N-Alkyl-Azacycloalkyl NMDA/NR2B Antagonists
Compounds represented by Formula (I): and/or pharmaceutically acceptable salts, individual enantiomers and stereoisomers thereof, are effective as NMDA/NR2B antagonists useful for treating conditions such as pain, Parkinson's disease, Alzheimer's disease, epilepsy, depression, anxiety, ischemic brain injury including stroke.
1 . A compound of the formula (I):
and/or pharmaceutically acceptable salts, individual enantiomers and stereoisomers thereof, wherein:
W is aryl or heteroaryl, wherein said aryl or heteroaryl is optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, cyano, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkoxy is optionally substituted with one or more halogen, and said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl;
X is absent or is selected from the group consisting of C 1-4 alkoxy and C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl, (═O), and cyano;
A is a bond or C 1-3 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl, and C 1-3 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxyl, C 1-4 alkoxy, and cyano;
B is C 1 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl, and C 1-3 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxyl, C 1-4 alkoxy, and cyano, where a ring is formed comprising A and B, where an individual carbon atom in A and an individual carbon atom in B optionally can join to bridge said ring;
R 1 and R 2 each is independently selected from the group consisting of hydrogen and C 1-3 alkyl; and
R 3 and R 4 each is independently selected from the group consisting of hydrogen, hydroxyl, cyano, and C 1-3 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxyl, C 1-4 alkoxy, and cyano,
where R 3 and R 4 , along with the ring to which they are attached, optionally can join to form a bridged cycloalkyl.
2 . The compound of claim 1 , and/or an individual enantiomer, diastereomer or a pharmaceutically acceptable salt thereof, wherein:
W is aryl, optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl;
X is selected from the group consisting of C 1-4 alkoxy and C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl and (═O);
R 1 and R 2 each is independently selected from the group consisting of hydrogen and C 1-3 alkyl;
R 3 and R 4 each is independently hydrogen;
A is a bond or C 1-3 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen; and
B is C 1 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen, where a ring is formed comprising A and B, where an individual carbon atom in A and an individual carbon atom in B optionally can join to bridge said ring.
3 . A compound of claim 1 represented by formula (Ia):
and/or an individual enantiomer, diastereomer, or a pharmaceutically acceptable salt thereof, wherein
W is aryl, optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl;
X is C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl and (═O);
R 1 and R 2 each is independently selected from the group consisting of hydrogen and C 1-3 alkyl; and
A is a bond or C 1-3 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen.
4 . A compound of claim 1 represented by Formula (Ib):
and/or an individual enantiomer, diastereomer, or a pharmaceutically acceptable salt thereof, wherein:
W is aryl, optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl;
X is C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl and (═O); and
B is C 1 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen.
5 . A compound of claim 1 represented by Formula (Ic):
and/or an individual enantiomer, diastereomer, or a pharmaceutically acceptable salt thereof, wherein:
W is aryl, optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl; and
X is C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl and (═O).
6 . A compound of claim 1 represented by Formula (Id):
and/or an individual enantiomer, stereoisomer, or a pharmaceutically acceptable salt thereof, wherein:
W is aryl, optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl;
X is C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen;
A is a bond or C 1-3 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen; and
R 3 and R 4 each is independently selected from the group consisting of hydrogen, hydroxyl, cyano, and C 1-3 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of halogen, hydroxyl, C 1-4 alkoxy, and cyano,
where R 3 and R 4 , along with the ring to which they are attached, optionally can join to form a bridged cycloalkyl.
7 . A compound of claim 1 represented by Formula (Ie):
and/or an individual enantiomer, stereoisomer, or a pharmaceutically acceptable salt thereof, wherein:
W is aryl, optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, C 3-6 cycloalkyl, C 1-4 alkoxy, and C 1-6 alkyl, wherein said alkyl is optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen and hydroxyl;
X is C 1-3 alkyl optionally substituted with one or more substituents selected from the group consisting of hydrogen, halogen, hydroxyl and (═O);
A is a bond or C 1-3 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen; and
B is C 1 alkyl, optionally substituted with one or more substituents selected from the group consisting of hydrogen and halogen, where a ring is formed comprising A and B, where an individual carbon atom in A and an individual carbon atom in B optionally can join to bridge said ring.
8 . A compound of claim 1 selected from:
and/or an individual enantiomer, diastereomer, or a pharmaceutically acceptable salt thereof.
9 . A pharmaceutical composition comprising an inert carrier and a therapeutically effective amount of a compound according to claim 1 .
10 . The pharmaceutical composition according to claim 9 , further comprising a second therapeutic agent selected from the group consisting of: (i) non-steroidal anti-inflammatory agents; (ii) COX-2 inhibitors; (iii) bradykinin B1 receptor antagonists; (iv) sodium channel blockers and antagonists; (v) nitric oxide synthase (NOS) inhibitors; (vi) glycine site antagonists; (vii) potassium channel openers; (viii) AMPA/kainate receptor antagonists; (ix) calcium channel antagonists; (x) GABA-A receptor modulators (e.g., a GABA-A receptor agonist); (xi) matrix metalloprotease (MMP) inhibitors; (xii) thrombolytic agents; (xiii) opioids such as morphine; (xiv) neutrophil inhibitory factor (NIF); (xv) L-Dopa; (xvi) carbidopa; (xvii) levodopa/carbidopa; (xviii) dopamine agonists such as bromocriptine, pergolide, pramipexole, ropinirole; (xix) anticholinergics; (xx) amantadine; (xxi) carbidopa; (xxii) catechol O-methyltransferase (“COMT”) inhibitors such as entacapone and tolcapone; (xxiii) Monoamine oxidase B (“MAO-B”) inhibitors; (xiv) opiate agonists or antagonists; (xv) 5HT receptor agonists or antagonists; (xvi) NMDA receptor agonists or antagonists; (xvii) NK1 antagonists; (xviii) selective serotonin reuptake inhibitors (“SSRI”) and/or selective serotonin and norepinephrine reuptake inhibitors (“SSNRI”); (xxix) tricyclic antidepressant drugs, (xxx) norepinephrine modulators; (xxxi) lithium; (xxxii) valproate; and (xxxiii) neurontin (gabapentin).
11 - 12 . (canceled)
13 . A method for treating or preventing pain, Parkinson's disease, Alzheimer's disease, epilepsy, depression, anxiety, ischemic brain injury including stroke in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
14 . A method of claim 13 for treating or preventing chronic, visceral, inflammatory and neuropathic pain syndromes in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
15 . A method of claim 13 for treating or preventing pain resulting from, or associated with, traumatic nerve injury, nerve compression or entrapment, postherpetic neuralgia, trigeminal neuralgia, diabetic neuropathy, cancer and chemotherapy, in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
16 . A method of claim 13 for treating or preventing chronic lower back pain in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
17 . A method of claim 13 for treating or preventing phantom limb pain in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
18 . A method of claim 13 for treating or preventing HIV- and HIV treatment-induced neuropathy, chronic pelvic pain, neuroma pain, complex regional pain syndrome, chronic arthritic pain and related neuralgias in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.
19 . A method of claim 13 for treating or preventing epilepsy and partial and generalized tonic seizures in a patient in need thereof comprising administering to said patient a therapeutically effective amount, or a prophylactically effective amount, of a compound according to claim 1 , or a pharmaceutically acceptable salt thereof.