WO2000012623A2 - Use of 5-th receptor antagonists for the treatment of parkinson's disease - Google Patents

Use of 5-th receptor antagonists for the treatment of parkinson's disease Download PDF

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Publication number
WO2000012623A2
WO2000012623A2 PCT/EP1999/006219 EP9906219W WO0012623A2 WO 2000012623 A2 WO2000012623 A2 WO 2000012623A2 EP 9906219 W EP9906219 W EP 9906219W WO 0012623 A2 WO0012623 A2 WO 0012623A2
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group
alkyl
optionally substituted
heterocyclic ring
galkyl
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PCT/EP1999/006219
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French (fr)
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WO2000012623A3 (en
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Carol Routledge
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Smithkline Beecham P.L.C.
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Priority to AU59706/99A priority Critical patent/AU5970699A/en
Publication of WO2000012623A2 publication Critical patent/WO2000012623A2/en
Publication of WO2000012623A3 publication Critical patent/WO2000012623A3/en

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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
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/165Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide
    • A61K31/167Amides, e.g. hydroxamic acids having aromatic rings, e.g. colchicine, atenolol, progabide having the nitrogen of a carboxamide group directly attached to the aromatic ring, e.g. lidocaine, paracetamol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/16Amides, e.g. hydroxamic acids
    • A61K31/18Sulfonamides
    • 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
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs

Definitions

  • the present invention relates to the use of 5-HT6 receptor antagonist compounds in the treatment of certain CNS disorders. More particularly the invention relates to the 5 use of such compounds in the treatment of Parkinson's disease.
  • Parkinson's Syndrome refers to a collection of neurodegenerative diseases that are characterised by a disturbance of voluntary movement, and which includes both Idiopathic Parkinson's disease and Multiple System Atrophy. Typical features of these 0 diseases are that muscles become stiff and sluggish, movement becomes clumsy and difficult and uncontrollable rhythmic twitching of groups of muscles produces characteristic shaking or tremor. Parkinson's disease is also associated with cognitive dysfunction and, in a proportion of cases, concurrent dementia. These conditions are believed to be caused by extensive degeneration ofthe dopaminergic nigrostriatal tract.
  • WO 98/27081, WO 98/27058 and WO 99/02502 all disclose compounds that are said to possess 5-HTg receptor antagonist activity. These compounds are alleged to be of use in the treatment of various CNS disorders.
  • EPA 0815861 and EP 0930302 disclose 0 sulphonamide and sulphone compounds respectively that are to said to possess 5-HTg receptor antagonist activity and are claimed to be useful in the treatment of various CNS disorders including Parkinson's disease.
  • EP 0299602B1 discloses certain indolone derivatives that are useful in the treatment of Parkinson's disease and, advantageously, have anti-depressant and anxiolytic effects. 5
  • 5-HTg receptor antagonists selectively increases activity of the nigrostriatal pathway and consequently have utility in the treatment of Parkinson's disease.
  • the compounds ofthe present invention have additional effects on the central nervous system, namely, cognitive effects.
  • the cognitive effects ofthe compounds of the present invention are perceived to be advantageous as patients receiving current therapies often also need to take separate medication for the treatment of cognitive dysfunction and dementia. The presence of such qualities as a single compound may therefore reduce the need for such separate therapies.
  • the present invention therefore provides, in a first aspect, the use of a compound having 5-HTg receptor antagonist activity in the manufacture of a medicament for use in the treatment of Parkinson's Disease characterized in that the compound having 5-HTg receptor antagonist activity is selected from the group consisting of a compound of formula (A), (B) or (C)
  • P is phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur;
  • A is a single bond, a C ⁇ .galkylene or a C ⁇ .galkenylene group
  • Rl is halogen, Cj.galkyl optionally substituted by one or more halogen atoms,
  • C3_6cycloalkyl, COCi.galkyl, C ⁇ _6alkoxy, OCF3, hydroxy, hydroxyC 1 _6alkyl, hydroxyC galkylamino or diCi .galkylamino, cyano or R ⁇ is phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur; n is 0, 1, 2, 3, 4, 5 or 6,
  • R2 is hydrogen, Cj.g alkyl or aryl Ci .g alkyl; R is a group R ⁇ or together with R ⁇ forms a group (CPb ⁇ O or (CH2)3 ⁇ or R ⁇ is linked to R- to form a group (CH2 . 2 or (CH2)3;
  • R 4 is -X(CH2)p-R 6 where X is a single bond. CH2, O, NH or N- C ⁇ . ⁇ alkyl and p is 0 to
  • R 6 and R" is an optionally substituted 5- to 7-membered heterocyclic ring containing 1 to 3 heteroatoms selected from nitrogen, sulphur or oxygen, or R6 is NR ⁇ R ⁇ where R ⁇ and R8 are independently hydrogen, C 1 _g alkyl or aryl C 1.5 alkyl; and
  • R5 is hydrogen, halogen.
