WO1998057638A1 - ALPHA 1a ADRENERGIC RECEPTOR ANTAGONISTS - Google Patents
ALPHA 1a ADRENERGIC RECEPTOR ANTAGONISTS Download PDFInfo
- Publication number
- WO1998057638A1 WO1998057638A1 PCT/US1998/012567 US9812567W WO9857638A1 WO 1998057638 A1 WO1998057638 A1 WO 1998057638A1 US 9812567 W US9812567 W US 9812567W WO 9857638 A1 WO9857638 A1 WO 9857638A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- difluorophenyl
- ylamino
- oxo
- carboxylic acid
- piperidin
- Prior art date
Links
- 108020004102 alpha-1 Adrenergic Receptor Proteins 0.000 title abstract description 5
- 102100024349 Alpha-1A adrenergic receptor Human genes 0.000 title abstract 2
- 239000000674 adrenergic antagonist Substances 0.000 title description 15
- 150000001875 compounds Chemical class 0.000 claims abstract description 238
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 claims abstract description 39
- 208000004403 Prostatic Hyperplasia Diseases 0.000 claims abstract description 38
- 239000000203 mixture Substances 0.000 claims description 108
- 125000000217 alkyl group Chemical group 0.000 claims description 102
- 229910052739 hydrogen Inorganic materials 0.000 claims description 76
- 239000001257 hydrogen Substances 0.000 claims description 75
- -1 cyano, nitro, amino Chemical group 0.000 claims description 72
- 238000000034 method Methods 0.000 claims description 64
- 229910052736 halogen Inorganic materials 0.000 claims description 45
- 150000002367 halogens Chemical class 0.000 claims description 45
- 125000001997 phenyl group Chemical class [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 44
- 125000001424 substituent group Chemical group 0.000 claims description 42
- 125000002023 trifluoromethyl group Chemical group FC(F)(F)* 0.000 claims description 39
- 125000006552 (C3-C8) cycloalkyl group Chemical group 0.000 claims description 38
- 150000003839 salts Chemical class 0.000 claims description 37
- 125000004435 hydrogen atom Chemical class [H]* 0.000 claims description 34
- 239000002677 5-alpha reductase inhibitor Substances 0.000 claims description 27
- 125000002541 furyl group Chemical class 0.000 claims description 27
- 229940113178 5 Alpha reductase inhibitor Drugs 0.000 claims description 26
- 125000001544 thienyl group Chemical class 0.000 claims description 26
- 125000001624 naphthyl group Chemical class 0.000 claims description 25
- 125000004076 pyridyl group Chemical class 0.000 claims description 25
- 108010029908 3-oxo-5-alpha-steroid 4-dehydrogenase Proteins 0.000 claims description 24
- 102000001779 3-oxo-5-alpha-steroid 4-dehydrogenase Human genes 0.000 claims description 24
- 125000003373 pyrazinyl group Chemical class 0.000 claims description 19
- DBEPLOCGEIEOCV-WSBQPABSSA-N finasteride Chemical compound N([C@@H]1CC2)C(=O)C=C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H](C(=O)NC(C)(C)C)[C@@]2(C)CC1 DBEPLOCGEIEOCV-WSBQPABSSA-N 0.000 claims description 18
- 125000005913 (C3-C6) cycloalkyl group Chemical group 0.000 claims description 15
- 125000000335 thiazolyl group Chemical class 0.000 claims description 15
- 125000004093 cyano group Chemical group *C#N 0.000 claims description 14
- 125000000449 nitro group Chemical group [O-][N+](*)=O 0.000 claims description 14
- 125000002294 quinazolinyl group Chemical class N1=C(N=CC2=CC=CC=C12)* 0.000 claims description 14
- 229960004039 finasteride Drugs 0.000 claims description 13
- 125000000714 pyrimidinyl group Chemical class 0.000 claims description 13
- 239000003937 drug carrier Substances 0.000 claims description 11
- 210000001635 urinary tract Anatomy 0.000 claims description 11
- 125000001495 ethyl group Chemical group [H]C([H])([H])C([H])([H])* 0.000 claims description 10
- 125000002183 isoquinolinyl group Chemical class C1(=NC=CC2=CC=CC=C12)* 0.000 claims description 10
- 150000001408 amides Chemical class 0.000 claims description 9
- 230000008485 antagonism Effects 0.000 claims description 8
- 230000002040 relaxant effect Effects 0.000 claims description 8
- 125000004178 (C1-C4) alkyl group Chemical group 0.000 claims description 7
- 125000006564 (C4-C8) cycloalkyl group Chemical group 0.000 claims description 7
- 241000124008 Mammalia Species 0.000 claims description 7
- 125000000753 cycloalkyl group Chemical group 0.000 claims description 7
- HYGWUVXHQJJDEG-UHFFFAOYSA-N methyl 2-[4-(2-aminoethylamino)piperidin-1-yl]benzoate Chemical compound COC(=O)C1=CC=CC=C1N1CCC(NCCN)CC1 HYGWUVXHQJJDEG-UHFFFAOYSA-N 0.000 claims description 7
- 239000008194 pharmaceutical composition Substances 0.000 claims description 7
- OXRQGYNVDCHVPT-UHFFFAOYSA-N 2-[4-(2-aminoethylamino)piperidin-1-yl]-5-fluorobenzonitrile Chemical compound C1CC(NCCN)CCN1C1=CC=C(F)C=C1C#N OXRQGYNVDCHVPT-UHFFFAOYSA-N 0.000 claims description 6
- 125000004793 2,2,2-trifluoroethoxy group Chemical group FC(CO*)(F)F 0.000 claims description 4
- 230000036772 blood pressure Effects 0.000 claims description 4
- 125000003917 carbamoyl group Chemical group [H]N([H])C(*)=O 0.000 claims description 4
- 230000008569 process Effects 0.000 claims description 4
- 125000004206 2,2,2-trifluoroethyl group Chemical group [H]C([H])(*)C(F)(F)F 0.000 claims description 3
- IGTLIXXHUHWCSS-UHFFFAOYSA-N 2-[2-[4-(2-aminoethylamino)piperidin-1-yl]phenyl]acetic acid Chemical compound C1CC(NCCN)CCN1C1=CC=CC=C1CC(O)=O IGTLIXXHUHWCSS-UHFFFAOYSA-N 0.000 claims description 3
- UDQYTNKSJJUTQU-UHFFFAOYSA-N N'-(2-pyrimidin-2-ylpiperidin-4-yl)ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=NC=CC=N1 UDQYTNKSJJUTQU-UHFFFAOYSA-N 0.000 claims description 3
- WJAGVFKWGANPGR-UHFFFAOYSA-N N'-[1-(4-methoxyphenyl)piperidin-4-yl]ethane-1,2-diamine Chemical compound C1=CC(OC)=CC=C1N1CCC(NCCN)CC1 WJAGVFKWGANPGR-UHFFFAOYSA-N 0.000 claims description 3
- MUPSBWQFHKPRCC-UHFFFAOYSA-N N'-[2-(2,4-difluorophenyl)piperidin-4-yl]ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=CC=C(F)C=C1F MUPSBWQFHKPRCC-UHFFFAOYSA-N 0.000 claims description 3
- PHSIBPBEUBQTDO-UHFFFAOYSA-N N'-[2-[3-(trifluoromethyl)pyridin-2-yl]piperidin-4-yl]ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=NC=CC=C1C(F)(F)F PHSIBPBEUBQTDO-UHFFFAOYSA-N 0.000 claims description 3
- AYBDVUOTDGPOGS-UHFFFAOYSA-N N'-[2-[4-(trifluoromethyl)pyridin-2-yl]piperidin-4-yl]ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=CC(C(F)(F)F)=CC=N1 AYBDVUOTDGPOGS-UHFFFAOYSA-N 0.000 claims description 3
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical compound [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 claims description 3
- 125000003545 alkoxy group Chemical group 0.000 claims description 3
- 230000009977 dual effect Effects 0.000 claims description 3
- QRJIMZYXPVMCPC-UHFFFAOYSA-N n'-[1-(2-methoxyphenyl)piperidin-4-yl]ethane-1,2-diamine Chemical compound COC1=CC=CC=C1N1CCC(NCCN)CC1 QRJIMZYXPVMCPC-UHFFFAOYSA-N 0.000 claims description 3
- RIDHNKUJTNBILF-UHFFFAOYSA-N n'-[1-(2-nitrophenyl)piperidin-4-yl]ethane-1,2-diamine Chemical compound C1CC(NCCN)CCN1C1=CC=CC=C1[N+]([O-])=O RIDHNKUJTNBILF-UHFFFAOYSA-N 0.000 claims description 3
- 229910052760 oxygen Inorganic materials 0.000 claims description 3
- 125000004193 piperazinyl group Chemical group 0.000 claims description 3
- 125000000565 sulfonamide group Chemical group 0.000 claims description 3
- BLFZNGCOCMNWIJ-UHFFFAOYSA-N 2-(3,4-difluorophenyl)-4-oxo-1,3-thiazolidine-3-carboxylic acid Chemical compound S1CC(=O)N(C(=O)O)C1C1=CC=C(F)C(F)=C1 BLFZNGCOCMNWIJ-UHFFFAOYSA-N 0.000 claims description 2
- GOVGHNQULOOKOO-UHFFFAOYSA-N 2-(3,4-difluorophenyl)-n-[2-[[1-(2-nitrophenyl)piperidin-4-yl]amino]ethyl]acetamide Chemical compound [O-][N+](=O)C1=CC=CC=C1N1CCC(NCCNC(=O)CC=2C=C(F)C(F)=CC=2)CC1 GOVGHNQULOOKOO-UHFFFAOYSA-N 0.000 claims description 2
- QKVHTNKCJAGCIE-UHFFFAOYSA-N 4-(3,4-difluorophenyl)-2-oxo-n-[2-[[1-[2-(2,2,2-trifluoroethoxy)phenyl]piperidin-4-yl]amino]ethyl]-1,3-oxazolidine-3-carboxamide Chemical compound C1=C(F)C(F)=CC=C1C1N(C(=O)NCCNC2CCN(CC2)C=2C(=CC=CC=2)OCC(F)(F)F)C(=O)OC1 QKVHTNKCJAGCIE-UHFFFAOYSA-N 0.000 claims description 2
- BMECMJZEIQAIRJ-UHFFFAOYSA-N N'-[1-(3,5-difluorophenyl)piperidin-4-yl]ethane-1,2-diamine Chemical compound C1CC(NCCN)CCN1C1=CC(F)=CC(F)=C1 BMECMJZEIQAIRJ-UHFFFAOYSA-N 0.000 claims description 2
- KHBQUOOLEZSBEM-UHFFFAOYSA-N N'-[2-(1,3-thiazol-2-yl)piperidin-4-yl]ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=NC=CS1 KHBQUOOLEZSBEM-UHFFFAOYSA-N 0.000 claims description 2
