Use of nitrooxyderivatives of drug for the treatment of muscular dystrophies
View Patent ↗The present invention relates to the use of nitric oxide releasing compounds for retarding or reversing muscular dystrophies such as Duchenne and Becker dystrophies.
1. A method of treating muscular dystrophies comprising administering to a subject a nitric oxide releasing compound of formula (Ia)
M-X—Y—ONO 2 (Ia)
or enantiomers or diastereoisomers thereof, wherein in the general formula (Ia), M, X and Y have the following meanings:
M is a residue selected from the group consisting of:
X is —O—, —S— or —NR 1 —, wherein R 1 is H or linear or branched C 1 -C 6 alkyl;
Y is a bivalent radical having the following meanings:
a)—straight or branched C 1 -C 20 alkylene being optionally substituted with one or more of the substituents selected from the group consisting of: halogen atoms, hydroxy, —ONO 2 and T, wherein T is —OC(O)(C 1 -C 10 alkyl)-ONO 2 or —O(C 1 -C 10 alkyl) ONO 2 ;
C 5 -C 7 cycloalkylene group optionally substituted with linear or branched C 1 -C 10 alkyl group;
wherein n is an integer from 0 to 20;
n 1 is an integer from 1 to 20 wherein when Y is selected from the bivalent radicals mentioned under b) and c) then the —ONO 2 group of formula is bound to —(CH 2 ) n 1 ;
wherein
X 1 =—OCO— or —COO— and R 2 is H or CH 3 ;
na is an integer from 1 to 20;
n 2 is an integer from 0 to 2;
wherein:
Y 1 is —CH 2 —CH 2 —(CH 2 ) n 2 —; or —CH═CH— (CH 2 ) n 2 ;
X 1 , na, n 2 and R 2 are as defined above;
wherein:
na and R 2 are as defined above, R 3 is H or —COCH 3 ;
wherein when Y is selected from the bivalent radicals mentioned under d)-f) then the —ONO 2 group of formula (I) is bound to —(CH 2 ) na ;
wherein when X is —NR 1 —, wherein R 1 is as above defined Y cannot be f); and
wherein
X 2 is —O— or —S—;
n 3 is an integer from 1 to 6 and
R 2 is as defined above.
2. The method of treating muscular dystrophies according to claim 1 , wherein the compound of formula (Ia) is 2-fluoro-alfa-methyl-4 [1,1′-biphenyl]-4-acetic acid 4-nitrooxybutyl ester of formula (IIIb)
3. The method of treating muscular dystrophies according to claim 1 , wherein in formula (Ia) M is selected from the group consisting of:
X is an oxygen atom,
Y is selected from:
a)—straight C 1 -C 10 alkylene, and
wherein n is an integer from 0 to 5; and
n 1 is an integer from 1 to 5.
4. The method of treating muscular dystrophies according to claim 3 , wherein the compound of formula (Ia) is selected from the group consisting of:
pravastatin 4-(nitrooxy)butyl ester;
pravastatin 4-(nitro-oxymethyl)benzyl ester
atorvastatin 3-(nitrooxy) butyl ester; and
atorvastatin 3-(nitrooxymethyl)benzyl ester
5. The method of treating muscular dystrophies according to claim 1 , wherein Y is a straight or branched C 1 -C 10 alkylene being optionally substituted with one or more of the substituents selected from the group consisting of: halogen atoms, hydroxy, —ONO 2 and T, wherein T is —OC(O) (C 1 -C 10 alkyl)-ONO 2 or —O(C 1 -C 10 alkyl)-ONO 2 .
6. The method of treating muscular dystrophies according to claim 1 wherein Y is a straight or branched C 1 -C 10 alkylene.
7. The method of treating muscular dystrophies according to claim 1 wherein Y is a C 5 -C 7 cycloalkylene group optionally substituted with CH 3 .
8. The method of treating muscular dystrophies according to claim 1 wherein n is an integer from 0 to 5.
9. The method of treating muscular dystrophies according to claim 1 wherein n is 0.
10. The method of treating muscular dystrophies according to claim 1 wherein n 1 is an integer from 1 to 5.
11. The method of treating muscular dystrophies according to claim 1 wherein n 1 is 1.
12. The method of treating muscular dystrophies according to claim 1 wherein preferably na is an integer from 1 to 5.
13. The method of treating muscular dystrophies according to claim 1 , wherein n 3 is an integer from 1 to 4.
14. The method of treating muscular dystrophies according to claim 3 , wherein n 1 is 1.
15. The method of treating muscular dystrophies according to claim 1 , wherein an amount of a nitric oxide releasing compound administered to the subject is from 1 mg to 1000 mg.
16. A method of treating muscular dystrophies consisting of administering to a subject a nitric oxide releasing compound of formula (Ia)
M-X—Y—ONO 2 (Ia)
or enantiomers or diastereoisomers thereof, wherein in the general formula (Ia), M, X and Y have the following meanings:
M is a residue selected from the group consisting of:
X is —O—, —S— or —NR 1 —, wherein R 1 is H or linear or branched
C 1 -C 6 alkyl;
Y is a bivalent radical having the following meanings:
a)—straight or branched C 1 -C 20 alkylene being
optionally substituted with one or more of the substituents selected from the group consisting of: halogen atoms, hydroxy, —ONO 2 and T, wherein T is —OC(O)(C 1 -C 10 alkyl)-ONO 2 or —O(C 1 -C 10 alkyl) ONO 2 ;
C 5 -C 7 cycloalkylene group optionally substituted with linear or branched C 1 -C 10 alkyl group;
wherein n is an integer from 0 to 20;
n 1 is an integer from 1 to 20 wherein when Y is selected from the bivalent radicals mentioned under b) and c) then the —ONO 2 group of formula is bound to —(CH 2 ) n 1 —;
wherein
X 1 =—OCO— or —COO— and R 2 is H or CH 3 ;
na is an integer from 1 to 20;
n 2 is an integer from 0 to 2;
wherein:
Y 1 is —CH 2 —CH 2 —(CH 2 ) n 2 —; or —CH═CH—(CH 2 ) n 2 —;
X 1 , na, n 2 and R 2 are as defined above;
wherein:
na and R 2 are as defined above, R 3 is H or —COCH 3 ;
wherein when Y is selected from the bivalent radicals mentioned under d)-f) then the —ONO 2 group of formula (I) is bound to —(CH 2 ) na ;
wherein when X is —NR 1 , wherein R 1 is as above defined Y cannot be f); and
wherein
X 2 is —O— or —S—;
n 3 is an integer from 1 to 6 and
R 2 is as defined above.
17. The method of treating muscular dystrophies according to claim 16 , wherein the compound of formula (Ia) is 2-fluoro-alfa-methyl-4 [1,1′-biphenyl]-4-acetic acid 4-nitrooxybutyl ester of formula (IIIb)