WO2013167743A1 - Utilisation de composés pour le traitement de la douleur - Google Patents
Utilisation de composés pour le traitement de la douleur Download PDFInfo
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- WO2013167743A1 WO2013167743A1 PCT/EP2013/059752 EP2013059752W WO2013167743A1 WO 2013167743 A1 WO2013167743 A1 WO 2013167743A1 EP 2013059752 W EP2013059752 W EP 2013059752W WO 2013167743 A1 WO2013167743 A1 WO 2013167743A1
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- PRZCPHVDAGJGCU-UHFFFAOYSA-N CC(C)(CO)C(Nc(cc1)ccc1[S](c1c(cccc2N(C)C)c2ccc1)(N)(=O)=O)=O Chemical compound CC(C)(CO)C(Nc(cc1)ccc1[S](c1c(cccc2N(C)C)c2ccc1)(N)(=O)=O)=O PRZCPHVDAGJGCU-UHFFFAOYSA-N 0.000 description 1
- WAICAEOBZTVVKO-UHFFFAOYSA-N CC(C)(COC(CN)=O)C(Nc(cc1)ccc1[S](c1c(cccc2N(C)C)c2ccc1)(N)(=O)=O)=O Chemical compound CC(C)(COC(CN)=O)C(Nc(cc1)ccc1[S](c1c(cccc2N(C)C)c2ccc1)(N)(=O)=O)=O WAICAEOBZTVVKO-UHFFFAOYSA-N 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/16—Amides, e.g. hydroxamic acids
- A61K31/18—Sulfonamides
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
- A61K31/519—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim ortho- or peri-condensed with heterocyclic rings
- A61K31/52—Purines, e.g. adenine
- A61K31/522—Purines, e.g. adenine having oxo groups directly attached to the heterocyclic ring, e.g. hypoxanthine, guanine, acyclovir
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/66—Phosphorus compounds
- A61K31/675—Phosphorus compounds having nitrogen as a ring hetero atom, e.g. pyridoxal phosphate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/706—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
- A61K31/7064—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
- A61K31/7068—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines having oxo groups directly attached to the pyrimidine ring, e.g. cytidine, cytidylic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/70—Carbohydrates; Sugars; Derivatives thereof
- A61K31/7042—Compounds having saccharide radicals and heterocyclic rings
- A61K31/7052—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides
- A61K31/706—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom
- A61K31/7064—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines
- A61K31/7076—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid
- A61K31/708—Compounds having saccharide radicals and heterocyclic rings having nitrogen as a ring hetero atom, e.g. nucleosides, nucleotides containing six-membered rings with nitrogen as a ring hetero atom containing condensed or non-condensed pyrimidines containing purines, e.g. adenosine, adenylic acid having oxo groups directly attached to the purine ring system, e.g. guanosine, guanylic acid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
- A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/04—Centrally acting analgesics, e.g. opioids
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
Definitions
- the present invention relates to the field of method of treatment of pain and the provision of pharmaceutical compounds suitable for such treatments.
- Nociception the detection of noxious or damaging stimuli serves a crucial biological purpose: it alerts living organisms to environmental dangers, inducing the sensation of pain, reflex withdrawal and complex behavioural and emotional responses, which protect the organism from further damage.
- Noxious stimuli are detected by specialized high thresh ⁇ old primary sensory neurons (nociceptors) , which transfer sig ⁇ nals to the spinal cord and then transmit them to the brain for higher level processing that results in the conscious awareness of the sensation called pain.
- the functional importance of pain perception is exemplified by individuals with defects in noci ⁇ ception; patients with congenital insensitivity to pain do not survive past their twenties.
- Acute or nociceptive pain is generally self-limiting and serves a protective biological function by warning of on ⁇ going tissue damage caused by noxious chemical, thermal and me ⁇ chanical stimuli.
- nociceptive pain include: post ⁇ operative pain, pain associated with trauma, and the pain asso ⁇ ciated with arthritis.
- Chronic pain serves no protective biological function, and reflects either poor res ⁇ olution of the painful stimuli, or is itself a disease process. Chronic pain is unrelenting and not self-limiting and can persist for years and even decades after the initial injury.
- Chron ⁇ ic pain is predominantly neuropathic in nature and may involve damage either to the peripheral or central nervous systems.
- Chronic pain may, however, also be nociceptive, such as inflam ⁇ matory in nature. Furthermore, chronic pain may also be mixed nociceptive and neuropathic. Finally, chronic pain may also be of a central origin, deriving from processes/conditions in the central or peripheral nervous system, such as e.g. post stroke pain or post-amputation pain/phantom limb pain, which may, however, also be considered neuropathic in nature.
- therapies for pain have a number of dis ⁇ advantages, which warrant the development of new therapies for the treatment, prevention and/or reduction of pain. The disadvantages are different for the different classes of available drugs.
