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WO2025037013A1 - Composés de diagnostic se liant à l'alpha-synucléine - Google Patents

Composés de diagnostic se liant à l'alpha-synucléine Download PDF

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WO2025037013A1
WO2025037013A1 PCT/EP2024/073102 EP2024073102W WO2025037013A1 WO 2025037013 A1 WO2025037013 A1 WO 2025037013A1 EP 2024073102 W EP2024073102 W EP 2024073102W WO 2025037013 A1 WO2025037013 A1 WO 2025037013A1
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alkyl
compound
alkoxy
haloc
alpha
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Jérôme Molette
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AC Immune SA
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    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D487/00—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00
    • C07D487/02—Heterocyclic compounds containing nitrogen atoms as the only ring hetero atoms in the condensed system, not provided for by groups C07D451/00 - C07D477/00 in which the condensed system contains two hetero rings
    • C07D487/04—Ortho-condensed systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00—Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02—Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04—Organic compounds
    • A61K51/041—Heterocyclic compounds
    • A61K51/044—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins
    • A61K51/0455—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine, rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07B—GENERAL METHODS OF ORGANIC CHEMISTRY; APPARATUS THEREFOR
    • C07B59/00—Introduction of isotopes of elements into organic compounds ; Labelled organic compounds per se
    • C07B59/002—Heterocyclic compounds
    • C—CHEMISTRY; METALLURGY
    • C07—ORGANIC CHEMISTRY
    • C07D—HETEROCYCLIC COMPOUNDS
    • C07D498/00—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D498/02—Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms in which the condensed system contains two hetero rings
    • C07D498/04—Ortho-condensed systems

Definitions

  • the present invention relates to novel compounds of formula (I), or a detectably labelled compound, stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, that can be employed in the imaging of alpha-synuclein aggregates and determining an amount thereof.
  • the compounds can be used for diagnosing a disease, disorder or abnormality associated with alpha-synuclein (a-synuclein, A-synuclein, aSynuclein, A-syn, a-syn, aSyn, a-syn) aggregates, such as Parkinson’s disease or multiple system atrophy (MSA), determining a predisposition to such a disease, disorder or abnormality, prognosing such a disease, disorder or abnormality, monitoring the evolution of the disease in a patient suffering from such a disease, disorder or abnormality, monitoring the progression of such a disease, disorder or abnormality and predicting responsiveness of a patient suffering from such a disease, disorder or abnormality to a treatment thereof.
  • the present invention also relates to processes for the preparation of the compounds and their precursors, diagnostic compositions comprising the compounds, methods of using the compounds, kits comprising the compounds and their uses thereof.
  • amyloid beta amyloid beta
  • Amyloid-like proteins that form mainly intracellular aggregates include, but are not limited to, Tau, alpha-synuclein, and huntingtin (HTT).
  • Diseases involving alpha-synuclein aggregates are generally listed as synucleinopathies (or alpha-synucleinopathies) and these include, but are not limited to, Parkinson’s disease (PD) or multiple system atrophy (MSA).
  • PD Parkinson’s disease
  • MSA multiple system atrophy
  • Synucleinopathies with primarily neuronal aggregates include, but are not limited to, Parkinson's disease (sporadic, familial with SNCA (the gene encoding for the alpha-synuclein protein) mutations or SNCA gene duplication or triplication, familial with mutations in other genes than SNCA, pure autonomic failure and Lewy body dysphagia), SNCA duplication carrier, Lewy Body dementia (LBD), dementia with Lewy bodies (DLB) (“pure” Lewy body dementia), Parkinson’s disease dementia (PDD), diffuse Lewy body disease (DLBD), Alzheimer’s disease, sporadic Alzheimer’s disease, familial Alzheimer's disease with APP mutations, familial Alzheimer's disease with PS-1 , PS-2 or other mutations, familial British dementia, Lewy body variant of Alzheimer’s disease and normal aging in Down syndrome.
  • Parkinson's disease sporadic, familial with SNCA (the gene encoding for the alpha-synuclein protein
  • Synucleinopathies with neuronal and glial aggregates of alpha-synuclein include, but are not limited to, multiple system atrophy (MSA) (Shy-Drager syndrome, striatonigral degeneration and olivopontocerebellar atrophy).
  • MSA multiple system atrophy
  • alpha-synuclein-immunoreactive lesions are, but are not limited to, traumatic brain injury, chronic traumatic encephalopathy, dementia puglistica, tauopathies (Pick's disease, frontotemporal dementia, progressive supranuclear palsy, corticobasal degeneration and Niemann-Pick type C1 disease, frontotemporal dementia with Parkinsonism linked to chromosome 17), motor neuron disease, Huntington’s disease, amyotrophic lateral sclerosis (sporadic, familial and ALS-dementia complex of Guam), neuroaxonal dystrophy, neurodegeneration with brain iron accumulation type 1 (Hallervorden-Spatz syndrome), prion diseases, Creutzfeldt-Jakob disease, ataxia telangiectatica, Meige’s syndrome, subacute sclerosing panencephalitis, Gerstmann- Straussler-Scheinker disease, inclusion-body myositis, Gaucher disease,
  • Alpha-synuclein is a 140 amino acid natively unfolded protein (Iwai et al., Biochemistry 1995, 34(32), 10139-10145).
  • the sequence of alpha-synuclein can be divided into three main domains: 1 ) the N- terminal region comprising of residues 1-60, which contains the 11-mer amphipatic imperfect repeat residues with highly conserved hexamer (KTKEGV).
  • This region has been implicated in regulating alpha-synuclein binding to membranes and its internalization; 2) the hydrophobic Non Amyloid beta Component (NAC) domain spanning residues 61-95; which is essential for alpha-synuclein fibrillization; and 3) the C-terminal region spanning residues 96-140 which is highly acidic and prolinerich and has no distinct structural propensity.
  • Alpha-synuclein has been shown to undergo several posttranslational modifications, including truncations, phosphorylation, ubiquitination, oxidation and/or transglutaminase covalent cross linking (Fujiwara et al., Nat. Cell. Biol.
  • Tyr-125 residues can be phosphorylated by two Src family protein tyrosine kinases, c-Src and Fyn (Ellis et al., J. Biol. Chem.
  • Alpha-synuclein has proved to be an outstanding substrate for protein tyrosine kinase p72 syk (Syk) in vitro; once it is extensively Tyr-phosphorylated by Syk or tyrosine kinases with similar specificity, it loses the ability to form oligomers, suggesting a putative anti- neurodegenerative role for these tyrosine kinases (Negro et al., FASEB J. 2002, 16(2), 210-212).
  • Alpha-synuclein can be Ser-phosphorylated by protein kinases CKI and CKII (Okochi et al., J. Biol. Chem. 2000, 275(1), 390-397).
  • Ser-129 is also phosphorylated by G-protein-coupled receptor protein kinases (Pronin et al., J. Biol. Chem. 2000, 275(34), 26515-26522). Extensive and selective phosphorylation of alpha-synuclein at Ser-129 is evident in synucleinopathy lesions, including Lewy bodies (Fujiwara et al., Nat. Cell. Biol. 2002, 4(2); 160-164). Other post-translational modifications in the carboxyl-terminal, including glycosylation on Ser-129 (McLean et al., Neurosci. Lett. 2002, 323(3), 219-223) and nitration on Tyr-125, -133, and -136 (Takahashi et al., Brain Res.
  • Abnormal protein aggregation appears to be a common feature in aging brain and in several neurodegenerative diseases (Trojanowski et al., 1998, Cell Death Differ. 1998, 5(10), 832-837, Koo et al., Proc. Natl. Acad. Sci. 1999, 96(18), 9989-9990, Hu et al., Chin. Sci. Bull. 2001 , 46, 1-3); although a clear role in the disease process remains to be defined.
  • alpha-synuclein (or some of its truncated forms) readily assembles into filaments resembling those isolated from the brain of patients with Lewy Body (LB) dementia and familiar PD (Crowther et al., FEBS Lett. 1998, 436(3), 309-312).
  • Alpha-synuclein and its mutated forms (A53T and A30P) have a random coil conformation and do not form significant secondary structures in aqueous solution at low concentrations; however, at higher concentrations they are prone to self-aggregate, producing amyloid fibrils (Wood et al., J. Biol. Chem. 1999, 274(28), 19509-19512).
  • Parkinson’s disease is the most common neurodegenerative motor disorder.
  • PD is mainly an idiopathic disease, although in at least 5% of the PD patients the pathology is linked to mutations in one or several specific genes.
  • alpha-synuclein gene A30P, E46K, H50Q, G51 D, A53T
  • duplications and triplications of the alpha-synuclein gene have been described in patients that developed PD, underlining the role of alpha-synuclein in PD pathogenesis (Lesage et al., Hum. Mol. Genet., 2009, 18, R48-59).
  • the pathogenesis of PD remains elusive. However, growing evidence suggests a role for the pathogenic folding of the alpha-synuclein protein that leads to the formation of amyloid-like fibrils. Indeed, the hallmarks of PD are the presence of intracellular alpha-synuclein aggregate structures called Lewy Bodies and neurites mainly in the nigral neurons, as well as the death of dopaminergic neurons in the substantia nigra and elsewhere.
  • Alpha-synuclein is a natively unfolded presynaptic protein that can misfold and aggregate into larger oligomeric and fibrillar forms which are linked to the pathogenesis of PD.
  • Lewy Bodies are diffusely distributed throughout the cortices of the brain and in addition to Lewy bodies and neurites, more threads and dot-like structures (Lewy dots) were found to be immunopositive for alpha-synuclein phosphorylated at Ser-129 (Outeiro et al., Mol. Neurodegener. 2019, 14, 5).
  • MSA multiple system atrophy
  • MSA is a rare and sporadic neurodegenerative disorder that manifests with rapidly progressive autonomic and motor dysfunction, as well as variable cognitive decline. Such disorders include Shy-Drager syndrome, striatonigral degeneration and olivopontocerebellar atrophy.
  • the disease can be clinically sub- classified in parkinsonian (MSA-P) or cerebellar (MSA-C) variant, depending on the predominant motor phenotype (Fanciulli et al., N. Engl. J. Med. 2015; 372, 249-63).
  • GCIs glial cytoplasmic inclusions
  • Parkinson’s disease is largely clinical and depends on the presence of a specific set of symptoms and signs (the initial core feature being bradykinesia, rigidity, rest tremor and postural instability), the absence of atypical features, a slowly progressive course, and the response to a symptomatic drug therapy, mainly limited to a dopamine replacement therapy.
  • the accurate diagnosis requires sophisticated clinical skills and is open to a degree of subjectivity and error, as several other degenerative and non-degenerative diseases can mimic PD symptoms (multiple system atrophy (MSA), progressive supranuclear palsy (PSP), Alzheimer’s disease (AD), essential tremor, dystonic tremor), (Guideline No. 113: Diagnosis and pharmacological management of Parkinson’s disease, January 2010. SIGN).
  • MSA multiple system atrophy
  • PSP progressive supranuclear palsy
  • AD Alzheimer’s disease
  • AD essential tremor
  • dystonic tremor dystonic tremor
  • Computed tomography CT and conventional magnetic resonance imaging (MRI) brain scans of people with Parkinson’s disease (PD) usually appear normal.
  • CT computed tomography
  • MRI magnetic resonance imaging
  • PD Parkinson’s disease
  • Examples are ioflupane ( 123 l) (trade name DaTSCAN) and iometopane (Dopascan) for SPECT or fluorodeoxyglucose ( 18 F) ( 18 F-FDG) and dihydrotetrabenazine ( 11 C) ( 11 C-DTBZ) for PET.
  • a pattern of reduced dopaminergic activity in the basal ganglia can aid in diagnosing PD, particularly in the symptomatic stage (Brooks, J. Nucl. Med., 2010, 51 , 596-609; Redmond, Neuroscientist, 2002, 8, 457-88; Wood, Nat. Rev. Neurol., 2014, 10, 305).
