Selective cyp11b1 inhibitors for the treatment of cortisol dependent diseases
AssigneeUniversitaet Des Saarlandes Campus Saarbruecken
InventorsRolf Hartmann, Ulrike Hille, Christina Zimmer, Carsten A. Vock, Qingzhong Hu
Life of this patent
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Abstract
The present invention relates to compounds which selectively inhibit CYP11B1. Preferably, the compounds of the present invention do not substantially inhibit CYP11B2. Moreover, the compounds of the present invention do not substantially inhibit CYP17 and/or CYP19, either. Amongst other applications of the compounds of the present invention, they can be used for the treatment of Cushing's syndrome or metabolic disease.
Claims10
1-15. (canceled)
A compound that selectively inhibits CYP11B1, the compound being selected from the group consisting of:
- (a) a compound of formula (1):
- wherein,
- Het is heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene or an heteroaryl selected from 5-imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably Het is 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl,
- Het can be unsubstituted or is substituted further with R3, Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R1 or R2 can be independently H, C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, napthyl, benzo[b]thiophen, thiophen, amino, amido, C(O)R4, OC(O)R4, ester, ether, SO2R4, furanyl, het, halogen, trityl, CN, NO2 or OAc;
- either of which is unsubstituted or can be independently substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, trityl, CN, NO2 or OAc,
- R4 is H, OH, C1-C5 alkoxy, alkyl or aryl,
- A is one or more heteroatoms independently selected from N, O or Se wherein when A is N, preferably heterocycles are pyridine, pyrimidine or pyridazine;
- which can be further annelated by 5- or 6-membered rings
- m is selected from 0-3 carbons, preferably 1,
- n is 0-6,
- Q is C, O, S, CH═CH, N, CO, CO2, CONH, SO2, SO2NH,
- X is 1-3,
- Y is 0-2,
- Z is 1-2;
- if z>1, multi-Q can be any linker described above;
- (b) a compound of formula (2″):
- wherein,
- R2 can be C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, napthyl, benzo[b]thiophen, thiophen, amino, amido, C(O)R4, OC(O)R4, ester, ether, SO2R4, furanyl, het, halogen, trityl, CN, NO2 or OAc;
- which is unsubstituted or can be substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R2 can be H, C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, napthyl, benzo[b]thiophen, thiophen, amino, amido, C(O)R4, OC(O)R4, ester, ether, SO2R4, furanyl, het, halogen, trityl, CN, NO2 or OAc;
- which is unsubstituted or can be substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, CN, NO2 or OAc,
- R4 is H, OH, C1-C5 alkoxy, alkyl or aryl,
- R5 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, C1-C5 alkoxy, hydroxy, halogen, furanyl, benzo[b]thiophen, thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or Het;
- which may be unsubstituted or substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- Het is heteroaryl, heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene;
- preferably het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably het is 1-imidazolyl, 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl, Het can be unsubstituted or is substituted further with R3 Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R6 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, C1-C5 alkoxy, hydroxy, halogen, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, furanyl, thiophen, benzo[b]thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3),
- R7 is H, Halogen, C1-C12 alkyl, haloalkyl, cycloalkyl, C2-C12 alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, C1-C5 alkoxy, hydroxy, thiophen, het, furanyl, benzo[b]thiophen, naphthyl, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3, wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3;
- (c) a compound of formula (2):
- wherein,
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, CN, NO2 or OAc,
- R4 is H, OH, C1-C5 alkoxy, alkyl or aryl,
- R5 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, C1-C5 alkoxy, hydroxy, halogen, furanyl, benzo[b]thiophen, thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or Het;
- which may be unsubstituted or substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- Het is heteroaryl, heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene;
