U.S. patent application number 15/639776 was filed with the patent office on 2018-05-17 for methods and compositions for treating disorders.
The applicant listed for this patent is Hydra Biosciences, Inc.. Invention is credited to Steven P. Adams, Jayhong A. Chong, Donato Del Camino, Christopher Fanger, Neil J. Hayward, Glenn R. Larsen, Magdalene M. Moran, Howard Ng, Amy Ripka, Manfred Weigele.
Application Number | 20180133170 15/639776 |
Document ID | / |
Family ID | 40186010 |
Filed Date | 2018-05-17 |
United States Patent
Application |
20180133170 |
Kind Code |
A1 |
Weigele; Manfred ; et
al. |
May 17, 2018 |
METHODS AND COMPOSITIONS FOR TREATING DISORDERS
Abstract
Compounds and compositions for treating disorders related to
TRPA1 are described herein.
Inventors: |
Weigele; Manfred;
(Cambridge, MA) ; Chong; Jayhong A.; (Brookline,
MA) ; Larsen; Glenn R.; (Sudbury, MA) ;
Hayward; Neil J.; (Westborough, MA) ; Ripka; Amy;
(Reading, MA) ; Ng; Howard; (Summit, NJ) ;
Moran; Magdalene M.; (Brookline, MA) ; Fanger;
Christopher; (Bolton, MA) ; Del Camino; Donato;
(Brookline, MA) ; Adams; Steven P.; (Andover,
MA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Hydra Biosciences, Inc. |
Cambridge |
MA |
US |
|
|
Family ID: |
40186010 |
Appl. No.: |
15/639776 |
Filed: |
June 30, 2017 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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13402720 |
Feb 22, 2012 |
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15639776 |
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12144354 |
Jun 23, 2008 |
8163761 |
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13402720 |
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60945840 |
Jun 22, 2007 |
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60945866 |
Jun 22, 2007 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
C07D 487/04 20130101;
A61K 31/11 20130101; A61K 31/105 20130101; A61K 31/522 20130101;
C07D 473/08 20130101; A61P 17/06 20180101; A61P 29/00 20180101;
A61P 25/06 20180101; C07D 473/04 20130101 |
International
Class: |
A61K 31/105 20060101
A61K031/105; C07D 487/04 20060101 C07D487/04; A61K 31/11 20060101
A61K031/11 |
Claims
1. A method of treating pain, the method comprising administering a
compound of formula (VIII), or a pharmaceutically acceptable salt
thereof: ##STR00081## wherein, each of R.sup.1 and R.sup.2 is
independently, C.sub.1-C.sub.6 alkyl; L is C(O)NR.sup.6; R.sup.3a
is an optionally substituted nitrogen-containing heteroaryl,
R.sup.3b is aryl or heteroaryl, each of which is optionally
substituted with 1-4 R.sup.7; R.sup.6 is H; each R.sup.7 is
independently heterocyclyl, which is optionally substituted with
1-3 R.sup.8; each R.sup.8 is independently C.sub.1-C.sub.6 alkyl;
R.sup.9 is H; and m is 1, provided that the compound is not a
compound depicted in Table 2.
2. The method of claim 1, wherein R.sup.3a is pyridyl.
3. The method of claim 1, wherein R.sup.3b is phenyl.
4. The method of claim 1, wherein R.sup.1 and R.sup.2 are both
methyl.
5. The method of claim 1, wherein R.sup.3b is substituted with 1-4
R.sup.7.
6. The method of claim 1, wherein R.sub.8 is methyl.
7. The method of claim 1, wherein the pain is acute pain.
7. The method of claim 1, wherein the pain is chronic pain.
8. The method of claim 1, wherein the pain is post-operative
pain.
9. A method of inhibiting a TRPA1 channel in a sample, wherein the
sample comprises one or more TRPA1 channels, comprising contacting
the sample with a compound of formula (VIII), or a pharmaceutically
acceptable salt thereof: ##STR00082## wherein, each of R.sup.1 and
R.sup.2 is independently, C.sub.1-C.sub.6 alkyl; L is C(O)NR.sup.6;
R.sup.3a is an optionally substituted nitrogen-containing
heteroaryl, R.sup.3b is aryl or heteroaryl, each of which is
optionally substituted with 1-4 R.sup.7; R.sup.6 is H; each R.sup.7
is independently heterocyclyl, which is optionally substituted with
1-3 R.sup.8; each R.sup.8 is independently C.sub.1-C.sub.6 alkyl;
R.sup.9 is H; and m is 1, provided that the compound is not a
compound depicted in Table 2.
10. The method of claim 9, wherein R.sup.3a is pyridyl.
11. The method of claim 9, wherein R.sup.3b is phenyl.
12. The method of claim 9, wherein R.sup.1 and R.sup.2 are both
methyl.
13. The method of claim 9, wherein R.sup.3b is substituted with 1-4
R.sup.7.
14. The method of claim 9, wherein R.sub.8 is methyl.
15. The method of claim 9, wherein the TRPA1 channel comprises a
TRPA1 protein comprising an amino acid sequence selected from SEQ
ID NO: 1, SEQ ID NO: 3, and SEQ ID NO: 5.
16. The method of claim 9, wherein the TRPA1 channel comprises a
TRPA1 protein comprising at least 80% of an amino acid sequence
selected from SEQ ID NO: 1, SEQ ID NO: 3, and SEQ ID NO: 5, and
retaining a function of TRPA1.
17. The method of claim 9, wherein the sample comprises a cell or a
cell culture.
18. The method of claim 9, wherein the sample comprises a
membrane.
19. A method of selectively inhibiting a TRPA1 channel in a sample,
wherein the sample comprises one or more TRPA1 channels and one or
more non-TRPA1 channels, comprising contacting the sample with a
compound of formula (VIII), or a pharmaceutically acceptable salt
thereof: ##STR00083## wherein, each of R.sup.1 and R.sup.2 is
independently, C.sub.1-C.sub.6 alkyl; L is C(O)NR.sup.6; R.sup.3a
is an optionally substituted nitrogen-containing heteroaryl,
R.sup.3b is aryl or heteroaryl, each of which is optionally
substituted with 1-4 R.sup.7; R.sup.6 is H; each R.sup.7 is
independently heterocyclyl, which is optionally substituted with
1-3 R.sup.8; each R.sup.8 is independently C.sub.1-C.sub.6 alkyl;
R.sup.9 is H; and m is 1, provided that the compound is not a
compound depicted in Table 2.
20. The method of claim 19, wherein the non-TRPA1 channel is
selected from Na.sub.V1.2, Ca.sub.V1.2, Ca.sub.V3.1, HERG, and
mitochondrial uniporter.
21. The method of claim 19, wherein the non-TRPA1 channel is
selected from TRPC6, TRPV5, TRPV6, TRPM8, TRPV1, TRPV2, TRPV4 and
TRPV3.
Description
CLAIM OF PRIORITY
[0001] This application is a continuation application of U.S. Ser.
No. 13/402,720, filed Feb. 22, 2012, which is a divisional
application of U.S. Ser. No. 12/144,354, filed Jun. 23, 2008, which
claims priority from U.S. Ser. No. 60/945,840, filed Jun. 22, 2007
and U.S. Ser. No. 60/945,866, filed Jun. 22, 2007, each of which is
incorporated herein by reference in its entirety.
BACKGROUND
[0002] A variety of ion channel proteins exist to mediate ion flux
across cellular membranes. The proper expression and function of
ion channel proteins is essential for the maintenance of cell
function, intracellular communication, and the like. Numerous
diseases are the result of misregulation of membrane potential or
aberrant calcium handling. Given the central importance of ion
channels in modulating membrane potential and ion flux in cells,
identification of agents that can promote or inhibit particular ion
channels are of great interest as research tools and as possible
therapeutic agents.
SUMMARY OF THE INVENTION
[0003] The present invention provides methods and compositions for
treating or preventing conditions such as pain by modulating the
activity of the TRPA1 channel. The compounds described herein
modulate the function of TRPA1 by inhibiting a TRPA1-mediated ion
flux or by inhibiting the inward current, the outward current, or
both currents mediated by TRPA1. The inhibition of a particular
current is the ability to inhibit or reduce such current (e.g.,
inward and/or outward) in an in vitro or an in vivo assay. The
following articles are exemplary of the state of the art regarding
the structure and function of TRPA1 (Jordt et al. (2004) Nature
427:260-265; Bautista et al., (2005) PNAS: 102(34):12248-12252).
The foregoing articles are incorporated by reference in their
entirety.
[0004] One aspect of the present invention relates to a method for
treating or preventing a condition involving activation of TRPA1 or
for which reduced TRPA1 activity can reduce the severity by
administering a TRPA1 antagonist that inhibits TRPA1-mediated
current and/or TRPA1-mediated ion flux. Described in greater detail
below are TRPA1 antagonists that have measured IC.sub.50's for
inhibition of TRPA1 of 10 micromolar or less, 5 micromolar or less,
2 micromolar or less, 1 micromolar or less, 500 nanomolar or less,
200 nanomolar or less, 100 nanomolar or less, and even 10 nanomolar
or less. In certain embodiments, the TRPA1 antagonist inhibit one
or both of inward and outward TRPA1-mediated current with an
IC.sub.50 of 1 micromolar or less, and more preferably with an
IC.sub.50 of 500 nanomolar or less, 200 nanomolar or less, 100
nanomolar or less, 25 nanomolar or less and even 10 nanomolar or
less. In certain embodiments, the TRPA1 antagonist inhibits at
least 95% of TRPA1-mediated current or TRPA1-mediated ion flux when
administered at 5 micromolar or less, and even more preferably at 1
micromolar or less.
[0005] In certain embodiments, the subject TRPA1 antagonists
inhibit TRPA1 with an IC.sub.50 at least one order of magnitude
lower than its IC.sub.50 for inhibition of one or more of TRPV5,
TRPV6, NaV 1.2, TRPV1, mitochondrial uniporter and hERG channel
activities, and even more preferably two or even three orders of
magnitude lower.
[0006] In certain embodiments, the subject TRPA1 antagonists are at
least 10, 20, 30, 40, or 50 fold selective for inhibiting TRPA1
activity over that of one or more of TRPV5, TRPV6, NaV 1.2, TRPV1,
mitochondrial uniporter, or hERG channel activities. In other
words, the antagonist inhibits TRPA1 activity (one or more
functions of TRPA1) 10, 20, 30, 40, or 50 times more potently than
that of one or more of the foregoing channels.
[0007] In certain embodiments, the subject TRPA1 antagonists
inhibit TRPA1 with an IC.sub.50 at least one order of magnitude
more potent than its Ki for the AMPA receptor. In certain other
embodiments, the subject TRPA1 antagonists inhibit TRPA1 with an
IC.sub.50 at least two orders of magnitude, or even three orders of
magnitude, or four orders of magnitude more potent than its Ki for
the AMPA receptor. In certain embodiments, the subject TRPA1
antagonists do not appreciably bind the AMPA receptor. In other
words, the subject antagonists inhibit TRPA1 with a particular
IC.sub.50 and, when administered at that concentration, the
antagonist does not appreciably bind AMPA receptor (e.g., does
specifically and appreciably bind the AMPA receptor). In certain
embodiments, compounds of the invention inhibit a TRPA1-mediated
current with an IC.sub.50 that is more potent than its Ki for the
AMPA receptor. In such embodiments, the ability of the subject
TRPA1 inhibitors to decrease pain would thus be independent of
binding to and modulation of the
alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)
receptor which has been implicated in neuropathic pain
reception.
[0008] In certain embodiments, the TRPA1 antagonists inhibit TRPA1
with an IC.sub.50 at least one order of magnitude lower than its
IC.sub.50 for inhibition of TRPV1, and even more preferably two or
even three orders of magnitude lower. In certain embodiments, the
subject TRPA1 antagonists can be selected for selectivity for TRPA1
versus TRPV1 on the basis of having IC.sub.50 for TRPV1 inhibition
greater than 10 micromolar.
[0009] In certain embodiments, the TRPA1 antagonists inhibit one or
more of TRPV2, TRPV4, TRPV3 and/or TRPM8 with an IC.sub.50 of 10
micromolar or less.
[0010] In certain embodiments, the TRPA1 antagonist has a
therapeutic index (T.I.) for treating the condition with the
compound of 10 or greater, and even more preferably has a T.I. of
at least 25, 50 or even 100.
[0011] In preferred embodiments, the TRPA1 inhibitor has an
IC.sub.50 for TRPA1 inhibition that, at that concentration, does
not cause QT interval elongation in the patient nor alter
temperature regulation in the patient.
[0012] In certain embodiments, the TRPA1 inhibitor is used to treat
or ameliorate pain. Exemplary classes of pain that can be treated
using a TRPA1 inhibitor include, but are not limited to nociceptive
pain, inflammatory pain, and neuropathic pain. Pain that can be
treated with a TRPA1 inhibitor can be chronic or acute.
[0013] In certain embodiments, the TRPA1 inhibitor is used to treat
or ameliorate the symptoms of incontinence.
[0014] In certain embodiments, the TRPA1 inhibitor is non-narcotic
and has little or no narcotic side-effects. In certain other
embodiments, the TRPA1 inhibitor can be used to treat or ameliorate
pain with fewer side-effects than narcotic pain relievers.
Exemplary side-effects that may be substantially absent at
effective dosages of TRPV3 inhibitors include one or more of
exopthalmos, catalepsy, disruption of gut motility, and inhibition
of sensation in non-injured areas of the body.
[0015] In certain embodiments, a TRPA1 inhibitor used in the
treatment of any of the diseases or indications disclosed herein
has one or more of the structural or functional characteristics
disclosed herein. [0016] In one aspect, the invention features a
compound of formula (I),
##STR00001##
[0017] wherein,
[0018] R.sup.1 and R.sup.2 are each independently C.sub.1-C.sub.6
alkyl, C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, each of
which is optionally substituted with 1-4 R.sup.5;
[0019] L is NR.sup.6SO.sub.2, SO.sub.2NR.sup.6, C(O)NR.sup.6,
NR.sup.6C(O), OC(O)NR.sup.6, NR.sup.6C(O)O, NR.sup.6C(O)NR.sup.6,
S, S(O), S(O).sub.2, NR.sup.6, CH.sub.2, O, C(O), C(O)NS(O).sub.2,
S(O).sub.2NC(O), heteroaryl, or cyclyl;
[0020] R.sup.3 is cyclyl, heterocyclyl, aryl, heteroaryl, each of
which is optionally substituted with 1-4 R.sup.7;
[0021] each R.sup.5 is independently halo, hydroxyl, alkoxy, amino,
alkylamino, dialkylamino, cyano, nitro, amido, alkylamido,
dialkylamido, thioyl, sulfonyl, cyclyl, heterocyclyl, aryl, or
heteroaryl;
[0022] each R.sup.6 is independently H, C.sub.1-C.sub.6 alkyl,
C.sub.1-C.sub.6 alkenyl, hydroxyC.sub.1-C.sub.6 alkyl,
alkoxyC.sub.1-C.sub.6 alkyl, cyanoalkyl, haloalkyl, arylalkyl,
S(O)alkyl, acyl, amino, amidyl, or S(O).sub.2H, aryl,
alkoxyaryl;
[0023] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, cyclyl,
heterocyclyl, aryl, heteroaryl, cyclylalkyl, heterocyclylalkyl,
arylalkyl, heteroarylalkyl, halo, hydroxyl, alkoxy, aryloxy,
arylalkoxy, amino, akylamino, dialkylamino, thioyl, alkylthioyl,
sulfonyl, sulfonamidyl (e.g., where the nitrogen of the sulfonamide
is substituted by an alkyl, or where the nitrogen of the
sulfonamide together with two carbons to which it is attached,
forms a ring), amido (e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
urea, sulfonylurea, acyl, --C(O)aryl, --NHC(O)aryl, --C(O)NHaryl,
--C(O)OH, --C(O)Oalkyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8;
[0024] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl,
amido(e.g., where the nitrogen of the amide is substituted by an
alkyl, or where the nitrogen of the amide together with two carbons
to which it is attached, forms a ring), C(O)OH, --C(O)Oalkyl, urea,
sulfonylurea acyl, nitro, cyano, cyclyl, heterocyclyl, aryl, or
heteroaryl; optionally substituted with 1-3 C.sub.1-C.sub.6 alkyl,
C.sub.1-C.sub.6 haloalkyl, or halo;
[0025] R.sup.9 is independently H, C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, arylalkoxy,
amino, akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido, urea, sulfonylurea, acyl, nitro, cyano, each
of which is optionally substituted with 1-3 R.sup.8;
[0026] each m and n are independently 0, 1, 2, 3, 4, 5, or 6.
[0027] In some embodiments, when L is heteroaryl or cyclopropyl, n
is at least 1.
[0028] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0029] In some embodiments, R.sup.1 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0030] In some embodiments, wherein R.sup.1 is
##STR00002##
[0031] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example a nitrogen containing
heterocyclyl such as morpholinyl.
[0032] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0033] In some embodiments, R.sup.2 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0034] In some embodiments, wherein R.sup.2 is
##STR00003##
[0035] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example, a nitrogen containing
heterocyclyl such as morpholinyl.
[0036] In some embodiments, both R.sup.1 and R.sup.2 are
C.sub.1-C.sub.6 alkyl, for example, both R.sup.1 and R.sup.2 are
methyl.
[0037] In some embodiments, R.sup.3 is monocyclic, for example a
monocyclic cyclyl, a monocyclic aryl, a monocyclic heterocyclyl, or
a monocyclic heteroaryl.
[0038] In some embodiments, R.sup.3 is aryl, for example,
phenyl.
[0039] In some embodiments, R.sup.3 is phenyl substituted by 1-3
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, at least 1 R.sup.7 is positioned in the para
position.
[0040] In some embodiments, R.sup.3 is phenyl substituted by 1
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is positioned in the para position, for
example, when R.sup.7 is Me, OMe, or halo, e.g., R.sup.7 is
methyl.
[0041] In some embodiments, R.sup.3 is
##STR00004##
[0042] In some embodiments, R.sup.3 is heterocyclyl, for example, a
nitrogen containing heterocyclyl and/or a 5 membered heterocyclyl.
In some embodiments, R.sup.3 is substituted by 1-3 R.sup.7. In some
embodiments, at least 1 R.sup.7 is in the 3 position of the 5
membered ring. In some embodiments, R.sup.7 is Me, OMe, or
halo.
[0043] In some embodiments, R.sup.3 is substituted by 1 R.sup.7,
for example, Me, OMe, or halo. In some embodiments, R.sup.7 is in
the 3 position of the 5 membered ring, for example, when R.sup.7 is
Me, OMe, or halo.
[0044] In some embodiments, R.sup.3 is a 6 membered heterocyclyl,
for example, R.sup.3 is
##STR00005##
In some embodiments, R.sup.3 is substituted by 1-4R.sup.7.
[0045] In some embodiments, R.sup.3 is heteroaryl, for example, a 5
or 6 membered heteroaryl, e.g., a 5 membered heteroaryl. In some
embodiments, R.sup.3 is substituted by 1-3 R.sup.7, for example,
Me, OMe, or halo. In some embodiments, at least 1 R.sup.7 is in the
3 position of the 5 membered ring, for example when R.sup.7 is Me,
OMe, or halo. In some embodiments, R.sup.3 is substituted by 1
R.sup.7, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is in the 3 position of the 5 membered ring,
for example, when R.sup.7 is Me, OMe, or halo. In some embodiments,
R.sup.7 is in the 4 position of the 5 membered ring, for example,
when R.sup.7 is Me, OMe, or halo.
[0046] In some embodiments, R.sup.3 is a nitrogen containing
heteroaryl, for example,
##STR00006##
In some embodiments, the 5 membered heteroaryl is substituted by at
least 1 R.sup.7 (e.g., one or two), for example, is in the 3 or 4
position of the 5 membered ring.
[0047] In some embodiments, R.sup.3 is a 6 membered heteroaryl, for
example, substituted by 1-3 R.sup.7 such as Me, OMe, or halo. In
some embodiments, at least 1 R.sup.7 is positioned in the para
position, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.3 is substituted by 1 R.sup.7, for example, when
R.sup.7 is Me, OMe, or halo. In some embodiments, R.sup.7 is
positioned in the para position, for example, when R.sup.7 is Me,
OMe, or halo.
[0048] In some embodiments, R.sup.3 is a 6 membered, nitrogen
containing heteroaryl.
[0049] In some embodiments, R.sup.3 is
##STR00007##
In some embodiments, R.sup.3 is substituted by 1-4 R.sup.7.
[0050] In some embodiments, R.sup.3 is a 6 membered heteroaryl
containing 2 nitrogens, e.g.,
##STR00008##
In some embodiments, R.sup.3 is substituted by 1-3 R.sup.7.
[0051] In some embodiments, R.sup.3 is a heteroaryl or heterocycyl
having two fused rings. In some embodiments, R.sup.3 is substituted
by 1-4 R.sup.7.
[0052] In some embodiments, R.sup.3 is a heteroaryl or heterocycyl
having three fused rings. In some embodiments, R.sup.3 is
substituted by 1-4 R.sup.7.
[0053] In some embodiments, each R.sup.7 is independently
C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, halo, hydroxyl, alkoxy, aryloxy, arylalkoxy, amino,
akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido (e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
urea, sulfonylurea, acyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8;
[0054] In some embodiments, L is L is NR.sup.6SO.sub.2,
SO.sub.2NR.sup.6, C(O)NR.sup.6, NR.sup.6C(O), OC(O)NR.sup.6,
NR.sup.6C(O)O, NR.sup.6C(O)NR.sup.6, S, S(O), S(O).sub.2,
C(O)NS(O).sub.2, S(O).sub.2NC(O), heteroaryl, or cyclyl.
[0055] In some embodiments, L is L is NR.sup.6SO.sub.2,
SO.sub.2NR.sub.6, OC(O)NR.sub.6, NR.sub.6C(O)O, NR6C(O)NR6, S,
S(O), S(O)2, C(O)NS(O)2, S(O)2NC(O), heteroaryl, or cyclyl.
[0056] In some embodiments, L is NR.sup.6SO.sub.2 or
SO.sub.2NR.sup.6, OC(O)NR.sup.6, NR.sup.6C(O)O,
NR.sup.6C(O)NR.sup.6.
[0057] In some embodiments, R.sup.6 is H.
[0058] In some embodiments, L is OC(O)NR.sup.6 or NR.sup.6C(O)O. In
some embodiments, R.sup.6 is H.
[0059] In some embodiments, L is NR.sup.6C(O)NR.sup.6. In some
embodiments, R.sup.6 is H.
[0060] In some embodiments, L is cyclyl or heterocyclyl, for
example, cyclopropyl.
[0061] In some embodiments, L is C(O).
[0062] In some embodiments, R.sup.9 is H.
[0063] In some embodiments, R.sup.9 is halo, for example,
chloro.
[0064] In some embodiments, m is 1.
[0065] In some embodiments, n is 2.
[0066] In some embodiments, m is 1 and n is 2.
[0067] In some embodiments, n is 0.
[0068] In some embodiments, m is 1 and n is 0.
[0069] In some embodiments, m+n.ltoreq.6.
[0070] In some embodiments, the compound has one of the formula
below:
##STR00009##
[0071] In one aspect, the compound is a compound of formula
(Ia)
##STR00010##
wherein,
[0072] R.sup.1 and R.sup.2 are each independently C.sub.1-C.sub.6
alkyl, C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, each of
which is optionally substituted with 1-4 R.sup.5;
[0073] L is NR.sub.6C(O) or C(O)NR.sub.6;
[0074] R.sup.3 is cyclyl, heterocyclyl, aryl, heteroaryl, each of
which is optionally substituted with 1-4 R.sup.7;
[0075] each R.sup.5 is independently halo, hydroxyl, alkoxy, amino,
alkylamino, dialkylamino, cyano, nitro, amido(e.g., where the
nitrogen of the amide is substituted by an alkyl, or where the
nitrogen of the amide together with two carbons to which it is
attached, forms a ring), alkylamido, dialkylamido, thioyl,
sulfonyl, cyclyl, heterocyclyl, aryl, or heteroaryl;
[0076] each R.sup.6 is independently H, C.sub.1-C.sub.6 alkyl,
arylalkyl, S(O)alkyl, acetyl, or S(O)H;
[0077] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, cyclyl,
heterocyclyl, aryl, heteroaryl, cyclylalkyl, heterocyclylalkyl,
arylalkyl, heteroarylalkyl, halo, hydroxyl, alkoxy, aryloxy,
arylalkoxy, amino, akylamino, dialkylamino, thioyl, alkylthioyl,
sulfonyl, sulfonamidyl, amido (e.g., where the nitrogen of the
amide is substituted by an alkyl, or where the nitrogen of the
amide together with two carbons to which it is attached, forms a
ring), urea, sulfonylurea, acyl, --C(O)aryl, --NHC(O)aryl,
--C(O)NHaryl, nitro, cyano, each of which is optionally substituted
with 1-3 R.sup.8;
[0078] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl,
amido(e.g., where the nitrogen of the amide is substituted by an
alkyl, or where the nitrogen of the amide together with two carbons
to which it is attached, forms a ring), urea, sulfonylurea acyl,
nitro, cyano, cyclyl, heterocyclyl, aryl, or heteroaryl; optionally
substituted with 1-3 C.sub.1-C.sub.6 alkyl, C.sub.1-C.sub.6
haloalkyl, or halo;
[0079] each R.sup.9 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, arylalkoxy,
amino, akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido, urea, sulfonylurea, acyl, nitro, cyano, each
of which is optionally substituted with 1-3 R.sup.8;
m is 0, 1, 2, 3, 4, 5, or 6; and n is 2, 3, 4, 5, or 6.
[0080] In some embodiments, when m is 1, n is 2, L is C(O)NH, and
R.sup.1 and R.sup.2 are both methyl,
[0081] R.sup.3 is not phenyl. In some embodiments, when L is
NR.sub.6C(O), m is at least 2.
[0082] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0083] In some embodiments, R.sup.1 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0084] In some embodiments, wherein R.sup.1 is
##STR00011##
[0085] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example a nitrogen containing
heterocyclyl such as morpholinyl.
[0086] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0087] In some embodiments, R.sup.2 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0088] In some embodiments, wherein R.sup.2 is
##STR00012##
[0089] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example, a nitrogen containing
heterocyclyl such as morpholinyl.
[0090] In some embodiments, both R.sup.1 and R.sup.2 are
C.sub.1-C.sub.6 alkyl, for example, both R.sup.1 and R.sup.2 are
methyl.
[0091] In some embodiments, R.sup.3 is monocyclic, for example a
monocyclic cyclyl, a monocyclic aryl, a monocyclic heterocyclyl, or
a monocyclic heteroaryl.
[0092] In some embodiments, R.sup.3 is aryl, for example,
phenyl.
[0093] In some embodiments, R.sup.3 is phenyl substituted by 1-3
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, at least 1 R.sup.7 is positioned in the para
position.
[0094] In some embodiments, R.sup.3 is phenyl substituted by 1
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is positioned in the para position, for
example, when R.sup.7 is Me, OMe, or halo, e.g., R.sup.7 is
methyl.
[0095] In some embodiments, R.sup.3 is
##STR00013##
[0096] In some embodiments, R.sup.3 is heterocyclyl, for example, a
nitrogen containing heterocyclyl and/or a 5 membered heterocyclyl.
In some embodiments, R.sup.3 is substituted by 1-3 R.sup.7. In some
embodiments, at least 1 R.sup.7 is in the 3 position of the 5
membered ring. In some embodiments, R.sup.7 is Me, OMe, or
halo.
[0097] In some embodiments, R.sup.3 is substituted by 1 R.sup.7,
for example, Me, OMe, or halo. In some embodiments, R.sup.7 is in
the 3 position of the 5 membered ring, for example, when R.sup.7 is
Me, OMe, or halo.
[0098] In some embodiments, R.sup.3 is a 6 membered heterocyclyl,
for example, R.sup.3 is
##STR00014##
In some embodiments, R.sup.3 is substituted by 1-4 R.sup.7.
[0099] In some embodiments, R.sup.3 is heteroaryl, for example, a 5
or 6 membered heteroaryl, e.g., a 5 membered heteroaryl. In some
embodiments, R.sup.3 is substituted by 1-3 R.sup.7, for example,
Me, OMe, or halo. In some embodiments, at least 1 R.sup.7 is in the
3 position of the 5 membered ring, for example when R.sup.7 is Me,
OMe, or halo. In some embodiments, R.sup.3 is substituted by 1
R.sup.7, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is in the 3 position of the 5 membered ring,
for example, when R.sup.7 is Me, OMe, or halo. In some embodiments,
R.sup.7 is in the 4 position of the 5 membered ring, for example,
when R.sup.7 is Me, OMe, or halo.
[0100] In some embodiments, R.sup.3 is a nitrogen containing
heteroaryl, for example,
##STR00015##
In some embodiments, the 5 membered heteroaryl is substituted by at
least 1 R.sup.7 (e.g., one or two), for example, in the 3 or 4
position of the 5 membered ring.
[0101] In some embodiments, R.sup.3 is a 6 membered heteroaryl, for
example, substituted by 1-3 R.sup.7 such as Me, OMe, or halo. In
some embodiments, at least 1 R.sup.7 is positioned in the para
position, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.3 is substituted by 1 R.sup.7, for example, when
R.sup.7 is Me, OMe, or halo. In some embodiments, R.sup.7 is
positioned in the para position, for example, when R.sup.7 is Me,
OMe, or halo.
[0102] In some embodiments, R.sup.3 is
##STR00016##
In some embodiments, R.sup.3 is substituted by 1-4 R.sup.7.
[0103] In some embodiments, R.sup.3 is a 6 membered heteroaryl
containing 2 nitrogens, e.g.,
##STR00017##
In some embodiments, R.sup.3 is substituted by 1-3R.sup.7.
[0104] In some embodiments, R.sup.3 is a heteroaryl or heterocycyl
having two fused rings. In some embodiments, R.sup.3 is substituted
by 1-4 R.sup.7. In some embodiments, R.sup.3 is a heteroaryl or
heterocycyl having three fused rings. In some embodiments, R.sup.3
is substituted by 1-4 R.sup.7.
[0105] In some embodiments, each R.sup.7 is independently
C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, halo, hydroxyl, alkoxy, aryloxy, arylalkoxy, amino,
akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido (e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
urea, sulfonylurea, acyl, nitro, cyano, each of which is
independently substituted with 1-3 R.sup.8.
[0106] In some embodiments, L is C(O)NR.sup.6.
[0107] In some embodiments, L is NR.sup.6C(O).
[0108] In some embodiments, R.sup.9 is H.
[0109] In some embodiments, R.sup.9 is halo, for example,
chloro.
[0110] In some embodiments, m is 1.
[0111] In some embodiments, n is 2.
[0112] In some embodiments, m is 1 and n is 2.
[0113] In some embodiments, n is 0.
[0114] In some embodiments, m is 1 and n is 0.
[0115] In some embodiments, m+n.ltoreq.6.
[0116] In some preferred embodiments, the compound is a compound of
formula (Ia')
##STR00018##
[0117] In one aspect, the invention features a compound of formula
(Ib)
##STR00019##
wherein,
[0118] R.sup.1 and R.sup.2 are each independently C.sub.1-C.sub.6
alkyl, C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, each
of
[0119] which is optionally substituted with 1-4 R.sup.5;
[0120] L is NR.sub.6C(O) or C(O)NR.sub.6;
[0121] R.sup.3 is cyclyl, heterocyclyl, aryl, heteroaryl, each of
which is optionally substituted with 1-4 R.sup.7;
[0122] each R.sup.5 is independently halo, hydroxyl, alkoxy, amino,
alkylamino, dialkylamino, cyano, nitro, amido (e.g., where the
nitrogen of the amide is substituted by an alkyl, or where the
nitrogen of the amide together with two carbons to which it is
attached, forms a ring), alkylamido, dialkylamido, thioyl,
sulfonyl, cyclyl, heterocyclyl, aryl, or heteroaryl;
[0123] each R.sup.6 is independently H, C.sub.1-C.sub.6 alkyl,
arylalkyl, S(O)alkyl, acetyl, or S(O)H;
[0124] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
cyclylalkyl, heterocyclylalkyl, arylalkyl, heteroarylalkyl,
hydroxyl, alkoxy, aryloxy, arylalkoxy, amino, akylamino,
dialkylamino, thioyl, alkylthioyl, sulfonyl, sulfonamidyl, amido
(e.g., where the nitrogen of the amide is substituted by an alkyl,
or where the nitrogen of the amide together with two carbons to
which it is attached, forms a ring), urea, sulfonylurea, acyl,
--C(O)aryl, --NHC(O)aryl, --C(O)NHaryl, nitro, cyano, each of which
is optionally substituted with 1-3 R.sup.8;
[0125] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl, amido
(e.g., where the nitrogen of the amide is substituted by an alkyl,
or where the nitrogen of the amide together with two carbons to
which it is attached, forms a ring), urea, sulfonylurea, acyl,
nitro, cyano, cyclyl, heterocyclyl, aryl, or heteroaryl; optionally
substituted with 1-3 C.sub.1-C.sub.6 alkyl, C.sub.1-C.sub.6
haloalkyl, or halo;
[0126] each R.sup.9 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, arylalkoxy,
amino, akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido, urea, sulfonylurea, acyl, nitro, cyano, each
of which is optionally substituted with 1-3 R.sup.8;
[0127] m is 0, 1, 2, 3, 4, 5, or 6.
[0128] In some embodiments, when L is NR.sub.6C(O), m is at least
2.
[0129] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0130] In some embodiments, R.sup.1 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0131] In some embodiments, wherein R.sup.1 is
##STR00020##
[0132] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example a nitrogen containing
heterocyclyl such as morpholinyl.
[0133] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0134] In some embodiments, R.sup.2 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0135] In some embodiments, wherein R.sup.2 is
##STR00021##
[0136] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example, a nitrogen containing
heterocyclyl such as morpholinyl.
[0137] In some embodiments, both R.sup.1 and R.sup.2 are
C.sub.1-C.sub.6 alkyl, for example, both R.sup.1 and R.sup.2 are
methyl.
[0138] In some embodiments, R.sup.3 is monocyclic, for example a
monocyclic cyclyl, a monocyclic aryl, a monocyclic heterocyclyl, or
a monocyclic heteroaryl.
[0139] In some embodiments, R.sup.3 is aryl, for example,
phenyl.
[0140] In some embodiments, R.sup.3 is phenyl substituted by 1-3
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, at least 1 R.sup.7 is positioned in the para
position.
[0141] In some embodiments, R.sup.3 is phenyl substituted by 1
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is positioned in the para position, for
example, when R.sup.7 is Me, OMe, or halo, e.g., R.sup.7 is
methyl.
[0142] In some embodiments, R.sup.3 is
##STR00022##
[0143] In some embodiments, R.sup.3 is heterocyclyl, for example, a
nitrogen containing heterocyclyl and/or a 5 membered heterocyclyl.
In some embodiments, R.sup.3 is substituted by 1-3 R.sup.7. In some
embodiments, at least 1 R.sup.7 is in the 3 position of the 5
membered ring. In some embodiments, R.sup.7 is Me, OMe, or
halo.
[0144] In some embodiments, R.sup.3 is substituted by 1 R.sup.7,
for example, Me, OMe, or halo. In some embodiments, R.sup.7 is in
the 3 position of the 5 membered ring, for example, when R.sup.7 is
Me, OMe, or halo.
[0145] In some embodiments, R.sup.3 is a 6 membered heterocyclyl,
for example, R.sup.3 is
##STR00023##
In some embodiments, R.sup.3 is substituted by 1-4R.sup.7.
[0146] In some embodiments, R.sup.3 is heteroaryl, for example, a 5
or 6 membered heteroaryl, e.g., a 5 membered heteroaryl. In some
embodiments, R.sup.3 is substituted by 1-3 R.sup.7, for example,
Me, OMe, or halo. In some embodiments, at least 1 R.sup.7 is in the
3 position of the 5 membered ring, for example when R.sup.7 is Me,
OMe, or halo. In some embodiments, R.sup.3 is substituted by 1
R.sup.7, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is in the 3 position of the 5 membered ring,
for example, when R.sup.7 is Me, OMe, or halo. In some embodiments,
R.sup.7 is in the 4 position of the 5 membered ring, for example,
when R.sup.7 is Me, OMe, or halo.
[0147] In some embodiments, R.sup.3 is a nitrogen containing
heteroaryl, for example,
##STR00024##
In some embodiments, the 5 membered heteroaryl is substituted by at
least 1 R.sup.7 (e.g., one or two), for example, in the 3 or 4
position of the 5 membered ring.
[0148] In some embodiments, R.sup.3 is a 6 membered heteroaryl, for
example, substituted by 1-3 R.sup.7 such as Me, OMe, or halo. In
some embodiments, at least 1 R.sup.7 is positioned in the para
position, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.3 is substituted by 1 R.sup.7, for example, when
R.sup.7 is Me, OMe, or halo. In some embodiments, R.sup.7 is
positioned in the para position, for example, when R.sup.7 is Me,
OMe, or halo.
