WO2006061372A2 - Phenylpiperazines with a combination of affinity for dopamine -d2 receptors and serotonin reuptake sites - Google Patents

Phenylpiperazines with a combination of affinity for dopamine -d2 receptors and serotonin reuptake sites Download PDF

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WO2006061372A2
WO2006061372A2 PCT/EP2005/056500 EP2005056500W WO2006061372A2 WO 2006061372 A2 WO2006061372 A2 WO 2006061372A2 EP 2005056500 W EP2005056500 W EP 2005056500W WO 2006061372 A2 WO2006061372 A2 WO 2006061372A2
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compounds
compound
oxides
tautomers
stereoisomers
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PCT/EP2005/056500
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WO2006061372A3 (en
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Roelof Van Hes
Pieter Smid
Cornelis G. Kruse
Martinus Th.M. Tulp
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Solvay Pharmaceuticals B.V.
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Priority to AU2005313386A priority Critical patent/AU2005313386A1/en
Priority to MX2007006756A priority patent/MX2007006756A/en
Priority to JP2007544892A priority patent/JP2008523026A/en
Priority to CA002587928A priority patent/CA2587928A1/en
Priority to BRPI0518370-7A priority patent/BRPI0518370A2/en
Priority to EP05819231A priority patent/EP1828161A2/en
Publication of WO2006061372A2 publication Critical patent/WO2006061372A2/en
Publication of WO2006061372A3 publication Critical patent/WO2006061372A3/en
Priority to IL183201A priority patent/IL183201A0/en
Priority to NO20073390A priority patent/NO20073390L/en

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    • C07D295/00Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms
    • C07D295/04Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms
    • C07D295/12Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms substituted by singly or doubly bound nitrogen atoms
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    • C07D319/101,4-Dioxanes; Hydrogenated 1,4-dioxanes
    • C07D319/141,4-Dioxanes; Hydrogenated 1,4-dioxanes condensed with carbocyclic rings or ring systems
    • C07D319/161,4-Dioxanes; Hydrogenated 1,4-dioxanes condensed with carbocyclic rings or ring systems condensed with one six-membered ring
    • C07D319/18Ethylenedioxybenzenes, not substituted on the hetero ring
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/495Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
    • A61K31/496Non-condensed piperazines containing further heterocyclic rings, e.g. rifampin, thiothixene or sparfloxacin
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61P25/00Drugs for disorders of the nervous system
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
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    • A61P25/16Anti-Parkinson drugs
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    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D215/00Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
    • C07D215/02Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
    • C07D215/16Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D215/38Nitrogen atoms
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    • C07DHETEROCYCLIC COMPOUNDS
    • C07D263/00Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings
    • C07D263/52Heterocyclic compounds containing 1,3-oxazole or hydrogenated 1,3-oxazole rings condensed with carbocyclic rings or ring systems
    • C07D263/54Benzoxazoles; Hydrogenated benzoxazoles
    • C07D263/58Benzoxazoles; Hydrogenated benzoxazoles with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached in position 2
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    • C07DHETEROCYCLIC COMPOUNDS
    • C07D265/00Heterocyclic compounds containing six-membered rings having one nitrogen atom and one oxygen atom as the only ring hetero atoms
    • C07D265/281,4-Oxazines; Hydrogenated 1,4-oxazines
    • C07D265/341,4-Oxazines; Hydrogenated 1,4-oxazines condensed with carbocyclic rings
    • C07D265/361,4-Oxazines; Hydrogenated 1,4-oxazines condensed with carbocyclic rings condensed with one six-membered ring
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    • C07DHETEROCYCLIC COMPOUNDS
    • C07D295/00Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms
    • C07D295/04Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms
    • C07D295/12Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms substituted by singly or doubly bound nitrogen atoms
    • C07D295/125Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms substituted by singly or doubly bound nitrogen atoms with the ring nitrogen atoms and the substituent nitrogen atoms attached to the same carbon chain, which is not interrupted by carbocyclic rings
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    • C07D295/00Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms
    • C07D295/04Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms
    • C07D295/12Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms substituted by singly or doubly bound nitrogen atoms
    • C07D295/125Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms substituted by singly or doubly bound nitrogen atoms with the ring nitrogen atoms and the substituent nitrogen atoms attached to the same carbon chain, which is not interrupted by carbocyclic rings
    • C07D295/13Heterocyclic compounds containing polymethylene-imine rings with at least five ring members, 3-azabicyclo [3.2.2] nonane, piperazine, morpholine or thiomorpholine rings, having only hydrogen atoms directly attached to the ring carbon atoms with substituted hydrocarbon radicals attached to ring nitrogen atoms substituted by singly or doubly bound nitrogen atoms with the ring nitrogen atoms and the substituent nitrogen atoms attached to the same carbon chain, which is not interrupted by carbocyclic rings to an acyclic saturated chain
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    • C07DHETEROCYCLIC COMPOUNDS
    • C07D307/00Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom
    • C07D307/77Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom ortho- or peri-condensed with carbocyclic rings or ring systems
    • C07D307/78Benzo [b] furans; Hydrogenated benzo [b] furans
    • C07D307/82Benzo [b] furans; Hydrogenated benzo [b] furans with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to carbon atoms of the hetero ring
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    • C07DHETEROCYCLIC COMPOUNDS
    • C07D311/00Heterocyclic compounds containing six-membered rings having one oxygen atom as the only hetero atom, condensed with other rings
    • C07D311/02Heterocyclic compounds containing six-membered rings having one oxygen atom as the only hetero atom, condensed with other rings ortho- or peri-condensed with carbocyclic rings or ring systems
    • C07D311/04Benzo[b]pyrans, not hydrogenated in the carbocyclic ring
    • C07D311/06Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 2
    • C07D311/08Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 2 not hydrogenated in the hetero ring
    • C07D311/18Benzo[b]pyrans, not hydrogenated in the carbocyclic ring with oxygen or sulfur atoms directly attached in position 2 not hydrogenated in the hetero ring substituted otherwise than in position 3 or 7
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    • C07D321/00Heterocyclic compounds containing rings having two oxygen atoms as the only ring hetero atoms, not provided for by groups C07D317/00 - C07D319/00
    • C07D321/02Seven-membered rings
    • C07D321/10Seven-membered rings condensed with carbocyclic rings or ring systems

Definitions

  • the present invention relates to a group of novel phenylpiperazine derivatives with a dual mode of action: serotonin reuptake inhibition and affinity for dopamine-D 2 receptors and to methods for the preparation of these compounds.
