Spirocyclic heterocyclic derivatives and methods of their use
AssigneeAdolor Corporation
InventorsRoland E. Dolle, Bertrand Le Bourdonnec, Guo-Hua Chu
Life of this patent
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Abstract
Spirocyclic heterocyclic derivatives, pharmaceutical compositions containing these compounds, and methods for their pharmaceutical use are disclosed. In certain embodiments, the spirocyclic heterocyclic derivatives are ligands of the δ opioid receptor and may be useful, inter alia, for treating and/or preventing pain, anxiety, gastrointestinal disorders, and other δ opioid receptor-mediated conditions.
Claims56
A pharmaceutical composition, comprising:
- a pharmaceutically acceptable carrier;
- and a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of binding opioid receptors in a patient in need thereof, comprising the step of:
- administering to said patient an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating a condition, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof;
- said condition selected from any one of the group consisting of:
- pain, gastrointestinal dysfunction, a urogenital disorder, an immunomodulatory disorder, an inflammatory disorder, a mood disorder, anxiety, a respiratory function disorder, a stress-related disorder, attention deficit hyperactivity disorder, a sympathetic nervous system disorder, tussis, a motor disorder, stroke, cardiac arrhythmia, glaucoma, sexual dysfunction, and substance addiction.
A method of preventing, inhibiting or treating a condition, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof;
- said condition selected from any one of the group consisting of:
- shock, brain edema, cerebral ischemia, cerebral deficits subsequent to cardiac bypass surgery and grafting, systemic lupus erythematosus, Hodgkin's disease, Sjogren's disease, epilepsy, and rejection in organ transplants and skin grafts.
A method of improving organ and cell survival, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating pain, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating a urogenital disorder, comprising the step of:
- administering to a patient in need thereof an effective amount a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating an inflammatory disorder, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating a mood disorder, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating anxiety, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating a motor dysfunction, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating cardiac arrhythmia, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
A method of preventing, inhibiting or treating sexual dysfunction, comprising the step of:
- administering to a patient in need thereof an effective amount of a compound according to formula XXVIII:
- wherein:
- D is:
- K is carboxy (—COOH), —C(═O)—O-alkyl, —S(═O)2—N(alkyl)(alkyl), heteroaryl, alkylheteroaryl, aminocarbonyl (—C(═O)—NH2), or N-alkylaminocarbonyl (—C(═O)—NH(alkyl));
- R23, R24, and R26 are each independently H or alkyl;
- p is 1;
- A2 and B2 are each H, or together form a double bond;
- and
- X2 is —CH2— or —O—;
- or a stereoisomer, prodrug, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate, or N-oxide thereof.
Dependencies are inferred from the claim text.