ZA200506532B - Methods of treatment using an EP2 selective agonist - Google Patents

Methods of treatment using an EP2 selective agonist Download PDF

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ZA200506532B
ZA200506532B ZA200506532A ZA200506532A ZA200506532B ZA 200506532 B ZA200506532 B ZA 200506532B ZA 200506532 A ZA200506532 A ZA 200506532A ZA 200506532 A ZA200506532 A ZA 200506532A ZA 200506532 B ZA200506532 B ZA 200506532B
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alkylene
independently
alkyl
facilitating
substituted
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ZA200506532A
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Constan Alexander Angelo
Keshary Prakash Raj
David Burton Maclean
Paralkar Vishwas Madhav
Doina Cosma Roman
Thompson David Duane
Timothy Michael Wright
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Pfizer Prod Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/185Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/4151,2-Diazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/433Thidiazoles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/02Stomatological preparations, e.g. drugs for caries, aphtae, periodontitis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P17/00Drugs for dermatological disorders
    • A61P17/02Drugs for dermatological disorders for treating wounds, ulcers, burns, scars, keloids, or the like
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/06Antiglaucoma agents or miotics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/02Non-specific cardiovascular stimulants, e.g. drugs for syncope, antihypotensives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/12Antihypertensives

Description

USE OF EP2 SELECTIVE RECEPTOR AGONISTS IN MEDICAL TREATMENT . Field of the Invention
The present invention relates to methods of treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension, and repairing damage caused by metastatic bone disease using an EP; selective receptor agonist.
Background of the Invention
Compounds that are prostaglandin receptor ligands are known to be useful to treat various diseases such as osteoporosis. A variety of natural prostaglandins such as PGE, PGD and PDF are associated with skeletal metabolism. PGEZ2 has been reported to stimulate bone formation, increase bone mass and bone strength in animal models of osteoporosis when administered systemically or locally. However, there are severe side effects associated with PGE2 such as diarrhea, gastrointestinal bieeding, decreased food consumption, dehydration, weight loss and decreased physical activity. Accordingly, PGE2 has not found widespread use in humans because of these side effects. Recently, four different subtypes of PGE2 receptors have been cloned. The four subtypes have been named EP,, EP,, EP; and EP, and research to better understand the pharmacology of the receptor subtypes is presently being conducted.
The present invention provides methods of treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver i regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension, and repairing damage caused by ~ metastatic bone disease using an EP, selective receptor agonist. Certain EP,
selective receptor agonists are known in the art. See, for example, U.S. Patent ’ Number 6,498,172.
Summary of the Invention
The present invention provides methods of treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension, and repairing damage caused by metastatic bone disease, the methods comprising administering to a patient in need thereof a therapeutically effective amount of an EP, selective receptor agonist.
The present invention also provides such methods wherein the EP; selective receptor agonist is a compound of Formula
SR
Ky
Formula or a prodrug thereof, or a pharmaceutically acceptable salt thereof, wherein
Ais SO, or CO;
Gis Ar, Ar'-V-Ar%, Ar-(C4-Cg)alkylene, Ar-CONH-(C+-Ce)alkylene, R'R*-amino, : oxy(C;-Cg)alkylene, amino substituted with Ar, or amino substituted with Ar(Cs-
C.)alkylene and R', wherein R'' is H or (C1-Cg)alkyl, R' and R? may be taken separately and are independently selected from H and (C+-Cg)alkyl, or R' and R%are taken together with the nitrogen atom of the amino group to form a five- or six- membered azacycloalkyl, said azacycloalkyl optionally containing an oxygen atom and optionally mono-, di- or tri-substituted independently with up to two oxo, hydroxy, ’ (C+-Ca)alkyl, fluoro or chloro;
Bis Nor CH;
Qis -(Co-Ce)alkylene-W-(C4-Cs)alkylene-, said alkylenes each optionally substituted with up to four substituents independently selected from fluoro or (C4-Cs)alkyl,
-(C4-Cg)alkylene-, said alkylene optionally substituted with up to four substituents ‘ independently selected from fluoro or (C;-C,)alkyl, -X-(C4-Cs)alkylene-, said alkylene optionally substituted with up to four a. substituents independently selected from fluoro or (C4-Cu)alkyl, -(C4-Cs)alkylene-X-, said alkylene optionally substituted with up to four substituents independently selected from fluoro or (C,-Ca)alkyl, -(C+-Cy)alkylene-X-(C4-Cs)alkylene-, said alkylenes each optionally substituted with up to four substituents independently selected from fluoro or (C,-Cq)alkyl, ~(C,-C4)alkylene-W-X-(Cy-Cs)alkylene-, said alkylenes each optionally substituted with up to four substituents each independently selected from fluoro or (C4-C,)alkyl,
-(Co-Cy)alkylene-X-W-(C4-Cz)alkylene-, said alkylenes each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Ca)alkyl,
-(C,-Cs)alkylene-W-X-W-(C,-Cs)alkylene-, wherein the two occurrences of W are independent of each other, said alkylenes each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Cy)alkyl,
