Compounds of formulas (VII), (VIII), (IX), (XI), (XII), (XIII), and (XIV) as muscarinic receptor 4(M4) antagonists for treating neurological diseases
申请人:Neurocrine Biosciences, Inc.
公开号:US11033539B2
公开(公告)日:2021-06-15
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, L1, L2, R2, R3, R4, R3, 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-(1-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derivatives and related compounds wherein the pyrazine has been replaced by e.g. pyridazine, pyrimidine, pyridine or phenyl.
本文提供了下式(I)的小分子化合物:或其立体异构体、同分异构体、溶液剂、酯或药学上可接受的盐,其中 A、B、C、L1、L2、R2、R3、R4、R3、w、x、y 和 z 如本文所定义。还公开了通过拮抗毒蕈碱受体(包括特异性拮抗毒蕈碱受体 4 (M4))来治疗疾病/紊乱的方法。此类疾病/障碍包括神经系统疾病/障碍,例如阿尔茨海默病、路易体痴呆和与精神分裂症相关的认知障碍、帕金森病、药物诱发的帕金森症、运动障碍、肌张力障碍、舞蹈症、左旋多巴诱发的运动障碍、脑性麻痹、进行性核上性麻痹和亨廷顿氏病。首选化合物为 N-[2-(1-苄基哌啶-4-基)乙基]-4-(吡嗪-2-基)-哌嗪-1-甲酰胺衍生物及相关化合物,其中吡嗪已被哒嗪、嘧啶、吡啶或苯基等取代。