WO2010094645A1 - Substituted pyridine derivatives and their medical use - Google Patents
Substituted pyridine derivatives and their medical use Download PDFInfo
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- WO2010094645A1 WO2010094645A1 PCT/EP2010/051840 EP2010051840W WO2010094645A1 WO 2010094645 A1 WO2010094645 A1 WO 2010094645A1 EP 2010051840 W EP2010051840 W EP 2010051840W WO 2010094645 A1 WO2010094645 A1 WO 2010094645A1
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- 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
- C07D413/04—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 directly linked by a ring-member-to-ring-member bond
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
Definitions
- the present invention relates to novel substituted 1 ,4-oxazepanyl-pyridine de- hvatives, to their use in therapy, to pharmaceutical compositions comprising the derivatives, to the use of said derivatives in the manufacture of a medicament, and to therapeutic methods comprising the administration of the derivatives.
- the present derivatives are useful for treating a disorder, disease or a condition of a subject, which disorder, disease or condition is responsive to activation of K V 7 channels.
- K + channels are structurally and functionally diverse families of K + -selective channel proteins, which are ubiquitous in cells, indicating their central importance in regulating a number of key cell functions. While widely distributed as a class, K + channels are differentially distributed as individual members of this class or as families.
- KCNQ channels now also designated K V 7, of which K V 7.1 -K V 7.5 have currently been characterised, has attracted attention as target for therapeutic development.
- K V 7 channel modulators are considered potentially useful for the treatment or alleviation of conditions as diverse as CNS disorders, psychiatric disorders, CNS damage caused by trauma, stroke or neurodegenerative illness or diseases, a variety of neuronal hyperexcitability disorders and conditions, epilepsy, pain, neuropathic pain, migraine, tension type headache, learning and cognitive disorders, motion and motor disorders, multiple sclerosis, cardiac disorders, heart failure, cardio- myopathia, inflammatory diseases, ophthalmic conditions, deafness, progressive hearing loss, tinnitus, obstructive or inflammatory airway diseases, for inducing or maintaining bladder control including the treatment or prevention of urinary incontinence.
- WO2006/092143 discloses substituted pyridine derivatives useful as openers of the KCNQ family potassium ion channels. However, this document does not disclose or suggest pyridine derivatives substituted with two heterocyclic rings. SUMMARY OF THE INVENTION
- the present invention discloses novel substituted 1 ,4-oxazepanyl-pyridine compounds having medical utility for combating disorders, diseases or conditions responsive to activation of K V 7 channels.
- the present invention provides compounds of Formula (I)
- R 1 , R 2 , R 3 , R 4 , L and n are as defined below.
- the invention provides pharmaceutical compositions comprising a therapeutically effective amount of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof or a pharmaceutically-acceptable addi- tion salt thereof.
- the invention relates to the use of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically- acceptable addition salt thereof, or an N-oxide thereof, for the manufacture of pharmaceutical compositions.
- the invention relates to the use of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically- acceptable addition salt thereof, or an N-oxide thereof, for the manufacture of a pharmaceutical composition for the treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disorder, disease or condition is responsive to activation of K V 7 channels.
- the invention provides a method of treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disorder, disease or condition is responsive to activation of K V 7 channels, which method comprises the step of administering to such a living animal body in need thereof, a therapeutically effective amount of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof or a pharmaceutically-acceptable addition salt thereof.
- Another embodiment of the invention is the provision of compounds with optimal pharmacodynamic and/or pharmacokinetic properties such as kinetic behaviour, bioavailability, solubility, efficacy and/or adverse effects.
- the present invention provides compounds of Formula (I)
- R 1 and R 2 independently of each other, represent d- 6 -alkyl
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, mor- pholinyl and 1 ,4-oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C 1-6 -alkyl, trifluoromethyl, Ci -6 -alkoxy, hydroxy-Ci -6 -alkyl and Ci-e-alkoxy-Ci-e-alkyl;
- L represents a linker selected from -CR 1 R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci -6 -alkyl or halogen;
- n 0 or 1 ;
- R 3 represents C 1-6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci -6 -alkyl, Ci -6 - alkoxy, halogen and trifluoromethyl; and
- R 4 represents C 1-6 -alkyl.
- R 1 and R 2 independently of each other, represent Ci -6 -alkyl, such as methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent 2,5-dihydro-1 H-pyrrol-1 -yl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent morpholinyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent 1 ,4-oxazepanyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl which is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci- 6 -alkyl, trifluoromethyl, Ci- 6 -alkoxy, hy- droxy-C- ⁇ - 6 -alkyl and Ci- 6 -alkoxy-Ci- 6 -alkyl.
- R 1 and R 2 to- gether with the nitrogen to which they are attached, represent pyrrolidinyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl which is substituted one or two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and d- 6 -alkoxy.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with a substituent selected from the group consisting of halogen, hydroxy, amino, C- ⁇ - 6 -alkyl, trifluoromethyl and Ci -6 -alkoxy.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with halogen. In another embodiment R 1 and R 2 , together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with fluoro. In another embodiment R 1 and R 2 , together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with Ci -6 -alkyl, such as methyl. In another embodiment R 1 and R 2 , together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with trifluoromethyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl substituted two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci -6 -alkyl, trifluoromethyl and C- ⁇ - 6 -alkoxy.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl substituted two times with halogen.
- R 1 and R 2 together with the nitrogen to which they are attached, represent pyrrolidinyl substituted two times with Ci -6 -alkyl, such as methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent piperidinyl which is option- ally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci -6 -alkyl, trifluoromethyl, Ci -6 -alkoxy, hydroxy- C- ⁇ - 6 -alkyl and C 1-6 -alkoxy-Ci- 6 -alkyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent piperidinyl.
- R 1 and R 2 together with the nitrogen to which they are attached, represent piperidinyl which is substituted one or two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci -6 -alkyl, trifluoromethyl and C- ⁇ - 6 -alkoxy.
- R 1 and R 2 together with the nitrogen to which they are attached, represent piperidinyl substituted one time with a sub- stituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and d- 6 -alkoxy.
- R 1 and R 2 together with the nitrogen to which they are attached, represent piperidinyl substituted one time with halogen. In another embodiment R 1 and R 2 , together with the nitrogen to which they are attached, represent piperidinyl substituted one time with fluoro. In another embodiment R 1 and R 2 , together with the nitrogen to which they are attached, represent piperidinyl substituted one time with Ci -6 -alkyl, such as methyl. In another embodiment R 1 and R 2 , together with the nitrogen to which they are attached, represent piperidinyl substituted one time with trifluoromethyl.
- R 1 and R 2 together with the nitrogen to which they are attached, rep- resent piperidinyl substituted two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci -6 -alkyl, trifluoromethyl and d- 6 -alkoxy.
- R 1 and R 2 together with the nitrogen to which they are attached, represent piperidinyl substituted two times with halogen.
- R 1 and R 2 together with the nitrogen to which they are attached, repre- sent piperidinyl substituted two times with Ci -6 -alkyl, such as methyl.
- L represents -CR 1 R"-, wherein R' and R", independently of each other, represent hydrogen, C 1- 6 -alkyl or halogen.
- L represents -CR'R"-, wherein R' and R", independently of each other, represent hydrogen or Ci -6 -alkyl.
- L represents -CH 2 -.
- L represents -CR'R"-, wherein one of R' and R" represent hydrogen, and the other one of R' and R" represent Ci -6 -alkyl, e.g. methyl.
- L represents -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, C- ⁇ - 6 -alkyl or halogen.
- L represents -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen or Ci -6 -alkyl.
- L represents -0-CH 2 -.
- L represents -O-CR'R"-, wherein one of R' and R" represent hydrogen, and the other one of R' and R" represent Ci -6 -alkyl, e.g. methyl.
- n is 0. In another embodiment of the invention, in Formula (I), n is 1 .
- R 3 represents Ci -6 - alkyl, such as methyl, ethyl, propyl or te/t-butyl. In another embodiment, R 3 represents methyl. In another embodiment, R 3 represents ethyl. In another embodiment, R 3 represents te/t-butyl.
- R 3 represents phenyl, which is optionally substituted one or more times with substituents selected from Ci- 6 -alkyl, C 1-6 -alkoxy, halogen and trifluoromethyl.
- R 3 represents phenyl
- R 3 represents phenyl, which is substituted one time with a substituent selected from Ci -6 -alkyl, Ci- 6 -alkoxy, halogen and trifluoromethyl.
- R 3 represents phenyl which is substituted one time with Ci -6 -alkyl, such as methyl.
- R 3 represents phenyl which is substituted one time with halogen.
- R 3 represents phenyl which is substituted one time with fluoro.
- R 3 represents phenyl which is substituted one time with Ci-6-alkoxy.
- R 3 represents phenyl which is substituted one time with trifluoromethyl.
- R 3 represents phenyl, which is substituted two times with substituents selected from C 1-6 -alkyl, Ci- 6 -alkoxy, halogen and trifluoromethyl.
- R 3 represents phenyl which is substituted two times with Ci -6 -alkyl, e.g. methyl.
- R 3 represents phenyl which is substituted two times with Ci -6 -alkoxy.
- R 3 represents phenyl which is substituted two times with halogen.
- R 3 represents phenyl which is substituted two times with fluoro.
- R 3 represents phenyl which is substituted two times with trifluoromethyl.
- R 3 represents fu- ranyl which is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci -6 -alkoxy, halogen and trifluoromethyl. In another embodiment of the invention, in Formula (I), R 3 represents fu- ranyl.
- R 3 represents fu- ranyl, which is substituted one time with a substituent selected from C 1-6 -alkyl, C 1- 6 -alkoxy, halogen and trifluoromethyl.
- R 3 represents fu- ranyl which is substituted one time with d-e-alkyl, such as methyl.
- R i3 represents furanyl which is substituted one time with halogen.
- R represents furanyl which is substituted one time with Ci -6 - alkoxy.
- R represents furanyl which is substituted one time with trifluoromethyl.
- R 3 represents furanyl, which is substituted two times with substituents selected from Ci -6 -alkyl, Ci- 6 -alkoxy, halogen and trifluoromethyl.
- R 3 represents fu- ranyl which is substituted two times with Ci -6 -alkyl, e.g. methyl.
- R 3 represents furanyl which is substituted two times with Ci -6 -alkoxy.
- R 3 represents furanyl which is substituted two times with halogen.
- R 3 represents furanyl which is substituted two times with fluoro.
- R 3 represents furanyl which is substi- tuted two times with trifluoromethyl.
- R 4 represents Ci -6 - alkyl, e.g. methyl.
- R 1 and R 2 independently of each other, represent Ci -6 -alkyl;
- L represents a linker selected from -CR'R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci -6 -alkyl or halogen;
- n is 0 or 1 ;
- R 3 represents C 1-6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci -6 -alkyl, Ci -6 -alkoxy, halogen and trifluoromethyl; and
- R 4 represents C 1-6 -alkyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci -6 -alkyl, trifluoromethyl, Ci -6 -alkoxy, hydroxy-Ci -6 -alkyl and Ci -6 -alkoxy-Ci- 6 -alkyl; L represents a linker selected from -CR'R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci -6 -alkyl or halogen; n is 0 or 1 ; R
- R 1 and R 2 independently of each other, represent Ci -6 -alkyl;
- L represents a linker -CR'R"-, wherein R' and R", independently of each other, represent hydrogen, d-e-alkyl or halogen;
- n is 1 ;
- R 3 represents Ci -6 -alkyl, phenyl or furanyl, which phenyl and fu- ranyl is optionally substituted one or more times with substituents selected from C- ⁇ - 6 -alkyl, d-e-alkoxy, halogen and trifluoromethyl;
- R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C 1-6 -alkyl, trifluoromethyl, d-e-alkoxy, hydroxy-d-e-alkyl and Ci -6 - alkoxy-Ci- 6 -alkyl; L represents a linker -CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci -6 -alkyl or halogen; n is 1 ; R 3 represents Ci- 6 -alkyl, phenyl or fur
- R 1 and R 2 independently of each other, represent Ci -6 -alkyl;
- L represents a linker -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, C 1-6 -alkyl or halogen;
- n is 1 ;
- R 3 represents C 1-6 -aikyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci- 6 -alkyl, Ci-e-alkoxy, halogen and trifluoromethyl;
- R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C 1-6 -alkyl, trifluoromethyl, Ci-e-alkoxy, hydroxy-Ci- 6 -alkyl and Ci -6 - alkoxy-Ci- 6 -alkyl; L represents a linker -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci -6 -alkyl or halogen; n is 1 ; R 3 represents Ci- 6 -alkyl, pheny
- R 1 and R 2 independently of each other, represent Ci -6 -alkyl; n is 0; R 3 represents Ci -6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C 1-6 -alkyl, C 1-6 -alkoxy, halogen and trifluoro- methyl; and R 4 represents d-e-alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C 1-6 -alkyl, trifluoromethyl, d- 6 -alkoxy, hydroxy-d- 6 -alkyl and Ci -6 - alkoxy-C- ⁇ - 6 -alkyl; n is 0; R 3 represents d- 6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C- ⁇ - 6 -alkyl,
- R 1 and R 2 independently of each other, represent d -6 -alkyl; L represents -CH 2 -, n is 1 , R 3 repre- sents d-e-alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R 4 represents d- 6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, L repre- sents -CH 2 -, n is 1 , R 3 represents d -6 -alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R 4 represents d- 6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from piperidinyl which is optionally substituted one time with halogen, L represents -CH 2 -, n is 1 , R 3 represents d- 6 -alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R 4 represents d- 6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from morpholinyl, L represents -CH 2 -, n is 1 , R 3 represents d- 6 -alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R 4 represents d-e-alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, L represents -CH 2 -, n is 1 , R 3 represents phenyl, which phenyl is optionally substituted one or two times with halogen and R 4 represents d- 6 -alkyl, e.g. methyl.
