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JPWO2019118583A5
JPWO2019118583A5 JP2020531724A JP2020531724A JPWO2019118583A5 JP WO2019118583 A5 JPWO2019118583 A5 JP WO2019118583A5 JP 2020531724 A JP2020531724 A JP 2020531724A JP 2020531724 A JP2020531724 A JP 2020531724A JP WO2019118583 A5 JPWO2019118583 A5 JP WO2019118583A5
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pain
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本発明のさらに別の実施形態は、Toll様受容体(TLR)神経膠活性化に関連する臨床状態を有する対象を処置するための方法であって、対象に有効量の式Iの化合物を投与するステップを含む方法を提供する。この実施形態の一部の態様では、Toll様受容体(TLR)は、TLR-4である。同様に、この実施形態の一部の態様では、臨床状態は、急性侵害受容性疼痛;神経障害性疼痛;他の疼痛サブタイプ/混合型疼痛状態、例えば、火傷、骨関節炎、化学療法、外傷によって引き起こされる疼痛;急性および反復性オピオイド無痛覚;薬物乱用の報酬効果、慢性疼痛またはオピオイド依存に関連する他の疼を含む。本発明のある特定の実施形態の詳細は、以下に記載されているある特定の実施形態の発明を実施するための形態に記載されている。本発明の他の特色、目的および利点は、定義、実施例、図面および特許請求の範囲から明白となろう。 Yet another embodiment of the present invention is a method for treating a subject having a clinical condition associated with Toll-like receptor (TLR) glial activation, comprising administering to the subject an effective amount of a compound of formula I A method is provided that includes the step of: In some aspects of this embodiment, the Toll-like receptor (TLR) is TLR-4. Similarly, in some aspects of this embodiment, the clinical condition is acute nociceptive pain; neuropathic pain; other pain subtypes/mixed pain conditions, e.g., burns, osteoarthritis, chemotherapy, trauma acute and recurrent opioid analgesia; rewarding effects of substance abuse, chronic pain or other pain associated with opioid dependence. The details of certain embodiments of the invention are set forth in the detailed description of certain embodiments below. Other features, objects and advantages of the invention will become apparent from the definitions, examples, drawings and claims.

本開示の一態様では、本開示は、Toll様受容体(TLR)神経膠活性化に関連する臨床状態を有する対象を処置するための方法であって、対象に有効量の本明細書に記載されている化合物を投与するステップを含む方法を提供する。一部の実施形態では、式Iの化合物が対象に投与される。ある特定の実施形態では、式Iの化合物のプロドラッグが対象に投与される。一部の実施形態では、Toll様受容体は、TLR1、TLR2、TLR3、TLR4、TLR5、TLR6、TLR7、TLR8、TLR9およびTLR10からなる群から選択される。ある特定の実施形態では、Toll様受容体は、TLR-4である。一部の実施形態では、臨床状態は、急性侵害受容性疼痛、神経障害性疼痛、神経性疾患に関連する疼痛、ニューロン損傷に関連する疼痛、他の疼痛サブタイプ/混合型疼痛状態(例えば、火傷、骨関節炎、化学療法、外傷によって引き起こされる疼痛)、急性および反復性オピオイド無痛覚、薬物乱用の報酬効果、慢性疼痛またはオピオイド依存に関連する他の疼を含む。ある特定の実施形態では、臨床状態は、神経学的疾患に関連する疼痛を含む。ある特定の実施形態では、神経学的疾患は、アルツハイマー病、パーキンソン病、筋萎縮性側索硬化症、タウオパチー、ハンチントン病、頭痛、意識朦朧および昏睡、認知症、発作、睡眠障害、外傷、感染、新生物、神経眼科学、運動障害、脱髄性疾患、脊髄障害、ならびに末梢神経、筋肉および神経筋接合部の障害からなる群から選択される。一部の実施形態では、臨床状態は、ニューロン損傷に関連する疼痛を含む。 In one aspect of the present disclosure, the present disclosure provides a method for treating a subject having a clinical condition associated with Toll-like receptor (TLR) glial activation, comprising administering to the subject an effective amount of a drug as described herein. A method is provided comprising the step of administering the compound of the present invention. In some embodiments, a compound of Formula I is administered to a subject. In certain embodiments, a prodrug of the compound of Formula I is administered to the subject. In some embodiments, the Toll-like Receptor is selected from the group consisting of TLR1, TLR2, TLR3, TLR4, TLR5, TLR6, TLR7, TLR8, TLR9 and TLR10. In certain embodiments, the Toll-like receptor is TLR-4. In some embodiments, the clinical condition is acute nociceptive pain, neuropathic pain, pain associated with neurological disease, pain associated with neuronal injury, other pain subtypes/mixed pain conditions (e.g., pain caused by burns, osteoarthritis, chemotherapy, trauma), acute and recurrent opioid analgesia, the rewarding effects of substance abuse, chronic pain or other pain associated with opioid dependence. In certain embodiments, the clinical condition comprises pain associated with neurological disease. In certain embodiments, the neurological disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, tauopathy, Huntington's disease, headaches, lightheadedness and coma, dementia, seizures, sleep disturbances, trauma, infections , neoplasms, neuro-ophthalmology, movement disorders, demyelinating diseases, spinal disorders, and disorders of peripheral nerves, muscles and neuromuscular junctions. In some embodiments, the clinical condition comprises pain associated with neuronal injury.

