IP Library Granted Patent US 12,485,125
Granted Patent B2
US 12,485,125 · App. 17/461,988 · Granted Dec 2, 2025

Treatment with P2X3 modulators

Inventors: Antonios Matzouranis (Laval, CA); Denis Garceau (Laval, CA); Roberto Bellini (Laval, CA)
Assignee: GlaxoSmithKline Intellectual Property (No. 3) Limited
A61K31/5377A61K31/437A61K31/4545A61K45/06A61P15/00A61P25/04
View Patent ↗
Loading inventors, assignments & file history…
Monitor This Case
Get email alerts when status or documents change.
Order Certified Copies
Most orders are placed with the USPTO same day — all within 24 business hours.
Order via The Patent Place →
Pre-filled with this patent's details
Quick Facts
Patent No.
US 12,485,125
App. No.
17/461,988
Granted
Dec 2, 2025
Kind
B2
Abstract

Provided herein are methods for treating endometriosis, endometriosis-associated pain, and endometriosis-associated symptoms in a mammal in need thereof with a P2X3 modulator.

Claims (29)

1 . A method of treating endometriosis-associated chronic pain in a mammal in need thereof, the method comprising administering to the mammal a therapeutically effective amount of a P2X3 antagonist, wherein the P2X3 antagonist is a compound of Formula (I), or a pharmaceutically acceptable salt thereof, wherein Formula (I) is:

R 1 is selected from the group consisting of cyano, halogen, methyl, and ethyl;

R 2 is selected from the group consisting of hydrogen, halogen, methyl, and ethyl;

R 3 is selected from the group consisting of halogen, methyl, and ethyl;

R 4 is selected from the group consisting of hydrogen, halogen, methyl, ethyl, and methoxy; R 5 and R 6 are independently selected from the group consisting of hydrogen, C 1 -C 6 -alkyl, and hydroxy-C 1 -C 6 -alkyl; or

R 5 and R 6 , together with the nitrogen to which they are both attached, form a 5- or 6-member heterocycloalkyl, wherein the heterocycloalkyl is optionally substituted with one or more substituents independently selected from the group consisting of halogen, hydroxyl, and C 1 -C 4 -alkyl;

R 7 and R 8 are independently selected from the group consisting of hydrogen and C 1 -C 4 -alkyl;

R 9 is selected from the group consisting of C 1 -C 6 -alkyl, C 3 -C 6 -cycloalkyl, C 1 -C 6 -alkyl-C 3 -C 6 -cycloalkyl, halo-C 1 -C 6 -alkyl, C 1 -C 6 -alkoxy, halo-C 1 -C 6 -alkoxy, and C 1 -C 6 -alkoxy-C 1 -C 6 -alkyl; and

X is selected from the group consisting of a bond, CH 2 , and O.

2 . The method of claim 1 , wherein R 1 is methyl and R 2 is hydrogen.

3 . The method of claim 1 , wherein R 3 and R 4 are fluoro.

4 . The method of claim 1 , wherein X is 0.

5 . The method of claim 1 , wherein the compound corresponds in structure to:

and

R 4 is selected from the group consisting of halogen, methyl, and ethyl.

6 . The method of claim 1 , wherein R 5 is hydrogen and R 6 is C 1 -C 6 -alkyl.

7 . The method of claim 1 , wherein R 6 is methyl.

8 . The method of claim 1 , wherein R 7 and R 8 are hydrogen.

9 . The method of claim 1 , wherein R 9 is C 1 -C 6 -alkoxy.

10 . The method of claim 1 , wherein R 9 is methoxy.

11 . The method of claim 1 , wherein the compound corresponds in structure to:

12 . The method of claim 1 , wherein the compound corresponds in structure to:

13 . The method of claim 2 , wherein the compound corresponds in structure to:

14 . The method of claim 1 , wherein the compound corresponds in structure to:

15 . The method of claim 1 , wherein the compound corresponds in structure to:

16 . The method of claim 1 , wherein the compound corresponds in structure to:

17 . The method of claim 1 wherein the mammal is a human.

18 . The method of claim 1 , further comprising the administration of a second therapeutic agent.