- NSAIDs non-steroidal anti-inflammatory drugs
- GI gastrointestinal
- CV cardiovascular
- ⁇ -opioid receptor agonists opioid and opiates
- Anti-depressants e.g. tricyclic anti-depressants (TCAs) , such as nortriptyline and desipramine, as well as the selective serotonin norepinephrine reuptake inhibitors (SSNRIs) , including e.g.
- venlafaxaine may have a negative impact on car ⁇ diac function or, as in the case of the SSNRI duloxetine, may induce nausea.
- Anti-convulsants such as pregabalin and gapa- bentin, can induce somnolence.
- the disadvantage for any of the existing available drugs may also be related to limited efficacy in treating and/or preventing pain.
- the present invention therefore provides the use of new classes of compounds for the treatment, prevention or reduction of pain.
- the present invention also provides a method of treat ⁇ ing pain in a subject comprising the administration of a therapeutic compound selected from the inventive compounds.
- the present invention provides the use of a com ⁇ pound of the invention for the manufacture of an analgesic or a medicament for the treatment of pain in a subject.
- the invention is further defined by the subject matter of the claims.
- the com ⁇ pounds of the invention are e.g. given in the claims and in the tables herein.
- the compounds according to the invention are contemplated to have advantages in that they have less side effects as deter ⁇ mined by one or several of the side effects listed above for one or more of the available therapies.
- Less side effects can be as ⁇ sessed e.g. either in terms of reduced severity and/or reduced frequency of side effects.
- Such reduced side effects can e.g. be less somnolence c.f. anti-convulsants, fewer or less frequent cardiovascular side effects c.f. anti-depressants, less addic- tion potential c.f. ⁇ -opioid receptor agonists, less GI bleeding c.f. NSAIDs etc.
- the compounds according to the invention are contemplated to have improved efficacy c.f. the available thera ⁇ pies. Improved efficacy can e.g. be determined as a greater num ⁇ ber of responders or greater magnitude of efficacy c.f. one or several of the existing therapies.
- the compounds according to the in ⁇ vention are contemplated to have both reduced side effects and improved efficacy c.f. available therapies.
- selected pain subtypes can be specifically treated by the inventive compounds.
- Example inventive compounds are selected from the groups of a) nucleotide analogues, b) nucleoside analogues, c) compounds that interact with DNA polymerase, or d) compounds that interact with DNA.
- inventive com ⁇ pounds or salts thereof are identified by their unique CAS num ⁇ ber (Chemical Abstracts Service, www.cas.org).
- the invention in ⁇ cludes any salt form of the given compounds, but preferably re ⁇ lates to the exact salt form as given in the tables.
- Table 3 re ⁇ fers to both table 3a and 3b.
- Further inventive compounds are defined as derivatives of a given formula as described below the tables .
- HDP- (R) -PMPA HDP- (R) -PMPA
- Cidofovir ( ⁇ [ (S) -1- (4-amino-2-oxo-l, 2- Cidofovir dihydropyrimidin-l-yl) -3- hydroxypropan-2- yl] oxyjmethyl) phosphonic acid
- Ribavirin 1- (2R, 3R, 4S, 5R) -3, 4-dihydroxy-5- Ribavirin
- Taribavirin 1- (2R, 3R, 4S, 5S) - 3, 4-dihydroxy-5- Taribavirin
- PRO 140 Humanized monoclonal IgG4 kappa anti ⁇ body targeting human C-C chemokine
- CCR5 CCR5 receptor type 5
- HuPRO-140 HuPRO-140
- Emtricita- 4-amino-5-fluoro-1- [ (2S, 5R) -2- Emtricita- bine / FTC (hydroxymethyl ) -1, 3-oxathiolan-5-yl ] - bine
- ester hemifumarate or TAF; or GS- 7340-03
- Nevirapine 1 l-cyclopropyl-4-methyl-5 , 11-dihydro- Nevirapine
- Atevirdine [4- [3- (ethylamino) pyridin-2- Atevirdine yl ] piperazin-l-yl ] - (5-methoxy-lH- mesylate indol-2-yl) methanone
- Table 3c active compounds (INN), List of Integrity Polymerase Inhibitors :
- Table 3 consists of table 3a, 3b, 3c and 3d.
- Preferred inventive compounds are Tomeglovir derivatives, Alamifovir or Alamifovir derivatives, Emtricitabine or Emtricit- abine derivatives, Entecavir or Entecavir derivatives, Adefovir or Adefovir derivatives, Cidofovir or Cidofovir derivatives, Tenofovir or Tenofovir derivatives.
- Adefovir PMEA
- Adefovir Dipivoxil Bis-POM PMEA
- Active compounds Tenofovir (PMPA) is included or ex- eluded.
- Pradefo- vir Remofovir, CAS 625095-60-5) is included or excluded.
- the inventive compound is Tomeglovir (Synonym: BAY-38-4766; Chemical name: N- [4- [5- (Dimethylamino) -1- naphthylsulfonamido ] phenyl ] -3-hydroxy-2 , 2-dimethylpropionamide ; CAS number: 233254-24-5), or any derivatives, salts, prodrugs or metabolites of Tomeglovir.
