[EN] SUBSTITUTED 1-PIPERIDIN-3-YL-4-PIPERIDIN-4-YL-PIPERAZINE DERIVATIVES AND THEIR USE AS NEUROKININ ANTAGONISTS<br/>[FR] DERIVES 1-PIPERIDIN-3-YL-4-PIPERIDIN-4-YL-PIPERAZINE SUBSTITUEE ET UTILISATIONS DE CES DERNIERS EN TANT QU'ANTAGONISTES DE LA NEUROKININE
申请人:JANSSEN PHARMACEUTICA NV
公开号:WO2004056364A1
公开(公告)日:2004-07-08
This invention concerns substituted 1-piperidin-3-yl-4-piperidin-4-yl-piperazine derivatives having neurokinin antagonistic activity, in particular NK1 antagonistic activity, a combined NK1/NK3 antagonistic activity and a combined NK1/NK2/NK3 antagonistic activity, their preparation, compositions comprising them and their use as a medicine, in particular for the treatment of schizophrenia, emesis, anxiety and depression, irritable bowel syndrom (IBS), circadian rhythm disturbances, visceral pain, neurogenic inflammation, asthma, micturition disorders such as urinary incontinence and nociception. The compounds according to the invention can be represented by general Formula (I) and comprises also the pharmaceutically acceptable acid or base addition salts thereof, the stereochemically isomeric forms thereof, the N-oxide form thereof and prodrugs thereof, wherein all substituents are defined as in Claim 1. In view of their capability to antagonize the actions of tachykinins by blocking the neurokinin receptors, and in particular antagonizing the actions of substance P, Neurokinin A and Neurokinin B by blocking the NK1, NK2 and NK3 receptors, the compounds according to the invention are useful as a medicine, in particular in the prophylactic and therapeutic treatment of tachykinin-mediated conditions, such as, for instance CNS disorders, in particular schizoaffective disorders, depression, anxiety disorders, stress-related disorders, sleep disorders, cognitive disorders, personality disorders, eating disorders, neurodegenerative diseases, addiction disorders, mood disorders, sexual dysfunction, pain and other CNS-related conditions; inflammation; allergic disorders; emesis; gastrointestinal disorders, in particular irritable bowel syndrome (IBS); skin disorders; vasospastic diseases; fibrosing and collagen diseases; disorders related to immune enhancement or suppression and rheumatic diseases and body weight control.
本发明涉及具有神经激肽拮抗活性的取代1-哌啶-3-基-4-哌啶-4-基-哌嗪衍生物,特别是NK1拮抗活性,具有联合NK1/NK3拮抗活性和联合NK1/NK2/NK3拮抗活性,其制备,包含它们的组合物和用途作为药物,特别用于治疗精神分裂症、呕吐、焦虑和抑郁症、肠易激综合征(IBS)、昼夜节律紊乱、内脏疼痛、神经源性炎症、哮喘、排尿障碍,如尿失禁和疼痛感知。根据本发明的化合物可用一般式(I)表示,并且还包括其药学上可接受的酸或碱盐,其立体化异构体形式,其N-氧化物形式和其前药,其中所有取代基的定义如权利要求1所述。鉴于它们通过阻断神经激肽受体来拮抗激肽的作用,特别是通过阻断NK1、NK2和NK3受体来拮抗P物质、神经激肽A和神经激肽B的作用,根据本发明的化合物可用作药物,特别是在预防和治疗激肽介导的疾病中,例如中枢神经系统疾病,特别是精神分裂情感性障碍、抑郁症、焦虑障碍、与压力相关的障碍、睡眠障碍、认知障碍、人格障碍、饮食障碍、神经退行性疾病、成瘾障碍、情绪障碍、性功能障碍、疼痛和其他中枢神经系统相关疾病;炎症;过敏性疾病;呕吐;胃肠道疾病,特别是肠易激综合征(IBS);皮肤疾病;血管痉挛性疾病;纤维化和胶原疾病;与免疫增强或抑制和风湿性疾病以及体重控制相关的障碍。