(19)
(11) EP 2 550 253 B9

(12) CORRECTED EUROPEAN PATENT SPECIFICATION
Note: Bibliography reflects the latest situation

(15) Correction information:
Corrected version no 1 (W1 B1)
Corrections, see
Claims EN

(48) Corrigendum issued on:
21.09.2016 Bulletin 2016/38

(45) Mention of the grant of the patent:
27.04.2016 Bulletin 2016/17

(21) Application number: 11715100.1

(22) Date of filing: 22.03.2011
(51) International Patent Classification (IPC): 
C07D 221/28(2006.01)
A61K 45/06(2006.01)
A61K 31/485(2006.01)
C07D 405/12(2006.01)
C07D 489/08(2006.01)
A61K 31/4748(2006.01)
C07D 221/22(2006.01)
(86) International application number:
PCT/US2011/029425
(87) International publication number:
WO 2011/119605 (29.09.2011 Gazette 2011/39)

(54)

MORPHINANE DERIVATIVES CONTAINING A CARBOXAMIDE GROUP AS OPIOID RECEPTOR LIGANDS

CARBOXAMID-BIOISOSTERE VON OPIATEN

BIOSIOSTÈRES DE CARBOXAMIDE D'OPIACÉS


(84) Designated Contracting States:
AL AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO PL PT RO RS SE SI SK SM TR

(30) Priority: 10.12.2010 US 421915 P
18.10.2010 US 394148 P
22.03.2010 US 316175 P

(43) Date of publication of application:
30.01.2013 Bulletin 2013/05

(73) Proprietor: Rensselaer Polytechnic Institute
Troy, NY 12180 (US)

(72) Inventor:
  • WENTLAND, Mark P.
    Watervliet, New York 12189 (US)

(74) Representative: Graf von Stosch, Andreas et al
Graf von Stosch Patentanwaltsgesellschaft mbH Prinzregentenstraße 22
80538 München
80538 München (DE)


(56) References cited: : 
WO-A2-2007/014137
   
  • WENTLAND M P ET AL: "Redefining the structure-activity relationships of 2,6-methano-3-benzazocines. 4. Opioid receptor binding properties of 8-[N-(4'-phenyl)-phenethyl)carboxamido] analogues of cyclazocine and ethylketocycalzocine", JOURNAL OF MEDICINAL CHEMISTRY, AMERICAN CHEMICAL SOCIETY, US, vol. 49, no. 18, 7 September 2006 (2006-09-07), pages 5635-5639, XP002550099, ISSN: 0022-2623, DOI: DOI:10.1021/JM060278N [retrieved on 2006-08-10]
  • VANALSTINE ET AL: "Redefining the structure-activity relationships of 2,6-methano-3-benzazocines. 5. Opioid receptor binding properties of N-((4'-phenyl)-phenethyl) analogues of 8-CAC", BIOORGANIC & MEDICINAL CHEMISTRY LETTERS, PERGAMON, ELSEVIER SCIENCE, GB, vol. 17, no. 23, 2 November 2007 (2007-11-02), pages 6516-6520, XP022325927, ISSN: 0960-894X, DOI: DOI:10.1016/J.BMCL.2007.09.082
   
Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been paid. (Art. 99(1) European Patent Convention).


Description

Field of the Invention



[0001] The invention relates to opioid receptor binding compounds containing carboxamides that have large substituents on the nitrogen of the carboxamide. The compounds are useful as analgesics, anti-diarrheal agents, anticonvulsants, anti-obesity agents, antitussives, anti-cocaine, anti-inflammatory, and anti-addiction medications.

Background of the Invention



[0002] Opiates have been the subject of intense research since the isolation of morphine in 1805, and thousands of compounds having opiate or opiate-like activity have been identified. Many opioid receptor-interactive compounds including those used for producing analgesia (e.g., morphine) and those used for treating drug addiction (e.g., naltrexone and cyclazocine) in humans have limited utility due to poor oral bioavailability and a very rapid clearance rate from the body. This has been shown in many instances to be due to the presence of the 8-hydroxyl group (OH) of 2,6-methano-3-benzazocines, also known as benzomorphans [(e.g., cyclazocine and EKC (ethylketocyclazocine)] and the corresponding 3-OH group in morphinans (e.g., morphine). Furthermore, charts 1-3 depicts a set of opiate binding compounds that are used to treat diseases mediated by opiate receptors.


Chart 1. Opioid Receptor Ligands Benzomorphinans (a.k.a. 2,6-Methano-3-benzazocines)



[0003] 






Chart 2. Opioid Receptor Ligands Morphine and Morphinans



[0004] 








Chart 2 (continued). Opioid Receptor Ligands Morphine and Morphinans



[0005] 






Chart 3 - Miscellaneous Opioid Receptor Ligands



[0006] 



wherein, R is selected from CH3, CH2CH2CH(OH)C6H11, CH2CH(CH2Ph)CONHCH2CO2H, (CH2)3CH(CH3)2, and (CH2)3-2-thienyl,









[0007] Other opioid receptor ligands are described in Aldrich, J.V. "Analgesics" in Burger's Medicinal Chemistry and Drug Discovery, M.E.Wolff ed., John Wiley & Sons 1996, pages 321-344 and WO2007/14137.

[0008] The high polarity of these hydroxyl groups retards oral absorption of the parent molecules. Furthermore, the 8-(or 3-)OH group is prone to sulfonation and glucuronidation (Phase II metabolism), both of which facilitate rapid excretion of the active compounds, leading to disadvantageously short half-lives for the active compounds. Until the publications of Wentland in 2001, the uniform experience in the art of the past seventy years had been that removal or replacement of the 8-(or 3-)OH group had led to pharmacologically inactive compounds.

[0009] US patent 6,784,187 (to Wentland) disclosed that the phenolic OH of opioids could be replaced by CONH2. In the cyclazocine series of opioids, it was shown that 8-carboxamidocyclazocine (8-CAC) had high affinity for µ and κ opioid receptors. In studies in vivo, 8-CAC showed high antinociception activity and a much longer duration of action than cyclazocine (15 h vs. 2 h) when both were dosed at 1 mg/kg ip in mice. Preliminary structure-activity relationship studies for 8-CAC revealed that mono-substitution of the carboxamide nitrogen with methyl or phenyl reduced binding affinity for guinea pig µ receptors 75- and 2313-fold, respectively whereas dimethylation of the carboxamide group reduced binding affinity 9375-fold. The finding that substitution of the carboxamide nitrogen had such a detrimental effect suggested that the NH2 of the amide was critical to opioid binding.

[0010] We recently reported that the nitrogen of the carboxamide can be substituted with fairly large and relatively non-polar groups, and that such compounds exhibit good opioid binding and, presumably, good metabolic stability. (WO 2010/011619) Compounds with improved activity can be used to reduce dosage, side effects and costs.

Summary of the Invention



[0011] In one aspect, the invention relates to a compound of formula I:

wherein

R1 is selected from -OH, -CN, -CHO, -COR10, -COOR10, -SO2R10, -CONH2, -CSNH2, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10 and -C(=NR10)R11;

R2 is selected from hydrogen, halogen, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12,-CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, -C(=NR10)R11, -SO2NR10R11, heterocyclyl, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, halo(C1-C6)alkyl, halo(C1-C6)alkoxy, and (C1-C6)alkylthio; or,

R1 and R2 together with the atoms to which they are attached, and a fragment selected from -OCH2O-, or -OCH2CH2O-, form a ring,

R3 is chosen from hydrogen, C1-C8 hydrocarbon, heterocyclyl, aryl and hydroxyalkyl;

R4 is chosen from hydrogen, hydroxyl, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxyl or carbonyl;

R5 is C1-C6 alkyl;

R6 is C1-C6 alkyl;

R7 is chosen from hydrogen, NR10R11 and -OR10; or
together R4, R5, R6 and R7 may form from one, two, three, or four rings, said rings having optional additional substitution;

R8 and R8a are both hydrogen or taken together R8 and R8a are =O;

R9 is chosen from hydrogen and C1-C6 alkyl;

R10 R11,R12 and R13 are each independently hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, -NR100R101 or optionally substituted C1-C4 alkoxy, or R10 and R11, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S;

t is 0, 1, 2, 3, 4, 5, or 6;

R100 and R101 are each independently hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, or optionally substituted C1-C4 alkoxy, or R100 and R101, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S;

Y is a direct bond or -(C(R10)(R11))q-, wherein q is 0, 1, 2, 3, 4 or 5;

L is a direct bond or -(C(R10)(R11))q-; and

Cy is Ar1-B-Ar2, wherein

Ar1 is absent, or an aryl or heteroaryl radical having from 1 to 4 N, O and/or S atoms, which may be unsubstituted or mono-, di- or trisubstituted by halogen, C1-C6 alkyl, alkenyl, alkynyl, cycloalkyl, -OR10, -NR10R11, -CN, -COR10 or -COOR10;

B is a direct bond, -O-, -NR10, -SO2, or -(C(R10)(R11)s-, wherein s is 0, 1, 2, 3, 4 or 5; and

Ar2 is aryl or heteroaryl radical having from 1 to 4 N, O and/or S atoms, which may be unsubstituted or mono-, di- or trisubstituted by halogen, C1-C6 alkyl, alkenyl, alkynyl, cycloalkyl, -OR10, -NR10R11, -CN, -COR10 or -COOR10.



