WO1995021843A1 - Azacyclic derivatives - Google Patents

Azacyclic derivatives Download PDF

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Publication number
WO1995021843A1
WO1995021843A1 PCT/EP1995/000345 EP9500345W WO9521843A1 WO 1995021843 A1 WO1995021843 A1 WO 1995021843A1 EP 9500345 W EP9500345 W EP 9500345W WO 9521843 A1 WO9521843 A1 WO 9521843A1
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alkyl
formula
hydrogen
compound according
group
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PCT/EP1995/000345
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French (fr)
Inventor
Giuseppe Giardina
Mario Grugni
Roberto Colle
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Smithkline Beecham Farmaceutici S.P.A.
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Priority to JP07520934A priority Critical patent/JP3135577B2/en
Priority to EP95908236A priority patent/EP0743944A1/en
Publication of WO1995021843A1 publication Critical patent/WO1995021843A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D487/00Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04Ortho-condensed systems
    • 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
    • A61P1/18Drugs for disorders of the alimentary tract or the digestive system for pancreatic disorders, e.g. pancreatic enzymes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/06Antiasthmatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P11/00Drugs for disorders of the respiratory system
    • A61P11/14Antitussive agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/08Antiepileptics; Anticonvulsants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00Drugs for disorders of the metabolism
    • A61P3/12Drugs for disorders of the metabolism for electrolyte homeostasis
    • 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
    • A61P9/06Antiarrhythmics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis

Definitions

  • This invention is concerned with novel substituted azacyclic condensed piperazines, processes for their preparation, and their use in medicine, particularly as diuretics and anti-ischaemics.
  • kappa receptor agonists Compounds which are kappa receptor agonists have mainly been studied as analgesics through interaction with kappa opioid receptors.
  • EP-A-343900 and EP-A-398720 disclose groups of piperazine derivatives which are said to exhibit kappa receptor agonism and are therefore said to be useful as analgesics, as diuretics and in the treatment of cerebral ischaemia.
  • a novel class of structurally related azacyclic condensed piperazine derivatives has now been discovered which also exhibit potent kappa receptor agonism and are particularly useful as diuretics for the treatment of hyponatraemic disease states in mammals and anti- ischaemics, in particular for the treatment of cerebral ischaemia.
  • This novel class of derivatives also possess analgesic activity which indicates that they are of potential use in the treatment of pain, without some of the undesirable behavioural effects of morphine and morphine analogues.
  • the novel class of derivatives are also of potential use in the treatment of other conditions which respond to administration of kappa agonists, in particular convulsions, cough, asthma, inflammation (including inflammation pain), pancreatitis, arrhythmia's and skin disorders.
  • each of X and Y is independently CH or N;
  • RCO is an acyl group in which the group R contains a substituted or unsubstituted carbocyclic aromatic or heterocyclic aromatic ring;
  • each of Ri and R2 which may be the same or different, is C -Q alkyl optionally substituted by at least one of halogen, (preferably fluorine or chlorine), hydroxy, Cj.g alkoxy (preferably methoxy), acyloxy (preferably acetoxy), thiol, C ⁇ .g alkyl thio (preferably methylthio), acylthio (preferably acetylthio) halo-C ⁇ _g alkoxy (preferably fluoro-alkoxy), CORh, COOR , CONHRh or NHCORh where Rh is hydrogen or Cj.g alkyl, preferably methyl or ethyl;
  • each of Rj and R2 is hydrogen, C2-6 alkenyl, 03.5 cycloalkyl, or C4.12 cycloalkylalkyl; or Rj and R2 together form an optionally substituted C2-8 branched or linear polymethylene or C2-6 alkenylene group, the polymethylene group, with the attached nitrogen, preferably being of the formula
  • Rb which may be attached to the same or different carbon atom as Re, is hydrogen, hydroxy, C ⁇ .g alkoxy (preferably methoxy) or halogen (preferably fluorine), and Re is hydrogen, C- . ⁇ alkyl (preferably methyl) or together with Rb forms a keto-group or a cyclic ether containing from 1 to 4 carbon atoms, and a is 1 or 2.
  • NR1R2 examples are 1-pyrrolidinyl, 3-hydroxy-l-pyrrolidinyl and 3-fluoro-l- pyrrolidinyl.
  • the term 'carbocyclic aromatic group' includes single or fused rings, having 6 to 12 ring carbon atoms, and the term 'heterocyclic aromatic group' includes single or fused rings having 5 to 12 ring atoms, comprising up to four hetero-atoms in the or each ring, selected from oxygen, nitrogen and sulphur.
  • the carbocyclic or heterocyclic group is a fused two ring system, one or both rings may be aromatic in character.
  • one of the rings is aromatic and the other is non-aromatic.
  • the group R preferably has the formula (II):
  • X is a direct bond, or O, S or NRs in which
  • Rg is hydrogen or C ⁇ .Q alkyl
  • Ar is a substituted or unsubstituted carbocyclic or heterocyclic group
  • each of Rg and Rga is C ⁇ .g alkyl, C2-g alkenyl, C2- alkynyl, C ⁇ _g haloalkyl, C I -g haloalkenyl, C2-g haloalkynyl, optionally substituted phenyl or heterocyclyl, optionally substituted phenyl C ⁇ .g alkyl, hydroxy, C ⁇ .
  • Rg or Rga is heterocyclyl, it is preferably an aromatic or non-aromatic single or fused ring system having from 5 to 12 ring atoms, comprising up to 4 hetero-atoms in the or each ring, selected from oxygen, nitrogen and sulphur.
  • Preferred halogens are F, Cl and Br.
  • Rg's When two Rg's are linked they preferably form a fused cyclopentyl or cyclohexyl ring.
  • Ar is phenyl and Rg or Rg a is preferably in the meta- and/or para- position.
  • Ar are naphthyl, benzothienyl, benzofuranyl, 2,3-dihydrobenzofuranyl,
  • Rg or Rga is bromine, chlorine, CF3, 2-furanyl, 2-pyrryl, 2-thiazolyl, 2-imidazolyl or 2-thienyl, partictdarly, when Ar is phenyl, in the meta and/or para position.
  • X is typically oxygen or a direct bond
  • n is typically 0 or 1.
  • a further preferred group R has the formula (Ha)
  • Rx and Ry are linked together and Rx represents -(Z m )- where m is 0 or 1 and Z is O, S or NR Z where R z is hydrogen or C ⁇ _g alkyl, and Ry represents -(CH2)q- where q is an integer of from 1 to 4, preferably 2 or 3.
  • a preferred sub-group of formula (Ila) is a group of formula (lib)
  • q is 2 when Z is oxygen and m is 1, and q is 3 when m is 0.
  • a further preferred sub-group of formula (Ila) is the group of formula (lie)
  • each of Rx and Ry is Cj.g alkyl, preferably methyl, and the position of -CH2- is as defined in formula (Ha)
  • a further preferred group R has the formula (lid)
  • Het is the remainder of a single aromatic heterocyclic ring, containing from 5 to 6 ring atoms and comprising up to 3 heteroatoms in the ring selected from O, S and N; and R7, X, Y, Z, m and q are as defined in formula (Ila)
  • R are 3,4-dichlorobenzyl or 4- trifluoromethylbenzyl .
  • the compounds of formula (I) or their salts or solvates are preferably in pharmaceutically acceptable or substantially pure form.
  • pharmaceutically acceptable form is meant, inter alia, of a pharmaceutically acceptable level of purity excluding normal pharmaceutical additives such as diluents and carriers, and including no material considered toxic at normal dosage levels.
  • a substantially pure form will generally contain at least 50% (excluding normal pharmaceutical additives), preferably 75%, more preferably 90% and still more preferably 95% of the compound of formula (I) or its salt or solvate.
  • One preferred pharmaceutically acceptable form is the crystalline form, including such form in a pharmaceutical composition.
  • the additional ionic and solvent moieties must also be non-toxic.
  • Examples of a pharmaceutically acceptable salt of a compound of formula (I) include the acid addition salts with the conventional pharmaceutical acids, for example, maleic, hydrochloric, hydrobromic, phosphoric, acetic, fumaric, salicyclic, citric, lactic, mandelic, tartaric, succinic, benzoic, ascorbic and methanesulphonic.
  • conventional pharmaceutical acids for example, maleic, hydrochloric, hydrobromic, phosphoric, acetic, fumaric, salicyclic, citric, lactic, mandelic, tartaric, succinic, benzoic, ascorbic and methanesulphonic.
  • Examples of a pharmaceutically acceptable solvate of a compound of formula (I) include the hydrate.
  • the compounds of formula (I) have at least one asymmetric centre and therefore exist in more than one stereoisomeric form.
  • the invention extends to all such forms and to mixtures thereof, including racemates.
  • the present invention also provides a process for the preparation of a compound of formula (I) which comprises treating a compound of formula (III)
  • Suitable active derivatives of RCOOH are acid chlorides or acid anhydrides.
  • Another suitable derivative is a mixed anhydride formed between the acid and an alkyl chloroformate.
  • the compound of formula ( ⁇ i) may be coupled:
  • the compounds of formula (I ) may be converted into their pharmaceutically acceptable acid addition salts by reaction with the appropriate organic or mineral acids.
  • Solvates of the compounds of formula (I) may be formed by crystallization or recrystallization from the appropriate solvent.
  • hydrates may be formed by crystallization or recrystallization from aqueous solutions, or solutions in organic solvents containing water.
