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Last Updated: December 18, 2025

Claims for Patent: 10,093,663


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Summary for Patent: 10,093,663
Title:Piperidinyl-indole derivatives complement factor B inhibitors and uses thereof
Abstract:The present invention provides a compound of formula I: a method for manufacturing the compounds of the invention, and its therapeutic uses. The present invention further provides a combination of pharmacologically active agents and a pharmaceutical composition.
Inventor(s):Christopher Michael ADAMS, Michael Paul Capparelli, Takeru Ehara, Rajeshri Ganesh Karki, Nello Mainolfi, Chun Zhang
Assignee: Novartis AG
Application Number:US15/626,981
Patent Claims: 1. A method of treating a subject suffering from a disorder or disease mediated by activation of the complement alternative pathway, wherein the disease or disorder is selected from the group consisting of age-related macular degeneration, diabetic retinopathy, rheumatoid arthritis, systemic lupus erythematosus (SLE), SLE nephritis, asthma, and glomerulonephritis, wherein the method comprises administering to the subject a therapeutically effective amount of the compound, of salt or tautomer thereof, of Formula (I): Wherein n is 0, 1 or 2; R is hydrogen, C1-C4alkyl, or hydroxyC1-C4alkyl; R1 is halogen, hydroxy, C1-C6alkyl, C2-C6alkenyl, C3-C6cycloalkyl, C1-C6alkoxy, haloC1-C6alkyl, hydroxyC1-C6alkyl, aminoC1-C6alkyl, C1-C6alkoxyC1-C6alkyl, C1-C6alkoxyC1-C6alkoxy, C3-C6cycloalkylC1-C6alkoxy, haloC1-C6alkoxy, —S(O)pC1-C6alkyl, —CH2NHC(O)C1-C4alkyl or —OCH2C(O)R7, p is 0, 1, or 2; R2 is C1-C6alkyl, C1-C6alkoxy, hydroxyC1-C6alkyl or halogen; R3 is hydrogen, halogen, cyano, C1-C4alkyl, haloC1-C4alkyl, —CH2C(O)R7, phenyl or 5 or 6 member heteroaryl having 1, 2 or 3 ring heteroatoms independently selected from N, O or S, wherein the phenyl or heteroaryl is optionally substituted with 0, 1, or 2 C1-C4alkyl groups, and wherein alkyl and haloalkyl optionally substituted with 0 or 1 hydroxy; R4 is phenyl, naphthyl or heteroaryl, where the heteroaryl is a five or six member heteroaryl having 1, 2 or 3 ring heteroatoms independently selected from N, O or S, and where the phenyl or heteroaryl is optionally substituted by R5 and further substituted by 0 or 1 substituents selected from halogen, C1-C4alkyl, C1-C4alkoxy, hydroxy C1-C4alkyl, hydroxy, and cyanomethyl; R5 is —C(O)R8, —CH2C(O)R8, R9, —C(O)NHSO2C1-C4alkyl, —SO2NHC(O)C1-C4alkyl, —SO2N(H)m(C1-C4alkyl)2-m, —SO2C1-C4alkyl, cyano, halogen, hydroxyC1-C4alkyl and 5 member heteroaryl having 1-4 ring nitrogen atoms and 0 or 1 ring sulfur or oxygen atoms; m is 0, 1, or 2; W is O or C(R6)2; R6 is independently selected at each occurrence from the group consisting of hydrogen, hydroxy, amino, mono- and di-C1-C4alkylamino, C1-C4alkyl, hydroxyC1-C4alkyl, cyanoC1-C4alkyl or C1-C4alkoxy; or C(R6)2, taken in combination, form a spirocyclic carbocycle having 3 to 6 ring atoms; R7 is hydroxy, C1-C4alkoxy, amino or mono- and di-C1-C4alkylamino; R8 is hydroxy, C1-C4alkoxy, amino or a 5 to 7 member saturated heterocycle having 1, 2, or 3 ring heteroatoms independently selected from N, O or S; or R8 is mono- and di-C1-C4alkylamino which is unsubstituted or substituted with halogen, hydroxy or C1-C4alkyl; and R9 is a 5 membered heteroaryl having 1 to 4 ring nitrogen atoms and 0 or 1 ring oxygen or sulfur atoms, which heterocycle is optionally substituted by 0 to 2 C1-C4alkyl groups.