  • P is phenyl. naphthyl, anthracenyl, a bicyclic heterocyclic ring, a tricyclic heteroaromatic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur;
  • A is a single bond, a C ⁇ .galkylene or a C i . ⁇ alkenylene group; B is SO2; Rl is halogen, Cj.galkyl optionally substituted by one or more fluorine atoms,
  • C3_6cycloalkyl C2_6alkenyl, C2-6 lkynyl, Cj.galkanoyl, Ci.galkoxy, OCF3, hydroxy, hydroxyC i.galkyl, hydroxyC ] ⁇ alkoxy, C 1.galkoxyC j .galkoxy, nitro.
  • cyano NRlOR 1 1 where R*0 and Rl 1 are independently hydrogen, C i .galkyl or optionally substituted phenyl, SR 1 where R ⁇ is as defined above or R ⁇ is optionally substituted phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur, or R ⁇ together with a second R 1 substituent forms a group -O-CH2-O-, OCH2CH2O-, -CH2CH2CH2- or -CH 2 CH 2 CH 2 CH2-, n is O, 1, 2.
  • R- is hydrogen, Ci .galkyl. arylCj .g alkyl or together with group P form a 5 to 8 membered ring optionally substituted with one or more Ci .galkyl groups
  • R J is hydrogen, halogen. C j .gal yl. C3_6cycloalkyl. Ci.galkanoyl. C j. ⁇ alkoxy optionally substituted with one or more fluorine atoms, hydroxy, hydroxyC j .galkyl, hydroxyC i.galkoxy, C 1.galkoxyC j .galkoxy, . nitro, trifluoromethyl.
  • R 5 forms a group (CH2>2O or (CH2)3O optionally substituted with 1 or more C ⁇ .galkyl groups
  • R * * is -X(CH2)p-R 6 where X is a single bond, CH , O, NH or N-alkyl and p is 0 to 6 and R6 is an optionally substituted 4- to 7-membered heterocyclic ring containing 1 to 3 heteroatoms selected from nitrogen, sulphur or oxygen, or
  • R ⁇ is NR ⁇ RS where R ⁇ and R8 are independently hydrogen, Cj.g alkyl or arylCj.galkyl; and R5 is a group R ⁇ or together with R ⁇ forms a group (CH2)2 ⁇ or (CH2)3O optionally substituted with 1 or more C j - ⁇ alkyl groups.
  • the preferred compounds for use in this invention demonstrate greater than 100- fold selectivity for 5-HTg receptors over other binding sites within the CNS, in particular, other 5-HT receptor sub-types and dopaminergic receptors.
  • the selectivity ofthe compounds of this invention for 5-HTg receptors can be determined using binding assays methods which are well known to those skilled in the art.
  • Particularly preferred compounds of this invention include 5-Chloro-3- methylbenzo[b]thiophene-2-sulfonic acid (4-methoxy-3-piperazm-l-ylphenyl) amide (Example 83 in WO 98/27081), that is to say, the compound of formula (I)
  • compounds of formulas (A), (B) and (C) may form acid addition salts.
  • suitable examples include pharmaceutically acceptable salts such as maleic, hydrochloric, hydrobromic. phosphoric, acetic, fumaric, salicylic, sulphate, citric, lactic, mandelic, tartaric and methanesulphonic.
  • a compound of formula (I) or formula (II) is used as the hydrochloride salt.
  • the compounds of formulas (A), (B) and (C) and their pharamaceutically acceptable salts can be prepared by the methods described in WO 98/27081 , WO 98/27058 and WO 99/02502 respectively.