- OYRQSHLRNWWUOM-UHFFFAOYSA-N N'-[2-[4-(trifluoromethyl)pyrimidin-2-yl]piperidin-4-yl]ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=NC=CC(C(F)(F)F)=N1 OYRQSHLRNWWUOM-UHFFFAOYSA-N 0.000 claims description 2
- HRPVAXUKWNFWKT-UHFFFAOYSA-N N'-[2-[5-(trifluoromethyl)pyridin-2-yl]piperidin-4-yl]ethane-1,2-diamine Chemical compound C1C(NCCN)CCNC1C1=CC=C(C(F)(F)F)C=N1 HRPVAXUKWNFWKT-UHFFFAOYSA-N 0.000 claims description 2
- 229910006074 SO2NH2 Inorganic materials 0.000 claims description 2
- 239000005864 Sulphur Substances 0.000 claims description 2
- 230000003042 antagnostic effect Effects 0.000 claims description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 2
- WJAUEVLUOSMVAC-UHFFFAOYSA-N methyl 2-[4-[2-[[4-(3,4-difluorophenyl)-2-oxo-1,3-oxazolidine-3-carbonyl]amino]ethylamino]piperidin-1-yl]-5-fluorobenzoate Chemical compound COC(=O)C1=CC(F)=CC=C1N1CCC(NCCNC(=O)N2C(OCC2C=2C=C(F)C(F)=CC=2)=O)CC1 WJAUEVLUOSMVAC-UHFFFAOYSA-N 0.000 claims description 2
- ZNMHSMYPXAVAPB-UHFFFAOYSA-N methyl 3-[2-[[1-(2-cyano-4-fluorophenyl)piperidin-4-yl]amino]ethylcarbamoyl]-4-(3,4-difluorophenyl)-6-(methoxymethyl)-2-oxo-1,4-dihydropyrimidine-5-carboxylate Chemical compound O=C1NC(COC)=C(C(=O)OC)C(C=2C=C(F)C(F)=CC=2)N1C(=O)NCCNC(CC1)CCN1C1=CC=C(F)C=C1C#N ZNMHSMYPXAVAPB-UHFFFAOYSA-N 0.000 claims description 2
- OHTCEIZRSAWGCZ-UHFFFAOYSA-N n-[2-[[1-(2-aminophenyl)piperidin-4-yl]amino]ethyl]-2-(3,4-difluorophenyl)acetamide Chemical compound NC1=CC=CC=C1N1CCC(NCCNC(=O)CC=2C=C(F)C(F)=CC=2)CC1 OHTCEIZRSAWGCZ-UHFFFAOYSA-N 0.000 claims description 2
- CZFITVQNSAECLF-UHFFFAOYSA-N n-[2-[[1-(2-carbamoylphenyl)piperidin-4-yl]amino]ethyl]-4-(3,4-difluorophenyl)-2-oxo-1,3-oxazolidine-3-carboxamide Chemical compound NC(=O)C1=CC=CC=C1N1CCC(NCCNC(=O)N2C(OCC2C=2C=C(F)C(F)=CC=2)=O)CC1 CZFITVQNSAECLF-UHFFFAOYSA-N 0.000 claims description 2
- NBRYVOUJCVXBIS-UHFFFAOYSA-N n-[2-[[1-(2-cyanophenyl)piperidin-4-yl]-(2,2,2-trifluoroethyl)amino]ethyl]-4-(3,4-difluorophenyl)-2-oxo-1,3-oxazolidine-3-carboxamide Chemical compound C1=C(F)C(F)=CC=C1C1N(C(=O)NCCN(CC(F)(F)F)C2CCN(CC2)C=2C(=CC=CC=2)C#N)C(=O)OC1 NBRYVOUJCVXBIS-UHFFFAOYSA-N 0.000 claims description 2
- NBXYGOZONPXDIL-UHFFFAOYSA-N n-[2-[[1-(2-cyanophenyl)piperidin-4-yl]amino]ethyl]-2-(3,4-difluorophenyl)acetamide Chemical compound C1=C(F)C(F)=CC=C1CC(=O)NCCNC1CCN(C=2C(=CC=CC=2)C#N)CC1 NBXYGOZONPXDIL-UHFFFAOYSA-N 0.000 claims description 2
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Classifications
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
- C07D401/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/02—Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P13/00—Drugs for disorders of the urinary system
- A61P13/08—Drugs for disorders of the urinary system of the prostate
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P15/00—Drugs for genital or sexual disorders; Contraceptives
- A61P15/10—Drugs for genital or sexual disorders; Contraceptives for impotence
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D211/00—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings
- C07D211/04—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom
- C07D211/06—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members
- C07D211/36—Heterocyclic compounds containing hydrogenated pyridine rings, not condensed with other rings with only hydrogen or carbon atoms directly attached to the ring nitrogen atom having no double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
- C07D211/56—Nitrogen atoms
- C07D211/58—Nitrogen atoms attached in position 4
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D265/00—Heterocyclic compounds containing six-membered rings having one nitrogen atom and one oxygen atom as the only ring hetero atoms
- C07D265/28—1,4-Oxazines; Hydrogenated 1,4-oxazines
- C07D265/30—1,4-Oxazines; Hydrogenated 1,4-oxazines not condensed with other rings
- C07D265/32—1,4-Oxazines; Hydrogenated 1,4-oxazines not condensed with other rings with oxygen atoms directly attached to ring carbon atoms
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
- C07D401/14—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing three or more hetero rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D403/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
- C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
- C07D403/12—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a chain containing hetero atoms as chain links
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
- C07D405/14—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing three or more hetero rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings
- C07D413/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing two hetero rings linked by a chain containing hetero atoms as chain links
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D413/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms
- C07D413/14—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and oxygen atoms as the only ring hetero atoms containing three or more hetero rings
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D417/00—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00
- C07D417/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings
- C07D417/12—Heterocyclic compounds containing two or more hetero rings, at least one ring having nitrogen and sulfur atoms as the only ring hetero atoms, not provided for by group C07D415/00 containing two hetero rings linked by a chain containing hetero atoms as chain links
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D491/00—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
- C07D491/02—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
- C07D491/04—Ortho-condensed systems
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D491/00—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00
- C07D491/02—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
- C07D491/10—Spiro-condensed systems
Definitions
- This invention relates to certain novel compounds and derivatives thereof, their synthesis, and their use as alpha la adrenoceptor antagonists. More particularly, the compounds of the present invention are useful for treating benign prostatic hyperplasia (BPH).
- BPH benign prostatic hyperplasia
- Human adrenergic receptors are integral membrane proteins which have been classified into two broad classes, the alpha and the beta adrenergic receptors. Both types mediate the action of the peripheral sympathetic nervous system upon binding of catecholamines, norepinephrine and epinephrine. Norepinephrine is produced by adrenergic nerve endings, while epinephrine is produced by the adrenal medulla.
- the binding affinity of adrenergic receptors for these compounds forms one basis of the classification: alpha receptors bind norepinephrine more strongly than epinephrine and much more strongly than the synthetic compound isoproterenol. The binding affinity of these hormones is reversed for the beta receptors. In many tissues, the functional responses, such as smooth muscle contraction, induced by alpha receptor activation are opposed to responses induced by beta receptor binding.
- alpha and beta receptors were further highlighted and refined by the pharmacological characterization of these receptors from various animal and tissue sources.
- alpha and beta adrenergic receptors were further subdivided into alpha 1 ⁇ alpha 2 ⁇ Bi, and ⁇ 2 subtypes. Functional differences between alpha 1 and alpha 2 receptors have been recognized, and compounds which exhibit selective binding between these two subtypes have been developed.
- alpha 1 receptor subtypes The cloning, sequencing and expression of alpha receptor subtypes from animal tissues has led to the subclassification of the alpha 1 receptors into alpha Id (formerly known as alpha la or la/Id), alpha lb and alpha la (formerly known as alpha lc) subtypes. Each alpha 1 receptor subtype exhibits its own pharmacologic and tissue specificities.
- alpha la is the appellation recently approved by the IUPHAR Nomenclature Committee for the previously designated “alpha lc” cloned subtype as outlined in the 1995 Receptor and Ion Channel Nomenclature Supplement (Watson and Girdlestone, 1995).