[0149] In some embodiments, R.sup.3 is
##STR00025##
In some embodiments, R.sup.3 is substituted by 1-4 R.sup.7. In some
embodiments, R.sup.3 is a 6 membered heteroaryl containing 2
nitrogens, e.g.,
##STR00026##
In some embodiments, R.sup.3 is substituted by 1-4R.sup.7.
[0150] In some embodiments, R.sup.3 is a heteroaryl or heterocycyl
having two fused rings. In some embodiments, R.sup.3 is substituted
by 1-4 R.sup.7. In some embodiments, R.sup.3 is a heteroaryl or
heterocycyl having three fused rings. In some embodiments, R.sup.3
is substituted by 1-4 R.sup.7.
[0151] In some embodiments, each R.sup.7 is independently
C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, halo, hydroxyl, alkoxy, aryloxy, arylalkoxy, amino,
akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido (e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
urea, sulfonylurea, acyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8.
[0152] In some embodiments, L is C(O)NR.sup.6.
[0153] In some embodiments, L is NR.sup.6C(O).
[0154] In some embodiments, R.sup.9 is H.
[0155] In some embodiments, R.sup.9 is halo, for example,
chloro.
[0156] In some embodiments, m is 1.
[0157] In one aspect, the invention features a compound of formula
(Ic)
##STR00027##
wherein,
[0158] R.sup.1 and R.sup.2 are each independently C.sub.1-C.sub.6
alkyl, C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, each of
which is optionally substituted with 1-4 R.sup.5;
[0159] L is NR.sup.6, CH.sub.2, or O;
[0160] R.sup.3 is cyclyl, heterocyclyl, aryl, heteroaryl, each of
which is optionally substituted with 1-4 R.sup.7;
[0161] each R.sup.5 is independently halo, hydroxyl, alkoxy, amino,
alkylamino, dialkylamino, cyano, nitro, amido (e.g., where the
nitrogen of the amide is substituted by an alkyl, or where the
nitrogen of the amide together with two carbons to which it is
attached, forms a ring), alkylamido, dialkylamido, thioyl,
sulfonyl, cyclyl, heterocyclyl, aryl, or heteroaryl;
[0162] each R.sup.6 is independently H, C.sub.1-C.sub.6 alkyl,
arylalkyl, S(O)alkyl, acetyl, or S(O)H;
[0163] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
hydroxyl, alkoxy, aryloxy, arylalkoxy, cyclylalkyl,
heterocyclylalkyl, arylalkyl, heteroarylalkyl, amino, akylamino,
dialkylamino, thioyl, alkylthioyl, sulfonyl, sulfonamidyl, amido
(e.g., where the nitrogen of the amide is substituted by an alkyl,
or where the nitrogen of the amide together with two carbons to
which it is attached, forms a ring), urea, sulfonylurea, acyl,
nitro, cyano, each of which is optionally substituted with 1-3
R.sup.8;
[0164] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl, amido
(e.g., where the nitrogen of the amide is substituted by an alkyl,
or where the nitrogen of the amide together with two carbons to
which it is attached, forms a ring), urea, sulfonylurea acyl,
--C(O)aryl, --NHC(O)aryl, --C(O)NHaryl, nitro, cyano, cyclyl,
heterocyclyl, aryl, or heteroaryl; optionally substituted with 1-3
C.sub.1-C.sub.6 alkyl, C.sub.1-C.sub.6 haloalkyl, or halo;
[0165] each R.sup.9 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, arylalkoxy,
amino, akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido, urea, sulfonylurea, acyl, nitro, cyano, each
of which is optionally substituted with 1-3 R.sup.8;
[0166] m is 1, 2, 3, 4, 5, or 6; and
[0167] n is 1, 2, 3, 4, 5, or 6.
[0168] In some embodiments, when L is CH.sub.2 and R.sup.3 is
phenyl, m and n together do not equal 2, 3, or 4. In some
embodiments, when L is NR.sup.6, R.sup.3 is not unsubstituted
phenyl or phenyl substituted with OMe or C.sub.1-C.sub.6 alkyl
further substituted with C(O)Ar. In some embodiments when L is
NR.sub.6 or O, m is at least 2.
[0169] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0170] In some embodiments, R.sup.1 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0171] In some embodiments, wherein R.sup.1 is
##STR00028##
[0172] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example a nitrogen containing
heterocyclyl such as morpholinyl.
[0173] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0174] In some embodiments, R.sup.2 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0175] In some embodiments, wherein R.sup.2 is
##STR00029##
[0176] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example, a nitrogen containing
heterocyclyl such as morpholinyl.
[0177] In some embodiments, both R.sup.1 and R.sup.2 are
C.sub.1-C.sub.6 alkyl, for example, both R.sup.1 and R.sup.2 are
methyl.
[0178] In some embodiments, R.sup.3 is monocyclic, for example a
monocyclic cyclyl, a monocyclic aryl, a monocyclic heterocyclyl, or
a monocyclic heteroaryl.
[0179] In some embodiments, R.sup.3 is aryl, for example,
phenyl.
[0180] In some embodiments, R.sup.3 is phenyl substituted by 1-3
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, at least 1 R.sup.7 is positioned in the para
position.
[0181] In some embodiments, R.sup.3 is phenyl substituted by 1
R.sup.7. In some embodiments, R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is positioned in the para position, for
example, when R.sup.7 is Me, OMe, or halo, e.g., R.sup.7 is
methyl.
[0182] In some embodiments, R.sup.3 is
##STR00030##
[0183] In some embodiments, R.sup.3 is heterocyclyl, for example, a
nitrogen containing heterocyclyl and/or a 5 membered heterocyclyl.
In some embodiments, R.sup.3 is substituted by 1-3 R.sup.7. In some
embodiments, at least 1 R.sup.7 is in the 3 position of the 5
membered ring. In some embodiments, R.sup.7 is Me, OMe, or
halo.
[0184] In some embodiments, R.sup.3 is substituted by 1 R.sup.7,
for example, Me, OMe, or halo. In some embodiments, R.sup.7 is in
the 3 position of the 5 membered ring, for example, when R.sup.7 is
Me, OMe, or halo.
[0185] In some embodiments, R.sup.3 is a 6 membered heterocyclyl,
for example, R.sup.3 is
##STR00031##
In some embodiments, R.sup.3 is substituted by 1-4R.sup.7.
[0186] In some embodiments, R.sup.3 is heteroaryl, for example, a 5
or 6 membered heteroaryl, e.g., a 5 membered heteroaryl. In some
embodiments, R.sup.3 is substituted by 1-3 R.sup.7, for example,
Me, OMe, or halo. In some embodiments, at least 1 R.sup.7 is in the
3 position of the 5 membered ring, for example when R.sup.7 is Me,
OMe, or halo. In some embodiments, R.sup.3 is substituted by 1
R.sup.7, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is in the 3 position of the 5 membered ring,
for example, when R.sup.7 is Me, OMe, or halo. In some embodiments,
R.sup.7 is in the 4 position of the 5 membered ring, for example,
when R.sup.7 is Me, OMe, or halo.
[0187] In some embodiments, R.sup.3 is a nitrogen containing
heteroaryl, for example,
##STR00032##
In some embodiments, the 5 membered heteroaryl is substituted by at
least 1 R.sup.7 (e.g., one or two), for example, in the 3 or 4
position of the 5 membered ring.
[0188] In some embodiments, R.sup.3 is a 6 membered heteroaryl, for
example, substituted by 1-3 R.sup.7 such as Me, OMe, or halo. In
some embodiments, at least 1 R.sup.7 is positioned in the para
position, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.3 is substituted by 1 R.sup.7, for example, when
R.sup.7 is Me, OMe, or halo. In some embodiments, R.sup.7 is
positioned in the para position, for example, when R.sup.7 is Me,
OMe, or halo.
[0189] In some embodiments, R.sup.3 is
##STR00033##
In some embodiments, R.sup.3 is substituted by 1-4 R.sup.7. In some
embodiments, R.sup.3 is a 6 membered heteroaryl containing 2
nitrogens, e.g.,
##STR00034##
In some embodiments, R.sup.3 is substituted by 1-3R.sup.7. In some
embodiments, R.sup.3 is a heteroaryl or heterocycyl having two
fused rings. In some embodiments, R.sup.3 is substituted by 1-4
R.sup.7. In some embodiments, R.sup.3 is a heteroaryl or
heterocycyl having three fused rings. In some embodiments, R.sup.3
is substituted by 1-4 R.sup.7.
[0190] In some embodiments, each R.sup.7 is independently
C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, halo, hydroxyl, alkoxy, aryloxy, arylalkoxy, amino,
akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido(e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
urea, sulfonylurea, acyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8;
[0191] In some embodiments, L is NR.sup.6.
[0192] In some embodiments, L is O.
[0193] In some embodiments, L is CH.sub.2.
[0194] In some embodiments, R.sup.9 is H.
[0195] In some embodiments, R.sup.9 is halo, for example,
chloro.
[0196] In some embodiments, m is 1.
[0197] In some embodiments, n is 2.
[0198] In some embodiments, m is 1 and n is 2.
[0199] In some embodiments, n is 0.
[0200] In some embodiments, m is 1 and n is 0.
[0201] In one aspect, the invention features a compound of formula
(Id)
##STR00035##
[0202] wherein
[0203] R.sup.3 is a 3 membered ring fused heteroaryl, optionally
substituted with 1-4 R.sup.7;
[0204] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, cyclyl,
heterocyclyl, aryl, heteroaryl, cyclylalkyl, heterocyclylalkyl,
arylalkyl, heteroarylalkyl, halo, hydroxyl, alkoxy, aryloxy,
arylalkoxy, amino, akylamino, dialkylamino, thioyl, alkylthioyl,
sulfonyl, sulfonamidyl, amido (e.g., where the nitrogen of the
amide is substituted by an alkyl, or where the nitrogen of the
amide together with two carbons to which it is attached, forms a
ring), urea, sulfonylurea, acyl, nitro, cyano, each of which is
optionally substituted with 1-3 R.sup.8;
[0205] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl, amido
(e.g., where the nitrogen of the amide is substituted by an alkyl,
or where the nitrogen of the amide together with two carbons to
which it is attached, forms a ring), urea, sulfonylurea acyl,
--C(O)aryl, --NHC(O)aryl, --C(O)NHaryl, nitro, cyano, cyclyl,
heterocyclyl, aryl, or heteroaryl; optionally substituted with 1-3
C.sub.1-C.sub.6 alkyl, C.sub.1-C.sub.6 haloalkyl, or halo;
[0206] R.sup.9 is independently H, C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
C.sub.1-C.sub.6 haloalkyl, hydroxyl, alkoxy, aryloxy, arylalkoxy,
amino, akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido, urea, sulfonylurea, acyl, nitro, cyano, each
of which is optionally substituted with 1-3 R.sup.8.
[0207] In some embodiments, R.sup.3 is substituted with 0, 1 or 3
R.sup.7, each of which is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6 alkynyl, halo, hydroxyl,
alkoxy, acyl, nitro, or cyano.
[0208] In one aspect, the invention features a compound of formula
(VIII),
##STR00036##
wherein,
[0209] R.sup.1 and R.sup.2 are each independently C.sub.1-C.sub.6
alkyl, C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, each of
which is optionally substituted with 1-4 R.sup.5;
[0210] L is NR.sup.6SO.sub.2, SO.sub.2NR.sup.6, OC(O)NR.sup.6,
NR.sup.6C(O)O, NR.sup.6C(O)NR.sup.6, NR.sup.6C(O), C(O)NR.sup.6, O,
C(O), S, S(O), S(O).sub.2, NR.sub.6, or CH.sub.2,
[0211] each of R.sup.3a and R.sup.3b is independently cyclyl,
heterocyclyl, aryl, heteroaryl, each of which is optionally
substituted with 1-4 R.sup.7;
[0212] each R.sup.5 is independently halo, hydroxyl, alkoxy, amino,
alkylamino, dialkylamino, cyano, nitro, amido(e.g., where the
nitrogen of the amide is substituted by an alkyl, or where the
nitrogen of the amide together with two carbons to which it is
attached, forms a ring), alkylamido, dialkylamido, thioyl,
sulfonyl, cyclyl, heterocyclyl, aryl, or heteroaryl;
[0213] each R.sup.6 is independently H, C.sub.1-C.sub.6 alkyl,
C.sub.1-C.sub.6 alkenyl, hydroxyC.sub.1-C.sub.6 alkyl,
alkoxyC.sub.1-C.sub.6 alkyl, cyanoalkyl, haloalkyl, arylalkyl,
S(O)alkyl, acyl, amino, amidyl, or S(O).sub.2H, aryl,
alkoxyaryl;
[0214] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
hydroxyl, alkoxy, oxo, aryl, heteroaryl, cyclyl, heterocyclyl,
arylalkyl, heteroarylalkyl, cyclylalkyl, heterocyclylalkyl,
aryloxy, arylalkoxy, amino, akylamino, dialkylamino, thioyl,
alkylthioyl, sulfonyl, sulfonamidyl, amido (e.g., where the
nitrogen of the amide is substituted by an alkyl, or where the
nitrogen of the amide together with two carbons to which it is
attached, forms a ring), hydroxyl alkoxyl, alkoxy --C(O)OH,
--C(O)Oalkyl, urea, sulfonylurea, acyl, nitro, cyano, each of which
is optionally substituted with 1-3 R.sup.8;
[0215] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, aryl,
heteroaryl, cyclyl, halo, hydroxyl, alkoxy, oxo, aryloxy, amino,
akylamino, dialkylamino, C(O)OH, --C(O)Oalkyl, thioyl, sulfonyl,
sulfonamidyl, amido (e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
urea, sulfonylurea, acyl, nitro, cyano, cyclyl, heterocyclyl, aryl,
or heteroaryl;
[0216] R.sup.9 is H, C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6
alkenyl, or C.sub.2-C.sub.6 alkynyl, halo, C.sub.1-C.sub.6
haloalkyl, hydroxyl, alkoxy, aryloxy, arylalkoxy, amino, akylamino,
dialkylamino, thioyl, alkylthioyl, sulfonyl, sulfonamidyl, amido,
urea, sulfonylurea, acyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8;
m is 1, 2, 3, 4, 5, or 6.
[0217] In some embodiments, m is at least 2 when L is connected to
the methylene carbon via a heteroatom.
[0218] In some embodiments, when L is CH.sub.2, S, C(O)NR.sup.6 or
NR.sup.6C(O), R.sup.3a is not a 5-membered heterocyclyl, 5-membered
heteroaryl, or piperazine.
[0219] In some embodiments, when L is C(O)NH, R.sup.3a and R.sup.3b
are not both phenyl.
[0220] In some embodiments, m is at least 2 when L is connected to
the methylene carbon via a heteroatom.
[0221] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0222] In some embodiments, R.sup.1 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0223] In some embodiments, wherein R.sup.1 is
##STR00037##
[0224] In some embodiments, R.sup.1 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example a nitrogen containing
heterocyclyl such as morpholinyl.
[0225] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl, for
example, methyl.
[0226] In some embodiments, R.sup.2 is further substituted by a
dialkyl amine, for example, a dimethyl amine.
[0227] In some embodiments, wherein R.sup.2 is
##STR00038##
[0228] In some embodiments, R.sup.2 is C.sub.1-C.sub.6 alkyl
substituted by heterocyclyl, for example, a nitrogen containing
heterocyclyl such as morpholinyl.
[0229] In some embodiments, R.sup.3a is monocyclic, for example a
monocyclic cyclyl, a monocyclic aryl, a monocyclic heterocyclyl, or
a monocyclic heteroaryl.
[0230] In some embodiments, R.sup.3a is aryl, for example,
phenyl.
[0231] In some embodiments, R.sup.3a is
##STR00039##
In some embodiments, R.sup.3a and/or R.sup.3b is substituted by 1-4
R.sup.7.
[0232] In some embodiments, R.sup.3a is heterocyclyl, for example,
a nitrogen containing heterocyclyl and/or a 5 membered
heterocyclyl. In some embodiments, at least 1 R.sup.3b is in the 3
position of the 5 membered ring.
[0233] In some embodiments, R.sup.3a is substituted by 1 R.sup.7,
for example, Me, OMe, or halo. In some embodiments, R.sup.7 is in a
position other than the 3 position of the 5 membered ring, for
example, when R.sup.7 is Me, OMe, or halo.
[0234] In some embodiments, R.sup.3a is a 6 membered heterocyclyl,
for example, R.sup.3 is
##STR00040##
In some embodiments, R.sup.3a and/or R.sup.3b is substituted by 1-4
R.sup.7.
[0235] In some embodiments, R.sup.3a is heteroaryl, for example, a
5 or 6 membered heteroaryl, e.g., a 5 membered heteroaryl. In some
embodiments, R.sup.3a is substituted by 1-3 R.sup.7, for example,
Me, OMe, or halo. In some embodiments, at least 1 R.sup.7 is in the
2 or 3 position of the 5 membered ring, for example when R.sup.7 is
Me, OMe, or halo. In some embodiments, R.sup.3 is substituted by 1
R.sup.7, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is in the 2 or 3 position of the 5 membered
ring, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.7 is in the 4 position of the 5 membered ring,
for example, when R.sup.7 is Me, OMe, or halo.
[0236] In some embodiments, R.sup.3a is a nitrogen containing
heteroaryl, for example,
##STR00041##
In some embodiments, the 5 membered heteroaryl is substituted by at
least one R.sup.7 (e.g., one or two), for example, in the 3 or 4
position of the 5 membered ring. In some embodiments, R.sup.3a
and/or R.sup.3b is further substituted by a cyclyl, heterocyclyl,
aryl, heteroaryl (e.g., phenyl, or thiophenyl, each of which is
independently optionally substituted with 1-4 R.sup.7). In some
embodiments, R.sup.3a is
##STR00042##
In some embodiments, R.sup.3b is phenyl, optionally substituted by
1-4 R.sup.7. For example, 1 or 2 halo, Me, OMe, or amino.
[0237] In some embodiments, R.sup.3a is a nitrogen containing
heteroaryl, for example,
##STR00043##
In some embodiments, R.sup.3a and/or R.sup.3b is further
substituted by 1-4 R.sup.7.
[0238] In some embodiments, R.sup.3a and R.sup.3b together form
##STR00044##
wherein R.sup.3a and/or R.sup.3b is optionally further substituted
by 1-4 R.sup.7. In some embodiments, the phenyl is further
substituted by 1-3 R.sup.7. In some embodiments, at least one
R.sup.7 is amino, alkylamino, dialkylamino or heterocycyl (e.g., a
nitrogen containing heterocyclyl such as pyrrolidine or
piperidine). In some embodiments, at least 1 R.sup.7 is positioned
in the para position of the phenyl ring.
[0239] In some embodiments, R.sup.3a is a 6 membered heteroaryl,
for example, substituted by 1-3 R.sup.7 such as Me, OMe, or halo.
In some embodiments, at least 1 R.sup.7 is positioned in the para
position, for example, when R.sup.7 is Me, OMe, or halo. In some
embodiments, R.sup.3a is substituted by 1 R.sup.7, for example,
when R.sup.7 is Me, OMe, or halo. In some embodiments, R.sup.7 is
positioned in the para position, for example, when R.sup.7 is Me,
OMe, or halo.
[0240] In some embodiments, R.sup.3b is a 6 membered, nitrogen
containing heteroaryl.
[0241] In some embodiments, R.sup.3a is
##STR00045##
In some embodiments, R.sup.3a is substituted by 1-4 R.sup.7. In
some embodiments, R.sup.3a is a 6 membered heteroaryl containing 2
nitrogens, e.g.,
##STR00046##
In some embodiments, R.sup.3a is substituted by 1-4 R.sup.7.
[0242] In some embodiments, R.sup.3a is a heteroaryl or heterocycyl
having two fused rings. In some embodiments, R.sup.3a is
substituted by 1-4 R.sup.7. In some embodiments, R.sup.3a is a
heteroaryl or heterocycyl having three fused rings. In some
embodiments, R.sup.3a is substituted by 1-4 R.sup.7.
[0243] In some embodiments, R.sup.3b is phenyl. In some
embodiments, the phenyl is further substituted with 1-3
R.sup.7.
[0244] In some embodiments, R.sup.3b is a heteroaryl or heterocycyl
having two fused rings. In some embodiments, R.sup.3b is
substituted by 1-4 R.sup.7.
[0245] In some embodiments, each R.sup.7 is independently
C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6 alkenyl, C.sub.2-C.sub.6
alkynyl, halo, hydroxyl, alkoxy, oxo, aryl, heteroaryl, cyclyl,
heterocyclyl, aryloxy, arylalkoxy, amino, akylamino, dialkylamino,
thioyl, alkylthioyl, sulfonyl, sulfonamidyl, amido, urea,
sulfonylurea, acyl, nitro, or cyano, each of which is optionally
substituted with 1-3 R.sup.8.
[0246] In some embodiments, L is L is NR.sup.6SO.sub.2,
SO.sub.2NR.sup.6, OC(O)NR.sup.6, NR.sup.6C(O)O,
NR.sup.6C(O)NR.sup.6, S, S(O), S(O).sub.2, C(O)NS(O).sub.2,
S(O).sub.2NC(O), heteroaryl, or cyclyl.
[0247] In some embodiments, L is NR.sup.6SO.sub.2 or
SO.sub.2NR.sup.6, OC(O)NR.sup.6, NR.sup.6C(O)O,
NR.sup.6C(O)NR.sup.6.
[0248] In some embodiments, R.sup.6 is H.
[0249] In some embodiments, L is OC(O)NR.sup.6 or NR.sup.6C(O)O. In
some embodiments, R.sup.6 is H.
[0250] In some embodiments, L is NR.sup.6C(O)NR.sup.6. In some
embodiments, R.sup.6 is H.
[0251] In some embodiments, L is cyclyl or heterocyclyl, for
example, cyclopropyl.
[0252] In some embodiments, L is C(O)NR.sup.6 or NR.sup.6C(O). In
some embodiments, R.sup.6 is H.
[0253] In some embodiments, L is C(O).
[0254] In some embodiments, R.sup.9 is H.
[0255] In some embodiments, R.sup.9 is halo, for example,
chloro.
[0256] In some embodiments, m is 1.
[0257] In some embodiments, n is 2.
[0258] In some embodiments, m is 1 and n is 2, for example, where L
is C(O)NR.sup.6.
[0259] In some embodiments, n is 0.
[0260] In some embodiments, m is 1 and n is 0, for example, where
R.sup.3 is aryl or heteroaryl (e.g., further substituted by at
least one R.sup.7).
[0261] In some embodiments, m+n.ltoreq.6.
[0262] In some embodiments, the compound is of formula (VIII')
##STR00047##
[0263] Formula (VIII'). In some embodiments, L is C(O)NR.sup.6.
[0264] In one aspect, the compound is a compound of Formula
(VIII'')
##STR00048##
[0265] Formula (VIII''), wherein B is O, S, or NR.sup.6; D and E
are independently CH, CR.sup.7 or N. In some embodiments, R.sup.3b
is phenyl, for example, a phenyl optionally substituted with 1-4
R.sup.7. In some embodiments, at least one R.sup.7 is amino,
alkylamino, dialkylamino or heterocycyl (e.g., a nitrogen
containing heterocyclyl such as pyrrolidine or piperidine). In some
embodiments, at least 1 R.sup.7 is positioned in the para position
of the phenyl ring.
[0266] In some embodiments, D and E are independently O, S, or
NR.sup.6.
[0267] In some embodiments, B is S, D is CH, and E is N.
[0268] In one aspect, the compound is a compound of Formula
(VIII')
##STR00049##
[0269] Formula (VIII''), wherein B is O, S, or NR.sup.6; D and E
are independently CH, CR.sup.7 or N.
[0270] In some embodiments, R.sup.3b is phenyl, for example, a
phenyl optionally substituted with 1-4 R.sup.7. In some
embodiments, at least one R.sup.7 is amino, alkylamino,
dialkylamino or heterocycyl (e.g., a nitrogen containing
heterocyclyl such as pyrrolidine or piperidine). In some
embodiments, at least 1 R.sup.7 is positioned in the para position
of the phenyl ring.
[0271] In some embodiments, D and E are independently O, S, or
NR.sup.6.
[0272] In some embodiments, B is S, D is CH, and E is N.
[0273] In one aspect, the invention features a compound of formula
(VIIIa)
##STR00050##
[0274] wherein
[0275] R.sup.3a cyclyl, heterocyclyl, aryl, heteroaryl,
[0276] R.sup.3b is cyclyl, heterocyclyl, aryl, heteroaryl;
optionally substituted with 1-3 R.sup.7;
[0277] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo, oxo,
hydroxyl, alkoxy, aryl, heteroaryl, cyclyl, heterocyclyl, aryloxy,
arylalkoxy, amino, akylamino, dialkylamino, thioyl, alkylthioyl,
sulfonyl, sulfonamidyl (e.g., where the nitrogen of the sulfonamide
is substituted by an alkyl, or where the nitrogen of the
sulfonamide together with two carbons to which it is attached,
forms a ring), amido(e.g., where the nitrogen of the amide is
substituted by an alkyl, or where the nitrogen of the amide
together with two carbons to which it is attached, forms a ring),
hydroxyl alkoxyl, alkoxy alkoxyl, urea, sulfonylurea, acyl, nitro,
cyano, each of which is optionally substituted with 1-3
R.sup.8;
[0278] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, aryl,
heteroaryl, cyclyl, halo, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl, amido,
urea, sulfonylurea acyl, nitro, cyano, cyclyl, heterocyclyl, aryl,
or heteroaryl; and
[0279] R.sup.9 is H or halo.
[0280] In some embodiments, R.sup.3a is aryl or heteroaryl.
[0281] In some embodiments, R.sup.3a is heteroaryl.
[0282] In some embodiments, R.sup.3a is thiazoyl.
[0283] In some embodiments, R.sup.7 is C.sub.1-C.sub.6 alkyl, halo,
aryl, or heteroaryl, for example, optionally substituted with 1-3
R.sup.8
[0284] In some embodiments, R.sup.3b is aryl or heteroaryl.
[0285] In one aspect, the invention features a compound of formula
(VIIIb)
##STR00051##
[0286] wherein R.sup.3b is aryl or heteroaryl; optionally
substituted with 1-3 R.sup.7;
[0287] each R.sup.7 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, halo,
hydroxyl, alkoxy, aryl, heteroaryl, cyclyl, heterocyclyl, aryloxy,
arylalkoxy, amino, akylamino, dialkylamino, thioyl, alkylthioyl,
sulfonyl, sulfonamidyl, amido, hydroxyl alkoxyl, alkoxy alkoxyl,
urea, sulfonylurea, acyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8;
[0288] R.sup.7a is H, C.sub.1-C.sub.6 alkyl, C.sub.2-C.sub.6
alkenyl, or C.sub.2-C.sub.6 alkynyl, halo, hydroxyl, alkoxy, aryl,
heteroaryl, cyclyl, heterocyclyl, aryloxy, arylalkoxy, amino,
akylamino, dialkylamino, thioyl, alkylthioyl, sulfonyl,
sulfonamidyl, amido, hydroxyl alkoxyl, alkoxy alkoxyl, urea,
sulfonylurea, acyl, nitro, cyano, each of which is optionally
substituted with 1-3 R.sup.8;
[0289] each R.sup.8 is independently C.sub.1-C.sub.6 alkyl,
C.sub.2-C.sub.6 alkenyl, or C.sub.2-C.sub.6 alkynyl, aryl,
heteroaryl, cyclyl, halo, hydroxyl, alkoxy, aryloxy, amino,
akylamino, dialkylamino, thioyl, sulfonyl, sulfonamidyl, amido,
urea, sulfonylurea acyl, nitro, cyano, cyclyl, heterocyclyl, aryl,
or heteroaryl; and
[0290] R.sup.9 is H or halo.
[0291] In some embodiments, R.sup.3b is phenyl.
[0292] In some embodiments, R.sup.3b is phenyl substituted with at
least 1 R.sup.7 and wherein at least 1 R.sup.7 is amino,
alkylamino, dialkylamino or heterocycyl (e.g., a nitrogen
containing heterocyclyl such as pyrrolidine or piperidine).
[0293] In some embodiments, R.sup.3b is
##STR00052##
[0294] In some embodiments, R.sup.3b is further substituted by at
least one additional R.sup.7 (e.g., a halo).
[0295] In some embodiments, R.sup.7 is amino, alkylamino,
dialkylamino or heterocycyl (e.g., a nitrogen containing
heterocyclyl such as pyrrolidine or piperidine).
[0296] In some embodiments, R.sup.7 is diethylamino.
[0297] In some embodiments, R.sup.7 is pyrrolidinyl.
[0298] In some embodiments, R.sup.3b is further substituted by at
least one additional R.sup.7 (e.g., a halo).
[0299] In some embodiments, at least 1 R.sup.7 is positioned in the
para position of the phenyl ring.
[0300] In some embodiments, R.sup.3b is a bicyclic fused aryl or
heteroaryl, for example, optionally substituted with 1-3
R.sup.7.
[0301] In some embodiments, R.sup.7 is H.
[0302] In some embodiments, R.sup.7 is C.sub.1-C.sub.6 alkyl.
[0303] In some embodiments, R.sup.9 is H.
[0304] In some embodiments, a compound is a substantially pure
stereoisomer. For example, in some embodiments, a compound
described herein has been purified to provide a substantially
chiraly enriched compound (e.g., wherein the compound is
substantially free of other stereoisomers). In some embodiments,
the compound is at least about 60% pure, e.g., at least about 65%,
at least about 70%, at least about 75%, at least about 80%, at
least about 85%, at least about 90%, at least about 95%, at least
about 97%, at least about 98%, or at least about 99%.
[0305] In some embodiments, the compound is not a compound depicted
in Table 2 (e.g., is not any one of the individual compounds)
having a formula described herein. For example, the compounds of
the invention are not a compound described in Table 2 of U.S. Ser.
No. 11/645,307 filed Dec. 12, 2006, which is incorporated herein by
reference in its entirety.
[0306] One aspect of the present invention provides a
pharmaceutical preparation suitable for use in a human patient, or
for veterinary use, comprising an effective amount of any of the
compounds shown above (e.g., a compound of described herein or a
salt thereof, or a solvate, hydrate, oxidative metabolite or
prodrug of the compound or its salt), and one or more
pharmaceutically acceptable excipients. In certain embodiments, the
pharmaceutical preparations may be for use in treating or
preventing a condition involving activation of TRPA1 or for which
reduced TRPA1 activity can reduce the severity. In certain
embodiments, the pharmaceutical preparations have a low enough
pyrogen activity to be suitable for use in a human patient, or for
veterinary use. In certain embodiments, the pharmaceutical
preparation comprises an effective amount of any of the compounds
shown above, wherein the compound inhibits TRPA1 (e.g., a
TRPA1-mediated current and/or TRPA1-mediated ion flux) with an
IC.sub.50 of 10 micromolar or less. In certain embodiments, the
pharmaceutical preparation comprises a compound which inhibits
TRPA1 with an IC.sub.50 of 5 micromolar or less, 2 micromolar or
less, 1 micromolar or less, or even with an IC.sub.50 of 500 nM or
less, 250 nM or less, 200 nM or less, or even 100 nM or less.
[0307] TRPA1 antagonists of the subject invention can be used as
part of a prophylaxis or treatment for a variety of disorders and
conditions, including, but not limited to, acute and/or chronic
pain, touch sensitivity, burns, inflammation, diabetic neuropathy,
psoriasis, eczema, dermatitis, post-herpetic neuralgia (shingles),
migraine, incontinence, fever, hot flashes, osteoarthritis, oral
mucositis, cancer pain, bladder cystits, pain associated with
Crohn's disease and Irritable Bowel Syndrome (IBS), rheumatoid
arthritis, Grierson-Gopalan syndrome (better known as burning feet
syndrome), burning mouth syndrome (BMS) and cough, or is used as a
depilatory to promote loss of or inhibit the growth of hair on a
patient. Other exemplary diseases or conditions that can be treated
using a TRPA1 antagonist of the present invention are detailed
throughout the specification. The invention contemplates the use of
compounds having any of the structures provided in the
specification in the treatment of or to reduce the symptoms of any
of the diseases or conditions disclosed in the application. The
invention further contemplates the use of compounds having any of
the structures provided in the specification in the manufacture of
a medicament or pharmaceutical preparation to treat or reduce the
symptoms of any of the diseases or conditions provided in the
specification. Compounds for use in treating a particular disease
or condition can be formulated for administration via a route
appropriate for the particular disease or condition.
[0308] TRPA1 antagonists can be administered alone or in
combination with other therapeutic agents. For instance, the TRPA1
antagonists is administered conjointly with one or more of an
anti-inflammatory agent, anti-acne agent, anti-wrinkle agent,
anti-scarring agent, anti-psoriatic agent, anti-proliferative
agent, anti-fungal agent, anti-viral agent, anti-septic agent,
anti-migraine agent, keratolytic agent, or a hair growth
inhibitor.
[0309] TRPA1 antagonists can be administered topically, orally,
transdermally, rectally, vaginally, parentally, intranasally,
intrapulmonary, intraocularly, intravenously, intramuscularly,
intraarterially, intrathecally, intracapsularly, intraorbitally,
intracardiacly, intradermally, intraperitoneally, transtracheally,
subcutaneously, subcuticularly, intraarticularly, subcapsularly,
subarachnoidly, intraspinally, intrasternally or by inhalation.
[0310] In certain preferred embodiments, a TRPA1 antagonist is
administered topically.
[0311] In certain preferred embodiments, a TRPA1 antagonist is
administered orally.
[0312] In certain preferred embodiments, a TRPA1 antagonist is
administered parentally.
[0313] In certain preferred embodiments, a TRPA1 antagonist is
administered to prevent, treat or alleviate signs and symptoms of
acute pain, chronic pain, touch sensitivity, itching sensitivity,
or as part of treating a burn, such as, for example, post-surgical
pain, cancer pain, or neuropathic pain.
[0314] In certain preferred embodiments, a TRPA1 antagonist is
administered to prevent, treat or alleviate signs and symptoms of
migraine.
[0315] In certain preferred embodiments, a TRPA1 antagonist is
administered to prevent, treat or alleviate signs and symptoms of a
disorder or condition selected from the group consisting of
diabetic neuropathy, inflammation, psoriasis, eczema, dermatitis,
post-herpetic neuralgia (shingles), incontinence, bladder
incontinence, fever, hot flashes, pancreatitis, chronic regional
pain syndrome, Fabray's disease, and cough.
[0316] In certain preferred embodiments, a TRPA1 antagonist is
administered to prevent, treat or alleviate signs and symptoms of
osteoarthritis.
[0317] In certain preferred embodiments, a TRPA1 antagonist is
administered to prevent, treat or alleviate signs and symptoms of
rheumatoid arthritis.
[0318] In certain preferred embodiments, a TRPA1 antagonist is
administered to prevent, treat or alleviate signs and symptoms of
oral mucositis.
[0319] In certain preferred embodiments, a TRPA1 antagonist is
administered to promote loss of or inhibit the growth of hair on a
patient.
[0320] Still another aspect of the present invention relates to the
use of a TRPA1 antagonist, e.g., a small molecule agent that
inhibits inward TRPA1-mediated current with an IC.sub.50 of 1
micromolar or less, in the manufacture of a medicament to prevent,
treat or alleviate symptoms of a disease, disorder or condition
involving activation of TRPA1, or for which reduced TRPA1 activity
can reduce the severity, in a patient.
[0321] Yet another aspect of the present invention relates to a
pharmaceutical preparation comprising an agent that inhibits inward
TRPA1-mediated current with an IC.sub.50 of 1 micromolar or less;
and a pharmaceutically acceptable excipient or solvent wherein the
agent is provided in a dosage form providing an amount effective to
prevent, treat or alleviate symptoms of a disease, disorder or
condition involving activation of TRPA1, or for which reduced TRPA1
activity can reduce the severity, in a patient. In certain
preferred embodiments, the pharmaceutical preparation does not
cause QT interval elongation in the patient.
[0322] In certain illustrative embodiments, the pharmaceutical
preparation comprises an agent that inhibits TRPA1-mediated current
with an IC.sub.50 of at least one order of magnitude lower than its
IC.sub.50 for inhibition of NaV 1.2 function, TRPV1 function, TRPV5
function, TRPV6 function, mitochondrial uniporter function and HERG
function; and a pharmaceutically acceptable excipient or solvent,
wherein the agent is provided in a dosage form providing an amount
effective to prevent, treat or alleviate symptoms of a disease,
disorder or condition involving activation of TRPA1, or for which
reduced TRPA1 activity can reduce the severity, in a patient, but
which does not cause QT interval elongation.
[0323] In another illustrative embodiment, the pharmaceutical
preparation comprises an agent that inhibits a TRPA1-mediated
current with an IC.sub.50 of 1 micromolar or less; and a
pharmaceutically acceptable excipient or solvent, wherein the agent
is provided in a dosage form providing an amount effective to
prevent, treat or alleviate symptoms of a disease, disorder or
condition involving activation of TRPA1, or for which reduced TRPA1
activity can reduce the severity, in a patient, but which does not
cause QT interval elongation.
[0324] One preferred preparation is a topical formulation for
reducing TRPA1 activity in skin or mucosa, comprising an agent that
inhibits a TRPA1-mediated current with an IC.sub.50 of 1 micromolar
or less.
