Method of Treatment or Prophylaxis
AssigneeSpinifex Pharmaceuticals Pty Ltd
InventorsMaree Therese Smith, Bruce Douglas Wyse
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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.
Claims18
A method for the treatment of neuropathic pain in a subject comprising administering to the subject in need thereof an effective amount of an AT2 receptor antagonist, wherein the AT2 receptor antagonist is selected from compounds represented by formula (III):
- wherein:
- R1, R2 and R3 are independently selected from H, phenyl, substituted phenyl, benzyl, substituted benzyl, C1-6 alkyl, and substituted C1-6 alkyl, with the proviso that at least one of R1 or R2 are not hydrogen,
- X is selected from CH, nitrogen, sulfur or oxygen with the proviso that when X is sulfur or oxygen, one of R1 or R2 is absent, or is aryl or heteroaryl with the proviso that both R1 and R2 are absent,
- V is selected from CH or 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,
- R4 is selected from a carboxylate, carboxylic acid, sulfate, phosphate, sulfonamide, phosphonamide, or amide,
- G is a five or six membered, homoaromatic or unsaturated, substituted or unsubstituted, heterocyclic ring including but not limited to the following rings systems:
- where the symbol ‘*’ indicates the bond shared between the fused rings ‘A’ and ‘G’,
- R5 is selected from H, 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, or a pharmaceutically compatible salt thereof.
A method for the treatment of neuropathic pain in a subject comprising administering to the subject in need thereof an effective amount of an AT2 receptor antagonist, wherein the AT2 receptor antagonist is selected from compounds represented by the formula (V):
- wherein:
- M is selected from H, fluoro, bromo, iodo, and chloro,
- 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,
- R5 is selected from C1-6 alkyl, phenyl, substituted phenyl, substituted C1-6 alkyl, or C1-6 alkoxy,
- R16 is selected from C1-6 alkylamino, C1-6 dialkylamino, substituted C1-6 alkylamino, substituted dialkylamino, arylamino, diarylamino, substituted arylamino, substituted diarylamino, alkylarylamino, dialkylarylamino, substituted alkylarylamino, substituted dialkylarylamino, heteroarylamino, substituted heteroarylamino, cycloalkylamino, dicycloalkylamino, diheteroarylamino, alkylcarbonylamino, arylcarbonylamino, alkylarylcarbonylamino, cycloalkylcarbonylamino, and
- R17 is selected from C1-6 alkyl, substituted C1-6 alkyl, phenyl, substituted phenyl, benzyl, substituted benzyl, biphenyl, substituted biphenyl, biphenylmethylene, substituted biphenylmethylene, naphthyl, substituted naphthyl, heteroaryl, or substituted heteroaryl,
- or a pharmaceutically compatible salt thereof.
A method for the treatment of neuropathic pain in a subject comprising administering to the subject in need thereof an effective amount of an AT2 receptor antagonist, wherein the AT2 receptor antagonist is selected from compounds represented by the formula (Va)
- wherein
- R2 is independently
- (a) H,
- (b) halo (F, Cl, Br, I), or
- (c) C1-C4-alkyl;
- R3 is
- (a) H, or
- (b) halo (F, Cl, Br, I);
- R6 is
- (a) C1-C10 alkyl,
