IP Library Patent Application 13354971
Patent Application
App. No. 13/354,971

METHODS OF TREATING OR PREVENTING AN INFLAMMATORY DISEASE OR CONDITION USING GLUTAMINYL CYCLASE INHIBITORS

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Patent No.
US None
App. No.
13/354,971
Abstract

Methods for the treatment and/or prevention of an inflammatory disease or disorder through administration of an inhibitor of a glutaminyl peptide cyclotransferase. Inflammatory diseases or disorders treated or prevented by methods disclosed herein include mild cognitive impairment (MCI), rheumatoid arthritis, atherosclerosis, restenosis, pancreatitis, sepsis and peritonitus. Further provided are respective diagnostic methods, assays and kits.

Claims (1548)

1 . A Method of treatment and/or prevention of an inflammatory disease or condition, selected from the group consisting of mild cognitive impairment, rheumatoid arthritis, atherosclerosis, restenosis, pancreatitis, sepsis and peritonitis, wherein a pharmaceutical composition comprising an effective amount of a QC inhibitor is administered to a subject in need thereof.

2 . The method of treatment and/or prevention according to claim 1 , wherein the disease is mild cognitive impairment (MCI).

3 . The method of treatment and/or prevention according to claim 2 , wherein said pharmaceutical composition comprises a further agent, selected from the group consisting of nootropic agents, neuroprotectants, antiparkinsonian drugs, amyloid protein deposition inhibitors, beta amyloid synthesis inhibitors, antidepressants, anxiolytic drugs, antipsychotic drugs and anti-multiple sclerosis drugs.

4 . The method of treatment and/or prevention according to claim 1 , wherein the disease is a chronic or acute inflammation, selected from rheumatoid arthritis, atherosclerosis, restenosis, pancreatitis, sepsis and peritonitis.

5 . The method of treatment and/or prevention according to claim 4 , wherein the disease is selected from restenosis and pancreatitis.

6 . The method of treatment and/or prevention according to claim 4 , wherein the disease is selected from sepsis and peritonitis.

7 . The method of treatment and/or prevention according to claim 4 , wherein the disease is selected from rheumatoid arthritis and atherosclerosis.

8 . The method of treatment and/or prevention according to claim 4 , wherein said pharmaceutical composition comprises a further agent, selected from the group consisting of inhibitors of the angiotensin converting enzyme (ACE); angiotensin II receptor blockers; diuretics; calcium channel blockers (CCB); beta-blockers; platelet aggregation inhibitors; cholesterol absorption modulators; HMG-Co-A reductase inhibitors; high density lipoprotein (HDL) increasing compounds; renin inhibitors; IL-6 inhibitors; antiinflammatory corticosteroids; antiproliferative agents; nitric oxide donors; inhibitors of extracellular matrix synthesis; growth factor or cytokine signal transduction inhibitors; MCP-1 antagonists and tyrosine kinase inhibitors.

9 . The method of treatment and/or prevention according to claim 1 , wherein the disease and/or condition afflicts a human being.

10 . The method of treatment and/or prevention according to claim 1 , wherein said QC inhibitor is a compound of formula 1 including pharmaceutically acceptable salts, solvates and stereoisomers thereof:

wherein:

A is either:

an alkyl chain, alkenyl chain or alkynyl chain;

or A is a group selected from:

wherein:

R 6 , R 7 , R 8 , R 9 and R 10 are independently H or an alkyl chain, alkenyl chain, alkynyl chain, cycloalkyl, a carbocycle, aryl, heteroaryl, or a heterocycle;

n and n 1 are independently 1-5;

m is 1-5;

o is 0-4;

and B is a group selected from:

wherein:

D and E independently represent an alkyl chain, alkenyl chain, alkynyl chain, a cycloalkyl, carbocycle, aryl, -alkylaryl, heteroaryl, -alkylheteroaryl, acyl or a heterocycle.

Z is CH or N;

X represents CR 20 R 21 , O, S, NR 19 , with the proviso for formulas (VIII) and (IX) that, if Z═CH, X is O or S;

R 19 is selected from the group consisting of H, alkyl, cycloalkyl, aryl, heteroaryl, -oxyalkyl, -oxyaryl, carbonyl, amido, hydroxy, NO 2 , NH 2 , CN;

R 20 and R 21 are independently selected from H, alkyl, cycloalkyl, heterocycle, aryl, heteroaryl, -oxyalkyl, -oxyaryl, carbonyl, amido, NO 2 , NH 2 , CN, CF 3 ;

X 1 , X 2 and X 3 are independently O or S provided that X 2 and X 3 are not both O;

