CATHEPSIN CYSTEINE PROTEASE INHIBITORS FOR THE TREATMENT OF VARIOUS DISEASES
The present invention relates to compounds capable of inhibiting and/or decreasing the activity of one or more cathepsins, thereby treating and/or preventing various disease states associated with one or more cysteine proteases including, but not limited to, cathepsins and papain-like cysteine proteases. Disease states treated and/or prevented by the compounds of the invention include, but are not limited to, mammalian parasitic diseases in which the parasite utilizes a critical cysteine protease from the papain family. Examples of parasitic diseases to be treated or prevented by the compounds of the invention include, but are not limited to, toxoplasmosis, malaria, African trypanosomiasis, Chagas disease, leishmaniasis, coccidiosis, giardiosis, cryptosporidiosis or schistosomiasis.
1 . A compound of formula I:
wherein R 1 is hydrogen or halo;
R 2 is C 1-3 alkyl which is substituted with two to seven halo;
R 3 is hydrogen, C 1-6 alkyl, halo or —SO m (C 1-6 alkyl);
m is an integer from zero to two;
or a pharmaceutically acceptable salt thereof.
2 . The compound of claim 1 wherein R 1 is hydrogen and R 2 is trifluoromethyl; or a pharmaceutically acceptable salt thereof.
3 . A compound of formula II:
wherein R 4 is C 1-6 alkyl, C 1-6 haloalkyl, C 3-6 cycloalkyl, aryl, (C 1-6 alkyl)aryl, heteroaryl, or (C 1-6 alkyl)heteroaryl, wherein said aryl and heteroaryl groups are optionally substituted with 1 to 3 substituents independently selected from the group consisting of C 1-6 alkyl, halo, C 1-6 haloalkyl and cyano;
R 5 is hydrogen, C 1-6 alkyl or benzyl, wherein said alkyl group is optionally substituted with 1 to 6 halo and said benzyl group is optionally substituted with one to three groups independently selected from the group consisting of halo, cyano, hydroxyl, C 1-6 alkyl and SO m ;
R 6 is hydrogen or C 1-6 alkyl, wherein said alkyl group is optionally substituted with 1 to 6 halo;
or R 5 and R 6 , together with the carbon atom to which they are attached, form a C 3-8 cycloalkyl ring which is optionally substituted with C 1-6 alkyl or halo;
R 7 is hydrogen, halo, C 1-6 alkyl, C 1-6 haloalkyl, C 3-6 cycloalkyl, aryl or heteroaryl wherein said aryl and heteroaryl groups are optionally substituted with 1 to 3 substituents independently selected from the group consisting of halo, hydroxyl, C 1-6 alkyl, C 1-6 haloalkyl and cyano;
m is an integer from zero to two;
or a pharmaceutically acceptable salt thereof.
4 . The compound of claim 3 wherein R 4 is C 1-6 alkyl, or a pharmaceutically acceptable salt thereof.
5 . The compound of claim 3 wherein R 4 is (C 1-6 alkyl)aryl, wherein said aryl group is optionally substituted with 1 to 3 halo, or a pharmaceutically acceptable salt thereof.
6 . The compound of claim 3 wherein R 5 and R 6 , together with the carbon atom to which they are attached, form a cyclopropyl ring; R 7 is hydrogen or halo; or a pharmaceutically acceptable salt thereof.
7 . A method of treating a cysteine protease-related disease in a mammal in need thereof with a therapeutically effective amount of a compound of claim 3 .
8 . The method according to claim 7 wherein the cysteine protease related disease is a a parasitic disease selected from the group consisting of toxoplasmosis, malaria, African trypanosomiasis, Chagas disease, leishmaniasis, coccidiosis, giardiosis, cryptosporidiosis and schistosomiasis.
9 . The method according to claim 8 further comprising another agent selected from the group consisting of: nifurtimox, benznidazole, allopurinol, terbinafine, lovastatin, ketoconazole, itraconazole, posaconazole, miltefosine, ilmofosine, pamidronate, alendronate, risedronate, chloroquine, proguanil, mefloquine, quinine, pyrimethamine-sulphadoxine, doxocycline, berberine, halofantrine, primaquine, atovaquone, pyrimethamine-dapsone, artemisinin, quinhaosu. meglumine antimonite, sodium stibogluconate, amphotericin B, praziquantel, oxamniquine, pentamidine, melarsoprol, suramin and eflornithine and the pharmaceutically acceptable salts and mixtures thereof.