The present invention relates to the use of ORL-1 receptor agonists for the treatment of cough, alone or in combination with one or more agents for the treatment of cough, allergy or asthma symptoms, in particular to the use of ORL-1 agonists of formula (I) or a pharmaceutically acceptable salt or solvate thereof, wherein: the dotted line represents and optional double bond; X1 is optionally substituted alkyl, cycloalkyl, aryl, heteroaryl or heterocycloalkyl; X2 is-CHO, -CN, optionally substituted amino, alkyl, or aryl; or X1 is optionally substituted benzofused heterocyclyl and X2 is hydrogen; or X?1 and X2¿ together form an optionally benzofused spiro heterocyclyl group R?1, R2, R3 and R4¿ are independently H and alkyl, or (R?1 and R4) or (R2 and R3) or (R1 and R3) or (R2 and R4¿) together can form an alkylene bridge of 1 to 3 carbon atoms; Z1 is optionally substituted alkyl, aryl, heteroaryl, cycloalkyl or heterocycloalkyl, or -CO¿2?(alkyl or substituted amino) or CN; Z?2¿ is H or Z1; Z3 is H or alkyl; or Z?1, Z2 and Z3¿, together with the carbon to which they are attached, form bicyclic saturated or unsaturated rings.
本发明涉及使用ORL-1受体激动剂治疗咳嗽,单独或与一种或多种用于治疗咳嗽、过敏或哮喘症状的药物组合使用,特别是使用式(I)的ORL-1激动剂或其药学上可接受的盐或溶剂,其中:虚线代表可选的双键;X1是可选的取代基的烷基、环烷基、芳基、杂芳基或杂环烷基;X2是-CHO、-CN、可选的取代
氨基、烷基或芳基;或X1是可选的取代苯并杂环基,X2是氢;或X1和X2一起形成可选的苯并螺杂环基团;R1、R2、R3和R4独立地为H和烷基,或(R1和R4)或(R2和R3)或(R1和R3)或(R2和R4)一起形成1至3个碳原子的烷基桥;Z1是可选的取代基的烷基、芳基、杂芳基、环烷基或杂环烷基,或-
CO2(烷基或取代
氨基)或-CN;Z2是H或Z1;Z3是H或烷基;或Z1、Z2和Z3,与它们连接的碳一起,形成二环饱和或不饱和环。