19 . The method of claim 18 , wherein the second therapeutic agent is selected from a hormonal contraceptive, a non-steroidal anti-inflammatory agent (NSAID), a prostaglandin E synthase (PTGES) inhibitor, an interleukin-I receptor-associated kinase 4 (IRAK.4) inhibitor, a prostanoid EP4 receptor antagonist, an aldo-keto reductase 1C3 (AKRIC3) inhibitor, and a prolactin receptor (PRLR) antagonist.

Assignments (6)
CHANGE OF ADDRESS Recorded Apr 16, 2025
From: GLAXOSMITHKLINE INTELLECTUAL PROPERTY (NO.3) LIMITED
To: GLAXOSMITHKLINE INTELLECTUAL PROPERTY (NO.3) LIMITED
Reel/Frame 071351/0192 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 19, 2024
From: 14245563 CANADA INC.
To: ID BIOMEDICAL CORPORATION OF QUEBEC
Reel/Frame 066353/0331 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 19, 2024
From: ID BIOMEDICAL CORPORATION OF QUEBEC
To: GLAXOSMITHKLINE INTELLECTUAL PROPERTY (NO.3) LIMITED
Reel/Frame 066353/0356 →
MERGER Recorded Aug 9, 2023
From: BELLUS HEALTH COUGH INC.
To: BELLUS HEALTH INC.
Reel/Frame 064531/0830 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 9, 2023
From: BELLUS HEALTH INC.
To: 14245563 CANADA INC.
Reel/Frame 065117/0909 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 1, 2021
From: MATZOURANIS, ANTONIOS; GARCEAU, DENIS; BELLINI, ROBERTO
To: BELLUS HEALTH COUGH INC.
Reel/Frame 057674/0936 →
Continuity (3)
Continuation PCTIB2020000160 · Feb 24, 2020
Provisional Application 62810163 · Feb 25, 2019
Related Publication 20210386751A1 · Dec 16, 2021
References Cited (119)
US 7550495B2 · Page et al. · 2009 [cited by applicant]
US 8530467B2 · Cantin et al. · 2013 [cited by applicant]
US 9598409B2 · Buon et al. · 2017 [cited by applicant]
US 9814725B2 · Buon · 2017 [cited by examiner]
US 9937815B2 · Smidebrant et al. · 2018 [cited by applicant]
US 10111883B1 · Garceau et al. · 2018 [cited by applicant]
US 20060264490A1 · Page et al. · 2006 [cited by applicant]
US 20150290181A1 · Lee et al. · 2015 [cited by applicant]
US 20150361078A1 · Buon et al. · 2015 [cited by applicant]
US 20170143730A1 · Buon et al. · 2017 [cited by applicant]
US 20170326141A1 · Trower · 2017 [cited by applicant]
US 20180015099A1 · Buon et al. · 2018 [cited by applicant]
US 20190300957A1 · Gonsky et al. · 2019 [cited by applicant]
US 20200390779A1 · Buon et al. · 2020 [cited by applicant]
US 20210228588A1 · Buon et al. · 2021 [cited by applicant]
US 20210322432A1 · Garceau et al. · 2021 [cited by applicant]
CA 921395A · 1973 [cited by applicant]
CA 2655780A1 · 2007 [cited by applicant]
CA 2777746A1 · 2011 [cited by applicant]
CA 2898665A1 · 2014 [cited by applicant]
CA 2921395A1 · 2015 [cited by applicant]
CA 2998742A1 · 2017 [cited by applicant]
CN 102741245A · 2012 [cited by applicant]
EP 0533266A1 · 1993 [cited by applicant]
EP 2501697A1 · 2012 [cited by applicant]
JP 2004002826A · 2004 [cited by applicant]
RU 2294935C2 · 2007 [cited by applicant]
WO WO9722596A1 · 1997 [cited by applicant]
WO WO9730035A1 · 1997 [cited by applicant]
WO WO9732856A1 · 1997 [cited by applicant]
WO WO9813354A1 · 1998 [cited by applicant]
WO WO9902166A1 · 1999 [cited by applicant]
WO WO0040529A1 · 2000 [cited by applicant]
WO WO0041669A2 · 2000 [cited by applicant]
WO WO0047212A1 · 2000 [cited by applicant]
WO WO0192224A1 · 2001 [cited by applicant]
WO WO0194341A1 · 2001 [cited by applicant]
WO WO0204434A1 · 2002 [cited by applicant]
WO WO0208213A1 · 2002 [cited by applicant]
