US2003191149A1PendingUtilityA1

Compounds for treating fibromyalgia and chronic fatigue syndrome

Priority: Apr 21, 2000Filed: Mar 7, 2003Published: Oct 9, 2003
Est. expiryApr 21, 2020(expired)· nominal 20-yr term from priority
A61P 43/00A61P 29/00A61P 21/00A61K 31/445A61K 31/48A61K 31/451A61K 31/4745
49
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Claims

Abstract

The present invention provides for methods for the treatment of fibromyalgia syndrome or chronic fatigue syndrome by the administration of heterocyclic amine-type compounds, substituted phenylazacycloalkane-type compounds, or cabergoline-type compounds, or a salt of any said compound.

Claims

exact text as granted — not AI-modified
What is claimed is:  
     
         1 . A method of treating the symptoms of fibromyalgia syndrome or chronic fatigue syndrome, comprising administering to a patient in need of treatment a therapeutically effective amount of an active agent selected from the group consisting of a heterocyclic amine-type compound, a substituted phenylazacycloalkane-type compound, and a cabergoline-type compound, and pharmaceutically acceptable salts of any said compound.  
     
     
         2 . The method of  claim 1  wherein said active agent is a heterocyclic amine-type compound of formula (A),  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein: 
 R 1 , R 2 , and R 3  are independently hydrogen, C 1-6  alkyl, C 3-5  alkenyl, C 3-5  alkynyl, C 3-7  cycloalkyl, C 4-10  cycloalkyl- or phenyl- substituted C 1-6  alkyl, or R 1  and R 2  are joined to form a C 3-7  cyclic amine which can contain additional heteroatoms and/or unsaturation;  
 X is hydrogen, C 1-6  alkyl, halogen, hydroxy, alkoxy, cyano, carboxamide, carboxyl, or carboalkoxyl;  
 A is CH, CH 2 , CH-halogen, CHCH 3 , C═O, C═S, C—SCH 3 , C═NH, C—NH 2 , C—NHCH 3 , C—NHCOOCH 3 , C—NHCN, SO 2 , or N;  
 B is CH 2 , CH, CH-halogen, C═O, N, NH or N—CH 3  or O;  
 n is 0 or 1; and  
 D is CH, CH 2 , CH-halogen, C═O, O, N, NH, or N—CH 3 .  
 
     
     
         3 . The method of  claim 2  wherein, in said formula (A), D is N or NH, and n is 0.  
     
     
         4 . The method of  claim 2  wherein, in said formula (A), A is CH, CH 2 , CHCH 3 , C═O, C═S, C—SCH 3 , C═NH, C—NH 2 , C—NHCH 3 , C 13 NHCOOCH   3 , or C—NHCN.  
     
     
         5 . The method of  claim 2  wherein, in said formula (A), A is CH or C═O.  
     
     
         6 . The method of  claim 2  wherein said compound of formula (A) is a compound of formula (Aa):  
       
         
           
           
               
               
           
         
       
     
     
         7 . The method of  claim 2  wherein said compound of formula (A) is (R)-5,6-Dihydro-5-(methylamino)-4H-imidazo[4,5,1-ij]-quinolin-2(1H)-one (uninverted CAS name) or (5R)-5-(methylamino)-5,6-dihydro-4H-imidazo[4,5,1-ij]quinolin-2(1H)-one (Generated by ACD/Name software).  
     
     
         8 . The method of  claim 2  wherein said compound of formula (A) is a compound of formula (Ab):  
       
         
           
           
               
               
           
         
       
     
     
         9 . The method of  claim 2  wherein said compound of formula (A) is (R)-5,6-Dihydro-5-(methylamino)-4H-imidazo[4,5,1-ij]-quinolin-2(1H)one (Z)-2-butenedioate (1:1).  
     
     
         10 . The method of  claim 2  wherein said compound of formula (A) is a compound of formula (Ac), or formula (VIII):  
       
         
           
           
               
               
           
         
       
     
     
         11 . The method of  claim 2  wherein said compound of formula (A) is (5R)-5-(methylamino)-5,6-dihydro-4H-imidazo[4,5,1-ij]quinoline-2(1H)-thione.  
     
     
         12 . The method of  claim 2  wherein said compound of formula (A) is a compound of formula (Ad), or formula (IX):  
       
         
           
           
               
               
           
         
       
     
     
         13 . The method of  claim 2  wherein said compound of formula (A) is (5R)-5-(methylamino)-5,6-dihydro-4H-imidazo[4,5,1-ij]quinoline-2(1H)-thione maleate.  
     