- alpha la is used throughout this application to refer to this subtype.
- alpha 1 adrenoceptor subtypes were renamed alpha Id.
- ATCC American Type Culture Collection
- Benign prostatic hyperplasia also known as benign prostatic hypertrophy or BPH
- BPH benign prostatic hypertrophy
- the symptoms of the-condition include, but are not limited to, increased difficulty in urination and sexual dysfunction. These symptoms are induced by enlargement, or hyperplasia, of the prostate gland. As the prostate increases in size, it impinges on free-flow of fluids through the male urethra. Concommitantly, the increased noradrenergic innervation of the enlarged prostate leads to an increased adrenergic tone of the bladder neck and urethra, further restricting the flow of urine through the urethra.
- the male hormone ⁇ alpha- dihydrotestosterone has been identified as the principal culprit.
- the continual production of 5a-dihydrotestosterone by the male testes induces incremental growth of the prostate gland throughout the life of the male. Beyond the age of about fifty years, in many men, this enlarged gland begins to obstruct the urethra with the pathologic symptoms noted above.
- alfuzosin which is reported in EP 0 204597 to induce urination in cases of prostatic hyperplasia.
- the selective ability of the R(+) enantiomer of terazosin to bind to adrenergic receptors of the alphai subtype was reported.
- combinations of 5a-reductase inhibitory compounds and alphal- adrenergic receptor blockers terazosin, doxazosin, prazosin, bunazosin, indoramin, alfuzosin
- the instant patent disclosure discloses novel compounds which selectively bind to the human alpha la receptor. These compounds are further tested for binding to other human alpha 1 receptor subtypes, as well as counterscreened against other types of receptors (e.g., alpha 2), thus defining the specificity of the compounds of the present invention for the human alpha la adrenergic receptor.
- the compounds of the present invention are alpha la adrenergic receptor antagonists.
- the compounds of the present invention are useful for treating BPH in mammals. Additionally, it has been found that the alpha la adrenergic receptor antagonists of the present invention are also useful for relaxing lower urinary tract tissue in mammals.
- the present invention provides compounds for the treatment of urinary obstruction caused by benign prostatic hyperplasia (BPH).
- BPH benign prostatic hyperplasia
- the compounds antagonize the human alpha la adrenergic receptor at nanomolar and subnanomolar concentrations while exhibiting at least ten fold lower affinity for the alpha Id and alpha lb human adrenergic receptors and many other G-protein coupled receptors.
- This invention has the advantage over non-selective alpha 1 adrenoceptor antagonists of reduced side effects related to peripheral adrenergic blockade. Such side effects include hypotension, syncope, lethargy, etc.
- the compounds of the present invention have the structure:
- E, G, L and M are each independently selected from hydrogen, Ci-8 alkyl, C3-8 cycloalkyl, (CH 2 ) ⁇ -4 ⁇ R 1 5, (CH 2 ) ⁇ -4N(Rl6)2, (CH 2 )0-4CN, (CH 2 )0-4CF 3 , (CH 2 ) ⁇ -4CO 2 R 16 , (CH 2 ) ⁇ -4CON(Rl6) 2 , (CH 2 )0-4SO 2 R 16 , or (CH2) ⁇ -4SO 2 N(Rl6) 2 ;
- J is selected from hydrogen, C ⁇ -8 alkyl, C3-8 cycloalkyl, (CH2)l-4 ⁇ Rl5, (CH 2 )l-4N(R 16 )2, (CH 2 )l-4CN, (CH 2 ) ⁇ -4CF3, (CH 2 )0-4CO2R 16 , (CH 2 )0-4CON(Rl6) 2 , (CH 2 ) ⁇ -4SO 2 R 16 , or
- Rl is selected from unsubstituted, mono- or poly-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, N(Rl6) 2 , NR 16 CORl8, NR ⁇ COR ⁇ ,
- Ci-4 alkyl or unsubstituted, mono- or poly-substituted pyridyl, pyrazinyl, pyrimidinyl, thienyl, thiazolyl, furanyl, isoquinolinyl, quinazolinyl or naphthyl wherein the substituents on the pyridyl, pyrazinyl, pyrimidinyl, thienyl, thiazolyl, furanyl, isoquinolinyl, quinazolinyl or naphthyl are independently selected from CF3, cyano, nitro, amino, NRl ⁇ COR 18 , NR 16 COR 20 , NR 16 SO2R 18 , NRl6CONRl6CON(R 18 )2, (CH2) ⁇ -4C ⁇ 2R 16 , (CH 2 ) ⁇ -4CON(Rl6) 2 , (CH 2 )0-4SO 2 N(Rl6)2, (CH 2 ) ⁇ -4SO
- R 2 and R ⁇ are each independently selected from hydrogen, C ⁇ -8 alkyl, C4-8 cycloalkyl, (CH )0-4CO 2 R 16 , (CH 2 ) ⁇ -4CON(Rl6) 2 ,
- R3, R6, R9 an( j R10 are e ch independently selected from hydrogen, C ⁇ -8 alkyl, C3-8 cycloalkyl, (CH2)2-4 ⁇ R 15 or (CH2) ⁇ -4CF3;
- R 4 is selected from hydrogen, (CH2) ⁇ -4COR!5, (CH2) ⁇ -4CN, (CH 2 ) ⁇ -
- R is selected from hydrogen, Cl-8 alkyl, C3-8 cycloalkyl, (CH 2 )l-4 ⁇ Rl ⁇ or (CH 2 ) ⁇ -4CF 3 ;
- R 8 is selected from hydrogen, Cl-8 alkyl, C3-8 cycloalkyl, (CH2)2-40Rl 5 or (CH2) ⁇ -4CF 3 ;
- RU and Rl 2 are each independently selected from hydrogen, Cl-8 alkyl or C3-8 cycloalkyl;
- Rl3 and Rl4 are each independently selected from hydrogen
- Rl is selected from hydrogen, Cl-8 alkyl, C3-8 cycloalkyl or (CH 2 )0-4CF 3 ;
- Rl6 and Rl 8 are each independently selected from hydrogen, Cl-8 alkyl, C4-8 cycloalkyl or (CH2)l-4CF3;
- Rl9 is selected from hydrogen, Cl-8 alkyl, C3-8 cycloalkyl, (CH2)0-4ORl 5 or (CH2) ⁇ -4CF3;
- R ⁇ is furanyl or Cl-8 alkyl furanyl
- R 22 is piperazinyl or Cl-8 alkylpiperazinyl; W is O or NRH;
- each X is independently selected from halogen, cyano, nitro, Cl-8 alkyl, C3-8 cycloalkyl, (CH2) ⁇ -4 ⁇ Rl or (CH2) ⁇ -4CF3;
- Y is C 5 or N
- Z is hydrogen, oxygen or sulphur
- n, p and q are each independently an integer from zero to four; o is an integer from two to five; r is an integer from zero to one; t is an integer from zero to five; and the pharmaceutically acceptable salts thereof.
- Rl is unsubstituted or mono- substituted phenyl; and R 2 is selected from hydrogen, Cl-8 alkyl, or (CH2)0-4CORl6; and R? is hydrogen; and M, E, J, G, L, R3 and R 6 are each hydrogen; and n and m are each one; then Q is selected from
- Rl is selected from unsubstituted, mono- or poly-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, N(R 16 )2, NR1 6 C0R1 8 , NR1 6 C0N(R1 8 )2, NRI6SO2R 18 , NRl 6 SO2N(R 8 )2, ORl , (CH2) ⁇ -4C ⁇ 2Rl 6 , (CH2)0-4CON(Rl6)2, (CH2) ⁇ -4S ⁇ 2N(Rl 6 )2, (CH2)0-4SO2R 15 , or Cl-4 alkyl; or unsubstituted, mono- or poly-substituted pyridyl, pyrazinyl, thienyl, thiazolyl, furanyl, quinazolinyl or naphthyl wherein the substituents on the pyridyl, pyrazinyl
- R 4 is selected from (CH2) ⁇ -4CORl 5 , (CH 2 ) ⁇ -4CN, (CH2) ⁇ -4CF3, (CH2)0-4CO2Rl 6 , (CH2)0-4CON(Rl6) 2 , (CH2) ⁇ -4S ⁇ 2Rl 5 or
- E, G, L, M and J are each independently selected from hydrogen, Cl-8 alkyl, C3-8 cycloalkyl, or (CH2) ⁇ -4CF3;
- Rl is selected from unsubstituted, mono-, di- or tri-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, N(Rl6) 2 , NR1 6 C0R1 8 , NRl 6 COR 2 0,
- R 2 and R' are each independently selected from hydrogen, Cl-8 alkyl, C4-8 cycloalkyl or (CH 2 )l-4CF 3 ;
- Rl3 and Rl 4 are each independently selected from hydrogen,
- (CH2)0-4CO2R1 or Cl-4 alkyl or unsubstituted, mono-, di- or tri- substituted: pyridyl, thienyl, furanyl or naphthyl wherein the substituents on the pyridyl, thienyl, furanyl or naphthyl are independently selected from CF3, phenyl, OR ⁇ , halogen, Cl-4 alkyl or C3-8 cycloalkyl;
- E, G, L, M and J are each independently selected from hydrogen, Cl-8 alkyl, C3-8 cycloalkyl, or (CH2) ⁇ -4CF3;
- Rl is ' selected from unsubstituted, mono-, di- or tri-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, N(Rl6) 2 , N 16C0R 8 , NR16CON(R18) 2 ,
- R 2 and R" 7 are each independently selected from hydrogen, Cl-8 alkyl, C4-8 cycloalkyl or (CH2)l-4CF3;
- R!3 and Rl 4 are each independently selected from hydrogen
- a first class of the invention is the compound of the formula selected from
- Rl is selected from unsubstituted, mono-, di- or tri-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, N(Rl6) 2 , NR1 6 C0R1 8 , NRl6COR 0, NRl6C0N(Rl 8 )2, NRI6SO2RI 8 , O l , (CH2) ⁇ -2C ⁇ 2Rl 6 , (CH 2 ) ⁇ -
- Ci-4 alkyl or unsubstituted thiazolyl; or unsubstituted isoquinolinyl;
- R 2 and R '7 are each independently selected from hydrogen, C -Q alkyl, C4-6 cycloalkyl or (CH 2 )l-4CF3;
- R4 is selected from hydrogen, CORl 5 , (CH2) ⁇ -2C ⁇ 2Rl 6 , S ⁇ 2Rl 5 or
- R is selected from hydrogen, Ci-6 alkyl, C3-6 cycloalkyl, (CH 2 )l-3 ⁇ Rl ⁇ or (CH2) ⁇ -3CF3;
- R 8 , R ⁇ and RlO are each independently selected from hydrogen, Ci-6 alkyl, C3-6 cycloalkyl, (CH2)2-4 ⁇ Rl ⁇ or (CH2) ⁇ -2CF3;
- Rl3 is selected from hydrogen, Ci-6 alkyl, C3-6 cycloalkyl, (CH2)2-4 ⁇ Rl ⁇ , (CH2) ⁇ -2CF3 or unsubstituted, mono- or di-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, amino, ORl , CO2RI or Cl-4 alkyl;
- Rl ⁇ is selected from hydrogen, Ci-6 alkyl, C3-6 cycloalkyl or (CH 2 )0-2CF 3 ;
- Rl6 and Rl 8 are each independently selected from hydrogen, Ci-6 alkyl, C4-6 cycloalkyl or (CH2)l-2CF3;
- R 9 is selected from hydrogen, Ci-6 alkyl, C3-6 cycloalkyl, (CH 2 )0-4 ⁇ Rl ⁇ or (CH 2 ) ⁇ -2CF3;
- p is an integer from one to two; q is an integer from zero to three; t is an integer from zero to four; and all other variables are as defined previously in the second embodiment; and the pharmaceutically acceptable salts thereof.