-(C1-Cy)alkylene-ethenylene-(C4-Cs)alkylene-, said alkylenes and said ethenylene each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Cy)alkyi,
-(C4-Cy4)alkylene-ethenylene-(Co-C;)alkylene-X-(Co-Cs)alkylene-, said alkylenes and said ethenylene each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Ca)alkyl,
-(C1-Cy4)alkylene-ethenylene-(Co-C;)alkylene-X-W-(C,-Cs)alkylene-, said alkylenes and said ethenylene optionally each substituted with up to four substituents each independently selected from fluoro or (C4-Cs)alkyl,
-(C+-Cs)alkylene-ethynylene-(C,-Cs)alkylene-, said alkylenes and said ethynylene each optionally substituted with up to four substituents each independently selected from fluoro or (C,4-Cy4)alkyl,or
-(C4-Cs)alkylene-ethynylene-X-(Co-Cs)alkylene-, said alkylenes and said
. ethynylene each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Cs)alkyl;
: Z is carboxyl, (C+-Cs)alkoxycarbonyl, tetrazolyl, 1,2,4-oxadiazolyl, 5-oxo-1,2,4- oxadiazolyl, 5-oxo-1,2,4-thiadiazolyl, (Ci-Ca)alkylsulfonylcarbamoyl or phenylsulfonylcarbamoyl;
K is a bond, (C,-Cg)alkylene, thio(C1-Cy)alkylene, (C+-Ca)alkylenethio(Cs- ‘ C,)alkylene, (C4-C,)alkyleneoxy(C4-C,)alkylene or oxy(C4-Cy)alkylene, said (Cq-
Cg)alkylene optionally mono-unsaturated and wherein, when K is not a bond, K is ' optionally mono-, di- or tri-substituted independently with chloro, fluoro, hydroxy or methyl;
Mis -Ar%, -Ar*-V-Ar®, -Art-S-Ar%, -Ar*-SO-Ar, -Ar'-SO,-Ar® or -Ar*-0-Ar®;
Ar is a partially saturated or fully unsaturated five to eight membered ring optionally having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen, or a bicyclic ring consisting of two fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, taken independently, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a tricyclic ring consisting of three fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, said partially or fully saturated ring, bicyclic ring or tricyclic ring optionally having one or two oxo groups substituted on carbon or one or two oxo groups substituted on sulfur; or Ar is a fully saturated five to seven membered ring having one or two heteroatoms selected independently from oxygen, sulfur and nitrogen;
Ar! and Ar? are each independently a partially saturated, fully saturated or fully unsaturated five to eight membered ring optionally having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen, or a bicyclic ring consisting of two fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, taken independently, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a tricyclic ring consisting of three fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, said partially or fully . saturated ring, bicyclic ring or tricyclic ring optionally having one or two oxo groups substituted on carbon or one or two oxo groups substituted on sulfur; . said Ar, Ar' and Ar? moieties are optionally substituted on carbon or nitrogen, on one ring if the moiety is monocyclic, on one or both rings if the moiety is bicyclic, or on one, two or three rings if the moiety is tricyclic, with up to three substituents per moiety independently selected from R®, R* and R® wherein R®, R* and R® are ’ independently hydroxy, nitro, halo, carboxy, (C4-Cr)alkoxy, (C4-C4)alkoxy(C4-Cq)alkyl, (C4-Ca)alkoxycarbonyl, (C,-Cr)alkyl, (Co-Cr)alkenyl, (C5-Cy)alkynyl, (C3-Cr)cycloalkyl, (C3s-Cy)eycloalkyl(C4-Ca)alkyl, (Cs-Cr)cycloalkyl(C4-Cas)alkanoyl, formyl, (Cy- Cg)alkanoyl, (C+-Ce)alkanoyl(C+-Ce)alkyl, (C4-Cy4)alkanoylamino, (C+-
C.)alkoxycarbonylamino, hydroxysulfonyl, aminocarbonylamino or mono-N-, di-N,N-, di-N,N'- or tri-N,N,N"-(C,-C,)alkyl substituted aminocarbonylamino, sulfonamido, (Cq-
C,)alkylsulfonamido, amino, mono-N- or di-N,N-(C;-C4)alkylamino, carbamoyl, mono-
N- or di-N,N-(C,-C,)alkylcarbamoyl, cyano, thiol, (C+-Ce)alkylthio, (C4-Ce)alkylsulfinyt, (C;-Cy)alkylsulfonyl or mono-N- or di-N,N-(C4-Cy)alkylaminosuifinyl;
AR, Ar and Ar® are each independently a partially saturated, fully saturated or fully unsaturated five to eight membered ring optionally having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen, or a bicyclic ring consisting of two fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, taken independently, optionally having one 10 four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a tricyclic ring consisting of three fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, said partially or fully saturated ring, bicyclic ring or tricyclic ring optionally having one or two oxo groups substituted on carbon or one or two 0X0 groups substituted on sulfur; said Ar,
Ar® and Ar® moieties are optionally substituted on carbon or nitrogen, on one ring if the moiety is monocyclic, on one or both rings if the moiety is bicyclic, or on one, two or three rings if the moiety is tricyclic, with up to three substituents per moiety independently selected from R*', R*! and R*' wherein R*', R*! and R% are independently hydroxy, nitro, halo, carboxy, (C4-Cr)alkoxy, (C4-Cs)alkoxy(Cq-Ca)alkyl, (C4-Cy)alkoxycarbonyl, (C4-Cr)alkyl, (C~Cy)alkenyl, (Co-Cr)alkynyl, (C;-Cr)cycloalkyl, (C3-Cy)cycloalkyl(C4-Ca)alkyl, (C3-Cr)cycloalkyl(Ci-Ca)alkanoyl, formyl, (Ci- . Cg)alkanoyl, {C4-Cg)alkanoyl(C,-Ce)alkyl, (C4-Cs)alkanoylamino, (C+-
C,)alkoxycarbonylamino, hydroxysulfonyl, aminocarbonylamino or mono-N-, di-N,N-, : di-N,N'- or tri-N,N,N'-(C;-C4)alky! substituted aminocarbonylamino, sulfonamido, (C4-
C.)alkylsulfonamido, amino, mono-N- or di-N,N-(C;-C,4)alkylamino, carbamoyl, mono-
N- or di-N,N-(C-C,)alkylcarbamoyl, cyano, thiol, (C1-Ce)alkyithio, (C4-Ce)alkylsulfinyl, : (C+-Cys)alkyisulfonyl or mono-N- or di-N,N-(C4-C)alkylaminosulfinyl;