  • salts or solvates of the compounds of formula (I) which are not pharmaceutically acceptable may be useful as intermediates in the production of pharmaceutically acceptable salts or solvates. Accordingly such salts or solvates also form part of this invention.
  • the compounds of formula (I) exist in more than one stereoisomeric form and the process of the invention produces mixtures thereof.
  • the individual isomers may be separated one from another by resolution using an optically active acid such as tartaric acid.
  • an asymmetric synthesis would offer a route to the individual form.
  • a compound of formula (VI) is prepared from the known compound (VII) (J. Am. Chem. Soc. 1945, 67, 1711) by reaction with an excess of the appropriate amine in the absence or presence of solvent such as MeOH.
  • Compound (VI) is thereafter treated with a haloacetaldehyde such as chloro acetaldehyde or bromoacetaldehyde in a dioxane/water mixture at a temperature of 90°C for a prolonged period of time (from 8 to 48 hours), and the resulting compound of formula (V) is hydrogenated over a suitable catalyst such as PtO2 or 5% Pt C in the presence of calcium oxide in an appropriate solvent such as ethanol or 2-methoxyethanol.
  • a haloacetaldehyde such as chloro acetaldehyde or bromoacetaldehyde in a dioxane/water mixture at a temperature of 90°C for a prolonged period of time (from 8 to 48 hours
  • a suitable catalyst such as PtO2 or 5% Pt C in the presence of calcium oxide in an appropriate solvent such as ethanol or 2-methoxyethanol.
  • the known compound of formula (XII) (U.S. Patent 4,578,378) is N-protected with an alkylation procedure and the resulting compound of formula -11- (XIII) is treated with a selective reductive agent such as lithium borohydride in refluxing THF to obtain the compound of formula (XIV).
  • This intermediate is activated with methanesulphonyl chloride or p-toluene sulphonyl chloride in dichloromethane as solvent and subsequently treated with the appropriate amine.
  • the resulting compound of formula (XV) is transformed into the corresponding imidoyl chloride by treatment with PCI5 in dichloromethane.
  • the compound of formula (XX) is submitted to a reductive amination procedure with phthalimido acetaldehyde in the presence of an alkali metal hydride such as NaBH4 or NaCNBH3 in a suitable alchoholic solvent.
  • an alkali metal hydride such as NaBH4 or NaCNBH3 in a suitable alchoholic solvent.
  • the obtained compound of formula (XXV) is selectively reduced by hydrogenation over Pt ⁇ 2 in the presence of calcium oxide in a suitable solvent such as 2-methoxyethanol to obtain a compound of formula (XXVI).
  • the compound of general formula (XXIII) can be obtained from a known compound using known methods, for example as described in J. Heterocycl. Chem. 1979, 16(1), 193-4 and in Heterocycles 1984, 22 (2), 299-301.
  • the activity of the compounds of formula (I) in standard tests indicates that they are of potential therapeutic utility in the treatment of pain, cerebral ischaemia, hyponatraemic disease states, convulsions, cough, asthma, inflammation (including inflammation pain) pancreatitis, arrythmias and skin disorders (hereinafter referred to as the Conditions).
  • the present invention also provides a compound of fo ⁇ nula (I), or a pharmaceutically acceptable salt or solvate thereof, for use as an active therapeutic substance.
  • the present invention further provides a pharmaceutical composition
  • a pharmaceutical composition comprising a compound of formula (I), or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier.
  • the present invention also provides the use of a compound of formula (I), or a pharmaceutically acceptable salt or solvate thereof, (hereinafter referred to as the Compounds) in the manufacture of a medicament for the treatment of the Conditions.
  • the present invention also provides a method for the treatment and/or prophylaxis of the Conditions in mammals, particularly humans, which comprises administering to the mammal in need of such treatment and/or prophylaxis an effective amount of the Compound.
  • Medicaments and compositions containing the Compounds may be prepared by admixture of a Compound with an appropriate carrier, which may contain a diluent, binder, filler, disintegrant, flavouring agent, colouring agent, lubricant or preservative in conventional manner.
  • an appropriate carrier which may contain a diluent, binder, filler, disintegrant, flavouring agent, colouring agent, lubricant or preservative in conventional manner.
  • a medicament or pharmaceutical composition of the invention is in unit dosage form and in a form adapted for use in the medical or veterinarial fields.
  • preparations may be in a pack form accompanied by written or printed instructions for use as an agent for the treatment of each of the Conditions.
  • the suitable dosage range for a Compound depends on the Compound to be employed, the Condition to be treated, and on the condition of the patient. It will also depend, inter alia, upon the relation of potency to absorbability and the frequency and route of administration.
  • the Compound may be formulated for administration by any route, and is preferably in unit dosage form or in a form that a human patient may administer to himself in a single dosage.
  • the composition is suitable for oral, rectal, topical, parenteral, intravenous or intramuscular administration. Preparations may be designed to give slow release of the active ingredient.
  • Compositions may, for example, be in the form of tablets, capsules, sachets, vials, powders, granules, lozenges, reconstitutable powders, or liquid preparations, for example solutions or suspensions, or suppositories.
  • compositions may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpy ⁇ olidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate; disintegrants, for example starch, polyvinylpyrrolidone, sodium starch glycollate or microcrystalline cellulose; or pharmaceutically acceptable setting agents such as sodium lauryl sulphate.
  • binding agents for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpy ⁇ olidone
  • fillers for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine
  • tabletting lubricants for example magnesium stearate
  • disintegrants for example starch, polyvinylpyrrolidone
  • Solid compositions may be obtained by conventional methods of blending, filling, tabletting or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers.
  • any carrier suitable for formulating solid pharmaceutical compositions may be used, examples being magnesium stearate, starch, glucose, lactose, sucrose, rice flour and chalk. Tablets may be coated according to methods well known in normal pharmaceutical practice, in particular with an enteric coating.
  • the composition may also be in the form of an ingestible capsule, for example of gelatin containing the compound, if desired with a carrier or other excipients.
  • compositions for oral administration as liquids may be in the form of, for example, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use.
  • Such liquid compositions may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminium stearate gel, hydrogenated edible fats; emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; aqueous or non-aqueous vehicles, which include edible oils, for example almond oil, fractionated coconut oil, oily esters, for example esters of glycerine, or propylene glycol, or ethyl alcohol, glycerine, water or normal saline; preservatives, for , example methyl or propyl p-hydroxybenzoate or sorbic acid; and if desired conventional flavouring
  • compositions may be formulated, for example, for rectal administration as a suppository or for topical administration as a cream or lotion. They may also be formulated for presentation in an injectable form in an aqueous or non-aqueous solution, suspension or emulsion in a pharmaceutically acceptable liquid, e.g. sterile pyrogen-free water or a parenterally acceptable oil or a mixture of liquids.
  • a pharmaceutically acceptable liquid e.g. sterile pyrogen-free water or a parenterally acceptable oil or a mixture of liquids.
  • the liquid may contain bacteriostatic agents, anti-oxidants or other preservatives, buffers or solutes to render the solution isotonic with the blood, thickening agents, suspending agents or other pharmaceutically acceptable additives.
  • Such forms will be presented in unit dose form such as ampoules or disposable injection devices or in multi- dose forms such as a bottle from which the appropriate dose may be withdrawn or a solid form or concentrate which can be used to prepare an inject
  • the Compounds may also be administered by inhalation, via the nasal or oral routes.
  • administration can be carried out with a spray formulation comprising a Compound and a suitable carrier, optionally suspended in, for example, a hydrocarbon propellant.
  • Preferred spray formulations comprise micronised Compound particles in combination with a surfactant, solvent or a dispersing agent to prevent the sedimentation of suspended particles.
  • the Compound particle size is from about 2 to 10 microns.
  • a further mode of administration of the Compounds comprises transdermal delivery utilising a skin-patch formulation.
  • a prefe ⁇ ed formulation comprises a Compound dispersed in a pressure sensitive adhesive which adheres to the skin, thereby permitting the Compound to diffuse from the adhesive through the skin for delivery to the patient.
  • pressure sensitive adhesives known in the art such as natural rubber or silicone can be used.
  • the effective dose of Compound depends on the particular Compound employed, the Condition to be treated, the condition of the patient and on the frequency and route of administration.
  • a unit dose will generally contain from 20 to 1000 mg and preferably will contain from 30 to 500 mg, in particular 50, 100, 150, 200, 250, 300, 350, 400, 450, or 500 mg.
  • the composition may be administered once or more times a day for example 2, 3 or 4 times daily, and the total daily dose for a 70 kg adult will normally be in the range 100 to 3000 mg.
  • the unit dose will contain from 2 to 20mg of active ingredient and be administered in multiples, if desired, to give the preceding daily dose.
  • the kappa receptor affinity of the Compounds may be demonstrated by in vitro binding experiments using a kappa selective radioligand (Sbacchi et al., Excerpta Medica, Vol. 914,211-212, 1990).
  • the diuretic activity of the compounds may be evaluated by measuring the urine volume in normally hydrated or water loaded rats, in agreement with the methods described by J .D. Leander, J. Pharmacol. Exp. Ther., 1983, Vol. 224, 89 and by A.G. Hayes, J. Pharmacol. Exp., 1987, Vol. 240, 984.
  • the activity of the Compounds in treating cerebral ischaemia may be evaluated by using the gerbil model of ischaemic stroke, as described by P. Lysko et al., Stroke, 1992, Vol. 23(3).