- p is an integer from one to two; q is an integer from zero to three; t is an integer from zero to four; and all other variables are as defined previously in the second embodiment; and the pharmaceutically acceptable salts thereof.
- a second class of the invention is the compound of the formula
- Rl is selected from unsubstituted, mono-, di- or tri-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, N(Rl6) 2 , NR16COR1 8 , NRI6SO2RI 8 , ORl ⁇ , (CH 2 )0-2CO 2 Rl 6 , (CH 2 )0-2CON(Rl6)2, (CH 2 )0-2SO 2 Rl 5 , (CH 2 ) ⁇ - 2S02N(Rl6)2 or Cl-4 alkyl; or unsubstituted, mono- or di-substituted pyridyl wherein the substituents on the pyridyl are independently selected from CF3, cyano, nitro, amino, NR1 6 C0R1 8 , NRI6SO2RI 8 ,
- R 2 and R ⁇ are each independently selected from hydrogen, Ci- ⁇ alkyl, C4-6 cycloalkyl or (CH )l-4CF3;
- R 4 is selected from CORl ⁇ , (CH2) ⁇ -2C ⁇ 2Rl 6 , SO 2 Rl 5 or R ⁇ is selected from hydrogen, Cl-6 alkyl, C3-6 cycloalkyl, (CH2)l-3 ⁇ Rl ⁇ or (CH2) ⁇ -3CF3; and
- R 8 , R9 and RlO are each independently selected from hydrogen, Ci-6 alkyl, C3-6 cycloalkyl, (CH2)2-4 ⁇ Rl ⁇ or (CH2) ⁇ -2CF3;
- Rl3 is selected from hydrogen, Ci- alkyl, C3-6 cycloalkyl, (CH2)2-4 ⁇ Rl ⁇ , (CH2) ⁇ -2CF3 or unsubstituted, mono- or di-substituted phenyl wherein the substituents on the phenyl are independently selected from halogen, CF3, cyano, nitro, amino, OR ⁇ , CO2RI or Cl-4 alkyl;
- Rl is selected from hydrogen, Cl- alkyl, C3-6 cycloalkyl or (CH 2 )0-2CF 3 ;
- Rl6 and R 8 are each independently selected from hydrogen, Cl-6 alkyl, C4-6 cycloalkyl or (CH 2 )l-2CF 3 ;
- Rl9 is selected from hydrogen, Cl- alkyl, C3-6 cycloalkyl, (CH 2 )0-4 ⁇ Rl ⁇ or (CH 2 ) ⁇ -2CF 3 ;
- p is an integer from one to two; q is an integer from zero to three; t is an integer from zero to four; and all other variables are as defined previously in the third embodiment; and the pharmaceutically acceptable salts thereof.
- A is C-R17 or N
- R 2 is selected from hydrogen or CH2CF3;
- R9 is selected from hydrogen or Cl-4 alkyl
- each Rl7 is independently selected from hydrogen, halogen, CF3, cyano, nitro, amino, N l ⁇ CORl 8 , NR16C0N(R1 8 )2, N 16CONR 6CON(R1 8 )2, NRI6SO2RI 8 , NRl6COR 0, ORl ⁇ , CO2RI 6 , CON(Rl6) 2 , SO 2 N(Rl6) 2 , SO2Rl 5 or Cl-4 alkyl;
- each X is halogen
- n is an integer from zero to one; and q and s are each independently an integer from zero to two; and all other variables are as defined above in the first class; and the pharmaceutically acceptable salts thereof.
- A is C-Rl 7 or N;
- R 2 is selected from hydrogen or CH2CF3;
- R9 is selected from hydrogen or Cl-4 alkyl
- each Rl? is independently selected from hydrogen, halogen, CF3, cyano, nitro, amino, NR1 6 C0R1 8 , NR16SO2R1 8 , ORl ⁇ , CO2RI 6 , CON(Rl 6 )2, S ⁇ 2N(Rl 6 )2, SO2R 15 or C1-4 alkyl;
- each X is halogen
- n is an integer from zero to one; and q and s are each independently an integer from zero to two; and all other variables are as defined above in the second class; and the pharmaceutically acceptable salts thereof.
- n is an integer from zero to one; and q and s are each independently an integer from zero to two; and all other variables are as defined above in the second class; and the pharmaceutically acceptable salts thereof.
- each Rl7 is independently selected from hydrogen, halogen, CF3, cyano, nitro, amino, NHCONH2, NHCONHCONH2, NHCO-furanyl, NHCONH Ci-4 alkyl, Cl-4 alkoxy, OCF3, OCH2CF3, CO2-C1-4 alkyl, CONH2, SO2NH2, SO2C1-4 alkyl, NHSO2C1-4 alkyl, SO2C1-4 alkylpiperazinyl or C1-4 alkyl;, and all other variables are as defined above in the first subclass; and the pharmaceutically acceptable salts thereof.
- each Rl? is independently selected from hydrogen, halogen, CF3, cyano, nitro, amino, Cl-4 alkoxy, OCH2CF3, CO2-C1-4 alkyl, CONH2 or C1-4 alkyl; and all other variables are as defined above in the second subclass; and the pharmaceutically acceptable salts thereof.
- Exemplifying the invention is the compound selected from
- An illustration of the invention is a pharmaceutical composition comprising a therapeutically effective amount of any of the compounds described above and a pharmaceutically acceptable carrier.
- An example of the invention is a pharmaceutical composition made by combining any of the compounds described above and a pharmaceutically acceptable carrier.
- Another illustration of the invention is a process for making a pharmaceutical composition comprising combining any of the compounds described above and a pharmaceutically acceptable carrier.
- the composition further comprising a therapeutically effective amount of a testosterone 5-alpha reductase inhibitor.
- the testosterone 5-alpha reductase inhibitor is a type 1, a type 2, both a type 1 and a type 2 (i.e., a three component combination comprising any of the compounds described above combined with both a type 1 testosterone 5-alpha reductase inhibitor and a type 2 testosterone 5-alpha reductase inhibitor) or a dual type 1 and type 2 testosterone 5-alpha reductase inhibitor.
- the testosterone 5-alpha reductase inhibitor is a type 2 testosterone 5-alpha reductase inhibitor.
- the testosterone 5-alpha reductase inhibitor is finasteride.
- More specifically illustrating the invention is a method of treating benign prostatic hyperplasia in a subject in need thereof which comprises administering to the subject a therapeutically effective amount of any of the compounds (or any of the compositions) described above.
- the invention is the method of treating BPH wherein the compound (or composition) additionally does not cause a fall in blood pressure at dosages effective to alleviate BPH.
- Another illustration of the invention is the method of treating benign prostatic hyperplasia wherein the compound is administered in combination with a testosterone 5-alpha reductase inhibitor.
- the testosterone 5-alpha reductase inhibitor is finasteride.
- a method of inhibiting contraction of prostate tissue or relaxing lower urinary tract tissue in a subject in need thereof which comprises administering to the subject a therapeutically effective amount of any of the compounds (or any of the compositions) described above.
- More specifically exemplifying the invention is the method of inhibiting contraction of prostate tissue or relaxing lower urinary tract tissue wherein the compound (or composition) additionally does not cause a fall in blood pressures at dosages effective to inhibit contraction of prostate tissue.
