US2014296513A1PendingUtilityA1

Novel therapeutic use of p75 receptor antagonists

Assignee: SANOFI SAPriority: Dec 20, 2011Filed: Jun 17, 2014Published: Oct 2, 2014
Est. expiryDec 20, 2031(~5.4 yrs left)· nominal 20-yr term from priority
A61P 3/10A61P 43/00A61P 13/10A61P 13/00A61K 31/4995A61K 31/55A61K 31/496A61K 31/46A61K 31/506
47
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Claims

Abstract

The present disclosure relates to the use of a p75 receptor antagonist or its pharmaceutically acceptable salts for the preparation of a medicament for use in the treatment and/or prevention of overactive bladder.

Claims

exact text as granted — not AI-modified
What is claimed is: 
     
         1 . A p75 receptor antagonist for the preparation of a medicament for use in the treatment and/or prevention of overactive bladder. 
     
     
         2 . A p75 receptor antagonist according to  claim 1  selected from:
 a) a compound of general formula (I): 
 
       
         
           
           
               
               
           
         
         in which: 
         m (I)  represents 0 or 1; 
         A (I)  represents: 
       
       
         
           
           
               
               
           
         
         and B (I)  represents a hydrogen atom; 
         or 
         A (I)  represents a hydrogen atom and B (I)  represents: 
       
       
         
           
           
               
               
           
         
         W (I) —is a nitrogenous heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         1-3 represents 1, 2 or 3; 
         n (I)  represents 1 or 2; 
         R1 (I)  represents a halogen atom, a (C 1 -C 4 )alkyl group, a trifluoromethyl radical, a (C 1 -C 4 )alkoxy group or a trifluoromethoxy radical; 
         R2 (I)  represents a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, a trifluoromethyl radical, a (C 1 -C 4 )alkoxy group, a trifluoromethoxy radical, a COOR (I)  group or a CONH 2  group; 
         R5 (I)  represents a group of formula: 
       
       
         
           
           
               
               
           
         
         in which R3 (I)  and R4 (I) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl or (C 1 -C 4 )alkoxy group, a trifluoromethyl or trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, CONH 2 , CONR6 (I) R7 (I)  or NHCOR (I)  group;
 R (I) , R6 (I)  and R7 (I)  represent independently of each other a (C 1 -C 6 )alkyl group; 
 in the form of bases or of addition salts with acids; 
 
         b) a compound of general formula (II): 
       
       
         
           
           
               
               
           
         
         in which: 
         m (II)  is 0 or 1; 
         A (II)  is: 
       
       
         
           
           
               
               
           
         
         and B (II)  is a hydrogen atom; 
         or 
         A (II)  is a hydrogen atom and B (II)  is: 
       
       
         
           
           
               
               
           
         
         R1 (II)  and R2 (II) , which may be identical or different, are independently a hydrogen or halogen atom, a C 1 -C 4  alkyl, C 1 -C 4  fluoroalkyl, C 1 -C 2  perfluoroalkyl or C 1 -C 4  alkoxy group or a trifluoromethoxy group; 
         n (II)  is 1 or 2; 
         R3 (II)  is a group of formula: 
       
       
         
           
           
               
               
           
         
         where R4 (II)  and R5 (II) , which may be identical or different, are located on any available positions and are independently a hydrogen or halogen atom, a hydroxyl, a C 1 -C 4  alkyl, C 1 -C 4  fluoroalkyl, C 1 -C 2  perfluoroalkyl or C 1 -C 4  alkoxy group, a trifluoromethoxy group, a cyano group, or a COOH, COOalkyl, CONH 2 , CONR6 (III) R7 (III)  or NHCOR (III)  group; 
         R (II) , R6 (II)  and R7 (II)  are a C 1 -C 6  alkyl group; 
         in the form of bases or of addition salts with acids; 
         c) a compound of general formula (Ill): 
       
       
         
           
           
               
               
           
         
         in which: 
         A (III)  represents a group: 
       
       
         
           
           
               
               
           
         
         n (III)  represents 1 or 2; 
         m (III)  represents 0 or 1; 
         Y (III)  represents a carbon, nitrogen, sulphur or oxygen atom or a single or double bond; 
         X (III) , X 1   (III)  and X 2   (III)  represent a carbon, nitrogen, sulphur or oxygen atom, it being understood that at least one of X (III) , X 1   (III)  and X 2   (III)  is other than a carbon atom; 
         R (III)  and R1 (III) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, a (C 1 -C 4 )alkoxy group, a perfluoroalkyl radical, a trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, CONR5 (III) R6 (III)  or NHCOR5 (III)  group; 
         or R1 (III)  represents a group chosen from: 
       
       
         
           
           
               
               