Y is O or S, with the proviso that Y may not by 0, when the carbocycle formed by R 17 and R 18 has 3 members in the ring;

Z is CH or N;

R 11 , R 12 , R 13 and R 14 can be independently selected from H, an alkyl chain, an alkenyl chain, an alkynyl chain, cycloalkyl, carbocycle, aryl, heteroaryl, a heterocycle, halo, alkoxy-, -thioalkyl, carboxyl, carboxylic acid ester, carbonyl, carbamide, carbimide, thiocarbamide or thiocarbonyl, NH 2 , NO 2 ;

R 15 and R 16 are independently of each other H or a branched or unbranched alkyl chain, or a branched or unbranched alkenyl chain;

R 17 and Rn are independently selected from H or an alkyl chain, alkenyl chain, a alkynyl chain, a carbocycle, aryl, heteroaryl, heteroalkyl, or can be connected to form a carbocycle with up to 6 ring atoms;

n is 0 or 1.

11 . The method of treatment and/or prevention according to claim 1 , wherein said QC inhibitor or a pharmaceutically acceptable salt, solvate or stereoisomer thereof is selected from

a compound of formula 1*:

or

a compound of formula 1a,

wherein R is defined in examples 1 to 53:

Example

R

1

Methyl

2

tert-Butyl

3

Benzyl

4

Phenyl

5

4-(fluoro)-phenyl

6

4-(chloro)-phenyl

7

4-(ethyl)-phenyl

8

4-(trifluoromethyl)-

phenyl

9

4-(methoxy-

carbonyl)-

Phenyl

10

4-(acetyl)-phenyl

11

4-(methoxy)-phenyl

12

bicyclo[2.2.1]hept-

5-en-2-yl

13

3,4-(dimethoxy)-

phenyl

14

2,4-(dimethoxy)-

phenyl

15

3,5-(dimethoxy)-

phenyl

16

2-(methoxy-

carbonyl)-

Phenyl

17

4-(oxazol-5-y)-

phenyl

18

4-(pyrazol-1-yl)-

phenyl

19

4-(isopropyl)-phenyl

20

4-(piperidine-1-

sulfonyl)-

Phenyl

21

4-(morpholin-4-yl)-

phenyl

22

4-(cyano)-phenyl

23

2,3-dihydro-

benzo[1,4]dioxin-

6-yl

24

benzo[1,3]dioxol-5-

yl

25

3,4,5(trimethoxy)-

phenyl

26

3-(methoxy)-phenyl

27

4-(ethoxy)-phenyl

28

4-(benzyloxy)-phenyl

29

4-(methoxy)-benzyl

30

3,4-(dimethoxy)-

benzyl

31

2-(methoxy-

carbonyl)-

thiophene-3-yl

32

3-(ethoxy-carbonyl)-

4,5,6,7-

tetrahydrobenzo[b]thio-

phene2-yl

33

2-(methoxy-

carbonyl)-4-

(methyl)-thiophene-

3-yl

34

Benzo[c][1,2,5]thiazol-

4-yl

35

Benzo[c][1,2,5]thiazol-

5-yl

36

5-(methyl)-3-

(phenyl)-

isooxazol-4-yl

37

3,5-(dimethyl)-

isooxazol-

4-yl

38

4-(iodo)-phenyl

39

4-(bromo)-phenyl

40

4-(methyl)-phenyl

41

Naphthalen-1-yl

42

4-(nitro)-phenyl

43

Butyl

44

Cyclooctyl

45

Furan-2-ylmethyl

46

Tetrahydrofuran-2-

ylmethyl

47

Benzo[1,3]dioxol-5-

ylmethyl

48

2-(morpholin-4-yl)-

ethyl

49

4-(methylsulfanyl)-

phenyl

50

4-(dimethylamino)-

phenyl

51

4-

(trifluoromethoxy)-

phenyl

52

Benzoyl

53

Pyridin-4-yl

or

a compound of formula 1b,

wherein R 1 and R 2 are defined in examples 54 to 95.

