WO2009010480A1 - 1-{2-[(diphenyl)amino]-ethyl}-piperidine-4-carboxylic acid benzylamide derivatives and related compounds as ccr5 agonists for the treatment of immune and inflammatory diseases - Google Patents

1-{2-[(diphenyl)amino]-ethyl}-piperidine-4-carboxylic acid benzylamide derivatives and related compounds as ccr5 agonists for the treatment of immune and inflammatory diseases Download PDF

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WO2009010480A1
WO2009010480A1 PCT/EP2008/059139 EP2008059139W WO2009010480A1 WO 2009010480 A1 WO2009010480 A1 WO 2009010480A1 EP 2008059139 W EP2008059139 W EP 2008059139W WO 2009010480 A1 WO2009010480 A1 WO 2009010480A1
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alkyl
group
pharmaceutically acceptable
solvate
aryl
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PCT/EP2008/059139
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French (fr)
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Jacques Huck
Frédéric OOMS
Julien Parcq
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Euroscreen S.A.
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D211/00Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
    • C07D211/04Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
    • C07D211/06Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
    • C07D211/36Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D211/60Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals
    • C07D211/62Carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals attached in position 4
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/06Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D405/00Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
    • C07D405/02Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
    • C07D405/12Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D409/00Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms
    • C07D409/02Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
    • C07D409/12Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links

Definitions

  • the present invention relates to pharmaceutically active piperidine derivatives and their use as agonists of CC chemokine receptor activity, more specifically of CCR5 activity.
  • Chemokines are chemotactic cytokines which play an important role in immune and inflammatory responses.
  • the Chemokines comprise a large family of proteins which have common important structural features and which have the ability to attrack leukocytes .
  • the chemokine family is devided into two main groups exhibiting characteristic structural motifs, the Cys-X-Cys (CXC) and Cys-Cys (CC) subfamilies .
  • CC chemokine receptors are integral membrane proteins that specifically bind and respond to cytokines of the CC chemokine family. They represent one subfamily of chemokine receptors, a large family of G protein-linked receptors that are known as seven transmembrane (7-TM) proteins since they span the cell membrane seven times. To date, ten true members of the CC chemokine receptor subfamily have been described. These are named CCRl to CCRlO according to the IUIS/WHO Subcommittee on Chemokine Nomenclature.
  • CCR5 is defined as a major co-receptor implicated in susceptibility to HIV-I infection and disease.
  • CCR5 is a receptor expressed on several cell types including T- lymphocytes, peripheral blood-derived dendritic cells, CD34+ hematopoietic progenitor cells and certain activated/memory ThI lymphocytes .
  • WO0276948 describe compounds having activity as pharmaceuticals, in particular as modulators (such as agonists, partial agonists, inverse agonists or antagonists) of chemokine receptor (especially CCR5) activity.
  • This invention proposes alternative compounds having activity as pharmaceuticals, in particular as modulators (such as agonists, partial agonists, inverse agonists or antagonists) of chemokine receptor
  • the invention encompasses compounds of general Formula I and methods of use of such compounds or compositions comprising such compounds as modulators of chemokine receptor activity.
  • the invention provides compounds of general formula I :
  • A is -CH2-CH 2 - or absent
  • R 1 and R 2 independently are H, halo, optionally substituted alkyl, aryl, heteroaryl, cycloalkyl, cycloalkylalkyl , heterocyclyl;
  • R 3 and R 4 independently are a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, cycloalkylalkyl, alkenyl, alkynyl , heteroalkyl, heterocyclyl, heterocyclylalkyl , aryl, aralkyl, heteroaryl, heteroarylalkyl, hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl , haloalkylthio, acyl , thioacyl, aroyl, amino, alkylamino, aminoalkyl, carboxy, alk
  • L 1 is NRCO, NRSO 2 , CO, CONR, CONRCH 2 , CH 2 CO, COCH 2 CH 2 CH 2 CO, CH 2 COCH 2 , COCH 2 CH 2 , SO 2 , SO 2 NR, SO 2 CH 2 , SO 2 CH 2 CH 2 , a single bond or a group selected from C 1 -C 3 alkylene, C 2 -C 4 alkenylene and C2-C 4 alkynylene, each group being optionally substituted with one or more substituent (s) selected from alkyl, aryl , heteroaryl, halo, alkylcarbonyl , alkylamino, alkoxy, alkylcarbonylamino, and alkylcarbonylalkyl, wherein R is hydrogen or C 1 -C 6 alkyl ;
  • X is CR 6 or N
  • R 5 is selected from NR 7 (L 2 -R 8 ), O(L 2 -R 8 ), and CR 7 R 9 (L 2 -R 8 ) ;
  • R 6 is selected from hydrogen, hydroxyl, halo, C 1 -C 6 alkyl, cyano, alkoxy, allyl, COOH, and COOR, wherein R is selected from C 1 -C3 alkyl, and CONR'R'', wherein R' and R'' independently are selected from C 1 -C 3 alkyl, with the proviso that CONR'R'' is not CON(Me) 2 ;
  • R 7 and R 9 independently are selected from hydrogen, C 1 -C 4 alkyl, allyl, propargyl , -CH 2 -CH 2 -OH, -CH 2 -CH 2 -CH 2 -OH, cyclopropyl, eye1opropylmethyl , aryl, and heteroaryl;
  • L 2 is a single bond or C 1 -C 4 alkylene, optionally substituted by one or more substituent (s) selected from halo, oxo, cyano, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, and alkoxy, or L 2 is CR a R b , wherein R a and R b form together with the carbon to which they are attached a carbocycle having 3 to 6 ring atoms,-
  • R 8 is a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl , each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, cycloalkylalkyl, alkenyl, alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl, aryl, aralkyl, heteroaryl, heteroarylalkyl , hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl, thioacyl, aroyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl ,
  • R 7 and L 2 -R 8 form together with the carbon or the nitrogen atom to which they are connected a 5 to 8 membered saturated, unsaturated or aromatic cycle, which cycle is optionally substituted by one or more groups selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, cycloalkylalkyl , alkenyl , alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl , aryl, aralkyl, heteroaryl, heteroarylalkyl, hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl,
  • the invention also relates to the use of the above compounds or their pharmaceutically acceptable salts and solvates as modulators of CCR5, preferably as antagonists or agonists of CCR5, and even more preferably as agonists of CCR5.
  • the invention further provides methods for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative, hyperprolifeartive diseases, or immunologicalIy- mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) .
  • autoimmune, inflammatory, infectious, proliferative, hyperprolifeartive diseases or immunologicalIy- mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) .
  • AIDS Acquired Immunodeficiency Syndrome
  • the invention relates to compounds of formula I, as well as their pharmaceutically acceptable salts and solvates .
  • Preferred compounds of formula I and pharmaceutically acceptable salts and solvates thereof are those wherein
  • R 3 , R 4 , R 8 , and L 1 are as defined above in respect of general formula I ;
  • A is absent
  • R 1 and R 2 independently are hydrogen, halo, or C 1 -C 4 alkyl ; preferably hydrogen or methyl;
  • X is CH, C(OH), C(CN), or N, preferably CH or N;
  • R s is NH(L 2 -R 8 ); wherein L 2 and R 8 are as defined above, preferably L 2 is a single bond or methylene or ethylene, optionally substituted by one or more substituent (s) selected from halo, oxo, cyano, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, and alkoxy, and R 8 is as defined above .
  • A is absent
  • R 1 is hydrogen
  • R 2 is hydrogen or C 1 -C 4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably methyl;
  • X is CH or N
  • R 3 and R 4 are as defined above in respect of general formula I;
  • R 5 is NH (L 2 -R 8 ) ;
  • L 2 and R 8 are defined as above in respect of general formula I .
  • preferred compounds of Formula I are those of formula Ia:
  • R 1 , R 2 , R 3 , R 4 , R 5 , L 1 , and X are as defined above in respect of formula I.
  • Preferred compounds of formula Ia are those wherein
  • R x is hydrogen
  • R 2 is hydrogen or C 1 -C 4 alkyl , preferably hydrogen, methyl or ethyl, and even more preferably hydrogen or methyl;
  • X is CH, C(OH), C(CN), or N, preferably CH or N;
  • R 5 is NR 7 (L 2 -R 8 ), wherein R 7 , L 2 , and R 8 are defined as above in respect of formula I, preferably R 5 is NH(L 2 - R 8 ) , wherein L 2 and R 8 are as defined above in respect of formula I.
  • preferred compounds of formula I are those of formula Ib:
  • R 1 , R 2 , R 3 , R 4 , R 8 , X and L 1 are defined as above in respect of formula I.
  • Preferred compounds of formula Ib are those wherein
  • R 1 is hydrogen
  • R 2 is hydrogen or C 1 -C 4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably hydrogen or methyl ;
  • X is CH, C(OH), C(CN), or N, preferably CH or N;
  • L 1 is CO, C 1 -C 4 alkyl, or a single bond, preferably CO, methyl, ethyl, or a single bond, even more preferably CO, methyl, or a single bond;
  • R 3 and R 4 are as defined above in respect of formula I, preferably they independently are a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl , piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl, pyrrolyl, thiophenyl , cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxy
  • R 8 is as defined above in respect of formula I, preferably it is a group selected from phenyl, pyridinyl , pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl , tetrahydrofuranyl , tetrahydrothiopyryl , tetrahydrothiophenyl, furanyl, pyrrolyl, thiphenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, alkynyl, hydroxyl, alkoxy,
  • preferred compounds of formula I are those of formula Ic:
  • R 1 , R 2 , R 3 , R 4 , X, and L 1 are as defined above in respect of formula I;
  • R a R b and R c independently are absent or a group selected from OR' , C 1 -C 4 alkyl, NO 2 , Cl, F, OCF 3 , CF 3 , CN, COR', COCF 3 , SO 2 R', SO 2 CF 3 , SO 2 NR'R' ', COOR', CONR'R' ' , NR' SO 2 R' ' NR'COR' ' wherein R' and R " independently are selected from hydrogen or C 1 -C 4 alkyl .
  • Preferred compounds of formula Ic are those wherein
  • R 1 is hydrogen
  • R 2 is hydrogen or C 1 -C 4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably hydrogen;
  • X is CH, C(OH), C(CN), or N, preferably CH or N;
  • L 1 is CO, C 1 -C 4 alkyl, or a single bond, preferably CO, methyl, ethyl, or a single bond, even more preferably CO, methyl, or a single bond;
  • R 3 and R 4 are as defined above in respect of formula I, preferably they independently are a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl , imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl, tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl, pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalky
  • R a , R b , and R c are as defined above.
  • preferred compounds of formula I are those of formula Id:
  • R 2 is hydrogen or methyl
  • X is CH, C(OH), C(CN), or N, preferably CH or N;
  • L 1 is CO, C 1 -C 4 alkyl , or a single bond, preferably CO, methyl, ethyl, or a single bond, even more preferably CO, methyl, or a single bond;
  • R 3 is as defined above in respect of formula I, preferably independently is a group selected from phenyl, pyridinyl, pyrrolyl , pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl, tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl , pyrrolyl , thiophenyl , eye1opentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl
  • R 5 is as defined above in respect of formula I, preferably R 5 is -NH(L 2 R 8 ), wherein L 2 and R 8 are as defined above in respect of formula I, L 2 is preferably -CH2- ; and R 8 is as defined above in respect of formula I, preferably it is a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl , tetrahyd.rofuranyl, tetrahydrothiopyryl , tetrahydrothiophenyl, furanyl, pyrrolyl, thiphenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent
  • preferred compounds of formula I are those of formula Ie-.
  • R a , R b , R c and R d indep endently are absent or a group selected from OR' , C 1 -C 4 alkyl, NO 2 , Cl, F, OCF 3 , CF 3 , CN, COR', COCF 3 , SO 2 R', SO 2 CF 3 , SO 2 NR'R'', COOR', CONR'R'', NR'S0 2 R'', NR'COR'' wherein R' and R'' independently are selected from hydrogen or C 1 -C 4 alkyl;
  • X is CH, C(OH), C(CN), or N, preferably CH or N, and even more preferably CH; and R 5 is as defined above in respect of Formula I, preferably R 5 is -NH(L 2 R 8 ), wherein L 2 and R 8 are as defined above in respect of Formula I, L 2 is preferably -CH 2 - .
  • the invention further provides the use of the compounds of the invention or pharmaceutically acceptable salts or solvates thereof as modulators of chemokine receptor activity, especially as modulators of CCR5 activity.
  • the compounds of Formula I or pharmaceutically acceptable salts or solvates thereof are used as CCR5 antagonists or CCR5 agonists.
  • the administration of agonists only may be advantageous in comparison with the antagonist approach because a CCR5- agonist may reduce the generation of certain types of
  • HIV variants Indeed, agonist molecules will promote
  • CCR5 receptor disappearance from the cell surface by inducing its internalization. This would prevent the emergence of variants of the type able to bind the antagonist-bound CCR5, as previously observed for example with the small molecule antagonist Maraviroc
  • the invention relates to the use of compounds of formula I, Ia, Ib, Ic, Id, and Ie or pharmaceutically acceptable salts or solvates thereof, as CCR5 agonists.
  • Examples of such compounds are represented in table 2
  • the invention further provides methods for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative or hyperprolifeartive diseases, or immunologicalIy- mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) ; examples of these conditions are:
  • obstructive diseases of airways including: chronic obstructive pulmonary disease (COPD) (such as irreversible COPD); pulmonary fibrosis; asthma ⁇ such as bronchial, allergic, intrinsic, extrinsic or dust asthma, particularly chronic or inveterate asthma (for example late asthma or airways hyper- responsiveness) ⁇ ; bronchitis ⁇ such as eosinophilic bronchitis ⁇ ; acute, allergic, atrophic rhinitis or chronic rhinitis including rhinitis caseosa, hypertonic rhinitis, rhinitis purulenta, rhinitis sicca or rhinitis medicamentosa; membranous rhinitis including croupous, fibrinous or pseudomembranous rhinitis or scrofoulous rhinitis; seasonal rhinitis including rhinitis nervosa (hay fever) or vasomotor rhinitis;
  • COPD chronic
  • arthrides including rheumatic, infectious, autoimmune, seronegative spondyloarthropathies (such as ankylosing spondylitis, psoriatic arthritis or Reiter's disease), Behget's disease, Sjogren's syndrome or systematic sclerosis;
  • A (gastrointestinal tract) Coeliac disease, proctitis, eosinophilic gastro-enteritis, mastocytosis, Crohn's disease, ulcerative colitis, irritable bowel disease or food-related allergies which have effects remote from the gut (for example migraine, rhinitis or eczema) ;
  • (6) Alzheimer's disease, multiple sclerosis, atherosclerosis, inhibiting the entry of viruses into target cells, Acquired Immunodeficiency Symdrome (AIDS) , Lupus disorders (such us lupus erythematosus or systemic lupus), erythematosus, Hashimoto's thyroiditis, myasthenia gravis, type I diabetes, nephrotic syndrome, eosinophilia fascitis, hyper IgE syndrome, leprosy (such as lepromatous leprosy) , Peridontal disease, Sezary syndrome, idiopathic thrombocytopenia pupura, disorders of the menstrual cycle, glomerulonephritis or cerebral malaria, acute and chronic hepatitis B Virus (HBV) and HCV infection.
  • AIDS Acquired Immunodeficiency Symdrome
  • AIDS Acquired Immunodeficiency Symdrome
  • Lupus disorders such us lupus ery
  • the treatment or prevention of these diseases comprises the administration of a therapeutically effective amount of a compound or pharmaceutically acceptable salt or solvate of the compounds of the invention, to a patient in need thereof.
  • the patient is a warm-blooded animal, more preferably a human .
  • Preferred diseseases are AIDS (HIV-I or -2 infection) , inflammatory and immunoregulatory disorders and diseases including asthma, pulmonary emphysema, allergic diseases and graft rejection as well as autoimmune pathologies such as rheumatoid arthritis, atherosclerosis, psoriasis, systemic lupus erythematosus, ulcerative colitis, multiple sclerosis, glomerulonephritis, together with chronic obstructive pulmonary disease (COPD, including pulmonary fibrosis).
  • COPD chronic obstructive pulmonary disease
  • the disease is AIDS (HIV-I or -2 infection) .
  • the compounds of the present invention are also of value in inhibiting the entry of viruses (such as human immunodeficiency virus (HIV) ) into target cells and, therefore, are of value in the prevention of infection by viruses (such as HIV) , the treatment of infection by viruses (such as HIV) and the prevention and/or treatment of acquired immune deficiency syndrome
  • viruses such as human immunodeficiency virus (HIV)
  • HIV human immunodeficiency virus
  • a method for modulating chemokine receptor activity, especially CCR5 receptor activity, in a patient, preferably a warm blooded animal, and even more preferably a human, in need of such treatment which comprises administering to said animal an effective amount of compound of the present invention, or a pharmaceutically acceptable salt or solvate thereof.
  • the compounds of the invention may be administered as part of a combination therapy.
  • embodiments comprising coadministration of, and compositions and medicaments which contain, in addition to a compound of the present invention, a pharmaceutically acceptable salt or solvate thereof as active ingredient, additional therapeutic agents and/or active ingredients.
  • Such multiple drug regimens often referred to as combination therapy, may be used in the treatment and prevention of any of the diseases or conditions mediated by or associated with CCR5 chemokine receptor modulation, particularly infection by human immunodeficiency virus, HIV.
  • supplementary therapeutic agents used for the purpose of auxiliary treatment include drugs which, instead of directly treating or preventing a disease or condition mediated by or associated with CCR5 chemokine receptor modulation, treat diseases or conditions which directly result from or indirectly accompany the basic or underlying CCR5 chemokine receptor modulated disease or condition.
  • the basic CCR5 chemokine receptor modulated disease or condition is HIV infection and multiplication
  • Other active agents may be used with the compounds of Formula I or their pharmaceutical acceptable salts or solvates thereof, e.g., in order to provide immune stimulation or to treat pain and inflammation which accompany the initial and fundamental HIV infection.
  • the methods of treatment and pharmaceutical compositions of the present invention may employ the compounds of Formula I or their pharmaceutical acceptable salts or solvates thereof in the form of monotherapy, but said methods and compositions may also be used in the form of multiple therapy in which one or more compounds of Formula I or their pharmaceutically acceptable salts or solvates are coadministered in combination with one or more other therapeutic agents such as those described in detail further herein.
  • Preferred combinations of the present invention include simultaneous, or sequential treatments with a compound of Formula I, or a pharmaceutical acceptable salt or solvate thereof, and one or more inhibitors of HIV protease and/or inhibitors of HIV reverse transcriptase, preferably selected from the class of non-nucleoside reverse transcriptase inhibitors (NNRTI), including but not limited to nevirapine, delavirdine and efavirenz; from among the nucleoside/nucleotide inhibitors, including but not limited to zidovudine, didanosine, zalcitabine, stavudine, lamivudine, abacavir, adefovir anddipivoxil ; and from among the protease inhibitors, including but not limited to indinavir, ritonavir, saquinavir, nelfinavir, lopinavir, and amprenavir.
  • NRTI non-nucleoside reverse transcriptase inhibitors
  • agents useful in the above-described preferred embodiment combinations of the present invention include current and to-be- discoveredinvestigational drugs from any of the above classes of inhibitors, including but not limited to FTC, PMPA, fozivudinetidoxil, talviraline, S-1153, MKC- 442, MSC-204,MSH-372, DMP450, PNU-140690, ABT-378,KNI- 764, TMC120 and TMC125.
  • a compound of Formula I or a pharmaceutical acceptable salt or solvate thereof, together with a supplementary therapeutic agent used for the purpose of auxiliary treatment
  • said supplementary therapeutic agent comprises one or more members independently selected from the group consisting of proliferation inhibitors, e. g. , hydroxyurea; immunomodulators , e.g. , sargramostim, and various forms of interferon or interferon derivatives; fusion inhibitors, e. g.
  • ком ⁇ онент AMD3100, T-20, T-1249, PRO- 140, PRO-542, AD-349, BB-10010 and other chemokine receptor agonists/antagonists; tachykinin receptor modulators, e. g. NKl antagonists; integrase inhibitors, e. g. , AR177; RNaseH inhibitors; inhibitors of viral transcription and RNA replication ; and other agents that inhibit viral infection or improve the condition or outcome of HIV-infected individuals through different mechanisms.
  • tachykinin receptor modulators e. g. NKl antagonists
  • integrase inhibitors e. g. , AR177
  • RNaseH inhibitors inhibitors of viral transcription and RNA replication
  • agents that inhibit viral infection or improve the condition or outcome of HIV-infected individuals through different mechanisms.
  • Preferred methods of treatment of the present invention for the prevention of HIV infection, or treatment of aviremic and asymptomatic subjects potentially or effectively infected with HIV include but are not limited to administration of a member independently selected from the group consisting of:
  • the preferred methods of the present invention for therapy of HIV- infected individuals with detectable viremia or abnormally low CD4 counts further include as a member to be selected: (vi) treatment according to (i) above in addition to the standard recommended initial regimens for the therapy of established HIV infections.
  • standard regimens include but are not limited to an agent from the class of protease inhibitors in combination with two NRTIs; and (vii) a standard recommended initial regimens for the therapy of established HIV infections, where either the protease inhibitor component, or one or both of the NRTIs is/are replaced by a compound within the scope of Formula I as disclosed herein.
  • the preferred methods of the present invention for therapy of HIV- infected individuals that have failed antiviral therapy further include as a member to be selected: (viii) treatment according to (i) above, in addition to the standard recommended regimens for the therapy of such patients; and fix) a standard recommended initial regimens for the therapy of patients who have failed antiretroviral therapy, where either one of the protease inhibitor components, or one or both of the NRTIs is/are replaced by a compound within the scope of Formula I or a pharmaceutical acceptable salt or solvate thereof as disclosed herein.