  • the compounds for use in this invention can be evaluated for anti - Parkinson activity using procedures known to those skilled in the art such as the MPTP treated marmoset model.
  • the compounds for use in this invention are expected to have utility in treating any condition characterized by degeneration of the dopaminergic nigrostriatal tract. Consequently, these compounds will be useful in the treatment of both Idiopathic Parkinson's disease and Multiple System Atrophy.
  • Multiple System Atrophy includes olivopontocerebellar atrophy, striato-nigral degeneration type and Shy-Drager type atrophy.
  • the present invention further provides a method of treatment of Parkinson's
  • the compounds according to this invention may advantageously be used in conjunction with one or more other therapeutic agents, for instance, by co-administration with other anti-Parkinson's agents.
  • examples of such include levodopa or a dopamine agonists, and in particular, those described in EP 0299602B1.
  • the compounds of formula (A), (B) or (C) are usually formulated in a standard pharmaceutical composition.
  • Such compositions can be prepared using standard procedures.
  • a pharmaceutical composition ofthe invention which may be prepared by admixture, suitably at ambient temperature and atmospheric pressure, is usually adapted for oral, parenteral or rectal administration and, as such, may be in the form of tablets, capsules, oral liquid preparations, powders, granules, lozenges, reconstitutable powders, injectable or infusible solutions or suspensions or suppositories. Orally administrable compositions are generally preferred. Tablets and capsules for oral administration may be in unit dose form, and may contain conventional excipients, such as binding agents, fillers, tabletting lubricants, disintegrants and acceptable wetting agents. The tablets may be coated according to methods well known in normal pharmaceutical practice.
  • Oral liquid preparations may be in the form of, for example, aqueous or oily suspension, solutions, emulsions, syrups or elixirs, or may be in the form of a dry product for reconstitution with water or other suitable vehicle before use.
  • Such liquid preparations may contain conventional additives such as suspending agents, emulsifying agents, non-aqueous vehicles (which may include edible oils), preservatives, and, if desired, conventional flavourings or colorants.
  • fluid unit dosage forms are prepared utilising a compound ofthe invention or pharmaceutically acceptable salt thereof and a sterile vehicle.
  • the compound depending on the vehicle and concentration used, can be either suspended or dissolved in the vehicle.
  • the compound can be dissolved for injection and filter sterilised before filling into a suitable vial or ampoule and sealing.
  • adjuvants such as a local anaesthetic, preservatives and buffering agents are dissolved in the vehicle.
  • the composition can be frozen after filling into the vial and the water removed under vacuum.
  • Parenteral suspensions are prepared in substantially the same manner, except that the compound is suspended in the vehicle instead of being dissolved, and sterilisation cannot be accomplished by filtration.
  • the compound can be sterilised by exposure to ethylene oxide before suspension in a sterile vehicle.
  • a surfactant or wetting agent is included in the composition to facilitate uniform distribution ofthe compound.
  • the composition may contain from 0.1% to 99% by weight, preferably from 10 to 60% by weight, ofthe active material, depending on the method of administration.
  • the dose ofthe compound used in the treatment of the aforementioned disorders will vary in the usual way with the seriousness of the disorders, the weight ofthe sufferer, and other similar factors.
  • suitable unit doses may be 0.05 to 1000 mg, more suitably 1.0 to 200 mg, and such unit doses may be administered more than once a day, for example two or three a day.
  • the compounds for use in this invention will be administered for a period of continuous therapy.

Abstract

Use of 5-HT6 receptor antagonists for the preparation of medicaments for the treatment of Parkinson disease.

Description

Use
The present invention relates to the use of 5-HT6 receptor antagonist compounds in the treatment of certain CNS disorders. More particularly the invention relates to the 5 use of such compounds in the treatment of Parkinson's disease.
Parkinson's Syndrome refers to a collection of neurodegenerative diseases that are characterised by a disturbance of voluntary movement, and which includes both Idiopathic Parkinson's disease and Multiple System Atrophy. Typical features of these 0 diseases are that muscles become stiff and sluggish, movement becomes clumsy and difficult and uncontrollable rhythmic twitching of groups of muscles produces characteristic shaking or tremor. Parkinson's disease is also associated with cognitive dysfunction and, in a proportion of cases, concurrent dementia. These conditions are believed to be caused by extensive degeneration ofthe dopaminergic nigrostriatal tract.
