US2021069201A1PendingUtilityA1

Selective p2x3 modulators

63
Assignee: BELLUS HEALTH COUGH INCPriority: Sep 18, 2017Filed: Nov 17, 2020Published: Mar 11, 2021
Est. expirySep 18, 2037(~11.2 yrs left)· nominal 20-yr term from priority
A61K 31/4545A61K 31/5377A61P 11/14A61K 31/437A61P 27/00
63
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Claims

Abstract

Provided herein are methods for the treatment of avoiding loss of taste response while treating a chronic cough patient with a selective P2X3 modulator.

Claims

exact text as granted — not AI-modified
We claim: 
     
         1 . A method of avoiding loss of taste response while treating a chronic cough patient, the method comprising administering to the patient a therapeutically effective amount of a selective P2X3 antagonist, wherein the selective P2X3 antagonist is at least 10-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heteromeric receptor antagonism. 
     
     
         2 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 20-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heteromeric receptor antagonism. 
     
     
         3 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 50-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heteromeric receptor antagonism. 
     
     
         4 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 100-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heteromeric receptor antagonism. 
     
     
         5 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 500-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heteromeric receptor antagonism. 
     
     
         6 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 1000-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heterotrimer receptor antagonism. 
     
     
         7 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 2000-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heterotrimer receptor antagonism. 
     
     
         8 . The method of  claim 1 , wherein the selective P2X3 antagonist is at least 2700-fold selective for P2X3 homomeric receptor antagonism versus P2X2/3 heterotrimer receptor antagonism. 
     
     
         9 . The method of any one of  claims 1 - 8 , wherein the selective P2X3 antagonist is a compound of Formula (I), or a pharmaceutically acceptable salt thereof, having the structure: 
       
         
           
           
               
               
           
         
       
       wherein:
 R 1  is selected from the group consisting of cyano, halogen, methyl, and ethyl;
 R 2  is selected from the group consisting of hydrogen, halogen, methyl, and ethyl; 
 R 3  is selected from the group consisting of halogen, methyl, and ethyl; 
 R 4  is selected from the group consisting of hydrogen, halogen, methyl, ethyl, and methoxy; 
 
 R 5  and R 6  are independently selected from the group consisting of hydrogen, C 1 -C 6 -alkyl, and hydroxy-C 1 -C 6 -alkyl; or 
 R 5  and R 6 , together with the nitrogen to which they are both attached, form a 5- or 6-member heterocycloalkyl, wherein the heterocycloalkyl is optionally substituted with one or more substituents independently selected from the group consisting of halogen, hydroxyl, and C 1 -C 4 -alkyl;
 R 7  and R 8  are independently selected from the group consisting of hydrogen and C 1 -C 4 -alkyl; 
 
 R 9  is selected from the group consisting of C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl, C 1 -C 6 -alkyl-C 3 -C 6 -cycloalkyl, halo-C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, halo-C 1 -C 6 -alkoxy, and C 1 -C 6 -alkoxy-C 1 -C 6 -alkyl; 
 and 
 X is selected from a bond, CH 2 , and O. 
 
     
     
         10 . The method of  claim 9 , wherein R 1  is methyl. 
     
     
         11 . The method of  claim 9  or  claim 10 , wherein R 2  is hydrogen. 
     
     
         12 . The method of any one of  claims 9 - 11 , wherein R 3  is fluoro. 
     
     
         13 . The method of any one of  claims 9 - 12 , wherein R 4  is fluoro. 
     
     
         14 . The method of any one of  claims 9 - 13 , wherein X is O. 
     
     
         15 . The method of any one of  claims 9 - 14 , wherein:
 the compound corresponds in structure to:   
       
         
           
           
               
               
           
         
       
       and R 4  is selected from the group consisting of halogen, methyl, and ethyl. 
     
     
         16 . The method of any one of  claims 9 - 15 , wherein R 5  is hydrogen. 
     
     
         17 . The method of any one of  claims 9 - 16 , wherein R 6  is C 1 -C 6 -alkyl. 
     
     
         18 . The method of any one of  claims 9 - 17 , wherein R 6  is methyl. 
     
     
         19 . The method of any one of  claims 9 - 18 , wherein R 7  is hydrogen. 
     
     
         20 . The method of any one of  claims 9 - 19 , wherein R 8  is hydrogen. 
     
     
         21 . The method of any one of  claims 9 - 20 , wherein R 9  is C 1 -C 6 -alkoxy. 
     
     
         22 . The method of any one of  claims 9 - 21 , wherein R 9  is methoxy. 
     
     
         23 . The method of any one of  claims 9 - 22 , wherein the compound corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         24 . The method of  claim 9 , wherein the compound corresponds in structure to: 
       
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
         
           
           
               
               
           
         
       
     
     
         25 . The method of  claim 9 , wherein the compound corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         26 . The method of  claim 9 , wherein the compound corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         27 . The method of  claim 9 , wherein the compound corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         28 . The method of  claim 9 , wherein the compound corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         29 . The method of any one of  claims 1 - 8 , wherein the selective P2X3 antagonist corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         30 . The method of any one of  claims 1 - 8 , wherein the selective P2X3 antagonist corresponds in structure to: 
       
         
           
           
               
               
           
         
       
     
     
         31 . The method of any one of  claims 1 - 8 , wherein the selective P2X3 antagonist corresponds in structure to:

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