[0012] In another aspect, the invention relates to compounds of formula Ia:

wherein L is a direct bond, and all other substituents are defined as above.

[0013] In one aspect of the invention, the compounds described in charts 1-3 are substituted at the phenolic hydroxyl position. For instance, compounds of charts 1-3 are substituted at the phenolic hydroxyl position with -C(O)N(R9)LCy(R1)(R2), wherein the carboxamido moiety replaces the hydroxyl group to give a compound of formula I or formula Ia.

[0014] In another aspect, the invention relates to a pharmaceutical formulation comprising a compound of formula I or formula Ia and a pharmaceutically acceptable carrier.

[0015] In another aspect, the invention relates to compounds and compositions as defined by the claims for use in preventing or treating a condition or disease associated with binding opioid receptors in a patient in need thereof, comprising the step of administering to said patient a composition comprising an effective amount of a compound of formula I or formula Ia.

[0016] The compounds of the invention are therefore useful as analgesics, anti-inflammatory agents, anti-pruritics, anti-diarrheal agents, anticonvulsants, antitussives, anorexics and as treatments for hyperalgesia, anti-addiction, respiratory depression, dyskinesia, pain (including evidence in the literature that the compounds may also be useful as immunosuppressants and antiinflammatories and for reducing ischemic damage (and cardioprotection), for improving learning and memory, and for treating urinary incontinence. In particular, the compounds of the invention are useful for the treatment of osteoarthritis.

[0017] In another aspect, the invention relates to compounds and compositions as defined by the claims for use in preventing or treating a condition or disease associated with binding opioid receptors in a patient in need thereof, comprising the step of administering to said patient a composition comprising an effective amount of a compound of formula I or formula Ia. In further embodiments, drug addiction encompasses heroin, cocaine, amphetamine, nicotine or alcohol addiction. In other embodiments, the condition is pain and the composition further comprises an effective amount of an opioid. In yet a further embodiment, the condition is osteoarthritis and the composition further comprises an effective amount of an opioid.

Detailed Description of the Invention



[0018] From many years of SAR studies, it is known that the hydroxyl of morphinans and benzomorphans interacts with a specific site in the opiate receptor. Our recent studies have found that the hydroxyl can be replaced with a carboxamide residue. A fairly wide range of secondary carboxamides exhibits binding in the desired range below 25 nanomolar. We recently reported a set of compounds with cyclic groups attached at the carboxamide position (US 20070021457, WO 2010/011619, and 12/506,354). It has been surprisingly found that a selected groups of substituents on the cyclic group provides significantly improved binding properties.

[0019] In one aspect the invention relates to compounds of formula I:

wherein

R1 is selected from -OH, -CN, -CHO, -COR10, -COOR10, -SO2R10, -CONH2, -CSNH2, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10 and -C(=NR10)R11;

R2 is selected from hydrogen, halogen, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12, -CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, -C(=NR10)R11, -SO2NR10R11, heterocyclyl, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, halo(C1-C6)alkyl, halo(C1-C6)alkoxy, and (C1-C6)alkylthio; or,

R1 and R2 together with the atoms to which they are attached, and a fragment selected from -OCH2O-, or -OCH2CH2O-, form a ring,

R3 is chosen from hydrogen, C1-C8 hydrocarbon, heterocyclyl, aryl and hydroxyalkyl;

R4 is chosen from hydrogen, hydroxyl, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxyl or carbonyl;

R5 is C1-C6 alkyl;

R6 is C1-C6 alkyl;

R7 is chosen from hydrogen, NR10R11 and -OR10; or
together R4, R5, R6 and R7 may form from one, two, three, or four rings, said rings having optional additional substitution;

R8 and R8a are both hydrogen or taken together R8 and R8a are =O;

R9 is chosen from hydrogen and C1-C6 alkyl;

R10, R11, R12 and R13 are each independently hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, -NR100R101 or optionally substituted C1-C4 alkoxy, or R10 and R11, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S;

t is 0, 1, 2, 3, 4, 5, or 6;

R100 and R101 are each independently hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, or optionally substituted C1-C4 alkoxy, or

R100 and R101, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S;

Y is a direct bond or -(C(R10)(R11))q-, wherein q is 0, 1, 2, 3, 4 or 5;

L is a direct bond or -(C(R10)(R11))q-; and

Cy is Ar1-B-Ar2, wherein

Ar1 is absent, or an aryl or heteroaryl radical having from 1 to 4 N, O and/or S atoms, which may be unsubstituted or mono-, di- or trisubstituted by halogen, C1-C6 alkyl, alkenyl, alkynyl, cycloalkyl, -OR10, -NR10R11, -CN, -COR10 or -COOR10;

B is a direct bond, -O-, -NR10, -SO2, or -(C(R10)(R11)s-, wherein s is 0, 1, 2, 3, 4 or 5; and

Ar2 is aryl or heteroaryl radical having from 1 to 4 N, O and/or S atoms, which may be unsubstituted or mono-, di- or trisubstituted by halogen, C1-C6 alkyl, alkenyl, alkynyl, cycloalkyl, -OR10, -NR10R11, -CN, -COR10 or -COOR10.



[0020] In part, the invention provides a compound of formula II:

wherein, Cy, R1, R2, R3, R4, R5, R6, R7, R8, and R8a are as defined above. In some embodiments, R1 is selected from -OH, -CHO, -CONH2 -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, -CON(H)CH2CH2COOH, -COOH and -COOCH3; or R1 and R2 together with the atoms to which they are attached forms a -OCH2O-fused ring.

[0021] In other embodiments, R2 is H, and R1 is selected from -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, -CON(H)CH2CH2COOH, -COOH and -COOCH3.

[0022] In part, the invention provides a compound of formula III, IV, V or VI below:



wherein, R1, R2, R3, R7 and Cy are as defined above;

each R20, R21 and R22 is chosen from hydrogen, hydroxyl, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxyl or carbonyl; or together, R20 and R21 together with the carbon to which they are attached, form -CO, or -CS; or together, R20 and R21, together with the carbon(s) to which they are attached, form a ring. In some embodiments, such a ring is a spiral ring.



[0023] In one embodiment, a compound of formula III, IV, V or VI is disclosed wherein R1 is selected from -OH, -CHO, -CONH2 -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, -CON(H)CH2CH2COOH; or R1 and R2 together with the atoms to which they are attached forms a -OCH2O-fused ring. In another embodiment, R2 is H, and R1 is selected from -OH, -CHO, -CONH2 -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, -CON(H)CH2CH2COOH.

[0024] In part, the invention provides a compound of formula Ia:

wherein L is a direct bond, and R1, R2, R3, R4, R5, R6, R7, R8, R8a, R9 and Cy are as defined above.

[0025] R1 and R2 can be, independently, small, polar, neutral residues and, in particular, can be selected from the group consisting of substituted or unsubstituted amide groups, including but not limited to carboxamide, thiocarboxamide, acylamine and formamide groups; substituted or unsubstituted amines; substituted or unsubstituted amidines, such as hydroxyamidines; and alkyls substituted by polar neutral residues.

[0026] According to the present disclosure, R1 and R2 can be, independently, Z, wherein Z is a polar neutral residue, such as CH2ORa, CH2NRbRc, -CN, - NRbSO2-Rc, -C(=W)Ra, -NRaCORb, -NRaCSRb, -SO2NRbRc, -NRb-Qa-Rc, -C(=W)NRbRc, -C(O)ORa, heterocycle, substituted heterocycle, heteroaryl, and substituted heteroaryl, such as

OR

wherein 1 is 0,1,2, 3, 4 or 5; k is 0, 1 or 2;

X is C, N, S or O and ------ represents a single or double bond;

Ra, Rb, Rc are each independently selected from: hydrogen; aryl; substituted aryl; heteroaryl; substituted heteroaryl; heterocyclic or substituted heterocyclic; and substituted or unsubstituted alkyl, alkenyl, alkynyl, cycloalkyl, or cycloalkenyl each containing 0, 1, 2, or 3 or more heteroatoms selected from O, S, or N;

alternatively, Ra, Rb and Rc taken together with the attached atom form a heterocyclic or substituted heterocyclic;

Qa is absent or selected from (C=O), (SO2), (C=NH), (C=S), or (CONRa); and W is O, S, NORa or NRa.



