WO2007008145A1 - Heterocyclic sulfonamide derivatives as inhibitors of factor xa - Google Patents

Heterocyclic sulfonamide derivatives as inhibitors of factor xa Download PDF

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WO2007008145A1
WO2007008145A1 PCT/SE2006/000839 SE2006000839W WO2007008145A1 WO 2007008145 A1 WO2007008145 A1 WO 2007008145A1 SE 2006000839 W SE2006000839 W SE 2006000839W WO 2007008145 A1 WO2007008145 A1 WO 2007008145A1
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salkyl
formula
compound according
alkyl
hydrogen
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PCT/SE2006/000839
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French (fr)
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Kosrat Amin
Kenneth Granberg
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Astrazeneca Ab
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D401/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a chain containing hetero atoms as chain links
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00Drugs for disorders of the blood or the extracellular fluid
    • A61P7/02Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D403/00Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00
    • C07D403/02Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
    • C07D403/12Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a chain containing hetero atoms as chain links

Definitions

  • the invention relates to novel heterocyclic derivatives, or pharmaceutically- acceptable salts thereof, which possess antithrombotic and anticoagulant properties and are accordingly useful in methods of treatment of humans or animals.
  • the invention also relates to processes for the preparation of the heterocyclic derivatives, to their use, to pharmaceutical compositions comprising them, to their use in the manufacture of medicaments for use in the production of an antithrombotic or anticoagulant effect, and to combinations comprising them.
  • the antithrombotic and anticoagulant effect produced by the compounds of the invention is believed to be attributable to their strong inhibitory effect against the activated coagulation protease known as Factor Xa.
  • Factor Xa is one of a cascade of proteases involved in the complex process of blood coagulation.
  • the protease known, as thrombin is the final protease in the cascade and Factor Xa is the preceding protease, which cleaves prothrombin to generate thrombin.
  • Certain heterocyclic derivatives possess Factor Xa inhibitory activity.
  • Many of the compounds of the present invention also possess the advantage of being selective Factor Xa inhibitors, that is the enzyme Factor Xa is inhibited strongly at concentrations of test compound which do not inhibit or which inhibit to a lesser extent the enzyme thrombin which is also a member of the blood coagulation enzymatic cascade.
  • the compounds of the present invention possess activity useful in the treatment or prevention of a variety of medical disorders where anticoagulant therapy is indicated, for example in the treatment or prevention of thrombotic conditions such as coronary artery and cerebrovascular disease.
  • cardiovascular and cerebrovascular conditions such as myocardial infarction, the rupture of atherosclerotic plaques, venous or arterial thrombosis, coagulation syndromes, vascular injury including reocclusion and restenosis following angioplasty and coronary artery bypass surgery, thrombus formation after the application of blood vessel operative techniques or after general surgery such as hip replacement surgery, the introduction of artificial heart valves or on the recirculation of blood, cerebral infarction, cerebral thrombosis, stroke, cerebral embolism, pulmonary embolism, ischemia and angina (including unstable angina).
  • myocardial infarction the rupture of atherosclerotic plaques
  • venous or arterial thrombosis venous or arterial thrombosis
  • coagulation syndromes vascular injury including reocclusion and restenosis following angioplasty and coronary artery bypass surgery
  • vascular injury including reocclusion and restenosis following angioplasty and coronary artery bypass surgery
  • the compounds of the invention are also useful as inhibitors of blood coagulation in an ex vivo situation such as, for example, the storage of whole blood or other biological samples suspected to contain Factor Xa and in which coagulation is detrimental.
  • WO 98/21188 describes a range of Factor Xa inhibitors. Further particular examples of this type of compound including l-(5-chloroindol-2-ylsulphonyl)-4-[4-(6-oxo-lH- pyridazin-3-yl) benzoyl]piperazine are described in WO 99/57113. The applicants have found however, that by further derivatising the compounds of this type, enhanced properties may be obtained.
  • the present invention provides a compound of formula (I)
  • R , R and R are independently selected from carbon and nitrogen, and where at least one of R 1 , R 2 and R 3 is nitrogen
  • A is a single bond or a double bond; n is 0, 1, 2 or 3; each R 4 is independently selected from hydrogen, Ci. 3 alkyl, hydroxy, oxo and thioxo;
  • R 5 is hydrogen or oxo; m is O, 1, 2 or 3; each R 6 is independently selected from hydrogen, Ci-salkyl, oxo, carboxy, cyano, tetrazolyl, hydroxyQ-salkyl, carboxyQ.salkyl, Q.salkylcarboxy, Q.salkoxyoxod-salkyl, carbamoyl, C 1-5 alkylcarbamoyl, di(C 1-5 alkyl)carbamoyl, -CONR 80 (CH 2 ) x S(O) p R 9 , -CONH(CH 2 ) q NR 10 R ⁇ , -Ci.salkyl-Y 1 , -COOCHR 17 R 18 and -CON R 17 R 18 , wherein x represents an integer 0 to 4; p is 0, 1 or 2; q represents an integer 2 to 4;
  • R 80 represents hydrogen or Q ⁇ alkyl
  • R 9 represents Q-salkyl or phenyl
  • R 80 and R 9 may together form a Q.salkylene group
  • R 10 and R 11 independently represent hydrogen, Q.salkyl, phenyl, C 1-5 alkylphenyl, S(O) P R 9 , COR 12 or a 5- or 6-membered monocyclic heteroaryl ring containing up to 3 heteroatoms selected from nitrogen, oxygen and sulphur;
  • R 12 represents hydrogen, C h alky! or phenyl;
  • Y 1 represents S(O) p R 9 , NHS(O) 2 R 9 , NHCOR 13 , O(CH 2 ) r R 14 , azetidino, pyrrolidin-1- yl, piperidino, morpholino, thiamorpholino, 1-oxothiamorpholino, 1,1-dioxothiamorpholino, piperazin-1-yl or C ⁇ alkylamino,
  • R 13 represents Q.salkyl, phenyl or Q ⁇ alkylphenyl; r represents an integer 1 to 4; when r represents an integer 2 to 4, R 14 represents hydroxy, Q.salkylalkoxy, carboxy, Ci-salkoxycarbonyl, S(O) P R 9 or NR 15 R 16 ; and when r represents 1, R 14 represents carboxy or Ci-salkoxycarbonyl; wherein any phenyl group within R 6 is independently substituted by 0, 1 or 2 substituents selected from halogeno, trifluoromethyl, cyano, Q.salkyl and C 1-S aIkOXy;
  • R 15 and R 16 independently represent hydrogen or Q.salkyl;
  • R 17 and R 18 are independently selected from hydrogen, C 1-6 alkyl, C 4-7 cycloalkyl, C 2-6 alkenyl,
  • R 17 and R 18 may form along with the carbon to which they are attached a 4- ,5- , 6- or 7- membered carbocyclic ring which contains 0, 1 or 2 heteroatoms selected from nitrogen, oxygen and sulphur, or R 17 and R 18 may form along with the nitrogen to which they are attached a 4- ,5- , 6- or 7- membered heterocyclic ring which contain in addition to the nitrogen atom present 0, 1 or 2 additional heteroatoms selected from nitrogen, oxygen 1 *7 1 J?
  • each R , R or any of said rings formed by R and R is independently substituted by 0, 1 or 2 substituents selected from hydroxy, amino, carboxy, C 1-5 alkoxycarbonyl, oxo, Q ⁇ alkyl, hydroxyQ.salkyl, Q.salkoxyQ.salkyl, carboxyCi-salkyl, Ci-salkoxyoxoQ.ealkyl, and carbamoylC 1-5 alkyl; R 7 is carbon or nitrogen; pi is O, 1 or 2; and each R is independently selected from hydrogen and halogen; or a pharmaceutically acceptable salt thereof.
  • alkyl includes both straight and branched chain alkyl groups but references to individual alkyl groups such as "propyl” are specific for the straight chain version only. An analogous convention applies to other generic terms.
  • optically active or racemic forms by virtue of one or more asymmetric carbon atoms
  • the invention encompasses any such optically active or racemic form which possesses Factor Xa inhibitory activity.
  • the synthesis of optically active forms may be carried out by standard techniques of organic chemistry well known in the art, for example by synthesis from optically active starting materials or by resolution of a racemic form.
  • tautomer or tautomerism refers to the coexistence of two (or more) compounds that differ from each other only in the position of one (or more) mobile atoms and in electron distribution, i.e. different tautomeric forms.
  • An example may be keto-enol tautomers.
  • Compounds of the invention are potent inhibitors of Factor Xa, and may have improved selectivity over oxido squalene cyclase, better solubility and/or less cytochrome P 450 (CYP 450 ) inhibition and/or Caco2-permeability than some related compounds.
  • Caco2 is a cell line which mimics transport over the gut wall.
  • oxoQ.salkyl C 1-4 alkyl (as above), C 1-3 alkyl (as above), n- butyl, isobutyl, pentyl, 2-pentyl, 3-pentyl, 2- methyl-1 -butyl, isopentyl, neopentyl, 3- methyl-2-butyl, 2-methyl-2-butyl; for C 1-3 alkoxy: methoxy, ethoxy, propoxy, isopropoxy; for C 1-4 alkoxy: C 1-3 alkoxy (as above), n-butoxy, secbutoxy, isobutoxy, terbutoxy; for Ci.salkoxy: C 1-4 alkoxy (as above), C 1-3 alkoxy (as above), pentoxy, 2-pentoxy, 3-pentoxy, 2-methyl-l- butoxy, isopentoxy, neopentoxy, 3-methyl-2- butoxy, 2-methyl-2-butoxy; for 4- , 5- , 6-
  • oxido denotes a ⁇ O-group (ion)
  • carbamoyl denotes a H 2 N-C(O)-group.
  • a compound of formula (I) wherein one or two of R 1 , R 2 and R 3 is/are nitrogen.
  • a further embodiment of the invention discloses a compound of formula (I) wherein both R 2 and R 3 are nitrogen.
  • a further embodiment of the invention discloses a compound of formula (I) where one of R 4 is oxo.
  • a compound of formula (I) is disclosed where one of R 4 is C 1-3 alkyl, e.g methyl.
  • a compound of formula (I) is disclosed where one or two of R 4 is/are hydrogen. In a further embodiment of the invention a compound of formula (I) is disclosed where one of R 4 is hydroxy.
  • each R 6 is independently selected from hydrogen, Q.salkyl, oxo, carboxy, cyano, tetrazolyl, hydroxyQ.salkyl, carboxyQ.salkyl, Q.salkylcarboxy, Q.salkoxyoxoCi-salkyl, carbamoyl, C 1-5 alkylcarbamoyl, di(C 1-5 alkyl)carbamoyl, -CONR 80 (CH 2 ) x S(O) p R 9 , -CONH(CH 2 ) q NR 10 R ⁇ , -Q.salkyl-Y 1 , -COOCHR 17 R 18 and -CON R 17 R 18 .
  • each R 6 is independently selected from hydrogen, Q-salkyl, oxo, carboxy,
  • each R 6 is independently selected from hydrogen, Q.salkyl and oxo.
  • a compound of formula (T) is disclosed wherein R 7 is nitrogen.
  • a further embodiment of the invention discloses a compound of formula (I) wherein at least one of R is halogen, e.g. chloro or bromo.