[0325] Another preferred preparation is a removable patch or
bandage, comprising: (i) a polymeric base; and (ii) an agent that
inhibits a TRPA1-mediated current with an IC.sub.50 of 1 micromolar
or less.
[0326] Still another illustrative formulation is a skin exfoliant
composition for topical application to an animal subject comprising
a topical vehicle; one or more skin exfoliant ingredients selected
from the group consisting of carboxylic acids, keto acids,
.alpha.-hydroxy acids, .beta.-hydroxy acids, retinoids, peroxides,
and organic alcohols, said one or more skin exfoliant ingredients
contained in a total amount of at least about 12% by weight and
capable of inducing skin irritation and effecting exfoliation of
the skin of said subject; and an agent that inhibits a
TRPA1-mediated current with an IC.sub.50 of 1 micromolar or less,
which agent is provided in an amount effective for analgesic,
anti-irritant and/or anti-inflammatory effects when applied to
skin.
[0327] Yet another embodiment is an antitussive composition for
peroral administration comprising an agent that inhibits both a
TRPA1-mediated current with an IC.sub.50 of 1 micromolar or less,
and an orally-acceptable pharmaceutical carrier in the form of an
aqueous-based liquid, or solid dissolvable in the mouth, selected
from the group consisting of syrup, elixer, suspension, spray,
lozenge, chewable lozenge, powder, and chewable tablet. Such
antitussive compositions can include one or more additional agents
for treating cough, allergy or asthma symptom selected from the
group consisting of: antihistamines, 5-lipoxygenase inhibitors,
leukotriene inhibitors, H3 inhibitors, .beta.-adrenergic receptor
agonists, xanthine derivatives, .alpha.-adrenergic receptor
agonists, mast cell stabilizers, expectorants, NK1, NK2 and NK3
tachykinin receptor antagonists, and GABA.sub.B agonists.
[0328] Still another embodiment is a metered dose aerosol dispenser
containing an aerosol pharmaceutical composition for pulmonary or
nasal delivery comprising an agent that inhibits a TRPA1-mediated
current with an IC.sub.50 of 1 micromolar or less. For instance, it
can be a metered dose inhaler, a dry powder inhaler or an air-jet
nebulizer.
[0329] Still another embodiment is an eye ointment or eyedrops for
ocular administration. Such ocular compositions may be useful for
the treatment or alleviation of ocular pain including pain
resulting from eye abrasion or post-surgical pain.
[0330] In another aspect, the invention contemplates that any of
the TRPA1 inhibitors of the present invention, including inhibitors
having one or more of the characteristics disclosed herein, can be
used to inhibit a function of TRPA1, for example a TRPA1-mediated
current and/or a TRPA1-mediated ion flux. In some embodiments, the
compounds can be used to inhibit a TRPA1 mediated current in vitro,
for example in cells in culture. In some embodiments, the compounds
can be used to inhibit a TRPA1 mediated current in vivo. In certain
embodiments, the compounds inhibit both an inward and an outward
TRPA1-mediated current. In certain embodiments, the compounds
inhibit a TRPA1 mediated ion flux in vitro, for example in cells in
culture. In certain other embodiments, the compounds inhibit a
TRPA1 mediated in flux in vivo.
[0331] The invention contemplates pharmaceutical preparations and
uses of TRPA1 antagonists having any combination of the foregoing
or following characteristics, as well as any combination of the
structural or functional characteristics of the TRPA1 antagonists
described herein. Any such antagonists or preparations can be used
in the treatment of any of the diseases or conditions described
herein. Any such antagonists or preparations can be used to inhibit
a function of TRPA1, for example a TRPA1-mediated current and/or a
TRPA1-mediated ion flux.
DESCRIPTION OF THE DRAWINGS
[0332] FIGS. 1A and 1B are graphs showing the plasma levels of
compounds 7 (intravenous or oral administration) and 8 (oral
administration) of Table 3 over time.
[0333] FIG. 1C is a table summarizing the pharmacokinetics of
compound 7 of Table 3 following oral and intravenous
administration.
[0334] FIGS. 2A and 2B are graphs showing the plasma levels of
compound 7 and compound 8 of Table 3 over time following oral
administration.
[0335] FIG. 3 is a graph showing the total number of flinches in
the various phases of the pain response in rats subjected to the
formalin test.
[0336] FIG. 4 is a graph showing the latency in rats treated with
gapapentin or compound 7 of Table 3.
[0337] FIG. 5 is Table 2, showing compounds that are not part of
the invention.
[0338] FIG. 6 is Table 4 a table showing exemplary compounds of the
invention.
DETAILED DESCRIPTION OF THE INVENTION
[0339] Cellular homeostasis is a result of the summation of
regulatory systems involved in, amongst other things, the
regulation of ion flux and membrane potential. Cellular homeostasis
is achieved, at least in part, by movement of ions into and out of
cells across the plasma membrane and within cells by movement of
ions across membranes of intracellular organelles including, for
example, the endoplasmic reticulum, sarcoplasmic reticulum,
mitochondria and endocytic organelles including endosomes and
lysosomes.
[0340] Movement of ions across cellular membranes is carried out by
specialized proteins. TRP channels are one large family of
non-selective cation channels that function to help regulate ion
flux and membrane potential. TRP channels are subdivided into 6
sub-families including the TRPA (ANKTM1) family. TRPA1 is a member
of the TRPA class of TRP channels.
[0341] Non-selective cation channels such as TRPA1 modulate the
flux of calcium and sodium ions across cellular membranes. Sodium
and calcium influx leads to a depolarization of the cell. This
increases the probability that voltage-gated ion channels will
reach the threshold required for activation. As a result,
activation of non-selective cation channels can increase electrical
excitability and increase the frequency of voltage-dependent
events. Voltage-dependent events include, but are not limited to,
neuronal action potentials, cardiac action potentials, smooth
muscle contraction, cardiac muscle contraction, and skeletal muscle
contraction.
[0342] Calcium influx caused by the activation of non-selective
cation channels such as TRPA1 also alters the intracellular free
calcium concentration. Calcium is a ubiquitous second messenger
molecule within the cell. Thus alterations in intracellular calcium
levels have profound effects on signal transduction and gene
expression. Thus, activation of non-selective cation channels such
as TRPA1 can lead to changes in gene expression and cellular
phenotype. Gene expression events include, but are not limited to,
production of mRNAs encoding cell surface receptors, ion channels,
and kinases. These changes in gene expression can lead to
hyperexcitability in that cell. Blockers of TRPA1 therefore also
have the potential to decrease or prevent pain and/or to decrease
overactive bladder.
[0343] TRPA1 proteins are receptor operated channels expressed in
sensory neurons (see, e.g., Jordt et al. (2004) Nature 427:260-265)
including those with cell bodies residing in the dorsal root
ganglion, trigeminal ganglion, and nodose ganglia (see Jordt et al.
(2004) Nature 427:260-265, Nagata et al. (2005) J. Neurosci 25(16)
4052-61). In addition, low levels of TRPA1 message can be found in
some types of fibroblasts (see Jaquemar et al. (1999) JBC 274(11):
7325-33). TRPA1 has also been reported to be expressed in the
bladder. Stimulation of a number of extracellular receptors,
including, but not limited to, G-protein coupled receptors or
receptor tyrosine kinases are sufficient to activate TRPA1.
[0344] TRPA1 proteins suitable for use in accordance with the
methods provided herein include, for example: human (SEQ ID NO: 1
and SEQ ID NO: 3 amino acid sequences, encoded by SEQ ID NO: 2 and
SEQ ID NO: 4 nucleotide sequences respectively) and murine (SEQ ID
NO: 5 amino acid sequence, encoded by SEQ ID NO: 6 nucleotide
sequence). Particular TRPA1 proteins also include proteins encoded
by cDNAs that would hybridize to the TRPA1 sequence (see SEQ ID NO:
2) under stringent conditions.
[0345] TRPA1 is the ion channel that responds to mustard oil. The
active ingredients in mustard oil (allyl isothiocyanate) and the
active ingredient in garlic (allicin) are both capable of
activating TRPA1. Other stimuli may also be able to activate TRPA1.
It has been reported that severe cold temperatures between 4 and
15.degree. C. activate TRPA1 (see Story et al., (2003) Cell 112(6):
819-829). However, this finding has been controversial (see Jordt
et al. (2004) Nature 427:260-265; Nagata et al. (2005) J. Neurosci
25(16): 4052-61). In addition, TRPA1 shares many structural
similarities with TRP channels (i.e., TRPN1, Drosophila TRPA1) in
lower animals that respond to mechanical stimulation.
[0346] TRPA1 is expressed in, among other tissues, the hair cell
epithelia of the inner ear, and disruption of this channel in
zebrafish and mouse inhibits hair cell transduction. Therefore,
TRPA1 has been proposed in the art as a candidate for the
mechanosensitive vertebrate hearing transduction channel (see Corey
et al., (2004) Nature 432(7018): 723-730). If this were the case,
it would suggest that blockers of TRPA1 might lead to hearing loss,
and thus would not have any practical use as a therapeutic agent.
However, the observation that the startle response is not
substantially impaired in the TRPA1 knockout mouse has led us to
conclude that TRPA1 antagonists may not impair hearing, and would
thus be suitable drug candidates.
[0347] Modulating the function of TRPA1 proteins provides a means
of modulating calcium homeostasis, sodium homeostasis, membrane
polarization, and/or intracellular calcium levels, and compounds
that can modulate TRPA1 function are useful in many aspects,
including, but not limited to, maintaining calcium homeostasis,
modulating intracellular calcium levels, modulating membrane
polarization, and treating or preventing diseases, disorders, or
conditions associated with calcium and/or sodium homeostasis or
dyshomeostasis.
[0348] In certain aspects, the present invention provides methods
for treating or ameliorating the effects of diseases and conditions
using small molecules that inhibit a TRPA1-mediated current and/or
a TRPA1-mediated ion flux with an IC.sub.50 of less than 10
micromolar. Exemplary suitable compounds for use in any of the
methods of the invention (e.g., to treat any of the diseases or
conditions disclosed herein) include compounds having one or more
of the structural or functional characteristics disclosed herein
(e.g., structure, specificity, potency, solubility, etc.).
[0349] The present invention contemplates the use of any TRPA1
antagonist possessing one or more of the functional or structural
attributes described herein. Additionally, the present invention
contemplates the use of TRPA1 antagonists of a compound described
herein, as well as the use of any of the particular antagonists
provided in Tables 1, 3 or 4. Throughout the application, when
particular functional attributes are attributed to TRPA1
antagonists, it is understood that such attributes may characterize
TRPA1 inhibitors structurally related to or differing from a
compound described herein.
[0350] In certain embodiments, a suitable compound inhibits an
inward and/or outward TRPA1 mediated current with an IC.sub.50 of
less than 10 micromolar. In certain embodiments, a suitable
compound additionally or alternatively inhibits TRPA1 mediated ion
flux with an IC.sub.50 of less than 10 micromolar. IC.sub.50 can be
calculated, for example, in an in vitro assay. For example, IC50
can be calculated using electrophysiological determinations of
current, such as standard patch clamp analysis. IC.sub.50 can also
be evaluated using changes in concentration or flux of ion
indicators, such as the calcium flux methods described herein.
[0351] In certain embodiments, the invention provides a method for
treating or preventing a condition involving activation of TRPA1 or
for which reduced TRPA1 activity can reduce the severity,
comprising administering an effective amount of a compound
described herein or a salt thereof, or a solvate, hydrate,
oxidative metabolite or prodrug of the compound or its salt:
[0352] Exemplary compounds are provided in Tables 1, 3, and 4:
[0353] A represents a compound demonstrating activity of <1
.mu.M as measured in the patch clamp assay. B represents a compound
demonstrating activity of >1 .mu.M-<10 .mu.M as measured in
the patch clamp assay. C represents a compound demonstrating
activity of >10 .mu.M as measured in the patch clamp assay. D
represents other exemplary compounds.
TABLE-US-00001 TABLE 1 1
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(3- D
methoxyphenyl)acetamide 2
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- C
fluorophenyl)acetamide 3
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
C p-tolylacetamide 4
(E)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N'-(4-
B (trifluoromethyl)benzylidene)acetohydrazide 5
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-methyl-
D N-(2-(pyridin-2-yl)ethyl)acetamide 6
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- D
(pyridin-2-yl)ethyl)acetamide 7
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(3- D
methoxyphenyl)acetamide 8
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- A
adamantylethyl)acetamide 9
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(5- B
fluoro-2-methylphenyl)acetamide 10
N-cyclooctyl-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-
D yl)acetamide 11
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (adamantylmethyl)acetamide 12
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N- D
(thiochroman-4-yl)acetamide 13
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- D
fluorophenyl)acetamide 14
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- D
(furan-2-yl)-2-(pyrrolidin-1-yl)ethyl)acetamide 15
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (3-fluoro-4-methoxybenzyl)-N-methylacetamide 16
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (3-methoxybenzyl)acetamide 17
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (4-fluorophenethyl)acetamide 18
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-p- A
tolylpropanamide 19
N-((2,3-dihydrobenzo[b][1,4]dioxin-2-yl)methyl)-2-(1,3-dimethyl-2,6-
D dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 20
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
A (2,3-dihydro-1H-inden-5-yl)acetamide 21
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (2,3-dimethylcyclohexyl)acetamide 22 methyl
4-((2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin- D
7(6H)-yl)acetamido)methyl)benzoate 23
N-(3,4-dimethoxybenzyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- D
purin-7(6H)-yl)acetamide 24
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D isobutyl-N-(dioxytetrahydrothiophen-3-yl)acetamide 25
N-((3,5-dimethyl-1-phenyl-1H-pyrazol-4-yl)methyl)-2-(1,3-dimethyl-
D 2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-methylacetamide 26
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D methyl-N-(4-methylbenzyl)acetamide 27
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D cyclohexyl-N-ethylacetamide 28
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (3,4-dihydro-2H-benzo[b][1,4]dioxepin-7-yl)acetamide 29
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (1-cyclopentyl-1H-pyrazol-5-yl)acetamide 30
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D methyl-N-(1,2,3,4-tetrahydronaphthalen-1-yl)acetamide 31
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (4-phenylbutan-2-yl)acetamide 32
N-cyclohexyl-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-
D yl)-N-ethylacetamide 33
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
A (2-(4-chlorophenylthio)ethyl)acetamide 34
N-((2,3-dihydrobenzo[b][1,4]dioxin-2-yl)methyl)-2-(1,3-dimethyl-2,6-
D dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-methylacetamide 35
N-(2-cyclohexenylethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- D
purin-7(6H)-yl)acetamide 36
2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-
D (1-(5,6,7,8-tetrahydronaphthalen-2-yl)ethyl)acetamide 37
N-(3,5-dichloropyridin-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-
D 1H-purin-7(6H)-yl)propanamide 38
N-(5-chloropyridin-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
D purin-7(6H)-yl)propanamide 39
N-((4-chlorophenyl)(cyclopropyl)methyl)-2-(1,3-dimethyl-2,6-dioxo-
D 2,3-dihydro-1H-purin-7(6H)-yl)acetamide 40
N-(1-(3,4-dihydro-2H-benzo[b][1,4]dioxepin-7-yl)-2-methylpropyl)-2-
D (1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide
41
N-((1-benzyl-1H-pyrazol-4-yl)methyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
D dihydro-1H-purin-7(6H)-yl)-N-methylacetamide 42
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2,2- C
diphenylpropyl)acetamide 43
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-((2- D
ethylbenzofuran-3-yl)methyl)-N-methylacetamide 44
N-(cyclohexylmethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- B
purin-7(6H)-yl)acetamide 45
N-cyclohexyl-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-
D yl)-N-methylpropanamide 46
3-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- C
methoxybenzyl)propanamide 47
2-(1,3-diethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- C
methoxyphenethyl)acetamide 48
1-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- C
methoxyphenethyl)methanesulfonamide 49
N-(2-cyclohexylethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- C
purin-7(6H)-yl)acetamide 50
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2-(4- C
hydroxycyclohexyl)ethyl)acetamide 51
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(3,4- B
dimethylphenethyl)acetamide 52
N-(2-(biphenyl-4-yl)ethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
A purin-7(6H)-yl)acetamide 53
N-(4-(benzyloxy)phenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro- B
1H-purin-7(6H)-yl)acetamide 54
2-(1,3-dimethyl-2,6,8-trioxo-2,3,7,8-tetrahydro-1H-purin-9(6H)-yl)-N-
C (4-methoxyphenethyl)acetamide 55
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N- C
((3R,4R)-quinuclidin-3-yl)acetamide 56
N-(4-butoxyphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- B
purin-7(6H)-yl)acetamide 57
N-(4-cyclohexylphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
A purin-7(6H)-yl)acetamide 58
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-((1S,2R)-
B 2-(4-methoxyphenyl)cyclopropyl)acetamide 59
N-(4-tert-butylphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
B purin-7(6H)-yl)acetamide 60
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- B
methoxybenzylsulfonyl)acetamide 61
N-(4-methoxyphenethyl)-2-(1,3,9-trimethyl-2,6,8-trioxo-2,3-dihydro-
B 1H-purin-7(6H,8H,9H)-yl)acetamide 62 4-methylphenethyl
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin- B 7(6H)-yl)acetate
63 2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- C
(piperidin-1-yl)ethyl)acetamide 64
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- C
morpholinoethyl)acetamide 65
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-((1S,2S)-
B 2-(4-methoxyphenyl)cyclopropyl)acetamide 66
2-(1,3-dicyclopropyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-
D methoxyphenethyl)acetamide 67
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2-(4- D
methoxycyclohexyl)ethyl)acetamide 68
2-(1,3-dimethyl-2,6,8-trioxo-2,3-dihydro-1H-purin-7(6H,8H,9H)-yl)-N-
C (4-methoxyphenethyl)acetamide 69
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- C
(pyridin-4-yl)ethyl)acetamide 70
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2-(4- B
methylpiperazin-1-yl)ethyl)acetamide 71
1,3-dimethyl-7-(2-(4-methylphenethylamino)ethyl)-1H-purine- B
2,6(3H,7H)-dione 72
N-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)ethyl)-N-
B (4-methylphenethyl)methanesulfonamide 73
2-(3-methyl-2,6-dioxo-1-propyl-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-
C methylphenethyl)acetamide 74
1,3-dimethyl-7-(2-(methyl(4-methylphenethyl)amino)ethyl)-1H-purine-
B 2,6(3H,7H)-dione 75
2-(1-methyl-2,6-dioxo-3-propyl-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-
B methylphenethyl)acetamide 76
N-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)ethyl)-N-
A (4-methylphenethyl)acetamide 77
2-(1-methyl-2,6-dioxo-3-propyl-2,3-dihydro-1H-purin-7(6H)-yl)-N- A
phenethylacetamide 78
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- B
phenylpropyl)acetamide 79
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(3- B
fluorophenethyl)acetamide 80
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- B
ethylphenethyl)acetamide 81
(S)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(1-
B hydroxy-3-phenylpropan-2-yl)acetamide 82
N-(2,3-dimethoxyphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro- B
1H-purin-7(6H)-yl)acetamide 83
N-(2,3-dichlorophenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
B purin-7(6H)-yl)acetamide 84
N-(2-(benzo[d][1,3]dioxol-5-yl)ethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
B dihydro-1H-purin-7(6H)-yl)acetamide 85
(R)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(1-
B hydroxy-3-phenylpropan-2-yl)acetamide 86
N-(2,5-dimethoxyphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro- B
1H-purin-7(6H)-yl)acetamide 87
N-(2,4-dichlorophenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
B purin-7(6H)-yl)acetamide 88
N-(2,6-dichlorophenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
B purin-7(6H)-yl)acetamide 89
N-(2-bromophenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- B
purin-7(6H)-yl)acetamide 90
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- D
(quinuclidin-3-yl)ethyl)acetamide 91
2-(3-(2-(dimethylamino)ethyl)-1-methyl-2,6-dioxo-2,3-dihydro-1H- D
purin-7(6H)-yl)-N-(4-methylphenethyl)acetamide 92
2-(1-(2-(dimethylamino)ethyl)-3-methyl-2,6-dioxo-2,3-dihydro-1H- D
purin-7(6H)-yl)-N-(4-methylphenethyl)acetamide 93
N-(6-chlorobenzo[d]thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3- D
dihydro-1H-purin-7(6H)-yl)acetamide 94
N-(6-bromobenzo[d]thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3- A
dihydro-1H-purin-7(6H)-yl)acetamide 95
N-(4-chlorobenzo[d]thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3- D
dihydro-1H-purin-7(6H)-yl)acetamide 96
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(5,6- D
dimethylbenzo[d]thiazol-2-yl)acetamide 97
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(6- A
ethoxybenzo[d]thiazol-2-yl)acetamide 98
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- D
methoxybenzo[d]thiazol-2-yl)acetamide 99
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- D
methylbenzo[d]thiazol-2-yl)acetamide 100
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(6- D
(methylsulfonyl)benzo[d]thiazol-2-yl)acetamide 101
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- D
hydroxy-2-phenylethyl)acetamide 102
N-(3-chlorophenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- D
purin-7(6H)-yl)acetamide 103
(S)-2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)-3-phenylpropanamide 104
N-(2-chloro-6,7-dimethoxyquinazolin-4-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 2,3-dihydro-1H-purin-7(6H)-yl)acetamide 105
N-(4-bromophenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H- D
purin-7(6H)-yl)acetamide 106
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2,2- D
diphenylethyl)acetamide 107 (S)-methyl
2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)-3-phenylpropanoate 108
N-(3,5-dimethoxyphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro- D
1H-purin-7(6H)-yl)acetamide 109
(R)-2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)-3-phenylpropanamide 110
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4,5,6,7-
D tetrahydrobenzo[d]thiazol-2-yl)acetamide 111 ethyl
2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)-5-methylthiazole-4-carboxylate 112
N-(2-(1,4-diazabicyclo[2.2.2]octan-2-yl)ethyl)-2-(1,3-dimethyl-2,6-
D dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 113 ethyl
2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)benzo[d]thiazole-6-carboxylate 114
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-methyl-
D N-phenethylacetamide 115
1,3-dimethyl-7-((5-(4-methylbenzyl)-1,3,4-oxadiazol-2-yl)methyl)-1H-
D purine-2,6(3H,7H)-dione 116
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2-(6- D
methylpyridin-3-yl)ethyl)acetamide 117
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2-(1- D
methyl-1H-imidazol-2-yl)ethyl)acetamide 118
1,3-dimethyl-7-(3-(6-methyl-1H-indol-2-yl)propyl)-1H-purine- D
2,6(3H,7H)-dione 119
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-ethyl-N-
D (pyridin-4-ylmethyl)acetamide 120
N-(4,5-dihydrothiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
D purin-7(6H)-yl)acetamide 121 ethyl
2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)-4-methylthiazole-5-carboxylate 122
N-(4H-chromeno[4,3-d]thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
D
dihydro-1H-purin-7(6H)-yl)acetamide 123 ethyl
2-(2-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)- D
yl)acetamido)thiazol-4-yl)acetate 124
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- D
methylthiazol-2-yl)acetamide 125
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(1,2,3,4-
D tetrahydronaphthalen-1-yl)acetamide 126
N-(2,3-dihydro-1H-inden-1-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-
D 1H-purin-7(6H)-yl)acetamide 127
N'-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetyl)-
D 4-methylbenzohydrazide 128
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2-(5- D
methylpyridin-2-yl)ethyl)acetamide 129
1-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)ethyl)-1-
D (4-methylphenethyl)urea 130
1,3-dimethyl-7-((5-p-tolyl-1,3,4-oxadiazol-2-yl)methyl)-1H-purine-
D 2,6(3H,7H)-dione 131
N-(2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)ethyl)-N-
D (4-methylphenethyl)propionamide 132
1,3-dimethyl-7-((2-(4-methylphenethyl)cyclopropyl)methyl)-1H- D
purine-2,6(3H,7H)-dione 133
N-(3-bromo-4-methoxyphenethyl)-2-(1,3-dimethyl-2,6-dioxo-2,3- D
dihydro-1H-purin-7(6H)-yl)acetamide 134
N-((1R,2R)-1,3-dihydroxy-1-phenylpropan-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 135
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N- D
(piperidin-4-yl)acetamide 136
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2,2,6,6-
D tetramethylpiperidin-4-yl)acetamide 137
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(2- D
hydroxy-2-phenylethyl)-N-methylacetamide 138
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4,6- D
dimethylpyrimidin-2-yl)acetamide 139
N-benzyl-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-
D N-(4,5,6,7-tetrahydrobenzo[d]thiazol-2-yl)acetamide 140
N-benzyl-2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin- D
7(6H)-yl)-N-(4,5,6,7-tetrahydrobenzo[d]thiazol-2-yl)acetamide 141
N-(4-acetylthiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-
D purin-7(6H)-yl)acetamide 142
2-(8-chloro-1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-
D methylphenethyl)acetamide; 143
N-(6-butylbenzo[d]thiazol-2-yl)-2-(8-chloro-1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide; 144
2-(8-chloro-1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(2-
D (adamant-1-yl)ethyl)acetamide; 145
1-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-1-(4-
D methylphenethyl)urea; 146
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-N-(4-
D methylphenethyl)propionamide; 147
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-N-(4-
D methylphenethyl)pentanamide; 148
2-(3-(2-hydroxyethyl)-1-methyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-
D yl)-N-(4-methylphenethyl)acetamide; 149
2-(3-(2-amino-2-oxoethyl)-1-methyl-2,6-dioxo-1,2,3,6-tetrahydropurin-
D 7-yl)-N-(4-methylphenethyl)acetamide; 150
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-4-
D oxo-4-phenylbutanamide; 151
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-5-(4-
D fluorophenyl)-5-oxopentanamide; 152
2-(3-chloro-4-(trifluoromethyl)phenyl)-N-(2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)ethyl)acetamide; 153
2-(3-chloro-4-fluorophenyl)-N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6- D
tetrahydropurin-7-yl)ethyl)acetamide; 154
1-benzyl-N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)-1H-pyrazole-4-carboxamide; 155
N-(2-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethylamino)-2-oxoethyl)-4-methylbenzamide; 156
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-1-
D isopropyl-1H-pyrazole-4-carboxamide; 157
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-2-
D phenylacetamide; 158 benzyl
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethylcarbamate; 159
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-4-
D methylbenzamide; 160
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-3,4,5-
- D trimethoxybenzamide; 161
4-chloro-N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)picolinamide; 162
5-bromo-N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)furan-2-carboxamide; 163
5-chloro-N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)thiophene-2-carboxamide; 164
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)pyrimidine-4-carboxamide; 165
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)pyrazine-2-carboxamide; 166
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7- D
yl)ethyl)cyclopentanecarboxamide; 167
N-(4H-chromeno[4,3-d]oxazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 168
N-(3,4-dihydrochromeno[3,4-d]imidazol-2-yl)-2-(1,3-dimethyl-2,6- D
dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 169
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(3-methyl-
D 3,4-dihydrochromeno[3,4-d]imidazol-2-yl)acetamide 170
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(3-ethyl-3,4-
- D dihydrochromeno[3,4-d]imidazol-2-yl)acetamide 171
N-(4H-chromeno[4,3-d]thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 172
N-(7-chloro-4H-chromeno[4,3-d]thiazol-2-yl)-2-(1,3-dimethyl-2,6- D
dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 173
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(7-ethoxy-
D 4H-chromeno[4,3-d]thiazol-2-yl)acetamide
TABLE-US-00002 TABLE 3 1
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-p- A
tolylthiazol-2-yl)acetamide 2
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-(4- A
isopropylphenyl)thiazol-2-yl)acetamide 3
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(5- A
methyl-4-p-tolylthiazol-2-yl)acetamide 4
N-(4-(4-tert-butylphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
A dihydro-1H-purin-7(6H)-yl)acetamide 5
N-(4-(4-cyclohexylphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
A dihydro-1H-purin-7(6H)-yl)acetamide 6
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-(4- A
ethoxyphenyl)thiazol-2-yl)acetamide 7
N-(4-(3,4-dichlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
A dihydro-1H-purin-7(6H)-yl)acetamide 8
N-(4-(2,4-difluorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
A dihydro-1H-purin-7(6H)-yl)acetamide 9
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4,5- A
diphenylthiazol-2-yl)acetamide 10
N-(4-(4-chlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3- A
dihydro-1H-purin-7(6H)-yl)acetamide 11
N-(4-(3,4-difluorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
A dihydro-1H-purin-7(6H)-yl)acetamide 12
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(5-(4- D
fluorophenyl)-1,3,4-thiadiazol-2-yl)acetamide 13
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(5- D
phenyl-1,3,4-thiadiazol-2-yl)acetamide 14
N-(5-(4-chlorophenyl)-1,3,4-thiadiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
A 2,3-dihydro-1H-purin-7(6H)-yl)acetamide 15
N-(4-(3-bromo-4-methoxyphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6- D
dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 16
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- D
(naphthalen-1-yl)thiazol-2-yl)acetamide 17
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- A
(naphthalen-2-yl)thiazol-2-yl)acetamide 18
N-(4-(2,4-dichlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
D dihydro-1H-purin-7(6H)-yl)acetamide 19
N-(4,5-dip-tolylthiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-
D 1H-purin-7(6H)-yl)acetamide 20
N-(4-(2,5-dimethyl-1-phenyl-1H-pyrrol-3-yl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 21
N-(4-(1H-indol-3-yl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3- D
dihydro-1H-purin-7(6H)-yl)acetamid 22
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-(5- B
methylfuran-2-yl)thiazol-2-yl)acetamide 23
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- B
(pyridin-2-yl)thiazol-2-yl)acetamide 24
N-(4-(4-bromophenyl)-6-(trifluoromethyl)pyrimidin-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 25
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-(2,4-
D dimethylphenyl)thiazol-2-yl)acetamide 26
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-(4- D
fluorophenyl)thiazol-2-yl)acetamide 27
N-(4-(2,5-dimethoxyphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 2,3-dihydro-1H-purin-7(6H)-yl)acetamide 28
N-(4-(2,5-difluorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-2,3-
D dihydro-1H-purin-7(6H)-yl)acetamide 29
N-(4-(2,3-dihydrobenzo[b][1,4]dioxin-6-yl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetamide 30
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4-(5- D
methylthiophen-2-yl)thiazol-2-yl)acetamide 31
N-allyl-2-(8-chloro-1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin- D
7(6H)-yl)-N-(4-phenylthiazol-2-yl)acetamide 32
2-(1,3-dimethyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)-N-(4- D
(5,6,7,8-tetrahydronaphthalen-2-yl)thiazol-2-yl)acetamide 33
2-(8-chloro-1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-
D (adamant-1-yl)phenyl)acetamide; 34
2-(8-chloro-1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-
D (4-ethylphenyl)thiazol-2-yl)acetamide; 35
N-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)ethyl)-3-(2-
D methylpyrimidin-4-yl)benzamide; 36
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1H-imidazol-2-yl)acetamide 37
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-5-methyl-1H-imidazol-2-yl)acetamide 38
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-5-phenyl-1H-imidazol-2-yl)acetamide 39
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-methyl-1H-imidazol-2-yl)acetamide 40
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1,5-dimethyl-1H-imidazol-2-yl)acetamide 41
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-methyl-5-phenyl-1H-imidazol-2-yl)acetamide 42
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-ethyl-1H-imidazol-2-yl)acetamide 43
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-ethyl-5-methyl-1H-imidazol-2-yl)acetamide 44
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-ethyl-5-phenyl-1H-imidazol-2-yl)acetamide 45
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-hydroxy-1H-imidazol-2-yl)acetamide 46
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-hydroxy-5-methyl-1H-imidazol-2-yl)acetamide 47
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ethoxyphenyl)-1-hydroxy-5-phenyl-1H-imidazol-2-yl)acetamide 48
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
methoxyphenyl)thiazol-2-yl)acetamide 49
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
isopropoxyphenyl)thiazol-2-yl)acetamide 50
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
(dimethylamino)phenyl)thiazol-2-yl)acetamide 51
N-(4-(4-(diethylamino)phenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 52
N-(4-(4-acetamidophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo- D
1,2,3,6-tetrahydropurin-7-yl)acetamide 53
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4- D
ureidophenyl)thiazol-2-yl)acetamide 54
N-(4-(4-cyanophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 55
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(4-(2-
D hydroxyethoxy)phenyl)thiazol-2-yl)acetamide 56
N-(4-(2-chlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 57
N-(4-(3-chlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 58
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2- D
ethoxyphenyl)thiazol-2-yl)acetamide 59
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(3- D
ethoxyphenyl)thiazol-2-yl)acetamide 60
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2- D
methoxyphenyl)thiazol-2-yl)acetamide 61
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(3- D
methoxyphenyl)thiazol-2-yl)acetamide 62
N-(4-(2-bromophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 63
N-(4-(3-bromophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-
D tetrahydropurin-7-yl)acetamide 64
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2- D
fluorophenyl)thiazol-2-yl)acetamide 65
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(3- D
fluorophenyl)thiazol-2-yl)acetamide 66
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-o- D
tolylthiazol-2-yl)acetamide 67
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-m- D
tolylthiazol-2-yl)acetamide 68
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2-(2-
D hydroxyethoxy)phenyl)thiazol-2-yl)acetamide 69
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(3-(2-
D hydroxyethoxy)phenyl)thiazol-2-yl)acetamide 70
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(3,4,5-
D trichlorophenyl)thiazol-2-yl)acetamide 71
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2,3,4-
D trichlorophenyl)thiazol-2-yl)acetamide 72
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2,4,5-
D trichlorophenyl)thiazol-2-yl)acetamide 73
N-(4-(3,4-dimethoxyphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 74
N-(4-(3-chloro-4-ethoxyphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 75
N-(4-(4-chloro-3-ethoxyphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 76
N-(4-(2-chloro-4-ethoxyphenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 77
N-(4-(2,4-dichlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo- D
1,2,3,6-tetrahydropurin-7-yl)acetamide 78
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(2,4,6-
D trichlorophenyl)thiazol-2-yl)acetamide 79
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4- D
phenylthiazol-2-yl)acetamide 80
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4,5- D
diphenylthiazol-2-yl)acetamide 81
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4,5- D
di(methylphenyl)thiazol-2-yl)acetamide 82
N-(4-(3,4-dichlorophenyl)-5-phenylthiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 83
N-(4-(3,4-dichlorophenyl)-5-(methylphenyl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 84
N-(4-(3,4-dichlorophenyl)-5-(4-ethoxyphenyl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 85
N-(4,5-bis(3,4-dichlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 86
N-(4-(4-ethoxyphenyl)-5-phenylthiazol-2-yl)-2-(1,3-dimethyl-2,6- D
dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 87
N-(4-(4-ethoxyphenyl)-5-(methylphenyl)thiazol-2-yl)-2-(1,3-dimethyl-
D 2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 88
N-(4-(4-ethoxyphenyl)-5-(4-ethoxyphenyl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 89
N-(5-(3,4-dichlorophenyl)-4-(4-ethoxyphenyl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 90
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(5- D
phenylthiazol-2-yl)acetamide 91
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(5- D
(methylphenyl)thiazol-2-yl)acetamide 92
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(5- D
(chlorophenyl)thiazol-2-yl)acetamide 93
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(5- D
(methoxyphenyl)thiazol-2-yl)acetamide 94
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(5- D
(ethoxyphenyl)thiazol-2-yl)acetamide 95
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(pyridin-
D 4-yl)thiazol-2-yl)acetamide 96
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4-(pyridin-
D 3-yl)thiazol-2-yl)acetamide 97
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4- D
(pyrimidin-2-yl)thiazol-2-yl)acetamide 98
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4- D
phenyloxazol-2-yl)acetamide 99
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(5-ethyl-4-
D phenyloxazol-2-yl)acetamide 100
2-(1,3-dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)-N-(4,5- D
diphenyloxazol-2-yl)acetamide 101
N-(4,5-dip-tolyloxazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-1,2,3,6- D
tetrahydropurin-7-yl)acetamide 102
N-(4,5-bis(4-methoxyphenyl)oxazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-
D 1,2,3,6-tetrahydropurin-7-yl)acetamide 103
N-(4-(3,4-dichlorophenyl)-5-fluorothiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 104
N-(5-cyano-4-(3,4-dichlorophenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 105
N-(4-(3,4-dichlorophenyl)-5-methoxythiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 106
N-(4-(3,4-dichlorophenyl)-5-methylthiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 107
N-(4-(3,4-dichlorophenyl)-5-ethylthiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 108
N-(4-(3,4-dichlorophenyl)-5-(trifluoromethyl)thiazol-2-yl)-2-(1,3-
D dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 109
2-(4-(3,4-dichlorophenyl)-2-(2-(1,3-dimethyl-2,6-dioxo-1,2,3,6- D
tetrahydropurin-7-yl)acetamido)thiazol-5-yl)ethyl dihydrogen
phosphate 110
N-(4-(3,4-dichlorophenyl)-5-methylthiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 111
N-(4-(3,4-dichlorophenyl)-5-ethylthiazol-2-yl)-2-(1,3-dimethyl-2,6-
D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 112
N-(4-(3,4-dichlorophenyl)-5-isopropylthiazol-2-yl)-2-(1,3-dimethyl-2,6-
- D dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide 113
N-(4-(3,4-dichlorophenyl)-5-(2-hydroxyethyl)thiazol-2-yl)-2-(1,3- D
dimethyl-2,6-dioxo-1,2,3,6-tetrahydropurin-7-yl)acetamide
[0354] Additional exemplary compounds are provided in Table 4, FIG.