[0027] In other examples, R1 can be selected from -OH, -CN, -CHO, COR10, -COOR10, -SO2R10, -CONH2, -CSNH2, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10 and -C(=NR10)R11.

[0028] In other examples, R2 can be selected from hydrogen, halogen, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12, -CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, C(=NR10)R11, -SO2NR10R11, heterocyclyl, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, halo(C1-C6)alkyl, halo(C1-C6)alkoxy, and (C1-C6)alkylthio.

[0029] In other examples, R1 and R2 can be each independently selected from hydrogen, halogen, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12, -CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, C(=NR10)R11, -SO2NR10R11, heterocyclyl, optionally substituted lower alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, halo(C1-C6)alkyl, halo(C1-C6)alkoxy, and (C1-C6)alkylthio.

[0030] In other examples, R1 and R2, together with the atoms to which they are attached, and a fragment selected from -OCH2O-, or -OCH2CH2O-, form a ring.

[0031] In some embodiments, one of R1 or R2 is hydrogen or methyl and the other is -CONH2, -COH, -CO2H, -CO2CH3, -OH, (C1-C6)alkoxy or CN.

[0032] In some embodiments, Cy is selected from:





















wherein W is selected from [C(R9)2]n, CR8R8a, O, NR9, S and CR9=CR9; and n is 1, 2, 3, 4 or 5.

[0033] In some embodiments, R3 is hydrogen. In other embodiments, R3 is heterocyclyl. In still other embodiments, R3 is hydroxyalkyl. In yet other embodiments, R3 is C1-C8 hydrocarbon. In further embodiments, R3 is cyclopropyl or cyclobutyl.

[0034] In some embodiments, R4 is hydrogen. In other embodiments, R4 is hydroxyl or amino. In still other embodiments, R4 is C1-C4 alkoxy. In yet other embodiments, R4 is C1-C20 alkyl or C1-C20 alkyl substituted with hydroxyl or carbonyl. In further embodiments, R4 is methyl or ethyl.

[0035] In some embodiments, R5 is C1-C6 alkyl. In some embodiments, R5 is methyl.

[0036] In some embodiments, R6 is C1-C6alkyl. In some embodiments, R6 is methyl.

[0037] In some embodiments, R7 is hydrogen. In other embodiments, R7 is -OR10. In further embodiments, R7 is hydroxyl. In still other embodiments, R7 is NR10R11. In further embodiments, R7 is NH2, NHCH3 or NH(CH3)2.

[0038] In some embodiments, R4, R5, R6 and R7 may form from one, two, three or four rings, said rings having optional additional substitution.

[0039] In an embodiment of the invention, R8 and R8a are both hydrogen. In another embodiment, R8 and R8a are taken together to form =O.

[0040] In some embodiments, R9 is hydrogen. In other embodiments, R9 is C1-C6 alkyl.

[0041] In some embodiments, R10 and R11 are each independently hydrogen. In other embodiments, R10 is optionally substituted C1-C4 alkoxy and R11 is hydrogen or methyl. In still other embodiments, R10 is optionally substituted C1-C6 alkyl and R11 is hydrogen or methyl. In yet other embodiments, R10 is optionally substituted aryl and R11 is hydrogen or methyl. In yet other embodiments, R10 is hydroxyl or amino and R11 is hydrogen or methyl. In some embodiments, R10 and R11, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S. In some embodiments, R10 and/or R11 is -NR100R101.

[0042] In these embodiments, R100 and R101 are each independently selected from hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, and optionally substituted C1-C4 alkoxy. In some embodiments, R100 and R101, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S.

[0043] In one aspect of the invention, the compounds described in charts 1-3 are substituted at the phenolic hydroxyl position. For instance, compounds of charts 1-3 are substituted at the phenolic hydroxyl position with -C(O)N(R9)LCy(R1)(R2), wherein the carboxamido moiety replaces the hydroxyl group to give a compound of formula I or formula Ia.

[0044] In some embodiments, the compound of formula I or formula Ia is selected from:











[0045] In some embodiments, the invention provides a compound selected from table 1:
Table 1
No Structure No Structure
1

2

      (not claimed)
3

4

  (not claimed)   (not claimed)
5

6

  (not claimed)   (not claimed)
7

8

  (not claimed)    
9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

  (not claimed)   (not claimed)
29

30

  (not claimed)   (not claimed)
31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46

  (not claimed)   (not claimed)
47

48

  (not claimed)   (not claimed)


[0046] In some embodiments of the invention, Cy-R1R2 is of formula

wherein Z is CR10 (with R10 defined as above) or N. In these instances, Z must be C at the point of attachment of the distal ring to the proximal ring. Additionally, at the points of attachment of R1 and R2, Z will be CR1 and CR2, respectively. In some embodiments, Cy-R1R2 will have the structure:



[0047] In some of these embodiments, one of R1 and R2 is in the para position relative to B (the point of attachment of the distal ring to the proximal ring) and the other of R1 and R2 is hydrogen.

[0048] In some embodiments of the invention, Ar2 is phenyl and one of R1 or R2 is in the para position relative to B.

[0049] In some embodiments of the invention, Cy-R1R2 has the structure:



[0050] The phenolic hydroxyls of benzomorphans and morphinans can be chemically converted to carboxamides by a simple, flexible and convenient route described in Patent Publications 6,784,187, 7,057,035, US 20070021457, and WO 2010/011619.

[0051] It is known in the art that compounds that are µ, δ and κ agonists exhibit analgesic activity; compounds that are selective µ agonists exhibit anti-diarrheal activity and are useful in treating dyskinesia; µ antagonists and κ agonists are useful in treating heroin, cocaine, alcohol and nicotine addiction; κ agonists are also anti-pruritic agents and are useful in treating hyperalgesia. Recently it has been found [Peterson et al. Biochem. Pharmacol. 61, 1141-1151 (2001)] that κ agonists are also useful in treating retroviral infections. In general, the dextrorotatory isomers of morphinans of type III above are useful as antitussives and anticonvulsants. Opiate binding is also related to the treatment of arthritis. (Keates et al., Anesth Analg 1999;89:409-15). Furthermore it has been reported that in patients suffering from osteoarthritis, µ- and δ-opioid receptors are synthesized and located in synovial lining cells, lymphocytes, and macrophages surrounding the vessels in synovial tissues, and may play a role in the regulation and modulation of inflammation. (Tanaka et al., Modern Rheumatology, 2003, 13(4) 326-332).

[0052] Opioid receptor ligands having known high affinity are shown in charts 1-3. Replacement of the phenolic OH with the -C(O)N(R9)LCy(R1)(R2) residue in these compounds produces compounds that exhibit similar activity and better bioavailability.

[0053] Binding assays used to screen compounds are similar to those previously reported by Neumeyer et al., Design and Synthesis of Novel Dimeric Morphinan Ligands for κ and µ Opioid Receptors. J. Med. Chem. 2003, 46, 5162. Membrane protein from CHO cells that stably expressed one type of the human opioid receptor were incubated with 12 different concentrations of the compound in the presence of either 1 nM [3H]U69,59310 (κ), 0.25 nM [3H]DAMGO11 (µ) or 0.2 nM [3H]naltrindole12 (δ) in a final volume of 1 mL of 50 mM Tris-HCl, pH 7.5 at 25°C. Incubation times of 60 min were used for [3H]U69,593 and [3H]DAMGO. Because of a slower association of [3H]naltrindole with the receptor, a 3 h incubation was used with this radioligand. Samples incubated with [3H]naltrindole also contained 10 mM MgCl2 and 0.5 mM phenylmethylsulfonyl fluoride. Nonspecific binding was measured by inclusion of 10 µM naloxone. The binding was terminated by filtering the samples through Schleicher & Schuell No. 32 glass fiber filters using a Brandel 48-well cell harvester. The filters were subsequently washed three times with 3 mL of cold 50 mM Tris-HCl, pH 7.5, and were counted in 2 mL Ecoscint A scintillation fluid. For [3H]naltrindole and [3H]U69,593 binding, the filters were soaked in 0.1% polyethylenimine for at least 60 min before use. IC50 values were-calculated by least squares fit to a logarithm-probit analysis. Ki values of unlabeled compounds were calculated from the equation Ki = (IC50)/1+S where S = (concentration of radioligand)/(Kd of radioligand).13 Data are the mean ± SEM from at least three experiments performed in triplicate.