- Tomeglovir is an antiviral compound that was originally developed against Cytomegalovirus infection, and its antiviral properties are effected by the inhibition of viral terminase enzyme.
- the Tomeglovir deriva ⁇ tive is selected from the derivatives as described in EP 1049666 Bl (incorporated herein by reference) , especially selected from t the formula (I) :
- R and R are identical or different and represent hydrogen, formyl, phenyl or benzyl optionally substituted by one to three halogen atoms, or straight-chain or branched alkyl or acyl each having up to 6 carbon atoms, where alkyl or acyl can optionally be substituted by one to three substituents selected from halo ⁇ gen and hydroxyl,
- A, D, E and G are identical or different and represent hydro ⁇ gen, halogen, nitro, cyano, hydroxyl, carboxyl, trifluoromethyl , trifluoromethoxy or straight-chain or branched alkyl, alkoxy or alkoxycarbonyl each having up to 5 carbon atoms,
- R 3 represents straight-chain or branched alkenyl having up to 6 carbon atoms, or represents straight-chain or branched alkyl having up to 8 carbon atoms, which optionally carries an amino group which can optionally be substituted by alkyl having up to 4 carbon atoms or by an amino protective group, or the alkyl is optionally identically or differently substituted one to 3 times by hydroxyl, cyano, halogen, azido, nitro, trifluoromethyl , car ⁇ boxyl or phenyl which, for its part, can be identically or dif ⁇ ferently substituted up to 2 times by nitro, halogen, hydroxyl or by straight-chain or branched alkyl or alkoxy having up to 4 carbon atoms, or R 3 represents radicals of the formulae: in which
- L represents a straight-chain or branched alkanediyl group having up to 6 carbon atoms
- Q represents alkyl having up to 6 carbon atoms, which is op ⁇ tionally substituted by carboxyl, or represents radicals of the formulae :
- a denotes the number 1 or 2
- R 5 denotes hydrogen
- R 6 denotes cycloalkyl having 3 to 8 carbon atoms or aryl having 6 to 10 carbon atoms or hydrogen, or denotes straight-chain or branched alkyl having up to 8 carbon atoms, where the alkyl is optionally substituted by cyano, methylthio, hydroxyl, mercapto, guanidyl or by a group of the formula -NR 9 R 10 or -R 11 -OC-,
- R 9 and R 10 independently of one another denote hydrogen, straight-chain or branched alkyl having up to 8 carbon atoms or phenyl, and
- R 11 denotes hydroxyl, benzyloxy, alkoxy having up to 6 carbon atoms or the abovementioned group -NR 9 R 10 ,
- alkyl is optionally substituted by cycloalkyl having 3 to 8 carbon atoms or by aryl having 6 to 10 carbon atoms, which, for its part, is substituted by hydroxyl, halogen, nitro, alkoxy having up to 8 carbon atoms or by the group -NR 9 R 10 , in which
- R 9 and R 10 have the meaning indicated above
- the alkyl is optionally substituted by a 5- to 6-membered ni ⁇ trogen-containing heterocycle or by indolyl, in which the corre ⁇ sponding -NH functions are optionally substituted by alkyl hav ⁇ ing up to 6 carbon atoms or protected by an amino protective group, R 7 and R 8 are identical or different and denote hydrogen or an amino protective group,
- R 4 denotes hydrogen or a radical of the formula
- R 5' , R 6' , R 7' and R 8' have the meaning of R 5 , R 6 , R 7 and
- X has the meaning of R 4 indicated above and can be identical to or different from this meaning
- N- [4- [ [ [5- (dimethylamino) -1-naphthalenyl ] sulphonyl] - amino ] phenyl ] acetamide may be included or excepted from these compounds .