  • the invention also relates to the use of a compound disclosed herein for the manufacture of a medicament giving a beneficial effect.
  • a beneficial effect is disclosed herein or apparent to a person skilled in the art from the specification and general knowledge in the art.
  • the invention also relates to the use of a compound of the invention for the manufacture of a medicament for treating or preventing a disease or condition. Mor e particularly, the invention relates to a new use for the treatment of a disease or condition disclosed herein or apparent to a person skilled in the art from the specification and general knowledge in the art.
  • specific compounds disclosed herein are used for the manufacture of a medicament useful in the treatment of disorders in which dopamine-D 2 receptors and serotonin reuptake sites are involved, or that can be treated via manipulation of those targets.
  • Phenylpiperazine derivatives with a dual action as dopamine -D 2 antagonists and serotonin reuptake inhibitors are known from WO 01/014330. This combination is useful for the treatment of schizophrenia and other psychotic disorders which enables a more complete treatment of all disease symptoms (e.g. positive symptoms and negative symptoms).
  • the goal of the present invention was to provide further compounds with a dual action as dopamine-D 2 antagonists and serotonin reuptake inhibitors.
  • the invention relates to compounds of the general formula ( 1):
  • m and n independently are either 1, 2, 3, 4, 5, 6, 7 or 8, x is 0, 1 , 2 or 3
  • R 2 is halogen, branched or unbranched alkyl(d -6 ), phenyl, benzyl, branched or unbranched alkoxy(Ci- 6 ), trifluoromethyl or cyano
  • R 3 and R 4 independently represent hydrogen, alkyl (Ci- 6 ), phenyl, benzyl or acetyl group Q is chosen from structural fragments A-N
  • - y is 1 , 2 or 3 - Ri is halogen, branched or unbranched alkyl(C i- 6 ), phenyl, benzyl, branched or unbranched alkoxy(Ci -6 ), trifluoromethyl or cyano,
  • Prodrugs of the compounds mentioned above are in the scope of the present invention.
  • Prodrugs are therapeutic agents which are inactive per se but are transformed into one or more active metabolites.
  • Prodrugs are bioreversible derivatives of drug molecules used to overcome some barriers to the utility of the parent drug molecule. These barriers include, but are not limited to, solubility, permeability, stability, presystemic metabolism and targeting limitations (Medicinal Chemistry: Principles and Practice, 1994, ISBN 0-85186-494-5, Ed.: F. D. King, p.
  • Pro-drugs i.e. compounds which when administered to humans by any known route, are metabolised to compounds having formula (1), belong to the invention. In particular this relates to compounds with primary or secondary amino or hydroxy groups.
  • Such compounds can be reacted with organic acids to yield compounds having formula (1) wherein an additional group is present which is easily removed after administration, for instance, but not limited to amidine, enamine, a Mannich base, a hyd roxyl-methylene derivative, an O-(acyloxymethylene carbamate) derivative, carbamate, ester, amide or enaminone.
  • an additional group is present which is easily removed after administration, for instance, but not limited to amidine, enamine, a Mannich base, a hyd roxyl-methylene derivative, an O-(acyloxymethylene carbamate) derivative, carbamate, ester, amide or enaminone.
  • N-oxides of the compounds mentioned above are in the scope of the present invention.
  • Tertiary amines may or may not give rise to N -oxide metabolites. The extend to what N -oxidation takes place varies from trace amounts to a near quantitative conversion.