  • biomarkers that have been investigated in different body fluids (cerebrospinal fluid (CSF), plasma, saliva) include alpha-synuclein levels but also DJ-1 , Tau and Abeta, as well as neurofilaments proteins, interleukins, osteopontin and hypocrontin (Schapira Curr. Opin. Neurol. 2013; 26(4):395-400), but so far none of these biomarkers alone or in combination can be used as a determinant diagnostic test. To our knowledge, no approved alpha-synuclein diagnostic agent is currently on the market despite a crucial need for Parkinson's disease research and drug development (Eberling et al., J Parkinsons Dis. 2013; 3(4):565-7).
  • alpha-synuclein deposition in the brain would be a huge achievement for alpha- synucleopathies research, including Parkinson’s disease (PD) and MSA research, diagnosis, and drug development.
  • PD Parkinson’s disease
  • MSA MSA research, diagnosis, and drug development.
  • the accumulation of aggregated alpha-synuclein in the brain is considered a key pathological hallmark of PD and MSA and can start many years before the appearance of the symptoms. Therefore, alpha-synuclein is a priority target for drug development given not only its likely contribution to neurodegeneration but also because it can offer the possibility to treat the disease while still in the asymptomatic or prodromal stages.
  • alpha-synuclein pathology could be useful as a biomarker to (i) detect the presence of the disease potentially in early stages, (ii) to evaluate disease progression and (iii) to be used as a pharmacodynamics tool for drug development.
  • the development of an alpha-synuclein PET imaging agent is considered nowadays key for an accurate diagnosis of synucleinopathies as well as to support the clinical development of therapeutics targeting alpha-synuclein, starting from the optimal selection of the trial population (Eberling, Dave and Frasier, J. Parkinson’s Disease, 3, 565-567 (2013)).
  • alpha-synuclein imaging compounds should bind with high affinity and selectivity to their target.
  • imaging compounds For imaging of alpha-synuclein aggregates associated with neurological diseases such as Parkinson’s Disease or multiple system atrophy (MSA), imaging compounds need to penetrate the blood brain barrier and pass into the relevant regions of the brain.
  • MSA multiple system atrophy
  • cell permeability is a further requirement of imaging compounds.
  • a further prerequisite in order to avoid unnecessary accumulation of the compound which may result in increased risk of unwanted side-effects is a fast compound wash-out from the brain (or other targeting organ).
  • WO 2011/128455 refers to specific compounds which are suitable for treating disorders associated with amyloid proteins or amyloid-like proteins.
  • US 2012/0302755 relates to certain imaging agents for detecting neurological dysfunction. Further compounds for the diagnosis of neurodegenerative disorders on the olfactory epithelium are discussed in WO 2012/037928.
  • WO 2010/063701 refers to a certain in vivo imaging agent for use in a method to determine the presence of, or susceptibility to, Parkinson's disease, wherein the in vivo imaging agent comprises an alpha-synuclein binder labelled with an in vivo imaging moiety, and wherein the in vivo imaging agent binds to alpha-synuclein with a binding affinity.
  • US 2014/0142089 relates to a method for preventing or treating a degenerative brain disease, the method comprising administering to a subject in need thereof an effective amount of a pharmaceutical composition comprising a specific compound, a pharmaceutically acceptable salt, an isomer, a solvate, a hydrate, and a combination thereof.
  • WO 2009/155017 describes aryl or heteroaryl substituted azabenzoxazole derivatives, which are stated to be useful as tracers in positron emission tomography (PET) imaging to study amyloid deposits in the brain in vivo to allow diagnosis of Alzheimer's disease.
  • PET positron emission tomography
  • WO 2016/033445 refers to a specific compound for imaging huntingtin protein.
  • WO 2017/153601 WO 2019/234243, WO 2021/224489, WO2023/083961 , WO2023/083998 and W02023/084000 refer to bicyclic compounds for imaging alpha-synuclein aggregates. There remains a need for a new class of imaging compounds that bind with reasonably high affinity to alpha-synuclein.
  • the present invention provides compounds that can be employed in diagnosing a disease, disorder or abnormality associated with alpha-synuclein aggregates such as Parkinson's disease or MSA, prognosing such a disease, disorder or abnormality, and monitoring the progression of such a disease, disorder or abnormality.
  • the compounds should be suitable for determining a predisposition to such a disease, disorder or abnormality, monitoring the progression of the disease, disorder or abnormality, or predicting the responsiveness of a patient who is suffering from such a disease, disorder or abnormality to the treatment with a certain medicament.
  • the compounds should be suitable for positron emission tomography (PET) imaging of a disease, disorder or abnormality associated with alpha-synuclein aggregates and / or detecting and optionally quantifying alpha-synuclein aggregates.
  • PET positron emission tomography
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • the invention is also directed to a compound having the following subformula (la) or a detectably labelled compound, stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein Z, R a , R 1 and R 2 are as defined above;
  • R 3 is halo, or C 1 -C 4 alkyl; and r is 0, 1 or 2.
  • the present invention provides a diagnostic composition
  • a diagnostic composition comprising a compound of formula (I), and optionally at least one pharmaceutically acceptable excipient, carrier, diluent and/or adjuvant.
  • the present invention provides a compound of formula (I), or a diagnostic composition as defined herein, which can be used in the imaging of alpha-synuclein aggregates.
  • the compound of formula (I), or the diagnostic composition can be for use in positron emission tomography imaging of alpha-synuclein aggregates.
  • the compound of formula (I) or the diagnostic composition, as defined herein can be for use for in vitro imaging, ex vivo imaging, or in vivo imaging, preferably the use is for in vivo imaging, more preferably the use is for brain imaging.
  • the compound of formula (I) or the diagnostic composition, as defined herein can be for use in diagnosis.
  • the present invention refers to a method of diagnosing a disease, disorder or abnormality associated with alpha-synuclein aggregates, in a subject, the method comprising the steps: (a) Administering a compound of formula (I), or a diagnostic composition which comprises a compound of formula (I), as defined herein, to the subject;
  • the present invention refers to a method of positron emission tomography (PET) imaging of alpha-synuclein aggregates in a tissue of a subject, the method comprising the steps:
  • the present invention is directed to a method for the detection and optionally quantification of alpha-synuclein aggregates in a tissue of a subject, the method comprising the steps:
  • the present invention is also directed to a method of collecting data for the diagnosis of a disease, disorder or abnormality associated with alpha-synuclein aggregates, wherein the method comprises the steps:
  • the present invention also refers to a method of collecting data for determining a predisposition to a disease, disorder or abnormality associated with alpha-synuclein aggregates, the method comprising the steps:
  • the present invention also relates to a method of collecting data for prognosing a disease, disorder or abnormality associated with alpha-synuclein aggregates, wherein the method comprises the steps:
  • step (e) Optionally repeating steps (a) to (c) and, if present, optional step (d) at least one time.
  • the present invention is directed to a method of collecting data for monitoring the progression of a disease, disorder or abnormality associated with alpha-synuclein aggregates in a patient, the method comprising the steps:
  • step (d) Optionally correlating the presence or absence of the compound bound to the alpha-synuclein aggregates with the presence or absence of the alpha-synuclein aggregates in the sample or specific body part or body area; and (e) Optionally repeating steps (a) to (c) and, if present, optional step (d) at least one time.
  • the present invention relates to a method of collecting data for predicting responsiveness of a patient suffering from a disease, disorder or abnormality associated with alpha- synuclein aggregates to a medicament, the method comprising the steps:
  • step (e) Optionally repeating steps (a) to (c) and, if present, optional step (d) at least one time.
  • the invention is further directed to a compound of formula (lll-F) or (IIl-F’): or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy and C 1 -C 4 alkyl;
  • LG is a leaving group; and n is at least 1 ; in formula (lll-F): R 1F is a 4- to 8-membered heterocyclyl; or
  • R 1F is C 1 -C 4 alkoxy, or C 1 -C 4 alkyl
  • R 1F is -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; in formula (lll-F')
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo; and
  • R 2F is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • the invention is further directed to a compound of formula (I), wherein the compound is a detectably labelled compound of formula (l-F) or (l-F’): or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O; R a being selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and n is at least 1 , preferably 1 ; in formula (l-F):
  • R 1F is a 4- to 8-membered heterocyclyl; or R 1F is C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1F is -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; in formula (l-F')
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-Cs-Cacycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo; and
  • R 2F is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • the invention is further directed to compound of formula (lll-H) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyi of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl, preferably R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • X is bromo, chloro or iodo; m is 0, 1 , 2 or 3; p is 0, 1 , 2 or 3; and with the proviso that the compound of formula (lll-H) comprises at least one X.
  • X is present at the position where D, CD 3 , T or CT 3 , are present in (l-H) which is described below. Therefore, bromo, chloro or iodo are present in addition to the halo substituents mentioned in (I ll-H).
  • X can be at any position where H is present in formula (I).
  • CT 3 and CD 3 can be present at any position where CH 3 is present in formula (I).
  • Another aspect of the invention is further directed to compound of formula (l-H) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • Y 1 is D, CD 3 , T or CT 3 , preferably Y 1 is D or T; m is 0, 1 , 2 or 3; and p is 0, 1 , 2 or 3, with the proviso that the compound of formula (l-H) comprises at least one D or T, wherein D is 2 H (Deuterium) and T is 3 H (Tritium).
  • Y 1 is D or T, more preferably Y 1 is T.
  • Another aspect of the invention is further directed to compound of formula (l-H’) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 ’ is , wherein R 2b is selected from CT 3 or CD 3 ;
  • Z is S, NR a or O; wherein Ra is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and wherein D is 2 H (Deuterium) and T is 3 H (Tritium).
  • the compound of formula (l-H’) comprises at least one CT 3 , preferably one CT 3 .
  • the compound of formula (l-H’) comprises at least one CD 3 , preferably one CD 3 .
  • the invention is further directed to compound of formula (lll-H’) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl, preferably R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • X is bromo, chloro or iodo; m is 1 , 2 or 3.
  • X is present at the position where D, CD 3 , T or CT 3 , are present in (l-H’). Therefore, bromo, chloro or iodo are present in addition to the halo substituents mentioned in (lll-H’).
  • X can be at any position where H is present in formula (I).
  • CT 3 and CD 3 can be present at any position where CH 3 is present in formula (I).
  • the invention is further directed to a method of preparing a compound of formula (l-F) or (l-F’) by reacting a compound of formula (lll-F) or (lll-F’), respectively, with a 18 F-fluorinating agent (e.g., K 18 F, Rb 18 F, Cs 18 F, Na 18 F, tetra(Ci-6alkyl)ammonium salt of 18 F, Kryptofix[222] 18 F, tetrabutylammonium [ 18 F]fluoride or any other suitable agents) so that the Leaving Group (LG) is replaced by 18 F.
  • a 18 F-fluorinating agent e.g., K 18 F, Rb 18 F, Cs 18 F, Na 18 F, tetra(Ci-6alkyl)ammonium salt of 18 F, Kryptofix[222] 18 F, tetrabutylammonium [ 18 F]fluoride or any other suitable agents
  • the invention is further directed to a method of preparing a compound of formula (l-H) by reacting the compound of formula (lll-H) with a 3 H radiolabelling agent (e.g., tritium gas or any other suitable agents), so that X is replaced by T or CT 3 (T is tritium).
  • a 3 H radiolabelling agent e.g., tritium gas or any other suitable agents
  • the invention is further directed to a method of preparing a compound of formula (l-H) by reacting the compound of formula (lll-H) with a 2 H labelling agent comprising D (e.g., D2O, D4-methanol or any other suitable agents), preferably in the presence of a catalyst like Pd/C, so that X is replaced by D or CD 3 (D is deuterium).
  • a 2 H labelling agent comprising D (e.g., D2O, D4-methanol or any other suitable agents), preferably in the presence of a catalyst like Pd/C, so that X is replaced by D or CD 3 (D is deuterium).
  • the invention is further directed to a method of preparing a compound of formula
  • R 2b is H, with a suitable 3 H radiolabelling agent (e.g.,CT 3 l under suitable reaction conditions such as NaH and solvents DMF/DMA/THF), so that CT 3 is introduced (T is tritium); or with a 2 H labelling agent comprising D (e.g., CD 3 I under suitable reaction conditions such as NaH and solvents DMF/DMA/THF), so that CD 3 is introduced (D is deuterium).