15 The absence of adequate release of the chemical transmitter dopamine during neuronal activity thereby leads to the Parkinsonian symptomatology.
WO 98/27081, WO 98/27058 and WO 99/02502 all disclose compounds that are said to possess 5-HTg receptor antagonist activity. These compounds are alleged to be of use in the treatment of various CNS disorders. EPA 0815861 and EP 0930302 disclose 0 sulphonamide and sulphone compounds respectively that are to said to possess 5-HTg receptor antagonist activity and are claimed to be useful in the treatment of various CNS disorders including Parkinson's disease. EP 0299602B1 discloses certain indolone derivatives that are useful in the treatment of Parkinson's disease and, advantageously, have anti-depressant and anxiolytic effects. 5
It has now been found that certain compounds, known in the art as 5-HTg receptor antagonists, selectively increases activity of the nigrostriatal pathway and consequently have utility in the treatment of Parkinson's disease. In addition, the compounds ofthe present invention have additional effects on the central nervous system, namely, cognitive effects. In particular, the cognitive effects ofthe compounds of the present invention are perceived to be advantageous as patients receiving current therapies often also need to take separate medication for the treatment of cognitive dysfunction and dementia. The presence of such qualities as a single compound may therefore reduce the need for such separate therapies.
J _>
The present invention therefore provides, in a first aspect, the use of a compound having 5-HTg receptor antagonist activity in the manufacture of a medicament for use in the treatment of Parkinson's Disease characterized in that the compound having 5-HTg receptor antagonist activity is selected from the group consisting of a compound of formula (A), (B) or (C)
Compound of Formula (A)
Figure imgf000004_0001
(A) wherein:
P is phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur;
A is a single bond, a C \ .galkylene or a C \ .galkenylene group;
Rl is halogen, Cj.galkyl optionally substituted by one or more halogen atoms,
C3_6cycloalkyl, COCi.galkyl, Cι_6alkoxy, OCF3, hydroxy, hydroxyC 1 _6alkyl, hydroxyC
Figure imgf000004_0002
galkylamino or diCi .galkylamino, cyano or RΪ is phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur; n is 0, 1, 2, 3, 4, 5 or 6,
R2 is hydrogen, Cj.g alkyl or aryl Ci .g alkyl; R is a group R^ or together with R^ forms a group (CPb^O or (CH2)3θ or R^ is linked to R- to form a group (CH2.2 or (CH2)3;
R4 is -X(CH2)p-R6 where X is a single bond. CH2, O, NH or N- C\.β alkyl and p is 0 to
6 and R" is an optionally substituted 5- to 7-membered heterocyclic ring containing 1 to 3 heteroatoms selected from nitrogen, sulphur or oxygen, or R6 is NR^R^ where R^ and R8 are independently hydrogen, C 1 _g alkyl or aryl C 1.5 alkyl; and
R5 is hydrogen, halogen. C]_6alkyl, C3_6cycloalkyl, Ct _6alkoxy, hydroxy, hydroxyC j. galkyl, hydroxyC j .galkoxy, Ci.galkoxyCj.galkoxy, C \ .galkanoyl, nitro, trifluoromethyl, cyano or aryl.
Compounds of Formula (B)
. ? .