6.
[0355] One aspect of the present invention provides a
pharmaceutical preparation suitable for use in a human patient, or
for veterinary use, comprising an effective amount of any of the
compounds shown above (e.g., a compound described hereing or a salt
thereof, or a solvate, hydrate, oxidative metabolite or prodrug of
the compound or its salt), and one or more pharmaceutically
acceptable excipients. In certain embodiments, the pharmaceutical
preparations may be for use in treating or preventing a condition
involving activation of TRPA1 or for which reduced TRPA1 activity
can reduce the severity. In certain embodiments, the pharmaceutical
preparations have a low enough pyrogen activity to be suitable for
use in a human patient, or for veterinary use. In certain
embodiments, the pharmaceutical preparation comprises an effective
amount of any of the compounds shown above, wherein the compound
inhibits TRPA1 with an IC.sub.50 of 10 micromolar or less. In
certain embodiments, the pharmaceutical preparation comprises a
compound which inhibits TRPA1 with an IC.sub.50 of 1 micromolar or
less, or even with an IC.sub.50 of 500 nM or less, 250 nM or less,
200 nM or less, or even 100 nM or less.
[0356] In certain embodiments, the TRPA1 inhibitor for use in
methods or pharmaceutical preparations of the present invention is
selected from a compound depicted in Tables 1, 3, or 4. In certain
embodiments, the present invention contemplates the use of any
compound as depicted in optionally substituted in any of the
methods or pharmaceutical preparations of the present
invention.
[0357] One aspect of the current invention provides use of a TRPA1
inhibitor in the manufacture of a medicament for treating or
preventing a condition involving activation of TRPA1 or for which
reduced TRPA1 activity can reduce the severity, wherein the TRPA1
inhibitor is represented by any of the compounds shown above (e.g.,
a compound described herein or a salt thereof, or a solvate,
hydrate, oxidative metabolite or prodrug of the compound or its
salt). In certain embodiments, the compound inhibits a TRPA1
mediated current with an IC.sub.50 of less than 10 micromolar.
[0358] In certain embodiments of the above formula, substituted
substituents may be substituted with one or more of: alkyl,
alkenyl, alkynyl, cycloalkyl, heterocyclyl, aryl, heteroaryl,
cycloalkylalkyl, heterocyclylalkyl, aralkyl, or heteroaralkyl, any
of which may itself be further substituted, or halogen, hydroxyl,
carbonyl (e.g., ester, carboxyl, or formyl), thiocarbonyl (e.g.,
thioester, thiocarboxylate, or thioformate), ketone, aldehyde,
amino, acylamino, amido, amidino, cyano, nitro, azido, sulfonyl,
sulfoxido, sulfate, sulfonate, sulfamoyl, sulfonamido, and
phosphoryl.
[0359] In certain embodiments, the invention contemplates that any
of the particular compounds depicted in Tables 1, 3, or 4 can be
administered to treat any of the diseases or conditions disclosed
herein. In some embodiments, the compound is formulated as a
pharmaceutical preparation prior to administration. In certain
embodiments, the TRPA1 inhibitor for use in methods or
pharmaceutical preparations of the present invention is selected
from a compound depicted in Tables 1, 3, or 4. In certain
embodiments, the present invention contemplates the use of any
compound as depicted in Tables 1, 3, or 4 in any of the methods or
pharmaceutical preparations of the present invention.
[0360] The particular compounds and structural formulas disclosed
herein are merely exemplary. The use of small molecule TRPA1
inhibitors having one or more of the functional or structural
characteristics described herein are similarly contemplated,
[0361] Compounds of any of the above structures may be used in the
manufacture of medicaments for the treatment of any diseases
disclosed herein.
[0362] Compounds of any of the above structures may be used to
inhibit a function of a TRPA1 channel in vitro or in vivo.
[0363] In certain embodiments, compounds that include all or a
functional portion of any of the foregoing structures may be used
in the manufacture of medicaments for the treatment of any of the
diseases disclosed herein. Additionally or alternatively, such
compounds may be used in in vitro or in vivo methods of inhibiting
TRPA1 function, such as a TRPA1-mediated current.
[0364] In certain embodiments, the TRPA1 antagonist for use in the
methods of the present invention is a small molecule that is not an
aminoglycoside.
[0365] In particular embodiments, a small molecule TRPA1 antagonist
is chosen for use because it is more selective for one TRP isoform
than others, e.g., 10-fold, and more preferably at least 20, 40,
50, 60, 70, 80, or at least 100- or even 1000-fold more selective
for TRPA1 over one or more of TRPC6, TRPV5, TRPV6, TRPM8, TRPV1,
TRPV2, TRPV4, and/or TRPV3. In other embodiments, the differential
is smaller, e.g., it more strongly inhibits TRPA1 than TRPM8,
TRPV1, TRPV2, TRPV3, and/or TRPV4, preferably at least twice, three
times, five times, or even ten times more strongly. Such
comparisons may be made, for example, by comparing IC.sub.50
values.
[0366] In particular embodiments, a small molecule TRPA1 antagonist
is chosen for use because it is more selective for one TRPA1 than
for other non-TRP ion channels, e.g., 10-fold, and more preferably
at least 20, 40, 50, 60, 70, 80, or at least 100- or even 1000-fold
more selective for TRPA1 over one or more of NaV1.2, Cav1.2,
Cav3.1, HERG, and/or mitochondrial uniporter. In other embodiments,
the differential is smaller, e.g., it more strongly inhibits TRPA1
than NaV1.2, Cav1.2, Cav3.1, HERG, and/or mitochondrial uniporter,
preferably at least twice, three times, five times, or even ten
times more strongly. Such comparisons may be made, for example, by
comparing IC.sub.50 values.
[0367] In certain embodiments, a compound which is an antagonist of
TRPA1 is chosen to selectively antagonize TRPA1 over other ion
channels, e.g., the compound modulates the activity of TRPA1 at
least an order of magnitude more strongly than it modulates the
activity of one or more of NaV1.2, Cav1.2, Cav3.1, HERG, and/or
mitochondrial uniporter, preferably at least two orders of
magnitude more strongly, even more preferably at least three orders
of magnitude more strongly. In certain embodiments, the compound
modulates the activity of TRPA1 at least 1.5 orders of magnitude
more strongly than the activity of one or more of NaV1.2, Cav1.2,
Cav3.1, HERG, or mitochondrial uniporter. Such comparisons may be
made, for example, by comparing IC.sub.50 values.
[0368] Similarly, in particular embodiments, a small molecule is
chosen for use because it lacks significant activity against one or
more targets other than TRPA1. For example, the compound may have
an IC.sub.50 above 500 nM, above 1 .mu.M, or even above 10 .mu.M or
100 .mu.M for inhibiting one or more of TRPC6, TRPV5, TRPV6,
Cav1.2, Cav3.1, NaV1.2, HERG, and the mitochondrial uniporter.
[0369] In particular embodiments, the small molecule is chosen for
use because it is more selective for one TRP isoform than others,
e.g., 10-fold, and more preferably at least 100- or even 1000-fold
more selective for TRPA1 over one or more of TRPC6, TRPV5, TRPV6,
TRPM8, TRPV1, HERG, NaV1.2, mitochondrial uniporter, TRPV3 and/or
TRPV4. In other embodiments, the differential is smaller, e.g., it
more strongly inhibits TRPA1 than TRPM8, TRPV1 and/or TRPV4,
preferably at least twice, three times, five times, or even ten
times more strongly. Such comparisons may be made, for example, by
comparing IC.sub.50 values.
[0370] In certain embodiment, a small molecule is chosen because it
antagonizes the function of both TRPA1 and TRPM8, TRPV1 and/or
TRPV3. Although such compounds selectively antagonize the function
of both ion channels, the IC.sub.50 values need not be
identical.
[0371] In certain embodiments of any of the foregoing, the small
molecule may be chosen because it is capable of inhibiting
receptor-mediated (or cold/stress mediated) activation of TRPA1. In
certain embodiments, the TRPA1 antagonist inhibits receptor
mediated activation of TRPA1 and mustard oil induced activation of
TRPA1. In certain other embodiments, the TRPA1 antagonist inhibits
receptor operated activation of TRPA1 but does not inhibit mustard
oil induced activation of TRPA1. In certain other embodiments, the
TRPA1 antagonist inhibits mustard oil induced activation of TRPA1
but does not inhibit cold mediated activation of TRPA1.
[0372] In certain embodiments of any of the foregoing, the small
molecule may be chosen because it inhibits a TRPA1 function with an
IC.sub.50 less than or equal to 1 uM, or even less than or equal to
700, 600, 500, 400, 300, 250, 200, or 100 nM. In other embodiments,
the small molecule is chosen because it inhibits a TRPA1 function
with an IC.sub.50 less than or equal to 75 nM, less than or equal
to 50 nM, or even less than or equal to 25, 10, 5, or 1 nM. In
certain other embodiments of any of the foregoing, the small
molecule inhibits TRPA1 function with an IC.sub.50 less than or
equal to 10 micromolar or less than or equal to 5 micromolar or
less than or equal to 2.5 micromolar or less than or equal to 1.5
micromolar.
[0373] In certain embodiments of any of the foregoing, the compound
may be chosen based on the rate of inhibition of a TRPA1 function.
In one embodiment, the compound inhibits a TRPA1 function in less
than 5 minutes, preferably less than 4, 3, or 2 minutes. In another
embodiment, the compound inhibits a TRPA1 function in less than
about 1 minute. In yet another embodiment, the compound inhibits a
TRPA1 function in less than about 30 seconds.
[0374] In any of the foregoing embodiments, the small molecule
antagonist of TRPA1 function may inhibit the outward current, the
inward current, or any combination of one or more of these
currents. Compounds that inhibit more than one of the foregoing
currents may do so with the same or with differing IC.sub.50
values. In any of the foregoing, the ability of a compound to
inhibit a particular current can be assessed either in vitro or in
vivo. Compounds that inhibit any of the foregoing currents in an in
vitro or in vivo assay are characterized as compounds that inhibit
a function of TRPA1. Stated another way, an exemplary function of
TRPA1 that may be inhibited by the present compounds is a
TRPA1-mediated current. Additionally or alternatively, a further
exemplary function of TRPA1 that may be inhibited by the present
compounds is ion flux mediated by TRPA1.
[0375] In any of the foregoing or following embodiments, the small
molecule is characterized by some level of activity versus other
ion channels (e.g., certain compounds are selective for inhibiting
TRPA1 and other compounds exhibit a level of cross reactivity
against one or more other ion channel). When a small molecule is
characterized by its activity against another ion channel,
inhibition of a function or activity of the other ion channel is
defined analogously to the way in which a function of a TRPA1
channel is defined. Thus, inhibiting the function of another ion
channel means, for example, inhibiting ion flux mediated by that
other ion channel or inhibiting the current mediated by that other
ion channel.
[0376] In certain embodiments of any of the foregoing, inhibition
of a TRPA1 function means that a function, for example a TRPA1
mediated current, is decreased by greater than 50% in the presence
of an effective amount of a compound in comparison to in the
absence of the compound or in comparison to an ineffective amount
of a compound. In certain other embodiments, the inhibition of a
TRPA1 function means that a function, for example a TRPA1 mediated
current or TRPA1 mediated ion flux, is decreased by at least 50%,
60%, 70%, 75%, 80%, 85%, or 90% in the presence of an effective
amount of a compound in comparison to in the absence of the
compound. In still other embodiments, the inhibition of a TRPA1
function means that a function, for example a TRPA1 mediated
current, is decreased by at least 92%, 95%, 97%, 98%, 99%, or 100%
in the presence of an effective amount of a compound in comparison
to in the absence of the compound.
[0377] In any of the foregoing embodiments, IC.sub.50 values are
measured in vitro using, for example, patch clamp analysis or
standard measurements of calcium flux. Exemplary in vitro methods
for calcium flux-based IC.sub.50 estimation are described in
Example 1. Methods used to obtain more definitive IC.sub.50
measurements are described in Example 2. Alternatively, estimates
of % inhibition of current or ion flux can also be calculated and
used to assess efficacy of a compound as an inhibitor.
[0378] Without being bound by theory, a compound may inhibit a
function of TRPA1 by binding covalently or non-covalently to a
portion of TRPA1. Alternatively, a compound may inhibit a function
of TRPA1 indirectly, for example, by associating with a protein or
non-protein cofactor necessary for a function of TRPA1. One of
skill in the art will readily appreciate that an inhibitory
compound may associate reversibly or irreversibly with TRPA1 or a
cofactor thereof. Compounds that reversibly associate with TRPA1 or
a cofactor thereof may continue to inhibit a function of TRPA1 even
after dissociation.
[0379] In certain embodiments of any of the foregoing, the compound
that inhibits a function of TRPA1 is a small organic molecule or a
small inorganic molecule. Exemplary small molecules include, but
are not limited to, small molecules that bind to a TRPA1 channel
and inhibit one or more function of a TRPA1 channel.
[0380] In certain embodiments of any of the foregoing, the TRPA1
inhibitor is used to treat or ameliorate pain. Exemplary classes of
pain that can treated using a TRPA1 inhibitor include, but are not
limited to nociceptive pain, inflammatory pain, and neuropathic
pain. Pain that can be treated with a TRPA1 inhibitor can be
chronic or acute. Throughout the specification, a variety of
conditions and diseases characterized, at least in part, by pain
are discussed in detail. The invention contemplates that the pain
associated with any of these diseases or conditions can be treated
using any of the TRPA1 inhibitors described herein. The inhibitor
can be formulated in a pharmaceutical preparation appropriate for
the intended route of administration.
[0381] In certain embodiments, the TRPA1 inhibitor is non-narcotic
and has little or no narcotic side-effects. In certain other
embodiments, the TRPA1 inhibitor can be used to treat or ameliorate
pain with fewer side-effects than narcotic pain relievers.
Exemplary side-effects that may be substantially absent at
effective dosages of TRPA1 inhibitors include one or more of
exopthalmos, catalepsy, disruption of gut motility, and inhibition
of sensation in non-injured areas of the body.
[0382] In certain embodiments, the TRPA1 inhibitor can be used to
treat incontinence. In certain embodiments, the TRPA1 inhibitor is
used to reduce bladder hyperactivity by decreasing the activity of
the neurons that innervate the bladder. In certain embodiments,
incontinence is accompanied by pain. For example, incontinence
incident to bladder cystitis or incontinence incident to an injury
may be accompanied by pain. When incontinence is accompanied by
pain, a TRPA1 inhibitor may be administered to treat both
incontinence and to reduce pain.
[0383] The subject TRPA1 inhibitors can be used alone or in
combination with other pharmaceutically active agents. Examples of
such other pharmaceutically active agents include, but are not
limited to, anti-inflammatory agents (e.g., NSAIDS, bradykinin
receptor antagonists, hormones and autacoids such as
corticosteroids), anti-acne agents (e.g., retinoids), anti-wrinkle
agents, anti-scarring agents, anti-incontinence agents (such as
M1-receptor antagonists) anti-emetics (such as NK1 antagonists),
anti-psoriatic agents, antacids, anti-proliferative agents (e.g.,
anti-eczema agents, anti-cancer), anti-fungal agents, anti-viral
agents, anti-septic agents (e.g., antibacterials), local
anaesthetics, anti-migraine agents, keratolytic agents, hair growth
stimulants, hair growth inhibitors, and other agents used for the
treatment of skin diseases or conditions. Certain active agents
belong to more than one category.
[0384] For any of the foregoing, a TRPA1 inhibitor can be
formulated for administration by a route appropriate for the
disease or injury being treated. For example, the TRPA1 inhibitor
can be formulated, for example, for oral, transdermal, topical,
intraperitoneal, intravenous, intravascular, intrathecal,
intrapericardial, intramyocardial, subcutaneous, rectal, vaginal,
or urethral delivery. Furthermore, the TRPA1 inhibitor can be
formulated for delivery via a device. Exemplary devices include,
but are not limited to, a catheter, wire, stent, or other
intraluminal device. Further exemplary delivery devices also
include a patch, bandage, mouthguard, or dental apparatus.
[0385] The invention contemplates pharmaceutical compositions of
any of the foregoing TRPA1 inhibitors. Exemplary pharmaceutical
compositions are formulated in a pharmaceutically acceptable
carrier.
[0386] The subject TRPA1 inhibitors can be used alone or as part of
a therapeutic regimen combined with other treatments, therapies, or
interventions appropriate for the particular disease, condition,
injury or disorder being treated. When used as part of a
therapeutic regimen, the invention contemplates use of TRPA1
inhibitors in combination with one or more of the following
treatment modalities: administration of non-TRPA1 inhibitor
pharmaceuticals, chemotherapy, radiotherapy, homeopathic therapy,
diet, stress management, and surgery.
[0387] When administered alone or as part of a therapeutic regimen,
in certain embodiments, the invention contemplates administration
of TRPA1 inhibitors to treat a particular primary disease, injury,
disorder, or condition. Additionally or alternatively, the
invention contemplates administration of TRPA1 inhibitors to treat
pain associated with a disease, injury, disorder, or condition. In
still other embodiments, the invention contemplates administration
of TRPA1 inhibitors to treat symptoms secondary to the primary
disease, injury, disorder, or conditions.
[0388] The invention contemplates pharmaceutical preparations and
uses of TRPA1 antagonists having any combination of the foregoing
or following characteristics, as well as any combination of the
structural or functional characteristics of the TRPA1 antagonists
described herein. Any such antagonists or preparations can be used
in the treatment of any of the diseases or conditions described
herein. Additionally, the invention contemplates the use of any
such antagonists or preparations for inhibiting a TRPA1 mediated
current in vitro. Combinations of any of the foregoing or following
aspects and embodiments of the invention are also contemplated. For
example, the invention contemplates that TRPA1 antagonists having
any of the particular potencies and specificities outlined herein
can be formulated for the appropriate route of administration and
can be used in treating any of the conditions or diseases detailed
herein.
[0389] In certain embodiments of any of the foregoing, TRPA1
antagonist compounds for use in the methods of the present
invention have one or more of any of the foregoing properties
(e.g., IC.sub.50, specificity, selectivity, activity, formulation,
etc.). Compounds and uses of antagonist compounds having any
combination of the foregoing properties are specifically
contemplated.
[0390] The terms "antagonist" and "inhibitor" are used
interchangeably to refer to an agent that decreases or suppresses a
biological activity, such as to repress an activity of an ion
channel, such as TRPA1. TRPA1 inhibitors include inhibitors having
any combination of the structural and/or functional properties
disclosed herein.
[0391] An "effective amount" of, e.g., a TRPA1 antagonist, with
respect to the subject methods of inhibition or treatment, refers
to an amount of the antagonist in a preparation which, when applied
as part of a desired dosage regimen brings about a desired clinical
or functional result. Without being bound by theory, an effective
amount of a TRPA1 antagonist for use in the methods of the present
invention, includes an amount of a TRPA1 antagonist effective to
decrease one or more in vitro or in vivo function of a TRPA1
channel. Exemplary functions include, but are not limited to,
membrane polarization (e.g., an antagonist may promote
hyperpolarization of a cell), ion flux, ion concentration in a
cell, outward current, and inward current. Compounds that
antagonize TRPA1 function include compounds that antagonize an in
vitro or in vivo functional activity of TRPA1. When a particular
functional activity is only readily observable in an in vitro
assay, the ability of a compound to inhibit TRPA1 function in that
in vitro assay serves as a reasonable proxy for the activity of
that compound. In certain embodiments, an effective amount is an
amount sufficient to inhibit a TRPA1-mediated current and/or the
amount sufficient to inhibit TRPA1 mediated ion flux.
[0392] The TRPA1 inhibitors for use in the methods of the present
invention may be characterized according to their activity, or lack
of activity, against one or more other ion channels. When other ion
channels are referred to, inhibition of a function of such other
ion channels is defined similarly. For example, inhibition of an
ion channel or an activity of an ion channel means the antagonist
inhibits one or more functional activities of the other ion
channel. Such functions include the current mediated by the
particular ion channel, ion flux, or membrane polarization.
[0393] The term "nucleic acid" refers to a polymeric form of
nucleotides, either ribonucleotides or deoxynucleotides or a
modified form of either type of nucleotide. The terms should also
be understood to include, as equivalents, analogs of either RNA or
DNA made from nucleotide analogs, and, as applicable to the
embodiment being described, single-stranded (such as sense or
antisense) and double-stranded polynucleotides.
[0394] The term "preventing" is art-recognized, and when used in
relation to a condition, such as a local recurrence (e.g., pain), a
disease such as cancer, a syndrome complex such as heart failure or
any other medical condition, is well understood in the art, and
includes administration of a composition which reduces the
frequency of, or delays the onset of, symptoms of a medical
condition in a subject relative to a subject which does not receive
the composition. Thus, prevention of cancer includes, for example,
reducing the number of detectable cancerous growths in a population
of patients receiving a prophylactic treatment relative to an
untreated control population, and/or delaying the appearance of
detectable cancerous growths in a treated population versus an
untreated control population, e.g., by a statistically and/or
clinically significant amount. Prevention of an infection includes,
for example, reducing the number of diagnoses of the infection in a
treated population versus an untreated control population, and/or
delaying the onset of symptoms of the infection in a treated
population versus an untreated control population. Prevention of
pain includes, for example, reducing the magnitude of, or
alternatively delaying, pain sensations experienced by subjects in
a treated population versus an untreated control population.
[0395] The term "polypeptide", and the terms "protein" and
"peptide" which are used interchangeably herein, refers to a
polymer of amino acids. Exemplary polypeptides include gene
products, naturally-occurring proteins, homologs, orthologs,
paralogs, fragments, and other equivalents, variants and analogs of
the foregoing.
[0396] The term "prodrug" is intended to encompass compounds that,
under physiological conditions, are converted into the
therapeutically active agents of the present invention. A common
method for making a prodrug is to include selected moieties that
are hydrolyzed under physiological conditions to reveal the desired
molecule. In other embodiments, the prodrug is converted by an
enzymatic activity of the host animal.
[0397] The term "sequence identity" means that sequences are
identical (i.e., on a nucleotide-by-nucleotide basis for nucleic
acids or amino acid-by-amino acid basis for polypeptides) over a
window of comparison. The term "percentage of sequence identity" is
calculated by comparing two optimally aligned sequences over the
comparison window, determining the number of positions at which the
identical amino acids occurs in both sequences to yield the number
of matched positions, dividing the number of matched positions by
the total number of positions in the comparison window, and
multiplying the result by 100 to yield the percentage of sequence
identity. Methods to calculate sequence identity are known to those
of skill in the art and described in further detail below.
[0398] The term "small molecule" refers to a compound having a
molecular weight less than about 2500 amu, preferably less than
about 2000 amu, even more preferably less than about 1500 amu,
still more preferably less than about 1000 amu, or most preferably
less than about 750 amu.
[0399] The terms "stringent conditions" or "stringent hybridization
conditions" refer to conditions which promote specific
hybridization between two complementary polynucleotide strands so
as to form a duplex. Stringent conditions may be selected to be
about 5.degree. C. lower than the thermal melting point (Tm) for a
given polynucleotide duplex at a defined ionic strength and pH. The
length of the complementary polynucleotide strands and their GC
content will determine the Tm of the duplex, and thus the
hybridization conditions necessary for obtaining a desired
specificity of hybridization. The Tm is the temperature (under
defined ionic strength and pH) at which 50% of the a polynucleotide
sequence hybridizes to a perfectly matched complementary strand. In
certain cases it may be desirable to increase the stringency of the
hybridization conditions to be about equal to the Tm for a
particular duplex. In certain embodiments, stringent hybridization
conditions include a wash step of 0.2.times.SSC at 65.degree.
C.
[0400] The terms "TRPA1", "TRPA1 protein", and "TRPA1 channel" are
used interchangeably throughout the application. These terms refer
to an ion channel (e.g., a polypeptide) comprising the amino acid
sequence set forth in SEQ ID NO: 1, SEQ ID NO:3, or SEQ ID NO: 5,
or an equivalent polypeptide, or a functional bioactive fragment
thereof. In certain embodiments, the term refers to a polypeptide
comprising, consisting of, or consisting essentially of, the amino
acid sequence set forth in SEQ ID NO: 1, SEQ ID NO:3, or SEQ ID NO:
5. TRPA1 includes polypeptides that retain a function of TRPA1 and
comprise (i) all or a portion of the amino acid sequence set forth
in SEQ ID NO: 1, SEQ ID NO:3 or SEQ ID NO: 5; (ii) the amino acid
sequence set forth in SEQ ID NO: 1, SEQ ID NO:3 or SEQ ID NO: 5
with 1 to about 2, 3, 5, 7, 10, 15, 20, 30, 50, 75 or more
conservative amino acid substitutions; (iii) an amino acid sequence
that is at least 70%, 75%, 80%, 90%, 95%, 96%, 97%, 98%, or 99%
identical to SEQ ID NO: 1, SEQ ID NO:3 or SEQ ID NO: 5; and (iv)
functional fragments thereof. Polypeptides of the invention also
include homologs, e.g., orthologs and paralogs, of SEQ ID NO: 1,
SEQ ID NO: 3 or SEQ ID NO: 5.
[0401] The term "TRPA1" further refers to a nucleic acid encoding a
polypeptide of the invention, e.g., a nucleic acid comprising a
sequence consisting of, or consisting essentially of, the
polynucleotide sequence set forth in SEQ ID NO: 2, SEQ ID NO: 4 or
SEQ ID NO: 6. A nucleic acid of the invention may comprise all, or
a portion of: the nucleotide sequence of SEQ ID NO: 2, SEQ ID NO: 4
or SEQ ID NO: 6; a nucleotide sequence at least 70%, 75%, 80%, 90%,
95%, 96%, 97%, 98% or 99% identical to SEQ ID NO: 2, SEQ ID NO: 4
or SEQ ID NO: 6; a nucleotide sequence that hybridizes under
stringent conditions to SEQ ID NO: 2, SEQ ID NO: 4 or SEQ ID NO: 6;
nucleotide sequences encoding polypeptides that are functionally
equivalent to polypeptides of the invention; nucleotide sequences
encoding polypeptides at least about 70%, 75%, 80%, 85%, 90%, 95%,
98%, 99% homologous or identical with an amino acid sequence of SEQ
ID NO: 1, SEQ ID NO:3 or SEQ ID NO: 5; nucleotide sequences
encoding polypeptides having an activity of a polypeptide of the
invention and having at least about 70%, 75%, 80%, 85%, 90%, 95%,
98%, 99% or more homology or identity with SEQ ID NO: 1, SEQ ID
NO:3 or SEQ ID NO: 5; nucleotide sequences that differ by 1 to
about 2, 3, 5, 7, 10, 15, 20, 30, 50, 75 or more nucleotide
substitutions, additions or deletions, such as allelic variants, of
SEQ ID NO: 2, SEQ ID NO: 4 or SEQ ID NO: 6; nucleic acids derived
from and evolutionarily related to SEQ ID NO: 2, SEQ ID NO: 4 or
SEQ ID NO: 6; and complements of, and nucleotide sequences
resulting from the degeneracy of the genetic code, for all of the
foregoing and other nucleic acids of the invention. Nucleic acids
of the invention also include homologs, e.g., orthologs and
paralogs, of SEQ ID NO: 2, SEQ ID NO: 4 or SEQ ID NO: 6 and also
variants of SEQ ID NO: 2, SEQ ID NO: 4 or SEQ ID NO: 6 which have
been codon optimized for expression in a particular organism (e.g.,
host cell). Where not explicitly stated, one of skill in the art
can readily assess whether TRPA1 refers to a nucleic acid or a
protein.
[0402] The term "oxidative metabolite" is intended to encompass
compounds that are produced by metabolism of the parent compound
under normal physiological conditions. Specifically, an oxidative
metabolite is formed by oxidation of the parent compound during
metabolism. For example, a thioether group may be oxidized to the
corresponding sulfoxide or sulfone.
[0403] The term "solvate" as used herein, refers to a compound
formed by solvation (e.g., a compound formed by the combination of
solvent molecules with molecules or ions of the solute).
[0404] The term "hydrate" as used herein, refers to a compound
formed by the union of water with the parent compound.
[0405] The term "treating" includes prophylactic and/or therapeutic
treatments. The term "prophylactic or therapeutic" treatment is
art-recognized and includes administration to the host of one or
more of the subject compositions. If it is administered prior to
clinical manifestation of the unwanted condition (e.g., disease or
other unwanted state of the host animal) then the treatment is
prophylactic, (i.e., it protects the host against developing the
unwanted condition), whereas if it is administered after
manifestation of the unwanted condition, the treatment is
therapeutic, (i.e., it is intended to diminish, ameliorate, or
stabilize the existing unwanted condition or side effects
thereof).
[0406] The terms "compound" and "agent" are used interchangeably to
refer to the inhibitors/antagonists of the invention. In certain
embodiments, the compounds are small organic or inorganic
molecules, e.g., with molecular weights less than 7500 amu,
preferably less than 5000 amu, and even more preferably less than
2000, 1500, 1000, or 500 amu. One class of small organic or
inorganic molecules are non-peptidyl, e.g., containing 2, 1, or no
peptide and/or saccharide linkages. In certain other embodiments,
the compounds are peptidyl agents such as polypeptides or
antibodies. In certain other embodiments, the compounds are
proteins, for example, antibodies or aptamers. Such compounds can
bind to and inhibit a function of TRPA1. In certain other
embodiments, the compounds are nucleic acids, for example, TRPA1
antisense oligonucleotides or TRPA1 RNAi constructs. Such compounds
can inhibit the expression of TRPA1, thereby inhibiting the
activity of TRPA1. Other exemplary compounds that may act as
inhibitors include ribozymes and peptide fragments.
[0407] The term "acyl" is art-recognized and refers to a group
represented by the general formula hydrocarbylC(O)--, preferably
alkylC(O)--.
[0408] The term "acylamino" is art-recognized and refers to a
moiety that can be represented by the general formula:
##STR00053##
[0409] wherein R.sub.9 is as defined above, and R'11 represents a
hydrogen, an alkyl, an alkenyl or --(CH2)m-R8, where m and R8 are
as defined above.
[0410] Herein, the term "aliphatic group" refers to a
straight-chain, branched-chain, or cyclic aliphatic hydrocarbon
group and includes saturated and unsaturated aliphatic groups, such
as an alkyl group, an alkenyl group, and an alkynyl group.
[0411] The term "alkenyl", as used herein, refers to an aliphatic
group containing at least one double bond and is intended to
include both "unsubstituted alkenyls" and "substituted alkenyls",
the latter of which refers to alkenyl moieties having substituents
replacing a hydrogen on one or more carbons of the alkenyl group.
Such substituents may occur on one or more carbons that are
included or not included in one or more double bonds. Moreover,
such substituents include all those contemplated for alkyl groups,
as discussed below, except where stability is prohibitive. For
example, substitution of alkenyl groups by one or more alkyl,
carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is
contemplated.
[0412] The terms "alkoxyl" or "alkoxy" as used herein refers to an
alkyl group, as defined below, having an oxygen radical attached
thereto. Representative alkoxyl groups include methoxy, ethoxy,
propyloxy, tert-butoxy and the like. An "ether" is two hydrocarbons
covalently linked by an oxygen. Accordingly, the substituent of an
alkyl that renders that alkyl an ether is or resembles an alkoxyl,
such as can be represented by one of --O-alkyl, --O-alkenyl,
--O-alkynyl, --O--(CH2)m-R8, where m and R8 are described
above.
[0413] The term "alkyl" refers to the radical of saturated
aliphatic groups, including straight-chain alkyl groups,
branched-chain alkyl groups, cycloalkyl (alicyclic) groups,
alkyl-substituted cycloalkyl groups, and cycloalkyl-substituted
alkyl groups. In preferred embodiments, a straight chain or
branched chain alkyl has 30 or fewer carbon atoms in its backbone
(e.g., C1-C30 for straight chains, C3-C30 for branched chains), and
more preferably 20 or fewer, and most preferably 10 or fewer.
Likewise, preferred cycloalkyls have from 3-10 carbon atoms in
their ring structure, and more preferably have 5, 6 or 7 carbons in
the ring structure.
[0414] Moreover, the term "alkyl" (or "lower alkyl") as used
throughout the specification, examples, and claims is intended to
include both "unsubstituted alkyls" and "substituted alkyls", the
latter of which refers to alkyl moieties having substituents
replacing a hydrogen on one or more carbons of the hydrocarbon
backbone. Such substituents can include, for example, a halogen, a
hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a
formyl, or an acyl), a thiocarbonyl (such as a thioester, a
thioacetate, or a thioformate), an alkoxyl, a phosphoryl, a
phosphate, a phosphonate, a phosphinate, an amino, an amido, an
amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an
alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a
sulfonyl, a heterocyclyl, an aralkyl, or an aromatic or
heteroaromatic moiety. It will be understood by those skilled in
the art that the moieties substituted on the hydrocarbon chain can
themselves be substituted, if appropriate. For instance, the
substituents of a substituted alkyl may include substituted and
unsubstituted forms of amino, azido, imino, amido, phosphoryl
(including phosphonate and phosphinate), sulfonyl (including
sulfate, sulfonamido, sulfamoyl and sulfonate), and silyl groups,
as well as ethers, alkylthios, carbonyls (including ketones,
aldehydes, carboxylates, and esters), --CF.sub.3, --CN and the
like. Exemplary substituted alkyls are described below. Cycloalkyls
can be further substituted with alkyls, alkenyls, alkoxys,
alkylthios, aminoalkyls, carbonyl-substituted alkyls, --CF.sub.3,
--CN, and the like.
[0415] Analogous substitutions can be made to alkenyl and alkynyl
groups to produce, for example, aminoalkenyls, aminoalkynyls,
amidoalkenyls, amidoalkynyls, iminoalkenyls, iminoalkynyls,
thioalkenyls, thioalkynyls, carbonyl-substituted alkenyls or
alkynyls.
[0416] Unless the number of carbons is otherwise specified, "lower
alkyl" as used herein means an alkyl group, as defined above, but
having from one to ten carbons, more preferably from one to six
carbon atoms in its backbone structure. Likewise, "lower alkenyl"
and "lower alkynyl" have similar chain lengths. Throughout the
application, preferred alkyl groups are lower alkyls. In preferred
embodiments, a substituent designated herein as alkyl is a lower
alkyl.
[0417] The term "alkynyl", as used herein, refers to an aliphatic
group containing at least one triple bond and is intended to
include both "unsubstituted alkynyls" and "substituted alkynyls",
the latter of which refers to alkynyl moieties having substituents
replacing a hydrogen on one or more carbons of the alkynyl group.
Such substituents may occur on one or more carbons that are
included or not included in one or more triple bonds. Moreover,
such substituents include all those contemplated for alkyl groups,
as discussed above, except where stability is prohibitive. For
example, substitution of alkynyl groups by one or more alkyl,
carbocyclyl, aryl, heterocyclyl, or heteroaryl groups is
contemplated.
[0418] The term "alkylthio" refers to an alkyl group, as defined
above, having a sulfur radical attached thereto. In preferred
embodiments, the "alkylthio" moiety is represented by one of --S--
alkyl, --S-alkenyl, --S-alkynyl, and
--S--(CH.sub.2).sub.m--R.sub.8, wherein m and R.sub.8 are defined
above. Representative alkylthio groups include methylthio,
ethylthio, and the like.
[0419] The terms "amine" and "amino" are art-recognized and refer
to both unsubstituted and substituted amines, e.g., a moiety that
can be represented by the general formula:
##STR00054##
wherein R.sub.9, R.sub.10 and R'.sub.10 each independently
represent a hydrogen, an alkyl, an alkenyl,
--(CH.sub.2).sub.m--R.sub.8, or R.sub.9 and R.sub.10 taken together
with the N atom to which they are attached complete a heterocycle
having from 4 to 8 atoms in the ring structure; R.sub.8 represents
an aryl, a cycloalkyl, a cycloalkenyl, a heterocycle or a
polycycle; and m is zero or an integer in the range of 1 to 8. In
preferred embodiments, only one of R.sub.9 or R.sub.10 can be a
carbonyl, e.g., R.sub.9, R.sub.10 and the nitrogen together do not
form an imide. In certain such embodiments, neither R.sub.9 and
R.sub.10 is attached to N by a carbonyl, e.g., the amine is not an
amide or imide, and the amine is preferably basic, e.g., its
conjugate acid has a pK.sub.a above 7. In even more preferred
embodiments, R.sub.9 and R.sub.10 (and optionally R'.sub.10) each
independently represent a hydrogen, an alkyl, an alkenyl, or
--(CH.sub.2).sub.m--R.sub.8. Thus, the term "alkylamine" as used
herein means an amine group, as defined above, having a substituted
or unsubstituted alkyl attached thereto, i.e., at least one of
R.sub.9 and R.sub.10 is an alkyl group.
[0420] The term "amido" is art-recognized as an amino-substituted
carbonyl and includes a moiety that can be represented by the
general formula:
##STR00055##
wherein R.sub.9, R.sub.10 are as defined above. Preferred
embodiments of the amide will not include imides that may be
unstable.