Example

R 1

R 2

54

Cyano

Methyl

55

Cyano

3,4-(dimethoxy)-

phenyl

56

Cyano

2,4-(dimethoxy)-

phenyl

57

Cyano

3,5-(dimethoxy)-

phenyl

58

Cyano

2,3-

dihydrobenzo[b][1,4]dioxin-

7-yl

59

Cyano

Benzo[d][1,3]dioxol-

6-yl

60

Cyano

3,4,5-(trimethoxy)-

phenyl

61

Cyano

3-(methoxy)-phenyl

62

Cyano

4-(ethoxy)-phenyl

63

Cyano

4-(benzyloxy)-phenyl

64

Cyano

Phenyl

65

Cyano

4-(methoxy)-phenyl

66

Cyano

4-(acetyl)-phenyl

67

Cyano

4-(nitro)-phenyl

68

Cyano

Benzyl

69

Cyano

Naphthalen-1-yl

70

Cyano

4-(fluoro)-phenyl

71

Cyano

4-(iodo)-phenyl

72

Cyano

4-(bromo)-phenyl

73

Cyano

Cyclooctyl

74

Cyano

tert-butyl

75

Cyano

4-(methyl)-phenyl

76

Cyano

4-(methylthio)-phenyl

77

Cyano

4-(ethyl)-phenyl

78

Cyano

4-(dimethylamino)-

phenyl

79

Cyano

Butyl

80

Cyano

Trityl

81

Cyano

(Benzo[d][1,3]dioxol-

6yl)methyl

82

Cyano

(tetrahydrofuran-

2yl)methyl

83

Cyano

4-(trifluoromethyl)-

phenyl

84

Cyano

(furan-2-yl)methyl

85

Cyano

2-(morpholin-4-yl)-

ethyl

86

Cyano

4-(oxazol-5yl)-phenyl

87

Cyano

Pyridin-3-yl

88

Cyano

4-(cyano)-phenyl

89

Cyano

4-(trifluoromethoxy)-

phenyl

90

Cyano

4-

(piperidinosulfonyl)-

phenyl

91

Cyano

4-(1H-pyrazol-1-

yl)phenyl

92

H

3,4-(dimethoxy)-

phenyl

93

Methyl

3,4-(dimethoxy)-

phenyl

94

Cyano

2,3,4-(trimethoxy)-

phenyl

95

Cyano

Cycloheptyl

or

a compound of formula 1c,

wherein R 3 is defined in examples 96 to 102.

Example

R 3

96

Ethyl

97

6-fluoro-4H-benzo[d][1,

3]dioxin-8-yl

98

3-(cylopentyloxy)-4-

(methoxy)-phenyl

99

4-(heptyloxy)-phenyl

100

3,4-dihydro-2H-

benzo[b][1,

4]dioxepin-7-yl

101

4-(butoxy)-phenyl

102

3,4-(dimethoxy)-

phenyl

or

a compound of formula 1d,

wherein the position on the ring is defined in examples 103 to 105.

or

a compound of formula 1e,

wherein R 4 and R 5 are defined in examples 106 to 109.

Example

R 4

R 5

106(S)

H

Methyl

107(R)

Methyl

H

108

Methyl

Methyl

109

—CH 2 —CH 2 —

or

a compound of formula 1f,

wherein R 6 is defined in examples 110 to 112.

Example

R 6

110

H

111

Chloro

112

Methoxy

or

a compound of formula 1g,

wherein R 7 , R 8 and R 9 are defined in examples 113 to 132.

Example

R 7

R 8

R 9

113

Phenyl

H

H

114

Thiophen-2-yl

H

H

115(R)

Phenyl

Methyl

H

116(S)

Phenyl

H

Methyl

117

Phenyl

H

Ethyl

118

Phenyl

H

Phenyl

119

3,4-

H

H

(dimethoxy)-

Phenyl

120

3,4-

Methyl

Methyl

(dimethoxy)-

Phenyl

121

4-(chloro)-

—CH 2 —CH 2 —CH 2 —

phenyl

122

4-(chloro)-

—CH 2 —C 2 H 4 —CH 2 —

phenyl

123

4-(methoxy)-

—CH 2 —C 3 H 6 —CH 2 —

phenyl

124

4-(methoxy)-

—CH 2 —CH 2 —

phenyl

125

3,4-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

126

3,4,5-

—CH 2 —CH 2 —

(trimethoxy)-

Phenyl

127

2,3,4-

—CH 2 —CH 2 —

(trimethoxy)-

Phenyl

128

2-(methoxy)-

—CH 2 —CH 2 —

phenyl

129

3-(methoxy)-

—CH 2 —CH 2 —

phenyl

130

2,3-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

131

3,5-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

132

2,5-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

or

a compound of formula 1h,

wherein n is defined in examples 133 to 135.

Example

n

133

3

134

4

135

5

or

a compound of formula 1i,

wherein m is defined in examples 136 and 137.

Example

m

136

2

137

4

or

a compound selected from examples 138 to 141

Example

Structure

138

139

140

141

12 . The method of treatment and/or prevention according to claim 11 , wherein said QC inhibitor is 1-(3-(1H-imidazole-1-yl)propyl)-3-(3,4-dimethoxy-phenyl)thiourea hydrochloride.

