Ketamine derivatives and compositions thereof
Ketamine derivatives and pharmaceutical compositions thereof are disclosed. When administered orally the ketamine derivatives provide increased bioavailability of ketamine in the systemic circulation. The ketamine derivatives can be used to treat neurological diseases, psychological diseases and pain.
1. A compound of Formula (1):
or a pharmaceutically acceptable salt thereof, wherein,
R 1 is selected from hydrogen and C 1-6 alkyl; and
R 2 is a moiety of Formula (6):
wherein,
p is an integer from 1 to 3; and
each R 8 is independently selected from hydrogen, C 1-6 alkyl, and —NH 2 .
2. The compound of claim 1 , wherein p is 1.
3. The compound of claim 1 , wherein R 8 is hydrogen.
4. The compound of claim 1 , wherein R 8 is C 1-6 alkyl.
5. The compound of claim 1 , wherein R 8 is methyl.
6. The compound of claim 1 , wherein R 8 is —NH 2 .
7. The compound of claim 1 , wherein p is 1; and R 8 is hydrogen.
8. The compound of claim 1 , wherein p is 1; and R 8 is C 1-6 alkyl.
9. The compound of claim 1 , wherein p is 1; and R 8 is methyl.
10. The compound of claim 1 , wherein p is 1; and R 8 is —NH 2 .
11. The compound of claim 1 , wherein the compound is the (R)-isomer having the structure of Formula (1a):
12. The compound of claim 1 , wherein the compound is the(S)-isomer having the structure of Formula (1b):
13. The compound of claim 1 , wherein the compound is selected from:
1-((((S)-1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy) ethyl nicotinate (14);
(s)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl 6-methylnicotinate (29);
(S)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl 4-methylnicotinate (54);
(S)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl 2-methylnicotinate (55);
(S)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl 6-methylnicotinate (56);
(S)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl 2-aminonicotinate (61);
(R)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl nicotinate (67);
(R)-(((1-(2-chlorophenyl)-2-oxocyclohexyl)(methyl)carbamoyl)oxy)methyl 2-aminonicotinate (73); and
a pharmaceutically acceptable salt of any of the foregoing.
14. A pharmaceutical composition comprising the compound of claim 1 or a pharmaceutically acceptable salt thereof.
15. The pharmaceutical composition of claim 14 , wherein the pharmaceutical composition comprises an oral dosage form.
16. A method of providing a therapeutically effective concentration of (R)-ketamine, (S)-ketamine, a metabolite of any of the foregoing, or a combination of any of the foregoing in a patient's blood comprising administering to a patient, a therapeutically effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.
17. The method of claim 16 , wherein administering comprises orally administering.
18. A method of treating depression in a patient comprising administering to a patient in need of such treatment a therapeutically effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.
19. The method of claim 18 , wherein administering comprises orally administering.
20. A method of treating pain in a patient comprising administering to a patient in need of such treatment a therapeutically effective amount of the compound of claim 1 or a pharmaceutically acceptable salt thereof.
21. The method of claim 20 , wherein administering comprises orally administering.
22. The method of claim 20 , wherein the pain is selected from back pain, cancer pain, carpal tunnel syndrome pain, chronic pain, pain associated with diabetic peripheral neuropathy, pain associated with fibromyalgia, pain associated with migraine, myofascial pain, neuropathic pain, neuralgia, pain associated with osteoarthritis, pain associated with peripheral neuropathy, postoperative pain, regional pain syndrome, rheumatoid arthritis pain, sciatica, scoliosis pain, spinal cord injury pain, pain associated with spinal stenosis, trigeminal neuralgia, and traumatic pain.
23. A method of treating a psychiatric disease in a patient comprising administering to a patient in need of such treatment, a therapeutically effective amount of the compound of claim 1 , wherein the psychiatric disease or disorder is selected from an alcohol use disorder, an anxiety disorder, an obsessive-compulsive disorder, an opioid use disorder, and a posttraumatic stress disorder.
24. The method of claim 23 , wherein administering comprises orally administering.