- More particularly illustrating the invention is the method of inhibiting contraction of prostate tissue or relaxing lower urinary tract tissue wherein the compound (or composition) is administered in combination with a testosterone 5-alpha reductase inhibitor; preferably, the testosterone 5-alpha reductase inhibitor is finasteride.
- More particularly exemplifying the invention is a method of treating a disease which is susceptible to treatment by antagonism of the alpha la receptor which comprises administering to a subject in need thereof an amount of any of the compounds described above effective to treat the disease.
- Diseases which are susceptible to treatment by antagonism of the alpha la receptor include, but are not limited to, BPH, high intraocular pressure, high cholesterol, impotency, sympathetically mediated pain, migraine (see, K.A. Vatz, Headache 1997:37: 107-108) and cardiac arrhythmia.
- An additional illustration of the invention is the use of any of the compounds described above in the preparation of a medicament for: a) the treatment of benign prostatic hyperplasia; b) relaxing lower urinary tract tissue; or c) inhibiting contraction of prostate tissue; in a subject in need thereof.
- An additional example of the invention is the use of any of the alpha la antagonist compounds described above and a 5-alpha reductase inhibitor for the manufacture of a medicament for: a) treating benign prostatic hyperplasia; b) relaxing lower urinary tract tissue; or c) inhibiting contraction of prostate tissue which comprises an effective amount of the alpha la antagonist compound and an effective amount of 5-alpha reductase inhibitor, together or separately.
- Representative compounds of the present invention exhibit high selectivity for the human alpha la adrenergic receptor.
- One implication of this selectivity is that these compounds display selectivity for lowering intraurethral pressure without substantially affecting diastolic blood pressure.
- Representative compounds of this invention display submicromolar affinity for the human alpha la adrenergic receptor subtype while displaying at least ten-fold lower affinity for the human alphald and alprenz adrenergic receptor subtypes, and many other G- protein coupled human receptors.
- Particular representative compounds of this invention exhibit nanomolar and subnanomolar affinity for the human alpha la adrenergic receptor subtype while displaying at least 30 fold lower affinity for the human alphald and alprenz adrenergic receptor subtypes, and many other G-protein coupled human receptors (e.g., serotonin, dopamine, alpha 2 adrenergic, beta adrenergic or muscarinic receptors).
- G-protein coupled human receptors e.g., serotonin, dopamine, alpha 2 adrenergic, beta adrenergic or muscarinic receptors.
- the salts of the compounds of this invention refer to non- toxic "pharmaceutically acceptable salts.”
- Other salts may, however, be useful in the preparation of the compounds according to the invention or of their pharmaceutically acceptable salts.
- Suitable pharmaceutically acceptable salts of the compounds of this invention include acid addition salts which may, for example, be formed by mixing a solution of the compound according to the invention with a solution of a pharmaceutically acceptable acid such as hydrochloric acid, sulphuric acid, fumaric acid, maleic acid, succinic acid, acetic acid, benzoic acid, citric acid, tartaric acid, carbonic acid or phosphoric acid.
- suitable pharmaceutically acceptable salts thereof may include alkali metal salts, e.g. sodium or potassium salts; alkaline earth metal salts, e.g. calcium or magnesium salts; and salts formed with suitable organic ligands, e.g. quaternary ammonium salts.
- representative pharmaceutically acceptable salts include the following: Acetate, Benzenesulfonate, Benzoate, Bicarbonate, Bisulfate, Bitartrate, Borate, Bromide, Calcium, Camsylate, Carbonate, Chloride, Clavulanate, Citrate, Dihydrochloride, Edetate, Edisylate, Estolate, Esylate, Fumarate, Gluceptate, Gluconate, Glutamate, Glycollylarsanilate, Hexylresorcinate, Hydrabamine, Hydrobromide, Hydrochloride, Hydroxynaphthoate, Iodide, Isothionate, Lactate, Lactobionate, Laurate, Malate, Maleate, Mandelate, Mesylate,
- compounds of this invention are used to reduce the acute symptoms of BPH.
- compounds of this invention may be used alone or in conjunction with a more long-term anti-BPH therapeutics, such as testosterone 5-a reductase inhibitors, including PROSCAR® (finasteride).
- a more long-term anti-BPH therapeutics such as testosterone 5-a reductase inhibitors, including PROSCAR® (finasteride).
- these compounds may be used to induce highly tissue-specific, localized alpha la adrenergic receptor blockade whenever this is desired. Effects of this blockade include reduction of intra-ocular pressure, control of cardiac arrhythmias, and possibly a host of alpha la receptor mediated central nervous system events.
- the present invention includes within its scope prodrugs of the compounds of this invention.
- prodrugs will be functional derivatives of the compounds of this invention which are readily convertible in vivo into the required compound.
- the term “administering” shall encompass the treatment of the various conditions described with the compound specifically disclosed or with a compound which may not be specifically disclosed, but which converts to the specified compound in vivo after administration to the patient.
- Conventional procedures for the selection and preparation of suitable prodrug derivatives are described, for example, in "Design of Prodrugs," ed. H. Bundgaard, Elsevier, 1985. Metabolites of these compounds include active species produced upon introduction of compounds of this invention into the biological milieu.
- the compounds according to the invention may accordingly exist as enantiomers. Where the compounds according to the invention possess two or more chiral centers, they may additionally exist as diastereoisomers. It is to be understood that all such isomers and mixtures thereof are encompassed within the scope of the present invention. Furthermore, some of the crystalline forms for compounds of the present invention may exist as polymorphs and as such are intended to be included in the present invention. In addition, some of the compounds of the present invention may form solvates with water (i.e., hydrates) or common organic solvents. Such solvates are also encompassed within the scope of this invention.
- alkyl shall mean straight or branched chain alkanes of one to ten total carbon atoms, or any number within this range (i.e., methyl, ethyl, 1-propyl, 2-propyl, n-butyl, s-butyl, t-butyl, etc.).
- alkenyl shall mean straight or branched chain alkenes of two to ten total carbon atoms, or any number within this range.
- aryl refers to unsubstituted, mono- or poly-substituted aromatic groups such as phenyl or naphthyl.
- cycloalkyl shall mean cyclic rings of alkanes of three to eight total carbon atoms (i.e., cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, cycloheptyl or cyclooctyl).
- alkyl or aryl or either of their prefix roots appear in a name of a substituent (e.g., aralkoxyaryloxy) it shall be interpreted as including those limitations given above for "alkyl” and "aryl.”
- Designated numbers of carbon atoms e.g., Ci-io
- Ci-io shall refer independently to the number of carbon atoms in an alkyl or cyclic alkyl moiety or to the alkyl portion of a larger substituent in which alkyl appears as its prefix root.
- halogen shall include iodine, bromine, chlorine and fluorine.
- substituted shall be deemed to include multiple degrees of substitution by a named substituent.
- poly- substituted as used herein shall include di-, tri-, tetra- and penta- substitution by a named substituent.
- a poly-substituted moiety is di-, tri- or tetra-substituted by the named substituents, most preferably, di- or tri-substituted.
- any substituent or variable e.g., X, Rl6, Rl 8
- - N( l6)2 represents -NH2, -NHCH3, -NHC2H5, -N(CH3)C2H5, etc.
- substituents and substitution patterns on the compounds of the instant invention can be selected by one of ordinary skill in the art to provide compounds that are chemically stable and that can be readily synthesized by techniques known in the art as well as those methods set forth below.
- substituted compound can be independently substituted by one or more of the disclosed or claimed substituent moieties, singly or plurally.
- heterocycle or heterocyclic ring represents an unsubstituted or substituted stable 5- to 7-membered monocyclic ring system which may be saturated or unsaturated, and which consists of carbon atoms and from one to three heteroatoms selected from N, O or S, and wherein the nitrogen and sulfur heteroatoms may optionally be oxidized, and the nitrogen heteroatom may optionally be quaternized.
- the heterocyclic ring may be attached at any heteroatom or carbon atom which results in the creation of a stable structure.
- heterocyclic groups include, but is not limited to, piperidinyl, piperazinyl, oxopiperazinyl, oxopiperidinyl, oxopyrrolidinyl, oxoazepinyl, azepinyl, pyrrolyl, pyrrolidinyl, furanyl, thienyl, pyrazolyl, pyrazolidinyl, imidazolyl, imidazolinyl, imidazolidinyl, pyridyl, pyrazinyl, pyrimidinyl, pyridazinyl, oxazolyl, oxazolidinyl, isooxazolyl, isoxazolidinyl, morpholinyl, thiazolyl, thiazolidinyl, isothiazolyl, thiadiazol l, tetrahydropyranyl, thiamorpholinyl, thiamorpholinyl,
- activated (+)-DHP refers to a N- 3-(activated)carbamate of the desired dihydropyrimidinone where the activating group is, for example, a p-nitrophenyloxy group.
- a specific example of an activated (+)-DHP is 4-(3,4-difluorophenyl)-5- methoxycarbonyl-6-methoxvmethyl-2-oxo-l,2,3,4-tetrahydropyrimidine- 3-carboxylic acid (4-nitrophenyl ester), also referred to as the compound 2.
- (S)-oxa refers to an oxazolidinone group of the formula
- activated (S)-oxa refers to an N- (activated)carbamate of the desired oxazolidinone where the activating group is, for example, a p-nitrophenyloxy group.
- a specific example of an activated (S)-oxa group is 4-(3,4-difluorophenyl)-2-oxo-oxazolidine-3- carboxylic acid 4-nitrophenyl ester (i.e., compound 3).