  • Additional combinations for use according to the invention include combination of a compound of Formula I, or a pharmaceutical acceptable salt or solvate thereof with another CCR5 modulator, such as a CCR5 agonist; a CCR5 antagonist, such as N- ⁇ (IS) -3- [3- (3-isopropyl-5-methyl-4H-l, 2, 4-triazol-4-yl) -exo-8- azabicyclo [3.2.1] oct-8-yl]-1-phenylpropyl ⁇ -4,4- difluorocyclohexanecarboxamide; a CCRl antagonist, such as BX-471; a beta adrenoceptor agonist, such as salmeterol; a corticosteroid agonist, such fluticasone propionate; a LTD4 antagonist, such asmontelukast; a muscarinic antagonist, such as tiotropium bromide; a PDE4 inhibitor, such ascilomilast or roflumilast
  • adalimumab a HMG CoA reductase inhibitor
  • a statin e. g. atorvastatin
  • an immunosuppressant such as cyclosporine
  • a macrolide such as tacrolimus.
  • the compound of formula I, a pharmaceutically acceptable salt or solvate thereof and other therapeutic active agents may be administered in terms of dosage forms either separately or in conjunction with each other, and in terms of their time of administration, either serially or simultaneously.
  • the administration of one component agent may be prior to, concurrent with, or subsequent to the administration of the other component agent ( s ) .
  • the invention also provides pharmaceutical compositions comprising a compound of formula I or a pharmaceutically acceptable salt or solvate thereof and at least one pharmaceutically acceptable carrier, diluent, excipient and/or adjuvant.
  • the invention also covers pharmaceutical compositions which contain, in addition to a compound of the present invention, a pharmaceutically acceptable salt or solvate thereof as active ingredient, additional therapeutic agents and/or active ingredients.
  • Another object of this invention is a medicament comprising at least one compound of the invention, or a pharmaceutically acceptable salt or solvate thereof, as active ingredient.
  • the invention also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament.
  • the medicament is used for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative or hyperprolifeartive diseases , or immunologiaccly mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) ; examples of these conditions are: (1) (the respiratory tract) obstructive diseases of airways including: chronic obstructive pulmonary disease (COPD) (such as irreversible COPD); pulmonary fibrosis; asthma ⁇ such as bronchial, allergic, intrinsic, extrinsic or dust asthma, particularly chronic or inveterate asthma (for example late asthma or airways hyper- responsiveness) ⁇ ; bronchitis ⁇ such as eosinophilic bronchitis ⁇ ; acute, allergic, atrophic rhinitis or chronic rhinitis including rhinitis caseo
  • arthrides including rheumatic, infectious, autoimmune, seronegative spondyloarthropathies (such as ankylosing spondylitis, psoriatic arthritis or Reiter's disease), Behcet's disease, Sjogren's syndrome or systematic sclerosis;
  • (6) Alzheimer's disease, multiple sclerosis, atherosclerosis, inhibiting the entry of viruses into target cells, Acquired Immunodeficiency Symdrome (AIDS) , Lupus disorders (such us lupus erythematosus or systemic lupus), erythematosus, Hashimoto's thyroiditis, myasthenia gravis, type I diabetes, nephrotic syndrome, eosinophilia fascitis, hyper IgE syndrome, leprosy (such as lepromatous leprosy) , Peridontal disease, Sezary syndrome, idiopathic thrombocytopenia pupura, disorders of the menstrual cycle, glomerulonephritis or cerebral malaria, acute and chronic hepatitis B Virus (HBV) and HCV infection.
  • AIDS Acquired Immunodeficiency Symdrome
  • AIDS Acquired Immunodeficiency Symdrome
  • Lupus disorders such us lupus ery
  • Preferred diseseases are AIDS (HIV-I or -2 infection) , inflammatory and immunoregulatory disorders and diseases including asthma, pulmonary emphysema, allergic diseases and graft rejection as well as autoimmune pathologies such as rheumatoid arthritis, atherosclerosis, psoriasis, systemic lupus erythematosus, ulcerative colitis, multiple sclerosis, glomerulonephritis, together with chronic obstructive pulmonary disease (COPD, including pulmonary fibrosis).
  • COPD chronic obstructive pulmonary disease
  • the disease is AIDS (HIV-I or -2 infection) .
  • the invention also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for inhibiting the entry of viruses (such as human immunodeficiency virus (HIV) ) into target cells and, therefore, for the prevention of infection by viruses (such as HIV) , the treatment of infection by viruses (such as HIV) and the prevention and/or treatment of acquired immune deficiency syndrome (AIDS) .
  • viruses such as human immunodeficiency virus (HIV)
  • HIV human immunodeficiency virus
  • AIDS acquired immune deficiency syndrome
  • a compound of formula I or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for modulating chemokine receptor activity, especially CCR5 receptor activity, in a patient, in need of such treatment, which comprises administering to said patient an effective amount of compound of the present invention, or a pharmaceutically acceptable salt or solvate thereof.
  • the patient is a warm-blooded animal, more preferably a human.
  • the compounds of the invention may be used in monotherapy or in combination therapy, such as bi- or tritherapy.
  • the invention provides the use of a compound of the invention for the manufacture of a medicament for at least one of the purposes described above, wherein said medicament is administered to a patient in need thereof, preferably a warm-blodded animal, and even more preferably a human, in combination with at least one additional therapeutic agent and/or active ingredient.
  • a multiple drug regimen, possible administration regimens as well as suitable additional therapeutic agents and/or active ingredients are those described above.
  • the compounds of the inventions may be formulated as a pharmaceutical preparation comprising at least one compound of the invention and at least one pharmaceutically acceptable carrier, diluent, excipient and/or adjuvant, and optionally one or more further pharmaceutically active compounds.
  • such a formulation may be in a form suitable for oral administration, for parenteral administration (such as by intravenous, intramuscular or subcutaneous injection or intravenous infusion) , for topical administration
  • Such suitable administration forms - which may be solid, semi-solid or liquid, depending on the manner of administration - as well as methods and carriers, diluents and excipients for use in the preparation thereof, will be clear to the skilled person; reference is made to the latest edition of Remington's Pharmaceutical Sciences.
  • Such preparations include tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols, ointments, cremes , lotions, soft and hard gelatin capsules, suppositories, drops, sterile injectable solutions and sterile packaged powders (which are usually reconstituted prior to use) for administration as a bolus and/or for continuous administration, which may be formulated with carriers, excipients, and diluents that are suitable per se for such formulations, such as lactose, dextrose, sucrose, sorbitol, mannitol, starches, gum acacia, calcium phosphate, alginates, tragacanth, gelatin, calcium silicate, microcrystalline cellulose, polyvinylpyrrolidone, polyethylene glycol, cellulose, (sterile) water, methylcellulose, methyl- and prop
  • the formulations can optionally contain other substances that are commonly used in pharmaceutical formulations, such as lubricating agents, wetting agents, emulsifying and suspending agents, dispersing agents, desintegrants, bulking agents, fillers, preserving agents, sweetening agents, flavoring agents, flow regulators, release agents, etc..
  • the compositions may also be formulated so as to provide rapid, sustained or delayed release of the active compound (s) contained therein.
  • the pharmaceutical preparations of the invention are preferably in a unit dosage form, and may be suitably packaged, for example in a box, blister, vial, bottle, sachet, ampoule or in any other suitable single-dose or multi-dose holder or container (which may be properly labeled) ; optionally with one or more leaflets containing product information and/or instructions for use.
  • unit dosages will contain between 0,05 and 1000 mg, and usually between 1 and 500 mg, of the at least one compound of the invention, e.g. about 10, 25, 50, 100, 200, 300 or 400 mg per unit dosage.
  • the active compound of the invention will usually be administered between 0.01 to 100 mg per kilogram, more often between 0.1 and 50 mg, such as between 1 and 25 mg, for example about 0.5, 1, 5, 10, 15, 20 or 25 mg, per kilogram body weight day of the patient per day, which may be administered as a single daily dose, divided over one or more daily doses, or essentially continuously, e.g. using a drip infusion.
  • groups may be substituted, such groups may be substituted with one or more substituents, and preferably with one, two or three substituents.
  • Substituents may be selected from but not limited to, for example, the group comprising halogen, hydroxyl, oxo, nitro, amido, carboxy, amino, cyano haloalkoxy, and haloalkyl .
  • alkyl, aryl, or cycloalkyl each being optionally substituted with -- or "alkyl, aryl, or cycloalkyl, optionally substituted with -- encompasses “alkyl optionally substituted with?”, “aryl optionally substituted with?” and “cycloalkyl optionally substituted with?”.
  • halo or halogen means fluoro, chloro, bromo, or iodo.
  • alkyl by itself or as part of another substituent refers to a hydrocarbyl radical of
  • alkyl groups of this invention comprise from 1 to 6 carbon atoms, preferably from 1 to
  • Alkyl groups may be linear or branched and may be substituted as indicated herein.
  • Suitable alkyl groups include methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, s-butyl and t- butyl, pentyl and its isomers (e.g. n-pentyl, iso- pentyl), and hexyl and its isomers (e.g. n-hexyl, iso- hexyl) .
  • hydroxyalkyl includes but is not limited to hydroxymethyl, 1-hydroxyethyl , 2- hydroxyethyl , 1-hydroxypropyl, 2-hydroxypropyl , 2- hydroxy-2-methylethyl , 1-hydroxypropyl, 2- hydroxypropyl , 3 -hydroxypropyl , 1-hydroxybutyl , 2- hydroxybutyl , 3 -hydroxybutyl , 4-hydroxybutyl, 2- hydroxy-2-methylpropyl , 1- (hydroxymethyl) -2- methylpropyl , 1, l-dimethyl-2-hydroxyethyl, 5- hydroxypentyl , 2-methyl-3-hydroxypropyl , 3,4- dihydroxybutyl , and so forth "Alkoxyalkyl” refers to an alkyl group substituted with one to two R b , wherein R b is alkoxy as defined below.
  • heterocyclylalkyl refers to an alkyl group substituted with one to two R f , wherein R f is heterocyclyl as defined below.
  • aralkyl or “arylalkyl” refers to a substituted alkyl group as defined above wherein at least one of the alkyl substituents is an aryl as defined below, such as benzyl.
  • heteroarylalkyl refers to a substituted alkyl group as defined above, wherein at least one of the alkyl substituents is a heteroaryl as defined below, such as pyridinyl .
  • haloalkyl alone or in combination, refers to an alkyl radical having the meaning as defined above wherein one or more hydrogens are replaced with a halogen as defined above.
  • haloalkyl radicals include chloromethyl, 1-bromoethyl, fluoromethyl, difluoromethyl , trifluoromethyl, 1, 1, 1-trifluoroethyl and the like.
  • cycloalkyl as used herein is a cyclic alkyl group, that is to say, a monovalent, saturated, or unsaturated hydrocarbyl group having 1 or 2 cyclic structures.
  • Cycloalkyl includes monocyclic or bicyclic hydrocarbyl groups. Cycloalkyl groups may comprise 3 or more carbon atoms in the ring and generally, according to this invention comprise from 3 to 10, more preferably from 3 to 8 carbon atoms still more preferably from 3 to 6 carbon atoms .
  • Examples of cycloalkyl groups include but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, with cyclopropyl being particularly preferred.
  • An “optionally substituted cycloalkyl” refers to a cycloalkyl having optionally one or more substituent (s)
  • cycloalkylalkyl includes but is not limited to cyclopropylmethyl , cyclobutylmethyl, cyclopentylmethyl , cyclohexylmethyl, 1- cyclopentylethyl, 1-eyelohexylethyl, 2- cyc1opentylethyl, 2-eyelohexylethyl, cyclobutylpropyl, cyclopentylpropyl , 3-cyclopentylbutyl, cyclohexylbutyl and the like.
  • alkenyl refers to an unsaturated hydrocarbyl group, which may be linear or branched, comprising one or more carbon-carbon double bonds. Suitable alkenyl groups comprise between 2 and 6 carbon atoms, preferably between 2 and 4 carbon atoms, still more preferably between 2 and 3 carbon atoms. Examples of alkenyl groups are ethenyl, 2- propenyl , 2-butenyl, 3-butenyl, 2-pentenyl and its isomers, 2-hexenyl and its isomers, 2 , 4-pentadienyl and the like.
  • alkynyl refers to a class of monovalent unsaturated hydrocarbyl groups, wherein the unsaturation arises from the presence of one or more carbon-carbon triple bonds.
  • Alkynyl groups typically, and preferably, have the same number of carbon atoms as described above in relation to alkenyl groups.
  • Non limiting examples of alkynyl groups are ethynyl, 2-propynyl, 2-butynyl, 3-butynyl, 2-pentynyl and its isomers, 2-hexynyl and its isomers—and the like.
  • alkylene includes methylene, ethylene, methylmethylene, propylene, ethylethylene, and 1,2- dimethylethylene .
  • Cycloalkylene herein refers to a saturated homocyclic hydrocarbyl biradical of Formula C n H 2 n- 2 • Cycloalkylene groups of this invention preferably comprise the same number of carbon atoms as their cycloalkyl radical counterparts .
  • Suitable cycloalkylene groups are C 3-6 cycloalkylene group, preferably a C 3-5 cycloalkylene (i.e. 1 , 3-cyclopropylene, 1, 1-cyclopropylene, 1,1- cyclobutylene, 1,2-cyclobutylene, 1, 3-cyclopentylene, or 1 , 1-cyclopentylene) , more preferably a C 3 - 4 cycloalkylene (i.e. 1, 3-cyclopropylene, 1,1- cyclopropylene, 1, 1-cyclobutylene, 1,2-cyclobutylene).
  • heterocyclyl or “heterocyclo” as used herein by itself or as part of another group refer to non-aromatic, fully saturated or partially unsaturated cyclic groups (for example, 3 to 7 member monocyclic, 7 to 11 member bicyclic, or containing a total of 3 to 10 ring atoms) which have at least one heteroatom in at least one carbon atom-containing ring.
  • Each ring of the heterocyclic group containing a heteroatom may have 1, 2, 3 or 4 heteroatoms selected from nitrogen, oxygen and/or sulfur atoms, where the nitrogen and sulfur heteroatoms may optionally be oxidized and the nitrogen heteroatoms may optionally be quaternized.
  • the heterocyclic group may be attached at any heteroatom or carbon atom of the ring or ring system, where valence allows.
  • the rings of multi-ring heterocycles may be fused, bridged and/or joined through one or more spiro atoms.
  • Non limiting exemplary heterocyclic groups include aziridinyl, oxiranyi, thiiranyl, piperidinyl, azetidinyl, 2-imidazolinyl, pyrazolidinyl imidazolidinyl , isoxazolinyl , oxazolidinyl , isoxazolidinyl , thiazolidinyl , isothiazolidinyl , piperidinyl, succinimidyl , 3H-indolyl, indolinyl, isoindolinyl , 2H-pyrrolyl, 1-pyrrolinyl , 2-pyrrolinyl , 3-pyrrolinyl,
  • aryl refers to a polyunsaturated, aromatic hydrocarbyl group having a single ring (i.e. phenyl) or multiple aromatic rings fused together (e.g. naphtyl) or linked covalently, typically containing 5 to 12 atoms; preferably 6 to 10, wherein at least one ring is aromatic.
  • the aromatic ring may optionally include one to two additional rings (either cycloalkyl, heterocyclyl or heteroaryl) fused thereto.
  • Aryl is also intended to include the partially hydrogenated derivatives of the carbocyclic systems enumerated herein.
  • Non-limiting examples of aryl comprise phenyl, biphenylyl, biphenylenyl, 5- or 6- tetraiinyl, 1-, 2-, 3-, 4-, 5-, 6-, 7- or 8-azulenyl, naphthalen-1- or -2-yl, 4-, 5-, 6 or 7-indenyl, 1- 2-, 3-, 4- or 5-acenaphtylenyl, 3-, 4- or 5-acenaphtenyl , 1-, 2-, 3-, 4- or 10-phenanthryl , 1- or 2-pentalenyl , 4- or 5-indanyl, 5-, 6-, 7- or 8-tetrahydronaphth ⁇ l , 1 , 2 , 3 , 4-tetrahydronaphthyl , 1, 4-dihydronaphthyl, 1-, 2- , 3-, 4- or 5-pyrenyl.
  • arylene as used herein is intended to include divalent carbocyclic aromatic ring systems such as phenylene, biphenylylene, naphthylene, indenylene, pentalenylene, azulenylene and the like.
  • Arylene is also intended to include the partially hydrogenated derivatives of the carbocyclic systems enumerated above. Non-limiting examples of such partially hydrogenated derivatives are 1,2,3,4- tetrahydronaphthylene, 1, 4-dihydronaphthylene and the like.
  • heteroaryl ring where at least one carbon atom in an aryl group is replaced with a heteroatom, the resultant ring is referred to herein as a heteroaryl ring.
  • heteroaryl refers but is not limited to 5 to 12 carbon-atom aromatic rings or ring systems containing 1 to 2 rings which are fused together or linked covalently, typically containing 5 to 6 atoms; at least one of which is aromatic, in which one or more carbon atoms in one or more of these rings is replaced by oxygen, nitrogen and/or sulfur atoms where the nitrogen and sulfur heteroatoms may optionally be oxidized and the nitrogen heteroatoms may optionally be quaternized.
  • Such rings may be fused to an aryl, cycloalkyl, heteroaryl or heterocyclyl ring.
  • Non-limiting examples of such heteroaryl include: pyrroiyi, furanyi, thiophenyi, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazoiyl, thiadiazolyl , tetrazoiyl, oxatriazolyl, thiatriazolyl, pyridinyl, pyrimidyl, pyrazinyl, pyridazinyl , oxazinyl, dioxinyl, thiazinyl, triazinyl, imidazo[2 , 1-b] [1, 3] thiazolyl, thieno[3,2- b]furanyl, thleno [3 , 2-b] thiophenyl , thieno[2,3- d] [1, 3] thiazolyl, thien
  • bonds from an asymmetric carbon in compounds of the present invention may be depicted herein using a solid line ( — ) , a zigzag line ( vvvv ) , a solid wedge ( - ) , or a dotted wedge ( ) .
  • a solid or dotted wedge to depict bonds from an asymmetric carbon atoms is meant to indicate that only the stereoisomer shown is meant to be included.
  • the compounds of the invention may also contain more than one asymmetric carbon atome.
  • a solid line to depict bonds from asymmetric carbon atoms is meant to indicate that all possible stereoisomers are meant to be included, unless it is clear from the context that a specific stereoisomer is intended.
  • the compounds of the invention may be in the form of pharmaceutically acceptable salts.
  • Pharmaceutically acceptable salts of the compounds of formula I include the acid addition and base salts thereof. Suitable acid addition salts are formed from acids which form non-toxic salts. Examples include the acetate, adipate, aspartate, benzoate, besylate, bicarbonate/carbonate, bisulphate/sulphate, borate, camsylate, citrate, cyclamate, edisylate, esylate, formate, fumarate, gluceptate, gluconate, glucuronate, hexafluorophosphate, hibenzate, hydrochloride/chloride, hydrobromide/bromide, hydroiodide/iodide, isethionate, lactate, malate, maleate, malonate, mesylate, methylsulphate, naphthylate, 2-napsylate, nicotinate, nitrate, orotate, oxalate
  • Suitable base salts are formed from bases which form non-toxic salts. Examples include the aluminium, arginine, benzathine, calcium, choline, diethylamine, diolamine, glycine, lysine, magnesium, meglumine, olamine, potassium, sodium, tromethamine and zinc salts. Hemisalts of acids and bases may also be formed, for example, hemisulphate and hemicalcium salts.
  • pharmaceutically acceptable salts include hydrochloride/chloride, hydrobromide/bromide, bisulphate/sulphate, nitrate, citrate, and acetate.
  • the compounds of the invention may also form internal salts, and such compounds are within the scope of the invention.
  • the compounds of the invention contain a hydrogen- donating heteroatom (e.g. NH)
  • the invention also covers salts and/or isomers formed by transfer of said hydrogen atom to a basic group or atom within the molecule .
  • the salt may precipitate from solution and be collected by filtration or may be recovered by evaporation of the solvent.
  • the degree of ionization in the salt may vary from completely ionized to almost non-ionized.
  • 'solvate' is used herein to describe a molecular complex comprising the compound of the invention and one or more pharmaceutically acceptable solvent molecules, for example, ethanol .
  • solvent molecules for example, ethanol .
  • references to compounds of formula I include references to salts, solvates, multi- component complexes and liquid crystals thereof and to solvates, multi-component complexes and liquid crystals of salts thereof .
  • the compounds of the invention include compounds of formula I as hereinbefore defined, including all polymorphs and crystal habits thereof, prodrugs and isomers thereof (including optical, geometric and tautomeric isomers) and isotopically- labeled compounds of formula I .
  • salts of the compounds of the invention are preferred, it should be noted that the invention in its broadest sense also included non-pharmaceutically acceptable salts, which may for example be used in the isolation and/or purification of the compounds of the invention.
  • non-pharmaceutically acceptable salts which may for example be used in the isolation and/or purification of the compounds of the invention.
  • salts formed with optically active acids or bases may be used to form diastereoisomeric salts that can facilitate the separation of optically active isomers of the compounds of Formula I above.
  • the invention also generally covers all pharmaceutically acceptable predrugs and prodrugs of the compounds of Formula I .