  • N-oxides may be more active than their corresponding tertiary amines or less active. Whilst N-oxides are easily reduced to their corresponding tertiary amines by chemical means, in the human body this happens to varying degrees. Some N-oxides undergo nearly quantitative reductive conversion to the corresponding tertiary amines, in other cases the conversion is a mere trace reaction or even completely absent. (M. H. Bickel: "The pharmacology and Biochemistry of N-oxides", Pharmaco-logical Reviews, 21.(4), 325 - 355, 1969).
  • Preferred compounds of the invention are compounds having formula (I) wherein m is 1 , n is 2, 3, 4 or 5, x is 1 , R2 is 4-fluoro or 4-trifluoromethyl, R 3 and R4 independently represent hydrogen or methyl, group Q is chosen from structural fragments A, D, F or N, y is 1 , and Ri is branched or unbranched alkoxy(Ci -3 ), and tautomers, stereoisomers a nd N -oxides thereof, as well as pharmacologically acceptable salts, hydrates and solvates of said compounds of formula (1) and its tautomers, stereoisomers and N-oxides.
  • the compounds according to the invention show high affinity fo r both the dopamine D 2 receptor and the serotonin reuptake site.
  • the compounds show activity as antagonists at dopamine D 2 receptors as they potentially antagonize apomorphine-induced climbing behaviour in mice.
  • the compounds also show activity as inhibitors of serotonin reuptake, as they potentiate 5 -HTP induced behaviour in mice.
  • the compounds are active in therapeutic models sensitive to clinically relevant antipsychotics (e.g. the conditioned avoidance response; Van der Heyden & Bradford, Behav. Brain Res., 1988, 31:61 -67) and antidepressants or anxiolytics (e.g.
  • the compounds can be used for the treatment of affections or diseases of the central nervous system caused by disturbances in either the dopaminergic or serotonergic systems, for example: aggression, anxiety disorders, autism, vertigo, depression, disturbances of cognition or memory, Parkinson's disease, and in particular schizophrenia and other psychotic disorders.
  • alkylphenone derivatives 2 are commercially available.
  • salts may be obtained using standard procedures well known in the art, for example by mixing a compound of the present invention with a suitable acid, for instance an inorganic acid such as hy drochloric acid, or with an organic acid.
  • a suitable acid for instance an inorganic acid such as hy drochloric acid, or with an organic acid.
  • the compounds of the invention can be brought into forms suitable for administration by means of usual processes using auxiliary substances such as liquid or solid carrier material.
  • the pharmaceutical compositions of the invention may be administered enterally, orally, parenterally (intramuscularly or intravenously), rectally or locally (topically). They can be administered in the form of solutions, powders, tablets, capsules (including microcapsules), ointments (creams or gel) or suppositories.
  • Suitable excipients for such formulations are the pharmaceutically customary liquid or solid fillers and extenders, solvents, emulsifiers, lubricants, flavorings, colorings and/or buffer substances.
  • auxiliary substances which may be mentioned are magnesium carbonate, titanium dioxide, lactose, mannitol and other sugars, talc, lactoprotein, gelatin, starch, cellulose and its derivatives, animal and vegetable oils such as fish liver oil, sunflower, groundnut or sesame oil, polyethylene glycol and solvents such as, for example, sterile water and mono- or polyhydric alcohols such as glycerol.
  • Compounds of the present invention are generally administered as pharmaceutical compositions which are important and novel embodiments of the invention because of the presence of the compounds, more particularly specific compounds disclosed herein.
  • a pharmaceutical pack or kit comprising one or more containers filled with one or more of the ingredients of a pharmaceutical composition of the invention.
  • Associated with such container(s) can be various written materials such as instructions for use, or a notice in the form prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceuticals products, which notice reflects approval by the agency of manufacture, use, or sale for human or veterinary administration.
  • Affinity of the compounds for dopamine -D 2 receptor s was determined using the receptor binding assay described by I. Creese, R. Schneider and S. H. Snyder: "[ 3 H]- Spiroperidol labels dopamine receptors in rat pituitary and brain", Eur.J. Pharmacol., 46, 377 - 381, 1977.
  • Affinity of the compounds for serotonin reuptake sites was determined using the receptor binding assay described by E. Habert et a/.,: "Characterisation of [ 3 H]- paroxetine binding to rat cortical membranes", Eur.J. Pharmacol., 118, 107 - 114, 1985.
  • the affinity of the compounds of the invention for dopamine-D 2 receptors and serotonine reuptake sites was determined as described above. From the binding affinity measured for a given compound of formula (1), one can estimate a theoretical lowest effective dose. At a concentration of the compound equal to twice the measured Kj-value, 100% of the receptors likely will be occupied by the compound. Converting that concentration to mg of compound per kg of patient yields a theoretical lowest effective dose, assuming ideal bioavailability. Pharmacokinetic, pharmacodynamic, and other considerations may alter the dose actually administered to a higher or lower value.
  • the dosage expediently administered is 0.001 - 1000 mg/kg, preferably 0.1 -100 mg/kg of patient's bodyweight.
  • treatment refers to any treatment of a mammalian, preferably human condition or disease, and includes: (1) preventing the disease or condition from occurring in a subject which may be predisposed to the disease but has not yet been diagnosed as having it, (2) inhibiting the disease or condition, i.e., arresting its development, (3) relievi ng the disease or condition, i.e., causing regression of the condition, or (4) relieving the conditions caused by the disease, i.e., stopping the symptoms of the disease.