  • the analgesic activity of the Compounds may be demonstrated using the p- phenylquinone-induced abdominal constriction test in mice (Siegmund et al, Proe. Soc. Exp. Biol. 95, 729-, 1957, modified by Milne and Twomey, Agents and Actions, 10, 31-, 1980).
  • the effects of the Compounds in protecting against inflammation pain may be demonstrated using the paw pressure test in the monoarthritic rat as described in Eur. J. Pharmacol. 155, 255-264, 1988.
  • the Compounds produce an enhanced analgesic effect in the inflamed paw compared to the non-inflamed paw.
  • the analgesic effect in the inflamed paw is completely reversed by a low intraplantar dose of the opioid antagonist, naloxone, but not by a similar dose of naloxone administered subcutaneously.
  • peripheral analgesic action of Compounds may be obtained by a modification of the abdominal constriction test as described in Br. J. Pharmacol. 73, 325-332, 1981. After administration of PPQ or acetylcholine, intraperitoneal administration of the Compounds produce a decrease in the number of abdominal constrictions.
  • 8-(1-Pyrrolidinylmethyl)-5,6,7,8-tetrahydroimidazo[1,2-a]pyrazine 2.1 g (9.53 mmoles) of 8-(1-pyrrolidinylcarbonyl)-5,6,7,8-tetra- hydroimidazo[l,2-a]pyrazine were dissolved in 60 ml of dry THF. The solution was warmed to 60°C and 2.8 ml of a 10 M solution of borane dimethylsulfide complex were added dropwise under nitrogen and mechanical stirring.
  • reaction mixture was allowed to reflux for 6 hours, cooled to -10°C, carefully treated with 6N HC1 and warmed again for 3 hours at 70°C.
  • the crude product was purified by silica gel flash column chro atography, eluting with CH 2 Cl 2 /MeOH/28% NH 4 OH, 94:3:0.3 respectively, to yield 1.3 g of the title compound as white crystals from ethyl acetate.
  • Example n° 1 Prepared as described in Example n° 1, starting from 1 g (4.85 mmoles) of the compound of Description n° 4 and 1.2 g (5.40 mmoles) of (4-trifluoromethylphenyl)acetyl chloride in 30 ml of dry CH C1 .
  • the crude product was purified by silica gel flash column chromatography, eluting with a mixture of CH2Cl2/MeOH/28% NH4OH, 86:10:0.6 respectively, to yield 0.4 g of the title compound which was recrystallized from ethyl acetate.
  • Example n° 1 Prepared as described in Example n° 1, starting from 1.5 g (7.24 mmoles) of the compound of Description n° 9 and 1.86 g (8.32 mmoles) of (3 ,4-dichlorophenyl)acetyl chloride in 50 ml of dry CH C1 .
  • the crude product was purified by silica gel flash column chromatography, eluting with CH 2 Cl 2 /MeOH/28% NH 4 OH, 86:12:0.6 respectively, to yield 1.0 g of the title compound.
  • Example n° 1 Prepared as described in Example n° 1, from 1.5 g (7.24 mmoles) of the compound of Description n° 9 and 1.85 g (8.32 mmoles) of (4-trifluoromethylphenyl)acetyl chloride in 50 ml of dry CH2CI2.
  • the crude product was purified by silica gel flash column chromatography, eluting with CH 2 Cl 2 /MeOH/28% NH 4 OH, 86:15:0.7 respectively, to yield 1.2 g of the pure free base which was transformed into the dihydrochloride salt recrystallized from EtOAc/acetone.

Abstract

Azacyclic derivatives of formula (I) in which each of X and Y is independently CH or N; RCO is an acyl group in which the group R contains a substituted or unsubstituted carbocyclic aromatic or heterocyclic aromatic ring; each of R1 and R2, which may be the same or different, is C1-6 alkyl optionally substituted by at least one of halogen, hydroxy, C1-6 alkoxy, acyloxy, thiol, C1-6 alkylthio, alcylthio, halo-C1-6 alkoxy, CORh, COORh, CONHRh or NCHORh where Rh is hydrogen or C1-6 alkyl; or each of R1 and R2 is hydrogen, C2-6 alkenyl, C3-6 cycloalkyl, or C4-12 cycloalkylalkyl; or R1 and R2 together form an optionally substituted C2-8 branched or linear polymethylene or C2-6 alkenylene group, are kappa-receptor agonists and are useful in the treatment of pain, convulsions, cough, asthma, inflammation, pancreatitits, arrhythmias, hyponatraemic disease states, cerebral ischaemia or skin disorders.

Description

AZAΠYCLΓC DERIVATIVES
This invention is concerned with novel substituted azacyclic condensed piperazines, processes for their preparation, and their use in medicine, particularly as diuretics and anti-ischaemics.
Compounds which are kappa receptor agonists have mainly been studied as analgesics through interaction with kappa opioid receptors. The advantage of kappa receptor agonists over the classical mu receptor agonists, such as morphine, lies in their ability to cause analgesia while being devoid of morphine-like behavioural effects and addiction liability.
EP-A-343900 and EP-A-398720 (Glaxo Group Ltd.), and EP-A-356247 (Sankyo Co. Ltd.) disclose groups of piperazine derivatives which are said to exhibit kappa receptor agonism and are therefore said to be useful as analgesics, as diuretics and in the treatment of cerebral ischaemia.
A novel class of structurally related azacyclic condensed piperazine derivatives has now been discovered which also exhibit potent kappa receptor agonism and are particularly useful as diuretics for the treatment of hyponatraemic disease states in mammals and anti- ischaemics, in particular for the treatment of cerebral ischaemia. This novel class of derivatives also possess analgesic activity which indicates that they are of potential use in the treatment of pain, without some of the undesirable behavioural effects of morphine and morphine analogues. The novel class of derivatives are also of potential use in the treatment of other conditions which respond to administration of kappa agonists, in particular convulsions, cough, asthma, inflammation (including inflammation pain), pancreatitis, arrhythmia's and skin disorders.
According to the present invention there is provided a compound, or a solvate or salt thereof, of formula (I):
Figure imgf000003_0001
in which: each of X and Y is independently CH or N;
RCO is an acyl group in which the group R contains a substituted or unsubstituted carbocyclic aromatic or heterocyclic aromatic ring;
each of Ri and R2, which may be the same or different, is C -Q alkyl optionally substituted by at least one of halogen, (preferably fluorine or chlorine), hydroxy, Cj.g alkoxy (preferably methoxy), acyloxy (preferably acetoxy), thiol, C^.g alkyl thio (preferably methylthio), acylthio (preferably acetylthio) halo-Cι_g alkoxy (preferably fluoro-alkoxy), CORh, COOR , CONHRh or NHCORh where Rh is hydrogen or Cj.g alkyl, preferably methyl or ethyl;
or each of Rj and R2 is hydrogen, C2-6 alkenyl, 03.5 cycloalkyl, or C4.12 cycloalkylalkyl; or Rj and R2 together form an optionally substituted C2-8 branched or linear polymethylene or C2-6 alkenylene group, the polymethylene group, with the attached nitrogen, preferably being of the formula
Figure imgf000004_0001
Re
in which Rb, which may be attached to the same or different carbon atom as Re, is hydrogen, hydroxy, C^.g alkoxy (preferably methoxy) or halogen (preferably fluorine), and Re is hydrogen, C- .β alkyl (preferably methyl) or together with Rb forms a keto-group or a cyclic ether containing from 1 to 4 carbon atoms, and a is 1 or 2.
Examples of NR1R2 are 1-pyrrolidinyl, 3-hydroxy-l-pyrrolidinyl and 3-fluoro-l- pyrrolidinyl.
When used herein to define the RCO group, the term 'carbocyclic aromatic group' includes single or fused rings, having 6 to 12 ring carbon atoms, and the term 'heterocyclic aromatic group' includes single or fused rings having 5 to 12 ring atoms, comprising up to four hetero-atoms in the or each ring, selected from oxygen, nitrogen and sulphur. When the carbocyclic or heterocyclic group is a fused two ring system, one or both rings may be aromatic in character.
Suitably, one of the rings is aromatic and the other is non-aromatic.
The group R preferably has the formula (II):
(R6)m (CHR7)n X Ar
(II) (R6a)m' in which n is 0, 1 or 2; m is O, 1 or 2; m' is O, 1 or 2, provided m + m'<3
X is a direct bond, or O, S or NRs in which
Rg is hydrogen or C\.Q alkyl, Ar is a substituted or unsubstituted carbocyclic or heterocyclic group,
each of Rg and Rga is C^.g alkyl, C2-g alkenyl, C2- alkynyl, Cι_g haloalkyl, C I -g haloalkenyl, C2-g haloalkynyl, optionally substituted phenyl or heterocyclyl, optionally substituted phenyl C^.g alkyl, hydroxy, C^. alkoxy, thiol, C^.g alkylthio, CI.Q haloalkoxy, Cχ.g haloalkylthio, halogen, NO2, CN, CF3, -OCF3, -OCHF2, -OCF2CF2H, -OCCl2CF3, -COOR9, -CONR10R11, -SO3R12, -SO2NR13R14 and -COR15 in which each of R9 to R15 is independently hydrogen, C^.g alkyl, optionally substituted phenyl or optionally substituted phenyl Cj.g alkyl; or, when m is 2 and m' is O, two Rg's form a C3_g polymethylene group, and R7 is hydrogen or Cι_g alkyl, such as methyl or ethyl.