  • CT 3 l under suitable reaction conditions such as NaH and solvents DMF/DMA/THF
  • D e.g., CD 3 I under suitable reaction conditions such as NaH and solvents DMF/DMA/THF
  • the invention is further directed to the use of the compound of formula (I) as an in vitro analytical reference or an in vitro screening tool.
  • the invention is further directed to a test kit for detection and/or diagnosis of a disease, disorder or abnormality associated with alpha-synuclein aggregates, wherein the test kit comprises at least one compound of formula (I) as defined herein, preferably at least one detectably labelled compound, more preferably at least one compound of formula (l-F), (l-F’), (l-H), or (l-H’).
  • the test kit comprises at least one compound of formula (I) as defined herein, preferably at least one detectably labelled compound, more preferably at least one compound of formula (l-F), (l-F’), (l-H), or (l-H’).
  • the invention is further directed to a kit for preparing a radiopharmaceutical preparation, wherein the kit comprises a sealed vial containing at least one compound of formula (lll-F), (lll-F’), (lll-H) or (III- H’).
  • C 1 -C 4 alkyl refers to a saturated straight or branched hydrocarbon chain consisting solely of carbon and hydrogen atoms, containing no unsaturation, having from one to four carbon atoms, and which is attached to the rest of the molecule by a single bond.
  • suitable alkyl groups having 1 to 4 carbon atoms include, but are not limited to, methyl, ethyl, propyl, isopropyl, 1 -methylethyl, n-butyl, t-butyl and isobutyl.
  • C 1 -C 4 alkoxy refers to a radical of the formula -ORa where Ra is a C 1 -C 4 alkyl radical as generally defined above.
  • Examples of C 1 -C 4 alkoxy include, but are not limited to, methoxy, ethoxy, propoxy, isopropoxy, butoxy, and isobutoxy.
  • C 3 -C 6 cycloalkyl refers to saturated monocyclic hydrocarbyl groups having 3 to 6 carbon atoms, preferably 5 or 6 carbon atoms. Examples include, but are not limited to cyclopropyl, cyclobutyl, cyclopentyl, and cyclohexyl.
  • halogenC 1 -C 4 alkyl or "haloC 1 -C 4 alkyl” refer to a C 1 -C 4 alkyl radical as defined above, substituted with one or more (e.g., 1 , 2 or 3, preferably 1 or 2, more preferably 1) halo radicals as defined below.
  • haloC 1 -C 4 alkyl include, but are not limited to, trifluoromethyl, difluoromethyl, fluoromethyl, trichloromethyl, 2,2,2-trifluoroethyl, 1 ,3-dibromopropan-2-yl, 3-bromo-2- fluoropropyl and 1 ,4,4-trifluorobutan-2-yl.
  • halogenC 1 -C 4 alkoxy or "haloC 1 -C 4 alkoxy” refer to a C 1 -C 4 alkoxy radical as defined above, substituted with one or more (e.g., 1 , 2 or 3, preferably 1 or 2, more preferably 1 ) halo radicals as defined below.
  • haloC 1 -C 4 alkoxy include, but are not limited to, trifluoromethoxy, difluoromethoxy, fluoromethoxy, 2,2,2-trifluoroethoxy, 3,3,3-trifluoropropoxy, 4,4,4-trifluorobutoxy, 2,2-difluorobutoxy, and 4-bromobutoxy.
  • heterocyclyl refers to a stable 4- to 8-membered (e.g., 4- to 6-membered) non-aromatic monocyclic ring radical which comprises 1 or 2 heteroatoms which are, e.g., selected from N, O or S.
  • the heterocyclyl group can be unsaturated or saturated.
  • the heterocyclyl radical may be bonded via a carbon atom or a heteroatom.
  • Examples include, but are not limited to, azetidinyl, oxetanyl, pyrrolidinyl, pyrrolidyl, tetra hydrofuryl, tetrahydrothienyl, piperidyl, piperazinyl, tetra hydro pyranyl, or morpholinyl, preferably azetidinyl, pyrrolidinyl, or piperidyl, more preferably pyrrolidinyl.
  • heteroaryl refers to a 5- or 6-membered aromatic monocyclic ring or 6-membered aromatic monocyclic ring, respectively, which comprises 1 , 2, or 3 heteroatoms independently selected from N, O and S.
  • the heteroaryl radical may be bonded via a carbon atom or heteroatom selected from N, O and S.
  • heteroaryl examples include, but are not limited to, thiopyranyl, dioxanyl, pyranyl, pyrazinyl, pyridazinyl, pyrimidyl, isothiazolyl, pyrazolyl, thiazolyl or pyridyl, with pyridyl, isothiazolyl, pyrazolyl, and thiazolyl being preferred, and pyridyl being the most preferred.
  • Hal or “halogen” or “Halo” refers to F, Cl, Br, and I. With respect to diagnostic and pharmaceutical applications, F (e.g., 19 F and 18 F) is particularly preferred.
  • LG leaving group
  • LG is any leaving group and means an atom or group of atoms that can be replaced by another atom or group of atoms. Examples are given e.g. in Synthesis (1982), p. 85-125, table 2, Carey and Sundberg, Organische Synthese, (1995), page 279- 281 , table 5.8; or Netscher, Recent Res. Dev. Org. Chem., 2003, 7, 71-83, schemes 1 , 2, 10 and 15 and others).
  • the "leaving group" is selected from halogen (bromo, chloro, iodo), nitro, C 1 -C 4 alkylsulfonate and C 6 -C 1 a 0 rylsulfonate, wherein the C 6 -C 10 arylsulfonate can be optionally substituted with -CH 3 or -NO 2 . indicates the point of attachment to an adjacent atom or moiety.
  • the term “compound of the invention” refers to a compound of formula (I), or of subformulae thereof (e.g. (la), (l-F), (l-F’), (l-H), (l-H’), or a detectably labelled compound, stereoisomer (including diastereomeric mixtures and individual diastereomer, enantiomeric mixture and single enantiomer, mixture of conformers and single conformer), racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof. It is understood that every reference to a compound of formula (I) also covers the subformulae thereof (e.g. (la), (l-F), (l-F’), (l-H), (l-H’).
  • the compounds of the formulae (I I l-F), (lll-F’), (lll-H) and (II l-H’) will be referred to as precursors of the compounds of the present invention.
  • Compounds of the present invention and their precursors having one or more optically active carbons can exist as racemates and racemic mixtures, stereoisomers (including diastereomeric mixtures and individual diastereomers, enantiomeric mixtures and single enantiomers, mixtures of conformers and single conformers), tautomers, atropoisomers, and rotamers. All isomeric forms are included in the present invention.
  • “Pharmaceutically acceptable salts” are defined as derivatives of the disclosed compounds wherein the parent compound is modified by making acid or base salts thereof.
  • Examples of pharmaceutically acceptable salts include, but are not limited to, mineral or organic acid salts of basic residues such as amines; alkali or organic salts of acidic residues such as carboxylic acids; and the like.
  • the pharmaceutically acceptable salts include the conventional non-toxic salts or the quaternary ammonium salts of the parent compound formed, for example, from non-toxic inorganic or organic acids.
  • such conventional non-toxic salts include those derived from inorganic acids such as, but not limited to, hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like; and the salts prepared from organic acids such as, but not limited to, acetic, propionic, succinic, glycolic, stearic, lactic, malic, tartaric, citric, ascorbic, pamoic, maleic, hydroxymaleic, phenylacetic, glutamic, benzoic, salicylic, sulfanilic, 2-acetoxybenzoic, fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic, oxalic, isethionic, and the like.
  • inorganic acids such as, but not limited to, hydrochloric, hydrobromic, sulfuric, sulfamic, phosphoric, nitric and the like
  • organic acids such as, but not limited to
  • the pharmaceutically acceptable salts of the compounds of the present invention and their precursors can be synthesized from the parent compound which contains a basic or acidic moiety by conventional chemical methods.
  • such salts can be prepared by reacting the free acid or base forms of these compounds with a stoichiometric amount of the appropriate base or acid in water or in an organic solvent, or in a mixture of the two.
  • Organic solvents include, but are not limited to, nonaqueous media like ethers, ethyl acetate, ethanol, isopropanol, or acetonitrile. Lists of suitable salts can be found in Remington’s Pharmaceutical Sciences, 18 th ed., Mack Publishing Company, Easton, PA, 1990, p. 1445, the disclosure of which is hereby incorporated by reference.
  • “Pharmaceutically acceptable” is defined as those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other problem or complication commensurate with a reasonable benefit/risk ratio.
  • Solvates can be formed from the compound of the present invention and any suitable pharmaceutically acceptable solvent. Examples include C 1-4 alcohols (such as methanol or ethanol).
  • the patients or subjects in the present invention are typically animals, particularly mammals, more particularly humans.
  • Alpha-synuclein aggregates are multimeric beta-sheet rich assemblies of alpha-synuclein monomers that can form either soluble oligomers or soluble/insoluble protofibrils or mature fibrils which coalesce into intracellular deposits detected as a range of Lewy pathologies in Parkinson’s disease and other synucleinopathies.
  • Alpha-synuclein aggregates that are composing Lewy pathologies can be detected as having the following morphologies: Lewy bodies, Lewy neurites, premature Lewy bodies or pale bodies, perikaryal deposits with diffuse, granular, punctate or pleomorphic patterns.
  • alpha-synuclein aggregates are the major component of intracellular fibrillary inclusions detected in oligodendrocytes (also referred to as glial cytoplasmic inclusions) and in neuronal somata, axons and nuclei (referred to as neuronal cytoplasmic inclusions) that are the histological hallmarks of multiple system atrophy.
  • Alpha-synuclein aggregates in Lewy pathologies often display substantial increase in post-translational modifications such as phosphorylation, ubiquitination, nitration, and truncation.
  • Lewy bodies are abnormal aggregates of protein that develop inside nerve cells in Parkinson’s disease (PD), Lewy body dementia and other synucleinopathies. Lewy bodies appear as spherical masses that displace other cell components. Morphologically, Lewy bodies can be classified as being brainstem or cortical type. Classic brainstem Lewy bodies are eosinophilic cytoplasmic inclusions consisting of a dense core surrounded by a halo of 5-10-nm-wide radiating fibrils, the primary structural component of which is alpha-synuclein; cortical Lewy bodies differ by lacking a halo. The presence of Lewy bodies is a hallmark of Parkinson’s disease.
  • Lewy neurites are abnormal neuronal processes in diseased neurons, containing granular material, abnormal alpha-synuclein (a-syn) filaments similar to those found in Lewy bodies, dot-like, varicose structures and axonal spheroids. Like Lewy bodies, Lewy neurites are a feature of a- synucleinopathies such as dementia with Lewy bodies and Parkinson's disease.
  • Glial cytoplasmic inclusions are argyrophilic cytoplasmic aggregates in oligodentroglial cells composed of filamentous alpha-synuclein. Morphologically appear as triangles, half-moon or sickle shapes.
  • inclusions composed of alpha-synuclein filaments are detected in neurons in the cytoplasm or beneath the nuclear membrane termed neuronal cytoplasmic inclusions and neuronal nuclear inclusions respectively.
  • GCIs are recognized as the defining morphological feature of MSA; their widespread distribution is a criterion for the definite post-mortem neuropathological diagnosis of MSA.
  • the compounds of formula (I) can bind to alpha-synuclein aggregates.
  • the type of bonding with the compounds of formula (I) has not been elucidated and any type of bonding is covered by the present invention.
  • the wording "compound bound to the alpha-synuclein aggregates" and the like are used interchangeably herein and are not considered to be limited to any specific type of bonding.
  • the compounds of the present invention can be used as an analytical reference or an in vitro screening tool.
  • non-labelled compounds of formula (I) according to of the present invention can be used as an analytical reference for the quality control and release of a corresponding labelled compound of the present invention, for example a corresponding 18 F labelled compound of Formula (l-F) or (l-F’).
  • This quality control is conducted in an in vitro method.
  • the compounds of the present invention can be used as an in vitro screening tool for characterization of tissue with Tau pathology and for testing of compounds targeting Tau pathology on such tissue.
