Methods and threapeutic combinations for treating idiopathic intracranial hypertension and cluster headaches
US-2024131116-A1 · Apr 25, 2024 · US
US12440496B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-12440496-B2 |
| Application number | US-202017611540-A |
| Country | US |
| Kind code | B2 |
| Filing date | May 18, 2020 |
| Priority date | May 22, 2019 |
| Publication date | Oct 14, 2025 |
| Grant date | Oct 14, 2025 |
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The present invention relates to Compounds of Formula I: and pharmaceutically acceptable salts or prodrug thereof. The present invention also relates to compositions comprising at least one compound of Formula I, and methods of using the compounds of Formula I for treatment of cardiometabolic diseases including high blood pressure, heart failure, kidney disease, and diabetes in a subject.
Opening claim text (preview).
What is claimed is: 1. A compound of the formula I, or a pharmaceutically acceptable salt thereof: wherein X is N or CH; R 1 is selected from phenyl, pyridyl, thiazolyl, imidazolyl, pyrazinyl, and oxadiazolyl, wherein R 1 is substituted by 0, 1, 2, or 3, R 5 ; R 2 is independently selected from: arylC 0-10 alkyl, C 3-12 cycloalkylC 0-10 alkyl, heteroarylC 0-10 alkyl, heterocyclylC 0-10 alkyl, C 1-10 alkylaminoC 0-10 alkyl, heteroarylC 0-10 alkylaminoC 0-10 alkyl, heterocyclylC 0-10 alkylaminoC 0-10 alkyl, C 1-10 heteroalkyl aminoC 0-10 alkyl, C 3-12 cycloalkyl C 0-10 alkylaminoC 0-10 alkyl, aryl C 0-10 alkylaminoC 0-10 alkyl, amino, and (C 1-10 alkyl) 1-2 amino; wherein R 2 is each substituted with 0, 1, 2, 3, or 4 R 4 substituents; each R 3 is independently selected from hydrogen, halogen, C 1-6 alkyl, and C 3-12 cycloalkyl C 0-10 alkyl, and heterocyclylC 0-10 alkyl, wherein R 3 is substituted by 0, 1, 2 or 3 groups independently selected from C 1-6 alkyl, C 1-6 haloalkyl, and halogen; each R 4 is independently selected from: halogen, C 1-10 alkyl, C 1-10 heteroalkyl, aryl C 0-10 alkyl, C 3-12 cycloalkyl C 0-10 alkyl, heteroaryl C 0-10 alkyl, heterocyclylC 0-10 alkyl, amino C 0-10 alkyl, ((C 1-10 )alkyl) 1-2 amino, —CO 2 (C 1-10 alkyl), —(C 0-10 alkyl) CO 2 H, OXO, hydroxy, —(C 1-10 alkyl)OH, C 1-10 alkoxy, cyano, and C 1-6 haloalkyl; wherein R 4 is each substituted with 0, 1, 2, 3, or 4 R 8 substituents and each R 8 is independently selected from: C 1-10 alkyl, —CO 2 (C 1-10 alkyl), —(C 0-10 alkyl) CO 2 H, C 1-10 alkoxy, halogen, C 1-6 haloalkyl, cyano, oxo, hydroxy, and amino; R 5 is independently selected from: halogen, C 1-10 alkyl, aryl C 0-10 alkyl, C 3-12 cycloalkylC 0-10 alkyl, heteroaryl C 0-10 alkyl, heterocyclyl C 0-10 alkyl, C 1-10 alkylcarbonylC 0-10 alkyl, C 1-10 heteroalkylcarbonylC 0-10 alkyl, arylcarbonylC 0-10 alkyl, (C 3-12 )cycloalkyl carbonylC 0-10 alkyl, heteroarylcarbonylC 0-10 alkyl, heterocyclylcarbonylC 0-10 alkyl, ((C 0-10 )alkyl) 1-2 