Treatment of emesis with morpholine tachykinin receptor antagonists
AssigneeMerck & Co., Inc.
InventorsConrad P. Dorn, Malcolm MacCoss, Jeffrey J. Hale, Sander G. Mills
Life of this patent
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Abstract
Substituted heterocycles of the structural formula: ##STR1## are tachykinin receptor antagonists useful in the treatment of inflammatory diseases, pain or migraine, asthma, emesis and nausea.
Claims15
A method for the treatment or prevention of emesis in a mammal in need thereof which comprises the administration to the mammal of an effective amount of a compound of the formula I:
- ##STR11## or a pharmaceutically acceptable salt thereof, wherein:
- R.sup.2 and R.sup.3 are independently selected from the group consisting of:
- (1) hydrogen,
- (2) C.sub.1-6 alkyl, unsubstituted or substituted with one or ed from:
- (a) hydroxy,
- (b) oxo,
- (c) C.sub.1-6 alkoxy,
- (d) phenyl --C.sub.1-3 alkoxy,
- (e) phenyl,
- (f) --CN,
- (g) halo,
- (h) --NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are independently selected from:
- (i) hydrogen,
- (ii) C.sub.1-6 alkyl,
- (iii) hydroxy --C.sub.1-6 alkyl, and
- (iv) phenyl,
- (i) --NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (j) --NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (k) --CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (l) --COR.sup.9, wherein R.sup.9 is as defined above, and
- (m) --CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (3) C.sub.2-6 alkenyl, unsubstituted or substituted with one or more of the substituent(s) selected from:
- (a) hydroxy,
- (b) oxo,
- (c) C.sub.1-6 alkoxy,
- (d) phenyl --C.sub.1-3 alkoxy,
- (e) phenyl,
- (f) --CN,
- (g) halo,
- (h) --CONR.sup.9 R.sup.10 wherein R.sup.9 and R.sup.10 are as defined above,
- (i) --COR.sup.9 wherein R.sup.9 is as defined above,
- (j) --CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (4) C.sub.2-6 alkynyl;
- (5) phenyl, unsubstituted or substituted with one or more of the substituent(s) selected from:
- (a) hydroxy,
- (b) C.sub.1-6 alkoxy,
- (c) C.sub.1-6 alkyl,
- (d) C.sub.2-5 alkenyl,
- (e) halo,
- (f) --CN,
- (g) --NO.sub.2,
- (h) --CF.sub.3,
- (i) --(CH.sub.2).sub.m -NR.sup.9 R.sup.10, wherein m, R.sup.9 and R.sup.10 are as defined above,
- (j) --NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (k) --NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as de fined above,
- (l) --CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (m) --CO.sub.2 NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (n) --COR.sup.9, wherein R.sup.9 is as defined above;
- (o) --CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- and, alternatively, the groups R.sup.2 and R.sup.3 are joined together to form a carbocyclic ring selected from the group consisting of:
- (a) cyclopentyl,
- (b) cyclohexyl,
- (c) phenyl,
- and wherein the carbocyclic ring is unsubstituted or substituted with one or more substituents selected from:
- (i) C.sub.1-6 alkyl,
- (ii) C.sub.1-6 alkoxy,
- (iii) --NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (iv) halo, and
- v) trifluoromethyl;
- and, alternatively, the groups R.sup.2 and R.sup.3 are joined together to form a heterocyclic ring selected from the group consisting of:
- (a) pyrrolidinyl,
- (b) piperidinyl,
- (c) pyrrolyl,
- (d) pyridinyl,
- (e) imidazolyl,
- (f) furanyl,
- (g) oxazolyl,
- (h) thienyl, and
- (i) thiazolyl,
- and wherein the heterocyclic ring is unsubstituted or substituted with one or more substituent(s) selected from:
- (i) C.sub.1-6 alkyl,
- (ii) oxo,
- (iii) C.sub.1-6 alkoxy,
- (iv) -NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (v) halo, and
- (vi) trifluoromethyl:
- R.sup.6, R.sup.7 and R.sup.8 are independently selected from the group consisting of:
- (1) hydrogen;
- (2) C.sub.1-6 alkyl unsubstituted or substituted with one or more of the substituents selected from:
- (a) hydroxy,
- (b) oxo,
- (c) C.sub.1-6 alkoxy,
- (d) phenyl -C.sub.1-3 alkoxy,
- (e) phenyl,
- (f) -CN,
- (g) halo,
- (h) -NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (i) -NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (j) -NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (k) -CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (l) -COR.sup.9, wherein R.sup.9 is as defined above, and
- (m) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (3) C.sub.2-6 alkenyl, unsubstituted or substituted with one or more of the substituent(s) selected from:
- (a) hydroxy,
- (b) oxo,
- (c) C.sub.1-6 alkoxy,
- (d) phenyl -C.sub.1-3 alkoxy,
- (e) phenyl,
- (f) -CN,
- (g) halo,
- (h) -CONR.sup.9 R.sup.10 wherein R.sup.9 and R.sup.10 are as defined above,
