US 8,362,007 B1Grant
Substituted noribogaine
Issue Date:2013-01-29
•15 Claims
Abstract
This invention relates noribogaine derivatives, compositions and methods of use thereof.
Metadata
Assignee
- Demerx, Inc.
Inventors
- Deborah C. Mash
- Richard D. Gless, Jr.
- Robert M. Moriarty
Application Information
Application Number:US 13/104,410
Filing Date:2011-05-10
Priority Date:2010-05-11
Art Unit:1624
Classifications
IPC:
A61P25/00A61K31/55C07D487/18
Patent Drawings
This patent does not have any drawings.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application claims priority under 35 U.S.C. §119(e) to U.S. Provisional Patent Application Ser. No. 61/333,668, filed on May 11, 2010, and to U.S. Provisional Patent Application Ser. No. 61/419,776, filed on Dec. 3, 2010, both of which applications are incorporated by reference herein in their entirety.
FIELD OF THE INVENTION
[0002] This invention relates noribogaine derivatives, compositions and methods of use thereof.
STATE OF THE ART
[0003] Noribogaine is a well known derivative of ibogaine and is sometimes referred to as 12-hydroxyibogaine. It is a metabolite of ibogaine. U.S. Pat. No. 2,813,873 claims noribogaine albeit as “12-O-demethylibogaine” while providing an incorrect structural formula for ibogaine. The structure of noribogaine has now been thoroughly evaluated and is found to combine the features of tryptamine, tetrahydrohavaine and indolazepines. Noribogaine can be depicted by the following formula:
[0004]
[0005] Noribogaine and its pharmaceutically acceptable salts have recently received significant attention as a non-addictive alkaloid useful in treating addiction (U.S. Pat. No. 6,348,456) and as a potent analgesic (U.S. Pat. No. 7,220,737).
[0006] Noribogaine has been found to have properties suitable for the treatment of pain and to the withdrawal symptoms associated with drug dependency or abuse. In particular, it is believed that noribogaine binds to two classes of opioid receptors that have been associated with pain relief, the μ and κ receptors. In the case of the μ-type receptors, it appears that noribogaine acts as an opiate agonist. In addition, noribogaine elevates brain serotonin levels by blocking synaptic reuptake. It is believed that such levels (as well as ligand interactions at the μ and κ opiate receptors) play a role in the anxiety and drug cravings experienced by addicts during withdrawal.
SUMMARY OF THE INVENTION
[0007] This invention relates to noribogaine derivative compounds. Such compounds are contemplated as being useful in treating drug addiction and/or pain. Accordingly, in one of its compound aspects, this invention is directed to a compound or a pharmaceutically acceptable salt thereof wherein said compound is represented by Formula I:
[0008]
wherein
wherein
-
- [0009]
is a single or double bond;
- [0010] R is halo, OR1, or C1-C12 alkyl optionally substituted with 1 to 5 R9;
- [0011] R1 is hydrogen or a hydrolysable group selected from the group consisting of —C(O)X, —C(O)OX and —C(O)N(Y)2 where each X is selected from the group consisting of C1-C6 alkyl optionally substituted with 1 to 5 R9, and each Y is independently selected from the group consisting of hydrogen, C1-C6 alkyl optionally substituted with 1 to 5 R9, C6-C14 aryl optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C1-C10 heteroaryl having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, C1-C10 heterocyclic having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, and where each Y, together with the nitrogen atom bound thereto form a C1-C6 heterocyclic having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9 or a C1-C6 heteroaryl having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9;
- [0012] R2 is selected from the group consisting of hydrogen, C1-C12 alkyl optionally substituted with 1 to 5 R9, aryl optionally substituted with 1 to 5 R9, —C(O)R5, —C(O)NR5R5 and —C(O)OR5;
- [0013] R3 is selected from the group consisting of hydrogen, —(CH2)mOR7, —CR6(OH)R7, —(CH2)mCN, —(CH2)mCOR7, —(CH2)mCO2R7, —(CH2)mC(O)NR6R7, —(CH2)mC(O)NR6NR7R7, —(CH2)mC(O)NR6NR7C(O)R8, and —(CH2)mNR6R7;
- [0014] m is 0, 1, or 2;
- [0015] L is a bond or C1-C12 alkylene;
- [0016] R4 is selected from the group consisting of hydrogen, C1-C12 alkyl substituted with 1 to 5 R9, C2-C12 alkenyl substituted with 1 to 5 R9, —X2—R6, —(X2—Y2)n—X2—R6, —SO2NR6R7, —O—C(O)R8, —C(O)OR7, —C(O)NR6R7, —NR6R7, —NHC(O)R8, and —NR6C(O)R8;
- [0017] each R5 is independently selected from the group consisting of hydrogen, C1-C12 alkyl, C2-C12 alkenyl, C2-C12 alkynyl, C6-C10 aryl, C1-C6 heteroaryl having 1 to 4 heteroatoms, and C1-C6 heterocycle having 1 to 4 heteroatoms, and wherein the alkyl, alkenyl, alkynyl, aryl, heteroaryl, and heterocycle are optionally substituted with 1 to 5 R9;
- [0018] X2 is selected from the group consisting of O and S;
- [0019] Y2 is C1-C4 alkylene or C6-C10 arylene, or a combination thereof;
- [0020] n is 1, 2, or 3;
- [0021] R6 and R7 are each independently selected from the group consisting of hydrogen, C1-C12 alkyl optionally substituted with 1 to 5 R9, C1-C6 heterocycle having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C6-C10 aryl optionally substituted with 1 to 5 R9 and C1-C6 heteroaryl having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9;
- [0022] R8 is selected from the group consisting of C1-C12 alkyl optionally substituted with 1 to 5 R9, C1-C6 heterocycle having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C6-C10 aryl optionally substituted with 1 to 5 R9 and C1-C6 heteroaryl having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9;
- [0023] R9 is selected from the group consisting of C1-C4 alkyl, phenyl, halo, —OR10, —CN, —COR10, —CO2R10, —C(O)NHR10, —NR10R10, —C(O)NR10R10, —C(O)NHNHR10, —C(O)NR10NHR10, —C(O)NR10NR10R10, —C(O)NHNR10C(O)R10, —C(O)NHNHC(O)R10, —SO2NR10R10, —C(O)NR10NR10C(O)R10, and —C(O)NR10NHC(O)R10; and
- [0024] R10 is independently hydrogen or C1-C12 alkyl;
- [0025] provided that:
- [0026] when L is a bond, then R4 is not hydrogen;
- [0027] when
is a double bond, R is an ester hydrolyzable group, R2 and R3 are both hydrogen, then -L-R4 is not ethyl;
- [0028] when
is a double bond, R is —OH, halo or C1-C12 alkyl optionally substituted with 1 to 5 R9, then R3 is hydrogen; and
- [0029] when
is a double bond, R is OR1, R3 is hydrogen, -L-R4 is ethyl, then R1 is not a hydrolyzable group selected from the group consisting of an ester, amide, carbonate and carbamate.
- [0009]
[0030] This invention is also directed to pharmaceutical compositions comprising a pharmaceutically acceptable excipient and a therapeutically effective amount of a compound of this invention or a mixture of one or more of such compounds.
[0031] This invention is still further directed to methods for treating pain and/or addiction in a patient in need thereof, which methods comprise administering to the patient a one or more of compounds or a pharmaceutical composition of this invention.
DETAILED DESCRIPTION OF THE INVENTION
[0032] This invention is directed to ribose substituted noribogaine for use in treating pain and/or addition. However, prior to describing this invention in greater detail, the following terms will first be defined.
[0033] It is to be understood that this invention is not limited to particular embodiments described, as such may, of course, vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting, since the scope of the present invention will be limited only by the appended claims.
[0034] It must be noted that as used herein and in the appended claims, the singular forms “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to “a pharmaceutically acceptable excipient” includes a plurality of pharmaceutically acceptable excipients.
1. DEFINITIONS
[0035] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. As used herein the following terms have the following meanings.
[0036] As used herein, the term “comprising” or “comprises” is intended to mean that the compositions and methods include the recited elements, but not excluding others. “Consisting essentially of” when used to define compositions and methods, shall mean excluding other elements of any essential significance to the combination for the stated purpose. Thus, a composition consisting essentially of the elements as defined herein would not exclude other materials or steps that do not materially affect the basic and novel characteristic(s) of the claimed invention. “Consisting of” shall mean excluding more than trace elements of other ingredients and substantial method steps. Embodiments defined by each of these transition terms are within the scope of this invention.
[0037] The term “about” when used before a numerical designation, e.g., temperature, time, amount, and concentration, including range, indicates approximations which may vary by (+) or (−) 10%, 5% or 1%.
[0038] Noribogaine can be depicted by the following Formula:
[0039]
and can be synthesized by the O-demethylation of ibogaine. This may be accomplished, for example, by reacting ibogaine with boron tribromide/methylene chloride at room temperature and then purifying the product using known procedures. Ibogaine may be obtained from natural or commercial sources, or can be synthesized by methods known in the art (see Huffman, et al., J. Org. Chem. 50:1460 (1985)). In addition, noribogaine may also be obtained from the National Institute on Drug Abuse (Rockville, Md.).
and can be synthesized by the O-demethylation of ibogaine. This may be accomplished, for example, by reacting ibogaine with boron tribromide/methylene chloride at room temperature and then purifying the product using known procedures. Ibogaine may be obtained from natural or commercial sources, or can be synthesized by methods known in the art (see Huffman, et al., J. Org. Chem. 50:1460 (1985)). In addition, noribogaine may also be obtained from the National Institute on Drug Abuse (Rockville, Md.).