When Rg or Rga is heterocyclyl, it is preferably an aromatic or non-aromatic single or fused ring system having from 5 to 12 ring atoms, comprising up to 4 hetero-atoms in the or each ring, selected from oxygen, nitrogen and sulphur.
Preferred halogens are F, Cl and Br.
When two Rg's are linked they preferably form a fused cyclopentyl or cyclohexyl ring. Preferably Ar is phenyl and Rg or Rga is preferably in the meta- and/or para- position.
Other examples of Ar are naphthyl, benzothienyl, benzofuranyl, 2,3-dihydrobenzofuranyl,
2,3-dihydrobenzothienyl, indolyl, 2,3-dihydrobenzopiranyl and 2,3-dihydrobenzothio piranyl.
Preferably Rg or Rga is bromine, chlorine, CF3, 2-furanyl, 2-pyrryl, 2-thiazolyl, 2-imidazolyl or 2-thienyl, partictdarly, when Ar is phenyl, in the meta and/or para position.
X is typically oxygen or a direct bond, and n is typically 0 or 1.
A further preferred group R has the formula (Ha)
Figure imgf000006_0001
in which the group -(CHR7)n-X-, which is as defined in formula II, is in the meta- or para- position with respect to Y-Rχ or Ry,
Y is >C=O, >CHOH, >S=O or >SO2; each of R.χ and Ry is Cj. alkyl, or
Rx and Ry are linked together and Rx represents -(Zm)- where m is 0 or 1 and Z is O, S or NRZ where Rz is hydrogen or Cι_g alkyl, and Ry represents -(CH2)q- where q is an integer of from 1 to 4, preferably 2 or 3.
A preferred sub-group of formula (Ila) is a group of formula (lib)
Figure imgf000007_0001
in which Y, Z, m, q and the position of -CH2- are as defined in formula (Ila).
Preferably, q is 2 when Z is oxygen and m is 1, and q is 3 when m is 0.
A further preferred sub-group of formula (Ila) is the group of formula (lie)
Figure imgf000007_0002
in which Y is C=O or CHOH, each of Rx and Ry is Cj.g alkyl, preferably methyl, and the position of -CH2- is as defined in formula (Ha)
A further preferred group R has the formula (lid)
Figure imgf000007_0003
where Het is the remainder of a single aromatic heterocyclic ring, containing from 5 to 6 ring atoms and comprising up to 3 heteroatoms in the ring selected from O, S and N; and R7, X, Y, Z, m and q are as defined in formula (Ila)
Particularly preferred examples of R are 3,4-dichlorobenzyl or 4- trifluoromethylbenzyl .
The compounds of formula (I) or their salts or solvates are preferably in pharmaceutically acceptable or substantially pure form. By pharmaceutically acceptable form is meant, inter alia, of a pharmaceutically acceptable level of purity excluding normal pharmaceutical additives such as diluents and carriers, and including no material considered toxic at normal dosage levels. A substantially pure form will generally contain at least 50% (excluding normal pharmaceutical additives), preferably 75%, more preferably 90% and still more preferably 95% of the compound of formula (I) or its salt or solvate.
One preferred pharmaceutically acceptable form is the crystalline form, including such form in a pharmaceutical composition. In the case of salts and solvates the additional ionic and solvent moieties must also be non-toxic.
Examples of a pharmaceutically acceptable salt of a compound of formula (I) include the acid addition salts with the conventional pharmaceutical acids, for example, maleic, hydrochloric, hydrobromic, phosphoric, acetic, fumaric, salicyclic, citric, lactic, mandelic, tartaric, succinic, benzoic, ascorbic and methanesulphonic.
Examples of a pharmaceutically acceptable solvate of a compound of formula (I) include the hydrate.
The compounds of formula (I) have at least one asymmetric centre and therefore exist in more than one stereoisomeric form. The invention extends to all such forms and to mixtures thereof, including racemates.
The present invention also provides a process for the preparation of a compound of formula (I) which comprises treating a compound of formula (III)
Figure imgf000008_0001
in which ]_ R2, X and Y are as defined in formula (I), with a compound of formula RCOOH, or an active derivative thereof, and optionally thereafter forming a salt and/or solvate of the obtained compound of formula (I).
Suitable active derivatives of RCOOH are acid chlorides or acid anhydrides. Another suitable derivative is a mixed anhydride formed between the acid and an alkyl chloroformate. For example, in standard methods well known to those skilled in the art, the compound of formula (πi) may be coupled:
a) with an acid chloride in the presence of an inorganic or organic base in an aprotic solvent such as dichloromethane or dimethylformamide,
b) with the acid in the presence of dicyclohexyl carbodiimide or carbonyl diimidazole,
c) with a mixed anhydride generated in situ from the acid and an alkyl (for example isobutyl) chloroformate.
The compounds of formula (I )may be converted into their pharmaceutically acceptable acid addition salts by reaction with the appropriate organic or mineral acids. Solvates of the compounds of formula (I) may be formed by crystallization or recrystallization from the appropriate solvent. For example hydrates may be formed by crystallization or recrystallization from aqueous solutions, or solutions in organic solvents containing water.
Also salts or solvates of the compounds of formula (I) which are not pharmaceutically acceptable may be useful as intermediates in the production of pharmaceutically acceptable salts or solvates. Accordingly such salts or solvates also form part of this invention.
As mentioned before, the compounds of formula (I) exist in more than one stereoisomeric form and the process of the invention produces mixtures thereof. The individual isomers may be separated one from another by resolution using an optically active acid such as tartaric acid. Alternatively, an asymmetric synthesis would offer a route to the individual form.
Compounds of formvda (III) may themselves be prepared from known compounds by known methods. For example, compounds in which both X and Y are -CH- (formula (Ilia) may be prepared by the following reaction Scheme I: Sςhgmg I
Figure imgf000010_0001
(VII) (VI) (V)
Figure imgf000010_0002
(IV) (Ilia)
In this scheme, a compound of formula (VI) is prepared from the known compound (VII) (J. Am. Chem. Soc. 1945, 67, 1711) by reaction with an excess of the appropriate amine in the absence or presence of solvent such as MeOH.
Compound (VI) is thereafter treated with a haloacetaldehyde such as chloro acetaldehyde or bromoacetaldehyde in a dioxane/water mixture at a temperature of 90°C for a prolonged period of time (from 8 to 48 hours), and the resulting compound of formula (V) is hydrogenated over a suitable catalyst such as PtO2 or 5% Pt C in the presence of calcium oxide in an appropriate solvent such as ethanol or 2-methoxyethanol.
Reduction of the compound (IV) with diborane or borane methyl sulfide complex in refluxing THF affords the desired compound of formula (Ilia). The intermediates of formulae (V), (IV) and (Ilia) and salts and solvates thereof, are novel compounds and, as such, they form a further aspect of this invention.
Compoimds of formula III in which X is -N- and Y is -CH- (formula (Illb)) may be prepared according to the following reaction Scheme II
Scheme II
Figure imgf000011_0001
(VI) (VIII)
Figure imgf000011_0002
(IX) (X) (XI)
Figure imgf000011_0003
(Illb)
In this scheme, the compound of formula (VI) is treated with an excess of N,N- di ethylformamide dimethyl acetal in refluxing toluene to obtain a compound of formula (VIII). Displacement of the N,N-dimethylamino group with the oxime group in MeOH as solvent gives a compound of formula (IX), which is then cyclized in polyphosphoric acid at a temperature of 80-100°C. The resulting compound of formula (X) is hydrogenated over a suitable catalyst, such as Ptθ2 or 5% Pt C in the presence of calcium oxide in an appropriate solvent such as ethanol or 2-methoxyethanol to obtain a compound of formula (XI). Reduction of this with diborane or borane methyl sulfide in refluxing THF affords the desired compound of formula (Illb)
The intermediates of formulae (VEH), (K), (X), (XI) and (Illb) and salts and solvates thereof, are novel compounds and, as such, they form a further aspect of this invention.
Compounds of formula (III) in which both X and Y are -N- (foπnula (IIIc) may be prepared according to the following reaction Scheme 1H.
Scheme III
Figure imgf000012_0001
In this scheme, the known compound of formula (XII) (U.S. Patent 4,578,378) is N-protected with an alkylation procedure and the resulting compound of formula -11- (XIII) is treated with a selective reductive agent such as lithium borohydride in refluxing THF to obtain the compound of formula (XIV). This intermediate is activated with methanesulphonyl chloride or p-toluene sulphonyl chloride in dichloromethane as solvent and subsequently treated with the appropriate amine. The resulting compound of formula (XV) is transformed into the corresponding imidoyl chloride by treatment with PCI5 in dichloromethane.
Intermediate (XVI) is thereafter submitted to a 1,3-dipolar cycloaddition reaction with sodium azide and ammonium chloride in refluxing DMF to obtain a compound of general formula (XVII) which may be deprotected by using hydrogen over 5% Pd/C as catalyst in a suitable solvent such as ethanol or methanol, affording the desired compound of formula (IIIc).
Alternatively, compounds of formula (XV) may be prepared by an intramolecular cyclization according to Scheme IV:
Figure imgf000013_0001
(XV) In this Scheme , the known compound of formula (XVIII) (CAS[69942-12-7],
Angew. Chem., Int. Ed. Engl., 11, 289 (1972)) is activated by treatment with methanesulphonyl chloride or p-toluenesulphonyl chloride in a suitable solvent such as dichloromethane and then treated with the appropriate amine. The resulting compound (XIX) is thereafter deprotected by using trifluoroacetic acid and directly transformed into the dihydrochloride salt by treatment with HCi Et2θ.
