Claims for Patent: 8,536,131

Summary for Patent: 8,536,131

Title:	Synthetic peptide amides and dimers thereof
Abstract:	The invention relates to synthetic peptide amide ligands of the kappa opioid receptor and particularly to agonists of the kappa opioid receptor that exhibit low P.sub.450 CYP inhibition and low penetration into the brain. The synthetic peptide amides of the invention conform to the structure: ##STR00001## The compounds are useful in the prophylaxis and treatment of pain and inflammation associated with a variety of diseases and conditions.
Inventor(s):	Schteingart; Claudio D. (San Diego, CA), Menzaghi; Frederique (Rye, NY), Jiang; Guangcheng (San Diego, CA), Alexander; Roberta Vezza (San Diego, CA), Sueiras-Diaz; Javier (La Jolla, CA), Spencer; Robert H. (New Hope, PA), Chalmers; Derek T. (Riverside, CT), Luo; Zhiyong (New City, NY)
Assignee:	Cara Therapeutics, Inc. (Shelton, CT)
Application Number:	12/913,363
Patent Claims:	1. A synthetic peptide amide having the formula: ##STR00133## or a stereoisomer, mixture of stereoisomers, pharmaceutically acceptable salt, hydrate, acid salt hydrate or N-oxide thereof, wherein Xaa.sub.1 is independently selected from the group consisting of (A)(A')D-Phe, (A)(A')(.alpha.-Me)D-Phe, D-Tyr, D-Tic, D-tert-leucine, D-neopentylglycine, D-phenylglycine, D-homophenylalanine, and .beta.-(E)D-Ala, wherein each (A) and each (A') are phenyl ring substituents independently selected from the group consisting of --H, --F, --Cl, --NO.sub.2, --CH.sub.3, --CF.sub.3, --CN, --CONH.sub.2, and wherein each (E) is independently selected from the group consisting of cyclobutyl, cyclopentyl, cyclohexyl, pyridyl, thienyl and thiazolyl; Xaa.sub.2 is independently selected from the group consisting of (A)(A')D-Phe, (A)(A')(.alpha.-Me)D-Phe, D-1Nal, D-2NaI, D-Tyr, (E)D-Ala, and D-Trp; when G is (i) then Xaa.sub.3-Xaa.sub.4- is selected from the group consisting of D-Nle-(B).sub.2D-Arg-, D-Leu-.delta.-(B).sub.2.alpha.-(B')D-Orn-, and (.alpha.-Me)D-Leu-.delta.(B).sub.2-.alpha.(B')D-Orn-, wherein each (B) is independently selected from the group consisting of --H and C.sub.1-C.sub.4 alkyl; when G is (ii) then Xaa.sub.3 is D-Nle, D-Leu, (.alpha.-Me)D-Leu, D-Hle or D-Val; and Xaa.sub.4 is (B).sub.2D-Arg, (B).sub.2D-Nar, (B).sub.2D-Har, .zeta.-(B)D-Hlys, D-Dap, .epsilon.-(B)D-Lys, .epsilon.-(B).sub.2-D-Lys, D-Amf, amidino-D-Amf, .gamma.-(B).sub.2D-Dbu, .delta.-(B).sub.2.alpha.-(B')D-Orn, wherein each (B) is independently selected from the group consisting of --H and C.sub.1-C.sub.4 alkyl, and (B') is --H or (.alpha.-Me); p is 1; G is selected from one of the following moieties: (i) G is ##STR00134## the moiety ##STR00135## is an optionally substituted 4 to 8-membered heterocyclic ring moiety wherein all ring hetero atoms in said ring moiety are N; wherein Y and Z are each independently C or N; provided that when such ring moiety is a six, seven or eight-membered ring, Y and Z are separated by at least two ring atoms; and provided that when such ring moiety has a single heteroatom which is N, then such ring moiety is non-aromatic; and (ii) G is ##STR00136## and the moiety ##STR00137## is an optionally substituted 4 to 8-membered heterocyclic ring moiety wherein Y is C or N and Z is