WO WO02085309A2 · 2002 [cited by applicant]
WO WO2006119504A2 · 2006 [cited by applicant]
WO WO2007147478A1 · 2007 [cited by applicant]
WO WO2008136756A1 · 2008 [cited by applicant]
WO WO2010033168A2 · 2010 [cited by applicant]
WO WO2011062550A1 · 2011 [cited by applicant]
WO WO2014117274A1 · 2014 [cited by examiner]
WO WO2016091776A1 · 2016 [cited by applicant]
WO WO2017160569A1 · 2017 [cited by applicant]
WO WO2018064135A1 · 2018 [cited by applicant]
WO WO2019064079A2 · 2019 [cited by applicant]
WO WO2020099923A1 · 2020 [cited by applicant]
WO WO2020112890A1 · 2020 [cited by applicant]
WO WO2020135771A1 · 2020 [cited by applicant]
WO WO2020174283A1 · 2020 [cited by applicant]
WO WO2021161105A1 · 2021 [cited by applicant]
WO WO2021161109A1 · 2021 [cited by applicant]
Ding et al. (PLoS One. 2017 12(9): e0184647) (Year: 2017). [cited by examiner]
Coutureau et al. Insights Imaging. 2023; 14 (94) (Year: 2023). [cited by examiner]
Abdulqawi et al. P2X3 receptor antagonist (AF-219) in refractory chronic cough: a randomised, double-blind, placebo-controlled phase 2 study. Lance 385(9974):1198-1205 (2015). [cited by applicant]
Australian Patent Application No. 2014211962 Examination Report No. 2 dated Jun. 12, 2017. [cited by applicant]
Australian Patent Application No. 2014211962 Examination Report No. 3 dated Sep. 29, 2017. [cited by applicant]
Baviskar et al.: N-fused imidazoles as novel anticancer agents that inhibit catalytic activity of topoisomerase llα and induce apoptosis in G1/S phase. J Med Chem. 54(14):5013-5030 (2011). [cited by applicant]
Berge et al.: Pharmaceutical Salts. Journal of Pharmaceutical. 66:1-19 (1997). [cited by applicant]
Byrn et al.: Pharmaceutical Solids: A Strategic Approach to Regulatory Considerations. Pharmaceutical Research. vol. 12, No. 7, 945-954 (1995). [cited by applicant]
Canadian Patent Application No. 2,898,665 Office Action dated Nov. 26, 2019. [cited by applicant]
Cantin et al.: Discovery of P2X3 Selective Antagonists for the Treatment of Chronic Pain. Bioorganic & Medicinal Chemistry Letters, 22(7):2565-2571, 2012. [cited by applicant]
Chauret et al.: BLU-5937, A potent and selective P2X3 antagonist, for the treatment of chronic itch: evidence from pre-clinical studies. Journal of Investigative Dermatology 139(9S):S232 (2019). [cited by applicant]
Chen et al.: A P2X purinoceptor expressed by a subset of sensory neurons. Nature, 377(6548):428-431, 1995. [cited by applicant]
Chernyak and Gevorgyan: “General and Efficient Copper-Catalyzed Three-Component Coupling Reaction towards Imidazoheterocycles. One-Pot Synthesis of Alpidem and Zolpidem,” Angewandte Chemie International Edition, 49(15):… [cited by applicant]
Chinese Patent Application No. 201710680673.x Search Report and Office Action dated Nov. 28, 2019. [cited by applicant]
Cockayne et al.: Urinary bladder hyporeflexia and reduced pain-related behaviour in P2X 3-deficient mice. Nature, 407(6807):1011-1015, 2000. [cited by applicant]
Deady. Ring nitrogen oxidation of amino substituted nitrogen heterocycles with m-Chloroperbenzoic acid. Syn. Comm., 7(8):509-514, 1977. [cited by applicant]
Ding et al.: P2X3 receptor involvement in endometriosis pain via ERK signaling pathway; Plos One 12(9) pp. 1-17 (2017). [cited by applicant]
EP18860273.4 Extended European Search Report dated Apr. 23, 2021. [cited by applicant]