[0421] The term "aralkyl", as used herein, refers to an alkyl group
substituted with an aryl group (e.g., an aromatic or heteroaromatic
group).
[0422] The term "aryl" as used herein includes 5-, 6-, and
7-membered single-ring aromatic groups that may include from zero
to four heteroatoms, for example, benzene, pyrrole, furan,
thiophene, imidazole, oxazole, thiazole, triazole, pyrazole,
pyridine, pyrazine, pyridazine and pyrimidine, and the like. Those
aryl groups having heteroatoms in the ring structure may also be
referred to as "aryl heterocycles" or "heteroaromatics." The
aromatic ring can be substituted at one or more ring positions with
such substituents as described above, for example, halogen, azide,
alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl, polycyclyl, hydroxyl,
alkoxyl, amino, nitro, sulfhydryl, imino, amido, phosphate,
phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether,
alkylthio, sulfonyl, sulfonamido, ketone, aldehyde, ester,
heterocyclyl, aromatic or heteroaromatic moieties, --CF3, --CN, or
the like. The term "aryl" also includes polycyclic ring systems
having two or more cyclic rings in which two or more carbons are
common to two adjoining rings (the rings are "fused rings") wherein
at least one of the rings is aromatic, e.g., the other cyclic rings
can be cycloalkyls, cycloalkenyls, cycloalkynyls, aryls and/or
heterocyclyls.
[0423] The term "carbocycle or cyclyl", as used herein, refers to
an aromatic or non-aromatic ring in which each atom of the ring is
carbon.
[0424] The term "carbonyl" is art-recognized and includes such
moieties as can be represented by the general formula:
##STR00056##
wherein X is a bond or represents an oxygen or a sulfur, and
R.sub.11 represents a hydrogen, an alkyl, an alkenyl,
--(CH.sub.2).sub.m--R.sub.8 or a pharmaceutically acceptable salt,
R'.sub.11 represents a hydrogen, an alkyl, an alkenyl or
--(CH.sub.2).sub.m--R.sub.8, where m and R.sub.8 are as defined
above. Where X is an oxygen and R.sub.11 or R'.sub.11 is not
hydrogen, the formula represents an "ester". Where X is an oxygen,
and R.sub.11 is as defined above, the moiety is referred to herein
as a carboxyl group, and particularly when R.sub.11 is a hydrogen,
the formula represents a "carboxylic acid". Where X is an oxygen,
and R'.sub.11 is hydrogen, the formula represents a "formate". In
general, where the oxygen atom of the above formula is replaced by
sulfur, the formula represents a "thiocarbonyl" group. Where X is a
sulfur and R.sub.11 or R'.sub.11 is not hydrogen, the formula
represents a "thioester." Where X is a sulfur and R.sub.11 is
hydrogen, the formula represents a "thiocarboxylic acid." Where X
is a sulfur and R.sub.11' is hydrogen, the formula represents a
"thiolformate." On the other hand, where X is a bond, and R.sub.11
is not hydrogen, the above formula represents a "ketone" group.
Where X is a bond, and R.sub.11 is hydrogen, the above formula
represents an "aldehyde" group.
[0425] The term "electron withdrawing group" refers to chemical
groups which withdraw electron density from the atom or group of
atoms to which electron withdrawing group is attached. The
withdrawal of electron density includes withdrawal both by
inductive and by delocalization/resonance effects. Examples of
electron withdrawing groups attached to aromatic rings include
perhaloalkyl groups, such as trifluoromethyl, halogens, azides,
carbonyl containing groups such as acyl groups, cyano groups, and
imine containing groups.
[0426] The term "ester", as used herein, refers to a group
--C(O)OR.sup.9 wherein R.sup.9 represents a hydrocarbyl group.
[0427] The terms "halo" and "halogen" as used herein means halogen
and includes chloro, fluoro, bromo, and iodo.
[0428] The terms "hetaralkyl" and "heteroaralkyl", as used herein,
refers to an alkyl group substituted with a hetaryl group.
[0429] The term "heteroaryl" refers to an aromatic 5-8 membered
monocyclic, 8-12 membered bicyclic, or 11-14 membered tricyclic
ring system having 1-3 heteroatoms if monocyclic, 1-6 heteroatoms
if bicyclic, or 1-9 heteroatoms if tricyclic, said heteroatoms
selected from O, N, or S (e.g., carbon atoms and 1-3, 1-6, or 1-9
heteroatoms of N, O, or S if monocyclic, bicyclic, or tricyclic,
respectively). Any ring atom can be substituted (e.g., by one or
more substituents).
[0430] The terms "heterocyclyl" or "heterocyclic group" refer to 3-
to 10-membered ring structures, more preferably 3- to 7-membered
rings, whose ring structures include one to four heteroatoms.
Heterocycles can also be polycycles. Heterocyclyl groups include,
for example, thiophene, thianthrene, furan, pyran, isobenzofuran,
chromene, xanthene, phenoxathiin, pyrrole, imidazole, pyrazole,
isothiazole, isoxazole, pyridine, pyrazine, pyrimidine, pyridazine,
indolizine, isoindole, indole, indazole, purine, quinolizine,
isoquinoline, quinoline, phthalazine, naphthyridine, quinoxaline,
quinazoline, cinnoline, pteridine, carbazole, carboline,
phenanthridine, acridine, pyrimidine, phenanthroline, phenazine,
phenarsazine, phenothiazine, furazan, phenoxazine, pyrrolidine,
oxolane, thiolane, oxazole, piperidine, piperazine, morpholine,
lactones, lactams such as azetidinones and pyrrolidinones, sultams,
sultones, and the like. The heterocyclic ring can be substituted at
one or more positions with such substituents as described above, as
for example, halogen, alkyl, aralkyl, alkenyl, alkynyl, cycloalkyl,
hydroxyl, amino, nitro, sulfhydryl, imino, amido, phosphate,
phosphonate, phosphinate, carbonyl, carboxyl, silyl, ether,
alkylthio, sulfonyl, ketone, aldehyde, ester, a heterocyclyl, an
aromatic or heteroaromatic moiety, --CF.sub.3, --CN, or the
like.
[0431] The terms "heteroaryl" and "hetaryl" include substituted or
unsubstituted aromatic single ring structures, preferably 5- to
7-membered rings, more preferably 5- to 6-membered rings, whose
ring structures include at least one heteroatom, preferably one to
four heteroatoms, more preferably one or two heteroatoms. The terms
"heteroaryl" and "hetaryl" also include polycyclic ring systems
having two or more cyclic rings in which two or more carbons are
common to two adjoining rings wherein at least one of the rings is
heteroaromatic, e.g., the other cyclic rings can be cycloalkyls,
cycloalkenyls, cycloalkynyls, aryls, heteroaryls, and/or
heterocyclyls. Heteroaryl groups include, for example, pyrrole,
furan, thiophene, imidazole, oxazole, thiazole, pyrazole, pyridine,
pyrazine, pyridazine, and pyrimidine, and the like.
[0432] The term "heteroatom" as used herein means an atom of any
element other than carbon or hydrogen. Preferred heteroatoms are
nitrogen, oxygen, and sulfur.
[0433] The terms "heterocyclyl", "heterocycle", and "heterocyclic"
refer to substituted or unsubstituted non-aromatic ring structures,
preferably 3- to 10-membered rings, more preferably 3- to
7-membered rings, whose ring structures include at least one
heteroatom, preferably one to four heteroatoms, more preferably one
or two heteroatoms. The terms "heterocyclyl" and "heterocyclic"
also include polycyclic ring systems having two or more cyclic
rings in which two or more carbons are common to two adjoining
rings wherein at least one of the rings is heterocyclic, e.g., the
other cyclic rings can be cycloalkyls, cycloalkenyls,
cycloalkynyls, aryls, heteroaryls, and/or heterocyclyls.
Heterocyclyl groups include, for example, piperidine, piperazine,
pyrrolidine, morpholine, lactones, lactams, and the like.
[0434] The term "heterocyclylalkyl", as used herein, refers to an
alkyl group substituted with a heterocycle group.
[0435] The term "hydrocarbyl", as used herein, refers to a group
that is bonded through a carbon atom that does not have a .dbd.O or
.dbd.S substituent, and typically has at least one carbon-hydrogen
bond and a primarily carbon backbone, but may optionally include
heteroatoms. Thus, groups like methyl, ethoxyethyl, 2-pyridyl, and
trifluoromethyl are considered to be hydrocarbyl for the purposes
of this application, but substituents such as acetyl (which has a
.dbd.O substituent on the linking carbon) and ethoxy (which is
linked through oxygen, not carbon) are not. Hydrocarbyl groups
include, but are not limited to aryl, heteroaryl, carbocycle,
heterocycle, alkyl, alkenyl, alkynyl, and combinations thereof.
[0436] The term "lower" when used in conjunction with a chemical
moiety, such as, acyl, acyloxy, alkyl, alkenyl, alkynyl, or alkoxy
is meant to include groups where there are ten or fewer atoms in
the substituent, preferably six or fewer. A "lower alkyl", for
example, refers to an alkyl group that contains ten or fewer carbon
atoms, preferably six or fewer. In certain embodiments, acyl,
acyloxy, alkyl, alkenyl, alkynyl, or alkoxy substituents defined
herein are respectively lower acyl, lower acyloxy, lower alkyl,
lower alkenyl, lower alkynyl, or lower alkoxy, whether they appear
alone or in combination with other substituents, such as in the
recitations hydroxyalkyl and aralkyl (in which case, for example,
the atoms within the aryl group are not counted when counting the
carbon atoms in the alkyl substituent).
[0437] As used herein, the term "nitro" means --NO2; the term
"halogen" designates --F, --Cl, --Br or --I; the term "sulfhydryl"
means --SH; the term "hydroxyl" means --OH; and the term "sulfonyl"
means --SO2-.
[0438] The terms "polycyclyl" or "polycyclic group" refer to two or
more rings (e.g., cycloalkyls, cycloalkenyls, cycloalkynyls, aryls
and/or heterocyclyls) in which two or more carbons are common to
two adjoining rings, e.g., the rings are "fused rings". Rings that
are joined through non-adjacent atoms are termed "bridged" rings.
Each of the rings of the polycycle can be substituted with such
substituents as described above, as for example, halogen, alkyl,
aralkyl, alkenyl, alkynyl, cycloalkyl, hydroxyl, amino, nitro,
sulfhydryl, imino, amido, phosphate, phosphonate, phosphinate,
carbonyl, carboxyl, silyl, ether, alkylthio, sulfonyl, ketone,
aldehyde, ester, a heterocyclyl, an aromatic or heteroaromatic
moiety, --CF3, --CN, or the like.
[0439] The phrase "protecting group" as used herein means temporary
substituents which protect a potentially reactive functional group
from undesired chemical transformations. Examples of such
protecting groups include esters of carboxylic acids, silyl ethers
of alcohols, and acetals and ketals of aldehydes and ketones,
respectively. The field of protecting group chemistry has been
reviewed (Greene, T. W.; Wuts, P.G.M. Protective Groups in Organic
Synthesis, 2.sup.nd ed.; Wiley: New York, 1991).
[0440] The term "substituted" refers to moieties having
substituents replacing a hydrogen on one or more carbons of the
backbone. It will be understood that "substitution" or "substituted
with" includes the implicit proviso that such substitution is in
accordance with permitted valence of the substituted atom and the
substituent, and that the substitution results in a stable
compound, e.g., which does not spontaneously undergo transformation
such as by rearrangement, cyclization, elimination, etc. As used
herein, the term "substituted" is contemplated to include all
permissible substituents of organic compounds. In a broad aspect,
the permissible substituents include acyclic and cyclic, branched
and unbranched, carbocyclic and heterocyclic, aromatic and
non-aromatic substituents of organic compounds. The permissible
substituents can be one or more and the same or different for
appropriate organic compounds. For purposes of this invention, the
heteroatoms such as nitrogen may have hydrogen substituents and/or
any permissible substituents of organic compounds described herein
which satisfy the valences of the heteroatoms. Substituents can
include any substituents described herein, for example, a halogen,
a hydroxyl, a carbonyl (such as a carboxyl, an alkoxycarbonyl, a
formyl, or an acyl), a thiocarbonyl (such as a thioester, a
thioacetate, or a thioformate), an alkoxyl, a phosphoryl, a
phosphate, a phosphonate, a phosphinate, an amino, an amido, an
amidine, an imine, a cyano, a nitro, an azido, a sulfhydryl, an
alkylthio, a sulfate, a sulfonate, a sulfamoyl, a sulfonamido, a
sulfonyl, a heterocyclyl, an aralkyl, or an aromatic or
heteroaromatic moiety. It will be understood by those skilled in
the art that the moieties substituted on the hydrocarbon chain can
themselves be substituted, if appropriate.
[0441] It will be understood that "substitution" or "substituted
with" includes the implicit proviso that such substitution is in
accordance with permitted valence of the substituted atom and the
substituent, and that the substitution results in a stable
compound, e.g., which does not spontaneously undergo transformation
such as by rearrangement, cyclization, elimination, etc.
[0442] The term "sulfamoyl" is art-recognized and includes a moiety
that can be represented by the general formula:
##STR00057##
[0443] in which R9 and R10 are as defined above.
[0444] The term "sulfate" is art recognized and includes a moiety
that can be represented by the general formula:
##STR00058##
[0445] in which R.sub.41 is as defined above.
[0446] The term "sulfonamido" is art recognized and includes a
moiety that can be represented by the general formula:
##STR00059##
[0447] in which R9 and R'11 are as defined above.
[0448] The term "sulfonate" is art-recognized and includes a moiety
that can be represented by the general formula:
##STR00060##
[0449] in which R41 is an electron pair, hydrogen, alkyl,
cycloalkyl, or aryl.
[0450] The terms "sulfoxido" or "sulfinyl", as used herein, refers
to a moiety that can be represented by the general formula:
##STR00061##
[0451] in which R44 is selected from the group consisting of
hydrogen, alkyl, alkenyl, alkynyl, cycloalkyl, heterocyclyl,
aralkyl, or aryl.
[0452] The term "thioester", as used herein, refers to a group
--C(O)SR.sup.9 or --SC(O)R.sup.9 wherein R.sup.9 represents a
hydrocarbyl.
[0453] As used herein, the definition of each expression, e.g.,
alkyl, m, n, etc., when it occurs more than once in any structure,
is intended to be independent of its definition elsewhere in the
same structure.
[0454] The terms triflyl, tosyl, mesyl, and nonaflyl are
art-recognized and refer to trifluoromethanesulfonyl,
p-toluenesulfonyl, methanesulfonyl, and nonafluorobutanesulfonyl
groups, respectively. The terms triflate, tosylate, mesylate, and
nonaflate are art-recognized and refer to trifluoromethanesulfonate
ester, p-toluenesulfonate ester, methanesulfonate ester, and
nonafluorobutanesulfonate ester functional groups and molecules
that contain said groups, respectively.
[0455] The abbreviations Me, Et, Ph, Tf, Nf, Ts, Ms represent
methyl, ethyl, phenyl, trifluoromethanesulfonyl,
nonafluorobutanesulfonyl, p-toluenesulfonyl and methanesulfonyl,
respectively. A more comprehensive list of the abbreviations
utilized by organic chemists of ordinary skill in the art appears
in the first issue of each volume of the Journal of Organic
Chemistry; this list is typically presented in a table entitled
Standard List of Abbreviations. The abbreviations contained in said
list, and all abbreviations utilized by organic chemists of
ordinary skill in the art are hereby incorporated by reference.
[0456] Certain compounds of the present invention may exist in
particular geometric or stereoisomeric forms. The present invention
contemplates all such compounds, including cis- and trans-isomers,
R- and S-enantiomers, diastereomers, (d)-isomers, (l)-isomers, the
racemic mixtures thereof, and other mixtures thereof, as falling
within the scope of the invention. Additional asymmetric carbon
atoms may be present in a substituent such as an alkyl group. All
such isomers, as well as mixtures thereof, are intended to be
included in this invention.
[0457] Methods of preparing substantially isomerically pure
compounds are known in the art. If, for instance, a particular
enantiomer of a compound of the present invention is desired, it
may be prepared by asymmetric synthesis, or by derivation with a
chiral auxiliary, where the resulting diastereomeric mixture is
separated and the auxiliary group cleaved to provide the pure
desired enantiomers. Alternatively, where the molecule contains a
basic functional group, such as amino, or an acidic functional
group, such as carboxyl, diastereomeric salts may be formed with an
appropriate optically active acid or base, followed by resolution
of the diastereomers thus formed by fractional crystallization or
chromatographic means well known in the art, and subsequent
recovery of the pure enantiomers. Alternatively, enantiomerically
enriched mixtures and pure enantiomeric compounds can be prepared
by using synthetic intermediates that are enantiomerically pure in
combination with reactions that either leave the stereochemistry at
a chiral center unchanged or result in its complete inversion.
Techniques for inverting or leaving unchanged a particular
stereocenter, and those for resolving mixtures of stereoisomers are
well known in the art, and it is well within the ability of one of
skill in the art to choose an appropriate method for a particular
situation. See, generally, Furniss et al. (eds.), Vogel's
Encyclopedia of Practical Organic Chemistry 5.sup.th Ed., Longman
Scientific and Technical Ltd., Essex, 1991, pp. 809-816; and
Heller, Acc. Chem. Res. 23: 128 (1990).
[0458] Contemplated equivalents of the compounds described above
include compounds which otherwise correspond thereto, and which
have the same general properties thereof (e.g., the ability to
inhibit TRPA1 activity), wherein one or more simple variations of
substituents are made which do not adversely affect the efficacy of
the compound. In general, the compounds of the present invention
may be prepared by the methods illustrated in the general reaction
schemes as, for example, described below, or by modifications
thereof, using readily available starting materials, reagents and
conventional synthesis procedures. In these reactions, it is also
possible to make use of variants which are in themselves known, but
are not mentioned here.
[0459] For purposes of this invention, the chemical elements are
identified in accordance with the Periodic Table of the Elements,
CAS version, Handbook of Chemistry and Physics, 67th Ed., 1986-87,
inside cover. Also for purposes of this invention, the term
"hydrocarbon" is contemplated to include all permissible compounds
having at least one hydrogen and one carbon atom. In a broad
aspect, the permissible hydrocarbons include acyclic and cyclic,
branched and unbranched, carbocyclic and heterocyclic, aromatic and
nonaromatic organic compounds which can be substituted or
unsubstituted.
[0460] The compounds of the present invention may also contain
unnatural proportions of atomic isotopes at one or more of the
atoms that constitute such compounds. For example, the compounds
may be radiolabeled with radioactive isotopes, such as for example
tritium (.sup.3H), iodine-125 (.sup.125I) or carbon-14 (.sup.14C).
All isotopic variations of the compounds of the present invention,
whether radioactive or not, are intended to be encompassed within
the scope of the present invention.
[0461] The symbol , whether utilized as a bond or displayed
perpendicular to a bond indicates the point at which the displayed
moiety is attached to the remainder of the molecule, solid support,
etc.
[0462] Certain compounds of the present invention can exist in
unsolvated forms as well as solvated forms, including hydrated
forms. In general, the solvated forms are equivalent to unsolvated
forms and are encompassed within the scope of the present
invention. Certain compounds of the present invention may exist in
multiple crystalline or amorphous forms. In general, all physical
forms are equivalent for the uses contemplated by the present
invention and are intended to be within the scope of the present
invention.
[0463] The term "pharmaceutically acceptable salts" includes salts
of the active compounds which are prepared with relatively nontoxic
acids or bases, depending on the particular substituents found on
the compounds described herein. When compounds of the present
invention contain relatively acidic functionalities, base addition
salts can be obtained by contacting the neutral form of such
compounds with a sufficient amount of the desired base, either neat
or in a suitable inert solvent. Examples of pharmaceutically
acceptable base addition salts include sodium, potassium, calcium,
ammonium, organic amino, or magnesium salt, or a similar salt. When
compounds of the present invention contain relatively basic
functionalities, acid addition salts can be obtained by contacting
the neutral form of such compounds with a sufficient amount of the
desired acid, either neat or in a suitable inert solvent. Examples
of pharmaceutically acceptable acid addition salts include those
derived from inorganic acids like hydrochloric, hydrobromic,
nitric, carbonic, monohydrogencarbonic, phosphoric,
monohydrogenphosphoric, dihydrogenphosphoric, sulfuric,
monohydrogensulfuric, hydriodic, or phosphorous acids and the like,
as well as the salts derived from relatively nontoxic organic acids
like acetic, trifluoroacetic, propionic, isobutyric, maleic,
malonic, benzoic, succinic, suberic, fumaric, lactic, mandelic,
phthalic, benzensulfonic, p-tolylsulfonic, citric, tartaric,
methanesulfonic, and the like. Also included are the salts of amino
acids such as arginate and the like, and salts of organic acids
like glucuronic or galactunoric acids and the like (see, for
example, Berge et al., "Pharmaceutical Salts", Journal of
Pharmaceutical Science, 1977, 66, 1-19). Certain specific compounds
of the present invention contain both basic and acidic
functionalities that allow the compounds to be converted into
either base or acid addition salts.
[0464] The neutral forms of the compounds are preferably
regenerated by contacting the salt with a base or acid and
isolating the parent compound in the conventional manner. The
parent form of the compound differs form the various salt forms in
certain physical properties, such as solubility in polar solvents,
but otherwise the salts are equivalent to the parent form of the
compound for the purposes of the present invention.
[0465] The term "low enough pyrogen activity", with reference to a
pharmaceutical preparation, refers to a preparation that does not
contain a pyrogen in an amount that would lead to an adverse effect
(e.g., irritation, fever, inflammation, diarrhea, respiratory
distress, endotoxic shock, etc.) in a subject to which the
preparation has been administered. For example, the term is meant
to encompass preparations that are free of, or substantially free
of, an endotoxin such as, for example, a lipopolysaccharide
(LPS).
Diseases, Disorders, or Conditions Related to TRPA1 Function
[0466] In certain embodiments, the invention provides methods and
compositions for inhibiting a function of a TRPA1 channel in vitro
or in vivo. Exemplary functions include, but are not limited to,
TRPA1-mediated current. In certain embodiments, the invention
provides methods for preventing or treating a disease or disorder
or condition by administering an agent that modulates the level
and/or activity of a TRPA1 protein. In other embodiments, the
compound selectively inhibits the expression level and/or activity
of a TRPA1 protein. In other words, in certain embodiment, the
compound inhibits the activity of a TRPA1 protein preferentially in
comparison to the activity of one or more other ion channels.
[0467] In particular embodiments of the methods for preventing or
treating diseases and disorders provided herein, the disease or
disorder can be, for example, a pain or sensitivity to touch such
as pain related to a disease or disorder, e.g., cancer pain, a
dermatological disease or disorder, e.g., psoriasis and basal cell
and squamous cell cariconomas, a neurodegenerative disease or
disorder, e.g., Alzheimer's disease (AD), Parkinson's disease,
Huntington's disease, amyotrophic lateral sclerosis (ALS), and
other brain disorders caused by trauma or other insults including
aging, an inflammatory disease (e.g., asthma, chronic obstructive
pulmonary disease, rheumatoid arthritis, osteoarthritis,
inflammatory bowel disease, glomerulonephritis, neuroinflammatory
diseases, multiple sclerosis, and disorders of the immune system),
cancer (e.g. liposarcoma) or other proliferative disease, kidney
disease and liver disease, a metabolic disorder such as diabetes.
Further diseases and conditions include post-surgical pain, post
herpetic neuraligia, incontinence, and shingles.
[0468] Because of the important role that calcium regulation plays
in many cellular processes including cellular activation, gene
expression, cellular trafficking and apoptotic cell death, calcium
dyshomeostasis is implicated in the many diseases and disorders
involving such cellular activities. These diseases and disorders
include dermatological diseases and disorders; neurological and
neurodegenerative diseases and disorders; fever associated with
various diseases, disorders or conditions; incontinence;
inflammatory diseases and disorders such as inflammatory bowel
disease and Crohn's disease; respiratory diseases and disorders
such as chronic cough, asthma and chronic obstructive pulmonary
disease (COPD); digestive disorders such as ulcers and acid reflux;
metabolic diseases and disorders including obesity and diabetes;
liver and kidney diseases and disorders; malignancies including
cancers; aging-related disorders; and sensitivity to pain and
touch.
[0469] Additional diseases or conditions that can be treated
include ATP-related diseases or disorders including epilepsy,
cognition, emesis, pain (e.g., migraine), asthma, peripheral
vascular disease, hypertension, immune and inflammatory conditions,
irritable bowel syndrome, cystitis, depression, aging-associated
degenerative diseases, urinary incontinence, premature ejaculation,
cystic fibrosis, diabetes, contraception and sterility, and wound
healing (see, for example, Foresta et al. (1992) J. Biol. Chem.
257:19443-19447; Wang et al. (1990) Biochim. Biophys. Res. Commun.
166:251-258; Burnstock and Williams, (2000) J. Pharmacol. Exp.
Ther. 295: 862-869; and Burnstock, Pharmacol Rev (2006)
58:58-86).
[0470] TRPA1 inhibitors described herein can be used in the
treatment of any of the foregoing or following diseases or
conditions, including in the treatment of pain associated with any
of the foregoing or following diseases or conditions. When used in
a method of treatment, an inhibitor can be selected and formulated
based on the intended route of administration. Inhibitors can be
used to treat the underlying disease or condition, or to relieve a
symptom of the disease or condition. Exemplary symptoms include
pain associated with a disease or condition.
[0471] a. Sensitivity to Pain and Touch, or Pain-Related Diseases
or Disorders
[0472] Compositions and methods provided herein may be used in
connection with prevention or treatment of pain or sensitivity to
pain and touch. Pain or sensitivity to pain and touch may be
indicated in a variety of diseases, disorders or conditions,
including, but not limited to, diabetic neuropathy, breast pain,
psoriasis, eczema, dermatitis, burn, post-herpetic neuralgia
(shingles), nociceptive pain, peripheral neuropathic and central
neuropathic pain, chronic pain, cancer and tumor pain, spinal cord
injury, crush injury and trauma induced pain, migraine,
cerebrovascular and vascular pain, sickle cell disease pain,
rheumatoid arthritis pain, musculoskeletal pain including treating
signs and symptoms of osteoarthritis and rheumatoid arthritis,
orofacial and facial pain, including dental, temperomandibular
disorder, and cancer related, lower back or pelvic pain, surgical
incision related pain, inflammatory and non-inflammatory pain,
visceral pain, psychogenic pain and soft tissue inflammatory pain,
fibromyalgia-related pain, and reflex sympathetic dystrophy, and
pain resulting from kidney stones or urinary tract infection. The
compounds and methods of the invention may be used in the treatment
of chronic, as well as acute pain. Chronic or acute pain may be the
result of injury, age, or disease.
[0473] Other ion channels have been implicated in reception or
transmission of pain. For example, the involvement of N-type
calcium channels in the synaptic transmissions that convey pain
signals from sensory afferent nerve cells to the central nervous
system has been recognized. Certain naturally occurring peptide
neurotoxins that specifically block N-type calcium channel have
been shown to act as extremely potent and efficient analgesics in a
wide range of animal pain models, including models of inflammatory
and neuropathic pain. The available evidence suggests that N-type
calcium channel blockers are at least as efficacious as opiates,
are devoid of a number of the typical opiate side effects (e.g.
respiratory depression) and that the analgesic effect is not
subject to tolerance development.
[0474] It has also been shown that potent peripheral analgesia
induced by 5-alpha-reduced neurosteroid is mediated in part by
effects on T-type Ca.sup.2+ channels (Pathirathna et al., Pain.
2005 April; 114(3):429-43).
[0475] Ethosuximide, an anti-epileptic and relatively selective
T-type calcium channel blocker, has also been shown as being highly
effective in reversing neuropathic pain caused by the commonly
employed cytotoxics paclitaxel or vincristine (Flatters and
Bennett, Pain. 2004 May; 109(1-2):150-61).
[0476] Pregabalin, a new drug that interacts with the
alpha(2)-delta protein subunit of the voltage-gated calcium
channel, is an efficacious and safe treatment for the pain of
diabetic neuropathy (Richter et al., J Pain. 2005 April;
6(4):253-60).
[0477] The foregoing demonstrate the involvement of various non-TRP
channels in the reception or transmission of pain. Specifically,
the foregoing demonstrate the involvement of various calcium
channels in pain.
[0478] The present invention provides methods for treating pain
that include administration of (i) antagonists of a TRPA1 function;
(ii) combinations of selective antagonists of a TRPA1 function and
selective antagonists of TRPV1 and/or TRPV3 function; or (iii) a
pan-TRP inhibitor that inhibits a function of two or more of TRPA1,
TRPV1, and TRPV3.
[0479] In addition to TRPV family members, other TRP channels have
been implicated in pain reception and/or sensation. For example,
certain TRPM channels including TRPM8 have been implicated in the
reception and/or sensation of pain. Accordingly, in certain
embodiments, the methods of the present invention include treating
pain by administering (i) a combination of a selective TRPA1
antagonist and a selective TRPM8 antagonist; (ii) a combination of
a selective TRPA1 antagonist, a selective TRPM8 antagonist, and one
or more of a selective TRPV1 and/or TRPV3 antagonist; (iii) a
cross-TRP inhibitor that antagonizes a function of TRPA1 and TRPM8;
or (iv) a pan inhibitor that antagonizes a function of TRPA1,
TRPM8, and one or more of TRPV1 and TRPV3.
[0480] Without being bound by theory, we propose one possible
mechanism for how a TRPA1 antagonist may help reduce pain. TRPA1
antagonists can lead to hyperpolarization of the cell. This may
lead to a reduction in the firing of neurons and/or a decrease in
action potential frequency. In addition, TRPA1 inhibitors may
reduce calcium influx into injured cells and could prevent the
calcium dependent changes in gene expression that sometimes
accompany injury.
[0481] b. Dermatological Diseases or Disorders
[0482] Influx of calcium across plasma membrane of skin cells is a
critical signaling element involved in cellular differentiation in
the skin epidermis (Dotto, 1999 Crit Rev Oral Biol Med 10:442-457).
Regulating or modulating the calcium entry pathway, and thus a
critical control point for skin cell growth, can treat or prevent
skin diseases or disorders that are characterized by epidermal
hyperplasia, a condition in which skin cells both proliferate too
rapidly and differentiate poorly. Such diseases include psoriasis,
and basal and squamous cell carcinomas. Psoriasis, estimated to
affect up to 7 million Americans, afflicts sufferers with mild to
extreme discomfort, enhanced susceptibility to secondary
infections, and psychological impact due to disfigurement of the
affected areas (Lebwohl and Ali, 2001 J Am Acad Dermatol
45:487-498). Basal cell carcinomas (BCC) and squamous cell
carcinomas (SCC) of the skin represent at least one-third of all
cancers diagnosed in the United States each year. More than 1
million new cases are reported annually and incidence is
increasing. Despite being relatively non-aggressive, slow-growing
cancers, BCCs are capable of significant local tissue destruction
and disfigurement. SCCs are more aggressive and thus present even
greater complications. Further, given that 80% of lesions are on
the head and neck with another 15% on shoulders, back or chest,
BCCs and SCCs of the skin can have a significant impact on the
appearance and quality of life of the afflicted patient.
[0483] Many dermatological disorders are accompanied by itch
(pruritus). Pruritus and pain share many mechanistic similarities.
Both are associated with activation of C-fibers, both are
potentiated by increases in temperature and inflammatory mediators
and both can be quelled with opiates. Decreasing neuronal
excitability, particularly C-fiber excitability may alleviate
pruritus associated with dialysis, dermatitis, pregnancy, poison
ivy, allergy, dry skin, chemotherapy and eczema.
[0484] c. Neurological or Neurodegenerative Diseases and
Disorders
[0485] Neurodegenerative diseases and disorders include but are not
limited to Alzheimer's disease (AD), Parkinson's disease,
Huntington's disease, amyotrophic lateral sclerosis (ALS), and
other brain disorders caused by trauma or other insults including
aging.
[0486] Mechanisms associated with calcium signaling may be altered
in many neurodegenerative diseases and in disorders resulting from
brain injury. For example, fibroblasts or T-lymphocytes from
patients with AD have consistently displayed an increase in
Ca.sup.2+ release from intracellular stores compared to controls
(Ito et al. (1994) Proc. Natl. Acad. Sci. U.S.A. 91:534-538; Gibson
et al. (1996) Biochem. Biophys. ACTA 1316:71-77; Etchenberrigaray
et al. (1998) Neurobiology of Disease, 5:37-45). Consistent with
these observations, mutations in presenilin genes (PS1 or PS2)
associated with familial AD (FAD) have been shown to increase
InsP3-mediated Ca.sup.2+ release from internal stores (Guo et al.
(1996) Neuro Report, 8:379-383; Leissring et al. (1999) J.
Neurochemistry, 72:1061-1068; Leissring et al. (1999) J. Biol.
Chem. 274(46):32535-32538; Leissring et al. (2000) J. Cell Biol.
149(4):793-797; Leissring et al. (2000) Proc. Natl. Acad. Sci.
U.S.A. 97(15):8590-8593). Furthermore, mutations in PS1 or PS2
associated with an increase in amyloidogenic amyloid .beta. peptide
generation in AD are reported to be associated with a decrease in
intracellular calcium level (Yoo et al. (2000) Neuron,
27(3):561-572).
[0487] Experimental traumatic brain injury has been shown to
initiate massive disturbances in Ca.sup.2+ concentrations in the
brain that may contribute to further neuronal damage. Intracellular
Ca.sup.2+ may be elevated by many different ion channels. It has
been further shown that channel blockers may be beneficial in the
treatment of neurological motor dysfunction when administered in
the acute posttraumatic period (Cheney et al. (2000) J.
Neurotrauma, 17(1):83-91).
[0488] d. Inflammatory Diseases and Disorders
[0489] Compositions and methods provided herein may also be used in
connection with treatment of inflammatory diseases. These diseases
include but are not limited to asthma, chronic obstructive
pulmonary disease, rheumatoid arthritis, osteoarthritis,
inflammatory bowel disease, glomerulonephritis, neuroinflammatory
diseases such as multiple sclerosis, and disorders of the immune
system.
[0490] The activation of neutrophils (PMN) by inflammatory
mediators is partly achieved by increasing cytosolic calcium
concentration ([Ca.sup.2+].sub.i). Certain calcium channel-mediated
calcium influx in particular is thought to play an important role
in PMN activation. It has been shown that trauma increases PMN
store-operated calcium influx (Hauser et al. (2000) J. Trauma
Injury Infection and Critical Care 48 (4):592-598) and that
prolonged elevations of [Ca.sup.2+].sub.i due to enhanced
store-operated calcium influx may alter stimulus-response coupling
to chemotaxins and contribute to PMN dysfunction after injury.
Modulation of PMN [Ca.sup.2+].sub.i through store-operated calcium
channels might therefore be useful in regulating PMN-mediated
inflammation and spare cardiovascular function after injury, shock
or sepsis (Hauser et al. (2001) J. Leukocyte Biology 69
(1):63-68).
[0491] Peripheral neuropathy, for example diabetic neuropathy, is a
particular condition that involves both a neuronal and an
inflammatory component. Without being bound by a mechanistic
theory, the TRPA1 antagonists of the invention may be useful in
treating peripheral neuropathies including, but not limited to,
diabetic neuropathy. In addition to their use in the treatment of
peripheral neuropathies (e.g., reducing inflammation), the subject
inhibitors may also be useful in reducing the pain associated with
peripheral neuropathy.
[0492] Neurogenic inflammation often occurs when neuronal
hyperexcitability leads to the release of peptides that trigger
inflammation. These peptides include substance P and CGRP. Blocking
TRPA1 would reduce neuronal activity and thus could block
neurogenic inflammation.
[0493] e. Cancer and Other Proliferative Diseases
[0494] Compositions and methods provided herein may also be used in
connection with treatment of malignancies, including, but not
limited to, malignancies of lymphoreticular origin, bladder cancer,
breast cancer, colon cancer, endometrial cancer, head and neck
cancer, lung cancer, melanoma, ovarian cancer, prostate cancer and
rectal cancer, in addition to skin cancers described above.
Intracellular calcium level may play an important role in cell
proliferation in cancer cells (Weiss et al. (2001) International
Journal of Cancer 92 (6):877-882).
[0495] In addition, pain associated with cancer or with cancer
treatment is a significant cause of chronic pain. Cancers of the
bone, for example, osteosarcoma, are considered exceptionally
painful, and patients with advanced bone cancer may require
sedation to tolerate the intense and persistent pain. Accordingly,
TRPA1 antagonists of the invention represent a significant possible
therapeutic for the treatment of pain, for example, the pain
associated with cancer or with cancer treatment.
[0496] Given that TRPA1 is differentially expressed in transformed
cells, TRPA1 blockers may also affect the proliferation of
transformed cells and thus be a useful way to slow the disease (see
Jaquemar et al. (1999) JBC 274(11): 7325-33). Thus TRPA1
antagonists could alleviate both the cause and symptoms of cancer
pain.
[0497] Cancer treatments are not only painful, but they may even be
toxic to healthy tissue. Some chemotherapeutic agents can cause
painful neuropathy. Accordingly, TRPA1 antagonists of the invention
represent a significant possible therapeutic for the treatment of
the pain and/or inflammation associated with cancer treatments that
cause neuropathy.