  • pro-drug as used herein means the pharmacologically acceptable derivatives such as esters, amides and phosphates, such that the resulting in vivo biotransformation product of the derivative is the active drug. Pro-drugs are characterized by increased bio-availability and are readily metabolized into the active inhibitors in vivo.
  • pre- drug means any compound that will be modified to form a drug species, wherein the modification may take place either inside or outside of the body, and either before or after the pre-drug reaches the area of the body where administration of the drug is indicated.
  • patient refers to a warm-blooded animal, more preferably a human, who/which is awaiting or receiving medical care or is or will be the object of a medical procedure.
  • human refers to suject of both genders and at any stage of development (i.e. neonate, infant, juvenile, adolescent, adult).
  • transplant refers to the grafting, implantation or transplantation of organs, tissues, cells (e. g. , bone marrow) and/or biocompatible materials onto or into the body of an animal.
  • the term encompasses the transfer of tissues from one part of the animal's body to another part and the transfer of organs, tissues , and/or cells obtained from a donor animal (either directly or indirectly such as an organ or tissue produced in vitro by culturing cells obtained from the animal) into a recipient animal.
  • the animal is suitably a warm-blooded vertebrate, is typically a mammal, and is especially a primate (e. g. , a human) .
  • transplant rejection means any immune reaction in the recipient directed against grafted organs, tissues, cells, and/or biocompatible materials .
  • terapéuticaally effective amount means the amount of active agent or active ingredient (e. g. , chemokine receptor CCR5 modulator, i.e. a CCR5 agonist or a CCR5 antagonist, especially a CCR5 agonist) which is sufficient to achieve the desired therapeutic or prophylactic effect in the individual to which it is administered.
  • active agent or active ingredient e. g. , chemokine receptor CCR5 modulator, i.e. a CCR5 agonist or a CCR5 antagonist, especially a CCR5 agonist
  • administration means providing the active agent or active ingredient (e. g. , a CCR5 modulator) , alone or as part of a pharmaceutically acceptable composition, to the patient in whom/which the condition, symptom, or disease is to be treated or prevented.
  • active agent or active ingredient e. g. , a CCR5 modulator
  • pharmaceutically acceptable is meant that the ingredients of a pharmaceutical composition are compatible with each other and not deleterious to the recipient thereof.
  • agonist means a ligand that activates an intracellular response when it binds to a receptor.
  • An agonist according to the invention may promote internalization of a cell surface receptor such that the cell surface concentration of a receptor is decreased or remove.
  • antagonist means a ligand which competitively binds to a receptor at the same site as an agonist, but does not activate an intracellular response initiated by an active form of the receptor. An antagonist thereby inhibits the intracellular response induced by an agonist.
  • pharmaceutical vehicle means a carrier or inert medium used as solvent or diluent in which the pharmaceutically active agent is formulated and/or administered.
  • pharmaceutical vehicles include creams, gels, lotions, solutions, and liposomes. The present invention will be better understood with reference to the following examples.
  • TLC Analytical thin layer chromatography
  • HPLC-MS spectra were obtained on Waters instruments using Electropsray ionization (ESI). Samples are injected by a Waters 2767 sample manager. A Waters 2525 binary pump module is linked to a Waters 2996 photodiode array detector and a Waters micromass ZQ- 2000. The column used is a Sunfire C18 5 ⁇ ; 4.6 * 50mm. Eluent is a mixture of solution A (0.1% TFA in H 2 O) and solution B (0.1% TFA in ACN): 5% solution B for lmin, gradient from 5% solution B to 95% solution B over 4 min, 95% solution B for 0.2 min and 5% solution B for 0.8min.
  • ESI Electropsray ionization
  • Solvents, reagents and starting materials were purchased from well known chemical suppliers such as for example Sigma Aldrich, Acros Organics, Eurisotop, VWR International, Sopachem and Polymer labs and the following abbreviations are used
  • ACN Acetonitrile
  • HOBt 1-hydroxybenzotriazole
  • TEA Triethylamine
  • TBTU O- (1H-Benzotriazol-1-yl) -N, N, N' ,N' - tetramethyluronium tetrafluoroborate
  • TFA Trifluoroacetic acid
  • the resin was added to a solution of ACN (56 ml) and HCl 37% (14 ml). The mixture was stirred for 3 hours.
  • the mixture was filtered and washed 3 times with ACN.
  • the resin Amberlyst® A26(OH) (1.0 g) was added to a solution of 1- (2-diphenylamino-ethyl) -piperidine-4- carboxylic acid ethyl ester (106 mg; 0.3 mmol) in MeOH (2 ml) . The reaction mixture was stirred at room temperature overnight. The mixture was filtered and washed 3 times with MeOH and 3 times with ACN. The resin was added to a solution of ACN (1 ml) and aqueous 1 M HCl (4 ml ) . The mixture was stirred for 3 hours. The mixture was filtered and washed 3 times with ACN. The residue was evaporated under vacuum to give the title intermediate as an oil (87 mg; Y: 73%) .
  • the PL-Mukaiyama resin (from polymerlabs, ref: 3495- 1698; 1.18 mmol/g 150-300 ⁇ M) (120 mg; 0.30 mmol) was added to a solution containing 1- (3 , 3-diphenyl-propyl) - piperidine-4-carboxylic acid hydrochloride (32.3 mg; 0.1 mmol), the aniline (0.08 mmol) and TEA (0.032 ml; 0.23 mmol) in DCM (2 ml) . The reaction mixture was stirred overnight. The resin was removed by filtration and washed with DCM. The resulting mixture was concentrated under vacuum. The residue was dissolved in DCM and washed with an aqueous solution of NaHCO 3 and water.
  • Cell based assay Calcium flux. The Aequorin-based assay.
  • the aequorin assay uses the responsiveness of aequorin to intracellular calcium release induced by the activation of G Protein Coupled Receptors (Stables et al., 1997, Anal. Biochem. 252:115-126; Detheux et al . , 2000, J. Exp. Med., 192 1501-1508). Briefly, Chinese hamster ovary cells expressing the CCR5 receptor are transfected to coexpress apoaequorin and Gocl6. Cells are incubated with 5 ⁇ M Coelenterazine H (Promega) overnight at room temperature, and resuspended at a concentration of 0. Ix 10 6 cells/ml.
  • Controls include cells not expressing CCR5 in order to exclude possible non-specific effects of the test compound.
  • An agonist response is defined as an increase of light emission by aequorin corresponding to 10% or more of the light emitted by a reference sample of cells expressing CCR5 and treated with a the reference agonist ligand MlP-l ⁇ .
  • the results of the tested compounds are reported as the concentration of compound required to reach 50% (EC50) of the maximum level of light emission induced by these compounds.
  • the inhibitory activity of the compounds of the invention on HIV infection is measured on the human MAGI R5 recombinant cell line coexpressing the human CCR5 receptor and CD4 at their extracellular membrane.
  • MAGI R5 cells are plated in black view plates at 10,000 cells /well and incubated with the appropriate concentrations of the compounds of the invention during 1 hour. This is followed by a 24 hours infection period with the recombinant and non-replicative HIV virus coding for the firefly luciferase (Bona et al . , 2006, Antimicrob. Agents Chemother. 50: 3407-3417).
  • the inhibitory effect of the tested compound on virus entry in MAGI R5 cells is measured by a reduction of luciferase signal (TopCount-NXT reader (Packard) and detection luciferase kit: Steadylite HTS assay kit (Perkin Elmer) ) in the presence of the compound of the invention relative to the maximum signal obtained from cells infected with the virus without any added compound.
  • the results of the tested compounds are reported as the concentration of compound required to inhibit 50% (IC50) of the maximum luciferase signal.
  • the ability of the compounds of the invention to inhibit the binding of MlP-l ⁇ was assessed by an in vitro radioligand binding assay.
  • Membranes were prepared from Chinese hamster ovary recombinant cells which express the human CCR5 receptor. The membranes were incubated with 0.05nM 125 I- MlP-l ⁇ .in. a HEPES 25mM/ CaCl 2 5mM/MgCl2 ImM buffer and various concentrations of the compounds of the invention. The amount of iodinated MlP-l ⁇ bound to the receptor was determined after filtration by the quantification of membrane associated radioactivity using the TopCount-NXT reader (Packard) . Competition curves were obtained for compounds of the invention and the concentration of compound which displaced 50% of bound radioligand (IC50) was calculated
  • 33 and 101 have an IC50 (nM) ranging from 50 to 548 (table 14)
  • a and b activity levels in a range that do not allow the accurate calculation of EC50 or IC50 values alevel of calcium/aequorin response at a concentration of 10 ⁇ M of the compound of the invention compared to the calcium/aequorin response of MIP-l ⁇ at 10OnM blevel of inhibition of luciferase activity at a concentration of 10 ⁇ M of the compound of the invention compared to the inhibition induced by Rantes at 10OnM
  • the aequorin-based assay quantitatively determines if the compounds exhibit agonist activity by inducing activation of the CCR5 receptor.
  • the values mentioned in the Table 14 clearly indicate that this is the case. Indeed these values show that the compounds of the invention are able to activate the CCR5 receptor and therefore exhibit agonist activity.
  • the compounds of the invention are also able to protect a human recombinant cell line (MAGI R5 cell) from the infection by a recombinant HIV virus (see Table 14, column HIV- Infection assay) , which is known to correlate closely with infection of human leukocytes with pathological strains of HIV
  • MAGI R5 cell human recombinant cell line
  • Table 14, column HIV- Infection assay column HIV- Infection assay

Abstract

The present invention relates to pharmaceutically active piperidine derivatives and their use as agonists of CC chemokine receptor activity, more specifically of CCR5 activity. Chemokines are chemotactic cytokines which play an important role in immune and inflammatory responses.

Description

1-{2- [(DIPHENYL)AMINO]-ETHYL)-PIPERIDINE^-CARBOXYLIC ACID BENZYLAMIDE
DERIVATIVES AND RELATED COMPOUNDS AS CCR5 AGONISTS FOR THE TREATMENT
OF IMMUNE AND INFLAMMATORY DISEASES
The present invention relates to pharmaceutically active piperidine derivatives and their use as agonists of CC chemokine receptor activity, more specifically of CCR5 activity. Chemokines are chemotactic cytokines which play an important role in immune and inflammatory responses.
[BACKGROUND OF THE INVENTION]
The Chemokines comprise a large family of proteins which have common important structural features and which have the ability to attrack leukocytes . The chemokine family is devided into two main groups exhibiting characteristic structural motifs, the Cys-X-Cys (CXC) and Cys-Cys (CC) subfamilies .
CC chemokine receptors are integral membrane proteins that specifically bind and respond to cytokines of the CC chemokine family. They represent one subfamily of chemokine receptors, a large family of G protein-linked receptors that are known as seven transmembrane (7-TM) proteins since they span the cell membrane seven times. To date, ten true members of the CC chemokine receptor subfamily have been described. These are named CCRl to CCRlO according to the IUIS/WHO Subcommittee on Chemokine Nomenclature.
Among the CC chemokine receptors, CCR5 is defined as a major co-receptor implicated in susceptibility to HIV-I infection and disease. CCR5 is a receptor expressed on several cell types including T- lymphocytes, peripheral blood-derived dendritic cells, CD34+ hematopoietic progenitor cells and certain activated/memory ThI lymphocytes .
Because of this well-known activity as HIV-I co-receptor, antagonists for CCR5 have been developed with the aim of inhibiting CCR5-mediated HIV entry. The most advanced of these, Maraviroc, from Pfizer, is in good way to obtain the final FDA approval for entry on the market .
In the prior art, such as in WO0276948, for example, blocking this receptor with a CCR5 antagonist or inducing receptor internalization with a CCR5 agonist was considered of great interest to protect cells from viral infection by HIV-I.
WO0276948 describe compounds having activity as pharmaceuticals, in particular as modulators (such as agonists, partial agonists, inverse agonists or antagonists) of chemokine receptor (especially CCR5) activity.
This invention proposes alternative compounds having activity as pharmaceuticals, in particular as modulators (such as agonists, partial agonists, inverse agonists or antagonists) of chemokine receptor
(especially CCR5) for use in the treatment of autoimmune, inflammatory, infectious, proliferative, hyperproliferative diseases, or immunologicalIy- mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) . [SUMMARY OF THE INVENTION]
The invention encompasses compounds of general Formula I and methods of use of such compounds or compositions comprising such compounds as modulators of chemokine receptor activity.
In a general aspect, the invention provides compounds of general formula I :
Figure imgf000004_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
A is -CH2-CH2- or absent;
R1 and R2 independently are H, halo, optionally substituted alkyl, aryl, heteroaryl, cycloalkyl, cycloalkylalkyl , heterocyclyl;
R3 and R4 independently are a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, cycloalkylalkyl, alkenyl, alkynyl , heteroalkyl, heterocyclyl, heterocyclylalkyl , aryl, aralkyl, heteroaryl, heteroarylalkyl, hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl , haloalkylthio, acyl , thioacyl, aroyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl, heterocyclyloxycarbonyl , aryloxycarbonyl , heteroaryloxycarbonyl , alkylcarbonyloxy, cycloalkylcarbonyloxy, heterocyclylcarbonyloxy, arylcarbonyloxy, heteroarylcarbonyloxy, arylalkyloxy, alkylcarbonylamino , haloalkylcarbonylamino , cycloalkylcarbonylamino , heterocyclylcarbonylamino arylcarbonylamino, heteroarylcarbonylamino, alkylcarbonylaminoalkyl, acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, arylcarbamoyl, heteroarylcarbamoyl, carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl , haloalkylsulfonyl, cycloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the cycloalkyl, aryl, or heterocyclyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group, each of said groups being optionally substituted by one or more further substituent (s) selected from halo, alkoxy, alkyl, alkylamino, alkylcarbonyl , alkylheteroaryl, alkylsulfonyl, aralkyl, aryl, arylamino, aryloxy, cyano, haloalkoxy, haloalkyl, heteroaryl, heteroarylalkyl, heteroarylcarbonyl, heterocyclyl, hydroxyl, nitro, oxo, and sulfonyl; more preferably, R3 and R4 independently are a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, Cyano, SO2R, or SO2NR'R'' wherein R is an alkyl and R', R'' are H or alkyl ;
L1 is NRCO, NRSO2, CO, CONR, CONRCH2, CH2CO, COCH2 CH2CH2CO, CH2COCH2, COCH2CH2, SO2, SO2NR, SO2CH2, SO2CH2CH2, a single bond or a group selected from C1-C3 alkylene, C2-C4 alkenylene and C2-C4 alkynylene, each group being optionally substituted with one or more substituent (s) selected from alkyl, aryl , heteroaryl, halo, alkylcarbonyl , alkylamino, alkoxy, alkylcarbonylamino, and alkylcarbonylalkyl, wherein R is hydrogen or C1-C6 alkyl ;
X is CR6 or N;
R5 is selected from NR7(L2-R8), O(L2-R8), and CR7R9 (L2-R8) ;
R6 is selected from hydrogen, hydroxyl, halo, C1-C6 alkyl, cyano, alkoxy, allyl, COOH, and COOR, wherein R is selected from C1-C3 alkyl, and CONR'R'', wherein R' and R'' independently are selected from C1-C3 alkyl, with the proviso that CONR'R'' is not CON(Me)2;
R7 and R9 independently are selected from hydrogen, C1-C4 alkyl, allyl, propargyl , -CH2-CH2-OH, -CH2-CH2-CH2-OH, cyclopropyl, eye1opropylmethyl , aryl, and heteroaryl;
L2 is a single bond or C1-C4 alkylene, optionally substituted by one or more substituent (s) selected from halo, oxo, cyano, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, and alkoxy, or L2 is CRaRb, wherein Ra and Rb form together with the carbon to which they are attached a carbocycle having 3 to 6 ring atoms,-
R8 is a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl , each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, cycloalkylalkyl, alkenyl, alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl, aryl, aralkyl, heteroaryl, heteroarylalkyl , hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl, thioacyl, aroyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , heterocyclyloxycarbonyl , aryloxycarbonyl, heteroaryloxycarbonyl , alkylcarbonyloxy, cycloalkylcarbonyloxy, heterocyclylcarbonyloxy, arylcarbonyloxy, heteroarylcarbonyloxy, arylalkyloxy, alkylcarbonylamino , haloalkylcarbonylamino , cycloalkylcarbonylamino, heterocyclylcarbonylamino arylcarbonylamino, heteroarylcarbonylamino , alkylcarbonylaminoalkyl, acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, arylcarbamoyl, heteroarylcarbamoyl , carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl , haloalkylsulfonyl, cycloalkylsulfonyl , heterocyclylsulfonyl, arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the cycloalkyl, aryl, or heterocyclyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group, each of said groups being optionally substituted by one or more further substituent (s) selected from halo, alkoxy, alkyl, alkylamino, alkylcarbonyl , alkylheteroaryl , alkylsulfonyl, aralkyl, aryl , arylamino, aryloxy, cyano, haloalkoxy, haloalkyl, heteroaryl , heteroarylalkyl , heteroarylcarbonyl , heterocyclyl , hydroxyl , nitro, oxo, and sulfonyl, or
R7 and L2-R8 form together with the carbon or the nitrogen atom to which they are connected a 5 to 8 membered saturated, unsaturated or aromatic cycle, which cycle is optionally substituted by one or more groups selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, cycloalkylalkyl , alkenyl , alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl , aryl, aralkyl, heteroaryl, heteroarylalkyl, hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl, thioacyl, aroyl , amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl, heterocyclyloxycarbonyl , aryloxycarbonyl , heteroaryloxycarbonyl , alkylcarbonyloxy, cycloalkylcarbonyloxy, heterocyclylcarbonyloxy, arylcarbonyloxy, heteroarylcarbonyloxy, arylalkyloxy, alkylcarbonylamino , haloalkylcarbonylamino , cycloalkylcarbonylamino, heterocyclylcarbonylamino arylcarbonylamino, heteroarylcarbonylamino, alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, arylcarbamoyl, heteroarylcarbamoyl , carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl, haloalkylsulfonyl, cycloalkylsulfonyl, heterocyciyisuifonyi , aryisuifonyi, heteroarylsulfonyi sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylami.no, heteroarylsulfonylanaino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the cycloalkyl, aryl, or heterocyclyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group, each of said groups being optionally substituted by one or more further substituent (s) selected from halo, alkoxy, alkyl, alkylamino, alkylcarbonyl , alkylheteroaryl, alkylsulfonyl, aralkyl, aryl, arylamino, aryloxy, cyano, haloalkoxy, haloalkyl, heteroaryl , heteroarylalkyl , heteroarylcarbonyl , heterocyclyl, hydroxyl, nitro, oxo, and sulfonyl.
The invention also relates to the use of the above compounds or their pharmaceutically acceptable salts and solvates as modulators of CCR5, preferably as antagonists or agonists of CCR5, and even more preferably as agonists of CCR5.
The invention further provides methods for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative, hyperprolifeartive diseases, or immunologicalIy- mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) .
[DETAILED DESCRIPTION OP THE INVENTION]
As noted above, the invention relates to compounds of formula I, as well as their pharmaceutically acceptable salts and solvates .
Preferred compounds of formula I and pharmaceutically acceptable salts and solvates thereof are those wherein
R3, R4, R8, and L1 are as defined above in respect of general formula I ;
A is absent;
R1 and R2 independently are hydrogen, halo, or C1-C4 alkyl ; preferably hydrogen or methyl;
X is CH, C(OH), C(CN), or N, preferably CH or N; and
Rs is NH(L2-R8); wherein L2 and R8 are as defined above, preferably L2 is a single bond or methylene or ethylene, optionally substituted by one or more substituent (s) selected from halo, oxo, cyano, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, and alkoxy, and R8 is as defined above .
Even more preferred compounds of formula I and pharmaceutically acceptable salts and solvates thereof are those wherein
A is absent;
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably methyl;
X is CH or N;
R3 and R4 are as defined above in respect of general formula I;
R5 is NH (L2-R8) ; and
L2 and R8 are defined as above in respect of general formula I . In one embodiment, preferred compounds of Formula I are those of formula Ia:
Figure imgf000011_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
R1, R2, R3, R4, R5, L1, and X are as defined above in respect of formula I.
Preferred compounds of formula Ia are those wherein
Rx is hydrogen;
R2 is hydrogen or C1-C4 alkyl , preferably hydrogen, methyl or ethyl, and even more preferably hydrogen or methyl;
X is CH, C(OH), C(CN), or N, preferably CH or N; and
R5 is NR7(L2-R8), wherein R7, L2, and R8 are defined as above in respect of formula I, preferably R5 is NH(L2- R8) , wherein L2 and R8 are as defined above in respect of formula I. In another embodiment, preferred compounds of formula I are those of formula Ib:
Figure imgf000012_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
R1, R2, R3, R4, R8, X and L1 are defined as above in respect of formula I.