  • the synthesis of compound 3 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine (3i). 15 mmol of piperazine (3i) was suspended in 125 ml of acetonitril and 2 equivalents of diisopropylethyl -amine (DIPEA) was added. After 5 minutes stirring at room temperature, 1 equivalent (15 mmol) of 5 - chloro-1-(4-trifluoromethyl-phenyl)-pentane-1-one was added, followed by 1 equivalent of sodium iodide. This mixture was stirred at 8O 0 C for 20 hours. The solvent was removed by evaporation and the residue dissolved in 100 ml of dichloromethane.
  • DIPEA diisopropylethyl -amine
  • the tri HCI -salt of compound 3 was obtained after adding 3 equivalents of HCI in Ethanol to the purified substance. mp.156-60°C; overall yield 15%.
  • the synthesis of compound 7 is a 2 -step reaction starting from 2-isopropyloxy- phenylpiperazine (7i). 4.2 mmol of phenyl piperazine 7i was suspended in 40 ml acetonitril. Added were 2 eq. of DIPEA, 1 eq. of 4-chloro-1-(4-trifluoromethyl-phenyl)- butane-1-one and 1 eq. potassium iodide. This mixture was refluxed overnight and the solvent evaporated the next day.
  • compound 8 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine (3i). 3.5 mmol of phenyl piperazine (3i) was suspended in 40 ml acetonitril. Added were 2 eq. of DIPEA, 1 eq. of 6-chloro-1-(4- trifluoromethyl-phenyl)-hexane-1-one and 1 eq. potassium iodide. This mixture was refluxed overnight and the solvent evaporated the next day.
  • the fumaric -salt of the compound 9 was obtained after adding an ethanolic solution of 1 equivalents of fumaric acid to the purified substance followed by evaporation of the solvent; overall yield 15%.
  • the synthesis of compound 10 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine (3i). 6 mmol of phenyl piperazine 3i was suspended in 40 ml acetonitril. Added were 2 eq. of DIPEA, 1 eq. of 7-chloro-1-(4- trifluoromethyl-phenyl)-heptane-1-one and 1 eq. potassium iodide.
  • Q can be one of the structural fragments A-N

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Abstract

The invention relates to a group of novel phenylpiperazine derivatives with a dual mode of action: serotonin reuptake inhibition and affinity for dopamine -D2 receptors and to methods for the preparation of these compounds. The invention also relates to the use of a compound disclosed herein for the manufacture of a medicament giving a beneficial effect. The compounds have the general formula ( 1 ) wherein the symbols have the meanings given in the specification.

Description

PHENYLPIPERAZINES WITH A COMBINATION OF AFFINITY FOR DOPAMINE - D2 RECEPTORS AND SEROTONIN REUPTAKE SITES
The present invention relates to a group of novel phenylpiperazine derivatives with a dual mode of action: serotonin reuptake inhibition and affinity for dopamine-D2 receptors and to methods for the preparation of these compounds. The invention also relates to the use of a compound disclosed herein for the manufacture of a medicament giving a beneficial effect. A beneficial effect is disclosed herein or apparent to a person skilled in the art from the specification and general knowledge in the art. The invention also relates to the use of a compound of the invention for the manufacture of a medicament for treating or preventing a disease or condition. Mor e particularly, the invention relates to a new use for the treatment of a disease or condition disclosed herein or apparent to a person skilled in the art from the specification and general knowledge in the art. In embodiments of the invention specific compounds disclosed herein are used for the manufacture of a medicament useful in the treatment of disorders in which dopamine-D2 receptors and serotonin reuptake sites are involved, or that can be treated via manipulation of those targets.
Phenylpiperazine derivatives with a dual action as dopamine -D2 antagonists and serotonin reuptake inhibitors are known from WO 01/014330. This combination is useful for the treatment of schizophrenia and other psychotic disorders which enables a more complete treatment of all disease symptoms (e.g. positive symptoms and negative symptoms).
In patent specification GB 1 378 080 (1974) oxime derivatives of halophenyl piperazinyl-alkyl ketones have been disclosed that posses useful pharmacological activity, especially as analgesic agents, anti -inflammatory agents and musculotropic spasmolytic agents.