- R 1 and R 2 are identical or different and represent hydrogen, phenyl or straight-chain or branched alkyl or acyl each having up to 6 carbon atoms,
- A, D, E and G are identical or different and represent hydro ⁇ gen, halogen, nitro, cyano, hydroxyl, carboxyl, trifluoromethyl , trifluoromethoxy or straight-chain or branched alkyl, alkoxy or alkoxycarbonyl each having up to 5 carbon atoms,
- R 3 represents straight-chain or branched alkenyl having up to 6 carbon atoms, or represents straight-chain or branched alkyl having up to 8 carbon atoms, which optionally carries an amino group which can be substituted by alkyl having up to 4 carbon atoms or by an amino protective group, or the alkyl is optional ⁇ ly identically or differently substituted one to 3 times by hy ⁇ droxyl, cyano, halogen, azido, nitro, trifluoromethyl , carboxyl or phenyl which, for its part, can be identically or differently substituted up to 2 times by nitro, halogen, hydroxyl or by straight-chain or branched alkyl or alkoxy having up to 4 carbon atoms, or
- R 3 represents radicals of the formulae in which
- L represents a straight-chain or branched alkanediyl group having up to 6 carbon atoms
- Q represents alkyl having up to 6 carbon atoms, which is op ⁇ tionally substituted by carboxyl, or represents radicals of the formulae
- a denotes the number 1 or 2
- R 5 denotes hydrogen
- R 6 denotes cycloalkyl having 3 to 8 carbon atoms or aryl having 6 to 10 carbon atoms or hydrogen, or
- alkyl is optionally substituted by cyano, methylthio, hydroxyl, mercapto, guanidyl or by a group of the formula - NR 9 R 10 or -R ⁇ -OC-, in which
- R 9 and R 10 independently of one another denote hydrogen, straight-chain or branched alkyl having up to 8 carbon atoms or phenyl, and
- R 11 denotes hydroxyl, benzyloxy, alkoxy having up to 6 carbon atoms or the abovementioned group -NR 9 R 10 ,
- alkyl is optionally substituted by cycloalkyl having 3 to 8 carbon atoms or by aryl having 6 to 10 carbon atoms which, for its part, is substituted by hydroxyl, halogen, nitro, alkoxy having up to 8 carbon atoms or by the group -NR 9 R 10 , in which
- R 9 and R 10 have the meaning indicated above
- the alkyl is optionally substituted by a 5- to 6-membered ni ⁇ trogen-containing heterocycle or by indolyl, in which the corre ⁇ sponding -NH functions are optionally substituted by alkyl hav ⁇ ing up to 6 carbon atoms or protected by an amino protective group, R 7 and R 8 are identical or different and denote hydrogen or an amino protective group,
- R 4 represents hydrogen or a radical of the formula in which
- R 5' , R 6' , R 7' and R 8' have the meaning of R 5 , R 6 , R 7 and R 8 indi ⁇ cated above and are identical to or different from these, and
- R 3 represents straight-chain or branched alkenyl having up to 6 carbon atoms, or represents straight-chain or branched alkyl having up to 8 carbon atoms, in which the alkyl carries an amino group which can be substituted by alkyl having up to 4 carbon atoms or by an amino protective group, or the alkyl is identi ⁇ cally or differently substituted one to 3 times by hydroxyl, cy- ano, halogen, azido, nitro, trifluoromethyl , carboxyl or phenyl which, for its part, can be identically or differently substi ⁇ tuted up to 2 times by nitro, halogen or hydroxyl or by
- R 3 represent radicals of the formulae
- R 1 and R 2 are identical or different and represent hydrogen, phenyl or straight-chain or branched alkyl or acyl each having up to 5 carbon atoms
- A, D, E and G are identical or different and represent hydro ⁇ gen, fluorine, chlorine, bromine, nitro, cyano, hydroxyl or straight-chain or branched alkyl, alkoxy or alkoxycarbonyl each having up to 3 carbon atoms,
- R 3 represents straight-chain or branched alkenyl having up to 5 carbon atoms, or
- alkyl represents straight-chain or branched alkyl having up to 7 carbon atoms which optionally carries an amino group which can be substituted by alkyl having up to 3 carbon atoms, tert- bu- tyloxycarbonyl or benzyloxycarbonyl , or the alkyl is optionally identically or differently substituted one to 3 times by hydrox ⁇ yl, cyano, fluorine, chlorine, azido, nitro, trifluoromethyl or phenyl which, for its part, can be identically or differently substituted up to 2 times by nitro, fluorine, chlorine or hy ⁇ droxyl or by straight-chain or branched alkyl or alkoxy having up to 3 carbon atoms, or
- R 3 represent radicals of the formulae:
- L represents a straight-chain or branched alkanediyl group having up to 4 carbon atoms
- Q represents alkyl having up to 4 carbon atoms, which is op ⁇ tionally substituted by carboxyl, or represents radicals of the formulae :
- a denotes the number 1 or 2
- R 5 denotes hydrogen
- R 6 denotes cyclopentyl, cyclohexyl, phenyl or hydrogen, or de ⁇ notes straight-chain or branched alkyl having up to 6 carbon atoms , where the alkyl can optionally be substituted by cyano, methyl- thio, hydroxyl, mercapto, guanidyl, amino, carboxyl or 3 ⁇ 4N-CO-, or the alkyl is substituted by cyclohexyl, naphthyl or phenyl which, for its part, can be substituted by fluorine, hydroxyl, nitro or alkoxy having up to 4 carbon atoms,
- alkyl is substituted by indolyl, imidazolyl, pyridyl, triazolyl or pyrazolyl, where the corresponding -NH functions are optionally substituted by alkyl having up to 4 carbon atoms or protected by tert-butyloxycarbonyl or benzyloxycarbonyl ,
- R 7 and R 8 are identical or different and denote hydrogen, tert- butyloxycarbonyl or benzyloxycarbonyl,
- R 4 represents hydrogen or a radical of the formula:
- R 5 , R 6 , R 7 and R 8 have the meaning of R 5 , R 6 , R 7 and R 8 indicated above and are identical to or different from these,
- R 3 represents straight-chain or branched alkenyl having up to 5 carbon atoms, or
- alkyl represents straight-chain or branched alkyl having up to 7 carbon atoms, in which the alkyl carries an amino group which can be substituted by alkyl having up to 3 carbon atoms, tert- butyloxycarbonyl or benzyloxycarbonyl, or the alkyl is identically or differently substituted one to 3 times by hydroxyl, cy ⁇ ano, fluorine, chlorine, azido, nitro, trifluoromethyl or phenyl which, for its part, can be identically or differently substi ⁇ tuted up to 2 times by nitro, fluorine, chlorine or hydroxyl or by straight-chain or branched alkyl or alkoxy having up to 3 carbon atoms, or
- R 3 represents radicals of the formulae in which L and Q are as defined above.
