IP Library Granted Patent US 12,421,276
Granted Patent B2
US 12,421,276 · App. 17/228,481 · Granted Sep 23, 2025

Methods of treating neurodegenerative disease with substituted n-hexanoic-l-tyrosine-l-isoleucine-(6)-aminohexanoic amide analogues

Inventors: Leen H. Kawas (Seattle, WA); Jasbir Singh (Seattle, WA); Lansing Joseph Stewart (Seattle, WA); William R. Baker (Seattle, WA)
Assignee: Athira Pharma, Inc.
C07K5/06078A61K9/0019C07K5/021
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Quick Facts
Patent No.
US 12,421,276
App. No.
17/228,481
Granted
Sep 23, 2025
Kind
B2
Abstract

The present technology relates to compounds, kits, compositions, and methods useful for the treatment of numerous pathologies including dementia, Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, and other neurodegenerative diseases, spinal cord injury, traumatic brain injury, diabetes and metabolic syndrome, defective wound healing, and/or sensorineural hearing and vision loss.

Claims (158)

1. A method for treating a neurogenerative disease in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of formula (I):

or a tautomer or a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer, wherein:

n is 1, 2, 3, 4, 5, 6, 7, 8, or 9;

m is 0, 1, 2, 3, or 4;

R 1 is C 1 -C 12 alkyl or C 1 -C 12 substituted alkyl;

R 2 is selected from

each Y is independently —Z—(CH 2 ) q —W—R b ;

q is 0-4;

Z and W are independently selected from CH 2 , NR c , and R b ,

or Z and W are taken together to form a C 3 -C 8 heterocycloalkyl;

each R c is independently hydrogen or C 1 -C 4 alkyl;

each R b is independently selected from hydrogen, C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 3 -C 8 heterocycloalkyl, and C 3 -C 8 substituted heterocycloalkyl;

r is 0-5;

U is heterocycloalkyl;

R 3 and R 4 are independently hydrogen or C 1 -C 12 alkyl,

or R 3 and R 4 are taken together to form a spirocyclic ring system;

R 5 is hydrogen; and

each R 6 is independently selected from hydrogen, deuterium, CH 3 , F, 19 F, and 18 F;

wherein each heterocyclic ring contains up to four heteroatoms selected from O, N, and S;

with the proviso that when both Z and W are heteroatoms, the value of q cannot be 1.

2. The method of claim 1 , wherein:

n is 5;

m is 0;

R 1 is C 1 -C 12 alkyl;

R 2 is selected from

each Y is independently —Z—(CH 2 ) q —W—R b ;

q is 0, 1, or 2;

Z and W are independently selected from CH 2 , NR c , and R b ,

or Z and W are taken together to form a C 3 -C 8 heterocycloalkyl;

each R c is independently hydrogen or C 1 -C 4 alkyl;

each R b is independently selected from hydrogen, C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 3 -C 8 heterocycloalkyl, and C 3 -C 8 substituted heterocycloalkyl;

r is 1;

U is heterocycloalkyl;

R 3 and R 4 are each hydrogen,

or R 3 and R 4 are taken together to form a spirocyclic ring system; and

R 5 is hydrogen;

wherein each heterocyclic ring contains up to four heteroatoms selected from O and N; and

with the proviso that when both Z and W are heteroatoms, the value of q cannot be 1.

3. The method of claim 2 , wherein R 1 is C 5 alkyl.

4. The method of claim 2 , wherein R 2 is

5. The method of claim 4 , wherein the compound is a pharmaceutically acceptable salt.

6. The method of claim 2 , wherein R 2 is

7. The method of claim 2 , wherein R 2 is —C(═O)—Y.

8. The method of claim 2 , wherein R 2 is —C(═O)—(CH 2 ) r U.

9. The method of claim 2 , wherein R 3 and R 4 are each hydrogen.

10. The method of claim 2 , wherein R 3 and R 4 are taken together to form a spirocyclic ring system.

11. The method of claim 2 , wherein the compound is a pharmaceutically acceptable salt.

12. The method of claim 1 , wherein R 1 is C 1 -C 12 alkyl.

13. The method of claim 1 , wherein R 1 is C 1 -C 12 alkyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy.

14. The method of claim 1 , wherein:

R 1 is C 1 -C 12 alkyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy;

each R b is independently selected from hydrogen; C 1 -C 12 alkyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy; and C 3 -C 8 heterocycloalkyl optionally substituted with 1-5 substituents selected from C 1 -C 6 alkyl, alkoxy, cyano, halo, hydroxy, and oxo.