The goal of the present invention was to provide further compounds with a dual action as dopamine-D2 antagonists and serotonin reuptake inhibitors. The invention relates to compounds of the general formula ( 1):
wherein: m and n independently are either 1, 2, 3, 4, 5, 6, 7 or 8, x is 0, 1 , 2 or 3
R2 is halogen, branched or unbranched alkyl(d-6), phenyl, benzyl, branched or unbranched alkoxy(Ci-6), trifluoromethyl or cyano
R3 and R4 independently represent hydrogen, alkyl (Ci-6), phenyl, benzyl or acetyl group Q is chosen from structural fragments A-N
Figure imgf000003_0002
wherein: - y is 1 , 2 or 3 - Ri is halogen, branched or unbranched alkyl(C i-6), phenyl, benzyl, branched or unbranched alkoxy(Ci-6), trifluoromethyl or cyano,
and tautomers, stereoisomers and N-oxides thereof, as well as pharmacologically acceptable salts, hydrates and solvates of said compounds of formula (1) and its tautomers, stereoisomers and N-oxides. Prodrugs of the compounds mentioned above are in the scope of the present invention. Prodrugs are therapeutic agents which are inactive per se but are transformed into one or more active metabolites. Prodrugs are bioreversible derivatives of drug molecules used to overcome some barriers to the utility of the parent drug molecule. These barriers include, but are not limited to, solubility, permeability, stability, presystemic metabolism and targeting limitations (Medicinal Chemistry: Principles and Practice, 1994, ISBN 0-85186-494-5, Ed.: F. D. King, p. 215; J. Stella, "Prodrugs as therapeutics", Expert Opin. Ther. Patents, 14(3), 277- 280, 2004; P. Ettmayer et al., "Lessons learned from marketed and investigational prodrugs", J.Med.Chem., 47, 2393-2404, 2004). Pro-drugs, i.e. compounds which when administered to humans by any known route, are metabolised to compounds having formula (1), belong to the invention. In particular this relates to compounds with primary or secondary amino or hydroxy groups. Such compounds can be reacted with organic acids to yield compounds having formula (1) wherein an additional group is present which is easily removed after administration, for instance, but not limited to amidine, enamine, a Mannich base, a hyd roxyl-methylene derivative, an O-(acyloxymethylene carbamate) derivative, carbamate, ester, amide or enaminone.
N-oxides of the compounds mentioned above are in the scope of the present invention. Tertiary amines may or may not give rise to N -oxide metabolites. The extend to what N -oxidation takes place varies from trace amounts to a near quantitative conversion. N-oxides may be more active than their corresponding tertiary amines or less active. Whilst N-oxides are easily reduced to their corresponding tertiary amines by chemical means, in the human body this happens to varying degrees. Some N-oxides undergo nearly quantitative reductive conversion to the corresponding tertiary amines, in other cases the conversion is a mere trace reaction or even completely absent. (M. H. Bickel: "The pharmacology and Biochemistry of N-oxides", Pharmaco-logical Reviews, 21.(4), 325 - 355, 1969).
Preferred compounds of the invention are compounds having formula (I) wherein m is 1 , n is 2, 3, 4 or 5, x is 1 , R2 is 4-fluoro or 4-trifluoromethyl, R3 and R4 independently represent hydrogen or methyl, group Q is chosen from structural fragments A, D, F or N, y is 1 , and Ri is branched or unbranched alkoxy(Ci-3), and tautomers, stereoisomers a nd N -oxides thereof, as well as pharmacologically acceptable salts, hydrates and solvates of said compounds of formula (1) and its tautomers, stereoisomers and N-oxides. It has been found that the compounds according to the invention show high affinity fo r both the dopamine D2 receptor and the serotonin reuptake site. The compounds show activity as antagonists at dopamine D2 receptors as they potentially antagonize apomorphine-induced climbing behaviour in mice. The compounds also show activity as inhibitors of serotonin reuptake, as they potentiate 5 -HTP induced behaviour in mice. The compounds are active in therapeutic models sensitive to clinically relevant antipsychotics (e.g. the conditioned avoidance response; Van der Heyden & Bradford, Behav. Brain Res., 1988, 31:61 -67) and antidepressants or anxiolytics (e.g. suppression of stress -induced vocalization; van der Poel et al., Psycho-pharmacology, 1989, 97: 147-148). In contrast to clinically relevant dopamine D2 receptor antagonists the described compounds have a low propensity to induce catalepsy in rodents and as such are likely to induce less extrapyramidal side effects than existing antipsychotic agents. The inhibitory activity of serotonin reuptake inherent in these compounds may be responsible for the therapeutic effects observed in behavioural models sensitive to either antidepressants or anxiolytics. The compounds can be used for the treatment of affections or diseases of the central nervous system caused by disturbances in either the dopaminergic or serotonergic systems, for example: aggression, anxiety disorders, autism, vertigo, depression, disturbances of cognition or memory, Parkinson's disease, and in particular schizophrenia and other psychotic disorders.
GENERALASPECTSOFSYNTHESES
The synthesis of all piperazine derivatives in this patent can be performed as depicted in Scheme 1 for the preparation of compound 3.The starting phenyl piperazines can be obtained as described in EP 0 189 612: Hartog, J et al. , 1985:
' New pharmaceutical compositions having a psychtropic activity'; Feenstra, R. W.; de
Moes, J.P; Hofma, J.; Kling, H.; Kuipers, W; Long, S.K.; TuIp, M.T.M.; Van der
Heyden, J.A.M and Kruse, CG. ; 'New 1-aryl-4-(biarylmethylene)piperazines as potential atypical antipsychotics sharing dopamine D2 receptor and serotonin 5HTm receptor affinities. Bioorg. & Med. Chem. Lett., 2001 , 11, 2345-2349 and WO
01/14330. The alkylphenone derivatives 2 are commercially available.
