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Methods of treatment of amyloidosis using spirocyclohexane aspartyl-protease inhibitors

  • US 20060014790A1
  • Filed: 01/21/2005
  • Published: 01/19/2006
  • Est. Priority Date: 01/21/2004
  • Status: Abandoned Application
First Claim
Patent Images

1. A method of preventing or treating conditions which benefit from inhibition of at least one aspartyl-protease, comprising:

  • administering to a host in need thereof a composition comprising a therapeutically effective amount of at least one selective compound of formula (I), embedded imageor pharmaceutically acceptable salts thereof, wherein R1 is selected from embedded imagewherein;

    X, Y, and Z are independently selected from —

    C(H)0-2

    , —

    O—

    , —

    C(O)—

    , —

    NH—

    , and —

    N—

    ;

    wherein at least one bond of the (IIf) ring may optionally be a double bond;

    R50, R50a, and R50b are independently selected from —

    H, -halogen, —

    OH, —

    SH, —

    CN, —

    C(O)-alkyl, —

    NR7R8, —

    S(O)0-2-alkyl, -alkyl, -alkoxy, —

    O-benzyl optionally substituted with at least one group independently selected from H, —

    OH, and alkyl, —

    C(O)—

    NR7R8, -alkyloxy, -alkoxyalkoxyalkoxy, and -cycloalkyl;

    wherein the alkyl, alkoxy, and cycloalkyl groups within R50, R50a, and R50b are optionally substituted with at least one group independently selected from alkyl, halogen, —

    OH, —

    NR5R6, —

    CN, haloalkoxy, —

    NR7R8, and alkoxy;

    R5 and R6 are independently selected from H or alkyl, or R5 and R6, and the nitrogen to which they are attached, form a 5 or 6 membered heterocycloalkyl ring; and

    R7 and R8 are independently selected from —

    H, -alkyl optionally substituted with at least one group independently selected from —

    OH, —

    NH2, and halogen, -cycloalkyl, and -alkyl-O-alkyl;

    R2 is selected from H and F;

    Rc is selected from the following formula (IIIa), (IIIb), or (IIIc) structures embedded imagewherein, A, B, and C are independently selected from —

    CH2

    , —

    O—

    , —

    C(O)—

    , —

    S(O)0-2

    , —

    NH—

    , —

    NR200, —

    N(CO)0-1R200

    , and —

    N(S(O2)alkyl)-;

    wherein (IIIa), (IIIb), and (IIIc) are each optionally substituted with at least one group independently selected from alkyl, alkoxy, —

    OH, halogen, —

    NH2, —

    NH(alkyl), —

    N(alkyl)(alkyl), —

    NH—

    C(O)-alkyl, and —

    NS(O2)-alkyl;

    Rx is selected from -aryl, heteroaryl, cycloalkyl, heterocycloalkyl, and —

    Rxa

    Rxb;

    wherein RXa and RXb are independently selected from aryl, heteroaryl, cycloalkyl, and heterocycloalkyl;

    wherein each aryl or heteroaryl group within RC is optionally substituted with at least one group independently selected from R200;

    wherein each cycloalkyl or heterocycloalkyl within RC is optionally substituted with at least one group independently selected from R210; and

    wherein at least one carbon of the heteroaryl or heterocycloalkyl group within RC is independently optionally replaced with a group selected from —

    NH—

    , —

    N—

    , —

    N(CO)0-1R215

    , —

    N(CO)0-1R220

    , —

    O—

    , —

    C(O)—

    , —

    S(O)0-2

    , and —

    NS(O)0-2R200;

    R200 at each occurrence is independently selected from -alkyl optionally substituted with at least one group independently selected from R205, —

    OH, —

    NO2, -halogen, —

    CN, —

    (CH2)0-4

    C(O)H, —

    (CO)0-1R215, —

    (CO)0-1R220, —

    (CH2)0-4

    CO—

    NR220R225, —

    (CH2)0-4

    CO—

    NH(R215), —

    (CH2)0-4

    CO-alkyl, —

    (CH2)0-4

    (CO)0-1-cycloalkyl, —

    (CH2)0-4

    (CO)0-1-heterocycloalkyl, —

    (CH2)0-4

    (CO)0-1-aryl, —

    (CH2)0-4

    (CO)0-1-heteroaryl, —

    (CH2)0-4

    CO2R215, —

    (CH2)0-4

    SO2

    NR220R225, —

    (CH2)0-4

    S(O)0-2-alkyl, —

    (CH2)0-4

    S(O)0-2-cycloalkyl, —

    (CH2)0-4

    N(H or R215)—

    CO2R215, —

    (CH2)0-4

    N(H or R215)—

    SO2

    R220, —

    (CH2)0-4

    N(H or R215)—

    C(O)—

    N(R215)2, —

    (CH2)0-4

    N(H or R215)—

    C(O)—

    R220, —

    (CH2)0-4

    NR220R225, —

    (CH2)0-4

    O—

    C(O)-alkyl, —

    (CH2)0-4

    O—

    (R215), —

    (CH2)0-4

    S—

    (R215), —

    (CH2)0-4

    O-alkyl optionally substituted with at least one F, and -adamantane;

