Biphenyl compounds useful as muscarinic receptor antagonists
This invention provides compounds of formula I: wherein a, b, c, d, m, n, p, s, t, W, Ar 1 , R 1 , R 2 , R 3 , R 4 , R 6 , R 7 , and R 8 are as defined in the specification. The compounds of formula I are muscarinic receptor antagonists. The invention also provides pharmaceutical compositions containing such compounds, processes and intermediates for preparing such compounds and methods of using such compounds to treat pulmonary disorders.
1. A nebulizer inhaler comprising a pharmaceutical composition comprising a pharmaceutically-acceptable aqueous carrier and biphenyl-2-ylcarbamic acid 1-(2-{[4-(4-carbamoylpiperidin-1-ylmethyl)benzoyl]methylamino}ethyl)-piperidin-4-yl ester or a pharmaceutically acceptable salt thereof.
2. The nebulizer inhaler of claim 1 , wherein the pharmaceutical composition has a pH in the range of from 3 to 8.
3. The nebulizer inhaler of claim 1 , wherein the pharmaceutical composition is isotonic.
4. The nebulizer inhaler of claim 1 , wherein the pharmaceutical composition comprises about 0.05 μg/mL to about 10 mg/mL of biphenyl-2-ylcarbamic acid 1-(2-{[4-(4-carbamoylpiperidin-1-ylmethyl)benzoyl}methylamino]ethyl)piperidin-4-yl ester or a pharmaceutically acceptable salt thereof.
5. The nebulizer inhaler of claim 1 , wherein pharmaceutical composition further comprises a β 2 adrenergic receptor agonist.
6. The nebulizer inhaler of claim 5 , wherein the β 2 adrenergic receptor agonist is selected from salmeterol, salbutamol, formoterol, salmefamol, fenoterol, terbutaline, albuterol, isoetharine, metaproterenol, bitolterol, pirbuterol, levalbuterol, 3-(4-{[6-({2R)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)-phenyl]ethyl}amino)-hexyl]oxy}butyl)benzenesulfonamide, 3-(-3-{[7-({(2R)-2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl-amino) heptyl]oxy}-propyl)benzenesulfonamide, 3-[3-(4-}[6-([(2R)-2-hydroxy-2-[4-hydroxy-3 -(hydroxymethyl)phenyl]ethyl}amino)hexyl]oxyl}-butyl) phenyl]imidazolidine-2,4-dione, 3-(4-{[6-(}(2R)-2-[3-(formylamino)-4-hydroxyphenyl]-2-hydroxyethyl}amino) hexyl]oxy}butyl)-benzenesulfonamide, 3-(4-{[6-(}(2S)-2-[3-(formylamino) -4-hydroxyphenyl]-2-hydroxyethyl}amino)hexyl]oxy}butyl)benzenesulfonamide, 3-(4-{[6-({(2R/S)-2-[3-(formylamino)-4-hydroxyphenyl]-2-hydroxyethyl}amino) hexyl]oxy}butyl)-benzenesulfonamide, N-(tert-butyl)-3-(4-{[6-({(2R)-2-[3-(formylamino) -4-hydroxyphenyl]-2-hydroxyethyl}amino)hexyl1]-oxy}butyl)benzenesulfonamide, N-(tert-butyl)-3 -(4-{[6-({(2S)-2-[3-(formylamino)-4-hydroxyphenyl]-2-hydroxyethyl}amino)-hexyl]oxy}butyl)-benzenesulfonamide, N-(tert-butyl)-3-(4-{[6-({(2R/S)-2-]3-(formylamino)-4-hydroxyphenyl]-2-hydroxyethyl∇amino)hexyl]oxy}butyl)benzenesulfonamide, 4-{(1R)-2-[(6-{2-[(2,6-dichlorobenzyl) oxy]ethoxy}hexyl)amino]-1-hydroxyethyl}-2-(hydroxymethyl)phenol, N-{2-[4-((R)-2-hydroxy-2-phenylethylamino)phenyl]ethyl}-(R)-2-hydroxy-2-(3-formamido-4-hydroxyphenyl)ethylamine, N-{2-[4-(3-phenyl-4-methoxyphenyl)aminophenyl}ethyl -(R)-2-hydroxy -2-(8-hydroxy-2(1H)-quinolinon-5-yl)ethylamine, or a pharmaceutically acceptable salt or solvate thereof.
7. The nebulizer inhaler of claim 1 , wherein pharmaceutical composition further comprises a steroidal anti-inflammatory agent.
8. The nebulizer inhaler of claim 7 , wherein the steroidal anti-inflammatory agent is selected from methyl prednisolone; prednisolone; dexamethasone;
fluticasone propionate; 6α, 9α-difluoro-17α-[(2-furanylcarbonyl)oxy]-11β-hydroxy-16α-methyl-3-oxoandrosta-1,4-diene-17β-carbothioic acid S-fluoromethyl ester; 6α, 9α-difluoro-11β- hydroxy-16α-methyl-3-oxo-17α-propionyloxy-androsta-1,4-diene-17β-carbothioic acid S-(2-oxo -tetrahydrofuran-3S-yl) ester; 17-proprionate ester or 17,21-diproprionate ester of beclomethasone; budesonide; flunisolide; mometasone furoate ester; triamcinolone acetonide; rofleponide; ciclesonide; butixocort propionate; RPR-106541; ST-126; or a pharmaceutically acceptable salt or solvate thereof.
9. A nebulizer inhaler comprising an isotonic aqueous solution comprising about 0.05μg/mL to about 10 mg/mL of biphenyl-2-ylcarbamic acid 1-(2-{[4-(4-carbamoylpiperidin-1-ylmethyl)benzoyl]methylamino}ethyl)piperidin-4-yl ester or a pharmaceutically acceptable salt thereof.
10. The nebulizer inhaler of claim 9 , wherein the aqueous solution has a pH in the range of from 3 to 8.