Figure imgf000005_0001
(B) where R - R^, P, A and n are as defined in formula (A)
Compounds of Formula (C)
Figure imgf000005_0002
(C) wherein: P is phenyl. naphthyl, anthracenyl, a bicyclic heterocyclic ring, a tricyclic heteroaromatic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur;
A is a single bond, a C\ .galkylene or a C i .βalkenylene group; B is SO2; Rl is halogen, Cj.galkyl optionally substituted by one or more fluorine atoms,
C3_6cycloalkyl, C2_6alkenyl, C2-6 lkynyl, Cj.galkanoyl, Ci.galkoxy, OCF3, hydroxy, hydroxyC i.galkyl, hydroxyC ] ^alkoxy, C 1.galkoxyC j .galkoxy, nitro. cyano, NRlOR11 where R*0 and Rl 1 are independently hydrogen, C i .galkyl or optionally substituted phenyl, SR 1 where R^ is as defined above or R^ is optionally substituted phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur, or R^ together with a second R1 substituent forms a group -O-CH2-O-, OCH2CH2O-, -CH2CH2CH2- or -CH2CH2CH2CH2-, n is O, 1, 2. 3, 4, 5 or 6; R- is hydrogen, Ci .galkyl. arylCj .g alkyl or together with group P form a 5 to 8 membered ring optionally substituted with one or more Ci .galkyl groups; RJ is hydrogen, halogen. C j .gal yl. C3_6cycloalkyl. Ci.galkanoyl. C j.βalkoxy optionally substituted with one or more fluorine atoms, hydroxy, hydroxyC j .galkyl, hydroxyC i.galkoxy, C 1.galkoxyC j .galkoxy, . nitro, trifluoromethyl. cyano or aryl or together with the group R5 forms a group (CH2>2O or (CH2)3O optionally substituted with 1 or more C \ .galkyl groups; R** is -X(CH2)p-R6 where X is a single bond, CH , O, NH or N-alkyl and p is 0 to 6 and R6 is an optionally substituted 4- to 7-membered heterocyclic ring containing 1 to 3 heteroatoms selected from nitrogen, sulphur or oxygen, or R^ is NR^RS where R^ and R8 are independently hydrogen, Cj.g alkyl or arylCj.galkyl; and R5 is a group R^ or together with R^ forms a group (CH2)2θ or (CH2)3O optionally substituted with 1 or more C j -βalkyl groups.
The preferred compounds for use in this invention demonstrate greater than 100- fold selectivity for 5-HTg receptors over other binding sites within the CNS, in particular, other 5-HT receptor sub-types and dopaminergic receptors. The selectivity ofthe compounds of this invention for 5-HTg receptors can be determined using binding assays methods which are well known to those skilled in the art.
Particularly preferred compounds of this invention include 5-Chloro-3- methylbenzo[b]thiophene-2-sulfonic acid (4-methoxy-3-piperazm-l-ylphenyl) amide (Example 83 in WO 98/27081), that is to say, the compound of formula (I)
Figure imgf000006_0001
(I) and N-(2.5-Dibromo-3-fluorophenyl)-4-methoxy-3-piperazin- 1 -ylbenzenesulfonamide (Example 140 in WO 99/02502) that is to say. the compound of formula (II)
Figure imgf000006_0002
(II)
It will be apparent to those skilled in the art that compounds of formulas (A), (B) and (C) may form acid addition salts. Suitable examples include pharmaceutically acceptable salts such as maleic, hydrochloric, hydrobromic. phosphoric, acetic, fumaric, salicylic, sulphate, citric, lactic, mandelic, tartaric and methanesulphonic. Suitably, a compound of formula (I) or formula (II) is used as the hydrochloride salt.
Certain compounds of formulas (A), (B) and (C) are capable of existing in stereoisomeric forms. It will be understood that the invention encompasses all geometric and optical isomers of these compounds and the mixtures thereof including racemates. Tautomers also form an aspect ofthe invention.
The compounds of formulas (A), (B) and (C) and their pharamaceutically acceptable salts can be prepared by the methods described in WO 98/27081 , WO 98/27058 and WO 99/02502 respectively.
The compounds for use in this invention can be evaluated for anti - Parkinson activity using procedures known to those skilled in the art such as the MPTP treated marmoset model.
The compounds for use in this invention are expected to have utility in treating any condition characterized by degeneration of the dopaminergic nigrostriatal tract. Consequently, these compounds will be useful in the treatment of both Idiopathic Parkinson's disease and Multiple System Atrophy. Multiple System Atrophy includes olivopontocerebellar atrophy, striato-nigral degeneration type and Shy-Drager type atrophy. The present invention further provides a method of treatment of Parkinson's
Disease and other related disorders which comprises administering to a host in need thereof an effective amount of a compound of formula (A), (B) or (C) or a pharmaceutically acceptable salt thereof.