[0040] As used herein, the term “hydrolyzable group” refers to a group that can be hydrolyzed to release the free hydroxy group under hydrolysis conditions. Examples of hydrolysable group include, but are not limited to those defined for R1 above. Preferred hydrolysable groups include carboxyl esters, phosphates and phosphate esters. The hydrolysis may be done by chemical reactions conditions such as base hydrolysis or acid hydrolysis or may be done in vivo by biological processes, such as those catalyzed by a phosphate hydrolysis enzyme. Nonlimiting examples of hydrolysable group include groups linked with an ester-based linker (—C(O)O— or —OC(O)—), an amide-based linker (—C(O)NR40— or —NR40C(O)—), or a phosphate-linker (—P(O)(OR40)—O—, —O—P(S)(OR40)—O—, —O—P(S)(SR40)—O—, —S—P(O)(OR40)—O—, —O—P(O)(OR40)—S—, —S—P(O)(OR40)—S—, —O—P(S)(OR40)—S—, —S—P(S)(OR40)—O—, —O—P(O)(R40)—O—, —O—P(S)(R40)—O—, —S—P(O)(R40)—O—, —S—P(S)(R40)—O—, —S—P(O)(R40)—S—, or —O—P(S)(R40)—S—) where R40 can be hydrogen or alkyl.
[0041] “Alkyl” refers to alkyl groups having from 1 to 12 carbon atoms, preferably 1 to 6 carbon atoms and more preferably 1 to 3 carbon atoms. The alkyl group may contain linear or branched carbon chains. This term is exemplified by groups such as methyl, ethyl, n-propyl, iso-propyl, n-butyl, t-butyl, n-pentyl and the like. The term “Cx alkyl” refers to an alkyl group having x carbon atoms, wherein x is an integer, for example, C3 refers to an alkyl group having 3 carbon atoms.
[0042] “Alkenyl” refers to straight or branched hydrocarbyl groups having from 2 to 12 carbon atoms, preferably 2 to 6 carbon atoms and more preferably 2 to 4 carbon atoms and having at least 1 and preferably from 1 to 2 sites of vinyl (>C═C<) unsaturation. Such groups are exemplified, for example, by vinyl, allyl, and but-3-en-1-yl. Included within this term are the cis and trans isomers or mixtures of these isomers.
[0043] “Alkynyl” refers to straight or branched monovalent hydrocarbyl groups having from 2 to 12 carbon atoms, preferably 2 to 6 carbon atoms and more preferably 2 to 3 carbon atoms and having at least 1 and preferably from 1 to 2 sites of acetylenic (—C≡C—) unsaturation. Examples of such alkynyl groups include acetylenyl (—C≡CH), and propargyl (—CH2C≡CH).
[0044] “Alkoxy” refers to the group —O-alkyl wherein alkyl is as defined herein. Alkoxy includes, by way of example, methoxy, ethoxy, n-propoxy, iso-propoxy, n-butoxy, t-butoxy, sec-butoxy, n-pentoxy and the like.
[0045] “Acyl” refers to the groups R41—C(O)—, wherein R41 is selected from the group consisting of hydrogen, alkyl, cycloalkyl, aryl, heteroaryl, and heterocyclic, wherein alkyl, cycloalkyl, aryl, heteroaryl, and heterocyclic are as defined herein and are optionally substituted with 1 to 5 substituents independently selected from the group consisting of halo, C1 to C3 alkyl, hydroxyl, and C1 to C3 alkoxy.
[0046] “Aryl” or “Ar” refers to a monovalent aromatic carbocyclic group of from 6 to 14 carbon atoms having a single ring (e.g., phenyl) or multiple condensed rings (e.g., naphthyl or anthryl) which condensed rings may or may not be aromatic (e.g., 2-benzoxazolinone, 2H-1,4-benzoxazin-3(4H)-one-7-yl, and the like) provided that the point of attachment is at an aromatic carbon atom.
[0047] “Aryloxy” refers to the group —O-aryl wherein aryl is as defined herein. Aryloxy includes, by way of example, methoxy, ethoxy, n-propoxy, iso-propoxy, n-butoxy, t-butoxy, sec-butoxy, n-pentoxy and the like.
[0048] “Carboxyl” refers to —COOH or salts thereof.
[0049] “Carboxyl esters” refers to the groups —C(O)O—R42, wherein R42 is selected from the group consisting of hydrogen, alkyl, cycloalkyl, aryl, heteroaryl, and heterocyclic, wherein alkyl, cycloalkyl, aryl, heteroaryl, and heterocyclic are as defined herein and are optionally substituted with 1 to 5 substituents independently selected from the group consisting of halo, C1 to C3 alkyl, hydroxyl, and C1 to C3 alkoxy.
[0050] “Cycloalkyl” refers to cyclic alkyl groups of from 3 to 10 carbon atoms having single or multiple cyclic rings including, by way of example, adamantyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclooctyl and the like.
[0051] “Halo” or “halogen” refers to fluoro, chloro, bromo and iodo and preferably is fluoro or chloro.
[0052] “Heteroaryl” refers to an aromatic group of from 1 to 10 carbon atoms and 1 to 4 heteroatoms selected from the group consisting of oxygen, nitrogen, sulfur within the ring, wherein the nitrogen and/or sulfur atom(s) of the heteroaryl are optionally oxidized (e.g., N-oxide, —S(O)— or —S(O)2—). Such heteroaryl groups can have a single ring (e.g., pyridyl or furyl) or multiple condensed rings (e.g., indolizinyl or benzothienyl) wherein the condensed rings may or may not be aromatic and/or contain a heteroatom provided that the point of attachment is through an atom of the aromatic heteroaryl group. Examples of heteroaryls include pyridyl, pyrrolyl, indolyl, thiophenyl, and furyl.
[0053] “Heterocycle” or “heterocyclic” or “heterocycloalkyl” or “heterocyclyl” refers to a saturated or partially saturated, but not aromatic, group having from 1 to 10 ring carbon atoms and from 1 to 4 ring heteroatoms selected from the group consisting of nitrogen, sulfur, or oxygen. Heterocycle encompasses single ring or multiple condensed rings, including fused bridged and spiro ring systems. In fused ring systems, one or more the rings can be cycloalkyl, aryl, or heteroaryl provided that the point of attachment is through the non-aromatic heterocyclic ring. In one embodiment, the nitrogen and/or sulfur atom(s) of the heterocyclic group are optionally oxidized to provide for the N-oxide, sulfinyl, and/or sulfonyl moieties.
[0054] Examples of heterocycles and heteroaryls include, but are not limited to, azetidine, pyrrole, imidazole, pyrazole, pyridine, pyrazine, pyrimidine, pyridazine, indolizine, isoindole, indole, dihydroindole, indazole, purine, quinolizine, isoquinoline, quinoline, phthalazine, naphthylpyridine, quinoxaline, quinazoline, cinnoline, pteridine, carbazole, carboline, phenanthridine, acridine, phenanthroline, isothiazole, phenazine, isoxazole, phenoxazine, phenothiazine, imidazolidine, imidazoline, piperidine, piperazine, indoline, phthalimide, 1,2,3,4-tetrahydro-isoquinoline, 4,5,6,7-tetrahydrobenzo[b]thiophene, thiazole, thiazolidine, thiophene, benzo[b]thiophene, morpholinyl, thiomorpholinyl (also referred to as thiamorpholinyl), piperidinyl, pyrrolidine, tetrahydrofuranyl, and the like.
[0055] “Alkylene” refers to a divalent radical of an alkyl group. “Methylene” refers to the group —CH2—.
[0056] “Arylene” refers to a divalent radical of an aryl group. “Phenylene” refers to the divalent phenyl group —C6H4—.
[0057] It is understood that the above definitions are not intended to include impermissible substitution patterns (e.g., methyl substituted with 5 fluoro groups or a hydroxyl group alpha to ethenylic or acetylenic unsaturation). Such impermissible substitution patterns are well known to the skilled artisan.
[0058] The term “pharmaceutically acceptable prodrugs” refers to art recognized modifications to one or more functional groups which functional groups are metabolized in vivo to provide a compound of this invention or an active metabolite thereof. Such functional groups are well known in the art including acyl groups for hydroxyl and/or amino substitution, esters of mono-, di- and tri-phosphates wherein one or more of the pendent hydroxyl groups have been converted to an alkoxy, a substituted alkoxy, an aryloxy or a substituted aryloxy group, and the like.
[0059] “Pharmaceutically acceptable salt” refers to pharmaceutically acceptable salts, including partial salts, of a compound, which salts are derived from a variety of organic and inorganic counter ions well known in the art and include, by way of example only, sodium, potassium, calcium, magnesium, ammonium, tetraalkylammonium, and the like; and when the molecule contains a basic functionality, salts of organic or inorganic acids, such as hydrochloride, hydrobromide, tartrate, mesylate, acetate, lactate, succinate, citrate, salicylate, malate, maleate, oxalate, phosphate, phosphite, sulfate, nitrate, perchlorate, aconitate, thalate, embonate, enanthate, and the like.
