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NZ752732B2 - Oxysterols and methods of use thereof - Google Patents
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NZ752732B2 - Oxysterols and methods of use thereof - Google Patents

Oxysterols and methods of use thereof Download PDF

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Publication number
NZ752732B2
NZ752732B2 NZ752732A NZ75273217A NZ752732B2 NZ 752732 B2 NZ752732 B2 NZ 752732B2 NZ 752732 A NZ752732 A NZ 752732A NZ 75273217 A NZ75273217 A NZ 75273217A NZ 752732 B2 NZ752732 B2 NZ 752732B2
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New Zealand
Prior art keywords
disorder
compound
acceptable salt
pharmaceutically acceptable
halogen
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NZ752732A
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NZ752732A (en
Inventor
Andrew Griffin
Boyd L Harrison
Daniel La
Botella Gabriel Martinez
Albert J Robichaud
Francesco G Salituro
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Sage Therapeutics Inc
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Publication date
Application filed by Sage Therapeutics Inc filed Critical Sage Therapeutics Inc
Priority claimed from PCT/US2017/057277 external-priority patent/WO2018075699A1/en
Publication of NZ752732A publication Critical patent/NZ752732A/en
Publication of NZ752732B2 publication Critical patent/NZ752732B2/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/56Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids
    • A61K31/575Compounds containing cyclopenta[a]hydrophenanthrene ring systems; Derivatives thereof, e.g. steroids substituted in position 17 beta by a chain of three or more carbon atoms, e.g. cholane, cholestane, ergosterol, sitosterol
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/16Drugs for disorders of the alimentary tract or the digestive system for liver or gallbladder disorders, e.g. hepatoprotective agents, cholagogues, litholytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P19/00Drugs for skeletal disorders
    • A61P19/02Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/02Drugs for disorders of the nervous system for peripheral neuropathies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/06Antimigraine agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/08Antiepileptics; Anticonvulsants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/14Drugs for disorders of the nervous system for treating abnormal movements, e.g. chorea, dyskinesia
    • A61P25/16Anti-Parkinson drugs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/18Antipsychotics, i.e. neuroleptics; Drugs for mania or schizophrenia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/20Hypnotics; Sedatives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/22Anxiolytics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/24Antidepressants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/28Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/16Otologicals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07JSTEROIDS
    • C07J17/00Normal steroids containing carbon, hydrogen, halogen or oxygen, having an oxygen-containing hetero ring not condensed with the cyclopenta(a)hydrophenanthrene skeleton
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07JSTEROIDS
    • C07J43/00Normal steroids having a nitrogen-containing hetero ring spiro-condensed or not condensed with the cyclopenta(a)hydrophenanthrene skeleton
    • C07J43/003Normal steroids having a nitrogen-containing hetero ring spiro-condensed or not condensed with the cyclopenta(a)hydrophenanthrene skeleton not condensed
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07JSTEROIDS
    • C07J9/00Normal steroids containing carbon, hydrogen, halogen or oxygen substituted in position 17 beta by a chain of more than two carbon atoms, e.g. cholane, cholestane, coprostane

Abstract

Compounds are provided according to Formula (I): and pharmaceutically acceptable salts thereof, and pharmaceutical compositions thereof; wherein R1, R2, R3, R4, R5, and R6 are as defined herein. Compounds of the present invention are contemplated useful for the prevention and treatment of a variety of conditions.

Claims (58)