Claims (23)

式Iの化合物
Figure 2019118583000001
またはその薬学的に許容される塩あって、式中、
は、ヒドロキシル、アルコキシおよびアリールオキシからなる群から選択され、
は、水素、アルキル、アルキニル、アルケニル、アルコキシヒドロカルビル、置換ヒドロカルビル、シクロアルキル、アルキルアリールおよび置換アルキルアリール
Figure 2019118583000002
からなる群から選択され、
Yは、水素およびヒドロキシからなる群から選択され、
Xは、フッ素でありそして
Zは、水素であり
ただし、Rがヒドロキシルである場合、Rはシクロプロピルメチルではない、
化合物、またはその薬学的に許容される塩
Compounds of Formula IC :
Figure 2019118583000001
or a pharmaceutically acceptable salt thereof , wherein
R 1 is selected from the group consisting of hydroxyl, alkoxy and aryloxy;
R2 is hydrogen, alkyl, alkynyl, alkenyl, alkoxy , hydrocarbyl, substituted hydrocarbyl, cycloalkyl, alkylaryl and substituted alkylaryl ;
Figure 2019118583000002
is selected from the group consisting of
Y is selected from the group consisting of hydrogen and hydroxyl ;
X is fluorine, and
Z is hydrogen;
with the proviso that when R 1 is hydroxyl, R 2 is not cyclopropylmethyl;
A compound, or a pharmaceutically acceptable salt thereof .
(a)が水素である、あるいは
がヒドロキシである
請求項1記載の化合物。
(a) Y is hydrogen, or
( b ) Y is hydroxyl ;
A compound according to claim 1 .

(a)ヒドロキシル、または
(b)メトキシ
である、請求項1または2に記載の化合物。
3. The compound of claim 1 or 2 , wherein R1 is (a) hydroxyl, or (b) methoxy.

(a)シクロプロピルメチル、
(b)2-プロペニル、または
(c)フェネチル
である、請求項1からのいずれか一項に記載の化合物。
R 2 is (a) cyclopropylmethyl,
4. A compound according to any one of claims 1 to 3 , which is (b) 2-propenyl, or (c) phenethyl.
記式I化合物が式:
Figure 2019118583000003
を有するものまたはその薬学的に許容される塩である、請求項1に記載の化合物。
Said compound of formula I C has the formula:
Figure 2019118583000003
or a pharmaceutically acceptable salt thereof.
記式I化合物が式:
Figure 2019118583000004
を有するものまたはその薬学的に許容される塩である、請求項1に記載の化合物。
Said compound of formula I C has the formula:
Figure 2019118583000004
or a pharmaceutically acceptable salt thereof.
がメトキシであり、Rがシクロプロピルであり、そしてYが水素であ、請求項1に記載の化合物。 2. The compound of claim 1 , wherein R1 is methoxy, R2 is cyclopropyl and Y is hydrogen. 前記式I化合物が、式:
Figure 2019118583000005
を有するものまたはその薬学的に許容される塩である、請求項1に記載の化合物。
Said compound of formula I C has the formula:
Figure 2019118583000005
or a pharmaceutically acceptable salt thereof.
前記式ICの化合物が、以下:
Figure 2019118583000006
Figure 2019118583000007