- R 1 and R 2 are identical or different and represent hydrogen, phenyl or straight-chain or branched alkyl or acyl each having up to 4 carbon atoms,
- A, D, E and G are identical or different and represent hydro ⁇ gen, fluorine, chlorine, bromine, hydroxyl, methyl or methoxy,
- R 3 represents straight-chain or branched alkenyl having up to 4 carbon atoms, or
- R 3 represents radicals of the formulae
- L represents a straight-chain or branched alkanediyl group having up to 4 carbon atoms
- Q represents alkyl having up to 3 carbon atoms, which is op ⁇ tionally substituted by carboxyl, or
- R 6 denotes cyclopentyl, cyclohexyl or hydrogen, or denotes straight-chain or branched alkyl having up to 4 carbon atoms, where the alkyl can optionally be substituted by cyano, methyl- thio, hydroxyl, mercapto, guanidyl, amino, carboxyl or 3 ⁇ 4N-CO-, or the alkyl is substituted by cyclohexyl, naphthyl or phenyl which, for its part, can be substituted by fluorine, chlorine or alkoxy having up to 4 carbon atoms,
- alkyl is substituted by indolyl, imidazolyl, triazolyl, pyridyl or pyrazolyl, where the corresponding -NH functions are optionally substituted by methyl or protected by benzyloxymeth- ylene or tert-butyloxy-carbonyl (BOC) ,
- R 7 and R 8 are identical or different and denote hydrogen or tert-butyloxycarbonyl ,
- R 4 represents hydrogen or a radical of the formula V
- R 5' , R 6' , R 7' and R 8' have the meaning of R 5 , R 6 , R 7 and
- R 3 represents straight-chain or branched alkenyl having up to 4 carbon atoms, or
- alkyl represents straight-chain or branched alkyl having up to 5 carbon atoms, in which the alkyl carries an amino group which can be substituted by tert-butyloxycarbonyl or benzyloxycarbonyl , or the alkyl is identically or differently substituted one to 3 times by hydroxyl, cyano, fluorine, chlorine, nitro, azido, tri- fluoromethyl or phenyl which, for its part, can be identically or differently substituted up to 2 times by nitro, fluorine, chlorine, hydroxyl, methyl; ethyl, methoxy or ethoxy, or
- R 3 represents radicals of the formulae
- R 1 and R 2 represent straight-chain or branched alkyl having up to 4 carbon atoms
- A, D, E and G represent hydrogen
- R 3 represents straight-chain or branched alkyl having up to 5 carbon atoms, which is substituted by hydroxyl, or
- R 3 represents a radical of the formula -L-O-CO-Q in which
- L represents a straight-chain or branched alkanediyl group having up to 4 carbon atoms
- R 5 and R 6 denote hydrogen
- R 7 and R 8 denote hydrogen
- R 4 represents hydrogen
- said compounds or intermediates or derivatives thereof are of the general formula (I) above, which are selected from the group of the following compounds :
- the compound may be provided in a composition in association with a pharmaceutically acceptable substantially nontoxic carri ⁇ er or excipient.
- the inventive compound is Alamifovir (Syno ⁇ nym: LY-582563, MCC-478; Chemical name: Bis (2,2,2- trifluoroethyl ) ( (2- (2-amino-6- ( (4-methoxyphenyl) sulfanyl) -9H- purin-9-yl) ethoxy) methyl) phosphonate ; Bis (2,2, 2-trifluoroethyl) ( (2- ⁇ 2-amino-6- ( (4-methoxyphenyl) sulfanyl) -9H-purin-9- yl ⁇ ethoxy) methyl phosphonate ; CAS number: 193681-12-8), or any derivatives, salts, prodrugs, metabolites of Alamifovir, includ ⁇ ing but not restricted to the prodrugs Alamifovir disoproxil fumarate and Alamifovir disoproxil hemifumarate, or x
- Alamifovir is a purine nucleotide ana ⁇ logue antiviral compound that was originally developed against Hepatitis B virus infection, and its antiviral properties are effected by the inhibition of viral DNA polymerase enzyme.
- Ala ⁇ mifovir disoproxil hemifumarate is a prodrug of Alamifovir, that has been in the preclinical phase of development in rodents, as an anti-Hepatitis B antiviral.
