Ophthalmic compositions for treating ocular hypertension
AssigneesMerck & Co., Inc., Evotec OAI AG
InventorsEdward Boyd, Michael Fisher, Maria Garcia, Gregory Kaczorowski, Peter Meinke, William Parsons, Stephen Price, John Stibbard
Life of this patent
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Abstract
This invention relates to the use of potent potassium channel blockers or a formulation thereof in the treatment of glaucoma and other conditions which leads to elevated intraoccular pressure in the eye of a patient. This invention also relates to the use of such compounds to provide a neuroprotective effect to the eye of mammalian species, particularly humans.
Claims24
A compound of the structural formula I:
- or a pharmaceutically acceptable salt, enantiomer, diastereomer or mixture thereof:
- wherein,
- R represents hydrogen, or C1-6 alkyl;
- R1 represents hydrogen or C1-6 alkyl, CF3, C1-6 alkoxy, OH, CORc, CO2R8, CONHCH2CO2R, N(R)2, said alkyl and alkoxy optionally substituted with 1-3 groups selected from Rb;
- X represents —(CHR7)p—;
- Y is not present, —CO(CH2)n—, or —CH(OR)—;
- Q represents N, CRy, or O, wherein R2 is absent when Q is O;
- Ry represents H, or C1-6 alkyl;
- Rw represents H, C1-6 alkyl, —C(O)C1-6 alkyl, —C(O)OC1-6 alkyl, —SO2N(R)2, —SO2C1-6 alkyl, —SO2C6-10 aryl, NO2, CN or —C(O)N(R)2;
- R2 represents hydrogen, C1-10 alkyl, C1-6 alkylSR, —(CH2)nO(CH2)mOR, —(CH2)nC1-6 alkoxy, —(CH2)nC3-8 cycloalkyl, —(CH2)nC3-10 heterocyclyl, —(CH2)nC5-10 heteroaryl, —N(R)2, —COOR, or —(CH2)nC6-10 aryl, said alkyl, heterocyclyl, aryl or heteroaryl optionally substituted with 1-3 groups selected from Ra;
- R3 represents hydrogen, C1-10 alkyl, —(CH2)nC3-8 cycloalkyl, —(CH2)nC3-10 heterocyclyl, —(CH2)nC5-10 heteroaryl, —(CH2)nCOOR, —(CH2)nC6-10 aryl, —(CH2)nNHR8, —(CH2)nN(R)2, —(CH2)nN(R8)2, —(CH2)nNHCOOR, —(CH2)nN(R8)CO2R, —(CH2)nN(R8)COR, —(CH2)nNHCOR, —(CH2)nCONH(R8), aryl, —(CH2)nC1-6—OR, CF3, —(CH2)nSO2R, —(CH2)nSO2N(R)2, —(CH2)nCON(R)2, —(CH2)nCONHC(R)3, —(CH2)nCONHC(R)2CO2R, —(CH2)nCOR8, nitro, cyano or halogen, said alkyl, alkoxy, heterocyclyl, aryl or heteroaryl optionally substituted with 1-3 groups of Ra;
- or, when Q is N, R2 and R3 taken together with the intervening N atom form a 4-10 membered heterocyclic carbon ring optionally interrupted by 1-2 atoms of O, S, C(O) or NR, and optionally having 1-4 double bonds, and optionally substituted by 1-3 groups selected from Ra;
- R4 and R5 independently represent hydrogen, C1-6 alkoxy, OH, C1-6 alkyl, COOR, SO3H, C1-6 alkylcarbonyl, S(O)qRy, —O(CH2)nN(R)2, —O(CH2)nCO2R, —OPO(OH)2, CF3, —N(R)2, nitro, cyano, C1-6 alkylamino, or halogen;
- R6 represents hydrogen, C1-10 alkyl, —(CH2)nC6-10 aryl, —NH(CH2)nC6-10 aryl, —(CH2)nC5-10 heteroaryl, —NH(CH2)nC5-10 heteroaryl, (C6-10 aryl)O—, —(CH2)nC3-10 heterocyclyl, —(CH2)nC3-8 cycloalkyl, —COOR, —C(O)CO2R, said aryl, heteroaryl, heterocyclyl and alkyl optionally substituted with 1-3 groups selected from Ra;