[0054] [35S]GTPγS Binding Assays. In a final volume of 0.5 mL, 12 different concentrations of each test compound were incubated with 15 µg (κ), 10 µg (δ) or 7.5 µg (µ) of CHO cell membranes that stably expressed either the human κ, δ or µ opioid receptor. The assay buffer consisted of 50 mM Tris-HCl, pH 7.4, 3 mM MgCl2, 0.2 mM EGTA, 3 µM GDP, and 100 mM NaCl. The final concentration of [35S]GTPγS was 0.080 nM. Nonspecific binding was measured by inclusion of 10 µM GTPγS. Binding was initiated by the addition of the membranes. After an incubation of 60 min at 30°C, the samples were filtered through Schleicher & Schuell No. 32 glass fiber filters. The filters were washed three times with cold 50 mM Tris-HCl, pH 7.5, and were counted in 2 mL of Ecoscint scintillation fluid. Data are the mean Emax and EC50 values ± S.E.M. from at least three separate experiments, performed in triplicate. For calculation of the Emax values, the basal [35S]GTPγS binding was set at 0%. To determine antagonist activity of a compound at the µ opioid receptors, CHO membranes expressing the µ opioid receptor, were incubated with 12 different concentrations of the compound in the presence of 200 nM of the µ agonist DAMGO. To determine antagonist activity of a compound at the κ opioid receptors, CHO membranes expressing the κ opioid receptor, were incubated with the compound in the presence of 100 nM of the κ agonist U50,488. To determine if a compound was an antagonist at δ receptors, CHO membranes expressing the δ receptor were incubated with 12 different concentrations of the test compound in the presence of 10 nM of the δ -selective agonist SNC 80.

Examples - Cyclazocine subseries



[0055] 

Compound No.   X [3H]DAMGO (µ) [3H]Naltrindole (δ) [3H]U69,593 (κ)
Reference (±) H 0.30 ± 0.02 0.74 ± 0.019 1.8 ± 0.19
Reference (-) H 0.25 ± 0.031 0.24 ± 0.014 0.35 ± 0.009
Reference (+) H 6.4 ± 0.50 9.9 ± 0.44 8.5 ± 1.07
1 (±) 4'-OH 0.0056 ± 0.00073 0.81 ± 0.12 0.49 ± 0.011
1A (-) 4'-OH 0.0049 ± 0.001 0.78 ± 0.05 0.36 ± 0.018
2 (±) 3'-CH3-4'-OCH3 0.059 ± 0.0050 1.5 ± 0.14 1.7 ± 0.14
3 (±) 2'CH3-4'-OCH3 0.23 ± 0.0056 1.1 ± 0.18 1.3 ± 0.11
4 (±) 4'-OCH2CH3 0.64 ± 0.058 3.4 ± .039 3.3 ± 0.32
5 (±) 4'-OCH(CH3)2 0.23 ± 0.041 1.9 ± 0.21 1.6 ± 0.11
6 (±) 3'-OCH(CH3)2 0.43 ± 0.041 3.9 ± 1.4 2.4 ± 0.25
7 (±) 2'-OCH(CH3)2 0.12 ± 0.0018 0.55 ± 0.025 1.8 ± 0.17
8 (±) 3',4'-OCH2O- 0.0016 ± 0.0034 1.0 ± 0.12 0.73 ± 0.049
9 (±) 4'-CN 0.017 ± 0.00075 3.0 ± 0.11 1.0 ± 0.095
10 (±) 4'-CHO 0.0020 ± 0.00029 2.5 ± 0.12 1.8 ± 0.038
34 (±) 4'-CONH2 0.0052 ± 0.00055 1.0 ± 0.018 0.91 ± 0.066
35 (±) 4'-CO2H 2.3 ± 0.16 68 ± 9.0 55 ± 4.1
36 (±) 4'-CO2CH3 0.0091 ± 0.00071 1.5 ± 0.062 1.1 ± 0.13


[0056] Antinociceptive activity is evaluated by the method described in Jiang et al. [J. Pharmacol. Exp. Ther. 264, 1021-1027 (1993), page 1022]. The ED50's of compounds of the invention are expected to be under 100 nmol in the mouse acetic acid writhing test when administered i.c.v., and an increase in the duration of action is expected for compounds of the invention compared to their "parents" when given by i.p. administration.

Definitions



[0057] Throughout this specification the terms and substituents retain their definitions.

[0058] Alkyl is intended to include linear, branched, or cyclic hydrocarbon structures and combinations thereof. A combination would be, for example, cyclopropylmethyl. Lower alkyl refers to alkyl groups of from 1 to 6 carbon atoms. Examples of lower alkyl groups include methyl, ethyl, propyl, isopropyl, cyclopropyl, butyl, s-and t-butyl, cyclobutyl and the like. Preferred alkyl groups are those of C20 or below. Cycloalkyl is a subset of alkyl and includes cyclic hydrocarbon groups of from 3 to 8 carbon atoms. Examples of cycloalkyl groups include c-propyl, c-butyl, c-pentyl, norbornyl and the like.

[0059] Alkoxy or alkoxyl refers to groups of from 1 to 8 carbon atoms of a straight, branched, or cyclic configuration and combinations thereof attached to the parent structure through an oxygen. Examples include methoxy, ethoxy, propoxy, isopropoxy, cyclopropyloxy, cyclohexyloxy and the like. Lower-alkoxy refers to groups containing one to four carbons.

[0060] Aryl and heteroaryl mean a 5- or 6-membered aromatic or heteroaromatic ring containing 0-3 heteroatoms selected from O, N, or S; a bicyclic 9- or 10-membered aromatic or heteroaromatic ring system containing 0-3 heteroatoms selected from O, N, or S; or a tricyclic 13- or 14-membered aromatic or heteroaromatic ring system containing 0-3 heteroatoms selected from O, N, or S. The aromatic 6- to 14-membered carbocyclic rings include, e.g., benzene, naphthalene, indane, tetralin, and fluorene and the 5- to 10-membered aromatic heterocyclic rings include, e.g., imidazole, pyridine, indole, thiophene, benzopyranone, thiazole, furan, benzimidazole, quinoline, isoquinoline, quinoxaline, pyrimidine, pyrazine, tetrazole and pyrazole. As used herein aryl and heteroaryl refer to residues in which one or more rings are aromatic, but not all need be.

[0061] Arylalkyl means an alkyl residue attached to an aryl ring. Examples are benzyl, phenethyl and the like. Heteroarylalkyl means an alkyl residue attached to a heteroaryl ring. Examples include, e.g., pyridinylmethyl, pyrimidinylethyl and the like.

[0062] C1 to C20 hydrocarbon means a linear, branched, or cyclic residue comprised of hydrogen and carbon as the only elemental constituents and includes alkyl, cycloalkyl, polycycloalkyl, alkenyl, alkynyl, aryl and combinations thereof. Examples include, e.g., benzyl, phenethyl, cyclohexylmethyl, camphoryl and naphthylethyl.

[0063] The term "halogen" means fluorine, chlorine, bromine or iodine. In one embodiment, halogen may be fluorine or chlorine.

[0064] The terms "haloalkyl" and "haloalkoxy" mean alkyl or alkoxy, respectively, substituted with one or more halogen atoms.

[0065] Heterocycle means a cycloalkyl or aryl residue in which one to four of the carbons is replaced by a heteroatom such as oxygen, nitrogen or sulfur. Heteroaryls form a subset of heterocycles. Examples of heterocycles that fall within the scope of the invention include , e.g., pyrrolidine, pyrazole, pyrrole, indole, quinoline, isoquinoline, tetrahydroisoquinoline, benzofuran, benzodioxan, benzodioxole (commonly referred to as methylenedioxyphenyl, when occurring as a substituent), tetrazole, morpholine, thiazole, pyridine, pyridazine, pyrimidine, thiophene, furan, oxazole, oxazoline, isoxazole, dioxane, tetrahydrofuran and the like.

[0066] Substituted alkyl, aryl, cycloalkyl, heterocyclyl etc. refer to alkyl, aryl, cycloalkyl, or heterocyclyl wherein up to three H atoms in each residue are replaced with halogen, haloalkyl, alkyl, acyl, alkoxyalkyl, hydroxyloweralkyl, phenyl, heteroaryl, benzenesulfonyl, hydroxy, loweralkoxy, haloalkoxy, carboxy, carboalkoxy (also referred to as alkoxycarbonyl), alkoxycarbonylamino, carboxamido (also referred to as alkylaminocarbonyl), cyano, carbonyl, acetoxy, nitro, amino, alkylamino, dialkylamino, mercapto, alkylthio, sulfoxide, sulfone, sulfonylamino, acylamino, amidino, aryl, benzyl, heterocyclyl, phenoxy, benzyloxy, heteroaryloxy, hydroxyimino, alkoxyimino, oxaalkyl, aminosulfonyl, trityl, amidino, guanidino, ureido, and benzyloxy.

