US2002111355A1PendingUtilityA1

Cyclic urea and cyclic amide derivatives

Assignee: AMERICAN HOME PRODPriority: May 4, 1999Filed: Jan 16, 2002Published: Aug 15, 2002
Est. expiryMay 4, 2019(expired)· nominal 20-yr term from priority
A61P 5/36A61P 5/24A61P 35/00A61P 5/00A61P 5/34A61P 15/00A61P 1/00C07D 498/04A61P 15/08A61P 15/18A61P 13/08A61P 15/16
47
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Claims

Abstract

This invention provides compounds of the formula: wherein: A, B and D are N or CH, with the proviso that A, B and D cannot all be CH; R 1 and R 2 are independent substituents selected from H, COR A , NR B COR A , or as defined herein; or R 1 and R 2 are fused to form an optionally substituted 3 to 8 membered spirocyclic or heterocyclic ring; R 3 is H, OH, NH 2 , or optionally substituted alkyl, or alkenyl, or COR C ; R 4 is a substituted benzene ring or a five or six membered ring with 1, 2, or 3 heteroatoms from the group defined herein or Q is O, S, NR 6 , or CR 7 R 8 ; R 6 , R 7 and R 8 are as defined herein; or CR 7 R 8 form a six membered ring; W is O or a chemical bond; as well as their use and pharmaceutical compositions as agonists and antagonists of the progesterone receptor.

Claims

exact text as granted — not AI-modified
What is claimed:  
     
         1 . A compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein: 
 A, B and D are N or CH, with the proviso that two or three of A, B and D are N;  
 R 1  and R 2  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , and NR B COR A ;  
 or R 1  and R 2  are fused to form a spirocyclic ring selected from the group consisting of a), b) and c): 
 a) a 3 to 8 membered saturated spirocyclic ring;  
 b) a 3 to 8 membered spirocyclic ring having one or more carbon-carbon double bonds; and  
 c) a 3 to 8 membered heterocyclic ring having in its backbone one to three heteroatoms selected from the group consisting of O, S and N;  
 
 the spirocyclic rings of a), b) and c) being optionally substituted by from 1 to 4 groups selected from the group consisting of fluorine, C 1  to C 6  alkyl, C 1  to C 6  alkoxy, C 1  to C 6  thioalkyl, CF 3 , OH, CN, NH 2 , NH(C 1  to C 6  alkyl), and N(C 1  to C 6  alkyl) 2 ;  
 R A  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R B  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;  
 R C  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R 4  is (i) or (i): 
 (i) a substituted benzene ring having the substituents X, Y and Z as shown below:  
                     
 wherein: 
 X is selected from the group consisting of halogen, CN, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, amino, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  aminoalkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 or 6 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR E COR D ;  
 R D  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R E  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 Y and Z are independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy; or  
 
 (ii) a five or six membered ring having in its backbone 1, 2, or 3 heteroatoms selected from the group consisting of O, S, SO, SO 2  and NW and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR G COR F ; 
 R F  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R G  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 5  is H or C 1  to C 3  alkyl;  
 
 
 Q is O or S;  
 or a pharmaceutically acceptable salt thereof.  
 
     
     
         2 . The compound according to  claim 1 , wherein: 
 R 1  and R 2  are H, C 1  to C 6  alkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , or NR B COR A ;    R 3 is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;    R 4 is (iii) or (iv): 
 (iii) the substituted benzene ring, wherein: 
 X is selected from the group consisting of halogen, CN, C 1  to C 3 alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  aminoalkyl, NO 2 , C 1  to C 3  perfluoroalkyl, a 5 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR E COR D ; or  
 
 (iv) the five or six membered ring having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, and C 1  to C 3  alkoxy.  
   