- (b) C3-C10 alkenyl, or
- (c) C3-C10 alkynyl;
- R7 is
- (a) C1-C6-alkyl,
- (b) C3-C6-cycloalkyl,
- (c) aryl, or
- (d) benzyl, optionally substituted on the phenyl ring with 1-2 substituents selected from the group consisting of halo, C1-C4-alkyl, C1-C4-alkoxy or —NO2;
- R8 is
- (a) H,
- (b) halogen (F, Cl, Br, I),
- (c) phenyl, or phenyl optionally substituted with halogen (F, Cl, Br, I), C1-C4-alkyl, —OH, C1-C4-alkoxy, —NO2, —NR26R27, —NR26COR11, —NR26CO2R7, —S(O)rR10, —SO2NR26R27, —NR26SO2R10, —CF3,
- (d) C1-C6-alkyl, optionally substituted with
- i) OR25,
- ii) S(O)rR10,
- iii) NR23R24,
- iv) NR26COR11,
- v) NR26CO2R7,
- vi) NR26CONR23R24,
- viii) OCOR11,
- ix) aryl,
- (e) C2-C6-alkenyl,
- (f) —C1-C4-alkyl-aryl,
- (h) C1-C4-alkoxy,
- (i) CvF2v+1 where v=1 to 3,
- (j) —S(O)rR10,
- (k) —S(O)2NR23R24,
- (l) —CONR23R24,
- (m) —COR7, or
- (n) —CO2R12;
- R9 is
- (a) H,
- (b) C1-C5-alkyl,
- (c) aryl,
- (d) —(C1-C4-alkyl)-aryl, or
- (e) heteroaryl;
- R10 is
- (a) aryl,
- (b) C3-C7-cycloalkyl,
- (c) C1-C4-perfluoroalkyl,
- (d) C1-C4-alkyl, optionally substituted with a substituent selected from the group consisting of aryl, heteroaryl, —OH, —SH, C1-C4-alkoxy, C1-C4-alkylthio, —CF3, halo, —NO2, —CO2R12, —NH2, C1-C4-alkylamino, C1-C4-dialkylamino, —PO3H2, or
- (e) heteroaryl;
- R11, R11a and R11b are independently
- (a) H,
- (b)
- (c) C3-C6-cycloalkyl,
- (d) aryl,
- (e) —(C1-C5-alkyl)-aryl, or
- (f) heteroaryl;
- R12 is
- (a) H,
- (b) methyl, or
- (c) benzyl, optionally substituted on the phenyl ring with 1-2 substituents selected from the group consisting of halo, C1-C4-alkyl, C1-C4-alkoxy or —NO2;
- R13 is
- (a) —CO2H,
- (b) —CONHSO2R10,
- (c) —CONHSO2NHR9,
- (d) —NHCONHSO2R10,
- (e) —NHSO2R10,
- (f) —NHSO2NHCOR10,
- (g) —SO2NHR9,
- (h) —SO2NHCOR10,
- (i) —SO2NHCONHR9,
- (j) —SO2NHCO2R10, or
- R16 is
- (a) H,
- (b) C1-C6-alkyl, or
- (c) benzyl, optionally substituted on the phenyl ring with 1-2 substituents selected from the group consisting of halo, C1-C4-alkyl, C1-C4-alkoxy or —NO2;
- R23 and R24 are, independently
- (a) H,
- (b) C1-C6-alkyl,
- (c) aryl, or
- (d) —(C1-C4-alkyl)-aryl, or
- (e) R23 and R24 when taken together constitute a pyrrolidine, piperidine or morpholine ring;
- R26 and R27 are independently
- (a) H,
- (b) C1-C4-alkyl,
- (c) aryl, or
- (d) —CH2-aryl;
- R28 is
- (a) aryl, or
- (b) heteroaryl;
- R29 is
- (a) —CHO,
- (b) —CONH2,
- (c) —NHCHO,
- (d) —CO—(C1-C6 perfluoroalkyl),
- (e) —S(O)r—(C1-C6 perfluoroalkyl),
- E is
- (a) -(T)y-(B)y—X2—(B)y—R28,
- (b) -T-(B)y—R28,
- (c) -(T)y-(B)y—X2—B or,
- (d) -T-(B)y—R29;
- L1 is
- (a) —CO2—,
- (b) —CONR11a—,
- (c) —NR1laCO2—,
- (d) —NR11aCONR11b—;
- B is C1-C6 alkyl;
- X2 is
- (a) —CO—,
- (b) —O—,
- (c) —S(O)r—,
- (d) —(C1-C4-alkylene)-,
- (e) —NR11aCONR11b—,
- (f) —CONR11a—,
- (g) —NR11aCO—,
- (h) —SO2NR16—,
- (i) —NR16SO2—,
- (j) —CONR11aSO2—,
- (k) —SO2NR11aCO—,
- (l) —SO2NR11aCO2—,
- (m) —OCONR11aSO2—,
- (n) —SO2NR11aCONR11b—,
- (o) —NR11aCONR11bSO2—,
- (p) —SO2NR11aSO2—,
- (q) —CONR11aSO2NR11b, or
- (r) —NR11aSO2NR11bCO—;
- T is
- (a) arylene, or
- (b) heteroarylene
- n is 0 to 2;
- r is 0 to 2;
- u is 2 to 5;
- y is 0 or 1;
- and pharmaceutically compatible salts of these compounds.