[0060] “Pharmaceutically acceptable partial salts” refers to compounds having a substituent capable of having more than one group form a salt but less than the maximum amount of such groups actually form a salt. For example, a diphospho group can form a plurality of salts and, if only partially ionized, the resulting group is sometimes referred to herein as a partial salt.
[0061] As used herein, the term “therapeutically effective amount” refers to the amount of a composition of this invention that is sufficient to effect treatment, as defined herein, when administered to a subject in need of such treatment. The therapeutically effective amount will vary depending upon the subject and condition being treated, the weight and age of the subject, the severity of the condition, the particular composition or excipient chosen, the dosing regimen to be followed, timing of administration, the manner of administration and the like, all of which can be determined readily by one of ordinary skill in the art.
[0062] As used herein, the term “treatment” or “treating” means any treatment of a disease or condition in a patient, including:
-
- [0063] preventing or protecting against the disease or condition, that is, causing the clinical symptoms not to develop, for example, in a subject at risk of suffering from such a disease or condition, thereby substantially averting onset of the disease or condition;
- [0064] inhibiting the disease or condition, that is, arresting or suppressing the development of clinical symptoms; and/or
- [0065] relieving the disease or condition that is, causing the regression of clinical symptoms.
[0066] As used herein, the term “pain” refers to all types of pain, including neuropathic and nociceptive pain. It is also contemplated that the compositions disclosed herein can be used to treat other types of pain such as phantom pain which is the sensation of pain from a limb or organ that has been lost or from which a person no longer receives physical signals, and is an experience almost universally reported by amputees and quadriplegics.
[0067] As used herein, the term “addiction” refers to a persistent behavioral pattern marked by physical and/or psychological dependency to a substance, particularly drugs such as narcotics, stimulants, and sedatives, including but not limited to heroin, cocaine, alcohol, nicotine, caffeine, amphetamine, desoxyephedrine, methadone and combinations thereof. As used herein, the “treatment of addiction in a patient” refers to reducing the withdrawal symptoms associated with drug dependency as well as alleviating drug cravings in addicts. Such symptoms include nausea, vomiting, anxiety, abdominal cramps, muscle pain, chills and headache.
[0068] As used herein, the term “patient” refers to mammals and includes humans and non-human mammals.
2. COMPOUNDS
[0069] This invention is relates to noribogaine derivative compounds. Such compounds are contemplated as being useful in treating pain and/or drug dependency. Accordingly, in one of its composition aspects, this invention is directed to a compound or a pharmaceutically acceptable salt thereof wherein said compound is represented by Formula I:
[0070]
wherein
wherein
-
- [0071]
is a single or double bond;
- [0072] R is halo, OR1, or C1-C12 alkyl optionally substituted with 1 to 5 R9;
- [0073] R1 is hydrogen or a hydrolysable group selected from the group consisting of —C(O)X, —C(O)OX and —C(O)N(Y)2 where each X is selected from the group consisting of C1-C6 alkyl optionally substituted with 1 to 5 R9, and each Y is independently selected from the group consisting of hydrogen, C1-C6 alkyl optionally substituted with 1 to 5 R9, C6-C14 aryl optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C1-C10 heteroaryl having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, C1-C10 heterocyclic having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, and where each Y, together with the nitrogen atom bound thereto form a C1-C6 heterocyclic having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9 or a C1-C6 heteroaryl having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9;
- [0074] R2 is selected from the group consisting of hydrogen, C1-C12 alkyl optionally substituted with 1 to 5 R9, aryl optionally substituted with 1 to 5 R9, —C(O)R5, —C(O)NR5R5 and —C(O)OR5;
- [0075] R3 is selected from the group consisting of hydrogen, —(CH2)mOR7, —CR6(OH)R7, —(CH2)mCN, —(CH2)mCOR7, —(CH2)mCO2R7, —(CH2)mC(O)NR6R7, —(CH2)mC(O)NR6NR7R7, —(CH2)mC(O)NR6NR7C(O)R8, and —(CH2)mNR6R7;
- [0076] m is 0, 1, or 2;
- [0077] L is a bond or C1-C12 alkylene;
- [0078] R4 is selected from the group consisting of hydrogen, C1-C12 alkyl substituted with 1 to 5 R9, C2-C12 alkenyl substituted with 1 to 5 R9, —X2—R6, —(X2—Y2)n—X2—R6, —SO2NR6R7, —O—C(O)R8, —C(O)OR7, —C(O)NR6R7, —NR6R7, —NHC(O)R8, and —NR6C(O)R8;
- [0079] each R5 is independently selected from the group consisting of hydrogen, C1-C12 alkyl, C2-C12 alkenyl, C2-C12 alkynyl, C6-C10 aryl, C1-C6 heteroaryl having 1 to 4 heteroatoms, and C1-C6 heterocycle having 1 to 4 heteroatoms, and wherein the alkyl, alkenyl, alkynyl, aryl, heteroaryl, and heterocycle are optionally substituted with 1 to 5 R9;
- [0080] X2 is selected from the group consisting of O and S;
- [0081] Y2 is C1-C4 alkylene or C6-C10 arylene, or a combination thereof;
- [0082] n is 1, 2, or 3;
- [0083] R6 and R7 are each independently selected from the group consisting of hydrogen, C1-C12 alkyl optionally substituted with 1 to 5 R9, C1-C6 heterocycle having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C6-C10 aryl optionally substituted with 1 to 5 R9 and C1-C6 heteroaryl having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9;
- [0084] R8 is selected from the group consisting of C1-C12 alkyl optionally substituted with 1 to 5 R9, C1-C6 heterocycle having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C6-C10 aryl optionally substituted with 1 to 5 R9 and C1-C6heteroaryl having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9;
- [0085] R9 is selected from the group consisting of C1-C4 alkyl, phenyl, halo, —OR10, —CN, —COR10, —CO2R10, —C(O)NHR10, —NR10R10, —C(O)NR10R10, —C(O)NHNHR10, —C(O)NR10NHR10, —C(O)NR10NR10R10, —C(O)NHNR10C(O)R10, —C(O)NHNHC(O)R10, —SO2NR10R10, —C(O)NR10NR10C(O)R10, and —C(O)NR10NHC(O)R10; and
- [0086] R10 is independently hydrogen or C1-C12 alkyl;
- [0087] provided that:
- [0088] when L is a bond, then R4 is not hydrogen;
- [0089] when
is a double bond, R is an ester hydrolyzable group, R2 and R3 are both hydrogen, then -L-R4 is not ethyl;
- [0090] when
is a double bond, R is —OH, halo or C1-C12 alkyl optionally substituted with 1 to 5 R9, then R3 is hydrogen; and
- [0091] when
is a double bond, R is OR1, R3 is hydrogen, -L-R4 is ethyl, then R1 is not a hydrolyzable group selected from the group consisting of an ester, amide, carbonate and carbamate.
- [0071]
[0092] In one embodiment, the compound of Formula I is represented by Formula IA:
[0093]
[0094] wherein 
is a single or double bond and R, R2, R3 and R4 are as described for formula I.
is a single or double bond and R, R2, R3 and R4 are as described for formula I.[0095] In one embodiment, R is halo, such as fluoro or chloro.
[0096] In one embodiment, R is C1-C12 alkyl optionally substituted with 1 to 5 R9. In some embodiments, R is C1-C12 alkyl optionally substituted with a —SO2NR6R7 group.
[0097] In another embodiment, R is OR1. In some embodiments, R1 is selected from the group consisting of C(O)R5; —C(O)NR5R5 and —C(O)OR5; where each R5 is independently selected from the group consisting of hydrogen, alkyl, alkenyl, alkynyl, aryl, heteroaryl, and heterocycle, and wherein the alkyl, alkenyl, alkynyl, aryl, heteroaryl, and heterocycle are optionally substituted with 1 to 5 R9.
[0098] In another embodiment, R1 is —C(O)R5, and wherein R5 is C1-C12 alkyl or substituted C1-C12 alkyl or aryl, which C1 to C12 alkyl or aryl is optionally substituted with C1 to C3 alkyl, C1 to C3 alkoxy or aryl. In some embodiments, R is C1-C6 alkyl.
[0099] In some embodiments, R5 is selected from the group consisting of methyl, ethyl, n-propyl, n-butyl, n-pentyl, n-hexyl, n-heptyl, n-octyl, n-nonyl, n-decyl, n-undecyl, n-dodecyl, iso-propyl sec-butyl, tert-butyl, phenyl, benzyl, methylbenzyl, and methoxybenzyl.
[0100] In some embodiments, R1 is benzoyl.
[0101] In some embodiments, R1 is hydrogen.
[0102] In some embodiments, R2 is hydrogen. In some embodiments, R2 is C1-C12alkyl optionally substituted with 1 to 5 R9, for example, CH2OH. In some embodiments, R2 is aryl optionally substituted with 1 to 5 R9, for example, phenyl substituted with a halo group. In some embodiments, R2 is —C(O)R5, such as —C(O)CH2CH2N(CH3)2. In some embodiments, R2 is —C(O)NR5R5, such as —C(O)NHCH3 or C(O)NHCH2CH2N(CH3)2. In some embodiments, R2 is —C(O)OR5, for example, —C(O)OCH3 or —C(O)OCH2CH2N(CH3)2.
[0103] In some embodiments, R3 is hydrogen or —CH2OH. In some embodiments, R3 is —CO2R7.