C, N, O, S, SO, or SO.sub.2; provided that when such ring moiety is a six-, seven- or eight-membered ring, Y and Z are separated by at least two ring atoms; provided that when such ring moiety is non-aromatic and Z is C or N then such ring moiety comprises at least one S or O ring heteroatom; and provided further that when such ring moiety is aromatic, then Y is C; wherein W is selected from the group consisting of: null, provided that when W is null, Y is N; --NH--(CH.sub.2).sub.b-- with b equal to zero, 1, 2, 3, 4, 5, or 6; and --NH--(CH.sub.2).sub.c--O-- with c equal to 2, or 3; wherein V is C.sub.1-C.sub.6 alkyl, and e is zero or 1, wherein when e is zero, then V is null and, R.sub.1 and R.sub.2 are directly bonded to the same or different ring atoms; wherein (a) --R.sub.1 is --H, --OH, halo, CF.sub.3, --NH.sub.2, --COOH, C.sub.1-C.sub.6 alkyl, amidino, C.sub.1-C.sub.6 alkyl-substituted amidino, aryl, optionally substituted 5- or 6-membered heterocyclyl, Pro-amide, Pro, Gly, Ala, Val, Leu, Ile, Lys, Arg, Orn, Ser, Thr, CN, CONH.sub.2, COR', SO.sub.2R', CONR'R'', NHCOR', OR', or SO.sub.2NR'R''; wherein said optionally substituted heterocyclyl is optionally singly or doubly substituted with substituents independently selected from the group consisting of C.sub.1-C.sub.6 alkyl, --C.sub.1-C.sub.6 alkoxy, oxo, --OH, --F, --NH.sub.2, --NO.sub.2, --CN, --COOH, and amidino; wherein R' and R'' are each independently --H, C.sub.1-C.sub.8 alkyl, aryl, heterocyclyl or R' and R'' are combined to form a 4- to 8-membered ring, which ring is optionally substituted singly or doubly with substituents independently selected from the group consisting of C.sub.1-C.sub.6 alkyl, --C.sub.1-C.sub.6 alkoxy, --OH, --F, --NH.sub.2, --NO.sub.2, --CN, --COOH and amidino; and R.sub.2 is H, amidino, singly or doubly C.sub.1-C.sub.6 alkyl-substituted amidino, --CN, --CONH.sub.2, --CONR'R'', --NHCOR', --SO.sub.2NR'R'', or --COOH; or (b) R.sub.1 and R.sub.2 taken together can form an optionally substituted 4- to 9-membered heterocyclic monocyclic or bicyclic ring moiety which is bonded to a single ring atom of the Y and Z-containing ring moiety; or (c) R.sub.1 and R.sub.2 taken together with a single ring atom of the Y and Z-containing ring moiety can form an optionally substituted 4- to 8-membered heterocyclic ring moiety to form a spiro structure; or (d) R.sub.1 and R.sub.2 taken together with two or more adjacent ring atoms of the Y and Z-containing ring moiety can form an optionally substituted 4- to 9-membered heterocyclic monocyclic or bicyclic ring moiety fused to the Y and Z-containing ring moiety; wherein each of said optionally substituted 4- to 9-membered heterocyclic ring moieties comprising R.sub.1 and R.sub.2 is optionally singly or doubly substituted with substituents independently selected from the group consisting of C.sub.1-C.sub.6 alkyl, --C.sub.1-C.sub.6 alkoxy, optionally substituted phenyl, oxo, --OH, --F, --NH.sub.2, --NO.sub.2, --CN, --COOH, and amidino; provided that when the Y and Z-containing ring moiety is a six or seven membered ring comprising a single ring heteroatom and when one of Y and Z is C and the other of Y and Z is N, and e is zero, then R.sub.1 is not --OH, and R.sub.1 and R.sub.2 are not both --H; provided further