  • a further embodiment of the invention discloses a compound of formula (I) which is
  • the present invention provides a process for preparing a compound of formula (I) or a pharmaceutically acceptable salt thereof, which comprises the reaction, conveniently in the presence of a suitable base, of an amine of formula (II) or a salt thereof, W
  • a suitable reactive derivative of an acid of the formula (HT) is, for example, an acyl halide, for example an acyl chloride formed by the reaction of the acid and an inorganic acid chloride, for example thionyl chloride; a mixed anhydride, for example an anhydride formed by the reaction of the acid with a chloroformate such as isobutyl chloroformate or with an activated amide such as l,r-carbonyldiimidazole; an active ester, for example an ester formed by the reaction of the acid and a phenol such as pentafluorophenol, an ester such as pentafluorophenyl trifluoroacetate or an alcohol such as iV-hydroxybenzotriazole or N-hydroxysuccinimide; an acyl azide, for example an azide formed by the reaction of the acid and an azide such as diphenylphosphoryl azide; an acyl cyanide, for example a cyanide formed by the reaction of an
  • reaction is conveniently carried out in the presence of a suitable base such as, for example, an alkali or alkaline earth metal carbonate, also preferably carried out in a suitable inert solvent or diluent, for example methylene chloride, and at a temperature in the range, for example, -78 0 C to 150 0 C, conveniently at or near ambient temperature.
  • a suitable base such as, for example, an alkali or alkaline earth metal carbonate
  • a suitable inert solvent or diluent for example methylene chloride
  • R groups, n, p, pi and m are as defined above in relation to formula (I) and A 1 is halogen, with corresponding halogen succinimide in an inert solvent like dichloromethane or N, N-dimethylformamide at a temperature in the range -50 0 C - 100 0 C, conveniently at or near ambient temperature.
  • R-groups, A, n and m are as defined above in relation to formula (T).
  • This reaction is carried out using a base such as ⁇ iV-dimethyl aminopyridine, diisopropylethyl amine in inert solvents, typically dichloromethane and N 1 N- dimethylformamide at a temperature in the range -50 °C - 100 0 C, conveniently at or near ambient temperature.
  • a base such as ⁇ iV-dimethyl aminopyridine, diisopropylethyl amine in inert solvents, typically dichloromethane and N 1 N- dimethylformamide
  • a pharmaceutically-acceptable salt of a compound of the formula (I) When a pharmaceutically-acceptable salt of a compound of the formula (I) is required, it may be obtained, for example, by reaction of said compound with a suitable acid or base using a conventional procedure.
  • an optically active form of a compound of the formula (I) When an optically active form of a compound of the formula (I) is required, it may be obtained, for example, by carrying out one of the aforesaid procedures using an optically active starting material or by resolution of a racemic form of said compound using a conventional procedure, for example by the formation of diastereomeric salts, use of chromatographic techniques, conversion using stereospecific enzymatic processes, or by addition of temporary extra chiral group to aid separation.
  • the invention also relates to a process for preparing a compound of formula (I) which process comprises either
  • the compounds of the formula (I) are inhibitors of the enzyme Factor Xa.
  • the effects of this inhibition may be demonstrated using one or more of the standard procedures set out hereinafter: -
  • the FXa inhibitor potency was measured with a chromogenic substrate method, in a Plato 3300 robotic microplate processor (Rosys AG, CH-8634 Hombrechtikon, Switzerland), using 96-well, half-volume microtiter plates (Costar, Cambridge, MA, USA; Cat No 3690).
  • Stock solutions of test substance in DMSO (72 ⁇ L), 10 mmol/L, alternatively 1 mmol/L were diluted serially 1:3 (24 + 48 ⁇ L) with DMSO to obtain ten different concentrations, which were analyzed as samples in the assay, together with controls and blanks. As control sample melagatran was analysed.
  • test sample or DMSO for the blank were added, followed by 124 ⁇ L of assay buffer (0.05 mol/L Tris-hydrochloric acid pH 7.4 at 37 °C, 5 mM CaCl 2 , ionic strength 0.15 adjusted with NaCl, 0.1 % bovine serum albumin, ICN Biomedicals, Inc, USA, IgFL) and 12 ⁇ L of chromogenic substrate solution (S-2765, Chromogenix, Molndal, Sweden) and finally 12 ⁇ L of FXa solution (human FXa, Haematologic Technologies Inc., Essec Junction, Vermont, USA), in buffer, was added, and the samples were mixed.
  • assay buffer 0.05 mol/L Tris-hydrochloric acid pH 7.4 at 37 °C, 5 mM CaCl 2 , ionic strength 0.15 adjusted with NaCl, 0.1 % bovine serum albumin, ICN Biomedicals, Inc, USA, IgFL
  • chromogenic substrate solution S-2765,
  • the linear absorbance increase at 405 nm during 40 min incubation at 37 0 C was used for calculation of percent inhibition for the test samples, as compared to references without inhibitor and/ or enzyme.
  • the thrombin inhibitor potency was measured with a chromogenic substrate method developed in-house in principle as described in a) for FXa but using instead 0.3 mM of the chromogenic substrate solution S-2366 (Chromogenix, Molndal, Sweden) and 0.1 nmol/L human thrombin (Haematologic Technologies Inc., Essec Junction, Vermont, USA). c) Measurement of Anticoagulant Activity
  • Plasma is prepared by centrifugation (1000 g, 15 minutes) and stored at -80 0 C.) and an aliquot was rapidly thawed at 37 0 C on the day of the experiment and kept on ice before addition to the coagulometer cups.
  • Conventional prothrombin time (PT) tests are carried out in the presence of various concentrations of a test compound and the concentration of test compound required to double the clotting time is determined.
  • Thromborel D S (Dade Behring, Liederbach, Germany) was reconstituted with 10 mL water.
  • the IC 5O is calculated from the curve of PTjZPT 0 versus the inhibitor concentration in plasma, id est three times the final assay concentration.
  • d) An in vivo Measurement of Antithrombotic Activity The abdoman is opened and the caval vein exposed. The thrombotic stimulus is partial stasis to the caval vein and a piece of filter paper soaked with ferric chloride and superimposed to the external surface of the vein. Thrombus size is determined as the thrombus wet weight at the end of the experiment. (Ref Thromb. Res. 2002;107: 163-168).
  • a feature of the invention is a compound of formula (I), or a pharmaceutically acceptable salt thereof, for use in medical therapy.
  • a pharmaceutical composition which comprises a compound of formula (I), or a pharmaceutically acceptable salt thereof, in association with a pharmaceutically acceptable diluent or carrier.
  • the composition may be in a form suitable for oral use, for example a tablet, capsule, aqueous or oily solution, suspension or emulsion; for topical use, for example a cream, ointment, gel or aqueous or oily solution or suspension; for nasal use, for example a snuff, nasal spray or nasal drops; for vaginal or rectal use, for example a suppository; for administration by inhalation, for example as a finely divided powder such as a dry powder, a microcrystalline form or a liquid aerosol; for sub-lingual or buccal use, for example a tablet or capsule; or for parenteral use (including intravenous, subcutaneous, intramuscular, intravascular or infusion), for example a sterile aqueous or oily solution or suspension.
  • compositions may be prepared in a conventional manner using conventional excipients.
  • the amount of active ingredient (that is a compound of the formula (I), or a pharmaceutically-acceptable salt thereof) that is combined with one or more excipients to produce a single dosage form will necessarily vary depending upon the host treated and the particular route of administration.
  • a formulation intended for oral administration to humans will generally contain, for example, from 0.5 mg to 2 g of active agent compounded with an appropriate and convenient amount of excipients which may vary from about 5 to about 98 percent by weight of the total composition.
  • Dosage unit forms will generally contain about 1 mg to about 500 mg of an active ingredient.
  • a compound of formula (I), or a pharmaceutically-acceptable salt thereof for use in a method of treatment of the human or animal body by therapy.
  • the invention also includes the use of such an active ingredient (i.e. a compound of the formula (I), or a pharmaceutically-acceptable salt thereof) in the production of a medicament for use in:-
  • the invention also includes a method of producing an effect as defined hereinbefore or treating a disease or disorder as defined hereinbefore which comprises administering to a warm-blooded animal requiring such treatment an effective amount of an active ingredient as defined hereinbefore.
  • the size of the dose for therapeutic or prophylactic purposes of a compound of the formula (I) will naturally vary according to the nature and severity of the medical condition, the age and sex of the animal or patient being treated and the route of administration, according to well known principles of medicine. As mentioned above, 0 compounds of the formula (I) are useful in the treatment or prevention of a variety of medical disorders where anticoagulant therapy is indicated. In using a compound of the formula (I) for such a purpose, it will generally be administered so that a daily oral dose in the range, for example, 0.5 to 100 mg/kg body weight/day is received, given if required in divided doses.
  • lower doses will be administered when a parenteral route is 5 employed, for example a dose for intravenous administration in the range, for example, 0.01 to 10 mg/kg body weight/day will generally be used.
  • lower doses will be employed, for example a daily dose in the range, for example, 0.1 to 10 mg/kg body weight/day.
  • a preferred dose range for either oral or parenteral administration would be 0.01 o to 10 mg/kg body weight/day.
  • the compounds of formula (I) are primarily of value as therapeutic or prophylactic agents for use in warm-blooded animals including man, they are also useful whenever it is required to produce an anticoagulant effect, for example during the ex vivo storage of whole blood or in the development of biological tests for compounds having anticoagulant properties.
  • the compounds of the invention may be administered as a sole therapy or they may be administered in conjunction with other pharmacologically active agents such as a thrombolytic agent, for example tissue plasminogen activator or derivatives thereof or streptokinase.
  • a thrombolytic agent for example tissue plasminogen activator or derivatives thereof or streptokinase.
  • the compounds of the invention may also be administered with, for example, a known platelet aggregation inhibitor (for example aspirin, a thromboxane antagonist or a thromboxane synthase inhibitor), a known hypolipidaemic agent or a known anti-hypertensive agent.
  • the compounds of the invention may also be combined and/or co-administered with any antithrombotic agent(s) with a different mechanism of action, such as one or more of the following: the anticoagulants unfractionated heparin, low molecular weight heparin, other heparin derivatives, synthetic heparin derivatives (e.g. fondaparinux), vitamin K antagonists, synthetic or biotechnological inhibitors of other coagulation factors than FXa (e.g.
  • thrombin synthetic thrombin, FVIIa, FXIa and FIXa inhibitors, and rNAPc2
  • the antiplatelet agents acetylsalicylic acid, ticlopidine and clopidogrel; thromboxane receptor and/or synthetase inhibitors; fibrinogen receptor antagonists; prostacyclin mimetics; phosphodiesterase inhibitors; ADP-receptor (P2X1, P2Y1, P2Y12 [P2T]) antagonists; and inhibitors of carboxypeptidase U (CPU or TAFIa) and inhibitors of plasminogen activator inhibitor-1 (PAI-I).
  • the compounds of the invention may further be combined and/or co-administered with thrombolytics such as one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen-streptokinase activator complex (APSAC), animal salivary gland plasminogen activators, and the like, in the treatment of thrombotic diseases, in particular myocardial infarction.
  • tissue plasminogen activator naturally, recombinant or modified
  • streptokinase urokinase
  • prourokinase prourokinase
  • anisoylated plasminogen-streptokinase activator complex APSAC
  • animal salivary gland plasminogen activators and the like
  • the invention further relates to a combination comprising a compound of formula (I) and any antithrombotic agent(s) with a different mechanism of action.
  • Said antithrombotic agent(s) may be, for example, one or more of the following: the anticoagulants unfractionated heparin, low molecular weight heparin, other heparin derivatives, synthetic heparin derivatives (e.g. fondaparinux), vitamin K antagonists, synthetic or biotechnological inhibitors of other coagulation factors than FXa (e.g.
  • thrombin synthetic thrombin, FVIIa, FXIa and FIXa inhibitors, and rNAPc2
  • the antiplatelet agents acetylsalicylic acid, ticlopidine and clopidogrel; thromboxane receptor and/or synthetase inhibitors; fibrinogen receptor antagonists; prostacyclin mimetics; phosphodiesterase inhibitors; ADP-receptor (P2X1, P2Y1, P2Y12 [P2T]) antagonists; and inhibitors of carboxypeptidase U (CPU or TAFIa) and inhibitors of plasminogen activator inhibitor- 1 (PAI-I).
  • the invention further relates to a combination comprising a compound of formula (I) and thrombolytics, e.g. one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen-streptokinase activator complex (APSAC), animal salivary gland plasminogen activators.