Figure imgf000006_0001
The selection of the particular synthetic procedures depends on factors known to those skilled in the art such as the compatibility of functional groups with the reagents used, the possibility to use protecting groups, catalysts, activating and coupling reagents and the ultimate structural features present in the final compound being prepared.
Pharmaceutically acceptable salts may be obtained using standard procedures well known in the art, for example by mixing a compound of the present invention with a suitable acid, for instance an inorganic acid such as hy drochloric acid, or with an organic acid.
PHARMACEUTICAL PREPARATIONS
The compounds of the invention can be brought into forms suitable for administration by means of usual processes using auxiliary substances such as liquid or solid carrier material. The pharmaceutical compositions of the invention may be administered enterally, orally, parenterally (intramuscularly or intravenously), rectally or locally (topically). They can be administered in the form of solutions, powders, tablets, capsules (including microcapsules), ointments (creams or gel) or suppositories. Suitable excipients for such formulations are the pharmaceutically customary liquid or solid fillers and extenders, solvents, emulsifiers, lubricants, flavorings, colorings and/or buffer substances. Frequently used auxiliary substances which may be mentioned are magnesium carbonate, titanium dioxide, lactose, mannitol and other sugars, talc, lactoprotein, gelatin, starch, cellulose and its derivatives, animal and vegetable oils such as fish liver oil, sunflower, groundnut or sesame oil, polyethylene glycol and solvents such as, for example, sterile water and mono- or polyhydric alcohols such as glycerol. Compounds of the present invention are generally administered as pharmaceutical compositions which are important and novel embodiments of the invention because of the presence of the compounds, more particularly specific compounds disclosed herein. Types of pharmaceutical compositions that may be used include but are not limited to tablets, chewable tablets, capsules, solutions, parenteral solutions, suppositories, suspensions, and other types disclosed herein or apparent to a person skilled in the art from the specification and general knowledge in the art. In embodiments of the invention, a pharmaceutical pack or kit is provided comprising one or more containers filled with one or more of the ingredients of a pharmaceutical composition of the invention. Associated with such container(s) can be various written materials such as instructions for use, or a notice in the form prescribed by a governmental agency regulating the manufacture, use or sale of pharmaceuticals products, which notice reflects approval by the agency of manufacture, use, or sale for human or veterinary administration.
PHARMACOLOGICAL METHODS
In vitro affinity for dopamine -D2 receptors
Affinity of the compounds for dopamine -D2 receptor s was determined using the receptor binding assay described by I. Creese, R. Schneider and S. H. Snyder: "[3H]- Spiroperidol labels dopamine receptors in rat pituitary and brain", Eur.J. Pharmacol., 46, 377 - 381, 1977.
In vitro affinity for serotonin reuptake sites
Affinity of the compounds for serotonin reuptake sites was determined using the receptor binding assay described by E. Habert et a/.,: "Characterisation of [3H]- paroxetine binding to rat cortical membranes", Eur.J. Pharmacol., 118, 107 - 114, 1985.
DOSAGES
The affinity of the compounds of the invention for dopamine-D2 receptors and serotonine reuptake sites was determined as described above. From the binding affinity measured for a given compound of formula (1), one can estimate a theoretical lowest effective dose. At a concentration of the compound equal to twice the measured Kj-value, 100% of the receptors likely will be occupied by the compound. Converting that concentration to mg of compound per kg of patient yields a theoretical lowest effective dose, assuming ideal bioavailability. Pharmacokinetic, pharmacodynamic, and other considerations may alter the dose actually administered to a higher or lower value. The dosage expediently administered is 0.001 - 1000 mg/kg, preferably 0.1 -100 mg/kg of patient's bodyweight.
TREATMENT
The term 'treatment' as used herein refers to any treatment of a mammalian, preferably human condition or disease, and includes: (1) preventing the disease or condition from occurring in a subject which may be predisposed to the disease but has not yet been diagnosed as having it, (2) inhibiting the disease or condition, i.e., arresting its development, (3) relievi ng the disease or condition, i.e., causing regression of the condition, or (4) relieving the conditions caused by the disease, i.e., stopping the symptoms of the disease.
The preparation of the compounds having formula (I) will now be described in more detail in the following Examples.
EXAMPLES
EXAMPLE 1 : MATERIALS AND METHODS
1H and 13C NMR spectra were recorded on a Bruker Avance DRX600 instrument (600 MHz), Varian UN400 instrument (400 MHz) or on a Varian VXR200 instrument (200 MHz) using DMSO-D6 or CDCI3 as solvents with tetramethylsilane as an internal standard. Chemical shifts are given in ppm (δ scale) downfield from tetramethylsilane. Coupling constants (J) are expressed in Hz. Flash chromatography was performed using silica gel 60 (0.040-0.063 mm, Merck). Column chromatography was performed using silica gel 60 (0.063 -0.200 mm, Merck). Melting points were recorded on a Bϋchi B -545 melting point apparatus. Mass spectra were recorded on a Micromass QTOF-2 instrument with MassLynx application software for acquisition and reconstruction of the data. Exact mass measurement was done of the quasimolecular ion [M+H]+.