W is oxy, thio, sulfino, sulfonyl, aminosulfonyl-, -mono-N-(C- ) C,)alkyleneaminosulfonyl-, sulfonylamino, N-(C4-C,)alkylenesulfonylamino, carboxamido, N-(C;-C,)alkylenecarboxamido, carboxamidooxy, N-(C4-
C.)alkylenecarboxamidooxy, carbamoyl, -mono-N-(C;-C,)alkylenecarbamoyl, carbamoyloxy, or -mono-N-(C+-C,)alkylenecarbamoyloxy, wherein said W alkyl groups are optionally substituted on carbon with one to three fluorines;
X is a five or six membered aromatic ring optionally having one or two heteroatoms selected independently from oxygen, nitrogen, and sulfur; said ring optionally mono-, di- or tri-substituted independently with halo, (C4-Cslalkyl, trifluoromethyl, trifluoromethyloxy, difluoromethyloxy, hydroxyl, (C,-C,)alkoxy, or carbamoyl;
R' RZ R® RRS RY, R¥, R* and R®', when containing an alkyl, alkylene, alkenylene or alkynylene moiety, are optionally mono-, di- or tri-substituted on carbon independently with halo or hydroxy; and
V and V' are each independently a bond, thio(C4-Ca)alkylene, (C4-Cq)alkylenethio, (C1-Cs)alkyleneoxy, oxy(Ci-Ca)alkylene or (C4-Cj)alkylene optionally mono- or di- substituted independently with hydroxy or fluoro; with the provisos that: a. when Kis (C.-C4)alkkylene and M is Ar and Ar is cyclopent-1-yl, cyclohex- 1-yl, cyclohept-1-yl or cyclooct-1-yl then said (Cs-Cg)cycloalkyl substituents are not substituted at the one position with hydroxy; and b. when K is a bond; G is phenyl, phenylmethyl, substituted phenyl or substituted phenylmethyl; Q is (Cs-Cs)alkylene; and Mis Ar® or Ar-Ar®, then Ais sulfonyl.
The present invention also provides methods of treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the . occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver : regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension, and repairing damage caused by metastatic bone disease, the methods comprising administering to a patient in need . thereof a therapeutically effective amount of (3-(((4-tert-butyl-benzyl)-(pyridine-3- sulfonyl)-amino)-methyl)-phenoxy)-acetic acid or a pharmaceutically acceptable salt : thereof.
Detailed Description of the Invention
Examples of EP; selective receptor agonists are set forth in U.S. Patent
Number 6,498,172. A preferred EP, selective receptor agonist that can be used in the present methods is a compound of Formula | as defined above.
A preferred group of compounds designated the A Group, comprises those compounds having the Formula | as shown above, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein B is N; Z is carboxyl, (C-Ce)alkoxycarbonyl or tetrazolyl; Ar is phenyl, furyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, isothiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, 2H-pyrrolyl, 3H-pyrrolyl, pyrrolyl, 2-pyrrolinyl, 3- pyrrolinyl, pyrrolidinyl, 1,3-dioxolanyl, 2H-imidazolyl, 2-imidazolinyl, imidazolidinyl, 2- pyrazolinyl, pyrazolidinyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 2H-pyranyl, 4H-pyranyl, pyridyl, piperidinyl, 1,4-dioxanyl, morpholinyl, 1,4-dithianyl, thiomorpholinyl, piperazinyt, 1,3,5- triazinyl, 1,2,4-triazinyl, azepinyl, oxepinyl, thiepinyl, cyclopentenyl, cyclohexenyl, benzo(b)thienyl, benzoxazolyl, benzimidazolyl, benzthiazolyl, quinolinyl, isoquinolinyl, phthalazinyl, quinazolinyl, quinoxalinyl, naphthyl, tetralinyl, decalinyl, 2H-1- benzopyranyl and 1,4-benzodioxan; Ar’, Ar®, Ar®, Ar* and Ar® are each independently cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, phenyl, furyl, thienyl, pyrrolyi, oxazolyl, thiazolyl, imidazolyl, pyrazolyi, isoxazolyl, isothiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, 2H-pyrrolyl, 3H-pyrrolyl, pyrrolyl, 2-pyrrolinyl, 3-pyrrolinyl, pyrrofidinyl, 1,3-dioxolanyl, 2H-imidazolyl, 2-imidazolinyl, imidazolidinyl, 2-pyrazolinyl, pyrazolidinyl, 1,2,3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4- oxadiazolyl, 1,2,3-triazolyl, 1,2,4-triazolyl, 2H-pyranyl, 4H-pyranyl, pyridyl, piperidinyl, ) 1,4-dioxanyl, morpholinyl, 1,4-dithianyl, thiomorpholinylpiperazinyl, 1,3,5-triazinyl, 1,2,4-triazinyl, azepinyl, oxepinyl, thiepinyl, 1,2,4-diazepinyl, cyclopentenyl, . cyclohexenyl, cycloheptenyl, cyclooctenyl, cyclooctadienyl, indoliziny!, indolyl, isoindolyl, 3H-indolyl, 1H-isoindolyl, indolinyl, cyclopenta(b)pyridinyl, pyrano(3,4- b)pyrrolyl, benzofuryl, isobenzofuryl, benzo(b)thienyl, benzo(c)thienyl, 1H-indazolyl,
indoxazinyl, benzoxazolyi, anthranilyl, benzimidazolyl, benzthiazolyl, purinyl, 4H- ‘ quinolizinyl, quinclinyl, isoquinclinyl, cinnolinyl, phthalazinyl, quinazolinyl, quinoxalinyl, 1,8-naphthyridinyl, pteridinyl, indenyl, isoindenyl, naphthyl, tetralinyl, decalinyl, 2H-1- ’ benzopyranyl, 1,4-benzodioxan, pyrido(3,4-b)-pyridinyl, pyrido(3,2-b)-pyridinyl, pyrido(4,3-b)-pyridinyl, 2H-1,3-benzoxazinyl, 2H-1,4-benzoxazinyl, 1H-2,3- benzoxazinyl, 4H-3,1-benzoxazinyl, 2H-1,2-benzoxazinyl and 4H-1,4-benzoxazinyl; and X is tetrahydrofuranyl, phenyl, thiazolyi, thienyl, pyridyl, pyrrazolyl, furanyl or pyrimidyl, wherein X is optionally mono-, di- or tri-substituted independently with chloro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl or methyl; and wherein each of said Ar, Ar' and Ar? groups are optionally substituted on carbon or nitrogen with up to three substituents independently selected from R®, R* and R®: each of said Ar, Ar'.and Ar? groups are optionally substituted independently on carbon or sulfur with one or two oxo groups; each of said Ar, Ar* and Ar® groups are optionally substituted on carbon or nitrogen independently with up to three R®!, R** and R® groups and each of said Ar’, Ar* and Ar® groups are optionally substituted independently on carbon or sulfur with one or two oxo groups.