[0104] In some embodiments, L-R4 is not ethyl. In some embodiments, L-R4 is not alkyl. In some embodiments, when R is OR1, L-R4 is not ethyl. In some embodiments, when R is OR1, L-R4 is not alkyl.
[0105] In some embodiments, L is C1-C6alkylene.
[0106] In some embodiments, R4 is X2—R7.
[0107] In some embodiments, X2 is O.
[0108] In some embodiments, R4 is selected from the group consisting of hydrogen, C1-C12alkyl, —CH2Ph, and —C(O)OR7.
[0109] In some embodiments, R4 is —NH2, —CH2OCH2CH2OCH3 or —OCH3.
[0110] In some embodiments, the compound is selected from the group consisting of:
[0111]
or a pharmaceutically acceptable salt thereof.
or a pharmaceutically acceptable salt thereof.
[0112] In a further embodiment, this invention is directed to a compound or a pharmaceutically acceptable salt thereof wherein said compound is represented by Formula II:
[0113]
wherein
wherein
-
- [0114]
is a single or double bond;
- [0115] R11 is halo, —OH, —SH, —NH2, —S(O)2N(R16)2, —X1H, —X1-L1-R17, —X1-L1-R18, —X1-L1-R19 or —X1-L1-CHR17R18, where X1 is O, S or NR16;
- [0116] L1 is alkylene, arylene, —C(O)-alkylene, —C(O)-arylene, —C(O)O-arylene, —C(O)O-alkylene, —C(O)NR19-alkylene, —C(O)NR19-arylene, —C(NR19)NR19-alkylene or —C(NR19)NR19-arylene, wherein L1 is configured such that —O-L1-R17 is —OC(O)-alkylene-R17, —OC(O)O-arylene-R17, —OC(O)O-alkylene-R17, —OC(O)-arylene-R17, —OC(O)NR19-alkylene-R17, —OC(O)NR19-arylene-R17, —OC(NR19)NR19-alkylene-R17 or —OC(NR19)NR19-arylene-R17, and wherein the alkylene and arylene are optionally substituted with 1 to 2 R15;
- [0117] R12 is hydrogen, —S(O)2OR19, —S(O)2R19, —C(O)R14, —C(O)NR14R14, —C(O)OR14, C1-C12 alkyl optionally substituted with 1 to 5 R15, C1-C12 alkenyl optionally substituted with 1 to 5 R15, or aryl optionally substituted with 1 to 5 R15;
- [0118] R13 is hydrogen, halo, —OR16, —CN, C1-C12 alkyl, C1-C12 alkoxy, aryl or aryloxy, where the alkyl, alkoxy, aryl, and aryloxy are optionally substituted with 1 to 5 R15;
- [0119] each R14 is independently selected from the group consisting of hydrogen, C1-C12 alkyl, C2-C12 alkenyl, C2-C12 alkynyl, aryl, heteroaryl, and heterocycle, and wherein the alkyl, alkenyl, alkynyl, aryl, heteroaryl, and heterocycle are optionally substituted with 1 to 5 R15;
- [0120] R15 is selected from the group consisting of phenyl, halo, —OR16, —CN, —COR16, —CO2R16, —NR16R16, —NR16C(O)R16, —NR16SO2R16, —C(O)NR16R16, —C(O)NR16NR16R16, —SO2NR16R16 and —C(O)NR16NR16C(O)R16;
- [0121] each R16 is independently hydrogen or C1-C12 alkyl optionally substituted with from 1 to 3 halo;
- [0122] R17 is hydrogen, —C(O)R19, —C(O)OR19, —C(O)N(R19)2 or —N(R19)C(O)R19;
- [0123] R18 is hydrogen, —N(R19)2, —C(O)N(R19)2, —C(NR19)N(R19)2, —C(NSO2R19)N(R19)2, —NR19C(O)N(R19)2, —NR19C(S)N(R19)2, —NR19C(NR19)N(R19)2, —NR19C(NSO2R19)N(R19)2 or tetrazole; and
- [0124] each R19 is independently selected from the group consisting of hydrogen, C1-C12 alkyl and aryl;
- [0125] when
is a double bond and R12 and R13 are hydrogen, then R11 is not hydroxy;
- [0126] when
is a double bond, R13 is hydrogen, R11 is —O-L1-R17, —O-L1-R18, —O-L1-R19, and L1 is alkylene, then —O-L1-R17, —O-L1-R18, —O-L1-R19 are not methoxy; and
- [0127] when
is a double bond, R13 is hydrogen, X1 is O, L1 is —C(O)-alkylene, —C(O)-arylene, —C(O)O-arylene, —C(O)O-alkylene, —C(O)NR19-alkylene, or —C(O)NR19-arylene, then none of R17, R18 or R19 are hydrogen.
- [0114]
[0128] In one embodiment, the compound of Formula II is represented by Formula IIA:
[0129]
[0130] wherein 
is a double bond and each of R11, R12 and R13 are as described for Formula II.
is a double bond and each of R11, R12 and R13 are as described for Formula II.[0131] In one embodiment of the compounds of Formula II or IIA, 
is a single bond. In another embodiment of the compounds of Formula II or IIA, 
is a double bond.
is a single bond. In another embodiment of the compounds of Formula II or IIA, is a double bond.[0132] In one embodiment of the compounds of Formula II or IIA, R11 is halo. In certain embodiments of the compounds of Formula II or IIA, R11 is bromo. In certain embodiments, R11 is chloro. In certain embodiments of the compounds of Formula II or IIA, R11 is fluoro. In certain embodiments, R11 is iodo.
[0133] In one embodiment of the compounds of Formula II or IIA, R11 is —OH, —O-L1-R17, —O-L1—R18, —O-L1-R19 or —O-L1-CHR17R18. In one embodiment of the compounds of Formula I or IIA I, R11 is —SH, —S-L1-R17, —S-L1-R18, —S-L1-R19 or —S-L1-CHR17R18. In one embodiment of the compounds of Formula II or IIA, R11 is —NH2, —NR16-L1-R17, —NR16-L1-R19 or —NR16-L1-CHR17R18. In one embodiment of the compounds of Formula II or IIA, R11 is —S(O)2N(R16)2.
[0134] In one embodiment of the compounds of Formula II or IIA, R11 is —Cl, —Br, —I, —OC(O)CH2CH3, —OC(O)CH2Ph, —OC(O)OCH2CH3, —OC(O)OCH2Ph, —OC(O)NH(CH(CH3)Ph), —OC(NPh)NHCH2CH3, —OC(O)NHCH2Ph, —NH2, —NHC(O)C(CH3)3, —NHC(O)CF3, —NHC(O)CH2Ph, —NHC(O)OCH2Ph, —NHC(O)NH(CH(CH3)Ph), —SH, —SC(O)OCH2Ph, —SC(O)NH(CH(CH3)Ph), —SC(O)CH2CH2OP(O)(OH)2, —OC(O)CH2CH2CH(NH2)(CO2H), —O-(2-OH—C6H3)CH2CH(NH2)(CO2H) or —NHC(O)CH2CH2CH(NH2)(CO2H).
[0135] In one embodiment of the compounds of Formula II or IIA, R12 is hydrogen.
[0136] In one embodiment of the compounds of Formula II or IIA, R12 is —CH2CH3, —CH2CHCH2, —CH2Ph, —C(O)O(CH2)2N(CH3)2 or —C(O)CH2(CH2)2SO2N(CH3)2.
[0137] In one embodiment of the compounds of Formula II or IIA, R13 is hydrogen.
[0138] In one embodiment of the compounds of Formula II or IIA, R13 is halo. In certain embodiments of the compounds of Formula II or IIA, R13 is bromo. In certain embodiments of the compounds of Formula II or IIA, R13 is fluoro.
[0139] In one embodiment of the compounds of Formula II or IIA, R13 is —OCH3, —OCH2CH3, —OCH2Ph or —CN.
[0140] In some embodiments of the compounds of Formula II or IIA, the compound is selected from any one of the compounds set forth below in Table 1:
[0141]
or a pharmaceutically acceptable salt thereof.