           
         
         the definition of R (III)  remaining unchanged; 
         R3 (III)  and R4 (III) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, a (C(C 1 -C 4 )—C4)alkoxy group, a perfluoroalkyl radical, a trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, CONR5 (III) R6 (III)  or NHCOR5 (III)  group; 
         W (III) —is a nitrogenous heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         1-2 represents 1 or 2; 
         1-3 represents 1, 2 or 3; 
         R2 (III)  represents a group of formula: 
       
       
         
           
           
               
               
           
         
         R7 (III)  and R8 (III) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 ))alkyl group, a (C 1 -C 4 )alkoxy group, a trifluoromethyl radical, a trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, COO(C 1 -C 4 )cycloalkyl, SO(C 1 -C 4 )alkyl, SO2(C 1 -C 4 )alkyl, CONH 2 , CONR5 (III) R6 (III)  or NHCOR5 (III)  group; 
         or one of R7 (III)  and R8 (III)  represents a heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         
           Z (III)  represents an oxygen or sulphur atom; 
           R5 (III)  and R6 (III)  represent a hydrogen or a C1-C6 alkyl group; 
           in the form of bases or of addition salts with acids; and 
         
         d) a compound of general formula (IV): 
       
       
         
           
           
               
               
           
         
         in which: 
         n (IV)  represents 1 or 2; 
         m (IV)  represents 0 or 1; 
         A (IV)  represents a fused heterocyclic group of formula (Y (IV) ) 
       
       
         
           
           
               
               
           
         
         and B (IV)  represents a hydrogen atom; 
         or 
         A (IV)  represents a hydrogen atom; and 
         B (IV)  represents a fused heterocyclic group of formula (Y (IV) ) 
       
       
         
           
           
               
               
           
         
         wherein the fused heterocycle of formula Y (IV)  is attached to the rest of the molecule via any of the available carbon atoms, and in which: 
         U (IV)  completes:
 either an aromatic or saturated 6-atom nucleus, containing one or two nitrogen atoms, the nucleus optionally being substituted with one or two halogen atoms, one or two (C1-C4)alkyl or (C1-C4)alkoxy groups, or one or two perfluoroalkyl radicals; 
 or an aromatic or saturated 5-atom nucleus, containing a nitrogen, oxygen or sulfur atom, the nucleus optionally being substituted with one or two (C1-C4)alkyl groups; 
 
         X (IV)  and X1 (IV)  represent independently of each other CH or N; 
         R (IV)  and R1 (IV)  located on any of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, (C 1 -C 4 )alkoxy, a perfluoroalkyl or trifluoromethoxy radical, a cyano or a COOH, COO(C 1 -C 4 )alkyl, CONR3 (IV) R4 (IV)  or NHCOR3 (IV)  group; 
         W (IV) —bis a nitrogenous heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         1-2 represents 1 or 2; 
         1-3 represents 1, 2 or 3; 
         R2 (IV)  represents a group of formula: 
       
       
         
           
           
               
               
           
         
         in which R5 (IV)  and R6 (IV) , located on any of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl or (C 1 -C 4 )alkoxy group, a trifluoromethyl or trifluoromethoxy radical, a cyano or a group COOH, COO(C 1 -C 4 )alkyl, COO(C 1 -C 4 )cycloalkyl, SO(C 1 -C 4 )alkyl, SO2(C 1 -C 4 )alkyl, CONR3 (IV) R4 (IV) , NR3 (IV) R4 (IV)  or NHCOR3 (IV) ; 
         or one of the groups R5 (IV)  and R6 (IV)  may also represent a heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         Z (IV)  represents an oxygen or sulfur atom; and 
         R3 (IV)  and R4 (IV)  represent a hydrogen or a C 1 -C 6  alkyl group; 
         in the form of bases or of addition salts with acids. 
       
     
     
         3 . A p75 receptor antagonist according to  claim 2  selected from:
 1-[4-(4-chloro-3-trifluoromethyl-phenyl)-3,6-dihydro-2H-pyridin-1-yl]-2-[8-(5-fluoro-pyrimidin-2-yl)-3,8-diaza-bicyclo[3.2.1]oct-3-yl]-ethanone; 
 6-{(3S,5R)-3,5-Dimethyl-4-[2-oxo-2-(2-phenyl-2,4,6,7-tetrahydropyrazolo[4,3-c]pyridin-5-yl)ethyl]piperazin-1-yl}nicotinic acid hydrochloride; 
 6-{(3S,5R)-4-[2-(4-benzofuran-7-yl-3,6-dihydro-2H-pyridin-1-yl)-2-oxoethyl]-3,5-dimethylpiperazin-1-yl}nicotinic acid; and 
 1-(2-phenyl-2,4,6,7-tetrahydropyrazolo[4,3-c]pyridin-5-yl)-2-(8-pyridin-3-yl-3,8-diazabicyclo[3.2.1]oct-3-yl)ethanone; 
 in the form of a base or of an addition salt with an acid. 
 