- R 1 and R 2 independently of each other, represent Ci -6 -alkyl; n is 0, R 3 represents Ci -6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, d-e-alkoxy, halogen and trifluoro- methyl; and R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, n is 0,
- R 3 represents Ci- 6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci -6 -alkyl, Ci -6 - alkoxy, halogen and trifluoromethyl; and
- R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from piperidinyl which is optionally substituted one time with halogen, n is 0,
- R 3 represents C 1-6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci -6 -alkyl, Ci -6 - alkoxy, halogen and trifluoromethyl; and
- R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from morpholinyl, n is 0,
- R 3 represents Ci -6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci- 6 -alkyl, Ci -6 -alkoxy, halogen and trifluoromethyl; and
- R 4 represents Ci -6 - alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, n is 0,
- R 3 represents phenyl which is optionally substituted one or more times with substituents selected from Ci -6 -alkyl, Ci. 6 -alkoxy, halogen and trifluoromethyl; and
- R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, n is 0,
- R 3 represents furanyl which is optionally substituted one or more times with substituents selected from Ci -6 -alkyl, Ci. 6 -alkoxy, halogen and trifluoromethyl; and
- R 4 represents Ci -6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from 1 ,4-oxazepanyl
- L represents -CH 2 -
- n is 1
- R 3 represents C 1-6 -alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C 1-6 -alkyl, Ci- 6 -alkoxy, halogen and trifluoromethyl
- R 4 represents C 1-6 -alkyl, e.g. methyl.
- R 1 and R 2 together with the nitrogen to which they are attached, form a heterocyclic ring selected from 1 ,4-oxazepanyl, L represents -CH 2 -, n is 1 , R 3 represents phenyl which is optionally substituted one or two times with substituents selected from Ci -6 -alkyl, C 1- 6 -alkoxy, halogen and trifluoromethyl; and R 4 represents Ci -6 -alkyl, e.g. methyl.
- the compound of the invention is: 2-(3,4-Difluoro-phenyl)-N-[2-((R)-3-fluoro-pyrrolidin-1 -yl)-5-methyl-6-[1 ,4]oxazepan-4- yl-pyridin-3-yl]-acetamide;
- the compound of the invention is: 2-(3-fluorophenyl)-N-[2-[(3R)-3-fluoropyrrolidin-1 -yl]-5-methyl-6-(1 ,4-oxazepan-4-yl)-3- pyridyl]acetamide; or a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof. Any combination of two or more of the embodiments described herein is considered within the scope of the present invention. Definition of Terms
- C 1-6 -alkyl as used herein means a saturated, branched or straight hydrocarbon group having from 1 -6 carbon atoms, e.g. Ci -3 -alkyl, Ci -4 - alkyl, Ci -6 -alkyl, C 2 - 6 -alkyl, C 3 - 6 -alkyl, and the like. Representative examples are methyl, ethyl, propyl (e.g. prop-1 -yl, prop-2-yl (or /so-propyl)), butyl (e.g.
- halo or halogen means fluorine, chlorine, bromine or iodine.
- hydroxy shall mean the radical -OH.
- amino shall mean the radical -NH 2 .
- trihalomethyl means trifluoromethyl, trichloromethyl, and simi- lar trihalo-substituted methyl groups.
- Ci -6 -alkoxy refers to the radical -O-d -6 -alkyl. Representative examples are methoxy, ethoxy, propoxy (e.g. 1 -propoxy, 2- propoxy), butoxy (e.g. 1 -butoxy, 2-butoxy, 2-methyl-2-propoxy), pentoxy (1 - pentoxy, 2-pentoxy), hexoxy (1 -hexoxy, 3-hexoxy), and the like.
- hydroxy-d- 6 -alkyl refers to alkyl substituted one or more times at any carbon atom(s) with hydroxyl.
- Representative examples are hydroxymethyl, hydoxyethyl (e.g. 1 -hydroxyethyl, 2-hydroxyethyl) and the like.
- Ci- 6 -alkoxy-Ci- 6 -alkyl refers to an d -6 -alkyl-O- C- ⁇ -6-alkyl group, wherein the Ci -6 -alkyl and d- 6 -alkyl-O- are as defined above. Representative examples are methoxy-methyl, methoxy-ethyl, ethoxy-methyl, and ethoxy-ethyl.
- treatment means the management and care of a patient for the purpose of combating a disease, disorder or condition.
- the term is intended to include the delaying of the progression of the disease, disorder or condition, the alleviation or relief of symptoms and complications, and/or the cure or elimination of the disease, disorder or condition.
- the patient to be treated is preferably a mammal, in particular a human being.
- medicament means a pharmaceutical composi- tion suitable for administration of the pharmaceutically active compound to a patient.
- the term "pharmaceutically acceptable” as used herein means suited for normal pharmaceutical applications, i.e. giving rise to no adverse events in patients etc.
- the term "effective amount” as used herein means a dosage which is sufficient in order for the treatment of the patient to be effective compared with no treatment.
- the term "therapeutically effective amount” of a compound as used herein means an amount sufficient to cure, alleviate or partially arrest the clinical manifestations of a given disease and its complications. An amount adequate to accomplish this is defined as “therapeutically effective amount”. Effective amounts for each purpose will depend on the severity of the disease or injury as well as the weight and general state of the subject. It will be understood that determining an appropriate dosage may be achieved using routine experimentation, by constructing a matrix of values and testing different points in the matrix, which is all within the ordinary skills of a trained physician or veterinary.
- the compounds of the invention may be provided in any form suitable for the intended administration. Suitable forms include pharmaceutically (i.e. physiologically) acceptable salts, and pre- or prodrug forms of the compounds of the invention.
- pharmaceutically acceptable addition salts include, without limitation, the non-toxic inorganic and organic acid addition salts such as the hydrochloride derived from hydrochloric acid, the hydrobromide derived from hydro- bromic acid, the nitrate derived from nitric acid, the perchlorate derived from perchloric acid, the phosphate derived from phosphoric acid, the sulphate derived from sulphuric acid, the formate derived from formic acid, the acetate derived from acetic acid, the aconate derived from aconitic acid, the ascorbate derived from ascorbic acid, the benzenesulphonate derived from benzensulphonic acid, the benzoate derived from benzoic acid, the cinnamate derived from c
- acids such as oxalic acid, which may not be considered pharmaceutically acceptable, may be useful in the preparation of salts useful as intermedi- ates in obtaining a chemical compound of the invention and its pharmaceutically acceptable acid addition salt.
- Examples of pharmaceutically acceptable cationic salts of a chemical compound of the invention include, without limitation, the sodium, the potassium, the calcium, the magnesium, the zinc, the aluminium, the lithium, the choline, the lysine, and the ammonium salt, and the like, of a chemical compound of the invention containing an anionic group.
- Such cationic salts may be formed by procedures well known and described in the art.
- Examples of pharmaceutically acceptable addition salts include, without limitation, the non-toxic inorganic and organic acid addition salts such as the hydrochloride, the hydrobromide, the nitrate, the perchlorate, the phosphate, the sulphate, the formate, the acetate, the aconate, the ascorbate, the benzene- sulphonate, the benzoate, the cinnamate, the citrate, the embonate, the enantate, the fumarate, the glutamate, the glycolate, the lactate, the maleate, the malonate, the mandelate, the methanesulphonate, the naphthalene-2-sulphonate derived, the phthalate, the salicylate, the sorbate, the stearate, the succinate, the tartrate, the toluene-p-sulphonate, and the like.
- Such salts may be formed by procedures well known and described in the art.
- Examples of pharmaceutically acceptable cationic salts of a chemical com- pound of the invention include, without limitation, the sodium, the potassium, the calcium, the magnesium, the zinc, the aluminium, the lithium, the choline, the lysine, and the ammonium salt, and the like, of a chemical compound of the invention containing an anionic group.
- Such cationic salts may be formed by procedures well known and described in the art.
- the compounds of the present invention may exist in (+) and (-) forms as well as in racemic forms ( ⁇ ).
- the racemates of these isomers and the individual isomers themselves are within the scope of the present invention.
- Racemic forms can be resolved into the optical antipodes by known meth- ods and techniques.
- One way of separating the diastereomeric salts is by use of an optically active acid, and liberating the optically active amine compound by treatment with a base.
- Another method for resolving racemates into the optical antipodes is based upon chromatography on an optical active matrix.
- Racemic compounds of the present invention can thus be resolved into their optical antipodes, e.g., by fractional crystallisation of d- or I- (tartrates, mandelates, or camphorsul- phonate) salts for example.
- Additional methods for the resolving the optical isomers are known in the art. Such methods include those described by Jaques J, Collet A, & Wilen S in "Enantiomers, Racemates, and Resolutions", John Wiley and Sons, New York (1981 ).
- Optical active compounds can also be prepared from optical active starting materials.
- the compounds of the present invention may be prepared by conventional methods for chemical synthesis, e.g. those described in the working examples.
- the starting materials for the processes described in the present application are known or may readily be prepared by conventional methods from commercially available chemicals.
- one compound of the invention can be converted to another compound of the invention using conventional methods.
- the end products of the reactions described herein may be isolated by conventional techniques, e.g. by extraction, crystallisation, distillation, chromatography, etc.
- the compounds of the invention have been found useful as modulators of the K V 7 (KCNQ) potassium channels.
- KCNQ K V 7
- the modulatory activity may be inhibitory (i.e. inhibitory activity) or stimulatory (i.e. activating activity).
- the modulatory activity may be determined using conventional methods, e.g. binding or activity studies, known in the art, e.g. as described in WO 2004/080377 (NeuroSearch A/S) .
- the compounds of the invention show stimulating activity at K V 7.2, K V 7.3, K V 7.4 and/or K V 7.5 potassium channels, and hetero- meric combinations hereof.
- Compounds of the invention are selective, e.g. showing K V 7.2, K V 7.2+ K V 7.3, and/or K V 7.4 potassium channel activation.
- the compounds of the invention are considered useful for the treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disorder, disease or condition is re- sponsive to modulation of a K V 7 potassium channel.
- KCNQ channel modulators are considered useful for the treatment or alleviation of conditions as diverse as an affective disorder, a neuro-physiological disorder, an anxiety disorder, depression, a bipolar disorder, a sleep disorder, addiction, an eating disorder, a phobia, a neurodegenerative disorder, Parkinson's disease, a mood disorder, a psychotic disorder, a compulsive behaviour, mania, psychosis, schizophrenia, dementia, Alzheimer's disease, epilepsy, convulsions, seizure disorders, absence seizures, vascular spasms, coronary artery spasms, tremor, muscle spasms, myasthenia gravis, a motor neuron disease, motion and motor disorders, a tic disorder, a Parkinson-like motor disorder, essential tremors, multiple sclerosis, amyelotrophic lateral sclerosis (ALS), multiple system atrophy, corticobasal degeneration, HIV associated dementia, Huntington's disease, Pick's disease, tors
- the disease, disorder or condition contemplated according to the invention is an anxiety disorder such as panic disorder, agoraphobia, phobias, social anxiety disorder, obsessive-compulsive disorder and posttraumatic stress disorder.
- the disease, disorder or condi- tion contemplated according to the invention is anxiety.
- the disease, disorder or condition contemplated according to the invention is schizophrenia.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of a disease, disorder or adverse condition of the CNS.
- the disease, disorder or condition is an affective disorder, a neuro-physiological disorder, an anxiety disorder, depression, a bipolar disorder, a sleep disorder, addiction, an eating disorder, a phobia, a neurodegenerative disorder, Parkinson's disease, a mood disorder, a psychotic disorder, a compulsive behaviour, mania, psychosis or schizophrenia.
- the compounds of the invention are useful for the treatment or alleviation of schizophrenia.
- the compounds of the invention are useful for the treatment or alleviation of depression.
- the compounds of the invention are useful for the treatment or alleviation of bipolar disorder.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of a CNS damage caused by trauma or by a spinal cord damage, stroke, traumatic brain injury, a neurodegenerative illness or disease, dementia, Alzheimer's disease, a motor neuron disease, a Parkinson-like motor disorder, multiple sclerosis, amyelotrophic lateral sclerosis (ALS), multiple system atrophy,HIV associated dementia, Huntington's disease, Pick's disease, torsades de pointes, tremor, muscle spasms, myasthenia gravis, convulsions, ataxia, myokymia, seizures, epilepsy or spasticity.