  • tissue plasminogen activator natural, recombinant or modified
  • streptokinase urokinase
  • prourokinase prourokinase
  • anisoylated plasminogen-streptokinase activator complex APSAC
  • animal salivary gland plasminogen activators e.g. one or more of tissue plasminogen activator (natural, recombinant or modified)
  • APSAC anisoylated plasminogen-streptokinas
  • the invention also relates to a combination comprising a compound of formula (I) and thrombolytics, e.g. one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen- streptokinase activator complex (APSAC), animal salivary gland plasminogen activators, and the like, in the treatment of thrombotic diseases, in particular myocardial infarction.
  • tissue plasminogen activator naturally, recombinant or modified
  • streptokinase urokinase
  • prourokinase prourokinase
  • anisoylated plasminogen- streptokinase activator complex APSAC
  • animal salivary gland plasminogen activators and the like
  • Preparative reversed phase HPLC was performed using a Waters Prep LC 2000 with UV detection equipped with a 25 cm x 2 cm or 30 x 5 cm C8 or C18 columns from Kromasil.
  • Preparative chiral resolution using HPLC was performed using a Gilson 306 with UV detection equipped with either a Ciralpak AS (25 x 2 cm) (ester separations), a Chiralpak AD (25 x 2 cm) (amide separations) or a Chirobiotic R (25 x 2 cm) (carboxylic acid separation) column using 100 % methanol or methanol / acetic acid / triethyl amine 100 / 0.1 / 0.05. All chiral separations were performed at 40 0 C.
  • the formed solid material was filtered off and washed with water and diethyl ether.
  • the aqueous filtrate was extracted with dichloromethane and the organic phase was dried (sodium sulfate) and concentrated.
  • the evaporated residue plus the filtered material was subjected to flash column chromatography (dichloromethane / methanol 100 : 4) to give 11 mg (34 %) of the title compound.

Abstract

The invention relates to compounds of formula (I), wherein R1, R2 and R3 are independently selected from carbon and nitrogen, and where at least one of R1, R2 and R3 is nitrogen; A is a single bond or a double bond; n is 0, 1, 2 or 3; each R4 is independently selected from hydrogen, C1-3 alkyl, hydroxy, oxo and thioxo; R5 is hydrogen or oxo; m is 0, 1, 2 or 3; each R6 is independently selected from hydrogen, C1-5 alkyl, oxo, carboxy, cyano, tetrazolyl, hydroxy C1-5 alkyl, carboxy C1-5 alkyl, C1-5 alkylcarboxy, C1-5 alkoxyoxo C1-5 alkyl, carbamoyl, C1-5 alkylcarbamoyl, di(C1-5 alkyl) carbamoyl, -CONR80 (CH2)xS(O)pR9, -CONH(CH2)qNR10R11, -C1-5 alkyl-Y1, -COOCHR17R18 and -CON R17 R18; R7 is carbon or nitrogen; p1 is 0, 1 or 2; each R8 is independently selected from hydrogen and halogen; or a pharmaceutically acceptable salt thereof, said compounds possess antithrombotic and anticoagulant properties and are accordingly useful in methods of treatment of humans or animals. The invention also relates to processes for the preparation of the compounds, to their use, to pharmaceutical compositions comprising them, to their use in the manufacture of medicaments for use in the production of an antithrombotic or anticoagulant effect, and to combinations comprising them.

Description

HETEROCYCLIC SULFONAMIDE DERIVATIVES AS INHIBITORS OF FACTOR Xa
The invention relates to novel heterocyclic derivatives, or pharmaceutically- acceptable salts thereof, which possess antithrombotic and anticoagulant properties and are accordingly useful in methods of treatment of humans or animals. The invention also relates to processes for the preparation of the heterocyclic derivatives, to their use, to pharmaceutical compositions comprising them, to their use in the manufacture of medicaments for use in the production of an antithrombotic or anticoagulant effect, and to combinations comprising them. The antithrombotic and anticoagulant effect produced by the compounds of the invention is believed to be attributable to their strong inhibitory effect against the activated coagulation protease known as Factor Xa. Factor Xa is one of a cascade of proteases involved in the complex process of blood coagulation. The protease known, as thrombin is the final protease in the cascade and Factor Xa is the preceding protease, which cleaves prothrombin to generate thrombin.
Certain compounds are known to possess Factor Xa inhibitory properties and the field has been reviewed by B. -Y. Zhu, R. M. Scarborough, Current Opinion in Cardiovascular, Pulmonary & Renal Investigational Drugs, 1999, 1(1), 63-88. Thus it is known that two proteins, one known as recombinant antistasin (r-ATS) and the other known as recombinant tick anticoagulant protein (r-TAP), are specific direct Factor Xa inhibitors which possess antithrombotic properties in various animal models of thrombotic disease.
It is also known that certain non-peptidic compounds possess Factor Xa inhibitory properties. Of the low molecular weight inhibitors mentioned in the review by B.-Y. Zhu and R. M. Scarborough, many inhibitors possess a strongly basic group such as an amidinophenyl or amidinonaphthyl group.
We have now found that certain heterocyclic derivatives possess Factor Xa inhibitory activity. Many of the compounds of the present invention also possess the advantage of being selective Factor Xa inhibitors, that is the enzyme Factor Xa is inhibited strongly at concentrations of test compound which do not inhibit or which inhibit to a lesser extent the enzyme thrombin which is also a member of the blood coagulation enzymatic cascade. The compounds of the present invention possess activity useful in the treatment or prevention of a variety of medical disorders where anticoagulant therapy is indicated, for example in the treatment or prevention of thrombotic conditions such as coronary artery and cerebrovascular disease. Further examples of such medical disorders include various cardiovascular and cerebrovascular conditions such as myocardial infarction, the rupture of atherosclerotic plaques, venous or arterial thrombosis, coagulation syndromes, vascular injury including reocclusion and restenosis following angioplasty and coronary artery bypass surgery, thrombus formation after the application of blood vessel operative techniques or after general surgery such as hip replacement surgery, the introduction of artificial heart valves or on the recirculation of blood, cerebral infarction, cerebral thrombosis, stroke, cerebral embolism, pulmonary embolism, ischemia and angina (including unstable angina).
The compounds of the invention are also useful as inhibitors of blood coagulation in an ex vivo situation such as, for example, the storage of whole blood or other biological samples suspected to contain Factor Xa and in which coagulation is detrimental.
WO 98/21188 describes a range of Factor Xa inhibitors. Further particular examples of this type of compound including l-(5-chloroindol-2-ylsulphonyl)-4-[4-(6-oxo-lH- pyridazin-3-yl) benzoyl]piperazine are described in WO 99/57113. The applicants have found however, that by further derivatising the compounds of this type, enhanced properties may be obtained.
The present invention provides a compound of formula (I)
Figure imgf000003_0001
1 0 "X wherein R , R and R are independently selected from carbon and nitrogen, and where at least one of R1, R2 and R3 is nitrogen
A is a single bond or a double bond; n is 0, 1, 2 or 3; each R4 is independently selected from hydrogen, Ci.3alkyl, hydroxy, oxo and thioxo;
R5 is hydrogen or oxo; m is O, 1, 2 or 3; each R6 is independently selected from hydrogen, Ci-salkyl, oxo, carboxy, cyano, tetrazolyl, hydroxyQ-salkyl, carboxyQ.salkyl, Q.salkylcarboxy, Q.salkoxyoxod-salkyl, carbamoyl, C1-5alkylcarbamoyl, di(C1-5alkyl)carbamoyl, -CONR80(CH2)xS(O)pR9, -CONH(CH2)qNR10Rπ, -Ci.salkyl-Y1, -COOCHR17R18 and -CON R17 R18, wherein x represents an integer 0 to 4; p is 0, 1 or 2; q represents an integer 2 to 4;
R80 represents hydrogen or Q^alkyl; R9 represents Q-salkyl or phenyl; or
R80 and R9 may together form a Q.salkylene group;
R10 and R11 independently represent hydrogen, Q.salkyl, phenyl, C1-5alkylphenyl, S(O)PR9, COR12 or a 5- or 6-membered monocyclic heteroaryl ring containing up to 3 heteroatoms selected from nitrogen, oxygen and sulphur; R12 represents hydrogen, Chalky! or phenyl;
Y1 represents S(O)pR9, NHS(O)2R9, NHCOR13, O(CH2)rR14, azetidino, pyrrolidin-1- yl, piperidino, morpholino, thiamorpholino, 1-oxothiamorpholino, 1,1-dioxothiamorpholino, piperazin-1-yl or C^alkylamino,
R13 represents Q.salkyl, phenyl or Q^alkylphenyl; r represents an integer 1 to 4; when r represents an integer 2 to 4, R14 represents hydroxy, Q.salkylalkoxy, carboxy, Ci-salkoxycarbonyl, S(O)PR9 or NR15R16; and when r represents 1, R14 represents carboxy or Ci-salkoxycarbonyl; wherein any phenyl group within R6 is independently substituted by 0, 1 or 2 substituents selected from halogeno, trifluoromethyl, cyano, Q.salkyl and C1-SaIkOXy;
R15 and R16 independently represent hydrogen or Q.salkyl; R17 and R18 are independently selected from hydrogen, C1-6alkyl, C4-7cycloalkyl, C2-6alkenyl, R17 and R18 may form along with the carbon to which they are attached a 4- ,5- , 6- or 7- membered carbocyclic ring which contains 0, 1 or 2 heteroatoms selected from nitrogen, oxygen and sulphur, or R17 and R18 may form along with the nitrogen to which they are attached a 4- ,5- , 6- or 7- membered heterocyclic ring which contain in addition to the nitrogen atom present 0, 1 or 2 additional heteroatoms selected from nitrogen, oxygen 1 *7 1 J? T7 1 R and sulphur, wherein each R , R or any of said rings formed by R and R is independently substituted by 0, 1 or 2 substituents selected from hydroxy, amino, carboxy, C1-5alkoxycarbonyl, oxo, Q^alkyl, hydroxyQ.salkyl, Q.salkoxyQ.salkyl, carboxyCi-salkyl, Ci-salkoxyoxoQ.ealkyl, and carbamoylC1-5alkyl; R7 is carbon or nitrogen; pi is O, 1 or 2; and each R is independently selected from hydrogen and halogen; or a pharmaceutically acceptable salt thereof.
In this specification the term "alkyl" includes both straight and branched chain alkyl groups but references to individual alkyl groups such as "propyl" are specific for the straight chain version only. An analogous convention applies to other generic terms.
For the avoidance of doubt, the atoms of the indolyl ring appearing in formula (I) is numbered as drawn below:
5 4
6-indolyl
Figure imgf000005_0001
It is to be understood that certain of the compounds of the formula (I) defined above can exist in solvated as well as unsolvated forms such as, for example, hydrated forms. It is to be understood that the invention encompasses all such solvated forms, which possess Factor Xa inhibitory activity.
It is further to be understood that, insofar as certain of the compounds of the formula (I) defined above may exist in optically active or racemic forms by virtue of one or more asymmetric carbon atoms, the invention encompasses any such optically active or racemic form which possesses Factor Xa inhibitory activity. The synthesis of optically active forms may be carried out by standard techniques of organic chemistry well known in the art, for example by synthesis from optically active starting materials or by resolution of a racemic form. Further, "tautomer" or "tautomerism" refers to the coexistence of two (or more) compounds that differ from each other only in the position of one (or more) mobile atoms and in electron distribution, i.e. different tautomeric forms. An example may be keto-enol tautomers.
Moreoyer, it is also to be understood that, insofar as certain of the compounds of the formula (I) defined above may exist in various tautomeric forms, the invention encompasses any such tautomeric forms which possesses Factor Xa inhibitory activity.
Compounds of the invention are potent inhibitors of Factor Xa, and may have improved selectivity over oxido squalene cyclase, better solubility and/or less cytochrome P 450 (CYP450) inhibition and/or Caco2-permeability than some related compounds. Caco2 is a cell line which mimics transport over the gut wall.
