Method of treating inherited severe neutropenia
AssigneesMerck & Co., Inc., University of Washington
InventorsDavid C. Dale, Paul E. Finke, Richard A. Mumford, Andranik Andrew Aprikyan
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Abstract
The invention is directed to a method of treating severe neutropenia, and in particular, cyclic neutropenia (CN) or severe congenital neutropenia (SCN), in a patient in need of such treatment comprising: administering a therapeutically effective amount of a compound of Formula (I) or a pharmaceutically acceptable salt thereof.
Claims9
A method of treating cyclic or severe congenital neutropenia, in a patient in need of such treatment comprising administering a therapeutically effective amount of a compound of Formula (I)
- or a pharmaceutically acceptable salt thereof wherein
- R1 is C1-6 alkyl or C1-6 alkoxy-C1-6alkyl;
- M is
- (1) hydrogen,
- (2) C1-6alkyl,
- (3) hydroxy C1-6alkyl,
- (4) halo C1-6alkyl,
- (5) C2-6alkenyl, or
- (6) C1-6alkoxy-C1-6alkyl;
- Ra and Rb are each individually
- (1) hydrogen,
- (2) C1-6alkyl,
- (3) halo,
- (4) carboxy,
- (5) C1-6alkoxy,
- (6) phenyl,
- (7) C1-6alkylcarbonyl,
- (8) di-(C1-6alkyl)amino;
- (9) hydroxy;
- R2 and R3 are each independently
- (1) hydrogen,
- (2) C1-6alkyl,
- (3) halo,
- (4) carboxy,
- (5) C1-6alkoxy,
- (6) phenyl,
- (7) C1-6alkylcarbonyl,
- (8) aminoC2-3alkyloxy carbonyl wherein the amino is optionally mono or di-substituted with C1-6alkyl,
- (9) aminoC2-3alkylamino carbonyl wherein the amino is optionally mono or di-substituted with C1-6 alkyl,
- (10) hydroxy,
- (11) aminocarbonyl wherein the amino is optionally mono or di-substituted with C1-6alkyl,
- (12) hydroxymethyl,
- (13) aminocarbonyloxy C1-3alkyloxy wherein the amino is optionally mono or di-substituted with C1-6 alkyl,
- (14) cyano,
- (15) morpholinocarbonylphenyl,
- (16) amino wherein the amino is optionally mono or di-substituted with C1-6alkyl, with the proviso that R2 and R3 may be joined together to form a methylenedioxy group or a furan ring,
- (17) morpholinocarbonyl;
- R4 is
- (a) Q-C(O)—Y—N(R7)(R8), or
- (b) Q-C(O)—ORx, where Rx is carboxyC-16alkyl, benzyloxycarbonylC1-3 alkyl, or t-butoxycarbonylC1-3 alkyl,
- wherein
- Q is a covalent bond or —C(R5)(R6)—
- wherein R5 and R6 are each individually C1-3 alkyl or hydrogen,
- Y is
- or a covalent bond;
- R12 is hydrogen or C1-3alkyl;
- R7 and R8 are each individually
- (a) hydrogen,
- (b) C1-6alkyl,
- (c) C1-6alkyloxy C2-3alkyl,
- (d) hydroxy C2-6alkyl,
- (e) polyhydroxyC2-6alkyl,
- (f) carboxamido C1-6alkyl,
- (g) polyacyloxyC2-6alkyl
- (h) C1-6alkanoyl,
- (i) substituted phenyl or phenyl C1-6alkyl, wherein the substitutent is X1 as defined immediately below,
- (j) C2-6alkenyl,
- (k) C6-10cycloalkenyl,
- (l) heteroaryl C1-6alkyl wherein the hetero aryl includes pyridinyl, imidazolyl, triazolyl, benzylimidazolyl, and furyl,
- (m) carboxy C1-6alkyl,
- (n) carbo C1-6alkoxy C1-3alkyl,
- (o) phenylsulfonyl,
- (p) C1-6alkylsulfonyl,
- (q) benzyloxy,
- (r) morpholinyl C1-3alkylsulfonyl,
- (s) tetrahydropyranyl,
- (t) aminoC1-3alkylsulfonyl wherein the amino is optionally mono or di-substituted with C1-6alkyl,
- (u) aminocarbonyl wherein the amino is optionally mono or di-substituted with C1-6 alkyl,
- (v) aminocarbonyloxyC2-6alkyl wherein the amino is optionally mono or di-substituted with C1-6alkyl,
- (w) azabicyclo of 7 to 12 atoms,
- (x) di C1-3alkylamino C2-6alkyl wherein the amino is optionally mono or di-substituted with C1-6alkyl,
- (y) bicycloalkyl of 7 to 12 atoms,
- (z) C3-10cycloalkyl optionally substituted with C1-6alkyl,
- (aa) pyrazolidinyl,
- (bb) substituted piperidinyl or pyrrolidinyl wherein the substitutent is hydrogen, C1-3 alkyl, hydroxyC1-3 alkylbenzyl, carboxamido or amino wherein the amino is optionally mono or di-substituted with C1-6 alkyl,
- (cc) substituted pyrrolidinyl wherein the substitutent is carboxamido or amino wherein the amino is optionally mono or di-substituted with C1-6alkyl,
- (dd) pyrimidinyl,
- (ee) N-cyano-N′-phenylamidino,
- (ff) phosphonoC1-6alkyl, or
- (gg) α-C1-3alkyl benzyl or mono or di-substituted benzyl or mono or di-substituted pyridylmethyl, wherein the substitutents are X1 and X2,
- wherein
- X1 is
- (1) hydrogen,