- the compounds of the invention are useful for the treatment or allevia- tion of epilepsy.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of pain, including acute and chronic pain, mild pain, moderate or even severe pain of acute, chronic or recurrent character, as well as postoperative pain, phantom limb pain, chronic headache, post therapeutic neuralgia, neuropathic pain, central pain, or pain related to diabetic neuropathy, to postherpetic neuralgia, to peripheral nerve injury or drug addiction, migraine and migraine-related disorders and to tension-type headache.
- the pain is somatic pain, incl. visceral pain or cutaneous pain, or pain caused by inflammation or by infection.
- the pain is neuro- pathic, e.g. caused by injury to the central or peripheral nervous system, e.g.
- the compounds of the invention are useful for the treatment or alleviation of pain. In another embodiment the compounds of the invention are useful for the treatment or alleviation of neuropathic pain.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of addiction, e.g. drug addiction, drug abuse, cocaine abuse, nicotine abuse, tobacco abuse, alcohol addiction or alcoholism, or withdrawal symptoms caused by the termination of abuse of chemical substances, in particular opioids, heroin, cocaine and morphine, benzodiazepines and benzodiazepine-like drugs, and alcohol.
- addiction e.g. drug addiction, drug abuse, cocaine abuse, nicotine abuse, tobacco abuse, alcohol addiction or alcoholism
- withdrawal symptoms caused by the termination of abuse of chemical substances in particular opioids, heroin, cocaine and morphine, benzodiazepines and benzodiazepine-like drugs, and alcohol.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of a learning and cognitive disorder, memory dysfunction, memory impairment, age-associated memory loss or Down's syndrome. In another embodiment the compounds of the invention are useful for the treatment or alleviation of cognition.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of chronic headache, migraine, migraine-related disorders or tension-type headache. In another embodiment the compounds of the invention are considered useful for treatment or alleviation of migraine.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of a disease, disorder or condition associated with the heart or skeletal muscle, heart failure, cardiomyopathia, cardiac arrhythmia, cardiac ischaemia or long QT syndrome.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of an inflammatory disease or condi- tion, inflammatory bowel disease, Crohn's disease, ulcerative colitis or Creutzfeld- Jacobs disease.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of asthma, an obstructive or inflammatory airway disease, an airway hyper reactivity, a pneumoconiosis such as aluminosis, anthracosis, asbestosis, chalicosis, ptilosis, siderosis, silicosis, taba- cosis and byssinosis, a chronic obstructive pulmonary disease (COPD), excerba- tion of airways hyper reactivity or cystic fibrosis.
- COPD chronic obstructive pulmonary disease
- the compounds of the invention are considered useful for treatmentor alleviation of asthma.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of progressive hearing loss or tinnitus. In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of an ophthalmic disorder, a drug- dependence or drug-addiction disorder or hyperactive gastric motility.
- the compounds of the invention are considered useful for treatment, prevention or alleviation of nocturia, bladder spasms, overactive bladder (OAB), interstitial cystitis (IC) and urinary incontinence. In another embodiment the compounds of the invention are considered useful for treatment or alleviation of urinary incontinence.
- compositions Viewed from one aspect the invention relates to the use of a compound of the invention, or a pharmaceutically-acceptable addition salt thereof, for the manufacture of a pharmaceutical composition for the treatment, prevention or alleviation of a disease or a disorder or a condition of a mammal, including a human, which disease, disorder or condition is responsive to modulation of K V 7 channels.
- the invention provides pharmaceutical compositions comprising a therapeutically-effective amount of a compound of the invention, or a pharmaceutically-acceptable addition salt thereof, together with at least one pharmaceutically-acceptable carrier or diluent, for the treatment, prevention or alleviation of a disease or a disorder or a condition that is responsive to modulation of K V 7 channels.
- a compound for use according to the invention may be administered in the form of the raw chemical compound, it is preferred to introduce the active ingredient, optionally in the form of a physiologically acceptable salt, in a pharma- ceutical composition together with one or more adjuvants, excipients, carriers, buffers, diluents, and/or other customary pharmaceutical auxiliaries.
- the invention provides pharmaceutical compositions comprising a compound of the invention, together with one or more pharmaceutically acceptable carriers therefore, and, optionally, other therapeutic and/or prophylactic ingredients, know and used in the art.
- the carher(s) must be "acceptable” in the sense of being compatible with the other ingredients of the formulation and not harmful to the recipient thereof.
- the pharmaceutical composition of the invention may be administered by any convenient route which suite the desired therapy.
- Preferred routes of admini- stration include oral administration, in particular in tablet, in capsule, in drage, in powder, or in liquid form, and parenteral administration, in particular cutaneous, subcutaneous, intramuscular, or intravenous injection.
- the pharmaceutical com- position may be prepared by the skilled person using standard and conventional techniques appropriate for the desired formulation.
- compositions adapted to give sustained release of the active ingredient may be employed.
- compositions of the invention may be those suitable for oral, rectal, bronchial, nasal, pulmonal, topical (including buccal and sub-lingual), transdermal, vaginal or parenteral (including cutaneous, subcutaneous, intramuscular, intraperitoneal, intravenous, intraarterial, intracerebral, intraocular injection or infusion) administration, or those in a form suitable for administration by inhalation or insufflation, including powders and liquid aerosol administration, or by sus- tained release systems.
- sustained release systems include semipermeable matrices of solid hydrophobic polymers containing the compound of the invention, which matrices may be in form of shaped articles, e.g. films or microcapsules.
- the chemical compound of the invention together with a conventional ad- juvant, carrier, or diluent, may thus be placed into the form of pharmaceutical compositions and unit dosages thereof.
- Such forms include solids, and in particular tablets, filled capsules, powder and pellet forms, and liquids, in particular aqueous or non-aqueous solutions, suspensions, emulsions, elixirs, and capsules filled with the same, all for oral use, suppositories for rectal administration, and sterile injectable solutions for parenteral use.
- Such pharmaceutical compositions and unit dosage forms thereof may comprise conventional ingredients in conventional proportions, with or without additionnal active compounds or principles, and such unit dosage forms may contain any suitable effective amount of the active ingredient commensurate with the intended daily dosage range to be employed.
- the chemical compound of the present invention can be administered in a wide variety of oral and parenteral dosage forms. It will be obvious to those skilled in the art that the following dosage forms may comprise, as the active component, either a chemical compound of the invention or a pharmaceutically acceptable salt of a chemical compound of the invention.
- pharmaceutically acceptable carriers can be either solid or liquid. Solid form preparations include powders, tablets, pills, capsules, cachets, supposetories, and dispersible granules.
- a solid carrier can be one or more substances which may also act as diluents, flavouring agents, solubilizers, lubricants, suspending agents, binders, preservatives, tablet disintegrating agents, or an encapsulating material.
- the carrier is a finely divided solid, which is in a mixture with the finely divided active component.
- the active component is mixed with the carrier having the necessary binding capacity in suitable proportions and compacted in the shape and size desired.
- the powders and tablets preferably contain from five or ten to about sev- enty percent of the active compound.
- Suitable carriers are magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatin, tra- gacanth, methylcellulose, sodium carboxymethylcellulose, a low melting wax, cocoa butter, and the like.
- the term "preparation" is intended to include the formulation of the active compound with encapsulating material as carrier providing a capsule in which the active component, with or without carriers, is surrounded by a carrier, which is thus in association with it.
- cachets and lozenges are included. Tablets, powders, capsules, pills, cachets, and lozenges can be used as solid forms suitable for oral administration.
- a low melting wax such as a mixture of fatty acid glyceride or cocoa butter
- the active component is dispersed homogeneously therein, as by stirring.
- the molten homogenous mixture is then poured into convenient sized moulds, allowed to cool, and thereby to solidify.
- Compositions suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams or sprays containing in addition to the active ingredient such carriers as are known in the art to be appropriate.
- Liquid preparations include solutions, suspensions, and emulsions, for example, water or water-propylene glycol solutions.
- parenteral injection liquid preparations can be formulated as solutions in aqueous polyethylene glycol solution.
- the chemical compound according to the present invention may thus be formulated for parenteral administration (e.g. by injection, for example bolus injection or continuous infusion) and may be presented in unit dose form in ampoules, pre-filled syringes, small volume infusion or in multi-dose containers with an added preservative.
- the compositions may take such forms as suspensions, solu- tions, or emulsions in oily or aqueous vehicles, and may contain formulation agents such as suspending, stabilising and/or dispersing agents.
- the active ingredient may be in powder form, obtained by aseptic isolation of sterile solid or by lyophilization from solution, for constitution with a suitable vehicle, e.g. sterile, pyrogen-free water, before use.
- a suitable vehicle e.g. sterile, pyrogen-free water
- Aqueous solutions suitable for oral use can be prepared by dissolving the active component in water and adding suitable colorants, flavours, stabilising and thickening agents, as desired.
- Aqueous suspensions suitable for oral use can be made by dispersing the finely divided active component in water with viscous material, such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, or other well known suspending agents.
- viscous material such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, or other well known suspending agents.
- solid form preparations intended for conversion shortly before use to liquid form preparations for oral administration.
- Such liquid forms include solutions, suspendsions, and emulsions.
- preparations may comprise colorants, flavours, stabilisers, buffers, artificial and natural sweeteners, dispersants, thickeners, solubilizing agents, and the like.
- the chemical compound of the invention may be formulated as ointments, creams or lotions, or as a transdermal patch.
- Ointments and creams may, for example, be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents.
- Lotions may be formulated with an aqueous or oily base and will in general also contain one or more emulsifying agents, stabilising agents, dispersing agents, suspending agents, thickening agents, or colouring agents.
- compositions suitable for topical administration in the mouth include lozenges comprising the active agent in a flavoured base, usually sucrose and aca- cia or tragacanth; pastilles comprising the active ingredient in an inert base such as gelatin and glycerine or sucrose and acacia; and mouthwashes comprising the active ingredient in a suitable liquid carrier.
- compositions are applied directly to the nasal cavity by conventional means, for example with a dropper, pipette or spray.
- the compositions may be provided in single or multi-dose form.
- Administration to the respiratory tract may also be achieved by means of an aerosol formulation in which the active ingredient is provided in a pressurised pack with a suitable propellant such as a chlorofluorocarbon (CFC) for example dichlorodifluoromethane, trichlorofluoromethane, or dichlorotetrafluoroethane, carbon dioxide, or other suitable gas.
- a suitable propellant such as a chlorofluorocarbon (CFC) for example dichlorodifluoromethane, trichlorofluoromethane, or dichlorotetrafluoroethane, carbon dioxide, or other suitable gas.
- CFC chlorofluorocarbon
- the aerosol may conveniently also contain a surfactant such as lecithin.
- the dose of drug may be controlled by provision of a metered valve.
- the active ingredients may be provided in the form of a dry powder, for example a powder mix of the compound in a suitable powder base such as lactose, starch, starch compounds such as hydroxypropyl methyl cellulose and polyvinylpyrrolidone (PVP).
- a powder base such as lactose, starch, starch compounds such as hydroxypropyl methyl cellulose and polyvinylpyrrolidone (PVP).
- PVP polyvinylpyrrolidone
- the powder carrier will form a gel in the nasal cavity.
- the powder composition may be presented in unit dose form for example in capsules or cartridges of, e.g., gelatin, or blister packs from which the powder may be administered by means of an inhaler.
- the compound In compositions intended for administration to the respiratory tract, including intranasal compositions, the compound will generally have a small particle size for example of the order of 5 microns or less. Such a particle size may be obtained by means known in the art, for example by micronization.
- compositions adapted to give sustained release of the active ingredient may be employed.
- the pharmaceutical preparations are preferably in unit dosage forms.
- the preparation is subdivided into unit doses containing appropriate quantities of the active component.
- the unit dosage form can be a packaged preparation, the package containing discrete quantities of preparation, such as packaged tablets, capsules, and powders in vials or ampoules.
- the unit dosage form can be a capsule, tablet, cachet, or lozenge itself, or it can be the ap- prophate number of any of these in packaged form.
- Tablets or capsules for oral administration and liquids for intravenous administration and continuous infusion are preferred compositions.
- compositions containing of from about 0.1 to about 500 mg of active ingredient per individual dose, e.g. from about 1 to about 100 mg, or from about 1 to about 10 mg, are suitable for therapeutic treatments.
- the active ingredient may be administered in one or several doses per day.
- a satisfactory result can, in certain instances, be obtained at a dosage as low as 0.1 ⁇ g/kg i.v. and 1 ⁇ g/kg p.o.
- the upper limit of the dosage range is presently considered to be about 10 mg/kg i.v. and 100 mg/kg p.o.
- Preferred ranges are from about 0.1 ⁇ g/kg to about 10 mg/kg/day i.v., and from about 1 ⁇ g/kg to about 100 mg/kg/day p.o.
- the invention provides a method for the treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disease, disorder or condition is responsive to ac- tivation of K V 7 channels, and which method comprises administering to such a living animal body, including a human, in need thereof an effective amount of a compound of the invention.
- suitable dosage ranges are 0.1 to 2000 milligrams daily, 10-1000 milligrams daily, and especially 30-100 milligrams daily, dependent as usual upon the exact mode of administration, form in which administered, the indication toward which the administration is directed, the subject in- volved and the body weight of the subject involved, and further the preference and experience of the physician or veterinarian in charge.