  • the present invention relates to a compound of formula (I): or a detectably labelled compound, stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent independently selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo; or R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH 2 , -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C6cycloalkyl or -C 3 -C6cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl.
  • pyridyl or pyrimidinyl more preferably pyridyl.
  • pyridyl Preferably is not substituted or is substituted by one or more substituents selected from halo and C 1 -C 4 alkyl, preferably methyl or halo such as F.
  • the invention provides a compound having the formula (la): or a detectably labelled compound, stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein Z, R a , R 1 and R 2 are as defined above;
  • R 3 is halo or C 1 -C 4 alkyl; preferably methyl or fluoro; and r is 0, 1 or 2, preferably 0 or 1 .
  • Z is selected from NR a , wherein R a is selected from haloC 1 -C 4 alkyl, haloCi- C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl, preferably R a is methyl.
  • Z is selected from S and O.
  • Z is O.
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo (e.g., 1 to 3, preferably 1 or 2, more preferably 1 halo).
  • R 1 is a 4- to 6-membered heterocyclyl which is substituted with at least one halo (e.g., 1 to 3, preferably 1 or 2, more preferably 1 halo).
  • R 1 is a 4- to 6- membered heterocyclyl which is not substituted.
  • R 1 is a 5-membered heterocyclyl which is substituted with one halo or is not substituted.
  • the heteroatom in the heterocyclyl R 1 is preferably N or O, more preferably N.
  • R 1 is a 4- to 6-membered heterocyclyl selected from the following: wherein R 1a is F or H.
  • R 1 is a 5-membered heterocyclyl selected from the following: wherein R 1a is F or H.
  • R 1 is .
  • R 1 is In another embodiment, R 1 is -N(CH 3 ) 2 .
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl.
  • R 1 is haloCi-C2alkoxy or halo, more preferably R 1 is -O-CH 2 -CH 2 -F or F.
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 preferably -N(CH 3 ) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 - C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 - C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo.
  • F is preferably 19 F or 18 F.
  • R 2 is a 5-membered or 6-membered heteroaryl optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and Ci- C 4 alkyl.
  • R 2 is haloCi-C2alkyl or haloCi-C2alkoxy, preferably -CH 2 -CH 2 -F or -O-CH 2 - CH 2 -F.
  • R 2 is a 5-membered or 6-membered heteroaryl selected from the following: wherein
  • R 2a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 2b is selected from H, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and s is 0, 1 or 2 (preferably s is 0 or 1 , more preferably 0).
  • R 2 is a 5-membered or 6-membered heteroaryl selected from the following: wherein
  • R 2b is selected from H, haloC 1 -C 4 alkyl and C 1 -C 4 alkyl and R 2a is selected from haloC 1 -C 4 alkyl.
  • R 2 is a 5-membered or 6-membered heteroaryl selected from the following: wherein
  • R 2b is selected from H, -C 1 -C 4 alkyl-F and methyl.
  • R 2 is a 5-membered or 6-membered heteroaryl selected from the following:
  • R 2 is haloC 1 -C 2 aikyl or haloC 1 -C 2 alkoxy, preferably -CH 2 -CH 2 -F or -O-CH 2 - CH 2 -F.
  • the present invention provides a compound of formula (I), wherein the compound is selected from
  • the present invention provides a compound of formula (I), wherein the compound is selected from the following stereoisomers:
  • the present invention provides a compound of formula (I) which is a detectably labelled compound.
  • the detectable label can be a radioisotope.
  • the compound of formula (I) comprises at least one radioisotope.
  • the detectable label is selected from 1 8 F, 2 H and 3 H.
  • the radioisotope is selected from 18 F and 3 H.
  • the present invention provides a compound of formula (I), wherein R 1 is In another embodiment, the present invention provides a compound of formula (I), wherein R 1 is
  • the present invention provides a compound of formula (I), wherein the compound is a detectably labelled compound of formula (l-F) or (l-F'): or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O; R a being selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and n is at least 1 , (e.g. 1 , 2 or 3) preferably 1 ; in formula (l-F):
  • R 1F is a 4- to 8-membered heterocyclyl
  • R 1F is C 1 -C 4 alkoxy, or C 1 -C 4 alkyl
  • R 1F is -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; in formula (l-F')
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo; and
  • R 2F is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • formula (l-F) 18 F can be present at any position where halo is present in formula (I).
  • R 1F is a 4- to 8-membered heterocyclyl. In a more preferred embodiment, R 1F is a 4- to 6-membered heterocyclyl. Most preferably, R 1F is a 5-membered heterocyclyl.
  • the heteroatom in the heterocyclyl is preferably N or O, more preferably N.
  • R 1F is a 4- to 6-membered heterocyclyl selected from the following:
  • R 1F is
  • R 1F is C 1 -C 4 alkoxy, or C 1 -C 4 alkyl.
  • R 1F is -N(C 1 -C 4 alkyl) 2 preferably -N(CHs) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 - C 6 cycloalkyl or -C 3 -C 6 cycloalkyl.
  • R 1F is -NH-C 3 -C 6 cycloalkyl, C 3 -C 6 cycloalkyl, C 1 -C 4 alkoxy, C 1 -C 4 alkyl or 4- to 6- membered heterocyclyl.
  • -R 1F -( 18 F) n is selected from the following:
  • -R 1F -( 18 F) n is selected from the following:
  • -R 1F -( 18 F) n is:
  • -R 1F -( 18 F) n is -C 1 -C 4 alkoxy- 18 F such as -O-CH 2 -CH 2 - 18 F.
  • -R 2F -( 18 F) n is selected from
  • -R 2F -( 18 F) n is The detectably labelled compound of formula (l-F) or (l-F’) comprises at least one 18 F.
  • the detectably labelled compound of formula (l-F) or (l-F’) comprises one 18 F.
  • the present invention provides a compound of formula (I), wherein the compound is a detectably labelled compound of formula (l-H): or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycioalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 aikyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • Y 1 is D, CD 3 , T or CT 3 , preferably Y 1 is D or T; m is 0, 1 , 2 or 3; and p is 0, 1 , 2 or 3; with the proviso that the compound of formula (l-H) comprises at least one 2 H (deuterium “D”) or 3 H (Tritium “T”), preferably 1 , 2, or 3 D or T, even more preferably 2 or 3 D or T.
  • the compound of formula (l-H) preferably 3 H is present as T or 2 H is present as D.
  • the compound of formula (l-H) comprises at least one 3 H (Tritium “T”), preferably 1 , 2, or 3 T, even more preferably 2 or 3 T.
  • the compound of formula (l-H) comprises at least one D. In another embodiment, the compound of formula (l-H) comprises at least one T. In another embodiment the present invention provides a detectably labelled compound of formula
  • (l-H’) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • Z is S, NR a or O; wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl; and wherein D is 2 H (Deuterium) and T is 3 H (Tritium).
  • the compound of formula (l-H’) comprises at least one CT 3 , preferably one CT 3 . In one embodiment, the compound of formula (l-H’) comprises at least one CD 3 , preferably one CD 3 .
  • the deuterium or tritium can present at any available position at which a hydrogen is present.
  • deuterium or tritium can be present either directly bound to the 5-membered or 6-membered heteroaryl (such as in the form of D or T) or can be present in the haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl (such as in the form of CD 3 or CT 3 ).
  • deuterium or tritium can be, e.g., directly bound to the 4- to 6-membered heterocyclyl.
  • T and D can be at any position where H is present in formula (I).
  • CT 3 and CD 3 can be present at any position where CH 3 is present in formula (I).
  • Y 1 can be present at any position where an H or CH 3 is foreseen with respect to formula (I).
  • the detectably labelled compound of formula (l-H’) or (l-H) comprises one, two or three T.
  • the detectably labelled compound of formula (l-H‘) or (l-H) comprises one T.
  • the detectably labelled compound of formula ( l-H‘) or (l-H) comprises two T.
  • the detectably labelled compound of formula (l-H‘) or (l-H) comprises three T such as -CT 3 .
  • the invention provides a detectably labelled compound of formula (l-H’) or (l-H), as above, wherein 3 H Tritium (“T”) can be replaced by 2 H Deuterium (“D”).
  • T Tritium
  • D Deuterium
  • the deuterated compound of formula (l-H’) or (l-H) can be prepared, for example, by reacting a compound of formula (II l-H) with a 2 H labelling agent.
  • the compounds of the present invention and their precursors can be detectably labelled.
  • the type of the label is not specifically limited and will depend on the detection method chosen. Examples of possible labels include isotopes such as radionuclides, positron emitters, and gamma emitters, preferably the detectable label is a radioisotope.
  • the detectably labelled compounds of the present invention and their precursors which include a radioisotope, a positron emitter, or a gamma emitter it is to be understood that the radioisotope, positron emitter, or gamma emitter is to be present in an amount which is not identical to the natural amount of the respective radioisotope, positron emitter, or gamma emitter.
  • the employed amount should allow detection thereof by the chosen detection method.
  • suitable isotopes such as radionuclides, positron emitters and gamma emitters include 2 H, 3 H, 11 C, 13 N, 15 O, and 18 F, more preferably 2 H, 3 H and 18 F.
  • 18 F-labelled compounds are particularly suitable for imaging applications such as PET.
  • the corresponding compounds which include fluorine having a natural 19 F isotope are also of particular interest as they can be used as analytical standards and references during manufacturing, quality control, release, and clinical use of their 18 F-analogs.
  • substitution with isotopes such as deuterium, i.e. 2 H or D may afford certain diagnostic and therapeutic advantages resulting from greater metabolic stability by reducing for example defluorination, increased in vivo half-life or reduced dosage requirements, while keeping or improving the original compound efficacy.
  • Isotopic variations of the compounds of the invention and their precursors can generally be prepared by conventional procedures such as by the illustrative methods or by the preparations described in the Examples and Preparative Examples hereafter using appropriate isotopic variations of suitable reagents, which are commercially available or prepared by known synthetic techniques.
  • Radionuclides, positron emitters and gamma emitters can be included into the compounds of the present invention and their precursors by methods which are usual in the field of organic synthesis. Typically, they will be introduced by using a correspondingly labelled starting material when the desired compound of the present invention and its precursor is prepared. Illustrative methods of introducing detectable labels are described, for instance, in US 2012/0302755.
  • the position at which the detectable label is to be attached to the compounds of the present invention and their precursors is not particularly limited.
  • the radionuclides, positron emitters and gamma emitters can be attached at any position where the corresponding non-emitting atom can also be attached.
  • 18 F can be attached at any position which is suitable for attaching F.
  • R 1 is substituted with 18 F.
  • 3 H can be attached at any available position at which H is present. If 2 H is employed as a detectable label it can be attached at any available position at which H is present.
  • the present invention relates further to a compound of formula (lll-F) that is a precursor of the compound of formula (l-F) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected fromhalo C 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy and C 1 -C 4 alkyl;
  • LG is a leaving group; and n is at least 1 (e.g., 1 , 2 or 3, preferably 1 );
  • R 1F is a 4- to 8-membered heterocyclyl
  • R 1F is C 1 -C 4 alkoxy, or C 1 -C 4 alkyl
  • R 1F is -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl.
  • LG can be attached at any position at which halo is present in formula (I).
  • R 1F is a 4- to 8-membered heterocyclyl. In a preferred embodiment, R 1F is a 4- to 6-membered heterocyclyl. Most preferably, R 1F is a 5-membered heterocyclyl.
  • the heteroatom in the heterocyclyl is preferably N or O, more preferably N.
  • R 1F is a 4- to 6-membered heterocyclyl selected from the following: ln one preferred embodiment R 1F is
  • R 1F is C 1 -C 4 alkoxy, or C 1 -C 4 alkyl.
  • R 1F is -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl.
  • R 1F is selected from the following:
  • (LG) n -(R 1F ) q is LG-C 3 -C 6 cycloalkyl-NH-, LG-C 3 -C 6 cycloalkyl-, or LG-4- to LG-8-membered heterocyclyl-.
  • (LG) n -R 1F is selected from the following: wherein n is at least 1 (e.g., 1 , 2, or 3, preferably 1).