- the derivative or salt or prodrug or metab ⁇ olite of Alamifovir is selected from the compounds as described in EP 0785208 Bl and EP 2511281 Al (all incorporated herein by reference) , especially selected from the compounds, or their salts or hydrates or solvates or intermediates thereof, of the formula I ) :
- R 1 represents hydrogen atom, a C 1 -C6 alkoxy group, a Ci- C 4 alkoxy group substituted with one or more halogen atoms, a hal ⁇ ogen atom, amino group, or nitro group
- R 2 and R 3 independently represent hydrogen atom, a C 1 -C22 alkyl group, an acyloxymethyl group, an acylthioethyl group, or an ethyl group substituted with one or more halogen atoms
- R 4 represents hydrogen atom, a Ci- C4 alkyl group, a C 1 -C4 hydroxyalkyl group, or a C 1 -C4 alkyl group substituted with one or more halogen atoms
- X represents a carbon atom or a nitrogen atom.
- R 1 represents hydrogen atom or a C 1 -C6 alkoxy group.
- R 1 represents hydrogen atom or a C 1 -C4 alkoxy group; and
- R 2 and R 3 independently represent hydrogen atom, a Ci- C22 alkyl group, or an ethyl group substituted with one or more halogen atoms.
- R 1 represents hydrogen atom or a C 1 -C4 alkoxy group
- R 2 and R 3 independently represent hydrogen atom, a C 1 -C22 alkyl group, or 2 , 2 , 2-trifluoroethyl group
- R 4 represents hydrogen atom or methyl group.
- R 1 represents hydrogen atom or a C 1 -C4 alkoxy group
- R 2 and R 3 independently represent hydrogen atom or 2,2,2- trifluoroethyl group
- R 4 represents hydrogen atom or methyl group .
- the compound is selected from the group consisting of:
- R 1 is hydrogen atom or a C1-C4 alkoxy group
- R 2 and R 3 represent 2 , 2 , 2-trifluoroethyl group
- R 4 represents hydro ⁇ gen atom or methyl group.
- the compound is selected from the group consisting of:
- R 1 is hydrogen atom or a C 1 -C4 alkoxy group
- R 2 and R 3 represent 2 , 2 , 2-trifluoroethyl group
- R 4 represents hydro ⁇ gen atom.
- the compound is selected from the group consisting of:
- R 1 represents hydrogen atom or a C 1 -C2 alkoxy group
- R 2 and R 3 represent 2 , 2 , 2-trifluoroethyl group
- R 4 represents hydrogen atom
- the compound is 2-amino-9- [2- [bis (2, 2, 2- trifluoroethyl ) phosphonylmethoxy] ethyl] -6-phenylthiopurine, 2- amino-9- [2- [bis (2, 2, 2-trifluoroethyl) phosphonylmethoxy] ethyl] -6- p-methoxyphenylthiopurine, 2-amino-9- [2- [bis (2,2,2- trifluoroethyl ) phosphonylmethoxy] ethyl ] - 6-m- methoxyphenylthiopurine, 2-amino-9- [2- [bis (2,2,2- trifluoroethyl ) phosphonylmethoxy] ethyl ] - 6-o- methoxyphenylthiopurine, or 2-amino-9- [2- [bis (2, 2, 2- trifluoroethyl ) phosphonylmethoxy] e
- Ri is selected from H or methyl
- each R 2 is independently selected from -R 3 or -OR 3 ;
- each R 3 is independently selected from Ci-Cs alkyl, or C3-
- the two R 2 are same; or wherein the two R 2 are differ ⁇ ent .
- acyclic nucleoside phosphonate derivative or a pharmaceutically acceptable salt, isomer, hydrate or solvate thereof having any one or more of the following:
- R 2 is -R 3 ;
- R 2 is -OR3;
- one R 2 is -R 3 , and the other R 2 is -OR 3 .
- each R 3 for each occurrence is independently selected from C 1 -C6 alkyl or C3-C 6 cycloalkyl ; preferably, each R 3 for each occurrence is independently selected from C 2 -C6 alkyl or C 4 - C6 cycloalkyl.
- each R 3 for each occurrence is independently selected from methyl, ethyl, propyl, isopropyl, butyl, isobutyl, tert- butyl, t-butyl, n-pentyl, isopentyl, neopentyl, cyclopropyl, cy- clobutyl, cyclopentyl, cyclohexyl, or -CH (CH 2 CH 3 ) 2 , etc.; prefer ⁇ ably, each R 3 for each occurrence is independently selected from ethyl, propyl, isopropyl, butyl, isobutyl, isopentyl, neopentyl, cyclopentyl, cyclohexyl, or -CH (CH 2 CH 3 ) 2 , etc.
- the acyclic nucleoside phosphonate derivative is se lected from the group consisting of:
- the acyclic nucleoside phosphonate derivative is se ⁇ lected from the group consisting of:
- the x related compound' of Alamifovir is se ⁇ lected from compounds which bear one or more structural features in common with Alamifovir, which may point to potential analgesic activity similar to Alamifovir in these compounds.