- selective alpha la adrenergic receptor antagonist refers to an alpha la antagonist compound which is at least ten fold selective for the human alpha la adrenergic receptor as compared to the human alpha lb, alpha Id, alpha 2a, alpha 2b and alpha 2c adrenergic receptors.
- lower urinary tract tissue refers to and includes, but is not limited to, prostatic smooth muscle, the prostatic capsule, the urethra and the bladder neck.
- subject refers to an animal, preferably a mammal, most preferably a human, who has been the object of treatment, observation or experiment.
- terapéuticaally effective amount means that amount of active compound or pharmaceutical agent that elicits the biological or medicinal response in a tissue, system, animal or human that is being sought by a researcher, veterinarian, medical doctor or other clinician, which includes alleviation of the symptoms of the disease being treated.
- the present invention also provides pharmaceutical compositions comprising one or more compounds of this invention in association with a pharmaceutically acceptable carrier.
- compositions are in unit dosage forms such as tablets, pills, capsules, powders, granules, sterile parenteral solutions or suspensions, metered aerosol or liquid sprays, drops, ampoules, auto- injector devices or suppositories; for oral, parenteral, intranasal, sublingual or rectal administration, or for administration by inhalation or insufflation.
- the compositions may be presented in a form suitable for once-weekly or once-monthly administration; for example, an insoluble salt of the active compound, such as the decanoate salt, may be adapted to provide a depot preparation for intramuscular injection.
- a pharmaceutical carrier e.g.
- a solid preformulation composition containing a homogeneous mixture of a compound of the present invention, or a pharmaceutically acceptable salt thereof.
- preformulation compositions as homogeneous, it is meant that the active ingredient is dispersed evenly throughout the composition so that the composition may be readily subdivided into equally effective unit dosage forms such as tablets, pills and capsules.
- This solid preformulation composition is then subdivided into unit dosage forms of the type described above containing from 0.1 to about 500 mg of the active ingredient of the present invention.
- the tablets or pills of the novel composition can be coated or otherwise compounded to provide a dosage form affording the advantage of prolonged action.
- the tablet or pill can comprise an inner dosage and an outer dosage component, the latter being in the form of an envelope over the former.
- the two components can be separated by an enteric layer which serves to resist disintegration in the stomach and permits the inner component to pass intact into the duodenum or to be delayed in release.
- enteric layers or coatings such materials including a number of polymeric acids and mixtures of polymeric acids with such materials as shellac, cetyl alcohol and cellulose acetate.
- composition is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
- liquid forms in which the novel compositions of the present invention may be incorporated for administration orally or by injection include aqueous solutions, suitably flavoured syrups, aqueous or oil suspensions, and flavoured emulsions with edible oils such as cottonseed oil, sesame oil, coconut oil or peanut oil, as well as elixirs and similar pharmaceutical vehicles.
- Suitable dispersing or suspending agents for aqueous suspensions include synthetic and natural gums such as tragacanth, acacia, alginate, dextran, sodium carboxymethylcellulose, methylcellulose, polyvinyl-pyrrolidone or gelatin.
- the processes for the preparation of the compounds according to the invention give rise to mixtures of stereoisomers
- these isomers may be separated by conventional techniques such as preparative chromatography.
- the compounds may be prepared in racemic form, or individual enantiomers may be prepared either by enantiospecific synthesis or by resolution.
- the compounds may, for example, be resolved into their component enantiomers by standard techniques, such as the formation of diastereomeric pairs by salt formation with an optically active acid, such as (-)-di-p-toluoyl-d-tartaric acid and/or (+)-di-p-toluoyl-l-tartaric acid followed by fractional crystallization and regeneration of the free base.
- the compounds may also be resolved by formation of diastereomeric esters or amides, followed by chromatographic separation and removal of the chiral auxiliary. Alternatively, the compounds may be resolved using a chiral HPLC column.
- any of the processes for preparation of the compounds of the present invention it may be necessary and/or desirable to protect sensitive or reactive groups on any of the molecules concerned. This may be achieved by means of conventional protecting groups, such as those described in Protective Groups in Organic
- the protecting groups may be removed at a convenient subsequent stage using methods known from the art.
- the specificity of binding of compounds showing affinity for the alpha la receptor is shown by comparing affinity to membranes obtained from tranfected cell lines that express the alpha la receptor and membranes from cell lines or tissues known to express other types of alpha (e.g., alpha Id, alpha lb) or beta adrenergic receptors.
- the ability of compounds of the present invention to specifically bind to the alpha la receptor makes them useful for the treatment of BPH.
- the specificity of binding of compounds showing affinity for the alpha la receptor is compared against the binding affinities to other types of alpha or beta adrenergic receptors.
- the human alpha adrenergic receptor of the la subtype was recently identified, cloned and expressed as described in PCT International Application Publication Nos. WO94/08040, published 14 April 1994 and WO 94/21660, published 29 September 1994.
- the cloned human alpha la receptor when expressed in mammalian cell lines, is used to discover ligands that bind to the receptor and alter its function. Expression of the cloned human alpha Id, alpha lb, and alpha la receptors and comparison of their binding properties with known selective antagonists provides a rational way for selection of compounds and discovery of new compounds with predictable pharmacological activities.
- Compounds of this invention exhibiting human alpha la adrenergic receptor antagonism may further be defined by counterscreening. This is accomplished according to methods known in the art using other receptors responsible for mediating diverse biological functions. [See e.g.. PCT International Application Publication No. WO94/10989, published 26 May 1994; U.S. Patent No. 5,403,847, issued April 4, 1995]. Compounds which are both selective amongst the various human alphal adrenergic receptor subtypes and which have low affinity for other receptors, such as the alpha2 adrenergic receptors, the ⁇ - adrenergic receptors, the muscarinic receptors, the serotonin receptors, and others are particularly preferred.
- the present invention also has the objective of providing suitable topical, oral, systemic and parenteral pharmaceutical formulations for use in the novel methods of treatment of the present invention.
- compositions containing compounds of this invention as the active ingredient for use in the specific antagonism of human alpha la adrenergic receptors can be administered in a wide variety of therapeutic dosage forms in conventional vehicles for systemic administration.
- the compounds can be administered in such oral dosage forms as tablets, capsules (each including timed release and sustained release formulations), pills, powders, granules, elixirs, tinctures, solutions, suspensions, syrups and emulsions, or by injection.
- intravenous both bolus and infusion
- intraperitoneal subcutaneous
- topical with or without occlusion
- intramuscular form all using forms well known to those of ordinary skill in the pharmaceutical arts.
- An effective but non-toxic amount of the compound desired can be employed as an alpha la antagonistic agent.
- compounds of the present invention may be administered in a single daily dose, or the total daily dosage may be administered in divided doses of two, three or four times daily.
- compounds for the present invention can be administered in intranasal form via topical use of suitable intranasal vehicles, or via transdermal routes, using those forms of transdermal skin patches well known to those of ordinary skill in that art.
- the dosage administration will, of course, be continuous rather than intermittent throughout the dosage regimen.
- the dosage regimen utilizing the compounds of the present invention is selected in accordance with a variety of factors including type, species, age, weight, sex and medical condition of the patient; the severity of the condition to be treated; the route of administration; the renal and hepatic function of the patient; and the particular compound thereof employed.
- a physician or veterinarian of ordinary skill can readily determine and prescribe the effective amount of the drug required to prevent, counter or arrest the progress of the condition.
- Optimal precision in achieving concentration of drug within the range that yields efficacy without toxicity requires a regimen based on the kinetics of the drug's availability to target sites. This involves a consideration of the distribution, equilibrium, and elimination of a drug.
- the compounds herein described in detail can form the active ingredient, and are typically administered in admixture with suitable pharmaceutical diluents, excipients or carriers (collectively referred to herein as "carrier” materials) suitably selected with respect to the intended form of administration, that is, oral tablets, capsules, elixirs, syrups and the like, and consistent with conventional pharmaceutical practices.
- carrier suitable pharmaceutical diluents, excipients or carriers
- suitable pharmaceutical diluents, excipients or carriers suitably selected with respect to the intended form of administration, that is, oral tablets, capsules, elixirs, syrups and the like, and consistent with conventional pharmaceutical practices.
- the active drug component can be combined with an oral, non-toxic pharmaceutically acceptable inert carrier such as ethanol, glycerol, water and the like.
- suitable binders include, without limitation, starch, gelatin, natural sugars such as glucose or beta-lactose, corn sweeteners, natural and synthetic gums such as acacia, tragacanth or sodium alginate, carboxymethylcellulose, polyethylene glycol, waxes and the like.
- Lubricants used in these dosage forms include, without limitation, sodium oleate, sodium stearate, magnesium stearate, sodium benzoate, sodium acetate, sodium chloride and the like.
- Disintegrators include, without limitation, starch, methyl cellulose, agar, bentonite, xanthan gum and the like.
- the liquid forms in suitably flavored suspending or dispersing agents such as the synthetic and natural gums, for example, tragacanth, acacia, methyl-cellulose and the like.
- Other dispersing agents which may be employed include glycerin and the like.
- sterile suspensions and solutions are desired.
- Isotonic preparations which generally contain suitable preservatives are employed when intravenous administration is desired.
- the compounds of the present invention can also be administered in the form of liposome delivery systems, such as small unilamellar vesicles, large unilamellar vesicles and multilamellar vesicles.
- Liposomes can be formed from a variety of phospholipids, such as cholesterol, stearylamine or phosphatidylcholines.
- Compounds of the present invention may also be delivered by the use of monoclonal antibodies as individual carriers to which the compound molecules are coupled.