     
     
         3 . The compound according to  claim 1 , wherein: 
 R 1 =R 2  and are C 1  to C 3  alkyl or R 1  and R 2  are fused to form the 3 to 6 membered saturated spirocyclic ring;    R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, or COR C ;    R C  is H, C 1  to C 3  alkyl, or C 1  to C 3  alkoxy;    R 4  is selected from the group consisting of (v), (vi), and (vii): 
 (v) the substituted benzene ring of the formula:  
                     
 wherein: 
 X is selected from the group consisting of of halogen, CN, C 1  to C 3  alkoxy, C 1  to C 3  alkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, and C 1  to C 3  thioalkoxy;  
 Y is on the 4′ or 5′ position and is selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy;  
 
 (vi) the five membered ring of the structure:  
                     
 wherein: 
 U is O, S, or NR 5 ;  
 X′ is selected from the group consisting of halogen, CN, NO 2 , C 1  to C 3  alkyl, and C 1  to C 3  alkoxy;  
 Y′ is selected from the group consisting of H and C 1  to C 3  alkyl; and  
 
 (vii) the six membered ring of the structure:  
                     
 wherein: 
 X 1  is N or CX 2 ;  
 X 2  is halogen, CN or NO 2 .  
 
   
     
     
         4 . The compound according to  claim 1 , wherein: 
 R 1 =R 2  and are CH 3  or R 1  and R 2  are fused to form a 6 membered saturated spirocyclic ring;    R 3  is H, OH, NH 2 , CH 3 , substituted CH 3 , or COR C ;    R C  is H, C 1  to C 3  alkyl, or C 1  to C 3  alkoxy;    R 4  is the substituted benzene ring having the substituents X and Y as shown below:                          wherein:    X is halogen, CN, C 1  alkoxy, NO 2 , or 5-membered heterocyclic ring; wherein said heterocyclic ring is 2-thiazole;    Y is on the 4′ or 5′ position and is H or halogen; wherein said halogen is F.    
     
     
         5 . The compound according to  claim 4  wherein R 4  is the moiety:  
       
         
           
           
               
               
           
         
       
     
     
         6 . The compound according to  claim 1 , wherein: 
 R 1 =R 2  and are CH 3  or R 1  and R 2  are fused to form a 6 membered saturated spirocyclic ring;    R 3  is H, OH, NH 2 , CH 3 , substituted CH 3 , or COR C ;    R C  is H, C 1  to C 3  alkyl, or C 1  to C 3  alkoxy;    R 4  is the five membered ring of the structure:                          U is O, S, or NH;    X′ is halogen, CN, or NO 2 ;    Y′ is H or C 1  to C 3  alkyl.    
     
     
         7 . The compound according to  claim 6  wherein R 4  is the moiety:  
       
         
           
           
               
               
           
         
       
       wherein: 
 Y′ is H or C 1  to C 3  alkyl.  
 
     
     
         8 . A pharmaceutical composition comprising a pharmaceutically effective amount of a compound of  claim 1  and a pharmaceutically effective carrier or excipient.  
     
     
         9 . A method of inducing contraception in a mammal, the method comprising administering to a mammal in need thereof a pharmaceutically effective amount of a compound of  claim 1  or a pharmaceutically acceptable salt thereof.  
     
     
         10 . A method of treatment or prevention of benign or malignant neoplastic disease in a mammal, the method comprising administering to a mammal in need thereof a compound of  claim 1 , or a pharmaceutically acceptable salt thereof.  
     
     
         11 . The method according to  claim 10 , wherein the benign or malignant neoplastic disease is selected from the group consisting of uterine myometrial fibroids, endometriosis, benign prostatic hypertrophy; carcinomas or adenocarcinomas of the endometrium, ovary, breast, colon, prostate, pituitary, meningioma and other hormone-dependent tumors.  
     
     
         12 . A method of treatment or prevention in a mammal of carcinomas or adenocarcinomas of the endometrium, ovary, breast, colon, or prostate, the method comprising administering to a mammal in need thereof a compound of  claim 1 , or a pharmaceutically acceptable salt thereof.  
     