that when the Y and Z-containing ring moiety is a six membered ring comprising two ring heteroatoms, both Y and Z are N, W is null, and --V.sub.e(R.sub.1)(R.sub.2) is attached to Z, then --V.sub.e(R.sub.1)(R.sub.2) is selected from the group consisting of amidino, C.sub.1-C.sub.6 alkyl-substituted amidino, dihydroimidazole, --CH.sub.2COOH, and --H.sub.2C(O)NH.sub.2; and lastly, provided that if the Y and Z-containing ring moiety is a six membered ring comprising an S or O ring heteroatom, or if the Y and Z-containing ring moiety is a six membered ring comprising two ring heteroatoms, wherein both Y and Z are N and W is null, or if the Y and Z-containing ring moiety is a six membered aromatic ring comprising a single ring heteroatom, which heteroatom is N, then, when e is zero, R.sub.1 and R.sub.2 are not both --H. 2. The synthetic peptide amide of claim 1 wherein W is null, Y is N and Z is C. 3. The synthetic peptide amide of claim 1 wherein the Y and Z-containing ring moiety is a six-membered saturated ring comprising a single ring heteroatom. 4. The synthetic peptide amide of claim 1 wherein Y and Z are both N and are the only ring heteroatoms in the Y and Z-containing ring moiety. 5. The synthetic peptide amide of claim 1 wherein R.sub.1 is H, OH, --NH.sub.2, --COOH, --CH.sub.2COOH, C.sub.1-C.sub.3 alkyl, amidino, C.sub.1-C.sub.3 alkyl-substituted amidino, dihydroimidazole, D-Pro, D-Pro amide, or CONH.sub.2 and wherein R.sub.2 is H, --COOH, or C.sub.1-C.sub.3 alkyl. 6. The synthetic peptide amide of claim 1 wherein the moiety: ##STR00138## is selected from the group consisting of: ##STR00139## ##STR00140## 7. The synthetic peptide amide of claim 1 wherein the moiety: ##STR00141## is selected from the group consisting of: ##STR00142## 8. The peptide amide of claim 1, wherein the moiety ##STR00143## is an optionally substituted 4 to 8-membered heterocyclic ring moiety wherein Y is carbon or nitrogen and Z is carbon, nitrogen, oxygen, sulfur, sulfoxide, or sulfonyl. 9. The synthetic peptide amide according to claim 1, selected from the group consisting of: D-Phe-D-Phe-D-Leu-D-Orn-[4-(2-aminoethyl)-1-carboxymethyl-piperazine]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[4-carboxymethyl-piperidine]-OH, D-Phe-D-Phe-D-Nle-D-Arg-D-Pro-OH, D-Phe-D-Phe-D-Leu-D-Orn-[(2S,4R)-4-amino-pyrrolidine-2-carboxylic acid]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[(2S,4S)-4-amino-pyrrolidine-2-carboxyl- ic acid]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[.omega.(4-aminopiperidine-4-carboxylic acid)]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[.omega.(D/L-2-amino-3-(4-N-piperidinyl)propionic acid)]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[.omega.(D/L-4-piperazine-2-carboxylic acid)]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[Isonipecotic acid]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[N-(4-piperidinyl)-L-proline]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[homopiperazine amide], D-Phe-D-Phe-D-Leu-D-Orn-[4-(4-piperidinyl)-butanoic acid]-OH, D-Phe-D-Phe-D-Leu-D-Orn-[4-(2-aminoethyl)-1-carboxymethyl-piperazine]-NH.