[0498] A major function of prostaglandins is to protect the gastric
mucosa. Included in this function is the modulation of
intracellular calcium level in human gastric cells which plays a
critical role in cell proliferation. Consequently, inhibition of
prostaglandins by nonsteroidal anti-inflammatory drugs (NSAIDs) can
inhibit calcium influx in gastric cells (Kokoska et al. (1998)
Surgery (St Louis) 124 (2):429-437). The NSAIDs that relieve
inflammation most effectively also produce the greatest
gastrointestinal damage (Canadian Family Physician, January 1998,
p. 101). Thus, the ability to independently modulate calcium
channels in specific cell types may help to alleviate such side
effect of anti-inflammatory therapy. Additionally or alternatively,
administration of TRPA1 inhibitory compounds of the present
invention may be used in combination with NSAIDs, thus promoting
pain relief using reduced dosage of NSAIDs.
[0499] f. Incontinence
[0500] Incontinence is a significant social and medical problem
affecting both men and women. Incontinence has many causes
including, but not limited to, age, pregnancy, radiation exposure,
surgery, injury, cancer, enlargement of the prostatic, prostatic
hyperplasia, and diseases of the bladder or musculature that
supports the urethra. The invention contemplates methods for
treating incontinence due to any of the foregoing, as well as
incontinence of unknown cause or continence due to anxiety, stress,
or depression.
[0501] Compositions and methods provided herein may be useful in
connection with the treatment of incontinence. Animal models of
incontinence are often associated with an increase in the frequency
of spontaneous action potentials and a chronic depolarization of
the smooth muscle cells. Evidence suggests that a non-selective
cation current could lead to this depolarization. Since TRPA1 mRNA
is expressed in neurons that innervate bladder, blocking TRPA1
might be an effective treatment for incontinence. In addition,
TRPA1 is activated by stimulation of the muscarinic type 1
acetylcholine receptor (M1, see Jordt et al. (2004) Nature
427:260-265). Antimuscarininc agents are well known drugs for the
treatment of condition such as overactive bladder. Thus blocking
TRPA1, a downstream target of the M1 receptor might alleviate such
conditions without the side effects that are associated with
muscarinic antagonists.
[0502] Incontinence can be caused by any of a number of injuries,
diseases, and conditions. Some of these may cause significant
discomfort and pain, in addition to the inconvenience and
embarrassment of the incontinence itself. For example, bladder
cystitis is a painful condition that can also lead to incontinence.
For injuries or conditions resulting in both incontinence and pain,
TRPA1 inhibitors can be used to treat the incontinence, as well as
to relieve the accompanying pain.
[0503] For embodiments in which a TRPA1 inhibitor is used to treat
incontinence, the invention contemplates additional possible routes
of administration. For example, in certain embodiments, the TRPA1
inhibitor can be administered directly to the urethra or bladder
via a catheter or other intraluminal device. However, in other
embodiments, the TRPA1 inhibitor can be administered orally,
intravenously, subcutaneously, etc.
[0504] g. Temperature Regulation
[0505] Because of the effects of ion flux on arterial tension and
relaxation, the subject compounds can also be used to affect
thermal sensitivity. Furthermore, given that TRPA1 channels are
thermal responsive channels involved in the reception and sensation
of cold stimuli, TRPA1 antagonists can be used to modulate the
sensation of cool, cold and decreased temperatures that often
accompany pain.
[0506] h. Hypertension
[0507] Blockers of voltage-gated calcium channels belong to a class
of medications originally developed to treat hypertension. Such
blockers inhibit the movement of calcium into the muscle cells of
the heart and arteries. Because calcium is needed for these muscles
to contract, such blockers lower blood pressure by decreasing the
force of cardiac contractile response and relaxing the muscle walls
of the arteries. Although TRPA1 is not a voltage-gated calcium
channel, it is still instrumental in regulating calcium
homeostasis, as well as the balance of other ions, in cells and
tissues. Accordingly, TRPA1 antagonists of the invention may be
used to treat hypertension. Additional uses of the subject
compounds include other conditions that may be ameliorated, in
whole or in part, by relaxing the muscle walls of blood vessels.
Exemplary conditions include headaches and migraine attacks.
[0508] As outlined above, compounds that antagonize a function of
TRPA1 can be used in the treatment of many diseases, injuries,
disorders, and conditions. In certain embodiments, TRPA1 inhibitors
can be used in the treatment of pain. As outlined above, TRPA1
inhibitors can be used in the treatment of pain resulting from
injury or disease, as well as pain experienced as a consequence of
treatment. Exemplary classes of pain include nociceptive pain,
inflammatory pain, and neuropathic pain. Such pain can be chronic
or acute. TRPA1 inhibitors can be used in the treatment of one or
more of any of the foregoing classes of pain. In certain
embodiments, TRPA1 inhibitors can be used in the treatment of
nociceptive pain. In certain other embodiments, TRPA1 inhibitors
can be used in the treatment of inflammatory pain. In certain other
embodiments, TRPA1 inhibitors can be used in the treatment of
neuropathic pain.
[0509] As outlined above, TRPA1 inhibitors may be particularly
useful in the treatment of pain associated with cancer,
osteoarthritis, rheumatoid arthritis, post-herpetic neuralgia,
burns, and other indications detailed above. To further illustrate,
additional exemplary indications for which compounds of the present
invention can be used include oral pain, Fabry's disease, complex
regional pain syndrome, pancreatitis, and fibromyalgia
syndrome.
Fabry's disease
[0510] Vague complaints of pain in hands and feet may be a
presenting feature. These symptoms are called acroparesthesias, as
they reflect the peripheral neuropathy that is a frequent
manifestation of the disease. This pain may be both episodic and
chronic. Acute episodes may be triggered by exposure to extremes of
temperature, stress, emotion, and/or fatigue.
Fibromyalgia
[0511] Fibromyalgia (FMS; fibromyalgia syndrome) is a widespread
musculoskeletal pain and fatigue disorder. Fibromyalgia is
characterized by pain in the muscles, ligaments, and tendons. The
condition affects more women than men, and occurs in people of all
ages. Overall, FMS is estimated to afflict 3-6% of the
population.
[0512] Patients have described the pain associated with
fibromylagia as deep muscular aching, throbbing, shooting, and
stabbing. The pain sometimes includes an intense burning sensation.
The pain and stiffness are often worse in the morning or after
repetitive use of a particular muscle group.
[0513] Additionally, varying levels of fatigue ranging from mild to
incapacitating are often associated with fibromylagia. Other
symptoms of fibromylagia include gastrointestinal symptoms.
Irritable bowel syndrome and IBS-like symptoms such as
constipation, diarrhea, frequent abdominal pain, abdominal gas, and
nausea occur in roughly 40 to 70% of FMS patients. Acid reflux or
gastroesophogeal reflux disease (GERD) occurs at a similar
frequency.
[0514] Another frequent and debilitating symptom of FMS is chronic
headaches, including migraine and tension-type headaches. Such
headaches are experienced by approximately 70% of FMS patients.
Additionally, FMS patients often experience temporomandibular joint
dysfunction syndrome (also known as TMJ) which produces pain in the
jaw, teeth, and mouth. TMJ may also exacerbate headaches.
[0515] Other common symptoms of FMS include, but are not limited
to, premenstrual syndrome and painful periods; chest pain; morning
stiffness; cognitive or memory impairment; numbness and tingling
sensations; muscle twitching; irritable bladder; the feeling of
swollen extremities; skin sensitivities; dry eyes and mouth;
dizziness; and impaired coordination. Additionally, patients are
often sensitive to odors, loud noises, and bright lights.
[0516] The cause of FMS remains unknown. However, the onset of the
disorder has been linked to infections (viral or bacterial),
rheumatoid arthritis, lupus, and hypothyroidism. The link between
these and other possible triggers is unclear.
[0517] The impact of FMS on the patient is directly correlated with
the level of pain and fatigue. Pain may be so severe as to
interfere with normal work or family functioning. There is
currently no cure for FMS, and current therapies focus primarily on
improving sleep (to decrease fatigue) and treating pain. Compounds
of the present invention could be used to help manage the pain
associated with FMS. Such pain includes, but is not limited to,
oral pain in the jaw, teeth, and mouth. Such pain also includes
non-oral musco-skeletal pain, pain due to headaches, and pain due
to gastrointestinal symptoms.
[0518] Complex Regional Pain Syndrome (CRPS; also known as chronic
regional pain syndrome) is a chronic pain condition. CRPS was
formerly known as reflex sympathetic dystrophy (RSD). CRPS is a
chronic, painful, and progressive neurological condition that
affects skin, muscles, joints, and bones. The syndrome usually
develops in an injured limb, such as a broken leg or following
surgery. However, many cases involve only a minor injury, such as a
sprain, and sometimes no precipitating injurious event can be
identified. CRPS involves continuous, intense pain that is
disproportionate to the severity of the injury. The pain worsens,
rather than improves, over time.
[0519] Although CRPS can affect a variety of regions of the body,
it most often affects the arms, legs, hands, or feet. Often the
pain begins in one portion of a limb, but spreads over time to
include the entire limb or even to include a different limb.
Typical features include dramatic changes in the color and
temperature of the skin over the affected limb or body part,
accompanied by intense burning pain, skin sensitivity, sweating,
and swelling.
[0520] Generally, CRPS is characterized into two categories. Type I
occurs in the absence of a precipitating nerve injury--although
there may have been some other type of precipitating injury. Type
II (formerly called causalgia) occurs following a nerve injury.
These categories are merely descriptive, and do not correlate with
symptomology or prognosis.
[0521] The National Institute of Neurological Disorders and Strokes
(NINDS) reports that 2% to 5% of peripheral nerve injury patients
and 12% to 21% of patients with paralysis on one side of the body
(hemiplegia) develop reflex sympathetic dystrophy as a
complication. The Reflex Sympathetic Dystrophy Syndrome Association
of America (RSDSA) reports that the condition occurs following 1-2%
of bone fractures.
[0522] Precipitating events associated with the onset of CRPS
include the following: cerebral lesions, heart disease, heart
attack, infection, paralysis on one side of the body (hemiplegia),
radiation therapy, repetitive motion disorder (e.g., carpal tunnel
syndrome), spinal cord disorders, surgery, and trauma (e.g., bone
fracture, gunshot, car accident). However, in 10-20% of cases, no
precipitating event can be found. Note that the injury that
precedes the onset of CRPS may or may not be significant.
[0523] The symptoms of CRPS may progress in three stages. An acute
stage occurs during the first 1-3 months and may include burning
pain, swelling, increased sensitivity to touch, increased hair and
nail growth in the affected region, joint pain, and color and
temperature changes. A dystrophic stage may involve constant pain
and swelling. The effected limb often feels cool to the touch and
looks bluish. There is typically muscle stiffness and wasting
(atrophy), as well as early bone loss (osteoporosis). These
symptoms usually occur 3-6 months after development of the
disorder. During an atrophic stage, the skin becomes cool and
shiny, increased muscle stiffness and weakness occur, and symptoms
may spread to another limb.
[0524] Other symptoms include: burning pain, extreme sensitivity to
touch, skin color changes (red or bluish), skin temperature changes
(hot or cold), joint pain, swelling (edema), frequent infections,
muscle stiffness, muscle spasm, tremor, weakness, dermatitis,
eczema, excessive sweating, and migraine headache. A TRPA1
inhibitor can be useful not only in treating the pain associated
with CRPS, but also in relieving many of these other symptoms
including dermatitis, eczema, and migraines.
[0525] Patients with CRPS often suffer from depression and anxiety
due to the impact of the disease of their quality of life.
[0526] There is currently no cure for CRPS, and thus treatment
typically aims to relieve painful symptoms. Doctors may prescribe
topical analgesics, antidepressants, corticosteroids, and opioids
to relieve pain. However, to this point, no single drug or
combination of drugs has produced consistent long-lasting
improvement in symptoms. Other treatments may include physical
therapy, sympathetic nerve block, spinal cord stimulation, and
intrathecal drug pumps to deliver opioids and local anesthetic
agents via the spinal cord.
[0527] The goals of treatment are to control pain and to maintain
as much mobilization of the affected limb as possible. An
individualized treatment plan is designed, which often combines
treatment modalities. Currently, physical therapy, medications,
nerve blocks, and psychosocial support are used. TRPA1 inhibitors
according to the present invention can be used instead of or in
addition to one or more of the current treatment modalities. For
example, a TRPA1 inhibitor can be used as an alternative to current
medications, but combined with physical therapy.
[0528] TRPA1 inhibitors provide an alternative for managing pain in
CRPS patients. TRPA1 inhibitors may be used in combination with any
of the current medications used to treat CRPS patients.
Alternatively, TRPA1 inhibitors may be used as an alternative
medication.
[0529] In addition to drug therapy, CRPS patients often receive
physical therapy. TRPA1 inhibitors can be used in addition to
physical therapy. Physical therapy may be important for helping
retain range of motion and function in the affected limb.
Appropriate pain management, for example using a TRPA1 inhibitor,
not only increases patient comfort, but also facilitates
involvement in physical therapy.
[0530] Regardless of the particular combination of therapies used
to manage pain in CRPS patients, psychological support is often
critical. TRPA1 inhibitors can be used in combination with
psychological support.
[0531] TRPA1 inhibitors of the present invention may be used in the
treatment of CRPS. For example, TRPA1 inhibitors of the present
invention may be used to help relieve the pain associated with
CRPS. TRPA1 inhibitors can be used alone or as part of an overall
treatment regimen to help manage the pain and other symptoms
associated with CRPS. Pain management for CRPS sufferers is
critical for maintaining a meaningful quality of life. Furthermore,
effective pain management may allow sufferers to participate in
physical therapy to help retain mobility and use of the effected
limbs.
[0532] Pancreatitis is an inflammation of the pancreas. The
pancreas is a large gland behind the stomach and close to the
duodenum. Normally, digestive enzymes do not become active until
they reach the small intestine, where they begin digesting food.
But if these enzymes become active inside the pancreas, they start
"digesting" the pancreas itself.
[0533] Acute pancreatitis occurs suddenly, lasts for a short period
of time, and usually resolves. Chronic pancreatitis does not
resolve itself and results in a slow destruction of the pancreas.
Either form can cause serious complications including bleeding,
tissue damage, and infection.
[0534] Acute pancreatitis can be a severe, life-threatening illness
with many complications. About 80,000 cases occur in the United
States each year, and approximately 20 percent of these cases are
characterized as severe.
[0535] Acute pancreatitis is usually, although not exclusively,
caused by gallstones or by alcohol abuse. Acute pancreatitis
usually begins with pain in the upper abdomen that may last for a
few days. The pain may be severe and may become constant. The pain
may be isolated to the abdomen or it may reach to the back and
other areas. Sometimes, and for some patients, the pain is sudden
and intense. Other times, or for other patients, the pain begins as
a mild pain that worsens after eating. Someone with acute
pancreatitis often looks and feels very sick. Other symptoms may
include swollen and tender abdomen, nausea, vomiting, fever, and
rapid pulse. Severe cases of acute pancreatitis may cause
dehydration and low blood pressure, and may even lead to organ
failure, internal bleeding, or death.
[0536] During acute pancreatitis attacks, the blood levels of
amylase and lipase are often increased by at least 3-fold. Changes
may also occur in blood levels of glucose, calcium, magnesium,
sodium, potassium, and bicarbonate.
[0537] The current treatment depends on the severity of the attack.
Treatment, in general, is designed to support vital bodily
functions, manage pain, and prevent complications. Although acute
pancreatitis typically resolved in a few days, pain management
during an attack is often required. TPRV3 inhibitors can be used to
relieve the pain associated with acute pancreatitis.
[0538] Chronic pancreatitis--If injury to the pancreas continues,
chronic pancreatitis may develop. Chronic pancreatitis occurs when
digestive enzymes attack and destroy the pancreas and nearby
tissues, causing scarring and pain. Chronic pancreatitis may be
caused by alcoholism, or by blocked, damaged, or narrowed
pancreatic ducts. Additionally, hereditary factors appear to
influence the disease, and in certain cases, there is no
identifiable cause (so called idiopathic pancreatitis).
[0539] Most people with chronic pancreatitis have abdominal pain.
The pain may get worse when eating or drinking, spread to the back,
or become constant and disabling. Other symptoms include nausea,
vomiting, weight loss, and fatty stools.
[0540] Relieving pain is the first step in treating chronic
pancreatitis. Once the pain has been managed, a high carbohydrate
and low fat dietary plan is put in place. Pancreatic enzymes may be
used to help compensate for decrease enzyme production from the
injured pancreas. Sometimes insulin or other drugs are needed to
control blood glucose.
[0541] Although pain is typically managed using drug therapy,
surgery may be necessary to relieve pain. Surgery may be necessary
to drain an enlarged pancreatic duct or even to removing a portion
of a seriously injured pancreas.
[0542] Pain is frequently present with chronic pancreatitis. For
example, pain is present for approximately 75% of patients with
alcoholic chronic pancreatitis, 50% of patients with late-onset
idiopathic chronic pancreatitis, and 100% of patients with
early-onset idiopathic chronic pancreatitis (DiMagno, 1999,
Gastroenterology 116(5): 1252-1257).
[0543] A minority of patients with pain have readily identifiable
lesions which are relatively easy to treat surgically or
endoscopically. In other patients, pain is often thought to result
from a variety of causes, including elevated intrapancreatic
pressure, ischemia, and fibrosis. Without being bound by theory,
however, these phenomena are not likely the underlying cause of the
pain. Rather, pain may result from a background of neuronal
sensitization induced by damage to the perineurium and subsequent
exposure of the nerves to mediators and products of
inflammation.
[0544] Given the importance of effective pain management in
patients with chronic pancreatitis, additional therapies for
treating painful symptoms are important and useful. TRPA1
inhibitors can be used to manage the pain associated with chronic
pancreatitis. TRPA1 inhibitors can be used alone or as part of an
overall therapeutic treatment plan to manage patients with chronic
pancreatits. For example, TRPA1 inhibitors can be administered with
pancreatic enzymes and/or insulin as part of a therapeutic regimen
designed to manage patients with chronic pancreatitis.
[0545] Oral pain is a particular category of pain that may be
treated using the TRPA1 inhibitors of the present invention. The
term "oral pain" refers to any pain in the mouth, throat, lips,
gums, teeth, tongue, or jaw. The term is used regardless of the
cause of the pain and regardless of whether the oral pain is a
primary or secondary symptom of a particular disease, injury, or
condition.
[0546] Oral pain has a large number of possible causes. In certain
embodiments, oral pain is caused by an injury or disease of the
mouth, jaw, teeth, gums, throat, lips, or tongue. In certain other
embodiments, oral pain is a consequence of an injury or disease
that primarily affects another part of the body. In still other
embodiments, oral pain is a side effect of a therapy used to treat
an injury or disease of the mouth or another part of the body.
TRPA1 inhibitors are useful in treating oral pain regardless of its
cause.
[0547] All pain has a serious negative impact on the health and
well being of the sufferer. However, oral pain may have a
particularly deleterious impact on patient health and quality of
life. In particular, oral pain can interfere with appropriate
eating and drinking. Thus, individuals with oral pain are
susceptible to weight loss, malnutrition, and dehydration. In some
instances, oral pain may interfere with hydration and nutrition so
significantly as to require intravenous, nasogastric, or other
artificial support (e.g., tube feeding and/or hydration).
Additionally, oral pain can interfere with proper oral hygiene.
Poor oral hygiene may further exacerbate many of the causes of oral
pain, for example, oral pain due to infection or abscess.
[0548] In certain embodiments, oral pain is caused by ulcers,
sores, or other lesions in the mouth. For example, oral pain may be
caused by ulcers, sores, or other lesions on the tongue, gums,
lips, throat, or other tissues of the mouth. Alternatively or
additionally, oral pain may be caused by inflammation of the
throat, tongue, gums, lips, or other tissues of the mouth.
Inflammation may accompany ulcers or other lesions, or inflammation
may occur prior to or in the absence of formation of ulcers or
other lesions.
[0549] The invention contemplates treatment of oral pain by
administering a TRPA1 inhibitor by any route of administration
described herein. In certain embodiments, TRPA1 inhibitors for use
in the treatment of oral pain are administered orally. Preferred
preparations for oral administration of TRPA1 inhibitors for use in
treating oral pain are as a mouthwash, a gel, a tooth paste or
other paste, a liquid, a lozenge, via a swab, or in association
with a mouth guard or dental apparatus. The preparation and
particular method of administration will depend on the cause of the
oral pain, the overall health and underlying medical conditions of
the patient, the severity of the pain, and other medications or
therapies the patient is concurrently receiving. A medical
practitioner can readily determine the optimal formulation for use
in a particular patient.
[0550] The conditions provided below are intended to illustrate the
range of injuries and diseases of diverse etiology that may lead to
oral pain. The invention contemplates administration of a TRPA1
inhibitor, according to the present invention, to treat or prevent
oral pain. In certain embodiments, compounds of the invention can
be orally administered, for example as a gel, paste, mouth wash, or
other oral preparation, to help treat or prevent oral pain
associated with any injury, disease, or condition. Regardless of
the particular formulation, the invention contemplates
administration by, for example, direct application to the affected
area of the mouth, rinsing of the entire mouth, via a swab, via a
syringe, or on a mouth guard or other dental apparatus.
[0551] For any of these conditions, the invention contemplates
administration of a TRPA1 inhibitor alone, or in combination with
one or more other compounds or treatment regimens appropriate for
the particular injury or condition.
Oral Mucositis
[0552] Oral mucositis, also known as stomatitis, is a common
complication of many cancer treatments. Patients receiving systemic
chemotherapy and/or local radiotherapy often develop extremely
painful ulcers of the oral mucosa. This side effect is not limited
to patients suffering from cancers of the head and neck, but rather
is a debilitating side effect afflicting approximately 40% of all
chemotherapy patients (Prevention and Treatment of Oral Mucositis
in Cancer Patients, 1998, Best Practice: 2, pages 1-6.)
[0553] Oral mucositis is extremely painful. Additionally, oral
mucositis interferes with proper nutrition and hydration of cancer
patients. Given the already compromised status of patients
undergoing chemotherapy and/or radiotherapy, further interference
with nutrition and hydration may seriously undermine patient
health. Furthermore, these ulcers present an increased risk of
infection. This risk is particularly acute in patients with
compromised immune systems. Examples of patients at particular risk
of developing an opportunistic infection are patients whose
treatment included removal of one or more lymph nodes, patients who
previously received high-dose chemotherapy in preparation for a
bone marrow or stem cell transplant, and patients with an
underlying immunosuppressive disorder (e.g., HIV or hepatitis).
Canker Sores
[0554] Canker sores, also known as aphthous ulcers (aphthae), may
be relatively small and out-of-sight. However, they are often
painful, persistent and annoying. Canker sores are shallow ulcers
in the mouth that can make eating and talking uncomfortable. They
may occur on the tongue, soft palate, inside the cheek or lip, or
at the base of the gums. Canker sores differ from cold sores in
that they occur on the internal soft tissues of the mouth and
aren't contagious. Conversely, cold sores almost always start out
on the lips and don't often spread to the soft tissues of the
mouth. In addition, cold sores are caused by a form of the herpes
virus, making them extremely contagious.
[0555] Researchers generally believe that stress or tissue injury
may cause the eruption of canker sores. In some cases a minor
injury, for example biting the inside of the mouth or eating rough
foods, may trigger a canker sore. Other causes may include: (i)
faulty immune system function; (ii) nutritional problems, such as a
deficiency of vitamin B-12, zinc, folic acid or iron; (iii)
diseases of the gastrointestinal tract; (iv) food allergies; or (v)
the menstrual cycle.
[0556] Canker sores can occur at any age, but often they first
appear between the ages of 10 and 40 years. Although canker sores
typically resolve on their own, they can be very uncomfortable.
Dental/Tooth Abscess
[0557] Infection or decay can lead to an abscess. An abscess may
have serious dental and medical consequences. For example, a severe
infection caused by a dental abscess may lead to a sinus or
systemic infection. Furthermore, an abscess may lead to the need to
extract one or more teeth. Extraction may be necessary due to
significant tooth decay, or because the infection is too severe to
fully treat in the presence of the offending tooth.
[0558] Regardless of the ultimate outcome, a dental abscess may be
extremely painful. Not only is the pain uncomfortable, but it may
interfere with proper nutrition and hydration. Methods and
compositions for reducing the pain associated with dental abscess
would provide significant benefits for their management.
Gastroesophageal Reflux Disease
[0559] Gastroesophageal reflux disease, or GERD, occurs when the
lower esophageal sphincter (LES) does not close properly and
stomach contents leak back into the esophagus. The LES is a ring of
muscle at the bottom of the esophagus that acts like a valve
between the esophagus and stomach. When refluxed stomach acid
touches the lining of the esophagus, it causes a burning sensation
in the chest or throat. This is often experienced as heartburn. The
refluxed fluid may even be tasted in the back of the mouth, a
sensation commonly referred to as acid indigestion.
[0560] Although occasional heartburn is uncommon and not
necessarily indicative of GERD, heartburn that occurs more than
twice a week may be a sign of GERD. In addition to the discomfort
of heartburn and indigestion, GERD may lead to other serious health
problems. For example, over time, acid refluxed to the back of the
throat can lead to oral sores, lesions, or ulcers in the mouth,
gums, tongue, throat, or lips. The lesions can cause significant
pain, can interfere with nutrition and hydration, and can leave a
person vulnerable to infection.
[0561] Administration of TRPA1 inhibitors, according to the present
invention, may be useful in treating oral pain from lesions caused
by GERD. TRPA1 inhibitors may be used as part of a treatment
regimen where the TRPA1 inhibitor is administered to help manage
the discomfort of the oral lesion, while other agents or
therapeutics interventions are used to manage the GERD.
Gingivostomatitis
[0562] Gingivostomatitis is a disorder involving sores on the mouth
and gums that result from a viral infection. Gingivostomatitis is
characterized by inflammation of the gums and mucosa and multiple
oral ulcers. The inflammation and ulcers are caused by viral
infections, particularly those that cause common childhood illness
such as herpes virus (cold sores and acute herpetic stomatitis),
and Coxsackie viruses (hand, foot and mouth disease and
herpangina). These viruses cause shallow ulcers with a grayish or
yellowish base and a slightly red margin, on the tissues of the
gums (gingiva), the lining of the cheeks (buccal mucosa), or other
soft tissues of the mouth. Although this condition can occur in
patients of any age, it is particularly common in children.
[0563] The oral ulcers caused by these viruses can be very painful.
The ulcers are often accompanied by a fever. Overall, the condition
can take several weeks to resolve. The recognized treatments for
gingivostomatitis focus on reducing the pain caused by the oral
ulcers. This is particularly important for children who may refuse
food or liquids because of their discomfort, thus making them
especially susceptible to dehydration. Compounds of the present
invention can be used to treat the pain associated with these oral
ulcers.
Oral Thrush
[0564] Oral thrush is a fungal infection generally caused by the
yeast fungus, Candida albicans, in the mucous membranes of the
mouth. Strictly speaking, thrush is only a temporary Candida
infection in the oral cavity of babies. However, the term is used
generally to refer to fungal infections in the mouths and throats
of children and adults.
[0565] Candida is present in the oral cavity of almost half of the
population. For example, everyone who wears dentures has Candida,
without necessarily suffering any ill effects. Generally, Candida
does not create problems until there is a change in the chemistry
of the oral cavity such that the growth of Candida is favored over
the other microorganisms that typically inhabit the mouth and
throat. Changes in oral chemistry sufficient to permit the growth
of Candida may occur as a side effect to taking antibiotics or
chemotherapeutics. Overall patient health may also influence the
chemistry of the mouth. HIV infection, diabetes, malnutrition, age,
and immunodeficiency are exemplary conditions that can shift oral
chemistry enough to permit the overgrowth of Candida in the mouth
and throat.
[0566] In addition to shifts in oral chemistry, people whose
dentures don't fit well can sustain breaks in the mucous membranes
in their mouth. These breaks provide an opportunity for Candida
infection in the mouth and lips.
[0567] Thrush causes white, cream-colored, or yellow spots in the
mouth. The spots are slightly raised. If these spots are scraped
they tend to bleed. Thrush can be very uncomfortable, and may cause
a burning sensation in the mouth and throat. The discomfort may
interfere with hydration and nutrition. Furthermore, the discomfort
may interfere with proper oral hygiene such as brushing and
flossing.
[0568] Standard treatment of thrush is by administration of
anti-fungal agents. These agents can be administered directly to
the mouth, for example, in the form of pastilles that are sucked or
oral suspensions that are held in the mouth before swallowing.
Examples include nystatin (e.g., Nystan oral suspension),
amphotericin (e.g., Fungilin lozenges) or miconazole (e.g.,
Daktarin oral gel). In addition to standard anti-fungal therapy,
compounds of the present invention can be administered to manage
the pain and discomfort associated with thrush.
Glossitis
[0569] Glossitis is an abnormality of the tongue that results from
inflammation. Glossitis occurs when there is acute or chronic
inflammation of the tongue. It causes the tongue to swell and
change color. Finger-like projections on the surface of the tongue
(papillae) are lost, causing the tongue to appear smooth. Glossitis
has a number of causes including, but not limited to, the
following: bacterial infections; viral infections (including oral
herpes simplex); injury or trauma; exposure to irritants (e.g.,
tobacco, alcohol, hot foods, spices); allergic reactions; vitamin
or mineral deficiencies (e.g., iron deficiency anemia, pernicious
anemia and other B-vitamin deficiencies); or as a side effect of
other diseases or disorders.
[0570] The symptoms of glossitis include swelling, soreness, and
tenderness of the tongue. Additionally, the tongue often changes
appearance, becoming smooth and dark red in color. As a consequence
of the swelling and discomfort, glossitis often makes chewing,
swallowing, and speaking difficult.
[0571] The typical treatment for glossitis depends on the
underlying cause of the inflammation. Regardless of the particular
antibiotics, anti-inflammatories, or anti-viral agents that may be
administered to combat the underlying cause of glossitis, compounds
according to the present invention may be administered to decrease
the pain and discomfort associated with glossitis. Decreasing the
pain associated with glossitis is especially important when it
interferes with proper nutrition and hydration, or when it
interferes with or prevents proper oral hygiene.
Cutaneous Diseases
[0572] Oral ulcers may result from any of a number of cutaneous
diseases. For example, lichen planus, pemphigus, pemphigoid, and
erythema multiforme may lead to oral ulcers. Such oral ulcers may
cause significant pain that can be treated using the compounds of
the present invention.
[0573] Reduction of pain may help facilitate healing. This is
especially important for patients with pemphigus and pemphigoid who
develop oral ulcers. Such patients are already immunosuppressed,
and may thus be more susceptible to opportunistic infections from
lesions in the mouth.
Gastrointestinal Diseases
[0574] Oral ulcers may result from any of a number of
gastrointestinal diseases. Conditions which interfere with proper
digestion, management and flow of stomach and other digestive
acids, motility, and elimination may lead to oral ulcers and other
lesions. In some instances, the oral ulcers are the results of
acids or partially digested food refluxing into the esophagus. In
other instances, the oral ulcers result from frequent vomiting. In
still other instances, oral ulcers occur due to vitamin deficiency,
mineral deficiency or other nutritional deficiency secondary to the
gastrointestinal disease. In still other instances, oral ulcers are
part of the complex etiology that characterizes the
gastrointestinal disease.
[0575] Oral ulcers resulting from or experienced as part of a
gastrointestinal disease may be extremely painful. They may
undermine proper nutrition and hydration for a patient whose
underlying gastrointestinal disease may already impose multiple
limitations on diet. Accordingly, methods and compositions for
decreasing the discomfort and pain associated with these oral
ulcers offer substantial benefits for patients with an underlying
gastrointestinal condition.
[0576] Exemplary gastrointestinal conditions which may lead to oral
inflammation, lesions, or ulcers include, but are not limited to,
Crohn's disease, ulcerative colitis, irritable bowel syndrome,
celiac sprue, and dermatitis herpetiformis. The primary symptoms of
these conditions may be managed with diet, stress management, and
medications. The TRPA1 inhibitors of the present invention may be
used to help manage the pain and discomfort of oral inflammation,
lesions, or ulcers caused by any of these gastrointestinal
conditions.
Rheumatoid Diseases
[0577] A consequence of several rheumatoid diseases is oral ulcers.
For example, lupus, Behcet's syndrome, Sweet's syndrome, and
Reiter's disease may all lead to oral ulcers. Such oral ulcers may
cause significant mouth pain that can be treated using the
compounds of the present invention.
Sjogren's Syndrome
[0578] Dry mouth is a common symptom associated with Sjogren's
syndrome. Dry mouth is caused by a decrease in the production of
saliva. Saliva is an essential body fluid for protection and
preservation of the oral cavity and oral functions. Although saliva
is mostly water, it also contains over 60 substances which serve
the following important functions: protect, lubricate and cleanse
the oral mucosa; aid chewing, swallowing and talking; protect the
teeth against decay; protect the mouth, teeth, and throat from
infection by bacteria, yeasts, and viruses; support and facilitate
our sense of taste.
[0579] Given the important functions of saliva, decreased
salivation can lead to many problems. If the condition persists for
months or years, a patient may develop oral complications such as
difficulty swallowing, severe and progressive tooth decay, oral
infections (particularly fungal), or combinations of these. Many of
the conditions can cause discomfort, in their own right, and may
also lead to oral lesions or ulcers.
[0580] Several medications are available to help increase salivary
secretion in patients with dry mouth. Pilocarpine (Salagen.RTM.)
and cevimeline (Evoxac.RTM.) reduce symptoms of dry mouth and
increase salivary secretion. However, these drugs don't prevent
tooth decay or treat the oral pain associated with the symptoms or
effects of dry mouth. Compounds of the present invention can be
used to treat the pain associated with dry mouth.
Vitamin or Mineral Deficiencies
[0581] In some instances, vitamin or mineral deficiencies may lead
to ulcers or other sores in the mouth. For example, deficiency in
vitamin C may lead to the oral lesions characteristic of scurvy.
Deficiencies in vitamins B1, B2, B6, or B12 may also lead to oral
lesions. Additionally, deficiencies in zinc, folic acid, iron,
selenium, or calcium may lead to oral lesions.
[0582] In certain embodiments, a vitamin or mineral deficiency is a
precipitating factor leading to a canker sore. However, a vitamin
or mineral deficiency may also lead to other types of oral ulcers
and lesions. Regardless of the nature of the lesion, compounds of
the present invention can be used to help manage the associated
pain.
Allergies
[0583] Allergies can sometimes lead to canker sores and other oral
lesions. Oral lesions due to an allergy may be more likely when a
person's oral tissues come into contact with the causative
allergen. However, contact between the allergen and oral tissue is
not necessarily required to produce an oral lesion. Exemplary
allergens that can lead to oral lesions include food allergens such
as fruits and vegetables (e.g., strawberries, lemons, oranges,
pineapples, apples, figs, tomatoes); shellfish; chocolate; nuts;
dairy (e.g., milk and cheese); cereal grains (e.g., buckwheat,
wheat, oats, rye, barley, gluten protein found in grains);
additives (e.g., cinnamonaldehyde (a flavoring agent), benzoic acid
(a preservative); toothpastes (e.g., some people have a sensitivity
to sodium laurel sulfate found in certain toothpastes and
mouthwashes); nonsteroidal anti-inflammatory drugs (NSAIDs; some
people have a sensitivity leading to canker sores in response to
this class of drug).
Other Exemplary Conditions and Injuries
[0584] The foregoing are merely exemplary of diseases and
conditions that cause or lead to inflammation, lesions, ulcers, or
other sources of oral pain. In other embodiments, the oral pain is
due to an injury to the mouth, jaw, lips, gums, or teeth. In other
embodiments, the oral pain is due to oral surgery, for example,
surgery for cancer, tooth extraction, or jaw remodeling. Other
conditions that may lead to oral ulcers, and thus oral pain,
include, but are not limited to chickpox, herpes zoster, infectious
mononucleosis, syphilis, tuberculosis, acute necrotizing
gingivitis, and burning mouth syndrome. Additionally, conditions
that lead to a compromised immune system put patients at risk for,
among other complications, oral inflammation, lesions, or ulcers.
HIV infection, AIDS, and hepatitis are all conditions that
undermine the immune system and may lead to oral lesions or ulcers.
Additionally, individuals taking immunosuppressants (e.g., organ
transplant recipients, bone marrow recipients, stem cells
recipients, patients with an autoimmune disease) are at increased
risk of developing painful oral lesions.
[0585] The invention contemplates the use of TRPA1 inhibitors,
according to the present invention, in the treatment of oral pain
regardless of the underlying cause. In certain embodiments, TRPA1
inhibitors for treating oral pain can be administered orally, for
example, as a paste, mouth wash, gel, or other liquid preparation.
In certain embodiments, the paste, mouth wash, gel, or other liquid
preparation is administered via a swab, mouth guard, or other
dental apparatus. In certain embodiments, the preparation is
applied locally to the mouth, but is not otherwise ingested. For
example, a mouth wash formulation that is not swallowed may be
used. Regardless of the formulation and route of administration,
the invention contemplates administration of the subject TRPA1
inhibitors as part of an overall treatment strategy that also
includes therapies appropriate for the particular disease or
condition that caused the oral inflammation, lesion, or ulcer.