     
         13 . A compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein: 
 A, B and D are N or CH, with the proviso that two or more of A, B and D is N;  
 R 1  and R 2  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 2  to C 6  alkenyl, substituted C 2  to C 6  alkenyl, C 2  to C 6  alkynyl, substituted C 2  to C 6  alkynyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , and NR B COR A ;  
 or R 1  and R 2  are fused to form a spirocyclic ring selected from the group consisting of a), b) and c): 
 a) a 3 to 8 membered saturated spirocyclic ring;  
 b) a 3 to 8 membered spirocyclic ring having one or more carbon-carbon double bonds; and  
 c) a 3 to 8 membered heterocyclic ring having in its backbone one to three heteroatoms selected from the group consisting of O, S and N;  
 
 the spirocyclic rings of a), b) and c) being optionally substituted by from 1 to 4 groups selected from the group consisting of fluorine, C 1  to C 6  alkyl, C 1  to C 6  alkoxy, C 1  to C 6  thioalkyl, CF 3 , OH, CN, NH 2 , NH(C 1  to C 6  alkyl), and N(C 1  to C 6  alkyl) 2 ;  
 R A  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R B  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;  
 R C  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R 4  is (i) or (ii): 
 (i) a substituted benzene ring having the substituents X, Y and Z as shown below:  
                     
 wherein: 
 X is selected from the group consisting of halogen, CN, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, amino, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  amino alkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 or 6 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR E COR D ;  
 R D  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R E  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 Y and Z are independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy; or  
 
 (ii) a five or six membered ring having in its backbone 1, 2, or 3 heteroatoms selected from the group consisting of O, S, SO, SO 2  and NR 5  and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR G COR F ; 
 R F  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R G  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 5  is H or C 1  to C 3  alkyl;  
 
 
 Q is O, S, NR 6 , or CR 7 R;  
 R 6  is selected from the group consisting of CN, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, and SO 2 CF 3 ;  
 R 7  and R 8  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, NO 2 , CN, and CO 2 R 9 ;  
 R 9  is C 1  to C 3  alkyl;  
 or CR 7 R 8  form a six membered ring having the structure below:  
                     
 W is a chemical bond;  
 or a pharmaceutically acceptable salt thereof.  
 
     
     
         14 . A compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein: 
 A, B and D are N or CH, with the proviso that two or more of A, B and D is N;  
 R 1  and R 2  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 2  to C 6  alkenyl, substituted C 2  to C 6  alkenyl, C 2  to C 6  alkynyl, substituted C 2  to C 6  alkynyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , and NR E COR A ;  
 or R 1  and R 2  are fused to form a spirocyclic ring selected from the group consisting of a), b) and c): 
 a) a 3 to 8 membered saturated spirocyclic ring;  
 b) a 3 to 8 membered spirocyclic ring having one or more carbon-carbon double bonds; and  
 c) a 3 to 8 membered heterocyclic ring having in its backbone one to three heteroatoms selected from the group consisting of O, S and N;  
 
 the spirocyclic rings of a), b) and c) being optionally substituted by from 1 to 4 groups selected from the group consisting of fluorine, C 1  to C 6  alkyl, C 1  to C 6  alkoxy, C 1  to C 6  thioalkyl, CF 3 , OH, CN, NH 2 , NH(C 1  to C 6  alkyl), and N(C 1  to C 6  alkyl) 2 ;  
 R A  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R B  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;  
 R C  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R 4  is (i) or (ii): 
 (i) a substituted benzene ring having the substituents X, Y and Z as shown below:  
                     
 wherein: 
 X is selected from the group consisting of halogen, CN, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, amino, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  aminoalkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 or 6 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR B COR D ;  
 R D  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  amino alkyl, or substituted C 1  to C 3  aminoalkyl;  
 R E  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 Y and Z are independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy; or  
 
 (ii) a five or six membered ring having in its backbone 1, 2, or 3 heteroatoms selected from the group consisting of O, S, SO, SO 2  and NR 5  and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR G COR F ; 
 R F  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R G  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 5 is H or C 1  to C 3  alkyl;  
 
 
 Q is NR 6  or CR 7 R 8 ;  
 R 6  is selected from the group consisting of CN, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, and SO 2 CF 3 ;  
 R 7  and R 8  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to Cg cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, NO 2 , CN, and CO 2 R 9 ;  
 R 9  is C 1  to C 3  alkyl;  
 or CR 7 R 8  form a six membered ring having the structure below:  
                     
 W is O;  
 or a pharmaceutically acceptable salt thereof.  
 