    wherein each aryl and heteroaryl group included within R200 is optionally substituted with at least one group independently selected from R205, R210, and alkyl (optionally substituted with at least one group independently selected from R205 and R210);

    wherein each cycloalkyl or heterocycloalkyl group included within R200 is optionally substituted with at least one group independently selected from R210;

    R205 at each occurrence is independently selected from -alkyl, -haloalkoxy, —

    (CH2)0-3-cycloalkyl, -halogen, —

    (CH2)0-6

    OH, —

    O-phenyl, —

    OH, —

    SH, —

    (CH2)0-4

    C(O)H, —

    (CH2)0-6

    CN, —

    (CH2)0-6

    C(O)—

    NR235R240, —

    (CH2)0-6

    C(O)—

    R235, —

    (CH2)0-4

    N(H or R215)—

    SO2

    R235, —

    CN, —

    CF3, -alkoxy, -alkoxycarbonyl, and —

    NR235R240;

    R210 at each occurrence is independently selected from —

    OH, —

    CN, —

    (CH2)0-4

    C(O)H -alkyl optionally substituted with at least one group independently selected from R205, -alkanoyl, —

    S(O)2-alkyl, -halogen, -alkoxy, -haloalkoxy, —

    NR220R225, -cycloalkyl optionally substituted with at least one group independently selected from R205, -heterocycloalkyl, -heteroaryl, —

    (CH2)0-4

    NR235R240, —

    (CH2)0-4

    NR235(alkoxy), —

    (CH2)0-4

    S—

    (R215), —

    (CH2)0-6

    OH, —

    (CH2)0-6

    CN, —

    (CH2)0-4

    NR235

    C(O)H, —

    (CH2)0-4-NR235

    C(O)-(alkoxy), —

    (CH2)0-4

    NR235

    C(O)—

    R240, —

    C(O)—

    NHR215, —

    C(O)-alkyl, —

    S(O)2

    NR235R240, —

    C(O)—

    NR235R240, and —

    S(O)0-2-alkyl;

    R215 at each occurrence is independently selected from -alkyl, —

    (CH2)0-2-aryl, -cycloalkyl, —

    (CH2)0-2-heteroaryl, and —

    (CH2)0-2-heterocycloalkyl;

    wherein the aryl group included within R215 is optionally substituted with at least one group independently selected from R205 or R210;

    wherein the heterocycloalkyl and heteroaryl groups included within R215 are optionally substituted with at least one group independently selected from R210;

    R220 and R225 at each occurrence are independently selected from —

    H, -alkyl, —

    (CH2)0-4

    C(O)H, -alkyl hydroxyl, -alkoxycarbonyl, -alkylamino, —

    S(O)2-alkyl, -alkanoyl optionally substituted with at least one halogen, —

    C(O)—

    NH2, —

    C(O)—

    NH(alkyl), —

    C(O)—

    N(alkyl)(alkyl), -haloalkyl, —

    (CH2)0-2-cycloalkyl, -(alkyl)-O-(alkyl), -aryl, heteroaryl, and -heterocycloalkyl;

    wherein the aryl, heteroaryl and heterocycloalkyl groups included within R220 and R225 are each optionally substituted with at least one group independently selected from R270;

    R270 at each occurrence is independently selected from —

    R205, -alkyl optionally substituted with at least one group independently selected from R205, -phenyl, -halogen, -alkoxy, -haloalkoxy, —

    NR235R240, —

    OH, —

    CN, -cycloalkyl optionally substituted with at least one group independently selected from R205, —

    C(O)-alkyl, —

    S(O)2

    NR235R240, —

    CO—

    NR235R240, —

    S(O)2-alkyl, and —

    (CH2)0-4

    C(O)H;

    R235 and R240 at each occurrence are independently selected from —

    H, —

    OH, —

    CF3, —

    OCH3, —

    NH—

    CH3, —

    N(CH3)2, —

    (CH2)0-4

    C(O)(H or alkyl), -alkyl, -alkanoyl, —

    SO2-alkyl, and -phenyl.

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