- R7 represents hydrogen, C1-6 alkyl, —(CH2)nCOOR or —(CH2)nN(R)2,
- R8 represents —(CH2)nC3-8 cycloalkyl, —(CH2)n 3-10 heterocyclyl, C1-6 alkoxy or —(CH2)nC5-10 heteroaryl, —(CH2)nC6-10 aryl said heterocyclyl, aryl or heteroaryl optionally substituted with 1-3 groups selected from Ra;
- Ra represents F, Cl, Br, I, CF3, N(R)2, NO2, CN, —(CH2)nCOR8, —(CH2)nCONHR8, —(CH2)nCON(R8)2, —O(CH2)nCOOR, —NH(CH2)nOR, —COOR, —OCF3, —NHCOR, —SO2R, —SO2NR2, —SR, (C1-C6 alkyl)O—, —(CH2)nO(CH2)mOR, —(CH2)nC1-6 alkoxy, (aryl)O—, —OH, (C1-C6 alkyl)S(O)m—, H2N—C(NH)—, (C1-C6 alkyl)C(O)—, (C1-C6 alkyl)OC(O)NH—, —(C1-C6 alkyl)NRw(CH2)nC3-10 heterocyclyl-Rw, —(C1-C6 alkyl)O(CH2)nC3-10 heterocyclyl-Rw, —(C1-C6 alkyl)S(CH2)nC3-10 heterocyclyl-Rw, —(C1 -C6 alkyl)-C3-10 heterocyclyl-Rw, —(CH2)n—Z1—C(═Z2)N(R)2, —(C2-6 alkenyl)NRw(CH2)nC3-10 heterocyclyl-Rw, —(C2-6 alkenyl)O(CH2)nC3-10 heterocyclyl-Rw, —(C2-6 alkenyl)S(CH2)nC3-10 heterocyclyl-Rw, —(C2-6 alkenyl)-C3-10 heterocyclyl-Rw, —(C2-6 alkenyl)-Z1—C(═Z2)N(R)2, —(CH2)nSO2R, —(CH2)nSO3H, —(CH2)nPO(OR)2, cyclohexyl, morpholinyl, piperidyl, pyrrolidinyl, thiophenyl, phenyl, pyridyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, thienyl, furyl, isothiazolyl, C2-6 alkenyl, and C1-C10 alkyl, said alkyl, alkenyl, alkoxy, phenyl, pyridyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, thienyl, furyl, and isothiazolyl optionally substituted with 1-3 groups selected from C1-C6 alkyl, and COOR;
- Z1 and Z2 independently represents NRw, O, CH2, or S;
- Rb represents C1-6 alkyl, —COOR, —SO3R, —OPO(OH)2, —(CH2)nC6-10 aryl, or —(CH2)nC5-10 heteroaryl;
- Rc represents hydrogen, C1-6 alkyl, or —(CH2)nC6-10 aryl;
- m is 0-3;
- n is 0-3;
- q is 0-2;
- and
- p is 0-1.
A compound of the structural formula I wherein X is CHR7.
A compound which is selected from Tables 1 through 4:
- TABLE 1
- Wherein R represents:
- n is 0 to 3;
- X, Y and Z, independently represent hydrogen or C1-6 alkyl;
- and Rc represents hydrogen, halogen, C1-6 alkyl, CF3, OCF3, N(CH3)3,
- COC1-6 alkyl, or methoxy;
- TABLE 2
- wherein R represents:
- n is 0 to 3;
- s is 1-5 ;
- X represents hydrogen or C1-6 alkyl;
- Rb and Ra
- independently represent hydrogen, methoxy, CO2X, NHAc, or C1-6 alkyl;
- Rc represents hydrogen, halogen, C1-6 alkyl, CF3, OCF3, N(CH3)2,
- COC1-6 alkyl, or methoxy
- TABLE 3
- wherein R represents:
- n is 0 to 3;
- s is 1-5;
- X represents hydrogen or C1-6 alkyl;
- and Rc represents
- hydrogen, halogen, C1-6 alkyl, CF3, OCF3, N(CH3)2, COC1-6 alkyl, or
- methoxy
- TABLE 4
- or
- wherein:
- Rb and Ra independently represent hydrogen, methoxy, CO2X, NHAc, or
- C1-6 alkyl;
- Rd represents C1-6 alkyl, pyridinyl, —O-phenyl, phenyl, thienyl, said
- pyridinyl and phenyl optionally substituted with 1-3 halogen, CF3, OCF3,
- N(CH3)2, methoxy or C1-6 alkyl;
- and
- Re represents methoxy, O(CH2)2N(CH3)2, or OH;
- or a pharmaceutically acceptable salt, enantiomer, diastereomer or mixture
- thereof.