- a satisfactory result can, in certain instances, be obtained at a dosage as low as 0.005 mg/kg i.v. and 0.01 mg/kg p.o.
- the upper limit of the dosage range is about 30 mg/kg i.v. and 500 mg/kg p.o.
- Preferred ranges are from about 0.001 to about 100 mg/kg i.v. and from about 0.1 to about 30 mg/kg p.o.
- intermediate 2 By reacting a solution of 1 , wherein R 4 is as defined above, and urea hy- drogen peroxide with trifluoroacetic anhydride, intermediate 2, wherein R 4 is as defined above, is obtained. By suspending intermediate 2 in POCI 3 and heating to reflux, intermediate 3, wherein R 4 is as defined above, is obtained. By allowing intermediate 3 to be reacted with an amine, wherein R 1 and R 2 are as defined above, intermediate 4, wherein R 1 , R 2 and R 4 are as defined above, is obtained. By reacting intermediate 4 with homomorpholine, intermediate 5, wherein R 1 , R 2 and R 4 are as defined above, is obtained.
- This experiment determines the ability of a test compound to modulate the activity of K v 7.2+3 channels heterologously expressed in human HEK293 cells.
- the ability is determined relative to retigabine.
- the activity is determined using a standard thallium (I) sensitive assay, e.g. using a fluorometric method in a Fluorescent Image Plate Reader (FLIPR) as described below in more detail.
- I thallium
- EC 50 values represent the concentration of the test substance, at which 50% of the channel activity is obtained when compared to retigabine control responses. Maximal response determined relative to the reference (retigabine) response is calculated.
- Human HEK293 cells over-expressing human K v 7.2+3 are grown in culture medium (DMEM supplemented with 10% foetal bovine serum), in polystyrene culture flasks (175 mm 2 ) in a humidified atmosphere of 5% CO 2 in air, at 37°C. Cell confluence should be 80-90% on day of plating. Cells are rinsed with 4 ml of PBS (phosphate buffered saline) and incubated 2 min with 1 ml of Trypsin-EDTA. After addition of 25 ml of culture medium cells are re-suspended by trituration with a 25 ml pipette.
- PBS phosphate buffered saline
- the cells are seeded at a density of -3x10 6 cells/ml (25 ⁇ l/well) in black- walled, clear bottom, 384-well plates pre-treated with 0.01 g/l poly-D-lysin (20 ⁇ l/well for >30 min). Plated cells were allowed to proliferate for 24 h before loading with dye.
- BTC-AM (50 mg, Invitrogen) is added 25.5 ⁇ l DMSO.
- the BTC-AM stock solution (2 mM) is diluted to a final concentration of 2 ⁇ M in Cl "free assay buffer (in mM: 140 Na + -gluconate, 2.5 K + -gluconate, 6 Ca2 + -gluconate, 1 Mg 2+ gluconate, 5 glucose, 10 HEPES, pH 7.3) containing 2 ⁇ M ouabain, 2 mM amaranth and 1 mM tartrazine.
- the culture medium is aspirated from the wells, the cells are washed thrice in Cl " free assay buffer, and 25 ⁇ l of the BTC-AM loading solution is added to each well. The cells are incubated at 37°C for 60 min.
- the Tl + -sensitive BTC fluorescence signal is measured over time using a FLIPR.
- Addition plates (compound plate and stimulus plate) are placed in positions 2 and 3, respectively. Cell plates are placed in position 1 and run using the "KCNQ (two additions)" program. FLIPR will then take the appropriate measurements in accordance with the interval settings above. Fluorescence obtained after stimulation is corrected for the mean basal fluorescence (in Cl " free assay buffer).
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Abstract
The present application discloses novel substituted 1,4-oxazepanyl-pyridine derivatives and their use as modulators of the voltage gated KV7 (KCNQ) potassium ion channels. In other aspects the application discloses the use of these compounds, in a method for therapy and to pharmaceutical compositions comprising these compounds.
Description
SUBSTITUTED PYRIDINE DERIVATIVES AND THEIR MEDICAL USE
TECHNICAL FIELD
The present invention relates to novel substituted 1 ,4-oxazepanyl-pyridine de- hvatives, to their use in therapy, to pharmaceutical compositions comprising the derivatives, to the use of said derivatives in the manufacture of a medicament, and to therapeutic methods comprising the administration of the derivatives. The present derivatives are useful for treating a disorder, disease or a condition of a subject, which disorder, disease or condition is responsive to activation of KV7 channels.
BACKGROUND ART
Potassium (K+) channels are structurally and functionally diverse families of K+-selective channel proteins, which are ubiquitous in cells, indicating their central importance in regulating a number of key cell functions. While widely distributed as a class, K+ channels are differentially distributed as individual members of this class or as families.
Recently a new family of potassium channels, the KCNQ channels, now also designated KV7, of which KV7.1 -KV7.5 have currently been characterised, has attracted attention as target for therapeutic development.
Due to the distribution of KV7 channels within the organism, KV7 channel modulators are considered potentially useful for the treatment or alleviation of conditions as diverse as CNS disorders, psychiatric disorders, CNS damage caused by trauma, stroke or neurodegenerative illness or diseases, a variety of neuronal hyperexcitability disorders and conditions, epilepsy, pain, neuropathic pain, migraine, tension type headache, learning and cognitive disorders, motion and motor disorders, multiple sclerosis, cardiac disorders, heart failure, cardio- myopathia, inflammatory diseases, ophthalmic conditions, deafness, progressive hearing loss, tinnitus, obstructive or inflammatory airway diseases, for inducing or maintaining bladder control including the treatment or prevention of urinary incontinence. WO2006/092143 (Lundbeck A/S) discloses substituted pyridine derivatives useful as openers of the KCNQ family potassium ion channels. However, this document does not disclose or suggest pyridine derivatives substituted with two heterocyclic rings.
SUMMARY OF THE INVENTION
The present invention discloses novel substituted 1 ,4-oxazepanyl-pyridine compounds having medical utility for combating disorders, diseases or conditions responsive to activation of KV7 channels. In one embodiment the present invention provides compounds of Formula (I)
a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof, wherein R1, R2, R3, R4, L and n are as defined below.
In another embodiment the invention provides pharmaceutical compositions comprising a therapeutically effective amount of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof or a pharmaceutically-acceptable addi- tion salt thereof.
In another embodiment the invention relates to the use of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically- acceptable addition salt thereof, or an N-oxide thereof, for the manufacture of pharmaceutical compositions. In another embodiment the invention relates to the use of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically- acceptable addition salt thereof, or an N-oxide thereof, for the manufacture of a pharmaceutical composition for the treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disorder, disease or condition is responsive to activation of KV7 channels. In another embodiment the invention provides a method of treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disorder, disease or condition is responsive to activation of KV7 channels, which method comprises the step of administering to such a living animal body in need thereof, a therapeutically effective amount of a compound of the invention, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof or a pharmaceutically-acceptable addition salt thereof.
Another embodiment of the invention is the provision of compounds with optimal pharmacodynamic and/or pharmacokinetic properties such as kinetic behaviour, bioavailability, solubility, efficacy and/or adverse effects.
Other embodiments of the invention will be apparent to the person skilled in the art from the following detailed description and examples.
DETAILED DISCLOSURE OF THE INVENTION
In one embodiment the present invention provides compounds of Formula (I)
a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof, wherein
R1 and R2, independently of each other, represent d-6-alkyl; or
R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, mor- pholinyl and 1 ,4-oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C1-6-alkyl, trifluoromethyl, Ci-6-alkoxy, hydroxy-Ci-6-alkyl and Ci-e-alkoxy-Ci-e-alkyl;
L represents a linker selected from -CR1R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci-6-alkyl or halogen;
n is 0 or 1 ;
R3 represents C1-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6- alkoxy, halogen and trifluoromethyl; and
R4 represents C1-6-alkyl.
In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent Ci-6-alkyl, such as methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, represent 2,5-dihydro-1 H-pyrrol-1 -yl. In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, represent morpholinyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, represent 1 ,4-oxazepanyl. In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl which is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl, Ci-6-alkoxy, hy- droxy-C-ι-6-alkyl and Ci-6-alkoxy-Ci-6-alkyl. In another embodiment R1 and R2, to- gether with the nitrogen to which they are attached, represent pyrrolidinyl. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl which is substituted one or two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and d-6-alkoxy. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with a substituent selected from the group consisting of halogen, hydroxy, amino, C-ι-6-alkyl, trifluoromethyl and Ci-6-alkoxy. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with halogen. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with fluoro. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with Ci-6-alkyl, such as methyl. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted one time with trifluoromethyl. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and C-ι-6-alkoxy. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted two times with halogen. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent pyrrolidinyl substituted two times with Ci-6-alkyl, such as methyl. In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl which is option-
ally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl, Ci-6-alkoxy, hydroxy- C-ι-6-alkyl and C1-6-alkoxy-Ci-6-alkyl. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl. In another em- bodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl which is substituted one or two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and C-ι-6-alkoxy. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl substituted one time with a sub- stituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and d-6-alkoxy. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl substituted one time with halogen. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl substituted one time with fluoro. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl substituted one time with Ci-6-alkyl, such as methyl. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl substituted one time with trifluoromethyl. In another embodiment R1 and R2, together with the nitrogen to which they are attached, rep- resent piperidinyl substituted two times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl and d-6-alkoxy. In another embodiment R1 and R2, together with the nitrogen to which they are attached, represent piperidinyl substituted two times with halogen. In another embodiment R1 and R2, together with the nitrogen to which they are attached, repre- sent piperidinyl substituted two times with Ci-6-alkyl, such as methyl.
In another embodiment of the invention, in Formula (I), L represents -CR1R"-, wherein R' and R", independently of each other, represent hydrogen, C1- 6-alkyl or halogen. In another embodiment L represents -CR'R"-, wherein R' and R", independently of each other, represent hydrogen or Ci-6-alkyl. In another em- bodiment of the invention L represents -CH2-. In another embodiment L represents -CR'R"-, wherein one of R' and R" represent hydrogen, and the other one of R' and R" represent Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), L represents -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, C-ι-6-alkyl or halogen. In another embodiment L represents -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen or Ci-6-alkyl. In another embodiment of the invention L represents -0-CH2-. In another embodiment L
represents -O-CR'R"-, wherein one of R' and R" represent hydrogen, and the other one of R' and R" represent Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), n is 0. In another embodiment of the invention, in Formula (I), n is 1 . In another embodiment of the invention, in Formula (I), R3 represents Ci-6- alkyl, such as methyl, ethyl, propyl or te/t-butyl. In another embodiment, R3 represents methyl. In another embodiment, R3 represents ethyl. In another embodiment, R3 represents te/t-butyl.
In another embodiment of the invention, in Formula (I), R3 represents phenyl, which is optionally substituted one or more times with substituents selected from Ci-6-alkyl, C1-6-alkoxy, halogen and trifluoromethyl.
In another embodiment of the invention, in Formula (I), R3 represents phenyl.
In another embodiment of the invention, in Formula (I), R3 represents phenyl, which is substituted one time with a substituent selected from Ci-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl. In another embodiment R3 represents phenyl which is substituted one time with Ci-6-alkyl, such as methyl. In another embodiment R3 represents phenyl which is substituted one time with halogen. In another embodiment R3 represents phenyl which is substituted one time with fluoro. In another embodiment R3 represents phenyl which is substituted one time with Ci-6-alkoxy. In another embodiment R3 represents phenyl which is substituted one time with trifluoromethyl.
In another embodiment of the invention, in Formula (I), R3 represents phenyl, which is substituted two times with substituents selected from C1-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl. In another embodiment R3 represents phenyl which is substituted two times with Ci-6-alkyl, e.g. methyl. In another embodiment R3 represents phenyl which is substituted two times with Ci-6-alkoxy. In another embodiment R3 represents phenyl which is substituted two times with halogen. In another embodiment R3 represents phenyl which is substituted two times with fluoro. In another embodiment R3 represents phenyl which is substituted two times with trifluoromethyl.
In another embodiment of the invention, in Formula (I), R3 represents fu- ranyl which is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl. In another embodiment of the invention, in Formula (I), R3 represents fu- ranyl.
In another embodiment of the invention, in Formula (I), R3 represents fu- ranyl, which is substituted one time with a substituent selected from C1-6-alkyl, C1-
6-alkoxy, halogen and trifluoromethyl. In another embodiment R3 represents fu- ranyl which is substituted one time with d-e-alkyl, such as methyl. In another em- bodiment R i3 represents furanyl which is substituted one time with halogen. In an- i3 other embodiment R represents furanyl which is substituted one time with Ci-6- alkoxy. In another embodiment R represents furanyl which is substituted one time with trifluoromethyl.
In another embodiment of the invention, in Formula (I), R3 represents furanyl, which is substituted two times with substituents selected from Ci-6-alkyl, Ci- 6-alkoxy, halogen and trifluoromethyl. In another embodiment R3 represents fu- ranyl which is substituted two times with Ci-6-alkyl, e.g. methyl. In another embodiment R3 represents furanyl which is substituted two times with Ci-6-alkoxy. In another embodiment R3 represents furanyl which is substituted two times with halogen. In another embodiment R3 represents furanyl which is substituted two times with fluoro. In another embodiment R3 represents furanyl which is substi- tuted two times with trifluoromethyl.
