[EN] 1-(1H-INDOL-1-YL)-3-(4-METHYLPIPERAZIN-1-YL)-1-PHENYL PROPAN-2-OL DERIVATIVES AND RELATED COMPOUNDS AS MODULATORS OF THE NOREPINEPHRINE (NE) AND THE SEROTONINE (5-HT) ACTIVITY AND THE MONOAMINE REUPTAKE FOR THE TREATMENT OF VASOMOTOR SYMPTOMS (VMS)<br/>[FR] DERIVES DE 1-(1H-INDOL-1-YL)-3-(4-METHYLPIPERAZINE-1-YL)-1-PHENYLE PROPAN-2-OL ET COMPOSES ASSOCIES UTILISES EN TANT QUE MODULATEURS DE L'ACTIVITE DE LA NOREPINEPHRINE (NE) ET DE LA SEROTONINE (5-HT) ET REABSORPTION DE LA MONOAMINE DANS LE TRAITEMENT DES SYMPTOMES VASOMOTEURS
申请人:WYETH CORP
公开号:WO2005097744A1
公开(公告)日:2005-10-20
The present invention is directed to phenylaminopropanol derivatives of formula (I): or a pharmaceutically acceptable salt thereof; wherein: the dotted line between Y and Z represents an optional double bond; the dotted line between the two R4 groups represents an optional heterocyclic ring of 4 to 6 ring atoms that may be formed between the two R4 groups, together with the nitrogen through which they are attached; Y is N, CR6, or C=O; Z is N, CR7, CR5, or C(R5)2; R2 is aryl substituted with 0-3 R1 or heteroaryl substituted with 0-3 R1; R3 is H or C1-C4 alkyl; n is an integer form 0 to 4; x is an integer from 1 to 2; and the other substituents are defined in the claims; compositions containing these derivatives, and methods of their use for the prevention and treatment of conditions ameliorated by monoamine reuptake including, inter alia, vasomotor symptoms (VMS), sexual dysfunction, gastrointestinal and genitourinary disorders, chronic fatigue syndrome, fibromylagia syndrome, nervous system disorders, and combinations thereof, particularly those conditions selected form the group consisting of major depressive disorder, vasomotor symptoms, stress and urge urinary incontinence, fibromyalgia, pain, diabetic neuropathy, and combinations thereof.
本发明涉及公式(I)的苯基氨丙醇衍生物或其药学上可接受的盐;其中:Y和Z之间的虚线表示可选的双键;两个R4基团之间的虚线表示可选的4至6个环原子的杂环环,可以与它们连接的氮一起形成在两个R4基团之间; Y为N,CR6或C = O; Z为N,CR7,CR5或C(R5)2; R2为芳基,用0-3个R1取代或杂芳基,用0-3个R1取代; R3为H或C1-C4烷基; n为0至4的整数; x为1至2的整数;其他取代基在权利要求中定义; 包含这些衍生物的组合物,以及它们的使用方法,用于改善单胺再摄取所缓解的病症的预防和治疗,包括但不限于血管运动症状(VMS),性功能障碍,胃肠和泌尿系统疾病,慢性疲劳综合征,纤维肌痛综合征,神经系统疾病以及其组合,特别是选择自由基组成的条件,包括重度抑郁症,血管运动症状,压力和切望性尿失禁,纤维肌痛,疼痛,糖尿病神经病变以及其组合。