European Patent Application No. 18158586.0 Office Action dated Mar. 26, 2020. [cited by applicant]
Fabbretti. ATP-gated P2X3 receptors are specialised sensors of the extracellular environment. Advances in Experimental Medicine and Biology 1051:7-16 (2017). [cited by applicant]
Ford et al.: The therapeutic promise of ATP antagonism at P2X3 receptors in respiratory and urological disorders. Frontiers in Cellular Neuroscience 7:267 [1-10] (2013). [cited by applicant]
Ford. In pursuit of P2X3 antagonists: novel therapeutics for chronic pain and afferent sensitization. Purinergic Signalling 8(Suppl 1):3-26 (2012). [cited by applicant]
Garceau et al.: BLU-5937: A selective P2X3 antagonist with potent anti-tussive effect and no taste alteration. Pulmonary Pharmacology and Therapeutics 56:56-62 (2019). [cited by applicant]
Garcia-Guzman et al.: Molecular characterization and pharmacological properties of the human P2X3 purinoceptor. Mol. Brain Res., 47(1-2):59-66, 1997. [cited by applicant]
Han et al.: A subpopulation of nociceptors specifically linked to itch. Nat Neurosci. Feb. 2013; 16(2):174-82. doi: 10.1038/nn.3289. Epub Dec. 23, 2012. [cited by applicant]
Japanese Patent Application No. 2015-555508 first Office Action dated Dec. 12, 2017. [cited by applicant]
Japanese Patent Application No. 2015-555508 Office Action dated Apr. 24, 2018. [cited by applicant]
Joule et al.: Heterocyclic Chemistry, Third edition, Chapter 11, “The diazines: pyridazine, pyrimidine and pyrazine: reactions and synthesis.” London: Cheapman and Hall, p. 189-225, 1995. [cited by applicant]
Kamei et al.: Involvement of ionotropic purinergic receptors in the histamine-induced enhancement of the cough reflex sensitivity in guinea pigs. Eur J Pharmacol 547:160-164, 2006. [cited by applicant]
Kamei et al.: Involvement of P2X receptor subtypes in ATP-induced enhancement of the cough reflex sensitivity. Eur J Pharmacol 528:158-161, 2005. [cited by applicant]
Korean Patent Application No. 10-2015-7023171 Office Action dated Jan. 21, 2020. [cited by applicant]
Korean Patent Application No. 10-2015-7023171 Office Action dated Mar. 25, 2020. [cited by applicant]
Kwong et al.: P2X2 receptors differentiate placodal vs. neural crest C-fiber phenotypes innervating guinea pig lungs and esophagus. AJP Lung Cell Mol Physiol., 295:L858-L865, 2008. [cited by applicant]
Lewis et al.: Coexpression of P2X2 and P2X3 receptor subunits can account for ATP-gated currents in sensory neurons. Nature, 377(6548):432-435, 1995. [cited by applicant]
Lombardo et al.: Discovery of N-(2-Chloro-6-methyl-phenyl)-2-(6-(4-(2-hydroxyethyl)-piperazin-1-yl)-2-methylpyrimidin-4-ylamino)thiazole-5-carboxamide (BMS-354825), a Dual Src/Abl kinase inhibitor with potent antitumor … [cited by applicant]
Mackenzie et al.: Drug Discovery Today: Disease Models, 1(3):297-302, 2004. [cited by applicant]
Marucci et al., Update on novel purinergic P2X3 and P2X2/3 receptor antagonists and their potential therapeutic applications. Expert Opinion on Therapeutic Patents 29(12):943-963 (2019). [cited by applicant]
North. The P2X3 subunit: a molecular target in pain therapeutics. Current Opinion in Investigational Drugs 4(7):833-840 (2003) . [cited by applicant]
PCT/CA2014/050062 International Preliminary Report on Patentability dated Aug. 4, 2015. [cited by applicant]
PCT/CA2014/050062 International Search Report and Written Opinion dated Apr. 29, 2014. [cited by applicant]