2. A method of claim 1, or salt or tautomer thereof, wherein n is 1.

3. The method of claim 1, or a salt or tautomer thereof, wherein W is CHR6 or C(CH3)R6.

4. The method of claim 1, or a salt or tautomer thereof, wherein R1 is C1-C4alkyl, C1-C4alkoxy, or cyclopropyl.

5. The method of claim 1, or a salt or tautomer thereof, wherein R2 is methyl.

6. The method of claim 1, or a salt or tautomer thereof, wherein R3 is hydrogen, halogen or C1-C4alkyl.

7. The method of claim 1, or a salt or tautomer thereof, wherein R3 is hydrogen.

8. The method of claim 1, or salt or tautomer thereof, according to Formula (IIa) or (IIb):

9. The method of claim 1, or salt or tautomer thereof, according to Formula (IIIa) or (IIIb): Wherein X is N or CH.

10. The method of claim 1, or a salt or tautomer thereof, wherein R4 is pyridin-3-yl which is substituted para to the piperidine ring with R5.

11. The method of claim 1, or a salt or tautomer thereof, wherein R4 is phenyl substituted para to the piperidine ring with R5 and optionally substituted with fluoro, methoxy, hydroxymethyl or hydroxy.

12. The method of claim 11, or a salt or tautomer thereof, wherein R4 is phenyl substituted para to the piperidine ring with R5.

