IP Library Granted Patent US 12,415,771
Granted Patent B2
US 12,415,771 · App. 17/620,294 · Granted Sep 16, 2025

Compounds for the treatment of neuromuscular disorders

Inventors: Lars J. S. Knutsen (Essex, GB); Nicholas Kelly (Bagsværd, DK); Martin Brandhøj Skov (Aarhus C, DK); Anders Riisager (Skødstrup, DK); Neerja Saraswat (Winnipeg, CA)
Assignee: NMD PHARMA A/S
C07C59/70A61P21/00C07C59/68C07C59/72C07C255/54C07D277/24C07C2601/04
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Quick Facts
Patent No.
US 12,415,771
App. No.
17/620,294
Granted
Sep 16, 2025
Kind
B2
Abstract

The present disclosure relates to compounds suitable for treating, ameliorating and/or preventing neuromuscular disorders, including the reversal of drug-induced neuromuscular blockade. The compounds as defined herein can inhibit the CIC-1 ion channel.

Claims (100)

1. A compound of Formula (I):

wherein:

R 1 is selected from the group consisting of C 1-2 alkyl, C 2 alkenyl, C 2 alkynyl, CN, CF 3 , NO 2 , F, Cl, Br, and I;

R 2 is selected from the group consisting of C 1-5 alkyl optionally be substituted with one or more, identical or different, substituents R 6 , C 2-5 alkenyl optionally be substituted with one or more, identical or different, substituents R 6 , C 2-5 alkynyl optionally be substituted with one or more, identical or different, substituents R 6 , C 3-5 cycloalkyl optionally substituted with one or more, identical or different, substituents R 6 , phenyl optionally substituted with one or more, identical or different, substituents R 9 , and 5-6 membered aromatic heterocycle optionally substituted with one or more, identical or different, substituents R 7 ;

R 3 is selected from the group consisting of deuterium, Cl and F;

R 4 is selected from the group consisting of H, deuterium, C 1-5 alkyl, C 2-5 alkenyl, C 2-5 alkynyl, and C 3-5 cycloalkyl, each of which may be optionally substituted with one or more, identical or different, substituents R 7 ;

R 5 is selected from the group consisting of H, C 1-5 alkyl optionally substituted with one or more, identical or different, substituents R 8 , C 2-5 alkenyl optionally substituted with one or more, identical or different, substituents R 8 , C 2-5 alkynyl optionally substituted with one or more, identical or different, substituents R 8 , C 3-6 cycloalkyl optionally substituted with one or more, identical or different, substituents R 8 , phenyl optionally substituted with one or more, identical or different, substituents R 9 , and benzyl optionally substituted with one or more, identical or different, substituents R 9 ;

R 6 is independently selected from the group consisting of deuterium, F, —CN, —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl, wherein the —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl may optionally be substituted with one or more, identical or different, substituents R 8 ;

R 7 is independently selected from the group consisting deuterium, F, C 1 , —CN, C 3-5 cycloalkyl, —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl, wherein the C 3-5 cycloalkyl, —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl may optionally be substituted with one or more, identical or different, substituents R 8 ;

R 8 is independently selected from the group consisting of deuterium and F;

R 9 is independently selected from the group consisting of deuterium, methoxy, nitro, cyano, Cl, Br, I, and F;

X is a bond or selected from the group consisting of —O—, —S—, —CH 2 —, —CHR 6 —, and —C(R 6 ) 2 —; and

n is an integer 0, 1, 2, or 3;

or a pharmaceutically acceptable salt, hydrate, polymorph, tautomer, or solvate thereof.

2. The compound according to claim 1 , wherein the compound is of Formula (II)

wherein:

R 1 is selected from the group consisting of C 1-2 alkyl, C 2 alkenyl, C 2 alkynyl, CN, CF 3 , NO 2 , F, Cl, Br, and I;

R 2 is selected from the group consisting of C 1-5 alkyl optionally be substituted with one or more, identical or different, substituents R 6 , C 2-5 alkenyl optionally be substituted with one or more, identical or different, substituents R 6 , C 2-5 alkynyl optionally be substituted with one or more, identical or different, substituents R 6 , C 3-5 cycloalkyl optionally substituted with one or more, identical or different, substituents R 6 , phenyl optionally substituted with one or more, identical or different, substituents R 9 , and 5-6 membered aromatic heterocycle optionally substituted with one or more, identical or different, substituents R 7 ;

R 3 is selected from the group consisting of deuterium, Cl and F;

