of solvent bound by non-covalent intermolecular forces. Where the solvent is water, the solvate is a hydrate.
• Certain compounds of the invention may exist in multiple crystalline or amorphous forms. In general, all physical forms are equivalent for the uses contemplated by the invention and are intended to be within the scope of the invention.
• stereoisomer or “stereomerically pure” means one stereoisomer of a compound that is substantially free of other stereoisomers of that compound.
• a stereomerically pure compound having one chiral center will be substantially free of the opposite enantiomer of the compound.
• a stereomerically pure compound having two chiral centers will be substantially free of other diastereomers of the compound.
• a typical stereomerically pure compound comprises greater than about 80% by weight of one stereoisomer of the compound and less than about 20% by weight of other stereoisomers of the compound, more preferably greater than about 90% by weight of one stereoisomer of the compound and less than about 10% by weight of the other stereoisomers of the compound, even more preferably greater than about 95% by weight of one stereoisomer of the compound and less than about 5% by weight of the other stereoisomers of the compound, and most preferably greater than about 97% by weight of one stereoisomer of the compound and less than about 3% by weight of the other stereoisomers of the compound.
• stereochemistry of a structure or a portion of a structure is not indicated with, for example, bold or dashed lines, the structure or portion of the structure is to be interpreted as encompassing all stereoisomers of it.
• a bond drawn with a wavy line indicates that both stereoisomers are encompassed.
• Various compounds of the invention contain one or more chiral centers, and can exist as racemic mixtures of enantiomers, mixtures of diastereomers or enantiomerically or optically pure compounds. This invention encompasses the use of stereomerically pure forms of such compounds, as well as the use of mixtures of those forms.
• mixtures comprising equal or unequal amounts of the enantiomers of a particular compound of the invention may be used in methods and compositions of the invention.
• These isomers may be asymmetrically synthesized or resolved using standard techniques such as chiral columns or chiral resolving agents. See, e.g., Jacques, J., et ai, Enantiomers, Racemates and Resolutions (Wiley-Interscience, New York, 1981); Wilen, S. H., et al. (1997) Tetrahedron 33:2725; Eliel, E. L., Stereochemistry of Carbon Compounds (McGraw-Hill, NY, 1962); and Wilen, S. H., Tables of Resolving Agents and Optical Resolutions p. 268 (E.L. Eliel, Ed., Univ. of Notre Dame Press, Notre Dame, IN, 1972).
• the compounds of the invention may also contain unnatural proportions of atomic isotopes at one or more of the atoms that constitute such compounds.
• the compounds may be radiolabeled with radioactive isotopes, such as for example tritium ( 3 H), iodine-125 ( 125 I) or carbon-14 ( 14 C).
• Radiolabeled compounds are useful as therapeutic or prophylactic agents, research reagents, e.g., GPR40 assay reagents, and diagnostic agents, e.g., in vivo imaging agents. All isotopic variations of the compounds of the invention, whether radioactive or not, are intended to be encompassed within the scope of the invention. For example, if a variable is said to be H, this means that variable may also be deuterium (D) or tritium (T).
• a class of compounds that modulates GPR40 is described herein. Depending on the biological environment (e.g., cell type, pathological condition of the subject, etc.), these compounds can modulate, e.g., activate or inhibit, the actions of GPR40.
• the compounds By modulating GPR40, the compounds find use as therapeutic agents capable of regulating insulin levels in a subject.
• the compounds find use as therapeutic agents for modulating diseases and conditions responsive to modulation of GPR40 and/or mediated by GPR40 and/or mediated by pancreatic ⁇ cells.
• diseases and conditions include diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, cancer, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglyceridemia, dyslipidemia, ketoacidosis, hypoglycemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, nephropathy, thrombotic disorders, diabetic neuropathy, diabetic retinopathy, dermatopathy, dyspepsia and edema. Additionally, the compounds are useful for the treatment and/or prevention of complications of these diseases and disorders (e.g., type II diabetes, sexual dysfunction, dyspepsia and so forth).
• complications of these diseases and disorders e.g., type II diabetes, sexual dysfunction, dyspepsia and so forth.
