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US 2025/0049779 A1Published application
Combination of an a2-adrenoceptor subtype c (alpha-2c) antagonist with a norepinephrine reuptake inhibitor for the treatment of sleep apnea
OwnerDr. Martina DELBECK, Dr. Michael HAHNinventors
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Abstract
The present invention relates to a combination of a noradrenaline reuptake inhibitor and α2-Adrenoceptor subtype C (alpha-2C) antagonists, in particular substituted heterocyclic carboxamides of formula (I) for the treatment and/or prophylaxis of sleep-related breathing disorders, preferably obstructive and central sleep apneas and snoring.
Claims14
Combinations of compounds of formula (I)
- in which
- X represents S, N or O;
- Y represents N, S or O,
- where, if X represents S, then Y represents N;
- where, if X represents O, then Y represents N;
- Z represents CR4, O or NR4,
- where, if X represents N and Y represents N, then Z represents O;
- where, if X represents S, then Z represents CR4 or NR4
- R1 represents 5- or 6-membered heteroaryl, phenyl,
- where 5- to 6-membered heteroaryl may be substituted by 1 to 2 substituents independently of one another selected from the group of (C1-C4)-alkyl, (C1-C4)-alkoxy, halogen;
- where (C1-C4)-alkyl may be up to trisubstituted by halogen,
- where (C1-C4)-alkoxy may be up to trisubstituted by halogen,
- where phenyl may be substituted by 1 to 2 substituents independently of one another selected from the group of (C1-C4)-alkyl, (C3-C5)-cycloalkyl, (C1-C4)-alkoxy, cyano, hydroxy, halogen;
- where (C1-C4)-alkyl may be up to trisubstituted by halogen,
- R2 represents hydrogen, (C1-C4)-alkyl;
- where (C1-C4)-alkyl may be up to trisubstituted by halogen,
- or
- together with the carbon atom to which R2 is attached forms a (C3-C4)-cycloalkyl ring,
- R3 represents hydrogen, (C1-C4)-alkyl,
- where (C1-C4)-alkyl may be up to trisubstituted by halogen,
- R4 in CR4 represents hydrogen, (C1-C4)-alkyl, (C3-C4)-cycloalkyl, phenyl, halogen;
- where (C1-C4)-alkyl may be up to trisubstituted by halogen and phenyl may be substituted by halogen,
- in NR4 represents hydrogen, (C1-C4)-alkyl, (C3-C4)-cycloalkyl, phenyl;
- where (C1-C4)-alkyl may be up to trisubstituted by halogen and phenyl may be substituted by halogen,
- R5 represents hydrogen, (C1-C4)-alkyl, (C1-C4)-alkoxy, halogen,
- R6 represents a group of formula a), b), c), d), e), f) or g)
- where *** marks the attachment to the adjacent piperidine ring,
- where R7 represents hydrogen, (C1-C4)-alkyl, (C3-C4)-cycloalkyl, (C1-C4)-alkoxy, (C3-C4)-cycloalkoxy, phenyl,
- where (C1-C4)-alkyl may be substituted by (C3-C4)-cycloalkyl, (C1-C4)-alkoxy, (C3-C4)-cycloalkoxy and up to trisubstituted by halogen,
- where (C1-C4)-alkoxy may be substituted by (C3-C4)-cycloalkyl and up to trisubstituted by halogen,
- where (C3-C4)-cycloalkyl may be substituted by monofluoromethyl, difluoromethyl or trifluoromethyl and up to disubstituted by halogen,
- where (C1-C4)-alkoxy may be substituted by (C3-C4)-cycloalkyl and up to trisubstituted by halogen,
- where (C3-C4)-cycloalkyl may be mono- or disubstituted by halogen,
- where (C3-C4)-cycloalkoxy may be up to disubstituted by halogen,
- where R8 represents hydrogen or fluorine,
- where R9 represents hydrogen, (C1-C4)-alkyl, (C1-C4)-alkoxy, halogen;
- where (C1-C4)-alkyl may be substituted by (C1-C4)-alkoxy,
- n represents 0 or 1,
- m represents 0, 1 or 2,
- p represents 0, 1 or 2 and
- q represents 0, 1 or 2,
- and
- a noradrenaline reuptake inhibitor,
- and the salts, solvates and solvates of the salts thereof.
41 more elements
Dependencies are inferred from the claim text.