13 . Diagnostic assay, comprising a QC inhibitor.

14 . Diagnostic assay according to claim 13 , wherein said QC inhibitor is a compound of formula 1 including pharmaceutically acceptable salts, solvates and stereoisomers thereof:

wherein:

A is either:

an alkyl chain, alkenyl chain or alkynyl chain;

or A is a group selected from:

wherein:

R 6 , R 7 , R 8 , R 9 and R 10 are independently H or an alkyl chain, alkenyl chain, alkynyl chain, cycloalkyl, a carbocycle, aryl, heteroaryl, or a heterocycle;

n and n 1 are independently 1-5;

m is 1-5;

o is 0-4;

and B is a group selected from:

wherein:

D and E independently represent an alkyl chain, alkenyl chain, alkynyl chain, a cycloalkyl, carbocycle, aryl, -alkylaryl, heteroaryl, -alkylheteroaryl, acyl or a heterocycle.

Z is CH or N;

X represents CR 20 R 21 , O, S, NR 19 , with the proviso for formulas (VIII) and (IX) that, if Z═CH, X is O or S;

R 19 is selected from the group consisting of H, alkyl, cycloalkyl, aryl, heteroaryl, -oxyalkyl, -oxyaryl, carbonyl, amido, hydroxy, NO 2 , NH 2 , CN;

R 20 and R 21 are independently selected from H, alkyl, cycloalkyl, heterocycle, aryl, heteroaryl, -oxyalkyl, -oxyaryl, carbonyl, amido, NO 2 , NH 2 , CN, CF 3 ;

X 1 , X 2 and X 3 are independently O or S provided that X 2 and X 3 are not both O;

Y is O or S, with the proviso that Y may not by O, when the carbocycle formed by R 17 and R 18 has 3 members in the ring;

Z is CH or N;

R 11 , R 12 , R 13 and R 14 can be independently selected from H, an alkyl chain, an alkenyl chain, an alkynyl chain, cycloalkyl, carbocycle, aryl, heteroaryl, a heterocycle, halo, alkoxy-, -thioalkyl, carboxyl, carboxylic acid ester, carbonyl, carbamide, carbimide, thiocarbamide or thiocarbonyl, NH 2 , NO 2 ;

R 15 and R 16 are independently of each other H or a branched or unbranched alkyl chain, or a branched or unbranched alkenyl chain;

R 17 and R 18 are independently selected from H or an alkyl chain, alkenyl chain, a alkynyl chain, a carbocycle, aryl, heteroaryl, heteroalkyl, or can be connected to form a carbocycle with up to 6 ring atoms;

n is 0 or 1.

15 . Diagnostic assay according to claim 13 , wherein said QC inhibitor or a pharmaceutically acceptable salt, solvate or stereoisomer thereof is selected from

a compound of formula 1*:

or

a compound of formula 1a,

wherein R is defined in examples 1 to 53:

