Prodrugs of muscarinic agonists and methods of treatment of neuropsychiatric disorders
First Claim
Patent Images
1. A compound of formula I:
- or a pharmaceutically acceptable salt thereof, wherein;
X is selected from the group consisting of NR10, O, CR10R11, C═
CR10R11, and C═
O;
A and B are independently selected from the group consisting of hydrogen and mono-substituted, poly-substituted or unsubstituted, cyclic or acyclic, straight or branched chain variants of the following residues;
C2-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C2-C6 alkoxy;
A and B may optionally be bound together to form a cycloalkyl, heterocyclyl, heteroaryl, or aryl ring fused to the piperazine ring;
L is a cleavable linker moiety capable of being metabolically cleaved from the piperazine nitrogen;
Y is selected from the group consisting of hydrogen;
halogen;
cyano;
—
C(O)R10;
—
C(O)OR10;
—
C(O)NR10R11;
—
NR12C(O)NR10R11;
—
SO2NR10R11;
—
SO2R10;
—
OSO2R10;
—
NO2, —
NR10COR11;
mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-C24 alkyl, C2-C24 alkenyl, C2-C24 alkynyl, C1-C24 alkoxy, C1-C24 heteroalkyl, C1-C24 perhaloalkyl, C1-C24 perhaloalkoxy, acyl, arylalkyl, heteroarylalkyl, alkyloxycarbonyloxy, arylalkoxy, C1-C24 alkoxyalkyl, C1-C24 alkylthio, C3-C24 heterocycloalkyl-alkyl, and C3-C24 heterocycloalkenyl-alkyl; and
mono-substituted, poly-substituted or unsubstituted variants of the following residues;
acyloxy, aryloxycarbonyloxy, C3-C24 cycloalkyl, C3-C24 cycloalkenyl, C2-C24 cycloalkoxy, aryl, heteroaryl, C2-C24 heterocycloalkyl, C2-C24 heterocycloalkenyl, carbonyl, amino, aminocarbonyl, aminocarbonyloxy, nitro, azido, phenyl, hydroxyl, arylthio, carboxy, thio, acyl mono-radicals derived from naturally occurring amino acids or from lipoic acid, —
CH2CH2SC(O)OR10, and —
CH2CH2SC(O)R10, with the proviso that -L-Y is not unsubstituted alkyl;
R1, R2, R3, R4, R6, R7, R8, and R9 are each independently selected from the group consisting of hydrogen;
halogen;
—
OH;
—
SH;
—
CN;
—
C(O)R10;
—
C(O)OR10;
—
C(O)NR10R11;
—
NR12C(O)NR10R11;
—
SO2NR10R11;
—
SO2R10;
—
OSO2R10;
—
NO2;
—
NR10C(O)R11; and
mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 alkyloxy, C1-6 heteroalkyl, C1-6-alkoxyalkyl, C1-6 alkylthio, C1-6 perhaloalkyl, and C1-6 perhaloalkoxy, independently R1 and R2, R2 and R3, R3 and R4, R6 and R7, R7 and R8, or R8 and R9 may optionally be taken together, along with the ring carbons to which they are attached, to form a five-membered or six-membered cycloalkyl, heterocyclyl, or heteroaryl ring, or a six-membered aryl ring, independently R10 in X may optionally be bound to R4 or R6 to form a five-membered optionally substituted heterocyclyl or heteroaryl ring system;
R10, R11, and R12 are each independently selected from a group consisting of hydrogen and mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-6 alkyl, C3-6 cycloalkyl, C2-6 alkenyl, C2-6 alkynyl, arylalkyl, C2-6alkylcarbonyl, C2-6 alkoxycarbonyl, C6-10 aryl, and C5-10 heteroaryl.
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Abstract
Compounds are described that are prodrugs to active compounds that modulate a muscarinic receptor. In some cases, the compounds are prodrugs to N-desmethylclozapine. The compounds may be used to treat neuropsychiatric disorders.
