Synergistic combinations of vr-1 antagonists and cox-2 inhibitors
AssigneeNovartis AG
InventorsAlyson Fox, Mark Nash, Bindi Sohal, Eillot Lilley
Life of this patent
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Abstract
A synergistic combination of a vanilloid receptor VR-1 antagonist and an NSAID or a pharmaceutically acceptable salt or solvate of either or both compounds thereof.
Claims7
A synergistic combination of a vanilloid receptor VR-1 antagonist and an NSAID or a pharmaceutically acceptable salt or solvate of either or both compounds thereof.
A synergistic combination according to any preceding claim, wherein the vanilloid receptor VR-1 antagonist is selected from a compound according to Formula (I):
- wherein
- R1 and R2 together are —NH—C(SR6)═N—C(O)—, —NR7—C(R8)═N—C(O)—, —N═C(SR9)—NR10—C(O)—, —NR11—X—NR12C(O)—, —NH—X—NH—, —NH—X—N═C(R13)—, —NH—X—NH—CH2—, —N═Z—NH—, —N═Z—NH—CH2—, —N═Z—NH—C(O)— and —N═Z—N═C(R14)—, wherein X is C(O), C(S) or C(O)—C(O);
- Z is N or CR15, R6 is C1-C4alkyl;
- R7 and R8 are each independently hydrogen, C1-C4alkyl, C3-C8cycloalkyl or form together with the adjacent atoms a 5 or 6 membered heterocyclic ring;
- R9 and R10 together are C1-C4alkylene;
- R11 is hydrogen;
- C1-C4alkyl;
- C1-C4alkyl substituted by C(O)OC1-C4alkyl;
- or phenyl substituted by C1-C4alkyl;
- R12 is hydrogen, NH2;
- C1-C4alkyl;
- or phenyl substituted by C1-C4alkyl;
- R13 is hydrogen, halogen, NH2 or C1-C4alkoxy;
- R14 is hydrogen, hydroxy, halogen, NH2, C1-C4alkyl or C1-C4alkoxy;
- and
- R15 is hydrogen, halogen, C1-C4alkyl, C1-C4alkoxy or SCH2C(O)OC(CH3)3;
- R3 is hydrogen;
- OH;
- CN;
- C1-C6alkyl;
- phenyl;
- or C(O)OC1-C4alkyl;
- R4 is hydrogen;
- halogen;
- NH2;
- CN;
- C1-C6alkyl;
- C1-C6alkyl substituted by OH;
- phenyl;
- phenyl substituted by OH, halogen, C1-C6alkyl, C1-C6haloalkyl or C1-C6alkoxy;
- benzyl;
- benzoyl substituted by OH;
- or C(O)OC1-C6alkyl;
- 5 or 6 membered aromatic or aliphatic heterocyclic ring;
- R5 is hydrogen;
- OH;
- NH2;
- halogen;
- C1-C6alkyl;
- C1-C6alkyl substituted by halobenzyl;
- C3-C6cycloalkyl;
- phenyl;
- pyridinyl;
- NHC1-C4alkyl;
- or N═CHN(C1-C4alkyl)2;
- with the proviso that compounds of formula I are not pyrido[3,2-d]pyrimidine-2,4(1H,3H)-dione and 6-chloro-2-methyl-4-oxo-pyrido[3,2-d]pyrimidine;
- in free base or acid addition salt form;
- and
- a compound according to formula (II):
- wherein
- R1 is C1-C6alkyl, (C1-C6alkyl)C1-C6alkyl, di-(C1-C6alkyl)C1-C6alkyl, C3-C6cycloalkyl, (C1-C6alkyl)amino or di-(C1-C6alkyl)amino;
- each R2, independently, is halogen, C1-C6alkyl, halogen-substituted C1-C6alkyl, hydroxyC1-C6alkyl, cyano or a group —C(═O)—R2a, where R2a is C1-C6alkyl;
- R3 is hydrogen, halogen, C1-C6alkyl, C2-C6alkenyl, C2-C6alkynyl, hydroxy, hydroxy-substituted C1-C6alkyl, C1-C6alkoxy, C3-C6cycloalkyl, cyano, —C(═O)H, phenyl, (C3-C6cycloalkyl)C1-C6alkoxy, (C1-C6alkoxycarbonylamino)C1-C6alkoxy or (C1-C6alkylcarbonylamino)C1-C6alkoxy;
- R4 is hydroxy, esterified hydroxy, etherified hydroxy, amino, (C1-C6alkyl)amino, a group
- or a group,
- where R4a is C1-C6alkyl or halogen-substituted C1-C6alkyl, or a group
- where R4b is benzyl or phenylethyl;
- R5 is hydrogen or hydroxy;
- and
- m is 1 or 2,
- in free form or in salt form.
The use of a vanilloid receptor VR-1 antagonist or a pharmaceutical acceptable derivative thereof for the manufacture of a medicament for the treatment of VR-1 mediated disorders and the alleviation of symptoms associated thereof, in synergistic combination with an NSAID or a pharmaceutical acceptable derivative thereof.
Dependencies are inferred from the claim text.