- preferably het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably het is 1-imidazolyl, 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl, Het can be unsubstituted or is substituted further with R3 Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R6 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, C1-C5 alkoxy, hydroxy, halogen, alkenyl, cycloalkylene, alkynyl, naphthyl, furanyl, thiophen, benzo[b]thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl;
- which may be unsubstituted or substituted further with R3, wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R7 is H, Halogen, C1-C12 alkyl, haloalkyl, cycloalkyl, C2-C12 alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, C1-C5 alkoxy, hydroxy, thiophen, het, furanyl, benzo[b]thiophen, naphthyl, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3, wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- or a pharmaceutically acceptable derivative
- provided that the compound of formula (2) is not one of the following compounds
- (d) an imidazol-1-ylmethyl-pyridine compound of formula (3):
- wherein,
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, CN, NO2 or OAc,
- R4 is H, OH, C1-C5 alkoxy, alkyl or aryl,
- R5 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, C1-C5 alkoxy, hydroxy, halogen, furanyl, benzo[b]thiophen, thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or Het;
- which may be unsubstituted or substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- Het is heteroaryl, heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene;
- preferably het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably het is 1-imidazolyl, 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl, Het can be unsubstituted or is substituted further with R3 Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3, wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R6 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, C1-C5 alkoxy, hydroxy, halogen, alkenyl, cycloalkylene, alkynyl, naphthyl, furanyl, thiophen, benzo[b]thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or;
- which may be unsubstituted or substituted further with R3, wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R7 is H, Halogen, C1-C12 alkyl, haloalkyl, cycloalkyl, C2-C12 alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, C1-C5 alkoxy, hydroxy, thiophen, het, furanyl, benzo[b]thiophen, naphthyl, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- provided that the compound of formula (3) is not one of the following compounds:
- and
- (e) a pharmaceutically acceptable derivative of any of the compounds of part (a), (b), (c), or (d).
A compound selected from the group consisting of:
A method of treatment of a cortisol dependent disorder, comprising a method selected from the group consisting of:
- (a) administering to a subject known or suspected to have a condition characterized by abnormal activity or abnormal expression or level of steroid-11β-hydroxylase (CYP11B1) a pharmaceutically effective amount of a compound of formula (1′):
- wherein,
- Het is heteroaryl, heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene;
- preferably Het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably Het is 1-imidazolyl, 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl, Het can be unsubstituted or is substituted further with R3, Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3
- R1 or R2 can be independently H, C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, napthyl, benzo[b]thiophen, thiophen, amino, amido, C(O)R4, OC(O)R4, ester, ether, SO2R4, furanyl, het, halogen, trityl, CN, NO2 or OAc;
- either of which is unsubstituted or can be independently substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3),
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, trityl, CN, NO2 or OAc,
- R4 is H, OH, C1-C5 alkoxy, alkyl or aryl,
- A is one or more heteroatoms independently selected from N, O, S or Se, wherein A is N, preferably heterocycles are pyridine, pyrimidine or pyridazine which can be further annelated by 5- or 6-membered rings
- m is selected from 0-3 carbons, preferably 1,
- n is 0-6,
- Q is C, O, S, CH═CH, N, CO, CO2, CONH, SO2, SO2NH,
- X is 1-3,
- Y is 0-2,
- Z is 1-2;
- if z>1, multi-Q can be any linker described above,
- or a pharmaceutically acceptable derivative of a compound of formula (1′);
- (b) administering to a subject known or suspected to have a condition characterized by abnormal activity or abnormal expression or level of steroid-11β-hydroxylase (CYP11B1) a pharmaceutically effective amount of a compound of formula (2′):
- wherein,
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, CN, NO2 or OAc,
- R4 is H, OH, C1-C5 alkoxy, alkyl or aryl,