Suitable values in the compound of formula (I): for halogen: fluoro, chloro, bromo, iodo; for C1-3alkyl (also as in e.g. oxoQ.salkyl): methyl, ethyl, propyl, isopropyl; for C1-4alkyl (also as in e.g. oxoC1-4alkyl): methyl, ethyl, propyl, isopropyl, n-butyl, secbutyl, isobutyl, tertbutyl; for C^alkyl (also as in e.g. oxoQ.salkyl): C1-4alkyl (as above), C1-3alkyl (as above), n- butyl, isobutyl, pentyl, 2-pentyl, 3-pentyl, 2- methyl-1 -butyl, isopentyl, neopentyl, 3- methyl-2-butyl, 2-methyl-2-butyl; for C1-3alkoxy: methoxy, ethoxy, propoxy, isopropoxy; for C1-4alkoxy: C1-3alkoxy (as above), n-butoxy, secbutoxy, isobutoxy, terbutoxy; for Ci.salkoxy: C1-4alkoxy (as above), C1-3alkoxy (as above), pentoxy, 2-pentoxy, 3-pentoxy, 2-methyl-l- butoxy, isopentoxy, neopentoxy, 3-methyl-2- butoxy, 2-methyl-2-butoxy; for 4- , 5- , 6- or 7- membered heterocyclic ring: azetidine, pyrrolidine, morpholine, piperazine, azepane, [l,4]-diazepane, tetrahydro-pyran, or piperidin.
Moreover, the term "oxido" denotes a ~O-group (ion) and the term "carbamoyl" denotes a H2N-C(O)-group.
In an embodiment of the invention a compound of formula (I) is disclosed wherein one or two of R1, R2 and R3 is/are nitrogen.
A further embodiment of the invention discloses a compound of formula (I) wherein both R2 and R3 are nitrogen.
In a further embodiment of the invention a compound of formula (I) is disclosed wherein R1 is nitrogen.
In still a further embodiment of the invention a compound of formula (I) is disclosed wherein A is a single bond.
In even a further embodiment of the invention a compound of formula (I) is disclosed wherein A is a double bond
A further embodiment of the invention discloses a compound of formula (I) where one of R4 is oxo.
In a further embodiment of the invention a compound of formula (I) is disclosed wherein said R4 being oxo is positioned at R1.
In still a further embodiment of the invention a compound of formula (I) is disclosed where one of R4 is C1-3alkyl, e.g methyl.
In even a further embodiment of the invention a compound of formula (I) is disclosed where one or two of R4 is/are hydrogen. In a further embodiment of the invention a compound of formula (I) is disclosed where one of R4 is hydroxy.
In still a further embodiment of the invention a compound of formula (I) is disclosed wherein R5 is oxo.
In a further embodiment of the invention a compound of formula (I) is disclosed wherein each R6 is independently selected from hydrogen, Q.salkyl, oxo, carboxy, cyano, tetrazolyl, hydroxyQ.salkyl, carboxyQ.salkyl, Q.salkylcarboxy, Q.salkoxyoxoCi-salkyl, carbamoyl, C1-5alkylcarbamoyl, di(C1-5alkyl)carbamoyl, -CONR80(CH2)xS(O)pR9, -CONH(CH2)qNR10Rπ, -Q.salkyl-Y1, -COOCHR17R18 and -CON R17 R18.
In still a further embodiment of the invention a compound of formula (I) is disclosed wherein each R6 is independently selected from hydrogen, Q-salkyl, oxo, carboxy,
Q-salkyl, carboxyd-salkyl, Q.salkylcarboxy, Q.salkoxyoxod-salkyl, -Q-salkyl-Y1 and -COOCHR17R18 .
In even a further embodiment of the invention a compound of formula (I) is disclosed wherein each R6 is independently selected from hydrogen, Q.salkyl and oxo.
In a further embodiment of the invention a compound of formula (I) is disclosed wherein R5 is hydrogen and at least one of R6 is oxo.
In still a further embodiment of the invention a compound of formula (I) is disclosed wherein each R6 is hydrogen.
In even a further embodiment of the invention a compound of formula (I) is disclosed wherein R7 is carbon.
In a further embodiment of the invention a compound of formula (T) is disclosed wherein R7 is nitrogen. A further embodiment of the invention discloses a compound of formula (I) wherein at least one of R is halogen, e.g. chloro or bromo.
In a further embodiment of the invention a compound of formula (I) is disclosed wherein each R8 is hydrogen.
A further embodiment of the invention discloses a compound of formula (I) which is
6-{4-[4-(3-Chloro-lH-indazole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2H-pyridazin- 3-one,
6- { 4- [4-(3-Bromo- 1 H-indazole-6-sulfonyl)-piperazine- 1 -carbonyl] -phenyl } -2H-pyridazin-
3-one,
6-{4-[4-(3-Bromo-lH-indole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2-methyl-2H- pyridazin-3-one, 6- { 4- [4-(3 -Chloro- 1 H-indole-6-sulf onyl)-piperazine- 1 -carbonyl] -phenyl } -2-methyl-2H- pyridazin-3-one,
6-{4-[4-(l H-Indole-6-sulf onyl) -piperazine- 1 -carbonyl] -phenyl } -2-methyl-2H-pyridazin-3 - one,
[4-(3-Chloro- lH-indole-6-sulfonyl)-piperazin- 1 -yl]-[4-(6-hydroxy-pyridazin-3-yl)- phenyl]-methanone,
[4-(6-Hydroxy-pyridazin-3 -yl)-phenyl] -[4-(I H-indole-6-sulf onyl)-piperazin- 1 -yl] - methanone,
[4-(3-Chloro-lH-indole-6-sulfonyl)-piperazin-l-yl]-(4-pyridin-4-yl-phenyl)-methanone,
[4-(lH-Indole-6-sulfonyl)-piperazin-l-yl]-(4-pyridin-4-yl-phenyl)-methanone or 6-{4-[S)-4-(3-chloro-lH-indole-6-sulfonyl)-2-methyl-6-sulfonyl)
-2-methyl-6-oxo-piperazin-l-ylmethyl]-phenyl}-2-methyl-2H-pyridazin-3-one.
For instance, the present invention provides a process for preparing a compound of formula (I) or a pharmaceutically acceptable salt thereof, which comprises the reaction, conveniently in the presence of a suitable base, of an amine of formula (II) or a salt thereof, W
with an acid of the formula
Figure imgf000010_0001
(III) wherein R groups and A, n, p, pi and m are as defined above in relation to formula (I), or a reactive derivative thereof.
A suitable reactive derivative of an acid of the formula (HT) is, for example, an acyl halide, for example an acyl chloride formed by the reaction of the acid and an inorganic acid chloride, for example thionyl chloride; a mixed anhydride, for example an anhydride formed by the reaction of the acid with a chloroformate such as isobutyl chloroformate or with an activated amide such as l,r-carbonyldiimidazole; an active ester, for example an ester formed by the reaction of the acid and a phenol such as pentafluorophenol, an ester such as pentafluorophenyl trifluoroacetate or an alcohol such as iV-hydroxybenzotriazole or N-hydroxysuccinimide; an acyl azide, for example an azide formed by the reaction of the acid and an azide such as diphenylphosphoryl azide; an acyl cyanide, for example a cyanide formed by the reaction of an acid and a cyanide such as diethylphosphoryl cyanide; or the product of the reaction of the acid and a carbodiimide such as ΛζiV'-dicyclohexylcarbodiimide orN-(3-dimethylaininopropyl)-N'-ethyl-carbodiimide.
The reaction is conveniently carried out in the presence of a suitable base such as, for example, an alkali or alkaline earth metal carbonate, also preferably carried out in a suitable inert solvent or diluent, for example methylene chloride, and at a temperature in the range, for example, -78 0C to 150 0C, conveniently at or near ambient temperature. Compounds of formula (IV) are suitably prepared by reacting a compound of formula
(V),
Figure imgf000011_0001
wherein R groups, n, p, pi and m are as defined above in relation to formula (I) and A1 is halogen, with corresponding halogen succinimide in an inert solvent like dichloromethane or N, N-dimethylformamide at a temperature in the range -50 0C - 100 0C, conveniently at or near ambient temperature.
Figure imgf000011_0002
Alternatively, compounds of formula (I) are prepared by reaction a sulfonyl chloride derivative of formula (VI),
Figure imgf000011_0003
with an amine of formula (VII) or a salt thereof,
Figure imgf000012_0001
wherein the R-groups, A, n and m are as defined above in relation to formula (T).
This reaction is carried out using a base such as ΛζiV-dimethyl aminopyridine, diisopropylethyl amine in inert solvents, typically dichloromethane and N1N- dimethylformamide at a temperature in the range -50 °C - 100 0C, conveniently at or near ambient temperature.
When a pharmaceutically-acceptable salt of a compound of the formula (I) is required, it may be obtained, for example, by reaction of said compound with a suitable acid or base using a conventional procedure.
When an optically active form of a compound of the formula (I) is required, it may be obtained, for example, by carrying out one of the aforesaid procedures using an optically active starting material or by resolution of a racemic form of said compound using a conventional procedure, for example by the formation of diastereomeric salts, use of chromatographic techniques, conversion using stereospecific enzymatic processes, or by addition of temporary extra chiral group to aid separation.
The invention also relates to a process for preparing a compound of formula (I) which process comprises either
(a) reacting an amine of formula (II),
Figure imgf000012_0002
or a salt thereof, with an acid of the formula (IH),
Figure imgf000013_0001
(III)
(b)
reacting a compound of formula (V),
Figure imgf000013_0002
with corresponding halogen succinimide; or
(c) reacting a sulfonyl chloride derivative of formula (VI),
Figure imgf000013_0003
with an amine of formula (VET) or a salt thereof.
Figure imgf000013_0004
W
13
As stated previously, the compounds of the formula (I) are inhibitors of the enzyme Factor Xa. The effects of this inhibition may be demonstrated using one or more of the standard procedures set out hereinafter: -
a) Measurement of Factor Xa Inhibition
The FXa inhibitor potency was measured with a chromogenic substrate method, in a Plato 3300 robotic microplate processor (Rosys AG, CH-8634 Hombrechtikon, Switzerland), using 96-well, half-volume microtiter plates (Costar, Cambridge, MA, USA; Cat No 3690). Stock solutions of test substance in DMSO (72 μL), 10 mmol/L, alternatively 1 mmol/L were diluted serially 1:3 (24 + 48 μL) with DMSO to obtain ten different concentrations, which were analyzed as samples in the assay, together with controls and blanks. As control sample melagatran was analysed. The dilutions of each test substance were analyzed consecutively, row-wise on the microtiter plate, with wash-cycles between substances to avoid cross-contamination. First 2 μL of test sample or DMSO for the blank were added, followed by 124 μL of assay buffer (0.05 mol/L Tris-hydrochloric acid pH 7.4 at 37 °C, 5 mM CaCl2, ionic strength 0.15 adjusted with NaCl, 0.1 % bovine serum albumin, ICN Biomedicals, Inc, USA, IgFL) and 12 μL of chromogenic substrate solution (S-2765, Chromogenix, Molndal, Sweden) and finally 12 μL of FXa solution (human FXa, Haematologic Technologies Inc., Essec Junction, Vermont, USA), in buffer, was added, and the samples were mixed. The final assay concentrations were: test substance 0.0068- 133, respectively 0.00068-13.3 μmol/L, S-2765 0.40 mmol/L (KM = 0.25 mmol/L) and FXa 0.1 nmol/L. The linear absorbance increase at 405 nm during 40 min incubation at 37 0C was used for calculation of percent inhibition for the test samples, as compared to references without inhibitor and/ or enzyme. The ICso-value, corresponding to the inhibitor concentration, which caused 50 % inhibition of the FXa activity, was calculated by fitting the data to a three-parameter equation by Microsoft XLfit. b) Measurement of Thrombin Inhibition
The thrombin inhibitor potency was measured with a chromogenic substrate method developed in-house in principle as described in a) for FXa but using instead 0.3 mM of the chromogenic substrate solution S-2366 (Chromogenix, Molndal, Sweden) and 0.1 nmol/L human thrombin (Haematologic Technologies Inc., Essec Junction, Vermont, USA). c) Measurement of Anticoagulant Activity
An in vitro assay whereby human blood is collected and added directly to a sodium citrate solution (3.2 g/100 mL, 9 parts blood to 1 part citrate solution). Plasma is prepared by centrifugation (1000 g, 15 minutes) and stored at -80 0C.) and an aliquot was rapidly thawed at 37 0C on the day of the experiment and kept on ice before addition to the coagulometer cups. Conventional prothrombin time (PT) tests are carried out in the presence of various concentrations of a test compound and the concentration of test compound required to double the clotting time is determined. Thromborel (D S (Dade Behring, Liederbach, Germany) was reconstituted with 10 mL water. This solution was kept at 4 °C and was used within one week. Before the experiment the solution was kept at 37 0C for at least 30 minutes before start of the experiment. A ball coagulation timer KC 1OA from Heinrich Amelung GmbH. (Lemgo, Germany) was used to study if the compounds could prevent coagulation in human plasma. The time for 50 μl plasma with compound to coagulate after addition of 100 μl Thromborel S, the Prothrombin Time or PTi, is compared with the time it takes for pure plasma to coagulate, PTo. With this technique the change in viscosity in the stirred solution is used to define clotting. The IC5O is calculated from the curve of PTjZPT0 versus the inhibitor concentration in plasma, id est three times the final assay concentration. d) An in vivo Measurement of Antithrombotic Activity The abdoman is opened and the caval vein exposed. The thrombotic stimulus is partial stasis to the caval vein and a piece of filter paper soaked with ferric chloride and superimposed to the external surface of the vein. Thrombus size is determined as the thrombus wet weight at the end of the experiment. (Ref Thromb. Res. 2002;107: 163-168).
