发明名称 Compositions for Treatment of Cystic Fibrosis and Other Chronic Diseases
摘要 The present invention relates to pharmaceutical compositions comprising an inhibitor of epithelial sodium channel activity in combination with at least one ABC Transporter modulator compound of Formula A, Formula B, Formula C, or Formula D. The invention also relates to pharmaceutical formulations thereof, and to methods of using such compositions in the treatment of CFTR mediated diseases, particularly cystic fibrosis using the pharmaceutical combination compositions.;
申请公布号 US2015231142(A1) 申请公布日期 2015.08.20
申请号 US201514689391 申请日期 2015.04.17
申请人 Vertex Pharmaceuticals Incorporated 发明人 Van Goor Fredrick F.;Burton William Lawrence
分类号 A61K31/5377;A61K31/506;A61K31/404;A61K31/47;A61K31/443;A61K31/497;A61K31/4965 主分类号 A61K31/5377
代理机构 代理人
主权项 1. A pharmaceutical composition comprising: A. an epithelial sodium channel (ENaC) inhibitor; and B. at least one ABC transporter modulator, the ABC transporter modulator comprising: I. a compound of Formula A: or a pharmaceutically acceptable salt thereof, wherein: Ar1 is selected from: wherein ring A1 5-6 membered aromatic monocyclic ring having 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur; or A1 and A2, together, is an 8-14 aromatic, bicyclic or tricyclic aryl ring, wherein each ring contains 0-4 heteroatoms independently selected from nitrogen, oxygen, or sulfur; or II a compound of Formula B: or a pharmaceutically acceptable salt thereof wherein: each BR1 is an optionally substituted C1-6 aliphatic, an optionally substituted aryl, an optionally substituted heteroaryl, an optionally substituted C3-10 cycloaliphatic, or an optionally substituted 4 to 10 membered heterocycloaliphatic, carboxy [e.g., hydroxycarbonyl or alkoxycarbonyl], alkoxy, amido [e.g., aminocarbonyl], amino, halo, cyano, alkylsulfanyl, or hydroxy; provided that at least one R1 is an optionally substituted aryl or an optionally substituted heteroaryl and said R1 is attached to the 3- or 4-position of the phenyl ring; each BR2 is hydrogen, an optionally substituted C1-6 aliphatic, an optionally substituted C3-6 cycloaliphatic, an optionally substituted phenyl, or an optionally substituted heteroaryl; each BR4 is an optionally substituted aryl or an optionally substituted heteroaryl; each n is 1, 2, 3, 4 or 5; and ring A is an optionally substituted cycloaliphatic or an optionally substituted heterocycloaliphatic where the atoms of ring A adjacent to C* are carbon atoms, and each of which is optionally substituted with 1, 2, or 3 substituents; or III a compound of Formula C: or a pharmaceutically acceptable salt thereof, wherein each CR1 is a an optionally substituted C1-C6 aliphatic, an optionally substituted aryl, an optionally substituted heteroaryl, an optionally substituted 3 to 10 membered cycloaliphatic, an optionally substituted 3 to 10 membered heterocycloaliphatic, carboxy [e.g., hydroxycarbonyl or alkoxycarbonyl], amido, amino, halo, or hydroxy, provided that at least one R1 is an optionally substituted aryl or an optionally substituted heteroaryl attached to the 5- or 6-position of the pyridyl ring, each R2 is hydrogen, an optionally substituted C1-6 aliphatic, an optionally substituted C3-6 cycloaliphatic, an optionally substituted phenyl, or an optionally substituted heteroaryl, each CR3 and CR′3 together with the carbon atom to which they are attached form an optionally substituted C3-7 cycloaliphatic or an optionally substituted heterocycloaliphatic, each CR4 is an optionally substituted aryl or an optionally substituted heteroaryl, each n is 1-4; or IV. a compound of Formula D: or a pharmaceutically acceptable salt thereof, wherein R1 is —ZADR4, and wherein each ZA is independently a bond or an optionally substituted branched or straight C1-6 aliphatic chain wherein up to two carbon units of ZA are optionally and independently replaced by —CO—, —CS—, —CONDRA—, —CONDRANDRA—, —CO2—, —OCO—, —NDRACO2—, —O—, —NDRACONDRA—, —OCONDRA—, —NDRANDRA—, —NDRACO—, —S—, —SO—, —SO2—, —NDRA—, —SO2NDRA—, —NDRASO2—, or —NDRASO2NDRA—, Each DR4 is independently DRA, halo, —OH, —NH2, —NO2, —CN, or —OCF3, each DRA is independently hydrogen, an optionally substituted aliphatic, an optionally substituted cycloaliphatic, an optionally substituted heterocycloaliphatic, an optionally substituted aryl, or an optionally substituted heteroaryl, DR2 is —ZBDR5, and wherein each ZB is independently a bond or an optionally substituted branched or straight C1-6 aliphatic chain wherein up to two carbon units of ZB are optionally and independently replaced by —CO—, —CS—, —CONDRB—, —CONDRBNDRB—, —CO2—, —OCO—, —NDRBCO2—, —O—, —NDRBCONDRB—, —OCONDRB—, —NDRBNDRB—, —NDRBCO—, —S—, —SO—, —SO2—, —NDRB—, —SO2NDRB—, —NDRBSO2—, or —NDRBSO2NDRB—, each DR5 is independently DRB, halo, —OH, —NH2, —NO2, —CN, —CF3, or —OCF3, Each DRB is independently hydrogen, an optionally substituted aliphatic, an optionally substituted cycloaliphatic, an optionally substituted heterocycloaliphatic, an optionally substituted aryl, or an optionally substituted heteroary, and wherein any two adjacent R2 groups together with the atoms to which they are attached form an optionally substituted carbocycle or an optionally substituted heterocycle, wherein ring A is an optionally substituted 3-7 membered monocyclic ring having 0-3 heteroatoms selected from N, O, and S and ring B is a group having formula Ia.
地址 Boston MA US