What is claimed is:
1. A compound of Formula (I-59): (I-59), or a pharmaceutically acceptable salt thereof, wherein: R2 is hydrogen, C1-C6 alkyl, carbocyclyl, or heterocyclyl, wherein said C1-C6 alkyl is optionally substituted with 1-5 substituents independently selected from the group consisting of n, cyano, -OH, and C1-C6 alkoxy, and each of said yclyl and heterocyclyl is independently optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; R3 is hydrogen; or R2 and R3, together with the carbon atom to which they are attached, form a 3-8 membered ring optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; each of R4 and R5 is independently hydrogen, n, or –ORC, wherein RC is en or C1-C6 alkyl optionally substituted with 1-5 substituents ndently ed from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy; or R4 and R5, together with the carbon atom to which they are attached, form an oxo group; R6 is absent or hydrogen; and represents a single or double bond, wherein when one of is a double bond, the other is a single bond; when both of are single bonds, then R6 is hydrogen; and when one of is a double bond, R6 is absent.
2. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is hydrogen or C1-C6 alkyl optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
3. The nd of claim 1, or a pharmaceutically able salt f, wherein R2 is C1-C6 alkyl substituted with 1-5 halogen.
4. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein each of R2 and R3 is independently substituted C1-C6 alkyl or hydrogen or C1-C6 alkyl substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
5. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is unsubstituted C1-C6 alkyl or hydrogen.
6. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is hydrogen or C1-C6 alkyl substituted with 1-5 halogen.
7. The compound of claim 1, or a pharmaceutically able salt thereof, wherein R2 is hydrogen, carbocyclyl, or heterocyclyl, wherein each of said carbocyclyl and heterocyclyl is independently optionally substituted with 1-5 substituents independently selected from the group ting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
8. The nd of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is independently en or C2-C6 alkyl optionally substituted with 1-5 tuents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
9. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is isopropyl, tert-butyl, or hydrogen, wherein each of said isopropyl and tert-butyl is independently substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
10. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is C3-C6 alkyl, carbocyclyl, or heterocyclyl, wherein said C3-C6 alkyl is optionally substituted with 1-5 substituents independently selected from the group ting of halogen, cyano, -OH, and C1-C6 alkoxy, and each of said carbocyclyl and heterocyclyl is independently ally substituted with 1-5 substituents independently selected from the group ting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
11. The compound of claim 1, or a pharmaceutically able salt thereof, wherein R2 and R3, together with the carbon atom to which they are attached, form a 3-8 membered ring optionally tuted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
12. The compound of claim 1, or a pharmaceutically able salt thereof, n R2 is isopropyl or tert-butyl, wherein each of said pyl and tert-butyl is independently ally substituted with 1-5 tuents independently ed from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
13. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is tert-butyl optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
14. The compound of claim 1, or a ceutically acceptable salt thereof, n R2 is methyl optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
15. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R4 is – OH or halogen.
16. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R4 and R5, together with the carbon atom to which they are attached, form an oxo group.
17. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R4 is hydrogen and R5 is halogen.
18. The compound of claim 1, or a pharmaceutically able salt thereof, wherein R4 and R5 are halogen.
19. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R4 and R5 are hydrogen.
20. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 and R3, together with the carbon atom to which they are attached, form a 5-membered ring optionally substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
21. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 and R3, together with the carbon atom to which they are attached, form a 6-membered ring optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
22. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is carbocyclyl or cyclyl, wherein each of said carbocyclyl and heterocyclyl is independently optionally tuted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
23. The compound of claim 1, or a pharmaceutically acceptable salt f, wherein R2 is
24. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is isopropyl optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
25. The compound of claim 1, or a pharmaceutically acceptable salt f, wherein R2 and R3, er with the carbon atom to which they are attached, form a 3-8 membered carbocyclic or heterocyclic ring ally substituted with 1-2 substituents independently selected from the group consisting of halogen and C1-C6 alkyl.
26. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein R2 is cyclobutyl optionally substituted with 1-5 tuents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
27. The compound of claim 1, or a ceutically acceptable salt thereof, wherein R2 is tetrahydropyranyl optionally substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