13. The method of claim 1, or salt or tautomer thereof, according to Formula (IVa) or (IVb):

14. The method of claim 1, or a salt or tautomer thereof, wherein R5 is CO2H, CO2NH2, SO2NH2 or tetrazolyl.

15. The method of claim 1, which compound is selected from the group consisting of 1-((5,7-dimethyl-1H-indol-4-yl)methyl)-2-phenylpiperidin-4-ol; 4-((4-methoxy-2-phenylpiperidin-1-yl)methyl)-5,7-dimethyl-1H-indole; 5,7-dimethyl-4-((2-phenylpiperidin-1-yl)methyl)-1H-indole; 1-((5,7-dimethyl-1H-indol-4-yl)methyl)-2-phenyl-piperidin-4-yl)methanol; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzenesulfonamide; 3-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzenesulfonamide; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)-N-methylbenzenesulfonamide; 3-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)-N-methylbenzenesulfonamide; 4-((2-(4-fluorophenyl)-4-methoxypiperidin-1-yl)methyl)-5,7-dimethyl-1H-indole; (1-((5,7-dimethyl-1H-indol-4-yl)methyl)-2-phenylpiperidin-2-yl)methanol; (4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)methanol; 5,7-dimethyl-4-((2-(4-(methylsulfonyl)phenyl)piperidin-1-yl)methyl)-1H-indole; 4-((2-(4-(2H-tetrazol-5-yl)phenyl)piperidin-1-yl)methyl)-5,7-dimethyl-1H-indole; 1-((5,7-dimethyl-1H-indol-4-yl)methyl)-2-phenylpiperidin-4-amine; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzamide; 4-(1-((5-chloro-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzamide; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-4-methoxypiperidin-2-yl)benzamide; 4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-4-methylpiperidin-2-yl)benzamide; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-4-hydroxypiperidin-2-yl)benzoic acid; 4-(1-((5-chloro-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; methyl 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-4-methoxypiperidin-2-yl)benzoate; 4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-2-fluorobenzoic acid; 4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)pyrrolidin-2-yl)benzoic acid; 5-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)picolinic acid; 4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-3-methoxybenzoic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 5-methoxy-7-methyl-4-((2-(pyridin-4-yl)piperidin-1-yl)methyl)-1H-indole; 5-methoxy-7-methyl-4-((2-(pyridin-3-yl)piperidin-1-yl)methyl)-1H-indole; 3-fluoro-4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-(4-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)morpholin-3-yl)benzoic acid; 6-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)nicotinic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-4-propoxypiperidin-2-yl)benzoic acid; 4-(4-hydroxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-3-methylbenzoic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-5-methylpiperidin-2-yl)benzoic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-4-ethylpiperidin-2-yl)benzoic acid; 2-(4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)acetic acid; 2-(3-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)acetic acid; 5-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)-4-methoxypiperidin-2-yl)picolinic acid; 2-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)thiazole-4-carboxylic acid; 2-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-4-methylthiazole-5-carboxylic acid; 3-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)azepan-2-yl)benzoic acid; 4-((2-(4-(1H-pyrazol-4-yl)phenyl)piperidin-1-yl)methyl)-5-methoxy-7-methyl-1H-indole; 4-((2-(4-(1H-pyrazol-3-yl)phenyl)piperidin-1-yl)methyl)-5-methoxy-7-methyl-1H-indole; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-1-naphthoic acid; 1-(2,2,2-trifluoro-1-(5-methoxy-7-methyl-1H-indol-4-yl)ethyl)piperidin-2-yl)benzoic acid; 2-methoxy-4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 2-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-2-phenylpiperidin-4-yl)acetonitrile; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-4-methylpiperidin-2-yl)benzoic acid; 4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 5-(4-ethoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)picolinic acid; 4-(1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-4,4-dimethylpiperidin-2-yl)benzoic acid; 4-(4-ethoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzonitrile; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-((4-ethoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-4-methoxypiperidin-2-yl)benzoic acid; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-4-ethoxypiperidin-2-yl)benzoic acid; 4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)-4-ethoxypiperidin-2-yl)benzoic acid; 4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)-4-methoxypiperidin-2-yl)benzoic acid; 4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)-4-ethoxypiperidin-2-yl)benzoic acid; 4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)-4-ethoxypiperidin-2-yl)benzoic acid; 4-(5-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-(5-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzamide; 4-(5-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 4-(5-hydroxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; 1-((5,7-dimethyl-1H-indol-4-yl)methyl)-N-methyl-2-phenylpiperidin-4-amine; (4-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)methanamine; (4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)methanol; 4-((2-(3-(2H-tetrazol-5-yl)phenyl)piperidin-1-yl)methyl)-5,7-dimethyl-1H-indole; 3-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzamide; (3-(1-((5,7-dimethyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)methanol; (4-((2-(4-(1H-tetrazol-5-yl)phenyl)-4-ethoxypiperidin-1-yl)methyl)-5-methoxy-7-methyl-1H-indole; 4-(4-ethoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-N-(methylsulfonyl)benzamide; 4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-N-methylbenzamide; 4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-N,N-dimethylbenzamide; (4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)(morpholino)methanone; N-(2-hydroxyethyl)-4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzamide; 4-(4-methoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)-N-(2-methoxyethyl)benzamide; N-((4-(1-((5-cyclopropyl-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)phenyl)sulfonyl)acetamide; 4-(6-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-6-azaspiro[2.5]octan-5-yl)benzoic acid; 4-ethyl-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid; and ethyl 4-((2S,4R)-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)-4-methylpiperidin-2-yl)benzoate; ethyl 4-((2S,4S)-4-ethoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoate and salts, stereoisomers and tautomers thereof.

16. The method of claim 1, which compound is 4-((2S,4S)-4-ethoxy-1-((5-methoxy-7-methyl-1H-indol-4-yl)methyl)piperidin-2-yl)benzoic acid or a pharmaceutically acceptable salt thereof.

17. The method of claim 1, in which the disease or disorder is glomerulonephritis.

18. The method of claim 1, wherein the disorder or disease is age-related macular degeneration.

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