3-Oxoisoindoline-1-carboxamides: Potent, State-Dependent Blockers of Voltage-Gated Sodium Channel NaV1.7 with Efficacy in Rat Pain Models
摘要:
The voltage-gated sodium channel Na(V)1.7 is believed to be a critical mediator of pain sensation based on clinical genetic studies and pharmacological results. Clinical utility of nonselective sodium channel blockers is limited due to serious adverse drug effects. Here, we present the optimization, structure activity relationships, and in vitro and in vivo characterization of a novel series of Na(V)1.7 inhibitors based on the oxoisoindoline core. Extensive studies with focus on optimization of Na(V)1.7 potency, selectivity over Na(V)1.5, and metabolic stability properties produced several interesting oxoisoindoline carboxamides (16A, 26B, 28, 51, 60, and 62) that were further characterized. The oxoisoindoline carboxamides interacted with the local anesthetics binding site. In spite of this, several compounds showed functional selectivity versus Na(V)1.5 of more than 100-fold. This appeared to be a combination of subtype and state-dependent selectivity. Compound 28 showed concentration-dependent inhibition of nerve injury-induced ectopic in an ex vivo DRG preparation from SNL rats. Compounds 16A and 26B demonstrated concentration-dependent efficacy in preclinical behavioral pain models. The oxoisoindoline carboxamides series described here may be valuable for further investigations for pain therapeutics.
[EN] ISOINDOLINE DERIVATIVES COMPRISING ADDITIONAL HETEROCYCLIC GROUPS AND THEIR USE IN THE TREATMENT OF PAIN DISORDERS [FR] DÉRIVÉS ISOINDOLINE COMPRENANT DES GROUPES HÉTÉROCYCLIQUES SUPPLÉMENTAIRES ET LEUR UTILISATION DANS LE TRAITEMENT DE TROUBLES DE LA DOULEUR
[EN] ISOINDOLINE DERIVATIVES COMPRISING ADDITIONAL HETEROCYCLIC GROUPS AND THEIR USE IN THE TREATMENT OF PAIN DISORDERS<br/>[FR] DÉRIVÉS ISOINDOLINE COMPRENANT DES GROUPES HÉTÉROCYCLIQUES SUPPLÉMENTAIRES ET LEUR UTILISATION DANS LE TRAITEMENT DE TROUBLES DE LA DOULEUR
申请人:ASTRAZENECA AB
公开号:WO2009145720A1
公开(公告)日:2009-12-03
Compounds of formula I are claimed wherein R1 is hydrogen; C1-3 alkyl, optionally substituted by one or more substituents independently selected from hydroxy, C1-3 alkoxy andfluoro; C1-3 alkoxy, optionally substituted by one or morefluoro; cyano; hydroxy or halo; m is 1,2 or 3; Het is C5-6 heteroaryl substituted by 1 or 2 substituents R2; R2 is C1-4 alkyl; C1-4 haloalkyl;C 1-4 haloalkoxy; halo; C1-4 alkoxy; or C3-7 cycloalkyloxy, optionally substituted by one or morefluoro; D is C5-6 heteroaryl; C3-7 heterocycloalkyl; or C3-7 cycloalkyl; wherein each D may optionally be substituted by one or more X4; X4 is halo; or C1-3 alkyl, optionally substituted by one or morefluoro; C1-3 alkyl-O-C1-3 alkyl, optionally substituted by one or morefluoro; C1-3 alkoxy, optionally substituted by one or morefluoro; cyano; hydroxy; oxo; R3 0(C=O); or R4(C=O); R3 is C1-4 alkyl; C1-4 alkyl-O-C1-4 alkyl; C5-6 cycloalkyl; aryl; or aryl-C1-2 alkyl; R4 is C1-4 alkyl; or C5-6 heteroaryl; L1is C1-4 alkylene; or a bond; and L2 is C1-3 alkylene. Compounds of the invention are useful in therapy, such as pain therapy.
3-Oxoisoindoline-1-carboxamides: Potent, State-Dependent Blockers of Voltage-Gated Sodium Channel Na<sub>V</sub>1.7 with Efficacy in Rat Pain Models
作者:Istvan Macsari、Yevgeni Besidski、Gabor Csjernyik、Linda I. Nilsson、Lars Sandberg、Ulrika Yngve、Kristofer Åhlin、Tjerk Bueters、Anders B. Eriksson、Per-Eric Lund、Elisabet Venyike、Sandra Oerther、Karin Hygge Blakeman、Lei Luo、Per I. Arvidsson
DOI:10.1021/jm300623u
日期:2012.8.9
The voltage-gated sodium channel Na(V)1.7 is believed to be a critical mediator of pain sensation based on clinical genetic studies and pharmacological results. Clinical utility of nonselective sodium channel blockers is limited due to serious adverse drug effects. Here, we present the optimization, structure activity relationships, and in vitro and in vivo characterization of a novel series of Na(V)1.7 inhibitors based on the oxoisoindoline core. Extensive studies with focus on optimization of Na(V)1.7 potency, selectivity over Na(V)1.5, and metabolic stability properties produced several interesting oxoisoindoline carboxamides (16A, 26B, 28, 51, 60, and 62) that were further characterized. The oxoisoindoline carboxamides interacted with the local anesthetics binding site. In spite of this, several compounds showed functional selectivity versus Na(V)1.5 of more than 100-fold. This appeared to be a combination of subtype and state-dependent selectivity. Compound 28 showed concentration-dependent inhibition of nerve injury-induced ectopic in an ex vivo DRG preparation from SNL rats. Compounds 16A and 26B demonstrated concentration-dependent efficacy in preclinical behavioral pain models. The oxoisoindoline carboxamides series described here may be valuable for further investigations for pain therapeutics.