Tetrahydroquinoline analogues as muscarinic agonists

• US 8,680,115 B2
• Filed: 05/27/2009
• Issued: 03/25/2014
• Est. Priority Date: 12/28/2001
• Status: Expired due to Fees

• Current Assignee: Acadia Pharmaceuticals Inc.
• Original Assignee: Acadia Pharmaceuticals Inc.
• Inventors: Skjaerback, Niels, Koch, Kristian Norup, Friberg, Bo Lennart Mikael, Tolf, Bo-Ragnar
• Primary Examiner(s): COLEMAN, BRENDA LIBBY
• Application Number:
  US12/473,220
• Publication Number:
  US 20090239903A1
• Time in Patent Office: 1,763 Days
• Field of Search: 514/312, 514/314, 546/157, 546/158, 546/165, 546/176
• US Class Current: 514/312
• CPC Class Codes: A61P 25/00 Drugs for disorders of the nervous system
• CPC Class Codes: A61P 25/04 Centrally acting analgesics, e.g. opioids
• CPC Class Codes: A61P 25/14 for treating abnormal movements, e.g. chorea, dyskinesia
• CPC Class Codes: A61P 25/16 Anti-Parkinson drugs
• CPC Class Codes: A61P 25/18 Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
• CPC Class Codes: A61P 25/20 Hypnotics; Sedatives
• CPC Class Codes: A61P 25/24 Antidepressants
• CPC Class Codes: A61P 25/28 for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
• CPC Class Codes: A61P 27/02 Ophthalmic agents
• CPC Class Codes: A61P 27/06 Antiglaucoma agents or miotics
• CPC Class Codes: A61P 43/00 Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• CPC Class Codes: C07D 401/04 directly linked by a ring-member-to-ring-member bond
• CPC Class Codes: C07D 401/06 linked by a carbon chain containing only aliphatic carbon atoms
• CPC Class Codes: C07D 413/06 linked by a carbon chain containing only aliphatic carbon atoms
• CPC Class Codes: C07D 417/06 linked by a carbon chain containing only aliphatic carbon atoms
• CPC Class Codes: C07D 451/02 containing not further condensed 8-azabicyclo [3.2.1] octane or 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring systems, e.g. tropane; Cyclic acetals thereof
• CPC Class Codes: C07D 451/04 with hetero atoms directly attached in position 3 of the 8-azabicyclo [3.2.1] octane or in position 7 of the 3-oxa-9-azatricyclo [3.3.1.0<2,4>] nonane ring system
• CPC Class Codes: C07D 451/06 Oxygen atoms

Abstract

The present invention relates to tetrahydroquinoline compounds as muscarinic receptor agonists; compositions comprising the same; methods of inhibiting an activity of a muscarinic receptor with said compounds; methods of treating a disease condition associated with a muscarinic receptor using said compounds; and methods for identifying a subject suitable for treatment using said compounds.

Claims

1. A compound of formula (I), and salts and isomers thereof

2. The compound of claim 1, wherein:

R_x is selected from the group consisting of halogen, optionally substituted C_3-8 cycloalkyl, optionally substituted straight- or branched-chain C_1-6 alkyl, and optionally substituted C_1-6 alkoxy.

3. The compound of claim 2, wherein:

R_x is selected from the group consisting of cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, and halogen.

4. The compound of claim 1, wherein:

each R⁶ and each R⁷ are separately selected from the group consisting of H, halogen, methyl, and methoxy.

5. The compound according to claim 1, wherein R² and R³ are hydrogen, or R², R³, m, and C₃-C₄ are selected such that

6. The compound according to claim 1, wherein R² and R³ are separately selected from the group consisting of hydrogen, optionally substituted C_1-6 alkyl, optionally substituted O—

C_1-6 alkyl, halogen and hydroxy.

7. The compound according to claim 1, wherein m is 1.

8. The compound according to claim 1, wherein m is 0, C₃ is absent, C₄ is CR¹R⁹, and R⁹ is hydrogen such that

9. The compound according to claim 1 wherein X is —

C(R⁶)(R⁷)—

C(R⁶)(R⁷)—

.

10. The compound according to claim 1 wherein Y is selected from the group consisting of O and H₂.

11. The compound according to claim 1, wherein R¹ is selected from the group consisting of:

12. The compound according to claim 11, wherein the compound is selected from the group consisting of:

13. A pharmaceutical composition comprising an effective amount of a compound according to claim 1 or a pharmaceutically acceptable salt or ester thereof.

14. A method of treating a disease in a mammal, wherein modulation of the activity of a cholinergic receptor is associated with a physiologically beneficial response in said disease of said mammal,

said method comprising administering an effective amount of a compound according to claim 1, and

wherein said disease is selected from the group consisting of cognitive impairment, forgetfulness, confusion, memory loss, attentional deficits, deficits in visual perception, depression, pain, sleep disorders, psychosis, increased intraocular pressure, Alzheimer'"'"'s disease, Parkinson'"'"'s disease, schizophrenia, Huntington'"'"'s chorea, Friederich'"'"'s ataxia, Gilles de la Tourette'"'"'s Syndrome, Downs Syndrome, Pick disease, dementia, clinical depression, age-related cognitive decline, attention-deficit disorder, sudden infant death syndrome, and glaucoma.

15. The method according to claim 14, wherein the cholinergic receptor is a muscarinic receptor.

16. The method according to claim 14, wherein the cholinergic receptor is selected from the group consisting of a muscarinic M₁-receptor subtype and a muscarinic M₄-receptor subtype.

17. The method according to claim 14, wherein the physiologically beneficial response is associated with the selective modulation of the muscarinic M₁-receptor subtype in relation to the muscarinic M₂- or M₃-receptor subtypes.

18. The method according to claim 14, wherein the compound is a muscarinic agonist.

19. A method of treating a disease or a condition in a mammal, said disease or condition is selected from the group consisting of cognitive impairment, forgetfulness, confusion, memory loss, attentional deficits, deficits in visual perception, depression, pain, sleep disorders, psychosis, increased intraocular pressure, Alzheimer'"'"'s disease, Parkinson'"'"'s disease, schizophrenia, Huntington'"'"'s chorea, Friederich'"'"'s ataxia, Gilles de la Tourette'"'"'s Syndrome, Downs Syndrome, Pick disease, dementia, clinical depression, age-related cognitive decline, attention-deficit disorder, sudden infant death syndrome, and glaucoma, comprising contacting the cholinergic receptor or a system containing the cholinergic receptor with an effective amount of at least one compound according to claim 1.

20. A method of treating or alleviating the symptoms associated with a disorder in a mammal, comprising the administration of an effective amount of at least one compound according to claim 1, said disorder associated with a muscarinic receptor, wherein the disorder is selected from the group consisting of cognitive impairment, forgetfulness, confusion, memory loss, attentional deficits, deficits in visual perception, depression, pain, sleep disorders, psychosis, increased intraocular pressure, Alzheimer'"'"'s disease, Parkinson'"'"'s disease, schizophrenia, Huntington'"'"'s chorea, Friederich'"'"'s ataxia, Gilles de la Tourette'"'"'s Syndrome, Downs Syndrome, Pick disease, dementia, clinical depression, age-related cognitive decline, attention-deficit disorder, sudden infant death syndrome, and glaucoma.

21. The method according to claim 20, wherein the physiologically beneficial response is due to modulation in terms of M₁ agonism;

M₁ and M₄ agonism;

both M₁ agonism and D₂ antagonism;

or M₁ and M₄ agonism and D₂ antagonism.