When tested in the above mentioned screen a) Measurement of Factor Xa Inhibition, the compounds of the Examples gave IC50 values for inhibition of Factor Xa activity of less than 10 μM, indicating that the compounds of the invention are expected to possess useful therapeutic properties. Specimen results are shown in the following Table:
Figure imgf000016_0001
A feature of the invention is a compound of formula (I), or a pharmaceutically acceptable salt thereof, for use in medical therapy.
According to a further feature of the invention there is provided a pharmaceutical composition which comprises a compound of formula (I), or a pharmaceutically acceptable salt thereof, in association with a pharmaceutically acceptable diluent or carrier. The composition may be in a form suitable for oral use, for example a tablet, capsule, aqueous or oily solution, suspension or emulsion; for topical use, for example a cream, ointment, gel or aqueous or oily solution or suspension; for nasal use, for example a snuff, nasal spray or nasal drops; for vaginal or rectal use, for example a suppository; for administration by inhalation, for example as a finely divided powder such as a dry powder, a microcrystalline form or a liquid aerosol; for sub-lingual or buccal use, for example a tablet or capsule; or for parenteral use (including intravenous, subcutaneous, intramuscular, intravascular or infusion), for example a sterile aqueous or oily solution or suspension. In general the above compositions may be prepared in a conventional manner using conventional excipients. The amount of active ingredient (that is a compound of the formula (I), or a pharmaceutically-acceptable salt thereof) that is combined with one or more excipients to produce a single dosage form will necessarily vary depending upon the host treated and the particular route of administration. For example, a formulation intended for oral administration to humans will generally contain, for example, from 0.5 mg to 2 g of active agent compounded with an appropriate and convenient amount of excipients which may vary from about 5 to about 98 percent by weight of the total composition. Dosage unit forms will generally contain about 1 mg to about 500 mg of an active ingredient. According to a further feature of the invention there is provided a compound of formula (I), or a pharmaceutically-acceptable salt thereof, for use in a method of treatment of the human or animal body by therapy. The invention also includes the use of such an active ingredient (i.e. a compound of the formula (I), or a pharmaceutically-acceptable salt thereof) in the production of a medicament for use in:-
(i) producing a Factor Xa inhibitory effect; (ii) producing an anticoagulant effect;
(iii) producing an antithrombotic effect;
(iv) treating a Factor Xa mediated disease or medical condition; (v) treating a thrombosis mediated disease or medical condition; (vi) treating coagulation disorders; and/or (vii) treating thrombosis or embolism involving Factor Xa mediated coagulation.
The invention also includes a method of producing an effect as defined hereinbefore or treating a disease or disorder as defined hereinbefore which comprises administering to a warm-blooded animal requiring such treatment an effective amount of an active ingredient as defined hereinbefore.
The size of the dose for therapeutic or prophylactic purposes of a compound of the formula (I) will naturally vary according to the nature and severity of the medical condition, the age and sex of the animal or patient being treated and the route of administration, according to well known principles of medicine. As mentioned above, 0 compounds of the formula (I) are useful in the treatment or prevention of a variety of medical disorders where anticoagulant therapy is indicated. In using a compound of the formula (I) for such a purpose, it will generally be administered so that a daily oral dose in the range, for example, 0.5 to 100 mg/kg body weight/day is received, given if required in divided doses. In general lower doses will be administered when a parenteral route is 5 employed, for example a dose for intravenous administration in the range, for example, 0.01 to 10 mg/kg body weight/day will generally be used. For preferred and especially preferred compounds of the invention, in general, lower doses will be employed, for example a daily dose in the range, for example, 0.1 to 10 mg/kg body weight/day. In general a preferred dose range for either oral or parenteral administration would be 0.01 o to 10 mg/kg body weight/day.
Although the compounds of formula (I) are primarily of value as therapeutic or prophylactic agents for use in warm-blooded animals including man, they are also useful whenever it is required to produce an anticoagulant effect, for example during the ex vivo storage of whole blood or in the development of biological tests for compounds having anticoagulant properties.
The compounds of the invention may be administered as a sole therapy or they may be administered in conjunction with other pharmacologically active agents such as a thrombolytic agent, for example tissue plasminogen activator or derivatives thereof or streptokinase. The compounds of the invention may also be administered with, for example, a known platelet aggregation inhibitor (for example aspirin, a thromboxane antagonist or a thromboxane synthase inhibitor), a known hypolipidaemic agent or a known anti-hypertensive agent.
The compounds of the invention may also be combined and/or co-administered with any antithrombotic agent(s) with a different mechanism of action, such as one or more of the following: the anticoagulants unfractionated heparin, low molecular weight heparin, other heparin derivatives, synthetic heparin derivatives (e.g. fondaparinux), vitamin K antagonists, synthetic or biotechnological inhibitors of other coagulation factors than FXa (e.g. synthetic thrombin, FVIIa, FXIa and FIXa inhibitors, and rNAPc2), the antiplatelet agents acetylsalicylic acid, ticlopidine and clopidogrel; thromboxane receptor and/or synthetase inhibitors; fibrinogen receptor antagonists; prostacyclin mimetics; phosphodiesterase inhibitors; ADP-receptor (P2X1, P2Y1, P2Y12 [P2T]) antagonists; and inhibitors of carboxypeptidase U (CPU or TAFIa) and inhibitors of plasminogen activator inhibitor-1 (PAI-I).
The compounds of the invention may further be combined and/or co-administered with thrombolytics such as one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen-streptokinase activator complex (APSAC), animal salivary gland plasminogen activators, and the like, in the treatment of thrombotic diseases, in particular myocardial infarction.
The invention further relates to a combination comprising a compound of formula (I) and any antithrombotic agent(s) with a different mechanism of action. Said antithrombotic agent(s) may be, for example, one or more of the following: the anticoagulants unfractionated heparin, low molecular weight heparin, other heparin derivatives, synthetic heparin derivatives (e.g. fondaparinux), vitamin K antagonists, synthetic or biotechnological inhibitors of other coagulation factors than FXa (e.g. synthetic thrombin, FVIIa, FXIa and FIXa inhibitors, and rNAPc2), the antiplatelet agents acetylsalicylic acid, ticlopidine and clopidogrel; thromboxane receptor and/or synthetase inhibitors; fibrinogen receptor antagonists; prostacyclin mimetics; phosphodiesterase inhibitors; ADP-receptor (P2X1, P2Y1, P2Y12 [P2T]) antagonists; and inhibitors of carboxypeptidase U (CPU or TAFIa) and inhibitors of plasminogen activator inhibitor- 1 (PAI-I).
Moreover, the invention further relates to a combination comprising a compound of formula (I) and thrombolytics, e.g. one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen-streptokinase activator complex (APSAC), animal salivary gland plasminogen activators.
Further, the invention also relates to a combination comprising a compound of formula (I) and thrombolytics, e.g. one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen- streptokinase activator complex (APSAC), animal salivary gland plasminogen activators, and the like, in the treatment of thrombotic diseases, in particular myocardial infarction.
The invention will now be illustrated in the following Examples in which, unless otherwise stated: - (i) Yields are given for illustration only and are not necessarily the maximum attainable. Single node microwave irradiation was performed using either an Emrys Optimizer or a Smith Creator from Personal Chemistry. AU solvents and reagents were used as purchased without purification unless noted.;
(ii) The end-products have satisfactory high resolution mass spectral (HRMS) data as analysed on a Micromass QTof Micro spectrometer equipped with an Agilent 1100 LC system high performance liquid chromatography (HPLC). The spectrometer was continually calibrated with leucine enkephaline C2SHs7NsO7 (m/z 556.2771) . MS conditions: Electrospray ionization, positive mode, capillary voltage 2.3 kV and desolvation temperature 150 0C. Accurate mass was determined for positive ionization using leucine enkephaline (m/z 556.2771) as lock mass. Structures were confirmed by 1H nuclear magnetic resonance (1H NMR) spectra which were obtained with either a Varian Unity plus or a Varian Inova spectrometer operating at 400, 500 and 600 MHz respectively. Chemical shift values were measured on the delta scale; the following abbreviations have been used: s, singlet; d, doublet; t, triplet; q, quartet; sept, septet; m, multiplet.;
(iii) Isolated intermediates were generally characterised as the end products with the exception of HRMS data.;
(iv) Preparative reversed phase HPLC was performed using a Waters Prep LC 2000 with UV detection equipped with a 25 cm x 2 cm or 30 x 5 cm C8 or C18 columns from Kromasil. Preparative chiral resolution using HPLC was performed using a Gilson 306 with UV detection equipped with either a Ciralpak AS (25 x 2 cm) (ester separations), a Chiralpak AD (25 x 2 cm) (amide separations) or a Chirobiotic R (25 x 2 cm) (carboxylic acid separation) column using 100 % methanol or methanol / acetic acid / triethyl amine 100 / 0.1 / 0.05. All chiral separations were performed at 40 0C.
Example 1
6-{4-[4-(3-ChIoro-lH-indazole-6-suIfonyI)-piperazine-l-carbonyl]-phenyl}-2H- pyridazin-3-one
A) 4-(3-Ammo-4-methyl-benzenesulfonyl)-piperazine-l-carboxylic acid tert-butyl ester
To a solution of 4-(4-methyl-3-nitro-benzenesulfonyl)-piperazine-l-carboxylic acid tert- butyl ester (0.96 g, 2.5 mmol) in tetrahydrofuran (14 mL) and methanol (14 mL) was added Raney nickel (1 spoonful). Hydrazine monohydrate (2 mL) was added drop wise, keeping the internal temperature at 45 0C. After stirring for 1 hour, the reaction mixture was diluted with tetrahydrofuran and methanol. The catalyst was filtered off, and the solution evaporated to dryness to give 0.89 g (quantitative yield) of the sub-title compound.