In another embodiment of the invention, in Formula (I), R4 represents Ci-6- alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent Ci-6-alkyl; L represents a linker selected from -CR'R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci-6-alkyl or halogen; n is 0 or 1 ; R3 represents C1-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl; and R4 represents C1-6-alkyl. In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, Ci-6-alkyl, trifluoromethyl, Ci-6-alkoxy, hydroxy-Ci-6-alkyl and Ci-6-alkoxy-Ci- 6-alkyl; L represents a linker selected from -CR'R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci-6-alkyl or halogen; n is 0 or 1 ; R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl; and R4 represents C1-6-alkyl.
In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent Ci-6-alkyl; L represents a linker -CR'R"-,
wherein R' and R", independently of each other, represent hydrogen, d-e-alkyl or halogen; n is 1 ; R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and fu- ranyl is optionally substituted one or more times with substituents selected from C-ι-6-alkyl, d-e-alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C1-6-alkyl, trifluoromethyl, d-e-alkoxy, hydroxy-d-e-alkyl and Ci-6- alkoxy-Ci-6-alkyl; L represents a linker -CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci-6-alkyl or halogen; n is 1 ; R3 represents Ci- 6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C1-6-alkyl, Ci-e-alkoxy, halogen and trifluoromethyl; and R4 represents C1-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent Ci-6-alkyl; L represents a linker -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, C1-6-alkyl or halogen; n is 1 ; R3 represents C1-6-aikyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-e-alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C1-6-alkyl, trifluoromethyl, Ci-e-alkoxy, hydroxy-Ci-6-alkyl and Ci-6- alkoxy-Ci-6-alkyl; L represents a linker -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci-6-alkyl or halogen; n is 1 ; R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C1-6-alkyl, d-6-alkoxy, halogen and trifluoromethyl; and R4 represents C1-6-alkyl, e.g. methyl. In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent Ci-6-alkyl; n is 0; R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more
times with substituents selected from C1-6-alkyl, C1-6-alkoxy, halogen and trifluoro- methyl; and R4 represents d-e-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, morpholinyl and 1 ,4- oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, C1-6-alkyl, trifluoromethyl, d-6-alkoxy, hydroxy-d-6-alkyl and Ci-6- alkoxy-C-ι-6-alkyl; n is 0; R3 represents d-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C-ι-6-alkyl, d-6-alkoxy, halogen and trifluoromethyl; and R4 represents d-e- alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent d-6-alkyl; L represents -CH2-, n is 1 , R3 repre- sents d-e-alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R4 represents d-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, L repre- sents -CH2-, n is 1 , R3 represents d-6-alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R4 represents d-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from piperidinyl which is optionally substituted one time with halogen, L represents -CH2-, n is 1 , R3 represents d-6-alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R4 represents d-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from morpholinyl, L represents -CH2-, n is 1 , R3 represents d-6-alkyl or phenyl, which phenyl is optionally substituted one or two times with halogen and R4 represents d-e-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, L represents -CH2-, n is 1 , R3 represents phenyl, which phenyl is optionally substituted one or two times with halogen and R4 represents d-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, independently of each other, represent Ci-6-alkyl; n is 0, R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, d-e-alkoxy, halogen and trifluoro- methyl; and R4 represents Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, n is 0, R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6- alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from piperidinyl which is optionally substituted one time with halogen, n is 0, R3 represents C1-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6- alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from morpholinyl, n is 0, R3 represents Ci-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6- alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, n is 0, R3 represents phenyl which is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci.6-alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl. In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl which is optionally substituted one time with halogen, n is 0, R3 represents furanyl which is optionally substituted one or more times with substituents selected from Ci-6-alkyl, Ci.6-alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from 1 ,4-oxazepanyl, L represents -CH2-, n is 1 , R3 represents C1-6-alkyl, phenyl or
furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from C1-6-alkyl, Ci-6-alkoxy, halogen and trifluoromethyl; and R4 represents C1-6-alkyl, e.g. methyl.
In another embodiment of the invention, in Formula (I), R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from 1 ,4-oxazepanyl, L represents -CH2-, n is 1 , R3 represents phenyl which is optionally substituted one or two times with substituents selected from Ci-6-alkyl, C1- 6-alkoxy, halogen and trifluoromethyl; and R4 represents Ci-6-alkyl, e.g. methyl. In another embodiment of the invention the compound of the invention is: 2-(3,4-Difluoro-phenyl)-N-[2-((R)-3-fluoro-pyrrolidin-1 -yl)-5-methyl-6-[1 ,4]oxazepan-4- yl-pyridin-3-yl]-acetamide;
2-(3,5-Difluoro-phenyl)-/V-(5-methyl-2,6-bis-[1 ,4]oxazepan-4-yl-pyridin-3-yl)- acetamide;
3-Fluoro-Λ/-(5-methyl-6-[1 ,4]oxazepan-4-yl-2-pyrrolidin-1 -yl-pyridin-3-yl)-benzamide;
3-methyl-N-[5-methyl-6-(1 ,4-oxazepan-4-yl)-2-pyrrolidin-1 -yl-3-pyridyl]furan-2- carboxamide; or a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof.
In another embodiment of the invention the compound of the invention is: 2-(3-fluorophenyl)-N-[2-[(3R)-3-fluoropyrrolidin-1 -yl]-5-methyl-6-(1 ,4-oxazepan-4-yl)-3- pyridyl]acetamide; or a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof. Any combination of two or more of the embodiments described herein is considered within the scope of the present invention. Definition of Terms
As used throughout the present specification and appended claims, the following terms have the indicated meaning: The term "C1-6-alkyl" as used herein means a saturated, branched or straight hydrocarbon group having from 1 -6 carbon atoms, e.g. Ci-3-alkyl, Ci-4- alkyl, Ci-6-alkyl, C2-6-alkyl, C3-6-alkyl, and the like. Representative examples are methyl, ethyl, propyl (e.g. prop-1 -yl, prop-2-yl (or /so-propyl)), butyl (e.g. 2- methylprop-2-yl (or te/t-butyl), but-1 -yl, but-2-yl), pentyl (e.g. pent-1 -yl, pent-2-yl, pent-3-yl), 2-methylbut-1 -yl, 3-methylbut-1 -yl, hexyl (e.g. hex-1 -yl), and the like.
The term "halo" or "halogen" means fluorine, chlorine, bromine or iodine.
The term "hydroxy" shall mean the radical -OH.
The term "amino" shall mean the radical -NH2.
The term "trihalomethyl" means trifluoromethyl, trichloromethyl, and simi- lar trihalo-substituted methyl groups.
The term "Ci-6-alkoxy" as used herein refers to the radical -O-d-6-alkyl. Representative examples are methoxy, ethoxy, propoxy (e.g. 1 -propoxy, 2- propoxy), butoxy (e.g. 1 -butoxy, 2-butoxy, 2-methyl-2-propoxy), pentoxy (1 - pentoxy, 2-pentoxy), hexoxy (1 -hexoxy, 3-hexoxy), and the like. The term "hydroxy-d-6-alkyl" as used herein refers to alkyl substituted one or more times at any carbon atom(s) with hydroxyl. Representative examples are hydroxymethyl, hydoxyethyl (e.g. 1 -hydroxyethyl, 2-hydroxyethyl) and the like.
The term "Ci-6-alkoxy-Ci-6-alkyl" as used herein refers to an d-6-alkyl-O- C-ι-6-alkyl group, wherein the Ci-6-alkyl and d-6-alkyl-O- are as defined above. Representative examples are methoxy-methyl, methoxy-ethyl, ethoxy-methyl, and ethoxy-ethyl.
The term "optionally substituted" as used herein means that the groups in question are either unsubstituted or substituted with one or more of the substitu- ents specified. When the group(s) in question is/are substituted with more than one substituent the substituents may be the same or different.
Certain of the defined terms may occur more than once in the structural formulae, and upon such occurrence each term shall be defined independently of the other. The term "treatment" as used herein means the management and care of a patient for the purpose of combating a disease, disorder or condition. The term is intended to include the delaying of the progression of the disease, disorder or condition, the alleviation or relief of symptoms and complications, and/or the cure or elimination of the disease, disorder or condition. The patient to be treated is preferably a mammal, in particular a human being.
The terms "disease", "condition" and "disorder" as used herein are used interchangeably to specify a state of a patient which is not the normal physiological state of man.
The term "medicament" as used herein means a pharmaceutical composi- tion suitable for administration of the pharmaceutically active compound to a patient.
The term "pharmaceutically acceptable" as used herein means suited for normal pharmaceutical applications, i.e. giving rise to no adverse events in patients etc. The term "effective amount" as used herein means a dosage which is sufficient in order for the treatment of the patient to be effective compared with no treatment.
The term "therapeutically effective amount" of a compound as used herein means an amount sufficient to cure, alleviate or partially arrest the clinical manifestations of a given disease and its complications. An amount adequate to accomplish this is defined as "therapeutically effective amount". Effective amounts for each purpose will depend on the severity of the disease or injury as well as the weight and general state of the subject. It will be understood that determining an appropriate dosage may be achieved using routine experimentation, by constructing a matrix of values and testing different points in the matrix, which is all within the ordinary skills of a trained physician or veterinary.
Pharmaceutically Acceptable Salts
The compounds of the invention may be provided in any form suitable for the intended administration. Suitable forms include pharmaceutically (i.e. physiologically) acceptable salts, and pre- or prodrug forms of the compounds of the invention. Examples of pharmaceutically acceptable addition salts include, without limitation, the non-toxic inorganic and organic acid addition salts such as the hydrochloride derived from hydrochloric acid, the hydrobromide derived from hydro- bromic acid, the nitrate derived from nitric acid, the perchlorate derived from perchloric acid, the phosphate derived from phosphoric acid, the sulphate derived from sulphuric acid, the formate derived from formic acid, the acetate derived from acetic acid, the aconate derived from aconitic acid, the ascorbate derived from ascorbic acid, the benzenesulphonate derived from benzensulphonic acid, the benzoate derived from benzoic acid, the cinnamate derived from cinnamic acid, the citrate derived from citric acid, the embonate derived from embonic acid, the enantate derived from enanthic acid, the fumarate derived from fumaric acid, the glutamate derived from glutamic acid, the glycollate derived from glycolic acid, the lactate derived from lactic acid, the maleate derived from maleic acid, the malo- nate derived from malonic acid, the mandelate derived from mandelic acid, the methanesulphonate derived from methane sulphonic acid, the naphthalene-2- sulphonate derived from naphtalene-2-sulphonic acid, the phthalate derived from phthalic acid, the salicylate derived from salicylic acid, the sorbate derived from sorbic acid, the stearate derived from stearic acid, the succinate derived from succinic acid, the tartrate derived from tartaric acid, the toluene-p-sulphonate derived from p-toluene sulphonic acid, and the like. Such salts may be formed by procedures well known and described in the art.
Other acids such as oxalic acid, which may not be considered pharmaceutically acceptable, may be useful in the preparation of salts useful as intermedi-
ates in obtaining a chemical compound of the invention and its pharmaceutically acceptable acid addition salt.
Examples of pharmaceutically acceptable cationic salts of a chemical compound of the invention include, without limitation, the sodium, the potassium, the calcium, the magnesium, the zinc, the aluminium, the lithium, the choline, the lysine, and the ammonium salt, and the like, of a chemical compound of the invention containing an anionic group. Such cationic salts may be formed by procedures well known and described in the art.
Examples of pharmaceutically acceptable addition salts include, without limitation, the non-toxic inorganic and organic acid addition salts such as the hydrochloride, the hydrobromide, the nitrate, the perchlorate, the phosphate, the sulphate, the formate, the acetate, the aconate, the ascorbate, the benzene- sulphonate, the benzoate, the cinnamate, the citrate, the embonate, the enantate, the fumarate, the glutamate, the glycolate, the lactate, the maleate, the malonate, the mandelate, the methanesulphonate, the naphthalene-2-sulphonate derived, the phthalate, the salicylate, the sorbate, the stearate, the succinate, the tartrate, the toluene-p-sulphonate, and the like. Such salts may be formed by procedures well known and described in the art.
Examples of pharmaceutically acceptable cationic salts of a chemical com- pound of the invention include, without limitation, the sodium, the potassium, the calcium, the magnesium, the zinc, the aluminium, the lithium, the choline, the lysine, and the ammonium salt, and the like, of a chemical compound of the invention containing an anionic group. Such cationic salts may be formed by procedures well known and described in the art.
Steric Isomers
The compounds of the present invention may exist in (+) and (-) forms as well as in racemic forms (±). The racemates of these isomers and the individual isomers themselves are within the scope of the present invention.
Racemic forms can be resolved into the optical antipodes by known meth- ods and techniques. One way of separating the diastereomeric salts is by use of an optically active acid, and liberating the optically active amine compound by treatment with a base. Another method for resolving racemates into the optical antipodes is based upon chromatography on an optical active matrix. Racemic compounds of the present invention can thus be resolved into their optical antipodes, e.g., by fractional crystallisation of d- or I- (tartrates, mandelates, or camphorsul- phonate) salts for example.
