Claims for Patent: 8,486,894

Summary for Patent: 8,486,894

Title:	Synthetic peptide amides and dimeric forms thereof
Abstract:	The invention relates to synthetic peptide amides that are 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## wherein Xaa is a D-amino acid and G is selected from the following three groups: ##STR00002## The compounds are useful in the prophylaxis and treatment of pain, pruritis 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:	12/773,992
Patent Claims:	1. A method of preventing, inhibiting or treating a kappa opioid receptor-associated disease or condition in a mammal, wherein the kappa opioid receptor-associated disease or condition is one or more of pain, pruritis, pancreatitis, and migraine, the method comprising administering to the mammal a composition comprising an effective amount of a synthetic peptide amide having the formula: ##STR00181## or a stereoisomer, mixture of stereoisomers, pharmaceutically acceptable salt, hydrate, solvate, acid salt hydrate or N-oxide thereof, wherein each 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, .beta.-(E)D-Ala and tert-butyl-D-Gly, 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 and --CONH.sub.2; and wherein each (E) is independently selected from the group consisting of tert-butyl, cyclopropyl, cyclobutyl, cyclopentyl, cyclohexyl, furyl, pyridyl, thienyl, thiazolyl and benzothienyl; each Xaa.sub.2 is independently selected from the group consisting of (A)(A')D-Phe, (A)(A')(.alpha.-Me)D-Phe, D-1Nal, D-2Nal, D-Tyr, (E)D-Ala, and D-Trp; each Xaa.sub.3 is independently selected from the group consisting of D-Nle, D-Phe, (E)D-Ala, D-Leu, (.alpha.-Me)D-Leu, D-Hle, D-Val, and D-Met; each Xaa.sub.4 is independently selected from the group consisting of (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, D-2-amino-3(4-piperidyl)propionic acid, D-2-amino-3(2-aminopyrrolidyl)propionic acid, D-.alpha.-amino-.beta.-amidino-propionic acid, .alpha.-amino-4-piperidineacetic acid, cis-.alpha.,4-diaminocyclohexane acetic acid, trans-.alpha.,4-diaminocyclohexaneacetic acid, cis-.alpha.-amino-4-methyl-aminocyclo-hexane acetic acid, trans-.alpha.-amino-4-methylaminocyclohexane acetic acid, .alpha.-amino-1-amidino-4-piperidineacetic acid, cis-.alpha.-amino-4-guanidino-cyclohexane acetic acid, and trans-.alpha.-amino-4-guanidinocyclohexane acetic acid, 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 1; G is ##STR00182## and the moiety ##STR00183## 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 6-, 7- or 8-membered ring, Y and Z are separated by at least two ring atoms; and provided further that when such ring moiety is aromatic, then Y is carbon; and 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, C.sub.1-C.sub.6 alkoxy, amidino, C.sub.1-C.sub.6 alkyl-substituted amidino, aryl, optionally substituted 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, or 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; 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-, 5-, 6-, 7-, 8-, and 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, --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 wherein such heteroatom 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 method according to claim 1, wherein the synthetic peptide amide is administered in a pharmaceutically acceptable excipient or carrier. 3. The method according to claim 1, comprising administering to the mammal a composition comprising an effective amount of the synthetic peptide amide by injection, infusion or by a pump. 4. The method according to claim 3, wherein the administration is intravenous, subcutaneous, intramuscular, intraperitoneal, intra-articular or intraocular. 5. The method according to claim 1, wherein the administration to the mammal is topical or local. 6. The method according to claim 5, wherein the composition is administered intranasally, transdermally, intravaginally, intrarectally or by an intrapulmonary route. 7. The method according to claim 5, wherein the composition is administered iontophoretially, or by a patch coated, diffused or impregnated with the synthetic peptide amide. 8. The method according to claim 5, wherein the composition is administered locally in an implant. 9. The method according to claim 5, wherein the composition comprising an effective amount of the synthetic peptide amide is administered topically to an eye with an eye-compatible pharmaceutical carrier, or non-systemically using a contact lens or intraocular implant. 10. The method according to claim 5, wherein the composition is administered topically to a mucosal surface selected from the group consisting of a mouth, a esophagus, a larynx, a bronchus and a nasal passage. 11. The method according to claim 5, wherein the composition is administered topically to a vagina, a rectum or an anus. 12. The method according to claim 5, wherein the composition is administered in a sustained-release formulation. 13. The method according to claim 5, wherein the composition is administered in a tablet, a capsule, an ointment, a liquid, a powder or a gum. 14. The method according to claim 1, comprising administering the composition orally to the mammal.