A method for treating ocular hypertension or glaucoma comprising administration to a patient in need of such treatment a therapeutically effective amount of a compound of structural formula I:
- or a pharmaceutically acceptable salt, enantiomer, diastereomer or mixture thereof:
- wherein,
- R represents hydrogen, or C1-6 alkyl;
- R1 represents hydrogen or C1-6 alkyl, CF3, C1-6 alkoxy, OH, CORc, CO2R8, CONHCH2CO2R, N(R)2, said alkyl and alkoxy optionally substituted with 1-3 groups selected from Rb;
- X represents —(CHR7)p—;
- Y is not present, —CO(CH2)n—, or —CH(OR)—;
- Q represents N, CRy, or O, wherein R2 is absent when Q is O;
- Ry represents H, or C1-6 alkyl;
- Rw represents H, C1-6 alkyl, —C(O)C1-6 alkyl, —C(O)OC1-6 alkyl, —SO2N(R)2, —SO2C1-6 alkyl, —SO2C6-10 aryl, NO2, CN or —C(O)N(R)2;
- R2 represents hydrogen, C1-10 alkyl, C1-6 alkylSR, —(CH2)nO(CH2)mOR, —(CH2)nC1-6 alkoxy, —(CH2)nC3-8 cycloalkyl, —(CH2)nC3-10 heterocyclyl, —(CH2)nC5-10 heteroaryl, —N(R)2, —COOR, or —(CH2)nC6-10 aryl, said alkyl, heterocyclyl, aryl or heteroaryl optionally substituted with 1-3 groups selected from Ra;
- R3 represents hydrogen, C1-10 alkyl, —(CH2)nC3-8 cycloalkyl, —(CH2)nC3-10 heterocyclyl, —(CH2)nC5-10 heteroaryl, —(CH2)nCOOR, —(CH2)nC6-10 aryl, —(CH2)nNHR8, —(CH2)nN(R)2, —(CH2)nN(R8)2, —(CH2)nNHCOOR, —(CH2)nN(R8)CO2R, —(CH2)nN(R8)COR, —(CH2)nNHCOR, —(CH2)nCONH(R8), aryl, —(CH2)nC1-6—OR, CF3, —(CH2)nSO2R, —(CH2)nSO2N(R)2, —(CH2)nCON(R)2, —(CH2)nCONHC(R)3, —(CH2)nCONHC(R)2CO2R, —(CH2)nCOR8, nitro, cyano or halogen, said alkyl, alkoxy, heterocyclyl, aryl or heteroaryl optionally substituted with 1-3 groups of Ra;
- or, when Q is N, R2 and R3 taken together with the intervening N atom form a 4-10 membered heterocyclic carbon ring optionally interrupted by 1-2 atoms of O, S, C(O) or NR, and optionally having 1-4 double bonds, and optionally substituted by 1-3 groups selected from Ra;
- R4 and R5 independently represent hydrogen, C1-6 alkoxy, OH, C1-6 alkyl, COOR, SO3H, C1-6 alkylcarbonyl, S(O)qRy, —O(CH2)nN(R)2, —O(CH2)nCO2R, —OPO(OH)2, CF3, —N(R)2, nitro, cyano, C1-6 alkylamino, or halogen;
- R6 represents hydrogen, C1-10 alkyl, —(CH2)nC6-10 aryl, —NH(CH2)nC6-10 aryl, —(CH2)nC5-10 heteroaryl, —NH(CH2)nC5-10 heteroaryl, (C6-10 aryl)O—, —(CH2)nC3-10 heterocyclyl, —(CH2)nC3-8 cycloalkyl, —COOR, —C(O)CO2R, said aryl, heteroaryl, heterocyclyl and alkyl optionally substituted with 1-3 groups selected from Ra;
- R7 represents hydrogen, C1-6 alkyl, —(CH2)nCOOR or —(CH2)nN(R)2,