- These common structural features which would define a x related com ⁇ pound' of Alamifovir would include the compound being a: a) Purine analogue or derivative, b) Nucleotide analogue, c) Acyclic nucleotide.
- the compound may be provided in a composition in association with a pharmaceutically acceptable substantially nontoxic carri ⁇ er or excipient.
- the inventive compound is Emtricitabine (Synonym: (-)-FTC, BW-524W91; Chemical name: (-) - (2R-cis) -4- Amino-5-fluoro-1- [2- (hydroxymethyl ) -1, 3-oxathiolan-5-yl ] -2 (1H) - pyrimidinone / (-)- (2R, 5S) -5-Fluoro-l- [2- (hydroxymethyl) -1, 3- oxathiolan-5-yl ] cytosine / (-) -2 ' , 3 ' -Dideoxy-5-fluoro-3 ' - thiacytidine ; CAS number: 143491-57-0), or any derivatives, salts, prodrugs or metabolites of Emtricitabine, including but not restricted to the salts (-) -Emtricitabine Triphosphate
- Tetrasodium (CAS number: 1188407-46-6), Emtricitabine 5'- monophosphate, Emtricitabine 5 ' -monophosphate diammonium, (-)- ⁇ - L-2 ' , 3 ' -Dideoxy-5-fluoro-3 ' -thiacytidine-5 ' -diphosphate, (-) - ⁇ - L-2 ' , 3 ' -Dideoxy-5-fluoro-3 ' -thiacytidine-5 ' -diphosphate triammo- nium, (-) -B-L-2 ' , 3 ' -Dideoxy-5-fluoro-3 ' -thiacytidine-5 ' - triphosphate, (-) -B-L-2 ' , 3 ' -Dideoxy-5-fluoro-3 ' -thiacytidine-5 ' - triphosphate tetraammonium, or x related compounds' of Emtricita ⁇ bine
- Emtricitabine is a pyrimidine nucleoside analogue antivi ⁇ ral compound that was originally developed against Human Immuno ⁇ deficiency Virus (HIV) and Hepatitis B virus infections, and its antiviral properties are effected by the inhibition of the viral reverse transcriptase enzyme (in HIV) and viral DNA polymerase enzyme (in Hepatitis B) .
- the derivative or salt or prodrug or metab ⁇ olite of Emtricitabine is selected from the compounds as de ⁇ scribed in EP 0513200 B2 or EP 1439177 Bl (all incorporated herein by reference) , especially selected from the compounds, or intermediates thereof , of the formula:
- R is selected from the group consisting of hydrogen, alkyl, silyl, and acyl
- Y is selected from the group consisting of hydrogen, methyl, chloro, fluoro, iodo, bromo, alkyl, alkenyl, alkynyl, hydroxyalkyl , carboxyalkyl , thioalkyl, selenoalkyl, phenyl, cy- cloalkyl, cycloalkenyl , thioaryl, and selenoaryl.
- the compound is 2-hydroxymethyl-5-oxol-l , 3- oxathiolane, 2-acyloxymethyl-5-acyloxy-l , 3-oxathiolane, 2- acetoxymethyl-5-acetoxy-l , 3-oxathiolane .
- nucleoside having the formula:
- R is selected from the group consisting of hydro ⁇ gen, alkyl, silyl, and acyl;
- Y is selected from the group consisting of chloro, bromo, fluoro, and iodo;
- R is selected from the group consisting of hydro ⁇ gen, alkyl, silyl, and acyl, and wherein Y is fluorine;
- R is selected from the group consisting of alkyl, silyl, and acyl
- Y is selected from the group con ⁇ sisting of chloro, bromo, fluoro, and iodo
- the said derivative or salt or prodrug or metabo ⁇ lite of Emtricitabine is selected from the compounds, or their salts or hydrates or solvates or intermediates thereof, corre ⁇ sponding to the ( - ) -enantiomer of cis-4-ammo-5-fluoro-1- (2- hydroxymethyl-1 , 3-oxathiolane-5-yl ) - (1H) -pyrimidin-2-one, or its pharmaceutically acceptable salt or the 5'-0-alkyl derivative, a 5 ' -O-alkylC (0) derivative, a monophosphate, a diphosphate, or a triphosphate of the ( - ) -enantiomer of cis-4-ammo-5-fluoro-1- (2-hydroxymethyl-l , 3-oxathiolane-5-yl ) - (1H) -pyrimidin-2-one .
- the x related compound' of Emtricitabine is selected from compounds which bear one or more structural fea ⁇ tures in common with Emtricitabine, which may point to potential analgesic activity similar to Emtricitabine in these compounds.
- These common structural features which would define a x related compound' of Emtricitabine would include the compound being a: a) Pyrimidine analogue or derivative or b) Nucleoside analogue.
- the compound may be provided in a composition in association with a pharmaceutically acceptable substantially nontoxic carri ⁇ er or excipient.