A group of compounds within the A Group, designated the B Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein A is CO; G is oxy(C:-Cg)alkylene; Q is -(C,-Cg)alkylene-O-(C4-Cj)alkylene-, -(C4-Cg)alkylene-, said -(C,-Cg)alkylene- optionally substituted with up to four substituents independently selected from fluoro or (C,-Cy)alkyt, -X-(C,-Cs)alkylene-, -(C4-Cs)alkylene-X-, -(C4-Cs)alkylene-X-(C4-Cs)alkylene-, -(C,-C,)alkylene-O-X-(Cy-Cs)alkylene-, or -(Co-Cs)alkylene-X-O-(Cy-Cs)alkylene-; and X is phenyl, thienyl, furanyl or thiazolyl, wherein X is optionally mono-, di- or tri-substituted with chloro, fluoro, . methoxy, difluoromethoxy, trifluoromethoxy, trifftuoromethyl or methyl.
Another group of compounds which is preferred within the A Group, : designated the C Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein A is CO; GisAr, Qis
-O- -(C2-Ce)alkylene-O-(C4-Cz)alkylene-, . -(C4-Cg)alkylene-, said -(C,-Cg)alkylene- optionally substituted with up to four substituents independently selected from fluoro or (C4-Cg)alkyl, : -X-(C2-Cs)alkylene-, -(C4-Cs)alkylene-X-, -(C4-Cs)alkylene-X-(C,-Cs)alkyiene-, -(C2-C4)alkylene-O-X-(Co-Cs)alkylene-, or -(Co-C4)alkylene-X-0-(C4-Cs)alkylene-; and X is phenyl, thienyl, furany! or thiazolyl, wherein X is optionally mono-, di- or tri-substituted with chloro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl or methyl.
Another group of compounds which is preferred within the A Group, designated the D Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein A is CO: G is R'R?-amino or amino substituted with Ar, or amino substituted with Ar(C-
C,)alkylene and R"", wherein Ris H; Q is -(C2-Cs)alkylene-O-(Cy-Cs)alkylene-, -(C4+-Cg)alkylene-, said -(C4-Cg)alkylene- optionally substituted with up to four substituents independently selected from fluoro or (C4-Cs)alkyl, -X-(Co-Cs)alkylene-, -(C4-Cs)alkylene-X-, -(C4-Ca)alkylene-X-(C4-Cs)alkylene-, -(Co-C4)alkylene-O-X-(Co-Ca)alkylene-, or -(Co-Cs)alkylene-X-0-(C4-Cs)alkylene-; and X is phenyl, thienyl, furanyl or thiazolyl, wherein X is optionally mono-, di- or tri-substituted with chloro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl or methyt;and wherein R' and R? may be taken separately and are independently selected from H and (C4-Cs)alkyl, or R' and R? are taken together to form a five- or six- membered azacycloalkyl, said azacycloalkyl optionally containing an oxygen atom.
Another group of compounds which is preferred within the G Group, designated the E Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein A is SO, G is R'R%amino, or amino substituted with Ar and R""; Q is -(C,-Cs)alkylene-O-(C4-Cs)alkylene-,
-(C4-Cg)alkylene-, said -(C4-Csg)alkylene- optionally substituted with up to four , substituents independently selected from fluoro or (C+-Ca)alkyl, -X-(C,-Cs)alkylene-, ‘ -(C4-Cs)alkylene-X-, -(C,-Cs)alkylene-X-(C4-C3)alkylene-, -(C,-Cs)alkylene-0O-X-(Co-Cs)alkylene-, or ~(Co-Ca)alkylene-X-O-(Cy-Ca)alkylene-; and X is phenyl, thienyl, furanyl or thiazolyl, wherein X is optionally mono-, di- or tri-substituted with chioro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl or methyl; and wherein R' and R? may be taken separately and are independently selected from H and (C-Cg)alkyl, or R' and R? are taken together to form a five- or six- membered azacycloalkyl, said azacycloalkyl optionally containing an oxygen atom.
Another group of compounds which is preferred within the A Group, designated the F Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein A is SO; G is Ar, Ar(C-Co)alkylene or Ar'-V-Ar%; Q is -(C.-Ce)alkylene-O-(C+-Cs)alkylene-, -(C4-Cg)alkylene-, said -(C4-Cg)alkylene- optionally substituted with up to four substituents independently selected from fluoro or (C;-Cy)alkyl, -X-(Co-Cs)alkylene-, -(C4-Cs)alkylene-X-, -(C4-Cj)alkylene-X-(C4-Cs)alkylene-, -(C-C,)alkylene-O-X-(Co-Cs)alkylene-, or -(Co-Ca)alkylene-X-O-(C4-Ca)alkylene-; and X is phenyl,pyrimidyl, pyridyl, thienyl, tetrahydrofuranyl, furanyl or thiazolyl, wherein X is optionally mono-, di- or tri- substituted with chloro, fluoro, methoxy, difluaromethoxy, trifluoromethoxy, trifluoromethyl or methyl.
