[EN] N-[2-(1 -BENZYLPIPERIDIN-4-YL)ETHYL]-4-(PYRAZIN-2-YL)-PIPERAZINE-1 -CARBOXAMIDE DERIVATIVES AND RELATED COMPOUNDS AS MUSCARINIC RECEPTOR 4 (M4) ANTAGONISTS FOR TREATING NEUROLOGICAL DISEASES<br/>[FR] DÉRIVÉS DE N-[2-(1-BENZYLPIPÉRIDIN-4-YL)ÉTHYL]-4-(PYRAZIN-2-YL)-PIPÉRAZINE-1-CARBOXAMIDE ET COMPOSÉS APPARENTÉS EN TANT QU'ANTAGONISTES DU RÉCEPTEUR MUSCARINIQUE 4 (M4) POUR LE TRAITEMENT DE MALADIES NEUROLOGIQUES
申请人:NEUROCRINE BIOSCIENCES INC
公开号:WO2017079641A1
公开(公告)日:2017-05-11
Provided herein are small molecule compounds of the following formula (I): or a stereoisomer, tautomer, solvate, ester or pharmaceutically acceptable salt thereof, wherein A, B, C, Li, L 2, Ri, R 2, R 3, R 4, R 5, w, x, y and z are as defined herein. Methods for treating diseases/ disorders by antagonizing muscarinic receptors, including specifically antagonizing muscarinic receptor 4 (M4), are also disclosed. Such diseases/disorders are e.g. neurological diseases/disorders such as e.g. Alzheimer's Disease, Lewy Body Dementia and the cognitive deficits associated with schizophrenia, Parkinson's Disease, drug induced Parkinsonism, dyskinesias, dystonia, chorea, levodopa induced dyskinesia, cerebral palsy, progressive supranuclear palsy, and Huntington's disease. Preferred compounds are e.g. N-[2-(l-benzylpiperidin-4-yl)ethyl]-4- (pyrazin-2-yl)-piperazine-1-carboxamide derivatives and related compounds wherein the pyrazine has been replaced by e.g. pyridazine, pyrimidine, pyridine or phenyl.
本文提供了以下化学式(I)的小分子化合物,或其立体异构体、互变异构体、溶剂化合物、酯或药用可接受的盐,其中A、B、C、Li、L 2、Ri、R 2、R 3、R 4、R 5、w、x、y和z的定义如本文所述。还公开了通过拮抗毒蕈碱受体来治疗疾病/障碍的方法,包括特别是拮抗毒蕈碱受体4(M4)。这些疾病/障碍包括神经系统疾病/障碍,如阿尔茨海默病、路易体痴呆症以及与精神分裂症、帕金森病、药物引起的帕金森综合症、运动障碍、肌张力障碍、舞蹈症、左多巴诱发的运动障碍、脑瘫、进行性核上性麻痹和亨廷顿病相关的认知缺陷等。首选化合物是例如N-[2-(1-苄基哌啶-4-基)乙基]-4-(吡嗪-2-基)-哌嗪-1-甲酰胺衍生物和相关化合物,其中吡嗪已被取代为例如吡啶、嘧啶、吡啶或苯基。