It will be appreciated by those skilled in the art that the compounds according to this invention may advantageously be used in conjunction with one or more other therapeutic agents, for instance, by co-administration with other anti-Parkinson's agents. Examples of such include levodopa or a dopamine agonists, and in particular, those described in EP 0299602B1.
When used in therapy, the compounds of formula (A), (B) or (C) are usually formulated in a standard pharmaceutical composition. Such compositions can be prepared using standard procedures.
A pharmaceutical composition ofthe invention, which may be prepared by admixture, suitably at ambient temperature and atmospheric pressure, is usually adapted for oral, parenteral or rectal administration and, as such, may be in the form of tablets, capsules, oral liquid preparations, powders, granules, lozenges, reconstitutable powders, injectable or infusible solutions or suspensions or suppositories. Orally administrable compositions are generally preferred. Tablets and capsules for oral administration may be in unit dose form, and may contain conventional excipients, such as binding agents, fillers, tabletting lubricants, disintegrants and acceptable wetting agents. The tablets may be coated according to methods well known in normal pharmaceutical practice. Oral liquid preparations may be in the form of, for example, aqueous or oily suspension, solutions, emulsions, syrups or elixirs, or may be in the form of a dry product for reconstitution with water or other suitable vehicle before use. Such liquid preparations may contain conventional additives such as suspending agents, emulsifying agents, non-aqueous vehicles (which may include edible oils), preservatives, and, if desired, conventional flavourings or colorants.
For parenteral administration, fluid unit dosage forms are prepared utilising a compound ofthe invention or pharmaceutically acceptable salt thereof and a sterile vehicle. The compound, depending on the vehicle and concentration used, can be either suspended or dissolved in the vehicle. In preparing solutions, the compound can be dissolved for injection and filter sterilised before filling into a suitable vial or ampoule and sealing. Advantageously, adjuvants such as a local anaesthetic, preservatives and buffering agents are dissolved in the vehicle. To enhance the stability, the composition can be frozen after filling into the vial and the water removed under vacuum. Parenteral suspensions are prepared in substantially the same manner, except that the compound is suspended in the vehicle instead of being dissolved, and sterilisation cannot be accomplished by filtration. The compound can be sterilised by exposure to ethylene oxide before suspension in a sterile vehicle. Advantageously, a surfactant or wetting agent is included in the composition to facilitate uniform distribution ofthe compound.
The composition may contain from 0.1% to 99% by weight, preferably from 10 to 60% by weight, ofthe active material, depending on the method of administration. The dose ofthe compound used in the treatment of the aforementioned disorders will vary in the usual way with the seriousness of the disorders, the weight ofthe sufferer, and other similar factors. However, as a general guide suitable unit doses may be 0.05 to 1000 mg, more suitably 1.0 to 200 mg, and such unit doses may be administered more than once a day, for example two or three a day. Suitably the compounds for use in this invention will be administered for a period of continuous therapy.

Claims

Claims:
1. The use of a compound having 5-HTg receptor antagonist activity in the manufacture of a medicament for use in the treatment of Parkinson's Disease characterized in that the compound having 5-HTg receptor antagonist activity is selected from the group consisting of a compound of formula (A), (B) or (C)
Compound of Formula (A)
Figure imgf000009_0001
(A) wherein:
P is phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur; A is a single bond, a C \ .galkylene or a C j . alkenylene group;
Rl is halogen, C╬╣ _6alkyl optionally substituted by one or more halogen atoms, C3_gcycloalkyl, COCi .galkyl, Cj.galkoxy, OCF3, hydroxy, hydroxyC \ .galkyl, hydroxyC j .galkoxy, Ci .╬▓alkoxyCi-╬▓alkoxy, C╬╣ _5alkanoyl, nitro, amino, C\. 6alkylamino or diCj.galkylamino, cyano or Rl is phenyl. naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur; n is O, 1. 2, 3, 4, 5 or 6,
R- is hydrogen, C1.5 alkyl or aryl Cj.g alkyl; R is a group R^ or together with R^ forms a group (CH2)2O or (CH2)3╬╕ or R^ is linked to R2 to form a group (CH )2 or (CH2)3;
R4 is -X(CH2)p-R6 where X is a single bond, CH2. O, NH or N- C ] .5 alkyl and p is 0 to 6 and R" is an optionally substituted 5- to 7-membered heterocyclic ring containing 1 to 3 heteroatoms selected from nitrogen, sulphur or oxygen, or R^ is NR^R^ where R^ and R" are independently hydrogen. C \. alkyl or aryl C \. alkyl; and R3 is hydrogen, halogen. C i .galkyl, C3_6cycloalkyl, Cj^alkoxy, hydroxy, hydroxyC]. galkyl. hydroxyC i .galkoxy, C j.galkoxyC j .galkoxy, Ci .galkanoyl. nitro, trifluoromethyl. cyano or aryl.
