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US 2025/0049803 A1Published application
Combination of a task1/3 channel blocker with a norepinephrine reuptake inhibitor for the treatment of sleep apnea
OwnerMartina DELBECK, Michael HAHNinventors
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Abstract
The present invention relates to a combination of selective blockers of TASK-1 and TASK-3 channels, in particular substituted imidazo[1,2-a]pyrimidine and substituted imidazo[1,2-a]pyridine derivatives of formula (I) and norepinephrine reuptake inhibitors for the treatment and/or prophylaxis of sleep-related breathing disorders, preferably obstructive and central sleep apneas and snoring.
Claims15
Combinations of compounds of formula (I)
- in which
- the ring Q represents a piperazine or a diazaheterobicyclic system of the formula
- in which * denotes the bond to the adjacent CHR′2 group and ** the bond to the carbonyl group,
- W1, W2 or W3 represents CH or N,
- R′1 represents halogen, cyano, (C1-C4)-alkyl, cyclopropyl or cyclobutyl
- where (C1-C4)-alkyl may be up to trisubstituted by fluorine and cyclopropyl and cyclobutyl may be up to disubstituted by fluorine,
- and
- R′2 represents (C4-C6)-cycloalkyl in which a ring CH2 group may be replaced by —O—,
- or
- R′2 represents a phenyl group of the formula (a), a pyridyl group of the formula (b) or (c) or an azole group of the formula (d), (e), (f) or (g),
- in which *** marks the bond to the adjacent carbonyl group and
- R′3 represents hydrogen, fluorine, chlorine, bromine or methyl,
- R′4 represents hydrogen, fluorine, chlorine, bromine, cyano, (C1-C3)-alkyl or (C1-C3)-alkoxy,
- where (C1-C3)-alkyl and (C1-C3)-alkoxy may each be up to trisubstituted by fluorine,
- R′5 represents hydrogen, fluorine, chlorine, bromine or methyl,
- R′6 represents hydrogen, (C1-C3)-alkoxy, cyclobutyloxy, oxetan-3-yloxy, tetrahydrofuran-3-yloxy, tetrahydro-2H-pyran-4-yloxy, mono-(C1-C3)-alkylamino, di-(C1-C3)-alkylamino or (C1-C3)-alkylsulfanyl,
- where (C1-C3)-alkoxy may be up to trisubstituted by fluorine,
- R7 represents hydrogen, fluorine, chlorine, bromine, (C1-C3)-alkyl or (C1-C3)-alkoxy,
- R8A and R8B are identical or different and independently of one another represent hydrogen, fluorine, chlorine, bromine, (C1-C3)-alkyl, cyclopropyl or (C1-C3)-alkoxy
- where (C1-C3)-alkyl and (C1-C3)-alkoxy may each be up to trisubstituted by fluorine,
- R9 represents hydrogen, (C1-C3)-alkyl or amino
- and
- wherein in subformula (d)
- Y represents O, S or N(CH3),
- wherein in subformula (e) and (f)
- Y represents O or S,
- or
- R′2 represents an —OR10 or —NR11R12 group in which
- R10 represents (C1-C6)-alkyl, (C4-C6)-cycloalkyl or [(C3-C6)-cycloalkyl]methyl,
- R11 represents hydrogen or (C1-C3)-alkyl
- and
- R12 represents (C1-C6)-alkyl, (C3-C6)-cycloalkyl, phenyl or benzyl, 1-phenylethyl or 2-phenylethyl,
- where (C1-C6)-alkyl may be up to trisubstituted by fluorine,
- and
- where phenyl and the phenyl group in benzyl, 1-phenylethyl and 2-phenylethyl may be up to trisubstituted by identical or different radicals selected from the group consisting of fluorine, chlorine, methyl, ethyl, trifluoromethyl, methoxy, ethoxy, trifluoromethoxy and (trifluoromethyl)sulfanyl,
- or
- R11 and R12 are attached to one another and, together with the nitrogen atom to which they are bonded, form a pyrrolidine, piperidine, morpholine or thiomorpholine ring, or
- R11 and R12 are attached to one another and, together with the nitrogen atom to which they are bonded, form a tetrahydroquinoline ring of the formula (c) or a tetrahydroisoquinoline ring of the formula (d),
- in which ** marks the bond to the carbonyl group,
- and a noradrenaline reuptake inhibitor,
- and the salts, solvates and solvates of the salts thereof.
38 more elements
Dependencies are inferred from the claim text.