Compounds useful in therapy

Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Having -c- – wherein x is chalcogen – bonded directly to...

Reexamination Certificate

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C546S192000

Reexamination Certificate

active

06812236

ABSTRACT:

FIELD OF THE INVENTION
This invention relates to pharmaceutically useful compounds, in particular compounds that bind to opiate receptors (e.g. mu, kappa and delta opioid receptors).
BACKGROUND OF THE INVENTION
Compounds that bind to such receptors are likely to be useful in the treatment of diseases mediated by opiate receptors, for example irritable bowel syndrome; constipation; nausea; vomiting; and pruritic dermatoses, such as allergic dermatitis and atopy in animals and humans. Compounds that bind to opiate receptors have also been indicated in the treatment of eating disorders, opiate overdoses, depression, smoking and alcohol addiction, sexual dysfunction, shock, stroke, spinal damage and head trauma.
There is a particular need for an improved treatment of itching. Itching, or pruritus, is a common dermatological symptom that can give rise to considerable distress in both humans and animals. Pruritus is often associated with inflammatory skin diseases which may be caused by hypersensitivity reactions, including reactions to insect bites, such as flea bites, and to environmental allergens, such as house dust mite or pollen; by bacterial and fungal infections of the skin; or by ectoparasite infections.
Existing treatments that have been employed in the treatment of pruritus include the use of corticosteroids and antihistamines. However, both of these treatments are known to have undesirable side effects. Other therapies that have been employed include the use of essential fatty acid dietary supplements, though these have the disadvantages of being slow to act, and of offering only limited efficacy against allergic dermatitis. A variety of emollients such as soft paraffin, glycerine and lanolin are also employed, but with limited success.
Thus, there is a continuing need for alternative and/or improved treatments of pruritus.
Certain 4-arylpiperidine-based compounds are disclosed in inter alia European patent applications EP 287339, EP 506468, EP 506478 and
J. Med. Chem
. 1993, 36, 2833-2850 as opioid antagonists. In addition, International Patent Application WO 95/15327 discloses azabicycloalkane derivatives useful as neuroleptic agents.
SUMMARY OF THE INVENTION
According to the invention there is provided compounds of formula I:
wherein A represents a single bond, C
1-4
alkylene, C
2-4
alkenylene or C
2-4
alkynylene, which alkylene, alkenylene or alkynylene groups are optionally substituted by one or more substituents selected from C
1-4
alkyl, C
1-4
alkoxy, halo or OH;
D represents H, OH, CN, N(R
4
)(R
5
), N(H)R
6
, C(O)N(R
4
)(R
5
), C(O)OR
7
, C(O)R
8
, C(═NR
9a
)R
8
, or C(═NOR
9b
)R
8
; provided that when A represents C
2-4
alkenylene or C
2-4
alkynylene, and D represents OH, N(R
4
)(R
5
) or N(H)R
6
, then D is not directly attached to an unsaturated carbon atom;
and provided that when A represents a single bond, then D does not represent H, OH, N(R
4
)(R
5
) or N(H)R
6
;
R
4
and R
5
independently represent H, C
1-6
alkyl, C
3-8
cycloalkyl, aryl,
C
1-4
alkylphenyl, which latter four groups are optionally substituted by one or more substituents selected from nitro, halo, C
1-4
alkyl or C
1-4
alkoxy (which latter two groups are optionally substituted by one or more halo atoms), or R
4
and R
5
, together with the N-atom to which they are attached, form a 4- to 7-membered heterocyclic ring, which ring optionally contains one or more additional heteroatoms selected from oxygen, nitrogen and sulfur and which ring is optionally substituted by one or more substituents selected from C
1-4
alkyl, C
1-4
alkoxy, OH, ═O, nitro, amino or halo;
R
6
represents C(O)R
10a
, C(O)OR
10b
or S(O)
2
R
10c
;
R
10a
to R
10c
independently represent C
1-4
alkyl, C
3-8
cycloalkyl, aryl, C
1-4
alkylphenyl (which four groups are all optionally substituted by or one or more substituents selected from nitro, halo, C
1-4
alkyl or C