Additional methods for the resolving the optical isomers are known in the art. Such methods include those described by Jaques J, Collet A, & Wilen S in "Enantiomers, Racemates, and Resolutions", John Wiley and Sons, New York (1981 ). Optical active compounds can also be prepared from optical active starting materials.
Methods of Preparation
The compounds of the present invention may be prepared by conventional methods for chemical synthesis, e.g. those described in the working examples. The starting materials for the processes described in the present application are known or may readily be prepared by conventional methods from commercially available chemicals.
Also one compound of the invention can be converted to another compound of the invention using conventional methods. The end products of the reactions described herein may be isolated by conventional techniques, e.g. by extraction, crystallisation, distillation, chromatography, etc.
Biological Activity
The compounds of the invention have been found useful as modulators of the KV7 (KCNQ) potassium channels. At present five such channels are known, i.e. the KV7.1 (KCNQ1 ) channel, the KV7.2 (KCNQ2) channel, the KV7.3 (KCNQ3) channel, the KV7.4 (KCNQ4) channel, and the KV7.5 (KCNQ5) channel, and het- eromehc combinations hereof. Moreover, the modulatory activity may be inhibitory (i.e. inhibitory activity) or stimulatory (i.e. activating activity). The modulatory activity may be determined using conventional methods, e.g. binding or activity studies, known in the art, e.g. as described in WO 2004/080377 (NeuroSearch A/S) .
In one aspect of the invention, the compounds of the invention show stimulating activity at KV7.2, KV7.3, KV7.4 and/or KV7.5 potassium channels, and hetero- meric combinations hereof. Compounds of the invention are selective, e.g. showing KV7.2, KV7.2+ KV7.3, and/or KV7.4 potassium channel activation.
Accordingly, the compounds of the invention are considered useful for the treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disorder, disease or condition is re- sponsive to modulation of a KV7 potassium channel.
Due to the distribution of KCNQ channels within the organism, KCNQ channel modulators are considered useful for the treatment or alleviation of conditions as diverse as an affective disorder, a neuro-physiological disorder, an anxiety disorder, depression, a bipolar disorder, a sleep disorder, addiction, an eating disorder, a phobia, a neurodegenerative disorder, Parkinson's disease, a mood disorder, a psychotic disorder, a compulsive behaviour, mania, psychosis, schizophrenia, dementia, Alzheimer's disease, epilepsy, convulsions, seizure disorders, absence seizures, vascular spasms, coronary artery spasms, tremor, muscle spasms, myasthenia gravis, a motor neuron disease, motion and motor disorders, a tic disorder, a Parkinson-like motor disorder, essential tremors, multiple sclerosis, amyelotrophic lateral sclerosis (ALS), multiple system atrophy, corticobasal degeneration, HIV associated dementia, Huntington's disease, Pick's disease, torsades de pointes, functional bowel disorders, CNS damage caused by trauma, stroke or neurodegenerative illness or diseases, ataxia, myokymia, spasticity, myopathy, learning and cognitive disorders, memory dysfunction, memory impairment, age-associated memory loss, Down's syndrome, pain, acute or chronic pain, mild pain, moderate or severe pain, neuropathic pain, central pain, pain related to diabetic neuropathy, to postherpetic neuralgia, to peripheral nerve injury, somatic pain, visceral pain or cutaneous pain, pain caused by inflammation or by infection, postoperative pain, phantom limb pain, neuronal hyperexcitability disorders, peripheral nerve hyperexcitability, chronic headache, migraine, migraine- related disorders, tension-type headache, heart failure, cardiac disorders, cardio- myopathia, cardiac arrhythmia, cardiac ischaemia, long QT syndrome, inflammatory diseases or conditions, inflammatory bowel disease, Crohn's disease, ulcera- tive colitis, Creutzfeld-Jacobs disease, an obstructive or inflammatory airway disease, asthma, an airway hyper reactivity, pneumoconiosis, aluminosis, anthraco- sis, asbestosis, chalicosis, ptilosis, siderosis, silicosis, tabacosis, byssinosis, chronic obstructive pulmonary disease (COPD), excerbation of airways hyper reactivity, cystic fibrosis, hearing impairment or hearing loss, progressive hearing loss, tinnitus, a drug-dependence or drug-addiction disorder, hyperactive gastric motility, ophthalmic conditions, erectile dysfunction, fibromylgia, for inducing or maintaining bladder control, nocturia, bladder spasms, overactive bladder (OAB), bladder outflow obstruction, interstitial cystitis (IC) (also called painfull bladder syndrome) and urinary incontinence. In another embodiment the disease, disorder or condition contemplated according to the invention is an anxiety disorder such as panic disorder, agoraphobia, phobias, social anxiety disorder, obsessive-compulsive disorder and posttraumatic stress disorder. In another embodiment the disease, disorder or condi-
tion contemplated according to the invention is anxiety. In another embodiment the disease, disorder or condition contemplated according to the invention is schizophrenia.
In one embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of a disease, disorder or adverse condition of the CNS. In another embodiment, the disease, disorder or condition is an affective disorder, a neuro-physiological disorder, an anxiety disorder, depression, a bipolar disorder, a sleep disorder, addiction, an eating disorder, a phobia, a neurodegenerative disorder, Parkinson's disease, a mood disorder, a psychotic disorder, a compulsive behaviour, mania, psychosis or schizophrenia. In another embodiment the compounds of the invention are useful for the treatment or alleviation of schizophrenia. In another embodiment the compounds of the invention are useful for the treatment or alleviation of depression. In another embodiment the compounds of the invention are useful for the treatment or alleviation of bipolar disorder.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of a CNS damage caused by trauma or by a spinal cord damage, stroke, traumatic brain injury, a neurodegenerative illness or disease, dementia, Alzheimer's disease, a motor neuron disease, a Parkinson-like motor disorder, multiple sclerosis, amyelotrophic lateral sclerosis (ALS), multiple system atrophy,HIV associated dementia, Huntington's disease, Pick's disease, torsades de pointes, tremor, muscle spasms, myasthenia gravis, convulsions, ataxia, myokymia, seizures, epilepsy or spasticity. In another embodiment the compounds of the invention are useful for the treatment or allevia- tion of epilepsy.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of pain, including acute and chronic pain, mild pain, moderate or even severe pain of acute, chronic or recurrent character, as well as postoperative pain, phantom limb pain, chronic headache, post therapeutic neuralgia, neuropathic pain, central pain, or pain related to diabetic neuropathy, to postherpetic neuralgia, to peripheral nerve injury or drug addiction, migraine and migraine-related disorders and to tension-type headache. In another embodiment the pain is somatic pain, incl. visceral pain or cutaneous pain, or pain caused by inflammation or by infection. In another embodiment the pain is neuro- pathic, e.g. caused by injury to the central or peripheral nervous system, e.g. due to tissue trauma, infection, diabetes, an autoimmune disease, arthritis or neuralgia. In another embodiment the compounds of the invention are useful for the
treatment or alleviation of pain. In another embodiment the compounds of the invention are useful for the treatment or alleviation of neuropathic pain.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of addiction, e.g. drug addiction, drug abuse, cocaine abuse, nicotine abuse, tobacco abuse, alcohol addiction or alcoholism, or withdrawal symptoms caused by the termination of abuse of chemical substances, in particular opioids, heroin, cocaine and morphine, benzodiazepines and benzodiazepine-like drugs, and alcohol.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of a learning and cognitive disorder, memory dysfunction, memory impairment, age-associated memory loss or Down's syndrome. In another embodiment the compounds of the invention are useful for the treatment or alleviation of cognition.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of chronic headache, migraine, migraine-related disorders or tension-type headache. In another embodiment the compounds of the invention are considered useful for treatment or alleviation of migraine.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of a disease, disorder or condition associated with the heart or skeletal muscle, heart failure, cardiomyopathia, cardiac arrhythmia, cardiac ischaemia or long QT syndrome.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of an inflammatory disease or condi- tion, inflammatory bowel disease, Crohn's disease, ulcerative colitis or Creutzfeld- Jacobs disease.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of asthma, an obstructive or inflammatory airway disease, an airway hyper reactivity, a pneumoconiosis such as aluminosis, anthracosis, asbestosis, chalicosis, ptilosis, siderosis, silicosis, taba- cosis and byssinosis, a chronic obstructive pulmonary disease (COPD), excerba- tion of airways hyper reactivity or cystic fibrosis. In another embodiment the compounds of the invention are considered useful for treatmentor alleviation of asthma. In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of progressive hearing loss or tinnitus.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of an ophthalmic disorder, a drug- dependence or drug-addiction disorder or hyperactive gastric motility.
In another embodiment the compounds of the invention are considered useful for treatment, prevention or alleviation of nocturia, bladder spasms, overactive bladder (OAB), interstitial cystitis (IC) and urinary incontinence. In another embodiment the compounds of the invention are considered useful for treatment or alleviation of urinary incontinence.
Pharmaceutical Compositions Viewed from one aspect the invention relates to the use of a compound of the invention, or a pharmaceutically-acceptable addition salt thereof, for the manufacture of a pharmaceutical composition for the treatment, prevention or alleviation of a disease or a disorder or a condition of a mammal, including a human, which disease, disorder or condition is responsive to modulation of KV7 channels.
Viewed from another aspect, the invention provides pharmaceutical compositions comprising a therapeutically-effective amount of a compound of the invention, or a pharmaceutically-acceptable addition salt thereof, together with at least one pharmaceutically-acceptable carrier or diluent, for the treatment, prevention or alleviation of a disease or a disorder or a condition that is responsive to modulation of KV7 channels.
While a compound for use according to the invention may be administered in the form of the raw chemical compound, it is preferred to introduce the active ingredient, optionally in the form of a physiologically acceptable salt, in a pharma- ceutical composition together with one or more adjuvants, excipients, carriers, buffers, diluents, and/or other customary pharmaceutical auxiliaries.
In another embodiment, the invention provides pharmaceutical compositions comprising a compound of the invention, together with one or more pharmaceutically acceptable carriers therefore, and, optionally, other therapeutic and/or prophylactic ingredients, know and used in the art. The carher(s) must be "acceptable" in the sense of being compatible with the other ingredients of the formulation and not harmful to the recipient thereof.
The pharmaceutical composition of the invention may be administered by any convenient route which suite the desired therapy. Preferred routes of admini- stration include oral administration, in particular in tablet, in capsule, in drage, in powder, or in liquid form, and parenteral administration, in particular cutaneous, subcutaneous, intramuscular, or intravenous injection. The pharmaceutical com-
position may be prepared by the skilled person using standard and conventional techniques appropriate for the desired formulation. When desired, compositions adapted to give sustained release of the active ingredient may be employed.
Pharmaceutical compositions of the invention may be those suitable for oral, rectal, bronchial, nasal, pulmonal, topical (including buccal and sub-lingual), transdermal, vaginal or parenteral (including cutaneous, subcutaneous, intramuscular, intraperitoneal, intravenous, intraarterial, intracerebral, intraocular injection or infusion) administration, or those in a form suitable for administration by inhalation or insufflation, including powders and liquid aerosol administration, or by sus- tained release systems. Suitable examples of sustained release systems include semipermeable matrices of solid hydrophobic polymers containing the compound of the invention, which matrices may be in form of shaped articles, e.g. films or microcapsules.
The chemical compound of the invention, together with a conventional ad- juvant, carrier, or diluent, may thus be placed into the form of pharmaceutical compositions and unit dosages thereof. Such forms include solids, and in particular tablets, filled capsules, powder and pellet forms, and liquids, in particular aqueous or non-aqueous solutions, suspensions, emulsions, elixirs, and capsules filled with the same, all for oral use, suppositories for rectal administration, and sterile injectable solutions for parenteral use. Such pharmaceutical compositions and unit dosage forms thereof may comprise conventional ingredients in conventional proportions, with or without additionnal active compounds or principles, and such unit dosage forms may contain any suitable effective amount of the active ingredient commensurate with the intended daily dosage range to be employed. The chemical compound of the present invention can be administered in a wide variety of oral and parenteral dosage forms. It will be obvious to those skilled in the art that the following dosage forms may comprise, as the active component, either a chemical compound of the invention or a pharmaceutically acceptable salt of a chemical compound of the invention. For preparing pharmaceutical compositions from a chemical compound of the present invention, pharmaceutically acceptable carriers can be either solid or liquid. Solid form preparations include powders, tablets, pills, capsules, cachets, supposetories, and dispersible granules. A solid carrier can be one or more substances which may also act as diluents, flavouring agents, solubilizers, lubricants, suspending agents, binders, preservatives, tablet disintegrating agents, or an encapsulating material.
In powders, the carrier is a finely divided solid, which is in a mixture with the finely divided active component.
In tablets, the active component is mixed with the carrier having the necessary binding capacity in suitable proportions and compacted in the shape and size desired.
The powders and tablets preferably contain from five or ten to about sev- enty percent of the active compound. Suitable carriers are magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatin, tra- gacanth, methylcellulose, sodium carboxymethylcellulose, a low melting wax, cocoa butter, and the like. The term "preparation" is intended to include the formulation of the active compound with encapsulating material as carrier providing a capsule in which the active component, with or without carriers, is surrounded by a carrier, which is thus in association with it. Similarly, cachets and lozenges are included. Tablets, powders, capsules, pills, cachets, and lozenges can be used as solid forms suitable for oral administration.