Figure 2019118583000008
および
Figure 2019118583000009
およびそれらの薬学的に許容される塩からなる群から選択される、請求項1に記載の化合物。
The compound of formula IC is:
Figure 2019118583000006
Figure 2019118583000007

Figure 2019118583000008
and
Figure 2019118583000009
and pharmaceutically acceptable salts thereof .
以下: the following:
Figure 2019118583000010
Figure 2019118583000010
およびand
Figure 2019118583000011
Figure 2019118583000011
およびそれらの薬学的に許容される塩からなる群から選択される、化合物。and pharmaceutically acceptable salts thereof.
対象においてオピオイドの鎮痛効果を賦活化するための、請求項1から1のいずれか一項に記載の化合物、またはその薬学的に許容されるを含む組成物であって、有効量の前記化合物が前記対象に投与されることを特徴とする、組成物。 11. A composition comprising a compound of any one of claims 1 to 10 , or a pharmaceutically acceptable salt thereof, for potentiating the analgesic effect of an opioid in a subject, wherein an effective amount of said A composition, wherein a compound is administered to said subject. 対象においてオピオイド治療の間にオピオイド依存を発症するリスクを低減するための、請求項1から1のいずれか一項に記載の化合物、またはその薬学的に許容されるを含む組成物であって、有効量の前記化合物が前記対象に投与されることを特徴とする、組成物。 11. A composition comprising a compound according to any one of claims 1 to 10 , or a pharmaceutically acceptable salt thereof, for reducing the risk of developing opioid dependence during opioid therapy in a subject. and wherein an effective amount of said compound is administered to said subject. Toll様受容体(TLR)神経膠活性化に関連する臨床状態を有する対象を処置するための、請求項1から1のいずれか一項に記載の化合物、またはその薬学的に許容されるを含む組成物であって、有効量の前記化合物が前記対象に投与されることを特徴とする、組成物。 11. A compound according to any one of claims 1 to 10 , or a pharmaceutically acceptable salt thereof, for treating a subject having a clinical condition associated with Toll-like receptor (TLR) glial activation. wherein an effective amount of said compound is administered to said subject. 前記Toll様受容体がTLR-4である、請求項13に記載の組成物。 14. The composition of claim 13, wherein said Toll-like receptor is TLR-4. 前記臨床状態が、侵害受容性疼痛、神経障害性疼痛、神経性疾患に関連する疼痛、ニューロン損傷に関連する疼痛、火傷によって引き起こされる疼痛、骨関節炎によって引き起こされる疼痛、化学療法によって引き起こされる疼痛、外傷によって引き起こされる疼痛、急性および反復性オピオイド無痛覚、薬物乱用の報酬効果、慢性疼痛、またはオピオイド依存に関連する疼痛である、請求項13または14に記載の組成物。 said clinical condition is nociceptive pain, neuropathic pain, pain associated with neurological disease, pain associated with neuronal injury, pain induced by burns, pain induced by osteoarthritis, pain induced by chemotherapy; 15. The composition of claim 13 or 14, which is trauma-induced pain, acute and recurrent opioid analgesia, the rewarding effects of substance abuse, chronic pain, or pain associated with opioid dependence. 前記神経性疾患が、アルツハイマー病、パーキンソン病、筋萎縮性側索硬化症、タウオパチー、ハンチントン病、頭痛、意識朦朧および昏睡、認知症、発作、睡眠障害、外傷、感染、新生物、神経眼科学的状態、運動障害、脱髄性疾患、脊髄障害、ならびに末梢神経、筋肉および神経筋接合部の障害からなる群から選択される、請求項15に記載の組成物。 said neurological disease is Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, tauopathy, Huntington's disease, headache, dizziness and coma, dementia, seizures, sleep disturbances, trauma, infections, neoplasms, neuro-ophthalmology 16. The composition of claim 15 selected from the group consisting of neurological conditions, movement disorders, demyelinating diseases, spinal disorders, and disorders of peripheral nerves, muscles and neuromuscular junctions. 神経障害性疼痛に罹患している、または罹患し易い対象を処置するための、請求項1から1のいずれか一項に記載の化合物またはその薬学的に許容される塩を含む組成物であって、有効量の前記化合物が前記対象に投与されることを特徴とする、組成物。 