1H NMR (300 MHz, chloroform-d as solvent and internal reference) δ (ppm) 1.40 (s, 9H), 2.27 (s, 3H), 2.89 - 3.02 (m, 4H), 3.44 - 3.55 (m, 4H), 7.09 - 7.17 (m, 2H), 7.22 (d, IH, / = 7.9 Hz).
B) 4-(lH-Indazole-6-sulfonyl)-piρerazine-l-carboxylic acid tert-butyl ester
To a solution of 4-(3-amino-4-methyl-benzenesulfonyl)-piperazine-l-carboxylic acid tert- butyl ester (0.86 g, 2.5 mmol) from step A in acetic acid (16 mL) and water (4 mL) was added a solution of sodium nitrite (0.24 g, 3.0 mmol) in water (1.5 mL) at 0 0C dropwise. The reaction mixture was stirred for 95 minutes at 0 0C, and then 90 minutes at room temperature. The reaction mixture was then neutralised with a solution of sodium hydroxide (11 g) in water (40 mL) at 0 0C. The solids formed were filtered, washed with water and air dried. The crude product was purified by column chromatography on silica gel using first dichloromethane / ethyl acetate (100 : 10 and 100 : 20) and then dichloromethane / methanol (100 : 10) as eluent to give 0.72 g (82 %) of the sub-title compound. 1H NMR (300 MHz, methanol-d4 as solvent and internal reference): 1.38 (s, 9H), 2.95 - 3.04 (m, 4H), 3.43 - 3.54 (m, 4H), 7.50 (dd, IH, J = 1.5, 8.6 Hz), 7.98 - 8.05 (m, 2H), 8.21 (s, IH).
s C) 6-(Piperazine-l-sulfonylVlH-indazole dihydrochloride
To a solution of 4-(lH-indazole-6-sulfonyl)-ρiperazine-l-carboxylic acid tert-butyl ester (0.750 g, 2.05 mmol) from step B in ethanol (10 mL) was added saturated ethanolic hydrogen chloride (21 mL) at 0 0C dropwise. After stirring for 90 minutes at room temperature, the solution was evaporated to dryness to give 0.70 g (98 %) of the sub-title o compound.
1H NMR (500 MHz, methanol-d4 as solvent and internal reference) δ (ppm) 3.30 - 3.39 (m, 8H), 7.56 (d, IH, J = 8.6 Hz), 8.07 (d, IH, J = 8.6 Hz), 8.12 (s, IH), 8.27 (d, IH, J = 3.9 Hz). 5
D) 6- { 4- \4-( 1 H-Indazole-6-sulf on yl)-piperazine- 1 -carbonyH -phenyl } -2H-pyridazin-3 -one
To a mixture of 4-(6-oxo-l,6-dihydro-pyridazin-3-yl)-benzoic acid (90 mg, 0.36 mmol), and 6-(piperazine-l-sulfonyl)-lH-indazole dihydrochloride (121 mg, 0.36 mmol) from step C in anhydrous iV,iV-dimethylformamide (2 mL) was added diisopropylethylamine (207 0 mg, 1.6 mmol) and 2-(lH-benzotriazole- 1-yl)- 1 , 1 ,3,3-tetramethyluronium tetrafluoroborate (154 mg, 0.48 mmol) under argon. After stirring for 2.5 hours at room temperature, the reaction flask was cooled to 0 0C and the reaction mixture was quenched by adding water. The solids obtained were filtered, washed with water, ether, and purified by column chromatography on silica gel using dichloromethane / methanol (100 : 5 and 100 : 10) as 5 eluent to give 34 mg (21 %) of the sub-title compound.
1H NMR (500 MHz, acetic acid-d4 as solvent and internal reference) δ (ppm) 3.00 - 3.30 (m, 4H), 3.50 - 4.00 (m, 4H), 7.33 (d, IH, J = 9.3 Hz), 7.44 (d, 2H, / = 5.9 Hz), 7.53 (d, IH, J = 5.5 Hz), 7.92 (d, 2H, J = 5.9 Hz), 8.02 (d, IH, J = 6.3 Hz), 8.07 (d, IH, J = 9.7 Hz), 8.18 (s, IH), 8.30 (broad s, IH).
E)
5 To a solution of 6-{4-[4-(lH-mdazole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2H- pyridazin-3-one (20 mg, 0.04 mmol) from step D in anhydrous N.N-dimethylformamide (1 mL) was added iV-chlorosuccinimide (14 mg, 0.10 mmol) under argon. After stirring for 3.5 hours, the reaction flask was cooled to 0 0C and the reaction mixture was quenched by adding water. The solids formed were filtered, washed with water and dried in vacuo. The o crude product was purified by column chromatography on silica gel using dichloromethane / methanol (100 : 5) as eluent to give 8 mg (37 %) of the title compound.
1H ΝMR (300 MHz, methanol-d4 as solvent and internal reference) δ (ppm) 2.90 - 3.24 (m, 4H), 3.48 - 4.00 (m, 4H), 7.05 (d, IH, J = 9.9 Hz), 7.41 (d, 2H, J = 8.6 Hz), 7.52 (dd, IH, s / = 1.3, 8.6 Hz), 7.66 (s, IH), 7.83 - 8.00 (m, 4H).
HRMS (ESI+) calc. [M+H]+ 499.0950, found 499.0895.
Example 2
Q 6-{4-[4-(3-Bromo-lH-indazole-6-suIfonyI)-piperazine-l-carbonyI]-phenyl}-2H- pyridazin-3-one
To a solution of 6-{4-[4-(lH-Indazole-6-sulfonyl)-piρerazine-l-carbonyl]-phenyl}-2H- pyridazin-3-one (14 mg, 0.030 mmol) in anhydrous N,N-dimethylformarnide (1 mL) was added N-bromosuccinimide (6 mg, 0.03 mmol) under argon. After stirring the reaction 5 mixture for 75 minutes, the reaction flask was cooled to 0 0C and the reaction mixture was quenched by adding water. The solids formed were filtered, washed with water, ether and dried in vacuo. The crude product was purified by column chromatography on silica gel using dichloromethane / methanol (100 : 5) as eluent to give 12 mg (73 %) of the title compound. 1H NMR (500 MHz, methanol-d4 as solvent and internal reference) δ (ppm) 2.96 - 3.24 (m, 4H), 3.46 - 3.94 (m, 4H), 7.05 (d, IH, J = 9.9 Hz), 7.43 (d, 2H, J = 8.3 Hz), 7.57 (d, IH, J = 8.6 Hz), 7.83 (d, IH, J = 8.6 Hz), 7.90 (d, 2H, / = 8.3 Hz), 8.01 (d, IH, J = 9.9), 8.02 (s, IH).
HRMS (ESI+) calc. [M+H]+ 543.0444, found 543.0423.
Example 3 6-{4-[4-(3-Bromo-lH-indoIe-6-suIfonyl)-piperazine-l-carbonyl]-phenyl}-2-methyl-2H- pyridazin-3-one
To a solution of 6-{4-[4-(lH-indole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2-methyl- 2H-pyridazin-3-one (75 mg, 0.16 mmol) in anhydrous dichloromethane (1.5 mL) was added iV-bromosuccinimide (29 mg, 0.17 mmol) under argon. After stirring the reaction mixture for 35 minutes, the reaction flask was cooled to 0 0C and the reaction mixture was quenched by adding water. Dichloromethane was added. The organic layer was separated, washed with sodium bicarbonate (aq. satd.), dried and evaporated under reduced pressure. The crude product was purified by column chromatography on silica gel using dichloromethane / methanol (100 : 3) as eluent to give 55 mg (63 %) of the title compound.
1H NMR (500 MHz, chloroform-d as solvent and internal reference) δ (ppm) 2.79 - 3.21 (m, 4H), 2.45 - 3.90 (m, 4H), 3.90 (s, 3H), 7.06 (d, IH, / = 9.6 Hz), 7.41 (d, 2H, J = 8.3 Hz), 7.45 (d, IH, / = 2.5 Hz), 7.50 (dd, IH, / = 1.3, 8.3 Hz), 7.66 - 7.73 (m, 2H), 7.81 (d, 2H. / = 8.3 Hz), 7.89 (s, IH), 9.85 (s, IH).
HRMS (ESI+) calc. [M+H]+ 556.0648, found 556.0661. Example 4
6.{4-[4-(3-Chloro-lH-indoIe-6-sulfonyI)-piperazine-l-carbonyl]-phenyI}-2-methyl- 2H-pyridazin-3-one
The title compound was prepared from 6-{4-[4-(lH-indole-6-sulfonyl)-piperazine-l- carbonyl] -phenyl }-2-methyl-2H-pyridazin-3 -one according to the procedure for step E of example 1 in 115 mg (89 %) isolated yield.
1H NMR (500 MHz, methanol-d4 as solvent and internal reference) δ (ppm) 2.91 - 3.20 (m, 4H), 3.50 - 3.88 (m, 4H), 3.88 (s, 3H), 7.06 (d, IH, / = 9.6 Hz), 7.43 (d, 2H, J = 8.3 Hz), 7.49 (dd, IH, J = 1.6, 8.3 Hz), 7.53 (d, IH, / = 2.1 Hz), 7.73 (d, IH, J = 8.3 Hz), 7.87 (s, IH), 7.92 (d, 2H, / = 8.3 Hz), 7.97 (d, IH, J = 9.6 Hz).
HRMS (ESI+) calc. [M+H]+ 512.1154, found 512.1184.
Example 5
6-{4-[4-(lH-IndoIe-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2-methyI-2H- pyridazin-3-one
The title compound was prepared from 6-(piperazine-l-sulfonyl)-lH-indole and 4-(l- methyl-6-oxo-l,6-dihydro-pyridazin-3-yl)-benzoic acid according to the procedure for step D of example 1 in 274 mg (56 %) isolated yield.
1H NMR (500 MHz, methanol-d4 as solvent and internal reference) δ (ppm) 2.88 - 3.20 (m, 4H), 3.42 - 3.82 (m, 4H), 3.82 (s, 3H), 6.59 (dd, IH, / = 1.0, 3.1 Hz), 7.03 (d, IH, / = 9.9 Hz), 7.34 - 7.41 (m, 3H), 7.49 (d, IH, J = 3.1 Hz), 7.73 (d, IH, J = 8.3 Hz), 7.83 - 7.92 (m, 4H).
HRMS (ESI+) calc. [M+H]+ 478.1543, found 478.1569. Example 6
6-{4-[4-(3-Chloro-lH-indole-6-sulfonyl)-piperazine-l-carbonyl]-phenyI}-2H- pyridazin-3-one
The title compound was prepared from 6-{4-[4-(lH-indole-6-sulfonyl)-piperazine-l- carbonyl]-phenyl}-2H-pyridazin-3-one according to the procedure for step E of example 1 in 40 mg (59 %) isolated yield.
1H NMR (500 MHz, methanol-d4 as solvent and internal reference) 6 (ppm) 2.90 - 3.22 (m, 4H), 3.50 - 3.92 (m, 4H), 7.06 (d, IH, J = 9.9 Hz), 7.43 (d, 2H, / = 8.3 Hz), 7.49 (dd, IH, / = 1.6, 8.3 Hz), 7.53 (s, IH), 7.74 (d, IH, / = 8.6 Hz), 7.89 (d, IH, J = 1.0 Hz), 7.91 (d, 2H, / = 8.3 Hz), 7.99 (d, IH, / = 9.9 Hz).
HRMS (ESI+) calc. [M+H]+ 498.0997, found 498.1006.
Example 7
6-{4-[4-(lH-Indole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2H-pyridazin-3-one
The title compound was prepared from 4-(6-oxo-l,6-dihydro-pyridazin-3-yl)-benzoic acid and 6-(piperazine-l-sulfonyl)-lH-indole hydrochloride according to the procedure for step D of example 1 in 144 mg (41 %) isolated yield.