- the compounds of the present invention may also be coupled with soluble polymers as targetable drug carriers.
- Such polymers can include polyvinyl- pyrrolidone, pyran copolymer, polyhydroxypropylmethacryl- amidephenol, polyhydroxy-ethylaspartamidephenol, or polyethyl- eneoxidepolylysine substituted with palmitoyl residues.
- the compounds of the present invention may be coupled to a class of biodegradable polymers useful in achieving controlled release of a drug, for example, polylactic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydro-pyrans, polycyanoacrylates and cross-linked or amphipathic block copolymer s of hydrogels.
- a drug for example, polylactic acid, polyepsilon caprolactone, polyhydroxy butyric acid, polyorthoesters, polyacetals, polydihydro-pyrans, polycyanoacrylates and cross-linked or amphipathic block copolymer s of hydrogels.
- compositions of this invention may be administered in any of the foregoing compositions and according to dosage regimens established in the art whenever specific blockade of the human alpha la adrenergic receptor is required.
- the daily dosage of the products may be varied over a wide range from 0.01 to 1,000 mg per adult human per day.
- the compositions are preferably provided in the form of tablets containing 0.01, 0.05, 0.1, 0.5, 1.0, 2.5, 5.0, 10.0, 15.0, 25.0, 50.0 and 100 milligrams of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated.
- a medicament typically contains from about 0.01 mg to about 500 mg of the active ingredient, preferably, from about 1 mg to about 100 mg of active ingredient.
- An effective amount of the drug is ordinarily supplied at a dosage level of from about 0.0002 mg/kg to about 20 mg/kg of body weight per day.
- the range is from about 0.001 to 10 mg/kg of body weight per day, and especially from about 0.001 mg/kg to 7 mg/kg of body weight per day.
- the compounds may be administered on a regimen of 1 to 4 times per day.
- Compounds of this patent disclosure may be used alone at appropriate dosages defined by routine testing in order to obtain optimal antagonism of the human alpha la adrenergic receptor while minimizing any potential toxicity.
- co-administration or sequential administration of other agents which alleviate the effects of BPH is desirable.
- this includes administration of compounds of this invention and a human testosterone 5-a reductase inhibitor. Included with this embodiment are inhibitors of 5-alpha reductase isoenzyme 2.
- PROSCAR® also known as finasteride, a 4-Aza-steroid; see US Patents 4,377,584 and 4,760,071, for example.
- PROSCAR® which is principally active in prostatic tissue due to its selectivity for human 5- a reductase isozyme 2
- combinations of compounds which are specifically active in inhibiting testosterone 5-alpha reductase isozyme 1 and compounds which act as dual inhibitors of both isozymes 1 and 2 are useful in combination with compounds of this invention.
- dosages of the 5-alpha reductase inhibitor and the alpha la adrenergic receptor antagonist may be independently optimized and combined to achieve a synergistic result wherein the pathology is reduced more than it would be if either agent were used alone.
- the individual components of the combination can be administered separately at different times during the course of therapy or concurrently in divided or single combination forms. The instant invention is therefore to be understood as embracing all such regimes of simultaneous or alternating treatment and the term "administering" is to be interpreted accordingly.
- a method of treating BPH comprises administering to a subject in need of treatment any of the compounds of the present invention in combination with finasteride effective to treat BPH.
- the dosage of finasteride administered to the subject is about 0.01 mg per subject per day to about 50 mg per subject per day in combination with an alpha la antagonist.
- the dosage of finasteride in the combination is about 0.2 mg per subject per day to about 10 mg per subject per day, more preferably, about 1 to about 7 mg per subject to day, most preferably, about 5 mg per subject per day.
- compounds of this invention exhibiting alpha la adrenergic receptor blockade can be combined with a therapeutically effective amount of a 5a-reductase 2 inhibitor, such as finasteride, in addition to a 5a- reductase 1 inhibitor, such as 4,7b-dimethyl-4-aza-5a-cholestan-3- one, in a single oral, systemic, or parenteral pharmaceutical dosage formulation.
- a combined therapy can be employed wherein the alpha la adrenergic receptor antagonist and the 5a- reductase 1 or 2 inhibitor are administered in separate oral, systemic, or parenteral dosage formulations. See, e.g., U.S. Patent No.'s 4,377,584 and 4,760,071 which describe dosages and formulations for 5a-reductase inhibitors.
- BCE bromochloroethane
- BINAP 2,2'-Bis(diphenylphosphino)-l,l'-binaphthyl
- BOPC1 bis(2-oxo-3-oxazolidinyl)phosphinic chloride
- Cbz-Cl benzyloxycarbonyl chloride
- dba dibenzylideneacetone
- DEAD diethylazodicarboxylate
- FABLRMS fast atom bombardment low resolution mass spectroscopy
- HOBt 1-hydroxy benzotriazole hydrate
- i-PrOH 2-propanol
- i-Pr2NEt diisopropylethylamine
- LAH lithium aluminum hydride
- mCPBA meta-chloroperbenzoic acid
- NMR nuclear magnetic resonance
- PCTLC preparative centrifugal thin layer chromatography
- PEI polyethylenimine
- TEBAC benzyltriethylammonium chloride
- TFA trifluoroacetic acid
- THF tetrahydrofuran
- TLC thin layer chromatography
- the compounds of the present invention can be prepared readily according to the following reaction schemes and examples, or modifications thereof, using readily available starting materials, reagents and conventional synthesis procedures. In these reactions, it is also possible to make use of variants which are themselves known to those of ordinary skill in this art, but are not mentioned in greater detail. Unless otherwise indicated, all variables are as defined above.
- the preparation of key intermediates for the compounds of the present invention was accomplished via either Pd mediated coupling reactions or direct nucleophilic displacement, as outlined in Schemes 1 and 2.
- the products, typically ketals, were deketalized under acidic conditions.
- the resulting ketones can be further elaborated, for instance, via enolate alkylation.
- the activated termini species comprising the "Q" groups are readily prepared by one of ordinary skill in the art.
- oxazolidinones are prepared and activated in general by published and well developed chemistry, in particular, of Evans. [Evans, D.A.; Nelson, J.V.; Taber, T.R. Top. Stereochem. 13, 1 (1982)]
- the starting materials are natural and unnatural amino acids.
- some of the preferred compounds are prepared from substituted phenyl glycine derivatives, which after reduction of the carboxylate and a phosgene equivalent mediated cyclization provides the substituted oxazolidinone ring system. Deprotonation with n-butyl lithium and addition to a THF solution of p-nitrophenylchloroformate produces the stable, isolable "activated'Oxazolidinone (oxa).
- Dihydropyrimidinones are prepared by condensation reaction of the aldehyde, urea and a 1,3-acetoacetate type derivative catalyzed by a Lewis Acid, a copper (I) species and acetic acid.
- Activation was accomplished by treatment with a strong base, for instance, LiN(TMS)2, followed by addition to a THF solution of p- nitrophenylchloroformate .
- a strong base for instance, LiN(TMS)2
- Hydantoins and cycloimide were prepared in two chemical steps from ketones as outlined in the literature. More specifically, hydantoins were prepared according to known methodology, e.g., J.J. Edmunds et al., J. Med. Chem. 1995, 38, pp. 3759-3771; J.H. Poupaert et al., J. Chem. Res. 1979, pp. 174-175. Saccharins were prepared according to known methods, e.g., page 40 and Examples 21 and 22 of PCT International Application Publication No. WO96/25934, published August 29, 1996.
- the dihydropyrimidinones and oxazolidinones were synthesized independently in racemic form, and then separated utilizing preparative chiral HPLC. Their optical rotations were recorded. Then they were activated and reacted with prerequisite amines. From the receptor binding studies, a preferred isomer was identified, the (+) rotational isomer in each case.
- the absolute configurations were determined to be (S) for both the dihydropyrimidinones and oxazolidinones by correlating their optical rotations with x-ray crystal structures obtained of fragments involved in the production of the antagonists. SCHEME 1
- R >1"7 Me, OMe, OCH 3 , OCH 2 CF 3
- N-(2-(2.2.2-Trifluoroethoxy)phenyl)-4-piperidone propylene ketal (51)
- a solution of 50 (1.786 g, 7.00 mmol) and 4-piperidone propylene ketal (2.645 g, 16.82 mmol) in toluene (30 mL) was treated with sodium tert-butoxide (1.88 g, 19.56 mmol), (S)-BINAP (44 mg, 0.07 mmol), and tris(dibenzylideneacetone)dipalladium(0) (32 mg, 0.035 mmol) at room temperature.
- the mixture was heated in an oil bath (80 °C, 3 h).
- the mixture was diluted with ether and brine.
- the aqueous layer was extracted with two additional portions of ether and the combined organic extracts were washed with brine, dried over Na2SO4, and concentrated under reduced pressure.
- PCTLC SiO 2 , 6mm, 20%
- N-(2-Cvanophenyl)-2-pyrrolidinone (58) A solution of oxalyl chloride (1.58 g, 12.46 mmol) in dichloromethane (50 mL) was treated with DMSO (1.95 g, 24.94 mmol) at -78 °C. The mixture was stirred at -78 °C (10 min) followed by addition of a solution of 57 (2.34 g, 12.43 mmol) in dichloromethane (20 mL) over 10 min. The mixture was stirred at -78 °C (30 min) followed by addition of a triethylamine (4.28 g, 42.33 mmol) over 5 min.