The compound of formula (XX) is submitted to a reductive amination procedure with phthalimido acetaldehyde in the presence of an alkali metal hydride such as NaBH4 or NaCNBH3 in a suitable alchoholic solvent.
The resulting compound of formula (XXI) is thereafter cyclized intramolecularly by treatment with hydrazine hydrate in ethanol at room temperature to obtain a compound of formula (XXII).
A direct alkylation with benzyl chloride in the presence of K2CO3 and KI or with benzaldehyde in the presence of NaCNBH3 in MeOH gives the desired compound of formula (XV).
Compoimds of formula (HI) in which X is -CH- and Y is -N- (formula (Hid) may be prepared according to the following reaction Scheme (V).
Scheme V
Figure imgf000015_0001
(IIW)
In this scheme, a compound of foπnula (XXTII) is treated with hydrazine in refluxing ethanol and the resulting compound of formula (XXIV) is thereafter cyclized with triethyl orthoformate in refluxing xylene.
The obtained compound of formula (XXV) is selectively reduced by hydrogenation over Ptθ2 in the presence of calcium oxide in a suitable solvent such as 2-methoxyethanol to obtain a compound of formula (XXVI).
Reduction of this with diborane or borane methyl sulfide complex in refluxing THF affords the desired compound of formula (Hid).
The compound of general formula (XXIII) can be obtained from a known compound using known methods, for example as described in J. Heterocycl. Chem. 1979, 16(1), 193-4 and in Heterocycles 1984, 22 (2), 299-301. The activity of the compounds of formula (I) in standard tests indicates that they are of potential therapeutic utility in the treatment of pain, cerebral ischaemia, hyponatraemic disease states, convulsions, cough, asthma, inflammation (including inflammation pain) pancreatitis, arrythmias and skin disorders (hereinafter referred to as the Conditions).
Accordingly the present invention also provides a compound of foπnula (I), or a pharmaceutically acceptable salt or solvate thereof, for use as an active therapeutic substance.
The present invention further provides a pharmaceutical composition comprising a compound of formula (I), or a pharmaceutically acceptable salt or solvate thereof, and a pharmaceutically acceptable carrier.
The present invention also provides the use of a compound of formula (I), or a pharmaceutically acceptable salt or solvate thereof, (hereinafter referred to as the Compounds) in the manufacture of a medicament for the treatment of the Conditions.
The present invention also provides a method for the treatment and/or prophylaxis of the Conditions in mammals, particularly humans, which comprises administering to the mammal in need of such treatment and/or prophylaxis an effective amount of the Compound.
Medicaments and compositions containing the Compounds may be prepared by admixture of a Compound with an appropriate carrier, which may contain a diluent, binder, filler, disintegrant, flavouring agent, colouring agent, lubricant or preservative in conventional manner.
These conventional excipients may be employed for example as in the preparation of compositions of known agents for the treatment of the Conditions.
Preferably, a medicament or pharmaceutical composition of the invention is in unit dosage form and in a form adapted for use in the medical or veterinarial fields. For example, such preparations may be in a pack form accompanied by written or printed instructions for use as an agent for the treatment of each of the Conditions. The suitable dosage range for a Compound depends on the Compound to be employed, the Condition to be treated, and on the condition of the patient. It will also depend, inter alia, upon the relation of potency to absorbability and the frequency and route of administration.
The Compound may be formulated for administration by any route, and is preferably in unit dosage form or in a form that a human patient may administer to himself in a single dosage. Advantageously, the composition is suitable for oral, rectal, topical, parenteral, intravenous or intramuscular administration. Preparations may be designed to give slow release of the active ingredient.
Compositions may, for example, be in the form of tablets, capsules, sachets, vials, powders, granules, lozenges, reconstitutable powders, or liquid preparations, for example solutions or suspensions, or suppositories.
The compositions, for example those suitable for oral administration, may contain conventional excipients such as binding agents, for example syrup, acacia, gelatin, sorbitol, tragacanth, or polyvinylpyπolidone; fillers, for example lactose, sugar, maize-starch, calcium phosphate, sorbitol or glycine; tabletting lubricants, for example magnesium stearate; disintegrants, for example starch, polyvinylpyrrolidone, sodium starch glycollate or microcrystalline cellulose; or pharmaceutically acceptable setting agents such as sodium lauryl sulphate.
Solid compositions may be obtained by conventional methods of blending, filling, tabletting or the like. Repeated blending operations may be used to distribute the active agent throughout those compositions employing large quantities of fillers. When the composition is in the form of a tablet, powder, or lozenge, any carrier suitable for formulating solid pharmaceutical compositions may be used, examples being magnesium stearate, starch, glucose, lactose, sucrose, rice flour and chalk. Tablets may be coated according to methods well known in normal pharmaceutical practice, in particular with an enteric coating. The composition may also be in the form of an ingestible capsule, for example of gelatin containing the compound, if desired with a carrier or other excipients.
Compositions for oral administration as liquids may be in the form of, for example, emulsions, syrups, or elixirs, or may be presented as a dry product for reconstitution with water or other suitable vehicle before use. Such liquid compositions may contain conventional additives such as suspending agents, for example sorbitol, syrup, methyl cellulose, gelatin, hydroxyethylcellulose, carboxymethylcellulose, aluminium stearate gel, hydrogenated edible fats; emulsifying agents, for example lecithin, sorbitan monooleate, or acacia; aqueous or non-aqueous vehicles, which include edible oils, for example almond oil, fractionated coconut oil, oily esters, for example esters of glycerine, or propylene glycol, or ethyl alcohol, glycerine, water or normal saline; preservatives, for , example methyl or propyl p-hydroxybenzoate or sorbic acid; and if desired conventional flavouring or colouring agents.
The Compoimds may also be administered by a non-oral route. In accordance with routine pharmaceutical procedure, the compositions may be formulated, for example, for rectal administration as a suppository or for topical administration as a cream or lotion. They may also be formulated for presentation in an injectable form in an aqueous or non-aqueous solution, suspension or emulsion in a pharmaceutically acceptable liquid, e.g. sterile pyrogen-free water or a parenterally acceptable oil or a mixture of liquids. The liquid may contain bacteriostatic agents, anti-oxidants or other preservatives, buffers or solutes to render the solution isotonic with the blood, thickening agents, suspending agents or other pharmaceutically acceptable additives. Such forms will be presented in unit dose form such as ampoules or disposable injection devices or in multi- dose forms such as a bottle from which the appropriate dose may be withdrawn or a solid form or concentrate which can be used to prepare an injectable formulation.
The Compounds may also be administered by inhalation, via the nasal or oral routes. Such administration can be carried out with a spray formulation comprising a Compound and a suitable carrier, optionally suspended in, for example, a hydrocarbon propellant.
Preferred spray formulations comprise micronised Compound particles in combination with a surfactant, solvent or a dispersing agent to prevent the sedimentation of suspended particles. Preferably, the Compound particle size is from about 2 to 10 microns.
A further mode of administration of the Compounds comprises transdermal delivery utilising a skin-patch formulation. A prefeπed formulation comprises a Compound dispersed in a pressure sensitive adhesive which adheres to the skin, thereby permitting the Compound to diffuse from the adhesive through the skin for delivery to the patient. For a constant rate of percutaneous absorption, pressure sensitive adhesives known in the art such as natural rubber or silicone can be used.
The effective dose of Compound depends on the particular Compound employed, the Condition to be treated, the condition of the patient and on the frequency and route of administration. A unit dose will generally contain from 20 to 1000 mg and preferably will contain from 30 to 500 mg, in particular 50, 100, 150, 200, 250, 300, 350, 400, 450, or 500 mg. The composition may be administered once or more times a day for example 2, 3 or 4 times daily, and the total daily dose for a 70 kg adult will normally be in the range 100 to 3000 mg. Alternatively the unit dose will contain from 2 to 20mg of active ingredient and be administered in multiples, if desired, to give the preceding daily dose.
No unacceptable toxicological effects are expected when the Compounds are administered in accordance with the invention.
The kappa receptor affinity of the Compounds may be demonstrated by in vitro binding experiments using a kappa selective radioligand (Sbacchi et al., Excerpta Medica, Vol. 914,211-212, 1990).
The diuretic activity of the compounds may be evaluated by measuring the urine volume in normally hydrated or water loaded rats, in agreement with the methods described by J .D. Leander, J. Pharmacol. Exp. Ther., 1983, Vol. 224, 89 and by A.G. Hayes, J. Pharmacol. Exp., 1987, Vol. 240, 984.
The activity of the Compounds in treating cerebral ischaemia may be evaluated by using the gerbil model of ischaemic stroke, as described by P. Lysko et al., Stroke, 1992, Vol. 23(3).
The analgesic activity of the Compounds may be demonstrated using the p- phenylquinone-induced abdominal constriction test in mice (Siegmund et al, Proe. Soc. Exp. Biol. 95, 729-, 1957, modified by Milne and Twomey, Agents and Actions, 10, 31-, 1980). The effects of the Compounds in protecting against inflammation pain may be demonstrated using the paw pressure test in the monoarthritic rat as described in Eur. J. Pharmacol. 155, 255-264, 1988. Following subcutaneous administration, the Compounds produce an enhanced analgesic effect in the inflamed paw compared to the non-inflamed paw. The analgesic effect in the inflamed paw is completely reversed by a low intraplantar dose of the opioid antagonist, naloxone, but not by a similar dose of naloxone administered subcutaneously.