Example

R

1

Methyl

2

tert-Butyl

3

Benzyl

4

Phenyl

5

4-(fluoro)-phenyl

6

4-(chloro)-phenyl

7

4-(ethyl)-phenyl

8

4-(trifluoromethyl)-

phenyl

9

4-(methoxy-

carbonyl)-

Phenyl

10

4-(acetyl)-phenyl

11

4-(methoxy)-phenyl

12

bicyclo[2.2.1]hept-

5-en-2-yl

13

3,4-(dimethoxy)-

phenyl

14

2,4-(dimethoxy)-

phenyl

15

3,5-(dimethoxy)-

phenyl

16

2-(methoxy-

carbonyl)-

Phenyl

17

4-(oxazol-5-y)-

phenyl

18

4-(pyrazol-1-yl)-

phenyl

19

4-(isopropyl)-phenyl

20

4-(piperidine-1-

sulfonyl)-

Phenyl

21

4-(morpholin-4-yl)-

phenyl

22

4-(cyano)-phenyl

23

2,3-dihydro-

benzo[1,4]dioxin-

6-yl

24

benzo[1,3]dioxol-5-

yl

25

3,4,5(trimethoxy)-

phenyl

26

3-(methoxy)-phenyl

27

4-(ethoxy)-phenyl

28

4-(benzyloxy)-phenyl

29

4-(methoxy)-benzyl

30

3,4-(dimethoxy)-

benzyl

31

2-(methoxy-

carbonyl)-

thiophene-3-yl

32

3-(ethoxy-carbonyl)-

4,5,6,7-

tetrahydrobenzo[b]thio-

phene2-yl

33

2-(methoxy-

carbonyl)-4-

(methyl)-thiophene-

3-yl

34

Benzo[c][1,2,5]thiazol-

4-yl

35

Benzo[c][1,2,5]thiazol-

5-yl

36

5-(methyl)-3-

(phenyl)-

isooxazol-4-yl

37

3,5-(dimethyl)-

isooxazol-

4-yl

38

4-(iodo)-phenyl

39

4-(bromo)-phenyl

40

4-(methyl)-phenyl

41

Naphthalen-1-yl

42

4-(nitro)-phenyl

43

Butyl

44

Cyclooctyl

45

Furan-2-ylmethyl

46

Tetrahydrofuran-2-

ylmethyl

47

Benzo[1,3]dioxol-5-

ylmethyl

48

2-(morpholin-4-yl)-

ethyl

49

4-(methylsulfanyl)-

phenyl

50

4-(dimethylamino)-

phenyl

51

4-

(trifluoromethoxy)-

phenyl

52

Benzoyl

53

Pyridin-4-yl

or

a compound of formula 1b,

wherein R 1 and R 2 are defined in examples 54 to 95.

Example

R 1

R 2

54

Cyano

Methyl

55

Cyano

3,4-(dimethoxy)-

phenyl

56

Cyano

2,4-(dimethoxy)-

phenyl

57

Cyano

3,5-(dimethoxy)-

phenyl

58

Cyano

2,3-

dihydrobenzo[b][1,4]dioxin-

7-yl

59

Cyano

Benzo[d][1,3]dioxol-

6-yl

60

Cyano

3,4,5-(trimethoxy)-

phenyl

61

Cyano

3-(methoxy)-phenyl

62

Cyano

4-(ethoxy)-phenyl

63

Cyano

4-(benzyloxy)-phenyl

64

Cyano

Phenyl

65

Cyano

4-(methoxy)-phenyl

66

Cyano

4-(acetyl)-phenyl

67

Cyano

4-(nitro)-phenyl

68

Cyano

Benzyl

69

Cyano

Naphthalen-1-yl

70

Cyano

4-(fluoro)-phenyl

71

Cyano

4-(iodo)-phenyl

72

Cyano

4-(bromo)-phenyl

73

Cyano

Cyclooctyl

74

Cyano

tert-butyl

75

Cyano

4-(methyl)-phenyl

76

Cyano

4-(methylthio)-phenyl

77

Cyano

4-(ethyl)-phenyl

78

Cyano

4-(dimethylamino)-

phenyl

79

Cyano

Butyl

80

Cyano

Trityl

81

Cyano

(Benzo[d][1,3]dioxol-

6yl)methyl

82

Cyano

(tetrahydrofuran-

2yl)methyl

83

Cyano

4-(trifluoromethyl)-

phenyl

84

Cyano

(furan-2-yl)methyl

85

Cyano

2-(morpholin-4-yl)-

ethyl

86

Cyano

4-(oxazol-5yl)-phenyl

87

Cyano

Pyridin-3-yl

88

Cyano

4-(cyano)-phenyl

89

Cyano

4-(trifluoromethoxy)-

phenyl

90

Cyano

4-

(piperidinosulfonyl)-

phenyl

91

Cyano

4-(1H-pyrazol-1-

yl)phenyl

92

H

3,4-(dimethoxy)-

phenyl

93

Methyl

3,4-(dimethoxy)-

phenyl

94

Cyano

2,3,4-(trimethoxy)-

phenyl

95

Cyano

Cycloheptyl

or

a compound of formula 1c,

wherein R 3 is defined in examples 96 to 102.

Example

R 3

96

Ethyl

97

6-fluoro-4H-benzo[d][1,

3]dioxin-8-yl

98

3-(cylopentyloxy)-4-

(methoxy)-phenyl

99

4-(heptyloxy)-phenyl

100

3,4-dihydro-2H-

benzo[b][1,

4]dioxepin-7-yl

101

4-(butoxy)-phenyl

102

3,4-(dimethoxy)-

phenyl

or

a compound of formula 1d,

wherein the position on the ring is defined in examples 103 to 105,

or

a compound of formula 1e,

wherein R 4 and R 5 are defined in examples 106 to 109.

Example

R 4

R 5

106(S)

H

Methyl

107(R)

Methyl

H

108

Methyl

Methyl

109

—CH 2 —CH 2 —

or

a compound of formula 1f,

wherein R 6 is defined in examples 110 to 112.

Example

R 6

110

H

111

Chloro

112

Methoxy

or

a compound of formula 1g,

wherein R 7 , R 8 and R 9 are defined in examples 113 to 132.

