Somatostatin receptor subtype 4 (SSTR4) agonists
3-aza-bicyclo[3.1.0]hexane-6-carboxylic acid amide derivatives which are agonists of somatostatin receptor subtype 4 (SSTR4), useful for preventing or treating medical disorders related to SSTR4.
1. A method for the treatment of pain which comprises administering to a host suffering from pain a therapeutically effective amount of a compound of Formula I to treat the pain, wherein Formula I is represented by:
or a salt thereof, wherein:
A is selected from the group consisting of H and C 1-6 -alkyl;
R 1 and R 2 are independently selected from the group consisting of H, C 1-6 -alkyl and C 3-6 -cycloalkyl, wherein at least one of R 1 or R 2 is C 1-6 -alkyl or C 3-6 -cycloalkyl, and the C 1-6 -alkyl or the C 3-6 -cycloalkyl is optionally substituted with halogens or MeO—;
W is a mono- or bicyclic heteroaryl, each of which is optionally substituted with one or more R 3 , and wherein the heteroaryl comprises up to 4 heteroatoms and one or two 5- or 6-membered ring(s);
R 3 is independently selected from the group consisting of C 1-6 -alkyl, C 1-6 -alkyl-O—, halogen, HO—, and NC—; and
Y is selected from the group consisting of a bond, —CH 2 —, —CH 2 CH 2 —, and —CH 2 O—.
2. The method of claim 1 , wherein A is H; and R 1 and R 2 are C 1-6 alkyl.
3. The method of claim 2 , wherein W is selected from the group consisting of
wherein each of these ring systems are optionally substituted with one or more R 3 .
4. The method of claim 2 , wherein Y is —CH 2 O—; and W is
optionally substituted with one R 3 .
5. The method of claim 2 , wherein Y is a bond; and W is
optionally substituted with one R 3 .
6. The method of claim 1 , wherein the compound is
or a pharmaceutically acceptable salt thereof.
7. The method of claim 1 , wherein the compound is a pharmaceutically acceptable salt of
8. The method of claim 1 , wherein the compound is
9. The method of claim 1 , wherein the compound is
or a pharmaceutically acceptable salt thereof.
10. The method of claim 1 , wherein the compound is
11. The method of claim 3 , wherein the pain is neuropathic pain.
12. The method of claim 6 , wherein the pain is neuropathic pain.
13. The method of claim 7 , wherein the pain is neuropathic pain.
14. The method of claim 9 , wherein the pain is neuropathic pain.
15. The method of claim 11 , wherein the neuropathic pain is post-stroke pain, pain due to central nervous system injury, or pain due to multiple sclerosis.
16. The method of claim 6 , wherein the pain is low back pain.
17. The method of claim 7 , wherein the pain is low back pain.
18. The method of claim 9 , wherein the pain is low back pain.
19. The method of claim 6 , wherein the pain is chronic back pain.
20. The method of claim 7 , wherein the pain is chronic back pain.
21. The method of claim 6 , wherein the pain is fibromyalgia.
22. The method of claim 7 , wherein the pain is fibromyalgia.
23. The method of claim 6 , wherein the pain is caused by irritable bowel or diabetic neuropathy.
24. The method of claim 7 , wherein the pain is caused by irritable bowel or diabetic neuropathy.
25. The method of claim 6 , wherein pain is trigeminal neuralgia, complex regional pain syndrome Type I, or complex regional pain syndrome Type II.
26. The method of claim 7 , wherein pain is trigeminal neuralgia, complex regional pain syndrome Type I, or complex regional pain syndrome Type II.
27. The method of claim 6 , wherein the pain is caused by osteoarthritis.
28. The method of claim 6 , wherein the pain is tumour pain.
29. The method of claim 3 , wherein the pain is chronic pain.
30. The method of claim 6 , wherein the pain is chronic pain.
31. The method of claim 3 , wherein the pain is inflammatory pain.
32. The method of claim 6 , wherein the pain is inflammatory pain.
33. The method of claim 12 , wherein the host is a human being.
34. The method of claim 16 , wherein the host is a human being.
35. The method of claim 21 , wherein the host is a human being.
36. The method of claim 23 , wherein the host is a human being.
37. The method of claim 25 , wherein the host is a human being.
38. The method of claim 30 , wherein the host is a human being.