1-4
alkoxy (which latter two groups are optionally substituted by one or more halo atoms)), or R
10a
represents H;
R
7
and R
8
independently represent H, C
1-6
alkyl, C
3-8
cycloalkyl, aryl or C
1-4
alkylphenyl, which latter four groups are optionally substituted by one or more substituents selected from nitro, halo, C
1-4
alkyl or C
1-4
alkoxy (which latter two groups are optionally substituted by one or more halo atoms);
R
9a
and R
9b
independently represent C
1-6
alkyl, C
3-8
cycloalkyl, aryl, C
1-4
alkylphenyl, which latter four groups are optionally substituted by one or more substituents selected from nitro, halo, C
1-4
alkyl or C
1-4
alkoxy (which latter two groups are optionally substituted by one or more halo atoms), or R
9b
represents H;
R
1
and R
2
are each independently H or C
1-4
alkyl;
R
3
represents aryl (optionally substituted by one or more substituents selected from OH, nitro, halo, CN, CH
2
CN, CONH
2
, C
1-4
alkyl, C
1-4
alkoxy, C
1-5
alkanoyl (which latter three groups are optionally substituted by one or more halo atoms) and —N(R
11a
)(R
11b
)), C
1-10
alkyl, C
3-10
alkenyl or C
3-10
alkynyl wherein said alkyl, alkenyl or alkynyl groups are optionally substituted and/or terminated by one or more substituents selected from OR
11c
, S(O)
p
R
11d
, CN, halo, C
1-6
alkoxy carbonyl, C
2-6
alkanoyl, C
2-6
alkanoyloxy, C
3-8
cycloalkyl, C
4-9
cycloalkanoyl, N(R
12a
)S(O)
2
R
13
, Het
1
, aryl, adamantyl (which latter two groups are optionally substituted by one or more substituents selected from OH, nitro, amino, halo, CN, CH
2
CN, CONH
2
, C
1-4
alkyl, C
1-4
alkoxy and C
1-5
alkanoyl (which latter three groups are optionally substituted by one or more halo atoms)), or —W—A
1
—N(R
12b
)(R
12c
);
p is 0, 1 or 2;
W represents a single bond, C(O) or S(O)
q
;
A
1
represents a single bond or C
1-10
alkylene;
provided that when both W and A
1
represent single bonds, then the group —N(R
12b
)(R
12c
) is not directly attached to an unsaturated carbon atom;
q is 0, 1 or 2;
R
11a
to R
11d
each independently represent H, C
1-10
alkyl, C
3-10
alkenyl, C
3-10
alkynyl, C
3-8
cycloalkyl, C
1-4
alkylphenyl, aryl (which latter six groups are optionally substituted by or one or more substituents selected from OH, nitro, amino, halo, CN, CH
2
CN, CONH
2
, C
1-4
alkyl, C
1-4
alkoxy and C
1-5
alkanoyl (which latter three groups are optionally substituted by one or more halo atoms)) or Het
2
;
provided that R
11d
does not represent H when p represents 1 or 2;
R
12a
to R
12c
each independently represent H, C
1-10
alkyl, C
3-10
alkenyl, C
3-10
alkynyl, C
3-8
cycloalkyl, C
1-4
alkylphenyl, aryl (which latter six groups are optionally substituted by or one or more substituents selected from OH, nitro, amino, halo, CN, CH
2
CN, CONH
2
, C
1-4
alkyl, C
1-4
alkoxy and C
1-5
alkanoyl (which latter three groups are optionally substituted by one or more halo atoms)), Het
3
, or R
12b
and R
12c
together represent unbranched C
2-6
alkylene which alkylene group is optionally interrupted by O, S and/or an N(R
14
) group and is optionally substituted by one or more C
1-4
alkyl groups;
R
13
represents C
1-6
alkyl, C
3-8
cycloalkyl, C
1-4
alkylphenyl or aryl, which four groups are optionally substituted by or one or more substituents selected from C
1-4
alkyl, C
1-4
alkoxy, OH, nitro, amino or halo;
R
14
represents H, C
1-6
alkyl, C
3-8
cycloalkyl, A
2
-(C
3-8
cycloalkyl) or A
2
-aryl;
A
2
represents C
1-6
alkylene;
Het
1
, Het
2
and Het
3
independently represent 3- to 8-membered heterocyclic groups, which groups contain at least one heteroatom selected from oxygen, sulfur and/or nitrogen, which groups are optionally fused to a benzene ring, and which groups are optionally substituted in the heterocyclic and/or fused benzene ring part by one or more substituents selected from OH, ═O, nitro, amino, halo, CN, aryl, C
1-4
alkyl, C
1-4
alkoxy and C
1-5
alkanoyl (which latter three groups are optionally substituted by one or more halo atoms);
X is H, halo, C
1-4
alkyl or C
1-4
alkoxy (which latter two groups are optionally substituted by one or more halo atoms);
n is 0,

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