• the present invention provides a compound having the formula I or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a tautomer or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a mixture thereof:
• X is O or S
• W, Y, and Z are selected from N or C-H; wherein no more than one of W, Y, and Z is N; and further wherein Z is not N if R 2 is F;
• R 1 is selected from H, (d-C 6 )alkyl, (C 2 -C 6 )alkenyl, (C 2 -C 6 )alkynyl, heterocyclyl, or heteroaryl;
• R la is selected from H and (Ci-C 4 )alkyl
• R 2 is selected from F or (C3-C ⁇ )alkoxy
• R 3 is (Ci-C 2 )alkoxy
• R 4 , R s , and R 6 are independently selected from H, (Ci-C 4 )alkyl, or substituted (Ci-C 4 )alkyl, and two of R 4 , R 5 , and R 6 may join together to form a 3-7 membered ring; wherein at least two of R 4 , R 5 , and R 6 are other than H;
• R 7 and R 8 are independently selected from H and (Ci-C 4 )alkyl
• R 9 and R 10 are independently selected from H and (C]-C 4 )alkyl
• Each R 1 1 is independently selected from F, Cl, (C r C 4 )alkyl, or (C 1 - C 4 )alkoxy and m is 0, 1, or 2; and
• Each R 12 is independently selected from F, Cl, (C r C 4 )alkyl, or (Q- C 4 )alkoxy and n is 0, 1, or 2.
• the invention provides a compound having the formula I or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a tautomer or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a mixture thereof, wherein
• X is O, S, or NR 3 , wherein R a is selected from H and (C]-C 4 ) alkyl;
• W, Y, and Z are selected from N or C-H; wherein no more than one of W, Y, and Z is N; and further wherein Z is not N if R 2 is F;
• R 1 is selected from H, (Ci-C 6 )alkyl, (C 2 -C 6 )alkenyl, (C 2 -C 6 )alkynyl, heterocyclyl, heteroaryl, or aryl;
• R la is selected from H and (Ci-C 4 )alkyl
• R 2 is selected from F or (C 3 -Ce)alkoxy
• R 3 is (Ci-C 2 )alkoxy
• R 4 , R 5 , and R 6 are independently selected from H, (Ci-C 4 )alkyl, or substituted (Ci-C 4 )alkyl, and two of R 4 , R 5 , and R 6 may join together to form a 3-7 membered ring; wherein at least two of R 4 , R 5 , and R 6 are other than H; and wherein at least one of R 4 , R 5 , and R 6 may be OH;
• R 7 and R 8 are independently selected from H and (Ci-C 4 )alkyl
• R 9 and R 10 are independently selected from H, (Q-COalkyl, and (C 2 - C 6 )alkenyl;
• Each R 1 1 is independently selected from F, Cl, (Ci-C 4 )alkyl, or (Ci- C 4 )alkoxy and m is 0, 1, or 2;
• Each R 12 is independently selected from F, Cl, (Ci-C 4 )alkyl, or (Ci- C 4 )alkoxy and n is 0, 1, or 2.
• R 1 is an aryl. In some such embodiments, R 1 is a phenyl.
• X is NR a .
• R a is H.
• R 9 is selected from
• R 10 is selected from H. In other such embodiments, R 10 is a (Ci-C 4 )alkyl such as a methyl group. [083] In some embodiments of the compound of formula I, m and n are both 0.
• R la is H or methyl. In some such embodiments, R la is H.
• W, Y, and Z are all C-H.
• R 6 are independently selected from H and (Q -Chalky 1 groups and at least two of R 4 , R 5 , and R 6 are groups. In some such embodiments, all three of R 4 , R 5 , and R 6 are independently selected from (C]-C 4 )alkyl groups. In some such embodiments, each of R 4 , R 5 , and R 6 is a methyl group.
• R 4 , R 5 , and R 6 are independently selected from H, (Ci-C 4 )alkyl groups, or a substituted (Ci-C 4 ) alkyl group selected from (Ci-C 4 )haloalkyl groups, (Cr COperhaloalkyl groups, or (Ci-C 4 )alkoxy(Ci-C 4 )alkyl groups.
• at least one of R 4 , R 5 , and R 6 is a CF 3 group.
• at least one of R 4 , R 5 , and R 6 is a methoxymethyl group.
• two of R 4 , R 5 , and R 6 together with the C atom to which they are attached, join to form a 3-7 membered ring, and the other of R 4 , R 5 , and R 6 is selected from H, (Ci-C 4 )alkyl, or substituted (Ci-GOalkyl.