     
     
         4 . Use of a p75 receptor antagonist in the preparation of medicaments for use in the treatment and/or prevention of overactive bladder. 
     
     
         5 . Use according to  claim 4 , wherein said p75 receptor antagonist is selected from:
 a) a compound of general formula (I):   
       
         
           
           
               
               
           
         
         in which: 
         m (I)  represents 0 or 1; 
         A (I)  represents: 
       
       
         
           
           
               
               
           
         
         and B (I)  represents a hydrogen atom 
         or 
         A (I)  represents a hydrogen atom and B (I)  represents: 
       
       
         
           
           
               
               
           
         
         W (I) —is a nitrogenous heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         1-3 represents 1, 2 or 3; 
         n (I)  represents 1 or 2; 
         R1 (I)  represents a halogen atom, a (C 1 -C 4 )alkyl group, a trifluoromethyl radical, a (C 1 -C 4 )alkoxy group or a trifluoromethoxy radical; 
         R2 (I)  represents a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, a trifluoromethyl radical, a (C 1 -C 4 )alkoxy group, a trifluoromethoxy radical, a COOR (I)  group or a CONH 2  group; 
         R5 (I)  represents a group of formula: 
       
       
         
           
           
               
               
           
         
         in which R3 (I)  and R4 (I) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl or (C 1 -C 4 )alkoxy group, a trifluoromethyl or trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, CONH 2 , CONR6 (I) R7 (I)  or NHCOR (I)  group;
 R (I) , R6 (I)  and R7 (I)  represent independently of each other a (C 1 -C 6 )alkyl group; 
 in the form of bases or of addition salts with acids; 
 
         b) a compound of general formula (II): 
       
       
         
           
           
               
               
           
         
         in which: 
         m (II)  is 0 or 1; 
         A (II)  is: 
       
       
         
           
           
               
               
           
         
         and B (II)  is a hydrogen atom; 
         or 
         A (II)  is a hydrogen atom and B (II)  is: 
       
       
         
           
           
               
               
           
         
         R1 (II)  and R2 (II) , which may be identical or different, are independently a hydrogen or halogen atom, a (C 1 -C 4 )alkyl, (C 1 -C 4 ) fluoroalkyl, (C 1 -C 2 ) perfluoroalkyl or (C 1 -C 4 ) alkoxy group or a trifluoromethoxy group; 
         n (II)  is 1 or 2; 
         R3 (II)  is a group of formula: 
       
       
         
           
           
               
               
           
         
         where R4 (II)  and R5 (II) , which may be identical or different, are located on any available positions and are independently a hydrogen or halogen atom, a hydroxyl, a (C 1 -C 4 ) alkyl, (C 1 -C 4 ) fluoroalkyl, (C 1 -C 2 ) perfluoroalkyl or (C 1 -C 4 ) alkoxy group, a trifluoromethoxy group, a cyano group, or a COOH, COO(C 1 -C 4 )alkyl, CONH 2 , CONR6 (III) R7 (III)  or NHCOR (III)  group; 
         R (II) , R6 (II)  and R7 (II)  are independently of each other a (C 1 -C 6 ) alkyl group; 
         in the form of bases or of addition salts with acids; 
         c) a compound of general formula (Ill): 
       
       
         
           
           
               
               
           
         
         in which: 
         A (III)  represents a group: 
       
       
         
           
           
               
               
           
         
         n (III)  represents 1 or 2; 
         m (III)  represents 0 or 1; 
         Y (III)  represents a carbon, nitrogen, sulphur or oxygen atom or a single or double bond; 
         X (III) , X 1   (III)  and X 2   (III)  represent a carbon, nitrogen, sulphur or oxygen atom, it being understood that at least one of X (III) , X 1   (III)  and X 2   (III)  is other than a carbon atom; 
         R (III)  and R1 (III) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, a (C 1 -C 4 )alkoxy group, a perfluoroalkyl radical, a trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, CONR5 (III) R6 (III)  or NHCOR5 (III)  group; 
         or R1 (III)  represents a group chosen from: 
       
       
         
           
           
               
               
           
         
         the definition of R (III)  remaining unchanged; 
         R3 (III)  and R4 (III) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 )alkyl group, a (C(C 1 -C 4 )—C4)alkoxy group, a perfluoroalkyl radical, a trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, CONR5 (III) R6 (III)  or NHCOR5 (III)  group; 
         W (III) —is a nitrogenous heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         1-2 represents 1 or 2; 
         1-3 represents 1, 2 or 3; 
         R2 (III)  represents a group of formula: 
       
       
         
           
           
               
               
           
         