  • (LG) n -R 1F is selected from the following:
  • (LG) n -R 1F is selected from the following:
  • the Leaving Group (LG) is nitro, halogen, C1-C4 alkylsulfonate, C 1 -C 4 alkyl ammonium, or C 6 -C- 10 arylsulfonate, wherein the C 6 -C- 10 arylsulfonate can be optionally substituted with -CH 3 or -NO 2 .
  • the Leaving Group (LG) is nitro, bromo, chloro, iodo, C 1 -C 4 alkylsulfonate, or C 6 -C 10 arylsulfonate, wherein the C 6 -C 10 arylsulfonate can be optionally substituted with -CH 3 or -N0 2 .
  • the Leaving Group (LG) is nitro, mesylate, tosylate or nosylate.
  • the Leaving Group (LG) is nitro, mesylate, or nosylate. More preferably the Leaving Group (LG) is mesylate or nitro.
  • the present invention relates further to a compound of formula (IH-F’) that is a precursor of the compound of formula (l-F) or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NR a or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is halo, haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo; and
  • R 2F is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • LG is a leaving group; and n is at least 1 (e.g. 2 or 3, preferably 3).
  • LG can be present at any position at which halo is present in formula (I).
  • -R 2F -(LG) n is selected from the following: wherein
  • R 2b is selected from LG-C 1 -C 4 alkyl
  • -R 2F -(LG) n is selected from
  • R 2F -(LG) n is a 5-membered or 6-membered heteroaryl selected from the following:
  • the Leaving Group (LG) is halogen, nitro, C1-C4 alkylsulfonate, C 1 -C 4 alkyl ammonium, or C 6 -C 10 arylsulfonate, wherein the C 6 -C 10 arylsulfonate can be optionally substituted with -CH 3 or -NO 2 . More preferably, the Leaving Group (LG) is nitro, bromo, chloro, iodo, C 1 -C 4 alkylsulfonate, or C 6 -C 10 arylsulfonate, wherein the C 6 -C 10 arylsulfonate can be optionally substituted with -CH 3 or -NO 2 .
  • the Leaving Group (LG) is nitro, mesylate, tosylate or nosylate. Even more preferably, the Leaving Group (LG) is nitro, mesylate, or nosylate. More preferably the Leaving Group (LG) is mesylate or nitro.
  • the present invention relates to a compound of formula (lll-H), a precursor of the compound of formula (l-H): or a stereoisomer, racemic mixture, pharmaceutically acceptable salt, hydrate, or solvate thereof, wherein ) is a 6-membered heteroaryl, which is optionally substituted with at least one substituent selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • R 1 is a 4- to 8-membered heterocyclyl which is optionally substituted with at least one halo;
  • R 1 is haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, or C 1 -C 4 alkyl; or
  • R 1 is -NH2, -N(C 1 -C 4 alkyl) 2 , -NH(C 1 -C 4 alkyl), -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, wherein the C 3 -C 6 cycloalkyl of -NH-C 3 -C 6 cycloalkyl or -C 3 -C 6 cycloalkyl, or the C 1 -C 4 alkyl of N(C 1 -C 4 alkyl) 2 or NH(C 1 -C 4 alkyl), is optionally substituted with at least one halo;
  • R 2 is a 5-membered or 6-membered heteroaryl, optionally substituted with 1 or 2 substituents independently selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • Z is S, NRa or O, wherein R a is selected from haloC 1 -C 4 alkyl, haloC 1 -C 4 alkoxy, C 1 -C 4 alkoxy, and C 1 -C 4 alkyl;
  • X is bromo, chloro or iodo; m is 0, 1 , 2 or 3; p is 0, 1 , 2 or 3; with the proviso that the compound of formula (lll-H) comprises at least one X (e.g., 1 , 2 or 3 X, preferably 1 or 2 X).
  • X is attached to the 6-membered heteroaryl of and/or the 5-membered or 6-membered heteroaryl of R 2 . If halo is present as a substituent of and X is present, the X can be present in addition to halo.
  • the detectably labelled compound of formula (lll-H) comprises one, two or three X. In a preferred embodiment, the detectably labelled compound of formula (lll-H) comprises one X. In another preferred embodiment, the detectably labelled compound of formula (lll-H) comprises two X. X is selected from bromo, chloro and iodo. In a preferred embodiment X is bromine.
  • the present invention relates further to a method for preparing a compound of formula (I), or of subformulae thereof (e.g. (la), (l-F), (l-F’), (l-H’), (l-H)).
  • the present invention relates to a method for preparing a compound of formula (l-F), by reacting a compound of formula (lll-F) with a 18 F-fluorinating agent, so that LG is replaced by 18 F.
  • a method for preparing a compound of formula (l-F ) by reacting a compound of formula (lll-F') with a 18 F-fluorinating agent. wherein , R 1 , R 2F , Z, n, and LG are as defined herein above.
  • Suitable solvents for the 18 F-fluorination comprise DMF, DMSO, acetonitrile, DMA, or mixtures thereof, preferably acetonitrile or DMSO.
  • Suitable agents for the 18 F-fluorination are selected from K 18 F, Rb 18 F, Cs 18 F, Na 18 F, tetra(Ci-6alkyl)ammonium salt of 18 F, Kryptofix[222] 18 F and tetrabutylammonium [ 18 F]fluoride.
  • the present invention relates to a method of preparing a compound of formula (l-H) by reacting a compound of formula (lll-H) with a 3 H or 2 H radiolabeling agent.
  • a compound of formula (lll-H) with a 3 H or 2 H radiolabeling agent.
  • R 1 , R 2 , Z, X, Y 1 , m, and p are as defined herein above.
  • the present invention relates to a method of preparing compound of formula (l-H‘) by reacting a compound of formula (I) with a 3 H or 2 H labelling agent.
  • R 1 and Z are as defined herein above; wherein R 2b is H. , wherein R 2b is selected from CT 3 or CD 3 ; and wherein D is 2 H (Deuterium) and T is 3 H (Tritium).
  • the 3 H radiolabelling agent can be tritium gas.
  • the method can be conducted in the presence of a catalyst such as palladium on carbon (Pd/C), a solvent such as dimethylformamide (DMF) and a base such as N,N-diisopropylethylamine (DIEA).
  • a catalyst such as palladium on carbon (Pd/C)
  • a solvent such as dimethylformamide (DMF)
  • DIEA N,N-diisopropylethylamine
  • the labelling agent can be a 2 H labelling agent comprising D (e.g., D2O, D4- methanol or any other suitable agents), preferably in the presence of a catalyst like Pd/C, so that X is replaced by D (D is deuterium, 2 H).
  • D e.g., D2O, D4- methanol or any other suitable agents
  • the present invention relates to a method for preparing a compound of formula (l-H') by labelling a compound of formula (I), with a CT 3 radiolabelling agent, wherein T is 3 H, to introduce CT 3 .
  • the CT 3 radiolabelling agent can be ICT 3 (derivative of iodomethane with 3 H).
  • the method can be conducted in the presence of a solvent such as dimethylformamide (DMF) and a base such as caesium carbonate or sodium hydride.
  • the present invention relates to a method for preparing a compound of formula (l-H') by labelling a compound of formula (I), with a CD 3 labelling agent, wherein D is 2 H, to introduce CD 3 .
  • the CD 3 labelling agent can be ICD 3 (derivative of iodomethane with 2 H).
  • the method can be conducted in the presence of a solvent such as dimethylformamide (DMF) and a base such as caesium carbonate or sodium hydride.
  • the precursor compounds of the present invention can also be employed in kits for the preparation of radiopharmaceutical preparations. Due to the radioactive decay, the radiopharmaceuticals are usually prepared immediately before use.
  • the kit typically comprises a precursor of the compound of the present invention, and an agent which reacts with the precursor to introduce a radioactive label into the compound of the present invention.
  • the precursor of the compound of the present invention can, for example, be a compound having the formula (lll-F), (lll-F’) or (lll-H).
  • the agent can be an agent which introduces a radioactive label such as 18 F, 3 H, or D.
  • the kit of parts is a test kit for the detection and/or diagnosis of a disease, disorder or abnormality associated with alpha-synuclein aggregates, wherein the test kit comprises at least one precursor of the compound of the present invention (e.g. a compound having the formula (lll-F), (lll-F ) or (lll-H)).
  • the test kit comprises at least one precursor of the compound of the present invention (e.g. a compound having the formula (lll-F), (lll-F ) or (lll-H)).
  • the kit of parts is a kit for preparing a radiopharmaceutical preparation, wherein the kit comprises a sealed vial containing at least one precursor of the compound of the present invention (e.g. a compound having the formula (lll-F), (lll-F’) or (IIl-H)).
  • a sealed vial containing at least one precursor of the compound of the present invention (e.g. a compound having the formula (lll-F), (lll-F’) or (IIl-H)).
  • the kit is for use in the imaging of alpha-synuclein aggregates, wherein the imaging is preferably conducted by positron emission tomography, or is for use for in vitro imaging, ex vivo imaging, or in vivo imaging, preferably the use is for in vivo imaging. More preferably, the use is for brain imaging.
  • the compounds of the present invention are particularly suitable for imaging of alpha-synuclein aggregates.
  • the compounds are particularly suitable for binding to various types of alpha-synuclein aggregates.
  • the imaging can be conducted in mammals, preferably in humans.
  • the imaging is preferably in vitro imaging, ex vivo imaging, or in vivo imaging. More preferably the imaging is in vivo imaging: Even more preferably, the imaging is preferably brain imaging.
  • the imaging can also be eye/retinal imaging.
  • the compounds of the present invention are particularly suitable for use in diagnostics.
  • the diagnostics can be conducted for mammals, preferably for humans.
  • the tissue of interest on which the diagnostic is conducted can be brain tissue, tissue of the central nervous system, tissue of the eye (such as retinal tissue), tissue of peripheral organs such as the gut or other tissues, or body fluids such as cerebrospinal fluid (CSF) or blood.
  • the tissue is preferably brain tissue.
  • the present invention provides a diagnostic composition
  • a diagnostic composition comprising a compound of the invention, and optionally at least one pharmaceutically acceptable excipient, carrier, diluent and/or adjuvant.
  • the compounds of the present invention are suitable for use in the diagnosis of diseases, disorders and abnormalities associated with alpha- synuclein aggregates.
  • the diagnostic composition which comprises a compound of the present invention is also suitable for use in the diagnosis of diseases, disorders and abnormalities associated with alpha-synuclein aggregates.
  • the compound of the present invention, or the diagnostic composition comprising a compound of the invention is suitable for use in imaging, such as in vitro imaging, ex vivo imaging, or in vivo imaging, preferably the use is for in vivo imaging, more preferably the use is for brain imaging. In particular, the use is in humans.
  • the compounds of the present invention or the diagnostic composition are particularly suitable for use in positron emission tomography imaging of alpha-synuclein aggregates.
  • the compounds of the present invention are suitable for use in the diagnosis of diseases, disorders or abnormalities associated with alpha-synuclein aggregates including, but not limited to, Lewy bodies and/or Lewy neurites or a predisposition therefor, wherein the diseases, disorders or abnormalities are selected from (including, but not limited to) Parkinson's disease (sporadic, familial with alpha-synuclein mutations, familial with mutations other than alpha-synuclein, pure autonomic failure and Lewy body dysphagia), SNCA duplication carrier, dementia with Lewy bodies (“pure” Lewy body dementia), Alzheimer’s disease, sporadic Alzheimer’s disease, familial Alzheimer's disease with APP mutations, familial Alzheimer's disease with PS-1 , PS-2 or other mutations, familial British dementia, Lewy body variant of Alzheimer
  • the compounds of the present invention are suitable for use in the diagnosis of diseases, disorders or abnormalities associated with alpha-synuclein aggregates including, but not limited to neuronal and glial aggregates of alpha synuclein including multiple system atrophy (MSA) (Shy-Drager syndrome, striatonigral degeneration and olivopontocerebellar atrophy).