• the ring is a carbocyclic ring which may be fully saturated cycloalkyl ring.
• the 3-7 membered ring is a 3-6, or a 3-5 membered ring.
• Examples of such rings include cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and cycloheptyl rings.
• two of R 4 , R 5 , and R 6 join to form a cyclopropyl ring.
• the other of R 4 , R 5 , and R 6 is H.
• R 2 is F or butoxy. In some such embodiments, R 2 is F whereas in other such embodiments, R 2 is butoxy. In still other embodiments, R 2 is propoxy, pentoxy, or hexoxy. In still further embodiments, R 2 is selected from F or (C3-C 4 ) alkoxy.
• R 3 is methoxy or ethoxy. In some such embodiments, R 3 is methoxy.
• X is O. In other embodiments, X is S.
• R 7 and R 8 are both H. In some embodiments one of R 7 and R 8 is H and the other of R 7 and R 8 is methyl. Therefore, in some embodiments R 7 and R 8 are independently selected from H and methyl.
• R 9 and R 10 are both H. In other embodiments, R 9 and R 10 are selected from H and methyl. In some such embodiments, one of R 9 and R 10 is H and the other of R 9 and R 10 is methyl.
• R 1 is selected from (Ci-C6)alkyl, (C 2 -C 6 )alkenyl, (C 2 -C 6 )alkynyl, heterocyclyl, or heteroaryl. In some such embodiments, R 1 is a (Ci -C 4 ) alkyl). In some such embodiments, R 1 is a methyl, ethyl, propyl, or butyl group. In some such embodiments, R 1 is a propyl group.
• R 1 is a cis
• R 1 is a trans (C 2 -Ce) alkenyl group.
• R 1 is a mixture of cis and trans (C 2 -C 6 ) alkenyl groups.
• R 1 is a cis
• R 1 is
• R 1 has the formula In other such embodiments, R 1 has the formula
• R 1 is a (C 2 -
• n 0;
• R la is H; W is C-H; Y, is C-H; Z is C-H; R 1 is a (C 2 -C 4 )alkenyl; R 2 is F; R 3 is methoxy; R 4 is methyl; R 5 is methyl; R 6 is methyl; R 7 is H; R 8 is H; R 9 is H; R 10 is
• W, Y, and Z are each C-H; and R la is H such that the compound has the formula
• the compound has the formula IB as shown below where the variables shown in formula IB have the same definitions as described above with respect to the compound and embodiments having the formula I:
• the compound of formula I is a compound of formula II or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a tautomer or a pharmaceutically acceptable salt, solvate, stereoisomer, or prodrug thereof; or a mixture thereof.
• the compound of formula II has the following structure:
• the compound of formula I is selected from
• the compound exists as a single enantiomer whereas in other embodiments, the compound is a mixture of enantiomers of the compounds shown above.
• the compound of formula I is selected from
• the compound is selected from any of those in Table 1.
• the compound of any of the embodiments is a salt.
• the compound of any of the embodiments is a prodrug.
• the prodrug is a Ci-C 6 alkyl ester such as a methyl, ethyl, propyl, butyl, isopropyl, pentyl, or hexyl ester.
• the ester is a methyl or ethyl ester.
• the compound comprises a stereomerically pure S-enantiomer. In other embodiments, the compound comprises a stereomerically pure R-enantiomer. In yet other embodiments, the compound comprises a mixture of S- and R-enantiomers.
• the invention provides pharmaceutical compositions comprising a pharmaceutically acceptable carrier, diluent, or excipient, and a compound of any of the embodiments of the invention.
• the compounds of the invention can be prepared by a variety of synthetic or semisynthetic techniques.
• protecting groups may be necessary for the preparation of certain compounds and will be aware of those conditions compatible with a selected protecting group.
• protecting groups include, for example, those set forth in Protective Groups in Organic Synthesis, Greene, T. W.; Wuts, P. G. M., John Wiley & Sons, New York, N.Y., (3rd Edition, 1999). Accordingly, the exemplary methods and the examples described herein are illustrative of the present invention and are not to be construed as limiting the scope thereof.
• compositions suitable for pharmaceutical use comprising one or more compounds of the invention and a pharmaceutically acceptable carrier, excipient, or diluent.