[0586] TRPA1 inhibitors may be used to treat oral pain resulting
from any of the foregoing injuries, diseases, or conditions.
Additionally, Applicants note that the subject TRPA1 inhibitors may
also be useful in the treatment of the underlying aforementioned
diseases and conditions themselves. Specifically, TRPA1 inhibitors
may be useful in the treatment of inflammation, and thus diseases
or conditions with an inflammatory component, whether the symptoms
manifest themselves in the mouth or in other parts of the body, may
themselves be treatable with the subject TRPA1 inhibitors.
Accordingly, the invention contemplates and recognizes that for
some conditions the therapeutic affects of administering a TRPA1
inhibitor may be two-fold: (i) decreasing pain associated with one
or more symptoms of a disease or condition and (ii) treating the
underlying symptoms or disease.
Disease and Injury Models
[0587] Compounds that antagonize TRPA1 function may be useful in
the prophylaxis and treatment of any of the foregoing injuries,
diseases, disorders, or conditions. In addition to in vitro assays
of the activity of these compounds, their efficacy can be readily
tested in one or more animal models. By way of example, numerous
well known animal models exist. One or more suitable animal models
(e.g., suitable in light of the particular indication) can be
selected.
[0588] Pain can be generally categorized as chronic pain and acute
pain. The two categories of pain differ in duration, as well as
underlying mechanism. Chronic pain is not only persistent, but also
does not generally respond well to treatment with currently
available analgesics, non-steroidal anti-inflammatory drugs, and
opioids.
[0589] Two broad sub-categories of chronic pain are neuropathic
pain and cancer pain. Wang and Wang (2003) Advanced Drug Delivery
Reviews 55: 949-965. Neuropathic pain refers to pain resulting from
damage (e.g., from disease, injury, age) to the nervous system
(e.g., nerves, spinal cord, CNS, PNS). Cancer-related pain may be
caused by tumor infiltration, nerve compression, substances
secreted by tumors, or the particular treatment regimen (e.g.,
radiation, chemotherapeutics, surgery).
[0590] Pain is also often classified mechanistically as
nociceptive, inflammatory, or neuropathic. Nociceptive pain is pain
experienced following, for example, changes or extremes in
temperature, exposure to acids, exposure to chemical agents,
exposure to force, and exposure to pressure. Reception of painful
stimuli sends impulses to the dorsal root ganglia. The response is
typically a combination of a reflexive response (e.g., withdrawal
from the stimuli) and an emotional reaction Inflammation is the
immune system's response to injury or disease. In response to
injury or disease, macrophages, mast cells, neutrophils, and other
cells of the immune system are recruited. This infiltration of
cells, along with the release of cytokines and other factors (e.g.,
histamine, serotonin, bradykinin, prostaglandins, ATP, H+, nerve
growth factor, TNF.alpha., endothelins, interleukins), can cause
fever, swelling, and pain. Current treatments for the pain of
inflammation include Cox2 inhibitors and opioids. Neuropathic pain
refers to pain resulting from damage (e.g., from disease, injury,
age) to the nervous system (e.g., nerves, spinal cord, CNS, PNS).
Current treatment for neuropathic pain includes tricyclic
antidepressants, anticonvulsants, Na+ channel blockers, NMDA
receptor antagonists, and opioids.
[0591] There are numerous animal models for studying pain. The
various models use various agents or procedures to simulate pain
resulting from injuries, diseases, or other conditions.
Blackburn-Munro (2004) Trends in Pharmacological Sciences 25:
299-305 (see, for example, Tables 1, 3, or 4). Behavioral
characteristics of challenged animals can then be observed.
Compounds or procedures that may reduce pain in the animals can be
readily tested by observing behavioral characteristics of
challenged animals in the presence versus the absence of the test
compound(s) or procedure.
[0592] Exemplary behavioral tests used to study chronic pain
include tests of spontaneous pain, allodynia, and hyperalgesia. Id.
To assess spontaneous pain, posture, gait, nocifensive signs (e.g.,
paw licking, excessive grooming, excessive exploratory behavior,
guarding of the injured body part, and self-mutilation) can be
observed. To measure evoked pain, behavioral responses can be
examined following exposure to heat (e.g., thermal injury
model).
[0593] Exemplary animal models of pain include, but are not limited
to, the Chung model, the carageenan induced hyperalgesia model, the
Freund's complete adjuvant induced hyperalgesia model, the thermal
injury model, the formalin model and the Bennett Model. The Chung
model of neuropathic pain (without inflammation) involves ligating
one or more spinal nerves. Chung et al. (2004) Methods Mol Med 99:
35-45; Kim and Chung (1992) Pain 50: 355-363. Ligation of the
spinal nerves results in a variety of behavioral changes in the
animals including heat hyperalgesia, cold allodynia, and ongoing
pain. Compounds that antagonize TRPA1 can be administered to
ligated animals to assess whether they diminish these
ligation-induced behavioral changes in comparison to that observed
in the absence of compound.
[0594] Carageenan induced hyperalgesia and Freund's complete
adjuvant (FCA) induced hyperalgesia are models of inflammatory
pain. Walker et al. (2003) Journal of Pharmacol Exp Ther 304:
56-62; McGaraughty et al. (2003) Br J Pharmacol 140: 1381-1388;
Honore et al. (2005) J Pharmacol Exp Ther. Compounds that
antagonize TRPA1 can be administered to carrageenan or FCA
challenged animals to assess whether they diminish thermal
hyperalgesia in comparison to that observed in the absence of
compound. In addition, the ability of compounds that antagonize
TRPA1 function to diminish cold and/or mechanical hypersensitivity
can also be assessed in these models. Typically, the carrageenan
induced hyperalgesia model is believed to mimic acute inflammatory
pain and the CFA model is believed to mimic chronic pain and
chronic inflammatory pain.
[0595] The Bennett model uses prolonged ischemia of the paw to
mirror chronic pain. Xanthos et al. (2004) J Pain 5: S1. This
provides an animal model for chronic pain including post-operative
pain, complex regional pain syndrome, and reflex sympathetic
dystrophy. Prolonged ischemia induces behavioral changes in the
animals including hyperalgesia to mechanical stimuli, sensitivity
to cold, pain behaviors (e.g., paw shaking, licking, and/or
favoring), and hyperpathia. Compounds that antagonize TRPA1 can be
administered to challenged animals to assess whether they diminish
any or all of these behaviors in comparison to that observed in the
absence of compound. Similar experiments can be conducted in a
thermal injury or UV-burn model which can be used to mimic
post-operative pain.
[0596] Migraines are associated with significant pain and inability
to complete normal tasks. Several models of migraine exist
including the rat neurogenic inflammation model, (see Buzzi et al
(1990) Br J Pharmacol; 99:202-206), and the Burstein Model (see
Strassman et al., (1996) Nature 384: 560-564).
[0597] Additional models of neuropathic pain include central pain
models based on spinal cord injury. Chronic pain is generated by
inducing a spinal cord injury, for example, by dropping a weight on
a surgically exposed area of spinal cord (e.g., weight-drop model).
Spinal cord injury can additionally be induced by crushing or
compressing the spinal cord, by delivering neurotoxin, using
photochemicals, or by hemisecting the spinal cord. Wang and Wang
(2003).
[0598] Additional models of neuropathic pain include peripheral
nerve injury models. The term peripheral neuropathy encompasses a
variety of diseases, conditions, and injuries. One of skill in the
art can readily select an appropriate model in light of the
particular condition or disease under investigation. Exemplary
models include, but are not limited to, the neuroma model, the
Bennett model, the Seltzer model, the Chung model (ligation at
either L5 or L5/L6), the sciatic cryoneurolysis model, the inferior
caudal trunk resection model, and the sciatic inflammatory neuritis
model. Id.
[0599] Exemplary models of inflammatory pain include the rat model
of intraplantar bradykinin injection. Briefly, the baseline thermal
sensitivity of the animals is assessed on a Hargreave's apparatus.
TRPA1 blockers are then administered systemically. Bradykinin is
subsequently injected into the paw and a hyperalgesia is allowed to
develop. Thermal escape latency is then measured at multiple time
points over the next few hours (Chuang et al., 2001; Vale et al.,
2004).
[0600] Exemplary models of neuropathic pain associated with
particular diseases are also available. Diabetes and shingles are
two diseases often accompanied by neuropathic pain. Even following
an acute shingles episodes, some patients continue to suffer from
postherpetic neuralgia and experience persistent pain lasting
years. Neuropathic pain caused by shingles and/or postherpetic
neuralgia can be studied in the postherpetic neuralgia model (PHN).
Diabetic neuropathy can be studied in diabetic mouse models, as
well as chemically induced models of diabetic neuropathy. Wang and
Wang (2003).
[0601] As outlined above, cancer pain may have any of a number of
causes, and numerous animal models exist to examine cancer pain
related to, for example, chemotherapeutics or tumor infiltration.
Exemplary models of toxin-related cancer pain include the
vincristine-induced peripheral neuropathy model, the taxol-induced
peripheral neuropathy model, and the cisplatin-induced peripheral
neuropathy model. Wang and Wang (2003). An exemplary model of
cancer pain caused by tumor infiltration is the cancer invasion
pain model (CIP). Id.
[0602] Primary and metastatic bone cancers are associated with
tremendous pain. Several models of bone cancer pain exist including
the mouse femur bone cancer pain model (FBC), the mouse calcaneus
bone cancer pain model (CBC), and the rat tibia bone cancer model
(TBC). Id.
[0603] An additional model of pain is the formalin model Like the
carrageenan and CFA models, the formalin model involves injection
of an irritant intradermally or intraperitoneally into an animal.
Injection of formalin, a 37 percent solution of formaldehyde, is
the most commonly used agent for intradermal paw injection (the
formalin test). Injection of a 0.5 to 15 percent solution of
formalin (usually about 3.5%) into the dorsal or plantar surface of
the fore- or hindpaw produces a biphasic painful response of
increasing and decreasing intensity for about 60 minutes after the
injection. Typical responses include the paw being lifted, licked,
nibbled, or shaken. These responses are considered nociceptive. The
initial phase of the response (also known as the Early Phase),
which lasts 3 to 5 minutes, is probably due to direct chemical
stimulation of nociceptors. This is followed by 10 to 15 minutes
during which animals display little behavior suggestive of
nociception. The second phase of this response (also known as the
Late Phase) starts about 15 to 20 minutes after the formalin
injection and lasts 20 to 40 minutes, initially rising with both
number and frequency of nociceptive behaviors, reaching a peak,
then falling off. The intensities of these nociceptive behaviors
are dependent on the concentration of formalin used. The second
phase involves a period of sensitization during which inflammatory
phenomena occur. The two phases of responsiveness to formalin
injection makes the formalin model an appropriate model for
studying mociceptive and acute inflammatory pain. It may also
model, in some respects, neuropathic pain.
[0604] In addition to any of the foregoing models of chronic pain,
compounds that antagonize TRPA1 function can be tested in one or
more models of acute pain. Valenzano et al. (2005)
Neuropharmacology 48: 658-672. Regardless of whether compounds are
tested in models of chronic pain, acute pain, or both, these
studies are typically (though not exclusively) conducted, for
example, in mice, rats, or guinea pigs. Additionally, compounds can
be tested in various cell lines that provide in vitro assays of
pain. Wang and Wang (2003).
[0605] Many individuals seeking treatment for pain suffer from
visceral pain. Animal models of visceral pain include the rat model
of inflammatory uterine pain (Wesselmann et al., (1997) Pain
73:309-317), injection of mustard oil into the gastrointestinal
tract to mimic irritable bowel syndrome (Kimball et al., (2005) Am
J Physiol Gastrointest Liver Physiol, 288(6):G1266-73), injection
of mustard oil into the bladder to mimic overactive bladder or
bladder cystitis (Riazimand (2004), BJU 94: 158-163). The
effectiveness of a TRPA1 compound can be assessed by a decrease in
writhing, gastrointestinal inflammation or bladder
excitability.
[0606] The foregoing animal models are relied upon extensively in
the study of pain. The following provide additional exemplary
references describing the use of these models in the study of pain:
thermal injury model (Jones and Sorkin, 1998, Brain Res 810: 93-99;
Nozaki-Taguchi and Yaksh, 1998, Neuroscience Lett 254: 25-28; Jun
and Yaksh, 1998, Anesth Analg 86: 348-354), formalin model (Yaksh
et al., 2001, J Appl Physiol 90: 2386-2402), carrageenan model
(Hargreaves et al., 1988, Pain 32: 77-88), and CFA model (Nagakura
et al., 2003, J Pharmacol Exp Ther 306: 490-497).
[0607] Inflammation is often an important contributing factor to
pain. As such, it is useful to identify compounds that act as
anti-inflammatories. Many compounds that reduce neural activity
also prevent neurogenic inflammation. To measure inflammation
directly, the volume of a rat paw can be assessed using a
plethysmometer. After baseline measurement is taken, carrageenan
can be injected into the paw and the volume can be monitored over
the course of hours in animals that have been treated with vehicle
or drug. Drugs that reduce the paw swelling are considered to be
anti-inflammatory.
[0608] For testing the efficacy of TRPA1 antagonists for the
treatment of cough, experiments using the conscious guinea pig
model of cough can be readily conducted. Tanaka and Maruyama (2003)
Journal Pharmacol Sci 93: 465-470; McLeod et al. (2001) Br J
Pharmacol 132: 1175-1178. Briefly, guinea pigs serve as a useful
animal model for cough because, unlike other rodents such as mice
and rats, guinea pigs actually cough. Furthermore, guinea pig
coughing appears to mimic human coughing in terms of the posture,
behavior, and appearance of the coughing animal.
[0609] To induce cough, conscious guinea pigs are exposed to an
inducing agent such as citric acid or capsaicin. The response of
the animal is measured by counting the number of coughs. The
effectiveness of a cough suppressing agent, for example a compound
that inhibits TRPA1, can be measured by administering the agent and
assessing the ability of the agent to decrease the number of coughs
elicited by exposure to citric acid, capsaicin, or other similar
cough-inducing agent. In this way, TRPA1 inhibitors for use in the
treatment of cough can be readily evaluated and identified.
[0610] Additional models of cough include the unconscious guinea
pig model. Rouget et al. (2004) Br J Pharmacol 141: 1077-1083.
Either of the foregoing models can be adapted for use with other
animals capable of coughing. Exemplary additional animals capable
of coughing include cats and dogs.
[0611] Numerous rodent models of incontinence exist. These include
models of incontinence induced by nerve damage, urethral
impingement and inflammation. Models of urethral impingement
include the rat bladder outflow obstruction model. (Pandita, R K,
and Andersson K E. Effects of intravesical administration of the K+
channel opener, Z.D6169, in conscious rats with and without bladder
outflow obstruction. J Urol 162: 943-948, 1999). Inflammatory
models include injection of mustard oil into the bladder.
[0612] To test the effectiveness of a TRPA1 inhibitor compound in
treating incontinence, varying concentrations of compound (e.g.,
low, medium, and high concentration) can be administered to rats
following surgical partial bladder outlet obstruction (BOO).
Efficacy of the varying doses of TRPA1 inhibitory compound can be
compared to controls administered excipients alone (sham control).
Efficacy can further be compared to rats administered a positive
control, such as atropine. Atropine is expected to decrease bladder
over-activity following partial bladder outlet obstruction in the
BOO model. Note that when testing compounds in the BOO model,
compounds can be administered directly to the bladder or urethra
(e.g., by catheter) or compounds can be administered systemically
(e.g., orally, intraveneously, intraperitoneally, etc).
[0613] As detailed above, TRPA1 inhibitors can be used to treat the
symptoms of pain associated with pancreatitis. The efficacy of
TRPA1 inhibitors in pancreatitis pain management may be tested in
one or more animal models. Inhibitors may be tested in general
animal models of pain, for example models of inflammatory pain or
visceral pain. Alternatively or additionally, TRPA1 inhibitors may
be tested in animal models that specifically mimic pain
accompanying pancreatitis or other pancreatic injury.
[0614] Several rat models of pancreatitic pain have recently been
described (Lu, 2003, Anesthesiology 98(3): 734-740; Winston et al.,
2003, Journal of Pain 4(6): 329-337). Lu et al. induced
pancreatitis by systemic delivery of dibutylin dichloride in rats.
Rats showed an increase in withdrawal events after von Frey
filament stimulation of the abdomen and decreased withdrawal
latency after thermal stimulation during a period of 7 days. The
pain state induced in these animals was also characterized by
increased levels of substance P in spinal cords (Lu, et al., 2003).
To test the efficacy of a TRPA1 inhibitor in this model, a TRPA1
inhibitor can be administered following or concurrently with
delivery of dibutylin dichloride. Control animals can be
administered a carrier or a known pain reliever. Indicia of pain
can be measured. Efficacy of a TRPA1 inhibitor can be evaluated by
comparing the indicia of pain observed in animals receiving a TRPA1
inhibitor to that of animals that did not receive a TRPA1
inhibitor. Additionally, efficacy of a TRPA1 inhibitor can be
compared to that of known pain medicaments.
[0615] The efficacy of von Frey filament testing as a means to
measure nociceptive behavior was also shown by inducing
pancreatitis by systemic L-arginine administration (Winston et al,
2003). The efficacy of a TRPA1 inhibitor can similarly be tested
following pancreatitis induced by systemic L-arginine
administration.
[0616] Lu et al. also described direct behavioral assays for
pancreatic pain using acute noxious stimulation of the pancreas via
an indwelling ductal canula in awake and freely moving rats. These
assays included cage crossing, rearing, and hind limb extension in
response to intrapancreatic bradykinin infusion. Intrathecal
administration of either D-APV (NMDA receptor antagonist) or
morphine alone partially reduced visceral pain behaviors in this
model. Combinations of both reduced pain behaviors to baseline. The
efficacy of a TRPA1 inhibitor can similarly be tested in this
system.
[0617] Any of the foregoing animal models may be used to evaluate
the efficacy of a TRPA1 inhibitor in treating pain associated with
pancreatitis. The efficacy can be compared to a no treatment or
placebo control. Additionally or alternatively, efficacy can be
evaluated in comparison to one or more known pain relieving
medicaments.
Optimizing the Treatment of Pain
[0618] TRPA1 inhibitors, according to the present invention, can be
used in the treatment of a variety of injuries, diseases,
conditions, and disorders. One important therapeutic use for TRPA1
inhibitors is in the treatment of pain. As illustrated by the
extensive list of injuries, conditions, and diseases for which pain
is a significant and sometimes debilitating symptom, improved
methods and compositions for use in the treatment of pain provide
substantial benefits for an enormous range of patients. Such
methods and compositions have the potential to improve the quality
of care and the quality of life for patients afflicted with a
diverse range of injuries, diseases, and conditions. The present
application contemplates that a compound that inhibits TRPA1 can be
used in the treatment of any of the aforementioned injuries,
conditions, or diseases.
[0619] An important issue with the treatment of pain is how to
manage pain while reducing the side effects experienced with many
analgesics. For example, although many opiates and other narcotics
effectively diminish pain, patients are often unable to drive,
work, or concentrate while taking these medications. Thus, while
opiates such as morphine or dilaudin may be suitable for short term
use or for use during hospitalization, they are not optimal for
long term use. Additionally, opiates and other narcotics are habit
forming, and patients typically develop a tolerance for these
drugs. These characteristics of opioids and other narcotics make
them sub-optimal for pain management.
[0620] The present invention provides TRPA1 inhibitors for use in
vitro and in vivo. The present invention also provides compositions
and pharmaceutical compositions comprising particular classes of
compounds that inhibit TRPA1 activity. In certain embodiments, the
subject TRPA1 inhibitors are selective. In other words, in certain
embodiments, the compound inhibits TRPA1 activity preferentially
over the activity of other ion channels. In certain embodiments,
the compound inhibits TRPA1 activity preferentially over TRPV1,
TRPV2, TRPV3, TRPV4, and/or TRPM8 activity. In certain other
embodiments, the compound is selected because it cross reacts with
one or more other TRP channels involved with pain. For example, in
certain embodiments, the compound inhibits the activity of TRPA1
and also inhibits the activity of one or more of TRPV1, TRPV2,
TRPV3, TRPV4, and TRPM8.
Combination Therapy
[0621] Another aspect of the invention provides a conjoint therapy
wherein one or more other therapeutic agents are administered with
the TRPA1 modulators. Such conjoint treatment may be achieved by
way of the simultaneous, sequential, or separate dosing of the
individual components of the treatment.
[0622] In certain embodiments, a compound of the invention is
conjointly administered with an analgesic. Suitable analgesics
include, but are not limited to, opioids, glucocorticosteroids,
non-steroidal anti-inflammatories, naphthylalkanones, oxicams,
para-aminophenol derivatives, propionic acids, propionic acid
derivatives, salicylates, fenamates, fenamate derivatives,
pyrozoles, and pyrozole derivatives. Examples of such analgesic
compounds include, but are not limited to, codeine, hydrocodone,
hydromorphone, levorpharnol, morphine, oxycodone, oxymorphone,
butorphanol, dezocine, nalbuphine, pentazocine, etodolac,
indomethacin, sulindac, tolmetin, nabumetone, piroxicam,
acetaminophen, fenoprofen, flurbiprofen, ibuprofen, ketoprofen,
naproxen, diclofenac, oxaprozin, aspirin, diflunisal, meclofenamic
acid, mefanamic acid, prednisolone, and dexamethasone. Preferred
analgesics are non-steroidal anti-inflammatories and opioids
(preferably morphine).
[0623] In certain embodiments, a compound of the invention is
conjointly administered with a non-steroidal anti-inflammatory.
Suitable non-steroidal anti-inflammatory compounds include, but are
not limited to, piroxicam, diclofenac, etodolac, indomethacin,
ketoralac, oxaprozin, tolmetin, naproxen, flubiprofen, fenoprofen,
ketoprofen, ibuprofen, mefenamic acid, sulindac, apazone,
phenylbutazone, aspirin, celecoxib and rofecoxib.
[0624] In certain embodiments, a compound of the invention is
conjointly administered with an antiviral agent. Suitable antiviral
agents include, but are not limited to, amantadine, acyclovir,
cidofovir, desciclovir, deoxyacyclovir, famciclovir, foscamet,
ganciclovir, penciclovir, azidouridine, anasmycin, amantadine,
bromovinyldeoxusidine, chlorovinyldeoxusidine, cytarbine,
didanosine, deoxynojirimycin, dideoxycitidine, dideoxyinosine,
dideoxynucleoside, edoxuidine, enviroxime, fiacitabine, foscamet,
fialuridine, fluorothymidine, floxuridine, hypericin, interferon,
interleukin, isethionate, nevirapine, pentamidine, ribavirin,
rimantadine, stavirdine, sargramostin, suramin, trichosanthin,
tribromothymidine, trichlorothymidine, vidarabine, zidoviridine,
zalcitabine 3-azido-3-deoxythymidine, 2',3'-dideoxyadenosine (ddA),
2',3'-dideoxyguanosine (ddG), 2',3'-dideoxycytidine (ddC),
2',3'-dideoxythymidine (ddT), 2'3'-dideoxy-dideoxythymidine (d4T),
2'-deoxy-3'-thia-cytosine (3TC or lamivudime),
2',3'-dideoxy-2'-fluoroadenosine, 2',3'-dideoxy-2'-fluoroinosine,
2',3'-dideoxy-2'-fluorothymidine, 2',3'-dideoxy-2'-fluorocytosine,
2'3'-dideoxy-2',3'-didehydro-2'-fluorothymidine (Fd4T),
2'3'-dideoxy-2'-beta-fluoroadenosine (F-ddA),
2'3'-dideoxy-2'-beta-fluoro-inosine (F-ddI), and
2',3'-dideoxy-2'-beta-flurocytosine (F-ddC), trisodium
phosphomonoformate, trifluorothymidine, 3'azido-3'thymidine (AZT),
dideoxyinosine (ddI), and idoxuridine.
[0625] In certain embodiments, a compound of the invention is
conjointly administered with an antibacterial agent. Suitable
antibacterial agents include, but are not limited to, amanfadine
hydrochloride, amanfadine sulfate, amikacin, amikacin sulfate,
amoglycosides, amoxicillin, ampicillin, amsamycins, bacitracin,
beta-lactams, candicidin, capreomycin, carbenicillin, cephalexin,
cephaloridine, cephalothin, cefazolin, cephapirin, cephradine,
cephaloglycin, chilomphenicols, chlorhexidine, chloshexidine
gluconate, chlorhexidine hydrochloride, chloroxine, chlorquiraldol,
chlortetracycline, chlortetracycline hydrochloride, ciprofloxacin,
circulin, clindamycin, clindamycin hydrochloride, clotrimazole,
cloxacillin, demeclocycline, diclosxacillin, diiodohydroxyquin,
doxycycline, ethambutol, ethambutol hydrochloride, erythromycin,
erythromycin estolate, erhmycin stearate, farnesol, floxacillin,
gentamicin, gentamicin sulfate, gramicidin, giseofulvin,
haloprogin, haloquinol, hexachlorophene, iminocylcline,
iodochlorhydroxyquin, kanamycin, kanamycin sulfate, lincomycin,
lineomycin, lineomycin hydrochoride, macrolides, meclocycline,
methacycline, methacycline hydrochloride, methenine, methenamine
hippurate, methenamine mandelate, methicillin, metonidazole,
miconazole, miconazole hydrochloride, minocycline, minocycline
hydrochloride, mupirocin, nafcillin, neomycin, neomycin sulfate,
netimicin, netilmicin sulfate, nitrofurazone, norfloxacin,
nystatin, octopirox, oleandomycin, orcephalosporins, oxacillin,
oxyteacline, oxytetracycline hydrochloride, parachlorometa xylenol,
paromomycin, paromomycin sulfate, penicillins, penicillin G,
penicillin V, pentamidine, pentamidine hydrochloride,
phenethicillin, polymyxins, quinolones, streptomycin sulfate,
tetracycline, tobramycin, tolnaftate, triclosan, trifampin,
rifamycin, rolitetracycline, spectinomycin, spiramycin,
struptomycin, sulfonamide, tetracyclines, tetracycline, tobramycin,
tobramycin sulfate, triclocarbon, triclosan,
trimethoprim-sulfamethoxazole, tylosin, vancomycin, and
yrothricin.
[0626] In certain embodiments, a compound of the invention is
conjointly administered with a cough suppressant, decongestant, or
expectorant.
[0627] Examples of retinoids that be administered with the subject
TRPA1 inhibitors, e.g., where the TRPA1 inhibitor can be used to
reduce the pain and/or inflammatory effect of the retinoid,
include, but are not limited to, compounds such as retinoic acid
(both cis and trans), retinol, adapalene, vitamin A and tazarotene.
Retinoids are useful in treating acne, psoriasis, rosacea, wrinkles
and skin cancers and cancer precursors such as melanoma and actinic
keratosis.
[0628] Similarly, the subject TRPA1 inhibitors can be used in
conjunction with keratolytic agents include benzoyl peroxide, alpha
hydroxyacids, fruit acids, glycolic acid, salicylic acid, azelaic
acid, trichloroacetic acid, lactic acid and piroctone.
[0629] The subject TRPA1 inhibitors can also be administered along
with depilatory agents (hair loss).
[0630] The subject TRPA1 inhibitors can be used with anti-acne
agents, anti-eczema agents and anti-psoratic agents. Compounds
particularly useful in treating acne include azelaic acid (an
aliphatic diacid with antiacne properties), anthralin (a diphenolic
compound with antifungal and antipsoriatic properties), and
masoprocol (nordihydroguaiaretic acid, a tetraphenolic compound
with antioxidant properties, also useful in the treatment of
actinic keratosis) and analogs thereof (such as austrobailignan 6,
oxoaustrobailignan 6, 4'-O-methyl-7,7'-dioxoaustrobailignan 6,
macelignan, demethyldihydroguaiaretic acid,
3,3',4-trihydroxy-4'-methoxylignan, Saururenin,
4-hydroxy-3,3',4'-trimethoxylignan, and isoanwulignan). Anti-eczema
agents include pimecrolimus and tacrolimus. Anti-psoriatic active
agents suitable for use in the present invention include retinoids
(including isomers and derivatives of retinoic acid, as well as
other compounds that bind to the retinoic acid receptor, such as
retinoic acid, acitretin, 13-cis-retinoic acid (isotretinoin),
9-cis-retinoic acid, tocopheryl-retinoate (tocopherol ester of
retinoic acid (trans- or cis-)), etretinate, motretinide,
1-(13-cis-retinoyloxy)-2-propanone,
1-(13-cis-retinoyloxy)-3-decanoyloxy-2-propanone,
1,3-bis-(13-cis-retinoyloxy)-2-propanone,
2-(13-cis-retinoyloxy)-acetophenone,
13-cis-retinoyloxymethyl-2,2-dimethyl propanoate,
2-(13-cis-retinoyloxy)-n-methyl-acetamide,
1-(13-cis-retinoyloxy)-3-hydroxy-2-propanone,
1-(13-cis-retinoyloxy)-2,3-dioleoylpropanone, succinimdyl
13-cis-retinoate, adapalene, and tazarotene), salicylic acid
(monoammonium salt), anthralin, 6-azauridine, vitamin D derivatives
(including but not limited to Rocaltrol (Roche Laboratories), EB
1089
(24.alpha.,26.alpha.,27.alpha.-trihomo-22,24-diene-1.alpha.,25-(OH).sub.2-
-D.sub.3), KH 1060
(20-epi-22-oxa-24.alpha.,26.alpha.,27.alpha.-trihomo-1.alpha.,25-(OH).sub-
.2-D.sub.3), MC 1288, GS 1558, CB 1093,
1,25-(OH).sub.2-16-ene-D.sub.3,
1,25-(OH).sub.2-16-ene-23-yne-D.sub.3, and
25-(OH)2-16-ene-23-yne-D.sub.3, 22-oxacalcitriol;
1.alpha.-(OH)D.sub.5 (University of Illinois), ZK 161422 and ZK
157202 (Institute of Medical Chemistry-Schering AG), alfacalcidol,
calcifediol, calcipotriol (calcipotriene), maxacalcitriol,
colecalciferol, doxercalciferol, ergocalciferol, falecalcitriol,
lexacalcitol, maxacalcitol, paricalcitol, secalciferol,
seocalcitol, tacalcitol, calcipotriene, calcitriol, and other
analogs as disclosed in U.S. Pat. No. 5,994,332), pyrogallol, and
tacalcitol.
[0631] The subject TRPA1 inhibitors can also be administered with
vitamins and derivatives thereof including Vitamin A, ascorbic acid
(Vitamin C), alpha-tocopherol (Vitamin E), 7-dehydrocholesterol
(Vitamin D), Vitamin K, alpha-lipoic acid, lipid soluble
anti-oxidants, and the like.
[0632] The subject TRPA1 inhibitors can also be used with skin
protectants, such allantoin and esculin.
[0633] In certain embodiments, two or more compounds of the
invention are conjointly administered. When two or more compounds
of the invention are conjointly administered, the two or more
compounds may have a similar selectivity profile and functional
activity, or the two or more compounds may have a different
selectivity profile and functional activity. By way of example, the
two or more compounds may both be approximately 10, 100, or 1000
fold selective for antagonizing a function of TRPA1 over TRPV1,
TRPV5, and TRPV6 (e.g., the two or more compounds have a similar
selectivity profile), and further may inhibit a function of TRPA1
with a similar IC50 (e.g., a similar functional activity).
Alternatively, the one of the two or more compounds may selectively
inhibit TRPA1 while the other of the two or more compounds inhibits
both TRPA1 and TRPV1 (e.g., the two or more compounds have
differing selectivity profiles). Administration of combinations of
two or more compounds of the invention having similar or differing
properties are contemplated.
[0634] In certain embodiments, a compound of the invention is
conjointly administered with one or more additional compounds that
antagonize the function of a different channel. By way of example,
a compound of the invention may be conjointly administered with one
or more compounds that antagonize TRPV1, TRPM8, and/or TRPV3. The
compound(s) that antagonize TRPV1, TPRM8, or TRPV3 may be selective
for TRPV1, TRPM8 or TRPV3 (e.g., inhibit TRPV1 or TRPV3 10, 100, or
1000 fold more strongly than TRPA1). Alternatively, the compound(s)
that antagonize TRPV1 or TRPV3 may cross react with other TRP
channels.
[0635] In certain other embodiments, a compound of the invention is
conjointly administered with one or more additional agents or
therapeutic regimens appropriate for the particular injury,
disease, condition, or disorder being treated.
Pharmaceutical Compositions
[0636] While it is possible for a compound of the present invention
to be administered alone, it is preferable to administer the
compound as a pharmaceutical formulation (composition). The
compounds according to the invention may be formulated for
administration in any convenient way for use in human or veterinary
medicine. In certain embodiments, the compound included in the
pharmaceutical preparation may be active itself, or may be a
prodrug, e.g., capable of being converted to an active compound in
a physiological setting.
[0637] Regardless of the route of administration selected, the
compounds of the present invention, which may be used in a suitable
hydrated form, and/or the pharmaceutical compositions of the
present invention, are formulated into pharmaceutically acceptable
dosage forms such as described below or by other conventional
methods known to those of skill in the art.
[0638] Thus, another aspect of the present invention provides
pharmaceutically acceptable compositions comprising a
therapeutically effective amount of one or more of the compounds
described above, formulated together with one or more
pharmaceutically acceptable carriers (additives) and/or diluents.
As described in detail below, the pharmaceutical compositions of
the present invention may be specially formulated for
administration in solid or liquid form, including those adapted for
the following: (1) oral administration, for example, drenches
(aqueous or non-aqueous solutions or suspensions), tablets,
boluses, powders, granules, pastes for application to the tongue;
(2) parenteral administration, for example, by subcutaneous,
intramuscular or intravenous injection as, for example, a sterile
solution or suspension; (3) topical application, for example, as a
cream, ointment or spray applied to the skin; (4) intravaginally or
intrarectally, for example, as a pessary, cream or foam; or (5) for
inhalation. However, in certain embodiments the subject compounds
may be simply dissolved or suspended in sterile water. In certain
embodiments, the pharmaceutical preparation is non-pyrogenic, i.e.,
does not elevate the body temperature of a patient.
[0639] The phrase "therapeutically effective amount" as used herein
means that amount of a compound, material, or composition
comprising a compound of the present invention which is effective
for producing some desired therapeutic effect by inhibiting TRPA1
function in at least a sub-population of cells in an animal and
thereby blocking the biological consequences of that function in
the treated cells, at a reasonable benefit/risk ratio applicable to
any medical treatment.
[0640] The phrases "systemic administration," "administered
systemically," "peripheral administration" and "administered
peripherally" as used herein mean the administration of a compound,
drug or other material other than directly into the central nervous
system, such that it enters the patient's system and, thus, is
subject to metabolism and other like processes, for example,
subcutaneous administration.
[0641] The phrase "pharmaceutically acceptable" is employed herein
to refer to those compounds, materials, compositions, and/or dosage
forms which are, within the scope of sound medical judgment,
suitable for use in contact with the tissues of human beings and
animals without excessive toxicity, irritation, allergic response,
or other problem or complication, commensurate with a reasonable
benefit/risk ratio.
[0642] The phrase "pharmaceutically acceptable carrier" as used
herein means a pharmaceutically acceptable material, composition or
vehicle, such as a liquid or solid filler, diluent, excipient,
solvent or encapsulating material, involved in carrying or
transporting the subject antagonists from one organ, or portion of
the body, to another organ, or portion of the body. Each carrier
must be "acceptable" in the sense of being compatible with the
other ingredients of the formulation and not injurious to the
patient. Some examples of materials which can serve as
pharmaceutically acceptable carriers include: (1) sugars, such as
lactose, glucose and sucrose; (2) starches, such as corn starch and
potato starch; (3) cellulose, and its derivatives, such as sodium
carboxymethyl cellulose, ethyl cellulose and cellulose acetate; (4)
powdered tragacanth; (5) malt; (6) gelatin; (7) talc; (8)
excipients, such as cocoa butter and suppository waxes; (9) oils,
such as peanut oil, cottonseed oil, safflower oil, sesame oil,
olive oil, corn oil and soybean oil; (10) glycols, such as
propylene glycol; (11) polyols, such as glycerin, sorbitol,
mannitol and polyethylene glycol; (12) esters, such as ethyl oleate
and ethyl laurate; (13) agar; (14) buffering agents, such as
magnesium hydroxide and aluminum hydroxide; (15) alginic acid; (16)
pyrogen-free water; (17) isotonic saline; (18) Ringer's solution;
(19) ethyl alcohol; (20) phosphate buffer solutions; and (21) other
non-toxic compatible substances employed in pharmaceutical
formulations.