EXAMPLE 2: SYNTHESES OF SPECIFIC COMPOUNDS
The synthesis of compound 3 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine (3i). 15 mmol of piperazine (3i) was suspended in 125 ml of acetonitril and 2 equivalents of diisopropylethyl -amine (DIPEA) was added. After 5 minutes stirring at room temperature, 1 equivalent (15 mmol) of 5 - chloro-1-(4-trifluoromethyl-phenyl)-pentane-1-one was added, followed by 1 equivalent of sodium iodide. This mixture was stirred at 8O0C for 20 hours. The solvent was removed by evaporation and the residue dissolved in 100 ml of dichloromethane.
The organic layer was washed with water and dried on magnesium sulphate before evaporation. The residue was purified by column chromatograp hy and this yielded 6.4 mmol of the keto-derivative 3ii which was dissolved in 30 ml of methanol. To this solution 1 equivalent of O-(2-aminoethyl)-hydroxylamine di-HCI salt was added and this mixture was heated for 12 hours at 8O0C. After evaporation of the solvent, the residue was dissolved in dichloromethane and washed with water. Drying of the organic layer, using magnesium sulphate and evaporation of the solvent yielded a residue that was purified by column chromatography. The tri HCI -salt of compound 3 was obtained after adding 3 equivalents of HCI in Ethanol to the purified substance. mp.156-60°C; overall yield 15%. The synthesis of compound 7 is a 2 -step reaction starting from 2-isopropyloxy- phenylpiperazine (7i). 4.2 mmol of phenyl piperazine 7i was suspended in 40 ml acetonitril. Added were 2 eq. of DIPEA, 1 eq. of 4-chloro-1-(4-trifluoromethyl-phenyl)- butane-1-one and 1 eq. potassium iodide. This mixture was refluxed overnight and the solvent evaporated the next day. The residue was purified by column chromatography, yielding 2.5 mmol of the pure keto-compound 7ii, which was dissolved again in 30 ml of ethanol (100%). Added was 1 eq. of O -(2-aminoethyl) hydroxylamine di-HCI salt and 1 eq. of pyridine. This mixture was heated at 8O0C for 4 hours. After solvent evaporation the residue was purified by column chromatography and this yielded 2 mmol of an orange oil. The oily substance was dissolved in ethanol and added was 1 eq. of fumaric acid. The amorph fumaric salt of compound 7 was obtained after evaporation; overall yield 50%
The synthesis of compound 8 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine (3i). 3.5 mmol of phenyl piperazine (3i) was suspended in 40 ml acetonitril. Added were 2 eq. of DIPEA, 1 eq. of 6-chloro-1-(4- trifluoromethyl-phenyl)-hexane-1-one and 1 eq. potassium iodide. This mixture was refluxed overnight and the solvent evaporated the next day. The residue was purified by column chromatography, yielding 1.7 mmol of the pure keto -compound 8ii, which was dissolved again in 10 ml of ethanol (100%). Added was 1 eq. of O-(2- aminoethyl) hydroxylamine di HCI salt and this mixture was heated at 800C for 4 hours. After solvent evaporation the residue was purified by column chromatography and this yielded 1.6 mmol of an yellow oil. The oily substance was dissolved in ethanol and added was 2 eq. of fumaric acid. The amorph fumaric salt of compound 8 was obtained after evaporation; overall yield 45%.
The synthesis of compound 9 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine. Compound 3ii (30 mmol) was dissolved in 20 ml of methanol. To this solution, 1 equivalent of O-(N-methyl-2-aminoethyl)- hydroxylamine di-HCI salt was added and this mixture was heated for 5 hours at 8O0C. After evaporation of the solvent, the residue was dissolved in dichloromethane and washed with sodium bicarbonate solution and followed by brine. The organic layer was dried by using magnesium sulphate and evaporation of the solvent yielded a residue that was purified by column chromatography. The fumaric -salt of the compound 9 was obtained after adding an ethanolic solution of 1 equivalents of fumaric acid to the purified substance followed by evaporation of the solvent; overall yield 15%. The synthesis of compound 10 is a 2 -step reaction starting from 4 -(2,3 dihydro- 1,4 benzodioxin-5-yl)-1 -piperazine (3i). 6 mmol of phenyl piperazine 3i was suspended in 40 ml acetonitril. Added were 2 eq. of DIPEA, 1 eq. of 7-chloro-1-(4- trifluoromethyl-phenyl)-heptane-1-one and 1 eq. potassium iodide. This mixture was refluxed overnight and the solvent evaporated the next day. The residue was purified by column chromato-graphy, yielding 4.2 mmol of the pure keto-compound 10ii, which was dissolved again in 25 ml of ethanol (100%). Added was 1 eq. of O-(2- aminoethyl) hydroxylamine di-HCI salt and this mixture was heated at 8O0C for 4 hours. After solvent evaporation the residue was purified by column chromatography and this yielded 2 mmol of an yellowy oil. The oily substance was dissolved in ethanol and added was 1.5 eq. of fumaric acid. The amorph fumaric salt of compound 10 was obtained after evaporation; overall yield 35%.
