Pyridone amides as modulators of sodium channels
The invention relates to pyridone amide compounds of formula I and I′ or pharmaceutically acceptable salts thereof, useful as inhibitors of sodium channels: The invention also provides pharmaceutically acceptable compositions comprising the compounds of the invention and methods of using the compositions in the treatment of various disorders, including pain.
1. A compound of formula I or I′
or a pharmaceutically acceptable salt thereof,
wherein, independently for each occurrence:
G is
X is a bond or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen, wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R X is absent, H, or C 3 -C 8 cycloaliphatic, wherein up to two non-adjacent CH 2 units of said C 3 -C 8 cycloaliphatic may be replaced with —O— and said C 3 -C 8 cycloaliphatic is substituted with 0-3 substituents selected from halogen and C 1 -C 4 alkyl;
R 1 is H, halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 2 is H, halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen, wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 3 is H, halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen, wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 4 is H, halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen, wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 5 is H, halogen, CN, or —X—R X ;
R 5′ is H, halogen, CN, or —X—R X ;
R 6 is H, halogen, CN, or —X—R X ;
R 6′ is H, halogen, CN, or —X—R X ;
R 7 is H, halogen, CN, or —X—R X ;
R 8 is halogen, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen, wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
p is an integer from 0 to 3 inclusive; and
R 9 is H, or C 1 -C 6 alkyl wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—.
2. The compound according to claim 1 , wherein R 3 is C 1 -C 6 alkyl, wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen; and G is
wherein:
R 5 is H, halogen, CN, or —X—R X ;
R 5′ is H, halogen, CN, or —X—R X ;
R 6 is H, halogen, CN, or —X—R X ;
R 6′ is H, halogen, CN, or —X—R X ;
R 7 is H, halogen, CN, or —X—R X ;
X is a bond or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—; and
R X is absent, H, or C 3 -C 8 cycloaliphatic, wherein up to two non-adjacent CH 2 units of said C 3 -C 8 cycloaliphatic may be replaced with —O— and said C 3 -C 8 cycloaliphatic is substituted with 0-3 substituents selected from halogen and C 1 -C 4 alkyl.
3. The compound or pharmaceutically acceptable salt according to claim 2 , wherein R 3 is t-butyl, CF 3 or CF 2 CF 3 ; and G is:
4. The compound or pharmaceutically acceptable salt according to claim 1 , wherein G is:
and G is
5. The compound or pharmaceutically acceptable salt according to claim 1 , wherein G is —X—R X and —X—R X is:
6. The compound or pharmaceutically acceptable salt according to claim 1 , wherein p is 0; and R 9 is H.
7. The compound of claim 1 , wherein the compound has formula I-F or I′-F:
or a pharmaceutically acceptable salt thereof,
wherein, independently for each occurrence:
R 3 is halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen, wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 5 is halogen, CN, or —X—R X ;
R 7 is halogen, CN, or —X—R X ;
X is a bond or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R X is absent, H, or C 3 -C 8 cycloaliphatic, wherein up to two non-adjacent CH 2 units of said C 3 -C 8 cycloaliphatic may be replaced with —O— and said C 3 -C 8 cycloaliphatic is substituted with 0-3 substituents selected from halogen and C 1 -C 4 alkyl;
R 8 is halogen or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
p is an integer from 0 to 3 inclusive; and
R 9 is H, or C 1 -C 6 alkyl wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—.
