UTILIZATION OF ARYL(OR HETEROARYL)AZOLYLCARBINOL DERIVATIVES IN THE PREPARATION OF A MEDICAMENT FOR THE TREATMENT OF NEUROGENIC INFLAMMATION

Abstract: The derivatives of aryl(or heteroaryl)azolylcarbinol (I), in which R1 is an atom of hydrogen or a lower alkyl group; R2 is a dialkylaminoalkyl or azaheterocyclylalkyl radical; Ar is a phenyl or thienyl radical, optionally substituted; and Het is a heterocyclic five-membered azotic aromatic ring that contains from one to three nitrogen atoms, optionally substituted, are suitable for the treatment of neurogenic inflammation, present in different processes, such as diabetes, asthma, cystitis, gingivitis, migraine, dermatitis, rhinitis, psoriasis, inflammation of sciatic and lumbar nerves, gastrointestinal processes, ocular inflammation, etc., in mammals, including man.

Description: The present invention relates to the use of some derivatives of aryl(or heteroaryl)azolylcarbinols of general formula (I), as well as their physiologically acceptable salts, in the manufacture of medicaments, useful in human and/or veterinary therapy, for the treatment of neurogenic inflammation present in different processes such as: diabetes, asthma, cystitis, gingivitis, migraine, dermatitis, rhinitis, psoriasis, inflammation of sciatic and lumbar nerves, gastrointestinal processes, and ocular inflammation. Background of the Invention Neurogenic inflammation is present in very different pathologic conditions, and is characterised by vasodilatation and plasmatic extravasation in zones where non-myelinated fibres can be found. The activation of these fibres frees the mediating substances P and calcitonin gene related peptide (CGRP) from the afferent nerve terminals provoking the characteristic symptoms of neurogenic inflammation [GYORFI, A. et al., J. Clin. Periodontol. 19 (10): 731-736 (1992)]. The substance P plays an important role as the main mediator in the induction of neurogenic inflammation by means of an increase in the vascular permeability due to the liberation of histamine from mast cells and by interaction with the endothelial cells [INOUE, H. et al., Inflamm. Res. 44 : 125-130 (1995); PIOTROWSKI, W. et al., Br. J. Dermatol. 114 : 37-46 (1986); LOWMAN, M.A. et al., Br. J. Pharmacol. 95 : 121-130 (1988); FEWTRELL, C.M.S. et al., J. Physiol. 330 : 393-411 (1982); STEPHENSON, J. A. et al., Eur. J. Pharmacol. 124 : 377-378 (1986); ZICHE, M. et al., Microvas. Res. 40 : 264-278 (1990)]. It has also been reported that CGRP can promote the plasmatic extravasation induced by substance P in rat trachea and therefore plays an important role in the modulation of neurogenic inflammation in the respiratory tract [BROKAW, J.J. et al., Lung 170 (2): 85-93 (1992)]. The neuropeptides (CGRP and substance P, among others) are found in the primary non-myelinated afferent neurones as neurotransmitters [HOLZER, P., Neuroscience 24 : 739-768 (1988)]. Neurogenic inflammation, with reflex vasodilatation of the axon, plasmatic and edema extravasation, can be produced by neuropeptides by means of the activation of primary afferent neurones. In fact, the cutaneous inflammatory responses, including the formation of edema, vasodilatation and wheals, are evoked as response to intradermic injection of neuropeptides [GAMSE, R. et al., Eur. J. Pharmacol. 114 : 61-66 (1985); FULLER, R.W. et al., Br. J. Pharmacol. 92 : 781-788 (1987)]. Furthermore, nueropeptides have been discovered in lesions of skin diseases and it is suggested that they play a key role in cutaneous inflammation [FARBER, E.M. et al., J. Am. Acad. Dermatol. 14 : 305-311 (1986); WALLENGREN, J. et al., Acta Derm. Veneorol. (Stockh.) 66 : 23-28 (1986)]. In our patents EP 289380 and ES 9800793 we have described carbinol derivatives of general formula (I) wherein Ar represents a benzene ring or a substituted or unsubstituted thiophene ring, R1 represents a hydrogen atom or a lower alkyl group of C 1 to C 4 ; R2 represents a dialkylaminoalkyl or azaheterocyclylalkyl radical and Het represents an azol. as well as their physiologically acceptable salts. In our patents PCT/EP96/05596, ES 9701538, ES 9701728 and ES 9800793 we have also described different procedures for the preparation of enantiomerically pure compounds of general formula (I). We have now discovered that the compounds of general formula (I), as well as their physiologically acceptable salts, are particularly useful for the manufacture of medicaments, useful in human and/or veterinary therapy, for curing or alleviating neurogenic inflammation present in different processes such as: diabetes, asthma, cystitis, gingivitis, migraine, dermatitis, rhinitis, psoriasis, inflammation of sciatic and lumbar nerves, gastrointestinal processes, and ocular inflammation. Detailed Description of the Invention The present invention relates to the use of derivatives of aryl(or heteroaryl)azolylcarbinols of general formula (I) wherein Ar is an unsubstituted phenyl radical or thienyl radical, or optionally subsituted by 1, 2 or 3 identical or different substituents, selected from the group formed by fluorine, chlorine, bromine, methyl, trifluoromethyl and methoxy; R1 is a hydrogen atom or an alkyl group C 1 - C 4 ; R2 is a dialkyl radical (C 1 - C 4 )aminoalkyl (C 2 - C 3 ), or azaheterocyclyl-alkyl (C 2 - C 3 ); and Het is a five membered azotic heterocyclic aromatic ring that contains from one to three nitrogen atoms, unsubstituted or optionally substituted by 1 or 2 substituents, identical or different, selected from the group made up of fluorine, chlorine, bromine and methyl; or of one of its physiologically acceptable salts, in the manufacture of a medicament for the treatment of neurogenic inflammation in mammals, including man. The term "alkyl group C 1 - C 4 " represents a straight or branched chain radical that is derived from a saturated hydrocarbon of 1 to 4 carbon atoms, such as methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec-butyl and terc -butyl. The term dialkyl (C 1 - C 4 ) aminoalkyl (C 2 - C 3 ) or azaheterocyclylalkyl (C 2 - C 3 ) represents an alkyl radical of two or three carbon atoms joined to a dialkyl (C 1 - C 4 )amine or to a cyclic amine, such as dimethylamino- ethyl, dimethylaminopropyl, diethylaminoethyl, piperidiethyl, morpholinylpropyl, pyrrolidinialkyl, etc. Illustrative examples of compounds covered by the present invention include: (±)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol, (±)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate, (+)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol, (-)-5-{α-(2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol, (+)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate, (-)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate, (±)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol, (±)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol citrate, (+)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1H-pyrazol, (-)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol, (+)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol citrate, and (-)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol citrate. The compounds of general formula (I) can be synthesised according to the processes described in patents EP 289380 or ES 9800793. The compounds of general formula (I) have a stereogenic centre and the invention relates both to the use of a pure enantiomer and to a mixture of enantiomers. The enantiomers can be prepared by some of the processes described in our patents PCT/EP96/05596, ES 9701538, ES 9701728 or ES 9800793. Pharmaceutical compositions that contain compounds of general formula (I) are described in our patent applications EP 289380 and ES 9800793. In the present invention activity of the compounds of general formula (i) against neurogenic inflammation has been demonstrated, studying directly the effect of these compounds on neurogenic inflammation. This study was carried out by determining the inhibition of edema of the ear induced by capsaicine in mice. The effect on the spinal liberation of substance P and CGRP has also been determined in rat. Finally, the effect on spinal liberation of CGRP in polyarthritic rats has been studied. In the following examples some properties object of the invention for the (±)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate of the following formula are indicated. The examples that are indicated below, given by way of illustration, describe some pharmacological trials. EXAMPLE 1 Effect on the mouse ear edema induced by capsaicine. The mouse ear edema induced by capsaicine has been described as being particularly related to the release of substance P [INOUE, H. et al., Inflamm. Res. 44 : 125-130 (1995)]. It has also been reported that capsaicine applied to human skin provokes the response known as neurogenic inflammation. It is supposed that neuropeptides (substance P, CGRP), released from the terminals of afferent C fibres, and histamine, recently released from mast cells, participate in this reaction. The induction of edema of mouse ear is based on the method of Inoue et al.[ INOUE, H. et al., Br. J. Pharmacol. 110 : 1614-1620 (1993)]. In this method capsaicine is applied (250 µg/5 µl of ethanol) to both dorsal and ventral surfaces of the right ear of each mouse (males ICR, 35-45 g). Thirty minutes after applying capsaicine, the animals were sacrificed by cervical dislocation. A disc of 7 mm diameter was extracted from the tissue of the right ear, using a metal disc-cutter and the weight of these discs of tissue was determined. The product, (±)-5-{α-[2-(dimethylamino)ethoxy] benzyl}-1-methyl-1 H -pyrazol citrate, had been administered orally 1 hour before applying the capsaicine. The results obtained with the said product are summarised below. The anti-inflammatory activity of the said product in this process of neurogenic inflammation is evident. Effect of (±)-5-{α-[2-(dimethylamino)ethoxy] benzyl}-1-methyl-1 H -pyrazol citrate on the mouse ear edema induced by capsaicine. Compound dosage (mg/kg, orally) % Inhibition of edema with respect to control group 92 32% 184 56% EXAMPLE 2 Effect on the spinal liberation of SP and CGRP in rats The study was carried out in vivo , in rats anaesthetised with halothane. The trial consisted of intrathecal perfusion with an artificial cerebrospinal fluid (ACSF), with a view to collecting the peptides released from the surface layers of the spinal cord while the product under study was being administered locally or systematically. The method used was that described by Collin, E. and co-workers. (Naunyn-Schmiedeberg's Arch. Pharmacol. 