28. The compound of claim 1, or a pharmaceutically acceptable salt thereof, wherein the compound of Formula (I-59) is selected from: (a) a compound of Formula (I-A59), (I-B59), or (I-C59): (I-A59), (I-B59), or (I-C59); (b) a nd of Formula (I-B59): (I-B59); (c) a compound of Formula (I-C59): (I-C59); (d) a compound of Formula (I-D59): (I-D59); (e) a nd of Formula (I-E59): (I-E59); (f) a compound of Formula (I-D-i59) or (I-D-ii59): (I-D-i59) or (I-D-ii59); (g) a compound of Formula (I-E-i59) or (I-E-ii59): (I-E-i59) or (I-E- ii59).
29. The nd of claim 1, wherein the compound is: , , , , , , H H HO H , , , , , , , , , , , , H H , HO H , , , H H , HO , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , or
30. The compound of claim 1, n the compound is: , , , , , , , , , , , , , , , or .
31. The compound of claim 1, n the compound is a pharmaceutically acceptable salt , , , , , , H H HO H , , , , , , , , , , , , H H , HO H , , , H H , HO , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , or
32. The compound of claim 1, n the compound is a pharmaceutically acceptable salt , , , , , , , , , , , , , , , or .
33. A compound of Formula (I-66): (I-66), or a pharmaceutically acceptable salt thereof, wherein: R1 is C1-C6 alkyl optionally substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy; R2 is aralkyl, aralkyl, aryl, or heteroaryl, wherein each of said aralkyl, heteroaralkyl, aryl, and heteroaryl is independently optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; R3 is hydrogen, C1-C6 alkyl, carbocyclyl, heterocyclyl, aryl, or aryl, wherein said C1-C6 alkyl is optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 , and each of said carbocyclyl, heterocyclyl, aryl, and heteroaryl is ndently optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; each of R4 and R5 is independently hydrogen, n, or –ORC, wherein RC is hydrogen or C1-C3 alkyl optionally substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy; or R4 and R5, together with the carbon atom to which they are attached, form an oxo group; R6 is absent or hydrogen; and represents a single or double bond, wherein when one of is a double bond, the other is a single bond; when both of are single bonds, then R6 is hydrogen; and when one of is a double bond, R6 is absent.
34. The nd of claim 33, or a pharmaceutically acceptable salt thereof, wherein R1 is C1-C6 alkyl substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
35. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R1 is unsubstituted C1-C6 alkyl.
36. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R2 is aryl, heteroaryl, or aralkyl, wherein each of said aryl, heteroaryl, and aralkyl is independently ally substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
37. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R2 is phenyl, pyridyl, or benzyl, wherein each of said phenyl, l, and benzyl is independently optionally substituted with 1-5 substituents independently ed from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy.
38. The nd of claim 33, or a pharmaceutically acceptable salt f, wherein R3 is hydrogen or C1-C6 alkyl optionally substituted with 1-5 substituents ndently selected from the group consisting of halogen, cyano, -OH, and C1-C6 alkoxy.
39. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R3 is hydrogen, tituted C1-C6 alkyl, or C1-C6 alkyl substituted with 1-5 halogen.
40. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R4 is –OH or halogen.
41. The nd of claim 33, or a pharmaceutically acceptable salt thereof, wherein R4 and R5, together with the carbon atom to which they are attached, form an oxo group.
42. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R4 is hydrogen and R5 is halogen.
43. The nd of claim 33, or a ceutically acceptable salt thereof, wherein R4 and R5 are halogen.
44. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R4 and R5 are hydrogen.
45. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R2 is aryl, heteroaryl, aralkyl, or heteroaralkyl, wherein each of said aryl, aryl, aralkyl, and heteroaralkyl is independently optionally substituted with 1-5 substituents independently selected from the group ting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; and R3 is hydrogen, unsubstituted C1-C6 alkyl, or C1-C6 alkyl substituted with 1-5 halogen.
46. The nd of claim 33, or a pharmaceutically acceptable salt thereof, wherein R2 is aryl, heteroaryl, aralkyl, or aralkyl, wherein each of said aryl, heteroaryl, aralkyl, and heteroaralkyl is ndently optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; and R3 is hydrogen, –CH3, or –CF3.
47. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein R1 is unsubstituted C1-C6 alkyl; R2 is aryl, heteroaryl, aralkyl, or aralkyl, wherein each of said aryl, heteroaryl, aralkyl, and aralkyl is independently optionally substituted with 1-5 substituents independently selected from the group consisting of halogen, cyano, -OH, C1-C6 alkyl, and C1-C6 alkoxy; and R3 is hydrogen, –CH3, or –CF3.
48. The compound of claim 33, or a pharmaceutically acceptable salt thereof, wherein the compound of Formula (I-66) is selected from: (a) a compound of Formula (I-A66), (I-B66), or (I-C66): (I-A66), (I-B66), or (I-C66); or (b) a compound of Formula (I-A66):
49. The compound of claim 33, wherein the compound is: , , , , , , , , , , , OH OH H N H N H H H H HO HO , , , , , , , , , , , , , , , , , , , , , , , , , or .
50. The compound of claim 33, n the compound is: , , , , , , , or .
51. The compound of claim 33, wherein the nd is a pharmaceutically acceptable salt , , , , , , , , , , , OH OH H N H N H H H H HO HO , , , , , , , , , , , , , , , , , , , , , , , , , or .
52. The compound of claim 33, wherein the nd is a pharmaceutically acceptable salt , , , , , , , or .
53. A pharmaceutical composition comprising a compound of any one of claims 1-30 and 33-50, and a pharmaceutically acceptable r.