Further evidence for the peripheral analgesic action of Compounds may be obtained by a modification of the abdominal constriction test as described in Br. J. Pharmacol. 73, 325-332, 1981. After administration of PPQ or acetylcholine, intraperitoneal administration of the Compounds produce a decrease in the number of abdominal constrictions.
Compounds of this invention and their preparation are illustrated in the following Examples, and their structures are summarised in the Table.
The preparation of intermediates is illustrated in the Descriptions.
Description 1_ 3-Amino-2-(l-pyrrolidinylcarbonyl)pyrazine
A mixture of 10 g (0.065 moles) of 3-Aminopyrazine-2-carboxylic acid methyl ester and 150 ml of pyrrolidine was stirred three days at room temperature.
The excess of pyrrolidine was evaporated in vacuo and the residue crystallized from ethyl acetate/n-hexane to yield 8.65 g of the title compound. gH12N40
M.P. = 102-103°C M.W. = 192.218
N.M.R. (80 MHz) : 68.05 (d,lH), 7.80 (d,lH), 6.60 (s, broad,2H) , CDC13 3.55-3.95 (m,4H), 1.80-2.05 (m,4H).
Analogouslγ, 3-Amino-2-[ (3-hydroxy-1-pyrrolidinyl)carbony1]pyrazin was prepared.
Description 2_
8-(1-Pyrrolidinylcarbonyl)-imidazo[1,2-aJpyrazine
A mixture of 8.64 g (0.045 moles) of 3-Amino-2-(l-pyrrolidinγl- carbonyDpyrazine and 8.7 ml (0.067 moles) of 50% chloro- acetaldehyde (water) was heated at 100°C for 2 days in the presence of 5.6 g (0.067 moles) of sodium bicarbonate. The reaction mixture was then evaporated in vacuo to dryness and the residue, treated with acqueous potassium carbonate, was exhaustively extracted with dichloromethane. The organic solution was evaporated in vacuo to dryness and the crude product purified by silica gel flash column chromatography , eluting with a mixture of CH2Cl2/MeOH/28% NH 4 OH, 95:5:0.5 respectively, to obtain 2.2 g of the title compound.
C H N 0 11 12 4 M.P. = 154-156°C M.W. = 216.238
I.R. (film) : 3130; 2980; 2880; 1635; 1425; 1320 cm"1
N.M.R. (80 MHz): 6 8.25 (d,lH), 7.75-7.95 (m,3H), 3.80 (t,2H), CDC13 3.35 (t,2H), 1.80-2.10 (m,4H).
Analogously, 8-[ (3-hydroxy-1-pyrrolidinyl)carbony1]-imidazo[1,2- a]pyrazine was prepared.
Description 3_
8-(1-Pyrrolidinylcarbonyl)-5,6,7,8-tetrahydroimidazo[1,2-a]pyrazi
2.10 g (9.58 mmoles) of 8-(1-pyrrolidinylcarbonγl)-imidazo[1,2-a] pyrazine, dissolved in 30 ml of 2-methoxyethanol were hydrogenated in a Parr apparatus over 190 mg of Ptθ2 in the presence of 580 mg of powdered calcium oxide. After the theoretical amount of hydrogen was consumed, the catalyst was filtered off and the filtrate evaporated in vacuo to dryness to yield 2.1 g of the title compound as an orange oil.
C11H16N
M.W. = 220.270
N.M.R. (80 MHz) :ό6.98 (d,lH), 6.80 (d,lH), 5.00 (s, 1H) , 3.85- CDC13 4.35 (m,3H), 2.70-3.65 (m,6H), 1.70-2.10 (m,4H).
Analogously, 8-[ (3-hydroxy-l-pyrrolidinyl)carbonyl]-5,6,7,8-tetra- hydroimidazo[l,2-a]pyrazine diastereomeric mixture was prepared.
Description 4_
8-(1-Pyrrolidinylmethyl)-5,6,7,8-tetrahydroimidazo[1,2-a]pyrazine 2.1 g (9.53 mmoles) of 8-(1-pyrrolidinylcarbonyl)-5,6,7,8-tetra- hydroimidazo[l,2-a]pyrazine were dissolved in 60 ml of dry THF. The solution was warmed to 60°C and 2.8 ml of a 10 M solution of borane dimethylsulfide complex were added dropwise under nitrogen and mechanical stirring.
The reaction mixture was allowed to reflux for 6 hours, cooled to -10°C, carefully treated with 6N HC1 and warmed again for 3 hours at 70°C.
The solvent was then evaporated in vacuo to dryness and the residue treated with 40% acq. NaOH solution. The crude diamine was exhaustively extracted with CH2CI2, which was dried over Na2S04 and concentrated in vacuo to dryness to yield 2.0 g of the title compound with a purity of 88% (GC). The compound was used without further purification in the subsequent reaction.
C11H18N4
M.W. = 206.286
N.M.R. (80 MHz) : 6 7.00 (d,lH), 6.82 (d,lH), 2.40-4.20 (m,12H), CDCI3 1.65-1.85 (m,4H).
Analogously, 8-[ (3-Hydroxy-l-pyrrolidinyl)methyl]-5,6,7,8-tetra- hydroimidazofl,2-a]pyrazine diastereomeric mixture was prepared.
Description 5_
3-Dimethylaminomethyleneamino-2-(1-pyrrolidinylcarbonyl)pyrazine
A mixture of 4 g (0.021 moles) of 3-Amino-2-(l- pyrrolidinylcarbonyl)pyrazine and 3.1 ml (0.023 moles) of N,N- dimethylformamide dimethylacetal in 11 ml of toluene was refluxed for 2 hours.
Evaporation in vacuo of the solvent and subsequent purification of the crude product by silica gel flash column chromatography, eluting with a mixture of CH 2 CI2/MeOH/28% NH 4 OH, 94:2:0.3 respectively, yielded 2.7 g of the title compound as an orange oil. C12H17N50
M.W. = 247.296
Description 6_
3-Hydroxyiminomethyleneamino-2-(l-pyrrolidinylcar'bonyl)pyrazine
A solution of 1.46 g (0.021 moles) of hydroxylamine hydrochloride in 15 ml of MeOH was added dropwise, under mechanical stirring to a solution of 5 g (0.020 moles) of 3-dimethylaminomethyleneamino- 2-(1-pyrrolidinylcarbonyl)pyrazine in 100 ml of MeOH containing 1.72 g (0.021 moles) of sodium acetate and kept at +5°C. After 4 hours, the solution was evaporated in vacuo to dryness, the residue was taken up in CH2Cl2 and filtered. The filtrate was evaporated to dryness and the crude product purified by silica gel flash column chromatography, eluting with a mixture of CH2Cl2/MeOH/28% NH OH, 94:15:0.1 respectively, to yield 4.4 g of the title compound as yellow crystals.
C H N O 10 13 5 2
M.P. = 178-180°C M.W. = 235.244
I.R. (KBr) : 3250; 1650; 1580; 1470 cm"1 N.M.R. (80 MHZ) : ό 10.90 (d,lH), 8.03-8.22 (m,4H), 3.65-4.00 CDC1 (m,4H), 1.80-2.00 (m,4H).
Description 1_
8-(1-Pyrrolidinylcarbonyl) -[1,2,4]triazolo[1,5-a]pyrazine A mixture of 1.72 g (0.011 moles) of 3-hydroxyiminomethyleneamino- 2-(1-pγrrolidinylcarbonyl)pyrazine and 17 g of polyphosphoric acid was heated at 90°C for 4 hours. The reaction mixture was therefore poured into ice/water and brought to pH = 8 with NaHCOβ . The acqueous layer was exhaustively extracted with methylene chloride and the organic solution was dried and evaporated in vacuo to dryness.
The crude product was purified by silica gel flash column chro atography, eluting with CH2Cl2/MeOH/28% NH4OH, 94:3:0.3 respectively, to yield 1.3 g of the title compound as white crystals from ethyl acetate.
C10H11N
M.P. = 123-125°C M.W. = 217.228
I.R. (KBr) : 3090; 2885; 1650; 1485; 1310 cm"1
N.M.R. (80 MHz) : δ 8.80 (d,lH), 8.52 (s,lH), 8.26 (d,lH), 3.80
CDC1-, (t,2H), 3.50 (t,2H), 1.80-2.05 (m,4H).
Description 8_
8- (1-Pγrrolidinylcarbonyl)-5,6,7,8-tetrahydro-[1,2,4]triazolo[1,5 a]pyrazine
Prepared following Description n° 3, starting from 3.05 g (0.014 moles) of 8-d-pyrrolidinylcarbonyl)-[1,2,4]triazolo[1,5-a]- pirazine . 2.9 g of the title compound were obtained and recrystallized from ethyl acetate.