aminocarbonyl, C 1-10 alkoxy, aryl C 0-10 alkyloxy, C 3-12 cycloalkyloxy, heteroaryl C 0-10 alkyloxy, heterocyclyl C 0-10 alkyloxy, (C 0-10 )alkylaminocarbonyl, (C 1-10 )heteroalkylaminocarbonyl, aryl(C 0-10 )alkylaminocarbonyl, (C 3-12 )cycloalkyl(C 0-10 )alkylaminocarbonyl, heteroaryl(C 0-10 )alkylaminocarbonyl, heterocyclyl(C 0-10 )alkylaminocarbonyl, C 0-10 alkylcarbonylaminoC 0-10 alkyl, C 1-10 heteroalkylcarbonylaminoC 0-10 alkyl, C 3-12 cycloalkyl C 0-10 alkylcarbonylaminoC 0-10 alkyl, aryl C 0-10 alkylcarbonylaminoC 0-10 alkyl, heteroaryl C 0-10 alkylcarbonylaminoC 0-10 alkyl, heterocyclyl C 0-10 alkylcarbonylamino, —SO 2 N(C 1-6 alkyl) 0-2 , C 0-6 alkylS(O) 1-2 amino, —SO 2 CF 3 , —SO 2 CF 2 H, amino, (C 0-10 alkyl) 1-2 amino, hydroxy, (C 1-10 alkyl)OH, cyano, C 1-6 haloalkyl, —CO 2 (C 1-10 alkyl), (C 0-10 alkyl) CO 2 H, OXO, C 1-10 alkylS(O) 1-2 , C 1-10 heteroalkyl S(O) 1-2 , (C 3-12 )cycloalkylS(O) 1-2 , heterocyclyl S(O) 1-2 , heteroarylS(O) 1-2 , and arylS(O) 1-2 ; wherein R 5 is each substituted with 0, 1, 2, 3, or 4 R 6 ; each R 6 is independently selected from: halogen, C 1-10 alkyl, C 1-6 haloalkyl, C 1-10 heteroalkyl, aryl C 0-10 alkyl, C 3-12 cycloalkyl C 0-10 alkyl, heteroaryl C 0-10 alkyl, heterocyclyl C 0-10 alkyl, amino C 0-10 alkyl, ((C 1-10 )alkyl) 1-2 amino, —CO 2 (C 1-10 alkyl), —(C 0-10 alkyl) CO 2 H, OXO, hydroxy, —(C 1-10 alkyl)OH, C 1-10 alkoxy, cyano, and aminocarbonyl; and wherein R 6 is each substituted with 0, 1, 2, or 3, R 7 substituents and each R 7 is independently selected from: C 1-4 alkyl, hydroxy, —CO 2 (C 1-6 alkyl), —(C 0-6 alkyl) CO 2 H, C 1-6 alkoxy, halogen, C 1-6 haloalkyl, cyano, and amino. 2. The compound of claim 1 or a pharmaceutically acceptable salt thereof, wherein X is N. 3. The compound of claim 1 or a pharmaceutically acceptable salt thereof, wherein X is CH. 4. The compound of claim 3 or a pharmaceutically acceptable salt thereof, wherein R 1 is phenyl or pyridyl, wherein R 1 is substituted by 0, 1, 2 or 3 R 5 . 5. The compound of claim 4 or a pharmaceutically acceptable salt thereof, wherein R 5 is independently selected from: halogen, C 1-10 alkyl, aryl C 0-10 alkyl, C 3-12 cycloalkylC 0 -10 alkyl, heteroaryl C 0-10 alkyl, heterocyclyl C 0-10 alkyl, C 1-10 alkylcarbonylC 0-10 alkyl, C 1-10 heteroalkylcarbonylC 0-10 alkyl, arylcarbonylC 0-10 alkyl, (C 3-12 )cycloalkyl carbonylC 0-10 alkyl, heteroarylcarbonylC 0-10 alkyl, heterocyclylcarbonylC 0-10 alkyl, ((C 0-10 )alkyl) 1-2 aminocarbonyl, C 1-10 alkoxy, aryl C 0-10 alkyloxy, C 3-12 cycloalkyloxy, heteroaryl C 0-10 alkyloxy, heterocyclyl C 0-10 alkyloxy, (C 0-10 )alkylaminocarbonyl, (C 1-10 )heteroalkylaminocarbonyl, aryl(C 0-10 )alkylaminocarbonyl, (C 3 -12)cycloalkyl(C 0-10 )alkylaminocarbonyl, heteroaryl(C 0-10 )alkylaminocarbonyl, heterocyclyl(C 0-10 )alkylaminocarbonyl, C 0-10 alkylcarbonylaminoC 0-10 alkyl, heterocyclyl C 0-10 alkylcarbonylamino, —SO 2 N(C 1-6 alkyl) 0-2 , C 0-6 alkylS(O) 1-2 amino, amino, (C 0-10 alkyl) 1-2 amino, hydroxy, —(C 1-10 alkyl)OH, cyano, C 1-6 haloalkyl, —(C 0-10 alkyl) CO 2 H, oxo, C 1-10 alkylS(O) 1-2 , wherein R 5 is each substituted with 0, 1, 2, 3, or 4 R 6 . 