Example

R 7

R 8

R 9

113

Phenyl

H

H

114

Thiophen-2-yl

H

H

115(R)

Phenyl

Methyl

H

116(S)

Phenyl

H

Methyl

117

Phenyl

H

Ethyl

118

Phenyl

H

Phenyl

119

3,4-

H

H

(dimethoxy)-

Phenyl

120

3,4-

Methyl

Methyl

(dimethoxy)-

Phenyl

121

4-(chloro)-

—CH 2 —CH 2 —CH 2 —

phenyl

122

4-(chloro)-

—CH 2 —C 2 H 4 —CH 2 —

phenyl

123

4-(methoxy)-

—CH 2 —C 3 H 6 —CH 2 —

phenyl

124

4-(methoxy)-

—CH 2 —CH 2 —

phenyl

125

3,4-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

126

3,4,5-

—CH 2 —CH 2 —

(trimethoxy)-

Phenyl

127

2,3,4-

—CH 2 —CH 2 —

(trimethoxy)-

Phenyl

128

2-(methoxy)-

—CH 2 —CH 2 —

phenyl

129

3-(methoxy)-

—CH 2 —CH 2 —

phenyl

130

2,3-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

131

3,5-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

132

2,5-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

or

a compound of formula 1h,

wherein n is defined in examples 133 to 135.

Example

n

133

3

134

4

135

5

or

a compound of formula 1i,

wherein m is defined in examples 136 and 137.

Example

m

136

2

137

4

or

a compound selected from examples 138 to 141.

Example

Structure

138

139

140

141

16 . Diagnostic assay according to claim 13 , wherein said QC inhibitor is 1-(3-(1H-imidazole-1-yl)propyl)-3-(3,4-dimethoxy-phenyl)thiourea hydrochloride.

17 . A method of diagnosing any one of the diseases and/or conditions as defined in claim 1 , comprising the steps of

collecting a sample from a subject who is suspected to be afflicted with said disease and/or condition,

contacting said sample with a QC inhibitor, and

determining whether or not said subject is afflicted by said disease and/or condition.

18 . The method according to claim 17 , wherein said subject is a human being.

19 . The method according to claim 17 , wherein said QC inhibitor is a compound of formula 1 including pharmaceutically acceptable salts, solvates and stereoisomers thereof:

wherein:

A is either:

an alkyl chain, alkenyl chain or alkynyl chain;

or A is a group selected from:

wherein:

R 6 , R 7 , R 8 , R 9 and R 10 are independently H or an alkyl chain, alkenyl chain, alkynyl chain, cycloalkyl, a carbocycle, aryl, heteroaryl, or a heterocycle;

n and n 1 are independently 1-5;

m is 1-5;

o is 0-4;

and B is a group selected from:

wherein:

D and E independently represent an alkyl chain, alkenyl chain, alkynyl chain, a cycloalkyl, carbocycle, aryl, -alkylaryl, heteroaryl, -alkylheteroaryl, acyl or a heterocycle.

Z is CH or N;

X represents CR 20 R 21 , O, S, NR 19 , with the proviso for formulas (VIII) and (IX) that, if Z═CH, X is O or S;

R 19 is selected from the group consisting of H, alkyl, cycloalkyl, aryl, heteroaryl, -oxyalkyl, -oxyaryl, carbonyl, amido, hydroxy, NO 2 , NH 2 , CN;

R 20 and R 21 are independently selected from H, alkyl, cycloalkyl, heterocycle, aryl, heteroaryl, -oxyalkyl, -oxyaryl, carbonyl, amido, NO 2 , NH 2 , CN, CF 3 ;

X 1 , X 2 and X 3 are independently O or S provided that X 2 and X 3 are not both O;

Y is O or S, with the proviso that Y may not by O, when the carbocycle formed by R 17 and R 18 has 3 members in the ring;

Z is CH or N;

R 11 , R 12 , R 13 and R 14 can be independently selected from H, an alkyl chain, an alkenyl chain, an alkynyl chain, cycloalkyl, carbocycle, aryl, heteroaryl, a heterocycle, halo, alkoxy-, -thioalkyl, carboxyl, carboxylic acid ester, carbonyl, carbamide, carbimide, thiocarbamide or thiocarbonyl, NH 2 , NO 2 ;

R 15 and R 16 are independently of each other H or a branched or unbranched alkyl chain, or a branched or unbranched alkenyl chain;

R 17 and Rn are independently selected from H or an alkyl chain, alkenyl chain, a alkynyl chain, a carbocycle, aryl, heteroaryl, heteroalkyl, or can be connected to form a carbocycle with up to 6 ring atoms;

n is 0 or 1.