- sub.2, D-Phe-D-Phe-D-Leu-D-Orn-[N-(4-piperidinyl)-L-proline]-NH.sub.2, D-Phe-D-Phe-D-Leu-D-Orn-[4-amino-1-carboxymethyl-piperidine]-NH.sub.2, D-Phe-D-Phe-D-Leu-D-Orn-[4-amidinohomopiperazine amide], D-Phe-D-Phe-D-Leu-D-Orn-[4-(4,5-dihydro-1H-imidazol-2-yl)homopiperazine amide], D-Phe-D-Phe-D-Leu-D-Orn-[4-ethylhomopiperazine amide], D-Phe-D-Phe-D-Leu-D-Orn-[4-(N-methyl)amidino-homopiperazine amide], D-Phe-D-Phe-D-Leu-(.delta.-iPr)D-Orn-[.omega.(4-aminopiperidine-4-carboxy- lic acid)]-OH, D-Phe-D-Phe-D-Leu-(.delta.-Me)D-Orn-[4-amidinohomopiperazine amide], D-Phe-D-Phe-D-Leu-(.delta.-iPr)D-Orn-[4-amidinohomopiperazine amide], D-Phe-D-Phe-D-Leu-(.delta.-Me)D-Orn-[homopiperazine amide], D-Phe-D-Phe-D-Leu-(.delta.-iPr)D-Orn-[homopiperazine amide], D-Phe-D-Phe-D-Leu-D-Lys-[1,3-dioxolan-2-yl)methanamine amide], D-Phe-D-Phe-D-Leu-D-Lys-[2-(piperazin-1-yl)pyrimidine amide], D-Phe-D-Phe-D-Leu-D-Lys-[2-(piperazin-1-yl)pyrazine amide], D-Phe-D-Phe-D-Leu-D-Lys-[1-(pyridin-2-yl)piperazine amide], D-Phe-D-Phe-D-Leu-D-Lys-[2-(piperazin-1-yl)thiazole amide], D-Phe-D-Phe-D-Leu-D-Lys-[N,N-dimethylpiperazine-1-sulfonamide amide], D-Phe-D-Phe-D-Leu-D-Lys-[1-(methylsulfonyl)piperazine amide], D-Phe-D-Phe-D-Leu-D-Lys-[1-(phenylsulfonyl)piperazine amide], D-Phe-D-Phe-D-Leu-D-Lys-[phenyl(piperazin-1-yl)methanone amide], D-Phe-D-Phe-D-Leu-D-Lys-[thiolmorpholine-1,1-dioxide amide], D-Phe-D-Phe-D-Leu-D-Lys-[6-trifluoromethyl-3-aminomethylpyridine amide], D-Phe-D-Phe-D-Leu-D-Lys-N-methyl-1-(tetrahydro-2H-pyran-4-yl)methanamine amide; and H-D-Phe-D-Phe-D-Leu-D-Lys-[5-(aminomethyl)-1H-benzo[d]imidazol-2(3H)one-a- mide]. 10. The synthetic peptide amide according to claim 9, having an EC.sub.50 of less than about 500 nM for a kappa opioid receptor. 11. The synthetic peptide amide according to claim 9, which at an effective concentration exhibits no more than about 50% inhibition of any of P.sub.450 CYP1A2, CYP2C9, CYP2C19 or CYP 2D6 by the synthetic peptide amide at a concentration of 10 uM after 60 minutes incubation with human liver microsomes. 12. The synthetic peptide amide according to claim 9, which at a dose of about 3 mg/kg in rat reaches a peak plasma concentration of the synthetic peptide amide and exhibits at least about a five fold lower concentration in brain than such peak plasma concentration. 13. The synthetic peptide amide according to claim 9, having an ED.sub.50 for a sedative effect in a locomotion-reduction assay in a mouse at least about ten times the ED.sub.50 of the synthetic peptide amide for an analgesic effect in a writhing assay in a mouse. 14. The synthetic peptide amide according to claim 9, having at least about 50% of maximum efficacy at about 3 hours post administration of a dose of about 3 mg/kg of the synthetic peptide amide in a rat. 15. A pharmaceutical composition comprising the synthetic peptide amide according to claim 1 and a pharmaceutically acceptable excipient or carrier. 16. A method of treating, inhibiting or preventing pain, or for treating or inhibiting a kappa opioid receptor-associated disease or condition in a mammal, the method comprising administering to the mammal a composition comprising an effective amount of a synthetic peptide amide according to claim 1, wherein the kappa opioid receptor-associated disease or condition is selected from the group consisting of pain, pancreatitis and pruritis. 