R 4 is selected from the group consisting of H, deuterium, C 1-5 alkyl, C 2-5 alkenyl, C 2-5 alkynyl, and C 3-5 cycloalkyl, each of which may be optionally substituted with one or more, identical or different, substituents R 7 ;

R 5 is selected from the group consisting of H, C 1-5 alkyl optionally substituted with one or more, identical or different, substituents R 8 , C 2-5 alkenyl optionally substituted with one or more, identical or different, substituents R 8 , C 2-5 alkynyl optionally substituted with one or more, identical or different, substituents R 8 , C 3-6 cycloalkyl optionally substituted with one or more, identical or different, substituents R 8 , phenyl optionally substituted with one or more, identical or different, substituents R 9 , and benzyl optionally substituted with one or more, identical or different, substituents R 9 ;

R 6 is independently selected from the group consisting of deuterium, F, —CN, —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl, wherein the —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl may optionally be substituted with one or more, identical or different, substituents R 8 ;

R 7 is independently selected from the group consisting deuterium, F, Cl, —CN, C 3-5 cycloalkyl, —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl, wherein the C 3-5 cycloalkyl, —O—C 1-5 alkyl, —O—C 3-5 cycloalkyl, —S—C 1-5 alkyl, and —S—C 3-5 cycloalkyl may optionally be substituted with one or more, identical or different, substituents R 8 ;

R 8 is independently selected from the group consisting of deuterium and F;

R 9 is independently selected from the group consisting of deuterium, methoxy, nitro, cyano, Cl, Br, I, and F; and

n is an integer 0, 1, 2, or 3;

or a pharmaceutically acceptable salt, hydrate, polymorph, tautomer, or solvate thereof.

3. The compound according to claim 2 , wherein R 1 is Cl or Br.

4. The compound according to claim 2 , wherein R 2 is C 1-3 alkyl optionally substituted with one or more, identical or different, substituents R 6 .

5. The compound according to claim 2 , wherein R 3 is F and n is 1.

6. The compound according to claim 2 , wherein R 4 is C 1-5 alkyl optionally substituted with one or more, identical or different, substituents R 6 .

7. The compound according to claim 2 , wherein R 4 is CH 2 F.

8. The compound according to claim 2 , wherein R 4 is C 2-5 alkynyl optionally substituted with one or more, identical or different, substituents R 6 .

9. The compound according to claim 2 , wherein R 5 is H.

10. The compound according to claim 1 , wherein the compound is selected from the group consisting of:

(2S)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]-3-cyclopropylpropanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]butanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl) phenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]propanoic acid;

(2S)-2-[4-chloro-2-(1,1-difluoropropyl) phenoxy]propanoic acid;

2-[4-bromo-2-(1,1-difluoropropyl) phenoxy]acetic acid;

(2S)-2-[4-bromo-2-(1,1-difluoro-2-methylpropyl) phenoxy]propanoic acid;

(2S)-2-{4-bromo-2-[difluoro (phenyl)methyl]phenoxy}propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]-2-cyclopropylacetic acid;

(2S)-2-[4-bromo-2-(1,1-difluorobutyl) phenoxy]propanoic acid;

(2R)-2-[4-bromo-2-(1,1-difluoropropyl) phenoxy]-3-fluoropropanoic acid;

(2S)-2-[4-bromo-2-(cyclopropyldifluoromethyl) phenoxy]propanoic acid;

(2S)-2-{4-bromo-2-[difluoro (1,3-thiazol-2-yl)methyl]phenoxy}propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]pent-4-ynoic acid;

(2S)-2-[4-bromo-2-(cyclobutyldifluoromethyl) phenoxy]propanoic acid;

(2R)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]-3-fluoropropanoic acid;

(2R)-2-[4-bromo-2-(1,1-difluoropropyl) phenoxy]-3-chloropropanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl) phenoxy]pent-4-ynoic acid;

(2S)-2-[4-chloro-2-(1,1-difluoroethyl) phenoxy]pent-4-ynoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-iodophenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl) phenoxy](2-2H) propanoic acid;

(2R)-2-[4-chloro-2-(1,1-difluoropropyl) phenoxy]-3-fluoropropanoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-ethynylphenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl)-5-fluorophenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl)-6-fluorophenoxy]propanoic acid;

(2S)-2-[4-cyano-2-(1,1-difluoropropyl) phenoxy]propanoic acid;

(2R)-2-[4-chloro-2-(1,1-difluoroethyl) phenoxy]-3-fluoropropanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoroethyl)-5-fluorophenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl) (3,5,6- 2 H 3 ) phenoxy]propanoic acid;