Compounds of Formula (B)
Figure imgf000010_0001
(B) where Rl - R^, P, A and n are as defined in formula (A)
Compounds of Formula (C)
Figure imgf000010_0002
(C) wherein: P is phenyl, naphthyl, anthracenyl, a bicyclic heterocyclic ring, a tricyclic heteroaromatic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur;
A is a single bond, a C i _6alkylene or a C .galkenylene group; B is SO2; Rl is halogen, Ci .galkyl optionally substituted by one or more fluorine atoms,
C3_6cycloalkyl, C2-6alkenyl, C2-6alkynyl, Cj.galkanoyl, C^alkoxy, OCF3, hydroxy, hydroxyC i .galkyl, hydroxyC j.galkoxy, Ci.galkoxyCj.galkoxy, nitro, cyano, NRI ORI where R 0 and Rl 1 are independently hydrogen, C^alkyl or optionally substituted phenyl, SRI 1 where R* 1 is as defined above or Rl is optionally substituted phenyl, naphthyl, a bicyclic heterocyclic ring or is a 5 to 7-membered heterocyclic ring each containing 1 to 4 heteroatoms selected from oxygen, nitrogen or sulphur, or Rl together with a second R1 substituent forms a group -O-CH2-O-, OCH2CH2O-, -CH2CH2CH2- or -CH2CH2CH2CH2-, n is 0, 1, 2, 3, 4, 5 or 6; R- is hydrogen. C 1. alkyl, arylC \ .5 alkyl or together with group P form a 5 to 8 membered ring optionally substituted with one or more C ╬╣ _5alkyl groups; RJ is hydrogen, halogen. C j.galkyl. C3_6cycloalkyl, Cj.galkanoyl. C j^alkoxy optionally substituted with one or more fluorine atoms, hydroxy. hydroxyC j.galkyl, hydroxyC ]_5alkoxy, C j .^alkoxyC j .galkoxy. , nitro. trifluoromethyl. cyano or aryl or together with the group R5 forms a group (CH2)2╬╕ or (CH2)3O optionally substituted with 1 or more Cj ^alkyl groups; R4 is -X(CH2)p-R6 where X is a single bond, CH2, O, NH or N-alkyl and p is 0 to 6 and R6 is an optionally substituted 4- to 7-membered heterocyclic ring containing 1 to 3 heteroatoms selected from nitrogen, sulphur or oxygen, or R6 is NR R8 where R and R8 are independently hydrogen, C╬╣ _6alkyl or arylCi .5 alkyl; and R5 is a group R3 or together with R forms a group (CH2)2O or (CH2)3O optionally substituted with 1 or more Cj.galkyl groups.
2. The use according to claim 1 wherein the 5-HTg receptor antagonist is the compound of formula (I) - 5-Chloro-3-methylbenzo[b]thiophene-2- sulfonic acid (4-methoxy-3-piperazin-l -ylphenyl) amide or a pharmaceutically acceptable salt thereof
Figure imgf000011_0001
(I)
3. The use according to claim 1 wherein the 5-HTg receptor antagonist is the compound of formula (II) - N-(2,5-Dibromo-3-fluorophenyl)-4- methoxy-3-piperazin-l -ylbenzenesulfonamide or a pharmaceutically acceptable salt thereof
Figure imgf000011_0002
(II)
4. A pharmaceutical composition for use in the treatment of Parkinson's
Disease which comprises a compound described in any one of claims 1 - 3 and a pharmaceutically acceptable carrier.
PCT/EP1999/006219 1998-08-28 1999-08-25 Use of 5-th receptor antagonists for the treatment of parkinson's disease WO2000012623A2 (en)

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