75 Citations
26 Claims
-
1. A compound of formula I:
-
or a pharmaceutically acceptable salt thereof, wherein;
X is selected from the group consisting of NR10, O, CR10R11, C═
CR10R11, and C═
O;
A and B are independently selected from the group consisting of hydrogen and mono-substituted, poly-substituted or unsubstituted, cyclic or acyclic, straight or branched chain variants of the following residues;
C2-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C2-C6 alkoxy;
A and B may optionally be bound together to form a cycloalkyl, heterocyclyl, heteroaryl, or aryl ring fused to the piperazine ring;
L is a cleavable linker moiety capable of being metabolically cleaved from the piperazine nitrogen;
Y is selected from the group consisting of hydrogen;
halogen;
cyano;
—
C(O)R10;
—
C(O)OR10;
—
C(O)NR10R11;
—
NR12C(O)NR10R11;
—
SO2NR10R11;
—
SO2R10;
—
OSO2R10;
—
NO2, —
NR10COR11;
mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-C24 alkyl, C2-C24 alkenyl, C2-C24 alkynyl, C1-C24 alkoxy, C1-C24 heteroalkyl, C1-C24 perhaloalkyl, C1-C24 perhaloalkoxy, acyl, arylalkyl, heteroarylalkyl, alkyloxycarbonyloxy, arylalkoxy, C1-C24 alkoxyalkyl, C1-C24 alkylthio, C3-C24 heterocycloalkyl-alkyl, and C3-C24 heterocycloalkenyl-alkyl; and
mono-substituted, poly-substituted or unsubstituted variants of the following residues;
acyloxy, aryloxycarbonyloxy, C3-C24 cycloalkyl, C3-C24 cycloalkenyl, C2-C24 cycloalkoxy, aryl, heteroaryl, C2-C24 heterocycloalkyl, C2-C24 heterocycloalkenyl, carbonyl, amino, aminocarbonyl, aminocarbonyloxy, nitro, azido, phenyl, hydroxyl, arylthio, carboxy, thio, acyl mono-radicals derived from naturally occurring amino acids or from lipoic acid, —
CH2CH2SC(O)OR10, and —
CH2CH2SC(O)R10, with the proviso that -L-Y is not unsubstituted alkyl;
R1, R2, R3, R4, R6, R7, R8, and R9 are each independently selected from the group consisting of hydrogen;
halogen;
—
OH;
—
SH;
—
CN;
—
C(O)R10;
—
C(O)OR10;
—
C(O)NR10R11;
—
NR12C(O)NR10R11;
—
SO2NR10R11;
—
SO2R10;
—
OSO2R10;
—
NO2;
—
NR10C(O)R11; and
mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 alkyloxy, C1-6 heteroalkyl, C1-6-alkoxyalkyl, C1-6 alkylthio, C1-6 perhaloalkyl, and C1-6 perhaloalkoxy,independently R1 and R2, R2 and R3, R3 and R4, R6 and R7, R7 and R8, or R8 and R9 may optionally be taken together, along with the ring carbons to which they are attached, to form a five-membered or six-membered cycloalkyl, heterocyclyl, or heteroaryl ring, or a six-membered aryl ring, independently R10 in X may optionally be bound to R4 or R6 to form a five-membered optionally substituted heterocyclyl or heteroaryl ring system;
R10, R11, and R12 are each independently selected from a group consisting of hydrogen and mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-6 alkyl, C3-6 cycloalkyl, C2-6 alkenyl, C2-6 alkynyl, arylalkyl, C2-6alkylcarbonyl, C2-6 alkoxycarbonyl, C6-10 aryl, and C5-10 heteroaryl.- View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26)
and
-
-
6. The compound of claim 1, wherein -L-Y is hydroxyalkyl.
-
7. The compound of claim 1, wherein Y is selected from a group consisting of hydrogen;
- mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-C24 alkyl, C2-C24 alkenyl, C2-C24 alkynyl, C1-C24 alkoxy, C1-C24 heteroalkyl, C1-C24 perhaloalkyl, C1-C24 perhaloalkoxy, phenyl-C1-2-alkyl, C3C24 heterocycloalkyl-alkyl, and C3-C24 heterocycloalkenyl-alkyl; and
mono-substituted, poly-substituted or unsubstituted variants of the following residues;
C3-C24 cycloalkyl, C3-C24 cycloalkenyl, C2-C24 cycloalkoxy, C2-C24 heterocycloalkyl, C2-C24 heterocycloalkenyl, acyl mono-radicals derived from naturally occurring amino acids or from lipoic acid, —
CH2CH2SC(O)OR10, and —
CH2CH2SC(O)R10.
- mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
-
8. The compound of claim 1, wherein R2 is H or F.
-
9. The compound of claim 1, wherein R8 is Cl, Br, or I.
-
10. The compound of claim 1, wherein R4 is Cl or Me.
-
11. The compound of claim 1, wherein X is NH.
-
12. The compound of claim 1, wherein X is O.
-
13. The compound of claim 1, selected from the group consisting of:
-
15. A method of modulating the activity of a muscarinic receptor, comprising administering to a subject a compound of claim 1 or 14.
-
16. The method of claim 15, wherein administration of the compound causes activation of the muscarinic receptor.
-
17. The method of claim 15, wherein administration of the compound causes inhibition of the muscarinic receptor.
-
18. The method of claim 15, wherein administration of the compound causes formation of a second compound in vivo that is an agonist of the muscarinic receptor.
-
19. The method of claim 15, wherein administration of the compound causes formation of a second compound in vivo that is an antagonist of the muscarinic receptor.
-
20. A method of treating or preventing a neuropsychiatric disorder, comprising administering to a subject a compound of claim 1 or 14.
-
21. The method of claim 20, wherein the neuropsychiatric disorder is selected from the group consisting of one or more of psychosis, cognitive impairment associated with psychosis, hallucination, delusion, disordered thought, behavioral disturbance, aggression, neuropathic pain, anhedonia, a psychiatric disturbance secondary to dementia or cognitive impairment, a behavioral disturbance secondary to dementia or cognitive impairment, schizophrenia, an idiopathic psychosis, anxiety, a sleep disorder, an appetite disorder, an affective disorder, Tourette'"'"'s Syndrome, drug-induced psychosis, psychosis secondary to a neurodegenerative disorder, and cognitive impairment secondary to a neurodegenerative disorder.
-
22. The method of claim 21, wherein the affective disorder is selected from one or more of major depression, bipolar disorder, mania, flattening of affect, suicidality, and depression with psychotic features.
-
23. The method of claim 21, wherein the neurodegenerative disorder is selected from one or more of Alzheimer'"'"'s and Huntington'"'"'s disease.
-
24. A method of treating or preventing glaucoma, comprising administering to a subject a compound of claim 1 or 14.
-
25. A pharmaceutical composition, comprising a compound of claim 1 or 14.
-
26. The composition of claim 25, wherein the composition comprises one or more of a physiologically acceptable carrier, diluent, or excipient.