Preferred compounds of formula Ib are those wherein
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably hydrogen or methyl ;
X is CH, C(OH), C(CN), or N, preferably CH or N;
L1 is CO, C1-C4 alkyl, or a single bond, preferably CO, methyl, ethyl, or a single bond, even more preferably CO, methyl, or a single bond;
R3 and R4 are as defined above in respect of formula I, preferably they independently are a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl , piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl, pyrrolyl, thiophenyl , cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, alkynyl, hydroxyl, alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl , thioacyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl, alkylcarbonyloxy, alkylcarbonylamino , haloalkylcarbonylamino, cycloalkylcarbonylamino, alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl , sulfo, alkylsulfonyl , haloalkylsulfonyl , cycloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl , heteroarylsulfonyl sulfamoyl, alkylsulfamoyl , arylsulfamoyl , heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl, tetrahydrothiopyranyl-1, 1- dioxide, tetrahydrothiophenyl, furanyl, pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, or indolyl group may be one or more cycloalkyl, aryl , heterocyclyl or heteroaryl groups; more preferably more preferably, R3 and R4 independently are a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl , pyrrolyl , thiophenyl , cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, Cyano, SO2R, or SO2NR'R' ' wherein R is an alkyl and R', R'' are H or alkyl;
and
R8 is as defined above in respect of formula I, preferably it is a group selected from phenyl, pyridinyl , pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl , tetrahydrofuranyl , tetrahydrothiopyryl , tetrahydrothiophenyl, furanyl, pyrrolyl, thiphenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, alkynyl, hydroxyl, alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl, thioacyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , alkylcarbonyloxy, alkylcarbonylamino, haloalkylcarbonylamino, cycloalkylcarbonylamino, alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl , carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl , sulfo, alkylsulfonyl, haloalkylsulfonyl , cycloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl , heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl , heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl, pyridinyl, pyrrolyl, pyrazolyl, irαidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl , tetrahydrofuranyl , tetrahydrothiopyryl, tetrahydrothiophenyl, furanyl, pyrrolyl, thiphenyl, cyclopentyl, cyclohexyl, or indolyl group substituent may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group.
In still another embodiment, preferred compounds of formula I are those of formula Ic:
Figure imgf000015_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
R1, R2, R3, R4, X, and L1 are as defined above in respect of formula I; and
Ra Rb and Rc independently are absent or a group selected from OR' , C1-C4 alkyl, NO2, Cl, F, OCF3, CF3, CN, COR', COCF3, SO2R', SO2CF3, SO2NR'R' ', COOR', CONR'R' ' , NR' SO2R' ' NR'COR' ' wherein R' and R " independently are selected from hydrogen or C1-C4 alkyl . Preferred compounds of formula Ic are those wherein
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably hydrogen;
X is CH, C(OH), C(CN), or N, preferably CH or N;
L1 is CO, C1-C4 alkyl, or a single bond, preferably CO, methyl, ethyl, or a single bond, even more preferably CO, methyl, or a single bond;
R3 and R4 are as defined above in respect of formula I, preferably they independently are a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl , imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl, tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl, pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl, cycloalkyl, alkynyl, hydroxyl , alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl , thioacyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , alkylcarbonyloxy, alkylcarbonylamino, haloalkylcarbonylamino, cycloalkylcarbonylamino, alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, carbamoylalkyl , carbamoyiamino, aikylcarbamoyiamino, suifino, alkylsulfinyl , sulfo, alkylsulfonyl, haloalkylsulfonyl , cycloalkylsulfonyl , heterocyclylsulfonyl, arylsulfonyl , heteroarylsulfonyl sulfamoyl, alkylsulfamoyl , arylsulfamoyl , heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino , arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl, pyridinyl, pyrrolyl, pyrazolyl , imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl , piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1, 1- dioxide, tetrahydrothiophenyl , furanyl, pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, or indolyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl ; and more preferably, R3 and R4 independently are a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl, tetrahydrofuranyl, tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1- dioxide, tetrahydrothiophenyl, furanyl, pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, cyano, SO2R, or SO2NR'R'' wherein R is an alkyl and R', R'' are H or alkyl;
Ra, Rb, and Rc are as defined above. In still another embodiment, preferred compounds of formula I are those of formula Id:
Figure imgf000018_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
R2 is hydrogen or methyl;
X is CH, C(OH), C(CN), or N, preferably CH or N;
L1 is CO, C1-C4 alkyl , or a single bond, preferably CO, methyl, ethyl, or a single bond, even more preferably CO, methyl, or a single bond;
R3 is as defined above in respect of formula I, preferably independently is a group selected from phenyl, pyridinyl, pyrrolyl , pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl, tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1 , 1-dioxide, tetrahydrothiophenyl , furanyl , pyrrolyl , thiophenyl , eye1opentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, , alkynyl, hydroxyl , alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl , thioacyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , alkylcarbonyloxy, alkylcarbonylamino, haloalkylcarbonylamino , cycloalkylcarbonylamino , alkylcarbonylaminoalkyl, acylamino, carbamoyl, hydroxycarbamoyl , alky1carbamoyl, carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl , haloalkylsulfonyl , cycloalkylsulfonyl, heterocyclylsulfonyl, arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylami.no, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl, pyridinyl, pyrrolyl , pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl , tetrahydrothiopyranyl-1, 1- dioxide, tetrahydrothiophenyl , furanyl, pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, or indolyl group may be one or more cycloaikyl, aryl, heterocyclyl or heteroaryl group; more preferably R3 is a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyranyl , tetrahydrofuranyl , tetrahydrothiopyranyl, tetrahydrothiopyranyl-1, 1- dioxide, tetrahydrothiophenyl, furanyl , pyrrolyl, thiophenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s ) selected from halo, cyano, SO2R, or SO2NR'R' ' wherein R is an alkyl and R', R'' are H or alkyl; R4 is phenyl, optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, alkynyl , hydroxyl, alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl , haloalkylthio, acyl , thioacyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , alkylcarbonyloxy, alkylcarbonylamino, haloalkylcarbonylamino , cycloalkylcarbonylamino, alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl , carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl , haloalkylsulfonyl, eyeloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl , arylsulfamoyl , heteroarylsulfamoyl, alkylsulfonylamino, eyeloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group; more preferably R4 is phenyl optionally substituted by one or more substituent (s) selected from halo, cyano, SO2R, or SO2NR'R'' wherein R is an alkyl and R', R'' are H or alkyl;
R5 is as defined above in respect of formula I, preferably R5 is -NH(L2R8), wherein L2 and R8 are as defined above in respect of formula I, L2 is preferably -CH2- ; and R8 is as defined above in respect of formula I, preferably it is a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl , tetrahyd.rofuranyl, tetrahydrothiopyryl , tetrahydrothiophenyl, furanyl, pyrrolyl, thiphenyl, cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, alkynyl, hydroxyl , alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl , thioacyl, amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , alkylcarbonyloxy, alkylcarbonylamino, haloalkylcarbonylamino, cycloalkylcarbonylamino, alkylcarbonylaminoalkyl, acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl , sulfo, alkylsulfonyl , haloalkylsulfonyl , cycloalkylsulfonyl, heterocyclylsulfonyl , arylsulfonyl , heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl , heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, and haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl , piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl , tetrahydrofuranyl , tetrahydrothiopyryl, tetrahydrothiophenyl, furanyl, pyrrolyl, thiphenyl, cyclopentyl, cyclohexyl, or indoiyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group; more preferably R8 is a group selected from phenyl, pyridinyl, pyrrolyl, pyrazolyl, imidazolyl, oxazolyl, isooxazolyl, thiazolyl, isothiozalyl, piperidyl, piperazyl, pyrrolidyl, tetrahydropyryl, tetrahydrofuranyl , tetrahydrothiopyryl , tetrahydrothiophenyl, furanyl , pyrrolyl, thiphenyl , cyclopentyl, cyclohexyl, and indolyl, each group being optionally substituted by one or more substituent (s) selected from halo, cyano, SO2R, or SO2NR'R'' wherein R is an alkyl and R', R'' are H or alkyl .
In still another embodiment, preferred compounds of formula I are those of formula Ie-.
Figure imgf000022_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
Ra, Rb, Rc and Rd independently are absent or a group selected from OR' , C1-C4 alkyl, NO2, Cl, F, OCF3, CF3, CN, COR', COCF3, SO2R', SO2CF3, SO2NR'R'', COOR', CONR'R'', NR'S02R'', NR'COR'' wherein R' and R'' independently are selected from hydrogen or C1-C4 alkyl;
X is CH, C(OH), C(CN), or N, preferably CH or N, and even more preferably CH; and R5 is as defined above in respect of Formula I, preferably R5 is -NH(L2R8), wherein L2 and R8 are as defined above in respect of Formula I, L2 is preferably -CH2- .
Particularly preferred compounds of the invention are those listed in Table 1 hereafter:
Table 1:
Figure imgf000023_0001
Figure imgf000024_0001
Figure imgf000025_0001
Figure imgf000026_0001
Figure imgf000027_0001
Figure imgf000028_0001
Figure imgf000029_0001
Figure imgf000030_0001
Figure imgf000031_0001
Figure imgf000032_0001
Figure imgf000033_0001
Figure imgf000034_0001
Figure imgf000035_0001
Figure imgf000036_0001
Figure imgf000037_0001
Figure imgf000038_0001
Figure imgf000039_0001
Figure imgf000040_0001
Figure imgf000041_0001
Figure imgf000042_0001
Figure imgf000043_0001
The compounds of formula I can be prepared by different ways with reactions known by the person skilled in the art. Reaction schemes I to VIII (Example section) , illustrate by way of example different possible approaches.
The invention further provides the use of the compounds of the invention or pharmaceutically acceptable salts or solvates thereof as modulators of chemokine receptor activity, especially as modulators of CCR5 activity. In a preferred embodiment the compounds of Formula I or pharmaceutically acceptable salts or solvates thereof are used as CCR5 antagonists or CCR5 agonists.
In still another embodiment the administration of agonists only, may be advantageous in comparison with the antagonist approach because a CCR5- agonist may reduce the generation of certain types of
HIV variants. Indeed, agonist molecules will promote
CCR5 receptor disappearance from the cell surface by inducing its internalization. This would prevent the emergence of variants of the type able to bind the antagonist-bound CCR5, as previously observed for example with the small molecule antagonist Maraviroc
(Westby M et al (2007) J Virol 81 (5) : 2359-71) . Avoiding generation of HIV variants, for example variants of the type able to bind the antagonist-bound CCR5, and therefore avoiding therapeutic resistance is one of the goal of this invention.
Accordingly, in a particularly preferred embodiment, the invention relates to the use of compounds of formula I, Ia, Ib, Ic, Id, and Ie or pharmaceutically acceptable salts or solvates thereof, as CCR5 agonists. Examples of such compounds are represented in table 2
Table 2 :
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
[APPLICATIONS]
The invention further provides methods for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative or hyperprolifeartive diseases, or immunologicalIy- mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) ; examples of these conditions are:
(1) (the respiratory tract) obstructive diseases of airways including: chronic obstructive pulmonary disease (COPD) (such as irreversible COPD); pulmonary fibrosis; asthma {such as bronchial, allergic, intrinsic, extrinsic or dust asthma, particularly chronic or inveterate asthma (for example late asthma or airways hyper- responsiveness)}; bronchitis {such as eosinophilic bronchitis}; acute, allergic, atrophic rhinitis or chronic rhinitis including rhinitis caseosa, hypertonic rhinitis, rhinitis purulenta, rhinitis sicca or rhinitis medicamentosa; membranous rhinitis including croupous, fibrinous or pseudomembranous rhinitis or scrofoulous rhinitis; seasonal rhinitis including rhinitis nervosa (hay fever) or vasomotor rhinitis; sarcoidosis; farmer's lung and related diseases; nasal polyposis; fibroid lung or idiopathic interstitial pneumonia;
(2) (bone and joints) arthrides including rheumatic, infectious, autoimmune, seronegative spondyloarthropathies (such as ankylosing spondylitis, psoriatic arthritis or Reiter's disease), Behget's disease, Sjogren's syndrome or systematic sclerosis;
(3) (skin and eyes) psoriasis, atopic dermatitis, contact dermatitis or other eczematous dermitides, seborrhoetic dermatitis, Lichen planus, Phemphigus, bullous Phemphigus, Epidermolysis bullosa, urticaria, angiodermas, vasiculitides erythermas , cutaneaous eosinophilias, uveitis, Alopecia areata or vernal conjunctivitis;
(A) (gastrointestinal tract) Coeliac disease, proctitis, eosinophilic gastro-enteritis, mastocytosis, Crohn's disease, ulcerative colitis, irritable bowel disease or food-related allergies which have effects remote from the gut (for example migraine, rhinitis or eczema) ;
(5) (Allorgraft rejection) acute and chronic following, for example, transplantation of kidney, heart, liver, lung bone marrow, skin or cornea; or chronic graft versus host disease; and/or
(6) (other tissues or diseases) Alzheimer's disease, multiple sclerosis, atherosclerosis, inhibiting the entry of viruses into target cells, Acquired Immunodeficiency Symdrome (AIDS) , Lupus disorders (such us lupus erythematosus or systemic lupus), erythematosus, Hashimoto's thyroiditis, myasthenia gravis, type I diabetes, nephrotic syndrome, eosinophilia fascitis, hyper IgE syndrome, leprosy (such as lepromatous leprosy) , Peridontal disease, Sezary syndrome, idiopathic thrombocytopenia pupura, disorders of the menstrual cycle, glomerulonephritis or cerebral malaria, acute and chronic hepatitis B Virus (HBV) and HCV infection.
The treatment or prevention of these diseases comprises the administration of a therapeutically effective amount of a compound or pharmaceutically acceptable salt or solvate of the compounds of the invention, to a patient in need thereof. Preferably the patient is a warm-blooded animal, more preferably a human .
Preferred diseseases are AIDS (HIV-I or -2 infection) , inflammatory and immunoregulatory disorders and diseases including asthma, pulmonary emphysema, allergic diseases and graft rejection as well as autoimmune pathologies such as rheumatoid arthritis, atherosclerosis, psoriasis, systemic lupus erythematosus, ulcerative colitis, multiple sclerosis, glomerulonephritis, together with chronic obstructive pulmonary disease (COPD, including pulmonary fibrosis). Additional fields of application concern certain sort of metastatic cancers and renal diseases .
In a particular preferred embodiment the disease is AIDS (HIV-I or -2 infection) .
The compounds of the present invention are also of value in inhibiting the entry of viruses (such as human immunodeficiency virus (HIV) ) into target cells and, therefore, are of value in the prevention of infection by viruses (such as HIV) , the treatment of infection by viruses (such as HIV) and the prevention and/or treatment of acquired immune deficiency syndrome
(AIDS) .
According to a further feature of the present invention there is provided a method for modulating chemokine receptor activity, especially CCR5 receptor activity, in a patient, preferably a warm blooded animal, and even more preferably a human, in need of such treatment, which comprises administering to said animal an effective amount of compound of the present invention, or a pharmaceutically acceptable salt or solvate thereof.
According to one embodiment, the compounds of the invention, their pharmaceutical acceptable salts or solvates may be administered as part of a combination therapy. Thus included within the scope of the present invention are embodiments comprising coadministration of, and compositions and medicaments which contain, in addition to a compound of the present invention, a pharmaceutically acceptable salt or solvate thereof as active ingredient, additional therapeutic agents and/or active ingredients. Such multiple drug regimens, often referred to as combination therapy, may be used in the treatment and prevention of any of the diseases or conditions mediated by or associated with CCR5 chemokine receptor modulation, particularly infection by human immunodeficiency virus, HIV. The use of such combinations of therapeutic agents is especially pertinent with respect to the treatment and prevention of infection and multiplication of the human immunodeficiency virus, HIV, and related pathogenic retroviruses within a patient in need of treatment or one at risk of becoming such a patient. The ability of such retroviral pathogens to evolve within a relatively short period of time into strains resistant to any monotherapy which has been administered to said patient is well known in the literature.
In addition to the requirement of therapeutic efficacy, which may necessitate the use of active agents in addition to the CCR5 chemokine receptor modulating compounds of Formula I or their pharmaceutical acceptable salts or solvates thereof, there may be additional rationales which compel or highly recommend the use of combinations of drugs involving active ingredients which represent adjunct therapy, i.e., which complement and supplement the function performed by the CCR5 chemokine receptor modulating compounds of the present invention. Such supplementary therapeutic agents used for the purpose of auxiliary treatment include drugs which, instead of directly treating or preventing a disease or condition mediated by or associated with CCR5 chemokine receptor modulation, treat diseases or conditions which directly result from or indirectly accompany the basic or underlying CCR5 chemokine receptor modulated disease or condition. For example, where the basic CCR5 chemokine receptor modulated disease or condition is HIV infection and multiplication, it may be necessary or at least desirable to treat opportunistic infections, neoplasms, and other conditions which occur as the result of the immune- compromised state of the patient being treated. Other active agents may be used with the compounds of Formula I or their pharmaceutical acceptable salts or solvates thereof, e.g., in order to provide immune stimulation or to treat pain and inflammation which accompany the initial and fundamental HIV infection.
Thus, the methods of treatment and pharmaceutical compositions of the present invention may employ the compounds of Formula I or their pharmaceutical acceptable salts or solvates thereof in the form of monotherapy, but said methods and compositions may also be used in the form of multiple therapy in which one or more compounds of Formula I or their pharmaceutically acceptable salts or solvates are coadministered in combination with one or more other therapeutic agents such as those described in detail further herein.
Preferred combinations of the present invention include simultaneous, or sequential treatments with a compound of Formula I, or a pharmaceutical acceptable salt or solvate thereof, and one or more inhibitors of HIV protease and/or inhibitors of HIV reverse transcriptase, preferably selected from the class of non-nucleoside reverse transcriptase inhibitors (NNRTI), including but not limited to nevirapine, delavirdine and efavirenz; from among the nucleoside/nucleotide inhibitors, including but not limited to zidovudine, didanosine, zalcitabine, stavudine, lamivudine, abacavir, adefovir anddipivoxil ; and from among the protease inhibitors, including but not limited to indinavir, ritonavir, saquinavir, nelfinavir, lopinavir, and amprenavir.
Other agents useful in the above-described preferred embodiment combinations of the present invention include current and to-be- discoveredinvestigational drugs from any of the above classes of inhibitors, including but not limited to FTC, PMPA, fozivudinetidoxil, talviraline, S-1153, MKC- 442, MSC-204,MSH-372, DMP450, PNU-140690, ABT-378,KNI- 764, TMC120 and TMC125.
There is also included within the scope of the preferred embodiments of the present invention, combinations of a compound of Formula I, or a pharmaceutical acceptable salt or solvate thereof, together with a supplementary therapeutic agent used for the purpose of auxiliary treatment, wherein said supplementary therapeutic agent comprises one or more members independently selected from the group consisting of proliferation inhibitors, e. g. , hydroxyurea; immunomodulators , e.g. , sargramostim, and various forms of interferon or interferon derivatives; fusion inhibitors, e. g. , AMD3100, T-20, T-1249, PRO- 140, PRO-542, AD-349, BB-10010 and other chemokine receptor agonists/antagonists; tachykinin receptor modulators, e. g. NKl antagonists; integrase inhibitors, e. g. , AR177; RNaseH inhibitors; inhibitors of viral transcription and RNA replication ; and other agents that inhibit viral infection or improve the condition or outcome of HIV-infected individuals through different mechanisms.
Preferred methods of treatment of the present invention for the prevention of HIV infection, or treatment of aviremic and asymptomatic subjects potentially or effectively infected with HIV, include but are not limited to administration of a member independently selected from the group consisting of:
(i) a compound within the scope of Formula I or a pharmaceutical acceptable salt or solvate thereof as disclosed herein; (ii) one NNRTI in addition to a compound of(i); (iii) two NRTI in addition to a compound of(i); (iv) one NRTI in addition to the combination of(ii); and (v) a compound selected from the class of protease inhibitors used in place of a NRTI in combinations (iii ) and(iv).
The preferred methods of the present invention for therapy of HIV- infected individuals with detectable viremia or abnormally low CD4 counts further include as a member to be selected: (vi) treatment according to (i) above in addition to the standard recommended initial regimens for the therapy of established HIV infections. Such standard regimens include but are not limited to an agent from the class of protease inhibitors in combination with two NRTIs; and (vii) a standard recommended initial regimens for the therapy of established HIV infections, where either the protease inhibitor component, or one or both of the NRTIs is/are replaced by a compound within the scope of Formula I as disclosed herein.
The preferred methods of the present invention for therapy of HIV- infected individuals that have failed antiviral therapy further include as a member to be selected: (viii) treatment according to (i) above, in addition to the standard recommended regimens for the therapy of such patients; and fix) a standard recommended initial regimens for the therapy of patients who have failed antiretroviral therapy, where either one of the protease inhibitor components, or one or both of the NRTIs is/are replaced by a compound within the scope of Formula I or a pharmaceutical acceptable salt or solvate thereof as disclosed herein.
Additional combinations for use according to the invention include combination of a compound of Formula I, or a pharmaceutical acceptable salt or solvate thereof with another CCR5 modulator, such as a CCR5 agonist; a CCR5 antagonist, such as N-{ (IS) -3- [3- (3-isopropyl-5-methyl-4H-l, 2, 4-triazol-4-yl) -exo-8- azabicyclo [3.2.1] oct-8-yl]-1-phenylpropyl}-4,4- difluorocyclohexanecarboxamide; a CCRl antagonist, such as BX-471; a beta adrenoceptor agonist, such as salmeterol; a corticosteroid agonist, such fluticasone propionate; a LTD4 antagonist, such asmontelukast; a muscarinic antagonist, such as tiotropium bromide; a PDE4 inhibitor, such ascilomilast or roflumilast ; a COX-2 inhibitor, such ascelecoxib, valdecoxib or rofecoxib; an alpha-2 -delta ligand, such as gabapentin or pregabalin; a beta-interferon, such as REBiF; a TNF receptor modulator, such as aTNF-alpha inhibitor (e.g. adalimumab) ; a HMG CoA reductase inhibitor, such as a statin (e. g. atorvastatin) ; or an immunosuppressant, such as cyclosporine; or a macrolide such as tacrolimus.