- R5 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, C1-C5 alkoxy, hydroxy, halogen, furanyl, benzo[b]thiophen, thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or Het;
- which may be unsubstituted or substituted further with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- Het is heteroaryl, heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene;
- preferably het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably het is 1-imidazolyl, 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl, Het can be unsubstituted or is substituted further with R3. Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3 wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R6 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, C1-C5 alkoxy, hydroxy, halogen, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, furanyl, thiophen, benzo[b]thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3),
- R7 is H, Halogen, C1-C12 alkyl, haloalkyl, cycloalkyl, C2-C12 alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, C1-C5 alkoxy, hydroxy, thiophen, het, furanyl, benzo[b]thiophen, naphthyl, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3),
- or a pharmaceutically acceptable derivative of a compound of formula (2′);
- (c) administering to a subject known or suspected to have a condition characterized by abnormal activity or abnormal expression or level of steroid-11β-hydroxylase (CYP11B1) a pharmaceutically effective amount of a compound of formula (3′):
- wherein,
- R3 is C1-C12 alkyl, haloalkyl, C1-C5 alkoxy, hydroxy, C6-C13 aryl, halogen, amino, amido, ester, ether, C(O)R4, OC(O)R4, SO2R4, SO2NHR4, CN, NO2 or OAc,
- R4 is H, OH, alkyl or aryl,
- R5 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, C1-C5 alkoxy, hydroxy, halogen, furanyl, benzo[b]thiophen, thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or Het;
- which may be unsubstituted or substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3),
- Het is heteroaryl, heteroarylium, heterocyclyl, heteroaralkyl, heteroarylene, heterocyclylene;
- preferably het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, isoxazolyl, thiazolyl, isothiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl, quinazolinyl, benzooxazolyl, benzothiazolyl, benzo[d]isoxazolyl, benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl;
- more preferably het is 1-imidazolyl, 5-imidazolyl, 3-pyridinyl, 4-pyridinyl, 5-pyrimidinyl, 3-(6-methoxypyridinyl), 4-isoquinolinyl, 8-quinazolinyl, or benzo[b]imidazolyl, 4-oxazolyl, 4-isoxazolyl, 4-thiazolyl, 4-isothiazolyl, 4-benzooxazolyl, 4-benzothiazolyl, 4-benzo[d]isoxazolyl, 4-benzo[d]isothiazolyl, 4,5,6,7-tetrahydro-1H-benzo[d]imidazolyl, 5,6,7,8-tetrahydroisoquinolinyl, Het can be unsubstituted or is substituted further with R3 Het can also be further annelated by 5- or 6-membered rings, which can also be substituted with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R6 is H, C1-C12 alkyl, haloalkyl, cycloalkyl, C1-C5 alkoxy, hydroxy, halogen, alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, naphthyl, furanyl, thiophen, benzo[b]thiophen, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3,
- R7 is H, Halogen, C1-C12 alkyl, haloalkyl, cycloalkyl, C2-C12 alkenyl, cycloalkylene, alkynyl, C6-C13 aryl, C1-C5 alkoxy, hydroxy, thiophen, het, furanyl, benzo[b]thiophen, naphthyl, CN, NO2, OAc, amino, amido, C(O)R4, OC(O)R4, trityl or het;
- which may be unsubstituted or substituted further with R3 (wherein where multiple substitution with R3 is possible, the substituents can be independently selected from R3),
- or a pharmaceutically acceptable derivative of a compound of formula (3′);
- and
- (d) administering to a subject known or suspected to have a cortisol dependent disorder a pharmaceutically effective amount of a compound of formula (4):
- wherein,
- Het is imidazolyl, pyridyl, pyrimidyl, triazolyl, oxazolyl, thiazolyl, benzotriazolyl, benzoimidazolyl, quinolinyl, isoquinolinyl;
- (only β and γ position to methylene bridge, not a position), wherein Het may optionally be substituted by a further R3 group,
- N Het is an aromatic ring with one to four N atoms, optionally pyridine, pyrimidine, or pyridazine, wherein N Het may optionally be annelated by one or more 5- or 6-membered rings,
- Ar is benzene, naphthalene, or a heterocycle, wherein Ar may optionally be annelated by one or more 5- or 6-membered rings,
- R1 and R2 is each independently H, Me, Et, c-Pr, c-pent,
- R3 and R4 is each independently CF3, NO2, CN, halogen, OMe, OH, OAc, alkyl, c-alkyl, or alkyloxyl,
- or a pharmaceutically acceptable derivative of a compound of formula (4).
Dependencies are inferred from the claim text.