For preparing suppositories, a low melting wax, such as a mixture of fatty acid glyceride or cocoa butter, is first melted and the active component is dispersed homogeneously therein, as by stirring. The molten homogenous mixture is then poured into convenient sized moulds, allowed to cool, and thereby to solidify. Compositions suitable for vaginal administration may be presented as pessaries, tampons, creams, gels, pastes, foams or sprays containing in addition to the active ingredient such carriers as are known in the art to be appropriate.
Liquid preparations include solutions, suspensions, and emulsions, for example, water or water-propylene glycol solutions. For example, parenteral injection liquid preparations can be formulated as solutions in aqueous polyethylene glycol solution. The chemical compound according to the present invention may thus be formulated for parenteral administration (e.g. by injection, for example bolus injection or continuous infusion) and may be presented in unit dose form in ampoules, pre-filled syringes, small volume infusion or in multi-dose containers with an added preservative. The compositions may take such forms as suspensions, solu- tions, or emulsions in oily or aqueous vehicles, and may contain formulation agents such as suspending, stabilising and/or dispersing agents. Alternatively, the active ingredient may be in powder form, obtained by aseptic isolation of sterile solid or by lyophilization from solution, for constitution with a suitable vehicle, e.g. sterile, pyrogen-free water, before use. Aqueous solutions suitable for oral use can be prepared by dissolving the active component in water and adding suitable colorants, flavours, stabilising and thickening agents, as desired.
Aqueous suspensions suitable for oral use can be made by dispersing the finely divided active component in water with viscous material, such as natural or synthetic gums, resins, methylcellulose, sodium carboxymethylcellulose, or other well known suspending agents. Also included are solid form preparations, intended for conversion shortly before use to liquid form preparations for oral administration. Such liquid forms include solutions, suspendsions, and emulsions. In addition to the active component such preparations may comprise colorants, flavours, stabilisers, buffers, artificial and natural sweeteners, dispersants, thickeners, solubilizing agents, and the like.
For topical administration to the epidermis the chemical compound of the invention may be formulated as ointments, creams or lotions, or as a transdermal patch. Ointments and creams may, for example, be formulated with an aqueous or oily base with the addition of suitable thickening and/or gelling agents. Lotions may be formulated with an aqueous or oily base and will in general also contain one or more emulsifying agents, stabilising agents, dispersing agents, suspending agents, thickening agents, or colouring agents.
Compositions suitable for topical administration in the mouth include lozenges comprising the active agent in a flavoured base, usually sucrose and aca- cia or tragacanth; pastilles comprising the active ingredient in an inert base such as gelatin and glycerine or sucrose and acacia; and mouthwashes comprising the active ingredient in a suitable liquid carrier.
Solutions or suspensions are applied directly to the nasal cavity by conventional means, for example with a dropper, pipette or spray. The compositions may be provided in single or multi-dose form.
Administration to the respiratory tract may also be achieved by means of an aerosol formulation in which the active ingredient is provided in a pressurised pack with a suitable propellant such as a chlorofluorocarbon (CFC) for example dichlorodifluoromethane, trichlorofluoromethane, or dichlorotetrafluoroethane, carbon dioxide, or other suitable gas. The aerosol may conveniently also contain a surfactant such as lecithin. The dose of drug may be controlled by provision of a metered valve.
Alternatively the active ingredients may be provided in the form of a dry powder, for example a powder mix of the compound in a suitable powder base such as lactose, starch, starch compounds such as hydroxypropyl methyl cellulose and polyvinylpyrrolidone (PVP). Conveniently the powder carrier will form a gel in the nasal cavity. The powder composition may be presented in unit dose form for
example in capsules or cartridges of, e.g., gelatin, or blister packs from which the powder may be administered by means of an inhaler.
In compositions intended for administration to the respiratory tract, including intranasal compositions, the compound will generally have a small particle size for example of the order of 5 microns or less. Such a particle size may be obtained by means known in the art, for example by micronization.
When desired, compositions adapted to give sustained release of the active ingredient may be employed.
The pharmaceutical preparations are preferably in unit dosage forms. In such form, the preparation is subdivided into unit doses containing appropriate quantities of the active component. The unit dosage form can be a packaged preparation, the package containing discrete quantities of preparation, such as packaged tablets, capsules, and powders in vials or ampoules. Also, the unit dosage form can be a capsule, tablet, cachet, or lozenge itself, or it can be the ap- prophate number of any of these in packaged form.
Tablets or capsules for oral administration and liquids for intravenous administration and continuous infusion are preferred compositions.
Further details on techniques for formulation and administration may be found in the latest edition of Remington's Pharmaceutical Sciences (Maack Pub- lishing Co., Easton, PA).
The actual dosage depends on the nature and severity of the disease being treated, and is within the discretion of the physician, and may be varied by titration of the dosage to the particular circumstances of this invention to produce the desired therapeutic effect. However, it is presently contemplated that pharma- ceutical compositions containing of from about 0.1 to about 500 mg of active ingredient per individual dose, e.g. from about 1 to about 100 mg, or from about 1 to about 10 mg, are suitable for therapeutic treatments.
The active ingredient may be administered in one or several doses per day. A satisfactory result can, in certain instances, be obtained at a dosage as low as 0.1 μg/kg i.v. and 1 μg/kg p.o. The upper limit of the dosage range is presently considered to be about 10 mg/kg i.v. and 100 mg/kg p.o. Preferred ranges are from about 0.1 μg/kg to about 10 mg/kg/day i.v., and from about 1 μg/kg to about 100 mg/kg/day p.o.
Methods of Therapy In another aspect the invention provides a method for the treatment, prevention or alleviation of a disease or a disorder or a condition of a living animal body, including a human, which disease, disorder or condition is responsive to ac-
tivation of KV7 channels, and which method comprises administering to such a living animal body, including a human, in need thereof an effective amount of a compound of the invention.
The preferred medical indications contemplated according to the invention are those stated above.
It is at present contemplated that suitable dosage ranges are 0.1 to 2000 milligrams daily, 10-1000 milligrams daily, and especially 30-100 milligrams daily, dependent as usual upon the exact mode of administration, form in which administered, the indication toward which the administration is directed, the subject in- volved and the body weight of the subject involved, and further the preference and experience of the physician or veterinarian in charge.
A satisfactory result can, in certain instances, be obtained at a dosage as low as 0.005 mg/kg i.v. and 0.01 mg/kg p.o. The upper limit of the dosage range is about 30 mg/kg i.v. and 500 mg/kg p.o. Preferred ranges are from about 0.001 to about 100 mg/kg i.v. and from about 0.1 to about 30 mg/kg p.o.
EXAMPLES
The following examples and general procedures refer to intermediate compounds and final products for general Formula (I) identified in the specification and in the synthesis schemes. The preparation of the compounds of general For- mula (I) of the present invention is described in detail using the following examples. Occasionally, the reaction may not be applicable as described to each compound included within the disclosed scope of the invention. The compounds for which this occurs will be readily recognised by those skilled in the art. In these cases the reactions can be successfully performed by conventional modifications known to those skilled in the art, which is, by appropriate protection of interfering groups, by changing to other conventional reagents, or by routine modification of reaction conditions. Alternatively, other reactions disclosed herein or otherwise conventional will be applicable to the preparation of the corresponding compounds of the invention. In all preparative methods, all starting materials are known or may easily be prepared from known starting materials.
The abbreviations as used in the examples have the following meaning: MeCN: Acetonitrile DCM: Dichloromethane EDC-HCI: 1 -ethyl-3-(3-dimethylaminopropyl)carbodiimide,HCI )) DMF: Λ/,Λ/-dimethylformamide DMSO: Dimethylsulfoxide EtOH: Ethanol
EtOAc: Ethyl acetate MeOH: Methanol NMP: Λ/-Methylpyτrolidinone RT: room temperature THF: Tetrahydrofuran
Synthetic scheme:
By reacting a solution of 1 , wherein R4 is as defined above, and urea hy- drogen peroxide with trifluoroacetic anhydride, intermediate 2, wherein R4 is as defined above, is obtained. By suspending intermediate 2 in POCI3 and heating to reflux, intermediate 3, wherein R4 is as defined above, is obtained. By allowing intermediate 3 to be reacted with an amine, wherein R1 and R2 are as defined above, intermediate 4, wherein R1, R2 and R4 are as defined above, is obtained. By reacting intermediate 4 with homomorpholine, intermediate 5, wherein R1, R2
and R4 are as defined above, is obtained. In a one pot procedure intermediate 5 is reduced with hydrazine/Raney nickel and subsequently reacted with an acid chloride, wherein L, n and R3 are as defined above, to provide compound 6, wherein R1, R2, R4, L, n and R3 are as defined above.
Preparative Examples
2-Chloro-5-methyl-3-nitropyhdine-1 -oxide
A solution of 2-chloro-5-methyl-5-nitropyridine (10 g; 56.8mmol) and UHP (urea hydrogen peroxide addition compound; 1 1 .2g; 1 19 mmol) in dichlorome- thane (250 ml_) was cooled to ca. 0 0C whereafter trifluoroacetic anhydride (16.5 ml_; 1 19 mml) was slowly added. The reaction mixture was stirred at 0 0C for 30 min and then left with stirring at rt. for 36 h. after which the reaction mixture was filtered, poured into water, extracted with dichloromethane (2x), washed with brine, dried over Na2SO4 and concentrated in vacuo to yield 10.7g (quant.) of a yellow solid. e/z = 189/377 (>95%; LC-MS; ESI+); e/z = 189 (>95%; GC-MS; El+)
2,6-Dichloro-3-methyl-5-nitropyridine
A suspension of 2-chloro-5-methyl-3-nitropyridine-1 -oxide (4.Og; 21 .2mmol) was suspended in POCI3 (ca. 20 ml_) and heated to reflux temperature for three hours. The reaction mixture was carefully added to prewarmed water, cooled, extracted with ethyl acetate (3x), dried (Na2SO4), filtered and evaporated to 4.5g of a brownish solid. The crude product was purified by flash column chromatography (add-on-column in DCM; 5% ethyl acetate in heptane) to give 3.56g (81 %) of an off-white solid, e/z = 189 (>95%; GC-MS; El+)
2-Chloro-3-methyl-5-nitro-6-pyrrolidin-1 -yl-pyridine
To a solution of 2,6-dichloro-3-methyl-5-nitropyridine (2g, 9.7 mmol) in ace- tonitrile (50 mL) is added triethylamine (4.1 ml_; 29 mmol) followed by a slow addi-
5 tion of pyrrolidine (870 μl_, 10.6 mmol) and the reaction mixture is stirred at room temperature for 3 h. The reaction mixture was then poured into water and acetoni- trile was removed in vacuo. The remaining aqueous phase was extracted with ethyl acetate (3x) and concentrated to yield 2.28g of a redish oil. The crude compound was purified by flash column chromatography (5% ethyl acetate in heptane,
10 loaded with dichloromethane) to yield 1.8 g (77%) of a yellowish oil. e/z = 241/243 (>95%; GC-MS; El+), e/z = 242/244 (>95%; LC-MS; ESI+)
In a similar manner was synthesized:
15 2-Chloro-6-((f?)-3-fluoro-pyrrolidin-1 -yl)-3-methyl-5-nitro-pyridine
Yield 80% (85% purity), a yellow oil. e/z = 260/262 (85%; LC-MS; ESI+).
20 4-[6-((f?)-3-Fluoro-pyrrolidin-1 -yl)-3-methyl-5-nitro-pyridin-2-yl1-[1 ,41oxazepane
A solution of 2-chloro-6-((f?)-3-fluoro-pyrrolidin-1 -yl)-3-methyl-5-nitro- pyridine (1.2 g, 4.6 mmol), homomorpholine hydrochloride (1.1 g, 8.3 mmol) and triethyl amine (2 mL, 14 mmol) in DMSO (10 mL) was heated in the MW at 25 1000C for 2.5 h.
The reaction mixture was hereafter poored into water (150 ml_) and extracted with EtOAc (3x100 mL). The combined organics are washed once with 100 mL brine, dried on Na2SO4 and evaporated to dryness.
The product was purified using column chromatography Heptane:EtOAc 9:1 -> 1 :1 to yield a yellow oil (87% ;>95% LC-MS purity), e/z = 325.
3-Methyl-(2,6-bis-ri ,41oxazepane-4-yl)-5-nitropyridine
From the same reaction mixture was from non-converted 2,6-dichloro-3- nitropyridine isolated the title compound. Yield 9%; e/z = 337 (95%; LC-MS; ESI+). A yellow oil.
(3,5-Difluorophenyl)-acetyl chloride
3,5-Difluorophenylacetic acid (47.5 g, 273 mmol) was dissolved in dry DCM
(30OmL) followed by addition of oxalyl chloride (26.2 mL, 301 mmol). A nitrogen atmosphere was established and dry dimethylformamide (few drops) was added. The mixture was stirred overnight at rt followed by evaporation in vacuo to yield the crude title compound (52.0 g, 100%). The product was used without further purification.