17. The synthetic peptide amide according to claim 1, wherein Xaa.sub.1Xaa.sub.2 is D-Phe-D-Phe; Xaa.sub.3 is selected from the group consisting of D-Nle, D-Leu, D-Leu-(.delta.-Me) and D-Leu-(.delta.-iPr); and Xaa.sub.4 is selected from the group consisting of D-Lys, D-Dap-(amidino), D-Arg, D-Orn, D-Orn(Me) and D-Orn-(iPr). 18. The synthetic peptide amide according to claim 17, wherein Xaa.sub.3Xaa.sub.4 is selected from the group consisting of D-Leu-D-Lys, D-Leu-D-Dap-(amidino), D-Nle-D-Dap-(amidino), D-Leu-D-Arg, D-Leu-D-Orn, D-Leu-(.delta.-Me)D-Orn and D-Leu-D-Orn-(iPr). 19. The synthetic peptide amide according to claim 17, wherein the moiety: ##STR00144## is selected from the group consisting of: ##STR00145## ##STR00146## 20. A synthetic peptide amide having the formula: ##STR00147## or a stereoisomer, mixture of stereoisomers, pharmaceutically acceptable salt, hydrate, acid salt hydrate or N-oxide thereof, wherein Xaa.sub.1 is independently selected from the group consisting of (A)(A')D-Phe, (A)(A')(.alpha.-Me)D-Phe, D-Tyr, D-Tic, D-tert-leucine, D-neopentylglycine, D-phenylglycine, D-homophenylalanine, wherein each (A) and each (A') are phenyl ring substituents independently selected from the group consisting of --F, --Cl, --NO.sub.2, --CH.sub.3, --CF.sub.3, --CN, --CONH.sub.2; Xaa.sub.2 is independently selected from the group consisting of (A)(A')D-Phe, (A)(A')(.alpha.-Me)D-Phe; when G is (i) then Xaa.sub.3-Xaa.sub.4- is selected from the group consisting of D-Nle-(B).sub.2D-Arg-, D-Leu-.delta.-(B).sub.2.alpha.-(B')D-Orn-, and (.alpha.-Me)D-Leu-.delta.(B).sub.2-.alpha.(B')D-Orn-, wherein each (B) is independently selected from the group consisting of --H and C.sub.1-C.sub.4 alkyl; when G is (ii) Xaa.sub.3 is D-Nle, D-Leu, (.alpha.-Me)D-Leu, D-Hle or D-Val; and Xaa.sub.4 is (B).sub.2D-Arg, (B).sub.2D-Nar, (B).sub.2D-Har, .zeta.-(B)D-Hlys, D-Dap, .epsilon.-(B)D-Lys, .epsilon.-(B).sub.2-D-Lys, D-Amf, amidino-D-Amf, .gamma.-(B).sub.2D-Dbu, .delta.-(B).sub.2.alpha.-(B')D-Orn, wherein each (B) is independently selected from the group consisting of --H and C.sub.1-C.sub.4 alkyl, and (B') is --H or (.alpha.-Me); and p is 1; G is selected from one of the following moieties: (i) G is ##STR00148## the moiety ##STR00149## is an optionally substituted 5-, 6, or 7-membered heterocyclic ring moiety wherein all ring heteroatoms in said ring moiety are N; wherein Y and Z are each independently C or N; provided that when such ring moiety is a six, seven or eight-membered ring, Y and Z are separated by at least two ring atoms; and provided that when such ring moiety has a single heteroatom which is N, then such ring moiety is non-aromatic; and (ii) G is ##STR00150## the moiety ##STR00151## is an optionally substituted 5-, 6, or 7-membered heterocyclic ring moiety wherein Y is C or N and Z is C, N, O, S, SO, or SO.sub.2; provided that when such ring moiety is a six-, seven- or eight-membered ring, Y and Z are separated by at least two ring atoms; provided that when such ring moiety is non-aromatic and Z is C or N then such ring moiety comprises at least one S or O ring heteroatom; and provided further that when such ring moiety is aromatic, then Y is C; wherein W is selected from the group consisting of: null, provided that when W is null, Y is N; --NH--(CH.sub.2).sub.b-- with