11. A composition comprising a compound according to any one of claims 1 to 10 , or a pharmaceutically acceptable salt thereof, for treating a subject suffering from or susceptible to neuropathic pain. A composition, wherein an effective amount of said compound is administered to said subject. 前記神経障害性疼痛が、脊髄損傷、多発性硬化症、脳卒中、糖尿病、坐骨神経痛、帯状疱疹感染、HIV、神経痛、栄養失調、毒素、腫瘍、免疫媒介性障害、神経幹への物理的外傷、がん、化学療法、放射線傷害、侵襲的な医療手順、手術、非特異的腰痛、手根管症候群、線維筋痛症および慢性炎症状態からなるから選択される状態によるものである、請求項1に記載の組成物。 said neuropathic pain is spinal cord injury, multiple sclerosis, stroke, diabetes, sciatica, shingles infection, HIV, neuralgia, malnutrition, toxins, tumors, immune-mediated disorders, physical trauma to nerve trunks, from a condition selected from the group consisting of cancer, chemotherapy, radiation injury, invasive medical procedures, surgery, non-specific back pain, carpal tunnel syndrome, fibromyalgia and chronic inflammatory conditions. 17. The composition of claim 17. 前記神経障害性疼痛が、
(a)多発性硬化症、
(b)がん、または
(c)化学療法
によるものである、請求項1または18に記載の組成物。
wherein the neuropathic pain is
(a) multiple sclerosis,
19. The composition of claim 17 or 18 , wherein (b) cancer, or (c) is due to chemotherapy.
侵害受容性疼痛に罹患している、または罹患し易い対象を処置するための、請求項1から1のいずれか一項に記載の化合物またはその薬学的に許容される塩を含む組成物であって、有効量の前記化合物が前記対象に投与されることを特徴とする、組成物。 A composition comprising a compound or a pharmaceutically acceptable salt thereof according to any one of claims 1 to 10 for treating a subject suffering from or susceptible to nociceptive pain A composition, wherein an effective amount of said compound is administered to said subject. 前記侵害受容性疼痛が、あざ、火傷、骨折、酷使または関節損傷、関節炎、捻挫、神経根障害、挟まれた神経、腫瘍、頭痛、裂傷、手術またはがんに関連するかまたは由来する疼痛である、請求項20に記載の組成物。 The nociceptive pain is pain associated with or resulting from a bruise, burn, fracture, overuse or joint injury, arthritis, sprain, radiculopathy, pinched nerve, tumor, headache, laceration, surgery or cancer. 21. The composition of claim 20, wherein a 前記有効量が、 The effective amount is
(i)最大で約1500mg/用量であり、1日あたり1~4回の別個の用量で投与される、 (i) up to about 1500 mg/dose, administered in 1-4 separate doses per day;
(ii)1日あたり約0.8mg/kg体重~約100mg/kg体重であり、1回から数回の別個の用量で投与される、 (ii) from about 0.8 mg/kg body weight to about 100 mg/kg body weight per day, administered in one to several separate doses;
(iii)約34mg/日~約510mg/日であり、1回から数回の別個の用量で投与される、 (iii) from about 34 mg/day to about 510 mg/day, administered in one to several discrete doses;
(iv)約68~約408mg/日であり、1回から数回の別個の用量で投与される、 (iv) from about 68 to about 408 mg/day, administered in one to several separate doses;
(v)1日あたり約0.5~約7.2mg/kg体重であり、1回から数回の別個の用量で投与される、または (v) from about 0.5 to about 7.2 mg/kg body weight per day, administered in one to several separate doses, or
(vi)1日あたり約1.0~約6mg/kg体重であり、1回から数回の別個の用量で投与される、 (vi) about 1.0 to about 6 mg/kg body weight per day, administered in one to several separate doses;
請求項11から21のいずれか一項に記載の組成物。22. A composition according to any one of claims 11-21.
請求項1から1のいずれか一項に記載の化合物、
および対象に請求項1から1のいずれか一項に記載の化合物を投与するための指示書
を含む、キット。
a compound according to any one of claims 1 to 10 ,
and instructions for administering a compound of any one of claims 1-10 to a subject.
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