• composition as used herein is intended to encompass a product comprising the specified ingredients (and in the specified amounts, if indicated), as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
• pharmaceutically acceptable it is meant that the carrier, excipient, or diluent is compatible with the other ingredients of the formulation and is not deleterious to the recipient thereof.
• composition formulation may improve one or more pharmacokinetic properties (e.g., oral bioavailability, membrane permeability) of a compound of the invention (herein referred to as the active ingredient).
• the pharmaceutical compositions for the administration of the compounds of this invention may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art. All methods include the step of bringing the active ingredient into association with the carrier which constitutes one or more accessory ingredients.
• the pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation.
• the active object compound is included in an amount sufficient to produce the desired effect upon the process or condition of diseases.
• compositions containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs.
• Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions. Such compositions may contain one or more agents selected from sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets contain the active ingredient in admixture with other non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets.
• excipients may be, for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid, or talc.
• the tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
• a time delay material such as glyceryl monostearate or glyceryl distearate may be employed. They may also be coated by the techniques described in U.S. Patent Nos. 4,256,108, 4,160,452, and 4,265,874 to form osmotic therapeutic tablets for control release.
• Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate, or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin, or olive oil.
• an inert solid diluent for example, calcium carbonate, calcium phosphate, or kaolin
• water or an oil medium for example peanut oil, liquid paraffin, or olive oil.
• Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions.
• excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxy-propylmethylcellulose, sodium alginate, polyvinylpyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxy-ethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan
• the aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl, p-hydroxybenzoate, one or more coloring agents, one or more flavoring agents, and one or more sweetening agents, such as sucrose or saccharin.
• preservatives for example ethyl, or n-propyl, p-hydroxybenzoate
• coloring agents for example ethyl, or n-propyl, p-hydroxybenzoate
• coloring agents for example ethyl, or n-propyl, p-hydroxybenzoate
• flavoring agents for example ethyl, or n-propyl, p-hydroxybenzoate
• sweetening agents such as sucrose or saccharin.
• Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil, or coconut oil, or in a mineral oil such as liquid paraffin.
• the oily suspensions may contain a thickening agent, for example beeswax, hard paraffin, or cetyl alcohol. Sweetening agents such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation. These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.
• Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavoring and coloring agents, may also be present.
• the pharmaceutical compositions of the invention may also be in the form of oil-in-water emulsions.
• the oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these.
• Suitable emulsifying agents may be naturally-occurring gums, for example gum acacia or gum tragacanth, naturally-occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, for example sorbitan monooleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate.
• the emulsions may also contain sweetening and flavoring agents.
• Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative, and flavoring and coloring agents.
• the pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above.
• the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally acceptable diluent or solvent, for example as a solution in 1,3-butane diol.
• Suitable vehicles and solvents that may be employed are water, Ringer's solution, and isotonic sodium chloride solution.
• sterile, fixed oils are conventionally employed as a solvent or suspending medium.
• any bland fixed oil may be employed including synthetic mono- or diglycerides.
• fatty acids such as oleic acid find use in the preparation of injectables.
• compositions may also be administered in the form of suppositories for rectal administration of the drug.
• These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug.
• suitable non-irritating excipient include, for example, cocoa butter and polyethylene glycols.
• suitable non-irritating excipient include, for example, cocoa butter and polyethylene glycols.
• suitable non-irritating excipient include, for example, cocoa butter and polyethylene glycols.
• creams, ointments, jellies, solutions, or suspensions, etc. containing the compounds of the invention are employed.
• topical application is also meant to include the use of mouthwashes and gargles.
• compositions and methods of the invention may further comprise other therapeutically active compounds, as noted herein, useful in the treatment of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglyceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer and edema.
• other therapeutically active compounds as noted herein, useful in the treatment of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglyceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis,
• the invention provides methods of treating or preventing a disease or condition selected from the group consisting of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer and edema, comprising administering to a subject in need thereof a therapeutically effective amount of a compound or composition of the invention.
• a disease or condition selected from the group consisting of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, metabolic syndrome,
• the disease or condition is type II diabetes.
• the present invention provides a method for treating a disease or condition responsive to the modulation of GPR40 comprising administering to a subject in need thereof a therapeutically effective amount of a compound or composition of the invention.
• the disease or condition is selected from the group consisting of type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer and edema.
• the disease or condition is type II diabetes.