[0067] Virtually all of the compounds described herein contain one or more asymmetric centers and may thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that may be defined, in terms of absolute stereochemistry, as (R)- or (S)-. The present invention is meant to include all such possible isomers, as well as their racemic and optically pure forms. In general it has been found that the levo isomer of morphinans and benzomorphans is the more potent antinociceptive agent, while the dextro isomer may be useful as an antitussive or antispasmodic agent. Optically active (R)- and (S)- isomers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques. When the compounds described herein contain olefinic double bonds or other centers of geometric asymmetry, and unless specified otherwise, it is intended that the compounds include both E and Z geometric isomers. Likewise, all tautomeric forms are also intended to be included.

[0068] Some of the compounds of the invention are quaternary salts, i.e. cationic species. Therefore they will always be presented as salts, and the term "pharmaceutically acceptable salt" refers to salts whose counter ion (anion) derives from pharmaceutically acceptable non-toxic acids including inorganic acids, organic acids and water (which formally furnishes the hydroxide anion). Suitable pharmaceutically acceptable anions for the compounds of the present invention include hydroxide, acetate, benzenesulfonate (besylate), benzoate, bicarbonate, bisulfate, carbonate, camphorsulfonate, citrate, ethanesulfonate, fumarate, gluconate, glutamate, glycolate, bromide, chloride, isethionate, lactate, maleate, malate, mandelate, methanesulfonate, mucate, nitrate, pamoate, pantothenate, phosphate, succinate, sulfate, tartrate, trifluoroacetate, p-toluenesulfonate, acetamidobenzoate, adipate, alginate, aminosalicylate, anhydromethylenecitrate, ascorbate, aspartate, calcium edetate, camphorate, camsylate, caprate, caproate, caprylate, cinnamate, cyclamate, dichloroacetate, edetate (EDTA), edisylate, embonate, estolate, esylate, fluoride, formate, gentisate, gluceptate, glucuronate, glycerophosphate, glycolate, glycollylarsanilate, hexylresorcinate, hippurate, hydroxynaphthoate, iodide, lactobionate, malonate, mesylate, napadisylate, napsylate, nicotinate, oleate, orotate, oxalate, oxoglutarate, palmitate, pectinate, pectinate polymer, phenylethylbarbiturate, picrate, pidolate, propionate, rhodanide, salicylate, sebacate, stearate, tannate, theoclate, tosylate and the like. The desired salt may be obtained by ion exchange of whatever counter ion is obtained in the synthesis of the quat. These methods are well known to persons of skill. Although pharmaceutically acceptable counter ions will be preferred for preparing pharmaceutical formulations, other anions are quite acceptable as synthetic intermediates. Thus X may be pharmaceutically undesirable anions, such as iodide, oxalate, trifluoromethanesulfonate and the like, when such salts are chemical intermediates. When the compounds of the invention are bisquats, one may employ as counter ions either two monoanionic species (e.g. Cl2) or a single dianionic species (e.g. fumarate). Similarly, one could employ oligoanionic species and make salts having appropriate ratios of quat to counterion, such as (quat)3 citrates. These would be obvious equivalents. In some embodiments, the nitrogen of the morphinan or benzomorphan core structure is quaternized. Quaternization can be achieved by methylation of a tertiary nitrogen atom.
Although this invention is susceptible to embodiment in many different forms, preferred embodiments of the invention are shown. It should be understood, however, that the present disclosure is to be considered as an exemplification of the principles of this invention and is not intended to limit the invention to the embodiments illustrated.

Abbreviations



[0069] The following abbreviations and terms have the indicated meanings throughout:

------ represents a single or double bond;

Ac
= acetyl
BNB
= 4-bromomethyl-3-nitrobenzoic acid
Boc
= t-butyloxy carbonyl
BPE
= 2(4-biphenylyl)ethyl =


Bu
= butyl
c-
= cyclo
DAMGO
= Tyr-ala-Gly-NMePhe-NHCH2OH
DBU
= diazabicyclo[5.4.0]undec-7-ene
DCM
= dichloromethane = methylene chloride = CH2Cl2
DEAD
= diethyl azodicarboxylate
DIC
= diisopropylcarbodiimide
DIEA
= N,N-diisopropylethyl amine
DMAP
= 4-N,N-dimethylaminopyridine
DMF
= N,N-dimethylformamide
DMSO
= dimethyl sulfoxide
DOR
= delta opioid receptor
DPPF
= 1,1'-bis(diphenylphosphino)ferrocene
DVB
= 1,4-divinylbenzene
EEDQ
= 2-ethoxy-1-ethoxycarbonyl-1,2-dihydroquinoline
Fmoc
= 9-fluorenylmethoxycarbonyl
GC
= gas chromatography
HATU
= O-(7-Azabenzotriazol-l-yl)-1,1,3,3-tetramethyluronium   hexafluorophosphate
HOAc
= acetic acid
HOBt
= hydroxybenzotriazole
KOR
= kappa opioid receptor
Me
= methyl
mesyl
= methanesulfonyl
MOR
= mu opioid receptor
MTBE
= methyl t-butyl ether
NMO
= N-methylmorpholine oxide
PEG
= polyethylene glycol
Ph
= phenyl
PhOH
= phenol
PfP
= pentafluorophenol
PPTS
= pyridinium p-toluenesulfonate
PyBroP
= bromo-tris-pyrrolidino-phosphonium hexafluorophosphate
rt
= room temperature
sat'd
= saturated
s-
= secondary
t-
= tertiary
TBDMS
= t-butyldimethylsilyl
TFA
= trifluoroacetic acid
THF
= tetrahydrofuran
TMOF
= trimethyl orthoformate
TMS
= trimethylsilyl
tosyl
= p-toluenesulfonyl
Trt
= triphenylmethyl
U69,593
=




[0070] It may happen that residues in the substrate of interest require protection and deprotection during the conversion of the phenol hydroxyl. Terminology related to "protecting", "deprotecting" and "protected" functionalities occurs throughout this application. Such terminology is well understood by persons of skill in the art and is used in the context of processes which involve sequential treatment with a series of reagents. In that context, a protecting group refers to a group which is used to mask a functionality during a process step in which it would otherwise react, but in which reaction is undesirable. The protecting group prevents reaction at that step, but may be subsequently removed to expose the original functionality. The removal or "deprotection" occurs after the completion of the reaction or reactions in which the functionality would interfere. Thus, when a sequence of reagents is specified, as it is below, the person of ordinary skill can readily envision those groups that would be suitable as "protecting groups". Suitable groups for that purpose are discussed in standard textbooks in the field of chemistry, such as Protective Groups in Organic Synthesis by T.W.Greene [John Wiley & Sons, New York, 1991].

[0071] The compounds of the invention are synthesized by one of the routes described below: Scheme 1. Synthesis via Suzuki coupling.



[0072] In general, the method of replacing a phenolic -OH with triflate, is described in US patent 6,784,187.

[0073] Proton NMR spectra and in certain cases 13C NMR were obtained on a Varian Unity-300 or 500 NMR spectrometer with tetramethylsilane as an internal reference for samples dissolved in CDCl3. Samples dissolved in CD3OD and DMSO-d6 were referenced to the solvent. Proton NMR multiplicity data are denoted by s (singlet), d (doublet), t (triplet), q (quartet), m (multiplet), dd (doublet of doublets), and br (broad). Coupling constants are in hertz. Direct insertion probe chemical ionization mass spectral data were obtained on a Shimadzu GC-17A GC-MS mass spectrometer. Direct infusion electrospray ionization (in positively charged ion mode) mass spectral data were obtained on an Agilent 1100 series LC/MSD system (Germany). Melting points were determined on a Meltemp capillary melting point apparatus and were uncorrected. Infrared spectral data were obtained on a Perkin-Elmer Paragon 1000 FT-IR spectrophotometer. Optical rotation data was obtained from a Perkin-Elmer 241 polarimeter. The assigned structure of all test compounds and intermediates were consistent with the data. Carbon, hydrogen, and nitrogen elemental analyses for all novel targets were performed by Quantitative Technologies Inc., Whitehouse, NJ, and were within ± 0.4% of theoretical values except as noted; the presence of water or other solvents was confirmed by proton NMR. Reactions were generally performed in an argon or nitrogen atmosphere. Commercially purchased chemicals were used without purification unless otherwise noted. The following reagents were purchased from Aldrich Chemical Company: N-hydroxysuccinimide, phenethylamine, 3-phenyl-1-propylamine, 4-aminobiphenyl, palladium acetate, 4-phenylbenzylamine and benzyl amine. The following reagent was purchased from Trans World Chemicals: 2-(4-biphenyl ethylamine). The following reagents were purchased from Strem Chemicals, Incorporated: 1,1'-bis(diphenyl-phosphino)ferrocene (dppf) and dichloro[1,1'-bis(diphenylphosphino)-ferrocene]palladium (II) dichloromethane adduct [PdCl2(dppf)]. Pyridine was distilled from KOH. DMF and DMSO were distilled over CaH2 under reduced pressure. Silica gel (Bodman Industries, ICN SiliTech 2-63 D 60A, 230-400 Mesh) was used for all flash chromatography. Amines were purchased from Aldrich Chemical Company and used as received unless otherwise indicated. Toluene and Et2O were distilled from sodium metal. THF was distilled from sodium/benzophenone ketyl. Pyridine was distilled from KOH. Methylene chloride was distilled from CaH2. DMF and DMSO were distilled from CaH2 under reduced pressure. Methanol was dried over 3± molecular sieves prior to use. Silica gel (Bodman Industries, ICN SiliTech 2-63 D 60A, 230-400 Mesh) was used for flash column chromatography.