- (i) -COR.sup.9 wherein R.sup.9 is as defined above,
- (j) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (4) C.sub.2-6 alkynyl;
- (5) phenyl, unsubstituted or substituted with one or more of the substituent(s) selected from:
- (a) hydroxy,
- (b) C.sub.1-6 alkoxy,
- (c) C.sub.1-6 alkyl,
- (d) C.sub.2-5 alkenyl,
- (e) halo,
- (f) -CN,
- (g) -NO.sub.2,
- (h) -CF.sub.3,
- (i) -(CH.sub.2).sub.m -NR.sup.9 R.sup.10, wherein m, R.sup.9 and R.sup.10 are as defined above,
- (j) -NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (k) -NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (l) -CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (m) -CO.sub.2 NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (n) -COR.sup.9, wherein R.sup.9 is as defined above;
- (o) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (6) halo,
- (7) -CN,
- (8) -CF.sub.3,
- (9) -NO.sub.2,
- (10) -SR.sup.14, wherein R.sup.14 is hydrogen or C.sub.1-5 alkyl,
- (11) -SOR.sup.14, wherein R.sup.14 is as defined above,
- (12) -SO.sub.2 R.sup.14, wherein R.sup.14 is as defined above,
- (13) NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (14) CONR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (15) NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (16) NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (17) hydroxy,
- (18) C.sub.1-6 alkoxy,
- (19) COR.sup.9, wherein R.sup.9 is as defined above,
- (20) CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above,
- (21) 2-pyridyl,
- (22) 3-pyridyl,
- (23) 4-pyridyl,
- (24) 5-tetrazolyl,
- (25) 2-oxazolyl, and
- (26) 2-thiazolyl;
- R.sup.11, R.sup.12 and R.sup.13 are independently selected from the definitions of R.sup.6, R.sup.7 and R.sup.8, or -OX;
- A is selected from the group consisting of:
- (1) C.sub.1-6 alkyl, unsubstituted or substituted with one or more of the substituents selected from:
- (a) hydroxy,
- (b) oxo,
- (c) C.sub.1-6 alkoxy,
- (d) phenyl -C.sub.1-3 alkoxy,
- (e) phenyl,
- (f) -CN,
- (g) halo, wherein halo is fluoro, chloro, bromo or iodo,
- (h) -NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (i) -NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (j) -NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above.
- (k) -CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (l) -COR.sup.9, wherein R.sup.9 is as defined above, and
- (m) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (2) C.sub.2-6 alkenyl, unsubstituted or substituted with one or more of the substituent(s) selected from:
- (a) hydroxy,
- (b) oxo,
- (c) C.sub.1-6 alkoxy,
- (d) phenyl -C.sub.1-3 alkoxy,
- (e) phenyl,
- (f) -CN,
- (g) halo,
- (h) -CONR.sup.9 R.sup.10 wherein R.sup.9 and R.sup.10 are as defined above,
- (i) -COR.sup.9 wherein R.sup.9 is as defined above, and
- (j) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- and
- (3) C.sub.2-6 alkynyl;
- B is a heterocycle, wherein the heterocycle is selected from the group consisting of:
- ##STR12## and wherein the heterocycle is substituted in addition to -X with one or more substituent(s) selected from:
- (i) hydrogen;
- (ii) C.sub.1-6 alkyl, unsubstituted or substituted with halo. -CF.sub.3, -OCH.sub.3, or phenyl,
- (iii) C.sub.1-6 alkoxy,
- (iv) OXO,
- (v) hydroxy,
- (vi) thioxo,
- (vii)-SR.sup.9, wherein R.sup.9 is as defined above,
- (viii) halo,
- (ix) cyano,
- (x) phenyl,
- (xi) trifluoromethyl,
- (xii) -(CH.sub.2).sub.m -NR.sup.9 R.sup.10, wherein m is 0, 1 or 2, and R.sup.9 and R.sup.10 are as defined above,
- (xiii) -NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xiv) -CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xv) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above, and
- (xvi) -(CH.sub.2).sub.m -OR.sup.9, wherein m and R.sup.9 are as defined above;
- p is 0 or 1;
- X is selected from:
- (a) -PO(OH)O-. M.sup.+, wherein M.sup.+ is a pharmaceutically acceptable monovalent counterion,
- (b) -PO(O.sup.-).sub.2.2M.sup.+,
- (c) -PO(O.sup.-).sub.2.D.sup.2 +, wherein D.sup.2+ is a pharmaceutically acceptable divalent counterion,
- (d) -CH(R.sup.4)-PO(OH)O-.sup.-. M.sup.+, wherein R.sup.4 is hydrogen or C.sub.1-3 alkyl,
- (e) -CH(R.sup.4)-PO(O.sup.-).sub.2.2M.sup.+,
- (f) -CH(R.sup.4)-PO(O.sup.-).sub.2.D.sup.2+,
- (g) -SO.sub.3 -.M.sup.+,
- (h) -CH(R.sup.4)-SO.sub.3 -.M.sup.30 ,
- (i) -CO-CH.sub.2 CH.sub.2 -CO.sub.2 -.M.sup.+,
- (j)-CH(CH.sub.3)-O-CO-R.sup.5, wherein R.sup.5 is selected from the group consisting of:
- ##STR13## (k) hydrogen, with the proviso that is p is 0 and none of R.sup.11, R.sup.12 or R.sup.13 are -OX, then X is other than hydrogen;
- Y is selected from the group consisting of:
- (1) a single bond,
- (2) -O-,
- (3) -S-,
- (4) -CO-,
- (5) -CH.sub.2 -,
- (6) -CHR.sup.15 -, and.
