| Summary: |
Maintaining
a specific membrane potential is a critical to various cellular functions
in a variety of mammalian cells. The heart, central and peripheral
nervous system, and muscle function all depend on the proper regulation
and timing of changes in membrane potential. Voltage gated sodium
channels play a key role in these processes. To date, nine voltage
gated sodium channels, designated Nav1.1 to Nav1.9 have been identified, and improper activity can lead to a number
of negative health consequences. Nav1.7, for example, has been linked
to the sensation of pain. Loss of function mutations of this ion channel
have been documented in humans and lead to congenital insensitivity
to normally painful stimuli. Increased Nav1.7, however, has been associated
with increased sensitivity to pain. These observations suggest that
Nav1.7 blockade may be a viable method of treating pain, and compounds
such as Raxatrigine (CNV1014802), a Nav1.7 blocker that recently completed
phase II clinical trials for the treatment of lumbar radiculopathy
(sciatica), appear to have validated this hypothesis. The present
disclosure describes a series of compounds capable of modulating Nav1.7
activity and their use as treatment for chronic pain, acute pain,
neuropathic pain, as well as pain associated with rheumatoid arthritis,
osteoarthritis, cancer, or diabetes. The present disclosure also describes
methods of treating cough and itch with the compounds of the disclosure. |
| Important Compound Classes: |
 |
| Definitions: |
|
| |
R1 is
a 5-,6-, 7-, 8-, 9-, or 10-membered aryl or heteroaryl, or a 3-,4-,5-,6-,
7-, 8-, 9-, or 10- membered cycloalkyl or heterocycloalkyl group,
wherein the heteroaryl or heterocycloalkyl group can have from 1 to
3 heteroatoms independently selected from O, N, or S, or a carbon
atom in the cycloalkyl or heterocycloalkyl group can be part of a
C = O group, and the aryl, heteroaryl, cycloalkyl, or heterocycloalkyl
group is substituted with 0, 1, 2, 3, or 4 substituents independently
selected from halo, −CN, −C1–6alkyl,
haloC 1–6alkyl, −OH, −O–C1–6alkyl, −O-halo C1–6alkyl,
−C(=O)ORa, or -(CRbRb)nNRaRa; |
| |
R2 is C1–6alkyl, or a 5-,6-, 7-, 8-, 9-, or 10-membered aryl or heteroaryl,
or a 3-, 4-, 5-, 6-, 7-, 8-, 9-, or 10- membered cycloalkyl or heterocycloalkyl
group, where the heteroaryl or heterocycloalkyl group can have from
1 to 3 heteroatoms independently selected from O, N or S, or a carbon
atom in the cycloalkyl or heterocycloalkyl group can be part of a
C=O group, and the alkyl, aryl, heteroaryl, cycloalkyl, or
heterocycloalkyl group is optionally substituted with from 1 to 5
R6 substituents independently selected from halo, −CN,
-C1–6alkyl, haloC1–6alkyl, −OH,
−O-C1–6alkyl, −O-haloC1–6alkyl, −(CRbRb)mA, −C2–6alkenyl-A, −C2–6alkynyl-A,
or −O(CRbRb)m-A; |
| |
each R3 is independently selected
from H, -C1–6alkyl, haloC1–6alkyl,
or halo; |
| |
each R4 is independently selected from H, -C1–6alkyl,
haloC1–6alkyl, or halo; |
| |
each R5 is independently selected from
H, -C1–6alkyl, haloC1–6alkyl,
or halo; |
| |
A is a 4 to 9 membered
aryl, heteroaryl, or heterocycloalkyl group, or a 3-, 4-, 5-, 6-,
7-, 8-, 9-, or 10- membered cycloalkyl group, where the heteroaryl
or heterocycloalkyl group can have from 1 to 3 heteroatoms independently
selected from O, N or S; and the aryl, heteroaryl, heterocycloalkyl,
or cycloalkyl group is substituted with 0, 1, 2, 3, or 4 R7 substituents independently selected from halo, -NRaRa, -C1–6alkyl, −O-C1–6alkyl, -(CRbRb)mOH, hydroxyC1–6alkyl, haloC1–6alkyl, -O-haloC1–6alkyl, −CN, -C(=O)NRaRa, -O-(CRbRb)mB or -(CRbRb)mB; |
| |
B is a 5 to 6 membered aryl, heteroaryl,
or heterocycloalkyl group, or a 3 to 5 membered cycloalkyl group,
where the heteroaryl or heterocycloalkyl group can have from 1 to
3 heteroatoms independently selected from O, N or S; and the aryl,
heteroaryl, cycloalkyl or heterocycloalkyl group is substituted with
0, 1, 2, 3, or 4 R8 substituents independently selected
from halo, -NRaRa, -C1–6alkyl,
-OC1–6alkyl, hydroxyC1–6alky1,
−CF3, −CHF2, −CH2F, -OCF3, -OCHF2, -OCH2F, −CN
or -C(=O)NRaRa; |
| |
each Ra is independently H, halo, −CN, -NRcRc, −OH, -C1–6alkyl, -C1–6haloalkyl, -OC1–6haloalkyl, or -OC1–6alkyl; |
| |
each Rb is independently H, halo, −CN, -NRcRc, −OH, -C1–6alkyl, -C1–6haloalkyl, -OC1–6haloalkyl, or -OC1–6alkyl; |
| |
each Rc is independently H or -C1–6alkyl; |
| |
each n is independently 0, 1, 2, 3, or 4; and |
| |
each m is independently 0, 1, 2,
3, or 4. |
| Key Structures: |

|
| Recent Review Articles: |
Rivara M.; Zuliani V.. Novel sodium channel
antagonists in the treatment of neuropathic pain. Expert Opin. Invest. Drugs 2016, 25( (2), ), 215–226. |
| Sun S.; Cohen C. J.; Dehnhardt C. M.. Inhibitors
of voltage-gated sodium channel Nav1.7: patent applications since
2010. Pharm. Patent Analyst 2014, 3( (5), ), 509–521. |
| King G. F.; Vetter I.. No Gain, No Pain:
NaV1.7 as an Analgesic Target. ACS Chem. Neurosci.; 2014, 5( (9), ), 749–751. |
| Biological Assay: |
Nav 1.7 In Vitro PatchXpress (PX) Assay: |
| |
HEK293 cells stably transfected with human Nav 1.
Seven were recorded in whole cell voltage clamp mode with the PatchXpress
automated electrophysiology system (Molecular Devices, LLC, Sunnyvale,
CA). Compound effects were measured on a partially inactivated state
of the sodium channel. Cells were clamped to a holding potential yielding
20 to 50% inactivation. To elicit sodium current, channels were activated
by pulsing to −10 mV for 20 ms. This voltage protocol was repeated
at a rate of 0.1 Hz throughout the experiment. A single concentration
of test compound was applied to cells for a duration of 3 min. Peak
sodium current was measured at the end of the compound addition period
to determine percent inhibition. Three to five cells were tested per
concentration, and IC50 curves were fitted to percent inhibition
as a function of concentration. |
| Biological
Data: |
 |
| Claims: |
26 Total claims |
| 25 Composition of
matter claims |
| 1 Method of use claim |