1H NMR (500 MHz, dimethyl sulfoxide-d6 as solvent and internal reference) δ (ppm) 2.80 - 3.10 (m, 4H), 3.40 - 3.82 (m, 4H), 6.63 (d, IH, J = 2.6 Hz), 7.01 (d, IH, / = 9.9 Hz), 7.33 (dd, IH, / = 1.3, 8.3 Hz), 7.43 (d, 2H, J = 8.3 Hz), 7.70 (s, IH), 7.79 (d, IH, J = 8.3 Hz), 7.81 (s, IH), 7.87 (d, 2H, / = 8.0 Hz), 8.05 (d, IH, / = 9.9 Hz), 11.68 (s, IH), 13.28 (s, IH).
HRMS (ESI+) calc. [M+H]+ 464.1387, found 464.1391. Example 8
[4-(3-Chloro-lH-indole-6-sulfonyl)-piperazin-l-yI]-(4-pyridin-4-yI-phenyl)- methanone
A solution of [4-(lH-indole-6-sulfonyl)-piperazin-l-yl]-(4-pyridin-4-yl-phenyl)- methanone (30 mg, 0.067 mmol) in dry NN-dimethylformamide (1 niL) was treated at room temperature with N-chlorosuccinimide (40 mg, 0.30 mmol). Additional N- chlorosuccinimide was added after 30 minutes (35 mg, 0.26 mmol) and after 1.5 hours (45 mg, 0.34 mmol) and reaction mixture was stirred for a further 3 hours. The reaction was quenched by the addition of crushed ice and the subsequent addition Of Na2SO3 (s) after 15 minutes. The formed solid material was filtered off and washed with water and diethyl ether. The aqueous filtrate was extracted with dichloromethane and the organic phase was dried (sodium sulfate) and concentrated. The evaporated residue plus the filtered material was subjected to flash column chromatography (dichloromethane / methanol 100 : 4) to give 11 mg (34 %) of the title compound.
1H NMR (300 MHz, methanol-d4 as solvent and internal reference) δ(ppm) 2.99 - 3.18 (m, 4H), 3.50 - 3.94 (m, 4H), 7.45 - 7.51 (m, 3H), 7.57 (s, IH), 7.69 - 7.82 (m, 5H), 7.90 (s, IH), 8.58 - 8.62 (m, 2H).
HRMS (ESI+) calc. [MH-H]+ 481.1095, found 481.1108.
Example 9
[4-(lH-IndoIe-6-sulfonyl)-piperazin-l-yl]-(4-pyridin-4-yl-phenyl)-methanone
To a suspension of 6-(piperazine-l-sulfonyl)-lH-indole hydrochloride (200 mg, 0.663 mmol) and 4-pyridin-4-yl-benzoic acid (139 mg, 0.698 mmol) in dry N,N- dimethylformamide (3 mL) at room temperature was added N,N-diisopropylethyl-amine (289 μL, 1.66 mmol) and (9-(benzotriazol-l-yl)-N,N,N',N4etramethyluronium tetrafluoroborate (277 mg, 0.862 mmol). The reaction mixture was stirred at room temperature for 1 hour and then concentrated in vacuo. The residue was subjected to flash column chromatography (dichloromethane/methanol 100 : 3) to give 130 mg (44 %) of the title compound.
1H NMR (300 MHz, methanol-d4 as solvent and internal reference) δ (ppm) 2.96 - 3.14 (m, s 4H), 3.48 - 3.90 (m, 4H), 6.61 (s, IH), 7.38 - 7.48 (m, 3H), 7.53 (s, IH), 7.70 (d, 2H, J = 4.9 Hz), 7.74 - 7.81 (m, 3H), 7.88 (s, IH), 8.59 (d, 2H, /= 5.0 Hz).
HRMS (ESI+) calc. [M+H]+ 447.1485, found 447.1465
Q Example 10
6-{4-[S)-4-(3-chloro-lH-indoIe-6-suIfonyl)-2-methyl-6-sulfonyl) -2-methyl-6-oxo-piperazin-l-ylmethyl]-phenyl}-2-methyl-2H-pyridazin-3-one
A) (("S)-2-Amino-propyl)-carbamic acid tert-butyl ester s To a solution of trietylamine (0.95 mL, 6.8 mmol) in 15 mL ethanol was added (s)-(-)- diaminopropane (252 mg, 74.1 mmol). The reaction mixture was stirred under reflux over night. Solvent was evaporated. Water was added and the pH was adjusted to pH 3 by addition of 2 M hydrochloric acid followed by extraction with dichloromethane. The aqueous phase was made alkaline by addition of 2 M sodium hydroxide and extracted with Q dichloromethane. The organic phase was dried over magnesium sulfate and dried in vacuo over night to give the sub-title compound (211 mg, 36 % yield) and the by-product ((S)-2- amino-l-methyl-ethyl)-carbamic acid tert-butyl ester in a 3 : 1 mixture according to NMR.
1H NMR (400 MHz; chloroform-d as solvent and internal reference) δ(ppm) 1.09 (d, 3H, / 5 = 6.5 Hz), 1.45 (s, 9H), 2.91 (m, IH), 3.04 (m, IH), 3.16 (m, IH)
B ) 4-( 1 -Methyl-6-oxo- 1 , 6-dihydro-pyridazin-3 - vDbenzaldehvde
To a solution mixture containing 1,2-dimethoxyethane : ethanol : water 7 : 3 : 2 (5 mL) was added-formylboronic acid (250 mg, 1.67 mmol), 6-chloro-2-methyl-2H-ρyridazin-3- one (421 mg, 1.67 mmol), caesium carbonate (543 mg, 1.67 mg) and benzylbis(triphenyl- phosphine)palladium(II)chloride (101 mg, 0.133 mmol). The reaction mixture is heated in a micro wave oven at 1500C for 10 minutes. The mixture was filtered and concentrated. Purification by flash chromatography with a gradient from heptane / ethyl acetate (1 : 1) to ethyl acetate / triethylamine (5 %) gave 946 mg of the sub-title compound (88 % yield).
1H NMR (400 MHz, methanol-d4 as solvent and internal reference) δ(ppm) 3.89 (s, 3H), 8.01 (m, 2H), 8.09 (m, 4H), 10.04 (s, IH)
C) ( (S)-2-f4-( l-Methyl-6-oxo- 1 ,6-dihvdro-pyridazin-3-yl)-benzylarωnol-propyl I - carbamic acid tert-butyl ester
To a solution of 4-(l-methyl-6-oxo-l,6-dihydro-pyridazin-3-yl)benzaldehyde (300 mg, 1.40 mmol) from step B in dry dichloromethane was added ((S)-2-amino-propyl)carbamic acid tert-butyl ester (211 mg, 1.21 mmol) from step A. Acetic acid (160 μL, 2.80 mmol) was added dropwise under stirring followed by addition of sodium triacetoxyborohydride (712 mg, 3.36 mmol) and stirring over night at room temperature. Purification by preparative HPLC gave a mixture of products with the sub-title compound (120 mg, 23 %) being the major product. The material was used directly in the next step.
D) (YSV2-f (2-Chloro-acetyl) -r4-(l-methyl-6-oxo-1.6- dihvdro-pyridazin-3-yl)- benzylaminol -propyl} -carbamic acid tert-butyl ester
A solution of {(S)-2-[4-(l-methyl-6-oxo-l,6-dihydro-pyridazin-3-yl)-benzylamino]- propyl} -carbamic acid tert-butyl ester (120 mg, 0.322 mmol) from step C in dichloromethane is cooled in an ice bath and triethylamine (80 μL, 0.55 mmol) was added. Bromoacetyl chloride (76 mg, 0.48 mmol) in dichloromethane was added and the mixture was stirred at room temperature for 2 hours. The solvent was evaporated in vacuo and the crude was purified by preparative HPLC to give a mixture of products with the sub-title compound being the major product (130 mg, 81 % yield) which was used further in the next step. E) N-(YS)-2- Amino- 1 -methyl-ethyl)-2-chloro-N- \4-( 1 -methyl-6-oxo- 1 ,6-dihvdro- pyridazin-3 - yl) -benzyl] -acetamide
A solution of ((S)-2-{(2-chloro-acetyl)-[4-(l-methyl-6-oxo-l,6-dihydro-pyridazin-3-yl)- s benzylamino]-propyl}-carbamic acid tert-butyl ester (217 mg, 0.440 mmol) from step D in methanol (5 mL) was cooled on an ice bath and methanol saturated with hydrochloric acid (3 mL) is added dropwise. The reaction mixture was stirred at room temperature for 1 hour and then concentrated and dried in vacuo. The crude sub-title product was used without further purification. 0
F) 2-Methyl-6-r4-(S)-2-methyl-6-oxo-piperazin-l-ylmethyl)-phenvn-2H-pyridazin-3-one
A solution of iV-((S)-2-amino- l-methyl-ethyl)-2-chloro-N-[4-( 1 -methyl-6-oxo- 1 ,6-dihydro- pyridazin-3-yl)-benzyl]-acetamide (173 mg, 0.440 mmol) from step E in N,iV-dimethyl- formamide (4 mL) is cooled in an ice bath and triethylamine ( 150 μL, 1.08 mmol ) is s added dropwise. The reaction mixture is stirred at room temperature for 48 hours.
Methylene chloride and water was added at 0 0C. The organic layer was separated, dried over magnesium sulfate, filtered, concentrated and dried in vacuo. Purification by flash chromatography, toluene / ethyl acetate (1 : 1) gave pure sub-title product (136 mg, 99 %).
0 1H NMR (400 MHz, chloroform-d as solvent and internal reference) δ(ppm) 1.38 (d, 3H), 2.82 (dd, 2H), 3.07 (dd, 2H), 3.18 (m, IH), 3.45 (m, IH), 3.83 (s, 3H) 4.38 (d, 2H), 5.12 (d, 2H), 7.04 (d, IH), 7.40 (d, IH), 7.83 (d, 2H), 8.02 (d, IH)
G) 6-{4-rS)-4-(l-Benzenesulfonyl-3-chloro-lH-indole-6-sulfonyl)-2-methyl-6-sulfonyl)-2- 5 methyl-6-oxo-piperazin-l-ylmethyll-phenyl}-2-methyl-2H-pyridazin-3-one
2-Methyl-6-[4-(S)-2-methyl-6-oxo-piperazin-l-ylmethyl)-phenyl]-2H-pyridazin-3-one (70 mg, 0.22 mmol) from step F was dissolved in dichloromethane and cooled to 00C. Triethylamine (23 mg, 0.22 mmol) and l-benzenesulfonyl-3-chloro-lH-indole-6-sulfonyl chloride (105 mg, 0.27 mmol) dissolved in dichloromethane was added. The reaction was stirred at room temperature for 4 hours. Dichloromethane and water was added. The organic phase was washed with water, brine, dried over magnesium sulfate and evaporated. The crude was purified by preparative HPLC to give the sub-title product as a white powder after evaporation and freeze drying ( 60 mg, 40 % yield).
1H NMR (400 MHz, chloroform-d as solvent and internal reference) δ(ppm) 1.38 (d, 3H, J = 6.3 Hz), 2.77 (m, IH), 3.40 (d, IH, /= 16.5 Hz), 3.49 (m, 2H), 4.0 (d, IH, /= 15.0 Hz), 4.11 (d, IH, /= 16.5 Hz), 5.27 (d, IH, /= 15 Hz), 5.30 (s, 3H), 7.01 (d, IH, /= 9.6 Hz), 7.25 (d, 2H, J = 8.1), 7.50 - 7.54 (m, 2H), 7.54 - 7.64 (m, 2H), 7.67 - 7.74 (m, 4H), 7.78 (s, IH), 7.91 - 7.94 (m, 2H), 8.44 (s, IH)
Hl
To 6-{4-[S)-4-(l-benzenesulfonyl-3-chloro-lH-indole-6-sulfonyl)-2-methyl-6-sulfonyl)-2- methyl-6-oxo-piperazin-l-ylmethyl]-phenyl}-2-methyl-2H-pyridazin-3-one (60 mg, 0.09 mmol) from step G in tetrahydrofuran was added tetrabutylammonium fluoride (28 mg, 0.09 mmol, 1 M in tetrahydrofuran). The mixture was heated in a microwave oven ( 5 minutes, 100 0C ). Dichloromethane and water was added. The organic phase was washed with water, brine, dried over magnesium sulfate and evaporated. The crude was purified by preparative HPLC to give the title product (35 mg, 74 %).