-
14. A compound of formula (II):
or a pharmaceutically acceptable salt thereof, wherein;
D is absent or is selected from the group consisting of —
NH(CH2)n— and
—
(CH2)n—
;
E is selected from the group consisting of;
Z is nitrogen, CH, or CH2;
Z′
is C or CH, wherein when Z′
is C, there is a double bond between Z and Z′ and
wherein when Z′
is CH, there is a single bond between Z and Z′
;
Z″
is N or CH;
each n is separately selected from the group consisting of 0, 1, 2, 3, and 4;
m is selected from the group consisting of 1, 2, and 3;
X is selected from the group consisting of NR10, O, CR10R11, C═
CR10R11, and C═
O;
A and B are independently selected from the group consisting of hydrogen and mono-substituted, poly-substituted or unsubstituted, cyclic or acyclic, straight or branched chain variants of the following residues;
C1-C6 alkyl, C2-C6 alkenyl, C2-C6 alkynyl, and C2-C6 alkoxy;
A and B may optionally be bound together to form a fused cycloalkyl, heterocyclyl, heteroaryl, or aryl ring;
L is a cleavable linker moiety capable of being metabolically cleaved from the nitrogen to which it is attached;
Y is selected from the group consisting of hydrogen;
halogen;
cyano;
—
C(O)R10;
—
C(O)OR10;
—
C(O)NR10R11;
—
NR12C(O)NR10R11;
—
SO2NR10R11;
—
SO2R10;
—
OSO2R10;
—
NO2, —
NR10COR11;
mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-C24 alkyl, C2-C24 alkenyl, C2-C24 alkynyl, C1-C24 alkoxy, C1-C24 heteroalkyl, C1-C24 perhaloalkyl, C1-C24 perhaloalkoxy, acyl, arylalkyl, heteroarylalkyl, alkyloxycarbonyloxy, arylalkoxy, C1-C24 alkoxyalkyl, C1-C24 alkylthio, C3-C24 heterocycloalkyl-alkyl, and C3-C24 heterocycloalkenyl-alkyl; and
mono-substituted, poly-substituted or unsubstituted variants of the following residues;
acyloxy, aryloxycarbonyloxy, C3-C24 cycloalkyl, C3-C24 cycloalkenyl, C2-C24 cycloalkoxy, aryl, heteroaryl, C2-C24 heterocycloalkyl, C2-C24 heterocycloalkenyl, carbonyl, amino, aminocarbonyl, aminocarbonyloxy, nitro, azido, phenyl, hydroxyl, arylthio, carboxy, thio, acyl mono-radicals derived from naturally occurring amino acids or from lipoic acid, —
CH2CH2SC(O)OR10, and —
CH2CH2SC(O)R10, with the proviso that -L-Y is not unsubstituted alkyl;
a, b, c, and d are each separately selected from the group consisting of carbon, nitrogen, oxygen, and sulfur, or each is separately absent, provided that at least three of a, b, c, or d are present, provided that at least one of a, b, c, or d is carbon, and provided that no two adjacent a, b, c, or d are both oxygen or both sulfur;
e, f, g, and h are each separately selected from the group consisting of carbon, nitrogen, oxygen, and sulfur, or each is separately absent, provided that at least three of e, f, g, or h are present, provided that at least one of e, f, g, or h is carbon, and provided that no two adjacent e, f, g, or h are both oxygen or both sulfur;
R1, R2, R3, R4, R6, R7, R8, and R9 are each independently selected from the group consisting of hydrogen;
halogen;
—
OH;
—
SH;
—
CN;
—
C(O)R10;
—
C(O)OR10;
—
C(O)NR10R11;
—
NR12C(O)NR10R11;
—
SO2NR10R11;
—
SO2R10;
—
OSO2R10;
—
NO2;
—
NR10C(O)R11; and
mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-6 alkyl, C2-6 alkenyl, C2-6 alkynyl, C1-6 alkyloxy, C1-6 heteroalkyl, C1-6-alkoxyalkyl, C1-6 alkylthio, C1-6 perhaloalkyl, and C1-6 perhaloalkoxy,independently R1 and R2, R2 and R3, R3 and R4, R6 and R7, R7 and R8, or R8 and R9 may optionally be taken together, along with the ring carbons to which they are attached, to form a five-membered or six-membered cycloalkyl, heterocyclyl, or heteroaryl ring, or a six-membered aryl ring, independently R10 in X may optionally be bound to R4 or R6 to form a five-membered optionally substituted heterocyclyl or heteroaryl ring system;
R10, R11, and R12 are each independently selected from a group consisting of hydrogen and mono-substituted, poly-substituted or unsubstituted, straight or branched chain variants of the following residues;
C1-6 alkyl, C3-6 cycloalkyl, C2-6 alkenyl, C2-6 alkynyl, arylalkyl, alkylcarbonyl, C2-6 alkoxycarbonyl, C6-10 aryl, and C5-10 heteroaryl; and
any bond represented by a dashed and solid line represents a bond selected from the group consisting of a carbon-carbon single bond and a carbon-carbon double bond.
Specification