- (2) halo,
- (3) C1-6alkyl,
- (4) halo-C1-6alkyl,
- (5) C2-6alkenyl,
- (6) hydroxy-C1-6alkyl,
- (7) C1-6alkylcarbonyl,
- (8) C1-6alkylcarbonylamino;
- (9) CN,
- (10) CF3,
- (11) CH3O,
- (12) amino wherein the amino is optionally mono or di-substituted with C1-6 alkyl;
- (13) carboxy, or
- (14) phenylsulfonylaminocarbonyl;
- X2 is hydrogen, halo or C1-6alkyl;
- n is 1, 2, 3, 4 or 5;
- R9 is selected from hydrogen, C1-4-alkyl, and C1-3alkoxyC1-3alkyl;
- or phenyl, phenyl C1-3alkyl, pyridyl, and pyridyl C1-3alkyl;
- R10 and R11 are each independently selected from hydrogen, C1-4alkyl, and C1-3 alkoxyC1-3alkyl, or aryl as defined above, or are together oxo;
- or
- wherein R7 and R8 are joined together to form mono or di-substituted ring of 4, 5, 6, or 7 atoms or 7 to 12 atoms such as
- (1) piperidinyl or homopiperidinyl,
- (2) piperazinyl,
- (3) morpholinyl, thiomorpholinyl or
- 1,1-dioxo-4-thiomorpholinyl,
- (4) pyrroylidinyl,
- (5) pyrryl,
- (6) imidazolyl,
- (7) triazolyl,
- (8) saturated azabicyclo of 7 to 12 atoms,
- (9) azaspiro having 3 to 9 carbon atoms, said ring being saturated,
- (10) tetrazolyl,
- (11) pyrazolidinyl,
- (12) dihydrodimethozyisoquinolyl,
- (13) azetidinyl, or
- (14) diazabicyclo ring of 7-12 atoms,
- wherein the substituents are each selected from the group consisting of hydrogen and C1-3alkyl, benzyloxycarbonyl, carboxy, phenyl C1-3alkyl amino carbonyl, pyrrolidinylmethyl, hydroxy C1-3 alkyl, C1-6 alkyloxy, C1-4-alkyloxy carbonyl, aminocarbonyl wherein the amino is optionally mono or di-substituted with C1-6 alkyl, and oxo;
- or
- —N(R7)R8 may be an amino acid residue including natural amino acids such as lysine;
- or R8 and R9 are joined together to form a mono or di-substituted saturated monocyclic ring of 6 to 7 atoms and having two hetero atoms which are the nitrogens to which R8 and R9 are attached;
- said rings to include piperazinyl and homopiperazinyl;
- or R9 and R10 are joined together to
- form a mono or di-substituted monocyclic saturated ring of 5 to 7 atoms and having one hetero atom which is the nitrogen to which R9 is attached;
- or
- wherein R9 and R12 are joined together to form a mono or di-substituted saturated monocyclic ring of 5, 6;
- or 7 atoms, said ring having one hetero atom which is the nitrogen to which R9 is attached;
- or wherein R10 and R12 are joined together to form a mono or di-substituted saturated monocyclic ring of 5, 6, or 7 carbon atoms;
- or
- wherein R8 and R11 are joined together to form a mono or di-substituted saturated monocyclic ring of 5, 6, or 7 atoms, said ring having one hetero atom which is the nitrogen to which R8 is attached;
- and the substituents are independently selected from Hydrogen and C1-3alkyl, thereby treating cyclic or severe congenital neutropenia in a patient in need of such treatment.
A method of treating cyclic or severe congenital neutropenia, in a patient in need of such treatment comprising administering a therapeutically effective amount of a compound of Formula Ia
- or a pharmaceutically acceptable salt thereof, wherein
- R is selected from the group
- No.
- R
- 242
- —CH3
- 243
- 4-fluorophenyl
- 244
- 3-chlorophenyl
- 245
- Phenyl
- 246
- Benzyl
- 247
- H
- 248
- i-propyl
- 249
- i-butyl
- 250
- —CH2CO2Et
- 251
- —CH2CO2H
- 252
- Et
- 253
- Pr
- 254
- 2-pyrimidinyl
- 255
- —CH2CH2OC(O)NHCH3
- 256
- Cyclopropyl
- 256a
- —CH2CH2OH
- thereby treating cyclic or severe congenital neutropenia, in a patient in need of such treatment.
A method of treating cyclic or severe congenital neutropenia, in a patient in need of such treatment comprising administering a therapeutically effective amount of a compound of Formula Ib
- or a pharmaceutically acceptable salt thereof, wherein
- No.
- n
- R
- 257
- 1
- —NH2
- 258
- 1
- 4-morpholinyl
- 259
- 1
- —N(CH3)CH2CH2N(CH3)2
- 260
- 0
- —N(CH3)CH2CH2N(CH3)2
- 261
- 0
- —N(Et)2
- 262
- 0
- —N(CH3)(n-butyl)
- 263
- 0
- 4-methyl-1-piperazinyl
- 264
- 0
- —N(CH3)CH2CH2N(CH3)CH2Ph
- 265
- 0
- —CH2CO2Et
- 265a
- 0
- 1-piperazinyl
- 265c
- 0
- 4-(2-hydroxyethyl)-1-
- piperazinyl
- 265d
- 0
- 4-morpholinyl
- thereby treating cyclic or severe congenital neutropenia, in a patient in need of such treatment.
Dependencies are inferred from the claim text.