- the inventive compound is Entecavir (Syno ⁇ nym: BMS-200475, ETV, SQ-34676; Chemical name: 2-Amino-9- [ (IS, 3R, 4S) -4-hydroxy-3- (hydroxymethyl ) -2- methylidenecyclopentyl ] -6, 9-dihydro-3H-purin- 6-one /
- Entecavir tosylate Entecavir toluene sulfonic acid, Entecavir toluene sulfonic acid hydrate, Entecavir (IS) -champhor-10- sulfonate, Entecavir (IS) -champhor-10-sulfonate hydrate,
- Entecavir p-toluenesulfonate Entecavir p-toluenesulfonate hy ⁇ drate and the Entecavir intermediates (ls-trans) -2-
- Entecavir is a purine nucleoside analogue antiviral compound with a pentose ring moiety, that was originally developed
- HSV Herpes Simplex Virus
- HSV Hepatitis B virus infec ⁇ tions
- its antiviral properties are effected by the inhibi ⁇ tion of the respective viral DNA polymerase enzymes.
- the derivative or salt or prodrug or metab ⁇ olite of Entecavir is selected from the compounds as described in EP 0481754 Bl or US 20100210669 Al (all incorporated herein by reference) , especially selected from the compounds, or inter ⁇ mediates thereof, of the formula:
- R2 is fluoro, chloro, bromo, iodo, hydrogen, methyl, trifluorome- thyl, ethyl, n-propyl, 2-fluoroethyl, 2-chloroethyl, ethynyl or
- R3 is chloro, bromo, iodo, hydrogen, methyl or trifluoromethyl ;
- R4 is alkyl;
- R5 is hydrogen, alkyl, substituted alkyl, or aryl
- R6 and R7 are independently hydrogen, -PO 3 H 2 , or
- the said derivative or salt or prodrug or metab ⁇ olite of Entecavir refers to the crystalline form of entecavir having the following general formula (I) :
- the x related compound' of Entecavir is se ⁇ lected from compounds which bear one or more structural features in common with Entecavir, which may point to potential analgesic activity similar to Entecavir in these compounds.
- These common structural features which would define a x related compound' of Entecavir would include the compound being a: a) Purine analogue or derivative, b) Pentose ring containing molecule, c) Nucleo ⁇ side analogue.
- the compound may be provided in a composition in association with a pharmaceutically acceptable substantially nontoxic carri ⁇ er or excipient.
- the inventive compound is Famciclovir (Syn ⁇ onym: AK-120, BRL-42810, M-5210; Chemical name: 9- [ 4-Acetoxy-3- (acetoxymethyl) butyl] -2-aminopurine; CAS number: 104227-87-4), or any analogues, derivatives, salts, prodrugs, bioprecursors or metabolites of Famciclovir including but not restricted to the salts Famciclovir monohydrate or any phosphate ester and/or acyl derivatives of Famciclovir, or its metabolic active princi- pie compound Penciclovir (Synonym: BRL-39123; Chemical name: 9- [4-Hydroxy-3- (hydroxymethyl) butyl] guanine; CAS number: 39809-25- l),or any analogues, derivatives, salts, prodrugs, bioprecursors or metabolites of Penciclovir, including
- Famciclovir and Penciclovir are purine nucleoside analogue antiviral compounds, that were originally developed against Her ⁇ pes Simplex Virus (HSV) and Varicella Zoster Virus (VZV) infec ⁇ tions, and their antiviral properties are effected by the inhi ⁇ bition of the respective viral DNA polymerase enzymes.
- HSV Her ⁇ pes Simplex Virus
- VZV Varicella Zoster Virus
- the analogue or derivative or salt or prodrug or bioprecursor or metabolite of Famciclovir is selected from the compounds as described in US 5246937 A and EP 0302644 Bl (incorporated herein by reference) , especially selected from the compounds, or intermediates thereof , of the formula:
- Ri and R2 are each independently hydrogen, or a carboxylic acyl provided that Ri and R2 are not both hydrogen; or Riand R2 are joined to ⁇ gether to form a cyclic acetal group or a cyclic carbonate group .
- Ri and/or R2 is a carboxylic acyl group such that the group RiO- and/or R2O- is a pharmaceutically acceptable ester group .
- carboxylic acyl group Ri and/or R2 is a group o
- R3 is Ci-6 alkyl, Ci-6 alkoxy or aryl optionally substitut ⁇ ed with one or two groups selected from Ci-6 alkyl, Ci-6 alkoxy and halo.
- Ri and R2 are joined together to form a group ⁇
- Ri and R2 are joined together as a 0((3 ⁇ 4)2 group.
- the compound is selected from:
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Abstract
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JP2015510836A JP2015520144A (ja) | 2012-05-11 | 2013-05-10 | 疼痛の治療のための化合物の使用 |
AU2013257951A AU2013257951A1 (en) | 2012-05-11 | 2013-05-10 | Use of compounds for the treatment of pain |
EP13721770.9A EP2846788A1 (fr) | 2012-05-11 | 2013-05-10 | Utilisation de composés pour le traitement de la douleur |
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