     
     
         15 . A compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein: 
 A, B and D are N or CH, with the proviso that two or three of A, B and D are N;  
 R 1  and R 2  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 2  to C 6  alkenyl, substituted C 2  to C 6  alkenyl, C 2  to C 6  alkynyl, substituted C 2  to C 6  alkynyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , and NR B COR A ;  
 or R 1  and R 2  are fused to form a spirocyclic ring selected from the group consisting of a), b) and c): 
 a) a 3 to 8 membered saturated spirocyclic ring;  
 b) a 3 to 8 membered spirocyclic ring having one or more carbon-carbon double bonds; and  
 c) a 3 to 8 membered heterocyclic ring having in its backbone one to three heteroatoms selected from the group consisting of O, S and N;  
 
 the spirocyclic rings of a), b) and c) being optionally substituted by from 1 to 4 groups selected from the group consisting of fluorine, C 1  to C 6  alkyl, C 1  to C 6  alkoxy, C 1  to C 6  thioalkyl, CF 3 , OH, CN, NH 2 , NH(C 1  to C 6  alkyl), and N(C 1  to C 6  alkyl) 2 ;  
 R A  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R B  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;  
 R C  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R 4  is a substituted benzene ring having the substituents X, Y and Z as shown below:  
                     
 wherein:  
 X is selected from the group consisting of halogen, CN, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, amino, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  aminoalkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 or 6 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR E COR D ;  
 R D  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  amino alkyl;  
 R E  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 Y and Z are independent substituents selected from the group consisting of halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy;  
 Q is O, S, NW, or CR 7 R 8 ;  
 R 6  is selected from the group consisting of CN, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, and SO 2 CF 3 ;  
 R 7  and R 8  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, NO 2 , CN, and CO 2 R 9 ;  
 R 9  is C 1  to C 3  alkyl;  
 or CR 7 R 8  form a six membered ring having the structure below:  
                     
 W is O;  
 or a pharmaceutically acceptable salt thereof.  
 
     
     
         16 . A compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein: 
 A, B and D are N or CH, with the proviso that one of A, B and D is N;  
 R 1  and R 2  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 2  to C 6  alkenyl, substituted C 2  to C 6  alkenyl, C 2  to C 6  alkynyl, substituted C 2  to C 6  alkynyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , and NR B COR A ;  
 or R 1  and R 2  are fused to form a spirocyclic ring selected from the group consisting of a), b) and c): 
 a) a 3 to 8 membered saturated spirocyclic ring;  
 b) a 3 to 8 membered spirocyclic ring having one or more carbon-carbon double bonds; and  
 c) a 3 to 8 membered heterocyclic ring having in its backbone one to three heteroatoms selected from the group consisting of O, S and N;  
 
 the spirocyclic rings of a), b) and c) being optionally substituted by from 1 to 4 groups selected from the group consisting of fluorine, C 1  to C 6  alkyl, C 1  to C 6  alkoxy, C 1  to C 6  thioalkyl, CF 3 , OH, CN, NH 2 , NH(C 1  to C 6  alkyl), and N(C 1  to C 6  alkyl) 2 ;  
 R A  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R B  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;  
 R C  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R 4  is (i), (ii), (iii), or (iv): 
 (i) a substituted benzene ring having the substituents X, Y and Z as shown below:  
                     
 wherein: 
 X is selected from the group consisting of halogen, CN, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, amino, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  aminoalkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 or 6 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR E COR D ;  
 R D  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R E  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 Y and Z are independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy;  
 
 (ii) a five membered ring having in its backbone 1, 2, or 3 heteroatoms selected from the group consisting of O, S, SO, SO 2  and NR 5  and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR G COR F ;  
 (iii) a six membered ring having in its backbone 1 NR 5  heteroatom and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR G COR F ; or  
 (iv) a six membered ring having in its backbone 2 or 3 heteroatoms selected from the group consisting of O, S, SO, and SO 2  and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR G COR F ;  
 
 R F  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R G  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 5  is H or C 1  to C 3  alkyl;  
 Q is O;  
 W is a chemical bond;  
 or a pharmaceutically acceptable salt thereof.  
 