[0074] In general, the chemistry described above works in the presence of the variety of functional groups found on known core structures. The exceptions would be morphine and congeners having a free 6-OH, which can be protected by a TBDPS (t-butyldiphenylsilyl) group [see Wentland et al., "Selective Protection and Functionalization of Morphine...", J. Med. Chem. 43, 3558-3565 (2000)].


Claims

1. A compound of formula I:

wherein

R1 is selected from -OH, -CN, -CHO, -COR10, -COOR10, -SO2R10, -CONH2, -CSNH2, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10 and -C(=NR10)R11;

R2 is selected from hydrogen, halogen, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12, -CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11. -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, -C(=NR10)R11, -SO2NR10R11, heterocyclyl, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, halo(C1-C6)alkyl, halo(C1-C6)alkoxy, and (C1-C6)alkylthio; or,

R1 and R2 together with the atoms to which they are attached, and a fragment selected from -OCH2O-, or -OCH2CH2O-, form a ring,

R3 is chosen from hydrogen, C1-C8 hydrocarbon, heterocyclyl, aryl and hydroxyalkyl;

R4 is chosen from hydrogen, hydroxyl, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxyl or carbonyl;

R5 is C1-C6 alkyl;

R6 is C1-C6 alkyl;

R7 is chosen from hydrogen, NR10R11 and -OR10; or
together R4, R5, R6 and R7 may form from one, two, three, or four rings, said rings having optional additional substitution;

R8 and R8a are both hydrogen or taken together R8 and R8a are =O;

R9 is chosen from hydrogen and C1-C6 alkyl;

R10, R11, R12 and R13 are each independently hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, -NR100R101 or optionally substituted C1-C4 alkoxy, or

R10 and R11, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S;

t is 0, 1, 2, 3, 4, 5, or 6;

R100 and R101 are each independently hydrogen, optionally substituted C1-C6 alkyl, optionally substituted alkenyl, optionally substituted alkynyl, optionally substituted aryl, hydroxyl, or optionally substituted C1-C4 alkoxy, or

R100 and R101, together with the nitrogen atom to which they are attached, form an optionally substituted fused carbocyclic or heterocyclic ring having from 5 to 7 ring members of which up to 3 can be heteroatoms selected from N, O and S;

Y is a direct bond or -(C(R10)(R11))q-, wherein q is 0, 1, 2, 3, 4 or 5;

L is a direct bond or -(C(R10)(Rl1))q-; and

Cy is Ar1-B-Ar2, wherein

Ar1 is absent, or an aryl or heteroaryl radical having from 1 to 4 N, O and/or S atoms, which may be unsubstituted or mono-, di- or trisubstituted by halogen, C1-C6 alkyl, alkenyl, alkynyl, cycloalkyl, -OR10, -NR10R11, -CN, -COR10 or -COOR10;

B is a direct bond, -O-, -NR10, -SO2, or -(C(R10)(R11)s-, wherein s is 0, 1, 2, 3, 4 or 5; and

Ar2 is aryl or heteroaryl radical having from 1 to 4 N, O and/or S atoms, which may be unsubstituted or mono-, di- or trisubstituted by halogen, C1-C6 alkyl, alkenyl, alkynyl, cycloalkyl, -OR10, -NR10R11, -CN, -COR10 or -COOR10.


 
2. A compound according to claim 1, wherein said R10 and R11 are hydrogen, and/or wherein R1 is -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, or -CON(H)CH2CH2COOH; or R1 and R2 together with the atoms to which they are attached forms a -OCH2O-fused ring, and/or
wherein R2 is H.
 
3. A compound according to claim 1, wherein R1 is selected from -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, or -CON(H)CH2CH2COOH; or R1 and R2 together with the atoms to which they are attached forms a -OCH2O-fused ring, and/or
wherein R2 is H.
 
4. A compound of claim 1 wherein Cy is selected from:

























wherein W is selected from [C(R9)2]n, CR8R8a, O, NR9, S and CR9=CR9; and n is 1, 2, 3, 4 or 5.
 
5. A compound of claim 1 of formula III-VI:



wherein, R20, R21 and R22 are each chosen from hydrogen, hydroxyl, amino, C1-C4 alkoxy, C1-C20 alkyl and C1-C20 alkyl substituted with hydroxyl or carbonyl; or together, R20 , and R21 with the carbon to which they are attached, form -CO, or -CS; or together, R20, and R21 with the carbon(s) to which they are attached, form a ring.
 
6. A compound according to claim 5, wherein Cy-R1R2 is of formula:

wherein at the points of attachment of R1 and R2, Z will be CR1 and CR2, respectively.
 
7. A compound according to claim 6, wherein R1 is in the para position relative to B and R2 is hydrogen or methyl; or R1 and R2 together with the atoms to which they are attached, and a fragment selected from -OCH2O- or -OCH2CH2O-, form a ring.
 
8. A compound according to claim 1 of formula:








 
9. A compound according to claim 1 selected from Table 1:
No Structure No Structure
1

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

31

32

33

34

35

36

37

38

39

40

41

42

43

44


 
10. A compound according to claim 1 wherein Cy-R1R2 is of formula

wherein Z is CR10 or N, with the provisos that,

a) at the point of attachment of the distal ring to the proximal ring, Z must be C, and

b) at the points of attachment of R1 and R2, Z will be CR1 and CR2, respectively.


 
11. A compound according to claim 10 of formula wherein Cy-R1R2 is of formula:

wherein one of R1 and R2 is preferably in the para position relative to B and the other of R1 and R2 is hydrogen.
 
12. A compound according to claim 1, wherein Ar2 is phenyl and one of R1 or R2 is in the para position relative to B,
wherein Cy-R1R2 is preferably of formula:


 
13. A pharmaceutical formulation comprising a compound according to any one of claims 1-12 and a pharmaceutically acceptable carrier.
 
14. A composition comprising an effective amount of a compound according to any one of claims 1-12 for use in a method of preventing or treating a condition or disease associated with binding opioid receptors in a patient in need thereof,
wherein said disease or condition is preferably chosen from the group consisting of pain, pruritis, diarrhea, irritable bowel syndrome, gastrointestinal motility disorder, obesity, respiratory depression, convulsions, coughing, hyperalgesia, inflammation, osteoarthritis and drug addiction.
 
15. A composition for use according to claim 14, wherein said drug addiction is selected from heroin, cocaine, nicotine, amphetamine and alcohol addiction, or
wherein the condition is pain and the composition further comprises an effective amount of an opioid, or
wherein the condition is osteoarthritis and the composition further comprises an effective amount of an opioid.
 


