Substituted 2-[2-(phenyl) ethylamino] alkaneamide derivatives and their use as sodium and/or calcium channel modulators
Substituted 2-[2-(phenyl)ethylamino]alkaneamide derivatives, pharmaceutically acceptable salts thereof, and pharmaceutical compositions containing them are useful as sodium and/or calcium channel modulators for preventing, alleviating and curing pathologies wherein the above mechanisms play a pathological role. The compounds may be particularly useful for the prevention, alleviation, and curing of, for example, neurological, cognitive, psychiatric, inflammatory, urogenital and gastrointestinal diseases.
1. A method for treating a cognitive or psychiatric disorder, comprising the step of administering to a patient in need thereof an effective amount of a compound of formula (I):
wherein:
X is —O—;
Y is hydrogen, —OH or —O(C 1 -C 4 )alkyl;
Z is ═O or ═S;
R is —(C 3 -C 10 )alkyl; ω-trifluoro(C 3 -C 10 )alkyl;
R 1 and R 2 are, independently, hydrogen, hydroxy, (C 1 -C 8 )alkoxy, (C 1 -C 8 )alkylthio, halo, trifluoromethyl or 2,2,2-trifluoroethyl; or one of R 1 and R 2 is ortho to R—X— and, taken together with the same R—X—, represents a
group where R 0 is —(C 2 -C 9 )alkyl;
R 3 and R′ 3 are, independently, hydrogen or —(C 1 -C 4 )alkyl;
R 4 and R 5 are, independently, hydrogen, —(C 1 -C 4 )alkyl; or R 4 is hydrogen and R 5 is —CH 2 —OH, —CH 2 —O—(C 1 -C 6 )alkyl, —CH(CH 3 )—OH, —(CH 2 ) 2 —S—CH 3 , benzyl or 4-hydroxybenzyl; or R 4 and R 5 , taken together with the adjacent carbon atom, form a (C 3 -C 6 )cycloalkyl residue;
R 6 and R 7 are independently hydrogen or —(C 1 -C 6 )alkyl; or taken together with the adjacent nitrogen atom form a 5- or 6-membered monocyclic saturated heterocycle, optionally containing —O—, —S— or —NR 8 —, wherein R 8 is hydrogen or —(C 1 -C 6 )alkyl;
its pharmaceutically acceptable salts and the isolated optical isomers or mixtures of optical isomers of the compound and their pharmaceutically acceptable salts, wherein (a) said cognitive disorder is selected from the group consisting of Mild Cognitive Impairment (MCI) and cognitive disorders associated with autism, dyslexia, attention deficit hyperactivity disorder, schizophrenia, obsessive compulsive disorder, psychosis, bipolar disorder, depression, Tourette's syndrome, disorder of learning in children, adolescents and adults, Age Associated Memory Impairment, Age Associated Cognitive Decline, Alzheimer's Disease, Parkinson's Disease, Down's Syndrome, traumatic brain injury, Huntington's Disease, Progressive Supranuclear Palsy (PSP), HIV, stroke, vascular diseases, Pick's or Creutzfeldt-Jacob disease, multiple sclerosis (MS), and drug-induced cognitive worsening, and (b) said psychiatric disorder is selected from the group consisting of major depression, apathy, dysthymia, mania, bipolar disorder, bipolar disorder type I, bipolar disorder type II, cyclothymic disorder, rapid cycling, ultradian cycling, hypomania, schizophrenia, schizophreniform disorder, schizoaffective disorder, personality disorder, attention disorders with or without hyperactive behavior, delusional disorder, brief psychotic disorder, shared psychotic disorder, substance-induced psychotic disorder, anxiety disorder, generalised anxiety disorder, panic disorder, post-traumatic stress disorder, impulse control disorder, phobic disorder, smoke and drug addiction and alcoholism.
2. The method of claim 1 , wherein said cognitive or psychiatric disorder is caused by a dysfunction of a voltage-gated sodium channel.
3. The method of claim 1 , wherein said cognitive or psychiatric disorder is caused by a dysfunction of a voltage-gated calcium channel.
4. The method of claim 1 , wherein said patient is sensitive to unwanted side effects of MAO inhibitory effects.
5. The method of claim 1 , wherein said cognitive disorder is selected from the group consisting of Mild Cognitive Impairment (MCI) and cognitive disorders associated with depression, bipolar disorder, schizophrenia, and psychosis; and said psychiatric disorder is selected from the group consisting of bipolar disorder, schizophrenia, mania, anxiety and addiction.
6. The method of claim 1 , wherein the compound is administered with at least one other therapeutic agent selected from the group consisting of haloperidol, risperidone and clozapine.
7. The method of claim 6 , wherein the other therapeutic agent is haloperidol or risperidone.
8. The method of claim 1 , wherein the effective amount of the compound administered to the patient in need thereof (i) does not exhibit any MAO-inhibitory activity or (ii) exhibits a reduced MAO-inhibitory activity relative to safinamide or ralfinamide.
9. The method of claim 1 , wherein the compound is 2-[2-(3-butoxyphenyl)-ethylamino]-N,N-dimethylacetamide or a pharmaceutically acceptable salt thereof.