6. The compound of claim 5 or a pharmaceutically acceptable salt thereof, wherein R 5 is independently selected from: pyridyl, pyrimidinyl, furyl, pyrazolyl, thiophenyl, methylsulfonylamino, pyrrolidinylcarbamoyl, imidazolyl, triazoylyl, oxazolidinyl, azetidinylcarbamoyl, (pyrrolidinylmethyl) carbamoyl, diazaspiro[3.3]heptane-carbonyl, ethylcarbamoyl, azetidinylcarbonyl, aminocarbonyl, morpholinylcarbonyl, piperazinylcarbonyl, methylcarbamoyl, 1-oxa-3,8-diazaspiro[4.5]decanyl, imidazolidinyl, pyrrolidinylcarbonylamino, ethylcarbonylamino, thiophenyl, phenyl, 1-oxa-4,7-diazaspiro[4,4]nonane-carbonyl, 2,8-diazaspiro[3.5]nonane-carbonyl, piperidylcarbamoyl, octahydropyrrolo[2,3-b]pyrrole-carbonyl, (morpholinoethyl) carbamoyl, morpholinocarbonyl, octahydropyrrolo[3,4-b][1,4]oxazine-carbonyl, pyridazinyl, 1,2-dihydropyridazinyl, 1,2,4-thiadiazolyl, 1,2,4-triazolyl, isoxazolyl, tetrazolyl, 1,2,3,4-tetrahydropyrimidinyl, 1,2,4-thiadiazolyl, pyrrolidinyl, pyrazolyloxy, ethoxy, phenoxy, 1,2-dihydropyridinyl, —NHS(O)2H, 1,3,4-oxathiazinanyl, halogen, and pyridazinyl, wherein R 5 is each substituted with 0, 1, 2, 3, or 4 R 6 . 7. The compound of claim 6 or a pharmaceutically acceptable salt thereof, wherein each R 6 is independently selected from hydroxy, oxo, methyl, carboxy, fluoro, chloro, amino, hydroxyethyl, pyrrolidinylmethyl, 2,2,2-trifluoroethyl, benzyl, cyclopropyl, ethoxy, morpholinyl, cyano, trifluoromethyl, methylcarboxy, aminocarbonyl (carbamoyl), dimethylamino, dimethylsulfamoyl, ethylsulfonyl, and methoxy, wherein R 6 is each substituted with 0,1, or 2, R 7 substituents, and the other groups are provided in the general formula above, or as in the first through sixth embodiments. 8. The compound of claim 7 or a pharmaceutically acceptable salt thereof, wherein each R 2 is independently selected from: piperidinyl, dimethylamino, tetrahydropyranylamino, 5-azaspiro[2.5]octanyl, cyclobutylamino, 2,7-diazaspiro[4.5]decanyl, azetidinyl, oxetanylamino, cyclohexylamino, cyclopentylamino, azabicyclo[3.1.0]hexanyl, pyrrolidinyl, diethylamino, tetrazolyl, 1-oxa-3-az
Heterocyclic compounds containing more than one system of two or more relevant hetero rings condensed among themselves or condensed with a common carbocyclic ring system not provided for in groups C07D453/00 or C07D455/00 · CPC title
Ortho-condensed systems · CPC title
Ortho-condensed systems · CPC title
containing a six-membered ring with nitrogen as a ring hetero atom, e.g. pipamperone, anabasine · CPC title
containing a six-membered ring with nitrogen as a ring heteroatom, e.g. amrinone · CPC title
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