20 . The method according to any of claims 17 to 19 , wherein said QC inhibitor or a pharmaceutically acceptable salt, solvate or stereoisomer thereof is selected from

a compound of formula 1*:

or

a compound of formula 1a,

wherein R is defined in examples 1 to 53:

Example

R

1

Methyl

2

tert-Butyl

3

Benzyl

4

Phenyl

5

4-(fluoro)-phenyl

6

4-(chloro)-phenyl

7

4-(ethyl)-phenyl

8

4-(trifluoromethyl)-

phenyl

9

4-(methoxy-

carbonyl)-

Phenyl

10

4-(acetyl)-phenyl

11

4-(methoxy)-phenyl

12

bicyclo[2.2.1]hept-

5-en-2-yl

13

3,4-(dimethoxy)-

phenyl

14

2,4-(dimethoxy)-

phenyl

15

3,5-(dimethoxy)-

phenyl

16

2-(methoxy-

carbonyl)-

Phenyl

17

4-(oxazol-5-y)-

phenyl

18

4-(pyrazol-1-yl)-

phenyl

19

4-(isopropyl)-phenyl

20

4-(piperidine-1-

sulfonyl)-

Phenyl

21

4-(morpholin-4-yl)-

phenyl

22

4-(cyano)-phenyl

23

2,3-dihydro-

benzo[1,4]dioxin-

6-yl

24

benzo[1,3]dioxol-5-

yl

25

3,4,5(trimethoxy)-

phenyl

26

3-(methoxy)-phenyl

27

4-(ethoxy)-phenyl

28

4-(benzyloxy)-phenyl

29

4-(methoxy)-benzyl

30

3,4-(dimethoxy)-

benzyl

31

2-(methoxy-

carbonyl)-

thiophene-3-yl

32

3-(ethoxy-carbonyl)-

4,5,6,7-

tetrahydrobenzo[b]thio-

phene2-yl

33

2-(methoxy-

carbonyl)-4-

(methyl)-thiophene-

3-yl

34

Benzo[c][1,2,5]thiazol-

4-yl

35

Benzo[c][1,2,5]thiazol-

5-yl

36

5-(methyl)-3-

(phenyl)-

isooxazol-4-yl

37

3,5-(dimethyl)-

isooxazol-

4-yl

38

4-(iodo)-phenyl

39

4-(bromo)-phenyl

40

4-(methyl)-phenyl

41

Naphthalen-1-yl

42

4-(nitro)-phenyl

43

Butyl

44

Cyclooctyl

45

Furan-2-ylmethyl

46

Tetrahydrofuran-2-

ylmethyl

47

Benzo[1,3]dioxol-5-

ylmethyl

48

2-(morpholin-4-yl)-

ethyl

49

4-(methylsulfanyl)-

phenyl

50

4-(dimethylamino)-

phenyl

51

4-

(trifluoromethoxy)-

phenyl

52

Benzoyl

53

Pyridin-4-yl

or

a compound of formula 1b,

wherein R 1 and R 2 are defined in examples 54 to 95.

