Method of Treatment or Prophylaxis
AssigneeSpinifex Pharmaceuticals Pty Ltd
InventorsMaree Therese Smith, Bruce Douglas Wyse
Life of this patent
Estimating the term…
Abstract
The present invention is directed to methods and agents that are useful in the prevention and amelioration of signs and symptoms associated with neuropathic conditions. More particularly, the present invention discloses the use of angiotensin II receptor 2 (AT2 receptor) antagonists for the treatment, prophylaxis, reversal and/or symptomatic relief of neuropathic pain, including mechanical hyperalgesia, thermal or mechanical allodynia, diabetic pain and entrapment pain, in vertebrate animals and particularly in human subjects. The AT2 receptor antagonists may be provided alone or in combination with other compounds such as those that are useful in the control of neuropathic conditions.
Claims15
A method for the treatment of neuropathic pain in a subject comprising administering to the subject an effective amount of an AT2 receptor antagonist, wherein the AT2 receptor antagonist is selected from compounds represented by the formula (IV):
- wherein:
- R10 is selected from H, halogen, C1-6alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R9 is selected from —NR13R14, wherein R13 and R14 are independently selected from C1-6 alkyl, substituted C1-6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, C1-4 alkylaryl, substituted C1-4alkylaryl, OH, or NH2;
- a five or six membered, unsaturated, substituted or unsubstituted, heterocyclic ring selected from:
- V is selected from CH or a nitrogen atom,
- Y is selected from sulfur, oxygen or N—RN, where RN is selected from H, C1-6 alkyl, substituted C1-6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, C1-4 alkylaryl, substituted C1-4 alkylaryl, OH, or NH2,
- G is a five or six membered homoaromatic or heterocyclic, unsaturated, substituted ring selected from the following rings systems:
- where the symbol ‘*’ indicates the bond shared between the fused rings ‘A’ and ‘G’,
- R5 is selected from C1-6 alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R6 and R8 are independently selected from H, C1-6 alkyl, substituted C1-6 alkyl, C1-6 alkoxy, substituted C1-6 alkoxy, phenyl, phenyloxy, benzyl, benzyloxy, benzylamino, biphenyl, substituted biphenyl, biphenyloxy, substituted biphenyloxy, naphthyl, substituted naphthyl, provided that one of R6 or R8 is not hydrogen, and
- R7 is selected from phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, naphthyl, substituted naphthyl, naphthylmethylene, and substituted naphthylmethylene,
- and pharmaceutically compatible salts thereof.
A method for attenuating neuropathic pain in a subject, comprising administering to the subject an effective amount of an AT2 receptor antagonist, which is optionally in the form of a composition comprising a pharmaceutically acceptable carrier and/or diluent, wherein the AT2 receptor antagonist is selected from compounds represented by the formula (IV):
- wherein:
- R10 is selected from H, halogen, C1-6 alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R9 is selected from —NR13R14, wherein R13 and R14 are independently selected from C1-6 alkyl, substituted C1-6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, C1-4 alkylaryl, substituted C1-4 alkylaryl, OH, or NH2;
- a five or six membered, unsaturated, substituted or unsubstituted, heterocyclic ring selected from:
- V is selected from CH or a nitrogen atom,
- Y is selected from sulfur, oxygen or N—RN, where RN is selected from H, C1-6 alkyl, substituted C1-6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, C1-4 alkylaryl, substituted C1-4 alkylaryl, OH, or NH2,
- G is a five or six membered homoaromatic or heterocyclic, unsaturated, substituted ring selected from the following rings systems:
- where the symbol ‘*’ indicates the bond shared between the fused rings ‘A’ and ‘G’,
- R5 is selected from C1-6 alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R6 and R8 are independently selected from H, C1-6 alkyl, substituted C1-6 alkyl, C1-6 alkoxy, substituted C1-6alkoxy, phenyl, phenyloxy, benzyl, benzyloxy, benzylamino, biphenyl, substituted biphenyl, biphenyloxy, substituted biphenyloxy, naphthyl, substituted naphthyl, provided that one of R6 or R8 is not hydrogen, and
- R7 is selected from phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, naphthyl, substituted naphthyl, naphthylmethylene, and substituted naphthylmethylene,
- and pharmaceutically compatible salts thereof.
A method for producing analgesia in a subject having, or at risk of developing, a neuropathic pain comprising administering an effective amount of an AT2 receptor antagonist, wherein the AT2 receptor antagonist is selected from compounds represented by the formula (IV):
- wherein:
- R10 is selected from H, halogen, C1-6 alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R9 is selected from —NR13R14, wherein R13 and R14 are independently selected from C1-6 alkyl, substituted C1-6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, C1-4 alkylaryl, substituted C1-4 alkylaryl, OH, or NH2;
- a five or six membered, unsaturated, substituted or unsubstituted, heterocyclic ring selected from:
- V is selected from CH or a nitrogen atom,
- Y is selected from sulfur, oxygen or N—RN, where RN is selected from H, C1-6 alkyl, substituted C1-6 alkyl, aryl, substituted aryl, benzyl, substituted benzyl, C1-4 alkylaryl, substituted C1-4 alkylaryl, OH, or NH2,
- G is a five or six membered homoaromatic or heterocyclic, unsaturated, substituted ring selected from the following rings systems:
- where the symbol ‘*’ indicates the bond shared between the fused rings ‘A’ and ‘G’,
- R5 is selected from C1-6 alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R6 and R8 are independently selected from H, C1-6 alkyl, substituted C1-6 alkyl, C1-6 alkoxy, substituted C1-6 alkoxy, phenyl, phenyloxy, benzyl, benzyloxy, benzylamino, biphenyl, substituted biphenyl, biphenyloxy, substituted biphenyloxy, naphthyl, substituted naphthyl, provided that one of R6 or R8 is not hydrogen, and
- R7 is selected from phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, naphthyl, substituted naphthyl, naphthylmethylene, and substituted naphthylmethylene,
- and pharmaceutically compatible salts thereof.
Dependencies are inferred from the claim text.