1H NMR (400 MHz, chloroform-d as solvent and internal reference) δ(ppm) 1.38 (d, 3H, J = 6.1 Hz), 2.8 (m, IH), 3.49 (m, 3H), 3.85 (s, 3H), 4.02 (d, IH, 7= 15.0 Hz), 4.11 (d, IH, J = 16.0 Hz), 5.24 (d, IH, J= 15.0 Hz), 6.99 (d, IH, /= 9.7 Hz), 7.22 (d, 2H, J= 8.3), 7.39 (d, IH, /= 2.6 Hz), 7.50 (dd, IH, J= 1.5, 8.5 Hz), 7.62 (d, IH, H = 9.7), 7.67 (d, 2H, J = 8.3 Hz), 7.75 (d, IH, J= 8.5), 7.94 (d, IH, J = 1.0 Hz), 9.69 (s, 1 H).
HRMS (ESI+) calc. [M+H]+ 526.1310, found 526.1322.

Claims

1. A compound of formula (I)
Figure imgf000032_0001
wherein R1, R2 and R3 are independently selected from carbon and nitrogen, and where at least one of R1, R2 and R3 is nitrogen; A is a single bond or a double bond; n is 0, 1, 2 or 3; each R4 is independently selected from hydrogen, C1-3alkyl, hydroxy, oxo and thioxo; R5 is hydrogen or oxo; m is 0, 1, 2 or 3; each R6 is independently selected from hydrogen, Q.salkyl, oxo, carboxy, cyano, tetrazolyl, hydroxyQ.salkyl, carboxyQ.salkyl, Q.salkylcarboxy, Q.salkoxyoxoQ.salkyl, carbamoyl, C1-5alkylcarbamoyl, di(C1-5alkyl)carbamoyl, -CONR80(CH2)xS(O)pR9, -CONH(CH2)qNR10Rπ, -C1-5alkyl-Y\ -COOCHR17R18 and -CON R17 R18, wherein x represents an integer 0 to 4; p is 0, 1 or 2; q represents an integer 2 to 4; R represents hydrogen or C1-3alkyl;
R9 represents Q.salkyl or phenyl; or
R80 and R9 may together form a Q.salkylene group;
R10 and R11 independently represent hydrogen, C1-SaUCyI, phenyl, Q.salkylphenyl, S(O)PR9, COR12 or a 5- or 6-membered monocyclic heteroaryl ring containing up to 3 heteroatoms selected from nitrogen, oxygen and sulphur;
R12 represents hydrogen, Q.salkyl or phenyl; Y1 represents S(O)PR9, NHS(O)2R9, NHCOR13, O(CH2)rR14, azetidino, pyrrolidin-1- yl, piperidino, morpholino, thiamorpholino, 1-oxothiamorpholino, l,l-dioxothiamorpholino, piperazin-1-yl or Q-salkylamino, R13 represents Q-salkyl, phenyl or Ci-salkylphenyl;
5 r represents an integer 1 to 4; when r represents an integer 2 to 4, R14 represents hydroxy, Q.salkylalkoxy, carboxy, C^salkoxycarbonyl, S(O)PR9 or NR15R16; and when r represents 1, R14 represents carboxy or Q-salkoxycarbonyl; wherein any phenyl group within R6 is independently substituted by 0, 1 or 2 io substituents selected from halogeno, trifluoromethyl, cyano, C1-5alkyl and Q^alkoxy;
R15 and R16 independently represent hydrogen or Q-salkyl; R17 and R18 are independently selected from hydrogen, C1-6alkyl, C4-7cycloalkyl, C2-6alkenyl, R17 and R18 may form along with the carbon to which they are attached a 4- ,5- , 6- or 7- membered carbocyclic ring which contains 0, 1 or 2 heteroatoms selected from
I5 nitrogen, oxygen and sulphur, or R17 and R18 may form along with the nitrogen to which they are attached a 4- ,5- , 6- or 7- membered heterocyclic ring which contain in addition to the nitrogen atom present 0, 1 or 2 additional heteroatoms selected from nitrogen, oxygen and sulphur, wherein each R , R or any of said rings formed by R and R is independently substituted by 0, 1 or 2 substituents selected from hydroxy, amino, carboxy,
20 C1-5alkoxycarbonyl, oxo, C1-5alkyl, hydroxyC1-5alkyl, Q.salkoxyQ.salkyl, carboxyQ.salkyl, C1-5alkoxyoxoCi-6alkyl, and carbamoylC1-5alkyl; R7 is carbon or nitrogen; pi is 0, 1 or 2; and each R8 is independently selected from hydrogen and halogen;
25 or a pharmaceutically acceptable salt thereof.
2. A compound according to claim 1 wherein one or two of R , R and R is/are nitrogen.
3. A compound according to claim 1 wherein both R2 and R3 are nitrogen.
4. A compound according to claim 1 wherein R1 is nitrogen.
5. A compound according to anyone of claims 1 to 4 wherein A is a single bond. 30
6. A compound according to anyone of claims 1 to 4 wherein A is a double bond
7. A compound according to anyone of claims 1 to 5 where one of R4 is oxo.
8. A compound according to claim 7 wherein said R4 being oxo is positioned at R1.
9. A compound according to anyone of claims 1 to 8 where one of R4 is C1-3alkyl, e.g methyl.
10. A compound according to anyone of claims 1 to 9 where one or two of R4 is/are hydrogen.
11. A compound according to anyone of claims 1 to 5 where one of R4 is hydroxy.
12. A compound according to anyone of claims 1 to 11 wherein R5 is oxo.
13. A compound according to anyone of claims 1 to 12 wherein each R6 is independently selected from hydrogen, C1-SaIlCyI, oxo, carboxy, cyano, tetrazolyl, hydroxyQ.salkyl, carboxyC^alkyl, Q^alkylcarboxy, Ci-salkoxyoxod-salkyl, carbamoyl, Ci.salkylcarbamoyl, <tt(Ci.sa]Jcyl)carbainoyl, -CONR80(CH2)xS(O)pR9,
-CONH(CH2)qNR10Rn, -Ci.salkyl-Y1, -COOCHR17R18 and -CON R17 R18.
14. A compound according to anyone of claims 1 to 13 wherein each R6 is independently selected from hydrogen, Q-salkyl, oxo, carboxy, Q.salkyl, carboxyQ-salkyl, Ci-5alkylcarboxy, C1-5alkoxyoxoC1-5alkyl, -Q.salkyl-Y1 and -COOCHR17R18 .
15. A compound according to anyone of claims 1 to 14 wherein each R6 is independently selected from hydrogen, Q.salkyl and oxo.
16. A compound according to anyone of claims 1 to 15 wherein R5 is hydrogen and at least one of R6 is oxo.
17. A compound according to anyone of claims 1 to 15 wherein each R6 is hydrogen.
18. A compound according to anyone of claims 1 to 17 wherein R7 is carbon.
19. A compound according to anyone of claims 1 to 17 wherein R7 is nitrogen.
20. A compound according to anyone of claims 1 to 19 wherein at least one of R8 is halogen, e.g. chloro or bromo.
21. A compound according to anyone of claims 1 to 19 wherein each R8 is hydrogen.
22. A compound according to claim 1 which is
6-{4-[4-(3-Chloro-lH-indazole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2H-pyridazin- 3-one,
6- { 4-[4-(3-Bromo- lH-indazole-6-sulf onyl)-piperazine- 1 -carbonyl]-phenyl } -2H-pyridazin- 3 -one, 6-{4-[4-(3-Bromo-lH-indole-6-sulfonyl)-piρerazine-l-carbonyl]-phenyl}-2-methyl-2H- pyridazin-3-one, 6-{4-[4-(3-Chloro-lH-indole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2-methyl-2H- pyridazin-3-one,
6-{4-[4-(lH-Indole-6-sulfonyl)-piperazine-l-carbonyl]-phenyl}-2-methyl-2H-pyridazin-3- one, [4-(3-Chloro-lH-indole-6-sulfonyl)-piperazin-l-yl]-[4-(6-hydroxy-pyridazin-3-yl)- phenyl] -methanone,
[4-(6-Hydroxy-pyridazin-3-yl)-phenyl]-[4-(lH-indole-6-sulfonyl)-piperazin-l-yl]- methanone,
[4-(3-Chloro-lH-indole-6-sulfonyl)-piperazin-l-yl]-(4-pyridin-4-yl-phenyl)-methanone, [4-(lH-Indole-6-sulfonyl)-piperazin-l-yl]-(4-pyridin-4-yl-phenyl)-methanone or
6-{4-[S)-4-(3-chloro-lH-indole-6-sulfonyl)-2-methyl-6-sulfonyl)-2-methyl-6-oxo- piperazin- 1 -ylmethyl]~phenyl } ~2-methyl-2H-pyridazin-3-one.
23. A process for preparing a compound of formula (I) as defined in claim 1 which process comprises either
(a) reacting an amine of formula (II),
Figure imgf000035_0001
or a salt thereof,
with an acid of the formula (III);
Figure imgf000035_0002
(III)
(b) reacting a compound of formula (V),
Figure imgf000036_0001
with corresponding halogen succinimide; or
(c) reacting a sulfonyl chloride derivative of formula (VI),
Figure imgf000036_0002
with an amine of formula (VII) or a salt thereof.
Figure imgf000036_0003
(R4)n (VII)
24. A compound of formula (I), as defined in any claim from 1 to 22, or a pharmaceutically-acceptable salt thereof for use in medical therapy.
25. A pharmaceutical composition comprising a compound of formula (I), or a pharmaceutically-acceptable salt thereof, as defined in any claim from 1 to 22, with a pharmaceutically-acceptable diluent or carrier.
26. Use of a compound of formula (I), as defined in any claim from 1 to 22, or a pharmaceutically-acceptable salt thereof, in the preparation of a medicament for use in a method of treating a Factor Xa mediated disease or condition.
27. A method of treating a Factor Xa mediated disease or condition in a warm-blooded animal comprising administering an effective amount of a compound of formula (I), as defined in any claim from 1 to 22, or a pharmaceutically-acceptable salt thereof.
28. A combination comprising a compound of formula (I), as defined in any claim from 1 to 22, or a pharmaceutically-acceptable salt thereof, and any antithrombotic agent(s) with a different mechanism of action, wherein said antithrombotic agent(s) may be, for example, one or more of the following: the anticoagulants unfractionated heparin, low molecular weight heparin, other heparin derivatives, synthetic heparin derivatives (e.g. fondaparinux), vitamin K antagonists, synthetic or biotechnological inhibitors of other coagulation factors than FXa (e.g. synthetic thrombin, FVIIa, FXIa and FIXa inhibitors, and rNAPc2), the antiplatelet agents acetylsalicylic acid, ticlopidine and clopidogrel; thromboxane receptor and/or synthetase inhibitors; fibrinogen receptor antagonists; prostacyclin mimetics; phosphodiesterase inhibitors; ADP-receptor (P2X1, P2Y1, P2Y12 [P2T]) antagonists; and inhibitors of carboxypeptidase U (CPU or TAFIa) and inhibitors of plasminogen activator inhibitor- 1 (PAI-I).
29. A combination comprising a compound of formula (I), as defined in any claim from 1 to 22, or a pharmaceutically-acceptable salt thereof, and thrombolytics, e.g. one or more of tissue plasminogen activator (natural, recombinant or modified), streptokinase, urokinase, prourokinase, anisoylated plasminogen-streptokinase activator complex (APSAC), animal salivary gland plasminogen activators.
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