Ansprüche

1. Verbindung der Formel I:

wobei

R1 ausgewählt ist aus -OH, -CN, -CHO, -COR10, -COOR10, -SO2R10, -CONH2, -CSNH2, -CONR10((C(R12)(R13)tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10 und -C(=NR10)R11;

R2 ausgewählt ist aus Wasserstoff, Halogen, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12, -CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, -C(=NR10)R11, -SO2NR10R11, Heterocyclyl, optional substituiertem C1-C6-Alkyl, optional substituiertem Alkenyl, optional substituiertem Alkynyl, optional substituiertem Aryl, Halogen-C1-C6-Alkyl, Halogen-C1-C6-Alkoxy, und C1-C6-Alkylthio; oder,

R1 und R2 zusammen mit den Atomen, an die sie gebunden sind, und einem Fragment, ausgewählt aus -OCH2O- oder -OCH2CH2O-, einen Ring bilden,

R3 ausgewählt ist aus Wasserstoff, C1-C8-Kohlenwasserstoff, Heterocyclyl, Aryl und Hydroxyalkyl;

R4 ausgewählt ist aus Wasserstoff, Hydroxyl, Amino, C1-C4-Alkoxy, C1-C20-Alkyl und
C1-C20-Alkyl substituiert mit Hydroxyl oder Carbonyl;

R5 C1-C6 Alkyl ist;

R6 C1-C6 Alkyl ist;

R7 ausgewählt ist aus Wasserstoff, NR10R11 und -OR10; oder

R4, R5, R6 und R7 können zusammen einen, zwei, drei oder vier Ringe bilden, wobei die genannten Ringe optional zusätzliche Substitution aufweisen;

R8 und R8a beide Wasserstoff sind oder R8 und R8a sind zusammengenommen =O;

R9 ausgewählt ist aus Wasserstoff und C1-C6-Alkyl;

R10, R11, R12 und R13 jeweils unabhängig voneinander Wasserstoff, optional substituiertes C1-C6-Alkyl, optional substituiertes Alkenyl, optional substituiertes Alkynyl, optional substituiertes Aryl, Hydroxyl, -NR100R101 oder optional substituiertes C1-C4-Alkoxy sind, oder

R10 und R11 bilden zusammen mit dem Stickstoffatom, an das sie gebunden sind, einen optional substituierten fusionierten carbocyclischen oder heterocyclischen Ring mit 5 bis 7 Ringgliedern, von denen bis zu 3 Heteroatome, ausgewählt aus N, O und S, sein können;

t 0, 1, 2, 3, 4, 5, oder 6 ist;

R100 und R101 jeweils unabhängig voneinander Wasserstoff, optional substituiertes C1-C6-Alkyl, optional substituiertes Alkenyl, optional substituiertes Alkynyl, optional substituiertes Aryl, Hydroxyl, oder optional substituiertes C1-C4-Alkoxy sind, oder

R100 und R101 bilden zusammen mit dem Stickstoffatom, an das sie gebunden sind, einen optional substituierten fusionierten carbocyclischen oder heterocyclischen Ring mit 5 bis 7 Ringgliedern, von denen bis zu 3 Heteroatome, ausgewählt aus N, O und S, sein können;

Y eine direkte Bindung oder -(C(R10)(R11))q- ist, wobei q 0, 1, 2, 3, 4 oder 5 ist;

L eine direkte Bindung oder -(C(R10)(R11))q- ist; und

Cy Ar1-B-Ar2 ist, wobei

Ar1 fehlt oder ein Aryl oder Heteroarylradikal mit 1 bis 4 N, O und/oder S Atomen ist, welche unsubstituiert oder mono-, di- oder trisubstituiert mit Halogen, C1-C6 Alkyl, Alkenyl, Alkynyl, Cycloalkyl, -OR10, -NR10R11, -CN, -COR10 oder -COOR10 sein können;

B eine direkte Bindung, -O-, -NR10, -SO2, oder -(C(R10)(R11)s- ist, wobei s 0, 1, 2, 3, 4 oder 5 ist; und

Ar2 Aryl- oder Heteroarylradikal mit 1 bis 4 N, O und/oder S Atomen ist, welche unsubstituiert oder mono-, di- oder trisubstituiert mit Halogen, C1-C6-Alkyl, Alkenyl, Alkynyl, Cycloalkyl, -OR10, -NR10R11, -CN, -COR10 oder -COOR10 sein können.


 
2. Verbindung nach Anspruch 1, wobei R10 und R11 Wasserstoff sind, und/oder wobei R1 -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, oder -CON(H)CH2CH2COOH ist; oder R1 und R2 zusammen mit den Atomen, an die sie gebunden sind, einen -OCH2O-fusionierten Ring bilden, und/oder wobei R2 H ist.
 
3. Verbindung nach Anspruch 1, wobei R1 ausgewählt ist aus -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH, oder -CON(H)CH2CH2COOH; oder R1 und R2 zusammen mit den Atomen, an die sie gebunden sind, einen -OCH2O-fusionierten Ring bilden, und/oder wobei R2 H ist.
 
4. Verbindung nach Anspruch 1, wobei Cy ausgewählt ist aus:

























wobei W ausgewählt ist aus [C(R9)2]n, CR8R8a, O, NR9, S und CR9=CR9; und n 1, 2, 3, 4 oder 5 ist.
 
5. Verbindung nach Anspruch 1 der Formel III-VI:



wobei, R20, R21 und R22 jeweils ausgewählt sind aus Wasserstoff, Hydroxyl, Amino, C1-C4 Alkoxy, C1-C20 Alkyl und C1-C20 Alkyl substituiert mit Hydroxyl oder Carbonyl; oder R20 und R21 bilden zusammen mit dem Kohlenstoff, an den sie gebunden sind, -CO oder -CS; oder R20 und R21 bilden zusammen mit dem Kohlenstoff/den Kohlenstoffen, an das/die sie gebunden sind, einen Ring.
 
6. Verbindung nach Anspruch 5, wobei Cy-R1R2 die Formel aufweist:

wobei an den Bindungspunkten von R1 und R2, Z jeweils CR1 und CR2 ist.
 
7. Verbindung nach Anspruch 6, wobei R1 in Bezug auf B in der para-Position ist, und R2 Wasserstoff oder Methyl ist; oder R1 und R2 zusammen mit den Atomen, an die sie gebunden sind, und einem Fragment ausgewählt aus -OCH2O- oder -OCH2CH2O-, einen Ring bilden.
 
8. Verbindung nach Anspruch 1 der Formel:








 
9. Verbindung nach Anspruch 1, ausgewählt aus Tabelle 1:
Nr. Struktur Nr. Struktur
1

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

31

32

33

34

35

36

37

38

39

40

41

42

43

44


 
10. Verbindung nach Anspruch 1, wobei Cy-R1R2 die Formel

aufweist,

wobei Z, CR10 oder N ist, unter den Voraussetzungen, dass

a) am Bindungspunkt des distalen Rings an den proximalen Ring, Z C sein muss, und

b) an den Bindungspunkten von R1 und R2, Z jeweils CR1 bzw. CR2 ist.


 
11. Verbindung nach Anspruch 10, wobei Cy-R1R2 die Formel:

aufweist,

wobei einer von R1 und R2 vorzugsweise in der para-Position in Bezug auf B ist, und der andere von R1 und R2 Wasserstoff ist.


 
12. Verbindung nach Anspruch 1, wobei Ar2 Phenyl ist, und einer von R1 oder R2 in der para-Position in Bezug auf B ist,
wobei Cy-R1R2 vorzugsweise die Formel:

aufweist.
 
13. Pharmazeutische Formulierung umfassend eine Verbindung nach einem der Ansprüche 1-12 und einen pharmazeutisch akzeptablen Träger.
 
14. Zusammensetzung umfassend eine wirksame Menge einer Verbindung nach einem der Ansprüche 1-12 zur Verwendung in einem Verfahren zur Prävention oder Behandlung eines Zustandes oder einer Erkrankung, der/die mit dem Binden von Opioidrezeptoren bei einem Patienten, der dessen bedarf, assoziiert ist,
wobei die Erkrankung oder der Zustand vorzugsweise ausgewählt ist aus der Gruppe bestehend aus Schmerz, Pruritis, Diarrhoe, Reizdarmsyndrom, gastrointestinaler Motilitätsstörung, Adipositas, Atemdepression, Krämpfen, Husten, Hyperalgesie, Entzündung, Osteoarthritis und Drogenabhängigkeit.
 
15. Zusammensetzung zur Verwendung nach Anspruch 14, wobei die Drogenabhängigkeit ausgewählt ist aus Abhängigkeit von Heroin, Kokain, Nicotin, Amphetamin und Alkohol, oder
wobei der Zustand Schmerz ist und die Zusammensetzung ferner eine wirksame Menge eines Opioids umfasst, oder
wobei der Zustand Osteoarthritis ist und die Zusammensetzung ferner eine wirksame Menge eines Opioids umfasst.
 