[0643] As set out above, certain embodiments of the present
compounds may contain a basic functional group, such as amino or
alkylamino, and are, thus, capable of forming pharmaceutically
acceptable salts with pharmaceutically acceptable acids. The term
"pharmaceutically acceptable salts" in this respect, refers to the
relatively non-toxic, inorganic and organic acid addition salts of
compounds of the present invention. These salts can be prepared in
situ during the final isolation and purification of the compounds
of the invention, or by separately reacting a purified compound of
the invention in its free base form with a suitable organic or
inorganic acid, and isolating the salt thus formed. Representative
salts include the hydrobromide, hydrochloride, sulfate, bisulfate,
phosphate, nitrate, acetate, valerate, oleate, palmitate, stearate,
laurate, benzoate, lactate, phosphate, tosylate, citrate, maleate,
fumarate, succinate, tartrate, napthylate, mesylate,
glucoheptonate, lactobionate, and laurylsulphonate salts and the
like. (See, for example, Berge et al. (1977) "Pharmaceutical
Salts", J. Pharm. Sci. 66:1-19).
[0644] The pharmaceutically acceptable salts of the subject
compounds include the conventional nontoxic salts or quaternary
ammonium salts of the compounds, e.g., from non-toxic organic or
inorganic acids. For example, such conventional nontoxic salts
include those derived from inorganic acids such as hydrochloride,
hydrobromic, sulfuric, sulfamic, phosphoric, nitric, and the like;
and the salts prepared from organic acids such as acetic,
propionic, succinic, glycolic, stearic, lactic, malic, tartaric,
citric, ascorbic, palmitic, maleic, hydroxymaleic, phenylacetic,
glutamic, benzoic, salicyclic, sulfanilic, 2-acetoxybenzoic,
fumaric, toluenesulfonic, methanesulfonic, ethane disulfonic,
oxalic, isothionic, and the like.
[0645] In other cases, the compounds of the present invention may
contain one or more acidic functional groups and, thus, are capable
of forming pharmaceutically acceptable salts with pharmaceutically
acceptable bases. The term "pharmaceutically acceptable salts" in
these instances refers to the relatively non-toxic, inorganic and
organic base addition salts of compounds of the present invention.
These salts can likewise be prepared in situ during the final
isolation and purification of the compounds, or by separately
reacting the purified compound in its free acid form with a
suitable base, such as the hydroxide, carbonate or bicarbonate of a
pharmaceutically acceptable metal cation, with ammonia, or with a
pharmaceutically acceptable organic primary, secondary or tertiary
amine. Representative alkali or alkaline earth salts include the
lithium, sodium, potassium, calcium, magnesium, and aluminum salts
and the like. Representative organic amines useful for the
formation of base addition salts include ethylamine, diethylamine,
ethylenediamine, ethanolamine, diethanolamine, piperazine and the
like. (See, for example, Berge et al., supra)
[0646] Wetting agents, emulsifiers and lubricants, such as sodium
lauryl sulfate and magnesium stearate, as well as coloring agents,
release agents, coating agents, sweetening, flavoring and perfuming
agents, preservatives and antioxidants can also be present in the
compositions.
[0647] Examples of pharmaceutically acceptable antioxidants
include: (1) water soluble antioxidants, such as ascorbic acid,
cysteine hydrochloride, sodium bisulfate, sodium metabisulfite,
sodium sulfite and the like; (2) oil-soluble antioxidants, such as
ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated
hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol,
and the like; and (3) metal chelating agents, such as citric acid,
ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid,
phosphoric acid, and the like.
[0648] Formulations of the present invention include those suitable
for oral, nasal, topical (including buccal and sublingual), rectal,
vaginal and/or parenteral administration. The formulations may
conveniently be presented in unit dosage form and may be prepared
by any methods well known in the art of pharmacy. The amount of
active ingredient which can be combined with a carrier material to
produce a single dosage form will vary depending upon the host
being treated, the particular mode of administration. The amount of
active ingredient that can be combined with a carrier material to
produce a single dosage form will generally be that amount of the
compound which produces a therapeutic effect. Generally, out of one
hundred percent, this amount will range from about 1 percent to
about ninety-nine percent of active ingredient, preferably from
about 5 percent to about 70 percent, most preferably from about 10
percent to about 30 percent.
[0649] Methods of preparing these formulations or compositions
include the step of bringing into association a compound of the
present invention with the carrier and, optionally, one or more
accessory ingredients. In general, the formulations are prepared by
uniformly and intimately bringing into association a compound of
the present invention with liquid carriers, or finely divided solid
carriers, or both, and then, if necessary, shaping the product.
[0650] Formulations of the invention suitable for oral
administration may be in the form of capsules, cachets, pills,
tablets, lozenges (using a flavored basis, usually sucrose and
acacia or tragacanth), powders, granules, or as a solution or a
suspension in an aqueous or non-aqueous liquid, or as an
oil-in-water or water-in-oil liquid emulsion, or as an elixir or
syrup, or as pastilles (using an inert base, such as gelatin and
glycerin, or sucrose and acacia) and/or as mouth washes and the
like, each containing a predetermined amount of a compound of the
present invention as an active ingredient. A compound of the
present invention may also be administered as a bolus, electuary or
paste.
[0651] In solid dosage forms of the invention for oral
administration (capsules, tablets, pills, dragees, powders,
granules and the like), the active ingredient is mixed with one or
more pharmaceutically acceptable carriers, such as sodium citrate
or dicalcium phosphate, and/or any of the following: (1) fillers or
extenders, such as starches, lactose, sucrose, glucose, mannitol,
and/or silicic acid; (2) binders, such as, for example,
carboxymethylcellulose, alginates, gelatin, polyvinyl pyrrolidone,
sucrose and/or acacia; (3) humectants, such as glycerol; (4)
disintegrating agents, such as agar-agar, calcium carbonate, potato
or tapioca starch, alginic acid, certain silicates, and sodium
carbonate; (5) solution retarding agents, such as paraffin; (6)
absorption accelerators, such as quaternary ammonium compounds; (7)
wetting agents, such as, for example, cetyl alcohol and glycerol
monostearate; (8) absorbents, such as kaolin and bentonite clay;
(9) lubricants, such a talc, calcium stearate, magnesium stearate,
solid polyethylene glycols, sodium lauryl sulfate, and mixtures
thereof; and (10) coloring agents. In the case of capsules, tablets
and pills, the pharmaceutical compositions may also comprise
buffering agents. Solid compositions of a similar type may also be
employed as fillers in soft and hard-filled gelatin capsules using
such excipients as lactose or milk sugars, as well as high
molecular weight polyethylene glycols and the like.
[0652] A tablet may be made by compression or molding, optionally
with one or more accessory ingredients. Compressed tablets may be
prepared using binder (for example, gelatin or hydroxypropylmethyl
cellulose), lubricant, inert diluent, preservative, disintegrant
(for example, sodium starch glycolate or cross-linked sodium
carboxymethyl cellulose), surface-active or dispersing agent.
Molded tablets may be made by molding in a suitable machine a
mixture of the powdered compound moistened with an inert liquid
diluent.
[0653] The tablets, and other solid dosage forms of the
pharmaceutical compositions of the present invention, such as
dragees, capsules, pills and granules, may optionally be scored or
prepared with coatings and shells, such as enteric coatings and
other coatings well known in the pharmaceutical-formulating art.
They may also be formulated so as to provide slow or controlled
release of the active ingredient therein using, for example,
hydroxypropylmethyl cellulose in varying proportions to provide the
desired release profile, other polymer matrices, liposomes and/or
microspheres. They may be sterilized by, for example, filtration
through a bacteria-retaining filter, or by incorporating
sterilizing agents in the form of sterile solid compositions that
can be dissolved in sterile water, or some other sterile injectable
medium immediately before use. These compositions may also
optionally contain opacifying agents and may be of a composition
that they release the active ingredient(s) only, or preferentially,
in a certain portion of the gastrointestinal tract, optionally, in
a delayed manner. Examples of embedding compositions that can be
used include polymeric substances and waxes. The active ingredient
can also be in micro-encapsulated form, if appropriate, with one or
more of the above-described excipients.
[0654] Liquid dosage forms for oral administration of the compounds
of the invention include pharmaceutically acceptable emulsions,
microemulsions, solutions, suspensions, syrups and elixirs. In
addition to the active ingredient, the liquid dosage forms may
contain inert diluents commonly used in the art, such as, for
example, water or other solvents, solubilizing agents and
emulsifiers, such as ethyl alcohol, isopropyl alcohol, ethyl
carbonate, ethyl acetate, benzyl alcohol, benzyl benzoate,
propylene glycol, 1,3-butylene glycol, oils (in particular,
cottonseed, groundnut, corn, germ, olive, castor and sesame oils),
glycerol, tetrahydrofuryl alcohol, polyethylene glycols and fatty
acid esters of sorbitan, and mixtures thereof.
[0655] Besides inert diluents, the oral compositions can also
include adjuvants such as wetting agents, emulsifying and
suspending agents, sweetening, flavoring, coloring, perfuming and
preservative agents.
[0656] Suspensions, in addition to the active compounds, may
contain suspending agents as, for example, ethoxylated isostearyl
alcohols, polyoxyethylene sorbitol and sorbitan esters,
microcrystalline cellulose, aluminum metahydroxide, bentonite,
agar-agar and tragacanth, and mixtures thereof.
[0657] It is known that sterols, such as cholesterol, will form
complexes with cyclodextrins. Thus, in preferred embodiments, where
the inhibitor is a steroidal alkaloid, it may be formulated with
cyclodextrins, such as .alpha.-, .beta.- and .gamma.-cyclodextrin,
dimethyl-.beta. cyclodextrin and
2-hydroxypropyl-.beta.-cyclodextrin.
[0658] Formulations of the pharmaceutical compositions of the
invention for rectal, vaginal, or urethral administration may be
presented as a suppository, which may be prepared by mixing one or
more compounds of the invention with one or more suitable
nonirritating excipients or carriers comprising, for example, cocoa
butter, polyethylene glycol, a suppository wax or a salicylate, and
which is solid at room temperature, but liquid at body temperature
and, therefore, will melt in the rectum or vaginal cavity and
release the active compound.
[0659] Alternatively or additionally, compositions can be
formulated for delivery via a catheter, stent, wire, or other
intraluminal device. Delivery via such devices may be especially
useful for delivery to the bladder, urethra, ureter, rectum, or
intestine.
[0660] Formulations of the present invention which are suitable for
vaginal administration also include pessaries, tampons, creams,
gels, pastes, foams or spray formulations containing such carriers
as are known in the art to be appropriate.
[0661] Dosage forms for the topical or transdermal administration
of a compound of this invention include powders, sprays, ointments,
pastes, creams, lotions, gels, solutions, patches and inhalants.
The active compound may be mixed under sterile conditions with a
pharmaceutically acceptable carrier, and with any preservatives,
buffers, or propellants that may be required.
[0662] The ointments, pastes, creams and gels may contain, in
addition to an active compound of this invention, excipients, such
as animal and vegetable fats, oils, waxes, paraffins, starch,
tragacanth, cellulose derivatives, polyethylene glycols, silicones,
bentonites, silicic acid, talc and zinc oxide, or mixtures
thereof.
[0663] Powders and sprays can contain, in addition to a compound of
this invention, excipients such as lactose, talc, silicic acid,
aluminum hydroxide, calcium silicates and polyamide powder, or
mixtures of these substances. Sprays can additionally contain
customary propellants, such as chlorofluorohydrocarbons and
volatile unsubstituted hydrocarbons, such as butane and
propane.
[0664] Transdermal patches have the added advantage of providing
controlled delivery of a compound of the present invention to the
body. Such dosage forms can be made by dissolving or dispersing the
compound in the proper medium. Absorption enhancers can also be
used to increase the flux of the compound across the skin. The rate
of such flux can be controlled by either providing a rate
controlling membrane or dispersing the compound in a polymer matrix
or gel.
[0665] Ophthalmic formulations, eye ointments, powders, solutions
and the like, are also contemplated as being within the scope of
this invention.
[0666] The phrases "parenteral administration" and "administered
parenterally" as used herein means modes of administration other
than enteral and topical administration, usually by injection, and
includes, without limitation, intravenous, intramuscular,
intraarterial, intrathecal, intracapsular, intraorbital,
intracardiac, intradermal, intraperitoneal, transtracheal,
subcutaneous, subcuticular, intraarticular, subcapsular,
subarachnoid, intraspinal and intrasternal injection and
infusion.
[0667] Pharmaceutical compositions of this invention suitable for
parenteral administration comprise one or more compounds of the
invention in combination with one or more pharmaceutically
acceptable sterile isotonic aqueous or nonaqueous solutions,
dispersions, suspensions or emulsions, or sterile powders which may
be reconstituted into sterile injectable solutions or dispersions
just prior to use, which may contain antioxidants, buffers,
bacteriostats, solutes which render the formulation isotonic with
the blood of the intended recipient or suspending or thickening
agents.
[0668] Examples of suitable aqueous and nonaqueous carriers that
may be employed in the pharmaceutical compositions of the invention
include water, ethanol, polyols (such as glycerol, propylene
glycol, polyethylene glycol, and the like), and suitable mixtures
thereof, vegetable oils, such as olive oil, and injectable organic
esters, such as ethyl oleate. Proper fluidity can be maintained,
for example, by the use of coating materials, such as lecithin, by
the maintenance of the required particle size in the case of
dispersions, and by the use of surfactants.
[0669] These compositions may also contain adjuvants such as
preservatives, wetting agents, emulsifying agents and dispersing
agents. Prevention of the action of microorganisms may be ensured
by the inclusion of various antibacterial and antifungal agents,
for example, paraben, chlorobutanol, phenol sorbic acid, and the
like. It may also be desirable to include isotonic agents, such as
sugars, sodium chloride, and the like into the compositions. In
addition, prolonged absorption of the injectable pharmaceutical
form may be brought about by the inclusion of agents that delay
absorption such as aluminum monostearate and gelatin.
[0670] In some cases, in order to prolong the effect of a drug, it
is desirable to slow the absorption of the drug from subcutaneous
or intramuscular injection. This may be accomplished by the use of
a liquid suspension of crystalline or amorphous material having
poor water solubility. The rate of absorption of the drug then
depends upon its rate of dissolution, which, in turn, may depend
upon crystal size and crystalline form. Alternatively, delayed
absorption of a parenterally administered drug form is accomplished
by dissolving or suspending the drug in an oil vehicle.
[0671] Injectable depot forms are made by forming microencapsule
matrices of the subject compounds in biodegradable polymers such as
polylactide-polyglycolide. Depending on the ratio of drug to
polymer, and the nature of the particular polymer employed, the
rate of drug release can be controlled. Examples of other
biodegradable polymers include poly(orthoesters) and
poly(anhydrides). Depot injectable formulations are also prepared
by entrapping the drug in liposomes or microemulsions that are
compatible with body tissue.
[0672] When the compounds of the present invention are administered
as pharmaceuticals, to humans and animals, they can be given per se
or as a pharmaceutical composition containing, for example, 0.1 to
99.5% (more preferably, 0.5 to 90%) of active ingredient in
combination with a pharmaceutically acceptable carrier.
[0673] The addition of the active compound of the invention to
animal feed is preferably accomplished by preparing an appropriate
feed premix containing the active compound in an effective amount
and incorporating the premix into the complete ration.
[0674] Alternatively, an intermediate concentrate or feed
supplement containing the active ingredient can be blended into the
feed. The way in which such feed premixes and complete rations can
be prepared and administered are described in reference books (such
as "Applied Animal Nutrition", W.H. Freedman and CO., San
Francisco, U.S.A., 1969 or "Livestock Feeds and Feeding" 0 and B
books, Corvallis, Ore., U.S.A., 1977).
[0675] Methods of introduction may also be provided by rechargeable
or biodegradable devices. Various slow release polymeric devices
have been developed and tested in vivo in recent years for the
controlled delivery of drugs, including proteinacious
biopharmaceuticals. A variety of biocompatible polymers (including
hydrogels), including both biodegradable and non-degradable
polymers, can be used to form an implant for the sustained release
of a compound at a particular target site.
[0676] Actual dosage levels of the active ingredients in the
pharmaceutical compositions of this invention may be varied so as
to obtain an amount of the active ingredient that is effective to
achieve the desired therapeutic response for a particular patient,
composition, and mode of administration, without being toxic to the
patient.
[0677] The selected dosage level will depend upon a variety of
factors including the activity of the particular compound of the
present invention employed, or the ester, salt or amide thereof,
the route of administration, the time of administration, the rate
of excretion of the particular compound being employed, the
duration of the treatment, other drugs, compounds and/or materials
used in combination with the particular compound employed, the age,
sex, weight, condition, general health and prior medical history of
the patient being treated, and like factors well known in the
medical arts.
[0678] A physician or veterinarian having ordinary skill in the art
can readily determine and prescribe the effective amount of the
pharmaceutical composition required. For example, the physician or
veterinarian could start doses of the compounds of the invention
employed in the pharmaceutical composition at levels lower than
that required in order to achieve the desired therapeutic effect
and gradually increase the dosage until the desired effect is
achieved.
[0679] In general, a suitable daily dose of a compound of the
invention will be that amount of the compound that is the lowest
dose effective to produce a therapeutic effect. Such an effective
dose will generally depend upon the factors described above.
Generally, intravenous, intracerebroventricular and subcutaneous
doses of the compounds of this invention for a patient will range
from about 0.0001 to about 100 mg per kilogram of body weight per
day.
[0680] If desired, the effective daily dose of the active compound
may be administered as two, three, four, five, six or more
sub-doses administered separately at appropriate intervals
throughout the day, optionally, in unit dosage forms.
[0681] The patient receiving this treatment is any animal in need,
including primates, in particular humans, and other mammals such as
equines, cattle, swine and sheep; and poultry and pets in
general.
[0682] The compound of the invention can be administered as such or
in admixtures with pharmaceutically acceptable and/or sterile
carriers and can also be administered in conjunction with other
antimicrobial agents such as penicillins, cephalosporins,
aminoglycosides and glycopeptides. Conjunctive therapy thus
includes sequential, simultaneous and separate administration of
the active compound in a way that the therapeutic effects of the
first administered one are still detectable when the subsequent
therapy is administered.
[0683] The present invention contemplates formulation of the
subject compounds in any of the aforementioned pharmaceutical
compositions and preparations. Furthermore, the present invention
contemplates administration via any of the foregoing routes of
administration. One of skill in the art can select the appropriate
formulation and route of administration based on the condition
being treated and the overall health, age, and size of the patient
being treated.
EXAMPLES
Example 1: High Throughput Screening Assay
[0684] The assay depended on detection of the rise in intracellular
Ca.sup.2+ concentration ([Ca.sup.2+].sub.i) following channel
activation in cells inducibly expressing the TRPA1 channel.
Ca.sup.2+ rise was quantified with the use of fluorescent Ca.sup.2+
indicators that were loaded into cells and thereafter indicated the
[Ca.sup.2+].sub.i. Ca.sup.2+ influx followed activation of the
TRPA1 channel. Compounds inhibiting the [Ca.sup.2+].sub.i rise were
considered hits for further investigation.
[0685] The commercially available HEK293/TREx line (Invitrogen) was
stably transfected with a TRPA1 construct (specifically a construct
encoding a TRPA1 protein with an amino acid sequence depicted in
SEQ ID NO: 1) and screened by conventional calcium imaging to find
clones with TRPA1 expression following stimulation with 1 .mu.g/ml
tetracycline. These cells were maintained in the growth medium
recommended by the manufacturer supplemented with 100 .mu.g/ml
hygromycin to promote retention of the TRPA1 construct. After
growing to near confluency, cells were plated at a density of
-25,000 cells/well in 384 well CellBind plates (Corning) in the
presence of 1 .mu.g/ml tetracycline, and allowed to grow for 20-30
hrs. A nearly confluent monolayer resulted. Cells were then loaded
with Ca.sup.2+ dye: Fura-2/AM or Fluo4/AM was added to the wells to
a final concentration of 2 .mu.M or 1 .mu.M, respectively, and
incubated for 80 min or 60 min, respectively, at room temperature.
Supernatant was then removed from the cells by inverting plates
with a sharp flick, and 40 .mu.l Hank's Balanced Salt Solution
(HBSS; 0.185 g/l D-glucose, 0.9767 g/l MgSO.sub.4 (anhydrous), 0.4
g/l KCl, 0.06 g/l KH.sub.2PO.sub.4 (anhydrous), 0.35 g/l
NaHCO.sub.3, 8.0 g/l NaCl, and 0.04788 g/l Na.sub.2HPO.sub.4
(anhydrous); pH 7.4) was then added to each well. Following
.about.1 hour for recovery from loading, cells were assayed using
the Hamamatsu FDSS 6000 system, which permitted illumination
alternately at 340 nM and 380 nM for Fura-2 experiments, or at 485
nM for Fluo4 experiments. Frames were acquired at a rate of 0.2 Hz.
During the assay, the plates were continuously vortexed, with
pipette mixing of wells following addition of each reagent. For the
screening assay, 13 .mu.l of a diluted stock (at 50 .mu.M) was
added to each well for 2 minutes following the collection of a
short (4 frame) baseline. 13 .mu.l 37.5 .mu.M AITC
(allylisothiocyanate) was then added to each well, achieving a
final concentration of 10 .mu.M each compound and 7.5 .mu.M AITC.
Data was collected for .about.3 minutes following addition of AITC,
where the fluorescent intensity (for Fluo4) and the F340/F380 ratio
(for Fura-2) were proportional to the [Ca.sup.2+].sub.i. Negative
controls consisted of HEK293/TREx TRPA1 cells exposed to AITC, but
no compound. Positive control cells were usually HEK293/TREx
("parental") cells exposed to AITC but no compound, but sometimes
normal HEK/293 TREx TRPA1 cells were also used, but not exposed to
AITC or compound. These controls defined a screening window, and
"hits" were defined as those compounds inhibiting the fluorescence
response by at least 40%. IC.sub.50 values were determined for
compounds defined as "hits." The Fluo4 cell-based fluorescence
assay was used to determine the intracellular Ca.sup.2+
concentration in the presence of varying drug concentration.
Concentrations tested were 40 .mu.M, 20 .mu.M, 10 .mu.M, 5 .mu.M,
2.5 .mu.M, 1.25 .mu.M, and 0.625 .mu.M. Compounds were tested in
triplicate at all concentrations. Standard software was used to fit
IC.sub.50 curves.
[0686] Additionally or alternatively, efficacy can be represented
as % inhibition in the presence (of a given concentration of
compound) versus the absence of compound or in comparison to a
control compound. For example, efficacy can be represented as %
inhibition of ion flux in the presence versus the absence of
compound.
Example 2: Patch Clamp Experiments
[0687] Patch clamp experiments permit the detection of currents
through the TRPA1 channel in the cell line described above. To
permit recording of current at a stable level and prevent the
"rundown" observed by other labs, it is necessary to use the
perforated patch technique, which prevents dialysis of the
cytoplasm with the pipette solution. In normal whole-cell patch
clamp recordings, a glass electrode is brought into contact with a
single cell and a high-resistance (gigaohm) seal is established
with the cell membrane. The membrane is then ruptured to achieve
the whole-cell configuration, permitting control of the voltage of
the cell membrane and measurement of currents flowing across the
membrane using the amplifier attached to the electrode and
resulting in the replacement of cytoplasm with the pipette
solution. In contrast, in the perforated patch mode, an antibiotic,
amphotericin, is present in the pipette solution and diffuses into
contact with the cell after the seal is achieved, over the course
of several minutes. The amphotericin forms ion-permeable pores in
the membrane under the pipette, permitting passage of some ions but
maintaining most native cytosolic components. A perfusion system
permits control of the extracellular solution, including the
addition of blockers and activators of the current. The current can
be activated by addition of 5 .mu.M AITC to the solution.
[0688] TRPA1 cells were induced 20-48 hours, removed from growth
plates, and replated at low density (to attain good single-cell
physical separation) on glass coverslips for measurement. In some
cases, cells were grown in low density overnight on glass
coverslips. Patch clamp recordings were made in the whole-cell mode
with a holding potential of -40 mV. Every 5 seconds, a voltage ramp
was applied from -120 to +100 mV, 400 ms in duration. Currents
elicited were quantified at -80 mV and +80 mV. The internal
solution consisted of 140 mM cesium aspartate, 10 mM EGTA, 2.2 mM
CaCl.sub.2, 2.08 mM MgCl.sub.2 and 10 mM HEPES, pH 7.2, with 50 nM
calculated free Ca.sup.2+ and 60 mg/ml amphotericin added
immediately prior to experiments. The external solution consisted
of 150 mM NaCl, 4.5 mM KCl, 3 mM MgCl.sub.2, 10 mM HEPES, 10 mM
glutamine, 1 mM EGTA, pH 7.4. Upon addition of AITC, TRPA1 current
was induced only in TRPA1-expressing cells and not in parental
HEK293 TREx cells. Removal of the AITC stimulus causes most of the
current to go away. Potential blockers were tested for ability to
block both inward and outward currents in the continued presence of
AITC.
[0689] IC.sub.50 of compounds was estimated by testing each
compound at 5 .mu.M and 500 nM. When 5 .mu.M compound showed no
block, IC.sub.50 was estimated as >10 .mu.M. When 5 .mu.M
compound showed 50% or less block, a rough estimate of IC.sub.50 in
the range of 5-10 .mu.M could be made. IC.sub.50 for compounds
between 500 nM and 5 .mu.M was similarly estimated. Compounds
blocking 50% or more at 500 nM are retested at multiple
concentrations, and the % block at each is fitted by standard
equations to determine IC.sub.50 accurately using a 5-6 point
concentration/response experiment. Except where indicated, the
IC.sub.50 values presented in Tables 1, 2, 3, and 4 were obtained
from patch clamp experiments.
Example 3. Other Screening Assays
[0690] Although the exemplary TRPA1 inhibitors provided herein were
identified using the assays described in Examples 1 and 2, other
cell-based assays can be used to identify and/or characterize TRPA1
inhibitors. One such assay is described in U.S. application Ser.
No. 11/078,188, filed Mar. 11, 2005, the contents of which are
hereby incorporated by reference in their entirety. TRPA1 protein
can be expressed in the prokaryotic cell system described in
application Ser. No. 11/078,188, and this system can be used to
screen for compounds that modulate an activity of the TRPA1
protein. Alternatively, an ion channel other than TRPA1 can be
expressed in the prokaryotic cell system, and the system can be
used to evaluate the activity profile of an identified TRPA1
inhibitors with respect to other ion channels.
[0691] Any assays performed to identify and/or characterize
compounds that inhibit an activity of TRPA1 can be performed in a
high-throughput fashion, or can be performed on a smaller scale
examining individual compounds or small numbers of compounds.
Additionally, any of these assays can be performed (i) as a primary
assay to identify compounds that inhibit a function of TRPA1; (ii)
as a secondary assay to assess the specificity of a compound with
respect to its activity against other ion channels; (iii) as an
assay used in a medicinal chemistry program to optimize subject
compounds.
Example 4: Testing of TRPA1 Antagonists in a Thermal Injury Model
of Pain
[0692] The thermal injury model can be used to evaluate the
effectiveness of an exemplary TRPA1 inhibitor in the treatment of
nociceptive pain using the following protocol. Male Holtzman rats
(approximately 300 grams) are tested on thermal escape using a
Hargreaves type apparatus. Under light anesthesia, a thermal injury
(52.degree. C. for 45 seconds) is applied to one heel. The animals
are tested for thermal escape latency of the injured and uninjured
paw before and at 30, 60, 80, and 120 minutes after injury. Drug (a
TRPA1 inhibitor) or vehicle (0.5% methylcellulose) is administered
after the baseline measurement and approximately 15-20 minutes
prior to the thermal injury. In addition to the escape latency
measurement, behavioral observations are made throughout the
experiment.
Example 5: Testing of TRPA1 Antagonists in the Chung Model of
Neuropathic Pain
[0693] Briefly, male Sprague Dawley rats (approximately 175 grams)
are prepared with ligation of the L4/5 nerve roots. After 5-8 days,
the animals are tested for tactile allodynia using Von Frey hairs.
Thresholds are assessed with the "up-down" method. Drug or vehicle
is administered and the animals tested periodically over the next
four hours.
Example 6: Synthetic Methods
General Procedure a for the Preparation of Amides by Coupling Using
EDCI
[0694] To a mixture of theophylline-7-acetic acid (2 mmol), DMAP (2
mmol), substituted phenethylamine (2 mmol) and DIPEA (4 mmol) in
DMF (20 mL) is added EDCI (2 mmol). The reaction mixture is heated
to 40.degree. C. and stirred over night. The solution is
concentrated in vacuo and the residue is dissolved in EtOAc (100
mL), washed with H.sub.2O, citric acid (10%), NaHCO.sub.3 (sat.)
and brine, dried over Na.sub.2SO.sub.4 and concentrated in vacuo.
The crude product is purified by flash chromatography on silica gel
eluting with MeOH/EtOAc (1-8%).
General Procedure B for the Preparation of Amides Via Acid
Chloride
[0695] A suspension of theophylline-7-acetic acid (2 mmol) in
CHCl.sub.3 (15 mL) and MeCN (15 mL) is cooled in an ice-water bath.
Oxalyl chloride (2.2 mmol) is then added dropwise. Catalytic DMF
(.about.25 .mu.L) is then added. The mixture is stirred at room
temperature over night. The solution is then cooled in an ice-water
bath, and DMAP (2.5 mmol) is added in one portion. The substituted
phenethylamine is added dropwise and the reaction mixture is
stirred at room temperature over night. After diluting with
CHCl.sub.3 (50 mL), the mixture is washed with H.sub.2O, citric
acid (10% in H.sub.2O), NaHCO.sub.3 (sat.), dried over
Na.sub.2SO.sub.4 and concentrated in vacuo. The crude product is
purified by flash chromatography on silica gel eluting with
MeOH/EtOAc (1-8%).
##STR00062## ##STR00063##
[0696] Dihydropyrimidine-dione 2 can be prepared by reacting
1-propylurea (1) and ethyl 2-cyanoacetate, which can be
subsequently treated with bromine, ethyl 2-aminoacetate, and
triethoxymethane to yield compound 6, ethyl
2-(2,6-dioxo-1-propyl-2,3-dihydro-1H-purin-7(6H)-yl)acetate. The
obtained dihydropurine 6 can be transformed to compound 10 through
methylation, hydrolysis, and a coupling reaction under CDI.
##STR00064##
[0697] Dihydropyrimidine-dione 2 can be prepared by reacting
1-propylurea (1) and ethyl 2-cyanoacetate, which can be
subsequently treated with bromine, ethyl 2-aminoacetate, and
triethoxymethane to yield compound 6, ethyl
2-(1-methyl-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)acetate. The
obtained dihydropurine 6 can be converted to compound 10 through
alkylation reaction, hydrolysis, and a coupling reaction catalyzed
by CDI.
##STR00065##
[0698] N,N-Dimethylethane-1,2-diamine can be converted to urea 2,
which can then react with ethyl 2-cyanoacetate to give
dihydropyrimidine-dione 3. Compound 3 can be subsequently treated
with bromine, ethyl 2-aminoacetate, and triethoxymethane to yield
compound 7, ethyl
2-(1-(2-(dimethylamino)ethyl)-2,6-dioxo-2,3-dihydro-1H-purin-7(6H)-yl)ace-
tate. The obtained dihydropurine 7 can be transformed to compound
11 through alkylation reaction, hydrolysis, and a coupling reaction
catalyzed by CDI.
##STR00066##
[0699] Compound 2 can be prepared by coupling dihydropurine 1 with
2-p-tolylethanol.
##STR00067##
[0700] Esterification of dihydropurine 1, followed by reduction
with LAH, Swern oxidation and coupling reaction can yield compound
5, which subsequently can be converted to compound 6, compound 7,
and compound 8 through methylation, acylation, or
sulphonylation.
##STR00068##
[0701] Dihydropurine 1 can be coupled with
2-(4-methylpiperazin-1-yl)ethanamine by CDI to give compound 2.
##STR00069##
[0702] 2-(4-Phenylpiperazin-1-yl)ethanamine 4 can be prepared by
reacting 1-phenylpiperazine with 2-chloroacetamide, followed by a
reduction reaction with LAH. Amine 4 then can be coupled with
dihydropurine 5 to yield compound 6.
##STR00070##
[0703] 2-(1-Benzyl-1H-imidazol-2-yl)ethanamine 4 can be prepared by
protection of imidazole, followed by alkylation and a deprotection
reaction with TFA. Amine 4 then can be coupled with dihydropurine 5
to afford compound 6.
##STR00071##
[0704] Treatment of imidazole 1 with n-BuLi, followed by an
alkylation reaction, and a deprotection reaction with TFA affords
2-(1-methyl-1H-imidazol-2-yl)ethanamine. Amine 3 can be coupled
with dihydropurine 4 to give compound 5.
##STR00072##
[0705] 2-(Thiazol-2-yl)ethanamine 3 can be prepared by treatment of
thiazole 1 with n-BuLi, followed by addition of Boc-protected
2-bromoethanamine and a deprotection reaction with TFA. The
obtained amine 3 then can be coupled with carboxylic acid 4 to
afford compound 5.
##STR00073##
[0706] Treatment of oxazole 1 with n-BuLi, followed by an
alkylation reaction, and a deprotection reaction with TFA affords
2-(oxazol-2-yl)ethanamine 3. Amine 3 can be coupled with
dihydropurine 4 to give compound 6.
##STR00074##
[0707] Compound 10 (Scheme 12) can be prepared according to similar
reaction procedures shown in Scheme 1.
##STR00075##
[0708] Treatment of Protected indoline 2 with LDA and
dibromopropane gives compound 3, which subsequently can react with
purine-dione 4, followed by hydrolysis reaction to yield compound
6.
##STR00076##
[0709] p-Tolylmethanol (1) can be converted to
1-(bromomethyl)-4-methylbenzene 2, which can be treated with Mg and
allyl bromide to give compound 3. Treatment of alkene 3 with
N.sub.2CH.sub.2CO.sub.2Et, followed by a reduction reaction affords
(2-(4-methylphenethyl)cyclopropyl)methanol (5). Cyclopropylmethanol
5 can react with MsCl, and the resulting compound 6 can be coupled
with purine-dione 7 to afford compound 8.
##STR00077##
[0710] 2-(5-Methylpyridin-2-yl)ethanamine 4 can be prepared by
converting 2-chloro-5-methylpyridine (1) to
2-bromo-5-methylpyridine, followed by reacting with Boc-protected
2-bromoethanamine and removal of the protecting group with TFA. The
obtained amine 4 then can be coupled with carboxylic acid 5 to
afford compound 6.
##STR00078##
[0711] LAH can reduce ethyl 6-methylnicotinate to give alcohol 2,
which can be oxidized and subsequently treated with MeNO.sub.2 to
yield compound 4. Compound 4 can be reduced to amine 4, which can
be coupled with carboxylic acid 6 to give compound 7.
Example 7: Synthesis of
N-(4-(4-(diethylamino)phenyl)thiazol-2-yl)-2-(1,3-dimethyl-2,6-dioxo-3,4,-
5,6-tetrahydro-1H-purin-7(2H)-yl)acetamide
##STR00079##
[0713] To a solution of 4'-diethylamionoacetophenone (20.80 g,
0.109 mol) in 45 mL HBr (48% in water), a solution of bromine (5.50
mL, 0.109 mol) in 35 mL HBr was added slowly via addition funnel
over 20 min. Reaction mixture was stirred at room temperature
overnight, diluted with 300 mL water and poured onto
NaHCO.sub.3/ice mixture. The mixture was extracted with CHCl.sub.3
(2.times.400 mL), and the combined organic phase was washed with
brine, and then dried over Na.sub.2SO.sub.4. After evaporation, the
green oil was dissolved in 120 mL EtOH followed by addition of
thiourea (8.30 g, 0.109 mol) and the solution was refluxed for 2
hrs. After evaporation of about 50 mL EtOH on rotovap, lot of solid
precipitated in the flask. The mixture was filtered, washed with
EtOH (100 mL), and then dried under vacuum to get brownish solid
20.86 g (77%). Ref: J. Org. Chem. 2003, 68, 839-853.
##STR00080##
[0714] In an oven-dried round-bottom flask, theophylline-7-acetic
acid (3.18 g, 13.3 mmol) and triethylamine (2.5 mL, 18.2 mmol) was
dissolved in 60 mL DMF, and then
4-(diethylamino-phenyl)-thiazol-2-ylamine (3.00 g, 12.1 mmol) was
added. After the amine totally dissolved, the solution was cooled
in an ice-water bath for 20 min, and then HATU was added in one
portion. The reaction mixture was warmed up to room temperature
gradually and stirred at this temperature for 90 min. Mass and TLC
showed consumption of amine. The solution was poured into 500 mL
brine at 0.degree. C., and the cloudy suspension was stirred for 30
min at this temperature. The suspension was filtered and washed
with water and ether. Solid was dried in oven (50.degree. C.) for 2
h, the off-white solid was then suspended in 500 mL EtOAc/10% MeOH
and refluxed for 2 hrs. Hot filtration was performed, and the solid
was washed with ether and dried on vacuum to give white solid 4.00
g (71%). mp: 305-307.degree. C. R.sub.f=0.31 (EtOAc).
INCORPORATION BY REFERENCE
[0715] All publications and patents mentioned herein, are hereby
incorporated by reference in their entirety as if each individual
publication or patent was specifically and individually indicated
to be incorporated by reference.
EQUIVALENTS
[0716] Those skilled in the art will recognize, or be able to
ascertain using no more than routine experimentation, many
equivalents to the specific embodiments of the invention described
herein. Such equivalents are intended to be encompassed by the
following claims.
* * * * *