A particularly preferred group of compounds within the F Group, designated the FA Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein G is Ar or Ar-(C4-C,)- alkylene; Ar is phenyl, furyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, isothiazolyl, 1,2,3-triazolyl, 1,2,4- triazolyl or 1,3,4-thiadiazolyl wherein each of said Ar groups is optionally substituted on carbon or nitrogen with R', R? or R? Ar? is cyclopentyl, cyclohexyl, cycloheptyl, ’ cyclooctyl, phenyl, furyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyi, pyrazolyl, isoxazolyl, isothiazolyl, pyridyl, pyridazinyi, pyrimidinyl, pyrazinyl, pyrrolidiny, 1,2,3- triazolyl, 1,2,4-triazolyl, pyranyl, thiomorpholinyl, piperazinyl, 1,3,5-triazinyl, 1,2,4- triazinyl, 1,2,3-triazinyl, azepinyl, oxepinyl or thiepinyl wherein each of said Ar* groups is optionally mono- di- or tri-substituted on carbon or nitrogen with R*, R* or R%' ; Ar® is cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, phenyl, furyl, thienyl, pyrrolyl, oxazolyl, thiazolyl, imidazolyl, pyrazolyl, isoxazolyl, isothiazolyl, pyridyl, pyridazinyl, pyrimidinyl, pyrazinyl, pyrrolidinyl, 1,2,3-triazolyl, 1,2,4-triazolyl, pyranyl, 1,4-dioxanyl, thiomorpholinyl, piperazinyl, 1,3,5-triazinyl, 1,2,4-triazinyl, 1,2,3-triazinyl, azepinyl, oxepinyl! or thiepinyl wherein each of said Ar® groups is optionally mono- di- or tri- substituted on carbon or nitrogen with R?!, R*! or R®"; Q is -(Cs-C;)-alkylene-, -(C+-
C.)-alkylene-X-(C-Co)-alkylene-, -(C4-C;)-X-O-(C4-Co)-alkylene-, -(C,-C,)-alkylene- thienyl-, -(C,-Ca)-alkylene-furanyl- or -(C-C,)-alkylene-thiazolyl-; X is phenyl, pyridyl, pyrimidy! or thienyl; and said X groups are optionally mono-, di- or tri- substituted with chloro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl or methyl; said -(C-Ca)-alkylene-furanyl- and -(C,-C,)-alkylene-thienyl- having a 2,5- substitution pattern, e.g., c.commpene—L oI A
A preferred group of compounds within the FA Group, designated the FB
Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein K is methylene, Mis
Ar-Ar®, Ar'-O-Ar® or Ar®-S-Ar® and Ar is phenyl, pyridyl, pyrazolyl, imidazolyl, pyrimidyl, thienyl or thiazolyl, wherein Ar is optionally mono-, di- or tri-substituted on carbon or nitrogen with R3, R* or R®.
A preferred group of compounds within the FB Group, designated the FC
Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein M is Ar*-Ar’; Aris phenyl, pyridyl or imidazolyi, Art is phenyl, furanyl or pyridyl; and Ar’ is cyclopentyl, cyclohexyl, cycloheptyl, phenyl, pyridyl, imidazolyl, pyrimidyl, thienyl, pyridazinyl, pyraziny!, imidazolyl, pyrazolyl or thiazolyl, wherein Ar, Ar* and Ar® are optionally mono, -di- or tri-substituted on carbon or nitrogen independently with chloro, fluoro, ’ methyl, methoxy, difluoromethoxy, trifluoromethyl or trifluoromethoxy.
An especially preferred group of compounds within the FC Group, designated ) the FD Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein Q is -(Cs-
Cy)alkylene-.
Another especially preferred group of compounds within the FC Group, designated the FE Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein Q is CH,-X-CH,- and X is metaphenylene optionally mono- or di- substituted with chloro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl or methyl.
A preferred group of compounds within the FE Group are those compounds, and pharmaceutically acceptable salts and prodrugs thereof, selected from (3- (((pyridine-3-sulfonyl)-(4-pyrimidin-5-yl-benzyl)-amino)-methyl)-phenyl)-acetic acid; (3-(((5-phenyl-furan-2-yimethyl)-(pyridine-3-sulfonyl}-amino)-methyl)-phenyl)-acetic acid; (3-(((pyridine-3-sulfonyl)-(4-pyrimidin-2-yl-benzyl)-amino)-methyl)-phenyl)-acetic acid; (3-(((pyridine-3-sulfonyl)-(4-thiazol-2-yl-benzyl)-amino)-methyl)-phenyl)-acetic acid; and (3-(((4-pyrazin-2-yl-benzyl)-(pyridine-3-sulfonyl)-amino)-methyl)-phenyi)- acetic acid.
An especially preferred compound within the FE Group is the compound wherein Ar is pyrid-3-yi; Z is carboxy; Mis Ar*-Ar® wherein Ar? is a furanyl ring and Ar° is phenyl wherein said phenyl moiety is substituted at the 5-position of said furanyl ring; and Q is -CH»-X-CH,- wherein X is metaphenylene.
Another especially preferred compound within the FE Group is the compund wherein Ar is pyrid-3-yl; Z is carboxy; M is Ar*-Ar® wherein Ar* is phenyl and Ar is pyrimid-2-yl and said pyrimid-2-yl moiety is substituted at the 4-position of said phenyl ring; and Q is -CH,-X-CHg- wherein X is metaphenylene.