b equal to zero, 1, 2, 3, 4, 5, or 6; and --NH--(CH.sub.2).sub.c--O-- with c equal to 2, or 3; wherein V is C.sub.1-C.sub.6 alkyl, and e is zero or 1, wherein when e is zero, then V is null and, R.sub.1 and R.sub.2 are directly bonded to the same or different ring atoms; wherein R.sub.1 is --H, --OH, halo, CF.sub.3, --NH.sub.2, --COOH, C.sub.1-C.sub.6 alkyl, amidino, C.sub.1-C.sub.6 alkyl-substituted amidino, aryl, optionally substituted 5- or 6-membered heterocyclyl, Pro-amide, Pro, Gly, Ala, Val, Leu, Ile, Lys, Arg, Orn, Ser, Thr, CN, CONH.sub.2, COR', SO.sub.2R', CONR'R'', NHCOR', OR', or SO.sub.2NR'R''; wherein said optionally substituted heterocyclyl is optionally singly or doubly substituted with substituents independently selected from the group consisting of C.sub.1-C.sub.6 alkyl, --C.sub.1-C.sub.6 alkoxy, oxo, --OH, --Cl, --F, --NH.sub.2, --NO.sub.2, --CN, --COOH, and amidino; wherein R' and R'' are each independently --H, C.sub.1-C.sub.8 alkyl, aryl, heterocyclyl or R' and R'' are combined to form a 4- to 8-membered ring, which ring is optionally substituted singly or doubly with substituents independently selected from the group consisting of C.sub.1-C.sub.6 alkyl, --C.sub.1-C.sub.6 alkoxy, --OH, --Cl, --F, --NH.sub.2, --NO.sub.2, --CN, --COOH and amidino; and R.sub.2 is H, amidino, singly or doubly C.sub.1-C.sub.6 alkyl-substituted amidino, --CN, --CONH.sub.2, --CONR'R'', --NHCOR', --SO.sub.2NR'R'', or --COOH; wherein each of said optionally substituted 5- or 6-membered heterocyclic ring moieties comprising R.sub.1 and R.sub.2 is optionally singly or doubly substituted with substituents independently selected from the group consisting of C.sub.1-C.sub.6 alkyl, --C.sub.1-C.sub.6 alkoxy, optionally substituted phenyl, oxo, --OH, --Cl, --F, --NH.sub.2, --NO.sub.2, --CN, --COOH, and amidino; provided that when the Y and Z-containing ring moiety is a six or seven membered ring comprising a single ring heteroatom and when one of Y and Z is C and the other of Y and Z is N, and e is zero, then R.sub.1 is not --OH, and R.sub.1 and R.sub.2 are not both --H; provided further that when the Y and Z-containing ring moiety is a six membered ring comprising two ring heteroatoms, both Y and Z are N, W is null, and --V.sub.e(R.sub.1)(R.sub.2) is attached to Z, then --V.sub.e(R.sub.1)(R.sub.2) is selected from the group consisting of amidino, C.sub.1-C.sub.6 alkyl-substituted amidino, dihydroimidazole, --CH.sub.2COOH, and --H.sub.2C(O)NH.sub.2; and lastly, provided that if the Y and Z-containing ring moiety is a six membered ring comprising an S or O ring heteroatom, or if the Y and Z-containing ring moiety is a six membered ring comprising two ring heteroatoms, wherein both Y and Z are N and W is null, or if the Y and Z-containing ring moiety is a six membered aromatic ring comprising a single ring heteroatom, which heteroatom is N, then, when e is zero, R.sub.1 and R.sub.2 are not both --H. 21. The method according to claim 16, for the treatment, inhibition or prevention of pain. 22. The method according to claim 16, for the treatment or inhibition of pancreatitis or pruritis. 23. The synthetic peptide amide of claim 1 wherein the moiety: ##STR00152## is selected from the group consisting of: ##STR00153##