  • MSA multiple system atrophy
  • alpha-synuclein-immunoreactive lesions include traumatic brain injury, chronic traumatic encephalopathy, tauopathies (Pick's disease, frontotemporal dementia, progressive supranuclear palsy, corticobasal degeneration and Niemann-Pick type C1 disease), motor neuron disease, amyotrophic lateral sclerosis (sporadic, familial and ALS-dementia complex of Guam), neuroaxonal dystrophy, neurodegeneration with brain iron accumulation type 1 (Hallervorden-Spatz syndrome), prion diseases, ataxia telangiectatica, Meige’s syndrome, subacute sclerosing panencephalitis, Gaucher disease as well as other lysosomal storage disorders (including Kufor- Rakeb syndrome and Sanfilippo syndrome) and rapid eye movement (REM) sleep behavior disorder (Jellinger, Mov Disord 2003, 18 Suppl.
  • tauopathies Pick's disease, frontotemporal dementia, progressive supranucle
  • the compounds of the present invention are suitable for use in the diagnosis of Parkinson's disease, multiple system atrophy, dementia with Lewy bodies, Parkinson’s disease dementia, SNCA duplication carrier, or Alzheimer’s disease, more preferably Parkinson’s disease (PD) or multiple system atrophy (MSA).
  • Parkinson's disease multiple system atrophy
  • dementia with Lewy bodies dementia with Lewy bodies
  • Parkinson’s disease dementia dementia with Lewy bodies
  • SNCA duplication carrier or Alzheimer’s disease
  • PD Parkinson’s disease
  • MSA multiple system atrophy
  • the method comprises the steps of:
  • tissue of interest such as brain tissue, tissue of the central nervous system (CNS), tissue of the eye, tissue of peripheral organs or other tissues
  • body fluid such as cerebrospinal fluid (CSF) or blood
  • CSF cerebrospinal fluid
  • the subject is suffering from or is at risk of developing a disease, disorder or abnormality associated with alpha-synuclein aggregates.
  • the compounds of the present invention can be used for imaging of alpha-synuclein aggregates in any sample or a specific body part or body area of a patient which is suspected to contain alpha- synuclein aggregates.
  • the compounds are able to pass the blood-brain barrier. Consequently, they are particularly suitable for imaging of alpha-synuclein aggregates in the brain, tissue of the central nervous system (CNS), tissue of the eye (such as retinal tissue), tissue of peripheral organs such as the gut or other tissues, or body fluids such as cerebrospinal fluid (CSF) or blood.
  • CNS central nervous system
  • tissue of the eye such as retinal tissue
  • peripheral organs such as the gut or other tissues
  • body fluids such as cerebrospinal fluid (CSF) or blood.
  • the compounds of the present invention are preferably administered in the form of a diagnostic composition comprising the compound of the invention.
  • a "diagnostic composition” is defined in the present invention as a composition comprising one or more compounds of the present invention in a form suitable for administration to a patient, e.g., a mammal such as a human, and which is suitable for use in the diagnosis of the specific disease, disorder or abnormality at issue.
  • a diagnostic composition further comprises a pharmaceutically acceptable excipient, carrier, diluent or adjuvant.
  • Administration is preferably carried out as defined below. More preferably by injection of the composition as an aqueous solution.
  • Such a composition may optionally contain further ingredients such as buffers; pharmaceutically acceptable solubilizers (e.g., cyclodextrins or surfactants such as Pluronic, Tween or phospholipids); and pharmaceutically acceptable stabilisers or antioxidants (such as ascorbic acid, gentisic acid or para-aminobenzoic acid).
  • pharmaceutically acceptable solubilizers e.g., cyclodextrins or surfactants such as Pluronic, Tween or phospholipids
  • pharmaceutically acceptable stabilisers or antioxidants such as ascorbic acid, gentisic acid or para-aminobenzoic acid.
  • the invention also provides a diagnostic composition which comprises a diagnostically effective amount of a compound of the present invention in admixture with, optionally, at least one pharmaceutically acceptable excipient, carrier, diluent or adjuvant.
  • compositions are well known in the pharmaceutical art, and are described, for example, in Remington's Pharmaceutical Sciences, 15 th Ed., Mack Publishing Co., New Jersey (1975).
  • the pharmaceutical excipient can be selected with regard to the intended route of administration and standard pharmaceutical practice.
  • the excipient must be acceptable in the sense of being not deleterious to the recipient thereof.
  • compositions of the present invention may comprise, for example, solvents such as monohydric alcohols such as ethanol, isopropanol and polyhydric alcohols such as glycols and edible oils such as soybean oil, coconut oil, olive oil, safflower oil, cottonseed oil, oily esters such as ethyl oleate, isopropyl myristate, binders, adjuvants, solubilizers, thickening agents, stabilizers, disintegrants, glidants, lubricating agents, buffering agents, emulsifiers, wetting agents, suspending agents, sweetening agents, colorants, flavors, coating agents, preservatives, antioxidants, processing agents, drug delivery modifiers and enhancers such as calcium phosphate, magnesium stearate, talc, monosaccharides, disaccharides, starch, gelatin, cellulose, methylcellulose
  • the routes for administration (delivery) of the compounds of the invention include, but are not limited to, one or more of: intravenous, gastrointestinal, intraspinal, intraperitoneal, intramuscular, oral (e. g. as a tablet, capsule, or as an ingestible solution), topical, mucosal (e. g. as a nasal spray or aerosol for inhalation), nasal, parenteral (e. g. by an injectable form), intrauterine, intraocular, intradermal, intracranial, intratracheal, intravaginal, intracerebroventricular, intracerebral, subcutaneous, ophthalmic (including intravitreal or intracameral), transdermal, rectal, buccal, epidural and sublingual.
  • the route of administration (delivery) of the compounds of the invention is intravenous.
  • the compounds can be administered orally in the form of tablets, capsules, ovules, elixirs, solutions or suspensions, which may contain flavoring or coloring agents, for immediate-, delayed-, modified-, sustained-, pulsed- or controlled-release applications.
  • the tablets may contain excipients such as microcrystalline cellulose, lactose, sodium citrate, calcium carbonate, dibasic calcium phosphate and glycine, disintegrants such as starch (preferably corn, potato or tapioca starch), sodium starch glycolate, croscarmellose sodium and certain complex silicates, and granulation binders such as polyvinylpyrrolidone, hydroxypropylmethylcellulose (HPMC), hydroxypropylcellulose (HPC), sucrose, gelatin and acacia. Additionally, lubricating agents such as magnesium stearate, stearic acid, glyceryl behenate and talc may be included. Solid compositions of a similar type may also be employed as fillers in gelatin capsules.
  • excipients such as microcrystalline cellulose, lactose, sodium citrate, calcium carbonate, dibasic calcium phosphate and glycine
  • disintegrants such as starch (preferably corn, potato or tapioca starch), sodium starch glyco
  • Preferred excipients in this regard include starch, a cellulose, milk sugar (lactose) or high molecular weight polyethylene glycols.
  • the agent may be combined with various sweetening or flavoring agents, coloring matter or dyes, with emulsifying and/or suspending agents and with diluents such as water, ethanol, propylene glycol and glycerin, and combinations thereof.
  • the compounds of the present invention are administered parenterally.
  • parenterally examples of such administration include one or more of: intravenously, intraarterially, intraperitoneally, intrathecally, intraventricularly, intraurethrally, intrasternally, intracranially, intramuscularly or subcutaneously administering the compounds; and/or by using infusion techniques.
  • the compounds are best used in the form of a sterile aqueous solution which may contain other substances, for example, enough salts or glucose to make the solution isotonic with blood.
  • the aqueous solutions should be suitably buffered (preferably to a pH of from 3 to 9), if necessary.
  • the preparation of suitable parenteral formulations under sterile conditions is readily accomplished by standard pharmaceutical techniques well known to those skilled in the art.
  • the compounds of the present invention can be administered intranasally or by inhalation and are conveniently delivered in the form of a dry powder inhaler or an aerosol spray presentation from a pressurized container, pump, spray or nebulizer with the use of a suitable propellant, e.g. dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, a hydrofluoroalkane such as 1 ,1 ,1 ,2-tetrafluoroethane (HFA134AT) or 1 , 1 ,1 ,2, 3,3,3- heptafluoropropane (HFA 227EA), carbon dioxide or other suitable gas.
  • a suitable propellant e.g. dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, a hydrofluoroalkane such as 1 ,1 ,1 ,2-tetra
  • the dosage unit may be determined by providing a valve to deliver a metered amount.
  • the pressurized container, pump, spray or nebulizer may contain a solution or suspension of the active compound, e. g. using a mixture of ethanol and the propellant as the solvent, which may additionally contain a lubricant, e. g. sorbitan trioleate.
  • a lubricant e. g. sorbitan trioleate.
  • Capsules and cartridges (made, for example, from gelatin) for use in an inhaler or insufflator may be formulated to contain a powder mix of the compound and a suitable powder base such as lactose or starch.
  • the compounds of the present invention can be administered in the form of a suppository or pessary, or it may be applied topically in the form of a gel, hydrogel, lotion, solution, cream, ointment or dusting powder.
  • the compounds of the present invention may also be dermally or transdermally administered, for example, by the use of a skin patch.
  • the compounds may also be administered by the pulmonary or rectal routes. They may also be administered by the ocular route.
  • the compounds can be formulated as micronized suspensions in isotonic, pH adjusted, sterile saline, or, preferably, as solutions in isotonic, pH adjusted, sterile saline, optionally in combination with a preservative such as a benzylalkonium chloride. Alternatively, they may be formulated in an ointment such as petrolatum.
  • the compounds of the present invention can be formulated as a suitable ointment containing the active compound suspended or dissolved in, for example, a mixture with one or more of the following: mineral oil, liquid petrolatum, white petrolatum, propylene glycol, emulsifying wax and water.
  • they can be formulated as a suitable lotion or cream, suspended or dissolved in, for example, a mixture of one or more of the following: mineral oil, sorbitan monostearate, a polyethylene glycol, liquid paraffin, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.
  • a physician will determine the actual dosage which will be most suitable for an individual subject.
  • the specific dose level and frequency of dosage for any particular individual may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the age, body weight, general health, sex, diet, mode and time of administration, rate of excretion, drug combination, the severity of the particular condition, and the individual undergoing diagnosis.
  • the diagnostic compositions of the invention can be produced in a manner known per se to the skilled person as described, for example, in Remington's Pharmaceutical Sciences, 15 th Ed., Mack Publishing Co., New Jersey (1975).
  • the compounds of the present invention are useful as an in vitro analytical reference or an in vitro screening tool. They are also useful in in vivo diagnostic methods.
  • the compounds according to the present invention can also be provided in the form of a mixture, a pharmaceutical composition, or a combination, comprising a compound according to the present invention and at least one compound selected from an imaging agent different from the compound according to the invention, a pharmaceutically acceptable excipient, carrier, diluent or adjuvant.
  • the imaging agent different from the compound according to the invention is preferably present in a diagnostically effective amount. More preferably the imaging agent different from the compound according to the invention is an Abeta or Tau imaging agent.
  • the invention provides a method of diagnosing a disease, disorder or abnormality associated with alpha-synuclein aggregates, in a subject, the method comprising the steps:
  • said method may further comprise the step of:
  • the invention provides a method of positron emission tomography (PET) imaging of alpha-synuclein aggregatesin a tissue of a subject, the method comprising the steps:
  • the invention relates to a method for the detection and optionally quantification (e.g., an in vivo or in vitro method) of alpha-synuclein aggregates in a tissue of a subject, the method comprising the steps:
  • the present invention refers to a method of collecting data for the diagnosis of a disease, disorder or abnormality associated with alpha-synuclein aggregates, the method comprising the steps:
  • the amount of the compound bound to the alpha-synuclein aggregates is higher than a normal control value it can be assumed that the patient is suffering from a disease, disorder or abnormality associated with alpha-synuclein aggregates.
  • Yet another embodiment of the present invention refers to a method of collecting data for determining a predisposition to a disease, disorder or abnormality associated with alpha-synuclein aggregates, the method comprising the steps:
  • the amount of the compound bound to the alpha-synuclein aggregates is higher than a normal control value of a healthy/reference subject this indicates that the patient is suffering from or is at risk of developing a disease, disorder or abnormality associated with alpha-synuclein aggregates.