Yet another especially preferred compound within th FE Group is the : compound wherein Ar is pyrid-3-yl; Z is carboxy; M is Ar‘-Ar® wherein Ar? is phenyl and Ar® is thiazol-2-yl and said thiazol-2-yl moiety is substituted at the 4-position of said phenyl! ring; and Q is -CH,-X-CH,- wherein X is metaphenylene.
Yet another especially preferred compound within the FE Group is the compound wherein Ar is pyrid-3-yl; Z is carboxy; M is Ar*-Ar® wherein Ar* is phenyl k -13- and Ar® is pyrimid-5-y! and said pyrimid-5-yl moiety is substituted at the 4-position of ’ said phenyl ring; and Q is -CH»-X-CH,- wherein X is metaphenylene.
Yet another especially preferred compound within the FE Group is the compound wherein Ar is pyrid-3-yl; Z is carboxy; M is Ar*-Ar® wherein Ar is phenyl and Ar’ is pyrazin-2-yl and said pyrazin-2-yl is substituted at the 4-position of said phenyl ring; and Q is -CHz-X-CH,- wherein X is metaphenylene.
A preferred group of compounds within the FC Group, designated the G
Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein Q is -(C-Ca)- alkylene-thienyl-, -(C>-C4)-alkylene-furanyl- or -(C2-Cq)-alkylene-thiazolyl-.
An especially preferred compound within the G Group is 5-(3-((pyridine-3- sulfonyl)-(4-thiazol-2-yl-benzyl)-amino)-propyl)-thiophene-2-carboxylic acid.
An especially preferred compound within the G Group is the compound, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said 16 prodrugs, wherein Q is n-propylenyl; X is thienyl; Z is carboxy; Ar is 3-pyridyl; Artis phenyl; and Ar’ is 2-thiazolyl; said 2-thiazolyl being substituted at the 4-position of said phenyl.
Another especially preferred group of compounds within the FC Group, designated the H Group, comprises those compounds, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein Q is -CH»-X-O-CH,-; Ar* is phenyl! or pyridyl; said phenyl and pyridyl are optionally substituted with chloro, fluoro, methoxy, difluoromethoxy, trifluoromethoxy, trifluoromethyl and methyl; and X is metaphenylene.
A preferred group of compounds within the H Group are (3-(((4-cyclohexyl- benzyl)-(pyridine-3-sulfonyl)-amino)-methyl)-phenoxy)-acetic acid; (3-(((pyridine-3- sulfonyl)-(4-pyridin-2-yl-benzyl)-amino)-methyl)-phenoxy)-acetic acid; (3-(((pyridine-3- sulfonyl)-(4- pyridin-3-yl-benzyl)-amino)-methyl)-phenoxy)-acetic acid; (3-(({pyridine- 3-sulfonyl)-(4-pyridin-4-yl-benzyl)-amino)-methyl)-phenoxy)-acetic acid; and (3- : (({pyridine-3-sulfonyl)-(4-thiazol-2-yl-benzyl)-amino)-methyl)-phenoxy)-acetic acid.
An especially preferred compound within the H Group is the compound, prodrugs thereof and pharmaceutically acceptable salts of said compounds and said prodrugs, wherein Ar is pyrid-3-yl; Z is carboxy; Ar? is phenyl; Ar® is cyclohexyl; and said cyclohexyl moiety is substituted at the 4-position of said phenyl ring.

Claims (16)

What is claimed is:
1. Use of a therapeutically effective amount of an EP, selective receptor agonist, in the manufacture of a medicament for treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension or repairing damage caused by metastatic bone disease.
2. Use of a compound of Formula 1 in the manufacture of a medicament for treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension or repairing damage caused by metastatic bone disease, the compound comprising SN Km Formula } or a prodrug thereof, or a pharmaceutically acceptable salt thereof, wherein Ais SO; or CO; Gis Ar, Ar'-V-Ar%, Ar{C,-Cs)alkylene, Ar-CONH-(C,-Cg)alkylene, R'R%-amino, oxy(Cs-Ce)alkylene, amino substituted with Ar, or amino substituted with Ar(C,- Cd)alkylene and R", wherein R'' is H or (C,-Cs)alkyl, R' and R? may be taken separately and are independently selected from H and (C,-Cs)alkyl, or R' and R? Fon liioZ3 GT are taken together with the nitrogen atom of the amino group to form a five- or six- membered azacycloalkyl, said azacycloalkyl optionally containing an oxygen atom and optionally mono-, di- or tri-substituted independently with up to two oxo, hydroxy, (C4-C4)alkyl, fluoro or chloro; : Bis Nor CH; Qis -(C,-Ce)alkylene-W-(C4-Cs)alkylene-, said alkylenes each optionally substituted with up to four substituents independently selected from fluoro or (C+- Cy)alkyl, -(C4-Cg)alkylene-, said alkylene optionally substituted with up to four substituents independently selected from fluoro or (C4-Cs)alkyl, -X-(C4-Cs)alkylene-, said alkylene optionally substituted with up to four substituents independently selected from fluoro or (C4-Cq)alkyl, -(C4-Cs)alkylene-X-, said alkylene optionally substituted with up to four substituents independently selected from fluoro or (C4-Cy)alkyl,
-(C+-Cs)alkylene-X-(C4-Cs)alkylene-, said alkylenes each optionally substituted with up to four substituents independently selected from fluoro or (C+-Ca)alkyl,
-(C,-Cy)alkylene-W-X~(Co-Cs)alkylene-, said alkylenes each optionally substituted with up to four substituents each independently selected from fluoro or
(C4-Cy)alkyl,
-(Co-Ca)alkylene-X-W-(C;-Ca)alkylene-, said alkylenes each optionally substituted with up to four substituents each independently selected from fluoro or (C1-Cy)alkyl,