Table 1. Compounds of the general formula (1)
Figure imgf000011_0001
wherein Q can be one of the structural fragments A-N
Figure imgf000011_0002
Figure imgf000011_0003
Figure imgf000012_0001
The specific compounds of which the synthesis is descri bed above are intended to further illustrate the invention in more detail, and therefore are not deemed to restrict the scope of the invention in any way. Other embodiments of the invention will be apparent to those skilled in the art from consideration of the specification and practice of the invention disclosed herein. It is thus intended that the specification and examples be considered as exemplary only, with a true scope and spirit of the invention being indicated by the claims.
EXAMPLE 3: FORMULATION OF COMP. 3 USED IN ANIMAL STUDIES
For oral (p.o.) administration : to the desired quantity (0.5-5 mg) of the solid compound 3 in a glass tube, some glass beads were added and the solid was milled by vortexing for 2 minutes. After addition of 1 ml of a solution of 1% methylcellulose in water and 2% (v/v) of Poloxamer 188 (Lutrol F68), the compound was suspended by vortexing for 10 minutes. The pH was adjusted to 7 with a few drops of aqueous NaOH (0.1N). Remaining particles in the suspension were further suspended by using an ultrasonic bath.
For intraperitoneal (Lp.) administration : to the desired quantity (0.5-15 mg) of the solid compound 3 in a glass tube, some glass beads were added and the solid was milled by vortexing for 2 minutes. After addition of 1 ml of a solution of 1% methylcellulose and 5% mannitol in water, the compound was suspended by vortexing for 10 minutes. Finally the pH was adjusted to 7.
EXAMPLE 4: PHARMACOLOGICAL TESTRESULTS
Dopamine-D2 and serotonin reuptake receptor affinity data obtained according to the protocols given above are shown in the table below. Table 2. In vitro affinities of compounds of the invention
Figure imgf000013_0001

Claims

1. Compounds of the general formula (1):
Figure imgf000014_0001
wherein: m and n independently are either 1, 2, 3, 4, 5, 6, 7 or 8, x is 0, 1 , 2 or 3
F?2 is halogen, branched or unbranched alkyl(C i-6), phenyl, benzyl, branched or unbranched alkoxy(Ci-6), trifluoromethyl or cyano
R3 and R4 independently represent hydrogen, alkyl(d-6), phenyl, benzyl or acetyl group Q is chosen from structural fragments A-N
Figure imgf000014_0002
Figure imgf000014_0003
wherein: - y is 1 , 2 or 3
- Ri is halogen, branched or unbranched alkyl(C i-6), phenyl, benzyl, branched or unbranched alkoxy(Ci-6), trifluoromethyl or cyano, and tautomers, stereoisomers and N-oxides thereof, as well as pharmacologically acceptable salts, hydrates and solvates of said compounds of formula (1) and its tautomers, stereoisomers and N-oxides.
2. Compounds as claimed in claim 1 of general formula ( 1 ) wherein m is 1 , n is 2, 3, 4 or 5, x is 1 , R2 is 4-fluoro or 4-trifluoromethyl, R3 and R4 independently represent hydrogen or methyl, group Q is chosen from structural fragments A, D, F or N, y is 1 , Ri is branched or unbranched alkoxy(Ci-3), and tautomers, stereoisomers and N-oxides thereof, as well as pharmacologically acceptable salts, hydrates and solvates of said compounds of formula (1) and its tautomers, stereoisomers and N-oxides.
3. A compound as claimed in claim 1 , selected from the group:
Figure imgf000015_0003
wherein the symbols represent those in formula (1):
Figure imgf000015_0001
and the structural fragments A, D, F or N:
Figure imgf000015_0002
and tautomers, stereoisomers and N-oxides thereof, as well as pharmacologically acceptable salts, hydrates and solvates of said compounds of formula (1) and its tautomers, stereoisomers and N-oxides.
4. A pharmaceutical composition comprising, in addition to a pharmaceutically acceptable carrier and/or at least one pharmaceutically acceptable auxiliary substance, a pharmacologically active amount of at least one compound of one of the claims 1-3, or a salt thereof, as an active ingredient.
5. A method of preparing a composition as claimed in claim 4, characterised in that at least one compound of one of the claims 1 -3, or a salt thereof, is brought into a form suitable for administration.
6. A compound as claimed in any of the claims 1 -3, or a salt thereof, for use as a medicament
7. Use of a compound as claimed in any of the claims 1-3 for the preparation of a pharmaceutical composition for the treatment of CNS disorders.
8. Use as claimed in claim 7, characterized in that said disorders are aggression, anxiety disorders, autism, vertigo, depression, disturbances of cognition or memory, Parkinson's disease, schizophrenia and other psychotic disorders.
9. Use as claimed in claim 7, characterized in that said disorder is depression.
10. Use as claimed in claim 7, characterized in that said disorders are schizophrenia and other psychotic disorders.
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