     
     
         17 . A compound of the formula:  
       
         
           
           
               
               
           
         
       
       wherein: 
 A, B and D are N or CH, with the proviso that one of A, B and D is N;  
 R 1  and R 2  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 2  to C 6  alkenyl, substituted C 2  to C 6  alkenyl, C 2  to C 6  alkynyl, substituted C 2  to C 6  alkynyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, COR A , and NR B COR A ;  
 or R 1  and R 2  are fused to form a spirocyclic ring selected from the group consisting of a), b) and c): 
 a) a 3 to 8 membered saturated spirocyclic ring;  
 b) a 3 to 8 membered spirocyclic ring having one or more carbon-carbon double bonds; and  
 c) a 3 to 8 membered heterocyclic ring having in its backbone one to three heteroatoms selected from the group consisting of O, S and N;  
 
 the spirocyclic rings of a), b) and c) being optionally substituted by from 1 to 4 groups selected from the group consisting of fluorine, C 1  to C 6  alkyl, C 1  to C 6  alkoxy, C 1  to C 6  thioalkyl, CF 3 , OH, CN, NH 2 , NH(C 1  to C 6  alkyl), and N(C 1  to C 6  alkyl) 2 ;  
 R A  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R B  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 3  is H, OH, NH 2 , C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 6  alkenyl, substituted C 3  to C 6  alkenyl, or COR C ;  
 R C  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R 4  is (i) or (ii): 
 (i) a substituted benzene ring having the substituents X, Y and Z as shown below:  
                     
 wherein: 
 X is selected from the group consisting of halogen, CN, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  thioalkoxy, substituted C 1  to C 3  thioalkoxy, amino, C 1  to C 3  aminoalkyl, substituted C 1  to C 3  aminoalkyl, NO 2 , C 1  to C 3  perfluoroalkyl, 5 or 6 membered heterocyclic ring having in its backbone 1 to 3 heteroatoms, COR D , OCOR D , and NR E COR D ;  
 R D  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R E  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 Y and Z are independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkoxy, C 1  to C 3  alkyl, and C 1  to C 3  thioalkoxy; or  
 
 (ii) a five or six membered ring having in its backbone 1, 2, or 3 heteroatoms selected from the group consisting of O, S, SO, SO 2  and NR 5  and having one or two independent substituents selected from the group consisting of H, halogen, CN, NO 2 , C 1  to C 3  alkyl, C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, COR F , and NR E COR F ;  
 
 R F  is H, C 1  to C 3  alkyl, substituted C 1  to C 3  alkyl, aryl, substituted aryl, C 1  to C 3  alkoxy, substituted C 1  to C 3  alkoxy, C 1  to C 3  aminoalkyl, or substituted C 1  to C 3  aminoalkyl;  
 R G  is H, C 1  to C 3  alkyl, or substituted C 1  to C 3  alkyl;  
 R 5  is H or C 1  to C 3  alkyl;  
 Q is S, NR 6 , or CR 7 R 8 ;  
 R 6  is selected from the group consisting of CN, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, and SO 2 CF 3 ;  
 R 7  and R 8  are independent substituents selected from the group consisting of H, C 1  to C 6  alkyl, substituted C 1  to C 6  alkyl, C 3  to C 8  cycloalkyl, substituted C 3  to C 8  cycloalkyl, aryl, substituted aryl, heterocyclic, substituted heterocyclic, NO 2 , CN, and CO 2 R 9 ;  
 R 9  is C 1  to C 3  alkyl;  
 or CR 7 R 8  form a six membered ring having the structure below:  
                     
 W is a chemical bond;  
 or a pharmaceutically acceptable salt thereof.

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