~(C,-Cs)alkylene-W-X-W-(C,-Cs)alkylene-, wherein the two occurrences of W are independent of each other, said alkylenes each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Ca)alkyl,
-(C+-C4)alkylene-ethenylene-(C4-Cs)alkylene-, said alkylenes and said ethenylene each optionally substituted with up to four substituents each
: independently selected from fluoro or (C4-Ca)alkyl, -(C4-Cy)alkylene-ethenylene-(Co-Cz)alkylene-X-(Co-Cs)alkylene-, said alkylenes and said ethenylene each optionally substituted with up to four substituents each independently selected from fluoro or (C-C,)alkyl,
~(C1-Cq)alkylene-ethenylene-(Cy-C,)alkylene-X-W-(C,-C3)alkylene-, said : alkylenes and said ethenylene optionally each substituted with up to four substituents each independently selected from fluoro or (C-Cy)alkyl, -(C4-C,)alkylene-ethynylene-(C;-C,4)alkylene-, said alkylenes and said ethynylene each optionally substituted with up to four substituents each independently selected from fluoro or (C4-C,)alkyl,or -(C4-Cy)alkylene-ethynylene-X-(Co-Cj)alkylene-, said alkylenes and said ethynylene each optionally substituted with up to four substituents each independently selected from fluoro or (C4-Cy)alkyl; Z is carboxyl, (C4-Ce)alkoxycarbonyl, tetrazolyl, 1,2,4-oxadiazolyl, 5-oxo-1,2,4- oxadiazolyl, 5-oxo-1,2,4-thiadiazolyl, (C4-C,)alkylsulfonylcarbamoyl or phenylsulfonylcarbamoyl, Kis a bond, (C4-Cg)alkylene, thio(C+-Ca)alkylene, (C4-Ca)alkylenethio(C- Cyalkylene, (C1-Cq)alkyleneoxy(C+-Cy)alkylene or oxy(C4-C,)alkylene, said (Cs- Cg)alkylene optionally mono-unsaturated and wherein, when K is not a bond, K is optionally mono-, di- or tri-substituted independently with chloro, fluoro, hydroxy or methyl; Mis -Ar®, -Ar-V-Ar®, -Art-S-Ar®, -Ar*-SO-Ar®, -Ar*-SO,-Ar° or -Ar*-O-Ar®, Ar is a partially saturated or fully unsaturated five to eight membered ring optionally having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen, or a bicyclic ring consisting of two fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, taken independently, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a tricyclic ring consisting of three fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, said partially or fully saturated ring, bicyclic ring or tricyclic ring optionally having one or two oxo groups
. substituted on carbon or one or two oxo groups substituted on sulfur; or Aris a fully saturated five to seven membered ring having one or two heteroatoms selected independently from oxygen, sulfur and nitrogen; Ar! and Ar are each independently a partially saturated, fully saturated or fully unsaturated five to eight membered ring optionally having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen, or a : bicyclic ring consisting of two fused independently partially saturated, fully . saturated or fully unsaturated five or six membered rings, taken independently, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, or a tricyclic ring consisting of three fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, optionally having one to four heteroatoms selected independently from nitrogen, sulfur and oxygen, said partially or fully saturated ring, bicyclic ring or tricyclic ring optionally having one or two oxo groups substituted on carbon or one or two oxo groups substituted on sulfur; said Ar, Ar! and Ar® moieties are optionally substituted on carbon or nitrogen, on one ring if the moiety is monocyclic, on one or both rings if the moiety is bicyclic, or on one, two or three rings if the moiety is tricyclic, with up to three substituents per moiety independently selected from R?, R* and R® wherein R?, R* and R® are independently hydroxy, nitro, halo, carboxy, (C4+-C7)atkoxy, (Cs- C,)alkoxy(C4-C)alkyl, (C4-Cg)alkoxycarbonyl, (C4~Cr)alkyl, (C2-Cr)alkenyl, (Co- C;)alkynyl, (Cs-Cr)cycloalkyl, (C3-Cr)cycloalkyl(C1-Ca)alkyl, (Cs-Cr)cycloalkyl(Cs-
C.)alkanoyl, formyl, (C4-Cg)alkanoyl, (C4-Cg)alkanoyl(C4-Ce)alkyl, (C+-
C.)alkanoylamino, (C4-C,)alkoxycarbonylamino, hydroxysulfonyl, aminocarbonylamino or mono-N-, di-N,N-, di-N,N'- or tri-N,N,N’-(C,-C,)alkyl substituted aminocarbonylamino, sulfonamido, (C4-C,)alkyisulfonamido, amino, mono-N- or di-N,N-(C4-C,)alkylamino, carbamoyl, mono-N- or di-N,N-(C;-
C.)alkylcarbamoyl, cyano, thiol, (C,-Cs)alkylthio, (C1-Ce)alkylsulfinyl, {C;- Cs)alkylsulfonyl or mono-N- or di-N,N-(C4-C,)alkylaminosulfinyl; Ar®, Ar and Ar® are each independently a partially saturated, fully saturated or fully unsaturated five to eight membered ring optionally having one to four heteroatoms selected independently from oxygen, sulfur and nitrogen, or a bicyclic ring consisting of two fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, taken independently, optionally having one to four heteroatoms selected independently from nitrogen,
. sulfur and oxygen, or a tricyclic ring consisting of three fused independently partially saturated, fully saturated or fully unsaturated five or six membered rings, optionally having one to four heteroatoms selected independently from nitrogen,