         R7 (III)  and R8 (III) , located on any one of the available positions, independently represent a hydrogen atom, a halogen atom, a (C 1 -C 4 ))alkyl group, a (C 1 -C 4 )alkoxy group, a trifluoromethyl radical, a trifluoromethoxy radical, a cyano, or a COOH, COO(C 1 -C 4 )alkyl, COO(C 1 -C 4 )cycloalkyl, SO(C 1 -C 4 )alkyl, SO2(C 1 -C 4 )alkyl, CONH 2 , CONR5 (III) R6 (III)  or NHCOR5 (III)  group; 
         or one of R7 (III)  and R8 (III)  represents a heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         
           Z (III)  represents an oxygen or sulphur atom; 
           R5 (III)  and R6 (III)  represent a hydrogen or a C1-C6 alkyl group; 
           in the form of bases or of addition salts with acids; and 
         
         d) a compound of general formula (IV): 
       
       
         
           
           
               
               
           
         
         in which: 
         n (IV)  represents 1 or 2; 
         m (IV)  represents 0 or 1; 
         A (IV)  represents a fused heterocyclic group of formula (Y (IV) ) 
       
       
         
           
           
               
               
           
         
         and B (IV)  represents a hydrogen atom; 
         or 
         A (IV)  represents a hydrogen atom; and 
         B (IV)  represents a fused heterocyclic group of formula (Y (IV) ) 
       
       
         
           
           
               
               
           
         
         wherein the fused heterocycle of formula Y (IV)  is attached to the rest of the molecule via any of the available carbon atoms, and in which: 
         U (IV)  completes:
 either an aromatic or saturated 6-atom nucleus, containing one or two nitrogen atoms, the nucleus optionally being substituted with one or two halogen atoms, one or two (C1-C4)alkyl or (C1-C4)alkoxy groups, or one or two perfluoroalkyl radicals; 
 or an aromatic or saturated 5-atom nucleus, containing a nitrogen, oxygen or sulfur atom, the nucleus optionally being substituted with one or two groups (C1-C4)alkyl groups; 
 
         X (IV)  and X1 (IV)  represent independently of each other CH or N; 
         R (IV)  and R1 (IV)  located on any of the available positions, independently represent a hydrogen atom, a halogen atom, a group (C 1 -C 4 )alkyl group, (C 1 -C 4 )alkoxy, a perfluoroalkyl or trifluoromethoxy radical, a cyano or a group COOH, COO(C 1 -C 4 )alkyl, CONR3 (IV) R4 (IV)  or NHCOR3 (IV) ; group;
 W (IV) —is a nitrogenous heterocycle chosen from: 
 
       
       
         
           
           
               
               
           
         
         1-2 represents 1 or 2; 
         1-3 represents 1, 2 or 3; 
         R2 (IV)  represents a group of formula: 
       
       
         
           
           
               
               
           
         
          in which R5 (IV)  and R6 (IV) , located on any of the available positions, independently represent a hydrogen atom, a halogen atom, a group (C 1 -C 4 )alkyl or (C 1 -C 4 )alkoxy group, a trifluoromethyl or trifluoromethoxy radical, a cyano or a group COOH, COO(C 1 -C 4 )alkyl, COO(C 1 -C 4 )cycloalkyl, SO(C 1 -C 4 )alkyl, SO2(C 1 -C 4 )alkyl, CONR3 (IV) R4 (IV) , NR3 (IV) R4 (IV)  or NHCOR3 (IV) ; 
         or one of the groups R5 (IV)  and R6 (IV)  may also represent a heterocycle chosen from: 
       
       
         
           
           
               
               
           
         
         Z (IV)  represents an oxygen or sulfur atom; and 
         R3 (IV)  and R4 (IV)  represent a hydrogen or a group C 1 -C 6  alkyl group; 
         in the form of bases or of addition salts with acids. 
       
     
     
         6 . Use according to  claim 5 , wherein said p75 receptor antagonist is selected from:
 1-[4-(4-chloro-3-trifluoromethyl-phenyl)-3,6-dihydro-2H-pyridin-1-yl]-2-[8-(5-fluoro-pyrimidin-2-yl)-3,8-diaza-bicyclo[3.2.1]oct-3-yl]-ethanone;   6-{(3S,5R)-3,5-Dimethyl-4-[2-oxo-2-(2-phenyl-2,4,6,7-tetrahydropyrazolo[4,3-c]pyridin-5-yl)ethyl]piperazin-1-yl}nicotinic acid hydrochloride;   6-{(3S,5R)-4-[2-(4-benzofuran-7-yl-3,6-dihydro-2H-pyridin-1-yl)-2-oxoethyl]-3,5-dimethylpiperazin-1-yl}nicotinic acid; and   1-(2-phenyl-2,4,6,7-tetrahydropyrazolo[4,3-c]pyridin-5-yl)-2-(8-pyridin-3-yl-3,8-diazabicyclo[3.2.1]oct-3-yl)ethanone;   in the form of a base or of an addition salt with an acid.

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