C10H15N5O
M.P. = 137-139°C M.W. = 221.260
I.R. (KBr) : 3300; 2980; 1655; 1495; 1440 cm"1 N.M.R. (80 MHz) : ό 7.85 (s,lH), 5.00 (s,lH), 4.00-4.30 (m,3H), CDCI3 2.90-3.95 (m,5H), 2.50 (s broad,1H), 1.80-
2.05 (m,4H). Description 9_
8-(1-Pyrrolidinylmethyl)-5,6,7,8-tetrahydro-[1,2,4]triazolo[1,5- a]pyrazine
Prepared following Description n° 4, starting from 2.8 g of 8-(1- pyrrolidinylcarbonyl)-5,6,7,8-tetrahydro-[1,2,4]triazolo[1,5-a]- pyrazine.
2.5 g of the title compound were obtained as an oil and used in the subsequent reaction without further purification.
C10H17N5
M.W. = 207.276
Example 1_
7-[ (3 ,4-Dichlorophenyl)acetyl]-8-(1-pyrrolidinylmethyl)-5,6,7,8- tetrahydroimidazo[1,2-a]pyrazine
1 g (4.85 mmoles) of the compound of Description n° 4 was dissolved in 30 ml of dry methylene chloride and 0.66 g (4.86 mmoles) of anhydrous potassium carbonate were added.
1.2 g (5.36 mmoles) of (3 ,4-dichlorophenyl)acetyl chloride, dissolved in 10 ml of CH2CI2, were added dropwise under magnetic stirring to the solution of the dia ine.
After 3 hours the reaction mixture was allowed to reach room temperature and stirred overnight. 10 ml of water were added and the organic separated layer was dried over Na2≤θ4 and evaporated in vacuo to dryness.
The crude product was purified by silica gel flash column chromatography, eluting with CH2Cl2/MeOH/28% NH4OH, 95:5:0.5 respectively, to yield 0.8 g of the title compound which was recrystallized from ethyl acetate / n-hexane.
C19 H22 C12 N
M.P. = 78-80°C M.W. = 393.312 Elemental analysis : Calcd C,58.02; H,5.64; N,14.25; 01,18.03;
Found C,57.33; H,5.70; N,13.95; 01,18.16.
I.R. (KBr) : 2980; 2800; 1635; 1615; 1470 cm"1
N.M.R. (80 MHz) : δ 6.85-7.45 (ra,5H), 4.50-5.80 (m,2H), 2.90- CDCI3 4.30 (m,7H), 2.30-2.80 (m,4H), 1.65-1.85
(m,4H).
Example 2_
8-(1-Pyrrolidinylmethyl)-7-[ (4-trifluoromethylphenyl)acetyl]-5,6, 7,8-tetrahydroimidazo[l,2-a]pγrazine
Prepared as described in Example n° 1, starting from 1 g (4.85 mmoles) of the compound of Description n° 4 and 1.2 g (5.40 mmoles) of (4-trifluoromethylphenyl)acetyl chloride in 30 ml of dry CH C1 .
Crystallization from ethyl acetate / n-hexane gave 0.7 g of the title compound as white crystals.
C„ H F N O
20 23 3 4
M.P. = 124-125°C M.W. = 392.416
Elemental analysis : Calcd. 0,61.21; H,5.91; N,14.28; F,14.52;
Found 0,61.22; H,5.90; N,14.25; F,14.44.
I.R. (KBr) : 2960; 2790; 1650; 1490; 1415; 1320 cm"1
N.M.R. (80 MHz) : δ 7.25-7.60 (m,4H), 7.05 (d,lH), 6.82 CDC1 (d,lH), 4.50-5.90 (m,2H), 3.20-4.20
(m,5H), 3.00-3.15 (m,2H), 2.20-2.80
(m,4H), 1.55-1.85 (m,4H). Example 3_
7-[ (3 ,4-Dichlorophenyl)acetyl]-8-[ (3-hydroxy-1-pyrrolidinγl)- methyl]-5,6,7,8-tetrahydroimidazo[1,2-a]pyrazine diastereomeric mixture.
Prepared as described in Example n° 1, starting from 0.8 g (3.60 mmoles) of 8-[ (3-hydroxy-l-pyrrolidinyl)methyl]-5,6,7,8-tetra- hydroimidazo[1,2-a]pyrazine diastereomeric mixture and 0.96 g (4.32 mmoles) of (3 ,4-dichlorophenyl)acetyl chloride in 20 ml of dry DMF.
The crude product was purified by silica gel flash column chromatography, eluting with a mixture of CH2Cl2/MeOH/28% NH4OH, 86:10:0.6 respectively, to yield 0.4 g of the title compound which was recrystallized from ethyl acetate.
C19H22C12N402
M.P. = 160-175°C M.W. = 409.312
Elemental analysis: Calcd. C,55.75; H,5.42; N,13.69; 01,17.32;
Found C,55.09; H,5.40; N,13.49; 01,18.03.
I.R. (KBr) : 3250; 2920; 2790; 1650; 1435 cm"1 N.M.R. (80 MHz) : δ 6.75-7.45 (m,5H), 4.50.5.80 (m,2H), 3.30- CDC1, 4.40 (m,5H), 1.50-3.30 (m,10H).
Example 4_
7-[ (3 ,4-Dichlorophenyl)acetyl]-8-(1-pyrrolidinγlmethyl)-5,6,7,8- tetrahydro-[1,2,4]triazolo[1,5-a]pyrazine.
Prepared as described in Example n° 1, starting from 1.5 g (7.24 mmoles) of the compound of Description n° 9 and 1.86 g (8.32 mmoles) of (3 ,4-dichlorophenyl)acetyl chloride in 50 ml of dry CH C1 . The crude product was purified by silica gel flash column chromatography, eluting with CH2Cl2/MeOH/28% NH4OH, 86:12:0.6 respectively, to yield 1.0 g of the title compound.
Clβ*21C12*50
M.P. = 113-116°C M.W. = 394.302
Elemental analysis : Calcd. 0,54.83; H,5.37; N,17.76; 01,17.98;
Found 0,54.69; H,5.34; N,17.71; Cl,18.07.
I.R. (KBr) : 2980; 2790; 1645; 1400 cm"1
N.M.R. (80 MHz) : δ 7.90 (s,lH), 7.00-7.45 (m,3H), 4.60-6.10 CDC1 (m broad,1H), 3.40-4.50 (m,6H), 2.90-
3.35 (m,2H), 2.10-2.90 (m,4H), 1.40-2.00 (m,4H).
Example _5
8-(1-Pyrrolidinγlmethyl)-7-[ (4-trifluoromethylphenyl)acetyl]-5,6, 7,8-tetrahydro-[1,2,4]triazolo[1,5-a]pyrazine dihydrochloride
Prepared as described in Example n° 1, from 1.5 g (7.24 mmoles) of the compound of Description n° 9 and 1.85 g (8.32 mmoles) of (4-trifluoromethylphenyl)acetyl chloride in 50 ml of dry CH2CI2. The crude product was purified by silica gel flash column chromatography, eluting with CH2Cl2/MeOH/28% NH4OH, 86:15:0.7 respectively, to yield 1.2 g of the pure free base which was transformed into the dihydrochloride salt recrystallized from EtOAc/acetone.
C19 H22 F3 N5 ° - 2HC1
M.P. = 176-177°C M.W. = 466.336 Elemental analysis: Calcd. C,48.93; H,5.19; N,15.02; 01,15.21;
F,12.22; Found 0,48.22; H,5.19; N,14.69; 01,15.09. F,11.86.
I.R. (KBr) 3420; 2560; 1660; 1330 cm-1 N.M.R. (80 MHz) δ 7.90 (s,lH); 7.25-7.70 (m,4H); 4.60-6.10 CDCl3+NaOD (m broad,lH); 3.50-4.50 (m,6H); 2.90-3.15 (m,2H); 2.20-2.70 (m,4H); 1.50-1.90 (m,4H) .
The following compounds may be prepared in a similar manner to those of Examples 1 to 5:
7-[ (3, 4-Dichlorophenyl)acetyl]-8- (1-pyrrolidinylme hyl)-5,6,7,8-tetrahydr 2, -triazolo[4,3-a]pyrazine
8- (l-Pyrrolidinylmethyl)-7-[ (4-trifluoromethylphenyl)acetyl]-5, 6, 7, 8- tetrahydro-1,2,4-triazolo[4, 3-a]pyrazine
7-[ (3, 4-Dichlorophenyl)acetyl]-8- (1-pyrrolidinylmethyl)-5, 6, 7, 8- tetrahydrotetrazolofl,5-a]pyrazine
8- (l-Pyrrolidinylmethyl)-7-[ (4-trifluoromethylphenyl)acetyl]-5, 6, 7, 8- tetrahydrotetrazolofl, 5-a]pyrazine
TABLE
Figure imgf000032_0001
COR
Figure imgf000032_0002

Claims

1. A compound, or a solvate or salt thereof, of formula (I):
Figure imgf000033_0001
in which: each of X and Y is independently CH or N;
RCO is an acyl group in which the group R contains a substituted or unsubstituted carbocyclic aromatic or heterocyclic aromatic ring; each of R\ and R2, which may be the same or different, is C g alkyl optionally substituted by at least one of halogen, hydroxy, C\. alkoxy, acyloxy, thiol, C\. alkylthio, acylthio, halo-C^.g alkoxy, CORh, COORh, CONHRh or NCHORh where Rh is hydrogen or Cι_g alkyl; or each of R\ and R2 is hydrogen, C2-6 alkenyl, C3.6 cycloalkyl, or C4-12 cycloalkylalkyl; or Ri and R2 together form an optionally substituted C2-8 branched or linear polymethylene or C2-6 alkenylene group.