- R8 represents —(CH2)nC3-8 cycloalkyl, —(CH2)n 3-10 heterocyclyl, C1-6 alkoxy or —(CH2)nC5-10 heteroaryl, —(CH2)nC6-10 aryl said heterocyclyl, aryl or heteroaryl optionally substituted with 1-3 groups selected from Ra;
- Ra represents F, Cl, Br, I, CF3, N(R)2, NO2, CN, —(CH2)nCOR8, —(CH2)nCONHR8, —(CH2)nCON(R8)2, —O(CH2)nCOOR, —NH(CH2)nOR, —COOR, —OCF3, —NHCOR, —SO2R, —SO2NR2, —SR, (C1-C6 alkyl)O—, —(CH2)nO(CH2)mOR, —(CH2)nC1-6 alkoxy, (aryl)O—, —OH, (C1-C6 alkyl)S(O)m—, H2N—C(NH)—, (C1-C6 alkyl)C(O)—, (C1-C6 alkyl)OC(O)NH—, —(C1-C6 alkyl)NRw(CH2)nC3-10 heterocyclyl-Rw, —(C1-C6 alkyl)O(CH2)nC3-10 heterocyclyl-Rw, —(C1-C6 alkyl)S(CH2)nC3-10 heterocyclyl-Rw, —(C1-C6 alkyl)-C3-10 heterocyclyl-Rw, —(CH2)n—Z1—C(═Z2)N(R)2, —(C2-6 alkenyl)NRw(CH2)nC3-10 heterocyclyl-Rw, —(C2-6 alkenyl)O(CH2)nC3-10 heterocyclyl-Rw, —(C2-6 alkenyl)S(CH2)nC3-10 heterocyclyl-Rw, —(C2-6 alkenyl)-C3-10 heterocyclyl-Rw, —(C2-6 alkenyl)-Z1—C(═Z2)N(R)2, —(CH2)nSO2R, —(CH2)nSO3H, —(CH2)nPO(OR)2, cyclohexyl, morpholinyl, piperidyl, pyrrolidinyl, thiophenyl, phenyl, pyridyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, thienyl, furyl, isothiazolyl, C2-6 alkenyl, and C1-C10 alkyl, said alkyl, alkenyl, alkoxy, phenyl, pyridyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, thienyl, furyl, and isothiazolyl optionally substituted with 1-3 groups selected from C1-C6 alkyl, and COOR;
- Z1 and Z2 independently represents NRw, O, CH2, or S;
- Rb represents C1-6 alkyl, —COOR, —SO3R, —OPO(OH)2, —(CH2)nC6-10 aryl, or —(CH2)nC5-10 heteroaryl;
- Rc represents hydrogen, C1-6 alkyl, or —(CH2)nC6-10 aryl;
- m is 0-3;
- n is 0-3;
- q is 0-2;
- and
- p is 0-1.
A method according to claim 21 wherein the β-adrenergic blocking agent is timolol;
- the parasympathomimetic agent is pilocarpine;
- the carbonic anhydrase inhibitor is dorzolamide, acetazolamide, metazolamide or brinzolamide;
- the prostaglandin is latanoprost or rescula, and the prostaglandin derivative is a hypotensive lipid derived from PGF260 prostaglandins.
A process for making a compound of formula Ia:
- wherein R2 is C1-10 alkyl, C1-6 alkylSR, —(CH2)nO(CH2)mOR, —(CH2)nC1-6 alkoxy, —(CH2)nC3-8 cycloalkyl, —(CH2)nC3-10 heterocyclyl, —(CH2)nC5-10 heteroaryl, —N(R)2, —COOR, or —(CH2)nC6-10 aryl, comprising adding to an alcohol suspension of compound 9:
- a compound of formula 10:
- and concentrated HCl and heating at reflux to give a compound of formula 11.
Dependencies are inferred from the claim text.