| TABLE 1 | ||||
|---|---|---|---|---|
| No. | R11 | R12 | R13 |  |
| 1 | Cl | H | H | double bond |
| 2 | Br | H | H | double bond |
| 3 | I | H | H | double bond |
| 4 | —OC(O)CH2CH3 | H | H | double bond |
| 5 | —OC(O)CH2Ph | H | H | double bond |
| 6 | —OC(O)OCH2CH3 | H | H | double bond |
| 7 | —OC(O)OCH2Ph | H | H | double bond |
| 8 | —OC(O)NH(CH(CH3)Ph) | H | H | double bond |
| 9 | —OC(NPh)NHCH2CH3 | H | H | double bond |
| 10 | —OC(O)NHCH2Ph | H | H | double bond |
| 11 | —NH2 | H | H | double bond |
| 12 | —NHC(O)C(CH3)3 | H | H | double bond |
| 13 | —NHC(O)CF3 | H | H | double bond |
| 14 | —NHC(O)CH2Ph | H | H | double bond |
| 15 | —NHC(O)OCH2Ph | H | H | double bond |
| 16 | —NHC(O)NH(CH(CH3)Ph) | H | H | double bond |
| 17 | —SH | H | H | double bond |
| 18 | —SC(O)OCH2Ph | H | H | double bond |
| 19 | —SC(O)NH(CH(CH3)Ph) | H | H | double bond |
| 20 | —SC(O)CH2CH2OP(O)(OH)2 | H | H | double bond |
| 21 | —OC(O)CH2CH2CH(NH2)(CO2H) | H | H | double bond |
| 22 | —O—(2-OH—C6H3)CH2CH(NH2)(CO2H) | H | H | double bond |
| 23 | —NHC(O)CH2CH2CH(NH2)(CO2H) | H | H | double bond |
| 24 | —OH | H | H | single bond |
| 25 | Cl | H | H | single bond |
| 26 | Br | H | H | single bond |
| 27 | I | H | H | single bond |
| 28 | —OC(O)CH2CH3 | H | H | single bond |
| 29 | —OC(O)OCH2Ph | H | H | single bond |
| 30 | —OC(O)NH(CH(CH3)Ph) | H | H | single bond |
| 31 | —OC(O)NHCH2Ph | H | H | single bond |
| 32 | —NH2 | H | H | single bond |
| 33 | —NHC(O)C(CH3)3 | H | H | single bond |
| 34 | —NHC(O)NH(CH(CH3)Ph) | H | H | single bond |
| 35 | —SH | H | H | single bond |
| 36 | —SC(O)OCH2Ph | H | H | single bond |
| 37 | —OH | —CH2CH3 | H | double bond |
| 38 | —OH | —CH2CHCH2 | H | double bond |
| 39 | —OH | —CH2Ph | H | double bond |
| 40 | —OH | —C(O)O(CH2)2N(CH3)2 | H | double bond |
| 41 | —OH | —C(O)CH2(CH2)2SO2N(CH3)2 | H | double bond |
| 42 | —OH | H | —OCH2CH3 | double bond |
| 43 | —OH | H | —OCH2Ph | double bond |
| 44 | —OH | H | —CF3 | double bond |
| 45 | —OH | H | —OH | double bond |
| 46 | —OH | H | —CN | double bond |
or a pharmaceutically acceptable salt thereof.
[0142] In certain embodiments, the compound of Formula I, IA, II, or IIA is the hydrochloride salt. In another embodiment, the compound of Formula I, IA, II, or IIA is the hydrobromide salt. In another embodiment, the compound of Formula I, IA, II, or IIA is the phosphate salt. In another embodiment, the compound of Formula I, IA, II, or IIA is the sulfate salt.
3. METHODS OF USE
Treatment of Pain
[0143] In one of its method aspect, the present invention is directed to a method for treating a pain in a patient which method comprises administering to said patient a compound of this invention or a pharmaceutically acceptable salt thereof or a pharmaceutical composition comprising a compound of this invention and a pharmaceutically acceptable excipient. The pain can be any type of pain including, but not limited to neuropathic or nociceptive pain, and various types thereof including somatic, visceral and phantom pain.
Treatment of Addiction
[0144] In another of its method aspect, the present invention is directed to a method for treating addiction in a patient which method comprises administering to said patient a compound of this invention or a pharmaceutically acceptable salt thereof or a composition comprising a compound of this invention and a pharmaceutically acceptable excipient.
[0145] In certain embodiments, the treatment of addiction in a patient comprises alleviating the symptoms associated withdrawal from drug dependency. Such symptoms include nausea, vomiting, anxiety, abdominal cramps, muscle pain, chills and headache. In addition, it is contemplated that treatment with a compound of this invention decreases the drug cravings normally experienced by addicts after cessation of the self administration of the abused substance. It is contemplated that the compositions disclosed herein are especially useful in the treatment of addiction to narcotics such as heroin and methadone. However, it is also useful in treating patients addicted to cocaine, alcohol, amphetamines and combinations of these drugs.
[0146] The invention is also directed to a method for treating drug addiction (involving drug dependency or drug abuse) during withdrawal therapy by administering a compound of this invention to a patient at a dosage sufficient to reduce or eliminate one or more symptoms associated withdrawal. Such symptoms include nausea, vomiting, anxiety, abdominal cramps, muscle pain, chills and headache. In addition, treatment with a compound of this invention is contemplated to decrease the drug cravings normally experienced by addicts after cessation of the self administration of the abused substance, for example, narcotics such as heroin and methadone. However, compounds of this invention are contemplated to be also useful in treating patients addicted to cocaine, alcohol, amphetamines and combinations of these drugs. Compounds of this invention may be administered to patients suffering from drug dependence or abuse in conjunction with an opioid antagonist such as naloxone, naltrexone or nalorphine, for example, at a concentration of between 0.15 mg and 0.5 mg for each mg of the compound of this invention administered.
Combination Therapy
[0147] Compounds of this invention maybe used alone or in combination with other compounds to treat pain and/or addiction. When administered with another agent, the co-administration can be in any manner in which the pharmacological effects of both are manifest in the patient at the same time. Thus, co-administration does not require that a single pharmaceutical composition, the same dosage form, or even the same route of administration be used for administration of both the compound of this invention and the other agent or that the two agents be administered at precisely the same time. However, co-administration will be accomplished most conveniently by the same dosage form and the same route of administration, at substantially the same time. Obviously, such administration most advantageously proceeds by delivering both active ingredients simultaneously in a novel pharmaceutical composition in accordance with the present invention.
[0148] In some embodiments, a compound of this invention can be used as an adjunct to conventional drug withdrawal therapy, specifically providing for the administration of a compound of this invention with one or more opioid antagonists.
4. COMPOSITIONS
[0149] In another aspect, this invention is also directed to pharmaceutical compositions comprising a pharmaceutically acceptable excipient and a compound of this invention or mixtures of one or more of such compounds.
[0150] Although compositions suitable for oral, intravenous or intraarterial delivery will probably be used most frequently, other routes that may be used include peroral, pulmonary, rectal, nasal, vaginal, lingual, intramuscular, intraperitoneal, intracutaneous and subcutaneous routes. In addition, it is contemplated that the composition can be administered transdermally in which drug is applied as part of a cream, gel, or patch (for examples of transdermal formulations, see U.S. Pat. Nos. 4,806,341; 5,149,538; and 4,626,539). Other dosage forms include tablets, capsules, pills, powders, aerosols, suppositories, parenterals, and oral liquids, including suspensions, solutions and emulsions. Sustained release dosage forms may also be used, for example, in a transdermal patch form. All dosage forms may be prepared using methods that are standard in the art (see e.g., Remington's Pharmaceutical Sciences, 16th ed., A. Oslo editor, Easton Pa. 1980). Intranasal administration is an effective method for delivering a therapeutic agent directly to the respiratory tract, where the therapeutic agent may be quickly absorbed.
[0151] The compositions are comprised of in general, a compound of this invention or a mixture thereof in combination with at least one pharmaceutically acceptable excipient. Acceptable excipients are non-toxic, aid administration, and do not adversely affect the therapeutic benefit of the compound of this invention. Such excipients may be any solid, liquid, semi-solid or, in the case of an aerosol composition, gaseous excipient that is generally available to one of skill in the art. Pharmaceutical compositions in accordance with the invention are prepared by conventional means using methods known in the art.
[0152] Solid pharmaceutical excipients include starch, cellulose, talc, glucose, lactose, sucrose, gelatin, malt, rice, flour, chalk, silica gel, magnesium stearate, sodium stearate, glycerol monostearate, sodium chloride, dried skim milk and the like. Liquid and semisolid excipients may be selected from glycerol, propylene glycol, water, ethanol and various oils, including those of petroleum, animal, vegetable or synthetic origin, e.g., peanut oil, soybean oil, mineral oil, sesame oil, etc. Preferred liquid carriers, particularly for injectable solutions, include water, saline, aqueous dextrose, and glycols.
[0153] Compressed gases may be used to disperse a compound of this invention in aerosol form. Inert gases suitable for this purpose are nitrogen, carbon dioxide, etc. Other suitable pharmaceutical excipients and their formulations are described in Remington's Pharmaceutical Sciences, edited by E. W. Martin (Mack Publishing Company, 18th ed., 1990).
[0154] The compositions disclosed herein may be used in conjunction with any of the vehicles and excipients commonly employed in pharmaceutical preparations, e.g., talc, gum arabic, lactose, starch, magnesium stearate, cocoa butter, aqueous or non-aqueous solvents, oils, paraffin derivatives, glycols, etc. Coloring and flavoring agents may also be added to preparations, particularly to those for oral administration. Solutions can be prepared using water or physiologically compatible organic solvents such as ethanol, 1,2-propylene glycol, polyglycols, dimethylsulfoxide, fatty alcohols, triglycerides, partial esters of glycerine and the like. Parenteral compositions containing noribogaine may be prepared using conventional techniques that may include sterile isotonic saline, water, 1,3-butanediol, ethanol, 1,2-propylene glycol, polyglycols mixed with water, Ringer's solution, etc.
[0155] The amount of the compound in a formulation can vary within the full range employed by those skilled in the art. Typically, the formulation will contain, on a weight percent (wt %) basis, from about 0.01 to 99.99 wt % of a compound of this invention based on the total formulation, with the balance being one or more suitable pharmaceutical excipients. Preferably, the compound is present at a level of about 1 to 80 wt %. In a liquid composition, a compound of this invention should generally be present in such compositions at a concentration of between about 0.1 and 20 mg/ml. When either naloxone or naltrexone is combined with a compound of this invention, they should be present at 0.05 to 0.5 mg for each mg of the compound of this invention.