2-[4-bromo-2-(1,1-difluoropropyl)-5-fluorophenoxy]acetic acid;

(2S)-2-[4-chloro-2-(1,1-difluoropropyl)-5-fluorophenoxy]propanoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-(trifluoromethyl) phenoxy]propanoic acid;

(2R)-2-[4-bromo-2-(1,1-difluoropropyl)-5-fluorophenoxy]-3-fluoropropanoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-ethenylphenoxy]propanoic acid;

2-[4-bromo-2-(1,1-difluoroethyl)-5-fluorophenoxy]acetic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-methylphenoxy]propanoic acid;

2-[4-bromo-2-(1,1-difluoro-2-methylpropyl) phenoxy]acetic acid;

2-[4-chloro-2-(1,1-difluoropropyl)-5-fluorophenoxy]acetic acid;

(2S)-2-[2-(1,1-difluoroethyl)-4-ethynylphenoxy]propanoic acid;

(2R)-2-[4-chloro-2-(1,1-difluoropropyl)-5-fluorophenoxy]-3-fluoropropanoic acid;

(2S)-2-[4,5-dichloro-2-(1,1-difluoropropyl) phenoxy]propanoic acid;

(2R)-2-[4-bromo-2-(1,1-difluoroethyl)-5-fluorophenoxy]-3-fluoropropanoic acid;

(2R)-2-[4,5-dichloro-2-(1,1-difluoroethyl) phenoxy]-3-fluoropropanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoroethyl) phenoxy]-4-fluorobutanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoro-2-methylpropyl) phenoxy]butanoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-ethenyl-5-fluorophenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl)-5-fluorophenoxy]butanoic acid;

(2S)-2-[4-chloro-2-(1,1-difluoropropyl)-5-fluorophenoxy]butanoic acid;

(2R)-2-[5-chloro-2-(1,1-difluoropropyl)-4-fluorophenoxy]-3-fluoropropanoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4-nitrophenoxy]propanoic acid;

(2S)-2-[5-chloro-2-(1,1-difluoropropyl)-4-fluorophenoxy]propanoic acid;

(2S)-2-[4-bromo-2-(1,1-difluoropropyl) phenoxy]-4-methoxybutanoic acid;

(2R)-2-[2-(1,1-difluoropropyl)-4,5-difluorophenoxy]-3-fluoropropanoic acid;

(2S)-2-[2-(1,1-difluoropropyl)-4,5-difluorophenoxy]propanoic acid; and

(2S)-2-[4-bromo-2-(1,1-difluoro-3-methoxypropyl) phenoxy]propanoic acid.

11. The compound according to claim 2 , wherein the compound is an inhibitor of the CIC-1 ion channel.

12. A composition comprising the compound according to claim 1 .

13. A method of treating a patient comprising administering to a patient a therapeutically effective amount of the compound according to claim 2 ,

for use in the treatment of symptoms of an indication selected from the group consisting of myasthenia gravis, Lambert-Eaton Syndrome, critical illness myopathy, amyotrophic lateral sclerosis (ALS), spinal muscular atrophy (SMA), critical illness myopathy (CIM), reversal diabetic polyneuropathy, Guillain-Barre syndrome, poliomyelitis, post-polio syndrome, chronic fatigue syndrome, critical illness polyneuropathy, periodic paralysis, sarcopenia, hypokalemic periodic paralysis, hyperkalemic periodic paralysis, myotubular myopathy and Duchenne muscular dystrophy.

14. A method of reversing and/or ameliorating a neuromuscular blockade in a patient comprising administering to a patient a therapeutically effective amount of the compound according to claim 2 .

15. A method of claim 13 wherein in Formula (I), R 3 is F and n is 1.

16. A method of claim 14 wherein in Formula (II), R 3 is F and n is 1.

17. The method of claim 13 wherein in Formula (I), R 1 is C 1 or Br.

18. The method of claim 13 wherein in Formula (I), R 2 is C 1-3 alkyl optionally substituted with one or more, identical or different, substituents R 6 .