349: 387-393, 1994). The activity of the (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate, administered intrathecally in the perfusion liquid, at a concentration of 1 µM was studied. As is summarised below, the (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate inhibited the release both of substance P (SP) and of CGRP. The systematic administration of 46 mg/kg intraperitoneally (i.p.) of the (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate also reduced the release of substance P and of CGRP. Effect of the (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate on the intrathecal release of substance P and CGRP in rat. Treatment with (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate % Inhibition of intrathecal release with respect to control Substance P CGRP 1 µM, intrathecal -58 % -60% 46 mg/kg, i.p. -50% -60% It is of note that the effect of the systematic administration of (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate on the intrathecal release of substance P lasted 2 hours, the average inhibition being 50% during this time period. EXAMPLE 3 Effect on the spinal release of CGRP in polyarthritic rats. Polyarthritis was induced by intradermic injection of 0.05 ml of complete Freund adyuvant ( Mycobacterium butiricum suspended in mineral oil), at about 3 cm from the tip of the tail of Sprague-Dawley rats (weighing 150-175 g). The animals were used four weeks later, when the paws and tail had their maximum inflammation. The rest of the trial was carried out using the same procedure of intrathecal perfusion described in Example 2. The (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citratel was administered interperitoneally at a dosage of 46 mg/kg and the release of intrathecal CGRP was monitored for 3 hours. The comparison with the control group showed that the release of CGRP was much greater in the group treated with (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate . The measurement of the area under the curve, used as an estimation of the CGRP release during the 3 hours after the treatment, showed an inhibition of 50%. It is therefore clear that (±)-5-{α-[2-(dimethylamino)ethoxy]-benzyl}-1-methyl-1 H -pyrazol citrate has a notable effect on the release of CGRP, also in polyarthritic rats.

Claims: Use of a derivative of aryl(or heteroaryl)azolylcarbinol of general formula (I) wherein Ar is a phenyl or thienyl radical, unsubstituted or optionally substituted by 1, 2 or 3 identical or different substituents, selected from the group made up of fluorine, chlorine, bromine, methyl, trifluoromethyl and methoxy; R1 is a hydrogen atom or an alkyl group C 1 - C 4 ; R2 is a dialkyl (C 1 - C 4 )aminoalkyl (C 2 - C 3 ), or azaheterocyclyl-alkyl (C 2 - C 3 ); and Het is a five membered azotic heterocyclic aromatic ring that contains from one to three nitrogen atoms, unsubstituted or optionally substituted by 1 or 2 substituents, identical or different, selected from the group made up of fluorine, chlorine, bromine and methyl; or of one of its physiologically acceptable salts, in the manufacture of a medicament for the treatment of neurogenic inflammation in mammals, including man. Use, according to claim 1, of a compound of general formula (I) in which R1 is selected from a hydrogen atom or from a group made up of methyl, ethyl, propyl, isopropyl, butyl, isobutyl, sec -butyl and terc -butyl, in the manufacture of a medicament for the treatment of neurogenic inflammation in mammals, including man. Use, according to claim 1, of a compound of general formula (I) in which R2 is selected from a group made up of dimethylaminoethyl, dimethylaminopropyl, diethylaminoethyl, piperidylethyl, morpholinylpropyl and pyrrolidinylethyl, in the manufacture of a medicament for the treatment of neurogenic inflammation in mammals, including man. Use, according to claim 1, of a compound of general formula (I) selected from the group made up of: (±)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol, (±)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate, (+)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol, (-)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol, (+)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate, (-)-5-{α-[2-(dimethylamino)ethoxy]benzyl}-1-methyl-1 H -pyrazol citrate (±)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol, (±)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol citrate, (+)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol, (-)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol, (+)-5-{α-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol citrate, and (-)-5-{a-[2-(dimethylamino)ethoxy]-2-thienylmethyl}-1-methyl-1 H -pyrazol citrate, in the manufacture of a medicament for the treatment of neurogenic inflammation in mammals, including man.

Inventors: FRIGOLA-CONSTANSA JORDI, MERCE-VIDAL RAMON, FRIGOLA-CONSTANSA, JORDI, MERCE-VIDAL, RAMON
Applicants: ESTEVE LABOR DR, LABORATORIOS DEL DR. ESTEVE, S.A.
Application year: 1999
Main classification: A61K31
IPC codes: C07D409, C07D231, A61K31, A61P25, A61P29, A61P43