• the disease or condition is obesity.
• the disease or condition is hypertension.
• the compound or composition is administered orally.
• the compound or composition is administered parenterally.
• the compound or composition is administered in combination with a second therapeutic agent.
• the second therapeutic agent is an insulin sensitizing agent, such as metformin or a thiazolidinedione, for example.
• the invention provides methods of treating or preventing a disease or disorder responsive to modulation of GPR40 comprising administering to a subject having such a disease or disorder, a therapeutically effective amount of one or more of the subject compounds or compositions.
• the invention provides methods of treating or preventing a GPR40-mediated condition, disease or disorder comprising administering to a subject having such a condition, disease or disorder, a therapeutically effective amount of one or more of the subject compounds or compositions.
• the invention provides methods of modulating GPR40 comprising contacting a cell with one or more of the subject compounds or compositions.
• a cell that constitutively expresses GPR40 is contacted with one or more of the subject compounds or compositions.
• a cell to be contacted can be made to express or overexpress GPR40, for example, by expressing GPR40 from heterologous nucleic acid introduced into the cell or, as another example, by upregulating the expression of GPR40 from nucleic acid endogenous to the cell.
• the compounds of the invention may be administered by oral, parenteral (e.g., intramuscular, intraperitoneal, intravenous, ICV, intracisternal injection or infusion, subcutaneous injection or implant), inhalation, nasal, vaginal, rectal, sublingual, or topical (e.g., transdermal, local) routes of administration and may be formulated, alone or together, in suitable dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles appropriate for each route of administration.
• the invention also contemplates administration of the compounds of the invention in a depot formulation, in which the active ingredient is released over a defined time period.
• an appropriate dosage level will generally be about 0.001 to 100 mg per kg patient body weight per day which can be administered in single or multiple doses.
• the dosage level will be about 0.01 to about 25 mg/kg per day; more preferably about 0.05 to about 10 mg/kg per day.
• a suitable dosage level may be about 0.01 to 25 mg/kg per day, about 0.05 to 10 mg/kg per day, or about 0.1 to 5 mg/kg per day. Within this range, the dosage may be 0.005 to 0.05, 0.05 to 0.5 or 0.5 to 5.0 mg/kg per day.
• the compositions are preferably provided in the form of tablets containing from 1.0 to 1000 milligrams of the active ingredient, particularly 1.0,3.0, 5.0, 10.0, 15.0.
• the compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.
• the compounds of the invention can be combined or used in combination with other agents useful in the treatment, prevention, suppression or amelioration of the diseases or conditions for which compounds of the invention are useful, including type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia, dyslipidemia, metabolic syndrome, syndrome X, cardiovascular disease, atherosclerosis, kidney disease, ketoacidosis, thrombotic disorders, nephropathy, diabetic neuropathy, diabetic retinopathy, sexual dysfunction, dermatopathy, dyspepsia, hypoglycemia, cancer and edema.
• agents useful in the treatment, prevention, suppression or amelioration of the diseases or conditions for which compounds of the invention are useful including type II diabetes, obesity, hyperglycemia, glucose intolerance, insulin resistance, hyperinsulinemia, hypercholesterolemia, hypertension, hyperlipoproteinemia, hyperlipidemia, hypertriglylceridemia,
• Such other agents, or drugs may be administered, by a route and in an amount commonly used therefore, simultaneously or sequentially with a compound of the invention.
• a pharmaceutical composition containing such other drugs in addition to the compound of the invention is preferred.
• the pharmaceutical compositions of the invention include those that also contain one or more other active ingredients or therapeutic agents, in addition to a compound of the invention.
• therapeutic compositions that include a compound of the invention and a second therapeutic agent as a combined preparation for simultaneous, separate or sequential use in the treatment of a subject with a disease or condition mediated by GPR40.
• therapeutic compositions are provided that include a compound of the invention and a second therapeutic agent as a combined preparation for simultaneous, separate or sequential use in the prophylactic treatment of a subject at risk for a disease or condition mediated by GPR40.
• the components are provided as a single composition.
• the compound and the second therapeutic agent are provided separately as parts of a kit.