sulfur and oxygen, said partially or fully saturated ring, bicyclic ring or tricyclic ring : optionally having one or two oxo groups substituted on carbon or one or two oxo groups substituted on sulfur; said Ar’, Ar* and Ar’ moieties are optionally substituted on carbon or nitrogen, on one ring if the moiety is monocyclic, on one or both rings if the moiety is bicyclic, or on one, two or three rings if the moiety is tricyclic, with up to three substituents per moiety independently selected from R*, R* and R*" wherein R*', R*' and R®' are independently hydroxy, nitro, halo, carboxy, (C4-C7)alkoxy, (C4-Ca)alkoxy(C4-C,)alkyl, (C4-Ca)alkoxycarbonyl, (Cy- Cy)alkyl, (Co-Cr)alkenyl, (Co-Cr)alkynyl, (Cs-C;)cycloalkyl, (C3-C;)cycloalky)(Cy- Ca)alkyl, (Cs-Cr)cycloalkyl(C1-Cy)alkanoyl, formyl, (C4+-Cg)alkanoyl, (C;- Ce)alkanoyl(C4-Cg)alkyl, (C4-C,)alkanoylamino, (C-Cy)alkoxycarbonylamino, hydroxysulfonyl, aminocarbonylamino or mono-N-, di-N,N-, di-N,N’- or tri-N,N,N'- (C4-Cs)alkyl substituted aminocarbonylamino, sulfonamido, (Cs-
C.)alkylsulfonamido, amino, mono-N- or di-N,N-(C;-C,)alkylamino, carbamoyl, mono-N- or di-N,N-(C,-Cg)alkylcarbamoyl, cyano, thiol, (C1-Cg)alkylthio, (C4- Ce)alkylsulfinyl, (C;-Cs)alkylsulfonyl or mono-N- or di-N,N-(C;- Cy)alkylaminosulfinyl; W is oxy, thio, sulfino, sulfonyl, aminosulfonyl-, -mono-N-(C;- Cs)atkyleneaminosulfonyl-, sulfonylamino, N-(C4-Cy)alkylenesulfonyiamino, carboxamido, N-(C1-Ca)alkylenecarboxamido, carboxamidooxy, N-(C4- C,)alkylenecarboxamidooxy, carbamoyl, -mono-N-(C;-C,)alkylenecarbamoyl, carbamoyloxy, or -mono-N-(C;-C,)alkylenecarbamoyloxy, wherein said W alkyl groups are optionally substituted on carbon with one to three fluorines; Xis a five or six membered aromatic ring optionally having one or two heteroatoms selected independently from oxygen, nitrogen, and sulfur; said ring optionally mono-, di- or tri-substituted independently with halo, (C,-Cj)alkyl, trifluoromethyl, trifluoromethyloxy, difluoromethyloxy, hydroxyl, (C+-Cs)alkoxy, or carbamoyl; R', R% R} R‘R% R", R*, R* and R®, when containing an alkyl, alkylene, alkenylene or alkynylene moiety, are optionally mono-, di- or tri-substituted on carbon independently with halo or hydroxy; and
STEN. V and V' are each independently a bond, thio(C+-Ca)alkylene, (Cy-
C.)alkylenethio, (C4-C.)alkyleneoxy, oxy(C,-C.)alkylene or (C-Csalkylene optionally mono- or di-substituted independently with hydroxy or fluoro; with the provisos that:
a. when K is (CzCy)alkylene and M is Ar’ and Ar® is cyclopent-1-y1, cyclohex-1-yl, cyclohept-1-yl or cyclooct-1-yi then said (Cs-Cg)cycloalkyl substituents are not substituted at the one position with hydroxy; and b. when K is a bond; G is phenyl, phenylmethyl, substituted phenyl of substituted phenyimethyl; Q is (Cs-Ca)alkylene; and Mis Ar’ or Ar*-Ar, then A is sulfonyl.
3. Use of a therapeutically effective amount of (3-(((4-tert-butyl-benzyl)- (pyridine-3-sulfonyl)-amino)-methyl)-phenoxy)-acetic acid or a pharmaceutically acceptable salt thereof, in the manufacture of a medicament for treating pulmonary hypertension, facilitating joint fusion, facilitating tendon and ligament repair, reducing the occurrence of secondary fracture, treating avascular necrosis, facilitating cartilage repair, facilitating bone healing after limb transplantation, facilitating liver regeneration, facilitating wound healing, reducing the occurrence of gastric ulceration, treating hypertension, facilitating the growth of tooth enamel or finger or toe nails, treating glaucoma, treating ocular hypertension or repairing damage caused by metastatic bone disease.
4. The use of any of claims 1-3 wherein the medicament is for treating hypertension or treating pulmonary hypertension.
5. The use of any of claims 1-3 wherein the medicament is for facilitating joint fusion.
6. The use of any of claims 1-3 wherein the medicament is for facilitating tendon and ligament repair or facilitating cartilage repair.
7. The use of any of claims 1-3 wherein the medicament is for reducing the occurrence of secondary fracture. LLCGLIS SNE
E !
AN . : \ WO 2004/078169 PCT/1B2004/000553 \ N -143-
8. The use of any of claims 1-3 wherein the medicament is for treating avascular necrosis.
9. The use of any of claims 1-3 wherein the medicament is for facilitating bone heating after limb transplantation.
10. The use of any of claims 1-3 wherein the medicament is for facilitating liver regeneration.
11. The use of any of claims 1-3 wherein the medicament is for facilitating wound healing.
12. The use of any of claims 1-3 wherein the medicament is for reducing the occurrence of gastric ulceration.
13. The use of any of claims 1-3 wherein the medicament is for facilitating the growth of tooth enamel, fingernails or toenails.
14. The use of any of claims 1-3 wherein the medicament is for treating glaucoma or treating ocular hypertension.
15. A use of any of claims 1-3 wherein the medicament is for repairing damage caused by metastatic bone disease.
16. Use according to any of the preceding claims, substantially as herein described and exemplified. SIS ID SN
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