Revendications

1. Composé de formule I :

dans laquelle

R1 est choisi parmi -OH, -CN, -CHO, -COR10, -COOR10, -SO2R10, -CONH2, -CSNH2, -CONR10((C(R12)(R13))tCONR10R11, -CONR10C(R12)(R13))tCOOR11, -C(=S)R10 et -C(=NR10)R11;

R2 est choisi parmi un hydrogène, un halogène, -OH, -CN, -CHO, -OCH3, -OCH2CH3, -OCH(CH3)2, -NO2, -COR10, -COOR10, -SO2R10, -CONR10R11, -CSNR10R11, -CONR10NR11R12, -CONR10OR11, -CONR10((C(R12)(R13))tCONR10R11, -CONR10((C(R12)(R13))tCOOR11, -C(=S)R10, -C(=NOR11)R10, C(=NR10)R11, -SO2NR10R11, un hétérocycle, un alkyle en C1 à C6 facultativement substitué, un alcényle facultativement substitué, un alcynyle facultativement substitué, un aryle facultativement substitué, un haloalkyle en C1 à C6, un haloalcoxy en C1 à C6 et un alkylthio en C1 à C6 ; ou

R1 et R2 ensemble avec les atomes auxquels ils sont liés, et un fragment choisi parmi -OCH2O- ou -OCH2CH2O-, forment un cycle,

R3 est choisi parmi un hydrogène, un hydrocarbure en C1 à C8, un hétérocycle, un aryle et un hydroxyalkyle ;

R4 est choisi parmi un hydrogène, un hydroxyle, un amino, un alcoxy en Ci à C4, un alkyle en C1 à C20 et un alkyle en C1 à C20 substitué avec un hydroxyle ou un carbonyle ;

R5 est un alkyle en C1 à C6 ;

R6 est un alkyle en C1 à C6 ;

R7 est choisi parmi un hydrogène, NR10R11 et -OR10 ; ou

ensemble R4, R5, R6 et R7 peuvent former un, deux, trois ou quatre cycles, lesdits cycles ayant une substitution supplémentaire facultative ;

R8 et R8a sont tous les deux un hydrogène ou, pris ensemble, R8 et R8a sont =O ;

R9 est choisi parmi un hydrogène et un alkyle en C1 à C6 ;

R10, R11, R12 et R13 sont chacun indépendamment un hydrogène, un alkyle en C1 à C6 facultativement substitué, un alcényle facultativement substitué, un alcynyle facultativement substitué, un aryle facultativement substitué, un hydroxyle, -NR100R101 ou un alcoxy en C1 à C4 facultativement substitué, ou R10 et R11, conjointement avec l'atome d'azote auquel ils sont liés, forment un cycle carbocyclique ou hétérocyclique condensé facultativement substitué contenant 5 à 7 éléments de cycle parmi lesquels 3 peuvent être des hétéroatomes choisis parmi N, O et S ;

test 0, 1, 2, 3, 4, 5 ou 6 ;

R100 et R101 sont chacun indépendamment un hydrogène, un alkyle en C1 à C6 facultativement substitué, un alcényle facultativement substitué, un alcynyle facultativement substitué, un aryle facultativement substitué, un hydroxyle ou un alcoxy en C1 à C4 facultativement substitué, ou

R100 et R101, conjointement avec l'atome d'azote auquel ils sont liés, forment un cycle carbocyclique ou hétérocyclique condensé facultativement substitué contenant 5 à 7 éléments de cycle parmi lesquels 3 peuvent être des hétéroatomes choisis parmi N, O et S ;

Y est une liaison directe ou -(C(R10)(R11))q-, dans lequel q est 0, 1, 2, 3, 4 ou 5 ;

L est une liaison directe ou -(C(R10)(R11))q- ; et

Cy est Ar1-B-Ar2, dans lequel

AR1 est absent, ou est un radical aryle ou hétéroaryle contenant 1 to 4 atomes N, O et/ou S, qui peut être non substitué ou mono-, di- ou tri-substitué avec un halogène, un alkyle en Ci à C6, un alcényle, un alcynyle, un cycloalkyle, -OR10, -NR10R11, -CN, -COR10 ou -COOR10;

B est une liaison directe, -O-, -NR10, -SO2 ou -(C(R10)(R11)s-, dans lequel s est 0, 1, 2, 3, 4 ou 5 ; et

Ar2 est un radical aryle ou hétéroaryle contenant 1 to 4 atomes N, O et/ou S, qui peut être non substitué ou mono-, di- ou tri-substitué avec un halogène, un alkyle en C1 à C6, un alcényle, un alcynyle, un cycloalkyle, -OR10, -NR10R11, -CN, -COR10 ou -COOR10.


 
2. Composé selon la revendication 1, dans lequel lesdits R10 et R11 sont des hydrogènes, et/ou dans lequel R1 est -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH ou -CON(H)CH2CH2COOH ; ou R1 et R2 ensemble avec les atomes auxquels ils sont liés forment un cycle condensé à -OCH2O-, et/ou
dans lequel R2 est H.
 
3. Composé selon la revendication 1, dans lequel R1 est choisi parmi -OH, -CHO, -CONH2, -CON(H)CH2CONH2, -CON(H)CH2CH2CONH2, -CON(H)CH2COOH ou -CON(H)CH2CH2COOH ; ou R1 et R2 ensemble avec les atomes auxquels ils sont liés forment un cycle condensé à -OCH2O-, et/ou
dans lequel R2 est H.
 
4. Composé selon la revendication 1, dans lequel Cy est choisi parmi :

























où W est choisi parmi [C(R9)2]n, CR8R8a, O, NR9, S et CR9=CR9 ; et n est 1, 2, 3, 4 ou 5.
 
5. Composé selon la revendication 1 de formules III à VI :



dans lesquelles R20, R21 et R22 sont chacun choisis parmi un hydrogène, un hydroxyle, un amino, un alcoxy en C1 à C4, un alkyle en C1 à C20 et un alkyle en C1 à C20 substitué avec un hydroxyle ou un carbonyle ; ou ensemble, R20 et R21 avec le carbone auquel ils sont liés, forment -CO, ou -CS ; ou ensemble, R20 et R21 avec le ou les carbones auxquels ils sont liés, forment un cycle.
 
6. Composé selon la revendication 5, dans laquelle Cy-R1R2 est de formule :

dans laquelle, au niveau des points de fixation de R1 et R2, Z sera CR1 et CR2, respectivement.
 
7. Composé selon la revendication 6, dans lequel R1 est en position para par rapport à B et R2 est un hydrogène ou un méthyle ; ou R1 et R2 conjointement avec les atomes auxquels ils sont liés, et un fragment choisi parmi -OCH2O- ou -OCH2CH2O-, forment un cycle.
 
8. Composé selon la revendication 1 de formule :








 
9. Composé selon la revendication 1, choisi dans le tableau 1 :
No Structure No Structure
1

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

31

32

33

34

35

36

37

38

39

40

41

42

43

44


 
10. Composé selon la revendication 1, dans lequel Cy-R1R2 est de formule

dans laquelle Z est CR10 ou N, à condition que

a) au niveau du point de fixation du cycle distal au cycle proximal, Z soit C, et

b) au niveau des points de fixation de R1 et R2, Z soit CR1 et CR2, respectivement.


 
11. Composé selon la revendication 10 de formule dans laquelle Cy-R1R2 est de formule :

dans laquelle un parmi R1 et R2 est de préférence en position para par rapport à B et l'autre parmi R1 et R2 est un hydrogène.
 
12. Composé selon la revendication 1, dans lequel Ar2 est un phényle et un parmi R1 et R2 est en position para par rapport à B,
dans laquelle Cy-R1R2 est de préférence de formule :


 
13. Formulation pharmaceutique comprenant un composé selon l'une quelconque des revendications 1 à 12 et un support pharmaceutiquement acceptable.
 
14. Composition comprenant une quantité efficace d'un composé selon l'une quelconque des revendications 1 à 12, pour son utilisation dans un procédé de prévention ou de traitement d'une affection ou d'une maladie associée à la liaison aux récepteurs opioïdes chez un patient ayant besoin,
dans laquelle ladite maladie ou affection est choisie de préférence dans le groupe constitué d'une douleur, d'un prurit, d'une diarrhée, du syndrome du côlon irritable, d'un trouble de la motilité gastro-intestinale, de l'obésité, de la dépression respiratoire, des convulsions, de la toux, de l'hyperalgie, d'une inflammation, de l'arthrose et d'une pharmacodépendance.
 
15. Composition pour son utilisation selon la revendication 14, dans laquelle ladite pharmacodépendance est choisie parmi une dépendance à l'héroïne, à la cocaïne, à la nicotine, à l'amphétamine et à l'alcool, ou
dans laquelle l'affection est une douleur et la composition comprend en outre une quantité efficace d'un opioïde, ou
dans laquelle l'affection est l'arthrose et la composition comprend en outre une quantité efficace d'un opioïde.
 






Cited references

REFERENCES CITED IN THE DESCRIPTION



This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

Patent documents cited in the description




Non-patent literature cited in the description