Methods of targeted treatment of frontotemporal lobar degeneration
OwnerHolger Patzke, Gerhard Koenig +1inventors
InventorsHolger Patzke, Gerhard Koenig, Jean-Francois Blain
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Abstract
The present invention provides targeted treatment to subjects suffering from Frontotemporal lobar degeneration through use of FTLD targeted agents, as described in the present invention. In particular, the FTLD targeted agents provided herein demonstrate high brain penetration, which decreases risk issues associated with peripheral administration. Furthermore, the FTLD targeted agents of the present invention, when administered to a subject selected for treatment based on the results of a FTLD diagnostic assay, offer targeted treatment of FTLD.
Claims42
A method of treating frontotemporal dementia (FTD) or frontotemporal lobar degeneration (FTLD) comprising administering to a patient in need thereof an effective amount of a composition comprising a compound of Formula (IV):
- or a pharmaceutically acceptable salt thereof
- wherein
- R140 is selected from the group consisting of H, —OH, halo, —CN, —C1-C4alkyl, —C1-C4alkoxyl, —O—C2-C4alkyl-O—C1-C4alkyl, —CF3, —OCF3, —NO2, —C1-C6alkyl-S(O)0-2R53, —NH2, —NR50R51, —C1-C6alkyl-NR50R51 and —N(C1-C6alkyl)2;
- xa and xb denote numbers that are each independently selected from 0, 1 and 2;
- and
- R150 and R160 are independently selected from the group consisting of H, halo, —CN, —CF3, —OCF3, —C1-C6alkyl, —C1-C6alkoxyl, —O—C2-C6alkyl-O—R53, —OR53, —C0-C6alkyl-S(O)0-2—R53, —C0-C6alkyl-C(O)—R53, —C0-C6alkyl-C(O)NR50R51, —C0-C6alkyl-NR52C(O)—R53, —C0-C6alkyl-S(O)2NR50R51, —C0-C6alkyl-NR52S(O)2—R53, —C0-C6alkyl-OC(O)NR50R51, —C0-C6alkyl-NR52C(O)O—R53, —C0-C6alkyl-NR52C(O)NR50R51, —C0-C6alkyl-C(O)O—R53, —C0-C6alkyl-OC(O)—R53, —C0-C6alkyl-aryl, —C0-C6alkyl-heteroaryl, —C0-C6alkyl-cycloalkyl, —C0-C6alkyl-heterocyclyl, —NH2, —NR50R51, —C1-C6alkyl-NR50R51, —O—C2-C6alkyl-NR50R51, —NR53—C2-C6alkyl-NR50R51 and —O-heterocyclyl-R53, wherein each alkyl and heteroalkyl is optionally substituted with one or three substituents independently selected from the group consisting of F, —OH and oxo, and wherein each aryl, heteroaryl, cycloalkyl and heterocyclyl is optionally substituted with one or two substituents independently selected from the group consisting of halo, —CN, —C1-C4alkyl, —C1-C4alkoxyl, —O—C2-C4alkyl-O—C1-C4alkyl, —CF3, —OCF3, —NO2, —C1-C6alkyl-S(O)0-2R53, —NH2, —NR50R51, —C1-C6alkyl-NR50R51 and —N(C1-C6alkyl)2;
- R50 and R51 are independently selected from the group consisting of H, —C1-C6alkyl, —C2-C6alkyl-O—C1-C6alkyl, —C0-C6alkyl-C3-C7cycloalkyl, wherein each alkyl and cycloalkyl is optionally substituted with one or more substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl;
- or
- R50 and R51, together with the N atom to which they are attached, optionally form a 3-10 membered heterocyclic ring, wherein the heterocyclyl is optionally substituted with one to three substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl;
- R52 is independently selected from the group consisting of —H, —C1-C6alkyl, —C2-C6alkyl-O—C1-C6alkyl, —C0-C6alkyl-C3-C7cycloalkyl, wherein each alkyl and cycloalkyl is optionally substituted with one or more substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl;
- R53 is independently selected from the group consisting of —C1-C6alkyl, —C0-C4alkyl-C3-C7cycloalkyl, —C0-C4alkyl-aryl, —C0-C4alkyl-heteroaryl and —C0-C4alkyl-heterocyclyl, wherein each alkyl, aryl, heteroaryl and heterocyclyl is optionally substituted with one or three substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl.
