[EN] SUBSTITUTED 1,4-DI-PIPERIDIN-4-YL-PIPERAZINE DERIVATIVES AND THEIR USE AS NEUROKININ ANTAGONISTS<br/>[FR] DERIVES 1,4-DI-PIPERIDIN-4-YL-PIPERAZINES SUBSTITUES EN 1,4 ET LEUR UTILISATION EN TANT QU'ANTAGONISTES DES NEUROKININES
申请人:JANSSEN PHARMACEUTICA NV
公开号:WO2004033428A1
公开(公告)日:2004-04-22
The invention concerns substituted 1,4-di-piperidin-4-yl-piperazine derivatives having neurokinin antagonistic activity, in particular NK1 antagonistic activity, their preparation, compositions comprising them and their use as a medicine, in particular for the treatment of emesis, anxiety, depression, pain, pancreatitis and IBS. 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 neurokinins by blocking the neurokinin receptors, and in particular antagonizing the actions of substance P by blocking the NK1 receptor, the compounds according to the invention are useful as a medicine, in particular in the prophylactic and therapeutic treatment of neurokinin-mediated 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 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.
该发明涉及具有神经激肽拮抗活性的替代1,4-二哌啶-4-基哌嗪衍生物,特别是NK1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,特别是用于治疗呕吐、焦虑、抑郁、疼痛、胰腺炎和肠易激综合征。根据该发明的化合物可以用一般公式(I)表示,并且还包括其药用可接受的酸或碱盐,其立体化学异构体形式,其N-氧化物形式以及其前药,其中所有取代基的定义如权利要求书1所述。鉴于它们通过阻断神经激肽受体来拮抗神经激肽的作用,特别是通过阻断NK1受体来拮抗P物质的作用,根据该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情况下,如中枢神经系统疾病,特别是抑郁症、焦虑症、与压力有关的疾病、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;与免疫增强或抑制以及风湿疾病和体重控制相关的疾病。