54. A pharmaceutical composition comprising a pharmaceutically acceptable salt of any one of claims 1-28, 31-48, and 51-52, and a pharmaceutically acceptable carrier.
55. Use of a compound or pharmaceutically acceptable salt of any one of claims 1-52, or a pharmaceutical composition of claim 53-54, in the manufacture of a medicament for treating a disorder in a subject in need thereof, wherein: (a) the disorder is a gastrointestinal (GI) er, a structural disorder affecting the GI tract, an anal disorder, colon polyps, cancer, or colitis; (b) the disorder is inflammatory bowel disease; (c) the disorder is cancer, es, or a sterol synthesis disorder; (d) the disorder is a metabolic disorder; (e) the disorder is an autoimmune disorder; (f) the disorder is rheumatoid tis, juvenile idiopathic arthritis, ankylosing spondylitis, psoriatic arthritis, Crohn’s disease, tive colitis, or plaque psoriasis; or (g) the disorder is Smith-Lemli-Opitz Syndrome (SLOS), desmosterolosis, erolemia, cerebrotendinous matosis (CTX), Mevalonate Kinase Deficiency (MKD), SC4MOL gene mutation (SMO Deficiency), Niemann-Pick e, an autism spectrum disorder, or a disorder associated with phenylketonuria.
56. Use of a compound or pharmaceutically acceptable salt of any one of claims 1-52, or a pharmaceutical composition of claim 53-54, in the manufacture of a medicament for preventing a disorder in a subject in need thereof, wherein: (a) the disorder is a gastrointestinal (GI) disorder, a structural disorder affecting the GI tract, an anal disorder, colon polyps, , or colitis; (b) the disorder is inflammatory bowel disease; (c) the disorder is cancer, diabetes, or a sterol synthesis disorder; (d) the disorder is a metabolic disorder; (e) the disorder is an autoimmune disorder; (f) the disorder is rheumatoid arthritis, juvenile idiopathic arthritis, ankylosing spondylitis, psoriatic arthritis, Crohn’s disease, ulcerative colitis, or plaque psoriasis; or (g) the er is Smith-Lemli-Opitz Syndrome , desmosterolosis, sitosterolemia, cerebrotendinous xanthomatosis (CTX), Mevalonate Kinase Deficiency (MKD), SC4MOL gene mutation (SMO Deficiency), Niemann-Pick disease, an autism spectrum disorder, or a disorder associated with phenylketonuria.
57. Use of a compound or pharmaceutically acceptable salt of any one of claims 1-52, or a pharmaceutical composition of claim 53 or 54, in the cture of a medicament for treating a lated condition in a subject in need thereof, wherein: (a) the CNS-related condition is an adjustment disorder, an anxiety disorder, a cognitive disorder, a dissociative disorder, an eating disorder, a mood disorder, schizophrenia or r psychotic disorder, a sleep disorder, a substance-related disorder, a personality disorder, an autism um disorder, a neurodevelopmental disorder, multiple sclerosis, a sterol synthesis disorder, pain, an alopathy secondary to a medical condition, a seizure disorder, stroke, traumatic brain , a movement disorder, vision impairment, hearing loss, or tinnitus; (b) the CNS-related condition is a sterol synthesis disorder; (c) the CNS-related condition is schizophrenia or another tic disorder, a sleep disorder, an autism um disorder, multiple sclerosis, a movement disorder, attention deficit disorder, attention t hyperactivity disorder, a metabolic alopathy, post-partum psychosis, or a syndrome associated with high titers of anti-NMDA receptor antibodies; (d) the CNS-related condition is a cognitive disorder, a sterol synthesis er, or an eating disorder; (e) the CNS-related ion is schizophrenia; (f) the CNS-related condition is an autism um disorder; (g) the CNS-related condition is Huntington’s disease or Parkinson’s disease; (h) the CNS-related condition is a cognitive disorder; (i) the CNS-related condition is Alzheimer’s disease; or (j) the CNS-related condition is anti-NMDA receptor encephalitis.
58. Use of a compound or pharmaceutically acceptable salt of any one of claims 1-52, or a pharmaceutical composition of claim 53 or 54, in the manufacture of a medicament for preventing a CNS-related ion in a subject in need thereof, n: (a) the CNS-related ion is an adjustment disorder, an anxiety er, a cognitive disorder, a dissociative disorder, an eating disorder, a mood disorder, schizophrenia or another psychotic disorder, a sleep disorder, a substance-related disorder, a personality disorder, an autism spectrum disorder, a neurodevelopmental disorder, multiple sclerosis, a sterol sis disorder, pain, an encephalopathy secondary to a medical condition, a seizure disorder, stroke, traumatic brain injury, a nt disorder, vision impairment, hearing loss, or tinnitus; (b) the lated condition is a sterol synthesis disorder; (c) the CNS-related condition is schizophrenia or another tic disorder, a sleep disorder, an autism spectrum disorder, multiple sclerosis, a movement disorder, attention deficit disorder, ion deficit hyperactivity disorder, a metabolic encephalopathy, post-partum psychosis, or a syndrome associated with high titers of anti-NMDA receptor antibodies; (d) the CNS-related condition is a cognitive disorder, a sterol synthesis disorder, or an eating disorder; (e) the CNS-related condition is schizophrenia; (f) the CNS-related condition is an autism spectrum disorder; (g) the CNS-related condition is Huntington’s disease or son’s disease; (h) the CNS-related condition is a cognitive disorder; (i) the CNS-related condition is mer’s disease; or (j) the CNS-related condition is anti-NMDA receptor encephalitis.
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US201662409772P 2016-10-18 2016-10-18
US201662409761P 2016-10-18 2016-10-18
US201662409767P 2016-10-18 2016-10-18
US201662409764P 2016-10-18 2016-10-18
US201662409774P 2016-10-18 2016-10-18
PCT/US2017/057277 WO2018075699A1 (en) 2016-10-18 2017-10-18 Oxysterols and methods of use thereof

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