In the above-described preferred embodiment combinations of the present invention, the compound of formula I, a pharmaceutically acceptable salt or solvate thereof and other therapeutic active agents may be administered in terms of dosage forms either separately or in conjunction with each other, and in terms of their time of administration, either serially or simultaneously. Thus, the administration of one component agent may be prior to, concurrent with, or subsequent to the administration of the other component agent ( s ) .
The invention also provides pharmaceutical compositions comprising a compound of formula I or a pharmaceutically acceptable salt or solvate thereof and at least one pharmaceutically acceptable carrier, diluent, excipient and/or adjuvant. As indicated above, the invention also covers pharmaceutical compositions which contain, in addition to a compound of the present invention, a pharmaceutically acceptable salt or solvate thereof as active ingredient, additional therapeutic agents and/or active ingredients.
Another object of this invention is a medicament comprising at least one compound of the invention, or a pharmaceutically acceptable salt or solvate thereof, as active ingredient.
The invention also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament. Preferably, the medicament is used for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative or hyperprolifeartive diseases , or immunologiaccly mediated diseases (including rejection of transplanted organs or tissues and Acquired Immunodeficiency Syndrome (AIDS) ) ; examples of these conditions are: (1) (the respiratory tract) obstructive diseases of airways including: chronic obstructive pulmonary disease (COPD) (such as irreversible COPD); pulmonary fibrosis; asthma {such as bronchial, allergic, intrinsic, extrinsic or dust asthma, particularly chronic or inveterate asthma (for example late asthma or airways hyper- responsiveness)}; bronchitis {such as eosinophilic bronchitis}; acute, allergic, atrophic rhinitis or chronic rhinitis including rhinitis caseosa, hypertonic rhinitis, rhinitis purulenta, rhinitis sicca or rhinitis medicamentosa; membranous rhinitis including croupous, fibrinous or pseudomembranous rhinitis or scrofoulous rhinitis; seasonal rhinitis including rhinitis nervosa (hay fever) or vasomotor rhinitis; sarcoidosis; farmer's lung and related diseases; nasal polyposis; fibroid lung or idiopathic interstitial pneumonia;
(2) (bone and joints) arthrides including rheumatic, infectious, autoimmune, seronegative spondyloarthropathies (such as ankylosing spondylitis, psoriatic arthritis or Reiter's disease), Behcet's disease, Sjogren's syndrome or systematic sclerosis;
(3) (skin and eyes) psoriasis, atopic dermatitis, contact dermatitis or other eczematous dermitides, seborrhoetic dermatitis, Lichen planus, Phemphigus, bullous Phemphigus, Epidermolysis bullosa, urticaria, angiodermas, vasiculitides erythermas , cutaneaous eosinophilias, uveitis, Alopecia areata or vernal conjunctivitis; (4) (gastrointestinal tract) Coeliac disease, proctitis, eosinophilic gastro-enteritis, mastocytosis, Crohn's disease, ulcerative colitis, irritable bowel disease or food-related allergies which have effects remote from the gut (for example migraine, rhinitis or eczema) ;
(5) (Allorgraft rejection) acute and chronic following, for example, transplantation of kidney, heart, liver, lung bone marrow, skin or cornea,- or chronic graft versus host disease; and/or
(6) (other tissues or diseases) Alzheimer's disease, multiple sclerosis, atherosclerosis, inhibiting the entry of viruses into target cells, Acquired Immunodeficiency Symdrome (AIDS) , Lupus disorders (such us lupus erythematosus or systemic lupus), erythematosus, Hashimoto's thyroiditis, myasthenia gravis, type I diabetes, nephrotic syndrome, eosinophilia fascitis, hyper IgE syndrome, leprosy (such as lepromatous leprosy) , Peridontal disease, Sezary syndrome, idiopathic thrombocytopenia pupura, disorders of the menstrual cycle, glomerulonephritis or cerebral malaria, acute and chronic hepatitis B Virus (HBV) and HCV infection.
Preferred diseseases are AIDS (HIV-I or -2 infection) , inflammatory and immunoregulatory disorders and diseases including asthma, pulmonary emphysema, allergic diseases and graft rejection as well as autoimmune pathologies such as rheumatoid arthritis, atherosclerosis, psoriasis, systemic lupus erythematosus, ulcerative colitis, multiple sclerosis, glomerulonephritis, together with chronic obstructive pulmonary disease (COPD, including pulmonary fibrosis). Additional fields of application concern certain sort of metastatic cancers and renal diseases.
In a particular preferred embodiment the disease is AIDS (HIV-I or -2 infection) .
The invention also provides the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for inhibiting the entry of viruses (such as human immunodeficiency virus (HIV) ) into target cells and, therefore, for the prevention of infection by viruses (such as HIV) , the treatment of infection by viruses (such as HIV) and the prevention and/or treatment of acquired immune deficiency syndrome (AIDS) .
According to a further feature of the present invention there is provided the use of a compound of formula I or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for modulating chemokine receptor activity, especially CCR5 receptor activity, in a patient, in need of such treatment, which comprises administering to said patient an effective amount of compound of the present invention, or a pharmaceutically acceptable salt or solvate thereof.
Preferably, the patient is a warm-blooded animal, more preferably a human.
As set forth above, the compounds of the invention, their pharmaceutically acceptable salts or solvates may be used in monotherapy or in combination therapy, such as bi- or tritherapy. Thus, according to one embodiment, the invention provides the use of a compound of the invention for the manufacture of a medicament for at least one of the purposes described above, wherein said medicament is administered to a patient in need thereof, preferably a warm-blodded animal, and even more preferably a human, in combination with at least one additional therapeutic agent and/or active ingredient. The benefits and advantages of such a multiple drug regimen, possible administration regimens as well as suitable additional therapeutic agents and/or active ingredients are those described above.
Generally, for pharmaceutical use, the compounds of the inventions may be formulated as a pharmaceutical preparation comprising at least one compound of the invention and at least one pharmaceutically acceptable carrier, diluent, excipient and/or adjuvant, and optionally one or more further pharmaceutically active compounds.
By means of non-limiting examples, such a formulation may be in a form suitable for oral administration, for parenteral administration (such as by intravenous, intramuscular or subcutaneous injection or intravenous infusion) , for topical administration
(including ocular), for administration by inhalation, by a skin patch, by an implant, by a suppository, etc. Such suitable administration forms - which may be solid, semi-solid or liquid, depending on the manner of administration - as well as methods and carriers, diluents and excipients for use in the preparation thereof, will be clear to the skilled person; reference is made to the latest edition of Remington's Pharmaceutical Sciences.
Some preferred, but non-limiting examples of such preparations include tablets, pills, powders, lozenges, sachets, cachets, elixirs, suspensions, emulsions, solutions, syrups, aerosols, ointments, cremes , lotions, soft and hard gelatin capsules, suppositories, drops, sterile injectable solutions and sterile packaged powders (which are usually reconstituted prior to use) for administration as a bolus and/or for continuous administration, which may be formulated with carriers, excipients, and diluents that are suitable per se for such formulations, such as lactose, dextrose, sucrose, sorbitol, mannitol, starches, gum acacia, calcium phosphate, alginates, tragacanth, gelatin, calcium silicate, microcrystalline cellulose, polyvinylpyrrolidone, polyethylene glycol, cellulose, (sterile) water, methylcellulose, methyl- and propylhydroxybenzoates , talc, magnesium stearate, edible oils, vegetable oils and mineral oils or suitable mixtures thereof. The formulations can optionally contain other substances that are commonly used in pharmaceutical formulations, such as lubricating agents, wetting agents, emulsifying and suspending agents, dispersing agents, desintegrants, bulking agents, fillers, preserving agents, sweetening agents, flavoring agents, flow regulators, release agents, etc.. The compositions may also be formulated so as to provide rapid, sustained or delayed release of the active compound (s) contained therein.
The pharmaceutical preparations of the invention are preferably in a unit dosage form, and may be suitably packaged, for example in a box, blister, vial, bottle, sachet, ampoule or in any other suitable single-dose or multi-dose holder or container (which may be properly labeled) ; optionally with one or more leaflets containing product information and/or instructions for use. Generally, such unit dosages will contain between 0,05 and 1000 mg, and usually between 1 and 500 mg, of the at least one compound of the invention, e.g. about 10, 25, 50, 100, 200, 300 or 400 mg per unit dosage.
Usually, depending on the condition to be prevented or treated and the route of administration, the active compound of the invention will usually be administered between 0.01 to 100 mg per kilogram, more often between 0.1 and 50 mg, such as between 1 and 25 mg, for example about 0.5, 1, 5, 10, 15, 20 or 25 mg, per kilogram body weight day of the patient per day, which may be administered as a single daily dose, divided over one or more daily doses, or essentially continuously, e.g. using a drip infusion.
[DEFINITIONS]
The definitions and explanations below are for the terms as used throughout the entire application, including both the specification and the claims.
When describing the compounds of the invention, the terms used are to be construed in accordance with the following definitions, unless indicated otherwise.
Where groups may be substituted, such groups may be substituted with one or more substituents, and preferably with one, two or three substituents. Substituents may be selected from but not limited to, for example, the group comprising halogen, hydroxyl, oxo, nitro, amido, carboxy, amino, cyano haloalkoxy, and haloalkyl . As used herein the terms such as "alkyl, aryl, or cycloalkyl, each being optionally substituted with..." or "alkyl, aryl, or cycloalkyl, optionally substituted with..." encompasses "alkyl optionally substituted with...", "aryl optionally substituted with..." and "cycloalkyl optionally substituted with...".
The term "halo" or "halogen" means fluoro, chloro, bromo, or iodo.
The term "alkyl" by itself or as part of another substituent refers to a hydrocarbyl radical of
Formula CnH2n+1 wherein n is a number greater than or equal to 1. Generally, alkyl groups of this invention comprise from 1 to 6 carbon atoms, preferably from 1 to
4 carbon atoms , more preferably from 1 to 3 carbon atoms, still more preferably 1 to 2 carbon atoms. Alkyl groups may be linear or branched and may be substituted as indicated herein.
Suitable alkyl groups include methyl, ethyl, n-propyl, i-propyl, n-butyl, i-butyl, s-butyl and t- butyl, pentyl and its isomers (e.g. n-pentyl, iso- pentyl), and hexyl and its isomers (e.g. n-hexyl, iso- hexyl) .
The term "hydroxyalkyl" includes but is not limited to hydroxymethyl, 1-hydroxyethyl , 2- hydroxyethyl , 1-hydroxypropyl, 2-hydroxypropyl , 2- hydroxy-2-methylethyl , 1-hydroxypropyl, 2- hydroxypropyl , 3 -hydroxypropyl , 1-hydroxybutyl , 2- hydroxybutyl , 3 -hydroxybutyl , 4-hydroxybutyl, 2- hydroxy-2-methylpropyl , 1- (hydroxymethyl) -2- methylpropyl , 1, l-dimethyl-2-hydroxyethyl, 5- hydroxypentyl , 2-methyl-3-hydroxypropyl , 3,4- dihydroxybutyl , and so forth "Alkoxyalkyl" refers to an alkyl group substituted with one to two Rb, wherein Rb is alkoxy as defined below. For example heterocyclylalkyl refers to an alkyl group substituted with one to two Rf, wherein Rf is heterocyclyl as defined below. For example, "aralkyl" or "arylalkyl" refers to a substituted alkyl group as defined above wherein at least one of the alkyl substituents is an aryl as defined below, such as benzyl. For example, "heteroarylalkyl" refers to a substituted alkyl group as defined above, wherein at least one of the alkyl substituents is a heteroaryl as defined below, such as pyridinyl .
The term "haloalkyl" alone or in combination, refers to an alkyl radical having the meaning as defined above wherein one or more hydrogens are replaced with a halogen as defined above. Non-limiting examples of such haloalkyl radicals include chloromethyl, 1-bromoethyl, fluoromethyl, difluoromethyl , trifluoromethyl, 1, 1, 1-trifluoroethyl and the like.
The term "cycloalkyl" as used herein is a cyclic alkyl group, that is to say, a monovalent, saturated, or unsaturated hydrocarbyl group having 1 or 2 cyclic structures. Cycloalkyl includes monocyclic or bicyclic hydrocarbyl groups. Cycloalkyl groups may comprise 3 or more carbon atoms in the ring and generally, according to this invention comprise from 3 to 10, more preferably from 3 to 8 carbon atoms still more preferably from 3 to 6 carbon atoms . Examples of cycloalkyl groups include but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, with cyclopropyl being particularly preferred. An "optionally substituted cycloalkyl" refers to a cycloalkyl having optionally one or more substituent (s)
(for example 1 to 3 substituent (s) , for example 1, 2 or
3 substituent (s) ), selected from those defined above for substituted alkyl . When the suffix "ene" is used in conjunction with a cyclic group, this is intended to mean the cyclic group as defined herein having two single bonds as points of attachment to other groups.
The term "cycloalkylalkyl" includes but is not limited to cyclopropylmethyl , cyclobutylmethyl, cyclopentylmethyl , cyclohexylmethyl, 1- cyclopentylethyl, 1-eyelohexylethyl, 2- cyc1opentylethyl, 2-eyelohexylethyl, cyclobutylpropyl, cyclopentylpropyl , 3-cyclopentylbutyl, cyclohexylbutyl and the like.
The term "alkenyl" as used herein refers to an unsaturated hydrocarbyl group, which may be linear or branched, comprising one or more carbon-carbon double bonds. Suitable alkenyl groups comprise between 2 and 6 carbon atoms, preferably between 2 and 4 carbon atoms, still more preferably between 2 and 3 carbon atoms. Examples of alkenyl groups are ethenyl, 2- propenyl , 2-butenyl, 3-butenyl, 2-pentenyl and its isomers, 2-hexenyl and its isomers, 2 , 4-pentadienyl and the like. The term "alkynyl" as used hereinrefers to a class of monovalent unsaturated hydrocarbyl groups, wherein the unsaturation arises from the presence of one or more carbon-carbon triple bonds. Alkynyl groups typically, and preferably, have the same number of carbon atoms as described above in relation to alkenyl groups. Non limiting examples of alkynyl groups are ethynyl, 2-propynyl, 2-butynyl, 3-butynyl, 2-pentynyl and its isomers, 2-hexynyl and its isomers—and the like. The term "alkylene" includes methylene, ethylene, methylmethylene, propylene, ethylethylene, and 1,2- dimethylethylene . "Cycloalkylene" herein refers to a saturated homocyclic hydrocarbyl biradical of Formula CnH2n-2 • Cycloalkylene groups of this invention preferably comprise the same number of carbon atoms as their cycloalkyl radical counterparts .
Suitable cycloalkylene groups are C3-6 cycloalkylene group, preferably a C3-5 cycloalkylene (i.e. 1 , 3-cyclopropylene, 1, 1-cyclopropylene, 1,1- cyclobutylene, 1,2-cyclobutylene, 1, 3-cyclopentylene, or 1 , 1-cyclopentylene) , more preferably a C3-4 cycloalkylene (i.e. 1, 3-cyclopropylene, 1,1- cyclopropylene, 1, 1-cyclobutylene, 1,2-cyclobutylene). The terms "heterocyclyl " or "heterocyclo" as used herein by itself or as part of another group refer to non-aromatic, fully saturated or partially unsaturated cyclic groups (for example, 3 to 7 member monocyclic, 7 to 11 member bicyclic, or containing a total of 3 to 10 ring atoms) which have at least one heteroatom in at least one carbon atom-containing ring. Each ring of the heterocyclic group containing a heteroatom may have 1, 2, 3 or 4 heteroatoms selected from nitrogen, oxygen and/or sulfur atoms, where the nitrogen and sulfur heteroatoms may optionally be oxidized and the nitrogen heteroatoms may optionally be quaternized. The heterocyclic group may be attached at any heteroatom or carbon atom of the ring or ring system, where valence allows. The rings of multi-ring heterocycles may be fused, bridged and/or joined through one or more spiro atoms. Non limiting exemplary heterocyclic groups include aziridinyl, oxiranyi, thiiranyl, piperidinyl, azetidinyl, 2-imidazolinyl, pyrazolidinyl imidazolidinyl , isoxazolinyl , oxazolidinyl , isoxazolidinyl , thiazolidinyl , isothiazolidinyl , piperidinyl, succinimidyl , 3H-indolyl, indolinyl, isoindolinyl , 2H-pyrrolyl, 1-pyrrolinyl , 2-pyrrolinyl , 3-pyrrolinyl, pyrrolidinyl, 4H-quinolizinyl, 2- oxopiperazinyl, piperazinyl, homopiperazinyl , 2- pyrazolinyl, 3-pyrazolinyl , tetrahydro-2H-pyranyl , 2H- pyranyl , 4H-pyranyl, 3 , 4-dihydro-2H-pyranyl , oxetanyl , thietanyl, 3-dioxolanyl, 1, 4-dioxanyl, 2,5- dioximidazolidinyl , 2-oxopiperidinyl, 2- oxopyrrolodinyl, indolinyl, tetrahydropyranyl, tetrahydrofuranyl , tetrahydrothiophenyl , tetrahydroquinolinyl, tetrahydroisoquinolin-1-yl, tetrahydroisoquinolin-2~yl , tetrahydroisoquinolin-3-yl, tetrahydroisoquinolin-4~yl , thiomorpholin-4-yl , thiomorpholin-4-ylsulfoxide, thiomorpholin-4-ylsulfone, 1, 3-dioxolanyl, 1 , 4-oxathianyl , 1 , 4-dithianyl, 1,3,5- trioxanyl, 1H-pyrrolizinyl, tetrahydro-1, 1- dioxothiophenyl , N- formylpiperazinyl , and morpholin-4- yl.
The term "aryl" as used herein refers to a polyunsaturated, aromatic hydrocarbyl group having a single ring (i.e. phenyl) or multiple aromatic rings fused together (e.g. naphtyl) or linked covalently, typically containing 5 to 12 atoms; preferably 6 to 10, wherein at least one ring is aromatic. The aromatic ring may optionally include one to two additional rings (either cycloalkyl, heterocyclyl or heteroaryl) fused thereto. Aryl is also intended to include the partially hydrogenated derivatives of the carbocyclic systems enumerated herein. Non-limiting examples of aryl comprise phenyl, biphenylyl, biphenylenyl, 5- or 6- tetraiinyl, 1-, 2-, 3-, 4-, 5-, 6-, 7- or 8-azulenyl, naphthalen-1- or -2-yl, 4-, 5-, 6 or 7-indenyl, 1- 2-, 3-, 4- or 5-acenaphtylenyl, 3-, 4- or 5-acenaphtenyl , 1-, 2-, 3-, 4- or 10-phenanthryl , 1- or 2-pentalenyl , 4- or 5-indanyl, 5-, 6-, 7- or 8-tetrahydronaphthγl , 1 , 2 , 3 , 4-tetrahydronaphthyl , 1, 4-dihydronaphthyl, 1-, 2- , 3-, 4- or 5-pyrenyl.
The term "arylene" as used herein is intended to include divalent carbocyclic aromatic ring systems such as phenylene, biphenylylene, naphthylene, indenylene, pentalenylene, azulenylene and the like. Arylene is also intended to include the partially hydrogenated derivatives of the carbocyclic systems enumerated above. Non-limiting examples of such partially hydrogenated derivatives are 1,2,3,4- tetrahydronaphthylene, 1, 4-dihydronaphthylene and the like.
Where at least one carbon atom in an aryl group is replaced with a heteroatom, the resultant ring is referred to herein as a heteroaryl ring.
The term "heteroaryl" as used herein by itself or as part of another group refers but is not limited to 5 to 12 carbon-atom aromatic rings or ring systems containing 1 to 2 rings which are fused together or linked covalently, typically containing 5 to 6 atoms; at least one of which is aromatic, in which one or more carbon atoms in one or more of these rings is replaced by oxygen, nitrogen and/or sulfur atoms where the nitrogen and sulfur heteroatoms may optionally be oxidized and the nitrogen heteroatoms may optionally be quaternized. Such rings may be fused to an aryl, cycloalkyl, heteroaryl or heterocyclyl ring. Non-limiting examples of such heteroaryl, include: pyrroiyi, furanyi, thiophenyi, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, triazolyl, oxadiazoiyl, thiadiazolyl , tetrazoiyl, oxatriazolyl, thiatriazolyl, pyridinyl, pyrimidyl, pyrazinyl, pyridazinyl , oxazinyl, dioxinyl, thiazinyl, triazinyl, imidazo[2 , 1-b] [1, 3] thiazolyl, thieno[3,2- b]furanyl, thleno [3 , 2-b] thiophenyl , thieno[2,3- d] [1, 3] thiazolyl, thieno [2, 3-d] imidazolyl, tetrazolo [1 , 5-a]pyridinyl , indolyl, indolizinyl, isoindolyl, benzofuranyl , isobenzofuranyl , benzothiophenyl , isobenzothiophenyl, indazolyl, benzimidazolyl , 1, 3-benzoxazolyl, 1, 2-benzisoxazolyl, 2 , 1-benzisoxazolyl , 1, 3-benzothiazolyl, 1,2- benzoisothiazolyl , 2 , 1-bertzoisothiazolyl, benzotriazolyl , 1 , 2 , 3-benzoxadiazolyl, 2,1,3- benzoxadiazolyl , 1, 2 , 3-benzothiadiazolyl, 2,1,3- benzothiadiazolyl, thienopyridinyl, purinyl, imidazo [1 , 2-a]pyridinyl , 6-oxo-pyridazin-l (6H) -yl, 2- oxopyridin-1 (2H) -yl , 6-oxo-pyridazin-l (6H) -yl , 2- oxopyridin-1 (2H) -yl, 1 , 3-benzodioxolyl , guinolinyl, isoquinolinyl , cinnolinyl, quinazolinyl, quinoxalinyl .