• Examples of other therapeutic agents that may be combined with a compound of the invention, either administered separately or in the same pharmaceutical compositions, include, but are not limited to: (a) cholesterol lowering agents such as HMG-CoA reductase inhibitors (e.g., lovastatin, simvastatin, pravastatin, fluvastatin, atorvastatin and other statins), bile acid sequestrants (e.g., cholestyramine and colestipol), vitamin B 3 (also known as nicotinic acid, or niacin), vitamin B 6 (pyridoxine), vitamin Bi 2 (cyanocobalamin), fibric acid derivatives (e.g., gemfibrozil, clofibrate, fenofibrate and benzafibrate), probucol, nitroglycerin, and inhibitors of cholesterol absorption (e.g., beta- sitosterol and acylCoA-cholesterol acyltransferase (
• the weight ratio of the compound of the invention to the second active ingredient may be varied and will depend upon the effective dose of each ingredient. Generally, an effective dose of each will be used. Combinations of a compound of the invention and other active ingredients will generally also be within the aforementioned range, but in each case, an effective dose of each active ingredient should be used.
• the present invention provides a method for modulating circulating insulin concentration in a subject, comprising administering a compound or composition of the invention. [0146] In some embodiments, the insulin concentration is increased.
• the insulin concentration is decreased.
• Compound B.I was prepared by a method based on that reported in Biochemistry 1989, 28, 3833-3842. To stirred solution of phenol B.I (1.Og, 4.6 mmol, 1 eq., MW 218.25) in DCM at 23 0 C was added 3,4-dihydro-2H- pyran (839 ⁇ L, 9.2 mmol, 2 eq., MW 84.12) followed by PPTS (catalytic, MW 251.31). The resulting mixture was stirred for 16 hours and concentrated in vacuo.
• the mixture was heated at 100 0 C and monitored with TLC. After 17 hours, the reaction was cooled to room temperature then partitioned between EtOAc and water. The aqueous layer was further extracted with EtOAc (2 x 20 mL). The organic layers were combined, washed with brine, and dried over anhydrous magnesium sulfate. The magnesium sulfate was removed by filtering, and the organic phase was concentrated under reduced pressure.
• the mixture was stirred at room temperature for 5 minutes and then heated to 88 °C and monitored with TLC. After 4 hours, the reaction was cooled to room temperature and diluted with EtOAc. The mixture was then filtered through a pad of silica gel (eluting with EtOAc) and concentrated under reduced pressure.
• racemic mixture thus obtained is separated using chiral HPLC by methods known to those skilled in the art to provide 14.2 and 14.3. It is believed that 14.2 and 14.3 have the stereochemistry shown, but this could be incorrect. Therefore, the stereochemistry of the products and intermediates shown in Examples 14, 16, 45, and 46 could be the opposite of that shown. However, both 14.2 and 14.3 were used to generate these Example compounds so both enantiomers were synthesized.
• B.I was prepared by a method based on the procedure reported in Biochemistry 1989, 28, 3833-3842.
• B.I (5.0 g, 23 mmol) was dissolved in 100 mL of EtOAc, and 2 mL of quinoline (129.16 MW, 1.093 g/mL, 16.93 mmol) was added. Nitrogen was bubbled through the solution for 5 minutes. Lindlar's catalyst (500 mg) was added, and a hydrogen balloon was attached. After 8 hours, the mixture was filtered through a plug of silica with EtOAc.
• Compound 20.1 was prepared by a method based on that reported in Biochemistry 1989, 28, 3833-3842.
• Compound 20.1 (5.0 g, 23 mmol) was dissolved in EtOAc (100 mL)and quinoline (2 mL, 129.16 MW, 1.093 g/mL, 16.93 mmol) was added. Nitrogen was bubbled through the solution for 5 minutes. Lindlar's catalyst (500 mg) was added, and a hydrogen balloon was attached. After 8 hours, the mixture was filtered through a plug of silica with EtOAc.
• the reaction mixture was poured into water (50.0 mL) and extracted with EtOAc (100.0 mL), and the organic layer was washed with water (3 x 30 mL) and brine (30 mL), and dried with MgSO 4 .
• the crude product was recrystalized with hexane/EtOAc (98/2) to the title compound 23.1.
• the resulting mixture was stirred at -78 0 C for 0.5 hours, and then iodomethane (1.11 mL, 17.80 mmol) was added to the mixture.
• the reaction mixture was stirred at -78°C for 0.6 hours.