- (7) -CR.sup.15 R.sup.16 -, wherein R.sup.15 and R.sup.16 are independently selected from the group consisting of:
- (a) C.sub.1-6 alkyl, unsubstituted or substituted with one or more of the substituents selected from:
- (i) hydroxy,
- (ii) OXO,
- (iii) C.sub.1-6 alkoxy,
- (iv) phenyl -C.sub.1-3 alkoxy,
- (v) phenyl,
- (vi) -CN,
- (vii) halo,
- (viii) -NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (ix) -NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (x) -NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xi) -CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xii) -COR.sup.9, wherein R.sup.9 is as defined above, and
- (xiii) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- (b) phenyl, unsubstituted or substituted with one or more of the substituent(s) selected from:
- (i) hydroxy,
- (ii) C.sub.1-6 alkoxy,
- (iii) C.sub.1-6 alkyl,
- (iv) C.sub.2-5 alkenyl,
- (v) halo,
- (vi) -CN,
- (vii) -NO.sub.2,
- (viii) -CF.sub.3,
- (ix) -(CH.sub.2).sub.m -NR.sup.9 R.sup.10, wherein m, R.sup.9 and R.sup.10 are as defined above,
- (x) -NR.sup.9 COR.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xi) -NR.sup.9 CO.sub.2 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xii) -CONR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xiii) -CO.sub.2 NR.sup.9 R.sup.10, wherein R.sup.9 and R.sup.10 are as defined above,
- (xiv) -COR.sup.9, wherein R.sup.9 is as defined above, and
- (xv) -CO.sub.2 R.sup.9, wherein R.sup.9 is as defined above;
- Z is selected from:
- (1) hydrogen,
- (2) C.sub.1-6 alkyl, and
- (3) hydroxy, with the proviso that if Y is -O-, Z is other than hydroxy, or if Y is -CHR.sup.15 -, then Z and R.sup.15 are optionally joined together to form a double bond.
A method for the treatment or prevention of emesis in a mammal in need thereof which comprises the administration to the mammal of an effective amount of a compound which is selected from the group consisting of:
- (1) 2-(S)-(3,5-bis(trifluoromethyl)benzyloxy)-3-(S)-phenyl-4-(3-(5-oxo-1H,4H-1 ,2,4-triazolo)-methyl)morpholine N-oxide;
- (2) 2-(S)-(3,5-bis(trifluoromethyl)benzyloxy)-3-(S)-phenyl-4-(3-(4-(ethoxycarb onyloxy-1-ethyl)5-oxo-1 H-1,2,4-triazolo)-methyl)morpholine;
- (3) 2-(R)-(1-(R)-(3,5-bis(trifluoromethyl)-phenyl)ethoxy)-3-(S)-(4-fluoro) )-phenyl-4-(3-(4-monophosphoryl-5-oxo-1 H-1,2,4-triazolo )-methyl)morpholine;
- (4) 2-(R)-(1-(R)-(3,5-bis(trifluoromethyl)-phenyl)ethoxy)-3-(S)-(4-fluoro)-phe nyl-4-(3-(1-monophosphoryl-5-oxo-1 H-1,2,4-triazolo)-methyl)morpholine;
- (5) 2-(R)-(1-(R)-(3,5-bis(trifluoromethyl)-phenyl)ethoxy)-3-(S)-(4-fluoro)-phe nyl-4-(3-(2-monophosphoryl-5-oxo-1 H-1,2,4-triazolo) methyl) morpholine;
- (6) 2-(R)-(1-(R)-(3,5-bis(trifluoromethyl)-phenyl)ethoxy)-3-(S)-(4-fluoro)-phe nyl-4-(3-(5-oxyphosphoryl-1 H-1,2,4-triazolo)-methyl morpholine;
- (7)2-(S)-(1-(R)-(3,5-bis(trifluoromethyl)-phenyl)ethoxy)-3-(S)-(4-fluoro)-p henyl-4-(3-(1-phosphoryl-5-oxo-4H-1,2,4-triazolo)-methyl)morpholine;
- or a pharmaceutically acceptable salt thereof.
A method for the treatment or prevention of emesis in a mammal in need thereof which comprises the administration to the mammal of an effective amount of a compound which is selected from the group consisting of:
- ##STR21## wherein K.sup.+ is a pharmaceutically acceptable counterion.
Dependencies are inferred from the claim text.