Opioid agonist antagonist combinations
US-9211293-B2 · Dec 15, 2015 · US
US9416137B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-9416137-B2 |
| Application number | US-201514833334-A |
| Country | US |
| Kind code | B2 |
| Filing date | Aug 24, 2015 |
| Priority date | May 24, 2013 |
| Publication date | Aug 16, 2016 |
| Grant date | Aug 16, 2016 |
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The present application relates to analogues of morphan and morphinan, compositions thereof, and methods for treating a disease or condition comprising administering an effective amount of the compounds or compositions to a subject in need thereof.
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The invention claimed is: 1. A compound of Formula I: or a pharmaceutically acceptable salt thereof, wherein R 1 is cyclobutyl or R 2 is H or methoxy; and R 3 and R 4 are each, independently, H, hydroxyl, or NR 5 R 6 wherein R 5 and R 6 are each independently H, alkyl, or substituted acyl, or alternatively, R 3 and R 4 , together with the carbon atom to which they are attached, form C═O or C═CH 2 . 2. The compound of claim 1 , wherein R 1 is cyclobutyl. 3. The compound of claim 1 , wherein R 2 is H. 4. The compound of claim 1 , wherein one of R 3 or R 4 , but not both, is hydroxyl, or alternatively, R 3 and R 4 , together with the carbon atom to which they are attached, form C═O. 5. The compound of claim 1 , wherein the compound is a μ opioid receptor agonist having an Emax of 5% to 45% in a GTPγS binding assay. 6. The compound of claim 5 , wherein the Emax is 15% to 35% in a GTPγS binding assay. 7. The compound of claim 1 , having a maximal dopamine efflux in the nucleus accumbens of 125% to 300% over baseline in a rat. 8. The compound of claim 7 , having a maximal dopamine efflux in the nucleus accumbens of 200% to 300% over baseline in a rat. 9. The compound of claim 1 , wherein the compound does not attenuate thermal pain in a rodent hot plate model when administered at a dose of at least 1 mg/kg. 10. The compound of claim 9 , wherein the compound does not attenuate thermal pain in a rodent hot plate model when administered at a dose of at least 3 mg/kg. 11. The compound of claim 9 , wherein the compound does not attenuate thermal pain in a rodent hot plate model when administered at a dose of 10 mg/kg. 12. A method of treating a depressive symptom in a subject in need thereof, the method comprising administering to the subject an effective amount of a μ opioid receptor agonist of Formula I: or a pharmaceutically acceptable salt thereof, wherein R 1 is cyclobutyl or R 2 is H or methoxy; and R 3 and R 4 are each, independently, H, hydroxyl, or NR 5 R 6 wherein R 5 and R 6 are each independently H, alkyl, or substituted acyl, or alternatively, R 3 and R 4 , together with the carbon atom to which they are attached, form C═O or C═CH 2 , wherein the μ opioid receptor agonist exhibits an Emax of 5% to 45% in a GTPγS binding assay. 13. A method of treating a depressive symptom in a subject in need thereof, the method comprising administering to the subject an effective amount of a compound of Formula I: or a pharmaceutically acceptable salt thereof, wherein R 1 is cyclobutyl or R 2 is H or methoxy; and R 3 and R 4 are each, independently, H, hydroxyl, or NR 5 R 6 wherein R 5 and R 6 are each independently H, alkyl, or substituted acyl, or alternatively, R 3 and R 4 , together with the carbon atom to which they are attached, form C═O or C═CH 2 , wherein the compound has a maximal dopamine efflux in the nucleus accumbens of 125% to 300% over base line in a rat. 14. A method of treating a depressive symptom in a subject in need thereof, the method comprising administering to the subject an effective amount of a compound of Formula I: or a pharmaceutically acceptable salt thereof, wherein R 1 is cyclobutyl or R 2 is H or methoxy; and R 3 and R 4 are each, independently, H, hydroxyl, or NR 5 R 6 wherein R 5 and R 6 are each independently H, alkyl, or substituted acyl, or alternatively, R 3 and R 4 , together with the carbon atom to which they are attached, form C═O or C═CH 2 , wherein the compound does not attenuate thermal pain in a rodent hot plate model when administered at a dose of at least 1 mg/kg. 15. A method of treating a depressive symptom in a subject in need thereof, comprising administering to the subject the compound of claim 1 , or a pharmaceutically acceptable salt thereof. 16. The method of claim 15 , wherein the depressive symptom is acute stress disorder, adjustment disorders with depressed mood, Asperger syndrome, attention deficit, bereavement, bipolar I disorder, bipolar II disorder, borderline and personality disorder, cyclothymia and dysthymia, depression such as major depressive disorder (MDD) and treatment-resistant disorder (TRD), Dysthymic disorder, hyperactivity disorder, impulse control disorder, mixed mania, obsessive-compulsive personality disorder (OCD), paranoid, post-traumatic stress disorder, seasonal affective disorder, self-injury separation, sleep disorder, substance-induced mood disorder, Tourette syndrome and tic disorder, and/or Trichotillomania. 17. The compound of claim 1 , wherein substituted acyl is wherein R 11 is linear or branched C 1 -C 6 alkyl; R 12 is halo, C 1 -C 6 alkyl, or C 1 -C 6 alkoxy; and R 13 is aryl or heteroaryl.
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