15. The method of claim 1 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

16. The method of claim 15 , wherein the neurodegenerative disease is Alzheimer's disease.

17. The method of claim 15 , wherein the neurodegenerative disease is Parkinson's disease.

18. A method for treating a neurogenerative disease in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound of formula (II):

or a tautomer or a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer, wherein:

n is 3, 4, 5, 6, 7, 8, or 9;

m is 0, 1, 2, 3, or 4;

R 1 is selected from C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 2 -C 12 alkenyl, C 2 -C 12 substituted alkenyl, C 2 -C 12 alkynyl, and C 2 -C 12 substituted alkynyl;

R 2 is selected from hydrogen,

each Y is independently —Z—(CH 2 ) q —W—R b ,

or —C(═O)—Y forms an amide bond through a nitrogen atom on Y, and Y is selected from glycine, sarcosine, N,N-dimethylglycine, alanine, valine, leucine, isoleucine, lysine, ornithine, arginine, serine, and threonine;

q is 0-4;

each Z and W is independently selected from CH 2 , O, S, NR c , and R b ,

or Z and W are taken together to form a C 3 -C 8 heterocycloalkyl or C 4 -C 10 heteroaryl or bicyclic ring system in which one of the rings is a C 4 -C 10 heteroaryl;

each R c is independently selected from hydrogen, C 1 -C 4 alkyl, and C 3 -C 6 cycloalkyl;

each R b is independently selected from hydrogen, C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 substituted cycloalkyl, C 3 -C 8 heterocycloalkyl, and C 3 -C 8 substituted heterocycloalkyl;

U is selected from pyridine, 1,4-dihydropyridine, N-alkyl-1,4-dihydropyridine, and C-imidazole, or U is aryl, heteroaryl or heterocycloalkyl;

R 3 and R 4 are independently selected from hydrogen, C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 2 -C 12 alkenyl, C 2 -C 12 substituted alkenyl, C 2 -C 12 alkynyl, and C 2 -C 12 substituted alkynyl,

or R 3 and R 4 are taken together to form a fused bicyclic ring system or a spirocyclic ring system; and

each R 6 is independently selected from hydrogen, deuterium, CH 3 , F, 19 F, and 18 F;

wherein each heterocyclic and heteroaryl ring contains up to four heteroatoms selected from O, N, and S;

with the proviso that when both Z and W are heteroatoms, the value of q cannot be 1;

and with the proviso that when R 2 is hydrogen, at least one of the R 3 or R 4 groups is not hydrogen.

19. The method of claim 18 , wherein:

R 1 is selected from C 1 -C 12 alkyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy; C 2 -C 12 alkenyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy; and C 2 -C 12 alkynyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy;

each R b is independently selected from hydrogen; C 1 -C 12 alkyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy; C 3 -C 8 cycloalkyl optionally substituted with 1-5 substituents selected from C 1 -C 6 alkyl, alkoxy, cyano, halo, hydroxy, and oxo; and C 3 -C 8 heterocycloalkyl optionally substituted with 1-5 substituents selected from C 1 -C 6 alkyl, alkoxy, cyano, halo, hydroxy, and oxo; and

R 3 and R 4 are independently selected from hydrogen; C 1 -C 12 alkyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy; C 2 -C 12 alkenyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy; and C 2 -C 12 alkynyl optionally substituted with 1-5 substituents independently selected from alkoxy, cyano, halo, and hydroxy.

20. The method of claim 18 , wherein the compound is of formula (III):

or a tautomer or a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer, wherein:

R 1 is a C 1 -C 12 alkyl or C 1 -C 12 substituted alkyl;

R 2 is selected from hydrogen,

each Y is independently —Z—(CH 2 ) q —W—R b ;

q is 0-4;

Z and W are independently selected from CH 2 , O, S, NR c , and R b ,

or Z and W are taken together to form a C 3 -C 8 heterocycloalkyl or C 4 -C 10 heteroaryl or bicyclic ring system in which one of the rings is a C 4 -C 10 heteroaryl;

each R c is independently selected from hydrogen, C 1 -C 4 alkyl, and C 3 -C 6 cycloalkyl;

each R b is independently selected from hydrogen, C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 3 -C 8 cycloalkyl, C 3 -C 8 substituted cycloalkyl, C 3 -C 8 heterocycloalkyl, and C 3 -C 8 substituted heterocycloalkyl; and

R 3 and R 4 are independently selected from hydrogen, C 1 -C 12 alkyl, C 1 -C 12 substituted alkyl, C 2 -C 12 alkenyl, C 2 -C 12 substituted alkenyl, C 2 -C 12 alkynyl, and C 2 -C 12 substituted alkynyl,

or R 3 and R 4 are taken together to form a fused bicyclic ring system or a spirocyclic ring system, wherein the fused ring is C 3 -C 8 heterocycloalkyl, C 6 -C 10 aryl, or C 4 -C 10 heteroaryl;

wherein each heterocyclic and heteroaryl ring contains up to four heteroatoms selected from O, N, and S;

with the proviso that when both Z and W are heteroatoms, the value of q cannot be 1;

and with the proviso that when R 2 is hydrogen, at least one of the R 3 or R 4 groups is not hydrogen.