The bonds from an asymmetric carbon in compounds of the present invention may be depicted herein using a solid line ( — ) , a zigzag line ( vvvv ) , a solid wedge ( - ) , or a dotted wedge ( ) .The use of either a solid or dotted wedge to depict bonds from an asymmetric carbon atoms is meant to indicate that only the stereoisomer shown is meant to be included.
The compounds of the invention may also contain more than one asymmetric carbon atome. In those compounds, the use of a solid line to depict bonds from asymmetric carbon atoms is meant to indicate that all possible stereoisomers are meant to be included, unless it is clear from the context that a specific stereoisomer is intended.
The compounds of the invention may be in the form of pharmaceutically acceptable salts. Pharmaceutically acceptable salts of the compounds of formula I include the acid addition and base salts thereof. Suitable acid addition salts are formed from acids which form non-toxic salts. Examples include the acetate, adipate, aspartate, benzoate, besylate, bicarbonate/carbonate, bisulphate/sulphate, borate, camsylate, citrate, cyclamate, edisylate, esylate, formate, fumarate, gluceptate, gluconate, glucuronate, hexafluorophosphate, hibenzate, hydrochloride/chloride, hydrobromide/bromide, hydroiodide/iodide, isethionate, lactate, malate, maleate, malonate, mesylate, methylsulphate, naphthylate, 2-napsylate, nicotinate, nitrate, orotate, oxalate, palmitate, pamoate, phosphate/hydrogen phosphate/dihydrogen phosphate, pyroglutamate, saccharate, stearate, succinate, tannate, tartrate, tosylate, trifluoroacetate and xinofoate salts. Suitable base salts are formed from bases which form non-toxic salts. Examples include the aluminium, arginine, benzathine, calcium, choline, diethylamine, diolamine, glycine, lysine, magnesium, meglumine, olamine, potassium, sodium, tromethamine and zinc salts. Hemisalts of acids and bases may also be formed, for example, hemisulphate and hemicalcium salts. Preferred, pharmaceutically acceptable salts include hydrochloride/chloride, hydrobromide/bromide, bisulphate/sulphate, nitrate, citrate, and acetate.
When the compounds of the invention contain an acidic group as well as a basic group the compounds of the invention may also form internal salts, and such compounds are within the scope of the invention. When the compounds of the invention contain a hydrogen- donating heteroatom (e.g. NH), the invention also covers salts and/or isomers formed by transfer of said hydrogen atom to a basic group or atom within the molecule .
Pharmaceutically acceptable salts of compounds of Formula I may be prepared by one or more of these methods :
(i) by reacting the compound of Formula I with the desired acid;
(ii) by reacting the compound of Formula I with the desired base;
(iii) by removing an acid- or base-labile protecting group from a suitable precursor of the compound of Formula I or by ring-opening a suitable cyclic precursor, for example, a lactone or lactam, using the desired acid; or
(iv) by converting one salt of the compound of Formula I to another by reaction with an appropriate acid or by means of a suitable ion exchange column.
All these reactions are typically carried out in solution. The salt, may precipitate from solution and be collected by filtration or may be recovered by evaporation of the solvent. The degree of ionization in the salt may vary from completely ionized to almost non-ionized.
The term 'solvate' is used herein to describe a molecular complex comprising the compound of the invention and one or more pharmaceutically acceptable solvent molecules, for example, ethanol . The term
'hydrate' is employed when said solvent is water.
All references to compounds of formula I include references to salts, solvates, multi- component complexes and liquid crystals thereof and to solvates, multi-component complexes and liquid crystals of salts thereof .
The compounds of the invention include compounds of formula I as hereinbefore defined, including all polymorphs and crystal habits thereof, prodrugs and isomers thereof (including optical, geometric and tautomeric isomers) and isotopically- labeled compounds of formula I .
In addition, although generally, with respect to the salts of the compounds of the invention, pharmaceutically acceptable salts are preferred, it should be noted that the invention in its broadest sense also included non-pharmaceutically acceptable salts, which may for example be used in the isolation and/or purification of the compounds of the invention. For example, salts formed with optically active acids or bases may be used to form diastereoisomeric salts that can facilitate the separation of optically active isomers of the compounds of Formula I above.
The invention also generally covers all pharmaceutically acceptable predrugs and prodrugs of the compounds of Formula I .
The term "pro-drug" as used herein means the pharmacologically acceptable derivatives such as esters, amides and phosphates, such that the resulting in vivo biotransformation product of the derivative is the active drug. Pro-drugs are characterized by increased bio-availability and are readily metabolized into the active inhibitors in vivo. The term "pre- drug", as used herein, means any compound that will be modified to form a drug species, wherein the modification may take place either inside or outside of the body, and either before or after the pre-drug reaches the area of the body where administration of the drug is indicated.
The term "patient" refers to a warm-blooded animal, more preferably a human, who/which is awaiting or receiving medical care or is or will be the object of a medical procedure.
The term "human" refers to suject of both genders and at any stage of development (i.e. neonate, infant, juvenile, adolescent, adult).
The term "transplant" refers to the grafting, implantation or transplantation of organs, tissues, cells (e. g. , bone marrow) and/or biocompatible materials onto or into the body of an animal. The term encompasses the transfer of tissues from one part of the animal's body to another part and the transfer of organs, tissues , and/or cells obtained from a donor animal (either directly or indirectly such as an organ or tissue produced in vitro by culturing cells obtained from the animal) into a recipient animal. The animal is suitably a warm-blooded vertebrate, is typically a mammal, and is especially a primate (e. g. , a human) .
The term "transplant rejection" means any immune reaction in the recipient directed against grafted organs, tissues, cells, and/or biocompatible materials .
The term "therapeutically effective amount" (or more simply an "effective amount") as used herein means the amount of active agent or active ingredient (e. g. , chemokine receptor CCR5 modulator, i.e. a CCR5 agonist or a CCR5 antagonist, especially a CCR5 agonist) which is sufficient to achieve the desired therapeutic or prophylactic effect in the individual to which it is administered.
The term "administration", or a variant thereof (e. g. , "administering" ), means providing the active agent or active ingredient (e. g. , a CCR5 modulator) , alone or as part of a pharmaceutically acceptable composition, to the patient in whom/which the condition, symptom, or disease is to be treated or prevented.
By "pharmaceutically acceptable" is meant that the ingredients of a pharmaceutical composition are compatible with each other and not deleterious to the recipient thereof.
The term "agonist" as used herein means a ligand that activates an intracellular response when it binds to a receptor. An agonist according to the invention may promote internalization of a cell surface receptor such that the cell surface concentration of a receptor is decreased or remove.
The term "antagonist" as used herein means a ligand which competitively binds to a receptor at the same site as an agonist, but does not activate an intracellular response initiated by an active form of the receptor. An antagonist thereby inhibits the intracellular response induced by an agonist.
The term "pharmaceutical vehicle" as used herein means a carrier or inert medium used as solvent or diluent in which the pharmaceutically active agent is formulated and/or administered. Non-limiting examples of pharmaceutical vehicles include creams, gels, lotions, solutions, and liposomes. The present invention will be better understood with reference to the following examples.
These examples are intended to representative of specific embodiments of the invention, and are not intended as limiting the scope of the invention.
CHEMISTRY EXAMPLES
All temperatures are expressed in °C and all reactions were carried out at room temperature unless otherwise stated.
Analytical thin layer chromatography (TLC) was used to monitor reactions, establish flash chromatography conditions and verify purity of intermediates or final products. TLC plates used were Merck TLC aluminium sheet silica gel 60 F254 purchased from VWR International. TLC plates were revealed using ultraviolet irradiation (wavelength=254nm) at room temperature or bromocresol green spray reagent at 0.1% in propan-2-ol purchased from VWR International upon heating at 160°C or KMnθ4 revelator upon heating at 160°C. The KMnθ4 revelator was prepared by dissolving 3g of potassium permanganate, 2Og of sodium carbonate, 0.5g of sodium hydroxide in 10OmL of distilled water.
HPLC-MS spectra were obtained on Waters instruments using Electropsray ionization (ESI). Samples are injected by a Waters 2767 sample manager. A Waters 2525 binary pump module is linked to a Waters 2996 photodiode array detector and a Waters micromass ZQ- 2000. The column used is a Sunfire C18 5μ; 4.6 * 50mm. Eluent is a mixture of solution A (0.1% TFA in H2O) and solution B (0.1% TFA in ACN): 5% solution B for lmin, gradient from 5% solution B to 95% solution B over 4 min, 95% solution B for 0.2 min and 5% solution B for 0.8min.
1H and 13C NMR spectra were recorded on a Bruker 300MHz. Chemical shifts are expressed in parts per million, (ppm, δ units). Coupling constants are expressed in Hertz units (Hz) . Splitting patterns describe apparent multiplicities and are described as s (singlet) , d (doublet), t (triplet), g (quartet), m (multiplet) , or br (broad) .
Solvents, reagents and starting materials were purchased from well known chemical suppliers such as for example Sigma Aldrich, Acros Organics, Eurisotop, VWR International, Sopachem and Polymer labs and the following abbreviations are used
ACN: Acetonitrile,
DCM: Dichloromethane,
DIEA: N,N-diisopropylethylamine
DMF: N, N-dimethylformamide,
EtOAc: Ethyl acetate,
EtOH: Ethanol,
HOBt: 1-hydroxybenzotriazole,
MeOH: Methanol ,
NaBH(OAc) 3.-sodium triacetoxyborohydride
RT: Room temperature,
TEA: Triethylamine, TBTU: O- (1H-Benzotriazol-1-yl) -N, N, N' ,N' - tetramethyluronium tetrafluoroborate,
Y: Yield,
g : Grams ,
mg: Milligrams,
L: Liters,
mL: Milliliters,
μL: Microliters,
mol : Moles,
mmol : Millimoles,
h: Hours,
min: Minutes,
TLC: Thin layer chromatography,
MW: Molecular weight,
eq: Equivalent,
μwave : Microwave,
THF: Tetrahydrofuran,
TFA: Trifluoroacetic acid,
Ac : Acetyl ,
EDC: 1- (3-dimethylaminopropyl) -3-ethylcarbodiimide hydrochloride . SCHEME I
Figure imgf000087_0001
SCHEME II
Figure imgf000088_0001
SCHEME III
Figure imgf000088_0002
SCHEME IV
Figure imgf000089_0001
SCHEME V
Figure imgf000089_0002
SCHEME VI
Figure imgf000090_0001
SCHEME VII
Figure imgf000090_0002
SCHEME VIII
Figure imgf000091_0001
Synthesis of intermediate 1: 1- (3 , 3 -Diphenyl-propyl) - piperidine-4-carboxylic acid ethyl ester
Figure imgf000091_0002
To a solution of piperidine-4-carboxylic acid ethyl ester {2.4 g; 15.1 mmol) in ACN (100 ml) were added 3 , 3-diphenylpropyl bromide (5.Og; 18.2 mol), tetrabutylammonium iodide (558 mg; 1.51 mmol) and potassium carbonate (6.28 g; 45.4 mmol). The mixture was refluxed overnight. The reaction mixture was cooled and filtered over silica gel and concentrated. The residue was purified by silica gel chromatography (eluent: DCM and MeOH/DCM: 5/95) to afford after dry evaporation under vacuum the title intermediate as an oil (4.53 g; Y: 85 %) .
MS: (M+H)" = 352.
Synthesis of intermediate 2: 1- (3 , 3-Diphenyl-propyl) piperidine-4-carboxylic acid hydrochloride
Figure imgf000092_0001
The resin Amberlyst® A26(OH) (34.9 g, 46.8 mmol) was added to a solution of 1- (3 , 3-Diphenyl-propyl) - piperidine-4-carboxylic acid ethyl ester (3.5 g; 9.96 mmol) in MeOH (70 ml) . The reaction mixture was stirred at RT overnight. The mixture was filtered and washed 3 times with MeOH and 3 times with ACN.
The resin was added to a solution of ACN (56 ml) and HCl 37% (14 ml). The mixture was stirred for 3 hours.
The mixture was filtered and washed 3 times with ACN.
The residue was transferred to an ISOLUTE® PE-AX column (eluent: DCM and ACN with HCl) to afford after dry evaporation the title intermediate as an oil (2.21 g; Y : 62 % ) . MS : (M+H) + = 324 .
Synthesis of intermediate 3: 1- (2-Diphenylamino-ethyl) piperidine-4-carboxylic acid ethyl ester
Figure imgf000093_0001
To a solution of piperidine-4-carboxylic acid ethyl ester (162.8 mg; 1.04 mmol), in ACN (4 ml) were added (2-Chloro-ethyl) -diphenyl-amine (J. Med. Chem. 1992, 35, 1042-1049) (240 mg; 1.04 mmol) , tetrabutylammonium iodide (38.4 mg; 0.11 mmol) and potassium carbonate (430 mg; 3.11 mmol). The mixture was refluxed during 3 days. The reaction mixture was cooled and filtered over silica gel and concentrated. The residue was purified by silica gel chromatography (eluent:DCM and MeOH/DCM: 5/95) to afford after dry evaporation the title intermediate as an oil (106 mg; Y: 29 %) .
MS: (M+H)+ = 353. Synthesis of intermediate 4; 1- (2-Diphenylamino-ethyl) - piperidine-4-carboxylic acid
Figure imgf000094_0001
The resin Amberlyst® A26(OH) (1.0 g) was added to a solution of 1- (2-diphenylamino-ethyl) -piperidine-4- carboxylic acid ethyl ester (106 mg; 0.3 mmol) in MeOH (2 ml) . The reaction mixture was stirred at room temperature overnight. The mixture was filtered and washed 3 times with MeOH and 3 times with ACN. The resin was added to a solution of ACN (1 ml) and aqueous 1 M HCl (4 ml ) . The mixture was stirred for 3 hours. The mixture was filtered and washed 3 times with ACN. The residue was evaporated under vacuum to give the title intermediate as an oil (87 mg; Y: 73%) .
MS: (M+H)+ = 325. Synthesis of intermediate N-Boc-piperidine-4- carboxylic acid benzyl amide
Figure imgf000095_0001
A solution of HOBt (1.54 g; 10 mmol) and TBTU (3.22 g; 10 mmol) in DMF (10ml) was added to a solution of N- Boc-piperidine-1-carboxylic acid (2 g; 8.72 mmol) and benzylamine (934 mg; 8.72 mmol) in DMF (10 ml) followed by TEA (4.85 ml; 35 mmol). After 16 h, water was added to the reaction mixture and the mixture was extracted with DCM (3 times) . The combined organics were washed with an aqueous solution of NaHCO3 and water and dried (MgSO4) . The residue was purified by silica gel chromatography (eluent: DCM and MeOH/DCM: 5/95) to afford after dry evaporation the title intermediate as an oil (2.25g; Y:81%) .
MS: (M+H)+ = 319. Synthesis of intermediate 6: Piperidine-4-carboxylic acid benzylamide hydrochloride
Figure imgf000096_0001
To a solution of N-Boc-piperidine-4-carboxylic acid benzyl amide (2.2g; 6.91 mmol) in EtOH (19 ml) was added a solution of HCl 4 M in dioxane (26 ml; 104 mmol) . The reaction mixture was heated at 40°C overnight. After dry evaporation, the residue was triturated in dietyl ether and fitrated to afford the title intermediate as an white off solid (1.16 g; Y:
MS: (M+H)+ = 219
Synthesis of intermediate 7; 1- (2-hydroxy-ethyl) - piperidine-4-carboxylic acid benzylamide
Figure imgf000097_0001
To a solution of piperidine-4-carboxylic acid benzylamide hydrochloride (2.88 mmol) in ACN (19 irtL) were added 2-chloroethanol (232 mg; 2.88 mmol), powdered sodium iodide (432 mg; 2.88 mmol) and DIEA (952 μL; 5.76 mmol). The mixture was heated at 150°C for 25 minutes then filtered over silica gel and concentrated under reduced pressure to afford the title intermediate .
Synthesis of intermediate 8; 1- (2-chloro-ethyl) - piperidine-4-carboxylic acid benzylamide hydrochloride
Figure imgf000097_0002
To a solution of 1- (2-hydroxy-ethyl) -piperidine-4- carboxylic acid benzylamide (2.09 mmol) in anhydrous toluene (1 ml) was added while stirring a solution of thionyl chloride (305 μL, 4.18 mmol) in anhydrous toluene (1 mL) so that the temperature remained between 25 and 30°C. The reaction was stirred overnight at RT and then concentrated under reduced pressure. The hydrochloride salt was scratched in Et2θ, filtered and washed with Et2θ to afford the title intermediate.
Synthesis of intermediate 9; 1- (2-phenylamino-ethyl) - piperidine-4-carboxylic acid benzylamide
Figure imgf000098_0001
A mixture of 1- (2-chloro-ethyl) -piperidine-4-carboxylic acid benzylamide hydrochloride (0.59 mmol), aniline
(109 mg, 1.17 mmol), powdered sodium iodide (88.4 mg, 0.59 mmol) and DIEA (204 μL, 1.18 mmol) in acetonitrile
(1 ml) was heated at 100 °C for 10 minutes in a microwave. The crude reaction mixture was filtered through a cotton wool plug and concentrated under vacuum. The residue was purified by silica gel chromatography (eluent: EtOAc/Cyclohexane) to afford after dry evaporation under vacuum the title intermediate . Synthesis of intermediate 10: 1- [2- (3-Fluoro- phenylamino) -ethyl] -piperidine-4-carboxylic acid benzyl
amide
Figure imgf000099_0001
A mixture of 1- (2-chloro-ethyl) -piperidine-4-carboxylic acid benzylamide hydrochloride (0.59 mnαol) , 3- fluoroaniline (1.17 mmol), powdered sodium iodide (88.4 mg, 0.59 mmol) and DIEA (204 μL, 1.18 mmol) in acetonitrile (1 ml) was heated at 100 °C for 10 minutes in a microwave. The crude reaction mixture was filtered through a cotton wool plug and concentrated under vacuum. The residue was purified by silica gel chromatography (eluent: EtOAc/Cyclohexane) to afford after dry evaporation under vacuum the title intermediate . Synthesis of intermediate 11; 1- [2- (3 , 5-Difluoro- phenylamino) -ethyl] -piperidine-4-carboxylic acid benzylamide
Figure imgf000100_0001
A mixture of 1- (2-chloro-ethyl) -piperidine-4-carboxylic acid benzylamide hydrochloride (0.59 mmol) , 3,5- difluoroaniline (1.17 mmol), powdered sodium iodide (88.4 mg, 0.59 mmol) and DIEA (204 μL, 1.18 mmol) in acetonitrile (1 ml) was heated at 100 °C for 10 minutes in a microwave. The crude reaction mixture was filtered through a cotton wool plug and concentrated under vacuum. The residue was purified by silica gel chromatography (eluent: EtOAc/Cyclohexane) to afford after dry evaporation under vacuum the title intermediate . Synthesis of intermediate 12 ; 1- [2- (4-Methanesulfonyl- phenylamino) -ethyl] -piperidine-4-carboxylic acid benzylamide
Figure imgf000101_0001
A mixture of 1- (2-chloro-ethyl) -piperidine-4-carboxylic acid benzylamide hydrochloride (0.59 mmol) , 4- methanesulfonyl-phenylamine (1.17 mmol), powdered sodium iodide (88.4 mg, 0.59 mmol) and DIEA (204 μL, 1.18 mmol) in acetonitrile (1 ml) was heated at 100 °C for 10 minutes in a microwave. The crude reaction mixture was filtered through a cotton wool plug and concentrated under vacuum. The residue was purified by silica gel chromatography (eluent: EtOAc/Cyclohexane) to afford after dry evaporation under vacuum the title intermediate . Synthesis of intermediate 13: 4~(4-Cyano- benzylcarbamoyl) -piperidine-1-carboxylic acid tert- butyl ester
Figure imgf000102_0001
A solution of HOBt (1.54 g; 10 mmol) and TBTU (3.22 g; 10 mmol) in DMF (10ml) was added to a solution of N- Boc-piperidine-1-carboxylic acid (2 g; 8.72 mmol) and 4-cyanobenzylamine (8.72 mmol) in DMF (10 ml) followed by TEA (4.85 ml; 35 mmol). After 16h, water was added to the reaction mixture and the mixture was extracted with DCM (3 times) . The combined organics were washed with an aqueous solution of NaHCO3 and water and dried (MgSO4) . The residue was purified by silica gel chromatography (eluent:DCM and MeOH/DCM: 5/95) to afford after dry evaporation the title intermediate as an oil (2.4g; Y:80%) .
MS: (M+H)+ = 344. Synthesis of intermediate 14 ; Piperidine-4-carboxylic acid 4-cyano-benzylamide hydrochloride
To a solution of 4~ (4-Cyano-benzylcarbamoyl) - piperidine-1-carboxylic acid tert-butyl ester (7 mmol) in EtOH (19 ml) was added a solution of HCl 4 M in dioxane (26 ml; 104 mmol). The reaction mixture was heated at 40°C overnight. After dry evaporation, The residue was triturated in dietyl ether and fitrated to afford the titled intermediate as an white off solid (1.3 g; Y: 70%) .
MS: (M+H)+ = 244.
Synthesis of intermediate 15; 1- (2-Hydroxy-ethyl; piperidine-4-carboxylic acid 4-cyano-benzylamide
Figure imgf000104_0001
To a solution of Piperidine-4-carboxylic acid 4-cyano- benzylamide hydrochloride (2.88 mmol) in ACN (19 mL) were added 2-chloroethanol (232 mg,- 2.88 mmol), powdered sodium iodide (432 mg; 2.88 mmol) and DIEA (952 μL; 5.76 mmol). The mixture was heated at 150°C for 25 minutes then filtered over silica gel and concentrated under reduced pressure to afford the title intermediate .