  • the amount of the compound bound to the alpha-synuclein aggregates is higher than what expected in a person showing no clinical evidence of a disease, disorder or abnormality associated with alpha-synuclein aggregates, it can be assumed that the patient has a disposition to a disease, disorder or abnormality associated with alpha-synuclein aggregates.
  • the present invention relates to a method of collecting data for prognosing a disease, disorder or abnormality associated with alpha-synuclein aggregates, wherein the method comprises the steps:
  • step (e) Optionally repeating steps (a) to (c) and, if present, optional step (d) at least one time.
  • the progression of a disease, disorder or abnormality and/or the prospect (e.g., the probability, duration, and/or extent) of recovery can be estimated by a medical practitioner based on the presence or absence of the compound bound to the alpha-synuclein aggregates, the amount of the compound bound to the alpha-synuclein aggregates or the like. If desired, steps (a) to (c) and, if present, optional step (d) can be repeated over time to monitor the progression of the disease, disorder or abnormality and to thus allow a more reliable estimate.
  • a further aspect is directed to a method of collecting data for monitoring the progression (or evolution) of a disease, disorder or abnormality associated with alpha-synuclein aggregates in a patient, the method comprising the steps: (a) Bringing a sample, a specific body part or body area suspected to contain alpha-synuclein aggregates into contact with the compound according to the present invention, or a diagnostic composition which comprises a compound according to the present invention;
  • step (e) Optionally repeating steps (a) to (c) and, if present, optional step (d) at least one time.
  • the amount of the compound bound to the alpha- synuclein aggregates can be optionally compared at various points of time during the treatment, for instance, before and after onset of the treatment or at various points of time after the onset of the treatment.
  • the patient is or has been undergoing treatment of the disease, disorder or abnormality associated with alpha-synuclein aggregates or is/has been undergoing treatment of the synucleinopathy.
  • the treatment can involve administration of a medicament which is suitable for treating the disease, disorder or abnormality associated with alpha-synuclein aggregates.
  • the invention relates to a method of collecting data for predicting responsiveness of a patient suffering from a disease, disorder or abnormality associated with alpha- synuclein aggregates to a treatment with a medicament, the method comprising the steps of
  • step (e) Optionally repeating steps (a) to (c) and, if present, optional step (d) at least one time.
  • the method can further comprises steps (i) to (vi) before step (a): (i) bringing a sample or specific body part or body area suspected to contain alpha-synuclein aggregates into contact with the compound of the present invention, which compound specifically binds to the alpha-synuclein aggregates;
  • the method can further comprise step (A) after step (d) or step (e):
  • step (A) comparing the amount of the compound bound to the alpha-synuclein aggregates determined in step (iv) to the amount of the compound bound to the alpha-synuclein aggregates determined in step (d).
  • the amount of the compound bound to the alpha- synuclein aggregates can be optionally compared at various points of time during the treatment, for instance, before and after onset of the treatment or at various points of time after the onset of the treatment.
  • a change, especially a decrease, in the amount of the compound bound to the alpha- synuclein aggregates may indicate that the patient has a high potential of being responsive to the respective treatment.
  • the amount of the compound bound to the alpha-synuclein aggregates decreases over time, it can be assumed that the patient is responsive to the treatment. If the amount of the compound bound to the alpha-synuclein aggregates is essentially constant or increases overtime, it can be assumed that the patient is non-responsive to the treatment.
  • the responsiveness can be estimated by determining the amount of the compound bound to the alpha-synuclein aggregates.
  • the amount of the compound bound to the alpha-synuclein aggregates can be compared to a control value such as a normal control value, a preclinical control value or a clinical control value.
  • the control value may refer to the control value of subjects known to be responsive to a certain therapy, or the control value may refer to the control value of subjects known to be non-responsive to a certain therapy.
  • the outcome with respect to responsiveness can either be "responsive" to a certain therapy, "non-responsive" to a certain therapy or “response undetermined” to a certain therapy. Response to the therapy may be different for the respective patients.
  • the diagnostic composition can be used before, during and after, surgical procedures (e.g. deep brain stimulation (DBS)) and non-invasive brain stimulation (such as repetitive transcranial magnetic stimulation (rTMS)), for visualizing alpha-synuclein aggregates before, during and after such procedures.
  • surgical procedures e.g. deep brain stimulation (DBS)
  • non-invasive brain stimulation such as repetitive transcranial magnetic stimulation (rTMS)
  • Surgical techniques including DBS, improve advanced symptoms of PD on top of the best currently used medical therapy.
  • rTMS has been closely examined as a possible treatment for PD (Ying-hui Chou et al. JAMA Neurol. 2015 April 1 ; 72(4): 432-440).
  • the step of optionally correlating the presence or absence of the compound bound to the alpha-synuclein aggregates with the presence or absence of the alpha- synuclein aggregates in the sample or specific body part or body area comprises determining the amount of the compound bound to the alpha-synuclein aggregates; correlating the amount of the compound bound to the alpha-synuclein aggregates with the amount of the alpha-synuclein aggregates in the sample or specific body part or body area; and optionally comparing the amount of the compound bound with the alpha-synuclein aggregates in the sample or specific body part or body area to a normal control value in a healthy control subject.
  • the control value can be, e.g., a normal control value, a preclinical control value and/or a clinical control value.
  • a “healthy control subject” or “healthy volunteer (HV) subject” is a person showing no clinical evidence of a disease, disorder or abnormality associated with alpha-synuclein aggregates.
  • the alpha-synuclein aggregates include, but are not limited to, Lewy bodies and/or Lewy neurites.
  • the alpha-synuclein aggregates include, but are not limited to, Glial cytoplasmic inclusions (GCIs) of alpha-synuclein.
  • GCIs Glial cytoplasmic inclusions
  • the amount of the compound bound with the alpha- synuclein aggregates is higher than the normal control value, then it can be expected that the patient is suffering from or is likely to suffer from a disease, disorder or abnormality associated with alpha- synuclein aggregates or from a synucleinopathy.
  • a sample or a specific body part or body area suspected to contain alpha-synuclein aggregates is brought into contact with a compound of the present invention.
  • any of the compounds of the present invention can be used in the above summarized methods.
  • Preferably detectably labelled compounds of the present invention are employed in the above summarized methods.
  • the specific body part or body area is preferably of a mammal, more preferably of a human, including the full body or partial body area or body part of the patient suspected to contain alpha-synuclein aggregates.
  • the specific body part or body area can be the brain, the central nervous system, an eye or a peripheral organ such as the gut, preferably brain.
  • the tissue can be brain tissue, tissue of the central nervous system (CNS), tissue of the eye (such as retinal tissue), tissue of peripheral organs such as the gut or other tissues, or body fluids such as cerebrospinal fluid (CSF) or blood.
  • the tissue is preferably brain tissue.
  • the sample is an in vitro sample from a patient.
  • the compound of the present invention can be brought into contact with the sample or the specific body part or body area suspected to contain the alpha-synuclein aggregates by any suitable method.
  • the compound of the present invention and a liquid sample can be simply mixed.
  • the specific body part or body area can be brought into contact with a compound of the invention by administering an effective amount of a compound of the invention to the patient.
  • the effective amount of a compound of the invention is an amount which is suitable for allowing the presence or absence of alpha-synuclein aggregates in the sample, specific body part or body area to be determined using the chosen analytical technique.
  • the amount is not particularly limited and will depend on the compound of the formula (I), the type of detectable label, the sensitivity of the respective analytical method and the respective device. The amount can be chosen appropriately by a skilled person.
  • the compound is then allowed to bind to the alpha-synuclein aggregates, including but not limited to, Lewy bodies and/or Lewy neurites.
  • the step of allowing the compound to bind to the alpha- synuclein aggregates includes allowing sufficient time for the compound of the invention to bind to the alpha-synuclein aggregates.
  • the amount of time required for binding will depend on the type of test (e.g., in vitro or in vivo) and can be determined by a person skilled in the field by routine experiments. In an in vivo method, the amount of time will depend on the time which is required for the compound to reach the specific body part or body area suspected to contain alpha-synuclein aggregates. The amount of time should not be too extended to avoid washout and/or metabolism of the compound of the invention.
  • the compound which has bound to the alpha-synuclein aggregates can be subsequently detected by any appropriate method.
  • the method of detecting the compound bound to the alpha-synuclein aggregates is not particularly limited and depends, among others, on the detectable label, the type of sample, specific body part or body area and whether the method is an in vitro or in vivo method. Examples of possible methods include, but are not limited to, a fluorescence imaging technique or a nuclear imaging technique such as positron emission tomography (PET), single photon emission computed tomography (SPECT), magnetic resonance imaging (MRI), and contrast-enhanced magnetic resonance imaging (MRI). These have been described and enable visualization of alpha- synuclein biomarkers.
  • PET positron emission tomography
  • SPECT single photon emission computed tomography
  • MRI magnetic resonance imaging
  • MRI contrast-enhanced magnetic resonance imaging
  • the fluorescence imaging technique and/or nuclear imaging technique can be employed for monitoring and/or visualizing the distribution of the detectably labelled compound within the sample or a specific body part or body area.
  • the imaging system provides an image of bound detectable label such as radioisotopes, in particular positron emitters or gamma emitters, as present in the tested sample, the tested specific body part or the tested body area.
  • the compound bound to the alpha-synuclein aggregates is detected by an imaging apparatus such as PET or SPECT scanner, more preferably PET.
  • the amount of the compound bound to the alpha-synuclein aggregates can be determined by visual or quantitative analysis, for example, using PET scan images.
  • test kit for detecting alpha-synuclein protein aggregates.
  • the test kit typically comprises a container holding one or more compounds according to the present invention or its precursor(s) and instructions for using the compound for the purpose of binding to alpha-synuclein aggregates and detecting the formation of the compound bound to the alpha-synuclein aggregates such that presence or absence of the compound bound to the alpha-synuclein aggregates correlates with the presence or absence of the alpha-synuclein aggregates.
  • test kit refers in general to any diagnostic kit known in the art. More specifically, the latter term refers to a diagnostic kit as described in Zrein et al., Clin. Diagn. Lab. Immunol., 1998, 5, 45-49.
  • the dose of the detectably labelled compounds of the present invention preferably compounds of formula (l-F) labelled with 18 F or compounds of formula (l-H*) or (l-H) labelled with 3 H, will vary depending on the exact compound to be administered, the weight of the patient, size and type of the sample, and other variables as would be apparent to a physician skilled in the art.
  • the dose could preferably lie in the range 0.001 pg/kg to 10 pg/kg, preferably 0.01 pg/kg to 1.0 pg/kg.
  • the radioactive dose can be, e.g., 100 to 600 MBq, more preferably 150 to 450 MBq.
  • the compounds of the present invention may be prepared in accordance with the definition of compound of formula (I) by the routes described in the following Schemes or the Examples. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g. "such as") provided herein is intended merely to better illuminate the invention and does not pose a limitation on the scope of the invention otherwise claimed.
  • R 1 , R 2 , ®, Z, Y 1 , LG, Hal, m and n are as previously defined in the above embodiments or limited to designations in the Schemes. Unless otherwise stated, starting materials are either commercially available or are prepared by known methods.
  • Intramolecular cyclization employing suitable reagents and conditions (HATU, base) afforded the bicyclic cyclization product containing an acid labile protecting group (Dmb).
  • the bicyclic cyclization product was then treated with heteroaryl-compounds containing a halogen (bromo) and a leaving group (fluoro) employing palladium-catalyzed C-H activation conditions (Pd(OAc) 2 , Cu(OAc) 2 , triphenylphosphine, base) to afford the coupling products after purification.
  • Pd(OAc) 2 a halogen
  • Cu(OAc) 2 Cu(OAc) 2
  • triphenylphosphine base
  • Compounds having the formula (I) which are labelled by 18 F can be prepared by reacting a precursor compound (lll-F) or (IIl-F’) with an 18 F-fluorinating agent, so that the LG comprised in the precursor compound is replaced by 18 F.