[0156] The choice of formulation depends on various factors such as the mode of drug administration and bioavailability of the drug substance. For delivery via inhalation the compound can be formulated as liquid solution, suspensions, aerosol propellants or dry powder and loaded into a suitable dispenser for administration. There are several types of pharmaceutical inhalation devices-nebulizer inhalers, metered dose inhalers (MDI) and dry powder inhalers (DPI). Nebulizer devices produce a stream of high velocity air that causes the therapeutic agents (which are formulated in a liquid form) to spray as a mist that is carried into the patient's respiratory tract. MDI's typically are formulation packaged with a compressed gas. Upon actuation, the device discharges a measured amount of therapeutic agent by compressed gas, thus affording a reliable method of administering a set amount of agent. DPI dispenses therapeutic agents in the form of a free flowing powder that can be dispersed in the patient's inspiratory air-stream during breathing by the device. In order to achieve a free flowing powder, the therapeutic agent is formulated with an excipient such as lactose. A measured amount of the therapeutic agent is stored in a capsule form and is dispensed with each actuation.
[0157] Recently, pharmaceutical formulations have been developed especially for drugs that show poor bioavailability based upon the principle that bioavailability can be increased by increasing the surface area i.e., decreasing particle size. For example, U.S. Pat. No. 4,107,288 describes a pharmaceutical formulation having particles in the size range from 10 to 1,000 nm in which the active material is supported on a crosslinked matrix of macromolecules. U.S. Pat. No. 5,145,684 describes the production of a pharmaceutical formulation in which the drug substance is pulverized to nanoparticles (average particle size of 400 nm) in the presence of a surface modifier and then dispersed in a liquid medium to give a pharmaceutical formulation that exhibits remarkably high bioavailability.
[0158] Generally, the compound of this invention is administered in an effective amount. It is contemplated that the dosage required for treating pain or addition, or a combination thereof may differ according to the condition(s) being treated, however, the dosing regimen can be readily determined by the attending clinician based on the desired treatment. It is contemplated that generally, the dosage of a compound of this invention administered to a patient may be from about 0.01 to about 1000 mg per kg of body weight per day (mg/kg/day), or from 0.05 to 500 mg/kg/day, preferably, from about 0.1 to about 100 mg/kg/day, more preferably from about 0.5 to 50 mg/kg/day. For example, for administration to a 70 kg person, the dosage range would preferably be about 35 to 700 mg per day.
[0159] In addition to the methods discussed above, the present invention is directed to a pharmaceutical composition, preferably in unit dose form, comprising a compound of this invention. When administered to a patient, one or more unit doses provide an amount of a compound of this invention effective to treat pain and/or addition.
[0160] The amount of the composition administered will depend on a number of factors, including but not limited to the desired final concentration of the compound, the pharmacokinetic and pharmacodynamic properties of the compound, the size, age, and physiological profile of the patient, and the like. The active compound is effective over a wide dosage range and is generally administered in a pharmaceutically effective amount. It will be understood, however, that the amount of the compound actually administered will be determined by a physician, in the light of the relevant circumstances, including the condition to be treated, the chosen route of administration, the actual compound administered, the age, weight, and response of the individual patient, the severity of the patient's symptoms, and the like.
[0161] Determination of dosages is well within the empiric knowledge of persons skilled in the art; nonetheless, it can be appreciated that estimates of final dosages can be made by approximating the concentration of compound necessary to achieve a desired therapeutic activity, such as treatment of pain and/or addiction. Extrapolation to a specified mammalian dosage range, or more particularly a human dosage range is well within the skill of the practitioner.
[0162] In some embodiments, compositions are administered in one dosing of a single formulation and in other embodiments, compositions are administered in multiple dosing of a single formulation within a specified time period. In some embodiments, the time period is between about 3 hours to about 6 hours. In other embodiments, the time period is between about 6 hours and 12 hours. In additional embodiments, the time period is between about 12 hours and 24 hours. In yet further embodiments, the time period is between about 24 hours and 48 hours. The administration of separate formulations can be simultaneous or staged throughout a specified time period, such that all ingredients are administered within the specified time period.
[0163] The following are examples of the compositions of this invention.
Example 1
Tablet Formulation
[0164] The following ingredients are mixed intimately and pressed into single scored tablets.
[0165]
| Ingredient | Quantity per tablet, mg | ||
|---|---|---|---|
| Compound of Formula I | 40 | ||
| Cornstarch | 50 | ||
| Croscarmellose sodium | 25 | ||
| Lactose | 120 | ||
| Magnesium stearate | 5 | ||
Example 2
Capsule Formulation
[0166] The following ingredients are mixed intimately and loaded into a hard-shell gelatin capsule.
[0167]
| Ingredient | Quantity per tablet, mg | ||
|---|---|---|---|
| Compound of Formula I | 20 | ||
| Lactose, spray-dried | 148 | ||
| Magnesium stearate | 2 | ||
Example 4
Suspension Formulation
[0168] The following ingredients are mixed to form a suspension for oral administration (q.s.=sufficient amount).
[0169]
| Ingredient | Amount | ||
|---|---|---|---|
| Compound of Formula I | 1.0 | g | |
| Fumaric acid | 0.5 | g | |
| Sodium chloride | 2.0 | g | |
| Methyl paraben | 0.15 | g | |
| Propyl paraben | 0.05 | g | |
| Granulated sugar | 25.0 | g | |
| Sorbitol (70% solution) | 13.0 | g | |
| Veegum K (Vanderbilt Co) | 1.0 | g | |
| flavoring | 0.035 | mL | |
| colorings | 0.5 | mg | |
| distilled water | q.s. to 100 | mL | |
Example 3
Injectable Formulation
[0170] The following ingredients are mixed to form an injectable formulation.
[0171]
| Ingredient | Quantity per tablet, mg | |
|---|---|---|
| Compound of Formula I | 0.2 mg-20 mg | |
| sodium acetate buffer solution, 0.4M | 2.0 mL | |
| HCl (1N) or NaOH (1N) | q.s. to suitable pH | |
| water (distilled, sterile) | q.s. to 20 mL | |
Example 4
Suppositor Formulation
[0172] A suppository of total weight 2.5 g is prepared by mixing the compound of the invention with Witepsol® H-15 (triglycerides of saturated vegetable fatty acid; Riches-Nelson, Inc., New York), and has the following composition:
[0173]
| Ingredient | Quantity per tablet, mg | ||
|---|---|---|---|
| Compound of Formula I | 500 mg | ||
| Witepsol ® H-15 | balance | ||
5. SYNTHETIC METHODS
[0174] The compounds of this invention can be prepared from readily available starting materials using the following general methods and procedures. It will be appreciated that where typical or preferred process conditions (i.e., reaction temperatures, times, mole ratios of reactants, solvents, pressures, etc.) are given, other process conditions can also be used unless otherwise stated. Optimum reaction conditions may vary with the particular reactants or solvent used, but such conditions can be determined by one skilled in the art by routine optimization procedures.
[0175] Additionally, as will be apparent to those skilled in the art, conventional protecting groups may be necessary to prevent certain functional groups from undergoing undesired reactions. Suitable protecting groups for various functional groups as well as suitable conditions for protecting and deprotecting particular functional groups are well known in the art. For example, numerous protecting groups are described in T. W. Greene and G. M. Wuts, Protecting Groups in Organic Synthesis, Third Edition, Wiley, New York, 1999, and references cited therein.
[0176] Furthermore, the compounds of this invention will typically contain one or more chiral centers. Accordingly, if desired, such compounds can be prepared or isolated as pure stereoisomers, i.e., as individual enantiomers or diastereomers, or as stereoisomer-enriched mixtures. All such stereoisomers (and enriched mixtures) are included within the scope of this invention, unless otherwise indicated. Pure stereoisomers (or enriched mixtures) may be prepared using, for example, optically active starting materials or stereoselective reagents well-known in the art. Alternatively, racemic mixtures of such compounds can be separated using, for example, chiral column chromatography, chiral resolving agents and the like.
[0177] Still further, some of the compounds defined herein include vinyl groups which can exist in cis, trans or a mixture of cis and trans forms. All combinations of these forms are within the scope of this invention.
[0178] The starting materials for the following reactions are generally known compounds or can be prepared by known procedures or obvious modifications thereof. For example, many of the starting materials are available from commercial suppliers such as Aldrich Chemical Co. (Milwaukee, Wis., USA), Bachem (Torrance, Calif., USA), Emka-Chemce or Sigma (St. Louis, Mo., USA). Others may be prepared by procedures, or obvious modifications thereof, described in standard reference texts such as Fieser and Fieser's Reagents for Organic Synthesis, Volumes 1 15 (John Wiley and Sons, 1991), Rodd's Chemistry of Carbon Compounds, Volumes 1 5 and Supplementals (Elsevier Science Publishers, 1989), Organic Reactions, Volumes 1 40 (John Wiley and Sons, 1991), March's Advanced Organic Chemistry, (John Wiley and Sons, 4.sup.th Edition), and Larock's Comprehensive Organic Transformations (VCH Publishers Inc., 1989).
[0179] Compounds of this invention may be prepared using the starting material Compound 1.1, which may be prepared according to Scheme 2, according to known procedures, such as those described in Bornmann, et al., J. Org. Chem., 57:1752 (1992) and U.S. Pat. No. 6,211,360, which are hereby incorporated by reference in their entirety. Scheme 1 shows an exemplary general process for prepare compounds of this invention. The starting materials for the following reactions are generally known compounds or can be prepared by known procedures.