• the reaction mixture was maintained at -78 0 C and lithium diisopropylamide (8.0 mL, 2 M in heptane/THF/ ethylbenzene) was added slowly at -78 0 C.
• the resulting mixture was stirred at -78 0 C for 10 minutes, n- Butyllithium (7.2 mL, 2.5 M in hexane) was then added.
• the reaction mixture was then stirred for 20 minutes at -78 0 C.
• Ethyl (5 ⁇ )-3-(4-hydroxyphenyl)-4-pentenoate (36.1).
• a 50 mL flask containing a solution of 20.1 (0.15 g, 0.68 mmol) in EtOAc (10 mL) was purged with N 2 , and to it was added palladium, 10 wt. % (dry), on carbon powder, wet (0.145 g, 0.136 mmol).
• the vial was then purged with H 2 and the contents stirred overnight under a H 2 balloon.
• the black mixture was filtered through a pad of celite and concentrated to afford a pink oil.
• the product thus obtained was purified by silica gel chromatography (0 to 10% EtOAc/ hexanes) yielding 36.1 (0.148 g, 97.8% yield).
• Ethyl 3-(4-aminophenyl)propanoate (47.2).
• Compounds 48-62 are prepared by reacting compound 13.5 with the appropriate phenol using the methods and compounds described herein.
• CHO cells were stably transfected with both GPR40 and Aequorin (Euroscreen). Cells were detached from the tissue culture dish with 2 mL of trypsin (0.25%(w/v)). Trypsinization was halted with 28 mL of Hanks Buffered Salt Solution containing 20 mM Hepes (H/HBSS) and 0.01% fatty acid- free human serum albumin (HSA). Coelantrazine is added to 1 ug/mL, and the cells were incubated for 2 hours at room temperature. Compounds were dissolved in DMSO for preparation of 10 mM stock solutions. Compounds were diluted in H/HBSS containing 0.01% HSA. Serial dilutions of the test compounds were prepared to determine dose response.
• Table 1 presents representative data (EC 5 0 values) obtained for exemplary compounds of the invention for the activation of human GPR40.
• CHO cells were plated in 15 cm plates containing 6 million cells/plate in DMEM/F12 containing 10% FBS. The following day, cells were transfected with 1 ⁇ g of GPR40 expression plasmid, 4 ⁇ g of NFAT-luciferase reporter plasmid and 16 ug of pcDNA3.1 complexed with 60 ⁇ L of Lipofectamine 2000. Sixteen to twenty-four hours post-transfection, cells were washed with PBS and detached from the plate with 2 mL of trypsin (0.25%(w/v)).
• the NFAT assay described above is carried out in the presence of the full physiological concentration of human serum albumin (HSA).
• HSA human serum albumin
• Fatty acids, the putative physiological ligands for GPR40 are highly bound by HSA with only low nanomolar concentrations present in the free state (Kleinfeld, J. Lipid Res., 1995, 36, 229-240) despite total plasma fatty acid concentrations up to the millimolar range.
• Compounds of the invention are characterized by a carboxylic acid and a lipophilic moiety.
• the present invention provides the ⁇ S-enantiomers, the ⁇ -enantiomers, and mixtures of both S-enantiomers and R- enantiomers including racemates of each compound prepared according to the synthetic methods described herein or adapted with the necessary minor modifications from these methods.
• Human islets are isolated from cadaveric donors. Islets are treated with trypsin (0.25%(w/v) and cells are seeded in 96-well plates containing 3,000 cells per well. Cells are cultured in Roswell Park Memorial Institute (RMPI) media containing 10% fetal bovine serum.
• RMPI Roswell Park Memorial Institute
• C57/B16 mice are euthanized with carbon dioxide gas.
• the pancreatic bile duct is clamped proximal to the duodenum and then cannulated.
• H/HBSS containing 0.75 mg/mL collagenase XI (Sigma) is then infused into the pancreas through the cannula.
• the pancreas is excised and then incubated at 37°C for 13 minutes to complete enzymatic digestion.
• the collagenase digestion is quenched in H/HBSS containing 1% BSA and washed once in the same buffer.
• Islets can be purified using density gradient centrifugation using Histopaque (Sigma) and are hand- picked under a stereomicroscope.
• RMPI fetal bovine serum
• beta- mercaptoethanol 50 uM beta- mercaptoethanol

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