Methods for treating asthmatic conditions
AssigneeWyeth
InventorsJohn C. McKew, Steve Y. Tam, Katherine L. Lee, Lihren Chen, Paresh Thakker, Fuk-Wah Sum, Mark Behnke, Baihua Hu, James D. Clark
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Abstract
This invention provides methods for treating in mammals asthma and asthmatic conditions using substituted indole compounds of the general formula: 1 and pharmaceutically acceptable salt forms thereof, and methods for using the compounds as inhibitors of the activity of various phospholipase enzymes, particularly phospholipase A2 enzymes, and for the medical treatment, prevention and inhibition of pain and inflammation.
Claims45
Amethod of treatment of asthma in a mammal, the method comprising administering to a mammal in need thereof a pharmaceutically effective amount of a compound of the formula:
- 42
- wherein:
- R is selected from the formulae —(CH2)n—A, —(CH2)n—S—A, or —(CH2)n—O—A, wherein A is selected from the moieties:
- 43
- D is C1-C6 lower alkyl, C1-C6 lower alkoxy, C3-C6 cylcoalkyl, —CF3 or —(CH2)1-3—CF3;
- B and C are independently selected from phenyl, pyridinyl, pyrimidinyl, furyl, thienyl or pyrrolyl groups, each optionally substituted by from 1 to 3, preferably 1 to 2, substituents selected independently from H, halogen, —CN, —CHO, —CF3, —OCF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), —NO2, or by a 5- or 6-membered heterocyclic or heteroaromatic ring containing 1 or 2 heteroatoms selected from O, N or S;
- or
- n is an integer from 0 to 3;
- n1 is an integer from 1 to 3;
- n2 is an integer from 0 to 4;
- n3 is an integer from 0 to 3;
- n4 is an integer from 0 to 2;
- X1 is selected from a chemical bond, —S—, —O—, —S(O)—, —S(O)2—, —NH—, —NHC(O)—, —C═C—,
- 44
- R1 is selected from C1-C6 alkyl, C1-C6 fluorinated alkyl, C3-C6 cycloalkyl, tetrahydropyranyl, camphoryl, adamantyl, CN, —N(C1-C6 alkyl)2, phenyl, pyridinyl, pyrimidinyl, furyl, thienyl, napthyl, morpholinyl, triazolyl, pyrazolyl, piperidinyl, pyrrolidinyl, imidazolyl, piperizinyl, thiazolidinyl, thiomorpholinyl, tetrazole, indole, benzoxazole, benzofuran, imidazolidine-2-thione, 7,7,dimethyl-bicyclo[2.2.1]heptan-2-one, Benzo[1,2,5]oxadiazole, 2-Oxa-5-aza-bicyclo[2.2.1]heptane, Piperazin-2-one or pyrrolyl groups, each optionally substituted by from 1 to 3, preferably 1 to 2, substituents independently selected from H, halogen, —CN, —CHO, —CF3, OCF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), —NO2, —SO2(C1-C3 alkyl, —SO2NH2, —SO2NH(C1-C3 alkyl), —SO2N(C1-C3 alkyl)2, —COOH, —CH2—COOH, —CH2—N(C1-C6 alkyl), —CH2—N(C1-C6 alkyl)2, —CH2—NH2, pyridine, 2-Methyl-thiazole, morpholino, 1-Chloro-2-methyl-propyl, —C1-C6thioalkyl, phenyl (further optionally substituted with halogens), benzyloxy, (C1-C3 alkyl)C(O)CH3, (C1-C3 alkyl)OCH3, C(O)NH2, or
- 45
- X2 is selected from —O—, —CH2—, —S—, —SO—, —SO2—, —NH—, —C(O)—,
- 46
- R2 is a ring moiety selected from phenyl, pyridinyl, pyrimidinyl, furyl, thienyl or pyrrolyl groups, the ring moiety being substituted by a group of the formula —(CH2)n4—CO2H or a pharmaceutically acceptable acid mimic or mimetic;
- and also optionally substituted by 1 or 2 additional substituents independently selected from H, halogen, —CN, —CHO, —CF3, —OCF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- R3 is selected from H, halogen, —CN, —CHO, —CF3, —OCF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- R4 is selected from H, halogen, —CN, —CHO, —CF3, —OCF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), —NO2, —N—C(O)—N(C1-C3 alkyl)2, —N—C(O)—NH(C1-C3 alkyl), —N—C(O)—O—(C1-C3 alkyl), —SO2—C1-C6 alkyl, —S—C3-C6 cycloalkyl, —S—CH2—C3-C6 cycloalkyl, —SO2—C3-C6 cycloalkyl, , —SO2—CH2—C3-C6 cycloalkyl, C3-C6 cycloalkyl, —CH2—C3-C6 cycloalkyl, —O—C3-C6 cycloalkyl, , —O—CH2—C3-C6 cycloalkyl, phenyl, benzyl, benzyloxy, morpholino or other heterocycles such as pyrrolidino, piperidine, piperizine furan, thiophene, imidazole, tetrazole, pyrazine, pyrazolone, pyrazole, imidazole, oxazole or isoxazole, the rings of each of these R4 groups each being optionally substituted by from 1 to 3 substituents selected from the group of H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), —NO2, —SO2(C1-C3 alkyl), —SO2NH(C1-C3 alkyl), —SO2N(C1-C3 alkyl)2, or OCF3;
- or a pharmaceutically acceptable salt form thereof.
A method of treatment of asthma in a mammal, the method comprising administering to a mammal in need thereof a pharmaceutically effective amount of a compound of formulae (IV) or (V):
- 52
- wherein:
- n1 is an integer from 1 to 3;
- n2 is an integer from 1 to 3;
- R5, R6 and R7 are independently selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- X1 is selected from a chemical bond, —S—, —O—, —NH— or —N(C1-C3 alkyl)-;
- X2 is selected from —O—, —SO2— or —CH2—;
- R2 is a moiety selected from the group of:
- 53
- R8 and R9 are independently selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- n4 is an integer from 0 to 2;
- R3 is selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- and
- R4 is selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), —NO2, morpholino or other heterocycles such as pyrrolidino, piperidine, piperizine furan, thiophene, imidazole, tetrazole, pyrazine, pyrazolone, pyrazole, imidazole, oxazole or isoxazole;
- or a pharmaceutically acceptable salt form thereof.
Amethod of treatment of asthma in a mammal, the method comprising administering to a mammal in need thereof a pharmaceutically effective amount of a compound of the formulae (VI) or (VII):
- 54
- wherein:
- X1 is selected from a chemical bond, —S—, —O—, —NH— or —N(C1-C3 alkyl)-;
- X2 is selected from —O—, —SO2—, or —CH2—;
- R3 is selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- and
- R4 is selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, C1-C6 thioalkyl, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), —NO2, morpholino or other heterocycles such as pyrrolidino, piperidine, piperizine furan, thiophene, imidazole, tetrazole, pyrazine, pyrazolone, pyrazole, imidazole, oxazole or isoxazole;
- n1 is an integer from 1 to 2;
- n2 is an integer from 1 to 2;
- R5, R6 and R7 are independently selected from H, halogen, —CN, —CHO, —CF3, OCF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C1-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- R8 and R9 are independently selected from H, halogen, —CN, —CHO, —CF3, —OH, —C1-C6 alkyl, C1-C6 alkoxy, —NH2, —N(C-C6)2, —NH(C1-C6), —N—C(O)—(C1-C6), or —NO2;
- or a pharmaceutically acceptable salt form thereof.
Dependencies are inferred from the claim text.