- (+)-4-(3,4-difluorophenyl)-6-methoxymethyl- 2-oxo-l,2, 3,4-tetrahydropyrimidine-5-carboxylic acid methyl ester (4.63 g, 14.7 mmol) in a methanol (100 ml) was added sodium hydroxide (2.94 g, 73.6 mmol). The resulting mixture was refluxed at 90 °C for 16 hours. After cooling to room temperature the solvent was removed in vacuo. The solid was dissolved in CH 2 C1 2 and H 2 O then neutralized with 10% aqueous HCI solution.
- (+)-4-(3,4-difluorophenyl)-6-methoxymethyl- 2-oxo-l,2,3,4-tetrahydropyrimidine-5-carboxylic acid methyl ester 5.36 g, 17.0 mmol
- a methanol 150 ml
- IN NaOH 10 ml
- the resulting mixture was refluxed at 90 °C for 16 hours. After cooling to room temperature the solvent was removed in vacuo.
- the solid was dissolved in CH 2 C1 2 and H 2 O then neutralized with 10% aqueous HCI solution.
- Compounds of the invention can be prepared by reacting the product obtained in Example 72 with a l-aryl-4-(2- aminoethylamino)piperidine (e.g., compound 42 of Example 40) in accordance with Scheme 2.
- Compounds of the invention can also be prepared by preparing the nitrophenoxy derivative of the compound of Example 73 in accordance with the procedure set forth in Example 72 and then reacting the derivative with a l-aryl-4-(2- aminoethylamino)piperidine in accordance with Scheme 2.
- 100 mg of the compound of Example 9 is formulated with sufficient finely divided lactose to provide a total amount of 580 to 590 mg to fill a size O hard gel capsule.
- the objective of this assay is to eliminate agents which specifically affect binding of [3H] spiperone to cells expressing human dopamine receptors D2, D3 or D4.
- the assay is initiated by adding 50-75 ⁇ g membranes in a total volume of 500 ⁇ l containing 0.2 nM [3H]-spiperone. Non-specific binding is defined using 10 ⁇ M apomorphine.
- the assay is terminated after a 2 hour incubation at room temperature by rapid filtration over GF/B filters presoaked in 0.3% PEI, using 50mM Tris-HCl pH 7.4.
- the objective of this assay is to eliminate agents which specifically affect binding to cloned human 5HTla receptor
- Mammalian cells expressing cloned human 5HTla receptors are lysed in ice-cold 5 mM Tris-HCl , 2 mM EDTA (pH 7.4) and homogenized with a polytron homogenizer. The homogenate is centrifuged at lOOOXg for 30', and then the supernatant is centrifuged again at"38,000Xg for 30'.
- the binding assay contains 0.25 nM [3H]8-OH- DPAT (8-hydroxy-2-dipropylamino-l,2,3,4-tetrahydronaphthalene) in 50 mM Tris-HCl, 4 mM CaCl2 and lmg/ml ascorbate. Non-specific binding is defined using 10 ⁇ M propranolol.
- the assay is terminated after a 1 hour incubation at room temperature by rapid filtration over GF/Cfilters EXAMPLE 128
- Taconic Farms Sprague-Dawley male rats, weighing 250- 400 grams are sacrificed by cervical dislocation under anesthesia (methohexital; 50 mg/kg, i.p.). An incision is made into the lower abdomen to remove the ventral lobes of the prostate.
- Each prostate removed from a mongrel dog is cut into 6-8 pieces longitudinally along the urethra opening and stored in ice-cold oxygenated Krebs solution overnight before use if necessary.
- Dog urethra proximal to prostate is cut into approximately 5 mm rings, the rings are then cut open for contractile measurement of circular muscles.
- Human prostate chips from transurethral surgery of benign prostate hyperplasia are also stored overnight in ice-cold Krebs solution if needed. The tissue is placed in a Petri dish containing oxygenated
- the tissues are connected to a Statham-Gould force transducer; 1 gram (rat, human) or 1.5 gram (dog) of tension is applied and the tissues are allowed to equilibrate for one hour. Contractions are recorded on a Hewlett-Packard 7700 series strip chart recorder.
- a cumulative concentration response curve to an agonist is generated; the tissues are washed every 10 minutes for one hour. Vehicle or antagonist is added to the bath and allowed to incubate for one hour, then another cumulative concentration response curve to the agonist is generated.
- EC50 values are calculated for each group using GraphPad Inplot software.
- x-1 where x is the ratio of EC50 of agonist in the presence and absence of antagonist and [B] is the antagonist concentration.
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Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
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AU79726/98A AU7972698A (en) | 1997-06-18 | 1998-06-17 | Alpha 1a adrenergic receptor antagonists |
JP50471599A JP2002511085A (en) | 1997-06-18 | 1998-06-17 | α1a adrenergic receptor antagonist |
EP98930307A EP1023068A4 (en) | 1997-06-18 | 1998-06-17 | ALPHA 1a ADRENERGIC RECEPTOR ANTAGONISTS |
CA002294590A CA2294590A1 (en) | 1997-06-18 | 1998-06-17 | Alpha 1a adrenergic receptor antagonists |
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US5095997P | 1997-06-18 | 1997-06-18 | |
US60/050,959 | 1997-06-18 | ||
GB9800217.3 | 1998-01-07 | ||
GBGB9800217.3A GB9800217D0 (en) | 1998-01-07 | 1998-01-07 | Alpha 1a adrenergic receptor antagonists |
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WO1998057638A1 true WO1998057638A1 (en) | 1998-12-23 |
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EP (1) | EP1023068A4 (en) |
JP (1) | JP2002511085A (en) |
AU (1) | AU7972698A (en) |
CA (1) | CA2294590A1 (en) |
WO (1) | WO1998057638A1 (en) |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6228870B1 (en) | 1998-11-10 | 2001-05-08 | Merck & Co., Inc. | Oxazolidinones useful as alpha 1a adrenoceptor antagonists |
US6316437B1 (en) | 1999-09-30 | 2001-11-13 | Merck & Co., Inc. | Spirohydantoin compounds and uses thereof |
US6319932B1 (en) | 1998-11-10 | 2001-11-20 | Merck & Co., Inc. | Oxazolidinones useful as alpha 1A adrenoceptor antagonists |
US6320049B1 (en) | 1997-08-05 | 2001-11-20 | Merck & Co., Inc. | Alpha 1a adrenergic receptor antagonists |
US6326372B1 (en) | 1999-09-30 | 2001-12-04 | Merck & Co., Inc. | Lactam and cyclic urea derivatives useful as alpha 1a adrenoceptor antagonists |
US6339090B1 (en) | 1998-07-30 | 2002-01-15 | Merck & Co., Inc. | Alpha 1A adrenergic receptor antagonists |
US6358959B1 (en) | 1999-01-26 | 2002-03-19 | Merck & Co., Inc. | Polyazanaphthalenone derivatives useful as alpha 1a adrenoceptor antagonists |
US6387893B1 (en) | 1999-09-30 | 2002-05-14 | Merck & Co., Inc. | Spirotricyclic substituted azacycloalkane derivatives and uses thereof |
US6436962B1 (en) | 1999-09-30 | 2002-08-20 | Merck & Co., Inc. | Arylhydantoin derivatives and uses thereof |
WO2005092342A1 (en) * | 2004-03-22 | 2005-10-06 | Ranbaxy Laboratories Limited | Combination therapy for lower urinary tract symptoms |
US7166603B2 (en) | 2003-07-23 | 2007-01-23 | Bristol-Myers Squibb Co. | Dihydropyrimidone inhibitors of calcium channel function |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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WO2009131196A1 (en) * | 2008-04-24 | 2009-10-29 | 武田薬品工業株式会社 | Substituted pyrrolidine derivative and use thereof |
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US5574044A (en) * | 1994-10-27 | 1996-11-12 | Merck & Co., Inc. | Muscarine antagonists |
US5618827A (en) * | 1992-03-31 | 1997-04-08 | Glaxo Group Limited | Substituted phenylcarbamates and phenylureas, their preparation and their use as 5-HT antagonists |
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US5597823A (en) * | 1995-01-27 | 1997-01-28 | Abbott Laboratories | Tricyclic substituted hexahydrobenz [e]isoindole alpha-1 adrenergic antagonists |
-
1998
- 1998-06-17 CA CA002294590A patent/CA2294590A1/en not_active Abandoned
- 1998-06-17 JP JP50471599A patent/JP2002511085A/en active Pending
- 1998-06-17 AU AU79726/98A patent/AU7972698A/en not_active Abandoned
- 1998-06-17 EP EP98930307A patent/EP1023068A4/en not_active Withdrawn
- 1998-06-17 WO PCT/US1998/012567 patent/WO1998057638A1/en not_active Application Discontinuation
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US5618827A (en) * | 1992-03-31 | 1997-04-08 | Glaxo Group Limited | Substituted phenylcarbamates and phenylureas, their preparation and their use as 5-HT antagonists |
US5574044A (en) * | 1994-10-27 | 1996-11-12 | Merck & Co., Inc. | Muscarine antagonists |
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Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6320049B1 (en) | 1997-08-05 | 2001-11-20 | Merck & Co., Inc. | Alpha 1a adrenergic receptor antagonists |
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US6228870B1 (en) | 1998-11-10 | 2001-05-08 | Merck & Co., Inc. | Oxazolidinones useful as alpha 1a adrenoceptor antagonists |
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Also Published As
Publication number | Publication date |
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EP1023068A1 (en) | 2000-08-02 |
JP2002511085A (en) | 2002-04-09 |
AU7972698A (en) | 1999-01-04 |
EP1023068A4 (en) | 2001-05-16 |
CA2294590A1 (en) | 1998-12-23 |
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