     
         14 . The method of  claim 1  wherein said active agent is a substituted phenylazacycloalkane-type compound of formula (B),  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof, wherein: 
 n is 0-3;  
 R 1  and R 2  are independently H (provided only one is H at the same time), —OH (provided R 4  is other than hydrogen), CN, CH 2 CN, 2- or 4-CF 3 , CH 2 CF 3 , CH 2 CHF 2 , CH═CF 2 , (CH 2 ) 2 CF 3 , ethenyl, 2-propenyl, OSO 2 CH 3 , OSO 2 CF 3 , SSO 2 CF 3 , COR 4 , COOR 4 , CON(R 4 ) 2 , SO x CH 3  (where, x is 0-2), SO x CF 3 , O(CH 2 ) x CF 3 , SO 2 N(R 4 ) 2 , CH═NOR 4 , COCOOR 4 , COCOON(R 4 ) 2 , C 1-8  alkyls, C 3-8  cycloalkyls, CH 2 OR 4 , CH 2 (R 4 ) 2 , NR 4 SO 2 CF 3 , NO 2 , halogen, a phenyl at positions 2, 3 or 4, thienyl, furyl, pyrrole, oxazole, thiazole, N-pyrroline, triazole, tetrazole or pyridine;  
 R 3  is hydrogen, CF 3 , CH 2 CF 3 , C 1 -C 8  alkyl, C 3 -C 8  cycloalkyl, C 4 -C 9  cycloalkyl-methyl, C 2 -C 8  alkenyl, C 2 -C 8  alkynyl, 3,3,3-trifluoropropyl, 4,4,4-trifluorobutyl, —(CH 2 ) m —R 5  (where m is 1-8), CH 2 SCH 3  or a C 4 -C 8  alkyl bonded to said nitrogen and one of its adjacent carbon atoms inclusive to form a cyclic structure;  
 R 4  is independently hydrogen, CF 3 , CH 2 CF 3 , C 1 -C 8  alkyl, C 3 -C 8  cycloalkyl, C 4 -C 9  cycloalkyl-methyl, C 2 -C 8  alkenyl, C 2 -C 8  alkynyl, 3,3,3-trifluoropropyl, 4,4,4-trifluoro-butyl, —(CH 2 ) m —R 5  where m is 1-8;  
 R 5  is phenyl, phenyl (substituted with a CN, CF 3 , CH 2 CF 3 , C 1 -C 8  alkyl, C 3 -C 8  cycloalkyl, C 4 -C 9  cycloalkyl-methyl, C 2 -C 8  alkenyl, C 2 -C 8  alkynyl), 2-thiophenyl, 3-thiophenyl, -NR 6 CONR 6 R 7 ,or —CONR 6 R 7 ;  
 R 6  and R 7  are independently hydrogen, C 1 -C 8  alkyl, C 3 -C 8  cycloalkyl, C 4 -C 9  cycloalkyl-methyl, C 2 -C 8  alkenyl or C 2 -C 8  alkynyl; and with the proviso that when R 1  is 2-CN or 4-CN, R 2  is H, R 3  is n-Pr and n is 1 or 3 then such compound is a pure enantiomer.  
 
     
     
         15 . The method of  claim 14  wherein, in said formula (B), said R 1  is CN.  
     
     
         16 . The method of  claim 14  wherein, in said formula (B), said R 2  is H and R 3  is n-propyl.  
     
     
         17 . The method of  claim 14  wherein, in said formula (B), said R 1  is an —OSO 2 CF 3 .  
     
     
         18 . The method of  claim 14  wherein, in said formula (B), said R 2  is H and R 3  is a C 1-8  alkyl.  
     
     
         19 . The method of  claim 14  wherein, in said formula (B), said n is 2.  
     
     
         20 . The method of  claim 14  wherein, in said formula (B), said R 1  is 3-OH, R 2  is H, R 3  is n-propyl and R 4  is a C 1-8  alkyl.  
     
     
         21 . The method of  claim 14  wherein, in said formula (B), said n is 0.  
     
     
         22 . The method of  claim 14  wherein said compound of formula (B) is a compound of formula (Ba):  
       
         
           
           
               
               
           
         
       
     
     
         23 . The method of  claim 14  wherein said compound of formula (B) is (3S)-3-[3-(Methylsulfonyl)phenyl]-1-propylpiperidine hydrochloride (uninverted CAS name) or OSU 6162 or (3S)-3-[3-(methylsulfonyl)phenyl]-1-propylpiperidine hydrochloride (Generated by ACD/Name software).  
     
     
         24 . The method of  claim 14  wherein said compound of formula (B) is a compound of formula (Bb):  
       
         
           
           
               
               
           
         
       
     
     
         25 . The method of  claim 14  wherein said compound of formula (B) is (3S)-3-[3-(Methylsulfonyl)phenyl]-1-propylpiperidine hydrobromide (uninverted CAS name) or (3S)-3-[3-(methylsulfonyl)phenyl]-1-propylpiperidine hydrobromide (Generated by ACD/Name software).  
     
     
         26 . The method of  claim 14  wherein said compound of formula (B) is a compound of formula (Bc):  
       
         
           
           
               
               
           
         
       
     
     
         27 . The method of  claim 14  wherein said compound of formula (B) is (3S)-3-[3Methylsulfonyl)phenyl]-1-propylpiperidine (2E)-2-butenedioate (1:1) (uninverted CAS name) or (S)-OSU6162.  
     
     
         28 . The method of  claim 1  wherein said cabergoline-type compound is 1-((6-allylergolin-8β-yl) -carbony.)-1-(3-(dimethylamino)propyl)-3-ethylurea.  
     
     
         29 . The method of  claim 1  wherein said cabergoline-type compound is cabergoline, or a pharmaceutically acceptable salt thereof.  
     
     
         30 . The method of  claim 1  wherein said active agent is a cabergoline-type compound of formula (C),  
       
         
           
           
               
               
           
         
       
       or a pharmaceutically acceptable salt thereof.

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