Spiropiperidine allosteric modulators of nicotinic acetylcholine receptors
The present disclosure relates to compounds of formula I that are useful as modulators of α7 nAChR, compositions comprising such compounds, and the use of such compounds for preventing, treating, or ameliorating disease, particularly disorders of the central nervous system such as cognitive impairments in Alzheimer's disease, Parkinson's disease, and schizophrenia, as well as for L-DOPA induced-dyskinesia and inflammation
1. A compound which is selected from
1-({[2-(difluoromethoxy)pyridin-4-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
2-({[2-(difluoromethoxy)pyridin-4-yl]oxy}methyl)-1,1-difluoro-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(5-phenyl-1,2,4-oxadiazol-3-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-({[2-(trifluoromethyl)pyridin-4-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{[(5-phenyl-1,2,4-oxadiazol-3-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[3-(2,2,2-trifluoroethoxy)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[2-(2,2,2-trifluoroethoxy)pyridin-3-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(2,2,2-trifluoroethoxy)pyridin-2-yl]methoxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-[({6-[(2,2,2-trifluoroethyl)amino]pyridin-2-yl}oxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(5-chloro-2-methoxyphenyl)sulfanyl]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(5-chloro-2-methoxyphenyl)sulfonyl]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)—N-(5-chloro-2-methoxyphenyl)-6-sulfamoyl-6-azaspiro[2.5]octane-1-carboxamide;
(1R)-1-{[(5-chloro-2-methoxyphenyl)amino]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)—N-(5-chloro-2-methoxyphenyl)-2,2-difluoro-6-sulfamoyl-6-azaspiro[2.5]octane-1-carboxamide;
(1R)-1-({[6-(morpholin-4-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-({[4-fluoro-2-(trifluoromethyl)phenyl]sulfanyl}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{2-[4-fluoro-2-(trifluoromethyl)phenyl]ethyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{(E)-2-[4-fluoro-2-(trifluoromethyl)phenyl]ethenyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(2,6-dimethoxypyridin-3-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
2-[(5-chloro-2-methoxyphenoxy)methyl]-1,1-difluoro-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-[(4-fluoro-3-methoxyphenoxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-[(4-fluoro-3-methoxyphenoxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-[(4-fluoro-2-methoxyphenoxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[4-fluoro-2-(trifluoromethyl)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{[5-fluoro-2-(trifluoromethyl)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[2-(difluoromethoxy)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{[4-fluoro-2-(trifluoromethyl)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-({[1-methyl-3-(trifluoromethyl)-1H-pyrazol-5-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-{[(5-phenyl-1,2,4-oxadiazol-3-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[(3-methyl-1-phenyl-1H-pyrazol-5-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[5-fluoro-2-(trifluoromethyl)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-({[4-methoxy-6-(2,2,2-trifluoroethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(cyclopropylmethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-({[6-(cyclopropylmethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(3,5-dimethyl-1H-pyrazol-1-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-({[6-(3,5-dimethyl-1H-pyrazol-1-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
4,4-difluoro-1-{[(5-phenyl-1,2,4-oxadiazol-3-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[3-(difluoromethoxy)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[3-(trifluoromethoxy)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-{[3-(trifluoromethoxy)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1-[(2-fluoro-5-methoxyphenoxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
1-{[(6-methoxypyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
2-{[3-(difluoromethoxy)phenoxy]methyl}-1,1-difluoro-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{[3-(2,2,2-trifluoroethoxy)phenoxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-[(2-fluoro-5-methoxyphenoxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
1-({[2-(2,2,2-trifluoroethoxy)pyridin-4-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-({[2-(2,2,2-trifluoroethoxy)pyridin-4-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-({[2-(2,2,2-trifluoroethoxy)pyridin-3-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(2,2,2-trifluoroethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1S)-1-({[6-(2,2,2-trifluoroethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
4,4-difluoro-1-({[6-(2,2,2-trifluoroethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-({[6-(2,2,2-trifluoroethoxy)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1-[(5-chloro-2-methoxyphenoxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
1-({[4-(trifluoromethyl)phenyl]sulfanyl}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-({[4-(trifluoromethyl)phenyl]sulfanyl}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(methylsulfonyl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(4-methylpiperazin-1-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-cyanopyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-methylpyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-cyclopropylpyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(3-methyl-1H-pyrazol-1-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-methoxypyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(2-hydroxypropan-2-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(propan-2-yl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-ethoxypyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-tert-butylpyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-({[6-(1,1-difluoroethyl)pyridin-2-yl]oxy}methyl)-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-{[(6-phenylpyridin-2-yl)oxy]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)-1-[(2,4′-bipyridin-6-yloxy)methyl]-6-azaspiro[2.5]octane-6-sulfonamide;
(2R)-2-{[(5-chloro-2-methoxyphenyl)amino]methyl}-1,1-difluoro-6-azaspiro[2.5]octane-6-sulfonamide;
(2R)-2-{[(2,5-dimethylphenyl)amino]methyl}-1,1-difluoro-6-azaspiro[2.5]octane-6-sulfonamide;
1,1-difluoro-2-{[(1-phenyl-1H-tetrazol-5-yl)sulfanyl]methyl}-6-azaspiro[2.5]octane-6-sulfonamide;
(1R)—N-(2-methoxyphenyl)-6-sulfamoyl-6-azaspiro[2.5]octane-1-carboxamide;
(1R)—N-(3-chlorophenyl)-6-sulfamoyl-6-azaspiro[2.5]octane-1-carboxamide; and
(1S)—N-(5-chloro-2-methoxyphenyl)-2,2-difluoro-6-sulfamoyl-6-azaspiro[2.5]octane-1-carboxamide;
or a pharmaceutically acceptable salt thereof.
2. A pharmaceutical composition comprising (i) a pharmaceutically acceptable carrier and (ii) a compound of claim 1 or a pharmaceutically acceptable salt thereof.
3. The pharmaceutical composition of claim 2 , further comprising a second therapeutic agent selected from the group consisting of acetylcholinesterase inhibitors; NMDA receptor antagonists; antipsychotics; MAO-B inhibitors; and levodopa.
4. A method of treating a patient with cognitive impairments associated with Alzheimer's disease, Parkinson's disease, and schizophrenia, the method comprising administering to the patient the compound of claim 1 , or a pharmaceutically acceptable salt thereof, in an amount effective to treat the patient.
5. A method of modulating α7 nAChR activity, the method comprising administering an effective amount of a compound of claim 1 to a patient in need thereof.