A method for the treatment of neuropathic pain in a subject comprising administering to the subject in need thereof an effective amount of an AT2 receptor antagonist, wherein the AT2 receptor antagonist is selected from compounds represented by the formula (VIa)
- wherein
- R2 is independently
- (a) H,
- (b) halo (F, Cl, Br, I), or
- (c) C1-C4-alkyl;
- R3 is
- (a) H, or
- (b) halo (F, Cl, Br, I);
- R6 is
- (a) C1-C10 alkyl,
- (b) C3-C10 alkenyl, or
- (c) C3-C10 alkynyl;
- R7 is
- (a) C1-C6-alkyl,
- (b) C3-C6-cycloalkyl,
- (c) aryl, or
- (d) benzyl, optionally substituted on the phenyl ring with 1-2 substituents selected from the group consisting of halo, C1-C4-alkyl, C1-C4-alkoxy or —NO2;
- R8 is
- (a) H,
- (b) halogen (F, Cl, Br, I),
- (c) phenyl, or phenyl optionally substituted with halogen (F, Cl, Br, I), C1-C4-alkyl, —OH, C1-C4-alkoxy, —NO2, —NR26R27, —NR26COR11, —NR26CO2R7, —S(O)rR16, —SO2NR26R27, —NR26SO2R10, —CF3,
- (d) C1-C6-alkyl, optionally substituted with
- i) OR25,
- ii) S(O)rR10,
- iii) NR23R24,
- iv) NR26COR11,
- v) NR26CO2R7,
- vi) NR26CONR23R24,
- viii) OCOR11,
- ix) aryl,
- (e) C2-C6-alkenyl,
- (f) —C1-C4-alkyl-aryl,
- (h) C1-C4-alkoxy,
- (i) CvF2v+1 where v=1 to 3,
- (j) —S(O)rR10,
- (k) —S(O)2NR23R24,
- (l) —CONR23R24,
- (m) —COR7, or
- (n) —CO2R12;
- R9 is
- (a) H,
- (b) C1-C5-alkyl,
- (c) aryl
- (d) —(C1-C4-alkyl)-aryl, or
- (e) heteroaryl;
- R10 is
- (a) aryl,
- (b) C3-C7-cycloalkyl,
- (c) C1-C4-perfluoroalkyl,
- (d) C1-C4-alkyl, optionally substituted with a substituent selected from the group consisting of aryl, heteroaryl, —OH, —SH, C1-C4-alkyl, C1-C4-alkoxy, C1-C4-alkylthio, —CF3, halo, —NO2, —CO2R12, —NH2, C1-C4-alkylamino, C1-C4-dialkylamino, —PO3H2, or
- (e) heteroaryl;
- R11, R11a and R11b are independently
- (a) H,
- (b) C1-C6-alkyl,
- (c) C3-C6-cycloalkyl,
- (d) aryl,
- (e) —(C1-C5-alkyl)-aryl, or
- (f) heteroaryl;
- R12 is
- (a) H,
- (b) methyl, or
- (c) benzyl, optionally substituted on the phenyl ring with 1-2 substituents selected from the group consisting of halo, C1-C4-alkyl, C1-C4-alkoxy or —NO2;
- R13 is
- (a) —CO2H,
- (b) —CONHSO2R10,
- (c) —CONHSO2NHR9,
- (d) —NHCONHSO2R10,
- (e) —NHSO2R10,
- (f) —NHSO2NHCOR10,
- (g) —SO2NHR9,
- (h) —SO2NHCOR10,
- (i) —SO2NHCONHR9,
- (j) —SO2NHCO2R10, or
- R16 is
- (a) H,
- (b) C1-C6-alkyl, or
- (c) benzyl, optionally substituted on the phenyl ring with 1-2 substituents selected from the group consisting of halo, C1-C4-alkyl, C1-C4-alkoxy or —NO2;
- R23 and R24 are, independently
- (a) H,
- (b) C1-C6-alkyl,
- (c) aryl, or
- (d) —(C1-C4-alkyl)-aryl, or
- (e) R23 and R24 when taken together constitute a pyrrolidine, piperidine or morpholine ring;
- R26 and R27 are independently
- (a) H,
- (b) C1-C4-alkyl,
- (c) aryl, or
- (d) —CH2-aryl;
- R28 is
- (a) aryl, or
- (b) heteroaryl;
- R29 is
- (a) —CHO,
- (b) —CONH2,
- (c) —NHCHO,
- (d) —CO—(C1-C6 perfluoroalkyl),
- (e) —S(O), —(C1-C6 perfluoroalkyl),
- G is
- (a) -(T)y-(B)y—X2—(B)y—R28,
- (b) -T-(B)y—R28,
- (c) -(T)y-(B)y—X2—B, or
- (d) -T-(B)y—R29;
- L2 is —CO—, —NR11aCO— or —O2C—;
- B is C1-C6 alkyl;
- X2 is
- (a) —CO—,
- (b) —O—,
- (c) —S(O)r—,
- (d) —(C2-C4-alkylene)-,
- (e) —NR11aCO, —NR11aCONR11b—
- (f) —CONR11a—,
- (g) —NR11aCO—,
- (h) —SO2NR16—,
- (i) —NR16SO2—,
- (j) —SO2NR11aSO2—,
- (k) —SO2NR11aCO2—,
- (l) —SO2NR11aCO2—,
- (m) —OCONR11aSO2—,
- (n) —SO2NR11aCONR11b—,
- (o) —NR11aCONR11bSO2—,
- (p) —SO2NR11aSO2—,
- (q) —CONR11aSO2NR11b—, or
- (r) —NR11aSO2NR11bCO—,
- T is
- (a) arylene, or
- (b) heteroarylene
- n is 0 to 2;
- r is 0 to 2;
- y is 0 or 1;
- and pharmaceutically compatible salts of these compounds.
Dependencies are inferred from the claim text.