Synthesis of intermediate 16; I- (2-Chloro-ethyl) - piperidine-4-carboxγlic acid 4-cyano-benzylamide hydrochloride
Figure imgf000105_0001
To a solution of 1- (2-Hydroxy-ethyl) -piperidine-4- carboxylic acid 4-cyano-benzylamide (2.09 mmol) in anhydrous toluene (1 ml) was added while stirring a solution of thionyl chloride (305 μL, 4.18 mmol) in anhydrous toluene (1 mL) so that the temperature remained between 25 and 30°C. The reaction was stirred overnight at RT and then concentrated under reduce pressure. The hydrochloride salt was scratched in Et2O, filtered and washed with Et2O to afford the title intermediate .
Synthesis of intermediate 17: 1- (2-Phenylamino-ethyl) - piperidine-4-carboxγlic acid 4-cyano-benzylamide
Figure imgf000106_0001
A mixture of 1- (2-chloro-ethyl) -piperidine-4-carboxylic acid 4-cyano-benzylamide hydrochloride (0.6 mmol) , aniline (112 mg, 1.2 mmol), powdered sodium iodide (90 mg, 0.6 mmol) and DIEA (210 μL, 1.2 mmol) in acetonitrile (1 ml) was heated at 100 °C for 10 minutes in a microwave. The crude reaction mixture was filtered through a cotton wool plug and concentrated under vacuum. The residue was purified by silica gel chromatography (eluent: EtOAc/Cyclohexane) to afford after dry evaporation under vacuum the title intermediate .
MS: (M+H)+ = 363. Synthesis of intermediate 18: l-[2- (3-Fluoro- phenylamino) -ethyl] -piperidine-4-carboxylic acid 4- cyano-benzylamide
Figure imgf000107_0001
A mixture of 1- (2-Chloro-ethyl) -piperidine-4-carboxylic acid 4-cyano-benzylamide hydrochloride (0.6 mmol), 3- fluoroaniline (1.2 mmol), powdered sodium iodide (90 mg, 0.6 mmol) and DIEA (210 μL, 1.2 mmol) in acetonitrile (1 ml) was heated at 100 °C for 10 minutes in a microwave. The crude reaction mixture was filtered through a cotton wool plug and concentrated under vacuum. The residue was purified by silica gel chromatography (eluent: EtOAc/Cyclohexane) to afford after dry evaporation under vacuum the title intermediate .
MS: (M+H)+ = 381. Synthesis of intermediate 19; 1- (benzyl-phenyl-amino) propan-2-ol .
Figure imgf000108_0001
To a solution of N-phenylbenzylamine (500 mg, 2.73 mmol) in ACN (18 mL) were added l-bromo-2-propanol (398 mg; 2.87 mmol) , powdered sodium iodide (409 mg; 2.73 mmol) and DIEA (902 μL; 5.46 mmol). The mixture was heated at 150°C in a microwave for 30 minutes. The reaction mixture was concentrated under reduced pressure and then dissolved in DCM. The organic layer was washed with saturated aqueous solution of NaHCO3 and Na2S2O3, dried over MgSO4 and concentrated. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title intermediate.
Synthesis of intermediate 20: Methanesulfonic acid 2- (benzyl-phenyl-amino) -1-methyl-ethyl ester.
Figure imgf000109_0001
To a stirred solution of 1- (benzyl-phenyl-amino) - propan-2-ol (500 mg, 2.07 mmol) and TEA (662 μL, 4.76 mmol) in DCM (3 mL) under argon in a ice bath, was added dropwise methanesulfonyl chloride (195 μL, 2.52 mmol) . The solution was stirred 1 hour at 0°C, then treated with an aqueous solution of NH4Cl (2M) and extracted several time with DCM. The organic layer was washed with a saturated aqueous solution of NaCl, dried over MgSO4, and concentrated under reduced pressure. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title intermediate.
General Method A: (Scheme I)
A solution of HOBt (35.2mg,- 0.23mmol) and TBTU (73.8mg; 0.23mmol) in DMF (0.5ml) was added to a solution of 1- (3 , 3-Diphenyl-propyl) -piperidine-4-carboxylic acid hydrochloride (72.0mg; 0.2mmol) and the amine or the alcohol (0.16 mmol) in DMF (1 ml) followed by TEA (0.14 ml; 1 mmol) . The reaction mixture was stirred overnight. The resulting mixture was concentrated under vacuum. The residue was dissolved in DCM and washed with an aqueous solution of NaHCO3 and water. The organic phase was transferred to an ISOLUTE® PE-AX column and washed with DCM. The residue was then transferred to an ISOLUTE® SCX2 column and washed with MeOH and with a solution of 5% aqueous ammonia in MeOH to afford the title compound. Compounds of the invention that were synthesized according to General Method A are listed in Table 3 below.
Table 3: (scheme I)
Figure imgf000110_0001
Figure imgf000111_0001
Figure imgf000112_0001
General Method B: (scheme Ii
The PL-Mukaiyama resin (from polymerlabs, ref: 3495- 1698; 1.18 mmol/g 150-300μM) (120 mg; 0.30 mmol) was added to a solution containing 1- (3 , 3-diphenyl-propyl) - piperidine-4-carboxylic acid hydrochloride (32.3 mg; 0.1 mmol), the aniline (0.08 mmol) and TEA (0.032 ml; 0.23 mmol) in DCM (2 ml) . The reaction mixture was stirred overnight. The resin was removed by filtration and washed with DCM. The resulting mixture was concentrated under vacuum. The residue was dissolved in DCM and washed with an aqueous solution of NaHCO3 and water. The organic phase was applied to an ISOLUTE® PE- AX column and washed with DCM. The residue was then transferred to an ISOLUTE® SCX2 column and washed with MeOH and with a solution of 5% aqueous ammonia in MeOH to afford the title compound. Compounds of the invention that were synthesized according to General Method B are listed in Table 4 below: Table 4
Figure imgf000113_0001
General Method C: (scheme I)
A solution of HOBt (0.024 g, 0.178 mmol) and EDC (0.034 g, 0.178 mmol) in acetonitrile (0.5 ml) was added to a solution of 1- (3 , 3-diphenyl-propyl) -piperidine-4- carboxylic acid hydrochloride (0.050 g, 0.155 mmol) and the amine (0.124 mmol) in DCM (1 ml), followed by triethylamine (0.156 g, 1.546 mmol). The mixture was allowed to stir at room temperature overnight. The reaction mixture was diluted with DCM and aqeuous Na2CO3 (5 mL each), stirred for 10 min, separated and the organic layers dried over MgSO4 and concentrated under reduced pressure. The residue was purified by column chromatography (50-100% EtOAc in iso-hexane) .Compounds of the invention that were synthesized according to General Method C are listed in Table 5 below: Table 5
Figure imgf000114_0001
Figure imgf000115_0001
Figure imgf000116_0001
Figure imgf000117_0001
Figure imgf000118_0001
Analysis of compound 45
The product was analysed by LCMS (standard 7min. acidic method, Agilent 1200), m/z 492.2 (ES+), at 2.52 min, weak UV at 254/215rxm.
1H NMR (DMSO-d6) : δ 1.73-1.94 (m, 6H), 2.08-2.16 (m, 1H), 2.18-2.27 (m, 4H), 2.85-2.95 (m, 2H), 3.96 (t, 1H), 4.48 (d, 2H) , 5.97 (t, 1H) , 7.12-7.17 (m, 2H), 7.20-7.28 (m, 10H) , 7.36 (d, 2H), 7.83 (d, 2H) .
General Method D: (scheme III!
A solution of HOBt (35.2mg; 0.23mmol) and TBTU (73.8mg; 0.23mmol) in DMF (0.5ml) was added to a solution of 1- ( 2-diphenylamino-ethyl) -piperidine-4-carboxylic acid (72.0mg; 0.2mmol) and the amine (0.16 mmol) in DMF (1 ml) followed by TEA (0.14 ml; 1 mmol) . The reaction mixture was stirred overnight. The resulting mixture was concentrated under vacuum. The residue was dissolved in DCM and washed with an aqueous solution of NaHCC>3 and water. The organic layer was transferred to an ISOLUTE® PE-AX column and washed with DCM. The residue was then transferred to an ISOLUTE® SCX2 column and washed with MeOH and with a solution of 5% aqueous ammonia in MeOH to afford the title compound. Compounds of the invention that were synthesized according to General Method D are listed in Table 6 below.
Table 6: (scheme III!
Figure imgf000119_0001
Figure imgf000120_0001
General Method E: (scheme IV)
To a mixture of 1- (2-chloro-ethyl) -piperidine-4- carboxylic acid benzylamide hydrochloride (0.11 mmol), TEA (30.5 μL, 0.22 mmol) in acetonitrile (1 ml) was added dropwise at 0°C the corresponding amine (RR'NH) (0.1 mmol) . The mixture was then stirred overnight at 70°C. The crude reaction mixture was concentrated under reduced pressure, DCM was then added and the organic layer was washed with water, dried over MgSO4 and concentrated under reduced pressure. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title compound. Compounds of the invention that were synthesized according to General Method E are listed in Table 7 below:
Table 7
Figure imgf000121_0001
Figure imgf000122_0002
General Method F: (scheme V)
To a mixture of 1- (2-phenylamino-ethyl) -piperidine-4- carboxylic acid benzylamide (40 mg, 0.11 mmol) , TEA
(30.5 μL, 0.22 πunol) in acetonitrile (1 ml) was added dropwise at O°C the corresponding alkyl halide (0.1 mmol) . The mixture was then stirred overnight at 70°C.
The crude reaction mixture was concentrated under reduced pressure, DCM was then added and the organic layer was washed with water, dried over MgSU4 and concentrated under reduced pressure. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title compound. Compounds of the invention that were synthesized according to General Method F are listed in Table 8 below:
Table 8
Figure imgf000122_0001
Figure imgf000123_0001
Figure imgf000124_0001
Figure imgf000125_0001
General Method G: (scheme Vl!
A solution of HOBt (35.2mg; 0.23mmol) and TBTU (73.8mg; 0.23πutιol) in DMF (0.5ml) was added to a solution of 1- (2-phenylamino-ethyl) -piperidine-4-carboxγlic acid benzylamide (0.2mmol) and the carboxylic acid (0.25 mmol) in DMF (1 ml) followed by TEA (0.14 ml; 1 mmol) . The reaction mixture was stirred overnight. The resulting mixture was concentrated under vacuum. The residue was dissolved in DCM and washed with an aqueous solution of NaHCO3 and water. The organic phase was transferred to an ISOLUTE® PE-AX column and washed with DCM. The residue was then transferred to an ISOLUTE® SCX2 column and washed with MeOH and with a solution of 5% aqueous ammonia in MeOH to afford the title compound. Compounds of the invention that were synthesized according to General Method G are listed in Table 9 below.
Table 9: (scheme Vi;
Figure imgf000126_0001
Figure imgf000127_0001
General Method H: (scheme VII)
A suspension of boronic acid (0.2 mmol) , Cu(OAc)2-H2θ (2 mg, 0.01 mmol}, and powdered 4A molecular sieves (75 mg) in DCM (0.8 ml) was stirred for 5 minutes at RT. To this stirring suspension was added 1- (2-phenylamino- ethyl) -piperidine-4-carboxylic acid benzylamide (33.7 mg, 0.1 mmol). The reaction mixture was then sealed with a rubber septa, and stirred under an atmosphere of O2. The reaction was stirred with a magnetic stir bar for a period of 24 h. The crude was filtered through a plug of celite to remove the molecular sieves and any insoluble products and the organic layer was concentrated using a rotary evaporator to afford the crude mixture. The product was isolated by silica gel column chromatography (eluent DCM/ MeOH) . Compounds of the invention that were synthesized according to General Method H are listed in Table 10 below.
Table 10: (scheme VIi;
Figure imgf000128_0001
Figure imgf000129_0001
General Method I: (scheme VII)
A suspension of boronic acid (0.2 mmol) , Cu(OAc)2-H2O (2 nag, 0.01 mmol), and powdered 4A molecular sieves (75 mg) in DCM (0.8 ml) was stirred for 5 minutes at room temperature. To this stirring suspension was added 1-
(2-phenylamino-ethyl ) -piperidine-4-carboxylic acid 4- cyano-benzylamide (36.2 mg, 0.1 mmol). The reaction mixture was then sealed with a rubber septa, and stirred under an atmosphere of O2. The reaction was stirred with a magnetic stir bar for a period of 24 H. The crude was filtered through a plug of celite to remove the molecular sieves and any insoluble products and the organic layer was concentrated using a rotary evaporator to afford the crude mixture. The product was isolated by silica gel column chromatography (eluent DCM/ MeOH) . Compounds of the invention that were synthesized according to General Method I are listed in Table 11 below. Table 11: (scheme VII)
Figure imgf000130_0001
Figure imgf000131_0001
Figure imgf000132_0001
General Method J: (scheme VIII)
To a mixture of 1- (2-phenylamino-ethyl) -piperidine-4- carboxylic acid benzylamide (37.1 mg, 0.11 mmol) , TEA (30.5 μL, 0.22 mmol) in DCM (1 ml) was added dropwise at 0°C the corresponding sulfonylchloride (0.11 mmol). The mixture was then stirred overnight at RT. The reaction mixture was then washed with a saturated solution of NaHCO3. The resulting organic layer was washed with water, dried over MgSO4 and concentrated under reduced pressure. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title compound. Compounds of the invention that were synthesized according to General Method J are listed in Table 12 below.
Table 12: (scheme VIII)
Figure imgf000133_0002
General Method K:
Figure imgf000133_0001
To a mixture of the corresponding amine (0.11 mmol) , TEA (30.5 μL, 0.22 mmol) in DCM (1 ml) was added dropwise at 0°C the benzyl bromide (13.2 μL, 0.11 mmol) . The mixture was stirred overnight at RT. The reaction mixture was then washed with a saturated solution of NaHCO3. The resulting organic layer was washed with water, dried over MgSO4 and concentrated under reduced pressure. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title compound. Compounds of the invention that were synthesized according to General Method K are listed in Table 13 below.
Table 13 :
Figure imgf000134_0001
Figure imgf000135_0002
Synthesis of compound 100: 1—[2- (benzyl-phenyl-amino) - 1-methyl-ethyl] -piperidine-4-carboxylic acid benzylamide .
Figure imgf000135_0001
A solution of piperidine-4-carboxylic acid benzylamide (50 mg, 0.23 mmol) and methanesulfonic acid 2-(benzyl- phenyl-amino) -1-methyl-ethyl ester (36.6 mg, 0.11 mmol) in EtOH (2 mL) was heated under reflux for 48 hours. The reaction mixture was then concentrated under reduced pressure and the residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title compound. Synthesis of compound 101; (scheme II)
1- ( 1-Methyl-3 , 3-diphenyl-propyl ) -piperidine-4- carboxylic acid benzylamide
Figure imgf000136_0001
NaBH (OAc) 3 was added to a solution of piperidine-4- carboxylic acid benzylamide (Ig; 3.14 mmol) , 4,4- diphenyl-butan-2-one (53.8 mg; 0.24 mmol), acetic acid
(11.4 μl; 0.2 mmol) in DCM (2 ml). The reaction mixture was stirred during 7 days at RT. The solution was neutralized with a solution of NaOH IM. The residue was extracted with DCM and dried (MgSO4) . The residue was purified by silica gel chromatography (eluent: DCM and MeOH/DCM: 5/95) to afford after dry evaporation the title compound as an oil (14.7 mg; Y: 17%) .
MS: (M+H)+ = 427. Synthesis of compound 102: 1- {2- [ (3-fluoro-phenyl) - (4- methanesulfonyl-phenyl) -amino] -ethyl} -piperidine-4- carboxylic acid benzylamide.
Figure imgf000137_0001
A suspension of 4- (methylsulfonyl)phenylboronic acid (40 mg, 0.2 mmol) , Cu(OAc)2-H2O (2 mg, 0.01 mmol), and powdered 4A molecular sieves (75 mg) in DCM (0.8 ml) was stirred for 5 minutes at room temperature. To this stirring suspension was added 1- [2- (3-fluoro- phenylamino) -ethyl] -piperidine-4-carboxylic acid benzylamide (35.5 mg, 0.1 mmol). The reaction mixture was then sealed with a rubber septa, and stirred under an atmosphere of O2. The reaction was stirred with a magnetic stir bar for a period of 24 h. The crude was filtered through a plug of celite to remove the molecular sieves and any insoluble products and the organic layer was concentrated using a rotary evaporator to afford the crude mixture. The product was isolated by silica gel column chromatography (eluent DCM/ MeOH) . Synthesis of compound 103 : 1- {2- [ (3-fluoro-phenyl) - (4- methanesulfonyl-phenyl) -amino] -ethyl }-piperidine-4- carboxylic acid 4-cyano~benzylamide.
Figure imgf000138_0001
A suspension of 4- (methylsulfonyDphenylboronic acid (40 mg, 0.2 mmol) , Cu(OAc)2-H2O (2 mg, 0.01 mmol), and powdered 4A molecular sieves (75 mg) in DCM (0.8 ml) was stirred for 5 minutes at room temperature. To this stirring suspension was added 1- [2- (3-fluoro- phenylamino) -ethyl] -piperidine-4-carboxylic acid 4- cyano-benzylamide (38 mg, 0.1 mmol) . The reaction mixture was then sealed with a rubber septa, and stirred under an atmosphere of O2. The reaction was stirred with a magnetic stir bar for a period of 24 h. The crude was filtered through a plug of celite to remove the molecular sieves and any insoluble products and the organic layer was concentrated using a rotary evaporator to afford the crude mixture. The product was isolated by silica gel column chromatography (eluent DCM/ MeOH) . Synthesis of compound 104: 1- [2- (1, 3-diphenyl-ureido) - ethyl] -piperidine-4-carboxylic acid benzylamide
Figure imgf000139_0001
To a mixture of 1- (2-ph.enylamino--eth.yl) -piperidine-4- carboxylic acid benzylamide (37.1 mg, 0.11 πunol) , DIEA (36.3 μL, 0.22 mmol) in DCM (1 ml) was added dropwise at 0°C the phenyl isocyanate (12μL, 0.11 mmol). The mixture was then stirred overnight at RT. The reaction mixture was then quenched with water, dried over MgSO4 and concentrated under reduced pressure. The residue was purified by silica gel chromatography (eluent: DCM/MeOH) to afford after dry evaporation under vacuum the title compound. Synthesis of compound. 105: 1- (3 , 3-Diphenyl-propyl) piperidine-4-carboxylic acid 4-hydroxy-benzylamide
Figure imgf000140_0001
A solution of HOBt (0.024 g, 0.178 mmol) and EDC (0.034 g, 0.178 mmol) in acetonitrile (0.5 ml) was added to a solution of 1- (3 , 3 -diphenyl-propyl) -piperidine-4- carboxylic acid hydrochloride (0.050 g, 0.155 mmol) and the 4-aminomethylphenol (0.124 mmol) in DCM (1 ml), followed by triethylamine (0.156 g, 1.546 mmol). The mixture was allowed to stir at RT overnight. The reaction mixture was diluted with DCM and aqeuous Na2CO3 (5 mL each) , stirred for 10 min, separated and the organics dried over MgSO4 and concentrated at reduced pressure. The residue was purified by column chromatography (50-100% EtOAc in iso-hexane) . The compound was stirred with a solution of LiOH (1 M) for 30 minutes. Mixture was diluted with DCM (5ml) and the layers were separated. The organic layer was dried over Na2SO4. Solvent was removed under vacuum to afford the title compound. Synthesis of compound 1061 1- (3-Cyano-3 , 3-diphenyl- propyl) -piperidine-4-carboxylic acid benzylamide
Figure imgf000141_0001
To a solution of piperidine-4-carboxylic acid benzylamide hydrochloride (0.16 mmol) in ACN (2.5 ml) were added 3-cyano-3 , 3-diphenylpropyl bromide (0.2 mmol), tetrabutylammonium iodide (3.1 mg; 0.016 mmol) and potassium carbonate (66.3 mg; 0.48 mmol) . The mixture was heated at 100°C 10 days long. The reaction mixture was cooled and filtered over silica gel and concentrated. The residue was purified by silica gel chromatography (eluent: EtOAc) to afford after dry evaporation under vacuum the title compound.
Synthesis of compound 107: 1- (3-Cyano-3 , 3-diphenyl- propyl) -piperidine-4-carboxylic acid 4-cyano- benzylamide
Figure imgf000142_0001
To a solution of piperidine-4-carboxylic acid 4-cyano- benzylamide hydrochloride (0.16 mmol) in ACN (2.5 ml) were added 3-cyano-3 , 3-diphenylpropyl bromide (0.2 mmol), tetrabutylammonium iodide (3.1 mg; 0.016 mmol) and potassium carbonate (66.3 mg; 0.48 mmol). The mixture was heated at 100°C 10 days long. The reaction mixture was cooled and filtered over silica gel and concentrated. The residue was purified by silica gel chromatography (eluent: EtOAc) to afford after dry evaporation under vacuum the title compound. Synthesis of compound 108: 1- (2-Diphenylamino-ethyl) - piperidine-4-carboxylic acid benzylamide
Figure imgf000143_0001
A solution of HOBt (35.2mg; 0.23mmol) and TBTU (73.8mg; 0.23mmol) in DMF (0.5ml) was added to a solution of 1- (2-diphenylamino-ethyl) -piperidine-4-carboxylic acid (72.0mg; 0.2mmol) and the benzylamine (0.16 mmol) in DMF (1 ml) followed by TEA (0.14 ml; 1 mmol). The reaction mixture was stirred overnight. The resulting mixture was concentrated under vacuum. The residue was dissolved in DCM and washed with an aqueous solution of NaHCO3 and water. The organic layer was transferred to an ISOLUTE® PE-AX column and washed with DCM. The residue was then transferred to an ISOLUTE® SCX2 column and washed with MeOH and with a solution of 5% aqueous ammonia in MeOH to afford the title compound. BIOLOGY EXAMPLES
Cell based assay: Calcium flux. The Aequorin-based assay.