  • the reagents, solvents and conditions which can be used for the 18 F-fluorination are well-known to a skilled person in the field (L. Cai, S. Lu, V. Pike, Eur. J. Org. Chem 2008, 2853-2873; J. Fluorine Chem., 27 (1985):177-191 ; Coenen, Fluorine-18 Labeling Methods: Features and Possibilities of Basic Reactions, (2006), in: Schubiger P.A., Friebe M., Lehmann L., (eds), PET-Chemistry - The Driving Force in Molecular Imaging. Springer, Berlin Heidelberg, pp.15-50).
  • the solvents used in the 1s F-fluorination are DMF, DMSO, acetonitrile, DMA, or mixtures thereof, preferably the solvent is acetonitrile or DMSO.
  • any suitable 18 F-fluorinating agent can be employed. Typical examples include H 18 F, alkali or alkaline earth 18 F-fluorides (e.g., K 18 F, Rb 18 F, Cs 18 F, and Na 18 F).
  • the 18 F-fluorination agent can be used in combination with a chelating agent such as a cryptand (e.g.: 4,7,13,16,21 ,24-hexaoxa-1 ,10- diazabicyclo[8.8.8]-hexacosane - Kryptofix®) or a crown ether (e.g.: 18-crown-6).
  • a cryptand e.g.: 4,7,13,16,21 ,24-hexaoxa-1 ,10- diazabicyclo[8.8.8]-hexacosane - Kryptofix®
  • a crown ether e.g.: 18-crown-6
  • the 18 F-fluorinating agent can be a tetraalkylammonium salt of 18 F or a tetraalkylphosphonium salt of 18 F; e.g., tetra(Ci e alkyl)ammonium salt of 18 F or a tetra(C 1-6 alkyl)phosphonium salt of 18 F.
  • the 18 F-fluorination agent is K 18 F, H 18 F, Cs 18 F, Na 18 F, tetra(Ci-6 alkyl) ammonium salt of 18 F, Kryptofix[222] 18 F or tetrabutylammonium [ 18 F]fluoride.
  • NMR measurements were performed on a DRX-400 MHz NMR spectrometer, on a Bruker AV-400 MHz NMR spectrometer or Spinsolve 80 MHz NMR spectrometer in deuterated solvents, using or not tetramethylsilane (TMS) as an internal standard. Chemical shifts ( ⁇ ) are reported in ppm downfield from TMS, spectra splitting patterns are designated as singlet (s), doublet (d), triplet (t), quartet (q), quintet (quint), septet (sept), multiplet, unresolved or overlapping signals (m), or broad signal (br).
  • TMS tetramethylsilane
  • Deuterated solvents are given in parentheses and have chemical shifts of dimethyl sulfoxide (b 2.50 ppm), methanol (b 3.31 ppm), chloroform (b 7.26 ppm), or other solvent as indicated in NMR spectral data.
  • Mass spectra were recorded on an UPLC H-Class Plus with Photodiode Array detector and Qda Mass spectrometer from Waters.
  • Flash Column Chromatography System flash purification was conducted with a Biotage Isolera One flash purification system using HP-Sil or KP-NH SNAP cartridges (Biotage) and the solvent gradient indicated in the specific examples.
  • TLC Thin layer chromatography
  • Step 1 Ethyl 1,4-dimethyl-1H-imidazole-5-carboxylate (2) :
  • Step 3 Ethyl 2-(6-fluoropyridin-3-yl)-1,4-dimethyl-1 H-irnidazole-5-carboxylate (4):
  • Step 5 Ethyl 2-(6-fluoropyridin-3-yl)-4-(((4-methoxybenzyl)arnino)methyl)-1-rnethyl-1H- imidazole-5-carboxylate:
  • Step 1
  • Step 1
  • Step 1
  • Step 1
  • reaction mixture was degassed with argon and heated to 100 °C for 4 h.
  • the reaction mixture was diluted with water (10 mL) and extracted with DCM (3 x 10 mL).
  • the organic phase was dried over Na 2 SO 4 , concentrated under vacuum and purified by chromatography over silica gel (60-120 mesh) employing 5% MeOH in DCM to obtain (S)-2-(6-(3- fluoropyrrolidin-1 -yl)pyridin-3-yl)-5-(pyridin-3-yl)-4,5-dihydro-6/-/-pyrrolo[3,4-c(]oxazol-6-one 1 as a yellow solid (0.0043 g, 12%).
  • Example 2 Following the synthesis of Example 1 , except using the intermediates, amines and halogen derivatives indicated in Table 2, the following examples were obtained.
  • Example 12 (5-(1-(2-fluoroethyl)-1H-pyrazol-3-yl)-2-(6-(pyrrolidin-1-yl)pyridin-3-yl)-4,5-dihydro-6/7- pyrrolo[3,4-d]oxazol-6-one hydrogen chloride salt (12): Step 1 :
  • reaction mixture was diluted with water (10 mL) and extracted with DCM (3 x 10 mL).
  • the organic phase was dried over Na 2 SO 4 , concentrated under vacuum and purified by chromatography over silica gel (100- 200 mesh) employing 3% MeOH in DCM to obtain 5-(1-(2-fluoroethyl)-1H-pyrazol-3-yl)-2-(6- (pyrrolidin-1 -yl) pyridin-3-yl)-4,5-dihydro-6/7-pyrrolo[3,4-c(]oxazol-6-one as a yellow solid (0.015 g, 44%).
  • Step 1 ethyl (S)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-4-(((4-methoxybenzyl) amino) methyl)-1-methyl-1H-imidazole-5-carboxylate:
  • Step 2 (S)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-4-(((4-methoxybenzyl) amino) methyl)-1-methyl-1 H-imidazole-5-carboxylate sodium salt:
  • Step 3 (S)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-5-(4-methoxybenzyl)-3-methyl-5,6- dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • Step 5 (S)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-3-methyl-5-(2-methyl thiazol-5- yl)-5,6-dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • Step 1 Ethyl 4-(((4-methoxybenzyl)amino)methyl)-1-methyl-2-(6-(pyrrolidin-1-yl) pyridin- 3-yl)-1H-imidazole-5-carboxylate:
  • Step 2 4-(((4-methoxybenzyl) amino) methyl)-1-methyl-2-(6-(pyrrolidin-1-yl) pyridin-3-yl)- 1H-imidazole-5-carboxylate sodium salt:
  • Step 4 3-methyl-2-(6-(pyrrolidin-1-yl) pyridin-3-yl)-5,6-dihydropyrrolo[3,4-d] imidazol-4(3H)-one:
  • Step 5 5-(6-(2-fluoroethoxy) pyridin-3-yl)-3-methyl-2-(6-(pyrrolidin-1-yI) pyridin-3- yl)-5,6-dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • Step 1 ethyl 2-(6-(dimethylamino) pyridin-3-yl)-4-(((4-methoxybenzyl) amino) methyl)-1- methyl-1 H-imidazole-5-carboxylate:
  • Step 2 2-(6-(di methylamino) pyridin-3-yl)-4-(((4-methoxybenzyl) amino)methyl)-1- methyl-1H-imidazole-5-carboxylate sodium salt:
  • Step 3 2-(6-(dimethylamino) pyridin-3-yl)-5-(4-methoxybenzyl)-3-methyl-5,6- dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • Step 4 2-(6-(dimethylamino) pyridin-3-yl)-3-methyl-5,6-dihydropyrrolo[3,4- d]imidazol-4(3H)-one:
  • Step 5 2-(6-(dimethylamino) pyridin-3-yl)-5-(1-(2-fluoroethyl)-1 H-pyrazol-3-yl)-3- methyl-5,6-dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • Stepl ethyl (R)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-4-(((4-methoxybenzyl) amino) methyl)-1-methyl-1 H-imidazole-5-carboxylate:
  • Step 2 (R)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-4-(((4-methoxybenzyl) amino) methyl)-1-methyl-1 H-imidazole-5-carboxylate sodium salt:
  • Step 3 (R)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-5-(4-methoxybenzyl)-3-methyl-5,6- dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • Step 10 (R)-2-(6-(3-fluoropyrrolidin-1-yl) pyridin-3-yl)-3-methyl-5-(2-methyl thiazol- 5-yl)-5,6-dihydropyrrolo[3,4-d]imidazol-4(3H)-one:
  • the homogenate was then incubated at 4°C for 20 minutes and centrifuged at 11 ,000 x g (12,700 RPM) in an ultracentrifuge (Beckman, XL100K) for 20 minutes at 4°C using a pre-cooled 70.1 rotor (Beckman, 342184). Pellets were kept on ice while supernatants were pooled into polycarbonate bottles and centrifuged again at 100,000 x g (38,000 RPM) for one hour at 4°C at the 70.1 Ti rotor.
  • the pellets from the first and second centrifugations were resuspended in extraction buffer [10 mM Tris-HCI pH 7.4, 10% sucrose, 0.85 M NaCI, 1% protease inhibitor (Calbiochem 539131), 1 mM EGTA, 1% phosphatase inhibitor (Sigma P5726 and P0044)] and centrifuged at 15,000 x g (14,800 RPM, a 70.1 Ti rotor) for 20 minutes at 4°C. Pellets were discarded and 20% sarkosyl (20% stock solution, Sigma L7414) was added to the supernatants to a final concentration of 1% and the mixture was stirred at room temperature for one hour.
  • PD brain-derived alpha-synuclein aggregates were spotted onto microarray slides.
  • the slides were incubated with [ 3 H]-alpha-synuclein reference at 25nM or 40nM or 80nM and the example compounds (non-radiolabelled) at 1 ⁇ M and 100nM.
  • the non-radiolabelled example compounds were further assessed for a range of different concentrations, varying from 0.05nM to 2 ⁇ M.
  • slides were washed and scanned in a real-time autoradiography system (BeaQuant, ai4R). Quantification of signal was performed using the image analysis software Beamage (ai4R).
  • Non-specific signal was determined with an excess of non-radiolabelled alpha-syn reference compound (2 ⁇ M) and specific binding was calculated by subtracting the non-specific signal from the total signal. Competition was calculated as a percentage, where 0% was defined as the specific binding in the presence of vehicle and 100% as the values obtained in the presence of excess of the non-radiolabelled alpha-syn reference compound.
  • K values were calculated in GraphPad Prism7 by applying a nonlinear regression curve fit using a one site, specific binding model. All measurements were replicated at least twice. For compounds tested in more than one experiment, the mean of the replicates or K, values in independent experiments is reported.
  • Example compounds were assessed for their potency to compete with the binding of [ 3 H]- reference alpha-synuclein ligand to PD patient brain-derived alpha-synuclein aggregates. Results of the micro-radiobinding competition assay for the example compounds tested are shown in Table 4. Table 4
  • compounds of the present invention show potent binding to PD brain-derived alpha-synuclein aggregates.

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  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)

Abstract

La présente demande concerne de nouveaux composés de formule (1), ou un composé portant un marqueur détectable, un stéréoisomère, un mélange racémique, un sel, un hydrate ou un solvant pharmaceutiquement acceptable de ceux-ci, pouvant être utilisés dans l'imagerie d'agrégats d'alpha-synucléine et la détermination de leur quantité. En outre, les composés peuvent être utilisés pour diagnostiquer une maladie, un trouble ou une anomalie associé à des agrégats d'alpha-synucléine (tels que la maladie de Parkinson ou l'atrophie multisystème (MSA)), déterminer la prédisposition à une telle maladie, trouble ou anomalie, pronostiquer une telle maladie, trouble ou anomalie, surveiller l'évolution de la maladie chez un patient souffrant d'une telle maladie, trouble ou anomalie, surveiller la progression d'une telle maladie, trouble ou anomalie et prédire la réactivité d'un patient souffrant d'une telle maladie, trouble ou anomalie à un tel traitement.
PCT/EP2024/073102 2023-08-16 2024-08-16 Composés de diagnostic se liant à l'alpha-synucléine Pending WO2025037013A1 (fr)

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EP23191782.4 2023-08-16

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WO2025210087A1 (fr) * 2024-04-03 2025-10-09 Ac Immune Sa Nouveaux composés pour le diagnostic de protéinopathies à tdp-43

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2025210087A1 (fr) * 2024-04-03 2025-10-09 Ac Immune Sa Nouveaux composés pour le diagnostic de protéinopathies à tdp-43

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