[EN] SUBSTITUTED 1-PIPERIDIN-4-YL-4-AZETIDIN-3-YL-PIPERAZINE DERIVATIVES AND THEIR USE AS NEUROKININ ANTAGONISTS<br/>[FR] DERIVES SUBSTITUES DE 1-PIPERIDINE-4-YL-4-AZETIDINE-3-YL-PIPERAZINE ET LEUR UTILISATION EN TANT QU'ANTAGONISTES DE LA NEUROKININE
申请人:JANSSEN PHARMACEUTICA NV
公开号:WO2004056800A1
公开(公告)日:2004-07-08
The invention concerns substituted 1-piperidin-4-yl-4-azefdin-3-yl-piperazine having neurokinin antagonistic activity, in particular NK1 and NK1/NK3- antagonistic activity, their preparation, compositions comprising them and their use as a medicine, in particular for the treatment of schizophrenia, emesis, anxiety, depression, irritable bowel syndrome (IBS), circadian rhythm disturbances, 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 by blocking the NK receptors, the compounds according to the invention are useful as a medicine, in particular in the prophylactic and therapeutic treatment of tachykininmediated conditions, such as, for instance CNS disorders, in particular depression, anxiety disorders, stress-related disorders, sleep disorders, cognitive disorders, personality disorders, schizoaffective disorders, eating disorders, neurodegenerative diseases, addiction disorders, mood disorders, sexual dysfunction, pain and other CNSrelated 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-4-基-4-氮杂二氢-3-基-哌嗪,特别是NK1和NK1/NK3-拮抗活性,它们的制备,包含它们的组合物以及它们作为药物的用途,特别是用于治疗精神分裂症、呕吐、焦虑、抑郁、肠易激综合征(IBS)、昼夜节律紊乱、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,这些化合物可以用一般式(I)表示,并且还包括其药学上可接受的酸或碱盐、立体化异构体、N-氧化物形式和前药形式,其中所有取代基的定义如权利要求1所述。由于这些化合物具有通过阻断神经激肽受体拮抗激肽的作用,特别是通过阻断NK受体拮抗P物质的作用的能力,根据本发明的化合物可用作药物,特别是在预防和治疗神经激肽介导的疾病方面,例如中枢神经系统疾病,特别是抑郁症、焦虑症、与压力相关的疾病、睡眠障碍、认知障碍、人格障碍、分裂情感障碍、进食障碍、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疾病。