PCT/IB2018/001513 International Preliminary Report on Patentability dated Apr. 2, 2020. [cited by applicant]
PCT/IB2018/001513 International Search Report and Written Opinion dated Apr. 2, 2019. [cited by applicant]
PCT/IB2019/001122 International Preliminary Report on Patentability dated Apr. 22, 2021. [cited by applicant]
PCT/IB2019/001122 International Search Report and Written Opinion dated Feb. 10, 2020. [cited by applicant]
PCT/IB2019/001199 International Preliminary Report on Patentability dated May 27, 2021. [cited by applicant]
PCT/IB2019/001199 International Search Report and Written Opinion dated Mar. 3, 2020. [cited by applicant]
PCT/IB2020/000160 International Preliminary Report on Patentability dated Sep. 2, 2021. [cited by applicant]
PCT/IB2020/000160 International Search Report and Written Opinion dated Jun. 15, 2020. [cited by applicant]
PCT/IB2021/000091 International Search Report and Written Opinion dated May 25, 2021. [cited by applicant]
PCT/IB2021/000130 International Search Report and Written Opinion dated Jun. 14, 2021. [cited by applicant]
Russian Patent Application No. 2015133450 Office Action and Search Report dated Dec. 20, 2017. [cited by applicant]
Shiratori-Hayashi et al.: Role of P2X3 receptors in scratching behavior in mouse models. Journal of Allergy and Clinical Immunology 143(3):1252-1254 (2019). [cited by applicant]
Silverman et al.: Chapter 8: Prodrugs and drug delivery systems. In: The Organic Chemistry of Drug Design and Drug Action. San Diego: Academic Press, Inc. p. 352-401 (1992). [cited by applicant]
Trower et al.: Neurokinin-1 receptor antagonist orvepitant is an effective inhibitor of itch-associated response in a Mongolian gerbil model of scratching behaviour. Experimental Dermatology 23(11):858-860 (2014). [cited by applicant]
Ugo Basile 2012 Catalog; https://analab.gr/wp-content/uploads/Ugo-Basile-Catalogue-2012.pdf XP055483468 (2012). [cited by applicant]
U.S. Appl. No. 16/375,773 Office Action dated Jul. 9, 2019. [cited by applicant]
Vilotti et al.: B-Type Natriuretic Peptide-Induced Delayed Modulation of TRPV1 and P2X3 Receptors of Mouse Trigeminal Sensory Neurons. PLoS One. 8(11):e81138 (2013). [cited by applicant]
Yuan et al.: Effect of A-3177491 delivered by glycolipid-like polymer micelles on endometriosis pain. Int. J. Nanomedicine. 12:8171-8183 (2017). [cited by applicant]
Zhong et al.: Bladder and cutaneous sensory neurons of the rat express different functional P2X receptors. Neuroscience, 120(3):667-675, 2003. [cited by applicant]
Krina T Zondervan, et al.; “Endometriosis”, Nat Rev Dis Primers, Jul. 19, 2018;4(1):9. doi: 10.1038/s41572-018-0008-5. [cited by applicant]
Geoffroy Laumet, et al.; “CD3+ T cells are critical for the resolution of comorbid inflammatory pain and depression-like behavior”, Neurobiol Pain. Jan. 21, 2020;7:100043. doi: 10.1016/j.ynpai.2020.100043. [cited by applicant]
Miguel A Tejada, et al.; “Rodent Animal Models of Endometriosis-Associated Pain: Unmet Needs and Resources Available for Improving Translational Research in Endometriosis”, Int J Mol Sci Jan. 26, 2023;24(3):2422. doi: 1… [cited by applicant]
J Curtis Nickel, et al.; “Tanezumab Reduces Pain in Women with Interstitial Cystitis/Bladder Pain Syndrome and Patients with Nonurological Associated Somatic Syndromes”, J Urol Apr. 2016;195(4 Pt 1):942-8. doi: 10.1016/… [cited by applicant]