The aequorin assay uses the responsiveness of aequorin to intracellular calcium release induced by the activation of G Protein Coupled Receptors (Stables et al., 1997, Anal. Biochem. 252:115-126; Detheux et al . , 2000, J. Exp. Med., 192 1501-1508). Briefly, Chinese hamster ovary cells expressing the CCR5 receptor are transfected to coexpress apoaequorin and Gocl6. Cells are incubated with 5 μM Coelenterazine H (Promega) overnight at room temperature, and resuspended at a concentration of 0. Ix 106 cells/ml. Cells are then mixed with test agonist compounds and light emission by the aequorin is recorded with a luminometer (FDSS 6000 - Hamamatsu) for 30 sec. Results are expressed as Relative Light Units (RLU) . Controls include cells not expressing CCR5 in order to exclude possible non- specific effects of the test compound.
An agonist response is defined as an increase of light emission by aequorin corresponding to 10% or more of the light emitted by a reference sample of cells expressing CCR5 and treated with a the reference agonist ligand MlP-lβ. The results of the tested compounds are reported as the concentration of compound required to reach 50% (EC50) of the maximum level of light emission induced by these compounds.
When tested in the assay described above and by way of illustration the compounds n0 4, 5, 108, 9, 45 and 33 have an EC50 (nM) ranging from 108 to 1075 (table 14) Inhibitory effect on HIV infection to MAGI-CCR5 cells
The inhibitory activity of the compounds of the invention on HIV infection is measured on the human MAGI R5 recombinant cell line coexpressing the human CCR5 receptor and CD4 at their extracellular membrane. MAGI R5 cells are plated in black view plates at 10,000 cells /well and incubated with the appropriate concentrations of the compounds of the invention during 1 hour. This is followed by a 24 hours infection period with the recombinant and non-replicative HIV virus coding for the firefly luciferase (Bona et al . , 2006, Antimicrob. Agents Chemother. 50: 3407-3417). The inhibitory effect of the tested compound on virus entry in MAGI R5 cells is measured by a reduction of luciferase signal (TopCount-NXT reader (Packard) and detection luciferase kit: Steadylite HTS assay kit (Perkin Elmer) ) in the presence of the compound of the invention relative to the maximum signal obtained from cells infected with the virus without any added compound. The results of the tested compounds are reported as the concentration of compound required to inhibit 50% (IC50) of the maximum luciferase signal.
When tested in the assay described above and by way of illustration the compounds n° 1, 4, 5, 9, 45, 33 and 101 have an IC50 (nM) ranging from 631 to 3078 (Table 14)
125 I-MIP-lβ binding competition assay
The ability of the compounds of the invention to inhibit the binding of MlP-lβ was assessed by an in vitro radioligand binding assay. Membranes were prepared from Chinese hamster ovary recombinant cells which express the human CCR5 receptor. The membranes were incubated with 0.05nM 125I- MlP-lβ.in. a HEPES 25mM/ CaCl2 5mM/MgCl2 ImM buffer and various concentrations of the compounds of the invention. The amount of iodinated MlP-lβ bound to the receptor was determined after filtration by the quantification of membrane associated radioactivity using the TopCount-NXT reader (Packard) . Competition curves were obtained for compounds of the invention and the concentration of compound which displaced 50% of bound radioligand (IC50) was calculated
According to the method described above and by way of illustration the compounds n° 1, 4, 5, 10, 108, 9, 45,
33 and 101 have an IC50 (nM) ranging from 50 to 548 (table 14)
Table 14
Figure imgf000146_0001
Figure imgf000147_0001
a and b: activity levels in a range that do not allow the accurate calculation of EC50 or IC50 values alevel of calcium/aequorin response at a concentration of 10μM of the compound of the invention compared to the calcium/aequorin response of MIP-lβ at 10OnM blevel of inhibition of luciferase activity at a concentration of 10μM of the compound of the invention compared to the inhibition induced by Rantes at 10OnM
The aequorin-based assay quantitatively determines if the compounds exhibit agonist activity by inducing activation of the CCR5 receptor. The values mentioned in the Table 14 clearly indicate that this is the case. Indeed these values show that the compounds of the invention are able to activate the CCR5 receptor and therefore exhibit agonist activity.
The results of the inhibition of MlP-lβ (a reference CCR5 ligand) binding assay represented in Table 14 demonstrate that the compounds of the invention are able to specifically and competitively interact with CCR5 receptor.
In addition to the above-mentioned functional and binding activities on the CCR5 receptor, the compounds of the invention are also able to protect a human recombinant cell line (MAGI R5 cell) from the infection by a recombinant HIV virus (see Table 14, column HIV- Infection assay) , which is known to correlate closely with infection of human leukocytes with pathological strains of HIV In other words the above-mentioned results demonstrate that the compounds of the invention are of value in inhibiting the entry of HIV viruses into target cells and therefore are of value in the prevention of infection by HIV viruses, the treatment of infection by HIV viruses and the prevention and/or the treatment of acquired immune deficiency syndrome (AIDS) .

Claims

1. A compound of general formula I:
Figure imgf000149_0001
and pharmaceutically acceptable salts and solvates thereof, wherein
A is -CH2-CH2- or absent;
R1 and R2 independently are H, halo, optionally substituted alkyl, aryl , heteroaryl, cycloalkyl, cycloalkylalkyl , heterocyclyl;
R3 and R4 independently are a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkenyl , alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl , aryl, aralkyl, heteroaryl, heteroarylalkyl, hydroxyl, alkoxy, haloalkσxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl , thioacyl , aroyl , amino, alkylamino, aminoalkyl , carboxy, alkoxycarbonyi , cycioaikyioxycarbonyl , heterocyclyloxycarbonyl , aryloxycarbonyl , heteroaryloxycarbonyl , alkylcarbonyloxy, cycloalkylcarbonyloxy, heterocyclylcarbonyloxy, arylcarbonyloxy, heteroarylcarbonyloxy, arylalkyloxy, alkylcarbonylamino , haloalkylcarbonylamino , cycloalkylcarbonylamino, heterocyclylcarbonylamino arylcarbonylamino , heteroarylcarbonylamino , alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl , arylcarbamoyl , heteroarylcarbamoyl, carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl , haloalkylsulfonyl , cycloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the cycloalkyl, aryl, or heterocyclyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group, each of said groups being optionally substituted by one or more further substituent (s) selected from halo, alkoxy, alkyl, alkylamino, alkylcarbonyl , alkylheteroaryl , alkylsulfonyl, aralkyl, aryl, arylamino, aryloxy, cyano, haloalkoxy, haloalkyl, heteroaryl, heteroarylalkyl , heteroarylcarbonyl , heterocyclyl, hydroxyl, nitro, oxo, and sulfonyl;
L1 is NRCO, NRSO2, CO, CONR, CONRCH2, CH2CO, COCH2 CH2CH2CO, CH2COCH2, COCH2CH2, SO2, SO2NR, SO2CH2, SO2CH2CH2, a single bond or a group selected from C1-C3 alkylene, C2-C4 alkenylene and C2-C4 alkynylene, each group being optionally substituted with one or more substituent (s) selected from alkyi, aryi, heteroaryl, halo, alkylcax"bonyl , alkylamino, alkoxy, alkylcarbonylamino, and alkylcarbonylalkyl , wherein R is hydrogen or C1-C6 alkyl ; X is CR6 or N;
R5 is selected from NR7(L2-R8), O(L2-R8), and CR7R9 (L2-R8) ;
R6 is selected from hydrogen, hydroxyl, halo, C1-C6 alkyl , cyano, alkoxy, allyl, COOH, COOR, wherein R is selected from C1-C3 alkyl, CONR7R'', wherein R' and R" independently are selected from C1-C3 alkyl, with the proviso that CONR' R' ' is not CON(Me)2;
R7 and R9 independently are selected from hydrogen, C1-C4 alkyl, allyl, propargyl, -CH2-CH2-OH, -CH2-CH2-CH2-OH, cyclopropyl, cyclopropylmethyl, aryl, and heteroaryl;
L2 is a single bond or C3.-C4 alkylene, optionally substituted by one or more substituent (s) selected from halo, oxo, cyano, alkyl, hydroxyalkyl , haloalkyl, cycloalkyl, and alkoxy or L2 is CRaRb, wherein Ra and Rb form together with the carbon to which they are attached a carbocycle having 3 to 6 ring atoms,-
R8 is a group selected from aryl, heteroaryl, cycloalkyl, and heterocyclyl, each group being optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl, haloalkyl, cycloalkyl, cycloalkylalkyl, alkenyl, alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl , aryl, aralkyl, heteroaryl, heteroarylalkyl , hydroxyl, alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl, thioacyl, aroyl , amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , heterocyclyloxycarbonyl , aryloxycarbonyi , heteroaryloxycarbonyl , alkylcarbonyloxy, cycloalkylcarbonyloxy, heterocyclylcarbonyloxy, arylcarbonyloxy, heteroarylcarbonyloxy, arylalkyloxy, alkylcarbonylamino , haloalkylcarbonylamino , cycloalkylcarbonylamino , heterocyclylcarbonylamino arylcarbonylamino, heteroarylcarbonylamino, alkylcarbonylaminoalkyl, acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, arylcarbamoyl, heteroarylcarbamoyl , carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl, haloalkylsulfonyl, cycloalkylsulfonyl, heterocyclylsulfonyl , arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl, alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the cycloalkyl, aryl, or heterocyclyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group, each of said groups being optionally substituted by one or more further substituent (s) selected from halo, alkoxy, alkyl, alkylamino, alkylcarbonyl , alkylheteroaryl , alkylsulfonyl, aralkyl, aryl, arylamino, aryloxy, cyano, haloalkoxy, haloalkyl, heteroaryl, heteroarylalkyl, heteroarylcarbonyl, heterocyclyl, hydroxyl , nitro, oxo, and sulfonyl;
R7 and L2-R8 form together with the nitrogen atom to which they are connected a 5 to 8 membered saturated, unsaturated or aromatic cycle, which cycle is optionally substituted by one or more groups selected from aryl, heteroaryl, cycloalkyl, heterocyclyl, each group being optionally substituted by one or more substituent (s ) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl, haloalkyl, cycloalkyl, cycloalkylalkyl , alkenyl, alkynyl, heteroalkyl, heterocyclyl, heterocyclylalkyl, aryl, aralkyl, heteroaryl , heteroarylalkyl , hydroxyl , alkoxy, haloalkoxy, cycloalkyloxy, heterocyclyloxy, aryloxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyl, thioacyl, aroyl, amino, alkylamino, aminoalkyl , carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl, heterocyclyloxycarbonyl , aryloxycarbonyl , heteroaryloxycarbonyl , alkylcarbonyloxy, cycloalkylcarbonyloxy, heterocyclylcarbonyloxy, arylcarbonyloxy, heteroarylcarbonyloxy, arylalkyloxy, alkylcarbonylamino, haloalkylcarbonylamino, cycloalkylcarbonylamino , heterocyclylcarbonylamino arylcarbonylamino, heteroarylcarbonylamino , alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, arylcarbamoyl, heteroarylcarbamoyl , carbamoylalkyl , carbamoylamino , alkylcarbamoylamino, sulfino, alkylsulfinyl, sulfo, alkylsulfonyl , haloalkylsulfonyl, cycloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl, alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, haloalkylsulfonylamino, or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the 5 to 8 rnembered saturated, unsaturated or aromatic cycle may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl group, each of said groups being optionally substituted by one or more further substituent (s) selected from halo, alkoxy, alkyl, alkylamino, alkylcarbonyl, alkylheteroaryl, alkylsulfonyl , aralkyl, aryl, arylamino, aryloxy, cyano, haloalkoxy, haloalkyl, heteroaryl, heteroarylalkyl, heteroarylcarbonyl , heterocyclyl, hydroxyl, nitro, oxo, and sulfonyl, or is part of a fused, ring system.
2. The compound according to Claim 1 or a pharmaceutically acceptable salt or solvate thereof, wherein
R3, R4, R8, and Hi1 are as defined in claim 1,
A is absent;
R1 and R2 independently are hydrogen, halo, or C1-C4 alkyl ;
X is CH, C(OH), C(CN), or N;
R5 is NH(L2-R8), wherein L2, R8 and L2-R8 are as defined in claim 1.
3. The compound according to Claim 2 or a pharmaceutically acceptable salt or solvate thereof, wherein
A is absent;
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl, preferably hydrogen, methyl or ethyl, and even more preferably hydrogen;
X is CH or N,
R3 and R4 are as defined in claim 1;
R5 is NH(L2-R8), wherein L2, R8 and I* 2-R8 are as defined in claim 1.
4. The compound according to Claim 1 having formula Ia
Figure imgf000155_0001
or a pharmaceutically acceptable salt or solvate thereof, wherein
R1, R2, R3, R4, R5, R8, L1, and X are defined in claim 1.
5. A compound according to Claim 4 or a pharmaceutically acceptable salt or solvate thereof, wherein
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl;
X is CH, C(OH), C(CN), or N; and
R5 is NR7(L2-R8), wherein R7, L2, and R8 are as defined in claim 1.
6. The compound according to Claim 1 having formula Ib
Figure imgf000155_0002
or a pharmaceutically acceptable salt or solvate thereof, wherein R1, R2, R3 f R4, X, and L1 are as defined in claim 1.
7. The compound according to Claim 6 or a pharmaceutically acceptable salt or solvate thereof, wherein
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl;
X is CH, C(OH), C(CN), or N; and
L1 is CO, C1-C4 alkyl, or a single bond.
8. The compound according to Claim 1 having formula Ic
Figure imgf000156_0001
or a pharmaceutically acceptable salt or solvate thereof, wherein
R1, R2, R3, R4, X, and L1 are as defined in claim 1; and
Ra, Rb, and Rc independently are absent or a group selected from OR', C1-C4 alkyl, NO2, Cl, F, OCF3, CF3, CN, COR', COCF3, SO2R', SO2CF3, SO2NR'R'', COOR', CONR'R'', NR'S02R'', NR'COR'' wherein R' and R" independently are selected from hydrogen or C1-C4 alkyl .
9. The compound according to Claim 8 or a pharmaceutically acceptable salt or solvate thereof, wherein
R1 is hydrogen;
R2 is hydrogen or C1-C4 alkyl;
X is CH, C(OH), C(CN), or N;
L1 is CO, C1-C4 alkyl, or a single bond.
10. The compound according to Claim 1 having formula Id
Figure imgf000157_0001
or a pharmaceutically acceptable salt or solvate thereof, wherein
X is CH, C(OH), C(CN), or N;
R2 is hydrogen or methyl;
R3 is as defined in claim 1 ;
R4 is phenyl, optionally substituted by one or more substituent (s) selected from halo, oxo, nitro, cyano, azido, alkyl, hydroxyalkyl , cycloalkyl, alkynyl, hydroxyl , alkoxy, haloalkoxy, thiol, alkylthio, thioalkyl, haloalkylthio, acyi , thioacyl , amino, alkylamino, aminoalkyl, carboxy, alkoxycarbonyl , cycloalkyloxycarbonyl , alkylcarbonyloxy, alkylcarbonylamino, haloalkylcarbonylamino, cycloalkylcarbonylamino, alkylcarbonylaminoalkyl , acylamino, carbamoyl, hydroxycarbamoyl , alkylcarbamoyl, carbamoylalkyl , carbamoylamino, alkylcarbamoylamino, sulfino, alkylsulfinyl , sulfo, alkylsulfonyl, haloalkylsulfonyl , cycloalkylsulfonyl , heterocyclylsulfonyl , arylsulfonyl, heteroarylsulfonyl sulfamoyl, alkylsulfamoyl, arylsulfamoyl, heteroarylsulfamoyl , alkylsulfonylamino, cycloalkylsulfonylamino, heterocyclylsulfonylamino, arylsulfonylamino, heteroarylsulfonylamino, haloalkylsulfonylamino , or two substituents form an alkylenedioxy group or a haloalkylenedioxy group, or fused to the phenyl group may be one or more cycloalkyl, aryl, heterocyclyl or heteroaryl groups; and R5 is as defined in claim 1.
11. The compound according to Claim having formula Ie
Figure imgf000158_0001
or a pharmaceutically acceptable salt or solvate thereof, wherein
Ra, Rb, Rc and Rd independently are absent or a group selected from OR' , C1-C4 alkyl, NO2, Cl, F, OCF3, CF3, CN, COR', COCF3, SO2R', SO2CF3, SO2NR'R' ', COOR',
CONR' R' ' , NR' SO2R NR'COR' ' wherein R' and R" independently are selected from hydrogen or C1-C4 alkyl;
X is CH, C(OH), C(CN), or N; and
R5 is as defined in Claim 1.
12. The compound according to Claim 1 selected from the group consisting of
Figure imgf000160_0001
Figure imgf000161_0001
Figure imgf000161_0002
Figure imgf000161_0003
Figure imgf000162_0001
Figure imgf000163_0001
Figure imgf000163_0002
Figure imgf000163_0003
Figure imgf000163_0004
Figure imgf000163_0005
Figure imgf000164_0001
Figure imgf000165_0001
Figure imgf000166_0001
Figure imgf000167_0001
Figure imgf000168_0001
Figure imgf000169_0001
Figure imgf000170_0001
Figure imgf000171_0001
Figure imgf000172_0001
Figure imgf000173_0001
Figure imgf000174_0001
Figure imgf000175_0001
Figure imgf000176_0001
and its pharmaceutically acceptable salts and solvates thereof .
13. A pharmaceutical composition comprising a compound according to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof and at least one pharmaceutically acceptable carrier, diluent, excipient and/or adjuvant.
14. Medicament comprising a compound according to any of Claims 1 to 12.
15. Use of a compound according to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for the treatment or prevention of autoimmune, inflammatory, infectious, proliferative or hyperprolifeartive diseases, or immunologically mediated diseases.
16. Use according to Claim 15, wherein the disease is selected from AIDS, inflammatory and immunoregulatory disorders and diseases including asthma, pulmonary emphysema, allergic diseases and graft rejection as well as autoimmune pathologies such as rheumatoid arthritis, atherosclerosis, psoriasis, systemic lupus erythematosus, ulcerative colitis, multiple sclerosis, glomerulonephritis, together with chronic obstructive pulmonary disease (COPD, including pulmonary fibrosis), metastatic cancers and renal diseases .
17. Use according to Claim 16, wherein the disease is AIDS.
18. Use of a compound according to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for inhibiting the entry of viruses into target cells and, therefore, for the prevention of infection by viruses, the treatment of infection by viruses.
19. Use according to Claim 18, wherein the virus is human immunodeficiency virus .
20. Use according to Claim 19, wherein the medicament is intended for the prevention and/or treatment of acquired immune deficiency syndrome.
21. Use of a compound according to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof for the manufacture of a medicament for modulating chemokine receptor activity, in a patient, in need of such treatment, which comprises administering to said patient an effective amount of said compound, or a pharmaceutically acceptable salt or solvate thereof.
22. Use according to Claim 21, wherein the chemokine is CCR5.
23. Use according to any of Claims 15 to 22, wherein said medicament is administered to a patient in need thereof in combination with at least one additional therapeutic agent and/or active ingredient.
24. A method of treating and/or preventing autoimmune, inflammatory, infectious, proliferative or hyperproliferative diseases, or immunologically mediated diseases, comprising administering a therapeutically effective amount of a compound acoording to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof or a pharmaceutical composition according to Claim 13 to a patient in need thereof.
25. The method according to Claim 24, wherein the disease is selected from AIDS (HIV-I or -2 infection) , inflammatory and immunoregulatory disorders and diseases including asthma, pulmonary emphysema, allergic diseases and graft rejection as well as autoimmune pathologies such as rheumatoid arthritis, atherosclerosis, psoriasis, systemic lupus erythematosus, ulcerative colitis, multiple sclerosis, glomerulonephritis, together with chronic obstructive pulmonary disease (COPD, including pulmonary fibrosis) , metastatic cancers and renal diseases.
26. The method according to Claim 25, wherein the disease is AIDS.
27. A method of inhibiting the entry of viruses into target cells and, therefore, for the prevention of infection by viruses, the treatment of infection by viruses, comprising administering a therapeutically effective amount of a compound according to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof or a pharmaceutical composition according to Claim 13 to a patient in need thereof.
28. The method according to Claim 27, wherein the virus is human immunodeficiency virus.
29. The method according to Claim 28 for the prevention and/or treatment of acquired immune deficiency syndrome.
30. A method of modulating chemokine receptor activity in a patient comprising administering a therapeutically effective amount of a compound according to any of Claims 1 to 12 or a pharmaceutically acceptable salt or solvate thereof or a pharmaceutical composition according to Claim 13 to a patient in need thereof .
31. The method according to Claim 30, wherein the chemokine receptor is CCR5.
32. The method according to any of Claims 24 to 31, wherein compound according to any of Claims 1 to 12 or the pharmaceutically acceptable salt or solvate thereof or the pharmaceutical composition according to Claim 13 is administered in combination with at least one additional therapeutic agent and/or active ingredient.
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