[0180]
[0181] Scheme 1 shows an exemplifying procedure to prepare compounds of Formula I, wherein R2, R3, L and R4 are as defined herein. Compound 1.1, wherein Pr1 is R1 as defined herein or a hydroxy protecting group, and Pr2 is R2 as defined herein or a protecting group for the indole nitrogen, is converted to Compound 1.2 using the procedure described in Kuehne, et al. J. Org. Chem. 50:919 (1985). Hydroxyl protecting groups include a hydrolysable group as defined for Formula I, such as —C(O)R, wherein R is as defined herein, and other hydroxyl protecting groups known in the art, such as a benzyl (Bn) group, 2,4-dichlorobenzyl (DCB), methoxymethyl (MOM), tetrahydropyranyl (THP), acyl (such as acetyl (Ac)) or a silyl group, etc. Other suitable hydroxy protecting groups are known in the art. Protecting groups for the indole nitrogen include arylsulfonyl derivatives (e.g. tosyl (Ts)), carbamates (e.g. fluorenylmethyloxycarbonyl (Fmoc) and tert-butyloxycarbonyl (t-BOC), trialkylsilyl groups (e.g. triisopropylsilyl), N,O-acetals (e.g. (trimethylsilyl)ethoxymethyl ether (SEM)) and certain substituted alkyl groups (e.g. benzyl). The need to protect and the types of protecting groups used for the hydroxy and/or the indole nitrogen will depend on the exact reaction conditions and reagents used in subsequent steps, which would be generally known in the art. When Pr1 is R1 and/or Pr2 is R2, they can be retained as part of the final compounds, or may be converted to other groups as defined in Formula I by methods generally known in the art. When Pr1 and/or Pr2 are other protecting groups, they can be removed under proper deprotection conditions to provide the free hydroxy group and/or free indole nitrogen, which may be further converted to the R1 and/or R2 groups as defined in Formula I.
[0182] Compound 1.2 may react with Compound 1.3 to give Compound 1.4 in dry toluene under reflux conditions, and preferably with a Dean-Stark trap with molecular sieves. Compound 1.3 can be prepared by using methods described in U.S. Pat. No. 6,211,360, which is incorporated by reference in its entirety.
[0183] Alternatively, Compound 1.2 may react with Compound 1.3 to give a condensation product in an organic solvent, such as alcohol solvents, such as methanol, ethanol, isopropanol, and n-butanol; ester-containing solvents, such as ethyl acetate and isopropyl acetate; ether solvents, such as tetrahydrofuran, diglyme, and dioxane; chlorinate hydrocarbons, such as methylene chloride, chloroform, and carbon tetrachloride; aromatic hydrocarbons, such as benzene, toluene, and xylene; acetonitrile; pyridine; and dimethylformamide. The reaction may proceed under room temperature or under heated conditions, such reflexing conditions. After the condensation reaction, the condensation product is treated in a suitable solvent with an equivalent amount of an appropriate arylalkyl containing a good leaving group, such as an arylalkyl tosylate, an arylalkyl mesylate, or an arylalkyl halide, such as benzyl bromide, for 0.5 to 72 hours, for example, 16 hours, at 50° C. to 120° C., which may be at the reflux temperature of the solvent. Suitable solvents include lower alkanes, such as pentane, hexane, or petroleum ether; aromatic hydrocarbon solvents, such as benzene, toluene, and xylene; alcohols, such as methanol, ethanol, isopropanol, and n-butanol; and ether solvents, such as diethyl ether, diglyme, or tetrahydrofuran.
[0184] Treatment of the above product, with an organic-soluble Lewis base, such as triethylamine, produces a transient enamine acrylate of the formula:
[0185]
[0186] This reaction can proceed in an organic solvent, including alcohol solvents, such as methanol, ethanol, isopropanol, and n-butanol; ketone solvents, such as acetone, methyl ethyl ketone, and cyclopentanone; ester-containing solvents, such as ethyl acetate and isopropyl acetate; ether solvents, such as tetrahydrofuran, diglyme, and dioxane; chlorinated hydrocarbons, such as methylene chloride, chloroform, and carbon tetrachloride; acetonitrile; pyridine; and dimethylformamide. This reaction can be conducted at any temperature from room temperature to the boiling point of the solvent, for example, from 50° C. to 70° C. for, for example, from 1 to 10 hours. The transient enamine acrylate spontaneously cyclizes to give Compound 1.4.
[0187] Compound 1.4 undergoes reduction with a reducing agent, such as NaBH4, in the presence of acetic acid, under heating conditions, for example, at a temperature of between 80° C. and 110° C., or between 85° C. and 95° C., followed by catalytic hydrogenation in the presence of a catalyst, such as palladium, in a solvent, such as methanol, to provide Compound 1.5.
[0188] Hydrolysis of Compound 1.5 under acidic conditions, for example, with glacial acetic acid and/or hydrochloric acid in a solvent, such as MeOH gives Compound 1.6, which undergoes cyclization to give Compound 1.7 in a dry solvent under heating conditions, for example, in dry toluene at 130° C.
[0189] Finally, Pr1 and/or Pr2 may be removed under suitable deprotection conditions to provide compounds where R1 and/or R2 are hydrogen. One or both of these hydrogen atoms may be substituted by a desired R1 and/or R2 by reaction with R1Lg and/or R2Lg, wherein Lg is a leaving group, such as a halo group (e.g., chloro, bromo and iodo), sulfonate esters, such as para-toluenesulfonate or tosylate (OTs), hydroxy or alkoxy group. Further manipulations of the R1, R2, R3 and/or R4 to provide other embodiments of this invention are apparent to a person skilled in the art.
[0190] In Scheme 2, Compound 2.1 (5-hydroxyindole-3-acetic acid, which is commercially available, for example, from Sigma-Aldrich Corp.) may be protected to give Compound 2.2, wherein Pr1 and Pr2 are as defined above. Compound 2.2 is reduced to the corresponding alcohol Compound 2.3, using a reducing agent, such as lithium aluminumhydride. Reduction of Compound 2.2 to Compound 2.3 may optionally conducted via an intermediate aldehyde compound. The hydroxy group of Compound 2.3 is converted to a leaving group Lg2, such as a halo group (e.g., chloro, bromo and iodo), sulfonate esters, such as para-toluenesulfonate or tosylate (OTs), to give Compound 2.4. Compound 2.4 can react with ammonium to give Compound 1.1 or with a protected ammonium compound, such as NH(t-Boc)2 to give Compound 1.1 after deprotection of the protecting group. Other known methods of converting the acid group (—C(O)OH) to an methyl amino group (—CH2NH2) can also be used.
[0191]
[0192] By using commercially available 5-bromoindole-3-acetic acid and following Scheme 2, the bromo compound corresponding to Compound 1.1 can be prepared, which can be used to replace Compound 1.1 in Scheme 1 to prepare compounds of this invention wherein R is bromo. The bromo atom can be converted to other R groups as defined for Formula I using procedures known in the art. For example, reaction with a suitable agent, such as haloalkyl, haloalkenyl, or haloalkynyl, optionally in the presence of a copper (I) or palladium catalyst and/or a base, such as triethylamine, would give compounds where R is alkyl (when using haloalkenyl or haloalkynyl, the double bond or triple bond can be reduced by hydrogenation).
[0193] Scheme 3 shows an example of preparing an intermediate Compound 3.5, which may be used in Scheme 1 to replace Compound 1.1 to prepare compounds of this invention where R is chloro. In Scheme 3, Compound 3.1 (5-chloroindole-3-carboxaldehyde, which is commercially available, for example, from Sigma-Aldrich Corp.) is protected with Pr2 to give Compound 3.2. Compound 3.2 may react with a Wittig agent, e.g. Ph3PCH3+Br−, to give Compound 3.3. Compound 3.3 is converted to Compound 3.4, wherein Halo is a halo such as Br or Cl, by reacting with, for example, hydrogen bromide (HBr). Compound 3.4 can react with ammonium to give Compound 3.5 or with a protected ammonium compound, such as NH(t-Boc)2 to give Compound 3.5 after deprotection of the protecting group. Other known methods of converting the acid group (—C(O)OH) to an methyl amino group (—CH2NH2) can also be used.
[0194]
[0195] Further compounds of the present invention can be prepared according to Scheme 4 from noribogaine derivatives (as can be prepared by the synthesis disclosed above, for example) by methods known to one of skill in the art. A skilled artisan would appreciate that the reactivity of the hydroxy group and the indole nitrogen is different so that selectivity can be achieved by selecting suitable reagents and suitable reaction conditions for one of them to react but leaving the other intact to form the desired product. For example, the hydroxy group is expected to selectively react with a carboxylic acid in the presence of triphenylphosphine (Ph3P) and diethyl azodicarboxylate (DEAD) to give Compound 4.1 and Compound 4.3 where L is —C(O)alkylene or —C(O)arylene. Thus, as shown in Scheme 4, noribogaine derivatives can react with appropriately protected compounds of formula LG-R30 where R30 is -L1-R17, -L1-R18, -L1-R19 or -L1-CHR17R18, LG is a leaving group such as hydroxy, alkoxy, halo, etc., to give Compound 4.2, which may further react with LG-R12 to form Compound 4.3. In other embodiments (i.e. when R30 is H), the C12-phenol, thiol, or amino group is protected by reaction with a suitable protecting group, PG-LG, where LG is a leaving group such as defined above, such that the indole nitrogen is selectively derivatized with R12. Suitable protecting groups are well known in the art (see T. W. Greene, P. G. M. Wuts, Protective Groups in Organic Synthesis, 4th Edition, Wiley-Interscience, New York, 2006). In another alternative embodiment (i.e. when R12 is H), the indole nitrogen is protected with a suitable protecting group, PG (see Greene et al., supra), such that the C12-phenol, thiol, or amino group is free to be derivatized with R30.