19. The method of claim 14 wherein in Formula (II), R 1 is Cl or Br.

Assignments (1)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jan 27, 2022
From: KNUTSEN, LARS J.S.; KELLY, NICHOLAS; SKOV, MARTIN BRANDHØJ; RIISAGER, ANDERS; SARASWAT, NEERJA
To: NMD PHARMA A/S
Reel/Frame 058786/0916 →
Priority Claims (1)
EP 19181270 · Jun 19, 2019 · regional
Continuity (1)
Related Publication 20220388938A1 · Dec 8, 2022
References Cited (59)
US 10385028B2 · Knutsen · 2019 [cited by examiner]
US 10934244B2 · Holm Pedersen et al. · 2021 [cited by applicant]
US 11147788B2 · Knutsen · 2021 [cited by examiner]
US 11591284B2 · Knutsen · 2023 [cited by examiner]
US 11730714B2 · Pedersen · 2023 [cited by examiner]
US 20060211765A1 · Pairaudeau et al. · 2006 [cited by applicant]
CL 2021001739A1 · 2022 [cited by applicant]
CL 2021003374A1 · 2022 [cited by applicant]
CL 2021003388A1 · 2022 [cited by applicant]
CN 107820425A · 2018 [cited by applicant]
JP 2018517760A · 2018 [cited by applicant]
TW 201927738A · 2019 [cited by applicant]
WO 2005105727A1 · 2005 [cited by applicant]
WO 2006037982A2 · 2006 [cited by applicant]
WO 2006056752A1 · 2006 [cited by applicant]
WO 2007039741A1 · 2007 [cited by applicant]
WO 2007062678A1 · 2007 [cited by applicant]
WO 2007062773A1 · 2007 [cited by applicant]
WO 2011133920A1 · 2011 [cited by applicant]
WO 2016202341A1 · 2016 [cited by applicant]
WO 2019115780A1 · 2019 [cited by applicant]
WO 2020142742A1 · 2020 [cited by applicant]
WO 2020254985A1 · 2020 [cited by applicant]
WO 2020257487A1 · 2020 [cited by applicant]
Examination Report issued on Feb. 27, 2024, by the Taiwanese Patent Office in corresponding Taiwanese Patent Application No. 109120913, with English Translation (12 pgs). [cited by applicant]
Examination Report issued on Mar. 1, 2024, by the Intellectual Property of India Patent Office in corresponding Indian Patent Application No. 202117048901 (6 pgs). [cited by applicant]
First Office Action issued on Apr. 30, 2024, by China National Intellectual Property Administration in corresponding Chinese Patent Application No. 2020800445437, with English Translation (10 pgs). [cited by applicant]
Notice of Reasons for Rejection issued on Jun. 18, 2024, by the Japanese Patent Office in corresponding Japanese Patent Application No. 2021-575325, with English Translation (6 pgs). [cited by applicant]
Office Action issued Jun. 13, 2023, by the Chile Patent Office in corresponding Chilean Patent Application No. 202103318. (17 pages). [cited by applicant]
Notification of the Substantive Examination Report issued Sep. 19, 2023, by the Saudi Authority for Intellectual Property (SAIP) in corresponding Saudi Patent Application No. 521431094 and an English translation of the … [cited by applicant]
International Search Report (PCT/ISA/210) and Written Opinion (PCT/ISA/237) mailed on Aug. 21, 2020, by the European Patent Office as the International Searching Authority for International Application No. PCT/EP2020/06… [cited by applicant]
Ammar, T., et al., “Understanding the physiology of the asymptomatic diaphragm of the M1592V hyperkalemic periodic paralysis mouse”, Journal of General Physiology, 2015, 146(6), pp. 509-525. [cited by applicant]
Angelini, C., “Spectrum of metabolic myopathies”, Biochimica et Biophysica Acta (BBA)—Molecular Basis of Disease, 2015, 1852(4), pp. 615-621. [cited by applicant]
Aromataris, E.C., “Pharmacology of the CIC-1 chloride channel (Doctoral dissertation)”, 2009, see https://digital.library.adelaide.edu.au/dspace/bitstream/2440/58973/8/02whole.pdf (179 pages). [cited by applicant]
Bansagi, B., et al., “Genetic heterogeneity of motor neuropathies”, Neurology 88, 2017, No. 13, pp. 1226-1234. [cited by applicant]
Dowling, J.J., et al., “Myotubular myopathy and the neuromuscular junction: a novel therapeutic approach from mouse models”, Disease models & mechanisms, 2012, 5(6), pp. 852-859. [cited by applicant]
Fletcher, S.N., et al., “Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness”, Critical care medicine, 2003, 31(4), pp. 1012-1016. [cited by applicant]