21. The method of claim 20 , wherein:

R 1 is a C 1 -C 12 alkyl;

R 2 is —C(═O)—Y; and

R 3 and R 4 are each hydrogen.

22. The method of claim 20 , wherein:

R 1 is a C 1 -C 12 alkyl;

R 2 is —C(═O)—CH(NH 2 ) i Pr; and

R 3 and R 4 are each hydrogen.

23. The method of claim 20 , wherein:

R 1 is a C 1 -C 12 alkyl;

R 2 is —C(═O)—CH(NH 2 ) i Pr;

R 3 and R 4 are each hydrogen;

m is 1 or 2; and

R 6 is F.

24. The method of claim 20 , wherein:

R 1 is a C 1 -C 12 alkyl;

R 2 is

and

R 3 and R 4 are each hydrogen.

25. The method of claim 18 , wherein:

m is 0;

R 1 is a C 1 -C 12 alkyl; and

R 3 and R 4 are taken together to form a spirocyclic ring system.

26. The method of claim 18 , wherein:

m is 1 or 2;

R 1 is a C 1 -C 12 alkyl;

R 3 and R 4 are taken together to form a spirocyclic ring system; and

R 6 is selected from hydrogen, deuterium, F, 19 F, and 18 F.

27. The method of claim 18 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

28. The method of claim 27 , wherein the neurodegenerative disease is Alzheimer's disease.

29. The method of claim 27 , wherein the neurodegenerative disease is Parkinson's disease.

30. A method for treating a neurogenerative disease in a subject in need thereof, comprising administering to the subject a therapeutically effective amount of a compound selected from:

or a tautomer or a pharmaceutically acceptable salt thereof, or a pharmaceutically acceptable salt of the tautomer.

31. The method of claim 30 , wherein the compound is:

or a pharmaceutically acceptable salt thereof.

32. The method of claim 31 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

33. The method of claim 32 , wherein the neurodegenerative disease is Alzheimer's disease.

34. The method of claim 32 , wherein the neurodegenerative disease is Parkinson's disease.

35. The method of claim 30 , wherein the compound is:

or a pharmaceutically acceptable salt thereof.

36. The method of claim 35 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

37. The method of claim 36 , wherein the neurodegenerative disease is Alzheimer's disease.

38. The method of claim 36 , wherein the neurodegenerative disease is Parkinson's disease.

39. The method of claim 30 , wherein the compound is:

or a pharmaceutically acceptable salt thereof.

40. The method of claim 39 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

41. The method of claim 40 , wherein the neurodegenerative disease is Alzheimer's disease.

42. The method of claim 40 , wherein the neurodegenerative disease is Parkinson's disease.

43. The method of claim 30 , wherein the compound is:

or a pharmaceutically acceptable salt thereof.

44. The method of claim 43 , wherein the compound is:

45. The method of claim 44 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

46. The method of claim 45 , wherein the neurodegenerative disease is Alzheimer's disease.

47. The method of claim 45 , wherein the neurodegenerative disease is Parkinson's disease.

48. The method of claim 43 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

49. The method of claim 48 , wherein the neurodegenerative disease is Alzheimer's disease.

50. The method of claim 48 , wherein the neurodegenerative disease is Parkinson's disease.

51. The method of claim 43 , wherein the compound is:

52. The method of claim 51 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

53. The method of claim 52 , wherein the neurodegenerative disease is Alzheimer's disease.

54. The method of claim 52 , wherein the neurodegenerative disease is Parkinson's disease.

55. The method of claim 30 , wherein the neurodegenerative disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, spinal cord injury, traumatic brain injury, sensorineural hearing, or vision loss.

56. The method of claim 55 , wherein the neurodegenerative disease is Alzheimer's disease.

57. The method of claim 55 , wherein the neurodegenerative disease is Parkinson's disease.

Assignments (3)
CHANGE OF NAME Recorded Feb 6, 2026
From: ATHIRA PHARMA, INC.
To: LEONABIO, INC.
Reel/Frame 074582/0006 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Sep 9, 2021
From: KAWAS, LEEN H.; SINGH, JASBIR; STEWART, LANSING JOSEPH; BAKER, WILLIAM R.
To: M3 BIOTECHNOLOGY, INC.
Reel/Frame 057430/0241 →
CHANGE OF NAME Recorded Sep 9, 2021
From: M3 BIOTECHNOLOGY, INC.
To: ATHIRA PHARMA, INC.
Reel/Frame 057453/0815 →
Continuity (3)
Division 16306277
Provisional Application 62344305 · Jun 1, 2016
Related Publication 20210340176A1 · Nov 4, 2021
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