[0196]
[0197] Alternatively, as shown in Scheme 5, certain compounds of this invention may be prepared by reacting ibogaine with LG-R12 to give Compound 5.1. Compound 5.1 can be demethylated by methods known in the art, such as reaction with boron tribromide/methylene chloride at room temperature to give Compound 5.2, which may further react with LG-R30 to give Compound 5.3.
[0198]
[0199] It will be apparent to those skilled in the art that many modifications of the above exemplifying methods, both to materials and methods, may be practiced without departing from the scope of the current invention.
Claims
Certificate of Correction present
The claims shown below may not include correction changes. Use the corrected PDF for authoritative text.
What is claimed is:
1. A compound of Formula IA or Formula IB, or a pharmaceutically acceptable salt of each thereof:
wherein
R is OR1 or C1-C12 alkyl optionally substituted with 1 to 5 R9;
R1 is selected from the group consisting of hydrogen, —C(O)OX and —C(O)N(Y)2 where X is C1-C6 alkyl optionally substituted with 1 to 5 R9, and each Y is independently selected from the group consisting of hydrogen, C1-C6 alkyl optionally substituted with 1 to 5 R9, C6-C14 aryl optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C1-C10heteroaryl having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, C1-C10heterocyclic having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, or where each Y, together with the nitrogen atom bound thereto form either a C1-C6 heterocyclic having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, or a C1-C6heteroaryl having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9;
R′ is halo, OR20, or C1-C12 alkyl optionally substituted with 1 to 5 R9;
R20 is selected from the group consisting of hydrogen, —C(O)X, —C(O)OX and —C(O)N(Y)2 where X and Y are defined as above;
R2 is hydrogen;
R3 is selected from the group consisting of hydrogen, —(CH2)mOR7, —CR6(OH)R7, —(CH2)mCN, —(CH2)mCOR7, —(CH2)mCO2R7, —(CH2)mC(O)NR6R7, —(CH2)mC(O)NR6NR7R7, —(CH2)mC(O)NR6NR7C(O)R8, and —(CH2)mNR6R7;
m is 0, 1, or 2;
L is a bond or C1-C12 alkylene;
R4 is selected from the group consisting of, C1-C12 alkyl substituted with 1 to 5 R9, C2-C12 alkenyl substituted with 1 to 5 R9, —X2—R6, —(X2—Y2)n—X2—R6, —SO2NR6R7, —O—C(O)R8, —C(O)OR7, —C(O)NR6R7, —NR6R7, —NHC(O)R8, and —NR6C(O)R8;
X2 is selected from the group consisting of O and S;
Y2 is C1-C4 alkylene or C6-C10 arylene, or a combination thereof;
n is 1, 2, or 3;
R6 and R7 are each independently selected from the group consisting of hydrogen, C1-C12 alkyl optionally substituted with 1 to 5 R9, C1-C6 heterocycle having 1 to 4 heteroatoms and which is optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C6-C10 aryl optionally substituted with 1 to 5 R9 and C1-C6heteroaryl having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9;
R8 is selected from the group consisting of C1-C12 alkyl optionally substituted with 1 to 5 R9, C1-C6 heterocycle having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9, C3-C10 cycloalkyl optionally substituted with 1 to 5 R9, C6-C10 aryl optionally substituted with 1 to 5 R9 and C1-C6 heteroaryl having 1 to 4 heteroatoms optionally substituted with 1 to 5 R9;
R9 is selected from the group consisting of C1-C4 alkyl, phenyl, halo, —OR10, —CN, —COR10, —CO2R10, —C(O)NHR10, —NR10R10, —C(O)NR10R10, —C(O)NHNHR10, —C(O)NR10NHR10, —C(O)NR10NR10R10, —C(O)NHNR10C(O)R10, —C(O)NHNHC(O)R10, —SO2NR10R10, —C(O)NR10NR10C(O)R10, and —C(O)NR10NHC(O)R10; and
R10 is C1-C12 alkyl;
provided that:
for the compound of Formula IA, when R is —OH or C1-C12 alkyl optionally substituted with 1 to 5 R9, then R3 is hydrogen; and
for the compound of Formula IA, when R3 is hydrogen, and -L-R4 is ethyl, then R is not —OR1.
2. A compound of Formula IIB or Formula IIC or a pharmaceutically acceptable salt of each thereof:
wherein
R11 is —SH or —S(O)2N(R16)2;
R21 is halo, —OH, —SH, —NH2, or —S(O)2N(R16)2; and
each R16 is independently hydrogen or C1-C12 alkyl optionally substituted with from 1 to 3 halo.
3. The compound of claim 2, represented by Formula IID, or a pharmaceutically acceptable salt thereof:
4. The compound of claim 2, represented by Formula IIE, or a pharmaceutically acceptable salt thereof:
5. The compound of claim 2 of Formula IIC, wherein R21 is halo.
6. The compound of claim 2 of Formula IIC, wherein R21 is —OH.
7. The compound of claim 2 of Formula IIB, wherein R11 is —SH.
8. The compound of claim 2 of Formula IIC, wherein R21 is —SH.
9. The compound of claim 2 of Formula IIC, wherein R21 is —NH2.
10. The compound of claim 2 of Formula IIB, wherein R11 is —S(O)2N(R16)2.
11. The compound of claim 2 of Formula IIC, wherein R21 is —S(O)2N(R16)2.
12. A compound of Formula IIF:
or a pharmaceutically acceptable salt thereof, wherein the compound is selected from the group consisting of compounds wherein R22, R12, R13, and 
are defined as follows:
are defined as follows:| No. | R22 | R12 | R13 |  |
|---|---|---|---|---|
| 6 | —OC(O)OCH2CH3 | H | H | double bond |
| 7 | —OC(O)OCH2Ph | H | H | double bond |
| 8 | —OC(O)NH(CH(CH3)Ph) | H | H | double bond |
| 9 | —OC(NPh)NHCH2CH3 | H | H | double bond |
| 10 | —OC(O)NHCH2Ph | H | H | double bond |
| 12 | —NHC(O)C(CH3)3 | H | H | double bond |
| 13 | —NHC(O)CF3 | H | H | double bond |
| 14 | —NHC(O)CH2Ph | H | H | double bond |
| 15 | —NHC(O)OCH2Ph | H | H | double bond |
| 16 | —NHC(O)NH(CH(CH3)Ph) | H | H | double bond |
| 17 | —SH | H | H | double bond |
| 18 | —SC(O)OCH2Ph | H | H | double bond |
| 19 | —SC(O)NH(CH(CH3)Ph) | H | H | double bond |
| 20 | —SC(O)CH2CH2OP(O)(OH)2 | H | H | double bond |
| 21 | —OC(O)CH2CH2CH(NH2)(CO2H) | H | H | double bond |
| 22 | —O—(2-OH—C6H3)CH2CH(NH2)(CO2H) | H | H | double bond |
| 23 | —NHC(O)CH2CH2CH(NH2)(CO2H) | H | H | double bond |
| 24 | —OH | H | H | single bond |
| 25 | Cl | H | H | single bond |
| 26 | Br | H | H | single bond |
| 27 | I | H | H | single bond |
| 28 | —OC(O)CH2CH3 | H | H | single bond |
| 29 | —OC(O)OCH2Ph | H | H | single bond |
| 30 | —OC(O)NH(CH(CH3)Ph) | H | H | single bond |
| 31 | —OC(O)NHCH2Ph | H | H | single bond |
| 32 | —NH2 | H | H | single bond |
| 33 | —NHC(O)C(CH3)3 | H | H | single bond |
| 34 | —NHC(O)NH(CH(CH3)Ph) | H | H | single bond |
| 35 | —SH | H | H | single bond |
| 36 | —SC(O)OCH2Ph | H | H | single bond |
| 37 | —OH | —CH2CH3 | H | double bond |
| 38 | —OH | —CH2CHCH2 | H | double bond |
| 39 | —OH | —CH2Ph | H | double bond |
| 40 | —OH | —C(O)O(CH2)2N(CH3)2 | H | double bond |
| 41 | —OH | —C(O)CH2(CH2)2SO2N(CH3)2 | H | double bond |
| 42 | —OH | H | —OCH2CH3 | double bond |
| 43 | —OH | H | —OCH2Ph | double bond |
| 44 | —OH | H | —CF3 | double bond |
| 45 | —OH | H | —OH | double bond |
| 46 | —OH | H | —CN | double bond. |
13. A composition comprising a compound of claim 1 and a pharmaceutically acceptable excipient.
14. A composition comprising a compound of claim 2 and a pharmaceutically acceptable excipient.
15. A composition comprising a compound of claim 12 and a pharmaceutically acceptable excipient.
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