Example

R 1

R 2

54

Cyano

Methyl

55

Cyano

3,4-(dimethoxy)-

phenyl

56

Cyano

2,4-(dimethoxy)-

phenyl

57

Cyano

3,5-(dimethoxy)-

phenyl

58

Cyano

2,3-

dihydrobenzo[b][1,4]dioxin-

7-yl

59

Cyano

Benzo[d][1,3]dioxol-

6-yl

60

Cyano

3,4,5-(trimethoxy)-

phenyl

61

Cyano

3-(methoxy)-phenyl

62

Cyano

4-(ethoxy)-phenyl

63

Cyano

4-(benzyloxy)-phenyl

64

Cyano

Phenyl

65

Cyano

4-(methoxy)-phenyl

66

Cyano

4-(acetyl)-phenyl

67

Cyano

4-(nitro)-phenyl

68

Cyano

Benzyl

69

Cyano

Naphthalen-1-yl

70

Cyano

4-(fluoro)-phenyl

71

Cyano

4-(iodo)-phenyl

72

Cyano

4-(bromo)-phenyl

73

Cyano

Cyclooctyl

74

Cyano

tert-butyl

75

Cyano

4-(methyl)-phenyl

76

Cyano

4-(methylthio)-phenyl

77

Cyano

4-(ethyl)-phenyl

78

Cyano

4-(dimethylamino)-

phenyl

79

Cyano

Butyl

80

Cyano

Trityl

81

Cyano

(Benzo[d][1,3]dioxol-

6yl)methyl

82

Cyano

(tetrahydrofuran-

2yl)methyl

83

Cyano

4-(trifluoromethyl)-

phenyl

84

Cyano

(furan-2-yl)methyl

85

Cyano

2-(morpholin-4-yl)-

ethyl

86

Cyano

4-(oxazol-5yl)-phenyl

87

Cyano

Pyridin-3-yl

88

Cyano

4-(cyano)-phenyl

89

Cyano

4-(trifluoromethoxy)-

phenyl

90

Cyano

4-

(piperidinosulfonyl)-

phenyl

91

Cyano

4-(1H-pyrazol-1-

yl)phenyl

92

H

3,4-(dimethoxy)-

phenyl

93

Methyl

3,4-(dimethoxy)-

phenyl

94

Cyano

2,3,4-(trimethoxy)-

phenyl

95

Cyano

Cycloheptyl

or

a compound of formula 1c,

wherein R 3 is defined in examples 96 to 102.

Example

R 3

96

Ethyl

97

6-fluoro-4H-benzo[d][1,

3]dioxin-8-yl

98

3-(cylopentyloxy)-4-

(methoxy)-phenyl

99

4-(heptyloxy)-phenyl

100

3,4-dihydro-2H-

benzo[b][1,

4]dioxepin-7-yl

101

4-(butoxy)-phenyl

102

3,4-(dimethoxy)-

phenyl

or

a compound of formula 1d,

wherein the position on the ring is defined in examples 103 to 105,

or

a compound of formula 1e,

wherein R 4 and R 5 are defined in examples 106 to 109.

Example

R 4

R 5

106(S)

H

Methyl

107(R)

Methyl

H

108

Methyl

Methyl

109

—CH 2 —CH 2 —

or

a compound of formula 1f,

wherein R 6 is defined in examples 110 to 112.

Example

R 6

110

H

111

Chloro

112

Methoxy

or

a compound of formula 1g,

wherein R 7 , R 8 and R 9 are defined in examples 113 to 132.

Example

R 7

R 8

R 9

113

Phenyl

H

H

114

Thiophen-2-yl

H

H

115(R)

Phenyl

Methyl

H

116(S)

Phenyl

H

Methyl

117

Phenyl

H

Ethyl

118

Phenyl

H

Phenyl

119

3,4-

H

H

(dimethoxy)-

Phenyl

120

3,4-

Methyl

Methyl

(dimethoxy)-

Phenyl

121

4-(chloro)-

—CH 2 —CH 2 —CH 2 —

phenyl

122

4-(chloro)-

—CH 2 —C 2 H 4 —CH 2 —

phenyl

123

4-(methoxy)-

—CH 2 —C 3 H 6 —CH 2 —

phenyl

124

4-(methoxy)-

—CH 2 —CH 2 —

phenyl

125

3,4-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

126

3,4,5-

—CH 2 —CH 2 —

(trimethoxy)-

Phenyl

127

2,3,4-

—CH 2 —CH 2 —

(trimethoxy)-

Phenyl

128

2-(methoxy)-

—CH 2 —CH 2 —

phenyl

129

3-(methoxy)-

—CH 2 —CH 2 —

phenyl

130

2,3-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

131

3,5-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

132

2,5-

—CH 2 —CH 2 —

(dimethoxy)-

Phenyl

or

a compound of formula 1h,

wherein n is defined in examples 133 to 135.

Example

n

133

3

134

4

135

5

or

a compound of formula 1i,

wherein m is defined in examples 136 and 137.

Example

m

136

2

137

4

or

a compound selected from examples 138 to 141.

Example

Structure

138

139

140

141

21 . The method according to claim 20 , wherein said QC inhibitor is 1-(3-(1H-imidazole-1-yl)propyl)-3-(3,4-dimethoxy-phenyl) thiourea hydrochloride.

22 . The method according to claim 17 , wherein said sample is a blood sample, a serum sample, a sample of cerebrospinal liquor or a urine sample.

23 . Diagnostic kit for carrying out the method of claim 17 comprising as detection means the diagnostic assay of claim 13 and a determination means.

24 . Diagnostic kit for carrying out the method of claim 17 comprising as detection means the diagnostic assay of claim 14 and a determination means.

25 . Diagnostic kit for carrying out the method of claim 17 comprising as detection means the diagnostic assay of claim 15 and a determination means.

26 . Diagnostic kit for carrying out the method of claim 17 comprising as detection means the diagnostic assay of claim 16 and a determination means.

27 . The method of treatment and/or prevention according to claim 1 , wherein said pharmaceutical composition is for parenteral, enteral or oral administration.