A method of treating a patient at risk of developing frontotemporal dementia (FTD) or frontotemporal lobar degeneration (FTLD), comprising administering to the patient an effective amount of pharmaceutical composition comprising a compound of Formula (IV):
- or a pharmaceutically acceptable salt thereof
- wherein
- R140 is selected from the group consisting of H, —OH, halo, —CN, —C1-C4alkyl, —C1-C4alkoxyl, —O—C2-C4alkyl-O—C1-C4alkyl, —CF3, —OCF3, —NO2, —C1-C6alkyl-S(O)0-2R53, —NH2, —NR50R51, —C1-C6alkyl-NR50R51 and —N(C1-C6alkyl)2;
- xa and xb denote numbers that are each independently selected from 0, 1 and 2;
- and
- R150 and R160 are independently selected from the group consisting of H, halo, —CN, —CF3, —OCF3, —C1-C6alkyl, —C1-C6alkoxyl, —O—C2-C6alkyl-O—R53, —OR53, —C0-C6alkyl-S(O)0-2—R53, —C0-C6alkyl-C(O)—R53, —C0-C6alkyl-C(O)NR50R51, —C0-C6alkyl-NR52C(O)—R53, —C0-C6alkyl-S(O)2NR50R51, —C0-C6alkyl-NR52S(O)2—R53, —C0-C6alkyl-OC(O)NR50R51, —C0-C6alkyl-NR52C(O)O—R53, —C0-C6alkyl-NR52C(O)NR50R51, —C0-C6alkyl-C(O)O—R53, —C0-C6alkyl-OC(O)—R53, —C0-C6alkyl-aryl, —C0-C6alkyl-heteroaryl, —C0-C6alkyl-cycloalkyl, —C0-C6alkyl-heterocyclyl, —NH2, —NR50R51, —C1-C6alkyl-NR50R51, —O—C2-C6alkyl-NR50R51, —NR53—C2-C6alkyl-NR50R51 and —O-heterocyclyl-R53, wherein each alkyl and heteroalkyl is optionally substituted with one or three substituents independently selected from the group consisting of F, —OH and oxo, and wherein each aryl, heteroaryl, cycloalkyl and heterocyclyl is optionally substituted with one or two substituents independently selected from the group consisting of halo, —CN, —C1-C4alkyl, —C1-C4alkoxyl, —O—C2-C4alkyl-O—C1-C4alkyl, —CF3, —OCF3, —NO2, —C1-C6alkyl-S(O)0-2R53, —NH2, —NR50R51, —C1-C6alkyl-NR50R51 and —N(C1-C6alkyl)2;
- R50 and R51 are independently selected from the group consisting of H, —C1-C6alkyl, —C2-C6alkyl-O—C1-C6alkyl, —C0-C6alkyl-C3-C7cycloalkyl, wherein each alkyl and cycloalkyl is optionally substituted with one or more substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl;
- or
- R50 and R51, together with the N atom to which they are attached, optionally form a 3-10 membered heterocyclic ring, wherein the heterocyclyl is optionally substituted with one to three substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl;
- R52 is independently selected from the group consisting of —H, —C1-C6alkyl, —C2-C6alkyl-O—C1-C6alkyl, —C0-C6alkyl-C3-C7cycloalkyl, wherein each alkyl and cycloalkyl is optionally substituted with one or more substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl;
- R53 is independently selected from the group consisting of —C1-C6alkyl, —C0-C4alkyl-C3-C7cycloalkyl, —C0-C4alkyl-aryl, —C0-C4alkyl-heteroaryl and —C0-C4alkyl-heterocyclyl, wherein each alkyl, aryl, heteroaryl and heterocyclyl is optionally substituted with one or three substituents independently selected from the group consisting of halo, —OH, amino, —CN or —C1-C4alkyl.
A method for targeted treatment of FrontoTemporal Lobar Degeneration (FTLD) in a subject, wherein said method comprises administering an FTLD targeted agent to a subject identified as suffering from FTLD, such that the FTLD is treated in the subject.
34-35. (canceled)
A method for treating frontotemporal lobe dementia in a subject, wherein said method comprises administering an FTLD targeted agent to a subject identified as suffering from FTLD, such that the frontotemporal lobe dementia is treated in the subject.
43-44. (canceled)
Dependencies are inferred from the claim text.