In a similar manner was synthesized :
(3,4-DifluorophenvP-acetyl chloride
2-(3-fluorophenyl)acetyl chloride
Example 1
2-(3.4-Difluoro-Dhenyl)-N-r2-((f?)-3-fluoro-pyrrolidin-1 -yl)-5-methyl-6- [1 ,41oxazepan-4-yl-pyridin-3-yl1-acetamide (Compound 1.1 )
To a solution of 4-[6-((R)-3-Fluoro-pyrrolidin-1 -yl)-3-methyl-5-nitro-pyridin- 2-yl]-[1 ,4]oxazepane (1.3 g, 4 mmol) in THF (25 ml_) was added Raney nickel catalyst 50% slurry in water (1 ml_) and hydrazine monohydrate (590 μl_, 12 mmol). The reaction mixtures was stirred for 1 h after which the reaction mixture was fil- tered over hyflo directly into a solution of (3,4-Difluorophenyl)-acetyl chloride (1.2 g, 6 mmol) in THF (15 ml_). After stirring for another 1 h at rt the reaction mixture was evaporated to dryness and purified using reversed phase column chromatography H2O:MeCN 95:5 -> 5:95% to yield 1.2 g (67%; a grey solid: e/z = 449 (M+1 ; >95%; LC-MS; ESI+); mp 160-161 °C; LC-ESI-HRMS of [M+H]+ shows 449.2149701 Da. CaIc. 449.21589 Da, dev. -2 ppm
In a similar manner was synthesized:
PHARMACOLOGICAL METHODS FLIPR-based characterization of Kv7.2+3 modulators
This experiment determines the ability of a test compound to modulate the activity of Kv7.2+3 channels heterologously expressed in human HEK293 cells. The ability is determined relative to retigabine. The activity is determined using a standard thallium (I) sensitive assay, e.g. using a fluorometric method in a Fluorescent Image Plate Reader (FLIPR) as described below in more detail.
Full concentration/response curves are generated and EC50 values are calculated based on max values. EC50 values (Effective Concentration) represent the concentration of the test substance, at which 50% of the channel activity is obtained when compared to retigabine control responses. Maximal response determined relative to the reference (retigabine) response is calculated.
METHODS Cell culture
Human HEK293 cells over-expressing human Kv7.2+3 are grown in culture medium (DMEM supplemented with 10% foetal bovine serum), in polystyrene culture flasks (175 mm2) in a humidified atmosphere of 5% CO2 in air, at 37°C. Cell confluence should be 80-90% on day of plating. Cells are rinsed with 4 ml of PBS (phosphate buffered saline) and incubated 2 min with 1 ml of Trypsin-EDTA. After addition of 25 ml of culture medium cells are re-suspended by trituration with a 25 ml pipette. The cells are seeded at a density of -3x106 cells/ml (25 μl/well) in black- walled, clear bottom, 384-well plates pre-treated with 0.01 g/l poly-D-lysin (20 μl/well for >30 min). Plated cells were allowed to proliferate for 24 h before loading with dye.
Loading with BTC-AM
BTC-AM (50 mg, Invitrogen) is added 25.5 μl DMSO. The BTC-AM stock solution (2 mM) is diluted to a final concentration of 2 μM in Cl" free assay buffer (in mM: 140 Na+-gluconate, 2.5 K+-gluconate, 6 Ca2+ -gluconate, 1 Mg2+ gluconate, 5 glucose, 10 HEPES, pH 7.3) containing 2 μM ouabain, 2 mM amaranth and 1 mM tartrazine.
The culture medium is aspirated from the wells, the cells are washed thrice in Cl" free assay buffer, and 25 μl of the BTC-AM loading solution is added to each well. The cells are incubated at 37°C for 60 min.
Tl+ influx measurements
After the loading period, the Tl+-sensitive BTC fluorescence signal is measured over time using a FLIPR.
FLIPR settings/Parameters
Temperature: Room temp.
First addition: 12 μl test or control compound after 15 sec at a rate of 30 μl/sec and starting height of 20 μl
Second addition: 12 μl stimulus buffer (Cl" free assay buffer supplemented with 1 mM TI2SO4, 5 mM K2SO4 as well as the quenchers amaranth (2 mM) and tartrazine (1 mM)) is added after an additional 3 minutes at a rate of 30 μl/sec and starting height of 30 μl
Reading intervals: First sequence - 3 sec x 5, 2 sec x 24 and 5 sec x 25
Second sequence - 1 sec x 5, 2 sec x 24 and 5 sec x 36
Addition plates (compound plate and stimulus plate) are placed in positions 2 and 3, respectively. Cell plates are placed in position 1 and run using the "KCNQ (two additions)" program. FLIPR will then take the appropriate measurements in accordance with the interval settings above. Fluorescence obtained after stimulation is corrected for the mean basal fluorescence (in Cl" free assay buffer).
ANALYSIS
Characterization of active substances
Full concentration/response curves are generated and EC50 values ("Effective Concentration"; the concentration at which 50% of the channel activity is obtained when compared to retigabine control responses) are calculated based on peak values. Maximal response determined relative to the reference (retigabine) response is calculated.
Tabel 1
From the foregoing it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not to be limited as by the appended claims.
The features disclosed in the foregoing description, in the claims and/or in the accompanying drawings, may both separately and in any combination thereof, be material for realising the invention in diverse forms thereof.
Claims
1. A compound of Formula (I)
a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an N-oxide thereof, wherein
R1 and R2, independently of each other, represent d-e-alkyl; or
R1 and R2, together with the nitrogen to which they are attached, form a heterocyclic ring selected from pyrrolidinyl, 2,5-dihydro-1 H-pyrrol-1 -yl, piperidinyl, mor- pholinyl and 1 ,4-oxazepanyl, which pyrrolidinyl and piperidinyl is optionally substituted one or more times with a substituent selected from the group consisting of halogen, hydroxy, amino, d-6-alkyl, trifluoromethyl, d-6-alkoxy, hydroxy-Ci-6-alkyl and Ci-6-alkoxy-Ci-6-alkyl;
L represents a linker selected from -CR1R"- and -O-CR'R"-, wherein R' and R", independently of each other, represent hydrogen, Ci-6-alkyl or halogen;
n is 0 or 1 ;
R3 represents C1-6-alkyl, phenyl or furanyl, which phenyl and furanyl is optionally substituted one or more times with substituents selected from d-6-alkyl, Ci-6- alkoxy, halogen and trifluoromethyl; and
R4 represents d-6-alkyl.
2. The compound according to claim 1 , a stereoisomer or a mixture of its stereo- isomers, or a pharmaceutically-acceptable addition salt thereof, or an A/-oxide thereof, wherein R1 and R2 together with the nitrogen to which they are attached is pyrrolidinyl, which pyrrolidinyl is optionally substituted one or more times with halogen.
3. The compound according to claim 1 , a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof, wherein R1 and R2 together with the nitrogen to which they are attached is 1 ,4-oxazepanyl.
4. The compound according to any one of the claims 1 -3, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof, wherein L is -CH2- and n is 1.
5. The compound according to any one of the claims 1-3, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof, wherein n is 0.
6. The compound according to any one of the claims 1-5, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an Λ/-oxide thereof, wherein R3 represents phenyl, which phenyl is optionally substituted one or more times with halogen.
7. The compound according to claim 1 , which is:
2-(3,4-Difluoro-phenyl)-N-[2-((R)-3-fluoro-pyrrolidin-1 -yl)-5-methyl-6-
[1 ,4]oxazepan-4-yl-pyridin-3-yl]-acetamide;
2-(3,5-Difluoro-phenyl)-/V-(5-methyl-2,6-bis-[1 ,4]oxazepan-4-yl-pyridin-3-yl)- acetamide; 3-Fluoro-/V-(5-methyl-6-[1 ,4]oxazepan-4-yl-2-pyrrolidin-1 -yl-pyridin-3-yl)- benzamide;
3-methyl-N-[5-methyl-6-(1 ,4-oxazepan-4-yl)-2-pyrrolidin-1 -yl-3-pyridyl]furan-2- carboxamide; or a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically- acceptable addition salt thereof, or an /V-oxide thereof.
8. The compound according to claim 1 , which is:
2-(3-fluorophenyl)-N-[2-[(3R)-3-fluoropyrrolidin-1 -yl]-5-methyl-6-(1 ,4-oxazepan-4- yl)-3-pyridyl]acetamide; or a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically- acceptable addition salt thereof, or an /V-oxide thereof.
9. A pharmaceutical composition comprising a therapeutically effective amount of the compound according to any one of the claims 1 -8, a stereoisomer or a mix- ture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof.
10. Use of the compound according to any one of the claims 1 -8, a stereoisomer 5 or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof, for the manufacture of a pharmaceutical composition.
11. Use of the compound according to any one of the claims 1 -8, a stereoisomer 10 or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof, for the manufacture of a pharmaceutical composition for the treatment, prevention or alleviation of a disease or a disorder or a condition responsive to activation of KV7 channels.
15 12. The use according to claim 11 , wherein the disease, disorder or condition is pain, neurodegenerative disorders, migraine, bipolar disorders, mania, epilepsy, convulsions, seizures and seizure disorders, anxiety, depression, schizophrenia and urinary incontinence.
20 13. The use according to claim 11 , wherein the disease, disorder or condition is pain, mild, moderate or severe pain, acute, chronic or recurrent pain, neuropathic pain, pain caused by migraine, postoperative pain, phantom limb pain, neuropathic pain, chronic headache, tension type headache, central pain, pain related to diabetic neuropathy, to post therapeutic neuralgia, or to peripheral nerve injury.
25
14. A compound according to any of claims 1 -8, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V- oxide thereof, for use as a medicament.
30 15. A compound according to any of claims 1 -8, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V- oxide thereof, for use in the treatment, prevention or alleviation of a disease or a disorder or a condition responsive to activation of KV7 channels.
35 16. A method of treatment or alleviation of a disease or a disorder or a condition responsive to activation of KV7 channels, which method comprises the step of administering to such a living animal body in need thereof, a therapeutically effective amount of the compound according to any one of the claims 1-8, a stereoisomer or a mixture of its stereoisomers, or a pharmaceutically-acceptable addition salt thereof, or an /V-oxide thereof.
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DKPA200900222 | 2009-02-17 | ||
| DKPA200900222 | 2009-02-17 | ||
| US15336809P | 2009-02-18 | 2009-02-18 | |
| US61/153,368 | 2009-02-18 |
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| Publication Number | Publication Date |
|---|---|
| WO2010094645A1 true WO2010094645A1 (en) | 2010-08-26 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/EP2010/051840 Ceased WO2010094645A1 (en) | 2009-02-17 | 2010-02-15 | Substituted pyridine derivatives and their medical use |
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| Country | Link |
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| WO (1) | WO2010094645A1 (en) |
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| WO2011026890A1 (en) * | 2009-09-07 | 2011-03-10 | Neurosearch A/S | 2, 3, 6 -triamino substituted pyridines as kv7 (kcnq) channel modulators |
| WO2012025238A1 (en) | 2010-08-27 | 2012-03-01 | Grünenthal GmbH | Substituted quinoline-3-carboxamides as kcnq2/3 modulators |
| WO2012025236A1 (en) | 2010-08-27 | 2012-03-01 | Grünenthal GmbH | Substituted 2-oxy-quinoline-3-carboxamides as kcnq2/3 modulators |
| WO2012025237A1 (en) | 2010-08-27 | 2012-03-01 | Grünenthal GmbH | Substituted 2-amino-quinoline-3-carboxamides as kcnq2/3 modulators |
| WO2012069202A1 (en) | 2010-11-26 | 2012-05-31 | Almirall,S.A. | Imidazo [1,2-b] pyridazine and imidazo [4,5-b] pyridine derivatives as jak inhibitors |
| US8618129B2 (en) | 2010-09-01 | 2013-12-31 | Gruenenthal Gmbh | Substituted 1-oxo-dihydroisoquinoline-3-carboxamides as KCNQ2/3 modulators |
| US8653102B2 (en) | 2010-08-27 | 2014-02-18 | Gruenenthal Gmbh | Substituted 2-oxo- and 2-thioxo-dihydroquinoline-3-carboxamides as KCNQ2/3 modulators |
| WO2014145852A3 (en) * | 2013-03-15 | 2014-11-13 | Knopp Biosciences Llc | Imidazo(4,5-b) pyridin-2-yl amides as kv7 channel activators |
| US10385025B2 (en) | 2014-09-12 | 2019-08-20 | Knopp Biosciences Llc | Benzoimidazol-1,2-yl amides as Kv7 channel activators |
| JP2021525241A (en) * | 2018-05-22 | 2021-09-24 | シャンハイ ジムン バイオファーマ, インコーポレーテッドShanghai Zhimeng Biopharma Inc. | P-diaminobenzene derivative as a potassium channel regulator, its production method and its use in pharmaceuticals |
| WO2023143388A1 (en) * | 2022-01-25 | 2023-08-03 | 上海挚盟医药科技有限公司 | Amide compound as potassium channel regulator, and preparation therefor and use thereof |
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| JP2013536210A (en) * | 2010-08-27 | 2013-09-19 | グリュネンタール・ゲゼルシャフト・ミト・ベシュレンクテル・ハフツング | Substituted 2-oxy-quinoline-3-carboxamides as KCNQ2 / 3 modulators |
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