Garcia, C.C., et al. “Acetylcholinesterase deficiency contributes to neuromuscular junction dysfunction in type 1 diabetic neuropathy”, American Journal of Physiology-Endocrinology and Metabolism, 2012, 303(4), pp. E551… [cited by applicant]
Gilhus, N.E., et al., “Myasthenia gravis: a review of available treatment approaches”, Autoimmune diseases, 2011 (7 pages). [cited by applicant]
Hwee, D.T., et al., “The small-molecule fast skeletal troponin activator, CK-2127107, improves exercise tolerance in a rat model of heart failure”, Journal of Pharmacology and Experimental Therapeutics, 2015, 353(1), pp… [cited by applicant]
Kawamura, Y., et al., “Efficacy of a half dose of oral pyridostigmine in the treatment of chronic fatigue syndrome: three case reports”, Pathophysiology, 2003, 9(3), pp. 189-194. [cited by applicant]
Kwieciński, H., et al., “Drug-induced myotonia in human intercostal muscle”, Muscle Nerve, Jun. 1988, 11(6), pp. 576-581. [cited by applicant]
Kwieciński, H., et al., “Membrane currents in human intercostal muscle at varied extracellular potassium”, Muscle Nerve, Jul.-Aug. 1984, 7(6), pp. 465-469. [cited by applicant]
Liantonio, A., et al., “Molecular requisites for drug binding to muscle CLC-1 and renal CLC-K channel revealed by the use of phenoxy-alkyl derivatives of 2-(p-chlorophenoxy) propionic acid”, Molecular pharmacology, 2002… [cited by applicant]
Liantonio, A., et al., “Investigations of pharmacologic properties of the renal CLC-K1 chloride channel co-expressed with barttin by the use of 2-(p-chlorophenoxy) propionic acid derivatives and other structurally unrel… [cited by applicant]
Liantonio, A., et al., “Structural requisites of 2-(p-chlorophenoxy) propionic acid analogues for activity on native rat skeletal muscle chloride conductance and on heterologously expressed CLC-1”, British journal of ph… [cited by applicant]
Mehndiratta, MM, et al., “Acetylcholinesterase inhibitor treatment for myasthenia gravis”, Cochrane Database Syst Rev., 10, 2014 (19 pages). [cited by applicant]
Murphy, G.S. and Brull, S.J., “Residual neuromuscular block: lessons unlearned. Part I: definitions, incidence, and adverse physiologic effects of residual neuromuscular block”, Anesthesia & Analgesia, 2010, 111(1), pp.… [cited by applicant]
Pedersen, TH, et al., “Increased excitability of acidified skeletal muscle: role of chloride conductance”, J Gen Physiol, Feb. 2005, 125(2), pp. 237-246. [cited by applicant]
Pedersen, TH, et al., “Role of physiological CIC-1 Ci-ion channel regulation for the excitability and function of working skeletal muscle”, Journal of General Physiology, 2016, 147(4), pp. 291-308. [cited by applicant]
Pusch, M., et al., “Pharmacological characterization of chloride channels belonging to the CIC family by the use of chiral clofibric acid derivatives”, Molecular Pharmacology, 2000, 58(3), pp. 498-507. [cited by applicant]
Riisager, A., et al., “Determination of cable parameters in skeletal muscle fibres during repetitive firing of action potentials”, The Journal of physiology, 2014, 592(20), pp. 4417-4429. [cited by applicant]
Silva, A., et al., “Antivenom for snake venom-induced neuromuscular paralysis”, The Cochrane Database of Systematic Reviews, 2017, 3, Art. No. CD0112604 (12 pages). [cited by applicant]
Srivastava, A. and Hunter, J.M., “Reversal of neuromuscular block”, British journal of anaesthesia, 2009, 103(1), pp. 115-129. [cited by applicant]
Stevic, Z., et al., “Myasthenic symptoms in a patient with Kennedy's disease”, Acta Neurologica Belgica, 2014, 114(1), pp. 71-73. [cited by applicant]
Titulaer, MJ., et al., “Lambert-Eaton myasthenic syndrome: from clinical characteristics to therapeutic strategies”, Lancet Neurol., 2011, 10, pp. 1098-1107. [cited by applicant]
Trojan, D.A., et al., “Electrophysiology and electrodiagnosis of the post-polio motor unit” Orthopedics, 1991, 14(12), pp. 1353-1361. [cited by applicant]
Wood, SJ, et al., “Safety factor at the neuromuscular junction”, Prog. Neurobiol., 2001, 64, pp. 393-429. [cited by applicant]
Wu, F., et al., “Bumetanide prevents transient decreases in muscle force in murine hypokalemic periodic paralysis”, Neurology, 2013, 80(12), pp. 1110-1116. [cited by applicant]