8. The compound or pharmaceutically acceptable salt according to claim 7 , wherein R 3 is C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen; and ring A is:
9. The compound or pharmaceutically acceptable salt according to claim 8 , wherein R 3 is t-butyl, CF 3 or CF 2 CF 3 .
10. The compound according to claim 7 , wherein p is 0; and R 9 is H.
11. The compound according to claim 1 , wherein the compound has formula I-G or I′-G:
or a pharmaceutically acceptable salt thereof,
wherein, independently for each occurrence:
R 2 is halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 3 is halogen, CN, or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R 5 is halogen, CN, or —X—R X ;
R 7 is halogen, CN, or —X—R X ;
X is a bond or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
R X is absent, H, or C 3 -C 8 cycloaliphatic, wherein up to two non-adjacent CH 2 units of said C 3 -C 8 cycloaliphatic may be replaced with —O— and said C 3 -C 8 cycloaliphatic is substituted with 0-3 substituents selected from halogen and C 1 -C 4 alkyl;
R 8 is halogen or C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen and wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—;
p is an integer from 0 to 3 inclusive; and
R 9 is H, or C 1 -C 6 alkyl wherein up to two non-adjacent CH 2 units of said C 1 -C 6 alkyl may be replaced with —O—.
12. The compound or pharmaceutically acceptable salt according to claim 11 , wherein R 2 is F, Cl, CN, CF 3 or OCF 3 ; and R 3 is C 1 -C 6 alkyl wherein said C 1 -C 6 alkyl is substituted with 0-6 halogen.
13. The compound or pharmaceutically acceptable salt according to claim 12 , wherein R 3 is t-butyl, CF 3 or CF 2 CF 3 .
14. The compound or pharmaceutically acceptable salt according to claim 12 , wherein ring A is:
15. The compound or pharmaceutically acceptable salt according to claim 14 , wherein p is 0.
16. The compound or pharmaceutically acceptable salt according to claim 14 , wherein R 9 is H.
17. The compound or pharmaceutically acceptable salt of claim 1 , wherein the compound or a pharmaceutically acceptable salt is selected from the group consisting of:
or a pharmaceutically acceptable salt thereof.
18. A pharmaceutical composition comprising a therapeutically effective amount of the compound or a pharmaceutically acceptable salt thereof of claim 1 and one or more pharmaceutically acceptable carriers or vehicles.
19. A method of inhibiting a voltage-gated sodium channel in a subject comprising administering to the subject a compound or a pharmaceutically acceptable salt thereof of claim 1 .
20. A method of treating or lessening the severity in a subject of chronic pain, gut pain, neuropathic pain, musculoskeletal pain, acute pain, inflammatory pain, cancer pain, or idiopathic pain comprising administering an effective amount of a compound or a pharmaceutically acceptable salt thereof of claim 1 .
21. The compound or pharmaceutically acceptable salt of claim 1 , wherein the compound or pharmaceutically acceptable salt is
2-(4-fluoro-2-methylphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-4-(trifluoromethyl)benzamide;
or a pharmaceutically acceptable salt thereof.
22. The compound or pharmaceutically acceptable salt of claim 1 , wherein the compound or pharmaceutically acceptable salt is
2-(4-fluorophenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-5-(trifluoromethyl)benzamide;
or a pharmaceutically acceptable salt thereof.
23. The compound or pharmaceutically acceptable salt of claim 1 , wherein the compound or pharmaceutically acceptable salt is
4-chloro-2-(4-fluoro-2-methylphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide;
or a pharmaceutically acceptable salt thereof.
24. The compound or pharmaceutically acceptable salt of claim 1 , wherein the compound or pharmaceutically acceptable salt is
2-(4-fluoro-2-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)-4-(perfluoroethyl)benzamide;
or a pharmaceutically acceptable salt thereof.
25. The compound or pharmaceutically acceptable salt of claim 1 , wherein the compound or pharmaceutically acceptable salt is
4,5-dichloro-2-(4-fluoro-2-methoxyphenoxy)-N-(2-oxo-1,2-dihydropyridin-4-yl)benzamide;
or a pharmaceutically acceptable salt thereof.
26. The method of claim 20 , wherein the method comprises treating or lessening the severity in a subject of neuropathic pain.
27. The method of claim 20 , wherein the method comprises treating or lessening the severity in a subject of musculoskeletal pain.
28. The method of claim 27 , wherein the musculoskeletal pain comprises osteoarthritis pain.
29. The method of claim 20 , wherein the method comprises treating or lessening the severity in a subject of inflammatory pain.