2. A compound according to claim 1, in which R contains a single or fused carbocyclic ring having 6 to 12 ring carbon atoms, or a single or fused heterocyclic ring having 5 to 12 ring atoms, the heterocyclic ring comprising up to four hetero-atoms in the or each ring, selected from oxygen, nitrogen and sulphur.
3. A compound according to claim 1 or 2, in which R has the formula (II)
Figure imgf000033_0002
- 3 2 -
in which n is 0, 1 or 2: m is 0, 1 or 2; m' is 0, 1 or 2, provided m + m'<3
X is a direct bond, or 0, S or NRg in which
Rg is hydrogen or C\. alkyl,
Ar is a substituted or unsubstituted carbocyclic or heterocyclic group, each of Rg and Rga is Cj.g alkyl, C2-g alkenyl, C2- alkynyl, C haloalkyl, Ci.ghaloalkenyl, C2- haloalkynyl, optionally substituted phenyl or heterocyclyl, optionally substituted phenyl C g alkyl, hydroxy, Cι_g alkoxy, thiol, Cj.g alkylthio, Cj.g haloalkoxy, Cμg haloalkylthio, halogen, NO2, CN, CF3, -OCF3, -OCHF2, -OCF2CF2H, -OCCl2CF3,
-COOR9, -CONR10R11, -SO3R12, -SONR13R14 and -COR15 in which each of R9 to R15 is independently hydrogen, Cj.g alkyl, optionally substituted phenyl or optionally substituted phenyl Cj.g alkyl; or, when m is 2 and m' is O, two Rg's form a C3_ polymethylene group, and R7 is hydrogen or Cμg alkyl.
4. A compound according to claim 1 or 2, in which R hs the formula (Ha).
Figure imgf000034_0001
in which the group -(CHR7)n-X-, which is as defined in formula II in claim 3 is in the meta- or para- position with respect to YRX or Ry, Y is >C=O, >CHOH, >S=O or >SO2; each of Rx and Ry is Cμg alkyl, or Rx and Ry are linked together and Rx represents -(Zm)- where m is 0 or 1 and Z is O, S or NRZ where Rz is hydrogen or C 1. alkyl, and Ry represents -(CH2)q- where q is an integer of from 1 to 4.
5. A compound according to claim 1 or 2 in which R is benzyl substituted by dichloro or trifluoromethyl.
6. A compound according to any one of claims 1 to 5 in which Rj and R2 together form a group - 53 -
Figure imgf000035_0001
in which Rb, which may be attached to the same or different carbon atom as Re, is hydrogen, hydroxy, Cι_ alkoxy or halogen, Re is hydrogen or C j. alkyl, and a is 1 or 2.
7. A pharmaceutical composition comprising a compound according to any one of claims 1 to 6 and a pharmaceutically acceptable carrier.
8. A compound according to any one of claims 1 to 6 for use as an active therapeutic substance.
9. A compound according to any one of claims 1 to 6 for use in the treatment of pain, convulsions, cough, asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states, cerebral ischaemia or skin disorders.
10. The use of a compound according to any one of claims 1 to 6 in the manufacture of a medicament for the treatment of pain, convulsions, cough, asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states, cerebral ischaemia or skin disorders.
11. A method for the treatment and/or prophylaxis of pain, convulsions, cough, asthma, inflammation, pancreatitis, arrhythmias, hyponatraemic disease states, cerebral ischaemia or skin disorders in mammals, particularly humans, which comprises administering to the mammal in need of such treatment and/or prophylaxis an effective amount of a compound according to any one of claims 1 to 6.
PCT/EP1995/000345 1994-02-11 1995-01-31 Azacyclic derivatives WO1995021843A1 (en)

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WO1998023290A1 (en) * 1996-11-25 1998-06-04 Toray Industries, Inc. Antipruritic agent
US6387924B2 (en) 1994-09-13 2002-05-14 G.D. Searle & Co. Benzothiepines having activity as inhibitors of ileal bile acid transport and taurocholate uptake
US6420417B1 (en) 1994-09-13 2002-07-16 G. D. Searle & Co. Combination therapy employing ileal bile acid transport inhibiting benzothiepines and HMG Co-A reductase inhibitors
US6458850B1 (en) 1998-12-23 2002-10-01 G.D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and fibric acid derivatives for cardiovascular indications
US6458851B1 (en) 1998-12-23 2002-10-01 G. D. Searle, Llc Combinations of ileal bile acid transport inhibitors and cholesteryl ester transfer protein inhibitors for cardiovascular indications
US6462091B1 (en) 1998-12-23 2002-10-08 G.D. Searle & Co. Combinations of cholesteryl ester transfer protein inhibitors and HMG coA reductase inhibitors for cardiovascular indications
US6489366B1 (en) 1998-12-23 2002-12-03 G. D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and nicotinic acid derivatives for cardiovascular indications
US6562860B1 (en) 1998-12-23 2003-05-13 G. D. Searle & Co. Combinations of ileal bile acid transport inhibitors and bile acid sequestering agents for cardiovascular indications
US6569905B1 (en) 1998-12-23 2003-05-27 G.D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and bile acid sequestering agents for cardiovascular indications
US6586434B2 (en) 2000-03-10 2003-07-01 G.D. Searle, Llc Method for the preparation of tetrahydrobenzothiepines
US6638969B1 (en) 1998-12-23 2003-10-28 G.D. Searle, Llc Combinations of ileal bile acid transport inhibitors and fibric acid derivatives for cardiovascular indications
US6642268B2 (en) 1994-09-13 2003-11-04 G.D. Searle & Co. Combination therapy employing ileal bile acid transport inhibiting benzothipines and HMG Co-A reductase inhibitors
US6740663B2 (en) 2001-11-02 2004-05-25 G.D. Searle, Llc Mono- and di-fluorinated benzothiepine compounds as inhibitors of apical sodium co-dependent bile acid transport (ASBT) and taurocholate uptake
US6852753B2 (en) 2002-01-17 2005-02-08 Pharmacia Corporation Alkyl/aryl hydroxy or keto thiepine compounds as inhibitors of apical sodium co-dependent bile acid transport (ASBT) and taurocholate uptake
US7709468B2 (en) 2005-09-02 2010-05-04 Abbott Laboratories Imidazo based heterocycles

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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6387924B2 (en) 1994-09-13 2002-05-14 G.D. Searle & Co. Benzothiepines having activity as inhibitors of ileal bile acid transport and taurocholate uptake
US6420417B1 (en) 1994-09-13 2002-07-16 G. D. Searle & Co. Combination therapy employing ileal bile acid transport inhibiting benzothiepines and HMG Co-A reductase inhibitors
US6784201B2 (en) 1994-09-13 2004-08-31 G.D. Searle & Company Benzothiepines having activity as inhibitors of ileal bile acid transport and taurocholate uptake
US6642268B2 (en) 1994-09-13 2003-11-04 G.D. Searle & Co. Combination therapy employing ileal bile acid transport inhibiting benzothipines and HMG Co-A reductase inhibitors
WO1998023290A1 (en) * 1996-11-25 1998-06-04 Toray Industries, Inc. Antipruritic agent
US6174891B1 (en) 1996-11-25 2001-01-16 Toray Industries, Inc. Antipruritic agent
US6316461B1 (en) 1996-11-25 2001-11-13 Toray Industries, Inc. Antipruritic
US6489366B1 (en) 1998-12-23 2002-12-03 G. D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and nicotinic acid derivatives for cardiovascular indications
US6462091B1 (en) 1998-12-23 2002-10-08 G.D. Searle & Co. Combinations of cholesteryl ester transfer protein inhibitors and HMG coA reductase inhibitors for cardiovascular indications
US6562860B1 (en) 1998-12-23 2003-05-13 G. D. Searle & Co. Combinations of ileal bile acid transport inhibitors and bile acid sequestering agents for cardiovascular indications
US6569905B1 (en) 1998-12-23 2003-05-27 G.D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and bile acid sequestering agents for cardiovascular indications
US6638969B1 (en) 1998-12-23 2003-10-28 G.D. Searle, Llc Combinations of ileal bile acid transport inhibitors and fibric acid derivatives for cardiovascular indications
US6458851B1 (en) 1998-12-23 2002-10-01 G. D. Searle, Llc Combinations of ileal bile acid transport inhibitors and cholesteryl ester transfer protein inhibitors for cardiovascular indications
US6458850B1 (en) 1998-12-23 2002-10-01 G.D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and fibric acid derivatives for cardiovascular indications
US6890958B2 (en) 1998-12-23 2005-05-10 G.D. Searle, Llc Combinations of cholesteryl ester transfer protein inhibitors and nicotinic acid derivatives for cardiovascular indications
US6586434B2 (en) 2000-03-10 2003-07-01 G.D. Searle, Llc Method for the preparation of tetrahydrobenzothiepines
US6740663B2 (en) 2001-11-02 2004-05-25 G.D. Searle, Llc Mono- and di-fluorinated benzothiepine compounds as inhibitors of apical sodium co-dependent bile acid transport (ASBT) and taurocholate uptake
US6852753B2 (en) 2002-01-17 2005-02-08 Pharmacia Corporation Alkyl/aryl hydroxy or keto thiepine compounds as inhibitors of apical sodium co-dependent bile acid transport (ASBT) and taurocholate uptake
US7709468B2 (en) 2005-09-02 2010-05-04 Abbott Laboratories Imidazo based heterocycles

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